目的探讨脑卒中后抑郁-焦虑共病(post-stroke anxiety combined with depression,PSCAD)患者合用安神合剂与黛力新治疗对其神经功能缺损、负性心理及不良反应的影响。方法选取2019年8月—2021年5月医院收治PSCAD患者146例,随机数字表法...目的探讨脑卒中后抑郁-焦虑共病(post-stroke anxiety combined with depression,PSCAD)患者合用安神合剂与黛力新治疗对其神经功能缺损、负性心理及不良反应的影响。方法选取2019年8月—2021年5月医院收治PSCAD患者146例,随机数字表法分对照组及观察组,各73例。对照组予以黛力新治疗,观察组在对照组基础之上联用安神合剂;比较治疗前与治疗4周后两组中医证候相关积分,酶联免疫分析仪检测血清5-羟色胺(5-hydroxytryptamine,5-HT)、盐酸多巴胺(Dopamine hydrochloride,DA)以及去甲肾上腺素(Norepinephrine,NE)水平,美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评估神经功能缺损现象,选取特质焦虑分量表(Trait anxiety invento⁃ry,T-AI)、状态焦虑分量表(S-AI)和汉密尔顿抑郁量表与(Hamilton Depression Scale,HAMD)进行负性心理评估;比较两组治疗后不良反应的发生率。结果治疗后,观察组中医症候相关积分皆明显优于对照组(P<0.05);治疗后,观察组血清5-HT、DA及NE水平显著高于对照组,观察组NIHSS评分明显低于对照组(P<0.05);治疗后,观察组T-AI、S-AI和HAMD评分皆明显低于对照组(P<0.05)。观察组不良反应发生率低于对照组,但差异不存在统计学意义(P>0.05)。结论安神合剂与黛力新联用改善PSCAD患者神经功能缺损状况,有效调节负性心理,不增加不良反应发生率。展开更多
有貌合神离的翻译,有貌离神合的翻译。一个男青年向女朋友解释误会,说:"The last thing I want in this world is to hurt you."若译作:"我在这世界上最后需要的事是伤害你。""信"则"信"矣,读...有貌合神离的翻译,有貌离神合的翻译。一个男青年向女朋友解释误会,说:"The last thing I want in this world is to hurt you."若译作:"我在这世界上最后需要的事是伤害你。""信"则"信"矣,读者并不懂。照译文看,男方似乎仍有伤害对方之意,不过要放到别的事情之后。这显然有失原意。这话应当说是:"在这个世界上我最不愿意作的事就是伤害你的感情。"展开更多
A hybrid identification model based on multilayer artificial neural networks(ANNs) and particle swarm optimization(PSO) algorithm is developed to improve the simultaneous identification efficiency of thermal conductiv...A hybrid identification model based on multilayer artificial neural networks(ANNs) and particle swarm optimization(PSO) algorithm is developed to improve the simultaneous identification efficiency of thermal conductivity and effective absorption coefficient of semitransparent materials.For the direct model,the spherical harmonic method and the finite volume method are used to solve the coupled conduction-radiation heat transfer problem in an absorbing,emitting,and non-scattering 2D axisymmetric gray medium in the background of laser flash method.For the identification part,firstly,the temperature field and the incident radiation field in different positions are chosen as observables.Then,a traditional identification model based on PSO algorithm is established.Finally,multilayer ANNs are built to fit and replace the direct model in the traditional identification model to speed up the identification process.The results show that compared with the traditional identification model,the time cost of the hybrid identification model is reduced by about 1 000 times.Besides,the hybrid identification model remains a high level of accuracy even with measurement errors.展开更多
文摘目的探讨脑卒中后抑郁-焦虑共病(post-stroke anxiety combined with depression,PSCAD)患者合用安神合剂与黛力新治疗对其神经功能缺损、负性心理及不良反应的影响。方法选取2019年8月—2021年5月医院收治PSCAD患者146例,随机数字表法分对照组及观察组,各73例。对照组予以黛力新治疗,观察组在对照组基础之上联用安神合剂;比较治疗前与治疗4周后两组中医证候相关积分,酶联免疫分析仪检测血清5-羟色胺(5-hydroxytryptamine,5-HT)、盐酸多巴胺(Dopamine hydrochloride,DA)以及去甲肾上腺素(Norepinephrine,NE)水平,美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评估神经功能缺损现象,选取特质焦虑分量表(Trait anxiety invento⁃ry,T-AI)、状态焦虑分量表(S-AI)和汉密尔顿抑郁量表与(Hamilton Depression Scale,HAMD)进行负性心理评估;比较两组治疗后不良反应的发生率。结果治疗后,观察组中医症候相关积分皆明显优于对照组(P<0.05);治疗后,观察组血清5-HT、DA及NE水平显著高于对照组,观察组NIHSS评分明显低于对照组(P<0.05);治疗后,观察组T-AI、S-AI和HAMD评分皆明显低于对照组(P<0.05)。观察组不良反应发生率低于对照组,但差异不存在统计学意义(P>0.05)。结论安神合剂与黛力新联用改善PSCAD患者神经功能缺损状况,有效调节负性心理,不增加不良反应发生率。
文摘有貌合神离的翻译,有貌离神合的翻译。一个男青年向女朋友解释误会,说:"The last thing I want in this world is to hurt you."若译作:"我在这世界上最后需要的事是伤害你。""信"则"信"矣,读者并不懂。照译文看,男方似乎仍有伤害对方之意,不过要放到别的事情之后。这显然有失原意。这话应当说是:"在这个世界上我最不愿意作的事就是伤害你的感情。"
基金supported by the Fundamental Research Funds for the Central Universities (No.3122020072)the Multi-investment Project of Tianjin Applied Basic Research(No.23JCQNJC00250)。
文摘A hybrid identification model based on multilayer artificial neural networks(ANNs) and particle swarm optimization(PSO) algorithm is developed to improve the simultaneous identification efficiency of thermal conductivity and effective absorption coefficient of semitransparent materials.For the direct model,the spherical harmonic method and the finite volume method are used to solve the coupled conduction-radiation heat transfer problem in an absorbing,emitting,and non-scattering 2D axisymmetric gray medium in the background of laser flash method.For the identification part,firstly,the temperature field and the incident radiation field in different positions are chosen as observables.Then,a traditional identification model based on PSO algorithm is established.Finally,multilayer ANNs are built to fit and replace the direct model in the traditional identification model to speed up the identification process.The results show that compared with the traditional identification model,the time cost of the hybrid identification model is reduced by about 1 000 times.Besides,the hybrid identification model remains a high level of accuracy even with measurement errors.
