Traumatic spinal cord injury is potentially catastrophic and can lead to permanent disability or even death.China has the largest population of patients with traumatic spinal cord injury.Previous studies of traumatic ...Traumatic spinal cord injury is potentially catastrophic and can lead to permanent disability or even death.China has the largest population of patients with traumatic spinal cord injury.Previous studies of traumatic spinal cord injury in China have mostly been regional in scope;national-level studies have been rare.To the best of our knowledge,no national-level study of treatment status and economic burden has been performed.This retrospective study aimed to examine the epidemiological and clinical features,treatment status,and economic burden of traumatic spinal cord injury in China at the national level.We included 13,465 traumatic spinal cord injury patients who were injured between January 2013 and December 2018 and treated in 30 hospitals in 11 provinces/municipalities representing all geographical divisions of China.Patient epidemiological and clinical features,treatment status,and total and daily costs were recorded.Trends in the percentage of traumatic spinal cord injuries among all hospitalized patients and among patients hospitalized in the orthopedic department and cost of care were assessed by annual percentage change using the Joinpoint Regression Program.The percentage of traumatic spinal cord injuries among all hospitalized patients and among patients hospitalized in the orthopedic department did not significantly change overall(annual percentage change,-0.5%and 2.1%,respectively).A total of 10,053(74.7%)patients underwent surgery.Only 2.8%of patients who underwent surgery did so within 24 hours of injury.A total of 2005(14.9%)patients were treated with high-dose(≥500 mg)methylprednisolone sodium succinate/methylprednisolone(MPSS/MP);615(4.6%)received it within 8 hours.The total cost for acute traumatic spinal cord injury decreased over the study period(-4.7%),while daily cost did not significantly change(1.0%increase).Our findings indicate that public health initiatives should aim at improving hospitals’ability to complete early surgery within 24 hours,which is associated with improved sensorimotor recovery,increasing the awareness rate of clinical guidelines related to high-dose MPSS/MP to reduce the use of the treatment with insufficient evidence.展开更多
Due to the complexity and faintness of the detection wave patterns obtained by aircoupled transducers,if it is possible to effectively separate the various modes and obtain nondispersive signals for more accurate dete...Due to the complexity and faintness of the detection wave patterns obtained by aircoupled transducers,if it is possible to effectively separate the various modes and obtain nondispersive signals for more accurate detection and positioning,it will help to improve the accuracy and reliability of air-coupled ultrasonic Lamb wave detection,providing better technical support for the application and development of related fields.Because of the increased complexity of aircoupled signals,there is no definite theoretical formula to describe the mode changes of aircoupled signals,so the method based on blind separation has unique value.To address these challenges,the paper proposes a single-channel blind source separation(SCBSS)method.The effectiveness of this method is evaluated through simulations and experiments,demonstrating favorable separation results and efficient computational speed.This work first conducts an in-depth analysis of the signal characteristics of air-coupled ultrasonic non-destructive testing,and simulates the ultrasonic excitation conditions of air-coupled sensors through finite element software.The study of modal changes and multipath effects caused by the variation of the incidence angle of the ACT signal is carried out,and the situation of the Lamb wave signal excited by ACT at the receiving end is analyzed.By combining ACT with PZT signals,the ultrasonic signals of air-coupled Lamb waves are compared and studied,and their modal purification is carried out.展开更多
Gestational exposure to PM_(2.5) is associated with adverse postnatal outcomes.PM_(2.5) can enter alveoli by using intratracheal instillation,even penetrate through lung cells into the blood circulation.Subsequently,t...Gestational exposure to PM_(2.5) is associated with adverse postnatal outcomes.PM_(2.5) can enter alveoli by using intratracheal instillation,even penetrate through lung cells into the blood circulation.Subsequently,they are transferred across the placenta and fetal blood brain barrier,causing the adverse birth outcomes of offspring.This study demonstrated that the gestational exposure resulted in cognitive and emotional disorders in female offspring although the offspring were not exposed to PM_(2.5).Placental metabolic pathways modulated fetal brain development and played a pivotal role for maternal-placentalfetal interactions in the fetal programming of adult behavioral and mental disorders.Samples of fetus,offspring hippocampus and placenta from the mice exposed to PM_(2.5) were investigated using a comprehensive approach including mass spectrometry-based lipidomics and three-dimensional imaging.The exposure induced the neuro-degeneration in hippocampus,impairment of placental cytoarchitecture,and reprogramming of lipidome,which might affect the modulation of maternal-fetal cross-talk and result in the behavior disorders of offspring.The variation of spatial distribution of lipids was profoundly affected in dorsal pallium and hippocampal formation regions of fetal brain,offspring hippocampus,as well as labyrinth and junctional zones of placenta.The abundance alteration of lipid markers associated with neurodegenerative diseases was validated in transgenic mouse model with Alzheimer’s disease and human cerebrospinal fluid from patients with Parkinson’s disease.The finding could help with the selection of more suitable heterogeneous-related substructures targeting PM_(2.5) exposure and the exploration of PM_(2.5)-induced toxicological effects on neurodegenerative diseases.展开更多
Herein, a multiwalled carbon nanotubes(MWNT)-based colorimetric probe was designed to discover and monitor the level of apolipoprotein-L1(Apo L1) in lumbar disc herniation(LDH) patients. Apo L1 could be easily found i...Herein, a multiwalled carbon nanotubes(MWNT)-based colorimetric probe was designed to discover and monitor the level of apolipoprotein-L1(Apo L1) in lumbar disc herniation(LDH) patients. Apo L1 could be easily found in human serum of the LDH group, but not obviously expressed in the normal control group(Ctrl), spine spondylolisthesis(SSP) group, spinal fracture(SFR) group, and spine scoliosis(SSC) group. Furthermore, the as-prepared MWNT-based probe was also used to track the recovery of LDH patients who have successful surgery operation. The P value of early diagnosis and recovery monitoring was <0.001 and >0.05 for the proposed method and a conventional enzyme-linked immunosorbent assay(ELISA), respectively, suggesting this detection strategy had significant differences compared with the traditional ELISA. All experimental results showed that Apo L1 might be a potential biomarker for early diagnosis of LDH. This proposed detection strategy has a potential application in discovering new biomarkers of diseases.展开更多
The authors have retracted this article.Upon re-review of the data,the authors identified there was a computation error of the theoretical model,which render the conclusions invalid.All authors are agree to this retra...The authors have retracted this article.Upon re-review of the data,the authors identified there was a computation error of the theoretical model,which render the conclusions invalid.All authors are agree to this retraction.The online version of this article contains the full text of the retracted article as electronic supplementary material.展开更多
The authors have retracted this article(Kasimu et al.,2019).Upon re-review of the data,the authors identified there was a computation error of the theoretical model,which render the conclusions invalid.All authors agr...The authors have retracted this article(Kasimu et al.,2019).Upon re-review of the data,the authors identified there was a computation error of the theoretical model,which render the conclusions invalid.All authors agree to this retraction.展开更多
The intelligent decision-making domain is a fast-growing area of research lhat integrates various aspects of computer science and information systems,which includes risk analytics,intelligent systems,intelligent techn...The intelligent decision-making domain is a fast-growing area of research lhat integrates various aspects of computer science and information systems,which includes risk analytics,intelligent systems,intelligent technology,intelligent agents,artificial intelligence,fuzzy logic,neural networks,machine learning,knowledge discovery,computational intelligence,data science,big data analytics,inference engines,recommender systems or engines,and a variety of related disciplines.展开更多
基金supported by the National Key Research and Development Project,No.2019YFA0112100(to SF).
文摘Traumatic spinal cord injury is potentially catastrophic and can lead to permanent disability or even death.China has the largest population of patients with traumatic spinal cord injury.Previous studies of traumatic spinal cord injury in China have mostly been regional in scope;national-level studies have been rare.To the best of our knowledge,no national-level study of treatment status and economic burden has been performed.This retrospective study aimed to examine the epidemiological and clinical features,treatment status,and economic burden of traumatic spinal cord injury in China at the national level.We included 13,465 traumatic spinal cord injury patients who were injured between January 2013 and December 2018 and treated in 30 hospitals in 11 provinces/municipalities representing all geographical divisions of China.Patient epidemiological and clinical features,treatment status,and total and daily costs were recorded.Trends in the percentage of traumatic spinal cord injuries among all hospitalized patients and among patients hospitalized in the orthopedic department and cost of care were assessed by annual percentage change using the Joinpoint Regression Program.The percentage of traumatic spinal cord injuries among all hospitalized patients and among patients hospitalized in the orthopedic department did not significantly change overall(annual percentage change,-0.5%and 2.1%,respectively).A total of 10,053(74.7%)patients underwent surgery.Only 2.8%of patients who underwent surgery did so within 24 hours of injury.A total of 2005(14.9%)patients were treated with high-dose(≥500 mg)methylprednisolone sodium succinate/methylprednisolone(MPSS/MP);615(4.6%)received it within 8 hours.The total cost for acute traumatic spinal cord injury decreased over the study period(-4.7%),while daily cost did not significantly change(1.0%increase).Our findings indicate that public health initiatives should aim at improving hospitals’ability to complete early surgery within 24 hours,which is associated with improved sensorimotor recovery,increasing the awareness rate of clinical guidelines related to high-dose MPSS/MP to reduce the use of the treatment with insufficient evidence.
基金Supported by the National Natural Science Foundation of China(Nos.92360306,52222504 and 52241502).
文摘Due to the complexity and faintness of the detection wave patterns obtained by aircoupled transducers,if it is possible to effectively separate the various modes and obtain nondispersive signals for more accurate detection and positioning,it will help to improve the accuracy and reliability of air-coupled ultrasonic Lamb wave detection,providing better technical support for the application and development of related fields.Because of the increased complexity of aircoupled signals,there is no definite theoretical formula to describe the mode changes of aircoupled signals,so the method based on blind separation has unique value.To address these challenges,the paper proposes a single-channel blind source separation(SCBSS)method.The effectiveness of this method is evaluated through simulations and experiments,demonstrating favorable separation results and efficient computational speed.This work first conducts an in-depth analysis of the signal characteristics of air-coupled ultrasonic non-destructive testing,and simulates the ultrasonic excitation conditions of air-coupled sensors through finite element software.The study of modal changes and multipath effects caused by the variation of the incidence angle of the ACT signal is carried out,and the situation of the Lamb wave signal excited by ACT at the receiving end is analyzed.By combining ACT with PZT signals,the ultrasonic signals of air-coupled Lamb waves are compared and studied,and their modal purification is carried out.
基金supported by the National Natural Science Foundation of China(91843301)the National Key Research Program of China(2017YFC1600505 and 2017YFE0191000)+1 种基金Sanming Project of Medicine in Shenzhen of China(SZSM201811070)General Research Fund from Hong Kong Research Grants Council(12303320)。
文摘Gestational exposure to PM_(2.5) is associated with adverse postnatal outcomes.PM_(2.5) can enter alveoli by using intratracheal instillation,even penetrate through lung cells into the blood circulation.Subsequently,they are transferred across the placenta and fetal blood brain barrier,causing the adverse birth outcomes of offspring.This study demonstrated that the gestational exposure resulted in cognitive and emotional disorders in female offspring although the offspring were not exposed to PM_(2.5).Placental metabolic pathways modulated fetal brain development and played a pivotal role for maternal-placentalfetal interactions in the fetal programming of adult behavioral and mental disorders.Samples of fetus,offspring hippocampus and placenta from the mice exposed to PM_(2.5) were investigated using a comprehensive approach including mass spectrometry-based lipidomics and three-dimensional imaging.The exposure induced the neuro-degeneration in hippocampus,impairment of placental cytoarchitecture,and reprogramming of lipidome,which might affect the modulation of maternal-fetal cross-talk and result in the behavior disorders of offspring.The variation of spatial distribution of lipids was profoundly affected in dorsal pallium and hippocampal formation regions of fetal brain,offspring hippocampus,as well as labyrinth and junctional zones of placenta.The abundance alteration of lipid markers associated with neurodegenerative diseases was validated in transgenic mouse model with Alzheimer’s disease and human cerebrospinal fluid from patients with Parkinson’s disease.The finding could help with the selection of more suitable heterogeneous-related substructures targeting PM_(2.5) exposure and the exploration of PM_(2.5)-induced toxicological effects on neurodegenerative diseases.
基金supported by the National Basic Research Program of China(2012CB933301)the Key Discipline Construction Project of Pudong Health Bureau of Shanghai(PWZx2014-02)+1 种基金the Sci-tech Support Plan of Jiangsu Province(BE2014719)the Priority Academic Program Development of Jiangsu Higher Education Institutions
文摘Herein, a multiwalled carbon nanotubes(MWNT)-based colorimetric probe was designed to discover and monitor the level of apolipoprotein-L1(Apo L1) in lumbar disc herniation(LDH) patients. Apo L1 could be easily found in human serum of the LDH group, but not obviously expressed in the normal control group(Ctrl), spine spondylolisthesis(SSP) group, spinal fracture(SFR) group, and spine scoliosis(SSC) group. Furthermore, the as-prepared MWNT-based probe was also used to track the recovery of LDH patients who have successful surgery operation. The P value of early diagnosis and recovery monitoring was <0.001 and >0.05 for the proposed method and a conventional enzyme-linked immunosorbent assay(ELISA), respectively, suggesting this detection strategy had significant differences compared with the traditional ELISA. All experimental results showed that Apo L1 might be a potential biomarker for early diagnosis of LDH. This proposed detection strategy has a potential application in discovering new biomarkers of diseases.
文摘The authors have retracted this article.Upon re-review of the data,the authors identified there was a computation error of the theoretical model,which render the conclusions invalid.All authors are agree to this retraction.The online version of this article contains the full text of the retracted article as electronic supplementary material.
文摘The authors have retracted this article(Kasimu et al.,2019).Upon re-review of the data,the authors identified there was a computation error of the theoretical model,which render the conclusions invalid.All authors agree to this retraction.
文摘The intelligent decision-making domain is a fast-growing area of research lhat integrates various aspects of computer science and information systems,which includes risk analytics,intelligent systems,intelligent technology,intelligent agents,artificial intelligence,fuzzy logic,neural networks,machine learning,knowledge discovery,computational intelligence,data science,big data analytics,inference engines,recommender systems or engines,and a variety of related disciplines.
