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Modified Multiple Scale/Segment Entropy (MMPE) Analysis of Heart Rate Variability of NHH, CHF & AF Subjects
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作者 Chodavarapu Renu Madhavi Alevoor Gopal Krishnachar Ananth 《Journal of Life Sciences》 2011年第8期593-597,共5页
Nonlinear analysis of heart rate variability (HRV) has become important as heart behaves as a complex system. In this work, the approximate entropy (ApEn) has been used as a nonlinear measure. A new concept of est... Nonlinear analysis of heart rate variability (HRV) has become important as heart behaves as a complex system. In this work, the approximate entropy (ApEn) has been used as a nonlinear measure. A new concept of estimating the ApEn in different segments of long length of the recorded data called modified multiple scale (segment) entropy (MMPE) is introduced. The idea of estimating the approximate entropy in different segments is useful to detect the nonlinear dynamics of the heart present in the entire length of data. The present work has been carried out for three cases namely the normal healthy heart (NHH) data, congestive heart failure (CHF) data and Atrial fibrillation (AF) data and the data are analyzed using MMPE techniques. It is observed that the mean value of ApEn for NHH data is much higher than the mean values for CHF data and AF data. The ApEn profiles of CHF, AF and NHH data for different segments obtained using MPE profiles measures the heart dynamism for the three different cases. Also the power spectral density is obtained using fast fourier transform (FFT) analysis and the ratio of LF/HF (low frequency/high frequency) power are computed on multiple scales/segments namely MPLH (multiple scale low frequency to high frequency) for the NHH data, CHF data and AF data and analyzed using MPLH techniques. The results are presented and discussed in the paper. 展开更多
关键词 multiple scale/segment heart rate variability approximate entropy congestive heart failure atrial fibrillations.
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Multiple Time Scale Analysis of River Runoff Using Wavelet Transform for Dagujia River Basin, Yantai, China 被引量:10
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作者 LIU Delin LILT Xianzhao +2 位作者 LI Bicheng ZHAO Shiwei LI Xiguo 《Chinese Geographical Science》 SCIE CSCD 2009年第2期158-167,共10页
Based on monthly river runoff and meteorological data, a method of Morlet wavelet transform was used to analyze the multiple time scale characteristics of river runoff in the Dagujia River Basin, Yantai City, Shandong... Based on monthly river runoff and meteorological data, a method of Morlet wavelet transform was used to analyze the multiple time scale characteristics of river runoff in the Dagujia River Basin, Yantai City, Shandong Province. The results showed that the total annual river runoffin the Dagujia River Basin decreased significantly from 1966 to 2004, and the rate of decrease was 48× 10^6ma/10yr, which was higher than the mean value of most rivers in China. Multiple time scale characteristics existed, which accounted for different aspects of the changes in annual river runoff, and the major periods of the runofftime series were identified as about 28 years, 14 years and 4 years with decreasing levels of fluctuation. The river runoff evolution process was controlled by changes in precipitation to a certain extent, but it was also greatly influenced by human activities. Also, for different time periods and scales, the impacts of climate changes and human activities on annual river runoff evolution occurred at the same time. Changes in the annual river runoffwere mainly associated with climate change before the 1980s and with human activities after 1981. 展开更多
关键词 multiple time scale river runoff climate change Morlet wavelet transform Dagujia River
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Quantitative method for evaluating detailed volatility of wind power at multiple temporal-spatial scales 被引量:6
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作者 Yongqian Liu Han Wang +3 位作者 Shuang Han Jie Yan Li Li Zixin Chen 《Global Energy Interconnection》 2019年第4期318-327,共10页
With the increasing proportion of wind power integration, the volatility of wind power brings huge challenges to the safe and stable operation of the electric power system. At present, the indexes commonly used to eva... With the increasing proportion of wind power integration, the volatility of wind power brings huge challenges to the safe and stable operation of the electric power system. At present, the indexes commonly used to evaluate the volatility of wind power only consider its overall characteristics, such as the standard deviation of wind power, the average of power variables, etc., while ignoring the detailed volatility of wind power, that is, the features of the frequency distribution of power variables. However, how to accurately describe the detailed volatility of wind power is the key foundation to reduce its adverse influences. To address this, a quantitative method for evaluating the detailed volatility of wind power at multiple temporal-spatial scales is proposed. First, the volatility indexes which can evaluate the detailed fluctuation characteristics of wind power are presented, including the upper confidence limit, lower confidence limit and confidence interval of power variables under the certain confidence level. Then, the actual wind power data from a location in northern China is used to illustrate the application of the proposed indexes at multiple temporal(year–season–month–day) and spatial scales(wind turbine–wind turbines–wind farm–wind farms) using the calculation time windows of 10 min, 30 min, 1 h, and 4 h. Finally, the relationships between wind power forecasting accuracy and its corresponding detailed volatility are analyzed to further verify the effectiveness of the proposed indexes. The results show that the proposed volatility indexes can effectively characterize the detailed fluctuations of wind power at multiple temporal-spatial scales. It is anticipated that the results of this study will serve as an important reference for the reserve capacity planning and optimization dispatch in the electric power system which with a high proportion of renewable energy. 展开更多
关键词 Wind power Detailed VOLATILITY Frequency distribution multiple temporal-spatial scales TYPICAL DAYS Forecasting accuracy
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Determination of the natural frequencies of axially moving beams by the method of multiple scales 被引量:3
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作者 杨晓东 陈立群 《Journal of Shanghai University(English Edition)》 CAS 2007年第3期251-254,共4页
The natural frequencies of an axially moving beam were determined by using the method of multiple scales. The method of second-order multiple scales could be directly applied to the governing equation if the axial mot... The natural frequencies of an axially moving beam were determined by using the method of multiple scales. The method of second-order multiple scales could be directly applied to the governing equation if the axial motion of the beam is assumed to be small. It can be concluded that the natural frequencies affected by the axial motion are proportional to the square of the velocity of the axially moving beam. The results obtained by the perturbation method were compared with those given with a numerical method and the comparison shows the correctness of the multiple-scale method if the velocity is rather small. 展开更多
关键词 the method of multiple scales natural frequency axially moving beam
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Automatic and Robust Segmentation of Multiple Sclerosis Lesions with Convolutional Neural Networks 被引量:1
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作者 H.M.Rehan Afzal Suhuai Luo +4 位作者 Saadallah Ramadan Jeannette Lechner-Scott Mohammad Ruhul Amin Jiaming Li M.Kamran Afzal M.Kamran Afzal 《Computers, Materials & Continua》 SCIE EI 2021年第1期977-991,共15页
The diagnosis of multiple sclerosis(MS)is based on accurate detection of lesions on magnetic resonance imaging(MRI)which also provides ongoing essential information about the progression and status of the disease.Manu... The diagnosis of multiple sclerosis(MS)is based on accurate detection of lesions on magnetic resonance imaging(MRI)which also provides ongoing essential information about the progression and status of the disease.Manual detection of lesions is very time consuming and lacks accuracy.Most of the lesions are difficult to detect manually,especially within the grey matter.This paper proposes a novel and fully automated convolution neural network(CNN)approach to segment lesions.The proposed system consists of two 2D patchwise CNNs which can segment lesions more accurately and robustly.The first CNN network is implemented to segment lesions accurately,and the second network aims to reduce the false positives to increase efficiency.The system consists of two parallel convolutional pathways,where one pathway is concatenated to the second and at the end,the fully connected layer is replaced with CNN.Three routine MRI sequences T1-w,T2-w and FLAIR are used as input to the CNN,where FLAIR is used for segmentation because most lesions on MRI appear as bright regions and T1-w&T2-w are used to reduce MRI artifacts.We evaluated the proposed system on two challenge datasets that are publicly available from MICCAI and ISBI.Quantitative and qualitative evaluation has been performed with various metrics like false positive rate(FPR),true positive rate(TPR)and dice similarities,and were compared to current state-of-the-art methods.The proposed method shows consistent higher precision and sensitivity than other methods.The proposed method can accurately and robustly segment MS lesions from images produced by different MRI scanners,with a precision up to 90%. 展开更多
关键词 multiple sclerosis lesion segmentation automatic segmentation CNN automated tool lesion detection
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An optimal strategy for coordinating and dispatching “source-load” in power system based on multiple time scales 被引量:2
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作者 LIU Yan-feng DONG Hai-ying +1 位作者 WANG Ning-bo MA Ming 《Journal of Measurement Science and Instrumentation》 CAS CSCD 2018年第4期388-396,共9页
Due to the phenomenon of abandoning wind power and photo voltage(PV)power in the“Three Northern Areas”in China,this paper presents an optimal strategy for coordinating and dispatching“source-load”in power system b... Due to the phenomenon of abandoning wind power and photo voltage(PV)power in the“Three Northern Areas”in China,this paper presents an optimal strategy for coordinating and dispatching“source-load”in power system based on multiple time scales.On the basis of the analysis of the uncertainty of wind power and PV power as well as the characteristics of load side resource dispatching,the optimal model of coordinating and dispatching“source-load”in power system based on multiple time scales is established.It can simultaneously and effectively dispatch conventional generators,wind plant,PV power station,pumped-storage power station and load side resources by optimally using three time scales:day-ahead,intra-day and real-time.According to the latest predicted information of wind power,PV power and load,the original generation schedule can be rolled and amended by using the corresponding time scale.The effectiveness of the model can be verified by a real system.The simulation results show that the proposed model can make full use of“source-load”resources to improve the ability to consume wind power and PV power of the grid-connected system. 展开更多
关键词 multiple time scales "source-load"coordination pumped-storage power station wind plant photovoltaic(PV)power station
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Analytical approximations to a generalized forced damped complex Duffing oscillator:multiple scales method and KBM approach 被引量:1
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作者 Weaam Alhejaili Alvaro H Salas S A El-Tantawy 《Communications in Theoretical Physics》 SCIE CAS CSCD 2023年第2期18-27,共10页
In this investigation,some different approaches are implemented for analyzing a generalized forced damped complex Duffing oscillator,including the hybrid homotopy perturbation method(H-HPM),which is sometimes called t... In this investigation,some different approaches are implemented for analyzing a generalized forced damped complex Duffing oscillator,including the hybrid homotopy perturbation method(H-HPM),which is sometimes called the Krylov-Bogoliubov-Mitropolsky(KBM)method and the multiple scales method(MSM).All mentioned methods are applied to obtain some accurate and stable approximations to the proposed problem without decoupling the original problem.All obtained approximations are discussed graphically using different numerical values to the relevant parameters.Moreover,all obtained approximate solutions are compared with the 4thorder Runge-Kutta(RK4)numerical approximation.The maximum residual distance error(MRDE)is also estimated,in order to verify the high accuracy of the obtained analytic approximations. 展开更多
关键词 complex Duffing oscillators forced damped complex oscillator multiple scales method KBM method
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Advanced characterization and calculation methods for rechargeable battery materials in multiple scales
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作者 Xin-Yan Li Su-Ting Weng Lin Gu 《Chinese Physics B》 SCIE EI CAS CSCD 2020年第2期59-70,共12页
The structure-activity relationship of functional materials is an everlasting and desirable research question for material science researchers,where characterization and calculation tools are the keys to deciphering t... The structure-activity relationship of functional materials is an everlasting and desirable research question for material science researchers,where characterization and calculation tools are the keys to deciphering this intricate relationship.Here,we choose rechargeable battery materials as an example and introduce the most representative advanced characterization and calculation methods in four different scales:real space,energy,momentum space,and time.Current research methods to study battery material structure,energy level transition,dispersion relations of phonons and electrons,and time-resolved evolution are reviewed.From different views,various expression forms of structure and electronic structure are presented to understand the reaction processes and electrochemical mechanisms comprehensively in battery systems.According to the summary of the present battery research,the challenges and perspectives of advanced characterization and calculation techniques for the field of rechargeable batteries are further discussed. 展开更多
关键词 RECHARGEABLE BATTERIES ADVANCED CHARACTERIZATION and CALCULATION multiple scales
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A NEW DECODER OF SYNCHRONOUS OPTICAL CODE DIVISION MULTIPLE ACCESS SYSTEMS USING SEGMENTED CORRELATION
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作者 Li Ou Wu Jiangxing Lan Julong(National Digital Switching System Engineering & Technology Research Center, Zhengzhou 450002) 《Journal of Electronics(China)》 2001年第2期135-139,共5页
A new segmented correlating decoder of synchronous optical CDMA using modified prime sequence codes is proposed. The performance of the proposed system is analyzed under the assumption of Poisson shot noise model for ... A new segmented correlating decoder of synchronous optical CDMA using modified prime sequence codes is proposed. The performance of the proposed system is analyzed under the assumption of Poisson shot noise model for the receiver photodetector. The decoder technique is shown to be more effective to improve the bit error probability performance than the method using an optical hard-limiter. 展开更多
关键词 SYNCHRONOUS optical CDMA PRIME CODES multiple access system segmentED CORRELATION
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APPLICATION OF THE MODIFIED METHOD OF MULTIPLE SCALES TO THE BENDING PROBLEMS FOR CIRCULAR THIN PLATE AT VERY LARGE DEFLECTION AND THE ASYMPTOTICS OF SOLUTIONS(Ⅱ)
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作者 江福汝 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 1999年第4期34-39,共6页
This paper is a continuation of part (Ⅰ), on the asymptotics behaviors of the series solutions investigated in (Ⅰ). The remainder terms of the series solutions are estimated by the maximum norm.
关键词 large deflection modified method of multiple scales asymptotic behaviors
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THE METHOD OF MULTIPLE SCALES APPLIED TO THE NONLINEAR STABILITY PROBLEM OF A TRUNCATED SHALLOW SPHERICAL SHELL OF VARIABLE THICKNESS WITH THE LARGE GEOMETRICAL PARAMETER
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作者 KANG Sheng-liang(康盛亮) 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 2001年第10期1198-1209,共12页
Using the modified method of multiple scales, the nonlinear stability of a truncated shallow spherical shell of variable thickness with a nondeformable rigid body at the center under compound loads is investigated. Wh... Using the modified method of multiple scales, the nonlinear stability of a truncated shallow spherical shell of variable thickness with a nondeformable rigid body at the center under compound loads is investigated. When the geometrical parameter k is larger, the uniformly valid asymptotic solutions of this problem are obtained and the remainder terms are estimated. 展开更多
关键词 shallow shell of variable thickness nonlinear stability modified method of multiple scales
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APPLICATION OF THE MODIFIED METHOD OF MULTIPLE SCALES TO THE BENDING PROBLEMS FOR CIRCULAR THIN PLATE AT VERY LARGE DEFLECTION ANDTHE ASYMPTOTICS OF SOLUTIONS (Ⅰ)
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作者 江福汝 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 1998年第10期937-950,共14页
In this paper, the modified method of multiple scales is applied to study the bending problems for circular thin plate with large deflection under the hinged and simply supported edge conditions. Theseries solutions a... In this paper, the modified method of multiple scales is applied to study the bending problems for circular thin plate with large deflection under the hinged and simply supported edge conditions. Theseries solutions are constructed, the boundary layer effects are analysed and their asymptotics are proved. 展开更多
关键词 circular plate large deflection boundary layer effect asymptotics modified method of multiple scales
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MULTIPLE TIME SCALE ANALYSIS OF CLIMATE VARIATION IN Macao DURING THE LAST 100 YEARS
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作者 冯瑞权 吴池胜 +5 位作者 王婷 何夏江 王安宇 刘吉 梁必骐 梁嘉静 《Journal of Tropical Meteorology》 SCIE 2012年第1期21-31,共11页
The multiple time scale climate changes are studied and calculated with statistical analysis and wavelet transformation on the basis of daily series of observed data over the period 1901-2007 in Macao.The result shows... The multiple time scale climate changes are studied and calculated with statistical analysis and wavelet transformation on the basis of daily series of observed data over the period 1901-2007 in Macao.The result shows that statistically significant oscillations with 2 to 5 years of period generally exist in the series of climate variables(e.g.annual mean surface air temperature and precipitation as well as evaporation etc.),but with obvious locality in time domain.The variation of annual mean surface air temperature has a quasi 60-year period.The phases of the 60-year variation approximately and consistently match that of Atlantic Multidecadal Oscillation(AMO).The oscillations of seasonal mean surface air temperature in summer and winter have the periods of quasi 30-year and quasi 60-year,respectively.These two periods of oscillations have statistically significant correlation with Pacific decadal oscillation(PDO) and AMO,individually.The multidecadal variations of the precipitation of the annually first flood period and annual evaporation are dominated by periods of quasi 30-year and quasi 50-year,respectively. 展开更多
关键词 climate change in Macao wavelet transformation multiple time scales
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COMPUTER COMPUTATION OF THE METHOD OF MULTIPLE SCALES-DIRICHLET PROBLEM FOR A CLASS OF SYSTEM OF NONLINEAR DIFFERENTIAL EQUATIONS
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作者 谢腊兵 江福汝 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 2003年第11期1264-1272,共9页
The method of boundary layer with multiple scales and computer algebra were applied to study the asymptotic behavior of solution of boundary value problems for a class of system of nonlinear differential equations . T... The method of boundary layer with multiple scales and computer algebra were applied to study the asymptotic behavior of solution of boundary value problems for a class of system of nonlinear differential equations . The asymptotic expansions of solution were constructed. The remainders were estimated. And an example was analysed. It provides a new foreground for the application of the method of boundary layer with multiple scales . 展开更多
关键词 system of nonlinear differential equation boundary value problem method of boundary layer with multiple scale computer algebra asymptotic solution
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Multiple time scales of fluvial processes—theory and applications
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作者 G.Pender 《Theoretical & Applied Mechanics Letters》 CAS 2011年第5期1-7,共7页
Fluvial processes comprise water flow,sediment transport and bed evolution,which normally feature distinct time scales.The time scales of sediment transport and bed deformation relative to the flow essentially measure... Fluvial processes comprise water flow,sediment transport and bed evolution,which normally feature distinct time scales.The time scales of sediment transport and bed deformation relative to the flow essentially measure how fast sediment transport adapts to capacity region in line with local flow scenario and the bed deforms in comparison with the flow,which literally dictates if a capacity based and/or decoupled model is justified.This paper synthesizes the recently developed multiscale theory for sediment-laden flows over erodible bed,with bed load and suspended load transport,respectively.It is unravelled that bed load transport can adapt to capacity sufficiently rapidly even under highly unsteady flows and thus a capacity model is mostly applicable,whereas a non-capacity model is critical for suspended sediment because of the lower rate of adaptation to capacity.Physically coupled modelling is critical for fluvial processes characterized by rapid bed variation.Applications are outlined on very active bed load sediment transported by flash floods and landslide dam break floods. 展开更多
关键词 sediment-laden flow fluvial processes capacity/non-capacity model coupled/decoupled model multiple time scales FLOODING
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Multiple scales method for analyzing a forced damped rotational pendulum oscillatorwithgallows
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作者 Haifa A Alyousef Alvaro H Salas +1 位作者 B M Alotaibi S A El-Tantawy 《Communications in Theoretical Physics》 SCIE CAS CSCD 2024年第5期58-67,共10页
This study reports the analytical solution for a generalized rotational pendulum system with gallows and periodic excited forces.The multiple scales method(MSM)is applied to solve the proposed problem.Several types of... This study reports the analytical solution for a generalized rotational pendulum system with gallows and periodic excited forces.The multiple scales method(MSM)is applied to solve the proposed problem.Several types of rotational pendulum oscillators are studied and talked about in detail.These include the forced damped rotating pendulum oscillator with gallows,the damped standard simple pendulum oscillator,and the damped rotating pendulum oscillator without gallows.The MSM first-order approximations for all the cases mentioned are derived in detail.The obtained results are illustrated with concrete numerical examples.The first-order MSM approximations are compared to the fourth-order Runge-Kutta(RK4)numerical approximations.Additionally,the maximum error is estimated for the first-order approximations obtained through the MSM,compared to the numerical approximations obtained by the RK4 method.Furthermore,we conducted a comparative analysis of the outcomes obtained by the used method(MSM)and He-MSM to ascertain their respective levels of precision.The proposed method can be applied to analyze many strong nonlinear oscillatory equations. 展开更多
关键词 rotational pendulum system multiple scales method approximate solution damped oscillations forced pendulum with gallows he-multiple scales method
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Free vibration of vibrating device coupling two pendulums using multiple time scales method
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作者 李珺 刘初升 +1 位作者 彭利平 王宏 《Journal of Central South University》 SCIE EI CAS 2013年第8期2134-2141,共8页
A model of vibrating device coupling two pendulums (VDP) which is highly nonlinear was put forward to conduct vibration analysis. Based on energy analysis, dynamic equations with cubic nonlinearities were established ... A model of vibrating device coupling two pendulums (VDP) which is highly nonlinear was put forward to conduct vibration analysis. Based on energy analysis, dynamic equations with cubic nonlinearities were established using Lagrange's equation. In order to obtain approximate solution, multiple time scales method, one of perturbation technique, was applied. Cases of non-resonant and 1:1:2:2 internal resonant were discussed. In the non-resonant case, the validity of multiple time scales method is confirmed, comparing numerical results derived from fourth order Runge-Kutta method with analytical results derived from first order approximate expression. In the 1:1:2:2 internal resonant case, modal amplitudes of Aa1 and Ab2 increase, respectively, from 0.38 to 0.63 and from 0.19 to 0.32, while the corresponding frequencies have an increase of almost 1.6 times with changes of initial conditions, indicating the existence of typical nonlinear phenomenon. In addition, the chaotic motion is found under this condition. 展开更多
关键词 free vibration coupling pendulums multiple time scales method nonlinear characteristic
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Analysis of the Invariance and Generalizability of Multiple Linear Regression Model Results Obtained from Maslach Burnout Scale through Jackknife Method
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作者 Tolga Zaman Kamil Alakus 《Open Journal of Statistics》 2015年第7期645-651,共7页
The purpose of this study was to examine the burnout levels of research assistants in Ondokuz Mayis University and to examine the results of multiple linear regression model based on the results obtained from Maslach ... The purpose of this study was to examine the burnout levels of research assistants in Ondokuz Mayis University and to examine the results of multiple linear regression model based on the results obtained from Maslach Burnout Scale with Jackknife Method in terms of validity and generalizability. To do this, a questionnaire was given to 11 research assistants working at Ondokuz Mayis University and the burnout scores of this questionnaire were taken as the dependent variable of the multiple linear regression model. The variable of burnout was explained with the variables of age, weekly hours of classes taught, monthly average credit card debt, numbers of published articles and reports, gender, marital status, number of children and the departments of the research assistants. Dummy variables were assigned to the variables of gender, marital status, number of children and the departments of the research assistants and thus, they were made quantitative. The significance of the model as a result of multiple linear regressions was examined through backward elimination method. After this, for the five explanatory variables which influenced the variable of burnout, standardized model coefficients and coefficients of determination, and 95% confidence intervals of these values were estimated through Jackknife Method and the generalizability of the parameter estimation results of these variables on population was researched. 展开更多
关键词 JACKKNIFE METHOD INVARIANCE GENERALIZABILITY Maslach BURNOUT scale multiple Linear Regression Backward Elimination METHOD
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Creation of Multiple Subwavelength Focal Spot Segments Using Phase Modulated Radially Polarized Multi Gaussian Beam
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作者 K.Prabakaran K.B.Rajesh +4 位作者 S.Sumathira M.D.Bharathi R.Hemamalini A.M.Musthafa V.Aroulmoji 《Chinese Physics Letters》 SCIE CAS CSCD 2016年第9期48-51,共4页
Based on the vector diffraction theory, the effect of complex phase filters on intensity distribution of a radially polarized multi Gaussian beam in the focal region of high NA lens is theoretically investigated. It i... Based on the vector diffraction theory, the effect of complex phase filters on intensity distribution of a radially polarized multi Gaussian beam in the focal region of high NA lens is theoretically investigated. It is observed that a properly designed multi belt complex phase filter can generate subwavelength novel focal patterns including splitting of focal spots and generation of multiple focal spot segments such as eight, six and four focal spots along the optical axis are obtained. We expect that such an investigation is useful for optical manipulation and material processing, multiple high refractive index particle trapping technologies. 展开更多
关键词 of for Creation of multiple Subwavelength Focal Spot segments Using Phase Modulated Radially Polarized Multi Gaussian Beam on is in
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Outcome assessment of stroke convalescence using multiple scales based on different dimensions
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作者 Yingrong Lao1, Xinfeng Guo1,2, Shilong Lai1,2, Weixiong Liang1,2, Zehuai Wen1,2, Qi Wang1,2, Peixin Huang3, Yan Huang3 1Unit of Applied Clinical Epidemiology, Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine (Guangzhou Provincial Hospital of Traditional Chinese Medicine), Guangzhou 510120, Guangdong Province, China 3Department of Neurology, Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine (Guangzhou Provincial Hospital of Traditional Chinese Medicine), Guangzhou 510120, Guangdong Province, China 2National Center for Training of Design, Measurement and Evaluation in Clinical Research, Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, Guangdong Province, China 《Neural Regeneration Research》 SCIE CAS CSCD 2006年第8期710-713,共4页
BACKGROUND: Convalescence is an important stage of stroke treatment. A lot of patients have somatic and mental disorders at various degrees. The primary standard can only reflect partial conditions of somatic disorder... BACKGROUND: Convalescence is an important stage of stroke treatment. A lot of patients have somatic and mental disorders at various degrees. The primary standard can only reflect partial conditions of somatic disorder; in addition, multiple dimensions of patients at the phase of stroke convalescence are further observed by using a lot of standards, such as signs and symptoms of traditional Chinese medicine, daily activity and psychological status. OBJECTIVE: To analyze the outcome assessments of the cases of stroke convalescence measured with different criteria consisting of various dimensions by a cross-sectional investigation of the condition of stroke convalescent patients. DESIGN: Scale evaluation. SETTING: Departments of Clinical Epidemiology Exploratory Development and Neurology, the Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine; National Center for Training of Design, Measurement and Evaluation in Clinical Research,Guangzhou University of Traditional Chinese Medicine. PARTICIPANTS: A total of 194 stroke convalescent patients treated in the Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from July 26, 2000 to February 28, 2001 were taken as subjects of the study. There were 126 males and 68 females aged from 40 to 89 years, and the illness course ranged from 14 to 181 days. All patients met diagnosis-treatment criteria of stroke (the second version)[DTCS(V2.0)] and various kinds of diagnostic points of cerebrovascular diseases; moreover, all patients provided confirmed consents. METHODS: They were assessed by assessment methods including the following assessment instruments: DTCS(V2.0), self-designed scale of traditional Chinese medicine (TCM) symptoms (28 symptoms and physical signs were scored as 0, 1, 2 marks from none to severity), modified Edinburgh-Scandinavia stroke scale (a total of 45 marks, 0 to 15 marks as mild defect, 16 to 30 as moderate defect, 31 to 45 as severe defect), modified Barthel activities of daily life (ADL) index (a total of 100 marks, less than 60 marks as unable self-care), vitality and mental health (subscales derived from Health Survey Questionnaire, SF-36). The collected data from scales and inter-scale correlation were processed by the statistic methods mainly including descriptive analysis, Spearmen correlation analysis, factor analysis, etc. MAIN OUTCOME MEASURES: ① Average scores of scales and criteria; ② correlation between modified Edinburgh-Scandinavia stroke scale and other scales. RESULTS: All of the patients completed the assessment, and analyzed in the final analysis. ① The average scores of the scales and criteria: The average scores of DTCS(V2.0), self-designed scale of TCM symptoms, modified Edinburgh-Scandinavia stroke scale, modified Barthel ADL index, vitality and mental health scales were 6.51±6.29, 13.73±6.97, 7.56±7.35, 63.58±23.68, 52.79±23.32 and 62.83±22.75 respectively. ② Correlation between modified Edinburgh-Scandinavia stroke scale and other scales: The Spearman correlation coefficients (R ’) of modified Edinburgh-Scandinavia stroke scale with diagnosis-treatment criteria of stroke, scales of TCM symptoms, modified Barthel ADL index, vitality scale and mental health scale were 20.885, 0.302, -0.824, -0.294 and -0.258 respectively. CONCLUSION: The modified Edinburgh-Scandinavia stroke scale and DTCS(V2.0) shared the same assessment dimension, so they can be mutually alternated in some clinical practices. Discrepancy in measurements of health status was gained due to the diverse dimensions applied in outcome assessments. It is necessary to build up a multi-dimensional assessment criteria system, such as signs and symptoms, daily activities and psychological status, for assessing the stroke convalescent cases in a more comprehensive scope and reflecting the efficacy of TCM treatment scientifically. 展开更多
关键词 Outcome assessment of stroke convalescence using multiple scales based on different dimensions ADL
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