Intrinsic Consistency Preservation With Adaptively Reliable Samples for Source-Free Domain Adaptation.

Unsupervised domain adaptation (UDA) aims to alleviate the domain shift by transferring knowledge learned from a labeled source dataset to an unlabeled target domain. Although UDA has seen promising progress recently, it requires access to data from both domains, making it problematic in source data-absent scenarios. In this article, we investigate a practical task source-free domain adaptation (SFDA) that alleviates the limitations of the widely studied UDA in simultaneously acquiring source and target data. In addition, we further study the imbalanced SFDA (ISFDA) problem, which addresses the intra-domain class imbalance and inter-domain label shift in SFDA. We observe two key issues in SFDA that: 1) target data form clusters in the representation space regardless of whether the target data points are aligned with the source classifier and 2) target samples with higher classification confidence are more reliable and have less variation in their classification confidence during adaptation. Motivated by these observations, we propose a unified method, named intrinsic consistency preservation with adaptively reliable samples (ICPR), to jointly cope with SFDA and ISFDA. Specifically, ICPR first encourages the intrinsic consistency in the predictions of neighbors for unlabeled samples with weak augmentation (standard flip-and-shift), regardless of their reliability. ICPR then generates strongly augmented views specifically for adaptively selected reliable samples and is trained to fix the intrinsic consistency between weakly and strongly augmented views of the same image concerning predictions of neighbors and their own. Additionally, we propose to use a prototype-like classifier to avoid the classification confusion caused by severe intra-domain class imbalance and inter-domain label shift. We demonstrate the effectiveness and general applicability of ICPR on six benchmarks of both SFDA and ISFDA tasks. The reproducible code of our proposed ICPR method is available at https://github.com/CFM-MSG/Code_ICPR.

Correlation between the expressions of metastasis-associated factor-1 in colon cancer and vacuolar ATP synthase.

BACKGROUND: Clinical prognosis often worsens due to high recurrence rates following radical surgery for colon cancer. The examination of high-risk recurrence factors post-surgery provides critical insights for disease evaluation and treatment planning. AIM: To explore the relationship between metastasis-associated factor-1 in colon cancer (MACC1) and vacuolar ATP synthase (V-ATPase) expression in colon cancer tissues, and recurrence rate in patients undergoing radical colon cancer surgery. METHODS: We selected 104 patients treated with radical colon cancer surgery at our hospital from January 2018 to June 2021. Immunohistochemical staining was utilized to assess the expression levels of MACC1 and V-ATPase in these patients. RESULTS: The rates of MACC1 and V-ATPase positivity were 64.42% and 67.31%, respectively, in colon cancer tissues, which were significantly higher than in paracancerous tissues (P < 0.05). Among patients with TNM stage III, medium to low differentiation, and lymph node metastasis, the positive rates of MACC1 and V-ATPase were significantly elevated in comparison to patients with TNM stage I-II, high differentiation, and no lymph node metastasis (P < 0.05). The rate of MACC1 positivity was 76.67% in patients with tumor diameters > 5 cm, notably higher than in patients with tumor diameters ≤ 5 cm (P < 0.05). We observed a positive correlation between MACC1 and V-ATPase expression (rs = 0.797, P < 0.05). The positive rates of MACC1 and V-ATPase were significantly higher in patients with recurrence compared to those without (P < 0.05). Logistic regression analysis revealed TNM stage, lymph node metastasis, MACC1 expression, and V-ATPase expression as risk factors for postoperative colon cancer recurrence (OR = 6.322, 3.435, 2.683, and 2.421; P < 0.05). CONCLUSION: The upregulated expression of MACC1 and V-ATPase in colon cancer patients appears to correlate with clinicopathological features and post-radical surgery recurrence.

SDN: Semantic Decoupling Network for Temporal Language Grounding.

Temporal language grounding (TLG) is one of the most challenging cross-modal video understanding tasks, which aims at retrieving the most relevant video segment from an untrimmed video according to a natural language sentence. The existing methods can be separated into two dominant types: 1) proposal-based and 2) proposal-free methods, where the former conduct contextual interactions and the latter localizes timestamps flexibly. However, the constant-scale candidates in proposal-based methods limit the localization precision and bring extra computational costs. In contrast, the proposal-free methods perform well on high-precision metrics-based on the fine-grained features but suffer from a lack of coarse-grained interactions, which cause degeneration when the video becomes complex. In this article, we propose a novel framework termed semantic decoupling network (SDN) that combines the advantages of proposal-based and proposal-free methods and overcomes their defects. It contains three key components: 1) semantic decoupling module (SDM); 2) context modeling block (CMB); and 3) semantic cross-level aggregation module (SCAM). By capturing the video-text contexts in multilevel semantics, the SDM and CMB effectively utilize the benefits of proposal-based methods. Meanwhile, the SCAM maintains the merit of proposal-free methods in that it localizes timestamps precisely. The experiments on three challenge datasets, i.e., Charades-STA, TACoS, and ActivityNet-Caption, show that our proposed SDN method significantly outperforms recent state-of-the-art methods, especially the proposal-free methods. Extensive analyses, as well as the implementation code of the proposed SDN method, are provided at https://github.com/CFM-MSG/Code_SDN.

Novelelectronic health records applied for prediction of pre-eclampsia: Machine-learning algorithms.

OBJECTIVE: To predict risk of pre-eclampsia (PE) in women using machine learning (ML) algorithms, based on electronic health records (EHR) collected at the early second trimester. STUDY DESIGN: A total of 3759 cases of pregnancy who received antenatal care at Xinhua hospital Chongming branch Affiliated to Shanghai Jiaotong University were included in this retrospective EHR-based study. Thirty-eight candidate clinical parameters routinely available at the first visit in antenatal care were collected by manual chart review. Logistic regression (LR), random forest (RF), support vector machine (SVM) and extreme gradient boosting (XGBoost) were used to construct the prediction model. Features that contributed to the model predictions were identified using XGBoost. OUTCOME MEASURES: The performance of ML models to predict women at risk of PE was quantified in terms of accuracy, precision, recall, false negative score, f1_score, brier score and the area under the receiver operating curve (auROC). RESULTS: The XGboost model had the best prediction performance (accuracy = 0.920, precision = 0.447, recall = 0.789, f1_score = 0.571, auROC = 0.955). The most predictive feature of PE development was fasting plasma glucose, followed by mean blood pressure and body mass index. An easy-to-use model that a patient could answer independently still enabled accurate prediction, with auROC of 0.83. CONCLUSION: risk of PE development can be predicted with excellent discriminative ability using ML algorithms based on EHR collected at the early second trimester. Future studies are needed to assess the real-world clinical utility of the model.

Adjustable, Skin-Stretching External Fixation Device and Negative Pressure Wound Therapy Application for Infected Full-Thickness Skin Defects: A Case Series Study.

INTRODUCTION: Skin defects-especially infected, massive full-thickness defects-can be challenging to manage. Traditionally, defects are repaired using free flaps or musculocutaneous flaps. Many side effects and complications are associated with flaps, however, such as infection, pain, donor site pain, and poor cosmesis. OBJECTIVE: This case series evaluates the use of an adjustable, skin-stretching external fixation device and negative pressure wound therapy (NPWT) to repair soft tissue defects. MATERIALS AND METHODS: In this retrospective series, 7 patients with skin defects were treated with an adjustable, skin-stretching external fixation device and NPWT between January 2014 and December 2017. All patients were followed until complete healing was achieved. Each patient's age, sex, defect size, mechanism of injury, healing time, results, and complications were recorded. RESULTS: The average patient age was 37.43 years ± 10.47 SD (range, 26-55 years). The average skin defect area was 14.5 cm2 ± 5.26 * 23.25 ± 9.01 cm2 (range, 7-15 cm2 * 10-30 cm2), and average healing time was 3.29 months ± 1.60 (range, 1-6 months). All defects healed, and 2 patients developed ulcers. CONCLUSIONS: This series showed the adjustable, skin-stretching external fixation device and NPWT to be a simple, safe, and effective means of managing skin defects, with minimal complications.

Chinese version of the Constant-Murley questionnaire for shoulder pain and disability: a reliability and validation study.

BACKGROUND: Shoulder pain is a common musculoskeletal disorder in Chinese population, which affects more than 1,3 billion individuals. To the best of our knowledge, there has been no available Chinese-language version of measurements of shoulder pain and disability so far. Moreover, the Constant-Murley score (CMS) questionnaire is a universally recognized patient-reported questionnaire for clinical practice and research. The present study was designed to evaluate a Chinese translational version of CMS and subsequently assess its reliability and validity. METHODS: The Chinese translational version of CMS was formulated by means of forward-backward translation. Meanwhile, a final review was carried out by an expert committee, followed by conducting a test of the pre-final version. Therefore, the reliability and validity of the Chinese translational version of CMS could be assessed using the internal consistency, construct validity, factor analysis, reliability and floor and ceiling effects. Specifically, the reliability was assessed by testing the internal consistency (Cronbach's α) and test-retest reliability (intraclass coefficient correlation [ICC]), while the construct validity was evaluated via comparison between the Chinese translational version of CMS with visual analog scale (VAS) score and the 36-Item Short Form Health Survey (SF-36, Spearman correlation). RESULTS: The questionnaire was verified to be acceptable after distribution among 120 subjects with unilateral shoulder pain. Factor analysis had revealed a two-factor and 10-item solution. Moreover, the assessment results indicated that the Chinese translational version of CMS questionnaire harbored good internal consistency (Cronbach's α = 0.739) and test-retest reliability (ICC = 0.827). In addition, the Chinese translational version of CMS was moderately correlated with VAS score (r = 0.497) and SF-36 (r = 0.135). No obvious floor and ceiling effects were observed in the Chinese translational version of CMS questionnaire. CONCLUSION: Chinese translational version of CMS exhibited good reliability, which is relatively acceptable and is likely to be widely used in this population.

Translation and cross-cultural adaptation of the Shoulder Pain and Disability Index (SPADI) into Chinese.

The aim of this study is to translate and cross-culturally adapt the Shoulder Pain and Disability Index (SPADI) for the Chinese language, and to evaluate its psychometric properties. The SPADI was translated and cross-culturally adapted for the Chinese language according to established guidelines. Participants completed the SPADI questionnaire, a visual analogue scale (VAS), and the 36-item short form health survey (SF-36), and were assessed using the Constant-Murley shoulder outcome score. Exploratory factor analysis was used to examine the latent dimensions, and Cronbach's α to measure internal consistency. The construct validity was tested by Pearson correlations with the Constant-Murley score, VAS, and SF-36, while intraclass correlation coefficient (ICC) was calculated to assess the test-retest reliability of the Chinese SPADI. The floor and ceiling effects were calculated by the proportion of participants who obtained the highest (100) and lowest (0) possible score on the baseline questionnaires. We tested its psychometric properties with 120 participants (55 men and 65 women, age: 55.64 ± 9.49 years, duration: 62.75 ± 15.96 weeks) with shoulder pain. And 58 participants completed the SPADI again within 7 days of the first completion to test the test-retest reliability. The Chinese version of the SPADI displayed high internal consistency (Cronbach's α = 0.91). Test-retest reliability was high with an intraclass correlation coefficient of 0.87. A very good correlation was observed between the SPADI and the Constant-Murley score (r = 0.69), a good correlation between the SPADI and the VAS (r = 0.40), and a fair correlation between the SPADI and the SF-36 (r = 0.36). There were no significant floor and ceiling effects in the total Chinese SPADI. The Chinese version of the SPADI is a valid and reliable tool that could be used to measure the degree of pain and disability in Chinese-speaking patients with shoulder pain.

[Preparation and characterization of rabbit anti-mouse zona pellucida 2 antibodies].

OBJECTIVE: To prepare rabbit anti-mouse zona pellucida 2 (mZP2) polyclonal antibodies and test their immunoactivity. METHODS: Recombinant proteins of mZP2 expressed in Rosetta transformant was separated by SDS-PAGE, and the gel strips containing the recombinant mZP2 were cut out and emulsified to immunize New Zealand white rabbits. The antibody response of the antiserum was detected by ELISA, and the specificity of the antiserum was verified by immunohistochemical assay. The effect of the antiserum on the binding of oocytes with acrosomal reacted sperm was tested by sperm-egg binding assay. RESULTS: ELISA results showed that the immunized rabbit produced anti-mZP2 antiserum. The antiserum reacted specifically with the zona pellucida of mouse ovarian sections. Sperm-egg binding assay showed that treatment of the oocytes with the anti-mZP2 antiserum caused decreased binding of zona pellucida with the acrosomal reacted sperm by 43.7%. CONCLUSION: We obtained rabbit anti-mouse ZP2 polyclonal antibodies that can inhibit the binding of oocytes with acrosomal reacted sperm.

A systematic review of cross-cultural adaptation of the neck disability index.

STUDY DESIGN: Systematic review of cross-cultural adaptation. OBJECTIVE: To perform a systematic review of cross-cultural adaptations of the Neck Disability Index (NDI) and to give a critical assessment to improve its translation. SUMMARY OF BACKGROUND DATA: The NDI is used to assess functional capacity and physical activity in patients with neck pain, but the quality of its cross-cultural adaptations has not been systematically reviewed. METHODS: PubMed, Cochrane Library, and EMBASE were searched up through 2013 to identify studies of cross-cultural NDI adaptations. Search terms were "Neck Disability Index" or "NDI" and "cross-cultur*" or "cultur*" or "valid*" or "equivalence" or "transl*." Data were extracted and study quality was assessed. RESULTS: Twenty-four different NDI versions were identified from 14 different languages/cultures. Most reported forward and back translation and pretesting, but sample size was a problem for most studies. The Cronbach α was generally acceptable, and 13 versions met the criterion of reliability by reporting an intraclass correlation coefficient of 0.70 or more, although some versions did not reach the minimal intraclass correlation coefficient. Eleven versions tested ceiling and floor effects, but only 1 Japanese version reported a floor effect. No study reported interpretability, and none provided the minimal important change or minimal important difference. CONCLUSION: The Arabic, Italian, and Thai versions were of higher quality than the other versions according to the overall assessment of the 3 checklists. The Catalan, Chinese, Japanese, Korean, Thai, and Turkish versions need more research according to the Quality Criteria for Psychometric Properties of Health Status Questionnaire. Pretest sample size was not large enough in most cases. LEVEL OF EVIDENCE: 1.

[MiR-124 suppresses the proliferation of human prostate cancer PC3 cells by targeting PKM2].

OBJECTIVE: To explore the mechanism of miR-124 inhibiting the proliferative activity of prostate cancer PC3 cells. METHODS: Luciferase reporter gene assay was used to examine the specific binding ability of miR-124 to PKM2 mRNA 3'-UTR. After miR-124 was transfected mimic to PC3 cells, the expression levels of PKM2 mRNA and protein were detected by real-time fluorescence quantitative PCR (qRT-PCR) and Western blot, respectively. The effects of miR-124 mimic and PKM2 siRNA on the proliferative activity of the PC3 cells were determined by MTT assay. RESULTS: The expressions of PKM2 mRNA and protein were upregulated (5.12 +/- 0.35) times and (4.05 +/- 0.20) times respectively in the PC3 cells as compared with those in the RWPE-1 cells (P < 0.05). Luciferase reporter gene assay demonstrated that miR-124 targeted PKM2 3'-UTR. At 24 hours after transfection with miR-124 mimic, the PKM2 protein expression in the PC3 cells was downregulated (0.16 +/- 0.04) times (P < 0.05), while the PKM2 mRNA level was not changed significantly (P > 0.05), as compared with the control group. MTT assay showed that both miRNA-124 mimic and PKM2 siRNA could inhibit the proliferation of the PC3 cells, but the former exhibited a greater inhibitory effect than the latter. After transfection with miR-124 mimic and PKM2 siRNA, the cell growth rates were (66.20 +/- 5.10)% vs (82.10 +/- 6.35)% at 24 hours (P < 0.05) and (49.34 +/- 2.37)% vs (70.10 +/- 5.80)% at 48 hours (P < 0.05). CONCLUSION: miR-124 can suppress the proliferation of PC3 cells by regulating the PKM2 gene.

[The analysis of heterogeneity of HWTX-I expressed in Pichia pastoris].

To seek the reason of heterogeneity of recombinant HWTX-I (rHWTX-I) expressed in Pichia pastoris. We expressed HWTX-I gene of interest in Pichia pastoris GS115/HWTX-I. The heterogenous product expressed was separated, purified and identified by using Ion exchange HPLC, reverse HPLC, Tricine SDS-PAGE and MALDI-TOF Mass Spectrometry and then sequenced in both N-terminus and C-terminus. These results show that the heterogeneity of rHWTX-I results from the incomplete processing of signal peptide of N-terminus and the internal degradation of C-terminus. Biological activity assay shows that the activity of the heterogenous rHWTX-I only showed 30% activity compared with the native HWTX-I. The Solutions to how to avoid the heterogeneity are also discussed.

[Supraorbital keyhole approach for microsurgical treatment of aneurysms in the anterior circulation].

OBJECTIVE: To study the method with endoscope-assisted microsurgical technique through the supraorbital keyhole approach to treat aneurysms in the anterior circulation. METHODS: According to preoperative diagnostic imagings, to work out of the individual operation planning. Skin incision was made in the eyebrow, and the diameter of supraorbital craniotomy was about 2 cm, endoscope-assisted microsurgical technique was used to clip aneurysm. The technique was used in the most recent 12 consecutive patients. RESULTS: Five different kinds of aneurysms in the anterior circulation were clipped through this method and 12 patients were cured. One patient, intraoperative accidental aneurysm rupture occurred. There were no approach-related complications. CONCLUSIONS: This endoscope-assisted microsurgical technique via supraorbital keyhole approach is a safe, minimal invasive and effective way for the treatment of aneurysms in the anterior circulation, and there is more sufficient operating space.

[Endoscope-assisted supraorbital keyhole approach for excision of suprasellar region tumor].

OBJECTIVE: To study endoscope-assisted microsurgical technique with supraorbital keyhole approach for the treatment of suprasellar region tumor so as to maximize tumor removal and minimize operative-trauma. METHODS: According to high resolution CT and MR images before operation, individual operation schemes were worked out. Skin incision was made in the eyebrow, and the diameter of supraorbital craniotomy was approximately 2 cm. Endoscope-assisted microsurgical technique was used to resect lesions in 16 consecutive patients. RESULTS: Total Tumors were removed in all of the 16 patients via the supraorbital keyhole approach. No postoperative complications occurred. CONCLUSIONS: Supraorbital keyhole approach may diminish tissue injury considerably and has proven to provide sufficient operating space in the suprasellar region for tumor removal.