Efficient skin lesion segmentation with boundary distillation.

Medical image segmentation models are commonly known for their complex structures, which often render them impractical for use on edge computing devices and compromising efficiency in the segmentation process. In light of this, the industry has proposed the adoption of knowledge distillation techniques. Nevertheless, the vast majority of existing knowledge distillation methods are focused on the classification tasks of skin diseases. Specifically, for the segmentation tasks of dermoscopy lesion images, these knowledge distillation methods fail to fully recognize the importance of features in the boundary regions of lesions within medical images, lacking boundary awareness for skin lesions. This paper introduces pioneering medical image knowledge distillation architecture. The aim of this method is to facilitate the efficient transfer of knowledge from existing complex medical image segmentation networks to a more simplified student network. Initially, a masked boundary feature (MBF) distillation module is designed. By applying random masking to the periphery of skin lesions, the MBF distillation module obliges the student network to reproduce the comprehensive features of the teacher network. This process, in turn, augments the representational capabilities of the student network. Building on the MBF distillation module, this paper employs a cascaded combination approach to integrate the MBF distillation module into a multi-head boundary feature (M2BF) distillation module, further strengthening the student network's feature learning ability and enhancing the overall image segmentation performance of the distillation model. This method has been experimentally validated on the public datasets ISIC-2016 and PH2, with results showing significant performance improvements in the student network. Our findings highlight the practical utility of the lightweight network distilled using our approach, particularly in scenarios demanding high operational speed and minimal storage usage. This research offers promising prospects for practical applications in the realm of medical image segmentation.

Regulating Hetero-Nucleation Enabling Over 14% Efficient Kesterite Solar Cells.

Developing well-crystallized light-absorbing layers remains a formidable challenge in the progression of kesterite Cu2ZnSn(S,Se)4 (CZTSSe) solar cells. A critical aspect of optimizing CZTSSe lies in accurately governing the high-temperature selenization reaction. This process is intricate and demanding, with underlying mechanisms requiring further comprehension. This study introduces a precursor microstructure-guided hetero-nucleation regulation strategy for high-quality CZTSSe absorbers and well-performing solar cells. The alcoholysis of 2-methoxyethanol (MOE) and the generation of high gas-producing micelles by adding hydrogen chloride (HCl) as a proton additive into the precursor solution are successfully suppressed. This tailored modification of solution components reduces the emission of volatiles during baking, yielding a compact and dense precursor microstructure. The reduced-roughness surface nurtures the formation of larger CZTSSe nuclei, accelerating the ensuing Ostwald ripening process. Ultimately, CZTSSe absorbers with enhanced crystallinity and diminished defects are fabricated, attaining an impressive 14.01% active-area power conversion efficiency. The findings elucidate the influence of precursor microstructure on the selenization reaction process, paving a route for fabricating high-quality kesterite CZTSSe films and high-efficiency solar cells.

Long non-coding RNA PROX1-AS1 knockdown upregulates microRNA-519d-3p to promote chemosensitivity of retinoblastoma cells via targeting SOX2.

OBJECTIVE: Long non-coding RNAs (lncRNAs) and microRNAs (miRNAs) participate in tumor progression, while the role of PROX1-antisense RNA1 (PROX1-AS1) sponging miR-519d-3p in retinoblastoma (RB) remains largely unknown. We aim to explore the effect of the PROX1-AS1/miR-519d-3p/sex determining region Y-box 2 (SOX2) in chemosensitivity of RB cells. METHODS: Expression of PROX1-AS1, miR-519d-3p and SOX2 in RB tissues and cells was determined. The drug-resistant cell lines were established and respectively intervened with PROX1-AS1 or miR-519d-3p expression to explore their roles in drug resistance and malignant behaviors of the drug-resistant cells. The binding relationships between PROX1-AS1 and miR-519d-3p, and between miR-519d-3p and SOX2 were evaluated. RESULTS: PROX1-AS1 and SOX2 were upregulated while miR-519d-3p was downregulated in RB tissues and cells, especially in drug-resistant cells. The PROX1-AS1 inhibition or miR-519d-3p elevation suppressed the drug resistance, proliferation, migration and invasion, and promoted apoptosis of the drug-resistant RB cells. Moreover, PROX1-AS1 sponged miR-519d-3p and miR-519d-3p targeted SOX2. CONCLUSION: PROX1-AS1 knockdown upregulates miR-519d-3p to promote chemosensitivity of RB cells via targeting SOX2.

Identification and functional characterization of a novel missense mutation in FRMD7 responsible for idiopathic congenital nystagmus.

Idiopathic congenital nystagmus (ICN) is a genetically heterogeneous eye movement disorder which seriously reduces childhood visual acuity. X-linked inheritance is the most common pattern, and mutations in FERM domain-containing protein 7 (FRMD7) are the major cause. Here, we recruited a four-generation Chinese family with X-linked ICN for the causative mutational screening of FRMD7. A novel missense variant, c.805 A > C, was identified in the proband. The mutation was confirmed in all the affected individuals but was not detected in unaffected family members or 100 unrelated Chinese male controls. The mutation causes a substitution of lysine to glutamine at position 269 (p.Lys269Gln, K269Q). The FRMD7 mutant inhibits the formation and extension of neurites. Moreover, the mutation disrupts FRMD7 interaction with calcium/calmodulin-dependent serine protein kinase and neurite formation. Together, our data expand the mutation spectrum of FRMD7 causing ICN and provide an insight into the pathogenesis of nystagmus.

Health status and associated factors among the community-dwelling elderly women in China.

The purpose of this study was to evaluate the health status and associated factors of the elderly women in China. A cross-sectional survey from cluster random sampling method was performed between March 2013 and December 2013. 1910 elderly people aged 60 years and over were selected in a community of Nanjing, China, including 977 elderly women. The self-designed elderly health assessment scale questionnaire was used. The data were analyzed through χ2-test and ordinal logistic regression. The results showed that the older women were higher in proportion than older men, the elderly women had lower in education, higher in divorced or widowed proportions, higher in living alone, and higher in no occupations. The proportion of elderly women suffering from chronic disease was lower than that of elderly men. The proportion of the elderly woman suffering from high cholesterol was higher, lower in high blood pressure. Elderly women were poorer than men in Physiological health, Memory and Multidimensional health status. The elderly women who had older, lower-education level, non-couples living, general employees or workers had poorer Multidimensional health status. This study demonstrated that the health status of elderly women of Nanjing, China were in a vulnerable position, especially some associated factors. We need pay more attention on these in improving the health of elderly women.

Healthcare system responsiveness in Jiangsu Province, China.

BACKGROUND: The perceived responsiveness of a healthcare system reflects its ability to satisfy reasonable expectations of the public with respect to non-medical services. Recently, there has been increasing attention paid to responsiveness in evaluating the performance of a healthcare system in a variety of service settings. However, the factors that affect the responsiveness have been inconclusive so far and measures of improved responsiveness have not always thoroughly considered the factors. The aim of this study was to evaluate both the responsiveness of the healthcare system in Jiangsu Province, China, the factors that influence responsiveness and the measures of improved responsiveness considering it, as determined by a responsiveness survey. METHODS: A multistage, stratified random sampling method was used to select 1938 adult residents of Jiangsu Province in 2011. Face-to-face interviews were conducted using a self-designed questionnaire modeled on the World Health Organization proposal. The final analysis was based on 1783 (92%) valid questionnaires. Canonical correlation analysis was used to assess the factors that affect responsiveness. RESULTS: The average score of all responsiveness-related domains in the surveyed healthcare system was satisfactory (7.50 out of a maximum 10.0). The two highest scoring domains were dignity and confidentiality, and the two lowest scoring domains choice and prompt attention. The factors affecting responsiveness were age, regional economic development level, and geographic area (urban vs. rural). The responsiveness regarding basic amenities was rated worse by the elderly than by younger respondents. Responsiveness ranked better by those with a poorer economic status. Choice in cities was better than in rural regions. CONCLUSIONS: The responsiveness of the Jiangsu healthcare system was considered to be satisfactory but could be improved by offering greater choice and providing more prompt attention. Perceptions of healthcare system responsiveness differ with age, regional economic development level, and geographic area (urban vs. rural). Measures to increase the perceived level of responsiveness include better service at higher level hospitals, shorter waiting time, more hospitals in rural regions, an improved medical environment, and provision of infrastructures that makes the medical environments more comfortable.