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Aim: Numerous evidence suggests that diabetes increases the risk of cognitive impairment. This study aimed to develop and validate a multivariable risk score model to identify mild cognitive impairment (MCI) in patients with type 2 diabetes mellitus (T2DM). Methods: This cross-sectional study included 1256 inpatients (age: 57.5 ± 11.2 years) with T2DM in a tertiary care hospital in China. MCI was diagnosed according to the criteria recommended by the National Institute on Aging-Alzheimer's Association Workgroup, and a MoCA score of 19-25 indicated MCI. Participants were randomly allocated into the derivation and validation sets at 7:3 ratio. Logistic regression models were used to identify predictors for MCI in the derivation set. A scoring system based on the predictors' beta coefficient was developed. Predictive ability of the risk score was tested by discrimination and calibration methods. Results: Totally 880 (285 with MCI, 32.4%) and 376 (167 with MCI, 33.8%) patients were allocated in the derivation and validation set, respectively. Age, education, HbA1c, self-reported history of severe hypoglycemia, and microvascular disease were identified as predictors for MCI and constituted the risk score. The AUCs (95% CI) of the risk score were 0.751 (0.717, 0.784) in derivation set and 0.776 (0.727, 0.824) in validation set. The risk score showed good apparent calibration of observed and predicted MCI probabilities and was capable of stratifying individuals into 3 risk categories by two cut-off points (low risk: ≤ 3, medium risk: 4-13, and high risk ≥ 14). Conclusion: The risk score based on age, education, HbA1c, self-reported history of severe hypoglycemia, and microvascular disease can effectively assess MCI risk in adults with T2DM at different age. It can serve as a practical prescreening tool for early detection of MCI in daily diabetes care.
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AIMS: To characterize the comparative contributions of different glycaemic indicators to cognitive dysfunction, and further investigate the associations between the most significant indicator and cognitive function, along with related cerebral alterations. MATERIALS AND METHODS: We performed a cross-sectional study in 449 subjects with type 2 diabetes who completed continuous glucose monitoring and cognitive assessments. Of these, 139 underwent functional magnetic resonance imaging to evaluate cerebral structure and olfactory neural circuit alterations. Relative weight and Sobol's sensitivity analyses were employed to characterize the comparative contributions of different glycaemic indicators to cognitive dysfunction. RESULTS: Complexity of glucose time series index (CGI) was found to have a more pronounced association with mild cognitive impairment (MCI) compared to glycated haemoglobin, time in range, and standard deviation. The proportion and multivariable-adjusted odds ratios (ORs) for MCI increased with descending CGI tertile (Tertile 1: reference group [≥4.0]; Tertile 2 [3.6-4.0] OR 1.23, 95% confidence interval [CI] 0.68-2.24; Tertile 3 [<3.6] OR 2.27, 95% CI 1.29-4.00). Decreased CGI was associated with cognitive decline in executive function and attention. Furthermore, individuals with decreased CGI displayed reduced olfactory activation in the left orbitofrontal cortex (OFC) and disrupted functional connectivity between the left OFC and right posterior cingulate gyrus. Mediation analysis demonstrated that the left OFC activation partially mediated the associations between CGI and executive function. CONCLUSION: Decreased glucose complexity closely relates to cognitive dysfunction and olfactory brain activation abnormalities in diabetes.
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Disfunción Cognitiva , Diabetes Mellitus Tipo 2 , Adulto , Humanos , Glucosa , Factores de Tiempo , Estudios Transversales , Automonitorización de la Glucosa Sanguínea , Glucemia , Cognición , Disfunción Cognitiva/etiología , Imagen por Resonancia Magnética/métodos , Encéfalo/patologíaRESUMEN
Triple-negative breast cancer (TNBC) is a highly heterogeneous and invasive subtype of breast cancer. The prognosis of TNBC is poor because of its high distant metastasis rate. Triptolide is a type of diterpene trioxide natural compound with potential anti-tumor activities. This study explored the metastatic inhibitory effect of triptolide on MDA-MB-231 cells and its underlying mechanism. Triptolide suppressed cell proliferation and induced cell apoptosis in a time- and dose-dependent manner. Low doses of triptolide (0-8â nM) reduced the migration and invasion capabilities of MDA-MB-231 cells. Triptolide decreased ROCK1, p-Akt, N-cadherin, vimentin and MMP-9 expressions, but increased PTEN and E-cadherin expressions on protein and mRNA levels. Furthermore, the down-regulation of ROCK1 expression in MDA-MB-231 cells after being treated by triptolide could be rescued by ROCK1 specific inhibitor Y27632. Molecular docking showed that triptolide and Y27632 shared the same active center of ROCK1 protein. This article's findings taken together showed that ROCK1 is the primary target of triptolide, which can cause cell apoptosis and inhibit the epithelial-mesenchymal transition of MDA-MB-231 cells.
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Diterpenos , Neoplasias de la Mama Triple Negativas , Humanos , Neoplasias de la Mama Triple Negativas/tratamiento farmacológico , Neoplasias de la Mama Triple Negativas/patología , Línea Celular Tumoral , Proteínas Proto-Oncogénicas c-akt , Células MDA-MB-231 , Simulación del Acoplamiento Molecular , Diterpenos/farmacología , Proliferación Celular , Movimiento Celular , Transición Epitelial-Mesenquimal , Quinasas Asociadas a rho/farmacología , Quinasas Asociadas a rho/uso terapéutico , Fosfohidrolasa PTEN/farmacología , Fosfohidrolasa PTEN/uso terapéuticoRESUMEN
PURPOSE: The purpose of this study was to introduce the surgical method of K-wire combined with screw in the treatment of Arbeitsgemeinschaftfür Osteosynthesefragen (AO) type B3.1 phalangeal fractures and to compare its clinical, radiological and functional outcomes with K-wire fixation. METHODS: This was a retrospective comparative study. From January 2015 to February 2022, we treated 86 patients with AO type B3.1 phalangeal fractures. A total of 71 patients were finally included in the statistical analysis. Thirty-nine patients received K-wires combined with screw, and 32 patients received simple K-wires. The follow-up time was at least 6 months. Outcome measures included general information, operative time, total active motion (TAM), pinch strength, radiological union time, pain assessed by visual analog scale (VAS), Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score, cost, and complications. RESULTS: The follow-up time was 6-12 months, with an average of 7.9 months. All patients achieved clinical and radiological union. Compared with the K-wire fixation group, the TAM, radiological union time and VAS score of the K-wire combined with screw group had obvious advantages. Compared with the opposite healthy hand, the grip strength of the two groups was similar, and there was no significant difference in the QuickDASH score. The incidence rate of complications in the K-wire combined with screw group (2/39) was lower than that in the K-wire fixation group (7/32). CONCLUSIONS: Compared with simple K-wire fixation, K-wire combined with screw in the treatment of AO type B3.1 phalangeal fractures is a safer and reliable surgical method. K-wire controls the rotation and plays a role similar to a "lock". The screw can exert pressure and fix it more firmly. It shortens the time of fracture healing and has a higher TAM and fewer postoperative complications.
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Fijación Interna de Fracturas , Fracturas Óseas , Humanos , Estudios Retrospectivos , Fijación Interna de Fracturas/métodos , Resultado del Tratamiento , Fracturas Óseas/diagnóstico por imagen , Fracturas Óseas/cirugía , Tornillos Óseos , Hilos OrtopédicosRESUMEN
Background: Different subtypes of dendritic cells (DCs) can induce different types of immune responses. Our previous study found that Echinococcus granulosus (E. granulosus) antigens (Eg.ferritin, Eg.mMDH and Eg.10) stimulated DC differentiation to different subtypes and produced different immune responses. Objective: To further understand whether Eg.ferritin, Eg.mMDH and Eg.10 affect the DC-mediated immune response by promoting the differentiation of monocytes to DCs. Methods: Bone marrow-derived monocytes were exposed to three antigens of E. granulosus on days 0, 3, 5, and 7. The percentage of monocyte-derived DCs (moDCs), DCs subsets, and the expression of surface molecules of DCs at different time points in different groups were assessed by flow cytometry. The levels of cytokines of IL-1ß, IL-4, IL-6, IL-10, IL-13, IFN-γ, TNF-α, IL-12p70, IL-18, IL-23, and IL-27 in the cell culture supernatant were detected by multi-factorial detection technology. Results: The percentage of moDCs revealed that none of the three antigens blocked monocyte differentiation to DCs. The monocytes of 7-day-old cultures showed increased sensitivity to these antigens. The Eg.ferritin induced more mature DCs, which expressed high levels of MHC II and costimulatory molecules, and secreted Th1 cytokines. Eg10 and Eg.mMDH induced lower degrees of DC maturation, however differentiated DCs were in a semi-mature state due to low expression of MHC II and costimulatory molecules and secretion of higher Th2 and lower Th1 cytokines. Conclusion: Eg.ferritin promotes full maturation of DCs and induces Th1 immune response, whereas Eg.10 and Eg.mMDH induce semi-mature DCs producing higher levels of Th2 cytokines.
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Echinococcus granulosus , Monocitos , Animales , Células Dendríticas , Citocinas/metabolismo , Diferenciación Celular , Factores de Transcripción/metabolismo , Ferritinas/metabolismoRESUMEN
PURPOSE: This study aims to compare results after open lunate excision alone and in combination with palmaris longus tendon ball arthroplasty for the treatment of late-staged Kienböck's disease (KD). METHODS: This is a retrospective study using the prospectively collected data, and patients who had a discharge diagnosis of KD (stage IIIB based on Lichtman staging criteria) and underwent surgical treatment by lunate excision alone or in combination with palmaris longus tendon ball arthroplasty between January 2011 and December 2020 were included in this study. Variables of interest involved demographics, disease condition, operative procedure, and the outcomes evaluated at the last follow-up. Within and between comparisons were performed. RESULTS: Thirty-five patients underwent lunate excision alone, and 40 patients underwent the combination procedure. At the final follow-up, patients in both groups exhibited significant improvements compared to pre-operation, such as wrist flexion, wrist extension, carpal height ratio, PRWE score, Cooney score, and grip strength (all P < 0.05). Compared to the excision group, combination procedure group had significantly longer surgical time (P < 0.001), more blood loss (P < 0.001) and exhibited better wrist flexion (P = 0.001), PRWE score (P = 0.001), Cooney score (P = 0.0034), and grip strength (P = 0.017). The excellent or good rate based on Cooney wrist score was not significantly different (87.5% vs 71.4%, P = 0.083). CONCLUSION: Lunate excision in combination with palmaris longus tendon ball arthroplasty is a better option than lunate excision alone for the treatment of stage III KD and can be considered as an operative option.
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Extremidad Superior , Muñeca , Humanos , Estudios Retrospectivos , Artroplastia , Tendones/cirugíaRESUMEN
CONTEXT: Although cognitive impairment in nonalcoholic fatty liver disease (NAFLD) has received attention in recent years, little is known about detailed cognitive functions in histologically diagnosed individuals. OBJECTIVE: This study aimed to investigate the association of liver pathological changes with cognitive features and further explore the underlying brain manifestations. METHODS AND PATIENTS: We performed a cross-sectional study in 320 subjects who underwent liver biopsy. Among the enrolled participants, 225 underwent assessments of global cognition and cognitive subdomains. Furthermore, 70 individuals received functional magnetic resonance imaging scans for neuroimaging evaluations. The associations among liver histological features, brain alterations, and cognitive functions were evaluated using structural equation model. RESULTS: Compared with controls, patients with NAFLD had poorer immediate memory and delayed memory. Severe liver steatosis (odds ratio, 2.189; 95% CI, 1.020-4.699) and ballooning (OR, 3.655; 95% CI, 1.419-9.414) were related to a higher proportion of memory impairment. Structural magnetic resonance imaging showed that patients with nonalcoholic steatohepatitis exhibited volume loss in left hippocampus and its subregions of subiculum and presubiculum. Task-based magnetic resonance imaging showed that patients with nonalcoholic steatohepatitis had decreased left hippocampal activation. Path analysis demonstrated that higher NAFLD activity scores were associated with lower subiculum volume and reduced hippocampal activation, and such hippocampal damage contributed to lower delayed memory scores. CONCLUSIONS: We are the first to report the presence and severity of NAFLD to be associated with an increased risk of memory impairment and hippocampal structural and functional abnormalities. These findings stress the significance of early cognitive evaluation in patients with NAFLD.
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Disfunción Cognitiva , Enfermedad del Hígado Graso no Alcohólico , Humanos , Enfermedad del Hígado Graso no Alcohólico/complicaciones , Enfermedad del Hígado Graso no Alcohólico/diagnóstico por imagen , Enfermedad del Hígado Graso no Alcohólico/patología , Estudios Transversales , Disfunción Cognitiva/diagnóstico por imagen , Disfunción Cognitiva/etiología , Hipocampo/diagnóstico por imagen , Hipocampo/patologíaRESUMEN
ETHNOPHARMACOLOGICAL RELEVANCE: Zhuidu Formula (ZDF) is composed of triptolide, cinobufagin and paclitaxel, which are the active ingredients of Tripterygium wilfordii Hook. F, dried toad skin and Taxus wallichiana var. chinensis (Pilg) Florin, respectively. Modern pharmacological studies show that triptolide, cinobufagin, and paclitaxel are well-known natural compounds that exert anti-tumor effects by interfering with DNA synthesis, inducing tumor cell apoptosis, and inhibiting the dynamic balance of the tubulin. However, the mechanism by which the three compounds inhibit triple-negative breast cancer (TNBC) metastasis is unknown. OBJECTIVE: The objective of this investigation was to examine the inhibitory essences of ZDF on the metastasis of TNBC and elucidate its potential mechanism. MATERIALS AND METHODS: Cell viability of triptolide (TPL), cinobufagin (CBF), and paclitaxel (PTX) on MDA-MB-231 cells was assessed employing a CCK-8 assay. The drug interactions of the three drugs on MDA-MB-231 cells were determined in vitro utilizing the Chou-Talalay method. MDA-MB-231 cells were identified for migration, invasion and adhesion in vitro through the implementation of the scratch assay, transwell assay and adhesion assay, respectively. The formation of cytoskeleton protein F-actin was detected by immunofluorescence assay. The expressions of MMP-2 and MMP-9 in the supernatant of the cells were determined by ELISA analysis. The Western blot and RT-qPCR were employed to explore the protein expressions associated with the dual signaling pathways of RhoA/ROCK and CDC42/MRCK. The anti-tumor efficacy of ZDF in vivo and its preliminary mechanism were investigated in the mouse 4T1 TNBC model. RESULTS: The results demonstrated that ZDF could significantly reduce the viability of the MDA-MB-231 cell, and the combination index (CI) values of actual compatibility experimental points were all less than 1, demonstrating a favorable synergistic compatibility relationship. It was found that ZDF reduces RhoA/ROCK and CDC42/MRCK dual signaling pathways, which are responsible for MDA-MB-231cell migration, invasion, and adhesion. Additionally, there has been a significant reduction in the manifestation of cytoskeleton-related proteins. Furthermore, the expression levels of RhoA, CDC42, ROCK2, and MRCKß mRNA and protein were down-regulated. ZDF significantly decreased the protein expressions of vimentin, cytokeratin-8, Arp2 and N-WASP, and inhibited actin polymerization and actomyosin contraction. Furthermore, MMP-2 and MMP-9 levels in the high-dose ZDF group were decreased by 30% and 26%, respectively. ZDF significantly reduced the tumor volume and protein expressions of ROCK2 and MRCKß in tumor tissues without eliciting any perceptible alterations in the physical mass of the mice, and the reduction was more pronounced than that of the BDP5290 treated group. CONCLUSION: The current investigation demonstrates that ZDF exhibits a proficient inhibitory impact on TNBC metastasis by regulating cytoskeletal proteins through the dual signaling pathways of RhoA/ROCK and CDC42/MRCK. Furthermore, the findings indicate that ZDF has significant anti-tumorigenic and anti-metastatic characteristics in breast cancer animal models.
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Medicina Tradicional China , Proteína Quinasa de Distrofia Miotónica , Invasividad Neoplásica , Paclitaxel , Transducción de Señal , Neoplasias de la Mama Triple Negativas , Quinasas Asociadas a rho , Neoplasias de la Mama Triple Negativas/tratamiento farmacológico , Neoplasias de la Mama Triple Negativas/metabolismo , Neoplasias de la Mama Triple Negativas/patología , Transducción de Señal/efectos de los fármacos , Quinasas Asociadas a rho/metabolismo , Proteína Quinasa de Distrofia Miotónica/efectos de los fármacos , Movimiento Celular/efectos de los fármacos , Citoesqueleto/efectos de los fármacos , Etnofarmacología , Paclitaxel/administración & dosificación , Paclitaxel/farmacología , Paclitaxel/uso terapéutico , Células MDA-MB-231 , Adhesión Celular/efectos de los fármacos , Humanos , Animales , Ratones , Metástasis de la Neoplasia/tratamiento farmacológico , Modelos Animales de Enfermedad , Femenino , Sinergismo Farmacológico , Metaloproteinasas de la Matriz/metabolismo , Actinas/metabolismo , Procesos de Crecimiento Celular/efectos de los fármacosRESUMEN
A brain-computer interface (BCI) based on motor imagery (MI) from the same limb can provide an intuitive control pathway but has received limited attention. It is still a challenge to classify multiple MI tasks from the same limb. The goal of this study is to propose a novel decoding method to classify the MI tasks of four joints of the same upper limb and the resting state. EEG signals were collected from 20 participants. A time-distributed attention network (TD-Atten) was proposed to adaptively assign different weights to different classes and frequency bands of the input multiband Common Spatial Pattern (CSP) features. The long short-term memory (LSTM) and dense layers were then used to learn sequential information from the reweight features and perform the classification. Our proposed method outperformed other baseline and deep learning-based methods and obtained the accuracies of 46.8% in the 5-class scenario and 53.4% in the 4-class scenario. The visualization results of attention weights indicated that the proposed framework can adaptively pay attention to alpha-band related features in MI tasks, which was consistent with the analysis of brain activation patterns. These results demonstrated the feasibility and interpretability of the attention mechanism in MI decoding and the potential of this fine MI paradigm to be applied for the control of a robotic arm or a neural prosthesis.
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Interfaces Cerebro-Computador , Imaginación , Algoritmos , Electroencefalografía , Humanos , Imaginación/fisiología , Extremidad SuperiorRESUMEN
ETHNOPHARMACOLOGICAL RELEVANCE: Oxytropis falcata Bunge is a legume distributed in Northwest China, which is mainly used to treat knife wounds and inflammation. Quercetin is a bioactive flavonoid in O. falcata and becomes a promising healing compound for its angiogenic and anti-inflammatory activities. However, the healing mechanism of quercetin in cutaneous wound remains elusive. AIM OF THE STUDY: The purpose of this study was to evaluate the healing effect of quercetin on cutaneous wound models in vivo and in vitro, and to reveal the Wnt/ß-catenin pathway and Telomerase reverse transcriptase (TERT) involved mechanisms. MATERIALS AND METHODS: The effects of quercetin on the proliferation and migration of 4 kinds of skin cells were determined by CCK-8 and scratch assay. The wound-healing capacity of quercetin was evaluated in cutaneous wound model of C57BL/6 mice and the wound healing degree was observed by histological staining. The expressions of inflammatory factors, growth factors and the related proteins were detected via Western blot and RT-qPCR analyses. The molecular docking was adopted to evaluate the binding ability of quercetin and TERT. RESULTS: Quercetin could promote both proliferation and migration of fibroblasts, and enhance cutaneous wound healing capacity in mice. Compared to the control group, the wound healing rates in low (1.5 mg/mL), medium (3.0 mg/mL) and high dose (6.0 mg/mL) quercetin groups reached 94.67%, 97.31% and 98.42%, respectively. Moreover, the dermal structure in quercetin treated mice restored normal and the content of collagen fiber became abundant after administration. The levels of inflammatory factors, including tumor necrosis factor-α, interleukin-1ß and interleukin-6 were significantly reduced after quercetin administration. Among which, the level of IL-1ß in cutaneous wound was 0.007 times higher than that of the control group when treated with quercetin of high dose (6.0 mg/mL). The improved level of GSH in quercetin treated cutaneous wounds also indicated its higher antioxidant ability. In addition, dose-dependent positive associations were found in the expression levels of vascular endothelial growth factor, fibroblast growth factor and alpha smooth muscle actin in quercetin treated cutaneous wounds. The significantly upregulated protein levels of Wnt and ß-catenin further indicated the important role of quercetin in promoting wound healing in mice. According to molecular docking analysis, the formed hydrogen bonds between quercetin and Ala195, Gln308, Asn369 and Lys372 residues of TERT also indicated the indispensable role of TERT in improving wound healing capacity. CONCLUSION: Quercetin effectively promoted cutaneous wound healing by enhancing the proliferation and migration of fibroblasts, as well as inhibiting inflammation and increasing the expression of growth factors in mice via Wnt/ß-catenin signaling pathway and TERT. It provides a basis for a more thorough understanding of mechanism of action of O. falcata Bunge in the treatment of knife wounds and burns.
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Oxytropis/química , Quercetina/farmacología , Telomerasa/efectos de los fármacos , Vía de Señalización Wnt/efectos de los fármacos , Cicatrización de Heridas/efectos de los fármacos , Animales , Movimiento Celular/efectos de los fármacos , Proliferación Celular/efectos de los fármacos , China , Relación Dosis-Respuesta a Droga , Factores de Crecimiento de Fibroblastos/efectos de los fármacos , Humanos , Mediadores de Inflamación , Interleucina-1beta/efectos de los fármacos , Interleucina-6/metabolismo , Masculino , Ratones , Ratones Endogámicos C57BL , Simulación del Acoplamiento Molecular , Piel/efectos de los fármacos , Factor de Necrosis Tumoral alfa/efectos de los fármacos , Factor A de Crecimiento Endotelial Vascular/efectos de los fármacosRESUMEN
PURPOSE: This study aims to introduce the "tripod" technique using cannulated compression screw and two anti-rotational K-wires for treatment of unstable scaphoid waist fracture nonunion, and to compare it with the single cannulated screw fixation technique in term of scaphoid union and surgical outcomes. METHODS: It was a retrospective study. From January 2014 to March 2020, 103 consecutive patients with scaphoid waist fracture nonunion treated with the tripod fixation and bone grafting (n = 45) or with single cannulated compression screw and bone grafting (n = 58) were included. All the procedures were performed by the same hand surgery team, and autologous cortico-cancellous radius bone graft was used for bony reconstruction. The minimal follow-up period was 12 months. The union rate and the time to union, range of motion (ROM), grip strength, Visual Analogue Scale (VAS), Quick Disabilities of the Arm, Shoulder and Hand (DASH) score and modified Mayo Scores at the last visit were compared. RESULTS: In tripod fixation group, bony union was achieved in all patients at the mean of 14.8 ± 3.8 weeks, while in the single cannulated screw fixation group the bony union rate was 94.8% (55/58) and the time to union was 17.6 ± 3.6 weeks. The difference of time to union was statistically significant (p = 0.027), but not for bony union rate (p = 0.122). At the last visit, no significant difference was found with respect to any clinical and radiographic outcome measures (all p > 0.05). The overall rate of complications was not significantly different between two groups (15.6% vs 10.3%, p = 0.430). CONCLUSIONS: Tripod fixation technique with headless compression screw and two K-wires is a safe and effective technique for treatment of scaphoid nonunion fixation and can be considered to use in practice, especially for those potentially rotationally unstable cases.
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Tornillos Óseos , Trasplante Óseo/métodos , Fijación Interna de Fracturas , Fracturas no Consolidadas/cirugía , Hueso Escafoides/lesiones , Adulto , Femenino , Fijación Interna de Fracturas/instrumentación , Fijación Interna de Fracturas/métodos , Fracturas no Consolidadas/diagnóstico por imagen , Humanos , Masculino , Rango del Movimiento Articular , Estudios Retrospectivos , Hueso Escafoides/cirugía , Resultado del TratamientoRESUMEN
A new Aluminum metal-organic frameworks(Al-MOF) based on tricarboxylate ligands(L){L = 2,2',2'-([1,3,5]-triazine-2,4,6-triimino)tribenzoic acid)} has been designed and synthesized. It can be served as a platform of multi-responsive fluorescence sensor for Fe3+, Sr2+and SiO32-in water, which is mainly due to the significant enhancement effect of these ions on the fluorescence intensity of Al-MOF. Especially, Fe3+ions are rarely able to induce MOFs fluorescence enhancement. The limit of detection for three kinds of ions is 6.62* 10-6M, 5.37* 10-6M, 6.85* 10-10M respectively. Meanwhile, It can also be used as a multi-response fluorescence probe to detect toluene in DMF solution, limit of detection is 9.16* 10-3M respectively. The structure of Al-MOF was characterized by FTIR,1H NMR, SEM, TAG, PXRD and element analysis. The PXRD showed that the structure of Al-MOF remained the high water stability and pH stability. The application of water samples and vegetables showed that Al-MOF had high sensitive detection for Fe3+ions.
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BACKGROUND: The aim of this cross-sectional study to assess the proportions of anxiety and depression in patients with CuTS, and to explore the associated demographic and clinical features. METHODS: From May 2011 to January 2017, 246 patients diagnosed with CuTS were recruited. The Hospital Anxiety and Depression Scale was used to assess the proportions of depression and anxiety. Patient demographic and clinical data were collected. Univariate analysis and multivariate regression were carried out to identify the variables that were independently associated with anxiety and depression. RESULTS: The proportions of depression and anxiety were 17.9% (n = 44) and 14.2% (n = 35), respectively. Five patients had both possible/probable anxiety and depression. Logistic regression analysis revealed that diabetes mellitus was independently associated with depression; and the modified McGowan grade was independently associated with anxiety. CONCLUSIONS: In patients with CuTS, the proportions of depression and anxiety were 17.9% and 14.2%, respectively. Early screening for anxiety and depression is beneficial for patients with CuTS.
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Síndrome del Túnel Cubital , Ansiedad/complicaciones , Ansiedad/diagnóstico , Ansiedad/epidemiología , Estudios Transversales , Depresión/complicaciones , Depresión/diagnóstico , Depresión/epidemiología , Humanos , Nervio CubitalRESUMEN
Rapid Serial Visual Presentation (RSVP)-based Brain-Computer Interface (BCI) is an efficient information detection technology by detecting event-related brain responses evoked by target visual stimuli. However, a time-consuming calibration procedure is needed before a new user can use this system. Thus, it is important to reduce calibration efforts for BCI applications. In this paper, we collect an RSVP-based electroencephalogram (EEG) dataset, which includes 11 subjects. The experimental task is image retrieval. Also, we propose a multi-source transfer learning framework by utilizing data from other subjects to reduce the data requirement on the new subject for training the model. A source-selection strategy is firstly adopted to avoid negative transfer. And then, we propose a transfer learning network based on domain adversarial training. The convolutional neural network (CNN)-based network is designed to extract common features of EEG data from different subjects, while the discriminator tries to distinguish features from different subjects. In addition, a classifier is added for learning semantic information. Also, conditional information and gradient penalty are added to enable stable training of the adversarial network and improve performance. The experimental results demonstrate that our proposed method outperforms a series of state-of-the-art and baseline approaches.
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Interfaces Cerebro-Computador , Algoritmos , Humanos , Aprendizaje , Aprendizaje Automático , Redes Neurales de la ComputaciónRESUMEN
Rapid Serial Visual Presentation (RSVP)-based Brain-Computer Interface (BCI) is an efficient information detection technology by detecting event-related brain responses evoked by target visual stimuli. However, a time-consuming calibration procedure is needed before a new user can use this system. Thus, it is important to reduce calibration efforts for BCI applications. In this article, we propose a multi-source conditional adversarial domain adaptation with the correlation metric learning (mCADA-C) framework that utilizes data from other subjects to reduce the data requirement from the new subject for training the model. This model utilizes adversarial training to enable a CNN-based feature extraction network to extract common features from different domains. A correlation metric learning (CML) loss is proposed to constrain the correlation of features based on class and domain to maximize the intra-class similarity and minimize inter-class similarity. Also, a multi-source framework with a source selection strategy is adopted to integrate the results of multiple domain adaptation. We constructed an RSVP-based dataset that includes 11 subjects each performing three RSVP experiments on three different days. The experimental results demonstrate that our proposed method can achieve 87.72% cross-subject balanced-accuracy under one block calibration. The results indicate our method can realize a higher performance with less calibration efforts.
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Interfaces Cerebro-Computador , Encéfalo , Calibración , Electroencefalografía , Humanos , AprendizajeRESUMEN
Motor imagery (MI) is one of the important brain-computer interface (BCI) paradigms, which can be used to control peripherals without external stimulus. Imagining the movements of different joints of the same limb allows intuitive control of the outer devices. In this report, we describe an open access multi-subject dataset for MI of different joints from the same limb. This experiment collected data from twenty-five healthy subjects on three tasks: 1) imagining the movement of right hand, 2) imagining the movement of right elbow, and 3) keeping resting with eyes open, which results in a total of 22,500 trials. The dataset provided includes data of three stages: 1) raw recorded data, 2) pre-processed data after operations such as artifact removal, and 3) trial data that can be directly used for feature extraction and classification. Different researchers can reuse the dataset according to their needs. We expect that this dataset will facilitate the analysis of brain activation patterns of the same limb and the study of decoding techniques for MI.
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Electroencefalografía , Mano/fisiología , Imaginación , Movimiento , Desempeño Psicomotor , Encéfalo/fisiología , Interfaces Cerebro-Computador , HumanosRESUMEN
The goal of the present article is to investigate whether positive and negative affects mediate or moderate the impact of self-esteem on life satisfaction among Chinese rural-to-urban migrants. Participants contained 712 rural-to-urban migrants recruited from four construction sites in China, who were evaluated with Rosenberg Self-Esteem Scale, Positive and Negative Affect Scale, and Satisfaction with Life Scale. Correlation analysis indicated self-esteem positively predicted life satisfaction. In addition, we demonstrated the mediating effects of positive affect and negative affect partially in the links from self-esteem to life satisfaction, but failed to reveal the moderating effects. These findings suggested that affect balance intervention program may benefit the life satisfaction in Chinese rural-to-urban migrants.
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Afecto , Satisfacción Personal , Autoimagen , Migrantes/psicología , Adulto , China , Femenino , Humanos , Masculino , Persona de Mediana Edad , Población Rural , Encuestas y Cuestionarios , Población UrbanaRESUMEN
Motor imagery (MI) is an important brain-computer interface (BCI) paradigm, which can be applied without external stimulus. Imagining different joint movements from the same limb allows intuitive control of the outer devices. However, few researches focused on this field, and the decoding accuracy limited the applications for practical use. In this study, we aim to use deep learning methods to explore the ceiling of the decoding performance of three tasks: the resting state, the MI of right hand and right elbow. To represent the brain functional relationships, the correlation matrix that consists of correlation coefficients between electrodes (channels) was calculated as features. We proposed the Channel-Correlation Network to learn the overall representation among channels for classification. Ensemble learning was applied to integrate the output of multiple Channel-Correlation Networks. Our proposed method achieved the decoding accuracy of up to 87.03% in the 3-class scenario. The results demonstrated the effectiveness of deep learning method for decoding MI of different joints from the same limb and the potential of this fine paradigm to be applied in practice.
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Interfaces Cerebro-Computador , Imaginación/fisiología , Red Nerviosa , Adulto , Algoritmos , Codo , Electrodos , Electroencefalografía , Sincronización de Fase en Electroencefalografía , Femenino , Mano , Voluntarios Sanos , Humanos , Aprendizaje Automático , Masculino , Movimiento/fisiología , Reproducibilidad de los Resultados , Adulto JovenRESUMEN
PURPOSE: The acute primary (first-time) lateral patellar dislocation is associated with a high rate of functional disability. There is no consensus as to the choice of surgical or non-surgical treatment for these patients. The aim of this study is to compare the clinical results between the surgical (reconstruction of the medial patellofemoral ligament [MPFL]) and non-surgical treatments for acute primary patellar dislocations. METHODS: Sixty-nine skeletally mature patients (69 knees) were included in this prospective non-randomized controlled trial. At least one predisposing factor for patellar dislocation (including patella alta, high lateral patellar tilt, trochlear dysplasia, and increased TT-TG distance) was identified in the included patients. Thirty patients were treated surgically with MPFL reconstruction, and the other 39 patients were treated non-surgically. The main outcome variable was patellar redislocation within a two year follow-up period. The Kujala questionnaire was applied for analyzing the pain and the quality of life. The additional surgeries due to patellofemoral problems were also recorded. RESULTS: Patellar redislocation occurred in eight patients in the non-surgical group, while no redislocation occurred in the surgical group (P < 0.05). Four patients in non-surgical group underwent further surgery due to patellar redislocation and poor function during the follow-up period. The Kujala score and the percentage of "good/excellent" results on the Kujala score of the surgical group were significantly better than that of the non-surgical group (P < 0.05). CONCLUSIONS: The surgical MPFL reconstruction achieved better clinical outcomes compared with non-surgical treatment for the acute primary patellar dislocation in the skeletally mature patients with the presence of abnormal patellofemoral anatomy. Surgery should be considered as the better choice for these specific patients.
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Ligamentos Articulares/cirugía , Luxación de la Rótula/cirugía , Articulación Patelofemoral/cirugía , Adolescente , Adulto , Femenino , Humanos , Masculino , Dolor , Estudios Prospectivos , Calidad de Vida , Procedimientos de Cirugía Plástica , Encuestas y Cuestionarios , Adulto JovenRESUMEN
Emotions play an important role in human communication, and EEG signals are widely used for emotion recognition. Despite the extensive research of EEG in recent year, it is still challenging to interpret EEG signals effectively due to the massive noises in EEG signals. In this paper, we propose an effective emotion recognition framework, which contains two main parts: the representation network and the prototype selection algorithm. Through our proposed representation network, samples from the same kind of emotion state are more close to each other in high-level representation, and then, we selected the prototypes from the clustering set in feature space match the following testing samples. This method takes advantage of the powerful representation ability of deep learning and learns a better describable feature space rather than learn the classifier explicitly. The experiments on SEED dataset achieves a high accuracy of 93.29% and outperforms a set of baseline methods and the recent deep learning emotion classification approaches. These experimental results demonstrate the effectiveness of our proposed emotion recognition framework.