A Lightweight and Efficient Method of Structural Damage Detection Using Stochastic Configuration Network.

With the advancement of neural networks, more and more neural networks are being applied to structural health monitoring systems (SHMSs). When an SHMS requires the integration of numerous neural networks, high-performance and low-latency networks are favored. This paper focuses on damage detection based on vibration signals. In contrast to traditional neural network approaches, this study utilizes a stochastic configuration network (SCN). An SCN is an incrementally learning network that randomly configures appropriate neurons based on data and errors. It is an emerging neural network that does not require predefined network structures and is not based on gradient descent. While SCNs dynamically define the network structure, they essentially function as fully connected neural networks that fail to capture the temporal properties of monitoring data effectively. Moreover, they suffer from inference time and computational cost issues. To enable faster and more accurate operation within the monitoring system, this paper introduces a stochastic convolutional feature extraction approach that does not rely on backpropagation. Additionally, a random node deletion algorithm is proposed to automatically prune redundant neurons in SCNs, addressing the issue of network node redundancy. Experimental results demonstrate that the feature extraction method improves accuracy by 30% compared to the original SCN, and the random node deletion algorithm removes approximately 10% of neurons.

Correlation between early changes of serum lipids and clinical severity in patients with wasp stings.

BACKGROUND: Wasp stings are a serious problem worldwide, and patients in severe cases may experience multi-organ failure. However, the mechanism of hypolipidemia in patients with wasp stings is unknown. OBJECTIVE: To investigate the relationship between early changes in lipid levels and clinical severity and the possible underlying mechanisms. METHODS: A retrospective analysis of 212 patients (mild: 77; moderate: 50; severe: 85) with wasp stings was conducted. Clinical data, including lipid test results within 24 h of admission, were analysed. A total of 1060 healthy age- and gender-matched controls were used. RESULTS: Patients with wasp stings had lower lipid levels than healthy controls (P<0.01). Lipid levels decreased with disease severity, except for triglycerides (P<0.05). The number of stings, degree of organ failure, need for mechanical ventilation and extracorporeal blood purification, and mortality were higher in the severe group than in the mild and moderate groups (P<0.01). A decrease in lipid levels was accompanied by an increase in inflammatory indicators. In the severe group, a reduction in lipid levels was associated with ventilator application and blood purification, independent of survival status. CONCLUSIONS: Patients with wasp stings experience a reduction in lipid levels, which is related to the severity of clinical manifestations. Early lipid levels may serve as a simple indicator for the severity of wasp stings, and targeting lipid metabolism may be a novel treatment.

Olfactory Function, Genetic Predisposition, and Cognitive Performance in Chinese Adults.

OBJECTIVE: The objective of this study is to examine the association of olfactory function and genetic predisposition of Alzheimer's disease (AD) with cognitive performance in adults. METHODS: A total of 2049 Chinese adults from Rugao Longevity and Ageing Study (RuLAS, n=1460, mean age 78 years) and Central China Cohort (CCC, n=589, mean age 48 years) were included in this study. A standard interview-based survey, clinical information, and blood samples were collected in both cohorts. Olfactory function in terms of olfactory identification was measured by the brief version of the Chinese Smell Identification Test consisted of 18 full points. Cognitive performance was measured by the Chinese version of the Mini-mental State Examination. A genetic risk score (GRS) was calculated from 5 single nucleotide polymorphisms, which were robustly related to Alzheimer's disease in Caucasians and cognitive performance in our Chinese population. RESULTS: In the pooled analyses, participants at the lowest quartile of olfactory function had significantly higher odds of cognitive impairment (adjusted odds ratio [95% CI] =1.45 [1.00 to 2.09], Ptrend =0.005), and such association was stronger among participants with a stronger genetic predisposition of Alzheimer's disease (ß coefficient±SE, -0.06±0.03 in participants with a lower GRS vs. -0.19±0.05 in those with a higher GRS, respectively, Pinteraction=0.01). Similar associations were observed in RuLAS (P-trend=0.06) and in CCC (P-trend<0.001). CONCLUSION: In this study, a decreased olfactory function was associated with worse cognitive performance in adults, especially among participants with a higher genetic risk of Alzheimer's disease. Further studies are warranted to evaluate the causal relationship between olfaction and cognitive performance.

Psoas Major and Iliopsoas Hematomas without Anticoagulant Therapy as a Complication of Carbon Monoxide Poisoning: A Case Report.

BACKGROUND Carbon monoxide poisoning is a common reason for Emergency Department admissions worldwide. The symptoms of carbon monoxide poisoning vary from headache and dizziness to severe neuropsychological and cardiac impairment. However, psoas major and iliopsoas hematomas are a rare complication of carbon monoxide poisoning. CASE REPORT A 46-year-old man with carbon monoxide poisoning, after he had been exposed to burning coal without proper ventilation, presented with right low back pain on day 7 after onset. After 2 days, ecchymosis of the right flank occurred, and his hemoglobin concentration gradually decreased. Psoas major and iliopsoas hematomas were shown on computed tomography (CT). The hematomas were successfully treated with transfusions and physical therapy. Owing to the absence of skeletal muscle compartment syndrome, surgical decompression was unnecessary. The patient did not receive anticoagulant therapy during his hospitalization. CONCLUSIONS The direct toxicity of carbon monoxide on the muscles and body weight-induced muscle compression caused skeletal muscle ischemia and necrosis in our patient. The risk of rhabdomyolysis and coagulation abnormality was elevated. Finally, intramuscular hemorrhages occurred in our patient. When a patient has back pain and decreased hemoglobin levels, clinicians should consider the possibility of psoas major and iliopsoas hematomas, and the administration of anticoagulation should be used with caution after admission.

Real-Time 3D Reconstruction Method Based on Monocular Vision.

Real-time 3D reconstruction is one of the current popular research directions of computer vision, and it has become the core technology in the fields of virtual reality, industrialized automatic systems, and mobile robot path planning. Currently, there are three main problems in the real-time 3D reconstruction field. Firstly, it is expensive. It requires more varied sensors, so it is less convenient. Secondly, the reconstruction speed is slow, and the 3D model cannot be established accurately in real time. Thirdly, the reconstruction error is large, which cannot meet the requirements of scenes with accuracy. For this reason, we propose a real-time 3D reconstruction method based on monocular vision in this paper. Firstly, a single RGB-D camera is used to collect visual information in real time, and the YOLACT++ network is used to identify and segment the visual information to extract part of the important visual information. Secondly, we combine the three stages of depth recovery, depth optimization, and deep fusion to propose a three-dimensional position estimation method based on deep learning for joint coding of visual information. It can reduce the depth error caused by the depth measurement process, and the accurate 3D point values of the segmented image can be obtained directly. Finally, we propose a method based on the limited outlier adjustment of the cluster center distance to optimize the three-dimensional point values obtained above. It improves the real-time reconstruction accuracy and obtains the three-dimensional model of the object in real time. Experimental results show that this method only needs a single RGB-D camera, which is not only low cost and convenient to use, but also significantly improves the speed and accuracy of 3D reconstruction.

Aerosol optical properties and its type classification based on multiyear joint observation campaign in north China plain megalopolis.

Since haze and other air pollution are frequently seen in the North China Plain (NCP), detail information on aerosol optical and radiative properties and its type classification is demanded for the study of regional environmental pollution. Here, a multiyear ground-based synchronous sun photometer observation at seven sites on North China Plain megalopolis from 2013 to 2018 was conducted. First, the annual and seasonal variation of these characteristics as well as the intercomparsion were analyzed. Then the potential relationships between these properties with meteorological factors and the aerosol type classification were discussed. The results show: Particle volume exhibited a decreasing trend from the urban downtown to suburban and the rural region. The annual average aerosol optical depth at 440 nm (AOD440) varied from ∼0.43 to 0.86 over the NCP. Annual average single-scattering albedo at 440 nm (SSA440) varied from ∼0.89 to 0.93, indicating a moderate to slight absorption capacity. Average absorption aerosol optical depth at 440 nm (AAOD440) varied from ∼0.07 to 0.10. The absorption Ångström exponent (AAE) (∼0.89-1.40) indicated the multi-types of absorptive matters originated form nature and anthropogenic emission. The discussion of aerosol composition showed a smaller particle size of aerosol from biomass burning and/or fossil foil consumption with enhanced aerosol scattering and enlarged light extinction. Aerosol classification indicated a large percentage of mixed absorbing aerosol (∼20%-49%), which showed increasing trend between relative humidity (RH) with aerosol scattering and dust was an important environmental pollutant compared to southern China.

A Preliminary Report of the Relationship Between Gene Polymorphism of IL-8 and Its Receptors and Systemic Inflammatory Response Syndrome Caused by Wasp Stings.

The plasma levels of interleukin-8 (IL-8) and its receptors (CXCR1 and CXCR2) play a significant role in the development of systemic inflammatory response syndrome (SIRS), but it is not clear how these proteins are involved in wasp sting patients developing SIRS. To study potential genetic factors predisposing to the risk of SIRS caused by wasp sting injury, we determined the plasma levels of IL-8 and its receptors among SIRS patients with wasp sting injury and investigated the association of single-nucleotide polymorphisms of these genes with SIRS. A total of 225 patients were divided into the SIRS group (n = 62) and non-SIRS group (control, n = 163), and we associated polymorphisms in IL-8 [rs4073 (-251T>A), rs2227532 (-845C>T), rs2227307 (+396G>T), rs2227306 (+781T>C), CXCR1 rs2234671 (+860C>G), CXCR2 [rs2230054 (+811T>C), rs57929613 (+1235C>T), and rs60626131 (+1440A>G)] with SIRS with a linear additive model. In terms of protein expression, the IL-8, CXCR1, and CXCR2 plasma levels were significantly higher in the SIRS group than in the control group (p < 0.001). Significantly higher frequencies were observed for the IL-8 - 251T allele (AT+TT), CXCR2 + 811T allele (CT+TT), and +1235C allele (TC+CC) in the SIRS group, when compared with the control group, with odds ratio (OR) = 3.971 (95% confidence interval [CI], 1.618-9.734), p = 0.003; OR = 4.223 (95% CI, 1.863-9.571), p = 0.001; and OR = 4.012 (95% CI, 1.773-9.079), p = 0.001; respectively. In addition, SIRS is more likely to occur in males, patients with number of wasp stings ≥10 stings, and stings in the limbs. The current study suggests that the IL-8 - 251T allele (AT+TT) and IL-8 receptor CXCR2 + 811C allele (CT+TT) and +1235T allele (TC+CC) could be risk factors among SIRS patients with wasp sting injury.

Five-year observation of aerosol optical properties and its radiative effects to planetary boundary layer during air pollution episodes in North China: Intercomparison of a plain site and a mountainous site in Beijing.

The aerosol microphysical, optical and radiative properties of the whole column and upper planetary boundary layer (PBL) were investigated during 2013 to 2018 based on long-term sun-photometer observations at a surface site (~106 m a.s.l.) and a mountainous site (~1225 m a.s.l.) in Beijing. Raman-Mie lidar data combined with radiosonde data were used to explore the aerosol radiative effects to PBL during dust and haze episodes. The results showed size distribution exhibited mostly bimodal pattern for the whole column and the upper PBL throughout the year, except in July for the upper PBL, when a trimodal distribution occurred due to the coagulation and hygroscopic growth of fine particles. The seasonal mean values of aerosol optical depth at 440 nm for the upper PBL were 0.31 ±â€¯0.34, 0.30 ±â€¯0.37, 0.17 ±â€¯0.30 and 0.14 ±â€¯0.09 in spring, summer, autumn and winter, respectively. The single-scattering albedo at 440 nm of the upper PBL varied oppositely to that of the whole column, with the monthly mean value between 0.91 and 0.96, indicating weakly to slightly strong absorptive ability at visible spectrum. The monthly mean direct aerosol radiative forcing at the Earth's surface and the top of the atmosphere varied from -40 ±â€¯7 to -105 ±â€¯25 and from -18 ±â€¯4 to -49 ±â€¯17 W m-2, respectively, and the maximum atmospheric heating was found in summer (~66 ±â€¯12 W m-2). From a radiative point of view, during dust episode, the presence of mineral dust heated the lower atmosphere, thus promoting vertical turbulence, causing more air pollutants being transported to the upper air by the increasing PBLH. In contrast, during haze episode, a large quantity of absorbing aerosols (such as black carbon) had a cooling effect on the surface and a heating effect on the upper atmosphere, which favored the stabilization of PBL and occurrence of inversion layer, contributing to the depression of the PBLH.

[Expert consensus statement on standardized diagnosis and treatment of wasp sting in China].

OBJECTIVE: To improve the diagnosis and treatment of wasp sting, summarize the experience, the experts from Chinese Society of Toxicology Poisoning and Treatment of Specialized Committee, Hubei Emergency Medicine Committee of Chinese Medical Association and Hubei Provincial Poisoning and Occupational Disease Union made the Expert consensus statement on standardized diagnosis and treatment of wasp stings in China on the development of domestic and oversea in this field. The consensus statement emphasized the idea of staged treatment, different treatments at different stages, and strived to achieve bundling and individuation. To achieve the four pairs of different concept as earlier as possible, the "two early" (early assessment and early treatment), the "two anti" (anti-anaphylaxis and anti-shock), namely the "two hormone" (adrenaline and glucocorticoid) and the "two hua" (hydration and alkalization), we could avoid or reduce subsequent organ failures, significantly shorten the course and improve prognosis of wasp sting victims.

Biopanning of allergens from wasp sting patients.

OBJECTIVE: Wasp venom is a potentially important natural drug, but it can cause hypersensitivity reactions. The purpose of the present study was to systematically study the epitopes of wasp venom. METHODS: Using a random 12-peptide phage library, we performed antibody-binding epitope panning on ten serum samples from wasp sting victims at 3 h and 4 days after the sting. The panning epitopes were identified by high-throughput sequencing and matched with wasp venom proteins by BLAST. The panned antibody-binding epitopes were verified by ELISA. RESULTS: A total of 35 specific potential wasp venom epitopes in 4 days were identified. Amongst them, twelve peptide epitopes were matched with nine wasp venom proteins, namely, vitellogenin precursor, hexamerin 70b precursor, venom carboxylesterase-6 precursor, MRJP5, major royal jelly protein 8 precursor, venom acid phosphatase Acph-1 precursor, phospholipase A2, venom serine protease 34 precursor, and major royal jelly protein 9 precursor. The changes in serum IgM antibodies induced by wasp venom were confirmed by ELISA based on the 12 peptide epitopes. CONCLUSION: The nine wasp venom proteins are potential allergens, which should be excluded or modified in the potential biomedical applications of wasp venom.

Serum Metabolomics Analysis in Wasp Sting Patients.

To analyze the dynamic changes of serum metabolomics in wasp sting victims, we collected serum from 10 healthy volunteers and 10 patients who had been stung 3 hours, 24 hours, and 72 hours before sample collection. We analyzed the metabolomics by high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS) techniques and then performed enrichment analysis. A total of 838 metabolites were identified. Serum metabolomics analysis using MetaboAnalyst revealed 289 metabolites that were significantly different among patients in the 3-hour group versus healthy controls (P<0.001). Pathway analysis of those metabolites indicated that those metabolic sets were associated with sphingolipid metabolism. Based on the differences among the control, 3-hour, 24-hour, and 72-hour groups, we classified serum metabolites into different categories. The first and second categories included 297 and 280 metabolites that were significantly different in terms of concentration among healthy controls versus the participants whose sera were analyzed 3 hours, 24 hours, and 72 hours after wasp stings. Pathway analysis of those metabolites indicated that those metabolic sets were associated with thiamine metabolism. The third category included 269 significant metabolites. The fourth category included 28 significant metabolites. Pathway analysis of the metabolites in third and fourth categories indicated that those metabolic sets were associated with phenylalanine, tyrosine, and tryptophan biosynthesis. The fifth category included 31 metabolites, which were not significantly different between the control and 3-hour groups but were higher in concentration in the 24-hour and 72-hour groups. Pathway analysis of the fifth category of significant metabolites identified linoleic acid metabolism. In conclusion, multiple metabolic pathways are associated with wasp stings, and these might provide a basis for exploring mechanisms of wasp sting injury and potential targets for therapy.

St20, a new venomous animal derived natural peptide with immunosuppressive and anti-inflammatory activities.

Peptide toxins from venomous animals are natural resources with diverse biological functions and therapeutic potential towards human diseases. For venomous scorpions, many valuable peptide toxins have been discovered from Buthidae scorpions, but few works were done about non-buthidae scorpions. Here, we cloned and characterized the first disulfide-bridged toxin peptide St20 from the non-buthidae scorpion Scorpiops tibetanus. St20 has a putative 23-residue signal peptide, followed by a presumed 34-residue mature peptide including 8 cysteines. Sequence alignments and structural analysis suggested that St20 is a new member of α-KTx23 scorpion toxin subfamily with a conserved CSα/ß structural fold. Functional studies showed that St20 inhibited human T lymphocyte surface marker CD69 expression and cytokine IL-2 secretion. Beside this, St20 inhibited two important pro-inflammatory factors TNF-α and IFN-γ secretion in the activated human T lymphocyte. Animal experiments showed that the delayed-type hypersensitivity response in rat autoimmune disease model was ameliorated in the present of peptide toxin St20. Together, our results showed that St20 is the first disulfide-bridged toxin peptide from the non-buthidae scorpion Scorpiops tibetanus with immunosuppressive and anti-inflammatory activities, suggesting that toxins from non-buthidae scorpions might be a new source of peptide drug discovery towards human diseases.

A Case Report of Poisoning Caused by Incorrect Use of Salvia.

BACKGROUND Previous reports suggest that homoplantaginin, one of the compounds isolated from Salvia plebeia, has a protective and therapeutic effect on hepatocyte injury. We present a case of serious liver and kidney damage due to incorrect use of Salvia plebeia in a patient with a history of thyroid tumorectomy, who was successfully treated for poisoning with blood purification and systemic, comprehensive critical care. CASE REPORT A 54-year-old female patient with salvia intoxication combined with multiple organ dysfunction was transported to our emergency center by ambulance after presenting with nausea, vomiting, and skin yellowing. On arrival, she exhibited fatigue, dizziness, lightheadedness, yellowish discoloration of her skin, breathing difficulties, and low back pain, all of which was suggestive of salvia intoxication combined with multiple organ dysfunction. The treatment strategy was to immediately speed up the excretion of toxins and administered blood purification therapy. She also displayed disseminated intravascular coagulation (DIC), which was successfully treated with plasma infusion of blood coagulation factor combined with LMWH acupuncture therapy. CONCLUSIONS Salvia plebeia should only be considered for use in patients who have infectious disease or oxidative stress related disease and only at an appropriate dose. In addition, for patients with salvia poisoning, prompt administration of blood purification therapy and systemic comprehensive measures involving multiple supportive therapies can save such patients.