Development and refinement of diagnostic and therapeutic strategies for managing patients with cardiogenic stroke:An arduous journey

Cardioembolic stroke,referred to as cardiogenic stroke,is a clinical syndrome in which emboli from the heart pass through the circulatory system and cause cerebral artery embolism and corresponding brain dysfunction.Compared to other subtypes of ischemic stroke,cardiogenic stroke presents with more etiologies,greater severity,worse prognosis,and a higher recurrence rate.In this minireview,we provide new insights into the etiological classification,diagnostic methods,and interventions of cardiogenic stroke.

Current Problems of the Diagnostics and Treatment of Sepsis and Burn Injuries: The Modified Pathogenetic Concept

Background: The deep understanding of pathogenesis is a key moment in the formation of the modern strategy of modern medicine. We conducted the thorough analysis of the microscopic processes occurring in the bodies of patients with purulent-septic complications. The modified pathogenetic concept of the diagnostic and treatment model of diseases with septic complications is presented. The obtained information about the mechanisms of origin and development of these diseases is fundamentally important for finding the modern effective methods of treating patients. The aim of the research is to modify treatment tactics for patients with sepsis and burn injuries based on the modified pathogenetic concept using modern diagnostics, i.e. the method of fluorescence spectroscopy (MFS) and biomarkers. Materials and Methods: The proposed modified pathogenetic concept of the diagnostic and treatment model of diseases with purulent-septic complications along with standard methods was used successfully for effective treatment of 15 patients with sepsis and 25 with burn injuries. Results: 3 main scenarios of behaviour of spectral-fluorescence characteristics of patients with sepsis are illustrated. Spectral-fluorescence markers of sepsis were studied, which are informative 24 to 48 hours before the appearance of obvious clinical and laboratory signs of significant changes in the general somatic status of patients. Conclusions: The proposed diagnostic and therapeutic approach is new and fundamentally important for diagnostics and monitoring of the process of treatment of patients with purulent-septic diseases and burn injuries. An in-depth understanding of the dynamics of septic complications and the corresponding changes of the main markers of these diseases during treatment is especially relevant. The use of infusion therapy with solutions of donor albumin as an effective pathogenetic treatment is scientifically justified.

Research Progress of Noninvasive Diagnostic Methods for Nonalcoholic Steatohepatitis

Distinguishing between nonalcoholic steatohepatitis(NASH) and advanced liver fibrosis is the key for clinical diagnosis of non-alcoholic fatty liver disease(NAFLD). Liver biopsy, which is widely used for diagnosis of liver diseases at present, has many drawbacks, such as being invasive, expensive and unstable. This article compares and summarizes the commonly used non-invasive diagnostic methods, including their diagnostic parameters, advantages and disadvantages, in order to provide a useful reference for the diagnosis of NASH.

Research on Extension Evaluation of Rural Road Maintenance Quality Based on Game Theory

The importance of rural highway maintenance is self-evident, and it is also a basic work of the highway operation department. Selecting an appropriate evaluation method can timely and accurately find the pavement diseases, and improve the timeliness of pavement repair. To improve the accuracy of pavement quality comprehensive evaluation, based on the game theory, the improved extension evaluation method was combined with subjective and objective weight determination methods in this paper, to propose a comprehensive weight determination method with a good operability. The results show that the improved extension evaluation method provides a feasible scheme for rural highway maintenance quality evaluation

Engineering Geological Zoning of Soft-Soil Foundation Based on Combination Weighting and Extension Methods

Different criteria and factors are used in different methods of soft soil foundation settlement calculation and engineering geological zoning.The methods used are not universally suitable for complex geological environments.The post-construction settlement of soft soil foundations are especially large and difficult to calculate.In addition,there are many deficiencies in the current methods used for engineering geological zoning.Focusing on the need of establishing engineering geological zoning for areas with soft soil foundations in the Tianjin Marine Economic Area,combination weighting and extension methods were introduced.An evaluation model for the settlement of soft soil foundations was established using multiple factors and large amounts of data.This evaluation model is accurate and objective for delineating engineering geological zoning.These methods eliminate deficiencies by considering both objective and subjective factors,and help obtain an objective and accurate result.

Study of Failure Diagnostic Methods and Intelligent Diagnostic System for Reciprocating Compressors

Three categories of failure diagnostic methods for reciprocating compressors are classified according to the signals adopted by the diagnosis. They are parameter method, vibration method, and oil analysis method. In this paper, the applicable range and operational difficulties of these methods are discussed on the basis of analysis and induction upon normal failure. It is proposed that a compressor's normal failure can be divided into thermodynamical property failure and mechanical function failure. As to the former, the parameter method that takes a cylinder pressure signal as the main diagnostic signal may be applied; and as to the latter, the vibration signal frequency spectrum can be used to diagnose. At the same time, the structure of an intelligent diagnostic system based on neural networks is introduced, and its schematic is given.

The Pathogenetic Concept of the Diagnostic-Treatment Approach for Patients with Purulent-Septic Complications

Background: The significant improvement of immediate and long-term functional results of treating patients is the fundamental problem of modern medical science. A deep understanding of the pathogenesis is the key point in creating the management strategy for patients with various diseases. Information about the mechanisms of origin and development of purulent-inflammatory diseases and sepsis is essential for finding effective ways to prevent and treat them. The aim of the research is to use the method of fluorescence spectroscopy in creating the pathogenetic diagnostic and treatment model for the prevention and treatment of purulent-inflammatory diseases and sepsis, modification of treatment tactics, search for new markers of purulent-septic diseases, as well as monitoring of patients during the treatment. Materials and methods: The proposed approach, along with standard diagnostic methods, was used to organize the treatment process of 100 patients with purulent-inflammatory diseases, including 15 patients with sepsis, 35 with acute inflammatory abdominal pathology, 20 patients with burn injury (main group) and 35 patients with burn injury (comparison group). Results: The behavior of spectral-fluorescent characteristics in their dynamics has been studied, and the new markers for assessing patients’ conditions have been proposed. Their effectiveness for the diagnosis of purulent-septic diseases has been proved, which advances the results of standard research methods by 24 - 48 hours. Conclusions: The proposed diagnostic and treatment approach is fundamentally important for diagnosis and monitoring during the treatment of patients with purulent-septic diseases. Particularly relevant is the proposal to modify the treatment process for these patients, associated with the use of infusion of donor albumin solutions.

THE ACCELERATED SEARCH-EXTENSION METHOD FOR COMPUTING MULTIPLE SOLUTIONS OF SEMILINEAR PDEs

In this paper, we propose an accelerated search-extension method （ASEM） based on the interpolated coefficient finite element method, the search-extension method （SEM） and the two-grid method to obtain the multiple solutions for semilinear elliptic equations. This strategy is not only successfully implemented to obtain multiple solutions for a class of semilinear elliptic boundary value problems, but also reduces the expensive computation greatly. The numerical results in I-D and 2-D cases will show the efficiency of our approach.

Salivary metabolites are promising noninvasive biomarkers of druginduced liver injury

BACKGROUND Drug-induced liver injury(DILI)is one of the most common adverse events of medication use,and its incidence is increasing.However,early detection of DILI is a crucial challenge due to a lack of biomarkers and noninvasive tests.AIM To identify salivary metabolic biomarkers of DILI for the future development of noninvasive diagnostic tools.METHODS Saliva samples from 31 DILI patients and 35 healthy controls(HCs)were subjected to untargeted metabolomics using ultrahigh-pressure liquid chromatography coupled with tandem mass spectrometry.Subsequent analyses,including partial least squares-discriminant analysis modeling,t tests and weighted metabolite coexpression network analysis(WMCNA),were conducted to identify key differentially expressed metabolites(DEMs)and metabolite sets.Furthermore we utilized least absolute shrinkage and selection operato and random fores analyses for biomarker prediction.The use of each metabolite and metabolite set to detect DILI was evaluated with area under the receiver operating characteristic curves.RESULTS We found 247 differentially expressed salivary metabolites between the DILI group and the HC group.Using WMCNA,we identified a set of 8 DEMs closely related to liver injury for further prediction testing.Interestingly,the distinct separation of DILI patients and HCs was achieved with five metabolites,namely,12-hydroxydodecanoic acid,3-hydroxydecanoic acid,tetradecanedioic acid,hypoxanthine,and inosine(area under the curve:0.733-1).CONCLUSION Salivary metabolomics revealed previously unreported metabolic alterations and diagnostic biomarkers in the saliva of DILI patients.Our study may provide a potentially feasible and noninvasive diagnostic method for DILI,but further validation is needed.

On Relations between the General Recurrence Formula of the Extension of Murase-Newton’s Method (the Extension of Tsuchikura*-Horiguchi’s Method) and Horner’s Method

In 1673, Yoshimasu Murase made a cubic equation to obtain the thickness of a hearth. He introduced two kinds of recurrence formulas of square and the deformation (Ref.[1]). We find that the three formulas lead to the extension of Newton-Raphson’s method and Horner’s method at the same time. This shows originality of Japanese native mathematics (Wasan) in the Edo era (1600- 1867). Suzuki (Ref.[2]) estimates Murase to be a rare mathematician in not only the history of Wasan but also the history of mathematics in the world. Section 1 introduces Murase’s three solutions of the cubic equation of the hearth. Section 2 explains the Horner’s method. We give the generalization of three formulas and the relation between these formulas and Horner’s method. Section 3 gives definitions of Murase-Newton’s method (Tsuchikura-Horiguchi’s method), general recurrence formula of Murase-Newton’s method (Tsuchikura-Horiguchi’s method), and general recurrence formula of the extension of Murase-Newton’s method (the extension of Tsuchikura-Horiguchi’s method) concerning n-degree polynomial equation. Section 4 is contents of the title of this paper.

Pivotal role of exosomes in diagnosis and treatment of esophageal cancer in a new era of precision medicine

In this editorial we comment on the article published by Ning et al,“Role of exosomes in metastasis and therapeutic resistance in esophageal cancer”.Esophageal cancer(EC)represents a significant global health concern,being the seventh most common and sixth in terms of mortality worldwide.Despite the advances in therapeutic modalities,the management of patients with EC remains challenging,with a 5-year survival rate of only 25%and a limited eligibility for curative surgery due to its late diagnosis.Conventional screening methods are impractical for the early detection of EC,given their either invasive or insensitive nature.The advent of liquid biopsy,with a focus on circulating tumor cells,circulating tumor DNA,and exosomes,heralds a non-invasive avenue for cancer detection.Exosomes,small vesicles involved in intercellular communication,are highlighted as potential biomarkers for EC diagnosis and prognosis.Along with a diverse cargo encompassing various types of RNA,DNA molecules,proteins,and metabolites,exosomes emerge as key players in tumorigenesis,tumor development,and metastasis.Their significance extends to carrying distinctive biomarkers,including microRNAs(miRNAs),long non-coding RNAs,and circular RNAs,underscoring their potential diagnostic and prognostic value.Furthermore,exosomes may be utilized for therapeutic purposes in the context of EC treatment,serving as efficient delivery vehicles for therapeutic agents such as chemotherapeutic medicines and miRNAs.In this editorial we delve into the applications of exosomes for the early detection and treatment of EC,as well as the future perspectives.

Diagnostic Validity of Cica Beta Test 1 for the Detection of Extended Spectrum Beta-Lactamase (ESBL) Producing Gram Negative Bacteria by Comparing with Phenotypic Method

Background: Detection of extended spectrum beta lactamase producing bacteria is an important issue in the clinical settings. Objective: The purpose of the present study was to validate the Cica Beta Test 1 for detection of extended spectrum beta-lactamase (ESBL) producing bacteria. Method: This analytical type of cross-sectional study was carried out in the Department of Microbiology and Immunology at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from January 2006 to December 2006 for a period of one (01) year. All the patients presented with the clinical features of urinary tract infection and surgical as well as burn wound infection at any age with both sexes were selected as study population. All bacteria were isolated and identified by their colony morphology, staining characters, pigment production, motility and other relevant biochemical tests. Phenotypic confirmation of ESBLs producing isolates were done by inhibitor potentiated disc diffusion test according to CLSI recommendation. The Cica Beta Test 1 was performed according to the manufacturer’s instructions. Result: A total number of 288 Gram negative bacteria were isolated. Among these isolates Cica Beta test 1 was positive in 97 strains and phenotypic confirmatory test was positive in 89 strains. The test sensitivity of Cica Beta Test 1 was 100% (95% CI 95.9% to 100.0%). Specificity of the test was 96.0% (95% CI 92.2% to 98.2%). The positive predictive value (PPV) and negative predictive value (NPV) were 92.7% (95% CI 84.5% to 95.7%) and 100.0% (95% CI 98.0% to 100.0%) respectively. The accuracy of the test was 97.2% (95% CI 95.1% to 99.1%). Area under ROC curve = 0.980 (95% CI 0.964 to 0.996);p value 0.0001. Conclusion: In conclusion, Cica Beta Test 1 is very high sensitivity and specificity for the detection of ESBL from Gram negative bacteria.

THE APPLICATION AND EXTENSION OF SACHS METHOD

In this paper,we present the simplification of Sachs formulas for the measurement and calculation of the residual stresses of the cylinder only with the plane stresses. Furthermore, we present the method for the measurement and calculation of the residual stresses of the cylinder not only with the finite length but with the longitudinal stress. These can be applied to the investigation on the residual stresses of the autofretted gun tube.

A Study of the Technique of Western Blot for Diagnosis of Lyme Disease caused by Borrelia afzelii in China

Objective To study the technique of Western blot for the diagnosis of Lyme disease caused by Borrelia afzelii in China and to establish the standard criteria by operational procedure. Methods FP1, which is the representative strain of B. afzelii in China, was analyzed by SDS-PAGE, electro transfer and irnmunoblotting assays. The molecular weights of the protein bands of FP1 were analyzed by Gel-Pro analysis software. In a study using 451 serum samples （159 patients with Lyme disease and 292 controls）, all observed bands were recorded. The accuracy of the WB as a diagnostic test was established by using the ROC curve and Youden index. Results Criteria for a positive diagnosis of Lyme disease were established as at least one band of P83/100, P58, P39, OspB, OspA, P30, P28, OspC, P17, and P14 in the IgG test and at least one band of P83/100, P58, P39, OspA, P30, P28, OspC, P17, and P41 in the IgM test. For IgG criteria, the sensitivity, specificity and Youden index were 69.8%, 98.3%, and 0.681, respectively; for IgM criteria, the sensitivity, specificity and Youden index were 47%, 94.2%, and 0.412, respectively.

Development of a reverse-transcription loop-mediated isothermal amplification assay to detect avian influenza viruses in clinical specimens

In recent years,the avian influenza has brought not only serious economic loss to the poultry industry in China but also a serious threat to human health because of the avian influenza virus(AIV) gene recombination and reassortment.Until now,traditional RT-PCR,fluorescence RT-PCR and virus isolation identification have been developed and utilized to detect AIV,but these methods require high-level instruments and experimental conditions,not suitable for the rapid detection in field and farms.In order to develop a rapid,sensitive and practical method to detect and identify AIV subtypes,4 specific primers to the conserved region of AIV M gene were designed and a loop-mediated isothermal amplification(RT-LAMP) method was established.Using this method,the M gene of H1–H16 subtypes of AIV were amplified in 30 min with a water bath and all 16 H subtypes of AIV were able to be visually identified in presence of fluorescein,without cross reaction with other susceptible avian viruses.In addition,the detection limit of the common H1,H5,H7,and H9 AIV subtypes with the RT-LAMP method was 0.1 PFU(plaque-forming unit),which was 10 times more sensitive than that using the routine RT-PCR.Further comparative tests found that the positivity rate of RT-LAMP on detecting clinical samples was 4.18%(14/335) comparing with 3.58%(12/335) from real-time RT-PCR.All these results suggested that the RT-LAMP method can specifically detect and identify AIV with high sensitivity and can be considered as a fast,convenient and practical method for the clinic test and epidemiological investigation of AIV.

Evaluation of Multidrug Resistant Loop-mediated Isothermal Amplification Assay for Detecting the Drug Resistance of Mycobacterium tuberculosis

Objective To evaluate multidrug resistant loop-mediated isothermal amplification(MDR-LAMP)assay for the early diagnosis of multidrug-resistant tuberculosis and to compare the mutation patterns associated with the rpoB,katG,and inhA genes at the Chinese Center for Disease Control and Prevention.Methods MDR-LAMP assay was evaluated using 100 Mycobacterium tuberculosis(Mtb)isolates obtained from the National Reference Laboratory for Tuberculosis in China.Phenotypic resistance to isoniazid and rifampicin and whole-genome sequencing served as reference standards.Results The sensitivity,specificity,positive predictive value(PPV),and negative predictive value(NPV)of MDR-LAMP were 85.5%,93.6%,96.7%,and 74.4%for the detection of resistance to isoniazid and rifampicin,respectively,and 80.5%,92.3%,98.6%,and 41.4%for the detection of Mtb cultured from smear-positive sputum samples,respectively.When DNA sequencing was used as the reference standard,the sensitivity,specificity,PPV,and NPV of MDR-LAMP were 93.1%,92.3%,97.2%,and 82.8%for the detection of katG and inhA gene mutations,respectively,and 89.1%,88.9%,93.4%,and 81.1%for the detection of rpoB gene mutation,respectively.Conclusion MDR-LAMP is a rapid and accessible assay for the laboratory identification of rifampicin and isoniazid resistance of Mtb isolates.

EXTENSIONS OF SOME INEQUALITIES

By using a simple analytic method the following inequalities are proved:(b x+y -a x+y )/(b x-a x)≥[(x+y)/x][(a+b)/2] y, for 0<a<b,x≥1,y>0,x+y≥2; (b x+y -a x+y )/(b x-a x)<[(x+y)/x][(a+b)/2] y, for 0<a<b,0<x<1,y>0,x+y≤2. These inequalities are the extensions of inequalities of Qi Feng, Xu Senlin and Zheng Lin. And a conjection of Qi Feng is proved not true.

Review: Progress in the Preparation of Iron Based Magnetic Nanoparticles for Biomedical Applications

With unique physical properties, chemical properties, and biological effects, magnetic nanomaterials are important functional materials in many fields. In the past decades, iron based magnetic nanomaterials have attracted much attention in the biomedicine field due to their superior magnetic properties and great potential in biomedical applications. In particular, magnetic iron oxide nanoparticles(MIONPs) have been playing a crucial role in the biomedicine field because of their diagnostic and therapeutic functions. Meanwhile, MIONPs are benign, low toxic, biocompatible, and biodegradable, so they are the only inorganic magnetic nanomaterials approved by the U.S. Food and Drug Administration(FDA) for clinical use at present. In this review, we mainly introduce the progress in the preparation of iron based magnetic nanomaterials for biomedical applications, including pure iron nanoparticles, iron-based alloy nanoparticles, and MIONPs, with a focus on MIONPs. Also, we summarize the preparation methods of MIONPs and point out the importance of their developments.

PHASE EXTENSION AND STRUCTURE ANALYSIS BY THE MAXIMUM ENTROPY METHOD

Excellent results are obtained in structure analysis with jew phases of structure factors by the maximum-entropy method (MEM) for CaGaN PbCO3 and ReBe22 single crystals. The computation time and memory space are minimized by symmetry operations so that structure analysis by the MEM can be carried out with a personal computer.

Comparisons of Methods for Pregnancy Diagnosis in Female Poodles

In this study, five 2 -4 years old healthy female poodles were selected and mated after spontaneous estrus for pregnancy diagnosis with external observa- tion, human chorionic gonadotropin colloidal gold rapid test strips （human early pregnancy test strips）, ultrasonic diagnosis and blood routine examination. Accord- ing to the results, female dogs showed abdominal circumference increment and mammogenesis from a month post-mating to parturition and lactated before parturi- tion. At 5, 6, 7, 15, 25 and 35 d post-mating, pregnancy diagnosis with human chorionic gonadotropin colloidal gold rapid test strips showed negative results. Hu- man early pregnancy test strips can not be used for pregnancy diagnosis in female dogs. Currently, ultrasonic method is the most accurate method to diagnose preg- nancy in female dogs, and the optimal diagnosis time is the 30th d post-mating. External observation and blood routine examination can be used as auxiliary methods to diagnose pregnancy in female dogs.