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双语推荐:STOP

棘突间撑开装置是治疗腰椎退行性变所致腰痛和间歇性跛行的一种有效方法,其中X-Stop系统研究较多,应用也较广泛。然而该装置在研究中也暴露出了一些问题,在生物力学设计上还不够完善,治疗效果存在争议,在一些研究中还出现了较多的术后并发症。本文重点对X-Stop系统研究中出现的各种问题进行反思。
Interspinous process (IPD) is an effective method for the treatment of low back pain and intermittent creep causing by lumber degeneration. There are many studies about the X-Stop system. X-Stop is also widely applied. However,the device also has exposed some problems in many studies. The biomechanical design and curative of X-Stop is not perfect. There are also many postoperative complications in some cases. The purpose of this paper is to reflect the problems of the X-Stop system.

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目的研究STOP-Bang问卷与中重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者认知功能的关系,以探讨其临床应用价值。方法纳入经多导睡眠监测确诊的中重度OSAHS患者94例,根据STOP-Bang问卷将患者分为重度组(44例)和中度组(50例),并用简易智能状态量表(MMSE)评价患者的认知功能,运用Pearson相关分析和ROC曲线评价STOP-Bang问卷结果与认知功能的关系。结果与中度组患者比较,重度组患者高血压比例较高(59.1%vs.36.0%,P=0.03),体质量指数[(30.3±2.5)kg/m~2vs.(28.5±1.7)kg/m~2]、呼吸暂停低通气指数[(51.2±2.4)次/h vs.(26.5±3.5)次/h]和STOP-Bang总得分较高(5.6±1.2 vs.2.3±0.6),而最低氧饱和度[(62.7+4.6)%vs.(78.2±3.8)%]、快眼动睡眠比例[(4.2±0.7)%vs.(5.3±1.3)%]和MMSE评分较低[(22.6±1.2)分vs.(27.3±0.6)分],差异均有统计学意义(P0.01);重度组患者的记忆力[(1.2±0.4)分vs.(2.2±0.5)分]、注意力[(2.5±0.9)分vs.(3.4±1.1)分]和回忆力[(1.2±0.7)分vs.(2.4±0.3)分]评分均显著下降,差异均有统计学意义(P0.01);STOP-Bang问卷得分与认知功能呈负相关(r=-0.69,P0.01);其预测认知功能障碍的敏感度为82.4%,特异度为65.8%,曲线下面积为0.72(95%C1 0.61~0.82,P0.01)。结论在中重度OSAHS患者中,STOP-Bang问卷结果与患者的认知功能明显相关,对认知功能具有一定的预测价值,
Objective To investigate the relationship between STOP-Bang questionnaire and cognitive function in pa-tients with moderate to severe obstructive sleep apnea hypopnea syndrome (OSAHS), and to evaluate its clinical application value.Methods Ninety-four patients with severe OSAHS were confirmed by polysomnogram were enrolled , according to the STOP-Bang questionnaire, they were divided into severe group (44 cases) and moderate group (50 cases), and mini mental status scale ( MMSE) were used to assess cognitive function in patients , the relationship between STOP-Bang questionnaire re-sults and cognitive function were analyzed by Pearson correlation analysis and ROC curve .Results Comparing with the pa-tients of moderate group, patients in severe group with a higher proportion of hypertension (59.1%vs.36.0%, P =0.03), body mass index [(30.3 ±2.5) kg/m2 vs.(28.5 ±1.7) kg/m2],apnea hypopnea index [(51.2 ±2.4) /h vs.(26.5 ± 3.5) /h] and STOP-Bang total scores (5.6 ±1.2 vs.2.3

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针对GPS航海定位系统轨迹检测缺乏语义的特点,提出一种基于空间语义轨迹的GPS航迹行为特征检测方法。该方法使用OWL形式描述GPS航迹行为特征,构建本体行为特征库以及提取航迹行为之间的数据依赖关系,在此基础上运用启发式的搜索算法生成关于Stop序列集的语义轨迹。然后,通过基于语义描述ALC-Tableau的逻辑推理,将Stop实例集与行为特征库相匹配。最后,通过实验分析验证该方法的有效性。
The paper proposes a spatial-semantic trajectory based GPS tracking behavior signature detection method to remedy the lacking of semantics of GPS navigation positioning system trajectory detection.The proposed method describes GPS tracking behavior characteristics in OWL format,builds ontology behavior characteristics library and extracts data dependencies among tracking behaviors.On the above foundation it generates the semantic trajectory of Stop sequence set by heuristic search algorithm.Then it matches the Stop sequence set with behavior characteristic library by semantics-based description of ALC-Tableau reasoning.Finally a experiment analysis validates the effectiveness of the proposed method.

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目的:探讨行为安全观察与沟通( STOP )管理方法在临床护生带教中的应用效果。方法选择2012年3-4月在泌尿外科病房实习的两组护生为管理对象,每组20名。3月份入科的护生为对照组,给予常规带教管理方法,4月份入科的护生为试验组,给予STOP管理方法,观察时间均为1个月。比较两组护生不安全护理行为及引发医疗纠纷事件的发生率。结果对照组和试验组学生不安全护理行为发生率分别为91.6%和4.2%;引发的医疗纠纷事件发生率分别为1.0%和0.2%,试验组明显优于对照组,差异有统计学意义(χ2值分别为18.800,6.100;P<0.05)。结论 STOP管理方法应用于临床护生带教,可降低不安全护理行为及其引发的医疗纠纷事件的发生率。
Objective To compare the effect of reducing unsafe acts and medical disputes before and after implementing nursing students management via safety training and observation program ( STOP ) in Department of Urological Surgery .Methods Chose 21 students who participated in clinical nursing practice in March, 2012 and April, 2012 in the department of urological surgery in our hospital .We carried out the conventional management methods to the students in first group and STOP methods to the students in second group.Then the incidence of unsafe acts and medical disputes between two groups were compared .Results The incidence of unsafe acts in the first and second group was 91.6%and 4.2%.The incidence of medical disputes in the first and second group was 4.2% and 0.2%.The differences were significant (χ2 =18.800,6.100, respectively;P<0.05).Conclusions STOP management has significant effect on the management of clinical teaching to nursing students and can reduce the incidence of me

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针对传统煤矿安全管理工作中,行为安全管理侧重追究人的责任、主要依赖于罚款措施、对不安全行为的管理不够人性化等问题,结合我国煤矿实际,从实用性、可操作性角度出发,在STOP方法基础上,从安全行为委员会的设立、不安全行为数据库的建立、STOP观察表的设计、方法培训、确定观察人员和方法、行为观察数据的处理与统计分析、反馈措施等方面考虑进行了相应的设计。并在同煤集团进行了实施应用,对取得的经验进行了总结探讨。
For the conventional safety management in coal mines,the behavior safety man-agement usually pays attention on the assessment of person''s responsibility and then take actions by imposing a fine,which is dehumanization for the unsafe behavior management.In view of the actual situation of coal mines in China,the following respects were designed according to the practicability and operability on the basis of STOP method,including the foundation of safe be-havior committee,the establishment of unsafe behavior data base,the design of STOP observa-tion form,the manner training,the determination of observed people and manner,the treatment of behavioral observation data and statistical analysis,feedback measures and so on.This man-agement manner was applied to Datong Coal Mine Group,and the obtained experience was sum-marized and discussed too.
结合修井项目现场的 HSE 管理实际,从壳牌 HSE 理念、救命规则、许可程序、HSE 培训、STOP 卡、体系管理等方面,分析壳牌 HSE 管理的理念和具体做法,对完善现场 HSE 管理具有参考价值。
On the basis of actual HSE management in the Gabon workover project, the paper offers an introduction to Shell’s philosophies and specific practices in HSE management by looking at Shell’s HSE concepts, life saving rules, authorization process, HSE training, STOP card, system management, etc., which is of reference value to field HSE management.

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非煤矿山是典型的高危行业。为了规范作业人员的不安全行为,预防和减少生产事故,基于杜邦STOP系统及行为安全理论,通过行为观察、行为聚类,构建了非煤矿山不安全行为管理模型。对某大型非煤地下矿山的14类工种作业为期70天跟踪观察,收集统计生产作业中的不安全行为,通过分类整理,形成不同类别的不安全行为比例变化趋势图。结果表明:动力设备类、防护坠落类和其它类的不安全行为有明显的降低趋势;生产工艺类、常识危险类和供电系统类的不安全行为改善不明显。实例表明,基于杜邦STOP系统及行为安全理论的非煤矿山不安全行为研究具有实效性。
Non-coal mining is a typical high-risk industry .Unsafe behavior management model was built to restrain the unsafe act , prevent and reduce production accidents according to behavior observation and clustering based on Du Pont STOP system and behavior safety theory .The data of unsafe act in the work from 70 days of follow-up of 14 kinds of work in some large underground non-coal mine were collected and classified .And then the change trend chart of different kinds of unsafe behavior was made .The results show that the trend of the unsafe behavior of power equipment , fall protection and others is significantly lower , and the unsafe act of manufacturing technique , common sense danger and power supply system is unobviously improved .So the example shows that the unsafe behavior re-search of non-coal mine based on Du Pont STOP system and behavior safety theory has pragmaticality .

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轨迹数据处理与分析是目前空间信息和数据库等相关领域的研究热点之一。本文从Stop/Move轨迹模型出发,通过集成地理空间上下文信息来建模轨迹数据,并研究轨迹时空模式的查询处理技术。首先分析Stop/Move对象与点/线/面地理空间要素之间的时空关联关系,据此提出显式表达该关联语义的地理关联轨迹模型;在此基础上利用关系-对象数据库技术,为地理关联轨迹模型设计独立于应用的关系模式;接着定义轨迹时空模式查询,并提出基于地理关联轨迹关系模式的SQL处理框架;最后以典型性检索请求为例,讨论分析位置-时间、位置-顺序和位置-关系等3类轨迹时空模式查询的纯SQL处理技术,并以样例轨迹数据验证了本文方法的可行性。
Trajectory processing and analyzing is now one of the hottest research issues in related fields, such as geography,database,and so on.Inspired from the Stop/Move abstract model of trajectory,this paper aims at modeling trajectory by integrating contextual geo-spatial information and studying the processing techniques on trajectory spatio-temporal pattern queries.First,the semantic relationships between Stop/Move objects and point/line/polygon features are analyzed,based on which a novel trajec-tory model that explicitly expresses geo-spatial information associated semantics is proposed;next,an application-independent trajectory relational schema for this trajectory model is designed;next,the concept of trajectory spatio-temporal pattern query is introduced,and its SQL processing framework, based on trajectory relational schema,is also proposed.Finally,this paper discusses how to processing trajectory spatio-temporal pattern queries with pure SQL languages.To make the answerin

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目的 探讨徐州地区一原发性开角型青光眼(POAG)家系的MYOC基因的突变位点.方法 对一四代POAG家系进行全面临床检查,对家系成员应用聚合酶链反应(PCR)扩增MYOC基因所有外显子及相邻内含子,对其产物进行直接测序.对照组为门诊随机选取的30名健康者.结果 家系的遗传方式符合常染色体显性遗传,确诊年龄为13~29岁.在所有患者中均发现MYOC第三外显子密码子由TAC变为TAA,对应的酪氨酸转为终止密码(Tyr360STOP).无该突变的家系成员中无POAG患者,2例尚未发现明显青光眼体征的家系成员和对照组30名均未发现任何突变位点.结论 Tyr360STOP是江苏地区这一原发性开角型青光眼家系的致病基因,突变的表型是发病年龄较轻的青少年性开角型青光眼(Juvenile onset open angle glaucoma,JOAG),具有较高的外显率.
Objective To determine the possible mutation in the MYOC gene underlying POAG in Jiangsu glaucoma family.Methods The members in a four generation POAG family were examined by senior ophthalmologists.All coding sequences of the myocilin gene plus the flanking sites were amplified by polymerase chain reaction (PCR).The control group was randomly selected from 30 healthy persons from outpatient using genomic DNA from all examined family members followed by sequencing of the PCR products.Results This family pedigree exhibited autosomal mode of inheritance,the onset age ranged from 13 to 29 years.A disease-causing missense mutation Tyr360STOP in the third exon of the myocilin gene was identified in all affected family members.None of the subjects without mutation had glaucoma.This mutation Tyr360STOP was not found in control group.Conclusions The myocilin sequence alteration Tyr360STOP is proved to be a disease-causing missense mutation.The mutation in this family is associated with a pheno

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目的:比较阻塞性睡眠呼吸暂停综合征( OSAS)患者行咽腭成形术后的围术期和远期氧合状况;评估STOP-BANG量表和mESS量表预测OSAS患者的敏感度和特异度。方法选取中日友好医院2009至2010年行咽腭成型术患者46例,对患者进行术后第1~3天氧饱和度的监测;对患者术后进行3年随访,复查睡眠多导图,测试STOP-BANG量表和mESS量表。结果咽腭成形术患者术后拔管1~4 h、第1天、第2天的血氧饱和度分别为96.6(92.0,99.0)%、94.9(90.7,98.4)%、95.3(90.2,97.7)%,高于术前的91.1(79.3,96.1)%,差异有统计学意义( Z=1.000,P<0.01);但术后第1天的血氧饱和度却低于拔管后1~4 h,差异有统计学意义(Z=-3.6014,P<0.01)。 OSAS患者行咽腭成型术后3年,睡眠时血氧饱和度为(88.84±6.16)%,与术前的(89.72±4.88)%相比,差异无统计学意义( t=1.029,P>0.05)。 mESS量表可对患者的生活质量进行评估和了解,STOP-BANG量表对预测OSAS患者敏感度为80%,特异度为100%,可作为快速筛查OSAS患者的一个有效工具。结论咽腭成型术显著改善了OSAS患者的术后氧饱和度,但在术后24 h内仍存在缺氧事件,特别是术后第一晚。咽腭成型术并未改善患者长期的缺氧
Objective To explore the perioperative and long-term oxygenation status after uvulopalatopharyngealplasty ( UPPP ) in patients with obstructive sleep apnea syndrome ( OSAS ) and evaluate the predictive performance of STOP-BANG questionnaire and modified Epworth sleepiness scale ( mESS) scales.Methods Oxygen saturation was continuously monitored with pulse oximeter wristwatch for up to 72 h postoperatively in 46 patients undergoing UPPP.They were followed up after 3 years with polysomnography , STOP-BANG questionnaire and mESS scales.Results Oxygen saturation significantly improved postoperatively.The mean SPO2 was 96.6% during 1 to 4 hour after extubation , 94.9% on POD1, 95.3% on POD2 and 91.1% on pre-operation respectively.The differences were statistically significant (Z=1.000, P 0.05) in mean SPO2 between pre-operation (89.72 ±4.88)% and 3 years (88.84 ±6.16)% after UPPP.Conclusions Although UPPP significantly improves oxygen saturation in OSA patients , hypoxemic episo