Closed head injury combined with orbital blowout fracture and displacement of the eyeball into the maxillary sinus in a 14-year-old boy: a case report.

BACKGROUND: Trauma-induced orbital blowout fracture (OBF) with eyeball displacement into the maxillary sinus is rare. CASE PRESENTATION: We present the case of a 14-year-old with a closed head injury, OBF, and displacement of the eyeball into the maxillary sinus following a car accident. A prompt transconjunctival access surgery was performed for eyeball repositioning and orbital reconstruction in a single session, mitigating anaesthesia-related risks associated with multiple surgeries. At the 12-month follow-up, his visual acuity was 20/200. Despite limited eye movement and optic nerve atrophy, overall satisfaction with the ocular appearance was achieved. CONCLUSIONS: This report offers novel insights into the mechanisms of OBF occurrence and the development of postoperative complications.

A novel perspective on constipation secondary to sigmoidocele: a retrospective study.

PURPOSE: Sigmoidocele, which is a type of obstructed defecation syndrome (ODS), is a peritoneal hernia of the pelvic floor that has been seldom studied individually. This study investigated the anatomic characteristics of sigmoidocele based on imaging features. METHODS: This retrospective cohort population comprised adult patients with ODS who underwent defecography between December 2017 and July 2020. Sigmoidocele was classified based on existing criteria. Novel radiological parameters including the vertical distance descended by the sigmoid colon from rest to maximum straining (RMS) and from the inferior border of the sigmoid colon to the superior border of the rectum at maximum straining (MSR) were measured. RESULTS: Among 275 patients with sigmoidocele, 251 (91.6%) were female. The mean age was 51.53±12.99 years. We classified 26, 205, and 44 cases as grades I, II, and III, respectively. Patients with more severe sigmoidocele had greater sigmoid colon mobility (RMS: 19.13±8.54 mm, 34.45±14.51 mm, and 48.70±20.05 mm for grades I, II, and III, respectively; p < 0.001) and more pronounced compression of the rectum by the sigmoid colon at maximum straining (MSR: 35.23±8.44 mm, 26.33±13.29 mm, and 15.18±18.00 mm, respectively; p < 0.001). We regrouped the patients based on sigmoid colon alignment. Type L patients had the most severe constipation. CONCLUSION: Our study presents a novel sigmoidocele classification. The anatomic appearance and location of the herniated sigmoid colon observed using fluoroscopy during defecation may help improve the clinical awareness of ODS caused by sigmoidocele.

Degree of transverse colon ptosis: an alternative surrogate for evaluation of slow transit constipation.

Background: Although transverse colon ptosis (TCP) is commonly diagnosed in patients with constipation, it has not attracted significant attention in the evaluation of constipation. Herein, we assessed the correlation between TCP-related radiological parameters and the severity of slow transit constipation (STC). Methods: This study was a single-center retrospective cohort study, with participants enrolled between 2012 and 2020 in Zhongnan Hospital of Wuhan University, China. STC was diagnosed according to Rome IV criteria and results of colonic transit test (CTT); healthy volunteers were also recruited as controls. All participants were examined using abdominal X-rays (AXRs) to acquire the radiological parameters related to TCP. Among these parameters, the degree of TCP (DTCP) was defined as the vertical distance from the top of the splenic flexure to the lowest point of the reverse colon. The Wexner Constipation Score and Hospital Anxiety and Depression Scale were used to assess clinical severity. After multivariable linear regression, the correlations between radiological parameters and severity of STC were investigated. We also explored the differences in radiological parameters between the operation and the conservative group. Results: The study included 139 patients with STC and 125 healthy people in as the normal control (NC). Patients with STC probably had larger DTCPs than those in the NC group (242.27±25.86 vs. 93.00±32.57 mm; P<0.001). Pearson correlation analysis showed that TCP-related parameters were consistent with the symptom severity of STC [e.g., parameter DTCP was strongly correlated with Wexner Constipation Score, with a ß coefficient (95% CI) of 8.63 (8.24-9.02), P<0.001]. Multivariable linear regression models showed that patients with a larger DTCP were more likely to undergo surgery (23.67; 95% CI: 1.40-45.94; P=0.04). Conclusions: TCP-related parameters, especially the DTCP, may serve as novel and feasible alternative indices for the assessment of STC. However, the potential value of DTCP in assisting the evaluation of STC needs to be confirmed in study with a larger sample size.

Impact of Correlated Color Temperature on Visitors' Perception and Preference in Virtual Reality Museum Exhibitions.

From the perspective of psychophysiological evaluation, this paper provides a theoretical reference for the lighting settings of museums. In order to study the impact of correlated color temperature (CCT) on visitors' perception and preference in museum exhibitions, an experiment was conducted in the ergonomics laboratory of Nanjing Forestry University. We invited 50 participants to visit the virtual reality museum exhibitions with different CCTs, built by Autodesk 3D's Max 2017. Specific psychophysiology variables-eye movement, electrodermal activity (EDA), and heart rate variability (HRV)-and the perception and preference of participants were collected. The results indicated that the association of CCT with eye movement, HRV, and some perceptual dimensions was significant. Under high illumination conditions with different CCTs, the pupil diameter and warmth decreased with the increase in CCT, but the comfort and pleasure scores increased first and then decreased. The CCT scenes sorted by LF/HF ratio from high to low were 4500 K, 6000 K, and 3000 K, which was consistent with the results of preference ranking. The LF/HF ratio showed significant sex differences and major discrepancies.

ASTF: Visual Abstractions of Time-Varying Patterns in Radio Signals.

A time-frequency diagram is a commonly used visualization for observing the time-frequency distribution of radio signals and analyzing their time-varying patterns of communication states in radio monitoring and management. While it excels when performing short-term signal analyses, it becomes inadaptable for long-term signal analyses because it cannot adequately depict signal time-varying patterns in a large time span on a space-limited screen. This research thus presents an abstract signal time-frequency (ASTF) diagram to address this problem. In the diagram design, a visual abstraction method is proposed to visually encode signal communication state changes in time slices. A time segmentation algorithm is proposed to divide a large time span into time slices. Three new quantified metrics and a loss function are defined to ensure the preservation of important time-varying information in the time segmentation. An algorithm performance experiment and a user study are conducted to evaluate the effectiveness of the diagram for long-term signal analyses.

Preserving Minority Structures in Graph Sampling.

Sampling is a widely used graph reduction technique to accelerate graph computations and simplify graph visualizations. By comprehensively analyzing the literature on graph sampling, we assume that existing algorithms cannot effectively preserve minority structures that are rare and small in a graph but are very important in graph analysis. In this work, we initially conduct a pilot user study to investigate representative minority structures that are most appealing to human viewers. We then perform an experimental study to evaluate the performance of existing graph sampling algorithms regarding minority structure preservation. Results confirm our assumption and suggest key points for designing a new graph sampling approach named mino-centric graph sampling (MCGS). In this approach, a triangle-based algorithm and a cut-point-based algorithm are proposed to efficiently identify minority structures. A set of importance assessment criteria are designed to guide the preservation of important minority structures. Three optimization objectives are introduced into a greedy strategy to balance the preservation between minority and majority structures and suppress the generation of new minority structures. A series of experiments and case studies are conducted to evaluate the effectiveness of the proposed MCGS.