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Vibrio vulnificus infection has a high disability rate and fatality rate. This paper summarized the diagnosis and treatment of a case of Vibrio vulnificus sepsis to help clinicians in the early detection and optimization of treatment options for such infections, thereby providing a clinical reference for related research. In September 2022, a case of sepsis caused by Vibrio vulnificus infection was admitted to the Emergency Department of Hainan Hospital of Traditional Chinese Medicine. Clinical treatment was conducted, and the report was analyzed. Meanwhile, Vibrio vulnificus literature was reviewed to analyze and summarize the treatment methods of Vibrio vulnificus sepsis. The 61-year-old patient was treated in the Emergency Department from September 23 to October 8, 2022, during which bacteriological examination of pus and wound infection samples identified the infection as being caused by Vibrio vulnificus. Therefore, targeted treatment with meropenem injection plus levofloxacin injection was administered for the infection, and early CRRT (continuous renal replacement therapy) was implemented to control the inflammatory cytokine storm of sepsis, and surgical debridement treatment was performed. After the patient's condition stabilized, the patient was transferred to the vascular surgery department, where two debridement + left lower limb skin grafting procedures were performed on October 27 and November 19. Then a third debridement + left lower limb third skin grafting + toe amputation was performed on December 10, the patient was discharged with improved condition post-surgery. At present, the patient can live independently and can move the affected limb autonomously. In clinical diagnosis and treatment of sepsis caused by Vibrio vulnificus infection, attention should be paid to the inflammatory cascade reaction. CRRT can eliminate inflammatory factors in the early stage, sensitive antibiotics for anti-inflammatory, surgical debridement interventional treatment, and multi-disciplinary linkage can be initiated to treat patients with Vibrio vulnificus sepsis. [ABSTRACT FROM AUTHOR]

Background: The own-age effect is the phenomenon in which individuals perceive and recognize faces of their own age better than others in terms of cognitive processing. Previous eye movement studies on children with autism spectrum disorders (ASD) have reported that children with ASD have an attentional bias toward own-age faces and own-age scenes.Methods: The present study used own-age faces as the intervention material and examined the application of the own-age effect in the emotional recognition of faces in ASD. The length of the intervention was 12 weeks, and 2 sessions were conducted each week.Results: The results revealed that the own-age face intervention group gazed at children's faces significantly more often than before the intervention, gazed at children's angry faces significantly longer than before the intervention, and gazed at adults' happy faces significantly longer and more often than before the intervention; the other-age faces intervention group did not differ significantly from the preintervention in gazing at children's and adults' faces after the intervention.Conclusion: The results suggest that own-age faces as teaching materials can better promote the emotion recognition ability of children with ASD than other-age faces.Plain Language Summary: ASD have difficulties with facial emotion recognition and previous study found that children with ASD correctly identified emotions in own-age faces more often than in other-age faces. Therefore, using pictures of children's faces to intervene in children with ASD is beneficial to improve their facial emotion recognition ability. Previous studies have mostly used questionnaires to assess the effects of peer-matched interventions, and few have used an eye-movement technique that can effectively monitor changes in eye gaze patterns across different emotions.We found that the own-age face intervention group gazed at children's faces significantly more often than before the intervention, gazed at children's angry faces significantly longer than before the intervention, and gazed at adults' happy faces significantly longer and more often than before the intervention. It indicates that own-age faces as teaching materials can better promote the emotion recognition ability of children with ASD than other-age faces.The own-age effect can be applied to experimental materials, the attribute settings of intervention materials, and the selection of accompanying objects to further expand the own-age effect in the educational intervention and training of social and cognitive abilities in ASD. It is expected to help autism improve its social skills and better integrate into the society. [ABSTRACT FROM AUTHOR]

The dielectric ceramics of Ca1−xCuxSiO3 (x = 0 − 0.025) were prepared by solid-phase reaction method. The effects of Cu doping on phase composition, crystal structure, and dielectric properties of CaSiO3 ceramics were investigated. XRD results indicated that appropriate content of Cu doping could suppress impurity phases and obtain pure α-CaSiO3 calcined powders. After sintering, α-CaSiO3 phase was the main phase accompanied with a small quantity of impurity phases in undoped ceramics, which transformed to the single β-CaSiO3 phase after Cu doping. The phase transformation could be attributed to the change of the geometric position of SiO4 tetrahedron. SEM images showed that grain morphology changed from irregular and loose particles to dense lath by Cu doping. The Ca0.985Cu0.015SiO3 ceramics sintered at 1125 °C exhibited excellent dielectric properties: εr = 5.22, Q × f = 18,948 GHz, τf = − 63 ppm/°C, and these make the ceramics promising for use in microwave applications. [ABSTRACT FROM AUTHOR]

The general population of China has misconceptions about Autism Spectrum Disorder (ASD). The measurement of ASD knowledge is conducive to conducting widespread scientific publicity. However, China lacks a structurally complete ASD knowledge scale with good reliability and validity. Therefore, this study aimed to introduce a suitable Chinese ASD knowledge scale. Based on 317 participants, this study revised the Chinese version of the Autism Spectrum Disorder Knowledge Scale(ASKSG), assessed its reliability, validity, and psychometric properties, and analyzed the ASD knowledge of the Chinese general population of this subject sample. The results provided support for the Chinese version of the ASKSG as a suitable measure for assessing ASD knowledge and indicated that ASD knowledge in this study's sample was relatively poor, particularly with regard to etiology and epidemiology. [ABSTRACT FROM AUTHOR]

Ultrasound (US) is the primary imaging technique for the diagnosis of thyroid cancer. However, accurate identification of nodule malignancy is a challenging task that can elude less-experienced clinicians. Recently, many computer-aided diagnosis (CAD) systems have been proposed to assist this process. However, most of them do not provide the reasoning of their classification process, which may jeopardize their credibility in practical use. To overcome this, we propose a novel deep learning (DL) framework called multi-attribute attention network (MAA-Net) that is designed to mimic the clinical diagnosis process. The proposed model learns to predict nodular attributes and infer their malignancy based on these clinically-relevant features. A multi-attention scheme is adopted to generate customized attention to improve each task and malignancy diagnosis. Furthermore, MAA-Net utilizes nodule delineations as nodules spatial prior guidance for the training rather than cropping the nodules with additional models or human interventions to prevent losing the context information. Validation experiments were performed on a large and challenging dataset containing 4554 patients. Results show that the proposed method outperformed other state-of-the-art methods and provides interpretable predictions that may better suit clinical needs. [ABSTRACT FROM AUTHOR]

In recent decades, much attention has been attracted to the multiferroic materials which were expected to give rise to novel properties and multifunctional applications. In this communication, lead-free multiferroic Bi1-xLaxFeO3 ceramics with x = 0, 0.025, 0.05, 0.1, 0.15, and 0.2 were prepared by the melt-quenching method. The influence of La doping on microstructure, dielectric, ferroelectric properties, and leakage current characteristics was investigated. XRD results showed that the generation of secondary phases (mainly Bi25FeO39) was decreased gradually when doping content was below 0.1, but it increased rapidly with La content increasing to 0.2. In addition to this, it could be found that the split reflections of (104) and (110) shifted to a higher value, which proved La doping would cause a structural distortion. SEM images indicated that the melt-quenching method would lead to a columnar crystal which disappeared gradually with the increase in La content. The dielectric constant firstly increased from 178 of x = 0 to 256 of x = 0.1 and then decreased to 165 of x = 0.2 at 10 kHz, while the dielectric loss increased from 0.11 of x = 0 to 0.28 of x = 0.2 with La doping. The value of remnant polarization was significantly improved from 0.05 of x = 0 to 1.19 μC/cm2 of x = 0.2, but TC decreased from 450 to 376 °C. Besides, the leakage current density values of all La-doped samples were about one order of magnitude higher than that of pure BiFeO3. These changes were closely related to the content of secondary phases, change of grain size, and increase in carriers. [ABSTRACT FROM AUTHOR]

We present a novel chi-squared progressive photon mapping algorithm (CPPM) that constructs an estimator by controlling the bandwidth to obtain superior image quality. Our estimator has parametric statistical advantages over prior nonparametric methods. First, we show that when a probability density function of the photon distribution is subject to uniform distribution, the radiance estimation is unbiased under certain assumptions. Next, the local photon distribution is evaluated via a chi-squared test to determine whether the photons follow the hypothesized distribution (uniform distribution) or not. If the statistical test deems that the photons inside the bandwidth are uniformly distributed, bandwidth reduction should be suspended. Finally, we present a pipeline with a bandwidth retention and conditional reduction scheme according to the test results. This pipeline not only accumulates sufficient photons for a reliable chi-squared test, but also guarantees that the estimate converges to the correct solution under our assumptions. We evaluate our method on various benchmarks and observe significant improvement in the running time and rendering quality in terms of mean squared error over prior progressive photon mapping methods. [ABSTRACT FROM AUTHOR]