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Holistic integrative medicine: toward a new era of medical advancement

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《医学前沿（英文）》 2017年第11卷第1期页码 152-159 doi: 10.1007/s11684-017-0499-6

摘要：

Medicine has encountered unprecedented problems associated with changes in nature, society, and environment, as well as with new human quests for survival, longevity, and health. In the meantime, the development of medicine is facing challenges that resulted from the over-division and specialization of disciplines and the fragmentation of medical knowledge. To construct a new medical system that is more suitable for human health and disease treatment, holistic integrative medicine (HIM), which regards the human body as a holistic entity, organically integrates the most advanced knowledge and theories in each medical field and the most effective practices in various clinical specialties to revise and adjust on the basis of social, environmental, and psychological conditions. HIM is the inevitable and necessary direction for the future development of medicine. In this article, we illustrated the connotation of HIM, the differences between HIM and other medical conceptions, and the practice of HIM in recent years.

关键词： holistic integrative medicine precision medicine general practice medicine

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上海建设网上城市通用系统架构的实践与前景

严隽琪

《中国工程科学》 2005年第7卷第5期页码 1-8

摘要：

从方便性、协同性、共享性、开放性和安全性这五个角度出发，提出了上海建设网上城市的通用系统架构模型，阐述了实现该架构模型的相关关键技术，介绍了上海市在网上城市建设方面的工程实践，并提出了发展展望。

关键词：海网上城市系统架构信息资源互动服务工程实践

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A novel intravenous general anesthetic--- emulsified isoflurane: from bench to bedside

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《医学前沿（英文）》 2012年第6卷第4期页码 381-387 doi: 10.1007/s11684-012-0229-z

摘要：

Application of volatile anesthetics greatly alters modern medicine. There are obvious advantages of volatile anesthetics such as strong anesthetic potency, rapid onset and elimination through respiration system. Isoflurane is one of the most widely used volatile anesthetics in clinic. Emulsified isoflurane, the emulsion of isoflurane, is a novel intravenous general anesthetic. With the development of emulsified isoflurane in the past fifteen years, its utility has spread from intravenous general anesthesia to various fields including regional anesthesia, organ protection, as well as anesthetic pharmacological study. In this review, we will summarize literatures of emulsified isoflurane about its history, clinical application and future potential utility in the above mentioned fields.

关键词： emulsified isoflurane (EI) general anesthesia regional anesthesia organ protection anesthetic pharmacological study

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Numerical investigation of circle defining curve for two-dimensional problem with general boundaries

Chung Nguyen VAN

《结构与土木工程前沿（英文）》 2019年第13卷第1期页码 92-102 doi: 10.1007/s11709-018-0472-8

摘要： The scaled boundary finite element method (SBFEM) is applied to the static analysis of two dimensional elasticity problem, boundary value problems domain with the domain completely described by a circular defining curve. The scaled boundary finite element equations is formulated within a general framework integrating the influence of the distributed body force, general boundary conditions, and bounded and unbounded domain. This paper investigates the possibility of using exact geometry to form the exact description of the circular defining curve and the standard finite element shape function to approximate the defining curve. Three linear elasticity problems are presented to verify the proposed method with the analytical solution. Numerical examples show the accuracy and efficiency of the proposed method, and the performance is found to be better than using standard linear element for the approximation defining curve on the scaled boundary method.

关键词： exact geometry circular defining curve general boundaries SBFEM

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coated on endotracheal tube with or without epidural lidocaine reduces isoflurane requirement during general

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《医学前沿（英文）》 2012年第6卷第3期页码 302-306 doi: 10.1007/s11684-012-0194-6

摘要：

This study was designed to evaluate the effect of tracheal topical anesthesia using EMLA^? Cream (EC) coated on the endotracheal tube (ETT) with or without epidural anesthesia (EA) on isoflurane requirement during general anesthesia (GA) and investigate whether EC coated on the ETT with EA was associated with the additive effect compared with the effect when each anesthetic was administered independently. The prospective randomized, double-blinded, and controlled study included 60 ASA I–II patients scheduled for upper abdominal surgery requiring GA. Patients were randomly assigned to one of the following groups: group 1 received GA, group 2 received EC+ GA, group 3 received GA+ EA, and group 4 received EC+ GA+ EA. Isoflurane was administered at the required concentrations to maintain the mean arterial pressure at a level not exceeding 20% of preoperative values. The percentage mean expired concentration (%MEC) was used in calculating the isoflurane requirement. Emergence agitation, postoperative sore throat, and hoarseness were recorded. Groups 2, 3, and 4 exhibited a significant reduction on isoflurane requirement compared with group 1 (P<0.05). The isoflurane requirement evaluated by %MEC decreased by 12%, 38%, and 50% in groups 2, 3, and 4, respectively. The incidence of emergence agitation was significantly lower in groups 2 and 4 than those in groups 1 and 3 (P<0.05). Tracheal topical anesthesia using EC coated on ETT with or without EA reduced the isoflurane requirement during GA, indicating that EC combined with EA exhibited an additive effect on the requirement of general anesthetic.

关键词： EMLA? Cream epidural anesthesia general anesthesia isoflurane lidocaine

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The next step of community health construction: Training general practitioners and implementing health

Kan ZHANG MM, Wei DONG MM, Ying-Yao CHEN MD,

《医学前沿（英文）》 2010年第4卷第2期页码 134-138 doi: 10.1007/s11684-010-0041-6

摘要： This article discusses the concept of health management and stresses that community health management should be the starting point of community health service, necessitating a paradigm shift from observing the treatment-oriented medical model to observing the prevention-and-health management-based medical model. Community health construction has entered a new phase, one which highlights the need to train general practitioners in practice-based life cycle health management. In addition, general practitioners should assume the mission of implementing community health management.

关键词： community health general practitioners health management

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Exploration on Engineering Management Practice of China’s High Speed Railways

Yong-fu Sun

《工程管理前沿（英文）》 2014年第1卷第3期页码 232-240 doi: 10.15302/J-FEM-2014043

摘要： This paper explores the principal motivations and successful experiences of the rapid development of China’s high speed railway. In the perspective of the engineering management practice, the developers have studied and made prospective mid- and long-term railway network planning, including the four east-west and four north-south corridors as the backbone, the interregional urban passenger traffic corridors and the intercity railways, with a planning scale above 16,000 km. Under the overall coordination of the government, a high speed railway technology system has been formed with the China’s characteristics, by the way of sticking to independent innovation, of combining original innovation, collaborative innovation and integrative innovation, and of attaching importance to experimental verification. The target control system and support-guarantee system were established for the high speed railway project, enacting standardized management, strengthening integration test and commissioning, conducting strict acceptance, and achieving construction management experiences on the high speed railway. Finally, this paper proposes such issues worthy of attention and further study, as the improvement of the engineering decision-making management, the enhancement of investment and financing system reform, and the promotion of professionalization and the specialization of engineering project management.

关键词： high speed railway engineering management practice innovation

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声学综合无损检测技术

陈积懋

《中国工程科学》 2000年第2卷第4期页码 64-69

摘要：

论述了检测复合材料和胶接结构不连续（缺陷）的新型多模综合无损检测技术。该技术以声与超声检测技术为基础，包含五种不同检测模式，用以检测复合材料与胶接结构的失粘、脱粘、分层、疏松、夹芯压皱及其他缺陷。它适用于复合材料与构件的制造、维修和使用现场。它的适用对象范围广泛，几乎覆盖了现有常用的复合材料和胶接结构。它的检测可靠性高，重复精度好。文章还讨论了组成多膜声学综合胶接检测仪的五种不同检测模式的原理，并从我们和国内外同行的大量实践经验出发，说明了综合无损检测技术的巨大发展前景。

关键词：声学综合检测综合无损检测复合材料无损检测机械阻抗分析振动分析共振检测

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General modeling and optimization technique for real-world earth observation satellite scheduling

《工程管理前沿（英文）》页码 695-709 doi: 10.1007/s42524-023-0263-3

摘要： Over the last two decades, many modeling and optimization techniques have been developed for earth observation satellite (EOS) scheduling problems, but few of them show good generality to be engineered in real-world applications. This study proposes a general modeling and optimization technique for common and real-world EOS scheduling cases; it includes a decoupled framework, a general modeling method, and an easy-to-use algorithm library. In this technique, a framework that decouples the modeling, constraints, and optimization of EOS scheduling problems is built. With this framework, the EOS scheduling problems are appropriately modeled in a general manner, where the executable opportunity, another format of the well-known visible time window per EOS operation, is viewed as a selectable resource to be optimized. On this basis, 10 types of optimization algorithms, such as Tabu search and genetic algorithm, and a parallel competitive memetic algorithm, are developed. For simplified EOS scheduling problems, the proposed technique shows better performance in applicability and effectiveness than the state-of-the-art algorithms. In addition, a complicatedly constrained real-world benchmark exampled by a four-EOS Chinese commercial constellation is provided, and the technique is qualified and outperforms the in-use scheduling system by more than 50%.

关键词： earth observation satellite scheduling general technique optimization algorithm commercial constellation real-world benchmark

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Feasible workspace regions for general two-revolute manipulator

Conghui LIANG, Marco CECCARELLI

《机械工程前沿（英文）》 2011年第6卷第4期页码 397-408 doi: 10.1007/s11465-011-0228-9

摘要：

In this paper, a topology is presented for feasible workspace regions in general two-revolute manipulators. The design problem and concept of feasible workspace regions have been discussed as linked to each other. Design equations are formulated by arbitrarily prescribing four workspace boundary points. The so-called feasible workspace regions are the intersection of three different sub-regions, which are given by constraint curves as function of the relative positions of three workspace boundary points. By using a parametric study, all topologies for three sub-regions are figured out. Corresponding areas in cross section plane are determined for prescribing the position of a feasible workspace point as function of the topology for sub-regions. A classification has been proposed to determine and to characterize the combination of the topologies for those sub-regions. All topologies for feasible workspace regions are figured out and they are discussed as a design tool. Three general cases are analyzed in details to characterize workspace design capabilities for general two-revolute manipulators.

关键词： workspace two-revolute manipulators topology analysis design

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Management and Practice of Large-Scale Modern Coal Enterprises

An Wang

《工程管理前沿（英文）》 2014年第1卷第1期页码 13-17 doi: 10.15302/J-FEM-2014004

摘要： As the coal-dominated energy structure will remain unchanged in the short term, the sustainable development of the coal industry is still serving as one of the foundations for the sound development of the national economy. The construction of modernized mines based on "four orientations", that is, orientations of scale production, modern technology and equipment, informationized management and professional working team, has been rapidly enhancing its development in the recent decade. However, in the next decade or an even longer period, the industry, with the energy centre shifting to the West of China, will be exposed to new options and development in the layout, structure, model, technology, etc.

关键词： coal industry sustainable development the four-orientation model

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General framework for bridge life cycle design

Junhai MA, Airong CHEN, Jun HE

《结构与土木工程前沿（英文）》 2009年第3卷第1期页码 50-56 doi: 10.1007/s11709-009-0004-7

摘要： Based on a detailed illustration for bridge life cycle design which comprises the processes of service life design, aesthetics design, performance design, environmental and ecological design, inspection, maintenance and repair design as well as cost analysis, this paper presented a general framework for bridge life cycle design comprising three design phases and six design processes.

关键词： bridge whole life design design phase design process general framework

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卫星移动网络总体概念设计仿真

金士尧

《中国工程科学》 2004年第6卷第1期页码 30-36

摘要：

卫星移动网络是以卫星星座为基本物理架构，通过星际的通信链路形成覆盖全球的天基通信网络。它对社会发展、科技进步以及军队的信息化有着重大的推动作用。由于天网的移动性、通信的偶断性、接入的复杂性以及使用的综合性，都为研制提出了重大的挑战。有必要通过总体概念设计仿真，来进一步验证总体需求、总体方案、关键技术指标和研制的约束条件，形成科学的可行性报告。介绍了卫星移动网络的总体概念，设计了针对天网仿真的平台，并用实例获得卫星移动网络总体概念设计的仿真数据。

关键词：卫星移动网络总体仿真

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Circumcision of preschool boys in Baghdad, Iraq: prevalence, current practice and complications

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《医学前沿（英文）》 2013年第7卷第1期页码 122-125 doi: 10.1007/s11684-013-0242-x

摘要：

Circumcision is probably one of the most ancient surgical operations and has been performed more than any other operation. The aim of this study is to assess the prevalence of circumcision in preschool boys and to present an overview of the current practices and complications in Baghdad, Iraq. A statistical survey was conducted at the Central Teaching Hospital for Children in Baghdad, Iraq during the period April 2003 to October 2004. The survey consisted of structured interviews with the accompanying parents while waiting for their children’s routine appointments. A total of 4000 boys were included. 2 443 (61%) were circumcised and the prevalence of circumcision increased from 18% at 6 months of age to reach 92% at 6 years. Only 180 (7.4%) boys had a medical reason while the rest were circumcised for religious reasons. Parents were the only determinant in deciding the time and place of religious circumcision. Circumcision was performed by a doctor in 732 (30%) boys, by a nurse in 1276 (52%) and by a traditional circumciser in 435 (18%). Post-operative complications were encountered in 209 (8.5%) boys. Circumcision is an important surgical procedure that should be performed by trained medical staff in medical institutions. Circumcision performed by medical professionals caused significantly less complications.

关键词： circumcision children prevalence religious complications

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pulse oximetry is more accurate and detects hypoxemia earlier than conventional pulse oximetry during general

null

《医学前沿（英文）》 2012年第6卷第4期页码 406-410 doi: 10.1007/s11684-012-0217-3

摘要：

The esophagus is perfused directly by prominent arteries and may provide a more consistent tissue source for pulse oximetry. The goal of this study was to evaluate the sensitivity and accuracy of an esophageal pulse oximetry probe on patients during controlled hypoxemia in comparison to measurements obtained with conventional pulse oximetry (SpulseO₂). Forty-five ASA I–II adult patients were included in this prospective observational study. Nellcor digital oximetric probes were placed on finger tips for SpulseO₂ before anesthesia. After tracheal intubation, an esophageal probe was placed in the lower segment of the esophagus for esophageal oximetric monitoring (SoesO₂). All patients were disconnected from the breathing circuit to establish a controlled hypoxemia, and were re-connected to the breathing circuit and ventilated with 100% oxygen immediately when SoesO₂ dropped to 90%. Matched SoesO₂ and SpulseO₂ readings were recorded when SoesO₂measurements were at 100%, 95%, 90% and the lowest reading. The time for SoesO₂ and SpulseO₂ to drop from 100% to 95%, 90% and return to 100% was recorded. Oxygen saturation from arterial blood samples (SartO₂) was also measured at each time point respectively. The linear correlation coefficient of the regression analysis between SartO₂ and SoesO₂ was 0.954. The mean±2SD of the difference was 0.3%±4.3% for SoesO₂vs. SartO₂ and 6.8%±5.6% for SpulseO₂vs. SartO₂ (P<0.001). The 95% confidence interval for the absolute difference between SoesO₂ and SartO₂ was 0.3% to 0.7% and 6.2% to 7.4% between SpulseO₂ and SartO₂. The time to reach 90% saturation measured with SoesO₂ was approximately 94 seconds earlier than the SpulseO₂ (P<0.001). In conclusion, SoesO₂ is more accurate and enables earlier detection of hypoxemia when compared to conventional pulse oximetry during hypoxemia for patients undergoing general anesthesia.