Epidemiological and clinical features,treatment status,and economic burden of traumatic spinal cord injury in China:a hospital-based retrospective study

Traumatic spinal cord injury is potentially catastrophic and can lead to permanent disability or even death.China has the largest population of patients with traumatic spinal cord injury.Previous studies of traumatic spinal cord injury in China have mostly been regional in scope;national-level studies have been rare.To the best of our knowledge,no national-level study of treatment status and economic burden has been performed.This retrospective study aimed to examine the epidemiological and clinical features,treatment status,and economic burden of traumatic spinal cord injury in China at the national level.We included 13,465 traumatic spinal cord injury patients who were injured between January 2013 and December 2018 and treated in 30 hospitals in 11 provinces/municipalities representing all geographical divisions of China.Patient epidemiological and clinical features,treatment status,and total and daily costs were recorded.Trends in the percentage of traumatic spinal cord injuries among all hospitalized patients and among patients hospitalized in the orthopedic department and cost of care were assessed by annual percentage change using the Joinpoint Regression Program.The percentage of traumatic spinal cord injuries among all hospitalized patients and among patients hospitalized in the orthopedic department did not significantly change overall(annual percentage change,-0.5%and 2.1%,respectively).A total of 10,053(74.7%)patients underwent surgery.Only 2.8%of patients who underwent surgery did so within 24 hours of injury.A total of 2005(14.9%)patients were treated with high-dose(≥500 mg)methylprednisolone sodium succinate/methylprednisolone(MPSS/MP);615(4.6%)received it within 8 hours.The total cost for acute traumatic spinal cord injury decreased over the study period(-4.7%),while daily cost did not significantly change(1.0%increase).Our findings indicate that public health initiatives should aim at improving hospitals’ability to complete early surgery within 24 hours,which is associated with improved sensorimotor recovery,increasing the awareness rate of clinical guidelines related to high-dose MPSS/MP to reduce the use of the treatment with insufficient evidence.

Distribution, residence time, autotrophic production, and heterotrophic removal of DOP in the Mirs Bay, northern South China Sea

The importance of dissolved organic phosphorus(DOP) as a potential nutrient source for primary producers in marine systems has been recognized for up to eight decades, but currently, the understanding of the biogeochemistry of DOP is in its infancy. In the present study, monthly data between 2000 and 2014 were used to analyze the temporal and spatial distributions of DOP in the Mir Bay, the northern South China Sea. The DOP residence time(TDOP) was also investigated using a simple regression analysis in combination with chlorophyll a(Chl a) measurements while excess DOP(ΔDOP), produced by the biogeochemical processes of autotrophic production and heterotrophic removal, was determined using a two-component mixing mass-balance model in combination with salinity measurements. The results showed that the DOP concentration was(0.017±0.010) mg/L higher in the surface-water compared with the bottom-water and higher in the inner Tolo Harbour and waters adjacent to Shatoujiao compared with the main zone of the bay. Although seasonal changes and annual variability in the DOP were small, the surface DOP concentration was higher in the wet season(April–September)than in the dry season(October–March) due to the impacts of seaward discharges and atmospheric deposition into the bay. Measurement and regression results showed that the DOP release rate from phytoplankton production was about 1.83(gP)/(gChl a) and the TDOP was about 7 d, which implied that the DOP cycle in the bay was rapid. The ΔDOP was calculated from the model to be about 0.000 mg/L in the main zone of the bay and about 0.002 mg/L in the inner Tolo Harbour and waters adjacent to Shaotoujiao, suggesting that the autotrophic production of DOP was almost balanced by the heterotrophic removal in the main zone of the bay and dominated in the inner Tolo Harbour and waters adjacent to Shaotoujiao. In conclusion, the Mirs Bay is very productive and fairly heterotrophic.

Terrorism Attack Classification Using Machine Learning: The Effectiveness of Using Textual Features Extracted from GTD Dataset

One of the biggest dangers to society today is terrorism, where attacks have become one of the most significantrisks to international peace and national security. Big data, information analysis, and artificial intelligence (AI) havebecome the basis for making strategic decisions in many sensitive areas, such as fraud detection, risk management,medical diagnosis, and counter-terrorism. However, there is still a need to assess how terrorist attacks are related,initiated, and detected. For this purpose, we propose a novel framework for classifying and predicting terroristattacks. The proposed framework posits that neglected text attributes included in the Global Terrorism Database(GTD) can influence the accuracy of the model’s classification of terrorist attacks, where each part of the datacan provide vital information to enrich the ability of classifier learning. Each data point in a multiclass taxonomyhas one or more tags attached to it, referred as “related tags.” We applied machine learning classifiers to classifyterrorist attack incidents obtained from the GTD. A transformer-based technique called DistilBERT extracts andlearns contextual features from text attributes to acquiremore information from text data. The extracted contextualfeatures are combined with the “key features” of the dataset and used to perform the final classification. Thestudy explored different experimental setups with various classifiers to evaluate the model’s performance. Theexperimental results show that the proposed framework outperforms the latest techniques for classifying terroristattacks with an accuracy of 98.7% using a combined feature set and extreme gradient boosting classifier.

Analysis of OSA Syndrome from PPG Signal Using CART-PSO Classifier with Time Domain and Frequency Domain Features

Obstructive Sleep Apnea(OSA)is a respiratory syndrome that occurs due to insufficient airflow through the respiratory or respiratory arrest while sleeping and sometimes due to the reduced oxygen saturation.The aim of this paper is to analyze the respiratory signal of a person to detect the Normal Breathing Activity and the Sleep Apnea(SA)activity.In the proposed method,the time domain and frequency domain features of respiration signal obtained from the PPG device are extracted.These features are applied to the Classification and Regression Tree(CART)-Particle Swarm Optimization(PSO)classifier which classifies the signal into normal breathing signal and sleep apnea signal.The proposed method is validated to measure the performance metrics like sensitivity,specificity,accuracy and F1 score by applying time domain and frequency domain features separately.Additionally,the performance of the CART-PSO(CPSO)classification algorithm is evaluated through comparing its measures with existing classification algorithms.Concurrently,the effect of the PSO algorithm in the classifier is validated by varying the parameters of PSO.

An Approach to Fault Diagnosis of Rotating Machinery Using the Second-Order Statistical Features of Thermal Images and Simplified Fuzzy ARTMAP

Thermal image, or thermogram, becomes a new type of signal for machine condition monitoring and fault diagnosis due to the capability to display real-time temperature distribution and possibility to indicate the machine’s operating condition through its temperature. In this paper, an investigation of using the second-order statistical features of thermogram in association with minimum redundancy maximum relevance (mRMR) feature selection and simplified fuzzy ARTMAP (SFAM) classification is conducted for rotating machinery fault diagnosis. The thermograms of different machine conditions are firstly preprocessed for improving the image contrast, removing noise, and cropping to obtain the regions of interest (ROIs). Then, an enhanced algorithm based on bi-dimensional empirical mode decomposition is implemented to further increase the quality of ROIs before the second-order statistical features are extracted from their gray-level co-occurrence matrix (GLCM). The highly relevant features to the machine condition are selected from the total feature set by mRMR and are fed into SFAM to accomplish the fault diagnosis. In order to verify this investigation, the thermograms acquired from different conditions of a fault simulator including normal, misalignment, faulty bearing, and mass unbalance are used. This investigation also provides a comparative study of SFAM and other traditional methods such as back-propagation and probabilistic neural networks. The results show that the second-order statistical features used in this framework can provide a plausible accuracy in fault diagnosis of rotating machinery.

Clinical features and prognostic factors of duodenal neuroendocrine tumours:A comparative study of ampullary and nonampullary regions

BACKGROUND Duodenal neuroendocrine tumours(DNETs)are rare neoplasms.However,the incidence of DNETs has been increasing in recent years,especially as an incidental finding during endoscopic studies.Regrettably,there is no consensus regarding the ideal treatment of DNETs.Even there are few studies on the clinical features and survival analysis of DNETs.AIM To analyze the clinical characteristics and prognostic factors of patients with duodenal neuroendocrine tumours.METHODS The clinical data of DNETs diagnosed in the First Affiliated Hospital of Air Force Military Medical University from June 2011 to July 2022 were collected.Neuroen-docrine tumours located in the ampulla area of the duodenum were divided into the ampullary region group;neuroendocrine tumours in any part of the duo-denum outside the ampullary area were divided into the nonampullary region group.Using a retrospective study,the clinical characteristics of the two groups and risk factors affecting the survival of DNET patients were analysed.RESULTS Twenty-nine DNET patients were screened.The male to female ratio was 1:1.9,and females comprised the majority.The ampullary region group accounted for 24.1%(7/29),while the nonampullary region group accounted for 75.9%(22/29).When diagnosed,the clinical symptoms of the ampullary region group were mainly abdominal pain(85.7%),while those of the nonampullary region groups were mainly abdominal distension(59.1%).There were differences in the composition of staging of tumours between the two groups(Fisher's exact probability method,P=0.001),with nonampullary stage II tumours(68.2%)being the main stage(P<0.05).After the diagnosis of DNETs,the survival rate of the ampullary region group was 14.3%(1/7),which was lower than that of 72.7%(16/22)in the nonampullary region group(Fisher's exact probability method,P=0.011).The survival time of the ampullary region group was shorter than that of the nonampullary region group(P<0.000).The median survival time of the ampullary region group was 10.0 months and that of the nonampullary region group was 451.0 months.Multivariate analysis showed that tumours in the ampulla region and no surgical treatment after diagnosis were independent risk factors for the survival of DNET patients(HR=0.029,95%CI 0.004-0.199,P<0.000;HR=12.609,95%CI:2.889-55.037,P=0.001).Further analysis of nonampullary DNET patients showed that the survival time of patients with a tumour diameter<2 cm was longer than that of patients with a tumour diameter≥2 cm(t=7.243,P=0.048).As of follow-up,6 patients who died of nonampullary DNETs had a tumour diameter that was≥2 cm,and 3 patients in stage IV had liver metastasis.Patients with a tumour diameter<2 cm underwent surgical treatment,and all survived after surgery.CONCLUSION Surgical treatment is a protective factor for prolonging the survival of DNET patients.Compared to DNETs in the ampullary region,patients in the nonampullary region group had a longer survival period.The liver is the organ most susceptible to distant metastasis of nonampullary DNETs.

石板优化加工虚拟技术的研究

目的利用虚拟技术来解决石板优化加工提高石材大板的利用率.方法通过石板特征采集仪将石材大板的3个主要特征即尺寸特征、轮廓特征、表面纹理特征采集到CAD系统中,并基于VB对串口编程技术和AutoCAD二次开发技术来建立石板的虚拟原型库.结果通过虚拟原型库对具有不规则外型的石材大板进行实时优化排样,避开石材了表面空洞、大斑等缺陷.同时可对工程区域进行模拟铺设,检查纹理走向、色彩搭配.还能帮助ERP系统指导生产,精确调整库存和采购.结论利用此仪器可建立石材板材的虚拟原型库,改善石板型材的加工,可提高材料的利用率,提高墙面和地面整体的美观性,减少型材上的缺陷,也便于库存和采购的管理.

中国直立人形态特征的变异——颅骨测量数据的统计分析

近年,亚洲直立人化石特征的变异及其意义引起了学术界较多的关注。不断有学者提出周口店直立人无论在非测量性特征,还是在测量特征方面都具有不同于印度尼西亚及非洲直立人的表现特点,有人甚至对将周口店直立人化石特征作为直立人的典型特征的观点提出了置疑。为进一步探讨这些有争议的问题,本文采用多变量统计分析方法对33件非洲和欧亚地区直立人颅骨测量数据进行了分析。我们发现亚洲大陆的周口店和南京直立人与生活在东南亚群岛的印度尼西亚直立人具有不同的颅骨测量特征。中国标本以较窄的前额部和枕部,以及宽阔的颅骨中部为特点。而印度尼西亚标本的额部和枕部的宽度与颅骨中部的宽度相对较为接近。非洲直立人在这些颅骨测量特征的表现上与印度尼西亚直立人接近,呈现出相对宽阔的额部和枕部。中国的和县直立人在颅骨测量特征的表现上与印度尼西亚和非洲直立人接近,而与周口店和南京直立人明显不同。基于这些发现,本文就直立人头骨测量特征的稳定性、周口店直立人颅骨特征的表现特点、东亚直立人的地区变异与时代变化、头骨形态与测量特征的对应性等问题进行了讨论。

Japanese Sign Language Recognition by Combining Joint Skeleton-Based Handcrafted and Pixel-Based Deep Learning Features with Machine Learning Classification

Sign language recognition is vital for enhancing communication accessibility among the Deaf and hard-of-hearing communities.In Japan,approximately 360,000 individualswith hearing and speech disabilities rely on Japanese Sign Language(JSL)for communication.However,existing JSL recognition systems have faced significant performance limitations due to inherent complexities.In response to these challenges,we present a novel JSL recognition system that employs a strategic fusion approach,combining joint skeleton-based handcrafted features and pixel-based deep learning features.Our system incorporates two distinct streams:the first stream extracts crucial handcrafted features,emphasizing the capture of hand and body movements within JSL gestures.Simultaneously,a deep learning-based transfer learning stream captures hierarchical representations of JSL gestures in the second stream.Then,we concatenated the critical information of the first stream and the hierarchy of the second stream features to produce the multiple levels of the fusion features,aiming to create a comprehensive representation of the JSL gestures.After reducing the dimensionality of the feature,a feature selection approach and a kernel-based support vector machine(SVM)were used for the classification.To assess the effectiveness of our approach,we conducted extensive experiments on our Lab JSL dataset and a publicly available Arabic sign language(ArSL)dataset.Our results unequivocally demonstrate that our fusion approach significantly enhances JSL recognition accuracy and robustness compared to individual feature sets or traditional recognition methods.

Machine Learning Security Defense Algorithms Based on Metadata Correlation Features

With the popularization of the Internet and the development of technology,cyber threats are increasing day by day.Threats such as malware,hacking,and data breaches have had a serious impact on cybersecurity.The network security environment in the era of big data presents the characteristics of large amounts of data,high diversity,and high real-time requirements.Traditional security defense methods and tools have been unable to cope with the complex and changing network security threats.This paper proposes a machine-learning security defense algorithm based on metadata association features.Emphasize control over unauthorized users through privacy,integrity,and availability.The user model is established and the mapping between the user model and the metadata of the data source is generated.By analyzing the user model and its corresponding mapping relationship,the query of the user model can be decomposed into the query of various heterogeneous data sources,and the integration of heterogeneous data sources based on the metadata association characteristics can be realized.Define and classify customer information,automatically identify and perceive sensitive data,build a behavior audit and analysis platform,analyze user behavior trajectories,and complete the construction of a machine learning customer information security defense system.The experimental results show that when the data volume is 5×103 bit,the data storage integrity of the proposed method is 92%.The data accuracy is 98%,and the success rate of data intrusion is only 2.6%.It can be concluded that the data storage method in this paper is safe,the data accuracy is always at a high level,and the data disaster recovery performance is good.This method can effectively resist data intrusion and has high air traffic control security.It can not only detect all viruses in user data storage,but also realize integrated virus processing,and further optimize the security defense effect of user big data.

Structural features in the mid-southern section of the Kyushu–Palau Ridge based on satellite altimetry gravity anomaly

The Kyushu–Palau Ridge(KPR),an anti-S-shaped submarine highland at the center of the Philippine Sea Plate(PSP),is considered the residual arc of the Izu–Bonin–Mariana Island Arc,which retains key information about the cessation of the Western Philippine Basin(WPB)expansion and the Parece Vela Basin(PVB)breakup.Herein,using the new generation of satellite altimetry gravity data,high-precision seafloor topography data,and newly acquired ship-borne gravity data,the topographic and gravity characteristics of the KPR mid-southern section and adjacent region are depicted.The distribution characteristics of the faults were delineated using the normalized vertical derivative–total horizontal derivative method(NVDR-THDR)and the minimum curvature potential field separation method.The Moho depth and crustal thickness were inverted using the rapid inversion method for a double-interface model with depth constraints.Based on these results,the crust structure features in the KPR mid-southern section,and the“triangular”structure geological significance where the KPR and Central Basin Rift(CBR)of the WPB intersect are interpreted.The KPR crustal thickness is approximately 6–16 km,with a distinct discontinuity that is slightly thicker than the normal oceanic crust.The KPR mid-southern section crust structure was divided into four segments(S1–S4)from north to south,formed by the CBR eastward extension joint action and clockwise rotation of the PVB expansion axis and the Mindanao fault zone blocking effect.

Mesenchymal-epithelial transition factor amplification correlates with adverse pathological features and poor clinical outcome in colorectal cancer

BACKGROUND Colorectal cancer(CRC)is the third most common cancer and the second most common cause of cancer-related mortality worldwide.Mesenchymal-epithelial transition factor(MET)gene participates in multiple tumor biology and shows clinical potential for pharmacological manipulation in tumor treatment.MET amplification has been reported in CRC,but data are very limited.Investigating pathological values of MET in CRC may provide new therapeutic and genetic screening options in future clinical practice.AIM To determine the pathological significance of MET amplification in CRC and to propose a feasible screening strategy.METHODS A number of 205 newly diagnosed CRC patients undergoing surgical resection without any preoperative therapy at Shenzhen Cancer Hospital of Chinese Academy of Medical Sciences were recruited.All patients were without RAS/RAF mutation or microsatellite instability-high.MET amplification and c-MET protein expression were analyzed using fluorescence in situ hybridization(FISH)and immunohistochemistry(IHC),respectively.Correlations between MET aberration and pathological features were detected using the chi-squared test.Progression free survival(PFS)during the two-year follow-up was detected using the Kaplan-Meier method and log rank test.The results of MET FISH and IHC were com pared using one-way ANOVA.RESULTS Polysomy-induced MET amplification was observed in 14.4%of cases,and focal MET amplification was not detected.Polysomy-induced MET amplification was associated with a higher frequency of lymph node metastasis(LNM)(P<0.001)and higher tumor budding grade(P=0.02).In the survival analysis,significant difference was detected between patients with amplified-and non-amplified MET in a two-year follow-up after the first diagnosis(P=0.001).C-MET scores of 0,1+,2+,and 3+were observed in 1.4%,24.9%,54.7%,and 19.0%of tumors,respectively.C-MET overexpression correlated with higher frequency of LNM(P=0.002),but no significant difference of PFS was detected between patients with different protein levels.In terms of concordance between MET FISH and IHC results,MET copy number showed no difference in c-MET IHC 0/1+(3.35±0.18),2+(3.29±0.11)and 3+(3.58±0.22)cohorts,and the MET-to-CEP7 ratio showed no difference in three groups(1.09±0.02,1.10±0.01,and 1.09±0.03).CONCLUSION In CRC,focal MET amplification was a rare event.Polysomy-induced MET amplification correlated with adverse pathological characteristics and poor prognosis.IHC was a poor screening tool for MET amplification.

Hyperspectral remote sensing identification of marine oil emulsions based on the fusion of spatial and spectral features

Marine oil spill emulsions are difficult to recover,and the damage to the environment is not easy to eliminate.The use of remote sensing to accurately identify oil spill emulsions is highly important for the protection of marine environments.However,the spectrum of oil emulsions changes due to different water content.Hyperspectral remote sensing and deep learning can use spectral and spatial information to identify different types of oil emulsions.Nonetheless,hyperspectral data can also cause information redundancy,reducing classification accuracy and efficiency,and even overfitting in machine learning models.To address these problems,an oil emulsion deep-learning identification model with spatial-spectral feature fusion is established,and feature bands that can distinguish between crude oil,seawater,water-in-oil emulsion(WO),and oil-in-water emulsion(OW)are filtered based on a standard deviation threshold–mutual information method.Using oil spill airborne hyperspectral data,we conducted identification experiments on oil emulsions in different background waters and under different spatial and temporal conditions,analyzed the transferability of the model,and explored the effects of feature band selection and spectral resolution on the identification of oil emulsions.The results show the following.(1)The standard deviation–mutual information feature selection method is able to effectively extract feature bands that can distinguish between WO,OW,oil slick,and seawater.The number of bands was reduced from 224 to 134 after feature selection on the Airborne Visible Infrared Imaging Spectrometer(AVIRIS)data and from 126 to 100 on the S185 data.(2)With feature selection,the overall accuracy and Kappa of the identification results for the training area are 91.80%and 0.86,respectively,improved by 2.62%and 0.04,and the overall accuracy and Kappa of the identification results for the migration area are 86.53%and 0.80,respectively,improved by 3.45%and 0.05.(3)The oil emulsion identification model has a certain degree of transferability and can effectively identify oil spill emulsions for AVIRIS data at different times and locations,with an overall accuracy of more than 80%,Kappa coefficient of more than 0.7,and F1 score of 0.75 or more for each category.(4)As the spectral resolution decreasing,the model yields different degrees of misclassification for areas with a mixed distribution of oil slick and seawater or mixed distribution of WO and OW.Based on the above experimental results,we demonstrate that the oil emulsion identification model with spatial–spectral feature fusion achieves a high accuracy rate in identifying oil emulsion using airborne hyperspectral data,and can be applied to images under different spatial and temporal conditions.Furthermore,we also elucidate the impact of factors such as spectral resolution and background water bodies on the identification process.These findings provide new reference for future endeavors in automated marine oil spill detection.

Oncological features and prognosis of colorectal cancer in human immunodeficiency virus-positive patients: A retrospective study

BACKGROUND Due to the prolonged life expectancy and increased risk of colorectal cancer(CRC)among patients with human immunodeficiency virus(HIV)infection,the prognosis and pathological features of CRC in HIV-positive patients require examination.AIM To compare the differences in oncological features,surgical safety,and prognosis between patients with and without HIV infection who have CRC at the same tumor stage and site.METHODS In this retrospective study,we collected data from HIV-positive and-negative patients who underwent radical resection for CRC.Using random stratified sampling,24 HIV-positive and 363 HIV-negative patients with colorectal adenocarcinoma after radical resection were selected.Using propensity score matching,we selected 72 patients,matched 1:2(HIV-positive:negative=24:48).Differences in basic characteristics,HIV acquisition,perioperative serological indicators,surgical safety,oncological features,and long-term prognosis were compared between the two groups.RESULTS Fewer patients with HIV infection underwent chemotherapy compared to patients without.HIV-positive patients had fewer preoperative and postoperative leukocytes,fewer preoperative lymphocytes,lower carcinoembryonic antigen levels,more intraoperative blood loss,more metastatic lymph nodes,higher node stage,higher tumor node metastasis stage,shorter overall survival,and shorter progression-free survival compared to patients who were HIV-negative.CONCLUSION Compared with CRC patients who are HIV-negative,patients with HIV infection have more metastatic lymph nodes and worse long-term survival after surgery.Standard treatment options for HIV-positive patients with CRC should be explored.

First and Second Order Statistics Features for Classification of Magnetic Resonance Brain Images

In literature, features based on First and Second Order Statistics that characterizes textures are used for classification of images. Features based on statistics of texture provide far less number of relevant and distinguishable features in comparison to existing methods based on wavelet transformation. In this paper, we investigated performance of texture-based features in comparison to wavelet-based features with commonly used classifiers for the classification of Alzheimer’s disease based on T2-weighted MRI brain image. The performance is evaluated in terms of sensitivity, specificity, accuracy, training and testing time. Experiments are performed on publicly available medical brain images. Experimental results show that the performance with First and Second Order Statistics based features is significantly better in comparison to existing methods based on wavelet transformation in terms of all performance measures for all classifiers.

Endoscopic features and treatments of gastric cystica profunda

BACKGROUND Gastric cystica profunda(GCP)represents a rare condition characterized by cystic dilation of gastric glands within the mucosal and/or submucosal layers.GCP is often linked to,or may progress into,early gastric cancer(EGC).AIM To provide a comprehensive evaluation of the endoscopic features of GCP while assessing the efficacy of endoscopic treatment,thereby offering guidance for diagnosis and treatment.METHODS This retrospective study involved 104 patients with GCP who underwent endoscopic resection.Alongside demographic and clinical data,regular patient followups were conducted to assess local recurrence.RESULTS Among the 104 patients diagnosed with GCP who underwent endoscopic resection,12.5%had a history of previous gastric procedures.The primary site predominantly affected was the cardia(38.5%,n=40).GCP commonly exhibited intraluminal growth(99%),regular presentation(74.0%),and ulcerative mucosa(61.5%).The leading endoscopic feature was the mucosal lesion type(59.6%,n=62).The average maximum diameter was 20.9±15.3 mm,with mucosal involvement in 60.6%(n=63).Procedures lasted 73.9±57.5 min,achieving complete resection in 91.3%(n=95).Recurrence(4.8%)was managed via either surgical intervention(n=1)or through endoscopic resection(n=4).Final pathology confirmed that 59.6%of GCP cases were associated with EGC.Univariate analysis indicated that elderly males were more susceptible to GCP associated with EGC.Conversely,multivariate analysis identified lesion morphology and endoscopic features as significant risk factors.Survival analysis demonstrated no statistically significant difference in recurrence between GCP with and without EGC(P=0.72).CONCLUSION The findings suggested that endoscopic resection might serve as an effective and minimally invasive treatment for GCP with or without EGC.

Geochemical and Isotopic Techniques Constraints on the Origin,Evolution,and Residence Time of Low-enthalpy Geothermal Water in Western Wugongshan,SE China

Geothermal resources are increasingly gaining attention as a competitive,clean energy source to address the energy crisis and mitigate climate change.The Wugongshan area,situated in the southeast coast geothermal belt of China,is a typical geothermal anomaly and contains abundant medium-and low-temperature geothermal resources.This study employed hydrogeochemical and isotopic techniques to explore the cyclic evolution of geothermal water in the western Wugongshan region,encompassing the recharge origin,water-rock interaction mechanisms,and residence time.The results show that the geothermal water in the western region of Wugongshan is weakly alkaline,with low enthalpy and mineralization levels.The hydrochemistry of geothermal waters is dominated by Na-HCO_(3)and Na-SO_(4),while the hydrochemistry types of cold springs are all Na-HCO_(3).The hydrochemistry types of surface waters and rain waters are NaHCO_(3)or Ca-HCO_(3).The δD and δ^(18)O values reveal that the geothermal waters are recharged by atmospheric precipitation at an altitude between 550.0 and 1218.6 m.Molar ratios of maj or solutes and isotopic compositions of^(87)Sr/^(86)Sr underscore the significant role of silicate weathering,dissolution,and cation exchange in controlling geothermal water chemistry.Additionally,geothermal waters experienced varying degrees of mixing with cold water during their ascent.Theδ^(13)C values suggest that the primary sources of carbon in the geothermal waters were biogenic and organic.Theδ^(34)S value suggests that the sulfates in geothermal water originate from sulfide minerals in the surrounding rock.Age dating using 3H and^(14)C isotopes suggests that geothermal waters have a residence time exceeding 1 kaBP and undergo a long-distance cycling process.

滇西无量山逆冲推覆带山前飞来峰的构造成因

印度板块相对于我国华南地块的向北运动在滇西三江地区造成许多地块发生大规模的顺时针旋转,其中,由于刚性度上的差异,临沧花岗岩基的旋转对邻近地块的影响最为明显,导致兰坪—思茅盆地的大规模缩短和无量山的隆升。无量山的隆升是一系列逆冲断片的叠置造成的,其中,古生界无量山群浅变质岩位于最上部,三叠系麦初箐组含煤砂板岩位于中部,侏罗-白垩系红层位于最下部。在无量山的北东山前散布有许多飞来峰,盖在侏罗-白垩系红层之上,由于这些飞来峰的岩性和无量山群及麦初箐组很相似,前人将其视为推覆体。近年来,笔者针对这些飞来峰的变形和地貌特征以及与无量山的构造关系开展系统研究,认为它们是在重力作用下从无量山滑覆下来的岩块,并在滑覆的过程中岩石发生了掀斜。无量山的顶部山峰大多位于同一高度,十分平坦,代表一次侵蚀夷平事件,这说明在推覆造山之后发生过大规模的侵蚀作用,在此之前无量山要高的多,因此造山带边缘的推覆岩片具有很大的势能,这是重力滑覆作用得以发生的条件。可以推测飞来峰的滑覆发生在造山期后,很可能发生在无量山大规模的侵蚀作用期间,因为在此时大气降水多,山体边坡稳定性差。

织物表面折皱的小波分析与自组织神经网络等级评定

为了提取较为精细的图像信息,引入了多尺度2维小波分析织物的表面折皱。织物图像首先经过高斯滤波,再利用小波变换分解并从中提取高频信息,然后结合4种表征织物折皱的特征参数,计算不同折皱等级模板的特征值,通过分析特征值与折皱等级的相关系数,表明这4种特征参数可以作为模式识别的输入量;最后采用Kohonen自组织神经网络客观评定织物的折皱等级,自组织神经网络将不同等级的织物折皱模板进行分类,并以此为依据,确定26种不同织物类型的折皱等级。为了定量描述评定结果,通过计算客观评定与主观评定结果的相关系数,验证该方法的可行性。

Epidemiology, Clinical Features and Antifungal Resistance Profile of Candida auris in Africa: Systematic Review

Candida auris since it discovery in 2009 is becoming a severe threat to human health due to its very quickly spread, its worldwide high resistance to systemic antifungal drugs. In resource-constrained settings where several conditions are met for its emergence and spread, this worrisome fungus could cause large hospital and/or community-based outbreaks. This review aimed to summarize the available data on C. auris in Africa focusing on its epidemiology and antifungal resistance profile. Major databases were searched for articles on the epidemiology and antifungal resistance profile of C. auris in Africa. Out of 2,521 articles identified 22 met the inclusion criteria. In Africa, nearly 89% of African countries have no published data on C. auris. The prevalence of C. auris in Africa was 8.74%. The case fatality rate of C. auris infection in Africa was 39.46%. The main C. auris risk factors reported in Africa were cardiovascular disease, renal failure, diabetes, HIV, recent intake of antimicrobial drugs, ICU admissions, surgery, hemodialysis, parenteral nutrition and indwelling devices. Four phylogenetic clades were reported in Africa, namely clades I, II, III and IV. Candida auris showed a pan-African very high resistance rate to fluconazole, moderate resistance to amphotericin B, and high susceptibility to echinocandins. Finally, C. auris clade-specific mutations were observed within the ERG2, ERG3, ERG9, ERG11, FKS1, TAC1b and MRR1 genes in Africa. This systematic review showed the presence of C. auris in the African continent and a worrying unavailability of data on this resilient fungus in most African countries.