中药内结合治疗风寒湿痹及顽痹62例疗效观察

该用户界面开发环境是以Ｘ－ＷＩＮＤＯＷ为开发环境，采用面向对象技术，通过可视界面编辑技术建立用户界面的成分，通过修改其相应的属性来设计用户界面。系统提供了三个用户界面工具，能够实现软复杂的界面控制，为仿真软件的界面设计提供了良好的支撑。     

ViewRay磁共振引导放疗系统的研究进展

ViewRay磁共振引导放疗系统不但解决了成像剂量的问题,还能根据MRI进行精准摆位、在线自适应放疗以及门控照射。该系统的发展为精准放疗提供了一种新的技术手段。本文介绍ViewRay系统的主要结构,并综述质量控制体系、剂量学比较、呼吸运动管理、在线自适应放疗以及初步治疗效果。     

西门子Esprit T螺旋CT故障维修一则

故障现象 当开启整个系统,程序进入用户界面时,出现"机架启动失败"错误信息.扫描架两侧控制面板上的操作按钮没有亮起,床水平、垂直位置以及机架倾斜角度都是"8888"显示.     

个体自适应行为对结构化人群中传染病传播动力学的影晌

人的个体行为对传染病在人群中的传播动态具有重要影响。,研究和确定个体自适应行为与疫情发展态势之间的关系,是制定科学的信息发布和心理疏导机制从而做到有效防控疫情、避免社会恐慌的主要基础。该文旨在研究面对传染病大规模传播时,个体自适应行为的触发机制及其对传染病传播动力学的影响。通过分析SARS以来几次大规模突发传染病疫情下个体行为实证数据,确认了两种主要的信息源即公共信息和局部信息对个体自适应行为的诱导作用,并采用健康信念模型描述个体自适应行为的演化机制,采用复杂网络模型分析了自适应行为改变对疫情发展动态的影响。突发新发传染病疫情下的实时公共信息和局部信息诱导个体做出自适应的规避行为,从而降低了感染疾病的概率,有效地抑制了疫情的发展。个体自适应行为对传染病传播动力学具有重要的影响,有效的信息发布机制将诱导个体自适应行为的产生,进而对疫情防控产生积极效果,并可避免社会恐慌的产生．．     

Siemens AR. nova CT故障维修三则

故障现象一开机,系统程序进入用户界面后,机架启动失败,机架两侧的操作按钮灯不亮,床水平、垂直位及机架倾斜角度显示"1888",系统提示错误信息.     

基于放射组学的机器学习预测盆腔调强放疗剂量验证的γ通过率

目的利用放射组学特征构建不同的机器学习分类模型, 预测盆腔肿瘤调强放疗剂量验证的γ通过率, 并探讨最佳预测模型。方法回顾性分析196例盆腔肿瘤调强放疗计划, 采用基于模体测量方式的三维剂量验证结果, γ通过率标准为3%/2 mm、10%剂量阈值。提取基于剂量文件的放射组学特征构建预测模型。分别采用随机森林、支持向量机、自适应增强和梯度提升决策树4种机器学习算法, 计算曲线下面积(AUC)值、敏感度和特异度, 评估4种预测模型的分类性能。结果随机森林、支持向量机、自适应增强、梯度提升决策树模型的灵敏度和特异度分别为0.93、0.85, 0.93、0.96, 0.38、0.69, 0.46、0.46。随机森林模型和自适应增强模型的AUC值分别为0.81和0.82, 支持向量机和梯度提升决策树模型的AUC值为0.87。结论针对盆腔肿瘤调强放疗计划, 可以采用基于放射组学特征的机器学习方法来构建γ通过率的预测模型。支持向量机模型和梯度提升决策树模型的分类性能要优于随机森林模型、自适应增强模型。     

虚拟弹性球体处理实现CT和MRI血管成像中血管狭窄可重复性量化

目的开发并评价一种用户界面友好的CT和MRI血管成像数据后处理工具包,实现有效、准确及可重复血管狭窄的量化。材料与方法所有的临床实验经当地伦理委员会批准,并获得病人知情同意。动物实验经政府实验动物管理审查委员会批准。由用户确定测量血管的起始,虚拟弹性     

在PowerBuilder中实现小写金额转换成大写金额

随着数据库技术在各行各业的广泛应用,作为企业级数据库前端开发工具的ＰｏｗｅｒＢｕｉｌｄｅｒ日益成为开发人员的得力助手。ＰｏｗｅｒＢｕｉｌｄｅｒ以其开放的体系结构,友好的用户界面和简洁高效的开发环境赢得了众多程序员的喜爱,在数据库开发工具领域占据了高达44%的市场份额。ＰｏｗｅｒＢｕｉｌｄｅｒ是由多个功能模块组成的可视化集成开发环境,是面向对象的开发工具,用它可以方便地建立起基于Ｗｉｎｄｏｗｓ的分布式数据库应用。其功能模块完成应用管理、窗口对象设计、菜单对象设计、数据窗对象设计和数据库查询等工作,这些功能…     

双频率阻抗法在呼吸监测中的应用研究

目的 对应用双频率阻抗测试和自适应处理技术相结合的方法消除呼吸阻抗测量中的运动干扰问题进行一些探索性的研究。方法 采用自行研制的双通道呼吸阻抗测量硬件系统以自适应抵消处理为主的软件系统进行了人体实验研究。结果 运动干扰信号基本消除。低频与高频呼吸阻抗信号的比值Ｋ随着运动强度的增加而增大。结论 应用该方法消除呼吸阻 的运动干扰具有一定的可行性，但是在实际应用中，为了得到更好的结果，应注意考虑Ｋ值的准     

动态环境血氧饱和度监测的运动干扰分离自适应对消方法

目的为解决动态环境中脉搏血氧饱和度监测容易受到运动干扰的问题,提出一种新的运动干扰分离自适应对消方法。方法在对动态环境光电容积脉搏波信号干扰分析的基础上,首先通过计算信号包络提取出红光和红外光光电容积脉搏波信号的交流分量,并分离出与干扰相关的信号,然后将其作为参考信号进行自适应滤波,去除运动干扰。结果采用本文提出的方法可有效抑制运动干扰对血氧饱和度结果的影响。结论本方法充分利用了光电容积脉搏波信号包含的信息,具有结果准确、稳定,运算量小的特点,可应用于动态环境血氧饱和度的监测。     

Knee injury and Osteoarthritis Outcome Score (KOOS) - validation of a Swedish version

The Knee injury and Osteoarthritis Outcome Score (KOOS) is a self-administered instrument measuring outcome after knee injury at impairment, disability, and handicap level in five subscales. Reliability, validity, and responsiveness of a Swedish version was assessed in 142 patients who underwent arthroscopy because of injury to the menisci, anterior cruciate ligament, or cartilage of the knee. The clinimetric properties were found to be good and comparable to the American version of the KOOS. Comparison to the Short Form-36 and the Lysholm knee scoring scale revealed expected correlations and construct validity. Item by item, symptoms and functional limitations were compared between diagnostic groups. High responsiveness was found three months after arthroscopic partial meniscectomy for all subscales but Activities of Daily Living.     

Endovascular management of carotid-cavernous fistulas

Objective To investigate endovascular treatment of traumatic direct carotid-cavernous fistulas （CCF） and their complications such as pseudoaneurysms. Methods： Over a five-year period, 22 patients with traumatic direct CCFs were treated endovascularly in our institution. Thirteen patients were treated once with the result of CCF occluded, 8 twice and 1 three times. Treatment modalities included balloon occlusion of the CCF, sacrifice of the ipsilateral internal carotid artery with detachable balloon, coll embolization of the cavernous sinus and secondary pseudoaneurysms, and covered-stem management of the pseudoaneurysms. Results All the direct CCFs were successfully managed endovascularly. Four patients developed a pseudoaneurysm after the occlusion of the CCF with an incidence of pseudoaneurysm formation of 18.2% （4/22）. A total number of 8 patients experienced permanent occlusion of the ICA with a rate of ICA occlusion reaching 36.4% （8/22）. Followed up through telephone consultation from 6 months to 5 years, all did well with no recurrence of CCF symptoms and signs. Conclusion Traumatic direct CCFs can be successfully managed with endovascular means. The pseudoaneurysms secondary to the occlusion of the CCFs can be occluded with stent-assisted coiling and implantation of covered stents.     

The role of interventional radiology in trauma

Introduction Interventional Radiology has evolved into a specialty having enormous input into the care of the traumatized patient.In all hospitals,regardless of size,the Interventional Radiologist must consider their relationships with the trauma service in order to     

Diagnóstico ecográfico del neumotórax

The ultrasonographic diagnosis of pneumothorax is based on the analysis of artifacts. It is possible to confirm or rule out pneumothorax by combining the following signs: lung sliding, the A and B lines, and the lung point. One fundamental advantage of lung ultrasonography is its easy access in any critical situation, especially in patients in the intensive care unit. For this reason, chest ultrasonography can be used as an alternative to plain-film X-rays and computed tomography in critical patients and in patients with normal plain films in whom pneumothorax is strongly suspected, as well as to evaluate the extent of the pneumothorax and monitor its evolution.     

Carbohydrate Supplementation during Exercise: Does It Help? How Much is Too Much?

KEY POINTS· Carbohydrate intake during exercise can delay the onset of fatigue and improve performance of prolonged exercise as well as exercise of shorter duration and greater intensity (e.g., continuous exercise lasting about 1h and intermittent high-intensity exercise), but the mechanisms by which performance is improved are different.     

The acutely limping child

Acute limping may be the result of multiple pathologies in children. The differential diagnosis varies based on the age of the child. Irrespective of age, the initial imaging work-up includes AP and frog leg radiographs of the pelvis and ultrasound; MRI may sometimes be helpful. In children less than 3 years, infections and trauma are most frequent. MRI is the imaging modality of choice when osteomyelitis is clinically suspected. Between the ages of 3 and 10 years, transient synovitis of the hip and Legg-Calvé-Perthes disease are main considerations but infection, inflammation and focal bony lesions are also considered. In children over 10 years, slipped capital femoral epiphysis also is considered.