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New direction for surgery:Super minimally invasive surgery

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World Journal of Gastroenterology 2024年第12期30卷 1676-1679页

作者： en-Qiang Linghu Department of Gastroenterology First Medical Center of Chinese PLA General HospitalBeijing 100853China

The top goal of modern medicine is treating disease without destroying organ structures and making patients as healthy as they were before their *** invasive surgery(MIS)has dominated the surgical realm because of its lesser ***,changes in anatomical structures of the body and reconstruction of internal organs or different organs are common after traditional surgery or MIS,decreasing the quality of life of patients ***,I propose a new treatment mode,super MIS(SMIS),which is defined as“curing a disease or lesion which used to be treated by MIS while preserving the integrity of the organs”.In this study,I describe the origin,definition,operative channels,advantages,and future perspectives of SMIS.

关键词： Super minimally invasive surgery Minimally invasive surgery Treatment mode Traditional Surgery New direction for surgery

Improved Segmented Belief Propagation List Decoding for Polar codes with Bit-Flipping

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china communications 2024年第3期21卷 19-36页

作者： Mao Yinyou Yang Dong Liu Xingcheng Zou en School of Electronics and Information Technology(SEIT) Sun Yat-sen University(SYSU)Guangzhou 510006China School of Information Science Guangzhou Xinhua UniversityGuangzhou 510520China Southern Marine Science and engineering Guangdong Laboratory(Zhuhai) Zhuhai 519080China

Belief propagation list(BPL) decoding for polar codes has attracted more attention due to its inherent parallel nature. However, a large gap still exists with cRc-aided ScL(cA-ScL) *** this work, an improved segmented belief propagation list decoding based on bit flipping(SBPL-BF) is proposed. On the one hand, the proposed algorithm makes use of the cooperative characteristic in BPL decoding such that the codeword is decoded in different BP decoders. Based on this characteristic, the unreliable bits for flipping could be split into multiple subblocks and could be flipped in different decoders simultaneously. On the other hand, a more flexible and effective processing strategy for the priori information of the unfrozen bits that do not need to be flipped is designed to improve the decoding convergence. In addition, this is the first proposal in BPL decoding which jointly optimizes the bit flipping of the information bits and the code bits. In particular, for bit flipping of the code bits, a H-matrix aided bit-flipping algorithm is designed to enhance the accuracy in identifying erroneous code bits. The simulation results show that the proposed algorithm significantly improves the errorcorrection performance of BPL decoding for medium and long codes. It is more than 0.25 d B better than the state-of-the-art BPL decoding at a block error rate(BLER) of 10^(-5), and outperforms cA-ScL decoding in the low signal-to-noise(SNR) region for(1024, 0.5)polar codes.

关键词： belief propagation list(BPL)decoding bit-flipping polar codes segmented cRc

Melt flow,heat transfer and solidification in a flexible thin slab continuous casting mold with vertical-combined electromagnetic braking

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Journal of Iron and Steel Research International 2024年第2期31卷 401-415页

作者： Lin Xu Ze-feng Han christian Karcher en-gang Wang Key Laboratory of Electromagnetic Processing of Materials(Ministry of Education) Northeastern UniversityShenyang110819LiaoningChina Key Laboratory of Liaoning Province for clean combustion Power Generation and Heating Technology Shenyang Institute of EngineeringShenyang110136LiaoningChina Institute of Thermodynamics and Fluid Mechanics Technische Universität IlmenauIlmenau98684Germany

During continuous casting of steel slabs,the application of electromagnetic braking technology(EMBr)provides an effective tool to influence solidification by controlling the pattern of melt flow in the ***,the quality of the final product can be improved considerably.A new electromagnetic braking(EMBr)method,named vertical-combined electromagnetic braking(Vc-EMBr),is proposed to be applied to a flexible thin slab casting(FTSc)*** evaluate the beneficial effects of the Vc-EMBr,the melt flow,heat transfer,and solidification processes in the FTSc mold are studied by means of numerical *** detail,a Reynolds-averaged Navier–Stokes turbulence model together with an enthalpy-porosity approach was *** numerical findings are compared with respective simulations using the traditional *** results demonstrate that the application of the Vc-EMBr contributes significantly to preventing relative slab *** contrast to the Ruler-EMBr,the additional vertical magnetic poles of the Vc-EMBr preferentially suppress the direct impact of jet flow on the narrow face of FSTc mold and considerably diminish the level fluctuation near the meniscus *** instance,by applying a magnetic flux density of 0.3 T,the maximum amplitude of meniscus deflection reduces by about 80%.Moreover,the braking effect of the Vc-EMBr effectively improves the homogeneity of temperature distribution in the upper recirculation region and increases the solidified shell thickness along the casting *** this basis,the newly proposed Vc-EMBr shows a beneficial effect in preventing relative slab defects for FTSc thin slab continuous casting.

关键词： Electromagnetic braking Mold Melt flow Heat transfer Solidification

Effectiveness of mindfulness-based interventions on the well-being of healthcare workers:a systematic review and meta-analysis

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General Psychiatry 2024年第3期37卷 335-344页

作者： Natasha Yixuan Ong Finn Jing Jie Teo Jane Zi Ying Ee chun en Yau Julian Thumboo Hiang Khoon tan Qin Xiang Ng NUS Yong Loo Lin School of Medicine National University of SingaporeSingapore Health Services Research Unit Singapore General HospitalSingapore SingHealth Duke-NUS Medicine Academic clinical Programme Duke-NUS Medical SchoolSingapore Singhealth Duke-NUS Global Health Institute Singapore Duke Global Health Institute Duke UniversityDurhamNorth CarolinaUSA Division of Surgery and Surgical Oncology Singapore General HospitalSingapore Saw Swee Hock School of Public Health National University of Singapore and National University Health SystemSingapore

Background Growing evidence attests to the efficacy of mindfulness-based interventions(MBIs),but their effectiveness for healthcare workers remains *** To evaluate the evidence for MBIs in improving healthcare workers’psychological *** A systematic literature search was conducted on Medline,Embase,cumulative Index for Nursing and Allied Health Literature,PsycINFO and cochrane central Register of controlled Trials up to 31 August 2022 using the keywords‘healthcare worker’,‘doctor’,‘nurse’,‘allied health’,‘mindfulness’,‘wellness’,‘workshop’and‘program’.Randomised controlled trials with a defined MBI focusing on healthcare workers and quantitative outcome measures related to subjective or psychological well-being were eligible for inclusion.R V.4.0.3 was used for data analysis,with the standardised mean difference as the primary outcome,employing DerSimonian and Laird’s random effects *** of Recommendations,Assessment,Development and Evaluation framework was used to evaluate the quality of ***’s Risk of Bias 2 tool was used to assess the risk of bias in the included *** A total of 27 studies with 2506 participants were included,mostly from the USA,involving various healthcare *** such as stress reduction programmes,apps,meditation and training showed small to large effects on anxiety,burnout,stress,depression,psychological distress and job strain outcomes of the *** effects were also seen in self-compassion,empathy,mindfulness and ***,long-term outcomes(1 month or longer postintervention)varied,and the effects were not consistently *** MBIs offer short-term benefits in reducing stress-related symptoms in healthcare *** review also highlights limitations such as intervention heterogeneity,reduced power in specific subgroup analyses and variable study quality.

关键词： nurse sustained workers

The Perturbed compound Poisson Risk Model with Proportional Investment

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Acta Mathematicae Applicatae Sinica 2024年第1期40卷 109-128页

作者： Nai-dan Deng chun-wei Wang Jia-en Xu School of Mathematics and Statistics Henan University of Science and TechnologyLuoyang471023China

In this paper, the insurance company considers venture capital and risk-free investment in a constant proportion. The surplus process is perturbed by diffusion. At first, the integro-differential equations satisfied by the expected discounted dividend payments and the Gerber-Shiu function are derived. Then, the approximate solutions of the integro-differential equations are obtained through the sinc method. Finally, the numerical examples are given when the claim sizes follow different distributions. Furthermore, the errors between the explicit solution and the numerical solution are discussed in a special case.

关键词： expected discounted dividend payments lognormal distribution proportional investment perturbed risk model sinc numerical method

The symmetric space,strong isotropy irreducibility and equigeodesic properties

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Science china Mathematics 2024年第1期67卷 129-148页

作者： Ming Xu Ju tan School of Mathematical Sciences Capital Normal UniversityBeijing 100048China School of Microelectronics and Data Science Anhui University of TechnologyMa'anshan 243032China

A smooth curve on a homogeneous manifold G/H is called a Riemannian equigeodesic if it is a homogeneous geodesic for any G-invariant Riemannian *** homogeneous manifold G/H is called Riemannian equigeodesic,if for any x∈G/H and any nonzero y∈Tx(G/H),there exists a Riemannian equigeodesic c(t) with c(0)=x and ■(0)=*** two notions can be naturally transferred to the Finsler setting,which provides the definitions for Finsler equigeodesics and Finsler equigeodesic *** prove two classification theorems for Riemannian equigeodesic spaces and Finsler equigeodesic spaces,***,a homogeneous manifold G/H with a connected simply connected quasi compact G and a connected H is Riemannian equigeodesic if and only if it can be decomposed as a product of Euclidean factors and compact strongly isotropy irreducible ***,a homogeneous manifold G/H with a compact semisimple G is Finsler equigeodesic if and only if it can be locally decomposed as a product,in which each factor is Spin(7)/G2,G2/SU (3) or a symmetric space of compact *** results imply that the symmetric space and the strongly isotropy irreducible space of compact type can be interpreted by equigeodesic *** an application,we classify the homogeneous manifold G/H with a compact semisimple G such that all the G-invariant Finsler metrics on G/H are *** suggests a new project in homogeneous Finsler geometry,i.e.,to systematically study the homogeneous manifold G/H on which all the G-invariant Finsler metrics satisfy a certain geometric property.

关键词： equigeodesic equigeodesic space flag manifold orbit type stratification symmetric space strongly isotropy irreducible space

Electrical characteristics of a fractional-order 3×n Fan network

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communications in Theoretical Physics 2024年第4期76卷 176-187页

作者： Zhi-Zhong tan Xin Wang Department of Physics Nantong UniversityNantong 226019China

In this article a new achievement of fractional-order 3×n Fan networks is *** the first step,the RT-I method is used to derive the general formulae of the equivalent impedance of fractional-order 3×n Fan *** the second part,the effects of five system parameters(L,c,n,α and β)on amplitude-frequency and phase-frequency characteristics are *** the same time,the amplitude-frequency and phase-frequency characteristics of the fractional order 3×n Fan network are revealed by Matlab *** work has important theoretical and practical significance for resistor network models in the field of natural science and engineering technology.

关键词： fractional-order circuit amplitude-frequency characteristics phase-frequency characteristics RT-V theory

curcumin Interferes with TGF-β1-Induced Fibrosis in NRK-49F cells by Reversing ADAMTS18 Gene Methylation

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chinese Journal of Integrative Medicine 2024年第7期30卷 600-607页

作者： XU Ben ZHANG Jia-en YE Lin YUAN chang-wei Department of Urology Peking University First Hospital and Institute of UrologyPeking UniversityNational Urological Cancer CenterBeijing100034China

Objective To explore the molecular mechanism by which curcumin affects renal interstitial fibrosis(RIF)progression by regulating ADAM metallopeptidase with thrombospondin type 1 motif 18(ADAMTS18)*** NRK-49F cells RIF model were induced with transforming growth factorβ1(TGF-β1).Effects of different concentrations of curcumin(0,10,20,and 30μmol/L)on cell proliferation,cell cycle,cell apoptosis as well as cyclin D1 expression were analyzed by cell counting kit-8,flow cytometry and Western blot,***18 methylation levels were determined by methylation-specific polymerase chain ***18,fibronectin(FN),type I collagen(col-I)and alpha-smooth muscle actin(α-SMA)mRNA and protein expressions were analyzed by real-time PcR(RT-PcR)and Western blot,***,cells were treated with 50 mmol/L 5-aza-2′-deoxycytidine(5-aza-dc,demethylation agent)for 72 *** of curcumin on extracellular matrix(EcM)deposition was evaluated by immunochemical staining and Western ***-49F cells were transfected with ADAMTS18 small interfering RNA and grouped into a normal control,ADAMTS18-knock-out(KO),and ADAMTS18-KO+30μmol/L curcumin groups,and whether curcumin can reverse the effect of ADAMTS18 knockdown on RIF was *** compared with the control group,TGF-β1 significantly inhibited the proliferation of NRK-49F cells,blocked the G1/G0 phase,promoted cell apoptosis and inhibited cyclin D1 expression(Pent concentrations of curcumin,30μmol/L curcumin significantly reversed these processes(Pchemical staining and Western blot results showed that curcumin significantly inhibited the deposition of FN,col-I andα-SMA(Pcurcumin and 5-zaz-dc had synergistic effects,promoting ADAMTS18 expression,removing ADAMTS18 methylation,and reducing EcM ***18 knockdown promoted EcM accumulation,and curcumin reversed this process(Pconclusion TGF-β1-induced fibrosis in NRK-49F ***

关键词： renal fibrosis curcumin chinese medicine ADAMTS18 methylation modification

In situ direct reprogramming of astrocytes to neurons via polypyrimidine tract-binding protein 1 knockdown in a mouse model of ischemic stroke

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Neural Regeneration Research 2024年第10期19卷 2240-2248页

作者： Meng Yuan Yao tang Tianwen Huang Lining Ke en Huang Key Laboratory of Brain Aging and Neurodegenerative Diseases of Fujian Province Fujian Medical UniversityFuzhouFujian ProvinceChina Department of Human Anatomy School of Basic Medical SciencesFujian Medical UniversityFuzhouFujian ProvinceChina Scientific Research center School of Basic Medical SciencesFujian Medical UniversityFuzhouFujian ProvinceChina Department of Neurology Fujian Medical University Union HospitalFuzhouFujian ProvinceChina Fujian Key Laboratory of Vascular Aging Fujian Medical UniversityFuzhouFujian ProvinceChina

In situ direct reprogramming technology can directly convert endogenous glial cells into functional neurons in vivo for central nervous system repair. Polypyrimidine tract-binding protein 1(PTB) knockdown has been shown to reprogram astrocytes to functional neurons in situ. In this study, we used AAV-PHP.e B-GFAP-sh PTB to knockdown PTB in a mouse model of ischemic stroke induced by endothelin-1, and investigated the effects of GFAP-sh PTB-mediated direct reprogramming to neurons. Our results showed that in the mouse model of ischemic stroke, PTB knockdown effectively reprogrammed GFAP-positive cells to neurons in ischemic foci, restored neural tissue structure, reduced inflammatory response, and improved behavioral function. These findings validate the effectiveness of in situ transdifferentiation of astrocytes, and suggest that the approach may be a promising strategy for stroke treatment.

关键词： astrocyte in situ direct reprogramming ischemic stroke miR-30 based shRNA neuron polypyrimidine tract-binding protein 1 transdifferentiation