Distributed eQTL analysis with auxiliary information.

Expression quantitative trait locus (eQTL) analysis is a useful tool to identify genetic loci that are associated with gene expression levels. Large collaborative efforts such as the Genotype-Tissue Expression (GTEx) project provide valuable resources for eQTL analysis in different tissues. Most existing methods, however, either focus on one tissue at a time, or analyze multiple tissues to identify eQTLs jointly present in multiple tissues. There is a lack of powerful methods to identify eQTLs in a target tissue while effectively borrowing strength from auxiliary tissues. In this paper, we propose a novel statistical framework to improve the eQTL detection efficacy in the tissue of interest with auxiliary information from other tissues. This framework can enhance the power of the hypothesis test for eQTL effects by incorporating shared and specific effects from multiple tissues into the test statistics. We also devise data-driven and distributed computing approaches for efficient implementation of eQTL detection when the number of tissues is large. Numerical studies in simulation demonstrate the efficacy of the proposed method, and the real data analysis of the GTEx example provides novel insights into eQTL findings in different tissues.

Online monitoring of high-dimensional binary data streams with application to extreme weather surveillance.

With the rapid development of modern sensor technology, high-dimensional data streams appear frequently nowadays, bringing urgent needs for effective statistical process control (SPC) tools. In such a context, the online monitoring problem of high-dimensional and correlated binary data streams is becoming very important. Conventional SPC methods for monitoring multivariate binary processes may fail when facing high-dimensional applications due to high computational complexity and the lack of efficiency. In this paper, motivated by an application in extreme weather surveillance, we propose a novel pairwise approach that considers the most informative pairwise correlation between any two data streams. The information is then integrated into an exponential weighted moving average (EWMA) charting scheme to monitor abnormal mean changes in high-dimensional binary data streams. Extensive simulation study together with a real-data analysis demonstrates the efficiency and applicability of the proposed control chart.

Near-total removal of facial nerve schwannomas: long-term outcomes.

OBJECTIVE: The study aimed to present long-term outcomes of near-total removal of facial nerve schwannomas (FNS) with good facial nerve function (HB Grade III or better). METHODS: We successfully performed near-total removal of FNS (tumor removal of 95% or greater) on 13 cases, and the remaining 6 cases who failed underwent total tumor removal and nerve grafting. Patients were divided into near-total removal group and total removal group according to surgical approach, and they were followed up for 7.38 ± 1.98 years (range, 5 to 11 years) and 6.66 ± 1.63 years (range, 5 to 9 years), respectively. RESULTS: 12 of 13 cases (92.3%) in the near-total removal group successfully maintained at least Grade III except one who recurred and underwent complete tumor removal and nerve grafting, and 10 cases (76.9%) achieved Grade I or Grade II. 5 of 6 cases (83.3%) in the total removal group obtained Grade III, but none recovered to Grade I or II. Tumor growth was noted in only one case (7.7%) among the near-total removal group during the follow-up. CONCLUSIONS: Long-term outcomes of near-total removal of FNS were favorable, which may be a good choice for the old patients with good facial nerve function.

Surveillance of cardiovascular diseases using a multivariate dynamic screening system.

In the SHARe Framingham Heart Study of the National Heart, Lung and Blood Institute, one major task is to monitor several health variables (e.g., blood pressure and cholesterol level) so that their irregular longitudinal pattern can be detected as soon as possible and some medical treatments applied in a timely manner to avoid some deadly cardiovascular diseases (e.g., stroke). To handle this kind of applications effectively, we propose a new statistical methodology called multivariate dynamic screening system (MDySS) in this paper. The MDySS method combines the major strengths of the multivariate longitudinal data analysis and the multivariate statistical process control, and it makes decisions about the longitudinal pattern of a subject by comparing it with other subjects cross sectionally and by sequentially monitoring it as well. Numerical studies show that MDySS works well in practice.

Clinical characteristics and outcomes of intratemporal facial nerve neurofibromas.

UNLABELLED: This study aimed to present clinical features and outcomes of 10 patients with intratemporal facial nerve neurofibromas. METHODS: The ten patients underwent complete tumor removal, and nerve grafting was performed on 3 cases whose nerve integrity was sacrificed. They were followed up after surgery. RESULTS: All patients firstly complained of facial palsy, and progressive sensorineural hearing loss was also present in one case. Insidious onset of facial palsy was found in 6 of 10 cases (60.0%). There was multi-segment involvement in 5 of 10 cases (50.0%). During the follow-up of 4.2±1.5 ys (range, 2-6 ys), 1 of 6 cases who successfully maintained nerve integrity recovered to Grade III, and the others remained or recovered to Grade V or even Grade VI. In contrast, all of the 3 cases with nerve grafting recovered from Grade VI to Grade III or Grade IV. No tumor recurrence was noted. CONCLUSIONS: Facial nerve neurofibromas mainly presented with insidious facial palsy, and tended to affect multiple segments of facial nerve. It seemed that complete tumor removal and nerve grafting had better outcomes of facial nerve compared to complete tumor removal with nerve integrity preserved.

Effects of needle-knife therapy on iNOS activity and NO content in skeletal muscles in the L3 transverse process syndrome model rat.

OBJECTIVE: To study on relationship of inducible nitric oxide synthase (iNOS) activity and nitric oxide (NO) content in the injured local soft tissue with injured degrees of the soft tissue in the third lumbar vertebrae (L3) transverse process syndrome model rat and to observe the effect of needle-knife therapy. METHODS: One hundred and sixty male SD rats were randomly divided into normal group, model group, aminoguanidine (AG) group, needle-knife group, 40 rats in each group. The L3 transverse process syndrome rat model was established, and after treatment of needle-knife and AG iNOS activities and NO contents and histomorpholocal changes in the soft tissues around L3 transverse process on 1, 3, 7 and 14 days were observed in the groups. RESULTS: Compared with the normal group, iNOS activity and NO content in the model group were significantly increased (P < 0.01); Compared with the model group, iNOS activities and NO contents were significantly decreased in both the needle-knife group and the AG group (both P < 0.01); And both iNOS activities and NO contents were identical with both local inflammation response and injured degrees of the injured tissue in the groups. CONCLUSION: Needle-knife therapy can significantly inhibit generation of NO, alleviate inflammatory response and injured degree of the injured soft tissue, improve microcirculation, prevent formation of pathological scar tissue, and promote repair of the chronic soft tissue injury.

[Nitric oxide synthase (NOS) expression and nitric oxide (NO) content in the skeletal muscles in transverse process syndrome of the 3rd lumbar vertebra of model rats treated with acupotomology therapy].

OBJECTIVE: To study the relation between the nitric-oxide synthase (NOS) expression and nitric oxide (NO) content in the skeletal muscles and the injury condition of soft tissue in the 3rd lumbar vertebrae syndrome model rats, and to observe the effect of acupotomology therapy. METHODS: One hundred and twenty-eight adult SD rats were allocated to 4 groups randomly: normal group, model group, aminoguanidin group and acupotomology treatment group, 32 rats in each group. NOS expression, NO content and injury of the soft tissue in the 3rd lumbar vertebra were observed on the 1st, 3rd, 7th and 14th day after the acupotomology treatment and aminoguanidine intervention. RESULTS: 1) Inducible NOS (iNos) activity and NO content in model group was significantly higher (F = 522.860, P < 0.01), in acupotomology group and aminoguanidine group was significantly lower than the model group (FiNOS = 28.894, P < 0.01), and iNOS activity and NO content in all groups was in competence with the condition of soft tissue injuries. 2) Endothelium NOS (eNOS) expression raised in model group and acupotomology group, and achieve peak on the 7th day. There was significant difference between the eNOS expression in acupotomology group and the model group (FeNOS = 3.454, P < 0.05). 3) The expression of neuron NOS (nNOS) in the model group, aminoguanidine group and acupotomology group had no significant (FnNOS = 0.962, P > 0.05). CONCLUSION: Acupotomology treatment can restrain the development of high content NO, release the inflammatory reaction and injury condition, improve microcirculation, prevent the development of scar tissue of the injured soft tissue, and has significant recovering effectiveness in the soft tissue injured model rats.