Objective: Obstructive sleep apnea-hypopnea syndrome (OSA) is a disease of obstructive apnea or hypopnea caused by a repeated partial or complete collapse of the upper airway during sleep. The inspiratory part of the ...Objective: Obstructive sleep apnea-hypopnea syndrome (OSA) is a disease of obstructive apnea or hypopnea caused by a repeated partial or complete collapse of the upper airway during sleep. The inspiratory part of the flow-volume curve (F-V curve) can be used as an auxiliary means to evaluate upper airway obstruction in adults. This study is to evaluate the ability of the F-V curve to predict the OSA and explore inspiratory indicators related to airway obstruction during sleep. Methods: There were 332 patients included in this cross-sectional study, who were accompanied by snoring, daytime sleepiness and other symptoms, with suspicion of OSA. According to the nocturnal polysomnography, the subjects were distributed into mild to moderate OSA group, severe OSA group and non-OSA group. A pulmonary function test was used to collect the subjects’ spirometry and F-V curves. Results: There was no significant difference in a variety of indices derived from the F-V curve between OSA and normal subjects, including 25% inspiratory flow rate, middle inspiratory flow rate, 75% inspiratory flow rate, peak flow rate, and forced inspiratory flow rate in the first second. The pulmonary function parameters were significantly correlated with the weight, age and sex of the subjects. Conclusion: These findings suggest that the inspiratory curve of pulmonary function cannot evaluate the upper airway abnormalities in patients with obstructive apnea-hypopnea syndrome.展开更多
BACKGROUND： The treatment of diffuse brain injury during an acute period is focused on relieving degrees of secondary brain injury. Generation and development of pathological changes of secondary brain injury depend ...BACKGROUND： The treatment of diffuse brain injury during an acute period is focused on relieving degrees of secondary brain injury. Generation and development of pathological changes of secondary brain injury depend on signal conduction, so down-regulating over response of astrocyte through interfering a key link of signal conduction pathway may bring a new thinking for the treatment of diffuse brain injury. OBJECTIVE： To observe the effect of over activity of extracellular signal regulated kinases 1/2 （ERK1/2） signal pathway on the response of astrocyte during an acute period of diffuse brain injury. DESIGN： Completely randomized grouping and controlled animal study. SETTINGS： Department of Neurosurgery, the Third Affiliated Hospital, Nanchang University; Department of Neurosurgery, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology. MATERIALS： A total of 158 healthy male SD rats, of 11 weeks old, weighing 320-370 g, were provided by Experimental Animal Faulty, Tongji Medical College, Huazhong University of Science and Technology. Rabbit-anti-phosphorylated ERK1/2 （pERK1/2） polyclonal antibody was provided by R＆D Company; rabbit-anti-glial fibrillary acidic protein （GFAP） polyclonal antibody, SP immunohistochemical kit and horseradish peroxidase （HRP）-labeled goat-anti-rabbit IgG by Santa Cruz Company; specific inhibitor U0126 of ERK1/2 signal pathway by Alexis Company. METHODS： The experiment was carried out in the Laboratory of Neurosurgery, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology from September 2004 to March 2006. ① Detection of pERK1/2 expression： A total of 110 rats were randomly divided into sham operation group （n =5）, model group （n =35）, high-dosage U0126 group （n =35） and low-dosage U0126 group （n =35）. Rats in the sham operation group were only treated with incision of epicranium and fixation of backup plate, but not hit. Rats in the model group were used to establish diffuse brain injury models based on Marmarou free falling body without drug intervention. Rats in the high- and low-dosage U0126 groups were injected into caudal vein with 0.1 and 0.05 mg/kg U0126, respectively, and then, rats were hit to establish injured models. Every 5 rats were collected from model, high- and low-dosage U0126 groups at 5, 30 minutes, 3, 12, 24, 72 hours and 7 days after diffuse brain injury to detect pERK1/2 expression in cortex of parietal lobe based on Western blot technique. ② Distribution of pERK1/2 and positive GFAP cells in brain tissue： Another 48 rats were randomly divided into sham operation group （n =3）, model group （n =15）, high-dosage U0126 group （n =15） and low-dosage U0126 group （n =15）. The intervention and administration were dealt as the same as those mentioned above. Every 3 rats were collected from model, high- and low-dosage U0126 groups at 30 minutes, 3, 12, 24 and 72 hours after model establishment to observe the distribution of pERK1/2 and postive GFAP cells in brain tissue which was cut from coronal section at Bregma -4.8 mm layer with immunohistochemical staining. MAIN OUTCOME MEASURES： pERK1/2 expression in cortex of parietal lobe and distribution of pERK1/2 and positive GFAP cells in brain tissues. RESULTS： ① pERK1/2 expression： After diffuse brain injury, pERK1/2 expression in cortex of parietal lobe was rapidly increased in the model group, reached at peak at 5 minutes and then decreased gradually. But the expression was still in a high level until the 72nd hour and fallen to the basic level on the 7th day. pERK1/2 level was lower in high- and low-dosage U0126 groups than that in model group at various time points （P 〈 0.01）; meanwhile, pERK1/2 level was lower in high-dosage U0126 group than that in low-dosage U0126 group. The results showed that there was a certain dosage dependence on pERK1/2 expression. ② Distribution of pERK1/2 and positive GFAP cells in brain tissue： Positive expression of pERK1/2 lasted inbrain tissue from 30 minutes to 72 hours after diffuse brain injury （P 〈 0.05）. In addition, from 30 minutes to 3 hours, brown-yellow stained cells were mainly distributed in plasma, but rarely in nucleus. A lot of positive cells had tree-like apophysis, which was similar to neurons. With the time passing by, more and more nuclei manifested positive stains; moreover, nuclei mainly manifested positive staining until 24 hours after diffuse brain injury. Immune-positive pERK1/2 cells were widely distributed in brain tissue, especially mainly in binding site between deep cortex and cerebral white matter, and then in hippocampus. In addition, ependymal cell and vascular endothelial cells of choroids plexus also manifested strongly positive staining. As compared with model group, positive cells were decreased gradually in high- and low-dosage U0126 groups. However, number of positive cells was less in high-dosage U0126 group than that in low-dosage U0126 group. CONCLUSION： Diffuse brain injury strongly induces the activity of ERK1/2 signal pathway and response of astrocyte; in addition, U0126 can inhibit response of glial cells during an acute period, and the effect manifests dosage dependence.展开更多
Remarkable progress has been made in self-supervised monocular depth estimation (SS-MDE) by exploring cross-view consistency, e.g., photometric consistency and 3D point cloud consistency. However, they are very vulner...Remarkable progress has been made in self-supervised monocular depth estimation (SS-MDE) by exploring cross-view consistency, e.g., photometric consistency and 3D point cloud consistency. However, they are very vulnerable to illumination variance, occlusions, texture-less regions, as well as moving objects, making them not robust enough to deal with various scenes. To address this challenge, we study two kinds of robust cross-view consistency in this paper. Firstly, the spatial offset field between adjacent frames is obtained by reconstructing the reference frame from its neighbors via deformable alignment, which is used to align the temporal depth features via a depth feature alignment (DFA) loss. Secondly, the 3D point clouds of each reference frame and its nearby frames are calculated and transformed into voxel space, where the point density in each voxel is calculated and aligned via a voxel density alignment (VDA) loss. In this way, we exploit the temporal coherence in both depth feature space and 3D voxel space for SS-MDE, shifting the “point-to-point” alignment paradigm to the “region-to-region” one. Compared with the photometric consistency loss as well as the rigid point cloud alignment loss, the proposed DFA and VDA losses are more robust owing to the strong representation power of deep features as well as the high tolerance of voxel density to the aforementioned challenges. Experimental results on several outdoor benchmarks show that our method outperforms current state-of-the-art techniques. Extensive ablation study and analysis validate the effectiveness of the proposed losses, especially in challenging scenes. The code and models are available at https://github.com/sunnyHelen/RCVC-depth.展开更多
文摘Objective: Obstructive sleep apnea-hypopnea syndrome (OSA) is a disease of obstructive apnea or hypopnea caused by a repeated partial or complete collapse of the upper airway during sleep. The inspiratory part of the flow-volume curve (F-V curve) can be used as an auxiliary means to evaluate upper airway obstruction in adults. This study is to evaluate the ability of the F-V curve to predict the OSA and explore inspiratory indicators related to airway obstruction during sleep. Methods: There were 332 patients included in this cross-sectional study, who were accompanied by snoring, daytime sleepiness and other symptoms, with suspicion of OSA. According to the nocturnal polysomnography, the subjects were distributed into mild to moderate OSA group, severe OSA group and non-OSA group. A pulmonary function test was used to collect the subjects’ spirometry and F-V curves. Results: There was no significant difference in a variety of indices derived from the F-V curve between OSA and normal subjects, including 25% inspiratory flow rate, middle inspiratory flow rate, 75% inspiratory flow rate, peak flow rate, and forced inspiratory flow rate in the first second. The pulmonary function parameters were significantly correlated with the weight, age and sex of the subjects. Conclusion: These findings suggest that the inspiratory curve of pulmonary function cannot evaluate the upper airway abnormalities in patients with obstructive apnea-hypopnea syndrome.
文摘BACKGROUND： The treatment of diffuse brain injury during an acute period is focused on relieving degrees of secondary brain injury. Generation and development of pathological changes of secondary brain injury depend on signal conduction, so down-regulating over response of astrocyte through interfering a key link of signal conduction pathway may bring a new thinking for the treatment of diffuse brain injury. OBJECTIVE： To observe the effect of over activity of extracellular signal regulated kinases 1/2 （ERK1/2） signal pathway on the response of astrocyte during an acute period of diffuse brain injury. DESIGN： Completely randomized grouping and controlled animal study. SETTINGS： Department of Neurosurgery, the Third Affiliated Hospital, Nanchang University; Department of Neurosurgery, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology. MATERIALS： A total of 158 healthy male SD rats, of 11 weeks old, weighing 320-370 g, were provided by Experimental Animal Faulty, Tongji Medical College, Huazhong University of Science and Technology. Rabbit-anti-phosphorylated ERK1/2 （pERK1/2） polyclonal antibody was provided by R＆D Company; rabbit-anti-glial fibrillary acidic protein （GFAP） polyclonal antibody, SP immunohistochemical kit and horseradish peroxidase （HRP）-labeled goat-anti-rabbit IgG by Santa Cruz Company; specific inhibitor U0126 of ERK1/2 signal pathway by Alexis Company. METHODS： The experiment was carried out in the Laboratory of Neurosurgery, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology from September 2004 to March 2006. ① Detection of pERK1/2 expression： A total of 110 rats were randomly divided into sham operation group （n =5）, model group （n =35）, high-dosage U0126 group （n =35） and low-dosage U0126 group （n =35）. Rats in the sham operation group were only treated with incision of epicranium and fixation of backup plate, but not hit. Rats in the model group were used to establish diffuse brain injury models based on Marmarou free falling body without drug intervention. Rats in the high- and low-dosage U0126 groups were injected into caudal vein with 0.1 and 0.05 mg/kg U0126, respectively, and then, rats were hit to establish injured models. Every 5 rats were collected from model, high- and low-dosage U0126 groups at 5, 30 minutes, 3, 12, 24, 72 hours and 7 days after diffuse brain injury to detect pERK1/2 expression in cortex of parietal lobe based on Western blot technique. ② Distribution of pERK1/2 and positive GFAP cells in brain tissue： Another 48 rats were randomly divided into sham operation group （n =3）, model group （n =15）, high-dosage U0126 group （n =15） and low-dosage U0126 group （n =15）. The intervention and administration were dealt as the same as those mentioned above. Every 3 rats were collected from model, high- and low-dosage U0126 groups at 30 minutes, 3, 12, 24 and 72 hours after model establishment to observe the distribution of pERK1/2 and postive GFAP cells in brain tissue which was cut from coronal section at Bregma -4.8 mm layer with immunohistochemical staining. MAIN OUTCOME MEASURES： pERK1/2 expression in cortex of parietal lobe and distribution of pERK1/2 and positive GFAP cells in brain tissues. RESULTS： ① pERK1/2 expression： After diffuse brain injury, pERK1/2 expression in cortex of parietal lobe was rapidly increased in the model group, reached at peak at 5 minutes and then decreased gradually. But the expression was still in a high level until the 72nd hour and fallen to the basic level on the 7th day. pERK1/2 level was lower in high- and low-dosage U0126 groups than that in model group at various time points （P 〈 0.01）; meanwhile, pERK1/2 level was lower in high-dosage U0126 group than that in low-dosage U0126 group. The results showed that there was a certain dosage dependence on pERK1/2 expression. ② Distribution of pERK1/2 and positive GFAP cells in brain tissue： Positive expression of pERK1/2 lasted inbrain tissue from 30 minutes to 72 hours after diffuse brain injury （P 〈 0.05）. In addition, from 30 minutes to 3 hours, brown-yellow stained cells were mainly distributed in plasma, but rarely in nucleus. A lot of positive cells had tree-like apophysis, which was similar to neurons. With the time passing by, more and more nuclei manifested positive stains; moreover, nuclei mainly manifested positive staining until 24 hours after diffuse brain injury. Immune-positive pERK1/2 cells were widely distributed in brain tissue, especially mainly in binding site between deep cortex and cerebral white matter, and then in hippocampus. In addition, ependymal cell and vascular endothelial cells of choroids plexus also manifested strongly positive staining. As compared with model group, positive cells were decreased gradually in high- and low-dosage U0126 groups. However, number of positive cells was less in high-dosage U0126 group than that in low-dosage U0126 group. CONCLUSION： Diffuse brain injury strongly induces the activity of ERK1/2 signal pathway and response of astrocyte; in addition, U0126 can inhibit response of glial cells during an acute period, and the effect manifests dosage dependence.
文摘Remarkable progress has been made in self-supervised monocular depth estimation (SS-MDE) by exploring cross-view consistency, e.g., photometric consistency and 3D point cloud consistency. However, they are very vulnerable to illumination variance, occlusions, texture-less regions, as well as moving objects, making them not robust enough to deal with various scenes. To address this challenge, we study two kinds of robust cross-view consistency in this paper. Firstly, the spatial offset field between adjacent frames is obtained by reconstructing the reference frame from its neighbors via deformable alignment, which is used to align the temporal depth features via a depth feature alignment (DFA) loss. Secondly, the 3D point clouds of each reference frame and its nearby frames are calculated and transformed into voxel space, where the point density in each voxel is calculated and aligned via a voxel density alignment (VDA) loss. In this way, we exploit the temporal coherence in both depth feature space and 3D voxel space for SS-MDE, shifting the “point-to-point” alignment paradigm to the “region-to-region” one. Compared with the photometric consistency loss as well as the rigid point cloud alignment loss, the proposed DFA and VDA losses are more robust owing to the strong representation power of deep features as well as the high tolerance of voxel density to the aforementioned challenges. Experimental results on several outdoor benchmarks show that our method outperforms current state-of-the-art techniques. Extensive ablation study and analysis validate the effectiveness of the proposed losses, especially in challenging scenes. The code and models are available at https://github.com/sunnyHelen/RCVC-depth.
