Nail changes following upper extremity transplantation(UET)cannot be overlooked as they possess diagnostic and prognostic relevance in allotransplantation of upper limbs.This comprehensive review explores nail and nai...Nail changes following upper extremity transplantation(UET)cannot be overlooked as they possess diagnostic and prognostic relevance in allotransplantation of upper limbs.This comprehensive review explores nail and nail bed related changes encountered in UET recipients in the literature.The differential diagnosis of nail abnormalities in UET includes a wide range of systemic,local and iatrogenic conditions other than immune responses to the allograft.It requires interdisciplinary evaluation by primary transplant surgeons,pathologists,dermatologists and immunologists.The possible underlying mechanisms of nail pathology in UET and the management are discussed.It also underscores the importance of onychodystrophy and need for timely intervention and to improve outcomes in UET recipients.展开更多
[Objectives]To quantify the efficacy of Extracorporeal Shock Wave Therapy(ESWT)for upper limb spasticity in stroke patients using Modified Ashworth Scale(MAS)across three timeframes:immediate,short-term(24 h-4 wks),an...[Objectives]To quantify the efficacy of Extracorporeal Shock Wave Therapy(ESWT)for upper limb spasticity in stroke patients using Modified Ashworth Scale(MAS)across three timeframes:immediate,short-term(24 h-4 wks),and long-term(>4 wks).[Methods]Six databases(PubMed,EMBASE,CENTRAL,CINAHL,Scopus,Web of Science)until May 2025,were systematically searched,identifying 11 RCTs(n=505)meeting inclusion criteria(adults≥18 yrs old with stroke-related spasticity[MAS≥1]).Risk of bias was rigorously assessed using Cochrane criteria,revealing uniformly low risk across all domains.Random-effects meta-analyses(REML model)calculated Hedges'g with 95%CI for MAS outcomes,with subgroup analyses for joint-specific effects.[Results]ESWT demonstrated non-significant immediate MAS reduction(g=-0.69,p=0.07;=93.95%),but statistically significant short-term(g=-0.58,p=0.02;I^(2)=89.64%)and long-term effects(g=-0.52,p=0.02;I^(2)=78.72%).Effects were driven by composite MAS scores(short-term g=-0.63;long-term g=-0.56,both p<0.05)rather than isolated joints(elbow/finger/wrist all non-significant).Substantial heterogeneity persisted across analyses,particularly in joint-specific subgroups(I^(2)>90%).[Conclusions]ESWT provides statistically significant,clinically relevant reductions in global upper limb spasticity with durable efficacy beyond four weeks,supporting its use as a non-invasive adjunct therapy despite substantial heterogeneity warranting protocol standardization.展开更多
With the widespread application of WIFI networks and embedded system technology, the device monitoring system based on Embedded System and wireless network came into being. In this paper, we introduce a device monitor...With the widespread application of WIFI networks and embedded system technology, the device monitoring system based on Embedded System and wireless network came into being. In this paper, we introduce a device monitoring system based on ARM upper computer and WIFI transmission, and we tested this system on workshop equipment. The hardware adopts ARM Cortex-A8 processor architecture of TI company as the main control chip, using IAC-335X-Kit development board for system design, external USB camera module and WIFI wireless module for video capture and data transmission. The software is based on embedded Linux as the platform. The system will collect production data accurately and objectively, and the statistical analysis. At the same time, the system uses QT to develop the upper computer software GUI interface. Compared with the traditional system based on the wired network, our design is more convenient and flexible, which reduces the implementation restriction and maintenance cost of traditional network cabling.展开更多
AIM: To validate the Rockall scoring system for predicting outcomes of rebleeding, and the need for a surgical procedure and death. METHODS: We used data extracted from the Registry of Upper Gastrointestinal Bleeding ...AIM: To validate the Rockall scoring system for predicting outcomes of rebleeding, and the need for a surgical procedure and death. METHODS: We used data extracted from the Registry of Upper Gastrointestinal Bleeding and Endoscopy including information of 1869 patients with non-variceal upper gastrointestinal bleeding treated in Canadian hospitals. Risk scores were calculated and used to classify patients based on outcomes. For each outcome, we used χ2 goodness-of-fit tests to assess the degree of calibration, and built receiver operating characteristic curves and calculated the area under the curve (AUC) to evaluate the discriminative ability of the scoring system. RESULTS: For rebleeding, the χ2 goodness-of-fit test indicated an acceptable fit for the model [χ2 (8) = 12.83, P = 0.12]. For surgical procedures [χ2 (8) = 5.3, P = 0.73] and death [χ2 (8) = 3.78, P = 0.88], the tests showed solid correspondence between observed proportions and predicted probabilities. The AUC was 0.59 (95% CI: 0.55-0.62) for the outcome of rebleeding and 0.60 (95% CI: 0.54-0.67) for surgical procedures, representing apoor discriminative ability of the scoring system. For the outcome of death, the AUC was 0.73 (95% CI: 0.69-0.78), indicating an acceptable discriminative ability. CONCLUSION: The Rockall scoring system provides an acceptable tool to predict death, but performs poorly for endpoints of rebleeding and surgical procedures.展开更多
Based on the analysis of Upper Paleozoic source rocks, source-reservoir-caprock assemblage, and gas accumulation characteristics in the Ordos Basin, the gas accumulation geological model of total petroleum system is d...Based on the analysis of Upper Paleozoic source rocks, source-reservoir-caprock assemblage, and gas accumulation characteristics in the Ordos Basin, the gas accumulation geological model of total petroleum system is determined. Then, taking the Carboniferous Benxi Formation and the Permian Taiyuan Formation and Shanxi Formation as examples, the main controlling factors of gas accumulation and enrichment are discussed, and the gas enrichment models of total petroleum system are established. The results show that the source rocks, faults and tight reservoirs and their mutual coupling relations control the distribution and enrichment of gas. Specifically, the distribution and hydrocarbon generation capacity of source rocks control the enrichment degree and distribution range of retained shale gas and tight gas in the source. The coupling between the hydrocarbon generation capacity of source rocks and the physical properties of tight reservoirs controls the distribution and sweet spot development of near-source tight gas in the basin center. The far-source tight gas in the basin margin is mainly controlled by the distribution of faults, and the distribution of inner-source, near-source and far-source gas is adjusted and reformed by faults. Generally, the Upper Paleozoic gas in the Ordos Basin is recognized in four enrichment models: inner-source coalbed gas and shale gas, inner-source tight sandstone gas, near-source tight gas, and far-source fault-transported gas. In the Ordos Basin, inner-source tight gas and near-source tight gas are the current focuses of exploration, and inner-source coalbed gas and shale gas and far-source gas will be important potential targets in the future.展开更多
The gravity flow deposit were mainly developed in the lowstand systems tract（LST） of the first member of Upper Miocene Huangliu Formation（Ehl1） in Dongfang area, Yinggehai Basin, has become a valuable target for g...The gravity flow deposit were mainly developed in the lowstand systems tract（LST） of the first member of Upper Miocene Huangliu Formation（Ehl1） in Dongfang area, Yinggehai Basin, has become a valuable target for gas exploration and production. The gravity flow sedimentary characteristics of lithofacies associations, sedimentary texture, seismic facies and logging facies were described in detail on the basis of integrated analysis of cores, logging and seismic data. The sedimentary microfacies types composed of neritic sandbar, continental shelf mud, main channel, bifurcated or cross-cutting distributary channel, overspill, and natural levee are revealed under the constraint of high resolution sequence stratigraphic framework in the Ehl1. The gravity flow deposit system in the LST is divided into three evolution stages corresponding to periods of three parasequence sets. The gravity flow deposit was induced in the early LST, expanded rapidly in the middle LST and decreased slightly in the late LST. But its developing scale decreased sharply in the transgression systems tract（TST） and finally vanished in the highstand systems tract（HST）. This spatial evolution rule is constrained by the integrated function of sediments supply of the Vietnam Blue River in the LST, the development of local gradient change in sea floor（micro-topography, i.e., flexure slope break）, and the fall in relative sea level. On the basics of the deep study of the coupling relationship among the three main control factors, the sedimentary model is established as an optimal component of ＂source-channel-sink＂ for shallow marine turbidite submarine fan.展开更多
Upper gastrointestinal haemorrhage (UGIH) remains a common medical emergency worldwide. It is increasingly recognised that early risk assessment is an important part of management, which helps direct appropriate patie...Upper gastrointestinal haemorrhage (UGIH) remains a common medical emergency worldwide. It is increasingly recognised that early risk assessment is an important part of management, which helps direct appropriate patient care and the timing of endoscopy. Several risk scores have been developed, most of which include endoscopic findings, although a minority do not. These scores were developed to identify various end-points including mortality, rebleeding or clinical intervention in the form of transfusion, endoscopic therapy or surgery. Recent studies have reported accurate identification of a very low risk group on presentation, using scores which require simple clinical or laboratory parameters only. This group may not require admission, but could be managed with early out-patient endoscopy. This article aims to describe the existing pre- and post-endoscopy risk scores for UGIH and assess the published data comparing them in the prediction of outcome. Recent data assessing their use in clinical practice, in particular the early identification of low-risk patients, are also discussed.展开更多
Upper Paleozoic coal measures in the Ordos Basin consist of dark mudstone and coal beds and are important source rocks for gas generation. Gas accumulations include coal-bed methane （CBM）, tight gas and conventional...Upper Paleozoic coal measures in the Ordos Basin consist of dark mudstone and coal beds and are important source rocks for gas generation. Gas accumulations include coal-bed methane （CBM）, tight gas and conventional gas in different structural areas. CBM accumulations are mainly distributed in the marginal area of the Ordos Basin, and are estimated at 3.5 × 1012 m3. Tight gas accumulations exist in the middle part of the Yishan Slope area, previously regarded as the basin-centered gas system and now considered as stratigraphic lithologic gas reservoirs. This paper reviews the characteristics of tight gas accumulations： poor physical properties （porosity 〈 8%, permeability 〈 0.85 × 10 3 μm2）, abnormal pressure and the absence of well-defined gas water contacts. CBM is a self-generation and self- reservoir, while gas derived from coal measures migrates only for a short distance to accumulate in a tight reservoir and is termed near-generation and near-reservoir. Both CBM and tight gas systems require source rocks with a strong gas generation ability that extends together over wide area. However, the producing area of the two systems may be significantly different.展开更多
By using the concept of emergy and method of emergy analysis, this paper has studied two mountain settlement (village) ecosystems in two aspects: input and output of energy in the agro-systems and the use of fuel ener...By using the concept of emergy and method of emergy analysis, this paper has studied two mountain settlement (village) ecosystems in two aspects: input and output of energy in the agro-systems and the use of fuel energy. The result reveals that the settlement agro-system in the valley of Minjiang River is better in both structure and function than that at the so-called half-high mountain. The former one is higher than the latter one regarding such indices as emergy yield ratio, labor productivity of emergy and emergy sustainable index, but lower than the latter one regarding environmental loading ratio. In terms of fuel emergy, the settlement in the valley enjoys more diversified sources and is less depending on bio-energy while the settlement at the half-high mountain has only one source (i. e. fuel wood) , much depending on bio-energy, may exert a greater pressure on environment.展开更多
In the South Yellow Sea Basin,Mesozoic–Paleozoic marine strata are generally well developed with large thickness,and no substantial breakthroughs have been made in hydrocarbon exploration.Through research,it is belie...In the South Yellow Sea Basin,Mesozoic–Paleozoic marine strata are generally well developed with large thickness,and no substantial breakthroughs have been made in hydrocarbon exploration.Through research,it is believed that the Upper Permian–Lower Triassic can be regarded as a long-term base-level cycle.Based on drilling data,characteristics of the lithology–electric property combination cyclicity,and the special lithology,the long-term base-level cycle was divided into five medium-term base-level cycles(MC1–MC5).On this basis,the Permian–Triassic sedimentary systems and their filling model were analyzed in accordance with the change of base-level cycle and transition of sedimentary environment,as well as characteristics of the drilling sedimentary facies and seismic facies.The results show that there were six sedimentary systems(fluvial,delta,tidal flat,open platform,restricted platform,and continental shelf)developed in the Upper Permian–Lower Triassic,the sedimentary systems were distributed such that the water was deep in the northwest and shallow in the southeast,and there were two base-level cycle filling models(a relatively stable tidal flat facies and a rapidly transgressive continental shelf facies to stable platform facies)developed in the Upper Permian–Lower Triassic.These models can provide a basis for evaluation of the Mesozoic–Paleozoic hydrocarbon geology in the South Yellow Sea Basin.展开更多
AIM To determine the therapeutic effect of photodynamic therapy(PDT) for middle-advanced stage upper gastrointestinal carcinomas. METHODS We searched PubM ed, EMBASE, the Cochrane Library, China National Knowledge Inf...AIM To determine the therapeutic effect of photodynamic therapy(PDT) for middle-advanced stage upper gastrointestinal carcinomas. METHODS We searched PubM ed, EMBASE, the Cochrane Library, China National Knowledge Infrastructure, China Science and Technology Journal Database, and Wanfang Database from inception to April 2018 for randomized controlled studies. These studies compared PDT with other palliative therapies(radiotherapy, chemotherapy, or Nd:YAG laser) and compared PDT, radiotherapy, or chemotherapy alone with PDT combined with chemotherapy/radiotherapy. In our meta-analysis, both fixed and random effects models were used to estimate the risk ratio(RR) for dichotomous outcomes(the response rate and one-year survival rate).RESULTS Ten random controlled clinical studies with 953 patients were included in the analysis. The effective rate for PDT was better than that of radiotherapy or Nd:YAG laser for the treatment of middle-advanced upper gastrointestinal carcinomas [RR = 1.36; 95% confidence interval(CI): 1.13-1.65; P = 0.001]. In addition, PDT combined with chemotherapy had significantly better efficacy and a higher one-year survival rate than PDT or chemotherapy alone(significant remission rate, RR = 1.62; 95%CI: 1.34-1.97; P < 0.00001; one-year survival rate, RR = 1.81; 95%CI: 1.13-2.89; P = 0.01).CONCLUSION PDT is a useful method for the treatment of middleadvanced stage upper gastrointestinal carcinomas. PDT combined with chemotherapy or radiotherapy can enhance its efficacy and prolong survival time.展开更多
Background: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran ...Background: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation.Methods: The study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb. In this study, 103 Iranian bilateral upper extremity amputees(206 amputations) from the IranIraq war were evaluated, and a detailed questionnaire was also administered.Results: The most common level of amputation was the finger or wrist level(108, 52.4%). Based on clinical examination, we found high frequencies of limited active and passive joint range of movement across the scapula, shoulder, elbow, wrist and metacarpophalangeal, interphalangeal and thumb joints. Based on muscle strength testing, we found varying degrees of weakness across the upper limbs. Musculoskeletal disorders included epicondylitis(65, 31.6%), rotator cuff injury(24, 11.7%), bicipital tendonitis(69, 33.5%), shoulder drop(42, 20.4%) and muscle atrophy(19, 9.2%). Peripheral nerve disorders included carpal tunnel syndrome in 13(6.3%) and unilateral brachial plexus injury in 1(1%). Fifty-three(51.5%) were diagnosed with facet joint syndrome at the level of the cervical spine(the most frequent site). Using a prosthesis was reported by 65(63.1%), both left and right sides. The back was the most common site of pain(71.8%).Conclusion: The high prevalence of neuro-musculoskeletal disorders among bilateral upper extremity amputees indicates that they need regular rehabilitation care.展开更多
A stochastic dynamical system with double singularities driven by non-Gaussian noise is investigated. The Fokker Plank equation of the system is obtained through the path-integral approach and the method of transforma...A stochastic dynamical system with double singularities driven by non-Gaussian noise is investigated. The Fokker Plank equation of the system is obtained through the path-integral approach and the method of transformation. Based on the definition of Shannon＇s information entropy and the Schwartz inequality principle, the upper bound for the time derivative of entropy is calculated both in the absence and in the presence of non-equilibrium constraint. The present calculations can be used to interpret the effects of the system dissipative parameter, the system singularity strength parameter, the noise correlation time and the noise deviation parameter on the upper bound.展开更多
BACKGROUND Acute non-variceal upper gastrointestinal bleeding(ANVUGIB)represents a sig-nificant clinical challenge due to its unpredictability and potentially severe out-comes.The Rockall risk score has emerged as a c...BACKGROUND Acute non-variceal upper gastrointestinal bleeding(ANVUGIB)represents a sig-nificant clinical challenge due to its unpredictability and potentially severe out-comes.The Rockall risk score has emerged as a critical tool for prognostic asse-ssment in patients with ANVUGIB,aiding in the prediction of rebleeding and mo-rtality.However,its applicability and accuracy in the Chinese population remain understudied.AIM To assess the prognostic value of the Rockall risk score in a Chinese cohort of patients with ANVUGIB.METHODS A retrospective analysis of 168 ANVUGIB patients’medical records was condu-cted.The study employed statistical tests,including the t-test,χ^(2) test,spearman correlation,and receiver operating characteristic(ROC)analysis,to assess the re-lationship between the Rockall score and clinical outcomes,specifically focusing on rebleeding events within 3 months post-assessment.RESULTS Significant associations were found between the Rockall score and various clinical outcomes.High Rockall scores were significantly associated with rebleeding events(r=0.735,R2=0.541,P<0.001)and strongly positively correlated with adverse outcomes.Low hemoglobin levels(t=2.843,P=0.005),high international normalized ratio(t=3.710,P<0.001),active bleeding during endoscopy(χ^(2)=7.950,P=0.005),large ulcer size(t=6.348,P<0.001),and requiring blood transfusion(χ^(2)=6.381,P=0.012)were all significantly associated with rebleeding events.Furthermore,differences in treatment and management strategies were identified between patients with and without rebleeding events.ROC analysis indicated the excellent discriminative power(sensitivity:0.914;specificity:0.816;area under the curve:0.933;Youden index:0.730)of the Rockall score in predicting rebleeding events within 3 months.CONCLUSION This study provides valuable insights into the prognostic value of the Rockall risk score for ANVUGIB in the Chinese population.The results underscore the potential of the Rockall score as an effective tool for risk strati-fication and prognostication,with implications for guiding risk-appropriate management strategies and optimizing care for patients with ANVUGIB.展开更多
Physical assistive robotics are oriented to support and improve functional capacities of people.In physical rehabilitation,robots are indeed useful for functional recovery of affected limb.However,there are still open...Physical assistive robotics are oriented to support and improve functional capacities of people.In physical rehabilitation,robots are indeed useful for functional recovery of affected limb.However,there are still open questions related to technological aspects.This work presents a systematic review of upper limb rehabilitation robotics in order to analyze and establish technological challenges and future directions in this area.A bibliometric analysis was performed for the systematic literature review.Literature from the last six years,conducted between August 2020 and May 2021,was reviewed.The methodology for the literature search and a bibliometric analysis of the metadata are presented.After a preliminary search resulted in 820 articles,a total of 66 articles were included.A concurrency network and bibliographic analysis were provided.And an analysis of occurrences,taxonomy,and rehabilitation robotics reported in the literature is presented.This review aims to provide to the scientific community an overview of the state of the art in assistive robotics for upper limb physical rehabilitation.The literature analysis allows access to a gap of unexplored options to define the technological prospects applied to upper limb physical rehabilitation robotics.展开更多
This paper deals with a class of upper triangular infinite-dimensional Hamilto- nian operators appearing in the elasticity theory. The geometric multiplicity and algebraic index of the eigenvalue are investigated. Fur...This paper deals with a class of upper triangular infinite-dimensional Hamilto- nian operators appearing in the elasticity theory. The geometric multiplicity and algebraic index of the eigenvalue are investigated. Furthermore, the algebraic multiplicity of the eigenvalue is obtained. Based on these properties, the concrete completeness formulation of the system of eigenvectors or root vectors of the Hamiltonian operator is proposed. It is shown that the completeness is determined by the system of eigenvectors of the operator entries. Finally, the applications of the results to some problems in the elasticity theory are presented.展开更多
In this paper,we develop the criterion on the upper semi-continuity of random attractors by a weak-to-weak limit replacing the usual norm-to-norm limit.As an application,we obtain the convergence of random attractors ...In this paper,we develop the criterion on the upper semi-continuity of random attractors by a weak-to-weak limit replacing the usual norm-to-norm limit.As an application,we obtain the convergence of random attractors for non-autonomous stochastic reactiondiffusion equations on unbounded domains,when the density of stochastic noises approaches zero.The weak convergence of solutions is proved by means of Alaoglu weak compactness theorem.A differentiability condition on nonlinearity is omitted,which implies that the existence conditions for random attractors are sufficient to ensure their upper semi-continuity.These results greatly strengthen the upper semi-continuity notion that has been developed in the literature.展开更多
In this paper, systematic design and act of eco-security is discussed as a focal point of conflict and unrest. The situation of ecosystem, the schematic framework of eco-security design, the main acts of ecosystem imp...In this paper, systematic design and act of eco-security is discussed as a focal point of conflict and unrest. The situation of ecosystem, the schematic framework of eco-security design, the main acts of ecosystem improvement, major difficulties and challenges have also been analyzed. The purpose of this study was to formulate the systematic framework of eco-security maintenance, to highlight systematic idea or philosophy of ecological rehabilitation and eco-security. A three-dimensional schematic model is applied to design the security of ecosystem. It was concluded that: 1) maintaining ecological security requires far better and sophisticated resource management skill and ecological improvement measures, and is also a continuing and multifac-eted task. It cannot be permanently accomplished by a single action and program; 2) at present, technical system and policy and law system dimensions of ecological security are not enough even in short; 3) development of ecological industries is beneficial to local economic development and ecosystem protection.展开更多
It is hard for the existing methods to obtain the expression of the system reliability for most of the practical complex systems with a large number of components and possible stales. A new regression algorithm based ...It is hard for the existing methods to obtain the expression of the system reliability for most of the practical complex systems with a large number of components and possible stales. A new regression algorithm based on the lower and upper bounds is presented in this paper, which can obtain the system reliability analytically without concerning the structure of the complex system. The method has been applied to a real system and the reliability results are compared with those acquired by the classical method and the parametric method. The effectiveness and accuracy of the proposed method have been testified.展开更多
<strong>Objective:</strong> To evaluate the effect of physical methods on the prevention of venous thrombosis in patients with peripherally inserted central catheter (PICC). <strong>Methods:</stro...<strong>Objective:</strong> To evaluate the effect of physical methods on the prevention of venous thrombosis in patients with peripherally inserted central catheter (PICC). <strong>Methods:</strong> Randomized controlled trials meeting the inclusion and exclusion criteria were retrieved from the following databases: Cochrane library, Pubmed, EMbase, Web of science, Ovid, CBM, CNKI, Wanfang, VIP, then Review Manage (RevMan) 5.3 software was used for data analysis. <strong>Results:</strong> A total of 24 RCTs including 3496 patients were analyzed in the study. The results of meta-analysis showed that various forms of upper limb movements could effectively decrease the incidence of venous thrombosis in the patients with PICC [<em>RR</em> = 0.23, 95% <em>CI</em> (0.16, 0.33), <em>P</em> < 0.01], upper limb movements could effectively improve the mean blood flow velocity of basilic vein [<em>MD</em> = 1.65, 95% <em>CI</em> (1.19, 2.11), <em>P</em> < 0.01]. <strong>Conclusion:</strong> Upper limb movements can effectively decrease the incidence of phlebothrombosis and improve the mean flow velocity of basilic vein in the patients undergoing PICC. Other forms of physical prevention methods need to be further studied due to insufficient sample size.展开更多
文摘Nail changes following upper extremity transplantation(UET)cannot be overlooked as they possess diagnostic and prognostic relevance in allotransplantation of upper limbs.This comprehensive review explores nail and nail bed related changes encountered in UET recipients in the literature.The differential diagnosis of nail abnormalities in UET includes a wide range of systemic,local and iatrogenic conditions other than immune responses to the allograft.It requires interdisciplinary evaluation by primary transplant surgeons,pathologists,dermatologists and immunologists.The possible underlying mechanisms of nail pathology in UET and the management are discussed.It also underscores the importance of onychodystrophy and need for timely intervention and to improve outcomes in UET recipients.
文摘[Objectives]To quantify the efficacy of Extracorporeal Shock Wave Therapy(ESWT)for upper limb spasticity in stroke patients using Modified Ashworth Scale(MAS)across three timeframes:immediate,short-term(24 h-4 wks),and long-term(>4 wks).[Methods]Six databases(PubMed,EMBASE,CENTRAL,CINAHL,Scopus,Web of Science)until May 2025,were systematically searched,identifying 11 RCTs(n=505)meeting inclusion criteria(adults≥18 yrs old with stroke-related spasticity[MAS≥1]).Risk of bias was rigorously assessed using Cochrane criteria,revealing uniformly low risk across all domains.Random-effects meta-analyses(REML model)calculated Hedges'g with 95%CI for MAS outcomes,with subgroup analyses for joint-specific effects.[Results]ESWT demonstrated non-significant immediate MAS reduction(g=-0.69,p=0.07;=93.95%),but statistically significant short-term(g=-0.58,p=0.02;I^(2)=89.64%)and long-term effects(g=-0.52,p=0.02;I^(2)=78.72%).Effects were driven by composite MAS scores(short-term g=-0.63;long-term g=-0.56,both p<0.05)rather than isolated joints(elbow/finger/wrist all non-significant).Substantial heterogeneity persisted across analyses,particularly in joint-specific subgroups(I^(2)>90%).[Conclusions]ESWT provides statistically significant,clinically relevant reductions in global upper limb spasticity with durable efficacy beyond four weeks,supporting its use as a non-invasive adjunct therapy despite substantial heterogeneity warranting protocol standardization.
文摘With the widespread application of WIFI networks and embedded system technology, the device monitoring system based on Embedded System and wireless network came into being. In this paper, we introduce a device monitoring system based on ARM upper computer and WIFI transmission, and we tested this system on workshop equipment. The hardware adopts ARM Cortex-A8 processor architecture of TI company as the main control chip, using IAC-335X-Kit development board for system design, external USB camera module and WIFI wireless module for video capture and data transmission. The software is based on embedded Linux as the platform. The system will collect production data accurately and objectively, and the statistical analysis. At the same time, the system uses QT to develop the upper computer software GUI interface. Compared with the traditional system based on the wired network, our design is more convenient and flexible, which reduces the implementation restriction and maintenance cost of traditional network cabling.
基金Supported by the Canadian Association of Gastroenterology and an unrestricted grant from Altana Pharma Canada (formerly Byk Canada Inc.)
文摘AIM: To validate the Rockall scoring system for predicting outcomes of rebleeding, and the need for a surgical procedure and death. METHODS: We used data extracted from the Registry of Upper Gastrointestinal Bleeding and Endoscopy including information of 1869 patients with non-variceal upper gastrointestinal bleeding treated in Canadian hospitals. Risk scores were calculated and used to classify patients based on outcomes. For each outcome, we used χ2 goodness-of-fit tests to assess the degree of calibration, and built receiver operating characteristic curves and calculated the area under the curve (AUC) to evaluate the discriminative ability of the scoring system. RESULTS: For rebleeding, the χ2 goodness-of-fit test indicated an acceptable fit for the model [χ2 (8) = 12.83, P = 0.12]. For surgical procedures [χ2 (8) = 5.3, P = 0.73] and death [χ2 (8) = 3.78, P = 0.88], the tests showed solid correspondence between observed proportions and predicted probabilities. The AUC was 0.59 (95% CI: 0.55-0.62) for the outcome of rebleeding and 0.60 (95% CI: 0.54-0.67) for surgical procedures, representing apoor discriminative ability of the scoring system. For the outcome of death, the AUC was 0.73 (95% CI: 0.69-0.78), indicating an acceptable discriminative ability. CONCLUSION: The Rockall scoring system provides an acceptable tool to predict death, but performs poorly for endpoints of rebleeding and surgical procedures.
基金Supported by the National Natural Science Foundation of China (41872128)the CNPC Major Science and Technology Project (2021DJ0101)。
文摘Based on the analysis of Upper Paleozoic source rocks, source-reservoir-caprock assemblage, and gas accumulation characteristics in the Ordos Basin, the gas accumulation geological model of total petroleum system is determined. Then, taking the Carboniferous Benxi Formation and the Permian Taiyuan Formation and Shanxi Formation as examples, the main controlling factors of gas accumulation and enrichment are discussed, and the gas enrichment models of total petroleum system are established. The results show that the source rocks, faults and tight reservoirs and their mutual coupling relations control the distribution and enrichment of gas. Specifically, the distribution and hydrocarbon generation capacity of source rocks control the enrichment degree and distribution range of retained shale gas and tight gas in the source. The coupling between the hydrocarbon generation capacity of source rocks and the physical properties of tight reservoirs controls the distribution and sweet spot development of near-source tight gas in the basin center. The far-source tight gas in the basin margin is mainly controlled by the distribution of faults, and the distribution of inner-source, near-source and far-source gas is adjusted and reformed by faults. Generally, the Upper Paleozoic gas in the Ordos Basin is recognized in four enrichment models: inner-source coalbed gas and shale gas, inner-source tight sandstone gas, near-source tight gas, and far-source fault-transported gas. In the Ordos Basin, inner-source tight gas and near-source tight gas are the current focuses of exploration, and inner-source coalbed gas and shale gas and far-source gas will be important potential targets in the future.
基金supported by the National Natural Science Foundation of China (NSFC) (Nos. 41272122, 41202074, 41172123 and 40702023)the National Twelfth Five-Year Major Projects of Oil and Gas (No. 2011ZX05025-002-02-02)+1 种基金the Key Laboratory of Tectonics and Petroleum Resources (CUG)of Ministry of Education open issue (No. TPR-2013-08)the China University of Geosciences (Wuhan) Teaching Labor atory open funded projects
文摘The gravity flow deposit were mainly developed in the lowstand systems tract（LST） of the first member of Upper Miocene Huangliu Formation（Ehl1） in Dongfang area, Yinggehai Basin, has become a valuable target for gas exploration and production. The gravity flow sedimentary characteristics of lithofacies associations, sedimentary texture, seismic facies and logging facies were described in detail on the basis of integrated analysis of cores, logging and seismic data. The sedimentary microfacies types composed of neritic sandbar, continental shelf mud, main channel, bifurcated or cross-cutting distributary channel, overspill, and natural levee are revealed under the constraint of high resolution sequence stratigraphic framework in the Ehl1. The gravity flow deposit system in the LST is divided into three evolution stages corresponding to periods of three parasequence sets. The gravity flow deposit was induced in the early LST, expanded rapidly in the middle LST and decreased slightly in the late LST. But its developing scale decreased sharply in the transgression systems tract（TST） and finally vanished in the highstand systems tract（HST）. This spatial evolution rule is constrained by the integrated function of sediments supply of the Vietnam Blue River in the LST, the development of local gradient change in sea floor（micro-topography, i.e., flexure slope break）, and the fall in relative sea level. On the basics of the deep study of the coupling relationship among the three main control factors, the sedimentary model is established as an optimal component of ＂source-channel-sink＂ for shallow marine turbidite submarine fan.
文摘Upper gastrointestinal haemorrhage (UGIH) remains a common medical emergency worldwide. It is increasingly recognised that early risk assessment is an important part of management, which helps direct appropriate patient care and the timing of endoscopy. Several risk scores have been developed, most of which include endoscopic findings, although a minority do not. These scores were developed to identify various end-points including mortality, rebleeding or clinical intervention in the form of transfusion, endoscopic therapy or surgery. Recent studies have reported accurate identification of a very low risk group on presentation, using scores which require simple clinical or laboratory parameters only. This group may not require admission, but could be managed with early out-patient endoscopy. This article aims to describe the existing pre- and post-endoscopy risk scores for UGIH and assess the published data comparing them in the prediction of outcome. Recent data assessing their use in clinical practice, in particular the early identification of low-risk patients, are also discussed.
基金supported by the National Natural Science Foundation of China(Grant No.41102088)the Fundamental Research Funds for the Central Universities(Grant No.2010ZY03)the open research program of the Geological Processes and Mineral Resources(GPMR),China University of Geosciences,Beijing (Grant No.GPMR201030)
文摘Upper Paleozoic coal measures in the Ordos Basin consist of dark mudstone and coal beds and are important source rocks for gas generation. Gas accumulations include coal-bed methane （CBM）, tight gas and conventional gas in different structural areas. CBM accumulations are mainly distributed in the marginal area of the Ordos Basin, and are estimated at 3.5 × 1012 m3. Tight gas accumulations exist in the middle part of the Yishan Slope area, previously regarded as the basin-centered gas system and now considered as stratigraphic lithologic gas reservoirs. This paper reviews the characteristics of tight gas accumulations： poor physical properties （porosity 〈 8%, permeability 〈 0.85 × 10 3 μm2）, abnormal pressure and the absence of well-defined gas water contacts. CBM is a self-generation and self- reservoir, while gas derived from coal measures migrates only for a short distance to accumulate in a tight reservoir and is termed near-generation and near-reservoir. Both CBM and tight gas systems require source rocks with a strong gas generation ability that extends together over wide area. However, the producing area of the two systems may be significantly different.
基金Supported by the Knowledge Innovation Program of Chinese Academy of Sciences(KSCX-07-02)
文摘By using the concept of emergy and method of emergy analysis, this paper has studied two mountain settlement (village) ecosystems in two aspects: input and output of energy in the agro-systems and the use of fuel energy. The result reveals that the settlement agro-system in the valley of Minjiang River is better in both structure and function than that at the so-called half-high mountain. The former one is higher than the latter one regarding such indices as emergy yield ratio, labor productivity of emergy and emergy sustainable index, but lower than the latter one regarding environmental loading ratio. In terms of fuel emergy, the settlement in the valley enjoys more diversified sources and is less depending on bio-energy while the settlement at the half-high mountain has only one source (i. e. fuel wood) , much depending on bio-energy, may exert a greater pressure on environment.
基金Projects(41506080,41702162)supported by the National Natural Science Foundation of ChinaProjects(DD20160152,DD20160147,GZH200800503)supported by China Geological Survey+1 种基金Projects(XQ-2005-01,2009GYXQ10)supported by China Ministry of Land and ResourcesProject(201602004)supported by the Postdoctoral Innovation Foundation of Shandong Province,China
文摘In the South Yellow Sea Basin,Mesozoic–Paleozoic marine strata are generally well developed with large thickness,and no substantial breakthroughs have been made in hydrocarbon exploration.Through research,it is believed that the Upper Permian–Lower Triassic can be regarded as a long-term base-level cycle.Based on drilling data,characteristics of the lithology–electric property combination cyclicity,and the special lithology,the long-term base-level cycle was divided into five medium-term base-level cycles(MC1–MC5).On this basis,the Permian–Triassic sedimentary systems and their filling model were analyzed in accordance with the change of base-level cycle and transition of sedimentary environment,as well as characteristics of the drilling sedimentary facies and seismic facies.The results show that there were six sedimentary systems(fluvial,delta,tidal flat,open platform,restricted platform,and continental shelf)developed in the Upper Permian–Lower Triassic,the sedimentary systems were distributed such that the water was deep in the northwest and shallow in the southeast,and there were two base-level cycle filling models(a relatively stable tidal flat facies and a rapidly transgressive continental shelf facies to stable platform facies)developed in the Upper Permian–Lower Triassic.These models can provide a basis for evaluation of the Mesozoic–Paleozoic hydrocarbon geology in the South Yellow Sea Basin.
基金Supported by the National Natural Science Foundation of China,No.81372628,No.81773293,and No.31660266the Natural Science Foundation of Hunan Province,No.12JJ5048the Science and Technology Plan Fund of Hunan Province,P.R.China,No.2018JJ3758,No.2017WK2063,No.2017DK2011,No.2015GK3117,and No.2014WK2016
文摘AIM To determine the therapeutic effect of photodynamic therapy(PDT) for middle-advanced stage upper gastrointestinal carcinomas. METHODS We searched PubM ed, EMBASE, the Cochrane Library, China National Knowledge Infrastructure, China Science and Technology Journal Database, and Wanfang Database from inception to April 2018 for randomized controlled studies. These studies compared PDT with other palliative therapies(radiotherapy, chemotherapy, or Nd:YAG laser) and compared PDT, radiotherapy, or chemotherapy alone with PDT combined with chemotherapy/radiotherapy. In our meta-analysis, both fixed and random effects models were used to estimate the risk ratio(RR) for dichotomous outcomes(the response rate and one-year survival rate).RESULTS Ten random controlled clinical studies with 953 patients were included in the analysis. The effective rate for PDT was better than that of radiotherapy or Nd:YAG laser for the treatment of middle-advanced upper gastrointestinal carcinomas [RR = 1.36; 95% confidence interval(CI): 1.13-1.65; P = 0.001]. In addition, PDT combined with chemotherapy had significantly better efficacy and a higher one-year survival rate than PDT or chemotherapy alone(significant remission rate, RR = 1.62; 95%CI: 1.34-1.97; P < 0.00001; one-year survival rate, RR = 1.81; 95%CI: 1.13-2.89; P = 0.01).CONCLUSION PDT is a useful method for the treatment of middleadvanced stage upper gastrointestinal carcinomas. PDT combined with chemotherapy or radiotherapy can enhance its efficacy and prolong survival time.
基金the Veterans and Martyrs Affair Foundation (VMAF)Janbazan Medical and Engineering Research Center (JMERC)
文摘Background: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation.Methods: The study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb. In this study, 103 Iranian bilateral upper extremity amputees(206 amputations) from the IranIraq war were evaluated, and a detailed questionnaire was also administered.Results: The most common level of amputation was the finger or wrist level(108, 52.4%). Based on clinical examination, we found high frequencies of limited active and passive joint range of movement across the scapula, shoulder, elbow, wrist and metacarpophalangeal, interphalangeal and thumb joints. Based on muscle strength testing, we found varying degrees of weakness across the upper limbs. Musculoskeletal disorders included epicondylitis(65, 31.6%), rotator cuff injury(24, 11.7%), bicipital tendonitis(69, 33.5%), shoulder drop(42, 20.4%) and muscle atrophy(19, 9.2%). Peripheral nerve disorders included carpal tunnel syndrome in 13(6.3%) and unilateral brachial plexus injury in 1(1%). Fifty-three(51.5%) were diagnosed with facet joint syndrome at the level of the cervical spine(the most frequent site). Using a prosthesis was reported by 65(63.1%), both left and right sides. The back was the most common site of pain(71.8%).Conclusion: The high prevalence of neuro-musculoskeletal disorders among bilateral upper extremity amputees indicates that they need regular rehabilitation care.
基金Project supported by the National Natural Science Foundation of China (Grant No. 10872165)
文摘A stochastic dynamical system with double singularities driven by non-Gaussian noise is investigated. The Fokker Plank equation of the system is obtained through the path-integral approach and the method of transformation. Based on the definition of Shannon＇s information entropy and the Schwartz inequality principle, the upper bound for the time derivative of entropy is calculated both in the absence and in the presence of non-equilibrium constraint. The present calculations can be used to interpret the effects of the system dissipative parameter, the system singularity strength parameter, the noise correlation time and the noise deviation parameter on the upper bound.
文摘BACKGROUND Acute non-variceal upper gastrointestinal bleeding(ANVUGIB)represents a sig-nificant clinical challenge due to its unpredictability and potentially severe out-comes.The Rockall risk score has emerged as a critical tool for prognostic asse-ssment in patients with ANVUGIB,aiding in the prediction of rebleeding and mo-rtality.However,its applicability and accuracy in the Chinese population remain understudied.AIM To assess the prognostic value of the Rockall risk score in a Chinese cohort of patients with ANVUGIB.METHODS A retrospective analysis of 168 ANVUGIB patients’medical records was condu-cted.The study employed statistical tests,including the t-test,χ^(2) test,spearman correlation,and receiver operating characteristic(ROC)analysis,to assess the re-lationship between the Rockall score and clinical outcomes,specifically focusing on rebleeding events within 3 months post-assessment.RESULTS Significant associations were found between the Rockall score and various clinical outcomes.High Rockall scores were significantly associated with rebleeding events(r=0.735,R2=0.541,P<0.001)and strongly positively correlated with adverse outcomes.Low hemoglobin levels(t=2.843,P=0.005),high international normalized ratio(t=3.710,P<0.001),active bleeding during endoscopy(χ^(2)=7.950,P=0.005),large ulcer size(t=6.348,P<0.001),and requiring blood transfusion(χ^(2)=6.381,P=0.012)were all significantly associated with rebleeding events.Furthermore,differences in treatment and management strategies were identified between patients with and without rebleeding events.ROC analysis indicated the excellent discriminative power(sensitivity:0.914;specificity:0.816;area under the curve:0.933;Youden index:0.730)of the Rockall score in predicting rebleeding events within 3 months.CONCLUSION This study provides valuable insights into the prognostic value of the Rockall risk score for ANVUGIB in the Chinese population.The results underscore the potential of the Rockall score as an effective tool for risk strati-fication and prognostication,with implications for guiding risk-appropriate management strategies and optimizing care for patients with ANVUGIB.
基金Supported by Militar Nueva Granada University of Colombia (Grant No.IMP-ING-3127)。
文摘Physical assistive robotics are oriented to support and improve functional capacities of people.In physical rehabilitation,robots are indeed useful for functional recovery of affected limb.However,there are still open questions related to technological aspects.This work presents a systematic review of upper limb rehabilitation robotics in order to analyze and establish technological challenges and future directions in this area.A bibliometric analysis was performed for the systematic literature review.Literature from the last six years,conducted between August 2020 and May 2021,was reviewed.The methodology for the literature search and a bibliometric analysis of the metadata are presented.After a preliminary search resulted in 820 articles,a total of 66 articles were included.A concurrency network and bibliographic analysis were provided.And an analysis of occurrences,taxonomy,and rehabilitation robotics reported in the literature is presented.This review aims to provide to the scientific community an overview of the state of the art in assistive robotics for upper limb physical rehabilitation.The literature analysis allows access to a gap of unexplored options to define the technological prospects applied to upper limb physical rehabilitation robotics.
基金supported by the National Natural Science Foundation of China (Nos. 11061019,10962004,11101200,and 11026175)the Chunhui Program of Ministry of Education of China (No. Z2009-1-01010)+1 种基金the Natural Science Foundation of Inner Mongolia of China (No. 2010MS0110)the Cultivation of Innovative Talent of "211 Project" of Inner Mongolia University
文摘This paper deals with a class of upper triangular infinite-dimensional Hamilto- nian operators appearing in the elasticity theory. The geometric multiplicity and algebraic index of the eigenvalue are investigated. Furthermore, the algebraic multiplicity of the eigenvalue is obtained. Based on these properties, the concrete completeness formulation of the system of eigenvectors or root vectors of the Hamiltonian operator is proposed. It is shown that the completeness is determined by the system of eigenvectors of the operator entries. Finally, the applications of the results to some problems in the elasticity theory are presented.
文摘In this paper,we develop the criterion on the upper semi-continuity of random attractors by a weak-to-weak limit replacing the usual norm-to-norm limit.As an application,we obtain the convergence of random attractors for non-autonomous stochastic reactiondiffusion equations on unbounded domains,when the density of stochastic noises approaches zero.The weak convergence of solutions is proved by means of Alaoglu weak compactness theorem.A differentiability condition on nonlinearity is omitted,which implies that the existence conditions for random attractors are sufficient to ensure their upper semi-continuity.These results greatly strengthen the upper semi-continuity notion that has been developed in the literature.
基金Supported by china's National Key Technologies ReserchDevelopement Program in the 10th Five-Year Plan(2001BA901A40)
文摘In this paper, systematic design and act of eco-security is discussed as a focal point of conflict and unrest. The situation of ecosystem, the schematic framework of eco-security design, the main acts of ecosystem improvement, major difficulties and challenges have also been analyzed. The purpose of this study was to formulate the systematic framework of eco-security maintenance, to highlight systematic idea or philosophy of ecological rehabilitation and eco-security. A three-dimensional schematic model is applied to design the security of ecosystem. It was concluded that: 1) maintaining ecological security requires far better and sophisticated resource management skill and ecological improvement measures, and is also a continuing and multifac-eted task. It cannot be permanently accomplished by a single action and program; 2) at present, technical system and policy and law system dimensions of ecological security are not enough even in short; 3) development of ecological industries is beneficial to local economic development and ecosystem protection.
基金National Natural Science Foundation of China(No.40927001)
文摘It is hard for the existing methods to obtain the expression of the system reliability for most of the practical complex systems with a large number of components and possible stales. A new regression algorithm based on the lower and upper bounds is presented in this paper, which can obtain the system reliability analytically without concerning the structure of the complex system. The method has been applied to a real system and the reliability results are compared with those acquired by the classical method and the parametric method. The effectiveness and accuracy of the proposed method have been testified.
文摘<strong>Objective:</strong> To evaluate the effect of physical methods on the prevention of venous thrombosis in patients with peripherally inserted central catheter (PICC). <strong>Methods:</strong> Randomized controlled trials meeting the inclusion and exclusion criteria were retrieved from the following databases: Cochrane library, Pubmed, EMbase, Web of science, Ovid, CBM, CNKI, Wanfang, VIP, then Review Manage (RevMan) 5.3 software was used for data analysis. <strong>Results:</strong> A total of 24 RCTs including 3496 patients were analyzed in the study. The results of meta-analysis showed that various forms of upper limb movements could effectively decrease the incidence of venous thrombosis in the patients with PICC [<em>RR</em> = 0.23, 95% <em>CI</em> (0.16, 0.33), <em>P</em> < 0.01], upper limb movements could effectively improve the mean blood flow velocity of basilic vein [<em>MD</em> = 1.65, 95% <em>CI</em> (1.19, 2.11), <em>P</em> < 0.01]. <strong>Conclusion:</strong> Upper limb movements can effectively decrease the incidence of phlebothrombosis and improve the mean flow velocity of basilic vein in the patients undergoing PICC. Other forms of physical prevention methods need to be further studied due to insufficient sample size.
