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Objective To investigate the preoperative hope level of elderly patients with femoral neck fracture and analyze its influencing factors, so as to provide a practical basis for improving the preoperative hope level of elderly patients with femoral neck fracture and promoting postoperative rehabilitation. Methods A total of 206 cases of elderly patients with femoral neck fractures who were eligible for the surgical treatment were included as the research objects. The general information questionnaire, Herth Hope Index (HHI)Scale, General Self-Efficacy Scale(GSES) were analyzed. Results The total HHI score of 206 elderly patients with femoral neck fractures was (31.73+-9.68) points, and scores of each dimension were: positive attitude towards reality and the future (9.14+-1.10), taking positive actions (11.69+-5.36), maintaining close relationships with others (10.89+-3.22); Among them, 63 cases (30. 6%) were high hope levels, 131 cases (65. 6%) were medium hope levels, and 12 cases (3. 8%) were low hope levels. The results of multiple stepwise regression analysis showed that age, comorbidity index, economic status, housing status, and self-efficacy were significant predictors of the preoperative hope level of elderly patients with femoral neck fractures (p

Background Pneumocystis jirovecii (PJ) can colonize the lungs, and cause pulmonary infections. It is essential to distinguish between PJ colonization and infection in the lung to avoid clinical overtreatment and delayed treatment. Many studies have shown that both the mNGS technique and serum G test can be used to aid the diagnosis of PJ pneumonia, but it is still unclear whether they have the appropriate cut-off value to distinguish PJ colonization from PJ infection. Objective To investigate the values of mNGS of alveolar lavage fluid and serum G test in distinguishing between infection and colonization of PJ and to assess the correlation between them. Methods A retrospective study design was used. Forty inpatients with pulmonary infections were recruited from Hubei No.3 People's Hospital of Jianghan University from September 2018 to May 2022, and divided into PJ infection group (n=21) and colonization group (n=19), according to the prevalence of anti-PJ treatment based on mNGS results of alveolar lavage fluid. Clinical data were collected, including general information〔gender, age, BMI, smoking history, underlying diseases (chronic kidney disease, hematological diseases, autoimmune diseases, malignancy, HIV, solid organ transplantation, chronic lung disease, the use of glucocorticoid/immunosuppressive agents) 〕, clinical symptoms (fever, cough, phlegm, dyspnea, chest pain, hemoptysis), imaging features (ground-glass shadow, interstitial change, consolidation, nodule, pleural effusion, cyst), laboratory indicators (white blood cell count, neutrophil count, lymphocyte count, PCT, CRP, LDH, PaO2/FiO2, CD4+T lymphocytes). The receiver operating characteristic (ROC) curve of mNGS and serum G test was plotted and analyzed to assess their performance in distinguishing between PJ infection and colonization, and the correlation between the two was analyzed. Results The utilization rate of glucocorticoids or immunosuppressants in PJ infection group was higher than that of colonization group (P

Maxillary canine impaction has been extensively reported, but studies of mandibular canine impaction are relatively few. Clinical studies and reports of experience treating mandibular canine impaction are of clinical benefit to both orthodontists and dentists.

Machine learning methods have improved in recent years and provide increasingly powerful tools for understanding landscape evolution. In this study, we used the random forest method based on Google Earth Engine to evaluate the desertification dynamics in northern China from 1995 to 2020. We selected Landsat series image bands, remote sensing inversion data, climate baseline data, land use data, and soil type data as variables for majority voting in the random forest method. The method's average classification accuracy was 91.6% ± 5.8 [mean ± SD], and the average kappa coefficient was 0.68 ± 0.09, suggesting good classification results. The random forest classifier results were consistent with the results of visual interpretation for the spatial distribution of different levels of desertification. From 1995 to 2000, the area of aeolian desertification increased at an average rate of 9977 km2 yr−1, and from 2000 to 2005, from 2005 to 2010, from 2010 to 2015, and from 2015 to 2020, the aeolian desertification decreased at an average rate of 2535, 3462, 1487, and 4537 km2 yr−1, respectively. [ABSTRACT FROM AUTHOR]

Light‐emitting diodes (LEDs) are widely used in lighting and display applications. Carbon quantum dots (CQDs), which have high biocompatibility, high resistance to photobleaching, and full‐spectrum luminescence, have inherent advantages as fluorescent materials for LED devices. Herein, multicolor CQDs are prepared by a new reagent engineering strategy due to the difference of effective conjugate length and the surface electron‐withdrawing groups of CQDs. White CQDs are realized by mixing blue, green, and red CQDs proportionally. Then, the aggregation‐caused quenching phenomenon of CQDs is suppressed through the hydrogen‐bonding network of cellulose nanofibrils (CNFs). Multicolor fluorescent films are prepared from CQDs and CNFs by simple mixing and casting methods. Finally, thin‐film encapsulation based on the photosensitive resin ABPE‐10 coating can be realized and rapidly assembles into fluorescent films with different light‐emitting colors into LED devices, leading to have superior thermal performance compared with conventional LEDs. White LEDs have excellent white‐light illumination performance, with Commission Internationale de L'Eclairage color coordinates of (0.33, 0.37), a correlated color temperature of 5688 K, and a color rendering index of 86. This strategy provides a convenient and scalable pathway for low‐cost, environmentally friendly, and high‐performance CQDs‐based LEDs. [ABSTRACT FROM AUTHOR]