Readmission rate and early complications in patients undergoing total knee arthroplasty:A retrospective study

BACKGROUND Total knee arthroplasty(TKA)can improve pain,quality of life,and functional outcomes.Although uncommon,postoperative complications are extremely consequential and thus must be carefully tracked and communicated to patients to assist their decision-making before surgery.Identification of the risk factors for complications and readmissions after TKA,taking into account common causes,temporal trends,and risk variables that can be changed or left unmodified,will benefit this process.AIM To assess readmission rates,early complications and their causes after TKA at 30 days and 90 days post-surgery.METHODS This was a prospective and retrospective study of 633 patients who underwent TKA at our hospital between January 1,2017,and February 28,2022.Of the 633 patients,28 were not contactable,leaving 609 who met the inclusion criteria.Both inpatient and outpatient hospital records were retrieved,and observations were noted in the data collection forms.RESULTS Following TKA,the 30-day and 90-day readmission rates were determined to be 1.1%(n=7)and 1.8%(n=11),respectively.The unplanned visit rate at 30 days following TKA was 2.6%(n=16)and at 90 days was 4.6%(n=28).At 90 days,the unplanned readmission rate was 1.4%(n=9).Reasons for readmissions included medical(27.2%,n=3)and surgical(72.7%,n=8).Unplanned readmissions and visits within 90 days of follow-up did not substantially differ by age group(P=0.922),body mass index(BMI)(P=0.633),unilateral vs bilateral TKA(P=0.696),or patient comorbidity status(30-day P=0.171 and 90-day P=0.813).Reoperation rates after TKA were 0.66%(n=4)at 30 days and 1.15%(n=8)at 90 days.The average length of stay was 6.53 days.CONCLUSION In this study,there was a low readmission rate following TKA.There was no significant correlation between readmission rate and patient factors such as age,BMI,and co-morbidity status.

Effects of Different Decolorants on Retention Rate of Total Triterpenes in Fruit and Rattan Stems of Schisandra chinensis(Turcz.) Baill

This study was to investigate the decoloration effects of activated clay, activated carbon, diatomite, Ca group bentonite, kaolin, activated aluminum oxide, magnesium oxide and attapulgite. Ultraviolet-visible spectroscopywas adopted to de- tect the absorbanees of the extracts of Schisandra chinensis fruit and rattan stems, the contents of total triterpenoids in S. chinensis fruit and rattan stems were deter- mined, and the decoloration rate and the retention rate of total triterpenoids of S. chi- nensis fruit and rattan stems were calculated. The results indicated that, attapulgite exhibited the best decoloration effect on the extract of S. chinensis fruit, with a de- coloration rate up to 60.47%, activated carbon exhibited a better decoloration effect on the extract of S. chinensis rattan stems, with a decoloration rate up to 69.24%, and they had relatively higher retention rates of total triterpenoids. In the eight de- colorants, attapulgite showed the best decoloration effect on the extract of S. chi- nensis fruit, and activated carbon exhibited the best decoloration effect on the ex- tract of S. chinensisrattan stems.

Estimating time-based instantaneous total mortality rate based on the age-structured abundance index

The instantaneous total mortality rate(Z) of a fish population is one of the important parameters in fisheries stock assessment. The estimation of Z is crucial to fish population dynamics analysis,abundance and catch forecast,and fisheries management. A catch curve-based method for estimating time-based Z and its change trend from catch per unit effort(CPUE) data of multiple cohorts is developed. Unlike the traditional catch-curve method,the method developed here does not need the assumption of constant Z throughout the time,but the Z values in n continuous years are assumed constant,and then the Z values in different n continuous years are estimated using the age-based CPUE data within these years. The results of the simulation analyses show that the trends of the estimated time-based Z are consistent with the trends of the true Z,and the estimated rates of change from this approach are close to the true change rates(the relative differences between the change rates of the estimated Z and the true Z are smaller than 10%). Variations of both Z and recruitment can affect the estimates of Z value and the trend of Z. The most appropriate value of n can be different given the effects of different factors. Therefore,the appropriate value of n for different fisheries should be determined through a simulation analysis as we demonstrated in this study. Further analyses suggested that selectivity and age estimation are also two factors that can affect the estimated Z values if there is error in either of them,but the estimated change rates of Z are still close to the true change rates. We also applied this approach to the Atlantic cod(G adus morhua) fishery of eastern Newfoundland and Labrador from 1983 to 1997,and obtained reasonable estimates of time-based Z.

Influence of the total gas flow rate on high rate growth microcrystalline silicon films and solar cells

This paper reports that high-rate-deposition of microcrystalline silicon solar cells was performed by very-highfrequency plasma-enhanced chemical vapor deposition. These solar cells, whose intrinsic μc-Si：H layers were prepared by using a different total gas flow rate （Ftotal）, behave much differently in performance, although their intrinsic layers have similar crystalline volume fraction, opto-electronic properties and a deposition rate of - 1.0 nm/s. The influence of Ftotal on the micro-structural properties was analyzed by Raman and Fourier transformed infrared measurements. The results showed that the vertical uniformity and the compact degree of μc-Si：H thin films were improved with increasing Ftotal. The variation of the microstructure was regarded as the main reason for the difference of the J V parameters. Combined with optical emission spectroscopy, we found that the gas temperature plays an important role in determining the microstructure of thin films. With Ftotal of 300 sccm, a conversion efficiency of 8.11% has been obtained for the intrinsic layer deposited at 8.5 A/s （1 A=0.1 nm）.

Optimal use of fielder XT guidewire enhances the success rate of chronic total occlusion percutaneous coronary intervention

BACKGROUND Chronic total occlusion(CTO) is found in 18-31% of patients who undergo coronary angiography. Successful recanalization of CTOs is associated with reduced recurrent angina pectoris rates and increased long-term survival.Although the success rate of CTO percutaneous coronary intervention(CTO-PCI)has improved, CTO-PCI remains technically challenging. The Fielder XT guidewire was designed for CTO lesions. To validate whether the use of the guidewire increases the success rate, we compared the results of CTO-PCI with or without the guidewire. We hypothesized that the use of Fielder XT guidewire can increase the success rate of CTO-PCI.AIM To investigate whether the use of Fielder XT guidewire increases the final procedural success of CTO-PCI via the anterograde approach.METHODS Between January 2013 and December 2015, a retrospective study was conducted on 1230 consecutive patients with CTO who received PCI via the anterograde approach at the General Hospital of Northern Theater Command. The patients were divided into an XT Group(n = 686) and a no-XT Group(n = 544) depending on whether Fielder XT guidewire was used. Both groups were compared for clinical parameters, lesion-related characteristics, procedural outcomes and inhospital complications. The data were statistically analyzed using Pearson's χ~2 test for categorical variables, and Students' t test was used to compare the quantitative data. Significant independent factors and a risk ratio with 95%confidence interval(CI) were assessed by multivariate logistic regression analysis.RESULTS In total, 1230 patients were recruited; 75.4% of the patients were male, and 55.8%of the patients were in the XT group. The overall success rate was 83.9%, with87.8% in the XT group. Based on multivariate logistic regression analysis, factors positively associated with procedural success were the use of Fielder XT guidewire(P = 0.005, 95%CI: 1.172-2.380) and systolic blood pressure(P = 0.011,95%CI: 1.003-1.022), while factors negatively associated with procedural success were blunt stump(P = 0.013, 95%CI: 1.341-11.862), male sex(P = 0.016, 95%CI:0.363-0.902), New York Heart Association(NYHA) class(P = 0.035, 95%CI: 0.553-0.979), contrast amount(P = 0.018, 95%CI: 0.983-0.998) and occlusion time(P =0.009, 95%CI: 0.994-0.999). No significant differences were found between the XT group and the no-XT group with respect to clinical parameters, lesion-related characteristics, coronary artery rupture [3(0.4%) vs 8(1.5%), P = 0.056], inhospital death [2(0.3%) vs 6(1.1%), P = 0.079] or in-hospital target lesion revascularization [3(0.4%) vs 7(1.3%), P < 0.099]. However, there were significant differences between the groups with respect to success rate [602(87.8%) vs 430(79.0%), P < 0.001], procedure time [(74 ± 23) vs(83 ± 21), P < 0.001], stent length[(32.0 ± 15.8) vs(37.3 ± 17.6), P < 0.001], contrast amount [(148 ± 46) vs(166 ± 43),P < 0.001], post-PCI myocardial infarction [43(6.3%) vs 59(10.8%), P = 0.004],major adverse cardiovascular event [44(6.4%) vs 57(10.7%), P = 0.007], side branch loss [31(4.5%) vs 44(8.1%), P = 0.009], contrast-induced nephropathy [29(4.2%) vs 40(7.4%), P = 0.018] and no reflow [8(1.2%) vs 14(2.9%), P = 0.034].CONCLUSION The use of Fielder XT guidewire shortens the Procedure and increases the success rate of CTO-PCI, and is also associated with reduced complication rates.

Commissioning and Optimization of a Total Skin Electron Therapy Technique Using a High Dose Rate Electron Facility

Total skin electron therapy (TSET) is used for the treatment of Mycosis Fungoides. Several tech-niques have been developed, in order to achieve homogeneous dose distribution over the complete body surface. To implement a TSET technique, one has to optimize a variety of parameters. Monte Carlo simulation of TSET can facilitate this optimization. The aim of this study was to commission and optimize a TSET technique using the 4 and 6 MeV electron and the high dose rate facility on the Elekta Precise accelerator. The EGS4nrc/BEAMnrc Monte Carlo code was used. The beam data were calculated and measured at two different scoring planes for a single beam. The Model was validated by comparing the simulation with measurements. Two different vertical angles were used to obtain a uniform dose. The angle was optimized for best dose uniformity. The Rando phantom is placed on a rotating platform and rotates 60 degrees apart to facilitate the six patient position orientations. The doses delivered in a phantom by complete treatment were measured with Kodak EDR2 films and TLDs. The dose distribution varied among various scanning directions by 2 - 3 mm and 3 - 4 mm for 4 and 6 MeV respectively. The composite percentage depth dose of all six dual fields for the 4 and 6 MeV yielded an R80 of ~4 mm and ~6 mm, respectively. Dose uniformity was ±6% for 4 MeV and ±5% for 6 MeV. The bremsstrahlung contamination was 0.9% - 1.3%. Good agreements were found with published literature and inline with international protocols.

增值税减税能否提高制造业企业全要素生产率?--基于增值税税率下调事件的经验研究

深化税制改革是激发市场主体活力、加快制造业转型、实现经济高质量发展的重要路径。基于2016—2020年中国沪深A股上市公司数据,研究了2018年和2019年增值税税率下调对制造业企业全要素生产率的影响。研究发现,增值税减税提高了制造业企业的全要素生产率。异质性分析结果显示,对于市场竞争地位高、国有产权、处于成熟期以及高市场化地区的企业而言,增值税减税对全要素生产率的提升效应显著。渠道分析表明,研发投入、人力资本投入以及资本配置效率是增值税减税影响企业全要素生产率的主要渠道。因此,政府部门应继续深化增值税改革,缩小制造业与其他行业的税率差异,切实减轻制造业企业税收负担,同时应加大对民营、初创等弱势企业的财政扶持力度,全面提高各类企业的全要素生产率。

纤维素酶辅助提取马齿苋总黄酮工艺优化及抑菌分析研究

用纤维素酶处理马齿苋,利用响应面设计,从纤维素酶添加量、酶解时间、酶解温度、酶解pH值四个因素优化纤维素酶处理后的黄酮提取率。对马齿苋提取物粗粉中的总黄酮进行抑菌试验。结果表明:脱脂后的马齿苋经测定黄酮类化合物含量为5.32%。最佳工艺条件为酶解温度50℃,酶的添加量0.6%,酶解时间1.8 h,酶解的pH值4.5,所得黄酮提取率6.09%,与未经酶处理相比,提取率提高1.14倍。对验证试验的黄酮粗粉进行抑菌试验,表明对金黄色葡萄球菌和大肠杆菌均有抑制作用,其中对大肠杆菌的抑菌效果较好。马齿苋经过纤维素酶酶解后,黄酮分子从细胞内溶出,提高马齿苋黄酮的提取率,提取的黄酮粗粉有抑菌活性,本研究为马齿苋黄酮的分离纯化、功能性研究提供支持。

脱萼剂对“浙梨6号”果实品质与着果率的影响

针对“浙梨6号”因部分萼片宿存或残存、果顶尖凸等而影响果实品相问题,选择PBO、氟硅唑、丙环唑3种脱萼剂,以清水为对照进行试验。结果表明:与对照相比,3种脱萼剂处理果实的脱萼率提高23.27~26.01百分点,果顶尖凸率降低24.55~26.44百分点,扁圆果占比、单果质量、可溶性固形物含量分别增加33.19~37.66百分点、37.9~57.1 g和0.68~0.94百分点,但果实偏斜度、全锈果率分别偏高0.54~0.74和18.36~19.23百分点,端正果率、着果率分别下降15.89~21.07和5.43~6.62百分点,差异达显著或极显著水平。上述3种脱萼剂分别选择4000、333.3、444.4 mg·L^(-1)和花序分离期进行喷施,在保证脱萼防凸效果的同时,可有效降低对着果率及果形端正度等的不利影响。

LID设施布局对城市径流与污染负荷影响评估

关于低影响开发(LID)空间布局对水量水质控制效果影响的研究较为缺乏。针对上述问题,以郑州市中原区为对象,基于SWMM模型原理构建布设LID设施的研究区城市水量水质模型。所提模型依据城市综合径流系数的经验值以及研究区实际情况,将中原区划分为城市建筑高、中、低密集区,并在研究区高、中、低密集子汇水区布设不同比例的LID设施(S1~S5),计算不同雨量级别下不同空间格局下的LID设施对水量水质的控制效果。结果表明:随着雨量级别的增大,LID方案的径流总量削减率、峰值流量削减率和TSS负荷削减率不断减小。在降雨级别为暴雨、大雨和中雨时,在高、中、低密集子汇水区布设占比分别为35%、35%和30%的LID方案(S5),其径流总量削减率超过80%,峰值流量削减率超过70%,且TSS负荷削减率超过50%。从各事件下水量与水质综合指标评估来看,该方案表现最佳。

考虑占用率的大型停车库泊位动态分配模型

为提高驾驶员泊车效率,本文考虑不同停车库占用率下的停车库运营者及驾驶员泊位分配需求,构建大型停车库泊位分配模型。本文引入停车库占用率将停车库空满等级划分为空闲泊位充裕时段、空闲泊位适中时段、空闲泊位紧缺时段,综合考虑停车库运营者运营管理需求与驾驶员快速寻泊需求,以寻位行驶时间、离开停车库行驶时间为参数构建运营管理时间效用函数,以寻位行驶时间、停车入位耗时、步行时间为参数构建驾驶员泊车耗时效用函数;将运营管理时间效用与驾驶员泊车耗时效用加权统一为总时间效用,以总时间效用最大化为目标,建立兼顾停车库运营者及驾驶员泊位分配需求的泊位分配模型;引入泊位利用率、停车总耗时量化模型性能。以西安市某大型商业停车库为例,选取9:00、11:30、13:00表征空闲泊位充裕、空闲泊位适中、空闲泊位紧缺时段进行泊位分配。不同停车库空满等级下,停车库内空闲泊位的总时间效用与停车总耗时均呈负显著相关,其中,空闲泊位充裕时段,停车库内空闲泊位的总时间效用与停车总耗时的相关性最弱,相关系数为-0.461;空闲泊位紧缺时段,停车库内空闲泊位的总时间效用与泊位利用率呈正显著相关,相关系数为0.710。研究表明本模型可在优选停车总耗时较小泊位的基础上,为停车高峰时段预留利用率较高的泊位,提高空闲泊位紧缺时段的泊车效率及驾驶员的泊车满意度。

我国省际全要素生产率的对比分析研究

传统的按照索洛方法计算的广义技术进步率并不是本来意义上的全要素生产率。因此,本文重新构建全要素生产率的测度框架。一是明确定义全要素生产率,即一定时期内,按照现有的技术条件和产业结构比例,每投入一个单位的全部生产要素所能够带来的最终产出。二是利用有关统计数据估算省级层面有效资本存量,并分别构建各省份合适的计量模型估计其在不同发展阶段的要素产出弹性系数,进而测度各省份全要素生产率以及因全要素生产率变动所带来的经济增长率(简称全要素经济增长率)。实证分析结果表明,一般情况下,经济越发达省份的全要素生产率也越高,但是经济发达省份的全要素经济增长率并不一定高于经济欠发达省份。该结果不仅与常识相符,而且也合理解释了各省份生产效率与技术进步之间的联系与区别,验证了本文所提出的测度框架及方法的可行性。

镰刀状小针刀微创治疗对手指屈肌腱狭窄性腱鞘炎的效果

目的探讨自制式镰刀状小针刀微创治疗对手指屈肌腱狭窄性腱鞘炎患者疼痛程度及总治愈率的影响。方法选取手指屈肌腱狭窄性腱鞘炎患者100例,按随机数字表法分为对照组和观察组,每组50例。对照组采用开放手术治疗,观察组采用自制式镰刀状小针刀微创治疗。比较2组手术指标、疼痛程度、炎性因子、并发症发生率以及总治愈率。结果观察组各项手术指标改善均优于对照组;2组手术后视觉模拟评分法(VAS)评分均低于手术前,手术后即刻、手术后7 d、手术后6个月观察组VAS评分均低于对照组;手术后2组血清白细胞介素-6(IL-6)、超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)均降低,且观察组低于对照组;观察组并发症发生率低于对照组,总治愈率高于对照组,以上差异均有统计学意义(P<0.05)。结论手指屈肌腱狭窄性腱鞘炎患者应用自制式镰刀状小针刀微创治疗的总治愈率较高,可减轻患者疼痛程度和机体炎症反应,降低并发症发生率,加快术后恢复。

瑞马唑仑联合不同剂量丙泊酚对腹腔镜下全子宫切除术患者麻醉诱导镇静及不良反应的影响

目的探究瑞马唑仑联合不同剂量丙泊酚对腹腔镜下全子宫切除术患者麻醉诱导镇静及不良反应的影响。方法选取2021年4月至2023年8月行腹腔镜下全子宫切除术患者96例,采用随机数字表法分为A、B组各48例,患者均采用瑞马唑仑联合丙泊酚进行麻醉诱导,其中A组丙泊酚剂量为0.5 mg/kg,B组丙泊酚剂量为1.0 mg/kg。比较2组围术期指标、麻醉诱导情况,麻醉诱导开始时(T0)、机械通气前即刻(T1)及机械通气3 min(T2)时血流动力学指标及术中术后不良反应发生情况。结果2组手术时间、术中出血量、补液量比较差异均无统计学意义(P>0.05)。B组麻醉诱导时间短于A组,丙泊酚补救患者少于A组(P<0.05,P<001)。2组T0~T2时心率(HR)、平均动脉压(MAP)、脑电双频指数(BIS)均呈下降趋势(P<0.05),但2组同一时间点HR、MAP、BIS比较无明显差异(P>0.05)。B组总不良反应发生率为60.42%高于A组的25.00%(P<001)。结论瑞马唑仑联合小剂量丙泊酚在腹腔镜下全子宫切除术中可发挥较好的镇静作用和血流动力学稳定作用,丙泊酚剂量为1.0 mg/kg时镇静作用更佳,但不良反应发生率较高。

辊模在高碳钢丝连续拉拔中的应用

采用2种拉拔应变对高碳钢丝进行辊模拉拔,并与传统拉拔对比。结果表明:在拉拔应变1.12时,辊模拉拔钢丝的抗拉强度、扭转性能、弯曲性能、金相组织、捻制断丝率与传统拉拔相近;在拉拔应变2.21时,辊模拉拔和传统拉拔相比,钢丝抗拉强度更高,扭转性能、弯曲性能较差,金相组织不均匀程度更大,捻制断丝率明显升高。在钢丝材质、机床功率、拉拔速度、道次压缩率等因素相同的情况下,辊模拉拔的能耗和传统拉拔相近。

生育水平与女性劳动参与率的动态关系研究

生育水平变动会影响未来劳动年龄人口供给,但生育水平与女性劳动参与率的相关性研究结论尚有争议。基于我国1970—2021年生育率水平和女性劳动参与率时间序列数据,通过平稳性检验、协整检验以及格兰杰因果检验后,建立向量自回归(VAR)模型对两者之间的变动关系进行实证分析和检验,从宏观角度揭示生育水平变动与女性劳动参与率变化的动态关联性。研究发现,我国生育水平与女性劳动参与率的相关性由1979—1990年的负相关转变为1991—2021年的正相关,生育水平与女性劳动参与率存在长期稳定的均衡关系,总和生育率与女性劳动参与率已总体呈现出一定的格兰杰因果关系;1991—2021年我国总和生育率与女性劳动参与率的互动响应关系显著,女性劳动参与率变动对总和生育率变动的冲击影响呈现滞后性,且影响程度没有总和生育率对女性劳动参与率的冲击影响大。因此,在生育政策调整背景下,我国应充分重视生育水平与女性劳动参与率的互动影响和冲击响应关系,有效保障女性生育和劳动权益,推进性别平等的生育支持体系建设,在提振社会生育水平的同时稳定女性劳动参与率。

归白祛斑汤结合强脉冲光治疗黄褐斑(肝郁气滞型)临床疗效观察

目的观察黄褐斑(肝郁气滞型)患者采取归白祛斑汤结合强脉冲光治疗的临床效果。方法将纳入的78例肝郁气滞型黄褐斑患者以随机数字表法分为观察组和对照组,每组39例,对照组口服维生素C与维生素E治疗,并给予强脉冲光治疗,而观察组在对照组治疗基础上结合归白祛斑汤治疗。数据观察:临床治疗效果、治疗前后中医证候积分(面部黄褐色斑片、胁胀胸痞、性情急躁易怒、乳房作胀或疼痛)变化、皮损面积与皮损颜色评分变化、皮肤病生活质量指数(dermatology life quality index,DLQI评分)变化、皮肤角质层含水量变化、焦虑自评量表(Self-Rating Anxiety Scale,SAS)评分变化、治疗不良反应。结果对照组与观察组患者治疗总有效率比较[82.05%(32/39)vs97.44%(38/39)],观察组更高,P<0.05;治疗前,两组患者中医证候积分(面部黄褐色斑片、胁胀胸痞、性情急躁易怒及乳房作胀或疼痛)、皮损面积及颜色评分、皮肤角质层含水量与DLQI评分、SAS评分等指标比较,P>0.05,治疗后两组患者中医证候积分(面部黄褐色斑片、胁胀胸痞、性情急躁易怒、乳房作胀或疼痛)、皮损面积与皮损颜色评分、DLQI评分、皮肤角质层含水量、SAS评分均改善,治疗后观察组患者的中医证候积分(面部黄褐色斑片、胁胀胸痞、性情急躁易怒、乳房作胀或疼痛)、皮损面积与皮损颜色评分、DLQI评分、皮肤角质层含水量、SAS评分等指标均优于对照组患者,P<0.05;对照组与观察组患者不良反应均较少,P>0.05。结论归白祛斑汤结合强脉冲光治疗黄褐斑(肝郁气滞型)临床疗效显著,患者症状改善,心理状态改善,生活质量明显提升,且不良反应少,治疗较为安全可靠,值得应用。

我国籽实和饲草燕麦土壤钾素丰缺指标与推荐施钾量初步研究

为了给我国燕麦测土施钾提供科学依据,本研究采用“零散实验数据整合法”和“养分平衡-地力差减法新应用公式”,开展了我国燕麦土壤钾素丰缺指标与推荐施钾量研究。结果表明,我国燕麦土壤速效钾第1~3级丰缺指标依次为≥258、117~258和<117mg/kg,全钾第1~4级丰缺指标依次为≥31、21~31、11~21和<11 g/kg。当钾肥当季利用率40%~60%时,目标产量1.5~6.0t/hm^(2)籽实燕麦第1~4级土壤推荐施钾量分别为0、10~60、20~120和30~180kg/hm^(2);目标产量4.5~15t/hm^(2)饲草燕麦第1~4级土壤推荐施钾量依次为0、18~90、36~180和54~270kg/hm^(2)。本研究初步建立了我国籽实和饲草燕麦土壤钾素丰缺指标推荐施肥系统,为我国燕麦测土施钾奠定了科学基础。

保乳术联合乳腔镜腋窝淋巴结清扫术治疗早期乳腺癌的效果

目的探讨保乳术联合乳腔镜腋窝淋巴结清扫术治疗早期乳腺癌的效果。方法选取2021年9月至2022年12月淄博市妇幼保健院乳腺甲状腺外科收治的66例早期乳腺癌患者作为研究对象,按照单双号分组法分为对照组和观察组,每组各33例。对照组行保乳术联合常规腋窝淋巴结清扫术,观察组行保乳术联合乳腔镜腋窝淋巴结清扫术。比较两组肩关节活动度、并发症总发生率、引流管留置时间及术后引流量。结果术后3个月,两组肩关节活动度均小于术前,但观察组大于对照组(P<0.05)。观察组并发症总发生率低于对照组(P<0.05)。观察组引流管留置时间短于对照组,术后引流量少于对照组(P<0.05)。结论保乳术联合乳腔镜腋窝淋巴结清扫术治疗早期乳腺癌,可减少对肩关节活动度的影响,降低并发症发生率,缩短引流管留置时间,减少术后引流量,值得临床推广。

基于改进变步长LMS算法的谐波电流检测法

针对传统基于瞬时无功功率理论谐波电流检测中的二阶低通滤波器无法同时满足检测精度和响应时间的问题,提出了基于改进的双曲正切函数变步长LMS算法(IVSSLMS)的低通滤波器提取p轴和q轴中直流分量的方法;将两个谐波电流的间隔时间通过适当的调节采样间隔次数来延长,目的是为了达到高次谐波的自相关性能迅速降为零。从理论上分析了算法性能的优越,给出了参数的取值,并在simulink中搭建了仿真模型,仿真实验结果表明,改进后的低通滤波器直流分量的跟踪速度提升了一倍,得到基波正弦波形的THD值下降了0.37%。并得出以下结论:在同样输电条件下,采用改进变步长LMS算法构成低通滤波器加快了直流量的跟踪,提取的基波分量更加接近于理想波形,提升了谐波检测的瞬时性和准确性。