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  • Open Access

    ARTICLE

    Levels of evidence and grades of recommendation supporting European society for medical oncology clinical practice guidelines

    MARKO SKELIN1,2,3,*, BRUNA PERKOV-STIPIČIN1, SANJA VUŠKOVIĆ4, MARINA ŠANDRK PLEHAČEK5, ANE BAŠIĆ6, DAVID ŠARČEVIĆ7, MAJA ILIĆ8, IVAN KREČAK2,3,9

    Oncology Research, Vol.32, No.5, pp. 807-815, 2024, DOI:10.32604/or.2024.048948

    Abstract Background: The European Society for Medical Oncology (ESMO) guidelines are among the most comprehensive and widely used clinical practice guidelines (CPGs) globally. However, the level of scientific evidence supporting ESMO CPG recommendations has not been systematically investigated. This study assessed ESMO CPG levels of evidence (LOE) and grades of recommendations (GOR), as well as their trends over time across various cancer settings. Methods: We manually extracted every recommendation with the Infectious Diseases Society of America (IDSA) classification from each CPG. We examined the distribution of LOE and GOR in all available ESMO CPG guidelines across different topics and cancer types.… More >

  • Open Access

    ARTICLE

    The Epstein-Barr virus-miRNA-BART6-5p regulates TGF-β/SMAD4 pathway to induce glycolysis and enhance proliferation and metastasis of gastric cancer cells

    XUHUI ZHAO1,2, XIAOMIN HUANG1, CHUNYAN DANG2, XIA WANG1, YUJIAO QI3, HONGLING LI2,*

    Oncology Research, Vol.32, No.5, pp. 999-1009, 2024, DOI:10.32604/or.2024.046679

    Abstract Background: EBV-miR-BARTs exhibit significant relevance in epithelial tumors, particularly in EBV-associated gastric and nasopharyngeal cancers. However, their specific mechanisms in the initiation and progression of gastric cancer remain insufficiently explored. Material and Methods: Initially, EBV-miRNA-BART6-5p and its target gene SMAD4 expression were assessed in EBV-associated gastric cancer tissues and cell lines. Subsequent transfection induced overexpression of EBV-miRNA-BART6-5p in AGS and MKN-45, and downregulation in EBV-positive cells (SUN-719). The subsequent evaluation aimed to observe their impact on gastric cancer cell proliferation, migration, and glycolytic processes, with the TGF-β/SMAD4 signaling pathway value clarified using a TGF-β inhibitor. Results: EBV-miRNA-BART6-5p exhibits pronounced upregulation… More >

  • Open Access

    REVIEW

    Deciphering resistance mechanisms and novel strategies to overcome drug resistance in ovarian cancer: a comprehensive review

    EFFAT ALEMZADEH1, LEILA ALLAHQOLI2, AFROOZ MAZIDIMORADI3, ESMAT ALEMZADEH1,4, FAHIMEH GHASEMI4,5, HAMID SALEHINIYA6, IBRAHIM ALKATOUT7,*

    Oncology Research, Vol.32, No.5, pp. 831-847, 2024, DOI:10.32604/or.2024.031006

    Abstract Ovarian cancer is among the most lethal gynecological cancers, primarily due to the lack of specific symptoms leading to an advanced-stage diagnosis and resistance to chemotherapy. Drug resistance (DR) poses the most significant challenge in treating patients with existing drugs. The Food and Drug Administration (FDA) has recently approved three new therapeutic drugs, including two poly (ADP-ribose) polymerase (PARP) inhibitors (olaparib and niraparib) and one vascular endothelial growth factor (VEGF) inhibitor (bevacizumab) for maintenance therapy. However, resistance to these new drugs has emerged. Therefore, understanding the mechanisms of DR and exploring new approaches to overcome them is crucial for effective… More >

  • Open Access

    ARTICLE

    NFHP-RN: A Method of Few-Shot Network Attack Detection Based on the Network Flow Holographic Picture-ResNet

    Tao Yi1,3, Xingshu Chen1,2,*, Mingdong Yang3, Qindong Li1, Yi Zhu1

    CMES-Computer Modeling in Engineering & Sciences, Vol.140, No.1, pp. 929-955, 2024, DOI:10.32604/cmes.2024.048793

    Abstract Due to the rapid evolution of Advanced Persistent Threats (APTs) attacks, the emergence of new and rare attack samples, and even those never seen before, make it challenging for traditional rule-based detection methods to extract universal rules for effective detection. With the progress in techniques such as transfer learning and meta-learning, few-shot network attack detection has progressed. However, challenges in few-shot network attack detection arise from the inability of time sequence flow features to adapt to the fixed length input requirement of deep learning, difficulties in capturing rich information from original flow in the case of insufficient samples, and the… More >

  • Open Access

    ARTICLE

    Reliable Data Collection Model and Transmission Framework in Large-Scale Wireless Medical Sensor Networks

    Haosong Gou1, Gaoyi Zhang1, Renê Ripardo Calixto2, Senthil Kumar Jagatheesaperumal3, Victor Hugo C. de Albuquerque2,*

    CMES-Computer Modeling in Engineering & Sciences, Vol.140, No.1, pp. 1077-1102, 2024, DOI:10.32604/cmes.2024.047806

    Abstract Large-scale wireless sensor networks (WSNs) play a critical role in monitoring dangerous scenarios and responding to medical emergencies. However, the inherent instability and error-prone nature of wireless links present significant challenges, necessitating efficient data collection and reliable transmission services. This paper addresses the limitations of existing data transmission and recovery protocols by proposing a systematic end-to-end design tailored for medical event-driven cluster-based large-scale WSNs. The primary goal is to enhance the reliability of data collection and transmission services, ensuring a comprehensive and practical approach. Our approach focuses on refining the hop-count-based routing scheme to achieve fairness in forwarding reliability. Additionally,… More >

  • Open Access

    ARTICLE

    Perception Enhanced Deep Deterministic Policy Gradient for Autonomous Driving in Complex Scenarios

    Lyuchao Liao1,2, Hankun Xiao2,*, Pengqi Xing2, Zhenhua Gan1,2, Youpeng He2, Jiajun Wang2

    CMES-Computer Modeling in Engineering & Sciences, Vol.140, No.1, pp. 557-576, 2024, DOI:10.32604/cmes.2024.047452

    Abstract Autonomous driving has witnessed rapid advancement; however, ensuring safe and efficient driving in intricate scenarios remains a critical challenge. In particular, traffic roundabouts bring a set of challenges to autonomous driving due to the unpredictable entry and exit of vehicles, susceptibility to traffic flow bottlenecks, and imperfect data in perceiving environmental information, rendering them a vital issue in the practical application of autonomous driving. To address the traffic challenges, this work focused on complex roundabouts with multi-lane and proposed a Perception Enhanced Deep Deterministic Policy Gradient (PE-DDPG) for Autonomous Driving in the Roundabouts. Specifically, the model incorporates an enhanced variational… More >

  • Open Access

    REVIEW

    A Review of Deep Learning-Based Vulnerability Detection Tools for Ethernet Smart Contracts

    Huaiguang Wu, Yibo Peng, Yaqiong He*, Jinlin Fan

    CMES-Computer Modeling in Engineering & Sciences, Vol.140, No.1, pp. 77-108, 2024, DOI:10.32604/cmes.2024.046758

    Abstract In recent years, the number of smart contracts deployed on blockchain has exploded. However, the issue of vulnerability has caused incalculable losses. Due to the irreversible and immutability of smart contracts, vulnerability detection has become particularly important. With the popular use of neural network model, there has been a growing utilization of deep learning-based methods and tools for the identification of vulnerabilities within smart contracts. This paper commences by providing a succinct overview of prevalent categories of vulnerabilities found in smart contracts. Subsequently, it categorizes and presents an overview of contemporary deep learning-based tools developed for smart contract detection. These… More > Graphic Abstract

    A Review of Deep Learning-Based Vulnerability Detection Tools for Ethernet Smart Contracts

  • Open Access

    ARTICLE

    An Image Fingerprint and Attention Mechanism Based Load Estimation Algorithm for Electric Power System

    Qing Zhu1,*, Linlin Gu1,2, Huijie Lin1,2

    CMES-Computer Modeling in Engineering & Sciences, Vol.140, No.1, pp. 577-591, 2024, DOI:10.32604/cmes.2023.043307

    Abstract With the rapid development of electric power systems, load estimation plays an important role in system operation and planning. Usually, load estimation techniques contain traditional, time series, regression analysis-based, and machine learning-based estimation. Since the machine learning-based method can lead to better performance, in this paper, a deep learning-based load estimation algorithm using image fingerprint and attention mechanism is proposed. First, an image fingerprint construction is proposed for training data. After the data preprocessing, the training data matrix is constructed by the cyclic shift and cubic spline interpolation. Then, the linear mapping and the gray-color transformation method are proposed to… More >

  • Open Access

    ARTICLE

    Scheme Based on Multi-Level Patch Attention and Lesion Localization for Diabetic Retinopathy Grading

    Zhuoqun Xia1, Hangyu Hu1, Wenjing Li2,3, Qisheng Jiang1, Lan Pu1, Yicong Shu1, Arun Kumar Sangaiah4,5,*

    CMES-Computer Modeling in Engineering & Sciences, Vol.140, No.1, pp. 409-430, 2024, DOI:10.32604/cmes.2024.030052

    Abstract Early screening of diabetes retinopathy (DR) plays an important role in preventing irreversible blindness. Existing research has failed to fully explore effective DR lesion information in fundus maps. Besides, traditional attention schemes have not considered the impact of lesion type differences on grading, resulting in unreasonable extraction of important lesion features. Therefore, this paper proposes a DR diagnosis scheme that integrates a multi-level patch attention generator (MPAG) and a lesion localization module (LLM). Firstly, MPAG is used to predict patches of different sizes and generate a weighted attention map based on the prediction score and the types of lesions contained… More >

  • Open Access

    ARTICLE

    Knockdown of circular RNA (CircRNA)_001896 inhibits cervical cancer proliferation and stemness in vivo and in vitro

    JIA SHAO1,2, CAN ZHANG2, YAONAN TANG2, AIQIN HE2, WEIPEI ZHU1,*

    BIOCELL, Vol.48, No.4, pp. 571-580, 2024, DOI:10.32604/biocell.2024.049092

    Abstract Objective: Previous studies indicated that aberrant circular RNA (circRNA) expression affects gene expression regulatory networks, leading to the aberrant activation of tumor pathways and promoting tumor cell growth. However, the expression, clinical significance, and effects on cell propagation, invasion, and dissemination of circRNA_001896 in cervical cancer (CC) tissues remain unclear. Methods: The Gene Expression Omnibus (GEO) datasets (GSE113696 and GSE102686) were used to examine differential circRNA expression in CC and adjacent tissues. The expression of circRNA_001896 was detected in 72 CC patients using fluorescence quantitative PCR. Correlation analysis with clinical pathological features was performed through COX multivariate and univariate analysis.… More >

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