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Single-center retrospective study of the diagnostic value of doubleballoon enteroscopy in Meckel’s diverticulum with bleeding

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World Journal of Gastrointestinal Surgery 2024年第4期16卷 1043-1054页

作者： Tian He Chao Yang Jing Wang Ji-Sheng Zhong Ai-Hua Li Ya-Jing Yin Li-Ling Luo Chun-Mei Rao nian-fen mao Qiang Guo Zan Zuo Wen Zhang Ping Wan Yunnan Digestive Endoscopy Clinical Medical Center Department of GastroenterologyThe First People’s Hospital of Yunnan ProvinceThe Affiliated Hospital of Kunming University of Science and TechnologyKunming 650032Yunnan ProvinceChina Department of Medicine Kunming University of Science and TechnologyKunming 650093Yunnan ProvinceChina School of Medicine Yunnan University of Traditional Chinese MedicineKunming 650011Yunnan ProvinceChina Department of Gastroenterology Qujing Hospital of Traditional Chinese MedicineQujing 655000Yunnan ProvinceChina Department of Gastroenterology Yunnan University of Traditional Chinese MedicineKunming 650011Yunnan ProvinceChina

BACKGROUND The study aimed to analyze the characteristic clinical manifestations of patients with intestinal disease Meckel’s diverticulum(MD)complicated by digestive tract ***,we aimed to evaluate the value of double-balloon enteroscopy(DBE)in MD diagnosis and the prognosis after laparoscopic diverticula *** To evaluate the value of DBE in the diagnosis and the prognosis after laparoscopic diverticula resection for MD with *** The study retrospectively analyzed relevant data from 84 MD patients treated between January 2015 and March 2022 and recorded their clinical manifestations,auxiliary examination,and follow-up after laparoscopic resection of ***(1)Among 84 MD patients complicated with hemorrhage,77 were male,and 7 were female with an average age of 31.31±10.75 *** incidence was higher in men than in women of different ages;(2)Among the 84 MD patients,65(78.40%)had defecated dark red stools,and 50(58.80%)had no accompanying symptoms during bleeding,indicating that most MD bleeding appeared a dark red stool without accompanying symptoms;(3)The shock index of 71 patients(85.20%)was30%;(4)The DBE-positive rate was 100%(54/54),99mTcpertechnetate-positive scanning rate was 78%(35/45)compared with capsule endoscopy(36%)and small intestine computed tomography(19%).These results suggest that DBE and 99mTc-pertechnetate scans had significant advantages in diagnosing MD and bleeding,especially DBE was a highly precise examination method in MD diagnosis;(5)A total of 54 MD patients with hemorrhage underwent DBE examination before *** endoscopy revealed many mucosal manifestations including normal appearance,inflammatory changes,ulcerative changes,diverticulum inversion,and nodular hyperplasia,with ulcerative changes being the most common(53.70%).This suggests that diverticular mucosal u

关键词： Meckel’s diverticulum with bleeding Double-balloon colonoscopy 99mTc-pertechnetate scanning Capsule endoscopy Ectopic gastric mucosa

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Area Operators on Bergman Spaces

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Acta Mathematica Sinica,English Series 2024年第5期40卷 1161-1176页

作者： Xiao fen LV Jordi PAU mao Fa WANG Department of Mathematics Huzhou UniversityHuzhou 313000P.R.China Departament de Matemàtiques i Informàtica Universitat de Barcelona08007 BarcelonaCataloniaSpain School of Mathematics and Statistics Wuhan UniversityWuhan 430072P.R.China

We completely characterize the boundedness of area operators from the Bergman spaces A_(α)^(p)(Bn)to the Lebesgue spaces L^(q)(S_(n))for all 0 详细信息

We completely characterize the boundedness of area operators from the Bergman spaces A_(α)^(p)(Bn)to the Lebesgue spaces L^(q)(S_(n))for all 0

关键词： Area operator Bergman space tent space area formula

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DLF-YOLOF:an improved YOLOF-based surface defect detection for steel plate

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Journal of Iron and Steel Research(International) 2024年第2期31卷 442-451页

作者： Guang-hu Liu mao-xiang Chu Rong-fen Gong Ze-hao Zheng School of Electronic and Information Engineering University of Science and Technology LiaoningAnshan114051LiaoningChina

Surface defects can affect the quality of steel *** methods based on computer vision are currently applied to surface defect detection of steel ***,their real-time performance and object detection of small defect are still *** improved object detection network based on You Only Look One-level Feature(YOLOF)is proposed to show excellent performance in surface defect detection of steel plate,called ***,the anchor-free detector is used to reduce the network ***,deformable convolution network and local spatial attention module are introduced into the feature extraction network to increase the contextual information in the feature ***,the soft non-maximum suppression is used to improve detection accuracy ***,data augmentation is performed for small defect objects during training to improve detection *** show the average precision and average precision for small objects are 42.7%and 33.5%at a detection speed of 62 frames per second on a single GPU,*** shows that DLF-YOLOF has excellent performance to meet the needs of industrial real-time detection.

关键词： Steel surface defects detection YOLOF Anchor-free detector Small object detection Real-time detection

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Postoperative encapsulated hemoperitoneum in a patient with gastric stromal tumor treated by exposed endoscopic full-thickness resection: A case report

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World Journal of Gastrointestinal Surgery 2024年第2期16卷 601-608页

作者： Hui-Fei Lu Jing-Jing Li De-Bin Zhu Li-Qi mao Li-fen Xu Jing Yu Lin-Hua Yao Department of Gastroenterology the First People’s Hospital of HuzhouHuzhou 313000Zhejiang ProvinceChina

BACKGROUND Gastric stromal tumors,originating from mesenchymal tissues,are one of the most common tumors of the digestive *** stromal tumors originating from the muscularis propria,compared with conventional endoscopic submucosal dissection(ESD),endoscopic full-thickness resection(EFTR)can remove deep lesions and digestive tract wall tumors ***,this technique has major limitations such as perforation,postoperative bleeding,and post-polypectomy ***,we report a case of postoperative serous surface bleeding which formed an encapsulated hemoperitoneum in a patient with gastric stromal tumor that was treated with exposed *** treatment options to address this complication are *** SUMMARY A 47-year-old male patient had a hemispherical protrusion found during gastric endoscopic ultrasonography,located at the upper gastric curvature adjacent to the stomach fundus,with a smooth surface mucosa and poor *** lesion was 19.3 mm×16.1 mm in size and originated from the fourth ultrasound *** tomography(CT)revealed no significant evidence of lymph node enlargement or distant *** conventional ESD technology for mucosal pre-resection,exposed EFTR was performed to resect the intact tumor in order to achieve a definitive histopathological *** on its morphology and immunohistochemical expression of CD117 and DOG-1,the lesion was proven to be consistent with a gastric stromal *** days after exposed EFTR,CT showed a large amount of encapsulated fluid and gas accumulation around the *** addition,gastroscopy suggested intracavitary bleeding and abdominal puncture drainage indicated serosal *** on these findings,the patient was diagnosed with serosal bleeding resulting in encapsulated abdominal hemorrhage after exposed EFTR for a gastric stromal *** patient received combined treatments,such as hemostasis under gastroscopy,gastrointestinal decompression,and abdominal

关键词： Exposed endoscopic full-thickness resection Gastric stromal tumors Hemoperitoneum Abdominal infection Complication Postoperative bleeding Case report

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基于CEEMDAN-GSA-LSTM和SVR的光伏功率短期区间预测

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上海交通大学学报 2024年第6期58卷 806-818页

作者：李芬孙凌王亚维屈爱芳梅念赵晋斌上海电力大学电气工程学院上海200090 中国船舶集团有限公司第七二二研究所低频电磁通信技术实验室武汉430205 上海师范大学数理学院上海200234 国网经济技术研究院有限公司北京102209

针对光伏输出功率存在间歇性和波动性的问题,提出一种光伏功率短期区间预测模型.首先,该模型采用自适应噪声完备集合经验模态分解将历史光伏出力数据分解为不同的分量并按照其与赤纬角、时角等时序特征量的相关性定义为时序分量和随机分... 详细信息

针对光伏输出功率存在间歇性和波动性的问题,提出一种光伏功率短期区间预测模型.首先,该模型采用自适应噪声完备集合经验模态分解将历史光伏出力数据分解为不同的分量并按照其与赤纬角、时角等时序特征量的相关性定义为时序分量和随机分量.其次,分别使用经过引力搜索算法优化的长短期记忆神经网络和支持向量回归模型对时序分量和随机分量进行预测.再次,叠加时序分量和随机分量的预测结果得到点预测结果.然后,对误差进行Johnson变换及正态分布建模后得到光伏功率区间预测结果.最后,利用算例验证该模型的有效性.结果表明:在不同天气情况下,上述模型比现有预测模型精度更高,具有较好的鲁棒性,能够基于预测值提供较为精准的置信区间.

关键词：光伏功率预测区间预测自适应噪声完备集合经验模态分解引力搜索算法长短期记忆支持向量回归 Johnson变换

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Intelligent diagnostic model for pterygium by combining attention mechanism and MobileNetV2

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International Journal of Ophthalmology(English edition) 2024年第7期17卷 1184-1192页

作者： mao-nian Wu Kai He Yi-Bei Yu Bo Zheng Shao-Jun Zhu Xiang-Qian Hong Wen-Qun Xi Zhe Zhang School of Information Engineering Huzhou UniversityHuzhou 313000Zhejiang ProvinceChina Zhejiang Province Key Laboratory of Smart Management and Application of Modern Agricultural Resources Huzhou UniversityHuzhou 313000Zhejiang ProvinceChina School of Mathematical Information Shaoxing UniversityShaoxing 312000Zhejiang ProvinceChina Shenzhen Eye Institute Shenzhen Eye HospitalJinan UniversityShenzhen 518040Guangdong ProvinceChina

AIM:To evaluate the application of an intelligent diagnostic model for ***:For intelligent diagnosis of pterygium,the attention mechanisms—SENet,ECANet,CBAM,and Self-Attention—were fused with the lightweight MobileNetV2 model structure to construct a tri-classification *** study used 1220 images of three types of anterior ocular segments of the pterygium provided by the Eye Hospital of Nanjing Medical *** classification models—VGG16,ResNet50,MobileNetV2,and EfficientNetB7—were trained on the same dataset for *** evaluate model performance in terms of accuracy,Kappa value,test time,sensitivity,specificity,the area under curve(AUC),and visual heat map,470 test images of the anterior segment of the pterygium were ***:The accuracy of the MobileNetV2+Self-Attention model with 281 MB in model size was 92.77%,and the Kappa value of the model was 88.92%.The testing time using the model was 9ms/image in the server and 138ms/image in the local *** sensitivity,specificity,and AUC for the diagnosis of pterygium using normal anterior segment images were 99.47%,100%,and 100%,respectively;using anterior segment images in the observation period were 88.30%,95.32%,and 96.70%,respectively;and using the anterior segment images in the surgery period were 88.18%,94.44%,and 97.30%,***:The developed model is lightweight and can be used not only for detection but also for assessing the severity of pterygium.

关键词： deep learning attention mechanism pterygium intelligent diagnosis

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专业学位研究生教育的数字化转型:动因、定位和变革路径

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教育理论与实践 2024年第6期44卷 3-7页

作者：范永茂王俊粉中国人民大学公共管理学院北京100872

专业学位研究生教育以实践为导向,目标是培养某一职业领域中能创造性地从事实际工作的高层次复合型应用人才。数字技术的迅猛发展与创新给予了专业学位研究生教育新的动能,提供了新的机遇。数字技术的赋能、内生发展需求的赋能、国家政... 详细信息

专业学位研究生教育以实践为导向,目标是培养某一职业领域中能创造性地从事实际工作的高层次复合型应用人才。数字技术的迅猛发展与创新给予了专业学位研究生教育新的动能,提供了新的机遇。数字技术的赋能、内生发展需求的赋能、国家政策的加持等推动专业学位研究生教育数字化转型。数字化转型中的专业学位研究教育目标要从对人才的认知、思维,人才的知识转化、实践能力,专业学位研究生教育生态等方面进行准确定位。实现专业学位研究生数字化转型,要推进教学方式变革,加强数字化课程建设,提升教师队伍数字化素养,创新产教融合机制。

关键词：专业学位研究生教育数字化转型教学方式数字化课程产教融合

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“朱圉山”“崦嵫山”得名与秦人西迁考论

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陕西师范大学学报（哲学社会科学版） 2024年第3期53卷 39-47页

作者：董芬芬西北师范大学文学院甘肃兰州730070

清华简《系年》谓周成王“西迁商盖之民于邾圉”为秦先人,此“邾圉”即“朱圉”,指甘肃天水甘谷西南的朱圉山。“邾”与“朱”相通,朱圉山之“朱”即“邾”,指邾娄。早期邾娄诸族居于东奄之地,战败后有部分西迁至朱圉山一带,“朱圉”意... 详细信息

清华简《系年》谓周成王“西迁商盖之民于邾圉”为秦先人,此“邾圉”即“朱圉”,指甘肃天水甘谷西南的朱圉山。“邾”与“朱”相通,朱圉山之“朱”即“邾”,指邾娄。早期邾娄诸族居于东奄之地,战败后有部分西迁至朱圉山一带,“朱圉”意为邾娄聚居之地。神话传说中的崦嵫山应为朱圉山,“崦嵫”意为东奄人聚居之地。“朱圉山”“崦嵫山”两个名称都是东奄邾娄西迁的群体记忆。秦人与东奄诸族的凤鸟崇拜,是伏羲风姓、八卦的体现与变迁。伏羲文化源于秦陇,盛于关中、中原,炎黄之战后随炎帝部族向四方传播,无论部族如何分化、迁徙,伏羲的八卦标志始终可辨。西迁至朱圉山一带的东奄邾娄,在伏羲文化的发祥地苦心经营,最终发展壮大。秦人的迁徙、来源是反映早期华夏民族分化与融合的个案,体现的是中华文明“多元一体”的特征和演进格局。

关键词：朱圉山崦嵫山 “秦人东来说” 秦人西迁凤鸟崇拜伏羲八卦

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基于天气分型的水平面总辐射及散射辐射建模分析

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太阳能学报 2024年第4期45卷 560-568页

作者：李芬刘楚琦于淏屈爱芳毛玲陈小莉上海电力大学电气工程学院上海200090 上海师范大学数理学院上海200234 中国水利水电科学研究院北京100038

为获得无太阳辐射观测地区的水平面总辐射及散射辐射量提出一种组合模型。首先通过日照百分率将天气情况分成3类,在此基础上,探究总云量、气溶胶等气象环境因子对水平面总辐射的影响,构建水平面总辐射线性模型;其次,考虑不同天气类型下... 详细信息

为获得无太阳辐射观测地区的水平面总辐射及散射辐射量提出一种组合模型。首先通过日照百分率将天气情况分成3类,在此基础上,探究总云量、气溶胶等气象环境因子对水平面总辐射的影响,构建水平面总辐射线性模型;其次,考虑不同天气类型下气象环境因子的特征,建立基于高斯过程回归(GPR)的散射比和散射系数模型,进而获得散射辐射量;最后,得到每种天气类型下最优水平面总辐射模型与散射辐射模型构成的组合模型。结果表明,所提组合模型可有效提高水平面总辐射与散射辐射的预测精度。

关键词：太阳辐射天气分型机器学习散射辐射气象环境因子

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不同灌溉下限对科尔沁沙地紫花苜蓿生产性能的影响

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草地学报 2024年第6期32卷 1968-1973页

作者：孙铁男李茂娜陈芬张玉霞王显国内蒙古民族大学草业学院内蒙古通辽028000 中国农业大学草业科学与技术学院北京100193

为了探究不同灌溉下限对科尔沁沙地紫花苜蓿(Medicago sativa L.)产量、品质及水分利用效率(Water use efficiency, WUE)的影响,本文以雨养(CK)作为对照,设置了70%~75%田间持水量(Field capacity, FC)(W1),60%~65%FC (W2),50%~55%FC(W3) 3个灌溉下限,试验结果表明:随着灌溉下限的增加,苜蓿耗水量与年产量均显著增加,但WUE显著降低,且耗水量与年产量、WUE间均呈抛物线关系;相比于W1,W2仅减产5.5%,但可节水22.7%且WUE提高14.5%;不同灌溉下限对粗蛋白含量(Crude protein, CP)无显著性影响,但灌溉下限的降低会引起相对饲喂价值(Relative feed value, RFV)明显升高。基于灰色关联度分析,结合产量、品质及WUE的表现,推荐60%~65%FC为科尔沁沙地苜蓿水分管理的灌溉下限。

关键词：紫花苜蓿灌溉下限产量品质水分利用效率

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