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Effect of Acupuncture on Outcomes of in vitro Fertilisation:A Scoping Review

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Chinese Journal of Integrative Medicine 2022年第5期28卷 472-480页

作者： XIU Wen-cui GANG Wei-juan JIAO Rui-min shi Lan-jun YANG Ji-wei JING Xiang-hong shi Xiao-shuang Institute of Acupuncture and Moxibustion China Academy of Chinese Medical SciencesBeijing(100700)China

Objectives:To identify,examine and summarize the available evidence on the effectiveness and safety of acupuncture for in vitro fertilisation(IVF)***:Eight electronic databases,including Pub Med,EMBASE,Cochrane Database of Systematic Review,Cochrane Central Register of Controlled Trials,China National Knowledge Infrastructure,Wanfang Database,Chinese Biomedical Database and VIP Database,were searched,supplemented by manual *** researchers independently conducted the literature screening,data extraction,and methodological quality assessments.A narrative description was provided to show the general information and specific characteristics of the included studies.A bubble plot was used to visually display the overall effects of acupuncture on IVF ***:Eighty-two studies were identified,including 64 primary studies and 18 systematic *** electrical acupoint stimulation,electric acupuncture and manual acupuncture were applied in most studies and compared with no acupuncture,sham acupuncture and placebo acupuncture control ***-three(98.4%)primary studies reported clinical pregnancy rate,and positive effects of acupuncture were found in 34 studies(54.0%).Live birth rate was reported in only 18(28.1%)primary studies,of which 10(55.6%)showed positive *** addition,only 8 and 2 systematic reviews showed that acupuncture could increase clinical pregnancy events and live birth events,***,none of these reviews was of high methodological ***:Available evidence suggests that acupuncture therapy could improve clinical pregnancy ***,whether acupuncture could increase live birth events was difficult to determine based on the few studies that have reported this outcome ***,the methodological quality of most systematic reviews was assessed as critically low or *** with a rigorous design and standardized implementation should be performed to refine the

关键词： acupuncture in vitro fertilisation clinical pregnancy rate live birth rate scoping review

慢性心衰患者家庭功能现状及相关影响因素分析

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罕少疾病杂志 2024年第9期31卷 153-155页

作者：石爽刘腊梅孟犁南黄杰秦燕郑州大学护理与健康学院河南郑州450001 南阳市中心医院心血管内科心衰病区河南郑州473005

目的探究慢性心衰患者家庭功能现状及相关影响因素。方法选取我院2023年6月-2024年2月收治的符合纳入排除标准的204例慢性心衰患者进行研究。以问卷调查法获取204组家庭一般情况及家庭功能现状,Logistic回归分析慢性心衰患者家庭功能... 详细信息

目的探究慢性心衰患者家庭功能现状及相关影响因素。方法选取我院2023年6月-2024年2月收治的符合纳入排除标准的204例慢性心衰患者进行研究。以问卷调查法获取204组家庭一般情况及家庭功能现状,Logistic回归分析慢性心衰患者家庭功能的相关影响因素。结果 204例慢性心衰患者家庭功能评分为(148.56±45.32)分,其中≥180分的患者共计67例,纳入障碍组,0.05)。将慢性心衰患者家庭功能障碍组=1,良好组=0作为因变量,将上述差异显著指标作为自变量,进行Logistic回归分析,结果显示,学历、婚姻情况、退休、因心衰住院次数、合并症、心理弹性评分、家庭负担评分、社会支持评分均是慢性心衰患者家庭功能的影响因素。结论慢性心衰患者家庭功能较差,学历、婚姻情况、退休、因心衰住院次数、合并症、心理弹性评分、家庭负担评分、社会支持评分是慢性心衰患者家庭功能的影响因素,与家庭功能较差有关,可为临床上该疾病的护理提供方向。

关键词：慢性心衰家庭功能影响因素

建筑项目EPC总承包模式下工程造价控制措施

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建筑技术开发 2024年第4期51卷 92-94页

作者：李富尧卢万龙杜卫恒石爽中建二局第一建筑工程有限公司北京100176

建筑项目EPC总承包模式是一种集设计、采购、施工于一体的工程管理模式,旨在提高工程建设效率和降低成本。为保证建筑项目的顺利实施,设计建筑项目EPC总承包模式下的工程造价控制措施。在研究EPC总承包项目管理流程的基础上优化组织形式... 详细信息

建筑项目EPC总承包模式是一种集设计、采购、施工于一体的工程管理模式,旨在提高工程建设效率和降低成本。为保证建筑项目的顺利实施,设计建筑项目EPC总承包模式下的工程造价控制措施。在研究EPC总承包项目管理流程的基础上优化组织形式,通过计算建筑项目的承包特征量实现建筑项目工程设计与管理。试验结果表明,在A、B、C3种不同的建筑项目中应用造价控制措施,可以保证实际造价不超过预期造价,且后续建筑项目能够顺利实施。

关键词： EPC总承包模式承包特征量预期造价

A Knowledge-enhanced Two-stage Generative Framework for Medical Dialogue Information Extraction

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Machine Intelligence Research 2024年第1期21卷 153-168页

作者： Zefa Hu Ziyi Ni Jing shi shuang Xu Bo Xu School of Artificial Intelligence University of Chinese Academy of SciencesBeijing 100049China Institute of Automation Chinese Academy of SciencesBeijing 100190China

This paper focuses on term-status pair extraction from medical dialogues(MD-TSPE),which is essential in diagnosis dia-logue systems and the automatic scribe of electronic medical records(EMRs).In the past few years,works on MD-TSPE have attracted increasing research attention,especially after the remarkable progress made by generative ***,these generative methods output a whole sequence consisting of term-status pairs in one stage and ignore integrating prior knowledge,which demands a deeper un-derstanding to model the relationship between terms and infer the status of each *** paper presents a knowledge-enhanced two-stage generative framework(KTGF)to address the above *** task-specific prompts,we employ a single model to com-plete the MD-TSPE through two phases in a unified generative form:We generate all terms the first and then generate the status of each generated *** this way,the relationship between terms can be learned more effectively from the sequence containing only terms in the first phase,and our designed knowledge-enhanced prompt in the second phase can leverage the category and status candidates of the generated term for status ***,our proposed special status"not mentioned"makes more terms available and en-riches the training data in the second phase,which is critical in the low-resource *** experiments on the Chunyu and CMDD datasets show that the proposed method achieves superior results compared to the state-of-the-art models in the full training and low-re-sourcesettings.

关键词： Medical dialogue understanding information extraction text generation knowledge-enhanced prompt low-resource setting dataaugmentation

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基于极限学习机的超短期电力负荷度量研究

电子设计工程 2024年第4期32卷 172-175,180页

作者：何大可荣功立姚岱州马浩原史爽成都信息工程大学自动化学院四川成都610095 国网四川省营销服务中心四川成都610046

针对电力负荷超短期输出数据相似度较高导致输出结果不精准的问题,提出基于极限学习机的超短期电力负荷度量方法。基于极限学习机网络计算电力负荷度量偏差,最大程度消除冗余数据。以负荷影响因素为模型输入,以负荷为模型输出,在相似性... 详细信息

针对电力负荷超短期输出数据相似度较高导致输出结果不精准的问题,提出基于极限学习机的超短期电力负荷度量方法。基于极限学习机网络计算电力负荷度量偏差,最大程度消除冗余数据。以负荷影响因素为模型输入,以负荷为模型输出,在相似性原则下,读取历史负荷数据。利用激活Sigmoid函数平滑处理样本数据,设置切换准则,设计极限学习机度量过程,完成超短期电力负荷度量。由实验结果可知,该方法 12月21日、12月25日电力负荷的波动范围分别为0~600 kW、0~1 300 kW,与实际数据存在较小的偏差,具有精准度量结果,受数据相似度影响较小。

关键词：极限学习机超短期电力负荷负荷度量 Sigmoid函数

基于灰色关联度聚类分析与DRG的公立医院科室综合运营能力的评价研究

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现代医院管理 2024年第1期22卷 12-18页

作者：陆云飞水黎明史双璐李一萍胡岳宁波大学附属第一医院浙江省宁波市315010 宁波市鄞州区卫生健康局浙江省宁波市315100

目的在疾病诊断相关分组(DRG)付费政策下,多维度构建公立医院内科和外科的综合运营管理能力评价体系,为规划学科发展方向和提升综合实力提出管理建议及参考。方法确定并收集2021年1—12月内科4个一级指标17个二级指标,外科5个一级指标2... 详细信息

目的在疾病诊断相关分组(DRG)付费政策下,多维度构建公立医院内科和外科的综合运营管理能力评价体系,为规划学科发展方向和提升综合实力提出管理建议及参考。方法确定并收集2021年1—12月内科4个一级指标17个二级指标,外科5个一级指标24个二级指标,运用灰色关联法计算综合运营能力的关联度并对科室进行排序,进一步通过聚类分析法对各个科室的综合运营能力进行综合评价和分类管理。结果按综合运营能力不同,14个内科科室分为两类,11个外科科室分为三类。结论不同科室综合运营能力有明显差异,需采用不同管理策略激励学科发展,提升综合医疗与运营水平。

关键词： DRGs 综合运营管理能力灰色关联度聚类分析科室评价

“The Iron Army from Wumeng”——One Story about Chinese Soldiers in Sichuan Earthquake

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The Journal of Human Rights 2008年第4期7卷 13-16页

作者： shuang shi

At 14：28 hours （Beijing time） of May 12, 2008, a magnitude 8 earthquake jolted nearly half of *** eight hours had passed before a regiment of the Chinese People＇s Liberation Army （PLA） left its base for the hardest-hit Sichuan Province to save lives. The No. 18 Artillery Regiment of the PLA 14th Army Group Corps arrived in Chengdu, the provincial capital, the following day. alighting from the at 18：00 hours of Immediately after train, officers and soldiers of the regiment were ordered to head for Mianzhu County just a few dozen kilometers from Wenchuan County, the epicenter, where up to 80% of the buildings had collapsed.

关键词： One Story about Chinese Soldiers in Sichuan Earthquake The Iron Army from Wumeng down

Clinical features and prognostic factors of duodenal neuroendocrine tumours:A comparative study of ampullary and nonampullary regions

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World Journal of Gastrointestinal Oncology 2024年第3期16卷 907-918页

作者： Sa Fang Yu-Peng shi Lu Wang shuang Han Yong-Quan shi Department of Gastroenterology Honghui HospitalXi’an Jiaotong UniversityXi'an 710054Shanxi ProvinceChina Department of Gastroenterology The Second Affiliated Hospital of Xi’an Jiaotong UniversityXi’an 710032Shaanxi ProvinceChina Department of Gastroenterology Xijing Hospital Affiliated to Air Force Medical UniversityXi'an 710032Shaanxi ProvinceChina

BACKGROUND Duodenal neuroendocrine tumours(DNETs)are rare ***,the incidence of DNETs has been increasing in recent years,especially as an incidental finding during endoscopic ***,there is no consensus regarding the ideal treatment of *** there are few studies on the clinical features and survival analysis of *** To analyze the clinical characteristics and prognostic factors of patients with duodenal neuroendocrine *** The clinical data of DNETs diagnosed in the First Affiliated Hospital of Air Force Military Medical University from June 2011 to July 2022 were ***-docrine tumours located in the ampulla area of the duodenum were divided into the ampullary region group;neuroendocrine tumours in any part of the duo-denum outside the ampullary area were divided into the nonampullary region *** a retrospective study,the clinical characteristics of the two groups and risk factors affecting the survival of DNET patients were *** Twenty-nine DNET patients were *** male to female ratio was 1:1.9,and females comprised the *** ampullary region group accounted for 24.1%(7/29),while the nonampullary region group accounted for 75.9%(22/29).When diagnosed,the clinical symptoms of the ampullary region group were mainly abdominal pain(85.7%),while those of the nonampullary region groups were mainly abdominal distension(59.1%).There were differences in the composition of staging of tumours between the two groups(Fisher's exact probability method,P=0.001),with nonampullary stage II tumours(68.2%)being the main stage(P<0.05).After the diagnosis of DNETs,the survival rate of the ampullary region group was 14.3%(1/7),which was lower than that of 72.7%(16/22)in the nonampullary region group(Fisher's exact probability method,P=0.011).The survival time of the ampullary region group was shorter than that of the nonampullary region group(P<0.000).The median survival time of the ampullary

关键词： Duodenum Neuroendocrine Tumour Ampullary Nonampullary Clinical features Prognostic

通督调神针法影响卒中后癫痫脑血流动力学及氧自由基的临床研究

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广州中医药大学学报 2024年第9期41卷 2246-2253页

作者：石建爽王小寅李敏苏美銮邹汉宏广州中医药大学第五临床医学院广东广州510095 广东省第二中医院广东广州510095

【目的】探讨通督调神针法对卒中后癫痫(post-strokeepilepsy,PSE)患者的脑血流动力学及氧自由基的效应。【方法】将60例PSE患者随机分为治疗组和对照组,每组各30例。2组患者均给予降脂、控压、控糖、抗血小板等基础治疗,对照组同时给... 详细信息

【目的】探讨通督调神针法对卒中后癫痫(post-strokeepilepsy,PSE)患者的脑血流动力学及氧自由基的效应。【方法】将60例PSE患者随机分为治疗组和对照组,每组各30例。2组患者均给予降脂、控压、控糖、抗血小板等基础治疗,对照组同时给予丙戊酸钠缓释片治疗,治疗组在对照组的基础上给予通督调神针法(以百会、神庭、水沟、风府、风池等为主穴)治疗,1个月为1个疗程,共治疗3个疗程。观察2组患者治疗前后癫痫发作次数、脑电图严重程度和经颅多普勒(TCD)检测的双侧大脑前动脉、大脑中动脉、大脑后动脉收缩期峰值流速(Vs)、舒张期末血流速度(Vd)等脑血流动力学指标以及外周血丙二醛(MDA)、羟自由基(OH)、脂质过氧化物(LPO)、超氧化物歧化酶(SOD)等氧自由基的变化情况,并评价2组患者的临床疗效和安全性。【结果】(1)疗效方面,治疗3个月后,治疗组的总有效率为93.33%(28/30),对照组为73.33%(23/30),组间比较(χ^(2)检验),治疗组的疗效明显优于对照组(P<0.05)。(2)癫痫发作频次方面,治疗后,2组患者的癫痫月平均发作频次均较治疗前减少(P<0.05),且治疗组的减少程度明显优于对照组(P<0.05)。(3)脑电图严重程度分级方面,治疗后,2组患者的脑电图严重程度分级情况均较治疗前明显改善(P<0.05),且治疗组的改善程度明显优于对照组(P<0.05)。(4)氧自由基水平方面,治疗后,2组患者的外周血MDA、OH、LPO水平均较治疗前降低(P<0.05),外周血SOD水平均较治疗前升高(P<0.05),且治疗组对外周血MDA、OH、LPO水平的降低幅度及对外周血SOD水平的升高幅度均明显优于对照组(P<0.05或P<0.01)。(5)脑血流动力学指标方面,治疗后,2组患者的左右侧大脑前动脉、大脑中动脉、大脑后动脉的Vs、Vd值均较治疗前升高(P<0.05),且治疗组的升高幅度均明显优于对照组,差异均有统计学意义(P<0.05)。(6)安全性方面,治疗过程中,2组患者均未出现晕针、滞针、出血及皮疹等情况,具有较高的安全性。【结论】通督调神针法可明显减少PSE发作频率,改善癫痫脑电图严重程度,其治疗机制可能与降低氧自由基水平、改善脑血流动力学相关。

关键词：通督调神针法卒中后癫痫(PSE) 脑血流动力学氧自由基百会穴神庭穴