Functional assessment and influencing factors after staged functional training in patients with ankle fractures

BACKGROUND The recovery of limb function after ankle fracture surgery is a gradual process.The main purpose of implementing early functional exercise,joint mobility,muscle contraction function,passive ankle flexion and extension exercises,or physical factor therapy techniques is to achieve the rapid recovery of normal physiological limb function.However,currently the most effective rehabilitation training method is staged limb functional exercise,which promotes rapid recovery of limb function while preventing adverse consequences caused by overwork or insufficient training.Staged limb functional exercise divides the rehabilitation process into multiple stages,each of which has specific training objectives and contents.This method helps patients gradually restore limb function.Nevertheless,some patients still exhibit poor limb function after standardized exercise.Therefore,a functional evaluation should be performed to analyze the impact of staged functional training after ankle fracture surgery.AIM To perform a functional evaluation and determine the influencing factors of staged functional training in patients with ankle fracture.METHODS A retrospective study enrolled 150 patients who underwent surgical treatment for ankle fracture from May 2020 to May 2022 at our hospital.Univariate and multivariate linear regression analyses were performed on general data,functional exercise compliance scale for orthopedic patients,Social Support Rating Scale(SSRS),American Orthopedic Foot and Ankle Score(AOFAS)Ankle-Hindfoot Score,and pain factors[serum bradykinin(BK),prostaglandin E2(PGE2),5-hydroxytryptamine(5-HT)].RESULTS Based on the AOFAS Ankle-Hindfoot Scale,the cases were divided into the excellent function(n=111)and ordinary function(n=39)groups.Univariate analysis revealed that monthly family income,education level,diabetes mellitus,functional exercise compliance scale of orthopedic patients score,SSRS,BK,PGE2,and 5-HT significantly influenced limb function after ankle fracture(P<0.05);Multiple linear regression analysis showed that the functional exercise compliance scale score,SSRS,BK,PGE2,and 5-HT were independent risk factors affecting functional performance after staged functional exercise(P<0.05).CONCLUSION Exercise compliance,SSRS,and pain level are the independent risk factors affecting functional performance after staged functional training following ankle surgery.Clinical nursing care after ankle surgery should include analgesic and health education measures to ensure optimal recovery of limb function.

YOLO-CRD:A Lightweight Model for the Detection of Rice Diseases in Natural Environments

Rice diseases can adversely affect both the yield and quality of rice crops,leading to the increased use of pesticides and environmental pollution.Accurate detection of rice diseases in natural environments is crucial for both operational efficiency and quality assurance.Deep learning-based disease identification technologies have shown promise in automatically discerning disease types.However,effectively extracting early disease features in natural environments remains a challenging problem.To address this issue,this study proposes the YOLO-CRD method.This research selected images of common rice diseases,primarily bakanae disease,bacterial brown spot,leaf rice fever,and dry tip nematode disease,from Tianjin Xiaozhan.The proposed YOLO-CRD model enhanced the YOLOv5s network architecture with a Convolutional Channel Attention Module,Spatial Pyramid Pooling Cross-Stage Partial Channel module,and Ghost module.The former module improves attention across image channels and spatial dimensions,the middle module enhances model generalization,and the latter module reduces model size.To validate the feasibility and robustness of this method,the detection model achieved the following metrics on the test set:mean average precision of 90.2%,accuracy of 90.4%,F1-score of 88.0,and GFLOPS of 18.4.for the specific diseases,the mean average precision scores were 85.8%for bakanae disease,93.5%for bacterial brown spot,94%for leaf rice fever,and 87.4%for dry tip nematode disease.Case studies and comparative analyses verified the effectiveness and superiority of the proposed method.These researchfind-ings can be applied to rice disease detection,laying the groundwork for the development of automated rice disease detection equipment.