The spherically layered media theory has wide applications for electromagnetic wave scattering analysis.Due to the involved Bessel functions,the conventional formulations of spherically layered media theory suffer fro...The spherically layered media theory has wide applications for electromagnetic wave scattering analysis.Due to the involved Bessel functions,the conventional formulations of spherically layered media theory suffer from numerical overflow or underflow when the Bessel function’s order is large,the argument is small or the argument has a large imaginary part.The first two issues have been solved recently by employing small-argument asymptotic formulas of Bessel functions,while the third issue remains unsolved.In this paper,the Bessel functions in the conventional formulation of the theory are replaced by scaled Bessel functions which have good numerical properties for high loss media,and stable formulas are derived.Numerical tests show that this approach can work properly with very high lossy media.Also,this approach can be seamlessly combined with the stable computation method for cases of small argument and large order of Bessel functions.展开更多
Fifty-one patients with mild （n -- 14）, moderate （n = 10） and severe traumatic brain injury （n = 27） received early rehabilitation. Level of consciousness was evaluated using the Glasgow Coma Score Functional le...Fifty-one patients with mild （n -- 14）, moderate （n = 10） and severe traumatic brain injury （n = 27） received early rehabilitation. Level of consciousness was evaluated using the Glasgow Coma Score Functional level was determined using the Glasgow Outcome Score, whilst mobility was evaluated using the Mobility Scale for Acute Stroke. Activities of daily living were assessed using the Barthel Index. Following Bobath neurodevelopmental therapy, the level of consciousness was significantly improved in patients with moderate and severe traumatic brain injury, but was not greatly influenced in patients with mild traumatic brain injury. Mobility and functional level were significantly improved in patients with mild, moderate and severe traumatic brain injury. Gait recovery was more obvious in patients with mild traumatic brain injury than in patients with moderate and severe traumatic brain injury. Activities of daily living showed an improvement but this was insignificant except for patients with severe traumatic brain injury. Nevertheless, complete recovery was not acquired at discharge. Multiple regression analysis showed that gait and Glasgow Coma Scale scores can be considered predictors of functional outcomes following traumatic brain injury.展开更多
The scale of fluctuation is one of the vital parameters for the application of random field theory to the reliability analysis of geotechnical engineering. In the present study, the fluctuation function method and wei...The scale of fluctuation is one of the vital parameters for the application of random field theory to the reliability analysis of geotechnical engineering. In the present study, the fluctuation function method and weighted curve fitting method were presented to make the calculation more simple and accurate. The vertical scales of fluctuation of typical layers of Tianjin Port were calculated based on a number of engineering geotechnical investigation data, which can be guidance to other projects in this area. Meanwhile, the influences of sample interval and type of soil index on the scale of fluctuation were analyzed, according to which, the principle of determining the scale of fluctuation when the sample interval changes was defined. It can be obtained that the scale of fluctuation is the basic attribute reflecting spatial variability of soil, therefore, the scales of fluctuation calculated according to different soil indexes should be basically the same. The non-correlation distance method was improved, and the principle of determining the variance reduction function was also discussed.展开更多
Psychometric scales,commonly used to gauge sexual function,can sometimes be influenced by response biases.In our researchfrom June 2020 to April 2021,we examined the accuracy of self-reported sexual function scales.We...Psychometric scales,commonly used to gauge sexual function,can sometimes be influenced by response biases.In our researchfrom June 2020 to April 2021,we examined the accuracy of self-reported sexual function scales.We invited patients from theDepartment of Infertility and Sexual Medicine at the Third Affiliated Hospital of Sun Yat-sen University(Guangzhou,China),whohave male sexual dysfunction,to participate by filling out a self-reported version of a specific questionnaire.In addition,they wentthrough a clinician-assisted version of this questionnaire,encompassing tools such as the Premature Ejaculation Diagnostic Tool(PEDT),the 6-item International Index of Erectile Function(IIEF-6),the Erection Hardness Scale(EHS),and the MasturbationErection Index(MEI).Using the clinician-assisted version as a reference,we categorized patients and applied various statisticalmethods,such as the Chi-square test,intraclass correlation coefficient(ICC),logistic regression,and the Bland–Altman plot,to gauge reliability.In our study with 322 participants,we found that while there were no notable discrepancies in error ratesbased on our categorization,certain scales showed significant differences in terms of overestimation and underestimation,withthe exception of the PEDT.The positive diagnosis rate consistency between the self-reported and clinician-assisted versions wasobserved.High ICC values between the two versions across the scales were indicative of remarkable reliability.Our findings showthat the self-reported versions of tools such as EHS,IIEF-6,MEI,and PEDT are credible and hold clinical reliability.However,employing a dual-diagnosis approach might be more prudent to circumvent potential misdiagnoses.展开更多
In this study,the thermodynamic behaviors of the intrinsic frequency and buckling temperature of rectangular plates of functionally graded materials(FGMs)are explored based on the modified couple stress theory(MCST)an...In this study,the thermodynamic behaviors of the intrinsic frequency and buckling temperature of rectangular plates of functionally graded materials(FGMs)are explored based on the modified couple stress theory(MCST)and the novel dual powerlaw scale distribution theory.The effects of linear,homogeneous,and non-homogeneous temperature fields on the frequency and buckling temperature of FGM microplates are evaluated in detail.The results show that the porosity greatly affects the mechanical properties of FGM plates,reducing their frequency and flexural temperature compared with non-porous plates.Different temperature profiles alter plate frequencies and buckling temperatures.The presence and pattern of scale effect parameters are also shown to be crucial for the mechanical response of FGM plates.The present research aims to provide precise guidelines for the micro-electro-mechanical system(MEMS)fabrication by elucidating the complex interplay between thermal,material,and structural factors that affect the performance of FGM plates in advanced applications.展开更多
BACKGROUND Our study expand upon a large body of evidence in the field of neuropsychiatric imaging with cognitive,affective and behavioral tasks,adapted for the functional magnetic resonance imaging(MRI)(fMRI)experime...BACKGROUND Our study expand upon a large body of evidence in the field of neuropsychiatric imaging with cognitive,affective and behavioral tasks,adapted for the functional magnetic resonance imaging(MRI)(fMRI)experimental environment.There is sufficient evidence that common networks underpin activations in task-based fMRI across different mental disorders.AIM To investigate whether there exist specific neural circuits which underpin differ-ential item responses to depressive,paranoid and neutral items(DN)in patients respectively with schizophrenia(SCZ)and major depressive disorder(MDD).METHODS 60 patients were recruited with SCZ and MDD.All patients have been scanned on 3T magnetic resonance tomography platform with functional MRI paradigm,comprised of block design,including blocks with items from diagnostic paranoid(DP),depression specific(DS)and DN from general interest scale.We performed a two-sample t-test between the two groups-SCZ patients and depressive patients.Our purpose was to observe different brain networks which were activated during a specific condition of the task,respectively DS,DP,DN.RESULTS Several significant results are demonstrated in the comparison between SCZ and depressive groups while performing this task.We identified one component that is task-related and independent of condition(shared between all three conditions),composed by regions within the temporal(right superior and middle temporal gyri),frontal(left middle and inferior frontal gyri)and limbic/salience system(right anterior insula).Another com-ponent is related to both diagnostic specific conditions(DS and DP)e.g.It is shared between DEP and SCZ,and includes frontal motor/language and parietal areas.One specific component is modulated preferentially by to the DP condition,and is related mainly to prefrontal regions,whereas other two components are significantly modulated with the DS condition and include clusters within the default mode network such as posterior cingulate and precuneus,several occipital areas,including lingual and fusiform gyrus,as well as parahippocampal gyrus.Finally,component 12 appeared to be unique for the neutral condition.In addition,there have been determined circuits across components,which are either common,or distinct in the preferential processing of the sub-scales of the task.CONCLUSION This study has delivers further evidence in support of the model of trans-disciplinary cross-validation in psychiatry.展开更多
This article reviews the constructs of stress, appraisal, coping, according to a transactional perspective, and executive function, and presents a stress control rating scale (ECOSTRESS), which design is founded in th...This article reviews the constructs of stress, appraisal, coping, according to a transactional perspective, and executive function, and presents a stress control rating scale (ECOSTRESS), which design is founded in these constructs. This psychometric tool is useful in the assessment of cognitive control of stress, correlated with the function of dorsolateral prefrontal cortex. It has been validated for its use in the assessment of Portuguese people in situations of stress related to unemployment and economic insufficiency. Also, within the context of the cognitive control of stress, it is highlighted the usefulness of low resolution brain electromagnetic tomography (LORETA).展开更多
We derive the conditions for the existence of the unique solution of the two scale integral equation and the form of the solution, according to the method of the construction of the dyadic scale function. We give the ...We derive the conditions for the existence of the unique solution of the two scale integral equation and the form of the solution, according to the method of the construction of the dyadic scale function. We give the construction of the dyadic wavelet and its necessary and sufficient condition. As an application, we also develop a pyramid algorithm of the dyadic wavelet decomposition.展开更多
The spatial structures of China’s Major Function Zoning are important constraining indicators in all types of spatial planning and key parameters for accurately downscaling major functions.Taking the proportion of ur...The spatial structures of China’s Major Function Zoning are important constraining indicators in all types of spatial planning and key parameters for accurately downscaling major functions.Taking the proportion of urbanization zones,agricultural development zones and ecological security zones as the basic parameter,this paper explores the spatial structures of major function zoning at different scales using spatial statistics,spatial modeling and landscape metrics methods.The results show:First,major function zones have spatial gradient structures,which are prominently represented by latitudinal and longitudinal gradients,a coastal distance gradient,and an eastern-central-western gradient.Second,the pole-axis system structure and core-periphery structure exist at provincial scales.The general principle of the pole-axis structure is that as one moves along the distance axis,the proportion of urbanization zones decreases and the proportion of ecological security zones increases.This also means that the proportion of different function zones has a ring-shaped spatial differentiation principle with distance from the core.Third,there is a spatial mosaic structure at the city and county scale.This spatial mosaic structure has features of both spatial heterogeneity,such as agglomeration and dispersion,as well as of mutual,adjacent topological correlation and spatial proximity.The results of this study contribute to scientific knowledge on major function zones and the principles of spatial organization,and it acts as an important reference for China’s integrated geographical zoning.展开更多
Water Vapor Chemistry" as a new science was discovered and established from trace analysis in Gu’s laboratory(Gu, 1991; Gu et al., 1991). Gu’s Function shows that the trace metal ion concentration in water vapo...Water Vapor Chemistry" as a new science was discovered and established from trace analysis in Gu’s laboratory(Gu, 1991; Gu et al., 1991). Gu’s Function shows that the trace metal ion concentration in water vapor has positive correlation to"specific electron affinity constant"last ionization potential Iz/ion valence Z and negative correlation to ion volume V and coordination number N(Gu, 1994). Gu’s Func-tion C=f[(Iz/Z)/VN]of the bond parameter in water vapor chemistry corresponds to the potential energy function Z’ e2/r in the Schrodinger Equation of quantum chemistry. In different ions with the same 2+ charge, the ion concentration of water-water vapor transfer may be much different. This shows that the 2+ charge of different ions has different attractive force (hydration force). This different attractive force of the charge can be scaled with the relative energy or charge size from Gu’s Function.展开更多
In this paper, we study the relationship between exponential dichotomy and quadratic Lyapunov function for the linear equation x△=A（t）x on time scales. Moreover, for the nonlinear perturbed equation x△= A（t）x ...In this paper, we study the relationship between exponential dichotomy and quadratic Lyapunov function for the linear equation x△=A（t）x on time scales. Moreover, for the nonlinear perturbed equation x△= A（t）x ＋ f（t, x） we give the instability of the zero solution when f is sufficiently small.展开更多
Objectives: To examine the cross-sectional associations of the separate subscales of the Perceived Stress Scale (PSS) and tests measuring cognitive domains in older adults. Methods: 897 adults over the age of 70 free ...Objectives: To examine the cross-sectional associations of the separate subscales of the Perceived Stress Scale (PSS) and tests measuring cognitive domains in older adults. Methods: 897 adults over the age of 70 free of amnestic mild cognitive impairment and dementia and enrolled in the Einstein Aging Study made up the study sample. The PSS-14 was used to measure stress. Three cognitive domains (language, episodic memory, and frontal-executive) had previously been found using principle component analysis. Linear regression analyses were used to determine the relationship between the PSS subscales and cognitive domain function. Results: The study sample had a mean age of 79.1 years and 62.8% were female. Bivariate correlations show that the PSS-14 positively worded subscale of the PSS (PSS-PW) was significantly associated with all three cognitive domains (language: r = -0.15, p < 0.001;episodic memory: r = -0.16, p < 0.001;frontal-executive: r = -0.21, p <0.001) while the negatively worded subscale of the PSS (PSS-NW) was not significantly associated with any cognitive domain. In linear regression analyses adjusted for age, white race, gender, years of education, and depressive symptoms, the PSS-PW remained significantly associated with each of the cognitive domains. The PSS-NW was not associated with any cognitive domains in any model. The PSS-14 was significantly associated with language and episodic memory, but not the frontal-executive domain. Conclusion: Worse PSS-PW scores are associated with reduced cognitive function in the executive, memory, and language domains in nondemented older adults. The PSS-PW subscale correlated better with cognitive function than the overall PSS-14. Future research should evaluate the temporality of the association and if stress reduction therapies improve cognitive performance.展开更多
This paper investigates the existence of periodic solutions of a three-species food-chain diffusive system with Beddington-DeAngelis functional responses and time delays in a two-patch environment on time scales. By u...This paper investigates the existence of periodic solutions of a three-species food-chain diffusive system with Beddington-DeAngelis functional responses and time delays in a two-patch environment on time scales. By using a continuation theorem based on coincidence degree theory, we obtain sufficient criteria for the existence of periodic solutions for the system. Moreover, when the time scale T is chosen as R or Z, the existence of the periodic solutions of the corresponding continuous and discrete models follows. Therefore, the method is unified to provide the existence of the desired solutions for continuous differential equations and discrete difference equations.展开更多
Poly-scale refinable function with dilation factor a is introduced. The existence of solution of poly-scale refinable equation is investigated. Specially, necessary and sufficient conditions for the orthonormality of ...Poly-scale refinable function with dilation factor a is introduced. The existence of solution of poly-scale refinable equation is investigated. Specially, necessary and sufficient conditions for the orthonormality of solution function Ф of poly-scale refinable equation with integer dilation factor a are established. Some properties of poly-scale refinable function are discussed. Several examples illustrating how to use the method to construct poly-scale refinable function are given.展开更多
OBJECTIVE To investigate possible associations between physical function assessment scales,such as Short Physical Performance Battery(SPPB)and Berg Balance Scale(BBS),with all-cause mortality in acute decompensated he...OBJECTIVE To investigate possible associations between physical function assessment scales,such as Short Physical Performance Battery(SPPB)and Berg Balance Scale(BBS),with all-cause mortality in acute decompensated heart failure(ADHF)patients.METHODS A total of 108 ADHF patients were analyzed from October 2020 to October 2022,and followed up to May 2023.The association between baseline clinical characteristics and all-cause mortality was analyzed by univariate Cox regression analysis,while for SPPB and BBS,univariate Cox regression analysis was followed by receiver operating characteristic curves,in which the area under the curve represented their predictive accuracy for all-cause mortality.Incremental predictive values for both physical function assessments were measured by calculating net reclassification index and integrated discrimination improvement scores.Optimal cutoff value for BBS was then identified using restricted cubic spline plots,and survival differences below and above that cut-off were compared using Kaplan-Meier survival curves and the log-rank test.The clinical utility of BBS was measured using decision curve analysis.RESULTS For baseline characteristics,age,female,blood urea nitrogen,as well as statins,angiotensin-converting enzyme inhibitors,angiotensin II receptor blockers,or angiotensin receptor-neprilysin inhibitors,were predictive for all-cause mortality for ADHF patients.With respect to SPPB and BBS,higher scores were associated with lower all-cause mortality rates for both assessments;similar area under the curves were measured for both(0.774 for SPPB and 0.776 for BBS).Furthermore,BBS≤36.5 was associated with significantly higher mortality,which was still applicable even adjusting for confounding factors;BBS was also found to have great clinical utility under decision curve analysis.CONCLUSIONS BBS or SPPB could be used as tools to assess physical function in ageing ADHF patients,as well as prognosticate on all-cause mortality.Moreover,prioritizing the improvement of balance capabilities of ADHF patients in cardiac rehabilitation regimens could aid in lowering mortality risk.展开更多
BACKGROUND Functional gastrointestinal disorders(FGIDs),defined as‘Disorders of Gut-Brain Interaction’,are now considered a global health problem.There is a dearth of concepts and scales to assess the severity of th...BACKGROUND Functional gastrointestinal disorders(FGIDs),defined as‘Disorders of Gut-Brain Interaction’,are now considered a global health problem.There is a dearth of concepts and scales to assess the severity of the different symptoms encountered while dealing with the variety of FGIDs as described in the ROME IV classi-fication.We introduced a novel scoring system with the incorporation of 16 different symptoms called Bacharyya’s Questionnaire Scale and started using it while dealing with children suffering from FGIDs.AIM To verify the usefulness and applicability of this recently developed scale,this study was undertaken with the objectives to establish the validity of this scoring system in assessing the severity of symptoms associated with a specific FGID in children and to determine the scoring system's applicability in assessing the treatment response.METHODS The study included children aged 5 to 18 years diagnosed with any FGID based on ROME IV criteria.They completed the newly developed scale and a Visual Analog Scale at initial diagnosis and after a 2-month treatment period.A control group without FGID participated for comparative baseline purposes.Treatment response was defined as a less than or equal to 50%reduction in the total score,which is statistically significant.RESULTS Results from a comprehensive cohort of 190 cases and 90 controls indicated a female preponderance(57.9%)and prevalent disorders such as functional constipation(28%)and functional abdominal pain,not otherwise specified(21%).The grade of FGID(mild,moderate,severe)experienced by the patients was also derived.Post-treatment,96 children demonstrated symptom improvement.The Spearman rank correlation coefficient for pre(r=0.72,95%CI:0.65-0.77,P value<0.0001)and post(r=0.49,95%CI:0.3-0.64,P value<0.0001)treatment data showed positive results with significant P values.CONCLUSION The novel scoring system shows high comprehensibility and gives an objective view of the symptomatology of FGIDs.The use of this novel score in clinical settings will be helpful to typify the FGIDs and may significantly improve decision-making processes to initiate appropriate treatment.展开更多
BACKGROUND Limited evidence exists regarding the role of enhanced recovery after surgery(ERAS)protocols in optimizing pain management and functional recovery after colorectal cancer(CRC)surgery.AIM To evaluate the imp...BACKGROUND Limited evidence exists regarding the role of enhanced recovery after surgery(ERAS)protocols in optimizing pain management and functional recovery after colorectal cancer(CRC)surgery.AIM To evaluate the impact of ERAS protocols on postoperative pain management and functional recovery in patients undergoing CRC surgery.METHODS A total of 109 patients with CRC admitted to The Third Affiliated Hospital of Jinzhou Medical University between June 2021 and June 2024 were enrolled in this study.They were divided into two groups:A control group(n=50)receiving standard perioperative care and an observation group(n=59)managed under an ERAS protocol.Clinical outcomes,including postoperative pain intensity[assessed using the Visual Analogue Scale(VAS)],functional recovery indicators(time to first ambulation,bowel sound recovery,first anal gas discharge,and first defecation),average sleep duration on postoperative day 3,sleep quality(measured using the Pittsburgh Sleep Quality Index),length of hospitalization,quality of life(evaluated using the Short Form 36 Health Survey),and incidence of postoperative complications(e.g.,surgical site infection,pulmonary infection,abdominal distension/pain,and intestinal obstruction),were systematically compared between the two groups.RESULTS The observation group exhibited significantly lower VAS scores at 72 hours postoperatively,shorter durations of maximum VAS scores,earlier recovery of functional indicators(time to first ambulation,bowel sound recovery,first anal gas discharge,and first defecation),and shorter hospitalization compared with the control group.Additionally,average sleep duration on postoperative day 3 was significantly longer in the observation group.Furthermore,the observation group demonstrated significantly improved sleep quality(lower Pittsburgh Sleep Quality Index scores)and higher quality of life(higher Short Form 36 Health Survey scores across all domains)than both the baseline and control groups.The incidence of total postoperative complications was also significantly lower in the observation group than in the control group.CONCLUSION ERAS protocols are highly effective in relieving postoperative pain,accelerating functional recovery,and improving overall clinical outcomes in patients with CRC undergoing surgery,supporting their broader clinical application.展开更多
BACKGROUND Total knee arthroplasty(TKA)is a widely used treatment for advanced knee osteoarthritis;however,the incidence of failures requiring revision surgery is increasing.Identifying the causes of TKA failure and a...BACKGROUND Total knee arthroplasty(TKA)is a widely used treatment for advanced knee osteoarthritis;however,the incidence of failures requiring revision surgery is increasing.Identifying the causes of TKA failure and assessing the outcomes of revision procedures are essential for improving patient care.We hypothesized that infection and aseptic loosening are the primary causes of TKA failure and that revision TKA(rTKA)significantly enhances functional outcomes.AIM To examine the primary causes of TKA failure and evaluate the functional outcomes following rTKA.METHODS This descriptive study was conducted at the Department of Orthopedic Surgery,Civil Hospital,Bahawalpur,from April to September 2024.A total of 118 patients undergoing rTKA for failed primary TKA were included.Data on demographics,causes of failure,and surgical details were collected.Functional outcomes were evaluated using the Knee Society Score and Visual Analog Scale before and six months after surgery.Statistical analysis was performed using SPSS version 25.0,with statistical significance set at P<0.05.RESULTS The leading causes of TKA failure were infection(45.8%),aseptic loosening(44.1%),and periprosthetic fractures(10.2%).The rTKA significantly improved knee function,with the mean Knee Society Score increasing from 39.43±6.18 to 78.91±6.17(P<0.001).Pain levels decreased substantially,with the mean Visual Analog Scale scores reducing from 7.99±1.37 to 1.42±1.17(P<0.001).No significant differences in outcomes were observed between single-stage and two-stage revision procedures.CONCLUSION Infection and aseptic loosening are the predominant causes of TKA failure.The rTKA effectively enhances knee function and alleviates pain,offering significant benefits to patients.展开更多
To improve image quality under low illumination conditions,a novel low-light image enhancement method is proposed in this paper based on multi-illumination estimation and multi-scale fusion(MIMS).Firstly,the illuminat...To improve image quality under low illumination conditions,a novel low-light image enhancement method is proposed in this paper based on multi-illumination estimation and multi-scale fusion(MIMS).Firstly,the illumination is processed by contrast-limited adaptive histogram equalization(CLAHE),adaptive complementary gamma function(ACG),and adaptive detail preserving S-curve(ADPS),respectively,to obtain three components.Then,the fusion-relevant features,exposure,and color contrast are selected as the weight maps.Subsequently,these components and weight maps are fused through multi-scale to generate enhanced illumination.Finally,the enhanced images are obtained by multiplying the enhanced illumination and reflectance.Compared with existing approaches,this proposed method achieves an average increase of 0.81%and 2.89%in the structural similarity index measurement(SSIM)and peak signal-to-noise ratio(PSNR),and a decrease of 6.17%and 32.61%in the natural image quality evaluator(NIQE)and gradient magnitude similarity deviation(GMSD),respectively.展开更多
文摘The spherically layered media theory has wide applications for electromagnetic wave scattering analysis.Due to the involved Bessel functions,the conventional formulations of spherically layered media theory suffer from numerical overflow or underflow when the Bessel function’s order is large,the argument is small or the argument has a large imaginary part.The first two issues have been solved recently by employing small-argument asymptotic formulas of Bessel functions,while the third issue remains unsolved.In this paper,the Bessel functions in the conventional formulation of the theory are replaced by scaled Bessel functions which have good numerical properties for high loss media,and stable formulas are derived.Numerical tests show that this approach can work properly with very high lossy media.Also,this approach can be seamlessly combined with the stable computation method for cases of small argument and large order of Bessel functions.
文摘Fifty-one patients with mild （n -- 14）, moderate （n = 10） and severe traumatic brain injury （n = 27） received early rehabilitation. Level of consciousness was evaluated using the Glasgow Coma Score Functional level was determined using the Glasgow Outcome Score, whilst mobility was evaluated using the Mobility Scale for Acute Stroke. Activities of daily living were assessed using the Barthel Index. Following Bobath neurodevelopmental therapy, the level of consciousness was significantly improved in patients with moderate and severe traumatic brain injury, but was not greatly influenced in patients with mild traumatic brain injury. Mobility and functional level were significantly improved in patients with mild, moderate and severe traumatic brain injury. Gait recovery was more obvious in patients with mild traumatic brain injury than in patients with moderate and severe traumatic brain injury. Activities of daily living showed an improvement but this was insignificant except for patients with severe traumatic brain injury. Nevertheless, complete recovery was not acquired at discharge. Multiple regression analysis showed that gait and Glasgow Coma Scale scores can be considered predictors of functional outcomes following traumatic brain injury.
基金Supported by the National Natural Science Foundation of China(No.41272323)Tianjin Natural Science Foundation(No.13JCZDJC 35300)
文摘The scale of fluctuation is one of the vital parameters for the application of random field theory to the reliability analysis of geotechnical engineering. In the present study, the fluctuation function method and weighted curve fitting method were presented to make the calculation more simple and accurate. The vertical scales of fluctuation of typical layers of Tianjin Port were calculated based on a number of engineering geotechnical investigation data, which can be guidance to other projects in this area. Meanwhile, the influences of sample interval and type of soil index on the scale of fluctuation were analyzed, according to which, the principle of determining the scale of fluctuation when the sample interval changes was defined. It can be obtained that the scale of fluctuation is the basic attribute reflecting spatial variability of soil, therefore, the scales of fluctuation calculated according to different soil indexes should be basically the same. The non-correlation distance method was improved, and the principle of determining the variance reduction function was also discussed.
基金supported for this study by the Italian Ministryof University PRIN(Grant No.2017S9KTNE_002)supported by theScientific Research Project of the Traditional Chinese Medicine Bureau of Guangdong Province(No.20221086).
文摘Psychometric scales,commonly used to gauge sexual function,can sometimes be influenced by response biases.In our researchfrom June 2020 to April 2021,we examined the accuracy of self-reported sexual function scales.We invited patients from theDepartment of Infertility and Sexual Medicine at the Third Affiliated Hospital of Sun Yat-sen University(Guangzhou,China),whohave male sexual dysfunction,to participate by filling out a self-reported version of a specific questionnaire.In addition,they wentthrough a clinician-assisted version of this questionnaire,encompassing tools such as the Premature Ejaculation Diagnostic Tool(PEDT),the 6-item International Index of Erectile Function(IIEF-6),the Erection Hardness Scale(EHS),and the MasturbationErection Index(MEI).Using the clinician-assisted version as a reference,we categorized patients and applied various statisticalmethods,such as the Chi-square test,intraclass correlation coefficient(ICC),logistic regression,and the Bland–Altman plot,to gauge reliability.In our study with 322 participants,we found that while there were no notable discrepancies in error ratesbased on our categorization,certain scales showed significant differences in terms of overestimation and underestimation,withthe exception of the PEDT.The positive diagnosis rate consistency between the self-reported and clinician-assisted versions wasobserved.High ICC values between the two versions across the scales were indicative of remarkable reliability.Our findings showthat the self-reported versions of tools such as EHS,IIEF-6,MEI,and PEDT are credible and hold clinical reliability.However,employing a dual-diagnosis approach might be more prudent to circumvent potential misdiagnoses.
基金Project supported by the National Key Research and Development Program of China(No.2022YFB3207100)Hubei Provincial Strategic Scientist Training Plan(No.2022EJD009)the Fundamental Research Funds for the Central Universities of China(No.2042023kf1041)。
文摘In this study,the thermodynamic behaviors of the intrinsic frequency and buckling temperature of rectangular plates of functionally graded materials(FGMs)are explored based on the modified couple stress theory(MCST)and the novel dual powerlaw scale distribution theory.The effects of linear,homogeneous,and non-homogeneous temperature fields on the frequency and buckling temperature of FGM microplates are evaluated in detail.The results show that the porosity greatly affects the mechanical properties of FGM plates,reducing their frequency and flexural temperature compared with non-porous plates.Different temperature profiles alter plate frequencies and buckling temperatures.The presence and pattern of scale effect parameters are also shown to be crucial for the mechanical response of FGM plates.The present research aims to provide precise guidelines for the micro-electro-mechanical system(MEMS)fabrication by elucidating the complex interplay between thermal,material,and structural factors that affect the performance of FGM plates in advanced applications.
文摘BACKGROUND Our study expand upon a large body of evidence in the field of neuropsychiatric imaging with cognitive,affective and behavioral tasks,adapted for the functional magnetic resonance imaging(MRI)(fMRI)experimental environment.There is sufficient evidence that common networks underpin activations in task-based fMRI across different mental disorders.AIM To investigate whether there exist specific neural circuits which underpin differ-ential item responses to depressive,paranoid and neutral items(DN)in patients respectively with schizophrenia(SCZ)and major depressive disorder(MDD).METHODS 60 patients were recruited with SCZ and MDD.All patients have been scanned on 3T magnetic resonance tomography platform with functional MRI paradigm,comprised of block design,including blocks with items from diagnostic paranoid(DP),depression specific(DS)and DN from general interest scale.We performed a two-sample t-test between the two groups-SCZ patients and depressive patients.Our purpose was to observe different brain networks which were activated during a specific condition of the task,respectively DS,DP,DN.RESULTS Several significant results are demonstrated in the comparison between SCZ and depressive groups while performing this task.We identified one component that is task-related and independent of condition(shared between all three conditions),composed by regions within the temporal(right superior and middle temporal gyri),frontal(left middle and inferior frontal gyri)and limbic/salience system(right anterior insula).Another com-ponent is related to both diagnostic specific conditions(DS and DP)e.g.It is shared between DEP and SCZ,and includes frontal motor/language and parietal areas.One specific component is modulated preferentially by to the DP condition,and is related mainly to prefrontal regions,whereas other two components are significantly modulated with the DS condition and include clusters within the default mode network such as posterior cingulate and precuneus,several occipital areas,including lingual and fusiform gyrus,as well as parahippocampal gyrus.Finally,component 12 appeared to be unique for the neutral condition.In addition,there have been determined circuits across components,which are either common,or distinct in the preferential processing of the sub-scales of the task.CONCLUSION This study has delivers further evidence in support of the model of trans-disciplinary cross-validation in psychiatry.
文摘This article reviews the constructs of stress, appraisal, coping, according to a transactional perspective, and executive function, and presents a stress control rating scale (ECOSTRESS), which design is founded in these constructs. This psychometric tool is useful in the assessment of cognitive control of stress, correlated with the function of dorsolateral prefrontal cortex. It has been validated for its use in the assessment of Portuguese people in situations of stress related to unemployment and economic insufficiency. Also, within the context of the cognitive control of stress, it is highlighted the usefulness of low resolution brain electromagnetic tomography (LORETA).
文摘We derive the conditions for the existence of the unique solution of the two scale integral equation and the form of the solution, according to the method of the construction of the dyadic scale function. We give the construction of the dyadic wavelet and its necessary and sufficient condition. As an application, we also develop a pyramid algorithm of the dyadic wavelet decomposition.
基金National Natural Science Foundation of China,No.41630644Innovative Think-tank Foundation for Young Scientists of China Association for Science and Technology,No.DXB-ZKQN-2017-048。
文摘The spatial structures of China’s Major Function Zoning are important constraining indicators in all types of spatial planning and key parameters for accurately downscaling major functions.Taking the proportion of urbanization zones,agricultural development zones and ecological security zones as the basic parameter,this paper explores the spatial structures of major function zoning at different scales using spatial statistics,spatial modeling and landscape metrics methods.The results show:First,major function zones have spatial gradient structures,which are prominently represented by latitudinal and longitudinal gradients,a coastal distance gradient,and an eastern-central-western gradient.Second,the pole-axis system structure and core-periphery structure exist at provincial scales.The general principle of the pole-axis structure is that as one moves along the distance axis,the proportion of urbanization zones decreases and the proportion of ecological security zones increases.This also means that the proportion of different function zones has a ring-shaped spatial differentiation principle with distance from the core.Third,there is a spatial mosaic structure at the city and county scale.This spatial mosaic structure has features of both spatial heterogeneity,such as agglomeration and dispersion,as well as of mutual,adjacent topological correlation and spatial proximity.The results of this study contribute to scientific knowledge on major function zones and the principles of spatial organization,and it acts as an important reference for China’s integrated geographical zoning.
文摘Water Vapor Chemistry" as a new science was discovered and established from trace analysis in Gu’s laboratory(Gu, 1991; Gu et al., 1991). Gu’s Function shows that the trace metal ion concentration in water vapor has positive correlation to"specific electron affinity constant"last ionization potential Iz/ion valence Z and negative correlation to ion volume V and coordination number N(Gu, 1994). Gu’s Func-tion C=f[(Iz/Z)/VN]of the bond parameter in water vapor chemistry corresponds to the potential energy function Z’ e2/r in the Schrodinger Equation of quantum chemistry. In different ions with the same 2+ charge, the ion concentration of water-water vapor transfer may be much different. This shows that the 2+ charge of different ions has different attractive force (hydration force). This different attractive force of the charge can be scaled with the relative energy or charge size from Gu’s Function.
文摘In this paper, we study the relationship between exponential dichotomy and quadratic Lyapunov function for the linear equation x△=A（t）x on time scales. Moreover, for the nonlinear perturbed equation x△= A（t）x ＋ f（t, x） we give the instability of the zero solution when f is sufficiently small.
文摘Objectives: To examine the cross-sectional associations of the separate subscales of the Perceived Stress Scale (PSS) and tests measuring cognitive domains in older adults. Methods: 897 adults over the age of 70 free of amnestic mild cognitive impairment and dementia and enrolled in the Einstein Aging Study made up the study sample. The PSS-14 was used to measure stress. Three cognitive domains (language, episodic memory, and frontal-executive) had previously been found using principle component analysis. Linear regression analyses were used to determine the relationship between the PSS subscales and cognitive domain function. Results: The study sample had a mean age of 79.1 years and 62.8% were female. Bivariate correlations show that the PSS-14 positively worded subscale of the PSS (PSS-PW) was significantly associated with all three cognitive domains (language: r = -0.15, p < 0.001;episodic memory: r = -0.16, p < 0.001;frontal-executive: r = -0.21, p <0.001) while the negatively worded subscale of the PSS (PSS-NW) was not significantly associated with any cognitive domain. In linear regression analyses adjusted for age, white race, gender, years of education, and depressive symptoms, the PSS-PW remained significantly associated with each of the cognitive domains. The PSS-NW was not associated with any cognitive domains in any model. The PSS-14 was significantly associated with language and episodic memory, but not the frontal-executive domain. Conclusion: Worse PSS-PW scores are associated with reduced cognitive function in the executive, memory, and language domains in nondemented older adults. The PSS-PW subscale correlated better with cognitive function than the overall PSS-14. Future research should evaluate the temporality of the association and if stress reduction therapies improve cognitive performance.
基金Supported by the Foundation for subjects development of Harbin University(No.HXK200716)
文摘This paper investigates the existence of periodic solutions of a three-species food-chain diffusive system with Beddington-DeAngelis functional responses and time delays in a two-patch environment on time scales. By using a continuation theorem based on coincidence degree theory, we obtain sufficient criteria for the existence of periodic solutions for the system. Moreover, when the time scale T is chosen as R or Z, the existence of the periodic solutions of the corresponding continuous and discrete models follows. Therefore, the method is unified to provide the existence of the desired solutions for continuous differential equations and discrete difference equations.
基金Project supported by the Natural Science Foundation of Guangdong Province (Nos.032038, 05008289, 06105648) the Doctoral Foundation of Guangdong Province (No.04300917)
文摘Poly-scale refinable function with dilation factor a is introduced. The existence of solution of poly-scale refinable equation is investigated. Specially, necessary and sufficient conditions for the orthonormality of solution function Ф of poly-scale refinable equation with integer dilation factor a are established. Some properties of poly-scale refinable function are discussed. Several examples illustrating how to use the method to construct poly-scale refinable function are given.
基金supported by the Key Research and Development Special Project of the Autonomous Region(No.2022B03023-3)the Key Supported Discipline of Health System in Shanghai(No.2023ZDFC0302)。
文摘OBJECTIVE To investigate possible associations between physical function assessment scales,such as Short Physical Performance Battery(SPPB)and Berg Balance Scale(BBS),with all-cause mortality in acute decompensated heart failure(ADHF)patients.METHODS A total of 108 ADHF patients were analyzed from October 2020 to October 2022,and followed up to May 2023.The association between baseline clinical characteristics and all-cause mortality was analyzed by univariate Cox regression analysis,while for SPPB and BBS,univariate Cox regression analysis was followed by receiver operating characteristic curves,in which the area under the curve represented their predictive accuracy for all-cause mortality.Incremental predictive values for both physical function assessments were measured by calculating net reclassification index and integrated discrimination improvement scores.Optimal cutoff value for BBS was then identified using restricted cubic spline plots,and survival differences below and above that cut-off were compared using Kaplan-Meier survival curves and the log-rank test.The clinical utility of BBS was measured using decision curve analysis.RESULTS For baseline characteristics,age,female,blood urea nitrogen,as well as statins,angiotensin-converting enzyme inhibitors,angiotensin II receptor blockers,or angiotensin receptor-neprilysin inhibitors,were predictive for all-cause mortality for ADHF patients.With respect to SPPB and BBS,higher scores were associated with lower all-cause mortality rates for both assessments;similar area under the curves were measured for both(0.774 for SPPB and 0.776 for BBS).Furthermore,BBS≤36.5 was associated with significantly higher mortality,which was still applicable even adjusting for confounding factors;BBS was also found to have great clinical utility under decision curve analysis.CONCLUSIONS BBS or SPPB could be used as tools to assess physical function in ageing ADHF patients,as well as prognosticate on all-cause mortality.Moreover,prioritizing the improvement of balance capabilities of ADHF patients in cardiac rehabilitation regimens could aid in lowering mortality risk.
文摘BACKGROUND Functional gastrointestinal disorders(FGIDs),defined as‘Disorders of Gut-Brain Interaction’,are now considered a global health problem.There is a dearth of concepts and scales to assess the severity of the different symptoms encountered while dealing with the variety of FGIDs as described in the ROME IV classi-fication.We introduced a novel scoring system with the incorporation of 16 different symptoms called Bacharyya’s Questionnaire Scale and started using it while dealing with children suffering from FGIDs.AIM To verify the usefulness and applicability of this recently developed scale,this study was undertaken with the objectives to establish the validity of this scoring system in assessing the severity of symptoms associated with a specific FGID in children and to determine the scoring system's applicability in assessing the treatment response.METHODS The study included children aged 5 to 18 years diagnosed with any FGID based on ROME IV criteria.They completed the newly developed scale and a Visual Analog Scale at initial diagnosis and after a 2-month treatment period.A control group without FGID participated for comparative baseline purposes.Treatment response was defined as a less than or equal to 50%reduction in the total score,which is statistically significant.RESULTS Results from a comprehensive cohort of 190 cases and 90 controls indicated a female preponderance(57.9%)and prevalent disorders such as functional constipation(28%)and functional abdominal pain,not otherwise specified(21%).The grade of FGID(mild,moderate,severe)experienced by the patients was also derived.Post-treatment,96 children demonstrated symptom improvement.The Spearman rank correlation coefficient for pre(r=0.72,95%CI:0.65-0.77,P value<0.0001)and post(r=0.49,95%CI:0.3-0.64,P value<0.0001)treatment data showed positive results with significant P values.CONCLUSION The novel scoring system shows high comprehensibility and gives an objective view of the symptomatology of FGIDs.The use of this novel score in clinical settings will be helpful to typify the FGIDs and may significantly improve decision-making processes to initiate appropriate treatment.
文摘BACKGROUND Limited evidence exists regarding the role of enhanced recovery after surgery(ERAS)protocols in optimizing pain management and functional recovery after colorectal cancer(CRC)surgery.AIM To evaluate the impact of ERAS protocols on postoperative pain management and functional recovery in patients undergoing CRC surgery.METHODS A total of 109 patients with CRC admitted to The Third Affiliated Hospital of Jinzhou Medical University between June 2021 and June 2024 were enrolled in this study.They were divided into two groups:A control group(n=50)receiving standard perioperative care and an observation group(n=59)managed under an ERAS protocol.Clinical outcomes,including postoperative pain intensity[assessed using the Visual Analogue Scale(VAS)],functional recovery indicators(time to first ambulation,bowel sound recovery,first anal gas discharge,and first defecation),average sleep duration on postoperative day 3,sleep quality(measured using the Pittsburgh Sleep Quality Index),length of hospitalization,quality of life(evaluated using the Short Form 36 Health Survey),and incidence of postoperative complications(e.g.,surgical site infection,pulmonary infection,abdominal distension/pain,and intestinal obstruction),were systematically compared between the two groups.RESULTS The observation group exhibited significantly lower VAS scores at 72 hours postoperatively,shorter durations of maximum VAS scores,earlier recovery of functional indicators(time to first ambulation,bowel sound recovery,first anal gas discharge,and first defecation),and shorter hospitalization compared with the control group.Additionally,average sleep duration on postoperative day 3 was significantly longer in the observation group.Furthermore,the observation group demonstrated significantly improved sleep quality(lower Pittsburgh Sleep Quality Index scores)and higher quality of life(higher Short Form 36 Health Survey scores across all domains)than both the baseline and control groups.The incidence of total postoperative complications was also significantly lower in the observation group than in the control group.CONCLUSION ERAS protocols are highly effective in relieving postoperative pain,accelerating functional recovery,and improving overall clinical outcomes in patients with CRC undergoing surgery,supporting their broader clinical application.
文摘BACKGROUND Total knee arthroplasty(TKA)is a widely used treatment for advanced knee osteoarthritis;however,the incidence of failures requiring revision surgery is increasing.Identifying the causes of TKA failure and assessing the outcomes of revision procedures are essential for improving patient care.We hypothesized that infection and aseptic loosening are the primary causes of TKA failure and that revision TKA(rTKA)significantly enhances functional outcomes.AIM To examine the primary causes of TKA failure and evaluate the functional outcomes following rTKA.METHODS This descriptive study was conducted at the Department of Orthopedic Surgery,Civil Hospital,Bahawalpur,from April to September 2024.A total of 118 patients undergoing rTKA for failed primary TKA were included.Data on demographics,causes of failure,and surgical details were collected.Functional outcomes were evaluated using the Knee Society Score and Visual Analog Scale before and six months after surgery.Statistical analysis was performed using SPSS version 25.0,with statistical significance set at P<0.05.RESULTS The leading causes of TKA failure were infection(45.8%),aseptic loosening(44.1%),and periprosthetic fractures(10.2%).The rTKA significantly improved knee function,with the mean Knee Society Score increasing from 39.43±6.18 to 78.91±6.17(P<0.001).Pain levels decreased substantially,with the mean Visual Analog Scale scores reducing from 7.99±1.37 to 1.42±1.17(P<0.001).No significant differences in outcomes were observed between single-stage and two-stage revision procedures.CONCLUSION Infection and aseptic loosening are the predominant causes of TKA failure.The rTKA effectively enhances knee function and alleviates pain,offering significant benefits to patients.
基金supported by the National Key R&D Program of China(No.2022YFB3205101)NSAF(No.U2230116)。
文摘To improve image quality under low illumination conditions,a novel low-light image enhancement method is proposed in this paper based on multi-illumination estimation and multi-scale fusion(MIMS).Firstly,the illumination is processed by contrast-limited adaptive histogram equalization(CLAHE),adaptive complementary gamma function(ACG),and adaptive detail preserving S-curve(ADPS),respectively,to obtain three components.Then,the fusion-relevant features,exposure,and color contrast are selected as the weight maps.Subsequently,these components and weight maps are fused through multi-scale to generate enhanced illumination.Finally,the enhanced images are obtained by multiplying the enhanced illumination and reflectance.Compared with existing approaches,this proposed method achieves an average increase of 0.81%and 2.89%in the structural similarity index measurement(SSIM)and peak signal-to-noise ratio(PSNR),and a decrease of 6.17%and 32.61%in the natural image quality evaluator(NIQE)and gradient magnitude similarity deviation(GMSD),respectively.
