目的探讨改良胫骨骨折X线愈合评分系统(modified radiographic union score for tibial fractures,MRUST)评价儿童股骨干骨折愈合的可信度及可重复性,为儿童股骨干骨折手术后骨愈合的评估与负重管理提供理论依据。方法本研究为回顾性研...目的探讨改良胫骨骨折X线愈合评分系统(modified radiographic union score for tibial fractures,MRUST)评价儿童股骨干骨折愈合的可信度及可重复性,为儿童股骨干骨折手术后骨愈合的评估与负重管理提供理论依据。方法本研究为回顾性研究,收集中国医科大学附属盛京医院2012年1月至2021年1月收治的45例儿童股骨干骨折弹性稳定髓内针(elastic stable intramedullary nailing,ESIN)固定术后4~8周的正位及侧位股骨X线片。共收集到45组正位及侧位X线片,由3名观测者使用MRUST分别进行3次评分。采用95%置信区间(95%CI)的组内相关系数(intraclass correlation coefficient,ICC)评价观测者内和观测者间MRUST评分的一致性。结果本组45例MRUST评分为(9.02±1.94)分,范围为4~12分。总体ICC评分为0.81(95%CI:0.74~0.88)。在3次观测中,3名观测者之间一致性评价较强或强,ICC评分分别为0.74(95%CI:0.62~0.84)、0.88(95%CI:0.82~0.93)和0.88(95%CI:0.81~0.92)。每名观测者的观测值平均后,3名观测者之间一致性评价强,ICC为0.92(95%CI:0.88~0.95)。3名观测者内一致性评价为较强或强,ICC分别为0.93(95%CI:0.89~0.96)、0.78(95%CI:0.68~0.87)和0.73(95%CI:0.60~0.83)。每次3名医师的观测值平均后,3名观测者内一致性评价为强,ICC为0.89(95%CI:0.83~0.94)。结论MRUST评分系统评价儿童股骨干骨折ESIN治疗后骨愈合情况,可信度及可重复性好,这为儿童股骨干骨折的愈合评估及负重管理提供了理论依据。展开更多
Based on analysis on X-ray diffraction, the metamorphic grade of coal in southeast Qinshui Basin was discussed, and a precise evaluation of coal rank through XRD analysis was made, in addition, the correlation of coal...Based on analysis on X-ray diffraction, the metamorphic grade of coal in southeast Qinshui Basin was discussed, and a precise evaluation of coal rank through XRD analysis was made, in addition, the correlation of coal rank and vitrinite reflectance （Ro） was compared. XRD spectra of coal shows （002）-band and γ-band, and based on fitting calculation and multi-peak separation methods, the values of 2θ002 and 2θγ can be obtained, as well as corresponding intensities I002 and Iγ, consequently the coal rank can be quantized as the ratio of I002 and Iγ, that is coal rank=I002/Iγ. The research shows that the values of θ002 and θγ increase with the metamorphic grade, and a very good linear positive correlation exists between calculated Coal Rank and Ro.展开更多
The Port Harcourt Enugu expressway is part of a national road grid that links parts of southern and northern Nigeria. The severe pavement failure between Umuahia and Okigwe section of the expressway covering a distanc...The Port Harcourt Enugu expressway is part of a national road grid that links parts of southern and northern Nigeria. The severe pavement failure between Umuahia and Okigwe section of the expressway covering a distance of about 30 km was investigated by geotechnical and mineralogical assessment of disturbed and undisturbed samples of the underlying soils. Also vertical electrical sounding was performed at the failed sections. Results indicate that the section is underlain by shales of the Imo Formation, and soils are composed of 27% and 74% sand and fines respectively. The Atterberg limit values are moderate to high, with liquid limit in the range of 49-54%, plasticity index 11.1-24.4% and linear shrinkage 17.86-23.57% respectively. Abrasion test results of 0.58 to 16% indicate shales of low durability. The 24 hour free swell tests results range from 33-70% implying soils of moderate to high hydro-affinity and volume change. These data corroborate the X-ray diffraction analyses results which show montmorillonite and kaolinite as the main clay minerals present in the soils. Undrained cohesion range from 9 to 54 kPa and frictional angle from 13° to 29°. High settlement amounts and field observation of intense failure correlated well with the engineering properties and the clay minerals. The soils indicate mainly MI-MH and A-7-5 soils on the USC and AASHTO classification system respectively, implying poor quality soils as subgrade materials. stabilisation. Result of the study will be useful in remedial works areas underlain by the shales. The engineering properties may be modified and upgraded by on the failed sections of the road and future pavement design in展开更多
目的探讨S100蛋白(S100 protein,S100)水平联合Rotterdam计算机X线断层扫描(Computed tomography,CT)评分、格拉斯哥昏迷评分(Glasgow coma scale,GCS)在创伤性颅脑损伤(Traumatic brain injury,TBI)病情和预后不良评估中的价值。方法...目的探讨S100蛋白(S100 protein,S100)水平联合Rotterdam计算机X线断层扫描(Computed tomography,CT)评分、格拉斯哥昏迷评分(Glasgow coma scale,GCS)在创伤性颅脑损伤(Traumatic brain injury,TBI)病情和预后不良评估中的价值。方法回顾性分析106例TBI患者的临床资料,比较不同病情TBI患者血清S100水平、Rotterdam-CT评分,分析血清S100水平与Rotterdam-CT评分、GCS评分的相关性;根据患者预后情况分为预后良好组和预后不良组,比较2组性别、年龄、血清S100水平、Rotterdam-CT评分、GCS评分等临床资料,多因素logistic回归分析TBI患者预后不良的相关因素;分析S100蛋白水平、GCS评分、Rotterdam-CT评分及三者联合应用对TBI患者预后不良的预测价值。结果轻度组、中度组、重度组血清S100水平、Rotterdam-CT评分逐渐增高(P<0.01),TBI患者血清S100水平与GCS评分(r=0.396,P=0.001)、Rotterdam-CT评分(r=0.289,P=0.002)均呈正相关;2组血氧饱和度、GCS评分、呼吸频率、Rotterdam-CT评分、S100蛋白水平、入院时昏迷占比等指标有明显差异(P<0.05或P<0.01);多因素logistic回归分析显示呼吸频率、血氧饱和度、入院时昏迷占比、GCS评分、Rotterdam-CT评分、S100蛋白水平均为TBI患者预后不良的相关危险因素;受试者工作特征曲线(Receiver operator characteristic curve,ROC)显示S100蛋白水平、GCS评分、Rotterdam-CT评分对TBI患者预后不良均有一定的预测价值,三项指标联合应用曲线下面积(Area of the under curve,AUC)值大于各单项指标预测。结论S100蛋白水平、GCS评分、Rotterdam-CT评分是TBI患者预后不良的相关危险因素,S100蛋白水平联合GCS评分、Rotterdam-CT评分在TBI患者预后不良评估中具有较高的临床价值。展开更多
基金Supported by the National Natural Science Foundation of China （40972106） the Major Projects of the National Science and Technology of China （2011ZX05042-001-002） the Central Universities Fundamental Research Special Foundation of China （292011266）
文摘Based on analysis on X-ray diffraction, the metamorphic grade of coal in southeast Qinshui Basin was discussed, and a precise evaluation of coal rank through XRD analysis was made, in addition, the correlation of coal rank and vitrinite reflectance （Ro） was compared. XRD spectra of coal shows （002）-band and γ-band, and based on fitting calculation and multi-peak separation methods, the values of 2θ002 and 2θγ can be obtained, as well as corresponding intensities I002 and Iγ, consequently the coal rank can be quantized as the ratio of I002 and Iγ, that is coal rank=I002/Iγ. The research shows that the values of θ002 and θγ increase with the metamorphic grade, and a very good linear positive correlation exists between calculated Coal Rank and Ro.
文摘The Port Harcourt Enugu expressway is part of a national road grid that links parts of southern and northern Nigeria. The severe pavement failure between Umuahia and Okigwe section of the expressway covering a distance of about 30 km was investigated by geotechnical and mineralogical assessment of disturbed and undisturbed samples of the underlying soils. Also vertical electrical sounding was performed at the failed sections. Results indicate that the section is underlain by shales of the Imo Formation, and soils are composed of 27% and 74% sand and fines respectively. The Atterberg limit values are moderate to high, with liquid limit in the range of 49-54%, plasticity index 11.1-24.4% and linear shrinkage 17.86-23.57% respectively. Abrasion test results of 0.58 to 16% indicate shales of low durability. The 24 hour free swell tests results range from 33-70% implying soils of moderate to high hydro-affinity and volume change. These data corroborate the X-ray diffraction analyses results which show montmorillonite and kaolinite as the main clay minerals present in the soils. Undrained cohesion range from 9 to 54 kPa and frictional angle from 13° to 29°. High settlement amounts and field observation of intense failure correlated well with the engineering properties and the clay minerals. The soils indicate mainly MI-MH and A-7-5 soils on the USC and AASHTO classification system respectively, implying poor quality soils as subgrade materials. stabilisation. Result of the study will be useful in remedial works areas underlain by the shales. The engineering properties may be modified and upgraded by on the failed sections of the road and future pavement design in
文摘目的探讨S100蛋白(S100 protein,S100)水平联合Rotterdam计算机X线断层扫描(Computed tomography,CT)评分、格拉斯哥昏迷评分(Glasgow coma scale,GCS)在创伤性颅脑损伤(Traumatic brain injury,TBI)病情和预后不良评估中的价值。方法回顾性分析106例TBI患者的临床资料,比较不同病情TBI患者血清S100水平、Rotterdam-CT评分,分析血清S100水平与Rotterdam-CT评分、GCS评分的相关性;根据患者预后情况分为预后良好组和预后不良组,比较2组性别、年龄、血清S100水平、Rotterdam-CT评分、GCS评分等临床资料,多因素logistic回归分析TBI患者预后不良的相关因素;分析S100蛋白水平、GCS评分、Rotterdam-CT评分及三者联合应用对TBI患者预后不良的预测价值。结果轻度组、中度组、重度组血清S100水平、Rotterdam-CT评分逐渐增高(P<0.01),TBI患者血清S100水平与GCS评分(r=0.396,P=0.001)、Rotterdam-CT评分(r=0.289,P=0.002)均呈正相关;2组血氧饱和度、GCS评分、呼吸频率、Rotterdam-CT评分、S100蛋白水平、入院时昏迷占比等指标有明显差异(P<0.05或P<0.01);多因素logistic回归分析显示呼吸频率、血氧饱和度、入院时昏迷占比、GCS评分、Rotterdam-CT评分、S100蛋白水平均为TBI患者预后不良的相关危险因素;受试者工作特征曲线(Receiver operator characteristic curve,ROC)显示S100蛋白水平、GCS评分、Rotterdam-CT评分对TBI患者预后不良均有一定的预测价值,三项指标联合应用曲线下面积(Area of the under curve,AUC)值大于各单项指标预测。结论S100蛋白水平、GCS评分、Rotterdam-CT评分是TBI患者预后不良的相关危险因素,S100蛋白水平联合GCS评分、Rotterdam-CT评分在TBI患者预后不良评估中具有较高的临床价值。
