Role of macroscopic on-site evaluation of endoscopic ultrasoundguided fine-needle aspiration/biopsy:Results of a multicentric prospective study

BACKGROUND The concept of macroscopic on-site evaluation(MOSE)was introduced in 2015 when the endoscopist observed better diagnostic yield when the macroscopically visible core on MOSE was superior to 4 mm.Recent studies suggest that MOSE by the endoscopist may be an excellent alternative to rapid on-site evaluation,and some classi-fications have been published.Few studies have assessed the adequacy of histologic cores in MOSE during endoscopic ultrasound-guided fine-needle aspiration/biopsy(EUS-FNA/FNB).AIM To evaluate the performance of MOSE during EUS-FNA/FNB.METHODS This multicentric prospective study was conducted in 16 centers in 3 countries(Egypt,Iraq,and Morocco)and included 1108 patients with pancreatic,biliary,or gastrointestinal pathology who were referred for EUS examination.We prospectively analyzed the MOSE in 1008 patients with available histopathological reports according to 2 classifications to determine the adequacy of the histological core samples.Data management and analysis were performed using a Statistical Package for Social Sciences(SPSS)version 27.RESULTS A total of 1074 solid lesions were biopsied in 1008 patients with available cytopathological reports.Mean age was 59 years,and 509 patients(50.5%)were male.The mean lesion size was 38 mm.The most frequently utilized needles were FNB-Franseen(74.5%)and 22 G(93.4%),with a median of 2 passes.According to 2 classifications,618 non-bloody cores(61.3%)and 964 good samples(95.6%)were adequate for histological evaluation.The overall diagnostic yield of cytopathology was 95.5%.The cytological examination confirmed the diagnosis of malignancy in 861 patients(85.4%),while 45 samples(4.5%)were inconclusive.Post-procedural adverse events occurred in 33 patients(3.3%).Statistical analysis showed a difference between needle types(P=0.035)with a high sensitivity of FNB(97%).The analysis of the relationship between the MOSE-score and the final diagnosis showed a significant difference between the different scores of the MOSE(P<0.001).CONCLUSION MOSE is a simple method that allows endoscopists to increase needle passes to improve sample quality.There is significantly higher FNB sensitivity and cytopathology diagnostic yield with good MOSE cores.

Based on non-targeted metabolomics for differential components screening of Rosae Chinensis Flos and Rosae Rugosae Flos and their quality evaluation

Background:Rosa chinensis Jacq.and Rosa rugosa Thunb.are not only of ornamental value,but also edible flowers and the flower buds have been listed in the Chinese Pharmacopoeia as traditional medicines.The two plants have some differences in efficacy,but the flower buds are easily confused for similar traits.In addition,large-scale cultivation of ornamental rose flowers may lead to a decrease in the effective components of medicinal roses.Therefore,it is necessary to study the chemical composition and make quality evaluation of Rosae Chinensis Flos(Yueji)and Rosae Rugosae Flos(Meigui).Methods:In this study,40 batches of samples including Meigui and Yueji from different regions in China were collected to establish high-performance liquid chromatography fingerprints.Then,the fingerprints data was analyzed using principal component analysis,hierarchical cluster analysis,and partial least squares discriminant analysis analysis chemometrics to obtain information on intergroup differences,and non-targeted metabolomic techniques were applied to identify and compare chemical compositions of samples which were chosen from groups with large differences.Differential compounds were screened by orthogonal partial least-squares discriminant analysis and S-plot,and finally multi-component quantification was performed to comprehensively evaluate the quality of Yueji and Meigui.Results:The similarity between the fingerprints of 40 batches roses and the reference print R was 0.73 to 0.93,indicating that there were similarities and differences between the samples.Through principal component analysis and hierarchical cluster analysis of fingerprints data,the samples from different origins and varieties were intuitively divided into four groups.Partial least-squares discriminant analysis analysis showed that Meigui and Yueji cluster into two categories and the model was reliable.A total of 89 compounds were identified by high resolution mass spectrometry,mainly were flavonoids and flavonoid glycosides,as well as phenolic acids.Eight differential components were screened out by orthogonal partial least-squares discriminant analysis and S-plot analysis.Quantitative analyses of the eight compounds,including gallic acid,ellagic acid,hyperoside,isoquercitrin,etc.,showed that Yueji was generally richer in phenolic acids and flavonoids than Meigui,and the quality of Yueji from Shandong and Hebei was better.It is worth noting that Xinjiang rose is rich in various components,which is worth focusing on more in-depth research.Conclusion:In this study,the fingerprints of Meigui and Yueji were established.The chemical components information of roses was further improved based on non-targeted metabolomics and mass spectrometry technology.At the same time,eight differential components of Meigui and Yueji were screened out and quantitatively analyzed.The research results provided a scientific basis for the quality control and rational development and utilization of Rosae Chinensis Flos and Rosae Rugosae Flos,and also laid a foundation for the study of their pharmacodynamic material basis.

Future of non-invasive graft evaluation:A systematic review of proteomics in kidney transplantation

BACKGROUND Despite the developments in the field of kidney transplantation,the already existing diagnostic techniques for patient monitoring are considered insufficient.Protein biomarkers that can be derived from modern approaches of proteomic analysis of liquid biopsies(serum,urine)represent a promising innovation in the monitoring of kidney transplant recipients.AIM To investigate the diagnostic utility of protein biomarkers derived from proteomics approaches in renal allograft assessment.METHODS A systematic review was conducted in accordance with PRISMA guidelines,based on research results from the PubMed and Scopus databases.The primary focus was on evaluating the role of biomarkers in the non-invasive diagnosis of transplant-related com-plications.Eligibility criteria included protein biomarkers and urine and blood samples,while exclusion criteria were language other than English and the use of low resolution and sensitivity methods.The selected research articles,were categorized based on the biological sample,condition and methodology and the significantly and reproducibly differentiated proteins were manually selected and extracted.Functional and network analysis of the selected proteins was performed.RESULTS In 17 included studies,58 proteins were studied,with the cytokine CXCL10 being the most investigated.Biological pathways related to immune response and fibrosis have shown to be enriched.Applications of biomarkers for the assessment of renal damage as well as the prediction of short-term and long-term function of the graft were reported.Overall,all studies have shown satisfactory diagnostic accuracy of proteins alone or in combination with conventional methods,as far as renal graft assessment is concerned.CONCLUSION Our review suggests that protein biomarkers,evaluated in specific biological fluids,can make a significant contribution to the timely,valid and non-invasive assessment of kidney graft.

Stability monitoring and evaluation of the modeled test square for prehistoric earthen sites during excavation period

In order to explore the stability of test square during archaeological excavation for prehistoric earthen sites in Hangzhou, a modeled test square with 2. 3 min depth, inplane dimensions of 5 min width by 5 m in length, and an archaeological column in the middle was excavated by means of a top-down excavation technique. To investigate the stability performance of the modeled test square and the associated effect on the adjacent area, a real-time comprehensive instrumentation program was conducted during the excavation. Field observations included ground settlements, lateral displacement, pore pressure and underground water level. Monitoring data indicates that the ground settlement induced by dewatering and unloading action basically decreases with the increase of the distance away from the pit edge, and the lateral displacements at four sides showa nonlinear variation along the depth. The maximum value is far below the acceptable value regulated by the related standard,which validates the stability of the modeled test square during excavation. Variations of pore pressure and water level suggest that long-term stability should be paid more attention due to the slowconsolidation of soft soil. Meanwhile, it is proved that the step shape of the wall can resist lateral displacement more effectively than the vertical shape of wall. This case study provides insights into the real archaeological excavation in Hangzhou, in particular Liangzhu prehistoric earthen sites.

An Evaluation of Crown Structure and Site Index to Determine Crown Closure in Eucalyptus urophylla × E. grandis Stands in Guangxi,China

Eucalyptus forests are grown in many parts of the world for their commercial value and use in construction projects. Density management becomes im- portant as a means to attain the management goals in these forests. Changes in canopy and tree crown structure were quantified for Eucalyptus urophylla x E. grandis forests at different ages to determine when canopy closure occurs and the onset of competition begins. Site index was developed for these forests to determine whether site quality affects the canopy structure. Site index had little effect in the forests sampled, with the forest canopy on the better sites becoming slightly more elongated. Based upon crown projection ratio and crown diameter： dbh （diameter at breast height） ratio, it appears that crown closure occurs by age 4 years in these forests. The age at which this occurs was also checked and verified with the evaluation of relative spacing, RS （the ratio of the mean distance between trees to the average dominant height of the stand）. The RS value displayed a rapid decline until age 4 years, and then became relatively flat through age 21 years. The rapid height growth during the first 3 years with no change in density accounted for this rapid decrease. By age 4 years, reductions in the number of trees due to mortality began to have more of an influence on this value, resulting in a more gradual de- cline. The implications for management are discussed.

可持续场地倡议(SITES)评价体系在中国城市绿地建设中的研究进展及适用性讨论

建设可持续的城市绿地是风景园林行业实现可持续发展的重要途径。然而,中国目前缺乏指导可持续景观建设的标准体系。可持续场地倡议(SITES)体系的提出和引入为国内相关研究提供了新的切入点。以SITES评价体系为研究对象,概述其起源、主要内容等,明确其在城市绿地项目建设中的应用价值,全面总结了SITES评价体系在国内研究与应用方面的进展,同时深入探讨了其在中国城市绿地建设中的适用性和局限性。SITES在关注“场地”尺度、覆盖全生命周期、设置“门槛”条件以及全球统一标准等方面展现了较强的适用性,然而,在实际应用于中国城市绿地项目时存在一定的局限性,包括SITES标准与国内标准规范的不匹配,分值权重的失衡,缺乏政府相关福利政策支持和推广受限制等问题。

Site Quality Evaluation for Mixed, Uneven-aged, Natural Forest Dominatedby Korean Pine in Northeast China

Six site types of Korean pine(Pinus koraiensis) forest, Mongolian oak type, Yezo spruce type, Korean spruce type, Amur linden type, Ribbed birch type and Manchurian ash type, are easily found on the south slope of Xiaoxing’an Mountains. The analysis results of H-A and H-Dbh relationships by site type showed that height growth of Korean pine dominant or codominant stems in natural stands is not directly related to its age but is directly related to its diameter, which closely accords with the Chapman-Richards equation(Relativity coefficients more than 0:8668). A method for evaluating site quality using height and diameter of dominant or codominant tree independent of tree age is examined. There are signifi-cantly differences in site quality of Korcan pine among six site types above. The site index was highest on Manchurian ash type, and lowest on Mongolian oak type. Differences of site index with a reference dbh of 40 cm between highest and lowest sites can reach 11 m in maximum., 7 m in average, respectively. Other rationales of the H-D method were discussed.

Non-destructive Evaluation of Composite Pressure Vessel by Using FBG Sensors

In recent years, advanced composite structures are used extensively in many industries such as aerospace, aircraft, automobile, pipeline and civil engineering. Reliability and safety are crucial requirements posed by them to the advanced composite structures be- cause of their harsh working conditions. Therefore, as a very important measure, structural health monitoring （SHM） in-service is deft- nitely demanded for ensuring their safe working in-situ. In this paper, fiber Bragg grating （FBG） sensors are surface-mounted on the hoop and in the axial directions of a FRP pressure vessel to monitor the strain status during its pressurization. The experimental results show that the FBG sensors could be used to monitor the strain development and determine the ultimate failure strain of the composite pressure vessel.

Site quality evaluation of loblolly pine on the South Carolina Lower Coastal Plain,USA

Eleven soil types, which can be identified and delineated using conventional soil survey procedures, were characterized for loblolly pine （Pinus taeda L.） productivity. Four 4-hectare study sites, each containing four measurement plots, were established for every soil type studied. In a stepwise multiple regression, both soil parent material （i.e. a combination of subsoil texture and geology） （p〈0.001）, and drainage class （p=0.006） were significant predictors of site index （tree age 25）, and the overall linear regression model had an R2 value of 0.55. The extremes of soil parent material differed by 3.9 m site index （loamy subsoil on the Wicomico-Penholoway surfaces versus clayey subsoil on the Pamlico-Princess Anne surfaces）. Each increment of drainage class differed by 0.7 m site index. For example, a poorly drained soil had 0.7 m lower site index than a somewhat poorly drained soil. For seven of the eleven soil types studied, there is greater than 80% probability that estimated mean site index is within ±0.8 m of the actual soil type mean site index. The other four soil types （labeled G, I, C and K） need to be either redefined or sampled more intensively. Two of these need to be subdivided in order to adequately characterize site quality, one based on geology （Soil type G） and one based on soil drainage class （Soil type I）. Variation in soil drainage class and varying amounts of topsoil displaced into windrows were both factors influencing site quality variation of a third soil type （Soil type C）. The wide variation in site index data for a fourth soil type （Soil type K） appeared to be due, in part, to sampling study locations and individual measurement plots with less than optimum bedding and/or artificial drainage. Soil parent material （subsoil texture and geology） along with drainage class were found to be important factors influencing site quality on the South Carolina Lower Coastal Plain.

How to Develop a Realist Evaluation to Evaluate the Effectiveness of Integrated Management of Childhood Illness Strategy in Community Care Sites in the Democratic Republic of Congo

Background: In sub-Saharan Africa, the DRC ranks among countries with high infant mortality. To solve this problem, the Health Ministry has set up a programme: the use of integrated management childhood illness (IMCI) in community care sites (CCSs) managed by non-health professional persons known as community health workers (CHW). This approach has not yet been integrated into the health pyramid. This is why we chose the Realist Evaluation Approach to evaluate the effectiveness of this programme on Universal Access to care for children under 5 years of age in the DRC. Methods/design: To conduct this exploratory study which is essentially a descriptive case study, we applied the principles of a realist evaluation by context—mechanisms—effects explained in the conceptual framework. The preliminary theory of the programme was elaborated by data collection through a literature review coupled with semi-structured interviews with key informants who were managers of the government programme and technical and financial partners of the programme. Results: IMCI has been evaluated and shown its positive contribution in the reduction of global children mortality. In the DRC, summaries of data collection through a literature review coupled with semi-structured interviews showed the same result. However, under criticism, based on the data collected during this exploratory study, it is promisingly apparent that this programme will achieve the objectives assigned to it through the preliminary theory of the programme. Conclusion: The literature review corroborated the effectiveness of the IMCI programme. The application of this programme in CCS with non-health professionals who are Community Health Workers has been shown to be effective in the DRC. Based on this reality, it was possible to define the basis for a realist evaluation of the effectiveness of the programme in CCS.

DAMAGE AND FRACTURE EVALUATION OF GRANULAR COMPOSITE MATERIALS BY DIGITAL IMAGE CORRELATION METHOD

This paper presents the applications of digital image correlation technique to the mesoscopic damage and fracture study of some granular based composite materials including steel- fiber reinforced concrete,sandstone and crystal-polymer composite.The deformation fields of the composite materials resulted from stress localization were obtained by the correlation computation of the surface images with loading steps and thus the related damage prediction and fracture parameters were evaluated.The correlation searching could be performed either directly based on the gray levels of the digital images or from the wavelet transform(WT)coefficients of the transform spectrum.The latter was developed by the authors and showed higher resolution and sensitivity to the singularity detection. Because the displacement components came from the rough surfaces of the composite materials without any coats of gratings or fringes of optical interferometry,both surface profiles and the deformation fields of the composites were visualized which was helpful to compare each other to analyze the damage of those heterogeneous materials.

Local site effects evaluation by surface wave and H/V survey methods in Senirkent(Isparta)region,southwestern Turkey

This study aimed to investigate the site characterization of the Senirkent Basin(Isparta)by using the microtremor(H/V)and surface wave analysis(ReMi)methods.Senirkent district,which is located on the foothill of the Kap?Mountain,are prone to seismic and landslide hazards.After the last landslip disaster(1995),the city has continued to develop on the alluvial basin.The microtremor data collected at 41 stations were analyzed.The predominant frequency and the amplification of the soil were found to be in the range of 1.8–6.6 Hz and 0.8–6.8,respectively.These are 4.0-6.8 Hz and 1-2.5 around the slope of the Kap?Mountain and 0.8-3.6 Hz and 3.0-6.6 at alluvium deposits of the valley.The ReMi data collected along 41 profiles were analyzed to obtain a Vs30 map.The soil classifications were done by using Vs30 values according to NEHRP soil classification criteria.The results showed that the southern area of the study had better soil conditions with Vs30 between 360-1160 m/s and soil class between C and B.The alluvium deposits on the north are relatively low with Vs30 in the range of 260-360 m/s and soil class D.

Rapid on-site evaluation of endoscopic-ultrasound-guided fine-needle aspiration diagnosis of pancreatic masses

Endoscopic ultrasound (EUS) has become an essential tool for the study of pancreatic diseases. Specifically, EUS plays a pivotal role evaluating patients with a known or suspected pancreatic mass. In this setting, differential diagnosis remains a clinical challenge. EUS-guided fine-needle aspiration (FNA) and fine-needle biopsy (FNB) have been proven to be safe and useful tools in this setting. EUS-guided FNA and FNB, by obtaining cytological and/or histological samples, are able to diagnose pancreatic lesions with high sensitivity and specificity. In this context, several methodological features, trying to increase the diagnostic yield of EUS-guided FNA and FNB, have been evaluated. In this review, we focus on the role of rapid on-site evaluation (ROSE). From data reported in the literature, ROSE may increase diagnostic yield of EUS-FNA specimens by 10%-30%, and thus, diagnostic accuracy. However, we should point out that many recent studies have reported adequacy rates of &#x0003e; 90% without ROSE, indicating that, perhaps, at high-volume centers, ROSE may not be indispensable to achieve excellent results. The use of ROSE can be considered important during the learning curve of EUS-FNA, and also in hospital with diagnostic accuracy rates &#x0003c; 90%.

Analysis of the integrated test and evaluation methods of tidal current energy generating devices in the offshore testing site

Actual sea condition testing and inspection and evaluation method research are carried out for tidal energy devices to provide scientific and effective technical support for the ocean high-tech achievement transformation and marine renewable energy development. By analyzing three core indicators, including the power output characteristics of the tidal current device, the generating capacity, energy conversion efficiency, proposed the test contents and evaluation methods of indicators are proposed in this paper; and based on the research of wind farms, power quality testing and assessment methods of offshore tidal energy device are proposed; given the security access to the test contents of tidal current energy device, tidal current energy device running conditions in the testing ground are comprehensively assessed.

3D Evaluation Method of Cutting Surface Topography of Carbon / Phenolic (C/Ph) Composite

3D evaluation method of cutting surface topography for C/Ph composites was established.The cutting surface was measured by Talyscan 150,using 3D non-contact measurement.Through the results of 2D and 3D roughness evaluating for C/Ph composite and Duralumin,the 2D evaluation method of the cutting surface topography of C/Ph composite loses a lot of information,the characteristics of the surface topography of C/Ph composite can be comprehensively and authentically evaluated only by 3D evaluation method.Furthermore,3D amplitude and spatial parameters were adopted to evaluate the surface.The results show that： the topography of the C/Ph composite is anisotropic,there are more valleys in the machined surface of C/Ph than that of duralumin,and there are not obvious feeding textures for C/Ph,which indicates the machining mechanism is different from the metal.In conclusion,the topography of the C/Ph composite cutting surface is anisotropic;the cutting surface of C/Ph composite needs 3D evaluation method.

Evaluation of the Trading Website for Agricultural Products in China

Agricultural product trading website is not only an important way to realize the agriculture informatization,but also the main manifestation of the agricultural informatization. Based on the preliminary understanding of the content and characteristics of China's agricultural product trading website,the paper builds a scientific evaluation indicator system and evaluates 50 typical agricultural product trading websites objectively by using classification and grading method. The results show that the overall construction level of China's agricultural product trading websites is general,and there are obvious differences between regions; the lack of website commercial function and the lag of informatization are the main factors restricting the development of agricultural product trading websites.

Evaluation of nest site preferences of a nest dismantler,the Hair-crested Drongo(Dicrurus hottentottus) in Dongzhai National Nature Reserve of central China

Background:The Hair-crested Drongo(Dicrurus hottentottus) exhibits a unique nest-dismantling behavior after the fledging of the young.One hypothesis explaining this behavior is dismantling one's own nest may reduce potential competition for nest sites in the following breeding season because suitable breeding habitat might be limited,and sites are often reused.Methods:By comparing the habitat features at nest and random locations,we determined the nest habitat preference of the Hair-crested Drongo within Dongzhai National Nature Reserve,Henan,China.We also compared habitat features with nesting success to determine if any trends could be detected.Results:We found that nest tree height,diameter at breast height,live crown ratio,tree rank,and presence of overstory were significantly higher at nesting locations than random locations;slope,leaf litter cover percentage and depth,presence of understory and midstory,and number of trees per hectare were significantly lower at nest sites than random sites.Drongos preferred to use some tree species,such as Metasequoia glyptostroboides,Castanea mollissima,and Pterocarya stenoptera for nesting.Failed nests were often associated with habitat with higher percentage of leaf litter on the ground.Conclusion:Our data support that selection of nest sites does occur for this species at this site and therefore support the hypothesis that breeding habitat limitation could be one of the driving forces for the development of the nestdismantling behavior in this species.

Evaluation of toppling rock slopes using a composite cloud model with DEMATEL–CRITIC method

Safety evaluation of toppling rock slopes developing in reservoir areas is crucial. To reduce the uncertainty of safety evaluation, this study developed a composite cloud model, which improved the combination weights of the decision-making trial and evaluation laboratory (DEMATEL) and criteria importance through intercriteria correlation (CRITIC) methods. A safety evaluation system was developed according to in situ monitoring data. The backward cloud generator was used to calculate the numerical characteristics of a cloud model of quantitative indices, and different virtual clouds were used to synthesize some clouds into a generalized one. The synthesized numerical characteristics were calculated to comprehensively evaluate the safety of toppling rock slopes. A case study of a toppling rock slope near the Huangdeng Hydropower Station in China was conducted using monitoring data collected since operation of the hydropower project began. The results indicated that the toppling rock slope was moderately safe with a low safety margin. The composite cloud model considers the fuzziness and randomness of safety evaluation and enables interchange between qualitative and quantitative knowledge. This study provides a new theoretical method for evaluating the safety of toppling rock slopes. It can aid in the predication, control, and even prevention of disasters.

Evaluation Method of Web Site Structure Based on Web Structure Mining

The structure of Web site became more complex than before. During the design period of a Web site, the lack of model and method results in improper Web structure, which depend on the designer's experience. From the point of view of software engineering, every period in the software life must be evaluated before starting the next period's work. It is very important and essential to search relevant methods for evaluating Web structure before the site is completed. In this work, after studying the related work about the Web structure mining and analyzing the major structure mining methods (Page\|rank and Hub/Authority), a method based on the Page\|rank for Web structure evaluation in design stage is proposed. A Web structure modeling language WSML is designed, and the implement strategies for evaluating system of the Web site structure are given out. Web structure mining has being used mainly in search engines before. It is the first time to employ the Web structure mining technology to evaluate a Web structure in the design period of a Web site. It contributes to the formalization of the design documents for Web site and the improving of software engineering for large scale Web site, and the evaluating system is a practical tool for Web site construction.

THE STUDY ON SITE QUALITY EVALUATION FOR DAHURIAN LARCH(LARIX GMELINII RUPR.)

Site quality of larch(Larix gmelinii Rupr.)in Da Xingan Mountain in InnerMongolia was studied systematically with about 1000 temporary plots and computersoftware.The nature of site class and site index curve was discussed in view of generalmathematical model of height growth.The height growth of dominant tree of four divisionsof forest stands were studied and site index tables were constructed respectively.In orderto unify the comparing standard and convenience for management in this region,site indextable was constucted too.Based on discussing the action and accuracy of forest type,aseries of site quality evaluation(forest type-site index class-site index)was suggested.