Search

Most intelligent algorithms used for recognizing epilepsy electroencephalogram (EEG) have two major deficiencies. The one is the lack of interpretability and the other is unsatisfactory recognition results. In response to these challenges, we propose a dedicated model called multi-view Takagi–Sugeno–Kang (TSK) fuzzy system (MV-TSK-FS) for the epilepsy EEG detection. Our contributions lie in three aspects. First, TSK-FS is selected as the basic model. As one of the most famous fuzzy systems, TSK-FS has the advantage of nice interpretability and thus meets the requirement of clinic trials and applications. Second, MV-TSK-FS uses a multi-view framework to collaboratively handle the collective feature data extracted from diverse extraction perspectives, which strives to avoid the potential performance degradation commonly incurred with single feature extraction. Third, we propose a view-weighted mechanism based on the quadratic regularization to distinguish the importance of each view. The more important the view, the larger the corresponding weight is. The final decision is consequently figured out with the weighted outputs of all views. Experimental results demonstrate that, compared with other epilepsy EEG detection ones, our proposed method has better classification performance as well as more satisfied interpretability on results.

OBJECTIVES To determine neutralizing antibodies to pertussis toxin (PTNAs) in children with suspected pertussis and to compare results of PTNAs and anti-PT IgG antibodies. METHODS 172 hospitalized children with suspected pertussis were included. Pertussis was confirmed by culture, PCR and/or serology. PTNAs were determined by Chinese hamster ovary (CHO) cell assay. RESULTS A correlation between titers of PTNAs and anti-PT IgG levels was noticed in 172 patients (Spearman R = 0.68, P

There could be an overlap of monogenic diabetes and early-onset type 2 diabetes mellitus. Precise diagnosis of early-onset diabetes has proven valuable for understanding the mechanism of diabetes and selecting optimal therapy. The majority of maturity onset diabetes of the young (MODY) pathogenic genes in China is still unknown. In this study, a family with suspected MODY was enrolled. Whole-exome sequencing (WES) was used to analyze the variants of the proband. Variants were filtered according to their frequency, location, functional consequences, and bioinformatics software. Candidate pathogenic variants were validated by Sanger sequencing and tested for cosegregation in other members of the family and nonrelated healthy controls. KEGG (Kyoto Encyclopedia of Genes and Genomes) and PPI (protein-protein interaction) analysis were conducted using the DAVID (Database for Annotation, Visualization, and Integrated Discovery) and the STRING online analysis tools for the candidate pathogenic gene. A total of 123291 variants including 105344 SNPs and 17947 InDels were found in WES. A likely pathogenic rare missense heterozygous mutation in diabetes genes (c.2137C > T, p.His713Tyr in IRS1) was identified, which was a cosegregate in this family and not in nonrelated healthy controls. The position of the mutation in the aminoacid sequence of the gene is highly conserved among the species. 2 significantly enriched KEGG pathways were identified including bta04930, type II diabetes mellitus (GCK, INS, PDX1, ABCC8, and IRS1), and bta04910, insulin signaling pathway (GCK, INS, and IRS1). PPI analysis displayed that IRS1 interacts with 3 known pathogenic proteins including INS, KCNJ11, and GCK. We conclude that WES could be an initial option for genetic testing in patients with early-onset diabetes. IRS1 p.His713Tyr is implicated as a possible pathogenic mutation in monogenic diabetes, which might require further validation, and the precise molecular mechanism underlying the influence of IRS1 p.His713Tyr on the development of diabetes remains to be determined in the further prospective studies.

The rapid increase in cancer morbidity and mortality worldwide is a major challenge for public health providers. Therefore, there is an urgent need to explore the molecular mechanism of tumorigenesis and identify potential diagnostic biomarkers and therapeutic methods. Circular RNA (circRNA) is characterized by a stable structure and tissue-specific expression; these features are useful in medical research and clinical applications. In recent years, with the development of high-throughput sequencing technology, the potential use of circRNA in cancer prognosis and treatment has been extensively explored. Abnormal circRNA expression interferes with specific signaling pathways such as the MAPK pathway; this phenomenon may provide potential diagnostic biomarkers and new therapeutic targets. The present article discusses the research progress on the regulatory roles of MAPK/ERK pathway-related circRNA molecules in the development and progression of different types of tumors. This review may provide insight into the development of circRNA-based cancer management strategies.

Jingjing Pan,1 Bin Hu,1 Lian Wu,2 Yarong Li3 1Department of Pharmacy, Xi’an People’s Hospital (Xi’an Fourth Hospital), Xi’an, People’s Republic of China; 2Department of Ophthalmology, Xi’an People’s Hospital (Xi’an Fourth Hospital), Xi’an, People’s Republic of China; 3Department of Pharmacy, School of Pharmaceutical Sciences, Xi’an Medical University, Xian, People’s Republic of ChinaCorrespondence: Jingjing Pan; Bin HuDepartment of Pharmacy, Xi’an People’s Hospital (Xi’an Fourth Hospital), 21 JieFang Road, Xi’an, 710004, People’s Republic of ChinaTel +86 29 87310067 Ext. 029; +86 29 61199691 Ext. 029Email pansyjing1984@126.com; hubinsci@sina.comObjective: Treatment nonadherence is a major problem in the management of hypertension. There are many factors influencing the treatment adherence of hypertensive patients. The aim of this study was to examine the effect of social support on the treatment adherence in hypertension in China.Patients and Methods: A total of 453 patients with hypertension hospitalized in a tertiary hospital in Xi’an, China were invited to participate in this cross-sectional study. Data were collected by “modified Chinese Hill-Bone compliance to high blood pressure therapy scale” and “Chinese Family Support Scale”.Results: It was found that 31.1% of patients were adherent with their antihypertensive treatments. Gender, duration of antihypertensive drug used, number of antihypertensive drugs used and social support were independently associated with hypertensive treatment adherence. Social support was strongly and positively associated with the hypertensive treatment adherence (P< 0.001, OR = 0.752, 95% CI: 0.678– 0.833). Family social support was provided to hypertensive patients mainly through their nuclear family, that is spouses, partner or children. Treatment adherence of hypertensive patients was positively correlated to the three subgroups of social support. It was found that social support provided to patients from social resource (r=0.568) had greater impact on treatment adherence than that from kinship (r=0.364) and nuclear family (r=0.262).Conclusion: Treatment adherence of patients with hypertension was found to increase positively as their social support increased. In addition to the support given to patients from nuclear family members, other social support especially professional agencies and community organizations should also be promoted and strengthened.Keywords: hypertension, treatment adherence, social support, China

BackgroundStudies investigating the correlation between the expression of programmed cell death-ligand 1 (PD-L1) and prognosis in patients with esophageal squamous cell carcinoma (ESCC) not receiving preoperative therapy have increased significantly, but conclusions remain inconclusive. Therefore, this study aimed to determine the association between clinical outcomes and expression of PD-L1 in ESCC patients without preoperative therapy.MethodsWe conducted a comprehensive literature search using four databases up to May 2020. Quality assessment was carried out according to the Newcastle–Ottawa Quality Assessment Scale (NOS). Hazard ratios (HRs) were used to analyze the association between PD-L1 expression with prognosis. Furthermore, we evaluated the correlation between PD-L1 and clinicopathological characteristics using odds ratios (ORs) and 95% confidence intervals (CIs).ResultsTwenty studies (19 publications) comprising 3,677 patients were included in this meta-analysis. We found that the expression of PD-L1 was not related to overall survival (OS, HR: 1.16, 95% CI: 0.94–1.42, p = 0.16) or disease-free survival (DFS, HR: 0.85, 95% CI: 0.66–1.10, p = 0.21) in ESCC. Furthermore, although PD-L1 expression was not significantly associated with sex, degree of differentiation, TNM stage, T stage, lymph node status, smoking, or alcohol use, the merged OR demonstrated that the expression of PD-L1 was higher in older patients compared to younger patients (OR: 1.40, 95% CI: 1.07–1.83, p = 0.01). No obvious publication bias was observed.ConclusionsOur present study illustrated that PD-L1 expression was not related to poor prognosis of ESCC patients not receiving preoperative therapy, albeit the association only showed a tendency for statistical significance. Notably, PD−L1 expression showed a significant association with age. This meta-analysis had several limitations; therefore, our results need to be verified through further large-scale and prospective studies.

Background Polyps may develop into colorectal cancer (CRC) after 10-20 years. The occurrence of polyps and tumors caused by somatic gene mutations is considered a main pathogenesis of CRC. Among all general patients with polyps or CRC, some had adenoma of varying degrees that were consistent with familial colorectal adenomas. A patient with CRC (the propositus) and his brothers and sister, all of whom had varying degrees of colorectal polyps showed different adenomas with different members in a family. Methods In the present study, a total of 9 family members were investigated, and a family tree was drawn. Genomic DNA was extracted from peripheral venous blood samples from family members, and whole-exome sequencing (WES) and Sanger sequencing were performed on the DNA samples. The result of WES was compared with compared directly to the reference genome (hg19) with Burrows-Wheeler Aligner, which is as control group from. Results We identified a base substitution in the miR-4477b gene (c.68415368T>G, chromosome 9 q13), predicted the target gene of miR-4477b through the biologic website, and analyzed the Gene Ontology (GO) and signal pathway of the target gene. The GO functional annotation analysis of the target gene of mir4477b revealed that these genes are involved mainly in the G1/S transition of the mitotic cell cycle, activation of mitogen-activated protein kinase activity, protein phosphorylation, and membrane, centrosome, cytoplasm, zinc ion-binding, protein-binding, and ligase activity. Kyoto Encyclopedia of Gene and Genomes pathway analysis revealed that miR-4477b regulates target genes mainly involved in the phosphoinositide 3-kinase/Akt signaling pathway, regulation of the actin cytoskeleton, proteoglycans in cancer, pathways in cancer, and renal cell carcinoma. Conclusions The mutation of the has-mir-4477b gene likely leads to the occurrence of adenoma and CRC. In-depth studies of patients from the same family with different stages of adenoma can avoid errors caused by gene diversity, incomplete clinical data, and uncertain disease development. The has-mir-4477b gene may represent a key gene mutation in colorectal carcinogenesis and a multiyear cancer risk for patients that requires further attention.

Colorectal cancer (CRC) is recognized as one of the most common malignancies, which ranks third among all cancer-related deaths worldwide. Nintedanib is an orally available tyrosine kinase inhibitor that can treat CRC; however, drug resistance to nintedanib leads to unsatisfactory treatments for patients with CRC. The aim of the present study was to explore whether overexpression of miR-429 elevated the sensitivity of CRC cells to nintedanib by downregulating dual specificity protein phosphatase 4 (DUSP4). The nintedanib-resistant CRC cell model was established via the treatment of cells with nintedanib in a dose-dependent manner. Reverse transcription-quantitative PCR was used to detect the expression levels of miR-429 and DUSP4, and to confirm the transfection efficiency of miR-429 mimic and DUSP4 overexpression plasmid. Cell Counting Kit-8 assay was utilized to measure the inhibition rate of cells. Western blotting was conducted to observe the expression levels of DUSP4 protein, apoptosis-related proteins and proteins related to the JNK signaling pathway. Dual-luciferase reporter assay was performed to evaluate luciferase activity and TUNEL assay was conducted to detect the apoptosis of cells. The results revealed that miR-429 mimic elevated the sensitivity of CRC cells to nintedanib. Moreover, by ENCORI prediction, DUSP4 was identified as a target gene of miR-429, and overexpression of DUSP4 reversed the inducing effect of miR-429 overexpression on the sensitivity of CRC cells to nintedanib. In conclusion, overexpression of miR-429 may elevate the sensitivity of CRC cells to nintedanib through inhibition of the JNK signaling pathway by targeting DUSP4. These findings may aid in the prevention of drug resistance of CRC cells to nintedanib.

Current passive sensors fail to accurately identify cloud phase, thus largely limiting the quantification of radiative contributions and precipitation of different cloud phases over the Tibet Plateau (TP), especially for the mixed-phase and supercooled water clouds. By combining the 4 years of (January 2007–December 2010) cloud phase (2B-CLDCLASS-LIDAR), radiative fluxes (2B-FLXHR-LIDAR), and precipitation (2C-PRECIP-COLUMN) products from CloudSat, this study systematically quantifies the radiative contribution of cloud phases and precipitation over the TP. Statistical results indicate that the ice cloud frequently occurs during the cold season, while mixed-phase cloud fraction is more frequent during the warm season. In addition, liquid clouds exhibit a weak seasonal variation, and the relative cloud fraction is very low, but supercooled water cloud has a larger cloud distribution (the value reaches about 0.24) than those of warm water clouds in the eastern part of the TP during the warm season. Within the atmosphere, the ice cloud has the largest radiative contribution during the cold season, the mixed-phase cloud is the second most important cloud phase for the cloud radiative contribution during the warm season, and supercooled water clouds’ contribution is particularly important during the cold season. In particular, the precipitation frequency over the TP is mainly dominated by the ice and mixed-phase clouds and is larger over the southeastern part of the TP during the warm season.

Background The global prevalent ptxP3 strains varies from about 10% to about 50% of circulating B. pertussis population in different areas of China. Methods To investigate the difference of vaccination status between different genotypes in the circulating B. pertussis after 10 years of acellular pertussis vaccine (aPV) used in China. The nasopharyngeal swabs and isolates of B. pertussis from these patients were used to perform genotyping of antigen genes. We use antibiotic susceptibility test against erythromycin and sequencing methods for site 2047 of 23S rRNA to determine the resistance status. Results The ptxP1 allele with erythromycin resistant (ER) B. pertussis infection (total of 449 subjects) consisted of 84.70 to 96.70% from 2012 to 2016 in this study. Vaccinated with co-purified aPV was found in 133(133/403,33.0%), 1(1/9,11.1%) and 2(2/21,9.5%) in ptxP1/fhaB3-ER, ptxP1/fhaB2-ES and ptxP3/fhaB2-ES B. pertussis infected children each, which showed a significant difference (χ2 = 6.87, P = 0.032). Conclusions The ptxP3-ES B. pertussis was rare while the ptxP1-ER B. pertussis was steadily increased in Xi’an, China from 2012 to 2016, where co-purified aPV was prevalent used. This pose a hypothesis that the co-purified aPV might protect against ptxP3 strains more efficient, which generated a rare chance for ptxP3 strains to be under the antibiotic pressure and further developed to be erythromycin resistance. A further cohort study and the mechanisms of the additional antigen proteins of co-purified aPV protected against B. pertussis should be consideration.

This invention lies in the field of digital signal processing. It is a video recognition system of different contents based on deep learning. The invention comprises the following procedures:First,the videos will be uploaded and the system will extract their key frames. After that ,these frames will be sent to the neural network resnet34.The neural network will output the frames categories and a statistics will be made to decide the content of the videos. The models used by our neural network can be trained by the following processes:The videos will be uploaded at first and their key frames will be extracted. These key frames will be used to generate the data set .The neural network resnet34 will be built in the next step and pre-trained models are used. The data set will be used for transform learning and finally we can get the final models. In our test,the accuracy reached about 81.48% after just 25 epochs training. Brieflythis invention can recognize the content of the videos and categorize them. In other words, it is an unattended system. input Convolutional ReLU Max Convolutional Layer Pooling Layer2 ReLU Convolutional ReLU Convolutional Layer3 Layer4 Convolutional Average Fully Layer5 Pooling Layer Layer Relu Reshape Softmax output Figure 1

A pertussis outbreak was studied in a primary school in Xi'an, China, in March 2016. The school consisted of 536 pupils 6-12 years of age who were divided into 12 classes of 6 grades (2 classes for each grade). The identified index case was an 11-year-old girl at class 2 of grade 5.Interview was conducted and nasopharyngeal swabs were taken from all pupils (N = 94) in the 2 classes of grade 5. Nasopharyngeal swabs were tested by both culture and polymerase chain reaction (PCR).Four culture- and 17 PCR-positive cases were identified in 94 pupils. Infection rate was significantly higher in class 2 compared with that in class 1 [37.0% (17/46) vs. 14.6% (7/48), χ(2) = 4.26, P0.05]. All Bordetella pertussis isolates were macrolide-resistant, harbored prn1/ptxP1/fim3-1 as previously reported and belonged to multilocus variable tandem repeat analysis type MLVA 195. Of the 17 DNAs positive for diagnostic PCR, 12 were also positive for 23S ribosomal RNA PCR. All the 12 DNAs had the A2047G mutation of 23S rRNA gene of B. pertussis.This study described a pertussis outbreak caused by macrolide-resistant B. pertussis in a primary school and indicated that close contact of index case causes the bacterial transmission.

Background B-cell subset in the peripheral blood is widely recognized as a monitoring indicator of repeated rituximab (RTX) infusion timing in clinical studies of Neuromyelitis Optica Spectrum Disorder (NMOSD). However, its threshold is undetermined and may vary individually. Case presentation We report two cases of NMOSD treated with low-dose RTX with long-term follow-up. In the two cases, the patients kept relapse-free status in most of the time points with pre-specified repeated RTX infusions, no matter the percentage of total B cell (CD19+) was above 1%, or memory B-cell (CD19+CD27+) was above 0.05% in the initial two years and 0.1% thereafter, as previously proposed in most of studies. Conclusions The two cases raise the question whether the level of B-cell is an indicator for repeated RTX infusion. Re-defining optimal indicators for repeated RTX infusion in NMOSD will be meaningful for reducing potential long-term adverse reactions of this treatment, as well as gaining a more cost-effective result.

Rationale: Diffuse large B-cell lymphoma (DLBCL) is the most commonly occurring type of non-Hodgkin's lymphoma, which may be found at various extranodal sites. The nose is not a common site for DLBCL as compared with natural killer/T-cell lymphoma, and synchronous pulmonary involvement is even rarer. We report a case of primary nasal DLBCL who presented with a mass in the left lower lobe, mimicking primary lung carcinoma. Patient concerns: A 62-year-old Chinese female visited the Ear-Nose-Throat Department of our hospital with nasal congestion and rhinorrhea for 2 months. Diagnosis: Computed tomography scan revealed a mass with soft tissue density in the left vestibule and nasal cavity. Histopathological examination revealed a large number of lymphoma cells, and immunohistochemistry confirmed the diagnosis of DLBCL. Interventions: The patient was treated with 6 cycles of R-CHOP (cyclophosphamide, adriamycin, vincristine, prednisone, and rituximab). Outcomes: The treatment was well tolerated and led to complete remission for the patient. There was no sign of relapse over the 3-year close follow-up Lessons: DLBCL can be present at various extranodal sites and clinicians irrespective of their specialty must be vigilant for the synchronous mode of presentation of such lesions. Immunohistochemical techniques play a vital role in the diagnosis, because clinical characteristics may be misleading.

In China, pertussis is a notified infectious disease, and the number of reported cases has decreased since the introduction of diphtheria-tetanus-pertussis (whooping cough) (DTwP) vaccines in the 1980s. In this country, pertussis is clinically diagnosed and laboratory methods, such as culture and

In this paper, an intelligent guide equipment for optimal operation of locomotive is introduced .The principle of it is based on optimal principle and adaptive control theory. This equipment combines off-line optimization with on-line parameter self-tuning and predictive controlling, which is established on the C8051F020 measuring and controlling hardware flat. Because the equipment makes use of the methods of part parameter self-tuning, prediction and forecast, the problem—when train travels with high-speed, its inertia is too large to optimally operate is resolved, meanwhile the methods can reduce frequent operation and attain the best effect of energy saving.