LncRNA MAGI2-AS3 promotes fracture healing through downregulation of miR-223-3p.

BACKGROUND: Long non-coding RNAs (LncRNAs) are recognized as a pivotal element in the processes of fracture healing and the osteogenic differentiation of stem cells. This study investigated the molecular mechanism and regulatory significance of lncRNA MAGI2-AS3 (MAGI2-AS3) in fracture healing. METHODS: Serum levels of MAGI2-AS3 in patients with normal and delayed fracture healing were verified by RT-qPCR assays. The predictive efficacy of MAGI2-AS3 for delayed fracture healing was analyzed by ROC curve. Osteogenic markers were quantified by RT-qPCR assays. MC3T3-E1 cell viability was detected using CCK-8 assay, and flow cytometry was utilized to measure cell apoptosis. The dual-luciferase reporter gene assay was used to determine the targeted binding between MAGI2-AS3 and miR-223-3p. RESULTS: Serum MAGI2-AS3 expression was decreased in patients with delayed fracture healing compared with patients with normal healing. Elevated MAGI2-AS3 resulted in an upregulation of the proliferative capacity of MC3T3-E1 cells and a decrease in mortality, along with increased levels of both osteogenic markers. However, after transfection silencing MAGI2-AS3, the trend was reversed. Additionally, miR-223-3p was the downstream target of MAGI2-AS3 and was controlled by MAGI2-AS3. miR-223-3p mimic reversed the promoting effects of MAGI2-AS3 overexpression on osteogenic marker levels and cell growth, and induced cell apoptosis. CONCLUSION: The upregulation of MAGI2-AS3 may expedite the healing of fracture patients by targeting miR-223-3p, offering a novel biomarker for diagnosing patients with delayed healing.

Resveratrol-ßcd inhibited premature ovarian insufficiency progression by regulating granulosa cell autophagy.

BACKGROUND: The ovarian environment of premature ovarian insufficiency (POI) patients exhibits immune dysregulation, which leads to excessive secretion of numerous proinflammatory cytokines that affect ovarian function. An abnormal level of macrophage polarization directly or indirectly inhibits the differentiation of ovarian granulosa cells and steroid hormone production, ultimately leading to POI. Resveratrol, as a health supplement, has been widely recognized for its safety. There is a substantial amount of evidence indicating that resveratrol and its analogs possess significant immune-regulatory functions. It has also been reported that resveratrol can effectively inhibit the progression of POI. However, the underlying immunological and molecular mechanisms through which resveratrol inhibits the progression of POI are still unclear. RESULTS: Our preliminary reports have shown that resveratrol-ßcd, the beta-cyclodextrin complex of resveratrol, significantly enhances the stability of resveratrol. Resveratrol-ßcd could regulate the dysfunctional immune status of macrophages and T cells in the tumor microenvironment. In this study, we treated busulfan and cyclophosphamide (B/C)-treated mice, which were used as a POI model, with resveratrol-ßcd. After resveratrol-ßcd treatment, the levels of IL-6 in the ovaries were significantly increased, and the progression of POI was suppressed. IL-6 activated granulosa cells (GCs) through soluble IL-6R (sIL-6R), promoting autophagy in GCs. Resveratrol-ßcd and IL-6 had a synergistic effect on enhancing autophagy in GCs and promoting E2 secretion. CONCLUSIONS: We partially elucidated the immune mechanism by which resveratrol inhibits the progression of POI and the autophagy-regulating function of GCs. This provides a theoretical basis for using resveratrol to prevent POI in future studies and clinical guidance.

Deep learning-based magnetic resonance image segmentation technique for application to glioma.

Introduction: Brain glioma segmentation is a critical task for medical diagnosis, monitoring, and treatment planning. Discussion: Although deep learning-based fully convolutional neural networks have shown promising results in this field, their unstable segmentation quality remains a major concern. Moreover, they do not consider the unique genomic and basic data of brain glioma patients, which may lead to inaccurate diagnosis and treatment planning. Methods: This study proposes a new model that overcomes this problem by improving the overall architecture and incorporating an innovative loss function. First, we employed DeepLabv3+ as the overall architecture of the model and RegNet as the image encoder. We designed an attribute encoder module to incorporate the patient's genomic and basic data and the image depth information into a 2D convolutional neural network, which was combined with the image encoder and atrous spatial pyramid pooling module to form the encoder module for addressing the multimodal fusion problem. In addition, the cross-entropy loss and Dice loss are implemented with linear weighting to solve the problem of sample imbalance. An innovative loss function is proposed to suppress specific size regions, thereby preventing the occurrence of segmentation errors of noise-like regions; hence, higher-stability segmentation results are obtained. Experiments were conducted on the Lower-Grade Glioma Segmentation Dataset, a widely used benchmark dataset for brain tumor segmentation. Results: The proposed method achieved a Dice score of 94.36 and an intersection over union score of 91.83, thus outperforming other popular models.

Tailored Catalysis Inducing Exceptionally Fire-Safe and Mechanically Reinforced Epoxy at An Ultralow Loading.

An unconventional P/N/Si-free fire safety of epoxy at an ultralow loading with a significantly improved mechanical robustness and toughness via a mere nanocomposite technique is a great challenge. To achieve the goal, a proof of concept is proposed associated with a hierarchical manipulation of catalysis-tailored FexSy ultrathin nanosheets on organic-layered double hydroxide (LDH-DBS@FexSy) toward the formation of porous piling structure via a self-sacrificing conversion of metal-organic framework. A sufficient characterization certified the targeted architecture and composition. A P/N/Si-free ultralow loading of 2 wt % LDH-DBS@FexSy (i.e., 0.6 wt % FexSy) imparted epoxy with UL-94 V-0 rating, a 36.1% reduction of peak heat release rate, as well as a pronounced fire-protection feature. A systematic contrastive investigation evidenced a time-dependent fire-shielding effect induced by a featured catalysis-tailored ultrafast charring behavior at the interface of epoxy and LDH nanosheets. Intriguingly, the tensile strength, impact strength, and flexural strength were simultaneously enhanced by 62.2, 185.4, and 62.9%, respectively, with a 0.6 wt % incorporation of FexSy hierarchy on the basis of a "root-soil"-inspired interfacial "interlocking" structure. In perspective, an integrated manipulation of an interface catalysis-tailored ultrafast charring and hierarchical "interlocking" construction offer an effective balance of the fire safety, mechanical robustness, and toughness of polymers.

Targeting Glutamine Metabolism as an Attractive Therapeutic Strategy for Acute Myeloid Leukemia.

OPINION STATEMENT: Relapse after chemotherapy and hematopoietic stem cell transplantation leads to adverse prognosis for acute myeloid leukemia (AML) patients. As a "conditionally essential amino acid," glutamine contributes to the growth and proliferation of AML cells. Glutamine-target strategies as new treatment approaches have been widely explored in AML treatment to improve outcome. Glutamine-target strategies including depletion of systemic glutamine and application of glutamine uptake inhibitors, glutamine antagonists/analogues, and glutaminase inhibitors. Because glutamine metabolism involved in multiple pathways in cells and each pathway of glutamine metabolism has many regulatory factors, therefore, AML therapy targeting glutamine metabolism should focus on how to inhibit multiple metabolic pathways without affecting normal cells and host immune to achieve effective treatment for AML.

Persistent Sciatic Artery in Right Lower Extremity Complicated by Thrombosis: A Case Report.

PURPOSE: Persistent sciatic artery (PSA) is a rare congenital vascular malformation with an incidence of approximately 0.025% to 0.04%. Persistent sciatic artery has major complications, such as aneurysms, thrombosis, and occlusion. Complications may lead to a range of serious clinical problems, and a timely diagnosis of this vascular variant is crucial to avoid life-threatening complications. CASE: A 65-year-old man was admitted to the hospital with pain and chills in the right lower extremity for 2 months, which gradually worsened. This was accompanied by numbness in the right foot for the last 10 days. Computed tomography angiography showed that the right inferior gluteal artery and right popliteal artery of the right internal iliac artery were connected, which is considered a congenital developmental variant. This was complicated by multiple thromboses of the right internal and external iliac arteries, and the right femoral artery. After admission to the hospital, the patient underwent endovascular staging surgery to relieve numbness and pain in the lower extremities. CONCLUSION: Treatment strategies can be selected based on the anatomical characteristics of PSA and superficial femoral artery. Asymptomatic patients with PSA can be closely monitored. Surgery or individualized endovascular treatment plans should be considered for patients with aneurysm formation or vascular occlusion. CLINICAL IMPACT: For the rare vascular variation of the PSA, clinicians must make a timely and accurate diagnosis. Ultrasound screening is essential, which requires experienced ultrasound doctors to be aware of vascular interpretation and develop personalized treatment plans for each patient. In this case, we adopt staged a minimally invasive intervention to solve the problem of lower limb ischemic pain for patients. This operation has the advantages of rapid recovery and less trauma, which has important reference significance for other clinicians.

Transcriptome analysis reveals effects of leukemogenic SHP2 mutations in biosynthesis of amino acids signaling.

Gain-of-function mutations of SHP2, especially D61Y and E76K, lead to the development of neoplasms in hematopoietic cells. Previously, we found that SHP2-D61Y and -E76K confer HCD-57 cells cytokine-independent survival and proliferation via activation of MAPK pathway. Metabolic reprogramming is likely to be involved in leukemogenesis led by mutant SHP2. However, detailed pathways or key genes of altered metabolisms are unknown in leukemia cells expressing mutant SHP2. In this study, we performed transcriptome analysis to identify dysregulated metabolic pathways and key genes using HCD-57 transformed by mutant SHP2. A total of 2443 and 2273 significant differentially expressed genes (DEGs) were identified in HCD-57 expressing SHP2-D61Y and -E76K compared with parental cells as the control, respectively. Gene ontology (GO) and Reactome enrichment analysis showed that a large proportion of DEGs were involved in the metabolism process. Kyoto Encyclopedia of Gene and Genome (KEGG) pathway enrichment analysis showed that DEGs were the mostly enriched in glutathione metabolism and biosynthesis of amino acids in metabolic pathways. Gene Set Enrichment Analysis (GSEA) revealed that the expression of mutant SHP2 led to a significant activation of biosynthesis of amino acids pathway in HCD-57 expressing mutant SHP2 compared with the control. Particularly, we found that ASNS, PHGDH, PSAT1, and SHMT2 involved in the biosynthesis of asparagine, serine, and glycine were remarkably up-regulated. Together, these transcriptome profiling data provided new insights into the metabolic mechanisms underlying mutant SHP2-driven leukemogenesis.

Effect of ultrasound-assisted resting on the quality of surimi-wheat dough and noodles.

In this study, the influence of ultrasound-assisted resting at different power on the rheological properties, water distribution and structural characteristics of dough with 50 % surimi as well as the texture, cooking and microstructure characteristics of the surimi-wheat noodles were investigated. Compared with the fermentation control (FC) noodles, the microstructure, cooking and texture characteristics of noodles (≤24.00 W/L) were significantly (p < 0.05) improved after ultrasonic treating. As the increasing of ultrasonic power, compared to FC, the creep strain, recovery strain, semi-bound water, and free sulfhydryl (SH) contents of surimi-wheat dough decreased at first and then increased significantly (p < 0.05). The α-helix and ß-turn content of dough increased at first and then decreased after ultrasonic treatment, while the ß-sheet was reversed. The surimi-wheat dough network structure was improved by ultrasonic treatment, with the densest and continuous pore size in 21.33 W/L, but the dough structure was broken and loose (>21.33 W/L), which consisted of the hardness, elasticity, chewiness, resistant and cooked quality of surimi-wheat noodles. This work elucidated the effect of ultrasonic power on the performance of surimi-wheat dough, and the optimal ultrasound power was obtained, thereby improving the nutritional properties and the quality of surimi-wheat noodles.

Circular RNA expression profile identifies circMGEA5 as a novel metastasis-promoting factor and potential biomarker in osteosarcoma.

Osteosarcoma (OS) is associated with a high incidence of lung metastasis, which leads to a high risk of cancer death. Circular RNA (circRNA), a novel class of noncoding RNA, is emerging as a key player in human cancer. Herein, we explored the role of circMGEA5 in OS metastasis by conducting circRNA expression microarray. CircMGEA5 was significantly upregulated in metastatic OS tissues compared to primary tissues. High circMGEA5 was positively related with shorter overall and disease-free survival time. Knockdown of circMGEA5 suppressed OS cell migration, invasion, and epithelial-mesenchymal transition (EMT). Mechanistically, circMGEA5 acted as a competing endogenous RNA (ceRNA) to directly sponge miR-153-3p and miR-8084, resulting in increasing ZEB1 and Snail expression, respectively, thereby inducing EMT and metastasis. In turn, ZEB1 and Snail were capable to bind to circMGEA5 promoter, activating circMGEA5 transcription, thus forming a positive feedback loop. Furthermore, we established the tail vein injection model and found that circMGEA5 depletion remarkably reduced lung metastasis nodules generated by OS cells. In sum, our findings, for the first time, reveal the metastasis-promoting role of circMGEA5 in OS. Targeting of this newly identified ceRNA axis may be crucial in the development of novel therapies for metastatic OS patients.

Quantification of the Influence of Citrate/Fe(II) Molar Ratio on Hydroxyl Radical Production and Pollutant Degradation during Fe(II)-Catalyzed O2 and H2O2 Oxidation Processes.

Ligand-enhanced hydroxyl radical (•OH) production is an important strategy for Fe(II)-catalyzed O2 and H2O2 oxidation processes. However, the influence of the molar ratio of ligands to Fe(II) on •OH production remains elusive. This study employed citrate and inorganic dissolved Fe(II) (Fe(II)dis) as the representative ligand and Fe(II) species, respectively, to quantify this relationship. Results showed that •OH production was highly dependent on the citrate/Fe(II) molar ratio. For instance, for the oxygenation of Fe(II)dis, the •OH accumulations were 2.0-8.5, 3.4-28.5 and 8.1-42.3 µM at low (0.25-0.5), moderate (0.5-1), and high (1-2) citrate/Fe(II) molar ratios, respectively. At low citrate/Fe(II) molar ratio (<0.5), inorganic Fe(II)dis mainly contributed to •OH production, with the increase in the citrate/Fe(II) molar ratio to a high level (1-2), Fe(II)-citrate complex turned to the electron source for •OH production. The change in Fe(II) speciation with the increase of citrate/Fe(II) molar ratio elevated •OH production. For pollutant degradation, 1 mg/L phenol was degraded by 53.6% within 40 min during oxygenation of Fe(II)-citrate system (1:1) at pH 7. Our results suggest that a moderate molar ratio of ligand/Fe(II) (0.5-1) may be optimal for Fe(II)-catalyzed O2 and H2O2 oxidation processes.

An Attention EfficientNet-Based Strategy for Bearing Fault Diagnosis under Strong Noise.

With the continuous development of artificial intelligence, data-driven fault diagnosis methods are gradually attracting widespread attention. However, in practical industrial applications, noise in the working environment is inevitable. This leads to the fact that the performance of traditional intelligent diagnosis methods is hardly sufficient to satisfy the requirements. In this paper, a developed intelligent diagnosis framework is proposed to overcome this deficiency. The main contributions of this paper are as follows: Firstly, a fault diagnosis model is established using EfficientNet, which achieves optimal diagnosis performance with limited computing resources. Secondly, an attention mechanism is introduced into the basic model for accurately establishing the relationship between fault features and fault modes, while improving the diagnosis accuracy in complex noise environments. Finally, to explain the proposed method, the weights and features of the model are visualized, and further attempts are made to analyze the reasons for the high performance of the model. The comprehensive experiment results reveal the superiority of the proposed method in terms of accuracy and stability in comparison with other benchmark diagnosis approaches. The diagnostic accuracy under actual working conditions is 86.24%.

Graphdiyne/Graphene/Graphdiyne Sandwiched Carbonaceous Anode for Potassium-Ion Batteries.

Graphdiyne (GDY) has been considered as an appealing anode candidate for K-ion storage since its triangular pore channel, alkyne-rich structure, and large interlayer spacing would endow it with abundant active sites and ideal diffusion paths for K-ions. Nevertheless, the low surface area and disordered structure of bulk GDY typically lead to unsatisfied K storage performance. Herein, we have designed a GDY/graphene/GDY (GDY/Gr/GDY) sandwiched architecture affording a high surface area and fine quality throughout a van der Waals epitaxy strategy. As tested in a half-cell configuration, the GDY/Gr/GDY electrode exhibits better capacity output, rate capability, and cyclic stability as compared to the bare GDY counterpart. In situ electrochemical impedance spectroscopy/Raman spectroscopy/transmission electron microscopy are further applied to probe the K-ion storage feature and disclose the favorable reversibility of GDY/Gr/GDY electrode during repeated potassiation/depotassiation. A full-cell device comprising a GDY/Gr/GDY anode and a potassium Prussian blue cathode enables a high cycling stability, demonstrative of the promising potential of the GDY/Gr/GDY anode for K-ion batteries.

Study on the Effect of Different Doses of Hydromorphone on the Time Response and Postoperative Analgesia of Ropivacaine in Ultrasound-Guided Suprailiac Fascia Inguinal Block.

OBJECTIVE: To investigate the effects of different doses of hydromorphone under the guidance of ultrasound on ropivacaine blocking the superior inguinal iliac fascia and postoperative analgesia. METHODS: From January 2020 to June 2021, 90 American Society of Anesthesiologists (ASA) I-II patients undergoing elective total hip arthroplasty (THA) were selected and randomly divided into 3 groups, 30 patients in each one. Ultrasound-guided superior inguinal iliac fascia block was performed in the patients of the 3 groups before operation. The L group: 0.3% ropivacaine 30 ml; the H1 group: 0.3% ropivacaine + 25 µg/kg hydromorphone 30 ml; the H2 group: 0.3% ropivacaine + 50 µg/kg hydromorphone 30 ml. The time until the occurrence of pain, pain intensity, sufentanil remedial dose, the number of PCIA presses, and effective times were compared among the 3 groups. The VAS and Ramsay scores of 3 groups were recorded at 12 h, 24 h, 36 h, and 48 h after operation. RESULTS: The time from the end of surgery to the appearance of pain in the H2 group was higher than that in the H1 group and the L group, and the time in the H1 group was higher than that in the L group (P < 0.05). The VAS score in the H2 group was lower than that in the H1 group and the L group, and the VAS score in the H1 group was lower than that in the L group (P < 0.05). The VAS scores of 12 h, 24 h, 36 h, and 48 h after operation in the H2 group were lower than those of the H1 group and the L group, and the H1 group was lower than the L group (P < 0.05). The Ramsay scores at 12 h, 24 h, 36 h, and 48 h after operation in the H2 group and the H1 group were higher than those in the L group (P < 0.05), and the difference was not statistically significant in the H2 group and the H1 group (P > 0.05). The remedial dosage of sufentanil, times of PCIA compression, and effective times in the H2 group were lower than those in the H1 group and the L group, and the level in the H1 group was lower than that in the L group (P < 0.05). The incidence rates of adverse reactions in the L group, the H1 group, and the H2 group were 13.33%, 23.33%, and 30.00%, respectively. There was no significant difference in the incidence rate of adverse reactions among the 3 groups (P > 0.05). CONCLUSION: 25 µg/kg and 50 µg/kg hydromorphone used in the ultrasound-guided superior inguinal iliac fascia block can enhance the time effect of ropivacaine and improve analgesic effects, with good safety. In addition, time effect and analgesic effect of 50 µg/kg hydromorphone in enhancing ropivacaine were more obvious.

miRNA-221-3p derived from M2-polarized tumor-associated macrophage exosomes aggravates the growth and metastasis of osteosarcoma through SOCS3/JAK2/STAT3 axis.

BACKGROUND: Enhanced infiltration of M2-polarized tumor-associated macrophages (TAMs) is linked to osteosarcoma (OS) metastasis and growth. Here, we aim to explore a novel miR-221-3p shuttled by M2-TAM exosomes in the growth and metastasis of OS cells. METHODS: THP-1 monocytes-derived M2-TAMs were induced by PMA/interleukin (IL)-4/IL-13 and then co-cultured with OS 143B and Saos2 cells. Overexpression or downregulation models of miR-221-3p were conducted to probe the impacts of exosome-derived M2-TAMs in OS cells. OS cell proliferative ability, colony formation, invasion, migration and apoptotic level were measured by the cell counting kit-8 (CCK-8) assay, colony formation, Transwell assay, and flow cytometry. Moreover, the SOCS3/JAK2/STAT3 axis in OS cells was testified by western blot, and a dual-luciferase reporter assay was conducted to confirm the link between miR-221-3p and SOCS3. RESULTS: OS cells enhanced M2 polarization of TAMs, which significantly promoted OS cells' viability, colony formation, migration, invasion, and reduced apoptosis. Moreover, the exosomes enriched by miR-221-3p from M2-polarized TAMs (M2-TAMs) also aggravated the malignant behaviors of OS cells. However, down-regulation of miR-221-3p brought about contrary results. Further, in-vivo tests uncovered that overexpressing miR-221-3p enhanced OS cells' growth. Mechanistically, SOCS3 was a downstream target of miR-221-3p, and up-regulation of miR-221-3p choked SOCS3 and activated JAK2/STAT3. However, the pharmacological intervention of the JAK2/STAT3 pathway obviously inhibited the malignant behaviors of OS cells, which were significantly reversed by miR-221-3p up-regulation. CONCLUSION: The exosomal miR-221-3p derived from M2-TAMs aggravates OS progression via modulating the SOCS3/JAK2/STAT3 axis.

Long non-coding RNA X-inactive specific transcript promotes osteosarcoma metastasis via modulating microRNA-758/Rab16.

BACKGROUND: As a common malignant bone sarcoma, osteosarcoma (OS) affects the health and lives of many people. Here, we probed the effects of long non-coding RNA (lncRNA) X-inactive specific transcript (XIST) and microRNA-758 (miR-758) on OS metastasis, and examined possible downstream effector. METHODS: Quantitative reverse transcription PCR (qRT-PCR) was performed to detect the expressions of XIST and miR-758 in OS tissues and cells. Cell transfection was carried out to alter the levels of XIST and miR-758 in OS cells, and cell viability, migration, and invasion were assessed. Subsequently, qRT-PCR and a dual-luciferase reporter assay were conducted to analyze the regulatory effects of XIST on miR-758 and miR-758 on Rab16. Finally, we investigated whether Rab16 was the downstream effector of XIST/miR-758 axis. RESULTS: XIST was highly expressed in OS tissues and cells, but the opposite was seen for miR-758. In OS cells, migration, invasion, and epithelial-mesenchymal transformation (EMT) was promoted by overexpression of XIST and miR-758 inhibitor, but were inhibited by XIST knockdown and miR-758 mimics. XIST regulated miR-758 expression, and miR-758 regulated Rab16 expression in OS cells. Overexpression of Rab16 reversed the effects of miR-758 mimics on OS cell migration and invasion. CONCLUSIONS: XIST contributed to OS cell migration, invasion, and EMT via regulation of miR-758/Rab16.

Pseudocapacitance multiporous vanadyl phosphate/graphene thin film electrode for high performance electrochemical capacitors.

Supercapacitors are being considered as promising electricity storage devices with green sustainable energy conversion. To efficiently develop and optimize pseudocapacitive material of vanadyl phosphate, herein, multiporous vanadyl phosphate/graphene (denoted as MP-VOPO4@rGO) is fabricated for the first time with phytic acid as a phosphorus source by extremely simple sol-gel and drop coating methods, and used as the free binder thin film electrode of supercapacitors. The smart combination of honeycomb-like architecture and graphene incorporation results in more active sites and low internal resistance, significantly improving energy storage performance. The effect of introducting polystyrene (denoted as PS) template and rGO on the performance of the nanocomposite is systematically analyzed by comparing the performance of the corresponding thin film electrodes. The MP-VOPO4@rGO thin film electrode delivers superior pseudocapacitive performance of 672 F g-1 at 1 A g-1 as well as a remarkable rate capability of 552 F g-1 at 5 A g-1, and it presents a remarkable longterm cycling stability, with a capacitance retention of 83.5% after 5000 cycles. Very interestingly, the results of surface capacitance contribution dominance clearly demonstrates its rapid capacitive response. In addition, based on MP-VOPO4@rGO thin film as positive and negative electrodes, the corresponding assembled symmetric supercapacitors exihibits outstanding energy density of 26.3 Wh kg-1 at power density of 249.9 W kg-1. This investigation can not only provide a versatile strategy to design other thin film electrode materials but also open up a new insight into the development of polyanion phosphate composites for next-generation high performance energy storage systems.

Effect of self-management interventions for adults with epilepsy: a systematic review and meta-analysis.

BACKGROUND: Since there are several articles reporting self-management for adults with epilepsy, we conduct this comprehensive analysis to evaluate the clinical effects of self-management (SM) for adult patients with epilepsy. METHODS: Multiple databases were searched for relevant studies, and full-text articles involved in the comparison between self-management and controls were reviewed. We analyzed the bias of the included articles. Review Manager 5.2 was then used to evaluate the heterogeneity of results in the selected articles. The forest map and sensitivity analysis were made. RESULTS: Eventually, eight studies involving 1,466 patients satisfied the eligibility criteria. The samples of self-management and control groups were 733 and 733 respectively. The results of heterogeneity testing suggested that self-management had higher indicators than the control group, including Quality of Life Scale for Patients with Epilepsy (QOLIE-31) [the overall mean difference was 2.76 with 95% CI (0.24, 5.29). The P value of overall effect was 0.03, I2=68%], Satisfaction With Life Scale (SWLS) [MD =0.44, 95% CI: (0.22, 0.65), P<0.0001], fixed effect model and the included studies were of low homogeneity (P=0.93, I2=0%), and Epilepsy Self-Management Scale (ESMS) [MD =0.13, 95% CI: (-0.02, 0.23), P=0.02, fixed effect model with insignificant heterogeneity I2=13%]. DISCUSSION: The results of our study suggested self-management might be an effective intervention for adult patients with epilepsy.

On the Capacity Regions of Degraded Relay Broadcast Channels with and without Feedback.

The four-node relay broadcast channel (RBC) is considered, in which a transmitter communicates with two receivers with the assistance of a relay node. We first investigate three types of physically degraded RBCs (PDRBCs) based on different degradation orders among the relay and the receivers' observed signals. For the discrete memoryless (DM) case, only the capacity region of the second type of PDRBC is already known, while for the Gaussian case, only the capacity region of the first type of PDRBC is already known. In this paper, we step forward and make the following progress: (1) for the first type of DM-PDRBC, a new outer bound is established, which has the same rate expression as an existing inner bound, with only a slight difference on the input distributions; (2) for the second type of Gaussian PDRBC, the capacity region is established; (3) for the third type of PDRBC, the capacity regions are established both for DM and Gaussian cases. Besides, we also consider the RBC with relay feedback where the relay node can send the feedback signal to the transmitter. A new coding scheme based on a hybrid relay strategy and a layered Marton's coding is proposed. It is shown that our scheme can strictly enlarge Behboodi and Piantanida's rate region, which is tight for the second type of DM-PDRBC. Moreover, we show that capacity regions of the second and third types of PDRBCs are exactly the same as that without feedback, which means feedback cannot enlarge capacity regions for these types of RBCs.

Adaptive filtering enhanced windowed correlated kurtosis for multiple faults diagnosis of locomotive bearings.

Compound faults diagnosis of locomotive bearings are still a challenge especially when the multi-fault impulses share the common resonant frequency. In this paper, an adaptive filtering enhanced windowed correlated kurtosis (WCK) method is proposed to isolate and identify each fault mode. A concept termed flexible analytical wavelet transform (FAWT) spectrum is defined to construct proper FAWT basis such that high signal-to-noise (SNR) is obtained in the filtered signal. Further, WCK is applied on the denoised signals to successively isolate each fault mode and determine the defects number. The performance of the proposed method is validated via analyzing experiment measurements from the locomotive bearings subjected to two local roller defects and three local outer race damages.