Hard

  • 文章类型: Case Reports
    淀粉样变性通常是由器官和组织中淀粉样蛋白的异常细胞外积累引起的。这个条件,影响头部和颈部,通常是本地化的,也可能涉及口腔,尤其是舌头和颊粘膜。作为一种孤独的表现,骨内发生的局部淀粉样变性很少见。此外,局限性淀粉样变性复发率高。在本文中,据报道,1例50岁女性患者主诉为上颌骨前部疼痛.根据临床检查,未见明显的病理性病变。射线照相图像显示四号和五号牙齿周围有射线可透的病变。患者的治疗选择是切除活检。由于淀粉样变性的诊断在临床上具有挑战性,在这方面,活检和病变的组织学检查是必要的。因此,结论是,在局部淀粉样变性的情况下,长期随访是强制性的,因为在某些情况下可能会发生晚期复发。
    Amyloidosis is often caused by the abnormal extracellular accumulation of amyloid in organs and tissues. This condition, affecting the head and neck region, is typically localized, and may also involve the oral cavity, particularly the tongue and buccal mucosa. As a solitary manifestation, the localized amyloidosis occurring intraosseous is highly infrequent. In addition, localized amyloidosis has a great rate of recurrence. In this paper, a 50-year-old female patient with the chief complaint of pain in the anterior of the maxilla is reported. According to clinical examination, no significant pathologic lesion was seen. The radiographic image showed a radiolucent lesion around teeth four and five. The treatment of choice for the patient was an excisional biopsy. As amyloidosis diagnosis is clinically challenging, biopsy and histologic examination of lesions are necessary in this regard. Accordingly, it is concluded that long-term follow-up is mandatory in case of localized amyloidosis because late recurrence can occur in some cases.
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  • 文章类型: Journal Article
    有限混合回归(FMR)模型中的变量选择经常用于统计建模中。FMR模型中变量选择的大多数应用都使用正态分布进行回归误差。这样的假设不适合于包含具有不对称行为的一组或多组观察的一组数据。在本文中,我们介绍了使用偏正态分布的FMR模型的变量选择过程。通过适当选择调谐参数,我们建立了我们程序的理论性质,包括变量选择的一致性和估计中的oracle属性。要估计模型的参数,开发了一种用于数值计算的改进的EM算法。通过数值实验和实际数据示例说明了该方法。
    Variable selection in finite mixture of regression (FMR) models is frequently used in statistical modeling. The majority of applications of variable selection in FMR models use a normal distribution for regression error. Such assumptions are unsuitable for a set of data containing a group or groups of observations with asymmetric behavior. In this paper, we introduce a variable selection procedure for FMR models using the skew-normal distribution. With appropriate choice of the tuning parameters, we establish the theoretical properties of our procedure, including consistency in variable selection and the oracle property in estimation. To estimate the parameters of the model, a modified EM algorithm for numerical computations is developed. The methodology is illustrated through numerical experiments and a real data example.
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  • 文章类型: Journal Article
    酵母是奶酪的重要组成部分,尤其是手工的。本研究回顾了酵母在不同奶酪品种中的发生以及酵母在奶酪制作过程中的作用。使用分子方法进行鉴定和菌株分型扩展了奶酪中酵母多样性的知识。为了研究酵母在不同奶酪类型中的发生,使用了七个类别,即:1)硬,2)半硬,3)软,其中包括软面食和乳清干酪,4)白色盐水奶酪,5)模具表面成熟,6)细菌表面成熟的奶酪,和7)蓝色奶酪。对于一些奶酪类型,酵母菌是主要的微生物群,至少在他们成熟过程的一部分,而对于其他类型,酵母不存在。工业制造的奶酪和手工奶酪之间的差异已经说明。手工奶酪拥有各种各样的酵母种类,主要属于念珠菌属,Clavisporalus,隐球菌,去细菌,Geotrichum,Issatchenkia,Kazachstania,克鲁维酵母,Kodemaea,Pichia,红霉素,酵母菌,Saturnispora,Torulaspora,Trichosporon,Yarrowia和酵母属。讨论了酵母在七个奶酪类别中的精选奶酪中的作用。
    Yeasts constitute an important part of cheeses, and especially the artisanal ones. The current study reviews the occurrence of yeasts in different cheese varieties and the role of yeasts in cheesemaking process. The use of molecular methods for identification and strain typing has extended the knowledge for yeast diversity in cheeses. For the study of the occurrence of yeasts in different cheese types, seven categories are used, that is: 1) hard, 2) semi-hard, 3) soft, which includes soft pasta-filata and whey cheeses, 4) white brined cheeses, 5) mould surface ripened, 6) bacterial surface ripened cheeses, and 7) blue cheeses. For some cheese types, yeasts are the main microbial group, at least for some part of their ripening process, while for some other types, yeasts are absent. Differences between industrially manufactured cheeses and artisanal cheeses have specified. Artisanal cheeses possess a diverse assortment of yeast species, mainly belonging to the genera Candida, Clavisporalus, Cryptococcus, Debaryomyces, Geotrichum, Issatchenkia, Kazachstania, Kluyveromyces, Kodemaea, Pichia, Rhodotorula, Saccharomyces, Saturnispora, Torulaspora, Trichosporon, Yarrowia and ZygoSaccharomyces. The role of the yeasts for selected cheeses from the seven cheese categories is discussed.
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  • 文章类型: Journal Article
    目前尚不清楚鞋底硬度对幼儿步态的影响。然而,这个功能通常被认为对幼儿的行走和发育有不同的好处。
    在三种常见类型的带柔软鞋底的幼儿鞋类中,步行和跑步时步态的时空测量有何差异?与硬鞋底相比?
    这项研究采用了准实验设计,条件顺序使用拉丁方序列随机化。招募了47名儿童(2-4岁)。参与者在柔软(肖氏48-53)或硬鞋底(肖氏60-65)运动鞋中以随机顺序步行或跑GAITRite垫子的长度,靴子和凉鞋条件。线性回归分析用于研究不同步态参数的鞋之间的差异,包括速度,节奏,步进时间,摆动百分比,立场百分比,双支撑时间和脚趾进/出角度。
    与软底凉鞋相比,儿童在硬底凉鞋中的步幅较短(p<0.05)。在步行或跑步过程中,软底凉鞋与硬底凉鞋的时空变量没有其他差异(p>0.05)。软底和硬底跑步者在行走或跑步过程中的任何时空步态变量没有差异,软底和硬底跑步者在行走或跑步中没有差异(p>0.05)。
    在三种不同类型的鞋类中,软底和硬底鞋类在行走和跑步中的时空参数几乎没有差异。对于鞋类设计师和制造商来说,这可能是一个积极的发现。由于较硬的鞋底似乎对时空步态参数的影响有限。
    It is unknown what the impact of sole hardness is on young children\'s gait. Yet, this feature is commonly marketed as having differing benefits for young children\'s walking and development.
    What are the differences in spatiotemporal measures of gait during walking and running in three common types of young children\'s footwear with a soft sole, compared to a hard sole?
    The study used a quasi-experimental design, with the condition order randomised using a Latin square sequence. Forty-seven children were recruited (aged 2-4 years). Participants walked or ran the length of a GAITRite mat in a randomized order in a soft (Shore 48-53) or hard soled (Shore 60-65) sneaker, boot and sandal condition. Linear regression analyses were used to investigate the difference between footwear for the different gait parameters including velocity, cadence, step time, swing percentage, stance percentage, double support time and the toe in/out angle.
    Children walked with a shorter stride length in the hard-soled sandals compared to the soft- soled sandals (p < 0.05). There were no other differences in spatiotemporal variables in the soft versus hard soled sandals during walking or running (p > 0.05). There were no differences in any spatiotemporal gait variables during walking or running in soft versus hard- soled runners and no differences in walking or running in soft versus hard-soled boots (p > 0.05).
    There were few differences in spatiotemporal parameters between soft and hard-soled footwear in both walking and running in three different types of footwear. This may be a positive finding for footwear designers and manufacturers, as a harder sole appeared to have limited impact on spatiotemporal gait parameters.
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  • 文章类型: Case Reports
    背景:我们报告了一例梅毒性睾丸胶质瘤和血管炎合并因长期使用类固醇引起的肾上腺衰竭的病例。
    方法:一位63岁的男性,在触诊时表现为严重的右眼肿胀和非常坚固的双侧睾丸,他已经有两年了。睾丸肿瘤标志物阴性,梅毒试验阳性。放射学检查提示主动脉炎和双侧睾丸恶性肿瘤。患者接受氨苄西林治疗感染,泼尼松龙治疗血管炎。进行左睾丸切除术以确认睾丸肿瘤的存在;组织学检查显示肉芽肿性睾丸炎。由于使用类固醇的复发和不良反应,调整了泼尼松龙的剂量。不幸的是,患者因血压失控和肺炎在重症监护病房死亡。
    结论:这是一例罕见的梅毒,伴有睾丸受累和血管炎。该报告显示了扩大睾丸硬度的鉴别诊断的重要性。
    BACKGROUND: We report the case of a patient with syphilitic testicular gumma and vasculitis with adrenal failure due to chronic steroid use.
    METHODS: A 63-year-old male presented with hard right eye swelling and very firm bilateral testes on palpation, which he had for 2 years. Testicular tumor markers were negative; syphilis test was positive. Radiological examination suggested aortitis and bilateral testicular malignancy. The patient received ampicillin for the infection and prednisolone for vasculitis. Left orchidectomy was performed to confirm the presence of testicular tumor; histological examinations revealed granulomatous orchitis. The prednisolone doses were adjusted because of relapses and adverse effects of steroid use. Unfortunately, the patient died in the intensive care unit because of uncontrolled blood pressure and pneumonia.
    CONCLUSIONS: This is a rare case of syphilis with testicular involvement and vasculitis. This report shows the importance of broadening the differential diagnoses of testicular firmness.
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  • 文章类型: Journal Article
    光周期持续时间(16h光照:8h黑暗与22h光照:2h黑暗)和不同剂量(0.5x和1x)的Murashige和Skoog培养基对硬草的产量和抗氧化特性的影响,对中硬小麦和软小麦品种进行了分析。在正常光周期下以及在延长光周期下,MS培养基中的平均麦草高度和麦草产量均增加。在正常光周期下,在不同强度的MS培养基中,麦草的总酚含量(TPC)和三价铁还原抗氧化能力(FRAP)均增加。然而,蛋白质含量增加,叶绿素(Chl)a,Chlb,总Chl,平均TPC,在延长的光周期下,观察到在水中生长的不同品种的小麦草的DPPH抑制和FRAP值。92kDa的多肽(PPs)的积累,33kDa,23kDa,14kDa,12kDa,不同品种的麦草枝粉和10kDa受MS培养基强度和光周期持续时间的影响。相反,在不同强度的MS培养基和延长的光周期下,小麦草汁粉显示出PPs33kDa和23kDaPPs的积累发生了重大变化。
    The effect of photoperiod durations (16 h light:8 h dark vs 22 h light:2 h dark) and different doses (0.5x and 1x) of Murashige and Skoog medium on the yield and antioxidant characteristics of wheatgrass from hard, medium-hard and soft wheat varieties were analyzed. The average wheatgrass height and wheatgrass yield increased in MS media both under normal photoperiod as well as in water under prolonged photoperiod. An increase in total phenolic content (TPC) and ferric reducing antioxidant power (FRAP) of wheatgrass in different strengths of MS media under normal photoperiod was observed. Whereas, increase in protein content, chlorophyll (Chl) a, Chl b, total Chl, average TPC, DPPH inhibition and FRAP values were observed for wheatgrass of different varieties grown in water under prolonged photoperiod. The accumulation of polypeptides (PPs) of 92 kDa, 33 kDa, 23 kDa, 14 kDa, 12 kDa, and 10 kDa for wheatgrass shoot powder of different varieties was affected by strength of MS media and duration of photoperiod. On the contrary, wheatgrass juice powder showed major changes in the accumulation of PPs 33 kDa and 23 kDa PPs under varied strength of MS media and prolonged photoperiod.
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  • 文章类型: Journal Article
    这项回顾性队列研究旨在确定预测上牙槽后动脉(PSAA)位置的最佳解剖学参考。评估了90个上颌窦的计算机断层扫描图像。我们研究了五个参考文献,包括牙槽骨,上颌窦底,合子肺泡嵴,硬腭和软腭,并测量了它们与PSAA之间的距离。通过标准偏差和变异系数(CV)评估距离的变化。合子牙槽骨是一个不稳定的参考,由于其较高的标准偏差和CV。最小的CV是肺泡c和PSAA之间的距离,尽管无牙颌的距离比无牙颌的距离小。男性和无牙患者的窦底与PSAA之间的距离较大。PSAA的检出率为40.0%,44.4%,第一和第二前磨牙以及第一和第二磨牙位置的窦壁的54.4%和56.7%,分别。在这些牙齿位置,硬腭上方的高度分别为11.2±4.9、8.2±4.9、6.2±2.8和8.1±2.9毫米。硬腭是预测PSAA位置最稳定的参考,不论性别,年龄和牙列。
    This retrospective cohort study aimed to identify the best anatomical reference for predicting the posterior superior alveolar artery (PSAA) location. Computed tomographic images of 90 maxillary sinuses were evaluated. We studied five references, including the alveolar crest, maxillary sinus floor, zygomatoalveolar crest, hard palate and soft palate, and measured the distances between them and the PSAA. Variations in the distance were evaluated by the standard deviation and coefficient of variation (CV). The zygomatoalveolar crest was an unstable reference, owing to its high standard deviation and CV. The smallest CV was for the distance between the alveolar crest and PSAA, although the distance was smaller in edentulous jaws than dentulous jaws. The distance between the sinus floor and PSAA was larger in male and edentulous patients. The PSAA was detected in 40.0%, 44.4%, 54.4% and 56.7% of the sinus walls at the first and second premolar and the first and second molar positions, respectively. At these tooth positions, the respective heights above the hard palate were 11.2 ± 4.9, 8.2 ± 4.9, 6.2 ± 2.8 and 8.1 ± 2.9 mm. The hard palate was the most stable reference for predicting the location of the PSAA, irrespective of sex, age and dentition.
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  • 文章类型: Journal Article
    背景:口腔上颌鳞状细胞癌(SCC)淋巴结阴性颈部的管理,包括口腔的硬腭和上牙槽亚位点,是有争议的,没有明确的国际共识或建议在没有宫颈转移的情况下进行选择性颈淋巴结清扫术。
    目的:评估临床淋巴结阴性的口腔上颌SCC患者的隐匿性转移率;两者作为总转移率,以及在索引手术中接受选择性颈清扫术的患者的比较,与颈部的临床观察相比,原发性切除。
    结果:由两名独立研究者对口腔上颌SCC相关研究进行系统评价,并根据PRISMA标准进行分析。数据是从Pubmed中提取的,OvidMEDLINE,EMBASE,和SCOPUS通过相关的MeSH条款。通过GoogleScholar和OpenGrey搜索灰色文献。在最初的搜索中确定了五十三篇文章,根据资格标准对483篇独特文章进行了筛选,并确定了29项研究用于最终数据提取。临床淋巴结阴性的口腔上颌SCC患者的隐匿性转移的发生率在初次选择性颈淋巴结清扫术或常规随访中被确定。进行Meta分析。在初步搜索中确定的553篇相关文章中,29个用于分析。最初出现临床淋巴结阴性疾病的患者隐匿性转移的合并总发生率为22.2%。本研究显示END对降低区域复发具有统计学意义(RR0.36,95%CI0.24,0.59)。
    结论:本系统评价和荟萃分析的结果表明,对于表现为硬腭或上肺泡SCC的患者,选择性颈清扫术,即使在临床淋巴结阴性的颈部。
    BACKGROUND: Management of the node-negative neck in oral maxillary squamous cell carcinoma (SCC), encompassing the hard palate and upper alveolar subsites of the oral cavity, is controversial, with no clear international consensus or recommendation regarding elective neck dissection in the absence of cervical metastases.
    OBJECTIVE: To assess the occult metastatic rate in patients with clinically node negative oral maxillary SCC; both as an overall metastatic rate, and a comparison of patients managed with an elective neck dissection at index surgery, compared to excision of the primary with clinical observation of the neck.
    RESULTS: A systematic review was performed by two independent investigators for studies relating to oral maxillary SCC and analysed according to PRISMA criteria. Data were extracted from Pubmed, Ovid MEDLINE, EMBASE, and SCOPUS via relevant MeSH terms. Grey literature was searched through Google Scholar and OpenGrey. Five hundred and fifty-three articles were identified on the initial search, 483 unique articles underwent screening against eligibility criteria, and 29 studies were identified for final data extraction. Incidence of occult metastases in patients with clinically node negative oral maxillary SCC was identified either on primary elective neck dissection or on routine follow up. Meta-analyses were performed. Of 553 relevant articles identified on initial search, 29 were included for analysis. The pooled overall rate of occult metastases in patients initially presenting with clinically node-negative disease was 22.2%. There is a statistically significant effect of END on decreasing regional recurrence demonstrated in this study (RR 0.36, 95% CI 0.24, 0.59).
    CONCLUSIONS: The results of this systematic review and meta-analysis suggest elective neck dissection for patients presenting with hard palate or upper alveolar SCC, even in a clinically node negative neck.
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  • 文章类型: Journal Article
    光学透明,通过反应性直流磁控溅射(R-DCMS)从元素Al和Si靶以及O2和N2反应气体中制备了具有离散变化的O和Si含量的无色Al-O-N和Al-Si-O-N涂层。通过Si和Al靶上的电功率调节Si/Al含量,而O/N含量是通过除了靶的N2流外,还通过输送到基材的O2流来控制的。通过X射线衍射(XRD)和透射电子显微镜(TEM)研究了涂层的结构和形貌,元素组成是从卢瑟福背散射光谱法(RBS)和重离子弹性反冲检测分析(ERDA)获得的。通过X射线光电子能谱(XPS)分析了涂层中元素的化学状态。根据分析结果,描述Al-O-N和以前研究过的Al-Si-N[1,2,3,4]涂层的O和Si含量的微观结构演变的模型,分别,已建立。这些涂层的微观结构演变随添加元素浓度的普遍性归因于必须掺入AlN纤锌矿主体晶格中的额外价电子(e-)。在Al-O-N的情况下,这种额外的化合价电荷来自于e-受体O取代AlN纤锌矿晶格中的N,而在Al-Si-N系统中,用e-供体Si代替Al发挥这一作用。鉴于三元Al-O-N和四元Al-Si-O-N透明保护涂层的未来应用,它们的机械性能,如残余应力(σ),硬度(HD)和杨氏模量(E)是从薄膜的曲率沉积到薄的基板和纳米压痕,分别。-0.2和-0.5GPa之间的中等压缩应力水平,抑制裂纹形成和薄膜基板分层,可以与大约25GPa的HD值一起获得。
    Optically transparent, colorless Al-O-N and Al-Si-O-N coatings with discretely varied O and Si contents were fabricated by reactive direct current magnetron sputtering (R-DCMS) from elemental Al and Si targets and O2 and N2 reactive gases. The Si/Al content was adjusted through the electrical power on the Si and Al targets, while the O/N content was controlled through the O2 flow piped to the substrate in addition to the N2 flow at the targets. The structure and morphology of the coatings were studied by X-ray diffraction (XRD) and transmission electron microscopy (TEM), while the elemental composition was obtained from Rutherford backscattering spectrometry (RBS) and heavy ion elastic recoil detection analysis (ERDA). The chemical states of the elements in the coatings were analyzed by X-ray photoelectron spectroscopy (XPS). Based on analytical results, a model describing the microstructural evolution of the Al-O-N and also previously studied Al-Si-N [1, 2, 3, 4] coatings with O and Si content, respectively, is established. The universality of the microstructural evolution of these coatings with the concentration of the added element is attributed to the extra valence electron (e-) that must be incorporated into the AlN wurtzite host lattice. In the case of Al-O-N, this additional valence charge arises from the e - acceptor O replacing N in the AlN wurtzite lattice, while the e - donor Si substituting Al fulfills that role in the Al-Si-N system. In view of future applications of ternary Al-O-N and quaternary Al-Si-O-N transparent protective coatings, their mechanical properties such as residual stress (σ), hardness (HD) and Young\'s modulus (E) were obtained from the curvature of films deposited onto thin substrates and by nanoindentation, respectively. Moderate compressive stress levels between -0.2 and -0.5 GPa, which suppress crack formation and film-substrate delamination, could be obtained together with HD values around 25 GPa.
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  • 文章类型: Comparative Study
    在法医情报收集中,评估在硬表面上捕获的静态墨水裸露足迹与软表面之间是否存在差异将很有用。这是使用来自30名本科生的样本进行的。最初在硬表面上对每个参与者采取静态足迹,然后在软表面上采取静态足迹。在这两种情况下,参与者站在无墨的垫子上,然后站在反应纸上,创建一个二维打印。使用Reel方法来分析每个足迹,并且测量打印以查看与软表面相比,硬表面上的长度和宽度(前脚和后脚宽度)之间是否存在差异。这项研究的结论是,与硬表面相比,软表面上的静态裸露足迹的长度和宽度有统计学上的显着增加。如果法医足迹检查人员比较在柔软表面上发现的静态裸露足迹,并将其与后来拍摄的同一只脚的静态裸露足迹进行比较,然后在评估中应考虑软表面上足迹的长度和宽度的增加。
    In forensic intelligence-gathering it would be useful to evaluate if there are differences between static inked bare footprints captured on hard surfaces compared to soft surfaces. This was undertaken using samples from 30 undergraduate students. Initially a static footprint was taken for each participant on a hard surface and this was followed by a static footprint on a soft surface. On both occasions, the participants stood on an inkless mat and then on reactive paper, creating a two-dimensional print. The Reel method was used to analyse each footprint and the print was measured to see whether a difference existed between length and width (forefoot and rearfoot width) on a hard surface compared to a soft surface. The conclusion from this study was there is a statistically significant increase in length and width of a static bare footprint on a soft surface as opposed to a hard surface. If a forensic footprint examiner compares static bare footprints found on a soft surface and compares them to a static bare footprint of the same foot taken later, then the increase in both length and width of the footprints on a soft surface should be considered in the evaluation.
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