Analysis of Diabetes Clinical Data Based on Recurrent Neural Networks.

At present, diabetes is one of the most important chronic noncommunicable diseases, that have threatened human health. By 2020, the number of diabetic patients worldwide has reached 425 million. This amazing number has attracted the great attention of various countries. With the progress of computing technology, many mathematical models and intelligent algorithms have been applied in different fields of health care. 822 subjects were selected in this paper. They were divided into 389 diabetic patients and 423 nondiabetic patients. Each of the subjects included 41 indicators. Too many indicator variables would increase the computational effort and there could be a strong correlation and data redundancy between the data. Therefore, the sample features were first dimensionally reduced to generate seven new features in the new space, retaining up to 99.9% of the valid information from the original data. A diagnostic and classification model for diabetes clinical data based on recurrent neural networks were constructed, and particle swarm optimization (PSO) was introduced to optimise recurrent neural network's hyperparameters to achieve effective diagnosis and classification of diabetes.

Dynamic surface properties and dilational rheology of acidic and lactonic sophorolipids at the air-water interface.

This study analyzes the equilibrium and dynamic surface tension curves of acidic and lactonic sophorolipids (SLs). It also investigates the dilational properties of the surface adsorptive film. Given their high hydrophobicity, lactonic SLs have lower surface tension and critical micelle concentration (CMC) than acidic SLs. As cNaCl increases, the CMC values and the corresponding surface tension (γcmc) of acidic and lactonic SLs decrease gradually. For dynamic surface properties, lactonic SLs have a high diffusive rate from the bulk phase to the subsurface. At 0.05 CMC, the initial adsorption of acidic and lactonic SLs is diffusion-controlled. As csurfactant increases, the values of diffusion coefficient (D) show a downward trend, and the mechanism is mixed kinetic diffusion. Adding NaCl increases the D values of acidic and lactonic SLs, and the influence degree for acidic SLs is more considerable than that for lactonic SLs. As frequency (ω) increases (0.005∼0.5 Hz), the dilational elasticity increases, and the phase angle decrease. The dilational elasticity of acidic and lactonic SLs shows a low-frequency dependence. Compared with acidic SLs, lactonic SLs have better dynamic surface properties, which decrease the gradient of interfacial tension because of the interface deformation. Consequently, the lactonic SLs exhibit a relatively small dilational elasticity. At 0.1 Hz, the dilational elasticity of acidic and lactonic SLs reaches the maximum values at 0.05CMC and 0.075CMC, respectively. When csurfactant rises near CMC, the phase angle increases obviously, and the dilational elasticity further decreases. This result is attributed to the fast exchange of surfactant molecules between the interface and the micelles.

Moving Target Indication for Dual-Channel Circular SAR/GMTI Systems.

In a dual-channel circular synthetic aperture radar (CSAR) and ground moving target indication (GMTI) system, the antenna baseline is not parallel with the flight path due to a yaw angle. The angle causes a varying group-phase shift between the dual-channel signals and therefore degrades the correlation between the image pair. Therefore, the group-phase shift needs to be removed before channel equalization. To resolve the problem, the interferometric phase term was deduced and analyzed based on the geometry of a dual-channel CSAR system. Then, the varying phase term with respect to the Doppler frequency and the varying group-phase shift over the range were compensated for in the channel registration. Furthermore, blind channel equalization, including two-dimensional calibration and amplitude equalization, was applied to eliminate the amplitude and residual phase differences between the channels. Finally, the amplitude image obtained using a displaced phase center antenna (DPCA) was multiplied by the phase image obtained with along-track interferometry (ATI) to detect moving targets. The experimental results verified the effectiveness of the method for both uniform and non-uniform clutter suppression.

Predicting obstructive coronary artery disease using carotid ultrasound parameters: A nomogram from a large real-world clinical data.

BACKGROUND: Carotid ultrasound is a noninvasive tool for risk assessment of coronary artery disease (CAD). There is no consensus on which carotid ultrasound parameter constitutes the best measurement of atherosclerosis. We investigated which model of carotid ultrasound parameters and clinical risk factors (CRF) has the highest predictive value for CAD. MATERIALS AND METHODS: We enrolled 2431 consecutive patients who have suspected CAD and underwent coronary angiography and carotid ultrasound with measurements of carotid intima-media thickness (CIMT), total number of plaques and areas of different types of plaques classified by echogenicity. RESULTS: Total number of plaques demonstrated the highest incremental prediction ability to predict CAD over CRF (area under the curve [AUC] 0.752 vs 0.701, net reclassification index [NRI] = 0.514, P < .001), followed by area of maximum mixed and soft plaques. CIMT had no significant incremental value over CRF (AUC 0.704 vs 0.701, P = .241; NRI = 0.062, P = .168). The model comprising total number of plaques, areas of maximum soft, hard and mixed plaques plus CRF had the highest discriminatory (AUC = 0.757) and reclassification value (NRI = 0.567) for CAD. A nomogram based on this model was developed to predict CAD. For subjects at low and intermediate risk, the model comprising total number of plaques plus CRF was the best. CONCLUSIONS: Total number of plaques, area of maximum soft, hard and mixed plaques showed significantly incremental prediction ability over CRF. A nomogram based on these factors provided an intuitive and practical method in detecting CAD.

Effects and mechanism of acid rain on plant chloroplast ATP synthase.

Acid rain can directly or indirectly affect plant physiological functions, especially photosynthesis. The enzyme ATP synthase is the key in photosynthetic energy conversion, and thus, it affects plant photosynthesis. To clarify the mechanism by which acid rain affects photosynthesis, we studied the effects of acid rain on plant growth, photosynthesis, chloroplast ATP synthase activity and gene expression, chloroplast ultrastructure, intracellular H(+) level, and water content of rice seedlings. Acid rain at pH 4.5 remained the chloroplast structure unchanged but increased the expression of six chloroplast ATP synthase subunits, promoted chloroplast ATP synthase activity, and increased photosynthesis and plant growth. Acid rain at pH 4.0 or less decreased leaf water content, destroyed chloroplast structure, inhibited the expression of six chloroplast ATP synthase subunits, decreased chloroplast ATP synthase activity, and reduced photosynthesis and plant growth. In conclusion, acid rain affected the chloroplast ultrastructure, chloroplast ATPase transcription and activity, and P n by changing the acidity in the cells, and thus influencing the plant growth and development. Finally, the effects of simulated acid rain on the test indices were found to be dose-dependent.

Insight into mechanism of lanthanum (III) induced damage to plant photosynthesis.

A great deal of literature is available regarding the environmental and ecological effects of rare earth element pollution on plants. These studies have shown that excess lanthanum (La) (III) in the environment can inhibit plant growth and even cause plant death. Moreover, inhibition of plant photosynthesis is known to be one of the physiological bases of these damages. However, the mechanism responsible for these effects is still unclear. In this study, the mechanism of La(III)-induced damage to plant photosynthesis was clarified from the viewpoint of the chloroplast ultrastructure, the contents of chloroplast mineral elements and chlorophyll, the transcription of chloroplast ATPase subunits and chloroplast Mg(2+)-ATPase activity, in which rice was selected as a study object. Following treatment with low level of La(III), the chloroplast ultrastructure of rice was not changed, and the contents of chloroplast mineral elements (Mg, P, K, Ca, Mn, Fe, Ni, Cu, and Zn) increased, but the chlorophyll content did not change significantly. Moreover, the transcription of chloroplast ATPase subunits, chloroplast Mg(2+)-ATPase activity, the net photosynthetic rate and growth indices increased. Following treatment with high levels of La(III), the chloroplast ultrastructure was damaged, chloroplast mineral elements (except Cu and Zn) and chlorophyll contents decreased, and the transcription of chloroplast ATPase subunits, chloroplast Mg(2+)-ATPase activity, the net photosynthetic rate and growth indices decreased. Based on these results, a possible mechanism of La(III)-induced damage to plant photosynthesis was proposed to provide a reference for scientific evaluation of the potential ecological risk of rare earth elements in the environment.

A Comparison of Laparoscopy and Laparotomy for the Management of Abdominal Trauma: A Systematic Review and Meta-analysis.

BACKGROUND: This study aimed to systematically review and compare the perioperative outcomes of laparoscopy with laparotomy for abdominal trauma patients. METHODS: We conducted a systematic review and meta-analysis comparing the perioperative outcomes of laparoscopy with laparotomy for abdominal trauma patients. Clinical endpoints included length of hospital stay, operation time, amount of intraoperative blood loss, time to postoperative exhaust, time to regular diet, time to out of bed, duration of postoperative pain, postoperative complications, perioperative mortality rate, length of intensive care unit (ICU) stay, missed injuries, conversions to laparotomy, and cure rate. RESULTS: Sixty-four studies including 9058 patients with abdominal trauma were included. In these studies, laparoscopy was used as a screening, diagnostic, or therapeutic tool. Meta-analysis showed significant reductions in the incidence of postoperative complications (relative risk [RR] [95 % confidence interval (CI)] 0.37 [0.29-0.46]), perioperative mortality rate (RR 0.64; 95 % CI 0.52-0.80), operation time (mean difference [MD] [95 % CI] -19.93 min [-34.43 to 5.43]), length of hospital stay (MD -5.15 days; 95 % CI -6.80 to 3.50), amount of intraoperative blood loss (MD -141.33 ml; 95 % CI -260.99 to 21.67), time to postoperative exhaust (MD -5.32 h; 95 % CI -8.60 to 2.05), time to regular diet (MD -3.46 h; 95 % CI -6.31 to 0.61), time to out of bed (MD -23.51 h; 95 % CI -24.85 to 22.16), duration of postoperative pain (MD -21.34 h; 95 % CI -22.65 to 20.03), length of ICU stay (MD -1.89 days; 95 % CI -4.05 to 0.27) in patients with abdominal trauma treated with laparoscopy compared with laparotomy. The pooled incidence of postoperative complications, missed injuries, conversions, and perioperative mortality rate of laparoscopy among the case reports were 0.04 (95 % CI 0.03-0.06), 0.01 (95 % CI 0.01-0.02), 0.24 (95 % CI 0.20-0.28), 0.01(95 % CI 0.01-0.02), respectively. Cure rate of laparoscopy ranged from 46 to 95 % and the pooled rate was 0.76 (95 % CI 0.71-0.81). CONCLUSIONS: Laparoscopy is an effective way to improve perioperative outcomes and reduce the complications of hemodynamically stable patients with abdominal trauma. It is worth further popularization in clinical practice.

Effect of lanthanum(III) on the production of ethylene and reactive oxygen species in soybean seedlings exposed to the enhanced ultraviolet-B radiation.

The enhanced ultraviolet-B (UV-B) radiation caused by ozone depletion may exert deleterious effects on plants. Therefore, studies on the effect of UV-B radiation on plants, as well as studies on the methods for alleviating the deleterious effects by chemical control, are of great significance. In this study, after soybean (Glycine max) seedlings were exposed to UV-B radiation (10.2 and 13.8kJ m(-2)day(-1)) for 5 days and the followed 6 days of restoration, respectively, the effects of 20mg L(-1) lanthanum (III) [La(III)] on leaf phenotype, photosynthetic rate, and production of ethylene and reactive oxygen species (ROS) were investigated. The results indicated that the exposure to 10.2 and 13.8kJ m(-2)day(-1) UV-B radiation could cause injury to the leaf phenotype, and lead to the decrease in the content of chlorophyll and the net photosynthetic rate, and the increase in the contents of ROS, ethylene and 1-aminocyclopropanecarboxylic acid, and 1-aminocyclopropanecarboxylic acid synthase activity in soybean seedlings. Following the withdrawal of the enhanced UV-B radiation, the above mentioned parameters gradually recovered, and the recovery of soybean seedlings exposed to 10.2kJ m(-2)day(-1) UV-B radiation was faster than those in soybean seedlings exposed to 13.8kJ m(-2)day(-1) UV-B radiation. The leaf injury and the changes in the above indices that were induced by the enhanced UV-B radiation, especially at 10.2kJ m(-2)day(-1), were alleviated after the pretreatment of soybean seedlings with 20mg L(-1) La(III). The results of the correlation analysis demonstrated that the injury to the leaf phenotype and the decrease in the photosynthetic rate of soybean seedlings were correlated with the increase in the ROS content that was induced by ethylene in soybean seedlings. The pretreatment with 20mg L(-1) La(III) alleviated the injury caused by the enhanced UV-B radiation through the regulation of the ROS production.