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后鞘后经脐缘单孔腹腔镜完全腹膜外腹股沟疝修补术:500例回顾性分析 被引量:12
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作者 王廷峰 吴卫东 +4 位作者 陈军杰 唐健松 于鹤 黄亮亮 张一忠 《复旦学报(医学版)》 CAS CSCD 北大核心 2022年第5期697-703,共7页
目的探讨后鞘后入路,经脐缘单孔腹腔镜完全腹膜外腹股沟疝修补术(single incision laparoscopic totally extraperitoneal hernia repair,SIL-TEP)的安全性、有效性,以及术后生活质量和满意度。方法回顾性分析2019年12月—2021年12月在... 目的探讨后鞘后入路,经脐缘单孔腹腔镜完全腹膜外腹股沟疝修补术(single incision laparoscopic totally extraperitoneal hernia repair,SIL-TEP)的安全性、有效性,以及术后生活质量和满意度。方法回顾性分析2019年12月—2021年12月在4家医院施行的后鞘后入路SIL-TEP患者的临床资料,分别采用卡罗莱纳舒适量表、数值评定量表和手术切口满意测评问卷来评定生活质量、手术满意度和切口美容效果。结果共纳入500例患者,其中男性450例、女性50例,平均手术时间:单侧56.6 min,双侧77.2 min。术中并发症中,腹膜破损150例,精索血管损伤4例,无大血管、输精管、肠管和膀胱损伤,无一例中转为常规腹腔镜手术。术后并发症中,血清肿28例,血肿5例,阴囊水肿19例,尿潴留2例,切口感染3例。术后6、24和48 h平均疼痛视觉模拟评分依次为2.6、1.7和0.6。术后半年生活质量量表中各项平均得分依次为:异物感0.008,疼痛0.016,活动受限0.002;手术满意度5分者479例,美容满意度平均9.9。平均随访13.9个月,期间疝复发3例,无切口疝和补片感染。结论后鞘后经脐缘SILTEP安全可行,而且在术后疼痛、生活质量和手术瘢痕等方面能够达到令人满意的效果。 展开更多
关键词 腹股沟疝 单孔腹腔镜手术 完全腹膜外 后鞘后入路
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Novel index for the prediction of significant liver fibrosis and cirrhosis in chronic hepatitis B patients in China 被引量:6
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作者 Min-Jun Liao Jun Li +8 位作者 Wei Dang Dong-Bo Chen Wan-Ying Qin Pu Chen Bi-Geng Zhao Li-Ying Ren ting-feng Xu Hong-song Chen Wei-Jia Liao 《World Journal of Gastroenterology》 SCIE CAS 2022年第27期3503-3513,共11页
BACKGROUND Noninvasive,practical,and convenient means of detection for the prediction of liver fibrosis and cirrhosis in China are greatly needed.AIM To develop a precise noninvasive test to stage liver fibrosis and c... BACKGROUND Noninvasive,practical,and convenient means of detection for the prediction of liver fibrosis and cirrhosis in China are greatly needed.AIM To develop a precise noninvasive test to stage liver fibrosis and cirrhosis.METHODS With liver biopsy as the gold standard,we established a new index,[alkaline phosphatase(U/L)+gamma-glutamyl transpeptidase(U/L)/platelet(109/L)(AGPR)],to predict liver fibrosis and cirrhosis.In addition,we compared the area under the receiver operating characteristic curve(AUROC)of AGPR,gammaglutamyl transpeptidase to platelet ratio,aspartate transaminase to platelet ratio index,and FIB-4 and evaluated the accuracy of these routine laboratory indices in predicting liver fibrosis and cirrhosis.RESULTS Correlation analysis revealed a significant positive correlation between AGPR and liver fibrosis stage(P<0.001).In the training cohort,the AUROC of AGPR was 0.83(95%CI:0.78-0.87)for predicting fibrosis(≥F2),0.84(95%CI:0.79-0.88)for predicting extensive fibrosis(≥F3),and 0.87(95%CI:0.83-0.91)for predicting cirrhosis(F4).In the validation cohort,the AUROCs of AGPR to predict≥F2,≥F3 and F4 were 0.83(95%CI:0.77-0.88),0.83(95%CI:0.77-0.89),and 0.84(95%CI:0.78-0.89),respectively.CONCLUSION The AGPR index should become a new,simple,accurate,and noninvasive marker to predict liver fibrosis and cirrhosis in chronic hepatitis B patients. 展开更多
关键词 Liver FIBROSIS CIRRHOSIS PREDICTION Novel noninvasive marker Chronic hepatitis B
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Radiomics model based on contrast-enhanced computed tomography to predict early recurrence in patients with hepatocellular carcinoma after radical resection 被引量:2
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作者 Shu-Qun Li Li-Li Su +7 位作者 ting-feng Xu Li-Ying Ren Dong-Bo Chen Wan-Ying Qin Xuan-Zhi Yan Jia-Xing Fan Hong-song Chen Wei-Jia Liao 《World Journal of Gastroenterology》 SCIE CAS 2023年第26期4186-4199,共14页
BACKGROUND Radical resection remains an effective strategy for patients with hepatocellular carcinoma(HCC).Unfortunately,the postoperative early recurrence(recurrence within 2 years)rate is still high.AIM To develop a... BACKGROUND Radical resection remains an effective strategy for patients with hepatocellular carcinoma(HCC).Unfortunately,the postoperative early recurrence(recurrence within 2 years)rate is still high.AIM To develop a radiomics model based on preoperative contrast-enhanced computed tomography(CECT)to evaluate early recurrence in HCC patients with a single tumour.METHODS We enrolled a total of 402 HCC patients from two centres who were diagnosed with a single tumour and underwent radical resection.First,the features from the portal venous and arterial phases of CECT were extracted based on the region of interest,and the early recurrence-related radiomics features were selected via the least absolute shrinkage and selection operator proportional hazards model(LASSO Cox)to determine radiomics scores for each patient.Then,the clinicopathologic data were combined to develop a model to predict early recurrence by Cox regression.Finally,we evaluated the prediction performance of this model by multiple methods.RESULTS A total of 1915 radiomics features were extracted from CECT images,and 31 of them were used to determine the radiomics scores,which showed a significant difference between the early recurrence and nonearly recurrence groups.Univariate and multivariate Cox regression analyses showed that radiomics scores and serum alphafetoprotein were independent indicators,and they were used to develop a combined model to predict early recurrence.The area under the receiver operating characteristic curve values for the training and validation cohorts were 0.77 and 0.74,respectively,while the C-indices were 0.712 and 0.674,respectively.The calibration curves and decision curve analysis showed satisfactory accuracy and clinical utilities.Kaplan-Meier curves based on recurrence-free survival and overall survival showed significant differences.CONCLUSION The preoperative radiomics model was shown to be effective for predicting early recurrence among HCC patients with a single tumour. 展开更多
关键词 Hepatocellular carcinoma Contrast-enhanced computed tomography Radiomics Early recurrence
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新冠肺炎疫情下医学生心理健康状况及行为认知调查 被引量:4
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作者 余青秧 戴杰 +4 位作者 汪庭枫 李旭冬 宋畅 方婷婷 项海飞 《医院管理论坛》 2020年第11期68-71,共4页
目的了解新冠肺炎疫情下医学生心理状况和行为认知改变情况,为疫情下制定学生疫情防范、复学管理、心理干预等策略提供依据。方法基于微信、QQ等互联网平台,采用滚雪球抽样法邀请研究对象,被邀请者在线填写调查问卷。采用自编问卷和症... 目的了解新冠肺炎疫情下医学生心理状况和行为认知改变情况,为疫情下制定学生疫情防范、复学管理、心理干预等策略提供依据。方法基于微信、QQ等互联网平台,采用滚雪球抽样法邀请研究对象,被邀请者在线填写调查问卷。采用自编问卷和症状自评量表(SCL-90)调查和比较医学生、非医学生的心理状态及行为认知变化。结果医学生和非医学生对疫情的认知及应对方式存在差异;SCL-90评价结果显示,医学生的抑郁、焦虑等9个因子得分全部低于非医学生评分。此外,大部分医学生对学医持积极态度,极个别有消极情绪。结论相比非医学专业学生,医学生有更好的心理承受能力和应对能力。 展开更多
关键词 新冠肺炎 医学生 行为认知 症状自评量表
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激光多普勒振动信号的时频分析 被引量:2
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作者 陈鸿凯 王挺峰 +3 位作者 吴世松 李远洋 郭劲 吴浩 《中国光学》 EI CAS CSCD 北大核心 2020年第5期1014-1022,共9页
激光多普勒雷达实际测得的振动信号绝大多数都是时变信号,而基于傅立叶变换的时频分析方法是处理时变信号的有利工具。本文针对激光多普勒雷达测得的实际振动信号,比较了魏格纳-维利分布、平滑伪魏格纳-维利分布、频谱图、波恩-约旦分... 激光多普勒雷达实际测得的振动信号绝大多数都是时变信号,而基于傅立叶变换的时频分析方法是处理时变信号的有利工具。本文针对激光多普勒雷达测得的实际振动信号,比较了魏格纳-维利分布、平滑伪魏格纳-维利分布、频谱图、波恩-约旦分布和扩展修正B分布5种形式的时频分析性能。利用激光多普勒雷达测量实际单音响产生的啁啾信号振动、双音响产生的二分量啁啾信号振动、以及成年男性心跳振动3种振动,分析了时频图的分辨率和交叉项抑制情况,并通过计算时频聚集度指数,比较了5种分布情况下振动的分析性能。实验证明,扩展修正B分布的性能优于其他4种时频分布,扩展修正B分布更适合应用于激光多普勒雷达材料共振频率探测和心跳检测领域。 展开更多
关键词 时频分析 激光多普勒测量 扩展修正B分布
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Research on separation and enhancement of speech micro-vibration from macro motion 被引量:2
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作者 CHEN Hong-kai WANG ting-feng +1 位作者 WU Shi-song LI Yuan-yang 《Optoelectronics Letters》 EI 2020年第6期462-466,共5页
Based on the 1 550 nm all-fiber pulsed laser Doppler vibrometer(LDV) system independently developed by our laboratory, empirical mode decomposition(EMD) and optimally modified Log-spectral amplitude estimator(OM-LSA) ... Based on the 1 550 nm all-fiber pulsed laser Doppler vibrometer(LDV) system independently developed by our laboratory, empirical mode decomposition(EMD) and optimally modified Log-spectral amplitude estimator(OM-LSA) algorithms are associated to separate the speech micro-vibration from the target macro motion. This combined algorithm compensates for the weakness of the EMD algorithm in denoising and the inability of the OM-LSA algorithm on signal separation, achieving separation and simultaneous acquisition of the macro motion and speech micro-vibration of a target. The experimental results indicate that using this combined algorithm, the LDV system can functionally operate within 30 m and gain a 4.21 d B promotion in the signal-to-noise ratio(SNR) relative to a traditional OM-LSA algorithm. 展开更多
关键词 Doppler LDV LSA EMD Research on separation and enhancement of speech micro-vibration from macro motion
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Interfacial microstructure and mechanical properties of diffusion-bonded joints of titanium TC4 (Ti-6Al-4V) and Kovar (Fe-29Ni-17Co) alloys 被引量:1
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作者 ting-feng song Xiao-song Jiang +5 位作者 Zhen-yi Shao De-feng Mo De-gui Zhu Min-hao Zhu Christina H.Young Zhi-ping Luo 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2017年第10期1023-1031,共9页
Diffusion bonding is a near net shape forming process that can join dissimilar materials through atomic diffusion under a high pressure at a high temperature.Titanium alloy TC4(Ti-6 Al-4 V)and 4 J29 Kovar alloy(Fe-... Diffusion bonding is a near net shape forming process that can join dissimilar materials through atomic diffusion under a high pressure at a high temperature.Titanium alloy TC4(Ti-6 Al-4 V)and 4 J29 Kovar alloy(Fe-29 Ni-17 Co)were diffusely bonded by a vacuum hot-press sintering process in the temperature range of 700-850°C and bonding time of 120 min,under a pressure of 34.66 MPa.Interfacial microstructures and intermetallic compounds of the diffusion-bonded joints were characterized by optical microscopy,scanning electron microscopy,X-ray diffraction(XRD)and energy dispersive spectroscopy(EDS).The elemental diffusion across the interface was revealed by electron probe microanalysis.Mechanical properties of joints were investigated by micro Vickers hardness and tensile strength.Results of EDS and XRD indicated that(Fe,Co,Ni)-Ti,TiNi,Ti_2Ni,TiNi_2,Fe_2 Ti,Ti_(17) Mn_3 and Al_6 Ti_(19) were formed at the interface.When the bonding temperature was raised from 700 to 850°C,the voids of interface were reduced and intermetallic layers were widened.Maximum tensile strength of joints at 53.5 MPa was recorded by the sintering process at 850°C for 120 min.Fracture surface of the joint indicated brittle nature,and failure took place through interface of intermetallic compounds.Based on the mechanical properties and microstructure of the diffusion-bonded joints,diffusion mechanisms between Ti-6 Al-4 Vtitanium and Fe-29 Ni-17 Co Kovar alloys were analyzed in terms of elemental diffusion,nucleation and growth of grains,plastic deformation and formation of intermetallic compounds near the interface. 展开更多
关键词 Titanium alloy Kovar alloy Diffusion-bonded joint Microstructure Mechanical property
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An improved arctangent algorithm based on phase-locked loop for heterodyne detection system 被引量:1
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作者 Chun-Hui Yan ting-feng Wang +2 位作者 Yuan-Yang Li Tao Lv Shi-song Wu 《Chinese Physics B》 SCIE EI CAS CSCD 2019年第3期141-148,共8页
We present an ameliorated arctangent algorithm based on phase-locked loop for digital Doppler signal processing,utilized within the heterodyne detection system. We define the error gain factor given by the approximati... We present an ameliorated arctangent algorithm based on phase-locked loop for digital Doppler signal processing,utilized within the heterodyne detection system. We define the error gain factor given by the approximation of Taylor expansion by means of a comparison of the measured values and true values. Exact expressions are derived for the amplitude error of two in-phase & quadrature signals and the frequency error of the acousto-optic modulator. Numerical simulation results and experimental results make it clear that the dynamic instability of the intermediate frequency signals leads to cumulative errors, which will spiral upward. An improved arctangent algorithm for the heterodyne detection is proposed to eliminate the cumulative errors and harmonic components. Depending on the narrow-band filter, our experiments were performed to realize the detectable displacement of 20 nm at a detection distance of 20 m. The aim of this paper is the demonstration of the optimized arctangent algorithm as a powerful approach to the demodulation algorithm, which will advance the signal-to-noise ratio and measurement accuracy of the heterodyne detection system. 展开更多
关键词 HETERODYNE detection LASER applications arctangent ALGORITHM phase-locked LOOP
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基于子网络的项目群工期延误惩罚模型研究 被引量:10
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作者 汪玉亭 张可 +2 位作者 丰景春 薛松 崔敬浩 《运筹与管理》 CSSCI CSCD 北大核心 2017年第6期191-199,共9页
针对现有项目群工期延误惩罚模型较少研究工期延误产生的局部与整体效应,通过引入项目群的子网络,构建了基于子网络的项目群结构。在此基础上,采用关键路径方法(CPM),分别研究了因承包人原因导致的子网络之间和子网络内项目工期延误对... 针对现有项目群工期延误惩罚模型较少研究工期延误产生的局部与整体效应,通过引入项目群的子网络,构建了基于子网络的项目群结构。在此基础上,采用关键路径方法(CPM),分别研究了因承包人原因导致的子网络之间和子网络内项目工期延误对项目群所带来的影响,并构建了基于子网络的项目群工期延误惩罚模型。结合Z项目群,对子网络之间和子网络内的工期延误惩罚模型进行了实例分析。 展开更多
关键词 项目群 子网络 工期延误 关键路径法(CPM) 惩罚模型
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基于LDOF准则的自适应高斯后端语种识别方法 被引量:3
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作者 叶中付 戚婷 +1 位作者 李赛峰 宋彦 《通信学报》 EI CSCD 北大核心 2017年第4期17-24,共8页
针对由语种类内多样性引起的测试样本和训练模型不匹配的问题,提出一种基于局部距离离群因子准则(LDOF,local distance-based outlier factor)的自适应高斯后端语种识别方法。定义LDOF准则,实现有效的参数寻优过程并动态地在多类语种训... 针对由语种类内多样性引起的测试样本和训练模型不匹配的问题,提出一种基于局部距离离群因子准则(LDOF,local distance-based outlier factor)的自适应高斯后端语种识别方法。定义LDOF准则,实现有效的参数寻优过程并动态地在多类语种训练集上挑选出与测试样本特性相近的训练样本,调整原高斯后端,进而得到改进的语种识别方法。在NIST LRE 2009的6个易混淆语种任务集上的实验结果表明,所提方法的等错误概率(EER,equal error rate)和平均检测代价有显著提升。 展开更多
关键词 语种识别 类内多样性 自适应高斯后端 LDOF
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