35 research outputs found

    Temporal-spatial analysis of a foot-and-mouth disease model with spatial diffusion and vaccination

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    Foot-and-mouth disease is an acute, highly infectious, and economically significant transboundary animal disease. Vaccination is an efficient and cost-effective measure to prevent the transmission of this disease. The primary way that foot-and-mouth disease spreads is through direct contact with infected animals, although it can also spread through contact with contaminated environments. This paper uses a diffuse foot-and-mouth disease model to account for the efficacy of vaccination in managing the disease. First, we transform an age-space structured foot-and-mouth disease into a diffusive epidemic model with nonlocal infection coupling the latent period and the latent diffusive rate. The basic reproduction number, which determines the outbreak of the disease, is then explicitly formulated. Finally, numerical simulations demonstrate that increasing vaccine efficacy has a remarkable effect than increasing vaccine coverage

    Association Between Serum Uric Acid Levels and Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-Analysis of Observational Studies

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    Objective: The objective of the present study was to meta-analyze relevant literature to gain a comprehensive understanding of the potential relationship between serum uric acid levels and risk of benign paroxysmal positional vertigo (BPPV).Methods: The databases of PubMed, Web of Science, Embase, Chinese National Knowledge Infrastructure, Wanfang, and SinoMed were systematically searched for observational case-control studies of the association between BPPV and serum uric acid levels published up to October 2018. Data from eligible studies were meta-analyzed using Stata 12.0.Results: A total of 12 studies were included in the analysis. There was a strong tendency for serum uric acid levels to be associated with risk of BPPV among studies conducted in China (OR 0.69, 95%CI 0.01–1.40, p = 0.053), but not among studies outside China (OR 1.07, 95%CI 1.08–3.22, p = 0.33). Across all studies, serum uric acid level was significantly higher among individuals with BPPV than among controls (OR 0.78, 95%CI 0.15–1.41, p = 0.015), yet it did not independently predict risk of the disorder (OR 1.003, 95%CI 0.995–1.012, p = 0.471).Conclusion: The available evidence suggests that BPPV is associated with elevated levels of serum uric acid, but these levels may not be an independent risk factor of BPPV

    Updating systematic reviews can improve the precision of outcomes: a comparative study

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    Objectives: The objective of this study was to investigate the main characteristics and the precision of outcomes between updated and original systematic reviews (SRs). Study Design and Setting: We searched PubMed and Embase.com on 31 March 2019 and included 30 pairs of updated and original SRs. We calculated changes in outcomes and the precision of effect size estimates in updated SRs, compared with original SRs. Review Manager 5.3 software was adopted to create forest plots showing comparable outcomes. Results: The average update time was 56.0 months, and incorporating new trials (23 SRs, 76.7%) was the main reason for the update. Compared with original SRs, 24 (80.0%) updated SRs included more randomized controlled trials and 22 (73.3%) updated SRs involved a larger number of patients. Of the 130 comparable outcomes, only three (2.3%) outcomes were observed with a significant change in three SR updates. No new data from randomized controlled trials were added to 36 (27.7%) outcomes during the update process. Of the 94 outcomes including new evidence, 83 (88.3%) showed an improvement in precision, 5 (5.3%) showed a decrease in precision, and 6 (6.4%) did not exhibit changes in precision. Conclusion: Updating SRs could increase the precision of most comparable outcomes, although the conclusions of almost all updated SRs were similar to original SRs

    Methodological and reporting quality in non-Cochrane systematic review updates could be improved: a comparative study

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    Objectives: To compare the methodological and reporting quality of updated systematic reviews (SRs) and original SRs. Study Design and Setting: We included 30 pairs of non-Cochrane updated and original SRs, identified from a search of PubMed and Embase.com. We used AMSTAR 2 to assess methodological quality and PRISMA for reporting quality. Stratified analyses were conducted to compare the differences between updated SRs and original SRs and explore factors that might affect the degree of quality change. Results: Of the 60 non-Cochrane SRs, only 2 (3.3%) were of low quality, the remaining 58 (96.7%) were of critical low quality. There were no statistically significant differences in methodological quality between the updated SRs and original SRs, although the compliance rates of 8 items of updated SRs were higher than that of original SRs. Updated SRs showed an improvement on 15 PRISMA items, but no items with statistically significant differences. The differences in fully reported AMSTAR 2 and PRISMA items between original SRs and updated SRs were also not statistically significant after adjusting for multiple review characteristics. Conclusions: The methodological and reporting quality of updated SRs were not improved compared with original SRs, although the quality could be further improved for both updated SRs and original SRs

    Modified nusinersen intrathecal injection method: inclusion of a septal needle-free closed infusion connector

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    ObjectiveNusinersen, an extremely expensive biologic drug (around 100,000 US$ per dose) that needs to be administered intrathecally, is approved for the treatment of 5q-spinal muscular atrophy (SMA). Because of the low muscle tone of the back muscles of pediatric SMA patients, especially type 1 SMA patients, the safe, effective, and fast execution of sheath injection is needed. Therefore, a modified intrathecal injection method was developed accordingly. This paper aims to describe the applicability and safety of this modified method.MethodsThe modified intrathecal injection method (MIIM) mainly includes a septal needle-free closed infusion connector between the lumbar puncture needle and the syringe, besides the procedures of routine lumbar puncture. Its applicability and safety were evaluated through clinical observation.ResultsA total of 92 children with SMA have successfully received nusinersen treatment at our hospital using the modified method since 2019 without obvious adverse events related to the modified injection method. Based on the clinical feedback of operators, the advantages of the modified method include successfully injecting the total dose of nusinersen with constant injection rate and a more stable fixation of the puncture needle, as well as making the operator more relaxed. However, compared with the routine method, the procedure of the modified method has additional steps.ConclusionThe modified intrathecal injection method is an effective and safe method to inject nusinersen when weighing the pros and cons, and it may also be used for administering intrathecal injections of other expensive medicines or for patients with other strict requirements for intrathecal injection

    Pediatric myelin oligodendrocyte glycoprotein antibody-associated disease in southern China: analysis of 93 cases

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    ObjectiveTo study the clinical features of children diagnosed with myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) in southern China.MethodsClinical data of children diagnosed with MOGAD from April 2014 to September 2021 were analyzed.ResultsA total of 93 children (M/F=45/48; median onset age=6.0 y) with MOGAD were involved. Seizures or limb paralysis was the most common onset or course symptom, respectively. The most common lesion locations in brain MRI, orbital MRI, and spinal cord MRI were basal ganglia and subcortical white matter, the orbital segment of the optic nerve, and the cervical segment, respectively. ADEM (58.10%) was the most common clinical phenotype. The relapse rate was 24.7%. Compared with the patients without relapse, relapsed patients had a longer interval from onset to diagnosis (median: 19 days VS 20 days) and higher MOG antibody titer at onset (median: 1:32 VS 1:100) with longer positively persistent (median: 3 months VS 24 months). All patients received IVMP plus IVIG at the acute phase, and 96.8% of patients achieved remission after one to three courses of treatment. MMF, monthly IVIG, and maintaining a low dose of oral prednisone were used alone or in combination as maintenance immunotherapy for relapsed patients and effectively reduced relapse. It transpired 41.9% of patients had neurological sequelae, with movement disorder being the most common. Compared with patients without sequelae, patients with sequelae had higher MOG antibody titer at onset (median: 1:32 VS 1:100) with longer persistence (median: 3 months VS 6 months) and higher disease relapse rate (14.8% VS 38.5%).ConclusionsResults showed the following about pediatric MOGAD in southern China: the median onset age was 6.0 years, with no obvious sex distribution difference; seizure or limb paralysis, respectively, are the most common onset or course symptom; the lesions of basal ganglia, subcortical white matter, the orbital segment of the optic nerve, and cervical segment were commonly involved in the CNS MRI; ADEM was the most common clinical phenotype; most had a good response to immunotherapy; although the relapse rate was relatively high, MMF, monthly IVIG and a low dose of oral prednisone might effectively reduce relapse; neurological sequelae were common, and possibly associated with MOG antibody status and disease relapse

    Data_Sheet_1_Temporal-spatial analysis of a foot-and-mouth disease model with spatial diffusion and vaccination.pdf

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    Foot-and-mouth disease is an acute, highly infectious, and economically significant transboundary animal disease. Vaccination is an efficient and cost-effective measure to prevent the transmission of this disease. The primary way that foot-and-mouth disease spreads is through direct contact with infected animals, although it can also spread through contact with contaminated environments. This paper uses a diffuse foot-and-mouth disease model to account for the efficacy of vaccination in managing the disease. First, we transform an age-space structured foot-and-mouth disease into a diffusive epidemic model with nonlocal infection coupling the latent period and the latent diffusive rate. The basic reproduction number, which determines the outbreak of the disease, is then explicitly formulated. Finally, numerical simulations demonstrate that increasing vaccine efficacy has a remarkable effect than increasing vaccine coverage.</p

    LaneFormer: Real-Time Lane Exaction and Detection via Transformer

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    In intelligent driving, lane line detection is a basic but challenging task, especially in complex road conditions. The current detection algorithms based on convolutional neural networks perform well for simple scenes with plenty of light, and the lane lines are clean and unobstructed. Still, they do not perform well for complex scenes such as damaged, blocked, and lack-of-light scenes. In this article, we have exceeded the above restrictions and propose an attractive network: LaneFormer; We use an end-to-end network for up and down sampling three times each, then fuse them in their respective channels to extract the slender lane line structure. At the same time, a correction module is designed to adjust the dimensions of the extracted features using MLP, judging whether the feature is completely extracted through the loss function. Finally, we send the feature into the transformer network, detect the lane line points through the attention mechanism, and design a road and camera model to fit the identified lane line feature points. Our proposed method has been validated in the TuSimple benchmark test, showing the most advanced accuracy with the lightest model and fastest speed
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