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阿尔茨海默病多元康复干预中国专家共识(2025) 被引量:1
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作者 王南卜 马晓伟 +29 位作者 王国辉 王虹峥 邢岩 朱宁 乔立艳 乔晋 刘涛杰 刘智 孙显东 杜晓霞 李建平 李晨钟 杨宇 杨智权 何霞 宋又强 张丽颖 张治国 胡瑞萍 徐珊 唐奇 曹传海 崔尧 崔韶阳 韩笑乐 樊继康 操驰 宋鲁平 王军 阿尔茨海默病防治协会认知康复专业分会 《阿尔茨海默病及相关病杂志》 2025年第3期147-163,187,145,共19页
为更好地应对我国阿尔茨海默病(Alzheimer's disease,AD)防控的严峻挑战,国家发布了《应对老年期痴呆国家行动计划(2024—2030年)》。为早日实现其中的核心目标,整合多学科专家意见与循证依据,采用德尔菲法结合GRADE证据分级,特制... 为更好地应对我国阿尔茨海默病(Alzheimer's disease,AD)防控的严峻挑战,国家发布了《应对老年期痴呆国家行动计划(2024—2030年)》。为早日实现其中的核心目标,整合多学科专家意见与循证依据,采用德尔菲法结合GRADE证据分级,特制定《阿尔茨海默病多元康复干预中国专家共识》(2025)。本共识强调“医院-社区-家庭”三级联动的协同管理模式,促进AD多维度防治、康复和照护的系统化和规范化,为医疗机构、基层社区及家庭照护提供科学指导,助力健康老龄化目标的实现。在预防层面,将AD危险因素进行量化分级,分为低危、中危和高危,以便制定个性化防控干预方案。治疗方面,根据AD严重程度分别推荐西药、中医药和神经调控等。康复需要根据功能障碍评估结果,结合患者的个人爱好和家庭支持,制定个体化、针对性的康复干预方案,早、中期AD患者以主动康复为主,晚期以被动康复为主。康复措施主要包括认知疗法(认知训练、认知刺激和认知康复)、生活方式干预(营养干预,运动疗法包括有氧运动、力量和心身训练)、人工干预(怀旧和沉浸式技术)、艺术疗法(音乐、舞蹈和美术)、自然疗法(园艺和动物辅助)及感官刺激疗法(光照和芳香)。中、晚期照护策略聚焦伴随精神行为异常或严重失智失能的AD患者,应遵循以人为本的理念,增强自我认同,提供安宁疗护,防治并发症等。 展开更多
关键词 阿尔茨海默病 多元干预 预防 治疗 康复 照护
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基于德尔菲法的《成人造口旁疝非手术管理专家共识》临床问题与结局指标的确定
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作者 牛妞 翁亚娟 +7 位作者 杜世正 姚翠 孙龙 胡晨 吴玲 羊丽芳 李菊云 魏敏 《护士进修杂志》 2025年第11期1192-1199,共8页
目的 基于德尔菲法确定纳入《成人造口旁疝非手术管理专家共识》的临床问题与结局指标,为同领域类似问题的解决提供方法学借鉴与指导。方法 通过文献回顾研究、专家访谈构建临床问题与结局指标清单初稿。于2023年8—10月采用德尔菲法对... 目的 基于德尔菲法确定纳入《成人造口旁疝非手术管理专家共识》的临床问题与结局指标,为同领域类似问题的解决提供方法学借鉴与指导。方法 通过文献回顾研究、专家访谈构建临床问题与结局指标清单初稿。于2023年8—10月采用德尔菲法对全国40名专家进行2轮函询,确定《成人造口旁疝非手术管理专家共识》临床问题与结局指标。结果 2轮函询专家积极系数分别为100%、95%;专家权威系数分别为0.849、0.855;满分率分别为37.50%~97.50%、31.60%~84.20%;专家变异系数分别为3.17%~23.68%、7.64%~32.94%;肯德尔和谐系数分别为0.581(P<0.001)、0.543(P<0.001);最终纳入18个临床问题、4个结局指标。结论 本研究构建的临床问题与结局指标内容具体、明确、专科性强,可为构建适用于我国临床工作者的造口旁疝非手术管理专家共识奠定科学、可靠的基础。 展开更多
关键词 造口旁疝 非手术管理 专家共识 德尔菲法 临床问题 结局指标 实践推荐
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绝对握力与相对握力对老年结直肠癌病人术后并发症的预测价值
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作者 姚翠 丁玲玉 +1 位作者 胡洁蔓 孙跃明 《实用老年医学》 CAS 2024年第3期317-321,共5页
目的探究绝对握力与相对握力(握力/体质量、握力/BMI)对老年结直肠癌病人术后并发症的预测价值。方法选取2022年9月至2023年4月于江苏省人民医院择期行结直肠癌根治术的268例老年病人为研究对象,收集所有病人的一般资料、绝对握力、相... 目的探究绝对握力与相对握力(握力/体质量、握力/BMI)对老年结直肠癌病人术后并发症的预测价值。方法选取2022年9月至2023年4月于江苏省人民医院择期行结直肠癌根治术的268例老年病人为研究对象,收集所有病人的一般资料、绝对握力、相对握力及术后并发症等数据。采用单因素分析及多因素Logistic回归分析探究绝对握力及相对握力与术后并发症的关联。绘制ROC曲线,进一步分析绝对握力与相对握力对病人术后并发症的预测能力。结果并发症组与非并发症组比较,年龄、服药数量、慢性病数量、绝对握力和相对握力差异均有统计学意义。Logistic回归结果显示,低绝对握力(分别按指南标准划分、按四分位数标准划分)、低握力/体质量、低握力/BMI均为病人发生并发症的独立预测因子,OR(95%CI)分别为2.825(1.436~5.557)、3.393(1.693~6.803)、2.371(1.210~4.647)、2.112(1.074~4.154)。ROC曲线分析结果显示,绝对握力与相对握力均可有效预测术后并发症的发生,其AUC约为0.63~0.65,在男性病人中,绝对握力及相对握力的预测效能均略高,AUC约为0.70。结论绝对握力与相对握力(握力/体质量、握力/BMI)均对老年结直肠癌病人术后并发症具有一定的预测价值,将握力评估纳入老年结直肠癌病人术前评估中,可为临床早期发现高危人群提供依据。 展开更多
关键词 握力 老年人 结直肠癌 并发症 预测价值
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Exponential Synchronization of Delayed Stochastic Complex Dynamical Networks via Hybrid Impulsive Control 被引量:1
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作者 yao cui Pei Cheng Xiaohua Ge 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2024年第3期785-787,共3页
Dear Editor,This letter addresses the synchronization problem of a class of delayed stochastic complex dynamical networks consisting of multiple drive and response nodes.The aim is to achieve mean square exponential s... Dear Editor,This letter addresses the synchronization problem of a class of delayed stochastic complex dynamical networks consisting of multiple drive and response nodes.The aim is to achieve mean square exponential synchronization for the drive-response nodes despite the simultaneous presence of time delays and stochastic noises in node dynamics. 展开更多
关键词 DYNAMICS STOCHASTIC LETTER
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塔式起重机力矩限制器的重复精度分析及误差解决方法 被引量:2
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作者 姚萃 汪臣臻 +1 位作者 吕少禹 苏喜茹 《建筑机械》 2024年第2期45-47,53,共4页
针对双吊点拉杆塔式起重机弓型板力矩限制器在不同工况下的调试,弓型板力矩限制器开关的动作重复精度存在较大误差,通过有限元建模从理论上分析产生误差的原因,并给出解决办法。
关键词 塔式起重机 双吊点拉杆 弓型板 力矩限制器 有限元
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基于希望理论实施盆底肌功能锻炼对预防性肠造口还纳术患者肛门功能的影响
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作者 王大元 姚翠 赵云 《现代临床护理》 2024年第8期56-62,共7页
目的探讨基于希望理论实施盆底肌功能锻炼对预防性肠造口还纳术患者肛门功能的影响。方法选择2021年3月至2023年3月行预防性肠造口还纳术的104例低位直肠癌患者作为研究对象,按随机数字表法分为对照组与干预组,每组各52例。对照组给予... 目的探讨基于希望理论实施盆底肌功能锻炼对预防性肠造口还纳术患者肛门功能的影响。方法选择2021年3月至2023年3月行预防性肠造口还纳术的104例低位直肠癌患者作为研究对象,按随机数字表法分为对照组与干预组,每组各52例。对照组给予常规护理+盆底肌功能锻炼方案,干预组在常规护理基础上给予基于希望理论的盆底肌功能锻炼方案,分别在术后在1个月和3个月评估患者肛门功能,于干预前及术后3个月评估患自我护理能力者、希望水平。结果干预组患者在术后1个月和3个月肛门功能评分均较对照组低,差异有统计学意义[术后1个月:(12.1±2.4)分vs.(13.9±2.2)分,t=-3.987,P<0.001;术后3个月:(5.8±1.4)分vs(7.3±1.7)分,t=-4.912,P<0.001]。干预前后干预组患者自我护理能力总分差值及希望水平总分差值较对照组高,差异有统计学意义[(26.6±3.5)分vs(12.3±1.6)分,t=26.796,P<0.001],[(7.4±0.3)分vs(2.0±0.4)分,t=77.881,P<0.001]。结论基于希望理论实施盆底肌功能锻炼可改善预防性肠造口还纳术患者术后肛门功能,并提高其自我护理能力及希望水平。 展开更多
关键词 预防性肠造口还纳术 盆底肌锻炼 希望理论 护理 肛门功能
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IMU/TOA融合人体运动追踪性能评估方法 被引量:7
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作者 徐诚 何杰 +3 位作者 张晓彤 姚翠 段世红 齐悦 《电子学报》 EI CAS CSCD 北大核心 2019年第8期1748-1754,共7页
随着物联网和体域网的飞速发展,人体运动追踪技术在医疗、安防等领域得到了广泛应用.针对传统惯性人体运动追踪系统存在累积误差和漂移的问题,本文提出了一种基于IMU/TOA融合的人体运动追踪方法.通过对融合系统克拉美罗界(Cramer-Rao Lo... 随着物联网和体域网的飞速发展,人体运动追踪技术在医疗、安防等领域得到了广泛应用.针对传统惯性人体运动追踪系统存在累积误差和漂移的问题,本文提出了一种基于IMU/TOA融合的人体运动追踪方法.通过对融合系统克拉美罗界(Cramer-Rao Lower Bound,CRLB)的推导,从理论上证明了IMU/TOA融合方法的有效性.实验结果可以看出,本文提出的基于IMU/TOA融合的人体运动追踪方法,在空间性能和时间性能两个方面都有较大的提升. 展开更多
关键词 体域网 物联网 人体运动追踪 惯性测量单元 信号到达时间 克拉美罗界 信息融合
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传感网中UWB和IMU融合定位的性能评估 被引量:6
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作者 段世红 姚翠 +1 位作者 徐诚 何杰 《计算机研究与发展》 EI CSCD 北大核心 2018年第11期2501-2510,共10页
位置信息是物体的基本属性之一.随着无线传感器网络(wireless sensor network,WSN)的蓬勃发展,传感器网络中节点位置信息的获取变得尤为重要.超宽带(ultra-wideband,UWB)和惯性测量单元(inertial measurement units,IMU)以其高定位精度,... 位置信息是物体的基本属性之一.随着无线传感器网络(wireless sensor network,WSN)的蓬勃发展,传感器网络中节点位置信息的获取变得尤为重要.超宽带(ultra-wideband,UWB)和惯性测量单元(inertial measurement units,IMU)以其高定位精度,在WSN中得到了广泛应用.UWB精度高,但容易受多径效应和节点间的相对几何位置关系影响.IMU惯性测量单元能够提供连续的惯性信息,但累积误差问题难以解决.基于IMU和UWB结合的融合定位方法,能够在提高定位精度的同时补偿UWB的多径效应影响和IMU的误差累积问题.因此,提出一种新的基于UWB和IMU的融合定位方法,实现传感网中目标节点的高精度位置追踪,并通过计算克拉美罗下限(Cramer-Rao lower bound,CRLB)表征融合定位方法的空间定位性能验证其在解决多径和几何拓扑问题上的有效性,通过计算后验克拉美罗下限(posterior Cramer-Rao lower bound,PCRLB)表征融合定位方法的时间定位性能验证其在累积误差纠正上的有效性,为基于UWB和IMU融合定位算法的设计和仿真提供理论支持.实验结果表明:融合定位方法具有更好的时空定位性能,更能接近实际应用的理论精度下限. 展开更多
关键词 传感器网络 融合定位 超宽带 惯性测量单元 克拉美罗下限 后验克拉美罗下限
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个体化生物反馈训练联合早期排便功能训练对低位直肠癌保肛术后患者肠道功能、肛肠动力学和生活质量的影响 被引量:7
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作者 李慧 姚翠 +2 位作者 封益飞 华倩雯 黄瑞 《现代生物医学进展》 CAS 2022年第19期3660-3664,共5页
目的:探讨个体化生物反馈训练联合早期排便功能训练对低位直肠癌保肛术后患者肠道功能、肛肠动力学和生活质量的影响。方法:纳入我院2018年4月~2021年9月期间收治的90例行低位直肠癌保肛术患者。按照住院号奇偶数将患者分为对照组(早期... 目的:探讨个体化生物反馈训练联合早期排便功能训练对低位直肠癌保肛术后患者肠道功能、肛肠动力学和生活质量的影响。方法:纳入我院2018年4月~2021年9月期间收治的90例行低位直肠癌保肛术患者。按照住院号奇偶数将患者分为对照组(早期排便功能训练,45例)和研究组(对照组基础上结合个体化生物反馈训练,45例)。对比两组肠道功能、肛肠动力学和生活质量、肛门失禁情况及控便满意度。结果:两组干预后排便受饮食影响、便频便急、排便感觉异常评分均下降,但研究组高于对照组(P<0.05)。两组干预后健康调查量表简表(SF-36)各维度评分均升高,且研究组高于对照组(P<0.05)。研究组的肛门失禁例数少于对照组,控便满意度则高于对照组(P<0.05)。两组干预后肛管静息压、肛管最大收缩压、直肠最大耐受容量均下降,但研究组高于对照组(P<0.05)。结论:个体化生物反馈训练联合早期排便功能训练可促进低位直肠癌保肛术后患者肠道功能恢复,改善肛肠动力学和生活质量,减少肛门失禁情况发生,控便满意度较好。 展开更多
关键词 低位直肠癌保肛术 早期排便功能训练 个体化生物反馈训练 肛肠动力学 肠道功能 生活质量
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Mechanism of exosomal microRNA-224 in development of hepatocellular carcinoma and its diagnostic and prognostic value 被引量:35
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作者 yao cui Hai-Feng Xu +7 位作者 Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing) Interventional Therapy Department Peking University Cancer Hospital and Institute Ming-Yue Liu Yu-Jie Xu Jun-Chuang He Yun Zhou Shun-Dong Cang 《World Journal of Gastroenterology》 SCIE CAS 2019年第15期1890-1898,共9页
BACKGROUND Exosomes contain proteins, lipids, and biological molecules such as DNA and RNA. Nucleic acids in exosomes are a group of molecules that can act as biomarkers. Currently, there are many reports on exosomal ... BACKGROUND Exosomes contain proteins, lipids, and biological molecules such as DNA and RNA. Nucleic acids in exosomes are a group of molecules that can act as biomarkers. Currently, there are many reports on exosomal microRNAs, which are ideal biomarkers for the early diagnosis of cancer. However, there are few reports on the role of exosomal microRNAs in the diagnosis and prognosis of hepatocellular carcinoma(HCC).AIM To understand the mechanism of exosomal microRNA-224(miR-224) in the development of HCC and evaluate its diagnostic and prognostic value.METHODS Cell culture and transfection of exosomal miRNA-224, real-time quantitative PCR, luciferase reporter assay, and other methods were used to find new biomarkers related to the development of HCC that can be used to diagnose HCC and predict HCC prognosis.RESULTSBy targeting glycine N-methyltransferase, incubating exosomes with miR-224 mimic resulted in a significant increase in cell proliferation compared to that of the control group, while incubation with the miR-224 inhibitor significantly reduced cell proliferation. The same results were obtained for the cell invasion assay. Serum exosomal miR-224 did have some ability to differentiate patients with HCC from healthy controls, with an area under the curve of 0.910, and HCC patients with higher serum exosomal miR-224 expression had lower overall survival.CONCLUSION Exosomal miR-224 is a tumor promotor and can be a marker of diagnosis and prognosis of HCC patients, however, its ability to distinguish liver diseases needs further verification. 展开更多
关键词 HEPATOCELLULAR CARCINOMA SERUM EXOSOME MicroRNA-224 BIOMARKER
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基于ANSYS有限元分析的塔式起重机起重臂轻量化设计 被引量:11
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作者 姚萃 靳玮勃 +1 位作者 张垚 张锦华 《建设机械技术与管理》 2021年第6期67-69,共3页
通过对塔式起重机起重臂建模,进行加载受力分析,根据计算结果调整起重臂主要型材的截面和规格,解决了塔式起重机结构重、成本高的缺点,达到了优化设计、轻量化的目的,为以后的塔式起重机结构设计提供了理论依据。
关键词 有限元 塔式起重机 起重臂 轻量化设计
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Application of headed studs in steel fiber reinforced cementitious composite slab of steel beam-column connection 被引量:1
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作者 yao cui Masayoshi Nakashima 《Earthquake Engineering and Engineering Vibration》 SCIE EI CSCD 2012年第1期11-21,共11页
Steel fiber reinforced cementitous composites (SFRCC) is a promising material with high strength in both compression and tension compared with normal concrete. The ductility is also greatly improved because of 6% vo... Steel fiber reinforced cementitous composites (SFRCC) is a promising material with high strength in both compression and tension compared with normal concrete. The ductility is also greatly improved because of 6% volume portion of straight steel fibers. A steel beam-column connection with Steel fiber reinforced cementitous composites (SFRCC) slab diaphragms is proposed to overcome the damage caused by the weld. The push-out test results suggested that the application of SFRCC promises larger shear forces transferred through headed studs allocated in a small area in the slab. Finite element models were developed to simulate the behavior of headed studs. The failure mechanism of the grouped arrangement is fiarther discussed based on a series of parametric analysis. In the proposed connection, the SFRCC slab is designed as an exterior diaphragm to transfer the beam flange load to the column face. The headed studs are densely arranged on the beam flange to connect the SFRCC slab diaphragms and steel beams. The seismic performance and failure mechanism of the SFRCC slab diaphragm beam-column connection were investigated based on the cyclic loading test. Beam hinge mechanism was achieved at the end of the SFRCC slab diaphragm by using sufficient studs and appropriate rebars in the SFRCC slab. 展开更多
关键词 multi-directional transmitting artificial boundary viscous-spring artificial boundary saturated soilfoundation Biot's equations
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大型塔机双动力起升驱动控制研究 被引量:1
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作者 姚萃 汤小伟 臧彩静 《建筑机械化》 2019年第5期51-53,共3页
大型塔式起重机要满足大起重量、大起重力矩,大起升高度的要求。所以大型塔机在起升的驱动方式上会选择双动力起升驱动系统,文中提出主从控制和DROOP控制方法对双动力起升驱动系统的控制,实验表明了两种方法都能保证2台电机的同步性、... 大型塔式起重机要满足大起重量、大起重力矩,大起升高度的要求。所以大型塔机在起升的驱动方式上会选择双动力起升驱动系统,文中提出主从控制和DROOP控制方法对双动力起升驱动系统的控制,实验表明了两种方法都能保证2台电机的同步性、均衡负载。 展开更多
关键词 塔式起重机 双动力驱动系统 起升机构 主从控制 DROOP控制
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影响塔机独立起升高度的主要因素及计算方法 被引量:1
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作者 靳玮勃 姚萃 胡启晨 《建筑机械化》 2023年第8期91-94,共4页
塔式起重机独立起升高度在建筑施工过程中具有重要意义,本文重点介绍了影响塔机独立起升高度的主要因素及相关规范的计算方法,为塔机设计过程中独立起升高度的确定提供一定的参考。
关键词 塔式起重机 独立起升高度 影响因素 计算方法
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上回转塔式起重机平衡重计算方法研究 被引量:1
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作者 姚萃 惠鹏 李攀 《建筑机械化》 2022年第9期14-16,共3页
重点研究了塔式起重机平衡重的计算原则和方法,从平衡重的作用、影响入手,结合整机数据参数,依照计算原则初步设计平衡重,根据塔顶载荷及顶升配平数据对平衡重做相应调整,最终确定平衡重配置.
关键词 塔式起重机 平衡重 塔机配平 计算
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Hyperspherical Study of Ne_2Kr and Ne_2Xe Systems
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作者 XIAO Li'e yao cui +1 位作者 HE Xiaorong HAN Huili 《Wuhan University Journal of Natural Sciences》 CAS 2012年第4期315-320,共6页
We have calculated the ground state energies and rotational constants for the Ne2 Kr and Ne2 Xe systems, as well as their corresponding isotopes using the hyperspherical method. We used B-splines as basis function to ... We have calculated the ground state energies and rotational constants for the Ne2 Kr and Ne2 Xe systems, as well as their corresponding isotopes using the hyperspherical method. We used B-splines as basis function to expand channel functions and make the knot distribution of B-splines characterize the behavior of the channel function precisely. As a result, the extremely slow convergence of quantum mechanic calculation for these van der Waals trimers containing heavy element is improved greatly. The convergent rotational constants and the isotope shifts are obtained and compared with other theoretical and experimental values. Our results using newly proposed Tang-Toennies (TT) pair-wise potentials are consistent with that of Ernesti and Hutson’s calculation using HFD-B potentials, and give an improved agreement with experimental data. 展开更多
关键词 hyperspherical method Tang-Toennies (TT) potential rotational constants B-SPLINES
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Regorafenib combined with programmed cell death-1 inhibitor against refractory colorectal cancer and the platelet-to-lymphocyte ratio’s prediction on effectiveness
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作者 Yu-Jie Xu Peng Zhang +6 位作者 Jin-Long Hu Hong Liang Yan-Yan Zhu yao cui Po Niu Min Xu Ming-Yue Liu 《World Journal of Gastrointestinal Oncology》 SCIE 2022年第4期920-934,共15页
BACKGROUND The effectiveness of regorafenib plus programmed cell death-1(PD-1)inhibitor in treating microsatellite stable(MSS)metastatic colorectal cancer(mCRC)remains controversial.AIM To investigate the benefits of ... BACKGROUND The effectiveness of regorafenib plus programmed cell death-1(PD-1)inhibitor in treating microsatellite stable(MSS)metastatic colorectal cancer(mCRC)remains controversial.AIM To investigate the benefits of regorafenib combined with PD-1 inhibitor in treating MSS mCRC and explore indicators predicting response.METHODS This retrospective study included a total of 30 patients with microsatellite stable metastatic colorectal cancer treated with regorafenib combined with programmed cell death-1 inhibitor at Henan Provincial People’s Hospital between December 2018 and December 2020.During a 4-wk treatment cycle,regorafenib was performed for 3 continuous weeks.PD-1 inhibitor was intravenously injected starting on the first day of the oral intake of regorafenib.We reviewed tumor response,progression-free survival(PFS),overall survival,and treatment-related adverse events(TRAEs)and evaluated association between platelet-tolymphocyte ratio(PLR)and outcomes in this retrospective study.RESULTS Stable disease and progressive disease were found in 18(60.0%)and 12(40.0%)patients,respectively.The disease control rate was 60.0%.The median follow-up time was 12.0 mo,and median PFS was 3.4 mo[95%confidence interval(CI):2.2-4.6 mo].Of the 12 patients with progressive disease,10(83.3%)had liver metastasis before starting the combined treatment.Among the 18 patients with SD,10(55.6%)did not have liver metastases.One patient without liver metastases at baseline was found with a substantially prolonged PFS of 11.2 mo.The liver metastasis,the choice of programmed cell death-1 inhibitor other than nivolumab or pembrolizumab and previous exposure to regorafenib was’t associated with treatment outcome.The median PFS in the low-PLR group was 4.2 mo(95%CI:3.5-4.9 mo),compared with 2.8 mo(95%CI:1.4-4.2 mo)in the high-PLR group(P=0.005).The major TRAEs included hand-foot syndrome(33.3%),hypertension(23.3%),malaise(20.0%),and gastrointestinal reaction(16.7%).The incidence of grade 3 TRAEs was 13.3%(4/30),which comprised abnormal capillary proliferation(n=1),transaminase elevation(n=1),and hand-foot syndrome(n=2).No grade 4 or higher toxicity was observed.CONCLUSION Regorafenib combined with PD-1 inhibitor could lead to a longer PFS in some patients with MSS mCRC.The PLR might be a prediction of the patient response to this therapy. 展开更多
关键词 Colorectal neoplasms Microsatellite stable Programmed cell death-1 inhibitor Platelet-tolymphocyte ratio REGORAFENIB Progression-free survival
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Diagnostic value of circular free DNA for colorectal cancer detection
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作者 yao cui Lu-Jin Zhang +2 位作者 Jian Li Yu-Jie Xu Ming-Yue Liu 《World Journal of Gastrointestinal Oncology》 SCIE 2023年第6期1086-1095,共10页
BACKGROUND Minimally invasive or noninvasive,sensitive and accurate detection of colorectal cancer(CRC)is urgently needed in clinical practice.AIM To identify a noninvasive,sensitive and accurate circular free DNA mar... BACKGROUND Minimally invasive or noninvasive,sensitive and accurate detection of colorectal cancer(CRC)is urgently needed in clinical practice.AIM To identify a noninvasive,sensitive and accurate circular free DNA marker detected by digital polymerase chain reaction(dPCR)for the early diagnosis of clinical CRC.METHODS A total of 195 healthy control(HC)individuals and 101 CRC patients(38 in the early CRC group and 63 in the advanced CRC group)were enrolled to establish the diagnostic model.In addition,100 HC individuals and 62 patients with CRC(30 early CRC and 32 advanced CRC groups)were included separately to validate the model.CAMK1D was dPCR.Binary logistic regression analysis was used to establish a diagnostic model including CAMK1D and CEA.RESULTS To differentiate between the 195 HCs and 101 CRC patients(38 early CRC and 63 advanced CRC patients),the common biomarkers CEA and CAMK1D were used alone or in combination to evaluate their diagnostic value.The area under the curves(AUCs)of CEA and CAMK1D were 0.773(0.711,0.834)and 0.935(0.907,0.964),respectively.When CEA and CAMK1D were analyzed together,the AUC was 0.964(0.945,0.982).In differentiating between the HC and early CRC groups,the AUC was 0.978(0.960,0.995),and the sensitivity and specificity were 88.90%and 90.80%,respectively.In differentiating between the HC and advanced CRC groups,the AUC was 0.956(0.930,0.981),and the sensitivity and specificity were 81.30%and 95.90%,respectively.After building the diagnostic model containing CEA and CAMK1D,the AUC of the CEA and CAMK1D joint model was 0.906(0.858,0.954)for the validation group.In differentiating between the HC and early CRC groups,the AUC was 0.909(0.844,0.973),and the sensitivity and specificity were 93.00%and 83.30%,respectively.In differentiating between the HC and advanced CRC groups,the AUC was 0.904(0.849,0.959),and the sensitivity and specificity were 93.00%and 75.00%,respectively.CONCLUSION We built a diagnostic model including CEA and CAMK1D for differentiating between HC individuals and CRC patients.Compared with the common biomarker CEA alone,the diagnostic model exhibited significant improvement. 展开更多
关键词 Healthy control Colorectal cancer Circular free DNA BIOMARKER
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Hysteretic model for bending-type frictional steel truss coupling beams
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作者 Xin Yu Zhuoxin Wang +2 位作者 yao cui Tianjiao Wu Linlin Xie 《Resilient Cities and Structures》 2023年第1期18-27,共10页
As a novel coupling beam for coupled shear wall structures,the bending-type frictional steel truss coupling beam(BFTCB)concentrates the deformation and energy dissipation in friction dampers at the bottom chord,allowi... As a novel coupling beam for coupled shear wall structures,the bending-type frictional steel truss coupling beam(BFTCB)concentrates the deformation and energy dissipation in friction dampers at the bottom chord,allowing the main body to remain elastic during earthquakes.As the preparatory work for resilient structure design based on the BFTCB,this work concentrates on developing the hysteretic model for BFTCB.Firstly,the BFTCB stiffness-strength decoupling mechanism was introduced,i.e.,the shear strength is provided by friction dampers while webs control its initial stiffness.Secondly,a hysteretic model that reflects the BFTCB two-stage sliding characteristic was proposed.The model consists of a trilinear backbone curve and the unloading and reverse loading rules.The model has eight control parameters,of which two core parameters(initial stiffness and limiting shear strength)are derived from the BFTCB stiffness-strength decoupling mechanism,whereas the remaining parameters are obtained by theoretical analysis and empirical calibration.The hysteretic model was then compared with the test curves and demonstrated good accuracy.Finally,a series of FE prototypes of BFTCB with different design stiffnesses and strengths was adopted to verify the hysteretic model.The results showed that the proposed model fitted well with the FE prototypes,indicating its applicability to BFTCB with varying core design parameters.Therefore,the hysteretic model can be adopted for BFTCB to support the resilient shear wall structure design. 展开更多
关键词 Bending-type frictional steel truss coupling beam(BFTCB) Stiffness-strength decoupling mechanism Hysteretic test curve Two-stage sliding characteristic Hysteretic model
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STC7528平头塔机智能化技术的设计与应用
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作者 李长安 姚萃 +1 位作者 侯巍炜 雷晶涛 《建设机械技术与管理》 2019年第1期40-42,共3页
STC7528平头塔式起重机以起升力矩大、上部结构简洁、技术性能先进、使用可靠性高为特点,尤其是智能化技术的全面应用,使生产企业、建筑施工单位和设备租赁商采用互联网+BIM的信息化管理成为可能,为最终实现物联网+大数据打造智慧工地,... STC7528平头塔式起重机以起升力矩大、上部结构简洁、技术性能先进、使用可靠性高为特点,尤其是智能化技术的全面应用,使生产企业、建筑施工单位和设备租赁商采用互联网+BIM的信息化管理成为可能,为最终实现物联网+大数据打造智慧工地,推动建筑业精细化、信息化、标准化管理,实现绿色建造和生态建造奠定坚实基础。 展开更多
关键词 平头塔机 智能化 大数据 信息管理
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