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NBASS-APS疼痛管理模式干预对胃癌患者术后疼痛程度及自我健康行为的影响
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作者 王丽 谢榜旗 陈玉华 《航空航天医学杂志》 2024年第8期986-989,共4页
目的回顾性分析以护士为基础、以临床医生及麻醉医生为督导的疼痛管理模式(NBASS-APS)在胃癌中的临床应用价值。方法选取2022年09月-2023年09月我院108例胃癌患者,按护理方法不同分为NBASS-APS组(n=54)、常规组(n=54),常规组行常规护理,... 目的回顾性分析以护士为基础、以临床医生及麻醉医生为督导的疼痛管理模式(NBASS-APS)在胃癌中的临床应用价值。方法选取2022年09月-2023年09月我院108例胃癌患者,按护理方法不同分为NBASS-APS组(n=54)、常规组(n=54),常规组行常规护理,NBASS-APS组在此基础上行NBASS-APS疼痛管理模式干预。比较2组术后恢复情况、疼痛程度[视觉模拟评分法(VAS)]、并发症发生率、自我健康行为、生活质量[世界卫生组织生活质量测定量表(WHOQOL-BREF)]。结果NBASS-APS组肠鸣音恢复、腹胀改善、肛门排气、胃管拔出时间均短于常规组(P<0.05);组内分析:干预后2组VAS评分均较干预前降低(P<0.05);组间分析:干预后NBASS-APS组VAS评分低于常规组(P<0.05);2组并发症发生率比较,差异无统计学意义(P>0.05);干预后NBASS-APS组遵医行为、健康责任、压力应对、运动锻炼等自我健康行为评分均高于常规组(P<0.05);干预后NBASS-APS组WHOQOL-BREF评分高于常规组(P<0.05)。结论对胃癌患者实施NBASS-APS疼痛管理模式干预,能减轻疼痛程度、提高自我健康行为、改善术后恢复情况,从而提高生活质量。 展开更多
关键词 nbass-aps 胃癌 疼痛程度 自我健康行为 生活质量
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NBASS-APS模式在老年颅脑损伤患者围术期疼痛管理中的应用效果分析
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作者 周秉霞 任秀芳 +1 位作者 高海军 郭晓琴 《老年医学与保健》 CAS 2024年第4期1119-1124,共6页
目的探究以护士为基础,麻醉医师与专科医生指导的急性疼痛服务模式(NBASS-APS)在老年颅脑损伤(TBI)患者围术期疼痛管理中的应用效果,为治疗该病症提供方法。方法纳入2019年3月—2024年3月在山西省汾阳医院治疗的老年TBI患者80例,所有患... 目的探究以护士为基础,麻醉医师与专科医生指导的急性疼痛服务模式(NBASS-APS)在老年颅脑损伤(TBI)患者围术期疼痛管理中的应用效果,为治疗该病症提供方法。方法纳入2019年3月—2024年3月在山西省汾阳医院治疗的老年TBI患者80例,所有患者按照随机数表法分为观察组(n=40)和对照组(n=40)。2组在相同治疗的基础上,对照组行常规围术期护理,观察组行NBASS-APS模式下疼痛管理干预。对比2组术后不同时间疼痛程度[采用重症监护疼痛观察工具(CPOT)评估]、神经功能[采用格拉斯哥昏迷评分法(GCS)评估]、术后恢复进程(术后疼痛缓解时间、ICU治疗时间、住院时间),以及护理满意度。结果2组术后7 d CPOT评分达到最低值,且观察组CPOT评分低于对照组(均P<0.05);2组术后3 d、7 d GCS评分升高,观察组GCS评分高于对照组(均P<0.05);观察组术后疼痛缓解时间、ICU治疗时间、住院时间均少于对照组(均P<0.05);观察组护理满意度高于对照组(92.50%vs 67.50%,P<0.05)。结论老年TBI患者接受NBASS-APS模式,可有效缓解老年TBI患者的术后疼痛,改善神经功能,促进术后恢复,并且患者护理满意度较高,具有一定的临床应用价值。 展开更多
关键词 老年 颅脑损伤 nbass-aps模式 疼痛管理
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NBASS-APS模式护理在麻醉恢复室老年患者中的应用效果
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作者 赵义辉 郭秋月 孙佳 《中国民康医学》 2024年第13期159-161,共3页
目的:观察急性疼痛管理(NBASS-APS)模式护理在麻醉恢复室老年患者中的应用效果。方法:选取2022年5月至2023年5月该院收治的150例麻醉恢复室老年患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各75例。对照组采用常规护理,... 目的:观察急性疼痛管理(NBASS-APS)模式护理在麻醉恢复室老年患者中的应用效果。方法:选取2022年5月至2023年5月该院收治的150例麻醉恢复室老年患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各75例。对照组采用常规护理,研究组采用NBASS-APS模式护理。比较两组疼痛程度[视觉模拟评分法(VAS)]评分、舒适度[Kolcaba的舒适状况量表(GCQ)]评分和麻醉不良反应发生率。结果:入室后30 min,两组VAS评分均低于入室后5 min,且研究组低于对照组,差异有统计学意义(P<0.05);出室前3 min,两组生理、心理、精神、社会文化和环境等GCQ评分均高于入室后5 min,且研究组高于对照组,差异有统计学意义(P<0.05);研究组麻醉不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论:NBASS-APS模式护理应用于麻醉恢复室老年患者可提高舒适度评分,降低疼痛程度评分和麻醉不良反应发生率,其效果优于常规护理。 展开更多
关键词 急性疼痛管理模式护理 麻醉恢复室 老年 舒适度 疼痛 不良反应
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麻醉恢复室NBASS-APS模式护理对全身麻醉苏醒期患者复苏质量和并发症的影响
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作者 曾资平 李岚 +1 位作者 刘畅 王忠莲 《医药前沿》 2023年第32期90-92,共3页
目的:观察麻醉恢复室以护士为基础、麻醉医生和专科医生共同督导的急性疼痛服务(NBASS-APS)模式护理对全身麻醉苏醒期复苏质量和并发症的影响。方法:选取2020年7月—2022年7月在北京大学深圳医院进行全麻手术且处于麻醉恢复期的80例患... 目的:观察麻醉恢复室以护士为基础、麻醉医生和专科医生共同督导的急性疼痛服务(NBASS-APS)模式护理对全身麻醉苏醒期复苏质量和并发症的影响。方法:选取2020年7月—2022年7月在北京大学深圳医院进行全麻手术且处于麻醉恢复期的80例患者作为研究对象,根据麻醉恢复室护理方法的不同分为常规组与观察组各40例,分别给予常规护理及NBASS-APS护理,观察两组患者麻醉期复苏质量、舒适情况及并发症发生情况。结果:观察组患者麻醉苏醒时间、自主呼吸时间、呼之握拳时间、拔管时间及出室时间均短于常规组,差异有统计学意义(P<0.05)。观察组Kolcaba舒适状况量表(GCQ)的环境、社会文化、生理及心理健康部分的评分均高于常规组,差异有统计学意义(P<0.05)。苏醒时,两组患者VAS评分比较,差异无统计学意义(P>0.05);苏醒1h时,两组患者VAS评分均高于苏醒时,且观察组患者视觉模拟评分量表(VAS)评分低于常规组患者,差异有统计学意义(P<0.05)。观察组寒战、胃肠道反应、躁动、血压异常发生率均低于常规组,差异有统计学意义(P<0.05)。结论:麻醉恢复室NBASS-APS模式护理能够明显提高全身麻醉恢复期患者的苏醒质量,改善患者舒适度,减轻患者疼痛程度,并能有效减少并发症的发生,从而有利于医疗成本的控制。 展开更多
关键词 麻醉恢复室 nbass-aps模式 全身麻醉 苏醒期 复苏质量 并发症
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采用STAMP-24Model的多组织事故分析
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作者 曾明荣 秦永莹 +2 位作者 刘小航 栗婧 尚长岭 《安全与环境学报》 CAS CSCD 北大核心 2024年第7期2741-2750,共10页
安全生产事故往往由多组织交互、多因素耦合造成,事故原因涉及多个组织。为预防和遏制多组织生产安全事故的发生,基于系统理论事故建模与过程模型(Systems-Theory Accident Modeling and Process,STAMP)、24Model,构建一种用于多组织事... 安全生产事故往往由多组织交互、多因素耦合造成,事故原因涉及多个组织。为预防和遏制多组织生产安全事故的发生,基于系统理论事故建模与过程模型(Systems-Theory Accident Modeling and Process,STAMP)、24Model,构建一种用于多组织事故分析的方法,并以青岛石油爆炸事故为例进行事故原因分析。结果显示:STAMP-24Model可以分组织,分层次且有效、全面、详细地分析涉及多个组织的事故原因,探究多组织之间的交互关系;对事故进行动态演化分析,可得到各组织不安全动作耦合关系与形成的事故失效链及管控失效路径,进而为预防多组织事故提供思路和参考。 展开更多
关键词 安全工程 系统理论事故建模与过程模型(STAMP) 24model 多组织事故 原因分析
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基于改进24Model-ISM-SNA建筑工人不安全行为关联路径研究
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作者 赵平 刘钰 +1 位作者 靳丽艳 王佳慧 《工业安全与环保》 2024年第7期37-40,共4页
建筑施工现场环境复杂,为有效控制不安全行为发生,基于行为安全“2-4”模型对360份具有代表性的建筑安全事故调查报告进行分析,提取出22个不安全行为的主要影响因素。利用灰色关联分析方法(GRA)改进的集成ISM-SNA模型,将不安全行为风险... 建筑施工现场环境复杂,为有效控制不安全行为发生,基于行为安全“2-4”模型对360份具有代表性的建筑安全事故调查报告进行分析,提取出22个不安全行为的主要影响因素。利用灰色关联分析方法(GRA)改进的集成ISM-SNA模型,将不安全行为风险因素划分为表层、过渡层与深层,然后对风险因素进行可视化分析、中心度分析及凝聚子群分析,揭示了各致因因素间的关联关系和传导路径。结果表明,建筑工人不安全行为影响因素可划分成7级3阶的多级递阶结构,安全意识、现场监管、外部环境是建筑工人不安全行为的关键影响因素,同时现场监管和隐患排查到位能有效降低不安全行为的发生。 展开更多
关键词 建筑工人 不安全行为 24model 解释结构模型(ISM) 社会网络分析(SNA)
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基于24Model-D-ISM的地铁站火灾疏散影响因素研究
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作者 孙世梅 张家严 《中国安全科学学报》 CAS CSCD 北大核心 2024年第4期153-159,共7页
为预防地铁站火灾事故,深入了解地铁站火灾人员疏散影响因素间的内在联系与层次结构,基于第6版“2-4”模型(24Model)分析63起地铁站火灾疏散事故,充分考虑各个因素之间的交互作用,提取19个影响地铁站人员疏散的关键因素,建立地铁站火灾... 为预防地铁站火灾事故,深入了解地铁站火灾人员疏散影响因素间的内在联系与层次结构,基于第6版“2-4”模型(24Model)分析63起地铁站火灾疏散事故,充分考虑各个因素之间的交互作用,提取19个影响地铁站人员疏散的关键因素,建立地铁站火灾人员疏散影响因素指标体系;采用算子客观赋权法(C-OWA)改进决策试验与评价实验法(DEMATEL),确定地铁站火灾人员疏散的重要影响因素;在此基础上,采用解释结构模型(ISM)分析各个因素间的层次结构及相互作用路径,构建地铁站火灾人员疏散影响因素的多级递阶结构模型。研究结果表明:疏散引导、恐慌从众行为、人员拥挤为地铁站火灾人员疏散的关键影响因素;地铁站火灾人员疏散受表层因素、中间层因素、深层因素共同作用的影响,其中,疏散教育与培训、设施维护与检查、疏散预案等因素是根源影响因素,重视根源影响因素的改善有利于从本质上预防和控制事故的发生。 展开更多
关键词 “2-4”模型(24model) 决策试验与评价实验法(DEMATEL) 解释结构模型(ISM) 地铁站 火灾疏散 影响因素
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基于WeChat的NBASS-APS在二次剖宫产产妇术后镇痛中的应用 被引量:1
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作者 李晓静 张文 +2 位作者 杨辰晨 吕爱华 孙丽霞 《临床护理杂志》 2023年第2期2-5,共4页
目的探讨基于WeChat的NBASS-APS在二次剖宫产产妇术后镇痛中的应用效果。方法采用便利抽样法,选取2020年1月-8月在我院接受二次剖宫产手术的100例产妇为研究对象,其中入住产二科的50例产妇为对照组,采用常规疼痛管理模式;入住产一科的5... 目的探讨基于WeChat的NBASS-APS在二次剖宫产产妇术后镇痛中的应用效果。方法采用便利抽样法,选取2020年1月-8月在我院接受二次剖宫产手术的100例产妇为研究对象,其中入住产二科的50例产妇为对照组,采用常规疼痛管理模式;入住产一科的50例产妇为实验组,采用基于WeChat的NBASS-APS。比较两组术后疼痛、术后恢复情况及满意度。结果实验组术后12、24、48h疼痛评分显著低于对照组(P<0.05),实验组首次下床活动时间显著早于对照组(P<0.05),不良反应发生率显著低于对照组(P<0.05),实验组护理满意度显著高于对照组(P<0.05)。结论基于WeChat的NBASS-APS疼痛管理模式有助于减轻二次剖宫产产妇术后疼痛、缩短产妇下床活动时间、降低不良反应发生率,促进产妇康复,提高其护理满意度,可应用于临床。 展开更多
关键词 二次剖宫产 术后镇痛 微信 nbass-aps
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Geostatistical seismic inversion and 3D modelling of metric flow units,porosity and permeability in Brazilian presalt reservoir 被引量:1
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作者 Rodrigo Penna Wagner Moreira Lupinacci 《Petroleum Science》 SCIE EI CAS CSCD 2024年第3期1699-1718,共20页
Flow units(FU)rock typing is a common technique for characterizing reservoir flow behavior,producing reliable porosity and permeability estimation even in complex geological settings.However,the lateral extrapolation ... Flow units(FU)rock typing is a common technique for characterizing reservoir flow behavior,producing reliable porosity and permeability estimation even in complex geological settings.However,the lateral extrapolation of FU away from the well into the whole reservoir grid is commonly a difficult task and using the seismic data as constraints is rarely a subject of study.This paper proposes a workflow to generate numerous possible 3D volumes of flow units,porosity and permeability below the seismic resolution limit,respecting the available seismic data at larger scales.The methodology is used in the Mero Field,a Brazilian presalt carbonate reservoir located in the Santos Basin,who presents a complex and heterogenic geological setting with different sedimentological processes and diagenetic history.We generated metric flow units using the conventional core analysis and transposed to the well log data.Then,given a Markov chain Monte Carlo algorithm,the seismic data and the well log statistics,we simulated acoustic impedance,decametric flow units(DFU),metric flow units(MFU),porosity and permeability volumes in the metric scale.The aim is to estimate a minimum amount of MFU able to calculate realistic scenarios porosity and permeability scenarios,without losing the seismic lateral control.In other words,every porosity and permeability volume simulated produces a synthetic seismic that match the real seismic of the area,even in the metric scale.The achieved 3D results represent a high-resolution fluid flow reservoir modelling considering the lateral control of the seismic during the process and can be directly incorporated in the dynamic characterization workflow. 展开更多
关键词 Flowunits Geostatistical inversion Presalt reservoir 3D reservoir modelling Petrophysical modelling
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耦合优化蚁群算法与P-Median model的选址模型设计
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作者 顾梓程 胡新玲 《现代电子技术》 北大核心 2024年第3期109-114,共6页
为节省城建部门对于公共体育设施的投入成本以及提高城市人民生活质量,以运动场所优化选址为例,提出一种新型设施选址模型。该模型主要基于P-Median model(最小化阻抗模型)根据需求点数量从全部候选设施选址中选择设施空间位置,让用户... 为节省城建部门对于公共体育设施的投入成本以及提高城市人民生活质量,以运动场所优化选址为例,提出一种新型设施选址模型。该模型主要基于P-Median model(最小化阻抗模型)根据需求点数量从全部候选设施选址中选择设施空间位置,让用户达到离自己最近设施距离成本总和最小的目的,对选址的基本原则和实际情况提出要求,构造目标函数用于优化后蚁群算法求解进行选址工作。优化蚁群算法实现基于Python语言模块,通过改进蚁群原始信息素,提升原有算法的收敛速度,求出目标函数最优解,可以很好地模拟对于运动场所的选址。用二者耦合进行优势互补所设计的选址模型来搜寻研究区蚁群信息素浓度残留最大的栅格像元,从而确定未被已有设施点服务半径覆盖的最佳设施点建立位置。实验结果表明,该新型选址模型相较于最小化阻抗模型与最大化覆盖模型,新增优化设施点使整体服务半径覆盖率分别高出10.42%和6.95%,适合求解较为精确且小规模空间下的选址问题。 展开更多
关键词 蚁群算法 P-Median model 选址模型 GIS 运动场所 位置分配 PYTHON
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Anisotropic time-dependent behaviors of shale under direct shearing and associated empirical creep models 被引量:1
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作者 Yachen Xie Michael Z.Hou +1 位作者 Hejuan Liu Cunbao Li 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第4期1262-1279,共18页
Understanding the anisotropic creep behaviors of shale under direct shearing is a challenging issue.In this context,we conducted shear-creep and steady-creep tests on shale with five bedding orientations (i.e.0°,... Understanding the anisotropic creep behaviors of shale under direct shearing is a challenging issue.In this context,we conducted shear-creep and steady-creep tests on shale with five bedding orientations (i.e.0°,30°,45°,60°,and 90°),under multiple levels of direct shearing for the first time.The results show that the anisotropic creep of shale exhibits a significant stress-dependent behavior.Under a low shear stress,the creep compliance of shale increases linearly with the logarithm of time at all bedding orientations,and the increase depends on the bedding orientation and creep time.Under high shear stress conditions,the creep compliance of shale is minimal when the bedding orientation is 0°,and the steady-creep rate of shale increases significantly with increasing bedding orientations of 30°,45°,60°,and 90°.The stress-strain values corresponding to the inception of the accelerated creep stage show an increasing and then decreasing trend with the bedding orientation.A semilogarithmic model that could reflect the stress dependence of the steady-creep rate while considering the hardening and damage process is proposed.The model minimizes the deviation of the calculated steady-state creep rate from the observed value and reveals the behavior of the bedding orientation's influence on the steady-creep rate.The applicability of the five classical empirical creep models is quantitatively evaluated.It shows that the logarithmic model can well explain the experimental creep strain and creep rate,and it can accurately predict long-term shear creep deformation.Based on an improved logarithmic model,the variations in creep parameters with shear stress and bedding orientations are discussed.With abovementioned findings,a mathematical method for constructing an anisotropic shear creep model of shale is proposed,which can characterize the nonlinear dependence of the anisotropic shear creep behavior of shale on the bedding orientation. 展开更多
关键词 Rock anisotropy Direct shear creep Creep compliance Steady-creep rate Empirical model Creep constitutive model
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A modified stochastic model for LS+AR hybrid method and its application in polar motion short-term prediction 被引量:1
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作者 Fei Ye Yunbin Yuan 《Geodesy and Geodynamics》 EI CSCD 2024年第1期100-105,共6页
Short-term(up to 30 days)predictions of Earth Rotation Parameters(ERPs)such as Polar Motion(PM:PMX and PMY)play an essential role in real-time applications related to high-precision reference frame conversion.Currentl... Short-term(up to 30 days)predictions of Earth Rotation Parameters(ERPs)such as Polar Motion(PM:PMX and PMY)play an essential role in real-time applications related to high-precision reference frame conversion.Currently,least squares(LS)+auto-regressive(AR)hybrid method is one of the main techniques of PM prediction.Besides,the weighted LS+AR hybrid method performs well for PM short-term prediction.However,the corresponding covariance information of LS fitting residuals deserves further exploration in the AR model.In this study,we have derived a modified stochastic model for the LS+AR hybrid method,namely the weighted LS+weighted AR hybrid method.By using the PM data products of IERS EOP 14 C04,the numerical results indicate that for PM short-term forecasting,the proposed weighted LS+weighted AR hybrid method shows an advantage over both the LS+AR hybrid method and the weighted LS+AR hybrid method.Compared to the mean absolute errors(MAEs)of PMX/PMY sho rt-term prediction of the LS+AR hybrid method and the weighted LS+AR hybrid method,the weighted LS+weighted AR hybrid method shows average improvements of 6.61%/12.08%and 0.24%/11.65%,respectively.Besides,for the slopes of the linear regression lines fitted to the errors of each method,the growth of the prediction error of the proposed method is slower than that of the other two methods. 展开更多
关键词 Stochastic model LS+AR Short-term prediction The earth rotation parameter(ERP) Observation model
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Mshpy23:a user-friendly,parameterized model of magnetosheath conditions 被引量:1
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作者 Jaewoong Jung Hyunju Connor +3 位作者 Andrew Dimmock Steve Sembay Andrew Read Jan Soucek 《Earth and Planetary Physics》 EI CSCD 2024年第1期89-104,共16页
Lunar Environment heliospheric X-ray Imager(LEXI)and Solar wind−Magnetosphere−Ionosphere Link Explorer(SMILE)will observe magnetosheath and its boundary motion in soft X-rays for understanding magnetopause reconnectio... Lunar Environment heliospheric X-ray Imager(LEXI)and Solar wind−Magnetosphere−Ionosphere Link Explorer(SMILE)will observe magnetosheath and its boundary motion in soft X-rays for understanding magnetopause reconnection modes under various solar wind conditions after their respective launches in 2024 and 2025.Magnetosheath conditions,namely,plasma density,velocity,and temperature,are key parameters for predicting and analyzing soft X-ray images from the LEXI and SMILE missions.We developed a userfriendly model of magnetosheath that parameterizes number density,velocity,temperature,and magnetic field by utilizing the global Magnetohydrodynamics(MHD)model as well as the pre-existing gas-dynamic and analytic models.Using this parameterized magnetosheath model,scientists can easily reconstruct expected soft X-ray images and utilize them for analysis of observed images of LEXI and SMILE without simulating the complicated global magnetosphere models.First,we created an MHD-based magnetosheath model by running a total of 14 OpenGGCM global MHD simulations under 7 solar wind densities(1,5,10,15,20,25,and 30 cm)and 2 interplanetary magnetic field Bz components(±4 nT),and then parameterizing the results in new magnetosheath conditions.We compared the magnetosheath model result with THEMIS statistical data and it showed good agreement with a weighted Pearson correlation coefficient greater than 0.77,especially for plasma density and plasma velocity.Second,we compiled a suite of magnetosheath models incorporating previous magnetosheath models(gas-dynamic,analytic),and did two case studies to test the performance.The MHD-based model was comparable to or better than the previous models while providing self-consistency among the magnetosheath parameters.Third,we constructed a tool to calculate a soft X-ray image from any given vantage point,which can support the planning and data analysis of the aforementioned LEXI and SMILE missions.A release of the code has been uploaded to a Github repository. 展开更多
关键词 MAGNETOSHEATH PYTHON modelING
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Development and validation of a prediction model for early screening of people at high risk for colorectal cancer 被引量:1
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作者 Ling-Li Xu Yi Lin +3 位作者 Li-Yuan Han Yue Wang Jian-Jiong Li Xiao-Yu Dai 《World Journal of Gastroenterology》 SCIE CAS 2024年第5期450-461,共12页
BACKGROUND Colorectal cancer(CRC)is a serious threat worldwide.Although early screening is suggested to be the most effective method to prevent and control CRC,the current situation of early screening for CRC is still... BACKGROUND Colorectal cancer(CRC)is a serious threat worldwide.Although early screening is suggested to be the most effective method to prevent and control CRC,the current situation of early screening for CRC is still not optimistic.In China,the incidence of CRC in the Yangtze River Delta region is increasing dramatically,but few studies have been conducted.Therefore,it is necessary to develop a simple and efficient early screening model for CRC.AIM To develop and validate an early-screening nomogram model to identify individuals at high risk of CRC.METHODS Data of 64448 participants obtained from Ningbo Hospital,China between 2014 and 2017 were retrospectively analyzed.The cohort comprised 64448 individuals,of which,530 were excluded due to missing or incorrect data.Of 63918,7607(11.9%)individuals were considered to be high risk for CRC,and 56311(88.1%)were not.The participants were randomly allocated to a training set(44743)or validation set(19175).The discriminatory ability,predictive accuracy,and clinical utility of the model were evaluated by constructing and analyzing receiver operating characteristic(ROC)curves and calibration curves and by decision curve analysis.Finally,the model was validated internally using a bootstrap resampling technique.RESULTS Seven variables,including demographic,lifestyle,and family history information,were examined.Multifactorial logistic regression analysis revealed that age[odds ratio(OR):1.03,95%confidence interval(CI):1.02-1.03,P<0.001],body mass index(BMI)(OR:1.07,95%CI:1.06-1.08,P<0.001),waist circumference(WC)(OR:1.03,95%CI:1.02-1.03 P<0.001),lifestyle(OR:0.45,95%CI:0.42-0.48,P<0.001),and family history(OR:4.28,95%CI:4.04-4.54,P<0.001)were the most significant predictors of high-risk CRC.Healthy lifestyle was a protective factor,whereas family history was the most significant risk factor.The area under the curve was 0.734(95%CI:0.723-0.745)for the final validation set ROC curve and 0.735(95%CI:0.728-0.742)for the training set ROC curve.The calibration curve demonstrated a high correlation between the CRC high-risk population predicted by the nomogram model and the actual CRC high-risk population.CONCLUSION The early-screening nomogram model for CRC prediction in high-risk populations developed in this study based on age,BMI,WC,lifestyle,and family history exhibited high accuracy. 展开更多
关键词 Colorectal cancer Early screening model High-risk population Nomogram model Questionnaire survey Dietary habit Living habit
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24Model与LCM原因因素定义对比研究
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作者 袁晨辉 傅贵 +1 位作者 吴治蓉 赵金坤 《中国安全科学学报》 CAS CSCD 北大核心 2024年第1期27-34,共8页
为探究损失致因模型(LCM)原因因素定义与事故致因“2-4”模型(24Model)存在的异同和优缺点,梳理2个模型各层面原因和结果的定义,对比定义内容及其对事故原因分析等安全实务的指导作用,并以一起瓦斯爆炸事故为例加以实证分析,获得二者分... 为探究损失致因模型(LCM)原因因素定义与事故致因“2-4”模型(24Model)存在的异同和优缺点,梳理2个模型各层面原因和结果的定义,对比定义内容及其对事故原因分析等安全实务的指导作用,并以一起瓦斯爆炸事故为例加以实证分析,获得二者分析结果之间的差异。研究结果表明:LCM是首个将管理因素纳入事故致因分析的一维事件序列模型,可明确各层面原因因素的定义和因素间的逻辑关系,但部分定义存在交叉重复的问题,并没有揭示安全工作指导思想等深层次事故致因因素;24Model作为系统性事故致因模型,对各类因素的定义均以组织为主体,描述事件、事故、安全的概念内涵,划分个体安全动作、安全能力和组织安全管理体系的类别并给出含义解析,探究组织安全文化层面的问题并以32个元素体现;2个模型的事故原因分析方法均建立在对各层级原因因素定义的基础上,并适用于模型理论体系本身。 展开更多
关键词 “2-4”模型(24model) 损失致因模型(LCM) 事故致因模型 原因因素定义 对比研究
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Genetically modified non-human primate models for research on neurodegenerative diseases 被引量:2
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作者 Ming-Tian Pan Han Zhang +1 位作者 Xiao-Jiang Li Xiang-Yu Guo 《Zoological Research》 SCIE CSCD 2024年第2期263-274,共12页
Neurodegenerative diseases(NDs)are a group of debilitating neurological disorders that primarily affect elderly populations and include Alzheimer's disease(AD),Parkinson's disease(PD),Huntington's disease(... Neurodegenerative diseases(NDs)are a group of debilitating neurological disorders that primarily affect elderly populations and include Alzheimer's disease(AD),Parkinson's disease(PD),Huntington's disease(HD),and amyotrophic lateral sclerosis(ALS).Currently,there are no therapies available that can delay,stop,or reverse the pathological progression of NDs in clinical settings.As the population ages,NDs are imposing a huge burden on public health systems and affected families.Animal models are important tools for preclinical investigations to understand disease pathogenesis and test potential treatments.While numerous rodent models of NDs have been developed to enhance our understanding of disease mechanisms,the limited success of translating findings from animal models to clinical practice suggests that there is still a need to bridge this translation gap.Old World nonhuman primates(NHPs),such as rhesus,cynomolgus,and vervet monkeys,are phylogenetically,physiologically,biochemically,and behaviorally most relevant to humans.This is particularly evident in the similarity of the structure and function of their central nervous systems,rendering such species uniquely valuable for neuroscience research.Recently,the development of several genetically modified NHP models of NDs has successfully recapitulated key pathologies and revealed novel mechanisms.This review focuses on the efficacy of NHPs in modeling NDs and the novel pathological insights gained,as well as the challenges associated with the generation of such models and the complexities involved in their subsequent analysis. 展开更多
关键词 NEURODEGENERATION Non-human primate Macaque monkey Animal model Gene modification
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Effects of mesenchymal stem cell on dopaminergic neurons,motor and memory functions in animal models of Parkinson's disease:a systematic review and meta-analysis 被引量:4
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作者 Jong Mi Park Masoud Rahmati +2 位作者 Sang Chul Lee Jae Il Shin Yong Wook Kim 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第7期1584-1592,共9页
Parkinson’s disease is chara cterized by the loss of dopaminergic neurons in the substantia nigra pars com pacta,and although restoring striatal dopamine levels may improve symptoms,no treatment can cure or reve rse ... Parkinson’s disease is chara cterized by the loss of dopaminergic neurons in the substantia nigra pars com pacta,and although restoring striatal dopamine levels may improve symptoms,no treatment can cure or reve rse the disease itself.Stem cell therapy has a regenerative effect and is being actively studied as a candidate for the treatment of Parkinson’s disease.Mesenchymal stem cells are considered a promising option due to fewer ethical concerns,a lower risk of immune rejection,and a lower risk of teratogenicity.We performed a meta-analysis to evaluate the therapeutic effects of mesenchymal stem cells and their derivatives on motor function,memory,and preservation of dopamine rgic neurons in a Parkinson’s disease animal model.We searched bibliographic databases(PubMed/MEDLINE,Embase,CENTRAL,Scopus,and Web of Science)to identify articles and included only pee r-reviewed in vivo interve ntional animal studies published in any language through J une 28,2023.The study utilized the random-effect model to estimate the 95%confidence intervals(CI)of the standard mean differences(SMD)between the treatment and control groups.We use the systematic review center for laboratory animal expe rimentation’s risk of bias tool and the collaborative approach to meta-analysis and review of animal studies checklist for study quality assessment.A total of 33studies with data from 840 Parkinson’s disease model animals were included in the meta-analysis.Treatment with mesenchymal stem cells significantly improved motor function as assessed by the amphetamine-induced rotational test.Among the stem cell types,the bone marrow MSCs with neurotrophic factor group showed la rgest effect size(SMD[95%CI]=-6.21[-9.50 to-2.93],P=0.0001,I^(2)=0.0%).The stem cell treatment group had significantly more tyrosine hydroxylase positive dopamine rgic neurons in the striatum([95%CI]=1.04[0.59 to 1.49],P=0.0001,I^(2)=65.1%)and substantia nigra(SMD[95%CI]=1.38[0.89 to 1.87],P=0.0001,I^(2)=75.3%),indicating a protective effect on dopaminergic neurons.Subgroup analysis of the amphetamine-induced rotation test showed a significant reduction only in the intracranial-striatum route(SMD[95%CI]=-2.59[-3.25 to-1.94],P=0.0001,I^(2)=74.4%).The memory test showed significant improvement only in the intravenous route(SMD[95%CI]=4.80[1.84 to 7.76],P=0.027,I^(2)=79.6%).Mesenchymal stem cells have been shown to positively impact motor function and memory function and protect dopaminergic neurons in preclinical models of Parkinson’s disease.Further research is required to determine the optimal stem cell types,modifications,transplanted cell numbe rs,and delivery methods for these protocols. 展开更多
关键词 ANIMAL animal experimentation mesenchymal stem cells models Parkinson’s disease stem cell transplantation
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Oxygen tension modulates cell function in an in vitro three-dimensional glioblastoma tumor model 被引量:1
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作者 Sen Wang Siqi Yao +8 位作者 Na Pei Luge Bai Zhiyan Hao Dichen Li Jiankang He J.Miguel Oliveira Xiaoyan Xue Ling Wang Xinggang Mao 《Bio-Design and Manufacturing》 SCIE EI CAS CSCD 2024年第3期307-319,共13页
Hypoxia is a typical feature of the tumor microenvironment,one of the most critical factors affecting cell behavior and tumor progression.However,the lack of tumor models able to precisely emulate natural brain tumor ... Hypoxia is a typical feature of the tumor microenvironment,one of the most critical factors affecting cell behavior and tumor progression.However,the lack of tumor models able to precisely emulate natural brain tumor tissue has impeded the study of the effects of hypoxia on the progression and growth of tumor cells.This study reports a three-dimensional(3D)brain tumor model obtained by encapsulating U87MG(U87)cells in a hydrogel containing type I collagen.It also documents the effect of various oxygen concentrations(1%,7%,and 21%)in the culture environment on U87 cell morphology,proliferation,viability,cell cycle,apoptosis rate,and migration.Finally,it compares two-dimensional(2D)and 3D cultures.For comparison purposes,cells cultured in flat culture dishes were used as the control(2D model).Cells cultured in the 3D model proliferated more slowly but had a higher apoptosis rate and proportion of cells in the resting phase(G0 phase)/gap I phase(G1 phase)than those cultured in the 2D model.Besides,the two models yielded significantly different cell morphologies.Finally,hypoxia(e.g.,1%O2)affected cell morphology,slowed cell growth,reduced cell viability,and increased the apoptosis rate in the 3D model.These results indicate that the constructed 3D model is effective for investigating the effects of biological and chemical factors on cell morphology and function,and can be more representative of the tumor microenvironment than 2D culture systems.The developed 3D glioblastoma tumor model is equally applicable to other studies in pharmacology and pathology. 展开更多
关键词 HYPOXIA GLIOMA Three-dimensional glioma model In vitro
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Assessing the Performance of CMIP6 Models in Simulating Droughts across Global Drylands 被引量:1
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作者 Xiaojing YU Lixia ZHANG +1 位作者 Tianjun ZHOU Jianghua ZHENG 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2024年第2期193-208,共16页
Both the attribution of historical change and future projections of droughts rely heavily on climate modeling. However,reasonable drought simulations have remained a challenge, and the related performances of the curr... Both the attribution of historical change and future projections of droughts rely heavily on climate modeling. However,reasonable drought simulations have remained a challenge, and the related performances of the current state-of-the-art Coupled Model Intercomparison Project phase 6(CMIP6) models remain unknown. Here, both the strengths and weaknesses of CMIP6 models in simulating droughts and corresponding hydrothermal conditions in drylands are assessed.While the general patterns of simulated meteorological elements in drylands resemble the observations, the annual precipitation is overestimated by ~33%(with a model spread of 2.3%–77.2%), along with an underestimation of potential evapotranspiration(PET) by ~32%(17.5%–47.2%). The water deficit condition, measured by the difference between precipitation and PET, is 50%(29.1%–71.7%) weaker than observations. The CMIP6 models show weaknesses in capturing the climate mean drought characteristics in drylands, particularly with the occurrence and duration largely underestimated in the hyperarid Afro-Asian areas. Nonetheless, the drought-associated meteorological anomalies, including reduced precipitation, warmer temperatures, higher evaporative demand, and increased water deficit conditions, are reasonably reproduced. The simulated magnitude of precipitation(water deficit) associated with dryland droughts is overestimated by 28%(24%) compared to observations. The observed increasing trends in drought fractional area,occurrence, and corresponding meteorological anomalies during 1980–2014 are reasonably reproduced. Still, the increase in drought characteristics, associated precipitation and water deficit are obviously underestimated after the late 1990s,especially for mild and moderate droughts, indicative of a weaker response of dryland drought changes to global warming in CMIP6 models. Our results suggest that it is imperative to employ bias correction approaches in drought-related studies over drylands by using CMIP6 outputs. 展开更多
关键词 DROUGHTS hydrothermal conditions DRYLANDS CMIP6 model evaluation
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Toward a Learnable Climate Model in the Artificial Intelligence Era 被引量:1
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作者 Gang HUANG Ya WANG +3 位作者 Yoo-Geun HAM Bin MU Weichen TAO Chaoyang XIE 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2024年第7期1281-1288,共8页
Artificial intelligence(AI)models have significantly impacted various areas of the atmospheric sciences,reshaping our approach to climate-related challenges.Amid this AI-driven transformation,the foundational role of ... Artificial intelligence(AI)models have significantly impacted various areas of the atmospheric sciences,reshaping our approach to climate-related challenges.Amid this AI-driven transformation,the foundational role of physics in climate science has occasionally been overlooked.Our perspective suggests that the future of climate modeling involves a synergistic partnership between AI and physics,rather than an“either/or”scenario.Scrutinizing controversies around current physical inconsistencies in large AI models,we stress the critical need for detailed dynamic diagnostics and physical constraints.Furthermore,we provide illustrative examples to guide future assessments and constraints for AI models.Regarding AI integration with numerical models,we argue that offline AI parameterization schemes may fall short of achieving global optimality,emphasizing the importance of constructing online schemes.Additionally,we highlight the significance of fostering a community culture and propose the OCR(Open,Comparable,Reproducible)principles.Through a better community culture and a deep integration of physics and AI,we contend that developing a learnable climate model,balancing AI and physics,is an achievable goal. 展开更多
关键词 artificial intelligence deep learning learnable climate model
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