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肩关节镜引导下肩胛上神经阻滞在肩袖损伤术后镇痛中的疗效分析 被引量:12
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作者 曹世超 王静成 +3 位作者 颜连启 宫伟 张耀 费文勇 《中国内镜杂志》 2019年第11期55-60,共6页
目的比较关节镜引导下肩胛上神经阻滞与超声引导下肌间沟臂丛神经阻滞联合全麻在肩关节镜下肩袖修补术后48 h的镇痛效果。方法选择该院2018年4月-2018年6月侧卧位下行肩关节镜择期手术的患者50例,按随机数字表法随机分为A、B两组,各25例... 目的比较关节镜引导下肩胛上神经阻滞与超声引导下肌间沟臂丛神经阻滞联合全麻在肩关节镜下肩袖修补术后48 h的镇痛效果。方法选择该院2018年4月-2018年6月侧卧位下行肩关节镜择期手术的患者50例,按随机数字表法随机分为A、B两组,各25例,均行气管插管全身麻醉,A组在全身麻醉后肩关节镜引导下用0.2%罗哌卡因20 ml行肩胛上神经阻滞,B组全身麻醉后在超声引导下用0.2%罗哌卡因20 ml行肌间沟神经阻滞。比较两组患者术后2、4、8、12、24和48 h静息状态下视觉模拟评分(VAS)、术后48 h内非甾体类止痛药用量、术后不良反应和术后48 h镇痛满意度。结果A组和B组患者术后2、4、8、12、24和48 h的VAS评分分别为1(0.0,1.0)和1(0.0,2.0)分、1(1.0,1.5)和1(1.0,2.0)分、(2.52±1.48)和(3.80±2.60)分、(3.32±1.55)和(4.68±2.30)分、(2.60±1.35)和(3.56±1.39)分、(2.28±0.94)和(2.92±1.96)分;两组术后2、4和48 h的VAS评分差异无统计学意义(P>0.05),术后8、12和24 h两组VAS评分,差异有统计学意义(P<0.05);两组患者术后镇痛药氟比洛芬酯使用量分别为(62.00±38.94)和(92.00±49.33)mg,差异有统计学意义(P<0.05);A组哌替啶使用率比B组少,差异有统计学意义(P<0.05);术后48 h内A组患肢麻木感发生率为0.00%(0/25),B组术后均有麻木感,48 h内麻木感逐渐消失;两组术后48 h镇痛满意度评分比较,差异有统计学意义(P<0.05)。结论关节镜引导下肩胛上神经阻滞与常规超声引导下肌间沟臂丛神经阻滞比较,前者应用于肩关节镜术后8、12和24 h镇痛效果较好,副作用小,有利于早期康复,更易被患者接受。 展开更多
关键词 肩胛上神经阻滞 肌间沟臂丛神经阻滞 镇痛 肩关节镜术 肩袖损伤
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OCT影像人工智能读片与医生读片对识别年龄相关性黄斑变性的一致性分析 被引量:5
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作者 蒋炎 许斐平 +6 位作者 汪竟成 王莎莎 刘瑞 曹婷怡 袁雯 陈新建 陈吉利 《国际眼科杂志》 CAS 北大核心 2022年第5期741-745,共5页
目的:探讨在临床进行年龄相关性黄斑变性(ARMD)患者眼底光学相干断层扫描(OCT)图像人工智能(AI)读片的可行性。方法:收集2019-11/2021-11上海市静安区市北医院眼科门诊患者1579眼OCT图像共1579张,并收集眼科医生及AI的读片结果。通过Ka... 目的:探讨在临床进行年龄相关性黄斑变性(ARMD)患者眼底光学相干断层扫描(OCT)图像人工智能(AI)读片的可行性。方法:收集2019-11/2021-11上海市静安区市北医院眼科门诊患者1579眼OCT图像共1579张,并收集眼科医生及AI的读片结果。通过Kappa值进行无ARMD和有ARMD分类结果的一致性分析。结果:两名眼科医生之间在无ARMD和有ARMD读片结果的Kappa值为0.934;AI结果与眼科医生在无ARMD和有ARMD读片结果的Kappa值为0.738。AI对ARMD识别的灵敏度为73.08%,特异度为95.07%,曲线下区域面积(AUC)为0.841。结论:AI在基于OCT图像的ARMD识别上与眼科医生有较高的一致性,适用于基层医院完成对ARMD的早期筛查和早期转诊工作。 展开更多
关键词 年龄相关性黄斑变性 光学相干断层扫描(OCT) 人工智能 一致性分析
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Tin recovery from a low-grade tin middling with high Si content and low Fe content by reduction–sulfurization roasting with anthracite coal 被引量:2
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作者 jing-cheng wang Lei Li Yong Yu 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2021年第2期210-220,共11页
A new method for separating and recovering tin from a low-grade tin middling with high Si content and low Fe content by roasting with anthracite coal was researched by studying the reaction mechanism and performing an... A new method for separating and recovering tin from a low-grade tin middling with high Si content and low Fe content by roasting with anthracite coal was researched by studying the reaction mechanism and performing an industrial test,in which the Sn was sulfurized into SnS(g)and then collected using a dust collector.The Fe–Sn alloy may be formed at roasting temperatures above 950°C,and like the roasting temperature increases,the Sn content and Sn activity in this Fe–Sn alloy decrease.Also,more FeS can be formed at higher temperatures and then the formation of FeO–FeS with a low melting point is promoted,which results in more serious sintering of this low-grade tin middling.And from the thermodynamics and kinetics points of view,the volatilization of the Sn decreases at extremely high roasting temperatures.The results of the industrial test carried out in a coal-fired rotary kiln show that the Sn volatilization rate reaches 89.7%and the Sn is concentrated in the collected dust at a high level,indicating that the Sn can be effectively extracted and recovered from the low-grade tin middling with a high Si content and low Fe content through a reduction–sulfurization roasting process. 展开更多
关键词 low-grade tin middling tin recovery roasting process Fe-Sn alloy resource recycling
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Numerical simulation of radiated noise during combustion of energetic materials in a closed bomb 被引量:1
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作者 Shi-hui Xiong Tuo Yang +3 位作者 Yu-jun Wu jing-cheng wang Yuan Li Yu-quan Wen 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2022年第7期1167-1178,共12页
In this study,based on a closed bomb test combined with computational fluid dynamics,a structural finite element method,and an acoustic boundary element method,a fluid-solid acoustic one-way coupling calculation model... In this study,based on a closed bomb test combined with computational fluid dynamics,a structural finite element method,and an acoustic boundary element method,a fluid-solid acoustic one-way coupling calculation model is established for the combustion process of energetic materials in a closed bomb,and the effectiveness of the model is verified by experiments.It is found that the maximum peak sound pressure increases exponentially with an increase in loading doses or gas pressure.However,a change in the combustion coefficient of the energetic materials has little effect on the noise generated during the combustion process in the closed bomb.When the combustion coefficient is reduced by a multiple of 16,the maximum transient sound pressure is reduced by 1.79 dB,and the sound pressure level in the frequency band is reduced by 1.75 dB.With an increase in shell thickness,the combustion noise of the energetic materials in the closed bomb decreases,and the reduction range of the combustion noise increases with the increase in shell thickness. 展开更多
关键词 PYROTECHNICS Noise Energetic materials Fluid-structure interaction Acoustic boundary element
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Ohmic and Schottky contacts of hydrogenated and oxygenated boron-doped single-crystal diamond with hill-like polycrystalline grains
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作者 jing-cheng wang Hao Chen +6 位作者 Lin-Feng Wan Cao-Yuan Mu Yao-Feng Liu Shao-Heng Cheng Qi-Liang wang Liu-An Li Hong-Dong Li 《Chinese Physics B》 SCIE EI CAS CSCD 2021年第9期429-433,共5页
Hill-like polycrystalline diamond grains(HPDGs)randomly emerged on a heavy boron-doped p+single-crystal diamond(SCD)film by prolonging the growth duration of the chemical vapor deposition process.The Raman spectral re... Hill-like polycrystalline diamond grains(HPDGs)randomly emerged on a heavy boron-doped p+single-crystal diamond(SCD)film by prolonging the growth duration of the chemical vapor deposition process.The Raman spectral results confirm that a relatively higher boron concentration(~1.1×10^(21) cm^(-3))is detected on the HPDG with respect to the SCD region(~5.4×10^(20) cm^(-3)).It demonstrates that the Au/SCD interface can be modulated from ohmic to Schottky contact by varying the surface from hydrogen to oxygen termination.The current-voltage curve between two HPDGs is nearly linear with either oxygen or hydrogen termination,which means that the HPDGs provide a leakage path to form an ohmic contact.There are obvious rectification characteristics between oxygen-terminated HPDGs and SCD based on the difference in boron doping levels in those regions.The results reveal that the highly boron-doped HPDGs grown in SCD can be adopted as ohmic electrodes for Hall measurement and electronic devices. 展开更多
关键词 CVD diamond film boron-doped diamond film ohmic contact Schottky junction
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Surface Oxygen Adsorption and Electric Property of Hydrogen-Terminated Single Crystal Diamonds by UV/ozone Treatment
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作者 Ming-Chao Yang Lin-Feng Wan +4 位作者 jing-cheng wang Zi-Cheng Ma Peng wang Nan Gao Hong-Dong Li 《Chinese Physics Letters》 SCIE CAS CSCD 2020年第6期66-69,共4页
Surface terminations of diamond play an important role in determining the electric properties of diamond-based electronic devices.We report an ultraviolet/ozone(UV/ozone)treatment process on hydrogen-terminated single... Surface terminations of diamond play an important role in determining the electric properties of diamond-based electronic devices.We report an ultraviolet/ozone(UV/ozone)treatment process on hydrogen-terminated single crystal diamond(H-diamond)to modulate the carrier behavior related to varying oxygen adsorption on surfaces.By UV/ozone treatments,the induced oxygen radicals are chemically adsorbed on the H-terminated diamond and replace the original adsorbed H,which is analyzed by x-ray photoelectron spectroscopy.The concentration of oxygen adsorbed on surface increases from^3%to^8%with increasing the ozone treatment time from 20 s to 600 s.It is further confirmed by examining the wettability properties of the varying diamond surfaces,where the hydrophobic for H-termination transfers to hydrophilic for partly O-termination.Hall effect measurements show that the resistance(hole mobility)of the UV/ozone-treated H-diamond continuously increases(decrease)by two orders of magnitude with increasing UV/ozone treatment time from 20 s to 600 s.The results reveal that UV/ozone treatment becomes an efficient method to modulate the surface electrical properties of H-diamonds for further investigating the oxygenation effect on two-dimensional hole gas based diamond devices applied in some extreme environments. 展开更多
关键词 OZONE TERMINATION terminated
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Strip width spread prediction in rough rolling process based on mechanism modeling and optimization
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作者 Yan-jiu Zhong jing-cheng wang +1 位作者 Jia-hui Xu Jun Rao 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2023年第12期2416-2424,共9页
Aiming at the problems of low accuracy and poor robustness that existed in the current hot rolling strip width spread model,an improved strip spread prediction model based on a material forming mechanism and Bayesian ... Aiming at the problems of low accuracy and poor robustness that existed in the current hot rolling strip width spread model,an improved strip spread prediction model based on a material forming mechanism and Bayesian optimized adaptive differential evolution algorithm(BADE)was proposed.At first,we improved the original spread mechanism model by adding the weight and bias term to enhance the model robustness based on rolling temperature.Then,the BADE algorithm was proposed to optimize the improved spread mechanism model.The optimization algorithm is based on a novel adaptive differential evolution algorithm,which can effectively achieve the global optimal solution.Finally,the prediction performances of five machine learning algorithms were compared in experiments.The results show that the prediction accuracy of the improved spread model is obviously better than that of the machine learning algorithms,which proves the effectiveness of the proposed method. 展开更多
关键词 Hot rolling Width spread prediction Bayesian optimization:Adaptive differential evolution Parameter optimization
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