Abbottwhittaker0143

OBJECTIVE This study aims to develop and evaluate effective methods that can normalize diagnosis and procedure terms written by physicians to standard concepts in International Classification of Diseases(ICD) in Chinese, with the goal to facilitate automated medical coding in China. METHODS We applied the entity-linking framework to normalize Chinese diagnosis and procedure terms, which consists of two steps - candidate concept generation and candidate concept ranking. For candidate concept generation, we implemented both the traditional BM25 algorithm and an extended version that integrates a synonym knowledgebase. For candidate concept ranking, we investigated a number of different algorithms (1) the BM25 algorithm, (2) ranking support vector machines (RankSVM), (3) a previously reported Convolutional Neural Network (CNN) approach, (4) 11 deep ranking-based methods from the MatchZoo toolkit, and (5) a new BERT (Bidirectional Encoder Representations from Transformers) based ranking method. Using two manually annotated datasets (8,547 diagnoses and 8,282 procedures) collected from a Tier 3A hospital in China, we evaluated above methods and reported their performance (i.e., accuracy) at different cutoffs. RESULTS The coverage of candidate concept generation was greatly improved after integrating the synonym knowledgebase, achieving 97.9% for diagnoses and 93.4% for procedures respectively. Overall the new BERT-based ranking method achieved the best performance on both diagnosis and procedure normalization, with the best accuracy of 92.1% for diagnosis and 80.1% for procedure, when the top one concept and exact match criteria were used. CONCLUSIONS This study developed and compared diverse entity-linking methods to normalize clinical terms in Chinese and our evaluation shows good performance on mapping disease terms to ICD codes, demonstrating the feasibility of automated encoding of clinical terms in Chinese. The architectonical organization of putatively higher auditory areas in the human superior temporal gyrus and sulcus is not yet well understood. To provide a coherent map of this part of the brain, which is involved in language and other functions, we examined the cytoarchitecture and cortical parcellation of this region in histological sections of ten human postmortem brains using an observer-independent mapping approach. Two new areas were identified in the temporo-insular region (areas TeI, TI). TeI is medially adjacent to the primary auditory cortex (area Te1). TI is located between TeI and the insular cortex. Selleck APR-246 Laterally adjacent to previously mapped areas Te2 and Te3, two new areas (STS1, STS2) were identified in the superior temporal sulcus. All four areas were mapped over their whole extent in serial, cell-body stained sections, and their cytoarchitecture was analyzed using quantitative image analysis and multivariate statistics. Interestingly, area TeI, which is located between area Te1 and area TI at the transition to the insula, was more similar in cytoarchitecture to lateral area Te2.1 than to the directly adjacent areas TI and Te1. Such structural similarity of areas medially and laterally to Te1 would be in line with the core-belt-parabelt concept in macaques. The cytoarchitectonic probabilistic maps of all areas show the localization of the areas and their interindividual variability. The new maps are publicly available and provide a basis to further explore structural-functional relationship of the language network in the temporal cortex. BACKGROUND AND AIMS The mechanisms by which passive smoking leads to cardiometabolic risks, and the tissues involved still require elucidation. We aimed to evaluate the association of parental smoking exposure (PSE) with the secretion of adipocyte-derived hormones and cardiometabolic risk factors in Chinese children. METHODS We included 3150 school children aged 6-18 years from the Beijing Child and Adolescent Metabolic Syndrome (BCAMS) study. Data on PSE and potential confounders were collected. Six adipokines related to insulin resistance and metabolic syndrome (MetS) were measured. RESULTS PSE was reported in nearly two-thirds of the children. After adjusting for covariates, including age, sex, pubertal stages, lifestyle factors, and family history, PSE was independently associated with increases of 39.2% in leptin and 3.9% in retinol binding protein-4 and decreases of 11.4% in fibroblast growth factor 21 and 4.6% in adiponectin levels (p  less then  0.05 for all), plus risks for central obesity (OR 1.59, 95% CI 1.33-1.90), elevated blood pressure (1.22, 1.02-1.46) and MetS (1.43, 1.11-1.85). However, the associations of PSE with hypertension and MetS were abolished when adjusted for adiposity parameters or the above-mentioned adipokine profiles. CONCLUSIONS PSE was associated with dysregulation of adipokine levels, which might mediate the development of MetS in early life. OBJECTIVES Since 2010, the number of homeless people in the UK has increased, and homelessness in its different types has become a major public health problem. Housed older people with past experience of homelessness are an understudied population that can provide valuable insight into this problem. For this reason, we examined the lifetime prevalence of homelessness and its associations with childhood adversity and mortality in a national sample of older people. STUDY DESIGN This is a longitudinal cohort study. METHODS We studied 6649 housed individuals aged 55-79 years in 2007 from the English Longitudinal Study of Ageing (ELSA). We used logistic regression to model the association between adverse childhood experiences (ACE) and lifetime experience of homelessness (ever been homeless for ≥1 months) and Cox proportional hazards regression to model the prospective association between lifetime experience of homelessness and mortality. RESULTS We identified 107 participants with lifetime experience of homelessness. We found a strong graded association between the number of ACE and lifetime experience of homelessness; participants with two ACE had 5.35 (95% confidence interval [CI] 3.17-9.05) times greater odds of having experienced homelessness than those reporting none. Most ACE were individually associated with lifetime homelessness, but fewer remained so in the mutually adjusted model. Participants with lifetime experience of homelessness had 1.55 (95% CI 1.01-2.37) times greater risk of mortality over a 10-year follow-up and after adjustment for covariates. CONCLUSIONS Exposure to childhood adversity is associated with increased risk of experiencing homelessness. Older housed people with past experience of homelessness are at increased risk of mortality.