目的 探讨基于视听觉和运动反馈的脑机接口(BCI)结合经颅直流电刺激(tDCS)对脑卒中患者上肢功能的疗效。方法 2023年3月至10月,徐州医科大学附属徐州康复医院和徐州市中心医院住院的脑卒中患者45例,随机分为BCI组、tDCS组和联合组,每组1...目的 探讨基于视听觉和运动反馈的脑机接口(BCI)结合经颅直流电刺激(tDCS)对脑卒中患者上肢功能的疗效。方法 2023年3月至10月,徐州医科大学附属徐州康复医院和徐州市中心医院住院的脑卒中患者45例,随机分为BCI组、tDCS组和联合组,每组15例。3组均接受常规康复治疗,BCI组增加BCI,tDCS组增加tDCS治疗,联合组先行tDCS治疗,然后立即进行BCI,共4周。治疗前后采用Fugl-Meyer评定量表上肢部分(FMA-UE)、上肢动作研究量表(ARAT)和改良Barthel指数(MBI)进行评定,测量脑电图δ-α比(DAR)和功率比指数(PRI)。结果 治疗后,3组FMA-UE、ARAT和MBI评分均较治疗前显著提高(|t|> 5.350, P <0.001),联合组最优(F>3.366, P <0.05),DAR和PRI均较治疗前显著减小(|t|> 2.208, P <0.05),联合组最优(F> 5.224, P <0.01)。结论 基于视听觉和运动反馈的BCI结合tDCS可进一步改善脑卒中患者上肢运动功能,提高日常生活活动能力。展开更多
Objective To analyze the improvement of the incentive mechanism of sales personnel in pharmaceutical company A,and to promote the smooth operation and further development of the company in a long term.Methods Compensa...Objective To analyze the improvement of the incentive mechanism of sales personnel in pharmaceutical company A,and to promote the smooth operation and further development of the company in a long term.Methods Compensation incentive,performance appraisal,welfare benefit,training incentive,promotion motivation and enterprise cultural inspiration were explored through questionnaires,telephone interviews and in-person interviews.Results and Conclusion This company’s incentive mechanism has problems in two aspects:Material incentives and spiritual incentives.As to the company’s characteristics and strategic development,the optimization countermeasures of incentive mechanism are proposed from the following three aspects:constructing a reasonable incentive system,establishing an efficient spiritual incentive mechanism,and implementing the dynamic incentive and differentiated incentive simultaneously.展开更多
文摘目的 探讨基于视听觉和运动反馈的脑机接口(BCI)结合经颅直流电刺激(tDCS)对脑卒中患者上肢功能的疗效。方法 2023年3月至10月,徐州医科大学附属徐州康复医院和徐州市中心医院住院的脑卒中患者45例,随机分为BCI组、tDCS组和联合组,每组15例。3组均接受常规康复治疗,BCI组增加BCI,tDCS组增加tDCS治疗,联合组先行tDCS治疗,然后立即进行BCI,共4周。治疗前后采用Fugl-Meyer评定量表上肢部分(FMA-UE)、上肢动作研究量表(ARAT)和改良Barthel指数(MBI)进行评定,测量脑电图δ-α比(DAR)和功率比指数(PRI)。结果 治疗后,3组FMA-UE、ARAT和MBI评分均较治疗前显著提高(|t|> 5.350, P <0.001),联合组最优(F>3.366, P <0.05),DAR和PRI均较治疗前显著减小(|t|> 2.208, P <0.05),联合组最优(F> 5.224, P <0.01)。结论 基于视听觉和运动反馈的BCI结合tDCS可进一步改善脑卒中患者上肢运动功能,提高日常生活活动能力。
文摘Objective To analyze the improvement of the incentive mechanism of sales personnel in pharmaceutical company A,and to promote the smooth operation and further development of the company in a long term.Methods Compensation incentive,performance appraisal,welfare benefit,training incentive,promotion motivation and enterprise cultural inspiration were explored through questionnaires,telephone interviews and in-person interviews.Results and Conclusion This company’s incentive mechanism has problems in two aspects:Material incentives and spiritual incentives.As to the company’s characteristics and strategic development,the optimization countermeasures of incentive mechanism are proposed from the following three aspects:constructing a reasonable incentive system,establishing an efficient spiritual incentive mechanism,and implementing the dynamic incentive and differentiated incentive simultaneously.
