The objective of this guideline is to outline the role of magnetic resonance imaging(MRI) in clinical decision making and outcome prediction in patients with traumatic spinal cord injury(SCI).Methods A systematic revi...The objective of this guideline is to outline the role of magnetic resonance imaging(MRI) in clinical decision making and outcome prediction in patients with traumatic spinal cord injury(SCI).Methods A systematic review of the literature was conducted to address key questions related to the use of MRI in patients with traumatic SCI.This review focused on longitudinal studies that controlled for baseline neurologic status.A multidisciplinary Guideline Development Group(GDG) used this information,their clinical expertise,and patient input to develop recommendations on the use of MRI for SCI patients.Based on GRADE(Grading of Recommendation,Assessment,Development and Evaluation),a strong recommendation is worded as " we recommend," whereas a weaker recommendation is indicated by "we suggest." Results Based on the limited available evidence and the clinical expertise of the GDG,our recommendations were:(1) "We suggest that MRI be performed in adult patients with acute SCI prior to surgical intervention,when feasible,to facilitate improved clinical decision-making"(quality of evidence,very low) and(2) "We suggest that MRI should be performed in adult patients in the acute period following SCI,before or after surgical intervention,to improve prediction of neurologic outcome "(quality of evidence,low).Conclusions These guidelines should be implemented into clinical practice to improve outcomes and prognostication for patients with SCI.展开更多
Objective:Fatigue is the most common complication of cancer treatment procedure during chemotherapy,leading to limited daily activities,mood swings,and ultimately impaired functional status.This study aimed to determi...Objective:Fatigue is the most common complication of cancer treatment procedure during chemotherapy,leading to limited daily activities,mood swings,and ultimately impaired functional status.This study aimed to determine the effect of energy efficiency training on the fatigue scores of children with a cancer diagnosis.Methods:In the present clinical trial study,30 children with a cancer diagnosis were randomly assigned variously to the control and testing groups.The cancer-related fatigue questionnaire for children with cancer was employed as the data collection tool.The intervention of the testing group was conducted in 4 sessions of 45-60 min of face-to-face interaction,group sessions,and questionand-answer sessions.Meanwhile,routine interventions were employed in the control group.Quantitative variables were repor ted as mean and standard deviation,and qualitative variables as frequency and percentage.Stata 11 statistical software and a change score approach were used to analyze the data.Results:The mean fatigue score of the testing group increased from 72.12 to 77.53.There was a statistically significant difference between the mean fatigue scores of the testing group before and after the intervention(P=0.013),and the children’s fatigue score decreased.There was a statistically significant difference between the mean fatigue scores of the testing and control groups before and after the intervention(P=0.001),and the fatigue score of the children in the testing group had decreased compared to the control group.Conclusions:Energy efficiency techniques can be employed to increase energy and reduce fatigue during pediatric chemotherapy.展开更多
In this article, a laboratory-built experimental system-laser-induced breakdown spec-troscopy (LIBS), is used to measure soil samples. It explores landslides band soil of five typical land-slides in Xiangxi (香溪)...In this article, a laboratory-built experimental system-laser-induced breakdown spec-troscopy (LIBS), is used to measure soil samples. It explores landslides band soil of five typical land-slides in Xiangxi (香溪) River Section of the Three Gorges Reservoir area, which include Bazimen (八字门) landslide, Baijiabao (白家堡) landslide, Jiajiadian (贾家店) landslide, Sixiangxi (泗乡溪)landslide and an unnamed landslide that has already slipped. Soil samples of the five landslides are taken in dif-ferent latitudes, and in relatively consistent altitude. Through experimental measurement, the authors get spectrum of those soil samples, and then do qualitative and quantitative analyses of elements (Mg, Si, K, Al, etc.) in them. The authors conclude that main metal elements in the soil change according to different longitudes and latitudes, which opens up a new way of thinking for the quantitative analysis of the function of soil and water, and for the establishment of relations between chemical environment factors and soil engineering mechanics effects.展开更多
文摘The objective of this guideline is to outline the role of magnetic resonance imaging(MRI) in clinical decision making and outcome prediction in patients with traumatic spinal cord injury(SCI).Methods A systematic review of the literature was conducted to address key questions related to the use of MRI in patients with traumatic SCI.This review focused on longitudinal studies that controlled for baseline neurologic status.A multidisciplinary Guideline Development Group(GDG) used this information,their clinical expertise,and patient input to develop recommendations on the use of MRI for SCI patients.Based on GRADE(Grading of Recommendation,Assessment,Development and Evaluation),a strong recommendation is worded as " we recommend," whereas a weaker recommendation is indicated by "we suggest." Results Based on the limited available evidence and the clinical expertise of the GDG,our recommendations were:(1) "We suggest that MRI be performed in adult patients with acute SCI prior to surgical intervention,when feasible,to facilitate improved clinical decision-making"(quality of evidence,very low) and(2) "We suggest that MRI should be performed in adult patients in the acute period following SCI,before or after surgical intervention,to improve prediction of neurologic outcome "(quality of evidence,low).Conclusions These guidelines should be implemented into clinical practice to improve outcomes and prognostication for patients with SCI.
基金supported by Energy efficiency training’s effect on fatigue scores of children with a cancer diagnosis(No.9810107530)。
文摘Objective:Fatigue is the most common complication of cancer treatment procedure during chemotherapy,leading to limited daily activities,mood swings,and ultimately impaired functional status.This study aimed to determine the effect of energy efficiency training on the fatigue scores of children with a cancer diagnosis.Methods:In the present clinical trial study,30 children with a cancer diagnosis were randomly assigned variously to the control and testing groups.The cancer-related fatigue questionnaire for children with cancer was employed as the data collection tool.The intervention of the testing group was conducted in 4 sessions of 45-60 min of face-to-face interaction,group sessions,and questionand-answer sessions.Meanwhile,routine interventions were employed in the control group.Quantitative variables were repor ted as mean and standard deviation,and qualitative variables as frequency and percentage.Stata 11 statistical software and a change score approach were used to analyze the data.Results:The mean fatigue score of the testing group increased from 72.12 to 77.53.There was a statistically significant difference between the mean fatigue scores of the testing group before and after the intervention(P=0.013),and the children’s fatigue score decreased.There was a statistically significant difference between the mean fatigue scores of the testing and control groups before and after the intervention(P=0.001),and the fatigue score of the children in the testing group had decreased compared to the control group.Conclusions:Energy efficiency techniques can be employed to increase energy and reduce fatigue during pediatric chemotherapy.
基金supported by the National Natural Science Foundation of China (No. 50846041)the Three Gorges Research Center for Geo-hazard, Ministry of Education (No.TGRC201019)the Youth Foundation of South-Central University for Nationalities (No. yzq10006)
文摘In this article, a laboratory-built experimental system-laser-induced breakdown spec-troscopy (LIBS), is used to measure soil samples. It explores landslides band soil of five typical land-slides in Xiangxi (香溪) River Section of the Three Gorges Reservoir area, which include Bazimen (八字门) landslide, Baijiabao (白家堡) landslide, Jiajiadian (贾家店) landslide, Sixiangxi (泗乡溪)landslide and an unnamed landslide that has already slipped. Soil samples of the five landslides are taken in dif-ferent latitudes, and in relatively consistent altitude. Through experimental measurement, the authors get spectrum of those soil samples, and then do qualitative and quantitative analyses of elements (Mg, Si, K, Al, etc.) in them. The authors conclude that main metal elements in the soil change according to different longitudes and latitudes, which opens up a new way of thinking for the quantitative analysis of the function of soil and water, and for the establishment of relations between chemical environment factors and soil engineering mechanics effects.