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Potential impacts of invasive mussels on long-term carbonate chemistry changes in Lake Michigan
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作者 Chunqi SHEN Jeremy MTESTA Yang SONG 《Journal of Oceanology and Limnology》 2026年第1期125-136,共12页
While oceanic and coastal acidification has gained increased attention,long-term pH trends and their drivers in large freshwater systems remain poorly understood.The Laurentian Great Lakes are the world’s largest fre... While oceanic and coastal acidification has gained increased attention,long-term pH trends and their drivers in large freshwater systems remain poorly understood.The Laurentian Great Lakes are the world’s largest freshwater system,and in many ways resemble marine ecosystems.However,unlike the open ocean and coastal waters where pH has declined due to rising atmospheric CO_(2),no significant pH trends have been observed in the Laurentian Great Lakes,despite significant ecosystem changes driven partly by the invasion of dreissenid mussels.This study examined 41 years of field observations from Lake Michigan to investigate the long-term carbonate chemistry dynamics.Observational results revealed substantial declines in both total alkalinity(TA)and dissolved inorganic carbon(DIC)over the four decades.Mussel shell calcification emerged as the primary mechanism behind these declines,accounting for 97%and 47%of the observed changes in TA and DIC,respectively,lowering water column pH by 0.24 units.Elevated carbon accumulation in soft mussel tissues,coupled with long-term changes in the air-water pCO_(2)gradient during summer,significantly contributed to long-term DIC variations,explaining 18%and 28%of the lake-wide DIC loss.These two mechanisms also resulted in an overall pH increase of 0.09 and 0.12 units,largely offsetting the calcification-driven pH decrease.These findings bridge a gap in acidification research for large freshwater systems and provide valuable insights for comprehensive lake-wide management strategies. 展开更多
关键词 carbonate chemistry freshwater acidification invasive mussel Lake michigan long-term trend
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Traffic Problems in Michigan and Using Intelligent Transportation Systems to Solve
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作者 Chaudhry Abu Bakar Imran 《Journal of Traffic and Transportation Engineering》 2025年第1期17-27,共11页
The aim of this study is to determine the level to which the public is aware about ITS(intelligent transportation systems)technologies and how they perceive the potential advantages and inhibitors of ITS in Michigan.A... The aim of this study is to determine the level to which the public is aware about ITS(intelligent transportation systems)technologies and how they perceive the potential advantages and inhibitors of ITS in Michigan.A survey was performed with 200 participants living in Michigan,in urban,suburban and rural areas.Questions covered in the survey included how often and how bad traffic congestion occurred,how familiar travelers were with ITS technologies(adaptive traffic signals,real time monitoring of the traffic)and how much support travelers would provide for ITS initiatives.Results reveal that there is a high degree of traffic congestion awareness,there is low public awareness of ITS technologies.While respondents who were aware of ITS solutions had positive views about deploying them,especially in urban areas,they were less supportive of ITS solutions than they were among those who did not know much about these.Factors including area of residence,commute time and age were perceived to influence ITS along with more positive attitudes to ITS amongst urban dwellers and younger respondents.Analysis of key barriers to ITS implementation reflected high initial costs,challenges with technical integration and users’concerns surrounding privacy. 展开更多
关键词 Traffic congestion ITS ITS awareness public perception traffic management michigan SURVEY environmental impact economic benefits public support
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大学体育文化生态建设国际镜鉴与中国路径
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作者 龚建林 李佳豫 +2 位作者 张致宁 陈怡莹 张展嘉 《体育学刊》 北大核心 2026年第2期103-111,共9页
借鉴密西根大学“竞技卓越、学术共生、社区融合”三位一体的体育文化生态建设经验,结合中国制度优势与高等教育后发特点,探讨中国大学体育文化生态体系。研究认为,中国可从4个关键领域突破:文化基因层融合书院体育传统与红色体育精神,... 借鉴密西根大学“竞技卓越、学术共生、社区融合”三位一体的体育文化生态建设经验,结合中国制度优势与高等教育后发特点,探讨中国大学体育文化生态体系。研究认为,中国可从4个关键领域突破:文化基因层融合书院体育传统与红色体育精神,开发特色课程;制度层创新学分机制与风险共担模式,破解体教融合难题;行为层打造“校园—校友—社区”互动网络,构建多元参与行动体系;环境层结合地域特色发展体育项目,设立试点。通过制度创新与文化建设,能够构建出具有中国特色的大学体育文化生态体系,为高等教育现代化注入体育文化新动能。 展开更多
关键词 大学体育 体育文化 文化生态 密西根大学
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模糊推理结合Michigan型遗传算法的网络入侵检测方案 被引量:14
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作者 马勇 《电子设计工程》 2016年第11期108-111,114,共5页
针对计算机网络中安全性问题,提出一种融合模糊推理和Michigan型遗传算法的网络入侵检测方案。首先,通过一种启发式过程来确定每个模糊if-then规则后件类和确定性分数。然后,利用Michigan型遗传算法,通过交叉和变异操作来进化模糊系统... 针对计算机网络中安全性问题,提出一种融合模糊推理和Michigan型遗传算法的网络入侵检测方案。首先,通过一种启发式过程来确定每个模糊if-then规则后件类和确定性分数。然后,利用Michigan型遗传算法,通过交叉和变异操作来进化模糊系统的规则,产生高分类率的模糊规则。最后,通过协同进化后的模糊系统实现入侵检测。在DARPA数据集上进行实验,结果表明该方案能够精确的检测U2R、R2L、Do S和PRB类网络攻击,具有很高的安全性。 展开更多
关键词 网络入侵检测 模糊推理 michigan型遗传算法 规则进化
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CT图像划定腰椎间盘突出症密歇根州立大学分型的可行性分析
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作者 顾幸 白贵文 +2 位作者 王胜 魏培韵 张仲宁 《颈腰痛杂志》 2026年第1期60-65,共6页
目的 分析CT与MRI图像上腰椎间盘突出症密歇根州立大学(MSU)分型的一致性,确定CT图像划定该分型的可行性。方法 回顾性分析2018年1月1日至2023年12月31日在郑州大学第二附属医院以腰椎间盘突出症为诊断住院,且同时具备本院完整腰椎MRI... 目的 分析CT与MRI图像上腰椎间盘突出症密歇根州立大学(MSU)分型的一致性,确定CT图像划定该分型的可行性。方法 回顾性分析2018年1月1日至2023年12月31日在郑州大学第二附属医院以腰椎间盘突出症为诊断住院,且同时具备本院完整腰椎MRI及CT图像的197例患者病历资料。首先将全部影像数据分为MRI组和CT组,并随机编号;再由3位医师作为观察者,盲法划定两组影像数据的MSU分型;最后采用Fleiss'Kappa系数评估3位观察者划定结果的一致性,采用Cohen's Kappa系数评估CT和MRI图像划定结果的一致性,并分别验证其统计学显著性。结果 197份MRI图像中,191份分型一致;197份CT图像中,186份分型一致;Fleiss'Kappa系数为:MRI(0.973)、CT(0.951)。剔除不能配对的图像后得到181份病例。其中,CT与MRI结果完全一致的有169例,Cohen's Kappa系数为0.913。结论 CT图像划定MSU分型的能力与MRI图像相当,对于存在体内金属内置物的患者,或因需紧急评估骨性压迫(如骨折、钙化型椎间盘突出)及快速诊断急性马尾综合征的情况,CT检查可作为MRI的有效替代或补充。 展开更多
关键词 腰椎间盘突出症 密歇根州立大学分型 影像学诊断 CT图像 MRI图像 一致性检验
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Validity and reliability of the Polish version of the Michigan Neuropathy Screening Instrument 被引量:4
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作者 Edyta Sutkowska Dominik Marciniak +6 位作者 Magdalena Koszewicz Edyta Dziadkowiak Slawomir Budrewicz Karolina Biernat Natalia Kuciel Justyna Mazurek Katarzyna Hap 《World Journal of Diabetes》 SCIE 2023年第4期435-446,共12页
BACKGROUND Diabetic sensorimotor polyneuropathy is an important risk factor for foot ulceration and amputation.Thus,patients with diabetes should be screened for this disorder according to local guidelines.An obstacle... BACKGROUND Diabetic sensorimotor polyneuropathy is an important risk factor for foot ulceration and amputation.Thus,patients with diabetes should be screened for this disorder according to local guidelines.An obstacle to the diagnosis of this disease may be the lack of unified diagnostic criteria due to the lack of properly validated scales used for assessment.AIM To validate both sections(A and B)of the Michigan Neuropathy Screening Instrument(MNSI)in Polish(PL)patients with diabetes.METHODS A cross-sectional study using a test(A1,B1)and re-test(A2,B2)formula was performed in 80 patients with diabetes.The gold standard used for neuropathy detection was a nerve conduction study(NCS)which was performed in all participants.Reliability of the MNSI-PL was assessed using the Cronbach’s alpha,Kuder-Richardson formula 20(KR-20),split-half reliability,the Gottman split-half tests,and correlation between first and second half was accessed.Stability was assessed using an intraclass correlation coefficient(ICC).For external validation,we used simple linear correlation,binomial regression,and agreement between two different tools using a Bland-Altman plot analysis.RESULTS The scale was internally consistent(Cronbach’s alpha for the full scale:0.81 for A and 0.87 for B).MNSI-PL scores in test/retest showed high stability(ICC=0.73 for A and ICC=0.97 for B).The statistically important correlations between MNSI-PL and NCS were found for B1,B2,and A1(P<0.005).The cut-off points of≥3 for section A(sensitivity of 90%-100%;specificity of 33%-40%)and≥2 for section B(sensitivity of 81%-84%;specificity of 60%-70%)were obtained during neuropathy detection.CONCLUSION The MNSI-PL is a reliable and valid instrument in screening for diabetic neuropathy. 展开更多
关键词 michigan Neuropathy Screening Instrument Validity RELIABILITY Diabetic neuropathy Chronic complications
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Uncertainty Analysis of Wind-Wave Predictions in Lake Michigan
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作者 Navid NEKOUEE Behzad ATAIE-ASHTIANI Sajad Ahmad HAMIDI 《China Ocean Engineering》 SCIE EI CSCD 2016年第5期811-820,共10页
With all the improvement in wave and hydrodynamics numerical models, the question rises in our mind that how the accuracy of the forcing functions and their input can affect the results. In this paper, a commonly used... With all the improvement in wave and hydrodynamics numerical models, the question rises in our mind that how the accuracy of the forcing functions and their input can affect the results. In this paper, a commonly used numerical third-generation wave model, SWAN is applied to predict waves in Lake Michigan. Wind data are analyzed to determine wind variation frequency over Lake Michigan. Wave predictions uncertainty due to wind local effects are compared during a period where wind has a fairly constant speed and direction over the northern and southern basins. The study shows that despite model calibration in Lake Michigan area, the model deficiency arises from ignoring wind effects in small scales. Wave prediction also emphasizes that small scale turbulence in meteorological forces can increase prediction errors by 38%. Wave frequency and coherence analysis show that both models can predict the wave variation time scale with the same accuracy. Insufficient number of meteorological stations can result in neglecting local wind effects and discrepancies in current predictions. The uncertainty of wave numerical models due to input uncertainties and model principals should be taken into account for design risk factors. 展开更多
关键词 WAVE lake michigan wind forcing UNCERTAINTY wave prediction
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Mechanical properties of Michigan Basin’s gypsum before and after saturation
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作者 Mohammadhossein Sadeghiamirshahidi Stanley J.Vitton 《Journal of Rock Mechanics and Geotechnical Engineering》 CSCD 2019年第4期739-748,共10页
The stability analysis of an abandoned underground gypsum mine requires the determination of the mine pillar’s strength.This is especially important for flooded abandoned mines where the gypsum pillars become saturat... The stability analysis of an abandoned underground gypsum mine requires the determination of the mine pillar’s strength.This is especially important for flooded abandoned mines where the gypsum pillars become saturated and are subjected to dissolution after flooding.Further,mine pillars are subjected to blast vibrations that generate some level of macro- and micro-fracturing.Testing samples of gypsum must,therefore,simulate these conditions as close as possible.In this research,the strength of gypsum is investigated in an as-received saturated condition using uniaxial compressive strength (UCS),Brazilian tensile strength (BTS) and point load index (PLI) tests.The scale effect was investigated and new correlations were derived to describe the effect of sample size on both UCS and BTS under dry and saturated conditions.Effects of blasting on these parameters were observed and the importance of choosing the proper samples was discussed.Finally,correlations were derived for both compressive and tensile strengths under dry and saturated conditions from the PLI test results,which are commonly used as a simple substitute for the indirect determination of UCS and BTS. 展开更多
关键词 UNIAXIAL compressive STRENGTH (UCS) Brazilian tensile STRENGTH (BTS) Point load index (PLI) Scale effect michigan Basin's GYPSUM
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Distribution of Sediment Measurements in Lake Michigan as a Case Study: Implications for Estimating Sediment and Water Interactions in Eutrophication and Bioaccumulation Models
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作者 David H. Miller Xiangsheng Xia +1 位作者 Wei-Chuang Huang Ronald Rossmann 《Applied Mathematics》 2016年第15期1846-1867,共22页
Lake Michigan, the sixth largest freshwater lake in the world by surface area, was utilized as a water body for assessment. Field data collected at sampling sites throughout the lake in an intensive monitoring effort ... Lake Michigan, the sixth largest freshwater lake in the world by surface area, was utilized as a water body for assessment. Field data collected at sampling sites throughout the lake in an intensive monitoring effort were utilized for evaluation of the distribution of sediment measurements. An assessment of sediment nutrient and carbon measurements within Lake Michigan was completed to recognize strata resulting from the hydrodynamics of the system. Nonparametric comparison tests revealed that significant differences exist between measurements of sediment nutrients and organic carbon in the lake using strata based upon water column depth (all results demon-strated a p < 0.05, α = 0.05). Cross-validation analysis was applied to the field-collected samples, revealing that large errors occur when estimating sediment flux of carbon or nutrients at a given location in the lake without considering stratification of the distributions of these measurements. Errors in estimating sediment concentrations of nutrients and carbon specific to a location in the lake demonstrated a statistically significant increase when stratification of sediment measurements wasn’t employed among sites. For example, distributions of errors in estimating all nutrients and organic carbon concentrations, whereby distance squared inverse interpolation methods were applied, demonstrated a statistically significant increase in absence of stratification (all p < 0.001, α = 0.05). These results have implications for characterization, monitoring, and modeling sediment and water interaction as related to eutrophication, as well as to contaminant exposure and bioaccumulation for chemicals within Lake Michigan and large water bodies where stratification of the sediment based upon physics of the system exists. 展开更多
关键词 Lake michigan SEDIMENTS Nonparametric Comparison Tests Cross-Validation Analysis
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Diversifying Clean Water: An Examination of Drinking Water Quality and Social Disparities in Michigan
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作者 Tyra Blair Ryan Beni Sujata Guha 《Journal of Geoscience and Environment Protection》 2022年第5期125-138,共14页
Water is one of the most essential resources required to sustain life. However, it could be detrimental to the health of those without access to water that is properly treated. Although the Safe Drinking Water Act of ... Water is one of the most essential resources required to sustain life. However, it could be detrimental to the health of those without access to water that is properly treated. Although the Safe Drinking Water Act of 1974 set regulations to protect citizens from naturally occurring and man-made contaminants, some people are still without clean and safe water, which is speculated to be because of their race. This research examines the disproportionality of available clean water provided by government sources in Michigan and its correlation with race and household income. In the study, it has been found that one of the leading causes of water contamination is industrial activity, with the automobile industry being responsible for approximately 300 million tons of lead contamination in water, and that the manufacturing company’s locations mostly centered in minority and low-income areas. Lower income cities, such as Hamtramck and Benton Harbor, have an average of 14.8 drinking water standard violations with the highest being 99 total violations, while higher income cities, like Novi and Bloomfield hills, have an average of 4 violations. Cities, like Flint and Detroit, which have a higher minority population, are 10 times more likely to have a water standard violation, and the minority population is proportionally related to the possibility of industrial manufacturing being located in those areas. These communities also face a higher risk of birth defects, developmental issues in children, and organ failure in adults, due to continuous exposure to water contaminants. Race as a direct causation could not be proven, but there are links to direct correlation through historical redlining and housing trends. 展开更多
关键词 Water Quality Social Disparity michigan CONTAMINANTS Household Income Income per Capita Environmental Justice Automobile Industry
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腰椎斜扳法治疗MSU分级不同突出位置腰椎间盘突出症的疗效观察 被引量:2
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作者 裴帅 于杰 +2 位作者 庄明辉 姜宏 李宇卫 《中国骨伤》 2025年第8期786-791,共6页
目的:研究腰椎斜扳法治疗MSU分级不同突出位置腰椎间盘突出症的疗效。方法:纳入2023年6月至2023年12月就诊的272例腰椎间盘突出症患者分为中央型组、旁中央型组、极外侧型组。其中,中央型组73例,男41例,女32例,年龄(46.39±6.89)岁... 目的:研究腰椎斜扳法治疗MSU分级不同突出位置腰椎间盘突出症的疗效。方法:纳入2023年6月至2023年12月就诊的272例腰椎间盘突出症患者分为中央型组、旁中央型组、极外侧型组。其中,中央型组73例,男41例,女32例,年龄(46.39±6.89)岁;旁中央型组161例,男88例,女73例,年龄(37.14±5.89)岁;极外侧型组38例,男22例,女16例,年龄(28.56±4.89)岁。分别记录治疗前、治疗后即刻及治疗后1、3个月3组患者疼痛视觉模拟评分(visual analogue scale,VAS)、直腿抬高角度情况,并进行组间、组内及相关性比较。结果:272例获得随访,随访时间(3.0±0.2)个月。中央型患者VAS治疗后即刻为2(2,3)分,低于治疗前4(3,5)分,差异有统计学意义(P<0.05);治疗后1、3个月与治疗前比较差异无统计学意义(P>0.05)。旁中央型患者VAS治疗后即刻2(2,3)分及治疗后1个月3(2,4)分低于治疗前5(4,6)分,差异有统计学意义(P<0.05);治疗后3个月与治疗前VAS比较差异无统计学意义(P>0.05)。极外侧型患者VAS治疗前、治疗后即刻及治疗后1、3个月比较差异均无统计学意义(P>0.05)。中央型患者直腿抬高角度治疗后即刻64(58,69)°、治疗后1个月58(52,65)°,与治疗前44(40,51)°比较,差异有统计学意义(P<0.05);治疗后3个月与治疗前比较,差异无统计学意义(P>0.05)。旁中央型患者直腿抬高角度治疗后即刻61(55,67)°、治疗后1个月61(53,66)°、治疗后3个月47(41,56)°,与治疗前44(36,52)°比较,差异均有统计学意义(P<0.05)。极外侧型患者直腿抬高角度治疗前、治疗后即刻及治疗后1、3个月比较,差异均无统计学意义(P>0.05)。三组患者VAS与直腿抬高角度有相关性,但不呈线性关系。结论:腰椎斜扳法治疗中央型、旁中央型突出的腰椎间盘突出症患者效果较好,治疗极外侧型效果较差;治疗后,旁中央型患者较中央型患者疗效持续更久。 展开更多
关键词 腰椎 椎间盘突出 正骨手法 MSU分级
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美国高校跨学科研究生培养的创新举措:组织模式与运行机制——以美国密歇根大学拉克哈姆研究生院为例 被引量:1
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作者 张炜 徐沛鋆 林永春 《外国教育研究》 北大核心 2025年第3期100-110,共11页
美国密歇根大学拉克哈姆研究生院,在组织模式和运行机制上采取一系列措施,积极开展跨学科研究生培养创新实践探索,现已成为美国跨学科研究生教育的典范。组织模式上,灵活部署研讨会项目、跨学科课程证书项目、双学位项目和跨学科学位项... 美国密歇根大学拉克哈姆研究生院,在组织模式和运行机制上采取一系列措施,积极开展跨学科研究生培养创新实践探索,现已成为美国跨学科研究生教育的典范。组织模式上,灵活部署研讨会项目、跨学科课程证书项目、双学位项目和跨学科学位项目。运行机制上,创造性形成了人才识别机制、个性化与建制化并存的设计机制、多向学分认证和转换机制以及跨学院教师联合聘任机制。在我国加速培养高素质跨学科人才的背景下,其经验可为我国跨学科研究生教育改革提供些许借鉴,以加速跨学科人才培养进程。 展开更多
关键词 美国 高校 跨学科研究生培养 密歇根大学 组织模式 运行机制
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木丹颗粒和复方丹参滴丸治疗2型糖尿病周围神经病变临床疗效分析
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作者 孙照阳 王艳 +4 位作者 丁忠于 吕欣 张慧 宋瑞捧 杨俊朋 《医药论坛杂志》 2025年第13期1438-1443,1448,共7页
目的观察木丹颗粒和复方丹参滴丸治疗2型糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)的临床疗效。方法选取2023年5月—2024年4月在郑州颐和医院、河南省人民医院就诊的DPN患者180例,随机分为木丹颗粒组(木丹颗粒联合硫辛... 目的观察木丹颗粒和复方丹参滴丸治疗2型糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)的临床疗效。方法选取2023年5月—2024年4月在郑州颐和医院、河南省人民医院就诊的DPN患者180例,随机分为木丹颗粒组(木丹颗粒联合硫辛酸治疗,85例),复方丹参滴丸组(复方丹参滴丸联合硫辛酸治疗,26例),硫辛酸组(单纯硫辛酸治疗,69例),疗程8周。主要观察指标为三组治疗前后密西根糖尿病周围神经病变评分(michigan diabetic neuropathy score,MDNS);次要观察指标为多伦多临床评分(Toronto clinical scoring system scores,TCSS)、中医临床证候评分(traditional chinese medicine syndrome scores,TCM)及血清超氧化物歧化酶(superoxide dismutase,SOD)水平变化。收集三组患者的年龄、性别比例、病程、血压、体重指数(body mass index,BMI)、合并症(冠心病、高血压、高脂血症)、吸烟饮酒史等临床资料及相关生化指标。结果三组患者MDNS、TCSS、TCM评分总分治疗后均较治疗前降低,木丹颗粒组和复方丹参滴丸组治疗后评分低于硫辛酸组,差异有统计学意义(P<0.05),木丹颗粒组和复方丹参滴丸组比较差异无统计学意义(P>0.05)。木丹颗粒组和复方丹参滴丸组治疗后MDNS、TCSS、TCM评分总有效率(90.58%和88.46%、94.11%和96.15%、92.94%和92.30%)均高于硫辛酸组(66.67%、76.81%、73.91%),差异有统计学意义(P<0.05),但木丹颗粒组和复方丹参滴丸组总有效率比较差异无统计学意义(P>0.05)。三组治疗后血清SOD水平均较治疗前升高,且研究组血清SOD水平高于硫辛酸组,差异有统计学意义(P<0.05)。三组患者病程、血压、BMI、FBG、HbA1c、CHO、TG、HDL-C、LDL-C、ALT和AST等水平无明显差异(P>0.05)。结论木丹颗粒和复方丹参滴丸均可有效改善2型糖尿病周围神经病变,两者和硫辛酸联用疗效相近。 展开更多
关键词 木丹颗粒 复方丹参滴丸 糖尿病周围神经病变 密西根糖尿病周围神经病变评分 次要观察指标为多伦多临床评分 中医临床症候评分
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基于叶天士“络病理论”探讨芪归通络颗粒治疗糖尿病周围神经病变的临床观察 被引量:1
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作者 刘剑 方朝晖 +3 位作者 倪英群 赵进东 王奔 严瑜珊 《现代中药研究与实践》 2025年第4期71-75,共5页
目的基于络病理论观察芪归通络颗粒治疗糖尿病周围神经病变(DPN)的效果。方法60例气虚血瘀型DPN患者按照是否使用芪归通络颗粒分为观察组和对照组各30例,治疗8周。比较2组患者治疗前后密西根糖尿病周围神经病变量表评分(MDNS)、中医证... 目的基于络病理论观察芪归通络颗粒治疗糖尿病周围神经病变(DPN)的效果。方法60例气虚血瘀型DPN患者按照是否使用芪归通络颗粒分为观察组和对照组各30例,治疗8周。比较2组患者治疗前后密西根糖尿病周围神经病变量表评分(MDNS)、中医证候积分、血糖相关指标、炎性指标(IL-6、hs-CRP、Hcy)、神经电生理指标(MCV、SCV)。结果治疗后,观察组在MDNS、中医证候总积分、2hPG、HbA1C、hs-CRP、IL-6、Hcy、右侧胫神经(MCV)、左侧腓肠神经和腓浅神经(SCV)方面的改善更为显著(P<0.05),2组空腹血糖(FPG)比较无统计学差异(P>0.05),观察组综合疗效(92.86%)优于对照组(75.86%)(P<0.05)。结论芪归通络颗粒可降低MDNS评分,恢复神经受损症状,改善下肢MCV、SCV,延缓糖尿病周围神经受损进展。 展开更多
关键词 络病理论 糖尿病周围神经病变 芪归通络颗粒 密西根糖尿病周围神经病变量表评分 中医证候积分
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无车之境,马语春秋
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作者 李云祥 《疯狂英语(新悦读)》 2025年第12期51-52,79,共3页
In Michigan,the US“car capital of the world”where major automakers first started,there's a special island called Mackinac Island.This small island,only 9.8 square kilometers in size,has a strict rule:no cars are... In Michigan,the US“car capital of the world”where major automakers first started,there's a special island called Mackinac Island.This small island,only 9.8 square kilometers in size,has a strict rule:no cars are allowed here—not even golf carts.Around 600 people live on the island all year round,and horses are the real“kings”that keep daily life running. 展开更多
关键词 Mackinac Island horses automakers mackinac islandthis michigan car free zone
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密歇根筛查量表对糖尿病神经病变的诊断价值 被引量:22
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作者 张春风 谢云 +3 位作者 Priyadarshini Yonzon 尹爱莉 徐津咏 崔壮 《天津医药》 CAS 北大核心 2013年第3期208-211,共4页
目的探讨密歇根神经病变筛查量表(MNSI)在诊断糖尿病周围神经病变(DPN)中的价值。方法糖尿病患者267例分别进行MNSI筛查和神经电生理检查,依MNSI体检评分将患者分为A组(0~2.4分)112例、B组(2.5—4.4分)88例及c组(I〉4.5... 目的探讨密歇根神经病变筛查量表(MNSI)在诊断糖尿病周围神经病变(DPN)中的价值。方法糖尿病患者267例分别进行MNSI筛查和神经电生理检查,依MNSI体检评分将患者分为A组(0~2.4分)112例、B组(2.5—4.4分)88例及c组(I〉4.5分)67例,比较各组间的性别、年龄及病程等一般资料情况和神经电生理检查结果的差异。对MNSI问卷中可能影响DPN的问题进行逐步Logistic回归分析,将MNSI问卷评分和体检评分与上述相关指标进行相关性分析。结果(1)A组患者年龄、糖尿病病程低于B、C组,C组患者无波形比例(16.42%)高于其余2组(P〈0.05)。(2)A组患者的胫后神经运动神经波幅以及双下肢感觉、运动神经传导速度均高于B、c组,其DPN确诊率(50.89%)低于B、C组(P〈0.05)。(3)MNSI问卷中问题1、2、11及14是DPN的影响因素。(4)MNsI问卷评分与患者年龄、糖尿病病程呈正相关,与胫后神经运动神经波幅、双下肢感觉神经传导速度呈负相关;MNSI体检评分与患者年龄、糖尿病病程、人体质量指数呈正相关,与胫后神经运动神经波幅、双下肢感觉神经、运动神经传导速度呈负相关(P〈0.05)。结论以MNSI问卷评分4分,体检评分2分为截点,能较好诊断出神经电生理异常,且DPN的检出率明显提高。 展开更多
关键词 糖尿病神经病变 电生理学 人体质量指数 神经传导 诊断 鉴别 密歇根神经病变筛查量表(MNSI)
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康复路径对深度烧伤手术后康复效果的影响 被引量:48
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作者 岳丽青 王晓燕 +3 位作者 彭欢 黄晓元 张丕红 范学工 《中国现代医学杂志》 CAS 北大核心 2016年第7期126-132,共7页
目的通过制定、执行深度烧伤手康复路径,评估其对烧伤手切削痂植皮术后患者康复效果的影响。方法选择2012年1月-2013年12月深度烧伤手采用早期切削痂+自体中厚皮移植的成年患者43例,随机分为对照组和实验组。对照组患者采用手烧伤常规... 目的通过制定、执行深度烧伤手康复路径,评估其对烧伤手切削痂植皮术后患者康复效果的影响。方法选择2012年1月-2013年12月深度烧伤手采用早期切削痂+自体中厚皮移植的成年患者43例,随机分为对照组和实验组。对照组患者采用手烧伤常规护理、教育督促和接受患者咨询的方式实施康复;实验组患者从瘢痕预防、运动与功能康复、健康教育和心理支持4个主要范畴制定康复路径表,专人按康复路径实施各阶段的康复和指导,并定时电话随访。两组患者使用密歇根手功能量表(MHQ)、温哥华瘢痕量表(VSS)、焦虑自评量表(SAS),分别评估伤后1、3和6个月的患手整体功能、瘢痕情况和心理状态,并进行比较。结果实验组患者1、3和6个月的MHQ、VSS、SAS总得分优于对照组。实验组伤后1、3和6个月的MHQ总得分比对照组高(P<0.01);VSS总得分比对照组低(P<0.01);SAS得分比对照组低(P<0.01)。结论手深度烧伤康复路径的实施能有效地提高烧伤手的整体功能,降低瘢痕严重程度,改善患者的心理状态。 展开更多
关键词 烧伤 康复路径 密歇根手功能量表 温哥华瘢痕量表 焦虑自评量表 治疗效果
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上海社区糖尿病及糖调节受损人群周围神经病变的横断面调查 被引量:15
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作者 沈琴 贾伟平 +7 位作者 包玉倩 陆俊茜 陆惠娟 左玉华 杜颉 吴晓岭 顾惠琳 项坤三 《上海医学》 CAS CSCD 北大核心 2009年第5期374-378,共5页
目的了解上海社区糖尿病(DM)及糖调节受损(IGR)人群周围神经病变(PN)的患病率及其主要危险因素。方法对1998-2001年上海市华阳及曹杨社区代谢综合征流行病学基线调查建立的IGR及DM队列人群进行PN的筛查,共完成筛查739例,男347例,女392例... 目的了解上海社区糖尿病(DM)及糖调节受损(IGR)人群周围神经病变(PN)的患病率及其主要危险因素。方法对1998-2001年上海市华阳及曹杨社区代谢综合征流行病学基线调查建立的IGR及DM队列人群进行PN的筛查,共完成筛查739例,男347例,女392例,年龄21~104岁,平均年龄为(66.4±13.2)岁。原有IGR患者再次接受75g葡萄糖耐量试验,以进一步确定糖代谢状态,PN采用密歇根神经病变筛选法(MNSI)进行诊断。对与PN有关的各影响因素进行逐步Logistic回归分析。结果社区IGR和DM人群的PN患病率分别为24.6%和36.6%,其中在新诊断DM人群中为25.3%,在已诊断DM人群中为39.9%。Logistic回归分析显示,年龄(OR=1.076,95%CI为1.057~1.096,P<0.001)、糖尿病病程(OR=1.305,95%CI为1.122~1.518,P<0.001)、体质指数(OR=1.083,95%CI为1.026~1.143,P=0.004)及糖化血红蛋白(HbA1c,OR=1.159,95%CI为1.007~1.335,P=0.040)是与PN相关的独立危险因素,HbA1c>7.4%患者的PN患病风险约为HbA1c<6.5%患者的1.8倍(OR=1.777,95%CI为1.009~3.130,P=0.044)。结论上海社区高血糖人群中,近1/3患PN,不仅在DM,且在DM前期IGR阶段PN即有较高的患病率。加强血糖控制以及减轻体重可能对PN的防治具有重要意义。 展开更多
关键词 周围神经病变 糖尿病 患病率 密歇根神经病变筛选法
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糖尿病患者周围神经病变早期筛查的临床意义及危险因素分析 被引量:10
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作者 刘瑶霞 陈树 +3 位作者 周晋 郭绒绒 谭惠文 余叶蓉 《中国糖尿病杂志》 CAS CSCD 北大核心 2016年第6期536-539,共4页
目的探讨糖尿病周围神经病变(DPN)相关危险因素及早期筛查的临床意义。方法使用密歇根神经病变筛查量表(MNSI)进行门诊糖尿病患者DPN筛查,并分析MNSI分值与年龄、性别、病程、BMI、WHR、吸烟史、血压、血糖、血脂、HbA_1c及DR的关系。结... 目的探讨糖尿病周围神经病变(DPN)相关危险因素及早期筛查的临床意义。方法使用密歇根神经病变筛查量表(MNSI)进行门诊糖尿病患者DPN筛查,并分析MNSI分值与年龄、性别、病程、BMI、WHR、吸烟史、血压、血糖、血脂、HbA_1c及DR的关系。结果 MNSI量表检查,>4分且足部查体>2分患者占38.2%。单因素线性回归分析发现,病程[回归方程Y=4.552+0.125X(t=6.588,F=43.402,P<0.001,R=0.279)]、年龄[回归方程Y=4.064+0.04241X(t=8.440,F=71.230,P<0.001,R=0.677)]与MNSI分值呈正相关。WHR、BMI、HbA_1c、TC、TG、LDL-C、HDL-C、FPG、2 hPG、SBP、DBP、糖尿病家族史与MNSI分值无相关性(P>0.05)。组间秩和检验发现,伴DR者[6.5%(5%,10%)vs 5%(4%,7%)]及女性患者E5.5(4,7)vs 4.5(3,6)]MNSI分值较高。多元线性回归显示,MNSI分值与病程、年龄最相关,回归方程Y=1.936+0093X_1+0.046X_2,X_1=病程,X_2=年龄(F=9.176,P<0.001)。结论我院门诊DPN患病率为38.2%。病程、年龄、DR是DPN的危险因素。 展开更多
关键词 糖尿病周围神经病变 密歇根神经病变筛查量表 患病率 危险因素
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免疫克隆分类算法 被引量:3
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作者 刘芳 戚玉涛 公茂果 《电子学报》 EI CAS CSCD 北大核心 2005年第B12期2301-2307,共7页
本文提出了一种新的数据挖掘分类方法——免疫克隆分类算法(Immune Clonal Algorithm for Classification,ICAC).ICAC是一种基于免疫克隆算法的搜索机制和Michigan方法模型的规则提取和分类方法.与遗传分类算法不同,ICAC是一种自... 本文提出了一种新的数据挖掘分类方法——免疫克隆分类算法(Immune Clonal Algorithm for Classification,ICAC).ICAC是一种基于免疫克隆算法的搜索机制和Michigan方法模型的规则提取和分类方法.与遗传分类算法不同,ICAC是一种自下而上的分类算法.ICAC虽然着眼于规则的进化,但是从编码到免疫算子的设计都立足于训练样本,可避免进化过程中产生无意义规则,且产生的规则是可解释的.文中将算法用于UCI数据集,并与现有的基于非遗传算法、遗传算法和分布式遗传算法的分类方法进行了比较实验.结果表明,ICAC是一种有效的分类算法. 展开更多
关键词 数据挖掘 分类 michigan方法 人工免疫 克隆选择
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