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《医学前沿(英文)》 2012年 第6卷 第3期 页码 288-295 doi: 10.1007/s11684-012-0208-4
Tramadol is a potent analgesic. However, the analgesia efficacy of tramadol, particularly its minimum effective dose (MED), is not clear. The aim of this study is to find MED of tramadol for postoperative analgesia in infants. The continual reassessment method (CRM) was performed to find MED. Infants undergoing surgeries were included in the 3 phases of this series. In each phase, 24 participants were allocated a different tramadol dose. Pain intensity was measured by face, legs, activity, cry, consolability (FLACC) measurement at 3-hour intervals. Tramadol was considered ineffective if the FLACC score was higher than 4 in 10 at anytime. In phase 1, seven dose levels were used within the range 0.1–0.4 mg?kg-1·h-1. Phase 1 was insufficient to identify the MED, and we increased the dose to 0.4–0.8 mg?kg-1·h-1 in phase 2. Phase 2 was insufficient to identify the MED. In phase 3, local anesthetic wound infiltration was introduced, and the tramadol dose levels tested were the same as in phase 1. The successful analgesia probability of tramadol 0.4 mg?kg-1?h-1 was 82.1% (95% CI, 0.742–0.925) in phase 1. In phase 2, it was 84.7% (95% CI, 0.789–0.991) with the dose 0.8 mg?kg-1?h-1. Phase 1 and phase 2 were insufficient to identify the MED. In phase 3, the successful analgesia probability for dose 0.35 mg?kg-1?h-1was 96.7% (95% CI, 0.853–0.997).We have demonstrated that tramadol provides insufficient analgesia for surgeries considered to cause moderate-to-severe postoperative pain in infants if used as the sole analgesic, and that local anesthetic wound infiltration enhances the efficacy of tramadol.
关键词: tramadol minimum effective dose postoperative analgesia infants continual reassessment method
赛文博, 贾东晨, 陈昊, 韦薇
《工程(英文)》 2024年 第32卷 第1期 页码 15-18 doi: 10.1016/j.eng.2023.10.003
Ali ALAJMI, Hosny ABOU-ZIYAN, Hamad H. Al-MUTAIRI
《能源前沿(英文)》 2022年 第16卷 第4期 页码 629-650 doi: 10.1007/s11708-021-0799-z
关键词: parametric analysis high-performance window window-to-wall ratio (WWR) facade orientation solar shading cost analysis
刘忠,,褚福磊,龙国键,廖永忠
《中国工程科学》 2005年 第7卷 第10期 页码 73-77
针对目前国内外液压冲击机械工作参数调节方法的局限性,提出了行程无级调节原理,设计了一种新型的行程无级调节装置,并对该装置进行了数字仿真研究;在此基础上设计了一种基于微机控制的无级调节工作参数的液压冲击机构,论述了其设计原理、结构特点、技术性能和控制策略。
Sina AMIRI; Ali Naghi DEHGHAN
《结构与土木工程前沿(英文)》 2022年 第16卷 第6期 页码 704-717 doi: 10.1007/s11709-021-0746-4
关键词: shallow tunneling method pile and rib method ground surface settlement subway station construction numerical modeling
Asghar RAHMATI,Lohrasb FARAMARZI,Manouchehr SANEI
《结构与土木工程前沿(英文)》 2014年 第8卷 第4期 页码 448-455 doi: 10.1007/s11709-014-0262-x
Independent cover meshless particle method for complex geotechnical engineering
Jianqiu WU, Yongchang CAI
《结构与土木工程前沿(英文)》 2018年 第12卷 第4期 页码 515-526 doi: 10.1007/s11709-017-0428-4
关键词: meshless method particle method independent cover CTM geotechnical engineering
3D mode discrete element method with the elastoplastic model
Wei HU, Feng JIN, Chong ZHANG, Jinting WANG
《结构与土木工程前沿(英文)》 2012年 第6卷 第1期 页码 57-68 doi: 10.1007/s11709-012-0139-9
关键词: mode discrete element method elastoplastic numerical method discontinuum contact
Gui-Rong Liu
《结构与土木工程前沿(英文)》 2019年 第13卷 第2期 页码 456-477 doi: 10.1007/s11709-019-0519-5
The smoothed finite element method (S-FEM) was originated by G R Liu by combining some meshfree techniques with the well-established standard finite element method (FEM). It has a family of models carefully designed with innovative types of smoothing domains. These models are found having a number of important and theoretically profound properties. This article first provides a concise and easy-to-follow presentation of key formulations used in the S-FEM. A number of important properties and unique features of S-FEM models are discussed in detail, including 1) theoretically proven softening effects; 2) upper-bound solutions; 3) accurate solutions and higher convergence rates; 4) insensitivity to mesh distortion; 5) Jacobian-free; 6) volumetric-locking-free; and most importantly 7) working well with triangular and tetrahedral meshes that can be automatically generated. The S-FEM is thus ideal for automation in computations and adaptive analyses, and hence has profound impact on AI-assisted modeling and simulation. Most importantly, one can now purposely design an S-FEM model to obtain solutions with special properties as wish, meaning that S-FEM offers a framework for design numerical models with desired properties. This novel concept of numerical model on-demand may drastically change the landscape of modeling and simulation. Future directions of research are also provided.
关键词: computational method finite element method smoothed finite element method strain smoothing technique smoothing domain weakened weak form solid mechanics softening effect upper bound solution
Explicit optimization method for cutting-screw-thread on the basis of dual-RSM
Zhengbao LEI, Shubin WEI, Qingyun DU
《机械工程前沿(英文)》 2010年 第5卷 第4期 页码 423-430 doi: 10.1007/s11465-010-0109-7
关键词: vehicle engineering crash safety explicit method response surface method
Arash SEKHAVATIAN, Asskar Janalizadeh CHOOBBASTI
《结构与土木工程前沿(英文)》 2019年 第13卷 第1期 页码 66-80 doi: 10.1007/s11709-018-0461-y
关键词: uncertainty reliability analysis deep excavations random set method finite difference method
A simple method for evaluating liquefaction potential from shear wave velocity
Lianyang ZHANG,
《结构与土木工程前沿(英文)》 2010年 第4卷 第2期 页码 178-195 doi: 10.1007/s11709-010-0023-4
关键词: liquefaction earthquake simple method shear wave velocity case history introduction
Thermo-elastic extended meshfree method for fracture without crack tip enrichment
A. ASADPOUR
《结构与土木工程前沿(英文)》 2015年 第9卷 第4期 页码 441-447 doi: 10.1007/s11709-015-0319-5
Peng WEI, Wenwen WANG, Yang YANG, Michael Yu WANG
《机械工程前沿(英文)》 2020年 第15卷 第3期 页码 390-405 doi: 10.1007/s11465-020-0588-0
关键词: level set method topology optimization density-based method level set band
A new method for boring of non-circular holes
ZHANG Kai, HU De-jin
《机械工程前沿(英文)》 2006年 第1卷 第4期 页码 456-460 doi: 10.1007/s11465-006-0058-3
关键词: electromagnetic actuation control method displacement flexible body revolving electromagnetic
标题 作者 时间 类型 操作
Estimation of the minimum effective dose of tramadol for postoperative analgesia in infants using the continualreassessment method
null
期刊论文
Reassessment of fenestration characteristics for residential buildings in hot climates: energy and economic
Ali ALAJMI, Hosny ABOU-ZIYAN, Hamad H. Al-MUTAIRI
期刊论文
Comparison of shallow tunneling method with pile and rib method for construction of subway station in
Sina AMIRI; Ali Naghi DEHGHAN
期刊论文
Development of a new method for RMR and Q classification method to optimize support system in tunneling
Asghar RAHMATI,Lohrasb FARAMARZI,Manouchehr SANEI
期刊论文
Independent cover meshless particle method for complex geotechnical engineering
Jianqiu WU, Yongchang CAI
期刊论文
3D mode discrete element method with the elastoplastic model
Wei HU, Feng JIN, Chong ZHANG, Jinting WANG
期刊论文
The smoothed finite element method (S-FEM): A framework for the design of numerical models for desired
Gui-Rong Liu
期刊论文
Explicit optimization method for cutting-screw-thread on the basis of dual-RSM
Zhengbao LEI, Shubin WEI, Qingyun DU
期刊论文
Application of random set method in a deep excavation: based on a case study in Tehran cemented alluvium
Arash SEKHAVATIAN, Asskar Janalizadeh CHOOBBASTI
期刊论文
Level set band method: A combination of density-based and level set methods for the topology optimization
Peng WEI, Wenwen WANG, Yang YANG, Michael Yu WANG
期刊论文