Design of Legal Chinese English Simultaneous Interpretation System based on PSO Algorithm

Aiming at the phenomenon of “wrong words” and “missing words” in the process of Chinese English legal interpretation, a Chinese English legal simultaneous interpretation system based on PSO algorithm is designed. According to the construction requirements of fuzzy neural network, the optimization results of PSO inertia weight are determined, and then the system model optimization based on PSO algorithm is realized with the help of membership function. On this basis, this paper analyzes the key trigger factors of simultaneous interpretation, and distinguishes the specific differences between consecutive interpretation load and simultaneous interpretation by defining the way of legal Chinese English text transmission effect, so as to realize the smooth application of legal Chinese English simultaneous interpretation system based on PSO algorithm. The results shows that, compared with the consecutive interpretation system, the simultaneous interpretation system can effectively solve all the problems of “wrong words” and “missing words” in the process of legal Chinese English document translation, and effectively guarantee the authenticity of document samples.

Expert consensus statement on diagnosis and management of sensitive skin in current clinical practice

<p class="abstract">Sensitive skin is a very commonly seen entity in current dermatological practice that has a significant impact on quality of life. The pathophysiology, classification, diagnosis, and treatment of sensitive skin have evolved over the years, with new studies trying to bring about new robust evidence about the same. The current consensus aims at providing a comprehensive overview on evidence and experience-based approaches for sensitive skin. A total of 35 experts in the field of clinical dermatology participated in expert group meetings organized via teleconference webinar. Current evidence elaborating various aspects like classification, diagnosis, and management of sensitive skin along with clinical experience of experts were discussed in detail. The prerequisites for selecting suitable products, importance of cosmeceuticals as adjunctive therapy and the need for avoiding triggering factors in individuals with sensitive skin as well as associated dermatological disorders were also described. In addition to medical history, physical examination and routine investigations, a draft checklist and its clinical relevance in accurately diagnosing sensitive skin were emphasized upon by the experts. The overall management encompasses avoidance of individual trigger factors, thorough topical therapy using mild, non-irritating ingredients along with adjunctive therapies like moisturizers, sunscreens, and cleansers. The “two-week” strategy was described to be a useful approach for treating sensitive skin. This review article provides a consensus clinical viewpoint of expert dermatologists for effective evaluation, differential diagnosis and appropriate pharmacological as well as non-pharmacological management of sensitive skin in Indian subjects.</p>

Finding at dermatologist’s appointment: linear porokeratosis

The article deals with the epidemiology, pathomorphological picture, trigger factors of development, clinical manifestations and forms, diagnosis, and peculiarities of treatment of linear porokeratosis. A clinical case is presented.Purpose of the article. To consider the clinical manifestations and peculiarities of the course of porokeratosis, paying special attention to linear porokeratosis and its management tactics.Material and methods. The article presents a clinical case of linear porokeratosis. The analysis of medical records was carried out. The forms of porokeratosis, clinical manifestations, peculiarities of diagnosis and approaches to the treatment of porokeratosis in modern conditions are considered.Results. This clinical case demonstrates the difficulty of making a diagnosis of linear porokeratosis. The diagnosis was made based on the results of histological examination of biopsy material. A tactic for the management of the patient was developed.Conclusions. Porokeratosis is a rare skin disease with a wide range of clinical variants, which is important for clinicians to know in order to make a correct diagnosis and avoid errors in diagnosis. The clinical manifestations of the disease are varied, with localized, disseminated, and rash forms.

Trigger Factors for Spontaneous Intracerebral Hemorrhage: A Case-Crossover Study

Background and Purpose: Whether certain activities can trigger spontaneous intracerebral hemorrhage (ICH) remains unknown. Insights into factors that trigger vessel rupture resulting in ICH improves knowledge on the pathophysiology of ICH. We assessed potential trigger factors and their risk for ICH onset. Methods: We included consecutive patients diagnosed with ICH between July 1, 2013, and December 31, 2019. We interviewed patients on their exposure to 12 potential trigger factors (eg, Valsalva maneuvers) in the (hazard) period soon before onset of ICH and their normal exposure to these trigger factors in the year before the ICH. We used the case-crossover design to calculate relative risks (RR) for potential trigger factors. Results: We interviewed 149 patients (mean age 64, 66% male) with ICH. Sixty-seven (45%) had a lobar hemorrhage, 60 (40%) had a deep hemorrhage, 19 (13%) had a cerebellar hemorrhage, and 3 (2%) had an intraventricular hemorrhage. For ICH in general, there was an increased risk within an hour after caffeine consumption (RR=2.5 [95% CI=1.8–3.6]), within an hour after coffee consumption alone (RR=4.8 [95% CI=3.3–6.9]), within an hour after lifting >25 kg (RR=6.6 [95% CI=2.2–19.9]), within an hour after minor head trauma (RR=10.1 [95% CI=1.7–60.2]), within an hour after sexual activity (RR=30.4 [95% CI=16.8–55.0]), within an hour after straining for defecation (RR=37.6 [95% CI=22.4–63.4]), and within an hour after vigorous exercise (RR=21.8 [95% CI=12.6–37.8]). Within 24 hours after flu-like disease or fever, the risk for ICH was also increased (RR=50.7 [95% CI=27.1–95.1]). Within an hour after Valsalva maneuvers, the RR for deep ICH was 3.5 (95% CI=1.7–6.9) and for lobar ICH the RR was 2.0 (95% CI=0.9–4.2). Conclusions: We identified one infection and several blood pressure related trigger factors for ICH onset, providing new insights into the pathophysiology of vessel rupture resulting in ICH.

Mass hysteria attack rates in children and adolescents: a meta-analysis

Objectives There are few systematic assessments of mass hysteria (MH) attack rates (ARs) in adolescents and children. The study aim was to assess the ARs of MH in this population. Methods We used a meta-analysis to systematically review studies and assess ARs. Results The reviewed studies included 32,887 participants, of which 2968 were children and adolescents with a history of MH. Twenty-eight studies were included, of which 22 (78.6%) had high to moderate methodological quality. The pooled AR of MH was 9.8% (95% confidence interval [CI] 6.3, 14.0). Of MH studies between 2010 and 2020, 78.6% were conducted between 2010 and 2014. ARs were higher between 2010 and 2014 (10.3%) than between 2015 and 2020 (8.1%). Regarding population characteristics, the AR in girls was 2.43 (95% CI 1.70, 3.46) times higher than in boys. Most studies were on primary school students (46.4%), who showed the highest AR (15.4%). Of six trigger factors, water pollution showed the highest AR (16.3%). ARs were higher in rural areas (11.1%) than in urban areas (5.6%). Conclusions MH in children and adolescents seems prevalent and shows some epidemiological characteristics. These findings may assist governments to control and prevent MH epidemics among children and adolescents.

Hubungan Antara Penggunaan Pil Keluarga Berencana Dengan Kejadian Hipertensi Pada Pasangan Usia Subur : Literature Review

Indonesia is a country that ranks 5th with the highest incidence of hypertension. Hypertension is the leading cause of death in the world (52%). There are two factors that can trigger hypertension: controlled and controlled factors. One of the trigger factors that can be controlled is the use of hormonal contraception (KB Pills). To determine the correlation between the use of oral contraceptive pills and the incidence of hypertension in couples of childbearing age through a literature review. This study used a literature review method by searching for articles through the Google Scholar database. The search for articles was carried out using the keywords: '-Hypertension", '-Contraception Pill". "Couples of Childbearing Age" then the researcher used the STROBE instrument with the limitation of articles in 2011-2021. Participants in this study were couples of childbearing age who used oral contraceptive pills. The results of this literature review of 5 articles showed that 3 articles which stated that there was correlation between the use of birth control pil.ls with the incidence of hypertension in couples of childbearing age with a result of p less than 0.05. The other 2 stated that there was no correlation between the use of oral contraceptive pills with the incidence of hypertension in couples of childbearing age. The use of contraceptive pills is one of the factors that can lead to an increase in blood pressure.Keywords: Hypertension; Contraceptive Pills; Couples' of Childheclring Age AbstrakIndonesia merupakan negara yang menduduki peringkat ke 5 dengan kejadian hipertensi terbanyak. Hipertensi merupakan pencetus kematian terbanyak didunia yaitu sebanyak 52%, terdapat dua faktor yang pemicu hipertensi yaitu faktor pemicu yang dapat dikontrol dan faktor pemicu tidak dapat dikontrol. Faktor pemicu yang dapat dikontrol salah satunya yaitu penggunaan kontrasepsi hormonal (Pil KB). Mengetahui Hubungan Antara Penggunaan Pil Keluarga Berencana Dengan Kejadian Hipertensi Pada Pasangan Usia Subur melalui Literature Review. Penelitian ini menggunakan metode literature review. Untuk pencarian artikel dengan mengakses database Google Schoolar. Pencarian artikel dilakukan dengan menggunakan kata kunci: “Hipertensi”, “Kontrasepsi Pil”, “Pasangan Usia Subur” kemudian peneliti telaah menggunakan instrumen STROBE dengan batasan artikel tahun 2011-2021. Partisipan pada studi ini adalah pasangan usia subur yang menggunakan kontrasepsi pil. Hasil penelitian literature review dari 5 artikel menunjukan bahwa 3 artikel ada hubungan antara pengggunaan pil KB dengan kejadian hipertensi pada pasangan usia subur dengan hasil p<0,05, sedangkan untuk 2 artikel menunjukan tidak ada hubungan antara penggunaan pil keluarga berencana dengan kejadian hipertensipada pasangan usia subur. Penggunaan kontrasepsi pil merupakan salah satu faktor yang dapat mengakibatkan terjadinya peningkatan tekanan darah.Kata kunci: Hipertensi; Kontrasepsi Pil; Pasangan Usia Subur.

Knowledge, attitude and behaviour study on urticaria patients towards urticaria and diet

<p class="abstract"><strong>Background:</strong> Urticaria (‘hives’ or ‘nettle rash’) consists of blanchable, erythematous, edematous papules or wheals. These wheals vary in size from 1 mm to many centimetres, and are usually very itchy. They are caused by vasoactive mediators, predominantly histamine, released from mast cells. In majority of cases, the wheals are transient, lasting for only a few hours in any one place, but with new wheals appearing in other places. The aim of the study was to assess the knowledge, attitude and behaviour towards urticaria and diet among patients.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study was done among urticarial patients visiting DVL OPD at Sree Balaji medical college and hospital using self-reported questionnaire from January to February 2021. Questionnaire was designed in manner that general population can understand and was distributed randomly irrespective of gender. Sample size of 50 was taken.<strong></strong></p><p class="abstract"><strong>Results:</strong> The results of the study revealed that most of the patient had the knowledge about urticaria and were aware about their trigger factors. Regarding behaviour most of the patients were ready to do lifestyle modifications. Regarding attitude urticarial patient had no problems mingling with the normal people.</p><p class="abstract"><strong>Conclusions:</strong> Urticaria is a relapsing condition with impact on quality of life. Specific elimination diets have observed high rates of response after a duration of 3 weeks. It has been confirmed that some patients experience worsening of symptoms after ingestion of foods including food additives as well as foods such as tomatoes, herbs, seafood, alcohol, and others.</p>

HERPES ASSOCIATED ERITHEMA MULTIFORME (HAEM ) ON THE PSYCHOSOMATIC PATIENT : A CASE REPORT

Background : Erythema multiforme is an acute mucocutaneous inflammation which is self limiting desease. One of caused of Erythema multiforme is Herpes Simplex Virus infection diagnosed as Herpes Associated Erytema Multiforme (HAEM). The psychosomatic patients should be wary of anti-depressant therapy, because if there is an allergy, it can trigger the occurrence of erthema multiformis. In this paper, we will reported HAEM case on psychosomatic patient.Case and management : A case of 23 years old female patient with chief complaint sore and pain lips since one weeks ago. The patient has been on anti-depressant therapy for one month. Clinical examination on patient showed that there were erosive lesion covered by reddish brown crusta, sloughing on the border between lips and labial mucosa, and bloody lips. The results of laboratory tests show positive HSV. Patient was diagnosed with HAEM. Therapy given to the patient was corticosteroid topical oitment, acyclovir and oral rinse antiseptics. After two weeks the administration, condition on the patient has improved.Conclusions : HAEM cases if treated properly can recover well. Trigger factors must be controlled so that not recurrance

Stability Analysis of the Shiliushubao Landslide Based on Deformation Characteristics and External Trigger Factors in the Three Gorges Reservoir

There exists the problem of landslide reactivation due to the seasonal fluctuation of rainfall and reservoir water level annually. Based on a large number of GPS monitoring data of the landslide mass after impoundment of the Three Gorges Reservoir in Shiliushubao landslide area, the relationship between the external trigger factors and slope stability could be obtained. A finite element calculation model has been established for the stability analysis of the Shiliushubao landslide after impoundment from January 2004 to October 2009. Through the deformation characteristics of the landslide, it is shown that the landslide exhibited a stepwise pattern on the whole, which developed faster after impoundment and slowed down in rainy seasons. The trend of the curve kept roughly opposite to the fluctuation of the safety factor. It suggested that the stability of the landslide mass was closely related to the seasonal fluctuation of the rainfall and the reservoir level, and the landslide deposits demonstrated to be reactive with them. The subject provides a certain reference value on the landslide stability analysis and the risk assessment within a similar engineering geological condition.

Triggers of benign recurrent intrahepatic cholestasis and its pathophysiology: a review of literature

Benign recurrent intrahepatic cholestasis (BRIC) is a rare genetic disorder that is characterized by episodes of cholestasis followed by complete resolution. The episodic nature of BRIC raises concerns about its possible trigger factors. Indeed, case reports of this orphan disease have associated BRIC to some triggers. In the absence of any reviews, we reviewed BRIC trigger factors and its pathophysiology. The study consisted of a systematic search for case reports using PubMed. Articles describing a clear case of BRIC associated with a trigger were included resulting in 22 articles that describe 35 patients. Infection was responsible for 54.3% of triggered episodes, followed by hormonal, drugs, and miscellaneous causes reporting as 30%, 10%, and 5.7% respectively. Females predominated with 62.9%. The longest episode ranged between 3 months to 2 years with a mean of 32.37 weeks. The mean age of the first episode was 14.28 ranging between 3 months to 48 years. Winter and autumn were the major seasons during which episodes happened. Hence, BRIC is potentially triggered by infection, which is most commonly a viral infection, hormonal disturbances as seen in oral contraceptive pills and pregnancy state, and less commonly by certain drugs and other causes. The appearance of cholestasis during the first two trimesters of pregnancy compared to intrahepatic cholestasis of pregnancy could help to differentiate between the two conditions. The possible mechanism of BRIC induction implicates a role of BSEP and ATP8B1. While estrogen, drugs, and cytokines are known to affect BSEP, less is known about their action on ATP8B1.