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1.
Cereb Cortex ; 33(15): 9429-9437, 2023 07 24.
Article in English | MEDLINE | ID: mdl-37328940

ABSTRACT

Risky decision-making is affected by past feedback, especially after encountering the beneficial loss in the past decision-making round, yet little is known about the mechanism accounting for the distinctive decision-making that different individuals may make under the past loss context. We extracted decision functional medial frontal negative (MFN) and the cortical thickness (CT) from multi-modality electroencephalography (EEG) and T1-weighted structural MRI (sMRI) datasets to assess the individual risky decision under the past loss context. First, concerning the MFN, the low-risk group (LRG) exhibits larger MFN amplitude and longer reaction time than the high-risk group (HRG) when making risky decisions under the loss context. Subsequently, the sMRI analysis reveals a greater CT in the left anterior insula (AI) for HRG compared with LRG, and a greater CT in AI is associated with a high level of impulsivity, driving individuals to make risky choices under the past loss context. Furthermore, for all participants, the corresponding risky decision behavior could be exactly predicted as a correlation coefficient of 0.523 was acquired, and the classification by combing the MFN amplitude and the CT of the left AI also achieves an accuracy of 90.48% to differentiate the two groups. This study may offer new insight into understanding the mechanism that accounts for the inter-individual variability of risky decisions under the loss context and denotes new indices for the prediction of the risky participants.


Subject(s)
Decision Making , Electroencephalography , Humans , Decision Making/physiology , Risk-Taking , Magnetic Resonance Imaging , Electrophysiology
2.
J Environ Manage ; 351: 119764, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38100867

ABSTRACT

Indoor air, especially with suspended particulate matter (PM), can be a carrier of airborne infectious pathogens. Without sufficient ventilation, airborne infectious diseases can be transmitted from one person to another. Indoor air quality (IAQ) significantly impacts people's daily lives as people spend 90% of their time indoors. An industrial-grade air cleaner prototype (filtration + ultraviolet light) was previously upgraded to clean indoor air to improve IAQ on two metrics: particulate matter (PM) and viable airborne bacteria. Previous experiments were conducted to test its removal efficiency on PM and airborne bacteria between the inlet and treated air. However, the longer-term improvement on IAQ would be more informative. Therefore, this research focused on quantifying longer-term improvement in a testing environment (poultry facility) loaded with high and variable PM and airborne bacteria concentrations. A 25-day experiment was conducted to treat indoor air using an air cleaner prototype with intermittent ON and OFF days in which PM and viable airborne bacteria were measured to quantify the treatment effect. The results showed an average of 55% reduction of total suspended particulate (TSP) concentration between OFF days (110 µg/m3) and ON days (49 µg/m3). An average of 47% reduction of total airborne viable bacteria concentrations was achieved between OFF days (∼3200 CFU/m3) and ON days (∼2000 CFU/m3). A cross-validation (CV) model was established to predict PM concentrations with five input variables, including the status of the air cleaner, time (h), ambient temperature, indoor relative humidity, and day of the week to help simulate the air-cleaning effect of this prototype. The model can approximately predict the air quality trend, and future improvements may be made to improve its accuracy.


Subject(s)
Air Pollutants , Air Pollution, Indoor , Humans , Particulate Matter/analysis , Air Pollution, Indoor/prevention & control , Air Pollution, Indoor/analysis , Ultraviolet Rays , Quality Improvement , Bacteria , Environmental Monitoring , Air Pollutants/analysis , Particle Size
3.
Purinergic Signal ; 2023 Nov 20.
Article in English | MEDLINE | ID: mdl-37981630

ABSTRACT

Inflammatory pain, sustained by a complex network of inflammatory mediators, is a severe and persistent illness affecting many of the general population. We explore possible anti-inflammatory pathways of Polyphyllin VI (PPVI) based on our prior study, which showed that PPVI reduces inflammation in mice to reduce pain. Network pharmacology and RNA-Seq identified the contribution of the MAPK signaling pathway to inflammatory pain. In the LPS/ATP-induced RAW264.7 cell model, pretreatment with PPVI for 1 h inhibited the release of IL-6 and IL-8, down-regulated expression of the P2X7 receptor(P2X7R), and decreased phosphorylation of p38 and ERK1/2 components of the MAPK pathway. Moreover, PPVI decreased expression of IL-6 and IL-8 was observed in the serum of the inflammatory pain mice model and reduced phosphorylation of p38 and ERK1/2 in the dorsal root ganglia while the reductions of expression of IL-6 and phosphorylation of ERK1/2 were not observed after the pre-treatment with A740003 (an antagonist of the P2X7R). These results suggest that PPVI may inhibit the release of IL-8 by regulating P2X7R to reduce the phosphorylation of p38. However, the modulation of PPVI on the release of IL-6 and phosphorylation of ERK1/2 may mediated by other P2X7R-independent signals.

4.
AIDS Care ; 34(3): 371-378, 2022 03.
Article in English | MEDLINE | ID: mdl-33908841

ABSTRACT

Recent evidence shows that circumcision is associated with lower HIV prevalence among MSM. We assessed the acceptability of circumcision for preventing HIV and that of Shang Ring circumcision (SRC) among men who have sex with men (MSM) in China. 538 adult MSM were recruited from six cities in China between January and March 2019. Participants were surveyed by an online, self-administered questionnaire. The acceptability of circumcision was assessed before and after the potential protective effect of circumcision against HIV was informed, and subsequently men's willingness to undergo SRC was assessed. The level of circumcision was 16.4%. Of 450 uncircumcised MSM, their willingness to be circumcised in the following six months increased significantly from 32.2% to 55.6% after the information session. Three quarters of men who were willing to undergo circumcision accepted SRC. MSM who perceived that circumcision could maintain genital hygiene were more likely to accept circumcision after the information session, whereas those who regarded circumcision as an embarrassing surgery were disinclined to be circumcised. The low circumcision rate, along with its high acceptability in Chinese MSM, suggests a great potential benefit of circumcision intervention if proved effective. SRC might be a popular circumcision procedure in this population.


Subject(s)
Circumcision, Male , HIV Infections , Sexual and Gender Minorities , Adult , HIV Infections/epidemiology , HIV Infections/prevention & control , Homosexuality, Male , Humans , Male , Surveys and Questionnaires
5.
Sex Health ; 19(3): 172-181, 2022 06.
Article in English | MEDLINE | ID: mdl-35672030

ABSTRACT

BACKGROUND: Disclosure of sexual orientation to others (outness) might be associated with sexual and mental health among gay and bisexual men (GBM) attending university. We aimed to characterise outness and investigate factors correlated with outness among GBM attending university in China. METHODS: Between September 2018 and March 2019, GBM attending university were recruited in six cities in China. Information on sociodemographic characteristics, outness and sexual behaviours were collected using a self-administered questionnaire. Each participant was tested for HIV/STIs. Correlates of outness were assessed using multivariable logistic regression. RESULTS: A total of 400 GBM attending university were recruited, of whom 251 (62.8%) had disclosed their sexual orientation. Men who served as student leaders (adjusted odds ratio [AOR]=2.28, 95% CI: 1.46-3.54) and donated blood (AOR 1.85, 95% CI: 1.05-3.24) were more likely to disclose their sexual orientation, whereas men who had sex with a female (AOR 0.19, 95% CI: 0.05-0.74) and had group sex (AOR 0.52, 95% CI: 0.30-0.89) were less likely to disclose their sexual orientation. Mental health status, HIV/STI infections were not associated with outness. CONCLUSIONS: GBM attending university who disclosed their sexual orientation were more likely to be involved with student work and less likely to engage in high-risk sexual behaviours. More attention and education could focus on non-disclosing GBM men attending university through peer education or other ways.


Subject(s)
HIV Infections , Sexual and Gender Minorities , Sexually Transmitted Diseases , China/epidemiology , Cross-Sectional Studies , Female , HIV Infections/epidemiology , Homosexuality, Male/psychology , Humans , Male , Sexual Behavior , Universities
6.
Psychol Health Med ; : 1-13, 2022 Sep 19.
Article in English | MEDLINE | ID: mdl-36124362

ABSTRACT

Non-occupational post-exposure prophylaxis (nPEP) is recommended to reduce the likelihood of HIV infection after potential exposure. However, little is known about this practice among Chinese gay, bisexual and other men who have sex with men (GBM). GBM were enrolled from both centers for disease prevention and control (CDCs) and community health centers in six cities in China. Multivariable logistics regression was used to assess factors associated with awareness of and willingness to use nPEP. A total of 516 eligible GBM were included, 67.2% of whom were aware of nPEP, 76.0% were willing to use nPEP, and 2.3% had ever used nPEP. GBM who had college or higher education, had disclosed sexual orientation, had increased number of male sex partners in the last 6 months, and had ever tested for HIV were more likely to be aware of nPEP. Willingness to use nPEP was significantly associated with college or higher education, STI history, gay app use, and awareness of nPEP prior to study. Uptake of nPEP is still low among MSM in China. Efforts are needed to improve awareness of and access to nPEP among GBM, especially those at higher risk of HIV infection.

7.
Sex Transm Dis ; 48(8): 550-556, 2021 08 01.
Article in English | MEDLINE | ID: mdl-34110748

ABSTRACT

BACKGROUND: Young men who have sex with men (YMSM) are particularly at increased risk for human papillomavirus (HPV) infection and related malignancies. Rectal douching, commonly practiced among MSM, has been associated with HIV, chlamydia, gonorrhea, and viral hepatitis in cross-sectional studies. We conducted this study to understand the association between self-reported rectal douching and anal HPV among YMSM in China. METHODS: Between September 2018 and March 2019, MSM aged 15 to 24 years who ever engaged in receptive anal intercourse over the last 3 months were recruited via community-based organizations and centers for disease control located in 4 cities in China. Participants were asked to complete an online survey. We performed multivariate logistic regression adjusted for potential confounders to examine the association between self-reported rectal douching and anal HPV. RESULTS: Among 273 MSM with a median age of 20 years (interquartile range, 19-21 years) included in this study, 130 (47.6%) practiced rectal douching during the preceding 3 months and 96 (36.2%) were infected with anal HPV. Self-reported rectal douching was found to be associated with increased odds of anal HPV infection (odds ratio, 2.16; 95% confidence interval, 1.22-3.82) among YMSM, after adjusting for age, sexual debut, sex with alcohol or drugs, and HIV testing history. CONCLUSIONS: Self-reported rectal douching is associated with higher odds of anal HPV infection independent of sexual behaviors among YMSM. More prospective studies to ascertain this association are needed. Health education materials should inform men of the potential risk of rectal douching. Research on safer rectal douching procedures is warranted.


Subject(s)
Alphapapillomavirus , HIV Infections , Papillomavirus Infections , Sexual and Gender Minorities , China/epidemiology , Cross-Sectional Studies , HIV Infections/epidemiology , Homosexuality, Male , Humans , Infant , Male , Papillomaviridae , Papillomavirus Infections/epidemiology , Prevalence , Prospective Studies , Risk Factors , Sexual Behavior , Therapeutic Irrigation
8.
Eur J Clin Microbiol Infect Dis ; 40(7): 1357-1367, 2021 Jul.
Article in English | MEDLINE | ID: mdl-33768442

ABSTRACT

Human papillomavirus (HPV) infection among men who have sex with men (MSM) in China is underreported. We performed a systematic review and meta-analysis to clarify site-specific HPV prevalence among MSM in China. We searched both English and Chinese databases for all studies published before April 1, 2020, that reported HPV prevalence among MSM in China. Random-effects meta-analysis was used to calculate summary estimates. Thirty-four articles were eligible, where 32, 5, and 2 articles reported HPV prevalence at the anus, penis, and oral cavity, respectively. The estimated prevalence of anal HPV among MSM in China was 85.1% (HIV-positive), 53.6% (HIV-negative), and 59.2% (unknown HIV status), with HPV genotypes being predominated by HPV 6, 11, 16, 18, 52, and 58. Any HPV and high-risk (HR) HPV was more common in northern China, while low-risk HPV was more common in southern China. HPV prevalence increased with age among HIV-negative MSM, from 40.5% (aged < 20 years) to 57.2% (aged ≥ 40 years). High prevalence of any HPV (HIV+: 95.1%; HIV-: 97.7%) and multiple infections (HIV+: 75.9%; HIV-: 41.7%) was found in anogenital warts among MSM. HPV is common among MSM in China. MSM living with HIV and/or anogenital warts were at disproportionate risk for HR HPV. Younger MSM were found to have a lower HPV prevalence. HPV vaccines would have prevented the majority of infections if given before sex debut. HPV at anatomical sites other than the anus, incident HPV infection, and the cost-effectiveness of HPV vaccination in this population are worth further investigation.


Subject(s)
Homosexuality, Male , Papillomaviridae/isolation & purification , Papillomavirus Infections/virology , China/epidemiology , Humans , Male , Papillomavirus Infections/epidemiology
9.
Br J Neurosurg ; : 1-9, 2021 Feb 27.
Article in English | MEDLINE | ID: mdl-33641550

ABSTRACT

BACKGROUND: Double crush syndrome (DCS) of the ulnar nerve, including cubital tunnel syndrome with ulnar tunnel syndrome (UTS), is uncommon. This study compares the postoperative outcomes of patients with isolated ulnar tunnel syndrome versus those with double crush syndrome of the elbow and ulnar tunnel. METHODS: This study enrolled 22 patients: 12 underwent cubital tunnel surgery and ulnar tunnel surgery (double crush group); and 10 underwent only ulnar tunnel decompression (isolated UTS group). Postoperative effect evaluation of patients in both groups after at least 2.6 years (mean, 5.1 years and 5.7 years, respectively). Statistical analysis compared postoperative function, physical examination, and patient-reported satisfaction between groups. RESULTS: In terms of postoperative grip strength, there was no difference between the postoperative states of the two groups (0.88 ± 0.04 versus 0.87 ± 0.05), while there was statistical difference in terms of the increment of the grip strength (p = 0.036); the two-point discrimination of isolated UTS group is better than the double crush group (90% versus 83.3%); double crush patients reported lower satisfaction than the UTS group (90% versus 83.3%). CONCLUSIONS: At a minimum of 2.6 years after the nerve decompression, the patients of isolated UTS group are likely to have superior grip strength increment than patients with a history of double crush surgery, and there is no big difference in the final recovery situation. The sensation and satisfaction of isolated UTS group after nerve release were better compared with patients following double crush surgery.

10.
Neuroimage ; 206: 116333, 2020 02 01.
Article in English | MEDLINE | ID: mdl-31698078

ABSTRACT

Decision-making plays an essential role in the interpersonal interactions and cognitive processing of individuals. There has been increasing interest in being able to predict an individual's decision-making response (i.e., acceptance or rejection). We proposed an electroencephalogram (EEG)-based computational intelligence framework to predict individual responses. Specifically, the discriminative spatial network pattern (DSNP), a supervised learning approach, was applied to single-trial EEG data to extract the DSNP feature from the single-trial brain network. A linear discriminate analysis (LDA) trained on the DSNP features was then used to predict the individual response trial-by-trial. To verify the performance of the proposed DSNP, we recruited two independent subject groups, and recorded the EEGs using two types of EEG systems. The performances of the trial-by-trial predictors achieved an accuracy of 0.88 ±â€¯0.09 for the first dataset, and 0.90 ±â€¯0.10 for the second dataset. These trial-by-trial prediction performances suggested that individual responses could be predicted trial-by-trial by using the specific pattern of single-trial EEG networks, and our proposed method has the potential to establish the biologically inspired artificial intelligence decision system.


Subject(s)
Brain/physiology , Decision Making/physiology , Electroencephalography , Supervised Machine Learning , Adult , Discriminant Analysis , Evoked Potentials , Female , Humans , Male , Neural Pathways , Signal Processing, Computer-Assisted , Young Adult
11.
Cancer ; 126(16): 3719-3732, 2020 08 15.
Article in English | MEDLINE | ID: mdl-32484937

ABSTRACT

BACKGROUND: Human papillomavirus (HPV) is associated with a substantial percentage of cervical cancer, and a significant percentage of anal, penile, vaginal, vulvar, oral cavity, oropharyngeal, and laryngeal cancers. Understanding the burden and trends of HPV-attributable cancers is crucial to HPV prevention strategies. In the current study, the authors estimated the latest burden and trends of HPV-attributable cancers in China. METHODS: Data from the following sources were used. The number of new cancer cases and cancer deaths in China were estimated based on the China Cancer Registry Annual Report. The population-attributable fraction was estimated using pooled high-risk HPV prevalence and biomarker-positive rates, which were calculated using random effects meta-analyses. Cancer burden estimates were stratified by anatomic site, sex, and age. RESULTS: In 2015, a total of 110,650 new cancer cases and 36,714 cancer deaths attributable to HPV infection were estimated to have occurred in China, of which cervical cancer accounted for 85.6% and 78.1%, respectively. The age-standardized incidence rate (ASIR) and age-standardized mortality rate (ASMR) of HPV-attributable cancers were 5.63 and 1.81 per 100,000 person-years, respectively. The ASIR and ASMR both varied by anatomic site, with the highest rates noted for cervical cancer at 4.83 and 1.42 per 100,000 person-years, respectively. Between 2005 and 2015, the ASIR and ASMR demonstrated significant upward trends for all HPV-attributable cancers combined. CONCLUSIONS: Between 2005 and 2015, cervical cancer accounted for the vast majority of HPV-attributable cancers and its incidence and mortality increased rapidly in China. The comprehensive prevention of cervical cancer remains the most important target in the prevention of HPV-attributable cancers.


Subject(s)
Neoplasms/epidemiology , Papillomaviridae/pathogenicity , Papillomavirus Infections/epidemiology , Adult , Aged, 80 and over , China/epidemiology , Female , Humans , Male , Middle Aged , Neoplasms/classification , Neoplasms/mortality , Neoplasms/virology , Papillomavirus Infections/mortality , Papillomavirus Infections/pathology , Papillomavirus Infections/virology
12.
BMC Cancer ; 20(1): 679, 2020 Jul 21.
Article in English | MEDLINE | ID: mdl-32693779

ABSTRACT

BACKGROUND: The incidence of anal squamous cell carcinoma (SCC) has been steadily growing globally in the past decade. Clinical data on anal SCC from China are rare. We conducted this study to describe the clinical and epidemiological characteristics of anal SCC in China and explore prognostic factors of outcomes among patients with anal SCC. METHODS: We audited demographic characteristics, relevant symptoms, risk factors, treatment modalities and outcomes for patients diagnosed with anal SCC at 11 medical institutions in China between January 2007 and July 2018. RESULTS: A total of 144 patients (109 females) were diagnosed with SCC during this period. Median age at initial diagnosis was 52.0 (interquartile range: 46.0-61.8) years. The most common symptoms were bleeding (n = 93, 64.6%), noticing a lump (n = 49, 34.0%), and pain (n = 47, 32.6%). The proportion of patients at the American Joint Committee on Cancer (AJCC) stages I-IV were 10 (6.9%), 22 (15.3%), 61 (42.4%) and 8 (5.6%), respectively, and AJCC stages in 43 (29.9%) patients were unknown. Thirty-six patients (25.0%) underwent abdominoperineal resection initially. Univariable analysis showed that T stage predicted recurrence-free survival (RFS) (Hazard ratio [HR] = 3.03, 95% Confidence interval [CI]: 1.10-8.37, p = 0.032), and age group (HR = 2.90, 95% CI: 1.12-7.49, p = 0.028), AJCC stage (HR = 4.56, 95% CI: 1.02-20.35, p = 0.046), and N stage (HR = 3.05, 95% CI: 1.07-8.74, p = 0.038) predicted overall survival (OS). CONCLUSIONS: T stage was identified as prognostic factor of RFS, and age, AJCC stage, and N stage were identified as prognostic factors of OS. Improving symptom awareness and earlier presentation among patients potentially at risk for anal SCC should be encouraged. Familiarity with the standard treatment among health care providers in China should be further improved.


Subject(s)
Anus Neoplasms , Carcinoma, Squamous Cell , Age Factors , Aged , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Anus Neoplasms/complications , Anus Neoplasms/epidemiology , Anus Neoplasms/pathology , Anus Neoplasms/therapy , Carcinoma, Squamous Cell/complications , Carcinoma, Squamous Cell/epidemiology , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/therapy , China/epidemiology , Confidence Intervals , Disease-Free Survival , Female , Gastrointestinal Hemorrhage/etiology , Humans , Male , Middle Aged , Neoplasm Staging , Prognosis , Radiotherapy Dosage , Retrospective Studies , Symptom Assessment , Tumor Burden
13.
Biomed Microdevices ; 22(2): 27, 2020 03 28.
Article in English | MEDLINE | ID: mdl-32222836

ABSTRACT

Conventional flow cytometers employ hydrodynamic focusing method to insure detection accuracy by forcing cells go through detected position. However, an increased flow velocity will significantly reduce detection precision due to a fact that cells will deviate center position and are easily silted in choke point. In an effort to overcome this limitation, a two-dimension ultrasonic particle focusing method are presented in this work to enhance the performance of flow cytometer. Two piezoelectric transducers are used to attach to a 250 µm × 250 µm rectangular fused silica flow channel to realize the modification. Finite element model simulation is performed for parametrical analysis and simplifying experiment design. 3 µm polystyrene fluorescent particles are adopted to test focusing effect. One dimension acoustic focusing is achieved at 2.95 MHz with single focusing node as well as 2, 3, 4 nodes focusing near 6, 9, 12 MHz respectively. The 2D focusing particle stream width in two dimensions is less than 10 µm. Results verified that this method is applicable for Jurkat cells. Sample flow maintains its stability without clogging up even at high sample concentration. Focusing still works at flow velocity over 100 µl/min. All these results certify this acoustic particles focusing method can enhance the performance of hydrodynamic flow cytometer by minor modification.


Subject(s)
Acoustics , Flow Cytometry/instrumentation , Hydrodynamics , Limit of Detection , Ultrasonic Waves
14.
BMC Infect Dis ; 20(1): 149, 2020 Feb 18.
Article in English | MEDLINE | ID: mdl-32070297

ABSTRACT

BACKGROUND: HIV testing plays a central role in the combat against HIV. We aimed to determine if the availability of HIV self-testing (HIVST) would increase the frequency of testing among men who have sex with men (MSM) attending university in China. METHODS: A stepped wedge randomized controlled trial will be conducted in 4 provinces in China: Chongqing, Guangdong, Shandong, and Tianjin. Eligibility assessment will include (1) male, aged 16 years or older, (2) university student (technical diploma and undergraduate students), (3) MSM (sexual behaviors including mutual masturbation, oral sex, and anal sex), (4) HIV negative, and (5) willing to provide informed consent. Participants will be randomly allocated to HIV self-testing intervention with free HIVST kits in every 30 days according to the intervention waiting lists with a computer-generated randomized sequence. All participants will complete a self-administrated online questionnaire onsite at baseline and 12-month follow-up and complete an online questionnaire at 4- and 8-month. The primary outcome is the effect of HIVST on HIV testing frequency. Secondary outcomes include the change in sexual behaviors and HIV incidence. DISCUSSION: No previous study had measured the effect of social media based HIVST intervention on the change in HIV testing behaviors, sexual behaviors and incident HIV infection among MSM attending university in China. Findings from this study will provide evidence for further interventional practice promotions and prevention strategies scale-up, including HIV testing, pre-exposure prophylaxis (PrEP) or post-exposure prophylaxis (PEP), and sexual partner serosorting. TRIAL REGISTRATION: Chinese Clinical Trial Registry: ChiCTR1900020645. Registered 11 January 2019.


Subject(s)
HIV Infections/diagnosis , Homosexuality, Male , Self Care/methods , Adolescent , Adult , China/epidemiology , HIV Infections/epidemiology , HIV Serosorting , Health Risk Behaviors , Humans , Male , Randomized Controlled Trials as Topic , Sexual Behavior , Sexual Partners , Social Media , Surveys and Questionnaires , Universities , Young Adult
15.
Cereb Cortex ; 29(10): 4119-4129, 2019 09 13.
Article in English | MEDLINE | ID: mdl-30535319

ABSTRACT

This study used large-scale time-varying network analysis to reveal the diverse network patterns during the different decision stages and found that the responses of rejection and acceptance involved different network structures. When participants accept unfair offers, the brain recruits a more bottom-up mechanism with a much stronger information flow from the visual cortex (O2) to the frontal area, but when they reject unfair offers, it displayed a more top-down flow derived from the frontal cortex (Fz) to the parietal and occipital cortices. Furthermore, we performed 2 additional studies to validate the above network models: one was to identify the 2 responses based on the out-degree information of network hub nodes, which results in 70% accuracy, and the other utilized theta burst stimulation (TBS) of transcranial magnetic stimulation (TMS) to modulate the frontal area before the decision-making tasks. We found that the intermittent TBS group demonstrated lower acceptance rates and that the continuous TBS group showed higher acceptance rates compared with the sham group. Similar effects were not observed after TBS of a control site. These results suggest that the revealed decision-making network model can serve as a potential intervention model to alter decision responses.


Subject(s)
Brain/physiology , Decision Making/physiology , Adolescent , Adult , Electroencephalography , Female , Frontal Lobe/physiology , Humans , Male , Neural Pathways/physiology , Transcranial Magnetic Stimulation , Young Adult
16.
Acta Neurochir (Wien) ; 162(1): 141-146, 2020 01.
Article in English | MEDLINE | ID: mdl-31741113

ABSTRACT

BACKGROUND: We proposed contralateral cervical seventh nerve transfer for spastic arm paralysis after central neurological injury in the New England Journal of Medicine (NEJM) in 2018. In this surgery, we applied a new surgical route for nerve transfer, the Huashan prespinal route. The objective of this study was to elaborate our new surgical technique, clarify its relationship to the vertebral artery, and provide anatomical data on this novel method. METHODS: The effectiveness and safety of the Huashan prespinal route in contralateral C7 nerve transfer were evaluated anatomically. Nine cadavers (4 males, 5 females) were available for this study. Among these, anatomical parameters of the vertebral artery were obtained from 6 cadavers, and the anastomosis of the bilateral cervical seventh nerve was observed on 3 cadavers undergoing contralateral C7 nerve transfer via the Huashan prespinal route. RESULTS: Tension-free anastomosis of the bilateral cervical seventh nerve was achieved through the Huashan prespinal route. The tilt angle of the vertebral artery to the sagittal plane (with thyroid cartilage as the origin) was 25.5 ± 4.5°, at 22.5 ± 1.6° and 28.7 ± 4.3° on the left and right side, respectively. The safe drilling angle to penetrate through the longus colli muscles for the creation of a longus colli muscle tunnel to avoid injury to the vertebral artery in our surgical technique was above 33.2°. CONCLUSIONS: The cadaveric study confirms that the presented technique allowed simple, effective, and safe contralateral C7 nerve transfer. This technique can be used in the treatment of hemiplegia and brachial plexus injury. There is a safe scope of drilling angle for creating the longus colli muscle tunnel required for this surgical route. The anatomical parameters obtained in this study will be helpful for the performance of this operation.


Subject(s)
Arm/surgery , Brachial Plexus Neuropathies/surgery , Hemiplegia/surgery , Muscle Spasticity/surgery , Nerve Transfer/methods , Cadaver , Cervical Vertebrae/surgery , Female , Humans , Male , Spinal Nerve Roots/surgery
17.
Sex Health ; 17(5): 437-443, 2020 11.
Article in English | MEDLINE | ID: mdl-33497599

ABSTRACT

Background Rectal douching, which is a common practice among men who have sex men (MSM) as a preparation for anal sex, may potentially increase the risk of HIV infection. However, little is known about the practice of rectal douching among Chinese MSM. This study investigated the characteristics of rectal douching and factors associated with rectal douching. METHODS: Between January and March 2019, MSM aged ≥18 years in six cities in China were recruited to the study. Participants were asked to complete a self-administered online questionnaire. Chi-squared tests and multivariable logistic regression were used to examine factors associated with rectal douching by calculating odds ratios (ORs) and 95% confidence intervals (CIs). RESULTS: Of 485 MSM in this study, 278 (57.3%) practiced rectal douching in the preceding 6 months. The most common reasons for douching before and after anal sex were hygiene/cleanliness (78.6% and 66.1% respectively) and HIV/STI prevention (8.5% and 17.4% respectively). The most used enemas and equipment before and after anal sex were tap water (73.5% and 70.2% respectively) and showerhead hoses (76.1% and 75.2% respectively). Men who engaged in both insertive and receptive anal sex (OR 8.84; 95% CI 4.52-17.30), exclusively receptive anal sex (OR 6.56; 95% CI 3.55-12.13), condom-less anal intercourse (OR 1.64; 95% CI 1.03-2.63) and anal sex after alcohol use (OR 1.54; 95% CI 1.00-2.35) were more likely to perform douching. CONCLUSION: Rectal douching is common in MSM, some of whom may not realise the potential risks associated with douching. The co-occurrence of douching and other high-risk behaviours would make MSM more vulnerable to HIV. Health education aimed at informing MSM of the potential risks and addressing the high prevalence of douching are urgently needed.


Subject(s)
Homosexuality, Male , Rectum , Sexual and Gender Minorities/statistics & numerical data , Therapeutic Irrigation/statistics & numerical data , Adolescent , Adult , China , Cities , Cross-Sectional Studies , Humans , Male , Middle Aged , Prevalence , Young Adult
18.
Sensors (Basel) ; 20(7)2020 Mar 27.
Article in English | MEDLINE | ID: mdl-32230873

ABSTRACT

Internet of Things (IoT) devices connected to the Internet are exploding, which poses a significant threat for their management and security protection. IoT device identification is a prerequisite for discovering, monitoring, and protecting these devices. Although we can identify the device type easily through grabbing protocol banner information, both brand and model of different types of device are various and diverse. We should therefore utilize multi-protocol probes to improve the fineness of device identification and obtain the corresponding brand and model. However, it is still a challenge to balance between the multi-protocol probe overhead and the identification fineness. To solve this problem, we proposed a time-efficient multi-protocol probe scheme for fine-grain devices identification. We first adopted the concept of reinforcement learning to model the banner-based device identification process into a Markov decision process (MDP). Through the value iteration algorithm, an optimal multi-protocol probe sequence is generated for a type-known IoT device, and then the optimal multi-protocol probes sequence segment is extracted based on the gain threshold of identification accuracy. We took 132,835 webcams as the sample data to experiment. The experimental results showed that our optimal multi-protocol probes sequence segment could reduce the identification time of webcams' brand and model by 50.76% and achieve the identification accuracy of 90.5% and 92.3% respectively. In addition, we demonstrated that our time-efficient optimal multi-protocol probe scheme could also significantly improve the identification efficiency of other IoT devices, such as routers and printers.

19.
Entropy (Basel) ; 22(8)2020 Aug 14.
Article in English | MEDLINE | ID: mdl-33286662

ABSTRACT

The accurate identification of an attention deficit hyperactivity disorder (ADHD) subject has remained a challenge for both neuroscience research and clinical diagnosis. Unfortunately, the traditional methods concerning the classification model and feature extraction usually depend on the single-channel model and static measurements (i.e., functional connectivity, FC) in the small, homogenous single-site dataset, which is limited and may cause the loss of intrinsic information in functional MRI (fMRI). In this study, we proposed a new two-stage network structure by combing a separated channel convolutional neural network (SC-CNN) with an attention-based network (SC-CNN-attention) to discriminate ADHD and healthy controls on a large-scale multi-site database (5 sites and n = 1019). To utilize both intrinsic temporal feature and the interactions of temporal dependent in whole-brain resting-state fMRI, in the first stage of our proposed network structure, a SC- CNN is used to learn the temporal feature of each brain region, and an attention network in the second stage is adopted to capture temporal dependent features among regions and extract fusion features. Using a "leave-one-site-out" cross-validation framework, our proposed method obtained a mean classification accuracy of 68.6% on five different sites, which is higher than those reported in previous studies. The classification results demonstrate that our proposed network is robust to data variants and is also replicated across sites. The combination of the SC-CNN with the attention network is powerful to capture the intrinsic fMRI information to discriminate ADHD across multi-site resting-state fMRI data.

20.
Zhongguo Yi Liao Qi Xie Za Zhi ; 44(3): 210-215, 2020 Mar 08.
Article in Zh | MEDLINE | ID: mdl-32621427

ABSTRACT

An intravascular ultrasound-enhanced thrombolysis excitation system with adjustable frequency, amplitude and duty cycle was designed based on FPGA (ZYNQ-7Z020). Firstly, the FPGA generated waveform amplitude binary data based on direct digital frequency synthesis (DDS) technology, and then the data was converted into burst signal through an external daughter card, which included D/A conversion circuit, active low-pass filter, power amplifier circuit and impedance matching circuit. The test results demonstrated that the output waveform reached the target with advantages of simple implementation and flexible control, the peak negative pressure generated from ultrasound transducer was doubled by means of an electrical impedance matching network. In vitro thrombus models were applied to verify the excitation system, it turned out that ultrasound cavitation effect generated could accelerate the penetration of urokinase and increase the thrombolysis rate by about 20%.


Subject(s)
Amplifiers, Electronic , Thrombolytic Therapy , Electric Impedance , Ultrasonography , Ultrasonography, Interventional
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