Three-talk决策模式干预对急性脑梗死病人神经功能恢复和心理状态的影响

目的:探讨Three-talk决策模式干预对急性脑梗死病人神经功能恢复和心理状态的影响。方法:选取急性脑梗死病人80例,随机分为对照组和观察组,各40例。对照组给予常规护理,观察组在常规护理基础上给予Three-talk决策模式(包括团队会谈、选择会谈、决策会谈)干预,比较2组病人干预前和干预1个月后的负性情绪、肢体肌力、运动功能、吞咽功能和自我护理能力(ESEA)评分。结果:干预前,2组病人焦虑、抑郁、肢体肌力、运动功能、吞咽功能和ESEA评分差异均无统计学意义(P>0.05);干预1个月后,观察组焦虑、抑郁和吞咽功能评分均明显低于对照组(P<0.01),肢体肌力、运动功能、ESEA评分均明显高于对照组(P<0.01)。结论:Three-talk决策模式干预有助于缓解急性脑梗死病人的焦虑、抑郁情绪,帮助病人实现肢体肌力、运动及吞咽功能的恢复,进而提高其自我护理能力。

Attribute Reduction Method Based on Sequential Three-Branch Decision Model

Attribute reduction is a research hotspot in rough set theory. Traditional heuristic attribute reduction methods add the most important attribute to the decision attribute set each time, resulting in multiple redundant attribute calculations, high time consumption, and low reduction efficiency. In this paper, based on the idea of sequential three-branch decision classification domain, attributes are treated as objects of three-branch division, and attributes are divided into core attributes, relatively necessary attributes, and unnecessary attributes using attribute importance and thresholds. Core attributes are added to the decision attribute set, unnecessary attributes are rejected from being added, and relatively necessary attributes are repeatedly divided until the reduction result is obtained. Experiments were conducted on 8 groups of UCI datasets, and the results show that, compared to traditional reduction methods, the method proposed in this paper can effectively reduce time consumption while ensuring classification performance.

Three-qubit海森堡XYZ各向异性自旋链系统QMA熵不确定度的量子调控

本文研究了three-qubit海森堡XYZ各向异性自旋链系统各项参数和外加磁场对量子存储支撑(Quantum memory assisted,QMA)熵不确定度及其下限的调控行为,以及对被测系统与存储系统之间量子纠缠的影响.结果表明:增大系统的Dzyaloshinski-Moriya(DM)相互作用强度、降低系统温度、增大沿Z正方向磁场强度可以提高被测系统与存储系统之间的量子纠缠,降低系统QMA熵不确定度及其下限,被测系统与存储系统之间的量子纠缠与QMA熵不确定度及其下限呈类反相关.

Phase II Clinical Study of Three-Dimensional Printed Coplanar Template Combined with CT-Guided Percutaneous Core Needle Biopsy of Pulmonary Nodules in Elderly Patients

Background: As the population age structure gradually ages, more and more elderly people were found to have pulmonary nodules during physical examinations. Most elderly people had underlying diseases such as heart, lung, brain and blood vessels and cannot tolerate surgery. Computed tomography (CT)-guided percutaneous core needle biopsy (CNB) was the first choice for pathological diagnosis and subsequent targeted drugs, immune drugs or ablation treatment. CT-guided percutaneous CNB requires clinicians with rich CNB experience to ensure high CNB accuracy, but it was easy to cause complications such as pneumothorax and hemorrhage. Three-dimensional (3D) printing coplanar template (PCT) combined with CT-guided percutaneous pulmonary CNB biopsy has been used in clinical practice, but there was no prospective, randomized controlled study. Methods: Elderly patients with lung nodules admitted to the Department of Oncology of our hospital from January 2019 to January 2023 were selected. A total of 225 elderly patients were screened, and 30 patients were included after screening. They were randomly divided into experimental group (Group A: 30 cases) and control group (Group B: 30 cases). Group A was given 3D-PCT combined with CT-guided percutaneous pulmonary CNB biopsy, Group B underwent CT-guided percutaneous pulmonary CNB. The primary outcome measure of this study was the accuracy of diagnostic CNB, and the secondary outcome measures were CNB time, number of CNB needles, number of pathological tissues and complications. Results: The diagnostic accuracy of group A and group B was 96.67% and 76.67%, respectively (P = 0.026). There were statistical differences between group A and group B in average CNB time (P = 0.001), number of CNB (1 vs more than 1, P = 0.029), and pathological tissue obtained by CNB (3 vs 1, P = 0.040). There was no statistical difference in the incidence of pneumothorax and hemorrhage between the two groups (P > 0.05). Conclusions: 3D-PCT combined with CT-guided percutaneous CNB can improve the puncture accuracy of elderly patients, shorten the puncture time, reduce the number of punctures, and increase the amount of puncture pathological tissue, without increasing pneumothorax and hemorrhage complications. We look forward to verifying this in a phase III randomized controlled clinical study. .

Existence of Monotone Positive Solution for a Fourth-Order Three-Point BVP with Sign-Changing Green’s Function

This paper is concerned with the following fourth-order three-point boundary value problem , where , we discuss the existence of positive solutions to the above problem by applying to the fixed point theory in cones and iterative technique.

Design and Realization of Block Level Augmented Reality Three-Dimensional Map

In response to the construction needs of “Real 3D China”, the system structure, functional framework, application direction and product form of block level augmented reality three-dimensional map is designed. Those provide references and ideas for the later large-scale production of augmented reality three-dimensional map. The augmented reality three-dimensional map is produced based on skyline software. Including the map browsing, measurement and analysis and so on, the basic function of three-dimensional map is realized. The special functional module including housing management, pipeline management and so on is developed combining the need of residential quarters development, that expands the application fields of augmented reality three-dimensional map. Those lay the groundwork for the application of augmented reality three-dimensional map. .

Design of a Three-Phase Grid Connector System Using Power Transfer from Park’s Transformation

Instabilities in grid-connected inverters can arise from a number of sources, including mismatched parameters, grid impedance, faults, and feedback delays. Park’s transformation provides accurate control over reactive and active (real) power. This enhances the overall efficiency of the system by enabling operators to control reactive power compensation and optimize energy flow. In dynamic settings, this guarantees greater system stability and faster response times. The current paper aims to improve the grid system by utilizing the dq0 controller. The current work focuses on the analysis based on simulations and theory, where the state space equation serves as the basis for dq-axis current decoupling. A MATLAB platform was used to simulate the complete system. TDH values of 2.45%, or less than 5%, in the given results are acceptable. The suggested controller was hence appropriate for grid system applications.

Probabilistic teleportation of an arbitrary three-particle state

A scheme for teleporting an arbitrary and unknown three-particle state from a sender to either one of two receivers is proposed. The quantum channel is composed of a two-particle non-maximally entangled state and two three-particle non-maximally entangled W states. An arbitrary three-particle state can be perfectly teleported probabilistically if the sender performs three generalized Bell-state measurements and sends to the two receivers the classical result of these measurements, and either one of the two receivers adopts an appropriate unitary transformation conditioned on the suitable measurement outcomes of the other receiver. All kinds of unitary transformations are given in detail.

Numerical Study of a Three-Dimensional Laminar Flow in a Rectangular Channel with a 180-Degree Sharp Turn

This study presents a numerical analysis of three-dimensional steady laminar flow in a rectangular channel with a 180-degree sharp turn. The Navier-Stokes equations are solved by using finite difference method for Re = 900. Three-dimensional streamlines and limiting streamlines on wall surface are used to analyze the three-dimensional flow characteristics. Topological theory is applied to limiting streamlines on inner walls of the channel and two-dimensional streamlines at several cross sections. It is also shown that the flow impinges on the end wall of turn and the secondary flow is induced by the curvature in the sharp turn.

Three-photon-excited fluorescence of Tb^(3+)-doped CaO-Al_2O_3-SiO_2 glass by femtosecond laser irradiation

A near infrared to visible blue, green, and red upconversion luminescence in a Tb^3＋-doped CaO-Al2O3-SiO2 glass was studied, which was excited using 800 nm femtosecond laser irradiation. The upconversion luminescence was attributed to ^5D3→^7F5, ^5D3→^7F4, ^5D3→^7F3, ^5D4→^7F6, ^5D4→^7F5, ^5D4→^7F4, and ^5D4→^7F3 transitions of Tb^3＋. The relationship between upconversion luminescence intensity and the pump power indicated that a three-photon simultaneous absorption process was dominant in this upconversion luminescence. The intense red, green, and blue upconversion luminescence of Tb^3＋-doped CaO-Al2O3-SiO2 glass may be potentially useful in developing three-dimensional display applications.

Three-order form invariance and conserved quantity

In this paper, the definition of three-order form invariance is given. Then the relation between the three-order form invariance and the three-order Lie symmetry is discussed and the sufficient and necessary condition of Lie symmetry, which comes from the three-order form invariance, is obtained. Finally a three-order Hojman conserved quantity is studied and an example is given to illustrate the application of the obtained results.

Calculation of current in the Taiwan Strait during summerⅡ. Three-dimensional semidiagnostic and prognostic calculations

The semidiagnostic and prognostic models are used to compute the current in the Taiwan Strait with wind and hydrographic data collected during August, 1984 and September 1 ~ 6, 1988. This calculation can be divided into two stages, i. e. (1 ) the adjustable stage; (2) prognostic calculation. The computed result shows tha the density and velocity fields etc. have been adjusted when t = 2. 5 d, namely the solution of semidignostic calculation is obtained,and the quasi-steady state solution have been reached after about 40 d. Comparing the results of diagncotic calculation with those of semidiagnortic and prognostic calculations indicates that they agree qualitatively. For example, they all have the following common features: (1 ) there is a persistent northward fiow with a volume transport of 0. 8 × 10 6 m3/s through the Taiwan Strait in summer; (2 ) the current near the western coas of Taiwan is stronger than that in other regiona; (3) the upweiling occurs near the Fujian coast and so on. However, there is a quantitative difference between them as follows. For example, the horizotal velocity near the westem cot of Taiwan and the upwelling speed near the Fujian aret both are underestimaed in the diagnestic calculation, because the data used in which is smoothed, and they both are intensified in the solutions of semidiagnostic and prognostic calculations. For example, the maximum velocity near the western coast of Taiwan at t = 0 d (diagnostic), 2. 5 d (semidiagnostic) and 300 d (prognostic) is 59.1, 62. 1 and 62. 0 cm/s, respectively. From the above comparison we see it is quite necessary that a semidiagnostic model be used to compute the currents when the data have been smoothed.

Prenatal Diagnosis of Sirenomelia by Two-Dimensional and Three-Dimensional Skeletal Imaging Ultrasound

Summary： This study sought to evaluate the contribution of two-dimensional ultrasound （2D-US） and three-dimensional skeletal imaging ultrasound （3D-SUIS） in the prenatal diagnosis of sirenomelia. Be- tween September 2010 and April 2014, a prospective study was conducted in a single referral center using 3D-SU1S performed after 2D-US in 10 cases of sirenomelia. Diagnostic accuracy and detailed findings were compared with postnatal three-dimensional helical computed tomography （3D-HCT）, radiological findings and autopsy. Pregnancy was terminated in all 10 sirenomelia cases, including 9 singletons and I conjoined twin pregnancy, for a total of 5 males and 5 females. These cases of sirenomelia were deter- mined by autopsy and/or chromosomal examination. Initial 2D-US showed that there were 10 cases of oligohydranmios, bilateral renal agenesis, bladder agenesis, single umbilical artery, fusion of the lower limbs and spinal abnormalities; 8 cases of dipus or monopus; 2 cases of apus; and 8 cases of cardiac abnormalities. Subsequent 3D-SUIS showed that there were 9 cases of scoliosis, l0 cases of sacrococ- cygeal vertebra dysplasia, 3 cases of hemivertebra, 1 case of vertebral fusion, 3 cases of spina bifida, and 5 cases of rib abnormalities. 3D-SUIS identified significantly more skeletal abnormalities than did 2D-US, and its accuracy was 79.5% （70/88） compared with 3D-HCT and radiography. 3D-SUIS seems to be a useful complementary method to 2D-US and may improve the accuracy of identifying prenatal skeletal abnormalities related to sirenomelia.

Reviews on Post-earthquake Reconstruction of Qiang Culture: Three-dimensional Pattern

Through the introduction of disaster situation of Qiang Culture after Wenchuan Earthquake, the paper emphasized that carriers of Qiang Culture had been seriously damaged, the inheritance of Qiang Culture had been affected, and the environment for Qiang Culture was difficult to recover. It highlighted that three-dimensional reconstruction of Qiang Culture should stress the core task and timely and effectively rescue endangered cultural heritages of Qiang Nationality from the perspectives of material and spiritual life. It had explained focuses of three-dimensional pattern construction in detail. In terms of spatial reconstruction, it should reconstruct native culture and history while material culture was constructed, and reconstruct Qiang culture highland by depending on aborigines; in terms of cluster reconstruction, it should give support to large tourism enterprises and perfect tourism chain; in terms of ecological reconstruction, it should enhance construction and demonstration of "ecological protection pilot area of Qiang culture"; in terms of development reconstruction, it should realize coordinated unity between protection and development according to classification protection, characteristic protection and key protection, so as to form the virtuous circle of post-disaster recovery protection and sustainable development.

Three-Dimensional Computerized Tomography-Assisted Identification of Necrotic Volume, Distribution, Shape and Prognosis of Collapse in ONFH

Objective: We constructed 3D-model of ONFH in computer according to three-dimensional computerized tomography (3D-CT) data. We determined the location and volume of necrosis to investigate its clinical efficacy. Method: Totally 92 hips (59 cases) with ONFH (44 males, 15 females) were included, with mean age of 37.5 years (range from 26 to 58). Totally 20 cases (35 hips) were induced by corticosteroid (CTSs), 31 (49 hips) induced by alcohol, 4 (4 hips) induced by trauma and 4 (4 hips) idiopathic. All the hips were categorized into stage ARCO II. Finally diagnosed by MRI, all hips were scanned by CT to acquire data in DICOM format. The images were imported into software to extract 3D-shape of femoral heads, necrotic foci, their volumes and distribution in each quadrant. Deviation of volumes between digital image and biopsy specimen was analyzed by SAS9.1 package. Correlativity between collapse and volume of necrosis under specific pathogeneses was also analyzed. Among the cases necessitating total hip arthroplasty (THA) due to advancing to ARCO III, we randomly selected 8 of them to perform 3D-CT scanning thrice prior to surgical operation. Total femoral heads harvested were torn asunder. Cubic capacity of femoral heads and necrotic foci were hereby measured and compared with those acquired from digital models. Result: Through the digital model, necrotic foci were found mainly locating within the super lateral portion of femoral head, coinciding with those observed in biopsy specimen. Average volumetric ratio of digitally acquired necrosis focus/femoral head in 58 collapsed hips was 36.8%. The ratio of the 34 hips without collapse was 17.3%. In collapsed femoral heads, the distribution of necrosis focus was 23.4% in quadrant 1 (q1), 23.6% in q2, 12.1% in q3, 14.4% in q4, 9.0% in q5, 11.8% in q6, 1.6% in q7 and 3.9% in q8. In femoral heads without collapse, the distribution was 34.2% in q1, 29.6% in q2, 11.8% in q3, 11.3% in q4, 6.0% in q5, 6.0% in q6, 0.5% in q7 and 0.4% in q8. As for the average cubic capacities of femoral heads and necrotic foci, those acquired from the digital model and biopsy specimen had no significant difference in matched-pairs test (t = -1.49, P = 0.179 for femoral heads and t = -1.52, P = 0.172 for necrotic foci). There was significant difference (F = 2.720, P = 0.035 P was respectively 0.0001 and 0.0005). Decision tree model showed that 94.6% (53/56) hips would progress into collapse if the volumetric ratio of necrotic tissue was over 23.48%. Otherwise, if distribution in q2 was over 45.13%, 83.3% (5/6) hips would progress into collapse. No collapse (0/30) would occur if the distribution of necrotic tissue in q2 was under 45.13%. Conclusion: Digital 3D-model reconstructed from CT scanning can precisely incarnate spatial orientation of necrotic foci in femoral head. Multinomial logistic regression and decision-making tree shows that volumetric ratio of necrotic tissues plays an important role in anticipating collapse of femoral head.

A Three-section Algorithm of Dynamic Programming Based on Three-stage Decomposition System Model for Grade Transition Trajectory Optimization Problems

This paper introduces a practical solving scheme of gradetransition trajectory optimization(GTTO) problems under typical certificate-checking–updating framework. Due to complicated kinetics of polymerization,differential/algebraic equations(DAEs) always cause great computational burden and system non-linearity usually makes GTTO non-convex bearing multiple optima. Therefore, coupled with the three-stage decomposition model, a three-section algorithm of dynamic programming(TSDP) is proposed based on the general iteration mechanism of iterative programming(IDP) and incorporated with adaptivegrid allocation scheme and heuristic modifications. The algorithm iteratively performs dynamic programming with heuristic modifications under constant calculation loads and adaptively allocates the valued computational resources to the regions that can further improve the optimality under the guidance of local error estimates. TSDP is finally compared with IDP and interior point method(IP) to verify its efficiency of computation.

Steady-state analysis of three-photon absorption spectra via density-matrix method in a three-coupled-quantum-well nanostructure

We numerically simulate three-photon absorption spectra in a three-coupled-quantum-well nanostructure interacting with a pump field, a coherent coupling field, and a probe field. We find that the three-photon absorption spectra can be dramatically influenced due to the intensities of the coupling field and pump field changing under the three-photon resonance condition. The effect of the frequency detuning of the pump field on the three-photon absorption spectra is also discussed. The study in our case is much more practical than the study in the case of its atomic counterpart in the sense of flexible design and the wide adjustable parameters. Thus it may open up some new possibilities for technological applications in optoelectronics and solid-state quantum information science.

THREE-SPHERE INEQUALITIES FOR SECOND ORDER SINGULAR PARTIAL DIFFERENTIAL EQUATIONS

In this article, we give the three-sphere inequalities and three-ball inequalities for the singular elliptic equation div（A∨u） - Vu =0, and the three-ball inequalities on the characteristic plane and the three-cylinder inequalities for the singular parabolic equation Эtu-div（A∨u） ＋ Vu = 0, where the singular potential V belonging to the Kato-Fefferman- Phong＇s class. Some applications are also discussed.

Application of Three-dimensional Teaching Mode in College English Teaching

The three-dimensional teaching mode is an integrated teaching mode,which integrates teaching design,teaching methods,teaching resources and student learning.In the English classroom,the three-dimensional teaching mode is used to make the English learning class full of vitality and to improve the effect of English classroom teaching.

Three-Drug Therapies in Psychiatry in the Light of the Maximum Ordinality Principle and the Explicit Solution to the “Three-Body Problem”—D.D. 23 Luglio 2023, Tempo Ordinario (3.00 e 10.20)

The present paper aims at showing the possible adoption in Psychiatry of a general methodology finalized to prescribe the most appropriate Therapy based on the knowledge of its correlative effects in advance, instead of recognizing them ex post. The specific case here considered is the “bipolar disorder”, in which the adoption of three different drugs is the most common practice, although with a possible differentiation between the prescription in the morning and in the evening, respectively. Thus, the proposed methodology will consider the Ordinal Interactions between the various drugs by evaluating their combined effects, which will result as being not a simple additive “sum”, because they are evaluated on the basis of the Maximum Ordinality Principle (MOP) and, in addition, in Adherence to the Explicit Solution to the “Three-Body Problem”. In this way the Methodology here proposed is able to suggest how to account for the synergistic effects of the various drugs, especially when the latter are characterized by different concentrations and, at the same time, by generally different half-lives respectively.