目的:探讨围术期多模式处理对小儿全麻苏醒期躁动(EA)及术后行为改变(NPOBCs)的影响。方法:选择2016年9月至2017年7月在我院行择期下腹部手术患儿200例,年龄1～6周岁,美国麻醉医师协会(ASA)分级Ⅰ、Ⅱ级,将患儿随机分为多模式处理组(M组...目的:探讨围术期多模式处理对小儿全麻苏醒期躁动(EA)及术后行为改变(NPOBCs)的影响。方法:选择2016年9月至2017年7月在我院行择期下腹部手术患儿200例,年龄1～6周岁,美国麻醉医师协会(ASA)分级Ⅰ、Ⅱ级,将患儿随机分为多模式处理组(M组)和常规处理组(C组),各100例。M组:术前1 d对患儿进行心理指导;术前2 h口服5%葡萄糖5 ml/kg;入室前静脉注射咪达唑仑0.02 mg/kg;术中不使用七氟烷;术毕给予0.25%罗哌卡因局部浸润伤口;术后在麻醉后复苏室(PACU)内安慰;完全清醒后给予少量温开水。C组给予常规处理。记录术前禁饮时间、手术时间、拔除喉罩时间、拔除喉罩后改良加拿大东安大略儿童医院疼痛评分(m-CHEOPS)、拔除喉罩后5 min和15 min躁动评分(PAED)及EA发生率;术后1 d、1周、1个月患儿NPOBCs发生情况。结果:与C组比较,M组患儿拔除喉罩后m-CHEOPS评分,拔除喉罩后5 min、15 min PAED评分和EA发生率,术后1 d NPOBCs发生率均明显降低(P<0.05或0.01);2组术后1周、1个月NPOBCs发生率差异无统计学意义(P>0.05)。结论:围术期多模式处理对小儿全麻苏醒期EA有预防作用,同时可减少拔除喉罩后m-CHEOPS评分以及术后1 d NPOBCs的发生率。展开更多
Human communication operates over a variety of modalities between humans and computers. When we communicate with other people and with information systems, we exchange or/and retrieve multimedia information. Over the ...Human communication operates over a variety of modalities between humans and computers. When we communicate with other people and with information systems, we exchange or/and retrieve multimedia information. Over the last few years, the Interactive Systems Laboratory at Carnegie Mellon University has developed multimodal systems to empower all of us with increased access to information, and the ability to communicate through diverse media in increasingly varied environments. In this paper, we review our research activities in developing multimodal systems. We show that both verbal and non verbal cues can significantly enhance robustness, flexibility, naturalness and performance of human computer interaction. We demonstrate that multimodal systems can enhance human human communication and cooperation by efficient manipulation of multimedia information.展开更多
目的分析术前卡通视频辅助宣教联合术后家属陪同入室降低学龄前儿童全身麻醉苏醒期躁动的效果。方法选取2017年10月-2018年7月在温州医科大学附属眼视光医院择期行斜弱视手术的患儿200例为研究对象,随机分为4组,每组各50例。A组患儿术前...目的分析术前卡通视频辅助宣教联合术后家属陪同入室降低学龄前儿童全身麻醉苏醒期躁动的效果。方法选取2017年10月-2018年7月在温州医科大学附属眼视光医院择期行斜弱视手术的患儿200例为研究对象,随机分为4组,每组各50例。A组患儿术前30 min在等候区给予常规围术期护理,B组患儿给予术前卡通视频辅助宣教,C组患儿给予术后家属陪同入室,D组患儿给予术前卡通视频辅助宣教联合术后家属陪同入室。比较4组患儿苏醒期躁动评分,术后疼痛评分,PACU苏醒时间、滞留时间,术前访视(T1)、术前30 min (T2)、术后4 h (T3)及术后8 h (T4)的焦虑水平等。结果 4组患儿苏醒期躁动评分比较,差异均有统计学意义(均P<0.05),其中D组苏醒期躁动发生率及躁动评分均显著低于其他组,差异均有统计学意义(均P<0.05)。D组患儿术后疼痛评分和苏醒时间均显著低于其他组,差异均有统计学意义(均P<0.05);PACU滞留时间低于其他组,但差异无统计学意义(P>0.05)。T1时,4组患儿焦虑评分比较,差异无统计学意义(P>0.05);T2时,4组患儿焦虑评分与T1时比较,差异有统计学意义(P<0.05),T2~T4时,D组患儿焦虑评分均显著低于其他组,差异均有统计学意义(均P<0.05)。结论多模式联合应用能够缓解患儿疼痛及焦虑情绪,降低学龄前儿童全身麻醉苏醒期躁动发生率,值得临床推广应用。展开更多
Precise zero-knowledge was introduced by Micali and Pass in STOC06. This notion captures the idea that the view of a verifier can be reconstructed in almost same time. Following the notion, they constructed some preci...Precise zero-knowledge was introduced by Micali and Pass in STOC06. This notion captures the idea that the view of a verifier can be reconstructed in almost same time. Following the notion, they constructed some precise zero-knowledge proofs and arguments, in which the communicated messages are polynomial bits. In this paper, we employ the new simulation technique introduced by them to provide a precise simulator for a modified Kilian＇s zero-knowledge arguments with poly-logarithmic efficiency （this modification addressed by Rosen）, and as a result we show this protocol is a precise zero-knowledge argument with poly-logaxithmic efficiency. We also present an alternative construction of the desired protocols.展开更多
文摘目的:探讨围术期多模式处理对小儿全麻苏醒期躁动(EA)及术后行为改变(NPOBCs)的影响。方法:选择2016年9月至2017年7月在我院行择期下腹部手术患儿200例,年龄1～6周岁,美国麻醉医师协会(ASA)分级Ⅰ、Ⅱ级,将患儿随机分为多模式处理组(M组)和常规处理组(C组),各100例。M组:术前1 d对患儿进行心理指导;术前2 h口服5%葡萄糖5 ml/kg;入室前静脉注射咪达唑仑0.02 mg/kg;术中不使用七氟烷;术毕给予0.25%罗哌卡因局部浸润伤口;术后在麻醉后复苏室(PACU)内安慰;完全清醒后给予少量温开水。C组给予常规处理。记录术前禁饮时间、手术时间、拔除喉罩时间、拔除喉罩后改良加拿大东安大略儿童医院疼痛评分(m-CHEOPS)、拔除喉罩后5 min和15 min躁动评分(PAED)及EA发生率;术后1 d、1周、1个月患儿NPOBCs发生情况。结果:与C组比较,M组患儿拔除喉罩后m-CHEOPS评分,拔除喉罩后5 min、15 min PAED评分和EA发生率,术后1 d NPOBCs发生率均明显降低(P<0.05或0.01);2组术后1周、1个月NPOBCs发生率差异无统计学意义(P>0.05)。结论:围术期多模式处理对小儿全麻苏醒期EA有预防作用,同时可减少拔除喉罩后m-CHEOPS评分以及术后1 d NPOBCs的发生率。
文摘Human communication operates over a variety of modalities between humans and computers. When we communicate with other people and with information systems, we exchange or/and retrieve multimedia information. Over the last few years, the Interactive Systems Laboratory at Carnegie Mellon University has developed multimodal systems to empower all of us with increased access to information, and the ability to communicate through diverse media in increasingly varied environments. In this paper, we review our research activities in developing multimodal systems. We show that both verbal and non verbal cues can significantly enhance robustness, flexibility, naturalness and performance of human computer interaction. We demonstrate that multimodal systems can enhance human human communication and cooperation by efficient manipulation of multimedia information.
文摘目的分析术前卡通视频辅助宣教联合术后家属陪同入室降低学龄前儿童全身麻醉苏醒期躁动的效果。方法选取2017年10月-2018年7月在温州医科大学附属眼视光医院择期行斜弱视手术的患儿200例为研究对象,随机分为4组,每组各50例。A组患儿术前30 min在等候区给予常规围术期护理,B组患儿给予术前卡通视频辅助宣教,C组患儿给予术后家属陪同入室,D组患儿给予术前卡通视频辅助宣教联合术后家属陪同入室。比较4组患儿苏醒期躁动评分,术后疼痛评分,PACU苏醒时间、滞留时间,术前访视(T1)、术前30 min (T2)、术后4 h (T3)及术后8 h (T4)的焦虑水平等。结果 4组患儿苏醒期躁动评分比较,差异均有统计学意义(均P<0.05),其中D组苏醒期躁动发生率及躁动评分均显著低于其他组,差异均有统计学意义(均P<0.05)。D组患儿术后疼痛评分和苏醒时间均显著低于其他组,差异均有统计学意义(均P<0.05);PACU滞留时间低于其他组,但差异无统计学意义(P>0.05)。T1时,4组患儿焦虑评分比较,差异无统计学意义(P>0.05);T2时,4组患儿焦虑评分与T1时比较,差异有统计学意义(P<0.05),T2~T4时,D组患儿焦虑评分均显著低于其他组,差异均有统计学意义(均P<0.05)。结论多模式联合应用能够缓解患儿疼痛及焦虑情绪,降低学龄前儿童全身麻醉苏醒期躁动发生率,值得临床推广应用。
基金the National Natural Science Foundation of China (No.60573031)New Century Excellent Talent Program of Education Ministry of China (No.NCET-05-0398)
文摘Precise zero-knowledge was introduced by Micali and Pass in STOC06. This notion captures the idea that the view of a verifier can be reconstructed in almost same time. Following the notion, they constructed some precise zero-knowledge proofs and arguments, in which the communicated messages are polynomial bits. In this paper, we employ the new simulation technique introduced by them to provide a precise simulator for a modified Kilian＇s zero-knowledge arguments with poly-logarithmic efficiency （this modification addressed by Rosen）, and as a result we show this protocol is a precise zero-knowledge argument with poly-logaxithmic efficiency. We also present an alternative construction of the desired protocols.
