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The laparoscopic rating scale for the evaluation of working conditions for surgical treatment of super-obesity
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作者 Oral Ospanov 《Laparoscopic, Endoscopic and Robotic Surgery》 2023年第2期78-82,共5页
In this technical note,a novel rating scale(abdominal integral index)was introduced for assessing the conditions of the working laparoscopic space based on linear measurements to select the optimal one or two-stage su... In this technical note,a novel rating scale(abdominal integral index)was introduced for assessing the conditions of the working laparoscopic space based on linear measurements to select the optimal one or two-stage surgical treatment for super-obesity.Patients with the same height and similar BMI values had different rating scale scores,reflecting different conditions of laparoscopic bariatric surgery.The rating scale helps surgeons and patients make a safe option for surgery,depending on the experience of the surgeon and technical laparoscopic conditions. 展开更多
关键词 Bariatric surgery Laparoscopic rating scale Surgical working conditions SUPER-OBESITY
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围绝经期评定量表Menopause Rating Scale(MRS)中文版信度及效度分析 被引量:10
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作者 黄琳 刘琴 刘月 《护理研究》 北大核心 2018年第21期3435-3437,共3页
[目的]测定围绝经期评定量表(MRS)中文版的信度和效度。[方法]应用MRS中文版对126例围绝经期女性进行测量,对测定结果进行信度和效度分析。[结果]MRS中文版总的Cronbach′sα系数为0.890,3个维度的Cronbach′sα系数为0.731~0.868;总... [目的]测定围绝经期评定量表(MRS)中文版的信度和效度。[方法]应用MRS中文版对126例围绝经期女性进行测量,对测定结果进行信度和效度分析。[结果]MRS中文版总的Cronbach′sα系数为0.890,3个维度的Cronbach′sα系数为0.731~0.868;总问卷的重测信度为0.887,3个维度的重测信度为0.661~0.883;探索性因子分析表明MRS中文版包括3个因子,共11个条目;3个因子可以解释总方差的73.68%;验证性因子分析显示数据拟合良好(χ2/df为1.170,近似误差均方根(RMSEA)为0.050,规范拟合指数(NFI)为0.894。[结论]MRS中文版具有良好的信度和效度,适合测量中国围绝经期妇女的生活质量。 展开更多
关键词 围绝经期 围绝经期评定量表(MRS) 生活质量 信度 效度
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Effect of Heating Rates on the Formable Oxide Scale on a C-Steel Surface 被引量:1
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作者 A.A.El-Meligi 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2004年第5期591-594,共4页
Oxide scale formation on a C-steel surface has been investigated using linear heating rates ranging from 0.1℃/min to 10℃/min at high temperatures. The studies on the oxide scale formation at high temperature (650℃)... Oxide scale formation on a C-steel surface has been investigated using linear heating rates ranging from 0.1℃/min to 10℃/min at high temperatures. The studies on the oxide scale formation at high temperature (650℃) at slower heating rate (0.1℃/min) shows that the kinetic regime is linear. X-ray diffraction measurements revealed that the scale constituents are significantly influenced by the heating rate. The adherence of the scale was improved by using slower heating rate (0.1℃/min-≤650℃), while above such degree the scale was susceptible to cracking and flaking out of the alloy surface. In fact, the development of oxide growth stresses can cause considerable scale cracking. As well, variation of the crystallite sizes under the aforementioned conditions might affect the scale stacking to the alloy surface. The secondary electron detector images of the oxide scale shows that the scale was imperfectly smooth and there were a number of voids and defects in the scale skin, especially at fast heating rate. This observation could be attributed to defects of the as-received alloy. In general, slower heating rate reduced the defects of the scale and improved its adherence. 展开更多
关键词 C-steel Oxide scale Heating rate Weight gain XRD
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Comparison of diagnostic validity of two autism rating scales for suspected autism in a large Chinese sample 被引量:4
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作者 Jia-Hui Chu Fang Bian +3 位作者 Rui-Ying Yan Yan-Lin Li Yong-Hua Cui Ying Li 《World Journal of Clinical Cases》 SCIE 2022年第4期1206-1216,共11页
BACKGROUND Autism is the most common clinical developmental disorder in children.The childhood autism rating scale(CARS)and autistic autism behavior checklist(ABC)are the most commonly used assessment scales for diagn... BACKGROUND Autism is the most common clinical developmental disorder in children.The childhood autism rating scale(CARS)and autistic autism behavior checklist(ABC)are the most commonly used assessment scales for diagnosing autism.However,the diagnostic validations and the corresponding cutoffs for CARS and ABC in individuals with suspected autism spectrum disorder(ASD)remain unclear.Furthermore,for suspected ASD in China,it remains unclear whether CARS is a better diagnostic tool than ABC.Also unclear is whether the current cutoff points for ABC and CARS are suitable for the accurate diagnosis of ASD.AIM To investigate the diagnostic validity of CARS and ABC based on a large Chinese sample.METHODS A total of 591 outpatient children from the ASD Unit at Beijing Children’s Hospital between June and November 2019 were identified.First,the Clancy autism behavior scale(CABS)was used to screen out suspected autism from these children.Then,each suspected ASD was evaluated by CARS and ABC.Receiver operating characteristic(ROC)curve analysis was used to compare diagnostic validations.We also calculated the area under the curve(AUC)for both CARS and ABC.RESULTS We found that the Cronbach alpha coefficients of CARS and ABC were 0.772 and 0.426,respectively.Therefore,the reliability of the CARS was higher than that of the ABC.In addition,we found that the correlation between CARS and CABS was 0.732.Next,we performed ROC curve analysis for CARS and ABC,which yielded AUC values of 0.846 and 0.768,respectively.The cutoff value,which is associated with the maximum Youden index,is usually applied as a decision threshold.We found that the cutoff values of CARS and ABC were 34 and 67,respectively.CONCLUSION This result indicated that CARS is superior to ABC in the Chinese population with suspected ASD. 展开更多
关键词 Suspected autism spectrum disorder CHILDREN Childhood autism rating scale Autism behavior checklist Receiver operating characteristic curve Cutoff value
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Single-Channel Speech Enhancement Using Critical-Band Rate Scale Based Improved Multi-Band Spectral Subtraction 被引量:1
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作者 Navneet Upadhyay Abhijit Karmakar 《Journal of Signal and Information Processing》 2013年第3期314-326,共13页
This paper addresses the problem of single-channel speech enhancement in the adverse environment. The critical-band rate scale based on improved multi-band spectral subtraction is investigated in this study for enhanc... This paper addresses the problem of single-channel speech enhancement in the adverse environment. The critical-band rate scale based on improved multi-band spectral subtraction is investigated in this study for enhancement of single-channel speech. In this work, the whole speech spectrum is divided into different non-uniformly spaced frequency bands in accordance with the critical-band rate scale of the psycho-acoustic model and the spectral over-subtraction is carried-out separately in each band. In addition, for the estimation of the noise from each band, the adaptive noise estimation approach is used and does not require explicit speech silence detection. The noise is estimated and updated by adaptively smoothing the noisy signal power in each band. The smoothing parameter is controlled by a-posteriori signal-to-noise ratio (SNR). For the performance analysis of the proposed algorithm, the objective measures, such as, SNR, segmental SNR, and perceptual evaluations of the speech quality are conducted for the variety of noises at different levels of SNRs. The speech spectrogram and objective evaluations of the proposed algorithm are compared with other standard speech enhancement algorithms and proved that the musical structure of the remnant noise and background noise is better suppressed by the proposed algorithm. 展开更多
关键词 SINGLE-CHANNEL SPEECH Enhancement Critical-Band RATE scale Spectral Over-Subtraction Adaptive Noise Estimation Objective Measure SPEECH Spectrograms
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Assessment of Stress Cognitive Control and Executive Function with Stress Control Rating Scale (ECOSTRESS) and Low Resolution Brain Electromagnetic Tomography (LORETA) (In Portuguese People in Situations of Unemployment and Economic Insufficiency) 被引量:1
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作者 Eduardo Gonçalves Marco Moniz Saul Neves Jesus 《Open Journal of Psychiatry》 2016年第2期158-164,共7页
This article reviews the constructs of stress, appraisal, coping, according to a transactional perspective, and executive function, and presents a stress control rating scale (ECOSTRESS), which design is founded in th... This article reviews the constructs of stress, appraisal, coping, according to a transactional perspective, and executive function, and presents a stress control rating scale (ECOSTRESS), which design is founded in these constructs. This psychometric tool is useful in the assessment of cognitive control of stress, correlated with the function of dorsolateral prefrontal cortex. It has been validated for its use in the assessment of Portuguese people in situations of stress related to unemployment and economic insufficiency. Also, within the context of the cognitive control of stress, it is highlighted the usefulness of low resolution brain electromagnetic tomography (LORETA). 展开更多
关键词 Stress Anxiety Depression MANIA Economic Insufficiency Executive Function Anterior Cingulate Cortex Dorsolateral Prefrontal Cortex Stress Control rating scale (ECOSTRESS) Low Resolution Brain Electromagnetic Tomography (LORETA) NEUROFEEDBACK
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Image Tamper Detection and Multi-Scale Self-Recovery Using Reference Embedding with Multi-Rate Data Protection 被引量:1
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作者 Navid Daneshmandpour Habibollah Danyali Mohammad Sadegh Helfroush 《China Communications》 SCIE CSCD 2019年第11期154-166,共13页
This paper proposes a multi-scale self-recovery(MSSR)approach to protect images against content forgery.The main idea is to provide more resistance against image tampering while enabling the recovery process in a mult... This paper proposes a multi-scale self-recovery(MSSR)approach to protect images against content forgery.The main idea is to provide more resistance against image tampering while enabling the recovery process in a multi-scale quality manner.In the proposed approach,the reference data composed of several parts and each part is protected by a channel coding rate according to its importance.The first part,which is used to reconstruct a rough approximation of the original image,is highly protected in order to resist against higher tampering rates.Other parts are protected with lower rates according to their importance leading to lower tolerable tampering rate(TTR),but the higher quality of the recovered images.The proposed MSSR approach is an efficient solution for the main disadvantage of the current methods,which either recover a tampered image in low tampering rates or fails when tampering rate is above the TTR value.The simulation results on 10000 test images represent the efficiency of the multi-scale self-recovery feature of the proposed approach in comparison with the existing methods. 展开更多
关键词 TAMPER detection image recovery MULTI-scale SELF-RECOVERY tolerable tampering rate
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Application of the Childhood Autism Rating Scale to Grasp Autistic Characteristics of the Trainees with Intellectual Disabilities in Agricultural Vocational Training
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作者 Masahiro Toyoda Yuko Yokota Midori Kaneko 《Journal of Behavioral and Brain Science》 2019年第8期301-312,共12页
The purpose of this study was to propose indicators for grasping autistic characteristics of people with intellectual disabilities who were going to engage in agricultural vocational training. We analyzed the data of ... The purpose of this study was to propose indicators for grasping autistic characteristics of people with intellectual disabilities who were going to engage in agricultural vocational training. We analyzed the data of the Childhood Autism Rating Scale (CARS) of 44 students at the high school course of a special needs education school who participated in agricultural vocational training. The data were divided into two groups according to the scores of “General Impressions”, one of 15 question items of the CARS: one was the group whose score was 1 (usual), and the other was the group whose scores were 1.5 to 4 (unusual). The results of the Mann-Whitney U test showed significant differences between two groups in eight items including “Relating to People” (p Relating to People” with six other items. As a result, “Relating to People” was considered to be the most effective item to know the participant’s autistic characteristics at a very early stage of training. Eventually, adding two items, “Body Use” and “Imitation” which are necessary to master agricultural tasks, to “Relating to People”, we proposed three indicators. 展开更多
关键词 AGRICULTURAL VOCATIONAL Training CARS (Childhood AUTISM rating scale) Behavioral Observation Cooperation between Agriculture and WELFARE
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Using dementia rating scales in the diagnosis of Alzheimer’s disease
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作者 Jin Qiao Jianbo Yang Qiumin Qu Jianfeng Han Guogang Luo Aiqun Ma 《Journal of Nanjing Medical University》 2006年第2期109-112,共4页
Objective: To study the significance of dementia rating scales in the diagnosis of Alzheimer' s disease(AD). Methods: Probable AD patients(118 cases) diagnosed according to NINCDS-ADRDA criteria and the normal ... Objective: To study the significance of dementia rating scales in the diagnosis of Alzheimer' s disease(AD). Methods: Probable AD patients(118 cases) diagnosed according to NINCDS-ADRDA criteria and the normal controls(100 cases) were examined with a battery of neuropsychological tests and the dementia severity of AD patients was determined with clinical dementia rating (CDR). Changed neuropsychological characteristics of different AD dementia severities were analyzed. The discriminant analysis and ROC curve analysis were perfomed to analyze the specificity, the sensitivity, and the general accuracy of various dementia rating scales in the diagnosis of AD, and the area under the ROC curve. Results: The total cognition function in mild (CDR = 1 ), moderate(CDR = 2) and severe stages(CDR=3) of AD had an obvious trend of continuous decline, with the MMSE values 17.44±2.64, 13.90±4.32, and 5.50 ± 3.90 respectively. The trend of decline of the verbal fluency function in AD was same as that of total cognition function. The visuospatial function was reduced in early stage of AD (CDR = 1 ) and completely lost in moderate and severe AD. Delay memory function began to show decline in the early stage of AD, and the decline turned apparent in moderate and severe AD. Immediate memory function showed unchanged in early stage of AD, while showed decline in moderate AD, and the decline became very quick in severe AD. The impairment of daily living ability and social activity function developed with the severity degree of AD. But the decline of social activity function was very quick in moderate stage of AD. In general, the leading scale to diagnose AD was FOM, followed by RVR, POD, MMSE, BD,ADL and DS. When MMSE was combined with one or more of FOM, RVR, BD, DS, the general accuracy in distinguishing AD from the normal controls was improved. Conclusion: Neuropsychological test is useful in the diagnosis of AD, especially in the early stage. The validity is improved when dementia rating scales are combined correctly. 展开更多
关键词 alzheimer''s disease NEUROPSYCHOLOGICAL dementia rating scale DIAGNOSIS
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Modified Multiple Scale/Segment Entropy (MMPE) Analysis of Heart Rate Variability of NHH, CHF & AF Subjects
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作者 Chodavarapu Renu Madhavi Alevoor Gopal Krishnachar Ananth 《Journal of Life Sciences》 2011年第8期593-597,共5页
关键词 Multiple scale/segment heart rate variability approximate entropy congestive heart failure atrial fibrillations.
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Growth performance and scale insect infestation of Shorea leprosula in a common garden experimental plot
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作者 Chin Hong Ng Kevin Kit Siong Ng +3 位作者 Soon Leong Lee Rempei Suwa Chai Ting Lee Lee Hong Tnah 《Journal of Forestry Research》 SCIE CAS CSCD 2023年第3期781-792,共12页
Many tree planting programmes have long been initiated to increase forest cover to mitigate the effects of global climate change.Successful planting requires careful planning at the project level,including using suita... Many tree planting programmes have long been initiated to increase forest cover to mitigate the effects of global climate change.Successful planting requires careful planning at the project level,including using suitable species with favourable traits.However,there is a paucity of improvement data for tropical tree species.An experimental common garden of Shorea leprosula was established to study traits related to growth performance which are key factors in planting success.Seedlings of S.leprosula were collected from nine geographical forest reserves.To study the effects of genetic variation,seedlings were planted in a common environment following a randomized complete block design.From performance data collected 2017‒2019,one population showed the highest coefficient for relative height growth,significantly higher than most of the other populations.Interestingly,this population from Beserah also exhibited the lowest coefficient for scale insect infestation.This study provides preliminary results on growth performance and susceptibility to scale insect infestation in S.leprosula and the first common garden experiment site conducted on dipterocarp species.It lays a foundation for future genome-wide studies. 展开更多
关键词 Root collar diameter Height scale insect Relative growth rate DIPTEROCARP
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A Glimpse into a Potential Influencing Factor of China’s Exchange Rate: Social Financing Scale
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作者 Weihao Li Zekun Hong 《Journal of Finance Research》 2022年第1期21-28,共8页
The indicator of social financing scale(SFS)has become a new intermediate target for China’s socioeconomic regulation since 2011,which has a better tracking performance on important economic indicators such as CPI an... The indicator of social financing scale(SFS)has become a new intermediate target for China’s socioeconomic regulation since 2011,which has a better tracking performance on important economic indicators such as CPI and is also the new intermediate target of monetary policy used by China’s central bank to replace M2 at present.So,is there an impact of the social financing scale on another important economic indicator,the RMB exchange rate?This paper conducted an OLS regression analysis of the time series data of social financing scale and the nominal effective exchange rate(NEER)of RMB for a total of 61 months from October 2016 to October 2021 and find that SFS has a significant positive impact on the exchange rate of RMB.This result means that the expansion of SFS will lead to the appreciation of RMB.In addition,the paper fills the research gap on the combination of SFS and RMB exchange rate,and suggests that mechanisms such as monetary policy or domestic interest rates may be responsible for this correlation at the theoretical level. 展开更多
关键词 RMB exchange rate Social financing scale Intermediate target
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Effect of Rating Scales and Test Parts of Body on the Evaluation Results of Fabric-evoked Prickle
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作者 王革辉 RON Postle 张渭源 《Journal of Donghua University(English Edition)》 EI CAS 2006年第3期102-105,共4页
The effect of rating scales and test parts of body on the fabric-evoked prickle evaluation results are studied by carrying out subjective evaluation tests under controlled environment conditions (24±1)℃,(65±... The effect of rating scales and test parts of body on the fabric-evoked prickle evaluation results are studied by carrying out subjective evaluation tests under controlled environment conditions (24±1)℃,(65±5) %RH. Ten college female students aged about 20 were chosen as the subjects, who have participated a preliminary training on subjective prickle evaluation. The prickle of a range of 9 light-weight worsted woven wool and wool blend fabrics and a cotton fabric were tested by using a 15 rating scale and using a 010 rating scale respectively at different test parts of body respectively such as forearm, upper arm ball and neck back. The test results were statistically analyzed. It is found that there is a significant correlation coefficient between the evaluation results of using the 15 rating scale and of using the 010 rating scale. It is also found that there are highly significant correlation coefficients between the evaluation results of using the forearm prickle test and the neck back prickle test, between the evaluation results of using the neck back prickle test and the upper arm ball prickle test, and between the evaluation results of using the forearm prickle test and the upper arm ball prickle test. It is suggested that the forearm prickle test is preferable in evaluating fabric-evoked prickle for its convenience and sensitivity. 展开更多
关键词 主观评价 等级量表 前臂测试 服装设计
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《内经》“关刺”联合“合谷刺”治疗不宁腿综合征疗效观察 被引量:1
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作者 杨文佳 赵娜 +4 位作者 于心同 唐琳 高晓林 梁瑞珑 陈云飞 《上海针灸杂志》 CSCD 2024年第1期47-52,共6页
目的 观察《内经》“关刺”联合“合谷刺”治疗不宁腿综合征(restless legs syndrome, RLS)的临床疗效。方法 将100例RLS患者随机分为治疗组(50例,脱落1例)和对照组(50例,脱落2例)。治疗组给予“关刺”联合“合谷刺”治疗,阳陵泉、膝关... 目的 观察《内经》“关刺”联合“合谷刺”治疗不宁腿综合征(restless legs syndrome, RLS)的临床疗效。方法 将100例RLS患者随机分为治疗组(50例,脱落1例)和对照组(50例,脱落2例)。治疗组给予“关刺”联合“合谷刺”治疗,阳陵泉、膝关、丘墟采用关刺法,伏兔、丰隆、漏谷采用合谷刺法;对照组给予假针刺治疗。治疗前后采用国际RLS评定量表(international restless leg syndrome scale, IRLSS)评价患者不宁腿严重程度,采用RLS生活质量量表(RLS quality of Life, RLSQoL)评价患者生活质量,采用失眠严重指数量表(insomnia severity index, ISI)评价患者的睡眠情况,并比较两组临床疗效。结果 治疗组总有效率为91.8%,显著高于对照组的41.7%(P<0.01)。治疗后,治疗组IRLSS评分低于治疗前和对照组(P<0.01),治疗组RLSQoL评分高于治疗前和对照组(P<0.01),治疗组ISI评分低于治疗前和对照组(P<0.01)。对照组治疗前后各项评分比较,差异无统计学意义(P>0.05)。结论 《内经》“关刺”联合“合谷刺”可显著改善RLS患者临床症状,在中医学理论的指导下拓展了《内经》五刺法的临床应用。 展开更多
关键词 针刺疗法 不宁腿综合征 关刺 合谷刺 国际不宁腿综合征评定量表 不宁腿综合征生活质量量表
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认知行为干预对伴焦虑状态突发性聋治疗的疗效分析
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作者 王漾 赵春杰 +2 位作者 叶放蕾 朱晓丹 齐景翠 《中华耳科学杂志》 CSCD 北大核心 2024年第1期58-60,共3页
目的分析认知行为干预对治疗伴焦虑状态突发性聋的疗效。方法选取2020年6月—2022年6月郑州大学第一附属医院收治的突发性聋患者353例,其中低频型108例,高频型72例,平坦型81例,全聋型92例。入院24 h内独立完成焦虑自评量表(SAS)评分,标... 目的分析认知行为干预对治疗伴焦虑状态突发性聋的疗效。方法选取2020年6月—2022年6月郑州大学第一附属医院收治的突发性聋患者353例,其中低频型108例,高频型72例,平坦型81例,全聋型92例。入院24 h内独立完成焦虑自评量表(SAS)评分,标准分>50分,汉密尔顿焦虑量表(HAMA)评分,标准分>17分接受认知行为干预为A组192例,未接受认知行为干预为B组161例,依据突发性聋诊断和治疗指南(2015)进行治疗。A组患者额外接受认知行为干预治疗。结果A、B两组中,低频型患者治疗有效率分别为90.38%(47/52)、75.00%(42/56),高频型患者治疗有效率分别为64.81%(35/54)、61.11%(11/18),平坦型患者治疗有效率分别为77.27%(34/44)、48.65%(18/37),全聋型患者治疗有效疗有效率分别为76.19%(32/42)、52.00%(26/50),A组中低频型、平坦型、全聋型治疗有效率高于B组;A组治疗总有效率高于B组,差异有统计学意义(P<0.05)。结论认知行为干预可提高伴焦虑状态的低频下降型、平坦型、全聋型治疗有效率及治疗总有效率。 展开更多
关键词 认知行为干预 焦虑 突发性聋 焦虑自评量表 汉密尔顿焦虑量表
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关节镜下肩袖缝线桥缝合术后疼痛的原因分析
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作者 司丽娜 罗金伟 +3 位作者 吴迪 乔跃兵 吕永明 徐丛 《解剖学报》 CAS CSCD 2024年第2期210-214,共5页
目的探讨关节镜下肩袖缝线桥缝合术后患者疼痛的相关因素。方法收集112例接受关节镜下缝线桥缝合的单侧肩袖损伤患者资料,以电话随访的形式,通过数字评分法(NRS)调查患者术后3个月时疼痛情况;SPSS 23.0统计学软件录入数据并分析,采用单... 目的探讨关节镜下肩袖缝线桥缝合术后患者疼痛的相关因素。方法收集112例接受关节镜下缝线桥缝合的单侧肩袖损伤患者资料,以电话随访的形式,通过数字评分法(NRS)调查患者术后3个月时疼痛情况;SPSS 23.0统计学软件录入数据并分析,采用单因素分析及多重线性回归分析,评价上述影响因素与术后疼痛的相关性。结果单因素分析结果显示,病程、吸烟史、患者术前美国加利福尼亚大学洛杉矶分校(UCLA)评分、Constant评分、NRS、肩袖撕裂大小、是否为全层撕裂和肌腱回缩程度8个因素可能与术后疼痛有关(P<0.05)。而患者的年龄、性别、身体质量指数(BMI)、饮酒史、是否合并糖尿病及高血压则与术后疼痛无关(P>0.05)。多重线性回归分析表明,与术后疼痛相关的因素有4个,其相关程度依次是术前NRS、术前UCLA评分、撕裂大小和吸烟史。结论影响关节镜下肩袖缝线桥缝合术术后疼痛的复杂且多样,进行术后疼痛的原因分析,可有效减轻患者术后的疼痛,有助于促进肩着节功能恢复。 展开更多
关键词 肩袖损伤 术后疼痛 关节镜 数字评分法
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基于心率变异性的阵发性心房颤动预测方法
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作者 牛晓东 柴国强 +3 位作者 王大为 卢莉蓉 韩玲娜 连亚军 《中国医学物理学杂志》 CSCD 2024年第5期579-587,共9页
基于心率变异性(HRV)的特征分析,提出一种患者阵发性房颤(PAF)发作的预测系统方法。首先,基于一种新的自适应滤波技术逐次平滑滤波并粗粒化HRV后,采用熵量化HRV在多个自适应尺度的复杂性特征;其次,特征经MinMax归一化和序列前向选择特... 基于心率变异性(HRV)的特征分析,提出一种患者阵发性房颤(PAF)发作的预测系统方法。首先,基于一种新的自适应滤波技术逐次平滑滤波并粗粒化HRV后,采用熵量化HRV在多个自适应尺度的复杂性特征;其次,特征经MinMax归一化和序列前向选择特征子集,输入支持向量机识别HRV类型,预测PAF发作。经50例时长5 min HRV序列集的五折交叉验证,得到最优预测结果为:准确率98%,敏感性100%,特异性96%,性能表现优越。另外,实验表明远离和紧随PAF时的HRV复杂性特征值在不同频率段内,分别具有不同的显著变化(P<0.05),反映受试者神经系统调节心脏节律改变,以及调控机体、应激等适应外界环境变化能力的下降。 展开更多
关键词 阵发性房颤 心率变异性 尺度 积分均值模式分解
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基于视频库的翻转课堂在运动障碍疾病教学中的应用
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作者 吴盛 王波 +2 位作者 欧阳志远 罗巍 岑志栋 《中国继续医学教育》 2024年第15期17-21,共5页
目的探讨基于视频库的翻转课堂在运动障碍疾病教学中的效果。方法建立运动障碍疾病标准化诊断视频库。将2020年6—12月在浙江大学医学院附属第二医院神经内科实习的本科阶段医学生分为对照组和教改组。对照组采用常规教学方法,教改组采... 目的探讨基于视频库的翻转课堂在运动障碍疾病教学中的效果。方法建立运动障碍疾病标准化诊断视频库。将2020年6—12月在浙江大学医学院附属第二医院神经内科实习的本科阶段医学生分为对照组和教改组。对照组采用常规教学方法,教改组采用翻转课堂法。课后2组学生进行国际帕金森和运动障碍协会统一帕金森病评分量表第3部分(unified parkinson’s disease rating scale,UPDRS-3)评估,统计与标准分的差距。2组互换教学模式,再次评估MDS-UPDRS-3量表。最后,进行2组间教学满意度的评价比较。结果第一阶段结束,对照组与标准分差值Δ_(A1)为(7.43±2.60)分、教改组与标准分差值Δ_(B1)为(4.90±2.62)分,教改组小于对照组(P<0.05)。第二阶段结束,2组学生评分与标准分差值Δ_(A2)和Δ_(B2)的差异无统计学意义(P>0.05)。教改组的教学满意度高于对照组(P<0.01)。结论与传统的教学方式相比,基于视频学习的翻转课堂可以使学生更快、更好地掌握帕金森病的诊断思路和查体方法。同时在学生满意度方面也有很大的优势,体现了这种方法在运动障碍疾病教学中的良好效果。 展开更多
关键词 翻转课堂 帕金森病 统一帕金森病评分量表 运动障碍 多媒体教学 教学改革
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老年期精神分裂症社会支持度及其影响因素:基于144名连续抽样住院患者的横断面研究
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作者 叶君荣 李玉琳 +7 位作者 陈娇 陆雪玲 肖爱祥 黄杏笑 王琛 魏燕恒 杨航 袁乐欣 《广州医科大学学报》 2024年第2期14-18,共5页
目的:探讨老年期精神分裂住院患者社会支持度及影响因素。方法:采用连续抽样的方法招募了2021年3月至2023年12月广州医科大学附属脑科医院老年精神科的144例精神分裂症住院患者作为研究对象,使用社会支持度量表(SSRS)调查患者社会支持情... 目的:探讨老年期精神分裂住院患者社会支持度及影响因素。方法:采用连续抽样的方法招募了2021年3月至2023年12月广州医科大学附属脑科医院老年精神科的144例精神分裂症住院患者作为研究对象,使用社会支持度量表(SSRS)调查患者社会支持情况,收集数据包括基本资料、精神症状情况等。结果:144例老年精神分裂症患者的SSRS总分为28.29±5.67,单因素分析结果显示,老年期精神分裂症患者社会支持的影响因素为病程,婚姻状况与照顾者(P<0.05)。多元线性回归结果显示,老年期精神分裂症患者的社会支持主要与主要照顾者(他人照顾)(β=2.836,95%CI:0.515~5.158,P=0.017),婚姻状况(无伴侣)(β=-2.725,95%CI:-4.627~-0.824,P=0.005),简明精神病量表(BPRS)中的敌对猜疑因素(β=-0.488,95%CI:-0.739~-0.250,P<0.001)有关。结论:受他人照顾、有伴侣与精神行为症状中的敌对猜疑是老年期精神分裂住院患者社会支持度的主要影响因素。 展开更多
关键词 老年期 精神分裂症 社会支持度 横断面研究
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声刺激联合认知行为治疗慢性耳鸣的初步探讨
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作者 陈红 张小莉 +2 位作者 沈晓辉 钱晓云 高下 《中国耳鼻咽喉颅底外科杂志》 CAS CSCD 2024年第2期77-84,共8页
目的 探讨声刺激联合认知行为治疗(CBT)对慢性耳鸣的临床疗效。方法 本研究将49例慢性耳鸣患者按照随机数字表法分为干预组(25例)和对照组(24例),所有患者均行声音刺激1个月。干预组患者同时接受持续1个月的个体化的CBT,对照组患者不接... 目的 探讨声刺激联合认知行为治疗(CBT)对慢性耳鸣的临床疗效。方法 本研究将49例慢性耳鸣患者按照随机数字表法分为干预组(25例)和对照组(24例),所有患者均行声音刺激1个月。干预组患者同时接受持续1个月的个体化的CBT,对照组患者不接受个体化CBT。所有患者在治疗前和治疗后30 d均需填写问卷,包括耳鸣残疾评估量表(THI)、焦虑自评量表(SAS)及匹兹堡睡眠质量指数(PSQI)。结果 两组患者均完成临床试验。治疗1个月后观察,对照组患者THI、SAS、PSQI的平均值分别下降15.58、15.46、4.96,干预组患者THI、SAS、PSQI的平均值分别下降40.52、41.76、7.72,差异具有统计学意义(P<0.05);且干预组患者THI、SAS、PSQI的得分均明显低于对照组。结论 声音刺激和CBT可以预测治疗效果,声音刺激联合CBT的治疗效果优于单独的声音刺激。性别、年龄和听力障碍是耳鸣最相关的危险因素。 展开更多
关键词 慢性耳鸣 耳鸣残疾评估量表 焦虑自评量表 匹兹堡睡眠质量指数 声刺激 认知行为治疗
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