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Correlation between the Six-Minute Walk Test and Subjective Functional Class in Patients with Heart Failure
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作者 Davi Muzi Rios Gabriela Lira Devens +10 位作者 Leticia Admiral Louzada Priscila Cabral Gomes Coelho Lima Rodolfo Costa Sylvestre Vinicius Angelo Astolpho Lucas Crespo de Barros Larissa Novaes Paganini Lucas Martins Frizzera Borges Renato Giestas Serpa Osmar Araujo Calil Luiz Fernando Machado Barbosa Roberto Ramos Barbosa 《World Journal of Cardiovascular Diseases》 CAS 2023年第4期205-213,共9页
Introduction: The Six-Minute Walk Test (6MWT) is an inexpensive method to objectively evaluate physical capacity or limitation and stratify prognosis in patients with Heart Failure (HF). Since the clinical p... Introduction: The Six-Minute Walk Test (6MWT) is an inexpensive method to objectively evaluate physical capacity or limitation and stratify prognosis in patients with Heart Failure (HF). Since the clinical perception of symptoms may be adapted or compromised, regular evaluation from medical interviews often fails to determine functional classification. This study aimed to assess the correlation between New York Heart Association Functional Class (NYHA-FC) and the distance walked in the 6MWT. Methods: We conducted a cross-sectional observational study that included patients with HF with reduced ejection fraction followed up at an outpatient service of a teaching hospital, from August 2018 to April 2019. Patients in NYHA-FC I, II, or III were included. We compared NYHA-FC subjectively obtained during the consultation with the 6MWT performed after medical consultation, and the correlation between these two parameters was assessed. Results: The study included 70 patients with HF, 41 (58.6%) of whom were female. The mean age was 61.2 ± 12.7 years. The most prevalent etiologies were dilated idiopathic cardiomyopathy (35.7%) followed by ischemic cardiomyopathy (25.7%). The mean ejection fraction was 34.1% ± 9.8%. The average distance walked in the 6MWT by NYHA-FC I patients was 437.8 ± 95.8 meters, NYHA-FC II 360.1 ± 96.4, and NYHA-FC III 248.4 ± 98.3. Functional class measured by the 6MWT was different than that estimated by NYHA-FC in 34 patients (48.6%), 23 (32.9%) for a higher functional class and 11 (15.7%) for a lower one (p = 0.07). Pearson’s correlation coefficient between NYHA-FC and the 6MWT was -0.55. Conclusion: There was a moderate correlation between the subjective NYHA-FC and the 6MWT. The 6MWT revealed a different classification from NYHA-FC in almost half of the patients. Among those who presented discrepancies between methods, 6MWT reclassification towards a higher functional class was more common. 展开更多
关键词 Heart Failure six-minute walk Test Functional Class
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Six-minute walking test performance is associated with survival in cirrhotic patients 被引量:2
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作者 Carolina Frade M G Pimentel Ana Cristina de Castro Amaral +5 位作者 Adriano Miziara Gonzalez Michelle Lai Danielde Oliveira Mota Maria Lucia Gomes Ferraz Wilson Mathias Junior Mario Kondo 《World Journal of Hepatology》 2021年第11期1791-1801,共11页
BACKGROUND Patients with cirrhosis are at risk of cirrhotic cardiomyopathy,with resulting cardiac dysfunction and exercise limitations.Six minute walking test(6MWT)assesses functional status and predicts morbidity and... BACKGROUND Patients with cirrhosis are at risk of cirrhotic cardiomyopathy,with resulting cardiac dysfunction and exercise limitations.Six minute walking test(6MWT)assesses functional status and predicts morbidity and mortality in cardiopulmonary diseases.AIM To determine if it associates with mortality by analyzing 6MWT performance in patients with liver cirrhosis.METHODS A cohort of 106 cirrhotic patients was evaluated in the outpatient setting with echocardiogram and 6MWT and follow up for one year to document hepatic decompensation and mortality.The distance in meters was recorded at the end of 6 min(6MWD).RESULTS This cohort had a mean age of 51 years and 56%male;patients were staged as Child A in 21.7%,B 66%and C 12.3%.Walk distance inversely correlated with Child scores,and was significantly reduced as Child stages progresses.Patients who died(10.4%)showed shorter mean 6MWD(P=0.006).Low 6MWD was an independent predictor of mortality(P=0.01).CONCLUSION 6MWT is a noninvasive inexpensive test whose result is related to Child scores and mortality.It is useful to identify patients with liver cirrhosis at high risk of mortality for closer monitoring and potential early intervention. 展开更多
关键词 six-minute walking test Liver cirrhosis Hospital admission and mortality Child score
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Walking Access Distance of Metro Passengers and Relationship with Demographic Characteristics: A Case Study of Nanjing Metro 被引量:1
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作者 HE Jinliao ZHANG Ruozhu +1 位作者 HUANG Xianjin XI Guangliang 《Chinese Geographical Science》 SCIE CSCD 2018年第4期612-623,共12页
In the metropolises of China, the metro plays an increasingly important role in commuting because of its efficiency, affordability, and cleanliness. This paper attempts to explore the relationship between walking acce... In the metropolises of China, the metro plays an increasingly important role in commuting because of its efficiency, affordability, and cleanliness. This paper attempts to explore the relationship between walking access distance to metro stations and the demographic characteristics of passengers, such as age, monthly income, travel frequency, gender, and travel purpose, as well as the influence of the urban context. Nanjing Metro Line 2 is selected as the case study. By using different methods such as a questionnaire survey, spatial decay function, analysis of covariance(ANOVA), network analysis of routes, and K-means cluster analysis, it is suggested that demographic characteristics have a significant impact on the pedestrian walking distance, with the exception of gender. Furthermore, the paper finds a spatial decay effect in walking access distance, the decay rate of which, however, varies across stations. Terminal stations have a larger pedestrian catchment area than in regular and exchange stations. Moreover, the passengers of Nanjing Metro Line 2 can be classified into six groups according to their demographic characteristics, among which education and occupation are vital indicators in determining their willingness to walk to the stations. Middle-class passengers have a higher dependence on the metro and tend to walk longer than other groups do. This study provides an important reference for planners and transport sectors to optimize land-use and transport infrastructures. 展开更多
关键词 南京地铁 人口统计 距离 旅客 特征 存取 案例 运输部门
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Reply to"Six-minute walking test performance is associated with survival in cirrhotic patients"to the editor
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作者 Carla Malaguti Carlos Alberto Mourão-Junior Júlio Maria Chebli 《World Journal of Hepatology》 2022年第5期1047-1049,共3页
Use of the six-minute walk test has been proposed as a prognostic marker in liver cirrhosis.In the Letter to the Editor presented here,the authors highlight some important points,which were raised after the article wa... Use of the six-minute walk test has been proposed as a prognostic marker in liver cirrhosis.In the Letter to the Editor presented here,the authors highlight some important points,which were raised after the article was published in the November issue of the World Journal of Hepatology. 展开更多
关键词 six-minute walking test Liver cirrhosis Hospital admission and mortality
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Application of Six-minute Walk Test in Heart Transplantation Patients
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作者 张国林 黄文晖 +2 位作者 郭兰 刘智 吴桂兰 《South China Journal of Cardiology》 CAS 2008年第2期57-60,共4页
Objectives To analyze the six-minute walk test (6MWT) and gas exchange of 5 heart transplantation patients and to approach the variation tendency of exercise tolerance, oxygen uptake ( VO2 ) and heart rate chronot... Objectives To analyze the six-minute walk test (6MWT) and gas exchange of 5 heart transplantation patients and to approach the variation tendency of exercise tolerance, oxygen uptake ( VO2 ) and heart rate chronotropic response. Methods 5 cases of heart transplantation patients ( age 25 - 52 years) were undertaken 6MWT 6 - 30 months after operation, synchronizing gas exchanging parameters were measured by wireless portable remote sensing K4B^2 gas analyzer, 51 normal controls were compared. Results The six-minute walk distance (6MWD) of 5 patients were (592.6 ± 26.7 ) m (558 - 625 ) m, the ascending tendency during exercise was slower, the maximum heart rates were 80% ± 6% of age-predicting maximal heart rate, lower than normal control (86%) ; the end point VO2/kg were (21.8 ± 1.4 ) mL/min · kg ( 19. 94 - 23.60) mL/min · kg. Conclusions The 6WMD and VO2 of 5 patients reached normal range, but the heart rate chronotropic response and VO2 ascending tendency were slower than those of normal controls. 展开更多
关键词 six-minute walk test heart transplantation oxygen uptake heart rate chronotropic response
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A Study of Real-time Peak Oxygen Consumption and Six-minute Walk Test
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作者 Guolin Zhang Lan Guo He Li Jingzhuang Mai Zhi Liu Sixian Huang 《South China Journal of Cardiology》 CAS 2007年第4期179-182,共4页
Objectives To assess the relationship between peak oxygen consumption (PVO2) and the ambulation distance in six-minute walk test (6MWT)among the healthy subjects. Methods The 51 healthy subjects were recruited for... Objectives To assess the relationship between peak oxygen consumption (PVO2) and the ambulation distance in six-minute walk test (6MWT)among the healthy subjects. Methods The 51 healthy subjects were recruited for the six-minute walk test. Data of pulmonary gas exchange breath by breath, such as VO2 , VCO2 were real-time measured with wireless remote sensing K4B2, so to study the relationship between peak oxygen uptake and the ambulation distance. Results It was noticed that there was a positive linear correlation between the ambulation distance and PVO2 ( r =0. 619, P 〈0. 001 ) in six-minute walk test. The regression equation was set up ( VO2/kg =0. 05D -6. 331, P 〈 0. 001 ). PVO2 〉 PVCO2 ,R 〈 1 were found,which suggested that 6MWT was a test below anaerobic threshold. Conclusions There was a closely positive linear correlation between the ambulation distance and PVO2, which is safety, convenient and valuable for the evaluation of cardiopulmonary function and the treatment of cardiopulmonary rehabilitation. 展开更多
关键词 six-minute walk test oxygen consumption(PVO2) cardiopulmonary function
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多维度协同护理在老年冠心病患者中的应用效果
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作者 王玉琼 《中国民康医学》 2024年第12期165-167,共3页
目的:观察多维度协同护理在老年冠心病患者中的应用效果。方法:选取2020年3月至2022年6月该院收治的86例老年冠心病患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各43例。对照组采用常规护理,观察组采用多维度协同护理,... 目的:观察多维度协同护理在老年冠心病患者中的应用效果。方法:选取2020年3月至2022年6月该院收治的86例老年冠心病患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各43例。对照组采用常规护理,观察组采用多维度协同护理,比较两组6 min步行试验距离(6MWD)、健康调查简表(SF-36)评分和心脏不良事件发生率。结果:护理后,两组6MWD长于护理前,且观察组长于对照组,差异均有统计学意义(P<0.05);护理后,两组SF-36各维度评分高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组心脏不良事件发生率为4.65%,明显低于对照组的20.93%,差异有统计学意义(P<0.05)。结论:多维度协同护理用于老年冠心病患者可延长其6MWD,提高其SF-36评分,降低其心脏不良事件发生率,效果优于常规护理。 展开更多
关键词 多维度协同护理 老年 冠心病 生命质量 6 min步行距离 心脏不良事件
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慢性阻塞性肺疾病患者“4S”肺康复运动护理指导的临床观察 被引量:1
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作者 李俊 齐晶晶 郑则广 《中国医学创新》 CAS 2024年第2期146-151,共6页
目的:探究“4S”肺康复运动护理指导训练在慢性阻塞性肺疾病(COPD)稳定期患者中的应用效果。方法:通过回顾性分析并选取2019年10月—2021年10月160例于襄阳市襄州区人民医院呼吸与危重症医学科住院的COPD稳定期患者,并将其随机划分成观... 目的:探究“4S”肺康复运动护理指导训练在慢性阻塞性肺疾病(COPD)稳定期患者中的应用效果。方法:通过回顾性分析并选取2019年10月—2021年10月160例于襄阳市襄州区人民医院呼吸与危重症医学科住院的COPD稳定期患者,并将其随机划分成观察组和对照组,各80例。观察组接受常规治疗和“4S”肺康复运动护理指导,对照组接受常规治疗和普通康复锻炼。比较两组第1秒用力呼气容积(FEV_(1))、第1秒用力呼气容积占用力肺活量的百分比(FEV_(1)/FVC%)、6 min步行距离(6MWD)、圣乔治呼吸问卷(SGRQ)、改良呼吸困难指数(mMRC)及慢性阻塞性肺疾病评估测试(CAT)评分。结果:干预后,两组肺部功能较干预前均提高,且观察组的FEV_(1)和FEV_(1)/FVC%均明显高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组6MWD、SGRQ评分均较干预前改善,较对照组均改善明显,差异均有统计学意义(P<0.05)。干预后,观察组mMRC、CAT评分均比对照组更优,差异均有统计学意义(P<0.05)。结论:“4S”肺康复运动护理指导可以显著改善患者的呼吸困难症状,提升肺功能,增强运动的适应力。总之,在规范治疗慢阻肺的基础上实施“4S”肺康复运动护理指导能明显提升稳定期慢阻肺患者的治疗效果。 展开更多
关键词 慢性阻塞性肺疾病 “4S”康复护理 6 min步行距离 圣乔治呼吸问卷
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Functional Capacity of Patients with Venous Thromboembolic Disease Six to Twelve Months after Treatment
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作者 Hamadou Bâ Chris-Nadège Nganou-Gnindjio +3 位作者 Alexis Noé S. Guiakam Kemnang Yemele Honore Danwe Dieudonné Guy S. Wafeu 《World Journal of Cardiovascular Diseases》 CAS 2024年第2期88-98,共11页
Background: Venous thromboembolism (VTE) is among the leading causes of hospital-related disability-adjusted life years lost. We aimed to determine the prevalence and determinants of functional capacity impairment six... Background: Venous thromboembolism (VTE) is among the leading causes of hospital-related disability-adjusted life years lost. We aimed to determine the prevalence and determinants of functional capacity impairment six to twelve months after an acute VTE event. Methods: This was a cross-sectional study conducted between January and April 2021 in two referral hospitals of Yaoundé, including consenting adult patients admitted to these hospitals six to twelve months ago for VTE. We excluded dead patients and those with any comorbidity or symptoms limiting physical activity. The functional outcome was assessed with the six-minute walk test. Functional capacity impairment was defined as walking distance lower than the expected value. Results: We included 27 cases in this study with a mean age of 53.2 ± 14.4 years. The prevalence of functional capacity impairment was 29.6% (95% CI: 14.8 - 48.1). Factors associated with poor functional outcome were obesity (OR: 59.5;95% CI: 4.6 - 767.2;p - 207.4;p = 0.017), massive PE (OR: 30;95% CI: 2.5 - 354;p = 0.004), and poor adherence to treatment (OR: 30.3;95% CI: 2.5 - 333.3;p = 0.004). Conclusion: Functional capacity impairment is common in the medium-term after VTE and factors associated with this poor outcome are obesity, the severity of the VTE, and poor adherence to treatment. 展开更多
关键词 Functional Capacity Venous Thromboembolism six-minute walk Test Cameroon
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标准化运动方案对慢性心力衰竭患者的康复效果研究
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作者 林雪洁 《中国标准化》 2024年第14期260-263,共4页
目的:观察慢性心力衰竭患者采取标准化运动方案的康复效果。方法:选取2023年8月到2024年1月收治74例慢性心力衰竭患者资料。以双盲法给予分组,患者包括对照组(37例,常规干预)、观察组(37例,常规干预+标准化运动方案)。结果:观察组LVEF(4... 目的:观察慢性心力衰竭患者采取标准化运动方案的康复效果。方法:选取2023年8月到2024年1月收治74例慢性心力衰竭患者资料。以双盲法给予分组,患者包括对照组(37例,常规干预)、观察组(37例,常规干预+标准化运动方案)。结果:观察组LVEF(46.79±4.82)%,LVD(32.47±2.18)mm,LVFS(38.08±2.13)%,对照组LVEF(41.02±3.86)%,LVD(39.82±3.76)mm,LVFS(34.22±2.89)%,观察组更优(P<0.05)。观察组6min步行距离(189.89±5.98)m,生命质量(40.96±4.73)分,对照组6min步行距离(172.06±4.19)m,生命质量(33.48±2.29)分,观察组更优(P<0.05)。结论:针对慢性心力衰竭患者,标准化运动方案干预后,可有效改善心功能,有利于提升6 min步行距离,提高生命质量。 展开更多
关键词 标准化运动方案 慢性心力衰竭 心功能 6 min步行距离
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达格列净联合沙库巴曲缬沙坦治疗慢性心力衰竭患者的效果
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作者 杨霞 孙江鸥 安熊 《临床合理用药杂志》 2024年第24期17-20,共4页
目的观察达格列净联合沙库巴曲缬沙坦治疗慢性心力衰竭患者的效果。方法回顾性选取2022年1月—2023年2月中国贵航集团三○二医院收治的慢性心力衰竭患者68例,根据治疗方法分为单一药物组(34例)和联合药物组(34例)。在常规基础治疗上,单... 目的观察达格列净联合沙库巴曲缬沙坦治疗慢性心力衰竭患者的效果。方法回顾性选取2022年1月—2023年2月中国贵航集团三○二医院收治的慢性心力衰竭患者68例,根据治疗方法分为单一药物组(34例)和联合药物组(34例)。在常规基础治疗上,单一药物组采用沙库巴曲缬沙坦治疗,联合药物组采用达格列净联合沙库巴曲缬沙坦治疗,2组均持续治疗3个月。比较2组临床疗效,治疗前后心功能指标[左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)、左室射血分数(LVEF)及6 min步行距离]、血浆N末端脑钠肽前体(NT-proBNP)水平、生活质量与自理能力评分,不良反应。结果联合药物组治疗总有效率为91.18%,高于单一药物组的70.59%(χ^(2)=4.660,P=0.031)。治疗3个月后,2组LVEDD、LVESD较治疗前缩小,LVEF较治疗前升高,6 min步行距离较治疗前延长,且联合药物组上述指标改善幅度均大于单一药物组(P<0.01);2组血浆NT-proBNP水平较治疗前下降,且联合药物低于单一药物组(P<0.01);2组明尼苏达心力衰竭生活质量量表(LHFQ)评分较治疗前降低,Barthel指数较治疗前升高,且相较于单一药物组,联合药物组LHFQ评分低,Barthel指数高(P均<0.01)。单一药物组和联合药物组不良反应总发生率比较,差异无统计学意义(11.76%vs.17.65%,χ^(2)=0.469,P=0.493)。结论慢性心力衰竭患者接受达格列净联合沙库巴曲缬沙坦方案治疗,有利于患者心功能、生活质量及自理能力改善,整体治疗有效性和安全性均较高。 展开更多
关键词 慢性心力衰竭 达格列净 沙库巴曲缬沙坦 心功能 6 min步行距离
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心衰一号方联合常规西药治疗气阴两虚兼血瘀型射血分数保留型心力衰竭临床研究
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作者 陈栩呈 李建功 林凯旋 《新中医》 CAS 2024年第7期75-79,共5页
目的:观察心衰一号方联合常规西药治疗气阴两虚兼血瘀型射血分数保留型心力衰竭的临床疗效。方法:选取气阴两虚兼血瘀型射血分数保留型心力衰竭患者60例,采用随机数字表法分为对照组和观察组各30例,观察组自然脱落3例,对照组脱落4例。... 目的:观察心衰一号方联合常规西药治疗气阴两虚兼血瘀型射血分数保留型心力衰竭的临床疗效。方法:选取气阴两虚兼血瘀型射血分数保留型心力衰竭患者60例,采用随机数字表法分为对照组和观察组各30例,观察组自然脱落3例,对照组脱落4例。对照组给予常规西药治疗,观察组在对照组基础上给予心衰一号方治疗。2组均治疗4周。比较2组治疗前后中医证候积分、6分钟步行距离、纽约心脏病学会(NYHA)心功能分级及血浆N-末端脑钠肽前体(NT-proBNP)水平。结果:治疗后,2组中医证候积分较治疗前降低(P<0.05),且观察组中医证候积分低于对照组(P<0.05)。治疗后,2组6分钟步行距离较治疗前升高(P<0.05),且观察组6分钟步行距离高于对照组(P<0.05)。治疗后,2组心功能分级情况较治疗前改善(P<0.05)。治疗后,2组NT-proBNP水平较治疗前降低(P<0.05),且观察组NT-proBNP水平低于对照组(P<0.05)。结论:心衰一号方联合常规西药治疗气阴两虚兼血瘀型射血分数保留型心力衰竭患者,可以改善患者的临床症状及运动耐量,提高临床疗效。 展开更多
关键词 射血分数保留型心力衰竭 气阴两虚兼血瘀型 心衰一号方 中医证候积分 6分钟步行距离 心功能分级
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若即若离,美之大成——“A Bird Came down from the Walk”的美感分析
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作者 王欣欣 《佳木斯职业学院学报》 2018年第10期82-83,共2页
作为现代主义文学先驱的艾米丽·狄金森,一生传世的作品有一千七百多首。她的大量作品是歌颂自然之美的。其中一首动人的诗作:"A Bird Came down from the Walk"体现了她深谙自然界蕴含的灵动之美。本文以朱光潜的文艺心... 作为现代主义文学先驱的艾米丽·狄金森,一生传世的作品有一千七百多首。她的大量作品是歌颂自然之美的。其中一首动人的诗作:"A Bird Came down from the Walk"体现了她深谙自然界蕴含的灵动之美。本文以朱光潜的文艺心理学中的审美距离理论为依据。通过两个角度分析了这首诗作:一是审美者与审美对象要保持一定的心理距离。二是审美者与审美对象要达到物我同一的境界。结论:在文学作品创作,尤其是诗歌创作中,若即若离是创造美感的最佳距离。 展开更多
关键词 “A BIRD Came DOWN from the walk 心理距离 物我同一 若即若离
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Localization of quantum walks on finite graphs
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作者 胡杨熠 陈平形 《Chinese Physics B》 SCIE EI CAS CSCD 2016年第12期168-173,共6页
We analyze the localization of quantum walks on a one-dimensional finite graph using vector-distance. We first vectorize the probability distribution of a quantum walker in each node. Then we compute out the probabili... We analyze the localization of quantum walks on a one-dimensional finite graph using vector-distance. We first vectorize the probability distribution of a quantum walker in each node. Then we compute out the probability distribution vectors of quantum walks in infinite and finite graphs in the presence of static disorder respectively, and get the distance between these two vectors. We find that when the steps taken are small and the boundary condition is tight, the localization between the infinite and finite cases is greatly different. However, the difference is negligible when the steps taken are large or the boundary condition is loose. It means quantum walks on a one-dimensional finite graph may also suffer from localization in the presence of static disorder. Our approach and results can be generalized to analyze the localization of quantum walks in higher-dimensional cases. 展开更多
关键词 localization of quantum walks vector distance static disorder boundary conditions
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Chair-rising and 3-min walk: A simple screening test for functional mobility
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作者 Tae-Woong Oh Izumi Tabata +2 位作者 Jin-Hwan Kim Tae-Hyun Lee Tatsuki Naka 《Open Journal of Preventive Medicine》 2012年第1期93-97,共5页
Aging induces decrease of locomotor capacity and its decrease is associated with an increased risk of falls. Several lines of evidence indicate that both change in muscle power and aerobic fitness are causative. Mobil... Aging induces decrease of locomotor capacity and its decrease is associated with an increased risk of falls. Several lines of evidence indicate that both change in muscle power and aerobic fitness are causative. Mobility tests are usually based on a maximal exercise stress test;however, this test is often difficult and sometimes frightening to older persons. Therefore, the objective of this study was to examine age and gender differences in 3-min walk distance test (3WDT), and time of chair-rising test (CRT) of functional mobility. 153 men and 159 women aged from 20 to 78 years were recruited as subjects of the present study. The body composition measured the height, body mass (BM), body mass index (BMI), lean tissue mass (LTM), and waist circumference (WC). The Functional mobility tests measured the peak oxygen uptake (VO2peak), 3WDT, leg extension strength (LES), and times of CRT. Both in men and women, height and BMI, WC decreased and increased, respectively, with age. Height, BM, LTM, WC in men are higher than in women. We found no correlation between ages and 3WDT in women and a significant, negative correlation in men. All parameters of fitness performance were negatively correlated with age. Both in men and women, all parameters of fitness performance were positively correlated with sex. Both in men and women, VO2peak, 3WDT, and LES decreased with age. All parameters of fitness performance in men are higher than in women. Both in men and women were observed for the correlation between 3WDT and VO2peak, LES and CRT respectively. Although as the correlation coefficient between 3WTD and VO2peak, LES and CRT were low (r = 0.28 - 0.38), an error may occur, this study shows that 3WDT and CRT test can be a feasible method of providing the information for muscle power and aerobic fitness, possibly avoiding the need for a maximal stress test. 展开更多
关键词 Peak Oxygen UPTAKE 3-Min walk distance TEST LEG Extension Strength Chair-Rising TEST Mobility
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Scaling Argument of Anisotropic Random Walk
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作者 XUBing-Zhen JINGuo-Jun WANGFei-Feng 《Communications in Theoretical Physics》 SCIE CAS CSCD 2005年第3期449-454,共6页
In this paper, we analytically discuss the scaling properties of the average square end-to-end distance <R2> for anisotropic random walk in D-dimensional space ( D ≥ 2), and the returning probability Pn(ro) for... In this paper, we analytically discuss the scaling properties of the average square end-to-end distance <R2> for anisotropic random walk in D-dimensional space ( D ≥ 2), and the returning probability Pn(ro) for the walker into a certain neighborhood of the origin. We will not only give the calculating formula for <R2> and Pn (ro), but also point out that if there is a symmetric axis for the distribution of the probability density of a single step displacement, we always obtain <R2⊥n> ~ n, where ⊥ refers to the projections of the displacement perpendicular to each symmetric axes of the walk; in D-dimensional space with D symmetric axes perpendicular to each other, we always have <R2n> ~ n and the random walk will be like a purely random motion; if the number of inter-perpendicular symmetric axis is smaller than the dimensions of the space, we must have <R2n> ~ n2 for very large n and the walk will be like a ballistic motion. It is worth while to point out that unlike the isotropic random walk in one and two dimensions, which is certain to return into the neighborhood of the origin, generally there is only a nonzero probability for the anisotropic random walker in two dimensions to return to the neighborhood. 展开更多
关键词 各向异性随机墙 回归概率 缩放比例 计算公式 平均距离平方 离散时间
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贝前列素钠联合阿加曲班对老年动脉硬化闭塞症甲襞微循环及行走距离的影响
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作者 黄攀登 董利平 +5 位作者 吴佳宏 胡远想 孔洁 崔玉环 刘俊峰 贾倩 《中国现代医学杂志》 CAS 北大核心 2023年第1期82-87,共6页
目的探讨贝前列素钠联合阿加曲班对老年动脉硬化闭塞症甲襞微循环及行走距离的影响。方法选取2019年7月—2021年7月河北北方学院附属第一医院老年医学科收治的120例动脉硬化闭塞症患者为研究对象,按随机数字表法分为观察组和对照组,每... 目的探讨贝前列素钠联合阿加曲班对老年动脉硬化闭塞症甲襞微循环及行走距离的影响。方法选取2019年7月—2021年7月河北北方学院附属第一医院老年医学科收治的120例动脉硬化闭塞症患者为研究对象,按随机数字表法分为观察组和对照组,每组60例。对照组口服贝前列素钠片,观察组在对照组基础上联合阿加曲班注射液治疗。比较两组的疗效及不良反应,比较两组治疗前后初始步行距离、绝对步行距离、管袢形态积分、血液流态积分、袢周状态积分、总积分、收缩期峰值血流速度(PSV)、踝肱指数(ABI)、C反应蛋白(CRP)、单核细胞趋化因子-1(MCP-1)、白细胞介素-6(IL-6)及肿瘤坏死因子-α(TNF-α)的差值。结果观察组总有效率90.00%显著高于对照组65.00%(P<0.05)。观察组治疗前后初始步行距离、绝对步行距离的差值高于对照组(P<0.05);观察组治疗前后血液流态积分、袢周状态积分、总积分的差值高于对照组(P<0.05);观察组治疗前后PSV、ABI的差值高于对照组(P<0.05);观察组治疗前后CRP、MCP-1、IL-6、TNF-α的差值高于对照组(P<0.05)。观察组和对照组不良反应总发生率分别为20.00%和16.67%,两组比较差异无统计学意义(P>0.05)。结论贝前列素钠联合阿加曲班治疗老年动脉硬化闭塞症可有效提高患者行走距离,改善甲襞微循环。 展开更多
关键词 老年动脉硬化闭塞症 贝前列素钠 阿加曲班 甲襞微循环 行走距离
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透析中卧位脚踏车运动对血液透析病人运动能力的影响
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作者 张帆 董艳 +5 位作者 曾珍 税昱 李敏 李宇 杨璐恺 石娟 《循证护理》 2023年第11期2037-2042,共6页
目的:观察24周的卧位脚踏车运动干预对维持性血液透析(MHD)病人运动能力水平和安全性的影响。方法:选择2020年1月—2020年6月乐山市某三级医院的73例MHD病人,随机分为两组,对照组(36例)给予常规血液透析护理和健康指导,试验组37例在对... 目的:观察24周的卧位脚踏车运动干预对维持性血液透析(MHD)病人运动能力水平和安全性的影响。方法:选择2020年1月—2020年6月乐山市某三级医院的73例MHD病人,随机分为两组,对照组(36例)给予常规血液透析护理和健康指导,试验组37例在对照组基础上予以透析中卧位脚踏车运动,每周2次或3次。比较两组病人基线、干预后12周、干预后24周运动能力(6min步行距离、30s坐立数、握力)及透析中不良事件发生率。结果:试验组在干预12周后,6min步行距离、握力高于对照组(P<0.05),干预24周后,6min步行距离、握力、30s起坐数高于对照组(P<0.05),重复测量方差分析结果显示,不同时间点6min步行距离、握力、30s起坐数比较,差异有统计学意义(P<0.05),6min步行距离和30s起坐时间和处理因素交互效应差异有统计学意义(P<0.05),两组病人透析中不良事件发生率比较差异无统计学意义(P>0.05)。结论:透析中卧位脚踏车运动可以提高血液透析病人运动能力,且安全性较高。 展开更多
关键词 维持性血液透析 卧位脚踏车运动 6MIN步行距离 30s起坐数 握力 护理
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4种方法治疗重度慢性阻塞性肺疾病伴肺大疱的临床疗效分析
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作者 薛春竹 何杨 +3 位作者 王贤芝 陈均 张文林 母存富 《中外医疗》 2023年第28期5-9,共5页
目的比较4种手术方法治疗重度慢性阻塞性肺疾病伴肺大疱的临床疗效。方法回顾性选取2019年1月—2021年12月广元市第一人民医院心胸外科79例重度慢性阻塞性肺疾病伴肺大疱手术患者,根据切口类型不同为开胸组(n=12)、小切口组(n=15)、单孔... 目的比较4种手术方法治疗重度慢性阻塞性肺疾病伴肺大疱的临床疗效。方法回顾性选取2019年1月—2021年12月广元市第一人民医院心胸外科79例重度慢性阻塞性肺疾病伴肺大疱手术患者,根据切口类型不同为开胸组(n=12)、小切口组(n=15)、单孔组(n=23)、两孔组(n=29),4组患者均施行单侧肺减容、肺大疱切除术。统计患者一般资料、手术时间、术中出血量、重症加强护理病房(intensive care unit,ICU)时间、术后总引流量、胸管留置时间、住院时间、不良事件发生率、肺功能、血气指标、6 min步行距离并进行对比分析。结果79例患者无围术期死亡,术后2个月开胸组因严重的肺部感染合并呼吸衰竭死亡1例。4组患者手术时间、死亡发生率比较,差异无统计学意义(P>0.05)。单孔和两孔胸腔镜组术中出血量、ICU时间、术后总引流量、胸管留置时间、住院时间、不良事件发生率较小切口及开胸手术比较,差异有统计学意义(P<0.05)。4组患者术后7 d第1秒用力呼气容积占预计值百分比(63.55±25.15)、(61.69±24.53)、(64.02±24.22)、(64.20±30.09)较术前比较(44.48±12.55)、(42.01±13.15)、(43.89±13.21)、(42.59±14.76)均明显改善,差异有统计学意义(P<0.05)。结论单孔和两孔明显优于小切口及开胸手术,术后患者呼吸困难及生活质量明显改善。是一种创伤小、有效、可靠和安全的手术技术,可以让患者在几年内获得更好的生活质量,更适合肺功能差的患者。 展开更多
关键词 胸腔镜 重度慢性阻塞性肺疾病伴肺大疱 肺减容术 6 min步行距离。
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模拟仿真功能评估训练系统对踝关节创伤性关节炎患者三维步态参数的影响研究
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作者 杨帆 李伟芳 《山西医药杂志》 CAS 2023年第2期102-106,共5页
目的 分析模拟仿真功能评估训练系统(BTE Primus RS)对踝关节创伤性关节炎患者三维步态参数的影响。方法 收集2019年12月至2021年12月宝鸡市中医医院康复医学科收治的96例踝关节创伤性关节炎患者,根据电脑数字表法进行随机分组,对照组4... 目的 分析模拟仿真功能评估训练系统(BTE Primus RS)对踝关节创伤性关节炎患者三维步态参数的影响。方法 收集2019年12月至2021年12月宝鸡市中医医院康复医学科收治的96例踝关节创伤性关节炎患者,根据电脑数字表法进行随机分组,对照组48例予以常规训练,观察组48例予以BTE Primus RS训练,比较2组患者的干预效果、关节活动度、三维步态参数及无痛步行距离。结果 训练后,观察组患者的总优良率是93.8%,高于对照组的79.2%(P<0.05);观察组患者踝关节的外翻、背伸、外展、跖屈及内收角度均高于对照组(P<0.05);观察组患者患足廓清地面的最大距离、步长均长于对照组,同时步频与步速也高于对照组(P<0.05);观察组中无痛步行200~500 m及>500 m的患者数高于对照组,而无痛步行距离<200 m的患者数则低于对照组(P<0.05)。结论 BTE Primus RS训练在踝关节创伤性关节炎患者中的应用效果显著,有助于提升其干预效果,改善关节活动度与三维步态参数,并且促进无痛步行距离延长。 展开更多
关键词 踝关节创伤性关节炎 拟仿真功能评估训练系统训练 关节活动度 三维步态参数 无痛步行距离
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