Definitive diagnosis of Craniosynostosis (CS) with computed tomography (CT) is readily available, however, exposure to ionizing radiation is often a hard stop for parents and practitioners. Lowering head CT radiation exposure helps mitigate risks and improves diagnostic utilization. The purpose of the study is to quantify radiation exposure from head CT in patients with CS using a ‘new’ (ultra-low dose) protocol; compare prior standard CT protocol; summarize published reports on cumulative radiation doses from pediatric head CT scans utilizing other low-dose protocols. A retrospective study was conducted on patients undergoing surgical correction of CS, aged less than 2 years, between August 2014 and February 2022. Cumulative effective dose (CED) in mSv was calculated, descriptive statistics were performed, and mean ± SD was reported. A literature search was conducted describing cumulative radiation exposure from head CT in pediatric patients and analyzed for ionizing radiation measurements. Forty-four patients met inclusion criteria: 17 females and 27 males. Patients who obtained head CT using the ‘New’ protocol resulted in lower CED exposure of 0.32 mSv ± 0.07 compared to the prior standard protocol at 5.25 mSv ± 2.79 (p < 0.0001). Five studies specifically investigated the reduction of ionizing radiation from CT scans in patients with CS via the utilization of low-dose CT protocols. These studies displayed overall CED values ranging from 0.015 mSv to 0.77 mSv. Our new CT protocol resulted in 94% reduction of ionizing radiation. Ultra-low dose CT protocols provide similar diagnostic data without loss of bone differentiation in CS and can be easily incorporated into the workflow of a children’s hospital.
The Western capitalist system is an important part of the economy and society of the contemporary world, and it has played a huge role in the past few centuries. Nonetheless, with the continuous development of globalization, technological revolution and social change, the Western capitalist system is also facing a series of difficulties and new changes. This paper aims to explore the dilemma facing the Western capitalist system today, and to analyze and discuss the new changes.
With the gradual acceleration of China's adaptation to the global environment, the country's demand for English talents is growing. In recent years, with the continuous innovation of the education system, English education in higher vocational colleges is also undergoing optimization and innovation. Language and literature are closely related. English language and literature education in higher vocational colleges aims to cultivate high-quality talents who can flexibly use English language and literature for communication. It can be seen that teachers in higher vocational colleges need to focus on cultivating students' application ability of English language and literature in the teaching process. By analyzing the current situation of English language and literature teaching in higher vocational colleges, this paper expounds its significance and puts forward corresponding countermeasures, hoping to promote the development and progress of English language and literature education in higher vocational colleges.
Homework is an indispensable basic link in classroom teaching, an important link in the consolidation of knowledge after class, and an important way for students to understand knowledge, digest knowledge, and improve their problem-solving ability. In the practice of mathematics teaching in primary schools, attention should be paid to the effectiveness of homework assignments in different links before, during and after class, and the content of homework should take into account the reality of students at different levels. This paper expounds the strategy of hierarchical design of mathematics homework from the aspects of the hierarchical design and arrangement of mathematics homework in the upper grades of primary school, aiming to effectively improve the quality of mathematics classroom teaching in the upper grades of primary school.
"Where is the fog" is a reading text in the seventh unit of the second grade of primary school Chinese in the unified edition. The humanistic theme of this unit is "the beauty of imagination", and the language element is to develop imagination and obtain a preliminary emotional experience. "Where is the Fog" is an interesting fairy tale. The language of the text is lively and full of childlike innocence, which fits the age characteristics of children in lower grades. According to the characteristics of the text and the characteristics of the students, in the teaching, through the creation of life situations, combined with the students' actuality, and the way of writing paragraphs, the students are guided to read the naughty "fog", taste the charm of the language, and lead the students to enter the colorful imaginary world.
Nowadays, international exchanges are becoming more and more frequent in the world. As a global language, English can establish a communication bridge between different countries and nationalities, and its importance is obvious. Since 2001, China has gradually added English education to the curriculum plan of primary schools in various regions. Later, with the deepening of the industry’s understanding of English teaching, the education reform has also followed up. It can be said that the level of educators and educates is rising spirally. However, there are still many restrictive factors in the current situation of primary school students’ learning English, among which the more prominent factors are the strength of English teachers and the evaluation mechanism for students’ learning achievements.
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