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Strength Developing in Clay-Andesite Brick
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作者 Víctor Julio García Alonso R. Zúñiga-Suárez +3 位作者 Carmen Omaira Márquez Juan G. Pérez Francisco Fernández-Martínez Francisco Hernández-Olivares 《Materials Sciences and Applications》 2016年第8期403-420,共18页
The objective of this work was to develop a more and better understanding of the strength developing in clay-andesite fired brick. The purpose was to improve the quality of the clay bricks that are handmade in the sou... The objective of this work was to develop a more and better understanding of the strength developing in clay-andesite fired brick. The purpose was to improve the quality of the clay bricks that are handmade in the southern region of Ecuador to make them suitable for more widespread use in the local construction industry. To achieve our goal, we first physically, chemically, and mechanically characterized the “clayey” and “sandy” materials used in the fabrication of handmade bricks in the region. Second, the optimal mixture (OM): the optimal proportion between the amounts of “clayey” and “sandy” material was sought. Third, clay bricks were prepared using the OM, baked at 950&deg;C, and characterized. In addition, bricks produced by regional artisans were characterized, and the results were compared with the results obtained for the bricks prepared using the OM. Our data reveal that the optimal mixture is 50% “clayey” material and 50% “sandy” material and that with this mixture, an average improvement in brick quality of 300% can be achieved;thus, the use of the OM makes it possible to expand the use of these bricks in the local construction industry and enables an environmentally friendly production process by reducing the intensive exploitation of regional clay deposits. This improvement is achieved by virtue of the anorthite enrichment that occurs in the solid solution, which results from the evolution of andesine. The anorthite contributes to the formation of a stronger matrix among the different grains of the material. Conditions are favorable for this enrichment process to occur when “sandy” materials with high contents of andesite, which is common in Ecuadorian soils, are used. 展开更多
关键词 ANORTHITE Andesine Andesite Component Fired Bricks Brazilian Test
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Validation of a novel imaging approach using multi-slice CT and cone-beam CT to follow-up on condylar remodeling after bimaxillary surgery 被引量:7
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作者 laura ferreira pinheiro nicolielo jeroen van dessel +5 位作者 eman shaheen carolina letelier marina codari constantinus politis ivo lambrichts reinhilde jacobs 《International Journal of Oral Science》 SCIE CAS CSCD 2017年第3期139-144,共6页
The main goal of this study was to introduce a novel three-dimensional procedure to objectively quantify both inner and outer condylar remodelling on preoperative multi-slice computed tomography (MSCT) and postopera... The main goal of this study was to introduce a novel three-dimensional procedure to objectively quantify both inner and outer condylar remodelling on preoperative multi-slice computed tomography (MSCT) and postoperative cone-beam computed tomography (CBCT) images. Second, the reliability and accuracy of this condylar volume quantification method was assessed. The mandibles of 20 patients (11 female and 9 male) who underwent bimaxillary surgery were semi-automatically extracted from MSCT/CBCT scans and rendered in 3D. The resulting condyles were spatially matched by using an anatomical landmark-based registration procedure. A standardized sphere was created around each condyle, and the condylar bone volume within this selected region of interest was automatically calculated. To investigate the reproducibility of the method, inter- and intra-observer reliability was calculated for assessments made by two experienced radiologists twice five months apart in a set of ten randomly selected patients. To test the accuracy of the bone segmentation, the inner and outer bone structures of one dry mandible, scanned according to the clinical set-up, were compared with the gold standard, micro-CT. Thirty-eight condyles showed a significant (P〈O.05) mean bone volume decrease of 26.4%_ 11.4% (502.9 mm3+ 268.1 mm3). No significant effects of side, sex or age were found. Good to excellent (ICC〉 0.6) intra- and inter-observer reliability was observed for both MSCT and CBCT. Moreover, the bone segmentation accuracy was less than one voxel (0.4 mm) for MSCT (0.3 mm __. 0.2 mm) and CBCT (0.4 mm _ 0.3 mm), thus indicating the clinical potential of this method for objective follow-up in pathological condylar resorption. 展开更多
关键词 condylar resorption Cone-beam computed tomography mandibular condyle multi-slice computed tomography three-dimensional imaging
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Rothe’s Fixed Point Theorem and the Controllability of the Benjamin-Bona-Mahony Equation with Impulses and Delay
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作者 Hugo Leiva Jose L. Sanchez 《Applied Mathematics》 2016年第15期1748-1764,共18页
For many control systems in real life, impulses and delays are intrinsic phenomena that do not modify their controllability. So we conjecture that under certain conditions the abrupt changes and delays as perturbation... For many control systems in real life, impulses and delays are intrinsic phenomena that do not modify their controllability. So we conjecture that under certain conditions the abrupt changes and delays as perturbations of a system do not destroy its controllability. There are many practical examples of impulsive control systems with delays, such as a chemical reactor system, a financial system with two state variables, the amount of money in a market and the savings rate of a central bank, and the growth of a population diffusing throughout its habitat modeled by a reaction-diffusion equation. In this paper we apply the Rothe’s Fixed Point Theorem to prove the interior approximate controllability of the following Benjamin Bona-Mohany(BBM) type equation with impulses and delay where and are constants, Ω is a domain in , ω is an open non-empty subset of Ω , denotes the characteristic function of the set ω , the distributed control , are continuous functions and the nonlinear functions are smooth enough functions satisfying some additional conditions. 展开更多
关键词 Interior Approximate Controllability Benjamin Bona-Mohany Equation with Impulses and Delay Strongly Continuous Semigroup Rothe’s Fixed Point Theorem
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Determination and Analysis of Hot Spot Areas of Deforestation Using Remote Sensing and Geographic Information System Techniques. Case Study: State Sinaloa, México
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作者 Sergio Alberto Monjardin Armenta Carlos Eduardo Pacheco Angulo +3 位作者 Wenseslao Plata Rocha Gabriela Corrales Barraza Rosendo Romero Andrade Jose Carlos Beltran Gonzalez 《Open Journal of Forestry》 2016年第4期295-304,共10页
The main objective of this research is to analyze deforestation in State Sinaloa during the period 1990-2014. For this, “deforestationhot-spot areas” were identified, by crossing maps of 1993 and 2011 at a 1:250,000... The main objective of this research is to analyze deforestation in State Sinaloa during the period 1990-2014. For this, “deforestationhot-spot areas” were identified, by crossing maps of 1993 and 2011 at a 1:250,000 scale with knowledge from environmental and forest experts from each region. Landsat images from 1990 and 2014 and Terra Amazon System were used to monitor the most critical hot spot area, applying Linear Spectral Mixture Analysis and Image Segmentation Ground Product. In order to generate the map deforestation year zero (1990), every segmented object of ground product was visually assigned to “Forest” and “No-Forest” categories. Therefore, gains and losses were interpreted for the map deforestation year one (2014). Those products were validated with the help of experts on the subject and applying a confusion matrix. Results obtained indicated that the highest forest loss was located in North-Central Sinaloa (hot spot area number two) by establishing the average annual rate of deforestation of 4741.90 ha/year with an average rate of 0.60%, being higher than the national average rate (0.37%). This result affects directlyon calculation of carbonfluxes at nationallevel. 展开更多
关键词 DEFORESTATION Hot Spot GIS LANDSAT Terra Amazon
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Success and Incoherence of Orthodox Quantum Mechanics 被引量:1
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作者 M. E. Burgos 《Journal of Modern Physics》 2016年第12期1449-1454,共6页
Orthodox quantum mechanics is a highly successful theory despite its serious conceptual flaws. It renounces realism, implies a kind of action-at-a-distance and is incompatible with determinism. Orthodox quantum mechan... Orthodox quantum mechanics is a highly successful theory despite its serious conceptual flaws. It renounces realism, implies a kind of action-at-a-distance and is incompatible with determinism. Orthodox quantum mechanics states that Schr&oumldinger’s equation (a deterministic law) governs spontaneous processes while measurement processes are ruled by probability laws. It is well established that time dependent perturbation theory must be used for solving problems involving time. In order to account for spontaneous processes, this last theory makes use of laws valid only when measurements are performed. This incoherence seems absent from the literature. 展开更多
关键词 Quantum Measurements—Time Dependent Perturbation Theory
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Situational Analysis and Expert Evaluation of the 1000 Days: Nutritional and Health Status in 4 Countries in Latin America
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作者 Andrea Ramírez Sofía Velasco +2 位作者 Oscar Bernal José Fernando Vera-Chamorro Gabriela Olagnero 《Health》 CAS 2016年第5期444-455,共12页
Background: The first 1000 days of life, including pregnancy and the first 2 years of age have been considered essential for an adequate development and growth. Several studies have stated that malnutrition during pre... Background: The first 1000 days of life, including pregnancy and the first 2 years of age have been considered essential for an adequate development and growth. Several studies have stated that malnutrition during pregnancy and not having a normal birth weight have negative impact on childhood and adulthood, and contribute to burden of disease. Adequate information on this matter provides the possibility for making recommendations on health and nutrition policies. Objective: The aim is to describe the nutritional status during the first 1000 days in four countries of Latin America: Colombia, Argentina, Chile and Brazil. Methods: The analysis consists of two complementary approaches: 1) An extensive search on published and gray literature and a critical analysis of secondary data bases was conducted in Colombia, Argentina, Chile and Brazil following a standardized methodology in 2013. Maternal and child nutritional status, breast feeding, nutri-tional deficiencies, and dietary habits during the first 1000 days were the variables of interest;2) Information gaps were identified, interviews to local experts from academia, government and hospitals were conducted to fill each of the countries information gap. Data was organized in an online data base called NutriPl@net. Results: Despite the inherent country differences, the nutritional challenges during the first 1000 days are similar. Obesity prevalence is increasing in pregnant women. Under weight remains a problem in all 4 countries, with the highest prevalence in Argentina. Over weight prevalence is highest in Chile and obesity prevalence in Brazil. Micronutrient deficiencies in pregnant women have been described, especially high for folic acid, iron, zinc, vitamins A, B6, B12, C, E and riboflavin. Moreover, in the region, anemia is the most common micronutrient deficiency during pregnancy. Gestational diabetes, hypertension, obesity and pre-eclampsia are major causes of maternal, perinatal and infant morbidity and mortality. Conclusions: In order to understand regional and country-specific needs, it is fundamental to collect standardized information related to the nutrition status during the first 1000 days. The low prevalence of exclusive breastfeeding and micronutrient deficiencies such as iron, zinc and vitamin A as risk factors for morbidity and mortality in children 0 - 2 years old is common and priority issues in the region. Persistence of anemia despite the use of fortified foods and supplementation remains a problem, and no complete data regarding sugar, sodium and fatty acids consumption and changes in the diet and habits before, during and after pregnancy are available. The gaps that are found to justify the need for further studies including population based surveys with standardized methodology that can warrant comparability. 展开更多
关键词 BREASTFEEDING INFANTS Nutrition Pregnancy Latin America
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Morbidity Due to Obesity, Hypertension and Diabetes II Attributable to Non-Breastfeeding and Low Birth Weight during the 1000 Days of Life: Estimation of the Population Attributable Fraction
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作者 Andrea Ramírez Oscar Bernal +1 位作者 Jesús Rodríguez José David Pinzón 《Health》 CAS 2016年第5期386-401,共16页
Introduction: There is evidence that malnutrition during the first 1000 days of life contributes to the development of chronic diseases in adulthood and therefore may produce a lasting impact on the health of the popu... Introduction: There is evidence that malnutrition during the first 1000 days of life contributes to the development of chronic diseases in adulthood and therefore may produce a lasting impact on the health of the population. Colombia, like other middle-income countries suffers the double burden of malnutrition in pregnant women and children under 5 years. Also, chronic diseases have positioned within the leading causes of morbidity and mortality. Objective: The aim is to estimate the burden of disease of noncommunicable chronic diseases-NCD’s (hypertension, obesity, diabetes mellitus II) in adults attributable to nutritional risk factors (no-breastfeeding and low birthweight) in the period of 1000 days in Colombia. Methods: The population attributable fraction and the number of NCD’s (hypertension, diabetes mellitus II and obesity) cases due to the risk factors (low birthweight and no-breastfeeding) were estimated. Prevalences of NCD’s and risk factors of interest were taken from national health surveys. Effect measures (odds ratios/relative risks) of the associations 1—low birthweight and hypertension, diabetes mellitus II and 2—no-breastfeeding and obesity were obtained after a systematic literature search. Results: It was estimated that not receiving breastfeeding in the 1000 days could contribute up to 29.9% of all cases of obesity, equivalent to about 4,009,779 cases across the country. Low birth weight could contribute up to 2.1% of cases of hypertension in men and to 4.0% of cases in women, equivalent to 103.769 cases across the country. In addition, low birth weight could contribute to 6.3% of diabetes mellitus II cases, which is equivalent to 23.857 cases in the country. Conclusion: In Colombia, risk factors during the first 1000 days like not receiving breastfeeding and having low birth weight could contribute up to 4,113,549 cases of obesity, hypertension and diabetes mellitus II, with important implications for the health of the population and the Colombian health system. 展开更多
关键词 Epidemiologic Measurements BREASTFEEDING Low Birth Weight Chronic Disease Public Health
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Auditory Gain, Quality of Life, and Audiological Benefits in Bone-Anchored Hearing Device Users in Fundación SantaféDe Bogotá, Colombia
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作者 Augusto Peñaranda Juan Manuel Garcia +4 位作者 Maria Leonor Aparicio Felipe Montes Clemencia Barón Roberto C. Jiménez Daniel Peñaranda 《International Journal of Otolaryngology and Head & Neck Surgery》 2016年第2期44-53,共10页
The objective of this study is to determine the auditory gain, quality of life, audiological benefits, in bone-anchored hearing device users (BAHA). It is a retrospective and concurrent evaluation of thirty patients f... The objective of this study is to determine the auditory gain, quality of life, audiological benefits, in bone-anchored hearing device users (BAHA). It is a retrospective and concurrent evaluation of thirty patients fitted unilaterally and seven fitted bilaterally for at least six months. Patients were assessed with audiometric testing and application of Glasgow Benefit Inventory (GBI) and Abbreviated Profile of Hearing Aid Benefit (APHAB). Regarding sound-field pure audiometry results, we found a statistically significant gain in all frequencies using the bone-anchored device. APHAB scores showed statistically significant subjective audiological gains in all subscales except for the aversiveness subscale. GBI mean scores for all items in both groups were all above 3, suggesting quality of life improvement in conductive and mixed hearing loss patients. BP100 users showed a greater clinical gain in the APHAB global score and subscales compared with Divino users. In conclusion the BAHA provides significant auditory gain, subjective audiological benefits and improves quality of life in all BAHA users. This study shows a significant clinical and statistical benefit of BAHA measured by audiometric testing and by the APHAB and GBI questionnaires. 展开更多
关键词 BAHA Quality of Life Audiological Benefits Auditory Gain
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The Nature, Origin and Propagation of the Electric Field: A New Insight to Fundamental Physics
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作者 Narahari V. Joshi 《Journal of Modern Physics》 2016年第10期1132-1137,共6页
The nature, origin and propagation of the electric field are discussed for the first time on the basis of the presence of vibrating strings in the space and their self-excitation process. It is considered that the ele... The nature, origin and propagation of the electric field are discussed for the first time on the basis of the presence of vibrating strings in the space and their self-excitation process. It is considered that the electron is formed from strings and it has specific vibrational frequency. This excites the strings which are close by with the self-excitation process. This procedure which is continuous in the space according to the symmetry and vibrational energy in the form of waves spreads near the electron (or the charge particle), which behaves and carries energy known as electric field. In fact, the electron does not continuously emit energy in any form but induces (or excites) and organizes energy in a self-sustain vibrational form and extends in three dimensional space. Only on the basis of the presence of strings (vibrational energy), several electromagnetic phenomena have been explained in a consistent way. The vibrational nature of the electric field is also examined with the help of Stark effect and X-ray diffraction approach to support the present view. 展开更多
关键词 Electric Field Strings as Compact Liquid Self Excitation
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经颅交流电刺激治疗抑郁症机制研究与应用进展
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作者 杨鑫 王书哲 李申 《中国现代神经疾病杂志》 北大核心 2026年第1期92-98,共7页
经颅交流电刺激作为一种非侵入性神经调控技术,通过特定频率的交流电与内源性神经振荡相互作用,调节神经元放电同步性,改善神经功能。近年该项技术在抑郁症的治疗中展现出潜力。本文综述不同类型经颅交流电刺激在抑郁症中的应用进展,探... 经颅交流电刺激作为一种非侵入性神经调控技术,通过特定频率的交流电与内源性神经振荡相互作用,调节神经元放电同步性,改善神经功能。近年该项技术在抑郁症的治疗中展现出潜力。本文综述不同类型经颅交流电刺激在抑郁症中的应用进展,探讨其优化策略及发展方向,为临床实践和临床研究提供参考。 展开更多
关键词 抑郁症 电刺激疗法 综述
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新课标背景下音乐大单元教学设计策略探究
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作者 万亚 《成才之路》 2026年第6期101-104,共4页
新课标聚焦核心素养培育,推动音乐教学从碎片化传授向结构化素养培育转型。大单元教学以主题统整与情境建构为核心,有机融合音乐知识、音乐技能、审美体验,助力学生形成完整音乐认知链,促进其心理、认知、情感等协同进阶。基于此,文章... 新课标聚焦核心素养培育,推动音乐教学从碎片化传授向结构化素养培育转型。大单元教学以主题统整与情境建构为核心,有机融合音乐知识、音乐技能、审美体验,助力学生形成完整音乐认知链,促进其心理、认知、情感等协同进阶。基于此,文章先剖析小学音乐大单元教学的核心价值与实践意义,再精准研判音乐大单元教学存在的问题,从阶段目标、主体内容、分层方法及审美评价等维度,深入探究可操作的设计策略,为提升小学音乐教学质量、落实核心素养培育目标提供参考,助力音乐教育高质量发展。 展开更多
关键词 新课标 小学音乐 大单元教学 教学设计 核心素养
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基于网络药理学和分子对接技术探讨从“少阳主枢”论治偏头痛的机制
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作者 陈琛 任毅 +5 位作者 杨杨 袁海宁 王娣 陈沛 郭雨萌 邹忆怀 《西部中医药》 2026年第2期49-55,共7页
目的:从“少阳主枢”理论出发,通过网络药理学和分子对接技术探讨小柴胡汤治疗偏头痛的作用机制。方法:通过(traditional Chinese medicine systems pharmacology database and analysis platform,TCMSP)数据库获取小柴胡汤有效药物成... 目的:从“少阳主枢”理论出发,通过网络药理学和分子对接技术探讨小柴胡汤治疗偏头痛的作用机制。方法:通过(traditional Chinese medicine systems pharmacology database and analysis platform,TCMSP)数据库获取小柴胡汤有效药物成分及相关靶点;利用在线人类孟德尔遗传数据库(online mendelian inheritance in man,OMIM)、人类基因数据库(the human gene database,GeneCards)获取偏头痛疾病的相关靶点;绘制韦恩图得到小柴胡汤治疗偏头痛的潜在作用靶点;采用STRING数据库、Cytoscape 3.9.1软件构建“药物-成分-疾病-靶点”网络、蛋白-蛋白互作(protein-protein interactions,PPI)网络;使用核心靶基因导入基因功能注释数据库(the database for annotation visualization and integrated discovery,DAVID)对潜在作用靶点进行基因本体论(gene ontology,GO)和京都基因与基因组百科全书(kyoto encyclopedia of genes and genomes,KEGG)富集分析;运用Autodock软件进行分子对接并用Py-Mol软件进行绘图展示。结果:共获得小柴胡汤有效药物成分214个;小柴胡汤治疗偏头痛的潜在作用靶点148个;使用Cytoscape 3.9.1拓扑分析得到槲皮素、豆甾醇、β-谷甾醇等10个关键成分,PPI网络得到TNF、JUN、AKT1等5个核心靶点;GO功能富集分析得到条目810条,包括生物过程604条,细胞组分73条,分子功能133条;KEGG通路富集分析得到172条信号通路,主要包括脂质与动脉粥样硬化、IL-17、TNF等信号通路;分子对接结果显示关键成分与核心靶点有较好的结合能力。结论:小柴胡汤通过调节IL-17、TNF等信号通路,作用于TNF、JUN、AKT1等核心靶点,以调节大脑炎症反应为核心,对偏头痛发挥治疗作用。 展开更多
关键词 偏头痛 少阳主枢 网络药理学 分子对接 作用机制
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液相色谱-串联质谱检测布南色林血药浓度方法学验证及治疗参考区间的探讨
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作者 王岩萍 刘治芳 +3 位作者 王玉鹏 张文英 张茜 张继华 《中国药物与临床》 2026年第2期102-107,共6页
目的建立一种基于同位素内标法定量的血清布南色林液相色谱-串联质谱(LC-MS/MS)检测方法,并研究其血药浓度治疗参考范围,同时初步探讨影响因素。方法采用蛋白沉淀法处理血清样本,在正离子模式,多反应监测(MRM)条件下,使用Calquant-S液... 目的建立一种基于同位素内标法定量的血清布南色林液相色谱-串联质谱(LC-MS/MS)检测方法,并研究其血药浓度治疗参考范围,同时初步探讨影响因素。方法采用蛋白沉淀法处理血清样本,在正离子模式,多反应监测(MRM)条件下,使用Calquant-S液相色谱串联质谱系统,以布南色林-D5作为内标,建立定量方法,考察分析方法的线性范围、敏感度、准确度、精密度等;收集符合要求的口服布南色林治疗精神分裂症患者血样133例,检测布南色林血药浓度并分析影响因素,使用统计学方法建立参考区间。结果本方法在0.12~12.00 ng/ml浓度范围内线性关系良好(R2=0.9994),检出限(LOD)为0.015 ng/ml,定量限(LOQ)为0.12 ng/ml,加标回收实验表明准确度在89.7%~105.0%。基于患者血药浓度真实数据,采用百分位数法建立的布南色林血药浓度参考区间为0.146~1.960 ng/ml,该治疗范围内的患者精神症状改善良好。结论本研究建立的人血清布南色林药物浓度LC-MS/MS检测方法准确度、精密度等符合分析性能要求,结合初步建立的布南色林血药浓度参考区间,可用于指导临床布南色林的治疗药物监测。 展开更多
关键词 精神分裂症 液相色谱-质谱法 血药浓度 布南色林
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颞叶癫痫精神运动性发作病案分析
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作者 王红丽 路亚洲 +6 位作者 史晓宁 顿文文 杨洁 胡晨 程新雷 赵金龙 赵莹莹 《临床精神医学杂志》 2026年第1期73-76,共4页
颞叶癫痫包括简单部分性发作、复杂部分性发作以及继发全面性发作或这些发作的混合,表现为感觉、运动、情绪、精神病性症状等异常。颞叶癫痫发作在临床有时难以识别,容易被误诊为精神科疾病,因此了解颞叶癫痫的疾病特点对于临床识别与... 颞叶癫痫包括简单部分性发作、复杂部分性发作以及继发全面性发作或这些发作的混合,表现为感觉、运动、情绪、精神病性症状等异常。颞叶癫痫发作在临床有时难以识别,容易被误诊为精神科疾病,因此了解颞叶癫痫的疾病特点对于临床识别与及时干预具有重要意义。本文报道1例颞叶癫痫精神运动性发作患者的诊断与治疗过程,为临床诊疗提供参考。 展开更多
关键词 颞叶癫痫 记忆障碍 幻觉 精神运动性发作
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基于脑电图的经颅电刺激疗效评估在常见精神疾病中的研究进展
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作者 鲁成好 李申 +2 位作者 刘楠楠 李少兵 李洁 《中华精神科杂志》 北大核心 2026年第2期138-145,共8页
经颅电刺激(transcranial electrical stimulation,tES)作为一种非药物神经调控技术,近年来在常见精神疾病的治疗研究中受到广泛关注。尽管tES在改善临床症状方面展现出潜力,但其疗效评估仍面临挑战。脑电图因其高时间分辨率和对神经振... 经颅电刺激(transcranial electrical stimulation,tES)作为一种非药物神经调控技术,近年来在常见精神疾病的治疗研究中受到广泛关注。尽管tES在改善临床症状方面展现出潜力,但其疗效评估仍面临挑战。脑电图因其高时间分辨率和对神经振荡的敏感性,为tES疗效评估提供了重要生物标志物。本文系统综述脑电图在tES治疗精神分裂症、抑郁症和双相障碍中的疗效评估研究进展,以期推动疗效评估的客观性,提升tES的临床应用效果。 展开更多
关键词 脑电描记术 经颅电刺激 精神疾病 疗效评估
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成年住院精神分裂症患者中锥体外系不良反应的预测模型比较研究
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作者 刘大卫 成佩霞 +3 位作者 王茜 王肖南 祝慧萍 高琦 《首都医科大学学报》 北大核心 2026年第1期150-156,共7页
目的对成年住院精神分裂症患者使用抗精神病药发生的锥体外系不良反应,采用不同算法建立预测模型并进行比较。方法回顾性收集首都医科大学附属北京安定医院2010-2018年的电子病历系统数据,使用正则化方法进行文本挖掘得到结构化临床资... 目的对成年住院精神分裂症患者使用抗精神病药发生的锥体外系不良反应,采用不同算法建立预测模型并进行比较。方法回顾性收集首都医科大学附属北京安定医院2010-2018年的电子病历系统数据,使用正则化方法进行文本挖掘得到结构化临床资料。通过弹性网络模型筛选进入预测模型的变量,采用11种算法构建预测模型,并以灵敏度、特异度、阳性预测值、阴性预测值、受试者工作特征曲线下面积和决策曲线分析综合比较,效果最佳者使用Shapley加性解释法(shapley additive explanations,SHAP)可视化预测因子的贡献。结果锥体外系不良反应发生率为41.09%。在构建的预测模型中,CatBoost表现最佳(AUC=0.89),SHAP摘要图可视化了预测因子的贡献大小。结论对不良反应发生预测最佳的模型为CatBoost,优于最新的算法TabPFN;最重要的危险因素为服用氟哌啶醇、住院时间长等。 展开更多
关键词 抗精神病药 锥体外系不良反应 预测模型 精神分裂症 住院 电子病历系统 机器学习
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针刺神门穴对急性睡眠剥夺后海马功能影响的fMRI研究
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作者 吴康 冯思同 +4 位作者 于婷婷 陈沛 陈琛 贾竑晓 宁艳哲 《世界科学技术-中医药现代化》 北大核心 2026年第2期463-469,共7页
目的基于功能磁共振技术(fMRI),探究针刺神门穴对睡眠剥夺后皮层下海马功能的影响。方法本研究招募30名健康人,所有受试者经历24 h的急性睡眠剥夺,在睡眠剥夺前和后均进行静息态和针刺态的fMRI扫描,其中针刺态为双侧神门穴的得气刺激。... 目的基于功能磁共振技术(fMRI),探究针刺神门穴对睡眠剥夺后皮层下海马功能的影响。方法本研究招募30名健康人,所有受试者经历24 h的急性睡眠剥夺,在睡眠剥夺前和后均进行静息态和针刺态的fMRI扫描,其中针刺态为双侧神门穴的得气刺激。随后,应用图论算法结合fMRI技术,以大脑皮层下海马为感兴趣区,比较睡眠剥夺前后海马功能的拓扑属性变化,以及针刺神门穴对海马功能的即刻影响。结果在经历急性睡眠剥夺后,右侧海马头在静息态下的节点效率值会显著升高;在睡眠剥夺前,针刺双侧神门穴可以显著提升右侧海马头的节点效率值;在经历24 h急性睡眠剥夺后,针刺双侧神门穴可以显著降低右侧海马头的节点效率值。结论针刺神门穴可以对睡眠剥夺前、后海马功能进行双向调控,这可能是神门穴缓解睡眠障碍的潜在脑机制。 展开更多
关键词 神门穴 睡眠剥夺 海马 功能磁共振技术(fMRI) 图论 双向调控
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机器学习在孤独谱系障碍早期筛查与诊断中的研究进展
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作者 常佳 孟凡超 +3 位作者 郑毅 赵佳 田音 陈旭 《发育医学电子杂志》 2026年第1期58-64,共7页
目的孤独症谱系障碍(autism spectrum disorder,ASD)是一种神经发育障碍,多发生于生命早期。该疾病的全球共识为发现和干预越早,康复效果越显著,后期预后越好。然而,目前临床常用的筛查及诊断量表评价法有一定的局限性和主观性,可能会... 目的孤独症谱系障碍(autism spectrum disorder,ASD)是一种神经发育障碍,多发生于生命早期。该疾病的全球共识为发现和干预越早,康复效果越显著,后期预后越好。然而,目前临床常用的筛查及诊断量表评价法有一定的局限性和主观性,可能会导致误诊或漏诊。随着机器学习的迅速发展,医疗领域也加大了对智能化的探索,使用机器学习对ASD进行早期筛查逐渐成为可能,增加了诊断的客观性及可信性。本文对机器学习在ASD早期筛查与诊断中的应用研究进行综述,希望为我国ASD儿童的智能化早期筛查与干预手段提供参考。 展开更多
关键词 孤独症谱系障碍 早期筛查 机器学习 深度学习 智能化
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北京地区变应性鼻炎患者血清sIgE检测结果分析
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作者 张子然 李雅 +2 位作者 黄秀霞 马明睿 安立 《标记免疫分析与临床》 2026年第1期15-19,157,共6页
目的分析北京地区变应性鼻炎患者血清特异性免疫球蛋白E(specific immunoglobulin E,sIgE)的检测结果及分布特征,以期为该地区变应性鼻炎患者的诊断及预防提供帮助。方法将2019年1月至2024年2月于首都医科大学附属北京朝阳医院确诊变应... 目的分析北京地区变应性鼻炎患者血清特异性免疫球蛋白E(specific immunoglobulin E,sIgE)的检测结果及分布特征,以期为该地区变应性鼻炎患者的诊断及预防提供帮助。方法将2019年1月至2024年2月于首都医科大学附属北京朝阳医院确诊变应性鼻炎并行sIgE检测的3816例患者纳入统计,采用荧光免疫法进行检测,从年龄、性别、季节3个方面进行回顾性分析。结果血清sIgE检测总体阳性率为30.01%,阳性率排名前3位的过敏原依次为e1(66.38%)、e5(43.54%)、w6(36.29%);总体及e1、ex1、mx23项sIgE在不同年龄间的差异具有统计学意义(P<0.001);男性组与女性组sIgE检测的阳性率差异无统计学意义(P>0.05);总体、wx5、d2、tx5、ex1、i6的sIgE检测阳性率在不同季节间差异存在统计学意义(P<0.05)。结论北京地区变应性鼻炎患者血清sIgE检测结果呈现以下特点:吸入性过敏原为主,未成年人阳性率高、秋季易发。 展开更多
关键词 变应性鼻炎 特异性免疫球蛋白E 过敏原
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