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How to use the Surveillance,Epidemiology,and End Results(SEER)data:research design and methodology
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作者 Wen-Qiang Che Yuan-Jie Li +5 位作者 Chi-Kwan Tsang Yu-Jiao Wang Zheng Chen Xiang-Yu Wang An-Ding Xu Jun Lyu 《Military Medical Research》 SCIE CAS CSCD 2024年第5期686-696,共11页
In the United States(US),the Surveillance,Epidemiology,and End Results(SEER)program is the only comprehensive source of population-based information that includes stage of cancer at the time of diagnosis and patient s... In the United States(US),the Surveillance,Epidemiology,and End Results(SEER)program is the only comprehensive source of population-based information that includes stage of cancer at the time of diagnosis and patient survival data.This program aims to provide a database about cancer incidence and survival for studies of surveillance and the development of analytical and methodological tools in the cancer field.Currently,the SEER program covers approximately half of the total cancer patients in the US.A growing number of clinical studies have applied the SEER database in various aspects.However,the intrinsic features of the SEER database,such as the huge data volume and complexity of data types,have hindered its application.In this review,we provided a systematic overview of the commonly used methodologies and study designs for retrospective epidemiological research in order to illustrate the application of the SEER database.Therefore,the goal of this review is to assist researchers in the selection of appropriate methods and study designs for enhancing the robustness and reliability of clinical studies by mining the SEER database. 展开更多
关键词 Surveillance Epidemiology and End results(SEER) Big data EPIDEMIOLOGY METHODOLOGIES Study design
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Effect of Types and Orders of Electromagnetic Field Finite Element Meshes on Power Communication Harmonic Parameters Calculation Results of Tubular Hydrogenerators
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作者 Fan Zhennan Chen Jie +1 位作者 Zhou Zhiting Yang Yong 《China Communications》 SCIE CSCD 2024年第10期288-300,共13页
In generator design field,waveform total harmonic distortion(THD)and telephone harmonic factor(THF)are parameters commonly used to measure the impact of generator no-load voltage harmonics on the power communication q... In generator design field,waveform total harmonic distortion(THD)and telephone harmonic factor(THF)are parameters commonly used to measure the impact of generator no-load voltage harmonics on the power communication quality.Tubular hydrogenerators are considered the optimal generator for exploiting low-head,high-flow hydro resources,and they have seen increasingly widespread application in China's power systems recent years.However,owing to the compact and constrained internal space of such generators,their internal magnetic-field harmonics are pronounced.Therefore,accurate calculation of their THD and THF is crucial during the analysis and design stages to ensure the quality of power communication.Especially in the electromagnetic field finite element modeling analysis of such generators,the type and order of the finite element meshes may have a significant impact on the THD and THF calculation results,which warrants in-depth research.To address this,this study takes a real 34 MW large tubular hydrogenerator as an example,and establishes its electromagnetic field finite element model under no-load conditions.Two types of meshes,five mesh densities,and two mesh orders are analyzed to reveal the effect of electromagnetic field finite element mesh types and orders on the calculation results of THD and THF for such generators. 展开更多
关键词 calculation results electromagnetic field finite element meshes power communication harmonic parameters tubular hydrogenerator types and orders
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Diagnostic challenges from conflicting results of tests and imaging
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作者 Run Yu 《World Journal of Clinical Cases》 SCIE 2024年第24期5448-5451,共4页
Accurate diagnosis is the foundation of clinical care but accurate diagnosis is not easily reached in some cases.In rare instances,even a sophisticated multidisciplinary team at an academic medical center cannot relia... Accurate diagnosis is the foundation of clinical care but accurate diagnosis is not easily reached in some cases.In rare instances,even a sophisticated multidisciplinary team at an academic medical center cannot reliably reach an accurate diagnosis after extensive testing and imaging,and has to wait until histological diagnosis or even autopsy results are available.The underlying reason of challenging diagnoses is mostly conflicting data from history,tests,and imaging that point to different diagnoses.In this issue of World Journal of Clinical Cases,Huffaker et al reported such a challenging case of a tricuspid mass in a patient with Li-Fraumeni syndrome.The case by Huffaker et al powerfully illustrates the occasional diagnostic challenges inherent in our current diagnostic approach and the current technology.Clinicians should realize that in rare situations,agnosticism in diagnosis is unavoidable but a treatment has to be initiated so long as the principle of primum non nocere is upheld. 展开更多
关键词 Li-Fraumeni syndrome Cardiac mass THROMBUS Challenging diagnosis Histological diagnosis False positive results
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A Formulation of the Porous Medium Equation with Time-Dependent Porosity: A Priori Estimates and Regularity Results
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作者 Koffi B. Fadimba 《Applied Mathematics》 2024年第10期745-763,共19页
We consider a generalized form of the porous medium equation where the porosity ϕis a function of time t: ϕ=ϕ(x,t): ∂(ϕS)∂t−∇⋅(k(S)∇S)=Q(S).In many works, the porosity ϕis either assumed to be independent of (or to de... We consider a generalized form of the porous medium equation where the porosity ϕis a function of time t: ϕ=ϕ(x,t): ∂(ϕS)∂t−∇⋅(k(S)∇S)=Q(S).In many works, the porosity ϕis either assumed to be independent of (or to depend very little of) the time variable t. In this work, we want to study the case where it does depend on t(and xas well). For this purpose, we make a change of unknown function V=ϕSin order to obtain a saturation-like (advection-diffusion) equation. A priori estimates and regularity results are established for the new equation based in part on what is known from the saturation equation, when ϕis independent of the time t. These results are then extended to the full saturation equation with time-dependent porosity ϕ=ϕ(x,t). In this analysis, we make explicitly the dependence of the various constants in the estimates on the porosity ϕby the introduced transport vector w, through the change of unknown function. Also we do not assume zero-flux boundary, but we carry the analysis for the case Q≡0. 展开更多
关键词 Porous Medium Equation POROSITY Saturation Equation A Priori Estimates Regularity results
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Vulvectomy: Indications and Results in the General Surgery Department of the Ignace Deen Chu Hospital in Conakry
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作者 Camara Mariama Barry Mamadou Sakoba +1 位作者 Yattara Abdoulaye Touré Aboubacar 《Open Journal of Obstetrics and Gynecology》 2024年第4期560-564,共5页
Introduction: The aim of this study was to report the indications and evaluate the results of vulvectomy in the general surgery department of Ignace Deen Hospital, CHU Conakry. Materials and Methods: This was a retros... Introduction: The aim of this study was to report the indications and evaluate the results of vulvectomy in the general surgery department of Ignace Deen Hospital, CHU Conakry. Materials and Methods: This was a retrospective descriptive study, conducted over a period of five (05) years from January 1, 2018 to December 31, 2022, in the general surgery department of Ignace Deen Hospital, CHU Conakry. We included in our study all patient records in whom vulvectomy was performed. Results: We recorded 15 cases of vulvectomy out of 453 perineal surgeries, i.e. 3.31%, with a mean age of 43.56 years and extremes of 35 and 69 years. Vulvar cancer was the most common diagnosis (46.67%), followed by Buschke-Lowenstein (33.33%) and anal canal cancer extending to the vulva (20%). Six patients had undergone biopsy (40%). Vulvectomy with lymph node dissection was performed in only 9 patients (60%), and all surgical specimens were sent to anatomical pathology (100%). Conclusion: Vulvectomy is a surgical technique most often indicated for the treatment of vulvar cancer. 展开更多
关键词 VULVECTOMY INDICATIONS resultS Ignace Deen Conakry University Hospital
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Parameter calculation and result storage for phase-field simulation in α-Mg dendrite growth of Mg-5-wt% Zn alloy
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作者 陈伟鹏 侯华 +2 位作者 张云涛 柳伟 赵宇宏 《Chinese Physics B》 SCIE EI CAS CSCD 2023年第11期616-622,共7页
Parameter calculation and result storage, as two necessary steps in phase-field simulation play an important role in ensuring the accuracy of simulation results. A strategy of parameter calculation and result storage ... Parameter calculation and result storage, as two necessary steps in phase-field simulation play an important role in ensuring the accuracy of simulation results. A strategy of parameter calculation and result storage is presented for phase-field simulation in α-Mg dendrite growth of Mg-5-wt% Zn alloy under isothermal solidification. Based on the phase diagram and empirical formulas, key parameters of the phase-field model, such as equilibrium partition coefficient k, liquidus slope m, solutal diffusion coefficient in liquid Dl, and solutal diffusion coefficient in solid Ds, can be obtained.Both structured grid method and structured point method can be used to store simulation results, but using the latter method will reduce about 60% storage space and 37.5% storage time compared with the former. Finally, convergent simulation results of α-Mg dendrite growth are obtained and they are in good agreement with the experimental results about optical micrograph, which verify the accuracy of parameters and stability of storage method. 展开更多
关键词 parameter calculation result storage phase-field method dendrite growth
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P&T-Inf: A Result Inference Method for Context-Sensitive Tasks in Crowdsourcing
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作者 Zhifang Liao Hao Gu +2 位作者 Shichao Zhang Ronghui Mo Yan Zhang 《Intelligent Automation & Soft Computing》 SCIE 2023年第7期599-618,共20页
Context-Sensitive Task(CST)is a complex task type in crowdsourc-ing,such as handwriting recognition,route plan,and audio transcription.The current result inference algorithms can perform well in simple crowd-sourcing ... Context-Sensitive Task(CST)is a complex task type in crowdsourc-ing,such as handwriting recognition,route plan,and audio transcription.The current result inference algorithms can perform well in simple crowd-sourcing tasks,but cannot obtain high-quality inference results for CSTs.The conventional method to solve CSTs is to divide a CST into multiple independent simple subtasks for crowdsourcing,but this method ignores the context correlation among subtasks and reduces the quality of result inference.To solve this problem,we propose a result inference algorithm based on the Partially ordered set and Tree augmented naive Bayes Infer(P&T-Inf)for CSTs.Firstly,we screen the candidate results of context-sensitive tasks based on the partially ordered set.If there are parallel candidate sets,the conditional mutual information among subtasks containing context infor-mation in external knowledge(such as Google n-gram corpus,American Contemporary English corpus,etc.)will be calculated.Combined with the tree augmented naive(TAN)Bayes model,the maximum weighted spanning tree is used to model the dependencies among subtasks in each CST.We collect two crowdsourcing datasets of handwriting recognition tasks and audio transcription tasks from the real crowdsourcing platform.The experimental results show that our approach improves the quality of result inference in CSTs and reduces the time cost compared with the latest methods. 展开更多
关键词 Crowdsourcing result inference tree augmented naive Bayes CONTEXT-SENSITIVE
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Management Results and Financial Status of Rural Collective Economy under the Background of Rural Revitalization
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作者 Zijian HE Hu Wei 《Asian Agricultural Research》 2023年第4期1-4,9,共5页
Based on the analysis of financial statements,the performance and problems of rural collective economic organizations in their business activities were analyzed.It is believed that rural collective economy was develop... Based on the analysis of financial statements,the performance and problems of rural collective economic organizations in their business activities were analyzed.It is believed that rural collective economy was developing continuously in a good way,with strong debt paying ability,but the operation ability and management efficiency need to be further improved.The operation was too conservative,and the asset utilization efficiency and profitability were weak.There were many unnecessary liabilities,and they developed mainly relying on their own accumulation.Therefore,it is proposed to crack the"talent dilemma"of rural collective economic operation and management,straighten out and clarify the relationship between rural collective economic organizations and villagers self-governing organizations,correctly handle the relationship between collective accumulation and member distribution,adhere to the financial input of blood replenishment and transfusion,and make liabilities reasonable according to the management development. 展开更多
关键词 Rural revitalization Rural collective economic organizations Operating results Financial position
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Analysis of Toxicological Test Results of 580 Detergents
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作者 Li Guangxian Liang Junjie +3 位作者 Jiang yi Li min Pang Zengxiong Liu Xiangmei 《China Detergent & Cosmetics》 CAS 2023年第2期26-30,共5页
To evaluate the safety of detergents,the toxicological test results of 580 collected detergents were analyzed.The results showed that,in the acute oral toxicity test,94.4%and 5.6%of the samples were classified as non-... To evaluate the safety of detergents,the toxicological test results of 580 collected detergents were analyzed.The results showed that,in the acute oral toxicity test,94.4%and 5.6%of the samples were classified as non-toxic and toxic respectively.In skin irritation test,95.1%of the samples were mild irritation or below,and 4.9%were moderate irritation or above.In the vaginal mucosa irritation test,79.0%of the samples were very mild irritation or below,while 21.0%were mild irritation or above.In the acute inhalation toxicity test,the proportion of the samples classified as actually non-toxic and toxic were 87.9%and 12.1%respectively.In the eye irritation test,95.7%of the samples belonged to mild irritation or below,and 4.3%of the samples belonged to moderate irritation or above.The products at risk in category A,B and C products account for 6.3%,7.7%and 14.2%respectively.Of the 580 tested samples,90.9%were relatively safe,while 9.1%were at risk.These data showed that most of the tested samples meet the safety requirements for use. 展开更多
关键词 DETERGENTS SAFETY toxicological test results analysis
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Vertebroplasty and Kyphoplasty: Indications and Results, a Preliminary Senegalese Experience from the Neurosurgery Department of the CHNU of Fann
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作者 El Hadj cheikh Ndiaye Sy Celebre Mualaba +3 位作者 Amidou Adjamou Maguette Mbaye Mbaye Thioub Momar Code Ba 《Open Journal of Modern Neurosurgery》 2023年第4期156-165,共10页
Introduction: Vertebroplasty and kyphoplasty are percutaneous techniques that consist in injecting an acrylic cement into the body of a pathological vertebra. This work aims to report the experience the of Fann’s neu... Introduction: Vertebroplasty and kyphoplasty are percutaneous techniques that consist in injecting an acrylic cement into the body of a pathological vertebra. This work aims to report the experience the of Fann’s neurosurgery department in treating certain spinal pathologies by vertebroplasty and kyphoplasty. Methods: During a 3-year period from July 1, 2019 to July 31, 2022, we conducted a retrospective, descriptive and analytical study, including patients who underwent vertebroplasty or kyphoplasty for dorsolumbar spinal pathology. Results: The mean age of the 13 patients in our study was 51.61 years. Female gender was predominant in 62% (n = 8). The context of spontaneous onset was found in six patients. Nine patients had a VAS (visual analogue scale) ≥ 8 (69.23%). On clinical examination, all patients had a syndrome without neurological deficits. 84.61% of patients had a CT scan (n = 11). The dorsolumbar hinge was most affected with 53.85% of cases. Seven patients had a vertebral compression of between 25% and. The average degree of kyphosis was 8˚ and seven patients had a degree of kyphosis ≥ 10˚. Tumour aetiology accounted for 46.15% of cases. Kyphoplasty was performed in 61.53% (n = 9) of the cases and vertebroplasty was performed in 38.47% (n = 4) of the patients. Kyphoplasty was associated with biopsy in two cases and with osteosynthesis in one patient. Vertebroplasty was always associated with a biopsy. The evolution was favourable with a significant reduction in pain and vertebral kyphosis. The mean VAS decreased from 8.15 to 0.69 three months after treatment and the mean kyphosis decreased from 8˚ to 2˚. Conclusion: Kyphoplasty and vertebroplasty as percutaneous techniques allow consolidation of the vertebral body and pain relief. Kyphoplasty alone not only reduces pain but also restores the height of the compacted vertebral body. 展开更多
关键词 Vertebroplasty and Kyphoplasty Indications and results Preliminary Senegalese Experience
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Results and Application of Soil and Water Conservation Monitoring in the Yellow River Basin
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作者 Yaxi Cai Xiaodong Yang Binhua Zhao 《Journal of Architectural Research and Development》 2023年第3期40-45,共6页
Since water and soil conservation monitoring in the Yellow River Basin entered a new stage at the end of the 20th century,the monitoring scope has been expanding,the monitoring accuracy has been improving,the monitori... Since water and soil conservation monitoring in the Yellow River Basin entered a new stage at the end of the 20th century,the monitoring scope has been expanding,the monitoring accuracy has been improving,the monitoring content and indicators have been increasing,and the monitoring technology and methods have been improving.This paper mainly analyzes the status of soil and water conservation monitoring in the Yellow River Basin,as well as the construction of the monitoring system and related research,in order to provide a reference for watershed management and development and the scientific research of water and soil conservation. 展开更多
关键词 Soil and water conservation Monitoring results APPLICATION
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GoPubMed与Web of Knowledge分析工具Analyze Results的比较研究 被引量:6
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作者 张玢 许培扬 +2 位作者 王敏 马明 栗文靖 《中华医学图书情报杂志》 CAS 2009年第5期64-68,共5页
GoPubMed是基于本体论的生物医学文献分析工具,它可以对检索到的PubMed文献进行全方位的统计分析,Web of Knowlegde平台的Analyze Results分析功能也可对检索结果进行统计分析。对这2种文献分析工具特点进行对比分析。
关键词 信息分析 分析工具 WEB of KNOWLEDGE Analyze resultS GOPUBMED
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ISI Web of Knowledge新增分析工具Results Analysis探讨——BIOSIS Previews检索实践 被引量:8
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作者 张轶群 《中华医学图书情报杂志》 CAS 2005年第5期50-52,共3页
针对检索结果的信息分析和信息挖掘的分析工具Results Analysis是ISI Web of Knowledge于2004年新增的服务功能。以BIOSIS Previews为检索实例,详细探讨Results Analysis分析工具的使用方法和功能,并提出改进的建议。
关键词 分析工具 resultS Analysis ISI WEB of KNOWLEDGE BIODIS Previews
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ISI Web of Science的Results Analysis功能与使用 被引量:5
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作者 夏立娟 孙君 《情报探索》 2008年第2期65-67,共3页
详细介绍了美国Web of Science数据库的发展以及该数据库新推出的Results Analysis功能和使用方法。
关键词 分析工具 resultS ANALYSIS ISI WEB of SCIENCE
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ISI Proceedings分析工具Results Analysis的功能分析及检索实践
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作者 王园春 《现代情报》 北大核心 2008年第5期156-157,164,共3页
本文以ISI Proceedings的科技版ISTP具体检索为例,探讨了ISI Proceedings个性化服务的分析工具Results Analysis的功能和使用技巧,以及检索结果的信息分析和挖掘对用户的指导意义。
关键词 分析工具 resultS ANALYSIS ISI PROCEEDINGS NIP
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尿液分析仪打印出现“Invalid Result”的原因探索
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作者 张智慧 许素菊 +3 位作者 张立 李烛 刘艳丽 谢晓明 《北京军区医药》 2000年第4期304-304,共1页
Miditrom Junior尿分析仪是定灵曼公司生产的半自动反射光电比色计,用于半定量尿液试纸条读数。它可以提供尿比重、pH、白细胞、红细胞、亚硝酸盐、葡萄糖、蛋白质、尿胆原、尿胆红素和酮体测量结果,是目前临床常规尿液筛选检查的重要... Miditrom Junior尿分析仪是定灵曼公司生产的半自动反射光电比色计,用于半定量尿液试纸条读数。它可以提供尿比重、pH、白细胞、红细胞、亚硝酸盐、葡萄糖、蛋白质、尿胆原、尿胆红素和酮体测量结果,是目前临床常规尿液筛选检查的重要仪器。 展开更多
关键词 尿液分析仪 打印 INVALID result 试纸条
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Role of Program-for-Results Financing System in Infrastructure Sector:Evidence from Egypt and Ethiopia
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作者 Ahmed M.Noureldin Doaa M.Salman Abdou 《Proceedings of Business and Economic Studies》 2018年第3期1-16,共16页
This study aims are two folds:First is to investigate the role of the World Bank funding through using a novel financing instrument called Program-for-Results(P for R)to strengthen the government programs and second i... This study aims are two folds:First is to investigate the role of the World Bank funding through using a novel financing instrument called Program-for-Results(P for R)to strengthen the government programs and second is to assess the P for R programs adopted in countries focusing on the direct effects and the results.The Bank currently has three integral financing options to offer client countries:Investment Project Financing supports specific projects and disburses against specific expenditures and transactions,Development Policy Lending supports policy and institutional reforms and provides general budget support,and P for R Financing supports government programs and disburses against results.Results for the P for R reflect on the new level because disbursements are directly linked to the achievement of measurable and verifiable outcome.As well,the Disbursement-Linked Indicators(DLIs)are used to provide governments with incentives to achieve critical program milestones and enhance the performance of programs.This study structured based on descriptive and observed the behavior of two countries’government(Egypt and Ethiopia)for using P for R financing loan in a national project.On the ground,the field of practices was the main indicator in this stage of the investigation,then one of the P for R programs was compared to observe the effectiveness of this kind of financing system in these two countries specifically in the infrastructure sector,and classifications of DLIs were the main parameter in this comparison.The outcome and the existing literature are analyzed to develop a multibeneficial for country adopting P for R collaborative programs,as they should be applied to mitigate the same challenges and solve the institutional complications for the beneficial countries homogeneously.Furthermore,enhance the profit generated from this kind of program targeting via sustainable management tools. 展开更多
关键词 PROGRAM for resultS foreign AID international FINANCIAL institutions world BANK resultsbasedaid disbursement-linked indicators
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全媒体融合背景下基于RESULTS模型的南京市口腔医院文化宣传与建设 被引量:7
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作者 杨朵儿 王繁可 王璐 《江苏卫生事业管理》 2020年第8期1080-1083,共4页
目的:结合全媒体融合的时代背景,分析南京市口腔医院文化宣传与建设。方法:利用经典传播模型RESULTS模型,从Reach(到达)、Engage(互动)、Sociability(社交)、Usability(易用)、Longevity(长尾)、Transaction(交易)、Sentiment(情感)7个... 目的:结合全媒体融合的时代背景,分析南京市口腔医院文化宣传与建设。方法:利用经典传播模型RESULTS模型,从Reach(到达)、Engage(互动)、Sociability(社交)、Usability(易用)、Longevity(长尾)、Transaction(交易)、Sentiment(情感)7个方面分别对南京市口腔医院文化宣传内容的传播效果进行梳理和总结。结果:在全媒体融合背景下,基于RESULTS模型的南京市口腔医院文化宣传与建设取得了一定的成就。结论:经过分析得出相关建议:丰富新媒体种类,增加医院文化传播路径;宣传医院文化理念,设置多途径患者沟通渠道;将大数据、人工智能融入新媒体,提升医院文化建设效率;建立医院文化长效机制,加深媒体融合程度和广度。 展开更多
关键词 全媒体融合 医院文化 resultS模型 南京市口腔医院
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Long-term results of paclitaxel plus cisplatin with concurrent radiotherapy for loco-regional esophageal squamous cell carcinoma 被引量:15
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作者 Han-Ting Zhu Da-Shan Ai +10 位作者 Hua-Rong Tang Harun Badakhshi Jian-Hong Fan Jia-Ying Deng Jun-Hua Zhang Yun Chen Zhen Zhang Yi Xia Xiao-Mao Guo Guo-Liang Jiang Kuai-Le Zhao 《World Journal of Gastroenterology》 SCIE CAS 2017年第3期540-546,共7页
AIM To evaluate the long-term effectiveness and late toxicities of paclitaxel(PTX) plus cisplatin(DDP) with concurrent radiotherapy for locally advanced esophageal squamous cancer.METHODS Between 2008 and 2011, 76 pat... AIM To evaluate the long-term effectiveness and late toxicities of paclitaxel(PTX) plus cisplatin(DDP) with concurrent radiotherapy for locally advanced esophageal squamous cancer.METHODS Between 2008 and 2011, 76 patients were enrolled in a phase Ⅱ study on the treatment of loco-regionally advanced esophageal cancer with radiotherapy(68.4 Gy/44 fractions or 61.2 Gy/34 fractions) combined with 4-cycle chemotherapy consisting of DDP(25 mg/m^2 per day for 3 d) and PTX(175 mg/m^2 for 3 h). The primary endpoints were overall survival and progression-free survival, and the secondary endpoints were toxicity and the treatment failure pattern.RESULTS A total of 76 patients were enrolled in this study, of whom 63.2% finished the whole regimen. The 5-year survival rates for the per-protocol population and intent-to-treat population were 25.4% and 26.4%, respectively, and the median survival rates were 23.7 mo and 28.5 mo, respectively. Grade 3 or 4 late toxicity was observed in only one patient(heart failure). In log-rank analysis, the pretreatment stage(stage Ⅱ + Ⅲ: 36.1 mo vs stage Ⅳ: 14.9 mo) and the completed cycle(1-3 cycles: 16.1 mo vs 4 cycles: 35.5 mo) were significant prognostic factors(P = 0.037 < 0.05 and P = 0.013 < 0.05).CONCLUSION Radiotherapy combined with chemotherapy consisting of PTX and DDP is a safe and effective definitive treatment for loco-regionally advanced esophageal squamous cancer. 展开更多
关键词 CHEMORADIOTHERAPY Long-term result Loco-regionally advanced esophageal cancer Phase trial
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Anterior rectopexy for full-thickness rectal prolapse: Technical and functional results 被引量:8
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作者 Jean-Luc Faucheron Bertrand Trilling +3 位作者 Edouard Girard Pierre-Yves Sage Sandrine Barbois Fabian Reche 《World Journal of Gastroenterology》 SCIE CAS 2015年第16期5049-5055,共7页
AIM:To assess effectiveness, complications, recurrence rate, and recent improvements of the anterior rectopexy procedure for treatment of total rectal prolapse.METHODS:MEDLINE, Pub Med, EMBASE, and other relevant data... AIM:To assess effectiveness, complications, recurrence rate, and recent improvements of the anterior rectopexy procedure for treatment of total rectal prolapse.METHODS:MEDLINE, Pub Med, EMBASE, and other relevant database were searched to identify studies.Randomized controlled trials, non-randomized studies and original articles in English language, with more than 10 patients who underwent laparoscopic ventral rectopexy for full-thickness rectal prolapse, with a follow-up over 3 mo were considered for the review.RESULTS:Twelve non-randomized case series studies with 574 patients were included in the review.No surgical mortality was described.Conversion was needed in 17 cases(2.9%), most often due to difficult adhesiolysis.Twenty eight patients(4.8%) presented with major complications.Seven(1.2%) mesh-related complications were reported.Most frequent complications were urinary tract infection and urinary retention.Mean recurrence rate was 4.7% with a median follow-up of 23 mo.Improvement of constipation ranged from 3%-72% of the patients and worsening or new onset occurred in 0%-20%.Incontinence improved in 31%-84% patients who presented fecal incontinence at various stages.Evaluation of functional score was disparate between studies.CONCLUSION:Based on the low long-term recurrence rate and favorable outcome data in terms of low de novo constipation rate, improvement of anal incontinence, and low complications rate, laparoscopic anterior rectopexy seems to emerge as an efficient procedure for the treatment of patients with total rectal prolapse. 展开更多
关键词 Total RECTAL PROLAPSE LAPAROSCOPY Anteriorrectopexy VENTRAL RECTOPEXY results Recurrence Systematic review
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