期刊文献+
共找到3,154篇文章
< 1 2 158 >
每页显示 20 50 100
MODEL B-I FOR MACRO RECTANGULAR ELEMENT AND PROBLEMS OF INFLUENCE SURFACE FOR PLATE STRUCTURES
1
作者 王进忠 何长华 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 1992年第12期1097-1106,共10页
Model B-I for marco rectangular element is presented for the first time in this paper. To establish the influence surf ace for resultant R of bending plates, a number of generalized distributive loads q are defined. I... Model B-I for marco rectangular element is presented for the first time in this paper. To establish the influence surf ace for resultant R of bending plates, a number of generalized distributive loads q are defined. It is shown by numerical examples that Model B-I and the formula for the generalized distributive loads advanced in this paper are featured by high accuracy, low memory space and flexibility in practical application, and that they are especially effective for plate structures subject to moving loads, such as the two-dimensional continuous plates of highway bridges and the flat stabs in piled jetty engineering. 展开更多
关键词 model b-I for macro rectangular element moving load influence surface generalized distributive load
在线阅读 下载PDF
Exploration and Practice of the B-SLIM Model in Guangxi 被引量:1
2
作者 庞琳 《海外英语》 2012年第6X期58-60,共3页
After China's entry into the WTO,the interchange and communication between China and the international community has increased,which exerts great influence on pushing forward the modernization and construction of ... After China's entry into the WTO,the interchange and communication between China and the international community has increased,which exerts great influence on pushing forward the modernization and construction of the various industries in China and requires a large number of people with good command of English.Under these circumstances,English education becomes extremely important.Guangxi,an old revolutionary base area inhabited by minority ethnic groups,is falling behind with its economy,culture and education in comparison with eastern regions of China.A number of English teachers,especially those in middle schools of the rural areas,are provided with little education and few opportunities for advanced study;most of them lack the new teaching ideas,models or methods which could replace the traditional teaching model that centers on the teacher and textbook.As a result,students can't give full play to their subjective initiative with low communication and application capability in English.To confer impetus to English language teaching reform,researchers and scholars have made great efforts in experimenting various teaching models with the hope to find a language teaching model which can meet the demands of the new era and B-SLIM model put forward by Dr.Olenka Bilash is such a model. 展开更多
关键词 ENGLISH education ENGLISH LANGUAGE TEACHING REFORM
在线阅读 下载PDF
基于COM-B模型的大学生现在吸烟行为影响因素分析
3
作者 王志敏 仲学锋 +2 位作者 李喆 许德 谢建嵘 《中国健康教育》 北大核心 2025年第4期362-367,共6页
目的基于COM-B模型分析大学生现在吸烟行为现况及其主要影响因素,为制定干预大学生吸烟行为的措施提供参考依据。方法于2023年7—8月,采用随机整群抽样方法抽取安徽省芜湖市某院校3个学院的所有学生进行问卷调查。采用多因素Logistic回... 目的基于COM-B模型分析大学生现在吸烟行为现况及其主要影响因素,为制定干预大学生吸烟行为的措施提供参考依据。方法于2023年7—8月,采用随机整群抽样方法抽取安徽省芜湖市某院校3个学院的所有学生进行问卷调查。采用多因素Logistic回归分析影响大学生现在吸烟行为的主要因素。结果共纳入2179名大学生,其现在吸烟率为13.68%。多因素Logistic回归分析结果显示,女生(OR=0.249,95%CI:0.120~0.518)、知晓烟草危害知识(OR=0.471,95%CI:0.361~0.613)、具备较高的自我效能感(OR=0.575,95%CI:0.425~0.777)、具备吸烟行为的反思动机(OR=3.165,95%CI:1.260~7.955)、具备吸烟行为的社会机会(OR=5.084,95%CI:3.775~6.845)是影响大学生现在吸烟行为的主要因素。结论芜湖市某院校大学生的现在吸烟率较高,建议相关部门采取健康科普、建设无烟学校以及树立优秀典型等干预措施,降低大学生现在吸烟率。 展开更多
关键词 COM-b模型 大学生 吸烟 影响因素
暂未订购
DYNAMICS OF A HEPATITIS B MODEL WITH SATURATED INCIDENCE 被引量:4
4
作者 Liya LIU Daqing JIANG +1 位作者 Tasawar HAYAT Bashir AHMAD. 《Acta Mathematica Scientia》 SCIE CSCD 2018年第6期1731-1750,共20页
In this article, we present a hepatitis B epidemic model with saturated incidence.The dynamic behaviors of the deterministic and stochastic system are studied. To thisend, we first establish the local and global stabi... In this article, we present a hepatitis B epidemic model with saturated incidence.The dynamic behaviors of the deterministic and stochastic system are studied. To thisend, we first establish the local and global stability conditions of the equilibrium of thedeterministic model. Second, by constructing suitable stochastic Lyapunov functions, thesufficient conditions for the existence of ergodic stationary distribution as well as extinctionof hepatitis B are obtained. 展开更多
关键词 hepatitis b model Lyapunov function STAbILITY stationary distribution ex-tinction
在线阅读 下载PDF
Animal models for the study of hepatitis B virus infection 被引量:17
5
作者 wei-na guo bin zhu +2 位作者 ling ai dong-liang yang bao-ju wang 《Zoological Research》 SCIE CAS CSCD 2018年第1期25-31,共7页
Even with an effective vaccine, an estimated 240 million people are chronically infected with hepatitis B virus (HBV) worldwide. Current antiviral therapies, including interferon and nucleot(s)ide analogues, rarel... Even with an effective vaccine, an estimated 240 million people are chronically infected with hepatitis B virus (HBV) worldwide. Current antiviral therapies, including interferon and nucleot(s)ide analogues, rarely cure chronic hepatitis B. Animal models are very crucial for understanding the pathogenesis of chronic hepatitis B and developing new therapeutic drugs or strategies. HBV can only infect humans and chimpanzees, with the use of chimpanzees in HBV research strongly restricted. Thus, most advances in HBV research have been gained using mouse models with HBV replication or infection or models with HBV-related hepadnaviral infection. This review summarizes the animal models currently available for the study of HBV infection. 展开更多
关键词 Hepatitis b virus Animal model Duckhepatitis b virus Woodchuck hepatitis virus
在线阅读 下载PDF
Modeling of degradation kinetics of Salvianolic acid B at different temperatures and pH values 被引量:17
6
作者 Xingchu Gong Shichao Huang +1 位作者 Jianyang Pan Haibin Qu 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2017年第1期68-73,共6页
In this work,the effects of degradation time,temperature,and pH value on the degradation of Salvianolic acid B in aqueous solution were determined.Higher pH values,higher extraction temperature,and longer extraction t... In this work,the effects of degradation time,temperature,and pH value on the degradation of Salvianolic acid B in aqueous solution were determined.Higher pH values,higher extraction temperature,and longer extraction time led to more degradation of Salvianolic acid B.Danshensu concentration increased as Salvianolic acid B degraded.A mechanism model was developed considering the degradation of Salvianolic acid E and lithospermic acid,which were two degradation products of Salvianolic acid B.The reverse reactions of Salvianolic acid B degradation were also considered.Degradation kinetic constants were calibrated.The degradation kinetics of Salvianolic acid B,lithospermic acid,and Danshensu in a Salvia miltiorrhiza extract aqueous solution were predicted using the mechanism model.The predicted concentrations agreed well with the experimental results.This model was developed using degradation data obtained from simple composition systems,but it can be applied in a complex botanical mixture with high prediction accuracy. 展开更多
关键词 Danshen modeling Hydrolysis SaManolic acid b
暂未订购
A STUDY OF B-P UNIFIED VISCOPLASTIC CONSTITUTIVE MODEL 被引量:3
7
作者 M. Zhao, G. Zhang, K.S. Zhang and L. Y. XuDepartment of Aeroengines Thermal Power, Northwestern Polytechnical University, Xi’an 710072, China 《Acta Metallurgica Sinica(English Letters)》 SCIE EI CAS CSCD 2002年第5期460-464,共5页
By combining the Bodner-Partom constitutive model and equivalent stressfunction, finite element methods and program on analyzing non-elastic deformation and stress forthermal viscoplastic material are studied in this ... By combining the Bodner-Partom constitutive model and equivalent stressfunction, finite element methods and program on analyzing non-elastic deformation and stress forthermal viscoplastic material are studied in this paper, and it's the first time that this materialmodel is used in a kind of engineering software-MARC. Thermal viscoplastic behavior of hightemperature alloy GH536 specimen with gap is analyzed by this program. The research results show itis feasible to analyze thermal viscoplastic behavior of specimen or structure by applying B-P model. 展开更多
关键词 effective stress function(ESF) VISCOPLASTIC bodner-Partom model (b-Pmodel) finite element method (FEM) constitutive equation
在线阅读 下载PDF
Hepatocellular carcinoma mouse models:Hepatitis B virusassociatedhepatocarcinogenesis and haploinsufficienttumor suppressor genes 被引量:5
8
作者 Yuan-Chi Teng Zhao-Qing Shen +1 位作者 Cheng-Heng Kao Ting-Fen Tsai 《World Journal of Gastroenterology》 SCIE CAS 2016年第1期300-325,共26页
The multifactorial and multistage pathogenesis of hepatocellular carcinoma(HCC)has fascinated a wide spectrum of scientists for decades.While a number of major risk factors have been identified,their mechanistic roles... The multifactorial and multistage pathogenesis of hepatocellular carcinoma(HCC)has fascinated a wide spectrum of scientists for decades.While a number of major risk factors have been identified,their mechanistic roles in hepatocarcinogenesis still need to be elucidated.Many tumor suppressor genes(TSGs)have been identified as being involved in HCC.These TSGs can be classified into two groups depending on the situation with respect to allelic mutation/loss in the tumors:the recessive TSGs with two required mutated alleles and the haploinsufficient TSGs with one required mutated allele.Hepatitis B virus(HBV)is one of the most important risk factors associated with HCC.Although mice cannot be infected with HBV due to the narrow host range of HBV and the lack of a proper receptor,one advantage of mouse models for HBV/HCC research is the numerous and powerfulgenetic tools that help investigate the phenotypic effects of viral proteins and allow the dissection of the dose-dependent action of TSGs.Here,we mainly focus on the application of mouse models in relation to HBV-associated HCC and on TSGs that act either in a recessive or in a haploinsufficient manner.Discoveries obtained using mouse models will have a great impact on HCC translational medicine. 展开更多
关键词 HEPATOCELLULAR carcinoma Mouse models Hepatitis b virus HAPLOINSUFFICIENCY Tumor suppressorgenes
暂未订购
基于COM-B模型的知识隐藏影响因素研究
9
作者 王培林 《图书情报导刊》 2025年第10期66-73,共8页
梳理国外知识隐藏相关文献,揭示知识隐藏的影响因素。基于Web of Science数据库,获取紧密相关的159篇文献,采用内容分析法,从能力、机会、动机、行为等4个方面归纳知识隐藏的研究内容。研究结果发现:知识隐藏行为受到能力因素、机会因... 梳理国外知识隐藏相关文献,揭示知识隐藏的影响因素。基于Web of Science数据库,获取紧密相关的159篇文献,采用内容分析法,从能力、机会、动机、行为等4个方面归纳知识隐藏的研究内容。研究结果发现:知识隐藏行为受到能力因素、机会因素、动机因素等的影响,符合COM-B模型的规律;促进知识隐藏的关键环境因素主要包括环境压力、负面关系等;抑制知识隐藏的环境因素主要包括支持性环境、心理保障、积极动机等。研究结果证实COM-B模型可用于分析知识隐藏的行为轨迹,并提出实践启示及未来研究启示。 展开更多
关键词 知识隐藏 影响因素 COM-b模型 文献综述
在线阅读 下载PDF
基于COM-B模型的青少年吸烟者尝试戒烟影响因素质性研究 被引量:1
10
作者 贾孝凯 祁明新 +4 位作者 南奕 陈平 郭晓亮 刘睿然 肖琳 《中国慢性病预防与控制》 北大核心 2025年第3期196-200,205,共6页
目的探索促进和阻碍中学生吸烟者尝试戒烟的因素,为制定符合青少年的戒烟干预策略提供相关依据。方法于2024年3—10月在云南省、河北省和上海市招募初中、普高、职高的84名中学生为访谈对象,采用半结构式个体访谈法,基于能力-机会-动机... 目的探索促进和阻碍中学生吸烟者尝试戒烟的因素,为制定符合青少年的戒烟干预策略提供相关依据。方法于2024年3—10月在云南省、河北省和上海市招募初中、普高、职高的84名中学生为访谈对象,采用半结构式个体访谈法,基于能力-机会-动机-行为(COM-B)模型设计访谈提纲,由研究人员进行一对一访谈,随后使用Nvivo 12.0 plus对转录文本进行编码和分析。结果青少年对吸烟危害的认知局限于肺部影响,缺乏对烟草致瘾机制和广泛健康后果的理解,难以有效激发戒烟动机。大多数中学生吸烟者对于戒烟服务的相关信息了解不足,同时缺乏科学且系统的戒烟方法和相关知识。吸烟者戒烟的动机主要包括维护个人形象、考虑吸烟的经济成本以及担心吸烟对学习和体育成绩有影响。吸烟者的同学、朋友和家人吸烟,可能会导致无烟环境难以营造,阻碍青少年吸烟者戒烟。青少年对戒烟服务认知不足,过度依赖意志力,难以获取适合的戒烟支持。结论青少年戒烟动机与成人有较大差异,建议充分考虑青少年人群特点,提供更加符合青少年特点和需求的戒烟帮助。 展开更多
关键词 青少年 戒烟 质性研究 COM-b模型
原文传递
Modification of B3 Model for Sealed Concrete with Additives Based on Experimental Observations 被引量:1
11
作者 陈宝春 SHRESTHA Krishna Man 李生勇 《Journal of Donghua University(English Edition)》 EI CAS 2011年第1期79-84,共6页
Thirteen specimens were tested out of which nine were for creep of sealed concrete and four for shrinkage test,for a period of 700 d under controlled temperature condition.The experimental results for creep and shrink... Thirteen specimens were tested out of which nine were for creep of sealed concrete and four for shrinkage test,for a period of 700 d under controlled temperature condition.The experimental results for creep and shrinkage were compared with creep and shrinkage computation model B3 and distinct discrepancies between observed and calculated creep and shrinkage strains were observed.Based on regression analysis,modification on B3 model has been formulated which will be applicable at least for concrete of characteristics strength of C40 and C50 with additives.Besides,on the basis of observation on identical specimens with varied stress strength ratio,a function is generated which accounts effect of stress strength ratio on creep.Finally,Civil Engineering community is suggested not to follow the creep prediction models without correction at least for modern concrete,as they do not account the effect of additives on its compliance function. 展开更多
关键词 stress strength ratio creep test experimental study b3 model regression analysis
在线阅读 下载PDF
Siebens领域管理模式在乙型肝炎相关肝癌患者中的应用效果
12
作者 谷华丽 潘玉倩 +3 位作者 孙春伟 闪海霞 赵珊 李帅旗 《癌症进展》 2025年第2期240-244,共5页
目的探讨Siebens领域管理模式(SDMM)在乙型肝炎相关肝癌患者中的应用效果。方法根据干预方式的不同将65例乙型肝炎相关肝癌患者分为对照组(32例)和观察组(33例),对照组患者接受常规干预,观察组患者在对照组的基础上接受SDMM干预。比较... 目的探讨Siebens领域管理模式(SDMM)在乙型肝炎相关肝癌患者中的应用效果。方法根据干预方式的不同将65例乙型肝炎相关肝癌患者分为对照组(32例)和观察组(33例),对照组患者接受常规干预,观察组患者在对照组的基础上接受SDMM干预。比较两组患者的心理状况[简式简明心境问卷(POMS-SF)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、并发症发生情况及满意度。结果干预后,两组患者紧张-焦虑、迷惑-混乱、疲乏-迟钝、抑郁-沮丧、愤怒-敌意评分均低于本组干预前,精力-活力评分均高于本组干预前,观察组患者紧张-焦虑、迷惑-混乱、疲乏-迟钝、抑郁-沮丧、愤怒-敌意评分均低于对照组,精力-活力评分高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者EORTC QLQ-C30各维度评分均高于本组干预前,观察组患者EORTC QLQ-C30各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论SDMM可改善乙型肝炎相关肝癌患者的心理状况、生活质量,减少并发症,提高满意度。 展开更多
关键词 肝癌 乙型肝炎 Siebens领域管理模式 生活质量 满意度
暂未订购
从搜索引擎式到对话式:基于COM-B模型的用户信息搜寻转移行为影响因素研究 被引量:3
13
作者 李洪晨 尹召凯 张志强 《现代情报》 北大核心 2025年第5期66-76,共11页
[目的/意义]从搜索引擎搜索到对话式搜索的转移,已经成为用户信息搜寻的趋势,探究用户搜寻转移行为的影响因素,构建全面的行为转移分析框架,提高用户信息搜寻转移行为的成功率,从而为信息检索系统和对话式搜索平台的优化提供理论基础。... [目的/意义]从搜索引擎搜索到对话式搜索的转移,已经成为用户信息搜寻的趋势,探究用户搜寻转移行为的影响因素,构建全面的行为转移分析框架,提高用户信息搜寻转移行为的成功率,从而为信息检索系统和对话式搜索平台的优化提供理论基础。[方法/过程]基于能力、机会、动机和行为(COM-B)模型构建用户信息搜寻转移行为影响因素模型,采用结构方程模型对413份横断面调查问卷进行数据分析,讨论影响信息搜寻转移行为的障碍因素和促进因素。[结果/结论]心理能力与身体能力、物理机会与社会机会、自主动机与反思性动机是影响信息搜寻转移行为的积极因素,政策支持不足、对话式搜索系统的可用性低是用户信息搜寻转移的阻碍因素,能力和机会能够正向影响信息搜寻转移动机。 展开更多
关键词 COM-b模型 行为改变轮 信息搜寻 替代性搜索
在线阅读 下载PDF
碱金属催化煤热解制备CNT复合材料用于吸附罗丹明B 被引量:1
14
作者 王影 汤孟菲 +4 位作者 王莹 张传芳 张国杰 刘俊 赵钰琼 《化工进展》 北大核心 2025年第7期3985-3996,共12页
煤热解制备高比表面积和高微孔率碳纳米管(CNT)复合材料过程中,KOH相比于Ba(OH)2和NaOH催化剂具有更强碱性,能够释放煤中大量碳源和促进CNT的生长和开口状结构形成。为了减少强碱性对CNT结构的崩解,以尿素协同掺杂改善碱性和孔结构,以... 煤热解制备高比表面积和高微孔率碳纳米管(CNT)复合材料过程中,KOH相比于Ba(OH)2和NaOH催化剂具有更强碱性,能够释放煤中大量碳源和促进CNT的生长和开口状结构形成。为了减少强碱性对CNT结构的崩解,以尿素协同掺杂改善碱性和孔结构,以提高微孔率和CNT表面氮氧官能团的吸附位点。本文以烟煤为碳源,利用不同碱性金属作为催化剂制备碳纳米管复合材料,研究了碱性金属对CNT生长的影响以及碱金属与尿素协同作用对罗丹明B去除的影响,探讨了动力学模型、等温吸附模型和热力学模型。吸附过程符合伪二阶动力学模型和Freundlich等温吸附模型。基于范霍夫方程计算表明该吸附是一个吸热的、自发的、不可逆的过程。最佳复合材料NCNT-K在323K时可达到最大吸附量,为598.09mg/g。 展开更多
关键词 碳纳米管 吸附 罗丹明b 模型
在线阅读 下载PDF
Nonlinear shear behavior of rock joints using a linearized implementation of the Barton-Bandis model 被引量:12
15
作者 Simon Heru Prassetyo Marte Gutierrez Nick Barton 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2017年第4期671-682,共12页
Experiments on rock joint behaviors have shown that joint surface roughness is mobilized under shearing,inducing dilation and resulting in nonlinear joint shear strength and shear stress vs.shear displacement behavior... Experiments on rock joint behaviors have shown that joint surface roughness is mobilized under shearing,inducing dilation and resulting in nonlinear joint shear strength and shear stress vs.shear displacement behaviors.The Barton-Bandis(B-B) joint model provides the most realistic prediction for the nonlinear shear behavior of rock joints.The B-B model accounts for asperity roughness and strength through the joint roughness coefficient(JRC) and joint wall compressive strength(JCS) parameters.Nevertheless,many computer codes for rock engineering analysis still use the constant shear strength parameters from the linear Mohr-Coulomb(M-C) model,which is only appropriate for smooth and non-dilatant joints.This limitation prevents fractured rock models from capturing the nonlinearity of joint shear behavior.To bridge the B-B and the M C models,this paper aims to provide a linearized implementation of the B-B model using a tangential technique to obtain the equivalent M-C parameters that can satisfy the nonlinear shear behavior of rock joints.These equivalent parameters,namely the equivalent peak cohesion,friction angle,and dilation angle,are then converted into their mobilized forms to account for the mobilization and degradation of JRC under shearing.The conversion is done by expressing JRC in the equivalent peak parameters as functions of joint shear displacement using proposed hyperbolic and logarithmic functions at the pre-and post-peak regions of shear displacement,respectively.Likewise,the pre-and post-peak joint shear stiffnesses are derived so that a complete shear stress-shear displacement relationship can be established.Verifications of the linearized implementation of the B-B model show that the shear stress-shear displacement curves,the dilation behavior,and the shear strength envelopes of rock joints are consistent with available experimental and numerical results. 展开更多
关键词 Rock joints Joint shear behavior Friction and dilation barton-bandis(b-b) model Equivalent Mohr-Coulomb(M-C) parameters
在线阅读 下载PDF
An exact solution for flow past an accelerated horizontal plate in a rotating fluid with the generalized Oldroyd-B model 被引量:1
16
作者 Jianhong Kang Mingyu Xu Institute of Applied Mathematics,School of Mathematics and System Science,Shandong University, 250100 Jinan, China 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2009年第4期463-469,共7页
In this paper, the generalized Oldroyd-B with fractional calculus approach is used. An exact solution in terms of Fox-H function for flow past an accelerated horizontal plate in a rotating fluid is obtained by using d... In this paper, the generalized Oldroyd-B with fractional calculus approach is used. An exact solution in terms of Fox-H function for flow past an accelerated horizontal plate in a rotating fluid is obtained by using discrete Laplace transform method. A comparison among the influence of various parameters in the Oldroyd-B model and the angular velocity of the fluid on the velocity profiles is made through numerical method in graphic form. 展开更多
关键词 Generalized Oldroyd-b model Rotating fluid Accelerated plate Exact solution
在线阅读 下载PDF
Score model for predicting acute-on-chronic liver failure risk in chronic hepatitis B 被引量:6
17
作者 Fang-Yuan Gao Yao Liu +10 位作者 Xiao-Shu Li Xie-Qiong Ye Le Sun Ming-Fan Geng Rui Wang Hui-Min Liu Xiao-Bing Zhou Li-Li Gu Yan-Min Liu Gang Wan Xian-Bo Wang 《World Journal of Gastroenterology》 SCIE CAS 2015年第27期8373-8381,共9页
AIM: To establish a clinical scoring model to predict risk of acute-on-chronic liver failure(ACLF) in chronic hepatitis B(CHB) patients.METHODS: This was a retrospective study of 1457 patients hospitalized for CHB bet... AIM: To establish a clinical scoring model to predict risk of acute-on-chronic liver failure(ACLF) in chronic hepatitis B(CHB) patients.METHODS: This was a retrospective study of 1457 patients hospitalized for CHB between October 2008 and October 2013 at the Beijing Ditan Hospital, Capital Medical University, China. The patients were divided into two groups: severe acute exacerbation(SAE) group(n = 382) and non-SAE group(n = 1075). The SAE group was classified as the high-risk group based on the higher incidence of ACLF in this group than in the non-SAE group(13.6% vs 0.4%). Two-thirds of SAE patients were randomly assigned to risk-model derivation and the other one-third to model validation. Univariate risk factors associated with the outcome were entered into a multivariate logistic regression model for screening independent risk factors. Each variable was assigned an integer value based on the regression coefficients, and the final score was the sum of these values in the derivation set. Model discrimination and calibration were assessed using area under the receiver operating characteristic curve and the Hosmer-Lemeshow test. RESULTS: The risk prediction scoring model includedthe following four factors: age ≥ 40 years, total bilirubin ≥ 171 μmol/L, prothrombin activity 40%-60%, and hepatitis B virus DNA > 107 copies/m L. The sum risk score ranged from 0 to 7; 0-3 identified patients with lower risk of ACLF, whereas 4-7 identified patients with higher risk. The Kaplan-Meier analysis showed the cumulative risk for ACLF and ACLF-related death in the two risk groups(0-3 and 4-7 scores) of the primary cohort over 56 d, and log-rank test revealed a significant difference(2.0% vs 33.8% and 0.8% vs 9.4%, respectively; both P < 0.0001). In the derivation and validation data sets, the model had good discrimination(C index = 0.857, 95% confidence interval: 0.800-0.913 and C index = 0.889, 95% confidence interval: 0.820-0.957, respectively) and calibration demonstrated by the Hosmer-Lemeshow test(χ2 = 4.516, P = 0.808 and χ2 = 1.959, P = 0.923, respectively).CONCLUSION: Using the scoring model, clinicians can easily identify patients(total score ≥ 4) at high risk of ACLF and ACLF-related death early during SAE. 展开更多
关键词 Acute-on-chronic LIVER failure Chronichepatitis b Prediction model RISK SCORE SEVERE acuteexacerbation
暂未订购
基于COM-B模型的减重代谢手术后患者饮食管理体验的质性研究 被引量:1
18
作者 华铭波 袁海娟 +5 位作者 赵帅 王天秀 徐业鸣 赵雨秋 魏宵 王道荣 《新医学》 2025年第6期599-605,共7页
目的 探讨减重代谢手术后患者饮食管理的真实体验,为患者制定术后饮食管理方案提供理论依据。方法基于能力、机会、动机-行为(COM-B)模型,选取2024年1月至5月于苏北人民医院胃肠外科门诊复诊的15例减重代谢手术后患者进行半结构化访谈,... 目的 探讨减重代谢手术后患者饮食管理的真实体验,为患者制定术后饮食管理方案提供理论依据。方法基于能力、机会、动机-行为(COM-B)模型,选取2024年1月至5月于苏北人民医院胃肠外科门诊复诊的15例减重代谢手术后患者进行半结构化访谈,采用定向内容分析法进行整理与分析。结果 根据访谈内容共提炼出3个主题以及10个亚主题,包括身体与认知能力对饮食管理的制约(术后早期不适症状影响饮食行为、饮食管理知识获取受限、饮食指导过于宽泛);环境因素对饮食管理的影响(社会与家庭支持的积极作用、社交情境对饮食管理的制约、经济负担对持续干预的限制);内在心理动因对饮食管理的影响(情绪应对不当引发饮食失控、习惯性行为对饮食管理的挑战、饮食管理中的心理矛盾与冲突、饮食管理中的自我反思与成长)。结论 减重代谢手术后患者在饮食管理中面临来自个体的身体与心理条件制约、社会与家庭支持不足、情绪困扰等多重挑战。医护人员应协助患者识别并应对饮食管理中的障碍,提供个体化饮食指导,完善多元化社会支持系统,提升饮食管理的持续性,帮助患者取得更理想的减重效果,进而提高生活质量。 展开更多
关键词 减重代谢手术 COM-b模型 饮食管理 质性研究
暂未订购
Prediction models of hepatocellular carcinoma development in chronic hepatitis B patients 被引量:20
19
作者 Hye Won Lee Sang Hoon Ahn 《World Journal of Gastroenterology》 SCIE CAS 2016年第37期8314-8321,共8页
Chronic hepatitis B virus(HBV) infection is a major cause of cirrhosis and hepatocellular carcinoma(HCC). Applying the same strategies for antiviral therapy and HCC surveillance to all chronic hepatitis B(CHB) patient... Chronic hepatitis B virus(HBV) infection is a major cause of cirrhosis and hepatocellular carcinoma(HCC). Applying the same strategies for antiviral therapy and HCC surveillance to all chronic hepatitis B(CHB) patients would be a burden worldwide. To properly manage CHB patients, it is necessary to identify and classify the risk for HCC development in such patients. Several HCC risk scores based on risk factors such as cirrhosis, age, male gender, and high viral load have been used, and have negative predictive values of ≥ 95%. Most of these have been derived from, and internally validated in, treatment-na?ve Asian CHB patients. Herein, we summarized various HCC prediction models, including IPM(Individual Prediction Model), CU-HCC(Chinese University-HCC), GAG-HCC(Guide with Age, Gender, HBV DNA, Core Promoter Mutations and Cirrhosis-HCC), NGM-HCC(NomogramHCC), REACH-B(Risk Estimation for Hepatocellular Carcinoma in Chronic Hepatitis B), and Page-B score. To develop a noninvasive test of liver fibrosis, we also introduced a new scoring system that uses liver stiffness values from transient elastography, including an LSM(Liver Stiffness Measurement)-based model, LSM-HCC, and mR EACH-B(modified REACH-B). 展开更多
关键词 CHRONIC HEPATITIS b HEPATOCELLULAR CARCINOMA DEVELOPMENT Prediction models
暂未订购
上一页 1 2 158 下一页 到第
使用帮助 返回顶部