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Privacy and Security of Blockchain in Healthcare: Applications, Challenges, and Future Perspectives 区块链在医疗保健中的隐私和安全:应用、挑战和未来展望
Pub Date : 2023-10-30 DOI: 10.3390/sci5040041
Hamed Taherdoost
Blockchain offers a cutting-edge solution for storing medical data, carrying out medical transactions, and establishing trust for medical data integration and exchange in a decentralized open healthcare network setting. While blockchain in healthcare has garnered considerable attention, privacy and security concerns remain at the center of the debate when adopting blockchain for information exchange in healthcare. This paper presents research on the subject of blockchain’s privacy and security in healthcare from 2017 to 2022. In light of the existing literature, this critical evaluation assesses the current state of affairs, with a particular emphasis on papers that deal with practical applications and difficulties. By providing a critical evaluation, this review provides insight into prospective future study directions and advances.
区块链为在去中心化的开放式医疗网络环境中存储医疗数据、进行医疗交易、建立医疗数据集成和交换信任提供了前沿的解决方案。虽然区块链在医疗保健领域已经引起了相当大的关注,但在采用区块链进行医疗保健信息交换时,隐私和安全问题仍然是争论的中心。本文介绍了2017年至2022年医疗保健领域区块链隐私和安全主题的研究。鉴于现有的文献,这一关键的评估评估事务的现状,特别强调处理实际应用和困难的论文。通过批判性的评价,本文对未来的研究方向和进展进行了展望。
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引用次数: 0
Digital Twins in Manufacturing: A RAMI 4.0 Compliant Concept 制造业中的数字孪生:RAMI 4.0兼容概念
Pub Date : 2023-10-10 DOI: 10.3390/sci5040040
Martin Lindner, Lukas Bank, Johannes Schilp, Matthias Weigold
Digital twins are among the technologies that are considered to have high potential. At the same time, there is no uniform understanding of what this technology means. Definitions are used across disciplinary boundaries, resulting in a multitude of different interpretations. The concepts behind the terms should be clearly named to transfer knowledge and bundle developments in digitalization. In particular, the Reference Architectural Model for Industry (RAMI) 4.0, as the guiding concept of digitalization, should be in harmony with the terms to be able to establish a contradiction-free relationship. This paper therefore summarizes the most important definitions and descriptions from the scientific community. By evaluating the relevant literature, a concept is derived. The concept presented in this work concretizes the requirements and understanding of digital twins in the frame of RAMI 4.0 with a focus on manufacturing. It thus contributes to the understanding of the technology. In this way, the concept is intended to contribute to the implementation of digital twins in this context.
数字孪生是被认为具有很高潜力的技术之一。与此同时,人们对这项技术的含义并没有统一的理解。定义的使用跨越了学科界限,导致了大量不同的解释。这些术语背后的概念应该明确命名,以转移知识和捆绑数字化的发展。特别是,作为数字化指导概念的工业参考架构模型(RAMI) 4.0应该与术语协调一致,能够建立无矛盾的关系。因此,本文总结了科学界最重要的定义和描述。通过对相关文献的评价,得出了一个概念。本工作中提出的概念具体化了RAMI 4.0框架中对数字孪生的需求和理解,重点是制造业。因此,它有助于理解技术。通过这种方式,该概念旨在为在这种情况下实现数字孪生做出贡献。
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引用次数: 0
In Silico Study of Potential Small Molecule TIPE2 Inhibitors for the Treatment of Cancer 用于癌症治疗的潜在小分子TIPE2抑制剂的计算机研究
Pub Date : 2023-10-07 DOI: 10.3390/sci5040039
Jerica Wilson, Katerina Evangelou, Youhai H. Chen, Hai-Feng Ji
Context: Chronic inflammation has been linked to cancer since the 19th century. Tumor growth is supported by the proangiogenic factors that chronic inflammation requires. Polarized leukocytes initiate these angiogenic and tumorigenic factors. TIPE2, a transport protein, manages the cytoskeletal rearrangement that gives a polarized leukocyte its motility. Inhibition of this protein could lead to a therapeutic option for solid tumor cancers; however, no such inhibitors have been developed so far due to the large cavity size of the TIPE2 protein. Here we have examined possible small molecule inhibitors by combining structure-based and fragment-based drug design approaches. The highest binding ligands were complexed with the protein, and fragment libraries were docked with the complex with the intention of linking the hit compounds and fragments to design a more potent ligand. Three hit compounds were identified by in silico structure-based screening and a linked compound, C2–F14, of excellent binding affinity, was identified by linking fragments to the hit compounds. C2–F14 demonstrates good binding stability in molecular dynamic simulations and great predicted ADME properties. Methods: High throughput molecular docking calculations of mass libraries were performed using AutoDock Vina 1.1.2. Molecular docking of individual ligands was performed using AutoDock Vina with PyRx. Ligand libraries were prepared using OpenBabel, linked ligands were prepared using Avogadro. The protein was prepared using AutoDockTools-1.5.6. Protein-ligand complexes were visualized with PyMOL. Two- and three-dimensional representations of protein–ligand interactions were plotted with BIOVIA Discovery Studio Visualizer. In silico absorption, distribution, metabolism, and excretion (ADME) properties were calculated using SwissADME. Molecular dynamics simulations were conducted with GROMACS.
背景:自19世纪以来,慢性炎症就与癌症有关。肿瘤生长是由慢性炎症所需的促血管生成因子支持的。极化的白细胞启动这些血管生成和肿瘤发生的因素。TIPE2是一种转运蛋白,负责细胞骨架重排,使极化的白细胞具有运动性。抑制这种蛋白可能会导致实体肿瘤癌症的治疗选择;然而,由于TIPE2蛋白的空腔较大,迄今为止还没有开发出这样的抑制剂。在这里,我们通过结合基于结构和基于片段的药物设计方法研究了可能的小分子抑制剂。最高结合配体与蛋白质络合,片段库与配合物对接,目的是连接被击中的化合物和片段,以设计更有效的配体。通过硅基结构筛选鉴定了三个命中化合物,并通过将片段连接到命中化合物上鉴定了一个具有良好结合亲和力的连接化合物C2-F14。C2-F14在分子动力学模拟中表现出良好的结合稳定性和良好的ADME预测性能。方法:采用AutoDock Vina 1.1.2软件进行高通量分子对接计算。使用AutoDock Vina与PyRx进行单个配体的分子对接。配体文库采用OpenBabel法制备,连接配体采用阿伏伽德罗法制备。使用AutoDockTools-1.5.6制备蛋白。用PyMOL可视化蛋白质配体复合物。用BIOVIA Discovery Studio Visualizer绘制了蛋白质与配体相互作用的二维和三维表示。使用SwissADME计算硅的吸收、分布、代谢和排泄(ADME)特性。用GROMACS进行分子动力学模拟。
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引用次数: 0
Treatment of Diabetes Mellitus by Acupuncture: Dynamics of Blood Glucose Level and Its Mathematical Modelling 针刺治疗糖尿病:血糖水平的动态变化及其数学模型
Pub Date : 2023-09-26 DOI: 10.3390/sci5040038
Marija Šimat, Mateja Janković Makek, Maja Mičetić
The aim of this research is to present the effects of acupuncture treatment on morning blood glucose level (BGL) in type 2 diabetes mellitus (T2DM) patients, and to describe them by a predictive model. The morning BGL is measured after overnight fasting during a three-month long acupuncture treatment for two persons diagnosed with T2DM and is compared with the BGL of two persons in similar health conditions taking only metformin-based drugs. It is shown that the morning BGL is highly affected by each single acupuncture treatment and by the number of the already applied treatments. Significant lowering of BGL after each treatment is observed, as well as an overall BGL lowering effect, which is the result of the repeated acupuncture. The observed BGL reduction was found to be maintained during a follow-up performed a year after the acupuncture. The measured BGL dynamics curves are analyzed and described by a model. This model describes well all of the key features of the measured BGL dynamics and provides personal parameters that describe the BGL regulation. The model is used to simulate BGL regulation by acupuncture performed with different frequencies. It can be used generally to predict the effects of acupuncture on BGL and to optimize the time between two treatments. The results will enable a better understanding of acupuncture application in diabetes, and a prediction of its effects in diabetes treatment.
本研究旨在探讨针刺治疗对2型糖尿病(T2DM)患者晨间血糖水平(BGL)的影响,并建立预测模型。对两名诊断为T2DM的患者进行为期三个月的针灸治疗,在禁食过夜后测量其早晨血糖,并与两名健康状况相似且仅服用二甲双胍类药物的患者的血糖进行比较。结果表明,早晨BGL受单次针刺治疗和多次针刺治疗的影响较大。观察到每次治疗后BGL均显著降低,且整体BGL降低效果明显,这是反复针刺的结果。在针灸后一年的随访中,观察到的BGL降低得以维持。用模型对实测的BGL动力学曲线进行了分析和描述。该模型很好地描述了测量BGL动态的所有关键特征,并提供了描述BGL调节的个人参数。利用该模型模拟不同频率针刺对BGL的调节作用。它可以普遍用于预测针刺对BGL的影响,并优化两次治疗之间的时间间隔。该结果将有助于更好地了解针灸在糖尿病中的应用,并预测其在糖尿病治疗中的效果。
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引用次数: 0
T5 for Hate Speech, Augmented Data, and Ensemble 仇恨言论,增强数据和集成T5
Pub Date : 2023-09-22 DOI: 10.3390/sci5040037
Tosin Adewumi, Sana Sabah Sabry, Nosheen Abid, Foteini Liwicki, Marcus Liwicki
We conduct relatively extensive investigations of automatic hate speech (HS) detection using different State-of-The-Art (SoTA) baselines across 11 subtasks spanning six different datasets. Our motivation is to determine which of the recent SoTA models is best for automatic hate speech detection and what advantage methods, such as data augmentation and ensemble, may have on the best model, if any. We carry out six cross-task investigations. We achieve new SoTA results on two subtasks—macro F1 scores of 91.73% and 53.21% for subtasks A and B of the HASOC 2020 dataset, surpassing previous SoTA scores of 51.52% and 26.52%, respectively. We achieve near-SoTA results on two others—macro F1 scores of 81.66% for subtask A of the OLID 2019 and 82.54% for subtask A of the HASOC 2021, in comparison to SoTA results of 82.9% and 83.05%, respectively. We perform error analysis and use two eXplainable Artificial Intelligence (XAI) algorithms (Integrated Gradient (IG) and SHapley Additive exPlanations (SHAP)) to reveal how two of the models (Bi-Directional Long Short-Term Memory Network (Bi-LSTM) and Text-to-Text-Transfer Transformer (T5)) make the predictions they do by using examples. Other contributions of this work are: (1) the introduction of a simple, novel mechanism for correcting Out-of-Class (OoC) predictions in T5, (2) a detailed description of the data augmentation methods, and (3) the revelation of the poor data annotations in the HASOC 2021 dataset by using several examples and XAI (buttressing the need for better quality control). We publicly release our model checkpoints and codes to foster transparency.
我们在跨越6个不同数据集的11个子任务中使用不同的最先进(SoTA)基线对自动仇恨言论(HS)检测进行了相对广泛的调查。我们的动机是确定最近的SoTA模型中哪一个最适合自动仇恨言论检测,以及数据增强和集成等方法在最佳模型上可能具有什么优势(如果有的话)。我们进行六项跨任务调查。我们在两个子任务上获得了新的SoTA结果——HASOC 2020数据集的子任务A和B的宏F1得分分别为91.73%和53.21%,超过了之前的51.52%和26.52%的SoTA得分。我们在另外两个方面取得了接近SoTA的结果——OLID 2019的子任务A的宏观F1分数为81.66%,HASOC 2021的子任务A的宏观F1分数为82.54%,而SoTA结果分别为82.9%和83.05%。我们进行了错误分析,并使用两种可解释的人工智能(XAI)算法(集成梯度(IG)和SHapley加性解释(SHAP))来揭示两种模型(双向长短期记忆网络(Bi-LSTM)和文本到文本传输转换器(T5))如何通过示例进行预测。这项工作的其他贡献是:(1)在T5中引入了一种简单的、新颖的纠正类外(OoC)预测的机制,(2)对数据增强方法的详细描述,以及(3)通过使用几个示例和XAI揭示了HASOC 2021数据集中的不良数据注释(支持更好的质量控制需求)。我们公开发布我们的模型检查点和代码,以促进透明度。
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引用次数: 0
A Sensitive Strain Sensor Based on Multi-Walled Carbon Nanotubes/Polyaniline/Silicone Rubber Nanocomposite for Human Motion Detection 基于多壁碳纳米管/聚苯胺/硅橡胶纳米复合材料的人体运动敏感应变传感器
Pub Date : 2023-09-20 DOI: 10.3390/sci5030036
Seyedmajid Hosseini, Mohsen Norouzi, Jian Xu
Strain sensors play a pivotal role in quantifying stress and strain across diverse domains, encompassing engineering, industry, and medicine. Their applicability has recently extended into the realm of wearable electronics, enabling real-time monitoring of body movements. However, conventional strain sensors, while extensively employed, grapple with limitations such as diminished sensitivity, suboptimal tensile strength, and susceptibility to environmental factors. In contrast, polymer-based composite strain sensors have gained prominence for their capability to surmount these challenges. The integration of carbon nanotubes (CNTs) as reinforcing agents within the polymer matrix ushers in a transformative era, bolstering mechanical strength, electrical conductivity, and thermal stability. This study comprises three primary components: simulation, synthesis of nanocomposites for strain sensor fabrication, and preparation of a comprehensive measurement set for testing purposes. The fabricated strain sensors, incorporating a robust polymer matrix of polyaniline known for its exceptional conductivity and reinforced with carbon nanotubes as strengthening agents, demonstrate good characteristics, including a high gauge factor, stability, and low hysteresis. Moreover, they exhibit high strain sensitivity and show linearity in resistance changes concerning applied strain. Comparative analysis reveals that the resulting gauge factors for composite strain sensors consisting of carbon nanotubes/polyaniline and carbon nanotubes/polyaniline/silicone rubber are 144.5 and 167.94, respectively.
应变传感器在包括工程、工业和医学在内的各个领域的应力和应变量化方面发挥着关键作用。它们的适用性最近扩展到了可穿戴电子产品领域,可以实时监控身体运动。然而,传统的应变传感器虽然得到了广泛的应用,但仍存在一些局限性,如灵敏度降低、抗拉强度不理想、易受环境因素影响等。相比之下,聚合物基复合应变传感器因其克服这些挑战的能力而获得了突出的地位。碳纳米管(CNTs)作为增强剂在聚合物基体中的整合迎来了一个变革的时代,增强了机械强度、导电性和热稳定性。本研究包括三个主要部分:模拟、用于应变传感器制造的纳米复合材料的合成以及用于测试目的的综合测量集的准备。该应变传感器采用了一种坚固的聚苯胺聚合物基体,以其优异的导电性而闻名,并以碳纳米管作为增强剂进行增强,具有良好的特性,包括高测量因子、稳定性和低滞后。此外,它们还具有较高的应变灵敏度,且电阻随外加应变的变化呈线性关系。对比分析表明,碳纳米管/聚苯胺复合应变传感器和碳纳米管/聚苯胺/硅橡胶复合应变传感器的应变系数分别为144.5和167.94。
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引用次数: 0
On Hens, Eggs, Temperatures and CO2: Causal Links in Earth’s Atmosphere 母鸡、鸡蛋、温度和二氧化碳:地球大气中的因果关系
Pub Date : 2023-09-13 DOI: 10.3390/sci5030035
Demetris Koutsoyiannis, Christian Onof, Zbigniew W. Kundzewicz, Antonis Christofides
The scientific and wider interest in the relationship between atmospheric temperature (T) and concentration of carbon dioxide ([CO2]) has been enormous. According to the commonly assumed causality link, increased [CO2] causes a rise in T. However, recent developments cast doubts on this assumption by showing that this relationship is of the hen-or-egg type, or even unidirectional but opposite in direction to the commonly assumed one. These developments include an advanced theoretical framework for testing causality based on the stochastic evaluation of a potentially causal link between two processes via the notion of the impulse response function. Using, on the one hand, this framework and further expanding it and, on the other hand, the longest available modern time series of globally averaged T and [CO2], we shed light on the potential causality between these two processes. All evidence resulting from the analyses suggests a unidirectional, potentially causal link with T as the cause and [CO2] as the effect. That link is not represented in climate models, whose outputs are also examined using the same framework, resulting in a link opposite the one found when the real measurements are used.
大气温度(T)和二氧化碳(CO2)浓度之间的关系引起了科学界和更广泛的兴趣。根据普遍假设的因果关系,[CO2]的增加导致t的上升。然而,最近的发展对这一假设提出了质疑,表明这种关系是母鸡或蛋的类型,甚至是单向的,但方向与通常假设的相反。这些发展包括一个先进的理论框架,用于通过脉冲响应函数的概念对两个过程之间的潜在因果关系进行随机评估,从而测试因果关系。一方面,利用这一框架并进一步扩展它,另一方面,利用全球平均T和[CO2]的最长现代时间序列,我们阐明了这两个过程之间潜在的因果关系。从分析中得出的所有证据都表明存在单向的、潜在的因果关系,其中T是原因,[CO2]是结果。这种联系在气候模型中没有表现出来,气候模型的输出也使用相同的框架进行检验,结果与使用实际测量时发现的联系相反。
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引用次数: 3
The Additional Diagnostic Value of Electrocardiogram and Strain Patterns in Transplanted Patients 移植患者心电图和应变图的附加诊断价值
Pub Date : 2023-08-25 DOI: 10.3390/sci5030034
L. Stefani, Goffredo Orlandi, M. Corsi, Edoardo Falconi, Roberto Palazzo, A. Pellegrino, P. Modesti
Background: Transplanted patients are frail individuals who may be affected by diastolic dysfunction, leading to a decrease in exercise tolerance. Previous studies have reported that certain ECG and echocardiographic parameters (such as the P-wave interval, PQ interval, P-wave dispersion, Tend-P interval, QTc interval, and strain) can support the diagnosis of diastolic dysfunction when the ejection fraction is preserved. This study aimed to examine the potential diagnostic contribution of specific ECG and deformation parameters in transplanted recipients, who are at a high risk of heart failure. Materials and Methods: A group of 33 transplanted subjects (17 renal and 16 liver) were categorized using two scores for heart failure with preserved ejection fraction (HFpEF). Additionally, they underwent evaluation based on ECG parameters (P-wave interval, PQ interval, Pwave dispersion, and Tend-P QTc) and echocardiographic deformation parameters (strain and twist). The Student’s t-test was used for statistical analysis. Results: The two scores identified different numbers of excludable and not excludable subjects potentially affected by HFpEF. The not excludable group presented ECG parameters with significantly higher values (P-wave, PQ interval, posterior wall diastole, and Tend-P, all with p ≤ 0.05) and significantly lower 4D strain and twist values (p < 0.05) Conclusions: There is evidence for a significant diagnostic contribution of additional ECG and echo strain parameters in an early phase of diastolic dysfunction in subjects potentially affected by HFpEF.
背景:移植患者是虚弱的个体,可能受到舒张功能障碍的影响,导致运动耐量下降。已有研究报道,在保留射血分数的情况下,某些心电图和超声心动图参数(如p波间期、PQ间期、p波弥散度、Tend-P间期、QTc间期和应变)可以支持舒张功能障碍的诊断。本研究旨在检查特定ECG和变形参数对移植受者的潜在诊断贡献,这些受者有心力衰竭的高风险。材料与方法:33例移植患者(17例肾移植,16例肝移植)采用保留射血分数(HFpEF)对心力衰竭进行评分。此外,根据心电图参数(p波间隔、PQ间隔、p波弥散和Tend-P QTc)和超声心动图变形参数(应变和扭转)对患者进行评估。采用学生t检验进行统计分析。结果:两种评分确定了可能受HFpEF影响的可排除性和不可排除性受试者的不同数量。非排除组心电图参数值(p波、PQ间期、后壁舒张、Tend-P值均p≤0.05)显著升高,4D应变和扭转值显著降低(p < 0.05)。结论:在HFpEF可能影响患者的舒张功能障碍早期,附加心电图和回声应变参数有重要的诊断价值。
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引用次数: 0
Development of a Semi-Empirical Model for Estimating the Efficiency of Thermodynamic Power Cycles 估算热力动力循环效率的半经验模型的发展
Pub Date : 2023-08-24 DOI: 10.3390/sci5030033
Evangelos Bellos
Power plants constitute the main sources of electricity production, and the calculation of their efficiency is a critical factor that is needed in energy studies. The efficiency improvement of power plants through the optimization of the cycle is a critical means of reducing fuel consumption and leading to more sustainable designs. The goal of the present work is the development of semi-empirical models for estimating the thermodynamic efficiency of power cycles. The developed model uses only the lower and the high operating temperature levels, which makes it flexible and easily applicable. The final expression is found by using the literature data for different power cycles, named as: organic Rankine cycles, water-steam Rankine cycles, gas turbines, combined cycles and Stirling engines. According to the results, the real operation of the different cases was found to be a bit lower compared to the respective endoreversible cycle. Specifically, the present global model indicates that the thermodynamic efficiency is a function of the temperature ratio (low cycle temperature to high cycle temperature). The suggested equation can be exploited as a quick and accurate tool for calculating the thermodynamic efficiency of power plants by using the operating temperature levels. Moreover, separate equations are provided for all of the examined thermodynamic cycles.
发电厂是电力生产的主要来源,其效率的计算是能源研究中需要考虑的一个关键因素。通过优化循环来提高电厂的效率是降低燃料消耗和实现更可持续设计的关键手段。本工作的目标是开发半经验模型来估计动力循环的热力学效率。所开发的模型仅使用较低和较高的工作温度水平,这使得它灵活且易于应用。利用文献数据得到了不同动力循环的最终表达式,分别为:有机朗肯循环、水-蒸汽朗肯循环、燃气轮机、联合循环和斯特林发动机。根据结果,发现不同情况下的实际操作比各自的内可逆循环要低一些。具体来说,目前的全球模式表明热力学效率是温度比(低循环温度与高循环温度)的函数。该方程可作为利用运行温度水平计算电厂热力效率的快速而准确的工具。此外,还为所研究的所有热力学循环提供了单独的方程。
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引用次数: 0
An Analysis of the Convergence Problem of a Function in Functional Norms by Applying the Generalized Nörlund-Matrix Product Operator 用广义Nörlund-Matrix积算子分析函数在泛函范数上的收敛性问题
Pub Date : 2023-08-22 DOI: 10.3390/sci5030032
H. M. Srivastava, H. K. Nigam, Swagata Nandy
In this paper, we analyze the convergence problems of function g of Fourier series in Besov and generalized Zygmund norms using generalized Nörlund-Matrix (Np,qA) means of Fourier series. Convergence results are also compared by means of applications.
本文利用Fourier级数的广义Nörlund-Matrix (Np,qA)均值分析了Fourier级数的函数g在Besov和广义Zygmund范数下的收敛性问题。通过应用对收敛结果进行了比较。
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引用次数: 0
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Decis. Sci.
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