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GATIS score for predicting the prognosis of rectal neuroendocrine neoplasms:A Chinese multicenter study of 12-year experience

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World Journal of Gastroenterology 2024年第28期30卷 3403-3417页

作者： Xin-Yu Zeng Ming Zhong guo-Le lin cheng-guo li Wei-Zhong Jiang Wei Zhang li-Jian Xia Mao-Jun Di Hong-Xue Wu Xiao-Feng liao Yue-Ming Sun Min-Hao Yu Kai-Xiong Tao Yong li Rui Zhang Peng Zhang Department of Gastrointestinal Surgery Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430074Hubei ProvinceChina Department of Gastrointestinal Surgery Renji HospitalSchool of MedicineShanghai Jiao Tong UniversityShanghai 200127China Department of General Surgery Peking Union Medical College HospitalPeking Union Medical CollegeBeijing 100730China Department of Colorectal Surgery Fujian Medical UniversityFuzhou 350401Fujian ProvinceChina Department of Colorectal Surgery Changhai HospitalShanghai 200433China Department of Gastrointestinal Surgery The First Affiliated Hospital of Shandong First Medical UniversityJinan 250118Shandong ProvinceChina Department of Gastrointestinal Surgery Taihe HospitalHubei University of MedicineShiyan 442099Hubei ProvinceChina Department of Gastrointestinal Surgery I Section Renmin Hospital of Wuhan UniversityWuhan 430060Hubei ProvinceChina Department of General Surgery Xiangyang Central HospitalAffiliated Hospital of Hubei University of Arts and ScienceXiangyang 441021Hubei ProvinceChina Department of Colorectal Surgery Jiangsu Province HospitalNanjing Medical UniversityNanjing 210029Jiangsu ProvinceChina Department of Gastrointestinal Surgery School of MedicineShanghai Jiao Tong UniversityShanghai 200127China Department of General Surgery Guangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangzhou 510080Guangdong ProvinceChina Department of Colorectal Surgery Liaoning Cancer HospitalShenyang 110042Liaoning ProvinceChina

BACKGROUND There is currently a shortage of accurate,efficient,and precise predictive instruments for rectal neuroendocrine neoplasms(NENs).AIM To develop a predictive model for individuals with rectal NENs(R-NENs)using data from a large *** Data from patients with primary R-NENs were retrospectively collected from 17 large-scale referral medical centers in *** forest and Cox proportional hazard models were used to identify the risk factors for overall survival and progression-free survival,and two nomograms were *** A total of 1408 patients with R-NENs were *** grade,T stage,tumor size,age,and a prognostic nutritional index were important risk factors for *** GATIS score was calculated based on these five *** overall survival prediction,the respective C-indexes in the training set were 0.915(95%confidence interval:0.866-0.964)for overall survival prediction and 0.908(95%confidence interval:0.872-0.944)for progression-free survival *** to decision curve analysis,net benefit of the GATIS score was higher than that of a single *** time-dependent area under the receiver operating characteristic curve showed that the predictive power of the GATIS score was higher than that of the TNM stage and pathological grade at all time *** The GATIS score had a good predictive effect on the prognosis of patients with R-NENs,with efficacy superior to that of the World Health Organization grade and TNM stage.

关键词： Rectal neuroendocrine neoplasm Nomogram Random forest Prognosis Overall survival Progression-free survival

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腹腔镜直肠癌手术腹壁相关并发症的原因及预防措施

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中国实用医药 2024年第1期19卷 28-31页

作者：董佃国程国丽李伟日照市中医医院胃肠外科 276800 日照市中医医院肿瘤科 276800

目的探讨腹腔镜直肠癌手术腹壁相关并发症出现的原因及预防措施。方法回顾性分析215例行腹腔镜直肠癌手术患者的临床资料,患者均在全身麻醉下采用传统5孔法行腹腔镜直肠癌前切除术(Dixon),根据手术切口作用及戳孔大小分为12 mm主操作孔(... 详细信息

目的探讨腹腔镜直肠癌手术腹壁相关并发症出现的原因及预防措施。方法回顾性分析215例行腹腔镜直肠癌手术患者的临床资料,患者均在全身麻醉下采用传统5孔法行腹腔镜直肠癌前切除术(Dixon),根据手术切口作用及戳孔大小分为12 mm主操作孔(215孔)、12 mm观察孔(215孔)、5 mm辅助操作孔(645孔)。统计分析患者的腹壁并发症发生情况及处理情况;比较12 mm主操作孔与12 mm观察孔、12 mm观察孔与5 mm辅助操作孔的腹壁并发症发生情况。结果215例腹腔镜直肠癌Dixon手术出现腹壁相关并发症25孔。9孔发生感染,经通畅引流、换药好转出院。7孔发生出血,5孔经药物止血、局部压迫好转,2孔经缝扎止血等好转。5孔发生疝,其中3孔为大网膜疝,经回纳后缝合切口好转;2孔为小肠疝,经开腹手术治疗后痊愈。4孔发生皮下气肿,经保守治疗后好转。12 mm观察孔的感染及疝发生率分别为0.47%、0,明显低于12 mm主操作孔的3.72%、2.33%,差异具有统计学意义(P0.05)。12 mm观察孔与5 mm辅助操作孔的感染、疝、出血及皮下气肿发生率比较差异均无统计学意义(P>0.05)。结论Trocar孔大小及是否关闭Trocar孔筋膜可能是切口感染及Trocar疝发生的重要影响因素;腹腔镜直肠癌手术腹壁相关并发症时有发生,临床医师需加强防范意识,减少腹壁相关并发症的发生。

关键词：腹腔镜手术直肠癌腹壁相关并发症

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Transferable adversarial slow feature extraction network for few-shot quality prediction in coal-to-ethylene glycol process

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Chinese Journal of Chemical Engineering 2024年第7期71卷 258-271页

作者： cheng Yang Chao Jiang guo Yu Jun li Cuimei Bo School of Electrical Engineering and Control Science Nanjing Tech UniversityNanjing 211816China Department of Intelligent Manufacturing Nanjing Tech UniversityNanjing 210009China

In the coal-to-ethylene glycol(CTEG)process,precisely estimating quality variables is crucial for process monitoring,optimization,and control.A significant challenge in this regard is relying on offline laboratory analysis to obtain these variables,which often incurs substantial monetary costs and significant time *** resulting few-shot learning scenarios present a hurdle to the efficient development of predictive *** address this issue,our study introduces the transferable adversarial slow feature extraction network(TASF-Net),an innovative approach designed specifically for few-shot quality prediction in the CTEG ***-Net uniquely integrates the slowness principle with a deep Bayesian framework,effectively capturing the nonlinear and inertial characteristics of the CTEG ***,the model employs a variable attention mechanism to identify quality-related input variables adaptively at each time step.A key strength of TASF-Net lies in its ability to navigate the complex measurement noise,outliers,and system interference typical in CTEG *** learning strategy using a min-max game is adopted to improve its robustness and ability to model irregular industrial data accurately and ***,an incremental refining transfer learning framework is designed to further improve few-shot prediction performance achieved by transferring knowledge from the pretrained model on the source domain to the target *** effectiveness and superiority of TASF-Net have been empirically validated using a real-world CTEG *** with some state-of-the-art methods,TASF-Net demonstrates exceptional capability in addressing the intricate challenges for few-shot quality prediction in the CTEG process.

关键词： Chemical process Neural networks Slowness principle Transfer learning Prediction

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Microstructure and property of laser additive manufactured alloy Ti-6Al-2V-1.5Mo-0.5Zr-0.3Si after aged at different temperatures

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Rare Metals 2024年第5期43卷 2275-2281页

作者： guo-Chao li Xu cheng Hua-Ming Wang National Engineering Laboratory of Additive Manufacturing for Large Metallic Components and Engineering Research Center of Ministry of Education on Laser Direct Manufacturing for Large Metallic Components School of Materials Science and EngineeringBeihang UniversityBeijing 100191China

The solid solution and aging treatment for conventional manufacturing processes might not be suitable for laser additive manufactured titanium alloys due to the different lamellar *** this study,the influence of aging temperatures(600,700 and 800°C)on microstructure and mechanical properties of titanium alloy Ti-6Al-2V-1.5Mo-0.5Zr-0.3Si was *** results indicate that after solid solution treatment at 970°C followed by water quenching,the alloy mainly consists of coarsening lamellar a phase in martensite α' *** at 600°C will not change the size of primary lamellar α phase but lead to huge amount of secondary a phases(α_(s))generating with very fine *** increasing the aging temperature,the number of α_(s) decreases but with coarsened *** aged at 800°C,the width of the asphase reaches 350 nm,almost 7 times wider than that aged at 600°*** changing size of α_(s) obviously influences the property of the *** fine α_(s) leads to high strength and microhardness but low plasticity,and specimen aged at 700°C with suitable assize has the best comprehensive properties.

关键词： α+βtitanium alloy Laser additive manufacturing Solid solution and aging treatment Microstructure Room temperature tensile property

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Experimental study on secondary air mixing along the bed height in a circulating fluidized bed with a multitracer-gas method

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Chinese Journal of Chemical Engineering 2024年第6期70卷 54-62页

作者： Qingyu Zhang Leming cheng Kun li Qixun Kang Qiang guo Chaogang Wu Institute for Thermal Power Engineering State Key Laboratory of Clean Energy UtilizationZhejiang UniversityHangzhou 310027China Dongfang Boiler Group Co.Ltd. Zigong 643001China

A multitracer-gas method was proposed to study the secondary air(SA)mixing along the bed height in a circulating fluidized bed(CFB)using carbon monoxide(CO),oxygen(O_(2)),and carbon dioxide(CO_(2))as tracer *** were carried out on a cold CFB test rig with a cross-section of 0.42 m×0.73 m and a height of 5.50 *** effects of superficial velocity,SA ratio,bed inventory,and particle diameter on the SA mixing were *** results indicate that there are some differences in the measurement results obtained using different tracer gases,wherein the deviation between CO and CO_(2) ranges from 42%to 66%and that between O_(2) and CO_(2) ranges from 45%to 71%in the lower part of the fluidized ***,these differences became less pronounced as the bed height ***,the high solid concentration and fine particle diameter in the CFB may weaken the *** measurement results of different tracer gases show the same trends under the variation of operating *** superficial velocity and SA ratio and decreasing particle diameter result in better mixing of the *** effect of bed inventory on SA mixing is not monotonic.

关键词： Circulating fluidized bed Secondary air injection Gas mixing Multitracer-gas method

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Structural properties of residual carbon in coal gasification fine slag and their influence on flotation separation and resource utilization:A review

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International Journal of Minerals,Metallurgy and Materials 2024年第2期31卷 217-230页

作者： Rui Han Anning Zhou Ningning Zhang Kaiqiang guo Mengyan cheng Heng Chen Cuicui li College of Chemistry and Chemical Engineering Xi’an University of Science and TechnologyXi’an 710054China Key Laboratory of Coal Resources Exploration and Comprehensive Utilization Ministry of Natural Resources of ChinaXi’an 710021China

Coal gasification fine slag(FS)is a typical solid waste generated in coal *** current disposal methods of stockpil-ing and landfilling have caused serious soil and ecological *** recovery and the high-value utilization of residual carbon(RC)in FS are the keys to realizing the win-win situation of the coal chemical industry in terms of economic and environmental *** structural properties,such as pore,surface functional group,and microcrystalline structures,of RC in FS(FS-RC)not only affect the flotation recovery efficiency of FS-RC but also form the basis for the high-value utilization of *** this paper,the characteristics of FS-RC in terms of pore structure,surface functional groups,and microcrystalline structure are sorted out in accordance with gasification type and FS particle *** reasons for the formation of the special structural properties of FS-RC are analyzed,and their influence on the flotation separation and high-value utilization of FS-RC is *** methods based on the pore structural characterist-ics of FS-RC,such as ultrasonic pretreatment-pore-blocking flotation and pore breaking-flocculation flotation,are proposed to be the key development technologies for improving FS-RC recovery in the *** design of low-cost,low-dose collectors containing polar bonds based on the surface and microcrystalline structures of FS-RC is proposed to be an important breakthrough point for strengthening the flotation efficiency of FS-RC in the *** high-value utilization of FS should be based on the physicochemical structural proper-ties of FS-RC and should focus on the environmental impact of hazardous elements and the recyclability of chemical waste liquid to es-tablish an environmentally friendly utilization *** review is of great theoretical importance for the comprehensive understand-ing of the unique structural properties of FS-RC,the breakthrough of the technological bottleneck in the e

关键词： coal gasification fine slag residual carbon pore structure surface functional groups microcrystalline structure flotation sep-aration resource utilization

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Comparative Experimental Study on Heat Transfer Characteristics of Building Exterior Surface at High and Low Altitudes

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Journal of Thermal Science 2024年第3期33卷 1119-1131页

作者： JIA Yonghong guo Shurui li Jin guo Lei cheng Zhu ZHANG Yin YANG Hanyu LONG Enshen Institute for Disaster Management and Reconstruction Sichuan UniversityChengdu610065China MOE Key Laboratory of Deep Earth Science and Engineering College of Architecture and EnvironmentSichuan UniversityChengdu610065China

The external surface heat transfer coefficient of building envelope is one of the important parameters necessary for building energy saving design,but the basic data in high-altitude area are ***,the authors propose a modified measurement method based on the heat balance of a model building,and use the same model building to measure its external surface heat transfer coefficient under outdoor conditions in chengdu city,China at an altitude of 520 m and Daocheng city at an altitude of 3750 m *** results show that the total heat transfer coefficient(h_(t))of building surface in high-altitude area is reduced by 34.48%.The influence of outdoor wind speed on the convective heat transfer coefficient(h_(c))in high-altitude area is not as significant as that in low-altitude *** fitting relation between convection heat transfer coefficient and outdoor wind speed is also *** the same heating power,the average temperature rise of indoor and outdoor air at highaltitude is 41.9%higher than that at low altitude,and the average temperature rise of inner wall is 25.8%higher than that at low *** shows that high-altitude area can create a more comfortable indoor thermal environment than low-altitude area under the same energy consumption *** is not appropriate to use the heat transfer characteristics of the exterior surface of buildings in low-altitude area for building energy saving design and related heating equipment selection and system terminal matching design in high-altitude area.

关键词： altitude heat transfer characteristics convective heat transfer coefficient(h_(c)) radiative heat transfer coefficient(h_(r)) external building envelope

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LDAS&ET-AD:Learnable Distillation Attack Strategies and Evolvable Teachers Adversarial Distillation

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Computers, Materials & Continua 2024年第5期79卷 2331-2359页

作者： Shuyi li Hongchao Hu Xiaohan Yang guozhen cheng Wenyan liu Wei guo National Digital Switching System Engineering&Technological R&D Center The PLA Information Engineering UniversityZhengzhou450000China

Adversarial distillation(AD)has emerged as a potential solution to tackle the challenging optimization problem of loss with hard labels in adversarial ***,fixed sample-agnostic and student-egocentric attack strategies are unsuitable for ***,the reliability of guidance from static teachers diminishes as target models become more *** paper proposes an AD method called Learnable Distillation Attack Strategies and Evolvable Teachers Adversarial Distillation(LDAS&ET-AD).Firstly,a learnable distillation attack strategies generating mechanism is developed to automatically generate sample-dependent attack strategies tailored for distillation.A strategy model is introduced to produce attack strategies that enable adversarial examples(AEs)to be created in areas where the target model significantly diverges from the teachers by competing with the target model in minimizing or maximizing the AD ***,a teacher evolution strategy is introduced to enhance the reliability and effectiveness of knowledge in improving the generalization performance of the target *** calculating the experimentally updated target model’s validation performance on both clean samples and AEs,the impact of distillation from each training sample and AE on the target model’s generalization and robustness abilities is assessed to serve as feedback to fine-tune standard and robust teachers *** evaluate the performance of LDAS&ET-AD against different adversarial attacks on the CIFAR-10 and CIFAR-100 *** experimental results demonstrate that the proposed method achieves a robust precision of 45.39%and 42.63%against AutoAttack(AA)on the CIFAR-10 dataset for ResNet-18 and MobileNet-V2,respectively,marking an improvement of 2.31%and 3.49%over the baseline *** comparison to state-of-the-art adversarial defense techniques,our method surpasses Introspective Adversarial Distillation,the top-performing method in terms of robustne

关键词： Adversarial training adversarial distillation learnable distillation attack strategies teacher evolution strategy

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Surface-targeted functionalization of nickel-rich cathodes through synergistic slurry additive approach with multi-level impact using minimal quantity

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Nano Research 2024年第1期17卷 333-343页

作者： Jing Zhang Jiapei li Longhao Cao Wenhua cheng Ziyin guo Xiuxia Zuo Chao Wang Ya-Jun cheng Yonggao Xia Yudai Huang State Key Laboratory of Chemistry and Utilization of Carbon Based Energy Resources College of ChemistryXinjiang UniversityUrumqi 830017China Ningbo Institute of Materials Technology&Engineering Chinese Academy of SciencesNingbo 315201China School of Materials Science and Engineering Tongji UniversityShanghai 200240China Center of Materials Science and Optoelectronics Engineering University of Chinese Academy of SciencesBeijing 100049China

liNi0.8Co0.1Mn0.1O_(2)(NCM811),a Ni-rich layered oxide,is a promising cathode material for high-energy density lithium-ion batteries(liBs).However,its structural instability,caused by adverse phase transitions and continuous oxygen release,as well as deteriorated interfacial stability due to excessive electrolyte oxidative decomposition,limits its widespread *** address these issues,a new concept is proposed that surface targeted precise functionalization(STPF)of the NCM811 cathode using a synergistic slurry additive(SSA)*** approach involves coating the NCM811 particle surface with 3-aminopropyl dimethoxy methyl silane(3-ADMS),followed by the precise deposition of ascorbic acid via an acid-base *** slurry additives induce the formation of an ultra-thin spinel surface layer and a stable cathode–electrolyte interface(CEI),which enhances the electrochemical kinetics and inhibits crack *** STPF strategy implemented by the SSA approach significantly improves the cyclic stability and rate performance of the NCM811 cathode in both half-cell and full-cell *** work establishes a promising strategy to enhance the structural stability and electrochemical performance of nickel-rich cathodes and provides a feasible route to promote practical applications of high-energy density lithium-ion battery technology.

关键词： nickel-rich cathode slurry additive lithium-ion battery cathode–electrolyte interface ascorbic acid phase transition

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Strategies that regulate LSD1 for novel therapeutics

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Acta Pharmaceutica Sinica B 2024年第4期14卷 1494-1507页

作者： Meng li Mengge Dai Bing cheng Shaotong li Enhui guo Junwei Fu Ting Ma Bin Yu School of Pharmaceutical Sciences&Key Laboratory of Advanced Drug Preparation Technologies Ministry of EducationZhengzhou UniversityZhengzhou 450001China College of Chemistry Zhengzhou UniversityZhengzhou 450001China Tianjian Laboratory of Advanced Biomedical Sciences Institute of Advanced Biomedical SciencesZhengzhou UniversityZhengzhou 450000China Pingyuan Laboratory State Key Laboratory of Antiviral DrugsHenan Normal UniversityXinxiang 453007China State Key Laboratory of Pharmaceutical Biotechnology Nanjing UniversityNanjing 210023China

Histone methylation plays crucial roles in regulating chromatin structure and gene transcrip-tion in epigenetic ***-specific demethylase 1(LSD1),the first identified histone de-methylase,is universally overexpressed in various ***1 dysregulation is closely associated with cancer,viral infections,and neurodegenerative diseases,etc.,making it a promising therapeutic *** LSD1 inhibitors and two small-molecule degraders(UM171 and BEA-17)have entered the clinical ***1 can remove methyl groups from histone 3 at lysine 4 or lysine 9(H3K4 or H3K9),resulting in either transcription repression or *** the roles of LSD1 in transcrip-tional regulation are well-established,studies have revealed that LSDl can also be dynamically regulated by other *** example,the expression or activity of LSD1 can be regulated by many proteins that form transcriptional corepressor complexes with ***,some post-transcriptional modifica-tions and cellular metabolites can also regulate LSD1 expression or its demethylase ***,in this review,we will systematically summarize how proteins involved in the transcriptional corepressor complex,various post-translational modifications,and metabolites act as regulatory factors for LSD1 ac-tivity.

关键词： LSD1 regulation Transcription repression Transcription activation the Corepressor complex Post-transcriptional modifications Metabolites

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