361 vs. 0.599). ROC curves showed that the cutoff value for the CAR was 3.25. Patients with a CAR ≥ 3.25 had more complications (
< 0.001), a longer postoperative stay (15.5 ± 0.6 d vs. 9.0 ± 0.2 d,
< 0.001), and more surgical site infections (48.2% vs. 5.7%,
< 0.001) than those with a CAR < 3.25.
Compared to the CRP level, the CAR can more accurately predict postoperative complications and can act as a predictive marker in CD patients after surgery.
Compared to the CRP level, the CAR can more accurately predict postoperative complications and can act as a predictive marker in CD patients after surgery.
The coronavirus disease 2019 (COVID-19) has severely impacted the daily practice of gastrointestinal endoscopy worldwide. Most endoscopy centers in China were shut down in late January 2020. We investigated the impact of the shutdown on acute upper gastrointestinal bleeding (AUGIB) events in Xingtai City, Hebei Province, China.
A web-based survey collected information on gastroscopy workload and AUGIB events. The study period was from 4 weeks before to 4 weeks after lockdown initiation in Xingtai City. Fourteen public gastrointestinal endoscopy centers performing emergency endoscopies were contacted via e-mail to collect weekly emergency gastroscopy volumes and the number of AUGIB events. https://www.selleckchem.com/products/ucl-tro-1938.html AUGIB was defined as recent melena, hematemesis, or both, with an endoscopically visible source of bleeding.
Twelve (85.7%) of the 14 surveyed gastrointestinal endoscopy centers in the city- and county-level hospitals responded. Altogether, 4,045 and 1,077 gastroscopy procedures were performed 4 weeks before and after lockdown initiation (73.4% reduction), respectively. Peptic ulcer-related AUGIB and variceal AUGIB events showed a 58.5% and 52.9% decline, respectively, compared with pre-COVID-19 data. Although the absolute number of AUGIB events decreased during the pandemic (from 149 to 66), the likelihood of detecting AUGIB during gastroscopy increased (3.68% (pre-COVID-19 period) versus 6.13% (COVID-19 period);
< 0.05).
The COVID-19 pandemic resulted in a considerable reduction in gastroscopy workload and AUGIB events; however, the likelihood of detecting AUGIB increased significantly during gastroscopies.
The COVID-19 pandemic resulted in a considerable reduction in gastroscopy workload and AUGIB events; however, the likelihood of detecting AUGIB increased significantly during gastroscopies.
Nowadays, acute intracerebral hemorrhage stroke (AICH) still causes higher mortality. Liangxue Tongyu Formula (LXTYF), originating from a traditional Chinese medicine (TCM) prescription, is widely used as auxiliary treatment for AICH.
To dig into the multicomponent, multitarget, and multipathway mechanism of LXTYF on treating AICH via network pharmacology and RNA-seq.
Network pharmacology analysis was used by ingredient collection, target exploration and prediction, network construction, and Gene Ontology (GO) and KEGG analysis, with the Cytoscape software and ClusterProfiler package in R. The RNA-seq data of the AICH-rats were analyzed for differential expression and functional enrichments. Herb-Compound-Target-Pathway (H-C-T-P) network was shown to clarify the mechanism of LXTYF for AICH.
76 active ingredients (quercetin, Alanine, kaempferol, etc.) of LXTYF and 376 putative targets to alleviate AICH (PTGS2, PTGS1, ESR1, etc.) were successfully identified. The protein-protein interaction (PPI) networor further experimental validation.
The LXTYF attenuates AICH partially by antioxidation, anti-inflammatory, and antiapoptosis and lowers blood pressure roles through regulating the targets involved MAPK, calcium, apoptosis, and TNF signaling pathway, which provide notable clues for further experimental validation.Resiniferatoxin is an ultrapotent capsaicin analog that mediates nociceptive processing; treatment with resiniferatoxin can cause an inflammatory response and, ultimately, neuropathic pain. link2 Hepatoma-derived growth factor, a growth factor related to normal development, is associated with neurotransmitters surrounding neurons and glial cells. Therefore, the study aims to investigate how blocking hepatoma-derived growth factor affects the inflammatory response in neuropathic pain. Serum hepatoma-derived growth factor protein expression was measured via ELISA. Resiniferatoxin was administrated intraperitoneally to induce neuropathic pain in 36 male Sprague-Dawley rats which were divided into three groups (resiniferatoxin+recombinant hepatoma-derived growth factor antibody group, resiniferatoxin group, and control group) (n = 12/group). The mechanical threshold response was tested with calibration forceps. Cell apoptosis was measured by TUNEL assay. Immunofluorescence staining was performed to detect apoptosis of neuron cells and proliferation of astrocytes in the spinal cord dorsal horn. RT-PCR technique and western blot were used to measure detect inflammatory factors and protein expressions. Serum hepatoma-derived growth factor protein expression was higher in the patients with sciatica compared to controls. In resiniferatoxin-group rats, protein expression of hepatoma-derived growth factor was higher than controls. Blocking hepatoma-derived growth factor improved the mechanical threshold response in rats. In dorsal root ganglion, blocking hepatoma-derived growth factor inhibited inflammatory cytokines. In the spinal cord dorsal horn, blocking hepatoma-derived growth factor inhibited proliferation of astrocyte, apoptosis of neuron cells, and attenuated expressions of pain-associated proteins. The experiment showed that blocking hepatoma-derived growth factor can prevent neuropathic pain and may be a useful alternative to conventional analgesics.Accuracy is a key index of human gait recognition. In this paper, we propose an improved gait recognition algorithm, which combines multiple feature combination and artificial bee colony for optimizing the support vector machine (ABC-SVM). Firstly, considering the complexity characteristics of surface electromyography (sEMG) signals, four types of features are extracted from the denoised sEMG signals, including the time-domain features of integral of absolute value (IAV), variance (VAR), and number of zero-crossing (ZC) points, frequency-domain features of mean power frequency (MPF) and median frequency (MF), and wavelet features and fuzzy entropy features. Secondly, the classifiers of SVM, linear discriminant analysis (LDA), and extreme learning machine (ELM) are employed to recognize the gait with obtained features, including singe-class features, multiple combination features, and optimized features of dimension reduction by principal component analysis (PCA). Thirdly, the penalty coefficient and kernel function parameter of the SVM classifier are optimized by the ABC algorithm, and the influence of different features and classifiers on the recognition results is studied. Finally, the feature samples selected to construct the SVM classifier are trained and recognized. Results show that the classification performance of the ABC-SVM classifier is significantly better than that of the nonoptimized SVM classifier, and the average recognition rate is increased by 3.18%. In addition, the combined feature samples (time-domain, frequency-domain, wavelet, and fuzzy entropy features) not only improve the gait classification accuracy but also enhance the recognition stability.Vision-based recognizing and positioning of electronic components on the PCB (printed circuit board) can improve the quality inspection efficiency of electronic products in the manufacturing process. With the improvement of the design and the production process, the electronic components on the PCB show the characteristics of small sizes and similar appearances, which brings challenges to visual object detection. link3 This paper designs a real-time electronic component detection network through effective receptive field size and anchor size matching in YOLOv3. We make contributions in the following three aspects (1) realizing the calculation and visualization of the effective receptive field size of the different depth layers of the CNN (convolutional neural network) based on gradient backpropagation; (2) proposing a modular YOLOv3 composition strategy that can be added and removed; and (3) designing a lightweight and efficient detection network by effective receptive field size and anchor size matching algorithm. Compared with the Faster-RCNN (regions with convolutional neural network) features, SSD (single-shot multibox detectors), and original YOLOv3, our method not only has the highest detection mAP (mean average precision) on the PCB electronic component dataset, which is 95.03%, the smallest parameter size of the memory, about 1/3 of the original YOLOv3 parameter amount, but also the second-best performance on FLOPs (floating point operations).In order to design an optimized route for ships in line with economic benefits; avoid bad weather; reduce unnecessary detours; shorten the navigation time; and achieve the purpose of safety, fuel saving, and punctual arrival, this paper takes the navigation mark as the node of the tree, takes the connection of the adjacent navigation marks as the tree path, and divides the distance of the adjacent buoys by the ship's speed as the path cost. The speed calculation collects the current hydrometeorological data such as wind and wave data, uses Aertssen's deceleration formula to adjust the speed, and improves Dijkstra to find the shortest path. In the experiment, two routes from Dongdu to Xiamen Gang Kou are compared under bad weather conditions. Route 1 is with 5.877 m/s average wind speed, 0.860 m/s wave speed, and total distance 34717 m. Route 2 is with 8.503 m/s average wind speed, 1.429 m/s wave speed, and total distance 30223 m. The calculated ship speed travelling in route 1 is 12.243 km, and its travelling time is 1.53 h. The calculated ship speed travelling in route 2 is 10.523 km, and its travelling time is 1.55 h. Although the total distance of route 1 is longer, it takes less time for ships to travel in route 1. The experimental results verify the effectiveness of the navigation algorithm based on the shortest path tree of uncertain weather maps.This article describes the main models for embedding research and the successful experiences and challenges faced in joint work by researchers and decisionmakers who participated in the Embedding Research for the Sustainable Development Goals (ER-SDG) initiative, and the experience of the Technical Support Center. In June 2018, funding was granted to 13 pre-selected research projects from 11 middle- and low-income countries in Latin America and the Caribbean (Argentina, Bolivia, Brazil, Colombia, Dominican Republic, Ecuador, Guatemala, Guyana, Haiti, Paraguay, and Peru). The projects focused on the system-, policy-, or program-level changes required to improve health and build on the joint work of researchers and decisionmakers, with a view to bringing together evidence production and decision-making in health systems and services. The Technical Support Center supported and guided the production of quality results useful for decision-making. This experience confirmed the value of initiatives such as ER-SDG in consolidating bridges between research on the implementation of health policies, programs, and systems, and the officials responsible for operating health-related programs, services, and interventions.