AIM: To compare the functional outcomes of patients who underwent open surgery vs Ponseti method for the management of idiopathic clubfoot and to determine whether correlations exist between functional outcome and rad...AIM: To compare the functional outcomes of patients who underwent open surgery vs Ponseti method for the management of idiopathic clubfoot and to determine whether correlations exist between functional outcome and radiographic measurements.METHODS: A meta-analysis of the literature was conducted for studies concerning primary treatment of patients with idiopathic clubfoot. We searched PubM ed Medline, EMBASE, and the Cochrane Library databases from January 1950 to October 2011. Meta-analyses were performed on outcomes from 12 studies. Pooled means, SDs, and sample sizes were either identified in the results or calculated based on the results of each study.RESULTS: Overall, 835 treated idiopathic clubfeet in 516 patients were reviewed. The average follow-up was 15.7 years. Patients managed with Ponseti method did have a higher rate of excellent or good outcome than patients treated with open surgery(0.76 and 0.62, respectively), but not quite to the point of statistical significance(Q = 3.73, P = 0.053). Age at surgery wasnot correlated with the functional outcome for the surgically treated patients(r =-0.32, P = 0.68). A larger anteroposterior talocalcaneal angle was correlated with a higher rate of excellent or good outcomes(r = 0.80, P = 0.006). There were no other significant correlations between the functional and radiographic outcomes.CONCLUSION: The Ponseti method should be considered the initial treatment of idiopathic clubfeet, and open surgery should be reserved for clubfeet that cannot be completely corrected.展开更多
Natural gas hydrate(NGH),considered as a type of premium energy alternative to conventional hydrocarbons,has been broadly studied.The estimate of the total NGH resources in the world has decreased by more than 90%sinc...Natural gas hydrate(NGH),considered as a type of premium energy alternative to conventional hydrocarbons,has been broadly studied.The estimate of the total NGH resources in the world has decreased by more than 90%since the first evaluation in 1973.Geographic and geophysical conditions of the South China Sea(SCS)are favorable for the formation of NGH,which has been proved by drilling results up to date.The recoverability of the NGH in the SCS has been confirmed by the production tests using both vertical and horizontal wells.Since 2001,35 estimates of NGH resources in the SCS have been made,with relatively stable results varying between 600 and 900×109 ton oil equivalent.In these estimations,the volumetric method was commonly adopted,but the geological conditions,the migration-accumulation mechanisms of NGH,and the practical recoverability were not considered.These estimates cannot be regarded as evaluated resources according to the international resource evaluation standards,but are at most about prospective gas content of NGH,thus inefficient for guiding explorations and developments.To solve these problems,this study divides the past NGH surveys in the SCS into seven stages,acquires key geological parameters of every stage based on previous studies and analogy with other areas,evaluates the NGH resources of these seven stages by using the volumetric method,then adopts a new trend-analysis method to simulate the downward trend of these estimates,and finally predicts the NGH resources in the SCS at 2025 and 2030.The downward trend is because of the continuous improvement of NGH understanding over time,which is consistent with the trend of global NGH estimates.At the present stage(from 2019 to 2021),the average technically recoverable resource(ATRR)is 7.0×10^(12)m^(3),and the estimates of 2025 and 2030 ATRR are 6.46×10^(12)m^(3) and 4.01×10^(12)m^(3)respectively,with a difference of less than 40%.Therefore,it can be inferred that the ATRR of NGH in the SCS is between 4.0 and 6.5×10^(12)m^(3),with an average of 5.25×10^(12)m^(3).展开更多
OBJECTIVE： To evaluate the effectiveness and safety of the Xingnao Kaiqiao needling method for treating acute ischemic stroke.DATA SOURCES： We retrieved relevant randomized controlled trials involving Xingnao Kaiqia...OBJECTIVE： To evaluate the effectiveness and safety of the Xingnao Kaiqiao needling method for treating acute ischemic stroke.DATA SOURCES： We retrieved relevant randomized controlled trials involving Xingnao Kaiqiao acupuncture for treatment of acute ischemic stroke. The China National Knowledge Infrastructure, Weipu Information Resources System, Wanfang Medical Data System, Chinese Biomedical Literature Database, Cochrane Library, and Pub Med were searched from June 2006 to March 2016.DATA SELECTION： We analyzed randomized and semi-randomized clinical controlled trials that compared Xingnao Kaiqiao acupuncture with various control treatments, such as conventional drugs or other acupuncture therapies, for treatment of acute ischemic stroke. The quality of articles was evaluated according to the Cochrane Handbook for Systematic Reviews of Interventions（Version 5.1）, and the study was carried out using Cochrane system assessment methods. Rev Man 5.2 was used for the meta-analysis of the included studies.OUTCOME MEASURES： The mortality rate, disability rate, activities of daily living（Barthel Index）, and clinical efficacy were observed.RESULTS： Twelve studies met the inclusion criteria for this review. The meta-analysis showed that between Xingnao Kaiqiao acupuncture and the control treatment, Xingnao Kaiqiao acupuncture reduced the disability rate [risk ratio（RR） = 0.51, 95% confidence interval（CI） = 0.27-0.98, z = 2.03, P 〈 0.05], elevated the activities of daily living（weighted mean difference = 12.23, 95% CI： 3.66-20.08, z = 2.80, P 〈 0.005）, and had greater clinical efficacy（RR = 1.61, 95% CI： 1.23-2.09, z = 3.53, P 〈 0.0004）. However, there was no significant difference in mortality rate（RR = 0.61, 95% CI： 0.15-2.45, z = 0.70, P 〉 0.05）. CONCLUSION： The Xingnao Kaiqiao needling method is effective and safe for acute ischemic stroke. However, there was selective bias in this study, and the likelihood of measurement bias is high. Thus, more high-quality randomized controlled trials are needed to provide reliable evidence of the efficacy and safety of Xingnao Kaiqiao acupuncture in the treatment of acute ischemic stroke.展开更多
Line profile analysis of X-ray and neutron diffraction patterns is a powerful tool for determining the microstructure of crystalline materials. The Convolutional-Multiple-Whole-Profile (CMWP) procedure is based on phy...Line profile analysis of X-ray and neutron diffraction patterns is a powerful tool for determining the microstructure of crystalline materials. The Convolutional-Multiple-Whole-Profile (CMWP) procedure is based on physical profile functions for dislocations, domain size, stacking faults and twin boundaries. Order dependence, strain anisotropy, hkl dependent broadening of planar defects and peak shape are used to separate the effect of different lattice defect types. The Marquardt-Levenberg (ML) numerical optimiza-tion procedure has been used successfully to determine crystal defect types and densities. However, in more complex cases like hexagonal materials or multiple phases the ML procedure alone reveals uncer-tainties. In a new approach the ML and a Monte-Carlo statistical method are combined in an alternative manner. The new CMWP procedure eliminates uncertainties and provides globally optimized parameters.展开更多
Objective:Skill competence is essential for nursing students and experiential teaching method has become increasingly popular in China’s nursing education.To systematically evaluate the effects of experiential teachi...Objective:Skill competence is essential for nursing students and experiential teaching method has become increasingly popular in China’s nursing education.To systematically evaluate the effects of experiential teaching method on the development of nursing students’skill competence,and to provide evidence for nursing education.Methods:The China National Knowledge Infrastructure,VIP,Wanfang Data,PubMed,and Web of Science databases were searched from their inception until November 28,2019.We screened the studies according to inclusion and exclusion criteria,extracted the data,and assessed the quality.Then,a meta-analysis was conducted.Results:Totally 15 studies were included,and 1,633 nursing students were analyzed by Review Manager5.3 and Stata15.1 software.The results show that the experiential teaching method can significantly improve nursing students’nursing skills such as training(SMD=1.05,95%CI:0.95–1.16,P=0.000),learning interest(ES=0.93,95%CI:0.79–1.06),ability to analyze and solve problems(ES=0.75,95%CI:0.55–0.94),ability to judge and innovative thinking(ES=1.01,95%CI:0.77–1.25),abilities of understanding and perception(ES=0.59,95%CI:0.34–0.83),and teaching satisfaction(ES=1.26,95%CI:1.13–1.4).Conclusions:The results suggest that the experiential teaching method is more effective for the nursing students’skill competence than traditional teaching in China.However,due to the heterogeneity and bias risk,a large sample and high-quality studies are needed in future to confirm its effectiveness.展开更多
Objective:This article uses a meta-analysis system to evaluate the clinical efficacy of the method of spleen-invigorating,kidney-tonifying and blood-activating combined with western medicine in the treatment of diabet...Objective:This article uses a meta-analysis system to evaluate the clinical efficacy of the method of spleen-invigorating,kidney-tonifying and blood-activating combined with western medicine in the treatment of diabetic nephropathy,in order to provide evidence-based medicine for the clinical treatment of this disease.Methods:Computer search(January 2009 to June 2020)published in CNKI,Wanfang database,and Weipu Chinese Science and Technology Journal Database with simple western medicine conventional treatment(control group)and on the basis of control group Randomized Controlled Trial(RCT)of the treatment of diabetic nephropathy with spleen-invigorating,kidney-tonifying and blood-activating(experimental group),and manual retrieval of relevant literature that meets the inclusion criteria.Two researchers independently carried out literature screening,and used the improved Jadad rating scale for quality evaluation,and finally used RevMan5.3 statistical software for meta-analysis.Results:A total of 15 randomized controlled trials were included,with a total of 1218 patients,including 621 in the experimental group and 597 in the control group.Meta-analysis showed that the experimental group was improving clinical efficacy(OR=4.35,95%CI[3.12,6.08],P<0.00001),FPG(MD=-0.49,95%CI[-0.89,-0.09],P=0.02),24h urine protein quantification(MD=-0.54,95%CI[-0.90,-0.18],P=0.003),mALB(MD=-15.95,95%CI[-18.12,-13.79],P<0.0001),BUN(MD=-1.79,95%CI[-2.99,-0.59],P=0.004),SCr(MD=-47.63,95%CI[-83.43,-11.83],P=0.009),TC(MD=-1.02,95%CI[-1.42,-0.62],P<0.00001),etc.may be better than the control group;The test group is improving TG(MD=-1.02,95%CI[-1.42,-0.62],P<0.00001)there is no significant difference compared with the control group.Conclusion:The method of spleen-invigorating,kidney-tonifying and blood-activating combined with conventional western medicine treatment of diabetic nephropathy may be superior to conventional western medicine treatment in terms of improving clinical efficacy,FPG,24h urine protein quantification,mALB,BUN,SCr,TC,etc.However,due to the small number and low quality of the literature included in this study,more in-depth research needs to further expand the sample size and include higher quality RCTs.展开更多
BACKGROUND Non variceal upper gastrointestinal bleeding(NVUGIB)is a life-threatening condition requiring prompt and effective hemostasis.Various endoscopic inter-ventions,including novel hemostatic powders(HP),over-th...BACKGROUND Non variceal upper gastrointestinal bleeding(NVUGIB)is a life-threatening condition requiring prompt and effective hemostasis.Various endoscopic inter-ventions,including novel hemostatic powders(HP),over-the-scope clips(OTSC),and traditional approaches,have been employed to manage upper gastroin-testinal bleeding(UGIB).Despite advancements,comparative efficacy and safety of these modalities remain uncertain.AIM To evaluate the efficacy and safety of novel hemostatic interventions compared to conventional endoscopic techniques for managing UGIB.METHODS Cochrane,MEDLINE,PubMed and Scopus libraries were searched for rando-mized controlled trials(RCTs)published up to October 2024.Only RCTs compa-ring novel interventions,such as HP or OTSC,with conventional endoscopic treatments computed tomography(CT)were included.The primary outcome was the 30-day rebleeding rate.Secondary outcomes included initial hemostasis,short-term rebleeding rates,need for salvage therapy(surgical/angiographic),30-day all-cause mortality,and bleeding-related mortality.We performed pairwise and network meta-analyses for all treatments.RESULTS Seventeen studies were included in this analysis.Regarding the 30-day rebleeding rate,OTSC and HP showed superior efficacy compared with CT[OTSC vs CT:Relative risk(RR):0.47,95%confidence interval(CI):0.33-0.65;HP vs CT:RR:0.73,95%CI:0.45-1.13],while OTSC and HP had comparable efficacy(RR:0.56,95%CI:0.30-1.05).OTSC ranked the highest in the network ranking estimate for this outcome.For the secondary outcomes,OTSC demonstrated superior efficacy for the short-term rebleeding rate(OTSC vs CT:RR:0.35,95%CI:0.14-0.74;HP vs CT:RR:0.62,95%CI:0.28-1.35;OTSC vs HP:RR:0.59,95%CI:0.17-1.67).Regarding the initial hemostasis rate,OTSC was slightly more effective than CT(OTSC vs CT:RR:1.20,95%CI:1.06-1.57)and comparable to HP(OTSC vs HP:RR:1.08,95%CI:0.89-1.40).There were no significant differences among treatments for all-cause mortality,bleeding-related mortality,or the necessity of surgical or angiographic salvage therapy.OTSC consistently ranked highest across most outcomes in the network ranking estimate.展开更多
Meta-analysis plays a crucial role in synthesizing evidence across studies,yet its application in the context of rare diseases poses unique methodological challenges.A major limitation is the small sample size typical...Meta-analysis plays a crucial role in synthesizing evidence across studies,yet its application in the context of rare diseases poses unique methodological challenges.A major limitation is the small sample size typical of rare disease studies,which undermines statistical power and increases uncertainty in pooled estimates.Publication bias is particularly pronounced,as studies with non-significant or negative results are less likely to be published,distorting the overall evidence base.High heterogeneity in study designs,populations,and outcomes-especially between observational studies and randomized controlled trials-further complicates the integration of findings.Additionally,rare disease datasets are often characterized by sparse data,including zero-event studies,which are difficult to analyse using traditional meta-analytic approaches.The frequent use of inappropriate statistical methods,such as fixed-effects models in the presence of heterogeneity or continuity corrections for zero-event data,can yield misleading results.These issues collectively limit the generalisability of meta-analytic conclusions to broader patient populations.This article critically evaluates these problems and highlights the need for advanced statistical techniques,rigorous study selection,and transparent reporting standards to enhance the validity and utility of metaanalyses in rare disease research.展开更多
The validity of correlation analysis between finite element model（FEM） and modal test data is strongly affected by three factors, i.e., quality of excitation and measurement points in modal test,FEM reduction method...The validity of correlation analysis between finite element model（FEM） and modal test data is strongly affected by three factors, i.e., quality of excitation and measurement points in modal test,FEM reduction methods, and correlation check techniques. A new criterion based on modified mode participation（MMP） for choosing the best excitation point is presented. Comparison between this new criterion and mode participation（MP） criterion is made by using Case 1 with a simple printed circuit board（PCB）. The result indicates that this new criterion produces better results. In Case 2, 35 measurement points are selected to perform modal test and correlation analysis while 9 selected in Case 3.System equivalent reduction expansion process（SEREP）, modal assurance criteria（MAC）, coordinate modal assurance criteria（CoMAC）, pseudo orthogonality check（POC） and coordinate orthogonality check（CORTHOG） are used to show the error introduced by modal test in Cases 2 and 3. Case 2 shows that additional errors which cannot be identified by using CoMAC can be found by using CORTHOG.In both Cases 2 and 3, Guyan reduction, improved reduced system（IRS） method, SEREP and Hybrid reduction are compared for accuracy and robustness. The results suggest that the quality of the reduction process is problem dependent. However, the IRS method is an improvement over the Guyan reduction, and the Hybrid reduction is an improvement over the SEREP reduction.展开更多
Objective:To evaluate the effectiveness and safety of Bushen Huoxue prescription in the treatment of recurrent spontaneous abortion(RSA)due to prethrombotic state(PTS).Methods:Databases such as CNKI,WanFang,VIP,CBM,Pu...Objective:To evaluate the effectiveness and safety of Bushen Huoxue prescription in the treatment of recurrent spontaneous abortion(RSA)due to prethrombotic state(PTS).Methods:Databases such as CNKI,WanFang,VIP,CBM,PubMed,Embase,and Cochrane Library were searched for randomized controlled trials on Bushen Huoxue prescription in treating RSA due to PTS from inception to March 2021;meta-analysis was performed by RevMan Version 5.3.0 following quality evaluation.Results:Seven trials were included,with 496 patients;the meta-analysis indicated that Bushen Huoxue prescription has advantages on the improvement of total clinical effective rate[RR=1.22,95%CI(1.10,1.35),Z=3.80(P=0.0001)],embryo survival rate at pregnancy of 12 weeks[RR=1.25,95%CI(1.10,1.41),Z=3.53(P=0.0004)],D-dimer levels[SMD=-1.59,95%CI(-2.20,-0.97),Z=5.07(P<0.00001)],and fibrinogen levels[MD=-1.00,95%CI(-1.29,-0.70),Z=6.61(P<0.00001)],but the statistical heterogeneity was significant;in terms of incidence of adverse reactions,there was no statistical difference between Bushen Huoxue prescription and western medicine.Conclusion:Compared with western medicine alone,Bushen Huoxue prescription alone or in combination with western medicine showed significant advantages in improving the overall clinical efficiency,embryonic survival rate at 12 weeks of pregnancy,and reducing D-dimer values as well as fibrinogen levels,without any significant difference in the incidence of adverse effects;however,the number of included studies is small and there are drawbacks,such as small sample size and low quality;therefore,high-quality clinical studies with large sample size and rigorous trial designs are needed in the future to provide a reliable basis for the effectiveness and safety of TCM in reducing the incidence of RSA due to prethrombotic state.展开更多
In this paper,we consider the maximal positive definite solution of the nonlinear matrix equation.By using the idea of Algorithm 2.1 in ZHANG(2013),a new inversion-free method with a stepsize parameter is proposed to ...In this paper,we consider the maximal positive definite solution of the nonlinear matrix equation.By using the idea of Algorithm 2.1 in ZHANG(2013),a new inversion-free method with a stepsize parameter is proposed to obtain the maximal positive definite solution of nonlinear matrix equation X+A^(*)X|^(-α)A=Q with the case 0<α≤1.Based on this method,a new iterative algorithm is developed,and its convergence proof is given.Finally,two numerical examples are provided to show the effectiveness of the proposed method.展开更多
[Objectives]To make a systematic evaluation on the therapeutic efficacy of purgation and catharsis method combined with western medicine in treatment of severe pneumonia.[Methods]The literatures were retrieved from Ch...[Objectives]To make a systematic evaluation on the therapeutic efficacy of purgation and catharsis method combined with western medicine in treatment of severe pneumonia.[Methods]The literatures were retrieved from China Knowledge Infrastructure(CNKI),Chinese science and technology journal full-text database(VIP database,VIP),Wanfang Data,the Chinese biomedical database,PubMed,Embase,and the Cochrane Library.The retrieval time was set to the period from the creation of the database to June 2020.The randomized controlled trial(RCT)was conducted on the comparison between the purgation and catharsis method combined with western medicine and the western medicine alone in the treatment of severe pneumonia.The literature information was extracted and the methodological quality of the included literature was evaluated according to the bias risk assessment tool developed by the Cochrane Collaboration.Meta-analysis was performed with the aid of RevMan 5.3 software for the patient response rate,acute physiology and chronic health evaluations II(APACHE II),clinical pulmonary infection score(CPIS),oxygenation index(OI),procalcitonin(PCT),mechanical ventilation time,etc.[Results]A total of 20 articles were included,involving a total of 1661 patients,and the literature quality was low.Meta analysis results showed that compared with the treatment by western medicine alone,the purgation and catharsis method combined with western medicine can further improve the response rate[RR=1.21,95%CI(1.14,1.27),P<0.00001],and reduce the APACHE II score[WMD=-5.92,95%CI(-7.94,-3.89),P<0.00001],reduce CPIS score[WMD=-1.41,95%CI(-1.70,-1.12),P<0.00001],increase oxygenation index[WMD=39.52,95%CI(29.39,49.65),P<0.00001],reduce PCT level[WMD=-2.85,95%CI(-3.68,-2.01),P<0.00001],shorten the mechanical ventilation time[WMD=-13.00,95%CI(-16.51,-9.48),P<0.00001].[Conclusions]Within the scope of the study included,the purgation and catharsis method combined with western medicine in the treatment of severe pneumonia can further reduce the pulmonary infection,reduce PCT levels,increase oxygenation index,and improve vital organ functions,thereby improving clinical efficacy,shortening the mechanical ventilation time(MVT),and reducing the economic burden of patients.展开更多
This paper presents a numerical back-analysis of the response of a shield tunnel during construction. An important issue in the construction of shallow tunnels, especially in soft ground conditions, is the surface set...This paper presents a numerical back-analysis of the response of a shield tunnel during construction. An important issue in the construction of shallow tunnels, especially in soft ground conditions, is the surface settlement caused by shield tunneling. The tunnel test system with 10 m length, 7 m width and 6.7 m height, which was completed in China in 2009, is a research shield tunnel system. Using shield tunneling technique known as earth pressure balance (EPB) and slurry shield method, it could be excavated in a region consisting of original soft soils, such as silty clay, and different types of underlain soft soils. Based on the test results, the real-life tunnel response can be analyzed by back-analysis technique. The back-analysis technique is adapted to the three-dimensional finite element method (FEM). Parameter analyses are calibrated to study the behavior of the multi-scale diameter tunnel under various conditions. The suggested multi-scale model results show a well agreement between the prediction and the measurement.展开更多
Objective:To systematically evaluate the efficacy and safety of the spirit turtle eight method acupuncture therapy in the treatment of insomnia,to better serve the clinic and provide reference ideas for the treatment ...Objective:To systematically evaluate the efficacy and safety of the spirit turtle eight method acupuncture therapy in the treatment of insomnia,to better serve the clinic and provide reference ideas for the treatment of insomnia.Methods:Search CNKI,CBM,Wanfang,Weipu,China Clinical Trial Registry databases on the use of the spirit turtle eight method compared with others interventions to treat insomnia.The search period is from the library until August 1,2021,two researchers will conduct independent quality evaluation and effect size extraction on the literature,and use STATA16.0 and Review5.3 to conduct Meta analysis and quality evaluation on the literature.Through screening,a total of 18 eligible documents participated in the meta-analysis,with a total of 1583 cases.Results:①The effective rate of the spirit turtle eight method in the treatment of insomnia is higher than the control group[RR=1.213,95%CI(1.155,1.274),Z=7.71,P<0.01];②The Pittsburgh Sleep Quality Index(PSQI)score is lower than other acupuncture treatments[WMD=-2.33,95%CI(-2.75,-1.91),Z=10.97,P<0.01];③The one-month follow-up PSQI score after the treatment of insomnia by the spirit turtle eight method is lower than the control group[WMD=-3.263,95%CI(-3.446,-3.080),Z=34.96,P<0.01];④No studies have reported serious adverse reactions in the treatment group and control group.Conclusion:Based on the current research,the spirit turtle eight method are better than the control group in the treatment of insomnia,and are suitable for clinical application.However,more high-quality clinical studies are still needed to prove its efficacy.展开更多
Background:To systematically evaluate the clinical efficacy of Tonifying-Kindney and Soothing-Liver method in the treatment of polycystic ovary syndrome(PCOS).Methods:The literatures of randomized controlled trials(RC...Background:To systematically evaluate the clinical efficacy of Tonifying-Kindney and Soothing-Liver method in the treatment of polycystic ovary syndrome(PCOS).Methods:The literatures of randomized controlled trials(RCTs)on the treatment of PCOS with traditional Chinese medicine(TCM)published at home and abroad until March 2020 were retrieved,and RCTs on the treatment of PCOS with Tonifying-Kindney and Soothing-Liver method were collected.According to the systematic evaluation method of the Cochrane Collaboration Network,RevMan5.3 software was used to perform quality evaluation and data extraction for meta-analysis of tests that met the inclusion criteria.Results:A total of 30 eligible RCTs were included,including 2244 patients.Meta-analysis results show that the method of tonifying the kidney and Soothing-Liver has certain advantages in the treatment of PCOS.Compared with Western medicine alone group,tonifying the kidney and Soothing-Liver TCM method alone or combined with Western medicine could improve the total effective rate[OR=3.52,95%CI(2.67,4.63),I2=0%,P<0.00001].It is superior to the control group in improving ovulation rate[OR=2.01,95%CI(1.46,2.78),I2=0%,P<0.0001],pregnancy rate[OR=2.82,95%CI(2.28,3.49),I2=0%,P<0.00001],reducing LH[MD=-2.65,95%CI(-3.43,-1.88),I2=92%,P<0.00001]and ovarian stimulating hormone levels[MD=-0.52,95%CI(-0.85,-0.18),I2=94%,P=0.002].There was no statistical difference in reducing serum testosterone levels[SMD=-0.56,95%CI(-1.22,0.09),I2=96%,P=0.09]and improving TCM symptoms[MD=-0.09,95%CI(-4.75,4.56),I2=97%,P=0.97].Conclusion:The method of tonifying the kidney and Soothing-Liver has a certain effect in treating polycystic ovary syndrome,but the evidence is still very limited,and a large sample of high-quality randomized controlled studies is still needed in order to make a more rigorous evaluation.展开更多
A new back-analysis method of ground stress is proposed with comprehensive consideration of influence of topography, geology and nonlinear physical mechanical properties of rock on ground stress. This method based on ...A new back-analysis method of ground stress is proposed with comprehensive consideration of influence of topography, geology and nonlinear physical mechanical properties of rock on ground stress. This method based on non-uniform rational B-spline (NURBS) technology provides the means to build a refined three-dimensional finite element model with more accurate meshing under complex terrain and geological conditions. Meanwhile, this method is a back-analysis of ground stress with combination of multivariable linear regression model and neural network (ANN) model. Firstly, the regression model is used to fit approximately boundary loads. Regarding the regressed loads as mean value, some sets of boundary loads with the same interval are constructed according to the principle of orthogonal design, to calculate the corresponding ground stress at the observation positions using finite element method. The results (boundary loads and the corresponding ground stress) are added to the samples for ANN training. And on this basis, an ANN model is established to implement higher precise back-analysis of initial ground stress. A practical application case shows that the relative error between the inversed ground stress and observed value is mostly less than 10 %, which can meet the need of engineering design and construction requirements.展开更多
Convex feasibility problems are widely used in image reconstruction,sparse signal recovery,and other areas.This paper is devoted to considering a class of convex feasibility problem arising from sparse signal recovery...Convex feasibility problems are widely used in image reconstruction,sparse signal recovery,and other areas.This paper is devoted to considering a class of convex feasibility problem arising from sparse signal recovery.We rst derive the projection formulas for a vector onto the feasible sets.The centralized circumcentered-reection method is designed to solve the convex feasibility problem.Some numerical experiments demonstrate the feasibility and e ectiveness of the proposed algorithm,showing superior performance compared to conventional alternating projection methods.展开更多
Marine thin plates are susceptible to welding deformation owing to their low structural stiffness.Therefore,the efficient and accurate prediction of welding deformation is essential for improving welding quality.The t...Marine thin plates are susceptible to welding deformation owing to their low structural stiffness.Therefore,the efficient and accurate prediction of welding deformation is essential for improving welding quality.The traditional thermal elastic-plastic finite element method(TEP-FEM)can accurately predict welding deformation.However,its efficiency is low because of the complex nonlinear transient computation,making it difficult to meet the needs of rapid engineering evaluation.To address this challenge,this study proposes an efficient prediction method for welding deformation in marine thin plate butt welds.This method is based on the coupled temperature gradient-thermal strain method(TG-TSM)that integrates inherent strain theory with a shell element finite element model.The proposed method first extracts the distribution pattern and characteristic value of welding-induced inherent strain through TEP-FEM analysis.This strain is then converted into the equivalent thermal load applied to the shell element model for rapid computation.The proposed method-particularly,the gradual temperature gradient-thermal strain method(GTG-TSM)-achieved improved computational efficiency and consistent precision.Furthermore,the proposed method required much less computation time than the traditional TEP-FEM.Thus,this study lays the foundation for future prediction of welding deformation in more complex marine thin plates.展开更多
Background:To evaluate the effect of Montessori method on cognitive and behavioral function in patients with senile dementia by meta-analysis.Methods:The randomized controlled trials of the effect of Montessori method...Background:To evaluate the effect of Montessori method on cognitive and behavioral function in patients with senile dementia by meta-analysis.Methods:The randomized controlled trials of the effect of Montessori method on cognitive and behavioral functions of Alzheimer’s patients in PubMed,Cochrane Library,Web of Science,Excerpt Medica Database,The Cumulative Index to Nursing&Allied Health Literature,Chinese BioMedical Literature Database,China National Knowledge Infrastructure,Weipu Information Chinese Periodical Service Platformdatabase and Wanfang database were searched by computer,and the references of relevant literatures were traced.Two researchers independently conducted literature screening,data extraction,evaluation and inclusion in the literature,using RevMan 5.4.1 software for meta-analysis.Results:A total of 11 literatures were included and 936 patients were enrolled.Meta analysis shows that compared with routine nursing,Montessori method is helpful to improve the overall cognitive function(standardized mean difference=1.53,95%confidence interval(1.32,1.73),P<0.01),activities of daily living and reduce the incidence of adverse events(relative risk=0.37,95%confidence interval(0.21,0.63),P<0.01)in patients with Alzheimer’s disease.Conclusion:Montessori method is helpful to improve the overall cognitive function,activities of daily living and reduce the incidence of adverse events in patients with senile dementia.Affected by the included study,it still needs to be confirmed by multi center and large sample randomized controlled study.展开更多
文摘AIM: To compare the functional outcomes of patients who underwent open surgery vs Ponseti method for the management of idiopathic clubfoot and to determine whether correlations exist between functional outcome and radiographic measurements.METHODS: A meta-analysis of the literature was conducted for studies concerning primary treatment of patients with idiopathic clubfoot. We searched PubM ed Medline, EMBASE, and the Cochrane Library databases from January 1950 to October 2011. Meta-analyses were performed on outcomes from 12 studies. Pooled means, SDs, and sample sizes were either identified in the results or calculated based on the results of each study.RESULTS: Overall, 835 treated idiopathic clubfeet in 516 patients were reviewed. The average follow-up was 15.7 years. Patients managed with Ponseti method did have a higher rate of excellent or good outcome than patients treated with open surgery(0.76 and 0.62, respectively), but not quite to the point of statistical significance(Q = 3.73, P = 0.053). Age at surgery wasnot correlated with the functional outcome for the surgically treated patients(r =-0.32, P = 0.68). A larger anteroposterior talocalcaneal angle was correlated with a higher rate of excellent or good outcomes(r = 0.80, P = 0.006). There were no other significant correlations between the functional and radiographic outcomes.CONCLUSION: The Ponseti method should be considered the initial treatment of idiopathic clubfeet, and open surgery should be reserved for clubfeet that cannot be completely corrected.
基金financially supported by the CAS consultation project“South China Sea Oil and Gas Comprehensive Development Strategy”(2019-ZW11-Z-035)the National Basic Research Program of China(973 Program)(2006CB202300,2011CB201100)the National High-Tech R&D Program of China(863 Program)(2013AA092600)。
文摘Natural gas hydrate(NGH),considered as a type of premium energy alternative to conventional hydrocarbons,has been broadly studied.The estimate of the total NGH resources in the world has decreased by more than 90%since the first evaluation in 1973.Geographic and geophysical conditions of the South China Sea(SCS)are favorable for the formation of NGH,which has been proved by drilling results up to date.The recoverability of the NGH in the SCS has been confirmed by the production tests using both vertical and horizontal wells.Since 2001,35 estimates of NGH resources in the SCS have been made,with relatively stable results varying between 600 and 900×109 ton oil equivalent.In these estimations,the volumetric method was commonly adopted,but the geological conditions,the migration-accumulation mechanisms of NGH,and the practical recoverability were not considered.These estimates cannot be regarded as evaluated resources according to the international resource evaluation standards,but are at most about prospective gas content of NGH,thus inefficient for guiding explorations and developments.To solve these problems,this study divides the past NGH surveys in the SCS into seven stages,acquires key geological parameters of every stage based on previous studies and analogy with other areas,evaluates the NGH resources of these seven stages by using the volumetric method,then adopts a new trend-analysis method to simulate the downward trend of these estimates,and finally predicts the NGH resources in the SCS at 2025 and 2030.The downward trend is because of the continuous improvement of NGH understanding over time,which is consistent with the trend of global NGH estimates.At the present stage(from 2019 to 2021),the average technically recoverable resource(ATRR)is 7.0×10^(12)m^(3),and the estimates of 2025 and 2030 ATRR are 6.46×10^(12)m^(3) and 4.01×10^(12)m^(3)respectively,with a difference of less than 40%.Therefore,it can be inferred that the ATRR of NGH in the SCS is between 4.0 and 6.5×10^(12)m^(3),with an average of 5.25×10^(12)m^(3).
基金supported by the Support Program(Ⅱ)of Hundreds of Universities Outstanding Innovative Talents in Hebei Province of China,No.BR2-104
文摘OBJECTIVE： To evaluate the effectiveness and safety of the Xingnao Kaiqiao needling method for treating acute ischemic stroke.DATA SOURCES： We retrieved relevant randomized controlled trials involving Xingnao Kaiqiao acupuncture for treatment of acute ischemic stroke. The China National Knowledge Infrastructure, Weipu Information Resources System, Wanfang Medical Data System, Chinese Biomedical Literature Database, Cochrane Library, and Pub Med were searched from June 2006 to March 2016.DATA SELECTION： We analyzed randomized and semi-randomized clinical controlled trials that compared Xingnao Kaiqiao acupuncture with various control treatments, such as conventional drugs or other acupuncture therapies, for treatment of acute ischemic stroke. The quality of articles was evaluated according to the Cochrane Handbook for Systematic Reviews of Interventions（Version 5.1）, and the study was carried out using Cochrane system assessment methods. Rev Man 5.2 was used for the meta-analysis of the included studies.OUTCOME MEASURES： The mortality rate, disability rate, activities of daily living（Barthel Index）, and clinical efficacy were observed.RESULTS： Twelve studies met the inclusion criteria for this review. The meta-analysis showed that between Xingnao Kaiqiao acupuncture and the control treatment, Xingnao Kaiqiao acupuncture reduced the disability rate [risk ratio（RR） = 0.51, 95% confidence interval（CI） = 0.27-0.98, z = 2.03, P 〈 0.05], elevated the activities of daily living（weighted mean difference = 12.23, 95% CI： 3.66-20.08, z = 2.80, P 〈 0.005）, and had greater clinical efficacy（RR = 1.61, 95% CI： 1.23-2.09, z = 3.53, P 〈 0.0004）. However, there was no significant difference in mortality rate（RR = 0.61, 95% CI： 0.15-2.45, z = 0.70, P 〉 0.05）. CONCLUSION： The Xingnao Kaiqiao needling method is effective and safe for acute ischemic stroke. However, there was selective bias in this study, and the likelihood of measurement bias is high. Thus, more high-quality randomized controlled trials are needed to provide reliable evidence of the efficacy and safety of Xingnao Kaiqiao acupuncture in the treatment of acute ischemic stroke.
基金support of the János Bolyai Research Fellowship of the Hungarian Academy of Sciences. T.U. is grateful for partial funding of this work by an EPSRC Leadership Fellowship [EP/I005420/1, EP/K039237/1, EP/K034650/1, EP/L018616/1 and EP/K034332/1] for the study of irradiation damage in zirconium alloys
文摘Line profile analysis of X-ray and neutron diffraction patterns is a powerful tool for determining the microstructure of crystalline materials. The Convolutional-Multiple-Whole-Profile (CMWP) procedure is based on physical profile functions for dislocations, domain size, stacking faults and twin boundaries. Order dependence, strain anisotropy, hkl dependent broadening of planar defects and peak shape are used to separate the effect of different lattice defect types. The Marquardt-Levenberg (ML) numerical optimiza-tion procedure has been used successfully to determine crystal defect types and densities. However, in more complex cases like hexagonal materials or multiple phases the ML procedure alone reveals uncer-tainties. In a new approach the ML and a Monte-Carlo statistical method are combined in an alternative manner. The new CMWP procedure eliminates uncertainties and provides globally optimized parameters.
文摘Objective:Skill competence is essential for nursing students and experiential teaching method has become increasingly popular in China’s nursing education.To systematically evaluate the effects of experiential teaching method on the development of nursing students’skill competence,and to provide evidence for nursing education.Methods:The China National Knowledge Infrastructure,VIP,Wanfang Data,PubMed,and Web of Science databases were searched from their inception until November 28,2019.We screened the studies according to inclusion and exclusion criteria,extracted the data,and assessed the quality.Then,a meta-analysis was conducted.Results:Totally 15 studies were included,and 1,633 nursing students were analyzed by Review Manager5.3 and Stata15.1 software.The results show that the experiential teaching method can significantly improve nursing students’nursing skills such as training(SMD=1.05,95%CI:0.95–1.16,P=0.000),learning interest(ES=0.93,95%CI:0.79–1.06),ability to analyze and solve problems(ES=0.75,95%CI:0.55–0.94),ability to judge and innovative thinking(ES=1.01,95%CI:0.77–1.25),abilities of understanding and perception(ES=0.59,95%CI:0.34–0.83),and teaching satisfaction(ES=1.26,95%CI:1.13–1.4).Conclusions:The results suggest that the experiential teaching method is more effective for the nursing students’skill competence than traditional teaching in China.However,due to the heterogeneity and bias risk,a large sample and high-quality studies are needed in future to confirm its effectiveness.
基金The second round of construction project of the National Traditional Chinese Medicine School Inheritance Studio of the State Administration of Traditional Chinese Medicine(Guo TCM Ren Jiao Han[2019]No.62)Scientific Research Project of the Shaanxi Provincial Administration of Traditional Chinese Medicine(No.2019-ZZ-LC006)Shaanxi The construction project of famous traditional Chinese medicine inheritance studio of Provincial Administration of Traditional Chinese Medicine(No.2019017).
文摘Objective:This article uses a meta-analysis system to evaluate the clinical efficacy of the method of spleen-invigorating,kidney-tonifying and blood-activating combined with western medicine in the treatment of diabetic nephropathy,in order to provide evidence-based medicine for the clinical treatment of this disease.Methods:Computer search(January 2009 to June 2020)published in CNKI,Wanfang database,and Weipu Chinese Science and Technology Journal Database with simple western medicine conventional treatment(control group)and on the basis of control group Randomized Controlled Trial(RCT)of the treatment of diabetic nephropathy with spleen-invigorating,kidney-tonifying and blood-activating(experimental group),and manual retrieval of relevant literature that meets the inclusion criteria.Two researchers independently carried out literature screening,and used the improved Jadad rating scale for quality evaluation,and finally used RevMan5.3 statistical software for meta-analysis.Results:A total of 15 randomized controlled trials were included,with a total of 1218 patients,including 621 in the experimental group and 597 in the control group.Meta-analysis showed that the experimental group was improving clinical efficacy(OR=4.35,95%CI[3.12,6.08],P<0.00001),FPG(MD=-0.49,95%CI[-0.89,-0.09],P=0.02),24h urine protein quantification(MD=-0.54,95%CI[-0.90,-0.18],P=0.003),mALB(MD=-15.95,95%CI[-18.12,-13.79],P<0.0001),BUN(MD=-1.79,95%CI[-2.99,-0.59],P=0.004),SCr(MD=-47.63,95%CI[-83.43,-11.83],P=0.009),TC(MD=-1.02,95%CI[-1.42,-0.62],P<0.00001),etc.may be better than the control group;The test group is improving TG(MD=-1.02,95%CI[-1.42,-0.62],P<0.00001)there is no significant difference compared with the control group.Conclusion:The method of spleen-invigorating,kidney-tonifying and blood-activating combined with conventional western medicine treatment of diabetic nephropathy may be superior to conventional western medicine treatment in terms of improving clinical efficacy,FPG,24h urine protein quantification,mALB,BUN,SCr,TC,etc.However,due to the small number and low quality of the literature included in this study,more in-depth research needs to further expand the sample size and include higher quality RCTs.
文摘BACKGROUND Non variceal upper gastrointestinal bleeding(NVUGIB)is a life-threatening condition requiring prompt and effective hemostasis.Various endoscopic inter-ventions,including novel hemostatic powders(HP),over-the-scope clips(OTSC),and traditional approaches,have been employed to manage upper gastroin-testinal bleeding(UGIB).Despite advancements,comparative efficacy and safety of these modalities remain uncertain.AIM To evaluate the efficacy and safety of novel hemostatic interventions compared to conventional endoscopic techniques for managing UGIB.METHODS Cochrane,MEDLINE,PubMed and Scopus libraries were searched for rando-mized controlled trials(RCTs)published up to October 2024.Only RCTs compa-ring novel interventions,such as HP or OTSC,with conventional endoscopic treatments computed tomography(CT)were included.The primary outcome was the 30-day rebleeding rate.Secondary outcomes included initial hemostasis,short-term rebleeding rates,need for salvage therapy(surgical/angiographic),30-day all-cause mortality,and bleeding-related mortality.We performed pairwise and network meta-analyses for all treatments.RESULTS Seventeen studies were included in this analysis.Regarding the 30-day rebleeding rate,OTSC and HP showed superior efficacy compared with CT[OTSC vs CT:Relative risk(RR):0.47,95%confidence interval(CI):0.33-0.65;HP vs CT:RR:0.73,95%CI:0.45-1.13],while OTSC and HP had comparable efficacy(RR:0.56,95%CI:0.30-1.05).OTSC ranked the highest in the network ranking estimate for this outcome.For the secondary outcomes,OTSC demonstrated superior efficacy for the short-term rebleeding rate(OTSC vs CT:RR:0.35,95%CI:0.14-0.74;HP vs CT:RR:0.62,95%CI:0.28-1.35;OTSC vs HP:RR:0.59,95%CI:0.17-1.67).Regarding the initial hemostasis rate,OTSC was slightly more effective than CT(OTSC vs CT:RR:1.20,95%CI:1.06-1.57)and comparable to HP(OTSC vs HP:RR:1.08,95%CI:0.89-1.40).There were no significant differences among treatments for all-cause mortality,bleeding-related mortality,or the necessity of surgical or angiographic salvage therapy.OTSC consistently ranked highest across most outcomes in the network ranking estimate.
文摘Meta-analysis plays a crucial role in synthesizing evidence across studies,yet its application in the context of rare diseases poses unique methodological challenges.A major limitation is the small sample size typical of rare disease studies,which undermines statistical power and increases uncertainty in pooled estimates.Publication bias is particularly pronounced,as studies with non-significant or negative results are less likely to be published,distorting the overall evidence base.High heterogeneity in study designs,populations,and outcomes-especially between observational studies and randomized controlled trials-further complicates the integration of findings.Additionally,rare disease datasets are often characterized by sparse data,including zero-event studies,which are difficult to analyse using traditional meta-analytic approaches.The frequent use of inappropriate statistical methods,such as fixed-effects models in the presence of heterogeneity or continuity corrections for zero-event data,can yield misleading results.These issues collectively limit the generalisability of meta-analytic conclusions to broader patient populations.This article critically evaluates these problems and highlights the need for advanced statistical techniques,rigorous study selection,and transparent reporting standards to enhance the validity and utility of metaanalyses in rare disease research.
基金supported by Science and Technology on Reliability and Environmental Engineering Laboratory,Beihang University
文摘The validity of correlation analysis between finite element model（FEM） and modal test data is strongly affected by three factors, i.e., quality of excitation and measurement points in modal test,FEM reduction methods, and correlation check techniques. A new criterion based on modified mode participation（MMP） for choosing the best excitation point is presented. Comparison between this new criterion and mode participation（MP） criterion is made by using Case 1 with a simple printed circuit board（PCB）. The result indicates that this new criterion produces better results. In Case 2, 35 measurement points are selected to perform modal test and correlation analysis while 9 selected in Case 3.System equivalent reduction expansion process（SEREP）, modal assurance criteria（MAC）, coordinate modal assurance criteria（CoMAC）, pseudo orthogonality check（POC） and coordinate orthogonality check（CORTHOG） are used to show the error introduced by modal test in Cases 2 and 3. Case 2 shows that additional errors which cannot be identified by using CoMAC can be found by using CORTHOG.In both Cases 2 and 3, Guyan reduction, improved reduced system（IRS） method, SEREP and Hybrid reduction are compared for accuracy and robustness. The results suggest that the quality of the reduction process is problem dependent. However, the IRS method is an improvement over the Guyan reduction, and the Hybrid reduction is an improvement over the SEREP reduction.
基金National Natural Science Foundation of China Project(Project Number:81603656)Shaanxi University of Traditional Chinese Medicine 2017 Annual Scientific Research Program Project(Project Number:2017PY10)Infertility Innovation Team(Project Number:132041929).
文摘Objective:To evaluate the effectiveness and safety of Bushen Huoxue prescription in the treatment of recurrent spontaneous abortion(RSA)due to prethrombotic state(PTS).Methods:Databases such as CNKI,WanFang,VIP,CBM,PubMed,Embase,and Cochrane Library were searched for randomized controlled trials on Bushen Huoxue prescription in treating RSA due to PTS from inception to March 2021;meta-analysis was performed by RevMan Version 5.3.0 following quality evaluation.Results:Seven trials were included,with 496 patients;the meta-analysis indicated that Bushen Huoxue prescription has advantages on the improvement of total clinical effective rate[RR=1.22,95%CI(1.10,1.35),Z=3.80(P=0.0001)],embryo survival rate at pregnancy of 12 weeks[RR=1.25,95%CI(1.10,1.41),Z=3.53(P=0.0004)],D-dimer levels[SMD=-1.59,95%CI(-2.20,-0.97),Z=5.07(P<0.00001)],and fibrinogen levels[MD=-1.00,95%CI(-1.29,-0.70),Z=6.61(P<0.00001)],but the statistical heterogeneity was significant;in terms of incidence of adverse reactions,there was no statistical difference between Bushen Huoxue prescription and western medicine.Conclusion:Compared with western medicine alone,Bushen Huoxue prescription alone or in combination with western medicine showed significant advantages in improving the overall clinical efficiency,embryonic survival rate at 12 weeks of pregnancy,and reducing D-dimer values as well as fibrinogen levels,without any significant difference in the incidence of adverse effects;however,the number of included studies is small and there are drawbacks,such as small sample size and low quality;therefore,high-quality clinical studies with large sample size and rigorous trial designs are needed in the future to provide a reliable basis for the effectiveness and safety of TCM in reducing the incidence of RSA due to prethrombotic state.
基金Supported in part by Natural Science Foundation of Guangxi(2023GXNSFAA026246)in part by the Central Government's Guide to Local Science and Technology Development Fund(GuikeZY23055044)in part by the National Natural Science Foundation of China(62363003)。
文摘In this paper,we consider the maximal positive definite solution of the nonlinear matrix equation.By using the idea of Algorithm 2.1 in ZHANG(2013),a new inversion-free method with a stepsize parameter is proposed to obtain the maximal positive definite solution of nonlinear matrix equation X+A^(*)X|^(-α)A=Q with the case 0<α≤1.Based on this method,a new iterative algorithm is developed,and its convergence proof is given.Finally,two numerical examples are provided to show the effectiveness of the proposed method.
基金Nanchong City R&D Funding Project(19YFZJ0005):Clinical Study on the Efficacy and Safety Evaluation of Catharsis,Stasis Elimination and Perfusion Method in Treating Severe Patients with Gastrointestinal DysfunctionProject of Famous Old Chinese Physicians Case Research Center of Nanchong City(YAZX19-Y-07):Study on Chief Physician Xu Shihong's Clinical Experience and Academic Thoughts of Syndrome Differentiation in the Treatment of COPD.
文摘[Objectives]To make a systematic evaluation on the therapeutic efficacy of purgation and catharsis method combined with western medicine in treatment of severe pneumonia.[Methods]The literatures were retrieved from China Knowledge Infrastructure(CNKI),Chinese science and technology journal full-text database(VIP database,VIP),Wanfang Data,the Chinese biomedical database,PubMed,Embase,and the Cochrane Library.The retrieval time was set to the period from the creation of the database to June 2020.The randomized controlled trial(RCT)was conducted on the comparison between the purgation and catharsis method combined with western medicine and the western medicine alone in the treatment of severe pneumonia.The literature information was extracted and the methodological quality of the included literature was evaluated according to the bias risk assessment tool developed by the Cochrane Collaboration.Meta-analysis was performed with the aid of RevMan 5.3 software for the patient response rate,acute physiology and chronic health evaluations II(APACHE II),clinical pulmonary infection score(CPIS),oxygenation index(OI),procalcitonin(PCT),mechanical ventilation time,etc.[Results]A total of 20 articles were included,involving a total of 1661 patients,and the literature quality was low.Meta analysis results showed that compared with the treatment by western medicine alone,the purgation and catharsis method combined with western medicine can further improve the response rate[RR=1.21,95%CI(1.14,1.27),P<0.00001],and reduce the APACHE II score[WMD=-5.92,95%CI(-7.94,-3.89),P<0.00001],reduce CPIS score[WMD=-1.41,95%CI(-1.70,-1.12),P<0.00001],increase oxygenation index[WMD=39.52,95%CI(29.39,49.65),P<0.00001],reduce PCT level[WMD=-2.85,95%CI(-3.68,-2.01),P<0.00001],shorten the mechanical ventilation time[WMD=-13.00,95%CI(-16.51,-9.48),P<0.00001].[Conclusions]Within the scope of the study included,the purgation and catharsis method combined with western medicine in the treatment of severe pneumonia can further reduce the pulmonary infection,reduce PCT levels,increase oxygenation index,and improve vital organ functions,thereby improving clinical efficacy,shortening the mechanical ventilation time(MVT),and reducing the economic burden of patients.
基金Foundation item： the Project of Shanghai Committee of Science and Technology （No. 12DZ2281300）, the Program for Changjiang Scholars and Innovative Research Team in University of China （No. IRT1029）, and the Science and Technology Key Project of Ministry of Transportation （No. 2009-353333340）
文摘This paper presents a numerical back-analysis of the response of a shield tunnel during construction. An important issue in the construction of shallow tunnels, especially in soft ground conditions, is the surface settlement caused by shield tunneling. The tunnel test system with 10 m length, 7 m width and 6.7 m height, which was completed in China in 2009, is a research shield tunnel system. Using shield tunneling technique known as earth pressure balance (EPB) and slurry shield method, it could be excavated in a region consisting of original soft soils, such as silty clay, and different types of underlain soft soils. Based on the test results, the real-life tunnel response can be analyzed by back-analysis technique. The back-analysis technique is adapted to the three-dimensional finite element method (FEM). Parameter analyses are calibrated to study the behavior of the multi-scale diameter tunnel under various conditions. The suggested multi-scale model results show a well agreement between the prediction and the measurement.
基金supported by Guangxi Natural Science Foundation Project(2017GXNSFAA198257)。
文摘Objective:To systematically evaluate the efficacy and safety of the spirit turtle eight method acupuncture therapy in the treatment of insomnia,to better serve the clinic and provide reference ideas for the treatment of insomnia.Methods:Search CNKI,CBM,Wanfang,Weipu,China Clinical Trial Registry databases on the use of the spirit turtle eight method compared with others interventions to treat insomnia.The search period is from the library until August 1,2021,two researchers will conduct independent quality evaluation and effect size extraction on the literature,and use STATA16.0 and Review5.3 to conduct Meta analysis and quality evaluation on the literature.Through screening,a total of 18 eligible documents participated in the meta-analysis,with a total of 1583 cases.Results:①The effective rate of the spirit turtle eight method in the treatment of insomnia is higher than the control group[RR=1.213,95%CI(1.155,1.274),Z=7.71,P<0.01];②The Pittsburgh Sleep Quality Index(PSQI)score is lower than other acupuncture treatments[WMD=-2.33,95%CI(-2.75,-1.91),Z=10.97,P<0.01];③The one-month follow-up PSQI score after the treatment of insomnia by the spirit turtle eight method is lower than the control group[WMD=-3.263,95%CI(-3.446,-3.080),Z=34.96,P<0.01];④No studies have reported serious adverse reactions in the treatment group and control group.Conclusion:Based on the current research,the spirit turtle eight method are better than the control group in the treatment of insomnia,and are suitable for clinical application.However,more high-quality clinical studies are still needed to prove its efficacy.
文摘Background:To systematically evaluate the clinical efficacy of Tonifying-Kindney and Soothing-Liver method in the treatment of polycystic ovary syndrome(PCOS).Methods:The literatures of randomized controlled trials(RCTs)on the treatment of PCOS with traditional Chinese medicine(TCM)published at home and abroad until March 2020 were retrieved,and RCTs on the treatment of PCOS with Tonifying-Kindney and Soothing-Liver method were collected.According to the systematic evaluation method of the Cochrane Collaboration Network,RevMan5.3 software was used to perform quality evaluation and data extraction for meta-analysis of tests that met the inclusion criteria.Results:A total of 30 eligible RCTs were included,including 2244 patients.Meta-analysis results show that the method of tonifying the kidney and Soothing-Liver has certain advantages in the treatment of PCOS.Compared with Western medicine alone group,tonifying the kidney and Soothing-Liver TCM method alone or combined with Western medicine could improve the total effective rate[OR=3.52,95%CI(2.67,4.63),I2=0%,P<0.00001].It is superior to the control group in improving ovulation rate[OR=2.01,95%CI(1.46,2.78),I2=0%,P<0.0001],pregnancy rate[OR=2.82,95%CI(2.28,3.49),I2=0%,P<0.00001],reducing LH[MD=-2.65,95%CI(-3.43,-1.88),I2=92%,P<0.00001]and ovarian stimulating hormone levels[MD=-0.52,95%CI(-0.85,-0.18),I2=94%,P=0.002].There was no statistical difference in reducing serum testosterone levels[SMD=-0.56,95%CI(-1.22,0.09),I2=96%,P=0.09]and improving TCM symptoms[MD=-0.09,95%CI(-4.75,4.56),I2=97%,P=0.97].Conclusion:The method of tonifying the kidney and Soothing-Liver has a certain effect in treating polycystic ovary syndrome,but the evidence is still very limited,and a large sample of high-quality randomized controlled studies is still needed in order to make a more rigorous evaluation.
基金Innovative Research Groups of the National Natural Science Foundation of China (No.51021004)National Science Foundation of China (No. 51079096)Program for New Century Excellent Talents in University (No. NCET-08-0391)
文摘A new back-analysis method of ground stress is proposed with comprehensive consideration of influence of topography, geology and nonlinear physical mechanical properties of rock on ground stress. This method based on non-uniform rational B-spline (NURBS) technology provides the means to build a refined three-dimensional finite element model with more accurate meshing under complex terrain and geological conditions. Meanwhile, this method is a back-analysis of ground stress with combination of multivariable linear regression model and neural network (ANN) model. Firstly, the regression model is used to fit approximately boundary loads. Regarding the regressed loads as mean value, some sets of boundary loads with the same interval are constructed according to the principle of orthogonal design, to calculate the corresponding ground stress at the observation positions using finite element method. The results (boundary loads and the corresponding ground stress) are added to the samples for ANN training. And on this basis, an ANN model is established to implement higher precise back-analysis of initial ground stress. A practical application case shows that the relative error between the inversed ground stress and observed value is mostly less than 10 %, which can meet the need of engineering design and construction requirements.
基金Supported by the Natural Science Foundation of Guangxi Province(Grant Nos.2023GXNSFAA026067,2024GXN SFAA010521)the National Natural Science Foundation of China(Nos.12361079,12201149,12261026).
文摘Convex feasibility problems are widely used in image reconstruction,sparse signal recovery,and other areas.This paper is devoted to considering a class of convex feasibility problem arising from sparse signal recovery.We rst derive the projection formulas for a vector onto the feasible sets.The centralized circumcentered-reection method is designed to solve the convex feasibility problem.Some numerical experiments demonstrate the feasibility and e ectiveness of the proposed algorithm,showing superior performance compared to conventional alternating projection methods.
基金Supported by the National Natural Science Foundation of China under Grant No.51975138the High-Tech Ship Scientific Research Project from the Ministry of Industry and Information Technology under Grant No.CJ05N20the National Defense Basic Research Project under Grant No.JCKY2023604C006.
文摘Marine thin plates are susceptible to welding deformation owing to their low structural stiffness.Therefore,the efficient and accurate prediction of welding deformation is essential for improving welding quality.The traditional thermal elastic-plastic finite element method(TEP-FEM)can accurately predict welding deformation.However,its efficiency is low because of the complex nonlinear transient computation,making it difficult to meet the needs of rapid engineering evaluation.To address this challenge,this study proposes an efficient prediction method for welding deformation in marine thin plate butt welds.This method is based on the coupled temperature gradient-thermal strain method(TG-TSM)that integrates inherent strain theory with a shell element finite element model.The proposed method first extracts the distribution pattern and characteristic value of welding-induced inherent strain through TEP-FEM analysis.This strain is then converted into the equivalent thermal load applied to the shell element model for rapid computation.The proposed method-particularly,the gradual temperature gradient-thermal strain method(GTG-TSM)-achieved improved computational efficiency and consistent precision.Furthermore,the proposed method required much less computation time than the traditional TEP-FEM.Thus,this study lays the foundation for future prediction of welding deformation in more complex marine thin plates.
文摘Background:To evaluate the effect of Montessori method on cognitive and behavioral function in patients with senile dementia by meta-analysis.Methods:The randomized controlled trials of the effect of Montessori method on cognitive and behavioral functions of Alzheimer’s patients in PubMed,Cochrane Library,Web of Science,Excerpt Medica Database,The Cumulative Index to Nursing&Allied Health Literature,Chinese BioMedical Literature Database,China National Knowledge Infrastructure,Weipu Information Chinese Periodical Service Platformdatabase and Wanfang database were searched by computer,and the references of relevant literatures were traced.Two researchers independently conducted literature screening,data extraction,evaluation and inclusion in the literature,using RevMan 5.4.1 software for meta-analysis.Results:A total of 11 literatures were included and 936 patients were enrolled.Meta analysis shows that compared with routine nursing,Montessori method is helpful to improve the overall cognitive function(standardized mean difference=1.53,95%confidence interval(1.32,1.73),P<0.01),activities of daily living and reduce the incidence of adverse events(relative risk=0.37,95%confidence interval(0.21,0.63),P<0.01)in patients with Alzheimer’s disease.Conclusion:Montessori method is helpful to improve the overall cognitive function,activities of daily living and reduce the incidence of adverse events in patients with senile dementia.Affected by the included study,it still needs to be confirmed by multi center and large sample randomized controlled study.
