OBJECTIVE To compare the accuracy and the consistency of different methods,including nucleic acid assay,biochemical identification,mass spectrometry and targeted next-generation sequencing(tNGs),in detec-tion of Streptococcus pneumoniae for the children with lower respiratory tract infections so as to provide bases for selection of appropriate detection method.METHODS A total of 120 children with lower respiratory tract infections who were treated in Yibin First People's Hospital from Aug.2024 to Mar.2025 were included in the clinical re-search.The bronchoalveolar lavage fluid(BALF)specimens were collected from all of the children,which were tested by the nucleic acid testing,biochemical identification,mass spectrometry and tNGS respectively.With tNGS as the gold standard,the consistency of the detection methods was evaluated by Kappa consistency test;meanwhile,the sensitivity,specificity and positive predictive value of the detection methods were observed,and the diagnostic efficiency was compared among the detection methods.RESULTS The sensitivity,specificity and total accurate rate of tNGS were all higher than those of other three detection methods with significant differ-ences(P＜0.05).The Kappa values of tNGS with the nucleic assay,biochemical identification and mass spec-trometry were 0.713,0.638 and 0.823,respectively,showing high consistencies,especially the consistency with mass spectrometry was relative high.CONCLUSION tNGS shows higher accuracy in detection of S.pneu-moniae and favorable consistency in diagnosis,and it is superior to the traditional biochemical identification and mass spectrometry,with high clinical application value.

OBJECTIVE To compare the accuracy and the consistency of different methods,including nucleic acid assay,biochemical identification,mass spectrometry and targeted next-generation sequencing(tNGs),in detec-tion of Streptococcus pneumoniae for the children with lower respiratory tract infections so as to provide bases for selection of appropriate detection method.METHODS A total of 120 children with lower respiratory tract infections who were treated in Yibin First People's Hospital from Aug.2024 to Mar.2025 were included in the clinical re-search.The bronchoalveolar lavage fluid(BALF)specimens were collected from all of the children,which were tested by the nucleic acid testing,biochemical identification,mass spectrometry and tNGS respectively.With tNGS as the gold standard,the consistency of the detection methods was evaluated by Kappa consistency test;meanwhile,the sensitivity,specificity and positive predictive value of the detection methods were observed,and the diagnostic efficiency was compared among the detection methods.RESULTS The sensitivity,specificity and total accurate rate of tNGS were all higher than those of other three detection methods with significant differ-ences(P＜0.05).The Kappa values of tNGS with the nucleic assay,biochemical identification and mass spec-trometry were 0.713,0.638 and 0.823,respectively,showing high consistencies,especially the consistency with mass spectrometry was relative high.CONCLUSION tNGS shows higher accuracy in detection of S.pneu-moniae and favorable consistency in diagnosis,and it is superior to the traditional biochemical identification and mass spectrometry,with high clinical application value.

Postoperative radiotherapy increase the overall survival rate offor breast cancer improves overall survivalpatients, but. Nevertheless, the heart is at risk of radioactive heart damageradiation-induced cardiac injury due to its anatomical location, which is inevitably exposed to radiation during radiotherapy. The heart is considered a "high-risk organ" sensitive to radiation, and its radiation dose should be as low as possible. Previous studies have evaluated the effect of overall heart radiation dose on long-term cardiovascular events, but the. However, new study has found that the average heart dose does not accurately reflect the degree of heart radiation exposure. In recent years, more and morewidespread attention has been paid to subclinical cardiac injury after radiotherapy, aiming at early identification of latent cardiac injury. In addition, the relationship between specific cardiac substructural doses and arrhythmias is unclear. This paper focuses onIn this article, the limitations of average cardiac dose in predicting radioactive heart injuryradiation- induced cardiac injury, the indicators of early identification of the indicators for cardiac injury and the influencing factors of radiation-induced cardiac injury in breast cancer radioactive heart injurywere illustrated, and focuses on the relationship between radiation damage of different cardiac substructures and arrhythmia was evaluated, so asaiming to achieve fine cardiac risk management in breast cancer patients and reduce the non-cancer mortality in breast cancer patients.