简介:HowtoteachEnglishwellisahottopicforManyEFL(Englishasaforeignlanguage)teachers.SometeacherswonderwhatmethodsshouldbeadoptedintheirEnglishteachingsoastohelptheirstudentslearnEnglishbetter.InEnglishteachinghistory,manymethodshavebeenemployed,suchasGrammar-Translationmethod,Audio-LingualMethodand
简介:Tworecentstudieshavediscoveredasurprisinglinkbetweenthreeseeminglydifferentclinicaldiseases:onethatdestroysbonemarrow,anotherthatpreventssundamagefrombeingrepaired,andathirdwhichcauseschildrentoshowsignsofagingextremelyearly.Ithasbeenfoundthatallthreediseasesarecausedbymutationsinthesamegene.Mutationscomeinanumberofdifferentflavors,
简介:AbstractTo summarize fertility preservation (FP) guidelines and consensus provided by medical facilities worldwide. Five reference databases (PubMed/Embase, China BioMedical Literature Database, ClinicalKey, Wanfang Data, and China Knowledge Resource Integrated) and 7 guideline databases (Guideline International Network, National Collaborating Centre for Women’s and Children’s Health, National Guideline Clearinghouse, The National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, New Zealand Guideline Group, and Canadian Medical Association infobase) were searched. Official websites of societies were searched to find relevant guidelines and consensus, and guidelines and published systematic reviews and consensus were reviewed from inception through May 2021. A literature search was performed regarding guidance offered in professional facilities, and 304 records (including 4 in Chinese) of existing guidelines for full-text review were found. Moreover, 55 guidelines were identified after a manual search. The literature review demonstrated that FP guidance and options were unevenly distributed worldwide for women who wanted to post-pone pregnancy or had impaired fertility after gonadal toxicity. With promising cancer survival rates and diversified family decisions, more attention should be paid to the improvement and update of accessible guidelines and regulatory infrastructure to inform patients about the available options and empower them to make informed choices. Restrictions to such services can be gradually eased due to the efficacy and safety of certain FP techniques for the right candidates to initiate pregnancy conception.
简介:AbstractSpinal extradural meningeal cysts (SEMCs) are rare lesions of the spinal canal. Although closure of the dural defect can achieve satisfactory therapeutic effects, locating the fistula is difficult. This review summarizes the methods for locating the fistula of SEMCs and the distribution and features of fistula sites. This was a non-systematic literature review of studies on SEMCs. We searched PubMed for English-language articles to summarize the methods of locating the defect. The search words were "epidural arachnoid cyst," "dural cyst," "epidural cyst," and "epidural meningeal cyst." For the defect location component of the study, case reports, studies with a sample size less than four, controversial ventral dural dissection(s), and undocumented fistula location reports were excluded. Our review showed that radiography and computed tomography (CT) may show changes in the bony structure of the spine, with the largest segment of change indicating the fistula site. Occasionally, magnetic resonance imaging (MRI) can show a cerebrospinal fluid (CSF) flow void at the fistula site. The middle segment of the cyst on sagittal MRI, the largest cyst area, and cyst laterality in the axial view indicate the fistula location. Myelography can show the fistula location in the area of the enhanced cyst and subarachnoid stenosis. Digital subtraction or delayed CT can be used to observe the location of the initial cyst filling. Cine MRI and time-spatial labeling inversion pulse techniques can be used to observe CSF flow. Steady-state image construction interference sequence MRI has a high spatial resolution. Neuroendoscopy, MRI myelography, and ultrasound fistula detection can be performed intraoperatively. Moreover, the fistula was located most often in the T12-L1 segment. Identifying the fistula location is difficult and requires a combination of multiple examinations and experience for comprehensive judgment.
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简介:Determiningthephysicalandmechanicalpropertiesofsoilanditsbehaviorforengineeringprojectsisessentialforroadconstructionoperations.Oneofthemostimportantprinciplesinforestroadconstruction,whichisusuallyneglected,istoavoidmixingorganicmatterwithroadmaterialsduringexcavationandembankmentconstruction.Thecurrentstudyaimedtoassesstheinfluenceoforganicmatteronthephysicalpropertiesandmechanicalbehaviorsofforestsoilandtoanalyzetherelationbetweentheamountoforganicmatterandthebehaviorofforestsoilasroadmaterial.Atypicalsoilsamplefromthestudyareawascollectedbesideanewlyconstructedroadbed.Thesoilwasmixedwithdifferentpercentagesoforganicmatter(controltreatment,5,10,and15%bymass)anddifferenttestsincludingAtterberglimits,standardcompaction,andCaliforniabearingratio(CBR)testswereconductedonthesedifferentsoilmixtures.Theresultsshowedthatsoilplasticityincreasedlinearlywithincreasingorganicmatter.Increasingtheorganicmatterfrom0%(control)to15%resultedinanincreaseof11.64%oftheplasticlimitand15.22%oftheliquidlimitafterdryingat110℃.Also,increasingtheorganicmattercontentreducedthesoilmaximumdrydensityandincreasedtheoptimummoisturecontent.Increasingtheorganicmatterfrom0to15%resultedinanincreaseof11.0%oftheoptimummoisturecontentandadecreaseof0.29g/cm3ofthemaximumdrydensity.OrganicmatterdecreasedtheCBR,whichisusedastheindexofroadstrength.Adding15%organicmattertothesoilresultedinadecreaseoftheCBRfrom15.72to4.75%.Therewasasignificantdifferencebetweenthetwodryingtemperatures(60and110℃)forthesameorganicmattermixtureswithlowerwatercontentvaluesafterdryingat60℃.Theresultsrevealedtheadverseinfluenceoforganicmatteronsoilengineeringpropertiesandshowedtheimportanceoforganicmatterremovalbeforeexcavationandfillconstruction.
简介:AIM:ToreviewvisionhealthsituationofIraniancommunity,analyzeitsdeterminants,anddiscusstheadoptedimprovementstrategiesbytheIranMinistryofHealthandMedicalEducation(MOHME).METHODS:Thiswasarapidsituationanalysiswithaqualitativeapproachinthreepartsofrecognition,orientationandimplementation.Thedataweregatheredviareviewofupstreamdocuments,nationalandinternationalexperiences,andexpertsandstakeholders’opinions.RESULTS:Eradicatingtrachoma,increasinghumanresources,increasingeducationalandresearchcentersandpromotionofophthalmictechnologieswereimportantachievementsinthefieldofvisionhealthinIran.Throughtheseachievements,itseemedthatthepatternofcausesofblindnessandlowvisionwassimilartothatofthedevelopedcountries.However,thereviewofIranians’visionhealthindicatorsshowedthataconsiderablepercentoftheblindnessandlowvisionwasavoidablethroughanationalprogramdemanding3typesofinterventionsinsocialdeterminantsofhealth(SDH),communityeducation,andincreasingtheaccesstohealthcareservicesbyintegratingthenecessaryservicesinprimaryhealthcaresystem.CONCLUSION:Managingtheissuerequiresattentionsfromanationalcommitteeforpreventingblindnesswithparticipationofallstakeholders,implementinganationalsurveyonvisionhealth,preparationoftheprimarylevelhealthcentersincludingemploymentandeducationofcommunityhealthworkers(Behvarzes),optometristsandgeneralpractitioners,fairdistributionofspecializedhumanresourcesandestablishingatleastonespecializedcenterineachprovinceforreferringpatientsfromtheprimarylevels.
简介:How the pollution stress acting on the phytoplankton populations ──an observation by the experimental enclosed ecosystemTangS...