Dee,in"Everyday Use",is portrayed as a negative character.Nevertheless,some critics suggest to re-interpret her for some reasonable causes.By using close-reading,this article try to re-evaluate Dee so to eva...Dee,in"Everyday Use",is portrayed as a negative character.Nevertheless,some critics suggest to re-interpret her for some reasonable causes.By using close-reading,this article try to re-evaluate Dee so to evalue Alice Walker’s valuable devotion in character depiction.展开更多
Purpose: Additional analyses of outcomes of laser-assisted subepithelial keratectomy (LASEK) are still necessary to improve the safety of LASEK. Therefore, in our study, outcomes were assessed retrospectively in 561 e...Purpose: Additional analyses of outcomes of laser-assisted subepithelial keratectomy (LASEK) are still necessary to improve the safety of LASEK. Therefore, in our study, outcomes were assessed retrospectively in 561 eyes that underwent LASEK treatment. Methods: Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA) and residual spherical equivalent were analyzed at 3 and 6 months postoperatively. We assessed four subgroups based on the degree of preoperative myopia considering mean BSCVA and loss of two or more lines. Results: Mean UCVAs and BSCVAs were obtained at 3 and 6 months postoperatively (1.23/1.35 and 1.23/1.37, respectively). The mean predictability was within ±0.125 diopters. Conversely, the safety indexes were 0.94 and 0.96 respectively, and the efficacy indexes were 0.86 and 0.86 at 3 and 6 months postoperatively, respectively. 8.4% eyes and 5.2% eyes lost two or more lines of BSCVA at 3 and 6 months postoperatively, respectively. The mean BSCVAs of the high or ultra-high groups were significantly lower than those of the low or mild groups both 3 months and 6 months postoperatively. The incidence rates of losing two or more lines of BSCVA in the high or ultra-high myopia groups were significantly greater than in the low or mild groups at 3 months and 6 months postoperatively. Conclusion: LASEK predictably corrected myopia achieving >1.2 in UCVA and BSCVA. However, the safety and efficacy indexes were <1.0, which were related to the loss of two or more lines of BSCVA. Since the incidence rates of losing two or more lines of BSCVA were greater in the high or ultra-high myopia groups, we consider LASEK as more safely performed in patients with low to mild preoperative myopia.展开更多
Objective: To re-evaluate the systematic review of Rheumatoid arthritis (RA) treatmentwith total glucosides of paeony (TGP) to provide evidence-based evidence for the treatmentof RA with TGP in the clinic. Methods: A ...Objective: To re-evaluate the systematic review of Rheumatoid arthritis (RA) treatmentwith total glucosides of paeony (TGP) to provide evidence-based evidence for the treatmentof RA with TGP in the clinic. Methods: A total of eight databases including CNKI, Wan FangData, CBM, VIP, PubMed, Embase, Cochrane Library, and Web of Science were searched bycomputer for the systematic reviews/meta-analyses concerning the treatment of RA withTGP. The retrieval period was from the establishment of the database to May 2, 2022.Literature screening was conducted based on the randomized controlled trial, and thematerials of the included literature were extracted. Using the preferred reporting items forsystematic reviews and meta-analyses statement. The a measurement tool to assesssystematic reviews 2 scale and grades of recommendation, assessment, development, andevaluation system evaluated the reporting quality, methodological quality, and outcomeindicators evidence levels included in the literature. Results: Six systematicreviews/meta-analysis literature were finally included. Evaluation of the preferred reportingitems for systematic reviews and meta-analyses statement showed that the overall reportingquality of included literature was low, and only one piece with high quality was included.The results of the a measurement tool to assess systematic reviews 2 scale evaluationshowed that the qualities of included literature were all low-level and highly low-level. Thegrades of recommendation, assessment, development, and evaluation evidence qualityevaluation showed a total of 39 outcome indicators in the six included literature, and alloutcome indicators were intermediate, low-level, and extremely low in evidence evaluation.Conclusion: Many pieces of evidence show that TGP has certain advantages in alleviatingclinical symptoms, reducing adverse reactions, and reducing hepatotoxicity in the treatmentof RA, but this conclusion lacks high-level evidence to support it, which needs to be provedby more studies in the future.展开更多
Intuitionistic fuzzy numbers incorporate the membership and non-membership degrees.In contrast,Z-numbers consist of restriction components,with the existence of a reliability component describing the degree of certain...Intuitionistic fuzzy numbers incorporate the membership and non-membership degrees.In contrast,Z-numbers consist of restriction components,with the existence of a reliability component describing the degree of certainty for the restriction.The combination of intuitionistic fuzzy numbers and Z-numbers produce a new type of fuzzy numbers,namely intuitionistic Z-numbers(IZN).The strength of IZN is their capability of better handling the uncertainty compared to Zadeh's Z-numbers since both components of Z-numbers are charac-terized by the membership and non-membership functions,exhibiting the degree of the hesitancy of decision-makers.This paper presents the application of such numbers in fuzzy multi-criteria decision-making problems.A decision-making model is proposed using the trapezoidal intuitionistic fuzzy power ordered weighted average as the aggregation function and the ranking function to rank the alternatives.The proposed model is then implemented in a supplier selection problem.The obtained ranking is compared to the existing models based on Z-numbers.The results show that the ranking order is slightly different from the existing models.Sensitivity analysis is performed to validate the obtained ranking.The sensitivity analysis result shows that the best supplier is obtained using the proposed model with 80%to 100%consistency despite the drastic change of criteria weights.Intuitionistic Z-numbers play a very important role in describing the uncertainty in the decision makers’opinions in solving decision-making problems.展开更多
With the development of central-private enterprises integration,selecting suitable key suppliers are able to provide core components for smart complex equipment.We consider selecting suitable key suppliers from matchi...With the development of central-private enterprises integration,selecting suitable key suppliers are able to provide core components for smart complex equipment.We consider selecting suitable key suppliers from matching perspective,for it not only satisfies natural development of smart complex equipment,it is also a good implementation of equipment project in central-private enterprises integration context.In in this paper,we carry out two parts of research,one is evaluation attributes based on comprehensive analysis,and the other is matching process between key suppliers and core components based on the matching attribute.In practical analysis process,we employ comprehensive evaluated analysis methods to acquire relevant attributes for the matching process that follows.In the analysis process,we adopt entropy-maximum deviation method(MDM)-decision-making trial and evaluation laboratory(DEMATEL)-technique for order preference by similarity to an ideal solution(TOPSIS)to obtain a comprehensive analysis.The entropy-MDM is applied to get weight value,DEMATEL is utilized to obtain internal relations,and TOPSIS is adopted to get ideal evaluated solution.We consider aggregating two types of evaluation information according to similarities of smart complex equipment based on the combination between geometric mean and arithmetic mean.Moreover,based on the aforementioned attributes and generalized power Heronian mean operator,we aggregate preference information to acquire relevant satisfaction degree,then combine the constructed matching model to get suitable key supplier.Through comprehensive analysis of selecting suitable suppliers,we know that two-sided matching and information aggregation can provide more research perspectives for smart complex equipment.Through analysis for relevant factors,we find that leading role and service level are also significant for the smart complex equipment development process.展开更多
文摘Dee,in"Everyday Use",is portrayed as a negative character.Nevertheless,some critics suggest to re-interpret her for some reasonable causes.By using close-reading,this article try to re-evaluate Dee so to evalue Alice Walker’s valuable devotion in character depiction.
文摘Purpose: Additional analyses of outcomes of laser-assisted subepithelial keratectomy (LASEK) are still necessary to improve the safety of LASEK. Therefore, in our study, outcomes were assessed retrospectively in 561 eyes that underwent LASEK treatment. Methods: Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA) and residual spherical equivalent were analyzed at 3 and 6 months postoperatively. We assessed four subgroups based on the degree of preoperative myopia considering mean BSCVA and loss of two or more lines. Results: Mean UCVAs and BSCVAs were obtained at 3 and 6 months postoperatively (1.23/1.35 and 1.23/1.37, respectively). The mean predictability was within ±0.125 diopters. Conversely, the safety indexes were 0.94 and 0.96 respectively, and the efficacy indexes were 0.86 and 0.86 at 3 and 6 months postoperatively, respectively. 8.4% eyes and 5.2% eyes lost two or more lines of BSCVA at 3 and 6 months postoperatively, respectively. The mean BSCVAs of the high or ultra-high groups were significantly lower than those of the low or mild groups both 3 months and 6 months postoperatively. The incidence rates of losing two or more lines of BSCVA in the high or ultra-high myopia groups were significantly greater than in the low or mild groups at 3 months and 6 months postoperatively. Conclusion: LASEK predictably corrected myopia achieving >1.2 in UCVA and BSCVA. However, the safety and efficacy indexes were <1.0, which were related to the loss of two or more lines of BSCVA. Since the incidence rates of losing two or more lines of BSCVA were greater in the high or ultra-high myopia groups, we consider LASEK as more safely performed in patients with low to mild preoperative myopia.
基金National Natural Science Foundation of China(NO.81804050)Henan province traditional Chinese medicine scientific research special major subject(NO.20-21ZYZD05)Henan province traditional Chinese medicine scientific research special general subject(NO.2022ZY1062).
文摘Objective: To re-evaluate the systematic review of Rheumatoid arthritis (RA) treatmentwith total glucosides of paeony (TGP) to provide evidence-based evidence for the treatmentof RA with TGP in the clinic. Methods: A total of eight databases including CNKI, Wan FangData, CBM, VIP, PubMed, Embase, Cochrane Library, and Web of Science were searched bycomputer for the systematic reviews/meta-analyses concerning the treatment of RA withTGP. The retrieval period was from the establishment of the database to May 2, 2022.Literature screening was conducted based on the randomized controlled trial, and thematerials of the included literature were extracted. Using the preferred reporting items forsystematic reviews and meta-analyses statement. The a measurement tool to assesssystematic reviews 2 scale and grades of recommendation, assessment, development, andevaluation system evaluated the reporting quality, methodological quality, and outcomeindicators evidence levels included in the literature. Results: Six systematicreviews/meta-analysis literature were finally included. Evaluation of the preferred reportingitems for systematic reviews and meta-analyses statement showed that the overall reportingquality of included literature was low, and only one piece with high quality was included.The results of the a measurement tool to assess systematic reviews 2 scale evaluationshowed that the qualities of included literature were all low-level and highly low-level. Thegrades of recommendation, assessment, development, and evaluation evidence qualityevaluation showed a total of 39 outcome indicators in the six included literature, and alloutcome indicators were intermediate, low-level, and extremely low in evidence evaluation.Conclusion: Many pieces of evidence show that TGP has certain advantages in alleviatingclinical symptoms, reducing adverse reactions, and reducing hepatotoxicity in the treatmentof RA, but this conclusion lacks high-level evidence to support it, which needs to be provedby more studies in the future.
基金funded by the Fundamental Research Grant Scheme under the Ministry of Higher Education Malaysia FRGS/1/2019/STG06/UMP/02/9.
文摘Intuitionistic fuzzy numbers incorporate the membership and non-membership degrees.In contrast,Z-numbers consist of restriction components,with the existence of a reliability component describing the degree of certainty for the restriction.The combination of intuitionistic fuzzy numbers and Z-numbers produce a new type of fuzzy numbers,namely intuitionistic Z-numbers(IZN).The strength of IZN is their capability of better handling the uncertainty compared to Zadeh's Z-numbers since both components of Z-numbers are charac-terized by the membership and non-membership functions,exhibiting the degree of the hesitancy of decision-makers.This paper presents the application of such numbers in fuzzy multi-criteria decision-making problems.A decision-making model is proposed using the trapezoidal intuitionistic fuzzy power ordered weighted average as the aggregation function and the ranking function to rank the alternatives.The proposed model is then implemented in a supplier selection problem.The obtained ranking is compared to the existing models based on Z-numbers.The results show that the ranking order is slightly different from the existing models.Sensitivity analysis is performed to validate the obtained ranking.The sensitivity analysis result shows that the best supplier is obtained using the proposed model with 80%to 100%consistency despite the drastic change of criteria weights.Intuitionistic Z-numbers play a very important role in describing the uncertainty in the decision makers’opinions in solving decision-making problems.
文摘With the development of central-private enterprises integration,selecting suitable key suppliers are able to provide core components for smart complex equipment.We consider selecting suitable key suppliers from matching perspective,for it not only satisfies natural development of smart complex equipment,it is also a good implementation of equipment project in central-private enterprises integration context.In in this paper,we carry out two parts of research,one is evaluation attributes based on comprehensive analysis,and the other is matching process between key suppliers and core components based on the matching attribute.In practical analysis process,we employ comprehensive evaluated analysis methods to acquire relevant attributes for the matching process that follows.In the analysis process,we adopt entropy-maximum deviation method(MDM)-decision-making trial and evaluation laboratory(DEMATEL)-technique for order preference by similarity to an ideal solution(TOPSIS)to obtain a comprehensive analysis.The entropy-MDM is applied to get weight value,DEMATEL is utilized to obtain internal relations,and TOPSIS is adopted to get ideal evaluated solution.We consider aggregating two types of evaluation information according to similarities of smart complex equipment based on the combination between geometric mean and arithmetic mean.Moreover,based on the aforementioned attributes and generalized power Heronian mean operator,we aggregate preference information to acquire relevant satisfaction degree,then combine the constructed matching model to get suitable key supplier.Through comprehensive analysis of selecting suitable suppliers,we know that two-sided matching and information aggregation can provide more research perspectives for smart complex equipment.Through analysis for relevant factors,we find that leading role and service level are also significant for the smart complex equipment development process.