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1.
J Hazard Mater ; 480: 136174, 2024 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-39418909

RESUMO

It has been reported that tripolyphosphate (TPP) can effectively enhance the activation of O2 by Fe(II) to remove organic pollutants in the environment. However, the influence of solution pH on the generation and conversion of reactive oxygen species (ROS) and their degradation of pollutants in the Fe(II)/O2/TPP system needs further investigation. In this study, we demonstrated that O2•- and •OH were the main ROS responsible for degradation in the system at different pH conditions, and their formation rates were calculated using a steady-state model. Experiments combined with density functional theory (DFT) calculations showed that the p-nitrophenol (PNP) degradation pathway in the Fe(II)/O2/TPP system is regulated by solution pH. Specifically, at pH = 3, the existence of Fe(II) in the solution is dominated by [Fe(II)(HTPP)2]2-, which leads to a rapid conversion from O2 and HO2• to generate •OH, and PNP is primarily oxidatively degraded. However, at pH = 5/7, [Fe(II)(TPP)2]4- is taking the lead with which O2•- is accumulated in the solution due to the slow conversion to •OH in this condition, and the PNP is mainly reductively degraded. This study proposes a new strategy to achieve the targeted oxidative/reductive removal of different types of pollutants by simply varying the solution pH in the Fe(II)/O2/TPP system.

2.
J Craniofac Surg ; 2024 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-39356240

RESUMO

BACKGROUND: Three-dimensional printing (3D printing) technology and computer navigation technology have been gradually applied in surgeries for orbital blowout fractures. This study compared the efficacy of traditional techniques (group I) and 3D printing combined with computer navigation technology-assisted techniques (group II) in the management of orbital blowout fractures. METHODS: All patients treated for orbital blowout fractures in the Affiliated Hospital of Yangzhou University from March 2018 to February 2021 were reviewed. The primary predictive variable was surgical techniques used for orbital fractures (traditional techniques or 3D printing combined with computer navigation technology-assisted techniques). Outcome variables included diplopia, limitation of extraocular muscle movement, and enophthalmos orbital volume. RESULTS: All the surgeries were successfully performed without serious complications. Six months after the operation, the degree of diplopia and limitation of extraocular muscle movement in the traditional techniques group and 3D printing combined with computer navigation technology-assisted techniques group were significantly improved (the former Z= -2.670, P=0.008, the latter Z=-3.584, P<0.001 and the former Z=-4.852, P<0.001, the latter Z=-5.427, P<0.001, respectively). There were no significant differences in the degree of diplopia and limitation of extraocular muscle movement between the 2 groups before the operation (the former Z=-0.842, P=0.400; the latter Z=-0.567, P=0.571), and there were significant differences after the operation (the former Z=-2.773, P=0.006; the latter Z=-2.892, P=0.004), and the 3D printing combined with computer navigation technology-assisted techniques group showed an advantage over the traditional techniques group. The difference in bilateral enophthalmos and orbital volume in traditional techniques groups and 3D printing combined with computer navigation technology-assisted techniques groups was dramatically decreased (the former t=12.558, P<0.001, the latter t=12.659, P<0.001, and the former t=19.194, P<0.001, the latter t=17.770, P<0.001, respectively). There were no significant differences in bilateral enophthalmos and orbital volume between the 2 groups before the operation (the former t=-0.410, P=0.683; the latter t=0.311, P=0.756), and there were significant differences after the operation (the former t=4.081, P<0.001; the latter t=4.078, P<0.001). There were statistically significant differences in surgical time and cost between the traditional technology group and the 3D printing combined with computer navigation technology-assisted technology group (the former t=8.445, P<0.001, and the latter t=3.534, P<0.001); 3D printing combined with computer navigation technology-assisted techniques group spent more surgical time and money than the traditional techniques group. CONCLUSIONS: The application of 3D printing combined with computer navigation techniques in the management of orbital blowout fractures can significantly improve the accuracy and safety of the operation. 3D printing combined with computer navigation technology-assisted techniques group spent more surgical time and money.

3.
Pharmacol Res ; 208: 107385, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39245190

RESUMO

Arteriosclerotic cerebral small vessel disease (aCSVD) is a major cause of stroke and dementia. Although its underlying pathogenesis remains poorly understood, both inflammaging and gut microbiota dysbiosis have been hypothesized to play significant roles. This study investigated the role of gut microbiota in the pathogenesis of aCSVD through a comparative analysis of the gut microbiome and metabolome between CSVD patients and healthy controls. The results showed that patients with aCSVD exhibited a marked reduction in potentially beneficial bacterial species, such as Faecalibacterium prausnitzli and Roseburia intestinalis, alongside an increase in taxa from Bacteroides and Proteobacteria. Integrated metagenomic and metabolomic analyses revealed that alterations in microbial metabolic pathways, including LPS biosynthesis and phenylalanine-tyrosine metabolism, were associated with the status of aCSVD. Our findings indicated that microbial LPS biosynthesis and phenylalanine-tyrosine metabolism potentially influenced the symptoms and progression of aCSVD via pro-inflammatory effect and modulation of systemic neurotransmitters, respectively. These results imply that gut microbiota characteristics may serve as indicators for early detection of aCSVD and as potential gut-directed therapeutic intervention target.


Assuntos
Eixo Encéfalo-Intestino , Doenças de Pequenos Vasos Cerebrais , Disbiose , Microbioma Gastrointestinal , Neurotransmissores , Humanos , Doenças de Pequenos Vasos Cerebrais/metabolismo , Doenças de Pequenos Vasos Cerebrais/microbiologia , Masculino , Feminino , Idoso , Pessoa de Meia-Idade , Neurotransmissores/metabolismo , Disbiose/microbiologia , Metabolômica , Bactérias/metabolismo , Bactérias/genética , Metaboloma , Multiômica
4.
iScience ; 27(9): 110689, 2024 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-39280629

RESUMO

Post-laser-assisted in situ keratomileusis (LASIK) corneal ectasia is a severe complication of corneal refractive surgery, and cryopreserved lenticules from hyperopic small incision lenticule extraction (SMILE) may offer a promising treatment though their long-term safety and efficacy are still under investigation. In this prospective case series, six eyes from six patients with post-LASIK ectasia received lenticules (mean cryopreserved time: 63 days). The procedure involved lifting the corneal flap, implanting the lenticule, and repositioning the flap. Over a follow-up period of at least one year, uncorrected distance visual acuity (UDVA) improved from 1.52 ± 0.40 preoperatively to 0.74 ± 0.28 LogMAR. Two eyes gained one line of corrected distance visual acuity (CDVA), three gained two lines, and one gained over three lines. Spherical equivalents decreased from -14.67 ± 2.36 D to -8.75 ± 4.03 D (p = 0.02). Mean anterior K and total corneal refractive power decreased (p < 0.05). Thinnest corneal thickness increased from 359.2 ± 39.3 µm to 401.7 ± 53.4 µm (p = 0.02). These findings support the potential of cryopreserved lenticules for treating post-LASIK ectasia, though further refinement in refractive predictability is needed.

5.
PLoS One ; 19(6): e0305244, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38861579

RESUMO

The moving deformation of the strata and the redistribution of stope stress after mining show asymmetrical characteristics, which do not conform to the symmetrical structural characteristics of the original rock beam fracture. To further analyze the deformation of rock beams and the asymmetry law of stope pressure distribution after strata caving, the detailed process of instability and deformation of composite rock beams before failure was revealed through similar material simulation, theoretical analysis, and numerical simulation. Through similar simulation experiments, the structural characteristics of strata caving were observed. After excavation, the caving angle near the open-off cut side of the model is greater than that on the stop-mining line side. The maximum bending moment of the rock beam is located at the open-off cut side. The rock beam fracture is located on the partial open-off cut side in the middle of the rock beam. The rock beam on the open-off cut side is easy to shear slip and not easy to hinge. The rock beam in front of the advancing direction of the working face is easily hinged. Based on the structural characteristics of strata caving, considering the thickness of the composite rock beam, the two-hinged arch mechanical model for rock beam fracture is established. On this basis, the key parameters of rock beam instability and fracture such as limit load, additional horizontal stress, limit break distance, and break position are analyzed. Based on the deformation characteristics of two hinged arches, the caving structure and the asymmetric distribution mechanism of stress redistribution during the deformation of overburden in stope are explained. Finally, the deformation of rock beam and the asymmetry of stress distribution in stope are verified by numerical calculation. The results show that the concentrated stress value of the coal pillar at the open-off cut side is greater than that in front of the working face. There is a pressure relief area behind the working face, and the pressure relief area has a certain range. The range of stress concentration area, pressure relief area, and stress value tend to be stable, and only the range of the original rock stress zone expands when the working face is advanced to a certain distance. The asymmetric distribution of compaction stress in goaf is related to the buckling deformation of strata.


Assuntos
Estresse Mecânico , Modelos Teóricos , Simulação por Computador , Mineração
6.
Nat Commun ; 15(1): 4999, 2024 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-38866834

RESUMO

Cryptophytes are ancestral photosynthetic organisms evolved from red algae through secondary endosymbiosis. They have developed alloxanthin-chlorophyll a/c2-binding proteins (ACPs) as light-harvesting complexes (LHCs). The distinctive properties of cryptophytes contribute to efficient oxygenic photosynthesis and underscore the evolutionary relationships of red-lineage plastids. Here we present the cryo-electron microscopy structure of the Photosystem II (PSII)-ACPII supercomplex from the cryptophyte Chroomonas placoidea. The structure includes a PSII dimer and twelve ACPII monomers forming four linear trimers. These trimers structurally resemble red algae LHCs and cryptophyte ACPI trimers that associate with Photosystem I (PSI), suggesting their close evolutionary links. We also determine a Chl a-binding subunit, Psb-γ, essential for stabilizing PSII-ACPII association. Furthermore, computational calculation provides insights into the excitation energy transfer pathways. Our study lays a solid structural foundation for understanding the light-energy capture and transfer in cryptophyte PSII-ACPII, evolutionary variations in PSII-LHCII, and the origin of red-lineage LHCIIs.


Assuntos
Microscopia Crioeletrônica , Criptófitas , Complexos de Proteínas Captadores de Luz , Complexo de Proteína do Fotossistema II , Complexo de Proteína do Fotossistema II/metabolismo , Complexo de Proteína do Fotossistema II/química , Complexos de Proteínas Captadores de Luz/metabolismo , Complexos de Proteínas Captadores de Luz/química , Criptófitas/metabolismo , Fotossíntese , Modelos Moleculares , Transferência de Energia , Complexo de Proteína do Fotossistema I/metabolismo , Complexo de Proteína do Fotossistema I/química , Clorofila A/metabolismo , Clorofila A/química
7.
Neural Netw ; 176: 106383, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38781758

RESUMO

Label noises, categorized into closed-set noise and open-set noise, are prevalent in real-world scenarios and can seriously hinder the generalization ability of models. Identifying noise is challenging because noisy samples closely resemble true positives. Existing approaches often assume a single noise source, oversimplify closed-set noise, or treat open-set noise as toxic and eliminate it, resulting in limited practical effects. To address these issues, we present a novel approach named uncertainty-guided label correction with wavelet-transformed discriminative representation enhancement (Ultra), designed to mitigate the effects of mixed noise. Specifically, our approach considers a more practical noise setting. To achieve robust mixed-noise identification, we initially look into a learnable wavelet filter for obtaining discriminative features and filtering spurious cues automatically at the representation level. Subsequently, we introduce a two-fold uncertainty estimation to stably locate noise within the corrupted supervised signal level. These insights pave the way for a simple yet potent label correction technique, enabling comprehensive utilization of open-set noise, which can be rendered non-toxic in a specific manner, in contrast to harmful closed-set noise. Experimental validation on datasets with synthetic mixed noise, web noise corruption, and a real-world dataset confirms the effectiveness and generality of Ultra. Furthermore, our approach enhances the application of efficient techniques (e.g., supervised contrastive learning) within label noise scenarios.


Assuntos
Análise de Ondaletas , Incerteza , Algoritmos , Humanos , Redes Neurais de Computação
9.
Int Immunopharmacol ; 133: 112045, 2024 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-38615384

RESUMO

The ATP1A3 gene is associated with the development and progression of neurological diseases. However, the pathological function and therapeutic value of ATP1A3 in glioblastoma (GBM) remains unknown. In this study, we tried to explore the correlation between the ATP1A3 gene expression and immune features in GBM samples. We found that ATP1A3 gene expression levels showed significant negative correlation with immune checkpoints such as PD-L1, CTLA-4 and IDO1. Next, ATP1A3 gene expression levels showed significant negative correlation with the anti-cancer immune cell process, the immune score and stromal score. By grouping ATP1A3 expression levels, we found that that immunomodulator-related genes and tumor-associated immune cell effector gene expression levels were associated with lower ATP1A3 expression. In addition, immunotherapy prediction pathway activity and a majority of the anti-cancer immune cell process activity levels were also showed to be correlated with lower ATP1A3 gene expression. Further, nine prognostic factors were identified by prognostic analysis, and a GBM prognostic model (risk score) was established. We applied the model to the TCGA GBM training set sample and the GSE4412 validation set sample and found that patients in the high risk score subgroup had significantly shorter survival time, demonstrating the prognostic value and prognostic efficacy of the risk score. Furthermore, ATP1A3 overexpression has also been found to sensitize cancer cells to anti-PD-1 therapy. In conclusion, we showed that ATP1A3 is a highly promising treatment target in GBM and the risk score is an independent prognostic factor for cancer and can be used to help guide the prediction of survival time in patients with GBM.


Assuntos
Neoplasias Encefálicas , Glioblastoma , ATPase Trocadora de Sódio-Potássio , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Biomarcadores Tumorais/genética , Neoplasias Encefálicas/diagnóstico , Neoplasias Encefálicas/genética , Neoplasias Encefálicas/terapia , Regulação Neoplásica da Expressão Gênica , Glioblastoma/diagnóstico , Glioblastoma/genética , Glioblastoma/imunologia , Glioblastoma/terapia , Imunoterapia , Prognóstico , ATPase Trocadora de Sódio-Potássio/genética , ATPase Trocadora de Sódio-Potássio/metabolismo
10.
J Int Med Res ; 52(3): 3000605241232560, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38520254

RESUMO

OBJECTIVE: To construct a prognostic model of a breast cancer-related oxidative stress-related gene (OSRG) signature using machine learning algorithms. METHODS: The OSRGs of breast cancer were constructed by least absolute shrinkage and selection operator (LASSO) and multivariate Cox regression analysis. The Cancer Genome Atlas (TCGA) was used to analyse the gene expression and prognostic value. The Human Protein Atlas was used to analyse the protein expression of hub genes. Receiver operating characteristic analysis, calibration curve and decision curve analysis were used to predict the stability of this model. RESULTS: The area under the curve of 1-, 3- and 5-year overall survival were 0.751, 0.707 and 0.645 in the TCGA training dataset; and 0.692, 0.678 and 0.602 in the TCGA testing dataset, respectively. Calibration plot showed good agreement between predicted probabilities and observed outcomes. Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene Set Enrichment Analysis (GSEA) pathway analysis indicated that multiple cancer-related pathways were highly enriched in the high-risk group. Immune infiltration analysis showed immune cells and their functions may play a key role in the development and mechanism of breast cancer. CONCLUSIONS: This new OSRG signature was associated with the immune infiltration and it might be useful in predicting the prognosis in patients with breast cancer.


Assuntos
Neoplasias da Mama , Humanos , Feminino , Neoplasias da Mama/genética , Estresse Oxidativo/genética , Mama , Algoritmos , Aprendizado de Máquina , Prognóstico
11.
mSystems ; 9(4): e0105523, 2024 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-38501864

RESUMO

Plant-associated diazotrophs strongly relate to plant nitrogen (N) supply and growth. However, our knowledge of diazotrophic community assembly and microbial N metabolism in plant microbiomes is largely limited. Here we examined the assembly and temporal dynamics of diazotrophic communities across multiple compartments (soils, epiphytic and endophytic niches of root and leaf, and grain) of three cereal crops (maize, wheat, and barley) and identified the potential N-cycling pathways in phylloplane microbiomes. Our results demonstrated that the microbial species pool, influenced by site-specific environmental factors (e.g., edaphic factors), had a stronger effect than host selection (i.e., plant species and developmental stage) in shaping diazotrophic communities across the soil-plant continuum. Crop diazotrophic communities were dominated by a few taxa (~0.7% of diazotrophic phylotypes) which were mainly affiliated with Methylobacterium, Azospirillum, Bradyrhizobium, and Rhizobium. Furthermore, eight dominant taxa belonging to Azospirillum and Methylobacterium were identified as keystone diazotrophic taxa for three crops and were potentially associated with microbial network stability and crop yields. Metagenomic binning recovered 58 metagenome-assembled genomes (MAGs) from the phylloplane, and the majority of them were identified as novel species (37 MAGs) and harbored genes potentially related to multiple N metabolism processes (e.g., nitrate reduction). Notably, for the first time, a high-quality MAG harboring genes involved in the complete denitrification process was recovered in the phylloplane and showed high identity to Pseudomonas mendocina. Overall, these findings significantly expand our understanding of ecological drivers of crop diazotrophs and provide new insights into the potential microbial N metabolism in the phyllosphere.IMPORTANCEPlants harbor diverse nitrogen-fixing microorganisms (i.e., diazotrophic communities) in both belowground and aboveground tissues, which play a vital role in plant nitrogen supply and growth promotion. Understanding the assembly and temporal dynamics of crop diazotrophic communities is a prerequisite for harnessing them to promote plant growth. In this study, we show that the site-specific microbial species pool largely shapes the structure of diazotrophic communities in the leaves and roots of three cereal crops. We further identify keystone diazotrophic taxa in crop microbiomes and characterize potential microbial N metabolism pathways in the phyllosphere, which provides essential information for developing microbiome-based tools in future sustainable agricultural production.


Assuntos
Microbiota , Microbiota/genética , Agricultura , Solo/química , Nitrogênio/análise , Produtos Agrícolas/metabolismo , Desenvolvimento Vegetal
12.
EMBO Mol Med ; 16(2): 294-318, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38297099

RESUMO

Diabetic retinopathy (DR) is a leading cause of irreversible vision loss in working-age populations. Fat mass and obesity-associated protein (FTO) is an N6-methyladenosine (m6A) demethylase that demethylates RNAs involved in energy homeostasis, though its influence on DR is not well studied. Herein, we detected elevated FTO expression in vitreous fibrovascular membranes of patients with proliferative DR. FTO promoted cell cycle progression and tip cell formation of endothelial cells (ECs) to facilitate angiogenesis in vitro, in mice, and in zebrafish. FTO also regulated EC-pericyte crosstalk to trigger diabetic microvascular leakage, and mediated EC-microglia interactions to induce retinal inflammation and neurodegeneration in vivo and in vitro. Mechanistically, FTO affected EC features via modulating CDK2 mRNA stability in an m6A-YTHDF2-dependent manner. FTO up-regulation under diabetic conditions was driven by lactate-mediated histone lactylation. FB23-2, an inhibitor to FTO's m6A demethylase activity, suppressed angiogenic phenotypes in vitro. To allow for systemic administration, we developed a nanoplatform encapsulating FB23-2 and confirmed its targeting and therapeutic efficiency in mice. Collectively, our study demonstrates that FTO is important for EC function and retinal homeostasis in DR, and warrants further investigation as a therapeutic target for DR patients.


Assuntos
Dioxigenase FTO Dependente de alfa-Cetoglutarato , Quinase 2 Dependente de Ciclina , Diabetes Mellitus , Retinopatia Diabética , Animais , Camundongos , Dioxigenase FTO Dependente de alfa-Cetoglutarato/genética , Dioxigenase FTO Dependente de alfa-Cetoglutarato/metabolismo , Quinase 2 Dependente de Ciclina/genética , Quinase 2 Dependente de Ciclina/metabolismo , Células Endoteliais/metabolismo , Retina/metabolismo , RNA , Peixe-Zebra/genética
14.
Int J Biol Sci ; 20(3): 897-915, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38250154

RESUMO

Ocular angiogenic diseases, such as proliferative diabetic retinopathy (PDR), are often characterized by pathological new vessels and fibrosis formation. Anti-vascular endothelial growth factor (VEGF) therapy, despite of its efficiency to inhibit new vessels, has limitations, including drug resistance and retinal fibrosis. Here, we identified that Gremlin1, a novel angiogenesis and fibrosis inducer, was secreted from Müller glial cells, and its expression increased in the vitreous fluid from patients with PDR. Mechanistically, Gremlin1 triggered angiogenesis by promoting endothelial-mesenchymal transition via the EGFR/RhoA/ROCK pathway. In addition, Gremlin1 activated microglia to present profibrotic and fibrogenic properties. Further, anti-Gremlin1 antibody inhibited ocular angiogenesis and microglia fibrosis in mouse models. Collectively, Gremlin1 could be a potential therapeutic target in the treatment of ocular angiogenic diseases.


Assuntos
Diabetes Mellitus , Retinopatia Diabética , Peptídeos e Proteínas de Sinalização Intercelular , Animais , Humanos , Camundongos , Transporte Biológico , Retinopatia Diabética/tratamento farmacológico , Modelos Animais de Doenças , Olho , Fibrose , Peptídeos e Proteínas de Sinalização Intercelular/genética
15.
Discov Med ; 35(179): 1177-1189, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38058083

RESUMO

BACKGROUND: Previous studies have explored the relationship between serum lead levels and the risk of female breast cancer (FBC). However, it is still uncertain whether urinary lead levels are associated with FBC. This study aimed to investigate the potential association between urinary lead and FBC. METHODS: A cross-sectional case-control study was conducted using the National Health and Nutrition Examination Survey (NHANES), which is a series of cross-sectional, nationally representative surveys of the United States population consisting of 10 survey waves from 1999 to 2018. This study analyzed a total of 2795 female participants (≥20 years), consisting of 210 participants with FBC and 2585 healthy controls. Urinary lead was detected using Inductively Coupled Plasma-Mass Spectrometry, which was divided into four levels by using quartiles-defining cut points. Multivariate logistic regression was used to analyze the association between urinary lead and FBC. RESULTS: Multivariate logistic regression revealed that urinary lead was positively correlated with FBC (Odds ratio [OR], 2.16; 95% confidence interval [CI]: [1.18, 3.95], p < 0.05) in a fully adjusted model. There were significantly increased ORs of FBC in quartile 4 (Q4) and quartile 3 (Q3), compared with the lowest quartile 1 (Q1) (Q4, OR = 1.48, 95% CI [0.89, 2.48]; Q3: OR = 1.01, 95% CI [0.59, 1.73], p for trend = 0.021). No significant interaction effects were observed between urinary lead levels and FBC between the subgroups (age, race, educational status, body mass index (BMI), marital status, family income to poverty ratio, hypertension status, diabetes status, renal function status, smoking history, ever been pregnant, oral contraceptive use, occupation classification, etc.) (All interaction p-value > 0.05). CONCLUSIONS: Urinary lead is likely positively associated with FBC in the US population.


Assuntos
Neoplasias da Mama , Chumbo , Humanos , Feminino , Estados Unidos/epidemiologia , Inquéritos Nutricionais , Estudos Transversais , Neoplasias da Mama/epidemiologia , Estudos de Casos e Controles
16.
Front Artif Intell ; 6: 1323924, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38145231

RESUMO

Introduction: Artificial intelligence (AI) technology has made rapid progress for disease diagnosis and triage. In the field of ophthalmic diseases, image-based diagnosis has achieved high accuracy but still encounters limitations due to the lack of medical history. The emergence of ChatGPT enables human-computer interaction, allowing for the development of a multimodal AI system that integrates interactive text and image information. Objective: To develop a multimodal AI system using ChatGPT and anterior segment images for diagnosing and triaging ophthalmic diseases. To assess the AI system's performance through a two-stage cross-sectional study, starting with silent evaluation and followed by early clinical evaluation in outpatient clinics. Methods and analysis: Our study will be conducted across three distinct centers in Shanghai, Nanjing, and Suqian. The development of the smartphone-based multimodal AI system will take place in Shanghai with the goal of achieving ≥90% sensitivity and ≥95% specificity for diagnosing and triaging ophthalmic diseases. The first stage of the cross-sectional study will explore the system's performance in Shanghai's outpatient clinics. Medical histories will be collected without patient interaction, and anterior segment images will be captured using slit lamp equipment. This stage aims for ≥85% sensitivity and ≥95% specificity with a sample size of 100 patients. The second stage will take place at three locations, with Shanghai serving as the internal validation dataset, and Nanjing and Suqian as the external validation dataset. Medical history will be collected through patient interviews, and anterior segment images will be captured via smartphone devices. An expert panel will establish reference standards and assess AI accuracy for diagnosis and triage throughout all stages. A one-vs.-rest strategy will be used for data analysis, and a post-hoc power calculation will be performed to evaluate the impact of disease types on AI performance. Discussion: Our study may provide a user-friendly smartphone-based multimodal AI system for diagnosis and triage of ophthalmic diseases. This innovative system may support early detection of ocular abnormalities, facilitate establishment of a tiered healthcare system, and reduce the burdens on tertiary facilities. Trial registration: The study was registered in ClinicalTrials.gov on June 25th, 2023 (NCT05930444).

17.
Light Sci Appl ; 12(1): 268, 2023 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-37949868

RESUMO

Night-time warming is vital for human production and daily life. Conventional methods like active heaters are energy-intensive, while passive insulating films possess restrictions regarding space consumption and the lack of heat gain. In this work, a nanophotonic-based night-time warming strategy that passively inhibits thermal radiation of objects while actively harnessing that of atmosphere is proposed. By using a photonic-engineered thin film that exhibits high reflectivity (~0.91) in the atmospheric transparent band (8-14 µm) and high absorptivity (~0.7) in the atmospheric radiative band (5-8 and 14-16 µm), temperature rise of 2.1 °C/4.4 °C compared to typical low-e film and broadband absorber is achieved. Moreover, net heat loss as low as 9 W m-2 is experimentally observed, compared to 16 and 39 W m-2 for low-e film and broadband absorber, respectively. This strategy suggests an innovative way for sustainable warming, thus contributes to addressing the challenges of climate change and promoting global carbon neutrality.

18.
Biomed Eng Online ; 22(1): 99, 2023 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-37848906

RESUMO

BACKGROUND: Cerebral microbleeds (CMBs) serve as neuroimaging biomarkers to assess risk of intracerebral hemorrhage and diagnose cerebral small vessel disease (CSVD). Therefore, detecting CMBs can evaluate the risk of intracerebral hemorrhage and use its presence to support CSVD classification, both are conducive to optimizing CSVD management. This study aimed to develop and test a deep learning (DL) model based on susceptibility-weighted MR sequence (SWS) to detect CMBs and classify CSVD to assist neurologists in optimizing CSVD management. Patients with arteriolosclerosis (aSVD), cerebral amyloid angiopathy (CAA), and cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) treated at three centers were enrolled between January 2017 and May 2022 in this retrospective study. The SWSs of patients from two centers were used as the development set, and the SWSs of patients from the remaining center were used as the external test set. The DL model contains a Mask R-CNN for detecting CMBs and a multi-instance learning (MIL) network for classifying CSVD. The metrics for model performance included intersection over union (IoU), Dice score, recall, confusion matrices, receiver operating characteristic curve (ROC) analysis, accuracy, precision, and F1-score. RESULTS: A total of 364 SWS were recruited, including 336 in the development set and 28 in the external test set. IoU for the model was 0.523 ± 0.319, Dice score 0.627 ± 0.296, and recall 0.706 ± 0.365 for CMBs detection in the external test set. For CSVD classification, the model achieved a weighted-average AUC of 0.908 (95% CI 0.895-0.921), accuracy of 0.819 (95% CI 0.768-0.870), weighted-average precision of 0.864 (95% CI 0.831-0.897), and weighted-average F1-score of 0.829 (95% CI 0.782-0.876) in the external set, outperforming the performance of the neurologist group. CONCLUSION: The DL model based on SWS can detect CMBs and classify CSVD, thereby assisting neurologists in optimizing CSVD management.


Assuntos
Doenças de Pequenos Vasos Cerebrais , Aprendizado Profundo , Humanos , Estudos Retrospectivos , Imageamento por Ressonância Magnética , Hemorragia Cerebral/diagnóstico por imagem , Doenças de Pequenos Vasos Cerebrais/diagnóstico por imagem
19.
J Ophthalmol ; 2023: 1609332, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37868692

RESUMO

Objective: This study aimed to evaluate conjunctival vessels in patients with dry eye disease (DED) using optical coherence tomography angiography (OCTA). Methods: This was a cross-sectional, observational clinical study. Twenty-three eyes of 18 patients with DED and 28 eyes of 23 healthy controls were included for examination in this study. The evaluation included the application of an Ocular Surface Disease Index Questionnaire, Schirmer Basic Secretion Test, and anterior OCTA targeting the temporal conjunctiva. AngioTool software was used to quantify the total vessel length and vessel density in the 3 × 3 mm temporal region of interest. Results: Blood vessel density measurements were compared across the OCTA systems. The total vessel length within the conjunctiva of the DED group (4799.34 ± 834.36) exceeded that of the control eye (3864.89 ± 1455.70) group (P < 0.05). However, the difference in vessel density between the two groups was not statistically significant. Conclusion: Measurement and analysis of conjunctival blood vessels using OCTA exhibited robust repeatability. In dry eyes, the total number of conjunctival blood vessels increased in accordance with disease severity. Hypoxia of conjunctival tissue may be an important cause of dry eye disease.

20.
Light Sci Appl ; 12(1): 246, 2023 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-37794015

RESUMO

Advanced multispectral detection technologies have emerged as a significant threat to objects, necessitating the use of multiband camouflage. However, achieving effective camouflage and thermal management across the entire infrared spectrum, especially the short-wave infrared (SWIR) band, remains challenging. This paper proposes a multilayer wavelength-selective emitter that achieves effective camouflage across the entire infrared spectrum, including the near-infrared (NIR), SWIR, mid-wave infrared (MWIR), and long-wave infrared (LWIR) bands, as well as the visible (VIS) band. Furthermore, the emitter enables radiative heat dissipation in two non-atmospheric windows (2.5-3 µm and 5-8 µm). The emitter's properties are characterized by low emittance of 0.270/0.042/0.218 in the SWIR/MWIR/LWIR bands, and low reflectance of 0.129/0.281 in the VIS/NIR bands. Moreover, the high emittance of 0.742/0.473 in the two non-atmospheric windows ensures efficient radiative heat dissipation, which results in a temperature decrement of 14.4 °C compared to the Cr reference at 2000 W m-2 input power density. This work highlights the role of solar radiance in camouflage, and provides a comprehensive guideline for developing multiband camouflage compatible with radiative heat dissipation, from the visible to LWIR.

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