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腋乳入路达芬奇机器人甲状腺手术的临床应用研究 被引量:6
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作者 方艳 岳恺 +2 位作者 王雨轩 吴延升 王旭东 《中国肿瘤临床》 CAS CSCD 北大核心 2021年第10期533-539,共7页
目的:探讨腋乳入路达芬奇机器人手术治疗甲状腺乳头状癌的临床效果和优势。方法:回顾性分析2017年11月至2020年3月天津医科大学肿瘤医院行甲状腺手术的338例甲状腺乳头状癌患者的临床资料,其中153例患者接受机器人甲状腺手术(机器人组),... 目的:探讨腋乳入路达芬奇机器人手术治疗甲状腺乳头状癌的临床效果和优势。方法:回顾性分析2017年11月至2020年3月天津医科大学肿瘤医院行甲状腺手术的338例甲状腺乳头状癌患者的临床资料,其中153例患者接受机器人甲状腺手术(机器人组),185例患者接受传统开放甲状腺手术(开放组)。应用移动平均线法绘制机器人组的学习曲线,分为学习期和平台期,并比较平台期机器人组与开放组的手术效果、并发症发生率及术后切口美容效果的差异。结果:机器人组患者平均年龄(34.7±8.3)岁,开放组患者平均年龄(37.0±8.4)岁,差异具有统计学意义(P<0.05)。在完成16例机器人甲状腺手术后,机器人组的手术时间明显缩短并趋于平稳。平台期机器人组的手术时间、术后引流量多于开放组,差异具有统计学意义(P<0.05)。两组术中出血量、术后引流时间、术后住院时长、中央区淋巴结清扫的总数目和转移数目的差异均无统计学意义(P>0.05)。平台期机器人组术后C-反应蛋白水平显著高于开放组,差异具有统计学意义(P<0.05)。平台期机器人组术后第1天切口疼痛视觉模拟评分低于开放组(P<0.05)。两组术后喉返神经损伤、甲状旁腺功能减退的发生率相近(P>0.05)。在全甲状腺切除术后1个月,两组甲状腺球蛋白水平的差异无统计学意义(P>0.05)。机器人组术后切口美观度的数字评分系统分值高于开放组,差异具有统计学意义(P<0.001)。结论:腋乳入路达芬奇机器人甲状腺手术治疗甲状腺乳头状癌安全可行,手术效果与传统开放手术相当,术后美容效果突出。 展开更多
关键词 甲状腺乳头状癌 机器人手术 腋乳入路 临床效果
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Photosynthetic capability and Fe, Mn, Cu, and Zn contents in two Moraceae species under different phosphorus levels 被引量:2
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作者 Deke Xing Yanyou wu +3 位作者 Rui Yu yansheng wu Chuan Zhang Zheng Liang 《Acta Geochimica》 EI CAS CSCD 2016年第3期309-315,共7页
The strong adaptability of Broussonetia papyrifera(L.) Vent. to low phosphorus(P) conditions can be attributed to the large amount of root-exuded organic acids and the high ef?ciency of P extraction. However,microelem... The strong adaptability of Broussonetia papyrifera(L.) Vent. to low phosphorus(P) conditions can be attributed to the large amount of root-exuded organic acids and the high ef?ciency of P extraction. However,microelement contents are in?uenced by low-P stress, and their effects on the photosynthetic capability of B. papyrifera remain unknown. In this study, we investigated the effects of low-P treatment on net photosynthetic rate(P_N);chlorophyll a ?uorescence(ChlF) characteristics; and Fe,Mn, Cu, and Zn contents of B. papyrifera and Morus alba L. seedlings. Results show that B. papyrifera exhibited better photosynthetic capability under moderate P de?-ciency(0.125, 0.063, and 0.031 mmol/L P treatments),whereas the photosynthetic capability of M. alba decreased under moderate and severe P de?ciency(0.016 and0 mmol/L P treatments). Under moderate P de?ciency, the decrease in Cu and Zn contents in B. papyrifera was lower than that in M. alba. Under severe P de?ciency, a considerable decrease of photosynthetic capability in B. papyrifera and M. alba was associated with low Cu and Zn contents. The P N of the two Moraceae species exhibited a better correlation with Cu and Zn contents than with Fe or Mn content. P de?ciency could not only decrease cyclic photophorylation and photosynthetic ef?ciency, but could also affect the stability of thylakoid membrane structure and electron transport ef?ciency by in?uencing the contents of Cu or Zn, thereby affecting photosynthesis. 展开更多
关键词 光合能力 桑科植物 n含量 磷水平 MN 低磷胁迫 微量元素含量 净光合速率
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原发病灶不明颈淋巴结转移鳞癌的诊断和预后
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作者 周梦倩 张露 +2 位作者 吴延升 段远胜 王旭东 《中国肿瘤临床》 CAS CSCD 北大核心 2019年第7期346-350,共5页
目的:探讨原发病灶不明颈淋巴结转移鳞癌(cervical lymph node metastases of squamous cell carcinoma of unknown primary site,SCCUP)人群发病特点、诊断方法、原发灶检出及预后。方法:回顾性分析2002年10月至2016年6月天津医科大学... 目的:探讨原发病灶不明颈淋巴结转移鳞癌(cervical lymph node metastases of squamous cell carcinoma of unknown primary site,SCCUP)人群发病特点、诊断方法、原发灶检出及预后。方法:回顾性分析2002年10月至2016年6月天津医科大学肿瘤医院262例SCCUP患者临床病理学特点及预后。运用χ^2检验分析原发确诊组与原发未明组的临床表现、原发病灶出现特点及检查方法的灵敏性、特异性,分析影响总体生存期(overall survival,OS)及无进展生存期(progression-free survival,PFS)的因素。结果:262例SCCUP患者,以男性多见,中位年龄57岁。70例患者检出原发病灶(26.7%),且男性(30.1%)、单枚(31.0%)、Ⅳ区(39.3%)淋巴结转移的原发灶检出率高于女性(17.4%)、多枚(18.7%)、Ⅱ/Ⅲ区(20.8%)。与传统影像学相比,18FDG-PET/CT(18F-fluorodeoxyglucose positron emission tomography/computed tomography)检出原发灶的灵敏性、特异性高。生存分析显示,远处转移是影响OS、PFS的独立危险因素,N分期对PFS的影响差异有统计学意义(P<0.05)。结论:SCCUP患者中,男性、单枚、下颈淋巴结转移的原发灶检出的比例高,PET/CT检查对SCCUP的诊断及原发灶检出有重要意义,N分期较晚及远处转移提示预后不良。 展开更多
关键词 颈淋巴结转移 诊断 原发灶 预后 鳞状细胞癌
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慢性肾脏病患者肠道微生态与免疫的关系研究进展
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作者 吴燕升 张先闻 王琳 《中华肾病研究电子杂志》 2024年第2期101-105,共5页
肠道微生物构成人体的肠道微生态系统,参与人体的营养、代谢、免疫等生理病理功能。研究发现,肠道微生态与慢性肾脏病关系密切。肠道微生态通过参与患者的先天性和适应性免疫应答,深刻影响慢性肾脏病进展及其相关并发症发生。而且,由肠... 肠道微生物构成人体的肠道微生态系统,参与人体的营养、代谢、免疫等生理病理功能。研究发现,肠道微生态与慢性肾脏病关系密切。肠道微生态通过参与患者的先天性和适应性免疫应答,深刻影响慢性肾脏病进展及其相关并发症发生。而且,由肠道菌群参与构建的肠道黏膜免疫,直接影响着IgA的产生和分泌,从而影响IgA肾病的发生和进展。本文综述了慢性肾脏病患者肠道微生态与免疫的关系研究进展,以期为慢性肾脏病的诊治提供新的线索和思路。 展开更多
关键词 慢性肾脏病 肠道微生态 免疫
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Identification of Gesture Based on Combination of Raw sEMG and sEMG Envelope Using Supervised Learning and Univariate Feature Selection 被引量:4
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作者 Shili Liang yansheng wu +4 位作者 Jianfei Chen Ling Zhang Peipei Chen Zongqian Chai Chunlei Cao 《Journal of Bionic Engineering》 SCIE EI CSCD 2019年第4期647-662,共16页
In this paper,we propose a novel study for gesture identification using surface electromyography(sEMG)signal,and the raw sEMG signal and the sEMG envelope signal are collected by the sensor at the same time.An efficie... In this paper,we propose a novel study for gesture identification using surface electromyography(sEMG)signal,and the raw sEMG signal and the sEMG envelope signal are collected by the sensor at the same time.An efficient method of gesture identification based on the combination of two signals using supervised learning and univariate feature selection is implemented.In previous research techniques,researchers tend to use the raw sEMG signal and extract several constant features for classification,which inevitably causes a result of ignoring individual differences.Our experiment shows that both the optimal feature set and redundant feature set are not same for different subjects.In order to address this problem,we extract all the common features from two signals,up to 76 features,most of which has been established as the common EMG-based gesture index.In addition,extracting too many features in an application can reduce operational efficiency,so we apply for feature selection to get the optimal feature set and decrease the number of extracting feature.As a result,the combination of two signals is better than using a single signal.The feature selection can be used to select optimal feature set from all features to achieve the best classification performance for each subject.The experimental results demonstrate that the proposed method achieves the performance with the highest accuracy of 95%for identifying up to nine gestures only using two sensors.Finally,we develop a real-time intelligent sEMG-driven bionic hand system by using the proposed method. 展开更多
关键词 GESTURE IDENTIFICATION surface electromyography(sEMG) supervised learning univariate feature selection individual differences
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Moisio型指数和计算
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作者 李凤伟 吴严生 岳勤 《中国科学:数学》 CSCD 北大核心 2021年第10期1627-1634,共8页
本文计算一类Moisio型指数和.设2模r^(m)的阶为(r-1)/2·r^(m-1),其中r为奇素数, r≡1 (mod 4),m为正整数.设q=2((r-1)/2·r^(m-1)), Fq为q元有限域,χ为Fq到复数的经典加法特征.本文将给出指数和S(a, b)=∑x∈Fqχ(ax(q-1)/rm+... 本文计算一类Moisio型指数和.设2模r^(m)的阶为(r-1)/2·r^(m-1),其中r为奇素数, r≡1 (mod 4),m为正整数.设q=2((r-1)/2·r^(m-1)), Fq为q元有限域,χ为Fq到复数的经典加法特征.本文将给出指数和S(a, b)=∑x∈Fqχ(ax(q-1)/rm+bx)(a, b∈Fq)的值.特别地,本文运用有限域上椭圆曲线的有理点,计算一类S(a)=r^(m)/(q-1)S(a, 0)的值. 展开更多
关键词 特征和 分圆数 椭圆曲线有理点
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Comprehensive compensation method for the influence of disturbing gravity field on long-range rocket guidance computing
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作者 yansheng wu Zongqiang WANG Bing ZHANG 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2022年第3期408-418,共11页
With the improvement of the accuracy of the inertial system,the influence of the disturbing gravity field on the accuracy of long-range rocket has become increasingly prominent.However,in actual engineering,there are ... With the improvement of the accuracy of the inertial system,the influence of the disturbing gravity field on the accuracy of long-range rocket has become increasingly prominent.However,in actual engineering,there are problems of low accuracy and being time-consuming for disturbing gravity field compensation.In view of this,this paper proposes a set of online comprehensive solutions combining disturbing gravity reconstruction and stellar correction.According to the pre-launch binding parameters,the net function assignment method is used in the navigation system to calculate disturbing gravity in the boost phase online.In the guidance system,a closed-loop guidance online compensation method is proposed based on the state-space perturbation method for the disturbing gravity in the coast phase.At the same time,the vertical deflection can also be corrected by stellar guidance.The calculation results are simulated and verified under different circumstances.Simulation results show that the proposed online compensation algorithm has an accuracy improvement compared with the element compensation algorithm on ground.And the stellar guidance algorithm can further correct the impact deviation.The impact deviation after comprehensive compensation does not exceed 50 m,and the compensation percentage is greater than 65%. 展开更多
关键词 Disturbing gravity field Long-range rocket Online compensation Stellar guidance Vertical deflection
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LCD Codes and Self-orthogonal Codes in Finite Dihedral Group Algebras
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作者 Yanyan GAO Qin YUE yansheng wu 《Chinese Annals of Mathematics,Series B》 SCIE CSCD 2021年第5期791-800,共10页
Let Fq be a finite field with order q and D2n be the dihedral group with 2n elements, and gcd(q, 2n) = 1. In this article, the authors give precise descriptions and enumerations of linear complementary dual(LCD) codes... Let Fq be a finite field with order q and D2n be the dihedral group with 2n elements, and gcd(q, 2n) = 1. In this article, the authors give precise descriptions and enumerations of linear complementary dual(LCD) codes and self-orthogonal codes in the finite dihedral group algebras Fq[D2n]. Some numerical examples are also presented to illustrate the main results. 展开更多
关键词 Group algebra Dihedral group LCD codes Self-orthogonal codes
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