This study adopted an integrated procedure that combines the clustering and classification features of data mining technology to determine the differences between the symptoms shown in past cases where patients died from or survived oral cancer. Two data mining tools, namely decision tree and artificial neural network, were used to analyze the historical cases of oral cancer, and their performance was compared with that of logistic regression, the popular statistical analysis tool. Both decision tree and artificial neural network models showed superiority to the traditional statistical model. However, as to clinician, the trees created by the decision tree models are relatively easier to interpret compared to that of the artificial neural network models. Cluster analysis also discovers that those stage 4 patients whose also possess the following four characteristics are having an extremely low survival rate: pN is N2b, level of RLNM is level I-III, AJCC-T is T4, and cells mutate situation (G) is moderate.
The transection of the inferior alveolar nerve (IANx) produces allodynia in the whisker pad (V2 division) of rats. Ectopic discharges from injured trigeminal ganglion (TG) neurons and thalamocortical reorganization are possible contributors to the sensitization of uninjured V2 primary and CNS neurons. To test which factor is more important, TG and ventroposterior medial nucleus (VPM) neurons were longitudinally followed before, during, and after IANx for up to 80 d. Spontaneous discharges and mechanical stimulation-evoked responses were recorded in conscious and in anesthetized states. Results show (1) a sequential increase in spontaneous activities, first in the injured TG neurons of the IAN (2-30 d), followed by uninjured V2 ganglion neurons (6 -30 d), and then VPM V2 neurons (7-30 d) after IANx; (2) ectopic discharges included burst and regular firing patterns in the IAN and V2 branches of the TG neurons; and (3) the receptive field expanded, the modality shifted, and long-lasting after-discharges occurred only in VPM V2 neurons. All of these changes appeared in the late or maintenance phase (7-30 d) and disappeared during the recovery phase (40 -60 d). These observations suggest that ectopic barrages in the injured IAN contribute more to the development of sensitization, whereas the modality shift and evoked after-discharges in the VPM thalamic neurons contribute more to the maintenance phase of allodynia by redirecting tactile information to the cortex as nociceptive.
The low-frequency (0.2-0.8 Hz) component of blood pressure (BP) variability (LF(BP)) is used as an index of the low-frequency variability of sympathetic nerve activity (SNA) (LF(SNA)) in rats. It is unclear whether the LF(BP) can be used as an index of the mean SNA (mSNA). We investigated the correlation of the LF(BP) with different levels of the mSNA in this study to evaluate if it is a feasible tool for detecting differences in mSNA under physiological conditions. Correlation of the LF(SNA) with different mSNA levels was also investigated. The BP and renal SNA of rats were recorded in a nonanesthetized state. Values of the mSNA obtained from 531 recording epochs in six rats were graded into 30 levels with a bin resolution of 0.05 normalized units. A linear regression analysis showed that the correlation between the mSNA and LF(SNA) was higher than that between the mSNA and LF(BP). The mSNA was well correlated with the LF(SNA) over a wider mSNA range, while it was correlated with the LF(BP) only in a restricted range. These results demonstrated a restricted condition under which measuring the LF(BP) can be a definitive index of the mSNA, and further suggest the possibility of using the weighted LF(BP) as an index of the mSNA via intermediation by the LF(SNA) for a wider mSNA range.
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