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Chinese Expert Consensus on the Definitions of Palliative Care and Hospice Care(2025) 被引量:7
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作者 Chinese Expert Consensus Working Group on the Definition of Palliative Care Xiao-Hong Ning +3 位作者 Yan-Ru Guo Duan-Qi Liu Yuan Qin Yu-Mei Wang 《Chinese Medical Sciences Journal》 2025年第2期89-99,共11页
Background and Objective The development of modern palliative care in China began in the 1980s and is currently in an accelerating phase.However,inconsistencies in terminology and concepts have hindered policy-making,... Background and Objective The development of modern palliative care in China began in the 1980s and is currently in an accelerating phase.However,inconsistencies in terminology and concepts have hindered policy-making,clinical practice,and academic research.The Terminology of Clinical Medicine(2023 edition)has determined huan-he-yi-liao(缓和医疗)and an-ning-liao-hu(安宁疗护)as the formal terms of"palliative care"and"hospice care",respectively.To align with these terms,this study aims to establish expert consensus definitions tailored to the Chinese context.Methods We systematically retrieved and collected domestic and international literature and policy documents related to the definition of palliative care,then deconstructed and analyzed the relevant conceptual elements of these definitions.Core expert panel built the initial recommended definition upon the conceptual elements and consensus definition of palliative care by the International Association for Hospice and Palliative Care(IAHPC)through two rounds of online discussions.After nomination and selection,61 professionals in the field of palliative care in China were invited to participate in the consensus expert group.Two rounds of Delphi consultation were conducted among the consensus experts,who were asked to score their agreement using Likert scale to the items in the initial recommended definition and the definition statements of palliative care and hospice care.Agreement rate of over 80%was considered as reaching consensus for each items.The core expert panel revised the items and the statements of recommended definitions based on the results from Delphi surveys.The final recommended definitions were formulated after feedback from patient and public involvement(PPI)group members.Results The response rates for the first and second round of Delphi surveys were 83.6%and 100.0%,respectively.The agreement rates of the items and statements of the recommended definitions exceeded 90%.Accordingly,the definitions based on Chinese expert consensus are recommended.Palliative care is an active holistic approach aimed at patients of all ages suffering from life-threatening illness and their families and caregivers.It seeks to improve their quality of life by preventing,assessing,and relieving physical,psychological,social,and spiritual suffering.Hospice care is an integral part of palliative care,focusing on holistic care for patients at the end of life and their families and caregivers.Its goal is to help patients to maintain dignity and achieve a good death by alleviating physical,psychological,social,and spiritual distress without intentionally hastening or postponing death,meanwhile improve the quality of life for families and caregivers.Conclusions This study has established the Chinese expert consensus definitions of palliative care and hospice care in China,as well as the relationship between the two.The definitions highlight the holistic nature of palliative care,providing a foundation for discipline development,clinical practice,and public communication. 展开更多
关键词 palliative care hospice care China DELPHI definition
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Classification of forest vegetation with the application of iterative reallocation and model-based clustering
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作者 Naghmeh Pakgohar Javad Eshaghi Rad +4 位作者 Hossein Gholami Ahmad Alijanpour David W.Roberts Attila Lengyel Enrico Feoli 《Journal of Forestry Research》 2025年第5期103-112,共10页
Numerous clustering algorithms are valuable in pattern recognition in forest vegetation,with new ones continually being proposed.While some are well-known,others are underutilized in vegetation science.This study comp... Numerous clustering algorithms are valuable in pattern recognition in forest vegetation,with new ones continually being proposed.While some are well-known,others are underutilized in vegetation science.This study compares the performance of practical iterative reallocation algorithms with model-based clustering algorithms.The data is from forest vegetation in Virginia(United States),the Hyrcanian Forest(Asia),and European beech forests.Practical iterative reallocation algorithms were applied as non-hierarchical methods and Finite Gaussian mixture modeling was used as a model-based clustering method.Due to limitations on dimensionality in model-based clustering,principal coordinates analysis was employed to reduce the dataset’s dimensions.A log transformation was applied to achieve a normal distribution for the pseudo-species data before calculating the Bray-Curtis dissimilarity.The findings indicate that the reallocation of misclassified objects based on silhouette width(OPTSIL)with Flexible-β(-0.25)had the highest mean among the tested clustering algorithms with Silhouette width 1(REMOS1)with Flexible-β(-0.25)second.However,model-based clustering performed poorly.Based on these results,it is recommended using OPTSIL with Flexible-β(-0.25)and REMOS1 with Flexible-β(-0.25)for forest vegetation classification instead of model-based clustering particularly for heterogeneous datasets common in forest vegetation community data. 展开更多
关键词 CLASSIFICATION Heuristic clustering Finite mixture Forest ecosystems model-based clustering
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西门子SOMATOM Definition AS大孔径CT故障维修五例
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作者 刘学彦 徐辉煌 《医疗装备》 2025年第24期86-89,共4页
目前,精准放射治疗已成为提高肿瘤治疗效果的关键手段。但传统CT设备因孔径受限,难以满足肥胖患者、特殊体位固定装置或复杂解剖部位的扫描需求,导致放射治疗定位精度受限,进而影响患者的诊疗质量。西门子SOMATOM Definition AS大孔径C... 目前,精准放射治疗已成为提高肿瘤治疗效果的关键手段。但传统CT设备因孔径受限,难以满足肥胖患者、特殊体位固定装置或复杂解剖部位的扫描需求,导致放射治疗定位精度受限,进而影响患者的诊疗质量。西门子SOMATOM Definition AS大孔径CT采用64排128层陶瓷探测器,最薄扫描层厚为0.6 mm,Z轴宽度为3.84 cm,机架孔径为78 cm,最快转速为0.3 s/圈[1],最大扫描速度为20 cm/s。该设备可对从多个角度穿过受检者的X线开展光电转换、放大、滤噪、模数转换等信号处理工作,生成的源数据再经计算机后处理重建为清晰可见的灰阶图像,从而为临床诊断提供精确的影像结果。 展开更多
关键词 definition AS CT 大孔径 故障分析 故障维修
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Evaluating fever of unknown origin definitions in a tertiary care setting:Implications for diagnostic criteria revision
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作者 Pathik Dhangar Prasan Kumar Panda +6 位作者 Ravi Kant Rohit Gupta Ruchi Dua Ashutosh Tiwari Sandeep Saini Kavita Khoiwal Yogesh Bahurupi 《World Journal of Experimental Medicine》 2025年第2期103-108,共6页
BACKGROUND Fever of unknown origin(FUO)remains a diagnostic challenge and was originally defined in 1961.Its classic criteria include fever≥38.3°C(≥101°F)on multiple occasions,fever lasting three weeks or ... BACKGROUND Fever of unknown origin(FUO)remains a diagnostic challenge and was originally defined in 1961.Its classic criteria include fever≥38.3°C(≥101°F)on multiple occasions,fever lasting three weeks or longer,and a diagnosis after one week of inpatient evaluation.However,these criteria may not fully encompass the varied clinical presentations seen in resource-limited settings such as India.The adaptation of FUO definitions to local healthcare contexts is crucial for enhancing diagnostic accuracy and optimizing patient outcomes.AIM To investigate the applicability of revised FUO criteria in a tertiary care setting in India.METHODS This longitudinal-exploratory study at All India Institute of Medical Sciences Rishikesh(January 2018–December 2022)analyzed 228 adult patients with fever≥99.1°F lasting over three days.Patients diagnosed within three days of admission were excluded.Data were collected retrospectively and prospectively using predefined FUO definitions based on durations of nondiagnosis(3-21 days,>21 days),temperature ranges(99.1°F-100.9°F,≥101°F),and hospitalization durations(3-7 days,>7 days).Descriptive statistics and comparative tests(Fisher's exact test,χ2 test)evaluated outcomes across definitions.RESULTS Among the proposed FUO definitions,Definition B(fever lasting 3-21 days,temperatures between 99.1°F-100.9°F,hospitalization>7 days)predominated(40.8%),while only 2.2%met the classical criteria.Notably,36.5%of Definition B patients remained undiagnosed after 7-10 days,despite 94%undergoing diagnostic workups within 21 days.Infection emerged as the leading etiology across definitions,without significant variation in outcomes or mortality during hospitalization(χ2=27.937,P=0.142).CONCLUSION Adapting FUO criteria to local contexts improves diagnostic accuracy and treatment.Definition B(40.8%prevalence)showed practical utility,with higher mortality in patients discharged on empirical'Anti-tuberculosis therapy'. 展开更多
关键词 Empirical therapy New definition Pyrexia of unknown origin TUBERCULOSIS
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Model-Based System Multidisciplinary Design Optimization for Preliminary Design of a Blended Wing-Body Underwater Glider
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作者 WANG Zhi-long LI Jing-lu +3 位作者 WANG Peng DONG Hua-chao WANG Xin-jing WEN Zhi-wen 《China Ocean Engineering》 2025年第4期755-767,共13页
Unlike traditional propeller-driven underwater vehicles,blended-wing-body underwater gliders(BWBUGs)achieve zigzag gliding through periodic adjustments of their net buoyancy,enhancing their cruising capabilities while... Unlike traditional propeller-driven underwater vehicles,blended-wing-body underwater gliders(BWBUGs)achieve zigzag gliding through periodic adjustments of their net buoyancy,enhancing their cruising capabilities while mini-mizing energy consumption.However,enhancing gliding performance is challenging due to the complex system design and limited design experience.To address this challenge,this paper introduces a model-based,multidisciplinary system design optimization method for BWBUGs at the conceptual design stage.First,a model-based,multidisciplinary co-simulation design framework is established to evaluate both system-level and disciplinary indices of BWBUG performance.A data-driven,many-objective multidisciplinary optimization is subsequently employed to explore the design space,yielding 32 Pareto optimal solutions.Finally,a model-based physical system simulation,which represents the design with the largest hyper-volume contribution among the 32 final designs,is established.Its gliding perfor-mance,validated by component behavior,lays the groundwork for constructing the entire system’s digital prototype.In conclusion,this model-based,multidisciplinary design optimization method effectively generates design schemes for innovative underwater vehicles,facilitating the development of digital prototypes. 展开更多
关键词 model-based design multidisciplinary design optimization data-driven optimization blended-wingbody underwater glider(BWBUG) physical system simulation
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Model-Based Decentralized Dynamic Periodic Event-Triggered Control for Nonlinear Systems Subject to Packet Losses
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作者 Chengchao Li Xudong Zhao +2 位作者 Wei Xing Ning Xu Ning Zhao 《IEEE/CAA Journal of Automatica Sinica》 2025年第9期1908-1919,共12页
This paper studies the problem of designing a modelbased decentralized dynamic periodic event-triggering mechanism(DDPETM)for networked control systems(NCSs)subject to packet losses and external disturbances.Firstly,t... This paper studies the problem of designing a modelbased decentralized dynamic periodic event-triggering mechanism(DDPETM)for networked control systems(NCSs)subject to packet losses and external disturbances.Firstly,the entire NCSs,comprising the triggering mechanism,packet losses and output-based controller,are unified into a hybrid dynamical framework.Secondly,by introducing dynamic triggering variables,the DDPETM is designed to conserve network resources while guaranteeing desired performance properties and tolerating the maximum allowable number of successive packet losses.Thirdly,some stability conditions are derived using the Lyapunov approach.Differing from the zero-order-hold(ZOH)case,the model-based control sufficiently exploits the model information at the controller side.Between two updates,the controller predicts the plant state based on the models and received feedback information.With the model-based control,less transmission may be expected than with ZOH.Finally,numerical examples and comparative experiments demonstrate the effectiveness of the proposed method. 展开更多
关键词 Decentralized dynamic periodic event-triggering mechanism(DDPETM) hybrid system approach model-based control networked control system successive packet losses
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Rethinking drought definition and classification
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作者 Wen Wang Hao Wang 《Water Science and Engineering》 2025年第2期125-128,共4页
Accurate drought assessment demands thoughtful consideration of drought definition first of all.Drought is commonly defined as a prolonged period of below-average precipitation leading to water shortages that impact e... Accurate drought assessment demands thoughtful consideration of drought definition first of all.Drought is commonly defined as a prolonged period of below-average precipitation leading to water shortages that impact ecosystems,agriculture,and human societies.However,meteorologists,hydrologists,and agronomists often use different criteria to define drought,depending on their specific focus areas.For example,hydrologists define drought according to water deficits in some components of the hydrological cycle(such as precipitation,soil moisture,river flow,and groundwater)or its impacts on the level of services provided to public water supply,irrigation,or hydropower demands(Tate and Gustard,2000).Differences in drought definitions may result in great uncertainties in drought assessment(Satoh et al.,2021).We cannot expect the existence of any workable generalized objective definition of drought(Lloyd-Hughes,2014). 展开更多
关键词 drought assessment river flow public water supply precipitation drought definition hydrological cycle drought classification soil moisture
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西门子Definition双源CT罕见故障维修案例分析 被引量:8
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作者 孙小磊 张晖 汪缨 《医疗卫生装备》 CAS 2020年第11期106-108,共3页
简要介绍了CT稳定运行的重要性,详细分析了西门子Definition双源CT的滤过器运动电动机过流罕见故障并给出了具体的排除方法,保障了机器的正常运行,节省了维修成本,为同行维修类似故障提供了参考。
关键词 西门子definition双源CT 滤过器 运动电动机 故障维修
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西门子64排SOMATOM Definition Flash双源CT机典型故障分析与处理 被引量:8
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作者 韦国文 《医疗卫生装备》 CAS 2017年第9期155-156,共2页
0引言 西门子64排SOMATOM Definition Flash双源CT机(简称"炫速双源CT机")是第二代双源CT,也是目前全球最尖端、最先进的大型医疗设备,它具有不受心率限制的心血管成像,可实现超越探测器宽度的大范围灌注,具备以"炫速扫描、锐影... 0引言 西门子64排SOMATOM Definition Flash双源CT机(简称"炫速双源CT机")是第二代双源CT,也是目前全球最尖端、最先进的大型医疗设备,它具有不受心率限制的心血管成像,可实现超越探测器宽度的大范围灌注,具备以"炫速扫描、锐影技术"为代表的超低剂量成像,负荷条件下的心肌灌注检查等特点。设备平时运行稳定,但由于各种客观因素的存在,各种故障的出现也难以避免。 展开更多
关键词 西门子64排SOMATOM definition Flash双源CT机 故障分析 故障排除
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Mathematical Definitions of Operators for Cartographic Generalization 被引量:2
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作者 王晓妮 张洁 《Geo-Spatial Information Science》 2003年第1期70-73,共4页
This paper puts forword 11 cartographic generalization operator models and introduces their mathematical definitions,and thus a precise mathematical form and quantitative description has been given to these formerly l... This paper puts forword 11 cartographic generalization operator models and introduces their mathematical definitions,and thus a precise mathematical form and quantitative description has been given to these formerly limited qualitative concepts.The meaning of mathematical definition of operators for cartographic generalization and the application prospect in computer_aided cartography (CAC) is stated.ract The Jurassic strata in Jingyan of Sichuan containing the Mamenchinsaurus fauna are dealt with and divided in this paper. The Mamenchisaurus fossils contained there are compared in morphological features and stratigraphically with other types of the genus on by one. The comprehensive analysis show that the Mamenchisaurus fauna of Jingyan appeared in the early Late Jurassic and is primitive in morphology. The results of the morphological identification and stratigraphical study agree with each other. Their evolutionary processes in different apoches of the Late Jurassic also made clear. Key words Jingyan, Sichuan, Mamenchisaurus Fauna, stratigraphy, evolution 展开更多
关键词 operators for cartographic generalization mathematical definition SELECTION SIMPLIFICATION STRESS
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A Feature Definition Hierarchy for Supporting Design Process
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作者 孙正兴 张福炎 蔡士杰 《Journal of Southeast University(English Edition)》 EI CAS 1999年第1期55-62,共8页
The adaptability of features definition to applications is an essential condition for implementing feature based design. This paper makes attempt to present a hierarchical definition structure of features. The propos... The adaptability of features definition to applications is an essential condition for implementing feature based design. This paper makes attempt to present a hierarchical definition structure of features. The proposed scheme divides feature definition into application level, form level and geometric level, and provides links between different levels with feature semantics interpretation and enhanced geometric face adjacent graph. respectively. The results not only enable feature definition to abate from the specific dependence and become more extensive, but also provide a theoretical foundation for establishing the concurrent feature based design process model. 展开更多
关键词 design process feature based modeling feature definition hierarchical construction
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A Definition Formalism of Machining Features for DFM
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作者 孙正兴 张福炎 《Journal of Southeast University(English Edition)》 EI CAS 1999年第1期49-54,共6页
Benefiting from advances in feature technology for design and manufacture can not be expected before a formal methodology is established. This paper makes attempt to establish a definition formalism of machining featu... Benefiting from advances in feature technology for design and manufacture can not be expected before a formal methodology is established. This paper makes attempt to establish a definition formalism of machining features in design for manufacturability from two aspects: formal definition and manufacturability analysis. Some definitions for machining feature based upon the selection and sequencing of material removal operations for component in accordance with the design geometry are presented and a framework of feature based design for manufacturability is outlined correspondingly. The proposed scheme contributes to several aspects of feature based CAD/CAM integration, especially to encourage potentially a more generic approach to the automation of design. 展开更多
关键词 design for manufacturability(DFM) feature technology machining feature definition formalism process planning
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西门子Definition AS 128层螺旋CT故障维修3例 被引量:12
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作者 肖吴进 孙小磊 +1 位作者 汪缨 张晖 《医疗卫生装备》 CAS 2022年第3期106-108,共3页
分析了西门子Definition AS 128层螺旋CT出现的检查床升降偶发中断、主机无法上传患者数据至工作站、检查床无法正常移动等故障原因,并给出了科学有效的解决方法,为工程技术人员维修此类故障提供了参考。
关键词 西门子definition AS 128层螺旋CT 网络通信 故障维修
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一种基于内容模型图的XML Schema Definition的提取方法 被引量:3
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作者 宁静 刘杰 叶丹 《计算机科学》 CSCD 北大核心 2010年第6期179-185,共7页
使用XML Schema能够对XML文档进行有效性验证以及对查询、转换等操作进行优化,但是实际应用中大量XML文档缺失关联的Schema。提出了一种根据XML文档自动提取对应的XML Schema Definition(XSD)的方法XSDInfer,先根据合并规则将XML解析过... 使用XML Schema能够对XML文档进行有效性验证以及对查询、转换等操作进行优化,但是实际应用中大量XML文档缺失关联的Schema。提出了一种根据XML文档自动提取对应的XML Schema Definition(XSD)的方法XSDInfer,先根据合并规则将XML解析过程中分析得到的模式信息记录在内容模型图中,再根据生成规则将其转化为内容模型表达式,进而得到XSD。XSDInfer能够在内存消耗比较少的情况下快速地处理超大规模、深度嵌套的XML文档,同时支持XSD的上下文相关的内容模型,提取出的XSD也具有更好的可读性。实验表明,与同类方法相比,XSDInfer具有更好的可扩展性和表达能力。 展开更多
关键词 XML XML SCHEMA definition 模式提取 内容模型
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西门子Definition AS术中CT两例硬件故障维修分析 被引量:4
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作者 孔康辉 赵东升 张龙 《中国医疗设备》 2022年第11期176-179,共4页
本文介绍了西门子Definition AS术中CT两例典型硬件故障。一例故障现象为停电导致扫描机架不上电,F1开关跳闸,复位后设备重启正常,随着停电次数的增多,F1开关复位困难。故障排除方法是更换工业继电器SIEMENS SIRIUS 3RS1800-2BP00。另... 本文介绍了西门子Definition AS术中CT两例典型硬件故障。一例故障现象为停电导致扫描机架不上电,F1开关跳闸,复位后设备重启正常,随着停电次数的增多,F1开关复位困难。故障排除方法是更换工业继电器SIEMENS SIRIUS 3RS1800-2BP00。另一例故障现象为扫描架显示屏呈灰色条纹状,进入故障日志查到216故障代码,故障现象描述故障点存在于XDC模块。故障排除方法是更换品牌为TDK-Lambda、型号为PH50S280-5的DC-DC模块。基于CT电路板的故障维修方法及其技术规律对两例硬件典型故障排查和修复、医疗电子设备维修技术水平有效提升提供借鉴价值。 展开更多
关键词 西门子definition AS XDC模块 DC-DC模块 反求电路原理图
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Model-based meta-analysis of pharmacokinetics of direct-acting antiviral agents,ledipasvir and sofosbuvir,in healthy subjects and chronic HCV patients 被引量:1
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作者 王鹤川 李良 +2 位作者 任宇鹏 周田彦 卢炜 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2015年第12期773-779,共7页
A tablet consisting of direct-acting antiviral agents,ledipasvir(a NS5 A protein inhibitor) and sofosbuvir(a NS5 B polymerase inhibitor),is the first fixed-dose preparation used in the antiviral therapy of hepatit... A tablet consisting of direct-acting antiviral agents,ledipasvir(a NS5 A protein inhibitor) and sofosbuvir(a NS5 B polymerase inhibitor),is the first fixed-dose preparation used in the antiviral therapy of hepatitis C.A model-based meta-analysis of ledipasvir and GS331007,the primary metabolite of sofosbuvir,enabled the integration of pharmacokinetic(PK) information from separate clinical trials and the quantitative characterization of the population pharmacokinetics of these two drugs.A systematic publication search was conducted for the clinical studies of ledipasvir and sofosbuvir.A total of 401 arm-level aggregate concentrations of GS331007 and 188 concentrations of ledipasvir were used for PK modeling.A two-compartment disposition model was used for both ledipasvir and GS331007.Zero-order absorption was applied for ledipasvir PK modeling,and a combined zero- and first-order absorption was used for the modeling of GS331007.Absorption lag was observed in concentration-time profiles of both ledipasvir and GS331007.To aid the development of direct-acting antiviral drugs,our established PK models provided a basis for the further PK-viral kinetic studies of ledipasvir and sofosbuvir. 展开更多
关键词 Ledipasvir Sofosbuvir GS331007 Population pharmacokinetic modeling Hepatitis C model-based meta-analysis
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西门子CT Definition AS中CAN通信原理及故障分析 被引量:3
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作者 袁保锋 李郑 张振东 《中国医疗设备》 2019年第2期165-167,176,共4页
目的本文主要介绍CAN通信在西门子CT Definition AS中的应用原理、CAN通信常见故障及其排查方法。方法以我院西门子CT Definition AS为研究对象,对实际应用中发生的2例CAN通信故障案例进行深入分析,查找故障原因,根据分析的结果制定相... 目的本文主要介绍CAN通信在西门子CT Definition AS中的应用原理、CAN通信常见故障及其排查方法。方法以我院西门子CT Definition AS为研究对象,对实际应用中发生的2例CAN通信故障案例进行深入分析,查找故障原因,根据分析的结果制定相应的解决方案。结果通过对CAN通信故障现象及设备错误信息进行分析,故障得以排除,为设备的维修提供了借鉴。结论了解和掌握大型医疗设备中CAN通信的原理,对设备的使用、维修有着重要意义。 展开更多
关键词 CAN通信 definition AS CT 故障排查 故障分析
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Definition and classification system of glacial lake for inventory and hazards study 被引量:12
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作者 姚晓军 刘时银 +2 位作者 韩磊 孙美平 赵琳林 《Journal of Geographical Sciences》 SCIE CSCD 2018年第2期193-205,共13页
Glacial lakes are not only the important refresh water resources in alpine region, but also act as a trigger of many glacial hazards such as glacial lake outburst flood (GLOF) and debris flow. Therefore, glacial lak... Glacial lakes are not only the important refresh water resources in alpine region, but also act as a trigger of many glacial hazards such as glacial lake outburst flood (GLOF) and debris flow. Therefore, glacial lakes play an important role on the cryosphere, climate change and alpine hazards. In this paper, the issues of glacial lake were systematically discussed, then from the view of glacial lake inventory and glacial lake hazards study, the glacial lake was defined as natural water mainly supplied by modern glacial meltwater or formed in glacier moraine's depression. Furthermore, a complete classification system of glacial lake was proposed based on its formation mechanism, topographic feature and geographical position. Glacial lakes were classified as 6 classes and 8 subclasses, i.e., glacial erosion lake (including cirque lake, gla- cial valley lake and other glacial erosion lake), moraine-dammed lake (including end mo- raine-dammed lake, lateral moraine-dammed lake and moraine thaw lake), ice-blocked lake (including advancing glacier-blocked lake and other glacier-blocked lake), supraglacial lake, subglacial lake and other glacial lake. Meanwhile, some corresponding features exhibiting on remote sensing image and quantitative indices for identifying different glacial lake types were proposed in order to build a universal and operational classification system of glacial lake. 展开更多
关键词 glacial lake GLACIER definition CLASSIFICATION INVENTORY HAZARD
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The International Study Group of Pancreatic Surgery definition of delayed gastric emptying and the effects of various surgical modifications on the occurrence of delayed gastric emptying after pancreatoduodenectomy 被引量:17
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作者 Rajesh Panwar Sujoy Pal 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS CSCD 2017年第4期353-363,共11页
BACKGROUND:A number of definitions have been used for delayed gastric emptying(DGE) after pancreatoduodenectomy and the reported rates varied widely.The International Study Group of Pancreatic Surgery(ISGPS) definitio... BACKGROUND:A number of definitions have been used for delayed gastric emptying(DGE) after pancreatoduodenectomy and the reported rates varied widely.The International Study Group of Pancreatic Surgery(ISGPS) definition is the current standard but it is not used universally.In this comprehensive review,we aimed to determine the acceptance rate of ISGPS definition of DGE,the incidence of DGE after pancreatoduodenectomy and the effect of various technical modifications on its incidence.DATA SOURCE:We searched PubM ed for studies regarding DGE after pancreatoduodenectomy that were published from 1 January 1980 to 1 July 2015 and extracted data on DGE definition,DGE rates and comparison of DGE rates among different technical modifications from all of the relevant articles.RESULTS:Out of 435 search results,178 were selected for data extraction.The ISGPS definition was used in 80% of the studies published since 2010 and the average rates of DGE and clinically relevant DGE were 27.7%(range:0-100%;median:18.7%) and 14.3%(range:1.8%-58.2%;median:13.6%),respectively.Pylorus preservation or retrocolic reconstruction were not associated with increased DGE rates.Although pyloric dilatation,Braun’s entero-enterostomy and Billroth Ⅱ reconstruction were associated with significantly lower DGE rates,pyloric ring resection appears to be most promising with favorable results in 7 out of 10 studies.CONCLUSIONS:ISGPS definition of DGE has been used in majority of studies published after 2010.Clinically relevant DGE rates remain high at 14.3% despite a number of proposed surgical modifications.Pyloric ring resection seems to offer the most promising solution to reduce the occurrence of DGE. 展开更多
关键词 PANCREATODUODENECTOMY delayed gastric emptying ISGPS definition pyloric ring resection
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Gait Definition and Successive Gait-transition Method Based on Energy Consumption for a Quadruped 被引量:6
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作者 ZHAO Danpu XU Jing +2 位作者 WU Dan CHEN Ken LI Chengrong 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2012年第1期29-37,共9页
In nature, to realize the smooth motion for different speeds, the continuous gait transition is usually required for the quadrupeds. Thus, the gait simulation of quadrupeds is a requisite step to obtain the stable and... In nature, to realize the smooth motion for different speeds, the continuous gait transition is usually required for the quadrupeds. Thus, the gait simulation of quadrupeds is a requisite step to obtain the stable and energy-efficient gait for the walking machines. In this paper, the definitions of the two gait parameters, phasic difference and duty factor are presented, which can determine the gait of the quadrupeds. Then, several typical gaits of the quadrupeds are analyzed such that the seven standard gaits and corresponding parameters are summarized. Additionally, the variance law of the two parameters, which determine the relationship of gait transition, is analyzed. Furthermore, the quadruped gait derivative spectrum (QGDS) is proposed and the gait definition of the quadrupeds is presented. To minimize the power consumption, the choice criterion of gait, the optimal gait in terms of the motion speed, duty factory, and power consumption for the walking machines, is developed. Last, the continuous variance of the gait is implemented by the simulation of the gait transition from walk to trot, which evaluate the choice criterion and transition of gait. 展开更多
关键词 gait definition standard gaits QUADRUPED gait-transition
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