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Impact of auditory stimulation nursing protocol on auditory response in cerebrovascular stroke patients
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作者 Mohammed ElSayed ZAKY Hanan Ahmed AL SEBAEE +2 位作者 Nagat El Morsy IBRAHIEM Heba Ahmed MOHAMMED Mohammad Edrees MOHAMMAD 《Journal of Integrative Nursing》 2024年第2期111-116,共6页
Objectives:The objective of the study was to explore the impact of auditory stimulation protocol on auditory response in cerebrovascular stroke(CVS)patients.Materials and Methods:A pre-posttest nonequivalent control g... Objectives:The objective of the study was to explore the impact of auditory stimulation protocol on auditory response in cerebrovascular stroke(CVS)patients.Materials and Methods:A pre-posttest nonequivalent control group quasi-experimental study was conducted at Al Mainal Hospital at Al Kars Einy Hospital,Cairo University,among 60 CVS patients,and the sample was randomly assigned through a coin to allocate subjects to study or control group(30 for each group).Auditory stimulation techniques were applied three times per week for the study group for two consecutive weeks.Patients in the control group received only routine hospital care during the study period.The Glasgow Coma Scale(GCS)score for assessing the neurological function and level of arousal and the auditory subscale score of Western Neuro Sensory Stimulation Profile(WNSSP)for assessing auditory response were recorded and compared between the two groups before and after the intervention.Results:There were statistically significant differences between the study group and the control group regarding third reading of GCS score(11.5±0.3 vs.10.6±0.9,t=4.676,P=0.000).The scores of all auditory subscales of WNSSP in the study groups increased after implementing the auditory stimulation protocol(P<0.05).Conclusion:Utilizing the auditory stimulation protocol by nurse proves to be an effective method for enhancing hearing responses in individuals with CVS. 展开更多
关键词 AUDITORY STIMULATION techniques HEARING response NURSING management STROKE
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THE STUDY OF THE NON-STEADY KINETICS OF THE OXYDEHYDROGENATION OF ETHANE TO ETHYLENE OVER THE CATALYST OF Mo-V-Nb/Al_2O_3 BY THE TECHNIQUE OF TEMPERATURE PROGRAMMED TRANSIENT RESPONSE AND ELECTRIC CONDUCTIVITY
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作者 Ren You ZHANG, Hong JIANG, Xiao Dong SUN Xiu Yin LIU, Fu Rong WANG, Shou Li BAI, Zong Qi XU (Department of Applied Chemistry, Beijing Institute of Chemical Technology) 100029 《Chinese Chemical Letters》 SCIE CAS CSCD 1991年第11期893-896,共4页
In this paper, instead of with the more expensive Fourier Transform Infrared Spectrometer(FTIR) a new technique of Temperature Programmed Transient Response(TP-TR) has been used with gas chromatography. Therefore, the... In this paper, instead of with the more expensive Fourier Transform Infrared Spectrometer(FTIR) a new technique of Temperature Programmed Transient Response(TP-TR) has been used with gas chromatography. Therefore, the TP-TR will be applied more widespreadly than ever before. With the technique of TP-TR and electric conductivity, the study is on the reaction mechanism and the adsorption behavior of the reactants and products to the present catalyst Mo-V-Nb/Al_2O_3 in the reaction from ethane through oxydehydrogenation to ethylene as the product. By Range-Kutta-Gill and Margarat methods, the kinetic parameters of the reaction elementary steps (i.e. rate constants, active energies and frequency factors) have been evaluated. The mathematical treatment coincides with the experimental results. 展开更多
关键词 TR THE STUDY OF THE NON-STEADY KINETICS OF THE OXYDEHYDROGENATION OF ETHANE TO ETHYLENE OVER THE CATALYST OF Mo-V-Nb/Al2O3 BY THE technique OF TEMPERATURE PROGRAMMED TRANSIENT response AND ELECTRIC CONDUCTIVITY MO Al
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Performance Improvement of Two-Phase Steam Ejector based on CFD Techniques,Response Surface Methodology and Genetic Algorithm 被引量:1
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作者 ZHANG Hao ZHAO Hongxia +2 位作者 ZHANG Xiuao ZENG Hongxuan DENG Jianqiang 《Journal of Thermal Science》 SCIE EI CAS CSCD 2024年第2期675-695,共21页
The steam ejector is a crucial component in the waste heat recovery system.Its performance determines the amount of recovered heat and system efficiency.However,poor ejector performance has always been the main bottle... The steam ejector is a crucial component in the waste heat recovery system.Its performance determines the amount of recovered heat and system efficiency.However,poor ejector performance has always been the main bottleneck for system applications.Therefore,this study proposes an optimization methodology to improve the steam ejector's performance by utilizing computational fluid dynamics(CFD) techniques,response surface methodology(RSM),and genetic algorithm(GA).Firstly,a homogeneous equilibrium model(HEM) was established to simulate the two-phase flow in the steam ejector.Then,the orthogonal test was presented to the screening of the key decision variables that have a significant impact on the entrainment ratio(ER).Next,the RSM was used to fit a response surface regression model(RSRM).Meanwhile,the effect of the interaction of geometric parameters on the performance of the steam ejector was revealed.Finally,GA was employed to solve the RSRM's global optimal ER value.The results show that the RSRM exhibits a good fit for ER(R^(2)=0.997).After RSM and GA optimization,the maximum ejector efficiency is 27.94%,which is 48.38% higher than the initial ejector of 18.83%.Furthermore,the optimized ejector efficiency is increased by 46.4% on average under off-design conditions.Overall,the results reveal that the combination of CFD,RSM,and GA presents excellent reliability and feasibility in the optimization design of a two-phase steam ejector. 展开更多
关键词 two-phase steam ejector optimization methodology CFD techniques response surface methodology genetic algorithm homogeneous equilibrium model
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Harmonic balance method with alternating frequency/time domain technique for nonlinear dynamical system with fractional exponential 被引量:10
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作者 张智勇 陈予恕 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 2014年第4期423-436,共14页
Comparisons of the common methods for obtaining the periodic responses show that the harmonic balance method with alternating frequency/time (HB-AFT) do- main technique has some advantages in dealing with nonlinear ... Comparisons of the common methods for obtaining the periodic responses show that the harmonic balance method with alternating frequency/time (HB-AFT) do- main technique has some advantages in dealing with nonlinear problems of fractional exponential models. By the HB-AFT method, a rigid rotor supported by ball bearings with nonlinearity of Hertz contact and ball passage vibrations is considered. With the aid of the Floquet theory, the movement characteristics of interval stability are deeply studied. Besides, a simple strategy to determine the monodromy matrix is proposed for the stability analysis. 展开更多
关键词 fractional exponential nonlinearity harmonic balance method with alter-nating frequency/time (HB-AFT) domain technique global response stability
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Hybrid Model Testing Technique for Deep-Sea Platforms Based on Equivalent Water Depth Truncation 被引量:4
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作者 张火明 杨建民 肖龙飞 《China Ocean Engineering》 SCIE EI 2007年第3期401-416,共16页
In this paper, an inner turret moored FPSO which works in the water of 320 m depth, is selected to study the socalled "passively-truncated + numerical-simulation" type of hybrid model testing technique while the tn... In this paper, an inner turret moored FPSO which works in the water of 320 m depth, is selected to study the socalled "passively-truncated + numerical-simulation" type of hybrid model testing technique while the tnmcated water depth is 160 m and the model scale ), = 80. During the investigation, the optimization design of the equivalent-depth truncated system is performed by using the similarity of the static characteristics between the truncated system and the full depth one as the objective function. According to the truncated system, the corresponding physical test model is made. By adopting the coupling time domain simulation method, the tnmcated system model test is numerically reconstructed to carefully verify the computer simulation software and to adjust the corresponding hydrodynamic parameters. Based on the above work, the numerical extrapolation to the full depth system is performed by using the verified computer software and the adjusted hydrodyrmmic parameters. The full depth system model test is then performed in the basin and the results are compared with those from the numerical extrapolation. At last, the implementation procedure and the key technique of the hybrid model testing of the deep-sea platforms are summarized and printed. Through the above investigations, some beneficial conclusions are presented. 展开更多
关键词 hybrid model testing technique equivalent water depth truncation FPSO hydrodynamic response TURRET
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Analysis of Response Surface in the Study of RE(NO_3)_3-HNO_3-P507-Kerosene Extraction System
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作者 王化云 许禄 苏锵 《Journal of Rare Earths》 SCIE EI CAS CSCD 1991年第4期258-262,共5页
RE(NO_3)_3-HNO_3-P507-kerosene extraction system(RE=La,Ce,Pr,Nd,Sm,Eu,Gd,Tb,Dy,Ho,Er, Tm,Yb,Lu,Y)was studied by the response surface technique.14 models for extracting single rare earth ele- ment in a broad range of a... RE(NO_3)_3-HNO_3-P507-kerosene extraction system(RE=La,Ce,Pr,Nd,Sm,Eu,Gd,Tb,Dy,Ho,Er, Tm,Yb,Lu,Y)was studied by the response surface technique.14 models for extracting single rare earth ele- ment in a broad range of acidity and initial rare earth concentration were obtained by using the stepwise regression method.Three-dimensional display of the response surface of the model of extracting Er^(3+)was showed as an example,which reveals clearly the dependence of distribution ratio upon both initial acidity and ini- tial rare earth concentration. 展开更多
关键词 RE Extraction model response surface technique P507
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Calculation of the reactor neutron time of flight spectrum by convolution technique
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作者 程金星 欧阳晓平 +2 位作者 郑毅 张安慧 欧阳茂解 《Chinese Physics B》 SCIE EI CAS CSCD 2008年第8期2881-2884,共4页
It is a very complex and time-consuming process to simulate the nuclear reactor neutron spectrum from the reactor core to the export channel by applying a Monte Carlo program. This paper presents a new method to calcu... It is a very complex and time-consuming process to simulate the nuclear reactor neutron spectrum from the reactor core to the export channel by applying a Monte Carlo program. This paper presents a new method to calculate the neutron spectrum by using the convolution technique which considers the channel transportation as a linear system and the transportation scattering as the response function. It also applies Monte Carlo Neutron and Photon Transport Code (MCNP) to simulate the response function numerically. With the application of convolution technique to calculate the spectrum distribution from the core to the channel, the process is then much more convenient only with the simple numerical integral numeration. This saves computer time and reduces some trouble in re-writing of the MCNP program. 展开更多
关键词 convolution technique neutron transportation time of flight response function time spectrum
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Dynamic Response Analysis of Interaction System of R.C. Gravity Single-Leg Platform
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作者 Cao, Guoao Shen, Yilei 《China Ocean Engineering》 SCIE EI 1991年第1期23-30,共8页
In this paper, the responses of the interaction system of R.C. gravity single-leg platform to seismic excitation are mainly analysed. A set of nonlinear equations for the interaction system are established by using th... In this paper, the responses of the interaction system of R.C. gravity single-leg platform to seismic excitation are mainly analysed. A set of nonlinear equations for the interaction system are established by using the wave, one is the soil-structure interaction and the other is the fluid-structure interaction. The seismic response of the interaction system is analysed for the influence of the asymmetric structure, fluid action, etc. with the input of seismic SH waves in any direction. The numerical results are given for a simple example. 展开更多
关键词 FOUNDATIONS Soil Structure Interaction HYDRODYNAMICS Fluid Structure Interaction Mathematical techniques Nonlinear Equations Structural Analysis Dynamic response
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Perturbation Analysis of the Attached Water Mass Effect on Offshore Platform Dynamic Response
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作者 Chu, Liangcheng Qu, Naisi +1 位作者 Guo, Yonggang Lu, Min 《China Ocean Engineering》 SCIE EI 1993年第4期369-382,共14页
Theoretically speaking, it is impossible to make the differential equation of motion uncoupled for the natural modes of a system in consideration of the attached water. The hydro-elastic structure is equal to the non-... Theoretically speaking, it is impossible to make the differential equation of motion uncoupled for the natural modes of a system in consideration of the attached water. The hydro-elastic structure is equal to the non-proportional damping system. In this paper a perturbation analysis method is put forward. The structure motion equation is strictly solved mathematically, and the non-proportional damping problem is transformed into a series of proportional damping ones in the superposition form. The paper also presents the calculation formula of the dynamic response of the structure being subjected to harmonic and arbitrary load. The convergence of the proposed method is also studied in this paper, and the corresponding convergence conditions are given. Finally, the proposed method is used to analyze the displacement response of a real offshore platform. The calculation results show that this method has the characteristics of high accuracy and fast convergence. 展开更多
关键词 Convergence of numerical methods DAMPING Dynamic response Equations of motion Mathematical models Perturbation techniques Structural analysis Structural loads WATER
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ANALYSIS OF THE LARGE DEFLECTION DYNAMIC RESPONSE OF RIGID-PLASTIC CIRCULAR PLATE RESTING ON FLUID
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作者 Zhang Shanyuan Wang Tiefeng (Taiyuan University of Technology,Taiyuan 030024 P.R.China) 《Acta Mechanica Solida Sinica》 SCIE EI 1994年第4期334-346,共13页
A study is presented for the large deflection dynamic response of rigid- plastic circular plate resting on potential fluid under a rectangular pressure pulse load. By virtue of Hankel integral transform technique,this... A study is presented for the large deflection dynamic response of rigid- plastic circular plate resting on potential fluid under a rectangular pressure pulse load. By virtue of Hankel integral transform technique,this interaction problem is reduced to a problem of dynamic plastic response of the plate in vacuum.The closed-form solutions are derived for both middle and high pressure loads by solving the equations of motion with the large deflection in the range where both bending moments and membrane forces are important.Some numerical results are given. 展开更多
关键词 rigid-plastic circular plate LARGE deflection dynamic response potential fluid Hankel integral transform technique
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RANDOM RESPONSES OF A TWO-DEGREE-OF-FREEDOM STRUCTURE WITH STRONGLY NONLINEAR COUPLING AND PARAMETRIC INTERACTION
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作者 张森文 陈奎孚 赵洪辉 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 1993年第3期240-250,共11页
This paper investigates the random responses of a TDOF structure with strongly nonlinear coupling and parametric vibration. With the nonlinear cou- pling of inertia in the equations of motion of the system being remov... This paper investigates the random responses of a TDOF structure with strongly nonlinear coupling and parametric vibration. With the nonlinear cou- pling of inertia in the equations of motion of the system being removed by successive elimination, the non-Gaussian moment equation method (NGM) is applied and 69 moment equations are integrated with central cumulative truncation technique. The stochastic central difference-cum-statistical linearization method(SCD-SL) and the digital simulation method(DSM) are also used. A comparison of results by different methods are given and the SCD-SL method is the most efficient method. 展开更多
关键词 random response nonlinear system non-Gaussian moment equation method (NGM) stochastic central difference-cum-statistical linearization method (SCD-SL) digital simulation method (DSM) central cummulative truncation technique successive eli
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The Optimum of a Quadratic Univariate Response Function Is Located at the Origin
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作者 Idorenyin Etukudo 《American Journal of Operations Research》 2017年第6期323-330,共8页
This work has successfully shown that the optimum of a quadratic response function with zero coefficients except that of the quadratic term lies at the origin. This was achieved by using optimal designs technique for ... This work has successfully shown that the optimum of a quadratic response function with zero coefficients except that of the quadratic term lies at the origin. This was achieved by using optimal designs technique for solving unconstrained optimization problems with quadratic surfaces. In just one move, the objective of the work, that is, xmin = 0 was realized. 展开更多
关键词 FIBONACCI SEARCH technique GOLDEN Section SEARCH technique Optimal Designs response Surface UNCONSTRAINED Optimization
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Static response of functionally graded multilayered two-dimensional quasicrystal plates with mixed boundary conditions
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作者 Xin FENG Liangliang ZHANG +3 位作者 Yuxuan WANG Jinming ZHANG Han ZHANG Yang GAO 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI CSCD 2021年第11期1599-1618,共20页
The unusual properties of quasicrystals(QCs)have attracted tremendous attention from researchers.In this paper,a semi-analytical solution is presented for the static response of a functionally graded(FG)multilayered t... The unusual properties of quasicrystals(QCs)have attracted tremendous attention from researchers.In this paper,a semi-analytical solution is presented for the static response of a functionally graded(FG)multilayered two-dimensional(2 D)decagonal QC rectangular plate with mixed boundary conditions.Based on the elastic theory of FG 2 D QCs,the state-space method is used to derive the state equations composed of partial differential along the thickness direction.Besides,the Fourier series expansion and the differential quadrature technique are utilized to simulate the simply supported boundary conditions and the mixed boundary conditions,respectively.Then,the propagator matrix which connects the field variables at the upper interface to those at the lower interface of any homogeneous layer can be derived based on the state equations.Combined with the interface continuity condition,the static response can be obtained by imposing the sinusoidal load on the top surfaces of laminates.Finally,the numerical examples are presented to verify the effectiveness of this method,and the results are very useful for the design and understanding of the characterization of FG QC materials in their applications to multilayered systems. 展开更多
关键词 two-dimensional(2D)quasicrystal(QC)laminate functionally graded material(FGM) mixed boundary condition static response differential quadrature technique
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Arc-length technique for nonlinear finite element analysis 被引量:9
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作者 MEMONBashir-Ahmed 苏小卒 《Journal of Zhejiang University Science》 EI CSCD 2004年第5期618-628,共11页
Nonlinear solution of reinforced concrete structures, particularly complete load-deflection response, requires tracing of the equilibrium path and proper treatment of the limit and bifurcation points. In this regard, ... Nonlinear solution of reinforced concrete structures, particularly complete load-deflection response, requires tracing of the equilibrium path and proper treatment of the limit and bifurcation points. In this regard, ordinary solution techniques lead to instability near the limit points and also have problems in case of snap-through and snap-back. Thus they fail to predict the complete load-displacement response. The arc-length method serves the purpose well in principle, received wide acceptance in finite element analysis, and has been used extensively. However modifications to the basic idea are vital to meet the particular needs of the analysis. This paper reviews some of the recent developments of the method in the last two decades, with particular emphasis on nonlinear finite element analysis of reinforced concrete structures. 展开更多
关键词 Arc-length method Nonlinear analysis Finite element method Reinforced concrete Load-deflection path Document code: A CLC number: TU31 Arc-length technique for nonlinear finite element analysis* MEMON Bashir-Ahmed# SU Xiao-zu (苏小卒) (Department of Structural Engineering Tongji University Shanghai 200092 China) E-mail: bashirmemon@sohu.com xiaozub@online.sh.cn Received July 30 2003 revision accepted Sept. 11 2003 Abstract: Nonlinear solution of reinforced concrete structures particularly complete load-deflection response requires tracing of the equilibrium path and proper treatment of the limit and bifurcation points. In this regard ordinary solution techniques lead to instability near the limit points and also have problems in case of snap-through and snap-back. Thus they fail to predict the complete load-displacement response. The arc-length method serves the purpose well in principle received wide acceptance in finite element analysis and has been used extensively. However modifications to the basic idea are vital to meet the particular needs of the analysis. This paper reviews some of the recent developments of the method in the last two decades with particular emphasis on nonlinear finite element analysis of reinforced concrete structures. Key words: Arc-length method Nonlinear analysis Finite element method Reinforced concrete Load-deflection path
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精准肝蒂解剖技术辅助腹腔镜肝癌切除术的效果及对炎症免疫应激、肝功能的影响 被引量:3
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作者 陈磊 唐彤 +3 位作者 张代忠 柳凤玲 杨中秋 严欢 《昆明医科大学学报》 CAS 2024年第4期120-127,共8页
目的探讨精准肝蒂解剖技术辅助腹腔镜肝癌切除术的效果及对炎症免疫应激、肝功能的影响。方法选取达州市中心医院2019年10月至2022年6月114例原发性肝癌患者,按照随机数字表法分为常规组(n=57)与精准组(n=57)。2组均行腹腔镜肝癌切除术... 目的探讨精准肝蒂解剖技术辅助腹腔镜肝癌切除术的效果及对炎症免疫应激、肝功能的影响。方法选取达州市中心医院2019年10月至2022年6月114例原发性肝癌患者,按照随机数字表法分为常规组(n=57)与精准组(n=57)。2组均行腹腔镜肝癌切除术,常规组采用常规方法切除肝脏,精准组采用精准肝蒂解剖技术切除肝脏。比较2组手术指标、手术前后炎症-免疫指标[白介素-6(IL-6)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、免疫球蛋白A(IgA)、IgM、IgG]、肝功能[丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、γ谷氨酰转肽酶(γ-GT)、总胆红素(TBIL)]、肿瘤因子[甲胎蛋白(AFP)、糖类抗原19-9(CA19-9)、胸苷激酶1(TK1)]水平、并发症发生率,并随访1 a,统计2组1 a复发率、生存率。结果2组手术时间、切缘阳性率差异无统计学意义(P>0.05);精准组术中出血量、术后引流量少于常规组,术后拔管时间、住院时间短于常规组(P<0.05);2组术后1 d、3 d、7 d血清IL-6、CRP、TNF-α、ALT、AST、γ-GT、TBIL水平呈升高后降低趋势,且精准组低于常规组(P<0.05),血清IgA、IgM、IgG水平呈降低后升高趋势,且精准组高于常规组(P<0.05);2组术后3个月血清AFP、CA19-9、TK1水平低于术前,精准组低于常规组(P<0.05);精准组并发症发生率5.26%(3/57)低于常规组17.54%(10/57)(P<0.05);随访1 a,精准组失访2例,常规组失访1例,精准组1 a复发率25.45%(14/55)低于常规组44.64%(25/56),1a生存率85.45%(47/55)高于常规组62.50%(35/56)(P<0.05)。结论精准肝蒂解剖技术应用于原发性肝癌腹腔镜肝切除术中能优化手术情况,减轻炎症免疫应激与肝功能损伤,减少并发症,还可明显抑制肿瘤因子表达,降低复发率,提高生存率。 展开更多
关键词 原发性肝癌 腹腔镜肝切除术 精准肝蒂解剖技术 肝功能 炎症免疫应激
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气流与激光联合作用铝合金板热响应研究
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作者 陶彦辉 张家雷 张旭平 《激光技术》 CAS CSCD 北大核心 2024年第4期603-607,共5页
为了获得激光加工等应用中气流环境激光辐照材料的热响应特性和熔穿规律,采用面热源近似和不定常热传导分析方法构建了包括热传导、对流换热、熔化烧蚀等主要机制的物理模型,并通过实验校核后进行了气流环境激光辐照铝合金热学响应定量... 为了获得激光加工等应用中气流环境激光辐照材料的热响应特性和熔穿规律,采用面热源近似和不定常热传导分析方法构建了包括热传导、对流换热、熔化烧蚀等主要机制的物理模型,并通过实验校核后进行了气流环境激光辐照铝合金热学响应定量评估,获得气流环境不同激光功率密度下铝合金靶板温升和烧蚀熔穿规律。结果表明,相同靶参数下,熔穿时间随着激光功率密度增加而急剧减小,并且熔穿时间变化规律与热平衡积分方法气化烧蚀模型结果一致;不同条件下熔穿时间显示,在激光功率密度较小(500 W/cm^(2)附近)时,气流引起对流换热因素对激光烧蚀熔穿影响较大,而在激光功率密度较高(1500 W/cm^(2)以上)时,气流引起对流换热因素对激光烧蚀熔穿影响较小。建立的气流条件下激光辐照热响应模型与实际物理过程更接近,计算获得的熔穿规律为激光辐照模型合理简化提供了定量的参考依据。 展开更多
关键词 激光技术 激光辐照 气流环境 热响应 激光烧蚀
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区域神经阻滞联合全身麻醉对胫腓骨骨折手术患者应激反应、认知功能及睡眠质量的影响
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作者 周立君 张伟 +5 位作者 张璐 刘蕊 任小栋 尚学栋 曹路 邢飞 《郑州大学学报(医学版)》 CAS 北大核心 2024年第1期83-87,共5页
目的:研究区域神经阻滞联合全身麻醉对胫腓骨骨折手术患者应激反应、认知功能及睡眠质量的影响。方法:选取2020年1月至2022年9月在郑州大学第一附属医院行切开复位内固定术的胫腓骨骨折患者104例,根据麻醉方式分为观察组(区域神经阻滞... 目的:研究区域神经阻滞联合全身麻醉对胫腓骨骨折手术患者应激反应、认知功能及睡眠质量的影响。方法:选取2020年1月至2022年9月在郑州大学第一附属医院行切开复位内固定术的胫腓骨骨折患者104例,根据麻醉方式分为观察组(区域神经阻滞联合全身麻醉,64例)和对照组(全身麻醉,40例)。比较2组患者麻醉诱导前、手术切皮时、手术30 min、手术结束时、术后30 min应激反应指标[血清白介素-6(IL-6)、皮质醇(COR)水平],记录苏醒时间,拔管时间,拔管后VAS评分、镇静Ramsay评分,并于术前1 d、术后1 d和3 d评价患者认知功能(MMSE评分)及睡眠质量(PSQI评分)。结果:与对照组比较,观察组血清IL-6、COR水平波动更小(P<0.001)。观察组苏醒时间[(7.11±1.55)min vs(12.28±1.83)min]、拔管时间[(11.09±1.26)d vs(17.43±2.02)d]均短于对照组,且拔管后VAS评分[(1.92±0.70)分vs(3.95±0.71)分]低于对照组(P<0.05)。2组拔管后镇静Ramsay评分差异无统计学意义(P=0.100)。观察组术后MMSE评分、PSQI评分较对照组有更大改善(P<0.001)。结论:区域神经阻滞联合全身麻醉能够减少胫腓骨骨折手术患者应激反应,不损伤术后认知功能,保障术后睡眠质量。 展开更多
关键词 区域神经阻滞 胫腓骨骨折 应激反应 认知功能 睡眠质量
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微创环切术对牙列缺损种植患者炎症反应及牙槽嵴顶骨吸收的影响
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作者 姚旭飞 蓝博 +1 位作者 季育 周雪君 《上海口腔医学》 CAS 2024年第4期398-402,共5页
目的:探讨微创环切术对牙列缺损种植患者炎症反应及牙槽嵴顶骨吸收的影响。方法:选择2021年6月—2023年6月在丽水市中医院接受牙列缺损种植术的患者198例,根据治疗方式分为微创组(n=100)和传统组(n=98)。微创组采用微创环切术,传统组采... 目的:探讨微创环切术对牙列缺损种植患者炎症反应及牙槽嵴顶骨吸收的影响。方法:选择2021年6月—2023年6月在丽水市中医院接受牙列缺损种植术的患者198例,根据治疗方式分为微创组(n=100)和传统组(n=98)。微创组采用微创环切术,传统组采用传统翻瓣术。比较2组患者手术相关指标、炎症因子水平、疼痛介质、牙槽嵴顶骨吸收量、种植体松动情况、生活质量及并发症发生率。采用SPSS 27.0软件包对数据进行统计学分析。结果:微创组手术时间、术后VAS评分、术后疼痛反应时间均显著低于传统组(P<0.05)。微创组白细胞介素8(IL-8)、肿瘤坏死因子α(TNF-α)、干扰素γ(INF-γ)、血清淀粉样蛋白A(SAA)、P物质(SP)、降钙素基因相关肽(CGRP)、5羟色胺(5-HT)水平均显著低于传统组(P<0.05)。微创组患者牙槽嵴顶骨吸收量显著低于传统组(P<0.05),2组种植体松动度和种植体留存率相比无显著差异(P>0.05)。微创组患者OHIP-14量表各维度评分显著低于传统组(P<0.05)。微创组与传统组并发症发生率相比无显著差异(P<0.05)。结论:微创环切术相比传统翻瓣术,在减少手术时间、降低术后炎症因子和疼痛介质水平、减少牙槽嵴顶骨吸收量及提高口腔健康方面表现更优,可广泛用于牙列缺损种植术中。 展开更多
关键词 牙列缺损 种植 微创环切术 炎症反应 牙槽嵴顶骨吸收
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基于DKF和稀疏约束的激励和响应估计
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作者 彭珍瑞 董琪 王启栋 《计算力学学报》 CAS CSCD 北大核心 2024年第4期641-650,共10页
针对使用加速度测量响应进行激励和响应估计时发生低频漂移的问题,提出基于DKF(dual Kalman filter)和稀疏约束的激励和响应估计的方法.首先根据状态空间模型建立DKF算法,将激励和状态估计分开进行;然后考虑到激励的稀疏性和测量噪声的... 针对使用加速度测量响应进行激励和响应估计时发生低频漂移的问题,提出基于DKF(dual Kalman filter)和稀疏约束的激励和响应估计的方法.首先根据状态空间模型建立DKF算法,将激励和状态估计分开进行;然后考虑到激励的稀疏性和测量噪声的不确定性,根据压缩感知CS(compressive sensing)理论建立激励估计的不等式约束优化模型,利用伪测量PM(pseudo measurement)技术求解该优化问题,得到更新后的激励,进而利用模态叠加法重构各类型响应;最后通过数值仿真和简支梁试验验证本文方法的可行性.结果表明,当加速度传感器并置时,本文方法能够得到激励的稀疏解,通过对比激励、位移的时程曲线和频谱图发现,激励和位移的低频分量受到有效抑制,且对噪声具有较好的鲁棒性,在两个激励作用下依然能够保持激励的稀疏性.当加速度传感器非并置时,无法估计完整的空间稀疏激励,但是依然可以估计未知的响应. 展开更多
关键词 激励和响应估计 DKF算法 压缩感知 伪测量技术
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基于响应面法优化芡实多糖提取工艺及其体外抗氧化研究 被引量:1
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作者 黄卉 黄丽君 +3 位作者 钟爱华 梁淑君 卫秦芝 吴炜亮 《食品与发酵科技》 CAS 2024年第2期26-33,71,共9页
采用单因素实验和响应面法对芡实多糖的浸提工艺进行优化,并探讨其体外抗氧化活性。以芡实多糖提取率为指标,分别考察浸提温度、浸提时间、料液比、pH和乙醇浓度5个单因素对芡实多糖提取率的影响。通过响应面法对4个主要工艺参数进行优... 采用单因素实验和响应面法对芡实多糖的浸提工艺进行优化,并探讨其体外抗氧化活性。以芡实多糖提取率为指标,分别考察浸提温度、浸提时间、料液比、pH和乙醇浓度5个单因素对芡实多糖提取率的影响。通过响应面法对4个主要工艺参数进行优化,得到芡实多糖最佳提取工艺条件为浸提温度95℃,浸提时间5.3 h,料液比1∶24 g/mL,乙醇浓度93%。在最佳提取工艺条件下,芡实多糖提取率为0.65%。体外抗氧化活性结果表明,在0.1~10.0mg/mL范围内,芡实多糖具有较好的体外抗氧化性能,芡实多糖对DPPH自由基、超氧阴离子和羟基自由基的最大清除能力分别为82.10%、58.91%和71.07%,芡实多糖也具有较好的总还原力。该研究结果可为创制以芡实多糖为主要原料的功能食品和营养补充剂提供理论基础。 展开更多
关键词 芡实多糖 提取工艺 响应面法 体外抗氧化
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