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Development of an ELISA Using Recombinant Chimeric SM Protein for Serological Detection of SARS-CoV-2 Antibodies. 重组嵌合SM蛋白ELISA血清检测SARS-CoV-2抗体的建立
IF 2 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-22 DOI: 10.3390/mps9010004
Gulnur Nakhanova, Olga Chervyakova, Kamshat Shorayeva, Aisha Issabek, Sabina Moldagulova, Asankadyr Zhunushov, Aknur Ulankyzy, Aigerim Zhakypbek, Alisher Omurtay, Aziz Nakhanov, Zharkinay Absatova, Yeraly Shayakhmetov, Kuanysh Jekebekov, Temirlan Baiseit, Aslan Kerimbayev

The emergence and spread of coronavirus infections have created a necessity to develop serological methods for assessing population immunity. The enzyme-linked immunosorbent assay (ELISA) remains one of the most accessible and informative approaches for these purposes. The choice of recombinant proteins plays an important role in the sensitivity and specificity of the test system, and in this regard, the creation of a domestic ELISA based on the chimeric SM protein to the SARS-CoV-2 virus is relevant. In this work, a recombinant chimeric SM protein expressed in the E. coli system and purified using metal-affinity chromatography on Ni-NTA agarose was constructed and presented for the first time. An ELISA test system was developed and tested using panels of positive and negative sera, including samples obtained before the COVID-19 pandemic. The obtained sensitivity (90.48%) and specificity (93.65%) indicators with a ROC curve AUC = 0.9623 (OD450 = 0.213) indicate the diagnostic accuracy of the test system. The positive diagnostic ratio (LR+) = 14.25.0 indicates the reliability of a positive result. The domestically developed ELISA test system can be used for serological monitoring and assessment of the immune status of the population.

由于冠状病毒感染的出现和传播,有必要开发评估人群免疫的血清学方法。酶联免疫吸附试验(ELISA)仍然是这些目的中最容易获得和信息量最大的方法之一。重组蛋白的选择对检测系统的敏感性和特异性起着重要的作用,因此基于SM蛋白与SARS-CoV-2病毒嵌合构建国产ELISA具有重要意义。本文首次构建了在大肠杆菌系统中表达并利用Ni-NTA琼脂糖金属亲和层析纯化的重组嵌合SM蛋白。开发了ELISA检测系统,并使用阳性和阴性血清组进行了测试,包括在COVID-19大流行之前获得的样本。获得的灵敏度(90.48%)和特异性(93.65%)指标,ROC曲线AUC = 0.9623 (OD450 = 0.213),表明该检测系统的诊断准确性。阳性诊断率(LR+) = 14.25.0表示阳性结果的可靠性。国产ELISA检测系统可用于人群免疫状况的血清学监测和评估。
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引用次数: 0
Raman Spectroscopy for Testing Wood Pellets. 用于木屑颗粒测试的拉曼光谱。
IF 2 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-21 DOI: 10.3390/mps9010003
Tereza Zemánková, Martin Kizovský, Zdeněk Pilát, Pavlína Modlitbová, Jan Ježek, Martin Šiler, Ota Samek

The creation of bioenergy based on the biomass wood pellet industry, which accounts for the majority of the global biomass supply, is one of the most common and important ways to utilize waste wood, wood dust, and other byproducts of wood manufacturing, known as forestry residues. Pellet production processes might greatly benefit from fast monitoring systems that may allow for at least a semi-quantitative measurement of crucial parameters such as lignin and cellulose. The determination of lignin and cellulose is complicated and time-consuming because it usually requires time-demanding and labor-intensive sample preparation. This, however, might be a crucial problem. In this context, the application of Raman spectroscopic techniques is considered a promising approach, as it enables rapid, reliable, and label-free analysis of wood pellets, providing information about the chemical composition of the biomass, specifically lignin and cellulose. The purpose of this article is to report on the application of Raman spectroscopy exemplified by the detection of the lignin/cellulose ratio. In our methodological approach, we integrated the area under the selected Raman bands to avoid a large scatter of data when only the intensities of the bands were used. Moreover, the acquired Raman spectra displayed very strong signals from both substances, which contributes to the feasibility of the analysis even with a portable instrument. This study is expected to be of assistance in situations when the monitoring of the chemical changes and the quick inspection of pellets are required in near real time, online, and in situ.

生物质木屑颗粒工业占全球生物质供应的大部分,以生物质木屑颗粒工业为基础创造生物能源,是利用废木材、木尘和木材制造的其他副产品(称为林业残留物)的最常见和最重要的方法之一。颗粒生产过程可能极大地受益于快速监测系统,该系统至少可以对木质素和纤维素等关键参数进行半定量测量。木质素和纤维素的测定是复杂和耗时的,因为它通常需要时间和劳动密集的样品制备。然而,这可能是一个关键问题。在这种情况下,拉曼光谱技术的应用被认为是一种很有前途的方法,因为它可以对木屑颗粒进行快速、可靠和无标签的分析,提供有关生物质化学成分的信息,特别是木质素和纤维素。本文以木质素/纤维素比的检测为例,报道拉曼光谱在木质素/纤维素比检测中的应用。在我们的方法中,我们整合了选定拉曼波段下的面积,以避免仅使用波段强度时数据的大量分散。此外,所获得的拉曼光谱显示出来自这两种物质的非常强的信号,这有助于即使使用便携式仪器分析的可行性。这项研究有望在需要近实时、在线和现场监测化学变化和快速检查颗粒的情况下提供帮助。
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引用次数: 0
Quantile Regression in Epidemiology: Capturing Heterogeneity Beyond the Mean. 流行病学的分位数回归:捕获平均值以外的异质性。
IF 2 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-21 DOI: 10.3390/mps9010002
Charalambos Gnardellis

Ordinary linear regression is the most common approach for modeling relationships between continuous outcomes and explanatory variables in epidemiological research. However, this method relies on restrictive assumptions-normality, homoscedasticity, and linearity-that are often violated in real-world biomedical data. When these assumptions fail, mean-based estimates may obscure important heterogeneity across the outcome distribution. This study aims to illustrate the methodological and interpretive advantages of quantile regression over ordinary regression in the analysis of epidemiological data. Secondary data were derived from a cross-sectional study of 1415 healthy Greek adults aged 25-82 years. Body mass index (BMI) served as the outcome variable, while sex, age, physical activity, dieting status, and daily energy intake were considered predictors. Both ordinary and quantile regression models were applied to estimate associations between BMI and its determinants across the 25th, 50th, 75th, and 90th quantiles. Ordinary regression identified positive associations of BMI with age and energy intake and a negative association with physical activity. Quantile regression revealed that these relationships were not constant across the BMI distribution. The inverse association with physical activity intensified at higher quantiles, and the gender effect reversed direction at the upper tail, suggesting heterogeneity was not captured by mean-based models. Quantile regression provides a distribution-sensitive alternative to ordinary regression, offering insight into covariate effects across different points of the outcome distribution and serving as both a robust analytical tool and an educational framework for applied epidemiological research.

普通线性回归是流行病学研究中对连续结果和解释变量之间的关系进行建模的最常用方法。然而,这种方法依赖于限制性的假设——正态性、均方差和线性——这些在现实世界的生物医学数据中经常被违反。当这些假设失败时,基于均值的估计可能会掩盖整个结果分布的重要异质性。本研究旨在说明在流行病学数据分析中,分位数回归相对于普通回归的方法学和解释性优势。次要数据来自一项对1415名25-82岁的希腊健康成年人的横断面研究。身体质量指数(BMI)作为结果变量,而性别、年龄、身体活动、节食状态和每日能量摄入被认为是预测因素。应用普通和分位数回归模型来估计BMI及其决定因素在第25、50、75和90分位数之间的关联。普通回归发现BMI与年龄和能量摄入呈正相关,与身体活动呈负相关。分位数回归显示,这些关系在BMI分布中不是恒定的。在较高的分位数上,与体力活动的负相关增强,性别效应在上尾方向相反,表明基于均值的模型没有捕捉到异质性。分位数回归为普通回归提供了一种分布敏感的替代方法,提供了对结果分布不同点的协变量效应的洞察,并作为应用流行病学研究的强大分析工具和教育框架。
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引用次数: 0
Imaging Cell Competition in Ex-Vivo Drosophila Adult Brains. 在离体果蝇成年大脑中成像细胞竞争。
IF 2 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-20 DOI: 10.3390/mps9010001
Andrés Gutiérrez-García, Mariana Marques-Reis, Eduardo Moreno

Live imaging has been instrumental in understanding cellular dynamics in Drosophila tissues, but technical limitations have prevented the long-term visualization of cell competition in adult brains. Here, we describe a simple ex vivo protocol that enables extended live imaging of adult Drosophila brains for up to 32 h. The method relies on non-supplemented Schneider's Drosophila medium and hydrophobic interactions to maintain brain stability during imaging, eliminating the need for complex culture conditions or embedding procedures. We validate this approach by studying cell competition in the optic lobes following traumatic brain injury, where cell competition is expected to occur with a peak at 48 h after damage. We demonstrate the value of this method by visualizing the expression of the fitness checkpoint Azot in a loser cell and its subsequent elimination. This protocol offers a versatile platform for studying cell competition and other cellular processes requiring extended observation of the adult Drosophila brain.

实时成像有助于理解果蝇组织中的细胞动力学,但技术限制阻碍了对成年大脑中细胞竞争的长期可视化。在这里,我们描述了一种简单的离体方案,可以延长成年果蝇大脑的实时成像长达32小时。该方法依靠非补充施耐德果蝇培养基和疏水相互作用来维持成像过程中的大脑稳定性,从而消除了复杂的培养条件或包埋程序的需要。我们通过研究创伤性脑损伤后视叶中的细胞竞争来验证这一方法,其中细胞竞争预计在损伤后48小时出现高峰。我们通过可视化失败者细胞中适应度检查点Azot的表达及其随后的消除来证明这种方法的价值。该方案为研究细胞竞争和其他细胞过程提供了一个多功能平台,需要对成年果蝇大脑进行长期观察。
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引用次数: 0
A Streamlined In Vitro mRNA Production Evaluation for mRNA-Based Vaccines and Therapeutics. 基于mRNA的疫苗和疗法的流线型体外mRNA生产评估
IF 2 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-18 DOI: 10.3390/mps8060153
Vittorio Madia, Sergio Minesso, Valentina Franceschi, Gaetano Donofrio

To develop an effective strategy for in vitro mRNA production, it is crucial to evaluate the efficiency of the in vitro transcription platform. This can be accomplished using reporter genes, such as the luciferase-encoding gene. Luciferase activity assays provide a reliable means to assess the translation efficiency of in vitro transcribed mRNAs and to explore molecular dynamics associated with untranslated regions, capping, nucleotide analog incorporation, polyadenylation, and codon usage optimization. In this study, we propose a novel approach to performing the luciferase assay, offering a simpler, faster, and high-throughput method for evaluating in vitro generated transcripts to be employed for veterinary and human vaccine purposes as well as mRNA therapeutics.

为了开发一种有效的体外mRNA生产策略,评估体外转录平台的效率至关重要。这可以通过报告基因来完成,比如荧光素酶编码基因。荧光素酶活性测定提供了一种可靠的方法来评估体外转录mrna的翻译效率,并探索与非翻译区、capping、核苷酸类似物掺入、聚腺苷酸化和密码子使用优化相关的分子动力学。在这项研究中,我们提出了一种执行荧光素酶测定的新方法,提供了一种更简单、更快、高通量的方法来评估体外生成的转录本,用于兽医和人类疫苗目的以及mRNA治疗。
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引用次数: 0
Does the Selected Segment Within a Two-Legged Hopping Trial Alter Leg Stiffness and Kinetic Performance Values and Their Variability? 在两腿跳跃试验中选择的节段是否会改变腿部刚度和运动性能值及其可变性?
IF 2 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-14 DOI: 10.3390/mps8060152
Ourania Tata, Analina Emmanouil, Karolina Barzouka, Konstantinos Boudolos, Elissavet Rousanoglou

Two-legged hopping is a well-established model for assessing leg stiffness; however, in existing studies, it is unclear whether the trial segment selection affects the results. This study aimed to assess if the selected hopping segment alters the value and individual variability (%CVind) of leg stiffness and kinetic performance metrics. Elite women athletes (42, volleyball, basketball, handball) and 14 non-athletic women performed barefoot two-legged hopping (130 bpm) on a force-plate (Kistler, 9286AA, sampling at 1000 Hz). Leg stiffness was estimated from the Fz registration (resonant frequency method). Four cumulative range segments (1-10, 1-20, 1-30, and 1-40 hops) and three segments of 10-hop subranges (11-20, 21-30, and 31-40) were analyzed (repeated measures one-way Anova, p ≤ 0.05, SPSS v30.0). The hopping segment did not significantly alter the leg stiffness value (segment average 30.6 to 31.2 kN/m) or its %CVind (segment average ≈ 3%). The kinetic performance metrics depicted a solid foundation for the extracted leg stiffness value, with %CVind not exceeding 6.2%. The results indicate a data collection of just 15 hops, in continuance reduced to a 10 hops segment (after excluding the first five to avoid neuromuscular adaptation) as a robust reference choice.

两腿跳跃是一种成熟的评估腿部僵硬的模型;然而,在现有的研究中,尚不清楚试验段的选择是否会影响结果。本研究旨在评估选择的跳跃段是否会改变腿部刚度和运动性能指标的值和个体变异性(% cvd)。优秀的女运动员(42名,排球,篮球,手球)和14名非运动女性在一个力板上赤脚两腿跳(130 bpm) (Kistler, 9286AA,采样频率为1000 Hz)。通过Fz配准(共振频率法)估计腿刚度。分析了4个累积范围段(1-10、1-20、1-30和1-40跳)和3个10跳子范围段(11-20、21-30和31-40)(重复测量单因素方差分析,p≤0.05,SPSS v30.0)。跳段对腿刚度值(段平均30.6 ~ 31.2 kN/m)及其% cvd(段平均≈3%)没有显著影响。动力学性能指标为提取的腿部刚度值提供了坚实的基础,% cvd不超过6.2%。结果表明,仅收集15个跳的数据,继续减少到10个跳段(排除前5个跳以避免神经肌肉适应)作为稳健的参考选择。
{"title":"Does the Selected Segment Within a Two-Legged Hopping Trial Alter Leg Stiffness and Kinetic Performance Values and Their Variability?","authors":"Ourania Tata, Analina Emmanouil, Karolina Barzouka, Konstantinos Boudolos, Elissavet Rousanoglou","doi":"10.3390/mps8060152","DOIUrl":"10.3390/mps8060152","url":null,"abstract":"<p><p>Two-legged hopping is a well-established model for assessing leg stiffness; however, in existing studies, it is unclear whether the trial segment selection affects the results. This study aimed to assess if the selected hopping segment alters the value and individual variability (%CVind) of leg stiffness and kinetic performance metrics. Elite women athletes (42, volleyball, basketball, handball) and 14 non-athletic women performed barefoot two-legged hopping (130 bpm) on a force-plate (Kistler, 9286AA, sampling at 1000 Hz). Leg stiffness was estimated from the Fz registration (resonant frequency method). Four cumulative range segments (1-10, 1-20, 1-30, and 1-40 hops) and three segments of 10-hop subranges (11-20, 21-30, and 31-40) were analyzed (repeated measures one-way Anova, <i>p</i> ≤ 0.05, SPSS v30.0). The hopping segment did not significantly alter the leg stiffness value (segment average 30.6 to 31.2 kN/m) or its %CVind (segment average ≈ 3%). The kinetic performance metrics depicted a solid foundation for the extracted leg stiffness value, with %CVind not exceeding 6.2%. The results indicate a data collection of just 15 hops, in continuance reduced to a 10 hops segment (after excluding the first five to avoid neuromuscular adaptation) as a robust reference choice.</p>","PeriodicalId":18715,"journal":{"name":"Methods and Protocols","volume":"8 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12736131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145820076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Study Protocol for Genomic Epidemiology Investigation of Intensive Care Unit Patient Colonization by Antimicrobial-Resistant ESKAPE Pathogens. 重症监护病房患者抗微生物ESKAPE病原菌定植的基因组流行病学调查研究方案
IF 2 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-13 DOI: 10.3390/mps8060151
Andrey Shelenkov, Oksana Ni, Irina Morozova, Anna Slavokhotova, Sergey Bruskin, Denis Protsenko, Yulia Mikhaylova, Vasiliy Akimkin

ESKAPE bacteria are a major global threat due to their rapid antibiotic resistance acquisition and severe healthcare-associated infections. Effective countermeasures require epidemiological surveillance and resistance transmission studies, particularly for antimicrobial-resistant (AMR) colonization in intensive care unit (ICU) patients. Whole-genome sequencing (WGS) provides critical information on resistance spread and mechanisms. In the provided protocol, rectal and oropharyngeal swabs, or endotracheal aspirate/bronchoalveolar lavage for intubated patients, are collected at ICU admission and twice weekly. Patient interviews and medical records identify risk factors for resistant microflora. Samples undergo cultivation, species identification, antibiotic susceptibility testing, and DNA extraction. Sequencing is performed using second- and third-generation platforms, with selected isolates subject to hybrid genome assembly. Resistance genes, virulence factors, and typing profiles (MLST, cgMLST) are determined. This protocol characterizes the ICU patient colonization by AMR pathogens, including species distribution, phenotypic and genotypic resistance profiles, clonal structure, and temporal changes. It estimates detection frequency and colonization patterns at each locus, identifies key risk factors, including prior community or inter-facility exposure, and analyzes associations between risk factors and admission colonization. The study aims to estimate AMR infection risk and severity in ICU patients through the comprehensive analysis of colonization dynamics, resistance patterns, and clonal characteristics using WGS data on pathogen composition and AMR trends.

ESKAPE细菌由于其快速获得抗生素耐药性和严重的卫生保健相关感染而成为主要的全球威胁。有效的对策需要流行病学监测和耐药性传播研究,特别是对重症监护病房(ICU)患者的抗微生物药物耐药性(AMR)定植进行研究。全基因组测序(WGS)提供了耐药性传播和机制的关键信息。在提供的方案中,在ICU入院时收集直肠和口咽拭子,或气管内吸液/支气管肺泡灌洗,每周两次。患者访谈和医疗记录确定耐药菌群的危险因素。样品经过培养、物种鉴定、抗生素敏感性测试和DNA提取。测序使用第二代和第三代平台进行,选择分离株进行杂交基因组组装。确定了抗性基因、毒力因子和分型谱(MLST、cgMLST)。该方案描述了ICU患者AMR病原体的定植,包括物种分布、表型和基因型耐药谱、克隆结构和时间变化。它估计了每个位点的检测频率和定植模式,确定了关键的风险因素,包括先前的社区或设施间暴露,并分析了风险因素与入院定植之间的关系。本研究旨在利用WGS病原菌组成和AMR趋势数据,通过综合分析菌落动态、耐药模式和克隆特征,估计ICU患者AMR感染的风险和严重程度。
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引用次数: 0
New Approach for Targeting Small-Molecule Candidates for Intrinsically Disordered Proteins. 靶向小分子内在无序蛋白候选物的新方法
IF 2 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-10 DOI: 10.3390/mps8060150
Milan Senćanski

Intrinsically disordered proteins (IDPs), such as the Alzheimer's-associated tau protein, pose challenges for conventional drug discovery. This study applied the Informational Spectrum Method for Small Molecules (ISM-SM), a computational technique utilizing electron-ion interaction potentials (EIIPs), to identify potential tau modulators. Characteristic interaction frequencies derived from known ligands and conserved mammalian tau sequences were used to screen DrugBank and the COCONUT natural product database. The screening identified approved drugs previously reported to indirectly influence tau pathology or Alzheimer's disease pathways, alongside natural products including Bryostatin-14, which is known to modulate kinases involved in tau phosphorylation. These findings suggest that ISM-SM can serve as an in silico tool to identify candidate small molecules, including repurposed drugs and natural products, with potential relevance to tau function and pathology, complementing other IDP drug discovery strategies.

内在无序蛋白(IDPs),如阿尔茨海默病相关的tau蛋白,对传统的药物发现提出了挑战。本研究应用小分子信息谱方法(ISM-SM),一种利用电子-离子相互作用势(eiip)的计算技术,来识别潜在的tau调制器。从已知配体和保守的哺乳动物tau序列中获得的特征相互作用频率用于筛选DrugBank和COCONUT天然产物数据库。筛选确定了先前报道的间接影响tau病理或阿尔茨海默病途径的批准药物,以及天然产物,包括苔藓虫素-14,已知可调节参与tau磷酸化的激酶。这些发现表明,ISM-SM可以作为一种计算机工具来识别候选小分子,包括重新利用的药物和天然产物,与tau功能和病理有潜在的相关性,补充其他IDP药物发现策略。
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引用次数: 0
Adaptation of the Motivational Interviewing Skills Code to Identify Client Language Predicting Reduced Opioid Use Risk and Increased Use of Alternative Pain Care Strategies in Veterans. 采用动机性访谈技巧代码识别预测退伍军人阿片类药物使用风险降低和替代疼痛护理策略使用增加的客户语言
IF 2 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-08 DOI: 10.3390/mps8060149
Brian Borsari, Catherine Baxley, Benjamin O Ladd, Joannalyn Delacruz, Kristina M Jackson, Theodore Fetterling, Kyle J Self, Shahrzad Hassanbeigi Daryani, Karen H Seal, Jennifer K Manuel

Objective: Motivational Interviewing may be an ideal communication style to use in conjunction with Collaborative Care to address opioid risk, as it can facilitate the discussion of alternative pain care strategies (APCSs) that are pharmacological (APCS-P; e.g., the use of non-opioid pain relievers) or non-pharmacological (APCS-NP; e.g., yoga). This study developed and piloted a coding system (MI Skills Code-APCS) for these discussions.

Method: Sessions (n = 119) from a completed randomized controlled trial comparing Collaborative Care Motivational Interviewing (CCMI) or Attention Control Psychoeducation (ACP) delivered by care managers over 12 weeks to veterans with chronic pain and high-risk opioid use enrolled in VA primary care (N = 44).

Results: Coders were able to reliably code the client utterances related to APCSs in the sessions (ICCs = 0.58-0.81). The APCS-P and APCS-NP codes were positively correlated with each other. There were two significant relationships between the MISC-APCS codes (motivational states) and the pain interference and endorsement of non-pharmacological pain care goals at 20-week follow-up.

Conclusions: The MISC-APCS has promise as a coding system that can reliably record client utterances regarding different types of pain care strategies. These utterances may be associated with post-treatment reports of pain and efforts to reduce opioid risk. The rapid development of artificial intelligence applications to healthcare can utilize this coding system to assist with the assessment and treatment of chronic pain.

目的:动机性访谈可能是一种理想的沟通方式,可以与协作式护理结合使用,以解决阿片类药物风险,因为它可以促进讨论替代疼痛护理策略(APCS-P,例如使用非阿片类止痛药)或非药物(APCS-NP,例如瑜伽)。本研究为这些讨论开发并试行了一个编码系统(MI Skills Code-APCS)。方法:一项已完成的随机对照试验(n = 119),比较护理经理在12周内对VA初级保健登记的慢性疼痛和高风险阿片类药物使用的退伍军人(n = 44)提供的协作护理动机访谈(CCMI)或注意控制心理教育(ACP)。结果:编码员能够可靠地编码会话中与apcs相关的客户话语(ICCs = 0.58-0.81)。APCS-P和APCS-NP编码呈显著正相关。在20周的随访中,MISC-APCS编码(动机状态)与疼痛干预和非药物疼痛护理目标的认可有两个显著的关系。结论:MISC-APCS作为一种编码系统,能够可靠地记录病人关于不同类型疼痛护理策略的话语。这些话语可能与治疗后的疼痛报告和减少阿片类药物风险的努力有关。人工智能在医疗保健领域的快速发展可以利用这种编码系统来协助慢性疼痛的评估和治疗。
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引用次数: 0
A Study Protocol on Risk Prediction Modelling of Mortality and In-Hospital Major Bleeding Following Percutaneous Coronary Intervention in an Australian Population: Machine Learning Approach. 澳大利亚人群经皮冠状动脉介入治疗后死亡率和院内大出血风险预测模型的研究方案:机器学习方法。
IF 2 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-05 DOI: 10.3390/mps8060148
Mohammad Rocky Khan Chowdhury, Mamunur Rashid, Dion Stub, Diem Dinh, Md Nazmul Karim, Baki Billah

Machine learning (ML) excels over regression by automatically capturing complex, non-linear relationships and interactions, enabling more flexible and accurate predictions without strict assumptions. This study focuses on developing ML-based predictive models for key post-PCI outcomes: 30-day mortality, in-hospital major bleeding, and one-year mortality. Data from 104,665 consecutive PCI cases in the Victorian Cardiac Outcomes Registry (VCOR), collected between 2013 and 2022, will be analyzed. Candidate variables, informed by prior systematic reviews and dataset availability, will undergo multiple imputations for missing values. The Boruta method will be applied to identify influential predictors. Risk-adjusted models will be developed using sophisticated ML algorithms, with performance compared across standard metrics for validation. The dataset will be split, optimized via 10-fold cross-validation, and class imbalance addressed using Adaptive Synthetic resampling technique. SHapley Additive exPlanations will interpret the most influential predictors. The variables from the best model will be converted into simplified numeric scores. External validation will be performed using the Tasmanian dataset or equivalent datasets. This study is expected to identify the most influential variables associated with 30-day all-cause mortality, in-hospital major bleeding, and long-term mortality post-PCI. These variables will form the basis for developing robust risk-scoring models to support clinical decision-making and outcome prediction.

机器学习(ML)通过自动捕获复杂的非线性关系和相互作用而优于回归,从而在没有严格假设的情况下实现更灵活和准确的预测。本研究的重点是开发基于ml的pci后主要预后预测模型:30天死亡率、院内大出血和1年死亡率。将分析2013年至2022年间收集的维多利亚州心脏结局登记处(VCOR)连续104,665例PCI病例的数据。候选变量,根据先前的系统评价和数据集的可用性,将对缺失值进行多次估算。将应用Boruta方法来确定有影响的预测因子。将使用复杂的ML算法开发风险调整模型,并通过标准指标进行性能比较以进行验证。数据集将被分割,通过10倍交叉验证进行优化,并使用自适应合成重采样技术解决类不平衡问题。SHapley加法解释将解释最具影响力的预测因子。最佳模型中的变量将被转换成简化的数字分数。外部验证将使用塔斯马尼亚数据集或等效数据集进行。本研究旨在确定与pci术后30天全因死亡率、院内大出血和长期死亡率相关的最具影响力的变量。这些变量将构成开发稳健的风险评分模型的基础,以支持临床决策和结果预测。
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引用次数: 0
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