1,426 research outputs found
Maple Toolbox for Switched Stabilizing Controller
This paper is celebrating the increment of interest in the application of computer algebra in control system analysis. A Maple toolbox for stabilizing state feedback controllers for a class of switched system is presented. The attention is focused on finding the existence of common Lyapunov function (CLFs), as this ensures stability for arbitrary switching sequences between several subsystems. The system considered here are restricted to second order linear systems. In order to find the common Lyapunov function and the ability of the Maple software, the toolbox is proved to be less computational demanding compared to a lot of methods that has been solved by Linear Matrix Inequalities (LMI)
Systematic review and meta-analysis of the diagnostic accuracy of ultrasonography for deep vein thrombosis
Background
Ultrasound (US) has largely replaced contrast venography as the definitive diagnostic test for deep vein thrombosis (DVT). We aimed to derive a definitive estimate of the diagnostic accuracy of US for clinically suspected DVT and identify study-level factors that might predict accuracy.
Methods
We undertook a systematic review, meta-analysis and meta-regression of diagnostic cohort studies that compared US to contrast venography in patients with suspected DVT. We searched Medline, EMBASE, CINAHL, Web of Science, Cochrane Database of Systematic Reviews, Cochrane Controlled Trials Register, Database of Reviews of Effectiveness, the ACP Journal Club, and citation lists (1966 to April 2004). Random effects meta-analysis was used to derive pooled estimates of sensitivity and specificity. Random effects meta-regression was used to identify study-level covariates that predicted diagnostic performance.
Results
We identified 100 cohorts comparing US to venography in patients with suspected DVT. Overall sensitivity for proximal DVT (95% confidence interval) was 94.2% (93.2 to 95.0), for distal DVT was 63.5% (59.8 to 67.0), and specificity was 93.8% (93.1 to 94.4). Duplex US had pooled sensitivity of 96.5% (95.1 to 97.6) for proximal DVT, 71.2% (64.6 to 77.2) for distal DVT and specificity of 94.0% (92.8 to 95.1). Triplex US had pooled sensitivity of 96.4% (94.4 to 97.1%) for proximal DVT, 75.2% (67.7 to 81.6) for distal DVT and specificity of 94.3% (92.5 to 95.8). Compression US alone had pooled sensitivity of 93.8 % (92.0 to 95.3%) for proximal DVT, 56.8% (49.0 to 66.4) for distal DVT and specificity of 97.8% (97.0 to 98.4). Sensitivity was higher in more recently published studies and in cohorts with higher prevalence of DVT and more proximal DVT, and was lower in cohorts that reported interpretation by a radiologist. Specificity was higher in cohorts that excluded patients with previous DVT. No studies were identified that compared repeat US to venography in all patients. Repeat US appears to have a positive yield of 1.3%, with 89% of these being confirmed by venography.
Conclusion
Combined colour-doppler US techniques have optimal sensitivity, while compression US has optimal specificity for DVT. However, all estimates are subject to substantial unexplained heterogeneity. The role of repeat scanning is very uncertain and based upon limited data
Case-Fatality Ratio of Blood Culture-Confirmed Typhoid Fever in Dhaka, Bangladesh.
With impending rollout of new conjugate typhoid vaccines, better estimates of typhoid case-fatality ratio are needed for countries to set priorities for public health programs. We enrolled 1425 patients of all ages with blood culture-confirmed Salmonella Typhi from laboratory networks serving inpatients and outpatients in Dhaka, Bangladesh. Participants were asked about symptoms and complications including death experienced over a median 3-month period following blood culture diagnosis. Four fatal cases were identified (case-fatality ratio of 0.3% [95% confidence interval, .05%-.55%]). Applying this case-fatality ratio to global typhoid burden estimates would reduce deaths by 70%
Metformin as an Adjunctive Therapy for Pancreatic Cancer: A Review of the Literature on Its Potential Therapeutic Use
Pancreatic ductal adenocarcinoma has the worst prognosis of any cancer. New adjuvant chemotherapies are urgently required, which are well tolerated by patients with unresectable cancers. This paper reviews the existing proof of concept data, namely laboratory, pharmacoepidemiological, experimental medicine and clinical trial evidence for investigating metformin in patients with pancreatic ductal adenocarcinoma. Laboratory evidence shows metformin inhibits mitochondrial ATP synthesis which directly and indirectly inhibits carcinogenesis. Drug–drug interactions of metformin with proton pump inhibitors and histamine H2-receptor antagonists may be of clinical relevance and pertinent to future research of metformin in pancreatic ductal adenocarcinoma. To date, most cohort studies have demonstrated a positive association with metformin on survival in pancreatic ductal adenocarcinoma, although there are many methodological limitations with such study designs. From experimental medicine studies, there are sparse data in humans. The current trials of metformin have methodological limitations. Two small randomized controlled trials (RCTs) reported null findings, but there were potential inequalities in cancer staging between groups and poor compliance with the intervention. Proof of concept data, predominantly from laboratory work, supports assessing metformin as an adjunct for pancreatic ductal adenocarcinoma in RCTs. Ideally, more experimental medicine studies are needed for proof of concept. However, many feasibility criteria need to be answered before such trials can progress
A study of the effect of carbon nanodots on TNF-a induced human aortic endothelial inflammation
Atherosclerosis, a prevalent contributor to cardiovascular disease (CVD) on a global scale, is primarily triggered by inflammation, which plays a critical role in initiating the disease process. This inflammatory response leads to endothelial cell dysfunction or damage, ultimately resulting in the formation of plaque buildup within the inner walls of arteries. The emerging nanomaterials provide new prospects to lower the economic and healthcare costs associated with CVD. Carbon nanodots (CNDs), a type of nanoparticle, are particularly attractive due to their biocompatibility, fluorescent capabilities, and potential antioxidant properties. While much research has been conducted on the use of CNDs as bioimaging and drug-delivery tools, their potential anti-inflammatory effects, particularly in the cardiovascular system, have yet to receive much attention. The aorta is particularly vulnerable to atherosclerosis, being the largest affected area. In this study, HAEC (human aortic endothelial cells) were chosen as the cell line due to their capability to express endothelial cell surface biomarkers, and their common use in vascular research has provided a comprehensive understanding of cell lines. However, the impact of CNDs on HAEC has not been investigated yet. In this study, the impact of CNDs on TNF-a induced inflammation in HAEC was studied. Our results demonstrate CNDs inhibited the production of inflammatory genes, such as IL-8, E-Selectin, and CCL2, in vitro in response to TNF-a. With concentrations of up to 0.6 mg/mL used, CNDs did not show any cytotoxic capabilities in our results in HAEC. Fluorescence microscopy data indicated that HAEC were able to uptake CNDs at the concentrations used. The NF-?B Luciferase Reporter Cell assay results showed that CNDs have the ability to reduce TNF-a-mediated increase in NF-kB activity. The results of the Nrf2 pathways also indicated that CNDs can activate Nrf2 transcription, thus leading to an increase in Nrf2-mediated upregulation of various antioxidant genes, including HO-1, GCLC, NQO-1, and GR. Through these results, it can be suggested that the anti-inflammatory effects of CNDs can be related to the downregulation of the NF-?B pathway and the up-regulation of the Nrf2 pathway signaling. This is the first study to examine the effects of CNDs on human aorta endothelial inflammation. [This abstract may have been edited to remove characters that will not display in this system. Please see the PDF for the full abstract.]]]>
2023
English
http://libres.uncg.edu/ir/uncg/f/Amin_uncg_0154M_13858.pdf
oai:libres.uncg.edu/39109
2023-07-11T15:48:04Z
UNCG
Gait variability, cognitive control, and brain BOLD signal variability in healthy, young adults
Angelino, Shena A.
NC DOCKS at The University of North Carolina at Greensboro
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