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7种儿童常用近视筛查方案的准确性比较 被引量:3
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作者 江流 王虹 +6 位作者 严双琴 高国朋 刘明芳 任财 丁鹏 伍晓艳 陶芳标 《中华眼视光学与视觉科学杂志》 CAS CSCD 2023年第8期601-606,共6页
目的:以睫状肌麻痹验光作为近视诊断金标准,比较常用的近视筛查方案及其不同组合用于儿童近视筛查的准确性。方法:系列病例研究。连续选取2021年12月至2022年11月期间,在马鞍山市妇幼保健院初次就诊的儿童543例,年龄6~8岁,检查并记录儿... 目的:以睫状肌麻痹验光作为近视诊断金标准,比较常用的近视筛查方案及其不同组合用于儿童近视筛查的准确性。方法:系列病例研究。连续选取2021年12月至2022年11月期间,在马鞍山市妇幼保健院初次就诊的儿童543例,年龄6~8岁,检查并记录儿童裸眼远视力(UCDVA)、眼轴长度(AL)、平均角膜曲率半径(CR)、自然瞳孔下电脑验光屈光度(PR)及睫状肌麻痹验光后等效球镜度(SE)。以PR≤-0.50 D作为近视阳性界值;UCDVA<5.0为视力不良;轴率比(AL/CR)>3视为可疑近视;以睫状肌麻痹验光后SE≤-0.50 D为近视诊断金标准。筛查方案共7种,分别为:UCDVA、PR、AL/CR、UCDVA+PR、UCDVA+AL/CR、PR+AL/CR、以及UCDVA+PR+AL/CR。筛查方案评价指标包括灵敏度、特异度、约登指数、阳性预测值、阴性预测值、诊断符合率和ROC曲线下面积等。不同近视筛查方案间阳性检出率比较采用χ^(2)检验。结果:当使用单一指标筛查近视时,PR方案准确性最好,其灵敏度(100.0%)、特异度(89.2%)、约登指数(0.89)、阳性预测值(64.7%)、阴性预测值(100.0%)、诊断符合率(0.732)和ROC曲线下面积(0.95)均最高。当使用2种指标组合筛查近视时,UCDVA+PR方案和PR+AL/CR方案准确性较接近(约登指数分别为0.91、0.92),均比UCDVA+AL/CR方案准确性好(约登指数为0.87)。当使用3种指标组合,即UCDVA+PR+AL/CR方案筛查近视时,仅特异度(96.2%)、阳性预测值(83.3%)和诊断符合率(0.861)相较UCDVA+PR和PR+AL/CR方案稍有提升,其余准确性及可靠性指标均有所下降。结论:在大规模儿童近视筛查中,如果只使用单一指标筛查近视,可考虑使用PR;如果可以联合2种指标筛查近视,可考虑使用UCDVA+PR或PR+AL/CR;当3种指标全部联合筛查近视时,筛查效能提升有限。 展开更多
关键词 近视 儿童 筛查(普查) 方法
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Morphology analysis of tracks in the aerogels impacted by hypervelocity irregular particles 被引量:1
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作者 Ai Du Yi Ma +7 位作者 mingfang liu Zhihua Zhang Guangwei Cao Hongwei Li Ling Wang Peijian Si Jun Shen Bin Zhou 《High Power Laser Science and Engineering》 SCIE CAS CSCD 2021年第2期8-16,共9页
As an attractive collector medium for hypervelocity particles,combined with outstanding physical properties and suitable compositional characteristics,SiO2 aerogel has been deployed on outer space missions and laser s... As an attractive collector medium for hypervelocity particles,combined with outstanding physical properties and suitable compositional characteristics,SiO2 aerogel has been deployed on outer space missions and laser shock-loaded collection experiments.In this paper,impact experiments were conducted to understand the penetration process of irregular grains,irregular Al_(2)O_(3) grains with two different sizes and speeds(~110μm@7 km/s,~251μm@2.3 km/s)at various density silica aerogels.By classifying the shapes of projectile residues and tracks,the morphology of tracks was analyzed.It was observed that there were several kinds of typical tracks in the penetration of irregular grains,accompanied by residues with the shapes of near-sphere,polyhedron,streamlined body wedge,and rotator.The rotational behavior was demonstrated by the final status of one flake projectile as direct evidence.In addition,there was no obvious relationship between the track length and experimental parameters,which may be caused by the uncertain interaction between aerogels and irregular particles.In addition,it confirmed the existence of fragmentation,melting situation by observing the shape of the impact entrance hole.At the same time,optical coherence tomography was used to observe the detail of tracks clearly,which provided a method to characterize the tracks nondestructively. 展开更多
关键词 HYPERVELOCITY impact experiment irregular grains morphology silica aerogel
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