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Surface and Content Validity of the Mentoring Function Scale for Novice Nurses
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作者 Aimi Furukawa Yasuko Hosoda 《Open Journal of Nursing》 2024年第8期401-411,共11页
This study aimed to examine the surface and content validity of the Mentoring Function Scale for Novice Nurses, used to assess the mentoring of entry-level nurses, and to refine the scale items. In Study 1, six nurse ... This study aimed to examine the surface and content validity of the Mentoring Function Scale for Novice Nurses, used to assess the mentoring of entry-level nurses, and to refine the scale items. In Study 1, six nurse education researchers, selected using convenience sampling, with five or more years of nursing experience and experience teaching novice nurses, were invited to an expert meeting in July 2015. A group interview was conducted that lasted approximately 120 minutes. Study 2 examined the content validity index. Between September and November 2015, we distributed a self-administered questionnaire survey to 11 participants selected by convenience sampling. The participants included five nurse education researchers with a minimum of five years of nursing experience and experience teaching novice nurses, as well as six clinical nurses with a master’s degree or higher. Finally, 81 questionnaire items were retained from the initial 125 items. The 81-item Mentoring Function Scale for Novice Nurses had higher content validity than the original scale. To further increase the scale’s applicability, future studies should assess its reliability, construct validity, and criterion-related validity. 展开更多
关键词 Novice Nurses Mentoring function Surface and Content Validity Item-level Content Validity Index
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Effect of Intermittent Pneumatic Compression on Functional Level and Quality of Life in Community-Dwelling Older Adults with Limited Ambulation Due to Leg Pain: A Randomized Controlled Trial
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作者 Weerasinghe Mudiyanselage Sujeewa Weerasinghe Thunpaththu Mudiyanselage Upul Sanjeewa Thunpaththu +4 位作者 Weerasinghe Mudiyanselage Sandali Anjana Weerasinghe Weerasinghe Mudiyanselage Shalindu Thushen Weerasinghe Pahala Walpola Gamarallage Shirani Walpola Dissanayaka Mudiyanselage Tharanga Padmini Dissanayaka Angelo Karunaratne 《Health》 2021年第10期1145-1169,共25页
<strong>Background and Purpose:</strong> Walking difficulties are defined as any reduction in speed, balance, or change of gait, causing limited ambulation. These difficulties are a common problem in older... <strong>Background and Purpose:</strong> Walking difficulties are defined as any reduction in speed, balance, or change of gait, causing limited ambulation. These difficulties are a common problem in older adults and may greatly affect their quality of life (QOL) and restrict their personal independence and participation. This study aimed to determine the effect of intermittent pneumatic compression (IPC) on lower leg pain, walking capacity, functional mobility, ankle range of motion (AROM), and QOL of community-dwelling older people with walking difficulties. <strong>Methods:</strong> In this randomized controlled trial, 34 eligible participants with self-reported lower limb pain and limited ambulation were randomized either to the intermittent pneumatic compression intervention group (IPCIG) or static compression control group (SCCG). The IPCIG and SCCG were trained to receive IPC and SC respectively for both lower legs and instructed to continue the application independently at home for 15 minutes per session, 2 sessions a day, 7 days per week for 4 weeks independently at the home. Outcome measures of lower leg pain, AROM, walking capacity, and functional mobility were assessed at baseline and at the first, second, third, and fourth weeks after randomization. Quality of life was assessed at baseline and immediately after the intervention. <strong>Results and Discussion:</strong> IPCIG showed a more significant improvement compared to the SCCG at the post-interventional stage for QOL and all the subscales. The findings show that “80% improved QOL” is 53% higher with the application of IPC than with SC for 4 weeks. The IPCIG showed a more significant improvement in the 6-minute walk test (6 MWT) at the third and fourth weeks compared to the SCCG. A pairwise comparison of mean values of 6 MWT over 4 weeks within the IPCIG showed a significant difference between all the weeks. Pairwise comparisons between groups at each time point showed that the IPCIG showed a more significant improvement in the timed up and go (TUG) test at the third and fourth weeks compared to the SCCG. Pairwise comparison of mean values of TUG test within the IPCIG showed a significant difference over 4 weeks, except between the second and third weeks, fourth week, and third and fourth weeks. The IPCIG showed a more significant improvement in lower leg pain between all weeks except the first week compared to the SCCG. Pairwise comparison of mean values of lower leg pain over 4 weeks within the IPCIG showed a significant difference among all weekly outcomes except between 1 and 2 weeks. The IPCIG showed a more significant improvement in left and right ankle dorsiflexion ROM at the third and fourth weeks compared to the SCCG. <strong>Conclusions:</strong> The IPC was effective in reducing lower leg pain and increasing the AROM and improving the walking capacity, functional mobility level, and QOL of community-dwelling older people with walking disabilities. Walking disability in old age is a common condition requiring physical therapy. Intermittent pneumatic compression can be used as a physical therapy modality for this patient group. 展开更多
关键词 Intermittent Pneumatic Compression functional level Quality of Life Older Adults Limited Ambulation Leg Pain
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Weighted Multi-sensor Data Level Fusion Method of Vibration Signal Based on Correlation Function 被引量:7
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作者 BIN Guangfu JIANG Zhinong +1 位作者 LI Xuejun DHILLON B S 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2011年第5期899-904,共6页
As the differences of sensor's precision and some random factors are difficult to control,the actual measurement signals are far from the target signals that affect the reliability and precision of rotating machinery... As the differences of sensor's precision and some random factors are difficult to control,the actual measurement signals are far from the target signals that affect the reliability and precision of rotating machinery fault diagnosis.The traditional signal processing methods,such as classical inference and weighted averaging algorithm usually lack dynamic adaptability that is easy for trends to cause the faults to be misjudged or left out.To enhance the measuring veracity and precision of vibration signal in rotary machine multi-sensor vibration signal fault diagnosis,a novel data level fusion approach is presented on the basis of correlation function analysis to fast determine the weighted value of multi-sensor vibration signals.The approach doesn't require knowing the prior information about sensors,and the weighted value of sensors can be confirmed depending on the correlation measure of real-time data tested in the data level fusion process.It gives greater weighted value to the greater correlation measure of sensor signals,and vice versa.The approach can effectively suppress large errors and even can still fuse data in the case of sensor failures because it takes full advantage of sensor's own-information to determine the weighted value.Moreover,it has good performance of anti-jamming due to the correlation measures between noise and effective signals are usually small.Through the simulation of typical signal collected from multi-sensors,the comparative analysis of dynamic adaptability and fault tolerance between the proposed approach and traditional weighted averaging approach is taken.Finally,the rotor dynamics and integrated fault simulator is taken as an example to verify the feasibility and advantages of the proposed approach,it is shown that the multi-sensor data level fusion based on correlation function weighted approach is better than the traditional weighted average approach with respect to fusion precision and dynamic adaptability.Meantime,the approach is adaptable and easy to use,can be applied to other areas of vibration measurement. 展开更多
关键词 vibration signal MULTI-SENSOR data level fusion correlation function weighted value
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Emotion processing in Parkinson's disease: a blood oxygenation level-dependent functional magnetic resonance imaging study 被引量:6
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作者 Mohammed Benzagmout Sa?d Boujraf +8 位作者 Badreeddine Alami Hassane Ali Amadou Halima El Hamdaoui Amine Bennani Mounir Jaafari Ismail Rammouz Mustapha Maaroufi Rabia Magoul Driss Boussaoud 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第4期666-672,共7页
Parkinson's disease is a neurodegenerative disorder caused by loss of dopamine neurons in the substantia nigra pars compacta. Tremor, rigidity, and bradykinesia are the major symptoms of the disease. These motor i... Parkinson's disease is a neurodegenerative disorder caused by loss of dopamine neurons in the substantia nigra pars compacta. Tremor, rigidity, and bradykinesia are the major symptoms of the disease. These motor impairments are often accompanied by affective and emotional dysfunctions which have been largely studied over the last decade. The aim of this study was to investigate emotional processing organization in the brain of patients with Parkinson's disease and to explore whether there are differences between recognition of different types of emotions in Parkinson's disease. We examined 18 patients with Parkinson's disease(8 men, 10 women) with no history of neurological or psychiatric comorbidities. All these patients underwent identical brain blood oxygenation level-dependent functional magnetic resonance imaging for emotion evaluation. Blood oxygenation level-dependent functional magnetic resonance imaging results revealed that the occipito-temporal cortices, insula, orbitofrontal cortex, basal ganglia, and parietal cortex which are involved in emotion processing, were activated during the functional control. Additionally, positive emotions activate larger volumes of the same anatomical entities than neutral and negative emotions. Results also revealed that Parkinson's disease associated with emotional disorders are increasingly recognized as disabling as classic motor symptoms. These findings help clinical physicians to recognize the emotional dysfunction of patients with Parkinson's disease. 展开更多
关键词 Parkinson’s disease EMOTION processing BLOOD OXYGENATION level-dependent functional magnetic resonance imaging brain activation DOPAMINE neural REGENERATION
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Nonconstant Harmonic Functions on the Level 3 Sierpinski Gasket
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作者 Donglei Tang Rui Hu 《Analysis in Theory and Applications》 2014年第4期417-424,共8页
We give a detailed description of nonconstant harmonic functions on the level 3 Sierpinski gasket. Then we extend the method onβ-set with 1/3〈β〈1/2.
关键词 Nonconstant harmonic function level 3 Sierpinski gasket β-set.
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The Single Valley Character of Level Degree Function
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作者 傅增明 佟晓石 《Journal of Donghua University(English Edition)》 EI CAS 2004年第4期153-155,共3页
Strict proof has been given to single valley character of level degree function by use of convex analysis theory, which provides reliable theoretical basis for the optimization of the data processing with respect to l... Strict proof has been given to single valley character of level degree function by use of convex analysis theory, which provides reliable theoretical basis for the optimization of the data processing with respect to level degree. As circle degree and cylindrical degree have the same mathematical structures, their single valley character can be proved by the same method. 展开更多
关键词 Convex Analysis Theory level Degree function Single Valley Character.
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Philosophy of GodForm:Power Authorities, Functional Position Levels, Religion and Science
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作者 Refet Ramiz 《Journal of Philosophy Study》 2021年第3期166-215,共50页
In this work,author expressed new R-Synthesis specifically.Good and/or correct perspective that must be behind the definitions and administration generally expressed.New perspective of the philosophy explained general... In this work,author expressed new R-Synthesis specifically.Good and/or correct perspective that must be behind the definitions and administration generally expressed.New perspective of the philosophy explained generally.Philosophy of GodForm is defined and expressed as connected/related with the following concepts:(a)basic principles,(b)17 upper constructional philosophies,(c)14 lower constructional philosophies,(d)eight basic philosophies.As special cases,Philosophy of Engineering and Technology,Philosophy of Wireless Administration and others defined as hybrid philosophies.17 specific components/units which can be considered to define the basic principles of the related formation,are proposed to be designed by GodForm and defined by the author.Philosophy of GodForm and its relation with Values and Positions specifically defined.New Era Theory and New Era Belief explained generally.Some specific religions/beliefs are defined as variants/forms of the Progressive Religion.Good and/or correct power authorities(R-Power Authority)are defined due to 29 categories.Functional position levels defined for the R-Power Authorities with a unique table.As result of the R-Synthesis,functional position levels of some philosophers,some scientists,and of Prophet Jesus,Prophet Mohamed,Prophets Mouses,Buddha,and of Confucius generally/specifically defined.Integration and past/present effects of some R-Power Authorities in 5 x 5 Ideal Political Construction specifically explained.New Era Belief,Concepts of GodX and Science relation explained with the following concepts:(1)Religion of GodForm,(2)Knowledge of GodX,(3)Nature of GodX.With this respect,some other characteristics of 7 GodX power authorities expressed with details as complementary information.Following concepts/systems defined to arrange and solve some/most/all religious problems,which are determined with R-Synthesis:(a)Religious Responsibilities and Positions,(b)Ideal Religious Administration,(c)Sustainable/Continuable Political Administration System,(d)Community Values Council/Authority for each world country,(e)Progressive Councils.15 general religious position categories defined to express their good and/or correct meanings/values/responsibilities in the religious system.21 general/specific cases/programs defined due to New Era Belief to solve possible past/present/future community values problems,to have continuous,judicious,and progressive administration about the 36 kinds of community values.Progressive Councils,which are related with the CUS-WW-HO,are defined.Progressive Religion Council and some of the related religious responsibilities expressed for the kind progressive religion studies due to the Philosophy of Progressive Religions. 展开更多
关键词 PHILOSOPHY New Era Philosophy Philosophy of GodX philosophy of religion religion and science New Era Theory New Era Belief Progressive Religions power authorities functional position levels
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Random testing for system-level functional verification of system-on-chip 被引量:4
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作者 Ma Qinsheng Cao Yang +1 位作者 Yang Jun Wang Min 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2009年第6期1378-1383,共6页
In order to deal with the limitations during the register transfer level verification, a new functional verification method based on the random testing for the system-level of system-on-chip is proposed.The validity o... In order to deal with the limitations during the register transfer level verification, a new functional verification method based on the random testing for the system-level of system-on-chip is proposed.The validity of this method is proven theoretically.Specifically, testcases are generated according to many approaches of randomization.Moreover, the testbench for the system-level verification according to the proposed method is designed by using advanced modeling language.Therefore, under the circumstances that the testbench generates testcases quickly, the hardware/software co-simulation and co-verification can be implemented and the hardware/software partitioning planning can be evaluated easily.The comparison method is put to use in the evaluation approach of the testing validity.The evaluation result indicates that the efficiency of the partition testing is better than that of the random testing only when one or more subdomains are covered over with the area of errors, although the efficiency of the random testing is generally better than that of the partition testing.The experimental result indicates that this method has a good performance in the functional coverage and the cost of testing and can discover the functional errors as soon as possible. 展开更多
关键词 VLSI circuit VERIFICATION random process function TESTING SYSTEM-ON-CHIP system-level.
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Impact of Nonlethal Levels of Metacid-50 and Carbaryl on Thyroid Function and Cholinergic System of Channa punctatus 被引量:1
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作者 PROBODHGHOSH SAMIRBHATTACHARYA SHELLEYBHATTACHARYA 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 1989年第2期92-97,共6页
With regard to brain acetylcholinesterase and acetylcholine and serum triiodothyronine(T_3) and thyroxine(T_4)profiles,a biphasic response pattern was elicited in Channa punctatus chroni- cally exposed to nonlethal do... With regard to brain acetylcholinesterase and acetylcholine and serum triiodothyronine(T_3) and thyroxine(T_4)profiles,a biphasic response pattern was elicited in Channa punctatus chroni- cally exposed to nonlethal doses of locally used pesticides,namely,Metacid-50 and Carbaryl. Data revealed that these xenobiotics caused significant inhibition of brain acetylcholinesterase activity and a decrease in thyroxine level accompanied by a concurrent increase in acetylcholine accumulation and T_3 level.It is surmised that Metacid-50 and Carbaryl influence both neural and hormonal functions.1989 Academic Press.Inc. 展开更多
关键词 In Impact of Nonlethal levels of Metacid-50 and Carbaryl on Thyroid function and Cholinergic System of Channa punctatus ACHE
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Investigation of analytical harmonic frequency and potential energy function, vibrational levels for the X^2∑^+ and A^2Л states of CN radical
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作者 Wang Jian-Kun Wu Zhen-Sen 《Chinese Physics B》 SCIE EI CAS CSCD 2008年第8期2919-2924,共6页
This paper calculates the equilibrium structure and the potential energy functions of the ground state (X^2∑^+) and the low lying excited electronic state (A^2Л) of CN radical are calculated by using CASSCF met... This paper calculates the equilibrium structure and the potential energy functions of the ground state (X^2∑^+) and the low lying excited electronic state (A^2Л) of CN radical are calculated by using CASSCF method. The potential energy curves are obtained by a least square fitting to the modified Murrell-Sorbie function. On the basis of physical theory of potential energy function, harmonic frequency (ωe) and other spectroscopic constants (ωeχe, βe and αe) are calculated by employing the Rydberg-Klei-Rees method. The theoretical calculation results are in excellent agreement with the experimental and other complicated theoretical calculation data. In addition, the eigenvalues of vibrational levels have been calculated by solving the radial one-dimensional SchrSdinger equation of nuclear motion using the algebraic method based on the analytical potential energy function. 展开更多
关键词 potential energy function harmonic frequency vibrational levels algebraic method
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Analytical Potential Energy Function,Spectroscopic Constants and Vibrational Levels for A^1E_u^+ State of Dimer ~7Li_2 被引量:1
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作者 SHI De-Heng~1 MA Heng~1 SUN Jin-Feng~(1,2)and ZHU Zun-Lue~1~1 College of Physics & Information Engineering,Henan Normal University,Xinxiang 453007,China~2 Department of Physics & Electron Science,Luoyang Normal University,Luoyang 471022,China 《Communications in Theoretical Physics》 SCIE CAS CSCD 2007年第12期1081-1087,共7页
The symmetry-adapted-duster configuration-interaction method is used to investigate the spectroscopicproperties of ~7Li_2(A^1∑_u^+) over the internuclear distance ranging from 2.4ao to 37ao.The complete potential ene... The symmetry-adapted-duster configuration-interaction method is used to investigate the spectroscopicproperties of ~7Li_2(A^1∑_u^+) over the internuclear distance ranging from 2.4ao to 37ao.The complete potential energycurves are calculated at numbers of basis sets.All the ab initio calculated points are fitted to the analytic MurrellSorbie function and then employed to compute the spectroscopic constants.By comparison,the spectroscopic constantsreproduced by the potential attained at D95(3df,3pd) are found to be very close to the experiments,a^d the values (T_e,D_e,R_e,ω_e,ω_eχ_e,α_e and B_e) are of 1.732 93 eV,1.161 36 eV,0.313 27 nm,251.95 cm^(-1),1.623 cm^(-1),0.005 35 cm^(-1),and0.490 cm^(-1),respectively.With the potential obtained at D95(3df,3pd),the totally 75 vibrational states are found whenJ=0.The vibrational levels,the classical turning points and the inertial rotation constants of the first 68 vibrationalstates are calculated for the first time and compared with the available measurements.Good agreement is obtained.The centrifugal distortion constants of the first 32 vibrational states are also reported for the first time.The reasonabledissociation limit for ~7Li_2(A^1∑_u^+) is deduced using the calculated results at present. 展开更多
关键词 analytic potential energy function harmonic frequency dissociation energy vibrational level classical turning point
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TWO-LEVEL METHOD FOR UNSTEADY NAVIER-STOKES EQUATIONS IN STREAM FUNCTION FORM
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作者 RenChunfeng MaYichen XuHui 《Applied Mathematics(A Journal of Chinese Universities)》 SCIE CSCD 2005年第1期105-120,共16页
Two-level finite element approximation to stream function form of unsteady Navier-Stokes equations is studied.This algorithm involves solving one nonlinear system on a coarse grid and one linear problem on a fine grid... Two-level finite element approximation to stream function form of unsteady Navier-Stokes equations is studied.This algorithm involves solving one nonlinear system on a coarse grid and one linear problem on a fine grid.Moreover,the scaling between these two grid sizes is super-linear.Approximation,stability and convergence aspects of a fully discrete scheme are analyzed.At last a numrical example is given whose results show that the algorithm proposed in this paper is effcient. 展开更多
关键词 Navier-Stokes equations two-level method stream function APPROXIMATION STABILITY convergence.
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LEVEL SET METHODS BASED ON DISTANCE FUNCTION
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作者 王德军 唐云 +1 位作者 于洪川 唐泽圣 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 2003年第8期950-960,共11页
Some basic problems on the level set methods were discussed, such as the method used to preserve the distance junction , the existence and uniqueness of solution for the level set equations. The main contribution is t... Some basic problems on the level set methods were discussed, such as the method used to preserve the distance junction , the existence and uniqueness of solution for the level set equations. The main contribution is to prove that in a neighborhood of the initial zero level set, the level set equations with the restriction of the distance function have a unique solution, which must be the signed distance function with respect to the evolving surface. Some skillful approaches were used: Noticing that any solution for the original equation was a distance function, the original level set equations were transformed into a simpler alternative form. Moreover, since the new system was not a classical one, the system was transformed into an ordinary one, for which the implicit function method was adopted. 展开更多
关键词 level set methods distance function existence and uniqueness of the solution
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扶正化浊汤联合甲状腺片治疗对甲状腺结节大小及疗效的影响 被引量:1
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作者 韩娟 张立文 +4 位作者 宋金岭 董进 李海华 赵辉 左艳敏 《贵州医科大学学报》 CAS 2024年第3期463-468,共6页
目的探讨扶正化浊汤治疗甲状腺结节(TN)对结节大小的影响。方法TN患者106例,随机均分为观察组和对照组,对照组给予左甲状腺素钠片常规治疗,观察组在对照组基础上同时增加扶正化浊汤治疗;于治疗前、治疗3个月时,对2组患者进行中医主症评... 目的探讨扶正化浊汤治疗甲状腺结节(TN)对结节大小的影响。方法TN患者106例,随机均分为观察组和对照组,对照组给予左甲状腺素钠片常规治疗,观察组在对照组基础上同时增加扶正化浊汤治疗;于治疗前、治疗3个月时,对2组患者进行中医主症评分,采用彩色多普勒超声仪记录2组患者结节数目、最大直径、结节体积、血流阻力指数(RI)及搏动指数(PI),同时采集患者外周静脉血4 mL,检测促甲状腺激素(TSH)、游离三碘甲状腺原氨酸(FT3)、游离四碘甲腺原氨酸(FT4)及血管内皮生长因子(VEGF)水平,治疗3个月后评估2组患者的西医疗效,记录2组治疗期间恶心、呕吐、皮疹及口干等不良反应发生情况。结果治疗后3个月,2组中医主症评分均较治疗前下降,且观察组低于对照组(P<0.05);与对照组比较,2组TN患者治疗3个月后结节数目减少、结节最大直径和结节体积均降低,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后3个月,观察组TSH低于对照组,FT 3、FT 4高于对照组(P<0.05);治疗3个月后,观察组VEGF、RI、PI低于对照组(P<0.05);观察组西医疗效和中医证候疗效中的临床痊愈和总有效率均高于对照组,差异有统计学意义(P<0.05);比较观察组与对照组不良反应发生率比较,差异无统计学意义(P>0.05)。结论扶正化浊汤治疗TN疗效显著,可有效减轻患者症状,减小结节数目及大小,调节甲状腺功能,改善血流状况,降低VEGF表达,且安全性高。 展开更多
关键词 甲状腺结节 扶正化浊汤 疗效 结节大小 甲状腺功能 血管内皮生长因子水平
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变滞回性能阻尼器的抗震性能及其在RC排架墩中的应用
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作者 董慧慧 李艳玲 +1 位作者 韩强 杜修力 《振动与冲击》 EI CSCD 北大核心 2024年第8期98-108,共11页
为了实现分级保护主体结构同时减小传统耗能阻尼器在强震作用下的残余变形的目的,提出一种基于形状记忆合金(shape memory alloy,SMA)板环的新型变滞回性能阻尼器(variable hysteresis performance damper based on shape memory alloy,... 为了实现分级保护主体结构同时减小传统耗能阻尼器在强震作用下的残余变形的目的,提出一种基于形状记忆合金(shape memory alloy,SMA)板环的新型变滞回性能阻尼器(variable hysteresis performance damper based on shape memory alloy,SMA-VHD)。首先阐明了新型阻尼器的基本构造,揭示了其变滞回性能工作机理和自复位原理。通过对SMA板材进行材性试验确定了SMA板材的关键性能参数,进而建立阻尼器精细化有限元模型,系统研究阻尼器的滞回性能及参数影响规律。最后将新型阻尼器应用于RC排架墩中,通过动力时程分析研究附加阻尼器桥墩结构的分阶段抗震性能。研究结果表明:SMA板材应力应变关系呈“旗帜型”,具有良好的自复位能力;SMA-VHD滞回曲线呈现明显分级平台,随着阻尼器变形的增加,其滞回曲线由饱满的矩形变为具有自复位功能的“旗帜型”,表明该阻尼器具有变滞回性能的特性;将SMA-VHD应用到RC排架墩中,可有效实现结构的分级抗震,提高桥墩结构的抗震性能水平。 展开更多
关键词 变滞回性能阻尼器(VHD) 形状记忆合金(SMA) RC排架墩 自复位功能 分级抗震
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综合行政执法改革过程中的多维结构变迁与能动者策略 被引量:2
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作者 叶贵仁 蔡龚涛 《理论与改革》 北大核心 2024年第1期152-165,168,共15页
推动执法权属地化与综合化是夯实基层政权建设的重要一环,但在政策实践中,并不必然带来治理效能的提升。事权下放后,基层治理结构的实质性变革如何形塑执法主体的行为策略,以提升事权承接的有效性,是亟待回答的重要议题。文章从“结构... 推动执法权属地化与综合化是夯实基层政权建设的重要一环,但在政策实践中,并不必然带来治理效能的提升。事权下放后,基层治理结构的实质性变革如何形塑执法主体的行为策略,以提升事权承接的有效性,是亟待回答的重要议题。文章从“结构—过程—功能”的视角出发,对一个街道综合行政执法体制改革进行系统考察,构建理解多维结构变迁中能动者策略生成的分析框架。研究发现,在改革过程中,综合执法部门所嵌入的横向结构在权力、责任和资源维度发生系统性变迁。执法主体在基层治理结构所设定的规则约束与行动空间中,基于复杂性和概率性两个维度,划分四种类型的执法任务,并能动地创设动员式、裁剪式、扩容式等执法策略,衔接再配置的结构性要素与复杂外部事务治理环节,从而有效回应“块块”运作规则和事权下放的内在要求。 展开更多
关键词 综合行政执法 结构功能主义 能动者策略 基层治理 执法任务
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面向功能治理的市级国土空间用途管制体系优化研究
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作者 刘合林 唐永伟 +2 位作者 黄玉霖 王雨晨 王智勇 《规划师》 北大核心 2024年第6期8-15,共8页
从功能治理的角度切入,反思当前市级国土空间用途管制体系存在的问题,认为市级国土空间管制体系需要同时实现价值目标、功能目标和管理目标。在此基础上,提出市级国土空间用途管制体系优化需要遵循的价值逻辑、技术逻辑、行政逻辑,并基... 从功能治理的角度切入,反思当前市级国土空间用途管制体系存在的问题,认为市级国土空间管制体系需要同时实现价值目标、功能目标和管理目标。在此基础上,提出市级国土空间用途管制体系优化需要遵循的价值逻辑、技术逻辑、行政逻辑,并基于治理目标和逻辑遵循,提出市级国土空间用途管制体系优化的3条基本路径:目标引领,构建全域全要素的“目标—功能—空间”传导路径;效能导向,完善多维融合的国土空间精细化用途管制规则;多元协同,优化多层级与多主体协同的用途管制事权组织。随后,以鄂州市为例,阐述基于上述理论框架的国土空间用途管制体系优化的地方实践,以期为国土空间用途管制体系的优化提供参考。 展开更多
关键词 国土空间 用途管制体系 功能治理 市级 优化路径
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属性权重动态更新的自适应群体共识决策方法
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作者 庞继芳 侯治国 +1 位作者 宋鹏 张超 《智能系统学报》 CSCD 北大核心 2024年第4期941-951,共11页
为了提高不确定语言环境下异构多属性群决策的质量、效率及可解释性,提出一种属性权重动态更新的自适应群体共识决策方法。首先,定义不确定语言变量与中间值之间的转换函数,发展多级共识测度,建立计算属性初始权重的双目标优化模型;进而... 为了提高不确定语言环境下异构多属性群决策的质量、效率及可解释性,提出一种属性权重动态更新的自适应群体共识决策方法。首先,定义不确定语言变量与中间值之间的转换函数,发展多级共识测度,建立计算属性初始权重的双目标优化模型;进而,构建包含群体共识自动达成规则和属性权重动态更新机制的自适应共识模型,实现待调整值的精准定位和自动修改,在优化属性权重的同时进一步提升群体共识水平;然后,对于达成共识的群体决策矩阵,先利用转换函数将中间值转换为不确定语言变量,再使用属性权重和集结算子得到各方案的综合评价结果;最后,通过供应商选择实例和实验比较分析验证所提方法的有效性和可行性。本文研究结果为灵活、高效地求解复杂环境下的多属性群决策问题提供了有效途径。 展开更多
关键词 异构多属性群决策 不确定语言变量 转换函数 多级共识测度 属性权重 双目标优化 自适应共识模型 可解释性
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血府逐瘀口服液治疗狼疮性肾炎的临床疗效及对免疫学指标的影响
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作者 徐娜 韩梅 +3 位作者 封锦慧 孙垚 任占芬 贾军利 《中国药业》 CAS 2024年第9期130-135,共6页
目的探讨血府逐瘀口服液治疗狼疮性肾炎的临床疗效,以及对患者免疫学指标的影响。方法选取河北北方学院附属第二医院2021年10月至2022年10月收治的狼疮性肾炎患者60例,按随机数字表法分为对照组和观察组,各30例。两组患者均予常规药物治... 目的探讨血府逐瘀口服液治疗狼疮性肾炎的临床疗效,以及对患者免疫学指标的影响。方法选取河北北方学院附属第二医院2021年10月至2022年10月收治的狼疮性肾炎患者60例,按随机数字表法分为对照组和观察组,各30例。两组患者均予常规药物治疗,观察组患者加用血府逐瘀口服液,两组患者均治疗3个月。结果治疗后,观察组患者的系统性红斑狼疮疾病活动指数(SLEDAI)评分、白细胞计数(WBC)、红细胞沉降率(ESR)、C反应蛋白(CRP)、24 h尿蛋白定量、尿红细胞计数、血肌酐(SCr)、血尿素氮(BUN)、免疫球蛋白A(IgA)、免疫球蛋白G(IgG)水平及CD_(8)^(+)T细胞、滤泡辅助性T细胞(Tfh)百分率均显著低于对照组(P<0.05),补体C3、白蛋白(Alb)、胸腺肽β4、活性E玫瑰花结形成细胞百分数、淋巴细胞计数、CD_(4)^(+)T细胞、CD_(4)^(+)/CD_(8)^(+)均显著高于对照组(P<0.05);两组患者的抗双链DNA抗体阳性发生率均较治疗前显著降低(P<0.05),但组间无显著差异。观察组患者的感染发生率显著低于对照组(3.33%比26.67%,P<0.05),总有效率显著高于对照组(86.67%比63.33%,P<0.05),不良反应发生率与对照组相当(6.67%比13.33%,P>0.05)。Pearson相关性分析结果显示,胸腺肽β4水平与SLEDAI评分、WBC、ESR、CRP、24 h尿蛋白定量、尿红细胞计数、SCr、BUN、IgA、IgG、CD_(8)^(+)T细胞、Tfh细胞百分率均呈负相关(r=-0.729,-0.418,-0.674,-0.785,-0.651,-0.512,-0.684,-0.676,-0.499,-0.513,-0.624,-0.631,P<0.05),与补体C3、Alb、活性E玫瑰花结形成细胞百分数、淋巴细胞计数、CD_(4)^(+)T细胞、CD_(4)^(+)/CD_(8)^(+)均呈正相关(r=0.475,0.452,0.619,0.626,0.633,0.645,P<0.05)。结论血府逐瘀口服液治疗狼疮性肾炎的临床疗效良好,可提升患者机体的免疫水平,改善肾功能,减少感染的发生,促进病情恢复,其作用机制可能与血府逐瘀口服液能促进胸腺肽β4的合成相关。 展开更多
关键词 血府逐瘀口服液 胸腺肽 狼疮性肾炎 免疫水平 肾功能
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清瘟败毒饮加减对小儿川崎病(气血两燔证)的临床改善及对患儿血清炎症和免疫功能的影响
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作者 张小平 杨蕊华 +2 位作者 杜丽芳 孙晔 马晓路 《中华中医药学刊》 CAS 北大核心 2024年第10期35-39,共5页
目的观察清瘟败毒饮加减联合丙种球蛋白治疗小儿川崎病(气血两燔证)的临床疗效及其对患儿血清炎症和免疫功能的影响。方法选择2020年1月—2023年12月于医院心内科治疗的220例小儿川崎病患儿并随机分为两组,每组110例,其中对照组患儿予... 目的观察清瘟败毒饮加减联合丙种球蛋白治疗小儿川崎病(气血两燔证)的临床疗效及其对患儿血清炎症和免疫功能的影响。方法选择2020年1月—2023年12月于医院心内科治疗的220例小儿川崎病患儿并随机分为两组,每组110例,其中对照组患儿予以阿司匹林联合丙球蛋白治疗,观察组在对照组基础上联合清瘟败毒饮加减治疗。比较两组患儿的临床疗效、症状消失时间,以及治疗前后血清炎症因子水平、免疫功能、心功能变化。结果对照组患儿的有效率为90.91%(100/110),观察组患儿的有效率为98.18%(108/110),与对照组比较,观察组的有效率显著升高(P<0.05)。与对照组比较,观察组患儿的发热等典型临床症状消失时间明显缩短(P<0.01)。干预完成后,观察组患儿白介素-6(interleukin-6,IL-6)、C-反应蛋白(C-reactive protein,CRP)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)等血清炎症因子水平相较于对照组均明显降低(P<0.01)。干预前两组患儿的免疫功能指标水平无明显差异(P>0.05);干预完成后,观察组患儿CD_(4)^(+)和CD_(4)^(+)/CD_(8)^(+)水平相较于对照组明显升高,而CD_(8)^(+)水平明显下降,差异具有统计学意义(P<0.01,P<0.05);CD_(3)^(+)水平有上调趋势,但差异无统计学意义(P>0.05)。干预前两组患儿的心功能无明显差异(P>0.05);干预完成后,观察组患儿血清中心脏型脂肪酸结合蛋白(Heart-type fatty acid binding protein,h-FABP)及B型钠尿肽(B-type natriuretic peptide,BNP)水平相较于对照组均明显下降(P<0.01)。干预过程中所有患儿的主要不良反应有恶心呕吐、食欲不振、腹痛腹泻等,症状轻微,两组患儿的不良反应发生率无明显差异(P>0.05)。结论清瘟败毒饮加减联合丙球蛋白治疗小儿川崎病干预效果较好,对改善患儿临床症状、抑制炎症反应、保护心脏功能、调节免疫功能、不良反应有较好干预效果。 展开更多
关键词 清瘟败毒饮 小儿川崎病 气血两燔证 丙种球蛋白 免疫功能 炎症水平 临床研究
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