达格列净对2型糖尿病合并慢性心力衰竭患者微小RNA-423-5p的调控作用及心功能的影响研究

背景 糖尿病合并心力衰竭的患者数量庞大,达格列净作为新型降糖药物,目前已被指南推荐用于心力衰竭的治疗,但其改善心功能的作用机制还未完全明确。目的 研究达格列净对2型糖尿病（T2DM）合并慢性心力衰竭（CHF）患者血浆微小RNA-423-5p(miRNA-423-5p)表达的影响及其与心功能之间的相关性。方法 纳入2021-04-01至2021-11-30就诊于解放军第九六〇医院的T2DM合并CHF患者50例为研究对象,分为达格列净组（n=25）和对照组（n=25）,达格列净组给予达格列净10 mg/d,对照组给予其他降糖药物,余治疗原则相同,治疗6个月。另纳入同一时期于本院健康体检的心功能正常者为健康人群组（n=25）。通过数字病历系统收集患者的基本资料,包括年龄、性别、吸烟史、高血压史、血压水平、体质指数（BMI）、血脂、血糖、肌酐（Cr）、氨基末端脑钠肽前体（NT-proBNP）、丙氨酸氨基转移酶（ALT）、天冬氨酸氨基转移酶（AST）、纽约心脏病协会（NYHA）心功能分级、心脏彩超、合并用药情况,并留取血液标本进行miRNA-423-5p的检测。治疗4周进行门诊随访,收集患者心功...     

基于图像的微阵列生物芯片分析

利用生物芯片的高通量特性，系统地研究生物体基因和蛋白质表达及其相互作用，在最近十几年迅速发展。以图像为基础的生物芯片分析是生物芯片技术的重要组成部分，对其方法进行研究已成为当前的热点之一。目前很多针对生物芯片的分析方法不断涌现，这些方法涉及网格定位、靶点分割、数据提取和表达、几何校正、噪声消除等生物芯片分析子过程。本研究对以上各类分析方法进行了综述，分析了各类方法的不同应用，比较了多种算法的分析结果，并提出当前在生物芯片分析研究领域需要解决的关键问题。     

Comparing non-hierarchical models: Application to non-linear mixed effects modeling

There is no method available to compare the fit of two non-hierarchical non-linear mixed effects models, although the common practice is to select the model with the lower objective function. Bootstrapping the log-likelihood differences (LLDs) of non-hierarchical models and constructing a bootstrap confidence interval on the LLDs is proposed for comparing the goodness-of-fit of such models. This is illustrated with different parameterizations of clearance models for an anti-infective agent in a longitudinal pharmacokinetic study which are compared. Additive and exponential models of creatinine clearance as a predictor of clearance are used as examples.     

TECHNICAL NOTE: SOME VIEWS ON THE TREATMENT OF "ARTIFACTS" IN PSYCHOPHYSIOLOGICAL RECORDINGS

The treatment of artifactual responses in psychophysiology is rarely discussed or made explicit in research reports. The rationales and procedures of five approaches are presented: excluding the data; averaging other epochs; subjective estimation; straight-line connecting; and following the pen. Each approach is based on a somewhat different theoretical orientation, and the choice of each will depend on the researcher's theoretical preference and also the relative “costs” of losing data vs programming special instructions. Other considerations such as objectivity, consistency, and replicability are discussed.     

基于fMRI加权约束的FOCUSS迭代脑电源定位方法及其初步应用

脑电(Electroencephalography, EEG)和功能磁共振(Functional magnetic resonance imaging, fMRI)技术的结合,可以实现两者优势的互补,获得更加合理的源定位结果.本文报道的是一种将fMRI先验信息结合到脑电源定位中的新方法.在该方法中,先利用SPM方法计算获得fMRI的统计映射参数,然后将基于计算获得的统计参数构造的权矩阵结合到FOCUSS的迭代过程中,对脑电的反演提供具有fMRI先验空间位置信息的约束,提高脑电的源空间定位精度,从而获得更加合理的定位结果.通过对一形状知觉实验fMRI和脑电数据的结合定位分析,结果初步证实了改进方法能获得和生理更加一致的结果.     

位图在动态绘制肌电信号中的应用

鉴于常见的动态绘制肌电曲线时出现的屏幕闪烁和抖动问题 ,设计了在面向对象的VisualC 6 .0开发平台上 ,利用MFC(MicrosoftFoundationClasses)类库中的位图类CBitmap来绘制肌电曲线图像 ,解决肌电数据的动态回放和实时监测中的屏幕闪烁和抖动问题     

Heritabilities,by the multiple abstract variance analysis (MAVA) model and objective test measures,of personality traits U.I.23, capacity to mobilize,U.I.24, anxiety,U.I.26, narcistic ego and U.I.28, asthenia,by maximum-likelihood methods

Heritability coefficients are offered for four personality source traits, measured by the O-A (objective-analytic) 2-h performance battery. Five family constellations covering a total sample of 1221 boys 12–18 years old yielded nine concrete variances which the MAVA (multiple abstract variance analysis) model resolves into seven abstract variances: ² _wg , within family genetic; ² _wt.s , within family threptic; ² _wt.t , within family threptic for twins; ² _bg , between family genetic; _bgbt , correlation of genetic and threptic deviations across families, etc. Maximum likelihood was the method here used for the MAVA analysis. The best fit with maximum parsimony was to assume no genothreptic ( _wgwt , _bgbt ) correlations, but extension to the parsimony of assuming either no genetic or no threptic components gave no fit. The heritabilities found were compared with those from an earlier research and from a different (OSES) method applied to the present data. The agreement is quite good in assigning a moderate heritability value tocapacity to mobilize vs. regression, U.I.23 (H about 0.30), and toanxiety, U.I.24 (H about 0.50); only moderately consistent in assigning a moderateH value toasthenia, U.I.28 (H about 0.30); and poorly consistent in assigning a lowH value tonarcistic ego, U.I.26. It is pointed out (a) that the lowH for U.I.28 fits the theory of the origin of this trait well and (b) that, in view of estimates of the function fluctuation of U.I.23 and 24, a most probable conclusion is that a capacity to mobilize is quitesubstantially innate and a general proneness to anxiety islargely innate.     

Migration of Medical Image Data Archived Using Mini-PACS to Full-PACS

This study evaluated the migration to full-PACS of medical image data archived using mini-PACS at two hospitals of the Yonsei University Medical Center, Seoul, Korea. A major concern in the migration of medical data is to match the image data from the mini-PACS with the hospital OCS (Ordered Communication System). Prior to carrying out the actual migration process, the principles, methods, and anticipated results for the migration with respect to both cost and effectiveness were evaluated. Migration gateway workstations were established and a migration software tool was developed. The actual migration process was performed based on the results of several migration simulations. Our conclusions were that a migration plan should be carefully prepared and tailored to the individual hospital environment because the server system, archive media, network, OCS, and policy for data management may be unique.