Comparison of revascularization with conservative medical treatment in maintenance dialysis patient with coronary artery disease: a systemic review and meta-analysis

BackgroundThe primary cause of death among maintenance dialysis patients is coronary artery disease (CAD). However, the best treatment plan has not yet been identified.MethodsThe relevant articles were retrieved from various online databases and references from their inception to October 12, 2022. The studies that compared revascularization [percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG)] with medical treatment (MT) among maintenance dialysis patients with CAD were selected. The outcomes evaluated were long-term (with a follow-up of at least 1 year) all-cause mortality, long-term cardiac mortality, and the incidence rate of bleeding events. Bleeding events are defined according to TIMI hemorrhage criteria: (1) major hemorrhage, intracranial hemorrhage or clinically visible hemorrhage (including imaging diagnosis) with decrease of hemoglobin concentration ≥5 g/dl; (2) minor hemorrhage, clinically visible bleeding (including imaging diagnosis) with a drop in hemoglobin of 3–5 g/dl; (3) minimal hemorrhage, clinically visible bleeding with hemoglobin drop <3 g/dl. In addition, revascularization strategy, CAD type, and the number of diseased vessels were considered in subgroup analyses.ResultsA total of eight studies with 1,685 patients were selected for this meta-analysis. The current findings suggested that revascularization was associated with low long-term all-cause mortality and long-term cardiac mortality but a similar incidence rate of bleeding events compared to MT. However, subgroup analyses indicated that PCI is linked to decreased long-term all-cause mortality compared to MT but CABG did not significantly differ from MT in terms of long-term all-cause mortality. Revascularization also showed lower long-term all-cause mortality compared to MT among patients with stable CAD, single-vessel disease, and multivessel disease but did not reduce long-term all-cause mortality among patients with ACS.ConclusionLong-term all-cause mortality and long-term cardiac mortality were reduced by revascularization in comparison to MT alone in patients undergoing dialysis. Larger randomized studies are needed to confirm the conclusion of this meta-analysis

Large intrinsic anomalous Hall effect in both Nb2_{2}FeB2_{2} and Ta2_{2}FeB2_{2} with collinear antiferromagnetism

It is rarely reported that collinear antiferromagnetic (AFM) metals can have anomalous Hall effect (AHE). In this letter, based on symmetry analysis and the first-principles electronic structure calculations, we predict that two existing collinear antiferromagnets Nb$_{2}$FeB$_{2}$ and Ta$_{2}$FeB$_{2}$, whose N\'eel temperatures are above room temperature, have very large AHE with anomalous Hall conductance (AHC) -100 $\Omega^{-1}$ cm$^{-1}$ and $-54\Omega^{-1}$ cm$^{-1}$, respectively. We further complete the symmetry resquirements for realizing the AHE in collinear antiferromagnetism

Geochemistry and geochronology of dolerite dykes from the Daba and Dongbo peridotite massifs, SW Tibet: Insights into the style of mantle melting at the onset of Neo-Tethyan subduction

This study reports compositional and whole-rock Sr-Nd isotope data as well as zircon U-Pb geochronological data on dolerite dikes from the Daba and Dongbo ultramafic massifs, southwest Yarlung-Zangbo Suture Zone (YZSZ), Tibet. The 120.6 \ub1 1.6 Ma dolerite dikes from the Daba peridotite exhibit normal mid-ocean ridge basalt (N-MORB)-type normalized mutli-element patterns [(La/Yb)N = 0.43-0.72] with noticeable negative Nb and Th anomalies. They have high initial 87Sr/8624 Sr ratios (87Sr/8625 Sr(i) = 0.70720-0.70788) and high \u3b5Nd(t) values (+7.4 to +7.9). The 125.4 \ub1 1.8 Ma dolerite intrusions within the Dongbo peridotite show N-MORB\u2012type trace element profiles [(La/Yb)N = 0.65-0.84] characterized by apparent negative anomalies in Nb and Th, and mild negative anomalies in Ti (\ub1 Y). They also have high 87Sr/8629 Sr(i) ratios (0.70611-0.70679) and elevated \u3b5Nd(t) values (+7.8 to +8.2). Semi-quantitative La/Yb vs. Dy/Yb modeling demonstrates that the parental magmas of the investigated dolerite dikes derived from more than 20% (cumulative) melting of a (broad) mantle source region that had a spinel-bearing N-MORB\u2013like lherzolitic composition. Our geochemical and isotopic data indicate that the composition of the inferred mantle source was influenced by minor input of subducted crustal material. The petrogenesis of the Daba and Dongbo massifs could be linked to upwelling of an asthenospheric source that caused continental rift and subsequent seafloor spreading, followed by subduction initiation adjacent to a passive margin during the early Cretaceous (~130-120 Ma). Our study provides a more detailed, and perhaps more elegant, hypothesis for the tectono-magmatic evolution of the southwestern YZSZ "ophiolitic" peridotites after their accretion beneath a Neo-Tethyan marginal basin

ClipCrop: Conditioned Cropping Driven by Vision-Language Model

Image cropping has progressed tremendously under the data-driven paradigm. However, current approaches do not account for the intentions of the user, which is an issue especially when the composition of the input image is complex. Moreover, labeling of cropping data is costly and hence the amount of data is limited, leading to poor generalization performance of current algorithms in the wild. In this work, we take advantage of vision-language models as a foundation for creating robust and user-intentional cropping algorithms. By adapting a transformer decoder with a pre-trained CLIP-based detection model, OWL-ViT, we develop a method to perform cropping with a text or image query that reflects the user's intention as guidance. In addition, our pipeline design allows the model to learn text-conditioned aesthetic cropping with a small cropping dataset, while inheriting the open-vocabulary ability acquired from millions of text-image pairs. We validate our model through extensive experiments on existing datasets as well as a new cropping test set we compiled that is characterized by content ambiguity

Contributing Authors

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45099/1/10626_2005_Article_1570.pd

A regulatory mutant on TRIM26 conferring the risk of nasopharyngeal carcinoma by inducing low immune response.

The major histocompatibility complex (MHC) is most closely associated with nasopharyngeal carcinoma (NPC), but the complexity of its genome structure has proven challenging for the discovery of causal MHC loci or genes. We conducted a targeted MHC sequencing in 40 Cantonese NPC patients followed by a two-stage replication in 1065 NPC cases and 2137 controls of Southern Chinese descendent. Quantitative RT-PCR analysis (qRT-PCR) was used to detect gene expression status in 108 NPC and 43 noncancerous nasopharyngeal (NP) samples. Luciferase reporter assay and chromatin immunoprecipitation (ChIP) were used to assess the transcription factor binding site. We discovered that a novel SNP rs117565607_A at TRIM26 displayed the strongest association (OR = 1.909, Pcombined = 2.750 × 10-19 ). We also observed that TRIM26 was significantly downregulated in NPC tissue samples with genotype AA/AT than TT. Immunohistochemistry (IHC) test also found the TRIM26 protein expression in NPC tissue samples with the genotype AA/AT was lower than TT. According to computational prediction, rs117565607 locus was a binding site for the transcription factor Yin Yang 1 (YY1). We observed that the luciferase activity of YY1 which is binding to the A allele of rs117565607 was suppressed. ChIP data showed that YY1 was binding with T not A allele. Significance analysis of microarray suggested that TRIM26 downregulation was related to low immune response in NPC. We have identified a novel gene TRIM26 and a novel SNP rs117565607_A associated with NPC risk by regulating transcriptional process and established a new functional link between TRIM26 downregulation and low immune response in NPC