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Vertex centrality of complex networks based on joint nonnegative matrix factorization and graph embedding
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作者 卢鹏丽 陈玮 《Chinese Physics B》 SCIE EI CAS CSCD 2023年第1期634-645,共12页
Finding crucial vertices is a key problem for improving the reliability and ensuring the effective operation of networks,solved by approaches based on multiple attribute decision that suffer from ignoring the correlat... Finding crucial vertices is a key problem for improving the reliability and ensuring the effective operation of networks,solved by approaches based on multiple attribute decision that suffer from ignoring the correlation among each attribute or the heterogeneity between attribute and structure. To overcome these problems, a novel vertex centrality approach, called VCJG, is proposed based on joint nonnegative matrix factorization and graph embedding. The potential attributes with linearly independent and the structure information are captured automatically in light of nonnegative matrix factorization for factorizing the weighted adjacent matrix and the structure matrix, which is generated by graph embedding. And the smoothness strategy is applied to eliminate the heterogeneity between attributes and structure by joint nonnegative matrix factorization. Then VCJG integrates the above steps to formulate an overall objective function, and obtain the ultimately potential attributes fused the structure information of network through optimizing the objective function. Finally, the attributes are combined with neighborhood rules to evaluate vertex's importance. Through comparative analyses with experiments on nine real-world networks, we demonstrate that the proposed approach outperforms nine state-of-the-art algorithms for identification of vital vertices with respect to correlation, monotonicity and accuracy of top-10 vertices ranking. 展开更多
关键词 complex networks CENTRALITY joint nonnegative matrix factorization graph embedding smoothness strategy
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Clinical Evaluation of Platelet Rich Growth Factors (PRGFS) in Treatment of Temporomandibular Joint Disc Displacement—Study Report
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作者 Lahaou Baladji Touré Oumar Ongoïba +2 位作者 Djibril Kassogué Wael Ahmed Elmohandes Elsaeed Mohamed Abdellatif 《Open Journal of Stomatology》 CAS 2023年第5期174-187,共14页
Objective: The aim of the study was to evaluate the effect of platelet rich growth factors (PRGFs) in treatment of temporomandibular joint disc displacement. Materials and Methods: The study subjects included 8 female... Objective: The aim of the study was to evaluate the effect of platelet rich growth factors (PRGFs) in treatment of temporomandibular joint disc displacement. Materials and Methods: The study subjects included 8 females having bilateral anterior disc displacement with reduction and 1 female having bilateral anterior disc displacement without reduction with the age range between 20 - 35 years. The process of obtaining PRGFs was carried out following the Anitua Technique. Results: Clinical parameters of Interincisal distance, Lateral excursion of mandible using digital caliper in millimeters and Visual Analogue Scale (VAS 0/10) for pain intensity score were used. All of these parameters were running through the intervals of two, four, and eight weeks till the end of the follow-up period at twenty-six weeks (six months). The participated patients showed the clinical improvement in the different clinical statuses such as interincisal distance;lateral excursion of mandible and Pain Score. Conclusion: the study reported early efficacy of PRGFs after the arthrocentesis of the joint in treatment of TMJ disc displacement, and according to our results, the injection of PRGFs could be a possible alternative treatment for patients who did not respond to standard treatment. 展开更多
关键词 Platelet Rich Growth factors Platelet Rich Plasma Temporomandibular joint
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Strength and deformation characteristics of irregular columnar jointed rock mass: A combined experimental and theoretical study
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作者 Xiangcheng Que Zhende Zhu +2 位作者 Yanxin He Zihao Niu Haonan Huang 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2023年第2期429-441,共13页
The irregularity of jointed network poses a challenge to the determination of field mechanical param-eters of columnar jointed rock mass(CJRM),and a reasonable prediction of deformation and strength characteristics of... The irregularity of jointed network poses a challenge to the determination of field mechanical param-eters of columnar jointed rock mass(CJRM),and a reasonable prediction of deformation and strength characteristics of CJRM is important for engineering construction.The Voronoi diagram and three-dimensional printing technology were used to make an irregular columnar jointed mold,and the irregular CJRM(ICJRM)specimens with different dip directions and dip angles were prepared.Uniaxial compression tests were performed,and the anisotropic strength and deformation characteristics of ICJRM were described.The failure modes and mechanisms were revealed in accordance with the final appearances of the ICJRM specimens.Based on the model test results,the empirical correlations for determining the field deformation and strength parameters of CJRM were derived using the dip angle and modified joint factor.The proposed empirical equations were used in the Baihetan Project,and the calculated mechanical parameters were compared with the field test results and those obtained from the tunneling quality index method.Results showed that the deformation parameters determined by the two proposed methods are all consistent with the field test results,and these two methods can also estimate the strength parameters effectively. 展开更多
关键词 Irregular columnar jointed rock mass (ICJRM) Physical model test Anisotropic characteristic Empirical relations Dip angle Modified joint factor
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Predicting lower limb periprosthetic joint infections: A review of risk factors and their classification 被引量:3
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作者 David A George Lorenzo Drago +3 位作者 Sara Scarponi Enrico Gallazzi Fares S Haddad Carlo L Romano 《World Journal of Orthopedics》 2017年第5期400-411,共12页
AIM To undertook a systematic review to determine factors that increase a patient's risk of developing lower limb periprosthetic joint infections(PJI).METHODS This systematic review included full-text studies that... AIM To undertook a systematic review to determine factors that increase a patient's risk of developing lower limb periprosthetic joint infections(PJI).METHODS This systematic review included full-text studies that reviewed risk factors of developing either a hip or knee PJI following a primary arthroplasty published from January 1998 to November 2016. A variety of keywords were used to identify studies through international databases referencing hip arthroplasty, knee arthroplasty, infection, and risk factors. Studies were only included if they included greater than 20 patients in their study cohort, and there was clear documentation of the statistical parameter used; specifically P-value, hazard ratio, relative risk, or/and odds ratio(OR). Furthermore a quality assessment criteria for the individual studies was undertaken to evaluate the presence of record and reporting bias. RESULTS Twenty-seven original studies reviewing risk factors relating to primary total hip and knee arthroplasty infections were included. Four studies(14.8%) reviewed PJI of the hip, 3(11.21%) of the knee, and 20(74.1%) reviewed both joints. Nineteen studies(70.4%) were retrospective and 8(29.6%) prospective. Record bias was identified in the majority of studies(66.7%). The definition of PJI varied amongst the studies but there was a general consensus to define infection by previously validated methods. The most significant risks were the use of preoperative high dose steroids(OR = 21.0, 95%CI: 3.5-127.2, P < 0.001), a BMI above 50(OR = 18.3, P < 0.001), tobacco use(OR = 12.76, 95%CI: 2.47-66.16, P= 0.017), body mass index below 20(OR = 6.00, 95%CI: 1.2-30.9, P = 0.033), diabetes(OR = 5.47, 95%CI: 1.77-16.97, P = 0.003), and coronary artery disease(OR = 5.10, 95%CI: 1.3-19.8, P = 0.017).CONCLUSION We have highlighted the need for the provider to optimise modifiable risk factors, and develop strategies to limit the impact of non-modifiable factors. 展开更多
关键词 PERIPROSTHETIC joint infection Risk factor PREDICTIVE HIP ARTHROPLASTY KNEE ARTHROPLASTY
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Identification and preoperative optimization of risk factors to prevent periprosthetic joint infection 被引量:5
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作者 Seung-Hoon Baek 《World Journal of Orthopedics》 2014年第3期362-367,共6页
Despite significant improvements over the past several decades in diagnosis,treatment and prevention of periprosthetic joint infection(PJI),it still remains a major challenge following total joint arthroplasty.Given t... Despite significant improvements over the past several decades in diagnosis,treatment and prevention of periprosthetic joint infection(PJI),it still remains a major challenge following total joint arthroplasty.Given the devastating nature and accelerated incidence of PJI,prevention is the most important strategy to deal with this challenging problem and should start from identifying risk factors.Understanding and well-organized optimization of these risk factors in individuals before elective arthroplasty are essential to the ultimate success in reducing the incidence of PJI.Even though some risk factors such as demographic characteristics are seldom changeable,they allow more accurate expectation regarding individual risks of PJI and thus,make proper counseling for shared preoperative decision-making possible.Others that increase the risk of PJI,but are potentially modifiable should be optimized prior to elective arthroplasty.Although remarkable advances have been achieved in past decades,many questions regarding standardized practice to prevent this catastrophic complication remain unanswered.The current study provide a comprehensive knowledge regarding risk factors based on general principles to control surgical siteinfection by the review of current literature and also share own practice at our institution to provide practical and better understandings. 展开更多
关键词 Total joint ARTHROPLASTY PERIPROSTHETIC joint infection Prevention Risk factors PREOPERATIVE OPTIMIZATION
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Analysis of the relative factors affecting the functional restoration of knee joint after the fracture of patella
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作者 王国新 江钟立 +1 位作者 李涛 陈文红 《中国临床康复》 CSCD 2002年第2期290-291,共2页
Objective To explore the relative factors affecting the functional restoration of knee joint after the fracture of patella, and to anticipate the effect of middle-term and short-time rehabilitation therapy. Method 23 ... Objective To explore the relative factors affecting the functional restoration of knee joint after the fracture of patella, and to anticipate the effect of middle-term and short-time rehabilitation therapy. Method 23 patients with limited flexion function of knee joint after the fracture of patella, accepted the routine rehabilitation treatment in out -patient service, and some of the patients adopted local heat therapy at the same time. The 13 factors have been selected for regression analysis step by step under the help of SPSS statistical software. Result The flexible degree of the knee joint before rehabilitation (X1), the non-smooth posterior edge of patella (X2), and the immobilization time of the joint (X3) are relative factors for the flexible degree of knee joint 1 month after rehabilitation (Y1) and the flexible degree of knee joint 3 months after rehabilitation (Y2), and Y1 can also be affected by whether surgery therapy or not (X4), (partial regression coefficient P< 0.05). The differences between theoretical mean and practical mean of Y1 and Y2 are 5.6% and 4.2% respectively in the 23 cases. Conclusion The flexible degree of the knee joint before rehabilitation, whether the posterior edge of patella is smooth or not, and the immobilization time of the joint are relative factors affecting the middle-term and short-term flexible function of knee joint after the fracture of patella, and short-term restoration can also be affected by whether surgery therapy or not. The effects of middle-term and short-term rehabilitation can be predicted by regression equation primarily. 展开更多
关键词 髌骨骨折 屈膝功能 影响因素
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Outcomes and prognostic factors of patients with stage? ⅠB and? ⅡA pancreatic cancer according to the 8^(th) edition American Joint Committee on Cancer criteria 被引量:2
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作者 Yang Li Chuan-gang Tang +2 位作者 Yu Zhao Wu-You Cao guo-feng Qu 《World Journal of Gastroenterology》 SCIE CAS 2017年第15期2757-2762,共6页
AIM To evaluate the changes in the 8^(th) edition American Joint Committee on Cancer(AJCC) for defining stage?ⅠB and?ⅡA pancreatic cancer and identify their prognostic factors.METHODS Pancreatic cancer patients were... AIM To evaluate the changes in the 8^(th) edition American Joint Committee on Cancer(AJCC) for defining stage?ⅠB and?ⅡA pancreatic cancer and identify their prognostic factors.METHODS Pancreatic cancer patients were selected from the Surveillance Epidemiology and End Results database(1973-2013). The enrolled patients were divided into?ⅠB and?ⅡA groups based on tumor size according to the 8^(th) edition AJCC criteria. Clinical characteristics, including age, gender, race, tumor size, primary site, and grade were summarized. Univariate and multivariate analyses were performed to explore the prognostic factors of the?ⅠB and?ⅡA stages of pancreatic cancer under new criteria.RESULTS A total of 1349 pancreatic cancer patients were included. More patients had stage?ⅠB rather than stage?ⅡA. Stage?ⅠB tumors(54.85%) were mainly located in the head of the pancreas, while stage?ⅡA tumors were more often located in the tail and head of the pancreas(35.21% and 31.75%, respectively). The survival time of stage?ⅠB and?ⅡA patients had no significant difference. Univariate and multivariate analyses indicated that the prognostic factors of survival for stage?ⅠB and?ⅡA patients were different. for stage?ⅠB patients, age and primary site were the independent prognostic factors; for stage?ⅡA patients, age and grade were the independent prognostic factors. The risk of death was lower among patients aged ≤ 65 years than those aged > 65 years.CONCLUSION The prognostic factors for stage?ⅠB and?ⅡA patients are different, but age is the independent prognostic factor for all patients. The survival time of stage?ⅠB and?ⅡA patients has no significant difference. 展开更多
关键词 Pancreatic cancer Prognostic factor 8th American joint Committee on Cancer TNM Tumor size
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Influence of geometric parameters on stress concentration factors of undermatched butt joint with single V-groove under three-point bending load 被引量:1
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作者 王佳杰 董志波 +3 位作者 刘雪松 张敬强 方洪渊 刚铁 《China Welding》 EI CAS 2014年第3期59-62,共4页
In order to improve the bending load-carrying capacity (BLCC) of undermatched butt joint under three-point bending load, the influence of joint geometric parameters on stress concentration factors (SCF) at the wel... In order to improve the bending load-carrying capacity (BLCC) of undermatched butt joint under three-point bending load, the influence of joint geometric parameters on stress concentration factors (SCF) at the weld bottom center and the weld toe of uudermatched butt joint with single V-groove are studied respectively based on the finite element method in this paper. Results show that the reinforcement height and the cover pass width play decisive role in the BLCC for undermatched butt joint. BLCC of undermatched butt joint can be improved by choosing the appropriate joint geometric parameters. 展开更多
关键词 undermatched butt joint with single V-groove joint geometric parameters stress concentration factors finiteelement method
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Analysis of the stress intensity factor of welded joints under prior corrosion and complex stress fields
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作者 Zhiyu Jie Yadong Li Xing Wei 《Journal of Modern Transportation》 2016年第4期270-276,共7页
Taking cruciform welded joints under different corrosion degrees, together with 45° inclined angle and full penetration load-carrying fillet, as the research object, the stress intensity factor of a quarter-circu... Taking cruciform welded joints under different corrosion degrees, together with 45° inclined angle and full penetration load-carrying fillet, as the research object, the stress intensity factor of a quarter-circular comer crack of welded joints is calculated based on FRANC3D with ABAQUS. Effects of different corrosion pit sizes, crack aspect ratios, and crack depths on stress intensity factor are analyzed. The results show that pit depth plays a major role in stress intensity factor, while the effect of pit radius is relatively small. The cracking modes of the surface and the deepest point are mode I, and mixed modes I and II, respectively. Effects of pit depths, crack aspect ratios, and crack depths on the stress intensity factor at the surface point are greater than at the deepest point. 展开更多
关键词 Stress intensity factor Welded joint Prior corrosion Complex stress field. Numerical simulation
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The influence of joint geometric parameters on shape factor of butt joint with center through crack
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作者 张敬强 杨建国 +3 位作者 王涛 刘雪松 董志波 方洪渊 《China Welding》 EI CAS 2012年第2期52-54,共3页
In this research, the influence of such joint geometric parameters as weld width and reinforcement on shape ~actor of butt joint with center crack subjected to static loading was investigated by finite element analyse... In this research, the influence of such joint geometric parameters as weld width and reinforcement on shape ~actor of butt joint with center crack subjected to static loading was investigated by finite element analyses method. According to the analytical resuhs, a well fracture resistant joint shape of butt joint with center crack has been approved. 展开更多
关键词 joint geometric parameters butt joint with center crack shape factor
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电针辅助治疗类风湿关节炎的疗效观察及对血清类风湿因子和炎症因子的影响
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作者 王晓云 高宇 +1 位作者 文培培 刘益兵 《上海针灸杂志》 CSCD 2024年第4期428-433,共6页
目的观察电针足三里和关元穴辅助治疗类风湿关节炎(rheumatoid arthritis,RA)的临床疗效及对患者关节功能、关节压痛指数、红细胞沉降率、类风湿因子和炎症因子的影响。方法将112例RA患者用随机数字表法分为对照组和观察组,每组56例。... 目的观察电针足三里和关元穴辅助治疗类风湿关节炎(rheumatoid arthritis,RA)的临床疗效及对患者关节功能、关节压痛指数、红细胞沉降率、类风湿因子和炎症因子的影响。方法将112例RA患者用随机数字表法分为对照组和观察组,每组56例。对照组采用常规西医治疗,观察组在对照组治疗基础上予电针足三里和关元穴治疗。比较两组临床疗效和不良反应发生情况,观察两组治疗前后关节功能、关节肿胀指数、关节压痛指数、RA患者病情评价(disease activity score 28,DAS28)评分以及红细胞沉降率、类风湿因子、炎症因子[C-反应蛋白(C-reactive protein,CRP)、白介素-1β(interleukin-1β,IL-1β)和肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)]水平的变化。结果观察组总有效率高于对照组(P<0.05)。治疗后,两组关节功能(关节僵硬、疼痛和日常活动)评分、DAS28评分、关节肿胀指数和关节压痛指数以及红细胞沉降率、类风湿因子、CRP、TNF-α和IL-1β水平均低于治疗前(P<0.05),且观察组上述观察指标均低于对照组(P<0.05)。对照组1例出现咽部梗阻感,疑为甲氨蝶呤所致;有2例出现消化道不适症状。观察组2例出现针刺后皮下血肿,1例出现消化道不适症状。结论在常规西医治疗基础上,电针足三里和关元穴辅助治疗RA可提高临床疗效,有助于改善患者关节功能和关节压痛,降低红细胞沉降率、类风湿因子和炎症因子水平。 展开更多
关键词 针刺疗法 电针 关节炎 类风湿 关节功能 关节压痛 类风湿因子 炎症因子
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铍针结合三七散外敷治疗肱二头肌长头腱鞘炎疗效及对患者肌骨超声参数、血清炎症因子、肩关节功能的影响
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作者 吴迪 肖辉灯 +3 位作者 孔庆喆 郑皓云 尹辛成 李春根 《陕西中医》 CAS 2024年第6期828-832,共5页
目的:探讨铍针结合三七散外敷治疗肱二头肌长头腱鞘炎效果及对患者肌骨超声参数、血清炎症因子、肩关节功能的影响。方法:80例肱二头肌长头腱鞘炎患者随机分为对照组与观察组,各40例。对照组采用放射式冲击波治疗,观察组则实施铍针结合... 目的:探讨铍针结合三七散外敷治疗肱二头肌长头腱鞘炎效果及对患者肌骨超声参数、血清炎症因子、肩关节功能的影响。方法:80例肱二头肌长头腱鞘炎患者随机分为对照组与观察组,各40例。对照组采用放射式冲击波治疗,观察组则实施铍针结合三七散外敷治疗,均连续治疗4周。比较两组临床疗效,治疗前后两组患者疼痛情况[视觉模拟疼痛评分(VAS)、压痛阈值(PPTs)]、肩关节功能[Constant-Murley肩关节功能活动评分量表(CMS)]、肌骨超声参数(肌腱厚度、腱鞘厚度、积液最大径)、血清炎症因子[肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)、白细胞介素-6(IL-6)]的变化。结果:观察组患者临床疗效87.50%,明显高于对照组的67.50%(P<0.05);治疗后,观察组VAS评分低于对照组,观察组PPTs值高于对照组(P<0.05);观察组肌力、疼痛、肩关节活动度及功能评分均高于对照组(P<0.05);观察组肌腱厚度、腱鞘厚度、积液水平均低于对照组(P<0.05);观察组血清TNF-α、CRP、IL-6水平均低于对照组(P<0.05)。结论:铍针结合三七散外敷治疗肱二头肌长头腱鞘炎可提高临床效果,减轻患者疼痛,提高疼痛阈值,同时可降低患者血清炎症因子水平,改善肌骨超声参数和肩关节功能。 展开更多
关键词 肱二头肌长头腱鞘炎 铍针 三七散外敷 肌骨超声参数 血清炎症因子 肩关节功能
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PFNA-Ⅱ髓内钉治疗股骨转子间骨折对患者髋关节功能及血清炎症因子的影响
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作者 孔丹辉 陈金亮 +2 位作者 夏炎 成欣 郑鸿鸣 《生命科学仪器》 2024年第1期141-143,共3页
目的探讨PFNA-Ⅱ髓内钉治疗股骨转子间骨折对患者髋关节功能及血清炎症因子的影响。方法选择2020年1月-2022年12月丹阳市人民医院收治的股骨转子间骨折患者88例,以随机双盲方式分为对照组与观察组,各44例。对照组采用动力髋螺钉治疗,观... 目的探讨PFNA-Ⅱ髓内钉治疗股骨转子间骨折对患者髋关节功能及血清炎症因子的影响。方法选择2020年1月-2022年12月丹阳市人民医院收治的股骨转子间骨折患者88例,以随机双盲方式分为对照组与观察组,各44例。对照组采用动力髋螺钉治疗,观察组采用PFNA-Ⅱ髓内钉治疗。对比两组围手术期相关指标、髋关节功能、血清炎症因子及术后并发症。结果观察组手术时长、切口长度、住院时间及骨折愈合时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。术后1个月、3个月、6个月,观察组Harris评分均高于对照组,血清TNF-α、IL-6及IL-1β水平均低于对照组,差异有统计学意义(P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论采用PFNA-Ⅱ髓内钉治疗股骨转子间骨折患者可减轻其手术创伤,缩短其术后恢复时间,改善其髋关节功能,减轻其机体炎症反应。 展开更多
关键词 股骨转子间骨折 PFNA-Ⅱ髓内钉 髋关节功能 血清炎症相关因子 并发症
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大众跑者跑步相关损伤危险因素的前瞻性研究
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作者 李瑞杰 魏心怡 +3 位作者 戴剑松 赵彦 周志鹏 杨辰 《体育科研》 2024年第2期48-59,共12页
目的:通过前瞻性研究调查大众跑者跑步相关损伤(RRI)的危险因素,为RRI的预防和治疗提供理论依据。方法:采集95名健康大众跑者的生理和跑步训练等基本信息、人体测量学因素、身体能力因素和跑步生物力学因素,随后进行4个月的跟踪随访,依... 目的:通过前瞻性研究调查大众跑者跑步相关损伤(RRI)的危险因素,为RRI的预防和治疗提供理论依据。方法:采集95名健康大众跑者的生理和跑步训练等基本信息、人体测量学因素、身体能力因素和跑步生物力学因素,随后进行4个月的跟踪随访,依据观察期内的损伤情况将受试者分为损伤组和健康组。通过卡方检验或独立样本t检验确认两组间基线指标的差异,将有统计学意义(P<0.05)的变量纳入Logistic回归模型进行分析。结果:36名跑者在观察期内报告了46例RRI,损伤发生率为38%,其中膝关节损伤最为常见(26.7%);与健康组相比,损伤组存在较小的静态Q角(健康组7.42°±6.90°,损伤组11.03°±10.17°,P=0.042)、跑步着地时刻躯干前倾角(健康组94.24°±4.52°,损伤组91.89°±4.55°,P=0.016)和小腿地面夹角(健康组100.94°±3.44°,损伤组99.41°±3.33°,P=0.037),以及更大的跑步离地时刻小腿地面夹角(健康组53.23°±3.19°,损伤组54.70°±3.09°,P=0.031);Logistic回归分析显示跑步着地时刻小腿地面夹角减小(OR=0.853,P=0.039)和离地时刻小腿地面夹角增大(OR=1.222,P=0.014)可能增加RRI的损伤发生风险。结论:(1)在大众跑者中,RRI发生率较高,损伤部位以下肢膝、踝关节和足部为主。跑步着地时刻和离地时刻小腿更加垂直于地面可能是导致大众跑者RRI损伤风险增加的潜在因素;(2)静态Q角和跑步着地时刻躯干前倾角度在损伤组和健康组之间存在差异,但未发现其与损伤风险之间的关系,因此可能不是导致大众跑者RRI风险增加的潜在因素。 展开更多
关键词 跑步相关损伤 下肢关节 危险因素 预防
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膝关节肿瘤假体发生周围感染的危险因素分析及血清D-二聚体、Toll样受体2的预测价值
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作者 郭昶志 孙涛 +2 位作者 韩殊曼 王令响 牛梦婧 《实用医学杂志》 CAS 北大核心 2024年第6期814-819,共6页
目的 通过对膝关节肿瘤型假体周围感染(prosthetic joint infection, PJI)进行影响因素分析,以及D-二聚体、Toll样受体2(TLR2)的诊断价值分析,为PJI的早期识别和诊断提供依据。方法 选取2008年1月至2020年6月在我科室治疗并行随访的患者... 目的 通过对膝关节肿瘤型假体周围感染(prosthetic joint infection, PJI)进行影响因素分析,以及D-二聚体、Toll样受体2(TLR2)的诊断价值分析,为PJI的早期识别和诊断提供依据。方法 选取2008年1月至2020年6月在我科室治疗并行随访的患者,根据纳入排除标准选取136例观察对象后收集其资料,包括其年龄、性别、BMI、糖尿病史、吸烟史、肿瘤位置、恶性肿瘤分期、手术时间、截骨长度、术中出血量、术后第3天中性粒细胞百分比、白细胞、血清D-二聚体、血清TLR值;分析PJI发生的危险因素及血清D-二聚体、血清TLR的诊断价值。结果 PJI的发生率为11.76%;术后化疗、手术时间≥180 min为PJI发生的危险因素(P <0.05);两指标联合、血清D-二聚体、血清TLR2的曲线下面积(area under curve, AUC)依次为0.917、0.894、0.778, TLR2的AUC小于两指标联合诊断(P <0.05);灵敏度依次为0.975、0.908、0.708,特异度依次为0.750、0.750、0.812。结论 术后化疗、手术时间≥180 min为PJI发生的危险因素;两指标联合预测价值较高。 展开更多
关键词 假体周围感染 膝关节 危险因素 D-二聚体 TOLL样受体2
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针刺联合甲氨蝶呤治疗类风湿关节炎的疗效观察及对关节功能及ESR、CRP水平的影响
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作者 刘小静 王红 +5 位作者 刘振华 曲萌 张磊 刘旭 郭晓艳 刘洋 《上海针灸杂志》 CSCD 2024年第1期76-80,共5页
目的 观察针刺联合甲氨蝶呤治疗类风湿关节炎(rheumatoid arthritis, RA)的临床疗效及对关节功能及红细胞沉降率(erythrocyte sedimentation rate, ESR)、C反应蛋白(C-reactive protein, CRP)水平的影响。方法 将86例RA患者随机分为观... 目的 观察针刺联合甲氨蝶呤治疗类风湿关节炎(rheumatoid arthritis, RA)的临床疗效及对关节功能及红细胞沉降率(erythrocyte sedimentation rate, ESR)、C反应蛋白(C-reactive protein, CRP)水平的影响。方法 将86例RA患者随机分为观察组与对照组,每组43例。两组均予甲氨蝶呤治疗,观察组另予针刺治疗。观察两组治疗前后视觉模拟量表(visual analog scale, VAS)评分、28个关节疾病活动度评分(disease activity score-28, DAS-28)评分、关节功能[晨僵时间、28个关节肿胀数(28-swollen joint count, SJC28)、28个关节压痛数(28-tender joint count, TJC28)及双手握力]、炎性细胞因子CRP、抗环瓜氨酸肽(anti-cyclic citrullinated peptide antibody, anti-CCP)抗体及类风湿因子(rheumatoid factor, RF)]水平、血液流变学[ESR、D-二聚体(D-Dimer, D-D)和纤维蛋白原(fibrinogen, FBG)]的变化,并比较两组临床疗效和不良事件情况。结果 观察组的总有效率为95.4%,高于对照组的79.1%(P<0.05)。两组治疗后VAS评分、DAS-28评分、晨僵时间、SJC28、TJC28、CRP、anti-CCP抗体、RF、ESR、D-D及FBG水平均较治疗前降低(P<0.05),观察组低于对照组(P<0.05);两组治疗后双手握力较治疗前升高(P<0.05),观察组高于对照组(P<0.05);两组不良事件发生率比较差异无统计学意义(P>0.05)。结论 针刺联合甲氨蝶呤对RA患者疗效确切,能显著改善关节功能和疼痛程度,降低炎症反应和血液流变学,安全性较高。 展开更多
关键词 针刺疗法 针药并用 关节炎 类风湿 关节功能 血液流变学 炎症因子
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基于磁感应联合加热的高压海缆工厂接头制备技术
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作者 李震 郑海峰 +4 位作者 陈俊岐 叶成 张振鹏 赵洪 张伟超 《电工技术学报》 EI CSCD 北大核心 2024年第3期820-835,共16页
目前国内外电缆厂家制备工厂接头多采用经典模具单向加热技术(简称单向加热),虽然部分厂家已对磁感应联合加热技术(简称联合加热)进行应用,但对接头处的温度分布与绝缘性能研究甚少。该文对联合加热与单向加热进行电磁-热仿真计算,根据... 目前国内外电缆厂家制备工厂接头多采用经典模具单向加热技术(简称单向加热),虽然部分厂家已对磁感应联合加热技术(简称联合加热)进行应用,但对接头处的温度分布与绝缘性能研究甚少。该文对联合加热与单向加热进行电磁-热仿真计算,根据仿真策略进行试验,并取试样进行界面观测,且对电学性能、交联程度与力学拉伸性能进行对比测试。研究结果表明,通过仿真分析,联合加热中感应线圈向接头区域传递的热流密度远高于金属模具,将预热-交联阶段耗时由单向加热的10 h降低至3 h 20 min,显著提高了加热效率,并使加热区域达到合理温度范围;在联合加热中,与单向加热相比,本体绝缘与恢复绝缘之间的过渡区域宽度明显下降,熔合纹界面质地有所提升,过渡区域绝缘电树枝起始电压升高,在0.2 MPa条件下,过渡区域绝缘热延伸伸长率明显下降,且过渡区域绝缘的力学拉伸性能有所提升。联合加热中,过渡区域绝缘的界面质地、电学性能、交联程度与力学拉伸性能均有所提高的关键性因素是过渡区域绝缘界面的融合性相比于单向加热有所提升。 展开更多
关键词 海缆工厂接头 热流密度 界面观测 电树枝 热延伸 力学拉伸
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膏摩法对膝关节纤维化模型兔抗炎作用研究
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作者 黄银僖 王程 +3 位作者 摆雪 田育魁 郭蕾 方锐 《新疆医科大学学报》 CAS 2024年第3期421-425,共5页
目的 探讨膏摩法对膝关节纤维化模型兔抗炎作用的影响。方法 选取30只无特定病原体(SPF)级雄性新西兰大白兔,随机分为空白对照组、模型组、推拿组、涂膏组、膏摩组,每组6只。空白对照组常规饲养,其余4组通过关节内损伤固定制造模型。造... 目的 探讨膏摩法对膝关节纤维化模型兔抗炎作用的影响。方法 选取30只无特定病原体(SPF)级雄性新西兰大白兔,随机分为空白对照组、模型组、推拿组、涂膏组、膏摩组,每组6只。空白对照组常规饲养,其余4组通过关节内损伤固定制造模型。造模1周后,推拿组给予手法治疗;涂膏组给予外敷膝痹膏;膏摩组给予膏摩法治疗。推拿组、涂膏组、膏摩组的干预频率为每天1次,连续治疗4周。干预4周后,比较各组外周血中白介素-1β(IL-1β)、白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)含量和各组瘢痕组织炎症评分。干预结束后收集各组瘢痕组织,通过苏木精-伊红(HE)染色进行病理观察。结果 与空白对照组相比,模型组外周血中IL-6、 IL-1β、 TNF-α含量均显著升高,差异均有统计学意义(P<0.05);与模型组比较,膏摩组IL-6、IL-1β、TNF-α含量显著降低,差异均有统计学意义(P<0.05);与推拿组比较,膏摩组IL-6、IL-1β含量明显降低,差异均有统计学意义(P<0.05),但TNF-α含量无明显变化。干预4周后,空白对照组、模型组、涂膏组、推拿组、膏摩组炎症评分分别为0、3、1、2、1分。HE染色显示,与模型组比较,涂膏组、推拿组、膏摩组纤维组织及纤维肉芽组织增生程度降低,间质急、慢性炎细胞及成纤维细胞数量减少;与推拿组比较,涂膏组、膏摩组增生性病变降低,且膏摩组低于涂膏组。结论 膏摩法能有效降低术后炎性反应,抑制瘢痕组织的过度纤维化。 展开更多
关键词 膝痹膏 关节纤维化 炎症因子
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关节腔冲洗联合液态浓缩生长因子注射治疗单侧颞下颌关节骨关节炎的初步研究
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作者 李红光 韩玮华 +3 位作者 吴训 冯继玲 李刚 孟娟红 《北京大学学报(医学版)》 CAS CSCD 北大核心 2024年第2期338-344,共7页
目的:观察关节腔冲洗联合液态浓缩生长因子(concentrated growth factor, CGF)注射治疗单侧颞下颌关节骨关节炎(temporomandibular joint osteoarthritis, TMJOA)的短期临床效果,以期为TMJOA患者提供新的治疗选择。方法:采用非随机对照... 目的:观察关节腔冲洗联合液态浓缩生长因子(concentrated growth factor, CGF)注射治疗单侧颞下颌关节骨关节炎(temporomandibular joint osteoarthritis, TMJOA)的短期临床效果,以期为TMJOA患者提供新的治疗选择。方法:采用非随机对照研究,选择2021年6月至2023年1月于北京大学口腔医院颞下颌关节病及口颌面疼痛诊治中心就诊的单侧TMJOA患者作为研究对象,分为试验组和对照组,由患者自行选择入组。试验组行关节腔冲洗联合液态CGF注射治疗,对照组行关节腔冲洗联合透明质酸(hyaluronic acid, HA)注射治疗,分别治疗3次,每两周1次。治疗完成后6个月通过最大自主张口度、疼痛值和下颌功能受限程度等指标评价临床治疗效果,通过治疗前后的锥形束CT(cone beam CT,CBCT)图像融合技术评价髁突骨质的变化。结果:试验组纳入20例患者,其中男性3例,女性17例,平均年龄(34.40±8.41)岁;对照组纳入15例患者,其中男性1例,女性14例,平均年龄(32.20±12.00)岁,两组患者一般资料差异无统计学意义(P>0.05)。两组患者治疗前的张口度、疼痛值及下颌功能受限程度差异均无统计学意义(P>0.05),治疗后上述指标较治疗前均有所改善(P<0.05),但试验组患者治疗后的张口度显著大于对照组(P<0.05),下颌功能受限程度显著低于对照组(P<0.05)。CBCT二维图像显示两组患者治疗后的髁突骨质均较治疗前光滑,图像融合分析显示试验组10例(50.0%)患者和对照组5例(33.3%)患者的髁突出现修复改建区域,两者之间差异无统计学意义(P>0.05)。除1例试验组患者外,两组其余患者的髁突均有部分区域吸收。结论:关节腔冲洗联合液态CGF注射在短期内可以改善单侧TMJOA患者的临床症状和体征,且在增加张口度和改善下颌功能方面优于HA对照组。两组患者的CBCT融合图像均显示部分病例有髁突骨质修复改建的表现,但其与治疗方案的相关性仍需要扩大样本量进一步研究。 展开更多
关键词 颞下颌关节 骨关节炎 浓缩生长因子 透明质酸 关节腔注射
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不锈钢钎焊接头残余应力数值分析
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作者 杨新俊 蒋雨生 王世宇 《化工装备技术》 CAS 2024年第2期28-32,共5页
钎焊接头的残余应力对接头的静力学强度、疲劳强度有着重要的影响。为了获得铜基不锈钢钎焊对接接头的残余应力场信息,采用有限元方法对钎焊过程进行分析,获得在不同焊缝宽度和不同钎焊温度条件下,钎焊接头的残余应力分布情况。结果显示... 钎焊接头的残余应力对接头的静力学强度、疲劳强度有着重要的影响。为了获得铜基不锈钢钎焊对接接头的残余应力场信息,采用有限元方法对钎焊过程进行分析,获得在不同焊缝宽度和不同钎焊温度条件下,钎焊接头的残余应力分布情况。结果显示,随着钎焊间隙增大,纵向残余应力减小,而钎焊温度升高则提高了纵向残余应力峰值;考虑钎焊接头产生裂纹的情况,计算残余应力强度因子Kres来表征残余应力二次变化对接头疲劳强度的影响。随着裂纹扩展,残余应力强度因子变大,钎焊接头削弱显著。 展开更多
关键词 钎焊接头 残余应力 残余应力强度因子 对接接头
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