Leveraging Semantics in WordNet to Facilitate the Computer-Assisted Coding of ICD-11.

The International Classification of Diseases (ICD) not only serves as the bedrock for health statistics but also provides a holistic overview of every health aspect of life. This study aims to facilitate the computer-assisted coding of the 11th revision of the ICD (ICD-11) by leveraging the data structures of ICD-11 and semantics in WordNet. First, a computer-assisted coding framework using WordNet and ICD-11 application programming interface (API) is proposed. Secondly, a network based on entity relations in ICD-11 and synonym sets in WordNet, called CodeNet, is developed. Thirdly, an algorithm for generating ICD-11 code candidates from CodeNet with two tuning parameters on the basis of the input of disease-related text is illustrated. Finally, the discharge summaries in the Medical Information Mart for Intensive Care III database and textual information from ICD-11 entities are used to evaluate the proposed method. Experimental results indicate that the proposed coding method achieves a precision of 84% and a recall of 89% relative to a precision of 65% and a recall of 81% achieved with the existing ICD-11 API. The proposed method also outperforms other methods in the literature by reducing a failure rate of up to 8% in ICD-11 coding. The proposed thresholds of similarity and percentage can be applied to tuning the performance of our method to meet different coding needs. In sum, improving the new structures of ICD-11 with the use of semantics in WordNet can help develop more reliable computer-aided coding systems for ICD-11 coders.

Mitochondrial Pyruvate Carriers Prevent Cadmium Toxicity by Sustaining the TCA Cycle and Glutathione Synthesis.

Cadmium (Cd) is a major heavy metal pollutant, and Cd toxicity is a serious cause of abiotic stress in the environment. Plants protect themselves against Cd stress through a variety of pathways. In a recent study, we found that mitochondrial pyruvate carriers (MPCs) are involved in Cd tolerance in Arabidopsis (Arabidopsis thaliana). Following the identification of MPCs in yeast (Saccharomyces cerevisiae) in 2012, most studies have focused on the function of MPCs in animals, as a possible approach to reduce the risk of cancer developing. The results of this study show that AtMPC protein complexes are required for Cd tolerance and prevention of Cd accumulation in Arabidopsis. AtMPC complexes are composed of two elements, AtMPC1 and AtMPC2 (AtNRGA1 or AtMPC3). When the formation of AtMPCs was interrupted by the loss of AtMPC1, glutamate could supplement the synthesis of acetyl-coenzyme A and sustain the TCA cycle. With the up-regulation of glutathione synthesis following exposure to Cd stress, the supplementary pathway could not efficiently drive the tricarboxylic acid cycle without AtMPC. The ATP content decreased concomitantly with the deletion of tricarboxylic acid activity, which led to Cd accumulation in Arabidopsis. More importantly, ScMPCs were also required for Cd tolerance in yeast. Our results suggest that the mechanism of Cd tolerance may be similar in other species.

Neutralizing Monoclonal Antibodies Block Chikungunya Virus Entry and Release by Targeting an Epitope Critical to Viral Pathogenesis.

We evaluated the mechanism by which neutralizing human monoclonal antibodies inhibit chikungunya virus (CHIKV) infection. Potently neutralizing antibodies (NAbs) blocked infection at multiple steps of the virus life cycle, including entry and release. Cryo-electron microscopy structures of Fab fragments of two human NAbs and chikungunya virus-like particles showed a binding footprint that spanned independent domains on neighboring E2 subunits within one viral spike, suggesting a mechanism for inhibiting low-pH-dependent membrane fusion. Detailed epitope mapping identified amino acid E2-W64 as a critical interaction residue. An escape mutation (E2-W64G) at this residue rendered CHIKV attenuated in mice. Consistent with these data, CHIKV-E2-W64G failed to emerge in vivo under the selection pressure of one of the NAbs, IM-CKV063. As our study suggests that antibodies engaging the residue E2-W64 can potently inhibit CHIKV at multiple stages of infection, antibody-based therapies or immunogens that target this region might have protective value.

In Situ Biosynthesis of Fluorescent Platinum Nanoclusters: Toward Self-Bioimaging-Guided Cancer Theranostics.

Among the noble-metal clusters, very few reports about platinum clusters were used as bioimaging probes of tumors except as a reducing catalyst. It is first established herein that the biocompatible platinum nanoclusters are spontaneously biosynthesized by cancerous cells (i.e., HepG2 (human hepatocarcinoma), A549 (lung cancer), and others) rather than noncancerous cells (i.e., L02 (human embryo liver cells)) when incubated with micromolar chloroplatinic acid solutions. These in situ biosynthesized platinum nanoclusters could be readily realized in a biological environment and emit a bright fluorescence at 460 nm, which could be further utilized to facilitate an excellent cancer-cell-killing efficiency when combined with porphyrin derivatives for photothermal treatment. This raises the possibility of providing a promising and precise bioimaging strategy for specific fluorescent self-biomarking of tumor locations and realizing fluorescence imaging-guided photothermal therapy of tumors.

Luminescence studies on Al4B2O9:Eu2+ phosphor crystals.

A novel blue-emitting phosphor, Eu(2+)-doping Al(4)B(2)O(9), was prepared via a modified solid-state reaction. Al(4)B(2)O(9):Eu(2+) nanoparticles with diameters varying in a range from 20 to 50 nm were obtained using urea as an auxiliary reagent at the optimum temperature of 850°C. The crystallization and particle sizes of Al(4)B(2)O(9):Eu(2+) were investigated using powder X-ray diffraction (XRD) and transmission electron microscopy (TEM). Photoluminescence (PL) results showed that Al(4)B(2)O(9):Eu(2+) phosphor could be efficiently excited by the ultraviolet region from 240 to 410 nm, exhibiting bright blue emission. Further investigation on concentration-dependent emission spectra indicated that the Al(3.997) B(2)O(9):Eu(2+)(0.003) phosphor exhibited the strongest luminescent, and the relative PL intensity decreased with increasing Eu(2+) concentration due to concentration quenching. In addition, the concentration quenching for the one-Eu-site emission centers was caused by the electric multipole-multipole interaction.

A new Pr³âº-activated molybdate-based phosphor for application to white LEDs with blue excitation.

The novel red-emitting phosphors K(x)Sr(1-2x)MoO4:Pr³âº(x) (0.00 ≤ x ≤ 0.04) were prepared by solid-state reaction. The crystallization and particle sizes of samples were investigated by powder X-ray diffraction (XRD) and transmission electron microscopy (TEM). TEM images were in good agreement with the theoretical calculation data from the XRD patterns. Photoluminescence analysis indicated that there were three excitation peaks under 430-500 nm, and all samples showed the intensely red emission at 648 nm corresponding to the ³P0 → ³F2 transition of Pr³âº. The concentrations of doping ions, temperature and polyethylene glycol in the phosphor system can significantly influence the intensity of the red emission. The photoluminescence spectral intensity reached its maximum at x = 0.02. The results showed that the investigated phosphor is a potential red phosphor for white light-emitting diodes.

Determination of Sudan IV in hot chilli powder with luminol/dissolved oxygen chemiluminescence system.

BACKGROUND: A green, simple and sensitive flow injection chemiluminescence (CL) procedure is proposed for the determination of Sudan dyes. The method is based on the finding that Sudan I, II, III and IV markedly enhance the CL intensity of the luminol/dissolved oxygen reaction. RESULTS: The increment in CL intensity was proportional to the concentration of Sudan I, II, III and IV, giving calibration graphs linear over the ranges 0.007-1, 0.5-30, 1-10 and 0.7-300 ng mL(-1) respectively (R(2) >or= 0.9981), with limits of detection of 0.002, 0.2, 0.3 and 0.2 ng mL(-1) respectively. At a flow rate of 2 mL min(-1), complete determination of Sudan dyes, including sampling and washing, could be accomplished in 40 s, with relative standard deviations of less than 5% (n = 7). CONCLUSION: The proposed method was successfully applied to the determination of Sudan IV in contaminated hot chilli powder, with recoveries ranging from 89.3 to 108.4%. The possible mechanism of enhancement of the luminol/dissolved oxygen CL reaction by Sudan IV can be attributed to the acceleration of electron transfer. Compared with other procedures, the proposed CL method offers the highest sensitivity and the least reagent consumption for the determination of Sudan IV.

Combustion synthesis and luminescence properties of SrAl2O4:Eu2+, Dy3+, Tb3+ phosphor.

Eu(2+), Dy(3+) and Tb(3+) co-doped strontium aluminate phosphor with high brightness and long afterglow was synthesized by a combustion method, using urea as a reducer. The properties of SrAl(2)O(4):Eu(2+),Dy(3+),Tb(3+) phosphor with a series of initiating combustion temperatures, urea concentrations and boric acid molar fractions were investigated. The sample at initiating combustion temperature of 600 degrees C exhibited an intense emission peak at 513 nm, in which the phosphor existed as a single-phase monoclinic structure. The experimental results showed that the optimum ratio of urea is 2.0 times higher than theoretical quantities and that the suitable molar fraction of H(3)BO(3) is 0.08. The average particle size of the phosphor was 50-80 nm and its luminescence properties were studied systematically. Compared with SrAl(2)O(4):Eu(2+),Dy(3+) phosphor, the initial luminescence brightness improved from 2.50 candela (cd)/m(2) to 3.55 cd/m(2) and the long afterglow time was prolonged from 1290 s to 2743 s.