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Teachers’Perception for Evaluation of the Primary School Students With Final Grade
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作者 Bashkim Rakaj 《Management Studies》 2024年第1期42-57,共16页
The most difficult and delicate part of the learning process is assessment.Assessment is difficult because during his/her accomplishment the teacher has to consider not only the acquisition of knowledge from students,... The most difficult and delicate part of the learning process is assessment.Assessment is difficult because during his/her accomplishment the teacher has to consider not only the acquisition of knowledge from students,but also the overall degree of development of their competencies.It is delicate,because through assessment we can influence the emotional side of students and their“willingness”to learn.Despite these facts,teachers need to evaluate students during the learning process.The purpose of the research is to find out what is the perception of teachers about the level of evaluation of students with final grade.The overall results showed that 89%of teachers agree,9%of them have a neutral attitude,and 2%do not agree that the evaluation of students with a final grade is done taking into account many aspects and using many methods,the overall average of the results,M=4.36.Based on the empirical results,it was found that teachers who have completed assessment training have a more positive approach to student assessment,as the average score is higher than teachers who have not completed assessment training.From the qualitative results it was understood that the Teachers did not encounter any difficulties during the assessment of the students. 展开更多
关键词 TEACHER STUDENT final grade perception evaluation
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Application of Machine Learning for Flood Prediction and Evaluation in Southern Nigeria
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作者 Emeka Bright Ogbuene Chukwumeuche Ambrose Eze +9 位作者 Obianuju Getrude Aloh Andrew Monday Oroke Damian Onuora Udegbunam Josiah Chukwuemeka Ogbuka Fred Emeka Achoru Vivian Amarachi Ozorme Obianuju Anwara Ikechukwu Chukwunonyelum Anthonia Nneka Nebo Obiageli Jacinta Okolo 《Atmospheric and Climate Sciences》 2024年第3期299-316,共18页
This study explored the application of machine learning techniques for flood prediction and analysis in southern Nigeria. Machine learning is an artificial intelligence technique that uses computer-based instructions ... This study explored the application of machine learning techniques for flood prediction and analysis in southern Nigeria. Machine learning is an artificial intelligence technique that uses computer-based instructions to analyze and transform data into useful information to enable systems to make predictions. Traditional methods of flood prediction and analysis often fall short of providing accurate and timely information for effective disaster management. More so, numerical forecasting of flood disasters in the 19th century is not very accurate due to its inability to simplify complex atmospheric dynamics into simple equations. Here, we used Machine learning (ML) techniques including Random Forest (RF), Logistic Regression (LR), Naïve Bayes (NB), Support Vector Machine (SVM), and Neural Networks (NN) to model the complex physical processes that cause floods. The dataset contains 59 cases with the goal feature “Event-Type”, including 39 cases of floods and 20 cases of flood/rainstorms. Based on comparison of assessment metrics from models created using historical records, the result shows that NB performed better than all other techniques, followed by RF. The developed model can be used to predict the frequency of flood incidents. The majority of flood scenarios demonstrate that the event poses a significant risk to people’s lives. Therefore, each of the emergency response elements requires adequate knowledge of the flood incidences, continuous early warning service and accurate prediction model. This study can expand knowledge and research on flood predictive modeling in vulnerable areas to inform effective and sustainable contingency planning, policy, and management actions on flood disaster incidents, especially in other technologically underdeveloped settings. 展开更多
关键词 Machine Learning flood PREDICTION evaluation Southern Nigeria
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Annual Monitoring and Evaluation of the Grades of Arable Land Quality——Taking Lingchuan County as an Example 被引量:2
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作者 全坚 谭咪 《Agricultural Science & Technology》 CAS 2017年第6期1112-1119,共8页
With the increasing requirement for the protection of arable land, monitor- ing the grades of arable land quality is becoming more important, which can accu- rately and fully reflect the current situation and developm... With the increasing requirement for the protection of arable land, monitor- ing the grades of arable land quality is becoming more important, which can accu- rately and fully reflect the current situation and development trends of arable land quality. It is also an important measure for protecting the quality of arable land. in the present study, the distribution and changes of arable lands of different gradient types and grades in Lingchuan County, Guangxi Zhuang Autonomous Region in 2015 were monitored and evaluated, to analyze the trends and reasons for the changes in the quality and productivity of arable lands, and to provide references for dynamic monitoring of the quality of arable land. 展开更多
关键词 Arable land grades MONITORING evaluation Lingchuan County
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A quantitative model for danger degree evaluation of staged operation of earth dam reservoir in flood season and its application 被引量:3
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作者 Chong-xun Mo Gui-yan Mo +3 位作者 Qing Yang Yu-li Ruan Qing-ling Jiang Ju-liang Jin 《Water Science and Engineering》 EI CAS CSCD 2018年第1期81-87,共7页
Based on the natural disaster risk evaluation mode, a quantitative danger degree evaluation model was developed to evaluate the danger degree of earth dam reservoir staged operation in the flood season. A formula for ... Based on the natural disaster risk evaluation mode, a quantitative danger degree evaluation model was developed to evaluate the danger degree of earth dam reservoir staged operation in the flood season. A formula for the overtopping risk rate of the earth dam reservoir staged operation was established, with consideration of the joint effect of flood and wind waves in the flood sub-seasons with the Monte Carlo method, and the integrated overtopping risk rate for the whole flood season was obtained via the total probability approach. A composite normalized function was used to transform the dam overtopping risk rate into the danger degree, on a scale of 0-1. Danger degree gradating criteria were divided by four significant characteristic values of the dam overtopping rate, and corresponding guidelines for danger evaluation are explained in detail in this paper. Examples indicated that the dam overtopping danger degree of the Chengbihe Reservoir in China was 0.33-0.57, within the range of moderate danger level, and the flood-limiting water level (FLWL) can be adjusted to 185.00 m for the early and main flood seasons, and 185.00-187.50 m for the late flood season. The proposed quantitative model offers a theoretical basis for determination of the value of the danger degree of an earth dam reservoir under normal operation as well as the optimal scheduling scheme for the reservoir in each stage of the flood season. 展开更多
关键词 Reservoir staged operation in flood season Earth dam Danger degree Quantitative evaluation Overtopping risk rate
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A GIS-based method for flooded area calculation and damage evaluation 被引量:1
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作者 LIU Ren-yi, LIU Nan (The Zhejiang Provincial GIS Lab, Zhejiang University, Hangzhou 310028, China) 《Journal of Geographical Sciences》 SCIE CSCD 2001年第2期187-192,共6页
Using geographic information system to study flooded area and damage evaluation has been a hotspot in environmental disaster research for years. In this paper, a model for flooded area calculation and damage evaluatio... Using geographic information system to study flooded area and damage evaluation has been a hotspot in environmental disaster research for years. In this paper, a model for flooded area calculation and damage evaluation is presented. Flooding is divided into two types: ‘soruce flood’ and ‘non-source flood’. The source-flood area calculation is based on seed spread algorithm. The flood damage evaluation is calculated by overlaying the flooded ara range with thematic maps and relating the results to other social and economic data. To raise the operational efficiency of the model, a skipping approach is used to speed seed spread algorithm and all thematic maps are converted to raster format before overlay analysis. The accuracy of flooded area calculation and damage evaluation is mainly dependent upon the resolution and precision of the digital elevation model (DEM) data, upon the accuracy of registering all raster layers, and upon the quality of economic information. This model has been successfully used in the Zhejiang Province Comprehensive Water Management Information System developed by the authors. The applications show that this model is especially useful for most counties of China and other developing countries. 展开更多
关键词 MODEL flooded area calculation damage evaluation seed spread algorithm
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A High Precision Comprehensive Evaluation Method for Flood Disaster Loss Based on Improved Genetic Programming 被引量:2
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作者 ZHOU Yuliang LU Guihua +2 位作者 JIN Juliang TONG Fang ZHOU Ping 《Journal of Ocean University of China》 SCIE CAS 2006年第4期322-326,共5页
Precise comprehensive evaluation of flood disaster loss is significant for the prevention and mitigation of flood disasters. Here, one of the difficulties involved is how to establish a model capable of describing the... Precise comprehensive evaluation of flood disaster loss is significant for the prevention and mitigation of flood disasters. Here, one of the difficulties involved is how to establish a model capable of describing the complex relation between the input and output data of the system of flood disaster loss. Genetic programming (GP) solves problems by using ideas from genetic algorithm and generates computer programs automatically. In this study a new method named the evaluation of the grade of flood disaster loss (EGFD) on the basis of improved genetic programming (IGP) is presented (IGP-EGFD). The flood disaster area and the direct economic loss are taken as the evaluation indexes of flood disaster loss. Obviously that the larger the evaluation index value, the larger the corresponding value of the grade of flood disaster loss is. Consequently the IGP code is designed to make the value of the grade of flood disaster be an increasing function of the index value. The result of the application of the IGP-EGFD model to Henan Province shows that a good function expression can be obtained within a bigger searched function space; and the model is of high precision and considerable practical significance. Thus, IGP-EGFD can be widely used in automatic modeling and other evaluation systems. 展开更多
关键词 automatic modeling evaluation of flood disaster loss genetic algorithm genetic programming
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FUZZY MATHEMATICAL EVALUATION FOR MASONRY STRUCTURE BUILDINGS' DAMAGE GRADE CAUSED BY COAL MINING 被引量:3
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作者 连传杰 刘立民 高闯 《Journal of Coal Science & Engineering(China)》 1999年第1期33-37,共5页
Coal mining under buildings certainly causes surface movement and deformation, therefore, it brings about deformation even fracture for buildings. It is an important task to evaluate correcly the buildings’ damage gr... Coal mining under buildings certainly causes surface movement and deformation, therefore, it brings about deformation even fracture for buildings. It is an important task to evaluate correcly the buildings’ damage grabe caused by coal mining. Fuzzy comprehensive evaluation,considering some factors of buildings’ fracture, has been applied to analyze the masonry structure buildings’ damage grade affer coal mining in this paper. It provides a scientific basis for buildings’reidercement before mining and maintenance or compensation after mining. 展开更多
关键词 coal mining under buildings masonry structure building buildings' damage grade Fuzzy mathematical evaluation
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Evaluation of GSMaP Daily Rainfall Satellite Data for Flood Monitoring: Case Study—Kyushu Japan 被引量:3
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作者 Martiwi Diah Setiawati Fusanori Miura 《Journal of Geoscience and Environment Protection》 2016年第12期101-117,共17页
In this paper, the Global Satellite Mapping of Precipitation Moving Vector with Kalman filter (GSMaP_MVK) was evaluated and corrected at daily time scales with a spatial resolution of 0.1°;latitude/longitude. The... In this paper, the Global Satellite Mapping of Precipitation Moving Vector with Kalman filter (GSMaP_MVK) was evaluated and corrected at daily time scales with a spatial resolution of 0.1°;latitude/longitude. The reference data came from thirty-four rain gauges on Kyushu Island, Japan. This study focused on the GSMaP_MVK’s ability to detect heavy rainfall patterns that may lead to flooding. Statistical analysis was used to evaluate the GSMaP_MVK data both quantitatively and qualitatively. The statistical analysis included the relative bias (B), the mean error (E), the Nash-Sutcliffe coefficient (CNS), the Root Mean Square Error (RMSE) and the correlation coefficient (r). In addition, Generalized Additive Models (GAMs) were used to conduct GSMaP_MVK data correction. The results of these analyses indicate that GSMaP_MVK data have lower values than observed data and may be significantly underestimated during heavy rainfall. By applying GAM to bias correction, GSMaP_MVK’s ability to detect heavy rainfall was improved. In addition, GAM for bias correction could effectively be applied for significant underestimates of GSMaP_ MVK (i.e., bias of more than 55%). GAM is a new approach to predict rainfall amount for flood and landslide monitoring of satellite base precipitation, especially in areas where rain gauge data are limited. 展开更多
关键词 evaluation GSMaP_MVK flood Monitoring KYUSHU
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Quantitative evaluation methods for waterflooded layers of conglomerate reservoir based on well logging data 被引量:22
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作者 Tan Fengqi Li Hongqi +2 位作者 Xu Changfu Li Qingyuan Peng Shouchang 《Petroleum Science》 SCIE CAS CSCD 2010年第4期485-493,共9页
The rapid changing near source, multi-stream depositional environment of conglomerate reservoirs leads to severe heterogeneity, complex lithology and physical properties, and large changes of oil layer resistivity. Qu... The rapid changing near source, multi-stream depositional environment of conglomerate reservoirs leads to severe heterogeneity, complex lithology and physical properties, and large changes of oil layer resistivity. Quantitative evaluation of water-flooded layers has become an important but difficult focus for secondary development of oilfields. In this paper, based on the analysis of current problems in quantitative evaluation of water-flooded layers, the Kexia Group conglomerate reservoir of the Sixth District in the Karamay Oilfield was studied. Eight types of conglomerate reservoir lithology were identified effectively by a data mining method combined with the data from sealed coring wells, and then a multi-parameter model for quantitative evaluation of the water-flooded layers of the main oil-bearing lithology was developed. Water production rate, oil saturation and oil productivity index were selected as the characteristic parameters for quantitative evaluation of water-flooded layers of conglomerate reservoirs. Finally, quantitative evaluation criteria and identification rules for water-flooded layers of main oil-bearing lithology formed by integration of the three characteristic parameters of water-flooded layer and undisturbed formation resistivity. This method has been used in evaluation of the water-flooded layers of a conglomerate reservoir in the Karamay Oilfield and achieved good results, improving the interpretation accuracy and compliance rate. It will provide technical support for avoiding perforation of high water-bearing layers and for adjustment of developmental programs. 展开更多
关键词 Water-flooded layer quantitative evaluation conglomerate reservoir lithology identification decision tree characteristic parameters
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Reconstruction of the Rainfall in Rainy Season Based on Historical Drought/Flood Grades
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作者 熊安元 吴宜进 蔡述明 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 1999年第1期149-155,共7页
On the basis of historical yearly drought and flood grades from A.D.1470 to A.D.1949, the ten-year mean precipitation in the rainy season in Wuhan district was reconstructed by means of statistical method. The re... On the basis of historical yearly drought and flood grades from A.D.1470 to A.D.1949, the ten-year mean precipitation in the rainy season in Wuhan district was reconstructed by means of statistical method. The reconstructing method was testified to be simple and effective. 展开更多
关键词 Drought/flood grades RECONSTRUCTION RAINFALL
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Research and application of flood damage evaluation information system
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作者 SHI Jin-feng~1, WU Zhi-zhou~2, SONG Wei-dong~1 (1. Liaoning Technical University, Fuxin 123000, China 2. Tongji University, Shanghai 200092, China) 《中国有色金属学会会刊:英文版》 CSCD 2005年第S1期204-207,共4页
The fast evaluation method of flood damages was explored with the combination of high technologies, such as remote sensing (RS) and geographic information system (GIS), namely the land classification and extraction of... The fast evaluation method of flood damages was explored with the combination of high technologies, such as remote sensing (RS) and geographic information system (GIS), namely the land classification and extraction of flood areas were accomplished in RS image processing software, ENVI, the flood damages information system, digital terrain model and flood damages evaluation information system were developed on GIS platform GeoMedia. The problem of the combination of multi-source data was addressed, furthermore, the problems of how to build the flood damages evaluation model and the inundating elevation model were deeply probed, the calculating formulas were also given. Case study result shows that the evaluation models are correct and data are reliable, we can use it to evaluate real-time flood damages and provide evidences for decision-making of leaders, moreover, it is of great instructive significance to the research of flood damages evaluation theories. 展开更多
关键词 flood DAMAGES GIS REMOTE sensing digital TERRAIN model evaluation
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Flood and Waterlogging Disaster Damage Evaluation in Middle-Lower Yangtze River by 3S technology
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作者 ZHAN Xiao-guoEngineer, Yangtze River Scientific Research Institute, Wuhan 430010,China TAN De-baoSenior Engineer, Yangtze River Scientific Research Institute, Wuhan 430010,China 《人民长江》 北大核心 2001年第S1期50-52,共3页
The evaluation method, model and process for the flood and waterlogging disaster condition by GIS,RS and GPS technology and the method for setting up disaster condition database, dyke database and historical disaster ... The evaluation method, model and process for the flood and waterlogging disaster condition by GIS,RS and GPS technology and the method for setting up disaster condition database, dyke database and historical disaster damage database are presented. An index of flood damage degree(FDD) used to evaluate the relative degree of disaster loss and divide flood and waterlogging area is suggested. The value of flood damage degree can be calculated as follows :taking the various disaster losses of sample area in a base year as standard value and computing the ratios of various disaster loss values in different areas and years to the standard flood disaster loss values, then summing up the weighted ratios. The computed results are the value of flood damage degree in the every year. The macroscopic flood disaster distribution can be evaluated by the values of flood loss degree. 展开更多
关键词 flood and WATERLOGGING disaster evaluation method 3S(GIS RS GPS) flood damage degree middle-lower reaches of YANGTZE River
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热敏灸治疗颈型颈椎病的Meta分析及GRADE证据等级评价
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作者 周佳佳 邓秀红 +1 位作者 易媛媛 雷丽芳 《中国中医药现代远程教育》 2024年第7期107-110,共4页
目的系统评价热敏灸及其综合疗法用于颈型颈椎病的临床效果,为热敏灸治疗颈型颈椎病提供更好的证据来源。方法收集国内外各大数据库热敏灸及其综合疗法用于颈型颈椎病的随机对照试验(RCT),通过Revman 5.3软件进行Meta分析,按照GRADE标... 目的系统评价热敏灸及其综合疗法用于颈型颈椎病的临床效果,为热敏灸治疗颈型颈椎病提供更好的证据来源。方法收集国内外各大数据库热敏灸及其综合疗法用于颈型颈椎病的随机对照试验(RCT),通过Revman 5.3软件进行Meta分析,按照GRADE标准对结局指标进行证据质量评价。结果纳入9篇文献共855例患者,Meta分析结果提示:热敏灸及其综合疗法组在提高总有效率(RR=1.19,P<0.01)和治愈率(RR=1.73,P<0.01)、降低视觉模拟量表(VAS)评分(SMD=-0.73,P<0.01)、简化McGill疼痛问卷(SF-MPQ)评分(SMD=-1.28,P<0.05)以及NPQ颈痛量表评分(SMD=-0.81,P<0.05)方面都优于对照组;GRADE证据等级评价提示:前三者为低质量证据,后二者为极低质量证据。结论热敏灸及其综合疗法用于颈型颈椎病在提高临床效果、镇痛以及改善患者生活质量方面更具优势。 展开更多
关键词 颈型颈椎病 热敏灸 META分析 grade评价
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穴位埋线治疗功能性便秘疗效与安全性Meta分析及GRADE评价
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作者 胡露楠 林梦莹 +6 位作者 林湖灿 杨正宁 黄雅滢 杨欣怡 刘启鸿 任彦 柯晓 《山西中医药大学学报》 2024年第5期480-489,共10页
目的:系统评价穴位埋线治疗功能性便秘(FC)的疗效和安全性及纳入证据的质量,以期为临床决策提供循证医学证据。方法:检索中国知网(CNKI)、万方知识服务平台(WANFANG)、维普中文期刊数据库(VIP)、中国生物医学文献服务系统(SinoMed)、Emb... 目的:系统评价穴位埋线治疗功能性便秘(FC)的疗效和安全性及纳入证据的质量,以期为临床决策提供循证医学证据。方法:检索中国知网(CNKI)、万方知识服务平台(WANFANG)、维普中文期刊数据库(VIP)、中国生物医学文献服务系统(SinoMed)、Embase、PubMed和Cochrane Library数据库,搜集穴位埋线治疗FC的随机对照试验(RCT),检索时间均从建库至2023年10月16日。由2名研究者独立完成文献筛选、资料提取及偏倚风险评估,采用RevMan 5.4软件进行Meta分析,并采用GRADE评价方法对各项结局指标进行证据质量评价。结果:最终共纳入19项RCT,包括1673例患者。Meta分析结果显示,与对照组比较,穴位埋线治疗FC可提高总有效率[RR=1.23,95%CI=(1.17,1.29),P<0.00001],增加完全自发排便(CSBM)次数[MD=0.61,95%CI=(0.11,1.10),P=0.02],改善粪便性状[MD=0.53,95%CI=(0.31,0.76),P<0.00001]及排便困难[MD=-0.71,95%CI=(-1.03,-0.40),P<0.00001],缩短排便时间[MD=-0.50,95%CI=(-0.72,-0.29),P<0.00001],改善便秘生活质量评估量表(PAC-QOL)评分[MD=-7.72,95%CI=(-12.83,-2.61),P<0.003];两组不良反应发生率比较,差异无统计学意义[RR=0.37,95%CI=(0.10,1.38),P=0.14]。GRADE证据级别评价结果显示:总有效率为中级别证据质量,不良反应发生率、粪便性状评分、排便困难评分为低级别证据质量,CSBM次数、排便时间、PACQOL评分为极低级别证据质量。结论:穴位埋线治疗FC具有一定的疗效,可改善便秘相关症状,且未增加不良反应发生率。但纳入研究质量总体偏低,上述结论尚需开展更多高质量的研究予以验证。 展开更多
关键词 功能性便秘 穴位埋线 随机对照试验 META分析 grade评价
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腕踝针干预术后疼痛疗效的Meta分析和Grade评价 被引量:1
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作者 于明珠 赵丹娜 +3 位作者 杨艾影 喻悦 李鑫滟 朱宇 《军事护理》 CSCD 北大核心 2024年第5期101-106,114,共7页
目的运用循证医学方法对腕踝针干预术后疼痛的疗效和安全性进行系统评价和Grade评价。方法计算机检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Embase、Web of Science、Cochrane Library中关于腕踝针干预术后疼痛的随... 目的运用循证医学方法对腕踝针干预术后疼痛的疗效和安全性进行系统评价和Grade评价。方法计算机检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Embase、Web of Science、Cochrane Library中关于腕踝针干预术后疼痛的随机对照试验,检索时限为建库至2023年10月。采用RevMan 5.4软件进行Meta分析。结果纳入23篇文献,共计1968例患者,Meta分析结果显示,与常规治疗相比,腕踝针能够提高术后疼痛患者的总有效率[OR=4.42,95%CI(2.60,7.50),P<0.001],术后镇痛泵药量使用减少[MD=-9.03,95%CI(-12.09,-5.98),P<0.001],术后疼痛评分降低[MD=-1.39,95%CI(-1.68,-1.09),P<0.001],可减少不良反应发生率[RR=0.40,95%CI(0.32,0.48),P<0.001]以及临床满意度[OR=3.94,95%CI(2.40,6.48),P<0.001]。Grade证据分级结果显示:总有效率、不良反应发生率和临床满意度3项结局指标为中等质量证据,VAS评分指标为低质量证据,镇痛泵药量使用指标为极低质量证据。结论腕踝针可提高总有效率,减少术后镇痛药用量,不良反应少,安全性高,为患者提供了一种安全有效的镇痛方式。 展开更多
关键词 腕踝针 术后疼痛 META分析 grade评价
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乌梅丸加减治疗帕金森病的Meta分析及GRADE评价
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作者 蔡燕珊 文晓东 谭文澜 《云南中医中药杂志》 2024年第8期24-32,共9页
目的 系统评估乌梅丸加减治疗帕金森病(parkinson's disease, PD)的疗效和安全性。方法 计算机检索Cochrane Library、EMBASE、Web of Science、PubMed、CNKI、CBM等中英文数据库及临床试验中心,关于乌梅丸治疗PD的临床随机对照试验... 目的 系统评估乌梅丸加减治疗帕金森病(parkinson's disease, PD)的疗效和安全性。方法 计算机检索Cochrane Library、EMBASE、Web of Science、PubMed、CNKI、CBM等中英文数据库及临床试验中心,关于乌梅丸治疗PD的临床随机对照试验(randomized controlled trial, RCT),检索时限从建库至2023年4月。进行资料整理及数据提取等工作后,最终纳入8项研究,治疗组(乌梅丸)和对照组分别纳入226例。使用RevMan 5.3及stata14软件进行荟萃分析,使用GRADEpro GDT评估各项结局指标的证据质量。结果 治疗组降低PD统一评分量表(unified Parkinson's disease rating scale, UPDRS)的各项量表积分较对照组明显,其中在改善UPDRS Ⅰ、Ⅲ、Ⅳ方面具有统计学意义,结果分别为[MD=-0.769,95%CI(-1.213~-0.324),P=0.001]、[MD=-2.211,95%CI(-2.713~-1.708),P=0]、[MD=-0.526,95%CI(-1.041~-0.012),P=0.045]。2组在改善UPDRS总分方面差异无统计学意义[MD=3.964,95%CI(-9.465~17.392),P=0.563]。治疗组能显著提高治疗有效率,差异具有统计学意义[RR=1.709,95%CI(1.361~2.145),P=0]。各项研究均未发现不良事件发生及与治疗有关的检验指标异常。GRADE证据质量分级结果为UPDRS Ⅰ、UPDRS Ⅲ、UPDRS Ⅳ及有效率方面均为中等级别,UPDRS Ⅱ为低等级,UPDRS总分为非常低。结论 乌梅丸加减的应用对PD的治疗有一定效果,且具有良好的安全性。 展开更多
关键词 乌梅丸 帕金森病 META分析 grade评价
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参芪扶正注射液辅助治疗慢性阻塞性肺疾病的Meta分析与GRADE评价
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作者 黄武祯 陈斯宁 +4 位作者 黎展华 黄海月 张莞芬 黄丹炫 蒙建华 《科学技术与工程》 北大核心 2024年第29期12479-12487,共9页
为了系统评价参芪扶正注射液联合常规治疗作为干预措施对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者的临床疗效和安全性。检索中国国家知识基础设施(China national knowledge infrastructure,CNKI)、PubMed、... 为了系统评价参芪扶正注射液联合常规治疗作为干预措施对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者的临床疗效和安全性。检索中国国家知识基础设施(China national knowledge infrastructure,CNKI)、PubMed、万方数据知识服务平台(Wanfang Data)、维普中文科技期刊数据库(Weipu China science and technology journal database,VIP)等数据库,筛选并纳入2023年6月18日以前发表的参芪扶正注射液联合常规疗法治疗COPD患者的随机对照试验(randomized controlled trials,RCT),采用Cochrane风险评价工具及评估、发展和评价建议分级(grading of recommendations assessment,development and evaluation,GRADE)系统进行文献证据质量评价,用RevMan 5.4软件对临床疗效及安全性指标进行Meta分析。结果表明,共纳入16项RCTs,1 486例患者。Meta分析结果显示,参芪扶正注射液辅助治疗可提高患者总有效率和第1秒用力呼气容积/用力肺活量比值(forced expiratory volume in one second/forced vital capacity,FEV1/FVC)指标,与对照组相比具有优势(P<0.000 01、P<0.000 1);不良反应少,无严重不良反应(adverse drug reactions,ADR),两组对比无统计学差异(P=0.32);GRADE评价结果显示,有效率及不良反应指标的证据质量均为中等级,肺功能为低等级。可见参芪扶正注射辅助治疗COPD可以提高患者临床疗效,改善肺功能,且具有良好的安全性。但所纳入研究具有局限性,证据质量不高,仍需结合中药辨证使用特点,规范实验方案,开展更多的高质量RCT研究。 展开更多
关键词 参芪扶正注射 慢性阻塞性肺疾病 随机对照试验 META分析 grade评价
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补肾方剂改善高龄女性自然妊娠结局的Meta分析及GRADE质量评价
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作者 闫菲 刘雁峰 +2 位作者 赵琦 李影 刘星童 《中国性科学》 2024年第4期125-130,共6页
目的系统评价补肾方剂改善高龄女性自然妊娠结局的临床疗效和安全性。方法检索中国知网、万方数据库、维普数据库、SinoMed、PubMed、Web of Science、Cochrane Library、Embase等数据库建库至2022年6月收录的补肾方剂改善高龄女性自然... 目的系统评价补肾方剂改善高龄女性自然妊娠结局的临床疗效和安全性。方法检索中国知网、万方数据库、维普数据库、SinoMed、PubMed、Web of Science、Cochrane Library、Embase等数据库建库至2022年6月收录的补肾方剂改善高龄女性自然妊娠结局的随机对照研究(RCT)。运用偏倚风险工具进行质量评估,使用RevMan软件进行Meta分析。结果共纳入14篇RCT。Meta分析结果显示:补肾方剂联合西药治疗在提高妊娠率[RR=1.71,95%CI(1.45,2.01),P<0.00001]、降低卵泡刺激素(FSH)水平[SMD=-1.63,95%CI(-2.84,-0.43),P=0.008]、提高雌二醇(E_(2))水平[SMD=3.97,95%CI(1.76,6.17),P=0.0004]、增加排卵期子宫内膜厚度[SMD=2.12,95%CI(1.07,3.18),P<0.0001]方面均优于西药组;且补肾方剂单独使用在提高妊娠率[RR=1.94,95%CI(1.31,2.88),P=0.001]、降低FSH水平[SMD=-0.48,95%CI(-0.74,-0.22),P=0.0003]方面也具有显著疗效。结论与西医治疗比较,补肾方剂可以显著改善高龄女性自然妊娠结局,且不良反应较少,但仍需更多高质量、大样本、多中心的RCT予以验证。 展开更多
关键词 补肾方剂 高龄女性 自然妊娠结局 META分析 grade质量评价
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基于GRADE证据质量评级的小青龙汤治疗过敏性鼻炎系统评价与试验序贯分析
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作者 刘佳睿 吴千言 +1 位作者 章莹 吴甜婧 《中医临床研究》 2024年第19期135-143,共9页
目的:系统评价小青龙汤治疗过敏性鼻炎的临床疗效和安全性,分析证据质量,验证研究结果的可信度。方法:检索中国知网、万方数据库、维普中文期刊服务平台、中国生物医学文献数据库、PubMed、Web of Science、The Cochrane Library等数据... 目的:系统评价小青龙汤治疗过敏性鼻炎的临床疗效和安全性,分析证据质量,验证研究结果的可信度。方法:检索中国知网、万方数据库、维普中文期刊服务平台、中国生物医学文献数据库、PubMed、Web of Science、The Cochrane Library等数据库中从建库至2023年7月31日小青龙汤治疗过敏性鼻炎的文献。对所得文献进行筛选、资料提取和评估,使用RevMan5.3软件进行Meta分析,使用Stata 16.0软件进行敏感性分析,使用TSA V0.9软件进行试验序贯分析,使用GRADEpro软件对结局指标进行证据质量评级。结果:纳入20篇随机对照试验(Randomized Controlled Trial,RCT),患者1 723例。Meta分析结果显示,试验组比对照组有更好的临床疗效[相对危险度(RR)=1.19,95%置信区间(CI)(1.14,1.25),P <0.000 01]。试验组在降低半年复发率[RR=0.50, 95%CI (0.32,0.78),P=0.002],降低鼻塞[加权均数差(WMD)=-0.20,95%CI(-0.26,-0.13),P <0.000 01]、流涕[WMD=-0.09,95%CI(-0.15,-0.03),P=0.004]、喷嚏[WMD=-0.21,95%CI(-0.28,-0.13),P <0.000 01]等症状积分及体征积分[WMD=-0.25,95%CI(-0.37,-0.14),P <0.000 1]和血清白细胞介素-4水平[WMD=-4.23,95%CI(-7.22,-1.23),P=0.006]方面均优于对照组。试验序贯分析进一步肯定了小青龙汤治疗过敏性鼻炎的疗效。GRADE证据质量分级显示,临床有效率、不良反应发生率、鼻痒积分为低质量证据,其余均为极低质量证据。结论:小青龙汤治疗过敏性鼻炎安全有效,但需要纳入更高质量的临床研究进一步验证。 展开更多
关键词 小青龙汤 过敏性鼻炎 grade证据 系统评价 试验序贯分析
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温针灸治疗原发性痛经有效性和安全性的系统评价及GRADE评价
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作者 陈奕臻 王庆波 《新中医》 CAS 2024年第8期139-147,共9页
目的:评价温针灸治疗原发性痛经的有效性和安全性。方法:根据PRISMA指南进行系统综述和荟萃分析。收集PubMed、Web of Science、EMBASE、Cochrane Library、中国知网、维普、万方、中国生物医学数据库自建库至2023年5月的随机对照试验... 目的:评价温针灸治疗原发性痛经的有效性和安全性。方法:根据PRISMA指南进行系统综述和荟萃分析。收集PubMed、Web of Science、EMBASE、Cochrane Library、中国知网、维普、万方、中国生物医学数据库自建库至2023年5月的随机对照试验。使用Review Manager 5.4对所有获得的数据进行分析。结果:温针灸治疗原发性痛经在提高临床疗效{风险比(RR)=1.21,95%置信区间(CI)[1.16,1.25],P<0.00001},改善阻力指数(RI){均数差(MD)=-0.14,95%CI[-0.19,-0.08],P<0.00001}、搏动指数(PI)(MD=-0.55,95%CI[-0.69,-0.40],P<0.00001)、β-内啡肽(β-EP){标准化均数差(SMD)=1.36,95%CI[0.90,1.82],P<0.00001}、痛经证候积分(MD=-1.82,95%CI[-2.77,-0.87],P=0.0002)、疼痛视觉模拟评分法(VAS)评分(MD=-1.16,95%CI[-1.48,-0.83],P<0.00001)方面的作用优于单独的常规治疗,并且在不良反应发生率(P=0.01)方面低于对照组。证据质量等级评价结果显示临床疗效为中级,其他多为低级。结论:温针灸治疗原发性痛经的疗效明确,并且具有一定的安全性。 展开更多
关键词 原发性痛经 温针灸 系统评价 grade评价 META分析
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