重度子痫前期产妇剖宫产布比卡因蛛网膜下腔阻滞麻醉适合剂量的临床研究

目的 探讨重度子痫前期产妇剖宫产重比重布比卡因蛛网膜下腔阻滞麻醉（腰麻）的适合剂量。方法 选取200例重度子痫前期产妇,ASAⅠ级或Ⅱ级,按随机数字表法分为4组,每组各50 例,相应各组鞘内注入布比卡因剂量分别为10、8、6 及4mg,并混合2.5μg 舒芬太尼。选择L3~4行腰硬联合穿刺,注药10min 后记录麻醉平面。根据结果进行Probit 回归分析,计算布比卡因腰麻的ED50和ED95。观察各组利多卡因及去氧肾上腺素的用量、肌松效果及患者麻醉满意度,观察各组术中并发症以及新生儿的Apgar 评分和脐动脉pH。结果 重度子痫前期患者腰麻剖宫产布比卡因ED50 和ED95分别为：6.51（95%CI：5.81～7.01）和8.68（95%CI：7.96～10.26）。4 组患者10min 后麻醉平面的差异均有统计学意义（均P＜0.05）。4mg 组利多卡因用量高于其他3组,差异有统计学意义（P＜0.05）。8mg 组、10mg 组去氧肾上腺素的用量高于其他两组,差异均有统计学意义（均P＜0.05）。低血压的发生率8mg 组、10mg 组高于其他两组,差异均有统计学意义（均P＜0.05）。４ 组间其他不良反应恶心、呕吐、寒战以及心动过缓发生率的差异无统计学意义（P＞0.05）。4 组胎儿娩出后1、5min Apgar 评分及脐动脉血气分析的结果差异均无统计学意义（均P＞0.05）。结论 重度子痫前期产妇剖宫产鞘内注入6mg 布比卡因混合2.5μg舒芬太尼,必要时辅以硬膜外麻醉,麻醉效果确切,血流动力学稳定,适合该类患者手术麻醉。     

地面积水与装甲目标毫米波被动探测信号差异研究

以往毫米波被动探测中以平面金属目标代替立体金属目标(如装甲目标),而平面金属目标的探测信号又和地面积水的探测信号非常相似,所以导致这三种目标难以分辨。针对这一问题,从毫米波被动探测平面金属、积水、装甲目标探测信号的基本理论出发,通过建立目标模型、推导天线温度计算模型,仿真得到了这三种目标的探测信号,查找信号差异并分析总结了造成差异的根源。仿真结果证实了分析的正确性和有效性,为地面装甲目标识别算法的研究提供了必要的理论支撑和分析依据。     

定轴转动中打击中心位置分析

刚体定轴转动的打击中心是一个很重要的力学概念,但在很多《大学物理》教材中都没有介绍.本文以一根质量均匀分布的细杆绕端点作定轴转动为例,首先从动力学的角度,分析刚体的受力和力矩,根据动力学方程,分别计算出打击中心位置;然后从运动学角度出发,以转轴O点的切向速度和切向加速度等于零为条件,再分别寻找打击中心的位置.计算结果表明:上述4种方法得出的刚体打击中心位置是相同的.最后简介刚体打击中心在体育运动、日常生活中一些应用.     

探讨周期性结构障碍物的声传播和透射

构建了具有周期性结构的一维狭缝障碍屏,用Comsol Multiphysics模拟计算,在较长波段内讨论声波的透射现象.并改变障碍屏的参数,对比不同情况下的声透射,在理论上分析声波的传播过程和透射特征,对照和分析通过Comsol Mul-tiphysics计算的透射谱,说明了声波透射峰的起源和异常透射现象.     

南京市地铁工程环境地质评价

地下空间的开发不可避免会对周围的环境造成影响 ,本文通过结合南京工程地质水文地质情况和地铁的施工 ,就地铁工程对环境的影响进行初步研究 ,并提出解决方法     

Mixed-mode I/II fields around a crack with a cohesive zone ahead of the crack tip

Considering a cohesive zone ahead of the crack tip, the linear elastic crack problem under Mode I, Mode II or mixed-mode conditions is formulated in an elliptic coordinate system, so that the cohesive surfaces are conveniently represented by straight line segments. It is shown that the displacement and stress fields around the crack tip and the cohesive zone, expressed in terms of elliptic coordinates, have a simple mathematical form, which does not contain a stress singularity at the crack tip due to the existence of the cohesive zone.     

Recursive second-order Volterra filter based on Dawson function for chaotic memristor system identification

Nonlinear Dynamics - In this paper, we propose a modified version of exponential cost function to improve the stability of adaptive algorithm, where the recursive algorithm is based on the Dawson...     

A review of computational modeling and deep brain stimulation: applications to Parkinson's disease

Biophysical computational models are complementary to experiments and theories, providing powerful tools for the study of neurological diseases. The focus of this review is the dynamic modeling and control strategies of Parkinson's disease (PD). In previous studies, the development of parkinsonian network dynamics modeling has made great progress. Modeling mainly focuses on the cortex-thalamus-basal ganglia (CTBG) circuit and its sub-circuits, which helps to explore the dynamic behavior of the parkinsonian network, such as synchronization. Deep brain stimulation (DBS) is an effective strategy for the treatment of PD. At present, many studies are based on the side effects of the DBS. However, the translation from modeling results to clinical disease mitigation therapy still faces huge challenges. Here, we introduce the progress of DBS improvement. Its specific purpose is to develop novel DBS treatment methods, optimize the treatment effect of DBS for each patient, and focus on the study in closed-loop DBS. Our goal is to review the inspiration and insights gained by combining the system theory with these computational models to analyze neurodynamics and optimize DBS treatment.