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基于IMB模型的康复干预对老年脑梗死患者上肢功能运动功能及神经功能的影响
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作者 朱玉珊 朱小平 《中国实用神经疾病杂志》 2024年第6期774-778,共5页
目的探讨信息-动机-行为技巧(IMB)下的康复干预在老年脑梗死患者中的应用效果。方法将符合本研究纳入及排除标准的116例脑梗死患者随机分成2组各58例,对照组采用常规康复,观察组采用基于IMB模型的康复干预。2组患者均在院内进行为期1个... 目的探讨信息-动机-行为技巧(IMB)下的康复干预在老年脑梗死患者中的应用效果。方法将符合本研究纳入及排除标准的116例脑梗死患者随机分成2组各58例,对照组采用常规康复,观察组采用基于IMB模型的康复干预。2组患者均在院内进行为期1个月的康复训练,院外监督患者继续进行2个月的康复训练并线上汇报每日康复训练情况,共连续干预3个月后评估2组患者上肢功能、运动功能、神经功能、生活质量及并发症发生情况。结果干预后2组患者Fugl-Meyer评估量表(FMA)及上肢Wolf(沃尔夫)运动功能测试量表(WMFT)评分均增加,且观察组增加幅度更显著[FMA:(25.91±4.42)分比(29.37±4.58)分,t=4.140,P<0.05;WMFT:(30.42±3.56)分比(34.29±4.05)分,t=5.466,P<0.05]。干预后2组患者FCA及BBS评分均增加,且观察组分值增加幅度更显著[FCA评分:(50.08±8.21)分比(57.63±8.58)分,t=4.842,P<0.05;BBS评分:(31.98±5.36)分比(37.41±5.79)分,t=5.241,P<0.05]。干预后2组患者NIHSS评分均降低,ADL评分均增加,且观察组分值变化幅度更显著[NIHSS评分:(9.60±1.73)分比(6.83±1.55)分,t=9.082,P<0.05;ADL评分:(75.33±5.56)分比(80.74±5.82)分,t=5.119,P<0.05]。干预后2组患者WHOQOL-BREF量表各维度评分及总分均升高,且观察组患者WHOQOL-BREF量表各维度评分及总分值变化幅度更显著(P<0.05)。观察组并发症发生率(1.72%)与对照组(18.97%)相比显著降低(P<0.05)。结论基于IMB模型的康复干预有效改善了老年脑梗死患者上肢功能、运动功能及神经功能,提高了患者生活质量,降低了并发症发生率。 展开更多
关键词 脑梗死 imb模型 老年 上肢功能 运动功能 神经功能
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基于IMB模型的互联网+延续护理模式对喉癌术后患者的影响
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作者 张莹 杨亚萍 +1 位作者 曹丽俐 马亚明 《齐鲁护理杂志》 2024年第7期73-77,共5页
目的:探讨基于信息-动机-行为技巧(IMB)模型的互联网+延续护理模式对喉癌术后患者的影响。方法:选取2022年1月1日~2023年1月31日收治的124例喉癌患者为研究对象,随机分为IMB组和对照组各62例,两组均给予常规治疗,对照组采用常规护理,IM... 目的:探讨基于信息-动机-行为技巧(IMB)模型的互联网+延续护理模式对喉癌术后患者的影响。方法:选取2022年1月1日~2023年1月31日收治的124例喉癌患者为研究对象,随机分为IMB组和对照组各62例,两组均给予常规治疗,对照组采用常规护理,IMB组在此基础上实施基于IMB模型的互联网+延续护理模式干预;比较两组不良情绪[采用抑郁自评量表(SDS)、焦虑自评量表(SAS)]、治疗依从性、自我管理效能感[采用中文版癌症自我管理效能感量表(C-SUPPH)]、不良事件发生情况、癌因性疲乏程度[采用Piper疲乏自我评估量表(PFS)]、预后[采用吞咽功能评估量表(GUSS)、发声功能检测]、生活质量[采用中国头颈部癌生命质量测定量表(QLICP-HN)]。结果:干预后,IMB组SAS、SDS评分均低于对照组(P<0.01);IMB组治疗依从率高于对照组(P<0.05);干预后,IMB组C-SUPPH、GUSS评分均高于对照组(P<0.01),PFS评分低于对照组(P<0.01);干预后,IMB组基频微扰、标准化噪声能量、振幅微扰指标均低于对照组(P<0.05,P<0.01),基频指标高于对照组(P<0.01);IMB组并发症发生率低于对照组(P<0.05);干预后,IMB组PHD、PSD、SOD、SSD评分及总分均高于对照组(P<0.05,P<0.01)。结论:基于IMB模型的互联网+延续护理模式能改善喉癌术后患者癌因性疲乏程度,缓解不良情绪,提高治疗依从性,加强自我管理效能感,减少并发症的发生,提升预后效果、生活质量。 展开更多
关键词 imb模型 互联网+延续护理模式 喉癌 不良情绪 治疗依从性
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IMB集束化护理对促进剖宫产术后纯母乳喂养行为的效果研究
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作者 韦玉娟 潘援 +2 位作者 潘荣蓉 赵艳梅 黄敏 《中文科技期刊数据库(引文版)医药卫生》 2024年第3期0026-0029,共4页
探讨基于IMB(信息-动机-行为技巧)集束化护理对剖宫产术后纯母乳喂养行为的影响。方法 选取2021年2月~2022 年12月在本院行剖宫产术的产妇共254名,随机分为对照组和观察组,每组127例。对照组实施常规的产后健康教育、产后随访,观察组在... 探讨基于IMB(信息-动机-行为技巧)集束化护理对剖宫产术后纯母乳喂养行为的影响。方法 选取2021年2月~2022 年12月在本院行剖宫产术的产妇共254名,随机分为对照组和观察组,每组127例。对照组实施常规的产后健康教育、产后随访,观察组在对照组基础上实施基于IMB集束化护理。比较两组母乳喂养知识掌握情况、产后1个月、3个月、6个月纯母乳喂养率。结果 干预后,两组母乳喂养知识得分、产后1个月、3个月、6个月纯母乳喂养率差异均有统计学意义(P<0.05)。结论 基于IMB集束化护理可以促进母乳喂养行为,提高纯母乳喂养率。 展开更多
关键词 imb 母乳喂养行为 纯母乳喂养率
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An MPI parallel DEM-IMB-LBM framework for simulating fluid-solid interaction problems
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作者 Ming Xia Liuhong Deng +3 位作者 Fengqiang Gong Tongming Qu Y.T.Feng Jin Yu 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第6期2219-2231,共13页
The high-resolution DEM-IMB-LBM model can accurately describe pore-scale fluid-solid interactions,but its potential for use in geotechnical engineering analysis has not been fully unleashed due to its prohibitive comp... The high-resolution DEM-IMB-LBM model can accurately describe pore-scale fluid-solid interactions,but its potential for use in geotechnical engineering analysis has not been fully unleashed due to its prohibitive computational costs.To overcome this limitation,a message passing interface(MPI)parallel DEM-IMB-LBM framework is proposed aimed at enhancing computation efficiency.This framework utilises a static domain decomposition scheme,with the entire computation domain being decomposed into multiple subdomains according to predefined processors.A detailed parallel strategy is employed for both contact detection and hydrodynamic force calculation.In particular,a particle ID re-numbering scheme is proposed to handle particle transitions across sub-domain interfaces.Two benchmarks are conducted to validate the accuracy and overall performance of the proposed framework.Subsequently,the framework is applied to simulate scenarios involving multi-particle sedimentation and submarine landslides.The numerical examples effectively demonstrate the robustness and applicability of the MPI parallel DEM-IMB-LBM framework. 展开更多
关键词 Discrete element method(DEM) Lattice Boltzmann method(LBM) Immersed moving boundary(imb) Multi-cores parallelization Message passing interface(MPI) CPU Submarine landslides
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基于IMB模型的呼吸功能锻炼对老年肺癌手术患者预后的影响
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作者 刘现利 邱红丽 任玉雪 《临床医学工程》 2024年第1期83-84,共2页
目的探讨基于信息-动机-行为技巧(IMB)模型的呼吸功能锻炼对老年肺癌手术患者预后的影响。方法将80例老年肺癌手术患者随机分为对照组(n=40)和观察组(n=40)。对照组予以常规护理干预,观察组在对照组基础上予以基于IMB模型的呼吸功能锻... 目的探讨基于信息-动机-行为技巧(IMB)模型的呼吸功能锻炼对老年肺癌手术患者预后的影响。方法将80例老年肺癌手术患者随机分为对照组(n=40)和观察组(n=40)。对照组予以常规护理干预,观察组在对照组基础上予以基于IMB模型的呼吸功能锻炼。比较两组患者的肺功能及术后肺部并发症(PPCs)发生率。结果术后7 d,观察组PEF、FEV1、FVC水平高于对照组(P<0.05)。观察组PPCs发生率为10.00%,低于对照组的30.00%(P<0.05)。结论基于IMB模型的呼吸功能锻炼可明显促进老年肺癌手术患者肺功能恢复,降低PPCs发生风险。 展开更多
关键词 肺癌 imb模型 呼吸功能锻炼 肺功能 并发症
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基于IMB模型的出院指导方案在肺癌根治术患者中的应用及效果评价
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作者 吴若嘉 杨娇 +4 位作者 赵燕秋 杨静 董恺文 沈楠 杨秀梅 《中华养生保健》 2024年第3期11-15,共5页
目的探讨基于IMB模型的出院指导方案对肺癌围术期患者的应用效果。方法选取2021年4月—2021年10月云南省肿瘤医院收治的106例肺癌围术期患者为研究对象,按照入院先后顺序分为对照组和观察组,各53例。对照组予以常规出院指导,观察组实施... 目的探讨基于IMB模型的出院指导方案对肺癌围术期患者的应用效果。方法选取2021年4月—2021年10月云南省肿瘤医院收治的106例肺癌围术期患者为研究对象,按照入院先后顺序分为对照组和观察组,各53例。对照组予以常规出院指导,观察组实施基于IMB模型的出院指导干预。比较两组患者的一般资料、住院天数、出院准备度、出院指导质量。结果观察组住院天数短于对照组,差异有统计学意义(P<0.05)。观察组出院准备度各维度评分及总分高于对照组,差异有统计学意义(P<0.05)。观察组出院指导质量中获得信息维度、内容差维度、指导技巧、效果维度评分及总分均高于对照组,差异有统计学意义(P<0.05);两组需要信息维度评分比较,差异无统计学意义(P>0.05)。结论基于IMB模型的出院指导方案可缩短患者住院时间,提高出院准备工作的质量和指导质量,还可以对改进临床护理质量和延续护理行动提供参考。 展开更多
关键词 imb模型 肺癌根治术 出院指导 出院准备度 效果评价
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基于IMB模型结合思维导图对糖尿病患者治疗依从性及自我效能的影响
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作者 向蕾 伯璐 陈斌 《现代中西医结合杂志》 CAS 2024年第3期411-414,418,共5页
目的观察基于IMB模型结合思维导图对糖尿病患者治疗依从性及自我效能的影响。方法选取2019年10月-2021年12月淮南市第一人民医院诊治的116例2糖尿病(T2DM)患者为观察对象,按照随机数表法将患者分为联合组与对照组,每组各58例。对照组予... 目的观察基于IMB模型结合思维导图对糖尿病患者治疗依从性及自我效能的影响。方法选取2019年10月-2021年12月淮南市第一人民医院诊治的116例2糖尿病(T2DM)患者为观察对象,按照随机数表法将患者分为联合组与对照组,每组各58例。对照组予以基础糖尿病护理,联合组在其基础上采用基于IMB模型结合思维导图干预,观察比较2组护理前及护理干预3个月后的血糖指标[空腹血糖(FPG)、餐后2 h血糖(2hPG)]、治疗依从性、疾病感知控制水平[应用简易疾病感知表(BIPQ)进行评估]、自我效能[应用糖尿病自我管理量表(SDSCA)评估]以及生活质量[采用糖尿病特异性生活质量评定量表(DSQL)测评]。结果护理干预3个月后,联合组患者的FPG与2hPG水平均显著低于对照组(P均<0.05);2组患者的BIPQ评分、治疗依从性各项评分、SDSCA评分、DSQL评分均明显高于干预前(P均<0.05),且联合组各项评分均明显高于对照组(P均<0.05)。结论基于IMB模型结合思维导图干预可显著提高糖尿病患者治疗依从性,改善患者的自我效能及生活质量,提高患者疾病感知控制力。 展开更多
关键词 imb模型 思维导图 糖尿病 自我效能 依从性 疾病感知控制
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GLOBAL SOLUTIONS TO 1D COMPRESSIBLE NAVIER-STOKES/ALLEN-CAHN SYSTEM WITH DENSITY-DEPENDENT VISCOSITY AND FREE-BOUNDARY 被引量:1
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作者 丁时进 李颖花 王喻 《Acta Mathematica Scientia》 SCIE CSCD 2024年第1期195-214,共20页
This paper is concerned with the Navier-Stokes/Allen-Cahn system,which is used to model the dynamics of immiscible two-phase flows.We consider a 1D free boundary problem and assume that the viscosity coefficient depen... This paper is concerned with the Navier-Stokes/Allen-Cahn system,which is used to model the dynamics of immiscible two-phase flows.We consider a 1D free boundary problem and assume that the viscosity coefficient depends on the density in the form ofη(ρ)=ρ^(α).The existence of unique global H^(2m)-solutions(m∈N)to the free boundary problem is proven for when 0<α<1/4.Furthermore,we obtain the global C^(∞)-solutions if the initial data is smooth. 展开更多
关键词 Navier-Stokes/Allen-Cahn system density-dependent viscosity free boundary global solutions
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基于IMB模型的健康教育对重型颅脑损伤患者家属迁移应激的影响
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作者 胡伸 朱丽丽 《实用临床医学(江西)》 CAS 2024年第1期109-112,共4页
目的探讨基于信息-动机-行为技巧(IMB)模型的健康教育对重型颅脑损伤(CI)患者照顾者迁移应激的影响。方法选取2022年4月至2023年4月新乡医学院第一附属医院NSICU收治的72例重型CI患者为研究对象,2022年4—9月入院的36例患者为对照组,202... 目的探讨基于信息-动机-行为技巧(IMB)模型的健康教育对重型颅脑损伤(CI)患者照顾者迁移应激的影响。方法选取2022年4月至2023年4月新乡医学院第一附属医院NSICU收治的72例重型CI患者为研究对象,2022年4—9月入院的36例患者为对照组,2022年10月至2023年4月入院的36例患者为观察组,对照组给予常规护理,观察组在对照组基础上给予基于IMB模型的健康教育干预措施,2组均持续干预至转出NSICU后1周。对比2组患者并发症(包括压力性损伤、坠积性肺炎、尿路感染、口腔炎和肢体废用性瘫痪等)发生率、干预后家属照护知识和技能掌握情况,以及转科前24 h、转科24 h内、转科后7 d家属迁移应激[家属迁移应激量表(FRSS)]和照顾准备度[照顾者准备度问卷(CPS)]情况。结果观察组患者并发症总发生率低于对照组(2.78%比19.44%,P<0.05)。观察组干预后家属照护知识和技能掌握优良率高于对照组(97.22%比83.33%,P<0.05);转科24 h内、转科后7 d观察组CPS评分高于对照组,FRSS评分低于对照组(P<0.01或P<0.001)。结论基于IMB模型的健康教育应用于重型CI患者家属,可降低患者并发症发生率,减轻家属迁移应激,提高家属照顾准备度及照护知识和技能掌握度。 展开更多
关键词 重型颅脑损伤 imb模型 健康教育 照顾者 迁移应激
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基于IMB模型的同伴支持教育在2型糖尿病患者自我管理中的应用
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作者 侯守云 杨文郁 +1 位作者 孟君 付艳芹 《临床心身疾病杂志》 CAS 2024年第3期95-99,共5页
目的探讨基于信息-动机-行为技巧(IMB)模型的同伴支持教育在2型糖尿病(T2DM)患者自我管理中的应用效果。方法将130例T2DM患者随机分为对照组和研究组,各65例。对照组患者给予常规健康教育,研究组患者给予基于IMB模型的同伴支持教育,均干... 目的探讨基于信息-动机-行为技巧(IMB)模型的同伴支持教育在2型糖尿病(T2DM)患者自我管理中的应用效果。方法将130例T2DM患者随机分为对照组和研究组,各65例。对照组患者给予常规健康教育,研究组患者给予基于IMB模型的同伴支持教育,均干预6个月。干预前后,采用糖尿病自我效能量表(DSES)、糖尿病患者自我管理行为量表(SDSCA)评估两组患者自我效能和自我管理能力,采用葡萄糖氧化酶法和高压液相色谱法检测两组患者血糖水平[空腹血糖、糖化血红蛋白(HbA1c)]。结果研究组患者失访2例,完成研究63例;对照组患者失访3例,完成研究62例;两组脱落率比较,差异无统计学意义(P>0.05)。干预后,两组患者DSES评分、SDSCA各维度评分均较干预前升高,且研究组高于对照组(P<0.01)。干预后,两组患者空腹血糖、HbA1c水平均较干预前降低,且研究组低于对照组(P<0.01)。结论基于IMB模型的同伴支持教育能提高T2DM患者自我效能及自我管理能力,从而改善血糖控制状况。 展开更多
关键词 2型糖尿病 同伴支持 信息-动机-行为技巧模型 自我管理行为
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Dirac method for nonlinear and non-homogenous boundary value problems of plates
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作者 Xiaoye MAO Jiabin WU +2 位作者 Junning ZHANG Hu DING Liqun CHEN 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI CSCD 2024年第1期15-38,共24页
The boundary value problem plays a crucial role in the analytical investigation of continuum dynamics. In this paper, an analytical method based on the Dirac operator to solve the nonlinear and non-homogeneous boundar... The boundary value problem plays a crucial role in the analytical investigation of continuum dynamics. In this paper, an analytical method based on the Dirac operator to solve the nonlinear and non-homogeneous boundary value problem of rectangular plates is proposed. The key concept behind this method is to transform the nonlinear or non-homogeneous part on the boundary into a lateral force within the governing function by the Dirac operator, which linearizes and homogenizes the original boundary, allowing one to employ the modal superposition method for obtaining solutions to reconstructive governing equations. Once projected into the modal space, the harmonic balance method(HBM) is utilized to solve coupled ordinary differential equations(ODEs)of truncated systems with nonlinearity. To validate the convergence and accuracy of the proposed Dirac method, the results of typical examples, involving nonlinearly restricted boundaries, moment excitation, and displacement excitation, are compared with those of the differential quadrature element method(DQEM). The results demonstrate that when dealing with nonlinear boundaries, the Dirac method exhibits more excellent accuracy and convergence compared with the DQEM. However, when facing displacement excitation, there exist some discrepancies between the proposed approach and simulations;nevertheless, the proposed method still accurately predicts resonant frequencies while being uniquely capable of handling nonuniform displacement excitations. Overall, this methodology offers a convenient way for addressing nonlinear and non-homogenous plate boundaries. 展开更多
关键词 rectangular plate Dirac operator nonlinear boundary time-dependent boundary boundary value problem
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Wavelet Multi-Resolution Interpolation Galerkin Method for Linear Singularly Perturbed Boundary Value Problems
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作者 Jiaqun Wang Guanxu Pan +1 位作者 Youhe Zhou Xiaojing Liu 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第4期297-318,共22页
In this study,a wavelet multi-resolution interpolation Galerkin method(WMIGM)is proposed to solve linear singularly perturbed boundary value problems.Unlike conventional wavelet schemes,the proposed algorithm can be r... In this study,a wavelet multi-resolution interpolation Galerkin method(WMIGM)is proposed to solve linear singularly perturbed boundary value problems.Unlike conventional wavelet schemes,the proposed algorithm can be readily extended to special node generation techniques,such as the Shishkin node.Such a wavelet method allows a high degree of local refinement of the nodal distribution to efficiently capture localized steep gradients.All the shape functions possess the Kronecker delta property,making the imposition of boundary conditions as easy as that in the finite element method.Four numerical examples are studied to demonstrate the validity and accuracy of the proposedwavelet method.The results showthat the use ofmodified Shishkin nodes can significantly reduce numerical oscillation near the boundary layer.Compared with many other methods,the proposed method possesses satisfactory accuracy and efficiency.The theoretical and numerical results demonstrate that the order of theε-uniform convergence of this wavelet method can reach 5. 展开更多
关键词 Wavelet multi-resolution interpolation Galerkin singularly perturbed boundary value problems mesh-free method Shishkin node boundary layer
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Experimental investigation on the permeability of gap-graded soil due to horizontal suffusion considering boundary effect
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作者 Xuwei Wang Yeshuang Xu 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第3期1072-1084,共13页
The boundary condition is a crucial factor affecting the permeability variation due to suffusion.An experimental investigation on the permeability of gap-graded soil due to horizontal suffusion considering the boundar... The boundary condition is a crucial factor affecting the permeability variation due to suffusion.An experimental investigation on the permeability of gap-graded soil due to horizontal suffusion considering the boundary effect is conducted,where the hydraulic head difference(DH)varies,and the boundary includes non-loss and soil-loss conditions.Soil samples are filled into seven soil storerooms connected in turn.After evaluation,the variation in content of fine sand(ΔR_(f))and the hydraulic conductivity of soils in each storeroom(C_(i))are analyzed.In the non-loss test,the soil sample filling area is divided into runoff,transited,and accumulated areas according to the negative or positive ΔR_(f) values.ΔR_(f) increases from negative to positive along the seepage path,and Ci decreases from runoff area to transited area and then rebounds in accumulated area.In the soil-loss test,all soil sample filling areas belong to the runoff area,where the gentle-loss,strengthened-loss,and alleviated-loss parts are further divided.ΔR_(f) decreases from the gentle-loss part to the strengthened-loss part and then rebounds in the alleviated-loss part,and C_(i) increases and then decreases along the seepage path.The relationship between ΔR_(f) and Ci is different with the boundary condition.Ci exponentially decreases with ΔR_(f) in the non-loss test and increases with ΔR_(f) generally in the soil-loss test. 展开更多
关键词 Suffusion PERMEABILITY Experimental investigation boundary effect Horizontal seepage
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CONVEXITY OF THE FREE BOUNDARY FOR AN AXISYMMETRIC INCOMPRESSIBLE IMPINGING JET
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作者 王晓慧 《Acta Mathematica Scientia》 SCIE CSCD 2024年第1期234-246,共13页
This paper is devoted to the study of the shape of the free boundary for a threedimensional axisymmetric incompressible impinging jet.To be more precise,we will show that the free boundary is convex to the fluid,provi... This paper is devoted to the study of the shape of the free boundary for a threedimensional axisymmetric incompressible impinging jet.To be more precise,we will show that the free boundary is convex to the fluid,provided that the uneven ground is concave to the fluid. 展开更多
关键词 Euler system axisymmetric impinging jet INCOMPRESSIBLE free boundary CONVEXITY
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Development of D_α band symmetrical visible optical diagnostic for boundary reconstruction on EAST tokamak
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作者 陈明 沈飊 +4 位作者 Shinichiro KADO 郭笔豪 陈大龙 蔡福瑞 肖炳甲 《Plasma Science and Technology》 SCIE EI CAS CSCD 2024年第2期44-53,共10页
To investigate the potential of utilizing visible spectral imaging for controlling the plasma boundary shape during stable operation of plasma in future tokamak, a D_α band symmetric visible light diagnostic system w... To investigate the potential of utilizing visible spectral imaging for controlling the plasma boundary shape during stable operation of plasma in future tokamak, a D_α band symmetric visible light diagnostic system was designed and implemented on the Experimental Advanced Superconducting Tokamak(EAST). This system leverages two symmetric optics for joint plasma imaging. The optical system exhibits a spatial resolution less than 2 mm at the poloidal cross-section, distortion within the field of view below 10%, and relative illumination of 91%.The high-quality images obtained enable clear observation of both the plasma boundary position and the characteristics of components within the vacuum vessel. Following system calibration and coordinate transformation, the image coordinate boundary features are mapped to the tokamak coordinate system. Utilizing this system, the plasma boundary was reconstructed, and the resulting representation showed alignment with the EFIT(Equilibrium Fitting) results. This underscores the system's superior performance in boundary reconstruction applications and provides a diagnostic foundation for boundary shape control based on visible spectral imaging. 展开更多
关键词 visible optical diagnostic plasma boundary reconstruction EAST
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Analytical solutions of turbulent boundary layer beneath forward-leaning waves
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作者 Yiqin XIE Jifu ZHOU +3 位作者 Xu WANG Jinlong DUAN Yongjun LU Shouqian LI 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI CSCD 2024年第4期695-710,共16页
As a typical nonlinear wave,forward-leaning waves can be frequently encountered in the near-shore areas,which can impact coastal sediment transport significantly.Hence,it is of significance to describe the characteris... As a typical nonlinear wave,forward-leaning waves can be frequently encountered in the near-shore areas,which can impact coastal sediment transport significantly.Hence,it is of significance to describe the characteristics of the boundary layer beneath forward-leaning waves accurately,especially for the turbulent boundary layer.In this work,the linearized turbulent boundary layer model with a linear turbulent viscosity coefficient is applied,and the novel expression of the near-bed orbital velocity that has been worked out by the authors for forward-leaning waves of arbitrary forward-leaning degrees is further used to specify the free stream boundary condition of the bottom boundary layer.Then,a variable transformation is found so as to make the equation of the turbulent boundary layer model be solved analytically through a modified Bessel function.Consequently,an explicit analytical solution of the turbulent boundary layer beneath forward-leaning waves is derived by means of variable separation and variable transformation.The analytical solutions of the velocity profile and bottom shear stress of the turbulent boundary layer beneath forward-leaning waves are verified by comparing the present analytical results with typical experimental data available in the previous literature. 展开更多
关键词 forward-leaning wave turbulent boundary layer velocity profile bottom shear stress
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基于IMB模型护理方案对分化型甲状腺癌手术患者的影响
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作者 施秀香 肖培霞 公方娟 《齐鲁护理杂志》 2024年第2期93-96,共4页
目的:探讨基于信息-动机-行为技巧(IMB)模型护理方案对分化型甲状腺癌(DTC)手术患者的影响。方法:将2022年4月1日~2023年4月30日收治的66例DTC手术患者按随机数字表法分为参照组和实验组各33例,参照组实施常规护理干预,实验组实施基于IM... 目的:探讨基于信息-动机-行为技巧(IMB)模型护理方案对分化型甲状腺癌(DTC)手术患者的影响。方法:将2022年4月1日~2023年4月30日收治的66例DTC手术患者按随机数字表法分为参照组和实验组各33例,参照组实施常规护理干预,实验组实施基于IMB模型护理方案。比较两组干预前、干预2个月后自我管理效能[采用癌症患者自我管理效能问卷(SUPPH)]、颈部活动度(DTC术后功能锻炼效果评价工具)、生活质量[采用癌症患者生存质量评定量表(QLQ-C30)]及依从性。结果:干预2个月后,实验组SUPPH评分高于参照组(P<0.05);干预2个月后,实验组颈部各方向活动度均优于参照组(P<0.05);干预2个月后,实验组QLQ-C30中健康、功能领域评分高于参照组(P<0.05),症状领域评分低于参照组(P<0.05);实验组护理依从性优于参照组(P<0.05)。结论:将基于IMB模型护理方案应用于DTC患者中,可提高其自我管理效能,强化患者各方面护理依从性,有效改善患者颈部功能,大幅度提升患者术后生活质量。 展开更多
关键词 imb模型 分化型甲状腺癌 手术 依从性 颈部活动度 生活质量 护理
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The Boundary Element Method for Ordinary State-Based Peridynamics
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作者 Xue Liang Linjuan Wang 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第6期2807-2834,共28页
The peridynamics(PD),as a promising nonlocal continuum mechanics theory,shines in solving discontinuous problems.Up to now,various numerical methods,such as the peridynamic mesh-free particlemethod(PD-MPM),peridynamic... The peridynamics(PD),as a promising nonlocal continuum mechanics theory,shines in solving discontinuous problems.Up to now,various numerical methods,such as the peridynamic mesh-free particlemethod(PD-MPM),peridynamic finite element method(PD-FEM),and peridynamic boundary element method(PD-BEM),have been proposed.PD-BEM,in particular,outperforms other methods by eliminating spurious boundary softening,efficiently handling infinite problems,and ensuring high computational accuracy.However,the existing PD-BEM is constructed exclusively for bond-based peridynamics(BBPD)with fixed Poisson’s ratio,limiting its applicability to crack propagation problems and scenarios involving infinite or semi-infinite problems.In this paper,we address these limitations by introducing the boundary element method(BEM)for ordinary state-based peridynamics(OSPD-BEM).Additionally,we present a crack propagationmodel embeddedwithin the framework ofOSPD-BEM to simulate crack propagations.To validate the effectiveness of OSPD-BEM,we conduct four numerical examples:deformation under uniaxial loading,crack initiation in a double-notched specimen,wedge-splitting test,and threepoint bending test.The results demonstrate the accuracy and efficiency of OSPD-BEM,highlighting its capability to successfully eliminate spurious boundary softening phenomena under varying Poisson’s ratios.Moreover,OSPDBEMsignificantly reduces computational time and exhibits greater consistencywith experimental results compared to PD-MPM. 展开更多
关键词 Ordinary state-based peridynamics boundary element method crack propagation fracture toughness
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Enriched Constant Elements in the Boundary Element Method for Solving 2D Acoustic Problems at Higher Frequencies
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作者 Zonglin Li Zhenyu Gao Yijun Liu 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第3期2159-2175,共17页
The boundary element method(BEM)is a popular method for solving acoustic wave propagation problems,especially those in exterior domains,owing to its ease in handling radiation conditions at infinity.However,BEM models... The boundary element method(BEM)is a popular method for solving acoustic wave propagation problems,especially those in exterior domains,owing to its ease in handling radiation conditions at infinity.However,BEM models must meet the requirement of 6–10 elements per wavelength,using the conventional constant,linear,or quadratic elements.Therefore,a large storage size of memory and long solution time are often needed in solving higher-frequency problems.In this work,we propose two new types of enriched elements based on conventional constant boundary elements to improve the computational efficiency of the 2D acoustic BEM.The first one uses a plane wave expansion,which can be used to model scattering problems.The second one uses a special plane wave expansion,which can be used tomodel radiation problems.Five examples are investigated to showthe advantages of the enriched elements.Compared with the conventional constant elements,the new enriched elements can deliver results with the same accuracy and in less computational time.This improvement in the computational efficiency is more evident at higher frequencies(with the nondimensional wave numbers exceeding 100).The paper concludes with the potential of our proposed enriched elements and plans for their further improvement. 展开更多
关键词 Enriched boundary elements constant elements 2D acoustic problems higher frequency
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以IMB理论模型为导向的个性化护理对妊娠糖尿病患者的影响
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作者 王冬艳 《中外医药研究》 2024年第3期126-128,共3页
目的:探讨以IMB理论模型为导向的个性化护理对妊娠糖尿病(GDM)患者的影响。方法:选取2020年6月-2022年6月于江阴市人民医院接受治疗的GDM患者80例作为研究对象,使用随机数字表法分为观察组和对照组,各40例。观察组接受以IMB理论模型为... 目的:探讨以IMB理论模型为导向的个性化护理对妊娠糖尿病(GDM)患者的影响。方法:选取2020年6月-2022年6月于江阴市人民医院接受治疗的GDM患者80例作为研究对象,使用随机数字表法分为观察组和对照组,各40例。观察组接受以IMB理论模型为导向的个性化护理,对照组接受常规护理。比较两组患者妊娠并发症发生率、血糖指标、母婴结局。结果:观察组妊娠并发症发生率低于对照组,差异有统计学意义(P=0.047)。入组时,两组空腹血糖水平比较,差异无统计学意义(P>0.05);产前和产后2h,观察组血糖控制效果优于对照组,差异有统计学意义(P<0.05)。观察组新生儿不良结局发生率低于对照组,差异有统计学意义(P=0.010)。结论:以IMB理论模型为导向的个性化护理能有效提高GDM患者的血糖控制情况,降低妊娠并发症发生率,改善母婴结局,具有较高的应用价值。 展开更多
关键词 imb理论模型 个性化护理 妊娠糖尿病 并发症
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