Ropinirole suppresses LPS-induced periodontal inflammation by inhibiting the NAT10 in an ac4C-dependent manner.

BACKGROUND: Periodontitis is a chronic osteolytic inflammatory disease, where anti-inflammatory intervention is critical for restricting periodontal damage and regenerating alveolar bone. Ropinirole, a dopamine D2 receptor agonist, has previously shown therapeutic potential for periodontitis but the underlying mechanism is still unclear. METHODS: Human gingival fibroblasts (HGFs) treated with LPS were considered to mimic periodontitis in vitro. The dosage of Ropinirole was selected through the cell viability of HGFs evaluation. The protective effects of Ropinirole on HGFs were evaluated by detecting cell viability, cell apoptosis, and pro-inflammatory factor levels. The molecular docking between NAT10 and Ropinirole was performed. The interaction relationship between NAT10 and KLF6 was verified by ac4C Acetylated RNA Immunoprecipitation followed by qPCR (acRIP-qPCR) and dual-luciferase reporter assay. RESULTS: Ropinirole alleviates LPS-induced damage of HGFs by promoting cell viability, inhibiting cell apoptosis and the levels of IL-1ß, IL-18, and TNF-α. Overexpression of NAT10 weakens the effects of Ropinirole on protecting HGFs. Meanwhile, NAT10-mediated ac4C RNA acetylation promotes KLF6 mRNA stability. Upregulation of KLF6 reversed the effects of NAT10 inhibition on HGFs. CONCLUSIONS: Taken together, Ropinirole protected HGFs through inhibiting the NAT10 ac4C RNA acetylation to decrease the KLF6 mRNA stability from LPS injury. The discovery of this pharmacological and molecular mechanism of Ropinirole further strengthens its therapeutic potential for periodontitis.

A comparison of different methods to maximise signal extraction when using central venous pressure to optimise atrioventricular delay after cardiac surgery.

Objective: Our group has shown that central venous pressure (CVP) can optimise atrioventricular (AV) delay in temporary pacing (TP) after cardiac surgery. However, the signal-to-noise ratio (SNR) is influenced both by the methods used to mitigate the pressure effects of respiration and the number of heartbeats analysed. This paper systematically studies the effect of different analysis methods on SNR to maximise the accuracy of this technique. Methods: We optimised AV delay in 16 patients with TP after cardiac surgery. Transitioning rapidly and repeatedly from a reference AV delay to different tested AV delays, we measured pressure differences before and after each transition. We analysed the resultant signals in different ways with the aim of maximising the SNR: (1) adjusting averaging window location (around versus after transition), (2) modifying window length (heartbeats analysed), and (3) applying different signal filtering methods to correct respiratory artefact. Results: (1) The SNR was 27 % higher for averaging windows around the transition versus post-transition windows. (2) The optimal window length for CVP analysis was two respiratory cycle lengths versus one respiratory cycle length for optimising SNR for arterial blood pressure (ABP) signals. (3) Filtering with discrete wavelet transform improved SNR by 62 % for CVP measurements. When applying the optimal window length and filtering techniques, the correlation between ABP and CVP peak optima exceeded that of a single cycle length (R = 0.71 vs. R = 0.50, p < 0.001). Conclusion: We demonstrated that utilising a specific set of techniques maximises the signal-to-noise ratio and hence the utility of this technique.

Neonatal White Matter Damage Analysis Using DTI Super-Resolution and Multi-Modality Image Registration.

Punctate White Matter Damage (PWMD) is a common neonatal brain disease, which can easily cause neurological disorder and strongly affect life quality in terms of neuromotor and cognitive performance. Especially, at the neonatal stage, the best cure time can be easily missed because PWMD is not conducive to the diagnosis based on current existing methods. The lesion of PWMD is relatively straightforward on T1-weighted Magnetic Resonance Imaging (T1 MRI), showing semi-oval, cluster or linear high signals. Diffusion Tensor Magnetic Resonance Image (DT-MRI, referred to as DTI) is a noninvasive technique that can be used to study brain microstructures in vivo, and provide information on movement and cognition-related nerve fiber tracts. Therefore, a new method was proposed to use T1 MRI combined with DTI for better neonatal PWMD analysis based on DTI super-resolution and multi-modality image registration. First, after preprocessing, neonatal DTI super-resolution was performed with the three times B-spline interpolation algorithm based on the Log-Euclidean space to improve DTIs' resolution to fit the T1 MRIs and facilitate nerve fiber tractography. Second, the symmetric diffeomorphic registration algorithm and inverse b0 image were selected for multi-modality image registration of DTI and T1 MRI. Finally, the 3D lesion models were combined with fiber tractography results to analyze and predict the degree of PWMD lesions affecting fiber tracts. Extensive experiments demonstrated the effectiveness and super performance of our proposed method. This streamlined technique can play an essential auxiliary role in diagnosing and treating neonatal PWMD.

A self-supervised network-based smoke removal and depth estimation for monocular endoscopic videos.

In minimally invasive surgery videos, label-free monocular laparoscopic depth estimation is challenging due to smoke. For this reason, we propose a self-supervised collaborative network-based depth estimation method with smoke-removal for monocular endoscopic video, which is decomposed into two steps of smoke-removal and depth estimation. In the first step, we develop a de-endoscopic smoke for cyclic GAN (DS-cGAN) to mitigate the smoke components at different concentrations. The designed generator network comprises sharpened guide encoding module (SGEM), residual dense bottleneck module (RDBM) and refined upsampling convolution module (RUCM), which restores more detailed organ edges and tissue structures. In the second step, high resolution residual U-Net (HRR-UNet) consisting of a DepthNet and two PoseNets is designed to improve the depth estimation accuracy, and adjacent frames are used for camera self-motion estimation. In particular, the proposed method requires neither manual labeling nor patient computed tomography scans during the training and inference phases. Experimental studies on the laparoscopic data set of the Hamlyn Centre show that our method can effectively achieve accurate depth information after net smoking in real surgical scenes while preserving the blood vessels, contours and textures of the surgical site. The experimental results demonstrate that the proposed method outperforms existing state-of-the-art methods in effectiveness and achieves a frame rate of 94.45fps in real time, making it a promising clinical application.

Self-Supervised 3D Behavior Representation Learning Based on Homotopic Hyperbolic Embedding.

Behavior sequences are generated by a series of spatio-temporal interactions and have a high-dimensional nonlinear manifold structure. Therefore, it is difficult to learn 3D behavior representations without relying on supervised signals. To this end, self-supervised learning methods can be used to explore the rich information contained in the data itself. Context-context contrastive self-supervised methods construct the manifold embedded in Euclidean space by learning the distance relationship between data, and find the geometric distribution of data. However, traditional Euclidean space is difficult to express context joint features. In order to obtain an effective global representation from the relationship between data under unlabeled conditions, this paper adopts contrastive learning to compare global feature, and proposes a self-supervised learning method based on hyperbolic embedding to mine the nonlinear relationship of behavior trajectories. This method adopts the framework of discarding negative samples, which overcomes the shortcomings of the paradigm based on positive and negative samples that pull similar data away in the feature space. Meanwhile, the output of the network is embedded in a hyperbolic space, and a multi-layer perceptron is added to convert the entire module into a homotopic mapping by using the geometric properties of operations in the hyperbolic space, so as to obtain homotopy invariant knowledge. The proposed method combines the geometric properties of hyperbolic manifolds and the equivariance of homotopy groups to promote better supervised signals for the network, which improves the performance of unsupervised learning.

Complete revascularization is associated with higher mortality in patients with ST-elevation myocardial infarction, multi-vessel disease and shock defined by hyperlactataemia: results from the Harefield Shock Registry incorporating explainable machine learning.

AIMS: Revascularization strategy for patients with ST-elevation myocardial infarction (STEMI) and multi-vessel disease varies according to the patient's cardiogenic shock status, but assessing shock acutely can be difficult. This article examines the link between cardiogenic shock defined solely by a lactate of ≥2 mmol/L and mortality from complete vs. culprit-only revascularization in this cohort. METHODS AND RESULTS: Patients presenting with STEMI, multi-vessel disease without severe left main stem stenosis and a lactate ≥2 mmol/L between 2011 and 2021 were included. The primary endpoint was mortality at 30 days by revascularization strategy for shocked patients. Secondary endpoints were mortality at 1 year and over a median follow-up of 30 months. Four hundred and eight patients presented in shock. Mortality in the shock cohort was 27.5% at 30 days. Complete revascularization (CR) was associated with higher mortality at 30 days [odds ratio (OR) 2.1 (1.02-4.2), P = 0.043], 1 year [OR 2.4 (1.2-4.9), P = 0.01], and over 30 months follow-up [hazard ratio (HR) 2.2 (1.4-3.4), P < 0.001] compared with culprit lesion-only percutaneous coronary intervention (CLOP). Mortality was again higher in the CR group after propensity matching (P = 0.018) and inverse probability treatment weighting [HR 2.0 (1.3-3.0), P = 0.001]. Furthermore, explainable machine learning demonstrated that CR was behind only blood gas parameters and creatinine levels in importance for predicting 30-day mortality. CONCLUSION: In patients presenting with STEMI and multi-vessel disease in shock defined solely by a lactate of ≥2 mmol/L, CR is associated with higher mortality than CLOP.

SALSA-Net: Explainable Deep Unrolling Networks for Compressed Sensing.

Deep unrolling networks (DUNs) have emerged as a promising approach for solving compressed sensing (CS) problems due to their superior explainability, speed, and performance compared to classical deep network models. However, the CS performance in terms of efficiency and accuracy remains a principal challenge for approaching further improvements. In this paper, we propose a novel deep unrolling model, SALSA-Net, to solve the image CS problem. The network architecture of SALSA-Net is inspired by unrolling and truncating the split augmented Lagrangian shrinkage algorithm (SALSA) which is used to solve sparsity-induced CS reconstruction problems. SALSA-Net inherits the interpretability of the SALSA algorithm while incorporating the learning ability and fast reconstruction speed of deep neural networks. By converting the SALSA algorithm into a deep network structure, SALSA-Net consists of a gradient update module, a threshold denoising module, and an auxiliary update module. All parameters, including the shrinkage thresholds and gradient steps, are optimized through end-to-end learning and are subject to forward constraints to ensure faster convergence. Furthermore, we introduce learned sampling to replace traditional sampling methods so that the sampling matrix can better preserve the feature information of the original signal and improve sampling efficiency. Experimental results demonstrate that SALSA-Net achieves significant reconstruction performance compared to state-of-the-art methods while inheriting the advantages of explainable recovery and high speed from the DUNs paradigm.

Bayesian Estimation of Inverted Beta Mixture Models With Extended Stochastic Variational Inference for Positive Vector Classification.

The finite inverted beta mixture model (IBMM) has been proven to be efficient in modeling positive vectors. Under the traditional variational inference framework, the critical challenge in Bayesian estimation of the IBMM is that the computational cost of performing inference with large datasets is prohibitively expensive, which often limits the use of Bayesian approaches to small datasets. An efficient alternative provided by the recently proposed stochastic variational inference (SVI) framework allows for efficient inference on large datasets. Nevertheless, when using the SVI framework to address the non-Gaussian statistical models, the evidence lower bound (ELBO) cannot be explicitly calculated due to the intractable moment computation. Therefore, the algorithm under the SVI framework cannot directly use stochastic optimization to optimize the ELBO, and an analytically tractable solution cannot be derived. To address this problem, we propose an extended version of the SVI framework with more flexibility, namely, the extended SVI (ESVI) framework. This framework can be used in many non-Gaussian statistical models. First, some approximation strategies are applied to further lower the ELBO to avoid intractable moment calculations. Then, stochastic optimization with noisy natural gradients is used to optimize the lower bound. The excellent performance and effectiveness of the proposed method are verified in real data evaluation.

Techniques to aid prediction of pacing dependence at 30 days in patients requiring pacemaker implantation after cardiac surgery.

Permanent pacemaker (PPM) implantation occurs in up to 5 % of patients after cardiac surgery but there is little consensus on how long to wait between surgery and PPM insertion. Predicting the likelihood of a patient being pacing dependent 30 days after implant can aid with this timing decision and avoid unnecessary observation time waiting for intrinsic conduction to recover. In this paper, we introduce a new approach for the prediction of PPM dependency at 30 days after implant in patients who have undergone recent cardiac surgery. The aim is to create an automatic detection model able to support clinicians in the decision-making process. We first applied Synthetic Minority Oversampling Technique (SMOTE) and Bayesian Networks (BN) to the dataset, to balance the inherently imbalanced data and create additional synthetic data respectively. The six resultant datasets were then used to train four different classifiers to predict pacing dependence at 30 days, all using the same testing set. The Bagged Trees classifier achieved the best results, reaching an area under the receiver operating curve (AUC) of 90 % in the train phase, and 83 % in the test phase. The overall classification performance was clearly enhanced when using SMOTE and synthetic data created with BN to create a combined and balanced dataset. This technique could be of great use in answering clinical questions where the original dataset is imbalanced.

Prediction of Communication Effectiveness During Media Skills Training Using Commercial Automatic Non-verbal Recognition Systems.

It is well recognised that social signals play an important role in communication effectiveness. Observation of videos to understand non-verbal behaviour is time-consuming and limits the potential to incorporate detailed and accurate feedback of this behaviour in practical applications such as communication skills training or performance evaluation. The aim of the current research is twofold: (1) to investigate whether off-the-shelf emotion recognition technology can detect social signals in media interviews and (2) to identify which combinations of social signals are most promising for evaluating trainees' performance in a media interview. To investigate this, non-verbal signals were automatically recognised from practice on-camera media interviews conducted within a media training setting with a sample size of 34. Automated non-verbal signal detection consists of multimodal features including facial expression, hand gestures, vocal behaviour and 'honest' signals. The on-camera interviews were categorised into effective and poor communication exemplars based on communication skills ratings provided by trainers and neutral observers which served as a ground truth. A correlation-based feature selection method was used to select signals associated with performance. To assess the accuracy of the selected features, a number of machine learning classification techniques were used. Naive Bayes analysis produced the best results with an F-measure of 0.76 and prediction accuracy of 78%. Results revealed that a combination of body movements, hand movements and facial expression are relevant for establishing communication effectiveness in the context of media interviews. The results of the current study have implications for the automatic evaluation of media interviews with a number of potential application areas including enhancing communication training including current media skills training.

An Ingenious Design of a High Performance-Low Complexity Image Compressor for Wireless Capsule Endoscopy.

Wireless Capsule Endoscopy is a state-of-the-art technology for medical diagnoses of gastrointestinal diseases. The amount of data produced by an endoscopic capsule camera is huge. These vast amounts of data are not practical to be saved internally due to power consumption and the available size. So, this data must be transmitted wirelessly outside the human body for further processing. The data should be compressed and transmitted efficiently in the domain of power consumption. In this paper, a new approach in the design and implementation of a low complexity, multiplier-less compression algorithm is proposed. Statistical analysis of capsule endoscopy images improved the performance of traditional lossless techniques, like Huffman coding and DPCM coding. Furthermore the Huffman implementation based on simple logic gates and without the use of memory tables increases more the speed and reduce the power consumption of the proposed system. Further analysis and comparison with existing state-of-the-art methods proved that the proposed method has better performance.

Adaptive Morphological Reconstruction for Seeded Image Segmentation.

Morphological reconstruction (MR) is often employed by seeded image segmentation algorithms such as watershed transform and power watershed, as it is able to filter out seeds (regional minima) to reduce over-segmentation. However, the MR might mistakenly filter meaningful seeds that are required for generating accurate segmentation and it is also sensitive to the scale because a single-scale structuring element is employed. In this paper, a novel adaptive morphological reconstruction (AMR) operation is proposed that has three advantages. First, AMR can adaptively filter out useless seeds while preserving meaningful ones. Second, AMR is insensitive to the scale of structuring elements because multiscale structuring elements are employed. Finally, the AMR has two attractive properties: monotonic increasingness and convergence that help seeded segmentation algorithms to achieve a hierarchical segmentation. Experiments clearly demonstrate that the AMR is useful for improving performance of algorithms of seeded image segmentation and seed-based spectral segmentation. Compared to several state-of-the-art algorithms, the proposed algorithms provide better segmentation results requiring less computing time.

The Automatic Detection of Chronic Pain-Related Expression: Requirements, Challenges and the Multimodal EmoPain Dataset.

Pain-related emotions are a major barrier to effective self rehabilitation in chronic pain. Automated coaching systems capable of detecting these emotions are a potential solution. This paper lays the foundation for the development of such systems by making three contributions. First, through literature reviews, an overview of how pain is expressed in chronic pain and the motivation for detecting it in physical rehabilitation is provided. Second, a fully labelled multimodal dataset (named 'EmoPain') containing high resolution multiple-view face videos, head mounted and room audio signals, full body 3D motion capture and electromyographic signals from back muscles is supplied. Natural unconstrained pain related facial expressions and body movement behaviours were elicited from people with chronic pain carrying out physical exercises. Both instructed and non-instructed exercises were considered to reflect traditional scenarios of physiotherapist directed therapy and home-based self-directed therapy. Two sets of labels were assigned: level of pain from facial expressions annotated by eight raters and the occurrence of six pain-related body behaviours segmented by four experts. Third, through exploratory experiments grounded in the data, the factors and challenges in the automated recognition of such expressions and behaviour are described, the paper concludes by discussing potential avenues in the context of these findings also highlighting differences for the two exercise scenarios addressed.

Time-Delay Neural Network for Continuous Emotional Dimension Prediction From Facial Expression Sequences.

Automatic continuous affective state prediction from naturalistic facial expression is a very challenging research topic but very important in human-computer interaction. One of the main challenges is modeling the dynamics that characterize naturalistic expressions. In this paper, a novel two-stage automatic system is proposed to continuously predict affective dimension values from facial expression videos. In the first stage, traditional regression methods are used to classify each individual video frame, while in the second stage, a time-delay neural network (TDNN) is proposed to model the temporal relationships between consecutive predictions. The two-stage approach separates the emotional state dynamics modeling from an individual emotional state prediction step based on input features. In doing so, the temporal information used by the TDNN is not biased by the high variability between features of consecutive frames and allows the network to more easily exploit the slow changing dynamics between emotional states. The system was fully tested and evaluated on three different facial expression video datasets. Our experimental results demonstrate that the use of a two-stage approach combined with the TDNN to take into account previously classified frames significantly improves the overall performance of continuous emotional state estimation in naturalistic facial expressions. The proposed approach has won the affect recognition sub-challenge of the Third International Audio/Visual Emotion Recognition Challenge.

Comparison of vacuum-formed and Hawley retainers: a systematic review.

INTRODUCTION: Hawley retainers (HRs) and vacuum-formed retainers (VFRs) are the 2 most commonly used retainers in orthodontics. However, the basis for selection of an appropriate retainer is still a matter of debate among orthodontists. In this systematic review, we evaluated the differences between VFRs and HRs. METHODS: Electronic databases (PubMed, EMBASE, Cochrane Library, ISI Web of Science, LILACS, and Pro-Quest) were searched with no language restriction. The relevant orthodontic journals and reference lists were checked for all eligible studies. Two article reviewers independently screened the retrieved studies, extracted the data, and evaluated the quality of the primary studies. RESULTS: A total of 89 articles were retrieved in the initial search. However, only 7 articles met the inclusion criteria. Some evidence suggested that no difference exists to distinguish between the HRs and VFRs with respect to changes in intercanine and intermolar widths after orthodontic retention. In terms of occlusal contacts, cost effectiveness, patient satisfaction, and survival time, there was insufficient evidence to support the use of VFRs over HRs. CONCLUSIONS: Additional high-quality, randomized, controlled trials concerning these retainers are necessary to determine which retainer is better for orthodontic procedures.

Affective State Level Recognition in Naturalistic Facial and Vocal Expressions.

Naturalistic affective expressions change at a rate much slower than the typical rate at which video or audio is recorded. This increases the probability that consecutive recorded instants of expressions represent the same affective content. In this paper, we exploit such a relationship to improve the recognition performance of continuous naturalistic affective expressions. Using datasets of naturalistic affective expressions (AVEC 2011 audio and video dataset, PAINFUL video dataset) continuously labeled over time and over different dimensions, we analyze the transitions between levels of those dimensions (e.g., transitions in pain intensity level). We use an information theory approach to show that the transitions occur very slowly and hence suggest modeling them as first-order Markov models. The dimension levels are considered to be the hidden states in the Hidden Markov Model (HMM) framework. Their discrete transition and emission matrices are trained by using the labels provided with the training set. The recognition problem is converted into a best path-finding problem to obtain the best hidden states sequence in HMMs. This is a key difference from previous use of HMMs as classifiers. Modeling of the transitions between dimension levels is integrated in a multistage approach, where the first level performs a mapping between the affective expression features and a soft decision value (e.g., an affective dimension level), and further classification stages are modeled as HMMs that refine that mapping by taking into account the temporal relationships between the output decision labels. The experimental results for each of the unimodal datasets show overall performance to be significantly above that of a standard classification system that does not take into account temporal relationships. In particular, the results on the AVEC 2011 audio dataset outperform all other systems presented at the international competition.

Singularity characteristics of needle EMG IP signals.

Clinical electromyography (EMG) interference pattern (IP) signals can reveal more diagnostic information than their constituents, the motor unit action potentials (MUAPs). Singularities and irregular structures typically characterize the mathematically defined content of information in signals. In this paper, a wavelet transform method is used to detect and quantify the singularity characteristics of EMG IP signals using the Lipschitz exponent (LE) and measures derived from it. The performance of the method is assessed in terms of its ability to discriminate healthy, myopathic and neuropathic subjects and how it compares with traditionally used Turns Analysis (TA) methods and a method recently developed by the authors, interscale wavelet maximum (ISWM). Highly significant intergroup differences were found using the LE method. Most of the singularity measures have a performance similar to that of ISWM and considerably better than that of TA. Some measures such as the ratio of the mean LE value to the number of singular points in the signal have considerably superior performance to both methods. These findings add weight to the view that wavelet analysis methods offer an effective way forward in the quantitative analysis of EMG IP signal to assist the clinician in the diagnosis of neuromuscular disorders.