Anatomic Fat Depots and Coronary Plaque Among Human Immunodeficiency Virus-Infected and Uninfected Men in the Multicenter AIDS Cohort Study.

Methods.  In a cross-sectional substudy of the Multicenter AIDS Cohort Study, noncontrast cardiac computed tomography (CT) scanning for coronary artery calcium (CAC) scoring was performed on all men, and, for men with normal renal function, coronary CT angiography (CTA) was performed. Associations between fat depots (visceral adipose tissue [VAT], abdominal subcutaneous adipose tissue [aSAT], and thigh subcutaneous adipose tissue [tSAT]) with coronary plaque presence and extent were assessed with logistic and linear regression adjusted for age, race, cardiovascular disease (CVD) risk factors, body mass index (BMI), and human immunodeficiency virus (HIV) parameters. Results.  Among HIV-infected men (n = 597) but not HIV-uninfected men (n = 343), having greater VAT was positively associated with noncalcified plaque presence (odds ratio [OR] = 1.04, P < .05), with a significant interaction (P < .05) by HIV serostatus. Human immunodeficiency virus-infected men had lower median aSAT and tSAT and greater median VAT among men with BMI <25 and 25-29.9 kg/m(2). Among HIV-infected men, VAT was positively associated with presence of coronary plaque on CTA after adjustment for CVD risk factors (OR = 1.04, P < .05), but not after additional adjustment for BMI. There was an inverse association between aSAT and extent of total plaque among HIV-infected men, but not among HIV-uninfected men. Lower tSAT was associated with greater CAC and total plaque score extent regardless of HIV serostatus. Conclusions.  The presence of greater amounts of VAT and lower SAT may contribute to increased risk for coronary artery disease among HIV-infected persons

Design and Implementation of a Wireless Sensor Network-Based Remote Water-Level Monitoring System

The proposed remote water-level monitoring system (RWMS) consists of a field sensor module, a base station module, adata center module and aWEB releasing module. It has advantages in real time and synchronized remote control, expandability, and anti-jamming capabilities. The RWMS can realize real-time remote monitoring, providing early warning of events and protection of the safety of monitoring personnel under certain dangerous circumstances. This system has been successfully applied in Poyanghu Lake. The cost of the whole system is approximately 1,500 yuan (RMB)

Proteus: Simulating the Performance of Distributed DNN Training

DNN models are becoming increasingly larger to achieve unprecedented accuracy, and the accompanying increased computation and memory requirements necessitate the employment of massive clusters and elaborate parallelization strategies to accelerate DNN training. In order to better optimize the performance and analyze the cost, it is indispensable to model the training throughput of distributed DNN training. However, complex parallelization strategies and the resulting complex runtime behaviors make it challenging to construct an accurate performance model. In this paper, we present Proteus, the first standalone simulator to model the performance of complex parallelization strategies through simulation execution. Proteus first models complex parallelization strategies with a unified representation named Strategy Tree. Then, it compiles the strategy tree into a distributed execution graph and simulates the complex runtime behaviors, comp-comm overlap and bandwidth sharing, with a Hierarchical Topo-Aware Executor (HTAE). We finally evaluate Proteus across a wide variety of DNNs on three hardware configurations. Experimental results show that Proteus achieves $3.0\%$ average prediction error and preserves order for training throughput of various parallelization strategies. Compared to state-of-the-art approaches, Proteus reduces prediction error by up to $133.8\%$

Association between geriatric nutritional risk index and 28 days mortality in elderly patients with sepsis: a retrospective cohort study

BackgroundThere is a significant controversy surrounding the impact of the geriatric nutritional risk index (GNRI) on mortality among elderly septic patients. This retrospective cohort study aimed to investigate the association between GNRI at admission and 28 days mortality in elderly septic patients.MethodsWe retrospectively analyzed data collected from the MIMIC IV database between 2009 and 2019, which included 2,834 septic patients aged 65 years and above. The exposure variable was the GNRI, determined according to albumin levels, height, and weight. The primary outcome was 28 days mortality. We employed multivariable Cox regression analyses and Kaplan–Meier survival curves to examine the association between GNRI and 28 days mortality. We used restricted cubic splines to determine if there was a non-linear relationship between 28 days mortality and GNRI in elderly patients with sepsis and to examine the presence of a threshold saturation effect. In addition, interaction tests were conducted to identify subgroups that exhibited significant differences.ResultsA total of 2,834 elderly patients with sepsis participated in the study. Following adjustment, multivariable Cox regression analyses demonstrated that the GNRI was related to 28 days mortality (HR = 0.97, p < 0.001, 95% CI: 0.97–0.98). An L-shaped connection between GNRI and 28 days mortality was discovered via restricted cubic spline analysis, with an inflection point of 98.1. On the left side of the inflection point, GNRI levels were significantly negatively linked with 28 days mortality (HR = 0.967, 95% CI: 0.959–0.974; p < 0.001), and on the right side, there was no significant correlation (HR = 1.043, 95% CI: 0.984–1.106; p = 0.1549).ConclusionIn this analysis of data from a large cohort of elderly septic patients, GNRI scores on admission were correlated with a 28 days risk of death from sepsis in the elderly suggesting that GNRI scores could serve as a valuable indicator for evaluating mortality rates among elderly septic patients in the intensive care unit (ICU)