提出一种高精度的ZWD模型(tianjin_zwd,TZ)。TZ基于2016-2018年逐小时气压分层的ERA5,欧洲中尺度气象预报中心第五代再分析产品数据,采用BP神经网络建立。然后,根据2019年的ERA5产品导出的ZWD对TZ模型进行了验证。结果表明:相比GPT3模型...提出一种高精度的ZWD模型(tianjin_zwd,TZ)。TZ基于2016-2018年逐小时气压分层的ERA5,欧洲中尺度气象预报中心第五代再分析产品数据,采用BP神经网络建立。然后,根据2019年的ERA5产品导出的ZWD对TZ模型进行了验证。结果表明:相比GPT3模型,TZ模型可提供更贴近真值的ZWD估值;并且,其RMSE由5.0 cm (GPT3)降至4.5 cm,表明10%的精度提升。上述结果表明TZ模型实现了更优的预测性能,该模型的构建策略可为全国其他地区的ZWD建模提供借鉴。展开更多
Auspicious pulse diagnosis/pregnancy diagnosis in traditional Chinese medicine involves such issues as medical skills,narrative skills,family decency,and ethics.It is an excellent case for the exploration of ethical d...Auspicious pulse diagnosis/pregnancy diagnosis in traditional Chinese medicine involves such issues as medical skills,narrative skills,family decency,and ethics.It is an excellent case for the exploration of ethical dilemmas in traditional Chinese medical practice.The early classical medical texts such as Su Wen(Basic Questions)and Ling Shu Jing(Spiritual Pivot Canon)provide a principle-based ethical guide for doctor-patient communication,while popular fiction such as Hong Lou Meng(A Dream of Red Mansions),Yu Mu Xing Xin Bian(Stories:Entertain to Enlighten),and Feng Yue Meng(Courtesans and Opium)in the Ming and Qing dynasties present literary examples for solving ethical dilemmas.This article will analyze these texts from three perspectives.First,the doctors in the text were subject to gender order and other delicate etiquette and customs,therefore were unable to make the diagnosis without embarrassing the patients and jeopardizing family decency.Second,the narrator tends to attribute pregnancy misdiagnosis to three reasons:incomplete patient information,doctors’poor narrative competence,and doctors’corrupted medical ethics.Finally,the Ming-Qing fiction proposes three methods to solve this moral dilemma:clear pulse reading,tactful speech,and taboo challenging.This discussion of moral dilemmas in pregnancy diagnosis in traditional Chinese medical practice can be used as a reference for the localization of narrative medicine.展开更多
文摘提出一种高精度的ZWD模型(tianjin_zwd,TZ)。TZ基于2016-2018年逐小时气压分层的ERA5,欧洲中尺度气象预报中心第五代再分析产品数据,采用BP神经网络建立。然后,根据2019年的ERA5产品导出的ZWD对TZ模型进行了验证。结果表明:相比GPT3模型,TZ模型可提供更贴近真值的ZWD估值;并且,其RMSE由5.0 cm (GPT3)降至4.5 cm,表明10%的精度提升。上述结果表明TZ模型实现了更优的预测性能,该模型的构建策略可为全国其他地区的ZWD建模提供借鉴。
基金This article is sponsored by the National Social Science Fund of China project“Building of the Database Construction of Health for All”(No.21ZDA130).
文摘Auspicious pulse diagnosis/pregnancy diagnosis in traditional Chinese medicine involves such issues as medical skills,narrative skills,family decency,and ethics.It is an excellent case for the exploration of ethical dilemmas in traditional Chinese medical practice.The early classical medical texts such as Su Wen(Basic Questions)and Ling Shu Jing(Spiritual Pivot Canon)provide a principle-based ethical guide for doctor-patient communication,while popular fiction such as Hong Lou Meng(A Dream of Red Mansions),Yu Mu Xing Xin Bian(Stories:Entertain to Enlighten),and Feng Yue Meng(Courtesans and Opium)in the Ming and Qing dynasties present literary examples for solving ethical dilemmas.This article will analyze these texts from three perspectives.First,the doctors in the text were subject to gender order and other delicate etiquette and customs,therefore were unable to make the diagnosis without embarrassing the patients and jeopardizing family decency.Second,the narrator tends to attribute pregnancy misdiagnosis to three reasons:incomplete patient information,doctors’poor narrative competence,and doctors’corrupted medical ethics.Finally,the Ming-Qing fiction proposes three methods to solve this moral dilemma:clear pulse reading,tactful speech,and taboo challenging.This discussion of moral dilemmas in pregnancy diagnosis in traditional Chinese medical practice can be used as a reference for the localization of narrative medicine.
