Reliability of a computerized system for strabismus screening

AIM:To evaluate the reliability of Photo-Hirschberg screening for global strabismus performed by non-specialized personnel.METHODS:Participants at three sites were enrolled.One person at each site was trained in visual acuity measurement and use of the computerized system.Visual acuity was measured,and strabismus testing was performed using two flash photographs.All data from the three primary observers were sent to an experienced assistant researcher,who was blinded to the primary results,for re-evaluation.The primary and re-evaluation results of the Photo-Hirschberg screenings using weighted kappa for agreement were compared.RESULTS:The study included 181 participants(88 males and 93 females)and the results for primary and re-evaluation screenings were corresponded.Ten participants with contrasting results presented with unclear corneal light reflex.Sensitivity and specificity were 100%[95%confidence interval(CI):29.0%-100%]and 99.4%(95%CI:96.6%-100%),respectively,based on the Agresti test of the primary evaluation,considering the re-evaluated classification as true.CONCLUSION:The computerized system can be used for primary strabismus screening by non-specialized personnel,with 98.8%agreement with specialists.However,it cannot be used as a substitute for professional examination.

Strabismus Detection Based on Uncertainty Estimation and Knowledge Distillation

Strabismus significantly impacts human health as a prevalent ophthalmic condition.Early detection of strabismus is crucial for effective treatment and prognosis.Traditional deep learning models for strabismus detection often fail to estimate prediction certainty precisely.This paper employed a Bayesian deep learning algorithm with knowledge distillation,improving the model's performance and uncertainty estimation ability.Trained on 6807 images from two tertiary hospitals,the model showed significantly higher diagnostic accuracy than traditional deep-learning models.Experimental results revealed that knowledge distillation enhanced the Bayesian model’s performance and uncertainty estimation ability.These findings underscore the combined benefits of using Bayesian deep learning algorithms and knowledge distillation,which improve the reliability and accuracy of strabismus diagnostic predictions.

The occurrence phases and enrichment mechanism of rare earth elements in cobalt-rich crusts from Marcus-Wake Seamounts

To explore the occurrence phases and enrichment mechanism of rare earth elements(REEs)in cobalt-rich crusts,this study analyzes the mineral composition and REE contents of the samples from Marcus-Wake Seamounts by XRD,ICP-OES and ICP-MS.The results show that,(1)the cobalt-rich crusts contain the major crystalline mineral(vernadite),the secondary minerals(quartz,plagioclase and carbonate fluorapatite),and a large amount of amorphous ferric oxyhydroxides(FeOOH).(2)The cobalt-rich crusts contains higher Mn(10.83%to 28.76%)and Fe(6.14%to 18.86%)relative to other elements,and are enriched in REEs,with total REE contents of 1563−3238μg/g and Ce contents of 790−1722μg/g.Rare earth element contents of the old crusts are higher than those of the new crusts.Moreover,the non-phosphatized crusts have positive Ce and negative Y anomalies,and yet the phosphatized crusts have positive Ce and positive Y anomalies,indicating that cobalt-rich crusts is hydrogenetic and REEs mainly come from seawater.(3)Analytical data also show that the occurrence phases of elements in cobalt-rich crusts are closely related to their mineral phases.In the non-phosphatized crusts,REEs are adsorbed by colloidal particles into the crusts(about 67%of REEs in the Fe oxide phase,and about 17%of REEs in the Mn oxide phase).In contrast,in the phosphatized crusts(affected by the phosphatization),REEs may combine with phosphate to form rare earth phosphate minerals,and about 64%of REEs are enriched in the residual phase containing carbonate fluorapatite,but correspondingly the influence of Fe and Mn oxide phases on REEs enrichment is greatly reduced.In addition,the oxidizing environment of seawater,high marine productivity,phosphatization,and slow growth rate can promote the REE enrichment.This study provides a reference for the metallogenesis of cobalt-rich crusts in the Pacific.

Prediction and driving factors of forest fire occurrence in Jilin Province,China

Forest fires are natural disasters that can occur suddenly and can be very damaging,burning thousands of square kilometers.Prevention is better than suppression and prediction models of forest fire occurrence have developed from the logistic regression model,the geographical weighted logistic regression model,the Lasso regression model,the random forest model,and the support vector machine model based on historical forest fire data from 2000 to 2019 in Jilin Province.The models,along with a distribution map are presented in this paper to provide a theoretical basis for forest fire management in this area.Existing studies show that the prediction accuracies of the two machine learning models are higher than those of the three generalized linear regression models.The accuracies of the random forest model,the support vector machine model,geographical weighted logistic regression model,the Lasso regression model,and logistic model were 88.7%,87.7%,86.0%,85.0%and 84.6%,respectively.Weather is the main factor affecting forest fires,while the impacts of topography factors,human and social-economic factors on fire occurrence were similar.

The occurrence characteristics of oil in shales matrix from organic geochemical screening data and pore structure properties:An experimental study Author links open overlay panel

The occurrence characteristics of shale oil are of great significance to the movability of shale oil.In this study,the occurrence characteristics of oil in the shale matrix at Funing Formation shale in Subei Basin were quantitatively evaluated by organic geochemistry and microscopic pore structure characterization experiments.The Multiple Isothermal Stages Pyrolysis(MIS)experiment results show that the content of total oil,adsorbed oil,and free oil in the shales are 3.15-11.25 mg/g,1.41-4.95 mg/g,and 1.74-6.51 mg/g,respectively.among which the silicon-rich shale has the best oil-bearing.The relative content of free oil shows an increasing trend in pores with pore diameters greater than 3 nm.When the relative content of free oil reaches 100%,the pore size of silicon-rich shale is about 200 nm,while that of calcium-rich shale,clay-rich shale,and siliceous mixed shale is about 10 nm.The occurrence law of adsorbed oil is opposite to that of free oil,which indicates that shale oil will occur in the pores and fractures in a free state in a more extensive pore size range(>200 nm).This study also enables us to further understand the occurrence characteristics of shale oil under the interaction of occurrence state and occurrence space.

Occurrence and Control of Main Pest Groups in Allium tuberosum Fields in Shijiazhuang

[Objectives]This study was conducted to investigate the species and occurrence patterns of main pests in the Chinese chive(Allium tuberosum)fields in Shijiazhuang.[Methods]Our research group conducted a systematic investigation on the types and occurrence of major pests in Chinese chive fields in Shijiazhuang from April 2019 to November 2020 using the Malaise net method.[Results]The main pests harming Chinese chives in the region included Thrips tabaci,Bradysia odoriphaga,Luperomorpha suturalis,Acrolepla alliella,Liriomyza chinensis,and Neotoxoptera formosana.The pest populations in the region mainly experienced two peak periods,from mid June to mid July and from late August to late September.Meanwhile,corresponding green prevention and control measures were proposed based on the occurrence characteristics and biological characteristics of different pests in local chive fields.[Conclusions]Predicting the occurrence of pests in Chinese chive fields can provide basis for farmers to take timely prevention and control measures,reduce the damage of pests in the field to Chinese chives and realize high-quality production of Chinese chive.

Occurrence Regularity and Comprehensive Prevention and Control Techniques of Sunflower Downy Mildew

This paper examines the occurrence regularity and comprehensive prevention and control techniques for sunflower downy mildew.It provides a detailed discussion of the pathogens,symptoms,and associated risks,as well as the transmission pathways,underlying causes,and prevention and control techniques related to sunflower downy mildew.The aim is to offer valuable references and technical guidance for the effective management of this disease.

Microscopic oil occurrence in high-maturity lacustrine shales:Qingshankou Formation,Gulong Sag,Songliao Basin

Occurrence and mobility of shale oil are prerequisites for evaluating shale oil reserves and prioritizing exploration targets,particularly for heterogeneous lacustrine shales.The Qingshankou Formation in the Gulong Sag,Songliao Basin is a classic lacustrine pure shale reservoir that contains abundant shale oil resources.The predicted geological reserves of the shale are 1.268×10^(9) t.In this study,field emission scanning electron microscope(FE-SEM),the modular automated processing system(MAPS),pyrolysisgas chromatography(Py-GC),low-pressure nitrogen gas adsorption(LPNA),Soxhlet extraction,pyrolysis,and 2-D nuclear magnetic resonance(NMR)were integrated to describe the shale oil components,microscopic occurrence,mobility,and the effective pore size distribution.Meanwhile,the related controlling factors are discussed.The shale oil in the Qingshankou Fm exists dominantly in the matrix pores of the clay minerals,with small amounts distributed in the intergranular pores of terrigenous clastic grains,intercrystalline pores of pyrite,intragranular pores of ostracod shells,and micro-fractures.Shale oil is distributed in the pore spaces of variable sizes in different lithofacies.The clay mineral-laminated shales are characterized by the broadest range of pore size and largest volume of pore spaces with shale oil distribution,while the ostracod-laminated shales have limited pore spaces retaining oil.Furthermore,the proposed integrated analysis evaluates the shale oil molecules existing in two states:movable,and adsorbed oil,respectively.The result illustrates that movable oil takes up 30.6%e79.4%of the total residual oil.TOC,mineral composition,and pore structures of the shale joint together to control the states and mobility of the shale oil.TOC values are positively correlated with the quantities of shale oil regardless of the state of oil.The mineral components significantly impact the state of shale oil.Noticeable differences in the states of oil were observed following the changing types of minerals,possibly due to their difference in adsorption capacity and wettability.Clay minerals attract more adsorbed oil than movable oil.Felsic minerals generally decrease the occurrence of total and adsorbed oil.Carbonate plays a positive role in hydrocarbon retention of all the shale oil states.As for the pore structure,the average pore size exerts a critical impact on the total,movable,and adsorbed oil content.The total pore volume and specific surface area of shales play a principal role in controlling the total yields and amounts of adsorbed oil.This research improves the understanding of the occurrence characteristics and enrichment mechanisms of shale oil in terrestrial pure shales and provides a reference for locating favorable shale oil exploration areas.

Defects and asymmetries in the visual pathway of non-human primates with natural strabismus and amblyopia

Strabismus and amblyopia are common ophthalmologic developmental diseases caused by abnormal visual experiences. However, the underlying pathogenesis and visual defects are still not fully understood. Most studies have used experimental interference to establish diseaseassociated animal models, while ignoring the natural pathophysiological mechanisms. This study was designed to investigate whether natural strabismus and amblyopia are associated with abnormal neurological defects. We screened one natural strabismic monkey(Macaca fascicularis) and one natural amblyopic monkey from hundreds of monkeys, and retrospectively analyzed one human strabismus case. Neuroimaging, behavioral,neurophysiological, neurostructural, and genovariation features were systematically evaluated using magnetic resonance imaging(MRI), behavioral tasks, flash visual evoked potentials(FVEP),electroretinogram(ERG), optical coherence tomography(OCT), and whole-genome sequencing(WGS), respectively. Results showed that the strabismic patient and natural strabismic and amblyopic monkeys exhibited similar abnormal asymmetries in brain structure, i.e., ipsilateral impaired right hemisphere. Visual behavior, visual function, retinal structure, and fundus of the monkeys were impaired. Aberrant asymmetry in binocular visual function and structure between the strabismic and amblyopic monkeys was closely related, with greater impairment of the left visual pathway.Several similar known mutant genes for strabismus and amblyopia were also identified. In conclusion,natural strabismus and amblyopia are accompanied by abnormal asymmetries of the visual system,especially visual neurophysiological and neurostructural defects. Our results suggest that future therapeutic and mechanistic studies should consider defects and asymmetries throughout the entire visual system.

Adsorbed and free gas occurrence characteristics and controlling factors of deep shales in the southern Sichuan Basin,China

Deep shale gas(3500-4500 m)will be the important succeeding field for the growth of shale gas production in China.Under the condition of high temperature and high pressure in deep shale gas reservoirs,its gas occurrence characteristics are markedly different from those of medium and shallow layers.To elucidate the gas occurrence characteristics and controlling factors of deep shales in the Wufeng-Longmaxi Formation,methane adsorption,low-temperature N2,and cO2 adsorption experi-ments were conducted.The results show that in deep shales,the mesopores provide approximately 75%of the total specific surface area(SA)and 90%of the total pore volume(PV).Based on two hypotheses and comparing the theoretical and actual adsorption capacity,it is speculated that methane is adsorbed in deep shale in the form of micropore filling,and free gas is mainly stored in the mesopores.Correlation analysis demonstrated that ToC is the key material constraint for the adsorption capacity of deep shale,and micropore SSA is the key spatial constraint.Other minerals and mesopore parameters have limited effect on the amount of adsorbed gas.Moreover,the free gas content ranges from 2.72 m^(3)/t to 6.20 m^(3)/t,with an average value of 4.60 m^(3)/t,and the free gas content ratio is approximately 58%,suggesting that the deep shale gas reservoirs are dominated by free gas.This ratio may also increase to approximately 70%when considering the formation temperature effect on adsorbed gas.Gas density,porosity,and gas saturation are the main controlling factors of free gas content,resulting in significantly larger free gas content in deep shale than in shallower formations.

Effect mechanism of aluminum occurrence and content on the induration characteristics of iron ore pellets

With the intensified depletion of high-grade iron ores,the increased aluminum content in iron ore concentrates has become unavoidable,which is detrimental to the pelletization process.Therefore,the effect mechanism of aluminum on pellet quality must be identified.In this study,the influence of aluminum occurrence and content on the induration of hematite(H)and magnetite(M)pellets was investigated through the addition of corresponding Al-containing additives,including alumina,alumogoethite,gibbsite,and kaolinite.Systematic mineralogical analysis,combined with the thermodynamic properties of different aluminum occurrences and the quantitative characterization of consolidation behaviors,were conducted to determine the related mechanism.The results showed that the alumina from various aluminum occurrences adversely affected the induration characteristics of pellets,especially at an aluminum content of more than 2.0wt%.The thermal decomposition of gibbsite and kaolinite tends to generate internal stress and fine cracks,which hinder the respective microcrystalline bonding and recrystallization between Fe2O3particles.The adverse effect on the induration characteristics of fired pellets with different aluminum occurrences can be relieved to varying degrees through the formation of liquid phase bonds between the hematite particles.Kaolinite is more beneficial to the induration process than the other three aluminum occurrences because of the formation of more liquid phase,which improves pellet consolidation.The research results can further provide insights into the effect of aluminum occurrence and content in iron ore concentrates on downstream processing and serve as a guide for the utilization of high-alumina iron ore concentrates in pelletization.

Synchronous occurrence of gastric cancer and gastrointestinal stromal tumor: A case report and review of the literature

BACKGROUND To evaluate the clinicopathological features and prognosis of gastric cancer(GC)occurring synchronously with gastrointestinal stromal tumor(GIST).CASE SUMMARY We report 19 patients with concurrent GC and GIST(17 male and 2 female,median age 62 years).GC was most often located in the lower third of the stomach.GIST was diagnosed preoperatively in four patients.GIST was most often located in the gastric body(n=8,42%).The most common growth pattern in GIST was extraluminal(n=12,63%).The positive expression rates of CD117 and CD34 in GIST were 100% and 95%,respectively.Most patients with GIST(n=17,89%)were very low or low risk.There was no recurrence of GIST during follow-up.The 3-year cumulative survival rate was 73.9%,and the 5-year cumulative survival rate was 59.2%.The combined analysis of this study and literature reports(47 reports,157 patients)found that GC and GIST were usually located in the lower third(42%)and middle third(51%)of the stomach.GC was usually early(stage I:42%),poorly differentiated(42%)intestinal-type adenocarcinoma(51%).GISTs were primarily small in diameter(median:1.2 cm)and very low or low risk(89%).CONCLUSION Synchronous GC and GIST may not be rare.They have specific clinicopathological characteristics,and may have mutual inhibition in pathogenesis and progression.

Occurrence state and oil content evaluation of Permian Fengcheng Formation in the Hashan area as constrained by NMR and multistage Rock-Eval

The Hashan area,neighboring the Mahu Sag that is rich in the shale oil resources,showed commercial oil flow in the corresponding lacustrine shales of the Lower Permian Fengcheng Formation(P)with reserve scale approximately 789 million tons,presenting great potential for oil exploration.Despite their geographical proximity,the hydrocarbon occurrence and oil-bearing capacity of shale in the Hashan area and Mahu Sag greatly differ owing to the complex tectonic evolution.Therefore,understanding the occurrence state and oil content of the Pif in the Hashan area is crucial for ongoing shale oil exploration activities and the development of the northwestern margin of the Junggar Basin.In this study,an in-tegrated investigation,including petrological observations,scanning electron microscopy(SEM)obser-vation,analysis of nuclear magnetic resonance(NMR)Ti-T2 spectra,and conventional and multistage Rock-Eval pyrolysis methods were conducted to evaluate the occurrence state and oil content of the Pif shale in the Hashan area.The results indicate that plagioclase(average 30.7%)and quartz(24.1%)dominate the mineral compositions of the Pf shale samples.A method involving quartz-plagioclase-carbonate minerals is proposed to conduct lithofacies classification.In the Hashan area,the organic matter abundance in the Pf shale is scaled in fair to good range,the thermal maturity ranges from immature to early mature stage,and the primary organic matter types are Types I and Ilj.Intergranular and dissolution pores are the two most common pore types.The free oil is mostly found in the pores and microfractures of the mineral matrix,whereas the adsorbed oil is mostly adsorbed on the surfaces of kerogen and clay minerals.The high organic matter abundance,quartz content,and porosity account for substantial increase in the oil content,the area rich in shale oil resources coincides with that rich in free oil.The most favorable lithofacies in the Hashan area is the calcareous mudstone/shale,which hosts the highest free oil content(average 2.49 mg),total oil content(15.02 mg/g),organic matter abundance CTOC:1.88% and S_(1)+S_(2)=20.54mg/g and orositv(5.97%)

Study on the occurrence state of indium in sphalerite of Dulong Sn–Zn–In polymetallic deposit,Southwest China

The Dulong deposit,located in the Laojunshan area of southeastern Yunnan,China,is an important polymetallic deposit due to its high reserves of tin,zinc,and indium.The occurrence state of indium is critical for understanding its supernormal enrichment mechanism.Previous studies investigated the occurrence state of indium(including the valence state)based on the indium content in sphalerite and the correlation between metal concentrations.However,more evidence is needed to better constrain indium occurrence at the micro-,nano-,or even atomic scale.In this study,EPMA-FIB-SEM-TEM and XPS techniques were employed to investigate the indium distribution characteristics and occurrence state in sphalerite from the Dulong Sn–Zn–In polymetallic deposit.The maximum concentration of indium in the indium-rich sphalerite samples is 0.37%,and the results of the EPMA analysis showed a relatively homogeneous distribution of indium in sphalerite.The FIB-SEM-TEM results demonstrated that the lattice stripes of sphalerite were periodically and continuously distributed at the nanoscale,confirming that sphalerite in the deposit was an excellent single crystal structure,and the peak heights of the various characteristic peaks of indium in the EDX spectra were relatively close to each other,with no distinct peaks of high indium content.In addition,the XPS results indicate that the element valence state of indium in sphalerite is In^(3+),and it combines with S^(2-)to form a bond.These results indicate that indium in sphalerite of the Dulong deposit is uniformly distributed at both the micro-and nanoscale,and there is no indium-independent mineral.In^(3+)enters the crystal lattice of sphalerite by replacing Zn2+in the form of isomorphic substitution.

Occurrence and Integrated Control of Psylla chinensis in Eastern Hebei Province

The paper introduces the damage characteristics and occurrence regularity of Psylla chinensis in pear orchards in eastern Hebei Province,and summarizes the integrated prevention and control techniques of P.chinensis,in order to provide a reference for the prevention and control of P.chinensis in eastern Hebei Province.

Prognostic Factors for the Occurrence of Blood Exposure Accidents among Health Personnel at the Kaolack Regional Hospital (Senegal)

Caregivers are highly exposed to blood exposure accidents (BEA). The objective of our study is to determine the frequency of BEA and to identify the predictive factors for the occurrence of BEAs among caregivers at the Kaolack Regional Hospital (KRH). It is a descriptive and analytical cross-sectional study of KRH’s caregivers. The data were collected during the period from 16 to 26 April 2018. The multivariate analysis was carried out using the binary logistic regression model with a dependent variable (occurrence of blood exposure accidents) and 5 explanatory variables (sex, age, service of belonging, professional category and seniority in the profession). A total of 115 caregivers were surveyed out of 144. It is noted that 68 caregivers (59.1%) have had at least one BEA in the previous 12 months. The age of caregivers significantly reduces the risk of developing a BEA (p = 0.004, CI [0.04 - 0.21]);belonging to the age group [20 - 40 years] increases the risk of a BEA by 6.66. Sex significantly influences the occurrence of BEA with a (p = 0.013, CI [1.47 - 19.4]);men are 5 times more likely to develop BEA. The risk of a BEA occurring varies according to the professional category. Senior health technicians have a significantly 50 times lower risk of occurrence of a BEA (p = 0.007, CI [0.00 - 0.24)]. Nurses and midwives have a 5.8 lower risk of developing BEAs (p = 0.031, CI [0.03 - 0.75]). The risk of occurrence of BEAs varies according to the service of belonging;Medicine service caregivers have a significantly 50-fold lower risk of developing BEAs (p = 0.004, CI [0.00 - 0.17]). The identified risk factors will be used to better guide our BEAs prevention interventions.

Occurrence of Diaphorina citri in Guangxi and Integrated Control Technique

In order to promote the healthy and sustainable development of citrus industry in Guangxi and reduce the harm of Diaphorina citri and citrus Huanglongbing on citrus industry,the paper summarizes the occurrence of D.citri in Guangxi,and put forward comprehensive control technique,so as to provide the reference for guiding prevention and control of major pests in citrus industry.

Study on Distribution Characteristics and Occurrence Form of Soil Fluorine in Sorghum Base of Renhuai City

In order to find out the effects of soil fluorine on ecological environment and crop safety in the sorghum cultivation base of Renhuai City, Guizhou Province, the content and the occurrence forms of soil fluorine and its influencing factors of Maoba Town were investigated and studied. The results showed that the total fluorine content in the soil of the sorghum base ranged from 668.60 to 2 596.80 mg/kg, with an average of 1 483.25 mg/kg, which was 3.10 and 1.85 times of the national soil background value and the average value of the soil in endemic areas, respectively. The spatial distribution of fluorine in the soil of the study area was uneven, and the fluorine content was in the order of Anliang Village>Yangliu Village>Houba Village>Xiongfeng Village. The soil fluorine contents of various forms varied greatly, and the distribution law was as follows: residual state>water soluble state>organically bound state>exchangeable state>Fe/Mn-F state. The residual fluorine content was the highest, accounting for more than 99% of total fluorine content, while the sum of other four forms was less than 1%, with their respective proportions ranging from 0.10% to 0.30%. The content and proportion of available fluorine in water-soluble and exchangeable states were relatively low, which had limited influence on the surrounding water environment and crop safety. The physicochemical properties of soil, such as pH, organic matter, cation exchange capacity and clay particles had a certain influence on the occurrence forms of soil fluorine, thus changing the availability and migration of soil fluorine, which might endanger the ecological environment safety, food safety and human health.

Occurrence Characteristics and Prevention and Control Measures of Spodoptera frugiperda in Maize

Based on practical work experience,this paper analyzed the occurrence characteristics and control measures of Spodoptera frugiperda in maize.The measures including forecasting and early warning,regional prevention and control,agricultural prevention and control,physical prevention and control,chemical prevention and control,and biological prevention and control can effectively control the damage of S.frugiperda and guarantee the safety of food production.The results will provide some reference for the prevention and control of S.frugiperda.

Acute acquired concomitant esotropia with congenital paralytic strabismus:A case report

BACKGROUND An unusual case of acute acquired concomitant esotropia(AACE)with congenital paralytic strabismus in the right eye is reported.CASE SUMMARY A 23-year-old woman presented with complaints of binocular diplopia and esotropia of the right eye lasting 4 years and head tilt to the left since 1 year after birth.The Bielschowsky head tilt test showed right hypertropia on a right head tilt.She did not report any other intracranial pathology.A diagnosis of AACE and right congenital paralytic strabismus was made.Then,she underwent medial rectus muscle recession and lateral rectus muscle resection combined with inferior oblique muscle myectomy in the right eye.One day after surgery,the patient reported that she had no diplopia at either distance or near fixation and was found to be orthophoric in the primary position;furthermore,her head posture immediately and markedly improved.CONCLUSION In future clinical work,in cases of AACE combined with other types of strabismus,we can perform conventional single surgery for both at the same time,and the two types of strabismus can be solved simultaneously.