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1.
J Pediatr Nurs ; 79: 126-132, 2024 Sep 09.
Article in English | MEDLINE | ID: mdl-39260200

ABSTRACT

PURPOSE: To investigate the factors linked to the caregiving burden among family caregivers of pediatric patients with fractures. METHODS: This descriptive cross-sectional research used non-probabilistic sampling involving 200 pediatric patients (0-14 years) with fractures and their family caregivers. Data was collected between November 2019 and June 2020. The Chinese version of the Zarit Burden Interview (ZBI) and Simplified Coping Style Questionnaire (SCSQ) assessed caregiving burden and coping styles. We examined clinical data of patients and caregivers, identifying factors influencing caregiving burden by integrating findings from parallel studies, and conducted statistical analyses on these factors. RESULTS: Most family caregivers in this study were women (80.5%), with mothers comprising 56% of the total. The average ZBI score was 40.65 ± 17.27, and 81.5% of caregivers had moderate or severe burden. Factors associated with caregiving burden included caregiver gender, co-caregivers, positive and negative coping scores, and monthly income. The significant factors that were identified accounted for approximately 42.4% of the variability in the caregiving burden. CONCLUSIONS: This study concluded that family caregivers of pediatric patients with fractures often experience moderate to severe burdens, especially female caregivers, those without co-caregivers, using negative coping strategies, and from low-income families. Thus, it is essential to provide these families with professional information, policy support, and affordable, effective care services. IMPLICATIONS TO PRACTICE: Healthcare professionals should prioritize addressing the caregiving burden of family caregivers of pediatric patients with fractures. Nurses can actively improve the health of these pediatric patients and ease parental burden by providing information about social support systems.

2.
Adv Neonatal Care ; 24(5): E68-E76, 2024 Oct 01.
Article in English | MEDLINE | ID: mdl-39141710

ABSTRACT

BACKGROUND: Few primary studies have examined the impact of olfactory and gustatory stimulation on premature infants, and variability exists in reported outcomes. PURPOSE: To explore the effects of olfactory and gustatory stimulation on feeding outcomes in preterm infants. DATA SOURCES: A literature search was conducted in 4 databases (CENTRAL, PubMed, Embase, CINAHL) from the inception of the databases to May 2024. STUDY SELECTION: Randomized controlled trials (RCTs) or quasi-RCTs to explore the effects of olfactory and gustatory stimulation on feeding outcomes in preterm infants were included. DATA EXTRACTION: Two reviewers independently extracted data from the included studies and completed the form designed for data extraction. RESULTS: Eleven RCTs and quasi-RCTs comprising 1009 preterm infants were included. Meta-analysis found that olfactory and gustatory stimulation significantly shortened the time to reach full oral feeds ( days ) (mean difference [MD]: -2.52, 95% confidence interval [CI]: -3.88 to -1.16, P = .0003), while they had no significant differences in time to achieve full enteral feeds ( days ), postmenstrual age (PMA) at the removal of the nasogastric tube ( weeks ), weight at discharge ( grams ), weight gain ( grams ), head circumference at discharge ( cm ), length at discharge ( cm ), total duration of parenteral nutrition ( days ), necrotizing enterocolitis, hospitalization duration ( days ), PMA at discharge ( weeks ). IMPLICATIONS FOR PRACTICE AND RESEARCH: Large sample, multicenter studies are needed to demonstrate the effectiveness of olfactory and gustatory stimulation on feeding outcomes in preterm infants.


Subject(s)
Enteral Nutrition , Infant, Premature , Humans , Infant, Newborn , Enteral Nutrition/methods , Smell/physiology , Taste/physiology , Weight Gain
3.
Transl Pediatr ; 13(6): 994-1000, 2024 Jun 30.
Article in English | MEDLINE | ID: mdl-38984023

ABSTRACT

Background: Hemophagocytic lymphohistiocytosis (HLH) is a rare complication following hematopoietic stem cell transplantation (HSCT). Currently, there is a lack of consensus recommendations for the treatment of post-transplant HLH. This case report emphasizes the successful utilization of ruxolitinib as a salvage therapy for HLH post-HSCT. The aim is to provide valuable insights into the optimal management of this rare and complex complication. Case Description: We present a case study of an 11-year-old male patient diagnosed with severe aplastic anemia who received a haploidentical HSCT. On the 86th day post-transplantation, the patient developed recurrent fever, hepatomegaly, hypertriglyceridemia, severe pancytopenia, and elevated levels of inflammatory factors and ferritin. Hemophagocytosis was observed in the bone marrow, and subsequent DNA next-generation sequencing identified adenovirus type C infection, leading to a diagnosis of adenovirus-associated HLH. After unsuccessful treatment attempts with cidofovir, dexamethasone, immunoglobulin, plasmapheresis, and etoposide, ruxolitinib was administered. Remarkably, the patient's clinical symptoms rapidly improved, and his test results gradually normalized with ruxolitinib therapy. The adenovirus viral load became undetectable by the 180th day. With continuous remission, ruxolitinib was discontinued on the 137th day post-transplantation, and a 15-month follow-up examination showed no relapse. Conclusions: We present a case of adenovirus-related secondary HLH (sHLH) post-HSCT, which was effectively treated with ruxolitinib. Our case highlights the potential of ruxolitinib as a therapeutic option for patients with viral infections and sHLH. Nonetheless, the safety and efficacy of this innovative treatment should be evaluated in forthcoming large-scale clinical trials.

4.
BMJ Open ; 14(4): e084704, 2024 Apr 23.
Article in English | MEDLINE | ID: mdl-38658011

ABSTRACT

INTRODUCTION: Various approaches are employed to expedite the passage of meconium in preterm infants within the neonatal intensive care unit (NICU), with glycerine enemas being the most frequently used. Due to the potential risk of high osmolality-induced harm to the intestinal mucosa, diluted glycerine enema solutions are commonly used in clinical practice. The challenge lies in the current lack of knowledge regarding the safest and most effective concentration of glycerine enema. This research aims to ascertain the safety of different concentrations of glycerine enema solution in preterm infants. METHODS AND ANALYSIS: This study protocol is for a single-centre, two-arm, parallel-group, double-blind and non-inferiority randomised controlled trial. Participants will be recruited from a NICU in a teriary class A hospital in China, and eligible infants will be randomly allocated to either the glycerine (mL): saline (mL) group in a 3:7 ratio or the 1:9 ratio group. The enema procedure will adhere to the standardised operational protocols. Primary outcomes encompass necrotising enterocolitis and rectal bleeding, while secondary outcomes encompass feeding parameters, meconium passage outcomes and splanchnic regional oxygen saturation. Analyses will compare the two trial arms based on an intention-to-treat allocation. ETHICS AND DISSEMINATION: This trial is approved by the ethics committee of the Medical Ethics Committee of West China Second University Hospital of Sichuan University. The results will be published in a peer-reviewed journal. TRIAL REGISTRATION NUMBER: ChiCTR2300079199.


Subject(s)
Enema , Glycerol , Infant, Premature , Meconium , Female , Humans , Infant, Newborn , Male , China , Double-Blind Method , Enema/methods , Enterocolitis, Necrotizing/prevention & control , Glycerol/administration & dosage , Intensive Care Units, Neonatal , Randomized Controlled Trials as Topic
5.
Int J Rheum Dis ; 27(1): e14882, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37771000

ABSTRACT

Behçet's disease (BD) is a rare condition that is seldom associated with hematological malignancies. In this case report, we present the unique case of a 7-year-old girl diagnosed with juvenile myelomonocytic leukemia (JMML) and intestinal BD. The patient received allogeneic hematopoietic stem cell transplantation (allo-HSCT), which resulted in complete remission of both JMML and BD. Our findings suggest that allo-HSCT may be a feasible treatment option for JMML patients with coexisting BD, and holds promise for achieving remission of both illnesses. However, further clinical investigations are needed to validate these findings.


Subject(s)
Behcet Syndrome , Hematopoietic Stem Cell Transplantation , Leukemia, Myelomonocytic, Juvenile , Female , Humans , Child , Leukemia, Myelomonocytic, Juvenile/diagnosis , Leukemia, Myelomonocytic, Juvenile/therapy , Leukemia, Myelomonocytic, Juvenile/complications , Behcet Syndrome/complications , Behcet Syndrome/diagnosis , Behcet Syndrome/therapy , Hematopoietic Stem Cell Transplantation/methods , Pathologic Complete Response
6.
J Pediatr (Rio J) ; 99(6): 604-609, 2023.
Article in English | MEDLINE | ID: mdl-37236266

ABSTRACT

OBJECTIVE: To investigate the factors influencing hyperuricemia in children and adolescents and to provide a scientific basis for early prevention and treatment. METHODS: A retrospective study (2017-2021) of the prevalence of hyperuricemia in children and adolescents was conducted, and the factors influencing hyperuricemia were analyzed by multi-factor logistic regression. RESULTS: The overall prevalence of hyperuricemia in children and adolescents aged 6-17 years in northeast Sichuan Province was 55.12% (8676/15,739), of which 60.68% (5699/9392) in boys and 46.90% (2977/6347) in girls; the prevalence of hyperuricemia from 2017 to 2021 was 52.40% ( 1540/2939), 52.56% (1642/3124), 52.11% (1825/3502), 58.33% (1691/2899), and 60.40% (1978/3275), respectively; the prevalence rates of 6-12 years old were 48.92% (864/1766), 50.46% (769/1524), and 52.73% (685/1299), 56.99% (693/1216), 35.46% (444/1252), 46.33% (524/1131), 60.50% (720/1190), and 66.82% (739/1106), 58.95% (652/1106), and 62.17% (761/1106) for 13-17 years old, respectively, 62.17% (761/1224), 63.19% (855/1353), and 61.70% (970/1572), respectively. Logistic regression showed that the prevalence of male (OR = 1.451, 95% CI 1.034 to 2.035, p = 0.031), age (OR = 1.074, 95% CI 1.024 to 1.126, p = 0.003), overweight/obesity (OR = 1.733, 95% CI 1.204∼2.494, p = 0.003), blood creatinine (OR = 1.018, 95% CI 1.005∼1.031, p = 0.007), triglycerides (OR = 1.450, 95% CI 1.065∼1.972, p = 0.018), blood calcium (OR = 6.792, 95% CI 1.373∼33.594, p = 0.019), and systolic blood pressure (OR = 1.037, 95% CI 1.018∼1.057, p < 0.001) were influential factors for the development of hyperuricemia. CONCLUSION: The prevalence of hyperuricemia was higher in children and adolescents aged 6-17 years in northeastern Sichuan Province, with a higher prevalence in boys than in girls, and the prevalence increased with age.


Subject(s)
Hyperuricemia , Female , Humans , Male , Child , Adolescent , Hyperuricemia/epidemiology , Prevalence , Retrospective Studies , Obesity , China/epidemiology , Risk Factors , Body Mass Index
7.
Diabetes Metab Syndr ; 17(6): 102784, 2023 Jun.
Article in English | MEDLINE | ID: mdl-37216854

ABSTRACT

AIMS: To explore the association between low-density lipoprotein-cholesterol (LDL-C) and all-cause and cause-specific mortality based on a prospective cohort study. METHODS: Among 10850 individuals enrolled from National Health and Nutrition Examination Survey (NHANES) 1999-2014, 1355 (12.5%) died after an average follow-up of 5.7 years. Cox proportional regression models were used to determine the association between LDL-C with the risk of mortality. RESULTS: The level of LDL-C was L-shaped associated with the risk of all-cause mortality, namely a low level was related to an increased mortality risk. The level of LDL-C associated with the lowest risk of all-cause mortality was 124 mg/dL (3.2 mmol/L) in the overall population, and 134 mg/dL (3.4 mmol/L) in individuals not receiving lipid lowering treatment. Compared with participants with LDL-C of 110-134 mg/dL (2.8-3.5 mmol/L), the multivariable adjusted hazard ratio was 1.18 (95% confidence interval 1.01 to 1.38) for individuals with the lowest quartile for all-cause mortality. In participants with coronary heart diseases, the conclusion was similar but the critical point was lower. CONCLUSIONS: We found that low levels of LDL-C increased the risk of all-cause mortality, and the lowest risk of all-cause mortality for LDL-C concentration was 124 mg/dL (3.2 mmol/L). Our results provide a reasonable range of LDL-C when to initiate a statin therapy in clinical practice.


Subject(s)
Hydroxymethylglutaryl-CoA Reductase Inhibitors , Humans , Cholesterol, LDL , Nutrition Surveys , Cause of Death , Prospective Studies , Risk , Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use , Risk Factors
9.
J. pediatr. (Rio J.) ; 99(6): 604-609, 2023. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1521157

ABSTRACT

Abstract Objective: To investigate the factors influencing hyperuricemia in children and adolescents and to provide a scientific basis for early prevention and treatment. Methods: A retrospective study (2017-2021) of the prevalence of hyperuricemia in children and adolescents was conducted, and the factors influencing hyperuricemia were analyzed by multifactor logistic regression. Results: The overall prevalence of hyperuricemia in children and adolescents aged 6-17 years in northeast Sichuan Province was 55.12% (8676/15,739), of which 60.68% (5699/9392) in boys and 46.90% (2977/6347) in girls; the prevalence of hyperuricemia from 2017 to 2021 was 52.40% ( 1540/2939), 52.56% (1642/3124), 52.11% (1825/3502), 58.33% (1691/2899), and 60.40% (1978/ 3275), respectively; the prevalence rates of 6-12 years old were 48.92% (864/1766), 50.46% (769/1524), and 52.73% (685/1299), 56.99% (693/1216), 35.46% (444/1252), 46.33% (524/1131), 60.50% (720/1190), and 66.82% (739/1106), 58.95% (652/1106), and 62.17% (761/1106) for 13-17 years old, respectively, 62.17% (761/1224), 63.19% (855/1353), and 61.70% (970/1572), respectively. Logistic regression showed that the prevalence of male (OR = 1.451, 95% CI 1.034 to 2.035, p = 0.031), age (OR = 1.074, 95% CI 1.024 to 1.126, p = 0.003), overweight/obesity (OR = 1.733, 95% CI 1.204~2.494, p = 0.003), blood creatinine (OR = 1.018, 95% CI 1.005~1.031, p = 0.007), triglycerides (OR = 1.450, 95% CI1.065~1.972, p = 0.018), blood calcium (OR = 6.792, 95% CI 1.373~33.594, p = 0.019), and systolic blood pressure (OR = 1.037, 95% CI 1.018~1.057, p < 0.001) were influential factors for the development of hyperuricemia. Conclusion: The prevalence of hyperuricemia was higher in children and adolescents aged 6-17 years in northeastern Sichuan Province, with a higher prevalence in boys than in girls, and the prevalence increased with age.

10.
Sensors (Basel) ; 22(6)2022 Mar 14.
Article in English | MEDLINE | ID: mdl-35336420

ABSTRACT

Activity recognition is fundamental to many applications envisaged in pervasive computing, especially in smart environments where the resident's data collected from sensors will be mapped to human activities. Previous research usually focuses on scripted or pre-segmented sequences related to activities, whereas many real-world deployments require information about the ongoing activities in real time. In this paper, we propose an online activity recognition model on streaming sensor data that incorporates the spatio-temporal correlation-based dynamic segmentation method and the stigmergy-based emergent modeling method to recognize activities when new sensor events are recorded. The dynamic segmentation approach integrating sensor correlation and time correlation judges whether two consecutive sensor events belong to the same window or not, avoiding events from very different functional areas or with a long time interval in the same window, thus obtaining the segmented window for every single event. Then, the emergent paradigm with marker-based stigmergy is adopted to build activity features that are explicitly represented as a directed weighted network to define the context for the last sensor event in this window, which does not need sophisticated domain knowledge. We validate the proposed method utilizing the real-world dataset Aruba from the CASAS project and the results show the effectiveness.


Subject(s)
Algorithms , Human Activities , Humans
11.
Ying Yong Sheng Tai Xue Bao ; 32(10): 3405-3414, 2021 Oct.
Article in Chinese | MEDLINE | ID: mdl-34676701

ABSTRACT

In the context of global warming, the increases of temperature may affect tree growth and thus disturb ecosystem balance. In this study, we explored the main limiting factors for radial growth of Pinus sylvestris var. mongolica and Larix gmelinii in the Mohe area of Greater Khingan Mountains by using growth-climate response function analysis and moving correlation analysis, as well as the interspecific difference of the responses of radial growth to rapid warming. The results showed that the radial growth of P. sylvestris var. mongolica and L. gmelinii was affected by both temperature and precipitation. P. sylvestris var. mongolica was more sensitive to climate change than L. gmelinii, and its sensitivity to climate factors was more stable than L. gmelinii. The radial growth of P. sylvestris var. mongolica was significantly positively correlated with the monthly mean temperature and the monthly mean minimum temperature of the growing season, while that of L. gmelinii was significantly positively correlated with the monthly mean temperature and the monthly mean maximum temperature of winter. Precipitation in winter promoted the growth of P. sylvestris var. mongolica, whereas precipitation in the late growing season of the previous year inhibited the radial growth of L. gmelinii. After the rapid warming in 1990, the limiting effect of precipitation on P. sylvestris var. mongolica changed from negative to significantly positive, with the inhibition effect of high temperature being greater than the promotion effect. The inhibitory effect of high temperature on L. gmelinii was enhanced, and the limiting effect of precipitation on L. gmelinii was also enhanced after heating up. The growth rate decreased significantly, with obvious difference being observed in the correlations between the growth rate of two species with temperature and precipitation. Our results could provide scientific basis for forest ecosystem management and protection in Greater Khingan Mountains.


Subject(s)
Larix , Pinus sylvestris , Pinus , China , Climate Change , Ecosystem , Forests , Trees
13.
Environ Res ; 188: 109752, 2020 09.
Article in English | MEDLINE | ID: mdl-32516633

ABSTRACT

Given the inconsistency of epidemiologic evidence for associations between maternal exposures to traffic-related metrics and adverse birth outcomes, this manuscript aims to provide clarity on this topic. Pooled meta-estimates were calculated using random-effects analyses. Subgroup analyses were conducted by study area, study design, and Newcastle-Ottawa quality score (NOS). Funnel plots and Egger's test were conducted to evaluate the publication bias, and Fail-safe Numbers (Fail-safe N) were measured to evaluate the robustness of models. From the initial 740 studies (last search, July 11, 2019), 26 studies were included in our analysis. The pooled odds ratio for the change in small for gestational age associated with per 500 m decrease in the distance to roads was 1.016 (95% CI: 1.004, 1.029). Subgroup analyses revealed significant positive associations between term low birth weight and traffic density in higher-quality literatures with higher NOS [1.060 (95% CI: 1.002, 1.121)], cohort studies [1.020 (95% CI: 1.006, 1.033)], and studies in North America [1.018 (95% CI: 1.005, 1.131)]. The buffer of traffic density made no difference in the effect size. Traffic density seemed to be a better indicator of traffic pollution than the distance to roads.


Subject(s)
Premature Birth , Vehicle Emissions , Benchmarking , Female , Humans , Infant, Low Birth Weight , Infant, Newborn , Motor Vehicles , North America , Parturition , Pregnancy , Premature Birth/epidemiology , Vehicle Emissions/toxicity
14.
Transl Androl Urol ; 9(2): 153-165, 2020 Apr.
Article in English | MEDLINE | ID: mdl-32420122

ABSTRACT

BACKGROUND: Bladder cancer is a leading cause of cancer-related deaths all over the world. Epidemiological studies of bladder cancer are therefore crucial for policy making. This study was carried out to describe the characteristics of changes in the incidence and mortality of bladder cancer from 1990 to 2016 by age group, gender, geographical region, and sociodemographic index (SDI) and to simultaneously project future trends up to 2030. METHODS: Incidence and mortality trends in bladder cancer from 1990 to 2016 were described based on data and methodologies from the Global Burden of Disease (GBD) Study. The data also allowed the future trends of bladder cancer incidence and mortality to be predicted by ARIMA model. Trends were analyzed by age group, gender, and SDI. Projections to 2030 were sub-analyzed by SDI countries. R software (x64 version 3.5.1), SAS (version 9.3), and SPSS (version 22.0) were used throughout the process. RESULTS: Globally, in 2016, there were 437,442 [95% uncertainty interval (UI), 426,709-447,912] new bladder cancer cases and 186,199 (95% UI, 180,453-191,686) bladder cancer-associated deaths. Between 1990 and 2016, changes in the age-standardized incidence rate (ASIR) of bladder cancer decreased by 5.91% from 7.11 (95% UI, 6.93-7.27) in 1990 to 6.69 (95% UI, 6.52-6.85) in 2016. The age-standardized death rate (ASDR) decreased from 3.58 (95% UI, 3.49-3.68) to 2.94 (95% UI, 2.85-3.03) over the same period of time. In future, the greatest occurrence of bladder cancer will be in high SDI countries, followed by high-middle SDI countries. Moreover, bladder cancer incidence rates may increase substantially in middle SDI countries, while the incidence rates will remain relatively stable for men and women in other SDI countries. From 2017 to 2030, bladder cancer deaths will continue to increase in low SDI countries, while deaths in other SDI countries will continue to decrease. CONCLUSIONS: There was a regional difference in the incidence and mortality trends of bladder cancer between 1990 and 2016. Overall, the situation is not optimistic. From 2017 to 2030, the incidence of bladder cancer will continue to rise, especially in high and high-middle SDI countries, where decision-makers should propose appropriate policies on the screening and prevention of bladder cancer.

15.
Transl Androl Urol ; 9(2): 166-181, 2020 Apr.
Article in English | MEDLINE | ID: mdl-32420123

ABSTRACT

BACKGROUND: This study aims to present the trends of incidence and mortality of kidney cancer from 1990 to 2016 by age, gender, geographical region, regional, and sociodemographic index (SDI), and then forecast the future trends to 2030. METHODS: Data of this study were gathered from the Global Burden of Disease Study (GBD), including 195 countries and territories, accounting for 21 regions. Over-time trends from 1990 to 2016 were analyzed by gender, geographical region, age range and SDI. Based on the big data, we forecasted the future trends to 2030 by ARIMA model. All the data were analyzed by R software (x64 version 3.5.1), SAS (version 9.3) and SPSS (version 22.0). RESULTS: Globally, in 2016, there were 342,100 [95% uncertainty interval (UI), 330,759-349,934] incident cases of kidney cancer and the number of deaths were 131,800 (127,335-136,185). The age-standardized incidence rate (ASIR) and death rate (ASDR) were 4.97 (4.81-5.09) per 100,000 and 2.00 (1.93-2.06) per 100,000, respectively. Globally, the estimated risk of kidney cancer for male within the age of 30 and 70 is around 0.79% compared to 0.41% for female. In other words, the probability of developing kidney cancer was generally higher in male than in female. By 2030, incidence of kidney cancer in both sexes are projected to increase substantially in high SDI, followed by middle SDI, low-middle SDI, and low SDI countries. High SDI and low SDI countries will also have increased mortality rates of kidney cancers. Globally, the trends in deaths due to kidney cancer will remain stable. CONCLUSIONS: The incidence and death rate of kidney cancer are highly variable among SDI countries and regions but have increased uniformly from 1990 to 2016. By 2030, the future incidence of kidney cancer will grow continuously especially in high SDI countries, middle SDI, low-middle SDI, and low SDI countries.

16.
Transl Androl Urol ; 9(2): 182-195, 2020 Apr.
Article in English | MEDLINE | ID: mdl-32420124

ABSTRACT

BACKGROUND: This study aims to explore and project the temporal trends in incidence and mortality of testicular cancer. Moreover, it can provide theoretical guidance for the rational allocation of health resources. METHODS: This study analyzed existing data on testicular cancer morbidity and mortality from 1990 to 2016 and predicted time-varying trends of age-standardized incidence rate (ASIR) and age-standardized death rate (ASDR) from 2017 to 2030 in different ages, regions and sociodemographic index (SDI) quintile sub-groups. RESULT: Globally, numbers of testicular cancer cases in 2016 [66,833; 95% uncertainty interval (UI), 64,487-69,736] are 1.8 times larger than in 1990 (37,231; 95% UI, 36,116-38,515). The testicular cancer-related death cases increased slightly from 8,394 (95% UI, 7,980-8,904) in 1990 to 8,651 (95% UI, 8,292-9,027) in 2016. In aspect of ASIR, the data showed an up-trend from 0.74 (95% UI, 0.72-0.77) in 1990 to 0.88 (95% UI, 0.85-0.92) in 2016. The ASDR of testicular cancer declined from 0.18 (95% UI, 0.17-0.19) in 1990 to 0.12 (95% UI, 0.11-0.12) in 2016. From 2017 to 2030, predictions of trends in testicular cancer indicate that the ASIRs of most SDI countries are rising, but the ASDRs trends in testicular cancer will decrease. CONCLUSIONS: By analyzing the available and reliable data in different ages, regions and SDI, this study shows a significant upward trend in incidence and a slow upward trend in mortality of testicular cancer from 1990 to 2016, and simultaneously, predicts the increase of ASIR and the downward trend of ASDR in 2017-2030.

17.
Transl Androl Urol ; 9(2): 196-209, 2020 Apr.
Article in English | MEDLINE | ID: mdl-32420125

ABSTRACT

BACKGROUND: This research aims to identify the current and future trends in the incidence and death rate of prostate cancer and to provide the necessary data support for making relevant health decisions. METHODS: This study used the collected data and methodologies to describe the incidence and mortality trends of prostate cancer from 1990 to 2016. Based on the data, this paper projected the future trends in prostate cancer incidence and death rate. RESULTS: In 2016, prostate cancer cases [1,435,742; 95% uncertainty interval (UI), 1,293,395-1,618,655] were nearly 2.5-fold the number in 1990 (579,457; 95% UI, 521,564-616,107). Deaths increased by 2.0-fold from 191,687 (95% UI, 168,885-209,254) in 1990 to 380,916 (95% UI, 320,808-412,868) in 2016. The global age-standardized incidence rate (ASIR) increased from 17.75 (95% UI, 18.91-15.95) in 1990 to 22.12 (95% UI, 19.92-24.91) in 2016, changing 24.62%. The global change of age-standardized death rate (ASDR) has declined slightly, but in some regions it shows a trend of growth. By sociodemographic index (SDI) sub-types, prostate cancer will frequently occur in high SDI countries from 1990 to 2030. Simultaneously, the highest mortality will present in low SDI countries. CONCLUSIONS: Through projecting and analyzing incidence and mortality rate of prostate cancer, from 1990 to 2030, by different ages, regions and SDI sub-types, this result may reveal the relationship between prostate cancer and financial development. At the same time, the result also showed a sufficiently heavy burden of prostate cancer, but the burden varies greatly in each region. The burden is a challenge and will require attention for all levels of society. The current study is beneficial to formulate more specific and efficient policies.

18.
Sensors (Basel) ; 19(23)2019 Nov 22.
Article in English | MEDLINE | ID: mdl-31771106

ABSTRACT

Radio tomographic imaging (RTI) is a technology for target localization by using radiofrequency (RF) sensors in a wireless network. The change of the attenuation field caused by thetarget is represented by a shadowing image, which is then used to estimate the target's position.The shadowing image can be reconstructed from the variation of the received signal strength (RSS)in the wireless network. However, due to the interference from multi-path fading, not all the RSSvariations are reliable. If the unreliable RSS variations are used for image reconstruction, someartifacts will appear in the shadowing image, which may cause the target's position being wronglyestimated. Due to the sparse property of the shadowing image, sparse Bayesian learning (SBL) canbe employed for signal reconstruction. Aiming at enhancing the robustness to multipath fading,this paper explores the Laplace prior to characterize the shadowing image under the frameworkof SBL. Bayesian modeling, Bayesian inference and the fast algorithm are presented to achieve themaximum-a-posterior (MAP) solution. Finally, imaging, localization and tracking experiments fromthree different scenarios are conducted to validate the robustness to multipath fading. Meanwhile,the improved computational efficiency of using Laplace prior is validated in the localization-timeexperiment as well.

19.
Australas Phys Eng Sci Med ; 42(4): 1081-1089, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31617154

ABSTRACT

In the context of fetal monitoring, non-invasive fetal electrocardiography is an alternative approach to the traditional Doppler ultrasound technique. However, separating the fetal electrocardiography (FECG) component from the abdominal electrocardiography (AECG) remains a challenging task. This is mainly due to the interference from maternal electrocardiography, which has larger amplitude and overlaps with the FECG in both temporal and frequency domains. The main objective is to present a novel approach to FECG extraction by using a deep learning strategy from single-channel AECG recording. A residual convolutional encoder-decoder network (RCED-Net) is developed for this task of FECG extraction. The single-channel AECG recording is the input to the RCED-Net. And the RCED-Net extracts the feature of AECG and directly outputs the estimate of FECG component in the AECG recording. The AECG recordings from two different databases are collected to illustrate the efficiency of the proposed method. And the achieved results show that the proposed technique exhibits the best performance when compared to the existing methods in the literature. This work is a proof of concept that the proposed method could effectively extract the FECG component from AECG recordings. The focus on single-channel FECG extraction technique contributes to the commercial applications for long-term fetal monitoring.


Subject(s)
Algorithms , Electrocardiography , Fetus/diagnostic imaging , Abdomen/diagnostic imaging , Computer Simulation , Databases as Topic , Female , Humans , Pregnancy
20.
Polymers (Basel) ; 11(10)2019 Oct 16.
Article in English | MEDLINE | ID: mdl-31623208

ABSTRACT

Polymer degradation is a common problem in the extrusion process. In this work, Raman spectroscopy, a robust, rapid, and non-destructive tool for in-line monitoring, was utilized to in-line monitor the degradation of polypropylene (PP) under multiple extrusions. Raw spectra were pretreated by chemometrics methods to extract variations of spectra and eliminate noise. The variation of Raman intensity with the increasing number of extrusions was caused by the scission of PP chains and oxidative degradation, and the variation trend of Raman intensity indicated that long chains were more likely to be damaged by the extrusion. For the quantitative analysis of degradation, the partial least square was used to build a model to predict the degree of PP degradation measured by gel permeation chromatography (GPC). For the calibration set, the coefficient of determination (R2) and the root mean square error of cross-validation (RMSECV) were 0.9859 and 1.2676%, and for the prediction set, R2 and the root mean square error of prediction (RMSEP) were 0.9752 and 1.7228%, which demonstrated the accuracy of the proposed model. The in-line Raman spectroscopy combined with the chemometrics methods was proved to be an accurate and highly effective tool, which can monitor the degradation of polymer in real time.

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