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  • Efficacy of Non-pharmacological Interventions to Improve Perimenopausal Insomnia Symptoms:a Network Meta-analysis

    Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-07-06 Cooperative journals: 《中国全科医学》

    Abstract: Background  The presence of insomnia symptoms reduces the quality of life of perimenopausal women and increases their risk of developing other diseases. Currently,there are numerous non-pharmacological interventions available to improve perimenopausal insomnia symptoms,with disagreement as to which intervention is most effective. Objective  To evaluate the efficacy of non-pharmacological interventions in improving perimenopausal insomnia symptoms using a network meta-analysis. Methods In March 2022,Cochrane Library,PubMed,EmBase,Web of Science,CNKI,Wanfang Data Knowledge Service Platform,VIP and CBM were searched for the randomized controlled trials(RCTs)on the improvement of perimenopausal insomnia symptoms by non-pharmacological interventions from inception to March 2022. Two investigators independently screened the literature,extracted data,and evaluated the risk of bias of the included literature using the RCT bias risk assessment tool recommended by the Cochrane Manual of Systematic Review 5.1.0. A Bayesian network meta-analysis was performed on the overall response rate to the improvement of perimenopausal insomnia symptoms,as well as improvement in Pittsburgh Sleep Quality Index Scale(PSQI)score,Kupperman score and estradiol(E2)level under different non pharmacological interventions by using R 4.1.3 software and the GeMTC package. Results A total of 44 RCTs including 3386 patients were selected,involving 12 non-pharmacological interventions(moxibustion,electroacupuncture,acupoint pressing with beans,scraping,fire dragon pot,thumbtack needle,massage,warm acupuncture,bee acupuncture,acupoint embedding,music therapy,acupuncture). The results of meta-analysis showed that moxibustion,electroacupuncture,and acupuncture were superior to sedative-hypnotic western drugs in overall response rate to the improvement of perimenopausal insomnia symptoms(P<0.05),and moxibustion was identified as the most probable superior intervention. Moxibustion,electroacupuncture,scraping,and acupuncture were superior to sedative-hypnotic western drugs(P<0.05),moxibustion was more effective than warm acupuncture(P<0.05)in the improvement of PSQI score and identified as the most probable superior intervention. There was no significant difference in the improvement of Kupperman score and E2 level among different interventions(P>0.05),with scraping emerging and acupuncture as the most probable superior intervention,respectively. Conclusion  Current evidence demonstrates that moxibustion is superior in overall response rate to the improvement of perimenopausal insomnia symptoms and PSQI score in perimenopausal women,while scraping is superior in improving Kupperman score and acupuncture has advantages in improving E2 level,however,further validation of this conclusion is needed by conducting more high-quality studies.

  • Progress of clinical observation and nursing of patients with pituitary apoplexy

    Subjects: Nursing >> Nursing submitted time 2023-04-24

    Abstract: Given the complex of clinical classification in pituitary apoplexy, it is required to carry out detailed observation, timely treatment and comprehensive nursing for patients with pituitary apoplexy. This paper reviewed studies of clinical observation and nursing of patients with pituitary apoplexy, in order to provide reference for establishment and regulation of clinical practice.

  • 面向无监督分割的双分支上采样域自适应网络

    Subjects: Computer Science >> Integration Theory of Computer Science submitted time 2022-05-10 Cooperative journals: 《计算机应用研究》

    Abstract: In industrial applications, fully supervised semantic segmentation of surface-imprinted character images will bring high dataset annotation costs to enterprises. To solve this problem, this paper proposes a dual-branch feature fusion domain adaptation (DbFFDA) method. First, the method draws on the design idea of U-Net's cross-layer connection, and proposes a residual adaptation network (Res-Adp) with a dual-branch upsampling structure. At the same time, this method proposes fusion feature input to improve network segmentation performance and overcome the problem of missing characters. Furthermore, this method proposes a segmentation continuity loss function #1;, which suppresses the generation of noise in segmented images. In the unsupervised segmentation experiment of imprinted characters on the surface of graphite electrodes, the MIoU value of the proposed method can reach 69.60%. The actual segmentation effect has basically met the needs of character recognition, and it is expected to be put into practical applications in specific industrial scenarios, saving enterprises huge dataset labeling costs.

  • 基于CloudSat卫星资料对中亚低涡暴雨个例的诊断分析和数值模拟

    Subjects: Environmental Sciences, Resource Sciences >> Basic Disciplines of Environmental Science and Technology submitted time 2020-06-03 Cooperative journals: 《干旱区研究》

    Abstract:利用ECMWF再分析资料作为初始场和边界条件,用WRF (eather esearch and orecasting model,WRF)模式对新疆地区中亚低涡暴雨个例进行模拟,结合区域自动气象站每小时降水数据、CloudSat卫星2B-CWC-RO数据产品和FY-2E卫星TBB资料评估Lin方案、WSM 6方案、Thompson方案和WDM 6方案在新疆地区的适用性。结果表明:Thompson方案在小雨(0.1~5.0 mm)和中雨(5.1~10.0 mm)的12 h累积降水模拟中占有优势。4种云微物理参数化方案模拟的云顶亮温分布图均与FY-2E卫星观测十分相似,但在数值上均低于观测。从CloudSat剖面平均的冰水含量的垂直分布情况看,Thompson方案模拟冰水含量在数值和高值区的高度上模拟的最好,Lin方案的模拟效果最差。从3 km区域平均冰水含量的垂直分布情况看,Thompson方案模拟的云冰含量最高,WSM 6方案与WDM 6方案模拟的云冰含量次之,且两者的冰水含量-高度廓线图几乎重合,Lin方案模拟的云冰含量最低。

  • 新疆及周边中亚地区中亚低涡背景下云中液态水分布研究

    Subjects: Geosciences >> Geography submitted time 2020-01-06 Cooperative journals: 《干旱区地理》

    Abstract:利用2003—2014年5~9月中亚低涡发生时的AIRS Version 6 Level 2卫星资料,分析中亚低涡活动规律以及云中液态水空间分布。结果表明:(1) 北涡型中亚低涡共发生97次,南涡型共88次。中亚低涡中心更易向南移动。(2) 整体来看,云中液态水呈现山区多盆地少的趋势,在帕米尔高原、天山和昆仑山脉的山区以及咸海附近均大于100×10-6 kg·m-2。在准噶尔盆地、哈密盆地和塔里木盆地东部地区小于1×10-6 kg·m-2。(3) 中亚低涡发生路径越偏南,云中液态水柱越低。关于云中液态水柱,北涡路径较南涡路径更多。研究结果将为进一步认识中亚低涡强降水天气系统提供参考。