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121.
目的 无线供能系统的接收装置囿于尺寸限制难以满足越来越高的能量要求,提高空间利用率是解决这一难题的关键.方法 从接收装置的姿态稳定性和体内温升安全性角度出发,通过实验方法确定接收装置磁芯的较优形状,并在给定尺寸约束下根据几何关系建立方程解出磁芯尺寸与导线股数和匝数,从而实现接收装置的结构优化.应用该方法对肠道机器人无线供能模块的能量接收装置进行了设计和实验.结果 在外形≤φ10 mm×10 mm的约束下,接收装置输出功率可以保证在500 mW以上,并且符合温升安全性要求.结论 实验结果表明了这种带约束的对称性设计方法的有效性.  相似文献   
122.
The synthesis of polystyrene (PS) brushes on fully deuterated PS nanoparticles by surface‐initiated nitroxide‐mediated radical polymerization (SI‐NMRP) is reported. Due to the high demand of deuterated monomers, an efficient deuteration procedure of suitable and readily available precursors is developed. SI‐NMRP of styrene is improved regarding reaction control, grafting density, and conversion. Insights into the scaling behavior and conformational features of surface‐attached PS chains on deuterated particles are investigated by using dynamic light scattering measurements, proving that polymer brushes are formed. The particles with surface‐attached initiator are shown to be uniform spherical core‐shell particles by small‐angle neutron scattering measurements.

  相似文献   

123.
124.
目的 探讨稳定平面下进行体轴回旋结合节律性呼吸训练锻炼核心肌群对脑卒中偏瘫患者下肢运动和平衡功能的影响。方法 2018年6月至2020年6月,福建中医药大学附属康复医院物理治疗部脑卒中偏瘫患者50例,分为对照组(n = 25)和试验组(n = 25),两组均接受常规康复,试验组增加体轴回旋结合节律性呼吸训练,两组训练总时间相同,共6周。治疗前后采用Fugl-Meyer评定量表下肢部分(FMA-LE)、Berg平衡量表(BBS)、计时“起立-行走”测试(TUGT)和10米步行速度(10MWS)进行评定。结果 治疗后,两组FMA-LE和BBS评分、10MWS较治疗前显著提高(|Z| > 4.375, P < 0.001),试验组明显优于对照组(|Z| > 3.415, P < 0.01);两组TUGT时间均较治疗前显著缩短(Z = -4.372, P < 0.001),试验组明显优于对照组(Z = -2.804, P < 0.01)。结论 体轴回旋结合节律性呼吸训练可提高脑卒中偏瘫患者的平衡功能和下肢运动功能。  相似文献   
125.
ObjectiveThe purpose of this study was to retrospectively evaluate the diagnostic accuracy and complications of CT-guided core needle biopsy (CT-guided CNB) of pleural lesion and the possible effects of influencing factors.ResultsDiagnostic accuracy, sensitivity, specificity, PPV, and NPV were 89.2%, 86.1%, 100%, 100%, and 67.8%, respectively. The influencing factors had no significant effect in altering diagnostic accuracy. As far as complications were concerned, occurrence of pneumothorax was observed in 14 (16%) out of 88 patients. Multivariate analysis revealed lesion size/pleural thickening as a significant risk factor (odds ratio [OR]: 8.744, p = 0.005) for occurrence of pneumothorax. Moreover, presence of pleural effusion was noted as a significant protective factor (OR: 0.171, p = 0.037) for pneumothorax.ConclusionCT-guided CNB of pleural lesion is a safe procedure with high diagnostic yield and low risk of significant complications.  相似文献   
126.

Objective

This study evaluated the effect of root canal disinfectants on the elimination of bacteria from the root canals, as well as their effect on glass-fiber posts bond strength.

Material and Methods

Fifty-three endodontically treated root canals had post spaces of 11 mm in length prepared and contaminated with E. faecalis. For CFU/ml analysis, eight teeth were contaminated for 1 h or 30 days (n=4). Teeth were decontaminated with 5% NaOCl, 2% CHX, or distilled water. As control, no decontamination was conducted. After decontamination, sterile paper points were used to collect samples, and CFU/ml were counted. For push-out, three groups were evaluated (n=15): irrigation with 2.5% NaOCl, 2% CHX, or sterile distilled water. A bonding agent was applied to root canal dentin, and a glass-fiber post was cemented with a dual-cured cement. After 24 h, 1-mm-thick slices of the middle portion of root canals were obtained and submitted to the push-out evaluation. Three specimens of each group were evaluated in scanning electron microscopy (SEM). Data were analyzed with one-way ANOVA and Dunnett’s T3 test (α=0.05).

Results

The number of CFU/ml increased from 1 h to 30 days of contamination in control and sterile distilled water groups. Decontamination with NaOCl was effective only when teeth were contaminated for 1 h. CHX was effective at both contamination times. NaOCl did not influence the bond strength (p>0.05). Higher values were observed with CHX (p<0.05). SEM showed formation of resin tags in all groups.

Conclusion

CHX showed better results for the irrigation of contaminated root canals both in reducing the bacterial contamination and in improving the glass-fiber post bonding.  相似文献   
127.
目的探讨核心能力教学模式在培养老年专科护士高级护理实践能力中的应用效果。方法以核心能力教学模式为培训框架,参考美国护理学院协会提出的高级实践护士核心能力和美国护理学家Hamric的高级护理实践模式,界定老年专科护士高级护理实践能力,并以此为导向设置培训课程,对49名护士进行培训,以自评得分及他评得分评价培训效果和满意度。结果培训前后,49名学员的7项高级护理实践能力自评总分分别为(89.18±15.73)分、(113.78±22.22)分,差异有统计学意义(t=7.10,P0.01);他评结果:学员护理个案得分(70.29±3.78)分,成组计划得分(73.46±2.60)分,全部学员圆满完成了老年专科护士的专业课程与临床实践,获得由香港老年专科护理学院和广东省护理教育中心联合颁发的"广东省老年专科护士课程培训合格证书"。95%的学员表示非常满意本课程的设置,认为课程设置科学、严谨、全面、实用且与国际老年护理接轨,有利于专科护士能力的发展。结论以核心能力教学模式为培训框架,高级护理实践能力为培养目标,以此设计的老年专科护士高级护理实践能力培养模式,可以达到预期目的。能实施基于科学的精细护理的老年专科护士是时代和现实的迫切需要;本探讨可为日后其他专科的护理人才在职培训提供借鉴。  相似文献   
128.
目的 比较非ST段-抬高急性冠脉综合征(non-ST-segment elevation acute coronary syndrome,NSTE-ACS)与稳定型心绞痛(stable angina,SA)患者冠状动脉病变斑块的血管内超声虚拟组织成像(virtual histology intravascular ultrasound,VH-IVUS)特点.方法 入选81例确诊冠状动脉粥样硬化性心脏病(冠心病)患者行冠状动脉造影及VH-IVUS检查,根据临床表现、心电图及心肌坏死标志物水平分为NSTE-ACS组(47例,70处病变)和SA组(34例,46处病变).对所有病变进行IVUS影像定量分析,测量指标包括最小管腔直径、最小管腔面积、坏死核心、纤维脂质成分、纤维成分、钙化部分、外弹力膜、斑块负荷及薄纤维帽粥样斑块发生率.结果 NSTE-ACS组斑块病变成分中坏死核心[(1.98±1.07) mm2vs.(1.18±0.81)mm2,t=4.312,P=0.000]、斑块负荷(73.35%±7.73%vs.68.00%±10.28%,t=3.193,P=0.002)及薄纤维帽粥样斑块发生率[45.7%(32/70)vs.19.6%(9/46),x2=8.306,P=0.005]与SA组比较显著增加,差异有统计学意义,其余指标比较差异无统计学意义(P>0.05).结论 NSTE-ACS患者斑块成分与SA患者差异明显,坏死核心、斑块负荷明显增加,薄纤维帽粥样斑块发生率明显升高.  相似文献   
129.
Reliable predictors of outcomes after treatment discontinuation in HBeAg‐negative chronic hepatitis B (CHB) patients have not been established. We investigated the role of hepatitis B surface antigen (HBsAg), interferon‐inducible protein‐10 (IP10) and hepatitis B core‐related antigen (HBcrAg) serum levels as predictors of HBsAg loss, relapse and retreatment in noncirrhotic HBeAg‐negative CHB patients who discontinued long‐term antiviral therapy. All HBsAg‐positive (n = 57) patients of the prospective DARING‐B study were included and followed monthly for 3 months, every 2/3 months until month‐12 and every 3/6 months thereafter. HBsAg, IP10 and HBcrAg levels were measured by enzyme immunoassays, and SCALE‐B score was calculated. Twelve patients achieved HBsAg loss before retreatment with 18‐month cumulative incidence of 25%. Independent predictors of HBsAg loss were baseline HBsAg and month‐1 IP10 levels. Of 10 patients with baseline HBsAg ≤100 IU/mL, 70% cleared HBsAg and 10% required retreatment. Of 23 patients with baseline HBsAg >1000 IU/mL, 4% cleared HBsAg and 43% required retreatment. Of 24 patients with intermediate baseline HBsAg (100‐1000 IU/mL), 17% cleared HBsAg and 21% required retreatment; in this subgroup, month‐1 IP10 was significantly associated with HBsAg loss, which occurred in 30% and 7% of cases with IP10 >150 and ≤150 pg/mL, respectively. Baseline HBcrAg was undetectable in all patients who cleared HBsAg and was associated with retreatment. SCALE‐B was associated with HBsAg loss but not with relapse or retreatment. In conclusion, HBsAg, IP10 and HBcrAg serum levels can be useful for the decisions and management of treatment discontinuation in noncirrhotic Caucasian patients with HBeAg‐negative CHB.  相似文献   
130.
The reaction of 2,6-diformyl-4-methylphenol (DFMF) with 1-amino-2-propanol (AP) and tris(hydroxymethyl)aminomethane (THMAM) was investigated in the presence of Cobalt(II) salts, (X = ClO4, CH3CO2, Cl, NO3), sodium azide (NaN3), and triethylamine (TEA). In one pot, the variation in Cobalt(II) salt results in the self-assembly of dinuclear, tetranuclear, and H-bonding-directed polynuclear coordination complexes of Cobalt(III), Cobalt(II), and mixed-valence CoIICoIII: [Co2III(H2L1)2(AP1)(N3)](ClO4)2 (1), [Co4(H2L1)23-1,1,1-N3)2(µ-1,1-N3)2Cl2(CH3OH)2]·4CH3OH (2), [Co2IICo2III(HL2)2(µ-CH3CO2)23-OH)2](NO3)2·2CH3CH2OH (3), and [Co2IICo2III (H2L12)2(THMAM−1)2](NO3)4 (4). In 1, two cobalt(III) ions are connected via three single atom bridges; two from deprotonated ethanolic oxygen atoms in the side arms of the ligands and one from the1-amino-2-propanol moiety forming a dinuclear unit with a very short (2.5430(11) Å) Co-Co intermetallic separation with a coordination number of 7, a rare feature for cobalt(III). In 2, two cobalt(II) ions in a dinuclear unit are bridged through phenoxide O and μ3-1,1,1-N3 azido bridges, and the two dinuclear units are interconnected by two μ-1,1-N3 and two μ3-1,1,1-N3 azido bridges generating tetranuclear cationic [Co4(H2L1)23-1,1,1-N3)2(µ-1,1-N3)2Cl2(CH3OH)2]2+ units with an incomplete double cubane core, which grow into polynuclear 1D-single chains along the a-axis through H-bonding. In 3, HL2− holds mixed-valent Co(II)/Co(III) ions in a dinuclear unit bridged via phenoxide O, μ-1,3-CH3CO2, and μ3-OH bridges, and the dinuclear units are interconnected through two deprotonated ethanolic O in the side arms of the ligands and two μ3-OH bridges generating cationic tetranuclear [Co2IICo2III(HL2)2(µ-CH3CO2)23-OH)2]2+ units with an incomplete double cubane core. In 4, H2L1−2 holds mixed-valent Co(II)/Co(III) ions in dinuclear units which dimerize through two ethanolic O (μ-RO) in the side arms of the ligands and two ethanolic O (μ3-RO) of THMAM bridges producing centrosymmetric cationic tetranuclear [Co2IICo2III (H2L12)2(THMAM−1)2]4+ units which grow into 2D-sheets along the bc-axis through a network of H-bonding. Bulk magnetization measurements on 2 demonstrate that the magnetic interactions are completely dominated by an overall ferromagnetic coupling occurring between Co(II) ions.  相似文献   
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