Search

Word embedding aims to represent each word with a dense vector which reveals the semantic similarity between words. Existing methods such as word2vec derive such representations by factorizing the word–context matrix into two parts, i.e., word vectors and context vectors. However, only one part is used to represent the word, which may damage the semantic similarity between words. To address this problem, this paper proposes a novel word embedding method based on point-wise mutual information criterion (PMIVec). Our method explicitly learns the context vector as the final word representation for each word, while discarding the word vector. To avoid the damage of semantic similarity between words, we normalize the word vector during the training process. Moreover, this paper uses point-wise mutual information to measure the semantic similarity between words, which is more consistent with human intuition on semantic similarity. Experiments on public data sets show that our PMIVec model can consistently outperform state-of-the-art models. [ABSTRACT FROM AUTHOR]

Objective: Alteplase is the current standard of care for acute ischemic stroke. Tenecteplase is a newer fibrinolytic agent with preferable administration and lower costs; however, its comparative effectiveness to alteplase remains uncertain. We set out to perform a systematic review and meta-analysis to establish the benefits and harms of tenecteplase versus alteplase for acute ischemic stroke. Methods: We searched PubMed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and ClinicalTrials.gov from inception to April 2023 for randomized and non-randomized studies that compared tenecteplase versus alteplase for acute ischemic stroke. Paired reviewers independently assessed risk of bias and extracted data. We performed both conventional meta-analyses and Bayesian network meta-analyses (NMA) with random-effects models and used the GRADE approach to evaluate the certainty of evidence. Our primary efficacy outcome was excellent functional outcome at 3 months, defined as a score of 0–1 on the modified Rankin Scale. Our primary safety outcomes were symptomatic intracranial hemorrhage and all-cause mortality. Results: Thirty-six studies were eligible for review, including 12 randomized (n = 5533) and 24 non-randomized studies (n = 44,956). Moderate certainty evidence showed that there was no difference between tenecteplase and alteplase in increasing the proportion of patients achieving excellent functional outcome at 3 months (odds ratio [OR], 1.10; 95% CI 0.98–1.23; risk difference [RD] 2.4%, 95% CI − 0.5 to 5.2), while moderate certainty evidence from NMA suggested that 0.25 mg/kg tenecteplase significantly improved excellent functional outcome at 3 months (OR, 1.16; 95% credible interval 1.02–1.32). Moderate certainty evidence showed that, compared to alteplase, tenecteplase may make little to no difference in the prevalence of symptomatic intracranial hemorrhage (OR, 1.12; 95% CI 0.79–1.59; RD 0.3%, 95% CI − 0.5 to 1.4), and probably reduces all-cause mortality (adjusted odds ratio [aOR], 0.44; 95% CI 0.30–0.64; RD − 4.6%; 95% CI − 5.8 to − 2.9). Conclusions: Moderate certainty evidence suggested that there was little to no difference between tenecteplase and alteplase in increasing the proportion of patients achieving excellent functional outcome at 3 months and the risk of symptomatic intracranial hemorrhage, while compared to alteplase, tenecteplase probably reduce all-cause mortality. Administration of 0.25 mg/kg tenecteplase after acute ischemic stroke is suggestive of increasing the proportion of patients that achieve excellent functional outcome at 3 months. [ABSTRACT FROM AUTHOR]