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Increased retinal venule diameter as a prognostic indicator for recurrent cerebrovascular events:a prospective observational study 被引量:1
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作者 Ying Zhao Dawei Dong +5 位作者 Ding Yan Bing Yang Weirong Gui Man Ke Anding Xu Zefeng Tan 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第5期1156-1160,共5页
Microvasculature of the retina is considered an alternative marker of cerebral vascular risk in healthy populations.However,the ability of retinal vasculature changes,specifically focusing on retinal vessel diameter,t... Microvasculature of the retina is considered an alternative marker of cerebral vascular risk in healthy populations.However,the ability of retinal vasculature changes,specifically focusing on retinal vessel diameter,to predict the recurrence of cerebrovascular events in patients with ischemic stroke has not been determined comprehensively.While previous studies have shown a link between retinal vessel diameter and recurrent cerebrovascular events,they have not incorporated this information into a predictive model.Therefore,this study aimed to investigate the relationship between retinal vessel diameter and subsequent cerebrovascular events in patients with acute ischemic stroke.Additionally,we sought to establish a predictive model by combining retinal veessel diameter with traditional risk factors.We performed a prospective observational study of 141 patients with acute ischemic stroke who were admitted to the First Affiliated Hospital of Jinan University.All of these patients underwent digital retinal imaging within 72 hours of admission and were followed up for 3 years.We found that,after adjusting for related risk factors,patients with acute ischemic stroke with mean arteriolar diameter within 0.5-1.0 disc diameters of the disc margin(MAD_(0.5-1.0DD))of≥74.14μm and mean venular diameter within 0.5-1.0 disc diameters of the disc margin(MVD_(0.5-1.0DD))of≥83.91μm tended to experience recurrent cerebrovascular events.We established three multivariate Cox proportional hazard regression models:model 1 included traditional risk factors,model 2 added MAD_(0.5-1.0DD)to model 1,and model 3 added MVD0.5-1.0DD to model 1.Model 3 had the greatest potential to predict subsequent cerebrovascular events,followed by model 2,and finally model 1.These findings indicate that combining retinal venular or arteriolar diameter with traditional risk factors could improve the prediction of recurrent cerebrovascular events in patients with acute ischemic stroke,and that retinal imaging could be a useful and non-invasive method for identifying high-risk patients who require closer monitoring and more aggressive management. 展开更多
关键词 acute ischemic stroke arteriolar cerebrovascular events diameter digital retinal imaging MICROVASCULATURE prediction RECURRENT RETINA venular
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One-year results for myopia control of orthokeratology with different back optic zone diameters: a randomized trial using a novel multispectral-based topographer 被引量:1
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作者 Wen-Ting Tang Xiang-Ning Luo +4 位作者 Wen-Jing Zhao Jia Liao Xin-Yue Xu Hui-Dan Zhang Li Zhang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第2期324-330,共7页
AIM:To present the 1-year results of a prospective cohort study investigating the efficacy,potential mechanism,and safety of orthokeratology(ortho-k)with different back optic zone diameters(BOZD)for myopia control in ... AIM:To present the 1-year results of a prospective cohort study investigating the efficacy,potential mechanism,and safety of orthokeratology(ortho-k)with different back optic zone diameters(BOZD)for myopia control in children.METHODS:This randomized clinical study was performed between Dec.2020 and Dec.2021.Participants were randomly assigned to three groups wearing ortho-k:5 mm BOZD(5-MM group),5.5 mm BOZD(5.5-MM group),and 6 mm BOZD(6-MM group).The 1-year data were recorded,including axial length,relative peripheral refraction(RPR,measured by multispectral refractive topography,MRT),and visual quality.The contrast sensitivity(CS)was evaluated by CSV-1000 instrument with spatial frequencies of 3,6,12,and 18 cycles/degree(c/d);the corneal higher-order aberrations(HOAs)were measured by iTrace aberration analyzer.The one-way ANOVA was performed to assess the differences between the three groups.The correlation between the change in AL and RPR was calculated by Pearson’s correlation coefficient.RESULTS:The 1-year results of 20,21,and 21 subjects in the 5-MM,5.5-MM,and 6-MM groups,respectively,were presented.There were no statistical differences in baseline age,sex,or ocular parameters between the three groups(all P>0.05).At the 1-year visit,the 5-MM group had lower axial elongation than the 6-MM group(0.07±0.09 vs 0.18±0.11 mm,P=0.001).The 5-MM group had more myopic total RPR(TRPR,P=0.014),with RPR in the 15°–30°(RPR 15–30,P=0.015),30°–45°(RPR 30–45,P=0.011),temporal(RPR-T,P=0.008),and nasal area(RPR-N,P<0.001)than the 6-MM group.RPR 15–30 in the 5.5-MM group was more myopic than that in the 6-MM group(P=0.002),and RPR-N in the 5-MM group was more myopic than that in the 5.5-MM group(P<0.001).There were positive correlations between the axial elongation and the change in TRPR(r=0.756,P<0.001),RPR 15–30(r=0.364,P=0.004),RPR 30–45(r=0.306,P=0.016),and RPR-N(r=0.253,P=0.047).The CS decreased at 3 c/d(P<0.001),and the corneal HOAs increased in the 5-MM group(P=0.030).CONCLUSION:Ortho-k with 5 mm BOZD can control myopia progression more effectively.The mechanism may be associated with greater myopic shifts in RPR. 展开更多
关键词 relative peripheral refraction ORTHOKERATOLOGY MYOPIA back optic zone diameter axial length multispectral refractive topography
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On Spanning Wide Diameter of Graphs
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作者 WANG Yameng YIMINGJIANG Shabier 《新疆大学学报(自然科学版中英文)》 CAS 2024年第5期571-578,590,共9页
A t-container Ct(u,v)is a set of t internally disjoint paths between two distinct vertices u and v in a graph G,i.e.,Ct(u,v)={P_(1),P_(2),···,Pt}.Moreover,if V(P_(1))∪V(P_(2))∪···∪V(Pt... A t-container Ct(u,v)is a set of t internally disjoint paths between two distinct vertices u and v in a graph G,i.e.,Ct(u,v)={P_(1),P_(2),···,Pt}.Moreover,if V(P_(1))∪V(P_(2))∪···∪V(Pt)=V(G)then Ct(u,v)is called a spanning t-container,denoted by C_(t)^(sc)(u,v).The length of C_(t)^(sc)(u,v)={P_(1),P_(2),···,Pt}is l(C_(t)^(sc)(u,v))=max{l(P_(i))|1≤i≤t}.A graph G is spanning t-connected if there exists a spanning t-container between any two distinct vertices u and v in G.Assume that u and v are two distinct vertices in a spanning t-connected graph G.Let D_(t)^(sc)(u,v)be the collection of all C_(t)^(sc)(u,v)’s.Define the spanning t-wide distance between u and v in G,d_(t)^(sc)(u,v)=min{l(C_(t)^(sc)(u,v))|C_(t)^(sc)(u,v)∈D_(t)^(sc)(u,v)},and the spanning t-wide diameter of G,D_(t)^(sc)(G)=max{d_(t)^(sc)(u,v)|u,v∈V(G)}.In particular,the spanning wide diameter of G is D_(κ)^(sc)(G),whereκis the connectivity of G.In the paper we provide the upper and lower bounds of the spanning wide diameter of a graph,and show that the bounds are best possible.We also determine the exact values of wide diameters of some well known graphs including Harary graphs and generalized Petersen graphs et al.. 展开更多
关键词 CONNECTIVITY spanning connectivity spanning laceability wide diameter spanning wide diameter
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Effect of a cervical collar on optic nerve sheath diameter in trauma patients
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作者 Mümin Murat Yazici Ozcan Yavasi 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2024年第2期126-130,共5页
BACKGROUND:As advocated in advanced trauma life support and prehospital trauma life support protocols,cervical immobilization is applied until cervical spine injury is excluded.This study aimed to show the difference ... BACKGROUND:As advocated in advanced trauma life support and prehospital trauma life support protocols,cervical immobilization is applied until cervical spine injury is excluded.This study aimed to show the difference in optic nerve sheath diameter(ONSD)between patients with and without a cervical collar using computed tomography(CT).METHODS:This was a single-center,retrospective study examining trauma patients who presented to the emergency department between January 1,2021,and December 31,2021.The ONSD on brain CT of the trauma patients was measured and analyzed to determine whether there was a difference between the ONSD with and without the cervical collar.RESULTS:The study population consisted of 169 patients.On CT imaging of patients with(n=66)and without(n=103)cervical collars,the mean ONSD in the axial plane were 5.43±0.50 mm and 5.04±0.46 mm respectively for the right eye and 5.50±0.52 mm and 5.11±0.46 mm respectively for the left eye.The results revealed an association between the presence of a cervical collar and the mean ONSD,which was statistically significant(P<0.001)for both the right and left eyes.CONCLUSION:A cervical collar may be associated with increased ONSD.The effect of this increase in the ONSD on clinical outcomes needs to be investigated,and the actual need for cervical collar in the emergency department should be evaluated on a case-by-case basis. 展开更多
关键词 Optic nerve sheath diameter Computed tomography TRAUMA Emergency medicine
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Added value of ratio of cross diameters of the appendix in ultrasound diagnosis of acute appendicitis
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作者 Feng-Wa Gu Si-Ze Wu 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第1期21-28,共8页
BACKGROUND The maximum outer diameter(MOD)of the appendix is an essential parameter for diagnosing acute appendicitis,but there is space for improvement in ultrasound(US)diagnostic performance.AIM To investigate wheth... BACKGROUND The maximum outer diameter(MOD)of the appendix is an essential parameter for diagnosing acute appendicitis,but there is space for improvement in ultrasound(US)diagnostic performance.AIM To investigate whether combining the ratio of the cross diameters(RATIO)of the appendix with MOD of the appendix can enhance the diagnostic performance of acute appendicitis.METHODS A retrospective study was conducted,and medical records of 233 patients with acute appendicitis and 112 patients with a normal appendix were reviewed.The MOD and RATIO of the appendix were calculated and tested for their diagnostic performance of acute appendicitis,both individually and in combination.RESULTS The RATIO for a normal appendix was 1.32±0.16,while for acute appendicitis it was 1.09±0.07.The cut-off value for RATIO was determined to be≤1.18.The area under the receiver operating characteristic curve(AUC)for diagnosing acute appendicitis using RATIO≤1.18 and MOD>6 mm was 0.870 and 0.652,respectively.There was a significant difference in AUC between RATIO≤1.18 and MOD>6 mm(P<0.0001).When comparing the combination of RATIO≤1.18 and MOD>6 mm with MOD>6 mm alone,the combination showed increased specificity,positive predictive value(PPV),and AUC.However,the sensitivity and negative predictive value decreased.CONCLUSION Combining RATIO of the appendix≤1.18 and MOD>6 mm can significantly improve the specificity,PPV,and AUC in the US diagnosis of acute appendicitis. 展开更多
关键词 Acute appendicitis diameter RATIO Diagnosis ULTRASOUND
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Simulation of Haloxylon Ammodendron Stand Basic Diameter Structure Based on Fuzzy Distribution Function
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作者 Shaohua Wang Chuanqiang Liu Ting Yang 《Agricultural Sciences》 2024年第1期132-145,共14页
Based on the investigation data of 12 Haloxylon ammodendron plots in the south edge of Gurbantunggut Desert, Fuzzy distribution was introduced into the study of Haloxylon ammodendron base diameter structure fitting ac... Based on the investigation data of 12 Haloxylon ammodendron plots in the south edge of Gurbantunggut Desert, Fuzzy distribution was introduced into the study of Haloxylon ammodendron base diameter structure fitting according to the consistency between the characteristics of Fuzzy distribution function and the distribution series of cumulative percentage of stand base diameter, and the fitting precision and effect of Fuzzy distribution function were discussed. The root mean square error RMSE and determination coefficient R<sup>2</sup> values showed that Fuzzy-Γ<sub>1</sub>, Fuzzy-Γ<sub>2</sub>, Fuzzy-Γ<sub>3</sub>, Fuzzy-Γ<sub>4</sub> had good fitting performance, among which Fuzzy-Γ<sub>1</sub> had relatively high fitting precision, and its parameters were closely related to stand age and density, Fuzzy-Γ<sub>2</sub> distribution function was the second, and Fuzzy-Γ<sub>4</sub> distribution function had the worst fitting effect. By introducing a parameter c from the similarity of four distribution function formulas, a generalized Fuzzy distribution function Fuzzy-Γ<sub>5</sub> is obtained. This function shows the highest fitting accuracy. Most of the values of parameter c are near 1 or 2, which shows that the diameter distribution is mainly approximate to Fuzzy-Γ<sub>1</sub> and Fuzzy-Γ<sub>2</sub>. 展开更多
关键词 Fuzzy Distribution Function Haloxylon Ammodendron Base diameter Distribution Stand Factor
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Platelet counts to spleen diameter ratio:A promising noninvasive tool for predicting esophageal varices in cirrhosis patients
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作者 Getnet Yigzaw Mossie Abdulsemed Mohammed Nur +2 位作者 Zekarias Seifu Ayalew Gebeyehu Tessema Azibte Kaleb Assefa Berhane 《World Journal of Hepatology》 2024年第10期1177-1187,共11页
BACKGROUND Liver cirrhosis is the end stage of progressive liver fibrosis as a consequence of chronic liver inflammation,wherein the standard hepatic architecture is replaced by regenerative hepatic nodules,which even... BACKGROUND Liver cirrhosis is the end stage of progressive liver fibrosis as a consequence of chronic liver inflammation,wherein the standard hepatic architecture is replaced by regenerative hepatic nodules,which eventually lead to liver failure.Cirrhosis without any symptoms is referred to as compensated cirrhosis.Complications such as ascites,variceal bleeding,and hepatic encephalopathy indicate the onset of decompensated cirrhosis.Gastroesophageal varices are the hallmark of clini-cally significant portal hypertension.AIM To determine the accuracy of the platelet count-to-spleen diameter(PC/SD)ratio to evaluate esophageal varices(EV)in patients with cirrhosis.METHODS This retrospective observational study was conducted at Tikur Anbessa Specia-lized Hospital and Adera Medical Center from January 1,2019,to December 30,2023.Data were collected via chart review and direct patient interviews using structured questionnaires.The data were exported to the SPSS software version 26 for analysis and clearance.A receiver operating characteristic curve was plotted for splenic diameter,platelet count,and PC/SD ratio to obtain sensitivity,speci-ficity,positive predictive value,negative predictive value,positive likelihood ratio,and negative likelihood ratio.RESULTS Of the 140 participants,67%were men.Hepatitis B(38%)was the most common cause of cirrhosis,followed by cryptogenic cirrhosis(28%)and hepatitis C(16%).Approximately 83.6%of the participants had endoscopic evidence of EV,whereas 51.1%had gastric varices.Decompensated cirrhosis and PC were associated with the presence of EV with adjusted odds ratios of 12.63(95%CI:3.16-67.58,P=0.001)and 0.14(95%CI:0.037-0.52,P=0.004),respectively.A PC/SD ratio<1119 had a sensitivity of 86.32%and specificity of 70%with area under the curve of 0.835(95%CI:0.736-0.934,P<0.001).CONCLUSION A PC/SD ratio<1119 predicts EV in patients with cirrhosis.It is a valuable,noninvasive tool for EV risk assess-ment in resource-limited settings. 展开更多
关键词 Cirrhosis Esophageal varices Portal hypertension Platelet count Splenic diameter
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Study of the Characteristics of Large-Diameter Iron Bars Obtained by Rolling at the ODHAV Foundry in the Republic of Guinea
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作者 Alpha Issa Diallo Jean Ahmadou Kourouma +3 位作者 Adama Moussa Sakho Younoussa Moussa Baldé Mamadou Madaniou Sow Alexandre Lucien Richard 《Journal of Materials Science and Chemical Engineering》 2024年第6期43-54,共12页
This work consists of evaluating the quality of the mechanical parameters of large-diameter steels, i.e. 20, 25, 28 and 32, through a process of recycling scrap metal that fills garages, rubbish dumps, gutters and oth... This work consists of evaluating the quality of the mechanical parameters of large-diameter steels, i.e. 20, 25, 28 and 32, through a process of recycling scrap metal that fills garages, rubbish dumps, gutters and other abandoned sites, as well as imported concrete reinforcing steel sold in the Republic of Guinea. To carry out this important work, a number of mechanical tensile and bending tests and a microscopic analysis combining two devices, an electron microscope and a photographic camera, were carried out. The samples were taken from sampling areas in the major communes of Conakry, namely: Casse Sonfonia, Matoto and Kagbélen. The tensile strength values of the large dimensions 20, 25, 28 and 32 are given in the tables. 展开更多
关键词 Recycled Scrap Large diameter ROLLING Tensile Testing BENDING
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Optic nerve sheath diameters in nontraumatic brain injury:A scoping review and role in the intensive care unit
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作者 Madhura Bhide Deven Juneja +1 位作者 Omender Singh Shakya Mohanty 《World Journal of Critical Care Medicine》 2024年第3期75-90,共16页
BACKGROUND Neuromonitoring in medical intensive care units is challenging as most patients are unfit for invasive intracranial pressure(ICP)modalities or unstable to transport for imaging.Ultrasonography-based optic n... BACKGROUND Neuromonitoring in medical intensive care units is challenging as most patients are unfit for invasive intracranial pressure(ICP)modalities or unstable to transport for imaging.Ultrasonography-based optic nerve sheath diameter(ONSD)is an attractive option as it is reliable,repeatable and easily performed at the bedside.It has been sufficiently validated in traumatic brain injury(TBI)to be incorporated into the guidelines.However,currently the data for non-TBI patients is inconsistent for a scientific recommendation to be made.AIM To compile the existing evidence for understanding the scope of ONSD in measuring ICP in adult non-traumatic neuro-critical patients.METHODS PubMed,Google Scholar and research citation analysis databases were searched for studies in adult patients with non-traumatic causes of raised ICP.Studies from 2010 to 2024 in English languages were included.RESULTS We found 37 articles relevant to our search.The cutoff for ONSD in predicting ICP varied from 4.1 to 6.3 mm.Most of the articles used cerebrospinal fluid opening pressure followed by raised ICP on computed tomography/magnetic resonance imaging as the comparator parameter.ONSD was also found to be a reliable outcome measure in cases of acute ischaemic stroke,intracerebral bleeding and intracranial infection.However,ONSD is of doubtful utility in septic metabolic encephalopathy,dysnatremias and aneurysmal subarachnoid haemorrhage.CONCLUSION ONSD is a useful tool for the diagnosis of raised ICP in non-traumatic neuro-critically ill patients and may also have a role in the prognostication of a subset of patients. 展开更多
关键词 Intracranial hypertension Intracranial pressure monitoring Medical intensive care unit Neuro-monitoring Nontraumatic brain injury Optic nerve sheath diameter Optic nerve ultrasound
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Sub-stand diameter distribution types vary along an old-growth Douglas-fir chronosequence into the horizontal diversification development stage 被引量:1
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作者 JeriLynn E.Peck Eric K.Zenner 《Journal of Forestry Research》 SCIE CAS CSCD 2023年第2期415-424,共10页
Managing mature Douglas-fir[Pseudotsuga menziesii(Mirb.)Franco]stands to emulate the structural complexity of natural old-growth forest requires identifying structural targets at the sub-stand level at which neighborh... Managing mature Douglas-fir[Pseudotsuga menziesii(Mirb.)Franco]stands to emulate the structural complexity of natural old-growth forest requires identifying structural targets at the sub-stand level at which neighborhood dynamics and patchy disturbance shape structure.We therefore sought to describe the archetypal shapes of predominant sub-stand diameter distribution types(DDTs)observed in natural tree neighborhoods in stands comprising a chronosequence(ca.120-450+yrs)encompassing mature,vertical diversification,and horizontal diversification development stages.The ten 1.0 ha stands are located in the southcentral Oregon Cascades,USA.Building on the known spatial position of each tree,natural tree neighborhoods were identified using the floating neighborhood approach based on spatial tessellation connecting neighboring trees at the first-(mean 61 m2)through fifth-(mean 2058 m2)order scales.Cluster analysis was then used to objectively identify the most predominant DDTs among the relative tree size distributions observed in the trans-scale neighborhoods within each stand.Repeated measures regression was used to classify each DDT to one of six observed archetypal shapes:negative exponential,unimodal,rotated sigmoid,bimodal,concave,or multi-modal.Only three of the 81 observed DDTs deviated by<10%from the stand average,while every stand had at least one DDT that deviated by>50%(maximum 83%).Within each stand,five to ten predominant DDTs were observed,which deviated from the stand average by 30-48%and were characterized by two to five different archetypal shapes.Consequently,in some stands the majority of tree neighborhoods were best characterized by a different shape from that assigned at the stand level.Deviation from the stand average increased from the youngest stand in the mature development stage through the middle stands in the vertical diversification stage to the oldest stands in the horizontal diversification stage.The complexity of DDT shapes tended to increase along the chronosequence(from negative exponential and uniform toward concave and multi-modal),with shape richness highest mid-sequence and evenness peaking in the oldest stands.The high diversity of sub-stand structural complexity reduces the utility of standlevel diameter distributions as old-growth restoration targets.However,the presence in early-sequence stands of sub-stand diameter distributions common to later-sequence stands may facilitate active management at the neighborhood level to promote future old-growth condition.Restoration of substand diameter structures would likely require combining spatial perspectives,such as by augmenting tree-level croptree management with diameter distribution targets for the resulting tree neighborhoods. 展开更多
关键词 diameter distribution type Floating neighborhood Restoration silviculture Small-scale Structural complexity
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Alternative expressions for stand diameter in complex forests 被引量:1
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作者 Mark J.Ducey John A.Kershaw Jr. 《Forest Ecosystems》 SCIE CSCD 2023年第3期328-336,共9页
Quadratic mean diameter is the most frequently reported descriptor of the diameter distribution of forests.As such,it is often used as an indicator of forest stand structure,developmental stage,and ecological and econ... Quadratic mean diameter is the most frequently reported descriptor of the diameter distribution of forests.As such,it is often used as an indicator of forest stand structure,developmental stage,and ecological and economic potential.However,quadratic mean diameter can be heavily influenced by the presence or absence of large numbers of small stems in lower canopy strata,and it is also sensitive to left-truncation of the diameter distribution,making its interpretation across inventories with different protocols challenging.Here,we examine three alternative expressions of stand diameter:the arithmetic and quadratic mean diameter of the thickest 100 trees per hectare,and the basal area-weighted mean diameter.Using data from the United States Forest Inventory and Analysis program for New York and New England,these alternative expressions showed closer correlation with multiple stand structural variables than did quadratic mean diameter,including merchantable cubic and board foot volume per hectare,aboveground live tree carbon per hectare,and total number of live and dead standing trees greater than 40 cm diameter at breast height per hectare(previously proposed as an index of old-growth structure).Arithmetic and quadratic mean diameter of the thickest 100 trees per hectare showed nearly identical performance,and the strongest correlations across the board.We develop closed-form expressions for these variables when the diameter distribution is a Weibull,and illustrate their behavior relative to quadratic mean diameter for that situation.While the reasons for prevalence of quadratic mean diameter as an indicator remain valid,we suggest that these alternative measures should be more widely reported and analyzed to give a more informative depiction of stand structure and development in complex forests. 展开更多
关键词 Forest structure diameter at breast height Weibull distribution
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Bedside ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure in nontraumatic neurocritically ill patients 被引量:1
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作者 Madhura Bhide Omender Singh +1 位作者 Deven Juneja Amit Goel 《World Journal of Critical Care Medicine》 2023年第1期10-17,共8页
BACKGROUND Delay in treatment of raised intracranial pressure(ICP)leads to poor clinical outcomes.Optic nerve sheath diameter(ONSD)by ultrasonography(US-ONSD)has shown good accuracy in traumatic brain injury and neuro... BACKGROUND Delay in treatment of raised intracranial pressure(ICP)leads to poor clinical outcomes.Optic nerve sheath diameter(ONSD)by ultrasonography(US-ONSD)has shown good accuracy in traumatic brain injury and neurosurgical patients to diagnose raised ICP.However,there is a dearth of data in neuro-medical intensive care unit(ICU)where the spectrum of disease is different.AIM To validate the diagnostic accuracy of ONSD in non-traumatic neuro-critically ill patients.METHODS We prospectively enrolled 114 patients who had clinically suspected raised ICP due to non-traumatic causes admitted in neuro-medical ICU.US-ONSD was performed according to ALARA principles.A cut-off more than 5.7 mm was taken as significantly raised.Raised ONSD was corelated with raised ICP on radiological imaging.Clinical history,general and systemic examination findings,SOFA and APACHE 2 score and patient outcomes were recorded.RESULTS There was significant association between raised ONSD and raised ICP on imaging(P<0.001).The sensitivity,specificity,positive and negative predictive value at this cut-off was 77.55%,89.06%,84.44% and 83.82% respectively.The positive and negative likelihood ratio was 7.09 and 0.25.The area under the receiver operating characteristic curves was 0.844.Using Youden’s index the best cut off value for ONSD was 5.75 mm.Raised ONSD was associated with lower age(P=0.007),poorer Glasgow Coma Scale(P=0.009)and greater need for surgical intervention(P=0.006)whereas no statistically significant association was found between raised ONSD and SOFA score,APACHE II score or ICU mortality.Our limitations were that it was a single centre study and we did not perform serial measurements or ONSD pre-and post-treatment or procedures for raised ICP.CONCLUSION ONSD can be used as a screening a test to detect raised ICP in a medical ICU and as a trigger to initiate further management of raised ICP.ONSD can be beneficial in ruling out a diagnosis in a low-prevalence population and rule in a diagnosis in a high-prevalence population. 展开更多
关键词 Intracranial pressure Intensive care unit Neuro-critical care Optic nerve sheath diameter ULTRASONOGRAPHY
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Measuring tree stem diameters and straightness with depth-image computer vision
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作者 Hoang Tran Keith Woeste +2 位作者 Bowen Li Akshat Verma Guofan Shao 《Journal of Forestry Research》 SCIE CAS CSCD 2023年第5期1395-1405,共11页
Current techniques of forest inventory rely on manual measurements and are slow and labor intensive.Recent developments in computer vision and depth sensing can produce accurate measurement data at significantly reduc... Current techniques of forest inventory rely on manual measurements and are slow and labor intensive.Recent developments in computer vision and depth sensing can produce accurate measurement data at significantly reduced time and labor costs.We developed the ForSense system to measure the diameters of trees at various points along the stem as well as stem straightness.Time use,mean absolute error(MAE),and root mean squared error(RMSE)metrics were used to compare the system against manual methods,and to compare the system against itself(reproducibility).Depth-derived diameter measurements of the stems at the heights of 0.3,1.4,and 2.7 m achieved RMSE of 1.7,1.5,and 2.7 cm,respectively.The ForSense system produced straightness measurement data that was highly correlated with straightness ratings by trained foresters.The ForSense system was also consistent,achieving sub-centimeter diameter difference with subsequent measures and less than 4%difference in straightness value between runs.This method of forest inventory,which is based on depth-image computer vision,is time efficient compared to manual methods and less computationally and technologically intensive compared to Structure-from-Motion(SFM)photogrammetry and ground-based LiDAR or terrestrial laser scanning(TLS). 展开更多
关键词 Forest inventory Depth sensing Computer vision Tree diameter Stem straightness Trunk volume
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Accuracy of Trans-Cerebellar Diameter and Placental Thickness in Third Trimesteric Pregnant Women for Calculation of Gestational Age: A Cross Sectional Study
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作者 Alaa Sayed Hassanin Hassan Tawfik Khairy +1 位作者 Aya Tullah Abd Elfatah Elshaer Sarah Safwat 《Open Journal of Obstetrics and Gynecology》 CAS 2023年第2期303-314,共12页
Background: Accurate determination of gestational age has become important for deciding the appropriate time for termination of the pregnancy as well as to monitor the fetal growth during the entire period of pregnanc... Background: Accurate determination of gestational age has become important for deciding the appropriate time for termination of the pregnancy as well as to monitor the fetal growth during the entire period of pregnancy. Objective: The aim of the study was to assess whether the trans-cerebellar diameter, placental thickness or combining both of them is more accurate for assessment of gestational age in the 3<sup>rd</sup> trimester of pregnancy. Patients and Methods: This is a cross sectional study conducted at outpatient Clinic and Obstetric ward, Ain Shams University Maternity Hospital, over a period of six months from March 2019 to September 2019. One hundred pregnant women were recruited according to inclusion criteria either from outpatient clinic or were admitted in obstetric ward Ain Shams Maternity Hospital to find out the most accurate fetal biometric measurement in the third trimester either trans-cerebellar diameter placental thickness or both compared to reliable LMP (last menstrual period) dates confirmed by crown rump length (CRL) in the first trimester. Results: Trans-cerebellar diameter mean ± SD was 46.0 ± 3.5 with range 38.2 - 51.7. The mean of placental thickness was 39.6 ± 7.1 with range 22.8 - 54.3. Placental thickness had highest determination (0.813) for last menstrual period followed by trans-cerebellar diameter (0.802). Combining trans-cerebellar diameter and placental thickness increased determination (0.902) for last menstrual period. Conclusion: Combined use of trans-cerebellar diameter and placental thickness in the third trimester of pregnancy is a reliable indicator for gestational age in women whose last menstrual period is unreliable or unknown, but placental thickness had higher accuracy than trans-cerebellar diameter. 展开更多
关键词 Accuracy of Trans-Cerebellar diameter Placental Thickness Third Tri-mesteric Pregnant Women Gestational Age
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Diameter distributions in Pinus sylvestris L.stands:evaluating modelling approaches including a machine learning technique
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作者 Şükrü Teoman Güner Maria J.Diamantopoulou Ramazan Özçelik 《Journal of Forestry Research》 SCIE CAS CSCD 2023年第6期1829-1842,共14页
The diameter distribution of trees in a stand provides the basis for determining the stand’s ecological and economic value,its structure and stability and appropriate management practices.Scots pine(Pinus sylvestris ... The diameter distribution of trees in a stand provides the basis for determining the stand’s ecological and economic value,its structure and stability and appropriate management practices.Scots pine(Pinus sylvestris L.)is one of the most common and important conifers in Turkey,so a well-planned management schedule is critical.Diameter distribution models to accurately describe the stand structure help improve management strategies,but developing reliable models requires a deep understanding of the growth,output and constraints of the forests.The most important information derived by diameter distribution models is primary data on horizontal stand structure for each diameter class of trees:basal area and volume per unit area.These predictions are required to estimate the range of products and predicted volume and yield from a forest stand.Here,to construct an accurate,reliable diameter distribution model for natural Scots pine stands in the Türkmen Mountain region,we used Johnson’s SBdistribution to represent the empirical diameter distributions of the stands using ground-based measurements from 55 sample plots that included1219 trees in natural distribution zones of the forests.As an alternative,nonparametric approach,which does not require any predefined function,an artificial intelligence model was constructed based on support vector machine methodology.An error index was calculated to evaluate the results.Overall,both Johnson’s SB probability density function with a three-parameter recovery approach and the support vector regression methodology provided reliable estimates of the diameter distribution of these stands. 展开更多
关键词 diameter distribution Johnson’s S_(B) Support vector regression Scots pine Türkmen mountains
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基于DIAMETER的AAA技术及其在MobileIP中的应用 被引量:5
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作者 朱海龙 张国清 《计算机工程与应用》 CSCD 北大核心 2003年第21期159-163,共5页
首先介绍了AAA的基本概念和体系结构,简要描述了当前主流的AAA协议RADIUS和TACACS+,然后分析了RADIUS的不足,并针对这些缺点详细介绍了下一代AAA协议DIAMETER的协议框架、基本协议和两个重要的扩展,描述了DIAMETER在MobileIP中的应用,... 首先介绍了AAA的基本概念和体系结构,简要描述了当前主流的AAA协议RADIUS和TACACS+,然后分析了RADIUS的不足,并针对这些缺点详细介绍了下一代AAA协议DIAMETER的协议框架、基本协议和两个重要的扩展,描述了DIAMETER在MobileIP中的应用,最后对AAA的发展趋势进行了展望。 展开更多
关键词 AAA技术 diameter 认证 授权 计费 RADIUS TACACS+ MobileIP
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Optimization models of stand structure and selective cutting cycle for large diameter trees of broadleaved forest in Changbai Mountain 被引量:6
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作者 郝清玉 周玉萍 +1 位作者 王立海 吴金卓 《Journal of Forestry Research》 SCIE CAS CSCD 2006年第2期135-140,共6页
The optimum models of harvesting yield and net profits of large diameter trees for broadleaved forest were developed, of which include matrix growth sub-model, harvesting cost and wood price sub-models, based on the d... The optimum models of harvesting yield and net profits of large diameter trees for broadleaved forest were developed, of which include matrix growth sub-model, harvesting cost and wood price sub-models, based on the data from Hongshi Forestry Bureau, in Changbai Mountain region, Jilin Province, China. The data were measured in 232 permanent sample plots. With the data of permanent sample plots, the parameters of transition probability and ingrowth models were estimated, and some models were compared and partly modified. During the simulation of stand structure, four factors such as largest diameter residual tree (LDT), the ratio of the number of trees in a given diameter class to those in the next larger diameter class (q), residual basal area (RBA) and selective cutting cycle (C) were considered. The simulation results showed that the optimum stand structure parameters for large diameter trees are as follows: q is 1.2, LDT is 46cm, RBA is larger than 26 m^2 and selective cutting cycle time (C) is between 10 and 20 years. 展开更多
关键词 Large diameter tree Stand structure OPTIMIZATION Broad-leaved forest MODEL
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基于改进的Diameter/EAP-MD5的SWIM认证方法 被引量:4
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作者 吴志军 赵婷 雷缙 《通信学报》 EI CSCD 北大核心 2014年第8期1-7,共7页
广域信息管理(SWIM,system wide information management)采用面向服务的体系结构(SOA,service oriented architecture)提供民航信息交互与数据共享功能。在分析SWIM体系结构和基于Diameter协议的EAP-MD5应用子协议基础上,给出标准Diame... 广域信息管理(SWIM,system wide information management)采用面向服务的体系结构(SOA,service oriented architecture)提供民航信息交互与数据共享功能。在分析SWIM体系结构和基于Diameter协议的EAP-MD5应用子协议基础上,给出标准Diameter/EAP-MD5认证过程中存在的安全隐患,改进了EAP-MD5认证协议,提出基于改进的Diameter/EAP-MD5协议的SWIM用户身份认证方法,研究基于Diameter的SWIM认证服务,并在模拟的SWIM环境中对改进方法进行仿真实验和安全性分析。实验结果表明,改进的Diameter/EAP-MD5认证方法可在计算性能相当的前提下提高SWIM认证系统的安全性,为SWIM安全服务框架的构建提供保障。 展开更多
关键词 广域信息管理系统 diameter协议 扩展认证协议 信息—摘要算法 身份认证
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一种集成化的基于Diameter的AAA服务器设计方案 被引量:3
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作者 周贤伟 王淑伟 覃伯平 《计算机应用研究》 CSCD 北大核心 2007年第5期253-255,共3页
在扩展基于Diameter协议的基本AAA服务器系统结构的基础上,提出了一种集成化的基于Diameter协议的AAA服务器设计方案。使用该方案可增强AAA服务器的功能,优化AAA系统结构。通过性能分析,说明集成化设计方案的有效性。
关键词 认证授权和计费 diameter 互联网协议安全 传输层安全
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Diameter协议研究 被引量:6
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作者 邱锡鹏 刘海鹏 《计算机科学》 CSCD 北大核心 2003年第2期75-78,共4页
Diameter is the next authentication,authorization and accounting protocol currently developed in the IETF AAA working group ,which will replace the widely and successfully deployed Radius protocol. In the paper ,the m... Diameter is the next authentication,authorization and accounting protocol currently developed in the IETF AAA working group ,which will replace the widely and successfully deployed Radius protocol. In the paper ,the motivations and backgrounds of Diameter protocols are firstly introduced. The following is a detailed description of the Diameter base protocol and its applications,such as mobile IP,NASREQ. Then the comparisons and analysis between Diameter and Radius are given. 展开更多
关键词 diameter协议 TCP/IP协议 AAA协议 计算机网络
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