Quantitative analysis of systemic perfusion and cerebral blood flow in the modeling of aging and orthostatic hypotension.

Introduction: Orthostatic hypotension (OH) is common among the older population. The mechanism hypothesized by OH as a risk factor for cognitive decline and dementia is repeated transient cerebral blood flow deficiency. However, to our knowledge, quantitative evaluation of cardiac output and cerebral blood flow due to acute blood pressure changes resulting from postural changes is rare. Methods: We report a new fluid-structure interaction model to analyze the quantitative relationship of cerebral blood flow during OH episodes. A device was designed to simulate the aging of blood vessels. Results and Discussion: The results showed that OH was associated with decreased transient cerebral blood flow. With the arterial aging, lesions, the reduction in cerebral blood flow is accelerated. These findings suggest that systolic blood pressure regulation is more strongly associated with cerebral blood flow than diastolic blood pressure, and that more severe OH carries a greater risk of dementia. The model containing multiple risk factors could apply to analyze and predict for individual patients. This study could explain the hypothesis that transient cerebral blood flow deficiency in recurrent OH is associated with cognitive decline and dementia.

Delving Into the Devils of Bird's-Eye-View Perception: A Review, Evaluation and Recipe.

Learning powerful representations in bird's-eye-view (BEV) for perception tasks is trending and drawing extensive attention both from industry and academia. Conventional approaches for most autonomous driving algorithms perform detection, segmentation, tracking, etc., in a front or perspective view. As sensor configurations get more complex, integrating multi-source information from different sensors and representing features in a unified view come of vital importance. BEV perception inherits several advantages, as representing surrounding scenes in BEV is intuitive and fusion-friendly; and representing objects in BEV is most desirable for subsequent modules as in planning and/or control. The core problems for BEV perception lie in (a) how to reconstruct the lost 3D information via view transformation from perspective view to BEV; (b) how to acquire ground truth annotations in BEV grid; (c) how to formulate the pipeline to incorporate features from different sources and views; and (d) how to adapt and generalize algorithms as sensor configurations vary across different scenarios. In this survey, we review the most recent works on BEV perception and provide an in-depth analysis of different solutions. Moreover, several systematic designs of BEV approach from the industry are depicted as well. Furthermore, we introduce a full suite of practical guidebook to improve the performance of BEV perception tasks, including camera, LiDAR and fusion inputs. At last, we point out the future research directions in this area. We hope this report will shed some light on the community and encourage more research effort on BEV perception.

Province-level distribution and drivers of infant mortality in mainland China: a Geodetector-based analysis of data from 2020.

OBJECTIVE: The present study investigated the province-level distribution and drivers of infant mortality rate (IMR) in mainland China. DESIGN: Ecological analysis based on publicly available data for all 31 provinces in mainland China. DATA SOURCES: Data on province-level IMRs in 2020 were obtained from the official websites of the healthcare commissions within each province and from the China Health Statistics Yearbook 2021. Data on potential IMR drivers were retrieved from the China Statistical Yearbook 2021. DATA ANALYSIS: GeoDa V.1.12.1 and ArcMap V.10.2 software were used to examine province-level distribution of IMR. Global and local spatial autocorrelations were performed, and Getis-ord G* hotspots and coldspots were identified. Geodetector was used to analyse the individual and joint influence of drivers on IMR. RESULTS: IMRs in 2020 varied from 1.91 to 7.60 per 1000 live births across provinces. The following statistically significant drivers with q values >0.5 were identified: health literacy of the population (0.6673), male illiteracy rate (0.6433), proportion of the population older than >65 years (0.6369), per capita government health expenditure (0.6216), forest coverage rate (0.5820), per capita disposable income (0.5785), per capita number of hospitals (0.5592), per capita gross regional product (0.5410) and sulfur dioxide concentration in the atmosphere (0.5158). The following three interactions among these drivers emerged as strongest influences on province-level IMR: proportion of population >65 years ∩ per capita gross regional product (q=0.9653), forest coverage rate ∩ per capita gross regional product (0.9610) and per capita government health expenditure ∩ sulfur dioxide (0.9295). CONCLUSION: IMR in mainland China varies substantially across the country, being generally high-west and low-east. Several factors, on their own and interacting together, contribute to IMR. Policies and programmes to reduce IMR should be formulated according to local conditions and should focus on western provinces of the country.

A fluid-structure interaction model accounting arterial vessels as a key part of the blood-flow engine for the analysis of cardiovascular diseases.

According to the classical Windkessel model, the heart is the only power source for blood flow, while the arterial system is assumed to be an elastic chamber that acts as a channel and buffer for blood circulation. In this paper we show that in addition to the power provided by the heart for blood circulation, strain energy stored in deformed arterial vessels in vivo can be transformed into mechanical work to propel blood flow. A quantitative relationship between the strain energy increment and functional (systolic, diastolic, mean and pulse blood pressure) and structural (stiffness, diameter and wall thickness) parameters of the aorta is described. In addition, details of blood flow across the aorta remain unclear due to changes in functional and other physiological parameters. Based on the arterial strain energy and fluid-structure interaction theory, the relationship between physiological parameters and blood supply to organs was studied, and a corresponding mathematical model was developed. The findings provided a new understanding about blood-flow circulation, that is, cardiac output allows blood to enter the aorta at an initial rate, and then strain energy stored in the elastic arteries pushes blood toward distal organs and tissues. Organ blood supply is a key factor in cardio-cerebrovascular diseases (CCVD), which are caused by changes in blood supply in combination with multiple physiological parameters. Also, some physiological parameters are affected by changes in blood supply, and vice versa. The model can explain the pathophysiological mechanisms of chronic diseases such as CCVD and hypertension among others, and the results are in good agreement with epidemiological studies of CCVD.

Robust and efficient ridge-based palmprint matching.

During the past decade, many efforts have been made to use palmprints as a biometric modality. However, most of the existing palmprint recognition systems are based on encoding and matching creases, which are not as reliable as ridges. This affects the use of palmprints in large-scale person identification applications where the biometric modality needs to be distinctive as well as insensitive to changes in age and skin conditions. Recently, several ridge-based palmprint matching algorithms have been proposed to fill the gap. Major contributions of these systems include reliable orientation field estimation in the presence of creases and the use of multiple features in matching, while the matching algorithms adopted in these systems simply follow the matching algorithms for fingerprints. However, palmprints differ from fingerprints in several aspects: 1) Palmprints are much larger and thus contain a large number of minutiae, 2) palms are more deformable than fingertips, and 3) the quality and discrimination power of different regions in palmprints vary significantly. As a result, these matchers are unable to appropriately handle the distortion and noise, despite heavy computational cost. Motivated by the matching strategies of human palmprint experts, we developed a novel palmprint recognition system. The main contributions are as follows: 1) Statistics of major features in palmprints are quantitatively studied, 2) a segment-based matching and fusion algorithm is proposed to deal with the skin distortion and the varying discrimination power of different palmprint regions, and 3) to reduce the computational complexity, an orientation field-based registration algorithm is designed for registering the palmprints into the same coordinate system before matching and a cascade filter is built to reject the nonmated gallery palmprints in early stage. The proposed matcher is tested by matching 840 query palmprints against a gallery set of 13,736 palmprints. Experimental results show that the proposed matcher outperforms the existing matchers a lot both in matching accuracy and speed.

Multifeature-based high-resolution palmprint recognition.

Palmprint is a promising biometric feature for use in access control and forensic applications. Previous research on palmprint recognition mainly concentrates on low-resolution (about 100 ppi) palmprints. But for high-security applications (e.g., forensic usage), high-resolution palmprints (500 ppi or higher) are required from which more useful information can be extracted. In this paper, we propose a novel recognition algorithm for high-resolution palmprint. The main contributions of the proposed algorithm include the following: 1) use of multiple features, namely, minutiae, density, orientation, and principal lines, for palmprint recognition to significantly improve the matching performance of the conventional algorithm. 2) Design of a quality-based and adaptive orientation field estimation algorithm which performs better than the existing algorithm in case of regions with a large number of creases. 3) Use of a novel fusion scheme for an identification application which performs better than conventional fusion methods, e.g., weighted sum rule, SVMs, or Neyman-Pearson rule. Besides, we analyze the discriminative power of different feature combinations and find that density is very useful for palmprint recognition. Experimental results on the database containing 14,576 full palmprints show that the proposed algorithm has achieved a good performance. In the case of verification, the recognition system's False Rejection Rate (FRR) is 16 percent, which is 17 percent lower than the best existing algorithm at a False Acceptance Rate (FAR) of 10(-5), while in the identification experiment, the rank-1 live-scan partial palmprint recognition rate is improved from 82.0 to 91.7 percent.

DNA oxidative damage by terpene catechols as analogues of natural terpene quinone methide precursors in the presence of Cu(II) and/or NADH.

Natural terpene quinone methides (QM) and their derivatives have been investigated as therapeutics due to their broad antifungal, antibacterial, and antitumor activities. Recently, we reported that a terpene QM was formed from the catechol precursor through the disproportionation of Cu(II)/(I) redox cycle, and extensive DNA damage was observed throughout the oxidation process. In this paper, we investigate DNA damage with a series of terpene catechols as analogues of natural QM precursors and suggest that reactive oxygen species (ROS) are responsible for the observed DNA damage in the Cu(2+)-induced oxidation despite the stereo- and structural difference of these catechol or subsequent oxidation products. In addition, the presence of NADH significantly enhanced the extent of DNA damage by oxidation of these catechols. Especially with alkene catechols 6-7, the extent of DNA damage was independent of the concentration of catechols, implying that NADH enables the continuous production of ROS through the redox cycle of catechols/quinones.