Downsstanley6654

Both unchanged upper cervical lordosis combined with decreased lower cervical lordosis and decreased upper cervical lordosis combined with decreased lower cervical lordosis have been reported to occur after correction surgery for adult spinal deformity. However, variations in cervical alignment after correction surgery in patients with ankylosing spondylitis (AS) have not been investigated. The current study aimed to investigate the variations in cervical alignment following the correction surgery in AS patients with thoracolumbar kyphosis.

Patients with AS who underwent pedicle subtraction osteotomy (PSO) for thoracolumbar kyphosis from June 2016 to June 2019 with a minimum of 1-year follow-up were reviewed. Patients were grouped according to the presence (ossified group) and absence (non-ossified group) of total ossification of the anterior longitudinal ligament (ALL) in the lower cervical spine. Radiographic parameters, including thoracolumbar, craniocervical, and global radiographic parameters, were m cervical lordosis angle could be achieved by adjusting the osteotomy angle.

The variation patterns of cervical alignment following correction surgery for AS-related thoracolumbar kyphosis were different based on patients with or without total ossification of ALL in the lower cervical spine. When planning PSO for patients in the ossified group, restoration of the physiological upper cervical lordosis angle could be achieved by adjusting the osteotomy angle.Some areas in Western Europe indicate hiatuses in human occupations, which cannot be systematically attributed to taphonomic factors and poor site preservation. The site of la Noira in the center of France records two occupation phases with a significant time gap. The older one is dated to around 700 ka (stratum a) with an Acheulean assemblage, among the earliest in Western Europe, and the upper phase of the sequence (stratum c) is dated to ca. 450 ka. Humans left the area at around 670 ka, at the beginning of the marine isotope stage (MIS) 16 glacial stage, when cold conditions became too severe. No sites between 650 and 450 ka have yet been discovered in the center region despite systematic surveys over the past three decades. The archaeological evidence indicates that populations returned to the area, at the end of MIS 12 or the beginning of the long interglacial MIS 11. Here, we use technological behaviors common to the two levels of la Noira-strata a and c to evaluate their differences. Compared to other key European sequences, this site can be used to address the evolution of the behavioral strategies in Europe between MIS 17 and 11. We formulate two hypotheses concerning the human settlement of this area (1) local behavioral evolution over time of populations occasionally occupying the region when the climate was favorable or (2) dispersal and arrival of new populations from other areas. The results focus on (1) changes in land-use patterns with the extension of the territory used by hominins in the upper level, (2) the introduction of new core technologies, including some evidence of early Levallois debitage, and (3) more intensive shaping of bifaces and bifacial tools. Results attest that the la Noira archaeological assemblages record similar regional behavioral evolution as observed at a larger scale in Europe.Cadmium is a well-known hazardous pollutant that mainly comes from dietary, tobacco and occupational exposure, posing threat to kidney. However, there is still a lack of systematic study on metabolic pathways and urinary biomarkers related to its nephrotoxicity under cadmium exposure for both females and males. In this study, a mass spectrometry-based metabolomics investigation of a cohort of 144 volunteers was conducted to explore sex-specific metabolic alteration and to screen biomarkers related to cadmium-induced nephrotoxicity. When the concentration of urinary cadmium increased, creatine pathway, amino acid metabolism especially the tryptophan metabolism, aminoacyl-tRNA biosynthesis, and purine metabolism were primarily influenced regardless of the gender. Also, the most specific biomarkers linked with nephrotoxicity based on the statistical analysis were detected including creatine, creatinine, l-tryptophan, adenine and uric acid. The study outcome might provide information to reflect the body burden and help improve health policy for risk assessment.

Esophageal cancer is a common malignant tumor in life, which seriously affects human health. check details In order to reduce the work intensity of doctors and improve detection accuracy, we proposed esophageal cancer detection using deep learning. The characteristics of deep learning association and structure, activity and experience, essence and variation, migration and application, value and evaluation.

The improved Faster RCNN esophageal cancer detection in this paper introduces the online hard example mining (OHEM) mechanism into the system, and the experiment used 1520 gastrointestinal CT images from 421 patients. Then, we compare the overall performance of Inception-v2, Faster RCNN, and improved Faster RCNN through F-1 measure, mean average precision (mAP), and detection time.

The experiment shows that the overall performance of the improved Faster RCNN is higher than the other two networks. The F-1 measure of our method reaches 95.71%, the mAP reaches 92.15%, and the detection time per CT is only 5.3s.

Through comparative analysis on the esophageal cancer image data set, the experimental results show that the introduction of online hard example mining mechanism in the Faster RCNN algorithm can improve the detection accuracy to a certain extent.

Through comparative analysis on the esophageal cancer image data set, the experimental results show that the introduction of online hard example mining mechanism in the Faster RCNN algorithm can improve the detection accuracy to a certain extent.In the last few years, the Circular Supply Chain (CSC) has gained considerable attention among researchers, practitioners, and policymakers. It offers immense opportunities to embrace supply chain operations in three dimensions of sustainability. This study aims to identify and rank the performance outcomes (POs) realized due to CSC enablers (CSCEs) adoption. The study proposes a hybrid framework of the Pythagorean fuzzy analytic hierarchy process (PF-AHP) and Pythagorean fuzzy combined compromised solution (PF-CoCoSo) to achieve the objectives of this research. PF-AHP is used to obtain the CSCEs relative weights while PF-CoCoSo is used to ranks the POs concerning the CSCEs. An empirical case study is conducted for an Indian manufacturing organization to demonstrate the proposed framework's applicability. The result reveals that 'global climate pressure and ecological scarcity of resources' is the most significant CSCE to achieve the sustainability in the supply chain, followed by 'government rules, legislations and directives for CSC adoption', 'environment management certifications and systems', whereas, 'reduces waste and promotes green development' is the most critical PO realized due to adoption of CSCEs in CSC implementation process.