Syncope belongs to the transient loss of consciousness(TLOC), characterized by a rapid onset, short duration, and spontaneous complete recovery. It is common in children and adolescents, accounting for 1% to 2% of eme...Syncope belongs to the transient loss of consciousness(TLOC), characterized by a rapid onset, short duration, and spontaneous complete recovery. It is common in children and adolescents, accounting for 1% to 2% of emergency department visits.Recurrent syncope can seriously affect children's physical and mental health, learning ability and quality of life and sometimes cardiac syncope even poses a risk of sudden death. The present guideline for the diagnosis and treatment of syncope in children and adolescents was developed for guiding a better clinical management of pediatric syncope. Based on the globally recent development and the evidence-based data in China, 2018 Chinese Pediatric Cardiology Society(CPCS) guideline for diagnosis and treatment of syncope in children and adolescents was jointly prepared by the Pediatric Cardiology Society, Chinese Pediatric Society, Chinese Medical Association(CMA)/Committee on Pediatric Syncope, Pediatricians Branch, Chinese Medical Doctor Association(CMDA)/Committee on Pediatric Cardiology, Chinese College of Cardiovascular Physicians, Chinese Medical Doctor Association(CMDA)/Pediatric Cardiology Society, Beijing Pediatric Society, Beijing Medical Association(BMA). The present guideline includes the underlying diseases of syncope in children and adolescents, the diagnostic procedures, methodology and clinical significance of standing test and headup tilt test, the clinical diagnosis vasovagal syncope, postural orthostatic tachycardia syndrome, orthostatic hypotension and orthostatic hypertension, and the treatment of syncope as well as follow-up.展开更多
PM2.5 aerosols were collected in forests along north latitude in boreal-temperate, temperate, subtropical and tropical climatic zones in eastern China, i.e., Changbai Mountain Nature Reserve （CB）, Dongping National ...PM2.5 aerosols were collected in forests along north latitude in boreal-temperate, temperate, subtropical and tropical climatic zones in eastern China, i.e., Changbai Mountain Nature Reserve （CB）, Dongping National Forest Park in Chongming Island （CM）, Dinghu Mountain Nature Reserve （DH）, Jianfengling Nature Reserve in Hainan Island （HN）. The mass concentrations of PM2.5, organic carbon （OC）, elemental carbon （EC）, water soluble organic carbon （WSOC） as well as concentrations of ten inorganic ions （F？, Cl？, NO3？, SO42？, C2O42？, NH4＋, Na＋, K＋, Ca2＋, Mg2＋） were determined. Aerosol chemical mass closures were achieved. The 24-hr average concentrations of PM2.5 were 38.8, 89.2, 30.4, 18 μg/m3 at CB, CM, DH and HN, respectively. Organic matter and EC accounted for 21%–33% and 1.3%–2.3% of PM2.5 mass, respectively. The sum of three dominant secondary ions （SO42-, NO3-, NH4＋） accounted for 44%, 50%, 45% and 16% of local PM2.5 mass at CB, CM, DH and HN, respectively. WSOC comprised 35%–65% of OC. The sources of PM2.5 include especially important regional anthropogenic pollutions at Chinese forest areas.展开更多
A strain capable of phenol degradation, hetemtrophic nitrification and aerobic denitrification was isolated from activated sludge of coking-plant wastewater ponds under aerobic condition. Based on its morphology, phys...A strain capable of phenol degradation, hetemtrophic nitrification and aerobic denitrification was isolated from activated sludge of coking-plant wastewater ponds under aerobic condition. Based on its morphology, physiology, biochemical analysis and phylogenetic characteristics, the isolate was identified as Diaphorobacter sp. PD-7. Biodegradation tests of phenol showed that the maximum phenol degradation occurred at the late phase of exponential growth stages, with 1400 mg·L^-1 phenol completely degraded within 85 h. Diaphorobacter sp. PD-7 accumulated a vast quantity of phenol hydroxylase in this physiological phase, ensuring that the cells quickly utilize phenol as a sole carbon and energy source. The kinetic behavior ofDiaphorobacter sp. PD-7 in batch cultures was investigated over a wide range of initial phenol concentrations （0-1400mg·L^-1） by using the Haldane model, which adequately describes the dynamic behavior of phenol biodegradation by strain Diaphombacter sp. PD-7. At initial phenol concentration of 1400mg· L^-l, batch experiments （0.25 L flask） of nitrogen removal under aerobic condition gave almost entirely removal of 120.69mg· L^- 1 ammonium nitrogen within 75 h, while nitrate nitrogen removal reached 91% within 65 h. Moreover, hydroxylamine oxidase, periplasmic nitrate reductase and nitrite reductase were successfully expressed in the isolate.展开更多
Deciphering the genetic mechanisms underlying agronomic traits is of great importance for crop improvement. Most of these traits are controlled by multiple quantitative trait loci (QTLs), and identifying the underlyin...Deciphering the genetic mechanisms underlying agronomic traits is of great importance for crop improvement. Most of these traits are controlled by multiple quantitative trait loci (QTLs), and identifying the underlying genes by conventional QTL fine-mapping is time-consuming and labor-intensive. Here, we devised a new method, named quantitative trait gene sequencing (QTG-seq), to accelerate QTL fine-mapping. QTGseq combines QTL partitioning to convert a quantitative trait into a near-qualitative trait, sequencing of bulked segregant pools from a large segregating population, and the use of a robust new algorithm for identifying candidate genes. Using QTG-seq, we fine-mapped a plant-height QTL in maize (Zea mays L.), qPH7, to a 300-kb genomic interval and verified that a gene encoding an NF-YC transcription factor was the functional gene. Functional analysis suggested that qPH7-encoding protein might influence plant height by interacting with a CO-like protein and an AP2 domain-containing protein. Selection footprint ana卜 ysis indicated that qPH7 was subject to strong selection during maize improvement. In summary, QTG-seq provides an efficient method for QTL fine-mapping in the era of “big data".展开更多
PM2.5, total suspended particles （TSP） and gas phase samples were collected at two sites of Talzhou, a major e-waste dismantling area in China. Concentrations, seasonal variations, congener profiles, gas-particle pa...PM2.5, total suspended particles （TSP） and gas phase samples were collected at two sites of Talzhou, a major e-waste dismantling area in China. Concentrations, seasonal variations, congener profiles, gas-particle partitioning and size distribution of the atmospheric polychlorinated biphenyls （PCBs） were studied to assess the current state of atmospheric PCBs after the phase out of massive historical dismantling of PCBs containing e-wastes. The average ∑38PCBs concentration in the ambient air （TSP plus gas phase） near the e-waste dismantling area was （12,407 ± 9592） pg/m^3 in winter, which was substantially lower than that found one decade ago. However, the atmospheric PCBs level near the e-waste dismantling area was 54 times of the reference urban site, indicating that the impact of the historical dismantling of PCBs containing e-wastes was still significant. Tri-Penta-CBs were dominant homologues, consisting with their dominant global production. Size distribution of particle-bound PCBs showed that higher chlorinated CBs tended to partition more to the fine particles, facilitating its long range air transportation.展开更多
A Fabry-Perot interferometer,funded by the Meridian Project in China,was deployed at the Xinglong station(40.2°N,117.4°E) of the National Astronomical Observatories in Hebei Province,China.The instrument has...A Fabry-Perot interferometer,funded by the Meridian Project in China,was deployed at the Xinglong station(40.2°N,117.4°E) of the National Astronomical Observatories in Hebei Province,China.The instrument has been operating since April 2010,measuring mesospheric and thermospheric winds.The first observational data of winds at three heights in the mesosphere and thermosphere were analyzed,demonstrating the capacity of this instrument to aid basic scientific research.The wavelengths of three airglow emissions were OH892.0,OI 557.7,and OI 630.0 nm,which corresponded to heights of 87,98,and 250 km,respectively.Three 38-day data sets of horizontal winds,from April 5,2010 to May 12,2010,show clear day-to-day variations at the same height.The minimum and maximum meridional winds at heights of 87,98,and 250 km were-16.5 to 8.7 m/s,-24.4 to 15.9 m/s,and-43.6 to 1.5 m/s.Measurements of zonal winds were-5.4 to 7.6 m/s,2.3 to 23.0 m/s,and-22.6 to 49.3 m/s.The average data from the observations was consistent with the data from HWM93.The wind data at heights of 87 and 98 km suggest a semi-diurnal oscillation,clearly consistent with HWM93 results.Conversely there was a clear discrepancy between the observations and the model at 250 km.In general,this Fabry-Perot interferometer is a useful ground-based instrument for measuring mesospheric and thermospheric winds at middle latitudes.展开更多
Array calibration with angularly dependent gain and phase uncertainties has long been a difficult problem. Although many array calibration methods have been reported extensively in the literature, they almost all assu...Array calibration with angularly dependent gain and phase uncertainties has long been a difficult problem. Although many array calibration methods have been reported extensively in the literature, they almost all assumed an angularly independent model for array uncertainties. Few calibration methods have been developed for the angularly dependent array uncertainties. A novel and efficient auto-calibration method for angularly dependent gain and phase uncertainties is proposed in this paper, which is called ISM (Instrumental Sensors Method). With the help of a few well-calibrated instrumental sensors, the ISM is able to achieve favorable and unambiguous direction-of-arrivals (DOAs) estimate and the corresponding angularly dependent gain and phase estimate simultaneously, even in the case of multiple non-disjoint sources. Since the mutual coupling and sensor position errors can all be described as angularly dependent gain/phase uncertainties, the ISM proposed still works in the presence of a combination of all these array perturbations. The ISM can be applied to arbitrary array geometries including linear arrays. The ISM is computationally efficient and requires only one-dimensional search, with no high-dimensional nonlinear search and convergence burden involved. Besides, no small error assumption is made, which is always an essential prerequisite for many existing array calibration techniques. The estimation performance of the ISM is analyzed theoretically and simulation results are provided to demonstrate the effectiveness and behavior of the proposed ISM.展开更多
In this paper a family, called the pivotal family, of distributions is considered.A pivotal family is determined by a generalized pivotal model. Analytical results show that a great many parametric families of distrib...In this paper a family, called the pivotal family, of distributions is considered.A pivotal family is determined by a generalized pivotal model. Analytical results show that a great many parametric families of distributions are pivotal. In a pivotal family of distributions a general method of deriving fiducial distributions of parameters is proposed. In the method a fiducial model plays an important role. A fiducial model is a function of a random variable with a known distribution, called the pivotal random element, when the observation of a statistic is given.The method of this paper includes some other methods of deriving fiducial distributions. Specially the first fiducial distribution given by Fisher can be derived by the method. For the monotone likelihood ratio family of distributions, which is a pivotal family, the fiducial distributions have a frequentist property in the Neyman-Pearson view. Fiducial distributions of regular parametric functions also have the above frequentist property. Some advantages of the fiducial inference are exhibited in four applications of the fiducial distribution. Many examples are given, in which the fiducial distributions cannot be derived by the existing methods.展开更多
A novel alkanolamine-based ionic liquid,N-methyl-diethanolammonium tetrafluoroborate ([MDEA][BF4]),was synthesized in our laboratory.The ionic liquid-based composite solution consisting of N-methyl-diethanolamine (MDE...A novel alkanolamine-based ionic liquid,N-methyl-diethanolammonium tetrafluoroborate ([MDEA][BF4]),was synthesized in our laboratory.The ionic liquid-based composite solution consisting of N-methyl-diethanolamine (MDEA),[MDEA][BF4],piperazine (PZ) and H2O was investigated for CO_(2) capture.The optimal performance for CO_(2) capture was found at 45°C,1.50 MPa,probably due to a synergistic action of the reaction and the transport.No apparent corrosion was found on stainless and carbon steel with the above composite solution.This finding is very significant to the promotion of its engineering application.展开更多
The long-chain alkenones present in the shallow sediment of Hotong Qagan Nur Lake in China are reported. According to the similarity of compositions and distributions of the alkenones determined commonly in the sedime...The long-chain alkenones present in the shallow sediment of Hotong Qagan Nur Lake in China are reported. According to the similarity of compositions and distributions of the alkenones determined commonly in the sediment section to those of marine sediment, it is reasonably referred that the alkenones might also originate from Prymnesiophyceae. ln addition, the parameter U<sub>37</sub><sup>k</sup>＇of alkenone is in positive correlation to δ<sup>18</sup>O values of authigenic calcium and magnesium minerals. This indicates that the parameter U<sub>37</sub><sup>k</sup>＇of long-chain alkenone is also available to indicate paleoclimate of high-salinity alkaline lake.展开更多
Raffinose family oligosaccharides （RFOs） accumulate in seeds during maturation desiccation in many plant species. However, it remains unclear whether RFOs have a role in establishing seed vigor. GALACTINOL SYNTHASE ...Raffinose family oligosaccharides （RFOs） accumulate in seeds during maturation desiccation in many plant species. However, it remains unclear whether RFOs have a role in establishing seed vigor. GALACTINOL SYNTHASE （GOLS）, RAFFINOSE SYNTHASE （RS）, and STACHYOSE SYNTHASE （STS） are the enzymes responsible for RFO biosynthesis in plants. Interestingly, only raffinose is detected in maize seeds, and a unique maize RS gene （ZmRS） was identified. In this study, we found that two independent mutator （Mu）-interrupted zmrs lines, containing no raffinose but hyperaccumulating galactinol, have significantly reduced seed vigor, compared with null segregant controls. Unlike maize, Arabidopsis thaliana seeds contain several RFOs （raffinose, stachyose, and verbascose）. Manipulation of A. thaliana RFO content by overexpressing ZmGOLS2, ZmRS, or AtSTS demonstrated that co-overexpression of ZmGOLS2 and ZmRS, or overexpression of ZmGOLS2 alone, significantly increased the total content of RFOs and enhanced Arabidopsis seed vigor. Surprisingly, while overexpression of ZmRS increased seed raffinose content, its overexpression dramatically decreased seed vigor and reduced the seed amounts of galactinol, stachyose, and verbascose. In contrast, the atrs5 mutant seeds are similar to those of the wild type with regard to seed vigor and RFO content, except for stachyose, which accumulated in atrs5 seeds. Total RFOs, RFO/sucrose ratio, but not absolute individual RFO amounts, positively correlated with A. thaliana seed vigor, to which stachyose and verbascose contribute more than raffinose. Taken together, these re- sults provide new insights into regulatory mechanisms of seed vigor and reveal distinct requirement for RFOs in modulating seed vigor in a monocot and a dicot.展开更多
The peculiarities of lipids in lacustrine core sediments from Fildes Peninsula, King George Island, Antarctica, are reported. The origin of high-molecular-weight n-alkanes, alkenes, fatty acids, alcohols is supposed t...The peculiarities of lipids in lacustrine core sediments from Fildes Peninsula, King George Island, Antarctica, are reported. The origin of high-molecular-weight n-alkanes, alkenes, fatty acids, alcohols is supposed to be related to the abundant moss occurring in the sediments. Abundant iso- and ante/so-fatty acids that occur in the sediments indicate a relatively strong bacterial activity in non-ice-cover zone than in other regions in Antarctica. The C18:2 unsaturated fatty acids mainly originate from autochthonous algae in the sediment pool, and the C18:2/C18:0 ratios in the profile are controlled more by paleotemperatures than source assemblies. Long-chain alkenones were identified in freshwater lacustrine sediment in Antarctica for the first time, of which Prymnesiophyceae is assumed to be the source organism. High relative abundance of C37:4 homologue in long-chain alkenone well correlates to the severely cold climate in Antarctica.展开更多
CD59, belonging to membrane complement regulatory proteins （mCRPs）, inhibits the cytolytic activity of complement and is over-expressed in solid cancers, including ovary cancer. The aim of the present study was to c...CD59, belonging to membrane complement regulatory proteins （mCRPs）, inhibits the cytolytic activity of complement and is over-expressed in solid cancers, including ovary cancer. The aim of the present study was to construct recombinant retrovirus encoding shRNA targeted human CD59 and infect A2780 cells in order to investigate the relationship between decreased CD59 expression and tumorigenesis of ovary cancer, siCD59 and siCD59-C were successfully constructed and identified by PCR, restriction endonuclease analyses and DNA sequencing, respectively. The siCD59 was able to efficiently infect A2780 cells, which was confirmed by Western blotting. When incubated with fresh normal human serum （8%, v/v） for 1 h at 37℃, the cell viability was decreased and cell damage was increased in siCD59 infected A2780 cells compared to siCD59-C infected cells. This led to the activation of caspase-3. The apoptosis in siCD59 infected cells was shown with hypercondensed nuclei using Hoechst staining. Meanwhile, the weight of ovary tumor graft in nude mice was significantly decreased in siCD59 group compared to that of siCD59-C group. And the expression of CD59 protein in tumor tissue in siCD59 group was significantly decreased. These results suggested that CD59 silencing in ovary cancer cells v/a retrovirusmediated RNAi can enhance complement-mediated cell damage, inhibiting growth of ovary cancer. CD59 might be a potential target for gene therapy in ovary cancer. Cellular ＆ Molecular Immunology.展开更多
Using F2 population derived from the cross of tall inbred 7922 by dwarf inbred 5003, an RFLP linkage map of maize has been constructed, on which 85 markers are distributed among 10 linkage groups and span maize genome...Using F2 population derived from the cross of tall inbred 7922 by dwarf inbred 5003, an RFLP linkage map of maize has been constructed, on which 85 markers are distributed among 10 linkage groups and span maize genome about 1827.8 cM with an average distance (24.4 cM) between markers. 106 F2:3 lines of the population were grown in a 10×11 simple rectangular lattice design of one-raw plots with two replications and evaluated for plant height (PH). With interval mapping procedure, 5 QTLs controlling plant height have been identified and their genetic effects and gene action determined. 2 major OTLs with opposite effect have been discovered. One for increasing plant height is ph 1 which is located at chromosome 2 and accounts for 51.8% of the total phenotypic variation; the other for decreasing plant height is ph3 which is located at chromosome 5 and accounts for 38.6% of the total phenotypic variation. The chromosomal location of ph3 might be the same as or close to the position of bv1, a dwarf mutant展开更多
Forty-eight daily time interval PM2.5 samples were collected from December 2006 to January 2008 in an urban site in Shanghai, China. Concentrations and compositions of polycyclic aromatic hydrocarbons （PAHs） were an...Forty-eight daily time interval PM2.5 samples were collected from December 2006 to January 2008 in an urban site in Shanghai, China. Concentrations and compositions of polycyclic aromatic hydrocarbons （PAHs） were analyzed with GC-MS to study the diurnal and seasonal variations and to identify the main emitting sources. The diurnal variation of the PAHs concentrations was greater in the late autumn and winter sampling days, and was greatly influenced by meteorological conditions such as wind speed and ambient temperature. The concentration of PAHs in the mornings （6：30–10：00） increased distinctly, and was high in the late autumn and winter sampling days, indicating the contribution from vehicle emissions during rush hours. The diurnal variation of the high molecular weight PAHs did not seem to be controlled by the shift of gas-particle partitioning due to temperature variation, instead, it could be indicative of the variation in the source. Statistical analyses showed that the concentrations of PAHs were negatively correlated with temperature and wind speed, and positively correlated with relative humidity. Diagnostic ratios of PAHs suggested mixed emission sources of petroleum and coal/biomass combustion for PAHs in the PM2.5 in Shanghai.展开更多
Field experiment was carried out to nitrogen release characteristics of rice controlled release fertilizer (RCRF) coated with natural and half natural high molecular materials, and to thereof effects on the nitrogen u...Field experiment was carried out to nitrogen release characteristics of rice controlled release fertilizer (RCRF) coated with natural and half natural high molecular materials, and to thereof effects on the nitrogen uptake and yield of early and late hybrid rice from 1999 to 2000, with urea as control.In experimental fields regardless of early and late seasons, the amount of N in the plants increased exponentially at the early growth stage (y=abx) and nonlinearly at the middle and late growth stages (y=a+bx+cx2).Rice controlled release fertilizer lengthened the exponential phase and increased the parameter -b/c during the nonlinear phase. Although the N amount of plants was less in rice controlled release fertilizer plots man in urea plots within 20 days after transplanting, at the heading and maturity stages, the N amount of plants in rice controlled release fertilizer plots was above two times greater than in the urea plots due to the higher N recovery, and the high absorption density of N in the nonlinear phase.Tillers pattern and achievement of the maximum tillering stage varied with fertilizer types. The maximum tillering stage in the urea plots occurred a week earlier than in the rice controlled release fertilizer plots. Yield sink size and potential sink size of the plants reflected the N absorption pattern and the amount of N in the plants. The yields of early and late rice with 90 kg N ha-1 of rice controlled release fertilizer were respectively increased by 832.7 kg ha-1 and 412.8 kg ha-1 than those with 90 kg N ha-1 of urea, almost equivalent to the yield of early and late hybrid rice with 180 kg N ha-1 of urea.展开更多
An adaptive criterion for shear yielding as well as shear failure of soils is proposed in this paper to address the fact that most criteria,including the Mohr-Coulomb criterion,the Lade criterion and the Matsuoka-Naka...An adaptive criterion for shear yielding as well as shear failure of soils is proposed in this paper to address the fact that most criteria,including the Mohr-Coulomb criterion,the Lade criterion and the Matsuoka-Nakai criterion,cannot agree well with the experimental results when the value of the intermediate principal stress parameter is too big.The new criterion can adjust an adaptive parameter based on the experimental results in order to make the theoretical calculations fit the test results more accurately.The original elliptic-parabolic yield surface model can capture both soil contraction and dilation behaviors.However,it normally over-predicts the soil strength due to its application of the Extended Mises criterion.A new elliptic-parabolic yield surface mode is presented in this paper,which introduces the adaptive criterion in three-dimensional principal stress space.The new model can well model the stress-strain behavior of soils under general stress conditions.Compared to the original model which can only simulate soil behavior under triaxial compression conditions,the new model can simulate soil behaviors under both triaxial compression conditions and general stress conditions.展开更多
Fuke (19.5°N, 109.1°E) meteor radar is the first radar of the low latitudes of China, which is used to detect the wind in the meso- sphere and lower thermosphere. In this paper, by using the wind data near t...Fuke (19.5°N, 109.1°E) meteor radar is the first radar of the low latitudes of China, which is used to detect the wind in the meso- sphere and lower thermosphere. In this paper, by using the wind data near three months (1 February-20 April, 2009), we first present the variation of the atmospheric diurnal tide, semidiurnal tide and mean wind in the height range 80-100 km over the low latitudes of China. The results from our analysis are summarized below. During spring months, there are quite strong tides in the mesopause region of Fuke. The diurnal tidal amplitude is significantly larger than the amplitude of semidiurnal tide, and the maximum amplitude (about 100 m/s) of diurnal tide appear in the meridional wind. The vertical phases of both diurnal tide and semidiurnal tide propagate downward. In addition, the observed tides are compared with the linear tide model (Global Scale Wave Model, GSWM02), and the results show that Fuke diurnal tide agrees well with the model, but there are many differences between Fuke semidiurnal tide and the results from model.展开更多
In this paper, winds derived from OH Meinel 892.0 nm detection by an FPI （Fabry-Perot Interferometer） are compared with the simultaneous wind measurements from a meteor radar during April-May of 2010. The peak heigh...In this paper, winds derived from OH Meinel 892.0 nm detection by an FPI （Fabry-Perot Interferometer） are compared with the simultaneous wind measurements from a meteor radar during April-May of 2010. The peak height of OH Meinel 892.0 nm is about 87 km. The variations of FPI wind at 87 km mostly have the similar track to meteor radar wind at 87 km, and the data values of FPI wind mainly fall into the range of meteor radar wind. However, there are still quantitative differences between the observations of the two systems. The best cross-correlation occurs in rneridional winds from two systems in April of 2010. An obvious wave signal with 0.2 cycle/d frequency is found in meridional winds observed by both FPI and meteor radar.展开更多
Background:Due to the occult anatomic location of the nasopharynx and frequent presence of adenoid hyperpla-sia,the positive rate for malignancy identification during biopsy is low,thus leading to delayed or missed di...Background:Due to the occult anatomic location of the nasopharynx and frequent presence of adenoid hyperpla-sia,the positive rate for malignancy identification during biopsy is low,thus leading to delayed or missed diagnosis for nasopharyngeal malignancies upon initial attempt.Here,we aimed to develop an artificial intelligence tool to detect nasopharyngeal malignancies under endoscopic examination based on deep learning.Methods:An endoscopic images-based nasopharyngeal malignancy detection model(eNPM-DM)consisting of a fully convolutional network based on the inception architecture was developed and fine-tuned using separate training and validation sets for both classification and segmentation.Briefly,a total of 28,966 qualified images were collected.Among these images,27,536 biopsy-proven images from 7951 individuals obtained from January 1st,2008,to December 31st,2016,were split into the training,validation and test sets at a ratio of 7:1:2 using simple randomiza-tion.Additionally,1430 images obtained from January 1st,2017,to March 31st,2017,were used as a prospective test set to compare the performance of the established model against oncologist evaluation.The dice similarity coef-ficient(DSC)was used to evaluate the efficiency of eNPM-DM in automatic segmentation of malignant area from the background of nasopharyngeal endoscopic images,by comparing automatic segmentation with manual segmenta-tion performed by the experts.Results:All images were histopathologically confirmed,and included 5713(19.7%)normal control,19,107(66.0%)nasopharyngeal carcinoma(NPC),335(1.2%)NPC and 3811(13.2%)benign diseases.The eNPM-DM attained an overall accuracy of 88.7%(95%confidence interval(CI)87.8%-89.5%)in detecting malignancies in the test set.In the prospective comparison phase,eNPM-DM outperformed the experts:the overall accuracy was 88.0%(95%CI 86.1%-89.6%)vs.80.5%(95%CI 77.0%-84.0%).The eNPM-DM required less time(40 s vs.110.0±5.8 min)and exhibited encouraging performance in automatic segmentation of nasopharyngeal malign展开更多
文摘Syncope belongs to the transient loss of consciousness(TLOC), characterized by a rapid onset, short duration, and spontaneous complete recovery. It is common in children and adolescents, accounting for 1% to 2% of emergency department visits.Recurrent syncope can seriously affect children's physical and mental health, learning ability and quality of life and sometimes cardiac syncope even poses a risk of sudden death. The present guideline for the diagnosis and treatment of syncope in children and adolescents was developed for guiding a better clinical management of pediatric syncope. Based on the globally recent development and the evidence-based data in China, 2018 Chinese Pediatric Cardiology Society(CPCS) guideline for diagnosis and treatment of syncope in children and adolescents was jointly prepared by the Pediatric Cardiology Society, Chinese Pediatric Society, Chinese Medical Association(CMA)/Committee on Pediatric Syncope, Pediatricians Branch, Chinese Medical Doctor Association(CMDA)/Committee on Pediatric Cardiology, Chinese College of Cardiovascular Physicians, Chinese Medical Doctor Association(CMDA)/Pediatric Cardiology Society, Beijing Pediatric Society, Beijing Medical Association(BMA). The present guideline includes the underlying diseases of syncope in children and adolescents, the diagnostic procedures, methodology and clinical significance of standing test and headup tilt test, the clinical diagnosis vasovagal syncope, postural orthostatic tachycardia syndrome, orthostatic hypotension and orthostatic hypertension, and the treatment of syncope as well as follow-up.
基金supported by the National Natrual Science Foundation of China (No. 20677036, 20877051)the Shanghai Leading Academic Disciplines (No. S30109)+1 种基金the Scientific Research Foundation for Returned Overseas Chinese Scholars, State Education Ministrysupported by the Graduate Innovative Fund from Shanghai University
文摘PM2.5 aerosols were collected in forests along north latitude in boreal-temperate, temperate, subtropical and tropical climatic zones in eastern China, i.e., Changbai Mountain Nature Reserve （CB）, Dongping National Forest Park in Chongming Island （CM）, Dinghu Mountain Nature Reserve （DH）, Jianfengling Nature Reserve in Hainan Island （HN）. The mass concentrations of PM2.5, organic carbon （OC）, elemental carbon （EC）, water soluble organic carbon （WSOC） as well as concentrations of ten inorganic ions （F？, Cl？, NO3？, SO42？, C2O42？, NH4＋, Na＋, K＋, Ca2＋, Mg2＋） were determined. Aerosol chemical mass closures were achieved. The 24-hr average concentrations of PM2.5 were 38.8, 89.2, 30.4, 18 μg/m3 at CB, CM, DH and HN, respectively. Organic matter and EC accounted for 21%–33% and 1.3%–2.3% of PM2.5 mass, respectively. The sum of three dominant secondary ions （SO42-, NO3-, NH4＋） accounted for 44%, 50%, 45% and 16% of local PM2.5 mass at CB, CM, DH and HN, respectively. WSOC comprised 35%–65% of OC. The sources of PM2.5 include especially important regional anthropogenic pollutions at Chinese forest areas.
基金the National Natural Science Foundation of China(51378330 and51408396)the Natural Science Foundation of Shanxi Province(2013021023-3)
文摘A strain capable of phenol degradation, hetemtrophic nitrification and aerobic denitrification was isolated from activated sludge of coking-plant wastewater ponds under aerobic condition. Based on its morphology, physiology, biochemical analysis and phylogenetic characteristics, the isolate was identified as Diaphorobacter sp. PD-7. Biodegradation tests of phenol showed that the maximum phenol degradation occurred at the late phase of exponential growth stages, with 1400 mg·L^-1 phenol completely degraded within 85 h. Diaphorobacter sp. PD-7 accumulated a vast quantity of phenol hydroxylase in this physiological phase, ensuring that the cells quickly utilize phenol as a sole carbon and energy source. The kinetic behavior ofDiaphorobacter sp. PD-7 in batch cultures was investigated over a wide range of initial phenol concentrations （0-1400mg·L^-1） by using the Haldane model, which adequately describes the dynamic behavior of phenol biodegradation by strain Diaphombacter sp. PD-7. At initial phenol concentration of 1400mg· L^-l, batch experiments （0.25 L flask） of nitrogen removal under aerobic condition gave almost entirely removal of 120.69mg· L^- 1 ammonium nitrogen within 75 h, while nitrate nitrogen removal reached 91% within 65 h. Moreover, hydroxylamine oxidase, periplasmic nitrate reductase and nitrite reductase were successfully expressed in the isolate.
基金the National Key Research and Development Program of China (2016YFD0100404)the National Basic Research Program of China (2014CB138200)+4 种基金the National Natural Science Foundation of China (91735305,1571268)the Fundamental Research Funds of the Central Non-profit Scientific Institution (Y2018LM04)the Xinjiang Key R&D Program (2018B01006-3)and the Huazhong Agricultural University Scientific & Technological Self-innovation Foundation (2662016PY096014RC020).This research was also partly supported by the open funds of the National Key Laboratory of Crop Genetic Improvement.
文摘Deciphering the genetic mechanisms underlying agronomic traits is of great importance for crop improvement. Most of these traits are controlled by multiple quantitative trait loci (QTLs), and identifying the underlying genes by conventional QTL fine-mapping is time-consuming and labor-intensive. Here, we devised a new method, named quantitative trait gene sequencing (QTG-seq), to accelerate QTL fine-mapping. QTGseq combines QTL partitioning to convert a quantitative trait into a near-qualitative trait, sequencing of bulked segregant pools from a large segregating population, and the use of a robust new algorithm for identifying candidate genes. Using QTG-seq, we fine-mapped a plant-height QTL in maize (Zea mays L.), qPH7, to a 300-kb genomic interval and verified that a gene encoding an NF-YC transcription factor was the functional gene. Functional analysis suggested that qPH7-encoding protein might influence plant height by interacting with a CO-like protein and an AP2 domain-containing protein. Selection footprint ana卜 ysis indicated that qPH7 was subject to strong selection during maize improvement. In summary, QTG-seq provides an efficient method for QTL fine-mapping in the era of “big data".
基金supported by the National Natural Science Foundation of China (No.40775084)the Shanghai Leading Academic Disciplines (No.S030109)
文摘PM2.5, total suspended particles （TSP） and gas phase samples were collected at two sites of Talzhou, a major e-waste dismantling area in China. Concentrations, seasonal variations, congener profiles, gas-particle partitioning and size distribution of the atmospheric polychlorinated biphenyls （PCBs） were studied to assess the current state of atmospheric PCBs after the phase out of massive historical dismantling of PCBs containing e-wastes. The average ∑38PCBs concentration in the ambient air （TSP plus gas phase） near the e-waste dismantling area was （12,407 ± 9592） pg/m^3 in winter, which was substantially lower than that found one decade ago. However, the atmospheric PCBs level near the e-waste dismantling area was 54 times of the reference urban site, indicating that the impact of the historical dismantling of PCBs containing e-wastes was still significant. Tri-Penta-CBs were dominant homologues, consisting with their dominant global production. Size distribution of particle-bound PCBs showed that higher chlorinated CBs tended to partition more to the fine particles, facilitating its long range air transportation.
基金supported by the National Natural Science Foundation of China (40890165,40921063 and 40911120063)the National Large-Scale Scientific Project "Meridian Project"the Specialized Research Fund for State Key Laboratories
文摘A Fabry-Perot interferometer,funded by the Meridian Project in China,was deployed at the Xinglong station(40.2°N,117.4°E) of the National Astronomical Observatories in Hebei Province,China.The instrument has been operating since April 2010,measuring mesospheric and thermospheric winds.The first observational data of winds at three heights in the mesosphere and thermosphere were analyzed,demonstrating the capacity of this instrument to aid basic scientific research.The wavelengths of three airglow emissions were OH892.0,OI 557.7,and OI 630.0 nm,which corresponded to heights of 87,98,and 250 km,respectively.Three 38-day data sets of horizontal winds,from April 5,2010 to May 12,2010,show clear day-to-day variations at the same height.The minimum and maximum meridional winds at heights of 87,98,and 250 km were-16.5 to 8.7 m/s,-24.4 to 15.9 m/s,and-43.6 to 1.5 m/s.Measurements of zonal winds were-5.4 to 7.6 m/s,2.3 to 23.0 m/s,and-22.6 to 49.3 m/s.The average data from the observations was consistent with the data from HWM93.The wind data at heights of 87 and 98 km suggest a semi-diurnal oscillation,clearly consistent with HWM93 results.Conversely there was a clear discrepancy between the observations and the model at 250 km.In general,this Fabry-Perot interferometer is a useful ground-based instrument for measuring mesospheric and thermospheric winds at middle latitudes.
文摘Array calibration with angularly dependent gain and phase uncertainties has long been a difficult problem. Although many array calibration methods have been reported extensively in the literature, they almost all assumed an angularly independent model for array uncertainties. Few calibration methods have been developed for the angularly dependent array uncertainties. A novel and efficient auto-calibration method for angularly dependent gain and phase uncertainties is proposed in this paper, which is called ISM (Instrumental Sensors Method). With the help of a few well-calibrated instrumental sensors, the ISM is able to achieve favorable and unambiguous direction-of-arrivals (DOAs) estimate and the corresponding angularly dependent gain and phase estimate simultaneously, even in the case of multiple non-disjoint sources. Since the mutual coupling and sensor position errors can all be described as angularly dependent gain/phase uncertainties, the ISM proposed still works in the presence of a combination of all these array perturbations. The ISM can be applied to arbitrary array geometries including linear arrays. The ISM is computationally efficient and requires only one-dimensional search, with no high-dimensional nonlinear search and convergence burden involved. Besides, no small error assumption is made, which is always an essential prerequisite for many existing array calibration techniques. The estimation performance of the ISM is analyzed theoretically and simulation results are provided to demonstrate the effectiveness and behavior of the proposed ISM.
基金supported by the National Natural Science Foundation of China(Grant Nos.10271013,10071090).
文摘In this paper a family, called the pivotal family, of distributions is considered.A pivotal family is determined by a generalized pivotal model. Analytical results show that a great many parametric families of distributions are pivotal. In a pivotal family of distributions a general method of deriving fiducial distributions of parameters is proposed. In the method a fiducial model plays an important role. A fiducial model is a function of a random variable with a known distribution, called the pivotal random element, when the observation of a statistic is given.The method of this paper includes some other methods of deriving fiducial distributions. Specially the first fiducial distribution given by Fisher can be derived by the method. For the monotone likelihood ratio family of distributions, which is a pivotal family, the fiducial distributions have a frequentist property in the Neyman-Pearson view. Fiducial distributions of regular parametric functions also have the above frequentist property. Some advantages of the fiducial inference are exhibited in four applications of the fiducial distribution. Many examples are given, in which the fiducial distributions cannot be derived by the existing methods.
文摘A novel alkanolamine-based ionic liquid,N-methyl-diethanolammonium tetrafluoroborate ([MDEA][BF4]),was synthesized in our laboratory.The ionic liquid-based composite solution consisting of N-methyl-diethanolamine (MDEA),[MDEA][BF4],piperazine (PZ) and H2O was investigated for CO_(2) capture.The optimal performance for CO_(2) capture was found at 45°C,1.50 MPa,probably due to a synergistic action of the reaction and the transport.No apparent corrosion was found on stainless and carbon steel with the above composite solution.This finding is very significant to the promotion of its engineering application.
文摘The long-chain alkenones present in the shallow sediment of Hotong Qagan Nur Lake in China are reported. According to the similarity of compositions and distributions of the alkenones determined commonly in the sediment section to those of marine sediment, it is reasonably referred that the alkenones might also originate from Prymnesiophyceae. ln addition, the parameter U<sub>37</sub><sup>k</sup>＇of alkenone is in positive correlation to δ<sup>18</sup>O values of authigenic calcium and magnesium minerals. This indicates that the parameter U<sub>37</sub><sup>k</sup>＇of long-chain alkenone is also available to indicate paleoclimate of high-salinity alkaline lake.
文摘Raffinose family oligosaccharides （RFOs） accumulate in seeds during maturation desiccation in many plant species. However, it remains unclear whether RFOs have a role in establishing seed vigor. GALACTINOL SYNTHASE （GOLS）, RAFFINOSE SYNTHASE （RS）, and STACHYOSE SYNTHASE （STS） are the enzymes responsible for RFO biosynthesis in plants. Interestingly, only raffinose is detected in maize seeds, and a unique maize RS gene （ZmRS） was identified. In this study, we found that two independent mutator （Mu）-interrupted zmrs lines, containing no raffinose but hyperaccumulating galactinol, have significantly reduced seed vigor, compared with null segregant controls. Unlike maize, Arabidopsis thaliana seeds contain several RFOs （raffinose, stachyose, and verbascose）. Manipulation of A. thaliana RFO content by overexpressing ZmGOLS2, ZmRS, or AtSTS demonstrated that co-overexpression of ZmGOLS2 and ZmRS, or overexpression of ZmGOLS2 alone, significantly increased the total content of RFOs and enhanced Arabidopsis seed vigor. Surprisingly, while overexpression of ZmRS increased seed raffinose content, its overexpression dramatically decreased seed vigor and reduced the seed amounts of galactinol, stachyose, and verbascose. In contrast, the atrs5 mutant seeds are similar to those of the wild type with regard to seed vigor and RFO content, except for stachyose, which accumulated in atrs5 seeds. Total RFOs, RFO/sucrose ratio, but not absolute individual RFO amounts, positively correlated with A. thaliana seed vigor, to which stachyose and verbascose contribute more than raffinose. Taken together, these re- sults provide new insights into regulatory mechanisms of seed vigor and reveal distinct requirement for RFOs in modulating seed vigor in a monocot and a dicot.
文摘The peculiarities of lipids in lacustrine core sediments from Fildes Peninsula, King George Island, Antarctica, are reported. The origin of high-molecular-weight n-alkanes, alkenes, fatty acids, alcohols is supposed to be related to the abundant moss occurring in the sediments. Abundant iso- and ante/so-fatty acids that occur in the sediments indicate a relatively strong bacterial activity in non-ice-cover zone than in other regions in Antarctica. The C18:2 unsaturated fatty acids mainly originate from autochthonous algae in the sediment pool, and the C18:2/C18:0 ratios in the profile are controlled more by paleotemperatures than source assemblies. Long-chain alkenones were identified in freshwater lacustrine sediment in Antarctica for the first time, of which Prymnesiophyceae is assumed to be the source organism. High relative abundance of C37:4 homologue in long-chain alkenone well correlates to the severely cold climate in Antarctica.
基金supported by grants from the National Natural Science Foundation of China (No. 30671936).
文摘CD59, belonging to membrane complement regulatory proteins （mCRPs）, inhibits the cytolytic activity of complement and is over-expressed in solid cancers, including ovary cancer. The aim of the present study was to construct recombinant retrovirus encoding shRNA targeted human CD59 and infect A2780 cells in order to investigate the relationship between decreased CD59 expression and tumorigenesis of ovary cancer, siCD59 and siCD59-C were successfully constructed and identified by PCR, restriction endonuclease analyses and DNA sequencing, respectively. The siCD59 was able to efficiently infect A2780 cells, which was confirmed by Western blotting. When incubated with fresh normal human serum （8%, v/v） for 1 h at 37℃, the cell viability was decreased and cell damage was increased in siCD59 infected A2780 cells compared to siCD59-C infected cells. This led to the activation of caspase-3. The apoptosis in siCD59 infected cells was shown with hypercondensed nuclei using Hoechst staining. Meanwhile, the weight of ovary tumor graft in nude mice was significantly decreased in siCD59 group compared to that of siCD59-C group. And the expression of CD59 protein in tumor tissue in siCD59 group was significantly decreased. These results suggested that CD59 silencing in ovary cancer cells v/a retrovirusmediated RNAi can enhance complement-mediated cell damage, inhibiting growth of ovary cancer. CD59 might be a potential target for gene therapy in ovary cancer. Cellular ＆ Molecular Immunology.
文摘Using F2 population derived from the cross of tall inbred 7922 by dwarf inbred 5003, an RFLP linkage map of maize has been constructed, on which 85 markers are distributed among 10 linkage groups and span maize genome about 1827.8 cM with an average distance (24.4 cM) between markers. 106 F2:3 lines of the population were grown in a 10×11 simple rectangular lattice design of one-raw plots with two replications and evaluated for plant height (PH). With interval mapping procedure, 5 QTLs controlling plant height have been identified and their genetic effects and gene action determined. 2 major OTLs with opposite effect have been discovered. One for increasing plant height is ph 1 which is located at chromosome 2 and accounts for 51.8% of the total phenotypic variation; the other for decreasing plant height is ph3 which is located at chromosome 5 and accounts for 38.6% of the total phenotypic variation. The chromosomal location of ph3 might be the same as or close to the position of bv1, a dwarf mutant
基金supported by the National Natural Science Foundation of China (No. 20877052)the Shanghai Leading Academic Disciplines (No. S030109)
文摘Forty-eight daily time interval PM2.5 samples were collected from December 2006 to January 2008 in an urban site in Shanghai, China. Concentrations and compositions of polycyclic aromatic hydrocarbons （PAHs） were analyzed with GC-MS to study the diurnal and seasonal variations and to identify the main emitting sources. The diurnal variation of the PAHs concentrations was greater in the late autumn and winter sampling days, and was greatly influenced by meteorological conditions such as wind speed and ambient temperature. The concentration of PAHs in the mornings （6：30–10：00） increased distinctly, and was high in the late autumn and winter sampling days, indicating the contribution from vehicle emissions during rush hours. The diurnal variation of the high molecular weight PAHs did not seem to be controlled by the shift of gas-particle partitioning due to temperature variation, instead, it could be indicative of the variation in the source. Statistical analyses showed that the concentrations of PAHs were negatively correlated with temperature and wind speed, and positively correlated with relative humidity. Diagnostic ratios of PAHs suggested mixed emission sources of petroleum and coal/biomass combustion for PAHs in the PM2.5 in Shanghai.
文摘Field experiment was carried out to nitrogen release characteristics of rice controlled release fertilizer (RCRF) coated with natural and half natural high molecular materials, and to thereof effects on the nitrogen uptake and yield of early and late hybrid rice from 1999 to 2000, with urea as control.In experimental fields regardless of early and late seasons, the amount of N in the plants increased exponentially at the early growth stage (y=abx) and nonlinearly at the middle and late growth stages (y=a+bx+cx2).Rice controlled release fertilizer lengthened the exponential phase and increased the parameter -b/c during the nonlinear phase. Although the N amount of plants was less in rice controlled release fertilizer plots man in urea plots within 20 days after transplanting, at the heading and maturity stages, the N amount of plants in rice controlled release fertilizer plots was above two times greater than in the urea plots due to the higher N recovery, and the high absorption density of N in the nonlinear phase.Tillers pattern and achievement of the maximum tillering stage varied with fertilizer types. The maximum tillering stage in the urea plots occurred a week earlier than in the rice controlled release fertilizer plots. Yield sink size and potential sink size of the plants reflected the N absorption pattern and the amount of N in the plants. The yields of early and late rice with 90 kg N ha-1 of rice controlled release fertilizer were respectively increased by 832.7 kg ha-1 and 412.8 kg ha-1 than those with 90 kg N ha-1 of urea, almost equivalent to the yield of early and late hybrid rice with 180 kg N ha-1 of urea.
基金supported by the National Natural Science Foundation for Distinguished Young Scholar(Grant No.50825901)the Public ServiceSector R&D Project of Ministry of Water Resource of China(Grant No.200801014)the Fundamental Research Funds for the Central Universities
文摘An adaptive criterion for shear yielding as well as shear failure of soils is proposed in this paper to address the fact that most criteria,including the Mohr-Coulomb criterion,the Lade criterion and the Matsuoka-Nakai criterion,cannot agree well with the experimental results when the value of the intermediate principal stress parameter is too big.The new criterion can adjust an adaptive parameter based on the experimental results in order to make the theoretical calculations fit the test results more accurately.The original elliptic-parabolic yield surface model can capture both soil contraction and dilation behaviors.However,it normally over-predicts the soil strength due to its application of the Extended Mises criterion.A new elliptic-parabolic yield surface mode is presented in this paper,which introduces the adaptive criterion in three-dimensional principal stress space.The new model can well model the stress-strain behavior of soils under general stress conditions.Compared to the original model which can only simulate soil behavior under triaxial compression conditions,the new model can simulate soil behaviors under both triaxial compression conditions and general stress conditions.
基金supported by the National Natural Science Foundation of China (Grant Nos. 40621003 40804037 and 40621003)+1 种基金National Basic Research Program of China (Grant No. 2006CB806306) Specialized Research Fund for State Key Laboratories
文摘Fuke (19.5°N, 109.1°E) meteor radar is the first radar of the low latitudes of China, which is used to detect the wind in the meso- sphere and lower thermosphere. In this paper, by using the wind data near three months (1 February-20 April, 2009), we first present the variation of the atmospheric diurnal tide, semidiurnal tide and mean wind in the height range 80-100 km over the low latitudes of China. The results from our analysis are summarized below. During spring months, there are quite strong tides in the mesopause region of Fuke. The diurnal tidal amplitude is significantly larger than the amplitude of semidiurnal tide, and the maximum amplitude (about 100 m/s) of diurnal tide appear in the meridional wind. The vertical phases of both diurnal tide and semidiurnal tide propagate downward. In addition, the observed tides are compared with the linear tide model (Global Scale Wave Model, GSWM02), and the results show that Fuke diurnal tide agrees well with the model, but there are many differences between Fuke semidiurnal tide and the results from model.
基金supported by the National Natural Science Foundation of China (Grant Nos. 40804037, 40890165, and 40921063)the National Important Basic Research Project of China (Grant No. 2011CB811405)the Chinese Meridian Project and the Specialized Research Fund for State Key Laboratories
文摘In this paper, winds derived from OH Meinel 892.0 nm detection by an FPI （Fabry-Perot Interferometer） are compared with the simultaneous wind measurements from a meteor radar during April-May of 2010. The peak height of OH Meinel 892.0 nm is about 87 km. The variations of FPI wind at 87 km mostly have the similar track to meteor radar wind at 87 km, and the data values of FPI wind mainly fall into the range of meteor radar wind. However, there are still quantitative differences between the observations of the two systems. The best cross-correlation occurs in rneridional winds from two systems in April of 2010. An obvious wave signal with 0.2 cycle/d frequency is found in meridional winds observed by both FPI and meteor radar.
基金supported by the National Natural Science Foundation of China[Grant Nos.81572665,81672680,81472525,81702873]the International Cooperation Project of Science and Technology Plan of Guangdong Province[Grant No.2016A050502011]the Health&Medical Collaborative Innovation Project of Guangzhou City,China(Grant No.201604020003).
文摘Background:Due to the occult anatomic location of the nasopharynx and frequent presence of adenoid hyperpla-sia,the positive rate for malignancy identification during biopsy is low,thus leading to delayed or missed diagnosis for nasopharyngeal malignancies upon initial attempt.Here,we aimed to develop an artificial intelligence tool to detect nasopharyngeal malignancies under endoscopic examination based on deep learning.Methods:An endoscopic images-based nasopharyngeal malignancy detection model(eNPM-DM)consisting of a fully convolutional network based on the inception architecture was developed and fine-tuned using separate training and validation sets for both classification and segmentation.Briefly,a total of 28,966 qualified images were collected.Among these images,27,536 biopsy-proven images from 7951 individuals obtained from January 1st,2008,to December 31st,2016,were split into the training,validation and test sets at a ratio of 7:1:2 using simple randomiza-tion.Additionally,1430 images obtained from January 1st,2017,to March 31st,2017,were used as a prospective test set to compare the performance of the established model against oncologist evaluation.The dice similarity coef-ficient(DSC)was used to evaluate the efficiency of eNPM-DM in automatic segmentation of malignant area from the background of nasopharyngeal endoscopic images,by comparing automatic segmentation with manual segmenta-tion performed by the experts.Results:All images were histopathologically confirmed,and included 5713(19.7%)normal control,19,107(66.0%)nasopharyngeal carcinoma(NPC),335(1.2%)NPC and 3811(13.2%)benign diseases.The eNPM-DM attained an overall accuracy of 88.7%(95%confidence interval(CI)87.8%-89.5%)in detecting malignancies in the test set.In the prospective comparison phase,eNPM-DM outperformed the experts:the overall accuracy was 88.0%(95%CI 86.1%-89.6%)vs.80.5%(95%CI 77.0%-84.0%).The eNPM-DM required less time(40 s vs.110.0±5.8 min)and exhibited encouraging performance in automatic segmentation of nasopharyngeal malign
