Therapeutic efficacy of methylprednisolone sodium succinate via diverse administration routes for mid-to high-frequency sudden sensorineural hearing loss

BACKGROUND Sudden sensorineural hearing loss(SSNHL),characterized by a rapid and unexplained loss of hearing,particularly at moderate to high frequencies,presents a significant clinical challenge.The therapeutic use of methylprednisolone sodium succinate(MPSS)via different administration routes,in combination with conventional medications,remains a topic of interest.AIM To compare the therapeutic efficacy of MPSS administered via different routes in combination with conventional drugs for the treatment of mid-to high-frequency SSNHL.METHODS The medical records of 109 patients with mid-to high-frequency SSNHL were analyzed.The patients were divided into three groups based on the route of administration:Group A[intratympanic(IT)injection of MPSS combined with mecobalamin and Ginkgo biloba leaf extract injection],Group B(intravenous injection of MPSS combined with mecobalamin and Ginkgo biloba leaf extract injection),and Group C(single IT injection of MPSS).The intervention effects were compared and analyzed.RESULTS The posttreatment auditory thresholds in Group A(21.23±3.34)were significantly lower than those in Groups B(28.52±3.36)and C(30.23±4.21;P<0.05).Group A also exhibited a significantly greater speech recognition rate(92.23±5.34)than Groups B and C.The disappearance time of tinnitus,time to hearing recovery,and disappearance time of vertigo in Group A were significantly shorter than those in Groups B and C(P<0.05).The total effective rate in Group A(97.56%)was significantly greater than that in Groups B and C(77.14%and 78.79%,χ^(2)=7.898,P=0.019).Moreover,the incidence of adverse reactions in Groups A and C was significantly lower than that in Group B(4.88%,3.03%vs 2.57%,χ^(2)=11.443,P=0.003),and the recurrence rate in Group A was significantly lower than that in Groups B and C(2.44%vs 20.00%vs 21.21%,χ^(2)=7.120,P=0.028).CONCLUSION IT injection of MPSS combined with conventional treatment demonstrates superior efficacy and safety compared to systemic administration via intravenous infusion and a single IT injection of MPSS.This approach effectively improves patients'hearing and reduces the risk of disease recurrence.

3D Finite Element Analysis of the Stray Loss in Power Transformer Structure Parts

In order to analyze the leakage magnetic field and stray loss in power transformer, leakage magnetic field and stray loss in structure parts of a power transformer are calculated by three-dimensional (3-D) non-linear time harmonic finite element method (FEM). The results show that stray loss and loss density in structure parts are large and which may lead to local overheating and affect performance of the transformer. The magnetic shields are used to reduce the stray loss and loss density of power transformer. Effects of these shields on stray loss and loss density of structure parts are discussed. The results show that stray loss and local overheating can be reduced and eliminated effectively by adding magnetic shields. It provides some references for the analysis of stray loss and optimization design in transformer.

LKAW: A Robust Watermarking Method Based on Large Kernel Convolution and Adaptive Weight Assignment

Robust watermarking requires finding invariant features under multiple attacks to ensure correct extraction.Deep learning has extremely powerful in extracting features,and watermarking algorithms based on deep learning have attracted widespread attention.Most existing methods use 3×3 small kernel convolution to extract image features and embed the watermarking.However,the effective perception fields for small kernel convolution are extremely confined,so the pixels that each watermarking can affect are restricted,thus limiting the performance of the watermarking.To address these problems,we propose a watermarking network based on large kernel convolution and adaptive weight assignment for loss functions.It uses large-kernel depth-wise convolution to extract features for learning large-scale image information and subsequently projects the watermarking into a highdimensional space by 1×1 convolution to achieve adaptability in the channel dimension.Subsequently,the modification of the embedded watermarking on the cover image is extended to more pixels.Because the magnitude and convergence rates of each loss function are different,an adaptive loss weight assignment strategy is proposed to make theweights participate in the network training together and adjust theweight dynamically.Further,a high-frequency wavelet loss is proposed,by which the watermarking is restricted to only the low-frequency wavelet sub-bands,thereby enhancing the robustness of watermarking against image compression.The experimental results show that the peak signal-to-noise ratio(PSNR)of the encoded image reaches 40.12,the structural similarity(SSIM)reaches 0.9721,and the watermarking has good robustness against various types of noise.

High-Frequency Induction Heating of Needle-Shaped Mg-Ferrite for Ablation Therapy of Human Cancer

For application as a novel ablation therapy of human cancer,the heating property of a needle-shaped Mg-ferrite prepared by a sintering technique was studied in a high-frequency induction field at 370 kHz.When inserted into cylindrical clay,the increase in temperature(Δ7)was 31.2℃ for the specimen with a 1.5 mm diameter,while the 1.0mm diameter specimen exhibited a ΔT value of 15.7℃ after the induction time of 1200s.The ΔT exhibited a high value of 57.9℃ during the simultaneous insertion of 3 1.5mm diameter specimens.In the computer simulation images, the relatively lower magnetic flux density and concurrent neghgibly low current density were observed from the surface to the internal regions,being different from the behavior of a ferromagnetic Ni-rod with the same size.

高血压病对听力的影响

高血压病是以血管为主要病变的全身性疾病,可以影响全身多个组织器官的微循环,包括内耳微循环。国内、外已有研究表明高血压病对听力有一定的影响。本文就高血压病对听力产生影响的原因、临床表现以及听力学特点等做一综述。