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Pedestrian evacuation simulation in multi-exit case:An emotion and group dual-driven method 被引量:2
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作者 李永行 杨晓霞 +2 位作者 孟梦 顾欣 孔令鹏 《Chinese Physics B》 SCIE EI CAS CSCD 2023年第4期762-769,共8页
This paper analyzes the characteristics of emotion state and group behavior in the evacuation process.During the emergency evacuation,emotion state and group behavior are interacting with each other,and indivisible.Th... This paper analyzes the characteristics of emotion state and group behavior in the evacuation process.During the emergency evacuation,emotion state and group behavior are interacting with each other,and indivisible.The emotion spread model with the effect of group behavior,and the leader-follower model with the effect of emotion state are proposed.On this basis,exit choice strategies with the effect of emotion state and group behavior are proposed.Fusing emotion spread model,leader-follower model,and exit choice strategies into a cellular automata(CA)-based pedestrian simulation model,we simulate the evacuation process in a multi-exit case.Simulation results indicate that panic emotion and group behavior are two negative influence factors for pedestrian evacuation.Compared with panic emotion or group behavior only,pedestrian evacuation efficiency with the effects of both is lower. 展开更多
关键词 pedestrian evacuation emotion state group behavior multi-exit case cellular automata
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急性心肌梗死急诊经皮冠状动脉介入术后慢血流/无复流的相关因素研究 被引量:20
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作者 王琰 李永星 +2 位作者 郭华 张浩然 赵泽林 《中国现代医学杂志》 CAS 北大核心 2022年第7期24-30,共7页
目的分析急性心肌梗死(AMI)患者急诊经皮冠状动脉介入术(PCI)后慢血流/无复流的相关因素。方法回顾性分析2018年5月—2020年9月于沧州市中心医院接受急诊PCI术的280例AMI患者的临床资料,根据术后是否出现慢血流/无复流分为慢血流/无复流... 目的分析急性心肌梗死(AMI)患者急诊经皮冠状动脉介入术(PCI)后慢血流/无复流的相关因素。方法回顾性分析2018年5月—2020年9月于沧州市中心医院接受急诊PCI术的280例AMI患者的临床资料,根据术后是否出现慢血流/无复流分为慢血流/无复流组(46例)和正常血流组(234例)。比较两组的基线资料、造影结果、手术相关指标、生化指标、住院期间用药情况;采用多因素Logistic回归分析影响PCI术后慢血流/无复流发生的危险因素。结果两组的收缩压、吸烟、症状至PCI时间及Killip分级,差异有统计学意义(P<0.05);两组的性别构成、年龄、舒张压、心率、高血压、糖尿病、高脂血症、心肌梗死部位比较,差异无统计学意义(P>0.05)。两组的血栓负荷程度比较,差异有统计学意义(P<0.05);两组的血管直径、入院至球囊扩张时间、支架数量、球囊扩张次数、病变血管数量、梗死相关血管、病变位置比较,差异无统计学意义(P>0.05)。两组入院即刻血糖、D-D、LDL-C水平比较,差异有统计学意义(P<0.05),慢血流/无复流组入院即刻血糖、D-D、LDL-C水平高于正常血流组;两组Scr、UA、TC、TG、HDL-C、WBC、NEU、ALT、AST、GGT比较,差异无统计学意义(P>0.05)。两组住院期间用药情况比较,差异无统计学意义(P>0.05);多因素Logistic回归分析结果显示:吸烟[OR^(^)=2.197(95%CI:1.158,4.167)]、收缩压<120 mmHg[OR^(^)=1.889(95%CI:1.564,2.672)]、症状至PCI时间≥6 h[OR^(^)=3.094(95%CI:1.618,5.914)]、Killip分级≥Ⅱ级[OR^(^)=2.014(95%CI:1.016,3.989)]、入院即刻血糖≥10.0 mmol/L[OR^(^)=1.546(95%CI:1.168,2.465)]、D-D≥0.5 mg/L[OR^(^)=1.956(95%CI:1.175,2.745)]、LDL-C≥3.37 mmol/L[OR^(^)=1.624(95%CI:0.895,2.165)]、重度血栓负荷[OR^(^)=2.369(95%CI:1.325,5.750)]均是PCI术后慢血流/无复流发生的危险因素(P<0.05)。结论吸烟、收缩压、症状至PCI时间、Killip分级、入院即刻血糖、D-D、LDL-C及血栓负荷程度是AMI患者PCI术后慢血流/无复流发生的危险因素,临床应规避上述风险因素,密切监测围手术期入院即刻血糖、D-D、LDL-C水平变化,以降低术后慢血流/无复流发生风险。 展开更多
关键词 急性心肌梗死 经皮冠状动脉介入术 慢血流 无复流 危险因素
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半剂量替罗非班辅助经皮冠状动脉介入术治疗老年急性ST段抬高心肌梗死患者的临床研究 被引量:17
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作者 王琰 李永星 +2 位作者 郭华 张浩然 赵泽林 《中国现代医学杂志》 CAS 北大核心 2022年第5期70-74,共5页
目的探讨半剂量替罗非班辅助急诊经皮冠状动脉介入术(PCI)对老年急性ST段抬高心肌梗死(STEMI)患者的影响。方法选取2020年5月—2021年5月在沧州市中心医院行急诊PCI治疗的STEMI老年患者98例,随机分为两组,每组49例。其中,A组给予标准剂... 目的探讨半剂量替罗非班辅助急诊经皮冠状动脉介入术(PCI)对老年急性ST段抬高心肌梗死(STEMI)患者的影响。方法选取2020年5月—2021年5月在沧州市中心医院行急诊PCI治疗的STEMI老年患者98例,随机分为两组,每组49例。其中,A组给予标准剂量替罗非班治疗,B组给予半剂量替罗非班治疗。观察两组TIMI血流分级及校正的TIMI计帧数(CTFC)、左室射血分数(LVEF)、左室收缩末期内径(LVESD)、左室舒张末期内径(LVEDD)、心肌肌钙蛋白(cTnⅠ)、N端前脑钠肽(NT-proBNP)、肌酸激酶同工酶(CK-MB)水平,记录两组治疗期间主要心血管不良事件(MACE)及出血并发症的情况。结果两组术后TIMI血流分级、CTFC、LVEF、LVESD、LVEDD比较,差异无统计学意义(P>0.05);两组术后LVEF高于术前,LVEDD及LVESD小于术前(P<0.05);B组术后血清cTnⅠ、CK-MB及NT-proBNP水平比A组低(P<0.05);B组MACE总发生率(2.04%)与A组(8.16%)比较,差异无统计学意义(P>0.05);B组出血总发生率(2.04%)低于A组(16.33%)(P<0.05)。结论半剂量替罗非班辅助PCI治疗老年急性STEMI患者的临床疗效较好,可有效改善患者心肌灌注水平、降低心肌损伤、降低出血并发症,且不增加MACE发生率,安全性较高。 展开更多
关键词 ST段抬高心肌梗死 替罗非班 经皮冠状动脉介入术
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Passenger management strategy and evacuation in subway station under Covid-19 被引量:1
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作者 Xiao-Xia Yang Hai-Long Jiang +3 位作者 Yuan-Lei Kang Yi Yang yong-xing li Chang Yu 《Chinese Physics B》 SCIE EI CAS CSCD 2022年第7期657-668,共12页
Under the background of Covid-19 sweeping the world,safe and reasonable passenger flow management strategy in subway stations is an effective means to prevent the spread of virus.Based on the social force model and th... Under the background of Covid-19 sweeping the world,safe and reasonable passenger flow management strategy in subway stations is an effective means to prevent the spread of virus.Based on the social force model and the minimum cost model,the movement and path selection behavior of passengers in the subway station are modeled,and a strategy for passenger flow management to maintain a safe social distance is put forward.Take Qingdao Jinggangshan Road subway station of China as the simulation scene,the validity of the simulation model is verified by comparing the measured value and simulation value of the time required for passengers from getting off the train to the ticket gate.Simulation results indicate that controlling the time interval between incoming passengers at the entrance can effectively control the social distance between passengers and reduce the risk of epidemic infection.By comparing the evacuation process of passengers under different initial densities,it is found that the greater the initial density of passengers is,the longer the passengers are at risk social distance.In the process of passenger emergency evacuation,the stairs/escalators and ticket gates are bottleneck areas with high concentration of passenger density,which should be strictly disinfected many times on the basis of strictly checking the health code of incoming passengers and controlling the arrival time interval.The simulation results of this paper verify the harmfulness of passenger emergency evacuation without protective measures,and provide theoretical support for the operation and management of subway station under the epidemic situation. 展开更多
关键词 COVID-19 social force model subway station EVACUATION
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