Combined bodies of rock-like material and rock are widely encountered in geotechnical engineering,such as tunnels and mines.The existing theoretical models describing the stress-strain relationship of a combined body ...Combined bodies of rock-like material and rock are widely encountered in geotechnical engineering,such as tunnels and mines.The existing theoretical models describing the stress-strain relationship of a combined body lack a binary feature.Based on effective medium theory,this paper presents the governing equation of the“elastic modulus”for combined and single bodies under triaxial compressive tests.A binary effective medium model is then established.Based on the compressive experiment of concretegranite combined bodies,the feasibility of determining the stress threshold based on crack axial strain is discussed,and the model is verified.The model is further extended to coal-rock combined bodies of more diverse types,and the variation laws of the compressive mechanical parameters are then discussed.The results show that the fitting accuracy of the model with the experimental curves of the concretegranite combined bodies and various types of coal-rock combined bodies are over 95%.The crack axial strain method can replace the crack volumetric strain method,which clarifies the physical meanings of the model parameters.The variation laws of matrix parameters and crack parameters are discussed in depth and are expected to be more widely used in geotechnical engineering.展开更多
AIM:To characterize the two components of theory of mind(ToM) in patients with esophageal cancer combined with depression.METHODS:Sixty-five patients with esophageal cancer combined with depression(depressed group) an...AIM:To characterize the two components of theory of mind(ToM) in patients with esophageal cancer combined with depression.METHODS:Sixty-five patients with esophageal cancer combined with depression(depressed group) and 62 normal controls(control group) were assessed using reading the mind in the eyes test,faux pas task,verbal fluency test,digit span test and WAIS IQ test.The depressed group was divided into two subgroups including psychotic depressed(PD) group(32 cases) and nonpsychotic depressed(NPD) group(33 cases).The clinical symptoms of patients were assessed using Beck depression inventory version Ⅱ and brief psychiatric reacting scale(BPRS).RESULTS:There was a significant difference between the depressed group and the control group on tasks involving ToM social perceptual components(mind reading:t = 7.39,P < 0.01) and tests involving ToM social cognitive components(faux pas questions:t = 13.75,P < 0.01),respectively.A significant difference was also found among the PD group,the NPD group and the control group on mind reading(F = 32.98,P < 0.01) and faux pas questions(χ 2 = 78.15,P < 0.01),respectively.The PD group and NPD group performed worse than normal group controls both on mind reading and faux pas questions(P < 0.05).The PD group performed significantly worse than the NPD group on tasks involving ToM(mind reading:F = 18.99,P < 0.01;faux pas questions:F = 36.01,P < 0.01).In the depressed group,there was a negative correlation between ToM performances and BPRS total score(mind reading:r =-0.35,P < 0.01;faux pas questions:r =-0.51,P < 0.01),and between ToM performances and hostile suspiciousness factor score(mind reading:r =-0.75,P < 0.01;faux pas questions:r =-0.73,P < 0.01),respectively.CONCLUSION:The two components of ToM are both impaired in patients with esophageal cancer combined with depression.This indicates that there may be an association between ToM deficits and psychotic symptoms in clinical depression.展开更多
In order to effectively deal with the conflict temporal evidences without affecting the sequential and dynamic characteristics in the multi-sensor target recognition(MSTR) system at the decision making level, this pap...In order to effectively deal with the conflict temporal evidences without affecting the sequential and dynamic characteristics in the multi-sensor target recognition(MSTR) system at the decision making level, this paper proposes a Dempster-Shafer(DS) theory and intuitionistic fuzzy set(IFS) based temporal evidence combination method(DSIFS-TECM). To realize the method,the relationship between DS theory and IFS is firstly analyzed. And then the intuitionistic fuzzy possibility degree of intuitionistic fuzzy value(IFPD-IFV) is defined, and a novel ranking method with isotonicity for IFV is proposed. Finally, a calculation method for relative reliability factor(RRF) is designed based on the proposed ranking method. As a proof of the method, numerical analysis and experimental simulation are performed. The results indicate DSIFS-TECM is capable of dealing with the conflict temporal evidences and sensitive to the changing of time. Furthermore, compared with the existing methods, DSIFS-TECM has stronger ability of anti-interference.展开更多
Taking the output power, thermal efficiency, and thermo-economic performance as the optimization objectives, we optimize the operation parameters of a thermodynamic system with combined endoreversible Carnot heat engi...Taking the output power, thermal efficiency, and thermo-economic performance as the optimization objectives, we optimize the operation parameters of a thermodynamic system with combined endoreversible Carnot heat engines in this paper. The applicabilities of the entropy generation minimization and entransy theory to the optimizations are discussed. For the discussed cases, only the entransy loss coefficient is always agreeable to the optimization of thermal efficiency. The applicabilities of the other discussed concepts to the optimizations are conditional. Different concepts and principles are needed for different optimization objectives, and the optimization principles have their application preconditions. When the preconditions are not satisfied, the principles may be not applicable.展开更多
The drum shearer and high pressure water jet combined cutting system is an effective technology to cut hard coal-rock, but one problem of the technology is the choice of pick and nozzle location parameters. In order t...The drum shearer and high pressure water jet combined cutting system is an effective technology to cut hard coal-rock, but one problem of the technology is the choice of pick and nozzle location parameters. In order to solve the problem, the process and mechanism of combined cutting arc studied and mining seepage catastrophe theory is used to construct the mathematic and physical model of combined cutting hard coal-rock. Based on the model and detailed analysis of combined cutting mechanism, the single pick and nozzle combined cutting test-bed is built to test the main pick and nozzle location parameters of drum shearer and water jet combined cutting system. Test results show that the best vertical distance between the pick-tip and nozzle center point is the sum of cutting thickness and proper target distance in the Y axial direction; the best horizontal distance is the length between pick-tip point and coal-rock surface bursting crack point in the X axial direction. The best incident angle of water jet should be the same as the bursting crack line's angle in theory, but considering other important factors comprehensively, it is more reasonable when the incident angle of water jet is 90°.展开更多
Developing single-atom catalysts(SACs) for electrochemical devices is a frontier in energy conversion.The comparison of stability,activity and selectivity between various single atoms is one of the main research focus...Developing single-atom catalysts(SACs) for electrochemical devices is a frontier in energy conversion.The comparison of stability,activity and selectivity between various single atoms is one of the main research focuses in SACs.However,the in-depth understanding of the role that the coordination atoms of single atom play in the catalytic process is lacking.Herein,we proposed a graphene-like boroncarbon-nitride(BCN) monolayer as the support of single metal atom.The electrocatalytic nitrogen reduction reaction(eNRR) performances of 3 d,4 d transition metal(TM) atoms embedded in defective BCN were systematically investigated by means of density functional theory(DFT) computations.Our study shows that the TM-to-N and B-to-N π-back bonding can contribute to the activation of N_(2).Importantly,a combined effect is revealed between single TM atom and boron atom on eNRR:TM atom enhances the nitrogen reduction process especially in facilitating the N_(2) adsorption and the NH3 desorption,while boron atom modulates the bonding strength of key intermediates by balancing the charged species.Furthermore,Nb@BN3 possesses the highest electrocata lytic activity with limiting potential of-0.49 V,and exhibits a high selectivity for nitrogen reduction reaction(NRR) to ammonia compared with hydrogen evolution reaction(HER).As such,this work can stimulate a research doorway for designing multi-active sites of the anchored single atoms and the innate atoms of substrate based on the mechanistic insights to guide future eNRR research.展开更多
A unified stress function for bi-modulus beams is proposed based on its mechanic sense on the boundary of beams. Elasticity solutions of stress and displacement for bi-modulus beams under combined loads are derived. T...A unified stress function for bi-modulus beams is proposed based on its mechanic sense on the boundary of beams. Elasticity solutions of stress and displacement for bi-modulus beams under combined loads are derived. The example analysis shows that the maximum tensile stress using the same elastic modulus theory is underestimated if the tensile elastic modulus is larger than the compressive elastic modulus. Otherwise, the maximum compressive stress is underestimated. The maximum tensile stress using the material mechanics solution is underestimated when the tensile elastic modulus is larger than the compressive elastic modulus to a certain extent. The error of stress using the material mechanics theory decreases as the span-to-height ratio of beams increases, which is apparent when L/h ≤ 5. The error also varies with the distributed load patterns.展开更多
The main objective of this study is to investigate the buckling analysis of CCSs reinforced by CNTs subjected to combined loading of hydrostatic pressure and axial compression resting on the twoparameter elastic found...The main objective of this study is to investigate the buckling analysis of CCSs reinforced by CNTs subjected to combined loading of hydrostatic pressure and axial compression resting on the twoparameter elastic foundation(T-P-EF).It is one of the first attempts to derive the governing equations of the CCSs reinforced with CNTs,based on a generalized first-order shear deformation shell theory(FSDST)which includes shell-foundation interaction.By adopting the extended mixing rule,the effective material properties of CCSs reinforced by CNTs with linear distributions are approximated by introducing some efficiency parameters.Three carbon nanotube distribution in the matrix,i.e.uniform distribution(U)and V and X-types linear distribution are taken into account.The stability equations are solved by using the Galerkin procedure to determine the combined buckling loads(CBLs)of the structure selected here.The numerical illustrations cover CBLs characteristics of CCSs reinforced by CNTs in the presence of the T-P-EF.Finally,a parametric study is carried out to study the influences of the foundation parameters,the volume fraction of carbon nanotubes and the types of reinforcement on the CBLs.展开更多
The alternate combinational approach of genetic algorithm and neural network (AGANN) has been presented to correct the systematic error of the density functional theory (DFT) calculation. It treats the DFT as a bl...The alternate combinational approach of genetic algorithm and neural network (AGANN) has been presented to correct the systematic error of the density functional theory (DFT) calculation. It treats the DFT as a black box and models the error through external statistical information. As a demonstration, the ACANN method has been applied in the correction of the lattice energies from the DFT calculation for 72 metal halides and hydrides. Through the AGANN correction, the mean absolute value of the relative errors of the calculated lattice energies to the experimental values decreases from 4.93% to 1.20% in the testing set. For comparison, the neural network approach reduces the mean value to 2.56%. And for the common combinational approach of genetic algorithm and neural network, the value drops to 2.15%. The multiple linear regression method almost has no correction effect here.展开更多
posthuckling analysis is presented for the stilTened cylindrical shell of finite length subjected to combined loading of external liquid pressure and axial compression. The formulations are based on a boundary layer t...posthuckling analysis is presented for the stilTened cylindrical shell of finite length subjected to combined loading of external liquid pressure and axial compression. The formulations are based on a boundary layer theory of shell buckling, which includes the effects of nonlinear prebuckling deformations, nonlinear large deflections in the postbuckling range and initial geometrical imperfections of the shell. The 'smeared stifl'cner' approach is adopted for the stiffencrs. In the analysis a singular perturbation technique is used (o determine the interactive buckling loads and the postbuckling paths. Numerical examples cover the performance of perfect and imperfect, stringer and ring stiffened cylindrical shells. Typical results arc presented in the dimcnsionless graphical form.展开更多
A postbuckling analysis is presented for a stiffened cylindrical shell of finite length subjected to combined loading of external pressure and a uniform temperature rise. The formulations are based on a boundary layer...A postbuckling analysis is presented for a stiffened cylindrical shell of finite length subjected to combined loading of external pressure and a uniform temperature rise. The formulations are based on a boundary layer theory of shell buckling, which includes the effects of nonlinear prebuckling deformations, nonlinear large deflections in the postbuckling range and initial geometrical imperfections of the shell. The 'smeared stiffener' approach is adopted for the stiffeners. The analysis uses a singular perturbation technique to determine the interactive buckling loads and the postbuckling equilibrium paths. Numerical examples cover the performances of perfect and imperfect, stringer and ring stiffened cylindrical shells. Typical results are presented in dimensionless graphical form.展开更多
目的:基于治未病理论探讨灸药同治对实体恶性肿瘤化疗患者骨髓抑制的预防作用。方法:选取2019年1月至2022年1月于武汉科技大学附属武汉亚心总医院接受治疗的实体恶性肿瘤化疗患者120例作为研究对象,采用随机数字表法分为对照组和观察组...目的:基于治未病理论探讨灸药同治对实体恶性肿瘤化疗患者骨髓抑制的预防作用。方法:选取2019年1月至2022年1月于武汉科技大学附属武汉亚心总医院接受治疗的实体恶性肿瘤化疗患者120例作为研究对象,采用随机数字表法分为对照组和观察组,每组60例。对照组常规接受化疗,观察组化疗前连续3 d给予灸药同治(艾灸+加味八珍汤)。比较治疗前、化疗后7 d 2组患者中医证候积分、血常规[血红蛋白(Hb)、白细胞计数(WBC)、血小板计数(PLT)、中性粒细胞计数(NEUT)]、生命质量[卡诺夫斯凯计分(KPS)、中国癌症患者生命质量(QOL_(2))调查问卷],比较化疗后7 d 2组患者骨髓抑制情况[发生率、严重程度、重组人粒细胞集落刺激因子(rhG-CSF)使用情况]。结果:化疗后7 d,2组患者中医证候积分升高,但观察组低于对照组(P<0.05);Hb、WBC、PLT、NEUT、KPS评分及QOL_(2)评分降低,但观察组高于对照组(均P<0.05);观察组骨髓抑制发生率、rhG-CSF使用率低于对照组,0、Ⅰ度比例高于对照组(均P<0.05)。结论:基于治未病理论,灸药同治能够改善实体恶性肿瘤化疗患者临床症状及血常规,提高患者生命质量,减少骨髓抑制的发生。展开更多
基金the Major Program of National Natural Science Foundation of China(No.41941019)Shaanxi Province Innovative Talent Promotion Plan-Science and Technology Innovation Team(No.2021TD-55)Central University Natural Science Innovation Team(No.300102262402)。
文摘Combined bodies of rock-like material and rock are widely encountered in geotechnical engineering,such as tunnels and mines.The existing theoretical models describing the stress-strain relationship of a combined body lack a binary feature.Based on effective medium theory,this paper presents the governing equation of the“elastic modulus”for combined and single bodies under triaxial compressive tests.A binary effective medium model is then established.Based on the compressive experiment of concretegranite combined bodies,the feasibility of determining the stress threshold based on crack axial strain is discussed,and the model is verified.The model is further extended to coal-rock combined bodies of more diverse types,and the variation laws of the compressive mechanical parameters are then discussed.The results show that the fitting accuracy of the model with the experimental curves of the concretegranite combined bodies and various types of coal-rock combined bodies are over 95%.The crack axial strain method can replace the crack volumetric strain method,which clarifies the physical meanings of the model parameters.The variation laws of matrix parameters and crack parameters are discussed in depth and are expected to be more widely used in geotechnical engineering.
文摘AIM:To characterize the two components of theory of mind(ToM) in patients with esophageal cancer combined with depression.METHODS:Sixty-five patients with esophageal cancer combined with depression(depressed group) and 62 normal controls(control group) were assessed using reading the mind in the eyes test,faux pas task,verbal fluency test,digit span test and WAIS IQ test.The depressed group was divided into two subgroups including psychotic depressed(PD) group(32 cases) and nonpsychotic depressed(NPD) group(33 cases).The clinical symptoms of patients were assessed using Beck depression inventory version Ⅱ and brief psychiatric reacting scale(BPRS).RESULTS:There was a significant difference between the depressed group and the control group on tasks involving ToM social perceptual components(mind reading:t = 7.39,P < 0.01) and tests involving ToM social cognitive components(faux pas questions:t = 13.75,P < 0.01),respectively.A significant difference was also found among the PD group,the NPD group and the control group on mind reading(F = 32.98,P < 0.01) and faux pas questions(χ 2 = 78.15,P < 0.01),respectively.The PD group and NPD group performed worse than normal group controls both on mind reading and faux pas questions(P < 0.05).The PD group performed significantly worse than the NPD group on tasks involving ToM(mind reading:F = 18.99,P < 0.01;faux pas questions:F = 36.01,P < 0.01).In the depressed group,there was a negative correlation between ToM performances and BPRS total score(mind reading:r =-0.35,P < 0.01;faux pas questions:r =-0.51,P < 0.01),and between ToM performances and hostile suspiciousness factor score(mind reading:r =-0.75,P < 0.01;faux pas questions:r =-0.73,P < 0.01),respectively.CONCLUSION:The two components of ToM are both impaired in patients with esophageal cancer combined with depression.This indicates that there may be an association between ToM deficits and psychotic symptoms in clinical depression.
基金supported by the National Natural Science Foundation of China(61272011)
文摘In order to effectively deal with the conflict temporal evidences without affecting the sequential and dynamic characteristics in the multi-sensor target recognition(MSTR) system at the decision making level, this paper proposes a Dempster-Shafer(DS) theory and intuitionistic fuzzy set(IFS) based temporal evidence combination method(DSIFS-TECM). To realize the method,the relationship between DS theory and IFS is firstly analyzed. And then the intuitionistic fuzzy possibility degree of intuitionistic fuzzy value(IFPD-IFV) is defined, and a novel ranking method with isotonicity for IFV is proposed. Finally, a calculation method for relative reliability factor(RRF) is designed based on the proposed ranking method. As a proof of the method, numerical analysis and experimental simulation are performed. The results indicate DSIFS-TECM is capable of dealing with the conflict temporal evidences and sensitive to the changing of time. Furthermore, compared with the existing methods, DSIFS-TECM has stronger ability of anti-interference.
基金Project supported by the National Natural Science Foundation of China(Grant No.51376101)the Science Fund for Creative Research Groups,China(Grant No.51321002)
文摘Taking the output power, thermal efficiency, and thermo-economic performance as the optimization objectives, we optimize the operation parameters of a thermodynamic system with combined endoreversible Carnot heat engines in this paper. The applicabilities of the entropy generation minimization and entransy theory to the optimizations are discussed. For the discussed cases, only the entransy loss coefficient is always agreeable to the optimization of thermal efficiency. The applicabilities of the other discussed concepts to the optimizations are conditional. Different concepts and principles are needed for different optimization objectives, and the optimization principles have their application preconditions. When the preconditions are not satisfied, the principles may be not applicable.
基金Project(2012AA062104) supported by the National High Technology Research and Development Program of ChinaProject(201104583) supported by the Postdoctoral Special Funded Projects,China
文摘The drum shearer and high pressure water jet combined cutting system is an effective technology to cut hard coal-rock, but one problem of the technology is the choice of pick and nozzle location parameters. In order to solve the problem, the process and mechanism of combined cutting arc studied and mining seepage catastrophe theory is used to construct the mathematic and physical model of combined cutting hard coal-rock. Based on the model and detailed analysis of combined cutting mechanism, the single pick and nozzle combined cutting test-bed is built to test the main pick and nozzle location parameters of drum shearer and water jet combined cutting system. Test results show that the best vertical distance between the pick-tip and nozzle center point is the sum of cutting thickness and proper target distance in the Y axial direction; the best horizontal distance is the length between pick-tip point and coal-rock surface bursting crack point in the X axial direction. The best incident angle of water jet should be the same as the bursting crack line's angle in theory, but considering other important factors comprehensively, it is more reasonable when the incident angle of water jet is 90°.
基金the Fok Ying-Tong Education Foundation for Young Teachers in the Higher Education Institutions of China(grant number 161008)the Basic Research Program of Shenzhen(grant number JCYJ20190809120015163)+4 种基金the Key R&D Program of Hubei province(grant number 2020CFA087)the Fundamental Research Funds for the Central Universities(grant number 2019III-034)the Xiamen University Malaysia Research Fund(grant number XMUMRF/2019-C3/IENG/0013)the Ministry of Higher Education(MOHE)Malaysia under the Fundamental Research Grant Scheme(FRGS)(grant number FRGS/1/2020/TK02/XMU/02/1)the Overseas Expertise Introduction Project(111 project)for Discipline Innovation of China(grant number B18038)。
文摘Developing single-atom catalysts(SACs) for electrochemical devices is a frontier in energy conversion.The comparison of stability,activity and selectivity between various single atoms is one of the main research focuses in SACs.However,the in-depth understanding of the role that the coordination atoms of single atom play in the catalytic process is lacking.Herein,we proposed a graphene-like boroncarbon-nitride(BCN) monolayer as the support of single metal atom.The electrocatalytic nitrogen reduction reaction(eNRR) performances of 3 d,4 d transition metal(TM) atoms embedded in defective BCN were systematically investigated by means of density functional theory(DFT) computations.Our study shows that the TM-to-N and B-to-N π-back bonding can contribute to the activation of N_(2).Importantly,a combined effect is revealed between single TM atom and boron atom on eNRR:TM atom enhances the nitrogen reduction process especially in facilitating the N_(2) adsorption and the NH3 desorption,while boron atom modulates the bonding strength of key intermediates by balancing the charged species.Furthermore,Nb@BN3 possesses the highest electrocata lytic activity with limiting potential of-0.49 V,and exhibits a high selectivity for nitrogen reduction reaction(NRR) to ammonia compared with hydrogen evolution reaction(HER).As such,this work can stimulate a research doorway for designing multi-active sites of the anchored single atoms and the innate atoms of substrate based on the mechanistic insights to guide future eNRR research.
基金Project supported by the Doctoral Fund of Ministry of Education of China(No.20103108110019)the National Natural Science Foundation of China(No.51208292)the National Key Technology R&D Programs(Nos.2011BAG07B01 and 2012BAK24B04)
文摘A unified stress function for bi-modulus beams is proposed based on its mechanic sense on the boundary of beams. Elasticity solutions of stress and displacement for bi-modulus beams under combined loads are derived. The example analysis shows that the maximum tensile stress using the same elastic modulus theory is underestimated if the tensile elastic modulus is larger than the compressive elastic modulus. Otherwise, the maximum compressive stress is underestimated. The maximum tensile stress using the material mechanics solution is underestimated when the tensile elastic modulus is larger than the compressive elastic modulus to a certain extent. The error of stress using the material mechanics theory decreases as the span-to-height ratio of beams increases, which is apparent when L/h ≤ 5. The error also varies with the distributed load patterns.
文摘The main objective of this study is to investigate the buckling analysis of CCSs reinforced by CNTs subjected to combined loading of hydrostatic pressure and axial compression resting on the twoparameter elastic foundation(T-P-EF).It is one of the first attempts to derive the governing equations of the CCSs reinforced with CNTs,based on a generalized first-order shear deformation shell theory(FSDST)which includes shell-foundation interaction.By adopting the extended mixing rule,the effective material properties of CCSs reinforced by CNTs with linear distributions are approximated by introducing some efficiency parameters.Three carbon nanotube distribution in the matrix,i.e.uniform distribution(U)and V and X-types linear distribution are taken into account.The stability equations are solved by using the Galerkin procedure to determine the combined buckling loads(CBLs)of the structure selected here.The numerical illustrations cover CBLs characteristics of CCSs reinforced by CNTs in the presence of the T-P-EF.Finally,a parametric study is carried out to study the influences of the foundation parameters,the volume fraction of carbon nanotubes and the types of reinforcement on the CBLs.
基金supported by the National Basic Research Program of China (973 Program) (Grant No. G2009CB929300)the National Natural Science Foundation of China (Grant No. 60521001 and 60925016)
文摘The alternate combinational approach of genetic algorithm and neural network (AGANN) has been presented to correct the systematic error of the density functional theory (DFT) calculation. It treats the DFT as a black box and models the error through external statistical information. As a demonstration, the ACANN method has been applied in the correction of the lattice energies from the DFT calculation for 72 metal halides and hydrides. Through the AGANN correction, the mean absolute value of the relative errors of the calculated lattice energies to the experimental values decreases from 4.93% to 1.20% in the testing set. For comparison, the neural network approach reduces the mean value to 2.56%. And for the common combinational approach of genetic algorithm and neural network, the value drops to 2.15%. The multiple linear regression method almost has no correction effect here.
文摘posthuckling analysis is presented for the stilTened cylindrical shell of finite length subjected to combined loading of external liquid pressure and axial compression. The formulations are based on a boundary layer theory of shell buckling, which includes the effects of nonlinear prebuckling deformations, nonlinear large deflections in the postbuckling range and initial geometrical imperfections of the shell. The 'smeared stifl'cner' approach is adopted for the stiffencrs. In the analysis a singular perturbation technique is used (o determine the interactive buckling loads and the postbuckling paths. Numerical examples cover the performance of perfect and imperfect, stringer and ring stiffened cylindrical shells. Typical results arc presented in the dimcnsionless graphical form.
文摘A postbuckling analysis is presented for a stiffened cylindrical shell of finite length subjected to combined loading of external pressure and a uniform temperature rise. The formulations are based on a boundary layer theory of shell buckling, which includes the effects of nonlinear prebuckling deformations, nonlinear large deflections in the postbuckling range and initial geometrical imperfections of the shell. The 'smeared stiffener' approach is adopted for the stiffeners. The analysis uses a singular perturbation technique to determine the interactive buckling loads and the postbuckling equilibrium paths. Numerical examples cover the performances of perfect and imperfect, stringer and ring stiffened cylindrical shells. Typical results are presented in dimensionless graphical form.
文摘目的:基于治未病理论探讨灸药同治对实体恶性肿瘤化疗患者骨髓抑制的预防作用。方法:选取2019年1月至2022年1月于武汉科技大学附属武汉亚心总医院接受治疗的实体恶性肿瘤化疗患者120例作为研究对象,采用随机数字表法分为对照组和观察组,每组60例。对照组常规接受化疗,观察组化疗前连续3 d给予灸药同治(艾灸+加味八珍汤)。比较治疗前、化疗后7 d 2组患者中医证候积分、血常规[血红蛋白(Hb)、白细胞计数(WBC)、血小板计数(PLT)、中性粒细胞计数(NEUT)]、生命质量[卡诺夫斯凯计分(KPS)、中国癌症患者生命质量(QOL_(2))调查问卷],比较化疗后7 d 2组患者骨髓抑制情况[发生率、严重程度、重组人粒细胞集落刺激因子(rhG-CSF)使用情况]。结果:化疗后7 d,2组患者中医证候积分升高,但观察组低于对照组(P<0.05);Hb、WBC、PLT、NEUT、KPS评分及QOL_(2)评分降低,但观察组高于对照组(均P<0.05);观察组骨髓抑制发生率、rhG-CSF使用率低于对照组,0、Ⅰ度比例高于对照组(均P<0.05)。结论:基于治未病理论,灸药同治能够改善实体恶性肿瘤化疗患者临床症状及血常规,提高患者生命质量,减少骨髓抑制的发生。