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Patterns of antidepressant therapy and clinical outcomes among ischaemic stroke survivors

Stroke & Vascular Neurology 2021年第3期6卷 384-394,I0018-I0032页

作者： Mark R Etherton Shreyansh Shah Xu Haolin Ying Xian Lesley Maisch Deidre Hannah Brianna Lindholm Barbara Lytle Laine Thomas Eric E Smith Gregg C fonarow Lee H Schwamm Deepak L Bhatt adrian f hernandez Emily C O'Brien Neurology Massachusetts General HospitalBostonMassachusettsUSA Neurology Duke University School of MedicineDurhamNorth CarolinaUSA Duke Clinical Research Institute Duke UniversityDurhamNorth CarolinaUSA American Heart Association Inc DallasTexasUSA Clinical Neurosciences University of Calgary Cumming School of MedicineCalgaryAlbertaCanada Cardiology Ronald Reagan UCLA Medical CenterLos AngelesCaliforniaUSA Cardiovascular Medicine Brigham and Women's HospitalBostonMassachusettsUSA Cardiology Duke UniversityDurhamNorth CarolinaUSA Population Health Duke Clinical Research InstituteDurhamNorth CarolinaUSA

Background and purpose Depression is common after stroke and is often treated with antidepressant medications(AD).ADs have also been hypothesised to improve stroke recovery,although recent randomised trials were *** investigated the patterns of in-hospital AD initiation after ischaemic stroke and association with clinical and readmission *** All Medicare fee-for-service beneficiaries aged 65 or older hospitalised for ischaemic stroke in participating Get With The Guidelines-Stroke hospitals between April and December 2014 were eligible for this *** measures included days alive and not in a healthcare institution(home time),all-cause mortality and readmission within 1-year *** score(PS)-adjusted logistic regression models were used to evaluate the associations between AD use and each outcome *** also compared outcomes in patients prescribed selective serotonin reuptake inhibitors(SSRIs)AD versus those prescribed non-SSRI *** Of 21805 AD naive patients included in this analysis,1835(8.4%)were started on an AD at *** started on an AD had higher rates of depression and prior ischaemic stroke,presented with higher admission National Institutes of Health Stroke Scale score and were less likely to be discharged ***,patients started on an SSRI had lower rates of discharge to *** for stroke severity,patients started on an AD had worse all-cause mortality,all-cause readmission,major adverse cardiac events,readmission for depression and decreased ***,AD use was also associated with an increased risk for the sepsis,a falsification endpoint,suggesting the presence of residual *** Patients with ischaemic stroke initiated on AD therapy are at increased risk of poor clinical outcomes and readmission even after PS adjustment,suggesting that poststroke depression requiring medication is a poor prognostic *** research is needed to explore

关键词： prescribed admission founding

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The concept of gene therapy for glaucoma:the dream that has not come true yet

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Neural Regeneration Research 2024年第1期19卷 92-99页

作者： Robert Sulak Xiaonan Liu adrian Smedowski Department of Physiology Faculty of Medical Sciences in KatowiceMedical University of Silesia in KatowiceKatowicePoland Institute of Biotechnology HiLIFEUniversity of HelsinkiHelsinkiFinland GlaucoTech Co. KatowicePoland

Gene therapies,despite of being a relatively new therapeutic approach,have a potential to become an important alternative to current treatment strategies in *** glaucoma is not considered a single gene disease,the identified goals of gene therapy would be rather to provide neuroprotection of retinal ganglion cells,especially,in intraocular-pressure-independent *** most commonly reported type of vector for gene delivery in glaucoma studies is adeno-associated virus serotype 2 that has a high tro pism to retinal ganglion cells,res ulting in long-term expression and low immunogenic *** gene thera py studies recruit inducible and genetic animal models of optic neuropathy,like DBA/2J mice model of high-tension glaucoma and the optic nerve *** gene therapy-based neuroprotection of retinal ganglion cells is targeting specific genes translating to growth factors(i.e.,brain derived neurotrophic factor,and its receptor TrkB),regulation of apoptosis and neurodegeneration(i.e.,Bcl-xl,Xiap,fAS system,nicotinamide mononucleotide adenylyl transferase 2,Digit3 and Sarm1),immunomodulation(i.e.,Crry,C3 complement),modulation of neuroinflammation(i.e.,e rythropoietin),reduction of excitotoxicity(i.e.,Com KIlα)and transcription regulation(i.e.,Max,Nrf2).On the other hand,some of gene therapy studies focus on lowering intra ocular pressure,by impacting genes involved in both,decreasing aqueous humor production(i.e.,aquaporin 1),and increasing outflow facility(i.e.,COX2,prostaglandin f2a receptor,RhoA/RhoA kinase signaling pathway,MMP1,Myocilin).The goal of this review is to summarize the current stateof-art and the direction of development of gene therapy strategies for glaucomatous neuropathy.

关键词： adeno-associated virus gene editing gene therapy glaucoma IOP lowering IOP-independent mechanisms neuroprotection optic nerve optic neuropathy retinal ganglion cells

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feeding ecology and interactions with mammal hosts in a symbiotic genus of birds(Buphagus spp.)in Namibia

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Avian Research 2024年第3期15卷 336-344页

作者： Michael S.Lukubwe Daniel Velarde-Garcéz fernando Sequeira Susana Lopes adrian J.f.K.Craig Vanessa A.Mata Department of Zoology and Entomology Rhodes UniversityMakhandaSouth Africa Department of Wildlife Management and Tourism Studies University of NamibiaKatima Mulilo CampusNamibia Departamento de Biologia Faculdade de CiênciasUniversidade do PortoPortoPortugal CIBIO Centro de Investigação em Biodiversidade e Recursos GenéticosInBIO Laboratório AssociadoCampus de VairãoVairãoPortugal BIOPOLIS Program in Genomics Biodiversity and Land PlanningCIBIOCampus de VairãoVairãoPortugal

As the sole obligate symbiotic birds in Africa,oxpeckers offer a unique model for studying symbiotic *** to the multitrophic level they occupy and the context dependent foraging behavior they exhibit,the type of symbiotic relationship can be *** addition to providing a cleaning service to the host by removing ticks,oxpeckers frequently feed on blood,mucus,and saliva,inflicting potential damage on the ***,we used DNA metabarcoding on faecal samples to analyze the taxonomic composition of the trophic interactions of the Yellow-billed Oxpecker(Buphagus africanus)and Red-billed Oxpecker(***)in northeastern *** contrast to conventional methods,DNA metabarcoding allows for a detailed identification of dietary resources encompassing both mammal hosts and consumed arthropods within the same *** this information,we examined differences in the diet composition between oxpecker species and localities,as well as the co-occurrence between host and arthropod *** findings revealed that oxpeckers predominantly source their diet from mammals,ticks,and flies;however,ticks and flies rarely co-occur in the diet of an *** observed variability among individuals in their feeding ecology,which is strongly correlated with locality and,to a lesser extent,with the mammal *** noted a high degree of mobility between hosts within relatively short periods,with 32%of the samples showing traces of at least two mammal *** study illustrates the dynamic foraging behavior of these specialized symbiotic birds,shedding light on their potential role in pest control services and disease transmission.

关键词： Commensalism Diet DNA metabarcoding Oxpeckers Parasitism Trophic ecology

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Explainable Artificial Intelligence(XAI)Model for Cancer Image Classification

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Computer Modeling in Engineering & Sciences 2024年第10期141卷 401-441页

作者： Amit Singhal Krishna Kant Agrawal Angeles Quezada adrian Rodriguez Aguiñaga Samantha Jiménez Satya Prakash Yadav Department of Computer Science&Engineering Raj Kumar Goel Institute of TechnologyGhaziabad201017India Department of School of Computing Science and Engineering Galgotias UniversityGreater Noida203201India Tecnológico Nacional de México Campus Tijuana Baja California22414México Universidad Autónoma de Baja California TijuanaBaja California22414México Department of Computer Science and Engineering G.LBajaj Institute of Technology and Management(GLBITM)Affiliated to Dr.A.P.J.Abdul Kalam Technical UniversityLucknow201306India School of Computer Science Engineering and Technology(SCSET) Bennett UniversityGreater Noida201310India

The use of Explainable Artificial Intelligence(XAI)models becomes increasingly important for making decisions in smart healthcare *** is to make sure that decisions are based on trustworthy algorithms and that healthcare workers understand the decisions made by these *** models can potentially enhance interpretability and explainability in decision-making processes that rely on artificial ***,the intricate nature of the healthcare field necessitates the utilization of sophisticated models to classify cancer *** research presents an advanced investigation of XAI models to classify cancer *** describes the different levels of explainability and interpretability associated with XAI models and the challenges faced in deploying them in healthcare *** addition,this study proposes a novel framework for cancer image classification that incorporates XAI models with deep learning and advanced medical imaging *** proposed model integrates several techniques,including end-to-end explainable evaluation,rule-based explanation,and useradaptive *** proposed XAI reaches 97.72%accuracy,90.72%precision,93.72%recall,96.72%f1-score,9.55%fDR,9.66%fOR,and 91.18%*** will discuss the potential applications of the proposed XAI models in the smart healthcare *** will help ensure trust and accountability in AI-based decisions,which is essential for achieving a safe and reliable smart healthcare environment.

关键词： Explainable artificial intelligence artificial intelligence XAI healthcare cancer image classification

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Genetic outcomes from the translocations of the critically endangered woylie

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Current Zoology 2013年第3期59卷 294-310页

作者： Carlo PACIONI adrian f. WAYNE Peter B. S. SPENCER School of Veterinary and Life Sciences Murdoch University Murdoch 6150 Western Australia Department of Environment and Conservation Science Division Manjimup 6258 Western Australia

Translocations are an important conservation strategy for many species. However simply observing demographic growth of a translocated population is not sufficient to infer species recovery. Adequate genetic representation of the source population（s） and their long-term viability should also be considered. The woylie Bettongia penicillata ogilbyi has been subject to more formal translocations for conservation than any other marsupial that, up until recently, has resulted in one of the most suc- cessful species recoveries in Australia. We used mitochondrial and nuclear DNA markers to assess the genetic outcomes of trans- located woylie populations. These populations have lost genetic variability, differentiated fxom their source population and the supplementation program on two island populations appears to have failed. We discuss the conservation implications that our re- suits have for managing threatened species, outline some general recommendations for the management of present and future translocations and discuss the appropriate sampling design for the establishment of new populations or captive breeding programs that may mitigate the genetic ＇erosion＇ seen in our study species. This research provides some practical outcomes and a pragmatic understanding of translocation biology. The findings are directly applicable to other translocation programs .

关键词： Bettongia penicillata Macropod translocation Supplementation Microsatellites mtDNA

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New ultrasound techniques for lymph node evaluation

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World Journal of Gastroenterology 2013年第30期19卷 4850-4860页

作者： Xin-Wu Cui Christian Jenssen adrian Saftoiu Andre Ignee Christoph f Dietrich Med.Klinik 2 Caritas-Krankenhaus97980 Bad MergentheimGermany Klinik für Innere Medizin Krankenhaus M rkisch Oderland15334 StrausbergGermany Department of Gastroenterology Research Center of Gastroenterology and HepatologyUniversity of Medicine and Pharmacy Craiova200349 CraiovaRomania

Conventional ultrasound(US)is the recommended imaging method for lymph node(LN)diseases with the advantages of high resolution,real time evaluation and relative low *** indications of transcutaneous ultrasound and endoscopic ultrasound include the detection and characterization of lymph nodes and the guidance for LN *** advances in US technology,such as contrast enhanced ultrasound(CEUS),contrast enhanced endoscopic ultrasound(CE-EUS),and real time elastography show potential to improve the accuracy of US for the differential diagnosis of benign and malignant lymph *** addition,CEUS and CE-EUS have been also used for the guidance of fine needle aspiration and assessment of treatment *** to size criteria,CEUS could also be used to evaluate response of tumor angiogenesis to anti-angiogenic *** this paper we review current literature regarding evaluation of lymphadenopathy by new and innovative US techniques.

关键词： Lymph nodes Ultrasound Endoscopic ultrasound Lymph node metastasis Lymphoma

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Automated recognition and mapping of building management system (BMS) data points for building energy modeling (BEM)

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Building Simulation 2021年第1期14卷 43-52页

作者： Sicheng Zhan adrian Chong Bertrand Lasternas Department of Building School of Design and EnvironmentNational University of Singapore4 Architecture DriveSingapore117566Singapore

With the advance of the internet of things and building management system(BMS)in modern buildings,there is an opportunity of using the data to extend the use of building energy modeling(BEM)beyond the design *** applications include retrofit analysis,measurement and verification,and operations and ***,while BMS is collecting a vast amount of operation data,different suppliers and sensor installers typically apply their own customized or even random non-uniform rules to define the metadata,i.e.,the point *** results in a need to interpret and manually map any BMS data before using it for energy *** mapping process is labor-intensive,error-prone,and requires comprehensive prior ***,BMS metadata typically has considerable variety and limited context information,limiting the applicability of existing interpreting *** this paper,we proposed a text mining framework to facilitate interpreting and mapping BMS points to EnergyPlus *** framework is based on unsupervised density-based clustering(DBSCAN)and a novel fuzzy string matching algorithm“X-gram”.Therefore,it is generalizable among different buildings and naming *** compare the proposed framework against commonly used baselines that include morphological analysis and widely used text mining *** two building cases from Singapore and two from the United States,we demonstrated that the framework outperformed baseline methods by 25.5%,with the measurement extraction f-measure of 87.2%and an average mapping accuracy of 91.4%.

关键词： building management system(BMS) building energy modeling(BEM) auto-mapping DBSCAN metadata interpretation

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functional Interaction of the SNARE Protein NtSyp121 in Ca^2＋ Channel Gating, Ca^2＋ Transientsand ABA Signalling of Stomatal Guard Cells

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Molecular Plant 2008年第2期1卷 347-358页

作者： Sergei Sokolovski adrian Hills Robert A. Gay Michael R. Blatt Laboratory of Plant Physiology and Biophysics IBLS--Plant Sciences University of Glasgow Glasgow G12 8QQ UK Current address: Blackfriars 64 St Giles Oxford OX1 3LY UK

There is now growing evidence that membrane vesicle trafficking proteins, especially of the superfamily of SNAREs, are critical for cellular signalling in plants. Work from this laboratory first demonstrated that a soluble, inhibitory （dominant-negative） fragment of the SNARE NtSyp121 blocked K^＋ and CI^- channel responses to the stress-related hormone abscisic acid （ABA）, but left open a question about functional impacts on signal intermediates, especially on Ca^2＋-mediated signalling events. Here, we report one mode of action for the SNARE mediated directly through alterations in Ca^2＋ channel gating and its consequent effects on cytosolic-free [Ca^2＋] （[Ca^2＋]i） elevation. We find that expressing the same inhibitory fragment of NtSyp121 blocks ABA-evoked stomatal closure, but only partially suppresses stomatal closure in the presence of the NO donor, SNAP, which promotes [Ca^2＋]i elevation independently of the plasma membrane Ca^2＋ channels. Consistent with these observations, Ca^2＋ channel gating at the plasma membrane is altered by the SNARE fragment in a manner effective in reducing the potential for triggering a rise in [Ca^2＋]i, and we show directly that its expression in vivo leads to a pronounced suppression of evoked [Ca^2＋]i transients. These observations offer primary evidence for the functional coupling of the SNARE with Ca^2＋ channels at the plant cell plasma membrane and, because [Ca^2＋]i plays a key role in the control of K^＋ and CI^- channel currents in guard cells, they underscore an important mechanism for SNARE integration with ion channel regulation during stomatal closure.

关键词： Ca^2+ channel, hyperpolarization-activated abscisic acid membrane vesicle traffic cytosolic-free [Ca^2+]elevation Nicotiana plant pathogen defense.

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Structure of [Co(im)6]Sif6：Short Hydrogen Bonds Involving Sif62- Ions

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Chinese Journal of Structural Chemistry 2017年第6期36卷 965-970页

作者： NAZIR Sadia ARIf Muhammad RASHID Muhammad Abid WHITWOOD adrian Charles Department of Chemistry Govt. College Women University Faisalabad 3800 Pakistan Institute of Chemical Sciences Bahhauddin Zakariya University Multan 60800 Pakistan Department of Chemistry University of Agriculture Faisalabad 38040 Pakistan Department of Chemistry University of York Heslington York YO10 5DD UK

A new complex C（18）H（24）Cof6N（12）Si has been synthesized by the reaction of cobalt（II） fluoride tetrahydrate with imidazole in a glass vessel. Sif62-was generated by in situ reaction of fluoride on silica. This complex has been characterized by different techniques such as elemental analysis, IR studies, magnetic measurements, electronic absorption measurements and single-crystal X-ray structure determination. The crystals are hexagonal in the R-3 space group, with a = 13.225（6）, b = 13.225（6）, c = 12.517（11） A, and g = 120°. In complex [Co（im）6]Sif6, the cobalt atom is six-coordinated to adopt a regular octahedral geometry and the Sif62-ion acts as the counter anion. The crystal displays a network structure and Sif62- bridging hexagram formation by N-（39）···f-Si interactions between imdazole and Sif62-. Sif62-plays an important role in assembling the supramolecular aggregates.

关键词： anion binding imidazole Sif62- hydrogen bonds transitionmetal fluoride complexes

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Switched-capacitor Multi-level Inverter with Equal Distribution of the Capacitors Discharging Phases

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Chinese Journal of Electrical Engineering 2020年第4期6卷 42-52页

作者： Zhiyuan Xu Xiaofeng Zheng Tong Lin Jia Yao adrian Ioinovici College of Automation Nanjing University of Science and TechnologyNanjing 210014China College of Automation Nanjing University of Aeronautics and AstronauticsNanjing 210016China

A new switched-capacitor(2n+1)levels inverter with a single input source and equal charge of the capacitors at the input voltage V_(in) is *** with its peers from the same class of inverters,the proposed one features an equal or lower components count referred to the boost ***,it presents an additional advantage:each voltage level can be obtained by using different capacitors in the discharging phase,such that the decreasing part of the staircase output waveform can be synthesized with different switching topologies than those used in the increasing *** a consequence,all the capacitors are discharged at the same voltage value at the end of each half-cycle,allowing for the use of smaller capacitors of equal *** the capacitors are connected in parallel in the charging phase,there is no need to equalize their voltages,so no additional current spikes *** also implies less electromagnetic emission(EMI).Two types of modulation strategies are proposed.A half-height fundamental switching frequency modulation strategy allows for reaching the desired peak of the output voltage during the highest voltage level *** is advantageous in application of the inverter as a front end of a grid supplied by green sources of energy.A high frequency(f_(s)=200 kHz)modulation strategy accompanied by a duty-cycle control is advantageous for applications which require miniaturization.A 9-level switched-capacitor multi-level inverter(SCMLI)is analyzed and *** power losses are *** experimental results for a 9-level inverter with V_(in)=40 V,V_(out)=110 Vrms 50 Hz,200 W confirm the theoretical expectations.

关键词： Switched-capacitor multi-level inverter half-height frequency modulation

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