Acupuncture for menstruation-related migraine prophylaxis:A multicenter randomized controlled trial

OBJECTIVE: The aim of this study was to evaluate the efficacy of acupuncture, an alternative medicine therapy, as a preventive treatment for menstruation-related migraine (MRM). PATIENTS AND METHODS: This was a prospective, multicenter, double-dummy, participant-blinded, randomized controlled clinical trial conducted in China between 1 April 2013, and 30 April 2014. The participants were enrolled from four study centers and randomized to into either the acupuncture group, which received 24 sessions of acupuncture at traditional acupoints plus placebo, or the medication group, which received sham acupuncture plus naproxen. The primary endpoint was change from the baseline average number of migraine days per perimenstrual period over cycles 1−3. The secondary endpoints included changes from the baseline average number of migraine days outside the perimenstrual period, mean number of migraine hours during and outside the perimenstrual period, mean visual analog scale score during and outside the perimenstrual period, ≥50% migraine responder rate, and the proportion of participants who used acute pain medication over cycles 1−3 and 4−6. RESULTS: A total of 172 women with MRM were enrolled; 170 in the intention-to-treat analyses. Our primary outcome reported a significant between-group difference that favored the acupuncture group (95% CI, 0.17–0.50; P < 0.001), with the average reduction of migraine days per perimenstrual period from the baseline was 0.94 (95% CI, 0.82–1.07) in the acupuncture group and 0.61 (95% CI, 0.50–0.71) in the medication group over cycles 1−3. CONCLUSION: This study showed that compared to medication, acupuncture reduces the number of migraine days experienced by patients with MRM. For patients who received the acupuncture treatment over three cycles, the preventive effect of the therapy was sustained for six cycles. CLINICAL TRIAL REGISTRATION: [https://www.isrctn.com/ISRCTN57133712], identifier [ISRCTN15663606]

Multi-site, Multi-domain Airway Tree Modeling (ATM'22): A Public Benchmark for Pulmonary Airway Segmentation

Open international challenges are becoming the de facto standard for assessing computer vision and image analysis algorithms. In recent years, new methods have extended the reach of pulmonary airway segmentation that is closer to the limit of image resolution. Since EXACT'09 pulmonary airway segmentation, limited effort has been directed to quantitative comparison of newly emerged algorithms driven by the maturity of deep learning based approaches and clinical drive for resolving finer details of distal airways for early intervention of pulmonary diseases. Thus far, public annotated datasets are extremely limited, hindering the development of data-driven methods and detailed performance evaluation of new algorithms. To provide a benchmark for the medical imaging community, we organized the Multi-site, Multi-domain Airway Tree Modeling (ATM'22), which was held as an official challenge event during the MICCAI 2022 conference. ATM'22 provides large-scale CT scans with detailed pulmonary airway annotation, including 500 CT scans (300 for training, 50 for validation, and 150 for testing). The dataset was collected from different sites and it further included a portion of noisy COVID-19 CTs with ground-glass opacity and consolidation. Twenty-three teams participated in the entire phase of the challenge and the algorithms for the top ten teams are reviewed in this paper. Quantitative and qualitative results revealed that deep learning models embedded with the topological continuity enhancement achieved superior performance in general. ATM'22 challenge holds as an open-call design, the training data and the gold standard evaluation are available upon successful registration via its homepage.Comment: 32 pages, 16 figures. Homepage: https://atm22.grand-challenge.org/. Submitte

The trans-ancestral genomic architecture of glycemic traits

Glycemic traits are used to diagnose and monitor type 2 diabetes and cardiometabolic health. To date, most genetic studies of glycemic traits have focused on individuals of European ancestry. Here we aggregated genome-wide association studies comprising up to 281,416 individuals without diabetes (30% non-European ancestry) for whom fasting glucose, 2-h glucose after an oral glucose challenge, glycated hemoglobin and fasting insulin data were available. Trans-ancestry and single-ancestry meta-analyses identified 242 loci (99 novel; P < 5 x 10(-8)), 80% of which had no significant evidence of between-ancestry heterogeneity. Analyses restricted to individuals of European ancestry with equivalent sample size would have led to 24 fewer new loci. Compared with single-ancestry analyses, equivalent-sized trans-ancestry fine-mapping reduced the number of estimated variants in 99% credible sets by a median of 37.5%. Genomic-feature, gene-expression and gene-set analyses revealed distinct biological signatures for each trait, highlighting different underlying biological pathways. Our results increase our understanding of diabetes pathophysiology by using trans-ancestry studies for improved power and resolution. A trans-ancestry meta-analysis of GWAS of glycemic traits in up to 281,416 individuals identifies 99 novel loci, of which one quarter was found due to the multi-ancestry approach, which also improves fine-mapping of credible variant sets.Peer reviewe

Linkages between straw decomposition rate and the change in microbial fractions and extracellular enzyme activities in soils under different long-term fertilization treatments.

In order to study the linkages between straw decomposition rate and the change in soil biological properties after straw addition to different fertilized soils, we collected soils from three long-term fertilization treatments (no-fertilizer, CK; nitrogen, phosphorus, and potassium fertilizers, NPK; NPK plus straw (S), NPKS), and incubated maize straw with these soils at 25°C for 75 days. The average straw carbon dioxide (CO2) emission rate in the CK+straw (S), NPK+S, and NPKS+S treatments was 0.58±0.51, 0.66±0.53, and 0.74±0.58 μg C g-1soil h-1, respectively. The average increase in the contents of fungi, bacteria, and Actinomycetes under straw addition treatments than the control soils (CK, NPK, and NPKS, respectively) changed in the order of CK+S≤NPK+S <NPKS+S, while bacteria and Actinomycetes peaked later in the CK+SthanNPK+S and NPKS+S treatments. Bacterial abundance unchanged, Actinomycetes abundance decreased, but fungal abundance significantly increased in soils after straw addition. The average increase in the activities of β-glucosidase (BG), β-D-cellobiosidase (CB), and β-xylosidase (XYL) differed as: CK+S<NPK+S ≤ NPKS+S, and the highest activities and increments of them occurred later in the CK+S than NPK+S and NPKS+S treatments. Straw CO2 emission rate was poorly correlated with changes in the contents of microbial fractions across all straw addition treatments, but it was significant positively correlated with the increased activities of BG, CB, and XYL under the NPK+S and NPKS+S treatments. Our results indicated that chemical fertilization and straw return soils differently increased straw decomposition because of the different increases in microbial fractions and soil enzyme activities when compared to the no-fertilizer soil, and the decomposition process was more closely correlated with C-obtaining enzymes than microbial fractions

Effect of Preparation Parameter on Microstructure and Grain Refining Behavior of In Situ AlN-TiN-TiB2/Al Composite Inoculants on Pure Aluminum

The formation of in situ AlN-TiN-TiB2/Al composite inoculants, which contain multi-phase refiner particles including AlN, TiN, TiB2, Al3Ti, and α-Al, was investigated using nitrogen gas injection. The effects of the main preparation parameters such as nitriding temperature, nitriding time, Ti content in melts, on the microstructure and grain refinement of in situ AlN-TiN-TiB2/Al composite inoculants were studied. The shape, content and size of different ceramic particles in the inoculants can be tuned by controlling the nitriding temperature and time, inducing excellent refining and reinforcing effects on pure aluminum. As a result, the average grain size of pure aluminum can be reduced to about 122 ± 22 μm from original 1010 ± 80 μm by adding 0.3 wt % inoculants. The mechanical properties including the tensile strength, yield strength and microhardness of the refined as-cast pure aluminum are also improved

Fabrication and Mechanical Behavior of Ex Situ Mg-Based Bulk Metallic Glass Matrix Composite Reinforced with Electroless Cu-Coated SiC Particles

Magnesium-based bulk metallic glass matrix composites (BMGMCs) have better plasticity than the corresponding bulk metallic glasses (BMGs); however, their strength and density are often compromised due to the fact that the effective reinforcement phase is mostly plastic heavy metal. For lightweight SiC-particle reinforced BMGMCs, interface wettability and the sharpness of the particles often reduce the strengthening effect. In this work, SiC particles were coated with a thin Cu coating by electroless plating, and added to Mg54Cu26.5Ag8.5Gd11 melt in an amount of 5 wt % to prepare a BMGMC. The microstructure of the interface, mechanical behavior and fracture morphology of the BMGMC were studied by scanning electron microscopy and quasi-static compression testing. The results showed that the Cu coating improved the wettability between SiC and the matrix alloy without obvious interfacial reactions, leading to the dispersion of SiC particles in the matrix. The addition of Cu-coated SiC particles improved the plastic deformation ability of Mg54Cu26.5Ag8.5Gd11 BMG, proving that electroless plating was an effective method for controlling the interface microstructure and mechanical behavior of BMGMCs

Effect of He’s Santong Needling Method on Dysphagia after Stroke: A Study Protocol for a Prospective Randomized Controlled Pilot Trial

Background. Dysphagia is a common complication of stroke, affecting up to 78% of stroke patients. The existence of dysphagia after stroke has been associated with an increased risk for pulmonary complications and even mortality. Previous studies have shown that acupuncture could be potential therapeutic method for treatment of dysphagia after stroke. A prospective randomized controlled pilot trial is designed to evaluate the effect of He’s Santong needling method on dysphagia after stroke. Methods and Design. Sixty eligible participants will be recruited and randomly assigned into treatment group (He’s Santong needling method and swallowing rehabilitation training) and control group (swallowing rehabilitation training) in a 1:1 ratio. All treatments will be provided everyday on weekdays with a two-day interval at the weekend, during a total treatment course of four weeks. The Penetration-Aspiration Scale with Fiberoptic Endoscopic Examination of Swallowing will be assessed at baseline and endpoint (Week 4) as primary outcomes. The Saitoh’s classification score, Swallowing-Related Quality of Life score, the Modified Mann Assessment of Swallowing Ability score, and Surface Electromyography will be evaluated at baseline and endpoint as secondary outcomes. Ethics and Dissemination. The trial protocol has been approved by the Research Ethical Committee of Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University on 9 May 2017 (ethical batch number: 2017BL-013-02). Each participant will be notified regarding the study protocol. Written informed consent will be obtained from each participant. Trial Registration. ISRCTN registry: ISRCTN68981054; Registered on 25 September 2017

Pretreatment Neutrophil-Lymphocyte Ratio as a Predictor in Bladder Cancer and Metastatic or Unresectable Urothelial Carcinoma Patients: a Pooled Analysis of Comparative Studies

Background/Aims: Emerging studies have shown that the neutrophil-lymphocyte ratio (NLR) is a potential predictor in various tumors. Our study was conducted to assess the prognostic value of the pretreatment NLR in bladder cancer and metastatic or unresectable urothelial carcinoma (mUC or uUC) patients up to July 2017. The correlation between the pretreatment NLR and pathological characteristics was also evaluated in bladder cancer patients. Methods: The hazard ratio (HR) and odds ratio (OR) with the 95% confidence interval (CI) were extracted or calculated from the included studies for further pooled analysis. A total of 21 studies were included in a pooled analysis. Results: The pooled results indicated that a high pretreatment NLR was associated with reduced overall survival (OS) (HR=1.27, 95% CI=1.12-1.43), relapse-free survival (RFS) (HR=1.41, 95% CI=1.23-1.60), progression-free survival (PFS) (HR=1.75, 95% CI=1.36-2.15), disease-specific survival (DSS) and cancer-specific survival (CSS) (HR=1.27, 95% CI=1.19-1.35) in the bladder cancer patients. Additionally, an elevated pretreatment NLR suggested a worse OS rate in the mUC or uUC patients (HR=1.63, 95% CI=1.34-1.91). The pooled ORs and 95% CIs showed that a high pretreatment NLR could be a risk indicator for certain pathological features, such as lymphovascular invasion, a positive margin status and advanced tumor stage. Conclusions: our results showed that a high pretreatment NLR predicted poor prognosis in bladder cancer, mUC and uUC patients

Rapid Degradation of Azo Dyes by Melt-Spun Mg-Zn-Ca Metallic Glass in Artificial Seawater

Mg-Zn-Ca metallic glass (MG) is effective for degrading azo dyes; however, the related surface evolution and degradation mechanisms are little known. We comparatively investigated the initial surface corrosion morphologies of melt-spun Mg66Zn30Ca4 MG in deionized water and artificial seawater. It was found that the basic corrosion behavior of the MG was the same, except that the corrosion process was accelerated in seawater. The presence of NaCl obviously promotes the formation of nano-ZnO on the surface of ribbons, causing the rapid degradation of azo dyes due to the photocatalytic effect. The degradation efficiency when combined with 3.5 wt % NaCl was over 100 times higher than that without NaCl. This indicates that Mg-Zn-Ca MG ribbons are effective additives for the degradation of azo dyes in seawater