A 62-year-old woman was admitted to our hospital in2011 because of recurrent abdominal pain,nausea and constipation for six months.Computed tomography enterography(CTE)showed tortuous thread-like calcifications in the...A 62-year-old woman was admitted to our hospital in2011 because of recurrent abdominal pain,nausea and constipation for six months.Computed tomography enterography(CTE)showed tortuous thread-like calcifications in the ileocolic vein and right colic vein,while colonoscopy revealed purple-blue mucosa extending from the cecum to the splenic flexure.Based on the results of these tests,the patient was diagnosed with idiopathic mesenteric phlebosclerosis(IMP).She had a history of Chinese medical liquor intake for one and a half years and her symptoms subsided after conservative treatment.In 2013,a 63-year-old male patient who presented with recurrent lower right abdominal pain,bloating,melena and diarrhea for fifteen months was admitted to our institution.Colonoscopy and CTE led to the diagnosis of IMP.He also used Chinese medical liquor for approximately 12 years.The patient underwent total colectomy and the postoperative course was uneventful.We searched for previously published reports on similar cases and analyzed the clinical data of 50 cases identified in PubMed.As some of these patients admitted use of Chinese medicines,we hypothesize that Chinese medicines may play a role in the pathogenesis of IMP.展开更多
OBJECTIVE: To examine and describe the use of Western and Chinese Medicine for pregnancy preparation among women with breast cancer after cancer-related treatment in Taiwan.METHODS: Women of reproductive age(20-49year...OBJECTIVE: To examine and describe the use of Western and Chinese Medicine for pregnancy preparation among women with breast cancer after cancer-related treatment in Taiwan.METHODS: Women of reproductive age(20-49years) women who were treated for breast cancer from January 2011 through June 2015 in a Taiwan Residents city participated in the study. Of 306 eligible study participants, interviews were completed in197(64%). Participants were asked about sociodemographic variables, disease and treatment characteristics, their desire for fertility, and their use of Western or Chinese Medicine.RESULTS: The proportions of women who planned to use Western or Chinese Medicine to help achieve pregnancy were 17.3% and 14.7%, respectively. The result of binary logistic regression showed that current employment and lack of children were factors predictive of the use of Western Medicine. Younger age and the use of Chinese Medicine before treatment were predictors of using Chinese Medicine. While the desire for fertility preservation was related to the use of Western Medicine,the desire for pregnancy was related to the use of Chinese Medicine.CONCLUSION: Various characteristics guided the women's decisions to use Western or Chinese Medicine. Health care providers should learn patients' preferences for fertility preservation and provide appropriate advice, referring them to safe providers of their desired method of fertility treatment.展开更多
Fuzzy logic is an approach which deals with the incomplete information to handle the imperfect knowledge. In the present research paper we have proposed a new approach that can handle the imperfect knowledge, in a bro...Fuzzy logic is an approach which deals with the incomplete information to handle the imperfect knowledge. In the present research paper we have proposed a new approach that can handle the imperfect knowledge, in a broader way that we will consider the unfavourable case also as the intuitionistic fuzzy logic does. The mediative fuzzy logic is an extensive approach of intuitionistic fuzzy logic, which provides a solution, when there is a contradiction in the expert knowledge for favourable as well as unfavourable cases. The purpose of the present paper is to design a mediative fuzzy inference system based Sugeno-TSK model for the diagnosis of heart disease. Our proposed method is the extension of Sugeno-TSK fuzzy logic controller in the form of Sugeno-TSK mediative fuzzy logic controller.展开更多
In this paper we are presenting an intelligent method for controlling population size in evolutionary algorithms. The method uses Mediative Fuzzy Logic for modeling knowledge from experts about what should be the beha...In this paper we are presenting an intelligent method for controlling population size in evolutionary algorithms. The method uses Mediative Fuzzy Logic for modeling knowledge from experts about what should be the behavior of population size through generations based on the fitness variance and the number of generations that the algorithm is being stuck. Since, it is common that this kind of knowledge expertise can be susceptible to disagreement in a minor or a major part. We selected Mediative Fuzzy Logic (MFL) as a fuzzy method to achieve the inference. MFL is a novelty fuzzy inference method that can handle imperfect knowledge in a broader way than traditional fuzzy logic does.展开更多
YY 102 engine medie, a product of the Datong Cr and Yb Chemical and Physical Research Institute and Jinghua Industrial Corporation, is made on the theory of friction and energy efficiency. Tests show that only 25 perc...YY 102 engine medie, a product of the Datong Cr and Yb Chemical and Physical Research Institute and Jinghua Industrial Corporation, is made on the theory of friction and energy efficiency. Tests show that only 25 percent of energy turns into efficient horse power in the operation of motor engines while展开更多
This paper considers the unsteady boundary layer flow over a moving flat plate embedded in a porous medium with fractional Oldroyd-B viscoelastic fluid. The governing equations with mixed time-space fractional derivat...This paper considers the unsteady boundary layer flow over a moving flat plate embedded in a porous medium with fractional Oldroyd-B viscoelastic fluid. The governing equations with mixed time-space fractional derivatives are solved numerically by using the finite difference method combined with an L1-algorithm. The effect of various physical parameters on the velocity and average skin friction are discussed and graphically illustrated in detail. Results show that the porosity ε and fractional derivative a enhance the flow of Oldroyd-B viscoelastic fluid within porous medium, but fractional derivative weakens the flow. Moreover, it is found that the average skin friction coefficient rises with the increase of fractional derivative β.展开更多
目的系统评价针刺联合中药治疗非动脉炎性前部缺血性视神经病变(NAION)的临床疗效及证据等级。方法检索PubMed、Web of Science、Embase、中国知网、万方、维普、中国生物医学文献数据库中应用针刺联合中药治疗NAION的文献,检索时间为...目的系统评价针刺联合中药治疗非动脉炎性前部缺血性视神经病变(NAION)的临床疗效及证据等级。方法检索PubMed、Web of Science、Embase、中国知网、万方、维普、中国生物医学文献数据库中应用针刺联合中药治疗NAION的文献,检索时间为建库至2024年1月31日。由2名研究者按纳入与排除标准进行筛选,提取相关信息、数据和结局指标[总有效率、平均视野缺损(MD)、最佳矫正视力(BCVA)、平均视野敏感度(MS)、视网膜神经纤维层(RNFL)厚度],采用Cochrane协作网的风险偏倚评估工具评估纳入研究的方法学的质量,GRADE proGDT软件对结局指标进行证据分级推荐标准(GRADE)评价,RevMan 5.4软件进行数据分析。结果共纳入16项研究,1,027例患者(1,138只眼)。其中,试验组522例(586只眼)均以针刺联合中药为主要疗法,对照组505例(552只眼)采用西药或中药治疗。Meta分析结果表明,试验组在总有效率[OR=3.600,95%CI(2.550,5.080),Z=7.300,P=0.000]、平均视野缺损[MD=-2.940,95%CI(-4.190,-1.690),Z=4.600,P=0.000]、BCVA[MD=0.080,95%CI(0.040,0.110),Z=4.380,P=0.000]、平均视野敏感度[MD=2.070,95%CI(1.010,3.130),Z=3.830,P=0.000]、RNFL厚度[MD=12.380,95%CI(8.150,16.610),Z=5.730,P=0.000]方面均优于对照组。GRADE评价显示,总有效率为中级质量证据,RNFL、BCVA作为结局指标为低质量证据,视野指标(MS、MD)为极低质量证据。结论针刺联合中药治疗NAION较单纯西药、中药相比,能有效提升患者视力,扩大视野,是值得推广的联合疗法。展开更多
文摘A 62-year-old woman was admitted to our hospital in2011 because of recurrent abdominal pain,nausea and constipation for six months.Computed tomography enterography(CTE)showed tortuous thread-like calcifications in the ileocolic vein and right colic vein,while colonoscopy revealed purple-blue mucosa extending from the cecum to the splenic flexure.Based on the results of these tests,the patient was diagnosed with idiopathic mesenteric phlebosclerosis(IMP).She had a history of Chinese medical liquor intake for one and a half years and her symptoms subsided after conservative treatment.In 2013,a 63-year-old male patient who presented with recurrent lower right abdominal pain,bloating,melena and diarrhea for fifteen months was admitted to our institution.Colonoscopy and CTE led to the diagnosis of IMP.He also used Chinese medical liquor for approximately 12 years.The patient underwent total colectomy and the postoperative course was uneventful.We searched for previously published reports on similar cases and analyzed the clinical data of 50 cases identified in PubMed.As some of these patients admitted use of Chinese medicines,we hypothesize that Chinese medicines may play a role in the pathogenesis of IMP.
基金Support by the Ministry of Science and Technology,Taiwan(MOST 103-2314-B-715-005-MY3)Mackay Medical College,Taiwan China(No.105B06)
文摘OBJECTIVE: To examine and describe the use of Western and Chinese Medicine for pregnancy preparation among women with breast cancer after cancer-related treatment in Taiwan.METHODS: Women of reproductive age(20-49years) women who were treated for breast cancer from January 2011 through June 2015 in a Taiwan Residents city participated in the study. Of 306 eligible study participants, interviews were completed in197(64%). Participants were asked about sociodemographic variables, disease and treatment characteristics, their desire for fertility, and their use of Western or Chinese Medicine.RESULTS: The proportions of women who planned to use Western or Chinese Medicine to help achieve pregnancy were 17.3% and 14.7%, respectively. The result of binary logistic regression showed that current employment and lack of children were factors predictive of the use of Western Medicine. Younger age and the use of Chinese Medicine before treatment were predictors of using Chinese Medicine. While the desire for fertility preservation was related to the use of Western Medicine,the desire for pregnancy was related to the use of Chinese Medicine.CONCLUSION: Various characteristics guided the women's decisions to use Western or Chinese Medicine. Health care providers should learn patients' preferences for fertility preservation and provide appropriate advice, referring them to safe providers of their desired method of fertility treatment.
文摘Fuzzy logic is an approach which deals with the incomplete information to handle the imperfect knowledge. In the present research paper we have proposed a new approach that can handle the imperfect knowledge, in a broader way that we will consider the unfavourable case also as the intuitionistic fuzzy logic does. The mediative fuzzy logic is an extensive approach of intuitionistic fuzzy logic, which provides a solution, when there is a contradiction in the expert knowledge for favourable as well as unfavourable cases. The purpose of the present paper is to design a mediative fuzzy inference system based Sugeno-TSK model for the diagnosis of heart disease. Our proposed method is the extension of Sugeno-TSK fuzzy logic controller in the form of Sugeno-TSK mediative fuzzy logic controller.
文摘In this paper we are presenting an intelligent method for controlling population size in evolutionary algorithms. The method uses Mediative Fuzzy Logic for modeling knowledge from experts about what should be the behavior of population size through generations based on the fitness variance and the number of generations that the algorithm is being stuck. Since, it is common that this kind of knowledge expertise can be susceptible to disagreement in a minor or a major part. We selected Mediative Fuzzy Logic (MFL) as a fuzzy method to achieve the inference. MFL is a novelty fuzzy inference method that can handle imperfect knowledge in a broader way than traditional fuzzy logic does.
文摘YY 102 engine medie, a product of the Datong Cr and Yb Chemical and Physical Research Institute and Jinghua Industrial Corporation, is made on the theory of friction and energy efficiency. Tests show that only 25 percent of energy turns into efficient horse power in the operation of motor engines while
基金Supported by National Natural Science Foundation of China under Grant No.11101085
文摘This paper considers the unsteady boundary layer flow over a moving flat plate embedded in a porous medium with fractional Oldroyd-B viscoelastic fluid. The governing equations with mixed time-space fractional derivatives are solved numerically by using the finite difference method combined with an L1-algorithm. The effect of various physical parameters on the velocity and average skin friction are discussed and graphically illustrated in detail. Results show that the porosity ε and fractional derivative a enhance the flow of Oldroyd-B viscoelastic fluid within porous medium, but fractional derivative weakens the flow. Moreover, it is found that the average skin friction coefficient rises with the increase of fractional derivative β.
文摘目的系统评价针刺联合中药治疗非动脉炎性前部缺血性视神经病变(NAION)的临床疗效及证据等级。方法检索PubMed、Web of Science、Embase、中国知网、万方、维普、中国生物医学文献数据库中应用针刺联合中药治疗NAION的文献,检索时间为建库至2024年1月31日。由2名研究者按纳入与排除标准进行筛选,提取相关信息、数据和结局指标[总有效率、平均视野缺损(MD)、最佳矫正视力(BCVA)、平均视野敏感度(MS)、视网膜神经纤维层(RNFL)厚度],采用Cochrane协作网的风险偏倚评估工具评估纳入研究的方法学的质量,GRADE proGDT软件对结局指标进行证据分级推荐标准(GRADE)评价,RevMan 5.4软件进行数据分析。结果共纳入16项研究,1,027例患者(1,138只眼)。其中,试验组522例(586只眼)均以针刺联合中药为主要疗法,对照组505例(552只眼)采用西药或中药治疗。Meta分析结果表明,试验组在总有效率[OR=3.600,95%CI(2.550,5.080),Z=7.300,P=0.000]、平均视野缺损[MD=-2.940,95%CI(-4.190,-1.690),Z=4.600,P=0.000]、BCVA[MD=0.080,95%CI(0.040,0.110),Z=4.380,P=0.000]、平均视野敏感度[MD=2.070,95%CI(1.010,3.130),Z=3.830,P=0.000]、RNFL厚度[MD=12.380,95%CI(8.150,16.610),Z=5.730,P=0.000]方面均优于对照组。GRADE评价显示,总有效率为中级质量证据,RNFL、BCVA作为结局指标为低质量证据,视野指标(MS、MD)为极低质量证据。结论针刺联合中药治疗NAION较单纯西药、中药相比,能有效提升患者视力,扩大视野,是值得推广的联合疗法。
