Introduction: A great number of software are currently used to digitalize the patient records in order to optimize the quality of services offered to patients. The objective of this study was to evaluate the effects o...Introduction: A great number of software are currently used to digitalize the patient records in order to optimize the quality of services offered to patients. The objective of this study was to evaluate the effects of Electronic Health Records use in Burundi’s hospitals, taking into account the COVID-19 pandemic context. Methods: This was a quasi-experimental study based on difference in difference method. Ten district hospitals were included in the study, five of them had the Electronic Health Records and five of which did not yet have the Electronic Health Records. The hospital’s control group were chosen using the propensity score matching method. The period before the project’s implementation was 2014 and the period after were 2019 and 2020. Results: After 5 years of the Electronic Health Record’s implementation, the results showed an increase in outpatient consultation (70%), deliveries (more than 100%), caesarean sections (56%) and major surgeries (43%) indicators. The overall quality score of hospitals’ care had a regressive effect of 37% and the income from performance-based funding had an increase by 31%. The indicators which were affected by the context of the COVID-19 pandemic were especially outpatient consultation, caesarian section, income from performance-based funding decreased by 3%, 5% and 20% respectively. Conclusion: The effects of Electronic Health Records use are effective. As the COVID-19 pandemic impacted the hospital’s indicators negatively, the resilient strategies alongside the potential shocks are recommended.展开更多
Accounting informatization is the combination of accounting and information technology. It is a necessary measure for enterprise financial accounting management to conform to the wave of informatization. It is helpful...Accounting informatization is the combination of accounting and information technology. It is a necessary measure for enterprise financial accounting management to conform to the wave of informatization. It is helpful to enhance the competitiveness of enterprises and solve the "isolated island" phenomenon existing in accounting computerization. In view of this, the article first points out the necessity of the development of enterprise financial accounting informatization, and then expounds the main performance in the development process of enterprise financial accounting informatization, which is helpful for practitioners to understand the realization conditions of enterprise financial accounting informatization. On this basis, the article puts forward the effective countermeasures for the development of enterprise financial accounting computerization to informatization, including establishing the correct cognition and concept of enterprise financial accounting informatization;In order to provide certain reference for the research and practice of practitioners, it is necessary to upgrade and perfect the enterprise financial accounting system in two aspects.展开更多
At present, there are many problems in accounting computerization in colleges and universities, such as unreasonable class layout, lack of teachers and weak practical training, which can not adapt to social developmen...At present, there are many problems in accounting computerization in colleges and universities, such as unreasonable class layout, lack of teachers and weak practical training, which can not adapt to social development. Therefore, this paper has certain practical significance for solving the problems related to accounting computerization, training various accounting and electromechanical personnel to meet the social needs and promoting social development.展开更多
The algebraic reconstruction technique(ART),multiplicative algebraic reconstruction technique(MART),and simultaneous iterative reconstruction technique(SIRT)are computational methodologies extensively utilized within ...The algebraic reconstruction technique(ART),multiplicative algebraic reconstruction technique(MART),and simultaneous iterative reconstruction technique(SIRT)are computational methodologies extensively utilized within the field of computerized ionospheric tomography(CIT)to facilitate three-dimensional reconstruction of the ionospheric morphology.However,reconstruction accuracy elicits recurrent disputes over its practical application,and people usually attribute this issue to incomplete and uneven coverage of the measurements.The Thermosphere Ionosphere Electrodynamics General Circulation Model(TIEGCM)offers a reasonable physics-based ionospheric background and is widely utilized in ionospheric research.We use the TIEGCM simulations as the targeted ionosphere because the current measurements are far from able to realistically reproduce the ionosphere in detail.Optimized designations of satellite measurements are conducted to investigate the limiting performance of CIT methods in ionospheric reconstruction.Similar to common practice,electron density distributions from outputs of the International Reference Ionosphere(IRI)model are used as the iterative initial value in CIT applications.The outcomes suggest that despite data coverage,iterative initial conditions also play an essential role in ionospheric reconstruction.In particular,in the longitudinal sectors where the iterative initial height of the F2-layer peak electron density(hmF2)differs substantially from the background densities,none of the three CIT methods can reproduce the exact background profile.When hmF2 is close but the ionospheric F2-layer peak density(NmF2)is different between the targeted background and initial conditions,the MART performs better than the ART and SIRT,as evidenced by the correlation coefficients of MART being above 0.97 and those of ART and SIRT being below 0.85.In summary,this investigation reveals the potential uncertainties in traditional CIT reconstruction,particularly when realistic hmF2 or NmF2 values differ substantially from the initial CIT conditions.展开更多
Continuous carbon fiber reinforced silicon carbide(C/SiC)composites are often subjected to low-velocity impacts when utilized as structural materials for thermal protection.However,research on in-plane impact damage a...Continuous carbon fiber reinforced silicon carbide(C/SiC)composites are often subjected to low-velocity impacts when utilized as structural materials for thermal protection.However,research on in-plane impact damage and multiple impact damage of C/SiC composites is limited.To investigate the in-plane impact damage behavior of C/SiC composites,a drop-weight impact test method was developed for strip samples,and these results were subsequently compared with those of C/SiC composite plates.Results show that the in-plane impact behavior of C/SiC strip samples is similar to that of C/SiC composite plates.Variation of the impact load with displacement is characterized by three stages:a nearly linear stage,a severe load drop stage,and a rebound stage where displacement occurs after the impact energy exceeds its peak value.Impact damage behavior under single and multiple impacts on 2D plain and 3D needled C/SiC composites was investigated at different impact energies and durations.Crack propagation in C/SiC composites was studied by computerized tomography(CT)technique.In the 2D plain C/SiC composite,load propagation between layers is hindered during impact,leading to delamination and 90°fiber brittle fracture.The crack length perpendicular to the impact direction increases with impact energy increases,resulting in more serious 0°fiber fracture and a larger area of fiber loss.In the 3D needled C/SiC composite,load propagates between the layers during impact through the connection of needled fibers.The fibers continue to provide substantial structural support,with notable instances of fiber pull-off and debonding.Consequently,the impact resistance is superior to that of 2D plain C/SiC composite.When the 3D needled C/SiC composite undergoes two successive impacts of 1.5 J,the energy absorption efficiency of the second impact is significantly lower,accompanied by a smaller impact displacement.Moreover,the total energy absorption efficiency of these two impacts of 1.5 J is lower than that of a single 3.0 J impact.展开更多
Numerous slope failures have been reported during periods of water level fluctuations.Understanding the influence of water on the creep behavior of joints is essential for evaluating the long-term stability of slopes....Numerous slope failures have been reported during periods of water level fluctuations.Understanding the influence of water on the creep behavior of joints is essential for evaluating the long-term stability of slopes.This study focuses on the effects of drying-wetting cycles and soaking conditions on the long-term behavior of sandstone joints.A total of 12 multi-stage shear creep tests are carried out on sandstone joints subjected to varying drying-wetting cycles under both soaking and un-soaking conditions.Based on the experimental results,the influences of drying-wetting cycles as well as soaking conditions on the microstructure,shear creep displacement,strength,and failure morphologies of sandstone joints are investigated comprehensively.Results indicate that increasing drying-wetting cycles not only yields larger shear creep displacements but also leads to a negative exponential decrease in the strength of sandstone joints.Besides,soaking conditions strongly influence the creep behavior of sandstone joints.The failure strength and long-term strength of sandstone joints for soaked samples decrease by 13.6%–29.0%and 19.4%–37.5%,respectively,as compared to unsoaked samples.Furthermore,four distinct stages in the shear creep process were identified according to the results obtained from multi-stage shear creep tests and computerized tomography scans,and three creep failure modes of sandstone joints are thus determined.Finally,the influence mechanism of drying-wetting cycles and soaking conditions on the creep failure modes of sandstone joints is revealed.Drying-wetting cycles and soaking conditions diminish the influence of asperities on the shear creep behavior of joints,thereby reducing the resistance of joints to long-term deformation.展开更多
Background Schizophrenia is characterised by pervasive cognitive deficits that significantly impair daily functioning and quality of life.Pharmacological treatments have limited efficacy in addressing these deficits,h...Background Schizophrenia is characterised by pervasive cognitive deficits that significantly impair daily functioning and quality of life.Pharmacological treatments have limited efficacy in addressing these deficits,highlighting the need for adjunctive interventions like computerised cognitive training(CCT).Aims This study aimed to evaluate the effects of a 30-session CCT programme on mental well-being and cognitive performance in individuals with schizophrenia.Additionally,it assessed the usability and acceptability of CCT in this population.Methods A double-blind,randomised clinical trial was conducted with 54 participants assigned to intervention and control groups.Cognitive and mental health outcomes were assessed using validated tools such as the Depression Anxiety Stress Scale 21,the Warwick-Edinburgh Mental Wellbeing Scale and the Cambridge Neuropsychological Test Automated Battery.Usability was measured with the System Usability Scale(SUS).Assessments were conducted at baseline,post-intervention and 3 months post-follow-up.Results The CCT intervention significantly improved mental well-being,reduced stress and enhanced working memory(paired associate learning,spatial working memory and spatial span)compared with controls.However,no significant effects were observed for anxiety,depression or executive function.Usability scores were high(SUS=83.51),and compliance rates were strong(92.7%),indicating favourable participant engagement.Conclusion CCT demonstrated potential as an adjunctive treatment for schizophrenia,with significant improvements in targeted cognitive and mental health domains.The high usability and compliance rates support its feasibility for broader implementation.Further research is needed to optimise protocols and explore long-term benefits.CCT offers a promising approach to addressing mental health and cognitive challenges in schizophrenia,particularly for stress and working memory.Its usability and acceptability suggest it could be seamlessly integrated into clinical practice.展开更多
BACKGROUND Underdiagnosis of peripheral arterial disease results in inadequate treatment and more serious consequences.Hence,clinicians have focused on early diagnosis and treatment.AIM To investigate the effectivenes...BACKGROUND Underdiagnosis of peripheral arterial disease results in inadequate treatment and more serious consequences.Hence,clinicians have focused on early diagnosis and treatment.AIM To investigate the effectiveness of the combination of doppler ultrasonography(DUS),three-dimensional dynamic contrast-enhanced magnetic resonance an-giography(CE-MRA),and CT angiography(CTA)in assessing lower extremity arterial disease in diabetes mellitus(DM).METHODS This study retrospectively analyzed the imaging and clinical data of 116 patients diagnosed with DM complicated with lower extremity vascular diseases from January 2021 to June 2023.All patients underwent unilateral or bilateral DUS,CTA,and CE-MRA as well as invasive digital subtraction angiography(DSA).The application values of DUS,CE-MRA,and CTA were compared.RESULTS A total of 152 lower extremity arteries in the 116 patients were graded following the classification of vascular branches.The Kappa values between DUS and DSA were 0.780,0.755,and 0.806 for diagnosing moderate stenosis and 0.484,0.699,and 0.449 for severe stenosis of grade 1 arteries,grade 2 arteries,and grade 3 arteries,respectively.The Kappa values between CE-MRA and DSA were 0.784,0.814,and 0.835 for diagnosing moderate stenosis and 0.694,0.748,and 0.606 for severe stenosis of grade 1 arteries,grade 2 arteries,and grade 3 arteries,respectively.The Kappa values between CTA and DSA were 0.900,0.858,and 0.878 for diagnosing moderate stenosis and 0.882,0.823,and 0.756 for severe stenosis of grade 1 arteries,grade 2 arteries,and grade 3 arteries,respectively.CONCLUSION DUS,CE-MRA,and CTA demonstrated comparable accuracy in diagnosing lower extremity arterial disease in DM,and the consistency between CTA and DSA diagnoses was higher than the other two imaging methods.展开更多
BACKGROUND Schizophrenia is commonly associated with comorbid depression,which exacerbates cognitive impairments and negatively impacts quality of life.Despite the high prevalence and burden of these comorbidities,eff...BACKGROUND Schizophrenia is commonly associated with comorbid depression,which exacerbates cognitive impairments and negatively impacts quality of life.Despite the high prevalence and burden of these comorbidities,effective treatment options,particularly for cognitive dysfunction,remain limited.AIM To evaluate the efficacy of computerized cognitive behavioral therapy(CCBT)with sertraline vs sertraline monotherapy in improving depressive symptoms,cognitive function,and quality of life in schizophrenia and depressive episodes.METHODS In this single-center,randomized controlled trial,68 adults[mean age(SD)=36.5(10.0),57.4%male]with schizophrenia and depressive symptoms were randomly assigned to receive either CCBT with sertraline or sertraline monotherapy during a 4-week hospitalization.The CCBT intervention involved 45-60-minute sessions twice weekly for four weeks.Outcomes included comparisons of depressive symptoms(Calgary depression scale for schizophrenia),cognitive function[MATRICS consensus cognitive battery(MCCB)],and quality of life(36-item short form survey)between the groups.RESULTS The experimental group showed greater improvements in depressive symptoms at 4,8,and 12 weeks compared to the controls,with the most notable difference at 12 weeks[mean difference(MD)=-1.7;P<0.001;Cohen’s d=0.9].Cognitive function improved across all MCCB domains in the experimental group,with higher processing speed scores(MD=4.1;P=0.043;Cohen’s d=0.5)and social cognition scores(MD=4.9;P=0.006;Cohen’s d=0.7)than in the control group.Quality of life,particularly in mental health,was significantly better in the experimental group.CONCLUSION CCBT with sertraline was more effective than sertraline monotherapy for patients with schizophrenia and depressive episodes,supporting its use as an adjunctive therapy.展开更多
Disintegrated dolomite slope and tunnel disasters occur frequently due to poor water stability of disintegrated dolomite,primarily in a form of seepage failure.For engineering purposes,it is critical to determine the ...Disintegrated dolomite slope and tunnel disasters occur frequently due to poor water stability of disintegrated dolomite,primarily in a form of seepage failure.For engineering purposes,it is critical to determine the seepage properties of disintegrated dolomite within the strata.However,conventional experimental methods are time-consuming and expensive and may not be effective in investigating seepage characteristics due to the heterogeneity of disintegrated dolomite.In this study,pore network model(PNM)was established by the computerized tomography(CT)scanning technology to characterize the pores.Meanwhile,the seepage and coefficient of permeability under different inlet stress conditions based on the accurate pore model were realized by linking the commercial image processing software Avizo with the commercial multi-physics modeling package Comsol.The results show that the porosities of severely and completely disintegrated dolomites are 29.17% and 45.37%,respectively.The grade of pore development increases with disintegration grade,which facilitates seepage failure.Severely and completely disintegrated dolomites have the coefficients of permeability of 9.67×10^(-7) m/s and 1.61×10^(-6) m/s,respectively.Under conventional conditions,severely and completely disintegrated dolomites undergo seepage failure above a pressure difference of 6×10^(3) Pa and 5×10^(3) Pa,respectively.These results are consistent with both in situ water pressure tests in the borehole and laboratory tests with the constant-head method,demonstrating that CT scanning is an effective method for observing fractures and pores in disintegrated dolomite for seepage evaluation.展开更多
Double perovskite matrix materials have recently attracted considerable interest due to their structural flexibility,ease of doping,and excellent thermal stability.While photoluminescence(PL)studies of rare-earth-dope...Double perovskite matrix materials have recently attracted considerable interest due to their structural flexibility,ease of doping,and excellent thermal stability.While photoluminescence(PL)studies of rare-earth-doped double perovskites are common,research on their thermoluminescence(TL)properties is less extensive.This study synthesized a series of Y_(2-x)Sm_(x)MgTiO_(6)(0≤x≤0.1)samples using a high-temperature solid-state method.X-ray diffraction(XRD)analysis confirmed a monoclinic crystal structure(space group P2_(1)∕n),with Sm^(3+)ions substituting for Y^(3+)ions in Y_(2)MgTiO_(6).The PL results indicated that the optimal doping concentration was Y_(1.95)Sm_(0.05)MgTiO_(6),exhibiting emission peaks at 568,605,652,and 715 nm under 409 nm blue light excitation.The TL measurements for different doping concentrations showed that the Y_(1.98)Sm_(0.02)MgTiO_(6)phosphors exhibited the strongest TL signals.The TL peaks observed at 530 and 610 K correspond to defects in the matrix and Sm^(3+)dopants,respectively.The T_(m)-T_(stop)analysis revealed that the TL curve of Y_(1.98)Sm_(0.02)MgTiO_(6)phosphors was a superposition of seven peaks.Computerized glow curve deconvolution(CGCD)was performed on the TL of the sample according to the results of three-dimensional thermoluminescence spectra(3D-TL)and T_(m)-T_(stop),and the trap depths in the sample were estimated to range from 0.69 to 1.49 eV.Additionally,the lifetimes of each overlapping peak were calculated using the fitting parameters.Furthermore,the dose-response test showed that the saturation dose of the sample was high(9956 Gy).Therefore,this material can serve as a thermoluminescent dosimeter for high-dose measurements.The saturation dose for the lowest-temperature overlapping peak was 102 Gy,which correlated with its specific energy-level lifetime,whereas the other overlapping peaks also exhibited favorable linear relationships.展开更多
BACKGROUND Severe acute pancreatitis(SAP),a condition with rapid onset,critical condition and unsatisfactory prognosis,poses a certain threat to human health,warranting optimization of relevant treatment plans to impr...BACKGROUND Severe acute pancreatitis(SAP),a condition with rapid onset,critical condition and unsatisfactory prognosis,poses a certain threat to human health,warranting optimization of relevant treatment plans to improve treatment efficacy.AIM To evaluate the efficacy and safety of computerized tomography-guided the-rapeutic percutaneous puncture catheter drainage(CT-TPPCD)combined with somatostatin(SS)in the treatment of SAP.METHODS Forty-two SAP patients admitted to The Second Affiliated Hospital of Fujian Medical University from June 2020 to June 2023 were selected.On the basis of routine treatment,20 patients received SS therapy(control group)and 22 patients were given CT-TPPCD plus SS intervention(research group).The efficacy,safety(pancreatic fistula,intra-abdominal hemorrhage,sepsis,and organ dysfunction syndrome),abdominal bloating and pain relief time,bowel recovery time,hospital stay,inflammatory indicators(C-reactive protein,interleukin-6,and pro-calcitonin),and Acute Physiology and Chronic Health Evaluation(APACHE)II score of both groups were evaluated for comparison.RESULTS Compared with the control group,the research group had a markedly higher total effective rate,faster abdominal bloating and pain relief and bowel recovery,INTRODUCTION Pancreatitis,an inflammatory disease occurring in the pancreatic tissue,is classified as either acute or chronic and is associated with high morbidity and mortality,imposing a socioeconomic burden[1,2].The pathogenesis of this disease involves early protease activation,activation of nuclear factor kappa-B-related inflammatory reactions,and infiltration of immune cells[3].Severe acute pancreatitis(SAP)is a serious condition involving systemic injury and subsequent possible organ failure,accounting for 20%of all acute pancreatitis cases[4].SAP is also characterized by rapid onset,critical illness and unsatisfactory prognosis and is correlated with serious adverse events such as systemic inflammatory response syn-drome and acute lung injury,threatening the health of patients[5,6].Therefore,timely and effective therapeutic inter-ventions are of great significance for improving patient prognosis and ensuring therapeutic effects.Somatostatin(SS),a peptide hormone that can be secreted by endocrine cells and the central nervous system,is in-volved in the regulatory mechanism of glucagon and insulin synthesis in the pancreas[7].It has complex and pleiotropic effects on the gastrointestinal tract,which can inhibit the release of gastrointestinal hormones and negatively modulate the exocrine function of the stomach,pancreas and bile,while exerting a certain influence on the absorption of the di-gestive system[8,9].SS has shown certain clinical effectiveness when applied to SAP patients and can regulate the severity of SAP and immune inflammatory responses,and this regulation is related to its influence on leukocyte apoptosis and adhesion[10,11].Computerized tomography-guided therapeutic percutaneous puncture catheter drainage(CT-TPPCD)is a surgical procedure to collect lesion fluid and pus samples from necrotic lesions and perform puncture and drainage by means of CT image examination and precise positioning[12].In the research of Liu et al[13],CT-TPPCD applied to pa-tients undergoing pancreatic surgery contributes to not only good curative effects but also a low surgical risk.Baudin et al[14]also reported that CT-TPPCD has a clinical success rate of 64.6%in patients with acute infectious necrotizing pan-creatitis,with nonfatal surgery-related complications found in only two cases,suggesting that this procedure is clinically effective and safe in the treatment of the disease.In light of the limited studies on the efficacy and safety of SS plus CT-TPPCD in SAP treatment,this study performed a relevant analysis to improve clinical outcomes in SAP patients.展开更多
BACKGROUND Patients with schizophrenia may have various disease manifestations,most of which gradually tend toward incurable chronic decline,leading to mental disability.The basic symptoms of the disease can impair so...BACKGROUND Patients with schizophrenia may have various disease manifestations,most of which gradually tend toward incurable chronic decline,leading to mental disability.The basic symptoms of the disease can impair social function,whereas long-term hospitalization produces hospitalization syndrome,causing serious damage to social function.AIM To investigate the effects of Computerized Cognitive Remediation Therapy(CCRT)on cognitive and social functioning in patients with chronic schizophrenia.METHODS A retrospective analysis of 120 patients with chronic schizophrenia in Shanghai Pudong New Area Mental Health Center was performed.They were divided into an intervention group(60 cases treated with CCRT combined with conventional medication)and a control group(60 cases treated with conventional medication).After treatment,effects on cognitive function and social roles were observed in both groups.The Positive and Negative Syndrome Scale(PANSS)was used to assess the patients'psychiatric symptoms.The Wisconsin Card Sorting Test(WCST)was used to assess the patients'cognitive functioning,and the Social Functioning Scale for Psychiatric Inpatients(SSPI)was used to assess the social functioning of the inpatient psychiatric patients.RESULTS No significant differences were observed in the PANSS,WCST,and SSPI intergroup scores before treatment(P>0.05).After 2,4,and 6 wk of therapy,general psychopathological factors,positive symptoms,negative symptoms,and total PANSS scores of PANSS in the intervention group were lower than in the control group(P<0.05).After 2,4,and 6 wk of treatment,the number of false responses,number of persistent bugs,and total responses in the WCST were significantly lower in the intervention group than in the control group(P<0.05),and the amount of completed classification was significantly higher than in the control group(P<0.05).After 2,4,and 6 wk of therapy,the SSPI scores were significantly greater than those of the controls(P<0.05).After 6 wk of treatment,the efficacy rates of the control and intervention groups were 81.67%and 91.67%,respectively.The curative effect in the intervention group was significantly higher than that in the control group(P<0.05).CONCLUSION CCRT can significantly improve cognitive function and social abilities in patients with chronic schizophrenia.展开更多
BACKGROUND Several studies found that early pancreatic atrophy detected by computed tomo-graphy(CT)within 6 months was associated with a high incidence of diabetes in patients with type-1 autoimmune pancreatitis(AIP)r...BACKGROUND Several studies found that early pancreatic atrophy detected by computed tomo-graphy(CT)within 6 months was associated with a high incidence of diabetes in patients with type-1 autoimmune pancreatitis(AIP)receiving steroid therapy;however,no long-term follow-up studies have been performed.AIM To investigate pancreatic volume(PV)changes using three dimensional(3D)-CT volumetry and their relationship with IgG4 and diabetes in patients with AIP.METHODS This retrospective study included 33 patients with type-1 AIP receiving steroid therapy.Patients were divided into diffuse(D-type)and mass-forming type(M-type)AIP.PV was determined by semi-automated 3D-CT volumetry,and changes between initial and follow-up values were calculated.The relationship between PV and serum IgG4 levels was analyzed by Spearman’s rank correlation.The PV atrophy ratio compared with the presumed normal PV at the time of last follow-up CT and its relationship with diabetes were investigated.RESULTS There were 16 D-type and 17 M-type patients with long-term follow-up(mean,95.8 months).The regression curve of mean relative PV change reduced exponentially and rapidly during the first 25 months and then more slowly in both groups.The overall cumulative pancreas re-enlargement rates at 1,3,5,7 and 10 years were 6.1%,12.2%,29.2%,47.5%and 55.0%,respectively.There was a moderate-to-very strong positive correlation(ρ≥0.4)between PV and serum IgG4 levels in nine(9/13,69.2%)patients.All 33 patients showed pancreatic atrophy(mean 59.3%)after long-term follow-up.Patients with D-type AIP had a significantly higher atrophy rate and higher incidence of diabetes than M-type patients(P<0.05).CONCLUSION PV change initially reduced exponentially and then more slowly and is considered an important factor associated with diabetes.Serum IgG4 levels were positively correlated with PV during follow-up.展开更多
Purpose:The present systematic review examined imaging findings in the Auditory Neuropathy Spectrum Disorder(ANSD)population.Methods:Electronic databases such as Pub Med,Google Scholar,J Gate,and Science Direct were u...Purpose:The present systematic review examined imaging findings in the Auditory Neuropathy Spectrum Disorder(ANSD)population.Methods:Electronic databases such as Pub Med,Google Scholar,J Gate,and Science Direct were used to conduct a literature search.The articles retrieved through the literature search were assessed in two stages.In the first stage,title and abstract screening were done;in the second stage,a full-length article review was done.From the 379 shortlisted records,19 articles were chosen for the full-length review.Results:The selected articles performed imaging using Computerized tomography(CT)and magnetic resonance imaging(MRI).In most studies,cochlear nerve deficiency(CND)was the most prevalent anomaly in the ANSD group.Also,MRI was the imaging modality of choice recommended in most studies.It was also noted that CND was a characteristic feature of unilateral ANSD.Conclusion:From this systematic review,it is clear that integrating imaging studies into diagnostic protocol would help to understand the underlying pathology better and expedite decision-making and intervention for ANSD patients.展开更多
The geometry of joints has a significant influence on the mechanical properties of rocks.To simplify the curved joint shapes in rocks,the joint shape is usually treated as straight lines or planes in most laboratory e...The geometry of joints has a significant influence on the mechanical properties of rocks.To simplify the curved joint shapes in rocks,the joint shape is usually treated as straight lines or planes in most laboratory experiments and numerical simulations.In this study,the computerized tomography (CT) scanning and photogrammetry were employed to obtain the internal and surface joint structures of a limestone sample,respectively.To describe the joint geometry,the edge detection algorithms and a three-dimensional (3D) matrix mapping method were applied to reconstruct CT-based and photogrammetry-based jointed rock models.For comparison tests,the numerical uniaxial compression tests were conducted on an intact rock sample and a sample with a joint simplified to a plane using the parallel computing method.The results indicate that the mechanical characteristics and failure process of jointed rocks are significantly affected by the geometry of joints.The presence of joints reduces the uniaxial compressive strength (UCS),elastic modulus,and released acoustic emission (AE) energy of rocks by 37%–67%,21%–24%,and 52%–90%,respectively.Compared to the simplified joint sample,the proposed photogrammetry-based numerical model makes the most of the limited geometry information of joints.The UCS,accumulative released AE energy,and elastic modulus of the photogrammetry-based sample were found to be very close to those of the CT-based sample.The UCS value of the simplified joint sample (i.e.38.5 MPa) is much lower than that of the CT-based sample (i.e.72.3 MPa).Additionally,the accumulative released AE energy observed in the simplified joint sample is 3.899 times lower than that observed in the CT-based sample.CT scanning provides a reliable means to visualize the joints in rocks,which can be used to verify the reliability of photogrammetry techniques.The application of the photogrammetry-based sample enables detailed analysis for estimating the mechanical properties of jointed rocks.展开更多
The reconstruction of images from their corresponding noisy Radon transform is a typical example of an ill-posed linear inverse problem as arising in the application of computerized tomography(CT).As the(naive)solutio...The reconstruction of images from their corresponding noisy Radon transform is a typical example of an ill-posed linear inverse problem as arising in the application of computerized tomography(CT).As the(naive)solution does not depend on the measured data continuously,regularization is needed to reestablish a continuous dependence.In this work,we investigate simple,but yet still provably convergent approaches to learning linear regularization methods from data.More specifically,we analyze two approaches:one generic linear regularization that learns how to manipulate the singular values of the linear operator in an extension of our previous work,and one tailored approach in the Fourier domain that is specific to CT-reconstruction.We prove that such approaches become convergent regularization methods as well as the fact that the reconstructions they provide are typically much smoother than the training data they were trained on.Finally,we compare the spectral as well as the Fourier-based approaches for CT-reconstruction numerically,discuss their advantages and disadvantages and investigate the effect of discretization errors at differentresolutions.展开更多
AIM:To evaluate the reliability of Photo-Hirschberg screening for global strabismus performed by non-specialized personnel.METHODS:Participants at three sites were enrolled.One person at each site was trained in visua...AIM:To evaluate the reliability of Photo-Hirschberg screening for global strabismus performed by non-specialized personnel.METHODS:Participants at three sites were enrolled.One person at each site was trained in visual acuity measurement and use of the computerized system.Visual acuity was measured,and strabismus testing was performed using two flash photographs.All data from the three primary observers were sent to an experienced assistant researcher,who was blinded to the primary results,for re-evaluation.The primary and re-evaluation results of the Photo-Hirschberg screenings using weighted kappa for agreement were compared.RESULTS:The study included 181 participants(88 males and 93 females)and the results for primary and re-evaluation screenings were corresponded.Ten participants with contrasting results presented with unclear corneal light reflex.Sensitivity and specificity were 100%[95%confidence interval(CI):29.0%-100%]and 99.4%(95%CI:96.6%-100%),respectively,based on the Agresti test of the primary evaluation,considering the re-evaluated classification as true.CONCLUSION:The computerized system can be used for primary strabismus screening by non-specialized personnel,with 98.8%agreement with specialists.However,it cannot be used as a substitute for professional examination.展开更多
BACKGROUND Laparoscopic rectal cancer radical surgery is a complex procedure affected by various factors.However,the existing literature lacks standardized parameters for the pelvic region and soft tissues,which hampe...BACKGROUND Laparoscopic rectal cancer radical surgery is a complex procedure affected by various factors.However,the existing literature lacks standardized parameters for the pelvic region and soft tissues,which hampers the establishment of consistent conclusions.AIM To comprehensively assess 16 pelvic and 7 soft tissue parameters through computerized tomography(CT)-based three-dimensional(3D)reconstruction,providing a strong theoretical basis to address challenges in laparoscopic rectal cancer radical surgery.METHODS We analyzed data from 218 patients who underwent radical laparoscopic surgery for rectal cancer,and utilized CT data for 3D pelvic reconstruction.Specific anatomical points were carefully marked and measured using advanced 3D modeling software.To analyze the pelvic and soft tissue parameters,we emp-loyed statistical methods including paired sample t-tests,Wilcoxon rank-sum tests,and correlation analysis.RESULTS The investigation highlighted significant sex disparities in 14 pelvic bone parameters and 3 soft tissue parameters.Males demonstrated larger measurements in pelvic depth and overall curvature,smaller measurements in pelvic width,a larger mesorectal fat area,and a larger anterior-posterior abdominal diameter.By contrast,females exhibited wider pelvises,shallower depth,smaller overall curvature,and an increased amount of subcutaneous fat tissue.However,there were no significant sex differences observed in certain parameters such as sacral curvature height,superior pubococcygeal diameter,rectal area,visceral fat area,waist circumference,and transverse abdominal diameter.CONCLUSION The reconstruction of 3D CT data enabled accurate pelvic measurements,revealing significant sex differences in both pelvic and soft tissue parameters.This study design offer potential in predicting surgical difficulties and creating personalized surgical plans for male rectal cancer patients with a potentially“difficult pelvis”,ultimately improving surgical outcomes.Further research and utilization of these parameters could lead to enhanced surgical methods and patient care in laparoscopic rectal cancer radical surgery.展开更多
文摘Introduction: A great number of software are currently used to digitalize the patient records in order to optimize the quality of services offered to patients. The objective of this study was to evaluate the effects of Electronic Health Records use in Burundi’s hospitals, taking into account the COVID-19 pandemic context. Methods: This was a quasi-experimental study based on difference in difference method. Ten district hospitals were included in the study, five of them had the Electronic Health Records and five of which did not yet have the Electronic Health Records. The hospital’s control group were chosen using the propensity score matching method. The period before the project’s implementation was 2014 and the period after were 2019 and 2020. Results: After 5 years of the Electronic Health Record’s implementation, the results showed an increase in outpatient consultation (70%), deliveries (more than 100%), caesarean sections (56%) and major surgeries (43%) indicators. The overall quality score of hospitals’ care had a regressive effect of 37% and the income from performance-based funding had an increase by 31%. The indicators which were affected by the context of the COVID-19 pandemic were especially outpatient consultation, caesarian section, income from performance-based funding decreased by 3%, 5% and 20% respectively. Conclusion: The effects of Electronic Health Records use are effective. As the COVID-19 pandemic impacted the hospital’s indicators negatively, the resilient strategies alongside the potential shocks are recommended.
文摘Accounting informatization is the combination of accounting and information technology. It is a necessary measure for enterprise financial accounting management to conform to the wave of informatization. It is helpful to enhance the competitiveness of enterprises and solve the "isolated island" phenomenon existing in accounting computerization. In view of this, the article first points out the necessity of the development of enterprise financial accounting informatization, and then expounds the main performance in the development process of enterprise financial accounting informatization, which is helpful for practitioners to understand the realization conditions of enterprise financial accounting informatization. On this basis, the article puts forward the effective countermeasures for the development of enterprise financial accounting computerization to informatization, including establishing the correct cognition and concept of enterprise financial accounting informatization;In order to provide certain reference for the research and practice of practitioners, it is necessary to upgrade and perfect the enterprise financial accounting system in two aspects.
文摘At present, there are many problems in accounting computerization in colleges and universities, such as unreasonable class layout, lack of teachers and weak practical training, which can not adapt to social development. Therefore, this paper has certain practical significance for solving the problems related to accounting computerization, training various accounting and electromechanical personnel to meet the social needs and promoting social development.
基金supported by the National Key R&D Program of China (Grant No. 2022YFF0503702)the National Natural Science Foundation of China (Grant No. 42074186)
文摘The algebraic reconstruction technique(ART),multiplicative algebraic reconstruction technique(MART),and simultaneous iterative reconstruction technique(SIRT)are computational methodologies extensively utilized within the field of computerized ionospheric tomography(CIT)to facilitate three-dimensional reconstruction of the ionospheric morphology.However,reconstruction accuracy elicits recurrent disputes over its practical application,and people usually attribute this issue to incomplete and uneven coverage of the measurements.The Thermosphere Ionosphere Electrodynamics General Circulation Model(TIEGCM)offers a reasonable physics-based ionospheric background and is widely utilized in ionospheric research.We use the TIEGCM simulations as the targeted ionosphere because the current measurements are far from able to realistically reproduce the ionosphere in detail.Optimized designations of satellite measurements are conducted to investigate the limiting performance of CIT methods in ionospheric reconstruction.Similar to common practice,electron density distributions from outputs of the International Reference Ionosphere(IRI)model are used as the iterative initial value in CIT applications.The outcomes suggest that despite data coverage,iterative initial conditions also play an essential role in ionospheric reconstruction.In particular,in the longitudinal sectors where the iterative initial height of the F2-layer peak electron density(hmF2)differs substantially from the background densities,none of the three CIT methods can reproduce the exact background profile.When hmF2 is close but the ionospheric F2-layer peak density(NmF2)is different between the targeted background and initial conditions,the MART performs better than the ART and SIRT,as evidenced by the correlation coefficients of MART being above 0.97 and those of ART and SIRT being below 0.85.In summary,this investigation reveals the potential uncertainties in traditional CIT reconstruction,particularly when realistic hmF2 or NmF2 values differ substantially from the initial CIT conditions.
基金Aeronautical Science Foundation of China(2021Z057053001)。
文摘Continuous carbon fiber reinforced silicon carbide(C/SiC)composites are often subjected to low-velocity impacts when utilized as structural materials for thermal protection.However,research on in-plane impact damage and multiple impact damage of C/SiC composites is limited.To investigate the in-plane impact damage behavior of C/SiC composites,a drop-weight impact test method was developed for strip samples,and these results were subsequently compared with those of C/SiC composite plates.Results show that the in-plane impact behavior of C/SiC strip samples is similar to that of C/SiC composite plates.Variation of the impact load with displacement is characterized by three stages:a nearly linear stage,a severe load drop stage,and a rebound stage where displacement occurs after the impact energy exceeds its peak value.Impact damage behavior under single and multiple impacts on 2D plain and 3D needled C/SiC composites was investigated at different impact energies and durations.Crack propagation in C/SiC composites was studied by computerized tomography(CT)technique.In the 2D plain C/SiC composite,load propagation between layers is hindered during impact,leading to delamination and 90°fiber brittle fracture.The crack length perpendicular to the impact direction increases with impact energy increases,resulting in more serious 0°fiber fracture and a larger area of fiber loss.In the 3D needled C/SiC composite,load propagates between the layers during impact through the connection of needled fibers.The fibers continue to provide substantial structural support,with notable instances of fiber pull-off and debonding.Consequently,the impact resistance is superior to that of 2D plain C/SiC composite.When the 3D needled C/SiC composite undergoes two successive impacts of 1.5 J,the energy absorption efficiency of the second impact is significantly lower,accompanied by a smaller impact displacement.Moreover,the total energy absorption efficiency of these two impacts of 1.5 J is lower than that of a single 3.0 J impact.
基金financial support from the National Natural Science Foundation of China(Grant Nos.52479108,52408391)the Fundamental Research Funds for the Central Universities(2042024kf0032)+1 种基金the Postdoctoral Fellowship Program(Grade C)of China Postdoctoral Science Foundation(Grant No.GZC20241283)the Natural Science Foundation of Hubei Province,China(No.2024AFB160)。
文摘Numerous slope failures have been reported during periods of water level fluctuations.Understanding the influence of water on the creep behavior of joints is essential for evaluating the long-term stability of slopes.This study focuses on the effects of drying-wetting cycles and soaking conditions on the long-term behavior of sandstone joints.A total of 12 multi-stage shear creep tests are carried out on sandstone joints subjected to varying drying-wetting cycles under both soaking and un-soaking conditions.Based on the experimental results,the influences of drying-wetting cycles as well as soaking conditions on the microstructure,shear creep displacement,strength,and failure morphologies of sandstone joints are investigated comprehensively.Results indicate that increasing drying-wetting cycles not only yields larger shear creep displacements but also leads to a negative exponential decrease in the strength of sandstone joints.Besides,soaking conditions strongly influence the creep behavior of sandstone joints.The failure strength and long-term strength of sandstone joints for soaked samples decrease by 13.6%–29.0%and 19.4%–37.5%,respectively,as compared to unsoaked samples.Furthermore,four distinct stages in the shear creep process were identified according to the results obtained from multi-stage shear creep tests and computerized tomography scans,and three creep failure modes of sandstone joints are thus determined.Finally,the influence mechanism of drying-wetting cycles and soaking conditions on the creep failure modes of sandstone joints is revealed.Drying-wetting cycles and soaking conditions diminish the influence of asperities on the shear creep behavior of joints,thereby reducing the resistance of joints to long-term deformation.
基金supported by a grant from University of Social Welfare and Rehabilitation Sciences for the research expenses.
文摘Background Schizophrenia is characterised by pervasive cognitive deficits that significantly impair daily functioning and quality of life.Pharmacological treatments have limited efficacy in addressing these deficits,highlighting the need for adjunctive interventions like computerised cognitive training(CCT).Aims This study aimed to evaluate the effects of a 30-session CCT programme on mental well-being and cognitive performance in individuals with schizophrenia.Additionally,it assessed the usability and acceptability of CCT in this population.Methods A double-blind,randomised clinical trial was conducted with 54 participants assigned to intervention and control groups.Cognitive and mental health outcomes were assessed using validated tools such as the Depression Anxiety Stress Scale 21,the Warwick-Edinburgh Mental Wellbeing Scale and the Cambridge Neuropsychological Test Automated Battery.Usability was measured with the System Usability Scale(SUS).Assessments were conducted at baseline,post-intervention and 3 months post-follow-up.Results The CCT intervention significantly improved mental well-being,reduced stress and enhanced working memory(paired associate learning,spatial working memory and spatial span)compared with controls.However,no significant effects were observed for anxiety,depression or executive function.Usability scores were high(SUS=83.51),and compliance rates were strong(92.7%),indicating favourable participant engagement.Conclusion CCT demonstrated potential as an adjunctive treatment for schizophrenia,with significant improvements in targeted cognitive and mental health domains.The high usability and compliance rates support its feasibility for broader implementation.Further research is needed to optimise protocols and explore long-term benefits.CCT offers a promising approach to addressing mental health and cognitive challenges in schizophrenia,particularly for stress and working memory.Its usability and acceptability suggest it could be seamlessly integrated into clinical practice.
文摘BACKGROUND Underdiagnosis of peripheral arterial disease results in inadequate treatment and more serious consequences.Hence,clinicians have focused on early diagnosis and treatment.AIM To investigate the effectiveness of the combination of doppler ultrasonography(DUS),three-dimensional dynamic contrast-enhanced magnetic resonance an-giography(CE-MRA),and CT angiography(CTA)in assessing lower extremity arterial disease in diabetes mellitus(DM).METHODS This study retrospectively analyzed the imaging and clinical data of 116 patients diagnosed with DM complicated with lower extremity vascular diseases from January 2021 to June 2023.All patients underwent unilateral or bilateral DUS,CTA,and CE-MRA as well as invasive digital subtraction angiography(DSA).The application values of DUS,CE-MRA,and CTA were compared.RESULTS A total of 152 lower extremity arteries in the 116 patients were graded following the classification of vascular branches.The Kappa values between DUS and DSA were 0.780,0.755,and 0.806 for diagnosing moderate stenosis and 0.484,0.699,and 0.449 for severe stenosis of grade 1 arteries,grade 2 arteries,and grade 3 arteries,respectively.The Kappa values between CE-MRA and DSA were 0.784,0.814,and 0.835 for diagnosing moderate stenosis and 0.694,0.748,and 0.606 for severe stenosis of grade 1 arteries,grade 2 arteries,and grade 3 arteries,respectively.The Kappa values between CTA and DSA were 0.900,0.858,and 0.878 for diagnosing moderate stenosis and 0.882,0.823,and 0.756 for severe stenosis of grade 1 arteries,grade 2 arteries,and grade 3 arteries,respectively.CONCLUSION DUS,CE-MRA,and CTA demonstrated comparable accuracy in diagnosing lower extremity arterial disease in DM,and the consistency between CTA and DSA diagnoses was higher than the other two imaging methods.
基金Supported by Fuzhou Science and Technology Plan Project,No.2023-S-028.
文摘BACKGROUND Schizophrenia is commonly associated with comorbid depression,which exacerbates cognitive impairments and negatively impacts quality of life.Despite the high prevalence and burden of these comorbidities,effective treatment options,particularly for cognitive dysfunction,remain limited.AIM To evaluate the efficacy of computerized cognitive behavioral therapy(CCBT)with sertraline vs sertraline monotherapy in improving depressive symptoms,cognitive function,and quality of life in schizophrenia and depressive episodes.METHODS In this single-center,randomized controlled trial,68 adults[mean age(SD)=36.5(10.0),57.4%male]with schizophrenia and depressive symptoms were randomly assigned to receive either CCBT with sertraline or sertraline monotherapy during a 4-week hospitalization.The CCBT intervention involved 45-60-minute sessions twice weekly for four weeks.Outcomes included comparisons of depressive symptoms(Calgary depression scale for schizophrenia),cognitive function[MATRICS consensus cognitive battery(MCCB)],and quality of life(36-item short form survey)between the groups.RESULTS The experimental group showed greater improvements in depressive symptoms at 4,8,and 12 weeks compared to the controls,with the most notable difference at 12 weeks[mean difference(MD)=-1.7;P<0.001;Cohen’s d=0.9].Cognitive function improved across all MCCB domains in the experimental group,with higher processing speed scores(MD=4.1;P=0.043;Cohen’s d=0.5)and social cognition scores(MD=4.9;P=0.006;Cohen’s d=0.7)than in the control group.Quality of life,particularly in mental health,was significantly better in the experimental group.CONCLUSION CCBT with sertraline was more effective than sertraline monotherapy for patients with schizophrenia and depressive episodes,supporting its use as an adjunctive therapy.
基金supported by the National Natural Science Foundation of China(Grant No.42162026)the Basic Research Program in Yunnan Province,China(Grant No.202401AT070328)the Young Talents Project of“Xingdian Talent Support Program"in Yunnan Province,China(Grant No.YNWR-QNBJ-2020-019).
文摘Disintegrated dolomite slope and tunnel disasters occur frequently due to poor water stability of disintegrated dolomite,primarily in a form of seepage failure.For engineering purposes,it is critical to determine the seepage properties of disintegrated dolomite within the strata.However,conventional experimental methods are time-consuming and expensive and may not be effective in investigating seepage characteristics due to the heterogeneity of disintegrated dolomite.In this study,pore network model(PNM)was established by the computerized tomography(CT)scanning technology to characterize the pores.Meanwhile,the seepage and coefficient of permeability under different inlet stress conditions based on the accurate pore model were realized by linking the commercial image processing software Avizo with the commercial multi-physics modeling package Comsol.The results show that the porosities of severely and completely disintegrated dolomites are 29.17% and 45.37%,respectively.The grade of pore development increases with disintegration grade,which facilitates seepage failure.Severely and completely disintegrated dolomites have the coefficients of permeability of 9.67×10^(-7) m/s and 1.61×10^(-6) m/s,respectively.Under conventional conditions,severely and completely disintegrated dolomites undergo seepage failure above a pressure difference of 6×10^(3) Pa and 5×10^(3) Pa,respectively.These results are consistent with both in situ water pressure tests in the borehole and laboratory tests with the constant-head method,demonstrating that CT scanning is an effective method for observing fractures and pores in disintegrated dolomite for seepage evaluation.
基金supported by the Zhanjiang Science and Technology Plan Project(No.2022A05022)Science and Technology Development Special Project of Zhanjiang(No.2023A21616)Research Project of Guangdong Ocean University(No.060302112102).
文摘Double perovskite matrix materials have recently attracted considerable interest due to their structural flexibility,ease of doping,and excellent thermal stability.While photoluminescence(PL)studies of rare-earth-doped double perovskites are common,research on their thermoluminescence(TL)properties is less extensive.This study synthesized a series of Y_(2-x)Sm_(x)MgTiO_(6)(0≤x≤0.1)samples using a high-temperature solid-state method.X-ray diffraction(XRD)analysis confirmed a monoclinic crystal structure(space group P2_(1)∕n),with Sm^(3+)ions substituting for Y^(3+)ions in Y_(2)MgTiO_(6).The PL results indicated that the optimal doping concentration was Y_(1.95)Sm_(0.05)MgTiO_(6),exhibiting emission peaks at 568,605,652,and 715 nm under 409 nm blue light excitation.The TL measurements for different doping concentrations showed that the Y_(1.98)Sm_(0.02)MgTiO_(6)phosphors exhibited the strongest TL signals.The TL peaks observed at 530 and 610 K correspond to defects in the matrix and Sm^(3+)dopants,respectively.The T_(m)-T_(stop)analysis revealed that the TL curve of Y_(1.98)Sm_(0.02)MgTiO_(6)phosphors was a superposition of seven peaks.Computerized glow curve deconvolution(CGCD)was performed on the TL of the sample according to the results of three-dimensional thermoluminescence spectra(3D-TL)and T_(m)-T_(stop),and the trap depths in the sample were estimated to range from 0.69 to 1.49 eV.Additionally,the lifetimes of each overlapping peak were calculated using the fitting parameters.Furthermore,the dose-response test showed that the saturation dose of the sample was high(9956 Gy).Therefore,this material can serve as a thermoluminescent dosimeter for high-dose measurements.The saturation dose for the lowest-temperature overlapping peak was 102 Gy,which correlated with its specific energy-level lifetime,whereas the other overlapping peaks also exhibited favorable linear relationships.
基金Supported by 2022 Fujian Medical University Qihang Fund General Project Plan,No.2022QH1120。
文摘BACKGROUND Severe acute pancreatitis(SAP),a condition with rapid onset,critical condition and unsatisfactory prognosis,poses a certain threat to human health,warranting optimization of relevant treatment plans to improve treatment efficacy.AIM To evaluate the efficacy and safety of computerized tomography-guided the-rapeutic percutaneous puncture catheter drainage(CT-TPPCD)combined with somatostatin(SS)in the treatment of SAP.METHODS Forty-two SAP patients admitted to The Second Affiliated Hospital of Fujian Medical University from June 2020 to June 2023 were selected.On the basis of routine treatment,20 patients received SS therapy(control group)and 22 patients were given CT-TPPCD plus SS intervention(research group).The efficacy,safety(pancreatic fistula,intra-abdominal hemorrhage,sepsis,and organ dysfunction syndrome),abdominal bloating and pain relief time,bowel recovery time,hospital stay,inflammatory indicators(C-reactive protein,interleukin-6,and pro-calcitonin),and Acute Physiology and Chronic Health Evaluation(APACHE)II score of both groups were evaluated for comparison.RESULTS Compared with the control group,the research group had a markedly higher total effective rate,faster abdominal bloating and pain relief and bowel recovery,INTRODUCTION Pancreatitis,an inflammatory disease occurring in the pancreatic tissue,is classified as either acute or chronic and is associated with high morbidity and mortality,imposing a socioeconomic burden[1,2].The pathogenesis of this disease involves early protease activation,activation of nuclear factor kappa-B-related inflammatory reactions,and infiltration of immune cells[3].Severe acute pancreatitis(SAP)is a serious condition involving systemic injury and subsequent possible organ failure,accounting for 20%of all acute pancreatitis cases[4].SAP is also characterized by rapid onset,critical illness and unsatisfactory prognosis and is correlated with serious adverse events such as systemic inflammatory response syn-drome and acute lung injury,threatening the health of patients[5,6].Therefore,timely and effective therapeutic inter-ventions are of great significance for improving patient prognosis and ensuring therapeutic effects.Somatostatin(SS),a peptide hormone that can be secreted by endocrine cells and the central nervous system,is in-volved in the regulatory mechanism of glucagon and insulin synthesis in the pancreas[7].It has complex and pleiotropic effects on the gastrointestinal tract,which can inhibit the release of gastrointestinal hormones and negatively modulate the exocrine function of the stomach,pancreas and bile,while exerting a certain influence on the absorption of the di-gestive system[8,9].SS has shown certain clinical effectiveness when applied to SAP patients and can regulate the severity of SAP and immune inflammatory responses,and this regulation is related to its influence on leukocyte apoptosis and adhesion[10,11].Computerized tomography-guided therapeutic percutaneous puncture catheter drainage(CT-TPPCD)is a surgical procedure to collect lesion fluid and pus samples from necrotic lesions and perform puncture and drainage by means of CT image examination and precise positioning[12].In the research of Liu et al[13],CT-TPPCD applied to pa-tients undergoing pancreatic surgery contributes to not only good curative effects but also a low surgical risk.Baudin et al[14]also reported that CT-TPPCD has a clinical success rate of 64.6%in patients with acute infectious necrotizing pan-creatitis,with nonfatal surgery-related complications found in only two cases,suggesting that this procedure is clinically effective and safe in the treatment of the disease.In light of the limited studies on the efficacy and safety of SS plus CT-TPPCD in SAP treatment,this study performed a relevant analysis to improve clinical outcomes in SAP patients.
基金Supported by Shanghai Pudong New Area Science and Technology Development and Livelihood Research Special Fund Support Project,No.PKJ2023-Y80Integrated Traditional Chinese and Western Medicine Specialized Disease Diagnosis and Treatment Center Project,No.PDZY-2022-05-01.
文摘BACKGROUND Patients with schizophrenia may have various disease manifestations,most of which gradually tend toward incurable chronic decline,leading to mental disability.The basic symptoms of the disease can impair social function,whereas long-term hospitalization produces hospitalization syndrome,causing serious damage to social function.AIM To investigate the effects of Computerized Cognitive Remediation Therapy(CCRT)on cognitive and social functioning in patients with chronic schizophrenia.METHODS A retrospective analysis of 120 patients with chronic schizophrenia in Shanghai Pudong New Area Mental Health Center was performed.They were divided into an intervention group(60 cases treated with CCRT combined with conventional medication)and a control group(60 cases treated with conventional medication).After treatment,effects on cognitive function and social roles were observed in both groups.The Positive and Negative Syndrome Scale(PANSS)was used to assess the patients'psychiatric symptoms.The Wisconsin Card Sorting Test(WCST)was used to assess the patients'cognitive functioning,and the Social Functioning Scale for Psychiatric Inpatients(SSPI)was used to assess the social functioning of the inpatient psychiatric patients.RESULTS No significant differences were observed in the PANSS,WCST,and SSPI intergroup scores before treatment(P>0.05).After 2,4,and 6 wk of therapy,general psychopathological factors,positive symptoms,negative symptoms,and total PANSS scores of PANSS in the intervention group were lower than in the control group(P<0.05).After 2,4,and 6 wk of treatment,the number of false responses,number of persistent bugs,and total responses in the WCST were significantly lower in the intervention group than in the control group(P<0.05),and the amount of completed classification was significantly higher than in the control group(P<0.05).After 2,4,and 6 wk of therapy,the SSPI scores were significantly greater than those of the controls(P<0.05).After 6 wk of treatment,the efficacy rates of the control and intervention groups were 81.67%and 91.67%,respectively.The curative effect in the intervention group was significantly higher than that in the control group(P<0.05).CONCLUSION CCRT can significantly improve cognitive function and social abilities in patients with chronic schizophrenia.
文摘BACKGROUND Several studies found that early pancreatic atrophy detected by computed tomo-graphy(CT)within 6 months was associated with a high incidence of diabetes in patients with type-1 autoimmune pancreatitis(AIP)receiving steroid therapy;however,no long-term follow-up studies have been performed.AIM To investigate pancreatic volume(PV)changes using three dimensional(3D)-CT volumetry and their relationship with IgG4 and diabetes in patients with AIP.METHODS This retrospective study included 33 patients with type-1 AIP receiving steroid therapy.Patients were divided into diffuse(D-type)and mass-forming type(M-type)AIP.PV was determined by semi-automated 3D-CT volumetry,and changes between initial and follow-up values were calculated.The relationship between PV and serum IgG4 levels was analyzed by Spearman’s rank correlation.The PV atrophy ratio compared with the presumed normal PV at the time of last follow-up CT and its relationship with diabetes were investigated.RESULTS There were 16 D-type and 17 M-type patients with long-term follow-up(mean,95.8 months).The regression curve of mean relative PV change reduced exponentially and rapidly during the first 25 months and then more slowly in both groups.The overall cumulative pancreas re-enlargement rates at 1,3,5,7 and 10 years were 6.1%,12.2%,29.2%,47.5%and 55.0%,respectively.There was a moderate-to-very strong positive correlation(ρ≥0.4)between PV and serum IgG4 levels in nine(9/13,69.2%)patients.All 33 patients showed pancreatic atrophy(mean 59.3%)after long-term follow-up.Patients with D-type AIP had a significantly higher atrophy rate and higher incidence of diabetes than M-type patients(P<0.05).CONCLUSION PV change initially reduced exponentially and then more slowly and is considered an important factor associated with diabetes.Serum IgG4 levels were positively correlated with PV during follow-up.
文摘Purpose:The present systematic review examined imaging findings in the Auditory Neuropathy Spectrum Disorder(ANSD)population.Methods:Electronic databases such as Pub Med,Google Scholar,J Gate,and Science Direct were used to conduct a literature search.The articles retrieved through the literature search were assessed in two stages.In the first stage,title and abstract screening were done;in the second stage,a full-length article review was done.From the 379 shortlisted records,19 articles were chosen for the full-length review.Results:The selected articles performed imaging using Computerized tomography(CT)and magnetic resonance imaging(MRI).In most studies,cochlear nerve deficiency(CND)was the most prevalent anomaly in the ANSD group.Also,MRI was the imaging modality of choice recommended in most studies.It was also noted that CND was a characteristic feature of unilateral ANSD.Conclusion:From this systematic review,it is clear that integrating imaging studies into diagnostic protocol would help to understand the underlying pathology better and expedite decision-making and intervention for ANSD patients.
基金supported by the National Natural Science Foundation of China(Grant Nos.42277150,41977219)Henan Provincial Science and Technology Research Project(Grant No.222102320271).
文摘The geometry of joints has a significant influence on the mechanical properties of rocks.To simplify the curved joint shapes in rocks,the joint shape is usually treated as straight lines or planes in most laboratory experiments and numerical simulations.In this study,the computerized tomography (CT) scanning and photogrammetry were employed to obtain the internal and surface joint structures of a limestone sample,respectively.To describe the joint geometry,the edge detection algorithms and a three-dimensional (3D) matrix mapping method were applied to reconstruct CT-based and photogrammetry-based jointed rock models.For comparison tests,the numerical uniaxial compression tests were conducted on an intact rock sample and a sample with a joint simplified to a plane using the parallel computing method.The results indicate that the mechanical characteristics and failure process of jointed rocks are significantly affected by the geometry of joints.The presence of joints reduces the uniaxial compressive strength (UCS),elastic modulus,and released acoustic emission (AE) energy of rocks by 37%–67%,21%–24%,and 52%–90%,respectively.Compared to the simplified joint sample,the proposed photogrammetry-based numerical model makes the most of the limited geometry information of joints.The UCS,accumulative released AE energy,and elastic modulus of the photogrammetry-based sample were found to be very close to those of the CT-based sample.The UCS value of the simplified joint sample (i.e.38.5 MPa) is much lower than that of the CT-based sample (i.e.72.3 MPa).Additionally,the accumulative released AE energy observed in the simplified joint sample is 3.899 times lower than that observed in the CT-based sample.CT scanning provides a reliable means to visualize the joints in rocks,which can be used to verify the reliability of photogrammetry techniques.The application of the photogrammetry-based sample enables detailed analysis for estimating the mechanical properties of jointed rocks.
基金the support of the German Research Foundation,projects BU 2327/19-1 and MO 2962/7-1support from the EPSRC grant EP/R513106/1support from the Alan Turing Institute.
文摘The reconstruction of images from their corresponding noisy Radon transform is a typical example of an ill-posed linear inverse problem as arising in the application of computerized tomography(CT).As the(naive)solution does not depend on the measured data continuously,regularization is needed to reestablish a continuous dependence.In this work,we investigate simple,but yet still provably convergent approaches to learning linear regularization methods from data.More specifically,we analyze two approaches:one generic linear regularization that learns how to manipulate the singular values of the linear operator in an extension of our previous work,and one tailored approach in the Fourier domain that is specific to CT-reconstruction.We prove that such approaches become convergent regularization methods as well as the fact that the reconstructions they provide are typically much smoother than the training data they were trained on.Finally,we compare the spectral as well as the Fourier-based approaches for CT-reconstruction numerically,discuss their advantages and disadvantages and investigate the effect of discretization errors at differentresolutions.
文摘AIM:To evaluate the reliability of Photo-Hirschberg screening for global strabismus performed by non-specialized personnel.METHODS:Participants at three sites were enrolled.One person at each site was trained in visual acuity measurement and use of the computerized system.Visual acuity was measured,and strabismus testing was performed using two flash photographs.All data from the three primary observers were sent to an experienced assistant researcher,who was blinded to the primary results,for re-evaluation.The primary and re-evaluation results of the Photo-Hirschberg screenings using weighted kappa for agreement were compared.RESULTS:The study included 181 participants(88 males and 93 females)and the results for primary and re-evaluation screenings were corresponded.Ten participants with contrasting results presented with unclear corneal light reflex.Sensitivity and specificity were 100%[95%confidence interval(CI):29.0%-100%]and 99.4%(95%CI:96.6%-100%),respectively,based on the Agresti test of the primary evaluation,considering the re-evaluated classification as true.CONCLUSION:The computerized system can be used for primary strabismus screening by non-specialized personnel,with 98.8%agreement with specialists.However,it cannot be used as a substitute for professional examination.
基金2021 Zhejiang Province Public Welfare Technology Application Research Funding Project,No.LGC21H160002Basic Scientific Research Projects in Wenzhou City in 2022,No.Y20220885Wenzhou Medical University 2021 Higher Education Teaching Reform Project,No.JG2021167.
文摘BACKGROUND Laparoscopic rectal cancer radical surgery is a complex procedure affected by various factors.However,the existing literature lacks standardized parameters for the pelvic region and soft tissues,which hampers the establishment of consistent conclusions.AIM To comprehensively assess 16 pelvic and 7 soft tissue parameters through computerized tomography(CT)-based three-dimensional(3D)reconstruction,providing a strong theoretical basis to address challenges in laparoscopic rectal cancer radical surgery.METHODS We analyzed data from 218 patients who underwent radical laparoscopic surgery for rectal cancer,and utilized CT data for 3D pelvic reconstruction.Specific anatomical points were carefully marked and measured using advanced 3D modeling software.To analyze the pelvic and soft tissue parameters,we emp-loyed statistical methods including paired sample t-tests,Wilcoxon rank-sum tests,and correlation analysis.RESULTS The investigation highlighted significant sex disparities in 14 pelvic bone parameters and 3 soft tissue parameters.Males demonstrated larger measurements in pelvic depth and overall curvature,smaller measurements in pelvic width,a larger mesorectal fat area,and a larger anterior-posterior abdominal diameter.By contrast,females exhibited wider pelvises,shallower depth,smaller overall curvature,and an increased amount of subcutaneous fat tissue.However,there were no significant sex differences observed in certain parameters such as sacral curvature height,superior pubococcygeal diameter,rectal area,visceral fat area,waist circumference,and transverse abdominal diameter.CONCLUSION The reconstruction of 3D CT data enabled accurate pelvic measurements,revealing significant sex differences in both pelvic and soft tissue parameters.This study design offer potential in predicting surgical difficulties and creating personalized surgical plans for male rectal cancer patients with a potentially“difficult pelvis”,ultimately improving surgical outcomes.Further research and utilization of these parameters could lead to enhanced surgical methods and patient care in laparoscopic rectal cancer radical surgery.
