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Zhang Y, Zhong P, Wang L, Zhang Y, Li N, Li Y, Jin Y, Bibi A, Huang Y, Xu Y. Development and validation of a clinical risk score to predict the occurrence of critical illness in hospitalized patients with SFTS. J Infect Public Health 2023; 16:393-398. [PMID: 36706468 DOI: 10.1016/j.jiph.2023.01.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 12/16/2022] [Accepted: 01/11/2023] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease with high mortality. Early identification of patients who may advance to critical stages is crucial. This investigation aimed to establish models to predict SFTS before it reaches the critical illness stage. METHODS Between January 2016 and September 2022, 278 cases have been included in this study. There were 87 demographic and systemic chosen variables. For selecting the predictive variables from the cohort, the LASSO was utilized, and for identifying independent predictors, multivariate logistic regression was performed. Based on these factors, a nomogram was established for critical illness. Concordance index values, decision curve analysis and the area under the curve (AUC) were also examined. RESULTS Multivariate logistic regression demonstrated the most important differentiating factors as;> 65 years old (P < 0.001, OR 3.388, 95 % CI 1.767-6.696), elevated serum PT (P = 0.011, OR 6.641, 95 % CI 1.584-31.934), elevated serum TT (P = 0.005, OR 3.384, 95 % CI 1.503-8.491), and elevated serum bicarbonate (P = 0.014, OR 0.242, 95 % CI 0.070-0.707). The C-index of the nomogram was 0.812 (95 % CI: 0.754-0.869), representing good discrimination. The model also showed excellent calibration. The AUC of the nomogram established based on four factors, as mentioned earlier, was 0.806. Furthermore, the model had the excellent net benefit, as revealed by the decision curve analysis. CONCLUSION An accurate risk score system built on manifestations noted in patients with SFTS upon admission to hospital, might be advantageous in managing SFTS.
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Affiliation(s)
- Yin Zhang
- Department of Clinical Laboratory, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China; Department of Pathogen Biology and Provincial Laboratories of Pathogen Biology and Zoonoses, Anhui Medical University, No. 81 Meishan Rd, Hefei, China
| | - Pei Zhong
- Department of Clinical Laboratory, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China; Department of Pathogen Biology and Provincial Laboratories of Pathogen Biology and Zoonoses, Anhui Medical University, No. 81 Meishan Rd, Hefei, China
| | - Lianzi Wang
- Department of Clinical Laboratory, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China; Department of Pathogen Biology and Provincial Laboratories of Pathogen Biology and Zoonoses, Anhui Medical University, No. 81 Meishan Rd, Hefei, China
| | - Yu Zhang
- Department of Clinical Laboratory, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Nan Li
- Department of Clinical Laboratory, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Yaoyao Li
- Department of Clinical Laboratory, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Yangyang Jin
- Department of Clinical Laboratory, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Asma Bibi
- Department of Clinical Laboratory, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China; Department of Pathogen Biology and Provincial Laboratories of Pathogen Biology and Zoonoses, Anhui Medical University, No. 81 Meishan Rd, Hefei, China
| | - Ying Huang
- Department of Clinical Laboratory, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
| | - Yuanhong Xu
- Department of Clinical Laboratory, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China; Department of Pathogen Biology and Provincial Laboratories of Pathogen Biology and Zoonoses, Anhui Medical University, No. 81 Meishan Rd, Hefei, China.
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Zhang F, Tang Q, Chen J, Han N. China public emotion analysis under normalization of COVID-19 epidemic: Using Sina Weibo. Front Psychol 2023; 13:1066628. [PMID: 36698592 PMCID: PMC9870544 DOI: 10.3389/fpsyg.2022.1066628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 12/14/2022] [Indexed: 01/12/2023] Open
Abstract
The prevention and control of the coronavirus disease 2019 (COVID-19) epidemic in China has entered a phase of normalization. The basis for evaluating and improving public health strategies is understanding the emotions and concerns of the public. This study establishes a fine-grained emotion-classification model to annotate the emotions of 32,698 Sina Weibo posts related to COVID-19 prevention and control from July 2022 to August 2022. The Dalian University of Technology (DLUT) emotion-classification system was adjusted to form four pairs (eight categories) of bidirectional emotions: good-disgust, joy-sadness, anger-fear, and surprise-anticipation. A lexicon-based method was proposed to classify the emotions of Weibo posts. Based on the selected Weibo posts, the present study analyzed the Chinese public's sentiments and emotions. The results showed that positive sentiment accounted for 51%, negative sentiment accounted for 24%, and neutral sentiment accounted for 25%. Positive sentiments were dominated by good and joy emotions, and negative sentiments were dominated by fear and disgust emotions. The proportion of positive sentiments on official Weibo (accounts belonging to government departments and official media) is significantly higher than that on personal Weibo. Official Weibo users displayed a weak guiding effect on personal users in terms of positive sentiment and the two groups of users were almost completely synchronized in terms of negative sentiment. The linear discriminant analysis (LDA) was performed on the two negative emotions of fear and disgust in the personal posts. The present study found that the emotion of fear was mainly related to COVID-19 infection and death, control of people with positive nucleic acid tests, and the outbreak of local epidemic, while the emotion of disgust was mainly related to the long-term existence of the epidemic, the cost of nucleic acid tests, non-implementation of prevention and control measures, and the occurrence of foreign epidemics. These findings suggest that Chinese attitudes toward epidemic prevention and control are positive and optimistic; however, there is also a notable proportion of fear and disgust. It is expected that this study will help public health administrators to evaluate the effectiveness of possible countermeasures and work toward precise prevention and control of the COVID-19 epidemic.
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Affiliation(s)
- Fa Zhang
- Department of Management Science and Engineering, Business School, Beijing Institute of Technology, Zhuhai, China,Research Base of Cross-Border Flow Risk and Governance, Beijing Institute of Technology, Zhuhai, China,*Correspondence: Fa Zhang ✉
| | - Qian Tang
- Department of Management Science and Engineering, Business School, Beijing Institute of Technology, Zhuhai, China
| | - Jian Chen
- Department of Management Science and Engineering, Business School, Beijing Institute of Technology, Zhuhai, China
| | - Na Han
- Department of Management Science and Engineering, Business School, Beijing Institute of Technology, Zhuhai, China
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Ma T, Yang Y, Zhai J, Yang J, Zhang J. A Tooth Segmentation Method Based on Multiple Geometric Feature Learning. Healthcare (Basel) 2022; 10:2089. [PMID: 36292536 PMCID: PMC9601705 DOI: 10.3390/healthcare10102089] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Accepted: 10/18/2022] [Indexed: 08/10/2023] Open
Abstract
Tooth segmentation is an important aspect of virtual orthodontic systems. In some existing studies using deep learning-based tooth segmentation methods, the feature learning of point coordinate information and normal vector information is not effectively distinguished. This will lead to the feature information of these two methods not producing complementary intermingling. To address this problem, a tooth segmentation method based on multiple geometric feature learning is proposed in this paper. First, the spatial transformation (T-Net) module is used to complete the alignment of dental model mesh features. Second, a multiple geometric feature learning module is designed to encode and enhance the centroid coordinates and normal vectors of each triangular mesh to highlight the differences between geometric features of different meshes. Finally, for local to global fusion features, feature downscaling and channel optimization are accomplished layer by layer using multilayer perceptron (MLP) and efficient channel attention (ECA). The experimental results show that our algorithm achieves better accuracy and efficiency of tooth segmentation and can assist dentists in their treatment work.
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