期刊文献+
共找到721篇文章
< 1 2 37 >
每页显示 20 50 100
Correlation between prognostic markers and clinical parameters in hepatocellular carcinoma:Pathophysiological aspects to therapeutic targets
1
作者 Saira Rafaqat Iqra Noshair +3 位作者 Momina Shahid Sadaf Bibi Ramsha Hafeez Hafsa Hamid 《World Journal of Gastrointestinal Oncology》 2025年第5期9-26,共18页
One of the main causes of cancer-related morbidity and mortality globally is hepatocellular carcinoma(HCC).At every stage of the disease,HCC may now be treated using a variety of therapy techniques.Nevertheless,despit... One of the main causes of cancer-related morbidity and mortality globally is hepatocellular carcinoma(HCC).At every stage of the disease,HCC may now be treated using a variety of therapy techniques.Nevertheless,despite the abundance of effective therapeutic choices,the prognosis for patients with HCC is still typically dismal.Prognostic indicators are crucial when assessing prognosis and tracking tumor metastases or recurrence.There are many prognostic markers in HCC.We mainly focused on newly reported prognostic markers such as MEX3A,apolipoprotein B,alpha-fetoprotein,circulating tumor cells,SAMD13,Agrin,and Glypican-3 in the pathogenesis of HCC.Further,we highlighted how these prognostic markers correlated to clinical parameters such as tumor node metastasis,tumor diameter,differentiation,hepatocirrhosis,vascular invasion,and others in HCC.Therefore,identifying specific prognostic biomarkers of HCC helps to provide a great opportunity to improve the prognosis in patients with HCC and provide therapeutic targets. 展开更多
关键词 Hepatocellular carcinoma Clinical parameters Prognostic markers Pathophysiological aspects Therapeutic targets
暂未订购
High voltage cathode materials for rechargeable magnesium batteries:Structural aspects and electrochemical perspectives
2
作者 Dedy Setiawan Jiwon Hwang +1 位作者 Munseok S.Chae Seung-Tae Hong 《Journal of Magnesium and Alloys》 2025年第9期4167-4188,共22页
Rechargeable magnesium batteries(RMBs)are a cutting-edge energy storage solution,with several advantages over the state-of-art lithiumion batteries(LIBs).The use of magnesium(Mg)metal as an anode material provides a m... Rechargeable magnesium batteries(RMBs)are a cutting-edge energy storage solution,with several advantages over the state-of-art lithiumion batteries(LIBs).The use of magnesium(Mg)metal as an anode material provides a much higher gravimetric capacity compared to graphite,which is currently used as the anode material in LIBs.Despite the significant advances in electrolyte,the development of cathode material is limited to materials that operate at low average discharge voltage(<1.0 V vs.Mg/Mg^(2+)),and developing high voltage cathodes remains challenging.Only a few materials have been shown to intercalate Mg^(2+)ions reversibly at high voltage.This review focuses on the structural aspects of cathode material that can operate at high voltage,including the Mg^(2+)intercalation mechanism in relation to its electrochemical properties.The materials are categorized into transition metal oxides and polyanions and subcategorized by the intrinsic Mg^(2+)diffusion path.This review also provides insights into the future development of each material,aiming to stimulate and guide researchers working in this field towards further advancements in high voltage cathodes. 展开更多
关键词 gravimetric capacity cathode material energy storage high voltage cathode materials anode material structural aspects lithiumion batteries libs rechargeable magnesium batteries
在线阅读 下载PDF
ASPECTS评分及多模态CT定量分析在AIS预后预测中的应用 被引量:2
3
作者 王书芹 郑璇 +1 位作者 孟影 朱广辉 《中国CT和MRI杂志》 2024年第11期4-6,共3页
目的探讨ASPECTS评分及多模态CT中各参数在急性缺血性脑卒中(AIS)预后预测的应用价值。方法收集2019年1月-2023年4月诊断为AIS并在蚌埠医学院第一附属医院就诊的患者,在治疗前均行多模态CT(包括NCCT、CTA、CTP)检查的患者93例,3个月后... 目的探讨ASPECTS评分及多模态CT中各参数在急性缺血性脑卒中(AIS)预后预测的应用价值。方法收集2019年1月-2023年4月诊断为AIS并在蚌埠医学院第一附属医院就诊的患者,在治疗前均行多模态CT(包括NCCT、CTA、CTP)检查的患者93例,3个月后随访并根据改良Rankin量表评分(mRs)将患者分为预后良好组(mRs≤2)和预后不良组(mRs>2),收集两组患者的临床资料及多模态CT定量参数比较其在预测AIS中预后中有无意义。结果一般资料分析可见预后不良组患者入院基线NIHSS评分、远端侧支循环及ASPECTS评分均与预后良好组之间有一定的统计学差异(P<0.05);CT灌注定量参数分析可见预后不良组CBF较低,而MTT、Tmax、TTP较预后良好组延长,且具有统计学意义(P<0.05)。其中NIHSS、远端侧支循环及Tmax为影响AIS预后的独立危险因素。结论NIHSS、远端侧支循环、ASPECTS及多模态CT可以对AIS的预后进行评测。均具有较好的预测效能,其中Tmax及NIHSS预测效能最好。 展开更多
关键词 脑卒中 aspects评分 多模态CT CT灌注
暂未订购
Major Sickle Cell Syndromes in Maradi, Niger: Epidemiological, Clinical, Biological and Therapeutic Aspects
4
作者 Moustapha Elhadji-Chefou Badé Malam-Abdou +6 位作者 Amadou Djibrilla-Almoustapha Maman Brah Moustapha Djamila Mahamadou Ali Oumou Kimso Ibrahim Timi Liman Elhadji Ali Aminatou Seydou Yacouba Abdou Alzouma 《Open Journal of Blood Diseases》 2024年第4期101-108,共8页
Introduction: Sickle cell disease is the most widespread genetic disorder in the world. This study aimed to investigate the epidemiological, clinical, biological, and therapeutic aspects of sickle cell anemia in Marad... Introduction: Sickle cell disease is the most widespread genetic disorder in the world. This study aimed to investigate the epidemiological, clinical, biological, and therapeutic aspects of sickle cell anemia in Maradi, Niger. Methodology: This was a retrospective descriptive study carried out at the Centre Hospitalier Régional (CHR) of Maradi over 12 months, from September 2021 to August 2022. Results: This study included 246 patients with sickle cell anemia. The average age was 7.9 years, ranging from 0 to 16 years, and a sex ratio of 1.2. We observed kinship in 54.9% of the parents of sickle cell patients. Among the fathers, 62.6% were primarily blue-collar workers, while 87.4% of the mothers were housewives. Clinically, we observed pallor in 78.5% of the patients, jaundice in 43.5%, splenomegaly in 12.6%, and hepatomegaly in 11.8%. The most common vaso-occlusive crises involved osteoarticular pain (34.6%), followed by hand-foot syndrome (26.4%) and abdominal pain (20.3%). The SS form predominated biologically, representing 93.5% of cases, while double heterozygotes SC represented 6.5%. Most patients (56.5%) presented with severe anemia, with moderate anemia observed in 38.6% of cases. All patients received folic acid. Level I and II analgesics were used in 82.6% and 46.7% of patients, respectively, and patients received non-steroidal anti-inflammatory drugs in 72.3% of cases. A small proportion of patients (7.8%) were on background treatment with Hydrea. Conclusion: The results of our study are similar to those often described in sickle cell anemia. 展开更多
关键词 Major Sickle Cell Syndromes EPIDEMIOLOGICAL CLINICAL BIOLOGICAL Therapeutic aspects Maradi/Niger
暂未订购
Management of Significant Environmental Aspects and Impacts in Accordance with the ISO 14001:2015 Standard during the Operation and Maintenance Phase of Senegal River Basin Development Authority Hydroelectric Works and Facilities: The Case of Manantali Dam
5
作者 Joseph Mbeur Faye Saïdou Ndao Louis Eugène Victor Sambou 《Journal of Geoscience and Environment Protection》 2024年第10期89-110,共22页
This study aims to determine the environmental aspects and impacts of the phase relating to the operation of Manantali’s hydroelectric structures and facilities according to the requirements of the ISO 14001 version ... This study aims to determine the environmental aspects and impacts of the phase relating to the operation of Manantali’s hydroelectric structures and facilities according to the requirements of the ISO 14001 version 2015 standard. To do this, the mapping of the different work areas made it possible to identify all the activities within the framework of the farm. Based on the mapping, environmental measurements made including noise level, brightness, electric and magnetic fields, total particles, PM10, PM2.5, PM1 showed the work areas with the exposure limit values exceeded. The inventories of the waste produced show eighteen (18) types of waste, 67% of which are special industrial waste (SIW), 28% are ordinary industrial waste (OIW) and 5% are inert industrial waste (IIW). The identification and assessment of environmental aspects and impacts made it possible to determine sixteen (16) positive and negative significant environmental aspects (ESAs). The positive AES must be maintained, and for the negative ones, mitigation and mitigation measures must be put in place in order to manage them effectively. This will ultimately improve environmental management in the operation of hydroelectric structures and facilities. 展开更多
关键词 Manantali Environmental Aspect Environmental Impact Waste Mitigation and Mitigation Measures
在线阅读 下载PDF
Psychosocial Aspects of Male Infertility at the Service of Urology-Andrology of the Hospital of the Sino-Guinean Friendship
6
作者 Alimou Diallo Thierno Oumar Diallo +3 位作者 Alpha Oumar Barry Ibrahima Bah Abdoulaye Bobo Diallo Oumar Raphiou Bah 《Open Journal of Urology》 2024年第7期400-406,共7页
Objective: Describe the psychosocial aspects of male infertility at the hospital of the Sino-Guinean Friendship. Patients and method: It is a prospective study of a descriptive type covering a period of 6 months. The ... Objective: Describe the psychosocial aspects of male infertility at the hospital of the Sino-Guinean Friendship. Patients and method: It is a prospective study of a descriptive type covering a period of 6 months. The study covered 17 patients, all received for a desire to conceive after at least one year of regular sexual intercourse without contraception. The data were collected from patient interviews using a pre-established questionnaire. Results: The average age of the patients was 32.07 years with extremes of 23 years and 42 years. During this study, 64.70% of patients were no longer participating in community ceremonies. The patients’ relationships with their spouse and family deteriorated in 52.94% and 47.06%, respectively. Conversely, relations with the family of origin remained unchanged in 70.59 percent of cases. The reduction in economic activity was by 13 patients (76.48%). Conclusion: Male infertility causes a real psychic earthquake in men with its corollaries of negative feelings. The rather complex moral repercussions of male infertility affect not only the individual, his/her partner, and family, but also economic activity. 展开更多
关键词 Male Infertility Psycho-Social Aspect Psychic Earthquake
暂未订购
DWI-ASPECTS评估急性脑梗死静脉溶栓治疗预后价值 被引量:13
7
作者 姜亮 陈慧铀 +5 位作者 殷信道 毛存南 石国美 王丽萍 周俊山 张颖冬 《临床放射学杂志》 CSCD 北大核心 2016年第3期328-332,共5页
目的 探讨基于扩散加权成像(DWI)的Alberta卒中项目早期CT评分(DWI-ASPECTS)对急性前循环脑梗死静脉溶栓治疗远期预后的预测价值。方法 将99例接受静脉溶栓治疗的急性前循环脑梗死患者纳入研究对象进行前瞻性研究。搜集患者入院的... 目的 探讨基于扩散加权成像(DWI)的Alberta卒中项目早期CT评分(DWI-ASPECTS)对急性前循环脑梗死静脉溶栓治疗远期预后的预测价值。方法 将99例接受静脉溶栓治疗的急性前循环脑梗死患者纳入研究对象进行前瞻性研究。搜集患者入院的一般临床资料、DWI-ASPECTS评分、3个月后改良Rankin量表(mRS)和欧洲五维健康量表(EQ-5D)评分。根据患者3个月后改良Rankin量表(mRS)分为良好转归组(0~2分)和不良转归组(3~6分)。比较2组患者间临床和影像学指标差异,应用Logistic回归分析上述有统计学意义的变量并进行受试者工作特征曲线(ROC)分析。最后将有独立预测因素的变量与EQ-5D进行The Spearman相关检验。结果 本组研究共99例患者,良好转归组68例,不良转归组31例。与不良转归组比较,良好转归组患者年龄更年轻(61.51vs 68.69;P=0.001),入院至MRI检查时间更长(13.4 vs 10.16;P=0.000),入院时NIHSS分值更低(7.31 vs13.10;P=0.000),DWI-ASPECTS分值更高(7.72 vs 3.94;P=0.000),均有显著性差异(P〈0.05)。Logistic回归分析显示年龄(OR 1.083,95%CI 1.013~1.158,P=0.020)、入院时NIHSS分值(OR 1.296,95%CI 1.106~1.520,P=0.001)、DWI-ASPECTS分值(OR 0.697,95%CI 0.553~0.879,P=0.002)均是不良转归发生的独立预测因素。经ROC曲线进一步分析显示DWI-ASPECTS分值曲线下面积为0.878(95%CI 0.784~0.971),DWI-ASPECTS分值预测不良转归的最佳临界点为6.50,敏感度为77.8%,特异度为81.3%。Spearman相关检验示DWI-ASPECTS评分与EQ-5D效应值、EQ视觉模拟量表(EQ-VAS)均呈正相关(r=0.65、r=0.60,P〈0.01)。结论 DWI-ASPECTS评分是评估急性脑梗死患者溶栓治疗预后转归的一种重要标志物。 展开更多
关键词 脑梗死 预后 磁共振扩散成像 aspects评分
原文传递
双能CTA虚拟成像对急性缺血性脑卒中的评估
8
作者 田莉萍 逯瑶 +3 位作者 张苗 於帆 费晓璐 卢洁 《临床放射学杂志》 北大核心 2025年第2期226-231,共6页
目的比较双能CT血管造影(CTA)衍生的虚拟平扫(VNC)与常规CT平扫(NCCT)在图像质量、病变对比度以及Alberta卒中项目早期CT评分(ASPECTS)差异,评价基于VNC图像进行ASPECTS评分的准确性,以探究VNC对于急性缺血性脑卒中(AIS)的应用价值。方... 目的比较双能CT血管造影(CTA)衍生的虚拟平扫(VNC)与常规CT平扫(NCCT)在图像质量、病变对比度以及Alberta卒中项目早期CT评分(ASPECTS)差异,评价基于VNC图像进行ASPECTS评分的准确性,以探究VNC对于急性缺血性脑卒中(AIS)的应用价值。方法选取2023年11月至2024年1月接受常规头颅CT平扫和双能CTA扫描的AIS患者,获得颅脑NCCT和VNC图像。对两组图像进行客观及主观图像质量评价:客观图像质量评价选取半卵圆中心、放射冠、内囊、尾状核头、丘脑和静脉窦区域为感兴趣区(ROI),测量CT值、噪声,计算信噪比(SNR)、灰白质间对比噪声比(CNR);主观图像质量评价由两名放射诊断医师采用李克特(Likert)5分量表法独立进行。选取梗死病变和相应健侧区域测量平均组织密度,计算梗死灶CNR和对比度临床差异(CID),并由两名放射科医师独立对NCCT图像和VNC图像进行ASPECTS评分。结果共87例患者纳入影像分析,平均年龄65.8岁,其中女性27例,男性60例。VNC图像的半卵圆中心、放射冠、内囊、尾状核头、丘脑和静脉窦区域的SNR和CNR均显著低于NCCT图像(P<0.05)。VNC图像的主观图像质量评分显著低于NCCT图像(3.29±0.73 vs 4.95±0.21;P<0.01)。VNC图像的病变临床对比度较NCCT降低54.87%。VNC组、NCCT组图像ASPECTS分别为9.03±1.08、8.86±1.47,差异无统计学意义(P=0.29)。结论AIS患者VNC图像ASPECTS评分与NCCT图像一致,虽图像质量相对较差,但必要时可作为临床评价参考。 展开更多
关键词 双能CT 虚拟成像 脑卒中 aspects
原文传递
CT灌注成像ASPECTS在急性缺血性脑卒中溶栓再通中的应用 被引量:19
9
作者 柯伟 邓小容 +4 位作者 李文澜 卢祖能 杜敏 杨昊 刘永明 《中国老年学杂志》 CAS 北大核心 2018年第12期2829-2832,共4页
目的研究CT灌注成像(CTP)、Albertu脑卒中项目早期CT评分(ASPECTS)在检测可逆性脑组织缺血方面的作用。方法回顾62例患者临床和影像学资料,这些患者均因急性缺血性脑卒中(持续时间<3 h)接受了静脉溶栓治疗,脑卒中患者最初影像学评估... 目的研究CT灌注成像(CTP)、Albertu脑卒中项目早期CT评分(ASPECTS)在检测可逆性脑组织缺血方面的作用。方法回顾62例患者临床和影像学资料,这些患者均因急性缺血性脑卒中(持续时间<3 h)接受了静脉溶栓治疗,脑卒中患者最初影像学评估包括非对比增强CT(NCCT),CT血管造影(CTA)和CTP。结果共25例患者存在CTP ASPECTS不匹配。CTP ASPECTS不匹配亚组最终脑梗死体积分别与NCCT 0 h-ASPECTS,平均间隔时间(MTT)-ASPECTS,脑血容量(CBV)-ASPECTS,NCCT 24 h-ASPECTS均呈负相关,ΔmRS分别与NCCT 0 h-ASPECTS,MTT-ASPECTS,CBV-ASPECTS,NCCT 24 h-ASPECTS间均呈负相关。与所有患者组或所有前循环事件的患者亚组相比,在CTP ASPECTS不匹配亚组,ASPECTS和临床结果之间的相关性较高。MTT-ASPECTS和CBV-ASPECTS分数与临床结果之间的相关性比NCCT 0 h-ASPECTS(即入院时NCCT-ASPECTS)与临床结果的相关性要强。二分ΔmRS,采用ΔmRS≤1表示良好的临床效果,MTT-NCCT 24 h ASPECTS不匹配的统计学显著性最低的阈值为2(P=0.04),该值预测良好的临床结果。在MTT-NCCT 24 h ASPECTS不匹配≥2的患者亚组(n=12),此参数和CTP-ASPECTS不匹配间有较强的相关性(r=0.79,P<0.001),并具有较强的线性相关性(R2=0.671)。结论 CTP ASPECTS不匹配可充分预测潜在的可挽救缺血脑组织的量。 展开更多
关键词 CT灌注成像(CTP) 急性缺血性脑卒中 Alberta脑卒中项目早期CT评分(aspects)
暂未订购
CTP-ASPECTS评分在前循环梗死患者急性期预后判断中的应用 被引量:4
10
作者 杨志华 《广东医学》 CAS CSCD 北大核心 2012年第9期1249-1251,共3页
目的探讨前循环梗死患者入院时CT灌注成像(CTP)-ASPECTS评分与急性期预后的关系。方法回顾分析起病时间在4.5~8.0 h的34例急性前循环梗死患者头颅CT平扫、CTP及头颅血管造影(CTA)检查结果,根据患者缺血性中风1周内的预后(有无意识改变... 目的探讨前循环梗死患者入院时CT灌注成像(CTP)-ASPECTS评分与急性期预后的关系。方法回顾分析起病时间在4.5~8.0 h的34例急性前循环梗死患者头颅CT平扫、CTP及头颅血管造影(CTA)检查结果,根据患者缺血性中风1周内的预后(有无意识改变或死亡)分为预后较好组及预后较差组,多模CT检查获得脑血流量(CBF)、脑血容量(CBV)、平均通过时间(MTT)、达峰时间等参数图,并对各参数图进行ASPECTS评分,同时获得动态CT血管成像(CTA)。比较两组患者CTP参数ASPECTS评分的差异。结果 34例患者中预后较差组12例,预后较差组CBV-ASPECTS评分较低,与预后较好组比较差异有统计学意义(P<0.01),两组病变侧CBF-ASPECTS与MTT-ASPECTS比较差异无统计学意义(P>0.05)。结论 CBV-ASPECTS评分可以作为前循环梗死患者急性期预后的预测因子。 展开更多
关键词 中风 aspects评分 头颅多模CT 预后
暂未订购
Phase field modeling of the aspect ratio dependent functional properties of NiTi shape memory alloys with different grain sizes 被引量:1
11
作者 Bo Xu Beihai Huang +1 位作者 Chong Wang Qingyuan Wang 《Acta Mechanica Sinica》 2025年第1期22-41,共20页
It is well known that coarse-grained super-elastic NiTi shape memory alloys(SMAs)exhibit localized rather than homogeneous martensite transformation(MT),which,however,can be strongly influenced by either internal size... It is well known that coarse-grained super-elastic NiTi shape memory alloys(SMAs)exhibit localized rather than homogeneous martensite transformation(MT),which,however,can be strongly influenced by either internal size(grain size,GS)or the external size(geometric size).The coupled effect of GS and geometric size on the functional properties has not been clearly understood yet.In this work,the super-elasticity,one-way,and stress-assisted two-way shape memory effects of the polycrystalline NiTi SMAs with different aspect ratios(length/width for the gauge section)and different GSs are investigated based on the phase field method.The coupled effect of the aspect ratio and GS on the functional properties is adequately revealed.The simulated results indicate that when the aspect ratio is lower than about 4:1,the stress biaxiality and stress heterogeneity in the gauge section of the sample become more and more obvious with decreasing the aspect ratio,which can significantly influence the microstructure evolution in the process involving external stress.Therefore,the corresponding functional property is strongly dependent on the aspect ratio.With decreasing the GS and the aspect ratio(to be lower than 4:1),both the aspect ratio and GS can affect the MT or martensite reorientation in each grain and the interaction among grains.Thus,due to the strong internal constraint(i.e.,the constraint of grain boundary)and the external constraint(i.e.,the constraint of geometric boundary),the capabilities of the functional properties of NiTi SMAs are gradually weakened and highly dependent on these two factors. 展开更多
关键词 Phase field modeling NITI Aspect ratio Grain size Functional property
原文传递
The Synthesis of Aspects on the Management of Second Language Teaching
12
作者 李阳 李晓理 《语言与文化研究》 2009年第1期11-16,共6页
Principles which teachers should adhere to in second language class are based on the synthesis of linguistic,cultural and competent aspects.This paper first puts forward linguistic,cultural and competent aspects of se... Principles which teachers should adhere to in second language class are based on the synthesis of linguistic,cultural and competent aspects.This paper first puts forward linguistic,cultural and competent aspects of second language teaching.Then,the principles which teachers should adhere to in second language class are introduced.Finally,the synthesis implication for second language teaching is presented. 展开更多
关键词 LINGUISTIC CULTURAL and COMPETENT aspects SECOND l
原文传递
INSTRUCTIONS FOR AUTHORS
13
《Journal of Systems Engineering and Electronics》 2025年第5期F0003-F0003,共1页
Aims and scope Journal of Systems Engineering and Electronics,keeping abreast with the development trend of science and technology worldwide,reports the latest develop-ments and achievements in both theoretical and pr... Aims and scope Journal of Systems Engineering and Electronics,keeping abreast with the development trend of science and technology worldwide,reports the latest develop-ments and achievements in both theoretical and practical aspects of systems engineering,electronicsand related research areas. 展开更多
关键词 practical aspects science technology systems engineeringelectronicsand theoretical aspects systems engineering ELECTRONICS research achievements research areas
在线阅读 下载PDF
Causes and Prognoses of Acute Fever in Children Aged 0 - 15 Who Are Hospitalized in the Department of Pediatrics at the University Hospital (UH) Gabriel Touré, Bamako-Mali
14
作者 Fatoumata Léonie F. Diakité Mariam Kané +17 位作者 Guediouma Dembélé Leyla B. Maiga Niomo Kountao Nouhoum L. Traoré Fatou Magané Lala N. Sidibé Traoré Hawa Mady Niakaté Tiaria Sanogo Marianne Djouell Hawa G. Diall Djénèba Konaté Belco Maiga Karamoko Sacko Abdoul K. Doumbia Souleymane Sagara Abdoul Aziz Diakité Fatoumata Dicko 《Open Journal of Pediatrics》 2025年第1期10-20,共11页
Fever is the primary reason for consultation and admission to pediatric emergency departments. The aim of this study was to describe the clinical, etiological and prognostic aspects of acute fever in children aged 0 -... Fever is the primary reason for consultation and admission to pediatric emergency departments. The aim of this study was to describe the clinical, etiological and prognostic aspects of acute fever in children aged 0 - 15 years. Patients and Methods: This was a prospective cross-sectional study from April 1, 2021 to March 31, 2022 and affected all children aged 0 to 15 years old with a temperature of 39˚C or higher (≥), having less than five days and hospitalized in the pediatric department of the Gabriel Touré University Hospital. Results: During the study period, 150 children were included, the sex-ratio was 0.85. Children aged 0 - 5 years represented 71.4% of the sample. References represented more than half of the sample, or 58% of cases. Body temperature was above 40˚C in 18.7% of cases. Functional signs were dominated by respiratory signs in 28% and digestive signs in 18%. Clinical pallor was found in 55.3% of children associated with signs of respiratory struggle in 70% of cases and tachycardia in 40% of patients. Anemia was present in 65.3% of patients. Hyperleucocytosis and leukopenia were found in 45.3% and 43.3% of patients respectively. The C-reactive protein was positive in 44.7% of patients and Cytobacteriological Examination and Chemistry of Cerebrospinal Fluid was positive in 8.7% of cases. The thick drop was positive in 44.7% of patients and blood cultures grew in 6 patients. Etiology was dominated by severe malaria 54 cases (36%), pneumonia (19.3%), meningitis (12.6%), and in those under one month it was bacterial neonatal infection (8.6%). In our study, slightly more than one patient out of three died during hospitalization, 36% (54 cases/150) and among these 70% (38 cases/54) were under 5 years old. The most lethal pathologies were severe malaria (36%), bacterial pneumonia (19.3%), meningitis (12.6%), bacterial neonatal infections (8.6%) and measles complicated by pneumonia (5.3%). Mortality during hospitalization was 36% of deaths (54 out of 150 patients) and 70.3% (38/54) of the deceased patients were under 5 years old. Conclusion: This study shows that fever is a frequent symptom and a sign of serious and very lethal pathologies. The cause of fever can be a diagnostic challenge for health workers. However, early identification of children at risk for serious illness could allow for prompt and appropriate management in appropriate settings. 展开更多
关键词 Acute Fever aspects Clinical Etiological and Prognostic CHILDREN MALI
暂未订购
基于多模态磁共振成像与Alberta卒中项目早期CT评分构建急性脑卒中溶栓治疗后短期预后预测模型
15
作者 邢安定 徐旭然 傅晓明 《山西医药杂志》 2025年第17期1283-1287,共5页
目的探讨多模态磁共振成像与Alberta卒中项目早期CT评分(ASPECTS)评分联合构建急性脑卒中(AIS)溶栓治疗后短期预后预测模型的效能。方法分析2023年1月至2024年6月在本院诊治的AIS患者116例临床资料,按短期预后情况分为预后良好组(n=65)... 目的探讨多模态磁共振成像与Alberta卒中项目早期CT评分(ASPECTS)评分联合构建急性脑卒中(AIS)溶栓治疗后短期预后预测模型的效能。方法分析2023年1月至2024年6月在本院诊治的AIS患者116例临床资料,按短期预后情况分为预后良好组(n=65)和预后不良组(n=51)。对比2组患者基本资料、多模态磁共振成像结果及ASPECTS评分情况。将2组差异显著的变量纳入多因素Logistic回归模型,构建预测短期预后模型,绘制ROC曲线评估模型区分能力。结果与预后良好组相比,预后不良组美国国立卫生研究院卒中量表(NIHSS)评分更高,不对称突出静脉征(APVS)阳性人数占比更高,扩散加权成像(DWI)-ASPECTS评分更低(P<0.05);Logistic回归分析显示,NIHSS评分、APVS阳性、DWI-ASPECTS评分是AIS患者预后的独立影响因素(P<0.05);ROC曲线显示,DWI-ASPECTS评分预测AIS溶栓治疗后短期预后不良具有较高的价值,联合NIHSS评分及APVS阳性可进一步提高诊断价值(Z=3.62,P<0.05)。结论基于多模态磁共振成像与ASPECTS评分构建的急性脑卒中溶栓治疗后短期预后预测模型具有良好的诊断价值,对于指导临床决策至关重要。 展开更多
关键词 多模态成像 弥散加权成像 aspects评分 急性脑卒中 预后
暂未订购
Minimal expansion of shrubland on the Tibetan Plateau over the past three decades
16
作者 Li Liu Daijun Yao +10 位作者 Guang Zhao Zhoutao Zheng Ning Zong Yan Zhao Ke Huang Nan Cong Yu Zhang Qianxin Jiang Yunlong He Wenchao Wu Yangjian Zhang 《Forest Ecosystems》 2025年第5期940-952,共13页
Shrubland expansion is a globally occurring phenomenon under global change and has caused a wide range of ecological consequences.However,due to the visual similarity between shrubland and grassland,the accuracy of sh... Shrubland expansion is a globally occurring phenomenon under global change and has caused a wide range of ecological consequences.However,due to the visual similarity between shrubland and grassland,the accuracy of shrubland interpretation and its spatial distribution varies across different products,making shrub encroachment on the Tibetan Plateau(TP)uncertain.To address these challenges,we developed a phenology-based and pixel-wise method utilizing the Landsat,Sentinel-1,and Sentinel-2 image archives to map shrubland distribution from 1990 to 2022 across the TP.We also investigated the factors affecting shrubland distribution.Using the Random Forest(RF)model,we achieved moderate to high accuracies(Kappa=0.70–0.81)in predicting shrubland d istributions,and we found that shrubland primarily occupies transitional zones between forest and grassland.In the southeast TP,solar radiation intensity is the dominant factor explaining the spatial distribution of shrubland,whereas in arid regions,water availability is the most important.From 1990 to 2022,the shrubland area slightly increased from 3.40%to 4.71%,with expansion showing a clustered pattern,mainly in the shaded aspects of arid regions.The shrubland identification method proposed here shows potential applicability in other areas with similar environmental conditions,such as arid landscapes or high-altitude ecosystems with pronounced seasonal vegetation dynamics.It also plays a crucial role in evaluating vegetation responses to climatic changes. 展开更多
关键词 Shrubland distribution Shrubland expansion Shaded aspects Soil moisture(SM) Tibetan plateau(TP)
在线阅读 下载PDF
Innovative extenso-inclinometer for slow-moving deep-seated landslide monitoring in an early warning perspective
17
作者 Emilia Damiano Magno Battipaglia +6 位作者 Martina de Cristofaro Settimio Ferlisi Domenico Guida Erika Molitierno Nadia Netti Mario Valiante Lucio Olivares 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第8期5359-5371,共13页
Extensive urban areas worldwide face significant landslide hazards, impacting inhabitants, buildings, and critical infrastructures alike. In the case of slow-moving deep-seated landslides involving huge areas and char... Extensive urban areas worldwide face significant landslide hazards, impacting inhabitants, buildings, and critical infrastructures alike. In the case of slow-moving deep-seated landslides involving huge areas and characterized by complex patterns, when the cost of repairing infrastructures, relocating communities, and restoring cultural sites might be such that it is unsustainable for the community, the exposed structures require significant effort for their surveillance and protection, which can be supported by the development of innovative monitoring systems. For this purpose, a smart extenso-inclinometer, realized by equipping a conventional inclinometer tube with distributed strain and temperature transducers based on optical fiber sensing technology, is presented. In situ monitoring of the active deep-seated San Nicola landslide in Centola (Campania, southern Italy) demonstrated its ability to capture the main features of movements and reconstruct a tridimensional evolution of the landslide pattern, even when the entity of both vertical and horizontal soil strain components is comparable. Although further tests are needed to definitively ascertain the extensometer function of the new device, by interpreting the strain profiles of the landslide body and identifying the achievement of predetermined thresholds, this system could provide a warning of the trigger of a landslide event. The use of the smart extenso-inclinometer within an early warning system for slow-moving landslides holds immense potential for reducing the impact of landslide events. 展开更多
关键词 Smart extenso-inclinometer Distributed fiber optic sensing(DFOS)technology Landslide early warning system Deep-seated landslides Socioeconomic aspects
在线阅读 下载PDF
Unstable regions of anisotropic relativistic spheres in higher dimensions
18
作者 M Yousaf Bander Almutairi +2 位作者 M Z Bhatti Z Yousaf A S Khan 《Communications in Theoretical Physics》 2025年第3期112-129,共18页
In this work,we consider the collapse of a D-dimensional sphere in the framework of a higher-dimensional spherically symmetric space-time in which the gravitational action chosen is claimed to be somehow linked to the... In this work,we consider the collapse of a D-dimensional sphere in the framework of a higher-dimensional spherically symmetric space-time in which the gravitational action chosen is claimed to be somehow linked to the D-dimensional modified term.This work investigates the criteria for the dynamical instability of anisotropic relativistic sphere systems with D-dimensional modified gravity.The certain conditions are applied that lead to the collapse equation and their effects on adiabatic indexΓin both Newtonian(N)and Post-Newtonian(PN)regimes by using a perturbation scheme.The study explores that theΓplays a crucial role in determining the degree of dynamical instability.This index characterizes the fluid's stiffness and has a significant impact on defining the ranges of instability.This systematic investigation demonstrates the influence of various material properties such as anisotropic pressure,kinematic quantities,mass function,D-dimensional modified gravity parameters,and the radial profile of energy density on the instability of considered structures during their evolution.This work also displays the dynamical behavior of spherically symmetric fluid configuration via graphical approaches. 展开更多
关键词 GRAVITATION dynamical instability mathematical and relativistic aspects of cosmology mathematical physics
原文传递
Detecting Drowsiness Behind the Wheel: A Lightweight Approach Based on Eye and Mouth Aspect Ratios
19
作者 Heyang Ni 《Journal of Electronic Research and Application》 2025年第4期30-38,共9页
Driver distraction is a leading cause of traffic accidents,with fatigue being a significant contributor.This paper introduces a novel method for detecting driver distraction by analyzing facial features using machine ... Driver distraction is a leading cause of traffic accidents,with fatigue being a significant contributor.This paper introduces a novel method for detecting driver distraction by analyzing facial features using machine deep learning and 68 face model.The proposed system assesses driver tiredness by measuring the distance between key facial landmarks,such as the distance between the eyes and the angle of the mouth,to evaluate signs of drowsiness or disengagement.Real-time video feed analysis allows for continuous monitoring of the driver’s face,enabling the system to detect behavioral cues associated with distraction,such as eye closures or changes in facial expressions.The effectiveness of this method is demonstrated through a series of experiments on a dataset of driver videos,which proves that the approach can accurately assess tiredness and distraction levels under various driving conditions.By focusing on facial landmarks,the system is computationally efficient and capable of operating in real-time,making it a practical solution for in-vehicle safety systems.This paper discusses the system’s performance,limitations,and potential for future enhancements,including integration with other in-vehicle technologies to provide comprehensive driver monitoring. 展开更多
关键词 Driver drowsiness detection Eye aspect ratio(EAR) Mouth aspect ratio(MAR) Facial landmark detection Real-time monitoring
在线阅读 下载PDF
The damage of sequential explosions in reinforced concrete:Experimental and numerical investigation
20
作者 Libin Wang Zhun Bai +3 位作者 Bingwen Qian Yutao Hu Liangquan Wang Gang Zhou 《Defence Technology(防务技术)》 2025年第6期284-297,共14页
The development of guidance technology has made it possible for the earth penetration weapons(EPWs)to impact the target repeatedly at a close range. To investigative the damage of single and sequential strike induced ... The development of guidance technology has made it possible for the earth penetration weapons(EPWs)to impact the target repeatedly at a close range. To investigative the damage of single and sequential strike induced by the EPWs, experimental and numerical investigations are carried out in this paper.Firstly, a series of sequential explosion tests are conducted to provide the basic data of the crater size.Then, a numerical model is established to simulate the damage effects of sequential explosions using the meshfree method of Smoothed particle Galerkin. The effectiveness of numerical model is verified by comparison with the experimental results. Finally, based on dimensional analysis, several empirical formulas for describing the crater size are presented, including the conical crater diameter and the conical crater depth of the single explosion, the conical crater area and the joint depth of the secondary explosion. The formula for the single explosion expresses the relationship between the aspect ratio of the charge ranging from 3 to 7, the dimensionless buried depth ranging from 2 to 14 and the crater size. The formula for the secondary explosion expresses the relationship between the relative position of the two explosions and the crater size. All of data can provide reference for the design of protective structures. 展开更多
关键词 CRATER Dimensional analysis Reinforced concrete Buried depth Aspect ratio Smoothed particle Galerkin
在线阅读 下载PDF
上一页 1 2 37 下一页 到第
使用帮助 返回顶部