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Large language models’performances regarding common patient questions about osteoarthritis:A comparative analysis of ChatGPT-3.5,ChatGPT-4.0,and Perplexity
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作者 Mingde Cao Qianwen Wang +4 位作者 Xueyou Zhang Zuru Liang Jihong Qiu Patrick Shu-Hang Yung Michael Tim-Yun Ong 《Journal of Sport and Health Science》 2025年第4期3-10,共8页
Background:Large Language Models(LLMs)have gained much attention and,in part,have replaced common search engines as a popular channel for obtaining information due to their contextually relevant responses.Osteoarthrit... Background:Large Language Models(LLMs)have gained much attention and,in part,have replaced common search engines as a popular channel for obtaining information due to their contextually relevant responses.Osteoarthritis(OA)is a common topic in skeletal muscle disor-ders,and patients often seek information about it online.Our study evaluated the ability of 3 LLMs(ChatGPT-3.5,ChatGPT-4.0,and Perplexity)to accurately answer common OA-related queries.Methods:We defined 6 themes(pathogenesis,risk factors,clinical presentation,diagnosis,treatment and prevention,and prognosis)based on a generalization of 25 frequently asked questions about OA.Three consultant-level orthopedic specialists independently rated the LLMs’replies on a 4-point accuracy scale.Thefinal ratings for each response were determined using a majority consensus approach.Responses classified as“satisfactory”were evaluated for comprehensiveness on a 5-point scale.Results:ChatGPT-4.0 demonstrated superior accuracy,with 64%of responses rated as“excellent”,compared to 40%for ChatGPT-3.5 and 28%for Perplexity(Pearson’s x2 test with Fisher’s exact test,all p<0.001).All 3 LLM-chatbots had high mean comprehensiveness ratings(Perplexity=3.88;ChatGPT-4.0=4.56;ChatGPT-3.5=3.96,out of a maximum score of 5).The LLM-chatbots performed reliably across domains,except for“treatment and prevention”However,ChatGPT-4.0 still outperformed ChatGPT-3.5 and Perplexity,garnering 53.8%“excellent”ratings(Pearson’s x2 test with Fisher’s exact test,all p<0.001).Conclusion:Ourfindings underscore the potential of LLMs,specifically ChatGPT-4.0 and Perplexity,to deliver accurate and thorough responses to OA-related queries.Targeted correction of specific misconceptions to improve the accuracy of LLMs remains crucial. 展开更多
关键词 Large language models OSTEOARTHRITIS Primary care
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Reducing Uncertainties in Climate Projections with Emergent Constraints:Concepts, Examples and Prospects 被引量:8
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作者 Florent BRIENT 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2020年第1期1-15,共15页
Models disagree on a significant number of responses to climate change,such as climate feedback,regional changes,or the strength of equilibrium climate sensitivity.Emergent constraints aim to reduce these uncertaintie... Models disagree on a significant number of responses to climate change,such as climate feedback,regional changes,or the strength of equilibrium climate sensitivity.Emergent constraints aim to reduce these uncertainties by finding links between the inter-model spread in an observable predictor and climate projections.In this paper,the concepts underlying this framework are recalled with an emphasis on the statistical inference used for narrowing uncertainties,and a review of emergent constraints found in the last two decades.Potential links between highlighted predictors are explored,especially those targeting uncertainty reductions in climate sensitivity,cloud feedback,and changes of the hydrological cycle.Yet the disagreement across emergent constraints suggests that the spread in climate sensitivity can not be significantly narrowed.This calls for weighting the realism of emergent constraints by quantifying the level of physical understanding explaining the relationship.This would also permit more efficient model evaluation and better targeted model development.In the context of the upcoming CMIP6 model intercomparison a growing number of new predictors and uncertainty reductions is expected,which call for robust statistical inferences that allow cross-validation of more likely estimates. 展开更多
关键词 climate modeling emergent constraint climate change climate sensitivity
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Aerosol Optical Properties and Its Radiative Forcing over Yulin, China in 2001 and 2002 被引量:11
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作者 车慧正 张小曳 +3 位作者 Stephane ALFRARO Bernadette CHATENET Laurent GOMES 赵剑琦 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2009年第3期564-576,共13页
The aerosol optical properties and direct radiative forcing over the Mu Us desert of northern China, acquired through a CE318 sunphotometer of the ground-based Aerosol Robotic Network (AERONET), are analyzed. The se... The aerosol optical properties and direct radiative forcing over the Mu Us desert of northern China, acquired through a CE318 sunphotometer of the ground-based Aerosol Robotic Network (AERONET), are analyzed. The seasonal variations in the aerosol optical properties are examined. The effect of meteorological elements (pressure, temperature, water vapor pressure, relative humidity and wind speed) on the aerosol optical properties is also studied. Then, the sources and optical properties under two different cases, a dust event and a pollution event, are compared. The results show that the high aerosol optical depth (AOD) found in Yulin was mostly attributed to the occurrence of dust events in spring from the Mu Us desert and deserts of West China and Mongolia, as well as the impacts of anthropogenic pollutant particles from the middle part of China in the other seasons. The seasonal variation and the probability distribution of the radiative forcing and the radiative forcing efficiency at the surface and the top of the atmosphere are analyzed and regressed using the linear and Gaussian regression methods. 展开更多
关键词 aerosol optical properties aerosol radiative forcing Mu Us desert China
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Usingvery long-range terrestriallaser scanner to analyze the temporal consistency of the snowpack distribution in a high mountain environment
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作者 Juan I.LOPEZ-MORENO Jesús REVUELTO +4 位作者 E.ALONSO-GONZALEZ Alba SANMIGUEL-VALLELADO Steven R.FASSNACHT Jeffrey DEEMS Enrique MORAN-TEJEDA 《Journal of Mountain Science》 SCIE CSCD 2017年第5期823-842,共20页
This study demonstrated the usefulness of very long-range terrestrial laser scanning(TLS) for analysis of the spatial distribution of a snowpack, to distances up to 3000 m, one of the longest measurement range reporte... This study demonstrated the usefulness of very long-range terrestrial laser scanning(TLS) for analysis of the spatial distribution of a snowpack, to distances up to 3000 m, one of the longest measurement range reported to date. Snow depth data were collected using a terrestrial laser scanner during 11 periods of snow accumulation and melting,over three snow seasons on a Pyrenean hillslopecharacterized by a large elevational gradient, steep slopes, and avalanche occurrence. The maximum and mean absolute snow depth error found was 0.5-0.6 and 0.2-0.3 m respectively, which may result problematic for areas with a shallow snowpack, but it is sufficiently accurate to determine snow distribution patterns in areas characterized by a thick snowpack. The results indicated that in most cases there was temporal consistency in the spatial distribution of thesnowpack, even in different years. The spatial patterns were particularly similar amongst thesurveys conducted during the period dominated by snow accumulation(generally until end of April), or amongst those conducted during the period dominated by melting processes(generally after mid of April or early May). Simple linear correlation analyses for the 11 survey dates, and the application of Random Forests analysis to two days representative of snow accumulation and melting periods indicated the importance of topography to the snow distribution. The results also highlight that elevation and the Topographic Position index(TPI) were the main variables explaining the snow distribution, especially during periods dominated by melting. The intra-and inter-annual spatial consistency of the snowpack distribution suggests that the geomorphological processes linked to presence/absence of snow cover act in a similar way in the long term, and that these spatial patternscan be easily identifiedthrough several years of adequate monitoring. 展开更多
关键词 SNOW Terrestrial laser scanner(TLS) Topography Random Forests Spatial distribution PYRENEES
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Oceanic Indices for Forecasting Seasonal Rainfall over the Northern Part of Brazilian Northeast
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作者 Gbèkpo Aubains Hounsou-Gbo Jacques Servain +3 位作者 Moacyr Araujo Eduardo Sávio Martins Bernard Bourlès Guy Caniaux 《American Journal of Climate Change》 2016年第2期261-274,共14页
A relationship between oceanic conditions in the northwestern equatorial Atlantic (NWEA) and the seasonal rainfall over the northern part of Brazilian Northeast (NNEB) allows large climate events to be forecasted with... A relationship between oceanic conditions in the northwestern equatorial Atlantic (NWEA) and the seasonal rainfall over the northern part of Brazilian Northeast (NNEB) allows large climate events to be forecasted with a delay of a few months. Observed sea surface variables (sea surface temperature, wind stress and latent heat flux) and reanalyzed temperature and salinity profiles at depths of 0 - 150 m are used during 1974-2008. Perturbations in the Wind-Evaporation-SST mechanism over the NWEA during the last months of the year and the first months of the following year are of primary importance in evaluating the risk that strong climate events will affect the subsequent seasonal rainfall (in March-April) over the NNEB. Especially interesting are the Barrier Layer Thickness (BLT) and Ocean Heat Content (OHC) in the NWEA region from August-September through the subsequent months, during which a slow and steady evolution is apparent, with the highest signal occurring in October-November. Through their relationship with the local surface dynamic conditions, such BLT and OHC perturbations during the last months of the year can be used as a valuable indicator for forecasting wet or dry events over the NNEB during the subsequent rainfall season. A proposal is discussed to deploy additional temperature/conductivity sensors down to a depth of 140 m at three PIRATA moorings located in the NWEA region. That will be necessary if the BLT and other parameters of energy exchange between the ocean and atmosphere are to be estimated in real time and with a sufficiently high vertical resolution. 展开更多
关键词 Brazilian Northeast Seasonal Rainfall Barrier Layer Thickness Oceanic Heat Content
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机械敏感蛋白PC1调控破骨细胞及骨吸收的作用机制 被引量:2
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作者 黄梅 周静璇 +20 位作者 李潇骁 刘冉 姜洋子 陈开璇 焦玉睿 尹欣 刘玲 孙宇晨 王维山 肖业 苏甜 郭奇 黄燕 杨觅 魏婕 L.Darryl Quarles 肖洲生 曾超 罗湘杭 雷光华 李长俊 《Science Bulletin》 SCIE EI CAS CSCD 2024年第12期1964-1979,共16页
Mechanical loading is required for bone homeostasis,but the underlying mechanism is still unclear.Our previous studies revealed that the mechanical protein polycystin-1(PC1,encoded by Pkd1)is critical for bone formati... Mechanical loading is required for bone homeostasis,but the underlying mechanism is still unclear.Our previous studies revealed that the mechanical protein polycystin-1(PC1,encoded by Pkd1)is critical for bone formation.However,the role of PC1 in bone resorption is unknown.Here,we found that PC1directly regulates osteoclastogenesis and bone resorption.The conditional deletion of Pkd1 in the osteoclast lineage resulted in a reduced number of osteoclasts,decreased bone resorption,and increased bone mass.A cohort study of 32,500 patients further revealed that autosomal dominant polycystic kidney disease,which is mainly caused by loss-of-function mutation of the PKD1 gene,is associated with a lower risk of hip fracture than those with other chronic kidney diseases.Moreover,mice with osteoclastspecific knockout of Pkd1 showed complete resistance to unloading-induced bone loss.A mechanistic study revealed that PC1 facilitated TAZ nuclear translocation via the C-terminal tail-TAZ complex and that conditional deletion of Taz in the osteoclast lineage resulted in reduced osteoclastogenesis and increased bone mass.Pharmacological regulation of the PC1-TAZ axis alleviated unloading-and estrogen deficiency-induced bone loss.Thus,the PC1-TAZ axis may be a potential therapeutic target for osteoclast-related osteoporosis. 展开更多
关键词 Polycystin1 OSTEOCLASTOGENESIS Bone resorption Mechanical stress
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Mineralogical characteristics of soil dust from source regions in northern China 被引量:4
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作者 Zhenxing Shen Sandrine Caquineau +4 位作者 Junji Cao Xiaoye Zhang Yuemei Han Annie Gaudichet Laurent Gomes 《Particuology》 SCIE EI CAS CSCD 2009年第6期507-512,共6页
Mineral compositions of aerosol particles were investigated at four sites (Aksu, Dunhuang, Zhenbeitai, and Tongliao) in desert regions of northern China from March to May in 2001 and 2002 during the intensive field ... Mineral compositions of aerosol particles were investigated at four sites (Aksu, Dunhuang, Zhenbeitai, and Tongliao) in desert regions of northern China from March to May in 2001 and 2002 during the intensive field campaign period of ACE-Asia (Aerosol Characterization Experiments-Asia). The X-ray diffraction (XRD) results show the main minerals for Asian dust are illite, chlorite, kaolinite, quartz, feldspar, calcite, and dolomite. Gypsum, hornblende, and halite are also detected in several samples. Semi-quantitative mineralogical data of aerosol samples show that carbonate content decreases from western to eastern source areas; that is, soil dust collected at western source area sites of Dunhuang and Aksu are enriched with carbonate, while northeastern source area site of Tongliao is associated with low carbonate content. But the spatial distribution of feldspar exhibits a different pattern as compared to carbonate, increasing from the western to the eastern sources. The total clay content is significantly higher (73% in average) at the deposition site of Changwu than those at source areas. Air-mass back trajectory studies for the three dust storm events observed at Changwu, showed that soil dust transport pathways were as expected from carbonate content for the source identification, further demonstrating that carbonate was a useful tracer for eolian dust on regional scale in northern China. 展开更多
关键词 Soil dust Mineralogical composition Carbonate Tracer
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Surface Weather Parameters Forecasting Using Analog Ensemble Method over the Main Airports of Morocco
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作者 Badreddine ALAOUI Driss BARI Yamna GHABBAR 《Journal of Meteorological Research》 SCIE CSCD 2022年第6期866-881,共16页
Surface weather parameters detain high socioeconomic impact and strategic insights for all users,in all domains(aviation,marine traffic,agriculture,etc.).However,those parameters were mainly predicted by using determi... Surface weather parameters detain high socioeconomic impact and strategic insights for all users,in all domains(aviation,marine traffic,agriculture,etc.).However,those parameters were mainly predicted by using deterministic numerical weather prediction(NWP)models that include a wealth of uncertainties.The purpose of this study is to contribute in improving low-cost computationally ensemble forecasting of those parameters using analog ensemble method(AnEn)and comparing it to the operational mesoscale deterministic model(AROME)all over the main airports of Morocco using 5-yr period(2016-2020)of hourly datasets.An analog for a given station and forecast lead time is a past prediction,from the same model that has similar values for selected predictors of the current model forecast.Best analogs verifying observations form AnEn ensemble members.To picture seasonal dependency,two configurations were set;a basic configuration where analogs may come from any past date and a restricted configuration where analogs should belong to a day window around the target forecast.Furthermore,a new predictors weighting strategy is developed by using machine learning techniques(linear regression,random forest,and XGBoost).This approach is expected to accomplish both the selection of relevant predictors as well as finding their optimal weights,and hence preserve physical meaning and correlations of the used weather variables.Results analysis shows that the developed AnEn system exhibits a good statistical consistency and it significantly improves the deterministic forecast performance temporally and spatially by up to 50%for Bias(mean error)and 30%for RMSE(root-mean-square error)at most of the airports.This improvement varies as a function of lead times and seasons compared to the AROME model and to the basic AnEn configuration.The results show also that AnEn performance is geographically dependent where a slight worsening is found for some airports. 展开更多
关键词 analog ensemble machine learning surface weather parameters ensemble forecasting AROME(Applications de la Rechercheàl’OpérationnelàMéso-Echelle) predictors weighting strategy
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Macrophage-derived extracellular vesicles regulate skeletal stem/progenitor Cell lineage fate and bone deterioration in obesity
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作者 Chen He Chen Hu +14 位作者 Wen-Zhen He Yu-Chen Sun Yangzi Jiang Ling Liu Jing Hou Kai-Xuan Chen Yu-Rui Jiao Mei Huang Min Huang Mi Yang Qiong Lu Jie Wei Chao Zeng Guang-Hua Lei Chang-Jun Li 《Bioactive Materials》 SCIE CSCD 2024年第6期508-523,共16页
Obesity-induced chronic inflammation exacerbates multiple types of tissue/organ deterioration and stem cell dysfunction;however,the effects on skeletal tissue and the underlying mechanisms are still unclear.Here,we sh... Obesity-induced chronic inflammation exacerbates multiple types of tissue/organ deterioration and stem cell dysfunction;however,the effects on skeletal tissue and the underlying mechanisms are still unclear.Here,we show that obesity triggers changes in the microRNA profile of macrophage-secreted extracellular vesicles,leading to a switch in skeletal stem/progenitor cell(SSPC)differentiation between osteoblasts and adipocytes and bone deterioration.Bone marrow macrophage(BMM)-secreted extracellular vesicles(BMM-EVs)from obese mice induced bone deterioration(decreased bone volume,bone microstructural deterioration,and increased adipocyte numbers)when administered to lean mice.Conversely,BMM-EVs from lean mice rejuvenated bone deterioration in obese recipients.We further screened the differentially expressed microRNAs in obese BMM-EVs and found that among the candidates,miR-140(with the function of promoting adipogenesis)and miR-378a(with the function of enhancing osteogenesis)coordinately determine SSPC fate of osteogenic and adipogenic differentiation by targeting the Pparα-Abca1 axis.BMM miR-140 conditional knockout mice showed resistance to obesity-induced bone deterioration,while miR-140 overexpression in SSPCs led to low bone mass and marrow adiposity in lean mice.BMM miR-378a conditional depletion in mice led to obesity-like bone deterioration.More importantly,we used an SSPC-specific targeting aptamer to precisely deliver miR-378a-3p-overloaded BMM-EVs to SSPCs via an aptamer-engineered extracellular vesicle delivery system,and this approach rescued bone deterioration in obese mice.Thus,our study reveals the critical role of BMMs in mediating obesity-induced bone deterioration by transporting selective extracellular-vesicle microRNAs into SSPCs and controlling SSPC fate. 展开更多
关键词 Obesity-induced bone deterioration Macrophage-derived extracellular vesicles Skeletal stem/progenitor cells Cell fate Aptamer Cell-specific targeting
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