Correction

校正
  • 文章类型: Journal Article
    腰椎过度前凸是最常见的肌肉骨骼姿势畸形。为了获得理想的姿势,必须维持腰椎前凸的正常范围。文献表明,不良姿势会导致筋膜限制,其中筋膜会随着紧张而重组。大体肌筋膜释放(MFR)结合骨盆后倾斜运动被证明有利于改善腰椎的活动范围。三维(3D)MFR是一种减少筋膜限制的新方法。然而,确定3DMFR影响的文献仍在兴起。
    为了确定3DMFR对腰椎前凸角和腰椎运动范围的影响,在无症状的过度前凸的个体中。
    患有过度前凸的参与者(n=30)被随机分配到接受3DMFR的实验组(n=15)或接受假3DMFR的对照组(n=15),共6个疗程(3天间隔2周)。在第1天和第6天评估结果。使用改良-改良Schober's测试评估腰椎活动范围,并使用X射线和旋切曲线测量腰椎前凸角。
    腰椎前凸角明显下降(p=0.0001),腰椎屈曲增加(p=0.0001),与对照组相比,实验组的延伸运动范围减少(p=0.0011)。
    在仅使用3DMFR而不使用假3DMFR的实验组中,腰椎前凸度降低,腰椎活动范围增加。因此,3DMFR是一种有效的方法,可以矫正腰椎前凸并改善腰椎范围。印度临床试验注册(CTRI)试验编号CTRI/2023/03/050340。
    UNASSIGNED: Lumbar hyperlordosis is the most prevalent musculoskeletal postural deformity. Maintenance of normal limits of lumbar lordosis is necessary for obtaining an ideal posture. Literature suggests that poor posture results in fascial restriction in which the fascia reorganizes in response to tension. Gross myofascial release (MFR) combined with posterior pelvic tilting exercises proved to be beneficial in improving the lumbar range of motion. Three-dimensional (3D) MFR is a novel approach toward reducing fascial restrictions. However, the literature determining the effects of 3D MFR is still emerging.
    UNASSIGNED: To determine the effect of 3D MFR on a lumbar lordosis angle and lumbar range of motion, in individuals with asymptomatic hyperlordosis.
    UNASSIGNED: Participants (n = 30) with hyperlordosis were randomly assigned to either the experimental group receiving 3D MFR (n = 15) or the control group (n = 15) that received sham 3D MFR for six sessions (3 alternate days for 2 weeks). The outcomes were assessed at day 1 and day 6. Lumbar range of motion was assessed using modified-modified Schober\'s test and the lumbar lordosis angle was measured using x-ray and flexicurve.
    UNASSIGNED: There was significant decrease (p = 0.0001) in the lumbar lordosis angle, increase in the lumbar flexion (p = 0.0001), and decrease in the extension (p = 0.0011) range of motion in the experimental group when compared to the control group.
    UNASSIGNED: Lumbar lordosis decreased and the lumbar range of motion increased in the experimental group only with 3D MFR and not with sham 3D MFR. Hence, 3D MFR is an effective method in the correction of lumbar hyperlordosis and improving the lumbar range.Clinical Trial Registry of India (CTRI) trial number CTRI/2023/03/050340.
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  • 文章类型: Journal Article
    指向误差是车载单光子测距经纬仪(VSRT)的关键性能指标。通过处理和调整实现高精度指向会产生巨大的成本。在这项研究中,我们提出了一种基于分段线性回归模型的经济有效的数字校正方法来缓解这个问题。首先,介绍了VSRT的结构,并对影响其指向误差的因素进行了综合分析。随后,我们开发了一个有物理意义的分段线性回归模型,该模型既有物理意义,又能够准确估计指向误差。然后,我们计算和评估回归方程,以确保其有效性。最后,我们成功地应用所提出的方法来纠正指向误差。通过对450mm光学孔径VSRT的动态精度测试,我们的方法的有效性得到了证实。研究结果表明,我们的回归模型将VSRT的指向误差的均方根(RMS)值从17″减小到5″以下。在利用此回归模型进行校正后,VSRT的指向误差可以显着提高到弧秒精度水平。
    Pointing error is a critical performance metric for vehicle-mounted single-photon ranging theodolites (VSRTs). Achieving high-precision pointing through processing and adjustment can incur significant costs. In this study, we propose a cost-effective digital correction method based on a piecewise linear regression model to mitigate this issue. Firstly, we introduce the structure of a VSRT and conduct a comprehensive analysis of the factors influencing its pointing error. Subsequently, we develop a physically meaningful piecewise linear regression model that is both physically meaningful and capable of accurately estimating the pointing error. We then calculate and evaluate the regression equation to ensure its effectiveness. Finally, we successfully apply the proposed method to correct the pointing error. The efficacy of our approach has been substantiated through dynamic accuracy testing of a 450 mm optical aperture VSRT. The findings illustrate that our regression model diminishes the root mean square (RMS) value of VSRT\'s pointing error from 17″ to below 5″. Following correction utilizing this regression model, the pointing error of VSRT can be notably enhanced to the arc-second precision level.
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  • 文章类型: Journal Article
    背景:尽管已经报道了一些生物力学研究,很少有临床研究比较单轴和多轴椎弓根螺钉在青少年特发性脊柱侧凸(AIS)手术治疗中的疗效。本研究旨在比较单轴和多轴椎弓根螺钉在AIS手术治疗中的放射学和临床效果。方法:选择46例采用椎弓根螺钉内固定(PSI)和棒旋转(RD)治疗脊柱侧凸的AIS患者,根据椎弓根螺钉的使用情况分为两组:单轴组(n=23)和多轴组(n=23)。结果:单轴组主Cobb角的校正率(70.2%)高于多轴组(65.3%)(p=0.040)。两组之间在根尖椎骨的旋转矫正方面没有明显差异。根据使用的椎弓根螺钉的类型,SRS-22评分没有显着差异。结论:使用多轴椎弓根螺钉导致冠状,矢状,旋转矫正结果与使用单轴椎弓根螺钉进行手术治疗相关,使用PSI和RD治疗中度AIS病例。
    Background: Although several biomechanical studies have been reported, few clinical studies have compared the efficacy of monoaxial and polyaxial pedicle screws in the surgical treatment of adolescent idiopathic scoliosis (AIS). This study aims to compare the radiological and clinical outcomes of mono- and polyaxial pedicle screws in the surgical treatment of AIS. Methods: A total of 46 AIS patients who underwent surgery to treat scoliosis using pedicle screw instrumentation (PSI) and rod derotation (RD) were divided into two groups according to the use of pedicle screws: the monoaxial group (n = 23) and polyaxial group (n = 23). Results: The correction rate of the main Cobb\'s angle was higher in the monoaxial group (70.2%) than in the polyaxial group (65.3%) (p = 0.040). No differences in the rotational correction of the apical vertebra were evident between the two groups. SRS-22 scores showed no significant differences according to the type of pedicle screws used. Conclusions: The use of polyaxial pedicle screws resulted in coronal, sagittal, and rotational correction outcomes comparable to those associated with the use of monoaxial pedicle screws for surgical treatment using PSI and RD to treat moderate cases of AIS.
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  • 文章类型: Journal Article
    背景:诸如动态时间扭曲的自动眼睛跟踪数据校正算法总是在处理回归(跳回)和失真(注视漂移)的能力之间进行权衡。同时,代码读取中的眼动具有非线性和回归的特征。目的:在本文中,我们提出了一系列混合算法,旨在高精度地处理回归和失真。方法:通过合成数据模拟,我们复制已知的眼动现象,以评估我们的算法与Warp算法作为基线。此外,我们利用两个真实的数据集来评估从阅读源代码中纠正数据的算法,并查看所提出的算法是否可以推广到从阅读自然语言文本中纠正数据。结果:我们的结果表明,大多数提出的算法在校正合成和真实数据方面都匹配或优于基线Warp。此外,我们显示了在阅读源代码时回归的普遍性。结论:我们的结果强调了我们的混合算法在处理回归时对动态时间扭曲的改进。
    Background: Automated eye tracking data correction algorithms such as Dynamic-Time Warp always made a trade-off between the ability to handle regressions (jumps back) and distortions (fixation drift). At the same time, eye movement in code reading is characterized by non-linearity and regressions. Objective: In this paper, we present a family of hybrid algorithms that aim to handle both regressions and distortions with high accuracy. Method: Through simulations with synthetic data, we replicate known eye movement phenomena to assess our algorithms against Warp algorithm as a baseline. Furthermore, we utilize two real datasets to evaluate the algorithms in correcting data from reading source code and see if the proposed algorithms generalize to correcting data from reading natural language text. Results: Our results demonstrate that most proposed algorithms match or outperform baseline Warp in correcting both synthetic and real data. Also, we show the prevalence of regressions in reading source code. Conclusion: Our results highlight our hybrid algorithms as an improvement to Dynamic-Time Warp in handling regressions.
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  • 文章类型: Journal Article
    在迅速发展的视觉科学领域,传统的研究方法难以准确地模拟和评估视力矫正方法,导致耗时的评估,范围和灵活性有限。为了克服这些挑战,我们引入\'VisionaryVR\',虚拟现实(VR)仿真框架,旨在增强光学仿真保真度并拓宽实验能力。VisionaryVR利用多功能VR环境来支持动态视觉任务,并集成了全面的眼动跟踪功能。其实验管理器的场景加载功能促进了可扩展且灵活的研究平台。通过实证研究的初步验证证明了VisionaryVR在复制各种视觉障碍方面的有效性,并为评估视力矫正解决方案提供了一个强大的平台。主要研究结果表明,在评估视力矫正方法和用户体验方面有了显着改善,强调VisionaryVR通过弥合理论概念与其实际应用之间的差距来改变视觉科学研究的潜力。这一验证强调了VisionaryVR对克服传统方法论局限性和建立视觉科学研究创新的基础框架的贡献。
    In the rapidly advancing field of vision science, traditional research approaches struggle to accurately simulate and evaluate vision correction methods, leading to time-consuming evaluations with limited scope and flexibility. To overcome these challenges, we introduce \'VisionaryVR\', a virtual reality (VR) simulation framework designed to enhance optical simulation fidelity and broaden experimental capabilities. VisionaryVR leverages a versatile VR environment to support dynamic vision tasks and integrates comprehensive eye-tracking functionality. Its experiment manager\'s scene-loading feature fosters a scalable and flexible research platform. Preliminary validation through an empirical study has demonstrated VisionaryVR\'s effectiveness in replicating a wide range of visual impairments and providing a robust platform for evaluating vision correction solutions. Key findings indicate a significant improvement in evaluating vision correction methods and user experience, underscoring VisionaryVR\'s potential to transform vision science research by bridging the gap between theoretical concepts and their practical applications. This validation underscores VisionaryVR\'s contribution to overcoming traditional methodological limitations and establishing a foundational framework for research innovation in vision science.
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  • 文章类型: Journal Article
    高钠血症或高血清钠水平可以有许多不同的原因,包括自由水摄入不足,或多余的自由水损失。高钠血症的管理侧重于解决根本原因,补充自由水分亏缺,并在密切监测血清钠浓度的同时防止进一步的损失。这项系统评价是使用医学数据库进行的,如PubMed,PubMedCentral,和谷歌学者的相关医学文献。对已确定的文章进行了审查,适用资格标准,并确定了七篇研究文章。高钠血症校正率对容量复苏患者短期和长期结局的影响是我们寻找随机或观察性研究的重点。根据我们对临床证据的分析,我们得出的结论是,目前对复苏患者治疗急性和慢性高钠血症的建议并非源于高质量的研究。
    Hypernatremia or high serum sodium levels can have many different causes, including insufficient free water intake, or excess free water losses. The management of hypernatremia focuses on resolving the underlying cause, replenishing free water deficit, and preventing further losses while closely monitoring serum sodium concentration. This systematic review was carried out using medical databases such as PubMed, PubMed Central, and Google Scholar for relevant medical literature. The identified articles were reviewed, eligibility criteria were applied, and seven research articles were identified. The effect of the rate of hypernatremia correction on both short- and long-term outcomes in volume-resuscitated patients was the focus of our search for randomized or observational studies. Based on our analysis of the clinical evidence, we concluded that the present recommendations for treating acute and chronic hypernatremia in resuscitated patients do not stem from high-quality research.
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  • 文章类型: Journal Article
    在各种伦理和政策材料中,可遗传的人类基因组编辑(HHGE)纠正可能导致未来儿童严重遗传状况的核基因序列被称为“治疗”。在道德上比植入前遗传检测(PGT)的“选择”实践更可取,这受到残疾批评。然而,HHGE是否是对未来孩子的“治疗”,或另一种形式的\'选择\',或者HHGE是否会治疗未来的父母,现在是关于其可能合法化的辩论中的核心问题。本文认为,对未来孩子的“治疗”的想法在很大程度上代表了“目的的严重性”,旨在将HHGE与不太明显合理的用途区分开来,以避免严重的遗传状况;HHGE是最好的理解,在道德上是合理的,作为一种形式的\'治疗\''的准父母谁强烈希望一个未受影响的基因相关的孩子,谁没有,或贫穷,实现这一目标的选择;如果符合该儿童的福利,HHGE将在道德上是允许的;关于《欧洲人权公约》第8条尊重私人和家庭生活的权利,这种合法化是可以支持的;HHGE在道德上与PGT不同。
    Heritable human genome editing (HHGE) to correct a nuclear gene sequence that would result in a serious genetic condition in a future child is presented as \'treatment\' in various ethics and policy materials, and as morally preferable to the \'selection\' practice of preimplantation genetic testing (PGT), which is subject to the disability critique. However, whether HHGE is \'treatment\' for a future child, or another form of \'selection\', or whether HHGE instead \'treats\' prospective parents, are now central questions in the debate regarding its possible legalisation. This article argues that the idea of \'treatment\' for a future child is largely a proxy for \'seriousness of purpose\', intended to distinguish HHGE to avoid serious genetic conditions from less obviously justifiable uses; that HHGE is best understood, and morally justified, as a form of \'treatment\' for prospective parents who strongly desire an unaffected genetically related child and who have no, or poor, options to achieve this; that HHGE would be morally permissible if consistent with that child\'s welfare; that legalisation is supportable with reference to the right to respect for private and family life under Article 8 of the European Convention on Human Rights; and that HHGE is morally distinguishable from PGT.
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  • 文章类型: Case Reports
    先天性脊柱侧凸是儿童最常见的脊柱畸形之一。椎管内异常常伴有先天性脊柱侧凸。脊柱侧凸是先天性脊柱侧凸最常见的脊柱内病变之一。迄今为止,没有标准的方法来矫正与脊髓纵裂相关的先天性脊柱畸形。我们介绍了一例由内部矫正器同时矫正先天性脊柱侧凸并切除脊髓纵裂的临床病例。患者对手术耐受性良好,无任何并发症。她出院回家,症状改善,无需额外治疗。患者的监护人同意该程序并发表她的图像。
    Congenital scoliosis is one of the most common deformities of the spine in children. Intraspinal anomalies are always accompanied with congenital scoliosis. Diastematomyelia is one of the most common intraspinal pathologies in congenital scoliosis. To date, there is no standard method for correcting the congenital spinal deformity associated with diastematomyelia. We present a clinical case of simultaneous correction of congenital scoliosis by an internal corrector with excision of diastematomyelia. The patient tolerated the surgery well without any complications. She was discharged home with improved symptoms without need for additional therapy. The patient\'s guardians consented to the procedure and to the publication of her image.
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  • 文章类型: Journal Article
    目的:我们研究的目的是比较使用现代后路椎弓根螺钉系统和椎体旋转技术时,胸椎(LenkeI)和腰椎(LenkeV)曲线的前后矫正。不能用两个系统校正的曲线被排除。
    方法:确定了LenkeIAIS患者的胸部组(N=56)(前18例,后38例)和LenkeV患者的腰椎组(N=42例)(前14例,后28例)具有相似的曲线<65°。
    结果:胸前组平均术后矫正(POC)为68±13.4%,后组为72±10.5%。术后胸椎后凸的改变分别为+4°和+5°。融合的中位长度在后部为8段,在前部为7段。在89%的患者中,LIV在前段为EV或更短,和71%的后路矫正。腰椎组平均POC为75±18.3%(前)和72±8.5%(后)。术后腰椎前凸增益为0.8°(前)和4°(后)。两组融合的中位长度为5个节段,LIV与EV的关系没有差异。
    结论:使用现代植入物和旋转技术,后路可以实现类似的冠状位矫正,根尖旋转和胸椎后凸,融合长度相似,腰椎前凸恢复更好。
    OBJECTIVE: The aim of our study is to compare anterior and posterior corrections of thoracic (Lenke I) and lumbar (Lenke V) curves when modern posterior pedicle screw systems with vertebral derotation techniques are used. Curves that could not be corrected with both systems were excluded.
    METHODS: A thoracic group (N = 56) of Lenke I AIS patients (18 anterior and 38 posterior) and a lumbar group (N = 42) of Lenke V patients (14 anterior and 28 posterior) with similar curves < 65° were identified.
    RESULTS: Thoracic group The mean postoperative correction (POC) was 68 ± 13.4% in the anterior and 72 ± 10.5% in the posterior group. The postoperative change in thoracic kyphosis was +4° and +5° respectively. The median length of fusion was eight segments in the posterior and seven segments in the anterior groups. In 89% the LIV was EV or shorter in the anterior, and in 71% of the posterior corrections. Lumbar group The mean POC was 75 ± 18.3% (anterior) and 72 ± 8.5% (posterior). The postoperative gain in lumbar lordosis was 0.8° (anterior) and 4° (posterior). The median length of fusion was five segments in both groups and there was no difference in relation of the LIV to the EV.
    CONCLUSIONS: With modern implants and derotation techniques, the posterior approach can achieve similar coronal correction, apical derotation and thoracic kyphosis with similar length of fusion and better lumbar lordosis restoration.
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  • 文章类型: Journal Article
    从显微镜数据中数字提取详细的神经元形态是研究神经元的重要步骤。自从Cajal工作以来,对神经元解剖结构的获取和分析产生了对神经系统的宝贵见解,这导致了我们目前对大脑和神经系统的许多结构和功能方面的理解,远远超出了解剖学的角度。获得详细的解剖数据,虽然,不是一个简单的任务。尽管最近取得了进展,获取神经元细节仍然涉及使用劳动密集型,容易出错的方法,便于引入不准确和错误。因此,获得可靠的形态学描迹通常需要完成后处理步骤,这些步骤需要用户干预以确保提取的数据准确性。在这个框架内,本文介绍了NeuroEditor,一种新的可视化软件工具,编辑和纠正先前重建的神经元轨迹。该工具是专门为减轻与获取详细形态相关的负担而开发的。NeuroEditor提供了一组算法,可以自动检测跟踪中潜在错误的存在。该工具便于用户通过简单的鼠标单击来探索错误,以便可以手动更正错误,如果适用,自动。在某些情况下,该工具还可以提出一组操作来自动纠正特定类型的错误。此外,该工具允许用户可视化和比较原始和修改后的轨迹,还提供近似神经元膜的3D网格。该网格的近似值是在运行中计算和重新计算的,反映跟踪过程中的任何瞬时变化。此外,NeuroEditor可以由用户轻松扩展,谁可以用Python编写自己的算法并在工具中运行它们。最后,本文包含一个示例,展示了用户如何通过应用一系列编辑操作来轻松定义自定义工作流。然后可以存储编辑的形态,以及近似神经元膜的相应3D网格。
    The digital extraction of detailed neuronal morphologies from microscopy data is an essential step in the study of neurons. Ever since Cajal\'s work, the acquisition and analysis of neuron anatomy has yielded invaluable insight into the nervous system, which has led to our present understanding of many structural and functional aspects of the brain and the nervous system, well beyond the anatomical perspective. Obtaining detailed anatomical data, though, is not a simple task. Despite recent progress, acquiring neuron details still involves using labor-intensive, error prone methods that facilitate the introduction of inaccuracies and mistakes. In consequence, getting reliable morphological tracings usually needs the completion of post-processing steps that require user intervention to ensure the extracted data accuracy. Within this framework, this paper presents NeuroEditor, a new software tool for visualization, editing and correction of previously reconstructed neuronal tracings. This tool has been developed specifically for alleviating the burden associated with the acquisition of detailed morphologies. NeuroEditor offers a set of algorithms that can automatically detect the presence of potential errors in tracings. The tool facilitates users to explore an error with a simple mouse click so that it can be corrected manually or, where applicable, automatically. In some cases, this tool can also propose a set of actions to automatically correct a particular type of error. Additionally, this tool allows users to visualize and compare the original and modified tracings, also providing a 3D mesh that approximates the neuronal membrane. The approximation of this mesh is computed and recomputed on-the-fly, reflecting any instantaneous changes during the tracing process. Moreover, NeuroEditor can be easily extended by users, who can program their own algorithms in Python and run them within the tool. Last, this paper includes an example showing how users can easily define a customized workflow by applying a sequence of editing operations. The edited morphology can then be stored, together with the corresponding 3D mesh that approximates the neuronal membrane.
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