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Risk Factors Associated with Unsuccessful Vaginal Birth after One Cesarean (VBAC-1) in Puerto Rico
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作者 Irazú Guinan Marjorie Suárez +8 位作者 Fabiola Angulo Luis Mayol Paula Suárez Lisandris Dominicci Nathalie Chang Saribel Torres Antonio Rodríguez Raymond L. Tremblay Maricarmen Colón-Díaz 《Open Journal of Obstetrics and Gynecology》 2024年第6期888-902,共15页
Background: Cesarean section (CS) has increased steadily over the last decade, with an estimated one-third of women delivering by cesarean section worldwide. Objective: Our study aimed to investigate the demographic a... Background: Cesarean section (CS) has increased steadily over the last decade, with an estimated one-third of women delivering by cesarean section worldwide. Objective: Our study aimed to investigate the demographic and associated factors influencing vaginal birth after one cesarean (VBAC-1) success focusing on variables like pre-pregnancy BMI, diabetes, hypertension, education, and smoking. Study Design and Methods: In this retrospective study, we analyzed 285 cases (81 unsuccessful VBAC-1, 204 successful VBAC-1) from San Juan City Hospital (Puerto Rico) between January 1, 2019, and December 31, 2020. We used odds ratios and model selection comparison to assess the impact of variables on successful VBAC-1, using a significance threshold of 95% CI. Model selection assessed binomial model combinations using a generalized linear approach to identify key risk factors. Results: Unsuccessful VBAC-1 (a repeat cesarean), was associated with diabetes (OR: 0.376, p = 0.086), hypertension (OR: 0.23, p = 0.006), and university-educated women (OR: 1.372, p = 0.711). High school-educated women had an OR of 3.966 (p = 0.105), while overweight women were 0.481 times more likely to have unsuccessful VBAC-1 (p = 0.041). Significant associations were not found with obesity (OR: 0.574, p = 0.122), underweight/normal (OR: 1.01, p = 0.810), or smoking (OR: 1.227, p = 0.990). Conclusion: Results revealed women with higher education levels, hypertension, or diabetes are less likely to have a successful VBAC-1. Understanding the complex interactions affecting these outcomes is aimed at establishing guidelines for healthcare professionals to conduct systematic risk/benefit assessments. This study lays a foundation for evidence-based practices and policies, offering initial insights into VBAC-1 success factors in Puerto Rico. 展开更多
关键词 DIABETES HYPERTENSION OBESITY Trial of Labor Vaginal Birth after Cesarean
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Vaginal Birth after Cesarean after Zavanelli Maneuver: A Woman’s Right to Choose
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作者 Nicole Jenkins Gregory Vurture Jonathan D. Baum 《Open Journal of Obstetrics and Gynecology》 2024年第7期1091-1095,共5页
Introduction: Vaginal birth after cesarean (VBAC) plays an essential role in lowering cesarean rates. Despite endorsement, trial of labor after cesarean (TOLAC) attempt rates remain low, in part due to fear of lawsuit... Introduction: Vaginal birth after cesarean (VBAC) plays an essential role in lowering cesarean rates. Despite endorsement, trial of labor after cesarean (TOLAC) attempt rates remain low, in part due to fear of lawsuits. Zavanelli maneuver is a last resort procedure in the management of shoulder dystocia. We discuss a case of a woman determined to have a vaginal birth after her prior birth was complicated by shoulder dystocia requiring a Zavanelli maneuver. Her physicians were reluctant to allow her a TOLAC given her prior obstetric history. Case: A 34-year-old para 1 with prior cesarean delivery due to shoulder dystocia that required Zavanelli maneuver presents determined to pursue VBAC in her current pregnancy. She considered her delivery route options and addressed her modifiable risk factors. She consulted with multiple perinatologists who agreed that a TOLAC was reasonable, however she had to travel more than 70 miles (from Pennsylvania to New Jersey) to find an obstetrical practice and hospital willing to consider VBAC. She transferred care and the remainder of her prenatal course was uncomplicated. She went into labor at 41 weeks and had a successful VBAC without complication. In a thank you letter to her obstetrician, she described her birth experience as euphoric. Conclusion: This case illustrates how a woman’s choice of delivery route may be impacted by fear of litigation. Local providers focused on her prior delivery instead of her overall improved risk profile. Delivery route decisions should be based on a thorough evaluation of all risk factors and individualized to meet the reproductive goals of each woman. . 展开更多
关键词 Vaginal Birth after Cesarean Zavanelli AUTONOMY Case Report
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Clinical Study of Applying Enhanced Recovery after Surgery Concept in Single-Segment Lumbar Spinal Stenosis Surgery
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作者 Yinwen Mai Weikang Yang +3 位作者 Yuanjian Huang Wanxia Lu Guosheng Su Chengkua Huang 《Open Journal of Therapy and Rehabilitation》 2024年第3期263-273,共11页
Objective: With the aging population and changes in lifestyle, lumbar spinal stenosis has become a common spinal disorder. Treatment modalities have been advancing, and the application of Enhanced Recovery After Surge... Objective: With the aging population and changes in lifestyle, lumbar spinal stenosis has become a common spinal disorder. Treatment modalities have been advancing, and the application of Enhanced Recovery After Surgery (ERAS) principles provides a new approach to postoperative recovery in patients. This study aims to investigate the clinical application effects of ERAS principles in single-level lumbar spinal stenosis surgery. Methods: This study included 64 patients who underwent lumbar fusion surgery in the Spinal Surgery Department of Baise People’s Hospital from July 2022 to July 2024. These patients were divided into an experimental group (ERAS group, 33 cases) and a control group (conventional group, 31 cases) based on perioperative care, receiving ERAS principles and traditional treatment, respectively. A comparison was made between the two groups in terms of gender, age, BMI, intraoperative blood loss, postoperative length of hospital stay, postoperative complications, hospital costs, VAS scores (preoperative/postoperative day 3), and ODI scores (preoperative/postoperative day 3). Results: There were no significant differences in gender, age, and BMI between the ERAS group and the conventional group (gender: χ2 = 0.5008, P = 0.4792;age: 54.55 ± 8.51 years vs. 57.39 ± 8.16 years, P = 0.0892;BMI: 25.11 ± 2.70 vs. 24.77 ± 2.75, P = 0.3098). However, during surgery, patients in the ERAS group had significantly less blood loss than those in the conventional group (197.58 ± 195.51ml vs. 438.71 ± 349.22 ml, P = 0.0006), and the postoperative length of hospital stay was significantly shorter (7.00 ± 2.24 days vs. 11.55 ± 5.23 days, P = 0.0000). On postoperative day 3, VAS scores were significantly better in the ERAS group compared to the conventional group (3.70 ± 0.88 vs. 4.32 ± 0.87, P = 0.0031), and the ODI scores showed significant improvement as well (46.00 ± 3.04 vs. 48.00 ± 3.39, P = 0.0078). Although there were no significant differences in postoperative complications and hospital costs (complications: 3 cases vs. 0 cases, P = 0.2154;hospital costs: 63524.29 ± 17891.80 RMB vs. 58733.84 ± 13280.82 RMB, P = 0.1154), ERAS demonstrated better postoperative recovery outcomes in single-level lumbar spinal stenosis surgery. Conclusion: The study results support the implementation of ERAS principles in single-level lumbar spinal stenosis surgery to promote rapid recovery, reduce healthcare resource consumption, and improve overall patient satisfaction. 展开更多
关键词 Enhanced Recovery after Surgery Concept Single-Segment Lumbar Spinal Stenosis Perioperative Period VAS Score ODI Score
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后RP时代语音教学标准及教学重点——从English After RP:Standard British Pronunciation Today(2019)谈起
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作者 田朝霞 《外语教育研究前沿》 CSSCI 2023年第2期52-60,94,95,共11页
世界英语背景下本族语标准不断受到挑战,一线教学面临诸多迷惑。English After RP:Standard British Pronunciation Today(Lindsey 2019)一书指出RP在英国已经死亡,这要求外语教学界回应语音教学中的两个突出问题:应采用何种语音标准来... 世界英语背景下本族语标准不断受到挑战,一线教学面临诸多迷惑。English After RP:Standard British Pronunciation Today(Lindsey 2019)一书指出RP在英国已经死亡,这要求外语教学界回应语音教学中的两个突出问题:应采用何种语音标准来教授?该标准对现有课程框架的教学内容及教学重点将产生怎样的影响?中国及世界英语教学理论与实践的研究表明,以传播中国,沟通世界为目的的中国外语教学,应该理性地选择世界范围内认可度最高的规范作为教授标准,并与时俱进,更新教学内容;从评价输出角度来说,应转变教学理念,聚焦信息交流的可理解度,将教学重点转向韵律。师生均需拓宽视野,培养世界胸怀,培养国际交流中对待地域及社会变体的积极的语言态度。 展开更多
关键词 语音教学 English after RP:Standard British Pronunciation Today 世界英语 韵律 语言态度
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Prediction of Success Rates of Vaginal Birth after Cesarean Delivery According to the Previous Indication for Cesarean Delivery
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作者 Hytham Atia Amani Khider Nagy M. Metwally 《Open Journal of Obstetrics and Gynecology》 CAS 2023年第1期37-46,共10页
Background: Trial of labor after cesarean delivery (TOLAC) has long been accepted as a safe option for women with previous cesarean delivery. Previous efforts have been exerted in trials to predict the success rates o... Background: Trial of labor after cesarean delivery (TOLAC) has long been accepted as a safe option for women with previous cesarean delivery. Previous efforts have been exerted in trials to predict the success rates of TOLAC according to specific parameters related to previous cesarean section and before TOLAC. We aimed to investigate the different indications of previous cesarean delivery as independent predictors for successful vaginal birth. Methods: A retrospective study was conducted in Armed Forces Hospitals of the Southern Region between December 15, 2019, and July 1, 2020. The included 566 patients with previous cesarean section who were willing to undergo a trial of labor were divided into two groups according to the success of vaginal birth (VBAC). Results: The nonrecurring indications for previous cesarean delivery were higher in the successful group (fetal distress 54.7% vs 41.1%, malpresentation 26% vs 21.4%, multifetal pregnancy 3.8% vs 2.7%). Additionally, the successful VBAC group had a significantly higher percentage of previous successful VBAC (47.7% vs 21.9%) and prior vaginal deliveries (58.5% vs 44.2%) and less coincidence of medical disorders and meconium-stained liquor (18.1% vs 26.3% and 3.2% vs 8.2%, respectively) than the unsuccessful group. Conclusion: During counseling regarding trial of labor after cesarean section, indications for previous cesarean section not related to arrest of labor can predict higher success of VBAC. Moreover, previous successful vaginal delivery or VBAC improves the success rates. 展开更多
关键词 TOLAC VBAC Cesarean Section Indication Prediction of Success of Vaginal Birth after Cesarean
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Vaginal Birth after a Cesarean Section at Good Shepherd Mission Hospital at Tshikaji in Democratic Republic of the Congo (DRC)
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作者 Mubikayi Mubalamate Leon Yamba Kasanda Aristide Mubikayi Kanku Yannick 《Open Journal of Obstetrics and Gynecology》 CAS 2023年第5期850-859,共10页
Background: The success rate of vaginal birth after cesarean section with a single cesarean scar is greater than 50%, the lack of the information about the safety of vaginal birth after cesarean delivery pushes most o... Background: The success rate of vaginal birth after cesarean section with a single cesarean scar is greater than 50%, the lack of the information about the safety of vaginal birth after cesarean delivery pushes most of obstetricians to increase the num ber of cesarean sections following a previous cesarean section. Guidelines for Vaginal birth after cesarean (VBAC) indicate that TOLAC offers women with no contraindications and one previous transverse low-segment cesarean. The objective of the current study was to study the outcome of trial of labour after caesarean section (TOLAC), the indications for emergency repeat cesarean section and to determine the maternal and fetal prognosis in vaginal birth after caesarian section (VBAC) at Tshikaji Mission Hospital. Patients, Material and Methods: This is a retrospective study of the records of 126 women were selected to undergo the TOLAC in the department of gynecology and obstetrics at the Tshikaji Mission Hospital over the period from January 1<sup>st</sup> to December 31<sup>st</sup>, 2021. The data on demography, antenatal care, labour and delivery and outcomes were collected from the maternity unit of this hospital. The data were analyzed using SPSS version 2.0. Results: The TOLAC in 126 studied women. The course of work allowed vaginal delivery 107 parturient women, a success rate of successful VBAC of 85% after the TOLAC. The repeat emergency cesarean section was necessary for delivery in 15% of cases for failed TOLAC. There was no maternal mortality, but we recorded one fetal death or 0.8% of perinatal mortality, 2 cases of cicatricial dehiscence, the incidence of 1.6%. Maternal morbidity after delivery on cicatricial uterus was dominated by postpartum hemorrhages, with 19 cases or 15.1% of cases. Cervical dilatation of more than 3 cm at the time of admission, the parity more than 3 and were the significant factors in favor of a successful VBAC. Birth weight of more than 3500 g, fetal distress and malpresentation were associated with a lower success rate of VBAC. The TOLAC in selected cases has great importance in the present era of the rising rate of primary CS especially in rural areas. Conclusion: Pregnancy on a cicatricial uterus represents a high-risk pregnancy. Trial of VBAC in selected cases has great importance in the present era of the rising rate of primary CS especially in rural areas. There is a significantly high vaginal birth after caesarian section (VBAC) success rate among selected women undergoing trial of scar in Tshikaji Hospital. TOLAC remains the option for childbirth in low resource settings as Kasai region in DRC. Adequate patient education and counselling in addition to appropriate patient selection for TOLAC remain the cornerstone to achieving high VBAC success rate. 展开更多
关键词 Lower Segment Cesarean Section Scar Dehiscence Trial of Labor Vaginal Birth after Cesarean Section Tshikaji Hospital
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Introducing an enhanced recovery after surgery program in colorectal surgery:A single center experience 被引量:31
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作者 Stefano Bona Mattia Molteni +5 位作者 Riccardo Rosati Ugo Elmore Pietro Bagnoli Roberta Monzani Monica Caravaca Marco Montorsi 《World Journal of Gastroenterology》 SCIE CAS 2014年第46期17578-17587,共10页
AIM: To study the implementation of an enhanced recovery after surgery (ERAS) program at a large University Hospital from &#x0201c;pilot study&#x0201d; to &#x0201c;standard of care&#x0201d;.
关键词 Enhanced recovery after surgery Fast-track surgery Implementation of enhanced recovery after surgery protocol Compliance to enhanced recovery after surgery protocol Colorectal surgery
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After Effects制作微课方法初探 被引量:3
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作者 胡嗣钦 陈林 +2 位作者 易海魁 王清坚 王兵 《中国医学教育技术》 2017年第2期166-168,共3页
微课等自主学习模式已成为高校教学的趋势,通过对目前国内微课的普遍制作方法与广西中医药大学第一附属医院近4年来使用After Effects进行微课制作的步骤、效果进行比较、分析显示:利用该款软件制作微课具有许多优势。
关键词 微课 教学 after EFFECTS
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《After Effects影视特效》课程的教学设计研究 被引量:4
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作者 夏倩 《贵州民族大学学报(哲学社会科学版)》 2013年第4期182-184,共3页
《After Effects影视特效》是一门技术与艺术相结合的实践性很强的课程。根据本课程的特点,文章从教学体系的构建、教学内容的组织、教学模式的设计和教学的考核方式等四个方面探讨其教学设计。
关键词 影视特效 教学模式 after EFFECTS
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基于After Effects摄像机的特效设计 被引量:1
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作者 吴淑珍 《湖北工程学院学报》 2015年第6期79-82,共4页
After Effects作为一款影视后期制作软件,凭借其友好的工作界面、强大的合成能力和大量优秀的外挂插件而广受用户的青睐。After Effects的摄像机功能是其中很有特色的一个模块,文章介绍了摄像机功能的重要属性和使用方法,并以一个宣传... After Effects作为一款影视后期制作软件,凭借其友好的工作界面、强大的合成能力和大量优秀的外挂插件而广受用户的青睐。After Effects的摄像机功能是其中很有特色的一个模块,文章介绍了摄像机功能的重要属性和使用方法,并以一个宣传片的特效制作为例,分析了After Effects的设计与应用技巧。 展开更多
关键词 after Effects 特效 摄像机 影视制作
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基于特效合成软件After Effects的文字动画应用创作 被引量:5
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作者 眭莉 《常州工学院学报》 2008年第2期66-69,77,共5页
After Effects是一款非常优秀的影视后期合成软件,它采用基于层的工作方式,可以非常方便地调入Photoshop、Illustrator等层文件,对多层图像进行控制;关键帧、路径概念的引入,使Af-ter Effects对于控制高级的二维动画游刃有余;而令人眼... After Effects是一款非常优秀的影视后期合成软件,它采用基于层的工作方式,可以非常方便地调入Photoshop、Illustrator等层文件,对多层图像进行控制;关键帧、路径概念的引入,使Af-ter Effects对于控制高级的二维动画游刃有余;而令人眼花缭乱的特技、特效系统,更能够实现使用者的创意。因此,After Effects在电视节目的片头制作和包装上,可以发挥重要的作用。文章主要以文字动画为实例介绍After Effects的基本使用。 展开更多
关键词 after EFFECTS 关键帧
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After Effects中常用键控技术分析及应用 被引量:1
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作者 胡彬 梁俊娟 《兰州工业高等专科学校学报》 2011年第2期42-46,共5页
After Effects是进行影视后期合成的一个重要软件.在分析键控在影视后期合成中的重要作用以及键控原理的基础上,以实例对After Effects中常用的键控技术进行了解析及应用,并比较了常用键控工具的各自优势.
关键词 after Effects 键控 ALPHA 蒙版
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After Effects特效在电视栏目片头中的应用研究与实现 被引量:1
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作者 伍丽媛 宋健华 《电脑知识与技术》 2015年第3期225-227,232,共4页
随着计算机技术的不断发展,After Effects功能不断提升,越来越被广大影视后期制作者喜爱,其中After Effects特效常被用于制作栏目片头,在主题表现中起着举足轻重的作用。文章主要介绍After Effects及其特效,并通过一个实例制作展现... 随着计算机技术的不断发展,After Effects功能不断提升,越来越被广大影视后期制作者喜爱,其中After Effects特效常被用于制作栏目片头,在主题表现中起着举足轻重的作用。文章主要介绍After Effects及其特效,并通过一个实例制作展现After Effects特效在栏目片头中运用。 展开更多
关键词 aftere Efects 栏目片头 特效 插件 电视栏目
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数字媒体应用技术专业《After Effects》应用“教学做合一”模式研究 被引量:2
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作者 刘悦 《电子测试》 2016年第7期162-163,共2页
高等专业院校的教育区别于义务教育的方式,在高等职业院校的培养目标需要明确,学生在毕业后即将面对社会,这需要学生在学校期间构建专业体系和适应岗位职责需求。针对这一目标,数字媒体应用技术专业《After Effects》体现了"教学... 高等专业院校的教育区别于义务教育的方式,在高等职业院校的培养目标需要明确,学生在毕业后即将面对社会,这需要学生在学校期间构建专业体系和适应岗位职责需求。针对这一目标,数字媒体应用技术专业《After Effects》体现了"教学做合一"的必要性。笔者根据此类型教学模式的分析和常用方法上进行分析探讨。 展开更多
关键词 数字媒体应用技术 after Effects》 教学做合一 模式
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“BEFORE/AFTER”的语义结构及汉译的认知研究
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作者 彭卓 《河北工业大学学报(社会科学版)》 2013年第1期88-92,共5页
从认知角度,分析"BEFORE/AFTER"的语义结构。基于意象图式为基础,借助空间隐喻为手段,二词的方位语义映射产生时间、状态及逻辑关系语义。并通过分析BNC语料,得知在二词的语义网络中时间语义的地位最高。借助分析"BEFORE... 从认知角度,分析"BEFORE/AFTER"的语义结构。基于意象图式为基础,借助空间隐喻为手段,二词的方位语义映射产生时间、状态及逻辑关系语义。并通过分析BNC语料,得知在二词的语义网络中时间语义的地位最高。借助分析"BEFORE/AFTER"各认知域语义与意象图式间的关系,揭示二词的语义存在三个层次,即表层、中层及深层。在汉译过程中,译者首先需要使用"花园路径"的方法判定二词的语义层,然后再确定二词的具体语义。希望此研究能全面提高英语学习者对二词的综合使用能力及汉译能力,并激发更多的学者将认知与翻译相结合,取得更大的成果。 展开更多
关键词 BEFORE after 意象图式 汉译 “花园路径”
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基于S2E的Use-After-Free漏洞检测方案 被引量:6
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作者 冯震 聂森 +1 位作者 王轶骏 薛质 《计算机应用与软件》 CSCD 2016年第4期273-276,共4页
Use-After-Free漏洞是由程序试图操作悬垂指针引起的。该类型漏洞近年来在针对浏览器客户端的攻击中变得愈发流行。提出一种针对Use-After-Free漏洞的检测算法,并据此实现检测方案UAFChecker。UAFChecker基于开源的多路径软件分析平台S... Use-After-Free漏洞是由程序试图操作悬垂指针引起的。该类型漏洞近年来在针对浏览器客户端的攻击中变得愈发流行。提出一种针对Use-After-Free漏洞的检测算法,并据此实现检测方案UAFChecker。UAFChecker基于开源的多路径软件分析平台S2E,它通过挂钩关键的堆内存操作函数监控指针的生成,使用反汇编引擎BeaEngine在汇编层上跟踪指针的传播,通过收集和分析指针信息来检测漏洞。实验结果表明,配合Fuzzing技术UAFChecker成功定位和分析出IE8浏览器中存在的多个未被公开的Use-After-Free漏洞。 展开更多
关键词 Use-after-free漏洞 漏洞检测 悬垂指针 污点传播 符号执行
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Method discussion for quick response grey prediction of stronger aftershocks of an earthquake sequence
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作者 平建军 李永庆 张清荣 《Acta Seismologica Sinica(English Edition)》 CSCD 1999年第1期78-83,共6页
In this paper, we take occurrence process of early strong aftershocks of a main after shock type′s earthquake sequence as a complex grey system, and introduce predicting method for its stronger aftershocks by grey p... In this paper, we take occurrence process of early strong aftershocks of a main after shock type′s earthquake sequence as a complex grey system, and introduce predicting method for its stronger aftershocks by grey predicting theory. Through inspection prediction for 1998 Zhangbei M S=6.2 earthquake sequence, it shows that the grey predicting method maybe has active significance for the investigation of quick response prediction problems of stronger aftershocks of an earthquake sequence. 展开更多
关键词 MAIN after shock type′s earthquake sequence stronger aftershock grey prediction
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The Criticism of Social Realities in the Three Worlds after the Human World of The Journey to the West
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作者 林雅琴 《海外英语》 2012年第3X期202-203,共2页
The three worlds after the human world in The Journey to the West, in spite of their religious elements, their implicit moralizing, and their involved allegory, hold up a mirror to the social vices of the author's... The three worlds after the human world in The Journey to the West, in spite of their religious elements, their implicit moralizing, and their involved allegory, hold up a mirror to the social vices of the author's day, showing on the one hand the corruption, injustice, ava rice, lust, faction, perfidiousness and cruelty among the ruling classes, and on the other hand the miseries of the oppressed. 展开更多
关键词 The JOURNEY to the WEST the THREE WORLDS after the
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After Effects中Shatter(碎片)滤镜的使用方法与实践 被引量:2
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作者 周勉 《软件》 2013年第2期146-147,170,共3页
在影视作品包装中,破碎效果这个特效非常重要,也是非常常用。制作爆炸的软件有很多,本文利用在After Effects中自带滤镜Shatter制作出相对真实的爆炸效果,来了解Shatter的基本功能。
关键词 afterEFFECTS SHATTER 爆炸 立体文字
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Enhanced recovery after surgery programs hasten recovery after colorectal resections 被引量:56
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作者 Ned Abraham Sinan Albayati 《World Journal of Gastrointestinal Surgery》 SCIE CAS 2011年第1期1-6,共6页
Colorectal resection was traditionally associated with significant morbidity and prolonged stay in hospital.Laparoscopic colorectal resection was first described in 1991 as a minimally invasive form of colorectal surg... Colorectal resection was traditionally associated with significant morbidity and prolonged stay in hospital.Laparoscopic colorectal resection was first described in 1991 as a minimally invasive form of colorectal surgery.It was later on assessed by multiple randomized controlled trials and meta-analysis and was found to be associated with a faster recovery,lower complication rates and a shorter stay in hospital compared with open resection.To assess the effect of enhanced recovery after surgery (ERAS) program on postoperative length of stay after elective colorectal resections,a literature review was conducted,supplemented by the results of 111 ERAS colorectal resections at regional NWS Hospital using a protocol based on the Fast Track approach described by Kehlet in 1999.ERAS has been shown to improve postoperative recovery,reduce length of stay and enhance early return to normal function when compared with traditional colorectal surgical protocols.The role of laparoscopic surgery in colorectal resections within a fast-track (ERAS) program is controversial.The current evidence suggests that within such a program,there is no difference between laparoscopic and open colorectal surgery in terms of postoperative recovery rates or length of hospital stay. 展开更多
关键词 Enhanced recovery after SURGERY COLORECTAL SURGERY LAPAROSCOPY
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