简介:AbstractInfertility seriously endangers the reproductive health of women at childbearing age. It is defined as the failure to achieve successful pregnancy after 1 year or more of regular unprotected intercourse. Broadly defined, infertility includes two aspects - failure to conceive or have a live birth. This guideline only addressed content relevant to the former. It was proposed by the gynecological endocrine group of the Chinese Society of Obstetrics and Gynecology, Chinese Medical Association, based on relevant guidelines of the World Health Organization, the American Society for Reproductive Medicine, the National Institute for Health and Clinical Excellence, as well as the clinical practice in China. The guideline was reviewed by experts and doctors from medical institutions at all levels, which is applicable to the diagnosis of infertility by physicians in obstetrics, gynecology, and andrology at various medical institutions nationwide.
简介:BeamDiagnosticSystemforSFC¥SongHaihongThediagnosticdevicesfortheinjectorSFCinclude3movableradialprobeswith10differentialandin...
简介:HL-2Atokamakisthefirstnon-circularcross-sectiontokamakwithdivertorinChina.ApartfromboundarytransportandSOLstudy,theHL-2AmajorsubjectistoinvestigatetheimprovementofconfinementwithhighparametersandalotoffrontphysicsandrelevantengineeringtechniquesbyuseofitsspecialCloseddivertorwithlargevolumeinChina.
简介:AbstractAlthough whole-exome sequencing and whole-genome sequencing has tremendously improved our understanding of the genetic etiology of human disorders, about half of the patients still do not receive a molecular diagnosis. The high fraction of variants with uncertain significance and the challenges of interpretation of noncoding variants have urged scientists to implement RNA sequencing (RNA-seq) in the diagnostic approach as a high throughput assay to complement genomic data with functional evidence. RNA-seq data can be used to identify aberrantly spliced genes, detect allele-specific expression, and identify gene expression outliers. Amongst eight studies utilizing RNA-seq, a mean diagnostic uplift of 15% has been reported. Here, we provide an overview of how RNA-seq has been implemented to aid in identifying the causal variants of Mendelian disorders.
简介:AbstractCoronavirus disease 2019 (COVID-19) is a newly emerged infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The number of COVID-19 cases is continuously increasing and no effective drugs or vaccines are currently available. Accurate and efficient diagnostic testing methods are desperately needed for the detection of SARS-CoV-2 and antiviral antibodies in infected individuals. Various assay techniques, including nucleic acid tests [eg, polymerase chain reaction (PCR), reverse transcription-PCR, real-time loop-mediated isothermal amplification, and CRISPR-Cas-based detection], serological tests [eg, immunoglobulin (Ig)A, IgM/G], imaging tests (eg, computed tomography and positron-emission tomography), and nanoparticle-based detections have been reported for COVID-19 diagnosis. This review aims to present the current diagnostic tools for SARS-CoV-2 and their performance characteristics to inform the appropriate selection of diagnostic and surveillance technologies at optimal testing times. We also describe the advantages of detection using combined nucleic acid and imaging tests, or serological testing and point-of-care diagnostics. Developing reliable protein biomarkers targeting the conserved proteins of SARS-CoV-2 rather than IgA, IgM, or IgG would be useful to manage SARS-CoV-2.
简介:TheconcernoveroutliersisoldsinceBernoulli(see[12]),reviewedhistoricallyby[11]andupdatedwith[10]intheirencyclopediatextbook.Jamesetal.[46]usedsimulationtechniquetocomparesomerecentpublishedoutlierdetectionprocedures.Thehistoryofadeptanddiagnosisofoutliersistracedfromoldandpresencecomments.Theil-typeorRank,Brown-Mood,Lp,M,adaptiveM,GM,andTrimmed-Winsorizationestimatorsarethemostpopularestimatorsthatwewillreviewinthispaperasanapplicationtooutlieraccommodation.Wewillreviewandcomparethemostnumericalandgraphicaldisplaysbasedonresidualstoflagoutliers.
简介:AnumericalsimulationofatorrentialraineventoccurringintheJiang-HuaiValleyofChinafrom22-24June1999isperformedandanalyzedbyusingthePSU/NCARMM5mesoscalenon-hydrostaticmodel.Thehigh-resolutionmodeloutputdataareutilizedtodiagnosethedoublefrontstructure,andthedistributionsofpotentialtemperature,equivalentpotentialtemperature,andspecifichumidityinthevicinityoftheMeiyuFrontSystem(MYFS)intheJiang-HuaiValley.TheresultsshowthatboththepotentialtemperaturegradientandthespecifichumiditygradienthaveimportantimpactsonthetwostrongequivalentpotentialtemperaturegradientzonesassociatedwiththedoublefrontstructureoftheMYFS,butthelatter(moisturegradient)ismoreimportant.Inaddition,thetendencyequationofspecifichumiditygradientistheoreticallyderived.Itshowsthatvariationsofthespecifichumiditygradientarerelatedtotheadvection,convergence/divergence,horizontalandverticalvorticities(secondarycirculation)effectsandthegradientofwatervaporsource/sink.Asanexample,thebudgetofthemeridionalcomponentofthetendencyequationisselectedanddiagnosedbyusingtheabovemodelsimulationdataofthetorrentialrainevent.Itisshownthatthevariationofthespecifichumiditygradientaveragedthroughoutthesimulationismainlycontrolledbytheconvergence/divergenceeffect,thesecondarycirculationeffectassociatedwiththehorizontalvorticities,andthewatervaporsource/sinkeffect.Sincethewatervaporsource/sinkisoftenformedfromthephasechangeprocessesofwatervaporintheairandthusdirectlyassociatedwithcloudandprecipitationmicrophysicsprocesses,thevariationofthespecifichumiditygradientiscloselyrelatedwithcloudandprecipitationmicrophysicsandthedistribution,developmentandevolutionofcloudandrainfallsystems.ThedoublefrontstructureoftheMYFSprovidesanadvantageousenvironmentalconditionforthedevelopmentandmovementofthemesoscaletorrentialrain
简介:AbstractFat embolism syndrome (FES) is a serious life-threatening manifestation of the fat embolism phenomenon characterized by Bergman’s triad of dyspnea, petechiae and mental confusion. While fat embolization into systemic circulation is common, FES occurs in a meagre 0.05%-3% of patients having isolated long bone fractures. Though visual symptoms are commonly attributed to fat embolism retinopathy and is a later occurrence, it may not always be the case. Cortical blindness has been seldom reported in association with FES, and less so as a presenting complaint. Furthermore, no previous literature has described the same in context of an isolated tibia fracture. We report a 20-year-old gentleman with an isolated right tibia shaft fracture who developed sudden onset diminution of vision in both eyes less than 24 h following trauma with no other complaints. Lack of any remarkable ophthalmoscopic findings or other symptoms left us with a diagnostic conundrum. He later went on to develop altered mentation, hypoxia and generalized tonic-clonic seizures with subsequent MRI revealing multiple cerebral fat emboli also involving both occipital lobes. Supportive measures were instituted and his general condition as well as vision gradually improved following which he underwent plate fixation of the fracture under spinal anaesthesia. The perioperative period was uneventful and he was discharged following staple removal. At one month of follow-up, the patient had no residual visual field defects or neurological deficits. Though FES is rare among isolated tibia fractures, this clinical catastrophe may strike in any unsuspected setting thereby warranting a high index of suspicion to ensure early diagnosis and improved patient outcomes.