Validation and derivation of short-term prognostic risk score in acute decompensated heart failure in China.

BACKGROUND: Few prognostic risk scores (PRSs) have been routinely used in acute decompensated heart failure (ADHF). We, therefore, externally validated three published PRSs (3A3B, AHEAD, and OPTIME-CHF) and derived a new PRS to predict the short-term prognosis in ADHF. METHODS: A total of 4550 patients from the Heb-ADHF registry in China were randomly divided into the derivation and validation cohorts (3:2). Discrimination of each PRS was assessed by the area under the receiver operating characteristic curve (AUROC). Logistic regression was exploited to select the predictors and create the new PRS. The Hosmer-Lemeshow goodness-of-fit test was used to assess the calibration of the new PRS. RESULTS: The AUROCs of the 3A3B, AHEAD, and OPTIME-CHF score in the derivation cohort were 0.55 (95% CI 0.53-0.57), 0.54 (95% CI 0.53-0.56), and 0.56 (95% CI 0.54-0.57), respectively. After logistic regression analysis, the new PRS computed as 1 × (diastolic blood pressure < 80 mmHg) + 2 × (lymphocyte > 1.11 × 109/L) + 1 × (creatinine > 80 µmol/L) + 2 × (blood urea nitrogen > 21 mg/dL) + 1 × [BNP 500 to < 1500 pg/mL (NT-proBNP 2500 to < 7500 pg/mL)] or 3 × [BNP ≥ 1500 (NT-proBNP ≥ 7500) pg/mL] + 3 × (QRS fraction of electrocardiogram < 55%) + 4 × (ACEI/ARB not used) + 1 × (rhBNP used), with a better AUROC of 0.67 (95% CI 0.64-0.70) and a good calibration (Hosmer-Lemeshow χ2 = 3.366, P = 0.186). The results in validation cohort verified these findings. CONCLUSIONS: The short-term prognostic values of 3A3B, AHEAD, and OPTIME-CHF score in ADHF patients were all poor, while the new PRS exhibited potential predictive ability. We demonstrated the QRS fraction of electrocardiogram as a novel predictor for the short-term outcomes of ADHF for the first time. Our findings might help to recognize high-risk ADHF patients.

Characteristics and emissions of isoprene and other non-methane hydrocarbons in the Northwest Pacific Ocean and responses to atmospheric aerosol deposition.

Field investigations in the Northwest Pacific Ocean were carried out to determine the distributions of marine and atmospheric non-methane hydrocarbons (NMHCs), sources and environmental effects. We also conducted deck incubation experiments to investigate the effects of atmospheric aerosol deposition on NMHCs production. The marine NMHCs displayed an increasing trend from the South Equatorial Current to the Oyashio Current. The enhanced phytoplankton biomass and dissolved organic materials (DOM) content in the Kuroshio-Oyashio Extension contributed significantly to isoprene and NMHCs production compared with those in tropical waters and the North Pacific subtropical gyre. The Northwest Pacific Ocean was a significant source of atmospheric NMHCs, with average sea-to-air fluxes of 28.0 ± 38.9, 65.2 ± 73.3, 21.0 ± 26.7, 48.7 ± 62.6, 12.7 ± 15.9, 14.2 ± 16.8, and 41.7 ± 80.4 nmol m-2 d-1 for ethane, ethylene, propane, propylene, i-butane, n-butane, and isoprene, respectively. Influenced by seawater release and OH radical consumption, the atmospheric NMHCs apart from isoprene displayed upward trends with increasing latitude. The deck incubation showed that the addition of aerosols and acidic aerosols significantly boosted phytoplankton biomass, altered community structure, and accelerated the production of isoprene. However, the other six NMHCs showed no obvious responses to atmospheric aerosol deposition in the incubation experiments. In summary, ocean current movements and atmospheric deposition could influence the production and release of isoprene in the Northwest Pacific Ocean.

[Hadamard transform spectrometer mixed pixels' unmixing method].

Hadamard transform imaging spectrometer is a multi-channel digital transform spectrometer detection technology, this paper based on digital micromirror array device (DMD) of the Hadamard transform spectrometer working principle and instrument structure, obtained by the imaging sensor mixed pixel were analyzed, theory derived the solution of pixel aliasing hybrid method, simulation results show that the method is simple and effective to improve the accuracy of mixed pixel spectrum more than 10% recovery.