Clinical analysis of high myopia in 320 cases in Ningxia Hui Autonomous Region

AIM: To analyze the clinical manifestations and etiological factors of high myopia in 320 cases. <p>METHODS:A total of 320 patients(640 eyes)with high myopia treated in Ningxia Eye Hospital from January 2011 to November 2012 were studied. All of them underwent thorough eye examination and relevant environmental factors were recorded. The following data were analyzed, including gender, ethnicity, age of onset, refractive error, axial length, best corrected visual acuity(BCVA), educational level and living environment. <p>RESULTS: Bilateral high myopia was present in 320 patients(130 men and 190 women; 250 being of Han nationality and 70 of Hui nationality)with a mean age of 42.65±16.51 years(range: 3-80 years); the male to female ratio was 1:1.5. The age of onset was lower than 20 years in 237 patients, higher than 21 yeas in 83 patients, the difference was statistically significant(<i>P</i><0.001). There was no significant difference between diopter and educational level(<i>P</i>>0.05). The patients with BCVA higher than 0.3 increased with diopter increased, while BCVA lower than 0.8 and between 0.4～0.7 reduced. Refraction was significantly negatively correlated with BCVA(<i>r</i>=-0.196, <i>P</i><0.05)and positive correlated with axial length(<i>r</i>=0.681, <i>P</i><0.05). <p>CONCLUSION: In the study, patients with high myopia tend to have early onset, low educational level, and spacious living environment. Such results indicate that the genetic factors may be the main cause of high myopia in this group. The higher the degree of myopia was, the worse BCVA and the longer AL would be

SkyLens: Visual analysis of skyline on multi-dimensional data

Skyline queries have wide-ranging applications in fields that involve multi-criteria decision making, including tourism, retail industry, and human resources. By automatically removing incompetent candidates, skyline queries allow users to focus on a subset of superior data items (i.e., the skyline), thus reducing the decision-making overhead. However, users are still required to interpret and compare these superior items manually before making a successful choice. This task is challenging because of two issues. First, people usually have fuzzy, unstable, and inconsistent preferences when presented with multiple candidates. Second, skyline queries do not reveal the reasons for the superiority of certain skyline points in a multi-dimensional space. To address these issues, we propose SkyLens, a visual analytic system aiming at revealing the superiority of skyline points from different perspectives and at different scales to aid users in their decision making. Two scenarios demonstrate the usefulness of SkyLens on two datasets with a dozen of attributes. A qualitative study is also conducted to show that users can efficiently accomplish skyline understanding and comparison tasks with SkyLens.Comment: 10 pages. Accepted for publication at IEEE VIS 2017 (in proceedings of VAST

De novel heterozygous copy number deletion on 7q31.31-7q31.32 involving TSPAN12 gene with familial exudative vitreoretinopathy in a Chinese family

AIM: To investigate the genetic and clinical characteristics of patients with a large heterozygous copy number deletion on 7q31.31-7q31.32. METHODS: A family with familial exudative vitreoretinopathy (FEVR) phenotype was included in the study. Whole-exome sequencing (WES) was initially used to locate copy number variations (CNVs) on 7q31.31-31.32, but failed to detect the precise breakpoint. The long-read sequencing, Oxford Nanopore sequencing Technology (ONT) was used to get the accurate breakpoint which is verified by quantitative real-time polymerase chain reaction (QPCR) and Sanger Sequencing. RESULTS: The proband, along with her father and younger brother, were found to have a heterozygous 4.5 Mb CNV deletion located on 7q31.31-31.32, which included the FEVR-related gene TSPAN12. The specific deletion was confirmed as del(7)(q31.31q31.32)chr7:g.119451239_123956818del. The proband exhibited a phase 2A FEVR phenotype, characterized by a falciform retinal fold, macular dragging, and peripheral neovascularization with leaking of fluorescence. These symptoms led to a significant decrease in visual acuity in both eyes. On the other hand, the affected father and younger brother showed a milder phenotype. CONCLUSION: The heterozygous CNV deletion located on 7q31.31-7q31.32 is associated with the FEVR phenotype. The use of long-read sequencing techniques is essential for accurate molecular diagnosis of genetic disorders

Network of Interactions Between Gut Microbiome, Host Biomarkers, and Urine Metabolome in Carotid Atherosclerosis

Comprehensive analyses of multi-omics data may provide insights into interactions between different biological layers concerning distinct clinical features. We integrated data on the gut microbiota, blood parameters and urine metabolites of treatment-naive individuals presenting a wide range of metabolic disease phenotypes to delineate clinically meaningful associations. Trans-omics correlation networks revealed that candidate gut microbial biomarkers and urine metabolite feature were covaried with distinct clinical phenotypes. Integration of the gut microbiome, the urine metabolome and the phenome revealed that variations in one of these three systems correlated with changes in the other two. In a specific note about clinical parameters of liver function, we identified Eubacteriumeligens, Faecalibacteriumprausnitzii and Ruminococcuslactaris to be associated with a healthy liver function, whereas Clostridium bolteae, Tyzzerellanexills, Ruminococcusgnavus, Blautiahansenii, and Atopobiumparvulum were associated with blood biomarkers for liver diseases. Variations in these microbiota features paralleled changes in specific urine metabolites. Network modeling yielded two core clusters including one large gut microbe-urine metabolite close-knit cluster and one triangular cluster composed of a gut microbe-blood-urine network, demonstrating close inter-system crosstalk especially between the gut microbiome and the urine metabolome. Distinct clinical phenotypes are manifested in both the gut microbiome and the urine metabolome, and inter-domain connectivity takes the form of high-dimensional networks. Such networks may further our understanding of complex biological systems, and may provide a basis for identifying biomarkers for diseases. Deciphering the complexity of human physiology and disease requires a holistic and trans-omics approach integrating multi-layer data sets, including the gut microbiome and profiles of biological fluids. By studying the gut microbiome on carotid atherosclerosis, we identified microbial features associated with clinical parameters, and we observed that groups of urine metabolites correlated with groups of clinical parameters. Combining the three data sets, we revealed correlations of entities across the three systems, suggesting that physiological changes are reflected in each of the omics. Our findings provided insights into the interactive network between the gut microbiome, blood clinical parameters and the urine metabolome concerning physiological variations, and showed the promise of trans-omics study for biomarker discovery.publishedVersio

Analysis of retinal hemodynamics in patients with diabetic retinopathy by color Doppler ultrasonography

AIM: To analyze the changes of retinal hemodynamics in patients with diabetic retinopathy(DR)by color Doppler ultrasonography. METHODS: Totally 96 patients(96 eyes)with diabetes mellitus(DM)treated in our hospital from June 2014 to May 2017 were selected and divided into A, B, C three groups. Group A consisted of 32 DM patients(32 eyes), Group B with 32 cases(32 eyes)of non-proliferative diabetic retinopathy(NPDR), Group C 32 cases(32 eyes)of proliferative diabetic retinopathy(PDR), and 30 healthy volunteers(30 eyes)were set as control group. All patients' the central retinal artery(CRA), posterior ciliary artery(PCA), ophthalmic artery(OA)hemodynamic changes were detected by color Doppler ultrasound. And the relation of HbA1c and FBG with diabetic lesion degree were studied. RESULTS: The hemodynamic indexes of CRA, PCA and OA in each group were statistically significant(PP>0.05). The PSV and EDV of CRA, PCA and OA in Group C were the lowest, and the RI was the highest, which had a significant difference between Group A and B(PPPCONCLUSION: Color Doppler ultrasound monitoring changes of CRA, PCA, OA hemodynamics in diabetic patients can bring us more understand in retinal blood flow, and play a vital role in prevention and treatment of diabetic retinopathy

Experimental and numerical investigation of mid-infrared laser in Pr3+-doped chalcogenide fiber

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