AIM： To study the effect of combined indwelling catheter, hemofiltration, respiration support and traditional Chinese medicine （e.g. Dahuang） in treating abdominal compartment syndrome of fulminant acute pancreatit...AIM： To study the effect of combined indwelling catheter, hemofiltration, respiration support and traditional Chinese medicine （e.g. Dahuang） in treating abdominal compartment syndrome of fulminant acute pancreatitis. METHODS： Patients with fulminant acute pancreatitis were divided randomly into 2 groups of combined indwelling catheter celiac drainage and intra-abdominal pressure monitoring and routine conservative measures group （group 1） and control group （group 2）. Routine non-operative conservative treatments including hemofiltration, respiration support, gastrointestinal TCM ablution were also applied in control group patients. Effectiveness of the two groups was observed, and APACHE Ⅱ scores were applied for analysis. RESULTS： On the second and fifth days after treatment, APACHE Ⅱ scores of group 1 and 2 patients were significantly different. Comparison of effectiveness （abdominalgia and burbulence relief time, hospitalization time） between groups 1 and 2 showed significant difference, as well as incidence rates of cysts formation. Mortality rates of groups 1 and 2 were 10.0% and 20.7%, respectively. For patients in group 1, celiac drainage quantity and intra-abdominal pressure, and hospitalization time were positively correlated （r = 0.552, 0.748, 0.923, P 〈 0.01） with APACHE Ⅱ scores. CONCLUSION： Combined indwelling catheter celiac drainage and intra-abdominal pressure monitoring, short veno-venous hemofiltration （SVVH）, gastrointestinal TCM ablution, respiration support have preventive and treatment effects on abdominal compartment syndrome of fulminant acute pancreatitis.展开更多
AIM To compare the results of arthroscopic capsular release with intra-articular steroid injections in patients of frozen shoulder.METHODS Fifty-six patients with frozen shoulder were randomised to one of two treatmen...AIM To compare the results of arthroscopic capsular release with intra-articular steroid injections in patients of frozen shoulder.METHODS Fifty-six patients with frozen shoulder were randomised to one of two treatment groups: Group 1, complete 360 degree arthroscopic capsular release and group 2, intra-articular corticosteroid injection(40 mg methyl prednisolone acetate). Both groups were put on active and passive range of motion exercises following the intervention. The outcome parameters were visual analogue scale(VAS) score for pain, range of motion and Constant score which were measured at baseline, 4, 8, 12, 16 and 20 wk after intervention.RESULTS All the parameters improved in both the groups. The mean VAS score improved significantly more in the group 1 as compared to group 2 at 8 wk. This greater improvement was maintained at 20 wk with P value of 0.007 at 8 wk, 0.006 at 12 wk, 0.006 at 16 wk and 0.019 at 20 wk. The Constant score showed a more significant improvement in group 1 compared to group 2 at 4 wk, which was again maintained at 20 wk with P value of 0.01 at 4, 8, 12 and 16 wk. The gain in abduction movement was statistically significantly more in arthroscopy group with P value of 0.001 at 4, 8, 12, 16 wk and 0.005 at 20 wk. The gain in external rotation was statistically significantly more in arthroscopy group with P value of 0.007 at 4 wk, 0.001 at 8, 12, and 16 wk and 0.003 at 20 wk. There was no statistically significant difference in extension and internal rotation between the two groups at any time. CONCLUSION Arthroscopic capsular release provides subjective and objective improvement earlier than intra-articular steroid injection.展开更多
This study investigates the removal of Congo Red dye from aqueous solution using functionalized generation 3.0 and 5.0 polyamidoamine dendrimer-silica gel composite (G-3PS, G-5PS). Fourier Transform-Infra Red spectros...This study investigates the removal of Congo Red dye from aqueous solution using functionalized generation 3.0 and 5.0 polyamidoamine dendrimer-silica gel composite (G-3PS, G-5PS). Fourier Transform-Infra Red spectroscopy, Brunauer Emmett and Teller, Thermo Gravimetric Analysis, pH at point of zero charge, and scanning electron microscopy measurements have been applied to characterize the synthetic nanohybrid composite, these techniques revealed the successful functionalization of both dendrimer molecules and subsequent immobilization onto silica gel. The implications of varying adsorption parameters such as contact time, initial concentration of adsorbate, temperature and pH on both composites were studied. Experimental data obtained from batch adsorption processes were fitted into two equilibrium isotherms (Langmuir and Freundlich) and 3 kinetic models (Pseudo-First-Order, Pseudo-Second-Order, Intra Particle Diffusion). Adsorption mechanism was mainly governed by film diffusion due to electrostatic interactions between the functionalized dendrimer surface and Congo Red molecules. Thermodynamic parameters illustrate that the adsorption is endothermic and spontaneous. Findings suggest the Nanocomposites (G-3PS and G-5PS) are good adsorbents for the removal of Congo Red dye from aqueous solutions.展开更多
With advanced prediction modes of intra prediction, intra coding of H.264/AVC offers significant coding gains compared with previous video coding standards. It uses an important tool called Lagrangian rate-distortion ...With advanced prediction modes of intra prediction, intra coding of H.264/AVC offers significant coding gains compared with previous video coding standards. It uses an important tool called Lagrangian rate-distortion optimization (RDO)technique to decide the best coding mode for a block, but the computational burden is extremely high. In this paper, we proposed an improved fast intra prediction algorithm including block type selection and mode decision algorithm based on analysis of edge feature of a block. Our algorithm filters out unlikely block type and candidate modes to reduce the RDO calculations. Experimental results showed that the proposed algorithm can reduce the computation complexity of intra prediction from 52.90% to 56.31%, with 0.04 dB PSNR degradation and 2% increase of bit rate.展开更多
AIM: To assess role of combined modality of mechanical fragmentation and intralesional thrombolysis in patients with massive pulmonary embolism presenting subacutely. METHODS: Eight of 70 patients presenting in terti... AIM: To assess role of combined modality of mechanical fragmentation and intralesional thrombolysis in patients with massive pulmonary embolism presenting subacutely. METHODS: Eight of 70 patients presenting in tertiary care centre of North India with massive pulmonary embolism within 4 years had subacute presentation (symptom onset more than 2 wk). These patients were subjected to pulmonary angiography with intention to treat basis via mechanical breakdown and intra lesional thrombolysis. Mechanical breakdown of embolus was accomplished with 5-F multipurpose catheter to reestablish flow, followed by intralesional infusion of urokinase (4400 IU/kg over 10 min followed by 4400 IU/kg per hour over 24 h). RESULTS: Eight patients, mean age 47.77±12.20 years presented with subacute pulmonary embolism (mean duration of symptoms 2.4 wk). At presentation, mean heart rate, shock index, miller score and mean pulmonary pressures were 101.5±15.2/min, 0.995±0.156, 23.87±3.76 and 37.62±6.67 mmHg which reduced to 91.5±12.2/min (P=0.0325), 0.789±0.139 (P=0.0019), 5.87±1.73 (P=0.0000004) and 27.75±8.66 mmHg (P=0.0003) post procedurally. Mean BP improved from 80.00±3.09 mmHg to 90.58±9.13 mmHg (P=0.0100) post procedurally. Minor complications in the form of local hematoma-minor hematoma in 1 (12.5%), and pseudoaneurysm (due to femoral artery puncture) in 1 (12.5 %) patient were seen. At 30 d and 6 mo follow up survival rate was 100% and all the patients were asymptomatic and in New York Heart Association class 1. CONCLUSION: Combined modality of mechanical fragmentation and intralesional thrombolysis appears to be a promising alternative to high risk surgical procedures in patients with subacute massive pulmonary embolism.展开更多
Objective： To explore the relationship between disseminated intravascular coagulation （DIC） and levels of plasma thrombinogen segment 1 ＋2 （Fl＋2）, D-dimer （D-D）, and thrombomodulin （TM） in patients with sev...Objective： To explore the relationship between disseminated intravascular coagulation （DIC） and levels of plasma thrombinogen segment 1 ＋2 （Fl＋2）, D-dimer （D-D）, and thrombomodulin （TM） in patients with severe multiple injuries. Methods： In this study, 66 patients （49 males and 17 females, aged 15-74 years, mean=38.4 years） with multiple injuries, who were admitted to our hospital within 24 hours after injury with no personal or family history ofhematopathy or coagulopathy, were divided into a minor injury group （ISS 〈16, n=21） and a major injury group （ISS≥16, n=45） according to the injury severity. The patients in the major injury group were divided into a subgroup complicated with DIC （DIC subgroup, n=12） and a subgroup complicated with no DIC （non-DIC subgroup, n=33）. Ten healthy people （7 males and 3 females, aged 22-61 years, mean=36.5 years±9.0 years）, who received somatoscopy and diagnosed as healthy, served as the control group. Venous blood samples were collected once in the control group and 1, 3 and 7 days after trauma in the injury groups. The F1 ＋2 and TM concentrations were determined by enzyme linked immunosorbent assay （ELISA）, and D-D concentrations were measured by automated latex enhanced immunoassay. Results： FI ＋2, D-D and TM levels were higher in the minor and major injury groups than in the control group. They were markedly higher in the major injury group than in the minor injury group. In the non-DIC subgroup, Fl＋2 levels declined gradually while D-D and TM levels declined continuously. In the DIC subgroup, F1＋2 and D-D levels remained elevated while TM levels exhibited an early rise and subsequent decrease. Plasma F1＋2, D-D and TM levels were higher in the DIC patients than in the non-DIC patients. Injury-induced increases in F1 ＋2, D-D and TM plasma levels had significant positive correlation with each other at each time point. Conclusions： Besides being related to trauma severity, F1＋2, D-D and TM levels cor展开更多
BACKGROUND Bile duct stones(BDSs)may cause patients to develop liver cirrhosis or even liver cancer.Currently,the success rate of surgical treatment for intrahepatic and extrahepatic BDSs is not satisfactory,and there...BACKGROUND Bile duct stones(BDSs)may cause patients to develop liver cirrhosis or even liver cancer.Currently,the success rate of surgical treatment for intrahepatic and extrahepatic BDSs is not satisfactory,and there is a risk of postoperative complic-ations.AIM To compare the clinical effects of dual-modality endoscopy(duodenoscopy and laparoscopy)with those of traditional laparotomy in the treatment of intra-and extrahepatic BDSs.METHODS Ninety-five patients with intra-and extrahepatic BDSs who sought medical services at Wuhan No.1 Hospital between August 2019 and May 2023 were selected;45 patients in the control group were treated by traditional laparotomy,and 50 patients in the research group were treated by dual-modality endoscopy.The following factors were collected for analysis:curative effects,safety(incision infection,biliary fistula,lung infection,hemobilia),surgical factors[surgery time,intraoperative blood loss(IBL)volume,gastrointestinal function recovery time,and length of hospital stay],serum inflammatory markers[tumor necrosis factor(TNF)-α,interleukin(IL)-6,and IL-8],and oxidative stress[glutathione peroxidase(GSH-Px),superoxide dismutase(SOD),malondialdehyde(MDA),and advanced protein oxidation products(AOPPs)].RESULTS The analysis revealed markedly better efficacy(an obviously higher total effective rate)in the research group than in the control group.In addition,an evidently lower postoperative complication rate,shorter surgical duration,gastrointestinal function recovery time and hospital stay,and lower IBL volume were observed in the research group.Furthermore,the posttreatment serum inflammatory marker(TNF-α,IL-6,and IL-8)levels were significantly lower in the research group than in the control group.Compared with those in the control group,the posttreatment GSH-Px,SOD,MDA and AOPPs in the research group were equivalent to the pretreatment levels;for example,the GSH-Px and SOD levels were significantly higher,while the MDA and AOPP levels were lower.CONCLUSION Dual-modality endoscopy ther展开更多
Introduction: Intrauterine contraceptive device (IUCD) is an effective long acting reversible contraceptive but its use is low. This study examined factors contributing to the utilization of intrauterine contraceptive...Introduction: Intrauterine contraceptive device (IUCD) is an effective long acting reversible contraceptive but its use is low. This study examined factors contributing to the utilization of intrauterine contraceptive devices (IUCDs) among women in Kabwe Central Province. Methodology: This was an analytical cross sectional study. Primary data was collected from 150 respondents in using simple random sampling method. Data was analysed using the statistical package of social sciences (SPSS) version 22. Chi-square test was used to test associations among the dependent and independent variables. Logistic regression analysis was conducted. The confidence interval was set at 95% and significant level was at 0.05%. Findings: The study found that 44% of the respondents had high level of knowledge about IUCD. About 28% of the respondents, said that they used IUCD because it maintains menstrual bleeding, 26% said that they used because IUCD it does not cause infections, and 19% said that they used IUCD because it does not migrate to other body parts. Majority (81%) of the respondents agreed with a statement that age contributes to underutilization of IUCD. About 77% of the respondents agreed with a statement that marital status contributes to underutilization of IUCD and 75% agreed with a statement that, education level contributes to underutilization of IUCD and was significant. Furthermore, 91% of the respondents agreed with a statement that lack of knowledge about IUCD contributes to underutilization of IUCD and 74% agreed with a statement that religion contributes to underutilization of IUCD. Age (p = 0.003), marital status (p = 0.002), education level (p = 0.003), and employment status (p = 0.02), were found to have a significant relationship with the utilization of IUCD. About 36% of the respondents said that knowledge or education affects the utilization of IUCD at a large extent. The study showed a positive relationship between the utilization of IUCD and all explanatory variables such as age, education/knowledge, 展开更多
Background: Intra uterine device (IUD) is commonly used as contraceptive procedure. A mislocation is possible and may reduce quality of life. Aim: This paper aims to present a rare case report and emphasize on the dif...Background: Intra uterine device (IUD) is commonly used as contraceptive procedure. A mislocation is possible and may reduce quality of life. Aim: This paper aims to present a rare case report and emphasize on the difficulty of diagnosis. Case Presentation: A 40-year-old woman had a history of IUD implantation after her last delivery. Six years later, she visited a doctor for a pelvic pain going on for a long period. The diagnosis of mislocated intra uterine device (IUD) was made using imaging techniques. Conclusion: A pelvic pain in a woman, going on for a long period, should evoke a migrated IUD. Thorough exploration and management are required.展开更多
Background: To compare central corneal thickness (CCT) values measured in diabetic eyes and compare the CCT values in normal patients without diabetes. Methods: A total of 83 diabetic patients and 83 non-diabetic pati...Background: To compare central corneal thickness (CCT) values measured in diabetic eyes and compare the CCT values in normal patients without diabetes. Methods: A total of 83 diabetic patients and 83 non-diabetic patients were prospectively enrolled in this comparative case series. CCT was measured using a Topcon CT-1P non-contact automated pachymeter, and values were compared. Results: Mean age was 57 ± 11 years, with a range of 23 and 80 years. The mean CCT was 508.87 ± 35.83 μm for diabetic patients and 513.41 ± 37.22 μm for non-diabetic patients. There was no statistically significant difference between the CCT of diabetic patients compared to non-diabetic patients (p = 0.260). We did not find a significant correlation between the CCT of diabetic patients and clinical characteristics of diabetes. However, there was a positive and statistically significant linear correlation between the CCT of diabetic patients and intra ocular pressure (IOP). Conclusion: The mean CCT in diabetic patients was lower than in non-diabetic control patients, although there was no statistically significant difference.展开更多
For the characteristics of intra prediction algorithms, the data dependence and parallelism between intra prediction models are first analyzed. This paper proposes a parallelization method based on dynamic reconfigura...For the characteristics of intra prediction algorithms, the data dependence and parallelism between intra prediction models are first analyzed. This paper proposes a parallelization method based on dynamic reconfigurable array processors provided by the project team, and uses data level parallel(DLP) algorithms in multi-core units. The experimental results show that Y-component of peak signal to noise ratio(Y-PSNR) is improved about 10 dB and the time is saved 63% compared with high-efficiency video coding(HEVC) test model HM10.0. This method can effectively reduce codec time of the video and reduce computational complexity.展开更多
In situ buoy observation data spanning four years(2008-2011) were collected and used to perform a composite analysis of the monsoon onset process in the Bay of Bengal(BoB).The sea surface temperature(SST) in the centr...In situ buoy observation data spanning four years(2008-2011) were collected and used to perform a composite analysis of the monsoon onset process in the Bay of Bengal(BoB).The sea surface temperature(SST) in the central BoB increases dramatically during the monsoon transition period and reaches its annual maximum just before the onset of the monsoon.This process is illustrated by the northward-propagating deep convection phase of the intraseasonal oscillation and the establishment of a steady southwest wind.It is argued that the SST peak plays a potential role in triggering the onset of the monsoon in the BoB and its vicinity.The general picture of the BoB monsoon onset summarized here reveals the possibility of regional land-ocean-atmosphere interaction.This possibility deserves further examination.展开更多
This paper presents,a new approach of Medical Image Pixels Clustering(MIPC),aims to trace the dissimilar patterns over the Magnetic Resonance(MR)image through the process of automatically identify the appropriate numb...This paper presents,a new approach of Medical Image Pixels Clustering(MIPC),aims to trace the dissimilar patterns over the Magnetic Resonance(MR)image through the process of automatically identify the appropriate number of distinct clusters based on different improved unsupervised clustering schemes for enrichment,pattern predication and deeper investigation.The proposed MIPC consists of two stages:clustering and validation.In the clustering stage,the MIPC automatically identifies the distinct number of dissimilar clusters over the gray scale MR image based on three different improved unsupervised clustering schemes likely improved Limited Agglomerative Clustering(iLIAC),Dynamic Automatic Agglomerative Clustering(DAAC)and Optimum N-Means(ONM).In the second stage,the performance of MIPC approach is estimated by measuring Intra intimacy and Intra contrast of each individual cluster in the result of MR image based on proposed validation method namely Shreekum Intra Cluster Measure(SICM).Experimental results showthat the MIPC approach is better suited for automatic identification of highly relative dissimilar clusters over the MR cancer images with higher Intra closeness and lower Intra contrast based on improved unsupervised clustering schemes.展开更多
Background:Recent developments in virtual acoustic technology has levered promising applications in the field of auditory sciences,especially in spatial perception.While conventional auditory spatial assessment using ...Background:Recent developments in virtual acoustic technology has levered promising applications in the field of auditory sciences,especially in spatial perception.While conventional auditory spatial assessment using loudspeakers,interaural differences and/or questionnaires are limited by the availability and cost of instruments,the use of virtual acoustic space identification(VASI)test has widespread applications in spatial test battery as it overcomes these constraints.Purpose:The lack of test-retest reliability data of VASI test narrows its direct application in auditory spatial assessment,which is explored in the present study.Methods:Data from 75 normal-hearing young adults(mean age:25.11 y±4.65 SD)was collected in three sessions:baseline,within 15 min of baseline(intra-session),and one week after baseline session(inter-session).Test-retest reliability was assessed using the intra-class correlation coefficient(ICC),coefficient of variation(CV),and cluster plots.Results:The results showed excellent reliability for both accuracy and reaction time measures of VASI,with ICC values of 0.93 and 0.87,respectively.The CV values for overall VASI accuracy and reaction time 9.66% and 11.88%,respectively.This was also complemented by the cluster plot analyses,which showed 93.33% and 96.00% of temporal stability in the accuracy and reaction time measures,indicative of high test-retest reliability of VASI test in auditory spatial assessment.Conclusions:The high temporal stability(test-retest reliability)of VASI test validates its application in spatial hearing test battery.展开更多
The Antarctic ice sheet is an important target of Antarctic research.Thickness and structure,including intraice and subice,are closely related to the mass balance of the ice sheet,and play an important role in the stu...The Antarctic ice sheet is an important target of Antarctic research.Thickness and structure,including intraice and subice,are closely related to the mass balance of the ice sheet,and play an important role in the study of global sea level and climate change.Subglacial topography is an important basis for studying ice sheet dynamics and ice sheet evolution.This paper briefly reviews the geophysical detection methods and research status of the Antarctic ice sheet:(1)Conventional methods such as ice radar are the main methods for studying the ice sheet today,and passive source seismic methods such as the receiver function method,H/V method and P-wave coda autocorrelation method have good development prospects;(2)the high-resolution(1 km)ice thickness and subglacial topographic database BEDMAP2 established based on various data has greatly improved the ability to detect internal isochronous layers,anisotropic layers,and temperature changes within ice and has advanced research on ice sheet evolution;and(3)ice radar,numerical simulation and core drilling are the main methods to study subglacial lakes and sediments.More than 400 subglacial lakes have been confirmed,and more than 12000 simulation results have been obtained.Research on the Antarctic ice sheet faces enormous challenges and is of great urgency.Aiming at hot issues,such as Antarctic geological evolution,glacial retreat,ice sheet melting and their relationships with global climate change,it is the frontier and trend of future Antarctic ice sheet research to carry out multidisciplinary and multicountry comprehensive geophysical exploration based on the traditional ice radar method combined with passive seismic methods,especially new technologies such as short-period dense array technology,unmanned aerial vehicles and artificial intelligence.This is expected to further promote Antarctic research.展开更多
The polymerase acidic protein is an important family of proteins from influenza A virus, which is classified as many different subtypes or spe-cies. Thus, an important question is if these classifications are numerica...The polymerase acidic protein is an important family of proteins from influenza A virus, which is classified as many different subtypes or spe-cies. Thus, an important question is if these classifications are numerically distinguishable with respect to the polymerase acidic protein. The amino-acid pair predictability was used to transfer 2432 polymerase acidic proteins into 2432 scalar data. The one-way ANOVA found these polymerase acidic proteins distinguish-able in terms of subtypes and species. However, the large residuals in ANOVA suggested a pos-sible large intra-subtype/species variation. Therefore, the inter- and intra-subtype/species variations were studied using the model II ANOVA. The results showed that the in-tra-subtype/species variations accounted most of variation, which was 100% in total for both inter- and intra- subtype/species variations. Our analysis threw lights on the issue of how to de-termine a wide variety of patterns of antigenic variation across space and time, and within and between subtypes as well as hosts.展开更多
Aim of the work: To evaluate the efficacy and safety of bolus only intra coronary platelet glyco-protein GP IIb/IIIa receptor antagonists combined with thrombus-aspiration during percutaneous coronary intervention (PC...Aim of the work: To evaluate the efficacy and safety of bolus only intra coronary platelet glyco-protein GP IIb/IIIa receptor antagonists combined with thrombus-aspiration during percutaneous coronary intervention (PCI) in ST-segment elevation myocardial infarction (STEMI). Patient and Methods: 25 consecutive STEMI patients treated by primary PCI including thrombus aspiration were prospectively enrolled, from a total of 180 PCIs performed at our institution between January 2013 and January 2014. All patients received aspirin (250 mg i.v.) and clopidogrel (600 or 300 mg if already on clopidogrel) plus standard heparin. Glycoprotein IIb/IIIa antagonists were administered at physicians’ discretion before thrombus aspiration. Eptifibatide was used as a slandered Glycoprotein IIb/IIIa antagonists as a dose of the 180-μg/kg eptifibatide bolus only. The bolus was administered for 2 minutes via the thrombus aspiration catheter (STEMI cath of min-vasys) just before thrombus aspiration. Twelve-lead ECGs were recorded at baseline and 60 min (45 - 75 min) after completion of PCI. The primary endpoint was the TIMI 3 patency of the infarct-related coronary artery before PCI. Secondary endpoints were TIMI patency following PCI, ST resolution 60 min after PCI, all-cause death, reinfarction, urgent revascularization, stroke (haemorrhagic, non-haemorrhagic), and severe bleeding complications. Results: The angiography was performed in all 25 patients. The incidence of a TIMI flow grade 3 of the infarct-related coronary artery before PCI was 16% while TIMI grade 2 and I was 24% and 36% respectively. The incidence of a TIMI flow grade 0 (no reflow) of the infarct-related coronary artery before PCI was 24%. Visible thrombus in 52% of patients and 40% of patients have more than one critically disease vessel. Primary PCI was performed in 25 patients. Eptifibatide intracoronary was given through thrombus aspiration catheter before thrombus aspiration. Drug eluting stents were implanted in 60% of patients. Only two patients with acute 展开更多
文摘AIM： To study the effect of combined indwelling catheter, hemofiltration, respiration support and traditional Chinese medicine （e.g. Dahuang） in treating abdominal compartment syndrome of fulminant acute pancreatitis. METHODS： Patients with fulminant acute pancreatitis were divided randomly into 2 groups of combined indwelling catheter celiac drainage and intra-abdominal pressure monitoring and routine conservative measures group （group 1） and control group （group 2）. Routine non-operative conservative treatments including hemofiltration, respiration support, gastrointestinal TCM ablution were also applied in control group patients. Effectiveness of the two groups was observed, and APACHE Ⅱ scores were applied for analysis. RESULTS： On the second and fifth days after treatment, APACHE Ⅱ scores of group 1 and 2 patients were significantly different. Comparison of effectiveness （abdominalgia and burbulence relief time, hospitalization time） between groups 1 and 2 showed significant difference, as well as incidence rates of cysts formation. Mortality rates of groups 1 and 2 were 10.0% and 20.7%, respectively. For patients in group 1, celiac drainage quantity and intra-abdominal pressure, and hospitalization time were positively correlated （r = 0.552, 0.748, 0.923, P 〈 0.01） with APACHE Ⅱ scores. CONCLUSION： Combined indwelling catheter celiac drainage and intra-abdominal pressure monitoring, short veno-venous hemofiltration （SVVH）, gastrointestinal TCM ablution, respiration support have preventive and treatment effects on abdominal compartment syndrome of fulminant acute pancreatitis.
文摘AIM To compare the results of arthroscopic capsular release with intra-articular steroid injections in patients of frozen shoulder.METHODS Fifty-six patients with frozen shoulder were randomised to one of two treatment groups: Group 1, complete 360 degree arthroscopic capsular release and group 2, intra-articular corticosteroid injection(40 mg methyl prednisolone acetate). Both groups were put on active and passive range of motion exercises following the intervention. The outcome parameters were visual analogue scale(VAS) score for pain, range of motion and Constant score which were measured at baseline, 4, 8, 12, 16 and 20 wk after intervention.RESULTS All the parameters improved in both the groups. The mean VAS score improved significantly more in the group 1 as compared to group 2 at 8 wk. This greater improvement was maintained at 20 wk with P value of 0.007 at 8 wk, 0.006 at 12 wk, 0.006 at 16 wk and 0.019 at 20 wk. The Constant score showed a more significant improvement in group 1 compared to group 2 at 4 wk, which was again maintained at 20 wk with P value of 0.01 at 4, 8, 12 and 16 wk. The gain in abduction movement was statistically significantly more in arthroscopy group with P value of 0.001 at 4, 8, 12, 16 wk and 0.005 at 20 wk. The gain in external rotation was statistically significantly more in arthroscopy group with P value of 0.007 at 4 wk, 0.001 at 8, 12, and 16 wk and 0.003 at 20 wk. There was no statistically significant difference in extension and internal rotation between the two groups at any time. CONCLUSION Arthroscopic capsular release provides subjective and objective improvement earlier than intra-articular steroid injection.
文摘This study investigates the removal of Congo Red dye from aqueous solution using functionalized generation 3.0 and 5.0 polyamidoamine dendrimer-silica gel composite (G-3PS, G-5PS). Fourier Transform-Infra Red spectroscopy, Brunauer Emmett and Teller, Thermo Gravimetric Analysis, pH at point of zero charge, and scanning electron microscopy measurements have been applied to characterize the synthetic nanohybrid composite, these techniques revealed the successful functionalization of both dendrimer molecules and subsequent immobilization onto silica gel. The implications of varying adsorption parameters such as contact time, initial concentration of adsorbate, temperature and pH on both composites were studied. Experimental data obtained from batch adsorption processes were fitted into two equilibrium isotherms (Langmuir and Freundlich) and 3 kinetic models (Pseudo-First-Order, Pseudo-Second-Order, Intra Particle Diffusion). Adsorption mechanism was mainly governed by film diffusion due to electrostatic interactions between the functionalized dendrimer surface and Congo Red molecules. Thermodynamic parameters illustrate that the adsorption is endothermic and spontaneous. Findings suggest the Nanocomposites (G-3PS and G-5PS) are good adsorbents for the removal of Congo Red dye from aqueous solutions.
基金Project (No. 60472040) supported by the National Natural Science Foundation of China
文摘With advanced prediction modes of intra prediction, intra coding of H.264/AVC offers significant coding gains compared with previous video coding standards. It uses an important tool called Lagrangian rate-distortion optimization (RDO)technique to decide the best coding mode for a block, but the computational burden is extremely high. In this paper, we proposed an improved fast intra prediction algorithm including block type selection and mode decision algorithm based on analysis of edge feature of a block. Our algorithm filters out unlikely block type and candidate modes to reduce the RDO calculations. Experimental results showed that the proposed algorithm can reduce the computation complexity of intra prediction from 52.90% to 56.31%, with 0.04 dB PSNR degradation and 2% increase of bit rate.
文摘 AIM: To assess role of combined modality of mechanical fragmentation and intralesional thrombolysis in patients with massive pulmonary embolism presenting subacutely. METHODS: Eight of 70 patients presenting in tertiary care centre of North India with massive pulmonary embolism within 4 years had subacute presentation (symptom onset more than 2 wk). These patients were subjected to pulmonary angiography with intention to treat basis via mechanical breakdown and intra lesional thrombolysis. Mechanical breakdown of embolus was accomplished with 5-F multipurpose catheter to reestablish flow, followed by intralesional infusion of urokinase (4400 IU/kg over 10 min followed by 4400 IU/kg per hour over 24 h). RESULTS: Eight patients, mean age 47.77±12.20 years presented with subacute pulmonary embolism (mean duration of symptoms 2.4 wk). At presentation, mean heart rate, shock index, miller score and mean pulmonary pressures were 101.5±15.2/min, 0.995±0.156, 23.87±3.76 and 37.62±6.67 mmHg which reduced to 91.5±12.2/min (P=0.0325), 0.789±0.139 (P=0.0019), 5.87±1.73 (P=0.0000004) and 27.75±8.66 mmHg (P=0.0003) post procedurally. Mean BP improved from 80.00±3.09 mmHg to 90.58±9.13 mmHg (P=0.0100) post procedurally. Minor complications in the form of local hematoma-minor hematoma in 1 (12.5%), and pseudoaneurysm (due to femoral artery puncture) in 1 (12.5 %) patient were seen. At 30 d and 6 mo follow up survival rate was 100% and all the patients were asymptomatic and in New York Heart Association class 1. CONCLUSION: Combined modality of mechanical fragmentation and intralesional thrombolysis appears to be a promising alternative to high risk surgical procedures in patients with subacute massive pulmonary embolism.
文摘Objective： To explore the relationship between disseminated intravascular coagulation （DIC） and levels of plasma thrombinogen segment 1 ＋2 （Fl＋2）, D-dimer （D-D）, and thrombomodulin （TM） in patients with severe multiple injuries. Methods： In this study, 66 patients （49 males and 17 females, aged 15-74 years, mean=38.4 years） with multiple injuries, who were admitted to our hospital within 24 hours after injury with no personal or family history ofhematopathy or coagulopathy, were divided into a minor injury group （ISS 〈16, n=21） and a major injury group （ISS≥16, n=45） according to the injury severity. The patients in the major injury group were divided into a subgroup complicated with DIC （DIC subgroup, n=12） and a subgroup complicated with no DIC （non-DIC subgroup, n=33）. Ten healthy people （7 males and 3 females, aged 22-61 years, mean=36.5 years±9.0 years）, who received somatoscopy and diagnosed as healthy, served as the control group. Venous blood samples were collected once in the control group and 1, 3 and 7 days after trauma in the injury groups. The F1 ＋2 and TM concentrations were determined by enzyme linked immunosorbent assay （ELISA）, and D-D concentrations were measured by automated latex enhanced immunoassay. Results： FI ＋2, D-D and TM levels were higher in the minor and major injury groups than in the control group. They were markedly higher in the major injury group than in the minor injury group. In the non-DIC subgroup, Fl＋2 levels declined gradually while D-D and TM levels declined continuously. In the DIC subgroup, F1＋2 and D-D levels remained elevated while TM levels exhibited an early rise and subsequent decrease. Plasma F1＋2, D-D and TM levels were higher in the DIC patients than in the non-DIC patients. Injury-induced increases in F1 ＋2, D-D and TM plasma levels had significant positive correlation with each other at each time point. Conclusions： Besides being related to trauma severity, F1＋2, D-D and TM levels cor
基金Supported by 2021 Municipal Health Commission Scientific Research Project,No.WX21D482021 Municipal Health Commission Project,No.WZ21Q112022 Hubei Provincial Department of Science and Technology Project,No.2022CFB980.
文摘BACKGROUND Bile duct stones(BDSs)may cause patients to develop liver cirrhosis or even liver cancer.Currently,the success rate of surgical treatment for intrahepatic and extrahepatic BDSs is not satisfactory,and there is a risk of postoperative complic-ations.AIM To compare the clinical effects of dual-modality endoscopy(duodenoscopy and laparoscopy)with those of traditional laparotomy in the treatment of intra-and extrahepatic BDSs.METHODS Ninety-five patients with intra-and extrahepatic BDSs who sought medical services at Wuhan No.1 Hospital between August 2019 and May 2023 were selected;45 patients in the control group were treated by traditional laparotomy,and 50 patients in the research group were treated by dual-modality endoscopy.The following factors were collected for analysis:curative effects,safety(incision infection,biliary fistula,lung infection,hemobilia),surgical factors[surgery time,intraoperative blood loss(IBL)volume,gastrointestinal function recovery time,and length of hospital stay],serum inflammatory markers[tumor necrosis factor(TNF)-α,interleukin(IL)-6,and IL-8],and oxidative stress[glutathione peroxidase(GSH-Px),superoxide dismutase(SOD),malondialdehyde(MDA),and advanced protein oxidation products(AOPPs)].RESULTS The analysis revealed markedly better efficacy(an obviously higher total effective rate)in the research group than in the control group.In addition,an evidently lower postoperative complication rate,shorter surgical duration,gastrointestinal function recovery time and hospital stay,and lower IBL volume were observed in the research group.Furthermore,the posttreatment serum inflammatory marker(TNF-α,IL-6,and IL-8)levels were significantly lower in the research group than in the control group.Compared with those in the control group,the posttreatment GSH-Px,SOD,MDA and AOPPs in the research group were equivalent to the pretreatment levels;for example,the GSH-Px and SOD levels were significantly higher,while the MDA and AOPP levels were lower.CONCLUSION Dual-modality endoscopy ther
文摘Introduction: Intrauterine contraceptive device (IUCD) is an effective long acting reversible contraceptive but its use is low. This study examined factors contributing to the utilization of intrauterine contraceptive devices (IUCDs) among women in Kabwe Central Province. Methodology: This was an analytical cross sectional study. Primary data was collected from 150 respondents in using simple random sampling method. Data was analysed using the statistical package of social sciences (SPSS) version 22. Chi-square test was used to test associations among the dependent and independent variables. Logistic regression analysis was conducted. The confidence interval was set at 95% and significant level was at 0.05%. Findings: The study found that 44% of the respondents had high level of knowledge about IUCD. About 28% of the respondents, said that they used IUCD because it maintains menstrual bleeding, 26% said that they used because IUCD it does not cause infections, and 19% said that they used IUCD because it does not migrate to other body parts. Majority (81%) of the respondents agreed with a statement that age contributes to underutilization of IUCD. About 77% of the respondents agreed with a statement that marital status contributes to underutilization of IUCD and 75% agreed with a statement that, education level contributes to underutilization of IUCD and was significant. Furthermore, 91% of the respondents agreed with a statement that lack of knowledge about IUCD contributes to underutilization of IUCD and 74% agreed with a statement that religion contributes to underutilization of IUCD. Age (p = 0.003), marital status (p = 0.002), education level (p = 0.003), and employment status (p = 0.02), were found to have a significant relationship with the utilization of IUCD. About 36% of the respondents said that knowledge or education affects the utilization of IUCD at a large extent. The study showed a positive relationship between the utilization of IUCD and all explanatory variables such as age, education/knowledge,
文摘Background: Intra uterine device (IUD) is commonly used as contraceptive procedure. A mislocation is possible and may reduce quality of life. Aim: This paper aims to present a rare case report and emphasize on the difficulty of diagnosis. Case Presentation: A 40-year-old woman had a history of IUD implantation after her last delivery. Six years later, she visited a doctor for a pelvic pain going on for a long period. The diagnosis of mislocated intra uterine device (IUD) was made using imaging techniques. Conclusion: A pelvic pain in a woman, going on for a long period, should evoke a migrated IUD. Thorough exploration and management are required.
文摘Background: To compare central corneal thickness (CCT) values measured in diabetic eyes and compare the CCT values in normal patients without diabetes. Methods: A total of 83 diabetic patients and 83 non-diabetic patients were prospectively enrolled in this comparative case series. CCT was measured using a Topcon CT-1P non-contact automated pachymeter, and values were compared. Results: Mean age was 57 ± 11 years, with a range of 23 and 80 years. The mean CCT was 508.87 ± 35.83 μm for diabetic patients and 513.41 ± 37.22 μm for non-diabetic patients. There was no statistically significant difference between the CCT of diabetic patients compared to non-diabetic patients (p = 0.260). We did not find a significant correlation between the CCT of diabetic patients and clinical characteristics of diabetes. However, there was a positive and statistically significant linear correlation between the CCT of diabetic patients and intra ocular pressure (IOP). Conclusion: The mean CCT in diabetic patients was lower than in non-diabetic control patients, although there was no statistically significant difference.
基金Supported by the National Natural Science Foundation of China(No.61772417,61634004,61602377,61272120)the Shaanxi Provincial Co-ordination Innovation Project of Science and Technology(No.2016KTZDGY02-04-02)the Shaanxi Provincial key R&D plan(No.2017GY-060)
文摘For the characteristics of intra prediction algorithms, the data dependence and parallelism between intra prediction models are first analyzed. This paper proposes a parallelization method based on dynamic reconfigurable array processors provided by the project team, and uses data level parallel(DLP) algorithms in multi-core units. The experimental results show that Y-component of peak signal to noise ratio(Y-PSNR) is improved about 10 dB and the time is saved 63% compared with high-efficiency video coding(HEVC) test model HM10.0. This method can effectively reduce codec time of the video and reduce computational complexity.
基金supported by Chinese Ministry of Science and Technology(Grants 2010CB950303 and 2009DFA21000)part of the project Monsoon Onset Monitoring and its Social and Ecosystem Impacts (MOMSEI)under the Sub-Commission for the Western Pacific of the Intergovernmental Oceanographic Commission (IOC-WESTPAC)
文摘In situ buoy observation data spanning four years(2008-2011) were collected and used to perform a composite analysis of the monsoon onset process in the Bay of Bengal(BoB).The sea surface temperature(SST) in the central BoB increases dramatically during the monsoon transition period and reaches its annual maximum just before the onset of the monsoon.This process is illustrated by the northward-propagating deep convection phase of the intraseasonal oscillation and the establishment of a steady southwest wind.It is argued that the SST peak plays a potential role in triggering the onset of the monsoon in the BoB and its vicinity.The general picture of the BoB monsoon onset summarized here reveals the possibility of regional land-ocean-atmosphere interaction.This possibility deserves further examination.
基金This work is supported by Faculty of Science and Technology,University of the Faroe Islands,Faroe Islands,Denmark and REVA University,Bengaluru.
文摘This paper presents,a new approach of Medical Image Pixels Clustering(MIPC),aims to trace the dissimilar patterns over the Magnetic Resonance(MR)image through the process of automatically identify the appropriate number of distinct clusters based on different improved unsupervised clustering schemes for enrichment,pattern predication and deeper investigation.The proposed MIPC consists of two stages:clustering and validation.In the clustering stage,the MIPC automatically identifies the distinct number of dissimilar clusters over the gray scale MR image based on three different improved unsupervised clustering schemes likely improved Limited Agglomerative Clustering(iLIAC),Dynamic Automatic Agglomerative Clustering(DAAC)and Optimum N-Means(ONM).In the second stage,the performance of MIPC approach is estimated by measuring Intra intimacy and Intra contrast of each individual cluster in the result of MR image based on proposed validation method namely Shreekum Intra Cluster Measure(SICM).Experimental results showthat the MIPC approach is better suited for automatic identification of highly relative dissimilar clusters over the MR cancer images with higher Intra closeness and lower Intra contrast based on improved unsupervised clustering schemes.
文摘Background:Recent developments in virtual acoustic technology has levered promising applications in the field of auditory sciences,especially in spatial perception.While conventional auditory spatial assessment using loudspeakers,interaural differences and/or questionnaires are limited by the availability and cost of instruments,the use of virtual acoustic space identification(VASI)test has widespread applications in spatial test battery as it overcomes these constraints.Purpose:The lack of test-retest reliability data of VASI test narrows its direct application in auditory spatial assessment,which is explored in the present study.Methods:Data from 75 normal-hearing young adults(mean age:25.11 y±4.65 SD)was collected in three sessions:baseline,within 15 min of baseline(intra-session),and one week after baseline session(inter-session).Test-retest reliability was assessed using the intra-class correlation coefficient(ICC),coefficient of variation(CV),and cluster plots.Results:The results showed excellent reliability for both accuracy and reaction time measures of VASI,with ICC values of 0.93 and 0.87,respectively.The CV values for overall VASI accuracy and reaction time 9.66% and 11.88%,respectively.This was also complemented by the cluster plot analyses,which showed 93.33% and 96.00% of temporal stability in the accuracy and reaction time measures,indicative of high test-retest reliability of VASI test in auditory spatial assessment.Conclusions:The high temporal stability(test-retest reliability)of VASI test validates its application in spatial hearing test battery.
基金The National Natural Science Foundation of China(91858214,42130807)funded this study.
文摘The Antarctic ice sheet is an important target of Antarctic research.Thickness and structure,including intraice and subice,are closely related to the mass balance of the ice sheet,and play an important role in the study of global sea level and climate change.Subglacial topography is an important basis for studying ice sheet dynamics and ice sheet evolution.This paper briefly reviews the geophysical detection methods and research status of the Antarctic ice sheet:(1)Conventional methods such as ice radar are the main methods for studying the ice sheet today,and passive source seismic methods such as the receiver function method,H/V method and P-wave coda autocorrelation method have good development prospects;(2)the high-resolution(1 km)ice thickness and subglacial topographic database BEDMAP2 established based on various data has greatly improved the ability to detect internal isochronous layers,anisotropic layers,and temperature changes within ice and has advanced research on ice sheet evolution;and(3)ice radar,numerical simulation and core drilling are the main methods to study subglacial lakes and sediments.More than 400 subglacial lakes have been confirmed,and more than 12000 simulation results have been obtained.Research on the Antarctic ice sheet faces enormous challenges and is of great urgency.Aiming at hot issues,such as Antarctic geological evolution,glacial retreat,ice sheet melting and their relationships with global climate change,it is the frontier and trend of future Antarctic ice sheet research to carry out multidisciplinary and multicountry comprehensive geophysical exploration based on the traditional ice radar method combined with passive seismic methods,especially new technologies such as short-period dense array technology,unmanned aerial vehicles and artificial intelligence.This is expected to further promote Antarctic research.
文摘The polymerase acidic protein is an important family of proteins from influenza A virus, which is classified as many different subtypes or spe-cies. Thus, an important question is if these classifications are numerically distinguishable with respect to the polymerase acidic protein. The amino-acid pair predictability was used to transfer 2432 polymerase acidic proteins into 2432 scalar data. The one-way ANOVA found these polymerase acidic proteins distinguish-able in terms of subtypes and species. However, the large residuals in ANOVA suggested a pos-sible large intra-subtype/species variation. Therefore, the inter- and intra-subtype/species variations were studied using the model II ANOVA. The results showed that the in-tra-subtype/species variations accounted most of variation, which was 100% in total for both inter- and intra- subtype/species variations. Our analysis threw lights on the issue of how to de-termine a wide variety of patterns of antigenic variation across space and time, and within and between subtypes as well as hosts.
文摘Aim of the work: To evaluate the efficacy and safety of bolus only intra coronary platelet glyco-protein GP IIb/IIIa receptor antagonists combined with thrombus-aspiration during percutaneous coronary intervention (PCI) in ST-segment elevation myocardial infarction (STEMI). Patient and Methods: 25 consecutive STEMI patients treated by primary PCI including thrombus aspiration were prospectively enrolled, from a total of 180 PCIs performed at our institution between January 2013 and January 2014. All patients received aspirin (250 mg i.v.) and clopidogrel (600 or 300 mg if already on clopidogrel) plus standard heparin. Glycoprotein IIb/IIIa antagonists were administered at physicians’ discretion before thrombus aspiration. Eptifibatide was used as a slandered Glycoprotein IIb/IIIa antagonists as a dose of the 180-μg/kg eptifibatide bolus only. The bolus was administered for 2 minutes via the thrombus aspiration catheter (STEMI cath of min-vasys) just before thrombus aspiration. Twelve-lead ECGs were recorded at baseline and 60 min (45 - 75 min) after completion of PCI. The primary endpoint was the TIMI 3 patency of the infarct-related coronary artery before PCI. Secondary endpoints were TIMI patency following PCI, ST resolution 60 min after PCI, all-cause death, reinfarction, urgent revascularization, stroke (haemorrhagic, non-haemorrhagic), and severe bleeding complications. Results: The angiography was performed in all 25 patients. The incidence of a TIMI flow grade 3 of the infarct-related coronary artery before PCI was 16% while TIMI grade 2 and I was 24% and 36% respectively. The incidence of a TIMI flow grade 0 (no reflow) of the infarct-related coronary artery before PCI was 24%. Visible thrombus in 52% of patients and 40% of patients have more than one critically disease vessel. Primary PCI was performed in 25 patients. Eptifibatide intracoronary was given through thrombus aspiration catheter before thrombus aspiration. Drug eluting stents were implanted in 60% of patients. Only two patients with acute
