The School of Computer Science and Engineering North Minzu University Yinchuan 750021 ChinaThe Key Laboratory of Images Processing and Pattern Recognition Laboratory; Commission: IPPRLab North Minzu University Yinchuan 750021 ChinaLPSLab Yinchuan 750021 ChinaSchool of Computer Science and Technology Hangzhou Dianzi University Hangzhou 310018 China
摘要:
The widespread adoption of 3D CAD models in intelligent manufacturing and digital twin systems demands efficient and accurate classification and segmentation. While effective approaches typically model geometry and topology jointly using B-rep face-edge graphs, prevailing methods rely heavily on auxiliary information (e.g., supplemental geometry/semantics) to compensate for perceived shortcomings in raw B-rep data. This dependency incurs high preprocessing overhead, limits cross-platform generalization, and hinders industrial deployment. Furthermore, inherent redundancies within B-rep graphs can obscure essential semantics during encoding. To overcome these limitations, we propose UVConv, an end-to-end dual-path framework that operates exclusively on the original UV grid and face adjacency graph, eliminating auxiliary inputs. UVConv employs a serial geometry-topology processing: the geometric encoder utilizes bottleneck compression to amplify discriminative features, while the topological encoder integrates a Bidirectional Interaction Module (BIM) and an Attention Filtering Module (AFM) to extract critical structural semantics and suppress noise. Comprehensive experiments on multiple benchmark CAD datasets demonstrate that UVConv matches or surpasses state-of-the-art performance without auxiliary data, exhibiting superior representational capacity, robust generalization, and enhanced industrial deployability.
摘要:
In this study, a quantitative structure–property relationship (QSPR) framework is presented that combines simple degree-based topological descriptors with ensemble machine learning methods to examine selected physicochemical properties of coronary artery disease (CAD) and cardiovascular therapy drugs. A data set of 100 clinically used compounds was considered, for which six classical degree-based indices, the Atom Bond Connectivity , Atom-Bond Sum Connectivity , Sum Connectivity , Harmonic , Randić , and Geometric–Arithmetic were computed, and compared to four key properties: topological polar surface area (), calculated lipophilicity (), calculated molar refractivity (), and aqueous solubility (
摘要:
Purpose To compare the stainability, translucency, opalescence, whiteness, gloss, and hardness of 4 computer-aided design and computer-aided manufacturing (CAD-CAM) restorative materials after simulated coffee drinking and color correction. Materials and Methods Four CAD-CAM blocks were investigated (n = 40): resin nanoceramic (Cerasmart, CS), polymer-infiltrated ceramic network (Vita Enamic, VE), lithium disilicate glass ceramic (IPS *** CAD, EC), and zirconia-reinforced lithium silicate glass ceramic (Vita Suprinity, VS). The color stability (Delta E-00), relative translucency (RTP), opalescence (OP), and whiteness stability (Delta WID) were measured with a spectrophotometer. Gloss (GU) was recorded with a gloss meter, and hardness (HM) was detected with a Martens hardness testing device. The specimens were observed at baseline (T0), after coffee thermocycling (CTC) (T1), and after color correction (T2). Delta E-00 was analyzed by two-way ANOVA, Delta WID was analyzed with one-way ANOVA, and RTP, OP, WID, GU, and HM were assessed with repeated ANOVA to evaluate the effects of material type, treatment, and their interactions on the tested properties. Post hoc pairwise comparisons were assessed by Tukey HSD and Student t-tests (alpha = 0.05). Results Delta E-00, WID, OP, GU, and HM outcomes were significantly impacted by material type (p < 0.001) and treatment (p <= 0.028), whereas Delta WID and RTP were affected by material type (p <= 0.03). CS exceeded the Delta E-00 perceptibility threshold at T1. VS exhibited the highest stain resistance, RTP, and HM, and the least was in VE and CS. Color correction serums reversed CTC-induced staining among VS and VE (p < 0.001). Conclusions Zirconia-reinforced lithium silicate glass-ceramics demonstrated superior color stability and hardness when subjected to coffee thermocycling and color correction serum.
Altoman, Majed S. Alamri, Manar K. Alfaifi, Mohammed A. Alqarni, Hatem Kattadiyil, Mathew T.
King Khalid Univ Coll Dent Dept Prosthet Dent Sci Abha Saudi ArabiaKing Khalid Univ Coll Dent Abha Saudi ArabiaKing Saud Bin Abdulaziz Univ Hlth Sci Coll Dent King Abdullah Int Med Res Ctr Dept Restorat & Prosthet Dent Sci Riyadh Saudi ArabiaLoma Linda Univ Sch Dent Adv Specialty Educ Program Prosthodont Loma Linda CA USA
摘要:
This digital clinical report presents a novel CAD-CAM workflow for fabricating a customized monolithic zirconia post-and-core restoration. A 26-year-old female patient required prosthetic rehabilitation of the maxillary left first and second premolars, as well as an implant screw-retained crown (ISRC) for the maxillary left first molar. After post space preparation, intraoral scans (IOS) were obtained both with and without a prefabricated fiber post in place. The fiber post was also scanned separately using a desktop scanner. These datasets were superimposed using digital software to design a precise monolithic zirconia post-and-core, which was then milled using CAD-CAM technology. The structure was cemented with self-adhesive resin cement, and a lithium disilicate crown was digitally designed and fabricated. This digital approach minimized the errors associated with conventional techniques, improved fit and adaptation, and enhanced clinical efficiency. The definitive restoration achieved excellent aesthetic and functional outcomes, fulfilling the patient's expectations without complications. This report highlights the value of digital workflows in achieving precision and predictability in post-and-core restorations.
摘要:
Discovering functional and evolutionary interdependencies of hydraulic traits and crassulacean acid metabolism (CAM) is crucial to understand CAM phenotype diversity and convergence. In complex traits such as CAM, the co-option of associated traits strongly impacts the evolutionary outcome. Here we study Aeonium (Crassulaceae), a diverse Macaronesian genus that exhibits a broad array of CAM expression, focusing on two CAM-associated traits, minimum conductance (gmin) and succulence. At the heart of the study, there are two experiments: a comparative cultivation experiment to monitor nocturnal acidification (Delta H+) under drought and heat treatments and a leaf-drying curve experiment to quantify gmin. Our study group was comprehensively sampled to cover its phylogenetic and ecological diversity. We found a consistently negative correlation of gmin and Delta H+, indicating a critical role for the cuticle in the function of CAM. Although Delta H+ and succulence were overall not positively correlated, we found evidence that more succulent species remain in the CAM mode when stress is relaxed. We conclude that there is a tight evolutionary link between cuticular transpiration barrier properties and CAM performance. Thereby, the stronger CAM plants express diurnal stomatal closure typical of CAM, the more they may optimise water-use efficiency through reduced gmin.
Aleyadeh, Rozaleen Zedde, Marialuisa Marto, Joao P. Henninger, Nils Said, Jamil Frontera, Jennifer A. Sharma, Richa Leker, Ronen R. Secchi, Thais L. Indraswari, Fransisca Quereshi, Abid Y. Zhou, Lily W. Poppe, Alexandre Y. Nzwalo, Hipolito Wall, Victor C. Fonseca, Ana C. Klein, Piers Liebeskind, David S. Martins, Sheila C. O. Ghannam, Malik Dantu, Vishnu Ortiz Gracia, Jorge G. De Marco, Giovanna Bakradze, Ekaterina Penckofer, Mary Balabhadra, Anvesh Omran, Setareh S. Chang, Christopher Leon Guerrero, Christopher R. Muddasani, Varsha Von Rennenberg, Regina Guo, Xiaofan Elangovan, Cheran Almajali, Mohammad Velez, Faddi S. Shahripour, Reza B. Mandel, Daniel M. Zubair, Adeel Elnazeir, Marwa Krishnaiah, Balaji Stretz, Christoph Yaghi, Shadi Maalouf, Nancy
Brown Univ Brown Med Sch Dept Neurol Warren Alpert Med Sch Providence RI USAMiriam Hosp Dept Neurol Providence RI USAUniv Massachusetts Chan Med Sch Dept Neurol Worcester MA USABoston Med Ctr Dept Neurol Boston MA USAMassachusetts Gen Hosp Dept Neurol Boston MA USAHartford Hosp Dept Neurol Hartford CT USAYale New Haven Hosp Dept Neurol New Haven CT USAYale New Haven Hosp Dept Neurol New Haven CT USALoma Linda Univ Dept Neurol Loma Linda CA USAUniv Calif San Diego Dept Neurol San Diego CA USAUniv Calif Los Angeles Dept Neurol Los Angeles CA USANYU Langone Hlth Dept Neurol New York NY USAKansas Univ Med Ctr Dept Neurol Kansas City KS USAUniv Iowa Dept Neurol Iowa City IA USAUniv Alabama Birmingham Dept Neurol Birmingham AL USAUniv Oklahoma Dept Neurol Norman OK USAUniv Colorado Dept Neurol Aurora CO USAEinstein Jefferson Healthcare Network Dept Neurol Philadelphia PA USAAtrium Hlth Dept Neurol Charlotte NC USAUniv West Virginia Dept Neurol Bridgeport WV USAUniv Louisville Dept Neurol Louisville KY USAUniv Tennessee Memphis Dept Neurol Memphis TN USACharite Univ Med Berlin Dept Neurol Berlin GermanyCtr Stroke Res Berlin GermanyUniv Montreal Dept Neurosci Montreal PQ CanadaUniv British Columbia Vancouver Stroke Program Div Neurol Vancouver BC CanadaAga Khan Univ Dept Neurol Nairobi KenyaHadassah Hebrew Univ Med Ctr Dept Neurol Jerusalem IsraelCtr Hosp Univ Algarve Dept Internal Med Faro PortugalHosp Egas Moniz Ctr Hosp Lisboa Ocidental Dept Neurol Lisbon PortugalUniv Lisbon Hosp Santa Maria Fac Med Dept Neurol Lisbon PortugalCtr Med Nacl Siglo XXI IMSS Dept Neurol Mexico City MexicoHosp Moinhos Vento Dept Neurol Porto Alegre BrazilHosp Clin Porto Alegre Dept Neurol Porto Alegre BrazilBufalini Hosp Dept Neurosci Neurol & Stroke Unit Cesena ItalyAzienda Unita Sanit Locale IRCCS Reggio Emilia Neurol Unit Stroke Unit Reggio Emilia ItalyLebanese Amer Univ Dept Neurol
摘要:
Objectives: Cervical artery dissection (CeAD) is an important cause of ischemic stroke in young adults. Nearly 100 million annual chiropractic cervical manipulations are performed in the United States. The relationship between manipulation and CeAD remains controversial. Methods: We analyzed patients in the multicenter STOP-CAD registry (n=4023) to identify CeAD cases diagnosed after chiropractic cervical manipulation. Demographics and clinical features were compared between manipulation-associated and nonmanipulation-associated cases using chi 2 and t tests. Multivariable logistic regression identified key factors associated with manipulation-related CeAD. Results: About 1 in 20 CeAD cases in this registry reported antecedent cervical manipulation. In multivariable binary logistic regression, compared with patients without prior manipulation, those with prior manipulation were younger (OR per year 0.98, 95% CI: 0.97-0.99, P=0.014), more often female (OR: 1.64, 95% CI: 1.21-2.23, P=0.001), less often diabetic (OR: 0.24, 95% CI: 0.08-0.78, P=0.018), presented with neck pain (OR: 2.80, 95% CI: 2.08-3.77, P<0.001), and had higher odds of isolated vertebral artery dissection (OR: 2.15, 95% CI: 1.57-2.94, P<0.001). Recurrent ischemic stroke rates were similar between groups. Conclusions: Given the very high number of manipulations performed annually, the absolute risk of secondary CeAD is extremely low. Manipulation-associated cases have distinct clinical features, occurring more often in younger women with vertebral dissections. Whether manipulation acts as a precipitating trigger or patients with early CeAD symptoms seek manipulation remains unresolved.
Ashraf, Sohaib Mujtaba, Amjad Akmal, Rutaba Shahab, Muhammad Sarmad Ahmad, Waseem Shahbaz, Amir Imran, Muhammad Ahmad Khalid, Meer Hassan Ashraf, Sidra Akram, Muhammad Kiwan Bin Naeem, Usama Kalsoom, Larab Farooq, Usama Javed, Zonera Saleem, Muhammad Sikandar Pari, Anum Farooq, Iqra Tahir, Zaryab Tahir, Arbaz Iqbal, Qurrat Ul Ain Arshad, Ali Mujtaba, Muhammad Athar Batool, Ifrah Muneer, Siraj Ul Rafique, Sundas Khalil, Musa Awais, Fatima Saboor, Qazi Abdul Ashraf, Moneeb Ashraf, Shoaib
Shaikh Zayed Post Grad Med Complex Dept Cardiol Lahore PakistanRehmatul Lil Alameen Post Grad Inst Cardiol PESSI Multan Rd Lahore PakistanKing Edward Med Univ Dept Pharmacol Lahore PakistanKing Edward Med Univ Dept Internal Med Lahore PakistanPakistan Kidney & Liver Inst & Res Ctr Lahore PakistanHoward Univ Hosp Canc Ctr Washington DC USAShaikh Zayed Postgrad Med Complex Dept Med Lahore PakistanUniv Vet & Anim Sci Lahore PakistanRiphah Int Univ Dept Pharmacol Islamabad PakistanServ Hosp Dept Med Lahore PakistanChildrens Hosp Dept Pediat Surg Lahore PakistanGujrat Med Coll Dept Med Gujrat PakistanChughtai Lab Dept Med Lahore PakistanPunjab Inst Cardiol Dept Cardiol Lahore PakistanCent Pk Med Coll Dept Med Lahore PakistanIndependent Univ Hosp Dept Med Faislabad PakistanMayo Hosp Dept Hematol Oncol Lahore PakistanHoward Univ Hosp Dept Internal Med Washington DC USARoss Univ Sch Vet Med RUSVM Dept Biomed Sci Basseterre St Kitts & Nevi
摘要:
Background Coronary angiography is the gold standard for assessing coronary artery disease (CAD), while the SYNTAX score (SxS) quantifies lesion complexity. Its prognostic value across clinical settings remains uncertain. This study compared angiographic findings in stable angina and acute coronary syndrome (ACS) using the SxS. Methods A prospective study was conducted at Shaikh Zayed Hospital, Lahore, over 12 months, including 156 patients undergoing coronary angiography: stable angina (n = 78) and ACS (n = 78). Patients aged 18-80 years undergoing primary PCI or elective angiography were included, excluding prior PCI or CABG. Demographic and clinical data were collected, and SxS was applied post-angiography. Data were analyzed using SPSS v.25, with p <= 0.05 considered significant. Results A total of 156 patients were enrolled (71.2% male;mean age 59.2 +/- 10.6 years, BMI 27.2 +/- 3.5 kg/m(2)), equally divided into stable angina (n = 78) and ACS (n = 78). The overall mean SxS was 26.1 +/- 11.3. Comparison between groups showed no significant differences in age, BMI, sex distribution, smoking, hypertension, or diabetes (all p > 0.05). However, dyslipidemia was more prevalent in ACS patients (p < 0.05), and the mean SxS was significantly higher in ACS versus stable angina (28.2 +/- 9.9 vs. 23.8 +/- 12.4;p = 0.01), indicating greater angiographic complexity. Discussion The higher SxS in ACS patients indicated greater angiographic complexity, consistent with prior studies. Scores were also significantly elevated in patients with diabetes and hypertension, supporting the score's prognostic value in CAD stratification. However, the absence of clinical variables limits risk prediction. The single-center design, small sample size, lack of adjusted analyses, and absence of long-term outcomes further constrain generalizability, warranting validation in larger multicenter cohorts. Conclusion The SxS was significantly higher in ACS than stable angina, supporting its role in g
摘要:
Objective: To assess whether few-shot prompting improves the performance of 2 popular large language models (LLMs) (ChatGPT o1 and DeepSeek-R1) in assigning Coronary Artery Disease Reporting and Data System (CAD-RADS (TM) 2.0) categories Methods: A detailed few-shot prompt based on CAD-RADS (TM) 2.0 framework was developed using 20 reports from the MIMIC-IV database. Subsequently, 100 modified reports from the same database were categorized using zero-shot and few-shot prompts through the models' user interface. Model accuracy was evaluated by comparing assignments to a reference radiologist's classifications, including stenosis categories and modifiers. To assess reproducibility, 50 reports were reclassified using the same few-shot prompt. McNemar tests and Cohen kappa were used for statistical analysis. Results: Using zero-shot prompting, accuracy was low for both models (ChatGPT: 14%, DeepSeek: 8%), with correct assignments occurring almost exclusively in CAD-RADS 0 cases. Hallucinations occurred frequently (ChatGPT: 19%, DeepSeek: 54%). Few-shot prompting significantly improved accuracy to 98% for ChatGPT and 93% for DeepSeek (both P<0.001) and eliminated hallucinations. Kappa values for agreement between model-generated and radiologist-assigned classifications were 0.979 (0.950, 1.000) (P<0.001) for ChatGPT and 0.916 (0.859, 0.973) (P<0.001) for DeepSeek, indicating almost perfect agreement for both models without a significant difference between the models (P=0.180). Reproducibility analysis yielded kappa values of 0.957 (0.900, 1.000) (P<0.001) for ChatGPT and 0.873 [0.779, 0.967] (P<0.001) for DeepSeek, indicating almost perfect and strong agreement between repeated assignments, respectively, with no significant difference between the models (P=0.125). Conclusion: Few-shot prompting substantially enhances LLMs' accuracy in assigning CAD-RADS (TM) 2.0 categories, suggesting potential for clinical application and facilitating system adoption.