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A Computer Aided System for Simulating Weld Metal Solidification Crack
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作者 Yanhong WEI and Yingchun ZHANG National Key Laboratory of Advanced Welding Production Technology, Harbin Institute of Technology, Harbin 150001, China Renpei LIU and Zujie DONG Harbin Research Institute of Welding, Harbin 150080, China 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2001年第1期177-178,共2页
A computer-aided system for simulating weld solidification crack has been developed by which a welding engineer can carry out the welding solidification crack simulation on the basis of a commercial finite element ana... A computer-aided system for simulating weld solidification crack has been developed by which a welding engineer can carry out the welding solidification crack simulation on the basis of a commercial finite element analysis software package. its main functions include calculating the heat generations of the moving arc. mesh generation, calculating stress-strain distributions with element rebirth technique. 展开更多
关键词 FIGURE A Computer aided system for Simulating Weld Metal Solidification Crack
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Applied computer aided system for hotplate butt welding of plastics
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作者 Zhao Gaoming and Yi Xiaosu(Zhejiang University. Hangzhou) 《China Welding》 EI CAS 1995年第2期127-131,共5页
This paper illustrates the construction and application of the applied computeraided .system for hotplate butt welding of plastics with regard to inquiry, imitation and Optimization.
关键词 PLASTICS butt welding. computer aided system
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Artificial intelligence for characterization of diminutive colorectal polyps:A feasibility study comparing two computer-aided diagnosis systems
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作者 Quirine Eunice Wennie van der Zander Ramon M Schreuder +9 位作者 Ayla Thijssen Carolus H J Kusters Nikoo Dehghani Thom Scheeve Bjorn Winkens Mirjam C M van der Ende-van Loon Peter H N de With Fons van der Sommen Ad A M Masclee Erik J Schoon 《Artificial Intelligence in Gastrointestinal Endoscopy》 2024年第1期11-22,共12页
BACKGROUND Artificial intelligence(AI)has potential in the optical diagnosis of colorectal polyps.AIM To evaluate the feasibility of the real-time use of the computer-aided diagnosis system(CADx)AI for ColoRectal Poly... BACKGROUND Artificial intelligence(AI)has potential in the optical diagnosis of colorectal polyps.AIM To evaluate the feasibility of the real-time use of the computer-aided diagnosis system(CADx)AI for ColoRectal Polyps(AI4CRP)for the optical diagnosis of diminutive colorectal polyps and to compare the performance with CAD EYE^(TM)(Fujifilm,Tokyo,Japan).CADx influence on the optical diagnosis of an expert endoscopist was also investigated.METHODS AI4CRP was developed in-house and CAD EYE was proprietary software provided by Fujifilm.Both CADxsystems exploit convolutional neural networks.Colorectal polyps were characterized as benign or premalignant and histopathology was used as gold standard.AI4CRP provided an objective assessment of its characterization by presenting a calibrated confidence characterization value(range 0.0-1.0).A predefined cut-off value of 0.6 was set with values<0.6 indicating benign and values≥0.6 indicating premalignant colorectal polyps.Low confidence characterizations were defined as values 40%around the cut-off value of 0.6(<0.36 and>0.76).Self-critical AI4CRP’s diagnostic performances excluded low confidence characterizations.RESULTS AI4CRP use was feasible and performed on 30 patients with 51 colorectal polyps.Self-critical AI4CRP,excluding 14 low confidence characterizations[27.5%(14/51)],had a diagnostic accuracy of 89.2%,sensitivity of 89.7%,and specificity of 87.5%,which was higher compared to AI4CRP.CAD EYE had a 83.7%diagnostic accuracy,74.2%sensitivity,and 100.0%specificity.Diagnostic performances of the endoscopist alone(before AI)increased nonsignificantly after reviewing the CADx characterizations of both AI4CRP and CAD EYE(AI-assisted endoscopist).Diagnostic performances of the AI-assisted endoscopist were higher compared to both CADx-systems,except for specificity for which CAD EYE performed best.CONCLUSION Real-time use of AI4CRP was feasible.Objective confidence values provided by a CADx is novel and self-critical AI4CRP showed higher diagnostic performances compared to AI4CRP. 展开更多
关键词 Artificial intelligence Colorectal polyp characterization Computer aided diagnosis Diminutive colorectal polyps Optical diagnosis Self-critical artificial intelligence
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A Feature-Aided Multiple Model Algorithm for Maneuvering Target Tracking
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作者 Yiwei Tian Meiqin Liu +2 位作者 Senlin Zhang Ronghao Zheng Shanling Dong 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2024年第2期566-568,共3页
Dear Editor,This letter deals with the tracking problem for non-cooperative maneuvering targets based on the underwater sensor networks. Considering the acoustic intensity feature of underwater targets, a feature-aide... Dear Editor,This letter deals with the tracking problem for non-cooperative maneuvering targets based on the underwater sensor networks. Considering the acoustic intensity feature of underwater targets, a feature-aided multi-model tracking method for maneuvering targets is proposed. 展开更多
关键词 UNDERWATER aided LETTER
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RepBoTNet-CESA:An Alzheimer’s Disease Computer Aided Diagnosis Method Using Structural Reparameterization BoTNet and Cubic Embedding Self Attention
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作者 Xiabin Zhang Zhongyi Hu +1 位作者 Lei Xiao Hui Huang 《Computers, Materials & Continua》 SCIE EI 2024年第5期2879-2905,共27页
Various deep learning models have been proposed for the accurate assisted diagnosis of early-stage Alzheimer’s disease(AD).Most studies predominantly employ Convolutional Neural Networks(CNNs),which focus solely on l... Various deep learning models have been proposed for the accurate assisted diagnosis of early-stage Alzheimer’s disease(AD).Most studies predominantly employ Convolutional Neural Networks(CNNs),which focus solely on local features,thus encountering difficulties in handling global features.In contrast to natural images,Structural Magnetic Resonance Imaging(sMRI)images exhibit a higher number of channel dimensions.However,during the Position Embedding stage ofMulti Head Self Attention(MHSA),the coded information related to the channel dimension is disregarded.To tackle these issues,we propose theRepBoTNet-CESA network,an advanced AD-aided diagnostic model that is capable of learning local and global features simultaneously.It combines the advantages of CNN networks in capturing local information and Transformer networks in integrating global information,reducing computational costs while achieving excellent classification performance.Moreover,it uses the Cubic Embedding Self Attention(CESA)proposed in this paper to incorporate the channel code information,enhancing the classification performance within the Transformer structure.Finally,the RepBoTNet-CESA performs well in various AD-aided diagnosis tasks,with an accuracy of 96.58%,precision of 97.26%,and recall of 96.23%in the AD/NC task;an accuracy of 92.75%,precision of 92.84%,and recall of 93.18%in the EMCI/NC task;and an accuracy of 80.97%,precision of 83.86%,and recall of 80.91%in the AD/EMCI/LMCI/NC task.This demonstrates that RepBoTNet-CESA delivers outstanding outcomes in various AD-aided diagnostic tasks.Furthermore,our study has shown that MHSA exhibits superior performance compared to conventional attention mechanisms in enhancing ResNet performance.Besides,the Deeper RepBoTNet-CESA network fails to make further progress in AD-aided diagnostic tasks. 展开更多
关键词 Alzheimer CNN structural reparameterization multi head self attention computer aided diagnosis
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Does ergogenic effect of caffeine supplementation depend on CYP1A2 genotypes? A systematic review with meta-analysis
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作者 Jieping Wang Luthfia Dewi +3 位作者 Yundong Peng Chien-Wen Hou Yanmin Song Giancarlo Condello 《Journal of Sport and Health Science》 SCIE CAS CSCD 2024年第4期499-508,共10页
Background:The ergogenic effects of caffeine intake on exercise performance are well-established,even if differences exist among individuals in response to caffeine intake.The genetic variation of a specific gene,huma... Background:The ergogenic effects of caffeine intake on exercise performance are well-established,even if differences exist among individuals in response to caffeine intake.The genetic variation of a specific gene,human cytochrome P450 enzyme 1A2(CYP1A2)(rs762551),may be one reason for this difference.This systematic review and meta-analysis aimed to comprehensively evaluate the influence of CYP1A2 gene types on athletes’exercise performance after caffeine intake.Methods:A literature search through 4 databases(Web of Science,PubMed,Scopus,and China National Knowledge Infrastructure)was conducted until March 2023.The effect size was expressed as the weighted mean difference(WMD)by calculating fixed effects meta-analysis if heterogeneity was not significant(I^(2)≤50%and p≥0.1).Subgroup analyses were performed based on AA and AC/CC genotype of CYP1A2.Results:The final number of studies meeting the inclusion criteria was 12(n=666 participants).The overall analysis showed that the cycling time trial significantly improved after caffeine intake(WMD=-0.48,95%confidence interval(95%CI):-0.83 to-0.13,p=0.007).In subgroup analyses,acute caffeine intake improved cycling time trial only in individuals with the A allele(WMD=-0.90,95%CI:-1.48 to-0.33,p=0.002),but not the C allele(WMD=-0.08,95%CI:-0.32 to 0.17,p=0.53).Caffeine supplementation did not influence the Wingate(WMD=8.07,95%CI:-22.04 to 38.18,p=0.60)or countermovement jump test(CMJ)performance(WMD=1.17,95%CI:-0.02 to 2.36,p=0.05),and these outcomes were not influenced by CYP1A2 genotype.Conclusion:Participants with the CYP1A2 genotype with A allele improved their cycling time trials after caffeine supplementation.However,compared to placebo,acute caffeine supplementation failed to increase the Wingate or CMJ performance,regardless of CYP1A2 genotype. 展开更多
关键词 Countermovement jump test Endurance Ergogenic aid Gene polymorphism WINGATE
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Exploration of The Construction Path of Sports Injury and First Aid Course Systems for College Students
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作者 Xiaobo Zhan Haiyan Liu Dan Tan 《Journal of Clinical and Nursing Research》 2024年第4期105-109,共5页
By the requirements of the Ministry of Education on life safety education, colleges, and universities have set up a course on Sports Injury and First Aid to organize relevant knowledge and increase the student’s awar... By the requirements of the Ministry of Education on life safety education, colleges, and universities have set up a course on Sports Injury and First Aid to organize relevant knowledge and increase the student’s awareness of first aid knowledge so that they can use reasonable methods to address sport-related injuries. At the same time, they can cope with first-aid situations and assist rescuers in completing resuscitation activities. This paper is based on the study of three colleges in Chongqing. This paper selected students from 3 universities in Chongqing and evaluated the mastery of first aid knowledge of college students, pointing out the value of implementing the “Sports Injury and First Aid” course in colleges and universities. This can provide opportunities to improve the theoretical content of the discipline, actively carry out practical activities, reasonably set the assessment method, and provide basic protection to ensure that the “Sports Injury and First Aid” course can be carried out normally to improve the mastery level of students’ first aid knowledge. 展开更多
关键词 College students Sports injury and first aid course INFRASTRUCTURE Faculty strength
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Computer aided diabetic retinopathy detection based on ophthalmic photography: a systematic review and Meta-analysis 被引量:1
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作者 Hui-Qun Wu Yan-Xing Shan +6 位作者 Huan Wu Di-Ru Zhu Hui-Min Tao Hua-Gen Wei Xiao-Yan Shen Ai-Min Sang Jian-Cheng Dong 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2019年第12期1908-1916,共9页
AIM: To ensure the diagnostic value of computer aided techniques in diabetic retinopathy(DR) detection based on ophthalmic photography(OP). METHODS: PubM ed, EMBASE, Ei village, IEEE Xplore and Cochrane Library databa... AIM: To ensure the diagnostic value of computer aided techniques in diabetic retinopathy(DR) detection based on ophthalmic photography(OP). METHODS: PubM ed, EMBASE, Ei village, IEEE Xplore and Cochrane Library database were searched systematically for literatures about computer aided detection(CAD) in DR detection. The methodological quality of included studies was appraised by the Quality Assessment Tool for Diagnostic Accuracy Studies(QUADAS-2). Meta-Di Sc was utilized and a random effects model was plotted to summarize data from those included studies. Summary receiver operating characteristic curves were selected to estimate the overall test performance. Subgroup analysis was used to identify the efficiency of CAD in detecting DR, exudates(EXs), microaneurysms(MAs) as well as hemorrhages(HMs), and neovascularizations(NVs). Publication bias was analyzed using STATA. RESULTS: Fourteen articles were finally included in this Meta-analysis after literature review. Pooled sensitivity and specificity were 90%(95%CI, 85%-94%) and 90%(95%CI, 80%-96%) respectively for CAD in DR detection. With regard to CAD in EXs detecting, pooled sensitivity, specificity were 89%(95%CI, 88%-90%) and99%(95%CI, 99%-99%) respectively. In aspect of MAs and HMs detection, pooled sensitivity and specificity of CAD were 42%(95%CI, 41%-44%) and 93%(95%CI, 93%-93%) respectively. Besides, pooled sensitivity and specificity were 94%(95%CI, 89%-97%) and 87%(95%CI, 83%-90%) respectively for CAD in NVs detection. No potential publication bias was observed. CONCLUSION: CAD demonstrates overall high diagnostic accuracy for detecting DR and pathological lesions based on OP. Further prospective clinical trials are needed to prove such effect. 展开更多
关键词 META-ANALYSIS diabetic retinopathy computer aided detection
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Case Based Reasoning Intelligent System for Network Computer Aided Process Planning
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作者 ZHAO Chunhua WU Zhengjia ZHOU Chengjun ZHU Dalin LI Haoping School of Mechanical and Material,China Three Gorges University,Yichang 443002,China, 《武汉理工大学学报》 CAS CSCD 北大核心 2006年第S3期1077-1080,共4页
Computer aided process planning system played a key role for integrating design and manufacturing or assembly systems properly considering available resources and design constraints.To take advantage of the enterprise... Computer aided process planning system played a key role for integrating design and manufacturing or assembly systems properly considering available resources and design constraints.To take advantage of the enterprise resource,the web CAPP framework was established.Case based reasoning and multi agent system were integrated in the system.The multi agent mecha- nism was discussed in the paper.And an instance of case base was introduced.They made the system run independently and contin- uously in the network environment of process planning problems. 展开更多
关键词 COMPUTER aided process PLANNING multi AGENT system CASE based REASONING
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MULTI-AGENT COMPUTER AIDED ASSEMBLY PROCESS PLANNING SYSTEM FOR SHIP HULL
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作者 Zhang Shijie Jing Shuang Shenyang Institute of Automation, Chinese Academy of Sciences 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2001年第1期57-61,共5页
A multi agent computer aided assembly process planning system (MCAAPP) for ship hull is presented. The system includes system framework, global facilitator, the macro agent structure, agent communication language, ag... A multi agent computer aided assembly process planning system (MCAAPP) for ship hull is presented. The system includes system framework, global facilitator, the macro agent structure, agent communication language, agent oriented programming language, knowledge representation and reasoning strategy. The system can produce the technological file and technological quota, which can satisfy the production needs of factory. 展开更多
关键词 MULTI AGENT Intelligent agent Computer aided process planning Knowledge representation
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Computer Aided Process Planning Expert System for Die Forging
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作者 李晓蕾 王真 +1 位作者 吕炎 王昊 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 1997年第2期122-125,共4页
This paper presents a software developed for the computer aided die forging process planning expert system, an expert knowledge base built in an appropriate knowledge representation form in accordance with special fe... This paper presents a software developed for the computer aided die forging process planning expert system, an expert knowledge base built in an appropriate knowledge representation form in accordance with special features of die forging technology, an inference engine combining procedural reasoning with backward reasoning by means of a blackboard to satisfy the multi level and multi goal requirements for the system, and maintenance of the system in the way of semi automatic knowledge acquisition. 展开更多
关键词 EXPERT system COMPUTER aided PROCESS PLANNING FORGING
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Observability analysis of feature aided terminal guidance systems
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作者 Shijie Fan Hongqi Fan +2 位作者 Huaitie Xiao Jianpeng Fan Qiang Fu 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2015年第1期127-133,共7页
Feature aided design of estimators and guidance laws can significantly improve the interception performance of the terminal guidance system. The achieved enhancement can be effectively assessed by observability analys... Feature aided design of estimators and guidance laws can significantly improve the interception performance of the terminal guidance system. The achieved enhancement can be effectively assessed by observability analysis methods. This paper first analyzes and discusses the existing assessment methods in a typical endgame scenario with target orientation observations. To get over their deficiencies, a novel singular value decomposition(SVD) method is proposed. Employing both theoretical analysis and numerical simulation, the proposed method can represent the degree of state observability which is enhanced by integrating target features more completely and quantitatively. 展开更多
关键词 terminal guidance feature aided OBSERVABILITY singular value orientation observation
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DESIGN OBJECT MODEL AND DESIGN PROCESS MODEL OF COMPUTER AIDED AIRCRAFT CONCEPTUAL DESIGN SYSTEM
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作者 Shen Zhang(Aircraft CAD Research Center, Beijing University of Aeronautics andAstronautics, Beijing, China, 100083) 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 1995年第3期198-204,共7页
DESIGNOBJECTMODELANDDESIGNPROCESSMODELOFCOMPUTERAIDEDAIRCRAFTCONCEPTUALDESIGNSYSTEMShenZhang(AircraftCADRese... DESIGNOBJECTMODELANDDESIGNPROCESSMODELOFCOMPUTERAIDEDAIRCRAFTCONCEPTUALDESIGNSYSTEMShenZhang(AircraftCADResearchCenter,Beijin... 展开更多
关键词 computer aided design aircraft design models
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A NEW SYSTEM FOR COMPUTER AIDED PATTERN DESIGN——CAPDS
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作者 张伯钧 邵世煌 《Journal of China Textile University(English Edition)》 EI CAS 1990年第4期37-44,共8页
This paper proposes a new computer aided pattern design system(CAPDS)in which a uniformmathematical expression is used to construct different objects. In the geometric model, 3 B-splineis adopted as a line model. The ... This paper proposes a new computer aided pattern design system(CAPDS)in which a uniformmathematical expression is used to construct different objects. In the geometric model, 3 B-splineis adopted as a line model. The new system with uniform mathematical expression has the distin-guishing features: curve smoothness and fidelity, convenience to process graphic data in thedatabase and etc.. This paper presents the data structure, the program structure and also the implementation. 展开更多
关键词 COMPUTER aided design data recording design proposals PATTERN design geometric model data structure
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Case-based intelligent computer aided design system of welding machinery
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作者 林三宝 黎明 吴林 《China Welding》 EI CAS 1998年第1期4-9,共6页
The procedure during complex system plan design of welding position-locating machine is studied in this paper. The main difficulties in designing welding position-locating machine utilizing computer are discussed as w... The procedure during complex system plan design of welding position-locating machine is studied in this paper. The main difficulties in designing welding position-locating machine utilizing computer are discussed as well. A method of case-based intelligent CAD system for welding position-locating machine ( WMICAD) is put forward through wide research on design methodology. Object-oriented programming method is also applied to Ms system. The basic idea and realizing method are described. 展开更多
关键词 welding position-locating machine intelligent computer aided design plan design case-based reasoning
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An Architecture of Computer Aided Process Planning System Integrated with Scheduling Using Decision Support System
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作者 Manish Kumar Sunil Rajotia 《厦门大学学报(自然科学版)》 CAS CSCD 北大核心 2002年第S1期200-201,共2页
Process planning and scheduling are two major plann in g and control activities that consume significant part of the lead-time, theref ore all attempts are being made to reduce lead-time by automating them. Compute r ... Process planning and scheduling are two major plann in g and control activities that consume significant part of the lead-time, theref ore all attempts are being made to reduce lead-time by automating them. Compute r Aided Process Planning (CAPP) is a step in this direction. Most of the existin g CAPP systems do not consider scheduling while generating a process plan. Sched uling is done separately after the process plan has been generated and therefore , it is possible that a process plan so generated is either not optimal or feasi ble from scheduling point of view. As process plans are generated without consid eration of job shop status, many problems arise within the manufacturing environ ment. Investigations have shown that 20%~30% of all process plans generated are not valid and have to be altered or suffer production delays when production sta rts. There is thus a major need for integration of scheduling with computer aide d process planning for generating more realistic process plans. In doing so, eff iciency of the manufacturing system as a whole is expected to improve. Decision support system performs many functions such as selection of machine too ls, cutting tools, sequencing of operations, determination of optimum cutting pa rameters and checking availability of machine tool before allocating any operati on to a machine tool. The process of transforming component data, process capabi lity and decision rules into computer readable format is still a major obstacle. This paper proposes architecture of a system, which integrates computer aided p rocess-planning system with scheduling using decision support system. A decisio n support system can be defined as " an interactive system that provides the use rs with easy access to decision models in order to support semi-structured or u nstructured decision making tasks". 展开更多
关键词 Scheduling Using Decision Support system An Architecture of Computer aided Process Planning system Integrated with
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A New Computer Aided Volleyball Training System Based on Pattern Recognition Model
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《International Journal of Technology Management》 2017年第3期20-22,共3页
This paper proposes the novel computer aided volleyball training system based on pattern recognition model. In general the quality of volleyball training at the same time, we should strengthen coordination, mobile pow... This paper proposes the novel computer aided volleyball training system based on pattern recognition model. In general the quality of volleyball training at the same time, we should strengthen coordination, mobile power, quality training, strengthen mobile exercises, moving fast and flexible to overcome the sudden fall of soft volleyball on the defensive and pilling adverse, such practice can be used for mobile.Strengthen the strength training, enhance the strength of the upper and lower limbs, improve the team' s bounce and batting speed is conducive to compete for the advantage of the Internet, better undermine the defense. With the help of the proposed system, the training process will be more effective, and the performance will be verified in the later discussions. 展开更多
关键词 Computer aided Volleyball Training Pattern Recognition Model
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Horizontal Voting Ensemble Based Predictive Modeling System for Colon Cancer
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作者 Ushaa Eswaran S.Anand 《Computer Systems Science & Engineering》 SCIE EI 2023年第8期1917-1928,共12页
Colon cancer is the third most commonly diagnosed cancer in the world.Most colon AdenoCArcinoma(ACA)arises from pre-existing benign polyps in the mucosa of the bowel.Thus,detecting benign at the earliest helps reduce ... Colon cancer is the third most commonly diagnosed cancer in the world.Most colon AdenoCArcinoma(ACA)arises from pre-existing benign polyps in the mucosa of the bowel.Thus,detecting benign at the earliest helps reduce the mortality rate.In this work,a Predictive Modeling System(PMS)is developed for the classification of colon cancer using the Horizontal Voting Ensemble(HVE)method.Identifying different patterns inmicroscopic images is essential to an effective classification system.A twelve-layer deep learning architecture has been developed to extract these patterns.The developedHVE algorithm can increase the system’s performance according to the combined models from the last epochs of the proposed architecture.Ten thousand(10000)microscopic images are taken to test the classification performance of the proposed PMS with the HVE method.The microscopic images obtained from the colon tissues are classified intoACAor benign by the proposed PMS.Results prove that the proposed PMS has∼8%performance improvement over the architecture without using the HVE method.The proposed PMS for colon cancer reduces the misclassification rate and attains 99.2%of sensitivity and 99.4%of specificity.The overall accuracy of the proposed PMS is 99.3%,and without using the HVE method,it is only 91.3%. 展开更多
关键词 Colon cancer microscopic images medical image processing ensemble approach computer aided diagnosis texture analysis
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Computer Aided Software Engineering(CASE)for CAD Systems Production
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作者 Jerzy WROBEL 《Computer Aided Drafting,Design and Manufacturing》 1991年第1期46-54,共9页
In the paper the basic elements of CAD systems from software point of view are dis- cussed.The creation and next the modification of CAD systems needs specialized software tools.In the paper the idea computer Aided So... In the paper the basic elements of CAD systems from software point of view are dis- cussed.The creation and next the modification of CAD systems needs specialized software tools.In the paper the idea computer Aided Software Engineering(CASE)for CAD systems production and practi- cal software realization of such a software tool is considered.The main element of this tool is special program provided for convenient storage and modification of CAD source program.In the paper the simple examples are presented and discussed. 展开更多
关键词 Computer aided software engineering CASE Software tool
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人类免疫缺陷病毒感染/艾滋病经治患者转换为多替拉韦/拉米夫定复方单片制剂的真实世界研究 被引量:1
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作者 张雪 李超锋 +6 位作者 杨萱 张晓华 赵淑娴 韦倩 齐亚琼 郭莉莹 赵清霞 《传染病信息》 2024年第3期204-207,214,共5页
目的评估真实世界中达到病毒抑制的人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染/艾滋病(acquired immunodeficiency syndrome,AIDS)患者转换为多替拉韦/拉米夫定(dolutegravir/lamivudine,DTG/3TC)复方单片制剂的疗效及安... 目的评估真实世界中达到病毒抑制的人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染/艾滋病(acquired immunodeficiency syndrome,AIDS)患者转换为多替拉韦/拉米夫定(dolutegravir/lamivudine,DTG/3TC)复方单片制剂的疗效及安全性。方法纳入2021年6月1日至2022年6月1日在郑州市第六人民医院门诊长期随访的HIV得到有效抑制并在研究期间抗病毒方案转换为DTG/3TC方案的HIV/AIDS患者79例,收集转换治疗方案前及治疗期间T淋巴细胞亚群、HIV RNA、血脂水平以及肾功能等检测指标,记录不良事件的发生情况。结果79例转换治疗方案患者以中年男性为主,有30.4%的患者合并非艾滋病定义性疾病。前3位转换治疗方案原因分别是:简化方案,改善耐受性、药物不良反应、合并非艾滋病定义性疾病。48周病毒持续抑制率为100%,CD4~+T淋巴细胞计数较基线变化差异无统计学意义(P>0.05);转换治疗方案48周后高密度脂蛋白、血肌酐、血糖、体质量升高,肾小球滤过率和尿微量白蛋白水平下降,差异均有统计学意义(P均<0.05)。有5例患者因血脂异常转换为DTG/3TC方案,转换治疗方案48周后总胆固醇明显下降(P<0.05)。有13例患者因肾毒性转换为DTG/3TC方案,转换治疗方案48周后血肌酐、肾小球滤过率、尿微量白蛋白的变化差异无统计学意义(P均>0.05)。结论达到病毒抑制的患者转换为DTG/3TC方案后能持续抑制病毒、安全性及耐受性好,特别是对于合并非艾滋病定义性疾病、出现肾毒性及血脂异常的患者,DTG/3TC方案是很好的优化治疗方案选择之一。 展开更多
关键词 HIV/AIDS患者 病毒抑制 优化治疗 多替拉韦/拉米夫定 真实世界研究
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