期刊文献+
共找到8篇文章
< 1 >
每页显示 20 50 100
乳腺癌新辅助化疗后肿瘤退缩模式的影响因素研究 被引量:3
1
作者 许梅 马捷 +1 位作者 弋春燕 林小慧 《医学影像学杂志》 2021年第7期1177-1183,共7页
目的评价乳腺癌新辅助化疗后肿瘤不同退缩模式的临床、病理及影像特征,分析不同退缩模式的影响因素。方法选取我院经组织学确诊为单侧乳腺癌患者54例,均于NAC前及NAC后手术前2周内行乳腺动态增强MRI,且NAC前均行乳腺X线摄影检查。记录... 目的评价乳腺癌新辅助化疗后肿瘤不同退缩模式的临床、病理及影像特征,分析不同退缩模式的影响因素。方法选取我院经组织学确诊为单侧乳腺癌患者54例,均于NAC前及NAC后手术前2周内行乳腺动态增强MRI,且NAC前均行乳腺X线摄影检查。记录患者临床、病理资料及影像学相关指标。运用Kappa检验评价2名医师对退缩模式分型评价一致性。采用χ^(2)检验比较NAC后不同肿瘤退缩模式患者的临床、病理及影像学指标的差异性,然后采用χ^(2)检验比较不同分子亚型乳腺癌临床及影像的差异性。采用Binary logistic回归分析肿瘤退缩模式的独立预测因素。并采用四格表的方法评价MRI评估NAC后肿瘤达pCR的诊断效能。结果NAC后经手术病理证实,pCR组19例,N-pCR组35例。NAC后肿瘤向心性退缩30例,非向心性退缩24例,两组间的年龄、是否淋巴结转移、肿瘤大小、BPE、疗效、ER、PR、HER-2、Ki-67表达情况的差异均无统计学意义(P均>0.05),而绝经状态、分子分型、钙化情况及MRI强化方式在两组间的差异有统计学意义(P均<0.05)。非绝经状态以向心性退缩为主77%(23/30);在向心性退缩模式的肿瘤中以Luminal B型及三阴性乳腺癌比例较高均占43%(13/30);而非向心退缩模式中肿块钙化比例较高约占79%(19/24);2名医师对化疗后肿瘤退缩模式定性评估的Kappa值为0.694,一致性为较好。不同分子亚型间患者的年龄、月经状态、淋巴结情况、肿瘤MRI强化方式、疗效差异均无统计学意义(P均>0.05),而病灶含钙化情况的差异有统计学意义(P<0.05)。Logistic多因素回归模型显示,月经状态、分子分型及肿瘤MRI强化方式不是影响肿瘤退缩模式的独立因素,而病灶中含钙化情况是肿瘤退缩模式的独立预测因素(OR=2.3,P=0.018)。MRI评价乳腺NAC后pCR的准确性72.2%,灵敏度26.3%,特异度97.1%。结论非绝经状态、肿块样强化、Luminal B型及三阴性乳腺癌更加容易表现为向心性退缩模式,肿瘤钙化则更加容易表现为非向心退缩,钙化可以作为NAC后退缩模式的独立预测因素。MRI对NAC后残余肿瘤评估准确性较高,但也会对残余肿瘤造成一定高估及低估。 展开更多
关键词 乳腺癌 磁共振成像 分子分型 新辅助化疗
下载PDF
恶性黑素瘤的前哨淋巴结切除术
2
作者 H.K.Bchels D.Bachter +1 位作者 H.Vogt 王剑明 《德国医学》 CAS 1999年第3期173-174,共2页
恶性黑素瘤(MM)在许多国家是一罕见肿瘤。但近二十年来,其在大多数欧洲国家的发病率有增加。前哨淋巴结切除术(SLND)是黑素瘤治疗上的一项重要进展。黑素瘤的治疗一直以来采用选择性淋巴结切除术(ELND),1992年起有报道对此治疗方法进行... 恶性黑素瘤(MM)在许多国家是一罕见肿瘤。但近二十年来,其在大多数欧洲国家的发病率有增加。前哨淋巴结切除术(SLND)是黑素瘤治疗上的一项重要进展。黑素瘤的治疗一直以来采用选择性淋巴结切除术(ELND),1992年起有报道对此治疗方法进行改进,并迅速在临床上开展了SLND。 展开更多
关键词 黑色素瘤 恶性 前哨淋巴结切除
下载PDF
Analytical Modeling and Determination of the Characteristic Parameters of the Different Commercial Technologies of Photovoltaic Modules 被引量:1
3
作者 Ahmed Sidibba Diene Ndiaye +1 位作者 Menny El Bah Sidi Bouhamady 《Journal of Power and Energy Engineering》 2018年第3期14-27,共14页
This work presents a method of optimization of the photovoltaic generator (PV) based on the electrical model with a diode. The method consists of solving a second degree equation representing the derivative of the pow... This work presents a method of optimization of the photovoltaic generator (PV) based on the electrical model with a diode. The method consists of solving a second degree equation representing the derivative of the power function. The current and the maximum voltage being determined, the maximum power is deduced. Four popular types of photovoltaic panels from different manufacturers were considered for the study: BYD Model (BYD 320P6C-36), Atersa Grupo Model (A-320P GSE), SunPower Model (E19-320) and Model operated in the 50 MW power plant of Nouakchott-Mauritania (JKM320PP-72-V) of JinkoSolar. A comparative study is carried out between the simulated results and the data of the manufacturer of different technologies. The results obtained prove the effectiveness of the proposed method and that the BYD 320P6C-36 model is the most efficient among the four different technologies studied. 展开更多
关键词 Model PHOTOVOLTAIC GENERATOR POWER Function Optimization MAXIMUM POWER
下载PDF
冲突
4
作者 Gerhard Schssler 施琪嘉 《德国医学》 1999年第5期279-280,共2页
冲突的含义为存在于个人内部、或者多数人之间的内在动机、欲望、价值及看法的相互矛盾的不同表现(布罗克毫斯百科全书,1990)。冲突为普遍存在的现象,心理学对冲突的定义为与行为倾向相悖的矛盾(动机、需求、欲望),对冲突的产生有着不... 冲突的含义为存在于个人内部、或者多数人之间的内在动机、欲望、价值及看法的相互矛盾的不同表现(布罗克毫斯百科全书,1990)。冲突为普遍存在的现象,心理学对冲突的定义为与行为倾向相悖的矛盾(动机、需求、欲望),对冲突的产生有着不同的理论,如生物行为理论,区域理论式冲突理论,或认知不和谐理论等。对精神分析而言,冲突的概念十分重要,弗洛伊德证明了人的内部冲突在心理动力学思维中占主要地位。 展开更多
关键词 精神分析 冲突 基本关系欲望 中心关心欲望
下载PDF
Impact of the Intermittency of Photovoltaic Power Plants on the Frequency Management: Case of the Senegalese Electricity Grid
5
作者 Mahamat Adoum Abdoulaye Gabriel Jean Philippe Tevi +1 位作者 Djicknoum Diouf Amadou Seidou Maiga 《Journal of Power and Energy Engineering》 2020年第7期55-70,共16页
This paper investigates the impact of the intermittency of the photovoltaic (PV) power plants on the electric grid frequency management and the consequences that can occur. To meet these purposes, three years data of ... This paper investigates the impact of the intermittency of the photovoltaic (PV) power plants on the electric grid frequency management and the consequences that can occur. To meet these purposes, three years data of the Senegalese grid frequency are used, combined with three PV power plants data since their starting-up. Using these data, we analyzed two days of heavily disturbed operation of the Senegalese grid in order to emphasize the real impact of the presence of PV power plants on the electrical grid. Our study has highlighted that how the intermittency of photovoltaic power plants affects frequency management. It obviously appears that the PV production curves follow the irradiation variations. Instantaneous variations of PV production make it difficult to manage the grid frequency leading to more frequent load shedding as we have shown with the data after the commissioning of the PV power plants. We also estimate the power then energy losses during the load shedding induced by the PV integration on the power grid by comparing a period corresponding to one month before (February 2017) and one month after (February 2018) the integration of variable PV production. 展开更多
关键词 Intermittency Frequency Fluctuation Energy Loss Power Loss Fluctuating Power
下载PDF
Homer’s Feasibility Analysis of a Hybrid System with a Grid Connection Option for the Mauritanian Northern Coast
6
作者 Soukeyna Mohamed Ismail Bidjel Ramdhane +5 位作者 Diene Ndiaye Abdel Kader Mahmoud Mohamed Elmamy Mohamed Mahmoud Menou Ahmed Mohamed Yahya Issakha Youm 《Journal of Power and Energy Engineering》 2019年第2期27-42,共16页
On Mauritania’s northern coast, wind and solar resources are abundant and must be used effectively. These resources have the potential to completely or partially replace the existing or projected diesel generators. T... On Mauritania’s northern coast, wind and solar resources are abundant and must be used effectively. These resources have the potential to completely or partially replace the existing or projected diesel generators. The main objective of this case study is to study the possibility of using a hybrid system (HS) of the type (diesel, wind and storage). The most important part of this case study intended for this area will be to add the solar in a first phase and then the incorporation of an interconnection with the nearby network in a second phase. This interconnection will be secured by mean of medium voltage lines of 33 kV, where the nearest point is located 35 km away. Indeed, the study of the optimization model is carried out through Homer, which was developed by National Renewable Energy Laboratory [NREL]. Thus, it should be noted that the HS is analyzed on the basis of costs ($/kW) and price ($/kWh) and greenhouse gas emissions. Therefore, in order to achieve these techno-economic optimization objectives, this paper introduces a sensitivity analysis that has been proposed to determine the effect of costs on each HS configuration. In the end, HSs are needed for maximum use of renewable resources at the studied site for an uninterrupted power supply. 展开更多
关键词 HOMER FEASIBILITY Analysis Hybrid System WIND Solar Grid
下载PDF
机电一体化系统可以实现检测制动
7
作者 Matthias Brendler 《机电信息(北京)》 2001年第11期32-35,共4页
加速运动的物体总有一天要静止下来。在特定的情况下,制动过程必须是无冲击无振动的十分平稳的过程,因而可以防止人身和设备事故的发生。长期以来,为了实现这种“完美”的制动过程,人们必须支付昂贵的费用。今天,一种机电一体化的制动... 加速运动的物体总有一天要静止下来。在特定的情况下,制动过程必须是无冲击无振动的十分平稳的过程,因而可以防止人身和设备事故的发生。长期以来,为了实现这种“完美”的制动过程,人们必须支付昂贵的费用。今天,一种机电一体化的制动系统为您开辟了一个新的“天地”。 展开更多
关键词 制动器 控制 检测 机电一体化
下载PDF
Sizing Method of a Storage System for Determining the Performance of a Photovoltaic Pumping System over the Sun
8
作者 Mohamed Elmamy Mohamed Mahmoud Mr. Soukeyna +2 位作者 A. Yahfdhou A. K. Mahmoud I. Youm 《Smart Grid and Renewable Energy》 2019年第2期17-28,共12页
The use of renewable energy is growing significantly in the world. In front of the growing demand for electric energy, essentially for the needs of remote, isolated and mountainous regions, photovoltaic systems, espec... The use of renewable energy is growing significantly in the world. In front of the growing demand for electric energy, essentially for the needs of remote, isolated and mountainous regions, photovoltaic systems, especially water pumping systems, are beginning to emerge in large applications. In this sense, the proposed study deals with the problem of the water level regulation in the photovoltaic pumping system. It is in this context that the interest in this paper is dictated by the need to use an existing energy source on the site. Still in this light, it is important to note that, often, the calculation of the size of the GPV that feeds the pumping system and the pump involves a certain degree of uncertainty, mainly due to two main reasons: the first is related to randomness of solar radiation which is often little known and the second is related to the difficulty to estimate the water needs. This is why, on the one hand, the realization of such a system has made it possible to show the possibility of determining the projected quantity for water storage. Similarly, it has shown that the prediction of this quantity of water can be calculated by a simple analytical method based on numerical computation. Thus, it was also shown for this pumping system, thanks to graphical analysis methods, developing autonomy, reliability and good performance. In this sense, this experience opens the door for a practical and economical solution to the problem of lack of water, especially in our regions. Measurements made on the studied system prove that the designed approach improves the efficiency. Finally, it is also expected to draw further conclusions for the operation of these systems in similar sites. 展开更多
关键词 Water PUMPING PV Storage OUTPUT
下载PDF
上一页 1 下一页 到第
使用帮助 返回顶部