TCM抗阻训练在肥胖型阻塞性睡眠呼吸暂停低通气综合征患者中的应用

目的:探讨过渡期护理(TCM)抗阻训练在肥胖型阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者中的应用效果。方法:选取2022年1月1日~2023年1月1日接受治疗的102例肥胖型OSAHS患者作为研究对象,根据随机数字表法将其分为对照组和研究组各51例。对照组行常规抗阻训练,研究组行TCM抗阻训练;对比两组入院次日、出院1个月时体质指标[包括体质量指数(BMI)、颈围、腹围]、嗜睡程度[采用中文版Epworth嗜睡量表(ESS)]及生活质量[采用睡眠呼吸暂停低通气综合征生命质量评估表(QOL-OSAHS)]。结果:共有102例患者参与研究,其中对照组有1例在中途失访剔除,最后101例患者完整参与研究。出院1个月时,两组BMI、颈围、腹围及均ESS评分均低于入院次日(P<0.05),且研究组低于对照组(P<0.05);出院1个月时,两组QOL-OSAHS评分高于入院次日(P<0.05),且研究组高于对照组(P<0.05)。结论:TCM抗阻训练可有效改善肥胖型OSAHS患者体质指标,提升睡眠质量和生活质量。

中医药团体标准评价体系(SCORE-TCM)解读

本文全面解读了中医药团体标准评价体系(System of Consortium Standards Rating and Evaluation of Traditional Chinese Medicine,SCORE-TCM)。SCORE-TCM是结合定性与定量评价,全面评估中医药团体标准在制定主体、文本编写、技术内容、推广应用和实施效益等几方面特征的综合评价工具。文中详述了SCORE-TCM的构建目的、定义和构建过程,解释了评价指标体系中的各项指标,并对每项指标的评价材料进行介绍。本文旨在帮助中医药团体标准的制定者、第三方评价机构和其他相关方更好地理解SCORE-TCM各评价条目的含义,更有效地运用于中医药团体标准的自评价或第三方评价,SCORE-TCM将为《中医药团体标准管理办法》的贯彻实施,以及中医药团体标准的高质量发展提供技术支持。

基于SCORE-TCM的中医药团体标准抽样评价方案设计

目前,各社会团体积极参与中医药标准的制定和发布,特别是“十四五”以来,中医药团体标准化工作更是迎来了提质增效的关键阶段。深入评估社会团体发布的中医药标准质量,是推进中医药团体标准工作的关键环节和重点任务。前期已研制并形成了中医药团体标准评价体系(System of Consortium Standards Rating and Evaluation of Traditional Chinese Medicine, SCORETCM)。在上述背景下,本研究通过专家共识法,设计了一套基于SCORE-TCM的中医药团体标准抽样评价方案,应用场景为对于特定社会团体发布的标准,或各团体发布的特定技术类别的标准进行快速评估。该方案涵盖了标准抽样、材料收集、标准评价、结果解读的完整流程,为中医药团体标准的抽样评价工作提供了参考方案。

Chen Shigong,Founder of“TCM Orthodox School of External Medicine”

Chen Shigong,styled name Yuren,was also known by the literary name Ruoxu.Coming from Donghaichongchuan(present Nantong City,Jiangsu Province)he was a famous traditional Chinese medicine(TCM)specialist of external medicine of the Ming Dynasty(1368-1644).The Orthodox Lineage of External Medicine(Wai Ke Zheng Zong)written by him has been valued as the founder of the TCM Orthodox School of External Medicine.

From Research on TCM Images to Historiography of TCM Images——Comments on History of Chinese Image Culture:Medical Image Volume

1 Introduction.Chinese medicine has a long and rich history,dating back to the classics of the Qin and Han dynasties and extending to the integration of Chinese and Western medicine in the modern era.The vast amount of literature and scholarly works in this field makes it essential to thoroughly study the history of traditional Chinese medicine(TCM)in order to understand its development path throughout the ages and boost innovation based on tradition.This is why the sages emphasized the importance of“classifying the works into different schools and tracing back to their origins”(辨章学术,考镜源流).

A Conversation with Professor Ted Kaptchuk,a Key Architect of Modern TCM in the West

The interview was conducted on November 20th,2022 by Ioannis Solos and Charles Buck.Ted Kaptchuk(泰开阳)is a Professor of Medicine and a Professor of Global Health&Social Medicine at Harvard Medical School.In 1975,he graduated from the Macao Institute of Chinese Medicine,Macao,China.After returning to the West,Ted taught Chinese medicine throughout the States,Europe,Latin America,and Australia.Ted’s book,The Web that Has No Weaver:Understanding Chinese Medicine is a groundbreaking explanation of East Asian medicine that continues to shape the discourse of the Chinese medicine profession in the West and has been translated into 13 languages.In 1990,Ted was recruited in Harvard Medical School to help research Chinese medicine.After encountering high placebo responses in multiple acupuncture clinical trials,Ted decided to switch his career to primarily studying placebo.He has published over 300 peer-reviewed articles.He has been awarded the Lifetime Achievement Award from the Society of Acupuncture Research(2015),the Lifetime Achievement Award from the Society for Interdisciplinary Placebo Studies(2021),and the William Silen Lifetime Achievement Award in Mentoring from Harvard Medical School(2022).

Analysis of standardization development of TCM in Sichuan

Sichuan province is home to rich traditional Chinese medicine(TCM)resources.Recent years have seen unremitting efforts of TCM standardization in the province.By analyzing the measures and existing problems,this paper provides recommendations to boost TCM development through standardization.

My Relationship with TCM

A Spanish businessman becomes a dedicated advocate of traditional Chinese medicine after witnessing its effects in treating his terminally ill young son.MY relationship with traditional Chinese medicine(TCM)-and with China-began in 1988,when I traveled to Beijing with my two-year-old son Joan.He was suffering from an extremely rare disease called leukoencephalopathy,in which the brain is affected,and we wanted to explore treatment possibilities.

Classification research of TCM pulse conditions based on multi-label voice analysis

Objective:To explore the feasibility of remotely obtaining complex information on traditional Chinese medicine(TCM)pulse conditions through voice signals.Methods: We used multi-label pulse conditions as the entry point and modeled and analyzed TCM pulse diagnosis by combining voice analysis and machine learning.Audio features were extracted from voice recordings in the TCM pulse condition dataset.The obtained features were combined with information from tongue and facial diagnoses.A multi-label pulse condition voice classification DNN model was built using 10-fold cross-validation,and the modeling methods were validated using publicly available datasets.Results: The analysis showed that the proposed method achieved an accuracy of 92.59%on the public dataset.The accuracies of the three single-label pulse manifestation models in the test set were 94.27%,96.35%,and 95.39%.The absolute accuracy of the multi-label model was 92.74%.Conclusion: Voice data analysis may serve as a remote adjunct to the TCM diagnostic method for pulse condition assessment.

Research Status of TCM Rehabilitation in Chronic Obstructive Pulmonary Disease (COPD)

This paper mainly analyzes the application status of TCM rehabilitation in chronic obstructive pulmonary disease(COPD),hoping to provide support and help for clinical staff through this study,and promote the further development of COPD rehabilitation program.

Exploring the Future Of TCM Cooperation--2024 China-ASEAN Traditional Chinese Medicine Industry Exchange and Promotion Conference in Taiyuan

“Traditional Chinese medicine(TCM)is very popular in Cambodia because it can treat a variety of diseases,”said Nhek Soparama,ministercounselor of the Embassy of Cambodia in China,at the 2024 China-ASEAN Traditional Chinese Medicine Industry Exchange and Promotion Conference in Taiyuan,Shanxi Province,on July 26.“Over the past two years,more than 20,000 Cambodians have received TCM treatment.”

一种变输入电压的TCM滞环电流逆变器控制方法

针对TCM逆变器在过零点附近因开关频率过高导致并网电流THD和开关损耗增加的问题,提出一种变输入电压的准恒频控制方法。通过控制后级输入电压限制TCM电流源型逆变器的最大开关频率,降低了并网电流的谐波失真率。通过Simulink搭建仿真模型,对并网电流进行FFT分析,结果显示该方法相比传统的TCM调制方法使得并网电流的THD下降了0.02%,验证了所提方案的可行性。

具有全重联功能的TCMS系统方案论述

城市轨道交通线路客流量的特征具有不同运营阶段或全天内不同时段以及不同区段差异较大等特点,传统的固定编组运营模式无法很好地解决运力、客流、能耗匹配的问题。根据城市轨道交通在不同区段、时段下的客流特征,在保证较高列车服务水平的条件下,通过绞线式列车总线(Wire Train Bus,WTB)架构以及列车之间全重联,使得头车可以控制后面与其重联的列车,达到所有列车控制指令完全一致性,最终达到灵活改变列车编组长度来实现运力与客流需求动态匹配,合理优化各时段列车满载率,有效解决动力浪费或服务水平低下的问题。

地铁TCMS系统功能探析

TCMS(列车控制与监控系统)是电客车的中枢系统,不仅全面监控并诊断着车辆各子系统的运行状态,还承担着人机交互信息的桥梁作用。其系统架构复杂而精密,包括中央控制单元、车辆控制单元等,通过网络拓扑结构紧密相连。TCMS不仅实现列车级的控制策略与协调,还具备故障诊断、数据记录与远程通信等多样化功能,确保列车安全高效运行。

城市轨道交通ATO与TCMS功能融合设计

[目的]基于ATO(列车自动运行系统)与TCMS(列车控制及监控系统)的基本功能,采用融合设计的方式可简化重复设计,并优化列车控制功能,故有必要开展相关研究。[方法]通过综合分析现阶段ATO和TCMS在城市轨道交通中的功能和应用,研究ATO和TCMS控制功能融合,提出了一种列车系统集成化和控制功能更佳的一体化设计方案,并分析了功能融合所带来的优势。[结果及结论]融合ATO和TCMS功能后,可提高列车的系统集成度,使之更容易实现智能化,但也需要克服技术和管理等方面的挑战。

应用于中继卫星通信系统的16QAM-TCM技术研究

网格编码调制技术可以在不改变信息传输频谱带宽的条件下,改善信噪比,减少发射功率,降低误码率,其实现的方法是分割星座图形成子集,逐步增大星座图中信号点之间的最小欧氏距离。本论文在项目组自研的中继卫星通信系统仿真平台上,仿真了8PSK与16QAM-TCM两种调制技术的解调性能,仿真曲线反映了误比特率需求与所需信噪比之间的关系。仿真结果表明:(1)在理想信道条件、I/Q(Inphase/Quadrature,同相/正交)幅相不平衡、幅频特性、群时延、相位噪声、功率放大器饱和点条件下,假设误比特率需求为1E-7,16QAM-TCM技术的信噪比需求与8PSK调制技术的信噪比需求相比,分别可节省8.85 dB、9.04 dB、8.45 dB、10.2 dB、8.5 dB、14.6 dB的信噪比;(2)在非线性信道条件下,当信噪比增大时,8PSK调制技术的误比特率在1E-3数量级附近波动,不再变化;(3)假设需求的误比特率为1E-7,16QAMTCM调制技术非线性信道信噪比仿真值与理想信道信噪比仿真值相比,损失了4.8 dB。

32APSK-TCM技术在中继卫星通信系统中的应用研究

32APSK(Amplitude Phase Shift Keying,幅相键控)技术与32QAM(Quadrature Amplitude Modulation,正交幅度调制)技术相比,减少了幅值数目,适合于中继卫星通信系统非线性信道。TCM(Trellis Code Modulation,网格编码调制)技术将信道编码与多元调制相结合,在不增加频谱带宽的条件下,可以降低发射功率,减少能耗,降低对功率放大器技术指标的要求,有利于实现卫星有效载荷的轻型化与小型化。本文将32APSK技术与TCM技术相结合,提出了一种32APSK-TCM技术,详细论述了基于32APSK-TCM技术的星座子集分割方法和星座点选择方法,并对32APSK-TCM技术的性能进行了理论分析。在项目组自研的中继卫星通信系统仿真平台上,对32APSK-TCM技术进行了仿真验证。仿真结果表明:在理想信道条件、I/Q(Inphase/Quadrature,同相/正交)幅相不平衡、幅频特性、群时延、相位噪声、功率放大器饱和点、非线性信道条件下,需要的最大误比特率为1E-6时,32APSK-TCM技术的最小信噪比与16APSK调制技术的最小信噪比相比,分别节省了13.29 dB,13.29 dB,14.84 dB,15.54 dB,15.11 dB,15.77 dB,16.37 dB。

泉州海丝文化遗产游憩资源价值评估——基于TCM、AHP与CB的分析

泉州不但是海上丝绸之路的起点,“泉州:宋元中国的世界海洋商贸中心”项目更成功列入世界遗产名录,其游憩资源价值亟待详细评估。本文运用2022年泉州海丝文化遗产景点的实际调研数据,结合旅行费用法(TCM)、层次分析法(AHP)与条件行为法(CB),对泉州海丝文化遗产景点的游憩价值进行了实证研究。研究结果发现,最近一年受访游客至泉州海丝文化遗产景点旅游的游憩效益,每人每次的消费者剩余为1654元,每人每年5607元,全年约为34.73亿元;依AHP权重值的计算方式得出“历史古迹文化”的消费者剩余为13.20亿元、“美食特产小吃”为12.50亿元、“休闲资源”为9.03亿元。未来一年若以“举办海丝节庆活动”作为诱因,每人每次的消费者剩余为2196元,每人每年为9201元,全年约为46.19亿元,与最近一年的实证结果相比较,经济效益增加33%。

基于GaN器件的单相逆变器TCM控制策略研究

氮化镓(GaN)高电子迁移率晶体管具有开关速度快、器件损耗小的优点,在高频应用场合得到广泛应用。为了进一步提高变换器效率和功率密度,将三角电流模式(TCM)调制用于基于GaN器件的单相逆变器中,通过控制负向电流与死区时间实现了全范围零电压开关(ZVS),达到提高变换器效率和功率密度的目的。搭建了1台样机进行验证,实验结果表明,TCM调制在不同负载条件下均可实现软开关,最大开关频率可达300 kHz,峰值效率可达98.5%。

基于TCM模式的护理干预对肺癌手术患者情绪、肺功能及生活质量的影响

目的 探讨基于TCM模式的护理干预对肺癌手术患者情绪、肺功能及生活质量的影响。方法 选择2020年2月—2022年2月江苏省人民医院收治的126例行胸腔镜肺癌根治术患者为研究对象,以随机数字表法分为2组,每组63例,对照组给予胸外科临床基础性护理干预,试验组在对照组护理基础上应用基于TCM模式的护理干预。比较2组患者干预前及干预30 d后的情绪(SAS评分、SDS评分)、肺功能指标[1 min内最大通气量(MVV)、用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))]、生活质量(KPS评分)及护理满意度。结果 干预30 d后,2组患者SAS评分、SDS评分均有不同程度的下降,且组间比较试验组明显低于对照组,差异均有统计学意义(P均<0.05);2组患者的KPS评分以及MVV、FVC、FEV_(1)均升高,且组间比较试验组的KPS评分及肺功能指标均高于对照组,差异均有统计学意义(P均<0.05);试验组患者的总体满意度为96.83%(61/63),显著高于对照组的80.95%(51/63),差异有统计学意义(P<0.05)。结论 基于TCM模式的护理干预效果明显优于常规护理,能够显著改善肺癌手术患者的肺功能,缓解负性情绪,提高患者生活质量,继而获得患者认同。