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The outcomes and safety of patients undergoing endoscopic retrograde cholangiopancreatography combining a single-use cholangioscope and a single-use duodenoscope:A multicenter retrospective international study

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Hepatobiliary & Pancreatic Diseases International 2024年第1期23卷 71-76页

作者： Alessandro Fugazza Matteo Colombo Michel Kahaleh V.Raman Muthusamy Bick Benjamin Wim Laleman Carmelo Barbera Carlo Fabbri Jose Nieto Abed Al-Lehibi Mohan Ramchandani Amy Tyberg Haroon Shahid Avik Sarkar dean Ehrlich Stuart Shermand Cecilia Binda Marco Spadaccini Andrea Iannone Kareem Khalaf Nageshwar Reddy Andrea Anderloni Alessandro Repici Division of Gastroenterology and Digestive Endoscopy Humanitas Research Hospital-IRCCSVia Manzoni 5620089RozzanoMilanoItaly Gastroenterology Rutgers Robert Wood JohnsonNew BrunswickNew JerseyUSA Vatche and Tamar Manoukian Division of Digestive Diseases University of CaliforniaLos Angeles School of Medicine at UCLALos AngelesCaliforniaUSA Division of Digestive and Liver Disorders Indiana University School of MedicineIndianapolisINUSA Department of Gastroenterology and Hepatology University Hospitals LeuvenKU Leuven3000 LeuvenBelgium U.O.C.di Gastroenterologia ed Endoscopia Digestiva Ospedale Giuseppe MazziniASL TeramoItaly Gastroenterology and Digestive Endoscopy Unit Forlì-Cesena HospitalsAUSL RomagnaForlì-CesenaItaly Borland Groover Clinic JacksonvilleFloridaUSA Department of Gastroenterology and Hepatology King Fahad Medical CityRiyadhSaudi Arabia Asian Institute of Gastroenterology HyderabadIndia Section of Gastroenterology Department of Emergency and Organ TransplantationUniversity of BariBari 70124Italy Department of Biomedical Sciences Humanitas UniversityVia Rita Levi Montalcini 420090Pieve EmanueleMilanItaly

Background: Duodenoscope-related multidrug-resistant organism(MDRO) infections raise concerns. Disposable duodenoscopes have been recently introduced in the market and approved by regulatory agencies with the aim to reduce the risk of endoscopic retrograde cholangiopancreatography(ERCP) associated infections. The aim of this study was to evaluate the outcome of procedures performed with single-use duodenoscopes in patients with clinical indications to single-operator cholangiopancreatoscopy. Methods: This is a multicenter international, retrospective study combining all patients who underwent complex biliopancreatic interventions using the combination of a single-use duodenoscope and a single-use cholangioscope. The primary outcome was technical success defined as ERCP completion for the intended clinical indication. Secondary outcomes were procedural duration, rate of cross-over to reusable duodenoscope, operator-reported satisfaction score(1 to 10) on performance rating of the single-use duodenoscope, and adverse event(AE) rate. Results: A total of 66 patients(26, 39.4% female) were included in the study. ERCP was categorized according to ASGE ERCP grading system as 47(71.2%) grade 3 and 19(28.8%) grade 4. The technical success rate was 98.5%(65/66). Procedural duration was 64(interquartile range 15-189) min, cross-over rate to reusable duodenoscope was 1/66(1.5%). The satisfaction score of the single-use duodenoscope classified by the operators was 8.6 ± 1.3 points. Four patients(6.1%) experienced AEs not directly related to the single-use duodenoscope, namely 2 post-ERCP pancreatitis(PEP), 1 cholangitis and 1 ***: Single-use duodenoscope is effective, reliable and safe even in technically challenging procedures with a non-inferiority to reusable duodenoscope, making these devices a viable alternative to standard reusable equipment.

关键词： Single-operator cholangioscopy Single-use duodenoscope Endoscopic retrograde cholangiopancreatography Indeterminate biliary stricture Difficult biliary stones

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马尔代夫泛在化教育的演变:实践、挑战和问题

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云南开放大学学报 2024年第1期26卷 5-9页

作者：埃西姆·阿卜杜勒·萨塔尔 dean Faculty of Arts The Maldives National University

Learning and teaching have been undergoing transformational changes in the past 100 years,each change promising a richer and more meaningful interaction of learners and instructors. Beginning from the limitations of correspondence courses and distance education, remote learning has trended through computerassisted instruction(CAI), e-learning, m-learning, and now ubiquitous or u-learning. Some forms of this type of education have been renamed or repackaged in multiple forms of instruction including hybrid and flexible learning. More recently, u-learning or ubiquitous learning has been gaining currency and *** article outlines the development of education other than face-to-face learning and teaching in the context of the Maldives to disentangle its practices, challenges, and issues. Some of these issues are likely to impact u-learning and its descendent and off-shoot modes.

关键词： likely CAI 泛在化

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Erratum to:Bio-inspired Filter Design Based on Vortex Control Mechanism of Parallel Groove Structure

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Journal of Bionic Engineering 2024年第3期21卷 1617-1617页

作者： Yawei Zhu dean Hu Yonggang Guo Hao Ding Gang Yang School of Mechanical and Electrical Engineering Henan University of TechnologyZhengzhou450001China Key Laboratory of Advanced Design and Simulation Techniques for Special Equipments Ministry of EducationHunan UniversityChangsha410082China

Erratumto:Journal of Bionic Engineering(2023)20:338-348 https:/doi.0rg/10.1007/s42235-022-00247-4 In Table 1,the value of Mesh's Feature dimensions(mm)"0.42"should have read"0.04".The original article has been corrected.

关键词： Vortex dimensions corrected

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智慧运维背景下的无线发射系统硬件保护机制研究与实践

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广播与电视技术 2024年第6期51卷 98-102页

作者：马德安山东省广播电视传输保障中心山东271000

无线发射台站正积极推进数字化、IP化、智能化改造,以适应广播电视安全播出的需求,并向智慧化台站转型。智慧运维的规模化部署和应用显著提升了台站的安全播出保障能力。本文分析了智慧运维模式下无线发射系统的工作原理,探讨了智慧运... 详细信息

无线发射台站正积极推进数字化、IP化、智能化改造,以适应广播电视安全播出的需求,并向智慧化台站转型。智慧运维的规模化部署和应用显著提升了台站的安全播出保障能力。本文分析了智慧运维模式下无线发射系统的工作原理,探讨了智慧运维背景下系统保护机制可能面临的挑战。文中重点介绍了针对智慧运维平台故障情况设计的无线发射系统硬件保护机制应急预案。实践证明,该硬件保护机制与智慧运维平台的软件保护机制相互补充,共同为台站的智慧化转型提供了坚实的保障。

关键词：智慧运维无线发射系统保护联锁

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基于电动汽车制动安全检测的短时工况及方法研究

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汽车工程 2024年第1期46卷 109-119页

作者：焦志鹏马建赵轩张凯孟德安韩琪张昭长安大学汽车学院西安710064

常规的制动安全检测通常采用长时间、极端工况,但可能会失去准确的工作范围。针对这一不足,首先提出一种踏板稳定模式的短时工况试验方法,该方法结合了现有的测试标准,并不限于单一的极端制动模式,而是可以考虑电动汽车的快速稳态运行... 详细信息

常规的制动安全检测通常采用长时间、极端工况,但可能会失去准确的工作范围。针对这一不足,首先提出一种踏板稳定模式的短时工况试验方法,该方法结合了现有的测试标准,并不限于单一的极端制动模式,而是可以考虑电动汽车的快速稳态运行。在此基础上,基于机器学习对运行片段回归并通过连续拼接构建短时工况。利用短时工况提出一种改进的制动安全检测方法,该方法通过主成分分析对制动片段的特征参数进行降维,同时根据特征参数计算制动片段的重复性距离判断安全隐患。最后,通过在测试台架上跟随短时工况,验证所提出的短时工况和制动安全检测方法的有效性。

关键词：电动汽车制动安全短时工况检测方法测试台架

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Defining minimal invasive surgical therapy for benign prostatic obstruction surgery: Perspectives from a global knowledge, attitude, and practice survey

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Asian Journal of Urology 2024年第1期11卷 55-64页

作者： Bryan Kwun-Chung Cheng Steffi Kar-Kei Yuen Daniele Castellani Marcelo Langer Wroclawski Hongda Zhao Mallikarjuna Chiruvella Wei-Jin Chua Ho-Yee Tiong Yiloren Tanidir Jean de la Rosette Enrique Rijo Vincent Misrai Amy Krambeck dean S.Elterman Bhaskar K.Somani Jeremy Yuen-Chun Teoh Vineet Gauhar Department of Surgery United Christian HospitalHong KongChina S.H.Ho Urology Centre Department of SurgeryPrince of Wales HospitalThe Chinese University of Hong KongHong KongChina Department of Urology University Hospital“Ospedali Riuniti”and Polytechnic University of Marche RegionAnconaItaly Hospital Israelita Albert Einstein Sao PauloSPBrazil BP—A Beneficencia Portuguesa de Sao Paulo Sao PauloSPBrazil Faculdade de Medicina do ABC Santo AndreSPBrazil Department of Urology Asian Institute of Nephrology and UrologyHyderabadTGIndia Department of Urology National University HospitalSingapore Department of Urology Marmara University School of MedicineIstanbulTurkey Department of Urology Medipol Mega University HospitalIstanbul Medipol UniversityIstanbulTurkey Department of Urology Hospital Quiron BarcelonaBarcelonaSpain Department of Urology Clinique PasteurToulouseFrance Department of Urology Indiana University School of MedicineIndianapolisINUSA Division of Urology Department of SurgeryUniversity Health NetworkUniversity of TorontoTorontoCanada Department of Urology University Hospital Southampton NHS TrustSouthamptonUK Department of Urology Ng Teng Fong General HospitalNUHSSingapore

Objective:To scrutinize the definitions of minimal invasive surgical therapy(MIST)and to investigate urologists’knowledge,attitudes,and practices for benign prostatic obstruction ***:A 36-item survey was developed with a Delphi *** on definitions of MIST and attitudes and practices of benign prostatic obstruction surgeries were *** were invited globally to complete the online *** was achieved when more than or equal to 70%responses were“agree or strongly agree”and less than or equal to 15%responses were“disagree or strongly disagree”(consensus agree),or when more than or equal to 70%responses were“disagree or strongly disagree”and less than or equal to 15%responses were“agree or strongly agree”(consensus disagree).Results:The top three qualities for defining MIST were minimal blood loss(n=466,80.3%),fast post-operative recovery(n=431,74.3%),and short hospital stay(n=425,73.3%).The top three surgeries that were regarded as MIST were Urolift®(n=361,62.2%),Rezum®(n=351,60.5%),and endoscopic enucleation of the prostate(EEP)(n=332,57.2%).Consensus in the knowledge section was achieved for the superiority of Urolift®,Rezum®,and iTIND®over transurethral resection of the prostate with regard to blood loss,recovery,day surgery feasibility,and post-operative *** in the attitudes section was achieved for the superiority of Urolift®,Rezum®,and iTIND®over transurethral resection of the prostate with regard to blood loss,recovery,and day surgery *** on both sections was achieved for EEP as the option with the better symptoms and flow improvement,lower retreatment rate,and better suitable for prostate more than 80 ***:Minimal blood loss,fast post-operative recovery,and short hospital stay were the most important qualities for defining ***®,Rezum®,and EEP were regarded as MIST by most urologists.

关键词： Benignprostate hyperplasia Minimalinvasive surgical therapy Surgery Bladderoutlet obstruction

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太阳能耦合多联供系统研究综述

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电力系统装备 2024年第5期 77-79页

作者：张德安破晓新能源科技(上海)有限公司上海201702

太阳能、生物质能和风能等可再生能源的开发利用是节约化石能源和解决环境污染的重要途径。目前,太阳能光伏光热发电系统的经济性和能源节约效果已经显现。而单一热源的热泵系统在冬季受室外环境温度的影响则出现能效降低的情况。由以... 详细信息

太阳能、生物质能和风能等可再生能源的开发利用是节约化石能源和解决环境污染的重要途径。目前,太阳能光伏光热发电系统的经济性和能源节约效果已经显现。而单一热源的热泵系统在冬季受室外环境温度的影响则出现能效降低的情况。由以上两个系统组成太阳能耦合多联供系统,不仅可缓解寒冷气候下热泵能效低的问题,还可提高太阳能光伏光热发电系统的热电性能。文章介绍了太阳能光电光热系统、冷热电联供系统和太阳能耦合多联供系统多方面的研究现状。

关键词： PV/T 双源热泵清洁能源多联供系统

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Incidence of urinary incontinence following endoscopic laser enucleation of the prostate by en-bloc and non-en-bloc techniques:a multicenter,real-world experience of 5068 patients

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Asian Journal of Andrology 2024年第3期26卷 233-238页

作者： Daniele Castellani Vineet Gauhar Khi Yung Fong Mario Sofer Moisés Rodríguez Socarrás Azimdjon N Tursunkulov Lie Kwok Ying Sarvajit Biligere Ho Yee Tiong dean Elterman Abhay Mahajan Mark Taratkin Sorokin Nikolai Ivanovich Tanuj Pal Bhatia Dmitry Enikeev Nariman Gadzhiev Mohammed Taif Bendigeri Jeremy Yuen-Chun Teoh Marco Dellabella Fernando Gómez Sancha Bhaskar Kumar Somani Thomas Reinhard William Herrmann Urology Unit IRCCS INRCAAncona 60127Italy Urology Unit Marche University HospitalLe Marche Polytechnic UniversityAncona 60126Italy Department of Urology Ng Teng Fong General HospitalSingapore 609606Singapore Yong Loo Lin School of Medicine National University of SingaporeSingapore 117597Singapore Department of Urology Tel Aviv Sourasky Medical CenterAffiliated to the Sackler School of MedicineTel Aviv UniversityTel Aviv 6423906Israel Department of Urology and Robotic Surgery ICUA-Clínica CEMTROMadrid 28701Spain Urology Division Akfa Medline HospitalTashkent 100211Uzbekistan Advanced Urology Gleneagles HospitalSingapore 258499Singapore Department of Urology National University HospitalSingapore 119228Singapore Divisionof Urology Department of SurgeryUniversity of TorontoOntarioToronto M5G 2C4Canada Department of Urology Mahatma Gandhi Mission’s Medical College and HospitalAurangabad 431003India Institute for Urology and Reproductive Health Sechenov UniversityMoscow119435Russian Federation Department of Urologyand Andrology Lomonosov Moscow State UniversityMoscow 119992Russian Federation Department of Urology Sarvodaya Hospital and Research CentreFaridabadHaryana 121006India Department of Urology Medical University of ViennaVienna 1090Austria Department of Urology Saint-Petersburg State University HospitalSaint-Petersburg 199034Russian Federation Department of Urology Asian Institute of Nephrology and UrologyHyderabad 500082India S.H.Ho UrologyCentre Department of SurgeryFaculty of MedicineThe Chinese University of Hong KongHong Kong 96H2+Q9China Department of Urology University Hospitals Southampton NHS TrustSouthampton SO166YDUnited Kingdom Department of Urology Cantonal Hospital Thurgau AGFraunfeld 8500Switzerland

We aim to evaluate the incidence of incontinence following laser endoscopic enucleation of the prostate(EEP)comparing en-bloc(Group 1)versus 2-lobe/3-lobe techniques(Group 2).We performed a retrospective review of patients undergoing EEP for benign prostaticenlargement in 12 centers between January 2020 and January *** were presented as median and interquartile range(IQR).Univariable and multivariable logistic regression analysis was performed to evaluate factors associated with stress urinary incontinence(SUI)and mixed urinary incontinence(MUI).There were 1711 patients in Group 1 and 3357 patients in Group *** in Group 2were significantly younger(68[62–73]years vs 69[63–74]years,P=0.002).Median(interquartile range)prostate volume(PV)wassimilar between the groups(70[52–92]ml in Group 1 vs 70[54–90]ml in Group 2,P=0.774).There was no difference in preoperativeInternational Prostate Symptom Score,quality of life,or maximum flow ***,morcellation,and total surgical time weresignificantly shorter in Group *** 1 month,overall incontinence rate was 6.3%in Group 1 versus 5.3%in Group 2(P=0.12),and urge incontinence was significantly higher in Group 1(55.1%vs 37.3%in Group 2,P<0.001).After 3 months,the overall rate ofincontinence was 1.7%in Group 1 versus 2.3%in Group 2(P=0.06),and SUI was significantly higher in Group 2(55.6%vs 24.1%in Group 1,P=0.002).At multivariable analysis,PV and IPSS were factors significantly associated with higher odds of transient SUI/***,surgical time,and no early apical release technique were factors associated with higher odds of persistent SUI/MUI.

关键词： benign prostatic hyperplasia en-bloc enucleation endoscopic enucleation of the prostate laser therapy stress urinaryincontinence urge urinary incontinence

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Public Exposure to U.S. Commercial Nuclear Power Plants Induced Disasters

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International Journal of Disaster Risk Science 2015年第3期6卷 238-249页

作者： dean Kyne Department of Sociology and Anthropology The University of Texas Rio Grande Valley

This study explores the potential risks associated with the 65 U.S.-based commercial nuclear power plants and the distribution of those risks among the populations of both their respective host communities and of the communities located in outlying areas. First, it starts by examining the racial/ethnic composition of the host community populations, as well as the disparities in socioeconomic status that exist, if any, between the host communities and communities located in outlying ***, it utilizes two independent-sample T tests to identify any differences in the sociodemographic compositions of the two areas. Third, it explores regional demographic trends by looking at the percent change in demographic variables in the host communities and communities located in outlying areas in 1990–2000 and2000–2010. Findings reveal that during the past two decades more people were exposed to the risks as population living in the host communities increased.

关键词： Exposure to nuclear power disasters Host communities Nuclear disasters U.S. commercial nuclear power plants

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基于EMD-SDP图像特征和改进DenseNet车用PMSM故障诊断

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汽车工程 2024年第4期46卷 703-716,690页

作者：王建平马建孟德安赵轩边琦张凯刘启全长安大学汽车学院西安710064

永磁同步电机(permanent magnet synchronous motor,PMSM)因转速范围宽、输出转矩大、调速响应快、尺寸小、质量轻等优点被广泛应用于电动汽车驱动系统。受恶劣气候、异常振动和频繁起动-制动工况因素影响,PMSM易发生匝间短路、退磁、... 详细信息

永磁同步电机(permanent magnet synchronous motor,PMSM)因转速范围宽、输出转矩大、调速响应快、尺寸小、质量轻等优点被广泛应用于电动汽车驱动系统。受恶劣气候、异常振动和频繁起动-制动工况因素影响,PMSM易发生匝间短路、退磁、轴承磨损等故障。本文针对PMSM相似故障单一维度信号下难区分以及工作条件发生变化时传统诊断方法鲁棒性差的问题,提出了一种基于经验模态分解-对称点模式(empirical mode decomposition-symmetric dot pattern,EMD-SDP)图像特征和改进DenseNet相结合的车用永磁同步电机故障诊断方法。首先,通过实验获取不同状态的电机在多种工况下振动信号,将预处理的振动信号进行EMD处理,求解不同层级本征模态函数(intrinsic mode function,IMF);其次,将原始振动信号转化为SDP图像,对不同层级IMF转化为RGB色彩特征在SDP图像上显示出来;然后,通过融合scSE注意力机制改进DenseNet学习图像数据集构建分类网络模型;最后,按照信号-图像-网络的流程对待测电机状态进行评估与诊断。诊断结果表明:所提出的方法在稳态和变速瞬态工况下均表现良好的性能。在恒速恒载工况下,所提的方法达到最高的故障诊断准确率(99.72%),相比基准的DenseNet的准确率(98.06%)提升了1.66个百分点。改进后的DenseNet模型和DenseNet模型的ROC曲线最接近左上角,AUC均值分别为0.9974和0.9745;在加速恒载和减速恒载工况下,改进后的DenseNet模型也达到了最高的诊断准确率,分别为96.88%和97.08%。AUC均值分别为0.9877和0.9869。本文所提出的方法的总体性能优于传统方法,能有效地用于速度变化时的故障诊断。

关键词：永磁同步电机故障诊断经验模态分解对称点模式 scSE DenseNet

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