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Value of Coronary Sinus During Computed Tomography Pulmonary Angiography for Predicting Pulmonary Hypertension in Patients with Acute Pulmonary Embolism
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作者 Chuang Zhang Qian Xin +5 位作者 Hongling Xu Xiangyu Wang Zhiqiang Yan shengtao sun Xiangmin Shi Mei Tian 《Cardiology Discovery》 2023年第2期78-84,共7页
Objective:Computed tomography pulmonary angiography(CTPA)parameters are valuable for predicting pulmonary hypertension(PH)in patients with pulmonary embolism(PE).However,few studies have used the coronary sinus ostium... Objective:Computed tomography pulmonary angiography(CTPA)parameters are valuable for predicting pulmonary hypertension(PH)in patients with pulmonary embolism(PE).However,few studies have used the coronary sinus ostium area(CSOA),derived from CTPA,to detect PH.This study aimed to compare the prognostic values of the CSOA,coronary sinus ostium diameter(CSOD),and right ventricular(RV)/left ventricular(LV)ratio for PH.Methods:This study retrospectively analyzed 78 patients(mean age,(51.94±12.33)years;53.8%male)with acute PE confirmed by CTPA at the Sixth and Eighth Medical Centers of the People’s Liberation Army General Hospital between June 2018 and June 2020.Patients were categorized into 2 groups using a pulmonary artery systolic pressure(PASP)cut-off of 30 mmHg.CTPA parameters were compared between these groups.Results:Patients with PASP>30 mmHg(n=22)had a larger CSOA,CSOD,RV diameter,RV/LV ratio,and inferior vena cava diameter compared with patients with PASP≤30 mmHg(n=56).The CSOA had an area under the receiver-operating characteristic curve(AUC,0.84;95%confidence interval(CI),0.74–0.94;P<0.001)similar to that of the RV/LV ratio(AUC,0.85;95%CI,0.73–0.99;P<0.001),while that of the CSOD was smaller(AUC,0.66;95%CI,0.51–0.81;P<0.05).Conclusion:Both CSOA and CSOD demonstrated a good ability to predict PH,while CSOA better predicted PASP>30 mmHg. 展开更多
关键词 ANGIOGRAPHY Computed tomography Coronary sinus DIAGNOSIS Pulmonary embolism Pulmonary hypertension Right ventricle
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干眼理疗仪治疗干眼的多中心随机对照研究 被引量:1
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作者 李超 赵东卿 +5 位作者 周丹虹 王璐璐 李斌 孙声桃 郑波涛 李佳 《中华眼视光学与视觉科学杂志》 CAS CSCD 2022年第5期370-376,共7页
目的:评估一款干眼理疗仪治疗干眼的临床安全性和有效性。方法:前瞻性、多中心、随机对照临床研究。纳入2018年7—11月在河南省眼科研究所、苏州九龙医院和江南大学附属医院3家符合条件的轻、中度干眼患者,随机分为对照组和试验组。对... 目的:评估一款干眼理疗仪治疗干眼的临床安全性和有效性。方法:前瞻性、多中心、随机对照临床研究。纳入2018年7—11月在河南省眼科研究所、苏州九龙医院和江南大学附属医院3家符合条件的轻、中度干眼患者,随机分为对照组和试验组。对照组滴0.1%玻璃酸钠滴眼液4次/d,每次1滴,持续治疗4周[(28±5)d]。试验组使用干眼理疗仪1次/d,每次持续时间至少15 min,持续治疗4周[(28±5)d]。分别于治疗前和治疗后1、2和4周对患者的眼表情况进行评估,分析其有效性;于治疗前和治疗后4周对患者的干眼主观症状、泪膜破裂时间(BUT)、SchirmerⅠ试验和角膜荧光素钠染色情况进行评估后计算症征总积分,分析有效率。计量数据比较采用t检验或Wilcoxon秩和检验,构成比及有效率的比较采用卡方检验或Fisher精确概率法。采用非劣效验证,设定非劣效界值为Δ=10%,对照组与试验组治疗有效率之差的95%可信区间下限大于-Δ(-10%),则推断试验组的疗效非劣于对照组。结果:共112例患者纳入研究,其中男41例,女71例;每组各56例;112例中109例患者完成随访。对照组与试验组治疗前右眼与左眼的主观症状总分(右眼:t=0.15,P=0.880;左眼:t=0.19,P=0.850)及症征总积分(右眼:t=0.20,P=0.840;左眼:t=0.43,P=0.670)差异均无统计学意义。治疗4周后,2组症征总积分差异无统计学意义(P>0.05)。对照组治疗有效率为64.8%,试验组治疗有效率为72.7%,2组有效率差异无统计学意义(P>0.05)。对照组出现1例不良事件,试验组出现2例不良事件,差异无统计学意义。结论:干眼理疗仪治疗干眼有效率达72.7%,非劣于0.1%玻璃酸钠滴眼液,且安全性高。 展开更多
关键词 干眼 睑板腺功能障碍 睑板腺按摩 热敷 理疗仪
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Semantic analysis and retrieval of spatial data based on the uncertain ontology model in Digital Earth
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作者 shengtao sun Lizhe Wang +1 位作者 Rajiv Ranjan Aizhi Wu 《International Journal of Digital Earth》 SCIE EI CSCD 2015年第1期3-16,共14页
Metadata are the information about and description of data.In Digital Earth,metadata become variant and heterogeneous with many uncertainties.This paper studies uncertain features in the generation and application of ... Metadata are the information about and description of data.In Digital Earth,metadata become variant and heterogeneous with many uncertainties.This paper studies uncertain features in the generation and application of metadata,and two types of uncertainties(incomplete and imprecise)are described based on semantic quantitative measurement method semantic relationship quantitative measurement based on possibilistic logic and probability statistic(SRQ-PP).Moreover,in the case study,we apply two types of quantitative measurements based on SRQ-PP to describe incomplete(uncertain)knowledge and imprecise(vague)information separately in spatial data service retrieval,which in turn is helpful to identify additional potential data resources and provide a quantitative analysis of the results. 展开更多
关键词 METADATA semantic ontology uncertainty measurement spatial data digital earth
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