Opaque Ontology: Neuroimaging Classification of ICD-10 Diagnostic Groups in the UK Biobank.

Background: 1.The use of machine learning to classify diagnostic cases versus controls defined based on diagnostic ontologies such as the ICD-10 from neuroimaging features is now commonplace across a wide range of diagnostic fields. However, transdiagnostic comparisons of such classifications are lacking. Such transdiagnostic comparisons are important to establish the specificity of classification models, set benchmarks, and assess the value of diagnostic ontologies. Results: 2.We investigated case-control classification accuracy in 17 different ICD-10 diagnostic groups from Chapter V (mental and behavioral disorders) and Chapter VI (diseases of the nervous system) using data from the UK Biobank. Classification models were trained using either neuroimaging (structural or functional brain MRI feature sets) or socio-demographic features. Random forest classification models were adopted using rigorous shuffle splits to estimate stability as well as accuracy of case-control classifications. Diagnostic classification accuracies were benchmarked against age classification (oldest versus youngest) from the same feature sets and against additional classifier types (K-nearest neighbors and linear support vector machine). In contrast to age classification accuracy, which was high for all feature sets, few ICD-10 diagnostic groups were classified significantly above chance (namely, demyelinating diseases based on structural neuroimaging features, and depression based on socio-demographic and functional neuroimaging features). Conclusion: 3.These findings highlight challenges with the current disease classification system, leading us to recommend caution with the use of ICD-10 diagnostic groups as target labels in brain-based disease prediction studies.

Design and synthesis of novel pomegranate-like TiN@MXene microspheres as efficient sulfur hosts for advanced lithium sulfur batteries.

Lithium-sulfur (Li-S) batteries have the characteristics of low cost, environmental protection, and high theoretical energy density, and have broad application prospects in the new generation of electronic products. However, there are some problems that seriously hinder the Li-S batteries from going from the laboratory to the factory, such as poor stability caused by the large volume expansion of sulfur during charging and discharging, sluggish kinetics of the electrochemical reaction resulting from the low conductivity of the active materials, and loss of active materials arising from the dissolution and diffusion of the intermediate product lithium polysulfides (LiPSs). In this paper, the two-dimensional layered material MXene and TiN are firstly combined by spray drying method to prepare pomegranate-like TiN@MXene microspheres with both adsorption capacity and catalytic effect on LiPSs conversion. The interconnected skeleton composed of MXene not only solves the problem of easy stacking of MXene sheets but also ensures the uniform distribution of sulfur. Without affecting the excellent characteristics of MXene itself, the overall conductivity of the composite electrode material is improved. The TiN hollow nanospheres are coated with MXene layers to form a shell, catalyzing the adsorption of LiPSs and accelerating the transformation of high-order LiPSs to Li2S2/Li2S. As a result, the TiN@MXene cathode delivers a high initial discharge capacity of 1436 mA h g-1 at 0.1C, excellent rate performance of 636 mA h g-1 up to 3C, and an ultralong lifespan over 1000 cycles with a small capacity decay of 0.048% per cycle at the current density of 1.0C.

Inter-overlapped MoS2/C composites with large-interlayer-spacing for high-performance sodium-ion batteries.

As a two-dimensional layered material with a structure analogous to that of graphene, molybdenum disulfide (MoS2) holds great promise in sodium-ion batteries (SIBs). However, recent research findings have revealed some disadvantages in two-dimensional (2D) materials such as poor interlayer conductivity and structural instability, resulting in poor rate performance and short cycle life for SIBs. Herein, we designed MoS2 nanoflowers with an ultra-wide spacing interlayer (W-MoS2/C) anchored on special double carbon tubes to construct three-dimensional (3D) nanostructures. When tested as an anode material in a SIB, the as-prepared CNT@NCT@W-MoS2/C sample achieves high capacities (530 and 230 mA h g-1 at current densities of 0.1 and 2 A g-1, respectively). Density functional theory (DFT) calculations demonstrate that the ultra-wide spacing MoS2/C structure is beneficial for the chemical adsorption of sodium ions and facilitates redox reactions. The wide interlayer spacing and the presence of an intermediate carbon layer provide a rapid diffusion channel for ions and offer a free space for volume expansion of the electrode material.

Pharmacological and non-pharmacological treatments for irritable bowel syndrome: Protocol for a systematic review and network meta-analysis.

BACKGROUND: The global prevalence of Irritable bowel syndrome (IBS) is estimated to be as high as 15% and a number of different non-pharmacological and pharmacological treatments have been used to manage IBS in clinical practice, which poses great challenges for clinicians to make appropriate decisions. Hence, a systematic review and network meta-analysis on all available pharmacological and non-pharmacological treatments for IBS is needed to provide reliable evidence. METHODS: We will search the Cochrane Central Register of Controlled Trials (CENTRAL), the Cochrane IBD Group Specialized Trials Register, MEDLINE, EMBASE, and Chinese Biomedical medicine (CBM) from inception to 31, May 2019. Randomized controlled trials of pharmacological and nonpharmacological interventions for IBS will be included. Study quality will be assessed on the basis of the methodology and categories described in the Cochrane Collaboration Handbook. Primary outcomes are global or clinical improvement and quality of life. A Bayesian network meta-analysis would be performed, and relative ranking of agents would be assessed. A node splitting method will be used to examine the inconsistency between direct and indirect comparisons when a loop connecting 3 arms exists. RESULTS: Researchers will rank the effectiveness and safety of the potentials interventions for IBS according the characteristics of patients by conducting an advanced network meta-analysis based on Bayesian statistical model, and interpret the results by using GRADE approach. CONCLUSION: The conclusion of our study will provide updated evidence to rank the effectiveness and safety of pharmacological and non-pharmacological interventions for IBS. ETHICS AND DISSEMINATION: Ethical approval is not applicable since this study is a network meta-analysis based on published trials. PROTOCOL REGISTRATION NUMBER: CRD42018083844.

[An ultrasonographic scoring system for screening compensated liver cirrhosis in patients with chronic hepatitis B and C virus infection].

OBJECTIVE: To investigate the correlation between the stage of hepatic fibrosis and ultrasonographic findings of the liver, spleen and gallbladder and establish a sensitive ultrasonographic semi-quantitative scoring system for screening compensated liver cirrhosis. METHODS: Totalling 248 patients with chronic hepatitis B and hepatitis C virus infection underwent liver biopsy and ultrasonic examination. The images of the liver surface, parenchymal echo, intrahepatic vessels, gallbladder, spleen and diameter of portal vein were analyzed. RESULTS: The stages of hepatic fibrosis were not correlated to ultrasonographic findings of the liver surface or diameter of portal vein, but hepatic fibrosis of different stages showed significant differences in parenchymal echo, intrahepatic vessels, gallbladder and splenomegaly. In cases with normal liver parenchymal, intrahepatic vessels, gallbladder and spleen, the negative predictive value of the ultrasonographic semi-quantitative scoring system for diagnosing compensated liver cirrhosis amounted to 96.3%. The sensitivity of a score not lower than 5 was 90% for detecting compensated cirrhosis. With a score not lower than 7, the diagnostic accuracy and specificity was 85.9% and 95.2%, respectively, but the sensitivity was lowered to 37.5%. CONCLUSION: The ultrasonic images of the liver parenchyma, intrahepatic vessels, gallbladder and spleen in patients with compensated liver cirrhosis vary significantly in patients with hepatic fibrosis of different stages, and this ultrasonographic scoring system allows for a sensitive diagnosis of compensated cirrhosis.