期刊文献+
共找到942篇文章
< 1 2 48 >
每页显示 20 50 100
Deriving Morphological Causatives in Moroccan Arabic
1
作者 Ayoub Loutfi 《宏观语言学》 2020年第1期1-17,共17页
This paper explores the nature of the post-syntactic operations responsible for the representations of the linear order of terminal nodes.In particular,it argues in favor of a unified model of the morphosyntax and mor... This paper explores the nature of the post-syntactic operations responsible for the representations of the linear order of terminal nodes.In particular,it argues in favor of a unified model of the morphosyntax and morphophonology,wherein the theory of Distributed Morphology and Optimality Theory operate in a single module.The testing ground is an investigation of the formation of morphological causatives in Moroccan Arabic.Herein,the process of realizing causatives is morphological gemination,whereby the second consonant of the root is doubled.Investigating the question of what triggers the infixal process,I argue against the linearization algorithm suggested in Embick&Noyer(2001),Embick&Marantz(2008),and Embick(2006,2010).Instead,the claim I defend here is that the onus of the linearization process falls on the prosody in Arabic,the central assumption being that the morphosyntactic structure,the output of the syntactic derivation,is the input to OT morphophonological constraints.These constraints are responsible for the linearization of the terminal nodes of the syntactic derivation.I show that adopting one theory over others misses important generalizations about the language. 展开更多
关键词 causatives ARABIC Moroccan Arabic non-concatenative morphology LINEARIZATION
在线阅读 下载PDF
An Investigation of Lexical Causatives from a Cross- linguistic Perspective
2
作者 Changyin Zhou Yue Ma 《International Journal of Technology Management》 2013年第7期112-118,共7页
This paper will make an investigation on the properties of lexical causatives from the cross-linguistic perspective. Specifically, we shall contrast the lexical causatives in English, Japanese and Chinese. We adopt Py... This paper will make an investigation on the properties of lexical causatives from the cross-linguistic perspective. Specifically, we shall contrast the lexical causatives in English, Japanese and Chinese. We adopt Pylkk^inen's (2008) minimalist model as the framework. According to this model, the similarity of cross-linguistic causatives is attributed to the presence of the functional head vCAUSE. Variations of causatives in different languages can be attributed to two parameters: (i) whether vCAUSE obligatorily requires the presence of an external argument or not; (ii) the complement of vCAUSE is root-selecting, verb-selecting or phase-selecting. Causatives in languages can be ronghly divided into two types, namely the lexical causatives and the productive ones. As far as lexical causatives are concerned, languages can be classified into Voice-bundling vs. Non-Voice-bundling ones according to whether the presence of an external argument (i.e, causer or cause) is obligatorily required in lexical causatives or not. English is Voice-bundling and Japanese is Non-Voice-bundling. Chinese stands as the third type of languages which may be called semi-Voice-bnndling language since lexical unaccusative causatives in Chinese are Non-Voice-bundling while action-result-compounds unaccusatives (resultative unaccusatives) are Voice-bundling. Causative heads of lexical cat, satires in these three languages are all root-selecting. 展开更多
关键词 lexical causatives voice-bundling root-selecting
在线阅读 下载PDF
The Morphophonology of Moroccan Arabic Derived Causatives
3
作者 Ayoub Noamane 《宏观语言学》 2020年第2期1-27,共27页
This paper aims at investigating the morphophonological make-up of derived causatives in Moroccan Arabic within the framework of Optimality Theory (Prince &Smolensky, 2004). Causative verbs in MA are characterized... This paper aims at investigating the morphophonological make-up of derived causatives in Moroccan Arabic within the framework of Optimality Theory (Prince &Smolensky, 2004). Causative verbs in MA are characterized by the systematic gemination of their medial consonants. However, it is not easy to determine the morphological nature of the causative morpheme involved in this derivation. Also, it is not clearly known why the causative morpheme gets realized exactly on the second segment of the base form.Therefore, we seek to achieve the following goals. First, we intend to determine the nature of the causative morpheme. Second, we aim to explain why the causative morpheme is realized on the second segment of the base form. In this respect, we show that the causative morpheme is represented by a featureless consonantal mora that targets the second segment of the base root, turning it into a geminate. We also show that the causative morpheme gets infixed thanks to the privileged status of root-initial segments. 展开更多
关键词 causative verbs morphophonology GERMINATION word formation infixation Optimality Theory Moroccan Arabic
在线阅读 下载PDF
Decade of insights on causes of scleral buckle failure in retinal detachment
4
作者 Hu Cheng Liu Yin +6 位作者 Du Fan Zhu Li Xiang Nian Huang Zhijian Yan Ying Zeng Bo Chen Xiao 《国际眼科杂志》 2026年第2期197-201,共5页
AIM:To investigate the underlying causes of surgical failure and reoperation management in patients with rhegmatogenous retinal detachment(RRD)who underwent scleral buckle surgery at our institution.METHODS:This was a... AIM:To investigate the underlying causes of surgical failure and reoperation management in patients with rhegmatogenous retinal detachment(RRD)who underwent scleral buckle surgery at our institution.METHODS:This was a single-center,retrospective,descriptive study.The clinical data of 368 patients(387 eyes)with RRD who underwent scleral buckling(SB)surgery between August 2013 and July 2023 at our institution were collected.The aim was to analyze the causes of recurrence and the rationale for selecting reoperation methods.RESULTS:Totally 368 patients(387 eyes)were included in the analysis,comprising 222 males and 146 females.The average age was 30.26±14.18 years,and the mean follow-up duration was(48.33±20.39)mo.The success rate of SB surgery was 90.2%.Recurrent retinal detachment occurred in 38 eyes.Based on surgical records,the causes of SB failure were analyzed.The recurrence causes included abnormal compression ridge position(position,height,or width)in 14 eyes(36.8%,14/38),hole omission in 11 eyes(29.0%,11/38),proliferative vitreoretinopathy(PVR)in 10 eyes(26.3%,10/38),and new holes in 3 eyes(7.9%,3/38).Among these,8 eyes(21.1%,8/38)underwent repeat SB surgery,while the remaining 30 eyes(78.9%,30/38)underwent pars plana vitrectomy(PPV).Regarding tamponade agents,silicone oil was used in 11 eyes(36.7%,11/30),C_(3)F_(8) gas in 12 eyes(40.0%,12/30),and sterile air in 7 eyes(23.3%,7/30).CONCLUSION:SB surgery demonstrates a high success rate in the treatment of RRD.However,abnormal compression ridge position,missed holes during surgery,and PVR are the primary causes of SB failure.After addressing the reasons for failure,re-SB surgery or PPV can be effective alternatives. 展开更多
关键词 retinal detachment scleral buckling cause of failure REOPERATION
暂未订购
Root cause analysis from the perspectives of patients in primary care units:cases study of typical adverse drug events
5
作者 Ping Gong Xing-Yang Chen +1 位作者 Qin Long Ting-Ting Zhou 《Frontiers of Nursing》 2026年第1期61-68,共8页
Objective:To identify the root causes of typical adverse drug events through the lens of patient experiences proposing novel strategies to mitigate preventable harm.Methods:A qualitative case study leveraging in-depth... Objective:To identify the root causes of typical adverse drug events through the lens of patient experiences proposing novel strategies to mitigate preventable harm.Methods:A qualitative case study leveraging in-depth interviews with patients and families,anchored by Interactive Patient Par ticipation Theory,to analyze 4 high-severity adverse drug events(ADE)cases.Cases were purposively sampled from 8 communities in China's National Adverse Event Monitor Center(2018-2023).Semi-structured interviews explored patient perspectives,with data analyzed via thematic coding and triangulation against clinical records.Results:Five interconnected themes emerged:(1)erosion of trust,(2)communication breakdowns,(3)information asymmetry,(4)environmental inadequacies,and(5)technological alienation.Notably,75% of participants had≤high school education,and 50% used≥7 medications daily,compounding ADE risks.Conclusions:We considered elements mentioned by theory,exploring trust,communication,information,and suppor t as the root causes.In addition,we added“adaptability to new technology”as an impor tant and necessary component.It is impor tant and necessary to analyze typical adverse drug events from the perspectives of patients. 展开更多
关键词 adverse drug events case study medication safety patients safety primary care units root cause analysis qualitative study THEORY
暂未订购
Kumtag 061:A heavily shocked brachinite
6
作者 Yuwei Zhang Dongliang Zhang +5 位作者 Thomas Smith P.M.Ranjith Huaiyu He Guangming Song Yan Fan Shijie Li 《Acta Geochimica》 2026年第1期86-98,共13页
Brachinite is a group of primitive achondrites that enables investigating the evolution of asteroids not fully diff erentiated in the early stage of the solar system.Kumtag 061 is a new meteorite sample collected on O... Brachinite is a group of primitive achondrites that enables investigating the evolution of asteroids not fully diff erentiated in the early stage of the solar system.Kumtag 061 is a new meteorite sample collected on October 27,2019,in Kumtag Desert,Xinjiang Province,China.The oxygen isotope composition(δ^(18)O=5.086‰,δ^(17)O=2.396‰,Δ’^(17)O=-0.298‰)and petrologic and mineralogic analysis suggest Kumtag 061 is a heavy-impacted brachinite(S4-S5).The geochemical composition suggests Kumtag 061 represents a partial melting residue of the brachinite parent body.Based on the noble gas composition,the cosmic ray exposure age of Kumtag 061 is 60.9±9.0 Ma.Combined with the gas retention ages,they indicate a(series of)thermal events on the parent body of brachinites before Kumtag 061 was ejected into space. 展开更多
关键词 Brachinite Impaction caused features Partial melting residues of the parent body Noble gases
在线阅读 下载PDF
Combined liver resection and peritoneal stripping for Echinococcus multilocularis
7
作者 Kaitlyn R Musto Kristopher P Croome 《Hepatobiliary & Pancreatic Diseases International》 2026年第1期97-99,共3页
Echinococcus is a zoonotic parasite and 1 of 17 neglected tropical diseases with a worldwide distribution.The World Health Organization(WHO)targeted for control or elimination by 2050[1,2].Two main species of Echinoco... Echinococcus is a zoonotic parasite and 1 of 17 neglected tropical diseases with a worldwide distribution.The World Health Organization(WHO)targeted for control or elimination by 2050[1,2].Two main species of Echinococcus infect humans:Echinococcus granulosus,causing cystic echinococcosis(CE),and Echinococcus multilocularis(EM),causing alveolar echinococcosis(AE)[3].AE is much rarer but far more severe than CE and ranks as one of the most dangerous helminthic zoonoses in the world[4,5].Humans are rare aberrant intermediate hosts and typically become infected through the ingestion of EM eggs shed in the feces of definitive hosts[6].After an incubation period of many years,humans may develop AE[7].While slow-growing,AE is a devastating clinical condition characterized by silent progression and infiltrative proliferation of the parasite,mimicking a malignancy[7].Without appropriate treatment,AE has a death rate of more than 90%within 10 years of diagnosis[5].For this reason,AE must be considered in the differential diagnosis of patients presenting with a hepatic mass or malignancy. 展开更多
关键词 Echinococcus multilocularis echinococcus multilocularis em causing neglected tropical diseases Liver resection cystic echinococcosis ce helminthic zoonoses alveolar echinococcosis ae ae Peritoneal stripping
暂未订购
Staphylococcus aureus Cultured from Sushi in China:Revealing the Potential Foodborne Pathogenic Risks based on Antimicrobial Susceptibility,Virulence Factors and Genetic Characteristics
8
作者 Hui Li Xin Gan +6 位作者 Menghang Li Shiwei Liu Dajin Yang Lin Yan Séamus Fanning Li Bai Zhaoping Liu 《Biomedical and Environmental Sciences》 2026年第2期239-244,共6页
Staphylococcus aureus(S.aureus)is the third most common pathogen causing 10.6%of bacterial foodborne illnesses in China in 2021[1].Heat-stable Staphylococcal Enterotoxins(SEs)produced by S.aureus are the main contribu... Staphylococcus aureus(S.aureus)is the third most common pathogen causing 10.6%of bacterial foodborne illnesses in China in 2021[1].Heat-stable Staphylococcal Enterotoxins(SEs)produced by S.aureus are the main contributors to staphylococcal food poisoning(SFP),causing vomiting,diarrhea,abdominal pain,headache,muscle cramps,and other acute gastroenteritis symptoms.More than 25 SEs and staphylococcal enterotoxin-like toxins(SE/s)have been described and which together comprise a superfamily of pyrogenic toxin superantigens(SAgs)[2]. 展开更多
关键词 bacterial foodborne illnesses staphylococcus aureus saureus foodborne pathogenic risks staphylococcal food poisoning sfp causing pyrogenic toxin sup antimicrobial susceptibility genetic characteristics virulence factors
暂未订购
Agentivity,Control and Semantic Structure in Russian Causatives
9
作者 Valentina Apresjan 《语言学论丛》 2019年第1期241-262,共22页
The paper examines the correlation between the degree of agentivity in Russian causatives and their semantic structure.It supports the view that the distinction between agentivity vs.non-agentivity in causatives is an... The paper examines the correlation between the degree of agentivity in Russian causatives and their semantic structure.It supports the view that the distinction between agentivity vs.non-agentivity in causatives is an important feature with various ramifications,as demonstrated in Comrie(1976),Talmy(2000).It also motivates the role of the"control"feature in the event structure of the causatives. 展开更多
关键词 CAUSATIVE intentional CONTROL NEGATION scope PRESUPPOSITION ASSERTION
原文传递
观察性研究中的因果图和混杂因素的识别和选择准则
10
作者 刘慧珍 周小芹 +1 位作者 王婷 康德英 《药物流行病学杂志》 2025年第10期1206-1212,共7页
在观察性研究中,准确可靠地估计暴露对结局的因果效应是其核心目标,而确定并充分矫正混杂因素是实现这一目标的关键前提和核心挑战。混杂因素控制不当——无论是遗漏关键混杂(导致残余混杂),还是过度调整无关变量(引入碰撞偏倚等)——... 在观察性研究中,准确可靠地估计暴露对结局的因果效应是其核心目标,而确定并充分矫正混杂因素是实现这一目标的关键前提和核心挑战。混杂因素控制不当——无论是遗漏关键混杂(导致残余混杂),还是过度调整无关变量(引入碰撞偏倚等)——都会直接扭曲效应估计结果,进而可能产生误导性的科学结论和临床决策。因此,开发并应用系统、透明且可重复的混杂因素识别与选择策略,对提升观察性研究因果推断的效度与可靠性具有根本性意义。本文通过系统综述有向无环图(DAGs)这一强大的可视化因果建模工具,并深入评析3种基于DAGs的主流混杂因素选择准则(Pre-exposure准则、Common cause准则、Modified disjunctive cause准则),为研究者提供一个结构化、理论依据充分的混杂因素识别与选择框架,以期显著优化观察性研究中因果效应的估计过程。 展开更多
关键词 混杂因素 混杂 有向无环图 Pre-exposure准则 Common cause准则 Modified disjunctive cause准则
原文传递
Causes and health risk assessment of fluorine in the Red bed groundwater and adjacent geothermal water of the Guang'an Area,Southwest China 被引量:2
11
作者 Yu-xiang Shao Wei Zhang +6 位作者 Wen-bin Chen Li Chen Jian Li Guang-long Tian Li-cheng Quan Bu-qingYan Yu-jie Liu 《Journal of Groundwater Science and Engineering》 2025年第2期116-132,共17页
Understanding the levels,causes,and sources of fluoride in groundwater is critical for public health,effective water resource management,and sustainable utilization.This study employs multivariate statistical methods,... Understanding the levels,causes,and sources of fluoride in groundwater is critical for public health,effective water resource management,and sustainable utilization.This study employs multivariate statistical methods,hazard quotient assessment,and geochemical analyses,such as mineral saturation index,ionic activities,and Gibbs diagrams,to investigate the hydrochemical characteristics,causes,and noncarcinogenic risks of fluoride in Red bed groundwater and geothermal water in the Guang'an area and neighboring regions.Approximately 9%of the Red bed groundwater samples contain fluoride concentrations exceeding 1 mg·L^(-1).The predominant water types identified are Cl-Na and HCO_(3)-Na,primarily influenced by evapotranspiration.Low-fluoride groundwater and high-fluoride geothermal water exhibit distinct hydrochemical types HCO_(3)-Ca and SO_(4)-Ca,respectively,which are mainly related to the weathering of carbonate,sulfate,and fluorite-containing rocks.Correlation analysis reveals that fluoride content in Red bed groundwater is positively associated with Na^(+),Cl^(-),SO_(4)^(2-),and TDS(r^(2)=0.45-0.64,p<0.01),while in geothermal water,it correlates strongly with pH,K^(+),Ca^(2+),and Mg^(2+)(r^(2)=0.52-0.80,p<0.05).Mineral saturation indices and ionic activities indicate that ion exchange processes and the dissolution of minerals such as carbonatite and fluorite are important sources of fluoride in groundwater.The enrichment of fluorine in the Red bed groundwater is linked to evaporation,cation exchange and dissolution of fluorite,caused by the lithologic characteristics of the red bed in this area.However,it exhibits minimal correlation with the geothermal water in the adjacent area.The noncarcinogenic health risk assessment indicates that 7%(n=5)of Red bed groundwater points exceed the fluoride safety limit for adults,while 12%(n=8)exceed the limit for children.These findings underscore the importance of avoiding highly fluoridated red bed groundwater as a direct drinking source and enhancing groundwater monitoring to mitigate health risks associated with elevated fluoride levels. 展开更多
关键词 Guang'an area Red bed groundwater Geothermal water Fluoride contamination CAUSES Health risk assessment
在线阅读 下载PDF
Berg Balance Scale score is a valuable predictor of all-cause mortality among acute decompensated heart failure patients 被引量:1
12
作者 Yu-Xuan FAN Jing-Jing CHENG +7 位作者 Zhi-Qing FAN Jing-Jin LIU Wen-Juan XIU Meng-Yi ZHAN Lin LUO Guang-He LI Le-Min WANG Yu-Qin SHEN 《Journal of Geriatric Cardiology》 2025年第6期555-562,共8页
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
关键词 physical function assessment scalessuch Acute Decompensated Heart Failure All Cause Mortality Physical Function Assessment berg balance scale bbs short physical performance battery sppb univariate cox regression analysiswhile Short Physical Performance Battery
暂未订购
What Emerges from the Analysis of Maternal Deaths at the Gyneco-Obstetric and Paediatric Hospital in Yaoundé?
13
作者 Pascale Mpono Emenguele Nelssa Kuete Fouomekong +8 位作者 Junie Annick Metogo Ntsama Vanina Ngono Akam Christiane Nsahlai Isidore Tompeen Serge Nyada Véronique Mboua Batoum Wilfried Loïc Tatsipie Xavier Junior Ayissi Ngono Esther Ngo Um Meka 《Open Journal of Obstetrics and Gynecology》 2025年第1期118-137,共20页
Background: Maternal mortality remains a major public health problem worldwide. Objectives: Our study aims to present the results of an analysis of reviews of maternal deaths at HGOPY. Methodology: This was a descript... Background: Maternal mortality remains a major public health problem worldwide. Objectives: Our study aims to present the results of an analysis of reviews of maternal deaths at HGOPY. Methodology: This was a descriptive cross-sectional study with retrospective data collection from archived records and reviewed maternal death reports. Our study lasted 8 months, from October 1, 2023 to May 31, 2024. The study covered maternal death files at the HGOPY over an 8-year period, from 1st of January 2016 to the 31st of December 2023. Data were processed and analyzed using Statitical Paquage for Social Science (SPSS) version 26.0. Results: We counted a total of 160 maternal deaths, of which 97 had been reviewed. We excluded 61 deceased women reviewed and retained 33. We recorded a cumulative total of 160 maternal deaths and 19,651 live births. The peak in the proportion of maternal deaths at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital was in 2021, with a proportion of 0.013. No maternal deaths had been reviewed between 2016 to 2017. Most deaths (64%) occurred between 37 and 40 weeks. The majority (30.5%) were aged between 30 and 35. The data show that 80.6% of maternal deaths were due to direct obstetric causes, while 19.4% were due to indirect causes. Most deaths (69.4%) were preventable. Only 8.3% were not preventable. Conclusion: Concerted efforts must be made to adapt maternal death prevention and management strategies to local contexts in order to significantly reduce these alarming figures. 展开更多
关键词 Maternal Mortality PROPORTION Review CAUSE ETIOLOGY
暂未订购
Analysis of Claims in the Uganda Construction Industry
14
作者 Alinaitwe Henry 《Journal of Civil Engineering and Architecture》 2025年第1期36-43,共8页
The increasing cost of infrastructure development risks stifling national investment plans.Many projects in Uganda have suffered because of the frequency and magnitude of claims made by parties involved especially the... The increasing cost of infrastructure development risks stifling national investment plans.Many projects in Uganda have suffered because of the frequency and magnitude of claims made by parties involved especially the contractors.As a result,the construction industry is plagued with claims which quite often lead to adversarial relationships.The major grounds for claims were identified through studying the contract documents where claims had been made.Increase in scope;change orders;errors in contract documents;inclement weather;inflation;delay in possessing the site;and change in the tax policy were the most prevalent grounds for making claims.Problems identified in claiming process include delays in getting approval;information on claims not reliable;hostility from the parties involved;pricing of claims;delays in effecting payment when approved;and overzealous contract interpretation leading to misunderstanding and delays Using a survey on project managers for 64 contractors and their corresponding clients or their representatives,the major ways in which it can be reduced were identified as being thoroughness during the design phase;providing for inflation;proper planning of works;using prequalified contractors;and proper documentation of records.Clients have a big role to play in reducing claims. 展开更多
关键词 CLAIMS CONSTRUCTION CAUSES disputes
在线阅读 下载PDF
New Books
15
《China's Tibet》 2025年第4期71-71,共1页
Author:Hu Yan.This book provides a comprehensive overview of the background,causes,process,and impact of the British invasion of Xizang from 1903 to 1904,offering an in-depth analysis of the nature and detrimental act... Author:Hu Yan.This book provides a comprehensive overview of the background,causes,process,and impact of the British invasion of Xizang from 1903 to 1904,offering an in-depth analysis of the nature and detrimental actions of imperialist aggression. 展开更多
关键词 Xizang CAUSES imperialist aggression PROCESS British invasion Imperialist aggression IMPACT BACKGROUND
在线阅读 下载PDF
Mediastinal lymphadenopathy:Causes,symptoms and factors predicting good yield of endoscopic ultrasound-guided biopsy
16
作者 Abbas A Tasneem Nasir H Luck Muhammed Mubarak 《World Journal of Clinical Cases》 2025年第22期38-46,共9页
BACKGROUND Mediastinal lymph nodes(MLNs)can be enlarged due to various benign or malignant causes.Endoscopic ultrasound(EUS)is often employed for the acquisition of tissue specimens of the enlarged MLN(EMLN).AIM To de... BACKGROUND Mediastinal lymph nodes(MLNs)can be enlarged due to various benign or malignant causes.Endoscopic ultrasound(EUS)is often employed for the acquisition of tissue specimens of the enlarged MLN(EMLN).AIM To determine the causes,document the symptoms,and determine factors predicting good yield of EUS-guided EMLN biopsy.METHODS All patients having EMLN(>10 mm)on thoracic imaging and referred for EUSguided biopsy were included in this retrospective observational study.Adequacy of the tissue specimen was assessed by the endoscopist with macroscopic on-site evaluation(MOSE)and then sent to a histopathologist for final diagnosis.Analysis for factors predicting good biopsy yield was then performed.RESULTS Of the total 243 patients with EMLN,131(53.9%)were males.The mean age was 47.6(±14.7)and range 14-86 years.Commonest causes of EMLN were tuberculosis 82(33.7%),anthracosis 53(21.8%),neoplastic disease 43(17.7%)and sarcoidosis 14(5.8%).Among the 43 patients with neoplastic diseases:40 had metastatic disease(breast 9,lung 7,pancreatobiliary 6,esophagus 5,kidney 5,hepatocellular 2,neuroendocrine 2,gastrointestinal stromal 1,undetermined 3)and 3 had primary malignancies(lymphoproliferative disorder 2,Kaposi sarcoma 1).Chest related clinical symptoms were absent in more than half the patients with tuberculosis 51/82(62.2%),anthracosis 31/53(58.5%)and neoplastic disease 28/43(65.1%).Factors associated with good biopsy yield were:Subcarinal location of MLN(P=0.026),MLN size>12 mm(P<0.0001),use of fine-needle biopsy(vs fine-needle aspiration)(P=0.049)and satisfactory MOSE(P<0.0001)on univariate analysis;while MLN size>12 mm(P=0.005)and satisfactory MOSE(P<0.0001)on multivariate analysis.CONCLUSION Tuberculosis,anthracosis and metastatic disease were the commonest causes of EMLN.More than half the cases with EMLN had no chest-related symptoms.Large MLN size and satisfactory MOSE observation predicted a good biopsy yield. 展开更多
关键词 Mediastinal lymphadenopathy Endoscopic ultrasound CAUSES BIOPSY
暂未订购
Associations of physical frailty,depression and their interaction with incident all-cause dementia among older adults:evidence from three prospective cohorts
17
作者 Yihong Ding Mingrui Duan +4 位作者 Jie Shen Lisha Xu Yuehui Ma Di He Yimin Zhu 《General Psychiatry》 2025年第6期416-425,共10页
Background Physical frailty and depression may share common pathophysiological pathways associated with dementia and thus interact with each other.However,previous studies have primarily focused on the individual impa... Background Physical frailty and depression may share common pathophysiological pathways associated with dementia and thus interact with each other.However,previous studies have primarily focused on the individual impact of these factors on dementia.Aims To examine the joint effect and interaction of physical frailty and depression on the risk of all-cause dementia.Methods We conducted prospective analyses among participants aged≥60 years from three cohorts:the UK Biobank(UKB),the English Longitudinal Study of Ageing(ELSA)and the Health and Retirement Study(HRS).Physical frailty was assessed using modified versions of the Fried frailty phenotype.Depression was evaluated through mental health questionnaires or combined with hospital admission records.The primary outcome was incident all-cause dementia,identified via active follow-up and passive surveillance.Cox proportional hazards models were used to estimate the hazard ratios(HRs)and 95%confidence intervals(CIs).Results A total of 220947 participants(mean age:64.5 years;53.3%female)were included.Over 2832696 person-years of follow-up,9088 participants(7605 in UKB,1207 in HRS and 276 in ELSA)developed incident all-cause dementia.Compared with robust individuals,frail participants faced a 155%increased risk of dementia(pooled HR:2.55,95%CI 2.36 to 2.76;I2=72.3%).Depression conferred a 1.59-fold excess risk for dementia(pooled HR:1.59,95%CI 1.50 to 1.69;I2=56.8%).Adding physical frailty and depression to a traditional dementia risk model significantly improved prediction accuracy(all p-Δarea under the curve<0.05).Jointly,participants with both physical frailty and depression exhibited the highest dementia risk(pooled HR:3.23,95%CI 2.86 to 3.65;I2=41.6%)compared with those without physical frailty and depression.Moreover,a significant additive interaction between physical frailty and depression was observed(pooled relative excess risk due to interaction:0.38,95%CI 0.13 to 0.63),with 17.1%(95%CI 6.0%to 28.3%)of dementia risk attributed to their interactive effects.Conclusions Individuals with both physical frailty and depression had the highest risk of dementia.More importantly,these two factors interact in an additive manner,further amplifying dementia risk. 展开更多
关键词 DEPRESSION physical frailty prospective analyses prospective cohorts pathophysiological pathways INTERACTION all cause dementia
暂未订购
Process fault root cause diagnosis through state evolution mapping based on temporal unit shapelets
18
作者 Zhenhua Yu Guan Wang +1 位作者 Qingchao Jiang Xuefeng Yan 《Chinese Journal of Chemical Engineering》 2025年第8期96-106,共11页
Accurate fault root cause diagnosis is essential for ensuring stable industrial production. Traditional methods, which typically rely on the entire time series and overlook critical local features, can lead to biased ... Accurate fault root cause diagnosis is essential for ensuring stable industrial production. Traditional methods, which typically rely on the entire time series and overlook critical local features, can lead to biased inferences about causal relationships, thus hindering the accurate identification of root cause variables. This study proposed a shapelet-based state evolution graph for fault root cause diagnosis (SEG-RCD), which enables causal inference through the analysis of the important local features. First, the regularized autoencoder and fault contribution plot are used to identify the fault onset time and candidate root cause variables, respectively. Then, the most representative shapelets were extracted to construct a state evolution graph. Finally, the propagation path was extracted based on fault unit shapelets to pinpoint the fault root cause variable. The SEG-RCD can reduce the interference of noncausal information, enhancing the accuracy and interpretability of fault root cause diagnosis. The superiority of the proposed SEG-RCD was verified through experiments on a simulated penicillin fermentation process and an actual one. 展开更多
关键词 Root cause diagnosis Neural networks Shapelet FERMENTATION BIOPROCESS
在线阅读 下载PDF
A survey on textual emotion cause extraction in social networks
19
作者 Sancheng Peng Lihong Cao +3 位作者 Guojun Wang Zhouhao Ouyang Yongmei Zhou Shui Yu 《Digital Communications and Networks》 2025年第2期524-536,共13页
With the rapid development of web technology,Social Networks(SNs)have become one of the most popular platforms for users to exchange views and to express their emotions.More and more people are used to commenting on a... With the rapid development of web technology,Social Networks(SNs)have become one of the most popular platforms for users to exchange views and to express their emotions.More and more people are used to commenting on a certain hot spot in SNs,resulting in a large amount of texts containing emotions.Textual Emotion Cause Extraction(TECE)aims to automatically extract causes for a certain emotion in texts,which is an important research issue in natural language processing.It is different from the previous tasks of emotion recognition and emotion classification.In addition,it is not limited to the shallow-level emotion classification of text,but to trace the emotion source.In this paper,we provide a survey for TECE.First,we introduce the development process and classification of TECE.Then,we discuss the existing methods and key factors for TECE.Finally,we enumerate the challenges and developing trend for TECE. 展开更多
关键词 TEXT EMOTION Emotion cause Machine learning Deep learning
在线阅读 下载PDF
上一页 1 2 48 下一页 到第
使用帮助 返回顶部