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培土生金中药联合西医常规疗法治疗支气管哮喘缓解期肺脾两虚证的Meta分析及GRADE质量评价
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作者 余荣祥 宋德胤 《江西中医药》 2026年第1期45-49,共5页
目的:系统评价培土生金中药联合西医常规疗法治疗支气管哮喘缓解期肺脾两虚证的疗效以及证据质量,为临床决策及疾病指南制订提供循证依据。方法:检索中国知网(CNKI)、万方数据库(Wangfang)、Pubmed、Web of Science等8大中英文数据库,由... 目的:系统评价培土生金中药联合西医常规疗法治疗支气管哮喘缓解期肺脾两虚证的疗效以及证据质量,为临床决策及疾病指南制订提供循证依据。方法:检索中国知网(CNKI)、万方数据库(Wangfang)、Pubmed、Web of Science等8大中英文数据库,由2名研究者独立进行文献筛选、信息提取、偏倚风险评估及方法学质量评价,并对纳入研究的总有效率、中医证候积分、第一秒用力呼气容积(FEV1)、第一秒用力呼气容积/用力肺活量(FEV1/FVC)、哮喘控制测试(ACT)评分等结局指标进行Meta分析,最终依照GRADE评估证据质量。结果:共纳入14项研究,合计1263例患者。结果显示:(1)培土生金中药联合常规西医疗法可有效改善患者总有效率,降低患者中医证候积分,改善患者FEV1水平、FEV1/FVC及ACT评分。(2)总有效率证据质量较优,可信度高,其余指标证据质量较低,尚待更多高质量的研究支持以提升证据级别。结论:培土生金中药联合西医常规疗法治疗支气管哮喘缓解期肺脾两虚证优于单用西医常规治疗,且在总有效率上证据质量较高,具有一定的循证学意义。 展开更多
关键词 支气管哮喘 缓解期 肺脾两虚证 培土生金 中药 META分析 grade评价
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Core GRADE方法学体系:GRADE证据质量评价与指南制定核心方法
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作者 曾力楠 贺彤 +9 位作者 李海龙 邹锟 杨春松 刁莎 刘丹 陈哲 倪晓凤 程晓 陈婧婧 张伶俐 《中国医院用药评价与分析》 2025年第11期1281-1285,1290,共6页
为解决推荐分级的评估、制订与评价(GRADE)分级标准在应用过程中出现的操作日趋复杂、方法间不一致的问题,有必要制定更为简洁、高效的证据质量评价体系,Core GRADE方法学体系应运而生。Core GRADE方法学体系提供了临床问题构建方法、... 为解决推荐分级的评估、制订与评价(GRADE)分级标准在应用过程中出现的操作日趋复杂、方法间不一致的问题,有必要制定更为简洁、高效的证据质量评价体系,Core GRADE方法学体系应运而生。Core GRADE方法学体系提供了临床问题构建方法、证据质量评价方法(包括证据质量评价目标判定,证据不精确性、不一致性、偏倚风险、间接性、发表偏倚的评价方法)及从证据到推荐意见形成方法。同时,Core GRADE方法学体系建议使用结果总结表对证据进行汇总,并介绍了指南制定者与卫生技术评估者将证据转化为推荐意见或决策的核心方法。Core GRADE方法学体系为系统评价、临床指南及卫生技术评估中的证据质量评价与推荐意见形成提供了更高效、实用的方法。 展开更多
关键词 grade 系统评价 临床指南 卫生技术评估 证据质量 推荐意见
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Wear behavior of functionally graded cemented carbides with CoNiFeCr multi-principal-element alloy binder 被引量:1
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作者 Cheng Qian Kun Li +5 位作者 Yong Liu Xin Zhang Shuailong Zhang Ji Zhang Lijun Jiang Huichao Cheng 《Journal of Materials Science & Technology》 2025年第14期245-267,共23页
The good combination of mechanical and wear properties for cemented carbides is crucial.In this work,the wear behavior of functionally graded cemented carbide(FGCC)and non-graded cemented carbide(CC),with CoNiFeCr mul... The good combination of mechanical and wear properties for cemented carbides is crucial.In this work,the wear behavior of functionally graded cemented carbide(FGCC)and non-graded cemented carbide(CC),with CoNiFeCr multi-principal-element alloy(MPEA)binder,has been investigated by performing sliding wear tests and composition characterization.The results showed that compared with CC,FGCC had higher hardness,stronger fracture toughness,better wear performance,and similar TRS.FGCCs exhibited lower wear rates(3.44×10^(−7)–6.95×10^(−6)mm^(3)/(N m))and coefficients of friction(COFs)(0.27–0.39)than CCs from RT to 600℃due to mitigation of multiple risks caused by binder removal,fragmentation and pull-out of WC grains,high-temperature oxidation and softening.In the low-temperature wear stage,the MPEA binder underwent dynamic recrystallization(DRX)and twinning deformation before removing from the surface.The binder removal caused dislocation pile-ups and stacking faults(SFs)to form under high stress,resulting in fragmentation and pull-out of WC grains.The low-temperature wear was dominated by abrasive wear and adhesive wear,with a low wear rate and a high and unstable COF.In the high-temperature wear stage,initial pitting oxidation of WC grains generated many subgrain boundaries,reducing heat transfer and exacerbating oxidation,resulting in an oxide layer enriched with WO3,Mx Oy,and MWO4.High-temperature wear was dominated by oxidation wear and high-temperature softening,with a high wear rate and a low and smooth COF.The results from the present study do not only provide theoretical guidance for an understanding of the antiwear mechanism of WC-CoNiFeCr,but also a new approach for the preparation of cemented carbides with high wear resistance. 展开更多
关键词 Wear behavior graded cemented carbide Non-graded cemented carbide Multi-principal-element alloy Sliding wear tests
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Regeneration of battery grade FePO_(4) and Li_(2)CO_(3) from Al/F-bearing spent LiFePO_(4)/C powder
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作者 Ye-hui-zi WU Kang-gen ZHOU +5 位作者 Chang-hong PENG Kui YI Jing-kun DENG Zai-rong QIU Wei CHEN Ke-jing ZHANG 《Transactions of Nonferrous Metals Society of China》 2025年第10期3520-3532,共13页
A sustainable approach for recovering battery grade FePO_(4) and Li_(2)CO_(3) from Al/F-bearing spent LiFePO_(4)/C powder was proposed,including acid leaching,fluorinated coordination precipitation,homogeneous precipi... A sustainable approach for recovering battery grade FePO_(4) and Li_(2)CO_(3) from Al/F-bearing spent LiFePO_(4)/C powder was proposed,including acid leaching,fluorinated coordination precipitation,homogeneous precipitation,and high-temperature precipitation.Under the optimal conditions,the leaching efficiencies of Li,Fe,P,Al,and F were 97.6%,97.1%,97.1%,72.5%,and 63.3%,respectively.The effects of different parameters on the removal of Al/F impurities were systematically evaluated,indicating about 99.4%Al and 96.4%F in the leachate were precipitated in the form of Na_(3)Li_(3)Al_(2)F_(12),and their residual concentrations were only 0.0124 and 0.328 g/L,respectively,which could be directly used to prepare battery grade FePO_(4)(99.68%in purity).Lithium in the Al/F-bearing residue could be extracted through CaCO_(3)−CaSO_(4) roasting followed by acid leaching,ultimately obtaining 99.87%purity of Li_(2)CO_(3).The recovery rates of Li and Fe were 96.88%and 92.85%,respectively.An economic evaluation demonstrated that the process was profitable. 展开更多
关键词 Al/F-bearing spent LiFePO_(4)/C powder sulfuric acid leaching impurities removal battery grade iron phosphate battery grade lithium carbonate
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加载口服中成药干预冠状动脉慢血流现象的Meta分析及GRADE证据评价
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作者 陈佳萍 商钰 +4 位作者 刘红旭 来晓磊 李享 尚菊菊 周慧文 《中西医结合心脑血管病杂志》 2025年第6期801-811,共11页
目的:系统评价加载口服中成药干预冠状动脉慢血流现象(CSFP)的疗效与安全性。方法:通过检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、EMbase、the Cochrane Library、Wed of Science数据库自建库至2022年12月1日收录的... 目的:系统评价加载口服中成药干预冠状动脉慢血流现象(CSFP)的疗效与安全性。方法:通过检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、EMbase、the Cochrane Library、Wed of Science数据库自建库至2022年12月1日收录的加载口服中成药干预CSFP病人的随机对照试验。采用Cochrane偏倚风险评估工具及改良Jadad量表评价文献质量。采用RevMan 5.3及Stata 17.0对主要结局指标[校正的心肌梗死溶栓试验帧数(cTFC)、心肌梗死溶栓试验(TIMI)血流3级发生率、冠状动脉微血管阻力指数(IMR)]、次要结局指标[超敏C反应蛋白(hs-CRP)、西雅图心绞痛量表(SAQ)评分]及不良反应发生率进行Meta分析。应用GRADEpro GDT评价证据质量。结果:共纳入20项研究,涉及1417例病人。纳入研究的文献质量普遍较低。Meta分析结果显示,与对照组比较,试验组cTFC[MD=-8.57,95%C(I-12.60,-4.54),P<0.0001]、IMR[MD=-4.15,95%C(I-5.60,-2.69),P<0.00001]和hs-CRP[MD=-1.57,95%C(I-1.81,-1.33),P<0.00001]降低,TIMI血流3级发生率[RR=2.04,95%C(I 1.66,2.50),P<0.00001]和SAQ评分[MD=67.93,95%C(I 54.24,81.63),P<0.00001]增加。安全性方面,两组不良反应发生率比较,差异无统计学意义(P>0.05)。GRADE分级显示TIMI血流3级发生率为中级,cTFC、hs-CRP、SAQ评分、不良反应发生率为低级,IMR为极低级。结论:现有证据表明,与西医常规治疗相比,加载口服中成药可进一步改善CSFP病人的冠状动脉血流、冠状动脉微血管功能及生活质量,抑制炎症反应。 展开更多
关键词 冠状动脉慢血流现象 中成药 校正的心肌梗死溶栓试验帧数 冠状动脉微血管阻力指数 META分析 grade分级
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甜梦胶囊(口服液)治疗睡眠障碍的Meta分析及GRADE评价
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作者 张东旭 孙伟新 +1 位作者 史海波 封婕 《临床医学研究与实践》 2025年第1期1-7,共7页
目的 系统评价甜梦胶囊(口服液)治疗睡眠障碍的有效性与安全性。方法 通过计算机检索中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wanfang)、维普中文科技期刊数据库(VIP)、中国生物医学文献数据库(CBM)、PubMed、Embase、EBSCO、C... 目的 系统评价甜梦胶囊(口服液)治疗睡眠障碍的有效性与安全性。方法 通过计算机检索中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wanfang)、维普中文科技期刊数据库(VIP)、中国生物医学文献数据库(CBM)、PubMed、Embase、EBSCO、Cochrane Library数据库,检索时间均为建库至2021年3月,收集采用甜梦胶囊(口服液)治疗睡眠障碍的随机对照试验(RCT)。使用Cochrane偏倚风险评估工具评估纳入研究的质量。采用RevMan5.4及Stata14.0进行Meta分析,并使用GRADE profiler评价证据质量。结果 共纳入17篇文献,涉及1 396例患者。Meta分析结果显示,试验组的治疗有效率显著高于对照组(P<0.00001)。治疗后,试验组的匹兹堡睡眠质量指数(PSQI)评分显著低于对照组(P<0.00001)。治疗后,试验组的多导睡眠图(PSG)睡眠效率显著高于对照组(P<0.00001)。试验组的不良反应发生率低于对照组(P=0.03)。根据GRADE标准,有效率、PSQI评分、PSG睡眠效率为低质量证据,不良反应发生率为中等质量证据。结论 现有证据表明,甜梦胶囊(口服液)能有效提高睡眠效率,减少不良反应的发生,但上述结论尚需更多更高质量研究进一步验证。 展开更多
关键词 甜梦胶囊(口服液) 睡眠障碍 META分析 grade评价
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Graded P -radical
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作者 任艳丽 王尧 《Chinese Quarterly Journal of Mathematics》 CSCD 2000年第4期10-11,共2页
In the category of general monoid graded rings, we propose a new graded radical, i.e. the graded P radical, obtain the structure theorem of corresponding semisimple graded rings, show that it is a graded special ... In the category of general monoid graded rings, we propose a new graded radical, i.e. the graded P radical, obtain the structure theorem of corresponding semisimple graded rings, show that it is a graded special radical and present the graded module characterization of it. Moreover, we investigate the relations between it and reflect P radical. 展开更多
关键词 graded P- ideal graded radical graded modul\
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小儿肺热咳喘口服液治疗肺炎支原体肺炎的Meta分析及GRADE评价
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作者 武攀 黄廷岳 +1 位作者 张占玲 王雪峰 《中国中西医结合儿科学》 2025年第2期98-108,共11页
目的 系统评价小儿肺热咳喘口服液治疗肺炎支原体肺炎的有效性及安全性.方法 计算机检索知网、万方、维普、中国生物医学文献数据库、Pubmed、Cochrane Libr ary、Embase国内外数据库自建库至2024年3月31日所发表的小儿肺热咳喘口服液... 目的 系统评价小儿肺热咳喘口服液治疗肺炎支原体肺炎的有效性及安全性.方法 计算机检索知网、万方、维普、中国生物医学文献数据库、Pubmed、Cochrane Libr ary、Embase国内外数据库自建库至2024年3月31日所发表的小儿肺热咳喘口服液治疗肺炎支原体肺炎的随机对照试验文献,并追溯相关灰色文献.2名研究者分别独自进行文献筛选与资料提取,并对纳入研究进行质量评价,Meta分析及证据质量评价分别采用Rev Man5.4软件、GRADE系统进行.结果 共纳入16项研究,共1503例患者,其中试验组752例,对照组751例.Meta分析结果表明,联用小儿肺热咳喘口服液治疗肺炎支原体肺炎的总有效率、热退时间、咳嗽消失时间、咳痰消失时间、肺部啰音消失时间、C反应蛋白水平、白细胞介素-6水平、肿瘤坏死因子α水平均优于西医常规治疗,且并未增加不良反应发生率.GRADE证据分级结果显示:总有效率、咳痰消失时间、不良反应发生率的证据级别为低级;热退时间、咳嗽及肺部啰音消失时间、炎性指标(C反应蛋白、白细胞介素-6、肿瘤坏死因子α)、肺功能(第一秒用力呼气容积、第一秒用力呼气容积与用力肺活量的比值、最大自主通气量)的证据级别为极低级.结论 小儿肺热咳喘口服液治疗儿童肺炎支原体肺炎疗效确切,安全性优于西医常规治疗. 展开更多
关键词 肺炎支原体肺炎 小儿肺热咳喘口服液 META分析 grade评价 儿童
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Graded density impactor design via machine learning and numerical simulation:Achieve controllable stress and strain rate 被引量:1
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作者 Yahui Huang Ruizhi Zhang +6 位作者 Shuaixiong Liu Jian Peng Yong Liu Han Chen Jian Zhang Guoqiang Luo Qiang Shen 《Defence Technology(防务技术)》 2025年第9期262-273,共12页
The graded density impactor(GDI)dynamic loading technique is crucial for acquiring the dynamic physical property parameters of materials used in weapons.The accuracy and timeliness of GDI structural design are key to ... The graded density impactor(GDI)dynamic loading technique is crucial for acquiring the dynamic physical property parameters of materials used in weapons.The accuracy and timeliness of GDI structural design are key to achieving controllable stress-strain rate loading.In this study,we have,for the first time,combined one-dimensional fluid computational software with machine learning methods.We first elucidated the mechanisms by which GDI structures control stress and strain rates.Subsequently,we constructed a machine learning model to create a structure-property response surface.The results show that altering the loading velocity and interlayer thickness has a pronounced regulatory effect on stress and strain rates.In contrast,the impedance distribution index and target thickness have less significant effects on stress regulation,although there is a matching relationship between target thickness and interlayer thickness.Compared with traditional design methods,the machine learning approach offers a10^(4)—10^(5)times increase in efficiency and the potential to achieve a global optimum,holding promise for guiding the design of GDI. 展开更多
关键词 Machine learning Numerical simulation graded density impactor Controllable stress-strain rate loading Response surface methodology
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Humanistic and graded psychological nursing care for patients undergoing endoscopic submucosal dissection of gastrointestinal tumors 被引量:1
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作者 Ying Jiang Bao-Lian Bu +2 位作者 Wei Yang Yuan Zhi Hong-Yan Ye 《World Journal of Gastrointestinal Surgery》 2025年第2期120-128,共9页
BACKGROUND Endoscopic submucosal dissection(ESD)has become a widely accepted,minimally invasive treatment for gastrointestinal submucosal tumors.It has been reported that humanistic nursing care with graded psychologi... BACKGROUND Endoscopic submucosal dissection(ESD)has become a widely accepted,minimally invasive treatment for gastrointestinal submucosal tumors.It has been reported that humanistic nursing care with graded psychological interventions can effectively enhance patients’physical activity in patients,reduce postoperative complications,and improve their postoperative quality of life.AIM To investigate the effects of combining humanistic care with graded psychological support on nursing satisfaction and quality of life in patients undergoing ESD for gastrointestinal submucosal tumors.METHODS A retrospective analysis was conducted on the clinical data of 180 patients who underwent ESD surgery for gastrointestinal submucosal tumors at our hospital between March 2021 and February 2023.Patients were allocated into groups based on the nursing care they received:The control group,which received routine care(n=90),and the observation group,which was subjected to humanistic nursing care in combination with graded psychological support(n=90).Patient anxiety and depression were assessed using the self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Quality of life was evaluated using the shortform 36 health survey,and additional indications such as time to first food intake,surgery duration,length of hospital stay,nursing satisfaction,and adverse reactions were also recorded.Data was analyzed using SPSS22.0,with t-tests employed for continuous variables andχ2 tests for categorical data.RESULTS Patients in the observation group experienced significantly shorter times to first postoperative meal,surgery,and hospital stay compared to the control group.After the intervention,the SAS score of the observation group was 43.17±5.68,and the SDS score was 41.57±6.52,both significantly lower than those of the control group,with SAS score of 52.38±5.21 and SDS score of 51.23±8.25.In addition,the observation group scored significantly higher in daily living,physical function,psychological well-being,and social functioning(80.01±6.39,83.59±6.89,81.69±5.34,and 85.23±6.05,respectively).Moreover,the observation group also exhibited higher satisfaction and selfefficacy scores and a lower incidence of adverse reactions compared to the control group(P<0.05).CONCLUSION For patients undergoing ESD for gastrointestinal submucosal tumors,humanistic nursing care in combination with graded psychological nursing care significantly shorten the times to first postoperative meal,surgery,and hospital stay,effectively alleviates anxiety and depression,improves quality of life and nursing satisfaction,and mitigate the incidence of adverse reactions. 展开更多
关键词 Humanistic nursing care Minimally invasive treatment graded psychological nursing care Gastrointestinal submucosal tumor Endoscopic submucosal dissection
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Enhanced corrosion fatigue strength of additively manufactured graded porous scaffold-coated Ti-6Al-7Nb alloy 被引量:1
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作者 Hongwei Yang Yong Han 《Journal of Materials Science & Technology》 2025年第9期192-206,共15页
Current modifications of Ti-based materials with porous scaffolds for achieving biological fixation often decrease corrosion fatigue strength(σ_(cf))of the resultant implants,thereby shortening their service lifes-pa... Current modifications of Ti-based materials with porous scaffolds for achieving biological fixation often decrease corrosion fatigue strength(σ_(cf))of the resultant implants,thereby shortening their service lifes-pan.To resolve this issue,in the present,a step-wise graded porous Ti-6Al-7Nb scaffold was additively manufactured on optimally surface mechanical attrition treated(SMATed)Ti-6Al-7Nb(specifically de-noted as S-Ti6Al7Nb)using laser powder bed fusion(PBF)technology.The microstructure,bond strength,residual stress distribution,and corrosion fatigue behavior of porous scaffolds modified S-Ti6Al7Nb were investigated and compared with those of mechanically polished Ti-6Al-7Nb(P-Ti6Al7Nb),S-Ti6Al7Nb,and porous scaffolds modified P-Ti6Al7Nb.Results showed that corrosion fatigue of porous scaffolds modi-fied Ti-6Al-7Nb was propagation controlled.Moreover,the crack propagation behavior in the PBF scaf-fold’s fusion zone(FZ)and heat-affected zone(HAZ),exhibiting insensitivity to the microstructural con-figurations characterized by columnar prior-βgrain(PBG)boundaries and acicularα''martensites,cou-pled with the PBF-induced residual tensile stresses in these regions,resulted in a considerable decrease inσ_(cf) for porous scaffolds modified P-Ti6Al7Nb compared to P-Ti6Al7Nb.In contrast,step-wise graded porous scaffold-modified S-Ti6Al7Nb demonstrated an improvedσ_(cf) which was even higher than that of P-Ti6Al7Nb.Such an advancement in corrosion fatigue strength is primarily attributed to the presence of residual compressive stresses within the underlying S-Ti6Al7Nb substrate,extending beyond FZ and HAZ.These stresses increased the crack propagation threshold,leading to crack deflection/branching and increased crack-path tortuosity,thereby synergistically markedly enhancing the crack propagation resis-tance of porous scaffolds modified S-Ti6Al7Nb. 展开更多
关键词 Ti-6Al-7Nb alloy Powder bed fusion graded porous scaffold Surface mechanical attrition treatment Corrosion fatigue
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如何正确理解及使用GRADE系统 被引量:302
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作者 曾宪涛 冷卫东 +2 位作者 李胜 郭毅 王朴 《中国循证医学杂志》 CSCD 2011年第9期985-990,共6页
证据是循证医学的核心,GRADE证据质量分级和推荐强度系统是证据发展史上的里程碑事件。本文简要介绍GRADE系统、GRADEpro 3.2软件,并结合《中国循证医学杂志》上发表的正、误使用GRADE方法的两篇论文进行简要探讨。GRADEpro软件操作简单... 证据是循证医学的核心,GRADE证据质量分级和推荐强度系统是证据发展史上的里程碑事件。本文简要介绍GRADE系统、GRADEpro 3.2软件,并结合《中国循证医学杂志》上发表的正、误使用GRADE方法的两篇论文进行简要探讨。GRADEpro软件操作简单,但其中的升降级因素评价和结局指标重要性的判断需要全面系统地了解相关的背景知识和具备扎实的临床流行病学与系统评价基础。鉴于本文是基于现有的GRADE系统进行的一个浅要简介,可能会随着GRADE系统的不断完善而与后期的内容有所出入,因此建议本文读者应不断跟进GRADE系统的进展,进行学习、完善。 展开更多
关键词 证据 循证医学 grade系统 gradepro3.2软件 证据级别 推荐强度
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基于整合证据链和GRADE的12种常用中成药治疗骨质疏松症证据评价
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作者 魏光成 张智龙 +8 位作者 张馨文 罗烨 石金杰 马锐 杜杰扬 朱珂 彭九程 押玉珑 曹炜 《中国中药杂志》 北大核心 2025年第15期4372-4385,共14页
应用推荐分级的评估、制订和评价(grading of recommendations assessment,development and evaluation,GRADE)系统与中药有效性评价整合证据链法(integrated evidence chain-based effectiveness evaluation of traditional Chinese me... 应用推荐分级的评估、制订和评价(grading of recommendations assessment,development and evaluation,GRADE)系统与中药有效性评价整合证据链法(integrated evidence chain-based effectiveness evaluation of traditional Chinese medicine,Eff-iEC)对指南或专家共识推荐频次较高的12种治疗骨质疏松症的常用中成药进行了证据评价。结果显示,仙灵骨葆胶囊/片根据GRADE系统评价为C级(低级证据),根据Eff-iEC体系评价为BA+B^(+)(中级证据);金天格胶囊根据GRADE系统评价为C级(低级证据),根据Eff-iEC体系评价为AA+B(高级证据);骨疏康颗粒/胶囊根据GRADE系统评价为C级(低级证据),根据Eff-iEC体系评价为BA+B^(+)(中级证据);左归丸根据GRADE系统评价为C级(低级证据),根据Eff-iEC体系评价为AA^(++)B^(+)(高级证据);强骨胶囊根据GRADE系统评价为D级(极低级证据),根据Eff-iEC体系评价为AA+B^(+)(高级证据);壮骨止痛胶囊根据GRADE系统评价为D级(极低级证据),根据Eff-iEC体系评价为BA+B(中级证据);金匮肾气丸根据GRADE系统评价为D级(极低级证据),根据Eff-iEC体系评价为AA+B(高级证据);全杜仲胶囊根据GRADE系统评价为D级(极低级证据),根据Eff-iEC体系评价为AD+B^(+)(低级证据);淫羊藿总黄酮胶囊根据GRADE系统评价为D级(极低级证据),根据Eff-iEC体系评价为AAB^(+)(高级证据);右归丸根据GRADE系统评价为D级(极低级证据),根据Eff-iEC体系评价为AA^(++)B^(+)(高级证据);芪骨胶囊根据GRADE系统评价为D级(极低级证据),根据Eff-iEC体系评价为BB^(+)B(中级证据);六味地黄丸根据GRADE系统评价为C级(低级证据),根据Eff-iEC体系评价为AA^(++)B^(+)(高级证据)。整体而言,Eff-iEC评价体系较GRADE系统能更全面地评价中医药的有效性证据,但仍有不够完善之处,制约其推广应用。在临床证据评价方面,Eff-iEC评价体系与GRADE系统均反映出当前中成药治疗骨质疏松症的临床研究质量普遍较低,未来尚需开展高质量临床试验,进一步验证临床疗效。 展开更多
关键词 中成药 骨质疏松症 grade Eff-iEC 证据
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Microstructure and Properties of Fe-Mo Functionally Graded Materials Fabricated by Electron Beam-Directional Energy Deposition
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作者 Li Danni Yao Zhengjun +6 位作者 Yao Mengxin Zhang Shuxian Moliar Oleksandr Soloviova Tetiana Trosnikova Iryna Loboda Petro Zhang Shasha 《稀有金属材料与工程》 北大核心 2025年第3期554-568,共15页
Fe-Mo functionally graded materials(FGMs)with different composition-change rates from 100%304 stainless steel to 100%Mo along the composition gradient direction were prepared by electron beam-directed energy depositio... Fe-Mo functionally graded materials(FGMs)with different composition-change rates from 100%304 stainless steel to 100%Mo along the composition gradient direction were prepared by electron beam-directed energy deposition(EB-DED)technique,including three samples with composition mutation of 100%,composition change rate of 10%and 30%.Results show that the composition-change rate significantly affects the microstructure and mechanical properties of the samples.In the sample with abrupt change of composition,the sharp shift in composition between 304 stainless steel and Mo leads to a great difference in the microstructure and hardness near the interface between the two materials.With the increase in the number of gradient layers,the composition changes continuously along the direction of deposition height,and the microstructure morphology shows a smooth transition from 304 stainless steel to Mo,which is gradually transformed from columnar crystal to dendritic crystal.Elements Fe,Mo,and other major elements transform linearly along the gradient direction,with sufficient interlayer diffusion between the deposited layers,leading to good metallurgical bonding.The smaller the change in composition gradient,the greater the microhardness value along the deposition direction.When the composition gradient is 10%,the gradient layer exhibits higher hardness(940 HV)and excellent resistance to surface abrasion,and the overall compressive properties of the samples are better,with the compressive fracture stress in the top region reaching 750.05±14 MPa. 展开更多
关键词 functionally graded materials EB-DED microstructure evolution mechanical properties
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Design and Dynamic Experiment of Al-Cu Graded Materials Impactor with Strain Rate of 10^(4)–10^(5)/s
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作者 Hu Jianian Zhou Zizheng +4 位作者 Li Yidi Chen Xiang Yang Gang Liu Jintao Zhang Jian 《稀有金属材料与工程》 北大核心 2025年第3期581-586,共6页
Based on simplified calculations of one-dimensional wave systems,loading pressure platform curves of Al-Cu gradient materials(GMs)impactor were designed.The Al-Cu GMs were prepared using tape-pressing sintering,and th... Based on simplified calculations of one-dimensional wave systems,loading pressure platform curves of Al-Cu gradient materials(GMs)impactor were designed.The Al-Cu GMs were prepared using tape-pressing sintering,and their acoustic properties were characterized to match the design path.The parallelism of the Al-Cu GM was confirmed using a three-dimensional surface profilometry machine.A one-stage light-gas gun was used to launch the Al-Cu GM,impacting an Al-LiF target at a velocity of 400 m/s.The results of the experimental strain rate demonstrate that the Al-Cu GMs can realize the precise control of the strain rate within the range of 10^(4)‒10^(5)/s in the high-speed impact experiments. 展开更多
关键词 high strain rate Al-Cu graded materials IMPACTOR acoustic impedance gas gun experiment
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Formulation and Characterization of Functionally Graded Materials Comprising SS316L and Inconel625 for Enhanced Performance in High-Pressure Pneumatic Tools
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作者 Sainath Krishna Mani Iyer Karuppasamy Ramasamy Prabagaran Subramaniam 《稀有金属材料与工程》 北大核心 2025年第2期363-376,共14页
SS316L alloy coupled with Inconel625 alloy were combined with Ti6Al4V or Inconel718 alloy through wire arc additive manufacturing technique to manufacture functionally graded materials(FGMs).Two FGMs,namely 60%SS316L+... SS316L alloy coupled with Inconel625 alloy were combined with Ti6Al4V or Inconel718 alloy through wire arc additive manufacturing technique to manufacture functionally graded materials(FGMs).Two FGMs,namely 60%SS316L+20%Inconel625+20%Ti6Al4V composite and 60%SS316L+20%Inconel625+20%Inconel718 composite,were prepared.The tensile strength,elongation,yield strength,hardness,cross section area of the parent material,and composition were analysed.Results illustrate that the 60%SS316L+20%Inconel625+20%Inconel718 composite has better mechanical properties than 60%SS316L+20%Inconel625+20%Ti6Al4V composite,and the comprehensive properties of 60%SS316L+20%Inconel 625+20%Ti6Al4V composite are better than those of the parent material SS316L.Hence,the composite of 60%SS316L+20%Inconel625+20%Inconel718 is optimal.Due to its high strength,the 60%SS316L+20%Inconel625+20%Inconel718 composite has great application potential in the field of high pressure pneumatic tool and defence tool. 展开更多
关键词 MICROSTRUCTURE tensile strength functionally graded material additive manufacturing Inconel alloy TITANIUM stainless steel wire arc additive manufacturing
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Effect of Rare Earth on Microstructure and Properties of Deposited Metal in Submerged Arc Welding of 1000 MPa Grade High-Strength Steel
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作者 Li Chunjian Xu Kai +5 位作者 Feng Wei Song Changhong Zhang Qingsu Hao Qianyu Zheng Yongqiang Guo Xuchao 《稀有金属材料与工程》 北大核心 2025年第11期2729-2738,共10页
The optimization of deposited metal properties through the addition of rare earth elements to welding materials was explored.Utilizing optical microscope,scanning electron microscope,energy dispersive spectroscope,and... The optimization of deposited metal properties through the addition of rare earth elements to welding materials was explored.Utilizing optical microscope,scanning electron microscope,energy dispersive spectroscope,and X-ray diffractometer,combined with software tools like Matlab,Image-Pro Plus,and CHANNEL5,the influence mechanism of rare earth element addition on the strength,toughness,and inclusions of deposited metal in 1000 MPa grade high-strength steel was investigated.The results indicate that the incorporation of rare earth elements enhances the weldability of the welding materials.With the addition of rare earth elements,the tensile strength of the deposited metal increases from 935 MPa to 960 MPa.However,further addition leads to a decrease in tensile strength,while the yield strength continuously increases by 8.5%-17.2%.The addition of appropriate amounts of rare earth elements results in an increase in acicular ferrite and retained austenite content,as well as grain refinement in the deposited metal,leading to 8.5%-24.3% and 15.6%-42.2% enhancement in impact energy at−40℃ and−60℃,respectively.Additionally,the proper addition of rare earth elements modifies the inclusions and generates fine and dispersed composite inclusions that bond better with the matrix,thereby optimizing the properties of the deposited metal through various mechanisms.Adding an appropriate amount of rare earth elements can significantly enhance the properties of the deposited metal in 1000 MPa grade high-strength steel,and improve the match between high strength and toughness,meeting the demands for high-strength steel used in hydropower applications. 展开更多
关键词 1000 MPa grade high-strength steel deposited metal submerged arc welding rare earth element INCLUSIONS
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Advanced Computational Modeling and Mechanical Behavior Analysis of Multi-Directional Functionally Graded Nanostructures:A Comprehensive Review
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作者 Akash Kumar Gartia S.Chakraverty 《Computer Modeling in Engineering & Sciences》 2025年第3期2405-2455,共51页
This review explores multi-directional functionally graded(MDFG)nanostructures,focusing on their material characteristics,modeling approaches,and mechanical behavior.It starts by classifying different types of functio... This review explores multi-directional functionally graded(MDFG)nanostructures,focusing on their material characteristics,modeling approaches,and mechanical behavior.It starts by classifying different types of functionally graded(FG)materials such as conventional,axial,bi-directional,and tri-directional,and the material distribution models like power-law,exponential,trigonometric,polynomial functions,etc.It also discusses the application of advanced size-dependent theories like Eringen’s nonlocal elasticity,nonlocal strain gradient,modified couple stress,and consistent couple stress theories,which are essential to predict the behavior of structures at small scales.The review covers the mechanical analysis of MDFG nanostructures in nanobeams,nanopipes,nanoplates,and nanoshells and their dynamic and static responses under different loading conditions.The effect of multi-directional material gradation on stiffness,stability and vibration is discussed.Moreover,the review highlights the need for more advanced analytical,semi-analytical,and numerical methods to solve the complex vibration problems ofMDFG nanostructures.It is evident that the continued development of these methods is crucial for the design,optimization,and real-world application of MDFG nanostructures in advanced engineering fields like aerospace,biomedicine,and micro/nanoelectromechanical systems(MEMS/NEMS).This study is a reference for researchers and engineers working in the domain of MDFG nanostructures. 展开更多
关键词 Functionally graded multi-directional nano SIZE-DEPENDENT VIBRATION
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The Correlation between Computed Tomography Severity Grade and Pulmonary Function in Interstitial Lung Disease
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作者 GAO Hui LIU Yongbin +2 位作者 XIAO Min ZHANG Jing LIU Qin 《CT理论与应用研究(中英文)》 2025年第4期598-603,共6页
Objective:To assess whether there is a correlation between CT scan severity score and pulmonary function in Interstitial Lung Disease,and provide a more reliable basis for clinical diagnosis and treatment.Materials an... Objective:To assess whether there is a correlation between CT scan severity score and pulmonary function in Interstitial Lung Disease,and provide a more reliable basis for clinical diagnosis and treatment.Materials and Methods:Sixty patients with clinical diagnosis of Interstitial Lung Disease(ILD)were collected,and chest CT and pulmonary function tests were performed at the same time.Here DLCO%and FEV1%were used as the pulmonary function indexes.The severity of the patients was assessed by CT scores as mild(range,1~10),moderate(range 11~20),and severe(range 21~30).Correlation analysis was carried out between CT score and pulmonary function index,and the lung function parameters of patients at three grades were compared between groups and pairwise among the means.Results:As per the CT severity classification,there were 13 mild cases,31 moderate cases,and 16 severe cases.CT score was negatively correlated with DLCO%and FEV1%.R value was-0.814 and-0.797,respectively;The comparison of the mean value of DLCO%and FEV1%among the three groups and the pairings of the mean value of DLCO%and FEV1%were statistically significant.Conclusion:There was good correlation between CT score of ILD and the pulmonary function index.The pulmonary function index of patients with different CT severity grading was statistically significant,which can provide a new basis for the clinical evaluation and diagnosis of the disease. 展开更多
关键词 lung disease INTERSTITIAL CT severity grade pulmonary function
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Hom-group graded algebras
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作者 GAI Botong WANG Shuanhong 《Journal of Southeast University(English Edition)》 2025年第4期543-546,共4页
Structural mapping is an important method for studying algebraic structures.Hom-algebra and monoidal Hom-group are new structures produced by algebra and group structural mappings,respectively.These structures are imp... Structural mapping is an important method for studying algebraic structures.Hom-algebra and monoidal Hom-group are new structures produced by algebra and group structural mappings,respectively.These structures are important algebra and group generalizations and are closely related to them.Let(A,β)be a Hom-algebra and(G,α)a monoidal Hom-group.A structure of(A,β)graded by(G,α)is introduced;this structure is called Hom-group graded algebra.This study presents the definition of Hom group graded algebra,provides some examples,and dis-cusses its basic properties.Furthermore,a sufficient and necessary condition that makes(A,β)a strongly(G,α)-graded algebra is explored using a structure mapβand unit 1A.Finally,by using different maps,two sufficient and necessary conditions for a Hom-algebra to be a(G,α)-graded algebra are expressed in different ways. 展开更多
关键词 Hom-algebra monoidal Hom-group group graded structural mapping
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