195 results on '"Xu, Zhengquan"'
Search Results
152. An Improved Chaos-Based Stream Cipher Algorithm and its VLSI Implementation
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Liu, Shubo, primary, Sun, Jing, additional, Xu, Zhengquan, additional, and Cai, Zhaohui, additional
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- 2008
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153. Visual security assessment for video encryption
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Yao, Ye, primary, Xu, Zhengquan, additional, and Li, Wei, additional
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- 2008
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154. A Compressed Video Encryption Approach Based on Spatial Shuffling
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Yao, Ye, primary, Xu, Zhengquan, additional, and Li, Wei, additional
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- 2006
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155. An efficient scheme to secure VLC codeword concatenations for video encryption
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Li, Wei, primary, Xu, Zhengquan, additional, and Yao, Ye, additional
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- 2005
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156. A dynamic core-based tree scheme for key management in secure multicast
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Xu, ZhengQuan, primary and Chen, Lin, additional
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- 2005
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157. An effective genetic algorithm for multicast routing tree with degree delay constrain
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Chen, Lin, primary and Xu, ZhengQuan, additional
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- 2005
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158. A dynamic method for metadata partitioning based on intensive access of spatial data.
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Lin Yanping, Li Rui, Xu Zhengquan, and Guo Rui
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- 2011
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159. An Active-Passive Security Protection Method for Remote Sensing Image.
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Xu Yanyan, Zhang Yuxia, and Xu Zhengquan
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- 2011
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160. A spatial-temporal covariance model for rainfall analysis.
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Li, Sha, Shu, Hong, and Xu, Zhengquan
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- 2009
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161. Silver Nanoparticle-Loaded Titanium-Based Metal–Organic Framework for Promoting Antibacterial Performance by Synergistic Chemical–Photodynamic Therapy
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Zhan, Xiao-Ping, Zeng, Yong-Nian, Li, Bing-Xin, Zheng, Hui-Qian, Feng, Han-Xiao, Xu, Zhengquan, Liu, Jiaying, and Lin, Zu-Jin
- Abstract
The abuse of antibiotics leads to an increasing emergence of drug-resistant bacteria, which not only causes a waste of medical resources but also seriously endangers people’s health and life safety. Therefore, it is highly desirable to develop an efficient antibacterial strategy to reduce the reliance on traditional antibiotics. Antibacterial photodynamic therapy (aPDT) is regarded as an intriguing antimicrobial method that is less likely to generate drug resistance, but its efficiency still needs to be further improved. Herein, a robust titanium-based metal–organic framework ACM-1 was adopted to support Ag nanoparticles (NPs) to obtain Ag NPs@ACM-1 for boosting antibacterial efficiency via synergistic chemical–photodynamic therapy. Apart from the intrinsic antibacterial nature, Ag NPs largely boost ROS production and thus improve aPDT efficacy. As a consequence, Ag NPs@ACM-1 shows excellent antibacterial activity under visible light illumination, and its minimum bactericidal concentrations (MBCs) against E. coli, S. aureus, and MRSA are as low as 39.1, 39.1, and 62.5 μg mL–1, respectively. Moreover, to expand the practicability of Ag NPs@ACM-1, two (a dense and a loose) Ag NPs@ACM-1 films were readily fabricated by simply dispersing Ag NPs@ACM-1 into heated aqueous solutions of edible agar and sequentially cooling through heating or freeze-drying, respectively. Notably, these two films are mechanically flexible and exhibit excellent antibacterial activities, and their antimicrobial performances can be well retained in their recyclable and remade films. As agar is nontoxic, degradable, inexpensive, and ecosustainable, the dense and loose Ag NPs@ACM-1 films are potent to serve as recyclable and degradable antibacterial plastics and antibacterial dressings, respectively.
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- 2023
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162. An efficient scheme to secure VLC codeword concatenations for video encryption.
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Li, Wei, Xu, Zhengquan, and Yao, Ye
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- 2005
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163. A dynamic core-based tree scheme for key management in secure multicast.
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Xu, ZhengQuan and Chen, Lin
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- 2005
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164. Digital filter design for peak detection of surface EMG
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Xu, Zhengquan, primary and Xiao, Shaojun, additional
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- 2000
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165. On the Store Strategy of Small Spatio-Temporal Data Files in Cloud Environment.
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XIONG Lian, XU Zhengquan, WANG Tao, and GU Xin
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COMPUTER files , *DIGITAL media , *CLOUD computing , *DISTRIBUTED computing , *CLOUD storage - Abstract
Internet applications create massive small spatio-temporal data files in cloud environments. Therefore a method aiming to raise the processing efficiency of small files in HDFS; a data scheme combining user access and data features, is proposed. This scheme regards a user access stream as file request sequence, and constructs a characteristic sequence by spatio-temporal attribute extraction. A characteristic template of different user access patterns is formed when analyzing the characteristic sequence by template matching. Then merger-related files are analyzed. Experimental results show that our scheme improves the storage efficiency for small files, and also decreases network application response times. [ABSTRACT FROM AUTHOR]
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- 2014
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166. DCCP: an effective data placement strategy for data-intensive computations in distributed cloud computing systems.
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Wang, Tao, Yao, Shihong, Xu, Zhengquan, and Jia, Shan
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DISTRIBUTED computing , *CLOUD computing , *CLOUD storage , *DATA warehousing , *DATABASE management - Abstract
Cloud computing systems provide high-performance computing resources and distributed storage space to deal with data-intensive computations. Data scheduling between data centers is becoming indispensable for the cloud computing systems in which a mass of large datasets is stored at different data centers and inter-center data accesses are needed in data analytics. However, the performance of data scheduling is highly dependent upon the rationality of data placement. Data placement is a key optimization method for reducing data scheduling between data centers and realizing statistical I/O load balancing, accordingly reducing the mean computation execution time. This paper proposes a data placement strategy, DCCP, which is developed based on dynamic computation correlation. DCCP places the datasets with high dynamic computation correlations at the same data center considering the I/O load and the capacity load of data centers; when computations are scheduled for this data center, most of the datasets they process are stored locally, and thus the mean computation execution time can be reduced. Evidence from a large number of experiments proves that the DCCP can achieve the statistical I/O load balancing and the capacity load balancing of data centers, thus reducing the total data scheduling between data centers as much as possible at a very low time complexity, even as the numbers of datasets and data centers increase. [ABSTRACT FROM AUTHOR]
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- 2016
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167. A content security protection scheme in JPEG compressed domain.
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Xu, Yanyan, Xiong, Lizhi, Xu, Zhengquan, and Pan, Shaoming
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COMPUTER security , *JPEG (Image coding standard) , *IMAGE representation , *DATA encryption , *DIGITAL image processing , *CIPHERS - Abstract
Highlights: [•] The proposed scheme integrates encryption and digital fingerprinting. [•] The scheme is implemented in JPEG compressed domain with no need for decompression. [•] The cipher-image is kept format-compliant. [•] A single encrypted copy of the media content is distributed for different users. [•] Users who decrypt the data with different keys obtains unique fingerprinted copies. [Copyright &y& Elsevier]
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- 2014
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168. 3D Face Anti-Spoofing With Factorized Bilinear Coding.
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Jia, Shan, Li, Xin, Hu, Chuanbo, Guo, Guodong, and Xu, Zhengquan
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HUMAN facial recognition software , *COLOR codes , *FACE - Abstract
We have witnessed rapid advances in both face presentation attack models and presentation attack detection (PAD) in recent years. When compared with widely studied 2D face presentation attacks, 3D face spoofing attacks are more challenging because face recognition systems are more easily confused by the 3D characteristics of materials similar to real faces. In this work, we tackle the problem of detecting these realistic 3D face presentation attacks and propose a novel anti-spoofing method from the perspective of fine-grained classification. Our method, based on factorized bilinear coding of multiple color channels (namely MC_FBC), targets at learning subtle fine-grained differences between real and fake images. By extracting discriminative and fusing complementary information from RGB and YCbCr spaces, we have developed a principled solution to 3D face spoofing detection. A large-scale wax figure face database (WFFD) with both images and videos has also been collected as super realistic attacks to facilitate the study of 3D face presentation attack detection. Extensive experimental results show that our proposed method achieves the state-of-the-art performance on both our own WFFD and other face spoofing databases under various intra-database and inter-database testing scenarios. [ABSTRACT FROM AUTHOR]
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- 2021
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169. Face spoofing detection under super-realistic 3D wax face attacks.
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Jia, Shan, Hu, Chuanbo, Li, Xin, and Xu, Zhengquan
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WAXES , *THREE-dimensional imaging - Abstract
• A new database with wax figure faces as super-realistic 3D face spoofing attacks. • High diversity and high quality of faces in database. • Fusion of attention-aware features of different face scales for face anti-spoofing. • Performance evaluation under both intra- and cross-database testing scenarios. Face spoofing attacks based on 3D face images have posed a severe security risk to face recognition systems. Despite the great effort made by the technical community in recent years, existing 3D face spoofing databases, mostly based on 3D masks, still suffer from small sample size, low diversity, or poor authenticity due to the production difficulty and high cost. To fill in this gap, we introduce a new database in this paper with 4-000 single wax figure faces, named SWFFD (Single Wax Figure Face Database), as a type of super-realistic 3D face presentation attack. Collected from online resources, this database has high diversity in terms of subjects, lighting conditions, facial poses, and recording devices. We have also designed a new detection method, which combines attention-aware features from different face scales to generate discriminative representations for realistic face spoofing attack detection. Extensive experiments have been conducted on the SWFFD as well as the CelebA-HQ database (containing real faces from the online collection). Experimental results have demonstrated the effectiveness of the proposed method in both intra-database and cross-database testing scenarios. [ABSTRACT FROM AUTHOR]
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- 2021
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170. A survey on 3D mask presentation attack detection and countermeasures.
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Jia, Shan, Guo, Guodong, and Xu, Zhengquan
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THREE-dimensional modeling , *HUMAN facial recognition software , *DATABASE evaluation , *THREE-dimensional printing - Abstract
Despite the impressive progress in face recognition, current systems are vulnerable to presentation attacks, which subvert the face recognition systems by presenting a face artifact. Several techniques have been developed to automatically detect different presentation attacks, mostly for 2D photo print and video replay attacks. However, with the development of 3D modeling and printing technologies, 3D mask has become a more effective way to attack the face recognition systems. Over the last decade, various detection methods for 3D mask attacks have been proposed, but there is no survey yet to summarize the advances. We present a comprehensive overview of the state-of-the-art approaches in 3D mask spoofing and anti-spoofing, including existing databases and countermeasures. In addition, we quantitatively compare the performance of different mask spoofing detection methods on a common ground (i.e., using the same database and evaluation metric). The effectiveness of several 2D presentation attack detection methods is also evaluated on two 3D mask spoofing databases to show whether they are applicable or not for 3D mask attacks. Finally, we present some insights and summarize open issues to address in the future. [ABSTRACT FROM AUTHOR]
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- 2020
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171. Face presentation attack detection in mobile scenarios: A comprehensive evaluation.
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Jia, Shan, Guo, Guodong, Xu, Zhengquan, and Wang, Qiangchang
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HUMAN facial recognition software , *NEUROMYELITIS optica - Abstract
The vulnerability of face recognition systems to different presentation attacks has aroused increasing concern in the biometric community. Face presentation detection (PAD) techniques, which aim to distinguish real face samples from spoof artifacts, are the efficient countermeasure. In recent years, various methods have been proposed to address 2D type face presentation attacks, including photo print attack and video replay attack. However, it is difficult to tell which methods perform better for these attacks, especially in practical mobile authentication scenarios, since there is no systematic evaluation or benchmark of the state-of-the-art methods on a common ground (i.e., using the same databases and protocols). Therefore, this paper presents a comprehensive evaluation of several representative face PAD methods (30 in total) on three public mobile spoofing datasets to quantitatively compare the detection performance. Furthermore, the generalization ability of existing methods is tested under cross-database testing scenarios to show the possible database bias. We also summarize meaningful observations and give some insights that will help promote both academic research and practical applications. [ABSTRACT FROM AUTHOR]
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- 2020
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172. Does Preoperative T1 Slope and Cervical Lordosis Mismatching Affect Surgical Outcomes After Laminoplasty in Patients with Cervical Spondylotic Myelopathy?
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Rao, Hongming, Huang, Yuming, Lan, Zhibin, Xu, Zhengquan, Li, Guishuang, and Xu, Weihong
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CERVICAL spondylotic myelopathy , *LAMINOPLASTY , *LORDOSIS , *KYPHOSIS - Abstract
To assess whether preoperative T1 slope and cervical lordosis mismatching affect the surgical outcomes of patients with cervical spondylotic myelopathy (CSM) after laminoplasty. A total of 85 patients with CSM who underwent unilateral open-door laminoplasty between January 2013 and May 2017 were retrospectively reviewed. Based on preoperative T1 slope and C2–C7 lordosis matching, the patients were divided into 2 groups: the match group and the mismatch group. The T1 slope minus C2–C7 lordosis (T1S-CL) <20° was defined as matching. Radiographic parameters included T1 slope, C2–C7 lordosis, C2–C7 sagittal vertical axis (SVA), and T1S-CL. Clinical outcomes were based on the Neck Disability Index (NDI) and Japanese Orthopedic Association (JOA) scores. The preoperative T1S-CL had significant correlation with T1 slope (r = 0.283), C2–C7 lordosis (r = -0.611), and C2–C7 SVA (r = 0.331). At the final follow-up, patients in the mismatch group had a higher incidence of postoperative cervical kyphosis (P = 0.007) and C2–C7 SVA >40 mm (P = 0.043). The mismatch group also had greater △C2–C7 lordosis (P = 0.028), △C2–C7 SVA (P = 0.042), and △T1S-CL (P = 0.044). Comparison of clinical outcomes revealed that patients in the match group had better NDI and JOA recovery (P < 0.05). T1S-CL is a clinically relevant parameter for surgical decision making because patients with T1S-CL mismatching are more likely to have postoperative kyphotic alignment changes and cervical sagittal imbalance. Laminoplasty might not be a suitable option for patients with T1S-CL mismatching. [ABSTRACT FROM AUTHOR]
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- 2019
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173. A comparative study of single-stage transpedicular debridement, fusion, and posterior long-segment versus short-segment fixation for the treatment of thoracolumbar spinal tuberculosis in adults: minimum five year follow-up outcomes.
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Liu, Zheng, Zhang, Penghui, Zeng, Hao, Xu, Zhengquan, and Wang, Xiyang
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DEBRIDEMENT , *SPINAL tuberculosis , *FRACTURE fixation , *FOLLOW-up studies (Medicine) , *CLINICAL trials , *BONE screws , *LUMBAR vertebrae surgery , *COMPARATIVE studies , *KYPHOSIS , *LONGITUDINAL method , *RESEARCH methodology , *MEDICAL cooperation , *RESEARCH , *SPINAL fusion , *THORACIC vertebrae , *EVALUATION research , *TREATMENT effectiveness , *RETROSPECTIVE studies , *SURGERY - Abstract
Design: This a retrospective study in single centre.Objective: The objective of this retrospective clinical study is to compare the long-term clinical efficacy of posterior long-segment and short-segment fixation with single-stage transpedicular debridement and fusion for the treatment of thoracolumbar spinal tuberculosis in adults.Methods: Sixty-six cases of thoracolumbar tuberculosis were treated by single-stage transpedicular debridement, bone graft fusion, and pedicle screw fixation. Thirty-five cases were under long-segment fixation (group A) and 31 cases were under short-segment fixation (group B). These patients were followed up for a minimum of five years. The clinical and radiographic results for these patients were analyzed and compared.Results: All 66 patients were completely cured during the follow-up. All patients had significant improvement of neurological condition and visual analogue scale pain scores at the final follow-up. The average operation duration and blood loss in group A were more than that in group B. Kyphosis Cobb angle of both groups was significantly corrected after surgical management. The correction rate of Cobb angle in group A was significantly higher than that in group B at the time of immediate post-operative period or the last follow-up (P < 0.05). The correction loss of group A was significantly less than that in group B (P < 0.05).Conclusion: Both posterior long-segment and short-segment pedicle screw fixations for the treatment of thoracolumbar spinal tuberculosis have significant effects in the correction of kyphosis and the improvement of neurological function. Although the blood loss and operation time of long-segment fixation were more than that of short-segment fixation, long-segment fixation was superior to the short-segment fixation in the correction of kyphosis and the maintenance of spinal stability, especially in the prevention of long-term correction loss. [ABSTRACT FROM AUTHOR]- Published
- 2018
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174. A privacy-preserving content-based image retrieval method in cloud environment.
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Xu, Yanyan, Gong, Jiaying, Xiong, Lizhi, Xu, Zhengquan, Wang, Jinwei, and Shi, Yun-qing
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IMAGE retrieval , *CLOUD computing , *DATA security , *DATA encryption , *ORTHOGONAL decompositions , *ALGORITHMS - Abstract
In order to protect data privacy, image with sensitive or private information needs to be encrypted before being outsourced to a cloud service provider. However, this causes difficulties in image retrieval and data management. A privacy-preserving content-based image retrieval method based on orthogonal decomposition is proposed in the paper. The image is divided into two different components, for which encryption and feature extraction are executed separately. As a result, cloud server can extract features from an encrypted image directly and compare them with the features of the queried images, so that users can thus obtain the image. Different from other methods, the proposed method has no special requirements to encryption algorithms, which makes it more universal and can be applied in different scenarios. Experimental results prove that the proposed method can achieve better security and better retrieval performance. [ABSTRACT FROM AUTHOR]
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- 2017
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175. Prediction of coal spontaneous combustion temperature based on improved grey wolf optimizer algorithm and support vector regression.
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Li, Shuang, Xu, Kun, Xue, Guangzhe, Liu, Jiao, and Xu, Zhengquan
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SPONTANEOUS combustion , *COAL combustion , *COAL mining , *TEMPERATURE , *PARTICLE swarm optimization , *PREDICTION models - Abstract
• Improved grey wolf optimizer and verified the effectiveness of the improvement. • Grey wolf optimizer improves the prediction performance of support vector regression. • Optimized support vector regression is applied to coal spontaneous combustion temperature prediction. The effective prediction of coal spontaneous combustion temperature is of great importance to the monitoring and prevention of coal mine fires. Aiming at the problem of insufficient prediction accuracy of traditional coal spontaneous combustion temperature prediction model, and considering the characteristics of prediction data samples and the timeliness of applicable models, an improved grey wolf optimized support vector regression coal spontaneous combustion temperature prediction model based on nonlinear parameter control, dynamic inertia weights and grey wolf social hierarchy is proposed, and the effectiveness of the improved grey wolf optimizer algorithm is verified by numerical experiments. The O 2 concentration, CO concentration, C 2 H 4 concentration, CO/ΔO 2 , and C 2 H 4 /C 2 H 6 selected from the coal spontaneous combustion procedure warming experiment were used as the input indexes of the prediction model, and the coal body temperature was used as the output index, and the prediction model was compared and analyzed with the particle swarm optimization support vector regression and grey wolf optimized support vector regression models through the experimental data. The results show that the improved grey wolf algorithm has stronger global search ability, faster convergence speed and better stability, and the proposed prediction model has strong advantages in accuracy and stability, which can provide better decision reference for coal spontaneous combustion fire prediction and warning in coal mines. [ABSTRACT FROM AUTHOR]
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- 2022
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176. Hemangioendothelioma of the cervical spine: report of a rare case.
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Zhang, Penghui, Wang, Xiyang, Luo, Chengke, Zeng, Hao, Xu, Zhengquan, Peng, Wei, and Jiang, Weihong
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ANGIOSARCOMA , *CERVICAL vertebrae , *LONGITUDINAL ligaments , *ANTERIOR longitudinal ligament , *MEDICAL care - Abstract
The article presents case report of a patient who suffered hemangioendothelioma of the cervical spine. The female patient was presented with a 12-year history of chronic, progressive cervical pain and limitation of motion localized to the cervical spine, associated with progressive quadriplegia and sensory disturbance over the previous year.
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- 2015
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177. Thoracolumbar spinal tuberculosis in children with severe post-tubercular kyphotic deformities treated by single-stage closing-opening wedge osteotomy: preliminary report a 4-year follow-up of 12 patients.
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Pang, Xiaoyang, Li, Dongzhe, Wang, Xiyang, Shen, Xiongjie, Luo, Chengke, Xu, Zhengquan, Zeng, Hao, Wu, Ping, Zhang, Penghui, and Peng, Wei
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TUBERCULOSIS treatment , *OSTEOTOMY , *BONE surgery , *ORTHOPEDIC surgery , *HOSPITAL admission & discharge - Abstract
Purpose: The correction of severe post-tubercular kyphosis (PTK) is complex and has the disadvantage of being multistaged with a high morbidity. In this study, we evaluated the outcomes of children who underwent single-stage closing-opening wedge osteotomy as a surgical treatment of PTK of the thoracolumbar spine. Method: Our study group included 12 children with thoracolumbar PTK (seven boys and five girls) with an average age of 9.4 years (range 6-12 years), who were treated at our institution from January 2004 to October 2009. The American Spinal Injury Association Impairment Scale and visual analog scale score were used to classify neurologic function. All patients underwent halo-pelvic traction before surgery and were treated with single-stage closing-opening wedge osteotomy. Result: The duration of surgery averaged 99 min (range 70-150 min). Average blood loss was 782 ml (range 560-1,200 ml), and the average length of hospital stay was 12 days (range 8-16 days). The neurological function of all patients improved significantly after the procedure. The mean preoperative kyphotic angle was 83.3° (range 59-118°), which had reduced to 27.6° (range 20-38°) at the final follow-up visit. All patients had solid fusion, and no major complications were observed through the final follow-up visit. Conclusion: Single-stage closing-opening wedge osteotomy is an effective method to correct severe thoracolumbar PTK. A main advantage of the procedure is that it is a posterior-only, single-staged surgery, allowing for significant correction with minimal complications. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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178. Surgical treatment of thoracic spinal tuberculosis with adjacent segments lesion via one-stage transpedicular debridement, posterior instrumentation and combined interbody and posterior fusion, a clinical study.
- Author
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Wu, Ping, Luo, Chenke, Pang, Xiaoyang, Xu, Zhengquan, Zeng, Hao, and Wang, Xiyang
- Subjects
- *
TUBERCULOSIS , *SPINAL cord injuries , *THORACIC vertebrae , *DEBRIDEMENT , *ERYTHROCYTES - Abstract
Purpose: To investigate the clinical efficacy and feasibility of one-stage surgical treatment for thoracic spinal tuberculosis with adjacent segments lesion by internal fixation, transpedicular debridement, and combined interbody and posterior fusion via a posterior-only approach. Materials and methods: Twenty-one patients (thirteen males, eight females) with thoracic tuberculosis whose lesions were confined to two adjacent segments were studied retrospectively. All patients were treated with one-stage surgical treatment by internal fixation, transpedicular debridement, and combined interbody and posterior fusion via a posterior-only approach. The American Spinal Injury Association (ASIA) impairment scale was used to assess neurological function. Thoracic Cobb angle was used to assess thoracic kyphosis. Operating time, blood loss, complications, neurological function, deformity correction and interbody fusion were investigated. Results: Average mean operating time was 231.4 ± 31.9 min, and evaluated blood loss during operation was 880.2 ± 112.7 ml. All patients were followed up for 22-41 months postoperatively (average 29.8 ± 5.4 months). All patients had significant postoperative improvement in ASIA classification scores. The thoracic kyphotic angles were significantly decreased to 9°-25° postoperatively (average 16.7° ± 4.4°), and at final follow-up were 10°-27°(average 17.7° ± 4.4°). No severe complications or spinal cord injury occurred. The erythrocyte sedimentation rate recovered to normal within 3 months postoperatively in all patients. All patients got bony fusion within 6-9 months after surgery. Conclusions: One-stage transpedicular debridement, posterior instrumentation and combined interbody and posterior fusion via a posterior-only approach can be an effective and feasible treatment method for thoracic spinal tuberculosis. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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179. Thoracolumbar spinal tuberculosis with psoas abscesses treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage.
- Author
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Pang, Xiaoyang, Shen, Xiongjie, Wu, Ping, Luo, Chenke, Xu, Zhengquan, and Wang, Xiyang
- Subjects
- *
MYCOBACTERIAL diseases , *TUBERCULOSIS , *SPINAL tuberculosis , *C-reactive protein , *DRUG therapy - Abstract
Purpose: Retrospective analysis of the clinical efficacy and feasibility of patients with thoracolumbar spinal tuberculosis with psoas abscesses treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage. Method: A total of 18 patients with thoracolumbar tuberculosis (TB), between February 2007 and February 2011, underwent one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage. And the clinical efficacy was evaluated based on surgery duration time, the blood loss, the postural drainage of time, neurological status that was recorded by American Spinal Injury Association (ASIA) Impairment Scale, the fate of bone graft fusion, kyphosis angle, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP), which were collected at certain time. Results: The average follow-up period was 34 months (range 18-48 months). 18 patients suffered from seriously neurological deficits pre-operatively, of which 16 patients returned to normal at final follow-up. The surgery duration time was 197 ± 37.9 min, and the blood loss was 815 ± 348.5 ml. The postural drainage of time was 7.2 ± 2.7 days. The psoas abscesses disappeared in all cases, within the time range of 6-9 months (mean 7.4 ± 1.2 months). All patients of the grafted bones were thoroughly fused, with a fusion time ranging from 4 to 12 months (mean 7.8 months). Kyphosis angle was 44.32 ± 7.26° on average pre-operative and returned to 11.72 ± 2.85° at 6 weeks after operation; kyphosis angle was 13.10 ± 2.39° at final follow-up. The values of ESR and CRP were significant declined at 6 weeks post-operative, and returned to normal levels at final follow-up. Conclusion: With standardized anti-TB chemotherapy, thoracolumbar spinal tuberculosis with psoas abscesses could be effectively treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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180. Differential Privacy Preservation for Continuous Release of Real-Time Location Data.
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Mao L and Xu Z
- Abstract
Continuous real-time location data is very important in the big data era, but the privacy issues involved is also a considerable topic. It is not only necessary to protect the location privacy at each release moment, but also have to consider the impact of data correlation. Correlated Laplace Mechanism (CLM) is a sophisticated method to implement differential privacy on correlated time series. This paper aims to solve the key problems of applying CLM in continuous location release. Based on the finding that the location increment is approximately stationary in many scenarios, a location correlation estimation method based on the location increment is proposed to solve the problem of nonstationary location data correlation estimation; an adaptive adjustment model for the CLM filter based on parameter quantization idea (QCLM) as well as its effective implementation named QCLM-Lowpass utilizing the lowpass spectral characteristics of location data series is proposed to solve the problem of output deviations due to the undesired transient response of the CLM filter in time-varying environments. Extensive simulations and real data experiments validate the effectiveness of the proposed approach and show that the privacy scheme based on QCLM-Lowpass can offer a better balance between the ability to resist correlation-based attacks and data availability.
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- 2024
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181. A novel heterozygous mutation in PTHLH causing autosomal dominant brachydactyly type E complicated with short stature.
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Sun J, Yang N, Xu Z, Cheng H, and Zhang X
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- Humans, Codon, Nonsense, Mutation, Parathyroid Hormone-Related Protein genetics, Brachydactyly genetics, Dwarfism
- Abstract
Background: Brachydactyly type E (BDE) is a general term characterized by variable shortening of metacarpals and metatarsals, with phalanges affected frequently. It can occur as an isolated form or part of syndromes and manifest a high degree of phenotypic variability. In this study, we have identified the clinical characteristics and pathogenic causes of a four-generation pedigree with 10 members affected by BDE and short stature., Methods: After the informed consent was signed, clinical data and peripheral blood samples were collected from available family members. Karyotype analysis, array-CGH, next-generation sequencing, and Sanger sequencing were employed to identity the pathogenic candidate gene., Results: No translocation or microdeletion/duplication was found in karyotype analysis and array-CGH; hence, a novel heterozygous mutation, c.146dupA. p.S50Vfs*22, was detected by next-generation sequencing in PTHLH gene, leading to a premature stop codon. Subsequently, the mutation was confirmed by Sanger sequencing and co-segregation analysis., Conclusion: In this study, we described a novel heterozygous mutation (c.146dupA. p.S50Vfs*22) of gene PTHLH in a Chinese family. The mutation could induce a premature stop codon leading to a truncation of the protein. Our study broadened the mutation spectrum of PTHLH in BDE., (© 2024 The Authors. Molecular Genetics & Genomic Medicine published by Wiley Periodicals LLC.)
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- 2024
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182. Biomechanical evaluation of different oblique lumbar interbody fusion constructs: a finite element analysis.
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Xu Z, Zheng Q, Zhang L, Chen R, Li Z, and Xu W
- Subjects
- Humans, Finite Element Analysis, Lipopolysaccharides, Lumbar Vertebrae surgery, Biomechanical Phenomena, Range of Motion, Articular, Spinal Fusion methods, Pedicle Screws
- Abstract
Background: Finite element analysis (FEA) was performed to investigate the biomechanical differences between different adjunct fixation methods for oblique lumbar interbody fusion (OLIF) and to further analyze its effect on adjacent segmental degeneration., Methods: We built a single-segment (Si-segment) finite element model (FEM) for L4-5 and a double-segment (Do-segment) FEM for L3-5. Each complete FEM was supplemented and modified, and both developed two surgical models of OLIF with assisted internal fixation. They were OLIF with posterior bilateral percutaneous pedicle screw (TINA system) fixation (OLIF + BPS) and OLIF with lateral plate system (OLIF + LPS). The range of motion (ROM) and displacement of the vertebral body, cage stress, adjacent segment disc stress, and spinal ligament tension were recorded for the four models during flexion/extension, right/left bending, and right/left rotation by applying follower load., Results: For the BPS and LPS systems in the six postures of flexion, extension, right/left bending, and right/left rotation, the ROM of L4 in the Si-segment FEM were 0.32°/1.83°, 0.33°/1.34°, 0.23°/0.47°, 0.24°/0.45°, 0.33°/0.79°, and 0.34°/0.62°; the ROM of L4 in the Do-segment FEM were 0.39°/2.00°, 0.37°/1.38°, 0.23°/0.47°, 0.21°/0.44°, 0.33°/0.57°, and 0.31°/0.62°, and the ROM of L3 in the Do-segment FEM were 6.03°/7.31°, 2.52°/3.50°, 4.21°/4.38°, 4.21°/4.42°, 2.09°/2.32°, and 2.07°/2.43°. BPS system had less vertebral displacement, less cage maximum stress, and less spinal ligament tension in Si/Do-segment FEM relative to the LPS system. BPS system had a smaller upper adjacent vertebral ROM, greater intervertebral disc stress in terms of left and right bending as well as left and right rotation compared to the LPS system in the L3-4 of the Do-segment FEM. There was little biomechanical difference between the same fixation system in the Si/Do-segment FEM., Conclusions: Our finite element analysis showed that compared to OLIF + LPS, OLIF + BPS (TINA) is more effective in reducing interbody stress and spinal ligament tension, and it better maintains the stability of the target segment and provides a better fusion environment to resist cage subsidence. However, OLIF + BPS (TINA) may be more likely to cause adjacent segment degeneration than OLIF + LPS., (© 2024. The Author(s).)
- Published
- 2024
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183. Silver Nanoparticle-Loaded Titanium-Based Metal-Organic Framework for Promoting Antibacterial Performance by Synergistic Chemical-Photodynamic Therapy.
- Author
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Zhan XP, Zeng YN, Li BX, Zheng HQ, Feng HX, Xu Z, Liu J, and Lin ZJ
- Subjects
- Humans, Silver pharmacology, Titanium pharmacology, Staphylococcus aureus, Escherichia coli, Agar, Anti-Bacterial Agents pharmacology, Microbial Sensitivity Tests, Metal Nanoparticles, Metal-Organic Frameworks pharmacology, Anti-Infective Agents, Photochemotherapy
- Abstract
The abuse of antibiotics leads to an increasing emergence of drug-resistant bacteria, which not only causes a waste of medical resources but also seriously endangers people's health and life safety. Therefore, it is highly desirable to develop an efficient antibacterial strategy to reduce the reliance on traditional antibiotics. Antibacterial photodynamic therapy (aPDT) is regarded as an intriguing antimicrobial method that is less likely to generate drug resistance, but its efficiency still needs to be further improved. Herein, a robust titanium-based metal-organic framework ACM-1 was adopted to support Ag nanoparticles (NPs) to obtain Ag NPs@ACM-1 for boosting antibacterial efficiency via synergistic chemical-photodynamic therapy. Apart from the intrinsic antibacterial nature, Ag NPs largely boost ROS production and thus improve aPDT efficacy. As a consequence, Ag NPs@ACM-1 shows excellent antibacterial activity under visible light illumination, and its minimum bactericidal concentrations (MBCs) against E. coli , S. aureus , and MRSA are as low as 39.1, 39.1, and 62.5 μg mL
-1 , respectively. Moreover, to expand the practicability of Ag NPs@ACM-1, two (a dense and a loose) Ag NPs@ACM-1 films were readily fabricated by simply dispersing Ag NPs@ACM-1 into heated aqueous solutions of edible agar and sequentially cooling through heating or freeze-drying, respectively. Notably, these two films are mechanically flexible and exhibit excellent antibacterial activities, and their antimicrobial performances can be well retained in their recyclable and remade films. As agar is nontoxic, degradable, inexpensive, and ecosustainable, the dense and loose Ag NPs@ACM-1 films are potent to serve as recyclable and degradable antibacterial plastics and antibacterial dressings, respectively.- Published
- 2024
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184. Shape-memory sawtooth-arm embracing clamp used in complex femoral revision hip arthroplasty for stem stability: average 9-year follow-up study.
- Author
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Hu Y, Xu Z, Qiao H, Kong K, Li H, and Zhang J
- Subjects
- Humans, Follow-Up Studies, Retrospective Studies, Prosthesis Design, Reoperation, Prosthesis Failure, Treatment Outcome, Arthroplasty, Replacement, Hip adverse effects, Arthroplasty, Replacement, Hip methods, Hip Prosthesis
- Abstract
Background: Nickel-Titanium shape-memory sawtooth-arm embracing clamps (SSECs) have been used in revision total hip arthroplasties (rTHAs) to protect stem stability. This study was to introduce this technique and report its mid to long-term clinical and radiographic outcomes., Methods: We retrospectively reviewed all patients implanted with SSECs in our department from January 2008 to December 2015. 41 patients (41 hips) were finally included. Radiographs and Harris hip scores (HHS) were collected. Radiographs were blindly analyzed for evidence of loosening, subsidence and stress shielding. HHS were compared to previous records by student's t tests. The average follow-up period was 9.3 years., Results: All stems were stably fixed with no signs of loosening. The mean stem subsidence was 0.9 mm (range, 0 to 3 mm). Only one patient (2.4%) demonstrated the fourth degree of stress shielding, with the others none or minor bone resorption. The mean HHS at the final follow-up was 84.2 (range, 81 to 91), which was improved from 17.4 (range, 0 to 37) before surgery. No implant failures or re-revisions occurred. Dislocation occurred in 1 case during the follow-up period., Conclusions: The SSEC protected stem fixation and achieved favorable clinical and radiographic outcomes in this 9-year follow-up study. It offered an additional extramedullary fixation option for surgeons to choose from in treating complex femoral revision arthroplasties., (© 2023. The Author(s).)
- Published
- 2023
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185. Mechanical overloading leads to chondrocyte degeneration and senescence via Zmpste24-mediated nuclear membrane instability.
- Author
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Kong K, Jin M, Zhao C, Qiao H, Chen X, Li B, Rong K, Zhang P, Shan Y, Xu Z, Chang Y, Li H, and Zhai Z
- Abstract
Patients with OA and varus knees are subject to abnormal mechanical environment and objective of this study was to investigate the molecular mechanisms underlying chondrocyte senescence caused by mechanical overloading and the role of Zmpste24-mediated nuclear membrane instability in varus knees. Finite element analysis showed that anteromedial region of tibial plateau experienced the most mechanical stress in an osteoarthritis patient with a varus knee. Immunohistochemistry exhibited lower Zmpste24 expression and higher expression of senescence marker p21 in the anteromedial region. Animal experiments and cell-stretch models also demonstrated an inverse relationship between Zmpste24 and mechanically induced senescence. Zmpste24 overexpression rescued cartilage degeneration and senescence in vitro by scavenging ROS. In conclusion, anteromedial tibial plateau is exposed to abnormal stress in varus knees, downregulation of Zmpste24, and nuclear membrane stability may explain increased senescence in this region. Zmpste24 and nuclear membrane stability are potential targets for treating osteoarthritis caused by abnormal alignment., Competing Interests: The authors declare that they have no competing interests., (© 2023.)
- Published
- 2023
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186. Network Delay and Cache Overflow: A Parameter Estimation Method for Time Window Based Hopping Network.
- Author
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Fang Z and Xu Z
- Abstract
A basic understanding of delayed packet loss is key to successfully applying it to multi-node hopping networks. Given the problem of delayed data loss due to network delay in a hop network environment, we review early time windowing approaches, for which most contributions focus on end-to-end hopping networks. However, they do not apply to the general hopping network environment, where data transmission from the sending host to the receiving host usually requires forwarding at multiple intermediate nodes due to network latency and network cache overflow, which may result in delayed packet loss. To overcome this challenge, we propose a delay time window and a method for estimating the delay time window. By examining the network delays of different data tasks, we obtain network delay estimates for these data tasks, use them as estimates of the delay time window, and validate the estimated results to verify that the results satisfy the delay distribution law. In addition, simulation tests and a discussion of the results were conducted to demonstrate how to maximize the reception of delay groupings. The analysis shows that the method is more general and applicable to multi-node hopping networks than existing time windowing methods.
- Published
- 2023
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187. B-DP: Dynamic Collection and Publishing of Continuous Check-In Data with Best-Effort Differential Privacy.
- Author
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Chen Y, Xu Z, Chen J, and Jia S
- Abstract
Differential privacy (DP) has become a de facto standard to achieve data privacy. However, the utility of DP solutions with the premise of privacy priority is often unacceptable in real-world applications. In this paper, we propose the best-effort differential privacy (B-DP) to promise the preference for utility first and design two new metrics including the point belief degree and the regional average belief degree to evaluate its privacy from a new perspective of preference for privacy. Therein, the preference for privacy and utility is referred to as expected privacy protection (EPP) and expected data utility (EDU), respectively. We also investigate how to realize B-DP with an existing DP mechanism (KRR) and a newly constructed mechanism (EXPQ) in the dynamic check-in data collection and publishing. Extensive experiments on two real-world check-in datasets verify the effectiveness of the concept of B-DP. Our newly constructed EXPQ can also satisfy a better B-DP than KRR to provide a good trade-off between privacy and utility.
- Published
- 2022
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188. Clinical effectiveness of posterior-only approach using polyetheretherketone cage combined with single-segment instrumentation for lumbar tuberculosis in children.
- Author
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Xu Z, Chen L, Wang C, Zhang L, and Xu W
- Subjects
- Adolescent, Child, Female, Humans, Male, Postoperative Period, Radiography methods, Plastic Surgery Procedures methods, Retrospective Studies, Spinal Fusion methods, Thoracic Vertebrae surgery, Treatment Outcome, Benzophenones therapeutic use, Lumbar Vertebrae surgery, Lumbosacral Region surgery, Polymers therapeutic use, Tuberculosis, Spinal surgery
- Abstract
We sought to investigate the outcomes of posterior-only approach using polyetheretherketone (PEEK) cage combined with single-segment instrumentation (modified-approach) for mono-segment lumbar tuberculosis in children. Between February 2008 and August 2017 in our hospital, 18 children with single-segment lumbar tuberculosis enrolled in this study were treated by modified-approach. Medical records and radiographs were retrospectively analyzed. Mean follow-up time was 54.6 ± 12.1 months. No severe complications were noted to have occurred. Measures indicated there was satisfactory bone fusion for all patients. Mean Cobb angles were significantly decreased from preoperative angle (19.8° ± 13.1°) to those both postoperatively (- 4.9° ± 7.6°) and at final follow-up (- 3.5° ± 7.3°) (both P < 0.05), with a mean angle loss of 1.7° ± 0.9°. The erythrocyte sedimentation rate (ESR) returned to normal levels for all patients within 3 months postoperatively. All patients had significant postoperative improvement in neurological performance. The modified-approach was an effective and feasible treatment option for mono-segment children with lumbar tuberculosis. Such procedures can likely help patients by increasing retainment of lumbar mobility and reducing invasiveness., (© 2021. The Author(s).)
- Published
- 2021
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189. MicroRNA-1287-5p promotes ferroptosis of osteosarcoma cells through inhibiting GPX4.
- Author
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Xu Z, Chen L, Wang C, Zhang L, and Xu W
- Subjects
- Cell Line, Tumor, Cell Proliferation genetics, Cisplatin pharmacology, Gene Expression Regulation, Neoplastic, Humans, Bone Neoplasms genetics, Ferroptosis genetics, MicroRNAs genetics, MicroRNAs metabolism, Osteosarcoma genetics
- Abstract
Osteosarcoma is the most prevalent primary bone malignancy in adolescents, and ferroptosis is implicated in its pathogenesis. MicroRNA (miR)-1287-5p plays critical roles in multiple human cancers, and the present study aims to investigate the role and underlying mechanisms of miR-1287-5p in regulating ferroptosis and osteosarcoma progression. Human osteosarcoma cell lines were treated with the mimic, inhibitor or matched controls of miR-1287-5p. Cell viability, colony formation, cell death ratio and ferroptosis were determined. miR-1287-5p expression was downregulated in human osteosarcoma, but upregulated upon ferroptotic stimulation. Overexpression of miR-1287-5p significantly induced, while inhibition of miR-1287-5p suppressed ferroptosis of osteosarcoma cells, thereby modulating cell viability and colony formation. Mechanistic studies indicated that miR-1287-5p directly bound to the 3'-untranslated region of glutathione peroxidase 4 (GPX4) to inhibit its protein level and activity, and that GPX4 overexpression completely abolished the miR-1287-5p mimic-mediated ferroptotic induction and tumor suppression. Moreover, the miR-1287-5p mimic dramatically sensitized human osteosarcoma cells to cisplatin chemotherapy. Our findings prove that miR-1287-5p promotes ferroptosis of osteosarcoma cells through inhibiting GPX4, identifying an adjuvant and even alternative method for the treatment of human osteosarcoma.
- Published
- 2021
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190. Research on the Influence Mechanism of Personal Initiative on Enterprise Emergency Management Ability.
- Author
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Li S, Xu F, Xu Z, Kang Y, and Yang Q
- Abstract
This study aims to explore the influence mechanism of personal initiative on the overall emergency management ability of enterprises so as to put forward effective measures to improve the emergency management ability. Based on social interaction theory and feature activation theory, the concepts of organizational support theory, executive power, and political skills were introduced to construct a corresponding theoretical model. We collected data through an online questionnaire to test this model via structural equation model analysis and regression analysis, with 208 participants of varying backgrounds. The results show that personal initiative can strengthen enterprise emergency management ability. The mediating effect of executive power between personal initiative and emergency management ability of enterprise has also been proved. In addition, the two adjustment variables of political skills and perceived organizational support both have a positive impact on the improvement of personal initiative and execution. Therefore, in order to improve the enterprise emergency management ability, it is suggested that enterprises should give full play to the personal initiative and improve the individual and overall executive power. The conclusion of this paper can provide new methodological support for improving emergency management ability., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Li, Xu, Xu, Kang and Yang.)
- Published
- 2021
- Full Text
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191. Comparison of metastatic castration-resistant prostate cancer in bone with other sites: clinical characteristics, molecular features and immune status.
- Author
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Xu Z, Ding Y, Lu W, Zhang K, Wang F, Ding G, and Wang J
- Abstract
Metastatic castration-resistant prostate cancer (mCRPC) is the lethal stage and the leading cause of death in prostate cancer patients, among which bone metastasis is the most common site. Here in this article, we downloaded the gene expression data and clinical information from online dataset. We found that prostate cancer metastasis in bone is prone to have higher prostate-specific antigen (PSA) and longer time on first-line androgen receptor signaling inhibitors (ARSI). A total of 1,263 differentially expressed genes (DEGs) were identified and results of functional enrichment analysis indicated the enrichment in categories related to cell migration, cancer related pathways and metabolism. We identified the top 20 hub genes from the PPI network and analyzed the clinical characteristics correlated with these hub genes. Finally, we analyzed the immune cell abundance ratio of each sample in different groups. Our results reveal the different clinical characteristics, the immune cell infiltration pattern in different sites of mCRPC, and identify multiple critical related genes and pathways, which provides basis for individualized treatment., Competing Interests: The authors declare there are no competing interests., (©2021 Xu et al.)
- Published
- 2021
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192. Anterior Cervical Discectomy and Fusion Versus Hybrid Decompression and Fusion for the Treatment of 3-Level Cervical Spondylotic Myelopathy: A Comparative Analysis of Cervical Sagittal Balance and Outcomes.
- Author
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Xu Z, Rao H, Zhang L, Li G, Xu Z, and Xu W
- Subjects
- Adult, Aged, Bone Plates, Disability Evaluation, Female, Humans, Lordosis surgery, Male, Middle Aged, Operative Time, Retrospective Studies, Spondylosis diagnostic imaging, Treatment Outcome, Decompression, Surgical methods, Diskectomy methods, Spinal Cord Diseases surgery, Spinal Fusion methods, Spondylosis surgery
- Abstract
Objective: To compare the cervical sagittal balance and surgical outcomes between anterior cervical discectomy and fusion (ACDF) and hybrid decompression and fusion (HDF; 1-level corpectomy combined with 1-level discectomy) for consecutive 3-level cervical spondylotic myelopathy (CSM)., Methods: From January 2013 to June 2016, 82 patients with 3-level CSM who underwent ACDF (n = 40) and HDF (n = 42) were retrospectively reviewed. Perioperative parameters, clinical outcomes, and radiologic sagittal alignment were analyzed and compared., Results: Patients were followed up for 35.5 ± 6.5 months (range, 25-53 months). All patients had achieved significant improvement in Neck Disability Index and Japanese Orthopedic Association scores after operation, with similar clinical outcomes between both groups (P > 0.05). In the ACDF group, 2 patients were found with axial symptoms, and 1 with hoarseness. In the HDF group, 5 patients were found with axial symptoms, 1 with hoarseness, 1 with dysphagia, and 1 with pseudarthrosis. The ACDF group had less operation time and bleeding compared with the HDF group (P < 0.05). The restoration of segmental and C2-7 lordosis were significantly greater in the ACDF group than the HDF group (P < 0.05). The C2-7 sagittal vertical axis and T1 slope minus C2-7 lordosis decreased in the ACDF group at final follow-up (P < 0.05); however, there was no obvious change in those of the HDF group (P > 0.05)., Conclusions: Both ACDF and HDF were safe and effective for the treatment of 3-level CSM. ACDF showed superiority to HDF in terms of less blood loss, shorter operation time, and better postoperative sagittal balance., (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Published
- 2019
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193. Staged treatment of thoracic and lumbar spinal tuberculosis with flow injection abscess.
- Author
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Zeng H, Zhang Y, Shen X, Luo C, Xu Z, Liu Z, Liu X, and Wang X
- Abstract
The study was to investigate the feasibility and effectiveness of posterior-only approach combining with puncture drainage under CT-guide in staged treatment of thoracic and lumbar spinal tuberculosis with flow injection abscess. We retrospectively analyzed 15 patients (came from 72 cases with thoracic and lumbar spinal tuberculosis) with flow injection abscesses underwent surgery from January 2007 to February 2009, and evaluated the American Spinal Injury Association (ASIA) scoring system of nerve function, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), abscess absorption time and the Oswestry Disability Index (ODI), preoperatively and postoperatively. 15 patients were followed up for 13-37 months, no recurrence of tuberculosis, no fixation loosening and neurologic symptoms aggravated. The flow injection abscesses are absorbed within 3-6 months postoperative operation. In final follow-up, ESR went down to 5.2±2.1 mm/h from preoperative 79.6±14.8 mm/h, CRP decreased from preoperative 49.3±7.5 mg/L to 1.8±0.7 mg/L, ODI changed from 75.13±20.15 to 16.72±8.62, all of them changed significantly (P<0.05). In conclusions, one-stage posterior debridement, interbody fusion, pedicle screw fixation and two-stage CT-guided interventional therapy were safe and effective in treatment of the thoracic and lumbar spinal tuberculosis with flow injection abscess.
- Published
- 2015
194. One-stage lumbopelvic fixation in the treatment of lumbosacral junction tuberculosis.
- Author
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Xu Z, Wang X, Shen X, Luo C, Wu P, and Zeng H
- Subjects
- Adult, Aged, Debridement methods, Feasibility Studies, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pain Measurement instrumentation, Postoperative Period, Quality of Life, Visual Analog Scale, Young Adult, Lumbosacral Region surgery, Spinal Fusion methods, Tuberculosis, Spinal surgery
- Abstract
Purpose: To investigate the clinical efficacy and feasibility of surgical treatment for lumbosacral junction tuberculosis by one-stage posterior debridement, interbody fusion, lumbopelvic fixation, and postural drainage., Methods: A total of 15 cases with lumbosacral junction tuberculosis treated by one-stage posterior debridement, interbody fusion, lumbopelvic fixation, and postural drainage in our center from January 2005 to October 2011 were studied. Lumbosacral angle, visual analog scale (VAS), and neurological performance were assessed before and after surgery., Results: All patients were followed for 28-56 months post-operation (average, 40.7 ± 7.7 months). No severe complications occurred. Bone fusion occurred in all patients at a mean of 8.4 months (range 6-12 months) after surgery. The mean lumbosacral angle was significantly increased from the mean preoperative angle (20.9° ± 1.8°) both post-operatively (26.5° ± 1.6°) and at final follow-up (25.3° ± 1.4°) (both P < 0.05). All patients had significant post-operative improvement in neurological performance and VAS scores., Conclusions: Our results suggest that one-stage posterior debridement, interbody fusion, lumbopelvic fixation, and postural drainage can be an effective and feasible treatment option for lumbosacral junction tuberculosis, offering fewer complications and a better quality of life.
- Published
- 2015
- Full Text
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195. The preparation of core/shell structured microsphere of multi first-line anti-tuberculosis drugs and evaluation of biological safety.
- Author
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Zeng H, Pang X, Wang S, Xu Z, Peng W, Zhang P, Zhang Y, Liu Z, Luo C, Wang X, and Nie H
- Abstract
To introduce a modified method, namely coaxial electrohydrodynamic atomization for the fabrication of distinct core/shell structured microspheres of four first-line ant-tuberculosis drugs with different characteristics in hydrophilic properties in one single step. In group B, we prepared microspheres in which the core and the shell contain hydrophobic and hydrophilic drugs, respectively. In contrast, in group C, the opposite is prepared. The detection of encapsulation efficiency and in vitro release test were performed to confirm the feasibility of the drug-loaded core/shell structured microspheres. Moreover, cell culture experiments and animal experiments have been carried out to evaluate the biological safety of different microspheres in cell growth, cell viability, osteogenesis and migration of BMSCs in vitro and the bone fusion in a bone deficits model in SD rat. Meanwhile, the distribution of drugs and liver and kidney toxicity were monitored. The release patterns of the two groups are significantly different. The release of drugs from Group B microspheres is rather sequential, whereas group C microspheres release drugs in a parallel (co-release) manner. And various concentrations of carrier materials produces core/shell structured microspheres with different appearance. Moreover, the biological safety of core/shell structured microspheres was testified to be satisfactory. These findings present the advantages and possible application of this kind of multi-drug release system in treating skeletal tuberculosis. Moreover, the characteristic sequential release of multi-drugs can be controlled and adjusted based on treatment need and used in treating other disorders.
- Published
- 2015
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