A Data-Adaptive Targeted Learning Approach of Evaluating Viscoelastic Assay Driven Trauma Treatment Protocols

Estimating the impact of trauma treatment protocols is complicated by the high dimensional yet finite sample nature of trauma data collected from observational studies. Viscoelastic assays are highly predictive measures of hemostasis. However, the effectiveness of thromboelastography(TEG) based treatment protocols has not been statistically evaluated.To conduct robust and reliable estimation with sparse data, we built an estimation "machine" for estimating causal impacts of candidate variables using the collaborative targeted maximum loss-based estimation(CTMLE) framework.The computational efficiency is achieved by using the scalable version of CTMLE such that the covariates are pre-ordered by summary statistics of their importance before proceeding to the estimation steps.To extend the application of the estimator in practice, we used super learning in combination with CTMLE to flexibly choose the best convex combination of algorithms. By selecting the optimal covariates set in high dimension and reducing constraints in choosing pre-ordering algorithms, we are able to construct a robust and data-adaptive model to estimate the parameter of interest.Under this estimation framework, CTMLE outperformed the other doubly robust estimators(IPW,AIPW,stabilized IPW,TMLE) in the simulation study. CTMLE demonstrated very accurate estimation of the target parameter (ATE). Applying CTMLE on the real trauma data, the treatment protocol (using TEG values immediately after injury) showed significant improvement in trauma patient hemostasis status (control of bleeding), and a decrease in mortality rate at 6h compared to standard care.The estimation results did not show significant change in mortality rate at 24h after arrival

Variations of Particle Size Distribution, Black Carbon, and Brown Carbon during a Severe Winter Pollution Event over Xi'an, China

Real-time particulate matter (PM) size distributions, 4-hour time resolution, PM2.5, carbonaceous materials, and their optical properties were measured during a severe pollution event in Xi'an, China High PM2.5 /PM10 ratios were observed on both pollution (0.83) and non-pollution (0.73) days, emphasizing the abundance of fine particles during sampling days. The particle number (PN) first peaked with a wide size range (30-100 nm) before morning rush hours (approximately 01:00-05:00) on pollution and non-pollution days, demonstrating that PN was governed by the accumulation of freshly emitted diesel particles and characterized by distinct aerosol condensation growth. By contrast, the second peak time and size range differed between pollution and non-pollution days because of different formation mechanisms The light-absorbing coefficients of both black carbon (BC, b(abs-880nm,BC)) and brown carbon (BrC, b(abs-370nm, BrC)) were high on pollution days and decreased to approximately half of those values on non-pollution days, indicating that the degree of light absorption is reduced by rain. The diurnal variation in b(abs-880nm, BC) pollution peaked with traffic on January 1 and 2. By contrast, it remained in relatively stable and high ranges (120-160 Mm(-1)) in the second period (January 3-5) without traffic peaks, illustrating that the dominant sources changed even during the same pollution period. High values of both b(abs-370nm, BrC) and b(abs-880nm,) (BC )coincided in the afternoon and evening due to emissions from primary sources, and abundant aqueous secondary organic carbon, respectively. A highly variable mass absorption coefficient of BrC also indicated the variety of fuel combustion sources of primary BrC in Xi'an

The synergetic effects of surface texturing and MoDDP additive applied to ball-on-disk friction subject to both flooded and starved lubrication conditions

This paper reports a novel work on the synergetic effects of microscale surface texturing and lubricant friction modifier additive of molybdenum dialkyldithiophosphate (MoDDP) subject to both flooded and starved lubrication conditions. The experiments were performed on reciprocating ball-on-disk friction in GTL8 base oil with and without MoDDP. In the flooded lubrication condition, the test results demonstrated that the presence of the MoDDP additive contributed to lower friction coefficients, and also more pronounced effect of surface textures on friction than in the case of the bare base oil. In the starved lubrication experiments, textured and texture-free surfaces in the oils with and without MoDDP additive were tested until an abrupt rising of friction coefficient was detected. The results showed that the magnitude of friction coefficient before terminating each test was the almost same for various tests, while the endurance time in different test conditions was significantly different. The textured surface exhibited longer endurance time than the texture-free surface, especially when the MoDDP additive was used. The mechanism of the synergetic effects of surface textures and MoDDP additive has been discussed based on the experimental observations in the following sections. This study provides a new idea for the application of surface texture in boundary lubrication when lubricant additive is contained in the lubricating oils

Effects of Microwave Sintering on Properties and Microstructure of Ferromanganese Alloy Powders

Microwave sintering process was employed to agglomerate ferromanganese alloy powders. The effects of sintering temperature, holding time and particle size composition on the properties and microstructure of sintering products were investigated. The results was shown that increasing sintering temperature or holding time appropriately is beneficial to increase the compressive strength and volume density. SEM and EDAX analysis shows that the liquid phase formed below the melting point in the sintering process, which leads to densification. XRD patterns indicate that the main reaction during microwave sintering is the decarbonization and carburization of iron carbide phase. The experiment demonstrate that the optimum microwave sintering process condition is 1150°C, 10 min and 50% content of the powders with the size of –75 μm

Single-Step qPCR and dPCR Detection of Diverse CRISPR-Cas9 Gene Editing Events In Vivo

Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR)-CRISPR-associated protein 9 (Cas9)-based technology is currently the most flexible means to create targeted mutations by recombination or indel mutations by nonhomologous end joining. During mouse transgenesis, recombinant and indel alleles are often pursued simultaneously. Multiple alleles can be formed in each animal to create significant genetic complexity that complicates the CRISPR-Cas9 approach and analysis. Currently, there are no rapid methods to measure the extent of on-site editing with broad mutation sensitivity. In this study, we demonstrate the allelic diversity arising from targeted CRISPR editing in founder mice. Using this DNA sample collection, we validated specific quantitative and digital PCR methods (qPCR and dPCR, respectively) for measuring the frequency of on-target editing in founder mice. We found that locked nucleic acid (LNA) probes combined with an internal reference probe (Drop-Off Assay) provide accurate measurements of editing rates. The Drop-Off LNA Assay also detected on-target CRISPR-Cas9 gene editing in blastocysts with a sensitivity comparable to PCR-clone sequencing. Lastly, we demonstrate that the allele-specific LNA probes used in qPCR competitor assays can accurately detect recombinant mutations in founder mice. In summary, we show that LNA-based qPCR and dPCR assays provide a rapid method for quantifying the extent of on-target genome editing in vivo, testing RNA guides, and detecting recombinant mutations

Single-Step qPCR and dPCR Detection of Diverse CRISPR-Cas9 Gene Editing Events in Vivo

Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR)-CRISPR-associated protein 9 (Cas9)-based technology is currently the most flexible means to create targeted mutations by recombination or indel mutations by nonhomologous end joining. During mouse transgenesis, recombinant and indel alleles are often pursued simultaneously. Multiple alleles can be formed in each animal to create significant genetic complexity that complicates the CRISPR-Cas9 approach and analysis. Currently, there are no rapid methods to measure the extent of on-site editing with broad mutation sensitivity. In this study, we demonstrate the allelic diversity arising from targeted CRISPR editing in founder mice. Using this DNA sample collection, we validated specific quantitative and digital PCR methods (qPCR and dPCR, respectively) for measuring the frequency of on-target editing in founder mice. We found that locked nucleic acid (LNA) probes combined with an internal reference probe (Drop-Off Assay) provide accurate measurements of editing rates. The Drop-Off LNA Assay also detected on-target CRISPR-Cas9 gene editing in blastocysts with a sensitivity comparable to PCR-clone sequencing. Lastly, we demonstrate that the allele-specific LNA probes used in qPCR competitor assays can accurately detect recombinant mutations in founder mice. In summary, we show that LNA-based qPCR and dPCR assays provide a rapid method for quantifying the extent of on-target genome editing in vivo, testing RNA guides, and detecting recombinant mutations