Measurements of the total radiated power and its spatial distribution are crucial for fusion research.On the experimental advanced superconducting tokamak(EAST),both the metal foil resistive bolometer and the absolute...Measurements of the total radiated power and its spatial distribution are crucial for fusion research.On the experimental advanced superconducting tokamak(EAST),both the metal foil resistive bolometer and the absolute extreme ultraviolet(AXUV)photodiodes have been used to quantify the radiated power.This article introduces the latest improvement of the bolometer diagnostic system on EAST.It also details the successful design and installation of new divertor AXUV cameras,which are dedicated to the investigation of divertor physics.The shielding components of the bolometer detector have been refined,and the article provides a detailed exposition of the double shielding structures that have been verified as effective in microwave shielding.Additionally,the changes in the radiated power distribution in the divertor region during the plasma detachment process are measured using the divertor AXUV camera.Finally,the radiated power measured by the AXUV detector and metal foil resistive bolometer are compared,and different detector performances are presented.展开更多
Measurement of externalizing disorders such as antisocial disorders,attentiondeficit/hyperactivity disorder or borderline disorder have relevant implications for the daily lives of people with these disorders.While th...Measurement of externalizing disorders such as antisocial disorders,attentiondeficit/hyperactivity disorder or borderline disorder have relevant implications for the daily lives of people with these disorders.While the Diagnostic and Statistical Manual of Mental Disorders(DSM)and the International Classification of Diseases(ICD)have provided the diagnostic framework for decades,recent dimensional frameworks question the categorical approach of psychopathology,inherent in traditional nosotaxies.Tests and instruments develop under the DSM or ICD framework preferentially adopt this categorical approach,providing diagnostic labels.In contrast,dimensional measurement instruments provide an individualized profile for the domains that comprise the externalizing spectrum,but are less widely used in practice.Current paper aims to review the operational definitions of externalizing disorders defined under these different frameworks,revise the different measurement alternatives existing,and provide an integrative operational definition.First,an analysis of the operational definition of externalizing disorders among the DSM/ICD diagnostic systems and the recent Hierarchical Taxonomy of Psychopathology(HiTOP)model is carried out.Then,in order to analyze the coverage of operational definitions found,a description of measurement instruments among each conceptualization is provided.Three phases in the development of the ICD and DSM diagnosis systems can be observed with direct implications for measurement.ICD and DSM versions have progressively introduced systematicity,providing more detailed descriptions of diagnostic criteria and categories that ease the measurement instrument development.However,it is questioned whether the DSM/ICD systems adequately modelize externalizing disorders,and therefore their measurement.More recent theoretical approaches,such as the HiTOP model seek to overcome some of the criticism raised towards the classification systems.Nevertheless,several issues concerning this model raise mesasurement challenges.A revision of the instruments underneath each approach shows incomplete coverage of externalizing disorders among the existing instruments.Efforts to bring nosotaxies together with other theoretical models of psychopathology and personality are still needed.The integrative operational definition of externalizing disorders provided may help to gather clinical practice and research.展开更多
A diagnostic system of soft x-ray diode-array was set up for HT-7 superconducting tokamak. The system consists of two slot-aperture cameras and is capable of measuring the soft x-ray emission from the plasma on HT-7 d...A diagnostic system of soft x-ray diode-array was set up for HT-7 superconducting tokamak. The system consists of two slot-aperture cameras and is capable of measuring the soft x-ray emission from the plasma on HT-7 device with a high resolution in space and a high response in time. Both cameras, located separately in a horizontal port and a vertical port each with thirty-seven detectors of An-Si surface-barrier diode (SBD) can view the same toroidal cross-section of the plasma from different poloidal chords. In this paper, the structure, principle and performance of the diagnostic system are described and some experimental results observed are presented.展开更多
Three categories of failure diagnostic methods for reciprocating compressors are classified according to the signals adopted by the diagnosis. They are parameter method, vibration method, and oil analysis method. In t...Three categories of failure diagnostic methods for reciprocating compressors are classified according to the signals adopted by the diagnosis. They are parameter method, vibration method, and oil analysis method. In this paper, the applicable range and operational difficulties of these methods are discussed on the basis of analysis and induction upon normal failure. It is proposed that a compressor's normal failure can be divided into thermodynamical property failure and mechanical function failure. As to the former, the parameter method that takes a cylinder pressure signal as the main diagnostic signal may be applied; and as to the latter, the vibration signal frequency spectrum can be used to diagnose. At the same time, the structure of an intelligent diagnostic system based on neural networks is introduced, and its schematic is given.展开更多
The hepatitis B virus is the most deadly virus,which significantly affects the human liver.The termination of the hepatitis B virus is mandatory and can be done by taking precautions as well as a suitable cure in its ...The hepatitis B virus is the most deadly virus,which significantly affects the human liver.The termination of the hepatitis B virus is mandatory and can be done by taking precautions as well as a suitable cure in its introductory stage;otherwise,it will become a severe problem and make a human liver suffer from the most dangerous diseases,such as liver cancer.In this paper,two medical diagnostic systems are developed for the diagnosis of this life-threatening virus.The methodologies used to develop thesemodels are fuzzy logic and the neuro-fuzzy technique.The diverse parameters that assist in the evaluation of performance are also determined by using the observed values from the proposed system for both developedmodels.The classification accuracy of a multilayered fuzzy inference system is 94%.The accuracy with which the developed medical diagnostic system by using Adaptive Network based Fuzzy Interference System(ANFIS)classifies the result corresponding to the given input is 95.55%.The comparison of both developed models on the basis of their performance parameters has been made.It is observed that the neuro-fuzzy technique-based diagnostic system has better accuracy in classifying the infected and non-infected patients as compared to the fuzzy diagnostic system.Furthermore,the performance evaluation concluded that the outcome given by the developed medical diagnostic system by using ANFIS is accurate and correct as compared to the developed fuzzy inference system and also can be used in hospitals for the diagnosis of Hepatitis B disease.In other words,the adaptive neuro-fuzzy inference system has more capability to classify the provided inputs adequately than the fuzzy inference system.展开更多
A multipulse and multipoint Nd：YAG （neodymium-yttrium aluminum garnet） laser Thomson scattering diagnostic system was developed on EAST to obtain more accurate electron temperature Te and electron density ne profil...A multipulse and multipoint Nd：YAG （neodymium-yttrium aluminum garnet） laser Thomson scattering diagnostic system was developed on EAST to obtain more accurate electron temperature Te and electron density ne profiles. In this paper, the optical system, the VME （versa module eurocard）-based real-time computer system for laser control, data acquisition, analysis and calibration are discussed in detail. Furthermore, a developed data processing method is presented.展开更多
A novel real time fast electron bremsstrahlung (FEB) diagnostic system based on the lutetium yttrium oxyorthosilicate scintillators (LYSO) and silicon photomultipliers (SiPM) has been developed for tokamak.The diagnos...A novel real time fast electron bremsstrahlung (FEB) diagnostic system based on the lutetium yttrium oxyorthosilicate scintillators (LYSO) and silicon photomultipliers (SiPM) has been developed for tokamak.The diagnostic system is dedicated to study the FEB emission in the hard x-ray (HXR) energy range between 10 and 200 keV during the lower hybrid current drive.The system consists of a detection module and three data acquisition and processing (DAP)boards.The detection module consists of annulus LYSO-SiPM detector array and a 12-channel preamplifier module.The DAP boards upload the data to the host computer for displaying and storing through PXI bus.The time and space resolutions of the system are 10 ms and 4 cm,respectively.The experimental results can show the evolution over time and the spatial distribution of FEB.This paper presents the system performance and typical discharge results.展开更多
Primary physical design of the Thomson scattering system for EAST, including the configuration of the system and the design considerations of different sections of the system, is presented. The expected measurability ...Primary physical design of the Thomson scattering system for EAST, including the configuration of the system and the design considerations of different sections of the system, is presented. The expected measurability of this design, namely an electron temperature of 513 eV to 5 keV and a plasma density beyond 0.5× 10^19 m^-3, fulfills the requirements of the EAST operation.展开更多
The development of cleaning optics and deposition-mitigating techniques is a key factor in the construction and operation of optical diagnostics in ITER. The cleaning of optical surface by pulsed radiation from a fibe...The development of cleaning optics and deposition-mitigating techniques is a key factor in the construction and operation of optical diagnostics in ITER. The cleaning of optical surface by pulsed radiation from a fiber laser is an effective method that can recover optical properties of the mirror surface. The possibility of cleaning metallic mirrors from films with complex composition by pulsed radiation from a fiber laser has been experimentally researched. It has been shown that the high initial reflection characteristics of optical elements can be recovered by choosing regimes of radiation effect on the deposited surface. Efficient cleaning is ensured by radiation with the power density of less than 107 W/cm2. At this relatively low power density, pollutions are removed in a solid phase and the thermal effect on the mirror is insignificant. Preliminary experiments of the metal mirrors cleaning by fiber laser radiation have demonstrated the possibility of hardware implementation techniques.展开更多
A 10-channel Hα diagnostic system has been designed with the rapid response rate of 300 kHz, spatial resolution of about 40 mm, and overlap between adjacent channels of about 3%, and it has been implemented successfu...A 10-channel Hα diagnostic system has been designed with the rapid response rate of 300 kHz, spatial resolution of about 40 mm, and overlap between adjacent channels of about 3%, and it has been implemented successfully on Keda Torus eXperiment(KTX), a newly constructed, reversed field pinch(RFP) experimental device at the University of Science and Technology of China(USTC). This diagnostic system is a very important tool for the initial KTX operations. It is compact,with an aperture slit replacing the traditional optical lens system. A flexural interference filter is designed to prevent the center wavelength from shifting too much as the increase of angle from vertical incidence. To eliminate the stray light,the interior of the system is covered with the black aluminum foil having a very high absorptivity. Using the Hαemission data, together with the profiles of electron temperature and density obtained from the Langmuir probe, the neutral density profiles have been calculated for KTX plasmas. The rapid response rate and good spatial resolution of this Hαdiagnostic system will be beneficial for many studies in RFP plasma physics.展开更多
A spectral diagnostic control system （SDCS） is developed to implement automatic process of the edge rotation diagnostic system on the J-TEXT tokamak. The SDCS contains a control module, data operation module, data a...A spectral diagnostic control system （SDCS） is developed to implement automatic process of the edge rotation diagnostic system on the J-TEXT tokamak. The SDCS contains a control module, data operation module, data analysis module, and data upload module. The core of this system is a newly developed software ＂Spectra Assist＂, which completes the whole process by coupling all related subroutines and servers. The results of data correction and calculated rotation are presented. In the daily discharge of J-TEXT, SDCS is proved to have a stable performance and high efficiency in completing the process of data acquisition, operation and results output.展开更多
In paper it introduced a review of modem traction vehicle drive system with induction motor drive system （PMSM with single or dual rotor drive system） or BLDC motor with different configuration of magnetic circuits....In paper it introduced a review of modem traction vehicle drive system with induction motor drive system （PMSM with single or dual rotor drive system） or BLDC motor with different configuration of magnetic circuits. For particular part of drive system proposed a quasi intelligent control system version smart control enables multi criteria predictive control of vehicle work. In the paper presented also a selected diagnostic procedure, enables monitoring exploitation parameters, and prediction of probable failure state. For different vehicle work state realized a simulation models and crash test of exploitations failure models.展开更多
Objective To assess the diagnostic accuracy of bowel sound analysis for irritable bowel syndrome(IBS)with a systematic review and meta-analysis.Methods We searched MEDLINE,Embase,the Cochrane Library,Web of Science,an...Objective To assess the diagnostic accuracy of bowel sound analysis for irritable bowel syndrome(IBS)with a systematic review and meta-analysis.Methods We searched MEDLINE,Embase,the Cochrane Library,Web of Science,and IEEE Xplore databases until September 2023.Cross-sectional and case-control studies on diagnostic accuracy of bowel sound analysis for IBS were identified.We estimated the pooled sensitivity,specificity,positive likelihood ratio,negative likeli-hood ratio,and diagnostic odds ratio with a 95% confidence interval(CI),and plotted a summary receiver operat-ing characteristic curve and evaluated the area under the curve.Results Four studies were included.The pooled diagnostic sensitivity,specificity,positive likelihood ratio,nega-tive likelihood ratio,and diagnostic odds ratio were 0.94(95%CI,0.87‒0.97),0.89(95%CI,0.81‒0.94),8.43(95%CI,4.81‒14.78),0.07(95%CI,0.03‒0.15),and 118.86(95%CI,44.18‒319.75),respectively,with an area under the curve of 0.97(95%CI,0.95‒0.98).Conclusions Computerized bowel sound analysis is a promising tool for IBS.However,limited high-quality data make the results'validity and applicability questionable.There is a need for more diagnostic test accuracy studies and better wearable devices for monitoring and analysis of IBS.展开更多
To meet the demands of laser-ion acceleration at a high repetition rate,we have developed a comprehensive diagnostic system for real-time and in situ monitoring of liquid sheet targets(LSTs).The spatially resolved rap...To meet the demands of laser-ion acceleration at a high repetition rate,we have developed a comprehensive diagnostic system for real-time and in situ monitoring of liquid sheet targets(LSTs).The spatially resolved rapid characterizations of an LST’s thickness,flatness,tilt angle and position are fulfilled by different subsystems with high accuracy.With the help of the diagnostic system,we reveal the dependence of thickness distribution on collision parameters and report the 238-nm liquid sheet generated by the collision of two liquid jets.Control methods for the flatness and tilt angle of LSTs have also been provided,which are essential for applications of laser-driven ion acceleration and others.展开更多
BACKGROUND Colorectal cancer(CRC)is a global health concern,with advanced-stage diagnoses contributing to poor prognoses.The efficacy of CRC screening has been well-established;nevertheless,a significant proportion of...BACKGROUND Colorectal cancer(CRC)is a global health concern,with advanced-stage diagnoses contributing to poor prognoses.The efficacy of CRC screening has been well-established;nevertheless,a significant proportion of patients remain unscreened,with>70%of cases diagnosed outside screening.Although identifying specific subgroups for whom CRC screening should be particularly recommended is crucial owing to limited resources,the association between the diagnostic routes and identification of these subgroups has been less appreciated.In the Japanese cancer registry,the diagnostic routes for groups discovered outside of screening are primarily categorized into those with comorbidities found during hospital visits and those with CRC-related symptoms.AIM To clarify the stage at CRC diagnosis based on diagnostic routes.METHODS We conducted a retrospective observational study using a cancer registry of patients with CRC between January 2016 and December 2019 at two hospitals.The diagnostic routes were primarily classified into three groups:Cancer screening,follow-up,and symptomatic.The early-stage was defined as Stages 0 or I.Multivariate and univariate logistic regressions were exploited to determine the odds of early-stage diagnosis in the symptomatic and cancer screening groups,referencing the follow-up group.The adjusted covariates were age,sex,and tumor location.RESULTS Of the 2083 patients,715(34.4%),1064(51.1%),and 304(14.6%)belonged to the follow-up,symptomatic,and cancer screening groups,respectively.Among the 2083 patients,CRCs diagnosed at an early stage were 57.3%(410 of 715),23.9%(254 of 1064),and 59.5%(181 of 304)in the follow-up,symptomatic,and cancer screening groups,respectively.The symptomatic group exhibited a lower likelihood of early-stage diagnosis than the follow-up group[P<0.001,adjusted odds ratio(aOR),0.23;95%confidence interval(95%CI):0.19-0.29].The likelihood of diagnosis at an early stage was similar between the follow-up and cancer screening groups(P=0.493,aOR for early-stage diagnosis in the cancer screening group vs follow-up group=1.11;95%CI=0.82-1.49).CONCLUSION CRCs detected during hospital visits for comorbidities were diagnosed earlier,similar to cancer screening.CRC screening should be recommended,particularly for patients without periodical hospital visits for comorbidities.展开更多
BACKGROUND Early diagnosis is key to prevent bowel damage in inflammatory bowel disease(IBD).Risk factor analyses linked with delayed diagnosis in European IBD patients are scarce and no data in German IBD patients ex...BACKGROUND Early diagnosis is key to prevent bowel damage in inflammatory bowel disease(IBD).Risk factor analyses linked with delayed diagnosis in European IBD patients are scarce and no data in German IBD patients exists.AIM To identify risk factors leading to prolonged diagnostic time in a German IBD cohort.METHODS Between 2012 and 2022,430 IBD patients from four Berlin hospitals were enrolled in a prospective study and asked to complete a 16-item questionnaire to determine features of the path leading to IBD diagnosis.Total diagnostic time was defined as the time from symptom onset to consulting a physician(patient waiting time)and from first consultation to IBD diagnosis(physician diagnostic time).Univariate and multivariate analyses were performed to identify risk factors for each time period.RESULTS The total diagnostic time was significantly longer in Crohn’s disease(CD)compared to ulcerative colitis(UC)patients(12.0 vs 4.0 mo;P<0.001),mainly due to increased physician diagnostic time(5.5 vs 1.0 mo;P<0.001).In a multivariate analysis,the predominant symptoms diarrhea(P=0.012)and skin lesions(P=0.028)as well as performed gastroscopy(P=0.042)were associated with longer physician diagnostic time in CD patients.In UC,fever was correlated(P=0.020)with shorter physician diagnostic time,while fatigue(P=0.011)and positive family history(P=0.046)were correlated with longer physician diagnostic time.CONCLUSION We demonstrated that CD patients compared to UC are at risk of long diagnostic delay.Future efforts should focus on shortening the diagnostic delay for a better outcome in these patients.展开更多
BACKGROUND Diabetic kidney disease(DKD),characterized by increased urinary microalbumin levels and decreased renal function,is the primary cause of end-stage renal di-sease.Its pathological mechanisms are complicated ...BACKGROUND Diabetic kidney disease(DKD),characterized by increased urinary microalbumin levels and decreased renal function,is the primary cause of end-stage renal di-sease.Its pathological mechanisms are complicated and multifactorial;Therefore,sensitive and specific biomarkers are needed.Urinary exosome originate from diverse renal cells in nephron segments and partially mirror the pathological changes in the kidney.The microRNAs(miRNAs)in urinary exosome are remark-ably stable and highly tissue-specific for the kidney.METHODS Type 2 diabetic mellitus(T2DM)patients were recruited from the Second Hospital of Hebei Medical University and were divided into two groups:DM,diabetic pa-tients without albuminuria[urinary albumin to creatinine ratio(UACR)<30 mg/g]and DKD,diabetic patients with albuminuria(UACR≥30 mg/g).Healthy subjects were the normal control(NC)group.Urinary exosomal miR-145-5p,miR-27a-3p,and miR-29c-3p,were detected using real-time quantitative polymerase chain reaction.The correlation between exosomal miRNAs and the clinical in-dexes was evaluated.The diagnostic values of exosomal miR-145-5p and miR-27a-3p in DKD were determined using receiver operating characteristic(ROC)analysis.Biological functions of miR-145-5p were investigated by performing RESULTS Urinary exosomal expression of miR-145-5p and miR-27a-3p was more upregulated in the DKD group than in the DM group(miR-145-5p:4.54±1.45 vs 1.95±0.93,P<0.001;miR-27a-3p:2.33±0.79 vs 1.71±0.76,P<0.05)and the NC group(miR-145-5p:4.54±1.45 vs 1.55±0.83,P<0.001;miR-27a-3p:2.33±0.79 vs 1.10±0.51,P<0.001).The exosomal miR-145-5p and miR-27a-3p positively correlated with albuminuria and serum creatinine and negatively correlated with the estimated glomerular filtration rate.miR-27a-3p was also closely related to blood glucose,gly-cosylated hemoglobin A1c,and low-density lipoprotein cholesterol.ROC analysis revealed that miR-145-5p had a better area under the curve of 0.88[95%confidence interval(CI):0.784-0.985,P<0.0001]in diagnosing DKD than miR-27a-3p with 0.71(95%CI:0.547-0.871,P=0.0239).Bioinformatics analysis revealed that the target genes of miR-145-5p were located in the actin filament,cytoskeleton,and extracellular exosome and were involved in the pathological processes of DKD,including apoptosis,inflammation,and fibrosis.CONCLUSION Urinary exosomal miR-145-5p and miR-27a-3p may serve as novel noninvasive diagnostic biomarkers or promising therapeutic targets for DKD.展开更多
In EAST long-pulsed discharge(hundreds of seconds),electric magnetic diagnosis(EMD)is very important,since EMD not only monitors tokamak security status but also provides accurate measurement accuracy for reconstructi...In EAST long-pulsed discharge(hundreds of seconds),electric magnetic diagnosis(EMD)is very important,since EMD not only monitors tokamak security status but also provides accurate measurement accuracy for reconstruction of the plasma boundary.To avoid current measurement drift,a fiber optic current sensor,based on the Faraday effect,is developed and used for poloidal and plasma current feedback control for the first time,relative current measurement accuracy is within 0.5%.To ensure plasma boundary control accuracy,a detailed set of magnetic measurement calibration methods is developed before the plasma discharge.The maximum relative error is less than 1%,the corresponding control accuracy is within 1 cm.To minimize integrator drift error,a long-pulse integrator test is essential,the corresponding drift error needs to be subtracted in plasma control system.Besides,the saddle coil and Mirnov coil not only help to detect MHD issues,but are also utilized for plasma disruption prediction during the long-pulse discharge.展开更多
The population with metabolic dysfunction-associated fatty liver disease(MAFLD)is increasingly common worldwide.Identification of people at risk of progression to advanced stages is necessary to timely offer intervent...The population with metabolic dysfunction-associated fatty liver disease(MAFLD)is increasingly common worldwide.Identification of people at risk of progression to advanced stages is necessary to timely offer interventions and appropriate care.Liver biopsy is currently considered the gold standard for the diagnosis and staging of MAFLD,but it has associated risks and limitations.This has spurred the exploration of non-invasive diagnostics for MAFLD,especially for steatohepatitis and fibrosis.These non-invasive approaches mostly include biomarkers and algorithms derived from anthropometric measurements,serum tests,imaging or stool metagenome profiling.However,they still need rigorous and widespread clinical validation for the diagnostic performance.展开更多
The development of intestinal anastomosis techniques,including hand suturing,stapling,and compression anastomoses,has been a significant advancement in surgical practice.These methods aim to prevent leakage and minimi...The development of intestinal anastomosis techniques,including hand suturing,stapling,and compression anastomoses,has been a significant advancement in surgical practice.These methods aim to prevent leakage and minimize tissue fibrosis,which can lead to stricture formation.The healing process involves various phases:hemostasis and inflammation,proliferation,and remodeling.Mechanical staplers and sutures can cause inflammation and fibrosis due to the release of profibrotic chemokines.Compression anastomosis devices,including those made of nickel-titanium alloy,offer a minimally invasive option for various surgical challenges and have shown safety and efficacy.However,despite advancements,anastomotic techniques are evaluated based on leakage risk,with complications being a primary concern.Newer devices like Magnamosis use magnetic rings for compression anastomosis,demonstrating greater strength and patency compared to stapling.Magnetic technology is also being explored for other medical treatments.While there are promising results,particularly in animal models,the realworld application in humans is limited,and further research is needed to assess their safety and practicality.展开更多
基金supported by the National MCF Energy R&D Program of China(Nos.2022YFE03040003 and 2019YFE03010003).
文摘Measurements of the total radiated power and its spatial distribution are crucial for fusion research.On the experimental advanced superconducting tokamak(EAST),both the metal foil resistive bolometer and the absolute extreme ultraviolet(AXUV)photodiodes have been used to quantify the radiated power.This article introduces the latest improvement of the bolometer diagnostic system on EAST.It also details the successful design and installation of new divertor AXUV cameras,which are dedicated to the investigation of divertor physics.The shielding components of the bolometer detector have been refined,and the article provides a detailed exposition of the double shielding structures that have been verified as effective in microwave shielding.Additionally,the changes in the radiated power distribution in the divertor region during the plasma detachment process are measured using the divertor AXUV camera.Finally,the radiated power measured by the AXUV detector and metal foil resistive bolometer are compared,and different detector performances are presented.
基金Supported by the “Reliable and clinical relevant change of Inventory of Depression and Anxiety Symptoms Ⅱ-IDAS Ⅱ:a longitudinal clinical utility study (RELY-IDAS-Ⅱ)”,project PID2020-116187RB-I00 on Proyectos I+D+i 2020 “Retos del Conocimiento” provided by Ministerio de Ciencia e Innovación (Spain)by the grant FPU20/06606
文摘Measurement of externalizing disorders such as antisocial disorders,attentiondeficit/hyperactivity disorder or borderline disorder have relevant implications for the daily lives of people with these disorders.While the Diagnostic and Statistical Manual of Mental Disorders(DSM)and the International Classification of Diseases(ICD)have provided the diagnostic framework for decades,recent dimensional frameworks question the categorical approach of psychopathology,inherent in traditional nosotaxies.Tests and instruments develop under the DSM or ICD framework preferentially adopt this categorical approach,providing diagnostic labels.In contrast,dimensional measurement instruments provide an individualized profile for the domains that comprise the externalizing spectrum,but are less widely used in practice.Current paper aims to review the operational definitions of externalizing disorders defined under these different frameworks,revise the different measurement alternatives existing,and provide an integrative operational definition.First,an analysis of the operational definition of externalizing disorders among the DSM/ICD diagnostic systems and the recent Hierarchical Taxonomy of Psychopathology(HiTOP)model is carried out.Then,in order to analyze the coverage of operational definitions found,a description of measurement instruments among each conceptualization is provided.Three phases in the development of the ICD and DSM diagnosis systems can be observed with direct implications for measurement.ICD and DSM versions have progressively introduced systematicity,providing more detailed descriptions of diagnostic criteria and categories that ease the measurement instrument development.However,it is questioned whether the DSM/ICD systems adequately modelize externalizing disorders,and therefore their measurement.More recent theoretical approaches,such as the HiTOP model seek to overcome some of the criticism raised towards the classification systems.Nevertheless,several issues concerning this model raise mesasurement challenges.A revision of the instruments underneath each approach shows incomplete coverage of externalizing disorders among the existing instruments.Efforts to bring nosotaxies together with other theoretical models of psychopathology and personality are still needed.The integrative operational definition of externalizing disorders provided may help to gather clinical practice and research.
文摘A diagnostic system of soft x-ray diode-array was set up for HT-7 superconducting tokamak. The system consists of two slot-aperture cameras and is capable of measuring the soft x-ray emission from the plasma on HT-7 device with a high resolution in space and a high response in time. Both cameras, located separately in a horizontal port and a vertical port each with thirty-seven detectors of An-Si surface-barrier diode (SBD) can view the same toroidal cross-section of the plasma from different poloidal chords. In this paper, the structure, principle and performance of the diagnostic system are described and some experimental results observed are presented.
文摘Three categories of failure diagnostic methods for reciprocating compressors are classified according to the signals adopted by the diagnosis. They are parameter method, vibration method, and oil analysis method. In this paper, the applicable range and operational difficulties of these methods are discussed on the basis of analysis and induction upon normal failure. It is proposed that a compressor's normal failure can be divided into thermodynamical property failure and mechanical function failure. As to the former, the parameter method that takes a cylinder pressure signal as the main diagnostic signal may be applied; and as to the latter, the vibration signal frequency spectrum can be used to diagnose. At the same time, the structure of an intelligent diagnostic system based on neural networks is introduced, and its schematic is given.
基金This research has been funded by Direccion General de Investigaciones of Universidad Santiago de Cali under call No.01-2021。
文摘The hepatitis B virus is the most deadly virus,which significantly affects the human liver.The termination of the hepatitis B virus is mandatory and can be done by taking precautions as well as a suitable cure in its introductory stage;otherwise,it will become a severe problem and make a human liver suffer from the most dangerous diseases,such as liver cancer.In this paper,two medical diagnostic systems are developed for the diagnosis of this life-threatening virus.The methodologies used to develop thesemodels are fuzzy logic and the neuro-fuzzy technique.The diverse parameters that assist in the evaluation of performance are also determined by using the observed values from the proposed system for both developedmodels.The classification accuracy of a multilayered fuzzy inference system is 94%.The accuracy with which the developed medical diagnostic system by using Adaptive Network based Fuzzy Interference System(ANFIS)classifies the result corresponding to the given input is 95.55%.The comparison of both developed models on the basis of their performance parameters has been made.It is observed that the neuro-fuzzy technique-based diagnostic system has better accuracy in classifying the infected and non-infected patients as compared to the fuzzy diagnostic system.Furthermore,the performance evaluation concluded that the outcome given by the developed medical diagnostic system by using ANFIS is accurate and correct as compared to the developed fuzzy inference system and also can be used in hospitals for the diagnosis of Hepatitis B disease.In other words,the adaptive neuro-fuzzy inference system has more capability to classify the provided inputs adequately than the fuzzy inference system.
基金supported by National Natural Science Foundation of China (Nos.10805056, 10675126)
文摘A multipulse and multipoint Nd：YAG （neodymium-yttrium aluminum garnet） laser Thomson scattering diagnostic system was developed on EAST to obtain more accurate electron temperature Te and electron density ne profiles. In this paper, the optical system, the VME （versa module eurocard）-based real-time computer system for laser control, data acquisition, analysis and calibration are discussed in detail. Furthermore, a developed data processing method is presented.
基金National Natural Science Foundation of China (No. 11575184).
文摘A novel real time fast electron bremsstrahlung (FEB) diagnostic system based on the lutetium yttrium oxyorthosilicate scintillators (LYSO) and silicon photomultipliers (SiPM) has been developed for tokamak.The diagnostic system is dedicated to study the FEB emission in the hard x-ray (HXR) energy range between 10 and 200 keV during the lower hybrid current drive.The system consists of a detection module and three data acquisition and processing (DAP)boards.The detection module consists of annulus LYSO-SiPM detector array and a 12-channel preamplifier module.The DAP boards upload the data to the host computer for displaying and storing through PXI bus.The time and space resolutions of the system are 10 ms and 4 cm,respectively.The experimental results can show the evolution over time and the spatial distribution of FEB.This paper presents the system performance and typical discharge results.
基金supported by National Natural Science Foundation of China (Nos. 10725523, 10721505 and 10805056)
文摘Primary physical design of the Thomson scattering system for EAST, including the configuration of the system and the design considerations of different sections of the system, is presented. The expected measurability of this design, namely an electron temperature of 513 eV to 5 keV and a plasma density beyond 0.5× 10^19 m^-3, fulfills the requirements of the EAST operation.
文摘The development of cleaning optics and deposition-mitigating techniques is a key factor in the construction and operation of optical diagnostics in ITER. The cleaning of optical surface by pulsed radiation from a fiber laser is an effective method that can recover optical properties of the mirror surface. The possibility of cleaning metallic mirrors from films with complex composition by pulsed radiation from a fiber laser has been experimentally researched. It has been shown that the high initial reflection characteristics of optical elements can be recovered by choosing regimes of radiation effect on the deposited surface. Efficient cleaning is ensured by radiation with the power density of less than 107 W/cm2. At this relatively low power density, pollutions are removed in a solid phase and the thermal effect on the mirror is insignificant. Preliminary experiments of the metal mirrors cleaning by fiber laser radiation have demonstrated the possibility of hardware implementation techniques.
基金Project supported by the National Magnetic Confinement Fusion Science Program of China(Grant No.2017YFE0301700)the National Natural Science Foundation of China(Grant No.11635008)
文摘A 10-channel Hα diagnostic system has been designed with the rapid response rate of 300 kHz, spatial resolution of about 40 mm, and overlap between adjacent channels of about 3%, and it has been implemented successfully on Keda Torus eXperiment(KTX), a newly constructed, reversed field pinch(RFP) experimental device at the University of Science and Technology of China(USTC). This diagnostic system is a very important tool for the initial KTX operations. It is compact,with an aperture slit replacing the traditional optical lens system. A flexural interference filter is designed to prevent the center wavelength from shifting too much as the increase of angle from vertical incidence. To eliminate the stray light,the interior of the system is covered with the black aluminum foil having a very high absorptivity. Using the Hαemission data, together with the profiles of electron temperature and density obtained from the Langmuir probe, the neutral density profiles have been calculated for KTX plasmas. The rapid response rate and good spatial resolution of this Hαdiagnostic system will be beneficial for many studies in RFP plasma physics.
基金supported by National Natural Science Foundation of China(Nos.11305069 and 10990214)the Ministry of Science and Technology of China(Nos.2013GB106001,2011GB109001)
文摘A spectral diagnostic control system （SDCS） is developed to implement automatic process of the edge rotation diagnostic system on the J-TEXT tokamak. The SDCS contains a control module, data operation module, data analysis module, and data upload module. The core of this system is a newly developed software ＂Spectra Assist＂, which completes the whole process by coupling all related subroutines and servers. The results of data correction and calculated rotation are presented. In the daily discharge of J-TEXT, SDCS is proved to have a stable performance and high efficiency in completing the process of data acquisition, operation and results output.
文摘In paper it introduced a review of modem traction vehicle drive system with induction motor drive system （PMSM with single or dual rotor drive system） or BLDC motor with different configuration of magnetic circuits. For particular part of drive system proposed a quasi intelligent control system version smart control enables multi criteria predictive control of vehicle work. In the paper presented also a selected diagnostic procedure, enables monitoring exploitation parameters, and prediction of probable failure state. For different vehicle work state realized a simulation models and crash test of exploitations failure models.
基金funded by the National Natural Science Foundation of China(No.32170788)National High Level Hospital Clinical Research Funding(No.2022-PUMCH-B-023)Beijing Natural Science Foundation(No.7232123).
文摘Objective To assess the diagnostic accuracy of bowel sound analysis for irritable bowel syndrome(IBS)with a systematic review and meta-analysis.Methods We searched MEDLINE,Embase,the Cochrane Library,Web of Science,and IEEE Xplore databases until September 2023.Cross-sectional and case-control studies on diagnostic accuracy of bowel sound analysis for IBS were identified.We estimated the pooled sensitivity,specificity,positive likelihood ratio,negative likeli-hood ratio,and diagnostic odds ratio with a 95% confidence interval(CI),and plotted a summary receiver operat-ing characteristic curve and evaluated the area under the curve.Results Four studies were included.The pooled diagnostic sensitivity,specificity,positive likelihood ratio,nega-tive likelihood ratio,and diagnostic odds ratio were 0.94(95%CI,0.87‒0.97),0.89(95%CI,0.81‒0.94),8.43(95%CI,4.81‒14.78),0.07(95%CI,0.03‒0.15),and 118.86(95%CI,44.18‒319.75),respectively,with an area under the curve of 0.97(95%CI,0.95‒0.98).Conclusions Computerized bowel sound analysis is a promising tool for IBS.However,limited high-quality data make the results'validity and applicability questionable.There is a need for more diagnostic test accuracy studies and better wearable devices for monitoring and analysis of IBS.
文摘To meet the demands of laser-ion acceleration at a high repetition rate,we have developed a comprehensive diagnostic system for real-time and in situ monitoring of liquid sheet targets(LSTs).The spatially resolved rapid characterizations of an LST’s thickness,flatness,tilt angle and position are fulfilled by different subsystems with high accuracy.With the help of the diagnostic system,we reveal the dependence of thickness distribution on collision parameters and report the 238-nm liquid sheet generated by the collision of two liquid jets.Control methods for the flatness and tilt angle of LSTs have also been provided,which are essential for applications of laser-driven ion acceleration and others.
基金the Foundation for Cancer Research supported by Kyoto Preventive Medical Center and the Japan Society for the Promotion of Science(JSPS)Grants-in-Aid KAKENHI,No.JP 22K21080.
文摘BACKGROUND Colorectal cancer(CRC)is a global health concern,with advanced-stage diagnoses contributing to poor prognoses.The efficacy of CRC screening has been well-established;nevertheless,a significant proportion of patients remain unscreened,with>70%of cases diagnosed outside screening.Although identifying specific subgroups for whom CRC screening should be particularly recommended is crucial owing to limited resources,the association between the diagnostic routes and identification of these subgroups has been less appreciated.In the Japanese cancer registry,the diagnostic routes for groups discovered outside of screening are primarily categorized into those with comorbidities found during hospital visits and those with CRC-related symptoms.AIM To clarify the stage at CRC diagnosis based on diagnostic routes.METHODS We conducted a retrospective observational study using a cancer registry of patients with CRC between January 2016 and December 2019 at two hospitals.The diagnostic routes were primarily classified into three groups:Cancer screening,follow-up,and symptomatic.The early-stage was defined as Stages 0 or I.Multivariate and univariate logistic regressions were exploited to determine the odds of early-stage diagnosis in the symptomatic and cancer screening groups,referencing the follow-up group.The adjusted covariates were age,sex,and tumor location.RESULTS Of the 2083 patients,715(34.4%),1064(51.1%),and 304(14.6%)belonged to the follow-up,symptomatic,and cancer screening groups,respectively.Among the 2083 patients,CRCs diagnosed at an early stage were 57.3%(410 of 715),23.9%(254 of 1064),and 59.5%(181 of 304)in the follow-up,symptomatic,and cancer screening groups,respectively.The symptomatic group exhibited a lower likelihood of early-stage diagnosis than the follow-up group[P<0.001,adjusted odds ratio(aOR),0.23;95%confidence interval(95%CI):0.19-0.29].The likelihood of diagnosis at an early stage was similar between the follow-up and cancer screening groups(P=0.493,aOR for early-stage diagnosis in the cancer screening group vs follow-up group=1.11;95%CI=0.82-1.49).CONCLUSION CRCs detected during hospital visits for comorbidities were diagnosed earlier,similar to cancer screening.CRC screening should be recommended,particularly for patients without periodical hospital visits for comorbidities.
文摘BACKGROUND Early diagnosis is key to prevent bowel damage in inflammatory bowel disease(IBD).Risk factor analyses linked with delayed diagnosis in European IBD patients are scarce and no data in German IBD patients exists.AIM To identify risk factors leading to prolonged diagnostic time in a German IBD cohort.METHODS Between 2012 and 2022,430 IBD patients from four Berlin hospitals were enrolled in a prospective study and asked to complete a 16-item questionnaire to determine features of the path leading to IBD diagnosis.Total diagnostic time was defined as the time from symptom onset to consulting a physician(patient waiting time)and from first consultation to IBD diagnosis(physician diagnostic time).Univariate and multivariate analyses were performed to identify risk factors for each time period.RESULTS The total diagnostic time was significantly longer in Crohn’s disease(CD)compared to ulcerative colitis(UC)patients(12.0 vs 4.0 mo;P<0.001),mainly due to increased physician diagnostic time(5.5 vs 1.0 mo;P<0.001).In a multivariate analysis,the predominant symptoms diarrhea(P=0.012)and skin lesions(P=0.028)as well as performed gastroscopy(P=0.042)were associated with longer physician diagnostic time in CD patients.In UC,fever was correlated(P=0.020)with shorter physician diagnostic time,while fatigue(P=0.011)and positive family history(P=0.046)were correlated with longer physician diagnostic time.CONCLUSION We demonstrated that CD patients compared to UC are at risk of long diagnostic delay.Future efforts should focus on shortening the diagnostic delay for a better outcome in these patients.
基金Supported by the Nature Science Foundation of Hebei Province,No.H2023104011.
文摘BACKGROUND Diabetic kidney disease(DKD),characterized by increased urinary microalbumin levels and decreased renal function,is the primary cause of end-stage renal di-sease.Its pathological mechanisms are complicated and multifactorial;Therefore,sensitive and specific biomarkers are needed.Urinary exosome originate from diverse renal cells in nephron segments and partially mirror the pathological changes in the kidney.The microRNAs(miRNAs)in urinary exosome are remark-ably stable and highly tissue-specific for the kidney.METHODS Type 2 diabetic mellitus(T2DM)patients were recruited from the Second Hospital of Hebei Medical University and were divided into two groups:DM,diabetic pa-tients without albuminuria[urinary albumin to creatinine ratio(UACR)<30 mg/g]and DKD,diabetic patients with albuminuria(UACR≥30 mg/g).Healthy subjects were the normal control(NC)group.Urinary exosomal miR-145-5p,miR-27a-3p,and miR-29c-3p,were detected using real-time quantitative polymerase chain reaction.The correlation between exosomal miRNAs and the clinical in-dexes was evaluated.The diagnostic values of exosomal miR-145-5p and miR-27a-3p in DKD were determined using receiver operating characteristic(ROC)analysis.Biological functions of miR-145-5p were investigated by performing RESULTS Urinary exosomal expression of miR-145-5p and miR-27a-3p was more upregulated in the DKD group than in the DM group(miR-145-5p:4.54±1.45 vs 1.95±0.93,P<0.001;miR-27a-3p:2.33±0.79 vs 1.71±0.76,P<0.05)and the NC group(miR-145-5p:4.54±1.45 vs 1.55±0.83,P<0.001;miR-27a-3p:2.33±0.79 vs 1.10±0.51,P<0.001).The exosomal miR-145-5p and miR-27a-3p positively correlated with albuminuria and serum creatinine and negatively correlated with the estimated glomerular filtration rate.miR-27a-3p was also closely related to blood glucose,gly-cosylated hemoglobin A1c,and low-density lipoprotein cholesterol.ROC analysis revealed that miR-145-5p had a better area under the curve of 0.88[95%confidence interval(CI):0.784-0.985,P<0.0001]in diagnosing DKD than miR-27a-3p with 0.71(95%CI:0.547-0.871,P=0.0239).Bioinformatics analysis revealed that the target genes of miR-145-5p were located in the actin filament,cytoskeleton,and extracellular exosome and were involved in the pathological processes of DKD,including apoptosis,inflammation,and fibrosis.CONCLUSION Urinary exosomal miR-145-5p and miR-27a-3p may serve as novel noninvasive diagnostic biomarkers or promising therapeutic targets for DKD.
基金supported by the National Magnetic Confinement Fusion Program of China(Nos.2018YFE0302100 and 2022YFE03010002)National Natural Science Foundation of China(Nos.12205195)。
文摘In EAST long-pulsed discharge(hundreds of seconds),electric magnetic diagnosis(EMD)is very important,since EMD not only monitors tokamak security status but also provides accurate measurement accuracy for reconstruction of the plasma boundary.To avoid current measurement drift,a fiber optic current sensor,based on the Faraday effect,is developed and used for poloidal and plasma current feedback control for the first time,relative current measurement accuracy is within 0.5%.To ensure plasma boundary control accuracy,a detailed set of magnetic measurement calibration methods is developed before the plasma discharge.The maximum relative error is less than 1%,the corresponding control accuracy is within 1 cm.To minimize integrator drift error,a long-pulse integrator test is essential,the corresponding drift error needs to be subtracted in plasma control system.Besides,the saddle coil and Mirnov coil not only help to detect MHD issues,but are also utilized for plasma disruption prediction during the long-pulse discharge.
基金Supported by The National Natural Science Foundation of China,No.82104525.
文摘The population with metabolic dysfunction-associated fatty liver disease(MAFLD)is increasingly common worldwide.Identification of people at risk of progression to advanced stages is necessary to timely offer interventions and appropriate care.Liver biopsy is currently considered the gold standard for the diagnosis and staging of MAFLD,but it has associated risks and limitations.This has spurred the exploration of non-invasive diagnostics for MAFLD,especially for steatohepatitis and fibrosis.These non-invasive approaches mostly include biomarkers and algorithms derived from anthropometric measurements,serum tests,imaging or stool metagenome profiling.However,they still need rigorous and widespread clinical validation for the diagnostic performance.
文摘The development of intestinal anastomosis techniques,including hand suturing,stapling,and compression anastomoses,has been a significant advancement in surgical practice.These methods aim to prevent leakage and minimize tissue fibrosis,which can lead to stricture formation.The healing process involves various phases:hemostasis and inflammation,proliferation,and remodeling.Mechanical staplers and sutures can cause inflammation and fibrosis due to the release of profibrotic chemokines.Compression anastomosis devices,including those made of nickel-titanium alloy,offer a minimally invasive option for various surgical challenges and have shown safety and efficacy.However,despite advancements,anastomotic techniques are evaluated based on leakage risk,with complications being a primary concern.Newer devices like Magnamosis use magnetic rings for compression anastomosis,demonstrating greater strength and patency compared to stapling.Magnetic technology is also being explored for other medical treatments.While there are promising results,particularly in animal models,the realworld application in humans is limited,and further research is needed to assess their safety and practicality.
