简介:AbstractPharyngitis is common in children, accounting for nearly 12 million visits annually in the United States. Streptococcus pyogenes or group A streptococcus (GAS) is the most common bacterial cause of pharyngitis for which antibiotics are indicated. Antibiotic treatment of streptococcal pharyngitis virtually eliminates the presence of bacteria from the pharynx and thus removes the risk of subsequent rheumatic fever. GAS is spread from person to person via respiratory droplets with a short incubation period of 2~5 days. GAS pharyngitis peaks in the late winter and early spring months when children are predominately indoors for school and sports. Colonization is also higher in winter months, and while up to 20% of school age children are colonized with GAS in their throat during this time, colonization has not been shown to contribute to the spread of disease. In low- and middle-income countries and other situations in which crowding is common (e.g., schools), outbreaks of pharyngitis are common. GAS pharyngitis can occur at all ages and it is most common in school-aged children with a peak at 7~8 years of age. Pharyngitis caused by GAS is rare in children <3 years of age and becomes much less common in late adolescence through adulthood.
简介:Ashipoint(tonsil)incombinationoftheprickingandbleedingtechniqueonShaoshang(LU11)andShangyang(LI1)wereusedtotreat58outpatientsofacutetonsillitis.Theresultsshowedcurein38cases,remarkableeffectin17casesandfailurein3casesbyonetreatment,andthetotaleffectiveratein95%.
简介:精索静脉曲张复发是与精索静脉曲张修理联系的最普通的复杂并发症之一。系统的评论被执行评估精索静脉曲张复发率,复发的解剖原因,和周期性的精索静脉曲张的管理的方法。PubMed数据库用关键词“被评估;recurrent”;并且“;varicocele”;象网孔标准“一样;recurrent”;并且“;精索静脉曲张.”;文章没被包括那不在英语、代表的单个案例报告,完全集中了于无临床症状的精索静脉曲张,或完全集中了于一张小儿科的人口(年龄<;18)。复发的率从0%~35%与精索静脉曲张修理的技术变化。复发的解剖能被venography定义。精索静脉曲张复发的管理能是外科的或经由embolization。
简介:在怀孕期间,在microchimerism的获得的结果,它经久地装在两个接受者坚持的母亲胎儿的房间交换。自然地获得的microchimerism可以在怀孕影响母亲胎儿的相互作用。我们进行了研究问一个女人从她的自己的母亲获得了的microchimerism是否是可检测的在前或在在有周期性的流产的女人的怀孕期间。胎儿的microchimerism也是assayed。有主要自发的周期性的流产的女人(n=;23)并且控制(n=;31)被学习。Genotyping为probands,他们的母亲和胎儿,被进行识别的非分享的多型性和量的聚合酶链反应表现了测量microchimerismin外设血mononuclear房间。预想比较在周期性的流产题目和控制之间被做,用逻辑回归和Wilcoxon等级和。在周期性的流产题目的随后的怀孕的纵的microchimerism被描述。向在周期性的流产对控制的microchimerism的更低的预想察觉有一个趋势,6%;对19%;(1/16对6/31,P=;0.2)。在怀孕期间,3/11(27%;)继续了有的周期性的流产题目,出生从他们的自己的母亲有microchimerism的察觉,而任何一个继续了流产的二个题目都没有察觉(0/2)。这个起始的数据当可检测时,与周期性的流产在女人从一个女人的自己的母亲建议那microchimerism,可以不同于控制并且根据随后的怀孕结果。进一步的研究被需要在周期性的流产决定房间类型,数量和microchimerism的任何潜在的功能的角色。
简介:Abstract:Thepossiblecausesofcondylomaacuminatarecurrencearesummarized:suchaspatientswithcellularimmunedeficiencies,physicaltherapytriggeringsubclinicalinfectivefoci,sowingofthevirusparticles,andinsufficienttherapy.Correspondingpreventivemeasuresareaddressed,including:immunomodulatorsimprovingcellularimmunity,ensuringtherangeanddepthofphysicaltherapy,andtreatingsexualpartnerssimultaneously.
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简介:Thispaperanalyzestherelationshipbetweencapacityanddynamicsinrecurrentcorrelationneuralnetwork,andpointsoutthatinsomeconditionstherecurrentcorrelationneuralnetworkhashighmemorycapacity.Thenthispaperpresentsseveralmethodsforimprovingtheperformance.
简介:Inthispaper,wepresentatechniqueforensuringthestabilityofalargeclassofadaptivelycontrolledsystems.WecombineIQCmodelsofboththecontrolledsystemandthecontrollerwithamethodoffilteringcontrolparameterupdatestoensurestablebehaviorofthecontrolledsystemunderadaptationofthecontroller.Wepresentaspecificapplicationtoasystemthatusesrecurrentneuralnetworksadaptedviareinforcementlearningtechniques.Theworkpresentedextendsearlierworksonstablereinforce...
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简介:Anewmethodwasdescribedforusingarecurrentneuralnetworkwithbiasunitstopredictcontactmapsinproteins.Themaininputstotheneuralnetworkincluderesiduespairwise,residueclassificationaccordingtohydrophobicity,polar,acidic,basicandsecondarystructureinformationandresidueseparationbetweentworesidues.Inourwork,adatasetwasusedwhichwascomposedof53globulinproteinsofknown3Dstructure.Anaveragepredictiveaccuracyof0.29wasobtained.Ourresultsdemonstratetheviabilityoftheapproachforpredictingcontactmaps.
简介:Recurrenteventdataoftenarisesinbiomedicalstudies,andindividualswithinaclustermightnotbeindependent.Weproposeasemiparametricadditiveratesmodelforclusteredrecurrenteventdata,whereinthecovariatesareassumedtoaddtotheunspecifiedbaselinerate.Fortheinferenceonthemodelparameters,estimatingequationapproachesaredeveloped,andbothlargeandfinitesamplepropertiesoftheproposedestimatorsareestablished.
简介:AbstractThe aim of this paper is to discuss the risk of recurrence in patients with differentiated thyroid cancer and emphasize the importance of risk-group stratification, early recurrence identification and application of new imaging modalities, what is the PET-CT. Moreover, follow-up of patients with thyroid carcinoma should be carried out by specialized teams throughout life. Therefore, interdisciplinary case discussions in tumor conferences may improve the use of multimodal therapy especially in patients with poorly differentiated thyroid carcinomas. After baseline follow-up, if there is a suspicion of thyroid carcinoma, early PET-CT should be used for early detection and appropriate planning. Fortunately, due to the good localization possibility, the PET-CT enables a focused surgical procedure with avoidance of an unnecessary tumor search and thereby a reduction of the risk of injury of neighboring structures which is a concern with reoperative neck surgery.
简介:Recurrenteventsdataandgaptimesbetweenrecurrenteventsarefrequentlyencounteredinmanyclinicalandobservationalstudies,andoftenmorethanonetypeofrecurrenteventsisofinterest.Inthispaper,weconsideraproportionalhazardsmodelformultipletyperecurrentgaptimesdatatoassesstheeffectofcovaxiatesonthecensoredeventprocessesofinterest.Anestimatingequationapproachisusedtoobtaintheestimatorsofregressioncoefficientsandbaselinecumulativehazardfunctions.Weexamineasymptoticpropertiesoftheproposedestimators.Finitesamplepropertiesoftheseestimatorsaredemonstratedbysimulations.
简介:Recurrenteventsdatawithaterminalevent(e.g.death)oftenariseinclinicalandobservationalstudies.Mostofexistingmodelsassumemultiplicativecovariateeffectsandmodeltheconditionalrecurrenteventrategivensurvival.Inthisarticle,weproposeageneraladditive-multiplicativeratesmodelforrecurrenteventdatainthepresenceofaterminalevent,wheretheterminaleventstopthefurtheroccurrenceofrecurrentevents.Basedontheestimatingequationapproachandtheinverseprobabilityweightingtechnique,weproposetwoproceduresforestimatingtheregressionparametersandthebaselinemeanfunction.Theasymptoticpropertiesoftheresultingestimatorsareestablished.Inaddition,somegraphicalandnumericalproceduresarepresentedformodelchecking.Thefinite-samplebehavioroftheproposedmethodsisexaminedthroughsimulationstudies,andanapplicationtoabladdercancerstudyisalsoillustrated.
简介:Inthispaper,globalrobuststabilityofuncertainstochasticrecurrentneuralnetworkswithMarkovianjumpingparametersisconsidered.AnovelLinearmatrixinequality(LMI)basedstabilitycriterionisobtainedtoguaranteetheasymptoticstabilityofuncertainstochasticrecurrentneuralnetworkswithMarkovianjumpingparameters.TheresultsarederivedbyusingtheLyapunovfunctionaltechnique,LipchitzconditionandS-procuture.Finally,numericalexamplesaregiventodemonstratethecorrectnessofthetheoreticalresults.Ourresultsarealsocomparedwithresultsdiscussedin[31]and[34]toshowtheeffectivenessandconservativeness.