Prolonged membrane potential depolarization in cingulate pyramidal cells after digit amputation in adult rats

The anterior cingulate cortex (ACC) plays an important role in higher brain functions including learning, memory, and persistent pain. Long-term potentiation of excitatory synaptic transmission has been observed in the ACC after digit amputation, which might contribute to plastic changes associated with the phantom pain. Here we report a long-lasting membrane potential depolarization in ACC neurons of adult rats after digit amputation in vivo. Shortly after digit amputation of the hind paw, the membrane potential of intracellularly recorded ACC neurons quickly depolarized from ~-70 mV to ~-15 mV and then slowly repolarized. The duration of this amputation-induced depolarization was about 40 min. Intracellular staining revealed that these neurons were pyramidal neurons in the ACC. The depolarization is activity-dependent, since peripheral application of lidocaine significantly reduced it. Furthermore, the depolarization was significantly reduced by a NMDA receptor antagonist MK-801. Our results provide direct in vivo electrophysiological evidence that ACC pyramidal cells undergo rapid and prolonged depolarization after digit amputation, and the amputation-induced depolarization in ACC neurons might be associated with the synaptic mechanisms for phantom pain

The association of chromosome 8p deletion and tumor metastasis in human hepatocellular carcinoma

Program no. 686postprin

Systematic review:genetic associations for prognostic factors of urinary bladder cancer

Introduction: Many germline associations have been reported for urinary bladder cancer (UBC) outcomes and prognostic characteristics. It is unclear whether there are overlapping genetic patterns for various prognostic endpoints. We aimed to review contemporary literature on genetic associations with UBC prognostic outcomes and to identify potential overlap in reported genes. Methods: EMBASE, MEDLINE, and PubMed databases were queried for relevant articles in English language without date restrictions. The initial search identified 1346 articles. After exclusions, 112 studies have been summarized. Cumulatively, 316 single-nucleotide polymorphisms (SNPs) were reported across prognostic outcomes (recurrence, progression, death) and characteristics (tumor stage, grade, size, age, risk group). There were considerable differences between studied outcomes in the context of genetic associations. The most commonly reported SNPs were located in OGG1, TP53, and MDM2. For outcomes with the highest number of reported associations (ie, recurrence and death), functional enrichment annotation yields different terms, potentially indicating separate biological mechanisms. Conclusions: Our study suggests that all UBC prognostic outcomes may have different biological origins with limited overlap. Further validation of these observations is essential to target a phenotype that could best predict patient outcome and advance current management practices

Rural-urban differences of neonatal mortality in a poorly developed province of China

<p>Abstract</p> <p>Background</p> <p>The influence of rural-urban disparities in children's health on neonatal death in disadvantaged areas of China is poorly understood. In this study of rural and urban populations in Gansu province, a disadvantaged province of China, we describe the characteristics and mortality of newborn infants and evaluated rural-urban differences of neonatal death.</p> <p>Methods</p> <p>We analyzed all neonatal deaths in the data from the Surveillance System of Child Death in Gansu Province, China from 2004 to 2009. We calculated all-cause neonatal mortality rates (NMR) and cause-specific death rates for infants born to rural or urban mothers during 2004-09. Rural-urban classifications were determined based on the residence registry system of China. Chi-square tests were used to compare differences of infant characteristics and cause-specific deaths by rural-urban maternal residence.</p> <p>Results</p> <p>Overall, NMR fell in both rural and urban populations during 2004-09. Average NMR for rural and urban populations was 17.8 and 7.5 per 1000 live births, respectively. For both rural and urban newborn infants, the four leading causes of death were birth asphyxia, preterm or low birth weight, congenital malformation, and pneumonia. Each cause-specific death rate was higher in rural infants than in urban infants. More rural than urban neonates died out of hospital or did not receive medical care before death.</p> <p>Conclusions</p> <p>Neonatal mortality declined dramatically both in urban and rural groups in Gansu province during 2004-09. However, profound disparities persisted between rural and urban populations. Strategies that address inequalities of accessibility and quality of health care are necessary to improve neonatal health in rural settings in China.</p

Front-like entire solutions for monostable reaction-diffusion systems

This paper is concerned with front-like entire solutions for monostable reactiondiffusion systems with cooperative and non-cooperative nonlinearities. In the cooperative case, the existence and asymptotic behavior of spatially independent solutions (SIS) are first proved. Combining a SIS and traveling fronts with different wave speeds and directions, the existence and various qualitative properties of entire solutions are then established using comparison principle. In the non-cooperative case, we introduce two auxiliary cooperative systems and establish some comparison arguments for the three systems. The existence of entire solutions is then proved via the traveling fronts and SIS of the auxiliary systems. Our results are applied to some biological and epidemiological models. To the best of our knowledge, it is the first work to study the entire solutions of non-cooperative reaction-diffusion systems

Temporal Model Adaptation for Person Re-Identification

Person re-identification is an open and challenging problem in computer vision. Majority of the efforts have been spent either to design the best feature representation or to learn the optimal matching metric. Most approaches have neglected the problem of adapting the selected features or the learned model over time. To address such a problem, we propose a temporal model adaptation scheme with human in the loop. We first introduce a similarity-dissimilarity learning method which can be trained in an incremental fashion by means of a stochastic alternating directions methods of multipliers optimization procedure. Then, to achieve temporal adaptation with limited human effort, we exploit a graph-based approach to present the user only the most informative probe-gallery matches that should be used to update the model. Results on three datasets have shown that our approach performs on par or even better than state-of-the-art approaches while reducing the manual pairwise labeling effort by about 80%

Mild to moderate influenza A(H7N9) infections detected through China’s national influenza-like Illness sentinel surveillance system

Poster Session: News and Views from the H7N9 OutbreakBackground: The “clinical iceberg” phenomenon, where there are usually many more infected cases than is apparent symptomatically and even less so registered in the clinical setting, is a common feature of influenza disease. While this is certainly true for interpandemic influenza and the 2009 influenza A(H1N1) pandemic, this appeared to be less substantial for the Dutch A(H7N7) outbreak, and with A(H5N1) being an acknowledged exception. It remains unknown whether the “iceberg” applies to the influenza A(H7N9) virus that emerged in early 2013 in China. While the majority of laboratory-confirmed A(H7N9) cases presented with a severe clinical picture to a hospital, a small number of laboratory-confirmed cases have been identified through the sentinel influenza-like illness (ILI) surveillance system nationwide. The objective of our study was to describe the clinical characteristics of the complete case series of A(H7N9) cases as of May 15, 2013, that were identified through routine testing by the ILI sentinel surveillance system. Materials and Methods: ILI sentinel surveillance in China is conducted through a network of 554 hospitals across the country, with the total number of outpatient and/or emergency department visits and the number of patients fitting the WHO standard ILI case definition reported weekly online to the China CDC, and 10-15 nasopharyngeal swabs collected from ILI patients each week for routine laboratory testing and subtyping. All A(H7N9) cases detected through the ILI surveillance system by May 15, 2013, were identified by cross-referencing the laboratory-confirmed A(H7N9) line list with the routine sentinel ILI surveillance system. Demographic and epidemiologic data were extracted from field investigation records, and clinical and laboratory data were obtained from medical chart review. Results: Five (3.8%) of a total of 130 laboratory-confirmed influenza A(H7N9) cases reported as of May 28, 2013, were detected through the routine ILI surveillance system. Four (80%) of them were male. Mean age was 13 (range = 2-26) years and none had any underlying medical condition. Exposure history, geographic location and timing of symptom onset were otherwise similar to the general cohort of all laboratory-confirmed cases to date. All patients experienced only mild or moderate disease with an uneventful course of recovery. Among them three (60%) were managed only as outpatients and all quickly recovered after 3-5 days, with nasopharyngeal swabs tested positive for A(H7N9) only after their full recovery. Two patients (40%) were hospitalized for treatment. One was a 4-year-old child from Shanghai who presented initially as an outpatient with fever and mild rhinorrhea to a routine sentinel clinic, and was admitted on the next day for oseltamivir treatment after his nasopharyngeal swab was tested positive for A(H7N9). The other was a 26-year-old man from Jiangsu who presented initially with fever and productive cough to a sentinel clinic, being given ceftazidime without improvement. He was admitted 4 days later with radiologic evidence of left-sided pneumonia, and started on oseltamivir and moxifloxacin. Both remained clinically stable with quick resolution of symptoms within 10 days. Conclusions: Our complete case series of A(H7N9) cases detected through the routine ILI surveillance system provide contrasting clinical presentations to the generally much more severe clinical picture of the majority of laboratory-confirmed A(H7N9) cases detected otherwise. Our findings provide indirect evidence of a substantial proportion of mild disease and support the existence of a “clinical iceberg” phenomenon in influenza A(H7N9) infections. For the clinician, our findings reinforce vigilance to the diverse presentation that can be associated with influenza A(H7N9) virus infections. Our results also suggest that large-scale community surveillance networks can be useful as a population-based sampling tool to enhance understanding of the full spectrum of disease, especially in the early phase of an evolving epidemic.published_or_final_versio

Detection of mild to moderate influenza A/H7N9 infection by China's national sentinel surveillance system for influenza-like illness: case series

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Imaging-guided chest biopsies: techniques and clinical results

Background This article aims to comprehensively describe indications, contraindications, technical aspects, diagnostic accuracy and complications of percutaneous lung biopsy. Methods Imaging-guided biopsy currently represents one of the predominant methods for obtaining tissue specimens in patients with lung nodules; in many cases treatment protocols are based on histological information; thus, biopsy is frequently performed, when technically feasible, or in case other techniques (such as bronchoscopy with lavage) are inconclusive. Results Although a coaxial system is suitable in any case, two categories of needles can be used: fine-needle aspiration biopsy (FNAB) and core-needle biopsy (CNB), with the latter demonstrated to have a slightly higher overall sensitivity, specificity and accuracy. Conclusion Percutaneous lung biopsy is a safe procedure even though a few complications are possible: pneumothorax, pulmonary haemorrhage and haemoptysis are common complications, while air embolism and seeding are rare, but potentially fatal complications

Illegal births and legal abortions – the case of China

BACKGROUND: China has a national policy regulating the number of children that a woman is allowed to have. The central concept at the individual level application is "illegal pregnancy". The purpose of this article is to describe and problematicize the concept of illegal pregnancy and its use in practice. METHODS: Original texts and previous published and unpublished reports and statistics were used. RESULTS: By 1979 the Chinese population policy was clearly a policy of controlling population growth. For a pregnancy to be legal, it has to be defined as such according to the family-level eligibility rules, and in some places it has to be within the local quota. Enforcement of the policy has been pursued via the State Family Planning (FP) Commission and the Communist Party (CP), both of which have a functioning vertical structure down to the lowest administrative units. There are various incentives and disincentives for families to follow the policy. An extensive system has been created to keep the contraceptive use and pregnancy status of all married women at reproductive age under constant surveillance. In the early 1990s FP and CP officials were made personally responsible for meeting population targets. Since 1979, abortion has been available on request, and the ratio of legal abortions to birth increased in the 1980s and declined in the 1990s. Similar to what happens in other Asian countries with low fertility rates and higher esteem for boys, both national- and local-level data show that an unnaturally greater number of boys than girls are registered as having been born. CONCLUSION: Defining a pregnancy as "illegal" and carrying out the surveillance of individual women are phenomena unique in China, but this does not apply to other features of the policy. The moral judgment concerning the policy depends on the basic question of whether reproduction should be considered as an individual or social decision