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81.
基于Lyapnuov泛函方法,研究了满足匹配条件的不确定性时滞系统的鲁棒稳定性及具有稳定度β〉0鲁棒稳定性,给出了已有结果不能推出的新判据。这些新判据对已有结果难以使用的情况下也可有是有效的,或有时减少了已有结果的保守性。 相似文献
82.
Parental alcoholism and early child development 总被引:2,自引:0,他引:2
In a cohort of 532 pregnant women from the general population, it was found by compilation of the results from interviews, police records, hospital records and social welfare records that 23 mothers and 51 fathers in 64 families (12%) were suffering from alcoholism/heavy drinking. In these 64 families, the mother was an addict in only 13 families, both parents were addicts in 10 families, and in the remaining 41 families only the father was an addict. Pregnancy, delivery, the newborn child and the child's development until their fourth year of life have been described using a multidisciplinary approach and a longitudinal prospective design. An hypothesis on mental and physical development, and the occurrence of psychopathological symptoms in the children was tested. None of the children of the 13 alcoholic mothers was born with foetal alcohol syndrome, but foetal hazard was indicated by lower birth weight and a higher rate of perinatal deaths. Children of alcoholic parents had retarded mental development and showed more behavioural problems until 4 years of age than controls, but the differences related to physical development during the first year of life had then disappeared. Boys were found to be more vulnerable than girls. The consequences of behaviour seemed to be more pronounced when both parents were alcoholics. No obvious deviation was found when only the father was addicted. Regarding mental development, it appears that factors related to parental alcoholism, including genetic and social factors, and the sex of the child, are of greater importance than the neonatal score on reduced optimality. 相似文献
83.
The traditional method of establishing a pneumoperitoneum before laparoscopic surgery is via a Verres needle inserted in the midline below the umbilicus while tenting the abdominal wall with the hand. A new approach is described in which preliminary surgical exposure and tenting of the linea alba immediately above the umbilicus is achieved before needle insertion through the superior margin of the umbilical ring. The advantages of this new technique over the conventional method are discussed. Further technical features important in the safe formation of the pneumoperitoneum are emphasized. 相似文献
84.
1980年12月至1993年12月,我科经前方入路治疗颈椎病并获随访183例,其中37例(20.2%)术后恢复不满意,JOA恢复率小于60%。根据主诉与症状,我们把这些病人分成4组。(1)术后症状立即加重,1年内仍无改善者4例。(2)术后症状无明显改善,1年后仍无进步者11例。(3)术后症状减轻,但经过一段时间后,原症状又复出现者8例。(4)双下肢症状好转,但又出现新的上肢症状或上肢原症状加重者14例。结合术后X线、CT、MRI和椎管造影等检查所见,我们将发现的主要问题归纳为手术操作、病情发展演变、原有胸腰椎病和脊髓受压变性等情况。本文对以上发生的问题进行了分析,提出在以后的手术中应特别注意的事项。 相似文献
85.
目的 通过107例胸腰椎骨折伴脊髓损伤病例的治疗,探讨前、后路手术适应证的选择。方法 31例经前路减压植骨,采用Z-Plate等内固定。76例经后路采用短节段椎弓根钉内固定。结果 两组均获得了满意的疗效。结论 选择前或后路手术,应综合考虑脊髓损伤程度、手术时机与技巧、骨折的部位、骨折类型和影像结果等,才能确实做到减压、恢复脊柱序列和坚强固定的目的。 相似文献
86.
A new technique for the treatment of lumbar far lateral disc herniation: technical note and preliminary results 总被引:2,自引:0,他引:2
A newly designed technique for a minimally invasive approach to the laterally herniated disc is presented. Fifteen patients suffering from far lateral disc herniation (extraforaminal) were operated according to this technique. Through a small skin incision (1.5 cm), the paraspinal muscles are spread by dilators, until a working channel of 9 mm inner diameter and 11 mm outer diameter can be placed. The next steps are done through this channel using the surgical microscope. No bone resections are necessary and the facet joints are left untouched. However, partial resection of the intertransverse ligament may be necessary. The mean follow-up period for these 15 patients was 11.5 months, and they were evaluated by using the visual analogue scale (VAS) and the Oswestry Disability Index (ODI). The average surgical time was 43 min. The ODI improved from 30.6 (preoperative) to 14.3 (postoperative). The VAS of leg pain improved from 7 (preoperative) to 3.6 (postoperative), which represented a statistically significant improvement at the significance level of (P<0.01). No intra-operative or early postoperative complications occurred. However, one recurrence did occur, which was treated by the same technique. This technique combines the advantages of three-dimensional visual control (operating microscope) with the minimal surgical trauma of endoscopic techniques, while avoiding some of the shortcomings of both the microsurgical and endoscopic techniques. 相似文献
87.
Dr. Steven Jonas 《The journal of primary prevention》1997,17(4):407-411
An imaginary conversation between an advocate of drug policy reform and a defender of thestatus quo. 相似文献
88.
自1990年以来收治直径在2-5.6cm的大、巨型垂体腺瘤33例。依肿瘤生长形态与扩展范围将其简略分为三种类型。A型:瘤体位于鞍内或侵入蝶窦;B型;瘤体呈椭圆形或哑铃向鞍上扩展,三脑室明显移位抬高;C型:瘤体巨大侵入三脑室阻塞室间孔或明显的鞍周扩展。 相似文献
89.
目的:评价翼点入路开颅术中筋膜下分离技术保护面神经额支的有效性。方法 :经翼点入路开颅患者共 6 0例 ,随机分为 A、B两组 ,A组采用筋膜间翼点入路 ,B组采用筋膜下翼点入路 ,每组各 30例。结果 :采用筋膜间入路面神经额支保护率为 70 .0 % ,采用筋膜下分离技术面神经额支保护率为 96 .7% ,两组差异有显著性 (P <0 .0 1)。 结论:与筋膜间分离技术比较 ,翼点入路中采用颞肌筋膜下分离技术能更有效地保护面神经额支 相似文献
90.
危险管理法在农村儿童保健中应用效果评价 总被引:1,自引:0,他引:1
在儿保领域应用危险管理法目的是充分利用有限的卫生资源,减轻基层儿保人员负担,提高儿保服务效果和儿童健康水平。通县农村于1990年以来婴幼儿保健中应用危险管理法的研究显示,高危儿健康状况在加强管理后与非高危儿的相近;实验组与对照组儿童在婴幼儿期的死亡及婴幼儿后期生长发育方面差别无统计学意义;儿童满5岁时,两组生长发育水平无显著性差别。提示在我国有限卫生资源基础上,应用危险管理法于儿保领域有重要现实意义。 相似文献