BACKGROUND Arabic-speaking patients are underrepresented in orthopedic clinical studies,particularly in foot and ankle trauma research.The lack of validated Arabic language tools hinders their inclusion,creating a nee...BACKGROUND Arabic-speaking patients are underrepresented in orthopedic clinical studies,particularly in foot and ankle trauma research.The lack of validated Arabic language tools hinders their inclusion,creating a need for culturally and linguistically adapted instruments.The American Academy of Orthopedic Surgeons Foot and Ankle Outcomes Questionnaire(AAOS-FAOQ)is a widely used tool but has not been adapted for Arabic-speaking patients.AIM To translate,cross-culturally adapt,and validate the AAOS-FAOQ for Arabicspeaking patients with traumatic foot and ankle injuries.METHODS The cross-cultural adaptation followed established guidelines,involving forward and backward translations,expert review,and pre-testing.The final Arabic version was administered alongside the Arabic Short-Form 36(SF-36)to 100 patients for validity testing.Reliability was assessed through test-retest methods with 20 patients completing the questionnaire twice within 48 hours.Pearson correlation coefficients measured convergent and divergent validity with SF-36 subscales,while Cronbach's alpha and intraclass correlation coefficients(ICC)determined internal consistency and reliability.RESULTS Out of 100 patients,92 completed the first set of questionnaires.The Arabic AAOS-FAOQ showed strong correlations with the SF-36 subscales,particularly in physical function and bodily pain(r>0.6).Test-retest reliability was robust,with ICCs of 0.69 and 0.66 for the Global Foot and Ankle Scale and Shoe Comfort Scale,respectively.Cronbach's alpha for internal consistency ranged from 0.7 to 0.9.CONCLUSION The Arabic version of the AAOS-FAOQ demonstrated validity and reliability for use in Arabic-speaking patients with traumatic foot and ankle injuries.This adaptation will enhance the inclusion of this population in orthopedic clinical studies,improving the generalizability of research findings and patient care.展开更多
With the rapid adoption of artificial intelligence(AI)in domains such as power,transportation,and finance,the number of machine learning and deep learning models has grown exponentially.However,challenges such as dela...With the rapid adoption of artificial intelligence(AI)in domains such as power,transportation,and finance,the number of machine learning and deep learning models has grown exponentially.However,challenges such as delayed retraining,inconsistent version management,insufficient drift monitoring,and limited data security still hinder efficient and reliable model operations.To address these issues,this paper proposes the Intelligent Model Lifecycle Management Algorithm(IMLMA).The algorithm employs a dual-trigger mechanism based on both data volume thresholds and time intervals to automate retraining,and applies Bayesian optimization for adaptive hyperparameter tuning to improve performance.A multi-metric replacement strategy,incorporating MSE,MAE,and R2,ensures that new models replace existing ones only when performance improvements are guaranteed.A versioning and traceability database supports comparison and visualization,while real-time monitoring with stability analysis enables early warnings of latency and drift.Finally,hash-based integrity checks secure both model files and datasets.Experimental validation in a power metering operation scenario demonstrates that IMLMA reduces model update delays,enhances predictive accuracy and stability,and maintains low latency under high concurrency.This work provides a practical,reusable,and scalable solution for intelligent model lifecycle management,with broad applicability to complex systems such as smart grids.展开更多
Colorectal cancer(CRC)is the most frequently diagnosed malignancy of the digestive system and the second leading cause of cancer-related deaths worldwide(1).In China,CRC ranks as the second most common cancer with inc...Colorectal cancer(CRC)is the most frequently diagnosed malignancy of the digestive system and the second leading cause of cancer-related deaths worldwide(1).In China,CRC ranks as the second most common cancer with incidence and mortality rates continuing to rise(2).The Chinese Society of Clinical Oncology(CSCO)first introduced its guidelines in 2017,and since then,they have been updated annually to incorporate the latest clinical research findings,drug availability,and expert consensus(3-8).This article presents the key updates in the 2025 edition compared to the 2024 version.展开更多
Unmanned Aerial Vehicles(UAVs)are increasingly employed in traffic surveillance,urban planning,and infrastructure monitoring due to their cost-effectiveness,flexibility,and high-resolution imaging.However,vehicle dete...Unmanned Aerial Vehicles(UAVs)are increasingly employed in traffic surveillance,urban planning,and infrastructure monitoring due to their cost-effectiveness,flexibility,and high-resolution imaging.However,vehicle detection and classification in aerial imagery remain challenging due to scale variations from fluctuating UAV altitudes,frequent occlusions in dense traffic,and environmental noise,such as shadows and lighting inconsistencies.Traditional methods,including sliding-window searches and shallow learning techniques,struggle with computational inefficiency and robustness under dynamic conditions.To address these limitations,this study proposes a six-stage hierarchical framework integrating radiometric calibration,deep learning,and classical feature engineering.The workflow begins with radiometric calibration to normalize pixel intensities and mitigate sensor noise,followed by Conditional Random Field(CRF)segmentation to isolate vehicles.YOLOv9,equipped with a bi-directional feature pyramid network(BiFPN),ensures precise multi-scale object detection.Hybrid feature extraction employs Maximally Stable Extremal Regions(MSER)for stable contour detection,Binary Robust Independent Elementary Features(BRIEF)for texture encoding,and Affine-SIFT(ASIFT)for viewpoint invariance.Quadratic Discriminant Analysis(QDA)enhances feature discrimination,while a Probabilistic Neural Network(PNN)performs Bayesian probability-based classification.Tested on the Roundabout Aerial Imagery(15,474 images,985K instances)and AU-AIR(32,823 instances,7 classes)datasets,the model achieves state-of-the-art accuracy of 95.54%and 94.14%,respectively.Its superior performance in detecting small-scale vehicles and resolving occlusions highlights its potential for intelligent traffic systems.Future work will extend testing to nighttime and adverse weather conditions while optimizing real-time UAV inference.展开更多
Contents1. Diagnosis and dynamic assessment of persistent/recurrent and metastatic differentiated thyroid cancer (prmDTC)1.1 Basic principles of diagnosis1.2 Diagnostic methods1.3 Ongoing assessment of response to the...Contents1. Diagnosis and dynamic assessment of persistent/recurrent and metastatic differentiated thyroid cancer (prmDTC)1.1 Basic principles of diagnosis1.2 Diagnostic methods1.3 Ongoing assessment of response to therapy2. Multidisciplinary treatment of prmDTC2.1 Basic principles of treatment2.2 Surgical management2.2.1 Preoperative clinical assessment2.2.2 Principles of surgical treatment for prmDTC.展开更多
目的采用CARTO 3 Version 6.0系统指导心房颤动(简称房颤)消融术后房性心动过速(简称房速)标测中的应用经验和技巧。方法2020年7月至2020年12月因房速行导管消融术的11例患者(以上患者均曾接受房颤导管消融术)。术中放置6F十极冠状静脉...目的采用CARTO 3 Version 6.0系统指导心房颤动(简称房颤)消融术后房性心动过速(简称房速)标测中的应用经验和技巧。方法2020年7月至2020年12月因房速行导管消融术的11例患者(以上患者均曾接受房颤导管消融术)。术中放置6F十极冠状静脉窦电极导管,在CARTO 3 Version 6.0系统指引下,利用PENTARAY高密度标测电极进行三维电解剖标测,在扩展的“早接晚”(EEML)功能中设置高阈值为75%~80%,对应的低阈值为25%~20%精准确认房速的关键部位及消融靶点,消融终止心动过速,验证消融线阻滞且心动过速不再自发及诱发则手术成功。结果11例术中均为房速心律,EEML能够提供清晰的瘢痕阻滞区,明确其房速机制,经标测后证实其中8例为单源性房速,余3例可经心房刺激诱发或自行转化出2种以上不同机制的房速。房速平均周长为(256.5±37.1)ms。肺静脉相关房速4例,其余包括顶部依赖折返2例、二尖瓣环折返1例,左房瘢痕相关折返性房速3例,右房瘢痕相关折返性房速1例。首次消融中所有患者房速终止并无法再次诱发。中位数随访时间8个月,1例房速复发并接受第二次消融,证实为顶部依赖折返,1例复发房颤。消融术中未出现严重并发症。结论CARTO 3 Version 6系统提供的EEML功能为识别瘢痕造成的阻滞区提供了更直观的手段。房颤消融术后房速的机制多样,通常与此前房颤消融造成的瘢痕有关。展开更多
Oscar Wilde was one of the most successful playwrights of the late Victorian era in London.De Profundis is a collection of letters written by him while he was imprisoned after being convicted of "gross indecency&...Oscar Wilde was one of the most successful playwrights of the late Victorian era in London.De Profundis is a collection of letters written by him while he was imprisoned after being convicted of "gross indecency" with other men.The language in it is colloquial yet still retains the distinguishing features of Wilde's work,which is full of the flowers of speech and sparkling of ideas.The two Chinese versions of the book exhibit exquisite techniques of the translators and their different ways of dealing with the various problems of translation.This article is going to do a comparative work between the two versions.In chapter 3,there will be a detailed analysis of the two versions from different aspects to see how the two translators reproduce the grammatical and functional meaning of the source language while still retaining the original style.展开更多
Objective： Response Evaluation Criteria in Solid Tumors （RECIST） guideline version 1.0 （RECIST 1.0） was proposed as a new guideline for evaluating tumor response and has been widely accepted as a standardized mea...Objective： Response Evaluation Criteria in Solid Tumors （RECIST） guideline version 1.0 （RECIST 1.0） was proposed as a new guideline for evaluating tumor response and has been widely accepted as a standardized measure. With a number of issues being raised on RECIST 1.0, however, a revised RECIST guideline version 1.1 （RECIST 1.1） was proposed by the RECIST Working Group in 2009. This study was conducted to compare CT tumor response based on RECIST 1.1 vs. RECIST 1.0 in patients with advanced gastric cancer （AGC）. Methods： We reviewed 61 AGC patients with measurable diseases by RECIST 1.0 who were enrolled in other clinical trials between 2008 and 2010. These patients were retrospectively re-analyzed to determine the concordance between the two response criteria using the κ statistic. Results： The number and sum of tumor diameters of the target lesions by RECIST 1.1 were significantly lower than those by RECIST 1.0 （P〈0.0001）. However, there was excellent agreement in tumor response between RECIST 1.1 and RECIST 1.0 0（κ=0.844）. The overall response rates （ORRs） according to RECIST 1.0 and RECIST 1.1 were 32.7% （20/61） and 34.5% （20/58）, respectively. One patient with partial response （PR） based on RECIST 1.0 was reclassified as stable disease （SD） by RECIST 1.1. Of two patients with SD by RECIST 1.0, one was downgraded to progressive disease and the other was upgraded to PR by RECIST 1.1. Conclusions： RECIST 1.1 provided almost perfect agreement with RECIST 1.0 in the CT assessment of tumor response of AGC.展开更多
Contents1. Overview2. Risk factors of prostate cancer2.1 Age and genetic factors2.2 Exogenous factors3. Pathological classification and grading system4. Diagnostic evaluation4.1 Monitoring and screening for population...Contents1. Overview2. Risk factors of prostate cancer2.1 Age and genetic factors2.2 Exogenous factors3. Pathological classification and grading system4. Diagnostic evaluation4.1 Monitoring and screening for population with high-risk prostate cancer4.2 Genetic testing4.3 Digital rectal examination (DRE)4.4 Magnetic resonance examination4.5 Bone scan examination.展开更多
AIM: To investigate the Chinese version of the Low Vision Quality of Life Questionnaire(CLVQOL) as an instrument for obtaining clinically important changes after cataract surgery.METHODS: Patients underwent cataract s...AIM: To investigate the Chinese version of the Low Vision Quality of Life Questionnaire(CLVQOL) as an instrument for obtaining clinically important changes after cataract surgery.METHODS: Patients underwent cataract surgery in Shanghai General Hospital, Shanghai Jiao Tong University, who fit the inclusion criteria were recruited. Two CLVQOLs were administered, including a preoperative CLVQOL and a CLVQOL at the end of the 3 mo follow-up period, and were completed using face-to-face interviews or phone interviews conducted by trained investigators. The minimal clinically important difference(MCID) was calculated using an anchor-based method and a distribution method. In addition, the responsiveness of the questionnaire was measured.RESULTS: A total of 155 residents were enrolled. The average visual acuity(VA) preoperatively was 0.08(SD=0.05), and it increased to 0.47(SD=0.28) at the end of followup. Statistically significant positive changes in the CLVQOL scores indicated significant improvement of vision related quality of life after cataract surgery. With the larger value between the two results as the final value, the MCID values of the CLVQOL(scores of the four scales as well as the total score) were 8.94, 2.61, 4.34, 3.10 and 17.63, respectively. The CLVQOL has both good internal and external responsiveness.CONCLUSION: CLVQOL scores are appropriate instruments for obtaining clinically important changes after cataract surgery. This study is an effective exploration for establishingcataract surgery efficacy standards, which helps clinical and scientific research workers in ophthalmology to gain a more in-depth understanding when using CLVQOL.展开更多
In this article, we consider analytical solutions of the time fractional derivative Gardner equation by using the new version of F-expansion method. With this proposed method multiple Jacobi elliptic functions are sit...In this article, we consider analytical solutions of the time fractional derivative Gardner equation by using the new version of F-expansion method. With this proposed method multiple Jacobi elliptic functions are situated in the solution function. As a result, various exact analytical solutions consisting of single and combined Jacobi elliptic functions solutions are obtained.展开更多
This paper explores the relationship between the original and its translation by interpreting Benjamin's three metaphors from his The Translator's Task. The exploration starts with the metaphor of"the tan...This paper explores the relationship between the original and its translation by interpreting Benjamin's three metaphors from his The Translator's Task. The exploration starts with the metaphor of"the tangent of a circle",where it is interpreted that although the translated version should be faithful to its original in terms of meaning,yet it is a deviation due to different internal and external factors. Then,in the metaphor of"afterlife",the discussion demonstrates that the translated version proceeds from the original,but the original depends on it for its survival and afterlife in different eras. Later,based on the metaphor of"fragments of a vessel",the author states that the original and its translation are equal and complementary,just like the fragments of a vessel,responsible for the development and renewal of each other through translation. Finally,it is concluded that a better understanding of their relationship can offer us a new perspective in translation studies and practice.展开更多
Background： Laparoscopic hepatectomy has many advantages over open surgery, including minimiza- tion of local injury, reduced systemic reactions, and faster postoperative recovery. The aim of this ＂Consensus＂ is to...Background： Laparoscopic hepatectomy has many advantages over open surgery, including minimiza- tion of local injury, reduced systemic reactions, and faster postoperative recovery. The aim of this ＂Consensus＂ is to provide guidance and reference to surgeons who perform, or are interested in per- forming laparoscopic liver surgeries. Methods： The National Hepatic Surgery Group of the Society of Surgery, a professional society of the Chinese Medical Association, gathered 60 expert hepatic surgeons in Wuhan, China in December 2012, and an ＂Expert Consensus on Laparoseopic Hepatectomy＂ was developed. Results： The types of hepatectomy, indications and contraindications, preoperative preparation, anes- thesia, patient position, insuffiation pressure, port position, control of hepatic inflow and outflow, indi- cations for conversion to open surgery, and surgical devices and equipment are reviewed. Techniques and procedures of various laparoscopic hepatectomies are also discussed.展开更多
Professionalism is crucial in all professions and is particularly important in the medical field.Measuring students' perceptions of professionalism can help to form education targeting the enhancement of professio...Professionalism is crucial in all professions and is particularly important in the medical field.Measuring students' perceptions of professionalism can help to form education targeting the enhancement of professionalism.This study aimed to validate an effective assessment tool for the measurement of medical students5 perceptions of medical professionalism in China's Mainland.The cross-sectional survey was conducted in three medical colleges in Guangdong,China.Of the 2103 eligible medical students,1976 responded,and 1856 questionnaires were deemed valid.Students from clinical medicine in these three medical colleges were randomly selected by cluster sampling.First,a Simplified Chinese Version questionnaire to measure Student's Perception of Medical Professionalism (SCV-SPMP) was constructed.Second,questionnaires from 1856 students majoring in clinical medicine at three medical colleges were included in the analysis.Third,exploratory factor analysis,Cronbach's alpha,item-subscale correlation,and confirmatory factor analysis were conducted to test the validity and reliability of the SCV-SPMP.Nine items were eliminated following exploratory factor analysis,and four subscales were extracted from the analysis.All internal consistency reliability exceeded the minimum standard.The overall Cronbach's alpha was 0.94,and four subscales' alphas were 0.82 (Accountability and excellence),0.81 (Duty),0.89 (Honor and integrity),and 0.85 (Practice habits and respect for others),respectively.The model fit was good.The convergent validity and discriminant validity were acceptable.The modified SCVSPMP was found to be a valid and reliable tool to capture the main features of Chinese students' perceptions of medical professionalism in four dimensions,and it provides a quantitative method for the measurement of the students' perceptions in China's Mainland..展开更多
文摘BACKGROUND Arabic-speaking patients are underrepresented in orthopedic clinical studies,particularly in foot and ankle trauma research.The lack of validated Arabic language tools hinders their inclusion,creating a need for culturally and linguistically adapted instruments.The American Academy of Orthopedic Surgeons Foot and Ankle Outcomes Questionnaire(AAOS-FAOQ)is a widely used tool but has not been adapted for Arabic-speaking patients.AIM To translate,cross-culturally adapt,and validate the AAOS-FAOQ for Arabicspeaking patients with traumatic foot and ankle injuries.METHODS The cross-cultural adaptation followed established guidelines,involving forward and backward translations,expert review,and pre-testing.The final Arabic version was administered alongside the Arabic Short-Form 36(SF-36)to 100 patients for validity testing.Reliability was assessed through test-retest methods with 20 patients completing the questionnaire twice within 48 hours.Pearson correlation coefficients measured convergent and divergent validity with SF-36 subscales,while Cronbach's alpha and intraclass correlation coefficients(ICC)determined internal consistency and reliability.RESULTS Out of 100 patients,92 completed the first set of questionnaires.The Arabic AAOS-FAOQ showed strong correlations with the SF-36 subscales,particularly in physical function and bodily pain(r>0.6).Test-retest reliability was robust,with ICCs of 0.69 and 0.66 for the Global Foot and Ankle Scale and Shoe Comfort Scale,respectively.Cronbach's alpha for internal consistency ranged from 0.7 to 0.9.CONCLUSION The Arabic version of the AAOS-FAOQ demonstrated validity and reliability for use in Arabic-speaking patients with traumatic foot and ankle injuries.This adaptation will enhance the inclusion of this population in orthopedic clinical studies,improving the generalizability of research findings and patient care.
基金funded by Anhui NARI ZT Electric Co.,Ltd.,entitled“Research on the Shared Operation and Maintenance Service Model for Metering Equipment and Platform Development for the Modern Industrial Chain”(Grant No.524636250005).
文摘With the rapid adoption of artificial intelligence(AI)in domains such as power,transportation,and finance,the number of machine learning and deep learning models has grown exponentially.However,challenges such as delayed retraining,inconsistent version management,insufficient drift monitoring,and limited data security still hinder efficient and reliable model operations.To address these issues,this paper proposes the Intelligent Model Lifecycle Management Algorithm(IMLMA).The algorithm employs a dual-trigger mechanism based on both data volume thresholds and time intervals to automate retraining,and applies Bayesian optimization for adaptive hyperparameter tuning to improve performance.A multi-metric replacement strategy,incorporating MSE,MAE,and R2,ensures that new models replace existing ones only when performance improvements are guaranteed.A versioning and traceability database supports comparison and visualization,while real-time monitoring with stability analysis enables early warnings of latency and drift.Finally,hash-based integrity checks secure both model files and datasets.Experimental validation in a power metering operation scenario demonstrates that IMLMA reduces model update delays,enhances predictive accuracy and stability,and maintains low latency under high concurrency.This work provides a practical,reusable,and scalable solution for intelligent model lifecycle management,with broad applicability to complex systems such as smart grids.
基金supported by the National Natural Science Foundation of China(No.82373415)Beijing Xisike Clinical Oncology Research Foundation(No.Ytongshu2021/ms-0003)。
文摘Colorectal cancer(CRC)is the most frequently diagnosed malignancy of the digestive system and the second leading cause of cancer-related deaths worldwide(1).In China,CRC ranks as the second most common cancer with incidence and mortality rates continuing to rise(2).The Chinese Society of Clinical Oncology(CSCO)first introduced its guidelines in 2017,and since then,they have been updated annually to incorporate the latest clinical research findings,drug availability,and expert consensus(3-8).This article presents the key updates in the 2025 edition compared to the 2024 version.
基金supported through Princess Nourah bint Abdulrahman University Researchers Supporting Project number(PNURSP2025R508)Princess Nourah bint Abdulrahman University,Riyadh,Saudi ArabiaThe research team thanks the Deanship of Graduate Studies and Scientific Research at Najran University for supporting the research project through the Nama’a program,with the project code NU/GP/SERC/13/18-5.
文摘Unmanned Aerial Vehicles(UAVs)are increasingly employed in traffic surveillance,urban planning,and infrastructure monitoring due to their cost-effectiveness,flexibility,and high-resolution imaging.However,vehicle detection and classification in aerial imagery remain challenging due to scale variations from fluctuating UAV altitudes,frequent occlusions in dense traffic,and environmental noise,such as shadows and lighting inconsistencies.Traditional methods,including sliding-window searches and shallow learning techniques,struggle with computational inefficiency and robustness under dynamic conditions.To address these limitations,this study proposes a six-stage hierarchical framework integrating radiometric calibration,deep learning,and classical feature engineering.The workflow begins with radiometric calibration to normalize pixel intensities and mitigate sensor noise,followed by Conditional Random Field(CRF)segmentation to isolate vehicles.YOLOv9,equipped with a bi-directional feature pyramid network(BiFPN),ensures precise multi-scale object detection.Hybrid feature extraction employs Maximally Stable Extremal Regions(MSER)for stable contour detection,Binary Robust Independent Elementary Features(BRIEF)for texture encoding,and Affine-SIFT(ASIFT)for viewpoint invariance.Quadratic Discriminant Analysis(QDA)enhances feature discrimination,while a Probabilistic Neural Network(PNN)performs Bayesian probability-based classification.Tested on the Roundabout Aerial Imagery(15,474 images,985K instances)and AU-AIR(32,823 instances,7 classes)datasets,the model achieves state-of-the-art accuracy of 95.54%and 94.14%,respectively.Its superior performance in detecting small-scale vehicles and resolving occlusions highlights its potential for intelligent traffic systems.Future work will extend testing to nighttime and adverse weather conditions while optimizing real-time UAV inference.
文摘Contents1. Diagnosis and dynamic assessment of persistent/recurrent and metastatic differentiated thyroid cancer (prmDTC)1.1 Basic principles of diagnosis1.2 Diagnostic methods1.3 Ongoing assessment of response to therapy2. Multidisciplinary treatment of prmDTC2.1 Basic principles of treatment2.2 Surgical management2.2.1 Preoperative clinical assessment2.2.2 Principles of surgical treatment for prmDTC.
文摘目的采用CARTO 3 Version 6.0系统指导心房颤动(简称房颤)消融术后房性心动过速(简称房速)标测中的应用经验和技巧。方法2020年7月至2020年12月因房速行导管消融术的11例患者(以上患者均曾接受房颤导管消融术)。术中放置6F十极冠状静脉窦电极导管,在CARTO 3 Version 6.0系统指引下,利用PENTARAY高密度标测电极进行三维电解剖标测,在扩展的“早接晚”(EEML)功能中设置高阈值为75%~80%,对应的低阈值为25%~20%精准确认房速的关键部位及消融靶点,消融终止心动过速,验证消融线阻滞且心动过速不再自发及诱发则手术成功。结果11例术中均为房速心律,EEML能够提供清晰的瘢痕阻滞区,明确其房速机制,经标测后证实其中8例为单源性房速,余3例可经心房刺激诱发或自行转化出2种以上不同机制的房速。房速平均周长为(256.5±37.1)ms。肺静脉相关房速4例,其余包括顶部依赖折返2例、二尖瓣环折返1例,左房瘢痕相关折返性房速3例,右房瘢痕相关折返性房速1例。首次消融中所有患者房速终止并无法再次诱发。中位数随访时间8个月,1例房速复发并接受第二次消融,证实为顶部依赖折返,1例复发房颤。消融术中未出现严重并发症。结论CARTO 3 Version 6系统提供的EEML功能为识别瘢痕造成的阻滞区提供了更直观的手段。房颤消融术后房速的机制多样,通常与此前房颤消融造成的瘢痕有关。
文摘Oscar Wilde was one of the most successful playwrights of the late Victorian era in London.De Profundis is a collection of letters written by him while he was imprisoned after being convicted of "gross indecency" with other men.The language in it is colloquial yet still retains the distinguishing features of Wilde's work,which is full of the flowers of speech and sparkling of ideas.The two Chinese versions of the book exhibit exquisite techniques of the translators and their different ways of dealing with the various problems of translation.This article is going to do a comparative work between the two versions.In chapter 3,there will be a detailed analysis of the two versions from different aspects to see how the two translators reproduce the grammatical and functional meaning of the source language while still retaining the original style.
文摘Objective： Response Evaluation Criteria in Solid Tumors （RECIST） guideline version 1.0 （RECIST 1.0） was proposed as a new guideline for evaluating tumor response and has been widely accepted as a standardized measure. With a number of issues being raised on RECIST 1.0, however, a revised RECIST guideline version 1.1 （RECIST 1.1） was proposed by the RECIST Working Group in 2009. This study was conducted to compare CT tumor response based on RECIST 1.1 vs. RECIST 1.0 in patients with advanced gastric cancer （AGC）. Methods： We reviewed 61 AGC patients with measurable diseases by RECIST 1.0 who were enrolled in other clinical trials between 2008 and 2010. These patients were retrospectively re-analyzed to determine the concordance between the two response criteria using the κ statistic. Results： The number and sum of tumor diameters of the target lesions by RECIST 1.1 were significantly lower than those by RECIST 1.0 （P〈0.0001）. However, there was excellent agreement in tumor response between RECIST 1.1 and RECIST 1.0 0（κ=0.844）. The overall response rates （ORRs） according to RECIST 1.0 and RECIST 1.1 were 32.7% （20/61） and 34.5% （20/58）, respectively. One patient with partial response （PR） based on RECIST 1.0 was reclassified as stable disease （SD） by RECIST 1.1. Of two patients with SD by RECIST 1.0, one was downgraded to progressive disease and the other was upgraded to PR by RECIST 1.1. Conclusions： RECIST 1.1 provided almost perfect agreement with RECIST 1.0 in the CT assessment of tumor response of AGC.
文摘Contents1. Overview2. Risk factors of prostate cancer2.1 Age and genetic factors2.2 Exogenous factors3. Pathological classification and grading system4. Diagnostic evaluation4.1 Monitoring and screening for population with high-risk prostate cancer4.2 Genetic testing4.3 Digital rectal examination (DRE)4.4 Magnetic resonance examination4.5 Bone scan examination.
文摘AIM: To investigate the Chinese version of the Low Vision Quality of Life Questionnaire(CLVQOL) as an instrument for obtaining clinically important changes after cataract surgery.METHODS: Patients underwent cataract surgery in Shanghai General Hospital, Shanghai Jiao Tong University, who fit the inclusion criteria were recruited. Two CLVQOLs were administered, including a preoperative CLVQOL and a CLVQOL at the end of the 3 mo follow-up period, and were completed using face-to-face interviews or phone interviews conducted by trained investigators. The minimal clinically important difference(MCID) was calculated using an anchor-based method and a distribution method. In addition, the responsiveness of the questionnaire was measured.RESULTS: A total of 155 residents were enrolled. The average visual acuity(VA) preoperatively was 0.08(SD=0.05), and it increased to 0.47(SD=0.28) at the end of followup. Statistically significant positive changes in the CLVQOL scores indicated significant improvement of vision related quality of life after cataract surgery. With the larger value between the two results as the final value, the MCID values of the CLVQOL(scores of the four scales as well as the total score) were 8.94, 2.61, 4.34, 3.10 and 17.63, respectively. The CLVQOL has both good internal and external responsiveness.CONCLUSION: CLVQOL scores are appropriate instruments for obtaining clinically important changes after cataract surgery. This study is an effective exploration for establishingcataract surgery efficacy standards, which helps clinical and scientific research workers in ophthalmology to gain a more in-depth understanding when using CLVQOL.
文摘In this article, we consider analytical solutions of the time fractional derivative Gardner equation by using the new version of F-expansion method. With this proposed method multiple Jacobi elliptic functions are situated in the solution function. As a result, various exact analytical solutions consisting of single and combined Jacobi elliptic functions solutions are obtained.
文摘This paper explores the relationship between the original and its translation by interpreting Benjamin's three metaphors from his The Translator's Task. The exploration starts with the metaphor of"the tangent of a circle",where it is interpreted that although the translated version should be faithful to its original in terms of meaning,yet it is a deviation due to different internal and external factors. Then,in the metaphor of"afterlife",the discussion demonstrates that the translated version proceeds from the original,but the original depends on it for its survival and afterlife in different eras. Later,based on the metaphor of"fragments of a vessel",the author states that the original and its translation are equal and complementary,just like the fragments of a vessel,responsible for the development and renewal of each other through translation. Finally,it is concluded that a better understanding of their relationship can offer us a new perspective in translation studies and practice.
文摘Background： Laparoscopic hepatectomy has many advantages over open surgery, including minimiza- tion of local injury, reduced systemic reactions, and faster postoperative recovery. The aim of this ＂Consensus＂ is to provide guidance and reference to surgeons who perform, or are interested in per- forming laparoscopic liver surgeries. Methods： The National Hepatic Surgery Group of the Society of Surgery, a professional society of the Chinese Medical Association, gathered 60 expert hepatic surgeons in Wuhan, China in December 2012, and an ＂Expert Consensus on Laparoseopic Hepatectomy＂ was developed. Results： The types of hepatectomy, indications and contraindications, preoperative preparation, anes- thesia, patient position, insuffiation pressure, port position, control of hepatic inflow and outflow, indi- cations for conversion to open surgery, and surgical devices and equipment are reviewed. Techniques and procedures of various laparoscopic hepatectomies are also discussed.
文摘Professionalism is crucial in all professions and is particularly important in the medical field.Measuring students' perceptions of professionalism can help to form education targeting the enhancement of professionalism.This study aimed to validate an effective assessment tool for the measurement of medical students5 perceptions of medical professionalism in China's Mainland.The cross-sectional survey was conducted in three medical colleges in Guangdong,China.Of the 2103 eligible medical students,1976 responded,and 1856 questionnaires were deemed valid.Students from clinical medicine in these three medical colleges were randomly selected by cluster sampling.First,a Simplified Chinese Version questionnaire to measure Student's Perception of Medical Professionalism (SCV-SPMP) was constructed.Second,questionnaires from 1856 students majoring in clinical medicine at three medical colleges were included in the analysis.Third,exploratory factor analysis,Cronbach's alpha,item-subscale correlation,and confirmatory factor analysis were conducted to test the validity and reliability of the SCV-SPMP.Nine items were eliminated following exploratory factor analysis,and four subscales were extracted from the analysis.All internal consistency reliability exceeded the minimum standard.The overall Cronbach's alpha was 0.94,and four subscales' alphas were 0.82 (Accountability and excellence),0.81 (Duty),0.89 (Honor and integrity),and 0.85 (Practice habits and respect for others),respectively.The model fit was good.The convergent validity and discriminant validity were acceptable.The modified SCVSPMP was found to be a valid and reliable tool to capture the main features of Chinese students' perceptions of medical professionalism in four dimensions,and it provides a quantitative method for the measurement of the students' perceptions in China's Mainland..
