中医腹诊参数检测仪临床验证报告

运用中医腹诊仪,对300例寒证病人进行检测的结果表明:其募穴穴温降低,经治疗后升高;寒证病人中脘、关元处的深温降低,治疗后增高。对200例腹胀病人的临床观察表明:实胀组的腹壁施以外力时其位移量减低,治疗后增加;虚胀组的腹壁位移在中、重度用力时增高,经治疗后降低。表明组成腹诊仪的腹部寒温、胀满两大检测系统有较好的临床应用价值。

超音波血流计对弦脉和滑脉客观化检测的临床研究

自 1 998年初开始应用超音波血流计对中医学中弦脉、滑脉及正常脉 (平脉 )进行脉象客观化检测的研究 ,共收集 78例典型的脉象图。通过脉图分析 ,特别是比较主波的宽度 ,提取出各自脉象的特征性数值。通过统计学 ( u试验 )处理 ,结果显示弦脉与滑脉有显著性差异 ( P<0 .0 5) ,弦脉与平脉有显著性差异 ( P<0 .0 5) ,而平脉与滑脉无显著性差异 ( P>0 .0 5)

脉诊检测分析仪的研究进展与新思路

文章从中医脉象物理变量监测分析为出发点,以采集脉象变量的脉象换能器为主线,对市面上各型中医脉诊仪进行了概述且对常见的便携式、穿戴式设备采集脉搏波的原理进行了总结。将目前中医脉诊仪的发展以及便携式无线脉搏监测系统的应用与中医脉诊理论做比较,并对传统中医脉诊仪和便携式无线脉搏监测设备各自存在的问题进行深入梳理分析。提出未来中医脉诊仪实现小型化、移动智能化的新思路,便于中医脉诊走进社区、融入家庭、贴近个人,以满足人们对自身健康监测的需要。

基于脉动信息数字化的脉诊检测装置规范化探讨

从硬件参数标准、临床操作技术标准、信息的临床评价标准等方面,探讨中医类医疗器械脉诊检测装置的规范化。脉动信息采集系统相关标准的建立,为脉诊属性的数字化和量化提供了保障,同一类型的脉诊采集装置(如压力传感性脉诊仪)的相关硬件参数标准和生产流程标准可具有通用性。临床操作技术的规范化,使脉诊检测装置的操作有据可依,诊断设备操作技术标准的确立是该设备临床试验过程中实施质量控制的前提条件。脉诊"位、数、形、势"属性的数字化、量化的实现,基于不同提取技术获得的脉动信息图谱参数的规范是实现技术标准、准确分析脉动信息的关键。脉诊检测临床试验"金标准"脉象和评价标准的选择,保证了其重复稳定性、安全性和有效性。适当的具有中医特色的个性化标准的制定有助于逐步建立中医类诊断性医疗器械的新标准。

高压电磁式互感器故障特征与判据

随着高压电磁式互感器可靠性研究的发展与深化．互感器故障现象与故障机理显得越来越复杂和不确定．现用系统论的观点和方法概括了互感器故障的特征，总结了现有故障判据，进而提出了故障的模糊矩阵判据，为故障诊断的计算机化和实时化提供了基础．

高寒缺氧环境对人体面部色泽影响的观察

目的:寻求高寒缺氧环境对人体面色产生的影响,了解缺氧对人体脏腑功能的损伤程度。方法:通过用特定高寒条件下人体超强运动和装带缺氧装备制成高寒缺氧模型,用望诊法和面诊检察仪对缺氧模型和对照组进行系统观察。并与实验室及微循环检测相对照。结果:实验组远距离观察,面色红紫、暗紫出现为100%,近距离面色观察唇色出现红紫、暗红紫等变化为91%。对照组阳性率仅为14%,研究中还进行了面色、舌诊、脉诊三种中医诊法的观察比较,由于面色观察迅速性和易显性使其观察结果明显优于其它两种诊法30%以上。结论:缺氧对人体五脏六腑都有损害,而这种损害在诸多人体生物特征中,首先由面色表达出来,因此在高寒环境注意面色观察是发现人体缺氧的最佳方法,值得进一步研究。

Performance Monitoring and Diagnosis of Multivariable Model Predictive Control Using Statistical Analysis

A statistic-based benchmark was proposed for performance assessment and monitoring of model predic- tive control; the benchmark was straightforward and achievable by recording a set of output data only when the control performance was good according to the user’s selection. Principal component model was built and an auto- regressive moving average filter was identified to monitor the performance; an improved T2 statistic was selected as the performance monitor index. When performance changes were detected, diagnosis was done by model validation using recursive analysis and generalized likelihood ratio (GLR) method. This distinguished the fact that the per- formance change was due to plant model mismatch or due to disturbance term. Simulation was done about a heavy oil fractionator system and good results were obtained. The diagnosis result was helpful for the operator to improve the system performance.

AN INTERNET-BASED REMOTE MONITORING SYSTEM FOR AUTOMOBILE TESTING SYSTEMS

Modern automobile testing systems are complexly computerized measure and control systems, and used in automobile vehicle design centers and assembly plants. Their performance is critical but difficult to be monitored efficiently and in real time. This paper introduces an Internet based remote monitoring system for automobile testing systems, and the design and the implementation using Web database and Socket techniques.

Liver fibrosis identification based on ultrasound images captured under varied imaging protocols

Diagnostic ultrasound is a useful and noninvasive method in clinical medicine. Although due to its qualitative, sub- jective and experience-based nature, ultrasound image interpretation can be influenced by image conditions such as scanning frequency and machine settings. In this paper, a novel method is proposed to extract the liver features using the joint features of fractal dimension and the entropies of texture edge co-occurrence matrix based on ultrasound images, which is not sensitive to changes in emission frequency and gain. Then, Fisher linear classifier and support vector machine are employed to test a group of 99 in-vivo liver fibrosis images from 18 patients, as well as other 273 liver images from 18 normal human volunteers.

Laboratory Detection and Diagnosis of Filoviruses

Ebola virus(EBOV) and Marburg virus(MARV),belonging to the Filoviridae family,emerged four decades ago and caused severe viral hemorrhagic fever in human and other primates.As high as 50-90% mortality,filoviruses can cause significant threats to public health.However,so far no specific and efficient vaccine has been available,nor have other treatment methods proved to be effective.It is of great importance to detect these pathogens specific,rapidly and sensitively in order to control future filovirus outbreaks.Here,recent progresses in the development of detection and diagnosis methods for EBOV and MARV are summarized.

Meta-analysis of capsule endoscopy in patients diagnosed or suspected with esophageal varices

AIM:To review the literature on capsule endoscopy(CE) for detecting esophageal varices using conventional esophagogas troduodenoscopy(EGD)as the standard. METHODS:A strict literature search of studies comparing the yield of CE and EGD in patients diagnosed or suspected as having esophageal varices was conducted by both computer search and manual search.Data were extracted to estimate the pooled diagnostic sensitivity and specificity. RESULTS:There were seven studies appropriate for meta-analysis in our study,involving 446 patients. The pooled sensitivity and specificity of CE for detecting esophageal varices were 85.8%and 80.5%, respectively.In subgroup analysis,the pooled sensitivity and specificity were 82.7%and 54.8%in screened patients,and 87.3%and 84.7%in the screened/ patients under surveillance,respectively. CONCLUSION:CE appears to have acceptable sensitivity and specificity in detecting esophageal varices.However,data are insufficient to determine the accurate diagnostic value of CE in the screen/ surveillance of patients alone.

Diagnostic value of antigenemia assay for cytomegalovirus gastrointestinal disease in immunocompromised patients

AIM:To investigate the utility of the cytomegalovirus(CMV)antigenemia assay for the diagnosis of CMV gastrointestinal disease(GID). METHODS:One hundred and thirty immunocompromised patients were enrolled in this study.Patients with a history of anti-CMV treatment and who had not undergone examination using the antigenemia assay were excluded.CMV-GID was defined as the detection of large cells with intranuclear inclusions alone or associated with granular cytoplasmic inclusions by biopsy.Biopsy sections were stained with hematoxylin and eosin and immunohistochemically stained with anti-CMV.We evaluated the association between CMV-GID and patient characteristics(symptoms,underlying disease,medication,leukocyte counts,and antigenemia assay).All patients were checked with an human immunodeficiency virus(HIV)antibody test before endoscopic examination.White blood cell(WBC)counts were obtained from medical records within 1 wk of endoscopy.Leukopenia was defined as a total WBC count<5000 cells/mm 3 . For HIV patients,we also checked CD4+counts from medical records. RESULTS:A total of 99 patients were retrospectively selected for analysis.Of the immunocompromised patients,19 had malignant disease,18 had autoimmune disease,19 had disorders of biochemical homeostasis, three had undergone transplantation,and 45 had HIV infection.A total of 50 patients had received immunosuppressive therapy.No patients had inflammatory bowel disease.Fifty-five patients were diagnosed as having CMV-GID.Univariate analysis indicated an association between HIV infection,leukopenia,and positive antigenemia and CMV-GID(P<0.05).Multivariate analysis using logistic regression revealed that HIV infection and positive antigenemia were the only independent factors related to CMV-GID(P<0.01).The sensitivity,specificity,positive predictive value,and negative predictive value of antigenemia for CMV-GID were 65.4%,93.6%, 91.9%,and 71.0%,respectively.In a subgroup analy-sis,patients with leukopenia displayed low sensitivity and high specificity.Minimal differences in accuracy were seen among patients with or without leukopenia. HIV-infected patients displayed low sensitivity and high specificity.Accuracy barely differed between HIV-positive and-negative patients.In HIV-infected patients, CD4 count<50 cells/μL resulted in low sensitivity and high specificity.Differences in accuracy among patients were minor,regardless of CD4 count.In patients who had undergone both quantitative real-time polymerase chain reaction(PCR)and antigenemia assay,real-time PCR was slightly more accurate in terms of sensitivity than the antigenemia assay;however,this difference was not statistically significant(P=0.312). CONCLUSION:If the antigenemia test is positive,endoscopic lesions are acceptable for the diagnosis of CMVGID without biopsy.The accuracy is not affected by HIV infection and leukopenia.Either PCR or the antigenemia assay are valid.

Clinical application value of bone turnover markers in non-small-cell lung cancer patients with bone metastases

Objective:The purpose of this study was to assess the clinical application value of bone turnover markers in non-small-cell lung cancer(NSCLC) patients with bone metastases.Including diagnosing bone metastases,detecting bone metastatic spread.Methods:Alkaline phosphatase(AKP),β-C-terminal telopeptide of type I collagen(β-CTx),osteocalcin(OST) and bone alkaline phosphatase(BALP) were measured in 76 patients with bone metastases from NSCLC and 44 normal people.Results:The level of AKP,β-CTx and BALP in patients with bone metastasis was significantly higher than in the normal people.Significant correlation was observed among bone turnover markers.The levels of BALP and OST were significantly correlated with the extent of bone metastasis.The patients with high-level CTx and low-level BALP had higher risk of pathologic fracture.Conclusion:In NSCLC patients with bone metastases,bone turnover markers can help to make diagnosis and evaluate the severity.It will have a wide range of use in clinical practice.

Effects of H pylori infection on gap-junctional intercellular communication and proliferation of gastric epithelial cells in vitro

AIM： To explore the effects of H pylori infection on gap-junctional intercellular communication （GJIC） and proliferation of gastric epithelial cells in vitro. METHODS： A human gastric epithelial cell line （SGC- 7901） cultured on coverslips was exposed overnight to intact H pylori （CagA^＋ or CagA^- strains） and sonicated extracts, respectively. GJIC between the cells was detected by fluorescence redistribution after photobleaching （FRAP） technique. Proliferation of SGC cells was determined by methylthiazolyl tetrazolium （MTT） assay. RESULTS： When compared with control in which cells were cultured with simple medium alone, both CagA^＋ and CagA^- H pylori isolates could inhibit GJIC （CagA^＋： F = 57.98, P 〈 0.01; CagA^-： F = 29.59, P 〈 0.01） and proliferation （CagA^＋： F = 42.65, P 〈 0.01; CagA^-： F = 58.14, P 〈 0.01） of SGC-7901 cells. Compared with CagA^- strains, CagA^＋ H pylori more significantly downregulated GJIC of gastric cells （intact Hpylori： t = 13.86, P 〈 0.01; sonicated extracts： t = 11.87, P 〈 0.01） and inhibited proliferation gastric cells to a lesser extent in vitro （intact H pylori： t = 3.06, P 〈 0.05; sonicated extracts： t = 3.94, P 〈 0.01）. CONCLUSION： Compared with CagA^- H pylori strains, CagA^＋ strains down-regulate GJIC of gastric epithelial cells more significantly and inhibit proliferation of gastric cells to a lesser extent in vitro. H pylori, especially CagA^＋ strains, may play an important role in gastric carcinogenesis.

Endosonography with linear array instead of endoscopic retrograde cholangiography as the diagnostic tool in patients with moderate suspicion of common bile duct stones

AIM: To evaluate the diagnostic efficiency of endoscopic ultrasound (EUS) as the main imaging modality in patients with moderate suspicion of common bile duct stones (CBDS).METHODS: 55 patients with moderate clinical suspicion of CBDS were prospectively included to the study and evaluated with EUS. This study was done in single blind method in the clinical and biochemical data of patients. EUS was done with echo-endoscope Pentax FG 32-UA (f=5-7,5 MHz) and Hitachi EUB 405 ultrasound machine. Patients diagnosed with CBDS by EUS were excluded from this study and treated with ERC. All the other patients were included to the follow up study obtained by mail every 6 months for clinical evaluation (need of ERC or surgery).RESULTS: CBDS was found in 4 patients by EUS. Diagnosis was confirmed in all cases on ERC. The remaining 51 patients without CBDS on EUS were followed up for 6-26 months (meanly 13 months) There were: 40 women, 42cholecystectomized patients, aged: 55 (mean). Biochemical values (mean values) were as follows: bilirubin: 14,9 μmol.L-1,alkaline phosphatase: 95 IU.L-,1 γ-GTP: 131 IU.L-1, ALT: 50IU.L-1, AST: 49 IU.L-1, Only 1 patient was lost for follow up.In the remaining 50 patients with follow up, there was only 1 (2 %) patient with persistent biliary symptoms in whom CBDS was finally diagnosed by ERC with ES. All other patients remained symptoms free on follow up and did not require ERC or biliary surgery.CONCLUSION: Vast majority of patients with moderate suspicion of CBDS and no stones on EUS with linear array can avoid invasive evaluation of biliary tree with ERC.

Fault detection and diagnosis of permanent-magnetic DC motors based on current analysis and BP neural networks

In order to guarantee quality during mass serial production of motors, a convenient approach on how to detect and diagnose the faults of a permanent-magnetic DC motor based on armature current analysis and BP neural networks was presented in this paper. The fault feature vector was directly established by analyzing the armature current. Fault features were extracted from the current using various signal processing methods including Fourier analysis, wavelet analysis and statistical methods. Then an advanced BP neural network was used to finish decision-making and separate fault patterns. Finally, the accuracy of the method in this paper was verified by analyzing the mechanism of faults theoretically. The consistency between the experimental results and the theoretical analysis shows that four kinds of representative faults of low power permanent-magnetic DC motors can be diagnosed conveniently by this method. These four faults are brush fray, open circuit of components, open weld of components and short circuit between armature coils. This method needs fewer hardware instruments than the conventional method and whole procedures can be accomplished by several software packages developed in this paper.

电容式力感知牙周探针设计建模与实验研究

针对当前牙周探针在探诊力控制方面的不足,提出一种基于悬臂梁挠曲效应的差动电容式力感知牙周探针解决方案,设计了探针验证结构,建立了探诊力作用下具有不规则形状的探针工作尖的挠曲模型,导出了探诊力和差动电容之间的求解方程,并通过仿真和实验对模型与方程进行了验证。结果表明,所建立的探针工作尖挠曲模型与静应力仿真结果的最大相对误差不超过±4.5%,所设计的力感知牙周探针多次重复探诊力检测实验的标准差小于均值的0.1%,所导出的求解方程的计算值与实验数据之间趋向一致,以探诊力为拟合权重进行修正后全量程的平均偏差为2.49%,具备进一步产品开发的可行性。

Development of a Polyclonal Antibody-based AC-ELISA and Its Comparison with PCR for Diagnosis of Canine Parvovirus Infection

A polyclonal antibody-based antigen-capture ELISA （AC-ELISA） has been developed for detection of Canine parvovirus （CPV） antigens in faecal samples of dogs. The assay uses rabbit anti-CPV polyclonal antibody as the capture antibody, guinea pig anti-CPV polyclonal antibody as tracing antibody and anti-guinea pig HRPO conjugate as the detection system. The optimum dilution of the capture antibody and the tracing antibody capable of detecting the CPV-2 antigens was found to be 1：1 600 and 1：400, respectively, in the check-board titration. In this study, a total of 152 samples （129 faecal samples and 23 cell culture supernatant） were tested both by AC-ELISA and by polymerase chain reaction （PCR）. Of the samples tested, 69 and 78 samples were found positive by AC-ELISA and PCR, respectively. The AC-ELISA had relative sensitivity, relative specificity and accuracy of 88.4%, 100.0% and 91.4% respectively. The analytical sensitivity of AC-ELISA was estimated to be 102.8 TCID50/mL whereas PCR sensitivity was 100.8 TCIDs0/mL. The AC-ELISA is a simple, quick and reliable method for screening large numbers of faecal samples of dogs suspected of CPV infection.