简介：Afirstgradeteachercollectedwell-knownproverbs.Hegaveeachkidintheclassthefirsthalfoftheproverb,andaskedthemtocomeupwiththerest.Hereiswhatthekidscameupwith:

简介：现在的学习是为检测HIFU调查微分成像方法(高紧张集中了超声)导致的损害和为有木头的损害评估的变细的变化的评价光谱差别算法。在vitro的牛的肌肉和肝的实验结果被获得。为损害察觉的几个算法-绝对差别(广告)，加绝对差别(悲伤)并且加摆平的差别(SSD)-与几种窗户尺寸和阀值价值被分析。当时，三个变细参数与相比评估织物的度损坏。它被发现吝啬的变细的那个变化()是一个有效参数评估损害。

简介：摘要Endoscopic ultrasound (EUS) has both diagnostic and therapeutic clinical applications. This review article focuses on recent advances in two commonly performed procedures: EUS-guided tissue acquisition and EUS-guided drainage. There is a shift from acquiring aspirates for cytology to obtaining tissue cores for histological diagnoses and molecular analyses. There is growing interest and research about artificial intelligence in EUS. Artificial intelligence may potentially be useful to guide clinical decision making if biopsy results are non-diagnostic. The range of EUS-guided drainage procedures has expanded. EUS-guided drainage of walled-off pancreatic fluid collections is an accepted first line treatment option. EUS-guided palliative drainage of malignant biliary obstruction after unsuccessful endoscopic retrograde cholangiopancreatography (ERCP) is now an accepted alternative to percutaneous transhepatic biliary drainage. EUS-guided gallbladder drainage for management of acute cholecystitis is now a preferred option over percutaneous cholecystostomy for non-surgical candidates. Other EUS-created gastrointestinal anastomoses such as EUS-guided gastroenterostomy in the context of gastric outlet obstruction, and EUS-directed transgastric ERCP for Roux-en-Y gastric bypass are now technically feasible, but further prospective randomized studies are needed to establish the actual clinical impact.

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简介：为了更方便地并且更快速理解超声图象的内容，在这份报纸，我们建议一个coarse-to-fine超声图象captioning整体模型，它能自动地产生由相关n克构成在超声图象描述疾病信息的注解文章。首先，在超声图象的机关被粗糙的分类模型检测。第二，超声图象被相应有细密纹理的分类模型根据机关标签编码。最后，我们输入编码向量到产生模型自动地产生的语言产生模型，和语言在超声描述疾病信息的注解文本想象。在我们的实验，编码模型能在超声图象识别获得高精确性率。并且语言产生模型能自动地产生高质量的注解文本。在实际应用，coarse-to-fine超声图象captioning整体模型能帮助病人和医生获得很好超声图象的内容理解。

简介：Ultrasound(US)-inducedcavitationisaneffectivewayinoxidizingorganiccontaminantsinwastewatereitherastheindependentoperationunitorincombinationwithotheroxidationmethods.Inthispaper,blackliquorandfiltrateafteracidifyingandsettlingweresonicated.Theeffectofworkingparametersonultrasonicdegradationofblackliquor,suchasdifferentcombinationmethods,frequency,powersupply,initialconcentration,pH,durationtime,ionicstrengthandcatalystwerestudied.Theresultswereasfollows:(1)Attheconditionsof40kHz,100W,4h,pHat6andtemperature30±2℃,utilizingUS/US-H2O2/US-Fenton,weak-orangefiltrateturnedtocolloidwiththeincreaseoftimeandlittlesedimentproducedaftersettling.EspeciallyfiltratecametobemilkwhitecollidesandupperwaterapproachedtonearlyachromaticbyUS-Fenton.ComparedwiththeUS,US-H2O2/US-FentonCOD(Chemicaloxidationdemand)removalratiocanincrease15%,30%respectively.Becauseofmorehydroxylradicalsproducedinthereactionprocess;(2)Attheconditionof100Wand4h,thedegradationefficiencyofblackliquorwasbetterat40kHzoverat20kHz.Moreoverblackliquorcanbebiodegradedeasily.Thosebasedonthatthebigmoleculeofcontaminantsinaqueoussolutioncanbechangedintothelittlemoleculewithultrasound(3)Attheconditionof40kHzand4h,theCODremovalratioofblackliquorwasmorehigherat60Wthanat80W,whiletheremovalratioofCODat60Wwasnearlyclosetotheratioat100W;(4)Theinitialconcentrationofblackliquorinfluencedtheeffectofsonochemicaldegradation;(5)ThevariationofpHhadnoeffectondegradation;(6)Thelongerthedurationtime,thegreatertheremovalratioofCOD.Butthisratioincreasedslowlyafter4h;(7)Adding0.2g/LNaCltochangetheionicstrengthoftheblackliquor,theCODremovalratiocanincrease10%;(8)ThedegradationratesincreasedbythecoexistentcatalystsofTiO2,Co2+andAg+.

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简介：粉末的超声的microfeeding是为在稳固的freeforming和药品的dosing的使用的一个新、有希望的方法。在这个工作，用超声的颤动的控制计算机的microfeeding系统一毛状被造。流动和切换的控制的大量控制的、稳定的率在声学的颤动系统被完成，一致粉末剂量在超声的系统被获得。试验性的结果证明那条嘴直径，传播液体深度，波形，电压振幅，频率和摆动持续时间都影响剂量团。在这些之中，因素，嘴直径，电压振幅和摆动持续时间能是过去常控制剂量团的最好。一种人工的神经网络(ANN)技术被使用预言剂量团。基于这些研究结果，microfeeding的四种类型被建议。

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简介：无数生物因素被建议了解释早泄(PE)。然而，有精囊(SV)的数据相关PE是稀少的。学习试图评估在SV和PE的尺寸之间的关系。没有PE，代表性的学习与PE和44个志愿者包括了44个门诊病人，并且SV的尺寸被比较。射精的潜伏时间，早泄诊断工具(PEDT)，可勃起的Function-15的国际索引，和健康长期的前列腺炎症状的国家研究所索引的自我估计的intravaginal被用于对症状的评价。比作控制组，PE组有SV的显著地更高的吝啬的前面以后的直径(APD)(P<0.001)。SV截止水平的最佳的吝啬的APD是为PE的9.25公里。在PE组，PEDT与SV的吝啬的APD相比与SV9.25公里的吝啬的APD也是更高的<9.25公里。PEDT显著地与SV的吝啬的APD被相关(r=0.326，P=0.031)。精液的血浆蛋白质被集体spectrometry在六PE和六个匹配的控制盒子之间比较，102蛋白质是至少起来调整或下面调整的1.5褶层，这被显示出。在他们之中，GGT1，LAMC1，和应用软件在PE组是显著地更高的。这些结果显示有SV的更大的吝啬的APD的人可能让更高的PEDT得分。SV的Transrectal超声应该与早泄在病人的评估被考虑。SV可能在SV是为有PE和超声变化的病人的治疗的一个潜在的目标。

简介：Nanotechnologyprovidesvariousnanomaterialswithtremendousfunctionalitiesforcancerdiagnosticsandtherapeutics.Recently,theranosticshasbeendevelopedasanalternativestrategyforefficientcancertreatmentthroughcombinationofimagingdiagnosisandtherapeuticinterventionsundertheguidanceofdiagnosticresults.Ultrasound(US)imagingshowsuniqueadvantageswithexcellentfeaturesofreal-timeimaging,lowcost,highsafetyandportability,makingUScontrastagents(UCAs)anidealplatformforconstructionofcancertheranosticagents.ThisreviewfocusesonthedevelopmentofnanomaterialsincorporatedmultifunctionalUCAsservingastheranosticagentsforcancerdiagnosticsandtherapeutics,viaconjugationofsuperparamagneticironoxidenanoparticles(SPIOs),CuSnanoparticles,DNA,siRNA,goldnanoparticles(GNPs),goldnanorods(GNRs),goldnanoshell(GNS),grapheneoxides(GOs),polypyrrole(PPy)nanocapsules,Prussianblue(PB)nanoparticlesandsoontodifferenttypesofUCAs.Thecancertreatmentcouldbemoreeffectivelyandaccuratelycarriedoutundertheguidanceandmonitoringwiththehelpoftheachievedtheranosticagents.Furthermore,nanomaterialsincorporatedtheranosticagentsbasedonUCAscanbedesignedandconstructedbydemandforpersonalizedandaccuratetreatmentofcancer,demonstratingtheirgreatpotentialtoaddressthechallengesofcancerheterogeneityandadaptation,whichcanprovidealternativestrategiesforcancerdiagnosisandtherapeutics.

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简介：AbstractBackground:Contrast-enhanced ultrasound (CEUS) can detect lesions hidden in inflammatory regions and find necrosis or areas of severe fibrosis within the lesion. This retrospective study aimed to compare the diagnostic accuracy of solid pancreatic lesions using percutaneous ultrasound (US)-guided fine-needle aspiration (FNA) with or without CEUS assessment.Methods:Clinical, imaging, and pathologic data of 181 patients from January 2014 to December 2018 in Pecking Union Medical College Hospital, with solid pancreatic masses who underwent percutaneous US-FNA and ThinPrep cytologic test were retrospectively evaluated. Patients were divided into CEUS and US groups according to whether CEUS was performed before the biopsy. According to FNA cytology diagnoses, we combined non-diagnostic, neoplastic, and negative cases into a negative category. The positive category included malignant, suspicious, and atypical cases. The final diagnosis was confirmed by pathology or clinical and radiological follow-up for at least 12 months. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of US-FNA were evaluated between the two groups.Results:This study enrolled 107 male and 74 female patients (average age: 60 years). There were 58 cases in the US group and 123 cases in the CEUS group. No statistically significant differences in age, gender, or lesion size were found between the two groups. The diagnostic accuracy of the CEUS group was 95.1% (117/123), which was higher than the 86.2% (50/58) observed in the US group (P = 0.036). The sensitivity, specificity, PPV, and NPV of the CEUS group were increased by 7.5%, 16.7%, 3.4%, and 18.8%, respectively, compared with the US group. However, the differences of the two groups were not statistically significant.Conclusions:Compared with the conventional US, the use of CEUS could improve the biopsy accuracy and avoid the need for a repeat biopsy, especially for some complicated FNA cases.

简介：Inthepresentpaper,theauthorgivessomecommentsonacupuncturetreatmentofdiseasesfrom1)selectingacupointsbasedonseasonalconditions;2)performingreinforcingorreducingneedlingmanipulationsinaccordancewiththewaxingandwanningofthemoon;3)conductingacupuncturetreatmentinaccordancewiththetimeandthestateofdisease;and4)performingacupuncturetreatmentbasedontheprosperityordeclineofthemeridian-qi,whicharedescribedinmedicalbookTheYellowEmperor'sInternalClassic.

简介：Commonpracticedictatestheperformanceofpercutaneouscoronaryinterventionunderconventionalangiographicguidance.Withstudiessuggestingthehighincidenceofintraobservervariability,especiallyinangiographicborderlinelesions,newmodalitiessuchasintravascularultrasound(IVUS)guidanceduringpercutaneouscoronaryinterventionhavesurfaced.MultiplestudieshaveshownimprovedoutcomeswithIVUSguidance,mainlydrivenbyadecreaseinischemia-driventargetlesionrevascularization.Inthepasttwodecades,amultitudeofstudieshaveinvestigatedtheusesandclinicaloutcomesassociatedwiththistechnology.Inthisreview,wehighlighttheutility,advantages,economicimplications,andclinicaloutcomesofIVUSguidanceoverstandardangiographicguidance,withemphasisondataastheypertaintoIVUS-guidedstentimplantation.

简介：Theformationoffreeradicals（?）OHand（?）Hinanaturallyair-saturatedaqueoussolutionexposedtotherapeuticCWultrasoundatafrequencyof820kHzhasbeenconfirmedbyusingspintrapping5,5-dimethyl-1-pyrroline-1-oxide（DMPO）andelectronspinresonance（ESR）technique.Itissuggestedthattheseradicalsareformedduetothehightemperatureandpressureproducedbytheultrasonictransientcavitation.Thetransientcavitationthresholdisfoundat0.537-0.632W/cm2underasonicationtimeof3minutes.Withincreasingsoundintensitytheyieldoffreeradicals（?）OHraisesrapidlyattheintensityrangingfrom1—2W/cm2,andnolongerincreaseisobservedatabove3W/cm2.Thesoundintensity（I）dependenceoftheyieldof（?）OH（D）canbeapproximatelydescribedbyaregressionequation:D=8.1(I1/2-（Ic）1/2)1/2,whereIc=0.667W/cm2.UnderafixingsoundintensitytheyieldofOHincreasesmonotonouslywiththesonicationtime.

简介：AbstractMonochorionic dizygotic twin gestation is clinically very uncommon but poses significant antenatal and postnatal complications. Here we review the diagnosis, mechanism, perinatal management, and pregnant outcomes of monochroic dizygotic twin gestation.

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