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Objective To observe the effect of acupoint application combined with acupoint massage on constipation of liver-qi stagnation after replantation of severed fingers. Methods Totally 60 patients with constipation of liver-qi stagnation after finger replantation were randomly divided into study group and control group, with 30 patients in each group. Based on routine nursing after hand-foot surgery, patients of both groups were given medication for defecation according to the doctor's advice. In the experimental group, patients were treated with 15 minutes of acupoint massage combined with Shenque acupoint external application. From the day after surgery, the defecation condition was evaluated by Cleveland Clinic Constipation Score (CSS) and Bristol Stool Form Scale(BSFS) in both groups. Negative emotions of patients were measured by Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale (SDS) before intervention, on the day after surgery, one week after surgery and two weeks after surgery respectively. Results The CSS score in the study group was lower than that in the control group after intervention(P＜0. 05). The BSFS score in the study group was higher than that in the control group after intervention(P＜0. 05). The SAS score and SDS scores were decreased in both groups after intervention, and SAS score and SDS scores in the study group were lower than that in the control group after intervention(P＜0. 01). The overall effective rate was 96. 67%(29/30)in the study group, which was higher than 83. 33%(25/30) in the control group (P＜0. 05). Conclusion Acupoint application combined with massage has a significant effect on liver-qi stagnation constipation after finger replantation, which can effectively improve the constipation symptoms and relieve patients' negative emotion such as anxiety and depression. (目的 观察穴位贴敷联合按摩对断指再植术后肝郁气滞型便秘的干预效果。方法 60例断指再植术后肝郁气滞型便秘患者随机分为研究组和对照组, 各30例。对照组给予手足外科常规治疗及护理, 对术后便秘患者遵医嘱给予药物通便; 研究组在对照组基础上, 对术后便秘患者给予15 min穴位按摩联合神阙穴穴位贴敷干预。术后当天开始进行便秘临床症状评分(CCS)和Bristol粪便性状评分(BSFS); 采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对评估两组患者情绪状态; 根据中医证候积分改善情况评价疗效。结果 干预后, 研究组CCS评分低于对照组, 差异有统计学意义(P＜0. 05)。干预后, 研究组BSFS评分高于对照组, 差异有统计学意义(P＜0. 01)。干预后, 两组SAS和SDS评分均较干预前下降, 且研究组SAS和SDS评分低于对照组, 差异有统计学意义(P＜0. 01)。研究组总有效率96. 67%(29/30), 高于对照组的83. 33%(25/30), 差异有统计学意义(P＜0. 05)。结论 穴位贴敷联合按摩干预断指再植术后肝郁气滞型便秘效果明确, 可有效改善患者便秘症状, 缓解患者焦虑、抑郁等负性情绪。)

Multi-modal medical image fusion (MMIF) is crucial for disease diagnosis and treatment because the images reconstructed from signals collected by different sensors can provide complementary information. In recent years, deep learning (DL) based methods have been widely used in MMIF. However, these methods often adopt a serial fusion strategy without feature decomposition, causing error accumulation and confusion of characteristics across different scales. To address these issues, we have proposed the Coupled Image Reconstruction and Fusion (CIRF) strategy. Our method parallels the image fusion and reconstruction branches which are linked by a common encoder. Firstly, CIRF uses the lightweight encoder to extract base and detail features, respectively, through the Vision Transformer (ViT) and the Convolutional Neural Network (CNN) branches, where the two branches interact to supplement information. Then, two types of features are fused separately via different blocks and finally decoded into fusion results. In the loss function, both the supervised loss from the reconstruction branch and the unsupervised loss from the fusion branch are included. As a whole, CIRF increases its expressivity by adding multi-task learning and feature decomposition. Additionally, we have also explored the impact of image masking on the network's feature extraction ability and validated the generalization capability of the model. Through experiments on three datasets, it has been demonstrated both subjectively and objectively, that the images fused by CIRF exhibit appropriate brightness and smooth edge transition with more competitive evaluation metrics than those fused by several other traditional and DL-based methods. [ABSTRACT FROM AUTHOR]

The behavior of short‐period reinforced concrete (RC) shear wall structures is often complicated and hard to predict accurately, even when the structure behaves in the elastic region, due to significant uncertainties in the material and the environment. Modeling assumptions used in finite element (FE) analyses often influence the accuracy of the dynamic response predictions. This paper discusses the numerical modeling of shaking table tests of a 3‐story RC shear wall specimen, which was carried out by Korea Atomic Energy Research Institute in July 2020. The experimental program is briefly introduced in this paper. Through nonlinear time history analyses using ABAQUS, the effect of modeling assumptions on the accuracy of the FE methods in predicting the linear and moderately nonlinear behavior of the RC structure is presented. Two commonly used modeling/model updating assumptions are considered: concrete Young's modulus and foundation flexibility. Influences of such modeling assumptions in predicting beyond design dynamic behavior (i.e., nonlinear responses and damage development) of the testing structure are also studied. The results showed that the accuracy of the dynamic response prediction of the structure could be improved significantly after calibrating the models against the white noise test results. Nevertheless, models established with different modeling assumptions can only capture the behavior of the structure at certain seismic intensity levels. Different models give results with a considerable variation in the structure's peak acceleration, floor response spectrum, acceleration amplification profile, damage pattern, and damage severity. [ABSTRACT FROM AUTHOR]

In this study, high quality CsxFA1−xPbIyBr3−y perovskite thin films were successfully fabricated by an evaporation/spray-coating hybrid deposition method. In this method, CsI and PbI2 were first deposited via thermal evaporation, and then FAI/FABr mixed solution was sprayed on the CsI/PbI2 substrate to form the CsxFA1−xPbIyBr3−y film. As confirmed by x-ray diffraction, scanning electron microscopy, and atomic force microscopy, a perovskite film with full surface coverage and small surface roughness was obtained. Then, the effect of interface modification materials on the performance of perovskite solar cells (PSCs) was investigated: the devices with the [6,6]-phenyl-C61-butyric acid methyl ester (PCBM) interlayer incorporated via vacuum evaporation deposition between SnO2 and perovskite showed remarkably higher performance than those with the C60 interlayer, which was attributed to enhanced charge extraction and reduced recombination at the SnO2/PCBM/perovskite interface. As a result, a high power conversion efficiency (PCE) of 18.21% was obtained for the 0.16 cm2 device. To the best of our knowledge, it is the highest efficiency of CsxFA1−xPbIyBr3−y based PSCs fabricated by the spray technique. Furthermore, we fabricated mini-modules with the size of 5 × 5 cm2 and achieved a PCE of 14.7%. [ABSTRACT FROM AUTHOR]

To evaluate the clinical safety and efficacy of modified CO2 laser-assisted sclerectomy surgery (CLASS) in patients with uveitic glaucoma (UG) using primary open-angle glaucoma (POAG) patients for a comparison. This retrospective study included UG and POAG patients from the modified CLASS Study Group database. Intraocular pressure (IOP) and the number of glaucoma medications were compared between groups by the Wilcoxon test. The Kaplan–Meier method was used for survival analysis; complete success was defined as 5≤ IOP≤18 mmHg and a ≥ 20% reduction in IOP from baseline without medication. Twenty-three and 25 eyes in UG and POAG groups were included. At the 12-month visit in both groups, the mean IOP and mean number of IOP-lowering medications were significantly reduced compared to baseline, with complete success rates of 60.9% and 64.0% in the UG and POAG groups (P =.859). Modified CLASS yields similar outcomes for patients with UG and POAG. [ABSTRACT FROM AUTHOR]

This study compared the efficacy of modified CO2 laser-assisted sclerectomy surgery (CLASS) with combined CLASS and trabeculectomy (CLASS-TRAB) in patients with uveitic glaucoma (UG). UG patients who underwent CLASS-TRAB between August 2015 and April 2019 were retrospectively compared with a control group who underwent a modified CLASS standalone procedure during the same period. Visual acuity, intraocular pressure (IOP), use of supplemental medical therapy and postoperative complications were recorded at baseline, 1 week, 3 months, 6 months and 12 months. Forty patients (40 eyes) were enrolled, and each group had 20 patients (20 eyes). The age and sex distribution were matched between groups (P > 0.05). Both the preoperative IOP (CLASS: 34.9 ± 9.3 mmHg, CLASS-TRAB: 36.8 ± 8.7 mmHg; P > 0.05) and number of glaucoma medications (CLASS: 3.3 ± 0.4, CLASS-TRAB: 3.5 ± 0.5; P > 0.05) were relatively higher in the CLASS-TRAB group than in the CLASS group. At the final follow-up, the IOP (CLASS: 12.9 ± 3.4 mmHg, CLASS-TRAB: 11.2 ± 2.5 mmHg) and number of glaucoma medications (CLASS: 0.4 ± 0.7 and CLASS-TRAB: 0.2 ± 0.5) significantly decreased in both groups (P < 0.01). Both the complete success rate and qualified success rate were comparable between the two groups (CLASS versus CLASS-TRAB: 55% versus 80%, P = 0.09; 80% versus 95%, P = 0.34). CLASS-TRAB is as efficient as modified CLASS in terms of the IOP-lowering effect, providing a new option for patients with UG that is severe and ineligible for other treatments. [ABSTRACT FROM AUTHOR]

Purpose: To analyze quantitative OCT-angiography (OCTA) measurements of Vogt-Koyanagi-Harada (VKH) disease at different disease stages. Methods: OCTA scans of 110 VKH patients in acute uveitic, convalescent and chronic recurrent stage were reviewed; posterior uveitis recurrent cases were excluded. Superficial and deep capillary plexus (SCP and DCP) vascular densities (VD) and subfoveal choroidal thickness (SFCT) were compared. Results: DCP VD was significantly lower and SFCT higher in VKH than normal controls (NC) in all 3 stages (all p <.001). Anterior uveitis recurrent patients had lower SCP and DCP VDs and thicker SFCT than convalescent patients (p =.001, p <.001, and p =.003, respectively). DCP VD was significantly correlated with visual acuity (p <.05). Patients with history of anterior recurrence had lower retinal VDs in the convalescent stage than those without (p <.001). Conclusion: Retinal microcirculation is impaired in VKH. DCP VD might be a sensitive indicator of inflammatory status and appeared to be well associated with visual outcome. [ABSTRACT FROM AUTHOR]