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Expert consensus on management of instrument separation in root canal therapy 被引量:6
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作者 Yi Fan Yuan Gao +33 位作者 Xiangzhu Wang Bing Fan Zhi Chen Qing Yu Ming Xue Xiaoyan Wang Zhengwei Huang Deqin Yang Zhengmei Lin Yihuai Pan Jin Zhao Jinhua Yu Zhuo Chen Sijing Xie He Yuan Kehua Que Shuang Pan Xiaojing Huang Jun Luo Xiuping Meng Jin Zhang Yi Du Lei Zhang Hong Li Wenxia Chen Jiayuan Wu Xin Xu Jing Zou Jiyao Li Dingming Huang Lei Cheng Tiemei Wang Benxiang Hou Xuedong Zhou 《International Journal of Oral Science》 2025年第3期301-313,共13页
Instrument separation is a critical complication during root canal therapy,impacting treatment success and long-term tooth preservation.The etiology of instrument separation is multifactorial,involving the intricate a... Instrument separation is a critical complication during root canal therapy,impacting treatment success and long-term tooth preservation.The etiology of instrument separation is multifactorial,involving the intricate anatomy of the root canal system,instrument-related factors,and instrumentation techniques.Instrument separation can hinder thorough cleaning,shaping,and obturation of the root canal,posing challenges to successful treatment outcomes.Although retrieval of separated instrument is often feasible,it carries risks including perforation,excessive removal of tooth structure and root fractures.Effective management of separated instruments requires a comprehensive understanding of the contributing factors,meticulous preoperative assessment,and precise evaluation of the retrieval difficulty.The application of appropriate retrieval techniques is essential to minimize complications and optimize clinical outcomes.The current manuscript provides a framework for understanding the causes,risk factors,and clinical management principles of instrument separation.By integrating effective strategies,endodontists can enhance decision-making,improve endodontic treatment success and ensure the preservation of natural dentition. 展开更多
关键词 root canal therapy instrument separation retrieval techniques tooth preservation root canal therapyimpacting endodontic treatment success root canal root canalposing
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Assessment of Optimal Use, Maintenance, Repair and Calibration of Radiation Monitoring Instruments in Nigeria
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作者 Samuel Mofolorunsho Oyeyemi Olumide Olaife Akerele +5 位作者 Sunday Ufuoma Obarhua Francis Adole Agada Wasiu Kofoworola Ayuba Helen Enikpi Alakiu David Olakanmi Olaniyi Ethel Ebere Ofoegbu 《World Journal of Nuclear Science and Technology》 2025年第1期1-16,共16页
The response and performance of radiation detectors for accurate measurements and effective use for radiological safety in medical, industrial, and nuclear sectors are based on the optimal use, maintenance, repair and... The response and performance of radiation detectors for accurate measurements and effective use for radiological safety in medical, industrial, and nuclear sectors are based on the optimal use, maintenance, repair and calibration of radiation monitoring instruments in a secondary standard dosimetry laboratory. In Nigeria, the suboptimal performances of these instruments are attributed to inadequate maintenance practices, insufficient calibration, and limited awareness of proper equipment handling for optimal use. This study assesses the current practices related to the optimal use, maintenance, repair, and calibration of radiation detection equipment across Nigeria’s six geopolitical zones. Using a cross-sectional survey approach, data were collected from Ninety (90) radiation monitoring equipment operators, Radiation Safety Officers, and frontline responders to evaluate their knowledge, awareness, and practices concerning equipment usage, operation, storage, handling, and calibration. The findings reveal significant gaps in knowledge of usage (trained is 43.2%, not trained is 56.8%) and inconsistencies in maintenance practices (as indicated by the regression analysis (β = 0.51, p < 0.01), particularly regarding specialized instruments such as the PackEye, Mobile Detection System (MDS), Radionuclide Identifinder (RID), and Personal Radiation Detectors (PRD). While there is high awareness of the need for regular calibration and handling training, the lack of standardized protocols and training alignment poses challenges to the effective use of these instruments. This study underscores the importance of comprehensive training programs, standardized maintenance protocols, and enhanced awareness initiatives to optimize the usage, performance and safety of radiation monitoring instruments in Nigeria. 展开更多
关键词 Radiation Monitoring instruments Detectors CALIBRATION Radiation Safety Officers PackEye Radionuclide Identifinder Personal Radiation Detectors
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The Impact of Quality Nursing on Instrument Quality Management and Department Satisfaction in the Management of Reusable Instruments in the Central Sterile Supply Department
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作者 Jie Li 《Journal of Clinical and Nursing Research》 2025年第6期385-391,共7页
Objective:To evaluate the effectiveness of quality nursing in the management of reusable instruments in the Central Sterile Supply Department(CSSD).Methods:Eleven nurses from the CSSD department were selected from Jan... Objective:To evaluate the effectiveness of quality nursing in the management of reusable instruments in the Central Sterile Supply Department(CSSD).Methods:Eleven nurses from the CSSD department were selected from January to October 2024,and quality nursing activities were implemented in the management of reusable instruments.The completion of quality indicators was analyzed.The instrument quality management scores,department satisfaction,and nurses’professional ability scores before and after nursing management were compared.Results:After nursing intervention,the qualified rates of initial cleaning and final cleaning of sterilization instruments were 99.66%and 100%,respectively.The qualified rate of packaging was 99.97%,the wet package rate was 0.1‰,the loading qualified rate was 99.88%,and the qualified rate of distribution was 99.99%.After nursing intervention,the nurses’instrument quality management scores,department satisfaction,and nurses’professional ability scores were all higher than those before nursing intervention(P<0.05).Conclusion:Quality nursing activities can improve the cleaning,packaging,and sterilization qualified rates of reusable instruments in the CSSD,enhance the effect of instrument quality management,obtain higher department satisfaction from nurses,cultivate their professional abilities,and possess significant nursing management advantages. 展开更多
关键词 Quality nursing Central Sterile Supply Department Reusable instrument management instrument quality management Department satisfaction
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The Expanding Role of Instruments and Equipment in Medical Imaging
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作者 Arturo Chiti 《iRADIOLOGY》 2025年第5期325-326,共2页
This editorial introduces a special issue dedicated to the technical advancements in medical imaging.Medical imaging is an essential component of modern medicine,enabling the detection and analysis of structures and f... This editorial introduces a special issue dedicated to the technical advancements in medical imaging.Medical imaging is an essential component of modern medicine,enabling the detection and analysis of structures and functions within the human body.Among the key imaging modalities are X‐ray,ultrasound,computed tomography(CT),magnetic resonance imaging(MRI),positron emission tomography(PET),and single‐photon emission computed tomography.Each of these technologies plays a vital role in diagnostics and research,and their continued development drives progress in diagnostic imaging and related disciplines. 展开更多
关键词 hybrid imaging instrumentATION medical imaging
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Characteristics and Modeling of the In-flight Instrumental Background of FXT Onboard Einstein Probe
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作者 Juan Zhang Yong Chen +15 位作者 Shumei Jia Haisheng Zhao Weiwei Cui Tianxiang Chen Juan Wang Hao Wang Jin Wang Chengkui Li Xiaofan Zhao Ju Guan Dawei Han Jingjing Xu Liming Song Hua Feng Shuangnan Zhang Weimin Yuan 《Research in Astronomy and Astrophysics》 2025年第11期229-238,共10页
The in-flight instrumental background of the Follow-up X-ray Telescope(FXT)onboard Einstein Probe mis sion is analysed in this work by utilizing observations collected during the performance verification phase and sub... The in-flight instrumental background of the Follow-up X-ray Telescope(FXT)onboard Einstein Probe mis sion is analysed in this work by utilizing observations collected during the performance verification phase and subsequent dedicated filter wheel closed observations.The instrumental backgrounds of the two FXT modules are consistent with each other,with an average rate of~4×10^(-2)counts s^(-1)keV^(-1)in the 0.5-10 keV band for each module.The background is nearly uniformly distributed across the detector area,with a minor increase(<8%)observed along rows.The spatial distribution shows significant modulation by the geomagnetic field.The spectral shapes remain unchanged in 0.5-10 keV at different rates.The long-term temporal variation indicates a periodic change associated with the orbital precession(~57 days).The innovative design of FXT full-frame readout mode enables simultaneous recording of events in both the imaging area(IMG)and the frame store area(FSA)of the pnCCD.FSA event rates show a strong linear correlation with the IMG,based on which the IMG instrumental background modeling is established. 展开更多
关键词 telescopes instrumentation:detectors methods:data analysis
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Research on the Efficacy Claims and Evaluation Methods of a Beauty Instrument
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作者 Mao Yiyu 《China Detergent & Cosmetics》 2025年第1期58-63,共6页
The efficacy requirements of cosmetic instruments and explored their efficacy evaluation methods was investigated.The efficacy and claims of common cosmetic instruments on the market were investigated,and human clinic... The efficacy requirements of cosmetic instruments and explored their efficacy evaluation methods was investigated.The efficacy and claims of common cosmetic instruments on the market were investigated,and human clinical trials were conducted to evaluate the efficacy of household cosmetic instruments.Household cosmetic instruments mainly include technologies such as sound wave,ion conduction,LED light,EMS microcurrent,RF radio frequency,and laser.This paper took microcurrent as an example to explore its efficacy claim methods.In human test I,the water content in the stratum corneum of the forearms of 31 subjects increased significantly compared with the blank control after 8 h.In human test II,30 subjects showed significant decreases in skin texture R5,transepidermal water loss TEWL,skin firmness F4 value,skin elasticity R2 value,overall size and depth of facial wrinkles,and facial jawline angle,and a significant increase in facial gloss value.The results showed that the cosmetic instrument had effects of moisturizing,improving facial evenness,repairing barrier,improving skin elasticity and firmness,and improving facial edema. 展开更多
关键词 household cosmetic instrument microcurrent efficacy testing human clinical trial
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Advanced instrument for membrane-assisted antisolvent crystallization developed via cold model experiment analysis
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作者 Juncheng Hao Shaoqin Yin +5 位作者 Jingchao Yuan Yuchao Niu Shaofu Du Wu Xiao Gaohong He Xiaobin Jiang 《Chinese Journal of Chemical Engineering》 2025年第10期123-137,共15页
Membrane-assisted antisolvent crystallization(MAAC)is a separation process that allows for precise regulation of the crystallization process in pharmaceutical,finechemical engineering,energy chemistry,etc.After decade... Membrane-assisted antisolvent crystallization(MAAC)is a separation process that allows for precise regulation of the crystallization process in pharmaceutical,finechemical engineering,energy chemistry,etc.After decades of development,the current MAAC engineering lacks highly robust specialized instruments,which limits the further industrial application of the MAAC process.Herein,to guide the design and optimization of the advanced MAAC instrument(DUT-iMC),we developed a parameter evaluation strategy based on cold model experiments.This approach utilizes the average particle size variation rate and the counts variation rate to characterize crystal size changes.The layout of the internal membrane module in DUT-iMC and the arrangement of the conveying pipeline were optimized.This improvement enhanced particle conveying characteristics,promoting more efficienttransport and circulation within the module.The advanced MAAC instrument substantially automates the production process,and the internal probes accurately monitor and record process variables,allowing for precise regulation of crystal size and morphology.The optimal operating range was expanded by 150%compared to the laboratory instrument.The range of shell side flow rate options increased by 50%,and the production time can be shortened by up to 30%.This paper provides ideas and guidance for the industrialization of MAAC processes and the development of related instruments. 展开更多
关键词 Membrane-assisted crystallization instrument development Cold model experiment Particle process Optimization
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Tentative exploring the construction of experimental technician team of large-scale instrument platforms in universities-Taking Peking University School of Pharmaceutical Sciences as an example
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作者 Yuan Wang Xun Wang 《Journal of Chinese Pharmaceutical Sciences》 2025年第4期392-399,共8页
This study examined the development of technician teams on large-scale instrument platforms in universities,using the State Key Laboratory of Natural and Biomimetic Drugs in the Peking University School of Pharmaceuti... This study examined the development of technician teams on large-scale instrument platforms in universities,using the State Key Laboratory of Natural and Biomimetic Drugs in the Peking University School of Pharmaceutical Sciences as a case study.Data were collected through questionnaire surveys and interviews conducted in 2017,followed by a questionnaire survey in 2023,offering both subjective and objective insights.The evolution of the platform’s technician team over the past 5 years was analyzed,highlighting key experiences and identifying ongoing challenges.Recommendations to enhance technician team development include recruiting skilled faculty,clearly defining job responsibilities,and refining the assessment and incentive systems. 展开更多
关键词 Large-scale instrument platform Experimental technician team Scientific research management
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Application and Innovation of Automotive Electronics Structural Design in Center Console Instruments
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作者 Peijie Jia 《Journal of Electronic Research and Application》 2025年第4期320-326,共7页
This paper introduces the key design aspects of automotive center console instrument systems,including hardware architecture,ergonomics,antenna layout,etc.It elaborates on the application and advantages of various adv... This paper introduces the key design aspects of automotive center console instrument systems,including hardware architecture,ergonomics,antenna layout,etc.It elaborates on the application and advantages of various advanced technologies,such as 3D printing and dual-color injection molding.Additionally,it discusses advancements in structural design,as well as future challenges and the trend of multidisciplinary collaborative innovation. 展开更多
关键词 Automotive center console instrument Structural design Technology application
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A Comprehensive Technical Review of Instruments for Vertical Jump Height Measurement in Sports Science
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作者 Basilio Pueo 《Instrumentation》 2025年第4期63-77,共15页
Vertical jump height is a fundamental measure of neuromuscular power in sports science.A diverse array of measurement instruments is available,yet selecting the appropriate technology requires a nuanced understanding ... Vertical jump height is a fundamental measure of neuromuscular power in sports science.A diverse array of measurement instruments is available,yet selecting the appropriate technology requires a nuanced understanding of the trade-offs between accuracy,cost,and practicality.This comprehensive technical review synthesizes the current state of vertical jump instrumentation.We systematically analyze four primary methodologies:direct measurement,motion capture(kinematic),force platform(kinetic),and flight time-based systems.The underlying technical principles,error sources,and practical limitations of each are detailed.Our analysis reveals a clear hierarchy:force platforms and motion capture systems provide gold-standard accuracy(e.g.,±0.3 cm for force platforms)but are constrained by high cost and laboratory environments.Conversely,flight time-based systems and smartphone applications offer excellent portability and accessibility but are subject to systematic errors(1-4 cm overestimation)and lower temporal resolution.Furthermore,we examine how emerging technologies,including artificial intelligence and wearable sensors,are poised to bridge the gap between laboratory-grade accuracy and field-based utility.This review provides engineers and sports scientists with a consolidated framework to guide instrument selection,data interpretation,and future innovation in athletic performance assessment. 展开更多
关键词 jump height measurement force platforms motion capture flight time instrumentation validation
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Factors that influence long term instrumentation stability in patients with unstable thoracolumbar injuries
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作者 Andrey E Bokov Svetlana Y Kalinina +3 位作者 Daria A Kulagina Kseniia S Lopyrina Vladimir V Klinshov Anatolii A Bulkin 《World Journal of Orthopedics》 2025年第8期93-102,共10页
BACKGROUND Pedicle screw fixation is frequently used to treat unstable thoracolumbar injuries;however,the rate of instrumentation failure remains considerable.The primary contributing factor leading to instrumentation... BACKGROUND Pedicle screw fixation is frequently used to treat unstable thoracolumbar injuries;however,the rate of instrumentation failure remains considerable.The primary contributing factor leading to instrumentation failure is poor bone quality.On the other hand,some evidence suggests that surgical tactics can influence long-term instrumentation stability.AIM To assess factors that influence the stability of spinal instrumentation in patients with thoracolumbar injuries.METHODS This study is a non-randomized single center ambispective evaluation of 204 consecutive patients(117 men;87 women)with unstable thoracolumbar injuries.All patients underwent either stand-alone or combined with anterior column reconstruction instrumentation.In cases with spinal cord and nerve root injuries,either posterior or anterior decompression were performed.Patients with pedicle screw loosening were identified via computed tomography imaging.Out of those,cases with clinically significant instrumentation failure were registered.RESULTS The rate of pedicle screw loosening detected by computed tomography was inversely correlated with bone radiodensity figures and an increased association with the number of instrumented levels,residual kyphotic deformity,laminectomy,and lumbosacral fixation.Intermediate screws and anterior reconstruction were associated with a clinically relevant decreased risk of pedicle screw loosening development.Either complete or partial posterior fusion within instrumented levels was capable of decreasing instrumentation failure risk,while extensive decompression with laminectomy and at least one-level total facetectomy were associated with an increased risk of instrumentation failure.Anterior decompression does not have a negative impact on instrumentation stability.CONCLUSION Intermediate screws,anterior reconstruction and posterior tension band preservation are associated with decreased rates of instrumentation instability development.Posterior fusion is beneficial in terms of instrumentation failure prevention. 展开更多
关键词 instrumentation stability Unstable thoracolumbar injuries Pedicle screw loosening Anterior reconstruction Posterior decompression
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An Instrumented Sharp Indentation Method for Measuring Equibiaxial Residual Stress without Using Stress-Free Specimens
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作者 Guangjian Peng Saifei Li +3 位作者 Liang Zhang Peijian Chen Wei Xiong Taihua Zhang 《Acta Mechanica Solida Sinica》 2025年第2期290-299,共10页
The presence of residual stresses in materials or engineering structures can significantly influence their mechanical per-formance.Accurate measurement of residual stresses is of great importance to ensure their in-se... The presence of residual stresses in materials or engineering structures can significantly influence their mechanical per-formance.Accurate measurement of residual stresses is of great importance to ensure their in-service reliability.Although numerous instrumented indentation methods have been proposed to evaluate residual stresses,the majority of them require a stress-free reference sample as a comparison benchmark,thereby limiting their applicability in scenarios where obtaining stress-free reference samples is challenging.In this work,through a number of finite element simulations,it was found that the loading exponent of the loading load-depth curve and the recovered depth during unloading are insensitive to residual stresses.The loading curve of the stress-free specimen was virtually reconstructed using such stress-insensitive parameters extracted from the load-depth curves of the stressed state,thus eliminating the requirement for stress-free reference samples.The residual stress was then correlated with the fractional change in loading work between stressed and stress-free loading curves through dimensional analysis and finite element simulations.Based on this correlation,an instrumented sharp indentation method for measuring equibiaxial residual stress without requiring a stress-free specimen was established.Both numerical and experimental verifications were carried out to demonstrate the accuracy and reliability of the newly proposed method.The maximum relative error and absolute error in measured residual stresses are typically within±20%and±20 MPa,respectively. 展开更多
关键词 Experimental mechanics Residual stress measurement instrumented indentation Finite element simulation Dimensional analysis
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Virtual force node deployment algorithm of field observation instrument based on voronoi diagram
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作者 HUO Jiuyuan WANG Lei 《Journal of Measurement Science and Instrumentation》 2025年第3期435-445,共11页
Aiming at node deployment in the monitoring area of the field observation instrument network in the cold and arid regions,we propose a virtual force algorithm based on Voronoi diagram(VFAVD),which adopts probabilistic... Aiming at node deployment in the monitoring area of the field observation instrument network in the cold and arid regions,we propose a virtual force algorithm based on Voronoi diagram(VFAVD),which adopts probabilistic sensing model that is more in line with the actual situation.First,the Voronoi diagram is constructed in the monitoring area to determine the Thiessen polygon of each node.Then,the virtual force on each node is calculated,and the node update its position according to the direction and size of the total force,so as to achieve the purpose of improving the network coverage rate.The simulation results show that the proposed algorithm can effectively improve the coverage rate of the network,and also has a good effect on the coverage uniformity. 展开更多
关键词 field observation instrument network node deployment Voronoi diagram virtual force network coverage rate
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"Silk Road People-to-People Connectivity"China-Cambodia Traditional Instrument Concert Held in Phnom Penh
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《International Understanding》 2025年第2期46-47,共2页
On April 6th,the"Silk Road People-to-People Connectivity"China-Cambodia Traditional Instrument Concert was successfully held in Phnom Penh.The event was attended by Li Ji,Cultural Counsellor of the Chinese E... On April 6th,the"Silk Road People-to-People Connectivity"China-Cambodia Traditional Instrument Concert was successfully held in Phnom Penh.The event was attended by Li Ji,Cultural Counsellor of the Chinese Embassy in Cambodia,officials from Ministry of Culture and Fine Arts of Cambodia and Ministry of Commerce of Cambodia,along with vips from various sectors. 展开更多
关键词 fine arts cultural exchange people people connectivity China Cambodia Silk Road traditional instrument concert Phnom Penh
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Quality of life in patients with multidrug-resistant tuberculosis under programmatic condition using World Health Organization's Quality of Life Brief instrument:A case-control study
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作者 Oki Nugraha Putra Dewi Ramdani +3 位作者 Aisyah Fitri Kurniawati Telly Purnamasari Julaeha Julaeha Nurul Damayanti 《Asian Pacific Journal of Tropical Medicine》 2025年第8期363-371,共9页
Objective:To evaluate and compare the quality of life(QoL)in patients with multidrug-resistant(MDR-TB)and drug-sensitive(DS-TB)as well as to investigate factors associated with QoL among MDR-TB patients in real-world ... Objective:To evaluate and compare the quality of life(QoL)in patients with multidrug-resistant(MDR-TB)and drug-sensitive(DS-TB)as well as to investigate factors associated with QoL among MDR-TB patients in real-world scenarios at the Haji Hospital,Surabaya.Methods:We conducted a case-control study from June to December 2024.MDR-TB and DS-TB patients were classified into case and control groups,respectively.We used the World Health Organization’s Quality of Life Brief(WHOQOL-BREF)instrument and Patient Health Questionnaire-9(PHQ-9)to assess QoL and depression levels,respectively.Multivariate analysis was used to analyze factors associated with QoL of patients with MDR-TB.Results:Forty-one patients with MDR-TB and 43 with DS-TB were enrolled in the study.A mean score for all domains(physical,psychological,social relationship,environmental)and total mean score of WHOQOL-BREF was significantly lower in MDR-TB than those with DS-TB(P<0.05).The prevalence of depression and the mean score of PHQ-9 were significantly higher in MDR-TB than in DS-TB(P<0.05).PHQ-9 negatively correlates with the WHOQOL-BREF score(r=-0.502,P<0.05)among MDR-TB patients.MDR-TB patients with depression were significantly associated with low QoL in the physical(OR 3.611;95%CI 2.393-6.951;P=0.029),psychological(OR 1.672;95%CI 1.179-5.941;P=0.021),social relationship(OR 2.586;95%CI 1.611-2.909;P=0.014),and environmental domains(OR 1.926;95%CI 1.047-2.147;P=0.048).Conclusions:MDR-TB patients had worse QoL than DS-TB.Those with depression were associated with low QoL.Strategies that identify and tackle alterations in the QoL for MDR-TB patients are necessary during TB treatment. 展开更多
关键词 Quality of life MDR-TB TUBERCULOSIS World Health Organization’s Quality of Life Brief instrument DEPRESSION
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A Study on Integrative and Instrumental Motivations and Learning Strategies of PhD Dissertation
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作者 Zhou Li Huisuan Wei 《Journal of Contemporary Educational Research》 2025年第1期163-168,共6页
The research topic of the author’s PhD dissertation is“The Impact of Motivation Cultivation on English Autonomous Learning among University Students in Hunan,China—A Mediating Role of Learning Strategy.”Within thi... The research topic of the author’s PhD dissertation is“The Impact of Motivation Cultivation on English Autonomous Learning among University Students in Hunan,China—A Mediating Role of Learning Strategy.”Within this topic,three key variables are identified:the dependent variable(DV),the independent variable(IV),and the mediating variable(MV).Specifically,the DV refers to English autonomous learning,the IV refers to motivation,and the MV refers to learning strategy.The research establishes that the MV(learning strategy)is an integral component of information processing theory(IPT).Consequently,the dissertation incorporates integrative and instrumental motivation theories alongside IPT as its foundational theoretical framework.This paper aims to explore the theoretical framework of the PhD dissertation in detail,focusing on the interplay of these three theories. 展开更多
关键词 English autonomous learning Motivation Learning strategy Integrative motivation theory instrumental motivation theory Information processing theory
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新型股骨颈前倾角测量器在股骨转子间骨折髓内钉固定过程中的应用
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作者 王树方 康晓琴 +4 位作者 刘志 沈冰 张峰 宋远征 张率功 《中国组织工程研究》 北大核心 2026年第15期3885-3896,共12页
背景:股骨转子间骨折行髓内钉内固定时,手术医师难以实时、准确判断股骨颈导针置入的前倾角度,目前临床缺乏可以实现该功能的手术器械。目的:研发一种可配合常见股骨转子间骨折髓内钉内固定手术器械使用,可在术中实时监测并指示股骨颈... 背景:股骨转子间骨折行髓内钉内固定时,手术医师难以实时、准确判断股骨颈导针置入的前倾角度,目前临床缺乏可以实现该功能的手术器械。目的:研发一种可配合常见股骨转子间骨折髓内钉内固定手术器械使用,可在术中实时监测并指示股骨颈导针前倾角度的测量仪器,辅助手术医师精准完成股骨颈导针置入。方法:根据Brunner法原理,设计股骨颈前倾角测量器并3D打印实体模型。用等比例人体股骨模型构建手术模型,模拟在牵引床上行转子间骨折闭合复位髓内钉内固定的手术过程。使用3D打印模型对3组股骨模型进行辅助置入导针实验,记录实验数据并进行统计分析。优化设计、制作仪器实物。选择20例股骨转子间骨折患者进行临床试验,试验组及对照组各10例,试验组用前倾角测量仪置入导针,对照组由同一组医师用传统方式置入导针。记录两组试验数据并统计分析,确定该仪器效能。结果与结论:①新型前倾角测量器(专利号:ZL202120806525.X)可以实时测量髓内钉近端导向架的前倾角度;②新型前倾角测量器可以真实反映Brunner法测得的股骨颈前倾角,并指示股骨颈导针置入时所需的髓内钉近端导向架的前倾角度;③临床试验结果显示,与对照组相比,试验组患者手术时间更短(P=0.042)、股骨颈导针偏差角度更小(P=0.001)、透视次数更少、导针置入重复次数更少、导针置入时间更短(P<0.05);④提示新型前倾角测量器可以在术中实时、准确测量并指示股骨颈导针置入的前倾角度,可配套多种股骨近端髓内钉内固定器械系统使用,不直接接触人体,无附加损伤,有临床推广价值。 展开更多
关键词 股骨颈前倾角 测量器 股骨转子间骨折 术中测量 手术器械 自制仪器
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高校大型仪器设备共享管理发展研究热点与前沿
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作者 张慧琴 许盈盈 +1 位作者 李中凯 王鹏 《实验室科学》 2026年第1期189-195,201,共8页
通过分析我国2004~2023年大型仪器设备共享管理研究的CNKI精炼文献集合,综述了大型仪器设备共享的研究特征、研究热点、前沿并探讨其发展趋势。采用CiteSpace软件得出领域内年度发文量和典型作者,分析了作者的研究特色;采用关键词聚类... 通过分析我国2004~2023年大型仪器设备共享管理研究的CNKI精炼文献集合,综述了大型仪器设备共享的研究特征、研究热点、前沿并探讨其发展趋势。采用CiteSpace软件得出领域内年度发文量和典型作者,分析了作者的研究特色;采用关键词聚类和文献阅读分析法,挖掘了大型仪器设备的5个研究热点,分别是管理策略、国内外对比、信息化系统、绩效考核和人才培养;使用突现词分析与归类法,提出大型仪器设备的购置查重评议、区域共享调研、互联网+人工智能共享管理及大型仪器设备检测的资质认定等4个研究前沿;探讨了大型仪器设备共享的发展趋势,提出面向“双一流”建设目标,采用平台化、模块化的管理策略,实现我国高校大型仪器设备开放共享的可持续发展。 展开更多
关键词 大型仪器设备 大仪共享 研究热点 发展趋势
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食品科学与工程专业研究生大型仪器教学改革与科研创新能力培养实践
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作者 夏季 李彭 《安徽农学通报》 2026年第4期115-118,共4页
为提升食品科学与工程专业研究生的科研创新能力,本文基于该专业研究生培养现状,结合大型仪器共享平台运行实际,从教学内容设计、教学过程创新、交流平台搭建3个维度,系统构建并创新了大型仪器设备教学改革体系。教学内容秉持全面性、... 为提升食品科学与工程专业研究生的科研创新能力,本文基于该专业研究生培养现状,结合大型仪器共享平台运行实际,从教学内容设计、教学过程创新、交流平台搭建3个维度,系统构建并创新了大型仪器设备教学改革体系。教学内容秉持全面性、实用性与前瞻性原则,开设“食品仪器分析”选修课程,按科研需求分模块覆盖高使用率大型仪器的理论知识与实操技能;教学过程构建“自主预习—理论教学—上机实验—考核授权—科研应用”多元化模式,推行分层培养策略,完善考核授权机制;搭建线上“仪器交流讨论”平台,汇聚师生与技术专家资源,形成科研互助的良性循环。实践结果表明,该改革体系有效提升了研究生大型仪器操作技能与数据解读分析能力,实施近一年来已有23名研究生获批省级科研实践创新项目,依托仪器共享平台发表科研论文43篇、申请发明专利26项(授权13项),研究生科研创新能力明显提高。本文为同类院校开展研究生实践教学改革提供参考。 展开更多
关键词 大型仪器 食品科学与工程 食品仪器分析 科研创新
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水热分离对超标外来器械发生湿包的影响及物理机制研究
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作者 张东芳 底瑞青 +3 位作者 闫露 郭威 王秀丽 马梦真 《军事护理》 北大核心 2026年第2期113-116,共4页
目的探讨压力蒸汽灭菌时超标外来器械发生水热分离对湿包的影响及其物理机制,为临床操作提供参考。方法2023年6-12月,采用便利抽样法选取某院行膝关节置换手术所用的120套膝关节器械为研究对象,按随机数字表法将其分为对照组、实验组1... 目的探讨压力蒸汽灭菌时超标外来器械发生水热分离对湿包的影响及其物理机制,为临床操作提供参考。方法2023年6-12月,采用便利抽样法选取某院行膝关节置换手术所用的120套膝关节器械为研究对象,按随机数字表法将其分为对照组、实验组1和实验组2;3组中包内电钻和电锯的摆放方式分别为紧贴篮筐底部吸水纸、架空、包裹吸水纸后架空,观察每组器械包灭菌后湿包情况。采用便利抽样法选取规格型号相同的硬质容器盒90个,按随机数字表法将其分为对照组(普通干燥程序)和实验组(脉动干燥程序),每组平均分为3份,分别盛放高为9 mm的热水、常温水和冰水。每份各取1个为1个小组,放在同一灭菌舱完成灭菌。观察同干燥程序下不同温度水及不同程序下同温度水水位差及灭菌后水温变化。结果电钻、电锯架空摆放时全部湿包;紧贴底部吸水纸或包裹吸水纸后架空摆放时均未湿包。脉动干燥程序下及普通干燥程序下热水水位下降程度均高于其他两组(均P<0.05)。灭菌后水温热水与其他两组比较均有差异(P<0.05)。结论冷凝水与冷凝过程中产生的热量分离是导致湿包的主要原因;在实际操作中,应确保二者位置尽可能接近。 展开更多
关键词 水热分离 压力蒸汽灭菌 湿包 外来器械
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