Effects of Task Interference on Kinematics and Dual-Task Cost of Running in Early Childhood.

Children aged 3-8 are in a critical period for motor development and postural control. Running is a basic motor skill that children need to master in early childhood. While running, children are prone to dangerous events such as falls. This study investigates the kinematic characteristics of running by children associated with different interference tasks, i.e., normalized running, cognitive dual-tasks, and obstacle crossing tasks, and provides a theoretical foundation for the interference mechanism of children's dynamic postural control and for screening of motor disorders. Two hundred children aged 3-8 were recruited. The BTS Bioengineering infrared motion capture system was used to collect spatiotemporal and kinematic running data under three tasks. Repeated measures of variance analysis were used to compare the effects of different interference tasks and ages on children's running signs. The main and interaction effect tests were compared by the Bonferroni method. The results and conclusions are as follows: (1) Running characteristics of early childhood are influenced by interference tasks and age. With interference tasks, the overall characteristics of running by children aged 3-8 showed an increasing trend in running cycle time and a decreasing trend in stride length, step length, cadence, and speed. (2) Both cognitive and obstacle crossing tasks had costs, and cognitive task costs were greater than obstacle crossing costs. Children adopted a "task first" running strategy with different interference tasks. When facing cognitive tasks, their overall joint motion decreased, and they reduced joint motions to promote task completion. When facing obstacle crossing tasks, because of the characteristics of the task itself, children increased joint motions to cope with interference. (3) In terms of age, the running characteristics showed a nonlinear development trend in various indicators, with a degree of recurrence and high variability in adjacent age groups. (4) The dual-task interference paradigm of "postural-cognition" can be used as a motor intervention tool to promote the development of basic motor skills in early childhood.

Exploring the effects of acceptable palliative care models on survival time and healthcare expenditure among patients with cancer: a national longitudinal population-based study.

OBJECTIVE: Hospice care ensures better end-of-life quality by relieving terminal symptoms. Prior research has indicated that hospice care could prolong survival and reduce end-of-life medical expenditures among patients with cancer. However, the dearth of studies on the effects of hospice care type and use sequence on survival time and end-of-life medical expenditures substantiates the need for investigation. DATA SOURCES AND STUDY SETTING: Two million random records were obtained from the National Health Insurance Research Database. STUDY DESIGN: We estimated the effects of the type and sequence of hospice care use on survival time and medical expenditures among advanced cancer patients. This was a cross-sectional study. DATA COLLECTION/EXTRACTION METHODS: Patient data were collected from 2 million random records provided by the National Health Insurance Research Database of Taiwan. We included people with cancer and excluded patients under 20 years of age; 2860 patients remained after matching. PRINCIPAL FINDINGS: The results indicated that the average survival time of patients who received inpatient palliative care (1022 days) was significantly shorter than that of patients who did not receive palliative care (P < 0.001), but the health care expenditure during the entire course of cancer therapy was not the lowest. Interestingly, patients who received inpatient palliative care had the lowest health care expenditure at 1 year or month before the end of life (P < 0.001). CONCLUSION: The type and sequence of palliative care affected the survival time and health care expenditures of cancer patients. Receiving palliative care did not prolong survival but rather reduced health care expenditures. The sequence of receiving palliative care significantly affected health care expenditures.

Contamination and Health Risk Assessment of Multiple Mycotoxins in Edible and Medicinal Plants.

Edible and medicinal plants (EMPs) are widely used but are easily infected by harmful fungi which produce mycotoxins. Herein, 127 samples from 11 provinces were collected to investigate 15 mycotoxins based on geographic, demographic, processing, and risk characteristics. A total of 13 mycotoxins were detected, and aflatoxin B1 (0.56~97.00 µg/kg), deoxynivalenol (9.41~1570.35 µg/kg), fumonisin B1 (8.25~1875.77 µg/kg), fumonisin B2 (2.74~543.01 µg/kg), ochratoxin A (0.62~19.30 µg/kg), and zearalenone (1.64~2376.58 µg/kg) occurred more frequently. Mycotoxin levels and species were significantly different by region, types of EMPs, and method of processing. The margin of exposure (MOE) values was well below the safe MOE (10,000). AFB1 exposure from Coix seed and malt consumption in China was of high health concern. The hazard Index (HI) method showed the range of 113.15~130.73% for malt, indicating a public health concern. In conclusion, EMPs should be concerned because of the cumulative effects of co-occurred mycotoxins, and safety management strategies should be developed in follow-up studies.

Distribution and risk assessment of microplastics in Liujiaxia Reservoir on the upper Yellow River.

Microplastics (MPSs) distribution in global freshwater systems is extensively reported, but the distribution of MPSs in reservoirs of the Yellow River has rarely been studied. To fill in this gap, we systematically investigated the distribution of MPSs in surface water and bank sediments gleaned from Liujiaxia Reservoir of the upper Yellow River for the first time and conducted an ecological risk assessment in succession in this work. The results showed that the main polymer types of MPSs in the surface water and bank sediments of Liujiaxia Reservoir were polyethylene terephthalate (PET), polystyrene (PS), and polypropylene (PP), and the abundance of MPSs in the reservoir surface water and bank sediments ranged from 4.48 to 12.09 item/L and 447.27 to 1543.80 item/kg (dry weight), respectively. Further physical morphology analysis of MPSs in the samples revealed that MPSs in the surface water and bank sediments of Liujiaxia Reservoir were predominantly fibrous with small particle sizes (<1 mm), and there was abundant color, mainly exhibiting transparent, black, and blue. The results of the MPS pollution load index (PLI>1) and the hazard ranking of MPSs (HZone = 10.20 for surface water and HZone = 14.06 for bank sediments) yielded a hazard class II for MPS pollution in Liujiaxia Reservoir, the combined pollution risk index (PRIZone = 17.05 for surface water and PRIZone = 31.25 for bank sediments) stated clearly the potential ecological risk in the Liujiaxia Reservoir. Briefly, this study supplemented and enriched the data on the distribution of MPSs in the reservoirs of the Yellow River basin, and provide a benchmark for future pollution control and management in the reservoir area.

Disparities in the medical expenditures of patients with cancer and concomitant mental disorder: analyzing the effects of diagnosis sequence order.

BACKGROUND: Cancer is the leading cause of death in Taiwan. Medical expenditures related to cancer accounted for 44.8% of all major illness insurance claims in Taiwan. Prior research has indicated that the dual presence of cancer and mental disorder in patients led to increased medical burden. Furthermore, patients with cancer and concomitant mental disorder could incur as much as 50% more annual costs than those without. Although previous studies have investigated the utilization of patients with both diseases, the effects of morbidity sequence order on patient costs are, however, uncertain. This study explored medical expenditures linked with the comorbidity of cancer and mental disorder, with a focus on the impact of diagnosis sequence order. METHODS: This population-based retrospective matched cohort study retrieved patients with cancer and mental disorder (aged ≥ 20 years) from the Ministry of Health and Welfare Data Science Center 2005-2015 database. 321,045 patients were divided based on having one or both diseases, as well as on the sequence of mental disorder and cancer diagnosis. Study subjects were paired with comparison counterparts free of both diseases using Propensity Score Matching at a 1:1 ratio. Annual Cost per Patient Linear Model (with a log-link function and gamma distribution) was used to assess the average annual cost, covarying for socio-demographic and clinical factors. Binomial Logistic Regression was used to evaluate factors associated with the risk of high-utilization. RESULTS: The "Cancer only" group had higher adjusted mean annual costs (NT$126,198), more than 5-times that of the reference group (e^ß: 5.45, p < 0.001). However, after exclusion of patients with non-cancer and inclusion of diagnosis sequence order for patients with cancer and concomitant mental disorder, the post-cancer mental disorder group had the highest expenditures at over 13% higher than those diagnosed with only cancer on per capita basis (e^ß: 1.13, p < 0.001), whereas patients with cancer and any pre-existing mental disorder incurred lower expenditures than those with only cancer. The diagnosis of post-cancer mental disorder was significantly associated with high-utilization (OR = 1.24; 95% CI: 1.047-1.469). Other covariates associated with high-utilizer status included female sex, middle to old age, and late stage cancer. CONCLUSION: Presence of mental disorder prior to cancer had a diminishing effect on medical utilization in patients, possibly indicating low medical compliance or adherence in patients with mental disorder on initial treatments after cancer diagnosis. Patients with post-cancer mental disorder had the highest average annual cost. Similar results were found in the odds of reaching high-utilizer status. The follow-up of cancer treatment for patients with pre-existing mental disorders warrants more emphasis in an attempt to effectively allocate medical resources.

Screen Content Video Quality Assessment Model Using Hybrid Spatiotemporal Features.

In this paper, a full-reference video quality assessment (VQA) model is designed for the perceptual quality assessment of the screen content videos (SCVs), called the hybrid spatiotemporal feature-based model (HSFM). The SCVs are of hybrid structure including screen and natural scenes, which are perceived by the human visual system (HVS) with different visual effects. With this consideration, the three dimensional Laplacian of Gaussian (3D-LOG) filter and three dimensional Natural Scene Statistics (3D-NSS) are exploited to extract the screen and natural spatiotemporal features, based on the reference and distorted SCV sequences separately. The similarities of these extracted features are then computed independently, followed by generating the distorted screen and natural quality scores for screen and natural scenes. After that, an adaptive screen and natural quality fusion scheme through the local video activity is developed to combine them for arriving at the final VQA score of the distorted SCV under evaluation. The experimental results on the Screen Content Video Database (SCVD) and Compressed Screen Content Video Quality (CSCVQ) databases have shown that the proposed HSFM is more in line with the perceptual quality assessment of the SCVs perceived by the HVS, compared with a variety of classic and latest IQA/VQA models.

A Spatial and Geometry Feature-Based Quality Assessment Model for the Light Field Images.

This paper proposes a new full-reference image quality assessment (IQA) model for performing perceptual quality evaluation on light field (LF) images, called the spatial and geometry feature-based model (SGFM). Considering that the LF image describe both spatial and geometry information of the scene, the spatial features are extracted over the sub-aperture images (SAIs) by using contourlet transform and then exploited to reflect the spatial quality degradation of the LF images, while the geometry features are extracted across the adjacent SAIs based on 3D-Gabor filter and then explored to describe the viewing consistency loss of the LF images. These schemes are motivated and designed based on the fact that the human eyes are more interested in the scale, direction, contour from the spatial perspective and viewing angle variations from the geometry perspective. These operations are applied to the reference and distorted LF images independently. The degree of similarity can be computed based on the above-measured quantities for jointly arriving at the final IQA score of the distorted LF image. Experimental results on three commonly-used LF IQA datasets show that the proposed SGFM is more in line with the quality assessment of the LF images perceived by the human visual system (HVS), compared with multiple classical and state-of-the-art IQA models.

[Characteristics and Risk Assessment of Antibiotic Contamination in Chishui River Basin, Guizhou Province, China].

To preliminarily explore the antibiotic concentration distribution characteristics of Guizhou Chishui River basin surface water and potential ecological risks, we used solid phase extraction liquid chromatography tandem mass spectrometry (SPE-HPLC- MS) to analyze 21 types of antibiotics in surface water samples. Twelve types of antibiotics were detected in the Chishui River basin surface water, and the total concentrations of ofloxacin, sulfadiazine, and trimethoprim ranged from ND-1166.97 ng·L-1, with a detection rate of 100%. On average, the highest concentration of the three types of antibiotics detected were ofloxacin (221.59 ng·L-1), tetracycline (13.18 ng·L-1), and sulfadiazine (4.11 ng·L-1), and the antibiotic concentration distribution showed the following order of characteristics:downstream (359.41 ng·L-1) > midstream(224.59 ng·L-1) > upstream (179.72 ng·L-1). The ecological environment risk assessment results indicated the largest risk for downstream W21, tetracycline, doxycycline, enrofloxacin, norfloxacin, and erythromycin. The risk quotient revealed that lincomycin had a medium-risk level, and ofloxacin had a high-risk level. This shows that antibiotics in the waters of the Chishui River basin may cause certain ecological risks.

Screen Content Video Quality Assessment: Subjective and Objective Study.

In this paper, we make the first attempt to study the subjective and objective quality assessment for the screen content videos (SCVs). For that, we construct the first large-scale video quality assessment (VQA) database specifically for the SCVs, called the screen content video database (SCVD). This SCVD provides 16 reference SCVs, 800 distorted SCVs, and their corresponding subjective scores, and it is made publicly available for research usage. The distorted SCVs are generated from each reference SCV with 10 distortion types and 5 degradation levels for each distortion type. Each distorted SCV is rated by at least 32 subjects in the subjective test. Furthermore, we propose the first full-reference VQA model for the SCVs, called the spatiotemporal Gabor feature tensor-based model (SGFTM), to objectively evaluate the perceptual quality of the distorted SCVs. This is motivated by the observation that 3D-Gabor filter can well stimulate the visual functions of the human visual system (HVS) on perceiving videos, being more sensitive to the edge and motion information that are often-encountered in the SCVs. Specifically, the proposed SGFTM exploits 3D-Gabor filter to individually extract the spatiotemporal Gabor feature tensors from the reference and distorted SCVs, followed by measuring their similarities and later combining them together through the developed spatiotemporal feature tensor pooling strategy to obtain the final SGFTM score. Experimental results on SCVD have shown that the proposed SGFTM yields a high consistency on the subjective perception of SCV quality and consistently outperforms multiple classical and state-of-the-art image/video quality assessment models.

Pricing Mechanism With Noncooperative Game and Revenue Sharing Contract in Electricity Market.

In this paper, a pricing mechanism is proposed for the electricity supply chain, which is consisting of one generation company (GC), multiple consumers, and competing utility companies (UCs). The UC participates in electricity supply chain management by a revenue sharing contract (RSC). In the electricity supply chain, the electricity real-time balance has an important role in the stable operation of the power system. Therefore, we introduce the demand response into the electricity supply chain to match supply with demand under forecast errors. Hence, we formulate a noncooperative game to characterize the interactions among the multiple competing UCs, which set the retail prices to maximize their profits. Besides, the UCs select their preferred contractual terms offered by the GC to maximize its profits and coordinate the electricity supply chain simultaneously. The existence and uniqueness of the Nash equilibrium (NE) are examined, and an iterative algorithm is developed to obtain the NE. Furthermore, we analyze the RSC that can coordinate the electricity supply chain and align the NE with the cooperative optimum under the RSC. Finally, numerical results demonstrate the superiority of the proposed model and the influence of market demand disruptions on the profits of the UCs, GC, and supply chain.

A Gabor Feature-Based Quality Assessment Model for the Screen Content Images.

In this paper, an accurate and efficient full-reference image quality assessment (IQA) model using the extracted Gabor features, called Gabor feature-based model (GFM), is proposed for conducting objective evaluation of screen content images (SCIs). It is well-known that the Gabor filters are highly consistent with the response of the human visual system (HVS), and the HVS is highly sensitive to the edge information. Based on these facts, the imaginary part of the Gabor filter that has odd symmetry and yields edge detection is exploited to the luminance of the reference and distorted SCI for extracting their Gabor features, respectively. The local similarities of the extracted Gabor features and two chrominance components, recorded in the LMN color space, are then measured independently. Finally, the Gabor-feature pooling strategy is employed to combine these measurements and generate the final evaluation score. Experimental simulation results obtained from two large SCI databases have shown that the proposed GFM model not only yields a higher consistency with the human perception on the assessment of SCIs but also requires a lower computational complexity, compared with that of classical and state-of-the-art IQA models. The source code for the proposed GFM will be available at http://smartviplab.org/pubilcations/GFM.html.

ESIM: Edge Similarity for Screen Content Image Quality Assessment.

In this paper, an accurate full-reference image quality assessment (IQA) model developed for assessing screen content images (SCIs), called the edge similarity (ESIM), is proposed. It is inspired by the fact that the human visual system (HVS) is highly sensitive to edges that are often encountered in SCIs; therefore, essential edge features are extracted and exploited for conducting IQA for the SCIs. The key novelty of the proposed ESIM lies in the extraction and use of three salient edge features-i.e., edge contrast, edge width, and edge direction. The first two attributes are simultaneously generated from the input SCI based on a parametric edge model, while the last one is derived directly from the input SCI. The extraction of these three features will be performed for the reference SCI and the distorted SCI, individually. The degree of similarity measured for each above-mentioned edge attribute is then computed independently, followed by combining them together using our proposed edge-width pooling strategy to generate the final ESIM score. To conduct the performance evaluation of our proposed ESIM model, a new and the largest SCI database (denoted as SCID) is established in our work and made to the public for download. Our database contains 1800 distorted SCIs that are generated from 40 reference SCIs. For each SCI, nine distortion types are investigated, and five degradation levels are produced for each distortion type. Extensive simulation results have clearly shown that the proposed ESIM model is more consistent with the perception of the HVS on the evaluation of distorted SCIs than the multiple state-of-the-art IQA methods.

Assessment of internal mammary artery injury after blunt chest trauma: a literature review.

The occurrence, bleeding, and treatment of internal mammary artery (IMA) injury after blunt chest trauma have not been well described in the literature. We reviewed articles published from July 1977 to February 2014 describing IMA injury after blunt chest trauma in 49 patients. There was a predominant incidence in males and on the left side. Blunt trauma to the IMA can cause anterior mediastinal hematoma, hemothorax, pseudoaneurysm, arteriovenous fistula, and extra-pleural hematoma. Of the 49 patients studied, 20 underwent embolization, 22 underwent surgical operation, 4 were managed by clinical observation, and 3 had undescribed treatment. Different parts and extents of IMA injury, adjacent vein injury, as well as the integrity of the pleura determined differences in bleeding modality. Prompt diagnosis, complete hemostasis, aggressive resuscitation, and multidisciplinary teams are recommended for patients with IMA injury.

[Quality assessment of Coptis chinensis in China].

OBJECTIVE: To study the dynamic change of the ingredients of Coptis chinensis and evaluate the quality of the crude drugs from main producing areas. METHOD: The ingredients of samples from Shizhu and Wuxi counties in Chongqing, Hongya and Dayi counties in Sichuan, Zhenping county in Shanxi, Lichuan county in Hubei were analyzed for berberine, coptisine, jatrorrhizine, palmatine and the total alkaloids by HPLC and UV methods. RESULT AND CONCLUSION: The contents of measured indexes were mostly highest in 5-years-old C. chinensis. Considering factors such as the yield, it is reasonable to harvest the 5-years-old C. chinensis. There are minor differences in condents of C. chinensis from different areas, all tested samples met the pharmacopoeial standards. It is concluded that the general quality of C. chinensis was good and acceptable.

Error concealment for video transmission with dual multiscale Markov random field modeling.

A novel error concealment algorithm based on a stochastic modeling approach is proposed as a post-processing tool at the decoder side for recovering the lost information incurred during the transmission of encoded digital video bitstreams. In our proposed scheme, both the spatial and the temporal contextual features in video signals are separately modeled using the multiscale Markov random field (MMRF). The lost information is then estimated using maximum a posteriori (MAP) probabilistic approach based on the spatial and temporal MMRF models; hence, a unified MMRF-MAP framework. To preserve the high frequency information (in particular, the edges) of the damaged video frames through iterative optimization, a new adaptive potential function is also introduced in this paper. Comparing to the existing MRF-based schemes and other traditional concealment algorithms, the proposed dual MMRF (DMMRF) modeling method offers significant improvement on both objective peak signal-to-noise ratio (PSNR) measurement and subjective visual quality of restored video sequence.