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Disposal of intestinal apoptotic epithelial cells and their fate via divergent routes. 肠上皮细胞凋亡的处理及其不同途径的命运。
IF 1.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2220/biomedres.43.59
Toshihiko Iwanaga, Hiromi Takahashi-Iwanaga

Gut epithelial cells are characterized by rapid, constant cell renewal. The disposal of aging epithelial cells around the villus tips of the small intestine occurs so regularly that it has been regarded as a consequence of well-controlled cell death, designated as apoptosis. However, the notion of live cell extrusion in the intestine has been intensively built among researchers, and the disposal processes of effete epithelial cells display species and regional differences. Chemical mediators and mechanical forces rising from surrounding cells contribute to the regulated cell replacement. Cytotoxic intraepithelial lymphocytes and lamina propria macrophages play a leading role in the selection of disposal cells and their extrusion to maintain fully the epithelial homeostasis in tandem with the dynamic reconstruction of junctional devices. Lymphocyte-mediated cell killing is predominant in the mouse and rat, while the disposal of epithelial cells in the guinea pig, monkey, and human is characterized by active phagocytosis by subepithelially gathering macrophages. The fenestrated basement membrane formed by immune cells supports their involvement and explains species differences in the disposal of epithelial cells. Via these fenestrations, macrophages and dendritic cells can engulf apoptotic epithelial cells and debris and convey substantial information to regional lymph nodes. In this review, we attempt to focus on morphological aspects concerning the apoptosis and disposal process of effete epithelial cells; in vitro or ex vivo analyses using cultured monolayer has become predominant in recent studies concerning the exfoliation of apoptotic enterocytes. Furthermore, we give attention to their species differences, which is controversial but crucial to our understanding.

肠道上皮细胞的特点是快速、持续的细胞更新。小肠绒毛尖端周围老化上皮细胞的处理是如此有规律,以至于它被认为是控制良好的细胞死亡的结果,被称为细胞凋亡。然而,活细胞在肠道内挤压的概念已经在研究人员之间得到了广泛的建立,并且有效上皮细胞的处理过程显示出物种和区域差异。来自周围细胞的化学介质和机械力有助于调节细胞的替换。细胞毒性上皮内淋巴细胞和固有层巨噬细胞在选择处置细胞和挤压处置细胞以充分维持上皮内稳态的过程中起主导作用,并与连接装置的动态重建相结合。淋巴细胞介导的细胞杀伤在小鼠和大鼠中占主导地位,而在豚鼠、猴子和人类中,上皮细胞的处理以上皮下聚集的巨噬细胞主动吞噬为特征。免疫细胞形成的开孔基底膜支持它们的参与,并解释了上皮细胞处置的物种差异。通过这些开孔,巨噬细胞和树突状细胞可以吞噬凋亡的上皮细胞和碎片,并将大量信息传递到区域淋巴结。在这篇综述中,我们试图把重点放在形态学方面的凋亡和处理过程的有效上皮细胞;体外或离体分析使用培养单层已成为主导在最近的研究中凋亡肠细胞脱落。此外,我们注意到它们的物种差异,这是有争议的,但对我们的理解至关重要。
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引用次数: 1
Effects of ANP and BNP on the generation of respiratory rhythms in brainstem-spinal cord preparation isolated from newborn rats. ANP和BNP对新生大鼠脑干-脊髓制备体呼吸节律产生的影响。
IF 1.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2220/biomedres.43.127
Shino Katsuki, Shinichiro Ota, Shunya Yoda, Hiroshi Onimaru, Kenji Dohi, Masahiko Izumizaki

Natriuretic peptides (NPs) are a family of peptide hormones produced in cardiac muscle cells and consist mainly of three types: atrial NP (ANP), B-type (or brain) NP (BNP), and C-type NP. We herein report the effects of ANP and BNP on central respiratory activity in brainstem-spinal cord preparation isolated from newborn rats. Bath application of these peptides (100 nM) induced a weak transient depression of the respiratory rhythm followed by recovery. Respiratory-related neurons in the rostral ventrolateral medulla showed a tendency for transient hyperpolarization followed by recovery during the application of ANP or BNP. The application of a membrane-permeable cGMP, 8-Br-cGMP (10 or 20 μM), did not induce significant effects on respiratory rhythm, suggesting no involvement of guanylyl cyclase in effects of ANP or BNP. We also examined effects of BNP on respiratory depression induced by the sedative dexmedetomidine, which exerts an inhibitory influence on respiratory rhythm. When pretreated with 50 nM BNP, the inhibitory effect of 100 nM dexmedetomidine was significantly reduced. Our findings suggest that ANP and BNP act as mild excitatory agents with sustained effects on respiratory rhythm after an initial transient depression.

利钠肽(NPs)是由心肌细胞产生的一个肽激素家族,主要包括三种类型:心房NP (ANP)、b型(或脑)NP (BNP)和c型NP。本文报道了ANP和BNP对新生大鼠脑干-脊髓制备中中枢呼吸活动的影响。这些肽(100 nM)的沐浴应用诱导呼吸节律微弱的短暂抑制,随后恢复。在ANP或BNP的作用下,延髓吻侧腹外侧呼吸相关神经元表现出短暂超极化后恢复的趋势。8-Br-cGMP (10 μM或20 μM)的应用对呼吸节律没有显著影响,表明胍基环化酶没有参与ANP或BNP的作用。我们还研究了BNP对镇静剂右美托咪定引起的呼吸抑制的影响,右美托咪定对呼吸节律有抑制作用。经50 nM BNP预处理后,100 nM右美托咪定的抑制作用明显降低。我们的研究结果表明,ANP和BNP作为轻度兴奋剂,在最初的短暂性抑郁后对呼吸节律有持续的影响。
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引用次数: 0
Shotgun proteomic investigation of methyltransferase and methylation profiles in lipopolysaccharide stimulated RAW264.7 murine macrophages. 脂多糖刺激RAW264.7小鼠巨噬细胞中甲基转移酶和甲基化谱的散弹枪蛋白质组学研究。
IF 1.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2220/biomedres.43.73
Yumi Aizawa, Masaru Mori, Tsukasa Suzuki, Akihiro Saito, Hirofumi Inoue

Arginine methylation is a common post-translational modification which functions as an epigenetic regulator of transcription and plays a key role in various cell signaling pathways. The methylation of arginine residues is catalyzed by protein arginine methyltransferase (PRMT). However, the expression pattern and underlying mechanism of PRMTs and protein methylation profile in lipopolysaccharide (LPS)-induced innate immune responses are poorly understood. Using a shotgun proteomic approach, we found that LPS stimulation increased arginine and proline metabolism and responses to inflammation and bacterial infections. In comparison, cysteine and methionine metabolism, the pentose phosphate pathway, purine metabolism, and protein methylation factors were also decreased in LPS stimulated murine macrophage cell lines. We revealed that LPS stimulation downregulated PRMT1, PRMT5, and protein arginine methylation profiles in RAW264.7 cells using western blot analysis. Additionally, this phenomenon occurred in parallel with nitric oxide accumulation in LPS-induced macrophages. Using inflammation models, we demonstrate for the first time that LPS stimulation decreases PRMTs, leading to the decreasing of arginine methylation in macrophages.

精氨酸甲基化是一种常见的翻译后修饰,是一种转录的表观遗传调控因子,在多种细胞信号通路中起着关键作用。精氨酸残基的甲基化是由蛋白精氨酸甲基转移酶(PRMT)催化的。然而,在脂多糖(LPS)诱导的先天免疫应答中,PRMTs的表达模式和潜在机制以及蛋白甲基化谱尚不清楚。使用散弹枪蛋白质组学方法,我们发现LPS刺激增加了精氨酸和脯氨酸代谢以及对炎症和细菌感染的反应。相比之下,LPS刺激小鼠巨噬细胞的半胱氨酸和蛋氨酸代谢、戊糖磷酸途径、嘌呤代谢和蛋白质甲基化因子也降低。通过western blot分析,我们发现LPS刺激下调了RAW264.7细胞中PRMT1、PRMT5和蛋白精氨酸甲基化谱。此外,这种现象与lps诱导的巨噬细胞中一氧化氮的积累同时发生。通过炎症模型,我们首次证明LPS刺激降低PRMTs,导致巨噬细胞精氨酸甲基化降低。
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引用次数: 1
Activation of STAT3 (signal transducer and activator of transcription 3) in synovial tissues from the hip joint in the early stage of rapidly destructive coxopathy. 快速破坏性髋关节病早期髋关节滑膜组织中STAT3(信号换能器和转录激活因子3)的激活
IF 1.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2220/biomedres.43.173
Tadashi Yasuda, Shigeo Hara, Shinnosuke Yamashita, Sadaki Mitsuzawa, Yoshihiro Tsukamoto, Hisataka Takeuchi, Satoshi Ota, Eijiro Onishi

Interleukin-6 signaling activates signal transducer and activator of transcription 3 (STAT3), resulting in matrix metalloproteinase-3 (MMP-3) production. The hip joints with rapidly destructive coxopathy (RDC) show rapid chondrolysis, probably by increased MMP-3. This study aimed to elucidate STAT3 activation in the synovial tissues with joint destruction in the early stage of RDC. Synovial tissues within 7 months from the disease onset were obtained from four RDC patients with femoral head destruction and high serum levels of MMP-3. RDC synovial tissues demonstrated the synovial lining hyperplasia with an increase of CD68-positive macrophages and CD3-positive T lymphocytes. STAT3 activation was found in the synovial tissues by immunohistochemistry using anti-phospho-STAT3 antibody. The majority of phospho-STAT3-positive cells were the synovial lining cells and exhibited negative expression of the macrophage or T cell marker. Treatment with CP690,550, a Janus Kinase inhibitor, resulted in a decrease in phospho-STAT3-positive cells, especially with high intensity, indicating effective suppression of STAT3 activation in RDC synovial tissues. Inhibitory effect of CP690,550 could work through the Janus Kinase/STAT3 axis in the synovial tissues in the early stage of RDC. Thus, STAT3 may be a potential therapeutic target for prevention of joint structural damage in RDC.

白细胞介素-6信号传导激活信号转导因子和转录激活因子3 (STAT3),导致基质金属蛋白酶-3 (MMP-3)的产生。快速破坏性髋关节病(RDC)表现为快速软骨松解,可能是由MMP-3升高引起的。本研究旨在阐明STAT3在RDC早期关节破坏滑膜组织中的激活。从4例股骨头破坏和血清MMP-3高水平的RDC患者中获得疾病发病后7个月内的滑膜组织。RDC滑膜组织表现为滑膜内膜增生,cd68阳性巨噬细胞和cd3阳性T淋巴细胞增多。使用抗磷酸化STAT3抗体免疫组化发现滑膜组织中STAT3活化。大部分磷酸化- stat3阳性细胞为滑膜衬里细胞,巨噬细胞或T细胞标记物呈阴性表达。用一种Janus激酶抑制剂cp690550治疗,导致磷酸化STAT3阳性细胞减少,特别是高强度,表明有效抑制了RDC滑膜组织中STAT3的激活。cp690550的抑制作用可能通过RDC早期滑膜组织中的Janus激酶/STAT3轴起作用。因此,STAT3可能是预防RDC关节结构损伤的潜在治疗靶点。
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引用次数: 0
Pathological examination of Ym1, a chitinase family protein, in Mesocestoides corti-infected mice. 几丁质酶家族蛋白Ym1在中皮甾体皮质感染小鼠中的病理检测。
IF 1.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2220/biomedres.43.161
Junko Nio-Kobayashi, Makoto Owhashi, Toshihiko Iwanaga

Mammals express a set of chitinase family proteins, comprising chitinases, which can hydrolyze chitin, and chitinase-like proteins without the chitinase activity but possessing chitin-binding properties. They act as endogenous lectins, regulating various physiological/pathological events. Ym1, originally identified as an eosinophil chemotactic factor or a macrophage-derived protein in parasite-infected mice, is a rodent-specific chitinase-like protein. Ym1 is also purified from eosinophilic crystals formed in the lung and urinary system in various disease models. We previously reported that major cellular sources of murine Ym1 are alveolar macrophages in the lung and neutrophils/monocytes lineage cells of the spleen and bone marrow under normal conditions. We here analyzed the detailed cellular expression of Ym1 in Mesocestoides corti (M. corti)-infected mice. Ym1 was significantly increased in the liver containing the larvae, lung, and peritoneal exudate cells in M. corti-infected mice, where activated macrophages expressed Ym1. Characteristic needle-shaped eosinophilic crystals appeared in the larvae-free lung, and Ym1 was localized to endoplasmic reticulum of activated alveolar macrophages. Moreover, swollen mesothelial cells covering the liver, spleen, and heart expressed Ym1 abundantly. Although the role of Ym1 in parasitic infection remains unclear, our findings focusing on an endogenous lectin may help in better understanding defense mechanism against parasites.

哺乳动物表达一组几丁质酶家族蛋白,包括能水解几丁质的几丁质酶和不具有几丁质酶活性但具有几丁质结合特性的几丁质酶样蛋白。它们作为内源性凝集素,调节各种生理/病理事件。Ym1最初在寄生虫感染小鼠中被鉴定为嗜酸性趋化因子或巨噬细胞衍生蛋白,是一种啮齿类动物特异性几丁质酶样蛋白。在各种疾病模型中,Ym1也从肺和泌尿系统中形成的嗜酸性晶体中纯化。我们之前报道了正常情况下小鼠Ym1的主要细胞来源是肺的肺泡巨噬细胞和脾脏和骨髓的中性粒细胞/单核细胞系细胞。我们在此详细分析了Ym1在corti Mesocestoides (M. corti)感染小鼠中的细胞表达。在M. corti感染小鼠的含有幼虫的肝脏、肺和腹膜渗出细胞中,Ym1显著升高,其中活化的巨噬细胞表达Ym1。无幼虫肺中出现特征性的针状嗜酸性结晶,Ym1定位于活化的肺泡巨噬细胞内质网。此外,覆盖肝脏、脾脏和心脏的肿胀间皮细胞大量表达Ym1。尽管Ym1在寄生虫感染中的作用尚不清楚,但我们的研究结果集中在内源性凝集素上,这可能有助于更好地理解寄生虫的防御机制。
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引用次数: 0
Cutaneous angiosarcoma of the scalp: A case report and literature review 头皮皮肤血管肉瘤1例报告及文献复习
IF 1.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-01-01 DOI: 10.35841/0970-938X.32.4.79-83
S. Harrak, S. Lemsanes, S. Razine, S. Najem, H. Mrabti, S. Jaba, S. ElMajjaoui, N. Benjaafar, H. Errihani
Angiosarcoma (AS) is a rare aggressive sarcoma that occurs mostly in the skin of the head and neck in the elderly population. AS of the scalp is associated with high rates of local recurrence and a poor prognosis. Patients with typical presenting symptoms can be diagnosed clinically, but the precise pathological diagnosis should be performed by an expert pathologist. Angiosarcoma requires aggressive and comprehensive treatment by a multidisciplinary team, because a multimodal approach improves survival. The mainstay of treatment is surgical resection and adjuvant radiation therapy, but failure rates following local therapy are high. The chemotherapy is used in cases of metastatic or unresectable scalp angiosarcoma. We describe the case of a 38-year-old woman who presented with lesions nodular on the scalp. The biopsy with histological study demonstrated an angiosarcoma. A computed tomography scan revealed multiple pulmonary metastasis, she received intravenous paclitaxel, the scalp and lung lesions significantly diminished after 3 month of treatment.
血管肉瘤(AS)是一种罕见的侵袭性肉瘤,主要发生在老年人的头颈部皮肤。头皮AS与局部复发率高和预后差有关。具有典型表现症状的患者可以在临床上得到诊断,但准确的病理诊断需要由病理学专家进行。血管肉瘤需要多学科团队的积极和综合治疗,因为多模式治疗可提高生存率。主要的治疗方法是手术切除和辅助放射治疗,但局部治疗后的失败率很高。化疗用于转移性或不可切除的头皮血管肉瘤。我们描述的情况下,一个38岁的妇女谁提出病变结节的头皮。活检和组织学检查显示为血管肉瘤。计算机断层扫描显示多发肺转移,静脉注射紫杉醇,治疗3个月后,头皮和肺部病变明显缩小。
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引用次数: 0
RNA impacts formation of biomolecular condensates in the nucleus. RNA影响细胞核内生物分子凝聚物的形成。
IF 1.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-01-01 DOI: 10.2220/biomedres.42.153
Saho Matsui, Ryu-Suke Nozawa

Biomolecular condensates are membrane-less compartments that are formed through an assembly of proteins and nucleic acids in the cell. Dysregulation of biological condensates has been implicated in diseases such as neurodegeneration and cancer. Ribonucleic acid (RNA) is known to affect the assembly of proteins in vitro, if and how RNA is involved in regulating biomolecular condensates in cells is not well investigated. Here we examined two nuclear proteins, FUS and HP1α, in which RNA was found to have an opposite contribution for the assembly of these proteins. Reduction of nuclear RNA, by inhibiting the transcription, triggered assembly of FUS that had been distributed in the nucleoplasm, whereas it dispersed spontaneously formed HP1α assembly. Notably, the cell cycle-dependent phosphorylation-mimicking substitutions in HP1α promoted its assembly formation. These transcription inhibitor experiments are versatile to examine diverse roles of nuclear RNA in regulating biomolecular condensates, in both physiological and pathological conditions.

生物分子凝聚体是通过细胞内蛋白质和核酸的组装而形成的无膜隔间。生物凝聚体的失调与神经变性和癌症等疾病有关。众所周知,核糖核酸(RNA)在体外影响蛋白质的组装,但RNA是否以及如何参与调节细胞内的生物分子凝聚尚未得到很好的研究。在这里,我们检查了两个核蛋白,FUS和HP1α,其中发现RNA对这些蛋白质的组装有相反的贡献。核RNA的减少,通过抑制转录,触发了分布在核质中的FUS的组装,而它的分散自发形成HP1α组装。值得注意的是,细胞周期依赖性的模拟磷酸化取代促进了HP1α的组装形成。这些转录抑制剂实验是多功能的,以检查核RNA在生理和病理条件下调节生物分子凝聚的不同作用。
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引用次数: 2
Assessment of role of pharmacists in managing ailments and ensuring medication safety at Dire Dawa town, East Ethiopia 评估药剂师在埃塞俄比亚东部迪勒达瓦镇管理疾病和确保用药安全方面的作用
IF 1.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-01-01 DOI: 10.35841/0970-938X.32.5.97-103
Zeray Deresse, Teshome Sosengo, Eyassu Mathewos
Background: Community pharmacistsare the most accessible healthprofessionals to the general public and pharmacistsareincreasinglybeingrecognized as a source of professionalhealth-relatedadvice. Objective:Theaimofthestudyis to assessroleofpharmacistsin managingailmentsandensuringmedication safety at Dire Dawatown, East Ethiopiafrom Feb20, 2021 to Mar 20, 2021.. Method: Community pharmacy based cross-sectional study was conducted with interview and structured self-administered questionnaires. All community pharmacists found in Dire Dawa town and willing to participate in the study were included. Data was collected from Feb 20, 2021 to Mar 20, 2021. The data is analyzed and presented using tables. Result: In the current study 50 study participants was included. The 87% of the respondents are graduated with first degree and 13% are graduated with masters. All of the respondents replied that they respond effectively to patient’s disease symptoms in their pharmacy and have responsibility to respond to patient’s symptom. The 67% of the respondents replied that that lack of knowledge and influence of pharmaceutical industry is the main factor for inappropriate symptom management in community pharmacy. Disease symptoms managed by the community pharmacists were cold/flue 37[73%], cough 20[40%], diarrhea 14[27%], and inflammation 10[20%]. The 33[67%] of respondents manage disease symptoms by giving medication, while 33[67%] and 14[27%] manage symptoms by advising the patient to visit doctor and to usehomeremediesrespectively. The 33[67%] of respondentsrepliedthatthey ask if thepatienthaveadverse drug reaction before they dispense medication.
背景:社区药剂师是公众最容易接触到的卫生专业人员,药剂师越来越被认为是卫生相关专业建议的来源。目的:本研究旨在评估2021年2月20日至2021年3月20日在埃塞俄比亚东部的Dire dawawown,药剂师在管理疾病和确保用药安全方面的工作。方法:采用基于社区药学的横断面研究,采用访谈法和结构化自填问卷法。所有在Dire Dawa镇发现并愿意参与研究的社区药剂师都被纳入研究。数据采集时间为2021年2月20日至2021年3月20日。使用表格对数据进行分析和呈现。结果:本研究纳入了50名研究参与者。87%的受访者是本科毕业生,13%是硕士毕业生。所有答复者都回答说,他们在药房对病人的疾病症状作出有效反应,并有责任对病人的症状作出反应。67%的受访者认为缺乏对医药行业的了解和影响是造成社区药房症状管理不当的主要因素。社区药师处理的疾病症状为感冒/感冒37例(73%)、咳嗽20例(40%)、腹泻14例(27%)和炎症10例(20%)。33名(67%)受访者通过给予药物治疗来控制疾病症状,而33名(67%)和14名(27%)受访者分别通过建议患者去看医生和使用家庭药物来控制症状。33名(67%)受访者表示,他们在给药前会询问患者是否有药物不良反应。
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引用次数: 0
Non-invasive Dry Eye detection using Fuzzy c-means Clustering Algorithm 基于模糊c均值聚类算法的无创干眼检测
IF 1.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-01-01 DOI: 10.35841/0970-938X.S1-S5
I.Ch, ra, N.Prabhakaran, V.Prabhu, S.Harshavardhan, N.Duraichi
The background includes the study area of the dry eye taken from 75 patients to analyze eye-related disease. This method suggested as earlier detection of eye detection and tries to diagnose the problem. Early detection of eye problem helps the patient to have a clear line of sight distance through fuzzy c means clustering algorithm.The tear film must be detected at an early stage to protect the person from death. The tear film should be a monitor at the initial stage and diagnose by the unique technique, whether it may be the invasive or non-invasive method of dry detection. The invasive approach is the time-consuming process, and many disadvantages in this method arise in tear film detection. The non- invasive technique is not said to be a slow process. So the author proposed the novel approach of tear film detection by fuzzy c means clustering algorithm. The sample of eye images are taken and processed with fuzzy c means clustering algorithm and finds the intensity in both the eye. The accuracy analysis carried by fuzzy c indicates a clustering algorithm of 82% in its efficiency.
背景包括75例干眼患者的干眼研究区域,以分析眼相关疾病。这种方法建议早期检测眼睛,并试图诊断问题。通过模糊c均值聚类算法,早期发现眼部问题,帮助患者获得清晰的视线距离。必须在早期阶段检测到泪膜,以保护人免于死亡。泪膜应作为初期的监测,通过独特的技术进行诊断,无论是有创还是无创的干法检测。有创入路是一个耗时的过程,并且在泪膜检测中出现了许多缺点。这种非侵入性技术并不是一个缓慢的过程。为此,作者提出了一种基于模糊c均值聚类算法的泪膜检测新方法。采用模糊c均值聚类算法对眼睛图像样本进行处理,得到两眼的灰度值。模糊c进行的准确率分析表明,聚类算法的效率为82%。
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引用次数: 0
Difficulties and Points of view in Nourishing Directing. 滋补指导的难点与观点。
IF 1.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-01-01 DOI: 10.35841/0970-938X.32.3.S21-S22
S. Ahmed
Essential consideration doctors (PCPs) assume a significant part in the advancement of solid dietary conduct. To investigate the perspectives towards and factors related with the normal arrangement of dietary directing in Germany utilizing information from the across the country, agent test of the Physician Survey on Cardiovascular Disease Prevention. A sum of 4074 arbitrarily chose PCPs (reaction rate: 33.9%) gave information on dietary guiding to avoidance of cardiovascular illness in light of the 5 A's (Assess, Advise, Agree, Assist, Arrange), mentalities towards dietary directing and patients' and practice attributes. While most of PCPs (86%) detailed having elevated levels of fitness in giving dietary guidance.
基本考虑医生(pcp)在促进固体饮食行为方面发挥着重要作用。利用来自全国各地的信息,通过《心血管疾病预防医师调查》的代理检验,探讨德国人对饮食指导正常安排的看法及相关因素。4074名随机选择的pcp(反应率:33.9%)根据5a(评估、建议、同意、协助、安排)、对饮食指导的心态以及患者和实践属性提供了避免心血管疾病的饮食指导信息。而大多数pcp(86%)在提供饮食指导时详细说明了自己的健康水平有所提高。
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引用次数: 0
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Biomedical Research-tokyo
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