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Outcomes of critically ill children with pre-existing mental health conditions

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Pediatric Investigation 2024年第2期8卷 108-116页

作者： Conrad Krawiec Morgan Cash Gary Ceneviva Zizhong Tian Shouhao Zhou neal j.Thomas Department of Pediatrics Pediatric Critical Care MedicinePenn State Hershey Children's HospitalPennsylvaniaUSA Department of Public Health Sciences Division of Biostatistics and BioinformaticsPennsylvania State University College of MedicinePennsylvaniaUSA Department of Public Health_Sciences Pennsylvania State University College of MedicinePennsylvaniaUSA

Importance:Critically ill children with pre-existing mental health conditions may have an increased risk of poor health ***:We aimed to evaluate if pre-existing mental health conditions in critically ill pediatric patients would be associated with worse clinical outcomes,compared to children with no documented mental health ***:This retrospective observational cohort study utilized the TriNetX electronic health record database of critically ill subj.cts aged 12-18 *** were analyzed for demographics,pre-existing conditions,diagnostic,medication,procedural codes,and ***:From a dataset of 102027 critically ill children,we analyzed 1999 subj.cts(284[14.2%]with a pre-existing mental health condition and 1715[85.8%]with no pre-existing mental health condition).Multivariable analysis demonstrated that death within one year was associated with the presence of pre-existing mental health conditions(odds ratio 8.97[3.48-23.15],P<0.001),even after controlling for the presence of a complex chronic ***:The present study demonstrates that the presence of pre-existing mental health conditions was associated with higher odds of death within 1 year after receiving critical ***,the confidence interval was wide and hence,the findings are *** studies with a larger sample size may be necessary to evaluate the true long-term impact of children with pre-existing mental health conditions who require critical care services.

关键词： Critical care Psychiatry Psychology Public health

Combined U-Pb SHRIMP and Hf isotope study of the Late Paleozoic Yaminue Complex,Rio Negro Province,Argentina:Implications for the origin and evolution of the Patagonia composite terrane

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Geoscience Frontiers 2013年第1期4卷 37-56页

作者： Carlos j.Chernicoff Eduardo O.Zappettini j.ao O.S.Santos neal j.McNaughton Elena Belousova National Scientific and Technical Research Council(CONICET) Argentina Argentine Geological-Mining Survey(SEGEMAR) Argentina Argentine Geological-Mining Survey(SEGEMAR).Argentina University of Western Australia PerthWA 6009Australia Redstone Resources.Perth.WA 6849.Australia j.hn de Laeter Centre Curtin UniversityPerthWA 6102Australia ARC National Key Centre for Geochemical Evolution and Metallogeny of Continents(GEMOC) Macquarie UniversitySydneyNSW 2109Australia

We have carried out zircon U-Pb SHRIMP dating and Hf isotope determinations on a biotite paraschist and on a tonalitic orthogneiss of the Yaminué Complex, and re-evaluate this complex in the broader context of the tectonic evolution of the Patagonia composite terrane. In the metasedimentary unit （msuYC）, the youngest detrital zircon dated at 318 ± 5 Ma （Mississippian/Pennsylvanian boundary） indicates a Pennsylvanian （or younger） depositional age. The three main age populations peak at 474, 454 and 374 Ma. Preliminary Hf isotope data for two detrital zircons （447 and 655 Ma） yielded ε（Hf） values of -0.32 and 0.48, indicating that their primary sources contained small amounts of recycled crustal components （of Calymmian age; TDM 1.56 Ga）. Zircons from the orthogneiss （miuYC; intrusive into msuYC） show a crystallization age of 261.3 - 2.7 Ma （Capitanian; late middle Permian） which is broadly coeval with deformation, and Neoarchean-Paleoproterozoic inheritance. Meaningful core-rim relationship between Neoarchean zircon cores and late Permian rims is well defined, indicating the occurrence of Archean crust in this sector of Patagonia. Hf TDM of Permian zircons is mainly Meso-Paleoarchean （2.97-3.35 Ga）, with highly negative e（Hf） values （ca, -33）. Hf TDM of inherited Neoarchean zircon cores is also Meso-Paleoarchean （3.14-3.45 Ga） but more j.venile （ε（Hf） = -0.3）. Hf isotopes reinforce the presence of unexposed ancient crust in this area. Combining geological and isotope data, as well as geophysical models, we identify the Yaminué Complex within the La Esperanza-Yaminué crustal block flanked by two other, distinct crustal blocks： the Eastern block which forms part of the Patagonia terrane sensu stricto, located in the eastern Patagonian region, and the Western block forming part of the Southern Patagonia terrane. Their origins and timing of amalgamation to form the Patagonia composite terrane are also discussed.

关键词： Yaminue Complex U-Pb SHRIMP geochronology Hf isotopes Tectonics North Patagonian Massif Argentina

Characterization of Leaf Transcriptome in Banksia hookeriana

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Genomics, Proteomics & Bioinformatics 2017年第1期15卷 49-56页

作者： Sim Lin Lim Haylee M.D'Agui neal j.Enright Tianhua He Department of Environment and Agriculture Curtin UniversityPerthWA 6845Australia School of Veterinary and Life Sciences Murdoch UniversityPerthWA 6150Australia

Abstract Banksia is a significant element in vegetation of southwestern Australia, a biodiversity hotspot with global significance. In particular, Banksia hookeriana represents a species with significant economic and ecological importance in the region. For better conservation and management, we reported an overview of transcriptome of B. hookeriana using RNA-seq and de novo assembly. We have generated a total of 202.7 million reads （18.91 billion of nucleotides） from four leaf sam- ples in four plants of B. hookeriana, and assembled 59,063 unigenes （average size = 1098 bp） through de novo transcriptomc assembly. Among them, 39,686 unigenes were annotated against the Swiss-Prot, Clusters of Orthologous Groups （COG）, and NCBI non-redundant （NR） protein databases. We showed that there was approximately one single nucleotide polymorphism （SNP） per 5.6-7.1 kb in the transcriptome, and the ratio of transitional to transversional polymorphisms was approximately 1.82. We compared unigenes of B. hookeriana to those of Arabidopsis thaliana and Nelumbo nucifera through sequence homology, Gene Ontology （GO） annotation, and KEGG pathway analyses. The comparative analysis revealed that unigenes of B. hookeriana were closely related to those of N. nucifera. B. hookeriana, N. nucifera, and A. thaliana shared similar GO anno- tations but different distributions in KEGG pathways, indicating that B. hookeriana has adapted to dry-Mediterranean type shrublands via regulating expression of specific genes. In total 1927 potential simple sequence repeat （SSR） markers were discovered, which could be used in the genotype and genetic diversity studies of the Banksia genus. Our results provide valuable sequence resource for further study in Banksia.

关键词： Banksia hookeriana Gene annotation RNA-seq SSR marker Transcriptome

Phylogenetic and sequence analyses of insect transferrins suggest that only transferrin 1 has a role in iron homeostasis

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Insect Science 2021年第2期28卷 495-508页

作者： Diana G.Naj.ra neal T.Dittmer j.cob j.Weber Michael R.Kanost Maureen j.Gorman Department of Biochemistry and Molecular Biophysics Kansas State UniversityManhattanKansasUSA

Iron is essential to life,but surprisingly little is known about how iron is managed in nonvertebrate *** mammals,the well-characterized transferrins bind iron and are involved in iron transport or immunity,whereas other members of the transferrin family do not have a role in iron *** insects,the functions of transferrins are still poorly *** goals of this proj.ct were to identify the transferrin genes in a diverse set of insect species,resolve the evolutionary relationships among these genes,and predict which of the transferrins are likely to have a role in iron *** phylogenetic analysis of transferrins from 16 orders of insects and two orders of noninsect hexapods demonstrated that there are four orthologous groups of insect *** analysis suggests that transferrin 2 arose prior to the origin of insects,and transferrins/,i,and 4 arose early in insect *** sequence analysis of each of the insect transferrins was used to predict signal peptides,carboxyl-terminal transmembrane regions,GPI-anchors,and iron *** on this analysis,we suggest that transferrins 2,and 4 are unlikely to play a maj.r role in iron *** contrast,the transferrin 1 orthologs are predicted to be secreted,soluble,iron-binding *** conclude that transferrin 1 orthologs are the most likely to play an important role in iron ***,it appears that the louse,aphid,and thrips lineages have lost the transferrin 1 gene and,thus,have evolved to manage iron without transferrins.

关键词： hemolymph insect iron homeostasis melanotransferrin phylogeny transferrin

Prevention of erectile dysfunction after radiotherapy for prostate cancer

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Asian j.urnal of Andrology 2014年第6期16卷 805-806页

作者： Izak Faiena neal Patel Allen D Seftel Division of Urology Rutgers Robert Wood JohnsonMedical School N J USA 2Division of Urology Cooper Medical School of Rowan University CamdenN J USA.

With increasing scrutiny of prostate cancer （PCa） diagnosis and treatment, much attention has been given to the morbidity caused by radical prostatectomy （RP） and/or radiotherapy （RT）. One of the most common side-effects of either treatment is erectile dysfunction （ED）.1 Approximately, 40% of patients will experience ED after RT for PCa. The post-RT ED causes significant patient dissatisfaction with cancer treatment as well as decrease in patient and partner psychosocial function,z To address this issue in patients undergoing RT, Pisansky et al.3 conducted a prospective, randomized, double-blinded, placebo-controlled trial to assess the efficacy of a phosphodiesterase enzyme-5 inhibitor （PDE5i）, tadalafil, as a preventive measure for patients undergoing RT for PCa and found no difference in erectile function between the control and treatment groups.

关键词： EXTERNAL-BEAM RADIOTHERAPY TADALAFIL 5 MG RADIATION-THERAPY TRIAL MEN SATISFACTION EFFICACY

Environmental drivers and genomic architecture of trait differentiation in fire-adapted Banksia attenuata ecotypes

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j.urnal of Integrative Plant Biology 2019年第4期61卷 417-432页

作者： Tianhua He Byron B.Lamont neal j.Enright Haylee M.D'Agui William Stock School of Molecular and Life Sciences Curtin University School of Veterinary and Life Sciences Murdoch University Centre for Ecosystem Management Edith Cowan University

Trait divergence between populations is considered an adaptive response to different environments,but to what extent this response is accompanied by genetic differentiation is less clear since it may be phenotypic plasticity. In this study, we analyzed phenotypic variation between two Banksia attenuata growth forms, lignotuberous(shrub) and epicormic resprouting(tree), in fire-prone environments to identify the environmental factors that have driven this phenotypic divergence. We linked genotype with phenotype and traced candidate genes using differential gene expression analysis. Fire intervals determined the phenotypic divergence between growth forms in B. attenuata. A genome-wide association study identified 69 single nucleotide polymorphisms, putatively associated with growth form, whereas no growth form-or phenotype-specific genotypes were eidentified. Genomic differentiation between the two growth forms was low(F_(st)=0.024). Differential gene expression analysis identified 37 genes/transcripts that were differentially expressed in the two growth forms. A small heat-shock protein gene, associated with lignotuber presence, was differentially expressed in the two *** conclude that different fire regimes induce phenotypic polymorphism in B. attenuata, whereas phenotypic trait divergence involves the differential expression of a small fraction of genes that interact strongly with the disturbance regime. Thus, phenotypic plasticity among resprouters is the general strategy for surviving varying fire regimes.

关键词： Environmental drivers genomic architecture trait differentiation

Early testing of insulin resistance: a tale of two lipid ratios in a group of 5th graders screened by the Coronary Artery Risk Detection in Appalachian Communities Proj.ct (CARDIAC Proj.ct)

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World j.urnal of Pediatrics 2019年第4期15卷 398-404页

作者： Charles Ituka Mosimah Christa Lilly Awung-Nj.a Forbin Pamela j.Murray Lee Pyles Elloise Elliot William neal West Virginia University MorgantownUSA University of Yaounde I YaoundeCameroon

Background In West Virginia (WV),47% of fifth-grade children are either overweight or *** is no clear consensus regarding the definition of insulin resistance in children,and directly measuring insulin on the population level is *** proposed measures examined further in this study include triglyceride (TRIG)/high-density lipoprotein cholesterol (HDL-C) ratio and TRIG/low-density lipoprotein (LDL-C) *** purpose of this study is to examine the relationship between TRIG/HDL-C ratio,TRIG/LDL-C ratio and insulin resistance in fifth-graders with acanthosis nigricans (AN).Methods Between 2007 and 2016,52,545 fifth-grade students in WV were assessed for *** glucose and insulin levels were collected only for a sub-group of students who were AN-positive and was used to determine insulin resistance using the Homeostatic Model for Insulin Resistance (HOMA-IR) *** analysis included t tests and logistic regression with receiver operating characteristic *** Of the students assessed for AN,4.5% (n =2360) tested *** prevalence of insulin resistance was 79% (n =814) among 1030 with AN and complete ***/HDL-C ratio and TRIG/LDL-C ratio were significantly associated with insulin resistance (TRIG/HDL-C:Est.=0.36,P < 0.0001,AUC =0.68;TRIG/LDL-C:Est.=0.87,P < 0.0001,AUC =0.69).Multivariate analysis showed that increased body mass index (Est.=0.05,P < 0.0001),gender (Est.=0.49,p < 0.0001) and TRIG/HDL-C ratio (Est.=0.21,P < 0.0001) were significantly associated with insulin *** TRIG/HDL-C is a better surrogate marker of insulin resistance in AN-positive children compared to TRIG/ LDL-C ratio;so,on a population-level,cholesterol rather than insulin may be obtained for preliminary testing of early insulin resistance in children.

关键词： Acanthosis nigricans CARDIAC Proj.ct High-density lipoprotein cholesterol Insulin resistance Low-density lipoprotein cholesterol

100-Gb/s undersea transmission with high spectral efficiency using pre-filtered QPSK modulation format

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Chinese Optics Letters 2010年第9期8卷 831-836页

作者： j.-X. Cai Y. Cai C. R. Davidson D. G. Foursa A. Lucero O. Sinkin W. Patterson A. Pilipetskii G. Mohs neal S. Bergano Tyco Electronics Subsea Communications LLC ("TE SubCom" formerly known as ~co Telecommunications (US) Inc.) 250 Industrial Way West Eatontown NJ 07724 USA

We provide a review of our recent 100-Gb/s, high spectral efficiency （SE） experiment targeting transoceanic and regional undersea transmission distances. We demonstrated that simple pre-filtering at the transmitter together with a maximum a posteriori probability （MAP） detection algorithm can significantly improve SE. We transmitted 96×100-Gb/s pre-filtered polarization division multiplexed return-to-zero quadrature phase shift keyed （PDM-RZ-QPSK） channels with 300% SE over 10608 km using 52-km spans of 150-μm 2 fiber and simple single-stage erbium-doped fiber amplifiers （EDFAs）. We also achieved 400% SE over 4368 km using similar techniques.

关键词： Bit error rate Erbium doped fiber amplifiers Modulation Optical signals Quadrature phase shift keying Signal processing

Algorithm of Helmet Wearing Detection Based on AT-YOLO Deep Mode

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Computers, Materials & Continua 2021年第10期69卷 159-174页

作者： Qingyang Zhou j.aohua Qin Xuyu Xiang Yun Tan neal NXiong College of Computer Science and Information Technology Central South University of Forestry&TechnologyChangsha410004China Department of Mathematics and Computer Science Northeastern State UniversityTahlequah74464OKUSA

The existing safety helmet detection methods are mainly based on one-stage obj.ct detection algorithms with high detection speed to reach the real-time detection requirements,but they can’t accurately detect small obj.cts and obj.cts with ***,we propose a helmet detection algorithm based on the attention mechanism(AT-YOLO).First of all,a channel attention module is added to the YOLOv3 backbone network,which can adaptively calibrate the channel features of the direction to improve the feature utilization,and a spatial attention module is added to the neck of the YOLOv3 network to capture the correlation between any positions in the feature map so that to increase the receptive field of the ***,we use DIoU(Distance Intersection over Union)bounding box regression loss function,it not only improving the measurement of bounding box regression loss but also increases the normalized distance loss between the prediction boxes and the target boxes,which makes the network more accurate in detecting small obj.cts and faster in ***,we explore the training strategy of the network model,which improves network performance without increasing the inference *** show that the mAP of the proposed method reaches 96.5%,and the detection speed can reach 27 *** with other existing methods,it has better performance in detection accuracy and speed.

关键词： Safety helmet detection attention mechanism convolutional neural network training strategies