目的验证三维多回波数据联合成像(three dimensional multi-echo data imagine combination with selective water excitation,3D MEDIC WE)和三维快速自旋回波成像(three dimensional sampling perfection with application optimized ...目的验证三维多回波数据联合成像(three dimensional multi-echo data imagine combination with selective water excitation,3D MEDIC WE)和三维快速自旋回波成像(three dimensional sampling perfection with application optimized contrasts by using different flip angle evolution,3D SPACE STIR)序列在腰骶丛神经根成像中的可行性和重复性。方法将55例受试者分为腰椎无异常表现的正常对照组(20例)、单纯性腰椎间盘突出症(lumbar disc herniation,LDH)组(20例)和慢性炎性脱髓鞘性多发性神经根神经病症(chronic inflammatory demyelinating polyradiculoneuropathy,CIDP)组(15例),分别应用两种腰骶丛神经根成像,评价图像质量参数信噪比(signal to noise ratio,SNR)、对比噪声比(contrast to noise ratio,CNR)和对比度(contrast ratio,CR),并验证正常对照组、CIDP组和LDH组测量神经根直径的一致性。结果两序列测得神经根直径的一致性较高(正常组r=0.95,CIDP组r=0.99,LDH组r=0.97,P<0.001),图像质量评价指标显示,3D SPACE STIR序列在SNR、CNR和CR三项指标中占优,3D MEDIC WE定性评估图像质量评分较高。两序列均能清晰显示正常腰骶丛神经根、病变所致的弥漫性形态增粗神经根以及间盘突出受挤压变形的神经根。结论3D MEDIC WE和3D SPACE STIR序列可应用于腰骶丛神经根成像,两序列对正常和异常形态、走行的神经根评估具备很高的可行性和重复性。综合考量临床图像的定性、定量评价,可择优选择恰当的序列为腰骶丛神经根成像提供影像支持。展开更多
Thermogravimetric study of medical transfusion tube （MTT） waste containing polyvinyl chloride （PVC） was carried out using the thermogravimetric analyser （TGA） with N2, at different heating rates of 5, 10, 20, 30...Thermogravimetric study of medical transfusion tube （MTT） waste containing polyvinyl chloride （PVC） was carried out using the thermogravimetric analyser （TGA） with N2, at different heating rates of 5, 10, 20, 30, 50 ℃/min. The purpose is to obtain pyrolysis characteristics and kinetic parameters of medical waste. The experimental results indicate that the pyrolysis behavior of the MTT sample is in agreement with its main ingredient of PVC, appearing two stair stepping stages. The influence of the additives in MTT on pyrolysis behavior was also revealed, which could improve MTT pyrolysis at lower temperature in the first stage, and cause obvious unsmoothness and asymmetry of the second DTG peak. Four n-order kinetic models of Coats-Redfern, Ozawa, Kissinger and Freeman-carroll were used to get the kinetic parameters. Furthermore, a novel ＂two-step four-reaction model＂ was established to simulate the whole continuous process. The different methods and the kinetic parameters thus obtained were discussed and compared with each other in literatures. The reasons of deviation among kinetic values were tried to be elucidated. The new established model could more satisfactorily describe the pyrolysis process of MTT, being more mechanistic and conveniently serving for the engineering.展开更多
Objective:Compared with long-term renal replacement therapy,kidney transplantation is the ideal treatment for end-stage renal disease(ESRD),significantly extending patient life and improving quality of life.Kidney tra...Objective:Compared with long-term renal replacement therapy,kidney transplantation is the ideal treatment for end-stage renal disease(ESRD),significantly extending patient life and improving quality of life.Kidney transplant patients need to adhere to lifelong immunosuppressive medication regimens,but their medication adherence is generally poor compared with other organ transplant recipients.Medication adherence is closely related to medication literacy and psychological status,yet related studies are limited.This study aims to investigate the current status of medication adherence,inner strength,and medication literacy in kidney transplant patients,analyze the relationships among these 3 factors,and explore the mediating role of inner strength in the relationship between medication literacy and medication adherence.Methods:A cross-sectional survey was conducted from March to October 2023 involving 421 patients aged≥18 years who visited kidney transplantation outpatient clinics at 4 tertiary hospitals in Hunan Province.The inner strength,medication literacy,and medication adherence of kidney transplant patients were investigated using the Inner Strength Scale(ISS),the Chinese version of the Medication Literacy Assessment in Spanish and English(MedLitRxSE),and the Chinese version of the Morisky Medication Adherence Scale-8(C-MMAS-8),respectively.Univariate analysis was performed to examine the effects of demographic and clinical data on medication adherence.Correlation analysis was conducted to explore the relationships among medication literacy,medication adherence,and inner strength.Significant variables from univariate and correlation analyses were further analyzed using multiple linear regression,and the mediating effect of inner strength was explored.Results:Among the 421 questionnaires collected,408 were valid,with an effective rate of 96.91%.The scores of C-MMAS-8,MedLitRxSE,and ISS were 6.64±1.16,100.63±14.67,and 8.47±4.03,respectively.Among the 408 patients,only 86(21.08%)patients had a high level of medication adherence,whereas 230(56.37%)patients had a medium level of medication adherence,and 92(22.55%)patients had poor medication adherence.Univariate analysis indicated that the kidney transplant patients’age,marital status,education levels,years since their kidney transplant operation,number of hospitalizations after the kidney transplant,and adverse drug reactions showed significant differences in medication adherence(all P<0.05).Correlation analysis showed that inner strength positively correlated with both medication literacy(r=0.183,P<0.001)and medication adherence(r=0.201,P<0.001).Additionally,there was a positive correlation between medication adherence and medication literacy(r=0.236,P<0.001).Inner strength accounted for 13.22%of the total effect in the mediating role between medication literacy and medication adherence.Conclusion:The level of medication adherence among kidney transplant patients needs improvement,and targeted intervention measures are essential.Inner strength mediates the relationship between medication literacy and medication adherence in these patients.Healthcare professionals should focus on enhancing medication literacy and supporting patients’inner strength to improve medication adherence.展开更多
ProQues-Health & Medical Complete(医学健康大全)是由美国Bell & Howell Information and Learning公司(原为UMI公司)出版的众多医学全文网络数据库之一,涵盖护理学、内科学、儿科学、神经学、药理学、心脏病学、物理治疗以...ProQues-Health & Medical Complete(医学健康大全)是由美国Bell & Howell Information and Learning公司(原为UMI公司)出版的众多医学全文网络数据库之一,涵盖护理学、内科学、儿科学、神经学、药理学、心脏病学、物理治疗以及新增的公共卫生和卫生管理等学科。本文作者介绍了ProQuest-Health & Medical Complete网络数据库的概况,详细剖析了其不同检索途径即基本检索、高级检索、主题指南、出版物检索的使用方法及检索技巧,并就如何提高查全率及查准率进行了分析,旨在为医疗卫生工作者查找科研资料提供帮助。展开更多
Objective The aim of this study was to assess quality of results of elderly patients with coronary disease after medical or revascularisation therapy. Methods In this study, we enrolled 103 patients aged 75 years or o...Objective The aim of this study was to assess quality of results of elderly patients with coronary disease after medical or revascularisation therapy. Methods In this study, we enrolled 103 patients aged 75 years or older with chronic angina in which 47 patients were assigned coronary angiography and revascularisation and 56 patients with optimised medical therapy. The primary endpoint was quality of life after 6 months, as assessed by questionnaire and the presence of major adverse cardiac events (death, non fatal myocardial infarction, or hospital admission for acute coronary syndrome with or without the need for revascularisation). Results After 6 months follow up, angina severity decreased and measures of quality of life increased in both treatment groups( P <0.05 ); however, these improvements were significantly greater after revascularisation( P <0.01 ). Major adverse cardiac events occurred in 30 ( 53.6% ) of patients in the medical group and 9 ( 19.1% ) in the invasive group ( P <0.01 ).Conclusions Patients aged 75 years or older with angina benefit more from revascularisation than from optimised medical therapy in terms of symptom relief and quality of life. Therefore, these patients should be offered invasive assessment despite their high risk profile followed by revascularisation if feasible.展开更多
In 2021,China Space Station(CSS)was assembled and constructed in-orbit,which provided a broad space platform for space medicine and space life sciences research.Space medicine focuses on the systematic risks that rest...In 2021,China Space Station(CSS)was assembled and constructed in-orbit,which provided a broad space platform for space medicine and space life sciences research.Space medicine focuses on the systematic risks that restrict long-term manned spaceflight.It carries out systematic research on the impact and countermeasure technology of long-term weightlessness on astronauts’health,space radiation on astronauts’health,behavior and ability,advanced on-orbit monitoring and medical disposal technology,and traditional space medical application technology by the space medicine experiment platform on human body and cell.It has accumulated valuable data on space environmental effects and human factors research,established a“human system risk”research system,obtained new knowledge and discoveries of space medicine,and explored countermeasure technologies of new characteristics.Moreover,a series of achievements have been made in the basic research on the mechanism of the special space environmental effect,which provides a solid foundation for the implementation of space missions.展开更多
In order to overcome the phenomenon of image blur and edge loss in the process of collecting and transmitting medical image,a denoising method of medical image based on discrete wavelet transform(DWT)and modified medi...In order to overcome the phenomenon of image blur and edge loss in the process of collecting and transmitting medical image,a denoising method of medical image based on discrete wavelet transform(DWT)and modified median filter for medical image coupling denoising is proposed.The method is composed of four modules:image acquisition,image storage,image processing and image reconstruction.Image acquisition gets the medical image that contains Gaussian noise and impulse noise.Image storage includes the preservation of data and parameters of the original image and processed image.In the third module,the medical image is decomposed as four sub bands(LL,HL,LH,HH)by wavelet decomposition,where LL is low frequency,LH,HL,HH are respective for horizontal,vertical and in the diagonal line high frequency component.Using improved wavelet threshold to process high frequency coefficients and retain low frequency coefficients,the modified median filtering is performed on three high frequency sub bands after wavelet threshold processing.The last module is image reconstruction,which means getting the image after denoising by wavelet reconstruction.The advantage of this method is combining the advantages of median filter and wavelet to make the denoising effect better,not a simple combination of the two previous methods.With DWT and improved median filter coefficients coupling denoising,it is highly practical for high-precision medical images containing complex noises.The experimental results of proposed algorithm are compared with the results of median filter,wavelet transform,contourlet and DT-CWT,etc.According to visual evaluation index PSNR and SNR and Canny edge detection,in low noise images,PSNR and SNR increase by 10%–15%;in high noise images,PSNR and SNR increase by 2%–6%.The experimental results of the proposed algorithm achieved better acceptable results compared with other methods,which provides an important method for the diagnosis of medical condition.展开更多
In order to enhance the robustness and contrast in the minimum variance(MV) beamformer, adaptive diagonal loading method was proposed. The conventional diagonal loading technique has already been used in the MV beamfo...In order to enhance the robustness and contrast in the minimum variance(MV) beamformer, adaptive diagonal loading method was proposed. The conventional diagonal loading technique has already been used in the MV beamformer, but has the drawback that its level is specified by predefined parameter and without consideration of input-data. To alleviate this problem, the level of diagonal loading was computed appropriately and automatically from the given data by shrinkage method in the proposed adaptive diagonal loaded beamformer. The performance of the proposed beamformer was tested on the simulated point target and cyst phantom was obtained using Field II. In the point target simulation, it is shown that the proposed method has higher lateral resolution than the conventional delay-and-sum beamformer and could be more robust in estimating the amplitude peak than the MV beamformer when acoustic velocity error exists. In the cyst phantom simulation, the proposed beamformer has shown that it achieves an improvement in contrast ratio and without distorting the edges of cyst.展开更多
Thermogravimetric study of rubber compositions （operating glove and catheter） in medical waste was carried out using the thermogravimetric analyser （TGA）,at the heating rate of 20 ℃/min in a stream of N2.The resu...Thermogravimetric study of rubber compositions （operating glove and catheter） in medical waste was carried out using the thermogravimetric analyser （TGA）,at the heating rate of 20 ℃/min in a stream of N2.The results indicate that the decomposition process of operating glove appears an obvious mass loss stage at 250-485 ℃,while catheter has two obvious stages at 240-510 ℃ and 655-800 ℃,respectively; both samples present endothermic pyrolysis reaction; the decomposition of operating glove and the first mass loss stage of catheter are in agreement with natural rubber pyrolysis; the second mass loss stage of catheter corresponds to CaCO3 decomposition.Based on the experimental results,a novel two-step four-reaction model was established to simulate the whole continuous processes,which could more satisfactorily describe and predict the pyrolysis processes of rubber compositions,being more mechanistic and conveniently serving for the engineering.展开更多
It is well-documented that digenetic trematodes exhibit complex life cycles where the definitive hosts are vertebrates—mostly birds,other mammals and reptiles.It is also known that digenetic trematodes are host speci...It is well-documented that digenetic trematodes exhibit complex life cycles where the definitive hosts are vertebrates—mostly birds,other mammals and reptiles.It is also known that digenetic trematodes are host specific,but changes in our feeding habits, agricultural and social practices,have led to human beings infected with parasites that were previously regarded to be of no or insignificant medical importance. The objective of this study was to identify the less known digenetic parasites in the water bodies around Tshwane that may result in possible展开更多
本文通过介绍菲律宾St.Luke's Medical Centre NICU的护理工作制度、服务理念、培训制度以及病房布局、母乳喂养的落实情况、对早产儿的发展性照顾等方面的情况,旨在为我国规范NICU护士专科知识的培训、优化病房环境、加强发展性护...本文通过介绍菲律宾St.Luke's Medical Centre NICU的护理工作制度、服务理念、培训制度以及病房布局、母乳喂养的落实情况、对早产儿的发展性照顾等方面的情况,旨在为我国规范NICU护士专科知识的培训、优化病房环境、加强发展性护理、鼓励父母参与患儿的护理、加强患儿出院前的指导、提高NICU护理工作水平提供参考。展开更多
Thermal decomposition of 21 kinds of binary mixtures between typical medical compositions was investigated under nitrogen conditions by dynamic thermogravimetric analysis(TGA) at 25–800 °C. The weighed sum metho...Thermal decomposition of 21 kinds of binary mixtures between typical medical compositions was investigated under nitrogen conditions by dynamic thermogravimetric analysis(TGA) at 25–800 °C. The weighed sum method(WSM) coupled with thermal analysis was applied to study the interaction between components. Then, co-pyrolysis kinetic model of the binary mixtures(tube for transfusion(TFT) and gauze) was established to verify the reliability of conclusions. The results show the follows. 1) Strong or weak interactions are shown between binary mixtures containing polyvinyl chloride(PVC), the main ingredient of TFT. The addition of other medical waste could enhance first stage decomposition of TFT. While, the secondary stage pyrolysis may be suppressed or enhanced or not affected by the addition. 2) There exists no interaction between catheter and other component, the DTG peak temperature representing Ca CO3 decomposition in catheter fraction is obviously lower than that of pure catheter; while,the shape of DTG peak keeps unchanged. 3) No evident reaction occurs between the other mix-samples, it is considered that their co-pyrolysis characteristics are linear superposition of mono-component pyrolysis characteristics.展开更多
In recent years, the great achievements of basic medical and healthcare services of BRICS have gained great attention and acknowledgement from the whole world. In their medical system reform, India, Brazil, Russia and...In recent years, the great achievements of basic medical and healthcare services of BRICS have gained great attention and acknowledgement from the whole world. In their medical system reform, India, Brazil, Russia and South Africa have established their medical systems with their own characteristics. This provides valuable references for China in its critical stage of medical system reform. This paper explored the experience of BRICS＇ reform of medical system in order to offer some references and guidance for the establishment of basic medical and health services with Chinese characteristics and conforming to Chinese practice.展开更多
文摘目的验证三维多回波数据联合成像(three dimensional multi-echo data imagine combination with selective water excitation,3D MEDIC WE)和三维快速自旋回波成像(three dimensional sampling perfection with application optimized contrasts by using different flip angle evolution,3D SPACE STIR)序列在腰骶丛神经根成像中的可行性和重复性。方法将55例受试者分为腰椎无异常表现的正常对照组(20例)、单纯性腰椎间盘突出症(lumbar disc herniation,LDH)组(20例)和慢性炎性脱髓鞘性多发性神经根神经病症(chronic inflammatory demyelinating polyradiculoneuropathy,CIDP)组(15例),分别应用两种腰骶丛神经根成像,评价图像质量参数信噪比(signal to noise ratio,SNR)、对比噪声比(contrast to noise ratio,CNR)和对比度(contrast ratio,CR),并验证正常对照组、CIDP组和LDH组测量神经根直径的一致性。结果两序列测得神经根直径的一致性较高(正常组r=0.95,CIDP组r=0.99,LDH组r=0.97,P<0.001),图像质量评价指标显示,3D SPACE STIR序列在SNR、CNR和CR三项指标中占优,3D MEDIC WE定性评估图像质量评分较高。两序列均能清晰显示正常腰骶丛神经根、病变所致的弥漫性形态增粗神经根以及间盘突出受挤压变形的神经根。结论3D MEDIC WE和3D SPACE STIR序列可应用于腰骶丛神经根成像,两序列对正常和异常形态、走行的神经根评估具备很高的可行性和重复性。综合考量临床图像的定性、定量评价,可择优选择恰当的序列为腰骶丛神经根成像提供影像支持。
基金Project(50378062) supported by the National Natural Science Foundation of ChinaProject(09JCYBJC08100) supported by the Natural Science Foundation of Tianjin City,China
文摘Thermogravimetric study of medical transfusion tube （MTT） waste containing polyvinyl chloride （PVC） was carried out using the thermogravimetric analyser （TGA） with N2, at different heating rates of 5, 10, 20, 30, 50 ℃/min. The purpose is to obtain pyrolysis characteristics and kinetic parameters of medical waste. The experimental results indicate that the pyrolysis behavior of the MTT sample is in agreement with its main ingredient of PVC, appearing two stair stepping stages. The influence of the additives in MTT on pyrolysis behavior was also revealed, which could improve MTT pyrolysis at lower temperature in the first stage, and cause obvious unsmoothness and asymmetry of the second DTG peak. Four n-order kinetic models of Coats-Redfern, Ozawa, Kissinger and Freeman-carroll were used to get the kinetic parameters. Furthermore, a novel ＂two-step four-reaction model＂ was established to simulate the whole continuous process. The different methods and the kinetic parameters thus obtained were discussed and compared with each other in literatures. The reasons of deviation among kinetic values were tried to be elucidated. The new established model could more satisfactorily describe the pyrolysis process of MTT, being more mechanistic and conveniently serving for the engineering.
基金This work was supported by the Natural Science Foundation of Hunan Province,China (2024JJ9201)。
文摘Objective:Compared with long-term renal replacement therapy,kidney transplantation is the ideal treatment for end-stage renal disease(ESRD),significantly extending patient life and improving quality of life.Kidney transplant patients need to adhere to lifelong immunosuppressive medication regimens,but their medication adherence is generally poor compared with other organ transplant recipients.Medication adherence is closely related to medication literacy and psychological status,yet related studies are limited.This study aims to investigate the current status of medication adherence,inner strength,and medication literacy in kidney transplant patients,analyze the relationships among these 3 factors,and explore the mediating role of inner strength in the relationship between medication literacy and medication adherence.Methods:A cross-sectional survey was conducted from March to October 2023 involving 421 patients aged≥18 years who visited kidney transplantation outpatient clinics at 4 tertiary hospitals in Hunan Province.The inner strength,medication literacy,and medication adherence of kidney transplant patients were investigated using the Inner Strength Scale(ISS),the Chinese version of the Medication Literacy Assessment in Spanish and English(MedLitRxSE),and the Chinese version of the Morisky Medication Adherence Scale-8(C-MMAS-8),respectively.Univariate analysis was performed to examine the effects of demographic and clinical data on medication adherence.Correlation analysis was conducted to explore the relationships among medication literacy,medication adherence,and inner strength.Significant variables from univariate and correlation analyses were further analyzed using multiple linear regression,and the mediating effect of inner strength was explored.Results:Among the 421 questionnaires collected,408 were valid,with an effective rate of 96.91%.The scores of C-MMAS-8,MedLitRxSE,and ISS were 6.64±1.16,100.63±14.67,and 8.47±4.03,respectively.Among the 408 patients,only 86(21.08%)patients had a high level of medication adherence,whereas 230(56.37%)patients had a medium level of medication adherence,and 92(22.55%)patients had poor medication adherence.Univariate analysis indicated that the kidney transplant patients’age,marital status,education levels,years since their kidney transplant operation,number of hospitalizations after the kidney transplant,and adverse drug reactions showed significant differences in medication adherence(all P<0.05).Correlation analysis showed that inner strength positively correlated with both medication literacy(r=0.183,P<0.001)and medication adherence(r=0.201,P<0.001).Additionally,there was a positive correlation between medication adherence and medication literacy(r=0.236,P<0.001).Inner strength accounted for 13.22%of the total effect in the mediating role between medication literacy and medication adherence.Conclusion:The level of medication adherence among kidney transplant patients needs improvement,and targeted intervention measures are essential.Inner strength mediates the relationship between medication literacy and medication adherence in these patients.Healthcare professionals should focus on enhancing medication literacy and supporting patients’inner strength to improve medication adherence.
文摘ProQues-Health & Medical Complete(医学健康大全)是由美国Bell & Howell Information and Learning公司(原为UMI公司)出版的众多医学全文网络数据库之一,涵盖护理学、内科学、儿科学、神经学、药理学、心脏病学、物理治疗以及新增的公共卫生和卫生管理等学科。本文作者介绍了ProQuest-Health & Medical Complete网络数据库的概况,详细剖析了其不同检索途径即基本检索、高级检索、主题指南、出版物检索的使用方法及检索技巧,并就如何提高查全率及查准率进行了分析,旨在为医疗卫生工作者查找科研资料提供帮助。
文摘Objective The aim of this study was to assess quality of results of elderly patients with coronary disease after medical or revascularisation therapy. Methods In this study, we enrolled 103 patients aged 75 years or older with chronic angina in which 47 patients were assigned coronary angiography and revascularisation and 56 patients with optimised medical therapy. The primary endpoint was quality of life after 6 months, as assessed by questionnaire and the presence of major adverse cardiac events (death, non fatal myocardial infarction, or hospital admission for acute coronary syndrome with or without the need for revascularisation). Results After 6 months follow up, angina severity decreased and measures of quality of life increased in both treatment groups( P <0.05 ); however, these improvements were significantly greater after revascularisation( P <0.01 ). Major adverse cardiac events occurred in 30 ( 53.6% ) of patients in the medical group and 9 ( 19.1% ) in the invasive group ( P <0.01 ).Conclusions Patients aged 75 years or older with angina benefit more from revascularisation than from optimised medical therapy in terms of symptom relief and quality of life. Therefore, these patients should be offered invasive assessment despite their high risk profile followed by revascularisation if feasible.
文摘In 2021,China Space Station(CSS)was assembled and constructed in-orbit,which provided a broad space platform for space medicine and space life sciences research.Space medicine focuses on the systematic risks that restrict long-term manned spaceflight.It carries out systematic research on the impact and countermeasure technology of long-term weightlessness on astronauts’health,space radiation on astronauts’health,behavior and ability,advanced on-orbit monitoring and medical disposal technology,and traditional space medical application technology by the space medicine experiment platform on human body and cell.It has accumulated valuable data on space environmental effects and human factors research,established a“human system risk”research system,obtained new knowledge and discoveries of space medicine,and explored countermeasure technologies of new characteristics.Moreover,a series of achievements have been made in the basic research on the mechanism of the special space environmental effect,which provides a solid foundation for the implementation of space missions.
基金Project(2016JJ4074)supported by the Natural Science Foundation of Hunan Province,ChinaProject(14C0920)supported by the Hunan Provincial Education Department,ChinaProject(61771191)supported by the National Natural Science Foundation of China
文摘In order to overcome the phenomenon of image blur and edge loss in the process of collecting and transmitting medical image,a denoising method of medical image based on discrete wavelet transform(DWT)and modified median filter for medical image coupling denoising is proposed.The method is composed of four modules:image acquisition,image storage,image processing and image reconstruction.Image acquisition gets the medical image that contains Gaussian noise and impulse noise.Image storage includes the preservation of data and parameters of the original image and processed image.In the third module,the medical image is decomposed as four sub bands(LL,HL,LH,HH)by wavelet decomposition,where LL is low frequency,LH,HL,HH are respective for horizontal,vertical and in the diagonal line high frequency component.Using improved wavelet threshold to process high frequency coefficients and retain low frequency coefficients,the modified median filtering is performed on three high frequency sub bands after wavelet threshold processing.The last module is image reconstruction,which means getting the image after denoising by wavelet reconstruction.The advantage of this method is combining the advantages of median filter and wavelet to make the denoising effect better,not a simple combination of the two previous methods.With DWT and improved median filter coefficients coupling denoising,it is highly practical for high-precision medical images containing complex noises.The experimental results of proposed algorithm are compared with the results of median filter,wavelet transform,contourlet and DT-CWT,etc.According to visual evaluation index PSNR and SNR and Canny edge detection,in low noise images,PSNR and SNR increase by 10%–15%;in high noise images,PSNR and SNR increase by 2%–6%.The experimental results of the proposed algorithm achieved better acceptable results compared with other methods,which provides an important method for the diagnosis of medical condition.
基金Project(2013GZX0147-3)supported by the Science and Technology Pillar Program of Sichuan Province,China
文摘In order to enhance the robustness and contrast in the minimum variance(MV) beamformer, adaptive diagonal loading method was proposed. The conventional diagonal loading technique has already been used in the MV beamformer, but has the drawback that its level is specified by predefined parameter and without consideration of input-data. To alleviate this problem, the level of diagonal loading was computed appropriately and automatically from the given data by shrinkage method in the proposed adaptive diagonal loaded beamformer. The performance of the proposed beamformer was tested on the simulated point target and cyst phantom was obtained using Field II. In the point target simulation, it is shown that the proposed method has higher lateral resolution than the conventional delay-and-sum beamformer and could be more robust in estimating the amplitude peak than the MV beamformer when acoustic velocity error exists. In the cyst phantom simulation, the proposed beamformer has shown that it achieves an improvement in contrast ratio and without distorting the edges of cyst.
基金Project(50378062)supported by the National Natural Science Foundation of ChinaProject(09JCYBJC08100)supported by the Natural Science Foundation of Tianjin Municipality,ChinaProject supported by Key Laboratory Program of the Ministry of Education,China
文摘Thermogravimetric study of rubber compositions （operating glove and catheter） in medical waste was carried out using the thermogravimetric analyser （TGA）,at the heating rate of 20 ℃/min in a stream of N2.The results indicate that the decomposition process of operating glove appears an obvious mass loss stage at 250-485 ℃,while catheter has two obvious stages at 240-510 ℃ and 655-800 ℃,respectively; both samples present endothermic pyrolysis reaction; the decomposition of operating glove and the first mass loss stage of catheter are in agreement with natural rubber pyrolysis; the second mass loss stage of catheter corresponds to CaCO3 decomposition.Based on the experimental results,a novel two-step four-reaction model was established to simulate the whole continuous processes,which could more satisfactorily describe and predict the pyrolysis processes of rubber compositions,being more mechanistic and conveniently serving for the engineering.
文摘It is well-documented that digenetic trematodes exhibit complex life cycles where the definitive hosts are vertebrates—mostly birds,other mammals and reptiles.It is also known that digenetic trematodes are host specific,but changes in our feeding habits, agricultural and social practices,have led to human beings infected with parasites that were previously regarded to be of no or insignificant medical importance. The objective of this study was to identify the less known digenetic parasites in the water bodies around Tshwane that may result in possible
文摘本文通过介绍菲律宾St.Luke's Medical Centre NICU的护理工作制度、服务理念、培训制度以及病房布局、母乳喂养的落实情况、对早产儿的发展性照顾等方面的情况,旨在为我国规范NICU护士专科知识的培训、优化病房环境、加强发展性护理、鼓励父母参与患儿的护理、加强患儿出院前的指导、提高NICU护理工作水平提供参考。
基金Projects(51105269,51406133)supported by the National Natural Science Foundation of ChinaProject supported by the ScientificResearch Foundation for the Returned Overseas Chinese Scholars,Ministry of Education,ChinaProject supported by the Ministry ofEducation Key Laboratory Program,China
文摘Thermal decomposition of 21 kinds of binary mixtures between typical medical compositions was investigated under nitrogen conditions by dynamic thermogravimetric analysis(TGA) at 25–800 °C. The weighed sum method(WSM) coupled with thermal analysis was applied to study the interaction between components. Then, co-pyrolysis kinetic model of the binary mixtures(tube for transfusion(TFT) and gauze) was established to verify the reliability of conclusions. The results show the follows. 1) Strong or weak interactions are shown between binary mixtures containing polyvinyl chloride(PVC), the main ingredient of TFT. The addition of other medical waste could enhance first stage decomposition of TFT. While, the secondary stage pyrolysis may be suppressed or enhanced or not affected by the addition. 2) There exists no interaction between catheter and other component, the DTG peak temperature representing Ca CO3 decomposition in catheter fraction is obviously lower than that of pure catheter; while,the shape of DTG peak keeps unchanged. 3) No evident reaction occurs between the other mix-samples, it is considered that their co-pyrolysis characteristics are linear superposition of mono-component pyrolysis characteristics.
文摘In recent years, the great achievements of basic medical and healthcare services of BRICS have gained great attention and acknowledgement from the whole world. In their medical system reform, India, Brazil, Russia and South Africa have established their medical systems with their own characteristics. This provides valuable references for China in its critical stage of medical system reform. This paper explored the experience of BRICS＇ reform of medical system in order to offer some references and guidance for the establishment of basic medical and health services with Chinese characteristics and conforming to Chinese practice.
