RESUMO
Chronic tinnitus is highly prevalent but lacks precise diagnostic or effective therapeutic standards. Its onset and treatment mechanisms remain unclear, and there is a shortage of objective assessment methods. We aim to identify abnormal neural activity and reorganization in tinnitus patients and reveal potential neurophysiological markers for objectively evaluating tinnitus. By way of analyzing EEG microstates, comparing metrics under three resting states (OE, CE, and OECEm) between tinnitus sufferers and controls, and correlating them with tinnitus symptoms. This study reflected specific changes in the EEG microstates of tinnitus patients across multiple resting states, as well as inconsistent correlations with tinnitus symptoms. Microstate parameters were significantly different when patients were in OE and CE states. Specifically, the occurrence of Microstate A and the transition probabilities (TP) from other Microstates to A increased significantly, particularly in the CE state (32-37%, p ≤ 0.05 ); and both correlated positively with the tinnitus intensity. Nevertheless, under the OECEm state, increases were mainly observed in the duration, coverage, and occurrence of Microstate B (15-47%, ), which negatively correlated with intensity ( [Formula: see text]-0.513, ). Additionally, TPx between Microstates C and D were significantly reduced and positively correlated with HDAS levels ( [Formula: see text] 0.548, ). Furthermore, parameters of Microstate D also correlated with THI grades ( [Formula: see text]-0.576, ). The findings of this study could offer compelling evidence for central neural reorganization associated with chronic tinnitus. EEG microstate parameters that correlate with tinnitus symptoms could serve as neurophysiological markers, contributing to future research on the objective assessment of tinnitus.
Assuntos
Encéfalo , Zumbido , Humanos , Encéfalo/fisiologia , Zumbido/diagnóstico , Eletroencefalografia/métodos , BenchmarkingRESUMO
Background: The progression of complex diseases sometimes undergoes a drastic critical transition, at which the biological system abruptly shifts from a relatively healthy state (before-transition stage) to a disease state (after-transition stage). Searching for such a critical transition or critical state is crucial to provide timely and effective scientific treatment to patients. However, in most conditions where only a small sample size of clinical data is available, resulting in failure when detecting the critical states of complex diseases, particularly only single-sample data. Methods: In this study, different from traditional methods that require multiple samples at each time, a model-free computational method, single-sample Markov flow entropy (sMFE), provides a solution to the identification problem of critical states/pre-disease states of complex diseases, solely based on a single-sample. Our proposed method was employed to characterize the dynamic changes of complex diseases from the perspective of network entropy. Results: The proposed approach was verified by unmistakably identifying the critical state just before the occurrence of disease deterioration for four tumor datasets from The Cancer Genome Atlas (TCGA) database. In addition, two new prognostic biomarkers, optimistic sMFE (O-sMFE) and pessimistic sMFE (P-sMFE) biomarkers, were identified by our method and enable the prognosis evaluation of tumors. Conclusions: The proposed method has shown its capability to accurately detect pre-disease states of four cancers and provide two novel prognostic biomarkers, O-sMFE and P-sMFE biomarkers, to facilitate the personalized prognosis of patients. This is a remarkable achievement that could have a major impact on the diagnosis and treatment of complex diseases.
Assuntos
Neoplasias , Humanos , Entropia , Progressão da Doença , Neoplasias/diagnóstico , Biomarcadores , Bases de Dados FactuaisRESUMO
One of the impending consequences of the rapid penetration of electric vehicles (EVs) is that a substantial amount of expired EV batteries will present an increasing waste collection and management problem, particularly in the urban context. Motivated by a lack of research on this issue, this paper comprehensively evaluates the relative benefits of shared versus non-shared collection systems, where the service outlets are not exclusive to specified automakers. Using a mixed-integer optimization model, the analysis features spatiotemporal and multiple stakeholder complexities. Based on the historical monthly EV sales data from 2016 to 2021, a representative case study of Beijing, China is conducted, including 16 district centers, 32 major automobile manufacturers, 153 collection service outlets and 4 disposal centers. The results show that a shared collection service system leads to higher profitability, higher collection rates, increased environmental benefits and improved facility utilization. Consequently, this research contributes to supply chain liberalization to foster the efficient waste management of EV batteries. With a further model extension, it can also provide decision support for the policy-making of more countries.
Assuntos
Meio Ambiente , Gerenciamento de Resíduos , Pequim , China , Automóveis , Fontes de Energia ElétricaRESUMO
To prevent and control non-point source pollution, many policies have been carried out by government in China. However, the effectiveness of these policies has rarely been evaluated. In this study, the potential and spatial distribution of agricultural non-point source pollution in the Baiyangdian Basin are reported. This investigation considers multiple parameters under various policies with county as a basic unit. The results for the potential pollution from chemical oxygen demand (COD), ammonia nitrogen (NH3-N), total nitrogen (TN) and total phosphorus (TP) are 60.89×104, 3.93×104, 87.05×104 and 15.10×104 Mg, with corresponding intensities of 190, 12, 272 and 47 kg ha-1 for the Baiyangdian Basin in 2016. The highest pollution from COD is attributed to livestock and poultry breeding, whereas TN and TP are dominantly produced by rural domestic sources, and NH3-N is mostly derived from planting. Spatially, distribution of the counties producing larger non-point source pollution presented a northeast to southwest direction, consistent with the Taihang mountain alignment in the basin. The counties with high pollution intensities are mostly in the south and east of the basin. Agricultural non-point source pollution control and prevention policies contributed in pollution reduction. Compared with 2016, the total potential pollution of COD, NH3-N, TN and TP in 2020 decrease by 45.1%, 14.7%, 37.9% and 37.4%, respectively, whereas for an assumed future time (F2), the decreases are 59%, 51.4%, 56.2% and 55.7%, respectively. Prevention measures should focus on reducing pollution from livestock and poultry breeding as well as planting.