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Air combat decision-making of multiple UCAVs based on constraint strategy games 被引量:23
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作者 Shou-yi Li Mou Chen +1 位作者 Yu-hui Wang Qing-xian Wu 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2022年第3期368-383,共16页
Game theory can be applied to the air combat decision-making problem of multiple unmanned combat air vehicles(UCAVs).However,it is difficult to have satisfactory decision-making results completely relying on air comba... Game theory can be applied to the air combat decision-making problem of multiple unmanned combat air vehicles(UCAVs).However,it is difficult to have satisfactory decision-making results completely relying on air combat situation information,because there is a lot of time-sensitive information in a complex air combat environment.In this paper,a constraint strategy game approach is developed to generate intelligent decision-making for multiple UCAVs in complex air combat environment with air combat situation information and time-sensitive information.Initially,a constraint strategy game is employed to model attack-defense decision-making problem in complex air combat environment.Then,an algorithm is proposed for solving the constraint strategy game based on linear programming and linear inequality(CSG-LL).Finally,an example is given to illustrate the effectiveness of the proposed approach. 展开更多
关键词 Game theory Time-sensitive information Constraint strategy games Polytope strategy games multiple UCAVs Air combat decision-making
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Treatment Strategy for Recurrent Multiple Hepatocellular Carcinoma 被引量:2
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作者 Toru Ishikawa 《Journal of Cancer Therapy》 2013年第2期408-412,共5页
Hepatocellular carcinoma (HCC) has some unique characteristics in the digestive organ cancer. Therefore it is very important to select an appropriate treatment for recurrent HCC according to several situations such as... Hepatocellular carcinoma (HCC) has some unique characteristics in the digestive organ cancer. Therefore it is very important to select an appropriate treatment for recurrent HCC according to several situations such as the type of recurrence, previous treatments and conditions of patient. This article is a review of the concept of recurrent multiple HCC and its therapeutic strategies. 展开更多
关键词 HEPATOCELLULAR CARCINOMA multiple RECURRENCE strategy
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A Verification Theorem for Feedback Nash Equilibrium in Multiple-Player Nonzero-Sum Impulse Game 被引量:1
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作者 Ruihai Li Yaoyao Tan +1 位作者 Xiaojie Su Jiangshuai Huang 《IEEE/CAA Journal of Automatica Sinica》 2025年第3期648-650,共3页
Dear Editor,This letter addresses the impulse game problem for a general scope of deterministic,multi-player,nonzero-sum differential games wherein all participants adopt impulse controls.Our objective is to formulate... Dear Editor,This letter addresses the impulse game problem for a general scope of deterministic,multi-player,nonzero-sum differential games wherein all participants adopt impulse controls.Our objective is to formulate this impulse game problem with the modified objective function including interaction costs among the players in a discontinuous fashion,and subsequently,to derive a verification theorem for identifying the feedback Nash equilibrium strategy. 展开更多
关键词 impulse game feedback Nash equilibrium multiple player feedback nash equilibrium strategy impulse game problem nonzero sum modified objective function impulse controlsour
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Advances in precision diagnosis and treatment,and translational medicine research for refractory relapsed multiple myeloma
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作者 Wei Fu Jun-Li Wang +2 位作者 Guo-Bin Cheng Lin-Ya Lyu Hu-Lin Wang 《Cancer Advances》 2025年第6期1-9,共9页
Multiple myeloma is a complex and challenging blood cancer,particularly in cases where the disease has relapsed or become resistant to treatment.These situations often have a significant impact on both patient surviva... Multiple myeloma is a complex and challenging blood cancer,particularly in cases where the disease has relapsed or become resistant to treatment.These situations often have a significant impact on both patient survival and quality of life.Over recent years,advances in precision medicine and translational medicine have brought about a shift in treatment strategies,moving toward more personalized and targeted approaches.This review highlights the latest developments in the management of refractory and relapsed multiple myeloma,focusing on the current state of precision diagnosis and treatment,the role of translational medicine,and potential future directions in research.By reviewing key studies and clinical trial data,we aim to offer fresh perspectives and strategies that could improve clinical outcomes. 展开更多
关键词 multiple myeloma refractory relapsed precision medicine translational medicine treatment strategies
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Multiple Balance Strategies for Humanoid Standing Control 被引量:2
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作者 XING Deng-Peng LIU Xu 《自动化学报》 EI CSCD 北大核心 2011年第2期228-233,共6页
完整状态的反馈参量的控制器为响应冲动、经常的推承受类人动物机器人的平衡被建议。多重机器人模型被用来处于人的站的平衡接近多重策略。为每个模型,我们设计对每个州的变量起作用的一个参量的控制器并且为不同的推尺寸,方向,和地... 完整状态的反馈参量的控制器为响应冲动、经常的推承受类人动物机器人的平衡被建议。多重机器人模型被用来处于人的站的平衡接近多重策略。为每个模型,我们设计对每个州的变量起作用的一个参量的控制器并且为不同的推尺寸,方向,和地点优化控制器参数。每个控制器的表演响应不同的外部推被显示出。由比较在每策略处理骚乱的能力,到承受平衡的每个关节的贡献也被探索。 展开更多
关键词 全状态反馈控制器 人形机器人 控制器 变量
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Optimized routing strategy for complex network with multiple priorities
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作者 李世宝 孙宗星 +1 位作者 刘建航 陈海华 《Chinese Physics B》 SCIE EI CAS CSCD 2016年第8期490-496,共7页
Different loads in the network require distinct Qo S standard, while present routing strategies for complex networks ignored this fact. To solve this problem, we designed a routing strategy RS-MP with multiple priorit... Different loads in the network require distinct Qo S standard, while present routing strategies for complex networks ignored this fact. To solve this problem, we designed a routing strategy RS-MP with multiple priorities by which packets are classified into privileged-packets and common-packets. In RS-MP, privileged-packets route by the Shortest Path Algorithm, and do not need to queue up. Common-packets' routes are determined by a new factor BJmax of the network. The BJmax stands for the largest betweenness centrality. By minimizing BJmax, the throughout capacity of the network can be maximized. The simulation results show that RS-MP can guarantee privileged-packets with the shortest path length and smallest delay, and maximized throughout capacity for common packets in the no-congestion state. 展开更多
关键词 complex network optimized algorithm routing strategy multiple priorities
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Using Multiple Risk Factors and Generalized Linear Mixed Models with 5-Fold Cross-Validation Strategy for Optimal Carotid Plaque Progression Prediction
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作者 Qingyu Wang Dalin Tang +5 位作者 Liang Wang Gador Canton Zheyang Wu Thomas SHatsukami Kristen L Billiar Chun Yuan 《医用生物力学》 EI CAS CSCD 北大核心 2019年第A01期74-75,共2页
Background Cardiovascular diseases are closely linked to atherosclerotic plaque development and rupture.Plaque progression prediction is of fundamental significance to cardiovascular research and disease diagnosis,pre... Background Cardiovascular diseases are closely linked to atherosclerotic plaque development and rupture.Plaque progression prediction is of fundamental significance to cardiovascular research and disease diagnosis,prevention,and treatment.Generalized linear mixed models(GLMM)is an extension of linear model for categorical responses while considering the correlation among observations.Methods Magnetic resonance image(MRI)data of carotid atheroscleroticplaques were acquired from 20 patients with consent obtained and 3D thin-layer models were constructed to calculate plaque stress and strain for plaque progression prediction.Data for ten morphological and biomechanical risk factors included wall thickness(WT),lipid percent(LP),minimum cap thickness(MinCT),plaque area(PA),plaque burden(PB),lumen area(LA),maximum plaque wall stress(MPWS),maximum plaque wall strain(MPWSn),average plaque wall stress(APWS),and average plaque wall strain(APWSn)were extracted from all slices for analysis.Wall thickness increase(WTI),plaque burden increase(PBI)and plaque area increase(PAI) were chosen as three measures for plaque progression.Generalized linear mixed models(GLMM)with 5-fold cross-validation strategy were used to calculate prediction accuracy for each predictor and identify optimal predictor with the highest prediction accuracy defined as sum of sensitivity and specificity.All 201 MRI slices were randomly divided into 4 training subgroups and 1 verification subgroup.The training subgroups were used for model fitting,and the verification subgroup was used to estimate the model.All combinations(total1023)of 10 risk factors were feed to GLMM and the prediction accuracy of each predictor were selected from the point on the ROC(receiver operating characteristic)curve with the highest sum of specificity and sensitivity.Results LA was the best single predictor for PBI with the highest prediction accuracy(1.360 1),and the area under of the ROC curve(AUC)is0.654 0,followed by APWSn(1.336 3)with AUC=0.6342.The optimal predictor among all possible combinations for PBI was the combination of LA,PA,LP,WT,MPWS and MPWSn with prediction accuracy=1.414 6(AUC=0.715 8).LA was once again the best single predictor for PAI with the highest prediction accuracy(1.184 6)with AUC=0.606 4,followed by MPWSn(1. 183 2)with AUC=0.6084.The combination of PA,PB,WT,MPWS,MPWSn and APWSn gave the best prediction accuracy(1.302 5)for PAI,and the AUC value is 0.6657.PA was the best single predictor for WTI with highest prediction accuracy(1.288 7)with AUC=0.641 5,followed by WT(1.254 0),with AUC=0.6097.The combination of PA,PB,WT,LP,MinCT,MPWS and MPWS was the best predictor for WTI with prediction accuracy as 1.314 0,with AUC=0.6552.This indicated that PBI was a more predictable measure than WTI and PAI. The combinational predictors improved prediction accuracy by 9.95%,4.01%and 1.96%over the best single predictors for PAI,PBI and WTI(AUC values improved by9.78%,9.45%,and 2.14%),respectively.Conclusions The use of GLMM with 5-fold cross-validation strategy combining both morphological and biomechanical risk factors could potentially improve the accuracy of carotid plaque progression prediction.This study suggests that a linear combination of multiple predictors can provide potential improvement to existing plaque assessment schemes. 展开更多
关键词 multiple Risk FACTORS GENERALIZED Linear 5-Fold Cross-Validation strategy AUC
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Switching variability index based multiple strategy CFAR detector 被引量:5
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作者 Yang Li Zhenyuan Ji +1 位作者 Bingfei Li Gil Alterovitz 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2014年第4期580-587,共8页
A switching variability index (SVl) constant false alarm rate (CFAR) detector is proposed for improving the detection performance of VI-CFAR detectors in multiple targets backgrounds. When the presence of non-homo... A switching variability index (SVl) constant false alarm rate (CFAR) detector is proposed for improving the detection performance of VI-CFAR detectors in multiple targets backgrounds. When the presence of non-homogeneity in CFAR reference windows is indicated by a VI-CFAR detector, a switching- CFAR detector is introduced to optimize the performance of the VI-CFAR detector in homogeneous, multiple targets and clutter edge backgrounds. The structure and parameters selection method of the SVI-CFAR detector is presented. Comparisons with classic CFAR detectors and recently proposed detectors are also given. Theoretical analysis and simulation results show that SVICFAR detector maintains the good performance of the VI-CFAR detector in homogeneous and clutter edge backgrounds, while greatly improving the capacity of anti-multi targets. 展开更多
关键词 switching variability index constant false alarm rate(SVI-CFAR) adaptive detection complex environment multiple-strategy detection radar target detection.
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Effects of Sex Differences and Problem-Solving Strategies on Digital Game Performance
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作者 Chan-Li Lin 《Journalism and Mass Communication》 2012年第9期901-910,共10页
Problem-solving strategy i,,; a critical skill in inquiry-based learning. Several studies have investigated how to use learning games to improve inquiry abilities. However, not every learner favors this kind of approa... Problem-solving strategy i,,; a critical skill in inquiry-based learning. Several studies have investigated how to use learning games to improve inquiry abilities. However, not every learner favors this kind of approach. Thus, we need to examine how human factors affect learners' reactions to the use of a digital game to support inquiry-based learning. This study addressed this issue by developing a digital game, "Baking Town", and using the game to examine the effects of two central human factors, sex differences and problem-solving strategies, on students' performance. The results demonstrate that students' inquiry abilities were significantly improved after they participated in the digital game. The results also demonstrate that the digital game may be a feasible way to reduce differences between boys and girls in this domain. Finally, we used the findings to develop a framework that can be used to enhance our understanding of sex differences and the use of problem-solving strategies in the context of digital games. 展开更多
关键词 FACEBOOK digital game sex differences problem-solving strategies
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Study on Specific Strategies of Cultivating Students' Problem-solving Ability in High School Mathematics Teaching
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作者 ZHAORongping 《外文科技期刊数据库(文摘版)教育科学》 2022年第2期081-084,共4页
Mathematics as a basic subject of many disciplines to cultivate students 'way of thinking, to cultivate students' mathematical problem solving ability needs from students review ability, plus teachers teaching... Mathematics as a basic subject of many disciplines to cultivate students 'way of thinking, to cultivate students' mathematical problem solving ability needs from students review ability, plus teachers teaching activities pay attention to students' thinking ability training, including logical thinking ability and spatial composition ability, finally teach high school students master digital combination, under common methods, this will be throughout the mathematics learning. 展开更多
关键词 high school mathematics TEACHING problem-solving strategy
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Combat situation suppression of multiple UAVs based on spatiotemporal cooperative path planning 被引量:5
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作者 HU Lei YI Guoxing +1 位作者 NAN Yi WANG Hao 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2023年第5期1191-1210,共20页
Aiming at the suppression of enemy air defense(SEAD)task under the complex and complicated combat sce-nario,the spatiotemporal cooperative path planning methods are studied in this paper.The major research contents in... Aiming at the suppression of enemy air defense(SEAD)task under the complex and complicated combat sce-nario,the spatiotemporal cooperative path planning methods are studied in this paper.The major research contents include opti-mal path points generation,path smoothing and cooperative rendezvous.In the path points generation part,the path points availability testing algorithm and the path segments availability testing algorithm are designed,on this foundation,the swarm intelligence-based path point generation algorithm is utilized to generate the optimal path.In the path smoothing part,taking ter-minal attack angle constraint and maneuverability constraint into consideration,the Dubins curve is introduced to smooth the path segments.In cooperative rendezvous part,we take esti-mated time of arrival requirement constraint and flight speed range constraint into consideration,the speed control strategy and flight path control strategy are introduced,further,the decoupling scheme of the circling maneuver and detouring maneuver is designed,in this case,the maneuver ways,maneu-ver point,maneuver times,maneuver path and flight speed are determined.Finally,the simulation experiments are conducted and the acquired results reveal that the time-space cooperation of multiple unmanned aeriel vehicles(UAVs)is effectively real-ized,in this way,the combat situation suppression against the enemy can be realized in SEAD scenarios. 展开更多
关键词 heterogeneous unmanned aeriel vehicles(UAVs) situation suppression coope rative rendezvous maneuver strategy multiple constraints
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Study of energy-efficient heat resistance and cooling technology for high temperature working face with multiple heat sources in deep mine 被引量:2
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作者 Hongbin Zhao Shihao Tu +2 位作者 Xun Liu Jieyang Ma Long Tang 《International Journal of Coal Science & Technology》 EI CAS CSCD 2023年第3期92-107,共16页
In the present research,we proposed a scheme to address the issues of severe heat damage,high energy consumption,low cooling system efficiency,and wastage of cold capacity in mines.To elucidate the seasonal variations... In the present research,we proposed a scheme to address the issues of severe heat damage,high energy consumption,low cooling system efficiency,and wastage of cold capacity in mines.To elucidate the seasonal variations of environmental temperature through field measurements,we selected a high-temperature working face in a deep mine as our engineering background.To enhance the heat damage control cability of the working face and minimize unnecessary cooling capac-ity loss,we introduced the multi-dimensional heat hazard prevention and control method called"Heat source barrier and cooling equipment".First,we utilize shotcrete and liquid nitrogen injection to eliminate the heat source and implemented pressure equalization ventilation to disrupt the heat transfer path,thereby creating a heat barrier.Second,we establish divi-sional prediction models for airflow temperature based on the variation patterns obtained through numerical simulation.Third,we devise the location and dynamic control strategy for the cooling equipment based on the prediction models.The results of field application show that the heat resistance and cooling linkage method comply with the safety requirement throughout the entire mining cycle while effectively reducing energy consumption.The ambient temperature is maintained below 30℃,resulting in the energy saving of 10%during the high-temperature period and over 50%during the low-temperature period.These findings serve as a valuable reference for managing heat damage in high-temperature working faces. 展开更多
关键词 High-temperature working face Heat source barrier multiple heat source effect Airflow temperature prediction Dynamic control strategy
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An Introduction to The Construction of English Multiplex Teaching Evaluation System in Secondary Vocational Schools
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作者 许恩萍 《海外英语》 2020年第10期279-280,共2页
In view of the current situation that the evaluation mode of English Teaching in secondary vocational school is still dominated by the summative evaluation,the new evaluation mode,the multiple evaluation system,is app... In view of the current situation that the evaluation mode of English Teaching in secondary vocational school is still dominated by the summative evaluation,the new evaluation mode,the multiple evaluation system,is applied to the English teaching practice of secondary vocational school in the form of experiment,and the situation of studentst learning strategies,autonomous learning,interest in learning and English level after the implementation of the multiple evaluation system is analyzed.The results show that the multiple evaluation system of English Teaching in secondary vocational school has a positive impact on studentst English learning strategies,learning autonomy and learning interest,and also plays a certain role in promoting the improvement of students’ overall English level. 展开更多
关键词 Secondary Vocational English teaching multiple evaluation system learning strategy learning autonomy learning interest
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Trying the Theory of Multiple Intelligences in English Teaching
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作者 朱勤雄 朱勤芹 《海外英语》 2012年第13期97-99,共3页
Multiple intelligences theory provides English teaching with a new theoretical perspective.This theory has important significance in correcting student view,changing the teaching style,setting up a new assessment view... Multiple intelligences theory provides English teaching with a new theoretical perspective.This theory has important significance in correcting student view,changing the teaching style,setting up a new assessment view in English teaching reform.It is necessary to apply eight kinds of intelligences proposed in this theory as teaching strategies in teaching practice. 展开更多
关键词 multiple Intelligences teachers’ STUDENT VIEW eval
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Tailoring a traditional Chinese medicine prescription for complex diseases:A novel multi-targets-directed gradient weighting strategy
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作者 Zhe Yu Teng Li +11 位作者 Zhi Zheng Xiya Yang Xin Guo Xindi Zhang Haoying Jiang Lin Zhu Bo Yang Yang Wang Jiekun Luo Xueping Yang Tao Tang En Hu 《Journal of Pharmaceutical Analysis》 2025年第4期804-816,共13页
Traditional Chinese medicine(TCM)exerts integrative effects on complex diseases owing to the characteristics of multiple components with multiple targets.However,the syndrome-based system of diagnosis and treatment in... Traditional Chinese medicine(TCM)exerts integrative effects on complex diseases owing to the characteristics of multiple components with multiple targets.However,the syndrome-based system of diagnosis and treatment in TCM can easily lead to bias because of varying medication preferences among physicians,which has been a major challenge in the global acceptance and application of TCM.Therefore,a standardized TCM prescription system needs to be explored to promote its clinical application.In this study,we first developed a gradient weighted disease-target-herbal ingredient-herb network to aid TCM formulation.We tested its efficacy against intracerebral hemorrhage(ICH).First,the top 100 ICH targets in the GeneCards database were screened according to their relevance scores.Then,SymMap and Traditional Chinese Medicine Systems Pharmacology(TCMSP)databases were applied to find out the target-related ingredients and ingredient-containing herbs,respectively.The relevance of the resulting ingredients and herbs to ICH was determined by adding the relevance scores of the corresponding targets.The top five ICH therapeutic herbs were combined to form a tailored TCM prescriptions.The absorbed components in the serum were detected.In a mouse model of ICH,the new prescription exerted multifaceted effects,including improved neurological function,as well as attenuated neuronal damage,cell apoptosis,vascular leakage,and neuroinflammation.These effects matched well with the core pathological changes in ICH.The multi-targets-directed gradient-weighting strategy presents a promising avenue for tailoring precise,multipronged,unbiased,and standardized TCM prescriptions for complex diseases.This study provides a paradigm for advanced achievements-driven modern innovation in TCM concepts. 展开更多
关键词 Traditional Chinese medicine Prescription formulation Gradient weighting strategy multiple targets Intracerebral hemorrhage
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多发性骨髓瘤免疫细胞衰老对疗效的影响及矫正策略研究进展
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作者 王钊 刘召云 +1 位作者 孙翠云 于士柱 《临床与实验病理学杂志》 北大核心 2026年第2期219-223,共5页
多发性骨髓瘤(multiple myeloma,MM)是一种常见的恶性浆细胞肿瘤,近年免疫治疗在其治疗体系中发挥了重要作用。然而,在治疗过程中,患者免疫系统尤其是T细胞逐渐出现明显的衰老特征,影响免疫应答质量,降低嵌合抗原受体T细胞、双特异抗体... 多发性骨髓瘤(multiple myeloma,MM)是一种常见的恶性浆细胞肿瘤,近年免疫治疗在其治疗体系中发挥了重要作用。然而,在治疗过程中,患者免疫系统尤其是T细胞逐渐出现明显的衰老特征,影响免疫应答质量,降低嵌合抗原受体T细胞、双特异抗体和免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)等免疫治疗的效果。本文简述了MM中免疫细胞衰老(immune cell aging,ICA)的临床特点与分子特征,包括T细胞衰老的表型特征、治疗诱导的ICA和p16INK4a/p21WAF1/p38MAPK等关键信号通路的改变,探讨ICA对各类免疫治疗方法的影响及矫正ICA的策略。 展开更多
关键词 多发性骨髓瘤 免疫细胞衰老 疗效影响 矫正策略 文献综述
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生成式人工智能与哲学社会科学研究的双向赋能:机遇与挑战
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作者 周青 陈雯卿 周涵婷 《浙江社会科学》 北大核心 2026年第2期108-122,159,共16页
作为推动新一轮科研范式变革的重要技术形态,生成式人工智能正逐步嵌入哲学社会科学的知识生产过程,并与既有研究范式形成相互塑造、相互规约的双向赋能关系。立足哲学社会科学的价值立场,本文提出以“价值基石、规范整合、范式协同”... 作为推动新一轮科研范式变革的重要技术形态,生成式人工智能正逐步嵌入哲学社会科学的知识生产过程,并与既有研究范式形成相互塑造、相互规约的双向赋能关系。立足哲学社会科学的价值立场,本文提出以“价值基石、规范整合、范式协同”为核心的生成式人工智能伦理与方法框架,强调“以人为本、智能向善”的价值导向以及包容审慎的治理原则。在此基础上,本文详细剖析了生成式人工智能赋能下的哲学社会科学研究变革,涵盖人机协同下的科研思维转向、多模态与复杂系统导向的研究对象拓展以及面向生成与决策支持的方法演进等多个方面。针对两者双向赋能过程中显现的价值冲突、知识结构差异与组织架构脱节等现实问题,本文从伦理治理、范式融合、数据与算法治理以及人机协同生态建设等方面探讨协同推进的实现路径,以期为中国式现代化背景下加快构建中国特色哲学社会科学提供理论支撑与实践启示。 展开更多
关键词 生成式人工智能 哲学社会科学 双向赋能 多重挑战 路径策略
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多发性骨髓瘤来那度胺耐药机制及应对策略的研究进展
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作者 钱小丽 邓银芬 +2 位作者 许月 杨筱 袁红建 《首都食品与医药》 2026年第1期18-24,共7页
本文旨在综述多发性骨髓瘤(multiple myeloma,MM)患者来那度胺耐药机制及应对策略的研究进展。全面梳理近3年多发性骨髓瘤、来那度胺耐药机制及应对策略相关研究文献,分析总结来那度胺在MM治疗中的耐药机制及应对策略。来那度胺耐药机... 本文旨在综述多发性骨髓瘤(multiple myeloma,MM)患者来那度胺耐药机制及应对策略的研究进展。全面梳理近3年多发性骨髓瘤、来那度胺耐药机制及应对策略相关研究文献,分析总结来那度胺在MM治疗中的耐药机制及应对策略。来那度胺耐药机制复杂,涵盖肿瘤细胞基因改变、蛋白表达异常、信号通路异常,以及肿瘤微环境中骨髓基质细胞和免疫抑制细胞的影响等。应对策略包括开发如泊马度胺、卡非佐米等新型药物,优化与蛋白酶体抑制剂、单克隆抗体的联合治疗方案,探索嵌合抗原受体T细胞(CAR-T)细胞疗法、双特异性抗体等新治疗技术,以及通过调节骨髓基质细胞、抑制免疫抑制细胞来克服肿瘤微环境耐药。当前,对MM患者来那度胺耐药机制和应对策略已有一定研究成果,但仍需深入探究耐药机制的细节与相互关系,持续开发新型药物,优化联合治疗方案,改进新治疗技术,以进一步提升MM的治疗效果,改善患者预后生活。 展开更多
关键词 多发性骨髓瘤 来那度胺 耐药机制 应对策略
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稀有血型患者多重抗体的鉴定及输血策略探讨
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作者 谢晶 赵倩 +3 位作者 苏蔓 王素玲 王振雷 陈莉 《中国实验诊断学》 2026年第1期82-86,共5页
目的对稀有血型患者产生的多重抗体进行特异性鉴定及分析,探讨稀有血型患者的最佳输血策略。方法采用盐水介质试管法对患者进行ABO及RH血型鉴定,采用盐水介质试管法、抗人球蛋白法、微柱凝胶卡氏法、吸收放散试验进行不规则抗体筛查、... 目的对稀有血型患者产生的多重抗体进行特异性鉴定及分析,探讨稀有血型患者的最佳输血策略。方法采用盐水介质试管法对患者进行ABO及RH血型鉴定,采用盐水介质试管法、抗人球蛋白法、微柱凝胶卡氏法、吸收放散试验进行不规则抗体筛查、抗体特异性鉴定及交叉配血。结果患者血型为B型,CCDee、Fy^((a-b+))。直接抗人球蛋白试验与自身对照试验均为阴性;抗体筛查试验在盐水介质中为阴性,间接抗人球蛋白试验呈阳性。谱细胞与患者血清及放散液反应格局确定患者血清中存在抗-Fy^(a)合并抗-E多重抗体。通过稀有血型库实体库为患者解冻2U冰冻红细胞,输注效果良好。结论对于产生抗-Fy^(a)合并其他抗体的稀有血型患者,建立Fy^(a)-稀有血型库可有效解决此类患者输血难题,为患者提供最佳输血策略。 展开更多
关键词 稀有血型患者 多重抗体 输血策略 稀有血型库
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基于癌毒-态靶理论探讨多发性骨髓瘤肾病中西医整合辨治策略
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作者 王启慧 冯小苏 +2 位作者 孔祥图 于慧 倪海雯 《中医药信息》 2026年第1期39-46,共8页
倪海雯基于国医大师周仲瑛“癌毒学说”和仝小林院士“态靶理论”,以癌毒-态靶相结合指导中西医整合多发性骨髓瘤(MM)的临床诊疗,将多发性骨髓瘤分为症状隐匿期、症状活动期、靶器官损害期、疾病稳定期和疾病终末期,其中多发性骨髓瘤肾... 倪海雯基于国医大师周仲瑛“癌毒学说”和仝小林院士“态靶理论”,以癌毒-态靶相结合指导中西医整合多发性骨髓瘤(MM)的临床诊疗,将多发性骨髓瘤分为症状隐匿期、症状活动期、靶器官损害期、疾病稳定期和疾病终末期,其中多发性骨髓瘤肾病处于疾病的靶器官损害期,肾虚癌毒、湿瘀胶结的核心病机贯穿始终,临证以补肾解毒、祛湿逐瘀为治法,以MM的疾病靶方宣痹消瘤方加六月雪、凤尾草清泄浊毒,构建多发性骨髓瘤肾病靶方,清利宣痹消瘤方;辨析痰浊、瘀毒夹杂,投以化痰泄浊、逐瘀解毒;针对腰酸、浮肿等临床症状加用症靶药,结合肌酐升高等实验室指标异常加用标靶药,病证同调、标本兼治;形成癌毒-态靶理论指导下的多发性骨髓瘤肾病中西医整合辨治策略,构建靶方靶药,优化临床方案。 展开更多
关键词 多发性骨髓瘤 肾损害 癌毒-态靶理论 中西医整合 辨治策略
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