Clinical Study Age-Associated Reduction of Asymmetry in Human Central Auditory Function: A 1H-Magnetic Resonance Spectroscopy Study

The aim of this study was to investigate the effects of age on hemispheric asymmetry in the auditory cortex after pure tone stimulation. Ten young and 8 older healthy volunteers took part in this study. Two-dimensional multivoxel 1H-magnetic resonance spectroscopy scans were performed before and after stimulation. The ratios of N-acetylaspartate (NAA), glutamate/glutamine (Glx), and -amino butyric acid (GABA) to creatine (Cr) were determined and compared between the two groups. The distribution of metabolites between the left and right auditory cortex was also determined. Before stimulation, left and right side NAA/Cr and right side GABA/Cr were significantly lower, whereas right side Glx/Cr was significantly higher in the older group compared with the young group. After stimulation, left and right side NAA/Cr and GABA/Cr were significantly lower, whereas left side Glx/Cr was significantly higher in the older group compared with the young group. There was obvious asymmetry in right side Glx/Cr and left side GABA/Cr after stimulation in young group, but not in older group. In summary, there is marked hemispheric asymmetry in auditory cortical metabolites following pure tone stimulation in young, but not older adults. This reduced asymmetry in older adults may at least in part underlie the speech perception difficulties/presbycusis experienced by aging adults

A novel two-score system for interferon status segregates autoimmune diseases and correlates with clinical features

Measurement of type I interferon (IFN-I) has potential to diagnose and stratify autoimmune diseases, but existing results have been inconsistent. Interferon-stimulated-gene (ISG) based methods may be afected by the modularity of the ISG transcriptome, cell-specifc expression, response to IFN-subtypes and bimodality of expression. We developed and clinically validated a 2-score system (IFN-Score-A and -B) using Factor Analysis of 31 ISGs measured by TaqMan selected from 3-IFN-annotated modules. We evaluated these scores using in-vitro IFN stimulation as well as in sorted cells then clinically validated in a cohort of 328 autoimmune disease patients and healthy controls. ISGs varied in response to IFNsubtypes and both scores varied between cell subsets. IFN-Score-A diferentiated Systemic Lupus Erythematosus (SLE) from both Rheumatoid Arthritis (RA) and Healthy Controls (HC) (both p<0.001), while IFN-Score-B diferentiated SLE and RA from HC (both p<0.001). In SLE, both scores were associated with cutaneous and hematological (all p<0.05) but not musculoskeletal disease activity. Comparing with bimodal (IFN-high/low) classifcation, signifcant diferences in IFN-scores were found between diagnostic groups within the IFN-high group. Our continuous 2-score system is more clinically relevant than a simple bimodal classifcation of IFN status. This system should allow improvement in diagnosis, stratifcation, and therapy in IFN-mediated autoimmunity

Methylprednisolone as Adjunct to Endovascular Thrombectomy for Large-Vessel Occlusion Stroke

Importance It is uncertain whether intravenous methylprednisolone improves outcomes for patients with acute ischemic stroke due to large-vessel occlusion (LVO) undergoing endovascular thrombectomy. Objective To assess the efficacy and adverse events of adjunctive intravenous low-dose methylprednisolone to endovascular thrombectomy for acute ischemic stroke secondary to LVO. Design, Setting, and Participants This investigator-initiated, randomized, double-blind, placebo-controlled trial was implemented at 82 hospitals in China, enrolling 1680 patients with stroke and proximal intracranial LVO presenting within 24 hours of time last known to be well. Recruitment took place between February 9, 2022, and June 30, 2023, with a final follow-up on September 30, 2023.InterventionsEligible patients were randomly assigned to intravenous methylprednisolone (n = 839) at 2 mg/kg/d or placebo (n = 841) for 3 days adjunctive to endovascular thrombectomy. Main Outcomes and Measures The primary efficacy outcome was disability level at 90 days as measured by the overall distribution of the modified Rankin Scale scores (range, 0 [no symptoms] to 6 [death]). The primary safety outcomes included mortality at 90 days and the incidence of symptomatic intracranial hemorrhage within 48 hours. Results Among 1680 patients randomized (median age, 69 years; 727 female [43.3%]), 1673 (99.6%) completed the trial. The median 90-day modified Rankin Scale score was 3 (IQR, 1-5) in the methylprednisolone group vs 3 (IQR, 1-6) in the placebo group (adjusted generalized odds ratio for a lower level of disability, 1.10 [95% CI, 0.96-1.25]; P = .17). In the methylprednisolone group, there was a lower mortality rate (23.2% vs 28.5%; adjusted risk ratio, 0.84 [95% CI, 0.71-0.98]; P = .03) and a lower rate of symptomatic intracranial hemorrhage (8.6% vs 11.7%; adjusted risk ratio, 0.74 [95% CI, 0.55-0.99]; P = .04) compared with placebo. Conclusions and Relevance Among patients with acute ischemic stroke due to LVO undergoing endovascular thrombectomy, adjunctive methylprednisolone added to endovascular thrombectomy did not significantly improve the degree of overall disability.Trial RegistrationChiCTR.org.cn Identifier: ChiCTR210005172

Do institutional investors have superior stock selection ability in China?

This paper uses unique data on the shareholdings of both institutional and individual investors to directly investigate whether institutional investors have better stock selection ability than individual investors in China. Controlling for other factors, we find that institutional investors increase (decrease) their shareholdings in stocks that subsequently exhibit positive (negative) short- and long-term cumulative abnormal returns. In contrast, individual investors decrease (increase) their shareholdings in stocks that subsequently exhibit positive (negative) short- and long-term cumulative abnormal returns. These findings indicate that institutional investors have superior stock selection ability in China

A Study of the Effects of Anthropogenic Gaseous Emissions on the Microphysical Properties of Landfalling Typhoon Nida (2016) over China

Using the Weather Research and Forecasting model with chemistry module (WRF-Chem), Typhoon Nida (2016) was simulated to investigate the effects of anthropogenic gaseous emissions on the vortex system. Based on the Multi-resolution Emission Inventory for China (MEIC), three certain experiments were conducted: one with base-level emission intensity (CTRL), one with one-tenth the emission of SO2 (SO2_C), and one with one-tenth the emission of NH3 (NH3_C). Results show that the simulations reasonably reproduced the typhoon&rsquo;s track and intensity, which were slightly sensitive to the anthropogenic gaseous emissions. When the typhoon was located over the ocean, a prolonged duration of raindrop growth and more precipitation occurred in CTRL run. The strongest updraft in CTRL is attributed to the maximum latent heating through water vapor condensation. During the landfalling period, larger (smaller) differential reflectivities in the main-core of the vortex were produced in NH3_C (SO2_C) run. Such opposite changes of raindrop size distributions may lead to stronger (weaker) rainfall intensity, and the ice-related microphysical processes and the relative humidity in low troposphere were two possible influential factors. Moreover, additional ten-member ensemble results in which white noise perturbations were added to the potential temperature field, indicated that the uncertainty of thermodynamic field in the current numerical model should not be ignored when exploring the impacts of aerosol on the microphysics and TC precipitation

self-calibration of hybrid central catadioptric and perspective cameras

Hybrid central catadioptric and perspective cameras are desired in practice, because the hybrid camera system can capture large field of view as well as high-resolution images. However, the calibration of the system is challenging due to heavy distortions in catadioptric cameras. In addition, previous calibration methods are only suitable for the camera system consisting of perspective cameras and catadioptric cameras with only parabolic mirrors, in which priors about the intrinsic parameters of perspective cameras are required. In this work, we provide a new approach to handle the problems. We show that if the hybrid camera system consists of at least two central catadioptric and one perspective cameras, both the intrinsic and extrinsic parameters of the system can be calibrated linearly without priors about intrinsic parameters of the perspective cameras, and the supported central catadioptric cameras of our method can be more generic. In this work, an approximated polynomial model is derived and used for rectification of catadioptric image. Firstly, with the epipolar geometry between the perspective and rectified catadioptric images, the distortion parameters of the polynomial model can be estimated linearly. Then a new method is proposed to estimate the intrinsic parameters of a central catadioptric camera with the parameters in the polynomial model, and hence the catadioptric cameras can be calibrated. Finally, a linear self-calibration method for the hybrid system is given with the calibrated catadioptric cameras. The main advantage of our method is that it cannot only calibrate both the intrinsic and extrinsic parameters of the hybrid camera system, but also simplify a traditional nonlinear self-calibration of perspective cameras to a linear process. Experiments show that our proposed method is robust and reliable. &copy; 2012 Elsevier Inc. All rights reserved