Chinese People's Liberation Army

Superior diagnostic efficacy and cost advantage of FibroTouch over CHI3L1 for liver fibrosis in Chinese patients with chronic liver disease

Background Non-invasive assessment of liver fibrosis is essential for managing chronic liver disease (CLD). Serum chitinase-3-like protein 1 (CHI3L1) has been recommended in recent guidelines, while FibroTouch is a domestically produced device for liver stiffness measurement (LSM...

Topiramate use for maintenance antiseizure therapy in children with hematologic malignancies experiencing posterior reversible encephalopathy syndrome during chemotherapy: a single-center retrospective study

Seizures are a predominant symptom in posterior reversible encephalopathy syndrome (PRES) occurring in the context of chemotherapy. However, anti-seizure medications (ASMs) selection remains challenging due to potential pharmacokinetic interactions with chemotherapeutic agents. T...

Relaxation of preload in precision bolt connections and its impact on accuracy decline in gyroscopic systems under thermal vibration load

The precision of gyroscopes, as core components of inertial navigation systems, critically determines system accuracy and stability. Precision threaded connections, widely used for assembly, are highly susceptible to preload relaxation during repeated start-stop operations, affec...

Adaptive rocket trajectory optimization via reinforcement learning and FPGA acceleration

This paper presents an integrated framework for reusable rocket trajectory optimization that combines deep reinforcement learning with FPGA-based inference acceleration. The proposed Adaptive Hardware-Accelerated Twin Delayed Deep Deterministic Policy Gradient (AHA-TD3) framework...

Merging artificial intelligence and retinal vascular geometric parameters: A novel tool for diagnosis and prognosis prediction of diabetic nephropathy

Abstract Background: Diabetic nephropathy (DN) is the leading cause of end-stage renal disease. The retinal microvasculature, as the only directly observable microvasculature, may reflect DN progression. This study aims to construct a non-invasive diagnostic and prognostic predic...

A case report of diffuse intra-abscess hemorrhage in Listeria monocytogenes rhombencephalitis and its implications for early diagnosis and therapeutic monitoring

We report a 74-year-old female presenting with fever, right eyelid ptosis, and peripheral facial palsy following dental treatment, who was initially misdiagnosed as acute brainstem infarction based on MRI showing T2-hyperintense signal in the right pons with restricted diffusion....

Predictive Modeling of Vibration Behavior for Ceramic Matrix Composite Thin Plates with Protective Coating in High-Temperature Environments

This study proposes a prediction method for ceramic matrix composite thin plates (CMCTPs) with protective coatings under high-temperature conditions, based on the first-order shear deformation theory and the energy principle while considering thermal effects. It can successfully...

Sex-specific effects of methylprednisolone on outcomes after endovascular treatment for acute ischemic stroke due to large vessel occlusion: A secondary analysis of the MARVEL trial

Background Sex-based differences in treatment response to neuroprotective strategies during endovascular treatment (EVT) for acute ischemic stroke remain poorly understood. Objectives This study aimed to evaluate sex-specific effects of methylprednisolone on outcomes after EVT fo...