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Fractal analysis of retinal vasculature in normal subjects on ultra-wide field fluorescein angiography

International Journal of Ophthalmology(English edition) 2020年第7期13卷 1109-1114页

作者： Wen-Ying Fan Alan Fleming Gavin Robertson Akihito Uji Jano van Hemert michael Singer Min Sagong michael ip SriniVas R.Sadda Beijing Tongren Eye Center Beijing Tongren HospitalBeijing Ophthalmology and Visual Sciences Key LaboratoryCapital Medical UniversityBeijing 100730China Doheny Image Reading Center Doheny Eye InstituteLos AngelesCA 90086USA Department of Ophthalmology David Geffen School of Medicine at UCLALos AngelesCA 90095USA Optos PLC Dunfermline KY118GRUnited Kingdom Department of Ophthalmology Medical Center Ophthalmology AssociatesSan AntonioTX 78258USA

AIM: To evaluate the fractal feature of the retinal vasculature of normal eyes on a stereographic projected and montaged ultra-wide field(UWF) fluorescein angiography(FA).METHODS: Prospective, observational, cross-sectional study. Totally 59 eyes of 31 normal subjects were imaged using the Optos 200 Tx. Images obtained at different gaze angles stereographically projected and montaged. The early-phase UWF FA frames were processed to segment the retinal vasculature and the results were exported as binary masks. The fractal dimension(FD) was calculated using the box-counting ***: The global FD for the entire retina was 1.6±0.04, with no difference between males and females(1.59±0.04 vs 1.61±0.04, P=0.084) or between right and left eyes(1.6±0.04 vs 1.6±0.05, P=0.61). FD was nonuniformly distributed among four quadrants(Pip was observed in the posterior and mid-peripheral retina(Piphery(P>0.05).CONCLUSION: Fractal geometry is non-uniformly distributed across the retina in normal eyes and decreases from the fovea to the far-periphery. Subjects with an older age tend to have a smaller FD, however, the FD in the farperiphery does not appear to be influenced by age.

关键词： fractal analysis retina ultra-wide field fluorescein angiography normal subject

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Non-linear dynamic state-space network modeling for decoding neurodegeneration

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Neural Regeneration Research 2024年第9期19卷 1879-1880页

作者： Venkata C.Chirumamilla Chi Wang ip Martin Reich Robert Peach Jens Volkmann Bahman Nasseroleslami Muthuraman Muthuraman Prenatal Pediatrics Institute Children’s National HospitalWashingtonDCUSA Neural Engineering with Signal Analytics and Artificial Intelligence Department of NeurologyUniversity of WürzburgWürzburgGermany Academic Unit of Neurology Trinity Biomedical Sciences InstituteTrinity College DublinUniversity of DublinDublinIreland

Neurodegenerative disorders represent a pervasive global health challenge,yet therapeutic options remain conspicuously *** disorders are inherently dynamic processes within the central nervous system,unfolding across distinct sub-stages:initial structural neuronal alterations(sub-stage 1),functional impairment(sub-stage 2),and culminating in neuronal death(sub-stage 3).

关键词： alterations impairment dynamic

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Comparing 11 early warning scores and three shock indices in early sepsis prediction in the emergency department

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World Journal of Emergency Medicine 2024年第4期15卷 273-282页

作者： Rex Pui Kin Lam Zonglin Dai Eric Ho Yin Lau Carrie Yuen Ting ip Ho Ching Chan Lingyun Zhao Tat ChiTsang Matthew Sik Hon Tsui Timothy Hudson Rainer Department of Emergency Medicine School of Clinical MedicineLi Ka Shing Faculty of Medicinethe University of Hong KongHong KongChina School of Public Health Li Ka Shing Faculty of Medicinethe University of Hong KongHong KongChina Accident and Emergency Department Queen Mary HospitalHong KongChina

BACKGROUND:This study aimed to evaluate the discriminatory performance of 11 vital sign-based early warning scores(EWSs)and three shock indices in early sepsis prediction in the emergency department(ED).METHODS:We performed a retrospective study on consecutive adult patients with an infection over 3 months in a public ED in Hong *** primary outcome was sepsis(Sepsis-3 definition)within 48 h of ED *** c-statistics and the DeLong test,we compared 11 EWSs,including the National Early Warning Score 2(NEWS2),Modified Early Warning Score,and Worthing Physiological Scoring System(WPS),etc.,and three shock indices(the shock index[SI],modified shock index[MSI],and diastolic shock index[DSI]),with Systemic Inflammatory Response Syndrome(SIRS)and quick Sequential Organ Failure Assessment(qSOFA)in predicting the primary outcome,intensive care unit admission,and mortality at different time ***:We analyzed 601 patients,of whom 166(27.6%)developed ***2 had the highest point estimate(area under the receiver operating characteristic curve[AUROC]0.75,95%CI 0.70-0.79)and was significantly better than SIRS,qSOFA,other EWSs and shock indices,except WPS,at predicting the primary ***,the pooled sensitivity and specificity of NEWS2≥5 for the prediction of sepsis were 0.45(95%CI 0.37-0.52)and 0.88(95%CI 0.85-0.91),*** discriminatory performance of all EWSs and shock indices declined when used to predict mortality at a more remote time ***:NEWS2 compared favorably with other EWSs and shock indices in early sepsis prediction but its low sensitivity at the usual cut-off point requires further modification for sepsis screening.

关键词： Sepsis Emergency department Clinical prediction rule Early warning score Shock index

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Prostate health index can stratify patients with Prostate Imaging Reporting and Data System score 3 lesions on magnetic resonance imaging to reduce prostate biopsies

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Asian Journal of Andrology 2024年第1期26卷 20-24页

作者： John Shung-Lai Leung Wai-Kit Ma Brian Sze-Ho Ho Stacia Tsun-Tsun Chun Rong Na Yongle Zhan Chi-Yuen Ng Chi-Ho ip Ada Tsui-Lin Ng Yiu-Chung Lam Division of Urology Department of SurgeryQueen Mary HospitalUniversity of Hong KongHong KongChina Division of Urology Department of SurgeryPrincess Margaret HospitalHongKongChina

We aim to evaluate prostate health index as an additional risk-stratification tool in patients with Prostate Imaging Reporting and Data System score 3 lesions on multiparametric magnetic resonance *** with biochemical or clinical suspicion of having prostate cancer who underwent multiparametric magnetic resonance imaging in two tertiary centers(Queen Mary Hospital and Princess Margaret Hospital,Hong Kong,China)between January 2017 and June 2022 were ***-magnetic resonance imaging fusion biopsies were performed after prostate health index *** who only had Prostate Imaging Reporting and Data System score 3 lesions were further stratified into four prostate health index risk groups and the cancer detection rates were *** of the 747 patients,47.3%had Prostate Imaging Reporting and Data System score 3 lesions *** detection rate of clinically significant prostate cancer in this group was 15.0%.The cancer detection rates of clinically significant prostate cancer had statistically significant differences:5.3%in prostate health index<25.0,7.4%in prostate health index 25.0-34.9,17.9%in prostate health index 35.0-54.9,and 52.6%in prostate health index≥55.0(P<0.01).Among the patients,26.9%could have avoided a biopsy with a prostate health index<25.0,at the expense of a 5.3%risk of missing clinically significant prostate *** health index could be used as an additional risk stratification tool for patients with Prostate Imaging Reporting and Data System score 3 *** could be avoided in patients with low prostate health index,with a small risk of missing clinically significant prostate cancer.

关键词： biopsy fusion biopsy magnetic resonance imaging prostate cancer prostate health index

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Delivering a high-quality colonoscopy service fit for the 21st century

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Artificial Intelligence in Gastrointestinal Endoscopy 2024年第3期5卷 1-8页

作者： Brian Wing Kin ip Daniel Jin Keat Lee Kok Yang Tan Department of General Surgery Khoo Teck Puat HospitalSingapore 768828Singapore Department of Surgery Khoo Teck Puat HospitalSingapore 768828Singapore

Colorectal cancer(CRC)is the third most prevalent cancer *** is a concerning increase in its incidence among younger *** remains the gold standard for CRC *** the introduction of population-based bowel screening and increased public awareness,there has been a significant rise in referrals for *** providers worldwide will need to strategically evaluate how to allocate resources to adequately train the next generation of colonoscopists who will need to provide accurate endoscopic assessment and treatment for premalignant polyps and early *** review outlines the current workload challenges faced by colonoscopists whilst exploring emerging technologies such as artificial intelligence for adenoma ***,advanced endoscopic surgical techniques like endoscopic submucosal dissection are discussed.

关键词： Colonoscopy Colorectal cancer Bowel screening Polyps Adenoma

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玻璃体内注射曲安奈德治疗视网膜中央静脉阻塞引起的黄斑水肿

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美国医学会眼科杂志（中文版） 2005年第2期17卷 76-81,87页

作者： michael S. ip Justin L. Gottlieb Alon Kahana Ingrid U. Scott michael M. Altaweel Barbara A. Blodi Ronald E. Gangnon Carmen A. Puliafito 王建民（译）马景学（校） From the Department of Ophthalmology and Visual Science Deparunent of Biostatitics and Medical Informatics University of Wisconsin Madison and the Bascom Palmer Eye Institute Department of Ophthalmology University of Miami School of Medicine Miami Fla 不详

目的：探讨玻璃体内注射丙酮化曲安奈德用于治疗视网膜中央静脉阻塞（CRVO）引起黄斑水肿的安全性和有效性。方法：在Wisconsin大学和Bascom Palmer眼科研究所．对13例（13只眼）连续的CRVO引起黄斑水肿的患者应用玻璃体内注射丙酮化曲... 详细信息

目的：探讨玻璃体内注射丙酮化曲安奈德用于治疗视网膜中央静脉阻塞（CRVO）引起黄斑水肿的安全性和有效性。方法：在Wisconsin大学和Bascom Palmer眼科研究所．对13例（13只眼）连续的CRVO引起黄斑水肿的患者应用玻璃体内注射丙酮化曲安奈德（4mg）治疗．回顾研究其病历记录。每次玻璃体内注射时应用27G或30G针头通过睫状体平坦部注射。主要结果测量：Snellen视力的变化、黄斑水肿的临床表现、应用光学相干断层扫描仪（OCT）测量中心凹的增厚以及并发症的出现频率。结果：13例患者的平均年龄为67岁（四分位数间距为57—77岁）．注射前症状的平均持续时间为8个月（四分位数间距为4—9个月）。患眼在初诊时的平均视力为20／500．在6个月随诊检查时的平均视力为20／1踟。所有13例患者都完成了6个月的随诊检查。非缺血型CRVO患眼（n=5）的视力有显著的提高．而缺血型CRVO患眼（n=8）没有显著的视力提高。患者没有出现视力下降。初诊时OCT测量的平均中心凹厚度为590μm（视网膜增厚=416μm）。12例患者在1个月随诊检查时OCT测量的平均中心凹厚度为212pm（视网膜增厚=38μm）。13例患者在3个月随诊检查时OCT测量的平均中心凹厚度为193μm（视网膜增厚=19μm）。在3和6个月随诊检查之间．4例患者的黄斑水肿复发．其中3例患者再次接受了曲安奈德的注射。这3例患者中的2例经过再次治疗视力提高。在6个月随诊检查时．13例患者OCT测量的平均中心凹厚度为281μm（视网膜增厚=107μm）。没有发生视网膜脱离或眼内炎等并发症。1例患者出现了眼压的升高．应用2种房水生成抑制剂治疗得以控制。结论：在部分CRVO引起黄斑水肿的患者中．玻璃体内注射曲安奈德可能是一种有效的治疗方法。与缺血型CRVO患者相比．非缺血型CRVO患者可以获得更令人满意的效果。部分患者可能需要重复治疗。在本组患者中未发现严重的并发症。

关键词：视网膜中央静脉阻塞玻璃体内注射黄斑水肿治疗方法曲安奈德 Snellen视力中心凹厚度房水生成抑制剂 CRVO 平均年龄

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Clinical profile and outcomes in very elderly patients with atrial fibrillation anticoagulated with rivaroxaban: data from the EMIR study

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Journal of Geriatric Cardiology 2024年第7期21卷 723-732页

作者： Francisco Marín Manuel Anguita Sánchez Iñaki Lekuona Marcelo Sanmartín Fernán-dez Vivencio Barrios Carlos Perez Muñoz Juan Cosín-Sales Alejandro ipérez Cabeza Vanesa Roldán Schilling Carles Rafols Priu Esteban Orenes-Piñero María Asunción Es-teve-Pastor Department of Cardiology Hospital Clínico Universitario Virgen de la ArrixacaIMIB-ArrixacaUniversity of MurciaCIBERCVMurciaSpain Department of Cardiology Hospital Reina Sofía CórdobaIMIBICUniversity of CordobaCIBERCVCórdobaSpain Hospital Galdakao-Usansolo BizkaiaSpain Department of Cardiology Hospital Uni-versitario Ramony CajalCIBERCVMadridSpain Department of Cardiology University Hospital Ramóny CajalAl-caláUniversityMadridSpain Medical Center La Capillita Sanlúcar de Barrameda.Private cardiology clinicJerez de la FronteraSpain Department of Cardiology Hospital Arnau de VilanovaValenciaSpain Department of Car-diology Virgen de la Victoria University HospitalCIBERCV.MalagaSpain Department of Haematology Hospital Clínico Universitario Virgen de la ArrixacaUniversity of MurciaMurciaSpain Department of Medical Affairs Bayer HispaniaBarcelonaSpain Department of Biochemistry and Molecular Biology-A University of MurciaMurciaSpain

Objectives To analyze the clinical profile,adequacy of treatment with rivaroxaban and outcomes in octogenarians with atrial fibrillation(AF),taking rivaroxaban in clinical *** Observational and non-interventional study that included AF adults recruited from 79 Spanish centers,anticoagulated with rivaroxaban ≥ 6 months before being *** were analyzed according to age(≥ 80 vs.iplatelet agents and non-severe dementia were independently associated with the development of ischemic stroke,whereas previous coronary revascularization and heart failure with MACE,and higher HAS-BLED score with major *** In clinical practice,around one third of patients taking rivaroxaban are *** patients have many comorbidities and a high thromboembolic *** that,rates of adverse events remain *** is adequately prescribed in the majority of octogenarians.

关键词： patients atrial bleeding

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通过接触突触而激活的NMDAR通路是促进乳腺癌脑部转移的重要机制

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国际老年医学杂志 2020年第4期41卷 233-233页

作者：邵晨(编译) Zeng Q michael ip Zhang P 不详

乳腺癌脑转移(B2BM)是女性最常见的肿瘤转移类型,虽然有很多机制探究了促进B2BM的关键分子,但是关于肿瘤细胞和神经元之间的关联在其中的作用甚为欠缺。本文报道了B2BM肿瘤细胞能够代替胶质细胞,与前后突触形成一个假的突触三元复合体(p... 详细信息

乳腺癌脑转移(B2BM)是女性最常见的肿瘤转移类型,虽然有很多机制探究了促进B2BM的关键分子,但是关于肿瘤细胞和神经元之间的关联在其中的作用甚为欠缺。本文报道了B2BM肿瘤细胞能够代替胶质细胞,与前后突触形成一个假的突触三元复合体(pseudo-tripartite synapses),从而利用神经元的谷氨酸依赖GluN2B-NMDAR信号通路支持自身的肿瘤微环境促进生长,进而推动B2BM发展的重要机制。

关键词：肿瘤微环境肿瘤转移胶质细胞 NMDAR 神经元突触乳腺癌肿瘤细胞

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Knock-out of BnHva22c reduces the susceptibility of Brassica napus to infection with the fungal pathogen Verticillium longisporum

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The Crop Journal 2024年第2期12卷 503-514页

作者： Wanzhi Ye Roxana Hossain michael Prbsting Abdallah Abdelmegid Mohamed Ali Lingyue Han Ying Miao Steffen Rietz Daguang Cai Dirk Schenke Department of Molecular Phytopathology and Biotechnology Institute of PhytopathologyChristian-Albrechts-University of KielKielGermany Institut für Zuckerrübenforschung GöttingenGermany Plant Pathology Department Faculty of Agriculture and Natural ResourcesAswan UniversityAswanEgypt Fujian Provincial Key Laboratory of Plant Functional Biology College of Life SciencesFujian Agriculture and Forestry UniversityFuzhou 350002FujianChina Hohenlieth-Hof NPZ Innovation GmbHHoltseeGermany

Verticillium longisporum(Vl43)is a soilborne hemibiotrophic fungal pathogen causing stem striping on oilseed rape(OSR)and severe yield *** for resistant varieties is the most promising approach to control this ***,we report the identification of Hva22c as a novel susceptibility factor and its potential for improving OSR ***22c is a member of the Hva22 gene family,originally described for barley(Hordeum vulgare).Several Hva22 members have been located at the endoplasmic ***22c is up-regulated in response to Vl43 in both Arabidopsis and *** demonstrate that knock-out of Hva22c in OSR by CRISPR/Cas9 and its homolog in Arabidopsis by T-DNA insertion reduced plants’susceptibility to Vl43 infection and impaired the development of disease *** understand the underlying mechanism,we analysed transcriptomic data from infected and non-infected roots of hva22c knock-out and wild type *** identified a homozygous mutant with frame-shifts in all four BnHva22c loci displaying a vastly altered transcriptional landscape at 6 ***,a large set of genes was suppressed under mock conditions including genes related to the endomembrane *** the up-regulated genes we found several defense-related and phytohormone-responsive genes when comparing mutant to the wild *** results demonstrate that Hva22c is functionally required for a fully compatible plant-fungus *** loss of function reduces plant susceptibility,most likely due to endoplasmatic reticulum and Golgi dysfunction accompanied by additionally activated defense *** findings can help improve OSR resistance to *** infection.

关键词： Hva22c Susceptibility factor CRISPR/Cas9 Brassica napus Arabidopsis Verticillium longisporum Resistance breeding

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On building automation system security

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High-Confidence Computing 2024年第3期4卷 103-122页

作者： Christopher Morales-Gonzalez Matthew Harper michael Cash Lan Luo Zhen Ling Qun Z.Sun Xinwen Fu Department of Computer Science University of Massachusetts LowellLowell 01854USA Department of Electrical and Computer Engineering University of Central FloridaOrlando 32816USA School of Computer Science and Technology Southeast UniversityMa’anshan 243032China School of Computer Science and Engineering Anhui University of TechnologyNanjing 211189China

Building Automation Systems(BASs)are seeing increased usage in modern society due to the plethora of benefits they provide such as automation for climate control,HVAC systems,entry systems,and lighting *** BASs in use are outdated and suffer from numerous vulnerabilities that stem from the design of the underlying BAS *** this paper,we provide a comprehensive,up-to-date survey on BASs and attacks against seven BAS protocols including BACnet,EnOcean,KNX,LonWorks,Modbus,ZigBee,and *** studies of secure BAS protocols are also presented,covering BACnet Secure Connect,KNX Data Secure,KNX/ip Secure,ModBus/TCP Security,EnOcean High Security and Z-Wave *** and ZigBee do not have security *** point out how these security protocols improve the security of the BAS and what issues remain.A case study is provided which describes a real-world BAS and showcases its vulnerabilities as well as recommendations for improving the security of *** seek to raise awareness to those in academia and industry as well as highlight open problems within BAS security.

关键词： Building automation system BAS protocols Security Attack

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