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Impact of frailty on postoperative outcomes after hepatectomy:A systematic review and meta-analysis

World Journal of Gastrointestinal Surgery 2024年第7期16卷 2319-2328页

作者： Yao-Jia Lv guang-xing xu Jia-Rong Lan Day Surgery Ward Huzhou Central HospitalThe Affiliated Central Hospital of Huzhou UniversityHuzhou 313000Zhejiang ProvinceChina School of Basic Medical Sciences Zhejiang Chinese Medical UniversityHangzhou 310053Zhejiang ProvinceChina Department of Medicine Huzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical UniversityHuzhou 313000Zhejiang ProvinceChina

BACKGROUND The impact of frailty on postoperative outcomes in patients undergoing hepatectomy is still *** To study the influence of frailty on postoperative outcomes,such as mortality,rate of complications,and length of hospitalization,following *** PubMed,EMBASE,and Scopus databases were searched for observational studies with adult(≥18 years)patients after planned/elective hepatectomy.A randomeffects model was used for all analyses,and the results are expressed as weighted mean difference(WMD),relative risk(RR),or hazards ratio(HR)with 95%confidence interval(CI).RESULTS Analysis of the 13 included studies showed a significant association of frailty with elevated risk of in-hospital mortality(RR=2.76,95%CI:2.10-3.64),mortality at 30 d(RR=4.60,95%CI:1.85-11.40),and mortality at 90 d(RR=2.52,95%CI:1.70-3.75)in the postoperative *** patients had a poorer long-term survival(HR=2.89,95%CI:1.84-4.53)and higher incidence of“any”complications(RR=1.69,95%CI:1.40-2.03)and major(grade III or higher on the Clavien-Dindo scale)complications(RR=2.69,95%CI:1.85-3.92).Frailty was correlated with markedly lengthier hospital stay(WMD=3.65,95%CI:1.45-5.85).CONCLUSION Frailty correlates with elevated risks of mortality,complications,and prolonged hospitalization,which need to be considered in surgical *** research is essential to formulate strategies for improved outcomes in this vulnerable cohort.

关键词： Frailty Frail adults Hepatic resection Hepatectomy Complications Mortality Survival Clinical outcomes Meta-analysis

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What is the Role of Gravity,Turbulence and Magnetic Fields in High-mass Star Formation Clouds?

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Research in Astronomy and Astrophysics 2024年第6期24卷 21-27页

作者： An-xu Luo Hong-Li Liu guang-xing Li Sirong Pan Dong-Ting Yang School of Physics and Astronomy Yunnan UniversityKunming 650091China South-Western Institute for Astronomy Research Yunnan UniversityKunming 650500China

To explore the potential role of gravity,turbulence and magnetic fields in high-mass star formation in molecular clouds,this study revisits the velocity dispersion–size(σ–L)and density–size(ρ–L)scalings and the associated turbulent energy spectrum using an extensive data *** sample includes various hierarchical density structures in high-mass star formation clouds,across scales of 0.01–100 *** observeσ∝L^(0.26)andρ∝L^(-1.54)scalings,converging toward a virial equilibrium state.A nearly flat virial parameter–mass(α_(vir)-M)distribution is seen across all density scales,withα_(vir)values centered around unity,suggesting a global equilibrium maintained by the interplay between gravity and turbulence across multiple *** turbulent energy spectrum(E(k))analysis,based on theσ–L andρ–L scalings,yields a characteristic E(k)∝k^(-1.52).These findings indicate the potential significance of gravity,turbulence,and possibly magnetic fields in regulating dynamics of molecular clouds and high-mass star formation therein.

关键词： ISM:clouds stars:formation stars:kinematics and dynamics

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Gluing Affine Vortices

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Acta Mathematica Sinica,English Series 2024年第1期40卷 250-312页

作者： guang Bo xu Department of Mathematics Rutgers UniversityHill Center-Busch Campus 110 Frelinghuysen RoadPiscatawayNJ 08854-8019USA

We provide an analytical construction of the gluing map for stable affine vortices over the upper half plane with the Lagrangian boundary *** result is a necessary ingredient in studies of the relation between gauged ... 详细信息

关键词： Affine vortices gauged linear sigma model adiabatic limit symplectic reduction

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Surface diffraction beamline at the SSRF

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Nuclear Science and Techniques 2024年第7期35卷 47-57页

作者： Yue-Liang Gu xu Zheng xing-Min Zhang Bin Zhao guang-Zhi Yin Da-Ming Zhu Yuan-He Sun xing-Yu Gao Xiao-Long Li Shanghai Advanced Research Institute Chinese Academy of Sciences239 Zhangheng RoadPudong DistrictShanghai201204China

BL02U2 of the Shanghai Synchrotron Radiation Facility is a surface diffraction beamline with a photon flux of 5.5×10^(12) photons/s at 10 keV and a beam size of 160µm×80µm at the sample *** is dedicated to studying surfaces(solid-vacuum,solid-gas)and interfaces(solid-solid,solid-liquid,and liquid-liquid)in nanoscience,condensed matter,and soft matter systems using various surface scattering techniques over an energy range of 4.8-28 keV with transmission and reflection ***,BL02U2 has a high energy resolution,high angular resolution,and low beam divergence,which can provide excellent properties for X-ray diffraction experiments,such as grazing incident X-ray diffraction,X-ray reflectivity,crystal truncation rods,and liquid X-ray *** of in situ environments can also be provided for the samples *** paper describes the setup of the new beamline and its applications in various fields.

关键词： Surface and interface Beamline Surface diffraction Microstructure

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Intermittent melena and refractory anemia due to jejunal cavernous lymphangioma:A case report

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World Journal of Gastrointestinal Surgery 2024年第4期16卷 1208-1214页

作者： Kai-Rui Liu Sheng Zhang Wei-Run Chen You-xing Huang xu-guang Li Department of Abdominal Surgery The Second Affiliated Hospital of Guangzhou University of Chinese MedicineGuangzhou 510000Guangdong ProvinceChina Department of General Surgery The Affiliated Brain Hospital of Guangzhou Medical UniversityGuangzhou 510000Guangdong ProvinceChina Key Laboratory of Neurogenetics and Channelopathies of guangdong Province and The Ministry of Education of China Guangzhou Medical UniversityGuangzhou 510000Guangdong ProvinceChina

BACKGROUND Lymphangiomas in the gastrointestinal tract are extremely rare in *** a benign lesion,small intestine lymphangiomas often remain asymptomatic and pose challenges for definitive ***,lymphangiomas can give rise to complications such as abdominal pain,bleeding,volvulus,and ***,we report a case of jejunal cavernous lymphangioma that presented with intermittent melena and refractory anemia in a male *** SUMMARY A 66-year-old man presented with intermittent melena,fatigue and refractory anemia nine months *** and colonoscopy were performed many times and revealed no apparent *** management,including transfusion,hemostasis,gastric acid secretion inhibition and symptomatic treatment,was performed,but the lesions tended to recur shortly after ***,the patient underwent capsule endoscopy,which revealed a more than 10 cm lesion accompanied by active *** singleballoon enteroscopy and biopsy,a diagnosis of jejunal cavernous lymphangioma was confirmed,and the patient underwent surgical *** complications or recurrences were observed *** Jejunal cavernous lymphangioma should be considered a cause of obscure gastrointestinal *** endoscopy and single-balloon enteroscopy can facilitate *** resection is an effective management method.

关键词： Intermittent melena Refractory anemia Capsule endoscopy Single-balloon enteroscopy Jejunal cavernous lymphangioma Enterectomy Case report

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Vision-based docking system for an aromatic-hydrocarbon-inspired reconfigurable robot

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Science China(Technological Sciences) 2024年第6期67卷 1798-1816页

作者： xing FangYi xu Cheng LIU JinGuo xuE ZhiHui State Key Laboratory of Robotics Shenyang Institute of AutomationChinese Academy of SciencesShenyang110016China School of Automation and Electrical Engineering Shenyang Ligong UniversityShenyang110158China Institutes for Robotics and Intelligent Manufacturing Chinese Academy of SciencesShenyang110169China University of Chinese Academy of Sciences Beijing100049China

Aromatic hydrocarbons generally refer to compounds containing benzene *** types of isomers can be formed by replacing hydrogen atoms on the benzene *** this paper,an aromatic-hydrocarbon-inspired modular robot(AHIMR)is *** robot can be reassembled into different configurations suitable for various task requirements.A vision-based docking system is designed for the *** system primarily consists of two stages:a remote guidance stage and a precise docking *** the remote guidance stage,an object module is identified using an illumination adaptive target recognition algorithm,and then the active module moves to the docking area through communication with *** the precise docking stage,the active module calculates the relative pose with the object module using a perspective-n-point method and dynamically adjusts its posture to *** this process,a Kalman filter is used to reduce target occlusion and jitter *** addition,the docking system feasibility is verified via several simulation *** module docking accuracy is controlled within 0.01 m,which meets the reconfiguration task requirements of the *** the AHIMR submodule docking experiment,the active module accurately moves to the expected position with a docking success rate of 95%.

关键词： modular robot reconfiguration aromatic hydrocarbon autonomous docking visual identification

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Optimizing mechanical properties of HIPS fabricated with low-cost desktop 3D printers:investigating the impact of process parameters

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Advances in Manufacturing 2024年第2期12卷 379-395页

作者： Jin-Ting xu guang-Wei Zhang Man-Man Chen School of Automotive Engineering Dalian University of TechnologyDalian116024People’s Republic of China

Recently,low-cost desktop three-dimensional(3D)printers,employing the fused deposition modeling(FDM)technique,have gained widespread ***,most users cannot test the strength of printed parts,and little information is available about the mechanical properties of printed high-impact polystyrene(HIPS)parts using desktop 3D *** this study,the user-adjustable parameters of desktop 3D printers,such as crisscross raster orientation,layer thickness,and infill density,were *** experimental plans were designed using the Box-Behnken method,and tensile,3-point bending,and compression tests were carried out to determine the mechanical responses of the printed *** prediction models of the process parameters were regressed to produce the optimal combination of process *** experimental results showcase that the crisscross raster orientation has significant effects on the flexural and compression strengths,but not on the tensile *** an increase in the layer thickness,the tensile,flexural,and compression strengths first decreased and then increased,reaching their minimum values at approximately 0.16 mm layer *** addition,they all increased with an increase of infill *** was demonstrated that when the raster orientation,layer thickness,and infill density were 13.08°/–76.92°,0.09 mm,and 80%,respectively,the comprehensive mechanical properties of the printed HIPS were *** results can help end-users of desktop 3D printers understand the effects of process parameters on the mechanical properties,and offer practical suggestions for setting proper printing parameters for fabricating HIPS parts.

关键词： Desktop three-dimensional(3D)printers Fused deposition modeling(FDM) High-impact polystyrene(HIPS) Process parameters

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Nonlinear Characteristic Analysis of Gas-Interconnected Quasi-Zero Stiffness Pneumatic Suspension System:A Theoretical and Experimental Study

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Chinese Journal of Mechanical Engineering 2024年第3期37卷 338-352页

作者： Xinwei Jiang xing xu Tianling Shi Vincent Akolbire Atindana Automotive Engineering Research Institute Jiangsu UniversityZhenjiang 212013China

Because of significantly changed load and complex and variable driving road conditions of commercial vehicles,pneumatic suspension with lower natural frequencies is widely used in commercial vehicle suspension *** ever,traditional pneumatic suspension system is hardly to respond the greatly changed load of commercial vehicles To address this issue,a new Gas-Interconnected Quasi-Zero Stiffness Pneumatic Suspension(GIQZSPS)is presented in this paper to improve the vibration isolation performance of commercial vehicle suspension systems under frequent load *** new structure adds negative stiffness air chambers on traditional pneumatic suspension to reduce the natural frequency of the *** can adapt to different loads and road conditions by adjusting the solenoid valves between the negative stiffness air ***,a nonlinear mechanical model including the dimensionless stiffness characteristic and interconnected pipeline model is derived for GIQZSPS *** the nonlinear mechanical model of GIQZSPS system,the force transmissibility rate is chosen as the evaluation index to analyze ***,a testing bench simulating 1/4 GIQZSPS system is designed,and the testing analysis of the model validation and isolating performance is carried *** results show that compared to traditional pneumatic suspension,the GIQZSPS designed in the article has a lower natural *** the system can achieve better vibration isolation performance under different load states by switching the solenoid valves between air chambers.

关键词： Pneumatic suspension Quasi-zero stiffness system Gas-interconnected system Nonlinear dynamic modeling

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Auto-Detection Method Using Convolution Neural Network for Bottom-Simulating Reflectors

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Journal of Ocean University of China 2024年第3期23卷 683-694页

作者： xu Haowei xing Junhui YANG Boxue LIU Chuang Key Laboratory of Submarine Geosciences and Prospecting Techniques MOE and College of Marine GeosciencesOcean University of ChinaQingdao 266100China Laboratory for Marine Mineral Resources Qingdao National Laboratory for Marine Science and TechnologyQingdao 266071China

In studies on gas hydrate,bottom-simulating reflectors(BSR)are used to determine the potential hydrate-bearing sedimentary ***,BSR detection is performed manually by experienced ***,a method for implementing an auto-matic BSR detection process should be *** this study,we develop a novel architecture for BSR characterization using the convolutional neural network(CNN)*** propose the use of Stokes’transform(ST)to obtain a time-frequency spectrum for the input of *** fully uses the frequency content of the seismic data,and a part of the 3D seismic data collected from the Blake Ridge is utilized to train the *** seismic records with variable signal-to-noise ratios(SNR),as well as Blake Ridge seismic data,were used to validate the detection effect of the *** show that the CNN trained by this method exhibits excellent performance in noise-resistant testing and achieves an accuracy of more than 89% in field seismic data detection.

关键词： BSR CNN Stocks’transform gas hydrate Blake Ridge

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On Affine Hypersurfaces with Parallel Cubic Form Relative to Affineα-connection

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Acta Mathematica Sinica,English Series 2024年第4期40卷 1099-1114页

作者： Ce Ce LI Cheng xing Hui Yang xu School of Mathematics and Statistics He’nan University of Science and TechnologyLuoyang 471023P.R.China School of Mathematical Sciences and LPMC Nankai UniversityTianjin 300071P.R.China

Similar to Nomizu-Pinkall's geometric characterization of the Cayley surface and Hu-Li-Zhang's characterization of the Cayley hypersurface,how can one characterize the generalized Cayley hypersurfaces?In this paper,by the affineα-connection of statistical manifolds,we study affine hypersurfaces with parallel cubic form relative to the affineα-*** the main results,we complete the classification of such hypersurfaces if its affine metric is either definite,or Lorentzian withα≠-***,we give a new characterization of the generalized Cayley hypersurfaces to answer the question.

关键词： Affine hypersurface parallel cubic form affineα-connection Einstein metric

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