简介：在以后简短考察摄影测量学的历史在中国，大学生的开发和毕业生节目的教育，和相应课程设计被数据的使用从摄影测量学作为thestate水平钥匙纪律在被授于的武汉大学分析。大学里的摄影测量学的学术教育程序下雨了在摄影测量的职业的所有地里执行任务的学生。在最近的年里，摄影测量学的性质正在变化，多学科的geomatics很快发展中，摄影测量学的教育程序也在新概念和结构变化了改编很新的技术和这域的扩展。最后，为多学科的geomatics的要求的摄影测量学教育的前景被建议。对快、精确的3D的Thegrowing兴趣空间数据收集(例如城市建模和数字土)是导致摄影测量学的增加的需要主要工具，摄影测量的球场因此被请求新并且为大学geomatics和遥感度节目成为一个种有点职业的球场。

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简介：StudiesontherightsofpersonswithdisabilitiesaretypicalofmultidisciplinaryresearchInrecentyears,followingtheadoptionoftheConventionontheRightsofPersonswithDisabilitiesinparticular,studiesoftherightsofthedisabledhavepresentedthefollowingtrendsandfeatures:diverseresearchangles,theexpandingofthedepthandwidthofresearch;afocusonpersonalexperienceandculturalinterpretation;aconcernfortheimpactsofmultipleidentitiesontherealizationofindividualrights;andastressonempirical,participatoryandemancipatoryresearchMultidisciplinarydisabilityrightresearchisnowatapreliminarystageanditisworthfurtherdevelopmentsoastopromotethedisabilitycauseinChina

简介：Multidisciplinaryfeasiblemethod(MDF)isconventionalmethodtomultidisciplinaryoptimization(MDO)andwell-understoodbyusers.Itreducesthedimensionsofthemultidisciplinaryoptimizationproblembyusingthedesignvariablesasindependentoptimizationvariables.However,ateachiterationoftheconventionaloptimizationprocedure,multidisciplinaryanalysis(MDA)isnumerouslyperformedthatresultsinextremeexpenseandlowoptimizationefficiency.TheintrinsicweaknessofMDFisduetothetimesthatitloopfixed-pointiterationsinMDA,whichdriveustoimproveMDFbybuildinginexpensiveapproximationsassurrogatesforexpensiveMDA.AnsimpleexampleispresentedtodemonstratetheusefulnessoftheimprovedMDF.ResultsshowthatasignificantreductioninthenumberofmultidisciplinaryanalysisrequiredforoptimizationisobtainedascomparedwithoriginalMDFandtheefficiencyofoptimizationisincreased.

简介：Anewefficientcouplingrelationshipdescriptionmethodhasbeendevelopedtoprovideanautomatedandvisualizedwaytomultidisciplinarydesignoptimization(MDO)modelingandsolving.Thedisciplinaryrelationmatrix(DRM)isproposedtodescribethecouplingrelationshipaccordingtodisciplinaryinput/outputvariables,andtheMDOdefinitionhasbeenreformulatedtoadoptthenewinterfaces.Basedonthese,auniversalMDOsolvingprocedureisproposedtoestablishanautomatedandefficientwayforMDOmodelingandsolving.Throughasimpleandconvenientinitialconfiguration,MDOproblemscanbesolvedusinganyofavailableMDOarchitectureswithnofurthereffort.SeveralexamplesareusedtoverifytheproposedMDOmodelingandsolvingprocess.ResultshowsthattheDRMmethodhastheabilitytosimplifyandautomatetheMDOprocedure,andtherelatedMDOframeworkcanevaluatetheMDOproblemautomaticallyandefficiently.

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简介：AbstractThe treatment of severe trauma, especially multiple injuries, requires multidisciplinary collaboration. The current study aims to highlight the challenges of consultation mode for severe trauma in general hospitals and emphasizes the need to create a new temporary-sustainable team. It suggests developing an information consultation mode and enforcing the fine management to improve the quality and safety of the medical treatment. The management mode of a temporary-sustainable team will reduce the cost and improve the treatment efficiency. Overall, a temporary-sustainable team has significant advantages over a traditional multidisciplinary team for severe trauma treatment.

简介：AbstractImportance:Neuroblastoma is the most common extracranial malignant solid tumor in children. Multidisciplinary care is critical to improving the survival of pediatric patients with neuroblastoma.Objective:To systematically summarize the clinical characteristics of children with neuroblastoma and evaluate their prognosis with multidisciplinary care provided in a single center.Methods:This retrospective study analyzed the clinical data of 1041 patients with neuroblastoma who were diagnosed, treated, and followed-up in the Hematology-Oncology Center of Beijing Children’s Hospital from 2007 to 2019.Results:The median age at diagnosis was 34 months; 80.8% of the patients were younger than 5 years of age. Notably, 243 patients (23.3%) were classified as low-risk, 249 patients (23.9%) were classified as intermediate-risk, and 549 (52.7%) were classified as high-risk. Furthermore, 956 patients underwent surgical resections; 986 (94.7%) patients received chemotherapy; and 176 patients with high-risk neuroblastoma received hematopoietic stem cell transplantation. The 5-year event-free survival (EFS) rate was 91.3% and 5-year overall survival (OS) rate was 97.5% in low-risk group; in the intermediate-risk group, these rates were 85.1% and 96.7%, respectively, while they were 37.7% and 48.9% in the high-risk group (P < 0.001 for both). The 5-year EFS and OS rates were significantly higher in patients diagnosed between 2015 and 2019 than in patients diagnosed between 2007 and 2014 (P < 0.001). In total, 278 patients (26.7%) exhibited tumor relapse or progression; the median interval until relapse or progression was 14 months. Of the 233 patients who died, 83% died of relapse or progression of neuroblastoma and 4.3% died of therapy-related complications.Interpretation:The 5-year OS rate was low in high-risk patients, compared with low-and intermediate-risk patients. Multidisciplinary care is critical for improvement of survival in pediatric patients with neuroblastoma. Additional treatment strategies should be sought to improve the prognosis of patients with high-risk neuroblastoma.

简介：Objective:Toevaluatetheeffectofmultidisciplinarycollaborativecare(MCC)inpatientswithbothacutecoronarysyndrome(ACS)anddepressionand/oranxietydisorderscomparedwithusualphysiciancare(UPC).Methods:Depressionand/oranxietywerescreenedbyusingSDSandSAS,ACSpatientswithdepressionand/oranxietydisorderswererandomizedintoMCCandUPCgroups.Thecardiacoutcomesandthelifequalitywereevaluatedat1yearfollow-up.Results:Overall,30.19%(96/318)patientshadpositivescreenresults.At1year,CardiacoutcomemeasuresforpatientsinMCCgroupweresignificantlybetterforcompositeeventsofcardiacdeathandnon-fatalMI(6.12%vs23.40%,p=0.016),cardiacfunction(NYHAfunctionalclassificationIIIorIV,0%vs25%,p=0.05),andanginapectoris(21.28%vs85%,p<0.0005),thanpatientsinUPCgroup;thelifequalitywereimprovedinpatientsinMCCgroup.Conclusion:AfterACS,30.19%ofpatientshaddepressionand/oranxietydisorders,MCChadbettereffectsoncardiacoutcomesandqualityoflifeinACSpatientswithPsychiatricdisorders.

简介：摘要A global pandemic of a new highly contagious disease called COVID-19 resulting from coronavirus (severe acute respiratory syndrome (SARS)-Cov-2) infection was declared in February 2020. Though primarily transmitted through the respiratory system, other organ systems in the body can be affected. Twenty percent of those affected require hospitalization with mechanical ventilation in severe cases. About half of the disease survivors have residual functional deficits that require multidisciplinary specialist rehabilitation. The workforce to deliver the required rehabilitation input is beyond the capacity of existing community services. Strict medical follow-up guidelines to monitor these patients mandate scheduled reviews within 12 weeks post discharge. Due to the restricted timeframe for these events to occur, existing care pathway are unlikely to be able to meet the demand. An innovative integrated post-discharge care pathway to facilitate follow up by acute medical teams (respiratory and intensive care) and a specialist multidisciplinary rehabilitation team is hereby proposed. Such a pathway will enable the monitoring and provision of comprehensive medical assessments and multidisciplinary rehabilitation. This paper proposes that a model of tele-rehabilitation is integrated within the pathway by using digital communication technology to offer quick remote assessment and efficient therapy delivery to these patients. Tele-rehabilitation offers a quick and effective option to respond to the specialist rehabilitation needs of COVID-19 survivors following hospital discharge.

简介：ThedesignofnewSatelliteLaunchVehicle(SLV)isofinterest,especiallywhenacombinationofSolidandLiquidPropulsionisincluded.ProposedisaconceptualdesignandoptimizationtechniqueformultistageLowEarthOrbit(LEO)boundSLVcomprisingofsolidandliquidstageswiththeuseofGeneticAlgorithm(GA)asglobaloptimizer.ConvergenceofGAisimprovedbyintroducinginitialpopulationbasedontheDesignofExperiments(DOE)Technique.LatinHypercubeSampling(LHS)-DOEisusedforitsgoodspacefillingproperties.LHSisastratifiedrandomprocedurethatprovidesanefficientwayofsamplingvariablesfromtheirmultivariatedistributions.InSLVdesignminimumGrossLiftoffWeight(GLOW)conceptistraditionallybeingsought.SincethedevelopmentcoststendtovaryasafunctionofGLOW,thisminimumGLOWisconsideredasaminimumdevelopmentcostconcept.Thedesignapproachismeaningfultoinitialdesignsizingpurposeforitscomputationalefficiencygivesaquickinsightintothevehicleperformancepriortodetaileddesign.

简介：Extragonadalprimaryyolksactumoroftheintestinaltractoriginisexceedinglyrare.Throughamultipledisciplinaryteam,thediagnosisandtreatmentofprimaryintestinalyolksactumorwerefurtherdefined.Wereport2suchcaseswithdetailedhistologicandimmunohistochemicalanalysis.Thetwopatientswerea7-year-oldgirlanda29-year-oldwoman.Bothofthempreoperativelyhadanelevatedserumalphafetoprotein(AFP)level(≥1,210ng/mL).Thetumorsarelocatedintheintestineandimagingexaminationindicatedtherectumastheprimarysite.Grosslythemasswasgrey-whiteandcrisptexture.Microscopicexaminationfeaturedreticular,microcystic,macrocystic,papillary,solid,andsomeglandularpatterns.Immunohistochemically,tumorcellsofbothcaseswerepositiveforSALL4,AFP,pan-cytokeratin(AE1/AE3),andglypican-3.Simultaneously,astainforEMA,OCT4,CD30,HCG,vimentinandCK20werenegativeinall2neoplasms.Thefeaturesofmorphology,immunohistochemistry,laboratoryexaminationsandimagingstudiesconsistofthediagnosisofprimaryyolksactumoroftheintestine.

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