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对结核病的直接面视下治疗与传统治疗的治疗成本的比较分析 被引量:1
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作者 S.E.Weis B.Foresman +7 位作者 K.J.Matty A.Brown F.X.Blais G.Burgess b.king P.E.Cook P.C.Slocum 贺晓新 《国际结核病与肺部疾病杂志》 2000年第Z1期90-98,共9页
目的:结核病的治疗不仅时间长、费用高,而且常常由于病人依从性不好使得治疗复杂化。直接面视下治疗(DOT),这个门诊治疗管理策略就是为了保证病人的依从性。但该策略并未得以广泛推行,因为感觉实施该策略的成本很高。本研究旨在比较DOT... 目的:结核病的治疗不仅时间长、费用高,而且常常由于病人依从性不好使得治疗复杂化。直接面视下治疗(DOT),这个门诊治疗管理策略就是为了保证病人的依从性。但该策略并未得以广泛推行,因为感觉实施该策略的成本很高。本研究旨在比较DOT和传统治疗在治疗结核病中的治疗成本。设计:对某都市的县卫生局1980年到1994年间659名结核病报告病例进行回顾性经济学评估。按照1995年的美元价格估计门诊治疗成本、住院治疗成本以及复发和获得性耐药病例对治疗成本的影响。结果:DOT的治疗成本较低:每例住院治疗病人的治疗成本为$15 670,每例门诊治疗病人的治疗成本为$700(P<0.001)。这种治疗成本的差异是由于治疗时间不同(334天对550天)、住院次数减少(58%对75%)以及住院时间短(每例住院病人26天对55天)造成的。在传统治疗组复发或获得性耐药的发生率为10.9%,这些复发或获得性耐药病例所使用的治疗成本占总治疗成本中的35.7%,而在直接面视下治疗组,则只有1.2%的病人发生了复发或获得性耐药,他们的治疗成本只占了总治疗成本中的6.0%。结论:直接面视下治疗要比传统治疗经济。 展开更多
关键词 结核病 直接面视下治疗 成本 复发 耐药
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Towards a vacuum birefringence experiment at the Helmholtz International Beamline for Extreme Fields(Letter of Intent of the BIREF@HIBEF Collaboration)
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作者 N.Ahmadiniaz C.Bähtz +49 位作者 A.Benediktovitch C.Bömer L.Bocklage T.E.Cowan J.Edwards S.Evans S.Franchino Viñas H.Gies S.Göde J.Görs J.Grenzer U.Hernandez Acosta T.Heinzl P.Hilz W.Hippler L.G.Huang O.Humphries F.Karbstein P.Khademi b.king T.Kluge C.Kohlfürst D.Krebs A.Laso-García R.Lötzsch A.J.Macleod B.Marx-Glowna E.A.Mosman M.Nakatsutsumi G.G.Paulus S.V.Rahul L.Randolph R.Röhlsberger N.Rohringer A.Sävert S.Sadashivaiah R.Sauerbrey H.-P.Schlenviogt S.M.Schmidt U.Schramm R.Schützhold J.-P.Schwinkendorf D.Seipt M.Šmíd T.Stöhlker T.Toncian M.Valialshchikov A.Wipf U.Zastrau M.Zepf 《High Power Laser Science and Engineering》 2025年第1期52-83,共32页
Quantum field theory predicts a nonlinear response of the vacuum to strong electromagnetic fields of macroscopic extent.This fundamental tenet has remained experimentally challenging and is yet to be tested in the lab... Quantum field theory predicts a nonlinear response of the vacuum to strong electromagnetic fields of macroscopic extent.This fundamental tenet has remained experimentally challenging and is yet to be tested in the laboratory.A particularly distinct signature of the resulting optical activity of the quantum vacuum is vacuum birefringence.This offers an excellent opportunity for a precision test of nonlinear quantum electrodynamics in an uncharted parameter regime.Recently,the operation of the high-intensity Relativistic Laser at the X-ray Free Electron Laser provided by the Helmholtz International Beamline for Extreme Fields has been inaugurated at the High Energy Density scientific instrument of the European X-ray Free Electron Laser.We make the case that this worldwide unique combination of an X-ray free-electron laser and an ultra-intense near-infrared laser together with recent advances in high-precision X-ray polarimetry,refinements of prospective discovery scenarios and progress in their accurate theoretical modelling have set the stage for performing an actual discovery experiment of quantum vacuum nonlinearity. 展开更多
关键词 light-by-light scattering vacuum birefringence vacuum polarization
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Measuring vacuum polarization with high-power lasers 被引量:2
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作者 b.king T.Heinzl 《High Power Laser Science and Engineering》 SCIE CAS CSCD 2016年第1期29-40,共12页
When exposed to intense electromagnetic fields, the quantum vacuum is expected to exhibit properties of a polarizable medium akin to a weakly nonlinear dielectric material. Various schemes have been proposed to measur... When exposed to intense electromagnetic fields, the quantum vacuum is expected to exhibit properties of a polarizable medium akin to a weakly nonlinear dielectric material. Various schemes have been proposed to measure such vacuum polarization effects using a combination of high- power lasers. Motivated by several planned experiments, we provide an overview of experimental signatures that have been suggested to confirm this prediction of quantum electrodynamics of real photon–photon scattering. 展开更多
关键词 Heisenberg–Euler photon–photon SCATTERING VACUUM BIREFRINGENCE VACUUM polarization
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RECOMMENDED MESH ANCHORAGE DETAILS FOR STRAW BALE WALLS
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作者 A.Parker M.Aschheim +2 位作者 D.Mar M.Hammer b.king 《Journal of Green Building》 2006年第4期141-151,共11页
Experimental studies on full-scale straw-bale walls have demonstrated the adequacy of straw-bale wall systems for resisting lateral loads from wind or seismic actions.Critical to the performance of the wall system is ... Experimental studies on full-scale straw-bale walls have demonstrated the adequacy of straw-bale wall systems for resisting lateral loads from wind or seismic actions.Critical to the performance of the wall system is the anchorage of mesh reinforcement to the bottom plate and to the roof bearing assembly or top plate.Reported in this paper are the results of experiments examining mesh strength,anchorage strength,and failure mode for a variety of reinforcement meshes(steel,plastic,and hemp)and anchorage details.Because of the potential for new wood preservative pressure treatments to cause corrosion,stainless steel staples driven pneumatically into pressure-treated sill plates were tested in addition to electro-galvanized staples driven pneumatically into untreated sill plates and a heavier gauge staple driven manually into an untreated sill plate.Recommended anchorage details are identified,considering not only the test results but also the many other factors that must be considered in developing reliable,economical,and constructible details. 展开更多
关键词 straw bale mesh details mesh anchorage mesh strength STAPLES
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