One of the main causes of cancer-related morbidity and mortality globally is hepatocellular carcinoma(HCC).At every stage of the disease,HCC may now be treated using a variety of therapy techniques.Nevertheless,despit...One of the main causes of cancer-related morbidity and mortality globally is hepatocellular carcinoma(HCC).At every stage of the disease,HCC may now be treated using a variety of therapy techniques.Nevertheless,despite the abundance of effective therapeutic choices,the prognosis for patients with HCC is still typically dismal.Prognostic indicators are crucial when assessing prognosis and tracking tumor metastases or recurrence.There are many prognostic markers in HCC.We mainly focused on newly reported prognostic markers such as MEX3A,apolipoprotein B,alpha-fetoprotein,circulating tumor cells,SAMD13,Agrin,and Glypican-3 in the pathogenesis of HCC.Further,we highlighted how these prognostic markers correlated to clinical parameters such as tumor node metastasis,tumor diameter,differentiation,hepatocirrhosis,vascular invasion,and others in HCC.Therefore,identifying specific prognostic biomarkers of HCC helps to provide a great opportunity to improve the prognosis in patients with HCC and provide therapeutic targets.展开更多
Rechargeable magnesium batteries(RMBs)are a cutting-edge energy storage solution,with several advantages over the state-of-art lithiumion batteries(LIBs).The use of magnesium(Mg)metal as an anode material provides a m...Rechargeable magnesium batteries(RMBs)are a cutting-edge energy storage solution,with several advantages over the state-of-art lithiumion batteries(LIBs).The use of magnesium(Mg)metal as an anode material provides a much higher gravimetric capacity compared to graphite,which is currently used as the anode material in LIBs.Despite the significant advances in electrolyte,the development of cathode material is limited to materials that operate at low average discharge voltage(<1.0 V vs.Mg/Mg^(2+)),and developing high voltage cathodes remains challenging.Only a few materials have been shown to intercalate Mg^(2+)ions reversibly at high voltage.This review focuses on the structural aspects of cathode material that can operate at high voltage,including the Mg^(2+)intercalation mechanism in relation to its electrochemical properties.The materials are categorized into transition metal oxides and polyanions and subcategorized by the intrinsic Mg^(2+)diffusion path.This review also provides insights into the future development of each material,aiming to stimulate and guide researchers working in this field towards further advancements in high voltage cathodes.展开更多
Aspect’s extraction is a critical task in aspect-based sentiment analysis,including explicit and implicit aspects identification.While extensive research has identified explicit aspects,little effort has been put for...Aspect’s extraction is a critical task in aspect-based sentiment analysis,including explicit and implicit aspects identification.While extensive research has identified explicit aspects,little effort has been put forward on implicit aspects extraction due to the complexity of the problem.Moreover,existing research on implicit aspect identification is widely carried out on product reviews targeting specific aspects while neglecting sentences’dependency problems.Therefore,in this paper,a multi-level knowledge engineering approach for identifying implicit movie aspects is proposed.The proposed method first identifies explicit aspects using a variant of BiLSTM and CRF(Bidirectional Long Short Memory-Conditional Random Field),which serve as a memory to process dependent sentences to infer implicit aspects.It can identify implicit aspects from four types of sentences,including independent and three types of dependent sentences.The study is evaluated on a largemovie reviews dataset with 50k examples.The experimental results showed that the explicit aspect identification method achieved 89%F1-score and implicit aspect extraction methods achieved 76%F1-score.In addition,the proposed approach also performs better than the state-of-the-art techniques(NMFIAD andML-KB+)on the product review dataset,where it achieved 93%precision,92%recall,and 93%F1-score.展开更多
Principles which teachers should adhere to in second language class are based on the synthesis of linguistic,cultural and competent aspects.This paper first puts forward linguistic,cultural and competent aspects of se...Principles which teachers should adhere to in second language class are based on the synthesis of linguistic,cultural and competent aspects.This paper first puts forward linguistic,cultural and competent aspects of second language teaching.Then,the principles which teachers should adhere to in second language class are introduced.Finally,the synthesis implication for second language teaching is presented.展开更多
目的探讨ASPECTs评分联合ASITN/SIR侧支循环评分模式评估前循环急性大动脉脑梗死患者超时间窗血管内治疗的临床效果。方法收集52例超时间窗急性大动脉闭塞脑梗死患者为研究组,以本中心63例标准治疗窗内患者为对照组,在三系统同轴下使用...目的探讨ASPECTs评分联合ASITN/SIR侧支循环评分模式评估前循环急性大动脉脑梗死患者超时间窗血管内治疗的临床效果。方法收集52例超时间窗急性大动脉闭塞脑梗死患者为研究组,以本中心63例标准治疗窗内患者为对照组,在三系统同轴下使用颅内血栓抽吸系统、支架取栓装置进行机械取栓治疗,纵向对比2组术后90 d良好恢复率(mRS≤2分)、安全性(症状性颅内出血转化、病死率),研究组间横向对比有效性,主要对比手术前后NIHSS评分。结果研究组与对照组患者术前NIHSS评分差异无统计学意义(P>0.05)。研究组与对照组术中mTICI分级血管再通率分别为90.4%(47/52)、92.1%(58/63),2组比较差异无统计学意义(P>0.05);2组术后良好恢复率(90 d mRS≤2分)[分别为42.3%(22/52)、40%(25/63)]、安全性[研究组症状性颅内出血转化、病死率分别为13.5%(7/52)、15.4%(8/52),对照组分别为11.1%(6/63)、12.7%(8/63)],2组比较差异均无统计学意义(P>0.05)。结论在ASPECTs评分联合ASITN/SIR侧支循环评估模式下急性缺血性脑卒中超时间窗血管内治疗临床疗效具有可行性。展开更多
Cancers, malignant melanoma and sarcomas of the skin represent the most common group of malignancies in humans. The main treatment method of almost all skin cancers and subcutaneous tissue tumours is surgery, which co...Cancers, malignant melanoma and sarcomas of the skin represent the most common group of malignancies in humans. The main treatment method of almost all skin cancers and subcutaneous tissue tumours is surgery, which consists of complete removal of a neoplastic lesion, with an adequate margin of healthy tissue. Radiotherapy plays an adjuvant role in this process, meaning complementing of the surgical procedure. This study compared four methods of irradiation treatment of cancer located in the skin or in subcutaneous tissues: contact brachytherapy, conventional orthovoltage therapy, electron beam conformal teleradiotherapy and IMRT dynamically shaped photonic beams conformal teleradiotherapy. In order to compare the methods and techniques of surface radiotherapy, following specific objectives were formulated. At the beginning in order to compare the scopes of the absorbed doses at different tissue depths, an analysis of parameters describing particular beams or radiation source has been performed—the curves for the absorbed-dose depth drop-offs. Doses distribution in tissue-like phantoms stimulating homogeneous cuboidal tissue block has been determined. A quality comparison of dose distribution in 2D and 3D treatment planning system for contact brachytherapy application has been made. The dose distribution for electron beam in the system has been determined. Conformal plannings for electron beam treatment, contact brachytherapy applicator treatment and 4 photon beams treatment optimized in IMRT technology have been performed. Dose distribution has been performed for the irradiated female patient within the well chest—the target included the recurrence area in the post-operative scar. The radiation therapy with X-rays has actually been completely eliminated from skin cancer and subcutaneous tissue radiotherapy by the electrons generated in linear accelerators, contact brachytherapy HDR and by high-energy photons used in conformal techniques, ex. IMRT. It is because the residual dose beyond the target is the highest for single X-ray beam. Although in brachytherapy HDR a rapid dose drop-off is observed, 5 cm from its normalization level for the target the residual radiation remains at the level of several percent. So, both X-rays beam radiation and brachytherapy in skin cancer treatment is connected with the administration of the dose with a high gradient in the health tissues. The dose distribution for photon conformal techniques IMRT or for electron radiation looks different. There with the dose normalization at the level of 90% or 85% we deal with the dose layer, the division does not exceed 15% of heterogeneity.展开更多
Research concerning the psychosocial aspects of infertility and infertility treatment focuses more often on women than men. The aim of this review was to synthesize the English-language evidence related to the psychol...Research concerning the psychosocial aspects of infertility and infertility treatment focuses more often on women than men. The aim of this review was to synthesize the English-language evidence related to the psychological and social aspects of infertility in men and discuss the implications of these reports for clinical care and future research. A structured search identified 73 studies that reported data concerning the desire for fatherhood and the psychological and social aspects of diagnosis, assisted reproductive technology （ART） treatment and unsuccessful treatment among men with fertility difficulties. The studies are diverse in conceptualisation, design, setting and data collection, but the findings were reasonably consistent. These studies indicated that fertile and infertile childless men of reproductive age have desires to experience parenthood that are similar to those of their female counterparts; in addition, diagnosis and initiation of treatment are associated with elevated infertility-specific anxiety, and unsuccessful treatment can lead to a state of lasting sadness. However, rates of clinically significant mental health problems among this patient population are no higher than in the general population. Infertile men who are socially isolated, have an avoidant coping style and appraise stressful events as overwhelming, are more vulnerable to severe anxiety than men without these characteristics. Men prefer oral to written treatment information and prefer to receive emotional support from infertility clinicians rather than from mental health professionals, self-help support groups or friends. Nevertheless, structured, facilitated psycho-educational groups that are didactic but permit informal sharing of experiences might be beneficial. There are gaps in knowledge about factors governing seeking, persisting with and deciding to cease treatment; experiences of invasive procedures; parenting after assisted conception; adoption and infertility-related grief and shame among men. Few resource-constrained countries have any data concerning male experiences of infertility.展开更多
This study investigates the dominant modes of variability in monthly and seasonal rainfall over the India-China region mainly through Empirical Orthogonal Function (EOF) analysis. The EOFs have shown that whereas the ...This study investigates the dominant modes of variability in monthly and seasonal rainfall over the India-China region mainly through Empirical Orthogonal Function (EOF) analysis. The EOFs have shown that whereas the rainfall over India varies as one coherent zone, that over China varies in east-west oriented bands. The influence of this banded structure extends well into India.Relationship of rainfall with large scale parameters such as the subtropical ridge over the Indian and the western Pacific regions, Southern Oscillation, the Northern Hemispheric surface air temperature and stratospheric winds have also been investigated. These results show that the rainfall over the area around 40°N, 110°E over China is highly related with rainfall over India. The subtropical ridge over the Indian region is an important predictor over India as well an over the northern China region. '展开更多
The present study was undertaken in seven natural forest types of temperate zone （1500 to 3100 m, a.s.l.） of Garhwal Himalaya to understand the effects of slope aspects viz., north-east （NE）, north-west （NW）, so...The present study was undertaken in seven natural forest types of temperate zone （1500 to 3100 m, a.s.l.） of Garhwal Himalaya to understand the effects of slope aspects viz., north-east （NE）, north-west （NW）, south-east （SE） and south-west （SW）, on the forest structure, composition and soil characteristics of each selected forest type. The sample plots in each forest type were laid out by using stratified random approach. The indices i.e., the Importance Value Index, Shannon-Wiener diversity index, Simpson’s concentration of Dominance, Simpson diver-sity index, Pielou equitability and Margalef species richness index were calculated statistically using standard softwares to elucidate the differ-ences in forest structure and composition of forest types on different slope aspects of the sites. The composite soil samples were taken from each forest stand and the physico-chemical properties of the soil i.e., moisture content （MC）, water holding capacity （WHC）, pH, organic carbon （OC）, phosphorus （P）, potassium （K） and available nitrogen （N） were analyzed. The results show that the higher values of total basal cover （74.4 m2·ha-1 in Quercus semecarpifolia forest）, Concentration of dominance （0.85 in Pinus roxburghii forest） and Tree diversity （1.81 in Quercus floribunda forest） in the forests were recorded in the northern aspects. MC （40.8% in Quercus leucotrichophora forest）, WHC （48.9% in Cupressus torulosa forest）, OC （3.8% in Cedrus deodara forest）, P （31.9 kg·ha-1 in Quercus leucotrichophora forest） and N （1.0% in Pinus roxburghii forest） had also higher values in the soils of northern aspects. Consequently the higher productivity of the forests was also noticed on the northern aspects.展开更多
Patients with diabetes mellitus(DM) need psychological support throughout their life span from the time of diagnosis. The psychological make-up of the patients with DM play a central role in self-management behaviors....Patients with diabetes mellitus(DM) need psychological support throughout their life span from the time of diagnosis. The psychological make-up of the patients with DM play a central role in self-management behaviors. Without patient's adherence to the effective therapies, there would be persistent sub-optimal contro of diseases, increase diabetes-related complications,causing deterioration in quality of life, resulting in increased healthcare utilization and burden on healthcare systems. However, provision of psychosocial support is generally inadequate due to its challenging nature of needs and demands on the healthcare systems. This review article examines patient's psychological aspects in general, elaborates in particular about emotion effects on health, and emotion in relation to other psychological domains such as cognition, self-regulation,self-efficacy and behavior. Some descriptions are also provided on willpower, resilience, illness perception and proactive coping in relating execution of new behaviors,coping with future-oriented thinking and influences of illness perception on health-related behaviors. These psychological aspects are further discussed in relationto DM and interventions for patients with DM. Equipped with the understanding of the pertinent nature of psychology in patients with DM; and knowing the links between the psychological disorders, inflammation and cardiovascular outcomes would hopefully encourages healthcare professionals in giving due attention to the psychological needs of patients with DM.展开更多
Schizophrenia is a severe mental illness which is associated with significant consequences for both the patients and their relatives. Due to chronicity of the illness, the relatives of patients of schizophrenia have t...Schizophrenia is a severe mental illness which is associated with significant consequences for both the patients and their relatives. Due to chronicity of the illness, the relatives of patients of schizophrenia have to bear the main brunt of the illness. Studies across the world have evaluated various aspects of caregiving and caregivers such as burden, coping, quality of life, social support, expressed emotions, and psychological morbidity. In general the research has looked at caregiving as a negative phenomenon, however, now it is increasingly recognised that caregiving is not only associated with negative consequences only, also experience subjective gains and satisfaction. This review focus on the conceptual issues, instruments available to assess the positive aspects of caregiving and the various correlates of positive aspects of caregiving reported in relation to schizophrenia. The positive aspect of caregiving has been variously measured as positive caregiving experience, caregiving satisfaction, caregiving gains and finding meaning through caregiving scale and positive aspects of caregiving experience. Studies suggests that caregivers of patients with schizophrenia and psychotic disorders experience caregiving gains(in the form of becoming more sensitive to persons with disabilities, clarity about their priorities in life and a greater sense of inner strength), experience good aspects of relationship with the patient, do have personal positive experiences. Some of the studies suggest that those who experience greater negative caregiving experience also do experience positive caregiving experience.展开更多
Peanut is an energy dense food item and it contains a substantial amount of fat,proteins,carbohydrate,both fat soluble and water soluble vitamins,minerals and phytochemicals.Peanuts are consumed worldwide due to its h...Peanut is an energy dense food item and it contains a substantial amount of fat,proteins,carbohydrate,both fat soluble and water soluble vitamins,minerals and phytochemicals.Peanuts are consumed worldwide due to its high nutritional value and pleasant or unique flavor after roasting or boiling.The lipid,protein and carbohydrate not only provide energy,but also provide essential nutrients for normal body functions such as body fat and muscle buildup.Vitamins are needed for normal cell function,growth,development,disease prevention and act as coenzymes during the production of energy.Due to the high nutrient contents of peanuts,they have been used to combat malnutrition in most developing countries.Epidemiologic studies have associated nut consumption with a reduced incidence of cardiovascular heart diseases and gallstones in both genders and diabetes in women.Limited evidence also suggests beneficial effects on hypertension,cancer,and inflammation.The health risk associated with peanut consumption is allergy in developed countries.The review discusses the health aspects,including allergy,of peanut consumption as they related to the chemical composition of peanuts using literatures published in past two decades with exceptions of a few older articles.展开更多
Parathyroid hormone （PTH） secretion is characterized by an ultradian rhythm with tonic and pulsatile components. In healthy subjects, the majority of PTH is secreted in tonic fashion, whereas approximately 30% is se...Parathyroid hormone （PTH） secretion is characterized by an ultradian rhythm with tonic and pulsatile components. In healthy subjects, the majority of PTH is secreted in tonic fashion, whereas approximately 30% is secreted in low-amplitude and high-frequency bursts occurring every 10-20 min, superimposed on tonic secretion. Changes in the ultradian PTH secretion were shown to occur in patients with primary and secondary osteoporosis, with skeletal effects depending on the reciprocal modifications of pulsatile and tonic components. Indeed, pathophysiology of spontaneous PTH secretion remains an area potentially suitable to be explored, particularly in those conditions such as secondary forms of osteoporosis, in which conventional biochemical and densitometric parameters may not always give reliable diagnostic and therapeutic indications. This review will highlight the literature data supporting the hypothesis that changes of ultradian PTH secretion may be correlated with skeletal fragility in primary and secondary osteoporosis.展开更多
The hydrothermal behavior of air inside a solar channel heat exchanger equipped with various shaped ribs is analyzed numerically.The bottom wall of the exchanger is kept adiabatic,while a constant value of the tempera...The hydrothermal behavior of air inside a solar channel heat exchanger equipped with various shaped ribs is analyzed numerically.The bottom wall of the exchanger is kept adiabatic,while a constant value of the temperature is set at the upper wall.The duct is equipped with a flat rectangular fin on the upper wall and an upstream V-shaped baffle on the lower wall.Furthermore,five hot wall-attached rib shapes are considered:trapezoidal,square,triangular pointing upstream(type Ⅰ),triangular pointing downstream(type Ⅱ),and equilateral-triangular(type Ⅲ)cross sections.Effects of the flow rates are also inspected for various Reynolds numbers in the turbulent regime(1.2×10^(4)-3.2×10^(4)).The highest performance(η)value is given for the Ⅱ-triangular rib case in all Re values,while the square-shaped ribs show a significant decrease in the η along the achieved Re range.The η value at Remax is 2.567 for the Ⅱ-triangular roughness case.Compared with the other simulated cases,this performance is decreased by about 3.768%in the case of Ⅰ-triangular ribs,15.249% in the case of Ⅲ-triangular ribs,20.802% in the case of trapezoidal ribs,while 27.541% in the case of square ribs,at the same Remax.Also,a comparison ismade with air-heat exchangers that have non-rough walls and contain cross-shaped VGs presented previously,in order to highlight the effectiveness of the rough surface presence in the baffled and finned channels.The obtained results indicated that the triangular-shaped rib(type Ⅱ)has the most significant hydrothermal behavior than the other cases.This indicates the necessity of roughness heat transfer surfaces for finned and baffled channels to improve significantly the performance of the air-heat exchangers they contain.展开更多
文摘One of the main causes of cancer-related morbidity and mortality globally is hepatocellular carcinoma(HCC).At every stage of the disease,HCC may now be treated using a variety of therapy techniques.Nevertheless,despite the abundance of effective therapeutic choices,the prognosis for patients with HCC is still typically dismal.Prognostic indicators are crucial when assessing prognosis and tracking tumor metastases or recurrence.There are many prognostic markers in HCC.We mainly focused on newly reported prognostic markers such as MEX3A,apolipoprotein B,alpha-fetoprotein,circulating tumor cells,SAMD13,Agrin,and Glypican-3 in the pathogenesis of HCC.Further,we highlighted how these prognostic markers correlated to clinical parameters such as tumor node metastasis,tumor diameter,differentiation,hepatocirrhosis,vascular invasion,and others in HCC.Therefore,identifying specific prognostic biomarkers of HCC helps to provide a great opportunity to improve the prognosis in patients with HCC and provide therapeutic targets.
基金supported by the Nano&Material Technology Development Program through the National Research Foundation of Korea(NRF)funded by the Ministry of Science and ICT(RS-2024-00446825)by the Technology Innovation Program(RS-2024-00418815)funded by the Ministry of Trade,Industry&Energy(MOTIE,Korea).
文摘Rechargeable magnesium batteries(RMBs)are a cutting-edge energy storage solution,with several advantages over the state-of-art lithiumion batteries(LIBs).The use of magnesium(Mg)metal as an anode material provides a much higher gravimetric capacity compared to graphite,which is currently used as the anode material in LIBs.Despite the significant advances in electrolyte,the development of cathode material is limited to materials that operate at low average discharge voltage(<1.0 V vs.Mg/Mg^(2+)),and developing high voltage cathodes remains challenging.Only a few materials have been shown to intercalate Mg^(2+)ions reversibly at high voltage.This review focuses on the structural aspects of cathode material that can operate at high voltage,including the Mg^(2+)intercalation mechanism in relation to its electrochemical properties.The materials are categorized into transition metal oxides and polyanions and subcategorized by the intrinsic Mg^(2+)diffusion path.This review also provides insights into the future development of each material,aiming to stimulate and guide researchers working in this field towards further advancements in high voltage cathodes.
文摘Aspect’s extraction is a critical task in aspect-based sentiment analysis,including explicit and implicit aspects identification.While extensive research has identified explicit aspects,little effort has been put forward on implicit aspects extraction due to the complexity of the problem.Moreover,existing research on implicit aspect identification is widely carried out on product reviews targeting specific aspects while neglecting sentences’dependency problems.Therefore,in this paper,a multi-level knowledge engineering approach for identifying implicit movie aspects is proposed.The proposed method first identifies explicit aspects using a variant of BiLSTM and CRF(Bidirectional Long Short Memory-Conditional Random Field),which serve as a memory to process dependent sentences to infer implicit aspects.It can identify implicit aspects from four types of sentences,including independent and three types of dependent sentences.The study is evaluated on a largemovie reviews dataset with 50k examples.The experimental results showed that the explicit aspect identification method achieved 89%F1-score and implicit aspect extraction methods achieved 76%F1-score.In addition,the proposed approach also performs better than the state-of-the-art techniques(NMFIAD andML-KB+)on the product review dataset,where it achieved 93%precision,92%recall,and 93%F1-score.
文摘Principles which teachers should adhere to in second language class are based on the synthesis of linguistic,cultural and competent aspects.This paper first puts forward linguistic,cultural and competent aspects of second language teaching.Then,the principles which teachers should adhere to in second language class are introduced.Finally,the synthesis implication for second language teaching is presented.
文摘目的探讨ASPECTs评分联合ASITN/SIR侧支循环评分模式评估前循环急性大动脉脑梗死患者超时间窗血管内治疗的临床效果。方法收集52例超时间窗急性大动脉闭塞脑梗死患者为研究组,以本中心63例标准治疗窗内患者为对照组,在三系统同轴下使用颅内血栓抽吸系统、支架取栓装置进行机械取栓治疗,纵向对比2组术后90 d良好恢复率(mRS≤2分)、安全性(症状性颅内出血转化、病死率),研究组间横向对比有效性,主要对比手术前后NIHSS评分。结果研究组与对照组患者术前NIHSS评分差异无统计学意义(P>0.05)。研究组与对照组术中mTICI分级血管再通率分别为90.4%(47/52)、92.1%(58/63),2组比较差异无统计学意义(P>0.05);2组术后良好恢复率(90 d mRS≤2分)[分别为42.3%(22/52)、40%(25/63)]、安全性[研究组症状性颅内出血转化、病死率分别为13.5%(7/52)、15.4%(8/52),对照组分别为11.1%(6/63)、12.7%(8/63)],2组比较差异均无统计学意义(P>0.05)。结论在ASPECTs评分联合ASITN/SIR侧支循环评估模式下急性缺血性脑卒中超时间窗血管内治疗临床疗效具有可行性。
文摘Cancers, malignant melanoma and sarcomas of the skin represent the most common group of malignancies in humans. The main treatment method of almost all skin cancers and subcutaneous tissue tumours is surgery, which consists of complete removal of a neoplastic lesion, with an adequate margin of healthy tissue. Radiotherapy plays an adjuvant role in this process, meaning complementing of the surgical procedure. This study compared four methods of irradiation treatment of cancer located in the skin or in subcutaneous tissues: contact brachytherapy, conventional orthovoltage therapy, electron beam conformal teleradiotherapy and IMRT dynamically shaped photonic beams conformal teleradiotherapy. In order to compare the methods and techniques of surface radiotherapy, following specific objectives were formulated. At the beginning in order to compare the scopes of the absorbed doses at different tissue depths, an analysis of parameters describing particular beams or radiation source has been performed—the curves for the absorbed-dose depth drop-offs. Doses distribution in tissue-like phantoms stimulating homogeneous cuboidal tissue block has been determined. A quality comparison of dose distribution in 2D and 3D treatment planning system for contact brachytherapy application has been made. The dose distribution for electron beam in the system has been determined. Conformal plannings for electron beam treatment, contact brachytherapy applicator treatment and 4 photon beams treatment optimized in IMRT technology have been performed. Dose distribution has been performed for the irradiated female patient within the well chest—the target included the recurrence area in the post-operative scar. The radiation therapy with X-rays has actually been completely eliminated from skin cancer and subcutaneous tissue radiotherapy by the electrons generated in linear accelerators, contact brachytherapy HDR and by high-energy photons used in conformal techniques, ex. IMRT. It is because the residual dose beyond the target is the highest for single X-ray beam. Although in brachytherapy HDR a rapid dose drop-off is observed, 5 cm from its normalization level for the target the residual radiation remains at the level of several percent. So, both X-rays beam radiation and brachytherapy in skin cancer treatment is connected with the administration of the dose with a high gradient in the health tissues. The dose distribution for photon conformal techniques IMRT or for electron radiation looks different. There with the dose normalization at the level of 90% or 85% we deal with the dose layer, the division does not exceed 15% of heterogeneity.
文摘Research concerning the psychosocial aspects of infertility and infertility treatment focuses more often on women than men. The aim of this review was to synthesize the English-language evidence related to the psychological and social aspects of infertility in men and discuss the implications of these reports for clinical care and future research. A structured search identified 73 studies that reported data concerning the desire for fatherhood and the psychological and social aspects of diagnosis, assisted reproductive technology （ART） treatment and unsuccessful treatment among men with fertility difficulties. The studies are diverse in conceptualisation, design, setting and data collection, but the findings were reasonably consistent. These studies indicated that fertile and infertile childless men of reproductive age have desires to experience parenthood that are similar to those of their female counterparts; in addition, diagnosis and initiation of treatment are associated with elevated infertility-specific anxiety, and unsuccessful treatment can lead to a state of lasting sadness. However, rates of clinically significant mental health problems among this patient population are no higher than in the general population. Infertile men who are socially isolated, have an avoidant coping style and appraise stressful events as overwhelming, are more vulnerable to severe anxiety than men without these characteristics. Men prefer oral to written treatment information and prefer to receive emotional support from infertility clinicians rather than from mental health professionals, self-help support groups or friends. Nevertheless, structured, facilitated psycho-educational groups that are didactic but permit informal sharing of experiences might be beneficial. There are gaps in knowledge about factors governing seeking, persisting with and deciding to cease treatment; experiences of invasive procedures; parenting after assisted conception; adoption and infertility-related grief and shame among men. Few resource-constrained countries have any data concerning male experiences of infertility.
文摘This study investigates the dominant modes of variability in monthly and seasonal rainfall over the India-China region mainly through Empirical Orthogonal Function (EOF) analysis. The EOFs have shown that whereas the rainfall over India varies as one coherent zone, that over China varies in east-west oriented bands. The influence of this banded structure extends well into India.Relationship of rainfall with large scale parameters such as the subtropical ridge over the Indian and the western Pacific regions, Southern Oscillation, the Northern Hemispheric surface air temperature and stratospheric winds have also been investigated. These results show that the rainfall over the area around 40°N, 110°E over China is highly related with rainfall over India. The subtropical ridge over the Indian region is an important predictor over India as well an over the northern China region. '
基金This research was supported by Department of Sci-ence and Technology,Government of India,New Delhi,India vide its Project No.SP/SO/PS-52/2004
文摘The present study was undertaken in seven natural forest types of temperate zone （1500 to 3100 m, a.s.l.） of Garhwal Himalaya to understand the effects of slope aspects viz., north-east （NE）, north-west （NW）, south-east （SE） and south-west （SW）, on the forest structure, composition and soil characteristics of each selected forest type. The sample plots in each forest type were laid out by using stratified random approach. The indices i.e., the Importance Value Index, Shannon-Wiener diversity index, Simpson’s concentration of Dominance, Simpson diver-sity index, Pielou equitability and Margalef species richness index were calculated statistically using standard softwares to elucidate the differ-ences in forest structure and composition of forest types on different slope aspects of the sites. The composite soil samples were taken from each forest stand and the physico-chemical properties of the soil i.e., moisture content （MC）, water holding capacity （WHC）, pH, organic carbon （OC）, phosphorus （P）, potassium （K） and available nitrogen （N） were analyzed. The results show that the higher values of total basal cover （74.4 m2·ha-1 in Quercus semecarpifolia forest）, Concentration of dominance （0.85 in Pinus roxburghii forest） and Tree diversity （1.81 in Quercus floribunda forest） in the forests were recorded in the northern aspects. MC （40.8% in Quercus leucotrichophora forest）, WHC （48.9% in Cupressus torulosa forest）, OC （3.8% in Cedrus deodara forest）, P （31.9 kg·ha-1 in Quercus leucotrichophora forest） and N （1.0% in Pinus roxburghii forest） had also higher values in the soils of northern aspects. Consequently the higher productivity of the forests was also noticed on the northern aspects.
文摘Patients with diabetes mellitus(DM) need psychological support throughout their life span from the time of diagnosis. The psychological make-up of the patients with DM play a central role in self-management behaviors. Without patient's adherence to the effective therapies, there would be persistent sub-optimal contro of diseases, increase diabetes-related complications,causing deterioration in quality of life, resulting in increased healthcare utilization and burden on healthcare systems. However, provision of psychosocial support is generally inadequate due to its challenging nature of needs and demands on the healthcare systems. This review article examines patient's psychological aspects in general, elaborates in particular about emotion effects on health, and emotion in relation to other psychological domains such as cognition, self-regulation,self-efficacy and behavior. Some descriptions are also provided on willpower, resilience, illness perception and proactive coping in relating execution of new behaviors,coping with future-oriented thinking and influences of illness perception on health-related behaviors. These psychological aspects are further discussed in relationto DM and interventions for patients with DM. Equipped with the understanding of the pertinent nature of psychology in patients with DM; and knowing the links between the psychological disorders, inflammation and cardiovascular outcomes would hopefully encourages healthcare professionals in giving due attention to the psychological needs of patients with DM.
文摘Schizophrenia is a severe mental illness which is associated with significant consequences for both the patients and their relatives. Due to chronicity of the illness, the relatives of patients of schizophrenia have to bear the main brunt of the illness. Studies across the world have evaluated various aspects of caregiving and caregivers such as burden, coping, quality of life, social support, expressed emotions, and psychological morbidity. In general the research has looked at caregiving as a negative phenomenon, however, now it is increasingly recognised that caregiving is not only associated with negative consequences only, also experience subjective gains and satisfaction. This review focus on the conceptual issues, instruments available to assess the positive aspects of caregiving and the various correlates of positive aspects of caregiving reported in relation to schizophrenia. The positive aspect of caregiving has been variously measured as positive caregiving experience, caregiving satisfaction, caregiving gains and finding meaning through caregiving scale and positive aspects of caregiving experience. Studies suggests that caregivers of patients with schizophrenia and psychotic disorders experience caregiving gains(in the form of becoming more sensitive to persons with disabilities, clarity about their priorities in life and a greater sense of inner strength), experience good aspects of relationship with the patient, do have personal positive experiences. Some of the studies suggest that those who experience greater negative caregiving experience also do experience positive caregiving experience.
文摘Peanut is an energy dense food item and it contains a substantial amount of fat,proteins,carbohydrate,both fat soluble and water soluble vitamins,minerals and phytochemicals.Peanuts are consumed worldwide due to its high nutritional value and pleasant or unique flavor after roasting or boiling.The lipid,protein and carbohydrate not only provide energy,but also provide essential nutrients for normal body functions such as body fat and muscle buildup.Vitamins are needed for normal cell function,growth,development,disease prevention and act as coenzymes during the production of energy.Due to the high nutrient contents of peanuts,they have been used to combat malnutrition in most developing countries.Epidemiologic studies have associated nut consumption with a reduced incidence of cardiovascular heart diseases and gallstones in both genders and diabetes in women.Limited evidence also suggests beneficial effects on hypertension,cancer,and inflammation.The health risk associated with peanut consumption is allergy in developed countries.The review discusses the health aspects,including allergy,of peanut consumption as they related to the chemical composition of peanuts using literatures published in past two decades with exceptions of a few older articles.
文摘Parathyroid hormone （PTH） secretion is characterized by an ultradian rhythm with tonic and pulsatile components. In healthy subjects, the majority of PTH is secreted in tonic fashion, whereas approximately 30% is secreted in low-amplitude and high-frequency bursts occurring every 10-20 min, superimposed on tonic secretion. Changes in the ultradian PTH secretion were shown to occur in patients with primary and secondary osteoporosis, with skeletal effects depending on the reciprocal modifications of pulsatile and tonic components. Indeed, pathophysiology of spontaneous PTH secretion remains an area potentially suitable to be explored, particularly in those conditions such as secondary forms of osteoporosis, in which conventional biochemical and densitometric parameters may not always give reliable diagnostic and therapeutic indications. This review will highlight the literature data supporting the hypothesis that changes of ultradian PTH secretion may be correlated with skeletal fragility in primary and secondary osteoporosis.
文摘The hydrothermal behavior of air inside a solar channel heat exchanger equipped with various shaped ribs is analyzed numerically.The bottom wall of the exchanger is kept adiabatic,while a constant value of the temperature is set at the upper wall.The duct is equipped with a flat rectangular fin on the upper wall and an upstream V-shaped baffle on the lower wall.Furthermore,five hot wall-attached rib shapes are considered:trapezoidal,square,triangular pointing upstream(type Ⅰ),triangular pointing downstream(type Ⅱ),and equilateral-triangular(type Ⅲ)cross sections.Effects of the flow rates are also inspected for various Reynolds numbers in the turbulent regime(1.2×10^(4)-3.2×10^(4)).The highest performance(η)value is given for the Ⅱ-triangular rib case in all Re values,while the square-shaped ribs show a significant decrease in the η along the achieved Re range.The η value at Remax is 2.567 for the Ⅱ-triangular roughness case.Compared with the other simulated cases,this performance is decreased by about 3.768%in the case of Ⅰ-triangular ribs,15.249% in the case of Ⅲ-triangular ribs,20.802% in the case of trapezoidal ribs,while 27.541% in the case of square ribs,at the same Remax.Also,a comparison ismade with air-heat exchangers that have non-rough walls and contain cross-shaped VGs presented previously,in order to highlight the effectiveness of the rough surface presence in the baffled and finned channels.The obtained results indicated that the triangular-shaped rib(type Ⅱ)has the most significant hydrothermal behavior than the other cases.This indicates the necessity of roughness heat transfer surfaces for finned and baffled channels to improve significantly the performance of the air-heat exchangers they contain.
