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Self-adaptive learning based discrete differential evolution algorithm for solving CJWTA problem 被引量:6
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作者 Yu Xue Yi Zhuang +2 位作者 Tianquan Ni Siru Ni Xuezhi Wen 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2014年第1期59-68,共10页
Cooperative jamming weapon-target assignment (CJWTA) problem is a key issue in electronic countermeasures (ECM). Some symbols which relevant to the CJWTA are defined firstly. Then, a formulation of jamming fitness... Cooperative jamming weapon-target assignment (CJWTA) problem is a key issue in electronic countermeasures (ECM). Some symbols which relevant to the CJWTA are defined firstly. Then, a formulation of jamming fitness is presented. Final y, a model of the CJWTA problem is constructed. In order to solve the CJWTA problem efficiently, a self-adaptive learning based discrete differential evolution (SLDDE) algorithm is proposed by introduc-ing a self-adaptive learning mechanism into the traditional discrete differential evolution algorithm. The SLDDE algorithm steers four candidate solution generation strategies simultaneously in the framework of the self-adaptive learning mechanism. Computa-tional simulations are conducted on ten test instances of CJWTA problem. The experimental results demonstrate that the proposed SLDDE algorithm not only can generate better results than only one strategy based discrete differential algorithms, but also outper-forms two algorithms which are proposed recently for the weapon-target assignment problems. 展开更多
关键词 global optimization self-adaptive discrete differentialevolution weapon-target assignment (WTA) cooperative jamming.
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Self-adaptive PID controller of microwave drying rotary device tuning on-line by genetic algorithms 被引量:6
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作者 杨彪 梁贵安 +5 位作者 彭金辉 郭胜惠 李玮 张世敏 李英伟 白松 《Journal of Central South University》 SCIE EI CAS 2013年第10期2685-2692,共8页
The control design, based on self-adaptive PID with genetic algorithms(GA) tuning on-line was investigated, for the temperature control of industrial microwave drying rotary device with the multi-layer(IMDRDWM) and wi... The control design, based on self-adaptive PID with genetic algorithms(GA) tuning on-line was investigated, for the temperature control of industrial microwave drying rotary device with the multi-layer(IMDRDWM) and with multivariable nonlinear interaction of microwave and materials. The conventional PID control strategy incorporated with optimization GA was put forward to maintain the optimum drying temperature in order to keep the moisture content below 1%, whose adaptation ability included the cost function of optimization GA according to the output change. Simulations on five different industrial process models and practical temperature process control system for selenium-enriched slag drying intensively by using IMDRDWM were carried out systematically, indicating the reliability and effectiveness of control design. The parameters of proposed control design are all on-line implemented without iterative predictive calculations, and the closed-loop system stability is guaranteed, which makes the developed scheme simpler in its synthesis and application, providing the practical guidelines for the control implementation and the parameter design. 展开更多
关键词 industrial microwave DRYING ROTARY device self-adaptive PID controller genetic algorithm ON-LINE tuning SELENIUM-ENRICHED SLAG
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Acid-pickling plates and strips speed control system by microwave heating based on self-adaptive fuzzy PID algorithm 被引量:7
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作者 杨彪 彭金辉 +3 位作者 郭胜惠 张世敏 李玮 何涛 《Journal of Central South University》 SCIE EI CAS 2012年第8期2179-2186,共8页
Double self-adaptive fuzzy PID algorithm-based control strategy was proposed to construct quasi-cascade control system to control the speed of the acid-pickling process of titanium plates and strips. It is very useful... Double self-adaptive fuzzy PID algorithm-based control strategy was proposed to construct quasi-cascade control system to control the speed of the acid-pickling process of titanium plates and strips. It is very useful in overcoming non-linear dynamic behavior, uncertain and time-varying parameters, un-modeled dynamics, and couples between the automatic turbulence control (ATC) and the automatic acid temperature control (AATC) with varying parameters during the operation process. The quasi-cascade control system of inner and outer loop self-adaptive fuzzy PID controller was built, which could effectively control the pickling speed of plates and strips. The simulated results and real application indicate that the plates and strips acid pickling speed control system has good performances of adaptively tracking the parameter variations and anti-disturbances, which ensures the match of acid pickling temperature and turbulence of flowing with acid pickling speed, improving the surface quality of plates and strips acid pickling, and energy efficiency. 展开更多
关键词 self-adaptive fuzzy PID algorithm microwave heating acid pickling plates and strips mixed-acid media
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An algorithm to remove noise from locomotive bearing vibration signal based on self-adaptive EEMD filter 被引量:4
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作者 王春生 沙春阳 +1 位作者 粟梅 胡玉坤 《Journal of Central South University》 SCIE EI CAS CSCD 2017年第2期478-488,共11页
An improved ensemble empirical mode decomposition(EEMD) algorithm is described in this work, in which the sifting and ensemble number are self-adaptive. In particular, the new algorithm can effectively avoid the mode ... An improved ensemble empirical mode decomposition(EEMD) algorithm is described in this work, in which the sifting and ensemble number are self-adaptive. In particular, the new algorithm can effectively avoid the mode mixing problem. The algorithm has been validated with a simulation signal and locomotive bearing vibration signal. The results show that the proposed self-adaptive EEMD algorithm has a better filtering performance compared with the conventional EEMD. The filter results further show that the feature of the signal can be distinguished clearly with the proposed algorithm, which implies that the fault characteristics of the locomotive bearing can be detected successfully. 展开更多
关键词 locomotive bearing vibration signal enhancement self-adaptive EEMD parameter-varying noise signal feature extraction
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An improved self-adaptive membrane computing optimization algorithm and its applications in residue hydrogenating model parameter estimation 被引量:1
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作者 芦会彬 薄翠梅 杨世品 《Journal of Central South University》 SCIE EI CAS CSCD 2015年第10期3909-3915,共7页
In order to solve the non-linear and high-dimensional optimization problems more effectively, an improved self-adaptive membrane computing(ISMC) optimization algorithm was proposed. The proposed ISMC algorithm applied... In order to solve the non-linear and high-dimensional optimization problems more effectively, an improved self-adaptive membrane computing(ISMC) optimization algorithm was proposed. The proposed ISMC algorithm applied improved self-adaptive crossover and mutation formulae that can provide appropriate crossover operator and mutation operator based on different functions of the objects and the number of iterations. The performance of ISMC was tested by the benchmark functions. The simulation results for residue hydrogenating kinetics model parameter estimation show that the proposed method is superior to the traditional intelligent algorithms in terms of convergence accuracy and stability in solving the complex parameter optimization problems. 展开更多
关键词 optimization algorithm membrane computing benchmark function improved self-adaptive operator
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An improved de-interleaving algorithm of radar pulses based on SOFM with self-adaptive network topology 被引量:2
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作者 JIANG Wen FU Xiongjun +1 位作者 CHANG Jiayun QIN Rui 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2020年第4期712-721,共10页
As a core part of the electronic warfare(EW) system,de-interleaving is used to separate interleaved radar signals. As interleaved radar pulses become more complex and denser, intelligent classification of radar signal... As a core part of the electronic warfare(EW) system,de-interleaving is used to separate interleaved radar signals. As interleaved radar pulses become more complex and denser, intelligent classification of radar signals has become very important. The self-organizing feature map(SOFM) is an excellent artificial neural network, which has huge advantages in intelligent classification of complex data. However, the de-interleaving process based on SOFM is faced with the problems that the initialization of the map size relies on prior information and the network topology cannot be adaptively adjusted. In this paper, an SOFM with self-adaptive network topology(SANT-SOFM) algorithm is proposed to solve the above problems. The SANT-SOFM algorithm first proposes an adaptive proliferation algorithm to adjust the map size, so that the initialization of the map size is no longer dependent on prior information but is gradually adjusted with the input data. Then,structural optimization algorithms are proposed to gradually optimize the topology of the SOFM network in the iterative process,constructing an optimal SANT. Finally, the optimized SOFM network is used for de-interleaving radar signals. Simulation results show that SANT-SOFM could get excellent performance in complex EW environments and the probability of getting the optimal map size is over 95% in the absence of priori information. 展开更多
关键词 de-interleaving self-organizing feature map(SOFM) self-adaptive network topology(SANT)
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Enhanced self-adaptive evolutionary algorithm for numerical optimization 被引量:1
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作者 Yu Xue YiZhuang +2 位作者 Tianquan Ni Jian Ouyang ZhouWang 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2012年第6期921-928,共8页
There are many population-based stochastic search algorithms for solving optimization problems. However, the universality and robustness of these algorithms are still unsatisfactory. This paper proposes an enhanced se... There are many population-based stochastic search algorithms for solving optimization problems. However, the universality and robustness of these algorithms are still unsatisfactory. This paper proposes an enhanced self-adaptiveevolutionary algorithm (ESEA) to overcome the demerits above. In the ESEA, four evolutionary operators are designed to enhance the evolutionary structure. Besides, the ESEA employs four effective search strategies under the framework of the self-adaptive learning. Four groups of the experiments are done to find out the most suitable parameter values for the ESEA. In order to verify the performance of the proposed algorithm, 26 state-of-the-art test functions are solved by the ESEA and its competitors. The experimental results demonstrate that the universality and robustness of the ESEA out-perform its competitors. 展开更多
关键词 self-adaptive numerical optimization evolutionary al-gorithm stochastic search algorithm.
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Dynamic self-adaptive ANP algorithm and its application to electric field simulation of aluminum reduction cell 被引量:1
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作者 王雅琳 陈冬冬 +2 位作者 陈晓方 蔡国民 阳春华 《Journal of Central South University》 SCIE EI CAS CSCD 2015年第12期4731-4739,共9页
Region partition(RP) is the key technique to the finite element parallel computing(FEPC),and its performance has a decisive influence on the entire process of analysis and computation.The performance evaluation index ... Region partition(RP) is the key technique to the finite element parallel computing(FEPC),and its performance has a decisive influence on the entire process of analysis and computation.The performance evaluation index of RP method for the three-dimensional finite element model(FEM) has been given.By taking the electric field of aluminum reduction cell(ARC) as the research object,the performance of two classical RP methods,which are Al-NASRA and NGUYEN partition(ANP) algorithm and the multi-level partition(MLP) method,has been analyzed and compared.The comparison results indicate a sound performance of ANP algorithm,but to large-scale models,the computing time of ANP algorithm increases notably.This is because the ANP algorithm determines only one node based on the minimum weight and just adds the elements connected to the node into the sub-region during each iteration.To obtain the satisfied speed and the precision,an improved dynamic self-adaptive ANP(DSA-ANP) algorithm has been proposed.With consideration of model scale,complexity and sub-RP stage,the improved algorithm adaptively determines the number of nodes and selects those nodes with small enough weight,and then dynamically adds these connected elements.The proposed algorithm has been applied to the finite element analysis(FEA) of the electric field simulation of ARC.Compared with the traditional ANP algorithm,the computational efficiency of the proposed algorithm has been shortened approximately from 260 s to 13 s.This proves the superiority of the improved algorithm on computing time performance. 展开更多
关键词 finite element parallel computing(FEPC) region partition(RP) dynamic self-adaptive ANP(DSA-ANP) algorithm electric field simulation aluminum reduction cell(ARC)
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A Prognostic Model Based on Colony Stimulating Factors-related Genes in Triple-negative Breast Cancer
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作者 GUO Yu-Xuan WANG Zhi-Yu +7 位作者 XIAO Pei-Yao ZHENG Chan-Juan FU Shu-Jun HE Guang-Chun LONG Jun WANG Jie DENG Xi-Yun WANG Yi-An 《生物化学与生物物理进展》 SCIE CAS CSCD 北大核心 2024年第10期2741-2756,共16页
Objective Triple-negative breast cancer(TNBC)is the breast cancer subtype with the worst prognosis,and lacks effective therapeutic targets.Colony stimulating factors(CSFs)are cytokines that can regulate the production... Objective Triple-negative breast cancer(TNBC)is the breast cancer subtype with the worst prognosis,and lacks effective therapeutic targets.Colony stimulating factors(CSFs)are cytokines that can regulate the production of blood cells and stimulate the growth and development of immune cells,playing an important role in the malignant progression of TNBC.This article aims to construct a novel prognostic model based on the expression of colony stimulating factors-related genes(CRGs),and analyze the sensitivity of TNBC patients to immunotherapy and drug therapy.Methods We downloaded CRGs from public databases and screened for differentially expressed CRGs between normal and TNBC tissues in the TCGA-BRCA database.Through LASSO Cox regression analysis,we constructed a prognostic model and stratified TNBC patients into high-risk and low-risk groups based on the colony stimulating factors-related genes risk score(CRRS).We further analyzed the correlation between CRRS and patient prognosis,clinical features,tumor microenvironment(TME)in both high-risk and low-risk groups,and evaluated the relationship between CRRS and sensitivity to immunotherapy and drug therapy.Results We identified 842 differentially expressed CRGs in breast cancer tissues of TNBC patients and selected 13 CRGs for constructing the prognostic model.Kaplan-Meier survival curves,time-dependent receiver operating characteristic curves,and other analyses confirmed that TNBC patients with high CRRS had shorter overall survival,and the predictive ability of CRRS prognostic model was further validated using the GEO dataset.Nomogram combining clinical features confirmed that CRRS was an independent factor for the prognosis of TNBC patients.Moreover,patients in the high-risk group had lower levels of immune infiltration in the TME and were sensitive to chemotherapeutic drugs such as 5-fluorouracil,ipatasertib,and paclitaxel.Conclusion We have developed a CRRS-based prognostic model composed of 13 differentially expressed CRGs,which may serve as a useful tool for predicting the prognosis of TNBC patients and guiding clinical treatment.Moreover,the key genes within this model may represent potential molecular targets for future therapies of TNBC. 展开更多
关键词 triple-negative breast cancer colony stimulating factors prognostic model tumor microenvironment drug sensitivity
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急性髓系白血病患者基因突变特征及预后生存分析 被引量:1
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作者 何苗 田红娟 +4 位作者 毛东锋 赵霄晨 张姝婷 赵芳卿 吴涛 《中国实验血液学杂志》 北大核心 2025年第3期691-697,共7页
目的:对初诊急性髓系白血病(AML)患者进行二代测序基因检测分析,探讨AML患者的基因突变特点及生存时间。方法:回顾性分析2018年1月至2022年5月本院收治的92例初诊AML(非APL)患者的临床资料。基于二代测序进行AML相关基因检测,分析AML患... 目的:对初诊急性髓系白血病(AML)患者进行二代测序基因检测分析,探讨AML患者的基因突变特点及生存时间。方法:回顾性分析2018年1月至2022年5月本院收治的92例初诊AML(非APL)患者的临床资料。基于二代测序进行AML相关基因检测,分析AML患者的基因突变特点及生存时间。结果:92例患者中,男性41例,女性51例。共检测到38种基因突变。62例患者至少携带1个基因突变,30例患者未检测到基因突变。14例预后良好组患者基因突变频率较高的为NRAS、KIT(21.43%,n=3),KRAS(14.29%,n=2);64例预后中等患者基因突变频率较高的为DNMT3A(18.75%,n=12)、NPM1(17.19%,n=11)、IDH2、FLT3-ITD、CEBPA(12.50%,n=8)、TET2(10.94%,n=7);14例预后不良组患者基因突变频率较高的为ASXL1、TP53、EZH2、NRAS(14.29%,n=2)。经统计学分析发现,KIT在中危组中变异相对热点,DNMT3A在高危组的变异相对热点(P<0.05)。将在不同预后组中突变率较高的基因NRAS、KIT、IDH2、DNMT3A、NPM1、FLT3-ITD与预后进行相关性分析,发现KIT是影响患者OS的因素(P<0.05),其余均未见显著性差异(P>0.05)。结论:AML患者基因突变频率较高,本研究中67.4%的患者至少携带1个基因突变,不同基因在不同的染色体核型患者中突变频率不一致,存在明显的优势突变,并且KIT、DNMT3A可以作为评估预后的因素之一。 展开更多
关键词 急性髓系白血病 突变基因 二代测序 预后
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基于层次聚类与互信息序列的滚珠丝杠副预紧力预测研究 被引量:1
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作者 张健 祖莉 +3 位作者 徐洋 陈凯 刘晓玲 冯虎田 《组合机床与自动化加工技术》 北大核心 2025年第7期180-188,200,共10页
针对滚珠丝杠副的运行过程中预紧力逐渐衰减,影响其工作精度问题,围绕时间序列的层次聚类与互信息研究,完成对滚珠丝杠副摩擦力矩样本的典型序列提取,提出了一种利用摩擦力矩数据预测预紧力的方法。首先,通过监测设备获得丝杠摩擦力矩... 针对滚珠丝杠副的运行过程中预紧力逐渐衰减,影响其工作精度问题,围绕时间序列的层次聚类与互信息研究,完成对滚珠丝杠副摩擦力矩样本的典型序列提取,提出了一种利用摩擦力矩数据预测预紧力的方法。首先,通过监测设备获得丝杠摩擦力矩原始数据,并通过层次聚类与互信息提取典型序列。基于混沌时间序列的相空间重构,典型序列作为深度网络的输入建立非线性回归模型,对预紧力的变化进行预测与评估。在对理论与实验的分析后,验证了该算法能够较好地预测滚珠丝杠副的预紧力变化并在预测过程中有更高的预测精度与数值稳定性。 展开更多
关键词 滚珠丝杠副 预紧力预测 摩擦力矩 典型序列 层次聚类 互信息
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液体火箭发动机健康监控技术智能化发展若干问题与挑战 被引量:1
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作者 吴建军 刘育玮 程玉强 《火箭推进》 北大核心 2025年第3期27-54,共28页
液体火箭发动机作为运载火箭的核心动力装置,其健康状态直接关系到系统可靠性和任务安全实施。面对适应复杂多任务和重复使用要求,传统健康监控技术在实时在线监控、智能故障诊断与隔离、系统重构与容错控制等方面表现出明显的局限性。... 液体火箭发动机作为运载火箭的核心动力装置,其健康状态直接关系到系统可靠性和任务安全实施。面对适应复杂多任务和重复使用要求,传统健康监控技术在实时在线监控、智能故障诊断与隔离、系统重构与容错控制等方面表现出明显的局限性。系统回顾了液体火箭发动机健康监控技术的发展历程,阐明其正由被动监控、主动监控向高度自主化、智能化方向演进的趋势。系统梳理了人工智能特别是大语言模型在健康监控领域的研究进展,总结归纳了不同类型预测与健康管理大模型的技术特点与应用路径,分析了其在提升诊断泛化能力和语义理解能力方面的潜力。结合液体火箭发动机具体实际,提出健康监控技术智能化发展面临的主要挑战,并展望了未来发展主要方向。 展开更多
关键词 液体火箭发动机 健康监控 人工智能 大语言模型 故障诊断 预测与健康管理
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新的预后预测模型在弥漫大B细胞淋巴瘤中的临床应用价值
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作者 赵洁 姜言 +5 位作者 刘嘉榆 刘睿 厉嘉琪 黄方 万江波 郝思国 《中国实验血液学杂志》 北大核心 2025年第3期789-795,共7页
目的:探索一种能更好预测弥漫大B细胞淋巴瘤(DLBCL)患者预后的新的预测模型,并对其临床价值进行验证。方法:收集并分析上海交通大学医学院附属新华医院血液科2015年1月至2020年1月收治的134例初治DLBCL患者的临床资料,筛选影响患者预后... 目的:探索一种能更好预测弥漫大B细胞淋巴瘤(DLBCL)患者预后的新的预测模型,并对其临床价值进行验证。方法:收集并分析上海交通大学医学院附属新华医院血液科2015年1月至2020年1月收治的134例初治DLBCL患者的临床资料,筛选影响患者预后的独立危险因素,据此建立新的预后预测模型并验证其临床应用潜能。结果:本研究所建立的新模型中,基于患者初治年龄、白蛋白水平、Hans分型、AnnArbor分期、BCL2表达等情况预测PFS,较国际预后指数(IPI)评分具有更高的疾病进展风险的预测性能(AUC:0.788vs0.620,P<0.001);而基于患者初治年龄、白蛋白水平、LDH水平、BCL2与MUM1蛋白表达等预测OS,较IPI评分也具有更高的死亡风险的预测性能(AUC:0.817vs0.624,P<0.001)。结论:本研究建立的新的预后模型较IPI评分系统对DLBCL患者的生存具有更高的预后预测性能。 展开更多
关键词 弥漫大B细胞淋巴瘤 临床特征 免疫表型 预后模型
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地塞米松联合来那度胺与硼替佐米方案治疗难治复发多发性骨髓瘤的效果
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作者 赵雨辰 许曼婷 +1 位作者 鲍静 夏亮 《实用医学杂志》 北大核心 2025年第18期2913-2919,共7页
目的探究达雷妥尤单抗、地塞米松(Dd方案)联合来那度胺(DRd)与联合硼替佐米(DVd)方案治疗难治复发多发性骨髓瘤(RRMM)患者的临床效果与安全性。方法将80例RRMM患者根据治疗方法分为DRd组(42例)与DVd组(38例)。两组患者均使用达雷妥尤单... 目的探究达雷妥尤单抗、地塞米松(Dd方案)联合来那度胺(DRd)与联合硼替佐米(DVd)方案治疗难治复发多发性骨髓瘤(RRMM)患者的临床效果与安全性。方法将80例RRMM患者根据治疗方法分为DRd组(42例)与DVd组(38例)。两组患者均使用达雷妥尤单抗联合地塞米松进行基础治疗(Dd方案),DVd组在Dd方案基础上,在每个疗程的第1、4、8、11天皮下注射硼替佐米1.3 mg/m^(2),后停药10 d(12~21 d),3周为1个疗程,直至疾病进展;DRd组在Dd方案基础上,每周期第1~21天口服来那度胺25 mg,直至疾病进展。比较两组实验室指标、肿瘤标志物、临床疗效、安全性评价和远期预后评价。结果治疗后,DRd组和DVd组的总缓解率(ORR)分别为78.57%(33/42)和52.63%(20/38),血清肌酐(SCr)水平分别为(92.54±14.33)和(102.07±15.41)μmol/L,M蛋白含量分别为(19.62±2.04)和(21.08±2.23)g/L,β2微球蛋白(β2-MG)水平分别为(3.49±1.12)和(4.16±1.25)mg/L,无进展生存期概率分别为42.86%(18/42)和26.32%(10/38)。DRd组上述指标相较于DVd组,在统计学上均有统计学意义(均P<0.05)。DRd组和DVd组的不良反应发生率分别为14.29%(6/42)和13.16%(5/38),差异无统计学意义(P>0.05)。结论DRd方案治疗RRMM患者的疗效优于DVd方案,能有效改善患者预后,且安全性良好。 展开更多
关键词 达雷妥尤单抗 来那度胺 硼替佐米 多发性骨髓瘤 临床疗效 总缓解率 远期预后评价
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167例肺炎克雷伯菌肝脓肿感染的临床特征及预后分析 被引量:1
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作者 张小姣 张玉如 +2 位作者 梁美春 李曦 茅国峰 《中国抗生素杂志》 北大核心 2025年第1期84-91,共8页
目的了解167例肺炎克雷伯菌肝脓肿(Klebsiella pneumoniae-pyogenic liver abscess,KP-PLA)感染的临床特征及预后分析,为临床合理治疗提供依据。方法回顾性分析2019年1月—2023年12月绍兴市人民医院和浙江省人民医院收治的细菌性肝脓肿... 目的了解167例肺炎克雷伯菌肝脓肿(Klebsiella pneumoniae-pyogenic liver abscess,KP-PLA)感染的临床特征及预后分析,为临床合理治疗提供依据。方法回顾性分析2019年1月—2023年12月绍兴市人民医院和浙江省人民医院收治的细菌性肝脓肿患者的临床资料,分为KP-PLA组167例和非KP-PLA(non-Klebsiella pneumoniae-pyogenic liver abscess,NKP-PLA)组48例,针对其临床特征、实验室检查、治疗方式及预后进行比较。结果KP-PLA组男性占比64.67%,平均年龄(60.19±14.20)岁,小于NKP-PLA组平均年龄(66.33±13.19),差异有统计学意义(P<0.05);在KP-PLA组,患糖尿病比例较高(χ^(2)=5.732,P<0.05),NKP-PLA组患胆道系统疾病(χ^(2)=13.633,P<0.001)和恶性肿瘤(χ^(2)=13.062,P<0.001)比例较高,差异均有统计学意义。实验室检查中,KP-PLA组的血红蛋白[x±s=(116.55±18.54)g/L]、PCT(x=1.85 ng/L)、肌酐(x=65.75μmol/L)、甘油三酯(x=1.24μmol/L)和糖化血红蛋白(x=6.70%)均值水平均高于NKP-PLA组,有显著性差异(P<0.05)。KP-PLA组肝右叶发生脓肿概率为70.06%,少部分位于肝左叶和肝左右叶交界处,脓肿直径以50~100 mm为主。肺炎克雷伯菌药敏试验显示除左氧氟沙星之外,对其他抗菌药物敏感性均在90%以上。KP-PLA组预后比NKP-PLA组预后好(P<0.05)。结论KP-PLA更易发生于糖尿病患者,炎症指标高于NKP-PLA,对大多数抗菌药物敏感性较高,及时治疗预后较好。 展开更多
关键词 肺炎克雷伯菌 肝脓肿 预后分析 临床特征
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预后营养指数对腹膜透析患者心血管疾病死亡的影响:一项多中心回顾性队列研究 被引量:1
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作者 朱露 艾军 +6 位作者 廖生武 黄淑婷 龚妮容 孔耀中 刘德慧 窦献蕊 张广清 《中国全科医学》 CAS 北大核心 2025年第5期568-574,共7页
背景心血管疾病(CVD)是腹膜透析(PD)患者死亡的主要原因,而营养不良是PD患者发生CVD及死亡的重要危险因素之一。预后营养指数(PNI)作为一种综合评估患者免疫、炎症和营养状态的指标,因其具有便利性与可靠性等优点,在肿瘤等多种疾病的预... 背景心血管疾病(CVD)是腹膜透析(PD)患者死亡的主要原因,而营养不良是PD患者发生CVD及死亡的重要危险因素之一。预后营养指数(PNI)作为一种综合评估患者免疫、炎症和营养状态的指标,因其具有便利性与可靠性等优点,在肿瘤等多种疾病的预后评估中得到了广泛应用。然而,不同时间点的营养状态与PD患者预后之间的关系仍有待进一步探究。目的探讨PD患者首年PNI与CVD死亡之间的关系。方法本研究为多中心、回顾性观察性队列研究,纳入2000-01-01—2019-07-01在南方医科大学南方医院、南方医科大学顺德医院、佛山市第一人民医院以及赣州市人民医院4所中心置管并开始接受PD治疗的1640例PD患者作为研究对象。对患者进行随访,随访截止时间为2021-07-01,终点事件为CVD死亡并记录患者生存时间及具体死亡原因。应用限制性立方条图(RCS)分析PNI与PD患者CVD死亡风险之间的非线性关联;采用Kaplan-Meier法绘制PD患者的生存曲线,绘制PNI预测PD患者CVD死亡的受试者工作特征(ROC)曲线,并根据最佳截断值(cut-off=40.46)将患者分为低PNI组703例与高PNI组937例;采用Log-rank检验和Cox风险回归模型分析探讨PNI对PD患者CVD死亡的影响。结果本研究中位随访时间为30个月,随访期间共148例患者死亡,其中CVD死亡73例(49.32%)。RCS结果表明,PNI与CVD死亡事件呈线性关联(P for Nonlinear=0.655)。ROC曲线显示,PNI预测PD患者CVD死亡的曲线下面积(AUC)为0.717(95%CI=0.659~0.775,P<0.001),灵敏度为74.0%,特异度为58.6%。Kaplan-Meier生存分析结果显示,低PNI组CVD生存率低于高PNI组(χ^(2)=26.685,P<0.001)。多因素Cox风险回归模型分析,校正性别、年龄及CVD病史等混杂因素后,低PNI组仍是CVD死亡的独立预测因素(HR=7.76,95%CI=1.72~35.06,P=0.008),亚组分析结果仍稳健,无明显交互作用。结论PNI降低是PD患者CVD死亡的独立影响因素,PD首年PNI评分在评估PD患者预后有一定的指导意义。 展开更多
关键词 慢性肾脏病 腹膜透析 预后营养指数 心血管死亡 预后 队列研究 回顾性研究 影响因素分析
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外周血单核细胞膜CD14表达预测重症COPD合并肺部感染患者的预后研究 被引量:1
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作者 包金英 付轩 李静 《中国免疫学杂志》 北大核心 2025年第6期1478-1483,1489,共7页
目的:探讨外周血单核细胞CD14表达预测重症慢性阻塞性肺疾病(COPD)合并肺部感染患者的预后。方法:选取2019年1月至2022年2月于连云港市东方医院诊治的重症COPD合并肺部感染患者122例设为合并感染组,127例重症COPD患者设为COPD组,选取同... 目的:探讨外周血单核细胞CD14表达预测重症慢性阻塞性肺疾病(COPD)合并肺部感染患者的预后。方法:选取2019年1月至2022年2月于连云港市东方医院诊治的重症COPD合并肺部感染患者122例设为合并感染组,127例重症COPD患者设为COPD组,选取同期62例体检健康者设为对照组。随访30 d,将合并感染组患者根据住院期间的预后分为死亡组(n=16)和存活组(n=106)。比较对照组、COPD组和合并感染组患者膜CD14(mCD14)相关参数。比较死亡组和存活组患者在确诊后第1、3、5、7、14天mCD14相关参数的动态变化。使用Cox比例风险回归分析重症COPD合并肺部感染患者30 d后死亡的影响因素;采用ROC曲线分析CD14阳性率(CD14%)、CD14平均荧光强度(CD14MFI)和CD14指数(CD14IND)对患者预后的预测价值,比较曲线下面积(AUC);采用Kaplan-Meier法绘制生存曲线,比较不同CD14IND水平患者的生存情况。结果:与对照组相比,COPD组和合并感染组患者CD14%、CD14MFI和CD14IND均明显降低;与COPD组相比,合并感染组患者CD14%、CD14MFI和CD14IND均明显降低,差异均有统计学意义(P<0.05)。存活组患者在整个监测过程中mCD14表达稳步上升,死亡组患者mCD14表达均处在较低水平波动。COPD分级、第1秒用力呼气量/用力肺活量(FEV_(1)/FVC)、第1秒用力呼气量占预计值百分比(FEV_(1)%pred)、CD14%、CD14MFI、CD14IND均是重症COPD合并肺部感染患者死亡的危险因素(P<0.05)。CD14%、CD14MFI和CD14IND与重症COPD合并肺部感染患者死亡率、COPD分级呈负相关,与FEV_(1)%pred和FEV_(1)/FVC均呈正相关(P<0.001)。以CD14IND≤74.36为临界值,预测患者死亡的敏感度和特异度分别达到91.22%、95.51%。高风险组患者30 d生存率为68.42%(26/38),明显低于低风险组的95.24%(80/84),差异有统计学意义(log-rank χ^(2)=10.067,P=0.002)。结论:mCD14相关参数有望成为重症COPD合并肺部感染预后死亡预测的标志物,其中CD14IND的敏感度和特异度均优于CD14%和CD14MFI。 展开更多
关键词 重症COPD 肺部感染 单核细胞膜CD14 预后 预测价值
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97例中晚期不可切除原发性肝癌的中医证型分布及预后因素分析 被引量:2
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作者 袁菊花 崔宁 +5 位作者 郝腾腾 吴娇 邹建华 徐晓华 李刘生 吴煜 《辽宁中医杂志》 北大核心 2025年第3期49-52,共4页
目的探索中晚期不可切除原发性肝癌(primary liver carcinoma,PLC)的中医证型分布及预后因素。方法采用前瞻性队列研究设计,纳入97例经诊断为不可切除中晚期PLC患者,其中50例为暴露组,47例为非暴露组。非暴露组患者接受西医常规治疗,暴... 目的探索中晚期不可切除原发性肝癌(primary liver carcinoma,PLC)的中医证型分布及预后因素。方法采用前瞻性队列研究设计,纳入97例经诊断为不可切除中晚期PLC患者,其中50例为暴露组,47例为非暴露组。非暴露组患者接受西医常规治疗,暴露组在西医常规治疗的基础上,联合中医辨证论治,并酌情选用中成药的综合治疗,治疗至少2个月。比较两组生存率、证型分布,采用单因素和多因素Cox回归分析对影响预后的变量进行分析。结果①两组证型分布频次依次为脾虚痰凝证、肝郁血瘀证和肝肾阴虚证;②暴露组1年生存率(45.8%,22/48)和1年半生存率(36.2%,17/47)与非暴露组1年生存率(34.9%,15/43)和1年半生存率(19.5%,8/41)比较均差异无统计学意义(P>0.05);而暴露组2年生存率(27.9%,12/43)与非暴露组1年生存率(10.3%,4/39)比较,差异有统计学意义(P<0.05);③单因素COX回归分析显示中医治疗、病理诊断、门脉癌栓、肝外转移、东部肿瘤协作组体能状态评分(Eastern Cooperative Oncology Group Performance Status,ECOG PS)评分、巴塞罗那临床肝癌(Barcelona Clinic Liver Cancer,BCLC)分期和基线症状评分与预后相关(P<0.05);而多因素COX回归分析则显示中医治疗、病理诊断和ECOG PS评分与预后相关(P<0.05)。结论中医辨证论治对中晚期不可切除PLC患者的生存有积极影响,值得临床推广。 展开更多
关键词 中晚期不可切除原发性肝癌 中医辨证论治 队列研究 预后因素分析
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全身免疫炎症指数和预后营养指数对晚期前列腺癌病人预后的预测价值 被引量:1
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作者 江琴 周敏 +2 位作者 王媛 尹丹 张馨月 《护理研究》 北大核心 2025年第3期353-360,共8页
目的:探讨全身免疫炎症指数(systemic immune-inflammation index,SII)和预后营养指数(prognostic nutritional index,PNI)在晚期前列腺癌病人预后预测中的价值。方法:回顾2013—2018年温江区人民医院收治的96例晚期前列腺癌病人,收集... 目的:探讨全身免疫炎症指数(systemic immune-inflammation index,SII)和预后营养指数(prognostic nutritional index,PNI)在晚期前列腺癌病人预后预测中的价值。方法:回顾2013—2018年温江区人民医院收治的96例晚期前列腺癌病人,收集病人病历资料并随访其生存情况[总生存时间(OS)和无进展生存时间(PFS)],采用受试者工作特征(ROC)曲线分析全身免疫炎症指数和预后营养指数预测病人预后的曲线下面积和最佳截断值,Kaplan-Meier法绘制生存曲线,Log-Rank检验和Cox回归分析病人总生存时间和无进展生存时间的影响因素。结果:96例晚期前列腺癌病人随访时间为54(38,62)个月,随访期内死亡54例(56.25%),中位总生存时间为50(33,61)个月,3年和5年总生存时间生存率分别为70.83%和45.83%,中位无进展生存时间为45.00(27.25,56.75)个月,3年和5年无进展生存时间生存率分别为61.46%和43.75%。全身免疫炎症指数和预后营养指数预测病人预后的ROC曲线下面积分别为0.699和0.904,其最佳截断值分别为671.70和46.35。全身免疫炎症指数≥671.70组实际生存时间短于<671.70组,预后营养指数≥46.35组实际生存时间长于<46.35组(P<0.05)。多因素Cox回归显示,美国癌症联合委员会(AJCC)分期为Ⅲ期是病人总生存时间的保护因素[HR=0.562,95%CI(0.349,0.748),P=0.011],全身免疫炎症指数≥671.70[HR=2.427,95%CI(1.731,6.109),P<0.001]和预后营养指数<46.35[HR=10.869,95%CI(5.311,22.244),P<0.001]是病人总生存时间的危险因素;AJCC分期Ⅳ期[HR=2.035,95%CI(1.404,5.072),P=0.014]和预后营养指数<46.35[HR=10.344,95%CI(5.080,21.062),P<0.001]是病人无进展生存时间的危险因素。结论:预后营养指数、全身免疫炎症指数和AJCC分期是晚期前列腺癌病人总生存时间的预测因子,预后营养指数和AJCC分期也是病人无进展生存时间的预测因子。 展开更多
关键词 前列腺癌 全身免疫炎症指数 预后营养指数 KAPLAN-MEIER法 预后 影响因素
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武器装备管理技术进展 被引量:1
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作者 高利春 陈晓芳 赵彦东 《指挥与控制学报》 北大核心 2025年第1期14-22,共9页
随着全球军事格局的动态演变及前沿科技的快速发展,武器装备管理正经历从传统经验型向科技驱动型的深刻变革。系统梳理了装备质量管理、健康管理及其他新型管理技术的发展现状与趋势,重点分析了数字化、智能化技术对装备全寿命周期管理... 随着全球军事格局的动态演变及前沿科技的快速发展,武器装备管理正经历从传统经验型向科技驱动型的深刻变革。系统梳理了装备质量管理、健康管理及其他新型管理技术的发展现状与趋势,重点分析了数字化、智能化技术对装备全寿命周期管理的推动作用。针对现有研究的局限性,提出新时代武器装备管理需强化多学科交叉融合、构建智能驱动的管理体系架构,并通过创新人才培养模式与标准体系建设,提升装备管理的综合效能。 展开更多
关键词 装备管理 全寿命过程 健康管理 质量管理
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