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同伴支持教育对慢性萎缩性胃炎患者健康行为及生活质量的影响 被引量:3
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作者 沈红利 高雅萍 +1 位作者 王跃萍 王敏 《世界华人消化杂志》 CAS 2020年第19期972-978,共7页
背景慢性萎缩性胃炎为临床常见疾病,其病因及发病机制较为复杂,不仅与某些病理因素有关,个体对疾病的认知水平、心理状态、健康行为方式等也与之有关.从心理学角度来讲,适当的心理管理在疾病管理中的意义显著,尤其是在慢性疾病管理中的... 背景慢性萎缩性胃炎为临床常见疾病,其病因及发病机制较为复杂,不仅与某些病理因素有关,个体对疾病的认知水平、心理状态、健康行为方式等也与之有关.从心理学角度来讲,适当的心理管理在疾病管理中的意义显著,尤其是在慢性疾病管理中的效果值得肯定.本研究以同伴支持教育为主要干预手段,分析其对慢性萎缩性胃炎患者健康行为及生活质量的影响.目的探讨同伴支持教育对慢性萎缩性胃炎(chronic atrophic gastritis,CAG)患者健康行为及生活质量的影响.方法选择2017-01/2017-12符合标准的CAG患者107例为研究对象,采用随机数字表法分为干预组55例、对照组52例.对照组给予包括疾病认知、健康行为、并发症预防等在内的常规健康教育,干预组联合应用同伴支持教育.随访6 mo,比较两组患者健康行为、生活质量、健康教育满意度等指标.结果干预组CAG患者合理膳食、运动锻炼、情绪控制、戒烟戒酒达标率明显高于对照组(87.27%vs 71.15%,89.09%vs 73.08%,85.45%vs 69.23%,89.09%vs 71.15%,χ2=4.252,4.510,4.044,5.4582,P<0.05);生理职能、总体健康、活力、社会功能、情感职能、精神健康评分明显高于对照组(76.62±8.21 vs 70.10±8.32,67.45±7.26 vs 61.24±7.32,70.12±8.23 vs 62.45±7.41,82.45±8.36 vs 76.45±8.45,73.12±8.42 v s 65.12±7.56,72.65±8.22 v s 64.78±8.34,t=4.079,4.405,5.056,3.691,5.161,4.915,P<0.05),健康教育满意度96.36%明显高于对照组84.62%(χ2=4.354,P<0.05).结论同伴支持教育更容易被CAG患者所接受,有助于促进患者健康行为方式的养成,进而改善患者生活质量. 展开更多
关键词 慢性萎缩性胃炎 健康教育 同伴支持 健康行为 生活质量
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A Multi-UCAV cooperative occupation method based on weapon engagement zones for beyond-visual-range air combat 被引量:6
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作者 Wei-hua Li Jing-ping Shi +2 位作者 Yun-yan Wu yue-ping wang Yong-xi Lyu 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2022年第6期1006-1022,共17页
Recent advances in on-board radar and missile capabilities,combined with individual payload limitations,have led to increased interest in the use of unmanned combat aerial vehicles(UCAVs)for cooperative occupation dur... Recent advances in on-board radar and missile capabilities,combined with individual payload limitations,have led to increased interest in the use of unmanned combat aerial vehicles(UCAVs)for cooperative occupation during beyond-visual-range(BVR)air combat.However,prior research on occupational decision-making in BVR air combat has mostly been limited to one-on-one scenarios.As such,this study presents a practical cooperative occupation decision-making methodology for use with multiple UCAVs.The weapon engagement zone(WEZ)and combat geometry were first used to develop an advantage function for situational assessment of one-on-one engagement.An encircling advantage function was then designed to represent the cooperation of UCAVs,thereby establishing a cooperative occupation model.The corresponding objective function was derived from the one-on-one engagement advantage function and the encircling advantage function.The resulting model exhibited similarities to a mixed-integer nonlinear programming(MINLP)problem.As such,an improved discrete particle swarm optimization(DPSO)algorithm was used to identify a solution.The occupation process was then converted into a formation switching task as part of the cooperative occupation model.A series of simulations were conducted to verify occupational solutions in varying situations,including two-on-two engagement.Simulated results showed these solutions varied with initial conditions and weighting coefficients.This occupation process,based on formation switching,effectively demonstrates the viability of the proposed technique.These cooperative occupation results could provide a theoretical framework for subsequent research in cooperative BVR air combat. 展开更多
关键词 Unmanned combat aerial vehicle Cooperative occupation Beyond-visual-range air combat Weapon engagement zone Discrete particle swarm optimization Formation switching
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考虑服务公平性的定制公交动态响应方案 被引量:3
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作者 汪怡然 陈景旭 +2 位作者 王岳平 霍锦彪 刘志远 《吉林大学学报(工学版)》 EI CAS CSCD 北大核心 2022年第11期2574-2581,共8页
为使车辆在运行过程中能根据乘客即时需求灵活调整线路,提出了一种定制公交动态响应方案。使用节点插入算法为乘客确定备选线路,考虑迟到乘客处理和线路运营收益计算等实际问题。实行“人等车”的机制,合理利用乘客可接受的等待时间,减... 为使车辆在运行过程中能根据乘客即时需求灵活调整线路,提出了一种定制公交动态响应方案。使用节点插入算法为乘客确定备选线路,考虑迟到乘客处理和线路运营收益计算等实际问题。实行“人等车”的机制,合理利用乘客可接受的等待时间,减少误车情况的发生,杜绝拒载现象,保证服务公平性。以河北省雄安新区的定制公交网络验证了模型及算法的有效性,研究结果表明:该方案能在满足乘客时间窗和保障公交运营商收益的前提下,有效应对乘客迟到的情况。 展开更多
关键词 交通运输系统工程 定制公交 需求响应 线路规划 节点插入算法
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Gestational Trophoblastic Disease Diagnosis and Treatment:An Analysis of 56 Cases
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作者 yue-ping wang Jian SHEN Wen-qing LONG 《Journal of Reproduction and Contraception》 CAS 2014年第3期177-185,共9页
Objective To investigate the diagnosis and treatment of gestational trophoblastic disease (GTD). Methods A retrospective review was conducted on 56 patients with GTD who under- went treatment in Ruijin hospital from... Objective To investigate the diagnosis and treatment of gestational trophoblastic disease (GTD). Methods A retrospective review was conducted on 56 patients with GTD who under- went treatment in Ruijin hospital from January 2007 to December 2012. Their infor- mation of diagnosis, treatments, follow-up and efficacy were collected and analyzed Results Misdiagnosis rate was 41.1% (23/56)for the first time. Of 56 patients, 31 had direct curettage, 19 had curettage after trichosanthis (TCS) treatment, 3 had curettage after intervention treatment and 3 did not have curettage. Twenty patients with gesta- tional trophoblastic neoplasia (GTN) took fluorouracil+vincristine+dactinomycin (VCR +KSM+5-FU) chemotherapy, but 2 of them changed to etoposide+methotrexate+acti- nomycetes streptozotocin-D+cyclophosphamide+vincristine (EMA-CO) chemo- therapy due to drug resistance. Three patients" with GTN took EMA-CO chemotherapy. Two patients with placental site trophoblastic tumor (PSTT) required surgeries, one took hysterectomy, another got mass and adnexectomy. Apart from 1 case who gave up treatment and was dead, all the other women went into remission from their diseases. Conclusion The diagnosis of trophoblastic disease rely on a comprehensive analysis. A reasonable choice of TCS or intervention can be effective and safe in treating GTD. Most patients with GTN could get complete remission by selecting the appropriate chemotherapy and surgery. 展开更多
关键词 gestational trophoblastic disease (GTD) gestational trophoblastic neoplasia(GTN) MOLE CHORIOCARCINOMA trichosanthis (TCS)
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