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Modeling and Forecasting Malaria and Dengue Hemorrhagic Fever Incidence and Prevalence in Northern Thailand
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作者 Wattanavadee Sriwattanapongse Surin Khanabsakdi 《Journal of Mathematics and System Science》 2011年第1期52-59,共8页
关键词 疾病 预防 DHF 财力
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An Agent-Based Model for Studying the Impact of Herd Mobility on the Spread of Vector-Borne Diseases: The Case of Rift Valley Fever (Ferlo Senegal)
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作者 Python Ndekou T. Paul Alassane Bah +1 位作者 Papa Ibrahima Ndiaye Jacques André Ndione 《Open Journal of Modelling and Simulation》 2014年第3期97-111,共15页
Vector-borne diseases are highly sensitive to environment and to environmental changes. Rift Valley Fever (RFV) is a mosquito-borne zootic virus associated with severe diseases in human beings and economic consequence... Vector-borne diseases are highly sensitive to environment and to environmental changes. Rift Valley Fever (RFV) is a mosquito-borne zootic virus associated with severe diseases in human beings and economic consequences to livestock sector. Animal and human movements have a fundamental impact on RVF transmission. In recent years, there has been a growing interest in the use of mathematics and agent based models to represent and analyze the dynamic of RFV transmission. However, no previous study has taken into consideration animal herds’ mobility and precipitation factors to understand the disease spread. This limitation underlines the necessity to use computational model approach based on multi-agent system in the study of vector-borne diseases transmission and diffusion. In this paper, a multi-agent system combining conceptual model expressiveness is used to study animal herds’ mobility and the precipitation parameter impact on the Rift Valley Fever outbreak in Ferlo Barkedji in Northern Senegal. Simulation scenarios with various parameters, including rain quality, hosts, vectors, camp dispersal around ponds, etc., are unrolled. The different results we have obtained show that the evolution of the number of infected hosts and infected vectors depend on the degree of animal herds’ mobility and on precipitations. Our model provides a framework that permits predicting the spread of the disease associated with the mobility of animal herds. 展开更多
关键词 Vector-Borne DISEASES RIFT VALLEY fever Multi-Agent System DISEASES modeling Agent Based
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硬膜外分娩镇痛产妇产间发热风险预测模型的构建与验证
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作者 陈晨 钱夏丽 +3 位作者 于建海 刘皓昕 李彩娟 崔晓花 《护理研究》 北大核心 2024年第3期426-431,共6页
目的:构建硬膜外分娩镇痛产妇产间发热(ERMF)风险预测模型并验证效果。方法:采用前瞻性研究方法,选取2022年1月—2022年7月于江苏省某三级甲等妇产医院产房接受硬膜外分娩镇痛的780名产妇为研究对象,根据是否诊断为ERMF分为ERMF组(n=148... 目的:构建硬膜外分娩镇痛产妇产间发热(ERMF)风险预测模型并验证效果。方法:采用前瞻性研究方法,选取2022年1月—2022年7月于江苏省某三级甲等妇产医院产房接受硬膜外分娩镇痛的780名产妇为研究对象,根据是否诊断为ERMF分为ERMF组(n=148)与非ERMF组(n=632)。使用Logistic回归分析确定ERMF的独立危险因素,构建风险预测模型。采用受试者工作特征(receiver operating characteristic,ROC)曲线与Hosmer-Lemeshow检验评价该模型的预测效能与拟合优度。选取2022年8月—10月住院的170名产妇作为模型的验证组,对预测模型进行验证。结果:建模组ERMF发生率为19.0%,验证组ERMF发生率20.6%。阴道指检次数、缩宫素使用、产程、胎膜破裂至分娩结束时间、罗哌卡因用量、舒芬太尼用量是ERMF的独立危险因素。预测模型的ROC曲线下面积为0.987,灵敏度为0.912,特异度为0.796,约登指数为0.888。验证组ROC曲线下面积为0.893,灵敏度为0.886,特异度为0.785。结论:该预测模型具有较好的区分度和校准度,对于识别高危ERMF产妇具有一定的预测价值,可以给临床护理工作提供一定的借鉴与参考,从而制定相应的护理措施以减少ERMF风险。 展开更多
关键词 硬膜外麻醉 分娩镇痛 产间发热 预测模型 护理
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DYNAMICS OF A KIND OF RIFT VALLEY FEVER MODEL
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作者 Wei Chen, Cuiping Li (Dept. of Math. and LMIB, Beihang University, Beijing 100191) 《Annals of Differential Equations》 2010年第2期127-135,共9页
A novel mathematical model of the epidemiology of Rift Valley fever (RVF) is studied, which is an ordinary differential equation model for a population of mosquito species and the hosts. A disease-free equilibrium is ... A novel mathematical model of the epidemiology of Rift Valley fever (RVF) is studied, which is an ordinary differential equation model for a population of mosquito species and the hosts. A disease-free equilibrium is discussed as well as its local stability. The prevalence of disease is proved under some conditions. Finally the vertical transmission is considered in a model for such a mosquito population. 展开更多
关键词 epidemic models vertical transmission endemic equilibrium Rift Valley fever local stability
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椎管内分娩镇痛产妇产时发热预测模型的建立与验证
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作者 刘波 凌亮 +4 位作者 魏大源 贾飞 王孟樵 张刚 张健 《临床麻醉学杂志》 CAS CSCD 北大核心 2024年第6期592-596,共5页
目的建立椎管内分娩镇痛产妇产时发热预测模型并验证其效能。方法选择2021年1—12月行椎管内分娩镇痛产妇2276例作为训练集,年龄≥18岁,BMI 18.5~40.0 kg/m^(2),ASAⅠ或Ⅱ级,根据产妇是否出现产时发热(体温≥38.0℃)分为两组:发热组与... 目的建立椎管内分娩镇痛产妇产时发热预测模型并验证其效能。方法选择2021年1—12月行椎管内分娩镇痛产妇2276例作为训练集,年龄≥18岁,BMI 18.5~40.0 kg/m^(2),ASAⅠ或Ⅱ级,根据产妇是否出现产时发热(体温≥38.0℃)分为两组:发热组与未发热组。采用多因素Logistic回归分析确定椎管内分娩镇痛产妇产时发热的危险因素并建立预测模型。选择2022年1—3月于同一医院行椎管内分娩镇痛产妇568例作为验证集,纳入标准与训练集相同,通过R语言进行模型的外部验证。结果本研究训练集中有197例(8.7%)产妇出现产时发热;验证集中有46例(8.1%)产妇出现产时发热。多因素Logistic回归分析显示,训练集中初产妇、中性粒细胞计数升高、贫血及预估新生儿体重增加是产时发热的独立危险因素,体表面积增大和分娩镇痛前宫口增大是产时发热的保护因素。根据上述危险因素建立椎管内分娩镇痛产妇产时发热的预测模型,受试者工作特征(ROC)曲线下面积(AUC)为0.698(95%CI 0.660~0.732),敏感性为83.2%,特异性为47.9%。验证集中通过R语言进行外部验证,预测模型的AUC为0.703(95%CI 0.634~0.772),敏感性为65.2%,特异性为71.3%。结论初产妇、中性粒细胞计数升高、贫血及预估新生儿体重增加是产时发热的危险因素,体表面积增大和分娩镇痛前宫口增大是保护性因素,基于这些指标构建的预测模型可以较好地在分娩镇痛前预测产时发热的发生。 展开更多
关键词 椎管内分娩镇痛 产时发热 预测模型 危险因素
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具有季节影响的登革热病毒传播动力学分析
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作者 杜璇 张睿 《兰州文理学院学报(自然科学版)》 2024年第3期9-14,共6页
登革热是非常典型的虫媒传染病.考虑到季节的变化会影响蚊子的生存,因此提出了一类具有季节性影响的登革热病毒传播模型.首先利用下一代矩阵方法得到了基本再生数R_(0),其次进行适定性分析,判断该模型无病周期解的全局渐近稳定性以及持... 登革热是非常典型的虫媒传染病.考虑到季节的变化会影响蚊子的生存,因此提出了一类具有季节性影响的登革热病毒传播模型.首先利用下一代矩阵方法得到了基本再生数R_(0),其次进行适定性分析,判断该模型无病周期解的全局渐近稳定性以及持久性. 展开更多
关键词 登革热模型 无病周期解 稳定性 持久性
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Q热动物模型研究概况
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作者 李进春 尹家祥 《中国比较医学杂志》 CAS 北大核心 2024年第4期123-128,共6页
Q热是由贝氏柯克斯体感染所致的一种人兽共患病,在自然界中广泛传播。动物模型是研究传染病的病原学、发病机制以及评价疫苗有效性的重要工具。近年来,无脊椎动物、啮齿动物和非人灵长类动物等多种动物模型已被用于Q热的相关研究。本文... Q热是由贝氏柯克斯体感染所致的一种人兽共患病,在自然界中广泛传播。动物模型是研究传染病的病原学、发病机制以及评价疫苗有效性的重要工具。近年来,无脊椎动物、啮齿动物和非人灵长类动物等多种动物模型已被用于Q热的相关研究。本文对Q热不同动物模型的研究现状进行了综述,讨论了不同模型的优缺点,总结了未来建模工作的需求和标准。 展开更多
关键词 贝氏柯克斯体 Q热 动物模型 人兽共患病
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The antipyretic effects of Chai Ge fever relief oral liquid
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作者 Shan-Shan Guo Ya-Xin Wang +2 位作者 Ying-Jie Gao Sai-Wei Lu Xiao-Lan Cui 《Drug Combination Therapy》 2020年第3期104-113,共10页
Backgroud:To verify the antipyretic effect and mechanism of Chai Ge fever relief oral liquid,and to provide evidence for the clinical application of Chai Ge fever relief oral liquid.Methods:By designing three groups o... Backgroud:To verify the antipyretic effect and mechanism of Chai Ge fever relief oral liquid,and to provide evidence for the clinical application of Chai Ge fever relief oral liquid.Methods:By designing three groups of experimental models of yeast-induced rat fever model,endotoxin-induced rabbit fever model,and para-influenza virus-induced rabbit fever model,the antipyretic effect and mechanism of Chai Ge fever relief oral liquid were studied by measuring body temperature before and after treatment and the expressions of protein kinase A(PKA),protein kinase C,arginine vasopressin(AVP),prostaglandin E2 and cyclic adenosine monophosphate(cAMP)in hypothalamus after administration.Results:In the yeast-induced fever model of rats,the body temperature and PKA expression levels in different dose groups of Chai Ge fever relief oral liquid were significantly different from those of the model group 1–3 h after treatment.In the rabbit fever model induced by endotoxin,different dosage groups of Chai Ge fever relief oral liquid have obvious antipyretic effect on 1–3 h after the model is established,and can significantly reduce the expression of AVP and cAMP in hypothalamus.In the para-influenza virus-induced rabbit fever model,each dose group of Chai Ge fever relief oral liquid has obvious antipyretic effect on 1–2 h after the model is established.Conclusion:Chai Ge fever relief oral liquid has good antipyretic effect on fever models induced by yeast,endotoxin and parainfluenza by regulating the expression of PKA,AVP,and cAMP. 展开更多
关键词 Chai Ge fever relief oral liquid YEAST ENDOTOXIN Parainfluenza virus Antipyretic effect fever model
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新型布尼亚患者预后风险预警模型的构建
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作者 卢星星 赵晓玲 张巧梅 《中国人兽共患病学报》 CAS CSCD 北大核心 2024年第2期179-184,共6页
目的分析新型布尼亚(SFTS)患者预后不良的危险因素,并构建预警模型。方法回顾性分析南京市某三级甲等医院2020年7月至2023年6月确诊的新型布尼亚患者241例,按其预后情况分为预后不良组(34例)和预后良好组(207例)。分析得出影响患者预后... 目的分析新型布尼亚(SFTS)患者预后不良的危险因素,并构建预警模型。方法回顾性分析南京市某三级甲等医院2020年7月至2023年6月确诊的新型布尼亚患者241例,按其预后情况分为预后不良组(34例)和预后良好组(207例)。分析得出影响患者预后情况的独立危险因素,建立风险预警模型。结果年龄[OR=1.088,95%CI(1.026~1.154),P=0.005]、意识状态[OR=5.647,95%CI(1.958~16.288),P=0.001]、新型布尼亚病毒载量[OR=3.65,95%CI(2.153~6.189),P<0.001]是影响患者预后的独立危险因素。基于3个危险因素构建相关列线图模型,且该列线图模型的预测效能良好(ROC=0.911,95%CI(0.853,0.970),P<0.001)。结论本研究构建的SFTS患者预后风险预警模型预测效果良好,可作为临床预测SFTS患者预后的工具使用。 展开更多
关键词 新型布尼亚 预后 风险预警模型 列线图
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新冠病毒感染、甲流重叠时期发热门诊患者焦虑情绪及优质护理模式应用满意度调查
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作者 游浪淑 《中外医学研究》 2024年第4期87-91,共5页
目的:调查新冠病毒感染、甲流重叠时期发热门诊患者的焦虑情绪及优质护理模式应用满意度。方法:收集2023年2—5月于雷州市人民医院发热门诊就诊的736例患者资料,根据纳排标准最终652例患者参与本项研究,根据就诊顺序随机分为对照组(n=3... 目的:调查新冠病毒感染、甲流重叠时期发热门诊患者的焦虑情绪及优质护理模式应用满意度。方法:收集2023年2—5月于雷州市人民医院发热门诊就诊的736例患者资料,根据纳排标准最终652例患者参与本项研究,根据就诊顺序随机分为对照组(n=326,常规护理)和优质护理组(n=326,优质护理)。采用广泛性焦虑量表(GAD-7)调查患者焦虑情绪现况,中文版新型冠状病毒肺炎恐惧量表(FCV-19S-C)调查患者对新冠病毒感染恐惧程度,分析焦虑情绪与新冠病毒感染恐惧程度的相关性,采用满意度调查表对比两组患者就医满意度及医疗纠纷情况。结果:两组患者焦虑评分、焦虑程度比较,差异无统计学意义(P>0.05)。两组新冠病毒感染恐惧评分及新冠病毒感染恐惧程度比较,差异无统计学意义(P>0.05)。优质护理组满意度评分明显高于对照组,医患纠纷发生率低于对照组,差异有统计学意义(P<0.05)。结论:新冠病毒感染、甲流重叠时期发热门诊患者焦虑程度较高,且与新冠病毒感染恐惧程度呈正相关关系,采用人物-服务-环境-教育联合的优质护理模式能够提高患者的就医满意度,减少医疗纠纷。 展开更多
关键词 新冠病毒感染 甲流 焦虑 发热门诊 优质护理模式
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精准护理模式对发热伴血小板减少综合征患者的干预效果
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作者 贺军宁 孙秀香 王鹏雁 《国际医药卫生导报》 2024年第4期674-677,共4页
目的探讨精准护理模式对发热伴血小板减少综合征患者的干预效果。方法选取烟台市奇山医院2016年2月至2020年12月收治的发热伴血小板减少综合征患者97例,按随机数字表法分为对照组49例和观察组48例。对照组男性30例、女性19例,年龄(48.12... 目的探讨精准护理模式对发热伴血小板减少综合征患者的干预效果。方法选取烟台市奇山医院2016年2月至2020年12月收治的发热伴血小板减少综合征患者97例,按随机数字表法分为对照组49例和观察组48例。对照组男性30例、女性19例,年龄(48.12±6.04)岁;观察组男性30例、女性18例,年龄(48.52±6.35)岁。对照组实施认知与行为护理,观察组在对照组基础上进行精准护理模式,护理时间均为2个月。对比两组患者的护理前后知信行认知水平、一般自我效能感量表(GSES)评分、生活质量和护理期间血小板输注次数。采用独立样本t检验、配对t检验、χ^(2)检验。结果护理后,观察组的知信行认知评分、GSES评分、生活质量评分均高于对照组[(22.71±1.35)分比(21.15±1.21)分、(28.61±1.48)分比(22.60±2.64)分、(87.37±11.55)分比(75.09±10.85)分],差异均有统计学意义(t=5.996、13.791、5.398,均P<0.001)。观察组护理期间血小板输注次数为(2.63±0.24)次,对照组为(3.68±0.52)次,差异有统计学意义(t=12.724,P<0.001)。结论精准护理模式在发热伴血小板减少综合征患者中,有利于提高知信行认知水平,改善患者自我效能、降低血小板输注次数,还可提高生活质量,值得在临床进行推广与应用。 展开更多
关键词 发热 血小板减少综合征 精准护理模式 自我效能 生活质量
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基于时空多成分模型的中缅边境地区景洪市登革热流行特征分析
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作者 唐烨榕 周红宁 +1 位作者 李菁华 肖建鹏 《热带病与寄生虫学》 CAS 2024年第2期83-88,共6页
目的了解中缅边境地区景洪市2019年登革热时空分布特征及传播影响因素。方法收集中缅边境地区景洪市2019年登革热本地病例逐日发病数,将人口密度、人均GDP、日平均气温、日平均相对湿度和日照时数等因素作为协变量,构建基于Power-law算... 目的了解中缅边境地区景洪市2019年登革热时空分布特征及传播影响因素。方法收集中缅边境地区景洪市2019年登革热本地病例逐日发病数,将人口密度、人均GDP、日平均气温、日平均相对湿度和日照时数等因素作为协变量,构建基于Power-law算法的时空多成分模型,通过赤池信息量(Akaike information criterion,AIC)来评价模型的拟合效果。结果中缅边境地区景洪市2019年累计报告3303例登革热本地病例,发病率为763.44/10万。将人均GDP纳入时间自相关成分,同时将人口密度、日平均气温、日平均最高气温和日平均相对湿度纳入局部特性成分的时空多成分模型的拟合效果最优(AIC=2317),此时时间自相关成分为0.2151[95%CI:(0.0812,0.5702)]、空间流行成分为0.0004[95%CI:(0.0002,0.0010)]、局部特性成分为3.0152[95%CI:(1.6507,5.5078)]。协变量日平均相对湿度、人口密度、人均GDP、日平均气温、日平均最高气温的作用强度依次为2.8159[95%CI:(0.0216,367.1685)]、1.8227[95%CI:(1.4976,2.2183)]、1.2088[95%CI:(1.0577,1.3816)]、0.3561[95%CI:(0.0119,10.6739)]、0.3104[95%CI:(0.0036,126.5482)]。对发病数>20例的区域分析发现,允景洪街道、西双版纳旅游度假区和景洪工业园区时间自相关成分影响较大,嘎洒镇、勐龙镇和勐罕镇局部特性成分影响较大。结论景洪市不同区域登革热时空构成存在差异性,具有不同的时空传播特征。人均GDP会扩大前期疫情对后期疫情传播的影响,人口密度、日平均气温、日平均最高气温和日平均相对湿度则会影响研究区域登革热本地风险水平。 展开更多
关键词 登革热 中缅边境地区 景洪市 时空多成分模型
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ETS和SARIMA流行趋势中的性能比较模型在预测北京市猩红热
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作者 柴峰 《科技与健康》 2024年第5期125-128,共4页
收集2004—2019年北京市猩红热月发病人数和人口学资料,采用描述性统计方法和Joinpoint回归调查猩红热的流行病学变化趋势。北京市猩红热发病的平均年度百分比变化为(AAPC=1.866,95%CI:-2.968~6.941;t=0.816,P=0.428),流行趋势总体保持... 收集2004—2019年北京市猩红热月发病人数和人口学资料,采用描述性统计方法和Joinpoint回归调查猩红热的流行病学变化趋势。北京市猩红热发病的平均年度百分比变化为(AAPC=1.866,95%CI:-2.968~6.941;t=0.816,P=0.428),流行趋势总体保持稳定,每年的4—6月和11—12月为发病高峰,呈双季节模式。最优SARIMA模型和最优ETS模型预测的平均绝对误差(MAD)、均方根误差(RMSE)、平均绝对百分比误差(MAPE)、平均误差率(MER)、方根百分比误差(RMSPE)五个误差指标分别为0.586、0.623、0.751、0.296、0.785和0.318、0.282、0.438、0.282、0.338,可见ETS模型的预测准确性高于SARIMA模型,可用来对北京市猩红热流行趋势进行预测预警,从而为猩红热动态精准化防控提供参考依据。 展开更多
关键词 基于状态空间的指数平滑模型 季节性差分自回归滑动平均模型 猩红热 预测 性能比较
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The Effects of a Backward Bifurcation on a Continuous Time Markov Chain Model for the Transmission Dynamics of Single Strain Dengue Virus 被引量:1
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作者 Adnan Khan Muhammad Hassan Mudassar Imran 《Applied Mathematics》 2013年第4期663-674,共12页
Global incidence of dengue, a vector-borne tropical disease, has seen a dramatic increase with several major outbreaks in the past few decades. We formulate and analyze a stochastic epidemic model for the transmission... Global incidence of dengue, a vector-borne tropical disease, has seen a dramatic increase with several major outbreaks in the past few decades. We formulate and analyze a stochastic epidemic model for the transmission dynamics of a single strain of dengue virus. The stochastic model is constructed using a continuous time Markov chain (CTMC) and is based on an existing deterministic model that suggests the existence of a backward bifurcation for some values of the model parameters. The dynamics of the stochastic model are explored through numerical simulations in this region of bistability. The mean of each random variable is numerically estimated and these are compared to the dynamics of the deterministic model. It is observed that the stochastic model also predicts the co-existence of a locally asymptotically stable disease-free equilibrium along with a locally stable endemic equilibrium. This co-existence of equilibria is important from a public health perspective because it implies that dengue can persist in populations even if the value of the basic reproduction number is less than unity. 展开更多
关键词 EPIDEMIOLOGY DENGUE fever BACKWARD BIFURCATION Stochastic model
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The Impacts of Mosquito Density and Meteorological Factors on Dengue Fever Epidemics in Guangzhou, China, 2006-2014: a Time-series Analysis 被引量:12
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作者 SHEN Ji Chuan LUO Lei +4 位作者 LI Li JING Qin Long OU Chun Quan YANG Zhi Cong CHEN Xiao Guang 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2015年第5期321-329,共9页
Objective To explore the associations between the monthly number of dengue fever(DF) cases and possible risk factors in Guangzhou, a subtropical city of China. Methods The monthly number of DF cases, Breteau Index ... Objective To explore the associations between the monthly number of dengue fever(DF) cases and possible risk factors in Guangzhou, a subtropical city of China. Methods The monthly number of DF cases, Breteau Index (BI), and meteorological measures during 2006-2014 recorded in Guangzhou, China, were assessed. A negative binomial regression model was used to evaluate the relationships between BI, meteorological factors, and the monthly number of DF cases. Results A total of 39,697 DF cases were detected in Guangzhou during the study period. DF incidence presented an obvious seasonal pattern, with most cases occurring from June to November. The current month's BI, average temperature (Tare), previous month's minimum temperature (Train), and Tare were positively associated with DF incidence. A threshold of 18.25℃ was found in the relationship between the current month's Tmin and DF incidence. Conclusion Mosquito density, Tove, and Tmin play a critical role in DF transmission in Guangzhou. These findings could be useful in the development of a DF early warning system and assist in effective control and prevention strategies in the DF epidemic. 展开更多
关键词 Breteau index Dengue fever Meteorological factors Negative binomial regression model
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Mathematical Model, Optimal Control and Transmission Dynamics of Avian Spirochaetosis
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作者 Joy I. Uwakwe Blessing O. Emerenini Simeon C. Inyama 《Journal of Applied Mathematics and Physics》 2020年第2期270-293,共24页
Avian Spirochaetosis is an acute endemic tick-borne disease of birds, caused by Borrelia anserins, a species of Borrelia bacteria. In this paper, we present a compartmental mathematical model of the disease for the bi... Avian Spirochaetosis is an acute endemic tick-borne disease of birds, caused by Borrelia anserins, a species of Borrelia bacteria. In this paper, we present a compartmental mathematical model of the disease for the bird population and Tick population. The disease steady-state and the conditions for reaching a stable disease-free steady state are determined. The analysis by Lyapunov method shows both local and global stability. Further investigation involves the introduction of controls to the model;the existence and uniqueness of optimal control are established. Finally, the effect of the controls is investigated using numerical solutions. 展开更多
关键词 AVIAN Spirochaetosis TICK fever Mathematical model Control MEASURE Transmission Dynamics
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针刺大椎时机选择对发热大鼠体温及下丘脑PGE2含量变化的影响 被引量:1
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作者 吴限 张磊 王悦 《长春中医药大学学报》 2023年第10期1106-1110,共5页
目的研究不同时机针刺大椎穴对发热大鼠体温及下丘脑PGE2含量变化的影响,分析体温与PGE2变化的关系,探寻退热的最佳针刺时机和针刺大椎的退热作用机制。方法使用20%酵母悬液建立大鼠发热模型,建模成功后随机分为模型对照组、治疗1组(造... 目的研究不同时机针刺大椎穴对发热大鼠体温及下丘脑PGE2含量变化的影响,分析体温与PGE2变化的关系,探寻退热的最佳针刺时机和针刺大椎的退热作用机制。方法使用20%酵母悬液建立大鼠发热模型,建模成功后随机分为模型对照组、治疗1组(造模成功时针刺)、治疗2组(造模成功后1 h针刺)、治疗3组(造模成功后2 h针刺)、治疗4组(造模成功后3 h针刺)、非经非穴组,在大椎进行针刺。另设空白对照组。各组进行体温与下丘脑PEG2含量测量。结果4个治疗组均可使发热大鼠体温降至空白对照组水平,解热时间:峰值治疗组(3 h)<峰值后治疗组(4 h)<峰值前治疗组(6 h)<上升期治疗组(8 h);各治疗组体温降低幅度和PGE2降低幅度由大到小依次为峰值治疗组、峰值后治疗组、峰值前治疗组、上升期治疗组;体温降低值与PGE2降低值具有显著正相关关系。结论不同时机针刺发热大鼠大椎均有退热作用并可使体温退至正常值,以体温到达峰值时进行针刺效果最佳。其作用机制可能是通过抑制下丘脑中PGE2等内源性脂类介质的释放来实现的。针刺退热具有穴位特异性。 展开更多
关键词 针刺时机 大椎 发热大鼠模型 前列腺素E2 退热机制
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A Clinical Analysis of 293 FUO Patients, A Diagnostic Model Discriminating infectious Diseases from Non-infectious Diseases
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作者 Qing Zhou Xu-wen Xu +3 位作者 De-ming Tan Yu-tao Xie Yun-zhu Long Meng-hou Lu 《国际感染病学(电子版)》 CAS 2014年第2期54-63,共10页
Objective A diagnostic model was established to discriminate infectious diseases from non-infectious diseases. Methods The clinical data of patients with fever of unknown origin(FUO) hospitalized in Xiangya Hospital C... Objective A diagnostic model was established to discriminate infectious diseases from non-infectious diseases. Methods The clinical data of patients with fever of unknown origin(FUO) hospitalized in Xiangya Hospital Central South University, from January, 2006 to April, 2011 were retrospectively analyzed. Patients enrolled were divided into two groups. The first group was used to develop a diagnostic model: independent variables were recorded and considered in a logistic regression analysis to identify infectious and non-infectious diseases(αin = 0.05, αout = 0.10). The second group was used to evaluate the diagnostic model and make ROC analysis.Results The diagnostic rate of 143 patients in the first group was 87.4%, the diagnosis included infectious disease(52.4%), connective tissue diseases(16.8%), neoplastic disease(16.1%) and miscellaneous(2.1%). The diagnostic rate of 168 patients in the second group was 88.4%, and the diagnosis was similar to the first group. Logistic regression analysis showed that decreased white blood cell count(WBC < 4.0×109/L), higher lactate dehydrogenase level(LDH > 320 U/L) and lymphadenectasis were independent risk factors associated with non-infectious diseases. The odds ratios were 14.74, 5.84 and 5.11(P ≤ 0.01), respectively. In ROC analysis, the sensitivity and specificity of the positive predictive values was 62.1% and 89.1%, respectively, while that of negative predicting values were 75% and 81.7%, respectively(AUC = 0.76, P = 0.00).Conclusions The combination of WBC < 4.0×109/L, LDH > 320 U/L and lymphadenectasis may be useful in discriminating infectious diseases from non-infectious diseases in patients hospitalized as FUO. 展开更多
关键词 fever of unknown origin Diagnostic model White blood cell Lactate dehydrogenase LYMPHADENECTASIS
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Application of Optimal Control to the Epidemiology of Dengue Fever Transmission
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作者 Okey Oseloka Onyejekwe Ayalnesh Tigabie +1 位作者 Biruk Ambachew Abebe Alemu 《Journal of Applied Mathematics and Physics》 2019年第1期148-165,共18页
In this paper, we build an epidemiological model to investigate the dynamics of the spread of dengue fever in human population. We apply optimal control theory via the Pontryagins Minimum Principle together with the R... In this paper, we build an epidemiological model to investigate the dynamics of the spread of dengue fever in human population. We apply optimal control theory via the Pontryagins Minimum Principle together with the Runge-Kutta solution technique to a “simple” SEIRS disease model. Controls representing education and drug therapy treatment are incorporated to reduce the latently infected and actively infected individual populations. The overall thrust is the minimization of the spread of the disease in a population by adopting an optimization technique as a guideline. 展开更多
关键词 EPIDEMIOLOGICAL model SEIRS DENGUE fever Optimal Control Pontryagins Minimum Principle FOURTH-ORDER RUNGE-KUTTA
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具有垂直传播和时间周期的登革热模型的三次B样条拟插值法数值解
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作者 钱江 陈雨青 《工程数学学报》 CSCD 北大核心 2023年第2期281-294,共14页
数学模型是理解和控制传染病传播的重要途径。利用三次B样条拟插值法求解一类具有垂直传播和时间周期的登革热数学模型,首先介绍三次B样条拟插值的基本知识,接着用拟插值的导数来逼近因变量的空间导数,再用修正的欧拉法逼近因变量的时... 数学模型是理解和控制传染病传播的重要途径。利用三次B样条拟插值法求解一类具有垂直传播和时间周期的登革热数学模型,首先介绍三次B样条拟插值的基本知识,接着用拟插值的导数来逼近因变量的空间导数,再用修正的欧拉法逼近因变量的时间导数,得到数值算法。最后用该方法分别求得登革热模型的基本再生数大于1和小于1时的数值模拟图和数值解。 展开更多
关键词 登革热数学模型 基本再生数 B样条拟插值 修正欧拉法 微分方程数值解
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