Objective To report use of the Vibrant Soundbridge (VSB) in patients with congenital deformation of the middle and outer ears and investigate its utility in this patient population.Method Four patients with congenital...Objective To report use of the Vibrant Soundbridge (VSB) in patients with congenital deformation of the middle and outer ears and investigate its utility in this patient population.Method Four patients with congenital deformation of middle and outer ears underwent VSB implantation. All were male (aged 3-18 years,average 13.5 years) and operated on the left side.Malformation was bilateral in 3 patients and unilateral in 1 patient. Surgical techniques were modified to accommodate each patient’s unique conditions and needs.The implant site was approached via the facial recess in 3 patients and through a retro-facial nerve route in 1 patient. The VSB implant was connected to either the stapes (2 cases) or the round window (2 cases).Pure tone and speech audiometry results and daily communication capabilities before and after VSB activation were compared.Results The operations were successful in all patients, with no complications. The patient communication level improved significantly after VSB activation. Average air conduction pure tone threshold or conditioned reflex audiometry threshold improved by 35 dB in the 0.25-4 kHz range,from 69 dB HL before VSB activation to 34 dB HL after.The sentence recognition rate in quiet at 65 dB SPL went up to 86% from 0% without VSB for patients with bilateral deformation and remained at 100% for the patient with unilateral deformity. However, for the latter patient, the rate improved to 20% from 0% without VSB in noise (-8 dB SNR).Conclusion VSB is an excellent solution for improving hearing in patients with congenital deformation of middle and outer ears.Operation can be completed and good results can be achieved even in patients with unique conditions and needs.展开更多
In the past decade,numerous urban planners and architects have sought to construct public spaces from scratch by applying a suite of urban design theories,strategies,and established disciplinary frameworks.However,the...In the past decade,numerous urban planners and architects have sought to construct public spaces from scratch by applying a suite of urban design theories,strategies,and established disciplinary frameworks.However,these principles are rooted in professional designers'perceptions of"quality spaces",resulting in insufficient attention to local residents'actual needs and their understandings of what constitutes a"vibrant place".Christopher Alexander argues that"we are better off growing good places and spaces,rather than trying to build them from a blueprint".This implies that high-quality public spaces must align with local contexts-including local vegetation,the natural environment,and residents'preferences.Therefore,the objective of this research is to explore the key elements that contribute to creating vibrant public spaces in Sheffield.By summarising and synthesising these elements,the study further aims to propose evidence-based recommendations for the development of local public spaces.The thesis is structured into three chapters:Chapter One discusses the necessity of public spaces and defines the concept of"vibrancy";Chapter Two outlines the research model and methodology adopted to address the core research question;Chapter Three identifies key factors contributing to vibrant public spaces in Sheffield through the analysis of four representative sites.展开更多
Attention,All Villagers Chief Director:Jin Ying Length:Five Episodes Producer:bilibili Broadcasting Platform:bilibili This film series tells the stories of the new generation of farmers in China in a vibrant narrative...Attention,All Villagers Chief Director:Jin Ying Length:Five Episodes Producer:bilibili Broadcasting Platform:bilibili This film series tells the stories of the new generation of farmers in China in a vibrant narrative style.By documenting five villagers’daily lives,each episode highlights the challenges young people are facing in building their life and career in their rural hometowns.展开更多
Fang Chuxiong’s works combine the meticulousness of fine brushwork with the elegance of freehand brushstrokes,making him a distinct figure in the contemporary Chinese art circle.Fang Chuxiong is a representative figu...Fang Chuxiong’s works combine the meticulousness of fine brushwork with the elegance of freehand brushstrokes,making him a distinct figure in the contemporary Chinese art circle.Fang Chuxiong is a representative figure in the field of contemporary Chinese flower-and-bird painting.His artwork masterfully integrates the elements of nature,the charm of living creatures,the subtleties of brushwork,and the vitality of color,exhibiting refined taste and a vibrant style.展开更多
Chinese New Year is a time of vibrant energy and delightful surprises.Streets across China glow with red and gold decorations,while the air carries the scent of freshly steamed pastries and a wide variety of sweet tre...Chinese New Year is a time of vibrant energy and delightful surprises.Streets across China glow with red and gold decorations,while the air carries the scent of freshly steamed pastries and a wide variety of sweet treats.As the Year of the Horse gallops in,it brings a surge of vitality to the communities.Beyond fireworks,decorations,and dragon dances.展开更多
An Italian scholar fulfills his potential in China,by being aligned with the country’s vibrant cultural development.“In August 2014,when I set my feet on the land of China,ride-hailing apps like Didi weren’t popula...An Italian scholar fulfills his potential in China,by being aligned with the country’s vibrant cultural development.“In August 2014,when I set my feet on the land of China,ride-hailing apps like Didi weren’t popular in Nanjing yet,and translation software was rarely seen.I didn’t speak Chinese,so even simple tasks like going out was challenging,”said Andrea L.Baldini,a Changjiang Scholar Distinguished Professor at Peking University’s School of Arts,in an exclusive interview with China Today.展开更多
Lhasa,a city rich in history,is often celebrated as a fertile ground for the flourishing of museums.Among the museums in Lhasa,some chronicle the region's profound historical roots,some explore the wonders of natu...Lhasa,a city rich in history,is often celebrated as a fertile ground for the flourishing of museums.Among the museums in Lhasa,some chronicle the region's profound historical roots,some explore the wonders of nature,some preserve vibrant cultural heritage,and others capture the rhythms of everyday life.展开更多
目的:探讨3.0T磁共振动态增强检查VIBRANT(Volume Imaging for Breast Assessment,乳腺容积成像序列)技术在乳腺疾病诊断中的价值。方法:回顾性分析经手术病理证实的32例乳腺疾病病人的MRI资料,分析病变信号、形态、时间-信号强度曲线,...目的:探讨3.0T磁共振动态增强检查VIBRANT(Volume Imaging for Breast Assessment,乳腺容积成像序列)技术在乳腺疾病诊断中的价值。方法:回顾性分析经手术病理证实的32例乳腺疾病病人的MRI资料,分析病变信号、形态、时间-信号强度曲线,计算VIBRANT动态增强扫描技术用于诊断良恶性病变的灵敏度、特异度、准确度。结果:采用VIBRANT乳腺动态增强扫描技术后,在保证图像信噪比的条件下,克服了传统动态增强检查的缺点,并且结合病变动态增强后的征象和时间-信号曲线图,明显提高了对乳腺良、恶性病变的诊断,其诊断的敏感性为100%,特异性为81.25%,准确性为93%。乳腺肿瘤动态增强曲线流入型与流出型(P=0.000)、平台型与流出型(P=0.001),差异有统计学意义;流入型与平台型(P=0.209),差异无统计学意义。结论:VIBRANT动态增强扫描技术为乳腺磁共振动态增强检查提供了更新、更好的方法,对提高乳腺疾病诊断的正确性无疑是一种更先进的技术。展开更多
文摘Objective To report use of the Vibrant Soundbridge (VSB) in patients with congenital deformation of the middle and outer ears and investigate its utility in this patient population.Method Four patients with congenital deformation of middle and outer ears underwent VSB implantation. All were male (aged 3-18 years,average 13.5 years) and operated on the left side.Malformation was bilateral in 3 patients and unilateral in 1 patient. Surgical techniques were modified to accommodate each patient’s unique conditions and needs.The implant site was approached via the facial recess in 3 patients and through a retro-facial nerve route in 1 patient. The VSB implant was connected to either the stapes (2 cases) or the round window (2 cases).Pure tone and speech audiometry results and daily communication capabilities before and after VSB activation were compared.Results The operations were successful in all patients, with no complications. The patient communication level improved significantly after VSB activation. Average air conduction pure tone threshold or conditioned reflex audiometry threshold improved by 35 dB in the 0.25-4 kHz range,from 69 dB HL before VSB activation to 34 dB HL after.The sentence recognition rate in quiet at 65 dB SPL went up to 86% from 0% without VSB for patients with bilateral deformation and remained at 100% for the patient with unilateral deformity. However, for the latter patient, the rate improved to 20% from 0% without VSB in noise (-8 dB SNR).Conclusion VSB is an excellent solution for improving hearing in patients with congenital deformation of middle and outer ears.Operation can be completed and good results can be achieved even in patients with unique conditions and needs.
文摘In the past decade,numerous urban planners and architects have sought to construct public spaces from scratch by applying a suite of urban design theories,strategies,and established disciplinary frameworks.However,these principles are rooted in professional designers'perceptions of"quality spaces",resulting in insufficient attention to local residents'actual needs and their understandings of what constitutes a"vibrant place".Christopher Alexander argues that"we are better off growing good places and spaces,rather than trying to build them from a blueprint".This implies that high-quality public spaces must align with local contexts-including local vegetation,the natural environment,and residents'preferences.Therefore,the objective of this research is to explore the key elements that contribute to creating vibrant public spaces in Sheffield.By summarising and synthesising these elements,the study further aims to propose evidence-based recommendations for the development of local public spaces.The thesis is structured into three chapters:Chapter One discusses the necessity of public spaces and defines the concept of"vibrancy";Chapter Two outlines the research model and methodology adopted to address the core research question;Chapter Three identifies key factors contributing to vibrant public spaces in Sheffield through the analysis of four representative sites.
文摘Attention,All Villagers Chief Director:Jin Ying Length:Five Episodes Producer:bilibili Broadcasting Platform:bilibili This film series tells the stories of the new generation of farmers in China in a vibrant narrative style.By documenting five villagers’daily lives,each episode highlights the challenges young people are facing in building their life and career in their rural hometowns.
文摘Fang Chuxiong’s works combine the meticulousness of fine brushwork with the elegance of freehand brushstrokes,making him a distinct figure in the contemporary Chinese art circle.Fang Chuxiong is a representative figure in the field of contemporary Chinese flower-and-bird painting.His artwork masterfully integrates the elements of nature,the charm of living creatures,the subtleties of brushwork,and the vitality of color,exhibiting refined taste and a vibrant style.
文摘Chinese New Year is a time of vibrant energy and delightful surprises.Streets across China glow with red and gold decorations,while the air carries the scent of freshly steamed pastries and a wide variety of sweet treats.As the Year of the Horse gallops in,it brings a surge of vitality to the communities.Beyond fireworks,decorations,and dragon dances.
文摘An Italian scholar fulfills his potential in China,by being aligned with the country’s vibrant cultural development.“In August 2014,when I set my feet on the land of China,ride-hailing apps like Didi weren’t popular in Nanjing yet,and translation software was rarely seen.I didn’t speak Chinese,so even simple tasks like going out was challenging,”said Andrea L.Baldini,a Changjiang Scholar Distinguished Professor at Peking University’s School of Arts,in an exclusive interview with China Today.
文摘Lhasa,a city rich in history,is often celebrated as a fertile ground for the flourishing of museums.Among the museums in Lhasa,some chronicle the region's profound historical roots,some explore the wonders of nature,some preserve vibrant cultural heritage,and others capture the rhythms of everyday life.
文摘目的:探讨3.0T磁共振动态增强检查VIBRANT(Volume Imaging for Breast Assessment,乳腺容积成像序列)技术在乳腺疾病诊断中的价值。方法:回顾性分析经手术病理证实的32例乳腺疾病病人的MRI资料,分析病变信号、形态、时间-信号强度曲线,计算VIBRANT动态增强扫描技术用于诊断良恶性病变的灵敏度、特异度、准确度。结果:采用VIBRANT乳腺动态增强扫描技术后,在保证图像信噪比的条件下,克服了传统动态增强检查的缺点,并且结合病变动态增强后的征象和时间-信号曲线图,明显提高了对乳腺良、恶性病变的诊断,其诊断的敏感性为100%,特异性为81.25%,准确性为93%。乳腺肿瘤动态增强曲线流入型与流出型(P=0.000)、平台型与流出型(P=0.001),差异有统计学意义;流入型与平台型(P=0.209),差异无统计学意义。结论:VIBRANT动态增强扫描技术为乳腺磁共振动态增强检查提供了更新、更好的方法,对提高乳腺疾病诊断的正确性无疑是一种更先进的技术。
