Commercial phosphor-converted white LEDs(pc-WLEDs)face two inherent limitations,namely blue light hazard and low color rendering index,due to the use of blue LEDs as excitation source.To address these challenges,viole...Commercial phosphor-converted white LEDs(pc-WLEDs)face two inherent limitations,namely blue light hazard and low color rendering index,due to the use of blue LEDs as excitation source.To address these challenges,violet LEDs are proposed as an alternative solution.Currently,phosphors that can be efficiently excited by violet light(with wavelengths from 400 to 420 nm)remain under development still.In this study,we utilize large language models to construct a comprehensive database of Eu^(2+)and Ce^(3+)doped phosphors for discovering novel violet-excited phosphors.A total of 822 phosphor data entries,including elemental compositions,crystal structures and excitation/emission wavelengths,have been extracted and validated from 9551 research papers.Compared with Ce^(3+)doped phosphors,the Eu^(2+)are in general more suited for violet-excited phosphors,as well as red-emitting phosphors.In particular,Eu^(2+)doped nitrides and sulfides are worth of exploration for violet-excited phosphors.This database is expected to be useful in the future development of phosphors for pc-WLEDs based on artificial intelligence methods.The datasets in this article are listed in Science Data Bank at http://doi.org/10.57760/sciencedb.34314.展开更多
tRNA-derived small RNAs(tsRNAs),as a class of regulatory small noncoding RNA,have been implicated in a wide variety of human diseases.Large amounts of tsRNA–disease associations have been identified in recent years f...tRNA-derived small RNAs(tsRNAs),as a class of regulatory small noncoding RNA,have been implicated in a wide variety of human diseases.Large amounts of tsRNA–disease associations have been identified in recent years from accumulating studies.However,repositories for cataloging the detailed information on tsRNA–disease associations are scarce.In this study,we provide a tsRNADisease database by integrating experimentally and computationally supported tsRNA–disease associations from manual curation of literatures and other related resources.tsRNADisease contains 5571 manually curated associations between 4759 tsRNAs and 166 diseases with experimental evidence from 346 studies.In addition,it also contains 5013 predicted associations between 1297 tsRNAs and 111 diseases.tsRNADisease provides a user-friendly interface to browse,retrieve,and download data conveniently.This database can improve our understanding of tsRNA deregulation in diseases and serve as a valuable resource for investigating the mechanism of disease-related tsRNAs.tsRNADisease is freely available at http://www.compgenelab.info/tsRNADisease.展开更多
Sepsis poses a serious threat to patient survival,making timely risk assessment crucial.Predicting in-hospital mortality based on clinical indicators can aid in making better clinical decisions.Previous studies have f...Sepsis poses a serious threat to patient survival,making timely risk assessment crucial.Predicting in-hospital mortality based on clinical indicators can aid in making better clinical decisions.Previous studies have focused on classifier selection but lacked a comprehensive analysis of feature selection and data preprocessing.This study optimized machine learning models for sepsis mortality prediction by:(1)comprehensively comparing feature selection and classification methods to identify the best combination,(2)building a high-performing model with fewer features,and(3)identifying key clinically relevant indicators.Methods:Using the MIMIC-III sepsis cohort,we conducted a comprehensive analysis to determine the optimal model,including data preprocessing,data balance,classifier selection,and feature selection.Feature importance was further analyzed to identify the key predictors of in-hospital mortality.Results:The proposed Synthetic Minority Oversampling Technique-Random Forest Recursive Feature Elimination-Extreme Gradient Boosting(SMOTE-(RF-RFE)-XGB)model achieved high predictive performance with a mean Area Under the Curve(AUC)of 0.8507,while reducing the number of features from 78 to 39.Compared to other feature selection methods evaluated in this study and those reported in related literature,Random Forest Recursive Feature Elimination(RF-RFE)offers the best trade-off between accuracy,feature compactness,and stability.Additionally,feature importance rankings consistently identified Acute Physiology Score Ⅲ(APS Ⅲ),Ventilation on First Day,and Depression as the top three most influential predictors,besides the Length of Stay in ICU and Hospital.Conclusions:This study addresses key gaps by conducting a comprehensive evaluation of classifiers and feature selection methods for predicting in-hospital mortality in patients with sepsis.The proposed SMOTE-(RFRFE)-XGB model achieved a high predictive performance and stability with a compact feature set.APS III,Ventilation on First Day,and Depression were consistently identified as key predictors besides Length of Stay in ICU and Hospital.展开更多
Background:The purpose of this study was to analyze and classify adverse drug events(ADEs)related to ceftazidime/avibactam reported in the Food and Drug Administration Adverse Event Reporting System(FAERS)database and...Background:The purpose of this study was to analyze and classify adverse drug events(ADEs)related to ceftazidime/avibactam reported in the Food and Drug Administration Adverse Event Reporting System(FAERS)database and to evaluate their potential safety signals since the drug’s market introduction.Methods:This analysis systematically extracted and filtered FAERS data for ceftazidime/avibactam from its market launch in 2015 to the last quarter of 2024,utilizing the Medical Dictionary for Regulatory Activities(MedDRA)terminology for ADE recoding.The analysis employed the reporting odds ratio(ROR)method to assess the strength of ADE signals and to identify significant diseases associated with infections,the hepatobiliary system,the urinary system,and the nervous system.Results:A review of 540 adverse reaction reports revealed significant signals of adverse effects related to infections,hepatobiliary disorders,urinary system issues,and neurological impairments,including pathogen resistance,liver and kidney function impairment,encephalopathy,thrombocytopenia,and toxic epidermal necrolysis.However,these issues require further clinical attention.Conclusion:Ceftazidime/avibactam is associated with a range of adverse reactions,necessitating enhanced clinical monitoring,particularly in patients with underlying liver or kidney dysfunction.Continuous risk assessment and vigilant monitoring are critical for its clinical use.However,this study is limited by inherent reporting biases and confounders associated with the spontaneous reporting database(FAERS).Future research should validate these signals through prospective cohort and mechanistic studies and explore personalized risk management strategies for high-risk populations.展开更多
Primary liver cancer (PLC) is a major global healthchallenge, ranking as the sixth most common andthird most fatal malignancy worldwide, according toGLOBOCAN 2022 estimates[1]. This high mortalityrate underscores the ...Primary liver cancer (PLC) is a major global healthchallenge, ranking as the sixth most common andthird most fatal malignancy worldwide, according toGLOBOCAN 2022 estimates[1]. This high mortalityrate underscores the aggressive nature of thedisease and the significant burden it places on globalhealthcare systems. Although primary preventionremains the cornerstone of liver cancer control,improving outcomes for patients already diagnosedis equally critical for mitigating the impact of thedisease.展开更多
Background:Electrolyte imbalance is closely related to the occurrence and prognosis of cardiac arrest.However,current research mainly focuses on the three ions—sodium,potassium,and calcium—while lacking attention to...Background:Electrolyte imbalance is closely related to the occurrence and prognosis of cardiac arrest.However,current research mainly focuses on the three ions—sodium,potassium,and calcium—while lacking attention to magnesium ions,chloride ions,bicarbonate ions,and phosphate ions.Therefore,we plan to explore the effects of electrolytes on the 30-day in-hospital mortality rate of patients with cardiac arrest based on the Medical Information Mart for Intensive Care IV(MIMIC-IV)database.Method:Data were collected from the MIMIC IV database version 3.0(v3.0)on electrolyte levels and 30-day in-hospital mortality rates of hospitalized patients with“cardiac arrest”from 2008 to 2022.Cox regression analysis was used to identify variables that affect the 30-day mortality rate of patients.Finally,the Kaplan-Meier curve was used in this study to further explore the effects of electrolytes on the 30-day mortality rate of patients.Result:A total of 1491 patients who experienced cardiac arrest were included in this study.Cox regression analysis showed a correlation between age,calcium ions,bicarbonate ions,chloride ions,phosphate,and the 30-day in-hospital mortality rate in patients.The Kaplan-Meier curve further revealed that patients with advanced age,low calcium ion concentration,low chloride ion concentration,low bicarbonate concentration,and high phosphate concentration had poor prognoses.Conclusion:Levels of bicarbonate ions,chloride ions,and inorganic phosphate at admission were associated with mortality on day 30 of admission.展开更多
Research into metamorphism plays a pivotal role in reconstructing the evolution of continent,particularly through the study of ancient rocks that are highly susceptible to metamorphic alterations due to multiple tecto...Research into metamorphism plays a pivotal role in reconstructing the evolution of continent,particularly through the study of ancient rocks that are highly susceptible to metamorphic alterations due to multiple tectonic activities.In the big data era,the establishment of new data platforms and the application of big data methods have become a focus for metamorphic rocks.Significant progress has been made in creating specialized databases,compiling comprehensive datasets,and utilizing data analytics to address complex scientific questions.However,many existing databases are inadequate in meeting the specific requirements of metamorphic research,resulting from a substantial amount of valuable data remaining uncollected.Therefore,constructing new databases that can cope with the development of the data era is necessary.This article provides an extensive review of existing databases related to metamorphic rocks and discusses data-driven studies in this.Accordingly,several crucial factors that need to be taken into consideration in the establishment of specialized metamorphic databases are identified,aiming to leverage data-driven applications to achieve broader scientific objectives in metamorphic research.展开更多
Background:The predictive value of red blood cell distribution width(RDW)for mortality in patients withsepsis-induced acute kidney injury(SI-AKI)remains unclear.The present study aimed to investigate the potentialasso...Background:The predictive value of red blood cell distribution width(RDW)for mortality in patients withsepsis-induced acute kidney injury(SI-AKI)remains unclear.The present study aimed to investigate the potentialassociation between RDW at admission and outcomes in patients with SI-AKI.Methods:The Medical Information Mart for Intensive Care(MIMIC)-IV(version 2.0)database,released in Juneof 2022,provides medical data of SI-AKI patients to conduct our related research.Based on propensity scorematching(PSM)method,the main risk factors associated with mortality in SI-AKI were evaluated using Coxproportional hazards regression analysis to construct a predictive nomogram.The concordance index(C-index)and decision curve analysis were used to validate the predictive ability and clinical utility of this model.Patientswith SI-AKI were classified into the high-and low-RDW groups according to the best cut-off value obtained bycalculating the maximum value of the Youden index.Results:A total of 7574 patients with SI-AKI were identified according to the filter criteria.Compared withthe low-RDW group,the high-RDW group had higher 28-day(9.49%vs.31.40%,respectively,P<0.001)and7-day(3.96%vs.13.93%,respectively,P<0.001)mortality rates.Patients in the high-RDW group were moreprone to AKI progression than those in the low-RDW group(20.80%vs.13.60%,respectively,P<0.001).Basedon matched patients,we developed a nomogram model that included age,white blood cells,RDW,combinedhypertension and presence of a malignant tumor,treatment with vasopressor,dialysis,and invasive ventilation,sequential organ failure assessment,and AKI stages.The C-index for predicting the probability of 28-day survivalwas 0.799.Decision curve analysis revealed that the model with RDW offered greater net benefit than that withoutRDW.Conclusion:The present findings demonstrated the importance of RDW,which improved the predictive ability ofthe nomogram model for the probability of survival in patients with SI-AKI.展开更多
Background:This study aimed to explore the correlation between hyperglycemia at intensive care unit(ICU)admission and the incidence of acute kidney injury(AKI)in patients after cardiac surgery.Methods:We conducted a r...Background:This study aimed to explore the correlation between hyperglycemia at intensive care unit(ICU)admission and the incidence of acute kidney injury(AKI)in patients after cardiac surgery.Methods:We conducted a retrospective cohort study,in which clinical data were extracted from the Medical Information Mart for Intensive Care(MIMIC)-IV database.Adults(≥18 years)in the database who were admitted to the cardiovascular intensive care unit after cardiac surgery were enrolled.The primary outcome was the incidence of AKI within 7 days following ICU admission.Secondary outcomes included ICU mortality,hospital mortality,ICU length of stay,and the 28-day and 90-day mortality.Multivariable Cox regression analysis was used to assess the association between ICU-admission hyperglycemia and AKI incidence within 7 days of ICU admission.Different adjustment strategies were used to adjust for potential confounders.Patients were divided into three groups according to their highest blood glucose levels recorded within 24 h of ICU admission:no hyperglycemia(<140 mg/dL),mild hyperglycemia(140-200 mg/dL),and severe hyperglycemia(≥200 mg/dL).Results:Of the 6905 included patients,2201(31.9%)were female,and the median(IQR)age was 68.2(60.1-75.9)years.In all,1836(26.6%)patients had severe hyperglycemia.The incidence of AKI within 7 days of ICU admission,ICU mortality,and hospital mortality was significantly higher in patients with severe admission hyperglycemia than those with mild hyperglycemia or no hyperglycemia(80.3%vs.73.6% and 61.2%,respec-tively;2.8%vs.0.9% and 1.9%,respectively;and 3.4%vs.1.2% and 2.5%,respectively;all P<0.001).Severe hyperglycemia was a risk factor for 7-day AKI(Model 1:hazard ratio[HR]=1.4809,95%confidence interval[CI]:1.3126 to 1.6707;Model 2:HR=1.1639,95%CI:1.0176 to 1.3313;Model 3:HR=1.2014,95%CI:1.0490 to 1.3760;all P<0.050).Patients with normal glucose levels(glucose levels<140 mg/dL)had a higher 28-day mortality rate than those with severe hyperglycemia(glucose levels≥200 mg/dL)(4.0%vs.3.8%,P<0.001).Conclusions:In post-cardiac surgery patients,severe hyperglycemia within 24 h of ICU admission increases the risk of 7-day AKI,ICU mortality,and hospital mortality.Clinicians should be extra cautious regarding AKI among patients with hyperglycemia at ICU admission after cardiac surgery.展开更多
BACKGROUND Ampullary adenocarcinoma is a rare malignant tumor of the gastrointestinal tract.Currently,only a few cases have been reported,resulting in limited information on survival.AIM To develop a dynamic nomogram ...BACKGROUND Ampullary adenocarcinoma is a rare malignant tumor of the gastrointestinal tract.Currently,only a few cases have been reported,resulting in limited information on survival.AIM To develop a dynamic nomogram using internal and external validation to predict survival in patients with ampullary adenocarcinoma.METHODS Data were sourced from the surveillance,epidemiology,and end results stat database.The patients in the database were randomized in a 7:3 ratio into training and validation groups.Using Cox regression univariate and multivariate analyses in the training group,we identified independent risk factors for overall survival and cancer-specific survival to develop the nomogram.The nomogram was validated with a cohort of patients from the First Affiliated Hospital of the Army Medical University.RESULTS For overall and cancer-specific survival,12(sex,age,race,lymph node ratio,tumor size,chemotherapy,surgical modality,T stage,tumor differentiation,brain metastasis,lung metastasis,and extension)and 6(age;surveillance,epidemiology,and end results stage;lymph node ratio;chemotherapy;surgical modality;and tumor differentiation)independent risk factors,respectively,were incorporated into the nomogram.The area under the curve values at 1,3,and 5 years,respectively,were 0.807,0.842,and 0.826 for overall survival and 0.816,0.835,and 0.841 for cancer-specific survival.The internal and external validation cohorts indicated good consistency of the nomogram.CONCLUSION The dynamic nomogram offers robust predictive efficacy for the overall and cancer-specific survival of ampullary adenocarcinoma.展开更多
A distinctive feature of scholarly communities today is exploring topics and concepts in interdisciplinary and international contexts. This observation is increasingly apparent and visible in advancing our thinking an...A distinctive feature of scholarly communities today is exploring topics and concepts in interdisciplinary and international contexts. This observation is increasingly apparent and visible in advancing our thinking and policies related to human/environmental worlds at local, regional, and global scales. Maps are an important part of these innovative and ongoing research approaches. In this context, we consider urban forests a topic meriting more attention of scholars studying the geographic and environmental intersections of the natural sciences with the social sciences and humanities. We construct two innovative knowledge bases, one a conceptual framework based on major themes and concepts related to mapping urban forests using key words of the first 100 results of a Google Scholar query and a second using the number of Google Scholar hyperlinks about mapping urban forests in 244 capital cities. We discovered that the constructed world maps reveal vast global unevenness in our knowledge about urban forests in hyperlink numbers and ratios, results that merit further attention by disciplinary, international and interdisciplinary scholarly communities.展开更多
The characteristic databases in China face issues such as narrow resource coverage,low levels of standardization and normalization,and limited data sharing.To address these challenges,this paper proposes the concept o...The characteristic databases in China face issues such as narrow resource coverage,low levels of standardization and normalization,and limited data sharing.To address these challenges,this paper proposes the concept of characteristic databases alliance,using marine characteristic databases as a case for feasibility analysis and discussion.The paper outlines the development path for such alliances and offers recommendations for future growth,aiming to establish a collaborative platform for the development of characteristic databases.展开更多
Objectives:Electronic health records(EHRs)offer valuable real-world data(RWD)for Chinese medicine research.However,significant methodological challenges remain in developing integrative Chinese-Western medicine(ICWM)d...Objectives:Electronic health records(EHRs)offer valuable real-world data(RWD)for Chinese medicine research.However,significant methodological challenges remain in developing integrative Chinese-Western medicine(ICWM)databases.This study aims to establish a best-practice methodological framework,referred to as BRIDGE,to guide the construction of ICWM databases using EHRs.Methods:We developed the methodological framework through a comprehensive process,including systematic literature review,synthesis of empirical experiences,thematic expert discussions,and consultation with an external panel to reach consensus.Results:The BRIDGE framework outlines 6 core components for ICWM-EHR database development:Overall design,database architecture,data extraction and linkage,data governance,data verification,and data quality evaluation.Key data elements include variables related to study population,treatment or exposure,outcomes,and confounders.These databases support various research applications,particularly in evaluating the effectiveness and safety of integrative therapies.To demonstrate its practical value,we developed an ICWM-EHR database on women’s reproductive lifespan,encompassing 2,064,482 patients.This database captures women’s health conditions across the life course,from reproductive age to older adulthood.Conclusions:The BRIDGE methodological framework provides a standardized approach to building high-quality ICWM-EHR databases.It offers a unique opportunity to strengthen the methodological rigor and real-world relevance of Chinese medicine research in integrated healthcare settings.展开更多
The journal of Meteorological and Environmental Research [ISSN: 2152-3940] has been included and stored by the following famous databases: CA, CABI, CSA, EBSCO, UPD, AGRIS, EA, Chinese Science and Technology Periodica...The journal of Meteorological and Environmental Research [ISSN: 2152-3940] has been included and stored by the following famous databases: CA, CABI, CSA, EBSCO, UPD, AGRIS, EA, Chinese Science and Technology Periodical Database, and CNKI, as well as Library of Congress, United States.展开更多
The journal of Meteorological and Environmental Research[ISSN:2152-3940]has been included and stored by the following famous databases:CA,CABI,CSA,EBSCO,UPD,AGRIS,EA,Chinese Science and Technology Periodical Database,...The journal of Meteorological and Environmental Research[ISSN:2152-3940]has been included and stored by the following famous databases:CA,CABI,CSA,EBSCO,UPD,AGRIS,EA,Chinese Science and Technology Periodical Database,and CNKI,as well as Library of Congress,United States.展开更多
The journal of Meteorological and Environmental Research[ISSN:2152-3940]has been included and stored by the following famous databases:CA,CABI,CSA,EBSCO,UPD,AGRIS,EA,Chinese Science and Technology Periodical Database,...The journal of Meteorological and Environmental Research[ISSN:2152-3940]has been included and stored by the following famous databases:CA,CABI,CSA,EBSCO,UPD,AGRIS,EA,Chinese Science and Technology Periodical Database,and CNKI,as well as Library of Congress,United States.展开更多
This paper explores the evolving landscape of digital resources in Greek epigraphy.A selection of digital projects is examined for its structure,accessibility,and scholarly utility,with a critical focus on completenes...This paper explores the evolving landscape of digital resources in Greek epigraphy.A selection of digital projects is examined for its structure,accessibility,and scholarly utility,with a critical focus on completeness,editorial policy,and economic sustainability.The analysis reveals tensions between openaccess ideals and the realities of commercial publishing,as well as challenges posed by short-term funding and limited project scopes.The paper also considers the integration of artificial intelligence tools,notably Ithaca,assessing their potential and current limitations.Emphasis is placed on the pedagogical impact of digital resources,showing how they empower a new generation of students and democratize access to source material.Ultimately,the study underscores the necessity of balancing innovation with scholarly rigor,advocating for ongoing critical reflection to ensure the meaningful development of digital epigraphy in both research and education.展开更多
The kagome lattice,characterized by a hexagonal arrangement of corner-sharing equilateral triangles,has garnered significant attention as a fascinating quantum material system that hosts exotic magnetic and electronic...The kagome lattice,characterized by a hexagonal arrangement of corner-sharing equilateral triangles,has garnered significant attention as a fascinating quantum material system that hosts exotic magnetic and electronic properties.The identification and characterization of this class of materials are critical for advancing our understanding of their role in emergent phenomena such as superconductivity.In this study,we developed a high-throughput screening framework for the systematic identification and classification of superconducting materials with kagome lattices,integrating them into established materials databases.Leveraging the Materials Project(MP)database and the MDR Super Con dataset,we analyzed over 150000 inorganic compounds and cross-referenced 26000 known superconductors.Using geometry-based structural modeling and experimental validation,we identified 129 kagome superconductors belonging to 17 distinct structural families,many of which had not previously been recognized as kagome systems.The materials are further classified into three categories in terms of topological flat bands,clean band structures,and coexisting magnetic or charge density wave(CDW)orderings.Based on these results,we established a database comprising 129 kagome superconductors,including the detailed crystallographic,electronic,and superconducting properties of these materials.展开更多
基金National Key Research and Development Program of China(2021YFB3500501)。
文摘Commercial phosphor-converted white LEDs(pc-WLEDs)face two inherent limitations,namely blue light hazard and low color rendering index,due to the use of blue LEDs as excitation source.To address these challenges,violet LEDs are proposed as an alternative solution.Currently,phosphors that can be efficiently excited by violet light(with wavelengths from 400 to 420 nm)remain under development still.In this study,we utilize large language models to construct a comprehensive database of Eu^(2+)and Ce^(3+)doped phosphors for discovering novel violet-excited phosphors.A total of 822 phosphor data entries,including elemental compositions,crystal structures and excitation/emission wavelengths,have been extracted and validated from 9551 research papers.Compared with Ce^(3+)doped phosphors,the Eu^(2+)are in general more suited for violet-excited phosphors,as well as red-emitting phosphors.In particular,Eu^(2+)doped nitrides and sulfides are worth of exploration for violet-excited phosphors.This database is expected to be useful in the future development of phosphors for pc-WLEDs based on artificial intelligence methods.The datasets in this article are listed in Science Data Bank at http://doi.org/10.57760/sciencedb.34314.
基金supported by the National Natural Science Foundation of China(91959106)the Foundation of the Shanghai Municipal Education Commission(24RGZNC02)+4 种基金Shanghai Key Laboratory of Intelligent Information Processing,Fudan University(IIPL-2025-RD3-02)Key University Science Research Project of Anhui Province(2023AH030108)Climbing Peak Training Program for Innovative Technology team of Yijishan Hospital,Wannan Medical College(PF201904)Peak Training Program for Scientific Research of Yijishan Hospital,Wannan Medical College(GF2019G15)the talent project of the First Affiliated Hospital of Wannan Medical College(Yijishan Hospital of Wannan Medical College)(YR202422).
文摘tRNA-derived small RNAs(tsRNAs),as a class of regulatory small noncoding RNA,have been implicated in a wide variety of human diseases.Large amounts of tsRNA–disease associations have been identified in recent years from accumulating studies.However,repositories for cataloging the detailed information on tsRNA–disease associations are scarce.In this study,we provide a tsRNADisease database by integrating experimentally and computationally supported tsRNA–disease associations from manual curation of literatures and other related resources.tsRNADisease contains 5571 manually curated associations between 4759 tsRNAs and 166 diseases with experimental evidence from 346 studies.In addition,it also contains 5013 predicted associations between 1297 tsRNAs and 111 diseases.tsRNADisease provides a user-friendly interface to browse,retrieve,and download data conveniently.This database can improve our understanding of tsRNA deregulation in diseases and serve as a valuable resource for investigating the mechanism of disease-related tsRNAs.tsRNADisease is freely available at http://www.compgenelab.info/tsRNADisease.
文摘Sepsis poses a serious threat to patient survival,making timely risk assessment crucial.Predicting in-hospital mortality based on clinical indicators can aid in making better clinical decisions.Previous studies have focused on classifier selection but lacked a comprehensive analysis of feature selection and data preprocessing.This study optimized machine learning models for sepsis mortality prediction by:(1)comprehensively comparing feature selection and classification methods to identify the best combination,(2)building a high-performing model with fewer features,and(3)identifying key clinically relevant indicators.Methods:Using the MIMIC-III sepsis cohort,we conducted a comprehensive analysis to determine the optimal model,including data preprocessing,data balance,classifier selection,and feature selection.Feature importance was further analyzed to identify the key predictors of in-hospital mortality.Results:The proposed Synthetic Minority Oversampling Technique-Random Forest Recursive Feature Elimination-Extreme Gradient Boosting(SMOTE-(RF-RFE)-XGB)model achieved high predictive performance with a mean Area Under the Curve(AUC)of 0.8507,while reducing the number of features from 78 to 39.Compared to other feature selection methods evaluated in this study and those reported in related literature,Random Forest Recursive Feature Elimination(RF-RFE)offers the best trade-off between accuracy,feature compactness,and stability.Additionally,feature importance rankings consistently identified Acute Physiology Score Ⅲ(APS Ⅲ),Ventilation on First Day,and Depression as the top three most influential predictors,besides the Length of Stay in ICU and Hospital.Conclusions:This study addresses key gaps by conducting a comprehensive evaluation of classifiers and feature selection methods for predicting in-hospital mortality in patients with sepsis.The proposed SMOTE-(RFRFE)-XGB model achieved a high predictive performance and stability with a compact feature set.APS III,Ventilation on First Day,and Depression were consistently identified as key predictors besides Length of Stay in ICU and Hospital.
基金Intramural Project of The First Affiliated Hospital of Guangxi University of Chinese Medicine(2018QN008).
文摘Background:The purpose of this study was to analyze and classify adverse drug events(ADEs)related to ceftazidime/avibactam reported in the Food and Drug Administration Adverse Event Reporting System(FAERS)database and to evaluate their potential safety signals since the drug’s market introduction.Methods:This analysis systematically extracted and filtered FAERS data for ceftazidime/avibactam from its market launch in 2015 to the last quarter of 2024,utilizing the Medical Dictionary for Regulatory Activities(MedDRA)terminology for ADE recoding.The analysis employed the reporting odds ratio(ROR)method to assess the strength of ADE signals and to identify significant diseases associated with infections,the hepatobiliary system,the urinary system,and the nervous system.Results:A review of 540 adverse reaction reports revealed significant signals of adverse effects related to infections,hepatobiliary disorders,urinary system issues,and neurological impairments,including pathogen resistance,liver and kidney function impairment,encephalopathy,thrombocytopenia,and toxic epidermal necrolysis.However,these issues require further clinical attention.Conclusion:Ceftazidime/avibactam is associated with a range of adverse reactions,necessitating enhanced clinical monitoring,particularly in patients with underlying liver or kidney dysfunction.Continuous risk assessment and vigilant monitoring are critical for its clinical use.However,this study is limited by inherent reporting biases and confounders associated with the spontaneous reporting database(FAERS).Future research should validate these signals through prospective cohort and mechanistic studies and explore personalized risk management strategies for high-risk populations.
基金National Key Project of Research and Development Program of China[2021YFC2500404].
文摘Primary liver cancer (PLC) is a major global healthchallenge, ranking as the sixth most common andthird most fatal malignancy worldwide, according toGLOBOCAN 2022 estimates[1]. This high mortalityrate underscores the aggressive nature of thedisease and the significant burden it places on globalhealthcare systems. Although primary preventionremains the cornerstone of liver cancer control,improving outcomes for patients already diagnosedis equally critical for mitigating the impact of thedisease.
基金supported by the Natural Science Foundation of Guangdong Province(A1515012665).
文摘Background:Electrolyte imbalance is closely related to the occurrence and prognosis of cardiac arrest.However,current research mainly focuses on the three ions—sodium,potassium,and calcium—while lacking attention to magnesium ions,chloride ions,bicarbonate ions,and phosphate ions.Therefore,we plan to explore the effects of electrolytes on the 30-day in-hospital mortality rate of patients with cardiac arrest based on the Medical Information Mart for Intensive Care IV(MIMIC-IV)database.Method:Data were collected from the MIMIC IV database version 3.0(v3.0)on electrolyte levels and 30-day in-hospital mortality rates of hospitalized patients with“cardiac arrest”from 2008 to 2022.Cox regression analysis was used to identify variables that affect the 30-day mortality rate of patients.Finally,the Kaplan-Meier curve was used in this study to further explore the effects of electrolytes on the 30-day mortality rate of patients.Result:A total of 1491 patients who experienced cardiac arrest were included in this study.Cox regression analysis showed a correlation between age,calcium ions,bicarbonate ions,chloride ions,phosphate,and the 30-day in-hospital mortality rate in patients.The Kaplan-Meier curve further revealed that patients with advanced age,low calcium ion concentration,low chloride ion concentration,low bicarbonate concentration,and high phosphate concentration had poor prognoses.Conclusion:Levels of bicarbonate ions,chloride ions,and inorganic phosphate at admission were associated with mortality on day 30 of admission.
基金funded by the National Natural Science Foundation of China(No.42220104008)。
文摘Research into metamorphism plays a pivotal role in reconstructing the evolution of continent,particularly through the study of ancient rocks that are highly susceptible to metamorphic alterations due to multiple tectonic activities.In the big data era,the establishment of new data platforms and the application of big data methods have become a focus for metamorphic rocks.Significant progress has been made in creating specialized databases,compiling comprehensive datasets,and utilizing data analytics to address complex scientific questions.However,many existing databases are inadequate in meeting the specific requirements of metamorphic research,resulting from a substantial amount of valuable data remaining uncollected.Therefore,constructing new databases that can cope with the development of the data era is necessary.This article provides an extensive review of existing databases related to metamorphic rocks and discusses data-driven studies in this.Accordingly,several crucial factors that need to be taken into consideration in the establishment of specialized metamorphic databases are identified,aiming to leverage data-driven applications to achieve broader scientific objectives in metamorphic research.
基金This work was supported by the National Natural Science Foundation of China(grant numbers:81901960 and 81902006)the Foundation of Shanghai Hospital Development Center(grant number:SHDC2020CR4100).
文摘Background:The predictive value of red blood cell distribution width(RDW)for mortality in patients withsepsis-induced acute kidney injury(SI-AKI)remains unclear.The present study aimed to investigate the potentialassociation between RDW at admission and outcomes in patients with SI-AKI.Methods:The Medical Information Mart for Intensive Care(MIMIC)-IV(version 2.0)database,released in Juneof 2022,provides medical data of SI-AKI patients to conduct our related research.Based on propensity scorematching(PSM)method,the main risk factors associated with mortality in SI-AKI were evaluated using Coxproportional hazards regression analysis to construct a predictive nomogram.The concordance index(C-index)and decision curve analysis were used to validate the predictive ability and clinical utility of this model.Patientswith SI-AKI were classified into the high-and low-RDW groups according to the best cut-off value obtained bycalculating the maximum value of the Youden index.Results:A total of 7574 patients with SI-AKI were identified according to the filter criteria.Compared withthe low-RDW group,the high-RDW group had higher 28-day(9.49%vs.31.40%,respectively,P<0.001)and7-day(3.96%vs.13.93%,respectively,P<0.001)mortality rates.Patients in the high-RDW group were moreprone to AKI progression than those in the low-RDW group(20.80%vs.13.60%,respectively,P<0.001).Basedon matched patients,we developed a nomogram model that included age,white blood cells,RDW,combinedhypertension and presence of a malignant tumor,treatment with vasopressor,dialysis,and invasive ventilation,sequential organ failure assessment,and AKI stages.The C-index for predicting the probability of 28-day survivalwas 0.799.Decision curve analysis revealed that the model with RDW offered greater net benefit than that withoutRDW.Conclusion:The present findings demonstrated the importance of RDW,which improved the predictive ability ofthe nomogram model for the probability of survival in patients with SI-AKI.
基金supported by the National Natural Science Foundation of China(ZP,No.81971816 and 82272208)the Translational Medicine and Interdisciplinary Research Joint Fund of Zhongnan Hospital of Wuhan University(BH No.ZNJC202011)the Subject Cultivation Project of Zhongnan Hospital of Wuhan University(ZP No.ZNXKPY2021001,BH No.ZNXKPY2021002).
文摘Background:This study aimed to explore the correlation between hyperglycemia at intensive care unit(ICU)admission and the incidence of acute kidney injury(AKI)in patients after cardiac surgery.Methods:We conducted a retrospective cohort study,in which clinical data were extracted from the Medical Information Mart for Intensive Care(MIMIC)-IV database.Adults(≥18 years)in the database who were admitted to the cardiovascular intensive care unit after cardiac surgery were enrolled.The primary outcome was the incidence of AKI within 7 days following ICU admission.Secondary outcomes included ICU mortality,hospital mortality,ICU length of stay,and the 28-day and 90-day mortality.Multivariable Cox regression analysis was used to assess the association between ICU-admission hyperglycemia and AKI incidence within 7 days of ICU admission.Different adjustment strategies were used to adjust for potential confounders.Patients were divided into three groups according to their highest blood glucose levels recorded within 24 h of ICU admission:no hyperglycemia(<140 mg/dL),mild hyperglycemia(140-200 mg/dL),and severe hyperglycemia(≥200 mg/dL).Results:Of the 6905 included patients,2201(31.9%)were female,and the median(IQR)age was 68.2(60.1-75.9)years.In all,1836(26.6%)patients had severe hyperglycemia.The incidence of AKI within 7 days of ICU admission,ICU mortality,and hospital mortality was significantly higher in patients with severe admission hyperglycemia than those with mild hyperglycemia or no hyperglycemia(80.3%vs.73.6% and 61.2%,respec-tively;2.8%vs.0.9% and 1.9%,respectively;and 3.4%vs.1.2% and 2.5%,respectively;all P<0.001).Severe hyperglycemia was a risk factor for 7-day AKI(Model 1:hazard ratio[HR]=1.4809,95%confidence interval[CI]:1.3126 to 1.6707;Model 2:HR=1.1639,95%CI:1.0176 to 1.3313;Model 3:HR=1.2014,95%CI:1.0490 to 1.3760;all P<0.050).Patients with normal glucose levels(glucose levels<140 mg/dL)had a higher 28-day mortality rate than those with severe hyperglycemia(glucose levels≥200 mg/dL)(4.0%vs.3.8%,P<0.001).Conclusions:In post-cardiac surgery patients,severe hyperglycemia within 24 h of ICU admission increases the risk of 7-day AKI,ICU mortality,and hospital mortality.Clinicians should be extra cautious regarding AKI among patients with hyperglycemia at ICU admission after cardiac surgery.
基金Supported by the Appropriate Technology Promotion Program in Chongqing,No.2023jstg005.
文摘BACKGROUND Ampullary adenocarcinoma is a rare malignant tumor of the gastrointestinal tract.Currently,only a few cases have been reported,resulting in limited information on survival.AIM To develop a dynamic nomogram using internal and external validation to predict survival in patients with ampullary adenocarcinoma.METHODS Data were sourced from the surveillance,epidemiology,and end results stat database.The patients in the database were randomized in a 7:3 ratio into training and validation groups.Using Cox regression univariate and multivariate analyses in the training group,we identified independent risk factors for overall survival and cancer-specific survival to develop the nomogram.The nomogram was validated with a cohort of patients from the First Affiliated Hospital of the Army Medical University.RESULTS For overall and cancer-specific survival,12(sex,age,race,lymph node ratio,tumor size,chemotherapy,surgical modality,T stage,tumor differentiation,brain metastasis,lung metastasis,and extension)and 6(age;surveillance,epidemiology,and end results stage;lymph node ratio;chemotherapy;surgical modality;and tumor differentiation)independent risk factors,respectively,were incorporated into the nomogram.The area under the curve values at 1,3,and 5 years,respectively,were 0.807,0.842,and 0.826 for overall survival and 0.816,0.835,and 0.841 for cancer-specific survival.The internal and external validation cohorts indicated good consistency of the nomogram.CONCLUSION The dynamic nomogram offers robust predictive efficacy for the overall and cancer-specific survival of ampullary adenocarcinoma.
文摘A distinctive feature of scholarly communities today is exploring topics and concepts in interdisciplinary and international contexts. This observation is increasingly apparent and visible in advancing our thinking and policies related to human/environmental worlds at local, regional, and global scales. Maps are an important part of these innovative and ongoing research approaches. In this context, we consider urban forests a topic meriting more attention of scholars studying the geographic and environmental intersections of the natural sciences with the social sciences and humanities. We construct two innovative knowledge bases, one a conceptual framework based on major themes and concepts related to mapping urban forests using key words of the first 100 results of a Google Scholar query and a second using the number of Google Scholar hyperlinks about mapping urban forests in 244 capital cities. We discovered that the constructed world maps reveal vast global unevenness in our knowledge about urban forests in hyperlink numbers and ratios, results that merit further attention by disciplinary, international and interdisciplinary scholarly communities.
文摘The characteristic databases in China face issues such as narrow resource coverage,low levels of standardization and normalization,and limited data sharing.To address these challenges,this paper proposes the concept of characteristic databases alliance,using marine characteristic databases as a case for feasibility analysis and discussion.The paper outlines the development path for such alliances and offers recommendations for future growth,aiming to establish a collaborative platform for the development of characteristic databases.
基金supported by the National Key Research&Development Program of China(No.2024YFC3505800)the National Natural Science Foundation of China(Nos.82474334,82474335 and 72174132)+3 种基金National Science Fund for Distinguished Young Scholars(No.82225049)the Key Research&Development Projects of Sichuan Provincial Department of Science and Technology(Nos.2024YFFK0174 and 2024YFFK0152)1.3.5 Project for Disciplines of Excellence,West China Hospital,Sichuan University(Nos.ZYYC24010 and ZYGD23004)the Special Fund for Traditional Chinese Medicine of Sichuan Provincial Administration of Traditional Chinese Medicine(No.2024zd023).
文摘Objectives:Electronic health records(EHRs)offer valuable real-world data(RWD)for Chinese medicine research.However,significant methodological challenges remain in developing integrative Chinese-Western medicine(ICWM)databases.This study aims to establish a best-practice methodological framework,referred to as BRIDGE,to guide the construction of ICWM databases using EHRs.Methods:We developed the methodological framework through a comprehensive process,including systematic literature review,synthesis of empirical experiences,thematic expert discussions,and consultation with an external panel to reach consensus.Results:The BRIDGE framework outlines 6 core components for ICWM-EHR database development:Overall design,database architecture,data extraction and linkage,data governance,data verification,and data quality evaluation.Key data elements include variables related to study population,treatment or exposure,outcomes,and confounders.These databases support various research applications,particularly in evaluating the effectiveness and safety of integrative therapies.To demonstrate its practical value,we developed an ICWM-EHR database on women’s reproductive lifespan,encompassing 2,064,482 patients.This database captures women’s health conditions across the life course,from reproductive age to older adulthood.Conclusions:The BRIDGE methodological framework provides a standardized approach to building high-quality ICWM-EHR databases.It offers a unique opportunity to strengthen the methodological rigor and real-world relevance of Chinese medicine research in integrated healthcare settings.
文摘The journal of Meteorological and Environmental Research [ISSN: 2152-3940] has been included and stored by the following famous databases: CA, CABI, CSA, EBSCO, UPD, AGRIS, EA, Chinese Science and Technology Periodical Database, and CNKI, as well as Library of Congress, United States.
文摘The journal of Meteorological and Environmental Research[ISSN:2152-3940]has been included and stored by the following famous databases:CA,CABI,CSA,EBSCO,UPD,AGRIS,EA,Chinese Science and Technology Periodical Database,and CNKI,as well as Library of Congress,United States.
文摘The journal of Meteorological and Environmental Research[ISSN:2152-3940]has been included and stored by the following famous databases:CA,CABI,CSA,EBSCO,UPD,AGRIS,EA,Chinese Science and Technology Periodical Database,and CNKI,as well as Library of Congress,United States.
文摘This paper explores the evolving landscape of digital resources in Greek epigraphy.A selection of digital projects is examined for its structure,accessibility,and scholarly utility,with a critical focus on completeness,editorial policy,and economic sustainability.The analysis reveals tensions between openaccess ideals and the realities of commercial publishing,as well as challenges posed by short-term funding and limited project scopes.The paper also considers the integration of artificial intelligence tools,notably Ithaca,assessing their potential and current limitations.Emphasis is placed on the pedagogical impact of digital resources,showing how they empower a new generation of students and democratize access to source material.Ultimately,the study underscores the necessity of balancing innovation with scholarly rigor,advocating for ongoing critical reflection to ensure the meaningful development of digital epigraphy in both research and education.
基金supported by the National Key Research and Development Program of China(Grant No.2018YFE0202600)the National Natural Science Foundation of China(Grant No.52272268)+3 种基金the Key Research Program of Frontier SciencesCAS(Grant No.QYZDJ-SSWSLH013)the Informatization Plan of Chinese Academy of Sciences(Grant No.CAS-WX2021SF-0102)the Youth Innovation Promotion Association of CAS(Grant No.2019005)。
文摘The kagome lattice,characterized by a hexagonal arrangement of corner-sharing equilateral triangles,has garnered significant attention as a fascinating quantum material system that hosts exotic magnetic and electronic properties.The identification and characterization of this class of materials are critical for advancing our understanding of their role in emergent phenomena such as superconductivity.In this study,we developed a high-throughput screening framework for the systematic identification and classification of superconducting materials with kagome lattices,integrating them into established materials databases.Leveraging the Materials Project(MP)database and the MDR Super Con dataset,we analyzed over 150000 inorganic compounds and cross-referenced 26000 known superconductors.Using geometry-based structural modeling and experimental validation,we identified 129 kagome superconductors belonging to 17 distinct structural families,many of which had not previously been recognized as kagome systems.The materials are further classified into three categories in terms of topological flat bands,clean band structures,and coexisting magnetic or charge density wave(CDW)orderings.Based on these results,we established a database comprising 129 kagome superconductors,including the detailed crystallographic,electronic,and superconducting properties of these materials.
