A brain-computer interface (BCI) based on motor imagery (MI) from the same limb can provide an intuitive control pathway but has received limited attention. It is still a challenge to classify ...multiple MI tasks from the same limb. The goal of this study is to propose a novel decoding method to classify the MI tasks of four joints of the same upper limb and the resting state. EEG signals were collected from 20 participants. A time-distributed attention network (TD-Atten) was proposed to adaptively assign different weights to different classes and frequency bands of the input multiband Common Spatial Pattern (CSP) features. The long short-term memory (LSTM) and dense layers were then used to learn sequential information from the reweight features and perform the classification. Our proposed method outperformed other baseline and deep learning-based methods and obtained the accuracies of 46.8% in the 5-class scenario and 53.4% in the 4-class scenario. The visualization results of attention weights indicated that the proposed framework can adaptively pay attention to alpha-band related features in MI tasks, which was consistent with the analysis of brain activation patterns. These results demonstrated the feasibility and interpretability of the attention mechanism in MI decoding and the potential of this fine MI paradigm to be applied for the control of a robotic arm or a neural prosthesis.
The purpose of this study was to introduce the surgical method of K-wire combined with screw in the treatment of Arbeitsgemeinschaftfür Osteosynthesefragen (AO) type B3.1 phalangeal fractures and to ...compare its clinical, radiological and functional outcomes with K-wire fixation.
This was a retrospective comparative study. From January 2015 to February 2022, we treated 86 patients with AO type B3.1 phalangeal fractures. A total of 71 patients were finally included in the statistical analysis. Thirty-nine patients received K-wires combined with screw, and 32 patients received simple K-wires. The follow-up time was at least 6 months. Outcome measures included general information, operative time, total active motion (TAM), pinch strength, radiological union time, pain assessed by visual analog scale (VAS), Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score, cost, and complications.
The follow-up time was 6-12 months, with an average of 7.9 months. All patients achieved clinical and radiological union. Compared with the K-wire fixation group, the TAM, radiological union time and VAS score of the K-wire combined with screw group had obvious advantages. Compared with the opposite healthy hand, the grip strength of the two groups was similar, and there was no significant difference in the QuickDASH score. The incidence rate of complications in the K-wire combined with screw group (2/39) was lower than that in the K-wire fixation group (7/32).
Compared with simple K-wire fixation, K-wire combined with screw in the treatment of AO type B3.1 phalangeal fractures is a safer and reliable surgical method. K-wire controls the rotation and plays a role similar to a "lock". The screw can exert pressure and fix it more firmly. It shortens the time of fracture healing and has a higher TAM and fewer postoperative complications.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
This study aims to introduce the "tripod" technique using cannulated compression screw and two anti-rotational K-wires for treatment of unstable scaphoid waist fracture nonunion, and to compare it ...with the single cannulated screw fixation technique in term of scaphoid union and surgical outcomes.
It was a retrospective study. From January 2014 to March 2020, 103 consecutive patients with scaphoid waist fracture nonunion treated with the tripod fixation and bone grafting (n = 45) or with single cannulated compression screw and bone grafting (n = 58) were included. All the procedures were performed by the same hand surgery team, and autologous cortico-cancellous radius bone graft was used for bony reconstruction. The minimal follow-up period was 12 months. The union rate and the time to union, range of motion (ROM), grip strength, Visual Analogue Scale (VAS), Quick Disabilities of the Arm, Shoulder and Hand (DASH) score and modified Mayo Scores at the last visit were compared.
In tripod fixation group, bony union was achieved in all patients at the mean of 14.8 ± 3.8 weeks, while in the single cannulated screw fixation group the bony union rate was 94.8% (55/58) and the time to union was 17.6 ± 3.6 weeks. The difference of time to union was statistically significant (p = 0.027), but not for bony union rate (p = 0.122). At the last visit, no significant difference was found with respect to any clinical and radiographic outcome measures (all p > 0.05). The overall rate of complications was not significantly different between two groups (15.6% vs 10.3%, p = 0.430).
Tripod fixation technique with headless compression screw and two K-wires is a safe and effective technique for treatment of scaphoid nonunion fixation and can be considered to use in practice, especially for those potentially rotationally unstable cases.
This study aims to compare results after open lunate excision alone and in combination with palmaris longus tendon ball arthroplasty for the treatment of late-staged Kienböck's disease (KD).
This is ...a retrospective study using the prospectively collected data, and patients who had a discharge diagnosis of KD (stage IIIB based on Lichtman staging criteria) and underwent surgical treatment by lunate excision alone or in combination with palmaris longus tendon ball arthroplasty between January 2011 and December 2020 were included in this study. Variables of interest involved demographics, disease condition, operative procedure, and the outcomes evaluated at the last follow-up. Within and between comparisons were performed.
Thirty-five patients underwent lunate excision alone, and 40 patients underwent the combination procedure. At the final follow-up, patients in both groups exhibited significant improvements compared to pre-operation, such as wrist flexion, wrist extension, carpal height ratio, PRWE score, Cooney score, and grip strength (all P < 0.05). Compared to the excision group, combination procedure group had significantly longer surgical time (P < 0.001), more blood loss (P < 0.001) and exhibited better wrist flexion (P = 0.001), PRWE score (P = 0.001), Cooney score (P = 0.0034), and grip strength (P = 0.017). The excellent or good rate based on Cooney wrist score was not significantly different (87.5% vs 71.4%, P = 0.083).
Lunate excision in combination with palmaris longus tendon ball arthroplasty is a better option than lunate excision alone for the treatment of stage III KD and can be considered as an operative option.
The aim of this cross-sectional study to assess the proportions of anxiety and depression in patients with CuTS, and to explore the associated demographic and clinical features.
From May 2011 to ...January 2017, 246 patients diagnosed with CuTS were recruited. The Hospital Anxiety and Depression Scale was used to assess the proportions of depression and anxiety. Patient demographic and clinical data were collected. Univariate analysis and multivariate regression were carried out to identify the variables that were independently associated with anxiety and depression.
The proportions of depression and anxiety were 17.9% (n = 44) and 14.2% (n = 35), respectively. Five patients had both possible/probable anxiety and depression. Logistic regression analysis revealed that diabetes mellitus was independently associated with depression; and the modified McGowan grade was independently associated with anxiety.
In patients with CuTS, the proportions of depression and anxiety were 17.9% and 14.2%, respectively. Early screening for anxiety and depression is beneficial for patients with CuTS.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Different subtypes of dendritic cells (DCs) can induce different types of immune responses. Our previous study found that Echinococcus granulosus (E. granulosus) antigens (Eg.ferritin, Eg.mMDH and ...Eg.10) stimulated DC differentiation to different subtypes and produced different immune responses.
To further understand whether Eg.ferritin, Eg.mMDH and Eg.10 affect the DC-mediated immune response by promoting the differentiation of monocytes to DCs.
Bone marrow-derived monocytes were exposed to three antigens of E. granulosus on days 0, 3, 5, and 7. The percentage of monocyte-derived DCs (moDCs), DCs subsets, and the expression of surface molecules of DCs at different time points in different groups were assessed by flow cytometry. The levels of cytokines of IL-1β, IL-4, IL-6, IL-10, IL-13, IFN-γ, TNF-α, IL-12p70, IL-18, IL-23, and IL-27 in the cell culture supernatant were detected by multi-factorial detection technology.
The percentage of moDCs revealed that none of the three antigens blocked monocyte differentiation to DCs. The monocytes of 7-day-old cultures showed increased sensitivity to these antigens. The Eg.ferritin induced more mature DCs, which expressed high levels of MHC II and costimulatory molecules, and secreted Th1 cytokines. Eg10 and Eg.mMDH induced lower degrees of DC maturation, however differentiated DCs were in a semi-mature state due to low expression of MHC II and costimulatory molecules and secretion of higher Th2 and lower Th1 cytokines.
Eg.ferritin promotes full maturation of DCs and induces Th1 immune response, whereas Eg.10 and Eg.mMDH induce semi-mature DCs producing higher levels of Th2 cytokines.
A new Aluminum metal-organic frameworks(Al-MOF) based on tricarboxylate ligands(L){L=2,2',2''-(1,3,5-triazine-2,4,6-triimino)tribenzoic acid)} has been designed and synthesized. It can be served as a ...platform of multi-responsive fluorescence sensor for Fe3+, Sr2+ and SiO32- in water, which is mainly due to the significant enhancement effect of these ions on the fluorescence intensity of Al-MOF. Especially, Fe3+ ions are rarely able to induce MOFs fluorescence enhancement. The limit of detection for three kinds of ions is 6.62*10-6 M, 5.37*10-6 M, 6.85*10-10 M respectively. Meanwhile, It can also be used as a multi-response fluorescence probe to detect toluene in DMF solution, limit of detection is 9.16*10-3 M respectively. The structure of Al-MOF was characterized by FTIR, 1H NMR, SEM, TAG, PXRD and element analysis. The PXRD showed that the structure of Al-MOF remained the high water stability and pH stability. The application of water samples and vegetables showed that Al-MOF had high sensitive detection for Fe3+ ions.
Silica supported aluminum chloride was used as an efficient, recyclable and reusable catalyst for the one-pot Mannich-type reactions of acetophenone with aromatic aldehydes and aromatic amines. This ...protocol has advantages of high yield, mild condition, no environmental pollution, and simple work-up procedure.
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Silica-supported aluminum chloride was used as an efficient, recyclable and reusable catalyst for the one-pot Mannich-type reactions of acetophenone with aromatic aldehydes and aromatic amines. This protocol has advantages of high yield, mild condition, no environmental pollution, and simple work-up procedure.
•Using the SPD matrix as a feature in EEG emotion recognition.•Using the prototype loss combined with the Riemannian metric to calculate the geometric mean.•Transferring knowledge by feature ...adaptation with distribution confusion and sample adaptation with centroid alignment.
Emotion plays a vital role in human daily life, and EEG signals are widely used in emotion recognition. Due to individual variability, training a generic emotion recognition model across different subjects is difficult. The conventional method involves the collection of a large amount of calibration data to build subject-specific models. Recently, developing an effective brain-computer interface with a short calibration time has become a challenge. To solve this problem, we propose a domain adaptation SPD matrix network (daSPDnet) that can successfully capture an intrinsic emotional representation shared between different subjects. Our method jointly exploits feature adaptation with distribution confusion and sample adaptation with centroid alignment. We compute the SPD matrix based on the covariance as a feature and make a novel attempt to combine prototype learning with the Riemannian metric. Extensive experiments are conducted on the DREAMER and DEAP datasets, and the results show the superiority of our proposed method.
Motor imagery (MI) based Brain-Computer Interface (BCI) is an important active BCI paradigm for recognizing movement intention of severely disabled persons. There are extensive studies about MI-based ...intention recognition, most of which heavily rely on staged handcrafted EEG feature extraction and classifier design. For end-to-end deep learning methods, researchers encode spatial information with convolution neural networks (CNNs) from raw EEG data. Compared with CNNs, recurrent neural networks (RNNs) allow for long-range lateral interactions between features. In this paper, we proposed a pure RNNs-based parallel method for encoding spatial and temporal sequential raw data with bidirectional Long Short- Term Memory (bi-LSTM) and standard LSTM, respectively. Firstly, we rearranged the index of EEG electrodes considering their spatial location relationship. Secondly, we applied sliding window method over raw EEG data to obtain more samples and split them into training and testing sets according to their original trial index. Thirdly, we utilized the samples and their transposed matrix as input to the proposed pure RNNs- based parallel method, which encodes spatial and temporal information simultaneously. Finally, the proposed method was evaluated in the public MI-based eegmmidb dataset and compared with the other three methods (CSP+LDA, FBCSP+LDA, and CNN-RNN method). The experiment results demonstrated the superior performance of our proposed pure RNNs-based parallel method. In the multi-class trial-wise movement intention classification scenario, our approach obtained an average accuracy of 68.20% and significantly outperformed other three methods with an 8.25% improvement of relative accuracy on average, which proves the feasibility of our approach for the real-world BCI system.
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