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Free vibration and buckling analysis of polymeric composite beams reinforced by functionally graded bamboo fbers
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作者 H.M.FEIZABAD M.H.YAS 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI CSCD 2024年第3期543-562,共20页
Natural fibers have been extensively researched as reinforcement materials in polymers on account of their environmental and economic advantages in comparison with synthetic fibers in the recent years.Bamboo fibers ar... Natural fibers have been extensively researched as reinforcement materials in polymers on account of their environmental and economic advantages in comparison with synthetic fibers in the recent years.Bamboo fibers are renowned for their good mechanical properties,abundance,and short cycle growth.As beams are one of the fundamental structural components and are susceptible to mechanical loads in engineering applications,this paper performs a study on the free vibration and buckling responses of bamboo fiber reinforced composite(BFRC)beams on the elastic foundation.Three different functionally graded(FG)layouts and a uniform one are the considered distributions for unidirectional long bamboo fibers across the thickness.The elastic properties of the composite are determined with the law of mixture.Employing Hamilton’s principle,the governing equations of motion are obtained.The generalized differential quadrature method(GDQM)is then applied to the equations to obtain the results.The achieved outcomes exhibit that the natural frequency and buckling load values vary as the fiber volume fractions and distributions,elastic foundation stiffness values,and boundary conditions(BCs)and slenderness ratio of the beam change.Furthermore,a comparative study is conducted between the derived analysis outcomes for BFRC and homogenous polymer beams to examine the effectiveness of bamboo fibers as reinforcement materials,demonstrating the significant enhancements in both vibration and buckling responses,with the exception of natural frequencies for cantilever beams on the Pasternak foundation with the FG-◇fiber distribution.Eventually,the obtained analysis results of BFRC beams are also compared with those for carbon nanotube reinforced composite(CNTRC)beams found in the literature,indicating that the buckling loads and natural frequencies of BFRC beams are lower than those of CNTRC beams. 展开更多
关键词 bamboo fiber free vibration buckling analysis functionally graded(FG)beam elastic foundation generalized differential quadrature method(GDQM)
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Sound Transmission Loss Analysis of a Double Plate-Acoustic Cavity Coupling System with In-Plane Functionally Graded Materials
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作者 Changzhong Chen Mingfei Chen Wenliang Yu 《Journal of Applied Mathematics and Physics》 2024年第6期2333-2345,共13页
In this paper, the isogeometric analysis (IGA) is employed to develop an acoustic radiation model for a double plate-acoustic cavity coupling system, with a focus on analyzing the sound transmission loss (STL). The fu... In this paper, the isogeometric analysis (IGA) is employed to develop an acoustic radiation model for a double plate-acoustic cavity coupling system, with a focus on analyzing the sound transmission loss (STL). The functionally graded (FG) plate exhibits a different material properties in-plane, and the power-law rule is adopted as the governing principle for material mixing. To validate the harmonic response and demonstrate the accuracy and convergence of the isogeometric modeling, ANASYS is utilized to compare with numerical examples. A plane wave serves as the acoustic excitation, and the Rayleigh integral is applied to discretize the radiated plate. The STL results are compared with the literature, confirming the reliability of the coupling system. Finally, the investigation is conducted to study impact of cavity depth and power-law parameter on the STL. 展开更多
关键词 Isogeometric analysis Sound Transmission Loss Double-Plate System Functionally graded Materials Acoustic Structure Coupling
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Application Analysis of Nursing Students'Grades in Course Relevance Based on Association Rule Mining Algorithm Apriori
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作者 Xuemei Li Edward CJimenez 《Journal of Contemporary Educational Research》 2024年第2期213-223,共11页
By analyzing the correlation between courses in students’grades,we can provide a decision-making basis for the revision of courses and syllabi,rationally optimize courses,and further improve teaching effects.With the... By analyzing the correlation between courses in students’grades,we can provide a decision-making basis for the revision of courses and syllabi,rationally optimize courses,and further improve teaching effects.With the help of IBM SPSS Modeler data mining software,this paper uses Apriori algorithm for association rule mining to conduct an in-depth analysis of the grades of nursing students in Shandong College of Traditional Chinese Medicine,and to explore the correlation between professional basic courses and professional core courses.Lastly,according to the detailed analysis of the mining results,valuable curriculum information will be found from the actual teaching data. 展开更多
关键词 grade analysis Apriori algorithm Course relevance Data mining
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热敏灸治疗颈型颈椎病的Meta分析及GRADE证据等级评价
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作者 周佳佳 邓秀红 +1 位作者 易媛媛 雷丽芳 《中国中医药现代远程教育》 2024年第7期107-110,共4页
目的系统评价热敏灸及其综合疗法用于颈型颈椎病的临床效果,为热敏灸治疗颈型颈椎病提供更好的证据来源。方法收集国内外各大数据库热敏灸及其综合疗法用于颈型颈椎病的随机对照试验(RCT),通过Revman 5.3软件进行Meta分析,按照GRADE标... 目的系统评价热敏灸及其综合疗法用于颈型颈椎病的临床效果,为热敏灸治疗颈型颈椎病提供更好的证据来源。方法收集国内外各大数据库热敏灸及其综合疗法用于颈型颈椎病的随机对照试验(RCT),通过Revman 5.3软件进行Meta分析,按照GRADE标准对结局指标进行证据质量评价。结果纳入9篇文献共855例患者,Meta分析结果提示:热敏灸及其综合疗法组在提高总有效率(RR=1.19,P<0.01)和治愈率(RR=1.73,P<0.01)、降低视觉模拟量表(VAS)评分(SMD=-0.73,P<0.01)、简化McGill疼痛问卷(SF-MPQ)评分(SMD=-1.28,P<0.05)以及NPQ颈痛量表评分(SMD=-0.81,P<0.05)方面都优于对照组;GRADE证据等级评价提示:前三者为低质量证据,后二者为极低质量证据。结论热敏灸及其综合疗法用于颈型颈椎病在提高临床效果、镇痛以及改善患者生活质量方面更具优势。 展开更多
关键词 颈型颈椎病 热敏灸 META分析 grade评价
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Materials Selection of Thermoplastic Matrices of Natural Fibre Composites for Cyclist Helmet Using an Integration of DMAIC Approach in Six Sigma Method Together with Grey Relational Analysis Approach
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作者 N.A.Maidin S.M.Sapuan +1 位作者 M.T.Mastura M.Y.M.Zuhri 《Journal of Renewable Materials》 SCIE EI 2023年第5期2381-2397,共17页
Natural fibre reinforced polymer composite(NFRPC)materials are gaining popularity in the modern world due to their eco-friendliness,lightweight nature,life-cycle superiority,biodegradability,low cost,and noble mechani... Natural fibre reinforced polymer composite(NFRPC)materials are gaining popularity in the modern world due to their eco-friendliness,lightweight nature,life-cycle superiority,biodegradability,low cost,and noble mechanical properties.Due to the wide variety of materials available that have comparable attributes and satisfy the requirements of the product design specification,material selection has become a crucial component of design for engineers.This paper discusses the study’s findings in choosing the suitable thermoplastic matrices of Natural Fibre Composites for Cyclist Helmet utilising the DMAIC,and GRA approaches.The results are based on integrating two decision methods implemented utilising two distinct decision-making approaches:qualitative and quantitative.This study suggested thermoplastic polyethylene as a particularly ideal matrix in composite cyclist helmets during the selection process for the best thermoplastic matrices material using the 6σtechnique,with the decision based on the highest performance,the lightest weight,and the most environmentally friendly criteria.The DMAIC and GRA approach significantly influenced the material selection process by offering different tools for each phase.In the future study,selection technique may have been more exhaustive if more information from other factors had been added. 展开更多
关键词 Material selection DMAIC Six Sigma grey relational analysis thermoplastic matrices natural fibre polymerreinforced composites
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刮痧改善腰椎间盘突出疼痛症状的系统评价及GRADE证据质量评价
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作者 高玉洁 王佳怡 +4 位作者 葛浩天 徐桂华 杨敏 姜荣荣 陈华 《世界科学技术-中医药现代化》 CSCD 北大核心 2024年第2期419-428,共10页
目的系统评价刮痧干预腰椎间盘突出疼痛症状的疗效与安全性,为其临床治疗提供循证依据。方法计算机检索自建库到2022年8月29日前公开发表在中国知网、万方、维普、中国生物医学文献服务系统、PubMed、Embase、Web of Science、The Cochr... 目的系统评价刮痧干预腰椎间盘突出疼痛症状的疗效与安全性,为其临床治疗提供循证依据。方法计算机检索自建库到2022年8月29日前公开发表在中国知网、万方、维普、中国生物医学文献服务系统、PubMed、Embase、Web of Science、The Cochrane Library数据库,收集关于刮痧干预腰椎间盘突出的随机对照试验(Randomized controlled trial,RCT)。文章由两名研究者独立筛选,根据Cochrane Reviewers Handbook 6.2的偏倚风险评估工具对纳入文献进行质量评价,应用RevMan 5.4软件对纳入文献的结局指标进行Meta分析,并采用GRADE系统对结局指标进行证据质量等级评价。结果最终纳入10篇RCT,共1087例患者。Meta分析结果显示:刮痧试验组治疗腰椎间盘突出患者在疼痛VAS评分[MD=-1.11,95%CI(-1.58,-0.64),P<0.00001]、日本骨科协会(JOA)评分[MD=4.47,95%CI(3.76,5.17),P<0.00001]、临床有效率[relative risk(RR)=1.13,95%CI(1.08,1.19),P<0.00001]和护理满意度[RR=1.21,95%CI(1.09,1.34),P=0.0005]方面,明显优于对照组,差异均有统计学意义(P<0.00001)。本文结局指标的证据质量为极低。结论当前证据表明,刮痧治疗腰椎间盘突出患者的疼痛症状具有良好临床疗效,并有助于提高临床护理满意度。由于部分结局证据质量较低,有待严谨的多中心、大样本随机对照试验来进一步验证其有效性,提升临床证据。 展开更多
关键词 刮痧 腰椎间盘突出 系统评价 META分析 grade
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Multi-Criteria Group Decision-Making Method Based on an Improved Single-Valued Neutrosophic Hamacher Weighted Average Operator and Grey Relational Analysis
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作者 Ye Mei Junjie Yang Bo Chen 《Journal of Computer and Communications》 2023年第3期167-188,共22页
This paper proposes a multi-criteria decision-making (MCGDM) method based on the improved single-valued neutrosophic Hamacher weighted averaging (ISNHWA) operator and grey relational analysis (GRA) to overcome the lim... This paper proposes a multi-criteria decision-making (MCGDM) method based on the improved single-valued neutrosophic Hamacher weighted averaging (ISNHWA) operator and grey relational analysis (GRA) to overcome the limitations of present methods based on aggregation operators. First, the limitations of several existing single-valued neutrosophic weighted averaging aggregation operators (i.e. , the single-valued neutrosophic weighted averaging, single-valued neutrosophic weighted algebraic averaging, single-valued neutrosophic weighted Einstein averaging, single-valued neutrosophic Frank weighted averaging, and single-valued neutrosophic Hamacher weighted averaging operators), which can produce some indeterminate terms in the aggregation process, are discussed. Second, an ISNHWA operator was developed to overcome the limitations of existing operators. Third, the properties of the proposed operator, including idempotency, boundedness, monotonicity, and commutativity, were analyzed. Application examples confirmed that the ISNHWA operator and the proposed MCGDM method are rational and effective. The proposed improved ISNHWA operator and MCGDM method can overcome the indeterminate results in some special cases in existing single-valued neutrosophic weighted averaging aggregation operators and MCGDM methods. 展开更多
关键词 Single-Valued Neutrosophic Numbers Single-Valued Neutrosophic Hamacher Weighted Averaging Operator Grey relational analysis Multi-Criteria Decision-Making Multi-Criteria Group Decision-Making
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穴位埋线治疗功能性便秘疗效与安全性Meta分析及GRADE评价
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作者 胡露楠 林梦莹 +6 位作者 林湖灿 杨正宁 黄雅滢 杨欣怡 刘启鸿 任彦 柯晓 《山西中医药大学学报》 2024年第5期480-489,共10页
目的:系统评价穴位埋线治疗功能性便秘(FC)的疗效和安全性及纳入证据的质量,以期为临床决策提供循证医学证据。方法:检索中国知网(CNKI)、万方知识服务平台(WANFANG)、维普中文期刊数据库(VIP)、中国生物医学文献服务系统(SinoMed)、Emb... 目的:系统评价穴位埋线治疗功能性便秘(FC)的疗效和安全性及纳入证据的质量,以期为临床决策提供循证医学证据。方法:检索中国知网(CNKI)、万方知识服务平台(WANFANG)、维普中文期刊数据库(VIP)、中国生物医学文献服务系统(SinoMed)、Embase、PubMed和Cochrane Library数据库,搜集穴位埋线治疗FC的随机对照试验(RCT),检索时间均从建库至2023年10月16日。由2名研究者独立完成文献筛选、资料提取及偏倚风险评估,采用RevMan 5.4软件进行Meta分析,并采用GRADE评价方法对各项结局指标进行证据质量评价。结果:最终共纳入19项RCT,包括1673例患者。Meta分析结果显示,与对照组比较,穴位埋线治疗FC可提高总有效率[RR=1.23,95%CI=(1.17,1.29),P<0.00001],增加完全自发排便(CSBM)次数[MD=0.61,95%CI=(0.11,1.10),P=0.02],改善粪便性状[MD=0.53,95%CI=(0.31,0.76),P<0.00001]及排便困难[MD=-0.71,95%CI=(-1.03,-0.40),P<0.00001],缩短排便时间[MD=-0.50,95%CI=(-0.72,-0.29),P<0.00001],改善便秘生活质量评估量表(PAC-QOL)评分[MD=-7.72,95%CI=(-12.83,-2.61),P<0.003];两组不良反应发生率比较,差异无统计学意义[RR=0.37,95%CI=(0.10,1.38),P=0.14]。GRADE证据级别评价结果显示:总有效率为中级别证据质量,不良反应发生率、粪便性状评分、排便困难评分为低级别证据质量,CSBM次数、排便时间、PACQOL评分为极低级别证据质量。结论:穴位埋线治疗FC具有一定的疗效,可改善便秘相关症状,且未增加不良反应发生率。但纳入研究质量总体偏低,上述结论尚需开展更多高质量的研究予以验证。 展开更多
关键词 功能性便秘 穴位埋线 随机对照试验 META分析 grade评价
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腕踝针干预术后疼痛疗效的Meta分析和Grade评价 被引量:1
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作者 于明珠 赵丹娜 +3 位作者 杨艾影 喻悦 李鑫滟 朱宇 《军事护理》 CSCD 北大核心 2024年第5期101-106,114,共7页
目的运用循证医学方法对腕踝针干预术后疼痛的疗效和安全性进行系统评价和Grade评价。方法计算机检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Embase、Web of Science、Cochrane Library中关于腕踝针干预术后疼痛的随... 目的运用循证医学方法对腕踝针干预术后疼痛的疗效和安全性进行系统评价和Grade评价。方法计算机检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Embase、Web of Science、Cochrane Library中关于腕踝针干预术后疼痛的随机对照试验,检索时限为建库至2023年10月。采用RevMan 5.4软件进行Meta分析。结果纳入23篇文献,共计1968例患者,Meta分析结果显示,与常规治疗相比,腕踝针能够提高术后疼痛患者的总有效率[OR=4.42,95%CI(2.60,7.50),P<0.001],术后镇痛泵药量使用减少[MD=-9.03,95%CI(-12.09,-5.98),P<0.001],术后疼痛评分降低[MD=-1.39,95%CI(-1.68,-1.09),P<0.001],可减少不良反应发生率[RR=0.40,95%CI(0.32,0.48),P<0.001]以及临床满意度[OR=3.94,95%CI(2.40,6.48),P<0.001]。Grade证据分级结果显示:总有效率、不良反应发生率和临床满意度3项结局指标为中等质量证据,VAS评分指标为低质量证据,镇痛泵药量使用指标为极低质量证据。结论腕踝针可提高总有效率,减少术后镇痛药用量,不良反应少,安全性高,为患者提供了一种安全有效的镇痛方式。 展开更多
关键词 腕踝针 术后疼痛 META分析 grade评价
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乌梅丸加减治疗帕金森病的Meta分析及GRADE评价
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作者 蔡燕珊 文晓东 谭文澜 《云南中医中药杂志》 2024年第8期24-32,共9页
目的系统评估乌梅丸加减治疗帕金森病(parkinson's disease,PD)的疗效和安全性。方法计算机检索Cochrane Library、EMBASE、Web of Science、PubMed、CNKI、CBM等中英文数据库及临床试验中心,关于乌梅丸治疗PD的临床随机对照试验(ra... 目的系统评估乌梅丸加减治疗帕金森病(parkinson's disease,PD)的疗效和安全性。方法计算机检索Cochrane Library、EMBASE、Web of Science、PubMed、CNKI、CBM等中英文数据库及临床试验中心,关于乌梅丸治疗PD的临床随机对照试验(randomized controlled trial,RCT),检索时限从建库至2023年4月。进行资料整理及数据提取等工作后,最终纳入8项研究,治疗组(乌梅丸)和对照组分别纳入226例。使用RevMan 5.3及stata14软件进行荟萃分析,使用GRADEpro GDT评估各项结局指标的证据质量。结果治疗组降低PD统一评分量表(unified Parkinson s disease rating scale,UPDRS)的各项量表积分较对照组明显,其中在改善UPDRS I、III、IV方面具有统计学意义,结果分别为[MD=-0.769,95%CI(-1.213~-0.324),P=0.001]、[MD=-2.211,95%CI(-2.713~-1.708),P=0]、[MD=-0.526,95%CI(-1.041~-0.012),P=0.045]。2组在改善UPDRS总分方面差异无统计学意义[MD=3.964,95%CI(-9.465~17.392),P=0.563]。治疗组能显著提高治疗有效率,差异具有统计学意义[RR=1.709,95%CI(1.361~2.145),P=0]。各项研究均未发现不良事件发生及与治疗有关的检验指标异常。GRADE证据质量分级结果为UPDRS I、UPDRS III、UPDRS IV及有效率方面均为中等级别,UPDRS II为低等级,UPDRS总分为非常低。结论乌梅丸加减的应用对PD的治疗有一定效果,且具有良好的安全性。 展开更多
关键词 乌梅丸 帕金森病 META分析 grade评价
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A Hybrid Optimization Approach of Single Point Incremental Sheet Forming of AISI 316L Stainless Steel Using Grey Relation Analysis Coupled with Principal Component Analysiss
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作者 A Visagan P Ganesh 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS CSCD 2024年第1期160-166,共7页
We investigated the parametric optimization on incremental sheet forming of stainless steel using Grey Relational Analysis(GRA) coupled with Principal Component Analysis(PCA). AISI 316L stainless steel sheets were use... We investigated the parametric optimization on incremental sheet forming of stainless steel using Grey Relational Analysis(GRA) coupled with Principal Component Analysis(PCA). AISI 316L stainless steel sheets were used to develop double wall angle pyramid with aid of tungsten carbide tool. GRA coupled with PCA was used to plan the experiment conditions. Control factors such as Tool Diameter(TD), Step Depth(SD), Bottom Wall Angle(BWA), Feed Rate(FR) and Spindle Speed(SS) on Top Wall Angle(TWA) and Top Wall Angle Surface Roughness(TWASR) have been studied. Wall angle increases with increasing tool diameter due to large contact area between tool and workpiece. As the step depth, feed rate and spindle speed increase,TWASR decreases with increasing tool diameter. As the step depth increasing, the hydrostatic stress is raised causing severe cracks in the deformed surface. Hence it was concluded that the proposed hybrid method was suitable for optimizing the factors and response. 展开更多
关键词 single point incremental forming AISI 316L taguchi grey relation analysis principal component analysis surface roughness scanning electron microscopy
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Isogeometric Analysis of Hyperelastic Material Characteristics for Calcified Aortic Valve
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作者 Long Chen Ting Li +3 位作者 Liang Liu Wenshuo Wang Xiaoxiao Du Wei Wang 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第6期2773-2806,共34页
This study explores the implementation of computed tomography(CT)reconstruction and simulation techniques for patient-specific valves,aiming to dissect the mechanical attributes of calcified valves within transcathete... This study explores the implementation of computed tomography(CT)reconstruction and simulation techniques for patient-specific valves,aiming to dissect the mechanical attributes of calcified valves within transcatheter heart valve replacement(TAVR)procedures.In order to facilitate this exploration,it derives pertinent formulas for 3D multi-material isogeometric hyperelastic analysis based on Hounsfield unit(HU)values,thereby unlocking foundational capabilities for isogeometric analysis in calcified aortic valves.A series of uniaxial and biaxial tensile tests is executed to obtain an accurate constitutive model for calcified active valves.To mitigate discretization errors,methodologies for reconstructing volumetric parametric models,integrating both geometric and material attributes,are introduced.Applying these analytical formulas,constitutive models,and precise analytical models to isogeometric analyses of calcified valves,the research ascertains their close alignment with experimental results through the close fit in displacement-stress curves,compellingly validating the accuracy and reliability of the method.This study presents a step-by-step approach to analyzing themechanical characteristics of patient-specific valves obtained fromCT images,holding significant clinical implications and assisting in the selection of treatment strategies and surgical intervention approaches in TAVR procedures. 展开更多
关键词 Calcified aortic valves tensile test constitutive relations CT reconstruction isogeometric hyperelastic analysis
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基于GRADE证据质量评级的小青龙汤治疗过敏性鼻炎系统评价与试验序贯分析
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作者 刘佳睿 吴千言 +1 位作者 章莹 吴甜婧 《中医临床研究》 2024年第19期135-143,共9页
目的:系统评价小青龙汤治疗过敏性鼻炎的临床疗效和安全性,分析证据质量,验证研究结果的可信度。方法:检索中国知网、万方数据库、维普中文期刊服务平台、中国生物医学文献数据库、PubMed、Web of Science、The Cochrane Library等数据... 目的:系统评价小青龙汤治疗过敏性鼻炎的临床疗效和安全性,分析证据质量,验证研究结果的可信度。方法:检索中国知网、万方数据库、维普中文期刊服务平台、中国生物医学文献数据库、PubMed、Web of Science、The Cochrane Library等数据库中从建库至2023年7月31日小青龙汤治疗过敏性鼻炎的文献。对所得文献进行筛选、资料提取和评估,使用RevMan5.3软件进行Meta分析,使用Stata 16.0软件进行敏感性分析,使用TSA V0.9软件进行试验序贯分析,使用GRADEpro软件对结局指标进行证据质量评级。结果:纳入20篇随机对照试验(Randomized Controlled Trial,RCT),患者1 723例。Meta分析结果显示,试验组比对照组有更好的临床疗效[相对危险度(RR)=1.19,95%置信区间(CI)(1.14,1.25),P <0.000 01]。试验组在降低半年复发率[RR=0.50, 95%CI (0.32,0.78),P=0.002],降低鼻塞[加权均数差(WMD)=-0.20,95%CI(-0.26,-0.13),P <0.000 01]、流涕[WMD=-0.09,95%CI(-0.15,-0.03),P=0.004]、喷嚏[WMD=-0.21,95%CI(-0.28,-0.13),P <0.000 01]等症状积分及体征积分[WMD=-0.25,95%CI(-0.37,-0.14),P <0.000 1]和血清白细胞介素-4水平[WMD=-4.23,95%CI(-7.22,-1.23),P=0.006]方面均优于对照组。试验序贯分析进一步肯定了小青龙汤治疗过敏性鼻炎的疗效。GRADE证据质量分级显示,临床有效率、不良反应发生率、鼻痒积分为低质量证据,其余均为极低质量证据。结论:小青龙汤治疗过敏性鼻炎安全有效,但需要纳入更高质量的临床研究进一步验证。 展开更多
关键词 小青龙汤 过敏性鼻炎 grade证据 系统评价 试验序贯分析
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温针灸治疗原发性痛经有效性和安全性的系统评价及GRADE评价
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作者 陈奕臻 王庆波 《新中医》 CAS 2024年第8期139-147,共9页
目的:评价温针灸治疗原发性痛经的有效性和安全性。方法:根据PRISMA指南进行系统综述和荟萃分析。收集PubMed、Web of Science、EMBASE、Cochrane Library、中国知网、维普、万方、中国生物医学数据库自建库至2023年5月的随机对照试验... 目的:评价温针灸治疗原发性痛经的有效性和安全性。方法:根据PRISMA指南进行系统综述和荟萃分析。收集PubMed、Web of Science、EMBASE、Cochrane Library、中国知网、维普、万方、中国生物医学数据库自建库至2023年5月的随机对照试验。使用Review Manager 5.4对所有获得的数据进行分析。结果:温针灸治疗原发性痛经在提高临床疗效{风险比(RR)=1.21,95%置信区间(CI)[1.16,1.25],P<0.00001},改善阻力指数(RI){均数差(MD)=-0.14,95%CI[-0.19,-0.08],P<0.00001}、搏动指数(PI)(MD=-0.55,95%CI[-0.69,-0.40],P<0.00001)、β-内啡肽(β-EP){标准化均数差(SMD)=1.36,95%CI[0.90,1.82],P<0.00001}、痛经证候积分(MD=-1.82,95%CI[-2.77,-0.87],P=0.0002)、疼痛视觉模拟评分法(VAS)评分(MD=-1.16,95%CI[-1.48,-0.83],P<0.00001)方面的作用优于单独的常规治疗,并且在不良反应发生率(P=0.01)方面低于对照组。证据质量等级评价结果显示临床疗效为中级,其他多为低级。结论:温针灸治疗原发性痛经的疗效明确,并且具有一定的安全性。 展开更多
关键词 原发性痛经 温针灸 系统评价 grade评价 META分析
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补肾方剂改善高龄女性自然妊娠结局的Meta分析及GRADE质量评价
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作者 闫菲 刘雁峰 +2 位作者 赵琦 李影 刘星童 《中国性科学》 2024年第4期125-130,共6页
目的系统评价补肾方剂改善高龄女性自然妊娠结局的临床疗效和安全性。方法检索中国知网、万方数据库、维普数据库、SinoMed、PubMed、Web of Science、Cochrane Library、Embase等数据库建库至2022年6月收录的补肾方剂改善高龄女性自然... 目的系统评价补肾方剂改善高龄女性自然妊娠结局的临床疗效和安全性。方法检索中国知网、万方数据库、维普数据库、SinoMed、PubMed、Web of Science、Cochrane Library、Embase等数据库建库至2022年6月收录的补肾方剂改善高龄女性自然妊娠结局的随机对照研究(RCT)。运用偏倚风险工具进行质量评估,使用RevMan软件进行Meta分析。结果共纳入14篇RCT。Meta分析结果显示:补肾方剂联合西药治疗在提高妊娠率[RR=1.71,95%CI(1.45,2.01),P<0.00001]、降低卵泡刺激素(FSH)水平[SMD=-1.63,95%CI(-2.84,-0.43),P=0.008]、提高雌二醇(E_(2))水平[SMD=3.97,95%CI(1.76,6.17),P=0.0004]、增加排卵期子宫内膜厚度[SMD=2.12,95%CI(1.07,3.18),P<0.0001]方面均优于西药组;且补肾方剂单独使用在提高妊娠率[RR=1.94,95%CI(1.31,2.88),P=0.001]、降低FSH水平[SMD=-0.48,95%CI(-0.74,-0.22),P=0.0003]方面也具有显著疗效。结论与西医治疗比较,补肾方剂可以显著改善高龄女性自然妊娠结局,且不良反应较少,但仍需更多高质量、大样本、多中心的RCT予以验证。 展开更多
关键词 补肾方剂 高龄女性 自然妊娠结局 META分析 grade质量评价
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火针治疗神经性皮炎的Meta分析及GRADE证据质量评价
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作者 姚松领 陈小艳 +3 位作者 闫小宁 金莉娜 冯莹 王佳 《中国美容医学》 CAS 2024年第8期81-87,共7页
目的:运用Meta分析系统评价火针治疗神经性皮炎的临床疗效。方法:计算机检索中国期刊全文数据库(CNKI)、重庆维普(VIP)、万方数据库(WanFang)、中国生物医学文献数据库(CBM)及Pubmed、Cochrane library等中英文数据库,时限设定为建库-2... 目的:运用Meta分析系统评价火针治疗神经性皮炎的临床疗效。方法:计算机检索中国期刊全文数据库(CNKI)、重庆维普(VIP)、万方数据库(WanFang)、中国生物医学文献数据库(CBM)及Pubmed、Cochrane library等中英文数据库,时限设定为建库-2023年2月28日,检索火针治疗神经性皮炎的随机对照试验(Randomized controlled,RCT)相关文献。运用Cochrane风险偏倚评估工具对纳入研究的文献质量评估,再运用Revman5.4软件进行Meta分析,运用TSA0.9.5.10软件进行试验序贯分析,使用GRADE软件对主要结局指标的证据进行证据质量评级。结果:①共纳入18篇研究,1 662例患者,火针组840例,对照组822例;②Meta分析结果显示:火针组的临床有效率[OR=3.99,95%CI(2.81,5.68),Z=7.71,P<0.00 001]、复发率[OR=0.27,95%CI(0.11,0.68),Z=2.79,P=0.005)]均优于对照组;症状积分[MD=-1.49,95%CI(-2.25,-0.73),Z=3.85,P=0.0 001]、TNF-α水平[MD=-4.26,95%CI(-7.01,-1.51),Z=3.03,P=0.002]、IL-6水平[MD=-7.39,95%CI(-14.36,-0.42),Z=2.08,P=0.04]、IL-4水平[MD=-1.50,95%CI(-1.94,-1.06),Z=6.69,P<0.00 001]方面火针组均低于对照组;③火针组不良反应率整体低于对照组;④试验序贯分析显示:累计Z值穿过了传统界值和TSA界值,表示虽然累计的信息量未达到期望值,但不需要更多的试验,提前得到肯定的结论,结果较为可靠。结论:火针治疗神经性皮炎的具有明确的疗效,在症状积分和TNF-α、IL-6、IL-4水平表达等方面效果均优于对照组,安全性也较高,可为中医外治法治疗神经性皮炎的有效性提供相关证据。但因GRADE证据质量评级显示证据质量不理想,建议后续医务工作者可减少开展火针治疗神经性皮炎相关低质量试验,开展一些多中心、高质量的研究对结果加以佐证,从而避免科研和医疗资源的浪费。 展开更多
关键词 神经性皮炎 火针 META分析 序贯分析 grade评价
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穴位贴敷治疗慢性阻塞性肺疾病疗效的Meta分析和Grade评价
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作者 王梁敏 唐玲 +5 位作者 石明杰 季坤 郭淑娟 徐婧 白梅 赵丹丹 《天津中医药》 CAS 2023年第10期1292-1303,共12页
[目的]运用循证医学的方法对穴位贴敷疗法治疗慢性阻塞性肺疾病(COPD)的临床疗效和安全性进行系统分析和Grade评价。[方法]计算机检索国内外中英文数据库,检索从各数据库建库至2022年9月31日发表的关于穴位贴敷治疗COPD的随机对照研究(R... [目的]运用循证医学的方法对穴位贴敷疗法治疗慢性阻塞性肺疾病(COPD)的临床疗效和安全性进行系统分析和Grade评价。[方法]计算机检索国内外中英文数据库,检索从各数据库建库至2022年9月31日发表的关于穴位贴敷治疗COPD的随机对照研究(RCT),由两名研究员背对背根据纳入标准及排除标准进行筛查,应用Revman 5.3软件做偏倚风险评估及Meta分析,应用Grade系统进行证据质量评价。[结果]共纳入16篇文献、1500例患者,包括治疗组751例,对照组749例,Meta分析结果显示:与单纯西医治疗相比,穴位贴敷提高总有效率(TE)[OR=4.68,95%CI(3.36,6.53),P<0.00001],改善第1秒用力呼气量占预计值的百分比(FEV1%)[MD=3.04,95%CI(1.76,4.33),P<0.00001]、第一秒用力呼气量/最大肺活量比值(FEV1/FVC)[MD=2.38,95%CI(0.84,3.92),P=0.002],改善动脉血氧分压(PaO2)[MD=7.27,95%CI(4.60,9.95),P<0.00001]、动脉血二氧化碳分压(PaCO_(2))[MD=-8.68,95%CI(-10.28,-7.09),P<0.00001],圣乔治呼吸问卷(SGRQ)、呼吸相关量表(BODE指数、CAT评分)均有明显降低[MD=-7.36,95%CI(-13.22,-1.51),P=0.01;MD=-0.74,95%CI(-0.80,-0.69),P<0.00001;MD=-1.92,95%CI(-2.73,-1.10),P<0.00001],减少急性加重次数[MD=-1.85,95%CI(-2.67,-1.03),P<0.00001],增加不良反应发生率[OR=2.89,95%CI(1.57,5.33),P=0.0007],中医证候积分组间无差异[MD=-0.87,95%CI(-1.84,0.09),P=0.08],Grade证据分级结果显示:FEV1/FVC、PaCO_(2)、不良反应发生率3项结局指标为中质量证据,临床总有效率、FEV1%、CAT评分、急性加重次数4项结局指标为低质量证据,中医证候总积分、PaO2、SGQR评分、BODE指数4项结局指标为极低质量证据。[结论]穴位贴敷联合西医治疗COPD比单纯西医治疗有明显优势,但所纳入研究的证据质量不高,尚需高质量研究为临床提供指导。 展开更多
关键词 穴位贴敷 慢性阻塞性肺疾病 META分析 grade评价
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Study on effectiveness evaluation of weapon systems based on grey relational analysis and TOPSIS 被引量:54
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作者 Gu Hui Song Bifeng 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2009年第1期106-111,共6页
To evaluate the effectiveness of weapon systems, the advantages and disadvantages of grey relational analysis and TOPSIS for multiattribute decision-making is pointed out, and an effectiveness evaluation model of weap... To evaluate the effectiveness of weapon systems, the advantages and disadvantages of grey relational analysis and TOPSIS for multiattribute decision-making is pointed out, and an effectiveness evaluation model of weapon systems by combining grey relational analysis and TOPSIS is proposed. The model aggregates the grey relational grade and the distance to a new integrated closeness and reflects not only the trend but also the situation of the alternative. The example illuminates that the model is effective for the effectiveness evaluation of weapon systems. 展开更多
关键词 multiattribute decision-making effectiveness evaluation grey relational analysis TOPSIS integratedcloseness.
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前列舒通胶囊联合坦索罗辛治疗慢性前列腺炎的Meta分析及GRADE质量评价
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作者 莫旭威 赵琦 +4 位作者 闫菲 王彬 张华南 孙龙吉 李海松 《世界中西医结合杂志》 2023年第11期2148-2154,共7页
目的系统评价前列舒通胶囊联合坦索罗辛治疗慢性前列腺炎(Chronic prostatitis,CP)的临床疗效。方法在线检索中国知识资源总库(CNKI)、万方数据、维普网、Sinomed、PubMed、Web of Science、Cochrane Library、Embase数据库建库至2023年... 目的系统评价前列舒通胶囊联合坦索罗辛治疗慢性前列腺炎(Chronic prostatitis,CP)的临床疗效。方法在线检索中国知识资源总库(CNKI)、万方数据、维普网、Sinomed、PubMed、Web of Science、Cochrane Library、Embase数据库建库至2023年4月1日期间前列舒通胶囊联合坦索罗辛治疗CP的随机对照研究,采用Cochrane风险偏倚评估工具对文献进行质量评价,运用RevMan 5.3软件进行Meta分析,并对结局指标进行GRADE质量分级。结果共纳入10篇RCT,涉及1013例受试者。Meta分析结果显示:相较于单用坦索罗辛,前列舒通胶囊联合坦索罗辛治疗CP能够显著提高临床有效率[RR=1.23,95%CI(1.16~1.30),P<0.00001],降低NIH-CPSI评分[MD=-5.09,95%CI(-6.84~-3.34),P<0.00001],降低NIH-CPSI疼痛症状评分[MD=-3.17,95%CI(-4.12~-2.23),P<0.00001]、NIH-CPSI排尿症状评分[MD=-2.11,95%CI(-2.55~-1.67),P<0.00001]、NIH-CPSI生活质量评分[MD=-1.79,95%CI(-1.87~-1.71),P<0.00001]、前列腺液白细胞计数[MD=-2.73,95%CI(-4.13~-1.34),P<0.00001],且联合用药不会增加不良反应发生。GRADE证据分级显示:前列舒通胶囊联合坦索罗辛质量在有效率和NIH-CPSI生活质量评分指标为中级,NIH-CPSI评分、NIH-CPSI疼痛症状评分、NIH-CPSI排尿症状评分和前列腺液白细胞计数指标为低级。结论与单用坦索罗辛治疗比较,前列舒通胶囊联合坦索罗辛可以显著改善CP患者临床疼痛、排尿不适等临床症状,且不增加不良反应的发生,但仍需更多高质量、大样本、多中心的RCT予以验证。 展开更多
关键词 前列舒通胶囊 坦索罗辛 慢性前列腺炎 META分析 grade质量评价
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Nutritional evaluation of different cultivars of potatoes(Solanum tuberosum L.) from China by grey relational analysis(GRA) and its application in potato steamed bread making 被引量:22
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作者 ZHOU Liang MU Tai-hua +3 位作者 MA Meng-mei ZHANG Ruo-fang SUN Qing-hua XU Yan-wen 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2019年第1期231-245,共15页
Chemical composition(moisture,protein,starch,ash,fiber,fat),vitamins(vitamin C,vitamin B1,vitamin B2),total polyphenol content,antioxidant capacity,minerals,and amino acid of 14 potato cultivars in China were evaluate... Chemical composition(moisture,protein,starch,ash,fiber,fat),vitamins(vitamin C,vitamin B1,vitamin B2),total polyphenol content,antioxidant capacity,minerals,and amino acid of 14 potato cultivars in China were evaluated.The results indicated that all parameters varied significantly among different potato cultivars.The total starch,crude protein and fat content ranged between 57.42–67.83%,10.88–14.10% and 0.10–0.73% dry weight(DW),respectively.Moreover,the consumption of potato increased remarkably the dietary intake of vitamins,K,Mn and Cu.In addition,the chemical score of amino acid varied considerably between different cultivars,which ranged from 54(Neida 3 and Neida 41) to 71(Neida 34).Grey relational analysis(GRA) indicated that Neida 26 exhibited the most comprehensive nutritional values among potato cultivars,followed by Neida 42.Different potato flours had a significant effect on the quality parameters of potato steamed bread(PSB),Neida 26 and Neida 34 were more suitable for making PSB. 展开更多
关键词 POTATOES CULTIVARS NUTRITIONAL components grey relational analysis POTATO STEAMED BREAD
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