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Utility of real-time 3D visualization system in the early stage of phacoemulsification training
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作者 Zhe Xu Dan Chen +4 位作者 Jing-Wei Xu Yi-Xuan Feng Ce Shi Li Zhang Wen Xu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第3期577-582,共6页
●AIM:To determine the teaching effects of a real-time three dimensional(3D)visualization system in the operating room for early-stage phacoemulsification training.●METHODS:A total of 10 ophthalmology residents of th... ●AIM:To determine the teaching effects of a real-time three dimensional(3D)visualization system in the operating room for early-stage phacoemulsification training.●METHODS:A total of 10 ophthalmology residents of the first-year postgraduate were included.All the residents were novices to cataract surgery.Real-time cataract surgical observations were performed using a custom-built 3D visualization system.The training lasted 4wk(32h)in all.A modified International Council of Ophthalmology’s Ophthalmology Surgical Competency Assessment Rubric(ICO-OSCAR)containing 4 specific steps of cataract surgery was applied.The self-assessment(self)and expert-assessment(expert)were performed through the microsurgical attempts in the wet lab for each participant.●RESULTS:Compared with pre-training assessments(self 3.2±0.8,expert 2.5±0.6),the overall mean scores of posttraining(self 5.2±0.4,expert 4.7±0.6)were significantly improved after real-time observation training of 3D visualization system(P<0.05).Scores of 4 surgical items were significantly improved both self and expert assessment after training(P<0.05).●CONCLUSION:The 3D observation training provides novice ophthalmic residents with a better understanding of intraocular microsurgical techniques.It is a useful tool to improve teaching efficiency of surgical education. 展开更多
关键词 3D visualization system phacoemulsification training wet lab
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Advancing Wound Filling Extraction on 3D Faces:An Auto-Segmentation and Wound Face Regeneration Approach
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作者 Duong Q.Nguyen Thinh D.Le +2 位作者 Phuong D.Nguyen Nga T.K.Le H.Nguyen-Xuan 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第5期2197-2214,共18页
Facial wound segmentation plays a crucial role in preoperative planning and optimizing patient outcomes in various medical applications.In this paper,we propose an efficient approach for automating 3D facial wound seg... Facial wound segmentation plays a crucial role in preoperative planning and optimizing patient outcomes in various medical applications.In this paper,we propose an efficient approach for automating 3D facial wound segmentation using a two-stream graph convolutional network.Our method leverages the Cir3D-FaIR dataset and addresses the challenge of data imbalance through extensive experimentation with different loss functions.To achieve accurate segmentation,we conducted thorough experiments and selected a high-performing model from the trainedmodels.The selectedmodel demonstrates exceptional segmentation performance for complex 3D facial wounds.Furthermore,based on the segmentation model,we propose an improved approach for extracting 3D facial wound fillers and compare it to the results of the previous study.Our method achieved a remarkable accuracy of 0.9999993% on the test suite,surpassing the performance of the previous method.From this result,we use 3D printing technology to illustrate the shape of the wound filling.The outcomes of this study have significant implications for physicians involved in preoperative planning and intervention design.By automating facial wound segmentation and improving the accuracy ofwound-filling extraction,our approach can assist in carefully assessing and optimizing interventions,leading to enhanced patient outcomes.Additionally,it contributes to advancing facial reconstruction techniques by utilizing machine learning and 3D bioprinting for printing skin tissue implants.Our source code is available at https://github.com/SIMOGroup/WoundFilling3D. 展开更多
关键词 3D printing technology face reconstruction 3D segmentation 3D printed model
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A Random Fusion of Mix 3D and Polar Mix to Improve Semantic Segmentation Performance in 3D Lidar Point Cloud
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作者 Bo Liu Li Feng Yufeng Chen 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第7期845-862,共18页
This paper focuses on the effective utilization of data augmentation techniques for 3Dlidar point clouds to enhance the performance of neural network models.These point clouds,which represent spatial information throu... This paper focuses on the effective utilization of data augmentation techniques for 3Dlidar point clouds to enhance the performance of neural network models.These point clouds,which represent spatial information through a collection of 3D coordinates,have found wide-ranging applications.Data augmentation has emerged as a potent solution to the challenges posed by limited labeled data and the need to enhance model generalization capabilities.Much of the existing research is devoted to crafting novel data augmentation methods specifically for 3D lidar point clouds.However,there has been a lack of focus on making the most of the numerous existing augmentation techniques.Addressing this deficiency,this research investigates the possibility of combining two fundamental data augmentation strategies.The paper introduces PolarMix andMix3D,two commonly employed augmentation techniques,and presents a new approach,named RandomFusion.Instead of using a fixed or predetermined combination of augmentation methods,RandomFusion randomly chooses one method from a pool of options for each instance or sample.This innovative data augmentation technique randomly augments each point in the point cloud with either PolarMix or Mix3D.The crux of this strategy is the random choice between PolarMix and Mix3Dfor the augmentation of each point within the point cloud data set.The results of the experiments conducted validate the efficacy of the RandomFusion strategy in enhancing the performance of neural network models for 3D lidar point cloud semantic segmentation tasks.This is achieved without compromising computational efficiency.By examining the potential of merging different augmentation techniques,the research contributes significantly to a more comprehensive understanding of how to utilize existing augmentation methods for 3D lidar point clouds.RandomFusion data augmentation technique offers a simple yet effective method to leverage the diversity of augmentation techniques and boost the robustness of models.The insights gained from this research can pave the way for future work aimed at developing more advanced and efficient data augmentation strategies for 3D lidar point cloud analysis. 展开更多
关键词 3D lidar point cloud data augmentation RandomFusion semantic segmentation
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Drishti Paint 3.2:a new open-source tool for both 2D and 3D segmentation
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作者 WANG Meng-Jun Ajay LIMAYE LU Jing 《古脊椎动物学报(中英文)》 CSCD 北大核心 2024年第4期313-320,共8页
X-ray computed tomography(CT)has been an important technology in paleontology for several decades.It helps researchers to acquire detailed anatomical structures of fossils non-destructively.Despite its widespread appl... X-ray computed tomography(CT)has been an important technology in paleontology for several decades.It helps researchers to acquire detailed anatomical structures of fossils non-destructively.Despite its widespread application,developing an efficient and user-friendly method for segmenting CT data continues to be a formidable challenge in the field.Most CT data segmentation software operates on 2D interfaces,which limits flexibility for real-time adjustments in 3D segmentation.Here,we introduce Curves Mode in Drishti Paint 3.2,an open-source tool for CT data segmentation.Drishti Paint 3.2 allows users to manually or semi-automatically segment the CT data in both 2D and 3D environments,providing a novel solution for revisualizing CT data in paleontological studies. 展开更多
关键词 X-ray computed tomography(CT) 2D and 3D segmentation 3D reconstruction Drishti Paint
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SGT-Net: A Transformer-Based Stratified Graph Convolutional Network for 3D Point Cloud Semantic Segmentation
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作者 Suyi Liu Jianning Chi +2 位作者 Chengdong Wu Fang Xu Xiaosheng Yu 《Computers, Materials & Continua》 SCIE EI 2024年第6期4471-4489,共19页
In recent years,semantic segmentation on 3D point cloud data has attracted much attention.Unlike 2D images where pixels distribute regularly in the image domain,3D point clouds in non-Euclidean space are irregular and... In recent years,semantic segmentation on 3D point cloud data has attracted much attention.Unlike 2D images where pixels distribute regularly in the image domain,3D point clouds in non-Euclidean space are irregular and inherently sparse.Therefore,it is very difficult to extract long-range contexts and effectively aggregate local features for semantic segmentation in 3D point cloud space.Most current methods either focus on local feature aggregation or long-range context dependency,but fail to directly establish a global-local feature extractor to complete the point cloud semantic segmentation tasks.In this paper,we propose a Transformer-based stratified graph convolutional network(SGT-Net),which enlarges the effective receptive field and builds direct long-range dependency.Specifically,we first propose a novel dense-sparse sampling strategy that provides dense local vertices and sparse long-distance vertices for subsequent graph convolutional network(GCN).Secondly,we propose a multi-key self-attention mechanism based on the Transformer to further weight augmentation for crucial neighboring relationships and enlarge the effective receptive field.In addition,to further improve the efficiency of the network,we propose a similarity measurement module to determine whether the neighborhood near the center point is effective.We demonstrate the validity and superiority of our method on the S3DIS and ShapeNet datasets.Through ablation experiments and segmentation visualization,we verify that the SGT model can improve the performance of the point cloud semantic segmentation. 展开更多
关键词 3D point cloud semantic segmentation long-range contexts global-local feature graph convolutional network dense-sparse sampling strategy
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Optimization of p-type Segmented Bi_2Te_3/CoSb_3 Thermoelectric Material Prepared by Spark Plasma Sintering
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作者 王军 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2006年第4期126-129,共4页
A kind of p-type segmented Bi2 Te3/CoSB3 thermoetectric material was preparea oy sparse ptasma sintering( SPS ) . When the segmented materials were used at the temperature ranging from 300 K to 800 K, the junction t... A kind of p-type segmented Bi2 Te3/CoSB3 thermoetectric material was preparea oy sparse ptasma sintering( SPS ) . When the segmented materials were used at the temperature ranging from 300 K to 800 K, the junction temperature was optimized, which is about 500 K, and the corresponding length ratio of CoSb3 to Bi2 Te3 is about 15 : 2. The measured maximum power output of segmented materials is abont 320 W·m^-2, which is about 1.8 times as high as that of monolithic material CoSb3 under the same measuring conditions. 展开更多
关键词 CoSb3 compounds bismuth telluride segmented thermoelectric materials power outpats
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Underwater Recording and 3D Modeling during a Dive Training Course: A Case Study at Panormos, Skopelos, Greece
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作者 Kimon Papadimitriou Anastasios Ktistis Ioanna Sarakinou 《Journal of Environmental Science and Engineering(A)》 2015年第9期445-454,共10页
In the field of underwater survey, there is a variety of methods which differ from each other in terms of the operating environment and the purpose that each method is used. Hence, some of the state-of-the-art methods... In the field of underwater survey, there is a variety of methods which differ from each other in terms of the operating environment and the purpose that each method is used. Hence, some of the state-of-the-art methods, that have many applications in the various scientific fields nowadays, are introduced in this paper. Additionally, the application of the procedures for an underwater survey in shallow depths is analyzed in accordance with the training standards of the PADI Underwater Survey Diver distinctive specialty. The main goal is to demonstrate not only the theoretical background of underwater surveys but also their operational issues, in order to facilitate the development of knowledge and skills during a training course. Finally, a case study for the recording and 3D modeling of the seabeds' morphology in shallow water is presented as it has been organized and accomplished by the participants of such a training course. By this way, it is expected that the reader will understand explicitly the application of the procedures prior, during and after the dive for an underwater survey in shallow depths. 展开更多
关键词 Underwater survey training course PHOTOGRAMMETRY 3D modeling.
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速度350km/h高速铁路长大下坡地段闭塞分区设置方法研究 被引量:1
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作者 张守帅 张雨洁 +2 位作者 闫海峰 田长海 骆泳吉 《铁道学报》 EI CAS CSCD 北大核心 2024年第1期72-80,共9页
通过分析长大下坡道闭塞分区长度对CTCS-3级和后备CTCS-2级列控系统的影响,指出二者对闭塞分区长度的需求完全相反,并针对CTCS-3级列控系统的行车许可回缩、速度突降等问题的产生原因进行分析。阐述坡度、闭塞分区长度与不同列控模式下... 通过分析长大下坡道闭塞分区长度对CTCS-3级和后备CTCS-2级列控系统的影响,指出二者对闭塞分区长度的需求完全相反,并针对CTCS-3级列控系统的行车许可回缩、速度突降等问题的产生原因进行分析。阐述坡度、闭塞分区长度与不同列控模式下列车运行速度、追踪间隔时间等要素之间的关系,制定闭塞分区设置的基本原则。检算典型坡度下闭塞分区长度设置的合理区间范围及相应追踪间隔时间,指出坡度超过-30‰后将无法兼顾不同列控等级下的运行速度。设计模拟退火算法,根据闭塞分区设置原则及闭塞分区取值规律,给出压缩求解空间、提高求解效率的方法。以郑万高速铁路长大下坡地段为例,对闭塞分区设置进行优化,在不考虑其他约束的前提下,与设计院优化方案相比,本求解优化方案在确保CTCS-3级控车模式下允许速度可达350 km/h的同时,将CTCS-2级控车模式下的允许速度提高30 km/h,追踪间隔时间压缩23 s。 展开更多
关键词 高速铁路 长大下坡道 CTCS-3级列控系统 闭塞分区 行车许可
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机械硕士专业学位研究生“1+2+3”培养模式研究
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作者 赵建国 李久熙 +3 位作者 桑永英 李建平 李建昌 郝建军 《农机使用与维修》 2024年第7期155-158,共4页
针对当前机械硕士专业学位研究生实践能力难以满足国家高水平工程技术人才需要,以及院校与企业之间合作不够深入,共同培养研究生机制不健全等问题。该文对以学生能力培养为中心,校企联动培养为路径,学科互融、课堂贯通、双导师制为保障... 针对当前机械硕士专业学位研究生实践能力难以满足国家高水平工程技术人才需要,以及院校与企业之间合作不够深入,共同培养研究生机制不健全等问题。该文对以学生能力培养为中心,校企联动培养为路径,学科互融、课堂贯通、双导师制为保障的1个中心、2个主体、3重保障的“1+2+3”人才培养模式进行了研究。通过理论与实践、高校与企业的有机融合,增强了机械硕士专业学位研究生的实践与创新能力,提高了机械专业学生的就业率和就业质量,满足了当下企业对复合型人才的需求。 展开更多
关键词 机械 专业学位 研究生培养 “1+2+3”培养模式 复合型人才
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3D打印实物模型在颈椎疾患住院医师规范化培训教学中的应用和探讨
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作者 王玉强 许建中 +6 位作者 谭洪宇 鲍恒 李宇 刘会范 王秀玲 马陶然 花卉 《中国毕业后医学教育》 2024年第5期369-372,共4页
目的探讨3 D打印实物模型在提高颈椎疾患住院医师规范化培训(简称住培)教学效果中的作用。方法选取参加骨科住培的颈椎疾患学习的住院医师80名为研究对象,随机分为两组,观察组(40人)以幻灯讲解加3 D打印实物模型教学,对照组(40人)采用... 目的探讨3 D打印实物模型在提高颈椎疾患住院医师规范化培训(简称住培)教学效果中的作用。方法选取参加骨科住培的颈椎疾患学习的住院医师80名为研究对象,随机分为两组,观察组(40人)以幻灯讲解加3 D打印实物模型教学,对照组(40人)采用幻灯讲解教学。课后即时和课后1月分别对住院医师的知识掌握情况和诊疗技术进行现场测试,利用问卷的形式对住院医师的满意度和参与兴趣(10分法)进行调查。结果课后即时观察组的知识掌握情况和对照组相当(P>0.05),但是观察组的诊疗技术测试成绩显著高于对照组(P<0.05),观察组的满意度和参与兴趣评分均显著高于对照组,两者对比差异有统计学意义(均P<0.05);课后1月时,观察组的知识掌握情况和诊疗技术测试成绩均显著高于对照组(均P<0.05)。结论3 D打印实物模型应用于颈椎疾患住培的带教中,可显著提高教学效果,提升住院医师的满意度和参与兴趣,值得在住培教学中推广。 展开更多
关键词 3D打印 实物模型 颈椎 教学 住院医师规范化培训
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“3+2”联合培养模式下本科层次职业教育数学课程衔接发展研究——以安徽机电职业技术学院为例
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作者 刘苏兵 尤游 +1 位作者 吕会影 周长远 《安徽警官职业学院学报》 2024年第1期115-119,共5页
“3+2”联合培养模式是本科层次职业教育的主要模式之一,有利于提升本科教育与职业教育的课程衔接效果。以安徽机电职业技术学院为例,剖析本科层次职业教育数学课程衔接背景与课程开展现状,从目标衔接、内容衔接、教法衔接、考核评价衔... “3+2”联合培养模式是本科层次职业教育的主要模式之一,有利于提升本科教育与职业教育的课程衔接效果。以安徽机电职业技术学院为例,剖析本科层次职业教育数学课程衔接背景与课程开展现状,从目标衔接、内容衔接、教法衔接、考核评价衔接等方面,深入分析本科层次职业教育数学课程衔接发展的措施,有助于为“3+2”联合培养模式下本科与职业教育数学课程的顺利衔接提供参考。 展开更多
关键词 3+2联合培养模式 本科层次职业教育 数学课程 安徽机电职业技术学院
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超声联合血清AnxA1、MMP-3对NSTE-ACS患者PCI术后冠状动脉再狭窄的预测价值
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作者 魏晓 湛疆 +2 位作者 何定华 陈燕 蔡烈松 《临床和实验医学杂志》 2024年第13期1373-1376,共4页
目的探讨血清膜联蛋白A1(AnxA1)、基质金属蛋白酶-3(MMP-3)联合冠状动脉血管内超声钙化特征对非ST段抬高型急性冠脉综合征(NSTE-ACS)患者经皮冠状动脉介入治疗(PCI)术后冠状动脉再狭窄的预测价值。方法回顾性选取2019年7月至2022年5月... 目的探讨血清膜联蛋白A1(AnxA1)、基质金属蛋白酶-3(MMP-3)联合冠状动脉血管内超声钙化特征对非ST段抬高型急性冠脉综合征(NSTE-ACS)患者经皮冠状动脉介入治疗(PCI)术后冠状动脉再狭窄的预测价值。方法回顾性选取2019年7月至2022年5月鄂州市中心医院行PCI治疗的236例NSTE-ACS患者为研究对象,依据随访1年内冠状动脉再狭窄情况分为再狭窄组(n=24)和非狭窄组(n=212)。收集患者临床资料,对比患者血清AnxA1、MMP-3水平、血管内超声检查结果;采用Logistic多因素回归分析NSTE-ACS患者PCI术后冠状动脉再狭窄影响因素;受试者操作特征(ROC)曲线分析血清AnxA1、MMP-3水平联合钙化特征评分预测术后冠状动脉再狭窄的价值。结果再狭窄组血清AnxA1、MMP-3水平及钙化病变比例、浅表型钙化比例、钙化弧度、钙化长度、钙化特征评分分别为(2.40±0.61)μg/L、(56.49±12.31)μg/L、66.67%、70.83%、(162.18±28.43)°、(25.91±4.56)mm、(5.02±1.28)分,高于非狭窄组[(1.78±0.40)μg/L、(42.78±10.07)μg/L、22.64%、29.72%、(78.41±20.39)°、(13.72±3.68)mm、(3.47±1.02)分],差异均有统计学意义(P<0.05)。AnxA1、MMP-3、钙化特征评分是NSTE-ACS患者PCI术后冠状动脉再狭窄的独立危险因素(P<0.05)。AnxA1、MMP-3、钙化特征评分及3者联合预测NSTE-ACS患者PCI术后冠状动脉再狭窄的AUC分别为0.825、0.780、0.854、0.960。结论AnxA1、MMP-3、钙化特征评分是NSTE-ACS患者PCI术后冠状动脉再狭窄的独立危险因素,3者联合较单一指标对冠状动脉再狭窄的预测价值更高。 展开更多
关键词 非ST段抬高型急性冠脉综合征 经皮冠状动脉介入治疗 膜联蛋白A1 基质金属蛋白酶-3 血管内超声 冠状动脉再狭窄
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降级运行后CTCS-2/3等级转换点设置方案研究
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作者 池春玲 马章 +1 位作者 梁朝辉 武汝涵 《铁道通信信号》 2024年第12期79-85,共7页
装备CTCS-3级列控系统车载设备的列车,在安装CTCS-3级地面设备区域运行时出现无线通信中断等原因降级后,若长时间按CTCS-2等级运行将影响区间通过能力。合理设置降级后CTCS-2/3等级转换点,实现降级为CTCS-2等级运行的列车尽早恢复CTCS-... 装备CTCS-3级列控系统车载设备的列车,在安装CTCS-3级地面设备区域运行时出现无线通信中断等原因降级后,若长时间按CTCS-2等级运行将影响区间通过能力。合理设置降级后CTCS-2/3等级转换点,实现降级为CTCS-2等级运行的列车尽早恢复CTCS-3等级运行,可提高列车运行效率。结合等级转换设计有关规定及工程案例,对降级后CTCS-2/3等级转换点的设置方案进行研究,同时考虑RBC移交需求、站间距过长或过短、枢纽场/站间通过联络线和渡线衔接的特殊场景。研究结果表明:两站间有RBC移交需求时,应优先确保RBC移交,再根据站间距设置降级后等级转换点;对于长大区间,应在区间适当位置增设正向等级转换点;对于枢纽,可设计多场/站共用等级转换点。研究结果可为降级后CTCS-2/3等级转换点的工程设计提供借鉴与参考。 展开更多
关键词 CTCS-3级列控系统 CTCS-2级列控系统 等级转换 应答器 RBC切换点 降级 长大区间 枢纽
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中国人群非ST 段抬高型心肌梗死诊断中两种高敏心肌肌钙蛋白0/3小时流程的比较
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作者 蔡瑶瑶 蔺亚晖 +10 位作者 杨晴 詹红 刘敏 王书奎 刘才冬 冯广迅 张涛 杨艳敏 朱俊 周洲 梁岩 《中国循环杂志》 CSCD 北大核心 2024年第11期1070-1077,共8页
目的:比较2015年欧洲心脏病学会(ESC)非ST段抬高型急性冠状动脉综合征(NSTE-ACS)管理指南(2015年ESC指南)和2021年《心肌肌钙蛋白实验室检测与临床应用中国专家共识》(2021年中国共识)推荐的高敏心肌肌钙蛋白(hs-cTn)0/3 h流程,在疑似... 目的:比较2015年欧洲心脏病学会(ESC)非ST段抬高型急性冠状动脉综合征(NSTE-ACS)管理指南(2015年ESC指南)和2021年《心肌肌钙蛋白实验室检测与临床应用中国专家共识》(2021年中国共识)推荐的高敏心肌肌钙蛋白(hs-cTn)0/3 h流程,在疑似急性冠状动脉综合征(ACS)患者中对非ST段抬高型心肌梗死(NSTEMI)的诊断效能及其对主要不良心血管事件(MACE)的预测价值。方法:本研究为一项多中心前瞻性观察性研究,共纳入2017年1月至2020年9月三个临床中心共1527例疑似ACS患者。患者均在就诊时(0 h)及3 h行ARCHITECT血浆高敏心肌肌钙蛋白Ⅰ(hs-cTnI)水平检测(检验判定)。以临床判定(心脏科专家独立于检测结果进行临床判定)作为金标准,比较两种诊断流程的灵敏度、特异度及一致率,并分析其对30 d及180 d MACE的预测价值。MACE为心血管死亡、心肌梗死及计划外冠状动脉血运重建的复合终点。结果:根据临床判定,NSTEMI患者400例,非NSTEMI患者1127例。2021年中国共识推荐的0/3 h流程在诊断NSTEMI的灵敏度上高于2015年ESC指南[91.50%(95%CI:88.32%~94.04%)vs.87.75%(95%CI:84.13%~90.80%)],而在特异度上略低[93.88%(95%CI:92.32%~95.21%)vs.95.56%(95%CI:94.19%~96.69%)],两种差异均有统计学意义(P均<0.001)。在30 d和180 d的随访中,两种流程中诊断为NSTEMI的患者MACE发生率均高于排除NSTEMI的患者,差异具有统计学意义(P<0.001)。2015 ESC年指南推荐流程排除的NSTEMI患者在30 d和180 d的MACE发生率分别为0.19%和1.12%,诊断的NSTEMI患者分别为2.89%和3.68%;而2021年中国共识推荐流程排除的NSTEMI患者在30 d和180 d的MACE发生率分别为0.096%和0.770%,诊断的NSTEMI患者分别为2.91%和4.36%。Cox分析显示,两种流程诊断的NSTEMI组在180 d时MACE的HR分别为3.418(95%CI:1.581~7.390,P=0.002)和5.892(95%CI:2.562~13.551,P<0.001),均显著高于排除NSTEMI组。结论:2021年中国共识推荐的0/3 h流程在诊断灵敏度上优于2015年ESC指南推荐流程,尽管前者在特异度上略低。两种流程均能有效预测180 d内MACE,但基于本研究数据,中国共识推荐流程可能在预测MACE风险方面更为敏感,经该方法排除NSTEMI诊断的患者具更低的MACE事件,提示其在临床实践中的应用可能更有助于患者的长期安全管理。 展开更多
关键词 高敏心肌肌钙蛋白I 非ST段抬高型心肌梗死 中国人群 0/3 h诊断流程
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临床医学“3+2”医生培养在“八共建”模式下的研究
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作者 温露华 邓富强 陈伟玉 《中国继续医学教育》 2024年第23期184-188,共5页
随着医疗事业的快速发展和基层医疗需求的日益增长,培养兼具扎实医学理论基础与卓越临床实践能力的医生已成为医学教育领域的关键任务。近年来,临床医学领域引入创新的“3+2”培养模式,巧妙融合前3年的专科教育与后2年的全科医生规范化... 随着医疗事业的快速发展和基层医疗需求的日益增长,培养兼具扎实医学理论基础与卓越临床实践能力的医生已成为医学教育领域的关键任务。近年来,临床医学领域引入创新的“3+2”培养模式,巧妙融合前3年的专科教育与后2年的全科医生规范化培训,实施“早临床、多临床”的教学策略。同时,通过实施“八共建”模式,即与医院在人才培养方案、培养模式、专业教学团队、课程标准、教学评价体系、产教融合教材编写、实习实训基地建设以及合作攻关项目8个关键领域展开深度协同合作。然而作为一种新兴的培养方法,不可避免地存在理论与实践的平衡、学生个性化发展方面的局限性。文章将对“八共建”模式下的“3+2”医生培养概念进行探讨,并通过与传统及现代医生培养模式的对比分析,为优化医学教育路径提供理论依据和实践参考。 展开更多
关键词 临床医学 “3+2”医生培养 医教协同 “八共建”模式 教学模式 研究进展
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心电图fQRS波及血清Serpina3、25-(OH)D_(3)对STEMI患者PCI术后ST段回落的预测价值
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作者 刘芳 王涛 +3 位作者 周晔 宋雨 赵静 韩月 《保健医学研究与实践》 2024年第1期49-54,共6页
目的探究心电图碎裂QRS(fQRS)波及血清丝氨酸蛋白酶抑制剂A3(Serpina3)、25-羟基维生素D_(3)[25-(OH)D_(3)]对ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入治疗(PCI)术后ST段回落的预测价值,以期为临床治疗提供参考。方法选取2019年... 目的探究心电图碎裂QRS(fQRS)波及血清丝氨酸蛋白酶抑制剂A3(Serpina3)、25-羟基维生素D_(3)[25-(OH)D_(3)]对ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入治疗(PCI)术后ST段回落的预测价值,以期为临床治疗提供参考。方法选取2019年1月—2022年10月安徽省阜阳市肿瘤医院收治的200例行PCI术的STEMI患者为研究对象。PCI术后120 min根据ST段回落情况分为回落良好组(n=137)和回落不良组(n=63)。比较2组患者术前fQRS波发生率及血清Serpina3、25-(OH)D_(3)水平,通过Kappa一致性检验分析fQRS波发生率与术后ST段回落不良一致性,绘制受试者工作特征曲线(ROC曲线),探究血清Serpina3、25-(OH)D_(3)对ST段回落不良的预测价值;随访6个月,比较2组患者主要心血管不良事件(MACE)发生情况。结果回落不良组患者术前fQRS波发生率49.21%,高于回落良好组的10.22%,差异有统计学意义(P<0.05);回落不良组患者血清Serpina3水平高于回落良好组,而25-(OH)D_(3)水平低于回落良好组,差异均有统计学意义(P<0.05)。术前fQRS波发生率与PCI术后ST段回落不良一致性Kappa值为0.422;术前血清Serpina3、25-(OH)D_(3)及二者联合预测PCI术后ST段回落不良的ROC曲线下面积分别为0.689、0.867和0.887;术后6个月,回落不良组MACE总发生率22.22%,高于回落良好组的8.03%,差异有统计学意义(P<0.05)。结论STEMI患者术前心电图fQRS波与PCI术后ST段回落不良具有中度一致性,血清Serpina3、25-(OH)D_(3)水平对术后ST段回落不良预测价值较高,三者可作为STEMI患者术后ST段回落不良的早期评估指标。 展开更多
关键词 ST段抬高型心肌梗死 ST段回落 碎裂QRS波 丝氨酸蛋白酶抑制剂A3 25-羟基维生素D_(3)
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基于“产出导向法”的高职“3+2”英语教学实践探究
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作者 田冬梅 《扬州职业大学学报》 2024年第1期54-58,共5页
高职与本科“3+2”分段培养是现代职教体系的模式之一,《大学英语教学指南(2020版)》与《高等职业教育专科英语课程标准(2021年版)》为“3+2”模式的英语教学衔接提供了理论与实践指南。基于此,以“综合英语2”的单元教学为例,按照“驱... 高职与本科“3+2”分段培养是现代职教体系的模式之一,《大学英语教学指南(2020版)》与《高等职业教育专科英语课程标准(2021年版)》为“3+2”模式的英语教学衔接提供了理论与实践指南。基于此,以“综合英语2”的单元教学为例,按照“驱动-促成-评价”的教学流程,探讨“产出导向法(POA)”在“3+2”英语教学中的可行性和有效性。 展开更多
关键词 “3+2”分段培养 产出导向法 高职英语课程标准 英语教学
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Semantic segmentation method of road scene based on Deeplabv3+ and attention mechanism 被引量:6
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作者 BAI Yanqiong ZHENG Yufu TIAN Hong 《Journal of Measurement Science and Instrumentation》 CAS CSCD 2021年第4期412-422,共11页
In the study of automatic driving,understanding the road scene is a key to improve driving safety.The semantic segmentation method could divide the image into different areas associated with semantic categories in acc... In the study of automatic driving,understanding the road scene is a key to improve driving safety.The semantic segmentation method could divide the image into different areas associated with semantic categories in accordance with the pixel level,so as to help vehicles to perceive and obtain the surrounding road environment information,which would improve driving safety.Deeplabv3+is the current popular semantic segmentation model.There are phenomena that small targets are missed and similar objects are easily misjudged during its semantic segmentation tasks,which leads to rough segmentation boundary and reduces semantic accuracy.This study focuses on the issue,based on the Deeplabv3+network structure and combined with the attention mechanism,to increase the weight of the segmentation area,and then proposes an improved Deeplabv3+fusion attention mechanism for road scene semantic segmentation method.First,a group of parallel position attention module and channel attention module are introduced on the Deeplabv3+encoding end to capture more spatial context information and high-level semantic information.Then,an attention mechanism is introduced to restore the spatial detail information,and the data shall be normalized in order to accelerate the convergence speed of the model at the decoding end.The effects of model segmentation with different attention-introducing mechanisms are compared and tested on CamVid and Cityscapes datasets.The experimental results show that the mean Intersection over Unons of the improved model segmentation accuracies on the two datasets are boosted by 6.88%and 2.58%,respectively,which is better than using Deeplabv3+.This method does not significantly increase the amount of network calculation and complexity,and has a good balance of speed and accuracy. 展开更多
关键词 autonomous driving road scene semantic segmentation Deeplabv3+ attention mechanism
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3D打印模型在脊柱外科住院医师规范化培训中的创新应用
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作者 顾宏林 黄应雄 +4 位作者 梁昌详 戴国琳 昌耘冰 王劲松 李辉雁 《中国毕业后医学教育》 2024年第10期730-735,共6页
目的探讨3 D打印模型在脊柱外科住院医师规范化培训(简称住培)中的应用效果。方法选取2023年1月—2023年12月在广东省人民医院脊柱外科轮转的46名二年级外科学专业住院医师作为研究对象,通过抽签方式随机分为观察组和对照组,每组各23名... 目的探讨3 D打印模型在脊柱外科住院医师规范化培训(简称住培)中的应用效果。方法选取2023年1月—2023年12月在广东省人民医院脊柱外科轮转的46名二年级外科学专业住院医师作为研究对象,通过抽签方式随机分为观察组和对照组,每组各23名。观察组采用3 D打印模型辅助教学,对照组则采用传统教学。经过1个月的教学培训,通过出科考试、综合考核、教学满意度及自我鉴定问卷调查等方式多维度评估教学效果。采用独立样本t检验进行数据分析。结果观察组的出科考试成绩、综合考核评分及教学满意度均显著优于对照组(均P<0.0001)。此外,观察组自我鉴定部分的学习兴趣、自学能力、团队合作能力及综合分析能力也均显著高于对照组(P<0.001)。结论3 D打印模型辅助教学模式能有效提升脊柱外科住培的教学质量,并显著提高住院医师的教学满意度、综合能力及自我评价,为脊柱外科住培教学提供了新的有效路径。 展开更多
关键词 骨科 脊柱外科教学 3 D打印模型 住院医师规范化培训 教学质量
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3D Finite Element Analysis of TBM Water Diversion Tunnel Segment Coupled with Seepage Field 被引量:4
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作者 钟登华 胡能明 +2 位作者 程正飞 吕鹏 佟大威 《Transactions of Tianjin University》 EI CAS 2016年第1期35-42,共8页
In most studies of tunnel boring machine(TBM)tunnelling, the groundwater pressure was not considered, or was simplified and exerted on the boundary of lining structure. Meanwhile, the leakage, which mainly occurs in t... In most studies of tunnel boring machine(TBM)tunnelling, the groundwater pressure was not considered, or was simplified and exerted on the boundary of lining structure. Meanwhile, the leakage, which mainly occurs in the segment joints, was often ignored in the relevant studies of TBM tunnelling. Additionally, the geological models in these studies were simplified to different extents, and mostly were simplified as homogenous bodies. Considering the deficiencies above, a 3D refined model of the surrounding rock of a tunnel is firstly established using NURBS-TIN-BRe P hybrid data structure in this paper. Then the seepage field of the surrounding rock considering the leakage in the segment joints is simulated. Finally, the stability of TBM water diversion tunnel is studied coupled with the seepage simulation, to analyze the stress-strain conditions, the axial force and the bending moment of tunnel segment considering the leakage in the segment joints. The results illustrate that the maximum radial displacement, the minimum principal stress, the maximum principal stress and the axial force of segment lining considering the seepage effect are all larger than those disregarding the seepage effect. 展开更多
关键词 segment lining seepage-stress coupling 3D geological model TBM water diversion tunnel
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