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Multi-soliton solutions for the coupled modified nonlinear Schrdinger equations via Riemann–Hilbert approach 被引量:3
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作者 Zhou-Zheng Kang Tie-Cheng Xia Xi Ma 《Chinese Physics B》 SCIE EI CAS CSCD 2018年第7期171-178,共8页
The coupled modified nonlinear Schrodinger equations are under investigation in this work. Starting from analyzing the spectral problem of the Lax pair, a Riemann-Hilbert problem for the coupled modified nonlinear Sch... The coupled modified nonlinear Schrodinger equations are under investigation in this work. Starting from analyzing the spectral problem of the Lax pair, a Riemann-Hilbert problem for the coupled modified nonlinear Schrodinger equations is formulated. And then, through solving the obtained Riemann-Hilbert problem under the conditions of irregularity and reflectionless case, N-soliton solutions for the equations are presented. Furthermore, the localized structures and dynamic behaviors of the one-soliton solution are shown graphically. 展开更多
关键词 coupled modified nonlinear Schrodinger equations Riemann-Hilbert approach multi-soliton so-lutions
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Pseudospin symmetric solutions of the Dirac equation with the modified Rosen-Morse potential using Nikiforov-Uvarov method and supersymmetric quantum mechanics approach 被引量:3
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作者 Wen-Li Chen I B Okon 《Chinese Physics B》 SCIE EI CAS CSCD 2022年第5期107-112,共6页
Employing the Pekeris-type approximation to deal with the pseudo-centrifugal term,we analytically study the pseudospin symmetry of a Dirac nucleon subjected to equal scalar and vector modified Rosen-Morse potential in... Employing the Pekeris-type approximation to deal with the pseudo-centrifugal term,we analytically study the pseudospin symmetry of a Dirac nucleon subjected to equal scalar and vector modified Rosen-Morse potential including the spin-orbit coupling term by using the Nikiforov-Uvarov method and supersymmetric quantum mechanics approach.The complex eigenvalue equation and the total normalized wave functions expressed in terms of Jacobi polynomial with arbitrary spin-orbit coupling quantum number k are presented under the condition of pseudospin symmetry.The eigenvalue equations for both methods reproduce the same result to affirm the mathematical accuracy of analytical calculations.The numerical solutions obtained for different adjustable parameters produce degeneracies for some quantum number. 展开更多
关键词 Dirac equation modified Rosen-Morse potential Nikiforov-Uvarov method supersymmetric quantum mechanics approach
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A Hybrid Unit Commitment Approach Incorporating Modified Priority List with Charged System Search Methods 被引量:1
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作者 Yuan-Kang Wu Chih-Cheng Huang +1 位作者 Chun-Liang Lin Shih-Ming Chang 《Smart Grid and Renewable Energy》 2017年第6期178-194,共17页
This paper presents a new hybrid approach that combines Modified Priority List (MPL) with Charged System Search (CSS), termed MPL-CSS, to solve one of the most crucial power system’s operational optimization problems... This paper presents a new hybrid approach that combines Modified Priority List (MPL) with Charged System Search (CSS), termed MPL-CSS, to solve one of the most crucial power system’s operational optimization problems, known as unit commitment (UC) scheduling. The UC scheduling problem is a mixed-integer nonlinear problem, highly-dimensional and extremely constrained. Existing meta-heuristic UC solution methods have the problems of stopping at a local optimum and slow convergence when applied to large-scale, heavily-constrained UC applications. In the first step of the proposed method, initial hourly optimum solutions of UC are obtained by Modified Priority List (MPL);however, the obtained UC solution may still be possible to be further improved. Therefore, in the second step, the CSS is utilized to achieve higher quality solutions. The UC is formulated as mixed integer linear programming to ensure the tractability of the results. The proposed method is successfully applied to a popular test system up to 100 units generators for both 24-hr and 168-hr system. Computational results show that both solution cost and execution time are superior to those of published methods. 展开更多
关键词 A HYBRID Unit COMMITMENT approach Incorporating modified Priority List with CHARGED SYSTEM Search Methods
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Functional and clinical outcome with modified lateral approach total hip arthroplasty in stiff hips with ankylosing spondylitis 被引量:2
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作者 Mathew Kiran Jacob Pavan Kumar Reddy +3 位作者 Roncy Savio Kuruvilla Chandy Viruthapadavil John Pradeep Mathew Poonnoose Anil Thomas Oommen 《World Journal of Orthopedics》 2022年第8期714-724,共11页
BACKGROUND Ankylosing spondylitis at total hip arthroplasty(THA)has significant hip stiffness with flexion deformity,restricted mobility,and function.Range of movement(ROM)improvement with good functional outcome is s... BACKGROUND Ankylosing spondylitis at total hip arthroplasty(THA)has significant hip stiffness with flexion deformity,restricted mobility,and function.Range of movement(ROM)improvement with good functional outcome is seen following THA in these hips.The modified Hardinge approach without abductor compromise is helpful in these stiff hips with associated flexion deformity.AIM To assess improvement in ROM and functional outcomes with a modified lateral approach THA in ankylosing spondylitis with stiff hips.METHODS A total of 69 hips that underwent THA with a modified Hardinge approach in 40 patients were evaluated at a mean follow-up of 38.33 mo.All individuals ambulated with weight-bearing as tolerated and ROM exercises from the 1st postoperative day.Modified Harris hip score and ROM were assessed during follow-up.Quality of life assessments using the 36-item and 12-item short form health surveys were done along with clinical and functional outcomes at followup.SPSS 22.0 was used for statistical analysis.The correlation of ROM and functional score change was performed using Pearson’s correlation coefficient.RESULTS Sixty-nine hips with a significant decrease in ROM preoperatively with 32 clinically fused hips showed significant improvement in flexion range.The mean flexion in 69 hips improved from 29.35±31.38 degrees to 102.17±10.48 degrees.The mean difference of 72.82 with a P value<0.0001 was significant.In total,45 out of 69 hips had flexion deformity,with 13 hips having a deformity above 30 degrees.The flexion during the follow-up was below 90 degrees in 3 hips.Eleven hips had flexion of 90 degrees at follow-up,while the remaining 55 hips had flexion above 100 degrees.Modified Harris hip score improved from 17.03±6.02 to 90.66±7.23(P value<0.0001).The 36-item short form health survey at the follow-up indicated health status in 40 patients as excellent in 11,very good in 20,good in 5,fair in 3,and poor in 1.The mean mental health score was 84.10±11.58.Pain relief was good in all 69 hips.Altogether,28/40 patients(70%)had no pain,9 patients(22%)had occasional pain,and 3 patients(8%)had mild to moderate pain with unusual activity.Heterotopic ossification was seen in 21 hips with Brooker class 1 in 14 hips.CONCLUSION Modified Hardinge approach THA in ankylosing spondylitis with stiff hips with flexion deformity significantly improved ROM,Harris hip score,and quality of life indicated by the 36-item and 12-item short form health surveys. 展开更多
关键词 Ankylosing Spondylitis STIFF flexion deformity Harris hip score Hip range of movement 36-item short form health survey score Total hip arthroplasty modified Hardinge approach
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THE APPLICATIONS OF A MODIFIED NORMAL FORM APPROACH
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作者 张伟亿 Koncay Huseyin 叶敏 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 2001年第7期802-807,共6页
The modified normal form approach presented by ZHANG Wei-yi, K Huseyin and CHEN Yu-shu is further extended and a different procedure is introduced which lends itself readily to symbolic calculations, like MAPLE. This ... The modified normal form approach presented by ZHANG Wei-yi, K Huseyin and CHEN Yu-shu is further extended and a different procedure is introduced which lends itself readily to symbolic calculations, like MAPLE. This provides a number of significant advantages over the previous approach, and facilitates the associated calculations. To illustrate the new approach, three examples are presented. 展开更多
关键词 nonlinear dynamical system modified normal form approach symbolic calculations
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Computer-Based Modelling of Network Functions for Linear Dynamic Circuits Using Modified Nodal Approach
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作者 Ali Bekir YILDIZ 《Computer Modeling in Engineering & Sciences》 SCIE EI 2017年第3期261-274,共14页
In this paper,a computer-based systematic and efficient formulation method is presented for obtaining the network functions of linear or linearized time-invariant dynamic circuits.The method employs the modified nodal... In this paper,a computer-based systematic and efficient formulation method is presented for obtaining the network functions of linear or linearized time-invariant dynamic circuits.The method employs the modified nodal approach to obtain the system equations.The technique is based on developing a matrix formulation for modelling network functions.By using both symbolic manipulation of algebraic expressions and numeric processes,the network functions are expressed with a matrix-based method.Application examples are given to illustrate the features of the method. 展开更多
关键词 Network FUNCTIONS modified NODAL approach modelling.
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Modified pararectus approach for treatment of atypical acetabular anterior wall fracture:A case report
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作者 Jun-Jie Wang Jiang-Dong Ni +4 位作者 De-Ye Song Mu-Liang Ding Jun Huang Guang-Xu He Wen-Zhao Li 《World Journal of Clinical Cases》 SCIE 2020年第12期2634-2640,共7页
BACKGROUND Acetabular anterior wall fracture with preservation of the pelvic brim is extremely rare.It is different from anterior wall fracture classified by Judet and Letournel.Few studies have reported cases treated... BACKGROUND Acetabular anterior wall fracture with preservation of the pelvic brim is extremely rare.It is different from anterior wall fracture classified by Judet and Letournel.Few studies have reported cases treated by open reduction and internal fixation via the Smith-Petersen or iliofemoral approach.CASE SUMMARY We report a 48-year-old Chinese woman who had difficulty moving her right hip from abduction and external rotation after falling from 3 m.Pelvic radiograph and three-dimensional reconstruction of computed tomography revealed acetabular anterior wall fractures combined with fractures of the anterior inferior iliac spine and the iliac wing but not involving the pelvic brim.First,the patient underwent interim management by closed reduction of the hip dislocation and skin traction for 6 d.Then,we used a modified pararectus approach for treatment to fix the acetabular fractures with a reconstruction plate and nonlocking T-shape plate.At the 9-mo follow-up,the patient could walk painlessly without necrosis of the femoral head or heterotopic ossification,and the X-rays and computed tomography scan reconstructions showed good bone union.CONCLUSION The modified pararectus approach described here can facilitate exposure,reduction,and osteosynthesis for atypical acetabular fracture with less invasiveness. 展开更多
关键词 ACETABULUM FRACTURE modified Pararectus approach Case report
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Estimation of groundwater flow system parameters using a modified Kalman filter approach
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《Global Geology》 1998年第1期120-120,共1页
关键词 FLOW Estimation of groundwater flow system parameters using a modified Kalman filter approach
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Modified surgical techniques in total en bloc spondylectomy for thoracic and lumbar tumors with a single posterior approach
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作者 沈慧勇 《外科研究与新技术》 2011年第2期124-125,共2页
Objective To investigate the operation key points,instrument improvement and shortterm effects in total en bloc spondylectomy (TES) via a single posterior approach for thoracic and lumbar tumors.Methods A series of mo... Objective To investigate the operation key points,instrument improvement and shortterm effects in total en bloc spondylectomy (TES) via a single posterior approach for thoracic and lumbar tumors.Methods A series of modified 展开更多
关键词 modified surgical techniques in total en bloc spondylectomy for thoracic and lumbar tumors with a single posterior approach TES
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Folded localized excitations in the (2+1)-dimensional modified dispersive water-wave system 被引量:7
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作者 雷燕 马松华 方建平 《Chinese Physics B》 SCIE EI CAS CSCD 2013年第1期138-142,共5页
By using a mapping approach and a linear variable separation approach, a new family of solitary wave solutions with arbitrary functions for the (2+1)-dimensional modified dispersive water-wave system (MDWW) is de... By using a mapping approach and a linear variable separation approach, a new family of solitary wave solutions with arbitrary functions for the (2+1)-dimensional modified dispersive water-wave system (MDWW) is derived. Based on the derived solutions and using some multi-valued functions, we obtain some novel folded localized excitations of the system. 展开更多
关键词 mapping approach modified dispersive water-wave system solitary wave solution folded localized excitation
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Riemann-Hilbert problem for the fifth-order modified Korteweg–de Vries equation with the prescribed initial and boundary values
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作者 Beibei Hu Ling Zhang +1 位作者 Ji Lin Hanyu Wei 《Communications in Theoretical Physics》 SCIE CAS CSCD 2023年第6期27-38,共12页
In this paper,we investigate the fifth-order modified Korteweg-de Vries(mKdV)equation on the half-line via the Fokas unified transformation approach.We show that the solution u(x,t)of the fifth-order mKdV equation can... In this paper,we investigate the fifth-order modified Korteweg-de Vries(mKdV)equation on the half-line via the Fokas unified transformation approach.We show that the solution u(x,t)of the fifth-order mKdV equation can be represented by the solution of the matrix Riemann-Hilbert problem constructed on the plane of complex spectral parameter θ.The jump matrix L(x,t,θ)has an explicit representation dependent on x,t and it can be represented exactly by the two pairs of spectral functions y(θ),z(θ)(obtained from the initial value u0(x))and Y(θ),Z(θ)(obtained from the boundary conditions v0(t),{vk(t)}_(1)^(4)).Furthermore,the two pairs of spectral functions y(θ),z(θ)and Y(θ),Z(θ)are not independent of each other,but are related to the compatibility condition,the so-called global relation. 展开更多
关键词 Riemann-Hilbert problem fifth-order modified Korteweg-de Vries equation initialboundary value problems Fokas unified transformation approach
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Symmetry and Exact Solutions of (2+1)-Dimensional Generalized Sasa-Satsuma Equation via a Modified Direct Method
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作者 LU Chang-Cheng CHEN Yong 《Communications in Theoretical Physics》 SCIE CAS CSCD 2009年第6期973-978,共6页
In this paper, first, we employ classic Lie symmetry groups approach to obtain the Lie symmetry groupsof the well-known (2+1)-dimensional Generalized Sasa-Satsuma (GSS) equation. Second, based on a modified directmeth... In this paper, first, we employ classic Lie symmetry groups approach to obtain the Lie symmetry groupsof the well-known (2+1)-dimensional Generalized Sasa-Satsuma (GSS) equation. Second, based on a modified directmethod proposed by Lou [J. Phys. A: Math. Gen. 38 (2005) L129], more general symmetry groups are obtained andthe relationship between the new solution and known solution is set up. At the same time, the Lie symmetry groupsobtained are only special cases of the more general symmetry groups. At last, some exact solutions of GSS equationsare constructed by the relationship obtained in the paper between the new solution and known solution. 展开更多
关键词 classic Lie symmetry groups approach modified CK's direct method generalized Sasa-Satsuma equation
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Modified Concrete Using Polyethylene Terephthalate Plastic Waste as a Partial Replacement for Coarse Aggregate
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作者 Dodo Kayentao Moussa Tamboura +5 位作者 Antoine Padou Diarra Mah Fatoumata Traore Adama Coulibaly Aboubacar Sidiki Toure Mohamed L. O. Diawara Kélétigui Daou 《Open Journal of Applied Sciences》 2023年第6期896-909,共14页
The present work evaluated the properties of modified concrete using polyethylene terephthalate (PET) bottle waste as a partial replacement for coarse aggregate. Modified concrete samples were designed using a water/c... The present work evaluated the properties of modified concrete using polyethylene terephthalate (PET) bottle waste as a partial replacement for coarse aggregate. Modified concrete samples were designed using a water/cement (W/C) ratio of 0.50 and varying percentages of PET replacement (3%, 7%, 10%, and 15% by volume). Dreux Gorisse’s formulation approach was used to make the final products, and the mechanical properties of the samples were determined using Controlab presses. This modified concrete with PET chips has shown that with a 10% replacement of PET chips, the fresh density decreases by 3.56%, and the hardened state density decreases by 2.01%. The water absorption and thermal conductivity of the formulated concretes decreased. However, the results showed that the slump of these fresh concretes increased as the percentage of plastic aggregate replacement increased. Based on the results, incorporating PET aggregates into concrete contributes to good workability, and lightweight concrete structures, and provides some thermal comfort in concrete structures. 展开更多
关键词 PET Waste CONCRETE Dreux Gorisse approach Thermal Conductivity Mechanical Properties of modified Concrete
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A Fully Analytical Approach for the Real-Time Dynamic Reliability Evaluation of Composite Power Systems with Renewable Energy Sources
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作者 Longxun Xu Bo Hu +4 位作者 Changzheng Shao Kaigui Xie Congcong Pan Heng-Ming Tai Wenyuan Li 《Engineering》 2025年第8期144-157,共14页
Renewable energy sources(RES)have strong uncertainties,which significantly increase the risks of power imbalance and load shedding in composite power systems.It is thus necessary to evaluate the operational reliabilit... Renewable energy sources(RES)have strong uncertainties,which significantly increase the risks of power imbalance and load shedding in composite power systems.It is thus necessary to evaluate the operational reliability for guiding economic dispatch and reducing the risks.Current methods cannot meet the requirement for the operational timeliness of reliability evaluations due to the high computa-tional complexity of the optimal power flow(OPF)calculations of massive contingencies.This paper pro-poses a fully analytical approach to construct fast-to-run analytical functions of reliability indices and avoid reassessments when the load and RES change.The approach consists of uniform design(UD)-based contingency screening and a modified stochastic response surface method(mSRSM).The contin-gency screening method is used to select critical contingencies while considering the uncertainties.The mSRSM is used to construct the analytical functions of the load shedding to the load and RES gener-ation for the selected contingencies.An analytical function of a smooth virtual variable that maps to the load shedding is established in such a way that,when the load and RES vary,the reliability can be assessed within a very short time rather than using laborious OPF calculations.Case studies illustrate the excellent performance of the proposed method for real-time reliability evaluation. 展开更多
关键词 Fully analytical approach modified stochastic response surface method Polynomial chaos expansion Reliability evaluation Uniform design-based contingency screening
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Clinical Application of Exclusive Right-Thoracic Approach in Surgery with or without Laparotomy for Mid-Upper Esophageal Cancer 被引量:2
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作者 牟巨伟 律方 +4 位作者 李鉴 程贵余 孙克林 张汝刚 赫捷 《Chinese Journal of Clinical Oncology》 CSCD 2008年第1期64-66,共3页
OBJECTIVE To evaluate the clinical application of a right-thoracic approach with or without laparotomy for mid-upper esophageal cancer. METHODS We retrospectively reviewed the data of 34 esophageal cancer patients who... OBJECTIVE To evaluate the clinical application of a right-thoracic approach with or without laparotomy for mid-upper esophageal cancer. METHODS We retrospectively reviewed the data of 34 esophageal cancer patients who received Belsey surgery or a modified Ivor-Lewis surgery from November 1992 to April 2007. Twenty of the patients underwent a Belsey prodecdure (Group A) from November 1992 to January 2001 and 14 underwent a modified Ivor-Lewis prodecdure (Group B) from May 2001 to April 2007. RESULTS Twenty patients with esophageal cancer received an esophagectomy through an exclusive right-thoracic approach (Belsey surgery), and 14 patients received an esophagectomy through a right-thoracic approach combined with a laparotomy (modified IvorLewis surgery). The complication rate was 15% (3/20) and 7.1% (1/14) respectively. The survival rate was 42.9% (5-year survival) and 38.7% (5-year survival) respectively for these two groups. CONCLUSION An exclusive right-thoracic approach (Belsey surgery) is associated with more complications. It is not a routine surgery for cancer of the mid-upper thorax of the esophagus, but can be selectively used as palliative esophagectomy for esophageal cancer patients with poor pulmonary function. Modified Ivor-Lewis surgery can simultaneously be utilized to resect the primary tumor and dissect lymph nodes of the thorax and abdomen. With a shorter time period of surgery and postoperative recovery period, modified Ivor-Lewis surgery can achieve better effects with patients who have midupper esophagus cancer. 展开更多
关键词 right-thoracic approach esophageal cancer Belsey surgery modified Ivor-Lewis surgery complication.
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A Novel Approach for Evaluation of Food Functions and Safety Applied in RR GM Soybeans
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作者 Wei LONG Hao WANG +6 位作者 Weihong LI Xiu SHEN Jiali BAI Dezhi WANG Xiaoguang WANG Saijun FAN Zewei ZHOU 《Agricultural Biotechnology》 CAS 2013年第3期5-11,共7页
[Objective] This study aimed to evaluate tbe healthy risk of genetically modified ( GM ) soybeans by using a novel approach for functions and safety of food. [ Me^od] Different from traditional evaluation of substan... [Objective] This study aimed to evaluate tbe healthy risk of genetically modified ( GM ) soybeans by using a novel approach for functions and safety of food. [ Me^od] Different from traditional evaluation of substantial equivalence, three great innovations were performed in this study, involving in basic diet, evalu- ation approaches and principle, as well as the clarification of connotation differences between absolute and relative mass of organs. Hence a novel BDI-GS (Bendib Damage Index and General Score) evaluation approach was established and applied in comparative evaluation between RR GM and natural soybeans. Healthy male ICR mice during linear growth were selected; experimental mice were fed with 15% RR GM soybeans and 15% natural soybeans blending maize meal diets, and control mice were fed with single maize meal diet for 13 d; the mice were dissected after collecting blood samples and perfectly obtained nine organs or tissues to re- cord their masses and conduct statistical analyses. [Result] Plenty of matching information was obtained through simple design. The growth performance of treated mice was markedly of individual differences, some mice were thwarted due to regular intake of RR soybeans. Meanwhile, the functions and safety of RR soybeans were markedly lowered in overall nutritional and healthy effects than those of natural soybeans expressed in GS values, and presents some declines in nutrition and health of thymus, pancreas and spermary; especially, it can make thymus immune (P 〈0.05) in markedly lower level than that of natural soybeans. [ Conclusion] Therefore, major troubles and risks of RR soybeans intake are of personal risks in different degrees, in addition, it may increase sub-health and related chronic epi- demics risks, and herein it will presents certain safety issues. The creation of this novel evaluation system provides a simple and available evaluation approach for functions and potential risks revelation of food effects, and will yield far-reaching influences to safety evaluation and healthy development of GM foods, as well as public health. 展开更多
关键词 Genetically modified soybeans Animal model Food quality Evaluation approach Function and safety
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语域-功能研究法框架下的学术英语语法复杂度研究 被引量:1
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作者 林生淑 袁周敏 《北京第二外国语学院学报》 北大核心 2025年第1期142-156,F0003,共16页
Biber等学者开创的语域-功能(RF)研究法强调语域情景特征和交际目的对语法复杂度的解释力,其主要贡献是在语料库研究的基础上确立了短语修饰语在学术英语中的重要地位,并提出了英语语言发展次序假设。本文介绍了RF研究法的理论基础及优... Biber等学者开创的语域-功能(RF)研究法强调语域情景特征和交际目的对语法复杂度的解释力,其主要贡献是在语料库研究的基础上确立了短语修饰语在学术英语中的重要地位,并提出了英语语言发展次序假设。本文介绍了RF研究法的理论基础及优势,回顾了10余年来英语写作领域的RF研究法相关研究和最新动态,并提出未来RF研究法发展的5个方向:①细化语言发展次序假设中的词汇语法结构的功能和意义;②开展更多个案研究,考察短语复杂度的(非)线性发展轨迹;③综合使用自动化工具扩展RF研究法研究主题;④在基于源文写作的课堂上探究提升短语复杂度使用的教学模式;⑤开展其他语言的RF研究法研究,构建适用于语言独特性的复杂度特征体系。同时,结合国内英语教学和研究的实际情况,本文提出了推动国内RF研究法研究的3个突破口。 展开更多
关键词 语域-功能研究法 学术英语 语法复杂度 短语修饰语
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经胆囊管改良胆总管微切开术在腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石中的临床应用 被引量:1
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作者 陈晶晶 田峥嵘 +4 位作者 王贝尔 钟熙豪 王继生 童洪飞 王兆洪 《肝胆胰外科杂志》 2025年第5期321-325,共5页
目的 探讨经胆囊管改良胆总管微切开术在腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石中的临床应用价值及其安全性。方法 回顾性分析温州医科大学附属第二医院2023年1—12月收治的22例胆囊结石合并胆总管结石的患者临床资料。实施经胆... 目的 探讨经胆囊管改良胆总管微切开术在腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石中的临床应用价值及其安全性。方法 回顾性分析温州医科大学附属第二医院2023年1—12月收治的22例胆囊结石合并胆总管结石的患者临床资料。实施经胆囊管改良胆总管微切开术进行腹腔镜联合胆道镜取石。难以单纯经胆囊管取出的胆总管结石,沿胆囊管长轴切开胆囊管后继续向胆总管延长切口,且垂直于胆总管长轴微切开后经胆囊管通过取石网篮取出胆总管结石,取净结石后缝合胆总管及胆囊管开口。观察其疗效及安全性。结果 22例患者经改良胆总管微切开后能将胆道镜置入胆总管并将结石全部取出,胆管内无积脓,肝内胆管无结石残留。手术过程中均无胆道出血、胆管穿孔和Oddi括约肌损伤发生。平均手术时间(72.64±10.02)min;平均术中出血量(19.32±9.42)mL;平均术后带引流管时间(5.32±0.89)d;平均总住院时间(6.36±0.95)d。术后发生胆漏2例(9.09%),持续时间3~4 d,考虑为水肿消退后缝合的针眼渗漏。所有患者术后均未发生出血等其他严重并发症。定期随访复查肝功能、血常规以及肝胆B超,所有患者均未发现胆管结石残留、复发、胆管狭窄或扩张。结论 本研究中经胆囊管汇合部改良胆总管微切开术在腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石中安全、有效,利于患者术后早期恢复。 展开更多
关键词 腹腔镜手术 胆道镜手术 胆总管微切开 经胆囊管 胆总管结石 一期缝合 改良术式
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一种针对^(90)Y的淬灭指数及其在^(90)Sr分析中的新应用
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作者 冯孝贵 袁建华 +4 位作者 何千舸 靳小军 孔雪艳 王建晨 陈靖 《核化学与放射化学》 北大核心 2025年第3期259-266,共8页
采用自定义的、针对^(90)Y的淬灭指数qx,结合改进双窗法,建立了一种用液闪仪(有时需要辅以γ谱仪)分析^(90)Sr的方法。使用该方法的前提有两点:(1)样品的淬灭水平较低,^(90)Sr或^(90)Y在全谱范围内的计数效率可以近似为100%;(2)^(90)Y... 采用自定义的、针对^(90)Y的淬灭指数qx,结合改进双窗法,建立了一种用液闪仪(有时需要辅以γ谱仪)分析^(90)Sr的方法。使用该方法的前提有两点:(1)样品的淬灭水平较低,^(90)Sr或^(90)Y在全谱范围内的计数效率可以近似为100%;(2)^(90)Y液闪谱图高能部分没有其它β核素的干扰。以高放废液分离热实验的三类真实样品为例,说明了该方法的具体使用步骤。实验采用的样品已达到^(90)Sr/^(90)Y放射性衰变平衡,因此可以用三种思路计算^(90)Sr含量,彼此相互验证。结果表明,用本方法得到的^(90)Sr含量是准确可靠的。本方法只需要对液闪谱图高能部分进行线性拟合,简单、易于操作,使用者可以根据待测样品的特点及分析要求,按应用建议选择合适的分析策略。对于^(90)Sr/^(90)Y样品(可含^(137)Cs),如果^(90)Sr的计数率占比不是太低,用本方法对^(90)Sr含量进行测定时,既不需要进行化学分离,也不需要等待^(90)Sr/^(90)Y放射性衰变平衡。 展开更多
关键词 液闪 淬灭指数 改进双窗法 线性拟合 ^(90)Sr ^(90)Y
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不同入路的全髋关节置换术对股骨头坏死患者术后本体感觉功能和平衡能力的影响
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作者 窦浚峰 海国栋 +4 位作者 严磊 张景义 杨昊飞 范丛亮 王少华 《海南医学》 2025年第8期1104-1108,共5页
目的探讨髋关节后外侧切口、改良Hardinge入路的全髋关节置换术(THA)对股骨头坏死(ONFH)患者术后本体感觉功能和平衡能力的影响。方法选取2022年3月至2024年3月郑州市骨科医院收治的120例拟行THA术的ONFH患者作为研究对象,依据随机数表... 目的探讨髋关节后外侧切口、改良Hardinge入路的全髋关节置换术(THA)对股骨头坏死(ONFH)患者术后本体感觉功能和平衡能力的影响。方法选取2022年3月至2024年3月郑州市骨科医院收治的120例拟行THA术的ONFH患者作为研究对象,依据随机数表法分成A组和B组各60例。A组采用改良Hardinge入路,B组采用髋关节后外侧入路。比较两组患者术后恢复优良率和围术期指标(手术时间、住院时间、术中出血量、术后引流量);比较两组患者术前和术后3个月的C反应蛋白(CRP)和白细胞介素-6(IL-6)水平;比较两组患者术后不同时间的本体感觉功能(采用被动角度再生试验评估)和平衡能力(采用Berg平衡量表评估);同时比较两组患者术后并发症发生情况。结果A组患者术后恢复优良率为95.00%,明显高于B组的83.33%,差异有统计学意义(P<0.05);A组患者的手术时间、住院时间、术中出血量、术后引流量分别为(55.94±7.81)min、(17.41±2.10)d,(195.63±39.55)mL、(104.57±17.23)mL,明显短(少)于B组的(62.46±9.11)min、(22.35±4.17)d、(228.41±43.68)mL、(127.69±13.56)mL,差异均有统计学意义(P<0.05);A组患者术后CRP、IL-6水平分别为(10.15±2.41)mg/L、(7.49±1.28)pg/mL,明显低于B组的(11.13±2.56)mg/L、(8.25±1.76)pg/mL,差异均有统计学意义(P<0.05);A组患者术后1个月、3个月、6个月的被动角度再生差值分别为(6.59±1.04)°、(4.52±0.94)°、(3.67±0.25)°,明显低于B组的(8.99±1.35)°、(6.79±0.78)°、(4.71±0.51)°,差异均有统计学意义(P<0.05);A组患者术后3个月、6个月的Berg平衡量表评分分别为(46.91±3.36)分、(50.11±2.41)分,明显高于B组的(42.71±4.67)分、(46.92±2.76)分,差异均有统计学意义(P<0.05);A组患者的并发症总发生率为3.33%,明显低于B组的15.00%,差异均有统计学意义(P<0.05)。结论与后外侧切口相比,改良Hardinge入路的THA术能提升ONFH患者的术后恢复效果,改善围术期指标,减轻炎症,并可有效改善本体感觉功能,提高平衡能力,且能降低手术并发症发生率。 展开更多
关键词 股骨头坏死 全髋关节置换术 后外侧切口 改良HARDINGE入路 本体感觉功能 平衡能力
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