Assessment of non-directed computer-use behaviours in the home can indicate early cognitive impairment: A proof of principle longitudinal study.

OBJECTIVES: Computer-use behaviours can provide useful information about an individual's cognitive and functional abilities. However, little research has evaluated unaided and non-directed home computer-use. In this proof of principle study, we explored whether computer-use behaviours recorded during routine home computer-use i) could discriminate between individuals with subjective cognitive decline (SCD) and individuals with mild cognitive impairment (MCI); ii) were associated with cognitive and functional scores; and iii) changed over time. METHODS: Thirty-two participants with SCD (n = 18) or MCI (n = 14) (mean age = 72.53 years; female n = 19) participated in a longitudinal study in which their in-home computer-use behaviour was passively recorded over 7-9 months. Cognitive and functional assessments were completed at three time points: baseline; mid-point (4.5 months); and end point (month 7 to 9). RESULTS: Individuals with MCI had significantly slower keystroke speed and spent less time on the computer than individuals with SCD. More time spent on the computer was associated with better task switching abilities. Faster keystroke speed was associated with better visual attention, recall, recognition, task inhibition, and task switching. No significant change in computer-use behaviour was detected over the study period. CONCLUSION: Passive monitoring of computer-use behaviour shows potential as an indicator of cognitive abilities, and can differentiate between people with SCD and MCI. Future studies should attempt to monitor computer-use behaviours over a longer time period to capture the onset of cognitive decline, and thus could inform timely therapeutic interventions.Supplemental data for this article can be accessed online at http://dx.doi.org/10.1080/13607863.2022.2036946.

UPANets: Learning from the Universal Pixel Attention Neworks.

With the successful development in computer vision, building a deep convolutional neural network (CNNs) has been mainstream, considering the character of shared parameters in a convolutional layer. Stacking convolutional layers into a deep structure improves performance, but over-stacking also ramps up the needed resources for GPUs. Seeing another surge of Transformers in computer vision, the issue has aroused severely. A resource-hungry model is hardly implemented for limited hardware or single-customers-based GPU. Therefore, this work focuses on these concerns and proposes an efficient but robust backbone, which equips with channel and spatial direction attentions, so the attentions help to expand receptive fields in shallow convolutional layers and pass the information to every layer. An attention-boosted network based on already efficient CNNs, Universal Pixel Attention Networks (UPANets), is proposed. Through a series of experiments, UPANets fulfil the purposes of learning global information with less needed resources and outshine many existing SOTAs in CIFAR-{10, 100}.

Causes and preventive measures of symptomatic spinal epidural haematoma after spinal surgery.

STUDY DESIGN: This was a retrospective study to evaluate clinical characteristics of patients who developed symptomatic spinal epidural haematoma (SSEH) after spinal surgery. OBJECTIVE: The objective was to determine clinical parameters associated with the development of SSEH after spinal surgery, and to discuss clinical management and possible preventive measures. Although the incidence rate of SSEH is low, the neurological sequelae are devastating. There are limited reports which identify risk factors for SSEH because of the rarity of the condition. METHODS: The 4,457 cases of spine operations performed in two medical centres were reviewed. Eleven of the cases developed postoperative spinal epidural haematomas, causing neurologic deterioration. The clinical manifestations of these 11 cases were described, and factors associated with the recovery of neurologic function were evaluated. RESULTS: The causes of SSEH following spinal surgery included inadequate drainage (9 cases), administration of anticoagulants (6 cases) and complicated coagulation disorders (1 case). The main clinical manifestation was progressive neurological deterioration in the innervated area. Seven cases underwent MRI examination and compressions of dural sac and spinal cord were observed. High pressure haematomas were found in eight cases during haematoma evacuation. Statistical analyses showed that patients with mild nerve injury at the initial stage were associated with better recovery (P<0.05). Patients who recovered completely had shorter symptom duration on average. CONCLUSIONS: Post-operative bleeding in the wound and inadequate drainage are the primary causes of SSEH. The severity of neurologic injury before haematoma evacuation was associated with the treatment outcome; therefore, it is important to have early diagnosis of SSEH to prevent progression of the neurologic injury.

Real-time Automatic M-mode Echocardiography Measurement with Panel Attention.

Motion mode (M-mode) echocardiography is essential for measuring cardiac dimension and ejection fraction. However, the current diagnosis is time-consuming and suffers from diagnosis accuracy variance. This work resorts to building an automatic scheme through well-designed and well-trained deep learning to conquer the situation. That is, we proposed RAMEM, an automatic scheme of real-time M-mode echocardiography, which contributes three aspects to address the challenges: 1) provide MEIS, the first dataset of M-mode echocardiograms, to enable consistent results and support developing an automatic scheme; For detecting objects accurately in echocardiograms, it requires big receptive field for covering long-range diastole to systole cycle. However, the limited receptive field in the typical backbone of convolutional neural networks (CNN) and the losing information risk in non-local block (NL) equipped CNN risk the accuracy requirement. Therefore, we 2) propose panel attention embedding with updated UPANets V2, a convolutional backbone network, in a real-time instance segmentation (RIS) scheme for boosting big object detection performance; 3) introduce AMEM, an efficient algorithm of automatic M-mode echocardiography measurement, for automatic diagnosis; The experimental results show that RAMEM surpasses existing RIS schemes (CNNs with NL & Transformers as the backbone) in PASCAL 2012 SBD and human performances in MEIS. The implemented code and dataset are available at https://github.com/hanktseng131415go/RAMEM.

[Prevalence and control of schistosomiasis in Jiangxi Province during 2002-2012].

OBJECTIVE: To analyze the status of prevalence and control of schistosomiasis in Jiangxi Province from 2002 to 2012. METHODS: Endemic status and control effectiveness during the period from 2002 to 2012 was analyzed by using a combination of field survey, data collection and retrospective investigation. RESULTS: From 2002 to 2012, schistosomiasis control made significant achievements in Jiangxi Province. The number of counties which have reached the criteria of transmission interruption of schistosomiasis increased from 19 in 2002 to 22 in 2012. The number of patients with schistosome infection decreased from 128 331 in 2002 to 73 102 in 2012. The positive rate of serological test and fecal examination in residents decreased from 12.2% and 4.2% in 2002 to 5.2% and 0.4% in 2012, respectively. Acute infection reduced from 146 cases in 2002 to 3 cases in 2012, but advanced cases increased by 42.4%. The positive rate of fecal examination in cattle reduced from 4.7% in 2002 to 1.3% in 2012. The density of living snails and infected snails significantly decreased to 0.083 5/0.1 a? and 0.000 037/0.1 m2 in 2012, respectively. However, the snail-ridden areas slightly increased. Jiangxi Province reached the criteria of endemic control for schistosomiasis in 2008. During 2002-2012, control activities were intensified. Examination and chemotherapy for human increased by 65.2% and 65.5%, while 23.4% and 251.1% for cattle. Mean while, area with snail control activities increased by 617.8%. An integrated strategy of infection source control was implemented in the Province. CONCLUSION: During 2002 to 2012, endemic index of schistosomiasis in Jiangxi showed a steady decline after 2005. Currently, schistosomiasis prevalence shows a low level. The endemic indicators of infection in human and livestock as well as Oncomelania snails have been kept stable at low level.

A novel CNN gap layer for growth prediction of palm tree plantlings.

Monitoring palm tree seedlings and plantlings presents a formidable challenge because of the microscopic size of these organisms and the absence of distinguishing morphological characteristics. There is a demand for technical approaches that can provide restoration specialists with palm tree seedling monitoring systems that are high-resolution, quick, and environmentally friendly. It is possible that counting plantlings and identifying them down to the genus level will be an extremely time-consuming and challenging task. It has been demonstrated that convolutional neural networks, or CNNs, are effective in many aspects of image recognition; however, the performance of CNNs differs depending on the application. The performance of the existing CNN-based models for monitoring and predicting plantlings growth could be further improved. To achieve this, a novel Gap Layer modified CNN architecture (GL-CNN) has been proposed with an IoT effective monitoring system and UAV technology. The UAV is employed for capturing plantlings images and the IoT model is utilized for obtaining the ground truth information of the plantlings health. The proposed model is trained to predict the successful and poor seedling growth for a given set of palm tree plantling images. The proposed GL-CNN architecture is novel in terms of defined convolution layers and the gap layer designed for output classification. There are two 64×3 conv layers, two 128×3 conv layers, two 256×3 conv layers and one 512×3 conv layer for processing of input image. The output obtained from the gap layer is modulated using the ReLU classifier for determining the seedling classification. To evaluate the proposed system, a new dataset of palm tree plantlings was collected in real time using UAV technology. This dataset consists of images of palm tree plantlings. The evaluation results showed that the proposed GL-CNN model performed better than the existing CNN architectures with an average accuracy of 95.96%.

A strategy to control transmission of Schistosoma japonicum in China.

BACKGROUND: Schistosoma japonicum causes an infection involving humans, livestock, and snails and is a significant cause of morbidity in China. METHODS: We evaluated a comprehensive control strategy in two intervention villages and two control villages along Poyang Lake in the southeastern province of Jiangxi, where annual synchronous chemotherapy is routinely used. New interventions, implemented from 2005 through 2007, included removing cattle from snail-infested grasslands, providing farmers with mechanized farm equipment, improving sanitation by supplying tap water and building lavatories and latrines, providing boats with fecal-matter containers, and implementing an intensive health-education program. During the intervention period, we observed changes in S. japonicum infection in humans, measured the rate of infection in snails, and tested the infectivity of lake water in mice. RESULTS: After three transmission seasons, the rate of infection in humans decreased to less than 1.0% in the intervention villages, from 11.3% to 0.7% in one village and from 4.0% to 0.9% in the other (P<0.001 for both comparisons). The rate of infection in humans in control villages fluctuated but remained at baseline levels. In intervention villages, the percentage of sampling sites with infected snails decreased from 2.2% to 0.1% in one grassland area and from 0.3% to no infection in the other (P<0.001 for both comparisons). The rate of infection in mice after exposure to lake water decreased from 79% to no infection (P<0.001). CONCLUSIONS: A comprehensive control strategy based on interventions to reduce the rate of transmission of S. japonicum infection from cattle and humans to snails was highly effective. These interventions have been adopted as the national strategy to control schistosomiasis in China.

Two new diterpenoids from Croton crassifolius.

Two new clerodane-type diterpenoids were isolated from the roots of Croton crassifolius Geisel. The structures of these compounds were elucidated as 9-[2-(2(5H)-furanone-4-yl)ethyl]-4,8,9-trimethyl-1,2,3,4,5,6,7,8-octahydronaphthalene-4-carboxylic acid (1) and methyl 9-[2-(2(5H)-furanone-4-yl)ethyl]-4,8,9-trimethyl-1,2,3,4,5,6,7,8-octahydronaphthalene-4-carboxylic ester (2) by spectroscopic methods.

[Chemical constituents of Berchemia lineate].

OBJECTIVE: To investigate the chemical constituents of the roots of Berchemia lineate as a medicinal plant of Yao nationality in China. METHODS: Compounds were isolated by various column chromatography and elucidated by physicochemical and spectral analysis. RESULTS: Nine compounds were isolated from the 95% ethanol extract of the roots of Berchemia lineate and their structures were identified as palmitic acid (1), octadecanoic acid (2), beta-sitosterol (3), stigmasterol (4), fernenol (5), chrysophanol (6), physcion (7), floribundiquinone D (8), 2-acetylphyscion(9) respectively. CONCLUSION: Compounds 1-4,7-9 are isolated from this plant for the first time,and compounds land 2 are firstly isolated from this genus.

[Gene synthesis, expression and characterization of egg protein IPSE of Schistosoma mansoni].

OBJECTIVE: To synthesize and express the gene of egg protein IPSE (IL-4-inducing principle of Schistosoma mansoni eggs) and evaluate its immunologic characteristics. METHODS: The IPSE gene of S. mansoni was synthesized by overlapping PCR, and confirmed by DNA sequencing, The recombinant plasmid IPSE-pET32a(+) was constructed by inserting the gene of IPSE into expression vector pET32a(+) at the downstream of thioredoxin (Trx) coding sequence. The recombinant plasmid IPSE-pET32a(+) was transformed into E. coli BL21(DE3) and followed by expression of the protein induced by IPTG. Large-scale fusion protein was prepared and purified with Ni affinity chromatography gel under denaturing conditions. A small amount of soluble Trx-IPSE was obtained by dialyzing the fusion protein in a large volume of PBS. Western blotting was used to detect if the recombinant IPSE was recognized by the IgG antibody in the pooled patient sera of schistosomiasis japonica and its binding capacity to the non-specific IgE antibody in the sera of healthy persons. RESULTS: DNA sequencing confirmed that the nucleotide sequence of synthesized IPSE gene was completely identical to the native one. SDS-PAGE showed that the recombinant plasmid IPSE/pET32a(+) expressed a fusion protein with an Mr 35700 after being induced by IPTG. The pure fusion protein Trx-IPSE reacted positively with the pooled sera of schistosomiasis patients under either denaturing or renaturing conditions. The protein Trx-IPSE also reacted with the nonspecific IgE in the sera of healthy persons. CONCLUSION: The IPSE gene of Schistosoma mansoni has been synthesized, and the recombinant can react with natural antibody IgG against S. japonicum and non-specifically bind to IgE antibody.

[Comparative evaluation of five test kits for antibody detection in Schistosoma japonicum endemic areas of Poyang Lake region].

OBJECTIVE: To evaluate the efficacy of five diagnostic test kits for the detection of antibodies to Schistosoma japonicum in endemic areas of Poyang Lake. METHODS: Residents over 5 years old in three schistosomiasis-endemic administrative villages in the lake region were simultaneously examined by modified Kato-Katz thick smears and nylon bag sedimentation/hatching method. At the same time, five sero-diagnostic test kits for detection of IgG antibody against soluble egg antigen of S. japonicum were carried out. RESULTS: The distribution of seropositive rates of S. japonicum IgG antibodies determined by sero-diagnostic tests showed similar trends with that of egg positive rates in different age groups, but the seropositive rate (33.1%-57.1%) was significantly higher than that of egg positive rate (5.0%-8.2%), both reached a peak in 40-49-year-old group. The antibody positive rates determined by each test increased with the infection intensity. The sensitivity of the evaluated test kits ranged from 81.2%-94.5%. 26.9% to 46.1% among those egg negatives were antibody positive by the kits. Furthermore, 5.5%-18.8% of the egg positives were antibody negative by the kits. CONCLUSION: The five sero-diagnostic kits can be used for epidemiological survey in schistosomiasis endemic areas at community level. Among them, enzyme-linked immunosorbent assay shows higher sensitivity.

Interval Multiobjective Optimization With Memetic Algorithms.

One of the most important and widely faced optimization problems in real applications is the interval multiobjective optimization problems (IMOPs). The state-of-the-art evolutionary algorithms (EAs) for IMOPs (IMOEAs) need a great deal of objective function evaluations to find a final Pareto front with good convergence and even distribution. Further, the final Pareto front is of great uncertainty. In this paper, we incorporate several local searches into an existing IMOEA, and propose a memetic algorithm (MA) to tackle IMOPs. At the start, the existing IMOEA is utilized to explore the entire decision space; then, the increment of the hypervolume is employed to develop an activation strategy for every local search procedure; finally, the local search procedure is conducted by constituting its initial population, whose center is an individual with a small uncertainty and a big contribution to the hypervolume, taking the contribution of an individual to the hypervolume as its fitness function, and performing the conventional genetic operators. The proposed MA is empirically evaluated on ten benchmark IMOPs as well as an uncertain solar desalination optimization problem and compared with three state-of-the-art algorithms with no local search procedure. The experimental results demonstrate the applicability and effectiveness of the proposed MA.

[Efficacy and adverse effects of film coated praziquantel for treatment of schistosomiasis japonica].

OBJECTIVE: To understand the adverse and curative effects of film coated praziquantel for treatment of schistosomiasis japonica. METHODS: A questionnaire survey was conducted among 6 to 65 years old inhabitants from epidemic areas of schistosomiasis japonica in Jiangxi, Anhui and Hubei provinces, while indirect haemagglutination assay (IHA) was also administrated. The Serological positives were tested by Kato-Katz technique. A total of 509 habitats of serological positives and healthy persons were given praziquantel. 460 targets with no relative symptoms were followed up for adverse effect of drugs in one month and efficacy evaluation of praziquantel was carried out in 104 parasitological positives 3 months post-treatment. RESULTS: The 84.7% (144/170) individuals thought film coated tablets were no smell or only with little smell while 92.9%(315/339) targets in control group fell that tablets smelled bad. The total side effect rates of film coated praziquantel group and control group in 1-2 hours post-treatment were 20.30% (27/133) and 83.18% (272/327) respectively. There was significantly different between two groups (chi(2) = 164.316, P < 0.05). The adverse effect rates of film coated praziquantel group in neuromuscular system, digestive system and cardiovascular system were 15.79% (21/133), 9.77% (13/133), 2.26% (3/133) individually which were significantly lower than those of control groups with 81.65% (267/327), 49.24% (161/327), 12.84% (42/327) in corresponding systems (chi(2)(neuromuscular system) = 175.188, chi(2)(digestive system) = 62.601, chi(2)(cardiovascular system) = 12.010, P < 0.05). And the adverse effect rate of allergic reaction of film coated group was no significant difference with control group (2.26%(3/133) versus 0.92% (3/327), chi(2) = 1.315, P = 0.235). One day after treatment, the adverse effect rate of film coated tablets of praziquantel decreased to 3.01% (4/133), significantly lower than that of control group (P < 0.05). There was no significant difference after 2 weeks treatment while the adverse effect rates decreased to 0.75%(1/133), 0.61% (2/327) in film coated praziquantel group and control group respectively (chi(2) = 0.029, P = 0.642). The curative rates 3 months post treatment were 84.91% (45/51) in film coated tablets of praziquantel group and 82.35% (42/53) in control group without significant difference (chi(2) = 1.536, P = 0.215). CONCLUSION: The smell and adverse effects of film coated tablets of praziquantel were decreased significantly and its efficacy for treatment of schistosomiasis japonica was equal to the control tablets. The film coated tablets of praziquantel might be applied in field widely after a further verification.

[Cost-effectiveness and cost-benefit analysis on the integrated schistosomiasis control strategies with emphasis on infection source in Poyang Lake region].

OBJECTIVE: To evaluate the cost-effectiveness and cost-benefit on the integrated schistosomiasis control strategies with emphasis on infection source, and provide scientific basis for the improvement of schistosomiasis control strategy. METHODS: Aiguo and Xinhe villages in Jinxian County were selected as intervention group where the new comprehensive strategy was implemented, while Ximiao and Zuxi villages in Xinzi County served as control where routine control program was implemented. New strategy of interventions included removing cattle from snail-infested grasslands and providing farmers with farm machinery, improving sanitation by supplying tap water and building lavatories and methane gas tanks, and implementing an intensive health education program. Routine interventions were carried out in the control villages including diagnosis and treatment for human and cattle, health education, and focal mollusciciding. Data were collected from retrospective investigation and field survey for the analysis and comparison of cost-effectiveness and cost-benefit between intervention and control groups. RESULTS: The control effect of the intervention group was better than that of the control. The cost for 1% decrease of infection rate per 100 people, 100 cattle, and 100 snails in intervention group was 480.01, 6 851.24, and 683.63 Yuan, respectively, which were about 2.70, 4.37 and 20.25 times as those in the control respectively. The total cost/benefit ratio (BCR) was lower than 1 (0.94 in intervention group and 0.08 in the control). But the total benefit of intervention group was higher than that of the control from 2005 to 2008. The forecasting analysis indicated that the total BCR in intervention group would be 1.13 at the 4th year and all cost could be recalled. Sensitivity analysis revealed that the BCR in intervention group changed in the range around 1.0 and that of the control ranged blow 0.5. The cost-benefit of intervention group was evidently higher than that of the control. CONCLUSIONS: The integrated control strategy focusing on infection source control brings about triplex benefits in schistosomiasis control, social development (and ecological protection) and economic efficacy, and shows better effects and benefits than the conventional control strategy.

[The first national survey on natural nidi of Angiostrongylus cantonensis in China].

OBJECTIVE: To reveal the natural distribution of Angiostrongylus cantonensis in the mainland of China. METHODS: The potential areas of A. cantonensis and its main intermediate host Pomacea canaliculata were predicted based on degree-day models using GIS technique. A grid sampling was performed on the prediction map and 5% grids were randomly sampled. A total of 55 sampled sites were selected for the survey on A. cantonensis and its hosts in September-October of 2006. RESULTS: Nineteen Provinces/Municipalities/Autonomous Regions were found as potential habitats for P. canaliculata in the mainland of China. It was then confirmed that the snails distributed in the provinces of Fujian, Jiangxi, Zhejiang, Hunan, Guangdong, Guangxi, Hainan, and Yunnan. Higher prevalence of A. cantonensis in P. canaliculata was detected in Jianou of Fujian (36.6%), Xingguo of Jiangxi (19.9%), Rui'an of Zhejiang (16.0%), Rucheng of Hunan (5.0%), Huazhou of Guangdong (6.3%), Shangsi of Guangxi (39.1%) and Wuzhishan of Hainan (25.0%). CONCLUSION: Natural nidi of A. cantonensis have been found in seven provinces where natural infection in P. canaliculata has been detected.

Effect of integrated control intervention on soil-transmitted helminth infections in Jiangxi province in southeast China.

Soil transmitted helminths (STHs) burden was enormous in China several decades ago, however, rigorous control efforts have been successful with appreciable reduction in diseases burden. Here, we assessed provincial-level data derived from cross sectional surveys, executed in 1989, 2002 and 2014, on the prevalence of STHs among populations in Jiangxi province, China. This study, also, reported STHs integrated control intervention aimed at reducing STHs transmission and worm burden among population at county-level. The intervention strategies included mass drug administration (MDA), health education, improved water supply for drinking, improved sanitary facilities and environmental modification in Guixi municipality. The overall infection rate of STHs in Jiangxi province decreased from 77.7% (1989) to 6.3% (2014), while Ascaris lumbricoides, hookworm and Trichuris trichiura decreased from 71.1%, 17.6% and 17.0% (1989) to 0.9%, 4.7% and 1.0% (2014), respectively. STHs infection rates in female population were higher than male in the three surveys. Reduction in STHs prevalence was observed in all age groups, but the decline was less in higher age group. STHs prevalence in Guixi intervention region indicated remarkable reduction from 31.8% (2006) to 6.1% (2009) (χ2＝255.22, P＜0.01). A. lumbricoides, hookworm and T. trichiura infection rates decreased from 10.4%, 17.0% and 7.1% (2006) to 0.1%, 4.1% and 2.2%, respectively (2009) (X2A.l = 110.23, P<0.01; X2hk = 103.57, P < 0.01; X2T.t = 32.0, P < 0.01). A. lumbricoides infection rate declined the most of all STHs. Following control efforts with integrated control intervention strategies, STHs prevalence in Jiangxi province experienced remarkable trend in decline between 1989 and 2014. Consolidating control efforts with sustained integrated control strategies is, therefore, important to achieving STHs elimination in China.

Density-driven generalized regression neural networks (DD-GRNN) for function approximation.

This paper proposes a new nonparametric regression method, based on the combination of generalized regression neural networks (GRNNs), density-dependent multiple kernel bandwidths, and regularization. The presented model is generic and substitutes the very large number of bandwidths with a much smaller number of trainable weights that control the regression model. It depends on sets of extracted data density features which reflect the density properties and distribution irregularities of the training data sets. We provide an efficient initialization scheme and a second-order algorithm to train the model, as well as an overfitting control mechanism based on Bayesian regularization. Numerical results show that the proposed network manages to reduce significantly the computational demands of having individual bandwidths, while at the same time, provides competitive function approximation accuracy in relation to existing methods.

Generalized regression neural networks with multiple-bandwidth sharing and hybrid optimization.

This paper proposes a novel algorithm for function approximation that extends the standard generalized regression neural network. Instead of a single bandwidth for all the kernels, we employ a multiple-bandwidth configuration. However, unlike previous works that use clustering of the training data for the reduction of the number of bandwidths, we propose a distinct scheme that manages a dramatic bandwidth reduction while preserving the required model complexity. In this scheme, the algorithm partitions the training patterns to groups, where all patterns within each group share the same bandwidth. Grouping relies on the analysis of the local nearest neighbor distance information around the patterns and the principal component analysis with fuzzy clustering. Furthermore, we use a hybrid optimization procedure combining a very efficient variant of the particle swarm optimizer and a quasi-Newton method for global optimization and locally optimal fine-tuning of the network bandwidths. Training is based on the minimization of a flexible adaptation of the leave-one-out validation error that enhances the network generalization. We test the proposed algorithm with real and synthetic datasets, and results show that it exhibits competitive regression performance compared to other techniques.

Prevention of Thromboembolic Complications After Spine Surgery by the Use of Low-Molecular-Weight Heparin.

OBJECTIVE: This study aimed to evaluate the effectiveness and safety of the use of low-molecular-weight heparin (LMWH) in the prevention of thromboembolic complications after spine surgery. METHODS: We conducted a retrospective study on 2 groups of patients receiving spine surgery. A total of 947 patients admitted for surgery from July 2009 to June 2012 were administered therapeutic dose of LMWH daily after the surgery (therapeutic group). Another 814 patients enrolled from July 2006 to June 2009 were not given any heparin treatment (control group). The wound drainage volume, the incidence rate of thrombosis and thromboembolic complications, and the occurrence of bleeding complications in 2 groups were statistically compared. RESULTS: The therapeutic group showed a lower rate of postsurgery thromboembolic complications when compared with the control group (therapeutic group, 0.21%; control group, 1.6%; P = 0.002). Among the individual type of complications, the occurrence of cerebral infraction was the most significantly reduced (P = 0.005). The overall rate of bleeding complications was higher in the therapeutic group compared with the control group, and the difference was marginally insignificant (therapeutic group, 1.8%; control group, 0.74%; P = 0.051). CONCLUSIONS: The use of LMWH significantly decreases the incidence of thrombosis and thromboembolic complications after spine surgery, but increase the incision bleeding, leading to an elevated risk of symptomatic spinal epidural hematoma.

[Study of the efficacy of a monoclonal antibody biotin-avidin system for the diagnosis of schistosomiasis japonica].

OBJECTIVE: To explore the diagnostic efficiency of circulating antigen using the TM5.28 mAB-biotin-avidin system for the detection of schistosomiasis japonica. METHODS: A mAb-biotin-avidin system was set up using a TM5.28 mAB which was prepared against a gut associated antigen of Schistosoma japonicum. Detection was performed on the sera from 50 acute schistosomiasis patients, 224 chronic patients, 49 advanced patients and 46 schistosomiasis patients who were followed up at 6 months and 12 months post treatment. In addition, 19 cases of clonorchiasis, 31 cases of paragonimiasis, 23 cases of hepatitis B and 100 healthy individuals were also included. RESULTS: The system showed sensitivity of 83.1% and specificity of 94.0% when applied to detect chronic schistosomiasis and healthy persons respectively, while 94.0% to acute schistosomiasis. The Youden's index of the system was 0.771. The rate of cross-reaction to paragonimiasis, clonorchiasis and hepatitis B was 12.9%, 15.8% and 13.0% respectively. The rates of negative turning were 43.9% and 62.1% respectively in chronic schistosomiasis at the 6 month and 12 month intervals after treatment. Geometric mean of the OD values also decreased from 0.172 before treatment to 0.081 at 6 months and 0.068 at 12 months after treatment with a reduction rate of 60.30%. The detection rate in the heavy infected population reached a maximum of 90.0%. This was similar in moderate and light infected populations, i.e., 83.9% and 82.1%, respectively. CONCLUSION: The TM5.28 mAb-biotin-avidin system showed a relatively high efficiency in the diagnosis of schistosomiasis and a high negative turning rate after treatment. It is, therefore, a valuable tool for the estimation of prevalence in endemic populations, as well as individual diagnosis and for assessing the effect of chemotherapy.