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Anterior resection for rectal carcinoma-risk factors for anastomotic leaks and strictures

World Journal of Gastroenterology 2011年第11期17卷 1475-1479页

作者： Ashok Kumar ram daga Paari Vijayaragavan Anand Prakash Rajneesh Kumar Singh Anu Behari Vinay K Kapoor Rajan Saxena Department of Surgical Gastroenterology Sanjay Gandhi Post Graduate Institute of Medical Sciences Lucknow 226014India

AIM:To determine the incidence and factors responsible for anastomotic leaks and stricture following anterior resection(AR)and its subsequent ***:Retrospective analysis of data from 108 patients with rectal carcinoma who underwent AR or low anterior resection(LAR)to identify the various preoperative,operative,and post operative factors that might have influence on anastomotic leaks and ***:There were 68 males and 40 females with an average of 47 years(range 21-75 years).The median distance of the tumor from the anal verge was 8 cm(range 3-15 cm).Sixty(55.6%)patients underwent handsewn anastomosis and 48(44.4%)were *** median operating time was 3.5 h(range2.0-7.5 h).Sixteen(14.6%)patients had an anastomotic *** these,11 patients required reexploration and five were managed *** anastomotic leak rate was similar in patients with and without diverting stoma(8/60,13.4%with stoma and 8/48;16.7%without stoma).In 15(13.9%)patients,resection margins were positive for ***(17.6%)patients developed anastomotic strictures at a median duration of 8 mo(range 3-20 mo).Among these,15 patients were successfully managed with per-anal *** multivariate analysis,advance age(>60 years)was the only risk factor for anastomotic leak(P=0.004).On the other hand,anastomotic leak(P=0.00),mucin positive tumor(P =0.021),and lower rectal growth(P=0.011)were found as risk factors for the development of an anastomotic ***:Advance age is a risk factor for an anastomotic *** anastomotic leak,a mucin-secreting tumor,and lower rectal growth predispose patients to develop anastomotic strictures.

关键词： Rectal carcinoma Anterior resection Anastomotic leak Stricture

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A Generalized Array Factor for Time-Modulated Hexagonal Based Antenna Array Geometry With Novel Trapezoidal Switching

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IEEE/CAA Journal of Automatica Sinica 2024年第9期11卷 1967-1972页

作者： Gopi ram Department of Electronics and Communication Engineering National Institute of TechnologyWarangal 506004India

The concept of the time-modulated array has been emerging as an alternative to the complex phase shifters,which lowers the cost of the array feeding network due to the utilization of radio frequency(RF)*** various forms of hexagonal antenna array geometries can be used for applications like surveillance tracking in phased array radar and wireless communication *** work proposes the generalized array factor(AF)for the hexagonal antenna array geometry based on time *** time modulation in generalized hexagonal geometry can maintain the fixed static amplitude excitation,giving more flexibility over ***,a novel trapezoidal switching function is also proposed and applied to the generalized array factor to enable future researchers to use this array factor in the field of advancement to observe how switching schemes like trapezoidal and rectangular affect the array pattern's side lobe level(SLL).The generalized equation can be utilized for the analysis and synthesis of radiation characteristics of the time-modulated hexagonal array(TMHA),time-modulated concentric hexagonal array(TMCHA),time-modulated hexagonal cylindrical array(TMHCA),and time-modulated hexagonal concentric cylindrical array(TMHCCA).The numerical result illustrates the generation of AF of time-modulated hexagonal structures and also shows that the trapezoidal switching sequence outperforms the rectangular switch using the cat swarm optimization(CSO)approach.

关键词： Hexagonal array geometry radiation pattern time-modulation trapezoidal pulse

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Solution of the Center Problem for a Class of Polynomial Differential Systems

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Acta Mathematica Sinica,English Series 2024年第7期40卷 1685-1696页

作者： Chang Jian Liu Jaume Llibre Rafael ramírez Valentín ramírez School of Mathematics(Zhuhai) Sun Yat-sen UniversityZhuhai519086P.R.China Departament de Matemàtiques Universitat Autònoma de Barcelona08193BellaterraBarcelonaCataloniaSpain Departament d’Enginyeria Informàtica i Matemàtiques Universitat Rovira i VirgiliAvinguda dels Paiïsos Catalans 2643007TarragonaCataloniaSpain

Consider the polynomial differential system of degree m of the form x=-y(1+μ(a_(2)x-a_(1)y))+x(v(a_(1)x+a_(2)y)+Ω_(m-1)(x,y)),y=x(1+μ(a_(2)x-a_(1)y))+y(v(a_(1)x+a_(2)y)+Ω_(m-1)(x,y)),whereμandνare real numbers such that(μ^(2)+v^(2))(μ+v(m-2))(a_(1)^(2)+a_(2)^(2))≠m>2 andΩ_(m−1)(x,y)is a homogenous polynomial of degree m−1.A conjecture,stated in *** Equations 2019,suggests that whenν=1,this differential system has a weak center at the origin if and only if after a convenient linear change of variable(x,y)→(X,Y)the system is invariant under the transformation(X,Y,t)→(−X,Y,−t).For every degree m we prove the extension of this conjecture to any value ofνexcept for a finite set of values ofμ.

关键词： Center problem polynomial differential system

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Seedling potential of trees species along the elevational gradient in temperate hill forest of central Nepal

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Journal of Mountain Science 2024年第4期21卷 1329-1344页

作者： DANI ram Sharan BANIYA Chitra Bahadur Central Department of Botany Tribhuvan UniversityKirtipur 44618Nepal

Regeneration status of tree species along elevation gradient in temperate hill forest was not understood *** research examined the tree diversity and its regeneration patterns along an elevation gradient in temperate hill forest,central *** were collected from 300 sample plots within vertical elevation bands of 10,ranging from 1365 to 2450 m asl.A random sampling method was used for data collection in three seasons,winter,pre-monsoon and post monsoon *** at breast height(DBH)was used to broadly categorize the plant individual into trees,saplings and *** tree species richness ranged from 12 to 25 with density of 350 to 1200 individuals per *** richness of tree and sapling showed statistically significant unimodal pattern,which peaked at *** showed a strong and positive linear correlation with the seedling density(Deviance=0.99,pseedling(10.6%)≤mature(10.9%).Among tested environmental variables,elevation and annual mean rainfall were the most influential factors in the regeneration of tree species.

关键词： Regeneration potential Chandragiri hill Altitudinal gradient Species diversity Tree species richness

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Development of novel 5-FU modified siRNA against BCL-2 with enhanced efficacy and vehicle-free cellular uptake

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Genes & Diseases 2024年第1期11卷 23-25页

作者： Andrew Fesler Ga-ram Hwang Jingfang Ju Department of Pathology Renaissance School of MedicineStony Brook UniversityStony BrookNY 11794USA The Northport Veteran's Administration Medical Center NorthportNY 11768USA Curamir Therapeutics Inc. WoburnMA 01801USA

One of the major obstacles for nucleic acid-based medicine is cellular uptake due to the concern of efficiencyand potential toxicity of the *** this work,we developed a novel approach to eliminate the need for a vehicle to allow for the cellular uptake of siRNA-based therapy with a unique modification strategy that also further enhances therapeutic *** discovery may be of great importance for the development of siRNA-based therapeutics as cellular uptake remains a critical *** this study,we have tested the potential of this modification strategy for siRNA using a siRNA that targets B-cell lymphoma-2(BCL-2).

关键词： eliminate uptake modified

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Implementation of blockchain technology in integrated IoT networks for constructing scalable ITS systems in India

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BLOCKCHAIN-RESEARCH AND APPLICATIONS 2024年第2期5卷 99-125页

作者： Kharche, Arya Badholia, Sanskar Upadhyay, ram Krishna Gati Shakti Vishwavidyalaya Sch Technol Vadodara 390004 Gujarat India

The implementation of blockchain technology in integrated IoT networks for constructing scalable Intelligent Transportation Systems (ITSs) in India has the potential to revolutionize the way we approach transportation. By leveraging the power of IoT and blockchain, we can create a highly secure, transparent, and efficient system that can transform the way we move people and goods. India, one of the world's most populous countries, has a highly congested and inefficient transportation system that often leads to delays, accidents, and waste of time and resources. The integration of IoT and blockchain can help address these issues by enabling real-time monitoring, tracking, and optimization of traffic flows, thereby reducing congestion, improving safety, and increasing the overall efficiency of the transportation system. This paper explores the potential of blockchain technology in the context of integrated IoT networks for constructing scalable ITS systems in India. The methodology followed is to develop a proof-of-concept blockchain-based application for ITS, implement the blockchain solution into the existing ITS infrastructure, and ensure proper integration and compatibility with other systems. Conduct thorough research and maintenance to ensure the reliability and sustainability of such blockchain-based systems. This research discusses the various benefits and challenges of this approach and the various applications of this technology in the transportation sector, including the green sustainability concept. The results find various ways in which such implementations of blockchain and IoT-Machine Learning (IoT-ML) can revolutionize transportation systems.

关键词： Transportation systems Blockchain Machine learning Safety IoT INTERNET CHALLENGES SECURITY THINGS

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HVSR analysis of pumice sands for sediment depth characterization:A case study for Guadalajara,Mexico

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Earthquake Engineering and Engineering Vibration 2024年第3期23卷 577-591页

作者： Hafid Salgado M. Alejandro ramírez-Gaytan Adolfo Preciado Christian R.Escudero Departamento de Ciencias Exactas Centro Universitario de la CostaUniversidad de GuadalajaraCP.48280 Puerto VallartaJaliscoMéxico Departamento de Ciencias Computacionales Centro Universitario de Ciencias Exactas e IngenieríaUniversidad de GuadalajaraCP.44430 GuadalajaraJaliscoMéxico Departamento del Hábitat y Desarrollo Urbano Instituto Tecnológico y de Estudios Superiores de Occidente(ITESO)CP.45604 TlaquepaqueMéxico

The horizontal to vertical spectral ratio(HVSR)methodology is used here to characterize pumice soils and to image the three-dimensional surface geometry of Guadalajara,*** to other Latin American cities,Guadalajara is exposed to high seismic risk,with the particularity of being the largest urban settlement in Latin America built on pumice *** has not yet been tested to characterize subsoil depths in pumice *** to the questionable use of traditional geotechnical tests for the analysis of pumice soils,HVSR provides an alternative for its characterization without altering its fragile and porous *** this work,resonance frequency(F0)and peak amplitude(A0)are used to constrain the depth of the major impedance contrast that represents the interface between bedrock and pumice *** were compared with borehole depths and other available geotechnical and geophysical data and show good *** of the profiles estimated on the riverbanks that cross the city,reveals different subsoil thickness that could have an impact on different site responses on riverine areas to an eventual *** and academic efforts are combined in this work to characterize depth sediments,an important parameter that impacts the regulations for construction in the city.

关键词： subsoil of Guadalajara shallow soil thickness bedrock depth pumice soil characterization

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A Probabilistic Trust Model and Control Algorithm to Protect 6G Networks against Malicious Data Injection Attacks in Edge Computing Environments

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Computer Modeling in Engineering & Sciences 2024年第10期141卷 631-654页

作者： Borja Bordel Sánchez ramón Alcarria Tomás Robles Department of Computer Systems Universidad Politécnica de MadridMadrid28031Spain Department of Geospatial Engineering Universidad Politécnica de MadridMadrid28031Spain

Future 6G communications are envisioned to enable a large catalogue of pioneering *** will range from networked Cyber-Physical Systems to edge computing devices,establishing real-time feedback control loops critical for managing Industry 5.0 deployments,digital agriculture systems,and essential *** provision of extensive machine-type communications through 6G will render many of these innovative systems autonomous and *** full automation will enhance industrial efficiency significantly,it concurrently introduces new cyber risks and *** particular,unattended systems are highly susceptible to trust issues:malicious nodes and false information can be easily introduced into control ***,Denialof-Service attacks can be executed by inundating the network with valueless *** anomaly detection schemes require the entire transformation of the control software to integrate new steps and can only mitigate anomalies that conform to predefined mathematical *** based on an exhaustive data collection to detect anomalies are precise but extremely *** models,with their limited understanding of mobile networks,can achieve precision rates no higher than 75%.Therefore,more general and transversal protection mechanisms are needed to detect malicious behaviors *** paper introduces a probabilistic trust model and control algorithm designed to address this *** model determines the probability of any node to be *** channels are pruned for those nodes whose probability is below a given *** trust control algorithmcomprises three primary phases,which feed themodel with three different probabilities,which are weighted and ***,anomalous nodes are identified using Gaussian mixture models and clustering ***,traffic patterns are studied using digital Bessel functions and the functional scalar ***,the in

关键词： 6G networks noise injection attacks Gaussian mixture model Bessel function traffic filter Volterra filter

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From prediction to prevention:Machine learning revolutionizes hepatocellular carcinoma recurrence monitoring

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World Journal of Gastroenterology 2024年第7期30卷 631-635页

作者： Mariana Michelle ramírez-Mejía Nahum Méndez-Sánchez Plan of Combined Studies in Medicine Faculty of MedicineNational Autonomous University of MexicoDistrito Federal 04510Mexico Liver Research Unit Medica Sur Clinic&FoundationDistrito Federal 14050Mexico Faculty of Medicine National Autonomous University of MexicoDistrito Federal 04510Mexico

In this editorial,we comment on the article by Zhang et al entitled Development of a machine learning-based model for predicting the risk of early postoperative recurrence of hepatocellular *** carcinoma(HCC),which is characterized by high incidence and mortality rates,remains a major global health challenge primarily due to the critical issue of postoperative *** recurrence,defined as recurrence that occurs within 2 years posttreatment,is linked to the hidden spread of the primary tumor and significantly impacts patient *** predictive factors,including both patient-and treatment-related factors,have limited predictive ability with respect to HCC *** integration of machine learning algorithms is fueled by the exponential growth of computational power and has revolutionized HCC *** study by Zhang et al demonstrated the use of a groundbreaking preoperative prediction model for early postoperative HCC *** persist,including sample size constraints,issues with handling data,and the need for further validation and *** study emphasizes the need for collaborative efforts,multicenter studies and comparative analyses to validate and refine the *** these challenges and exploring innovative approaches,such as multi-omics integration,will enhance personalized oncology *** study marks a significant stride toward precise,efficient,and personalized oncology practices,thus offering hope for improved patient outcomes in the field of HCC treatment.

关键词： Hepatocellular carcinoma Early recurrence Machine learning XGBoost model Predictive precision medicine Clinical utility Personalized interventions

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Wood anatomical acclimation in the endemic genus Polylepis in Peruvian Andean forests

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Journal of Mountain Science 2024年第9期21卷 2986-3000页

作者： Anthony GUERRA Fressia N.AMES-MARTÍNEZ Ernesto C.RODRÍGUEZ-ramÍREZ Postgraduate Programme in Agronomy/Plant Physiology Department of Biology-Institute of Natural Sciences Federal University of LavrasLavras 37203-202Minas Gerais 30000-31999Brazil Laboratory of Biotechnology and Molecular Biology Continental UniversitySan Antonio UrbanizationHuancayo 12000Peru Ecology and Biodiversity Research Programme ANDINUS AssociationMiguel Grau Street 370Huancayo 12000Peru Dendrochronology Laboratory Continental UniversitySan Carlos Avenue 1980Huancayo 12000Peru

Polylepis(Queñua)is a dominant woody plant genus in Andean Puna forests that occurs in a wide range of montane habitats and is ecologically diverse in endemism,which may be particularly threatened by climate *** anatomical traits are essential for understanding how plants adjust their ecophysiological requirements and maximize their resilience,resistance,and recovery to extreme *** the effects of extreme climatic conditions in high altitude ecosystems have been studied extensively,our knowledge is relatively limited to quantitative differences in the main xylem *** address this gap,we assessed the acclimation of wood anatomical traits in six Peruvian Andean Polylepis species with different water availability(semi-dry with high moisture and semiarid with dry winters).We selected hydraulic diameter,vessel density,vessel grouping index,solitary vessel index,vulnerability index,mesomorphy index,vessel element length,fiber length,fiber wall thickness,fiber lumen diameter,and total fiber diameter that can provide relevant eco-wood anatomical acclimation to hydric *** performed multivariate analysis to determine the leading dimensions of covariation among Polylepis species and climatic *** wood anatomical traits(vessel grouping index,vulnerability index,and fiber wall thickness)were dissimilar between xeric-and mesic-Polyelpis *** study demonstrates that wood anatomical traits in Peruvian Andean Polylepis species provides high-resolution and long-term eco-wood anatomical signals on how climate oscillations drive the acclimation processes of fiber and vessel *** findings underscore the significance of xylem hydraulic adjustment to various hydrological environments in Andean puna *** evaluating the effects of drought on wood anatomical characteristics and ecological function,we demonstrate the capacity of tree species to adapt and endure climate-related changes,thereby emphasizing their resilience and ada

关键词： Carlquist indices Climatic resilience Vessel traits Fiber Functional trait Hydric stress

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