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Screening for significant atherosclerotic renal artery stenosis with a regression model in patients undergoing transradial coronary angiography/intervention

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2012年第8期13卷 631-637页

作者： Li-jin PU Ying SHEN Rui-yan ZHANG Qi ZHANG Lin LU Feng-hua DING Jian HU zheng-kun yang Wei-feng SHEN Department of Cardiology Ruijin Hospital Shanghai Jiao Tong Uniwzrsity School of MedicineShanghai 200025China Institute of Cardiovascular Diseases Shanghai Jiao Tong University School of MedicineShanghai 200025China

Objective:Early detection of atherosclerotic renal artery stenosis (ARAS) is clinically important with respect to blood pressure control, prevention of renal insufficiency, and even improving survival. We investigated whether the presence of significant ARAS (luminal diameter narrowing ≥70%) could be predicted using a logistic regression model before coronary angiography/intervention. Methods:Initially, we developed a logistic regression model for detecting significant ARAS based upon clinical and angiographic features and biochemical measurements in a cohort of 1 813 patients undergoing transfemoral coronary and renal angiography. This model was then prospectively applied to an additional 495 patients who received transradial renal angiography to ascertain its predictive accuracy for the presence of significant ARAS. Results:Multivariate regression analysis revealed that older age (≥65 years), resistant hypertension, type 2 diabetes, creatinine clearance (Ccr) ≤60 ml/min, and multivessel coronary disease were independent predictors for significant ARAS. A logistic regression model for detecting ARAS by incorporating conventional risk factors and multivessel coronary disease was generated as:P/(1 P)=exp( 2.618+1.112[age≥65 years]+1.891[resistant hypertension]+0.453[type 2 diabetes]+0.587[Ccr≤60 ml/min]+2.254[multivessel coronary disease]). When this regression model was prospectively applied to the additional 495 patients undergoing transradial coronary and renal angiography, significant ARAS could be detected with a sensitivity of 81.2%, specificity of 88.9%, and positive and negative predictive accuracies of 53.8% and 96.7%, respectively. Conclusions:The logistic regression model generated in this study may be useful for screening for significant ARAS in patients undergoing transradial coronary angiography/intervention.

关键词： Renal artery stenosis Transradial coronary angiography Resistant hypertension

A Fair and Trusted Trading Scheme for Medical Data Based on Smart Contracts

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Computers, Materials & Continua 2024年第2期78卷 1843-1859页

作者： Xiaohui yang kun Zhang School of Cyber Security and Computer Hebei UniversityBaoding071000China

Data is regarded as a valuable asset,and sharing data is a prerequisite for fully exploiting the value of ***,the current medical data sharing scheme lacks a fair incentive mechanism,and the authenticity of data cannot be guaranteed,resulting in low enthusiasm of participants.A fair and trusted medical data trading scheme based on smart contracts is proposed,which aims to encourage participants to be honest and improve their enthusiasm for *** scheme uses zero-knowledge range proof for trusted verification,verifies the authenticity of the patient’s data and the specific attributes of the data before the transaction,and realizes privacy *** the same time,the game pricing strategy selects the best revenue strategy for all parties involved and realizes the fairness and incentive of the transaction *** smart contract is used to complete the verification and game bargaining process,and the blockchain is used as a distributed ledger to record the medical data transaction process to prevent data tampering and transaction ***,by deploying smart contracts on the Ethereum test network and conducting experiments and theoretical calculations,it is proved that the transaction scheme achieves trusted verification and fair bargaining while ensuring privacy protection in a decentralized *** experimental results show that the model improves the credibility and fairness of medical data transactions,maximizes social benefits,encourages more patients and medical institutions to participate in the circulation of medical data,and more fully taps the potential value of medical data.

关键词： Blockchain data transactions zero-knowledge proof game pricing

Clinical and angiographic features associated with coronary collateralization in stable angina patients with chronic total occlusion

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2013年第8期14卷 705-712页

作者： Zhen SUN Ying SHEN Lin LU Rui-yan ZHANG Li-jin PU Qi ZHANG zheng-kun yang Jian HU Qiu-jing CHEN Wei-feng SHEN Department of Cardiology Shanghai Ruijin Hospital Institute of Cardiovascular Diseases Shanghai Jiao Tong University School of Medicine

Objective： Coronary collateral circulation is an alternative source of blood supply to myocardium in the presence of advanced coronary artery disease. We sought to determine which clinical and angiographic variables are associated with collateral development in patients with stable angina and chronic total coronary occlusion. Methods： Demographic variables, biochemical measurements, and angiographic findings were collected from 478 patients with stable angina and chronic total coronary occlusion. The presence and extent of collaterals supplying the distal aspect of a total coronary occlusion from the contra-lateral vessel were graded from 0 to 3 according to the Rentrop scoring system. Results： Low （Rentrop score of 0 or 1） and high （Rentrop score of 2 or 3） coronary collateralizations were detected in 186 and 292 patients, respectively. Despite similar age, cigarette smoking, and medical treatment, patients with low collateralization were female in a higher proportion and less hypertensive, and had higher rates of type 2 diabetes and dyslipidemia than those with high coUateralization （for all comparisons, P〈0.05）. In addition, patients with low collateralization exhibited more single-vessel disease, less right coronary artery occlusion, more impaired renal function, and higher serum levels of high-sensitivity C-reactive protein （hsCRP） compared with those with high col- lateralization. Multivariate analysis revealed that age of 〉65 years, female gender, diabetes, no history of hypertension dyslipidemia, moderate to severe renal dysfunction, single-vessel disease, and elevated hsCRP levels were inde- pendently associated with low coronary collateralization. Conclusions： Coronary collateralization was reduced in almost 40% of stable angina patients with chronic total occlusion, which was related to clinical and angiographic factors. The impact of coronary collateralization on outcomes after revascularization needs further investigation.

关键词： Stable angina Coronary collateral circulation Risk factors Angiography Chronic total coronary occlusion

Investigation of high rate mechanical flow followed by ignition for high-energy propellant under dynamic extrusion loading

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Defence Technology（防务技术） 2024年第2期32卷 336-347页

作者： Liying Dong Yanqing Wu kun yang Xiao Hou State Key Laboratory of Explosion Science and Technology Beijing Institute of TechnologyBeijing 100081China School of Aerospace Engineering Beijing Institute of TechnologyBeijing 100081China

Investigating the ignition response of nitrate ester plasticized polyether(NEPE) propellant under dynamic extrusion loading is of great significant at least for two cases. Firstly, it helps to understand the mechanism and conditions of unwanted ignition inside charged propellant under accident ***, evaluates the risk of a shell crevice in a solid rocket motor(SRM) under a falling or overturning scene. In the present study, an innovative visual crevice extrusion experiment is designed using a dropweight apparatus. The dynamic responses of NEPE propellant during extrusion loading, including compaction and compression, rapid shear flow into the crevice, stress concentration, and ignition reaction, have been firstly observed using a high-performance high-speed camera. The ignition reaction is observed in the triangular region of the NEPE propellant sample above the crevice when the drop weight velocity was 1.90 m/s. Based on the user material subroutine interface UMAT provided by finite element software LS-DYNA, a viscoelastic-plastic model and dual ignition criterion related to plastic shear dissipation are developed and applied to the local ignition response analysis under crevice extrusion conditions. The stress concentration occurs in the crevice location of the propellant sample, the shear stress is relatively large, the effective plastic work is relatively large, and the ignition reaction is easy to occur. When the sample thickness decreases from 5 mm to 2.5 mm, the shear stress increases from 22.3 MPa to 28.6 MPa, the critical value of effective plastic work required for ignition is shortened from 1280 μs to 730 μs, and the triangular area is easily triggering an ignition reaction. The propellant sample with a small thickness is more likely to stress concentration, resulting in large shear stress and effective work, triggering an ignition reaction.

关键词： NEPE propellant Crevice extrusion Shear flow Sample thickness Ignition reaction

Stability and accuracy of central difference method for real-time dynamic substructure testing considering mass participation coefficient

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Earthquake Engineering and Engineering Vibration 2024年第3期23卷 625-636页

作者： zheng Lichang Xu Guoshan yang Ge Wang Zhen yang Kaibo zheng Zhenyun School of Civil Engineering Harbin Institute of TechnologyHarbin 150090China Key Lab of Structures Dynamic Behavior and Control Ministry of EducationHarbin Institute of TechnologyHarbin 150090China Key Lab of Intelligent Disaster Mitigation Ministry of Industry and Information TechnologyHarbin 150090China School of Civil Engineering and Architecture Wuhan University of TechnologyWuhan 430070China

For real-time dynamic substructure testing(RTDST),the influence of the inertia force of fluid specimens on the stability and accuracy of the integration algorithms has never been ***,this study proposes to investigate the stability and accuracy of the central difference method(CDM)for RTDST considering the specimen mass participation ***,the theory of the CDM for RTDST is ***,the stability and accuracy of the CDM for RTDST considering the specimen mass participation coefficient are ***,numerical simulations and experimental tests are conducted for verifying the effectiveness of the *** study indicates that the stability of the algorithm is affected by the mass participation coefficient of the specimen,and the stability limit first increases and then decreases as the mass participation coefficient *** most cases,the mass participation coefficient will increase the stability limit of the algorithm,but in specific circumstances,the algorithm may lose its *** stability and accuracy of the CDM considering the mass participation coefficient are verified by numerical simulations and experimental tests on a three-story frame structure with a tuned liquid damper.

关键词： real-time dynamic substructure testing central difference method stability mass participation coefficient tuned liquid damper

The Short-Duration Heavy Rainfall in Different Quadrants of Northeast China Cold Vortices

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Journal of Meteorological Research 2024年第2期38卷 321-338页

作者： Lei yang Yongguang zheng Liaoning Meteorological Disaster Monitoring and Early Warning Center Shenyang 110166 National Meteorological Centre China Meteorological AdministrationBeijing 100081 China Meteorological Administration Tornado Key Laboratory Foshan 528315

The Northeast China cold vortex(NCCV)is one of the main synoptic-scale systems causing short-duration heavy rainfall(SDHR)in Northeast *** conditions(e.g.,water vapor,instability,and vertical wind shear)are known to be distinctly different over the four quadrants of NCCVs,rendering prediction of the SDHR related to NCCVs(NCCV_SDHR)more *** on 5-yr hourly rainfall observations from 3196 automatic weather stations and ERA5 reanalysis data,10,232 NCCV_SDHR events were identified and divided into four quadrant groups according to their relative position to the center of the NCCV(CVC).The results show that the southeast quadrant features the highest frequency of SDHR,with stronger intensity,longer duration,and wider coverage;and the SDHR in different quadrants presents different formation mechanisms and varied temporal evolution.A new coordinate system is established relative to the CVC that uses the CVC as the origin and the radius of the NCCV(r CV)as the unit *** this new coordinate system,all of the NCCV_SDHR events in the 5-yr study period are *** is found that the occurrence frequency of NCCV_SDHR initially increases and then decreases with increasing distance from the *** highest frequency occurs mainly between 0.8 and 2.5 times r CV from the CVC in the southeast *** can be attributed to the favorable conditions,such as convergence of the low-level shear line and abundant water vapor,which are concentrated in this ***,high-frequency NCCV_SDHR larger than 50 mm(NCCV_SDHR50)is observed to be closer to the *** NCCV_SDHR50occurs,the NCCV is in closer proximity to the subtropical high,resulting in stronger low-level convergence and more abundant water ***,there are lower lifting condensation levels and stronger 0-6-and 0-1-km vertical wind shears in these *** findings provide a valuable reference for more accurate prediction of NCCV_SDHR.

关键词： Northeast China cold vortex short-duration heavy rainfall statistical characteristics environmental conditions

A modified 3D mean strain energy density criterion for predicting shale mixed-mode Ⅰ/Ⅲ fracture toughness

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Journal of Rock Mechanics and Geotechnical Engineering 2024年第7期16卷 2411-2428页

作者： kun zheng Chaolin Wang Yu Zhao Jing Bi Haifeng Liu College of Civil Engineering Guizhou UniversityGuiyang550025China State Key Laboratory of Geomechanics and Geotechnical Engineering Institute of Rock and Soil MechanicsChinese Academy of SciencesWuhan430071China

The fracture toughness of rocks is a critical fracturing parameter in geo-energy exploitation playing a significant role in fracture mechanics and hydraulic *** edge-notched disk bending(ENDB)specimens are employed to measure the entire range of mixed-modeⅠ/Ⅲfracture toughness of Longmaxi *** theoretically interpret the fracture mechanisms,this research first introduces the detailed derivations of three established fracture *** distinguishing the volumetric and distortional strain energy densities,an improved three-dimensional mean strain energy density(MSED)criterion is *** the critical volumetric to distortional MSED ratio decreases,the transition from tensiondominated fracture to shear-dominated fracture is *** results indicate that both peak load and applied energy increase significantly with the transition from pure mode I(i.e.,tension)to pure modeⅢ(i.e.,torsion or tearing)since mode-Ⅲcracking happens in a twisted manner and mode-Ⅰcracking occurs in a coplanar *** macroscopic fracture signatures are consistent with those of triaxial hydraulic *** average ratio of pure mode-Ⅲfracture toughness to pure mode-Ⅰfracture toughness is 0.68,indicating that the obtained mode-Ⅲfracture resistance for a tensionbased loading system is apparent rather than *** to the three mainstream fracture criteria,the present fracture criterion exhibits greater competitiveness and can successfully evaluate and predict mixed-modeⅠ/Ⅲfracture toughness of distinct materials and loading methods.

关键词： Longmaxi shale Hydraulic fracturing Fracture mechanisms Fracture criteria Mixed-modeⅠ/Ⅲfracture toughness Edge-notched disk bending

Using MsfNet to Predict the ISUP Grade of Renal Clear Cell Carcinoma in Digital Pathology Images

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Computers, Materials & Continua 2024年第1期78卷 393-410页

作者： kun yang Shilong Chang Yucheng Wang Minghui Wang Jiahui yang Shuang Liu kun Liu Linyan Xue College of Quality and Technical Supervision Hebei UniversityBaoding071002China National and Local Joint Engineering Research Center of Metrology Instrument and System Hebei UniversityBaoding071002China Hebei Technology Innovation Center for Lightweight of New Energy Vehicle Power System Hebei UniversityBaoding071002China

Clear cell renal cell carcinoma(ccRCC)represents the most frequent form of renal cell carcinoma(RCC),and accurate International Society of Urological Pathology(ISUP)grading is crucial for prognosis and treatment *** study presents a new deep network called Multi-scale Fusion Network(MsfNet),which aims to enhance the automatic ISUP grade of ccRCC with digital histopathology pathology *** MsfNet overcomes the limitations of traditional ResNet50 by multi-scale information fusion and dynamic allocation of channel *** model was trained and tested using 90 Hematoxylin and Eosin(H&E)stained whole slide images(WSIs),which were all cropped into 320×320-pixel patches at 40×*** achieved a micro-averaged area under the curve(AUC)of 0.9807,a macro-averaged AUC of 0.9778 on the test *** Gradient-weighted Class Activation Mapping(Grad-CAM)visually demonstrated MsfNet’s ability to distinguish and highlight abnormal areas more effectively than *** t-Distributed Stochastic Neighbor Embedding(t-SNE)plot indicates our model can efficiently extract critical features from images,reducing the impact of noise and redundant *** results suggest that MsfNet offers an accurate ISUP grade of ccRCC in digital images,emphasizing the potential of AI-assisted histopathological systems in clinical practice.

关键词： Renal cell carcinoma computer-aided diagnosis pathology image deep learning machine learning

Performance Analysis and Optimization of Energy Harvesting Modulation for Multi-User Integrated Data and Energy Transfer

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China Communications 2024年第1期21卷 148-162页

作者： Yizhe Zhao Yanliang Wu Jie Hu kun yang School of Information and Communication Engineering University of Electronic Science and Technology of ChinaChengdu 611731China

Integrated data and energy transfer(IDET)enables the electromagnetic waves to transmit wireless energy at the same time of data delivery for lowpower *** this paper,an energy harvesting modulation(EHM)assisted multi-user IDET system is studied,where all the received signals at the users are exploited for energy harvesting without the degradation of wireless data transfer(WDT)*** joint IDET performance is then analysed theoretically by conceiving a practical time-dependent wireless *** the aid of the AO based algorithm,the average effective data rate among users are maximized by ensuring the BER and the wireless energy transfer(WET)*** results validate and evaluate the IDET performance of the EHM assisted system,which also demonstrates that the optimal number of user clusters and IDET time slots should be allocated,in order to improve the WET and WDT performance.

关键词： energy harvesting modulation(EHM) integrated data and energy transfer(IDET) performance analysis wireless data transfer(WDT) wireless energy transfer(WET)