Medical appraisal of Chinese military aircrew with abnormal results of coronary computed tomographic angiography

BACKGROUND Coronary artery diseases can cause myocardial ischemia and hypoxia,angina pectoris,myocardial infarction,arrhythmia,and even sudden death led to inflight incapacitation of aircrew.As the main cause of grounding due to illness,they severe threats to the health and fighting strength of military aircrew.Early warning in an early and accurate manner and early intervention of diseases possibly resulting in inflight incapacitation are key emphases of aeromedical support in clinic.AIM To figure out the flight factors and clinical characteristics of military aircrew with abnormal results of coronary artery computed tomographic angiography(CTA),thereby rendering theoretical references for clinical aeromedical support of military flying personnel.METHODS The clinical data of 15 flying personnel who received physical examinations in a military medical center from December 2020 to June 2023 and were diagnosed with coronary artery diseases by coronary artery CTA were collected and retrospectively analyzed,and a descriptive statistical analysis was conducted on their onset age,aircraft type and clinical data.RESULTS The 15 military flying personnel diagnosed with coronary artery diseases by coronary artery CTA were composed of 9 pilots,1 navigator and 5 air combat service workers.Multi-vessel disease was detected in 9 flying personnel,among which 8(88.9%)were pilots.Flying personnel with multi-vessel disease had higher content of cholesterol,low-density lipoprotein cholesterol and apolipoprotein B than those with single-vessel disease.CONCLUSION Coronary artery diseases are the major heart disease for the grounding of flying personnel due to illness,which can lead to inflight incapacitation.Coronary artery CTA is conducive to early detection and early intervention treatment of such diseases in clinic.

Effect of low-degree astigmatism on the objective visual quality

AIM:To evaluate the effect of low-degree astigmatism on objective visual quality through the Optical Quality Analysis System(OQAS).METHODS:This study enrolled 46 participants(aged 23 to 30y,90 eyes)with normal or corrected-to-normal vision.The cylindrical lenses(0,0.5,0.75,1.0,and 1.25 D)were placed at the axial direction(180°,45°,90°,and 135°)in front of the eyes with the best correction to form 16 types of regular low-degree astigmatism.OQAS was used to detect the objective visual quality,recorded as the objective scattering index(OSI),OQAS values at contrasts of 100%,20%,and 9%predictive visual acuity(OV100%,OV20%,and OV9%),modulation transfer function cut-off(MTFcut-off)and Strehl ratio(SR).The mixed effect linear model was used to compare objective visual quality differences between groups and examine associations between astigmatic magnitude and objective visual quality parameters.RESULTS:Apparent negative relationships between the magnitude of low astigmatism and objective visual quality were observed.The increase of OSI per degree of astigmatism at 180°,45°,90°,and 135°axis were 0.38(95%CI:0.35,0.42),0.50(95%CI:0.46,0.53),0.49(95%CI:0.45,0.54)and 0.37(95%CI:0.34,0.41),respectively.The decrease of MTFcut-off per degree of astigmatism at 180°,45°,90°,and 135°axis were-10.30(95%CI:-11.43,-9.16),-12.73(95%CI:-13.62,-11.86),-12.75(95%CI:-13.79,-11.70),and-9.97(95%CI:-10.92,-9.03),respectively.At the same astigmatism degree,OSI at 45°and 90°axis were higher than that at 0°and 135°axis,while MTFcut-off were lower.CONCLUSION:Low astigmatism of only 0.50 D can significantly reduce the objective visual quality.

Distributed Stochastic Optimization with Compression for Non-Strongly Convex Objectives

We are investigating the distributed optimization problem,where a network of nodes works together to minimize a global objective that is a finite sum of their stored local functions.Since nodes exchange optimization parameters through the wireless network,large-scale training models can create communication bottlenecks,resulting in slower training times.To address this issue,CHOCO-SGD was proposed,which allows compressing information with arbitrary precision without reducing the convergence rate for strongly convex objective functions.Nevertheless,most convex functions are not strongly convex(such as logistic regression or Lasso),which raises the question of whether this algorithm can be applied to non-strongly convex functions.In this paper,we provide the first theoretical analysis of the convergence rate of CHOCO-SGD on non-strongly convex objectives.We derive a sufficient condition,which limits the fidelity of compression,to guarantee convergence.Moreover,our analysis demonstrates that within the fidelity threshold,this algorithm can significantly reduce transmission burden while maintaining the same convergence rate order as its no-compression equivalent.Numerical experiments further validate the theoretical findings by demonstrating that CHOCO-SGD improves communication efficiency and keeps the same convergence rate order simultaneously.And experiments also show that the algorithm fails to converge with low compression fidelity and in time-varying topologies.Overall,our study offers valuable insights into the potential applicability of CHOCO-SGD for non-strongly convex objectives.Additionally,we provide practical guidelines for researchers seeking to utilize this algorithm in real-world scenarios.

Large-field objective lens for multi-wavelength microscopy at mesoscale and submicron resolution

Conventional microscopes designed for submicron resolution in biological research are hindered by a limited field of view,typically around 1 mm.This restriction poses a challenge when attempting to simultaneously analyze various parts of a sample,such as different brain areas.In addition,conventional objective lenses struggle to perform consistently across the required range of wavelengths for brain imaging in vivo.Here we present a novel mesoscopic objective lens with an impressive field of view of 8 mm,a numerical aperture of 0.5,and a working wavelength range from 400 to 1000 nm.We achieved a resolution of 0.74μm in fluorescent beads imaging.The versatility of this lens was further demonstrated through high-quality images of mouse brain and kidney sections in a wide-field imaging system,a confocal laser scanning system,and a two-photon imaging system.This mesoscopic objective lens holds immense promise for advancing multi-wavelength imaging of large fields of view at high resolution.

An Appraisal of the Major National Dialogue as a Panacea to the Anglophone Crisis in Cameroon

This paper explores the Major National Dialogue organised by Paul Biya from the 30th of September to the 4th of October,2019 as a panacea to the Anglophone.The paper also seeks to find out if this dialogue has been the panacea Cameroonians as a whole and the people of Southern Cameroons in particular have been waiting for to end this conflict.This research uses a qualitative research design.This is because the researcher culled information from Jeune Afrique Economie(2019a),Cameroon Tribune,and from Phoenix.Descriptive analysis was used to analyse the collected data.Descriptive analysis is used to get the views of the public whether the Major National Dialogue was really a panacea to the Anglophone crisis.The analysis revealed that there were two opposing opinions on the holding of this dialogue.The government thinks the dialogue was a panacea to put an end to this crisis because there is ongoing construction work in the war zones,and economic activities have witnessed an increase in the regions as the various production units of the Cameroon Development Corporation(CDC)and Pamol plantations have regained agricultural activities.The Ndawara tea estate now functions without problems.Trans-border trade is on the rise and transportation is fluid,except in the rural areas where the state of the road network is poor to name but these.On the other hand,politicians,political parties like the Social Democratic Front,activists,religious leaders,the affected populations,and Cameroonians at large think that the Major National Dialogue was a monologue and therefore was bound to fail because first,key actors arrested and detained in connection to this crisis were not part of this dialogue.For this reason,they are calling for a genuine and an inclusive dialogue.In addition,they argue that we cannot be talking of peace when fighting is still raging on and people are being killed,houses and schools are being burnt,and people are being kidnapped every day for ransom to mention but these.

Objective Model Selection in Physics: Exploring the Finite Information Quantity Approach

Traditional methods for selecting models in experimental data analysis are susceptible to researcher bias, hindering exploration of alternative explanations and potentially leading to overfitting. The Finite Information Quantity (FIQ) approach offers a novel solution by acknowledging the inherent limitations in information processing capacity of physical systems. This framework facilitates the development of objective criteria for model selection (comparative uncertainty) and paves the way for a more comprehensive understanding of phenomena through exploring diverse explanations. This work presents a detailed comparison of the FIQ approach with ten established model selection methods, highlighting the advantages and limitations of each. We demonstrate the potential of FIQ to enhance the objectivity and robustness of scientific inquiry through three practical examples: selecting appropriate models for measuring fundamental constants, sound velocity, and underwater electrical discharges. Further research is warranted to explore the full applicability of FIQ across various scientific disciplines.

Research on the Relationship between the School-Running Characteristics of Private Colleges and Universities and the Development Objectives of the Government

The development objectives of the Chinese government have a guiding effect on the school-running characteristics of private colleges and universities.This paper explores the relationship between the characteristics of private colleges and universities and the development objectives of the provincial government,using Jiangsu Province as a case study.All the schools have the consciousness of fully considering the development objectives of Jiangsu Province when formulating the school-running characteristics.Their characteristics all contain some training methods,training courses,or institutional construction aiming at the development objectives.Most universities can support the government’s objectives on employment and innovation.Only a third of the schools provide government support for science research.Private colleges and universities should make full use of the free and flexible advantages of private education,combine them with the continuous changes of policies and markets,and create clear,scientific,and dynamic school-running characteristics,in order to achieve long-term development.

Eclipse计划系统MU Objective工具在鼻咽癌容积调强放射治疗计划中的应用研究

目的:探讨Varian Eclipse计划系统MU Objective工具在鼻咽癌容积调强放射治疗(VMAT)计划中的应用,旨在保证治疗计划质量的同时降低治疗计划的机器跳数(MU)。方法:选取已接受容积调强放射治疗技术的21例鼻咽癌患者,在未使用MU Objective工具的情况下给每例患者设计治疗参考计划(MU_(ref));将使用MU Objective工具对MU_(ref)进行重新优化,分别设置MU_(ref)的MU的30%、50%、70%、90%和120%,分别命名为MU_(30%)、MU_(50%)、MU_(70%)、MU_(90%)和MU_(120%)。将治疗计划MU_(30%)、MU_(50%)、MU_(70%)、MU_(90%)和MU_(120%)分别与MU_(ref)进行配对t检验统计分析,比较两种治疗计划的靶区、危及器官(OAR)剂量分布和计划的MU。结果:使用MU Objective工具对参考计划优化MU后,与参考计划相比部分靶区和OAR剂量体积参数差异虽有统计学意义,但无临床意义。治疗计划参数为MU_(30%)、MU_(50%)、MU_(70%)和MU_(90%)时,与MU_(ref)比较计划MU平均分别减少21.5%、19.5%、16.6%和8%,差异有统计学意义(t=9.652,t=8.843,t=8.963,t=11.323;P<0.05)。在MU_(120%)时,治疗计划MU平均增加1.7%,但未显著提高靶区剂量覆盖。结论:对于鼻咽癌VMAT计划,使用Eclipse计划系统的MU Objective工具在减少计划MU的同时可获得与参考计划相似的剂量分布。MU Objective工具可作为鼻咽癌或其他部位VMAT计划的常规使用工具,以保证计划质量同时减少放射治疗计划的MU。

Objective Identification and Climatic Characteristics of Heavy-Precipitation Northeastern China Cold Vortexes

The northeastern China cold vortex(NCCV)plays an important role in regional rainstorms over East Asia.Using the National Centers for Environmental Prediction Final reanalysis dataset and the Global Precipitation Measurement product,an objective algorithm for identifying heavy-precipitation NCCV(HPCV)events was designed,and the climatological features of 164 HPCV events from 2001 to 2019 were investigated.The number of HPCV events showed an upward linear trend,with the highest frequency of occurrence in summer.The most active region of HPCV samples was the Northeast China Plain between 40°–55°N.Most HPCV events lasted 3–5 days and had radii ranging from 250 to 1000 km.The duration of HPCV events with larger sizes was longer.About half of the HPCV events moved into(moved out of)the definition region(35°–60°N,115°–145°E),and half initiated(dissipated)within the region.The initial position was close to the western boundary of the definition region,and the final position was mainly near the eastern boundary.The locations associated with the precipitation were mostly concentrated within 2000 km southeast of the HPCV systems,and they were farther from the center in the cold season than in the warm season.

Multi‐objective particle swarm optimisation of complex product change plan considering service performance

Design change is an inevitable part of the product development process.This study proposes an improved binary multi‐objective PSO algorithm guided by problem char-acteristics(P‐BMOPSO)to solve the optimisation problem of complex product change plan considering service performance.Firstly,a complex product multi‐layer network with service performance is established for the first time to reveal the impact of change effect propagation on the product service performance.Secondly,the concept of service performance impact(SPI)is defined by decoupling the impact of strongly associated nodes on the service performance in the process of change affect propagation.Then,a triple‐objective selection model of change nodes is established,which includes the three indicators:SPI degree,change cost,and change time.Furthermore,an integer multi‐objective particle swarm optimisation algorithm guided by problem characteristics is developed to solve the model above.Experimental results on the design change problem of a certain type of Skyworth TV verify the effectiveness of the established optimisation model and the proposed P‐BMOPSO algorithm.

Multi-Objective Optimization with Artificial Neural Network Based Robust Paddy Yield Prediction Model

Agriculture plays a vital role in the food production process that occupies nearly one-third of the total surface of the earth.Rice is propagated from the seeds of paddy and it is a stable food almost used byfifty percent of the total world population.The extensive growth of the human population alarms us to ensure food security and the country should take proper food steps to improve the yield of food grains.This paper concentrates on improving the yield of paddy by predicting the factors that influence the growth of paddy with the help of Evolutionary Computation Techniques.Most of the researchers used to relay on historical records of meteorological parameters to predict the yield of paddy.There is a lack in analyzing the day to day impact of meteorological parameters such as direction of wind,relative humidity,Instant Wind Speed in paddy cultivation.The real time meteorological data collected and analysis the impact of weather parameters from the day of paddy sowing to till the last day of paddy harvesting with regular time series.A Robust Optimized Artificial Neural Network(ROANN)Algorithm with Genetic Algorithm(GA)and Multi Objective Particle Swarm Optimization Algorithm(MOPSO)proposed to predict the factors that to be concentrated by farmers to improve the paddy yield in cultivation.A real time paddy data collected from farmers of Tamilnadu and the meteorological parameters were matched with the cropping pattern of the farmers to construct the database.The input parameters were optimized either by using GA or MOPSO optimization algorithms to reconstruct the database.Reconstructed database optimized by using Artificial Neural Network Back Propagation Algorithm.The reason for improving the growth of paddy was identified using the output of the Neural Network.Performance metrics such as Accuracy,Error Rate etc were used to measure the performance of the proposed algorithm.Comparative analysis made between ANN with GA and ANN with MOPSO to identify the recommendations for improving the paddy yield.

Salient Object Detection Based on a Novel Combination Framework Using the Perceptual Matching and Subjective-Objective Mapping Technologies

The integrity and fineness characterization of non-connected regions and contours is a major challenge for existing salient object detection.The key to address is how to make full use of the subjective and objective structural information obtained in different steps.Therefore,by simulating the human visual mechanism,this paper proposes a novel multi-decoder matching correction network and subjective structural loss.Specifically,the loss pays different attentions to the foreground,boundary,and background of ground truth map in a top-down structure.And the perceived saliency is mapped to the corresponding objective structure of the prediction map,which is extracted in a bottom-up manner.Thus,multi-level salient features can be effectively detected with the loss as constraint.And then,through the mapping of improved binary cross entropy loss,the differences between salient regions and objects are checked to pay attention to the error prone region to achieve excellent error sensitivity.Finally,through tracking the identifying feature horizontally and vertically,the subjective and objective interaction is maximized.Extensive experiments on five benchmark datasets demonstrate that compared with 12 state-of-the-art methods,the algorithm has higher recall and precision,less error and strong robustness and generalization ability,and can predict complete and refined saliency maps.

An Exploratory Study of the Interpersonal Meanings of President Xi’s New Year Speech Based on Appraisal Theory

The research examines President Xi’s 2021 New Year speech with research questions centering around its abundant interpersonal meanings.Through qualitative content analysis,the research finds that it is typical for Chinese president to frequently use judgment and appreciation resources in reviewing the past year.Even in the face of the pandemic and natural disasters,the overall emotions of the speech remain positive,which corresponds to the forward-looking feature of New Year speech.Significance of the study abounds and future research can investigate how COVID-19 impacts the ideologies conveyed through political leaders’speeches through a comparative lens and how to produce more understandings that can help dismantle stereotypes and discrimination hidden in reports about COVID-19 by using Appraisal Theory critically,systematically,and comprehensively.

我国司法鉴定立法涉及的重大问题研究

2005年,全国人民代表大会常务委员会通过的《关于司法鉴定管理问题的决定》(以下简称《决定》)作为司法鉴定领域内唯一的专门法律性文件,其颁布与实施初步实现了统一司法鉴定管理体制。但随着目前法治的进步及司法鉴定领域出现的诸多问题亟需法律予以规制,司法鉴定立法再次成为关注焦点。司法鉴定立法不仅面临着《决定》制定中遗留的老问题,亦交织着《决定》施行后衍生的新问题。需要在已有制度运行基础上,对司法鉴定立法涉及的重大问题展开深入研究,分别从宏观、中观和微观层面来予以探讨,以期能够逐渐形成具有系统性、前瞻性和相对成熟性的立法共识。

图像引导和点云空间约束的公路洒落物检测定位方法

公路洒落物是影响交通安全的重要因素之一,为了解决中小尺度公路洒落物检测中的漏检、误检以及难以定位等问题,本文提出了一种图像引导和点云空间约束的公路洒落物检测定位方法。该方法使用改进的YOLOv7-OD网络处理图像数据获取二维目标预测框信息,将目标预测框投影到激光雷达坐标系下得到锥形感兴趣区域(region of interest,ROI)。在ROI区域内的点云空间约束下,联合点云聚类和点云生成算法获得不同尺度的洒落物在三维空间中的检测定位结果。实验表明:改进的YOLOv7-OD网络在中尺度目标上的召回率和平均精度分别为85.4%和82.0%,相比YOLOv7网络分别提升6.6和8.0个百分点;在小尺度目标上的召回率和平均精度分别为66.8%和57.3%,均提升5.3个百分点;洒落物定位方面,对于距离检测车辆30~40 m处的目标,深度定位误差为0.19 m,角度定位误差为0.082°,实现了多尺度公路洒落物的检测和定位。

基于目标管理和发展型绩效考核的主诊医师绩效考核体系研究

上海市第十人民医院在已建立的主诊医师管理模式基础上,基于目标管理和发展型绩效考核理念,从病种的复杂程度、病种难度、疾病救治风险承担以及围绕疾病救治的综合素质等4个方面,构建了以临床能力提升为目标的发展型绩效考核方案,并由医务管理部门实施绩效考核和反馈,形成一套独立核算的主诊医师绩效考核体系,引导主诊医师收治高质量病种、提供优质医疗服务,最终提升医院对主诊医师的管理效能。

基于改进YOLOX与多级数据关联的行人多目标跟踪算法研究

目标跟踪是计算机视觉领域的基本问题,行人多目标跟踪在智能监控、智慧交通等多个领域有着广泛的应用前景。然而实际跟踪场景中存在频繁遮挡、尺度变化等情况,给多目标跟踪算法带来了极大的挑战。为了进一步提升跟踪精度,在DeepSORT的基础上,提出一种基于改进YOLOX与多级数据关联的行人多目标跟踪算法。对于检测器,为了增强网络的特征表达能力,提高检测精度,在YOLOX骨架网络与颈部网络分别引入ECA通道注意力模块与ASFF自适应特征融合模块。对于身份识别特征,为了减少数据关联步骤的错误匹配数量,提高跟踪效率,使用轻量的OSNet重识别网络与NSA卡尔曼滤波获取目标特征。对于数据关联,为了减少身份切换次数,避免目标丢失,将检测与跟踪都进行分类处理,使用不同的相似性计算方法,实现基于检测置信度与轨迹状态的多级数据关联。实验结果表明:与改进前YOLOX与DeepSORT简单结合的算法相比,在YOLOX中引入ECA模块与ASFF模块使误检数量大幅降低,使用YOLOX-s模型时降幅可达17%;结合OSNet模型与NSA卡尔曼滤波的特征提取方法能提高跟踪稳定性,IDF1指标提高0.77%,IDSW减少947;基于检测置信度与轨迹状态的多级数据关联算法可以明显改善跟踪性能,MOTA指标提升3.36%。算法最终在MOT17与MOT20测试集上的MOTA达80.4%与77.7%,IDF1达78.4%与76.7%。提出的行人多目标跟踪方法相较于其他先进算法在跟踪精度与跟踪速度上达到更好的平衡,可为工业上在线行人多目标跟踪应用提供参考。

改进YOLOv5模型在自然环境下柑橘识别的应用

在复杂的自然环境中绿色柑橘生长形态各异,颜色与背景色相近,为有效识别绿色柑橘,提出一种基于混合注意力机制并改进YOLOv5模型的柑橘识别方法。首先,改进YOLOv5的网络结构,在主干网络中添加混合注意力机制,即在主干网络中的第2层嵌入SE(squeeze and excitation)注意力,第11层嵌入CA(coordinate attention)注意力;其次,改进网络模型特征融合结构,将YOLOv5模型Concat特征融合操作的下层分支放在模型C3模块之前,再与另一条上层分支进行特征融合;最后,改进模型分类损失函数,将YOLOv5模型的分类损失函数改成Varifocal Loss函数,加强绿色柑橘特征信息的提取,提高绿色柑橘检测精度。根据自然环境和柑橘自身的特点,对自建数据集进行分类,设计3组不同分类场景下柑橘的对比试验以验证其有效性。试验结果表明,改进后的YOLOv5-SC模型准确率为91.74%,平均精度为95.09%,F1为89.56%,在自然环境下对绿色柑橘的识别具有更高的准确率和更好的鲁棒性,为绿色水果智能采摘提供技术支持。

我国三级公立医院绩效考核结果分析与思考

目的 对我国三级公立医院绩效考核结果进行分析,为推进三级公立医院高质量发展提供依据。方法 运用描述性分析法和对比分析法对2019年—2021年三级公立医院绩效考核结果及发展趋势进行分析。结果 出院患者手术占比、微创手术占比、四级手术比例和日间手术占择期手术比例均有所增长;Ⅰ类切口感染率下降,DRG组数中位数逐渐增加;抗菌药物使用强度逐步降低,且明显低于40 DDDs的国家上限要求;门诊预约诊疗率大幅度提升,门诊患者预约后平均等候时间稳中有降;人员支出占业务支出比例稳中有升;副高级以上职称的比例、接收对口支援医院和医联体内医院进修半年以上人员的比例逐步提升。存在的主要问题为三级公立医院发展不均衡,跨省异地就医现象仍然存在,医院管理水平有待进一步提高,患者就医感受和医务人员获得感仍需进一步改善。结论 为推进三级公立医院高质量发展,还需进一步提升医疗服务水平;加强医院科学管理,推进管理出效益;激活医务人员积极性,推动以人为本的全面发展。

CNN-Transformer特征融合多目标跟踪算法

在卷积神经网络(CNN)中,卷积运算能高效地提取目标的局部特征,却难以捕获全局表示;而在视觉Transformer中,注意力机制可以捕获长距离的特征依赖,但会忽略局部特征细节。针对以上问题,提出一种基于CNN-Transformer双分支主干网络进行特征提取和融合的多目标跟踪算法CTMOT(CNN-transformer multi-object tracking)。使用基于CNN和Transformer双分支并行的主干网络分别提取图像的局部和全局特征。使用双向桥接模块(two-way braidge module,TBM)对两种特征进行充分融合。将融合后的特征输入两组并行的解码器进行处理。将解码器输出的检测框和跟踪框进行匹配,完成多目标跟踪任务。在多目标跟踪数据集MOT17、MOT20、KITTI以及UADETRAC上进行评估,CTMOT算法的MOTP和IDs指标在四个数据集上均达到了SOTA效果,MOTA指标分别达到了76.4%、66.3%、92.36%和88.57%,在MOT数据集上与SOTA方法效果相当,在KITTI数据集上达到SOTA效果。由于同时完成目标检测和关联,能够端到端进行目标跟踪,跟踪速度可达35 FPS,表明CTMOT算法在跟踪的实时性和准确性上达到了较好的平衡,具有较大潜力。