A Research on Wordsworth's Poems——The Personality of Nature

As the representative of the British romanticism,Wordsworth’s poems are full of natural images.In this paper,"The Tintern Abbey","The Daffodils"and"The Solitary Reaper"are to be taken as examples to respectively analyze the personalities of nature in Wordsworth’s poems,namely pureness,vitality and hope.

来那度胺联合自体造血干细胞移植治疗POEMS综合征1例及文献复习

POEMS综合征(POEMS syndrome)是一种罕见的克隆性浆细胞病,Bardwick等[1]于1980年根据该疾病主要症状的首字母:多发性神经病(polyneuropathy)、脏器肿大(organmegaly)、内分泌异常(endocrinopathy)、M蛋白(mprotein)、皮肤改变(skin changes),提出了POEMS综合征的命名方式。POEMS综合征的临床表现复杂,涉及多个学科,并且没有特定的检查方法,所以POEMS综合征早期容易漏诊或误诊。该病发病机制尚不清,可能与细胞因子失衡相关。

以周围神经病变为首发表现的POEMS综合征二例

病例1,男,64岁,因“四肢麻木无力近2年,再发加重1月”于2021年9月3日收入武汉市第一医院神经内科。患者于近2年前无明显诱因出现间断四肢麻木,症状逐渐加重伴走路不稳。曾于外院就诊并考虑为“糖尿病性周围神经病变”,予对症治疗未缓解。1年前于武汉市第一医院神经内科就诊,肌电图检查示“多发性周围神经损害肌电改变,运动和感觉神经髓鞘损害为主”。

意义未明的单克隆丙种球蛋白血症合并POEMS综合征一例

患者,男,44岁,因“右下肢无力伴行走不稳定2个月”于2020年1月至胜利油田中心医院神经内科就诊。患者5个月前因左下肢及左脚麻木无力于当地医院就诊,应用甲钴胺等治疗后未见好转。2个月前患者出现右下肢无力,足底感觉障碍,行走不稳定,不能自行站立。既往史无特殊。体格检查:皮肤黏膜无明显异常,浅表淋巴结未触及肿大,心肺检查无明显异常,腹部柔软,无压痛及反跳痛,肝脾肾未触及肿大,双下肢无明显水肿;专科检查:双侧上肢肌力4级,双侧下肢肌力2级,呈跨阈步态,肌张力正常,双侧肱二头肌反射、肱三头肌反射、桡骨膜反射对称(-),双侧膝反射、跟腱反射对称(-)。

变异型POEMS综合征1例并文献复习

POEMS综合征是一种罕见的综合征,1980年由Bardwick及其同事首次提出。近期,青海大学附属医院血液科诊断变异型POEMS综合征1例,现报告如下1病例资料患者,男,53岁,于1年前无明显诱因发现双侧乳房大小略增,体毛增多变硬,性功能减退.

不典型POEMS综合征1例报告并文献复习

POEMS综合征是一种罕见的由单克隆浆细胞异常增殖导致的副肿瘤综合征,主要表现为脱髓鞘性周围神经病及多系统受累。Bardwick等于1980年根据该疾病主要症状的首字母:多发性神经病、脏器肿大、内分泌异常、M蛋白、皮肤改变,提出了POEMS综合征的命名方式[1-2]。日本在2003年的全国范围调查,其发病率大约为0.3/100000[3]。其发病率低,已被列入我国首批罕见病目录。由于其罕见性、多系统受累和临床高度异质性,有着较高的误诊率和漏诊率,从发病至诊断中位时间约为12个月[4-5]。POEMS综合征患者临床症状不典型国内少有相关文献报道,本研究报道1例POEMS综合征患者资料(患者及家属表示知情同意),同时对该病文献进行复习学习,以期为POEMS综合征患者的治疗提供临床指导和参考。

达雷妥尤单抗联合方案治疗POEMS综合征1例并文献复习

POEMS(polyneuropathy,organomegaly,endocrinopathy,M-protein and skin changes)综合征是一种单克隆浆细胞异常增殖的副肿瘤综合征,患病率约为0.3/10万[1]。该病累积神经、内分泌、骨骼、免疫及造血等系统,临床上诊断需要2个基本要素:多发性周围神经病和单克隆浆细胞病[2]。周围神经病变是超过60%的POEMS综合征患者的首发症状,不少患者早期就诊于神经内科并被误诊为慢性炎性脱髓鞘性多发性神经根神经病(chronic inflammatory demyelinating polyneuropathy,CIDP)等原发性神经系统疾病[3]。由于神经病变进展缓慢、致残率高,多数患者就诊时症状严重且已造成神经不可逆性损伤,给患者生活带来极大不便,因此早识别、早诊断、及时治疗至关重要。本文报告1例采用达雷妥尤单抗(Daratumumab,Dara)联合方案治疗伴有严重周围神经病变的POEMS综合征,分析了神经病变的发病机制,并强调了POEMS综合征诊断的复杂性以及Daratumumab作为新一代药物在治疗中的潜在优势。

UpToDate临床顾问在疑难病诊断中的应用--以POEMS综合征为例

以一例POEMS综合征为例,展示如何使用UpToDate临床顾问辅助疑难病的诊断。详细描述一位54岁女性患者的临床资料、检查结果和治疗过程,根据病例特点,借助UpToDate临床顾问梳理包括糖尿病性多发性神经病的筛查、库欣综合征确诊、低促性腺激素性性腺功能减退症病因、慢性炎症性脱髓鞘性多发性神经病的诊断等专业知识和临床诊断思路,在多学科合作基础上,逐渐明晰诊断证据,并通过UpToDate临床顾问和PubMed数据库的互补合用,实现对临床病情全面解读。

以肾上腺功能减退为首发表现的POEMS综合征1例报道并文献复习

老年男性患者,无明显诱因出现乏力、纳差,并进行性加重,伴双下肢水肿,入院检查存在多发性神经病,缺乏单克隆浆细胞证据,存在Castleman病及VEGF升高,有淋巴结增大、皮肤色素沉积、浆膜腔积液及肾上腺皮质功能减退,可诊断为变异型POEMS综合征。这个患者以肾上腺皮质功能减退为首发及突出表现,较少见,故对POEMS综合征的内分泌病变发病机制进行文献复习。

POEMS综合征1例报道并文献复习

目的对POEMS综合征的临床特征及治疗进行总结,以提高临床对该病的诊疗能力。方法对广东医科大学附属医院收治的1例POEMS综合征患者的临床表现、相关辅助检查结合既往文献复习进行分析。结果本例患者以四肢麻木、无力起病,逐渐出现肢体水肿、器官肿大、皮肤色素沉着等症状,曾查M蛋白阴性,历时5 a方确诊。结论POEMS综合征临床表现多样,早期极易误诊,临床应提高对该病的认识,从而降低误诊率及漏诊率。

Framework for Personalized Chronic Pain Management:Harnessing AI and Personality Insights for Effective Care

This paper introduces a cutting-edge framework for personalized chronic pain management,leveraging the power of artificial intelligence(AI)and personality insights.It explores the intricate relationship between personality traits and pain perception,expression,and management,identifying key correlations that influence an individual’s experience of pain.By integrating personality psychology with AI-driven personality assessment,this framework offers a novel approach to tailoring chronic pain management strategies for each patient’s unique personality profile.It highlights the relevance of well-established personality theories such as the Big Five and the Myers-Briggs Type Indicator(MBTI)in shaping personalized pain management plans.Additionally,the paper introduces multimodal AI-driven personality assessment,emphasizing the ethical considerations and data collection processes necessary for its implementation.Through illustrative case studies,the paper exemplifies how this framework can lead to more effective and patient-centered pain relief,ultimately enhancing overall well-being.In conclusion,the paper positions the need of an“AI-Powered Holistic Pain Management Initiative”which has the potential to transform chronic pain management by providing personalized,data-driven solutions and create a multifaceted research impact influencing clinical practice,patient outcomes,healthcare policy,and the broader scientific community’s understanding of personalized medicine and AI-driven interventions.

Correlation of personality with individual reproductive success in shrub-nesting birds depends on their life history style

Two questions in the research of animal personality—whether there is a correlation between a personality trait and individual reproductive success,and what is the genetic basis underlying a personality trait—remain unresolved.We addressed these two questions in three shrub-nesting birds,the Azure-winged Magpie(Cyanopica cyanus,AM),White-collared Blackbird(Turdus albocinctus,WB),and Brown-cheeked Laughingthrush(Trochalopteron henrici,BL).The personality type of an individual was first identified according to its response to a territorial intruder.Then,we compared the fleeing distance,breeding parameters,and differential expressed genes(DEGs) in the brain transcriptome between bold and shy breeders.In the three species,bold breeders exhibited more aggressiveness towards an intruder of their territory than did shy breeders.The reproductive success of bold breeders was significantly higher than that of shy breeders in AM but not in WB and BL.The three species shared one DEG,crabp1,which was up-regulated in bold relative to in shy individuals.By regulating the expression of corticotropin-releasing hormone,higher crabp1 gene expression can decrease cellular response to retinoic acid.Therefore,bold individuals are insensitive to external stresses and able to exhibit more aggressiveness to intruders than their shier counterparts.Aggressiveness is beneficial to bold individuals in AM but not in WB and BL because the former could evoke neighbors to make the same response of defending against intruders but the latter could not.Although a personality trait may have the same genetic basis across species,its correlation with reproductive success depends largely on the life history style of a species.

Personality Trait Detection via Transfer Learning

Personality recognition plays a pivotal role when developing user-centric solutions such as recommender systems or decision support systems across various domains,including education,e-commerce,or human resources.Tra-ditional machine learning techniques have been broadly employed for personality trait identification;nevertheless,the development of new technologies based on deep learning has led to new opportunities to improve their performance.This study focuses on the capabilities of pre-trained language models such as BERT,RoBERTa,ALBERT,ELECTRA,ERNIE,or XLNet,to deal with the task of personality recognition.These models are able to capture structural features from textual content and comprehend a multitude of language facets and complex features such as hierarchical relationships or long-term dependencies.This makes them suitable to classify multi-label personality traits from reviews while mitigating computational costs.The focus of this approach centers on developing an architecture based on different layers able to capture the semantic context and structural features from texts.Moreover,it is able to fine-tune the previous models using the MyPersonality dataset,which comprises 9,917 status updates contributed by 250 Facebook users.These status updates are categorized according to the well-known Big Five personality model,setting the stage for a comprehensive exploration of personality traits.To test the proposal,a set of experiments have been performed using different metrics such as the exact match ratio,hamming loss,zero-one-loss,precision,recall,F1-score,and weighted averages.The results reveal ERNIE is the top-performing model,achieving an exact match ratio of 72.32%,an accuracy rate of 87.17%,and 84.41%of F1-score.The findings demonstrate that the tested models substantially outperform other state-of-the-art studies,enhancing the accuracy by at least 3%and confirming them as powerful tools for personality recognition.These findings represent substantial advancements in personality recognition,making them appropriate for the development of user-centric applications.

^(18)F-FDG PET/CT显像及血管内皮生长因子对POEMS综合征放化疗联合自体干细胞移植的疗效

目的探讨^(18)F-FDG PET/CT显像、血管内皮生长因子(VEGF)在POEMS综合征放化疗联合自体干细胞移植治疗中的价值。方法回顾性分析2012年6月~2022年12月本院123例临床高度怀疑POEMS综合征患者临床及影像资料,最终纳入25例患者,经临床及病理确诊POEMS综合征21例,惰性淋巴瘤1例,多发性骨髓瘤3例。21例POEMS综合征患者分为单纯放化疗组(n=12)和放化疗联合自体干细胞移植治疗组(n=9),分析两组患者PET/CT影像特点、最大标准化摄取值(SUV_(max))、VEGF、白细胞介素6(IL-6)、游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺激素(TSH)水平,随访观察两组患者的治疗效果。结果21例POEMS综合征患者均伴有不同程度的多发性神经病变与单克隆浆细胞增殖性改变,皮肤病变10例。^(18)F-FDG PET/CT显像21例患者94个部位形态或代谢异常,SUV_(max)与VEGF水平呈正相关性(r=0.590,P=0.005),而SUV_(max)与FT3、FT4、TSH、IL-6水平均无相关性(P>0.05)。随访55.5±17.6月,治疗后VEGF水平较治疗前基线水平降低(1670.7±309.1 pg/mL vs2051.0±458.8 pg/mL,P<0.05);放化疗联合自体干细胞治疗组中位生存期与单纯放化疗组的差异无统计学意义(P=0.612)。结论PET/CT显像联合血清VEGF水平检测可作为POEMS综合征诊断、活动度监测及预后评估的无创方法,自体干细胞联合放化疗未明显延长POEMS综合征的中位生存期。

The Impact of Big Five Personality Traits on Older Europeans’ Physical Health

Investigating the role of Big Five personality traits in relation to various health outcomes has been extensively studied. The impact of “Big Five” on physical health is here explored for older Europeans with a focus on examining age groups differences. The study sample included 378,500 respondents derived from the seventh data wave of Survey of Health, Aging and Retirement in Europe (SHARE). The physical health status of older Europeans was estimated by constructing an index considering the combined effect of well-established health indicators such as the number of chronic diseases, mobility limitations, limitations with basic and instrumental activities of daily living, and self-perceived health. This index was used for an overall physical health assessment, for which the higher the score for an individual, the worst health level. Then, through a dichotomization process applied to the retrieved Principal Component Analysis scores, a two-group discrimination (good or bad health status) of SHARE participants was obtained as regards their physical health condition, allowing for further con-structing logistic regression models to assess the predictive significance of “Big Five” and their protective role for physical health. Results showed that neuroti-cism was the most significant predictor of physical health for all age groups un-der consideration, while extraversion, agreeableness and openness were not found to significantly affect the self-reported physical health levels of midlife adults aged 50 up to 64. Older adults aged 65 up to 79 were more prone to open-ness, whereas the oldest old individuals aged 80 up to 105 were mainly affected by openness and conscientiousness. .

Justification of and Response to the Specificity of Workers’Personality Rights

The pervasive existence of subordination in the work-place endows workers’personality rights with a distinct specificity that differs from other civil subjects.The specificity of workers’per-sonality rights is primarily manifested in three aspects:the exercise of rights is restricted by the employer;personality rights infringements often accompany violations of workers’economic property rights;and the scope of rights is not limited to the duration of employment.To respond to the specificity arising in the labor domain,certain disputes concerning workers’personality rights should be handled through la-bor dispute resolution procedures.In individual cases,judicial author-ities should differentiate among protection levels based on the specific type of personality rights involved,with a focus on examining the rea-sons,methods,and extent of the employer’s restrictive actions,thereby establishing a practical and reasonable review system.。

A Preliminary Exploration of Zong Baihua’s Aesthetic Character and the Creative Philosophy of Small Poems

Zong Baihua’s aesthetic character and the creative philosophy of small poems are integrated and intertwined with each other,with distinctive aesthetic characteristics and unique artistic concepts.Whether it is his“rounded and integrated aesthetics centered on Chinese art”,“vivid and charming natural cosmology”,or“personality aesthetics that mutually mirrors with the nature universe”,they all have extraordinary inspirations and guidance for us today to explore the reform of new literature and art,the reform of new poems,and even the contemplation of the cosmos,society,and life,with positive and profound significance.

Cognitive impairment in patients with bipolar disorder alone versus those with bipolar disorder comorbid with borderline personality disorder

BACKGROUND Bipolar disorder(BD)is a severe mental illness.BD often coexists with borderline personality disorders,making the condition more complex.AIM To explore the differences in cognitive impairment between patients with BD and those with BD comorbid with borderline personality disorder.METHODS Eighty patients with BD and comorbid borderline personality disorder and 80 patients with BD alone were included in groups A and B,respectively,and 80 healthy volunteers were included as controls.Cognitive function in each group was evaluated using the Chinese version of the repeatable battery for the assess-ment of neuropsychological status(RBANS),the Stroop color-word test,and the Wechsler intelligence scale-revised(WAIS-RC).RESULTS The indices of the RBANS,Stroop color-word test,and WAIS-RC in groups A and B were significantly lower than those of the control group(P<0.05).Group A had significantly longer Stroop color-word test times for single-character,single-color,double-character,and double-color,lower scores of immediate memory,visual breadth,verbal function dimensions and total score of the RBANS,as well as lower scores of verbal IQ,performance IQ,and overall IQ of the WAIS-RC compared with group B(P<0.05).Compared to group B,group A exhibited significantly longer single-character time,single-color time,double-character time,and double-color time in the Stroop color-word test(P<0.05).CONCLUSION The cognitive function of patients with BD complicated with borderline personality disorder is lower than that of patients with BD.

Acceptance of Han Shan's Poems in the United States:the Personal Selection

This paper discusses the key role played by the need and selection of receiving culture during the process of translation and acceptance of Han Shan's poems.The translation and acceptance of Han Shan's poems are decided by the internal needs of the reception environment.It is an active selection of both the translator himself,and the society as a whole.

POEMS综合征的误诊分析与早期诊断

目的:研究POEMS综合征的误诊原因和早期诊断线索。方法:回顾分析第二军医大学长海医院近10年来26例POEMS综合征住院患者的临床及实验室资料。结果:本组26例POEMS综合征误诊率100%。误诊医院数(3.31±0.97)所、误诊科室(3.31±0.93)个、误诊时间(19.42±10.86)个月、误诊疾病共计18病种。首发症状包括周围神经炎21例(80.8%)、下肢水肿22例(84.6%)和消瘦8例(30.8%)。典型临床特征包括周围神经炎26例(100%)和器官肿大24例(92.3%),新发现子宫肥大2例、肾上腺肥大1例和胃壁肥厚酷似晚期胃癌1例。甲状腺功能减退20例(76.9%)、阳痿60% (6/10)、皮肤色素沉着24例(92.3%)和皮肤硬化17例(65.4%)。单克隆浆细胞增生的证据达81.8%(18/22)。血清免疫电泳M蛋白阳性63.6%(14/22),血清蛋白电泳M蛋白阳性2例(9.1%),尿液免疫电泳M蛋白阳性1例,胃壁活组织免疫组化λ轻链阳性1例。淋巴结活检8例,诊断为Castleman病3例,另5例淋巴细胞浸润,3例伴有浆细胞增生。神经活检4例均有轴索变性,1例伴有髓鞘变性。骨髓活检5例中浆细胞增多者2例和骨髓瘤1例。放射性核素骨扫描显示放射性吸收增高占62.5%(10/16),在骨扫描引导下骨骼穿刺查见异常浆细胞2例。结论:POEMS综合征的误诊极为常见,周围神经炎、下肢水肿和消瘦是POEMS综合征常见的早期临床特征,熟悉其病情演变规律,通过多种途径寻找M-蛋白的证据,将有助于POEMS综合征的早期诊断。