In this paper,we propose a parameterization transfer algorithm for planar domains bounded by B-spline curves,where the shapes of the planar domains are similar.The domain geometries are considered to be similar if the...In this paper,we propose a parameterization transfer algorithm for planar domains bounded by B-spline curves,where the shapes of the planar domains are similar.The domain geometries are considered to be similar if their simplified skeletons have the same structures.One domain we call source domain,and it is parameterized using multi-patch B-spline surfaces.The resulting parameterization is C1 continuous in the regular region and G1 continuous around singular points regardless of whether the parameterization of the source domain is C1/G1 continuous or not.In this algorithm,boundary control points of the source domain are extracted from its parameterization as sequential points,and we establish a correspondence between sequential boundary control points of the source domain and the target boundary through discrete sampling and fitting.Transfer of the parametrization satisfies C1/G1 continuity under discrete harmonic mapping with continuous constraints.The new algorithm has a lower calculation cost than a decomposition-based parameterization with a high-quality parameterization result.We demonstrate that the result of the parameterization transfer in this paper can be applied in isogeometric analysis.Moreover,because of the consistency of the parameterization for the two models,this method can be applied in many other geometry processing algorithms,such as morphing and deformation.展开更多
Providing alternative PNT service to GNSS-challenged users will be an important function of next-generation NGSO broadband satellite communication systems.Herein,a packet-based PNT service architecture in NGSO broadba...Providing alternative PNT service to GNSS-challenged users will be an important function of next-generation NGSO broadband satellite communication systems.Herein,a packet-based PNT service architecture in NGSO broadband systems is proposed in which a primary satellite and selected assistant satellites work together to provide PNT service to requesting users.Its positioning performance bounds are mathematically formulated by rigorously analyzing the bounds constrained by different waveforms.Simulations are conducted on different configurations of Walker Delta MEO constellations and Walker Star LEO constellations for corroboration,revealing the following:(1)Both MEO and LEO constellations achieve sub-meter-level positioning precision given enough satellites.(2)Compared to the GNSS Doppler-based velocity estimation method,the position advance based velocity estimation algorithm is more precise and applicable to the PNT service in NGSO broadband systems.(3)To provide PNT service to users in GNSS-challenged environments,the primary and each assistant satellite need only∼0.1‰of the time of one downlink beam.展开更多
Future components to enhance the basic,native security of 5G networks are either complex mechanisms whose impact in the requiring 5G communications are not considered,or lightweight solutions adapted to ultrareliable ...Future components to enhance the basic,native security of 5G networks are either complex mechanisms whose impact in the requiring 5G communications are not considered,or lightweight solutions adapted to ultrareliable low-latency communications(URLLC)but whose security properties remain under discussion.Although different 5G network slices may have different requirements,in general,both visions seem to fall short at provisioning secure URLLC in the future.In this work we address this challenge,by introducing cost-security functions as a method to evaluate the performance and adequacy of most developed and employed non-native enhanced security mechanisms in 5G networks.We categorize those new security components into different groups according to their purpose and deployment scope.We propose to analyze them in the context of existing 5G architectures using two different approaches.First,using model checking techniques,we will evaluate the probability of an attacker to be successful against each security solution.Second,using analytical models,we will analyze the impact of these security mechanisms in terms of delay,throughput consumption,and reliability.Finally,we will combine both approaches using stochastic cost-security functions and the PRISM model checker to create a global picture.Our results are first evidence of how a 5G network that covers and strengthened all security areas through enhanced,dedicated non-native mechanisms could only guarantee secure URLLC with a probability of∼55%.展开更多
BACKGROUND: Guillain-Barre syndrome (GBS) is an autoimmune disease which is characterized by demyelination of peripheral nerve and nerve root, and inflammatory reaction of lymphocyte and macrophage. Neuroelectrophy...BACKGROUND: Guillain-Barre syndrome (GBS) is an autoimmune disease which is characterized by demyelination of peripheral nerve and nerve root, and inflammatory reaction of lymphocyte and macrophage. Neuroelectrophysiological examination and cerebrospinal fluid (CSF) analysis are of significance for its diagnosis. OBJECTIVE: To study the association of neuroelectrophysiology and cerebrospinal fluid immunoglobulin (CSF-lg) with pathogenetic conditions of patients with GBS. DESIGN: Case control study SETTING: Department of Neurology, Shenzhen Municipal Shekou Group Hospital; Department of Neuroelectrophysiology, People's Hospital of Guangdong Province. PARTICIPANTS: A total of 32 GBS patients including 18 males and 14 females who aged from 17 to 72 years were selected as experimental group from the Department of Neurology, People's Hospital of Guang- dong Province from January 2004 to December 2005. All cases conformed with GBS diagnostic criteria established by Asbury in 1990 and they were divided into three types according to neurological criteria established by Chinese Neurology and Psychology Journal in 1993: mild, moderate and severe types. Another 30 patients with vascular headache were selected as control group from the same hospital including 14 males and 16 females who aged from 17 to 79 years. METHODS: ① Neuroelectrophysiological examination: Multiple-functional electromyography device provided by Nicolet Company, USA was used to measure nerve conduction velocity (NCV), including motor nerve conduction velocity (MCV) and sensory nerve conduction velocity (SCV); meanwhile, electromyologram (EMG), somatosensory evoked potential (SEP) and electroencephalogram (EEG) were also measured. ② Detection of CSF-lg: Concentrations of IgG, IgA and IgM were measured with immunofixation electrophoresis. ③Follow-up: Among 32 GBS patients, 14 cases received follow-up after treatment and the longest fol- low-up time was 1 year after onset. Among them, 8 cases were reexaminined with neuroelectrophysiological and CSF examinations. MAIN OUTCOME MEASURES: Results of NCV, EMG, SEP and EEG; comparison of CSF-lg content; results of follow-up examinations. RESULTS: All 32 GBS cases and 30 patients with vascular headache were involved in the final analysis. ① Abnormal rate of neuroelectrophysiological test: 75% of NCV, 88% of F-wave, 53% of MCV, 25% of SEP, 47% of EMG and 31% of EEG. There were no significant differences among various types (P 〉 0.05). ② Results of CSF-lg test: There were no significant differences among various types (P 〉 0.05); however, abnormalities in experimental group was higher than those in control group (P 〈 0.01). CONCLUSION : Results of follow-up study suggest that improvement of clinical symptom is earlier than neuroelectrophysiological recovery; MCV and EMG recoveries are faster than that of NCV; the earlier the abnormality of EMG, the poorer the recovery. CSF4g recovers normally along improvement of clinical symptoms. It is of significance for neuroelectrophysiology and abnormality of CSF-Ig to determine degree of peripheral nerve demyelination and prognosis.展开更多
BACKGROUND Autoimmune pancreatitis(AIP)has been linked with elevated immunoglobulin(Ig)G4 levels.The characteristics and outcomes of AIP based on serum markers have not been fully evaluated.AIM To compare clinical fea...BACKGROUND Autoimmune pancreatitis(AIP)has been linked with elevated immunoglobulin(Ig)G4 levels.The characteristics and outcomes of AIP based on serum markers have not been fully evaluated.AIM To compare clinical features,treatment efficacy,and outcome of AIP based on serum IgG4 levels and analyze predictors of relapse.METHODS A total of 213 patients with AIP were consecutively reviewed in our hospital from 2006 to 2021.According to the serum IgG4 level,all patients were divided into two groups,the abnormal group(n=148)with a high level of IgG4[>2×upper limit of normal(ULN)]and the normal group(n=65).The t-test or Mann-Whitney U test was used to compare continuous variables.Categorical parameters were compared by theχ^(2) test or Fisher’s exact test.Kaplan-Meier curves Zhou GZ et al.Clinical characteristics and outcome of AIP WJG https://www.wjgnet.com 5126 September 21,2023 Volume 29 Issue 35 and log-rank tests were established to assess the cumulative relapse rates.Univariate and multivariate analyses were used to investigate potential risk factors of AIP relapse.RESULTS Compared with the normal group,the abnormal group had a higher average male age(60.3±10.4 vs 56.5±12.9 years,P=0.047);higher level of serum total protein(72.5±7.9 g/L vs 67.2±7.5 g/L,P<0.001),IgG4(1420.5±1110.9 mg/dL vs 252.7±106.6 mg/dL,P<0.001),and IgE(635.6±958.1 IU/mL vs 231.7±352.5 IU/mL,P=0.002);and a lower level of serum complement C3(100.6±36.2 mg/dL vs 119.0±45.7 mg/dL,P=0.050).In addition,a lower number of cases with abnormal pancreatic duct and pancreatic atrophy(23.6%vs 37.9%,P=0.045;1.6%vs 8.6%,P=0.020,respectively)and a higher rate of relapse(17.6%vs 6.2%,P=0.030)were seen in the abnormal group.Multivariate analyses revealed that serum IgG4[(>2×ULN),hazard ratio(HR):3.583;95%confidence interval(CI):1.218–10.545;P=0.020]and IgA(>1×ULN;HR:5.908;95%CI:1.199–29.120;P=0.029)and age>55 years(HR:2.383;95%CI:1.056–5.378;P=0.036)were independent risk factors of relapse.CONCLUSION AIP patients with high IgG4 levels have clinical features including a more active immune system and higher relapse rate.Several factors,such as IgG4 and IgA,are associated with relapse.展开更多
In discourse analysis,different analyzer uses different ways to analyze discourse.This essay analyzes Gettysburg Address theoretically and practically based on Function Grammar proposed by M.A.K.Halliday.It aims to ex...In discourse analysis,different analyzer uses different ways to analyze discourse.This essay analyzes Gettysburg Address theoretically and practically based on Function Grammar proposed by M.A.K.Halliday.It aims to explore rather than literal meaning of the Address from different language structures by adopting some theories in Functional Grammar.展开更多
Autoimmune pancreatitis(AIP)is a complex,poorly understood disease gaining increasing attention."Clinical Characteristics and Outcome of AIP Based on Serum IgG4 levels,"investigated AIP with a focus on serum...Autoimmune pancreatitis(AIP)is a complex,poorly understood disease gaining increasing attention."Clinical Characteristics and Outcome of AIP Based on Serum IgG4 levels,"investigated AIP with a focus on serum immunoglobulin(Ig)G4 levels.The 213 patients with AIP were classified according to serum IgG4 levels:Abnormal(elevated)and normal.Patients with higher IgG4 levels exhibited a more active immune system and increased relapse rates.Beyond IgG4,the IgA levels and age independently contributed to relapse risk,guiding risk assessment and tailored treatments for better outcomes.However,limitations persist,such as no IgA correlation with IgG4 levels,absent data on autoantibodypositive AIP cases critical for Asian diagnostic criteria,and unexplored relapse rates in high serum IgG AIP by subtype.Genetic factors and family histories were not addressed.As the understanding and referral of seronegative AIPs increase,there's a growing need for commercially available,highly sensitive,and specific autoantibodies to aid in diagnosing individuals with low or absent serum IgG4 levels.展开更多
Serving multiple cell-edge mobile terminals poses multifaceted challenges due to the increased transmission power and interferences, which could be overcome by relay communications. With the recent advancement of 5G t...Serving multiple cell-edge mobile terminals poses multifaceted challenges due to the increased transmission power and interferences, which could be overcome by relay communications. With the recent advancement of 5G technologies, non-orthogonal multiple access(NOMA) has been used at relay node to transmit multiple messages simultaneously to multiple cell-edge users. In this paper, a Collaborative NOMA Assisted Relaying(CNAR) system for 5G is proposed by enabling the collaboration of source-relay(S-R) and relay-destination(R-D) NOMA links. The relay node of the CNAR decodes the message for itself from S-R NOMA signal and transmits the remaining messages to the multiple cell-edge users in R-D link. A simplified-CNAR(S-CNAR) system is then developed to reduce the relay complexity. The outage probabilities for both systems are analyzed by considering outage behaviors in S-R and R-D links separately. To guarantee the data rate, the optimal power allocation among NOMA users is achieved by minimizing the outage probability. The ergodic sum capacity in high SNR regime is also approximated. Our mathematical analysis and simulation results show that CNAR system outperforms existing transmission strategies and S-CNAR reaches similar performance with much lower complexity.展开更多
Objective This study prospectively investigates the association between immunoglobulin G(IgG)N-glycan traits and ischemic stroke(IS) risk.Methods A nested case-control study was conducted in the China suboptimal healt...Objective This study prospectively investigates the association between immunoglobulin G(IgG)N-glycan traits and ischemic stroke(IS) risk.Methods A nested case-control study was conducted in the China suboptimal health cohort study,which recruited 4,313 individuals in 2013–2014. Cases were identified as patients diagnosed with IS, and controls were 1:1 matched by age and sex with cases. Ig G N-glycans in baseline plasma samples were analyzed.Results A total of 99 IS cases and 99 controls were included, and 24 directly measured glycan peaks(GPs) were separated from Ig G N-glycans. In directly measured GPs, GP4, GP9, GP21, GP22, GP23, and GP24 were associated with the risk of IS in men after adjusting for age, waist and hip circumference,obesity, diabetes, hypertension, and dyslipidemia. Derived glycan traits representing decreased galactosylation and sialylation were associated with IS in men(FBG2S2/(FBG2 + FBG2S1 + FBG2S2): odds ratio(OR) = 0.92, 95% confidence interval(CI): 0.87–0.97;G1n: OR = 0.74, 95% CI: 0.63–0.87;G0n: OR =1.12, 95% CI: 1.03–1.22). However, these associations were not found among women.Conclusion This study validated that altered Ig G N-glycan traits were associated with incident IS in men, suggesting that sex discrepancies might exist in these associations.展开更多
BACKGROUND Immunoglobulin G4-related prostate disease(IgG4-RPD)characterized by a high count of IgG4-positive plasma cells has distinctive serological and radiological findings.Here we report a case of a patient who w...BACKGROUND Immunoglobulin G4-related prostate disease(IgG4-RPD)characterized by a high count of IgG4-positive plasma cells has distinctive serological and radiological findings.Here we report a case of a patient who was successfully treated for IgG4-RPD,which manifested as frequent micturition,dysuric,and systemic lymphadenopathy.CASE SUMMARY The patient was a 33-year-old man who was referred to our hospital because of urinary tract symptoms that had persisted for 4 years.A physical examination revealed systemic lymphadenopathy and blood tests showed hyperglobulinemia with an IgG level of 18.90 g/L and an IgG4 level of 18.40 g/L.Computed tomography(CT)revealed bilateral lacrimal gland,right parotid gland and prostatic enlargement.Based on these findings,IgG4-RD was suspected,and further pathological examination and follow-up results showed expected results.Finally,the patient was diagnosed with IgG4-RPD based on clinical symptoms,pathological examination,therapeutic effects,and follow-up results.He received 50 mg oral prednisolone(the dose was gradually reduced and a low dose was used for long-term maintenance)in combination with cyclophosphamide 1.0 g via an intravenous drip for 6 mo.One year after the treatment was initiated,he was free of urinary or other complaints and his serum IgG4 level normalized.CONCLUSION In IgG4-RPD with severe urinary tract symptoms,radiological findings should be carefully examined.IgG4-RPD prognosis is good because the disease responds well to glucocorticoids.Furthermore,it is urgent for clinicians and pathologists to improve their understanding of IgG4-RPD.展开更多
Autoimmune pancreatitis(AIP)is a rare chronic autoimmune disorder.The diagnosis of AIP mainly depends on histopathology,imaging and response to treatment.Serum immunoglobulin 4(IgG4)is used only as collateral evidence...Autoimmune pancreatitis(AIP)is a rare chronic autoimmune disorder.The diagnosis of AIP mainly depends on histopathology,imaging and response to treatment.Serum immunoglobulin 4(IgG4)is used only as collateral evidence in diagnostic criteria for AIP because of its moderate sensitivity.Serum IgG4 levels are normal in 15%-37%of type 1 AIP and most of type 2 AIP patients.In these patients,the indeterminate imaging and histopathology may lead to the difficulty in definitive diagnosis of AIP.Therefore,discovery of new biomarkers is impor-tant for AIP diagnosis.Here,we provide some views on the progression and challenges in identifying novel serological biomarkers in AIP diagnosis.展开更多
In this editorial we comment on the article by Jaber et al.Autoimmune pancreatitis(AIP)represents a distinct form of pancreatitis,categorized into AIP-1 and AIP-2,characterized by obstructive jaundice,lymphoplasmacyti...In this editorial we comment on the article by Jaber et al.Autoimmune pancreatitis(AIP)represents a distinct form of pancreatitis,categorized into AIP-1 and AIP-2,characterized by obstructive jaundice,lymphoplasmacytic infiltrate,and fibrosis.AIP-1,associated with elevated immunoglobulin G4(IgG4)levels,exhibits higher relapse rates,affecting older males,while AIP-2 is less common and linked to inflammatory bowel disease.AIP is considered a manifestation of IgG4-related systemic disease,sharing characteristic histological findings.Steroids are the primary treatment,with emerging biomarkers like interferon alpha and inter-leukin-33.AIP poses an increased risk of various malignancies,and the assoc-iation with pancreatic cancer is debated.Surgery is reserved for severe cases,necessitating careful evaluation due to diagnostic challenges.AIP patients may have concurrent PanINs but display favorable long-term outcomes compared to pancreatic cancer patients.Thorough diagnostic assessment,including biopsy and steroid response,is crucial for informed surgical decisions in AIP.展开更多
BACKGROUND Autoimmune pancreatitis(AIP)is a rare form of autoimmune-mediated pancrea-titis,which is easily misdiagnosed as pancreatic cancer and thus treated surgi-cally.We studied the diagnosis and treatment of a pat...BACKGROUND Autoimmune pancreatitis(AIP)is a rare form of autoimmune-mediated pancrea-titis,which is easily misdiagnosed as pancreatic cancer and thus treated surgi-cally.We studied the diagnosis and treatment of a patient with type 1 AIP recent-ly admitted to our hospital,and reviewed the literature to provide a reference for clinical diagnosis of AIP.CASE SUMMARY The chief complaint was yellowing of the body,eyes and urine for 21 d.The pa-tient's clinical presentation was obstructive jaundice and imaging suggested pan-creatic swelling.It was difficult to distinguish between inflammation and tumor.Serum immunoglobulin G4(IgG4)was markedly elevated.IgG4 is an important serological marker for type 1 AIP.The patient was diagnosed with AIP,IgG4-related cholangitis,acute cholecystitis and hepatic impairment.After applying hormonal therapy,the patient's symptoms improved significantly.At the same time,imaging suggested that pancreatic swelling subsided,and liver function and other biochemical indicators decreased.The treatment was effective.CONCLUSION In patients with pancreatic swelling,the possibility of AIP should be considered.展开更多
AIM:To clarify the associations between G-protein beta polypeptide 3(GNB3)C825T polymorphism and risk of the irritable bowel syndrome(IBS)by a meta-analysis.METHODS:We searched relevant studies in PubMed,EMBASE,CNKI,G...AIM:To clarify the associations between G-protein beta polypeptide 3(GNB3)C825T polymorphism and risk of the irritable bowel syndrome(IBS)by a meta-analysis.METHODS:We searched relevant studies in PubMed,EMBASE,CNKI,Google Scholar,Ovid and Cochrane library prior to October 2013.The strengths of the associations between GNB3 C825T polymorphism and IBS risk were estimated by odds ratios(ORs)with 95%confidence interval(CIs).RESULTS:We identified seven case-control studies with 1085 IBS cases and 1695 controls for the analysis.We found no significantly associations of GNB3 C825T polymorphism with IBS risk in the overall population(CC vs TT,OR=1.12,95%CI:0.86-1.45;CC+CT vs TT,OR=1.17,95%CI:0.92-1.49;TT+CT vs CC,OR=0.93,95%CI:0.80-1.08;C vs T,OR=1.08,95%CI:0.97-1.21).Subgroup analysis did not reveal significant associations either in Asian population or Caucasian population.The pooled results of four studies fail to show associations of GNB3 C825T polymorphism with subtypes of IBS(constipation-dominant type,diarrheadominant type and mixed type).CONCLUSION:The present study suggests no associations of GNB3 C825T polymorphism with IBS risk.展开更多
Background: Several conducted studies have reported a higher and more frequent Helicobacter pylori infection rate in type 2 diabetes mellitus (T2DM). The aim of this study was to estimation the prevalence of H. pylori...Background: Several conducted studies have reported a higher and more frequent Helicobacter pylori infection rate in type 2 diabetes mellitus (T2DM). The aim of this study was to estimation the prevalence of H. pylori and its association between H. pylori infection and T2DM. Materials and Methods: A sectional-cross study was conducted based on 200 patients studded with socioeconomic characteristics through a questionnaire & H. pylori was diagnosed by serum anti-H. pylori immunoglobulin G (IgG) and IgA. Furthermore, patients were investigated for fasting blood glucose (FBG) levels, glycosylated hemoglobin (HbA1c), serum cholesterol, and other biochemistry parameters. Results: The findings showed The prevalence of Hp positive infection was significantly higher in the total sample was 134 with (67%). While 66 out of 200 patients with (33%) was H. pylori negative infection. of H. pylori. Further, the mean values were statistically significant for diabetes with H. pylori infection for IgG > 300 titer and IgA > 250 titer, regarding, HbA1C (7.52 ± 0.41) (P Conclusions: The current study revealed that H. pylori prevalence infections were significantly higher in diabetic patients studied compared to non-diabetic patients. Furthermore, T2DM patients infected with H. pylori positive reported a higher prevalence rate of symptoms than H. pylori negative.展开更多
基金supported by the National Natural Science Foundation of China(Grant Nos.62072148 and U22A2033)the National Key R&D Program of China(Grant Nos.2022YFB3303000 and 2020YFB1709402)+2 种基金the Zhejiang Provincial Science and Technology Program in China(Grant No.2021C01108)the NSFC-Zhejiang Joint Fund for the Integration of Industrialization and Informatization(Grant No.U1909210)the Fundamental Research Funds for the Provincial Universities of Zhejiang(Grant No.490 GK219909299001-028).
文摘In this paper,we propose a parameterization transfer algorithm for planar domains bounded by B-spline curves,where the shapes of the planar domains are similar.The domain geometries are considered to be similar if their simplified skeletons have the same structures.One domain we call source domain,and it is parameterized using multi-patch B-spline surfaces.The resulting parameterization is C1 continuous in the regular region and G1 continuous around singular points regardless of whether the parameterization of the source domain is C1/G1 continuous or not.In this algorithm,boundary control points of the source domain are extracted from its parameterization as sequential points,and we establish a correspondence between sequential boundary control points of the source domain and the target boundary through discrete sampling and fitting.Transfer of the parametrization satisfies C1/G1 continuity under discrete harmonic mapping with continuous constraints.The new algorithm has a lower calculation cost than a decomposition-based parameterization with a high-quality parameterization result.We demonstrate that the result of the parameterization transfer in this paper can be applied in isogeometric analysis.Moreover,because of the consistency of the parameterization for the two models,this method can be applied in many other geometry processing algorithms,such as morphing and deformation.
基金the National Key Research and Development Program of China(2020YFB1804800)the National Natural Science Foundation of China(No.62071270).
文摘Providing alternative PNT service to GNSS-challenged users will be an important function of next-generation NGSO broadband satellite communication systems.Herein,a packet-based PNT service architecture in NGSO broadband systems is proposed in which a primary satellite and selected assistant satellites work together to provide PNT service to requesting users.Its positioning performance bounds are mathematically formulated by rigorously analyzing the bounds constrained by different waveforms.Simulations are conducted on different configurations of Walker Delta MEO constellations and Walker Star LEO constellations for corroboration,revealing the following:(1)Both MEO and LEO constellations achieve sub-meter-level positioning precision given enough satellites.(2)Compared to the GNSS Doppler-based velocity estimation method,the position advance based velocity estimation algorithm is more precise and applicable to the PNT service in NGSO broadband systems.(3)To provide PNT service to users in GNSS-challenged environments,the primary and each assistant satellite need only∼0.1‰of the time of one downlink beam.
基金The publication is produced within the framework of Ramon Alcarria y Borja Bordel’s research projects on the occasion of their stay at Argonne Labs(Jose Castillejo’s 2021 grant)supported by the Ministry of Science,Innovation andUniversities through the COGNOS project.
文摘Future components to enhance the basic,native security of 5G networks are either complex mechanisms whose impact in the requiring 5G communications are not considered,or lightweight solutions adapted to ultrareliable low-latency communications(URLLC)but whose security properties remain under discussion.Although different 5G network slices may have different requirements,in general,both visions seem to fall short at provisioning secure URLLC in the future.In this work we address this challenge,by introducing cost-security functions as a method to evaluate the performance and adequacy of most developed and employed non-native enhanced security mechanisms in 5G networks.We categorize those new security components into different groups according to their purpose and deployment scope.We propose to analyze them in the context of existing 5G architectures using two different approaches.First,using model checking techniques,we will evaluate the probability of an attacker to be successful against each security solution.Second,using analytical models,we will analyze the impact of these security mechanisms in terms of delay,throughput consumption,and reliability.Finally,we will combine both approaches using stochastic cost-security functions and the PRISM model checker to create a global picture.Our results are first evidence of how a 5G network that covers and strengthened all security areas through enhanced,dedicated non-native mechanisms could only guarantee secure URLLC with a probability of∼55%.
文摘BACKGROUND: Guillain-Barre syndrome (GBS) is an autoimmune disease which is characterized by demyelination of peripheral nerve and nerve root, and inflammatory reaction of lymphocyte and macrophage. Neuroelectrophysiological examination and cerebrospinal fluid (CSF) analysis are of significance for its diagnosis. OBJECTIVE: To study the association of neuroelectrophysiology and cerebrospinal fluid immunoglobulin (CSF-lg) with pathogenetic conditions of patients with GBS. DESIGN: Case control study SETTING: Department of Neurology, Shenzhen Municipal Shekou Group Hospital; Department of Neuroelectrophysiology, People's Hospital of Guangdong Province. PARTICIPANTS: A total of 32 GBS patients including 18 males and 14 females who aged from 17 to 72 years were selected as experimental group from the Department of Neurology, People's Hospital of Guang- dong Province from January 2004 to December 2005. All cases conformed with GBS diagnostic criteria established by Asbury in 1990 and they were divided into three types according to neurological criteria established by Chinese Neurology and Psychology Journal in 1993: mild, moderate and severe types. Another 30 patients with vascular headache were selected as control group from the same hospital including 14 males and 16 females who aged from 17 to 79 years. METHODS: ① Neuroelectrophysiological examination: Multiple-functional electromyography device provided by Nicolet Company, USA was used to measure nerve conduction velocity (NCV), including motor nerve conduction velocity (MCV) and sensory nerve conduction velocity (SCV); meanwhile, electromyologram (EMG), somatosensory evoked potential (SEP) and electroencephalogram (EEG) were also measured. ② Detection of CSF-lg: Concentrations of IgG, IgA and IgM were measured with immunofixation electrophoresis. ③Follow-up: Among 32 GBS patients, 14 cases received follow-up after treatment and the longest fol- low-up time was 1 year after onset. Among them, 8 cases were reexaminined with neuroelectrophysiological and CSF examinations. MAIN OUTCOME MEASURES: Results of NCV, EMG, SEP and EEG; comparison of CSF-lg content; results of follow-up examinations. RESULTS: All 32 GBS cases and 30 patients with vascular headache were involved in the final analysis. ① Abnormal rate of neuroelectrophysiological test: 75% of NCV, 88% of F-wave, 53% of MCV, 25% of SEP, 47% of EMG and 31% of EEG. There were no significant differences among various types (P 〉 0.05). ② Results of CSF-lg test: There were no significant differences among various types (P 〉 0.05); however, abnormalities in experimental group was higher than those in control group (P 〈 0.01). CONCLUSION : Results of follow-up study suggest that improvement of clinical symptom is earlier than neuroelectrophysiological recovery; MCV and EMG recoveries are faster than that of NCV; the earlier the abnormality of EMG, the poorer the recovery. CSF4g recovers normally along improvement of clinical symptoms. It is of significance for neuroelectrophysiology and abnormality of CSF-Ig to determine degree of peripheral nerve demyelination and prognosis.
基金Young Scholar Independent Innovation Science Fund of Chinese PLA General Hospital,No.22QNCZ020National Key Research and Development Program,No.2022YFC2504003.
文摘BACKGROUND Autoimmune pancreatitis(AIP)has been linked with elevated immunoglobulin(Ig)G4 levels.The characteristics and outcomes of AIP based on serum markers have not been fully evaluated.AIM To compare clinical features,treatment efficacy,and outcome of AIP based on serum IgG4 levels and analyze predictors of relapse.METHODS A total of 213 patients with AIP were consecutively reviewed in our hospital from 2006 to 2021.According to the serum IgG4 level,all patients were divided into two groups,the abnormal group(n=148)with a high level of IgG4[>2×upper limit of normal(ULN)]and the normal group(n=65).The t-test or Mann-Whitney U test was used to compare continuous variables.Categorical parameters were compared by theχ^(2) test or Fisher’s exact test.Kaplan-Meier curves Zhou GZ et al.Clinical characteristics and outcome of AIP WJG https://www.wjgnet.com 5126 September 21,2023 Volume 29 Issue 35 and log-rank tests were established to assess the cumulative relapse rates.Univariate and multivariate analyses were used to investigate potential risk factors of AIP relapse.RESULTS Compared with the normal group,the abnormal group had a higher average male age(60.3±10.4 vs 56.5±12.9 years,P=0.047);higher level of serum total protein(72.5±7.9 g/L vs 67.2±7.5 g/L,P<0.001),IgG4(1420.5±1110.9 mg/dL vs 252.7±106.6 mg/dL,P<0.001),and IgE(635.6±958.1 IU/mL vs 231.7±352.5 IU/mL,P=0.002);and a lower level of serum complement C3(100.6±36.2 mg/dL vs 119.0±45.7 mg/dL,P=0.050).In addition,a lower number of cases with abnormal pancreatic duct and pancreatic atrophy(23.6%vs 37.9%,P=0.045;1.6%vs 8.6%,P=0.020,respectively)and a higher rate of relapse(17.6%vs 6.2%,P=0.030)were seen in the abnormal group.Multivariate analyses revealed that serum IgG4[(>2×ULN),hazard ratio(HR):3.583;95%confidence interval(CI):1.218–10.545;P=0.020]and IgA(>1×ULN;HR:5.908;95%CI:1.199–29.120;P=0.029)and age>55 years(HR:2.383;95%CI:1.056–5.378;P=0.036)were independent risk factors of relapse.CONCLUSION AIP patients with high IgG4 levels have clinical features including a more active immune system and higher relapse rate.Several factors,such as IgG4 and IgA,are associated with relapse.
文摘In discourse analysis,different analyzer uses different ways to analyze discourse.This essay analyzes Gettysburg Address theoretically and practically based on Function Grammar proposed by M.A.K.Halliday.It aims to explore rather than literal meaning of the Address from different language structures by adopting some theories in Functional Grammar.
文摘Autoimmune pancreatitis(AIP)is a complex,poorly understood disease gaining increasing attention."Clinical Characteristics and Outcome of AIP Based on Serum IgG4 levels,"investigated AIP with a focus on serum immunoglobulin(Ig)G4 levels.The 213 patients with AIP were classified according to serum IgG4 levels:Abnormal(elevated)and normal.Patients with higher IgG4 levels exhibited a more active immune system and increased relapse rates.Beyond IgG4,the IgA levels and age independently contributed to relapse risk,guiding risk assessment and tailored treatments for better outcomes.However,limitations persist,such as no IgA correlation with IgG4 levels,absent data on autoantibodypositive AIP cases critical for Asian diagnostic criteria,and unexplored relapse rates in high serum IgG AIP by subtype.Genetic factors and family histories were not addressed.As the understanding and referral of seronegative AIPs increase,there's a growing need for commercially available,highly sensitive,and specific autoantibodies to aid in diagnosing individuals with low or absent serum IgG4 levels.
文摘Serving multiple cell-edge mobile terminals poses multifaceted challenges due to the increased transmission power and interferences, which could be overcome by relay communications. With the recent advancement of 5G technologies, non-orthogonal multiple access(NOMA) has been used at relay node to transmit multiple messages simultaneously to multiple cell-edge users. In this paper, a Collaborative NOMA Assisted Relaying(CNAR) system for 5G is proposed by enabling the collaboration of source-relay(S-R) and relay-destination(R-D) NOMA links. The relay node of the CNAR decodes the message for itself from S-R NOMA signal and transmits the remaining messages to the multiple cell-edge users in R-D link. A simplified-CNAR(S-CNAR) system is then developed to reduce the relay complexity. The outage probabilities for both systems are analyzed by considering outage behaviors in S-R and R-D links separately. To guarantee the data rate, the optimal power allocation among NOMA users is achieved by minimizing the outage probability. The ergodic sum capacity in high SNR regime is also approximated. Our mathematical analysis and simulation results show that CNAR system outperforms existing transmission strategies and S-CNAR reaches similar performance with much lower complexity.
基金supported by grants from the National Natural Science Foundation of China [No.81673247, 8187268281903401]。
文摘Objective This study prospectively investigates the association between immunoglobulin G(IgG)N-glycan traits and ischemic stroke(IS) risk.Methods A nested case-control study was conducted in the China suboptimal health cohort study,which recruited 4,313 individuals in 2013–2014. Cases were identified as patients diagnosed with IS, and controls were 1:1 matched by age and sex with cases. Ig G N-glycans in baseline plasma samples were analyzed.Results A total of 99 IS cases and 99 controls were included, and 24 directly measured glycan peaks(GPs) were separated from Ig G N-glycans. In directly measured GPs, GP4, GP9, GP21, GP22, GP23, and GP24 were associated with the risk of IS in men after adjusting for age, waist and hip circumference,obesity, diabetes, hypertension, and dyslipidemia. Derived glycan traits representing decreased galactosylation and sialylation were associated with IS in men(FBG2S2/(FBG2 + FBG2S1 + FBG2S2): odds ratio(OR) = 0.92, 95% confidence interval(CI): 0.87–0.97;G1n: OR = 0.74, 95% CI: 0.63–0.87;G0n: OR =1.12, 95% CI: 1.03–1.22). However, these associations were not found among women.Conclusion This study validated that altered Ig G N-glycan traits were associated with incident IS in men, suggesting that sex discrepancies might exist in these associations.
基金Supported by the Guangdong Provincial Bureau of Traditional Chinese Medicine,No.20222065Science and Technology Planning Project of Guangdong Province of China,No.A2021100National Natural Science Foundation of China,No.82104989。
文摘BACKGROUND Immunoglobulin G4-related prostate disease(IgG4-RPD)characterized by a high count of IgG4-positive plasma cells has distinctive serological and radiological findings.Here we report a case of a patient who was successfully treated for IgG4-RPD,which manifested as frequent micturition,dysuric,and systemic lymphadenopathy.CASE SUMMARY The patient was a 33-year-old man who was referred to our hospital because of urinary tract symptoms that had persisted for 4 years.A physical examination revealed systemic lymphadenopathy and blood tests showed hyperglobulinemia with an IgG level of 18.90 g/L and an IgG4 level of 18.40 g/L.Computed tomography(CT)revealed bilateral lacrimal gland,right parotid gland and prostatic enlargement.Based on these findings,IgG4-RD was suspected,and further pathological examination and follow-up results showed expected results.Finally,the patient was diagnosed with IgG4-RPD based on clinical symptoms,pathological examination,therapeutic effects,and follow-up results.He received 50 mg oral prednisolone(the dose was gradually reduced and a low dose was used for long-term maintenance)in combination with cyclophosphamide 1.0 g via an intravenous drip for 6 mo.One year after the treatment was initiated,he was free of urinary or other complaints and his serum IgG4 level normalized.CONCLUSION In IgG4-RPD with severe urinary tract symptoms,radiological findings should be carefully examined.IgG4-RPD prognosis is good because the disease responds well to glucocorticoids.Furthermore,it is urgent for clinicians and pathologists to improve their understanding of IgG4-RPD.
文摘Autoimmune pancreatitis(AIP)is a rare chronic autoimmune disorder.The diagnosis of AIP mainly depends on histopathology,imaging and response to treatment.Serum immunoglobulin 4(IgG4)is used only as collateral evidence in diagnostic criteria for AIP because of its moderate sensitivity.Serum IgG4 levels are normal in 15%-37%of type 1 AIP and most of type 2 AIP patients.In these patients,the indeterminate imaging and histopathology may lead to the difficulty in definitive diagnosis of AIP.Therefore,discovery of new biomarkers is impor-tant for AIP diagnosis.Here,we provide some views on the progression and challenges in identifying novel serological biomarkers in AIP diagnosis.
文摘In this editorial we comment on the article by Jaber et al.Autoimmune pancreatitis(AIP)represents a distinct form of pancreatitis,categorized into AIP-1 and AIP-2,characterized by obstructive jaundice,lymphoplasmacytic infiltrate,and fibrosis.AIP-1,associated with elevated immunoglobulin G4(IgG4)levels,exhibits higher relapse rates,affecting older males,while AIP-2 is less common and linked to inflammatory bowel disease.AIP is considered a manifestation of IgG4-related systemic disease,sharing characteristic histological findings.Steroids are the primary treatment,with emerging biomarkers like interferon alpha and inter-leukin-33.AIP poses an increased risk of various malignancies,and the assoc-iation with pancreatic cancer is debated.Surgery is reserved for severe cases,necessitating careful evaluation due to diagnostic challenges.AIP patients may have concurrent PanINs but display favorable long-term outcomes compared to pancreatic cancer patients.Thorough diagnostic assessment,including biopsy and steroid response,is crucial for informed surgical decisions in AIP.
文摘BACKGROUND Autoimmune pancreatitis(AIP)is a rare form of autoimmune-mediated pancrea-titis,which is easily misdiagnosed as pancreatic cancer and thus treated surgi-cally.We studied the diagnosis and treatment of a patient with type 1 AIP recent-ly admitted to our hospital,and reviewed the literature to provide a reference for clinical diagnosis of AIP.CASE SUMMARY The chief complaint was yellowing of the body,eyes and urine for 21 d.The pa-tient's clinical presentation was obstructive jaundice and imaging suggested pan-creatic swelling.It was difficult to distinguish between inflammation and tumor.Serum immunoglobulin G4(IgG4)was markedly elevated.IgG4 is an important serological marker for type 1 AIP.The patient was diagnosed with AIP,IgG4-related cholangitis,acute cholecystitis and hepatic impairment.After applying hormonal therapy,the patient's symptoms improved significantly.At the same time,imaging suggested that pancreatic swelling subsided,and liver function and other biochemical indicators decreased.The treatment was effective.CONCLUSION In patients with pancreatic swelling,the possibility of AIP should be considered.
文摘AIM:To clarify the associations between G-protein beta polypeptide 3(GNB3)C825T polymorphism and risk of the irritable bowel syndrome(IBS)by a meta-analysis.METHODS:We searched relevant studies in PubMed,EMBASE,CNKI,Google Scholar,Ovid and Cochrane library prior to October 2013.The strengths of the associations between GNB3 C825T polymorphism and IBS risk were estimated by odds ratios(ORs)with 95%confidence interval(CIs).RESULTS:We identified seven case-control studies with 1085 IBS cases and 1695 controls for the analysis.We found no significantly associations of GNB3 C825T polymorphism with IBS risk in the overall population(CC vs TT,OR=1.12,95%CI:0.86-1.45;CC+CT vs TT,OR=1.17,95%CI:0.92-1.49;TT+CT vs CC,OR=0.93,95%CI:0.80-1.08;C vs T,OR=1.08,95%CI:0.97-1.21).Subgroup analysis did not reveal significant associations either in Asian population or Caucasian population.The pooled results of four studies fail to show associations of GNB3 C825T polymorphism with subtypes of IBS(constipation-dominant type,diarrheadominant type and mixed type).CONCLUSION:The present study suggests no associations of GNB3 C825T polymorphism with IBS risk.
文摘Background: Several conducted studies have reported a higher and more frequent Helicobacter pylori infection rate in type 2 diabetes mellitus (T2DM). The aim of this study was to estimation the prevalence of H. pylori and its association between H. pylori infection and T2DM. Materials and Methods: A sectional-cross study was conducted based on 200 patients studded with socioeconomic characteristics through a questionnaire & H. pylori was diagnosed by serum anti-H. pylori immunoglobulin G (IgG) and IgA. Furthermore, patients were investigated for fasting blood glucose (FBG) levels, glycosylated hemoglobin (HbA1c), serum cholesterol, and other biochemistry parameters. Results: The findings showed The prevalence of Hp positive infection was significantly higher in the total sample was 134 with (67%). While 66 out of 200 patients with (33%) was H. pylori negative infection. of H. pylori. Further, the mean values were statistically significant for diabetes with H. pylori infection for IgG > 300 titer and IgA > 250 titer, regarding, HbA1C (7.52 ± 0.41) (P Conclusions: The current study revealed that H. pylori prevalence infections were significantly higher in diabetic patients studied compared to non-diabetic patients. Furthermore, T2DM patients infected with H. pylori positive reported a higher prevalence rate of symptoms than H. pylori negative.