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Studying length of stay in the Emergency Department of A.O.R.N. “Antonio Cardarelli” of Naples 研究在那不勒斯的安东尼奥·卡达雷利急诊室的住院时间
Massimo Majolo, A. M. Ponsiglione, G. Longo, G. Russo, M. Triassi, E. Raiola, G. Improta
The Emergency Department (ED) is one of the main points of hospital access. Within the ED, where it is not possible to predict accurately the demand, the timeliness and appropriateness of the response are fundamental elements. The clinicians who work within the ED have seen to complicate the already difficult work activity by particular conditions such as overcrowding. This phenomenon, which characterizes ED in almost all developing countries, can cause patient abandonment, delays and dissatisfaction. To be able to study it and seek improvement solutions, one way is to investigate the length of stay (LOS). In this study, a maximum stay threshold will be identified and the ED-LOS of patients who arrived at ED of A.O.R.N. “Antonio Cardarelli” of Naples (Italy) in the last quarter of 2019 will be studied with statistical analysis first and logistic regression then. Age, triage code, time and mode of arrival proved to be the main risk factors for prolonged ED-LOS.
急诊科(ED)是医院的主要通道之一。在不可能准确预测需求的情况下,回应的及时性和适当性是基本要素。在急诊科工作的临床医生发现,由于人满为患等特殊情况,本已困难的工作活动变得更加复杂。这种现象几乎在所有发展中国家都是ED的特征,可能导致患者放弃、延误和不满。为了能够研究它并寻求改进的解决方案,一种方法是调查停留时间(LOS)。本研究将确定最大住院阈值,并对2019年第四季度到达那不勒斯(意大利)A.O.R.N.“Antonio Cardarelli”急诊室的患者ED- los进行统计分析,然后进行logistic回归。年龄、分诊编码、到达时间和到达方式是延长ED-LOS的主要危险因素。
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引用次数: 3
A Systematic Review of National Drug Negotiations 国家药品谈判的系统审查
Jiayu Gu
Purpose: The national drug negotiation work continues to deepen. Although the negotiation mechanism is becoming mature, there are still deficiencies. Through combing the current negotiation policy content, deficiencies are found, and suggestions for improvement are put forward on this basis. Method: Use the policy comparison method to sort out the contents of the five rounds of national drug negotiations, find out the points to be improved in the policy, and then use the literature search method to put forward suggestions for improvement. Result: The current national drug negotiation work is constantly improving, but there are still shortcomings, such as the issue of reciprocity in the negotiation and the lack of rare disease drugs in the catalog. Conclusion: Dynamic drug price adjustments, third-party regulatory agencies, and special protection for rare diseases have important reference significance for solving the current deficiencies in the country's drug negotiation work
目的:国家药品谈判工作不断深化。谈判机制虽然日趋成熟,但仍存在不足。通过梳理现有的谈判政策内容,发现不足之处,并在此基础上提出改进建议。方法:采用政策比较法对五轮国家药品谈判内容进行梳理,找出政策中需要改进的点,然后采用文献检索法提出改进建议。结果:当前国家药品谈判工作在不断完善,但仍存在谈判中的互惠问题、罕见病药品目录缺失等不足。结论:药品动态调价、第三方监管机构、罕见病专项保护对解决当前我国药品谈判工作的不足具有重要的借鉴意义
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引用次数: 1
An overview of Alzheimer's disease and its diagnosis using conventional and novel methods 阿尔茨海默病的概述及其诊断使用传统和新的方法
Xuanning Zhao
Alzheimer's Disease (AD), a progressive neurodegenerative disease caused by abundant abnormal extracellular amyloid-β plaques and intracellular assemblage of tau inclusions, can severely affect the living of patients as it causes dementia. As aging is the most important risk factor of AD, an increasing aging global population will lead to more serious problems in the future. The progression of AD includes three stages: the asymptomatic stage, Mild Cognitive Impairment and dementia. At present, most diagnoses methods are focused on MCI and dementia stages of the disease as disease during the asymptomatic stage is challenging. At present, effective diagnostic methods include neuropathological diagnosis that focus on the macroscopic features and microscopic features of AD, biomarkers such as cerebrospinal fluid biomarkers and other biomarkers in the human plasma, imaging techniques including structural magnetic resonance imaging and F-fluorodeoxyglucose-position emission tomography, psychological and behavioral tests, etc., but most of them have obvious deficiencies. Novel diagnostic methods, such as saliva biomarkers, which cost less and are more accurate in diagnosing AD can have promises for early diagnosis of AD, leading better patient outcomes. With the advancement of emergence of technologies, such as artificial intelligence, more effective diagnosis methods will be available, and the efficiency of diagnosing AD will increase, benefiting patients and their families. This paper provides an overview of AD and investigates conventional and novel methods for its diagnosis.
阿尔茨海默病(AD)是一种由大量异常的细胞外淀粉样蛋白-β斑块和细胞内tau内含物聚集引起的进行性神经退行性疾病,可导致痴呆,严重影响患者的生活。老龄化是阿尔茨海默病最重要的危险因素,全球人口老龄化的加剧将在未来导致更严重的问题。阿尔茨海默病的病程分为三个阶段:无症状期、轻度认知障碍期和痴呆期。目前,大多数诊断方法都集中在MCI和痴呆阶段,因为无症状阶段的疾病具有挑战性。目前,有效的诊断方法包括以AD的宏观特征和微观特征为重点的神经病理学诊断、脑脊液生物标志物和人体血浆中其他生物标志物等生物标志物、结构磁共振成像和f -氟脱氧葡萄糖位置发射断层扫描等成像技术、心理和行为测试等,但大多存在明显不足。新的诊断方法,如唾液生物标志物,成本更低,诊断阿尔茨海默病更准确,有望早期诊断阿尔茨海默病,导致更好的患者预后。随着人工智能等技术的出现,将有更多有效的诊断方法,提高AD的诊断效率,使患者及其家庭受益。本文综述了阿尔茨海默病的概况,并对其诊断的传统方法和新方法进行了探讨。
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引用次数: 0
The Role of Circulating Tumor Cells in Diagnosis of Cancer: Cancer and Circulating Tumor Cells 循环肿瘤细胞在肿瘤诊断中的作用:肿瘤与循环肿瘤细胞
Siqi Wu
An estimated 19 million new cancer cases and almost 10 million global death due to cancer in 2020 have highlighted the cardinal importance of accurate diagnostic assays for the early detection of cancer. Detecting circulating tumor cells (CTCs) offers a new approach for cancer diagnosis and treatment. Multi-disciplinary research teams have tried to develop CTC-detection assays, with the establishment of an FDA-approved test for clinical CTC enumeration and with others under development. CTC detection techniques mainly rely on physical separation and microfluidic-based methods, particularly microfiltration devices. Molecular diagnostic assays are a major group of tests used to diagnose CTCs. Among molecular diagnostic assays to detect CTCs, biochemical techniques such as immunoaffinity is a basis for enrichment involving positive and negative selection. Besides enumeration, there are multiple other techniques for CTC analysis, such as genomic, transcriptomic, epigenetic, proteomic, and multimodal analysis. However, the current CTC enumeration technology is unable to address many biological challenges associated with CTC characteristics such as extreme rarity, heterogeneous nature and varied phenotype. Future research is required for the development and application of new detection and therapeutic methods. In this review, the technical and clinical applications of the different CTCs molecular diagnostic assays are summarized, and suggestions are made to overcome caveats for CTC detection techniques in the future.
据估计,2020年全球将有1900万新发癌症病例和近1000万人死于癌症,这凸显了准确诊断检测对早期发现癌症的重要性。循环肿瘤细胞(CTCs)的检测为肿瘤的诊断和治疗提供了新的途径。多学科研究团队已经尝试开发CTC检测方法,建立了一种fda批准的临床CTC计数测试方法,并正在开发其他方法。CTC检测技术主要依靠物理分离和基于微流体的方法,特别是微过滤装置。分子诊断试验是用于诊断CTCs的一大类试验。在检测ctc的分子诊断分析中,免疫亲和等生化技术是涉及阳性和阴性选择的富集的基础。除了枚举之外,还有多种其他技术用于CTC分析,如基因组学、转录组学、表观遗传学、蛋白质组学和多模态分析。然而,目前的CTC枚举技术无法解决与CTC特征相关的许多生物学挑战,如极端罕见性、异质性和表型多样性。未来的研究需要开发和应用新的检测和治疗方法。本文综述了不同CTC分子诊断方法的技术和临床应用,并对今后CTC检测技术的发展提出了建议。
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引用次数: 0
Feature Gene Selection based on L1/2+2 Regularization 基于L1/2+2正则化的特征基因选择
Zhenyu He, Yong Liang, Ling Huang, Wenzhong Wang, Jinfeng Wang
Cancer is one of the great medical problems that mankind is facing today. With the help of DNA microarray, we can analyze thousands of genes simultaneously. The analysis of cancer samples with microarray technique is a hot topic in the field of bioinformatics. There are usually quite a lot genes in the microarray datasets, so it is time-consuming for us to classify samples with all these genes. For this reason, it is necessary for us to conduct feature gene selection. Regularization can serve as a method for feature selection. In this paper, we proposed a method called L1/2+2 and Fuzzy Measure Gene Selection (LFMGS). The method can be divided into two parts. Firstly, the L1/2+2 regularization is adopted to remove most of genes. Then L1/2+2 regularization and fuzzy measure are combined to obtain the sparse solution of fuzzy measures, and then a small number of genes are eliminated based on the final gene rank. Experimental results on seven datasets show the superiority of our method over the other four methods comprehensively considering accuracy, sensitivity and specificity, and the number of selected genes.
癌症是当今人类面临的重大医学问题之一。在DNA微阵列的帮助下,我们可以同时分析数千个基因。利用微阵列技术对肿瘤样本进行分析是生物信息学领域的研究热点。通常在微阵列数据集中有相当多的基因,因此我们对所有这些基因的样本进行分类是非常耗时的。因此,我们有必要进行特征基因选择。正则化可以作为特征选择的一种方法。本文提出了一种名为L1/2+2和模糊测度基因选择(LFMGS)的方法。该方法可分为两部分。首先,采用L1/2+2正则化去除大部分基因;然后将L1/2+2正则化与模糊测度相结合,得到模糊测度的稀疏解,再根据最终的基因秩剔除少量基因。在7个数据集上的实验结果表明,综合考虑准确性、敏感性和特异性以及所选基因的数量,我们的方法优于其他4种方法。
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引用次数: 0
PPSNV: A Novel Predictor for Pathogenicity of Nonsynonymous SNV based on Ensemble Learning PPSNV:基于集成学习的非同义SNV致病性新预测因子
Xu Zhen, G. Lin
With the next-generation sequencing (NGS) technologies developing, numerous genetic data are available for researchers and clinical doctors. Nonsynonymous single nucleotide variant (nonsynonymous SNV) is a common type of genetic mutation which possibly leads to diseases. However, classifying observed SNVs to benign or pathogenic variants with high confidence remains challenging. Inspired by ensemble learning and Gradient Boosting Decision Tree (GBDT), a machine learning algorithm, we proposed a novel prediction model named PPSNV to identify the pathogenicity of nonsynonymous SNVs. We integrated 14 features to train our model and tested it in two independent datasets. The results showed outstanding performance was achieved by the proposed predictors compared with four commonly used prediction tools.
随着下一代测序(NGS)技术的发展,研究人员和临床医生可以获得大量基因数据。非同义单核苷酸变异(Nonsynonymous single nucleotide variant, SNV)是一种常见的可能导致疾病的基因突变。然而,将观察到的snv高可信度地分类为良性或致病变异仍然具有挑战性。受集成学习和梯度增强决策树(GBDT)机器学习算法的启发,我们提出了一种新的预测模型PPSNV来识别非同音snv的致病性。我们整合了14个特征来训练我们的模型,并在两个独立的数据集中进行了测试。结果表明,与四种常用的预测工具相比,所提出的预测器取得了显著的效果。
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引用次数: 0
Activation of Microglial Genes and Crosstalk with Micro-environment in Modulating Immunological Pathology in Alzheimer's Disease 小胶质细胞基因激活与微环境串扰在阿尔茨海默病免疫病理调节中的作用
Chuanbin Wu
Recent studies have revealed that immune responses and related pathways are actively involved into the progression of Alzheimer's disease (AD) / AD-like pathology in both patients and disease models. Single-cell studies further discovered the accumulation of disease associated microglia (DAM) along with the progression of AD pathology and the pro-inflammatory activity was regulated by the Trem2-dependent pathways. Given the significance of microglia population in mediating the clearance of plaques, it is important to understand the mechanism of microglia activation and their response changes to the plaque accumulation in AD-affected brains. By observing the gene expression level across brain regions in 5xFAD mice, we showed that hippocampus was most affected during AD-like pathology progression and most up-regulated genes were pro-inflammatory. Then, by looking at the microglia gene expression data, we revealed the distinguished activation of disease-associated immune responses at the late stage in 5xFAD mice and the discrepancy between 5xFAD and wild type mice was increased with aging. In addition, we discussed the importance of Trem2 in microglia at the late stage of 5xFAD and showed that Trem2 knock-out not only decreased microglia immune responses but also changed the micro-environment that microglia resided in. Based on this, we continued argued that the interaction between microglia and other cell types, including neurons, astrocytes and oligodendrocytes, had significant impacts on the microglia-mediated plaque clearance in AD/AD-like pathology affected brain tissues.
最近的研究表明,免疫反应和相关途径在患者和疾病模型中积极参与阿尔茨海默病(AD) / AD样病理的进展。单细胞研究进一步发现,随着AD病理的进展,疾病相关小胶质细胞(DAM)的积累,其促炎活性受trem2依赖途径的调节。鉴于小胶质细胞群体在介导斑块清除中的重要作用,了解小胶质细胞激活的机制及其对ad患者大脑斑块积累的反应变化是很重要的。通过观察5xFAD小鼠各脑区基因表达水平,我们发现在ad样病理进展过程中海马受影响最大,且大多数上调基因为促炎基因。然后,通过观察小胶质细胞基因表达数据,我们发现在5xFAD小鼠的晚期,疾病相关免疫反应的显著激活,并且5xFAD与野生型小鼠之间的差异随着年龄的增长而增加。此外,我们讨论了Trem2在5xFAD晚期小胶质细胞中的重要性,并表明Trem2敲除不仅降低了小胶质细胞的免疫应答,而且改变了小胶质细胞所处的微环境。基于此,我们继续论证小胶质细胞与其他细胞类型(包括神经元、星形胶质细胞和少突胶质细胞)的相互作用对AD/AD样病理影响的脑组织中小胶质细胞介导的斑块清除有显著影响。
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引用次数: 0
Dynamics of Covid-19 Delta Variant in the UK: the estimate of Reproduction Number 英国新冠病毒δ型变异动态:繁殖数估计
Yujie Ni
Delta variant is considered as Variant of Concern (VOC) due to its high transmissibility compared to the original strain and other variants. This paper assessed the transmissibility of the delta variant in the UK from March to July by estimating effective reproduction numbers. First, effective reproduction number R at initial exponential phase of outbreak was calculated by using exponential growth method, then real time reproduction number Rt was estimated by using the time-dependent method. Depending on the observed generation interval distribution, R is 1.39 and Rt is merging to 1 along the time. The result is significantly lower than the basic reproduction number R0 reported by several institutions. From the first emergence of delta variant in UK to July, even though the daily infection cases were increasing due to step-by-step lockdown relaxation, the transmissibility of delta is slightly diminishing. Control measures especially the vaccination program are considered effective from this perspective. The analysis was performed based on daily cumulative delta infection number from March to July provided by Public Health England (PHE). R studio and Microsoft Excel were used in data processing and visualization.
由于与原始菌株和其他变体相比,Delta变体具有较高的传播率,因此被认为是关注变体(VOC)。本文通过估计有效繁殖数,评估了3月至7月英国delta变异的传播率。首先采用指数增长法计算爆发初始指数期的有效繁殖数R,然后采用时间依赖法估计实时繁殖数Rt。根据观测到的代间隔分布,R为1.39,Rt随时间趋近于1。该结果明显低于多家机构报道的基本繁殖数R0。从英国首次出现delta变体到7月,尽管由于逐步放松封锁,每天的感染病例有所增加,但delta的传播力略有下降。从这个角度来看,控制措施特别是疫苗接种计划被认为是有效的。分析是根据英国公共卫生部(PHE)提供的3月至7月每日累积德尔塔感染数进行的。使用R studio和Microsoft Excel进行数据处理和可视化。
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引用次数: 0
Endogenous Network Reveals the Landscape of Liver Lineage Differentiation 内源性网络揭示肝脏谱系分化的景观
Xiao Liu, Mengyao Wang, Qi Chang
Revealing the molecular regulation mechanism of cell fate decision is of great significance for understanding stem cell differentiation and tissue homeostasis. In this paper, a coarse-grained endogenous network for endodermal liver differentiation is constructed, which is composed of five transcription factors and their interaction was collected from the accumulated biological knowledge. The stable states and transition states with biological significance are obtained from the dynamics of the network, by which previously unobserved cell states during the differentiation of liver cells were predicted. In addition, the landscape of the liver cell differentiation is also predicted from the computing results. This landscape not only contains the classical endoderm liver cell differentiation roadmap; but also predicts more complex differentiation paths. This study shows that the construction of the dynamic model of the endogenous network is an effective tool for more in-depth research in the mechanism of liver cell differentiation and explain the genesis of liver diseases
揭示细胞命运决定的分子调控机制对理解干细胞分化和组织稳态具有重要意义。本文从积累的生物学知识中,构建了一个由5个转录因子组成的粗粒度内源性肝分化网络。从网络的动力学中获得了具有生物学意义的稳定状态和过渡状态,通过该网络预测了肝细胞分化过程中先前未观察到的细胞状态。此外,还根据计算结果预测了肝细胞分化的格局。这一景观不仅包含经典的内胚层肝细胞分化路线图;还能预测更复杂的分化路径。本研究表明,构建内源性网络动态模型是更深入研究肝细胞分化机制、解释肝脏疾病发生的有效工具
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引用次数: 0
A comparative study of cell type annotation methods for immune cells using single-cell sequencing technology 单细胞测序技术对免疫细胞类型标注方法的比较研究
Tian-Yu Zhang
Abstract: Single-cell sequencing is an emerging technique that allows high-throughput data analysis at an individual cell resolution and is applied in diverse fields of biology. Due to the large amount of data, downstream analysis is very complicated, and cell type annotation is a critical step; however, it is currently difficult to obtain good results. Single-cell sequencing has resulted in new breakthroughs in multi-omics, such as CITE-seq (Cellular Indexing of Transcriptomes and Epitopes by sequencing), which allows the measurement of surface marker proteins simultaneously with the sequencing of mRNA at the single-cell level. In this study, a CITE-seq dataset of human PBMCs (peripheral blood mononuclear cells) was annotated using the most popular reference-based annotation methods, including SingleR, Seurat with the RNA-seq dataset, and Seurat with both the RNA and protein datasets; the results were then compared with RNA and protein expression levels to determine the role of proteins in cell annotation. The results indicate that protein expression can supplement datasets with some mRNAs with low expression to improve accuracy. With the verification of single-cell biomarkers, the multi-omics annotation method Seurat with both the RNA and protein databases showed the best performance, especially in the differentiation of NK cells and T cells and of dendritic cells and monocytes. This study shows the significance of multi-omics information for improving cell annotation and has great potential for perfecting these annotations with more data support.
摘要:单细胞测序是一项新兴的技术,可以在单个细胞分辨率下进行高通量数据分析,并应用于生物学的各个领域。由于数据量大,下游分析非常复杂,细胞类型标注是关键步骤;然而,目前很难取得良好的效果。单细胞测序带来了多组学的新突破,例如CITE-seq (Cellular Indexing of Transcriptomes and Epitopes by sequencing),它允许在单细胞水平上测量mRNA的同时测量表面标记蛋白。在本研究中,使用最流行的基于参考的注释方法对人外周血单个核细胞的CITE-seq数据集进行注释,包括SingleR、Seurat与RNA-seq数据集以及Seurat与RNA和蛋白质数据集的注释;然后将结果与RNA和蛋白质表达水平进行比较,以确定蛋白质在细胞注释中的作用。结果表明,蛋白质表达可以用一些低表达的mrna补充数据集,以提高准确性。通过对单细胞生物标志物的验证,结合RNA和蛋白质数据库的多组学注释方法Seurat在NK细胞和T细胞、树突状细胞和单核细胞的分化中表现出最好的性能。本研究显示了多组学信息对改进细胞注释的重要意义,并且在有更多数据支持的情况下具有完善细胞注释的巨大潜力。
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引用次数: 0
期刊
Proceedings of the 2021 10th International Conference on Bioinformatics and Biomedical Science
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