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Zhou DW, Ye HJ, Ma L, Xie D, Pu S, Zhan DC. Few-Shot Class-Incremental Learning by Sampling Multi-Phase Tasks. IEEE Trans Pattern Anal Mach Intell 2023; 45:12816-12831. [PMID: 37819811 DOI: 10.1109/tpami.2022.3200865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Abstract
New classes arise frequently in our ever-changing world, e.g., emerging topics in social media and new types of products in e-commerce. A model should recognize new classes and meanwhile maintain discriminability over old classes. Under severe circumstances, only limited novel instances are available to incrementally update the model. The task of recognizing few-shot new classes without forgetting old classes is called few-shot class-incremental learning (FSCIL). In this work, we propose a new paradigm for FSCIL based on meta-learning by LearnIng Multi-phase Incremental Tasks (Limit), which synthesizes fake FSCIL tasks from the base dataset. The data format of fake tasks is consistent with the 'real' incremental tasks, and we can build a generalizable feature space for the unseen tasks through meta-learning. Besides, Limit also constructs a calibration module based on transformer, which calibrates the old class classifiers and new class prototypes into the same scale and fills in the semantic gap. The calibration module also adaptively contextualizes the instance-specific embedding with a set-to-set function. Limit efficiently adapts to new classes and meanwhile resists forgetting over old classes. Experiments on three benchmark datasets (CIFAR100, miniImageNet, and CUB200) and large-scale dataset, i.e., ImageNet ILSVRC2012 validate that Limit achieves state-of-the-art performance.
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Zhong JM, Luo DJ, Fan J, He J, Wang X, Nie X, Zhou DW. [Clinicopathological analysis of cytological diagnosis of mesothelioma in serosal effusion]. Zhonghua Bing Li Xue Za Zhi 2023; 52:612-614. [PMID: 37263927 DOI: 10.3760/cma.j.cn112151-20221018-00872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- J M Zhong
- Pathology Department, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - D J Luo
- Pathology Department, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - J Fan
- Pathology Department, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - J He
- Pathology Department, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - X Wang
- Pathology Department, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - X Nie
- Pathology Department, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - D W Zhou
- Pathology Department, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
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Zhou DW, Wang K, Zhang YA, Ma K, Yang XC, Li ZY, Yu SS, Chen KZ, Qiao SL. mRNA therapeutics for disease therapy: principles, delivery, and clinical translation. J Mater Chem B 2023; 11:3484-3510. [PMID: 36988384 DOI: 10.1039/d2tb02782h] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/30/2023]
Abstract
Messenger RNA (mRNA) has become a key focus in the development of therapeutic agents, showing significant potential in preventing and treating a wide range of diseases. The COVID-19 pandemic in 2020 has accelerated the development of mRNA nucleic therapeutics and attracted significant investment from global biopharmaceutical companies. These therapeutics deliver genetic information into cells without altering the host genome, making them a promising treatment option. However, their clinical applications have been limited by issues such as instability, inefficient in vivo delivery, and low translational efficiency. Recent advances in molecular design and nanotechnology have helped overcome these challenges, and several mRNA formulations have demonstrated promising results in both animal and human testing against infectious diseases and cancer. This review provides an overview of the latest research progress in structural optimization strategies and delivery systems, and discusses key considerations for their future clinical use.
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Affiliation(s)
- Da-Wei Zhou
- Lab of Functional and Biomedical Nanomaterials, College of Materials Science and Engineering, Qingdao University of Science and Technology (QUST), Qingdao, 266042, P. R. China.
| | - Ke Wang
- Lab of Functional and Biomedical Nanomaterials, College of Materials Science and Engineering, Qingdao University of Science and Technology (QUST), Qingdao, 266042, P. R. China.
| | - Ying-Ao Zhang
- Lab of Functional and Biomedical Nanomaterials, College of Materials Science and Engineering, Qingdao University of Science and Technology (QUST), Qingdao, 266042, P. R. China.
| | - Ke Ma
- Lab of Functional and Biomedical Nanomaterials, College of Materials Science and Engineering, Qingdao University of Science and Technology (QUST), Qingdao, 266042, P. R. China.
| | - Xiao-Chun Yang
- Lab of Functional and Biomedical Nanomaterials, College of Materials Science and Engineering, Qingdao University of Science and Technology (QUST), Qingdao, 266042, P. R. China.
| | - Zhen-Yi Li
- Lab of Functional and Biomedical Nanomaterials, College of Materials Science and Engineering, Qingdao University of Science and Technology (QUST), Qingdao, 266042, P. R. China.
| | - Shou-Shan Yu
- Lab of Functional and Biomedical Nanomaterials, College of Materials Science and Engineering, Qingdao University of Science and Technology (QUST), Qingdao, 266042, P. R. China.
| | - Ke-Zheng Chen
- Lab of Functional and Biomedical Nanomaterials, College of Materials Science and Engineering, Qingdao University of Science and Technology (QUST), Qingdao, 266042, P. R. China.
| | - Sheng-Lin Qiao
- Lab of Functional and Biomedical Nanomaterials, College of Materials Science and Engineering, Qingdao University of Science and Technology (QUST), Qingdao, 266042, P. R. China.
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Hu L, Zhou DW, Guo XY, Xu WH, Wei LM, Zhao JG. Adversarial training for prostate cancer classification using magnetic resonance imaging. Quant Imaging Med Surg 2022; 12:3276-3287. [DOI: 10.21037/qims-21-1089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 03/16/2022] [Indexed: 11/06/2022]
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Abstract
New class detection and effective model expansion are of great importance in incremental data mining. In open incremental data environments, data often come with novel classes, e.g., the emergence of new classes in image classification or new topics in opinion monitoring, and is denoted as class-incremental learning (C-IL) in literature. There are two main challenges in C-IL: how to conduct novelty detection and how to update the model with few novel class instances. Most previous methods pay much attention to the former challenge while ignoring the problem of efficiently updating models. To solve this problem, we propose a novel framework to handle the incremental new class, named learning to classify with incremental new class (LC-INC), which can process these two challenges automatically in one unified framework. In detail, LC-INC utilizes a novel structure network to consider the prototype information between class centers of known classes and newly incoming instances, which can dynamically combine the prediction information with structure information to detect novel class instances efficiently. On the other hand, the proposed structure network can also act as a meta-network, which can learn to expand the model much faster and more efficiently with inadequate novel class instances. Experiments on synthetic and real-world datasets successfully validate the effectiveness of our proposed method.
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Xiao GX, Liu C, Yu J, Gao BB, Zhou DW, Huang BX, Nie X. [Clear cell carcinoma of the abdominal wall: a clinicopathological study]. Zhonghua Bing Li Xue Za Zhi 2022; 51:347-349. [PMID: 35359048 DOI: 10.3760/cma.j.cn112151-20210821-00588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- G X Xiao
- Department of Pathology, the Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - C Liu
- Department of Pathology, the Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - J Yu
- Department of Pathology, the Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - B B Gao
- Department of Pathology, the Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - D W Zhou
- Department of Pathology, the Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - B X Huang
- Department of Pathology, the Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - X Nie
- Department of Pathology, the Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
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Su RY, Ling SB, Shan QN, Wei XY, Wang R, Jia CK, Zhuang L, Shen T, Ding LM, Xu ZD, Luo LB, Sun LB, Li GM, Fang TS, Jiang N, Zhang K, Su ZJ, Peng ZH, Lang R, Jiang T, He Q, Ye LS, Yang Y, He YT, Guo WZ, Lan LG, Sun XY, Chen D, Chen ZS, Zhou DW, Ye SJ, Ye QF, Tian M, Shi JH, Wang B, Liu J, Lu Q, Rao W, Cai JZ, Lv T, Yang JY, Wang PS, Zhong L, Ma JS, Li QG, Wu SD, Lu CJ, Lu CD, Zhang DH, Wang X, Li ZQ, Teng MJ, Li JJ, Jiang WT, Li JH, Zhang QB, Zhu NQ, Wang ZX, He K, Xia Q, Song SH, Fu ZR, Qiu W, Lv GY, Song RP, Wang JZ, Wang Z, Zhou J, Chen G, Zhao YP, Li L, Hu ZM, Luo QJ, Si ZZ, Xie B, He XS, Guo ZY, Zheng SS, Xu X. Efficacy and safety of sirolimus early conversion protocol in liver transplant patients with hepatocellular carcinoma: A single-arm, multicenter, prospective study. Hepatobiliary Pancreat Dis Int 2022; 21:106-112. [PMID: 34583911 DOI: 10.1016/j.hbpd.2021.09.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 08/31/2021] [Indexed: 02/05/2023]
Abstract
Mammalian target of rapamycin (mTOR) inhibitor as an attractive drug target with promising antitumor effects has been widely investigated. High quality clinical trial has been conducted in liver transplant (LT) recipients in Western countries. However, the pertinent studies in Eastern world are paucity. Therefore, we designed a clinical trial to test whether sirolimus can improve recurrence-free survival (RFS) in hepatocellular carcinoma (HCC) patients beyond the Milan criteria after LT. This is an open-labeled, single-arm, prospective, multicenter, and real-world study aiming to evaluate the clinical outcomes of early switch to sirolimus-based regimens in HCC patients after LT. Patients with a histologically proven HCC and beyond the Milan criteria will be enrolled. The initial immunosuppressant regimens are center-specific for the first 4-6 weeks. The following regimens integrated sirolimus into the regimens as a combination therapy with reduced calcineurin inhibitors based on the condition of patients and centers. The study is planned for 4 years in total with a 2-year enrollment period and a 2-year follow-up. We predict that sirolimus conversion regimen will provide survival benefits for patients particular in the key indicator RFS as well as better quality of life. If the trial is conducted successfully, we will have a continued monitoring over a longer follow-up time to estimate indicator of overall survival. We hope that the outcome will provide better evidence for clinical decision-making and revising treatment guidelines based on Chinese population data. Trial register: Trial registered at http://www.chictr.org.cn: ChiCTR2100042869.
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Affiliation(s)
- Ren-Yi Su
- Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China
| | - Sun-Bin Ling
- Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China
| | - Qiao-Nan Shan
- NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou 310003, China
| | - Xu-Yong Wei
- Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China
| | - Rui Wang
- Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China
| | - Chang-Ku Jia
- Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China
| | - Li Zhuang
- Department of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital, Zhejiang Shuren University School of Medicine, Hangzhou 310022, China
| | - Tian Shen
- Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
| | - Li-Min Ding
- Department of Transplantation, Jiangxi Provincial People's Hospital Affiliated to Nanchang University, Nanchang 330006, China
| | - Zhi-Dan Xu
- Department of Transplantation, Jiangxi Provincial People's Hospital Affiliated to Nanchang University, Nanchang 330006, China
| | - Lai-Bang Luo
- Department of Transplantation, Jiangxi Provincial People's Hospital Affiliated to Nanchang University, Nanchang 330006, China
| | - Li-Bo Sun
- Liver Transplantation Center, Beijing You'an Hospital, Capital Medical University, Beijing 100069, China
| | - Guang-Ming Li
- Liver Transplantation Center, Beijing You'an Hospital, Capital Medical University, Beijing 100069, China
| | - Tai-Shi Fang
- Department of Hepatic Surgery, National Clinical Research Center for Infectious Disease, Shenzhen Third People's Hospital; The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen 518112, China
| | - Nan Jiang
- Department of Hepatic Surgery, National Clinical Research Center for Infectious Disease, Shenzhen Third People's Hospital; The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen 518112, China
| | - Kun Zhang
- Department of General Surgery, Xiang'an Hospital of Xiamen University, Xiamen 361000, China
| | - Zhao-Jie Su
- Department of General Surgery, Xiang'an Hospital of Xiamen University, Xiamen 361000, China
| | - Zhi-Hai Peng
- Department of General Surgery, Xiang'an Hospital of Xiamen University, Xiamen 361000, China
| | - Ren Lang
- Deartment of Hepatobiliary and Pancreaticosplenic Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
| | - Tao Jiang
- Deartment of Hepatobiliary and Pancreaticosplenic Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
| | - Qiang He
- Deartment of Hepatobiliary and Pancreaticosplenic Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
| | - Lin-Sen Ye
- Department of Hepatic Surgery and Liver Transplantation Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
| | - Yang Yang
- Department of Hepatic Surgery and Liver Transplantation Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
| | - Yu-Ting He
- Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Wen-Zhi Guo
- Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Liu-Gen Lan
- Department of Liver Transplantation, The Second Affiliated Hospital of Guangxi Medical University, Nanning 530000, China
| | - Xu-Yong Sun
- Department of Liver Transplantation, The Second Affiliated Hospital of Guangxi Medical University, Nanning 530000, China
| | - Dong Chen
- Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
| | - Zhi-Shui Chen
- Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
| | - Da-Wei Zhou
- Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
| | - Shao-Jun Ye
- Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
| | - Qi-Fa Ye
- Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
| | - Min Tian
- Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China
| | - Jian-Hua Shi
- Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China
| | - Bo Wang
- Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China
| | - Jiang Liu
- Liver Transplantation Center, Tsinghua Changgung Hospital, Beijing 102218, China
| | - Qian Lu
- Liver Transplantation Center, Tsinghua Changgung Hospital, Beijing 102218, China
| | - Wei Rao
- Organ Transplantation Center, Affiliated Hospital of Qingdao University, 59 Haier Road, Laoshan District, Qingdao 266061, China
| | - Jin-Zhen Cai
- Organ Transplantation Center, Affiliated Hospital of Qingdao University, 59 Haier Road, Laoshan District, Qingdao 266061, China
| | - Tao Lv
- Department of Liver Surgery, Liver Transplantation Center, West China Hospital, Sichuan University, Chengdu 610044, China
| | - Jia-Yin Yang
- Department of Liver Surgery, Liver Transplantation Center, West China Hospital, Sichuan University, Chengdu 610044, China
| | - Pu-Sen Wang
- Department of General Surgery, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China
| | - Lin Zhong
- Department of General Surgery, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China
| | - Jing-Sheng Ma
- Department of Hepatobiliary and Pancreatic Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - Qi-Gen Li
- Department of Hepatobiliary and Pancreatic Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - Sheng-Dong Wu
- Department of Hepatobiliary and Pancreatic Surgery, Ningbo Medical Center Lihuili Hospital, Ningbo University, Ningbo 315041, China
| | - Chang-Jiang Lu
- Department of Hepatobiliary and Pancreatic Surgery, Ningbo Medical Center Lihuili Hospital, Ningbo University, Ningbo 315041, China
| | - Cai-De Lu
- Department of Hepatobiliary and Pancreatic Surgery, Ningbo Medical Center Lihuili Hospital, Ningbo University, Ningbo 315041, China
| | - Dong-Hua Zhang
- Liver Transplant Center, General Hospital of Eastern Theater Command, Nanjing 210002, China
| | - Xuan Wang
- Liver Transplant Center, General Hospital of Eastern Theater Command, Nanjing 210002, China
| | - Zi-Qiang Li
- Department of General Surgery, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan 250014, China
| | - Mu-Jian Teng
- Department of General Surgery, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan 250014, China
| | - Jun-Jie Li
- Liver Transplant Department, Tianjin First Center Hospital, Tianjin 300192, China
| | - Wen-Tao Jiang
- Liver Transplant Department, Tianjin First Center Hospital, Tianjin 300192, China
| | - Jian-Hua Li
- Department of General Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China
| | - Quan-Bao Zhang
- Department of General Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China
| | - Ning-Qi Zhu
- Department of General Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China
| | - Zheng-Xin Wang
- Department of General Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China
| | - Kang He
- Department of Liver Surgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
| | - Qiang Xia
- Department of Liver Surgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
| | - Shao-Hua Song
- Liver Transplantaiton Center, Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Zhi-Ren Fu
- Liver Transplantaiton Center, Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Wei Qiu
- Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, Changchun 130021, China
| | - Guo-Yue Lv
- Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, Changchun 130021, China
| | - Rui-Peng Song
- Department of Hepatobiliary Surgery, Anhui Province Key Laboratory of Hepatopancreatobiliary Surgery, The First Affiliated Hospital of USTC; Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, China
| | - Ji-Zhou Wang
- Department of Hepatobiliary Surgery, Anhui Province Key Laboratory of Hepatopancreatobiliary Surgery, The First Affiliated Hospital of USTC; Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, China
| | - Zheng Wang
- Department of Liver Surgery & Transplantation, Zhongshan Hospital Fudan University, Shanghai 200032, China
| | - Jian Zhou
- Department of Liver Surgery & Transplantation, Zhongshan Hospital Fudan University, Shanghai 200032, China
| | - Gang Chen
- Department of hepato-biliary-pancreatic surgery and liver transplantation center, the First People' s Hospital of Kunming, Kunming 650000, China
| | - Ying-Peng Zhao
- Department of hepato-biliary-pancreatic surgery and liver transplantation center, the First People' s Hospital of Kunming, Kunming 650000, China
| | - Li Li
- Department of hepato-biliary-pancreatic surgery and liver transplantation center, the First People' s Hospital of Kunming, Kunming 650000, China
| | - Ze-Min Hu
- Department of Hepatobiliary Surgery, Zhongshan City People's Hospital, Zhongshan 528499, China
| | - Qi-Jie Luo
- Department of Hepatobiliary Surgery, Zhongshan City People's Hospital, Zhongshan 528499, China
| | - Zhong-Zhou Si
- Department of Liver Transplantation Center, The Second Xiangya Hospital of Central South University, Changsha 410011, China
| | - Bin Xie
- Department of Liver Transplantation Center, The Second Xiangya Hospital of Central South University, Changsha 410011, China
| | - Xiao-Shun He
- Department of Hepatic Surgery and Liver Transplantation Center, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510062, China
| | - Zhi-Yong Guo
- Department of Hepatic Surgery and Liver Transplantation Center, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510062, China
| | - Shu-Sen Zheng
- NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou 310003, China; Department of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital, Zhejiang Shuren University School of Medicine, Hangzhou 310022, China; Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
| | - Xiao Xu
- Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China; NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou 310003, China; Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
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Chen H, Zhou XF, Zhou DW, Zhou JX, Yu RG. Effect of increased positive end-expiratory pressure on intracranial pressure and cerebral oxygenation: impact of respiratory mechanics and hypovolemia. BMC Neurosci 2021; 22:72. [PMID: 34823465 PMCID: PMC8614026 DOI: 10.1186/s12868-021-00674-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Accepted: 11/02/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To evaluate the impact of positive end-expiratory pressure (PEEP) on intracranial pressure (ICP) in animals with different respiratory mechanics, baseline ICP and volume status. METHODS A total of 50 male adult Bama miniature pigs were involved in four different protocols (n = 20, 12, 12, and 6, respectively). Under the monitoring of ICP, brain tissue oxygen tension and hemodynamical parameters, PEEP was applied in increments of 5 cm H2O from 5 to 25 cm H2O. Measurements were taken in pigs with normal ICP and normovolemia (Series I), or with intracranial hypertension (via inflating intracranial balloon catheter) and normovolemia (Series II), or with intracranial hypertension and hypovolemia (via exsanguination) (Series III). Pigs randomized to the control group received only hydrochloride instillation while the intervention group received additional chest wall strapping. Common carotid arterial blood flow before and after exsanguination at each PEEP level was measured in pigs with intracranial hypertension and chest wall strapping (Series IV). RESULTS ICP was elevated by increased PEEP in both normal ICP and intracranial hypertension conditions in animals with normal blood volume, while resulted in decreased ICP with PEEP increments in animals with hypovolemia. Increasing PEEP resulted in a decrease in brain tissue oxygen tension in both normovolemic and hypovolemic conditions. The impacts of PEEP on hemodynamical parameters, ICP and brain tissue oxygen tension became more evident with increased chest wall elastance. Compare to normovolemic condition, common carotid arterial blood flow was further lowered when PEEP was raised in the condition of hypovolemia. CONCLUSIONS The impacts of PEEP on ICP and cerebral oxygenation are determined by both volume status and respiratory mechanics. Potential conditions that may increase chest wall elastance should also be ruled out to avoid the deleterious effects of PEEP.
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Affiliation(s)
- Han Chen
- Fujian Shengli Clinical Medical College, Fujian Medical University, Fuzhou, China.,Department of Critical Care Medicine, Fujian Provincial Hospital, Fuzhou, China
| | - Xiao-Fen Zhou
- Fujian Shengli Clinical Medical College, Fujian Medical University, Fuzhou, China.,Department of Critical Care Medicine, Fujian Provincial Hospital, Fuzhou, China
| | - Da-Wei Zhou
- Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Jian-Xin Zhou
- Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Rong-Guo Yu
- Fujian Shengli Clinical Medical College, Fujian Medical University, Fuzhou, China. .,Department of Critical Care Medicine, Fujian Provincial Hospital, Fuzhou, China.
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Hu L, Zhou DW, Zha YF, Li L, He H, Xu WH, Qian L, Zhang YK, Fu CX, Hu H, Zhao JG. Synthesizing High- b-Value Diffusion-weighted Imaging of the Prostate Using Generative Adversarial Networks. Radiol Artif Intell 2021; 3:e200237. [PMID: 34617025 DOI: 10.1148/ryai.2021200237] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 04/11/2021] [Accepted: 05/18/2021] [Indexed: 11/11/2022]
Abstract
Purpose To develop and evaluate a diffusion-weighted imaging (DWI) deep learning framework based on the generative adversarial network (GAN) to generate synthetic high-b-value (b =1500 sec/mm2) DWI (SYNb1500) sets from acquired standard-b-value (b = 800 sec/mm2) DWI (ACQb800) and acquired standard-b-value (b = 1000 sec/mm2) DWI (ACQb1000) sets. Materials and Methods This retrospective multicenter study included 395 patients who underwent prostate multiparametric MRI. This cohort was split into internal training (96 patients) and external testing (299 patients) datasets. To create SYNb1500 sets from ACQb800 and ACQb1000 sets, a deep learning model based on GAN (M0) was developed by using the internal dataset. M0 was trained and compared with a conventional model based on the cycle GAN (Mcyc). M0 was further optimized by using denoising and edge-enhancement techniques (optimized version of the M0 [Opt-M0]). The SYNb1500 sets were synthesized by using the M0 and the Opt-M0 were synthesized by using ACQb800 and ACQb1000 sets from the external testing dataset. For comparison, traditional calculated (b =1500 sec/mm2) DWI (CALb1500) sets were also obtained. Reader ratings for image quality and prostate cancer detection were performed on the acquired high-b-value (b = 1500 sec/mm2) DWI (ACQb1500), CALb1500, and SYNb1500 sets and the SYNb1500 set generated by the Opt-M0 (Opt-SYNb1500). Wilcoxon signed rank tests were used to compare the readers' scores. A multiple-reader multiple-case receiver operating characteristic curve was used to compare the diagnostic utility of each DWI set. Results When compared with the Mcyc, the M0 yielded a lower mean squared difference and higher mean scores for the peak signal-to-noise ratio, structural similarity, and feature similarity (P < .001 for all). Opt-SYNb1500 resulted in significantly better image quality (P ≤ .001 for all) and a higher mean area under the curve than ACQb1500 and CALb1500 (P ≤ .042 for all). Conclusion A deep learning framework based on GAN is a promising method to synthesize realistic high-b-value DWI sets with good image quality and accuracy in prostate cancer detection.Keywords: Prostate Cancer, Abdomen/GI, Diffusion-weighted Imaging, Deep Learning Framework, High b Value, Generative Adversarial Networks© RSNA, 2021 Supplemental material is available for this article.
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Affiliation(s)
- Lei Hu
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yi Shan Road, Shanghai 200233, China (L.H., W.H.X., J.G.Z.); State Key Laboratory of Integrated Services Networks, School of Telecommunications Engineering, Xidian University, Xi'an, China (D.W.Z.); Department of Radiology, Renmin Hospital, Wuhan University, Wuhan, China (Y.F.Z., L.L., H. He, L.Q., Y.K.Z.); MR Application Development, Siemens Shenzhen MR, Shenzhen, China (C.X.F.); and Department of Radiology, The Affiliated Renmin Hospital of Jiangsu University, Zhenjiang, China (H. Hu)
| | - Da-Wei Zhou
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yi Shan Road, Shanghai 200233, China (L.H., W.H.X., J.G.Z.); State Key Laboratory of Integrated Services Networks, School of Telecommunications Engineering, Xidian University, Xi'an, China (D.W.Z.); Department of Radiology, Renmin Hospital, Wuhan University, Wuhan, China (Y.F.Z., L.L., H. He, L.Q., Y.K.Z.); MR Application Development, Siemens Shenzhen MR, Shenzhen, China (C.X.F.); and Department of Radiology, The Affiliated Renmin Hospital of Jiangsu University, Zhenjiang, China (H. Hu)
| | - Yun-Fei Zha
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yi Shan Road, Shanghai 200233, China (L.H., W.H.X., J.G.Z.); State Key Laboratory of Integrated Services Networks, School of Telecommunications Engineering, Xidian University, Xi'an, China (D.W.Z.); Department of Radiology, Renmin Hospital, Wuhan University, Wuhan, China (Y.F.Z., L.L., H. He, L.Q., Y.K.Z.); MR Application Development, Siemens Shenzhen MR, Shenzhen, China (C.X.F.); and Department of Radiology, The Affiliated Renmin Hospital of Jiangsu University, Zhenjiang, China (H. Hu)
| | - Liang Li
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yi Shan Road, Shanghai 200233, China (L.H., W.H.X., J.G.Z.); State Key Laboratory of Integrated Services Networks, School of Telecommunications Engineering, Xidian University, Xi'an, China (D.W.Z.); Department of Radiology, Renmin Hospital, Wuhan University, Wuhan, China (Y.F.Z., L.L., H. He, L.Q., Y.K.Z.); MR Application Development, Siemens Shenzhen MR, Shenzhen, China (C.X.F.); and Department of Radiology, The Affiliated Renmin Hospital of Jiangsu University, Zhenjiang, China (H. Hu)
| | - Huan He
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yi Shan Road, Shanghai 200233, China (L.H., W.H.X., J.G.Z.); State Key Laboratory of Integrated Services Networks, School of Telecommunications Engineering, Xidian University, Xi'an, China (D.W.Z.); Department of Radiology, Renmin Hospital, Wuhan University, Wuhan, China (Y.F.Z., L.L., H. He, L.Q., Y.K.Z.); MR Application Development, Siemens Shenzhen MR, Shenzhen, China (C.X.F.); and Department of Radiology, The Affiliated Renmin Hospital of Jiangsu University, Zhenjiang, China (H. Hu)
| | - Wen-Hao Xu
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yi Shan Road, Shanghai 200233, China (L.H., W.H.X., J.G.Z.); State Key Laboratory of Integrated Services Networks, School of Telecommunications Engineering, Xidian University, Xi'an, China (D.W.Z.); Department of Radiology, Renmin Hospital, Wuhan University, Wuhan, China (Y.F.Z., L.L., H. He, L.Q., Y.K.Z.); MR Application Development, Siemens Shenzhen MR, Shenzhen, China (C.X.F.); and Department of Radiology, The Affiliated Renmin Hospital of Jiangsu University, Zhenjiang, China (H. Hu)
| | - Li Qian
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yi Shan Road, Shanghai 200233, China (L.H., W.H.X., J.G.Z.); State Key Laboratory of Integrated Services Networks, School of Telecommunications Engineering, Xidian University, Xi'an, China (D.W.Z.); Department of Radiology, Renmin Hospital, Wuhan University, Wuhan, China (Y.F.Z., L.L., H. He, L.Q., Y.K.Z.); MR Application Development, Siemens Shenzhen MR, Shenzhen, China (C.X.F.); and Department of Radiology, The Affiliated Renmin Hospital of Jiangsu University, Zhenjiang, China (H. Hu)
| | - Yi-Kun Zhang
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yi Shan Road, Shanghai 200233, China (L.H., W.H.X., J.G.Z.); State Key Laboratory of Integrated Services Networks, School of Telecommunications Engineering, Xidian University, Xi'an, China (D.W.Z.); Department of Radiology, Renmin Hospital, Wuhan University, Wuhan, China (Y.F.Z., L.L., H. He, L.Q., Y.K.Z.); MR Application Development, Siemens Shenzhen MR, Shenzhen, China (C.X.F.); and Department of Radiology, The Affiliated Renmin Hospital of Jiangsu University, Zhenjiang, China (H. Hu)
| | - Cai-Xia Fu
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yi Shan Road, Shanghai 200233, China (L.H., W.H.X., J.G.Z.); State Key Laboratory of Integrated Services Networks, School of Telecommunications Engineering, Xidian University, Xi'an, China (D.W.Z.); Department of Radiology, Renmin Hospital, Wuhan University, Wuhan, China (Y.F.Z., L.L., H. He, L.Q., Y.K.Z.); MR Application Development, Siemens Shenzhen MR, Shenzhen, China (C.X.F.); and Department of Radiology, The Affiliated Renmin Hospital of Jiangsu University, Zhenjiang, China (H. Hu)
| | - Hui Hu
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yi Shan Road, Shanghai 200233, China (L.H., W.H.X., J.G.Z.); State Key Laboratory of Integrated Services Networks, School of Telecommunications Engineering, Xidian University, Xi'an, China (D.W.Z.); Department of Radiology, Renmin Hospital, Wuhan University, Wuhan, China (Y.F.Z., L.L., H. He, L.Q., Y.K.Z.); MR Application Development, Siemens Shenzhen MR, Shenzhen, China (C.X.F.); and Department of Radiology, The Affiliated Renmin Hospital of Jiangsu University, Zhenjiang, China (H. Hu)
| | - Jun-Gong Zhao
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yi Shan Road, Shanghai 200233, China (L.H., W.H.X., J.G.Z.); State Key Laboratory of Integrated Services Networks, School of Telecommunications Engineering, Xidian University, Xi'an, China (D.W.Z.); Department of Radiology, Renmin Hospital, Wuhan University, Wuhan, China (Y.F.Z., L.L., H. He, L.Q., Y.K.Z.); MR Application Development, Siemens Shenzhen MR, Shenzhen, China (C.X.F.); and Department of Radiology, The Affiliated Renmin Hospital of Jiangsu University, Zhenjiang, China (H. Hu)
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Liu CB, Cheng JB, He JB, Chen R, Yue XY, Luo YS, Yang G, Zhou DW, Huang JS, Yu RM, Leng YM. Unusual magnetization process and magnetocaloric effect in α-CoV 2O 6driven by pulsed magnetic fields. J Phys Condens Matter 2021; 33:435703. [PMID: 34343981 DOI: 10.1088/1361-648x/ac1a31] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Accepted: 08/03/2021] [Indexed: 06/13/2023]
Abstract
In low-dimensional Ising spin systems, an interesting observation is the presence of step magnetization at low temperatures. Here we combine both DC and pulsed magnetic fields to study the 1/3 magnetization plateau and multiple steps in the Ising spin-chain material α-CoV2O6. Magnetization in pulsed fields is quite different from that in DC fields, showing multiple steps in an intermediate range of 4.2-6 K, inverted hysteresis below 4.2 K and asymmetric magnetization in negative fields below 11 K. We demonstrate that these unusual behaviors in magnetization are caused by the spin dynamics and the anomalous magnetocaloric effect (MCE) in α-CoV2O6, i.e., abrupt changes of sample temperature in adiabatic conditions. We successfully separate the influence between the intrinsic slow spin dynamics and the quasi-extrinsic temperature change. From the MCE, we find that some irreversible behavior is originated from the slow spin dynamics. Two different slow dynamics associated with the metastable steps are observed: one is sensitive to the slow field sweep rate at the order of ∼mT s-1and weakly depends on temperature, while the other responds to the rapid field sweep rate of ∼kT s-1and dominates at lowest temperature. We also distinguish that the metastable transition atH4is the first order and crucial for the ferrimagnetic to ferromagnetic transition. This study is useful to the understanding of multistep magnetization in α-CoV2O6and sheds light on recent experimental findings of related compounds.
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Affiliation(s)
- C B Liu
- Henan International Joint Laboratory of MXene Materials Microstructure, College of Physics and Electronic Engineering, Nanyang Normal University, Nanyang 473061, People's Republic of China
| | - J B Cheng
- Henan International Joint Laboratory of MXene Materials Microstructure, College of Physics and Electronic Engineering, Nanyang Normal University, Nanyang 473061, People's Republic of China
| | - J B He
- Henan International Joint Laboratory of MXene Materials Microstructure, College of Physics and Electronic Engineering, Nanyang Normal University, Nanyang 473061, People's Republic of China
| | - R Chen
- Key Laboratory of Microelectronics and Energy of Henan Province, Henan Joint International Research Laboratory of New Energy Storage Technology, Xinyang Normal University, Xinyang 464000, People's Republic of China
| | - X Y Yue
- Institute of Physical Science and Information Technology, Anhui University, Hefei 230601, People's Republic of China
| | - Y S Luo
- Henan International Joint Laboratory of MXene Materials Microstructure, College of Physics and Electronic Engineering, Nanyang Normal University, Nanyang 473061, People's Republic of China
- Key Laboratory of Microelectronics and Energy of Henan Province, Henan Joint International Research Laboratory of New Energy Storage Technology, Xinyang Normal University, Xinyang 464000, People's Republic of China
| | - G Yang
- Henan International Joint Laboratory of MXene Materials Microstructure, College of Physics and Electronic Engineering, Nanyang Normal University, Nanyang 473061, People's Republic of China
| | - D W Zhou
- Henan International Joint Laboratory of MXene Materials Microstructure, College of Physics and Electronic Engineering, Nanyang Normal University, Nanyang 473061, People's Republic of China
| | - J S Huang
- Henan International Joint Laboratory of MXene Materials Microstructure, College of Physics and Electronic Engineering, Nanyang Normal University, Nanyang 473061, People's Republic of China
| | - R M Yu
- Henan International Joint Laboratory of MXene Materials Microstructure, College of Physics and Electronic Engineering, Nanyang Normal University, Nanyang 473061, People's Republic of China
| | - Y M Leng
- Henan International Joint Laboratory of MXene Materials Microstructure, College of Physics and Electronic Engineering, Nanyang Normal University, Nanyang 473061, People's Republic of China
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Zhou DW, Li ZM, Zhang SL, Wu L, Li YY, Zhou JX, Shi GZ. The optimal peripheral oxygen saturation may be 95-97% for post-cardiac arrest patients: A retrospective observational study. Am J Emerg Med 2020; 40:120-126. [PMID: 32001056 DOI: 10.1016/j.ajem.2020.01.038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Revised: 01/09/2020] [Accepted: 01/19/2020] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Current post-resuscitation guidelines recommend oxygen titration in adults with the return of spontaneous circulation after cardiac arrest. However, the optimal peripheral oxygen saturation (SpO2) is still unclear for post-cardiac arrest care. METHODS We conducted a retrospective observational study of prospectively collected data of all cardiac arrest patients admitted to the intensive care units between 2014 and 2015. The main exposure was SpO2, which were interfaced from bedside vital signs monitors as 1-min averages, and archived as 5-min median values. The proportion of time spent in different SpO2 categories was included in separate multivariable regression models along with covariates. The primary outcome measure was hospital mortality and the proportion of discharged home as the secondary outcome was reported. RESULTS 2836 post-cardiac arrest patients in ICUs of 156 hospitals were included. 1235 (44%) patients died during hospitalization and 818 (29%) patients discharged home. With multivariate regression analysis, the proportion of time spent in SpO2 of ≤89%, 90%, 91%, and 92% were associated with higher hospital mortality. The proportion of time spent in SpO2 of 95%, 96%, and 97% were associated with a higher proportion of discharged home outcome, but not associated with hospital mortality. CONCLUSIONS In this retrospective observational study, the optimal SpO2 for patients admitted to the intensive care unit after cardiac arrest may be 95-97%. Further investigation is warranted to determine if targeting SpO2 of 95-97% would improve patient-centered outcomes after cardiac arrest.
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Affiliation(s)
- D W Zhou
- Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Z M Li
- Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - S L Zhang
- Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - L Wu
- Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Y Y Li
- Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - J X Zhou
- Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - G Z Shi
- Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
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Purdon PL, Pavone KJ, Akeju O, Smith AC, Sampson AL, Lee J, Zhou DW, Solt K, Brown EN. The Ageing Brain: Age-dependent changes in the electroencephalogram during propofol and sevoflurane general anaesthesia. Br J Anaesth 2015; 115 Suppl 1:i46-i57. [PMID: 26174300 DOI: 10.1093/bja/aev213] [Citation(s) in RCA: 224] [Impact Index Per Article: 24.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Anaesthetic drugs act at sites within the brain that undergo profound changes during typical ageing. We postulated that anaesthesia-induced brain dynamics observed in the EEG change with age. METHODS We analysed the EEG in 155 patients aged 18-90 yr who received propofol (n=60) or sevoflurane (n=95) as the primary anaesthetic. The EEG spectrum and coherence were estimated throughout a 2 min period of stable anaesthetic maintenance. Age-related effects were characterized by analysing power and coherence as a function of age using linear regression and by comparing the power spectrum and coherence in young (18- to 38-yr-old) and elderly (70- to 90-yr-old) patients. RESULTS Power across all frequency bands decreased significantly with age for both propofol and sevoflurane; elderly patients showed EEG oscillations ∼2- to 3-fold smaller in amplitude than younger adults. The qualitative form of the EEG appeared similar regardless of age, showing prominent alpha (8-12 Hz) and slow (0.1-1 Hz) oscillations. However, alpha band dynamics showed specific age-related changes. In elderly compared with young patients, alpha power decreased more than slow power, and alpha coherence and peak frequency were significantly lower. Older patients were more likely to experience burst suppression. CONCLUSIONS These profound age-related changes in the EEG are consistent with known neurobiological and neuroanatomical changes that occur during typical ageing. Commercial EEG-based depth-of-anaesthesia indices do not account for age and are therefore likely to be inaccurate in elderly patients. In contrast, monitoring the unprocessed EEG and its spectrogram can account for age and individual patient characteristics.
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Affiliation(s)
- P L Purdon
- Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA Harvard Medical School, Boston, MA, USA Department of Brain and Cognitive Science
| | - K J Pavone
- Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA
| | - O Akeju
- Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA Harvard Medical School, Boston, MA, USA
| | - A C Smith
- Department of Brain and Cognitive Science
| | - A L Sampson
- Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA
| | - J Lee
- Harvard-Massachusetts Institute of Technology Division of Health Sciences and Technology
| | - D W Zhou
- Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA
| | - K Solt
- Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA Harvard Medical School, Boston, MA, USA
| | - E N Brown
- Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA Harvard Medical School, Boston, MA, USA Department of Brain and Cognitive Science Harvard-Massachusetts Institute of Technology Division of Health Sciences and Technology Institute for Medical Engineering and Sciences, Massachusetts Institute of Technology, Cambridge, MA, USA
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Zhong RZ, Li HY, Fang Y, Sun HX, Zhou DW. Effects of dietary supplementation with green tea polyphenols on digestion and meat quality in lambs infected with Haemonchus contortus. Meat Sci 2015; 105:1-7. [PMID: 25746574 DOI: 10.1016/j.meatsci.2015.02.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2014] [Revised: 01/20/2015] [Accepted: 02/09/2015] [Indexed: 10/24/2022]
Abstract
Ujumqin sheep are susceptible to infection by the gastrointestinal nematode Haemonchus contortus, which reduces productivity and total meat yield in sheep. Thus, the effects of green tea polyphenol (GTP) supplements (0, 2, 4, or 6g of GTP/kg feed) on dietary nutrient digestibility and meat quality in lambs infected with H. contortus were examined; control lambs were not infected. H. contortus infections did not affect digestion but the apparent digestibilities of nutrients were decreased by dietary 2g of GTP/kg feed supplementation. There was an interaction between treatment and sampling time on plasma total protein, urea nitrogen, and amino acid concentrations. The antioxidant activity and meat color of INFGTP0 lambs decreased. In conclusion, H. contortus infections in lambs decreased meat quality, but appropriate levels of dietary GTP supplementation diminished these negative effects though lower dose of GTP supplement showed negative effects on digestion.
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Affiliation(s)
- R Z Zhong
- Northeast Institute of Geography and Agroecology, Chinese Academy of Sciences, Changchun, Jilin 130102, PR China; College of Animal Science and Technology, Jilin Agricultural University, Changchun, Jilin 130118, PR China
| | - H Y Li
- College of Animal Science and Technology, Jilin Agricultural University, Changchun, Jilin 130118, PR China
| | - Y Fang
- Northeast Institute of Geography and Agroecology, Chinese Academy of Sciences, Changchun, Jilin 130102, PR China
| | - H X Sun
- Northeast Institute of Geography and Agroecology, Chinese Academy of Sciences, Changchun, Jilin 130102, PR China
| | - D W Zhou
- Northeast Institute of Geography and Agroecology, Chinese Academy of Sciences, Changchun, Jilin 130102, PR China.
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Zhong RZ, Sun HX, Liu HW, Zhou DW. Effects of tannic acid on Haemonchus contortus larvae viability and immune responses of sheep white blood cells in vitro. Parasite Immunol 2014; 36:100-6. [PMID: 24558656 DOI: 10.1111/pim.12092] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Direct inhibitory effects of tannic acid on Haemonchus contortus viability were studied in vitro using the larval migration inhibition (LMI) assay. Sheep white blood cells (WBC) were preincubated with 5 and 50 lg/mL tannic acid or not followed by whole H. contortus antigen (WHA). Cells were harvested at 24 h post-incubation to test host immune responses. Concentrations of 50, 100, 500, 1000, 3000 and 5000 lg/mL tannic acid inhibited larvae migration by 19.8, 42.4, 46.3, 92.0, 93.7 and 100%, respectively, within 96 h post-incubation (P < 0.001). The relative mRNA levels of interferon (IFN)-c, interleukin (IL)-2, IL-4 and IL-10 were increased by WHA stimulation without tannic acid. However, the increased effects on IFN-c and IL-2 were inhibited by tannic acid preincubation (P < 0.001), while the increases in IL-4 and IL-10 were greatly enhanced by tannic acid preincubation (P < 0.001). Changes in protein levels of all cytokines essentially paralleled the changes in their corresponding mRNA levels. In conclusion, tannic acid is directly harmful to larvae in a dose- and time-dependent manner and modulates immune responses of sheep WBC stimulated by H. contortus antigen by inhibiting Th1 cytokines and increasing Th2 cytokine expression in vitro.
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Liu HW, Zhou DW, Li K. Effects of chestnut tannins on performance and antioxidative status of transition dairy cows. J Dairy Sci 2013; 96:5901-7. [PMID: 23871369 DOI: 10.3168/jds.2013-6904] [Citation(s) in RCA: 62] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2013] [Accepted: 06/04/2013] [Indexed: 11/19/2022]
Abstract
This study was conducted to evaluate the effects of chestnut tannins (CT) on performance and antioxidative status of transition dairy cows. Twenty multiparous Chinese Holstein cows in late gestation were paired according to expected calving date and randomly assigned either to a diet supplemented with CT (CNT, 10 g of CT/kg of diet, dry matter basis) or to an unsupplemented control (CON) diet from 3 wk prepartum to 3 wk postpartum. Blood samples were taken on d -21, 1, 7, and 21 relative to calving for analysis of superoxide dismutase (SOD), glutathione peroxidase (GSH-Px), total antioxidant capacity (T-AOC), and malondialdehyde (MDA). Liver samples were taken by puncture biopsy on d 1 and 21 relative to calving for analysis of SOD, GSH-Px, and MDA. Data were analyzed for a completely randomized block design with repeated measures. The addition of CT had no significant effects on dry matter intake, body weight, body condition score, milk yield, 3.5% fat-corrected milk yield, and milk composition but did decrease milk MDA and somatic cell score in transition dairy cows. Dry matter intake decreased from d -21 to 0 and increased from d 1 to 21 relative to calving across treatments. During the experimental period, body weight and body condition score decreased, whereas milk MDA and somatic cell score increased across treatments. A time effect was also observed for plasma MDA, which peaked on d 1 relative to calving and remained higher than that on d -21 relative to calving across treatments. Addition of CT decreased MDA concentrations in plasma and liver. Neither time nor CT × time effects were observed for SOD and T-AOC in plasma and SOD and GSH-Px in liver; a time effect was observed for plasma GSH-Px, which peaked on d 1 relative to calving and remained higher than those on d -21 relative to calving across treatments. Addition of CT increased SOD, GSH-Px, and T-AOC activities in plasma and SOD and GSH-Px activities in liver. In conclusion, addition of CT might inhibit lipid peroxidation and increase antioxidant enzymes activities in plasma and liver of transition dairy cows. Supplementation of CT may be a feasible means to improve the antioxidative status of transition dairy cows.
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Affiliation(s)
- H W Liu
- Northeast Institute of Geography and Agroecology, Chinese Academy of Sciences, Jilin 130102, P R China
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Xiang Y, Yu JW, Cheng YB, Li HX, Chang XH, Zhou DW, Sun F, Fang YG. [Study on composing prescription laws of treating aplastic anemia by Chinese medicine using applying data mining technique]. Zhongguo Zhong Xi Yi Jie He Za Zhi 2013; 33:906-910. [PMID: 24063210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
OBJECTIVE To explore composing prescription laws of treating aplastic anemia (AA) by Chinese medicine (CM). METHODS The literatures on treating AA by CM were recruited from various medical periodicals at home from 1979 to 2009 including China National Knowledge Infrastructure (CNKI), VIP information network, and Wangfang data knowledge service platform. The database correlated to CM features was established using the technique of computer data bank. The data mining (DM) technique was applied to analyze drugs sorts, frequency of drug application, and association degree. RESULTS Three hundred and eleven pertinent literatures including 677 prescriptions and 254 Chinese herbs (CHs) were screened. There were 69 CHs for invigorating deficiency, 42 for heat clearing, 20 for promoting blood circulation and removing blood stasis, 16 for arresting bleeding, and 16 for relieving exterior syndrome, which occupied the top 5. The frequency of drug application of 254 CHs amounted to 7 547, in which the frequency of drug application of Mongolian milkvetch root, Rehmannia root, Suberect spatholobus stem, Hairyvein agrimonia herb, and Chinese thorowax root were 379, 248, 167, 85, and 13 respectively, and they occupied the first place of CHs for invigorating deficiency, heat clearing, promoting blood circulation and removing blood stasis, arresting bleeding, and relieving exterior syndrome, respectively. The number of the prescriptions containing 12, 10, and 11 CHs was occupied the top 3. The coverage rate of the prescription including Mongolian milkvetch root and Chinese angelica was 60%, and thus 4 core drugs groups were established covering invigorating qi and enriching the blood, reinforcing Shen and supporting yang, replenishing yin to tonify Shen, tonifying Shen to replenish essence, and invigorating qi and enriching blood respectively. Summarized were six potential composing prescription laws covering invigorating qi and enriching blood, reinforcing Shen and supporting yang, replenishing yin to tonify Shen, strengthening Pi and harmonizing Wei, tonifying the blood and promoting blood circulation, clearing away heat and toxic materials, and removing heat from the blood to stop bleeding. CONCLUSIONS Applying DM technique, the fundamental core drugs groups consisting of Mongolian milkvetch root and Chinese angelica were discovered. The 4 core drugs groups established were in accordance with the realization of modern CM for the pathomechanism of AA. The 6 composing prescription laws summarized revealed the rules of drug application.
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Affiliation(s)
- Yang Xiang
- Department of Traditional Chinese Medicine Hematology, The 210th Hospital of PLA, Liaoning 116021, China.
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Li DG, Liu B, Zhou DW. Structural characterization of enzymatic products in the dTDP-d-Qui4NFo biosynthetic pathway using electrospray ionization tandem mass spectrometry. Rapid Commun Mass Spectrom 2013; 27:681-690. [PMID: 23418147 DOI: 10.1002/rcm.6501] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2012] [Revised: 12/04/2012] [Accepted: 01/03/2013] [Indexed: 06/01/2023]
Abstract
RATIONALE Structural characterization of biosynthetic precursors is very important in assigning enzymatic function to proteins that have been identified as functional homologs on the basis of sequence homology alone. The objective of this study is to demonstrate the use of electrospray ionization tandem mass spectrometry (ESI-MS/MS) as a powerful technique for the characterization of enzymatic products in the biosynthetic pathway of deoxythymidine 5'-diphosphate-4-formamido-4,6-dideoxy-D-glucose (dTDP-D-Qui4NFo) in Providencia alcalifaciens O30. METHODS The glucose-1-phosphate thymidyltransferase (RmlA), dTDP-d-glucose 4,6-dehydratase (RmlB), dTDP-4-keto-6-deoxy-d-glucose aminotransferase (VioA), and formyltransferase (VioF) catalyzed reactions were directly monitored by ESI-MS, followed by a detailed structural characterization of the final enzymatic products using ESI-MS/MS in the negative-ion mode after minimal cleanup. RESULTS The biosynthetic pathway of dTDP-D-Qui4NFo, beginning from α-D-glucose-1-phosphate in four reaction steps catalyzed by RmlA, RmlB, VioA and VioF, was characterized solely by ESI-MS/MS. The results obtained were in good agreement with that of traditional high-performance liquid chromatography (HPLC) monitoring and preparation, as well as nuclear magnetic resonance (NMR) and ESI-MS structural characterization. CONCLUSIONS MS provides efficient and simple characterization of important unusual dTDP-sugar biosynthetic pathways in the O-chains of bacterial lipopolysaccharides.
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Affiliation(s)
- Dian-Ge Li
- TEDA School of Biological Sciences and Biotechnology, Tianjin Key Laboratory of Microbial Functional Genomics, Tianjin Research Center for Functional Genomics and Biochip, Ministry of Education, Nankai University, 23 Hongda Street, TEDA, Tianjin, 300457, China
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Abstract
This study was conducted to investigate the influence of pasture intake on meat quality, lipid oxidation, and fatty acid composition of geese. One hundred twenty Dongbei White male geese (a local breed; BW = 878 ± 13 g; 28 d old) were randomly and equally divided into 2 treatments with 6 pens of 10 geese per treatment. The 2 treatments consisted of birds fed ad libitum a corn-based feed. One-half of the birds had no access to pasture (control) while the other half had access to an alfalfa (Medicago sativa)-based pasture (pasture). The study lasted 42 d. Body weight and feed intake were recorded weekly. At the end of the study, geese were slaughtered to collect meat samples. Results showed that pasture intake reduced subcutaneous fat thickness (P < 0.05) and abdominal fat yield (P < 0.05) of geese compared with control. Geese with access to pasture had greater cooking loss (P < 0.05) and lightness (L*) value (P < 0.05) and lower pH at 24 h postmortem (pH24; P < 0.05) and thiobarbituric acid reacting substance values (P < 0.05) at 0 and 30 min of forced oxidation. Moreover, pasture intake increased linolenic acid (C18:3n-3; P < 0.05) and eicosapentaenoic acid (C20:5n-3; P < 0.05) and reduced the n-6:n-3 ratio (P < 0.05) in the breast muscle of geese compare with the control. In conclusion, pasture intake did not enhance growth performance but improved carcass characteristics and meat quality and changed fatty acid composition of geese.
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Affiliation(s)
- H W Liu
- Northeast Institute of Geography and Agroecology, Chinese Academy of Sciences, Jilin 130102, PR China
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Zhong RZ, Xiao WJ, Zhou DW, Tan CY, Tan ZL, Han XF, Zhou CS, Tang SX. Effect of tea catechins on regulation of cell proliferation and antioxidant enzyme expression in H2 O2 -induced primary hepatocytes of goat in vitro. J Anim Physiol Anim Nutr (Berl) 2012; 97:475-84. [PMID: 22416977 DOI: 10.1111/j.1439-0396.2012.01288.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Tea catechins (TC) are polyphenols that have potent antioxidant activity. The objectives of this study were to determine the effects of TC on antioxidant status of hepatocytes challenged with H2 O2 . Primary hepatocytes of goat were exposed to 1 mm H2 O2 without or with 5, 50 and 500 μg/ml TC. The cells were harvested at 48 h post-treatment to determine effects of TC on proliferation, apoptotic features and membrane integrity of cells, and expression of genes and activities of antioxidant enzymes. H2 O2 exposure caused damage to cells (p < 0.001). A lower concentration of TC (5 μg/ml) displayed a protective effect by inhibiting exorbitant cell proliferation and DNA degradation. Both H2 O2 exposure and TC pre-incubation affected expression of antioxidant enzymes at mRNA and protein levels (p < 0.001). The activities of catalase (CAT) (p = 0.027), CuZn-superoxide dismutase (CuZn-SOD) (p < 0.001) and glutathione peroxidase (GPx) (p < 0.001) increased with TC pre-incubation followed by H2 O2 challenge. Changes of CuZn-SOD activity induced by H2 O2 and TC basically paralleled the changes in the corresponding mRNA and protein levels, but the correlation in CAT and GPx expression displayed slightly different patterns at different concentrations of TC. These findings infer that oxidative stress can induce deleterious cellular responses and this unfavourable condition may be alleviated by treatment with TC.
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Affiliation(s)
- R Z Zhong
- Key Laboratory of Agro-ecological Processes in Subtropical Region, Institute of Subtropical Agriculture, The Chinese Academy of Sciences, Changsha, Hunan, China
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Zhou DW, Xu YL, Wu JL. [ESI fragmentation studies of six unusual nucleotide sugars]. Yao Xue Xue Bao 2012; 47:374-379. [PMID: 22645762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Unusual dTDP-sugars are key intermediate in many pathogenic bacteria. In this study, negative-ion electrospray tandem mass spectrometry (ESI-MS-MS) with collision-induced dissociation (CID) was used to study the fragmentation characteristics of six unusual nucleotide diphosphate sugars. The results indicated the major fragment of the six unusual nucleoside sugars observed in the ESI-MS-MS spectra resulted from cleavage of diphosphate moiety and their characteristic fragment ions at m/z 401, 383, and 321, correspond to [TDP-H] together with fragment ions resulting from the loss of water and phosphate moiety, respectively. Furthermore, 4-position substituted change of unusual sugar rings affected the stability of two important characteristic fragment ions of [glycosyl-1"-PO3](-) and [glycosyl-1"-P2O6](-).
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Affiliation(s)
- Da-Wei Zhou
- TEDA School of Biological Sciences and Biotechnology, Nankai University, Tianjin 300457, China.
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21
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Zhou DW, Bao G, Ma YM, Cui T, Liu BB, Zou GT. Peierls transition in sodium under high pressure: a first-principles study. J Phys Condens Matter 2009; 21:025508. [PMID: 21813985 DOI: 10.1088/0953-8984/21/2/025508] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
We have used first-principles calculations to investigate the electronic structure of the new oP8 phase of sodium which was experimentally reported recently (Gregoryanz et al 2008 Science 320 1054). Our results show the transition from I-43d to oP8 structure, which happens at room temperature, can also happen at 0 K. The I-43d structure will change to the oP8 structure at about 155 GPa and 0 K, rather than the CsIV structure at 190 GPa and 0 K, as the previous studies (Neaton et al 2001 Phys. Rev. Lett. 86 2830) predicted. It is also found that the oP8 structure forms a new nonequilateral triangle Na(3) structure and mainly distributes charge accumulation in the voids of the structure, rather than within the Na(3) triangles. Electronic density of states analysis shows that the oP8 structure opens a deeper pseudogap close to the Fermi level through symmetry breaking of the structure compared with that of the I-43d structure. Together with its unusual charge density distribution, it is found that the Peierls mechanism works for the transition to the oP8 structure. Differing from previous results about the Peierls mechanism of light alkali metals, the unit which produces a one-dimensional charge density wave is the Na(3) cluster instead of the pairing mechanism.
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Affiliation(s)
- D W Zhou
- State Key Laboratory of Superhard Materials, Jilin University, Changchun 130012, People's Republic of China
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Hao ZH, Zhou JB, Jin DW, Zhou DW, Li XD. Different plantar interface effects on dynamics of the lower limb. Conf Proc IEEE Eng Med Biol Soc 2007; 2005:6021-4. [PMID: 17281634 DOI: 10.1109/iembs.2005.1615864] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
The moments acting on the lower limb joints influence the life of the arthrosis. These loads may depend on the footwear and action style. The footwear factor was studied with three-dimensional gait measure system. Five young women in their 20s, wear 7 cm high-heeled shoes and sneakers, and walked in 10 m gait laboratory walkway. Inversed dynamics was used to analysis the torques at the ankle, knee and hip. Results showed that peak adduction moments at the knee and ankle increased and flexion/extension moments at hip increased with high-heel shoes compared with the sneakers. The high-heeled shoes result in greater load in lower limb joints especial to the knee and hip.
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Affiliation(s)
- Z H Hao
- Division of Intelligent & Biomechdanical System, State Key Laboratory of Tribology, Tsinghua University, Beijing. China
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Yang J, Jin D, Wang R, Zhang J, Ji L, Fang X, Zhou D. The investigation on sEMG of lower extremity when a slip occurs in level walking. Conf Proc IEEE Eng Med Biol Soc 2007; 2005:5934-7. [PMID: 17281612 DOI: 10.1109/iembs.2005.1615842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
The purpose of the present study was to determine the relationship between the surface electromyography (sEMG) variables and slip events using principal component analysis (PCA). Ten healthy young adults were required to walk on the oily surface on a self-selected comfortable pace. The sEMG signals of lower extremity muscles were recorded and analyzed, while kinematics data was recorded to assist slip definitions. When ten variables (seven in time domain and three in frequency domain) were considered in the PCA, the results indicated that 1) three most important principal components could explain more than 85% of the variation in the entire data set; 2) some variables should be especially noticed such as muscle power, the mean frequency, the median frequency and the amplitude amount exceeding the mean value.
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Affiliation(s)
- Jiankun Yang
- Division of Intelligent and Biomechanical System, State Key Laboratory of Tribology, Tsinghua University, Beijing, China.
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Zhou DW, Chen GY, Wu ZK. [A new concept of biomechanics in spinal surgery and its influences on the development of artificial implantation]. Zhonghua Wai Ke Za Zhi 1990; 28:595-8. [PMID: 2086049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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