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1.
Artículo en Inglés | MEDLINE | ID: mdl-39190525

RESUMEN

Masked image modeling (MIM) has been considered as the state-of-the-art (SOTA) self-supervised learning (SSL) technique in terms of visual pretraining. The impressive generalization ability of MIM also paves the way for the remarkable success of large-scale vision foundation models. In this article, we further discuss the validity and advantages of implementing MIM techniques in the reproducing kernel Hilbert spaces (RKHSs) and we associate the analysis with a novel MIM method named R-MIM (short for RKHS-MIM). Through the careful construction of an augmentation graph and by using spectral decomposition techniques, we establish a systematic theoretical understanding between the proposed R-MIM's generalization ability and the choice of kernel function used during training. Specifically, we reach a conclusion that both of the local Lipschitz constant of the resultant R-MIM model and the corresponding expected pretraining error can have a strong composite effect on bounding downstream task error, depending on the kernel options. We demonstrate that under mild mathematical assumptions, R-MIM method is guaranteed to return a lower bound on downstream tasks in comparison to vanilla MIM techniques, such as masked autoencoder (MAE) and SimMIM. Empirical justification well corroborates our theoretical hypothesis and analysis in showing the superior generalization of the proposed R-MIM and the theoretical link to kernel choices. The code is available at: https://github.com/yurui-q/R-MIM.

2.
Artículo en Inglés | MEDLINE | ID: mdl-38980783

RESUMEN

Masked autoencoder (MAE) has been regarded as a capable self-supervised learner for various downstream tasks. Nevertheless, the model still lacks high-level discriminability, which results in poor linear probing performance. In view of the fact that strong augmentation plays an essential role in contrastive learning, can we capitalize on strong augmentation in MAE? The difficulty originates from the pixel uncertainty caused by strong augmentation that may affect the reconstruction, and thus, directly introducing strong augmentation into MAE often hurts the performance. In this article, we delve into the potential of strong augmented views to enhance MAE while maintaining MAE's advantages. To this end, we propose a simple yet effective masked Siamese autoencoder (MSA) model, which consists of a student branch and a teacher branch. The student branch derives MAE's advanced architecture, and the teacher branch treats the unmasked strong view as an exemplary teacher to impose high-level discrimination onto the student branch. We demonstrate that our MSA can improve the model's spatial perception capability and, therefore, globally favors interimage discrimination. Empirical evidence shows that the model pretrained by MSA provides superior performances across different downstream tasks. Notably, linear probing performance on frozen features extracted from MSA leads to 6.1% gains over MAE on ImageNet-1k. Fine-tuning (FT) the network on VQAv2 task finally achieves 67.4% accuracy, outperforming 1.6% of the supervised method DeiT and 1.2% of MAE. Codes and models are available at https://github.com/KimSoybean/MSA.

3.
Int J Gen Med ; 17: 3137-3146, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39049832

RESUMEN

Background: Intracerebral hemorrhage (ICH) affects up to 1% of chronic oral anticoagulation (OAC) users per year. This study explored the knowledge, attitude and practice (KAP) towards ICH prevention among patients taking OACs. Methods: This multicenter cross-sectional survey was conducted at 4 hospitals from February to May 2023, and a self-administered questionnaire was developed to assess KAP toward ICH prevention among patients taking OACs. Structural equation modeling was used to assess the relationship between KAP. Results: A total of 536 valid questionnaires (67.25%) were analyzed, from 43.8% participants on Warfarin, 40.5% on Rivaroxaban and 15.7% on Dabigatran. The average knowledge, attitudes and practice scores were 9.22, 24.11, and 28.01 out of 16, 35 and 40, respectively. Participants who received Rivaroxaban had lower knowledge scores but higher attitude and practice store compared to those who received Warfarin or Dabigatran (all p < 0.001). According to Structure Equation Modeling, attitude had direct positive effect on practice (ß = 0.694 [0.603-0.804], p = 0.012), while knowledge had direct negative effect on attitude (ß = -2.077 [-2.507-1.651], p = 0.013), as well as negative effect on practice, both direct (ß = -0.450[-0.689-2.03], p=0.012), and indirect (ß = -1.441 [-1.928-1.192], p = 0.004). Conclusion: Patients taking OACs showed insufficient knowledge, negative attitude and proactive practice regarding ICH; practice scores were affected by age, type of anticoagulation medication, and attitude rather than knowledge.

4.
World J Psychiatry ; 14(7): 1043-1052, 2024 Jul 19.
Artículo en Inglés | MEDLINE | ID: mdl-39050199

RESUMEN

BACKGROUND: Traumatic brain injury (TBI) imposes a substantial societal and familial burden due to its high disability and fatality rates, rendering it a serious public health problem. Some patients with TBI have poor treatment outcomes and are prone to postoperative delirium (POD), which affects their quality of life. Anxiety has been linked to increased POD incidence in some studies, while others have found no correlation. AIM: To investigate the correlation of POD risk factors, preoperative inflammatory factors, and mood disorders in patients with TBI. METHODS: We retrospectively collected data on the treatment of 80 patients with TBI from November 2021 to September 2023. Patients were grouped as POD and non-POD, according to their POD status, and the general data of the two groups were compared. Inflammatory factor levels were detected preoperatively, and the Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) were used to investigate the risk factors associated with POD in these patients. Logistic regression was used to identify the independent risk factors. RESULTS: Twenty-one patients (26.25%) developed POD, including 7, 10, and 4 cases of the excitatory, inhibitory, and mixed types, respectively. There were 59 cases (73.75%) in the non-POD group. Compared with the non-POD group, the POD group had a significantly higher proportion of patients with low Glasgow Coma Scale (GCS) scores before admission, unilateral mydriasis, preoperative hemorrhagic shock, intraventricular hemorrhage (IVH), and postoperative hyperglycemic hyperosmolar disease (P < 0.05). In the POD group, interleukin-6 (IL-6), human tumor necrosis factor-α (TNF-α), myeloperoxidase levels, HAMA, and HAMD scores were higher than those in the non-POD group (all P < 0.05). Logistic multivariate analysis showed that GCS score at admission, IVH, IL-6, TNF-α, HAMA, and HAMD were independent risk factors for POD in patients with TBI (P < 0.05). CONCLUSION: Low GCS score at admission, IVH, elevated IL-6 and TNF-α, other inflammatory indicators, anxiety, and depression, can increase the risk of POD in patients with TBI after surgery.

5.
ACS Appl Mater Interfaces ; 16(30): 39379-39386, 2024 Jul 31.
Artículo en Inglés | MEDLINE | ID: mdl-39037220

RESUMEN

The single-walled carbon nanotube (SWCNT) commonly serves as a conductive additive for SiO-based anode materials due to the excellent conductivity and mechanical properties. However, the potential action mechanisms for the SWCNT beyond conductivity and mechanical features have rarely been studied. Herein, an interfacial electron-shielding effect and preferential adsorption to the electrolyte components for the SWCNT are revealed through a series of advanced characterizations and density functional theory (DFT) simulations. It can be determined that SWCNT networks could restrict the transmission of the electron from SiO interface to electrolyte with the reduced decomposition, because of the typical axial conductivity of the SWCNT. Moreover, the SWCNT shows stronger adsorption energy for LiPF6 and ethylene carbonate (EC) molecules, rather than nonselectivity of traditional carbon additives, facilitating the generation of inorganic-rich and denser solid electrolyte interface (SEI) film. As a result, benefiting from the electron-shielding effect, preferential adsorption, and mechanical protection, the SWCNT endows the SiO@C anode with a higher average Coulombic efficiency (CE) value of 99.4% over 100 cycles and a long cycling stability.

6.
Cancer Med ; 13(12): e7388, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38924330

RESUMEN

BACKGROUND: To date, carbohydrate antigen 19-9 (CA19-9) and carcinoembryonic antigen (CEA) have been widely used for the screening, diagnosis and prediction of biliary tract cancer (BTC) patients. However, few studies with large sample sizes of carbohydrate antigen 50 (CA50) were reported in BTC patients. METHODS: A total of 1121 patients from the Liver Cancer Clin-Bio Databank of Anhui Hepatobiliary Surgery Union between January 2017 and December 2022 were included in this study (673 in the training cohort and 448 in the validation cohort): among them, 458 with BTC, 178 with hepatocellular carcinoma (HCC), 23 with combined hepatocellular-cholangiocarcinoma, and 462 with nontumor patients. Receiver operating characteristic (ROC) curves and decision curve analysis (DCA) were used to evaluate the diagnostic efficacy and clinical usefulness. RESULTS: ROC curves obtained by combining CA50, CA19-9, and AFP showed that the AUC value of the diagnostic MODEL 1 was 0.885 (95% CI 0.856-0.885, specificity 70.3%, and sensitivity 84.0%) in the training cohort and 0.879 (0.841-0.917, 76.7%, and 84.3%) in the validation cohort. In addition, comparing iCCA and HCC (235 in the training cohort, 157 in the validation cohort), the AUC values of the diagnostic MODEL 2 were 0.893 (95% CI 0.853-0.933, specificity 96%, and sensitivity 68.6%) in the training cohort and 0.872 (95% CI 0.818-0.927, 94.2%, and 64.6%) in the validation cohort. CONCLUSION: The model combining CA50, CA19-9, and AFP not only has good diagnostic value for BTC but also has good diagnostic value for distinguishing iCCA and HCC.


Asunto(s)
Antígenos de Carbohidratos Asociados a Tumores , Neoplasias del Sistema Biliar , Biomarcadores de Tumor , Curva ROC , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Antígenos de Carbohidratos Asociados a Tumores/sangre , Neoplasias del Sistema Biliar/diagnóstico , Neoplasias del Sistema Biliar/sangre , Biomarcadores de Tumor/sangre , Antígeno CA-19-9/sangre , Carcinoma Hepatocelular/diagnóstico , Carcinoma Hepatocelular/sangre , Colangiocarcinoma/diagnóstico , Colangiocarcinoma/sangre , Neoplasias Hepáticas/diagnóstico , Neoplasias Hepáticas/sangre , Estudios Retrospectivos , Sensibilidad y Especificidad
7.
Int J Biol Macromol ; 275(Pt 1): 133450, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38944077

RESUMEN

Xanthine oxidase (XO) is a typical target for hyperuricemia and gout, for which there are only three commercial xanthine oxidase inhibitors (XOIs): febuxostat, topiroxostat and allopurinol. However, these inhibitors have problems such as low bioactivity and several side effects. Therefore, the development of novel XOIs with high bioactivity for the treatment of hyperuricemia and gout is urgently needed. In this work we constructed a XO immobilized cellulose membrane colorimetric biosensor (XNCM) by the TEMPO oxidation, amide bond coupling and nitro blue tetrazolium chloride (NBT) loading method. As expected, the XNCM was able to detect xanthine, with high selectivity and sensitivity by colorimetric method with a distinctive color change from yellow to purple, which can be easily observed by the naked-eye in just 8 min without any complex instrumentation. In addition, the XNCM sensor performed screening of 21 different compounds and have been successfully pre-screened out XOIs with biological activity. Most importantly, the XNCM was able to quantitatively detect the IC50 values of two commercial inhibitors (febuxostat and allopurinol). All the results confirmed that the XNCM is a simple and effective tool which can be used for the accelerated screening of XOIs and has the potential to uncover additional XOIs.


Asunto(s)
Técnicas Biosensibles , Celulosa , Inhibidores Enzimáticos , Enzimas Inmovilizadas , Xantina Oxidasa , Humanos , Alopurinol/farmacología , Técnicas Biosensibles/métodos , Celulosa/química , Colorimetría/métodos , Evaluación Preclínica de Medicamentos , Inhibidores Enzimáticos/farmacología , Inhibidores Enzimáticos/química , Inhibidores Enzimáticos/análisis , Enzimas Inmovilizadas/química , Enzimas Inmovilizadas/antagonistas & inhibidores , Membranas Artificiales , Xantina Oxidasa/antagonistas & inhibidores , Xantina Oxidasa/metabolismo
8.
Sports (Basel) ; 12(6)2024 Jun 06.
Artículo en Inglés | MEDLINE | ID: mdl-38921851

RESUMEN

Post-activation performance enhancement (PAPE) can significantly improve athletic performance. This study investigated the effects of two different velocity loss (10% VL and 20% VL) protocols on PAPE in 20 m sprint performance among sprint athletes. Twenty-four male sprint athletes (100 m sprint time: 10.96 ± 0.15 s) participated in the study. A randomized crossover experimental design was used to compare the traditional group (TG) and 10% VL and 20% VL interventions. Sprint tests were conducted at 4, 8, 12, and 16 min post-intervention. A two-way repeated measures ANOVA revealed a significant interaction effect between group and time on 20 m sprint performance (F = 2.817, p = 0.037, partial η2 = 0.585). Simple main effects analysis revealed significant improvements at 4 min for the 20% VL group (p < 0.05). Cohen's d values indicated improvements in 10 m sprint times at 8 min for all groups (TG: effect size (ES) = -0.270, 10% VL: ES = -0.038, 20% VL: ES = -0.279). Improvements in 20 m sprint times were observed at 4 min for the 20% VL group (ES = -0.296) and at 16 min for the 10% VL group (ES = -0.276). In conclusion, the velocity loss-based PAPE protocol (20% VL) demonstrated a superior induction of PAPE effects in sprint athletes at 4 min compared to traditional 1RM-based PAPE protocols. However, no significant differences were observed between the two protocols at 8, 12, and 16 min.

9.
Physiol Genomics ; 56(8): 578-589, 2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-38881426

RESUMEN

The aim of the current study was to investigate interindividual differences in muscle thickness of the rectus femoris (MTRF) following 12 wk of resistance training (RT) or high-intensity interval training (HIIT) to explore the genetic architecture underlying skeletal muscle hypertrophy and to construct predictive models. We conducted musculoskeletal ultrasound assessments of the MTRF response in 440 physically inactive adults after the 12-wk exercise period. A genome-wide association study was used to identify variants associated with the MTRF response, separately for RT and HIIT. Using the polygenic predictor score (PPS), we estimated the genetic contribution to exercise-induced hypertrophy. Predictive models for the MTRF response were constructed using random forest (RF), support vector mac (SVM), and generalized linear model (GLM) in 10 cross-validated approaches. MTRF increased significantly after both RT (8.8%, P < 0.05) and HIIT (5.3%, P < 0.05), but with considerable interindividual differences (RT: -13.5 to 38.4%, HIIT: -14.2 to 30.7%). Eleven lead single-nucleotide polymorphisms in RT and eight lead single-nucleotide polymorphisms in HIIT were identified at a significance level of P < 1 × 10-5. The PPS was associated with the MTRF response, explaining 47.2% of the variation in response to RT and 38.3% of the variation in response to HIIT. Notably, the GLM and SVM predictive models exhibited superior performance compared with RF models (P < 0.05), and the GLM demonstrated optimal performance with an area under curve of 0.809 (95% confidence interval: 0.669-0.949). Factors such as PPS, baseline MTRF, and exercise protocol exerted influence on the MTRF response to exercise, with PPS being the primary contributor. The GLM and SVM predictive model, incorporating both genetic and phenotypic factors, emerged as promising tools for predicting exercise-induced skeletal muscle hypertrophy.NEW & NOTEWORTHY The interindividual variability induced muscle hypertrophy by resistance training (RT) or high-intensity interval training (HIIT) and the associated genetic architecture remain uncertain. We identified genetic variants that underlie RT- or HIIT-induced muscle hypertrophy and established them as pivotal factors influencing the response regardless of the training type. The genetic-phenotype predictive model developed has the potential to identify nonresponders or individuals with low responsiveness before engaging in exercise training.


Asunto(s)
Estudio de Asociación del Genoma Completo , Hipertrofia , Músculo Esquelético , Polimorfismo de Nucleótido Simple , Entrenamiento de Fuerza , Humanos , Masculino , Músculo Esquelético/patología , Músculo Esquelético/diagnóstico por imagen , Polimorfismo de Nucleótido Simple/genética , Entrenamiento de Fuerza/métodos , Femenino , Adulto , Hipertrofia/genética , Ejercicio Físico/fisiología , Entrenamiento de Intervalos de Alta Intensidad/métodos , Adulto Joven , Ultrasonografía/métodos
10.
Polymers (Basel) ; 16(8)2024 Apr 16.
Artículo en Inglés | MEDLINE | ID: mdl-38675031

RESUMEN

Lysozyme, a common antimicrobial agent, is widely used in the food, biopharmaceutical, chemical, and medicine fields. Rapid and effective isolation of lysozymes is an everlasting topic. In this work, ethylene vinyl alcohol (EVOH) copolymer nanofibrous membranes with a gradient porous structure used for lysozyme adsorption were prepared through layer-by-layer nanofiber wet-laying and a cost-efficient ultraviolet (UV)-assisted graft-modification method, where benzophenone was used as an initiator and 2-acrylamide-2-methylpropanesulfonic acid as a modifying monomer. As indicated in the Fourier Transform Infrared (FTIR) and X-ray photoelectric energy spectrometer (XPS) investigation, sulfonic acid groups were introduced on the surface of the modified nanofibrous membrane, which possessed the ability to adsorb lysozyme. Compared with membranes with homogenous porous structures, membranes with a gradient porous structure present higher static (335 mg/g) and dynamic adsorption capacities (216.3 mg/g). Meanwhile, the adsorption capacity remained high after five cycles of the adsorption-desorption process. The results can be attributed to the gradient porous structure rather than the highest porosity and specific surface area. This suggests that the membrane with comprehensive separation performance can be designed from the view of the transmembrane porous structure, which is of significance for the development of next-generation advanced chromatographic membranes.

11.
Sci Rep ; 14(1): 8388, 2024 04 10.
Artículo en Inglés | MEDLINE | ID: mdl-38600177

RESUMEN

MicroRNAs (miRNAs) may play a crucial regulatory role in the process of muscle atrophy induced by high-altitude hypoxia and its amelioration through resistance training. However, research in this aspect is still lacking. Therefore, this study aimed to employ miRNA microarray analysis to investigate the expression profile of miRNAs in skeletal muscle from an animal model of hypoxia-induced muscle atrophy and resistance training aimed at mitigating muscle atrophy. The study utilized a simulated hypoxic environment (oxygen concentration at 11.2%) to induce muscle atrophy and established a rat model of resistance training using ladder climbing, with a total intervention period of 4 weeks. The miRNA expression profile revealed 9 differentially expressed miRNAs influenced by hypoxia (e.g., miR-341, miR-32-5p, miR-465-5p) and 14 differentially expressed miRNAs influenced by resistance training under hypoxic conditions (e.g., miR-338-5p, miR-203a-3p, miR-92b-3p) (∣log2(FC)∣ ≥ 1.5, p < 0.05). The differentially expressed miRNAs were found to target genes involved in muscle protein synthesis and degradation (such as Utrn, mdm2, eIF4E), biological processes (such as negative regulation of transcription from RNA polymerase II promoter, regulation of transcription, DNA-dependent), and signaling pathways (such as Wnt signaling pathway, MAPK signaling pathway, ubiquitin-mediated proteolysis, mTOR signaling pathway). This study provides a foundation for understanding and further exploring the molecular mechanisms underlying hypoxia-induced rats muscle atrophy and the mitigation of atrophy through resistance training.


Asunto(s)
MicroARNs , Entrenamiento de Fuerza , Humanos , Ratas , Animales , MicroARNs/genética , MicroARNs/metabolismo , Hipoxia/genética , Hipoxia/metabolismo , Músculo Esquelético/metabolismo , Atrofia Muscular/genética , Atrofia Muscular/metabolismo , Perfilación de la Expresión Génica
12.
Sci Rep ; 14(1): 8823, 2024 Apr 17.
Artículo en Inglés | MEDLINE | ID: mdl-38627495

RESUMEN

The aging process leads to the degeneration of body structure and function. The objective of this study is to conduct a systematic review and meta-analysis of the effects of resistance circuit training (RCT) on comprehensive health indicators of older adults. PubMed, Embase, and Web of Science were searched until August 2023. Primary outcomes were body composition, muscle strength, cardiorespiratory endurance, blood pressure, and functional autonomy. Muscle function and exercise intensity subgroups were analyzed. RCT reduces body fat (MD = - 5.39 kg, 95% CI - 10.48 to - 0.29), BMI (MD = - 1.22, 95% CI - 2.17 to - 0.26), and body weight (MD = - 1.28 kg, 95% CI - 1.78 to - 0.78), and increases lean body mass (MD = 1.42 kg, 95% CI 0.83-2.01) in older adults. It improves upper limb strength (SMD = 2.09, 95% CI 1.7-2.48), lower limb strength (SMD = 2.03, 95% CI 1.56-2.51), cardiorespiratory endurance (MD = 94 m, 95% CI 25.69-162.67), and functional autonomy (MD = - 1.35, 95% CI - 1.73 to - 0.96). High-intensity RCT benefits BMI and body weight, while low-intensity exercise reduces blood pressure. RCT improves muscle function in push, pull, hip, and knee movements in older adults. RCT improves body composition, muscle strength, cardiorespiratory endurance, blood pressure, and functional autonomy in older adults. High-intensity training is superior for body composition, while moderate to low intensity training is more effective for lowering blood pressure.


Asunto(s)
Composición Corporal , Fuerza Muscular , Entrenamiento de Fuerza , Humanos , Entrenamiento de Fuerza/métodos , Fuerza Muscular/fisiología , Anciano , Ejercicio en Circuitos/métodos , Presión Sanguínea/fisiología , Masculino , Femenino
13.
Angew Chem Int Ed Engl ; 63(27): e202401373, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38659181

RESUMEN

Inorganic solid-state electrolytes (SSEs) play a vital role in high-energy all-solid-state batteries (ASSBs). However, the current method of SSE preparation usually involves high-energy mechanical ball milling and/or a high-temperature annealing process, which is not suitable for practical application. Here, a facile strategy is developed to realize the scalable synthesis of cost-effective aluminum-based oxyhalide SSEs, which involves a self-propagating method by the exothermic reaction of the raw materials. This strategy enables the synthesis of various aluminum-based oxyhalide SSEs with tunable components and high ionic conductivities (over 10-3 S cm-1 at 25 °C) for different cations (Li+, Na+, Ag+). It is elucidated that the amorphous matrix, which mainly consists of various oxidized chloroaluminate species that provide numerous sites for smooth ion migration, is actually the key factor for the achieved high conductivities. Benefit from their easy synthesis, low cost, and low weight, the aluminum-based oxyhalide SSEs synthesized by our approach could further promote practical application of high-energy-density ASSBs.

14.
Heliyon ; 10(5): e26200, 2024 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-38495146

RESUMEN

Postoperative delirium (POD) is a severe postoperative complication characterized by delirium-like symptoms. So far, no effective preventable strategy for POD prevention has been identified. Reports show that the consumption of green tea polyphenols (GTP) is associated with better cognitive function by modulating the composition of gut microbiota. Whether GTP also play a role in alleviating POD through gut microbiota is unknown. Herein, we studied the effect of prolonged (eight weeks) GTP intake on postoperative delirium in C57BL/6 mice with laparotomies under isoflurane anesthesia (anesthesia/surgery). We subsequently investigated anesthesia/surgery caused behavioral changes and increased the expression of malondialdehyde (MAD), an oxidative stress marker, and the activities of superoxide dismutase (SOD), an antioxidant marker, in the mice at 6 h after anesthesia/surgery. However, GTP administration reversed these changes and alleviated anesthesia/surgery-induced decrease in the abundance of gut bacterial genera, Roseburia. Further, fecal microbiota transplant demonstrated that compared with mice in the control group, treatment of C57BL/6 mice with feces from GTP-treated mice had a slight effect on the behavioral changes of mice. These data suggest that daily consumption of GTP could protect against anesthesia/surgery-induced behavioral changes, which is closely associated with gut microbiota modification by GTP.

15.
BMC Med Imaging ; 24(1): 69, 2024 Mar 21.
Artículo en Inglés | MEDLINE | ID: mdl-38515047

RESUMEN

BACKGROUND: MRI has been widely used to predict the preoperative proliferative potential of pituitary adenoma (PA). However, the relationship between the cyst/tumor volume ratio (C/T ratio) and the proliferative potential of PA has not been reported. Herein, we determined the predictive value of the C/T ratio of PA for tumor cell proliferation. METHODS: The clinical data of 72 patients with PA and cystic change on MRI were retrospectively analyzed. PA volume, cyst volume, and C/T ratio were calculated. The corresponding intraoperative specimens were collected. Immunohistochemistry and hematoxylin-eosin staining were performed to evaluate the Ki67 index and nuclear atypia. Patients were categorized according to the Ki67 index (< 3% and ≥ 3%) and nuclear atypia (absence and presence). Univariate and multivariate analyses were used to identify the significant predictors of the Ki67 index and nuclear atypia. The receiver operating characteristic curve assessed the prediction ability of the significant predictors. RESULTS: Larger tumor volumes, smaller cyst volumes, and lower C/T ratios were found in patients with higher Ki67 indexes and those with nuclear atypia (P < 0.05). C/T ratio was an independent predictor of the Ki67 index (odds ratio = 0.010, 95% confidence interval = 0.000-0.462) and nuclear atypia (odds ratio = 0.010, 95% confidence interval = 0.000-0.250). The predictive value of the C/T ratio did not differ significantly from that of tumor volume (P > 0.05) but was better than that of cyst volume (P < 0.05). The area under the curve of the C/T ratio for predicting the Ki67 index and nuclear atypia was larger than that for predicting cyst volume and tumor volume. CONCLUSIONS: C/T ratios can be used to predict PA tumor proliferation preoperatively. Our findings may facilitate the selection of surgery timing and the efficacy evaluation of surgery.


Asunto(s)
Adenoma , Quistes , Neoplasias Hipofisarias , Humanos , Neoplasias Hipofisarias/diagnóstico por imagen , Neoplasias Hipofisarias/cirugía , Antígeno Ki-67/análisis , Estudios Retrospectivos , Carga Tumoral , Adenoma/diagnóstico por imagen , Adenoma/cirugía , Proliferación Celular
16.
IEEE Trans Pattern Anal Mach Intell ; 46(9): 6431-6442, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38502628

RESUMEN

The hybrid deep models of Vision Transformer (ViT) and Convolution Neural Network (CNN) have emerged as a powerful class of backbones for vision tasks. Scaling up the input resolution of such hybrid backbones naturally strengthes model capacity, but inevitably suffers from heavy computational cost that scales quadratically. Instead, we present a new hybrid backbone with HIgh-Resolution Inputs (namely HIRI-ViT), that upgrades prevalent four-stage ViT to five-stage ViT tailored for high-resolution inputs. HIRI-ViT is built upon the seminal idea of decomposing the typical CNN operations into two parallel CNN branches in a cost-efficient manner. One high-resolution branch directly takes primary high-resolution features as inputs, but uses less convolution operations. The other low-resolution branch first performs down-sampling and then utilizes more convolution operations over such low-resolution features. Experiments on both recognition task (ImageNet-1K dataset) and dense prediction tasks (COCO and ADE20 K datasets) demonstrate the superiority of HIRI-ViT. More remarkably, under comparable computational cost (  âˆ¼ 5.0 GFLOPs), HIRI-ViT achieves to-date the best published Top-1 accuracy of 84.3% on ImageNet with 448×448 inputs, which absolutely improves 83.4% of iFormer-S by 0.9% with 224×224 inputs.

17.
Nat Commun ; 15(1): 53, 2024 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-38167381

RESUMEN

Metal halide solid-state electrolytes have gained widespread attention due to their high ionic conductivities, wide electrochemical stability windows, and good compatibility with oxide cathode materials. The exploration of highly ionic conductive halide electrolytes is actively ongoing. Thus, understanding the relationship between composition and crystal structure can be a critical guide for designing better halide electrolytes, which still remains obscure for reliable prediction. Here we show that the cationic polarization factor, which describes the geometric and ionic conditions, is effective in predicting the stacking structure of halide electrolytes formation. By supplementing this principle with rational design and preparation of more than 10 lithium halide electrolytes with high conductivity over 10-3 S cm-1 at 25 °C, we establish that there should be a variety of promising halide electrolytes that have yet to be discovered and developed. This methodology may enable the systematic screening of various potential halide electrolytes and demonstrate an approach to the design of halide electrolytes with superionic conductivity beyond the structure and stability predictions.

18.
Int J Sports Med ; 45(6): 458-472, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38122824

RESUMEN

This study develops a comprehensive genotype-phenotype model for predicting the effects of resistance training on leg press performance. A cohort of physically inactive adults (N=193) underwent 12 weeks of resistance training, and measurements of maximum isokinetic leg press peak force, muscle mass, and thickness were taken before and after the intervention. Whole-genome genotyping was performed, and genome-wide association analysis identified 85 novel SNPs significantly associated with changes in leg press strength after training. A prediction model was constructed using stepwise linear regression, incorporating seven lead SNPs that explained 40.4% of the training effect variance. The polygenic score showed a significant positive correlation with changes in leg press strength. By integrating genomic markers and phenotypic indicators, the comprehensive prediction model explained 75.4% of the variance in the training effect. Additionally, five SNPs were found to potentially impact muscle contraction, metabolism, growth, and development through their association with REACTOME pathways. Individual responses to resistance training varied, with changes in leg press strength ranging from -55.83% to 151.20%. The study highlights the importance of genetic factors in predicting training outcomes and provides insights into the potential biological functions underlying resistance training effects. The comprehensive model offers valuable guidance for personalized fitness programs based on individual genetic profiles and phenotypic characteristics.


Asunto(s)
Estudio de Asociación del Genoma Completo , Genotipo , Fuerza Muscular , Fenotipo , Polimorfismo de Nucleótido Simple , Entrenamiento de Fuerza , Humanos , Entrenamiento de Fuerza/métodos , Fuerza Muscular/fisiología , Fuerza Muscular/genética , Masculino , Femenino , Adulto , Músculo Esquelético/fisiología , Adulto Joven , Pierna/fisiología
19.
Zhongguo Gu Shang ; 36(12): 1203-6, 2023 Dec 25.
Artículo en Chino | MEDLINE | ID: mdl-38130233

RESUMEN

The multidisciplinary treatment model led by surgery has become a comprehensive strategy and overall concept for the treatment of spinal metastatic tumors. But the surgical treatment of spinal metastatic tumors is different from primary malignant tumors of the spine. Surgery is only a part of the multidisciplinary comprehensive treatment. Therefore, the following aspects need to be evaluated comprehensively based on the survival assessment, evaluation of spinal stability damage, nerve dysfunction, and oncological characteristics of the metastatic tumors with a reasonable surgical intervention. The attention should be paid to the minimally invasive treatment of spinal metastases, progress of new radiotherapy technology, neoadjuvant chemotherapy, targeted drug therapy and other medical treatment to make a comprehensive and individualization decision which is benefit to relieve patients ' pain, reconstruct spinal stability and avoid paralysis. While improving patient survival, increasing local tumor control rate and possibly prolonging survival time, avoiding excessive surgery as much as possible.


Asunto(s)
Neoplasias de la Columna Vertebral , Columna Vertebral , Humanos , Columna Vertebral/cirugía , Neoplasias de la Columna Vertebral/cirugía
20.
Genet Test Mol Biomarkers ; 27(12): 362-369, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-38156906

RESUMEN

Background: Studies have shown that the Mitochondrial Transcription Termination Factor 3 (MTERF3) negatively regulates mitochondrial gene expression and energy metabolism, and plays a significant role in many cancer types. Nevertheless, the expression and prognostic role of MTERF3 in patients with thyroid carcinoma (THCA) is still unclear. Thus, we investigated the expression, clinicopathological significance, and prognostic value of MTERF3 in THCA. Methods: The protein and mRNA expression levels of MTERF3 were, respectively, analyzed using immunohistochemistry (IHC) from THCA tissues and RNA-Seq data downloaded from The Cancer Genome Atlas. In addition, the relationships among the expression of MTERF3, the stemness feature, the extent of immune infiltration, drug sensitivity, the expression of ferroptosis, and N6-methyladenosine (m6A) methylation regulators, were evaluated as prognostic indicators for patients with THCA using the Kaplan-Meier plotter database. Results: The IHC and RNAseq results showed that the protein and mRNA expression levels of MTERF3 in adjacent nontumor tissues were significantly higher than in THCA tissues. The survival analysis indicated that decreased expression of MTERF3 was associated with a poorer prognosis. Furthermore, the expression of MTERF3 not only negatively correlated with the enhancement of the stemness of THCA and the reduction of drug sensitivity but also was implicated in ferroptosis and m6A methylation. Conclusion: The data from this study support the hypothesis that decreased expression of MTERF3 in THCA is associated with a poor prognosis.


Asunto(s)
Neoplasias de la Tiroides , Humanos , Pronóstico , Neoplasias de la Tiroides/genética , Expresión Génica , Bases de Datos Factuales , ARN Mensajero/genética
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