In this paper, the author will mainly focus on analysis about the differences between characteristics of older learners and young learners in learning second/foreign language.
The paper aims to examine the application of multimedia technology in expanding vocabulary in second language acquisition.Incorporating innovative technology such as mobile applications,gaming applications,websites,an...The paper aims to examine the application of multimedia technology in expanding vocabulary in second language acquisition.Incorporating innovative technology such as mobile applications,gaming applications,websites,and other related online tools has increased learners’vocabulary mastery,engagement,and motivation levels.Interactional processes like media-embedded objects,teach-learning capacity algorithms,and feedback help learners receive the course in a personalized way that considers individual learning patterns or abilities.However,there are the following challenges:accessibility issues,total reliance on technology,and issues related to privacy.The following challenges affecting learning that arise from using gadgets:the digital divide,limited device access,and environmental issues that may distract a learner in a technology-enabled environment.Moreover,the security issue for data and the ethical question of users’information remain important too.Hence,the paper provides arguments that although these technologies contribute significantly to vocabulary acquisition,the challenge that emerges should be addressed by integrating technology in teaching and learning alongside conventional methods for vocabulary acquisition,which is a practical language acquisition tool that should not be monopolized.展开更多
BACKGROUND Rectal foreign bodies,though uncommon,present diagnostic and therapeutic challenges,particularly when they result from accidental ingestion.The non-specific symptoms and the potential for serious complicati...BACKGROUND Rectal foreign bodies,though uncommon,present diagnostic and therapeutic challenges,particularly when they result from accidental ingestion.The non-specific symptoms and the potential for serious complications necessitate a thorough and methodical approach to diagnosis and treatment.This case report aims to highlight the diagnostic complexities and management strategies involved in treating a patient with a rectal foreign body,focusing on the use of advanced imaging techniques and the importance of a multidisciplinary approach.CASE SUMMARY A 48-year-old male with a history of hypertension presented with a one-year history of post-defecation anorectal pain and mild post-defecation rectorrhagia.Initial evaluation revealed hemodynamic stability and a tender,non-mucosal lesion in the anterior left rectal region.Imaging studies,including colonoscopy,magnetic resonance imaging,and endosonography,identified an erythematous,exophytic lesion and a perirectal abscess containing a foreign body.Surgical inter-vention revealed necrotic tissue and purulent material,along with two solid foreign body fragments(bone or plant matter).Postoperative follow-up showed the patient in good condition,and pathology confirmed the fragments as mature bone.CONCLUSION This case underscores the diagnostic challenges posed by rectal foreign bodies with nonspecific symptoms and no clear history of ingestion.展开更多
BACKGROUND Occult intraocular foreign bodies(IOFBs)can present with atypical symptoms and clinical signs,making diagnosis challenging.We describe a case of an undetected IOFB that was missed on both computed tomograph...BACKGROUND Occult intraocular foreign bodies(IOFBs)can present with atypical symptoms and clinical signs,making diagnosis challenging.We describe a case of an undetected IOFB that was missed on both computed tomography and B-ultrasound,ulti-mately leading to ocular siderosis and secondary glaucoma.CASE SUMMARY A 55-year-old male patient presented to our clinic reporting a one-month history of right ocular discomfort and progressive visual deterioration.The patient had previously received a glaucoma diagnosis at a local healthcare facility.His ocular history included blunt trauma to the affected eye five years prior to presentation.Slit-lamp examination revealed corneal and iris lesions in the right eye.Pupillary dilation facilitated the identification of traumatic lens opacities.Diagnostic imaging modalities,including B-scan ultrasonography and computed tomo-graphy,showed no evidence of retained intraocular foreign material.The patient subsequently underwent uncomplicated pars plana vitrectomy,during which the occult foreign body was successfully extracted.The procedure was completed without intraoperative or immediate postoperative complications.CONCLUSION Awareness of IOFBs in individuals who work in high-risk occupations and prompt referral to a retinal surgeon are very important.展开更多
二语写作是二语习得研究领域的重要组成部分。运用CiteSpace软件对近十年发表在Journal of Second Language Writing的231篇实证研究论文进行可视化分析,研究发现:二语写作研究整体呈波动性上升趋势,研究规模较为稳定,研究关注度逐渐提...二语写作是二语习得研究领域的重要组成部分。运用CiteSpace软件对近十年发表在Journal of Second Language Writing的231篇实证研究论文进行可视化分析,研究发现:二语写作研究整体呈波动性上升趋势,研究规模较为稳定,研究关注度逐渐提升;二语写作研究领域暂未形成明显的核心作者和机构的合作网络;研究主题主要聚焦二语写作教学方法的多元化、二语写作反馈的多焦点、二语写作评估与测试的科学化,以及学习者个体差异的多维影响等方面。基于此,提出未来该领域发展需加强学者、机构之间的相互合作;关注个体学习者写作过程的认知特征与情感因素,尤其重视青少年二语学习过程的研究;扩大二语写作纵向研究规模,推动研究的深入发展。展开更多
When microdissection testicular sperm extraction(micro-TESE)fails,a redo procedure may be the only option for patients who want a biological child.However,there are many gaps of knowledge surrounding the procedure,whi...When microdissection testicular sperm extraction(micro-TESE)fails,a redo procedure may be the only option for patients who want a biological child.However,there are many gaps of knowledge surrounding the procedure,which need to be addressed to help clinicians and patients make informed decisions.This review explores redo micro-TESE in the context of nonobstructive azoospermia(NOA).Literature was searched using Google Scholar,Medline,and PubMed.Search terms were“NOA”AND“second microdissection testicular sperm extractions”AND“redo microdissection testicles sperm extraction”AND“repeat microdissection testicular sperm extractions”AND“failed microdissection testicular sperm extractions”AND“salvage microdissection testicular sperm extractions”.Only original articles in English were included.A total of nine articles were included,consisting of four retrospective and five prospective studies.The time gap between the first and second micro-TESE varied from 6 months to 24 months.Most of the included studies reported successful surgical sperm retrieval(SSR)in the second micro-TESE in the range of 10%–21%,except in one study where it reached 42%.It has not been presented any definitive information about the use of hormonal treatment or the benefit of varicocelectomy prior to the second micro-TESE.Patients with hypospermatogenesis and Klinefelter syndrome(KS)had the highest chance of success in redo surgery.In conclusion,redo micro-TESE following a negative procedure can lead to sperm recovery in 10%–21%.Patients with hypospermatogenesis and KS have a higher chance of success.There is no enough evidence to conclude which is the best hormonal stimulation if any before a redo surgery.展开更多
Objective: To evaluate the improvement effect of combined treatment of eschar abrasion, nanosilver dressing, and mussel mucin spray on wound healing in patients with second-degree burns, and to explore their effects o...Objective: To evaluate the improvement effect of combined treatment of eschar abrasion, nanosilver dressing, and mussel mucin spray on wound healing in patients with second-degree burns, and to explore their effects on the expression level of (advanced glycation end products) AGEs in wound tissue, so as to provide a basis for the application of AGEs expression level in wound tissue in the future clinical treatment of second-degree burns. Methods: Patients with second-degree burns admitted to the Department of Burns and Plastic Surgery of the Second Affiliated Hospital of Shantou University Medical College from July 2023 to July 2024 were selected as the research subjects. This study was a non-double-blind study, and both patients and researchers were aware of the treatment methods. They were randomly divided into Group A (control group) and Group B (study group). According to the order of their visits, the patients were numbered in advance;then the seed number was taken, and 70 random numbers were generated on the computer using SAS, the first 35 corresponding to group A, and the last 35 corresponding to group B;the random numbers were arranged from small to large, and the rank of the random numbers was the patient number;finally, the patient numbers were arranged from small to large, and the corresponding groups were the grouping scheme. 1) Wound healing time: The wound healing was observed every day, and the wound healing time was calculated when the wound was completely epithelialized. 2) Wound healing: The wound healing area was measured 1, 7, and 14 days after treatment, and transparent paper was used to record combined with a computer-assisted imaging system. Wound healing rate = wound healing area (cm2)/total wound area before treatment (cm2) × 100%. The time for complete wound healing was recorded in the two groups of patients. 3) Pain: The pain was evaluated at 1, 7, and 14 days after treatment using the visual analogue scale (VAS). The higher the score, the more severe the pain. 4) Scar condition: Scar formation was evaluated 1, 3, and 6 months after wound healing using the VAS scale, with a total score of 15 points. The higher the score, the more severe the scar. 5) Detect the expression of AGEs in wound tissue. Results: The wound healed 14.03 ± 2.28 days after eschar removal, with a cure rate of 97.8%. No infection occurred in the wound after eschar removal in all patients. The wound healing time ranged from 9 to 23 days, with an average healing time of 28.41 ± 1.45 days. The healing quality was satisfactory. The Vancouver Scar Scale scored the wound healing scar as 0.81 ± 0.73 points. Western blot was used to detect the expression of AGEs, (receptor for advanced glycation end products) RAGE, and protein in the wound tissue. Results After 7, 14, and 28 days of medication, the wounds of diabetic patients healed well. The drug treatment efficacy and hydroxyproline content showed an upward trend, and the expression levels of AGEs, RAGE, and HIF-1a proteins showed a downward trend. Compared with day 0, the hydroxyproline content of the wound granulation tissue on days 7, 14, and 28 was significantly increased (P< 0.01), and the expression levels of AGEs, RAGE, and HIF-1α proteins were significantly downregulated (P< 0.05 or P< 0.01). Conclusion: Monitoring the expression levels of AGEs and RAGE can reflect the wound-healing effect of patients with second-degree burns, and the prognosis of the wound is closely related to the expression levels of AGEs, RAGE, and scab abrasion. In the treatment of second-degree burn wounds, scab abrasion can grasp the level of necrotic scab removal, can achieve “relatively accurate” removal of necrotic tissue, maximally protect the ecological tissue between wounds and retaining normal tissue, and can play a positive role in promoting the healing process of burn wounds;at the same time, nanosilver dressings have good antibacterial properties and high safety, and mussel mucin has anti-inflammatory and antioxidant activities and the characteristics of blocking nerve endings, which can effectively relieve the burning, stinging, and itching of sensitive skin and effectively promote wound healing.展开更多
Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and manag...Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and management of foreign bodies in the lower airways. Methodology: This was a descriptive study with retrospective data collection conducted over a 6-year period (January 1, 2014, to December 31, 2019) in the ENT and Head and Neck Surgery Department of Donka National Hospital. Results: We observed a prevalence of 1.79%. The average age was 5.71 years, with a sex ratio of 1.2. However, 82.61% of the cases originated from rural areas. We noted that 78.83% of patients were referred after visiting 1 to 2 healthcare facilities (75.36%). The consultation delay was 3 days. Penetration syndrome was present in 98.56% of cases. The foreign body incidents occurred during play in 54.84% and during meals in 29.09% of cases. Radiographs were performed in 93.9% of cases. Endoscopy was used for both diagnostic and therapeutic purposes in all patients. The foreign bodies were located in the trachea (37.68%), larynx (26.08%), and bronchi (21.73%). Non-organic foreign bodies were predominant (52.17%). Postoperative outcomes were uncomplicated in 95.98% of cases, and the lethality rate was 2.85%. Conclusion: The pathway of patients with foreign bodies in the airways remains unpredictable in our context due to parental hesitations. Early management reduces morbidity and mortality rates.展开更多
Introduction: Conjunctival granulomas are tumor pathologies of various origins. A foreign body, whatever its nature, is often involved in its genesis. To date, there is very little data on foreign body conjunctival gr...Introduction: Conjunctival granulomas are tumor pathologies of various origins. A foreign body, whatever its nature, is often involved in its genesis. To date, there is very little data on foreign body conjunctival granulomas, the prevalence would be approximately 10% and their underestimation is probably linked to the inconsistency of their clinical presentation. Patient and Observations: We report a case of conjunctival granuloma caused by a metallic foreign body that went unnoticed in a young boy, the interest of rigor on primary protection measures for high-risk occupations, and of the strict application of the diagnostic protocol relating to ocular trauma. Discussion: foreign body granulomas, despite their usually harmless nature, can jeopardize the anatomical and functional prognosis of the affected eye. Only a detailed interview and a meticulous clinical examination allow the diagnosis to be made and the distinction to be made with conjunctival granulomas of different causes. Conclusion: the possibility of the involvement of a foreign body in the genesis of conjunctival granulomas must impose the rigorous application of diagnostic and therapeutic protocols.展开更多
Higher-order band topology not only enriches our understanding of topological phases but also unveils pioneering lower-dimensional boundary states,which harbors substantial potential for next-generation device applica...Higher-order band topology not only enriches our understanding of topological phases but also unveils pioneering lower-dimensional boundary states,which harbors substantial potential for next-generation device applications.The distinct electronic configurations and tunable attributes of two-dimensional materials position them as a quintessential platform for the realization of second-order topological insulators(SOTIs).This article provides an overview of the research progress in SOTIs within the field of two-dimensional electronic materials,focusing on the characterization of higher-order topological properties and the numerous candidate materials proposed in theoretical studies.These endeavors not only enhance our understanding of higher-order topological states but also highlight potential material systems that could be experimentally realized.展开更多
The generation of optical vortices from nonlinear photonic crystals(NPCs)with spatially modulated second-order nonlinearity offers a promising approach to extend the working wavelength and topological charge of vortex...The generation of optical vortices from nonlinear photonic crystals(NPCs)with spatially modulated second-order nonlinearity offers a promising approach to extend the working wavelength and topological charge of vortex beams for various applications.In this work,the second harmonic(SH)optical vortex beams generated from nonlinear fork gratings under Gaussian beam illumination are numerically investigated.The far-field intensity and phase distributions,as well as the orbital angular momentum(OAM)spectra of the SH beams,are analyzed for different structural topological charges and diffraction orders.Results reveal that higher-order diffraction and larger structural topological charges lead to angular interference patterns and non-uniform intensity distributions,deviating from the standard vortex profile.To optimize the SH vortex quality,the effects of the fundamental wave beam waist,crystal thickness,and grating duty cycle are explored.It is shown that increasing the beam waist can effectively suppress diffraction order interference and improve the beam’s quality.This study provides theoretical guidance for enhancing the performance of nonlinear optical devices based on NPCs.展开更多
This study examines the predictive roles of foreign language classroom anxiety(FLCA),foreign language enjoyment(FLE),and foreign language boredom(FLB)in English achievement among Chinese senior high school students.De...This study examines the predictive roles of foreign language classroom anxiety(FLCA),foreign language enjoyment(FLE),and foreign language boredom(FLB)in English achievement among Chinese senior high school students.Despite extensive research on anxiety in language learning,less attention has been given to boredom,and the combined effects of these three emotions on English achievement remain under-explored,particularly among high school students in China.To address these gaps,a sample of 142 students from Guangzhou was surveyed using questionnaires to assess their emotional experiences and English achievement.The research found that FLE exhibited a positive correlation with academic performance,while FLCA and FLB showed negative associations.Notably,FLE was the most significant predictor of English achievement,followed by FLCA and FLB.Gender differences were observed,with male students reporting significantly higher levels of environmental enjoyment,while female students experienced significantly greater communication anxiety.On this basis,this paper offers suggestions on how to enhance senior high school students’FLE while mitigating FLCA and FLB,thereby promoting more effective and sustained English learning.展开更多
Transorbital craniocerebral injury is a relatively rare type of penetrating head injury that poses a significant threat to the ocular and cerebral structures.^([1])The clinical prognosis of transorbital craniocerebral...Transorbital craniocerebral injury is a relatively rare type of penetrating head injury that poses a significant threat to the ocular and cerebral structures.^([1])The clinical prognosis of transorbital craniocerebral injury is closely related to the size,shape,speed,nature,and trajectory of the foreign object,as well as the incidence of central nervous system damage and secondary complications.The foreign objects reported to have caused these injuries are categorized into wooden items,metallic items,^([2-8])and other materials,which penetrate the intracranial region via fi ve major pathways,including the orbital roof (OR),superior orbital fissure (SOF),inferior orbital fissure(IOF),optic canal (OC),and sphenoid wing.Herein,we present eight cases of transorbital craniocerebral injury caused by an unusual metallic foreign body.展开更多
"I will revisit the Xizang Autonomous Region and recommend it to my family and friends.I believe they will fall in love with the region,too,"said Mori Yua,a Japanese graduate student studying at Minzu Univer..."I will revisit the Xizang Autonomous Region and recommend it to my family and friends.I believe they will fall in love with the region,too,"said Mori Yua,a Japanese graduate student studying at Minzu University of China.On October 15,2024,12 international teachers and students just concluded their trip to Xizang.At Lhasa Gonggar International Airport,they were reluctant to wave goodbye to the plateau.They shared their feelings with one another:"incredible""beautiful and charming","amazing roof of the world".展开更多
Retained foreign bodies are commonly seen in both the emergency department (ED) and the outpatient setting.^([1,2])The associated complications include inflammation,delayed healing,infection,damage to surrounding tiss...Retained foreign bodies are commonly seen in both the emergency department (ED) and the outpatient setting.^([1,2])The associated complications include inflammation,delayed healing,infection,damage to surrounding tissues,and disability.^([3,4])While most foreign bodies are locatable during an extensive wound-probing physical exam,they can be missed even when a welltrained clinician performs a thorough history and physical exam.^([5])Therefore,they are often a cause of malpractice litigations in the ED.展开更多
Dear Editor,We are writing this letter to report a special missed diagnosis case of pediatric ocular trauma with intraorbital pencil core foreign body.When an eye trauma occurs,orbital foreign bodies are widespread.Th...Dear Editor,We are writing this letter to report a special missed diagnosis case of pediatric ocular trauma with intraorbital pencil core foreign body.When an eye trauma occurs,orbital foreign bodies are widespread.The most common types of foreign bodies are metal,followed by plant foreign bodies,while oil foreign bodies are rare.展开更多
BACKGROUND Gastrointestinal foreign bodies represent a significant clinical challenge in em-ergency and surgical settings.While accidental ingestion predominates in healthy adults,intentional ingestion is frequently o...BACKGROUND Gastrointestinal foreign bodies represent a significant clinical challenge in em-ergency and surgical settings.While accidental ingestion predominates in healthy adults,intentional ingestion is frequently observed in pediatric,psychiatric,and incarcerated populations.Metallic sewing needles,characterized by their sharp morphology and high mobility,pose particular risks of visceral injury and com-plications due to their penetrative potential.Although preoperative imaging facilitates initial localization,subsequent migration of multiple needles com-plicates therapeutic interventions,increasing procedural complexity and patient risk.CASE SUMMARY We present a novel application of magnetic-assisted localization in managing a complex case of intentional ingestion of 30 metallic sewing needles in a psy-chiatric patient.The widespread distribution of needles throughout the gas-trointestinal tract necessitated an innovative surgical approach.Intraoperative implementation of cylindrical magnetic localization technology enabled precise identification and successful extraction of all foreign bodies while minimizing tissue trauma.CONCLUSION Magnetic-assisted localization represents an effective and safe technique to manage multiple magnetic gastrointestinal foreign bodies.This approach offers significant advantages in complex cases,particularly for needle-like metallic objects,and warrants consideration as a valuable tool in gastrointestinal surgery.展开更多
The presentation of a foreign body in the lower urinary tract is a challenging urological emergency with highly variable management approaches.A retrospective cohort study was undertaken to identify the patients who p...The presentation of a foreign body in the lower urinary tract is a challenging urological emergency with highly variable management approaches.A retrospective cohort study was undertaken to identify the patients who presented with selfinserted genitourethral foreign body to adult tertiary centers within our local health network(Southern Adelaide Local Health Network,Adelaide,Australia)from October 2002 to October 2022.Patient demographics,type of foreign body,psychiatric comorbidities,retrieval techniques,complications,and readmission data were extracted.Twenty-seven cases were identified with a median age of 44 years.Twenty-three(85.2%)were male and 4(14.8%)were female.Ten patients(37.0%)had a concurrent psychiatric illness.The most commonly inserted foreign bodies were plastic tubes/wires(29.6%).Twenty cases(74.1%)were retrieved endoscopically.Three patients(11.1%)required open cystotomy and one underwent a transperineal urethrotomy.Four patients(14.8%)represented after discharge.Two patients had repeat presentations for genitourinary foreign body insertion.A significant monotonic positive trend of foreign body presentations was identified(Mann–Kendall tau=0.95,P=0.043).Presentations of genitourethral foreign body insertions have trended upward over the past two decades.However,most cases were successfully managed endoscopically.展开更多
The minireview titled“Modern endoscopist’s toolbox:Innovations in foreign body removal”by Shahid and published in the World Journal of Gastrointestinal Endoscopy provided a clear and comprehensive overview of endos...The minireview titled“Modern endoscopist’s toolbox:Innovations in foreign body removal”by Shahid and published in the World Journal of Gastrointestinal Endoscopy provided a clear and comprehensive overview of endoscopic management of gastrointestinal foreign bodies.It will serve as a valuable resource for endoscopists involved in the diagnosis and treatment of such cases.Several key and controversial aspects of patient management were highlighted in a meaningful way,including the importance of thorough medical history-taking,appropriate use of radiological imaging,and the selection of suitable endoscopic extraction techniques.An individualized,multidisciplinary approach is essential for diagnosis and treatment.While current guidelines offer significant support,they cannot replace the judgment of an experienced endoscopist working with a well-trained team.展开更多
文摘In this paper, the author will mainly focus on analysis about the differences between characteristics of older learners and young learners in learning second/foreign language.
基金Interim Achievements of the“Yingying Technology Empowerment–Application-Oriented Talent Enhancement Project at Changchun College of Electronic Technology”under the Fourth Phase of the 2024 Ministry of Education’s Employment-Education Collaboration Project(Project Number:2024121188944Project Leader:Chunhua Ren)+3 种基金Interim Achievements of the“Directional Cultivation Project for Composite Talents at Changchun College of Electronic Technology”under the Fourth Phase of the 2024 Ministry of Education’s Supply-Demand Matching and Employment-Education Cultivation Program(Project Number:2024121107571Project Leader:Chunhua Ren)Interim Achievements of the“Research on the Cultivation Path of Craftsmanship Spirit among University Teachers in the Context of Industry-University Collaboration”under the 2025 Ministry of Education’s Industry-University Cooperative Education Project(Project Number:2505164755Project Leader:Chunhua Ren)。
文摘The paper aims to examine the application of multimedia technology in expanding vocabulary in second language acquisition.Incorporating innovative technology such as mobile applications,gaming applications,websites,and other related online tools has increased learners’vocabulary mastery,engagement,and motivation levels.Interactional processes like media-embedded objects,teach-learning capacity algorithms,and feedback help learners receive the course in a personalized way that considers individual learning patterns or abilities.However,there are the following challenges:accessibility issues,total reliance on technology,and issues related to privacy.The following challenges affecting learning that arise from using gadgets:the digital divide,limited device access,and environmental issues that may distract a learner in a technology-enabled environment.Moreover,the security issue for data and the ethical question of users’information remain important too.Hence,the paper provides arguments that although these technologies contribute significantly to vocabulary acquisition,the challenge that emerges should be addressed by integrating technology in teaching and learning alongside conventional methods for vocabulary acquisition,which is a practical language acquisition tool that should not be monopolized.
文摘BACKGROUND Rectal foreign bodies,though uncommon,present diagnostic and therapeutic challenges,particularly when they result from accidental ingestion.The non-specific symptoms and the potential for serious complications necessitate a thorough and methodical approach to diagnosis and treatment.This case report aims to highlight the diagnostic complexities and management strategies involved in treating a patient with a rectal foreign body,focusing on the use of advanced imaging techniques and the importance of a multidisciplinary approach.CASE SUMMARY A 48-year-old male with a history of hypertension presented with a one-year history of post-defecation anorectal pain and mild post-defecation rectorrhagia.Initial evaluation revealed hemodynamic stability and a tender,non-mucosal lesion in the anterior left rectal region.Imaging studies,including colonoscopy,magnetic resonance imaging,and endosonography,identified an erythematous,exophytic lesion and a perirectal abscess containing a foreign body.Surgical inter-vention revealed necrotic tissue and purulent material,along with two solid foreign body fragments(bone or plant matter).Postoperative follow-up showed the patient in good condition,and pathology confirmed the fragments as mature bone.CONCLUSION This case underscores the diagnostic challenges posed by rectal foreign bodies with nonspecific symptoms and no clear history of ingestion.
基金Supported by The Tianjin Health Research Project,No.ZC20069the Foundation of the Committee of Integrated Traditional Chinese and Western Medicine,No.2021011the Science and Technology Foundation of Tianjin Eye Hospital,No.YKYB1901.
文摘BACKGROUND Occult intraocular foreign bodies(IOFBs)can present with atypical symptoms and clinical signs,making diagnosis challenging.We describe a case of an undetected IOFB that was missed on both computed tomography and B-ultrasound,ulti-mately leading to ocular siderosis and secondary glaucoma.CASE SUMMARY A 55-year-old male patient presented to our clinic reporting a one-month history of right ocular discomfort and progressive visual deterioration.The patient had previously received a glaucoma diagnosis at a local healthcare facility.His ocular history included blunt trauma to the affected eye five years prior to presentation.Slit-lamp examination revealed corneal and iris lesions in the right eye.Pupillary dilation facilitated the identification of traumatic lens opacities.Diagnostic imaging modalities,including B-scan ultrasonography and computed tomo-graphy,showed no evidence of retained intraocular foreign material.The patient subsequently underwent uncomplicated pars plana vitrectomy,during which the occult foreign body was successfully extracted.The procedure was completed without intraoperative or immediate postoperative complications.CONCLUSION Awareness of IOFBs in individuals who work in high-risk occupations and prompt referral to a retinal surgeon are very important.
文摘二语写作是二语习得研究领域的重要组成部分。运用CiteSpace软件对近十年发表在Journal of Second Language Writing的231篇实证研究论文进行可视化分析,研究发现:二语写作研究整体呈波动性上升趋势,研究规模较为稳定,研究关注度逐渐提升;二语写作研究领域暂未形成明显的核心作者和机构的合作网络;研究主题主要聚焦二语写作教学方法的多元化、二语写作反馈的多焦点、二语写作评估与测试的科学化,以及学习者个体差异的多维影响等方面。基于此,提出未来该领域发展需加强学者、机构之间的相互合作;关注个体学习者写作过程的认知特征与情感因素,尤其重视青少年二语学习过程的研究;扩大二语写作纵向研究规模,推动研究的深入发展。
文摘When microdissection testicular sperm extraction(micro-TESE)fails,a redo procedure may be the only option for patients who want a biological child.However,there are many gaps of knowledge surrounding the procedure,which need to be addressed to help clinicians and patients make informed decisions.This review explores redo micro-TESE in the context of nonobstructive azoospermia(NOA).Literature was searched using Google Scholar,Medline,and PubMed.Search terms were“NOA”AND“second microdissection testicular sperm extractions”AND“redo microdissection testicles sperm extraction”AND“repeat microdissection testicular sperm extractions”AND“failed microdissection testicular sperm extractions”AND“salvage microdissection testicular sperm extractions”.Only original articles in English were included.A total of nine articles were included,consisting of four retrospective and five prospective studies.The time gap between the first and second micro-TESE varied from 6 months to 24 months.Most of the included studies reported successful surgical sperm retrieval(SSR)in the second micro-TESE in the range of 10%–21%,except in one study where it reached 42%.It has not been presented any definitive information about the use of hormonal treatment or the benefit of varicocelectomy prior to the second micro-TESE.Patients with hypospermatogenesis and Klinefelter syndrome(KS)had the highest chance of success in redo surgery.In conclusion,redo micro-TESE following a negative procedure can lead to sperm recovery in 10%–21%.Patients with hypospermatogenesis and KS have a higher chance of success.There is no enough evidence to conclude which is the best hormonal stimulation if any before a redo surgery.
文摘Objective: To evaluate the improvement effect of combined treatment of eschar abrasion, nanosilver dressing, and mussel mucin spray on wound healing in patients with second-degree burns, and to explore their effects on the expression level of (advanced glycation end products) AGEs in wound tissue, so as to provide a basis for the application of AGEs expression level in wound tissue in the future clinical treatment of second-degree burns. Methods: Patients with second-degree burns admitted to the Department of Burns and Plastic Surgery of the Second Affiliated Hospital of Shantou University Medical College from July 2023 to July 2024 were selected as the research subjects. This study was a non-double-blind study, and both patients and researchers were aware of the treatment methods. They were randomly divided into Group A (control group) and Group B (study group). According to the order of their visits, the patients were numbered in advance;then the seed number was taken, and 70 random numbers were generated on the computer using SAS, the first 35 corresponding to group A, and the last 35 corresponding to group B;the random numbers were arranged from small to large, and the rank of the random numbers was the patient number;finally, the patient numbers were arranged from small to large, and the corresponding groups were the grouping scheme. 1) Wound healing time: The wound healing was observed every day, and the wound healing time was calculated when the wound was completely epithelialized. 2) Wound healing: The wound healing area was measured 1, 7, and 14 days after treatment, and transparent paper was used to record combined with a computer-assisted imaging system. Wound healing rate = wound healing area (cm2)/total wound area before treatment (cm2) × 100%. The time for complete wound healing was recorded in the two groups of patients. 3) Pain: The pain was evaluated at 1, 7, and 14 days after treatment using the visual analogue scale (VAS). The higher the score, the more severe the pain. 4) Scar condition: Scar formation was evaluated 1, 3, and 6 months after wound healing using the VAS scale, with a total score of 15 points. The higher the score, the more severe the scar. 5) Detect the expression of AGEs in wound tissue. Results: The wound healed 14.03 ± 2.28 days after eschar removal, with a cure rate of 97.8%. No infection occurred in the wound after eschar removal in all patients. The wound healing time ranged from 9 to 23 days, with an average healing time of 28.41 ± 1.45 days. The healing quality was satisfactory. The Vancouver Scar Scale scored the wound healing scar as 0.81 ± 0.73 points. Western blot was used to detect the expression of AGEs, (receptor for advanced glycation end products) RAGE, and protein in the wound tissue. Results After 7, 14, and 28 days of medication, the wounds of diabetic patients healed well. The drug treatment efficacy and hydroxyproline content showed an upward trend, and the expression levels of AGEs, RAGE, and HIF-1a proteins showed a downward trend. Compared with day 0, the hydroxyproline content of the wound granulation tissue on days 7, 14, and 28 was significantly increased (P< 0.01), and the expression levels of AGEs, RAGE, and HIF-1α proteins were significantly downregulated (P< 0.05 or P< 0.01). Conclusion: Monitoring the expression levels of AGEs and RAGE can reflect the wound-healing effect of patients with second-degree burns, and the prognosis of the wound is closely related to the expression levels of AGEs, RAGE, and scab abrasion. In the treatment of second-degree burn wounds, scab abrasion can grasp the level of necrotic scab removal, can achieve “relatively accurate” removal of necrotic tissue, maximally protect the ecological tissue between wounds and retaining normal tissue, and can play a positive role in promoting the healing process of burn wounds;at the same time, nanosilver dressings have good antibacterial properties and high safety, and mussel mucin has anti-inflammatory and antioxidant activities and the characteristics of blocking nerve endings, which can effectively relieve the burning, stinging, and itching of sensitive skin and effectively promote wound healing.
文摘Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and management of foreign bodies in the lower airways. Methodology: This was a descriptive study with retrospective data collection conducted over a 6-year period (January 1, 2014, to December 31, 2019) in the ENT and Head and Neck Surgery Department of Donka National Hospital. Results: We observed a prevalence of 1.79%. The average age was 5.71 years, with a sex ratio of 1.2. However, 82.61% of the cases originated from rural areas. We noted that 78.83% of patients were referred after visiting 1 to 2 healthcare facilities (75.36%). The consultation delay was 3 days. Penetration syndrome was present in 98.56% of cases. The foreign body incidents occurred during play in 54.84% and during meals in 29.09% of cases. Radiographs were performed in 93.9% of cases. Endoscopy was used for both diagnostic and therapeutic purposes in all patients. The foreign bodies were located in the trachea (37.68%), larynx (26.08%), and bronchi (21.73%). Non-organic foreign bodies were predominant (52.17%). Postoperative outcomes were uncomplicated in 95.98% of cases, and the lethality rate was 2.85%. Conclusion: The pathway of patients with foreign bodies in the airways remains unpredictable in our context due to parental hesitations. Early management reduces morbidity and mortality rates.
文摘Introduction: Conjunctival granulomas are tumor pathologies of various origins. A foreign body, whatever its nature, is often involved in its genesis. To date, there is very little data on foreign body conjunctival granulomas, the prevalence would be approximately 10% and their underestimation is probably linked to the inconsistency of their clinical presentation. Patient and Observations: We report a case of conjunctival granuloma caused by a metallic foreign body that went unnoticed in a young boy, the interest of rigor on primary protection measures for high-risk occupations, and of the strict application of the diagnostic protocol relating to ocular trauma. Discussion: foreign body granulomas, despite their usually harmless nature, can jeopardize the anatomical and functional prognosis of the affected eye. Only a detailed interview and a meticulous clinical examination allow the diagnosis to be made and the distinction to be made with conjunctival granulomas of different causes. Conclusion: the possibility of the involvement of a foreign body in the genesis of conjunctival granulomas must impose the rigorous application of diagnostic and therapeutic protocols.
基金supported by the National Natu-ral Science Foundation of China(Grants No.12174220 and No.12074217)the Shandong Provincial Science Foundation for Excellent Young Scholars(Grant No.ZR2023YQ001)+1 种基金the Taishan Young Scholar Program of Shandong Provincethe Qilu Young Scholar Pro-gram of Shandong University.
文摘Higher-order band topology not only enriches our understanding of topological phases but also unveils pioneering lower-dimensional boundary states,which harbors substantial potential for next-generation device applications.The distinct electronic configurations and tunable attributes of two-dimensional materials position them as a quintessential platform for the realization of second-order topological insulators(SOTIs).This article provides an overview of the research progress in SOTIs within the field of two-dimensional electronic materials,focusing on the characterization of higher-order topological properties and the numerous candidate materials proposed in theoretical studies.These endeavors not only enhance our understanding of higher-order topological states but also highlight potential material systems that could be experimentally realized.
基金supported by the National Nat-ural Science Foundation of China(Nos.12192251,12174185,92163216,and 62288101).
文摘The generation of optical vortices from nonlinear photonic crystals(NPCs)with spatially modulated second-order nonlinearity offers a promising approach to extend the working wavelength and topological charge of vortex beams for various applications.In this work,the second harmonic(SH)optical vortex beams generated from nonlinear fork gratings under Gaussian beam illumination are numerically investigated.The far-field intensity and phase distributions,as well as the orbital angular momentum(OAM)spectra of the SH beams,are analyzed for different structural topological charges and diffraction orders.Results reveal that higher-order diffraction and larger structural topological charges lead to angular interference patterns and non-uniform intensity distributions,deviating from the standard vortex profile.To optimize the SH vortex quality,the effects of the fundamental wave beam waist,crystal thickness,and grating duty cycle are explored.It is shown that increasing the beam waist can effectively suppress diffraction order interference and improve the beam’s quality.This study provides theoretical guidance for enhancing the performance of nonlinear optical devices based on NPCs.
文摘This study examines the predictive roles of foreign language classroom anxiety(FLCA),foreign language enjoyment(FLE),and foreign language boredom(FLB)in English achievement among Chinese senior high school students.Despite extensive research on anxiety in language learning,less attention has been given to boredom,and the combined effects of these three emotions on English achievement remain under-explored,particularly among high school students in China.To address these gaps,a sample of 142 students from Guangzhou was surveyed using questionnaires to assess their emotional experiences and English achievement.The research found that FLE exhibited a positive correlation with academic performance,while FLCA and FLB showed negative associations.Notably,FLE was the most significant predictor of English achievement,followed by FLCA and FLB.Gender differences were observed,with male students reporting significantly higher levels of environmental enjoyment,while female students experienced significantly greater communication anxiety.On this basis,this paper offers suggestions on how to enhance senior high school students’FLE while mitigating FLCA and FLB,thereby promoting more effective and sustained English learning.
文摘Transorbital craniocerebral injury is a relatively rare type of penetrating head injury that poses a significant threat to the ocular and cerebral structures.^([1])The clinical prognosis of transorbital craniocerebral injury is closely related to the size,shape,speed,nature,and trajectory of the foreign object,as well as the incidence of central nervous system damage and secondary complications.The foreign objects reported to have caused these injuries are categorized into wooden items,metallic items,^([2-8])and other materials,which penetrate the intracranial region via fi ve major pathways,including the orbital roof (OR),superior orbital fissure (SOF),inferior orbital fissure(IOF),optic canal (OC),and sphenoid wing.Herein,we present eight cases of transorbital craniocerebral injury caused by an unusual metallic foreign body.
文摘"I will revisit the Xizang Autonomous Region and recommend it to my family and friends.I believe they will fall in love with the region,too,"said Mori Yua,a Japanese graduate student studying at Minzu University of China.On October 15,2024,12 international teachers and students just concluded their trip to Xizang.At Lhasa Gonggar International Airport,they were reluctant to wave goodbye to the plateau.They shared their feelings with one another:"incredible""beautiful and charming","amazing roof of the world".
文摘Retained foreign bodies are commonly seen in both the emergency department (ED) and the outpatient setting.^([1,2])The associated complications include inflammation,delayed healing,infection,damage to surrounding tissues,and disability.^([3,4])While most foreign bodies are locatable during an extensive wound-probing physical exam,they can be missed even when a welltrained clinician performs a thorough history and physical exam.^([5])Therefore,they are often a cause of malpractice litigations in the ED.
文摘Dear Editor,We are writing this letter to report a special missed diagnosis case of pediatric ocular trauma with intraorbital pencil core foreign body.When an eye trauma occurs,orbital foreign bodies are widespread.The most common types of foreign bodies are metal,followed by plant foreign bodies,while oil foreign bodies are rare.
基金Supported by National Natural Science Foundation of China,No.82170676the Natural Science Foundation of Shaanxi Provincial Key Industries Innovation Chain(Cluster)-Social Development Project,No.2020ZDLSF02-03+1 种基金the Key Project of Shaanxi Province's 14th Five-Year Education Science Planning:Research on the Training Model for Top-notch Innovative Talents in Higher Education Institutions of Shaanxi Province,No.SGH24Z16the Xi'an Talents Plan Project,No.XAYC210064.
文摘BACKGROUND Gastrointestinal foreign bodies represent a significant clinical challenge in em-ergency and surgical settings.While accidental ingestion predominates in healthy adults,intentional ingestion is frequently observed in pediatric,psychiatric,and incarcerated populations.Metallic sewing needles,characterized by their sharp morphology and high mobility,pose particular risks of visceral injury and com-plications due to their penetrative potential.Although preoperative imaging facilitates initial localization,subsequent migration of multiple needles com-plicates therapeutic interventions,increasing procedural complexity and patient risk.CASE SUMMARY We present a novel application of magnetic-assisted localization in managing a complex case of intentional ingestion of 30 metallic sewing needles in a psy-chiatric patient.The widespread distribution of needles throughout the gas-trointestinal tract necessitated an innovative surgical approach.Intraoperative implementation of cylindrical magnetic localization technology enabled precise identification and successful extraction of all foreign bodies while minimizing tissue trauma.CONCLUSION Magnetic-assisted localization represents an effective and safe technique to manage multiple magnetic gastrointestinal foreign bodies.This approach offers significant advantages in complex cases,particularly for needle-like metallic objects,and warrants consideration as a valuable tool in gastrointestinal surgery.
文摘The presentation of a foreign body in the lower urinary tract is a challenging urological emergency with highly variable management approaches.A retrospective cohort study was undertaken to identify the patients who presented with selfinserted genitourethral foreign body to adult tertiary centers within our local health network(Southern Adelaide Local Health Network,Adelaide,Australia)from October 2002 to October 2022.Patient demographics,type of foreign body,psychiatric comorbidities,retrieval techniques,complications,and readmission data were extracted.Twenty-seven cases were identified with a median age of 44 years.Twenty-three(85.2%)were male and 4(14.8%)were female.Ten patients(37.0%)had a concurrent psychiatric illness.The most commonly inserted foreign bodies were plastic tubes/wires(29.6%).Twenty cases(74.1%)were retrieved endoscopically.Three patients(11.1%)required open cystotomy and one underwent a transperineal urethrotomy.Four patients(14.8%)represented after discharge.Two patients had repeat presentations for genitourinary foreign body insertion.A significant monotonic positive trend of foreign body presentations was identified(Mann–Kendall tau=0.95,P=0.043).Presentations of genitourethral foreign body insertions have trended upward over the past two decades.However,most cases were successfully managed endoscopically.
基金Supported by Ministry of Science,Technological Development and Innovations,Republic of Serbia,No.451-03-66/2024-03/200110.
文摘The minireview titled“Modern endoscopist’s toolbox:Innovations in foreign body removal”by Shahid and published in the World Journal of Gastrointestinal Endoscopy provided a clear and comprehensive overview of endoscopic management of gastrointestinal foreign bodies.It will serve as a valuable resource for endoscopists involved in the diagnosis and treatment of such cases.Several key and controversial aspects of patient management were highlighted in a meaningful way,including the importance of thorough medical history-taking,appropriate use of radiological imaging,and the selection of suitable endoscopic extraction techniques.An individualized,multidisciplinary approach is essential for diagnosis and treatment.While current guidelines offer significant support,they cannot replace the judgment of an experienced endoscopist working with a well-trained team.
