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Association of initial assessment variables and mortality in severe pediatric traumatic brain injury

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World journal of Pediatric Surgery 2024年第2期7卷 125-133页

作者： katherine C Bergus kelli N Patterson Lindsey Asti josh Bricker Tariku j Beyene Lauren N Schulz Dana M Schwartz Rajan k Thakkar Eric A Sribnick Pediatric Surgery Nationwide Children's HospitalColumbusOhioUSA CenterforSurgical Outcomes Research Nationwide Children's HospitalColumbusOhioUSA Neurologic Surgery The Ohio State UniversityColumbusOhioUSA Neurologic Surgery Nationwide Children's HospitalColumbusOhioUSA

Background Predictive scales have been used to prognosticate long-term outcomes of traumatic brain injury(TBI),but gaps remain in predicting mortality using initial trauma resuscitation *** sought to evaluate the association of clinical variables collected during the initial resuscitation of intubated pediatric severe patients with TBI with in-hospital *** Intubated pediatric trauma patientsjanuary 2011 to December 2020 were *** between initial trauma resuscitation variables(temperature,pulse,mean arterial blood pressure,GCS score,hemoglobin,international normalized ratio(INR),platelet count,oxygen saturation,end tidal carbon dioxide,blood glucose and pupillary response)and mortality were evaluated with multivariable logistic *** Among 314 patients,median age was 5.5 years(interquartile range(IQR):2.2-12.8),GCS score was 3(IQR:3-6),Head Abbreviated Injury Score(hAIS)was 4(IQR:3-5),and most had a severe(25-49)Injury Severity Score(ISS)(48.7%,153/314).Overall mortality was 26.8%.GCS score,hAIS,ISS,INR,platelet count,and blood glucose were associated with in-hospital mortality(all pk for in-hospital *** are needed to examine whether earlier interventions targeting specific parameters of INR and blood glucose impact mortality.

关键词： mortality pediatric traumatic

Defect aggregates in the Sr_2MgSi_2O_7 persistent luminescence material

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journal of Rare Earths 2011年第12期29卷 1130-1136页

作者： jorma Hls Taneli Laamanen Mika Lastusaari Pavel novák Department of Chemistry University of Turku Turku University Centre for Materials and Surfaces(MatSurf) Graduate School of Materials Research(GSMR) Institute of Physics Academy of Sciences of the Czech Republic

The crystal and electronic structure of the Eu^2＋ doped and defect containing Sr2MgSi2O7 persistent luminescence material were studied using the density functional theory （DFT）. The defects may act as energy storage or even luminescence quenching centres in these materials, however their role is very difficult to confirm experimentally. The probability of vacancy formation was studied using the total energy of the defect containing host. Significant structural modifications in the environment of the isolated defects, especially the strontium vacancy, as well as defect aggregates were found. The experimental band gap energy of Sr2MgSi2O7 was well reproduced by the calculations. The defect induced electron traps close to the host＇s conduction band were found to act as energy storage sites contributing to its efficient persistent luminescence. The interactions between the defects were found to modify both the Eu^2＋ 4f^7 ground state energy as well as the trap structure. The effect of charge compensation induced by the rare earth co-doping on the defect structure and energy storage properties of the persistent luminescence materials was discussed.

关键词： strontium magnesium disilicate vacancy defect aggregate persistent luminescence density functional theory calculations rare earths

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5G Resource Allocation Using Feature Selection and Greylag Goose Optimization Algorithm

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Computers, Materials & Continua 2024年第7期80卷 1179-1201页

作者： Amel Ali Alhussan S.k.Towfek Department of Computer Sciences College of Computer and Information SciencesPrincess Nourah bint Abdulrahman UniversityP.O.Box 84428Riyadh11671Saudi Arabia Computer Science and Intelligent Systems Research Center BlacksburgVA 24060USA

In the contemporary world of highly efficient technological development,fifth-generation technology(5G)is seen as a vital step forward with theoretical maximum download speeds of up to twenty gigabits per second(Gbps).As far as the current implementations are concerned,they are at the level of slightly below 1 Gbps,but this allowed a great leap forward from fourth generation technology(4G),as well as enabling significantly reduced latency,making 5G an absolute necessity for applications such as gaming,virtual conferencing,and other interactive electronic *** of this change are not limited to connectivity alone;it urges operators to refine their business strategies and offers users better and improved digital *** essential factor is optimization and the application of artificial intelligence throughout the general arrangement of intricate and detailed 5G *** Binary Greylag Goose Optimization(bGGO)to achieve a significant reduction in the feature set while maintaining or improving model performance,leading to more efficient and effective 5G network management,and Greylag Goose Optimization(GGO)increases the efficiency of the machine ***,the model performs and yields more accurate *** work proposes a new method to schedule the resources in the next generation,5G,based on a feature selection using GGO and a regression model that is an ensemble of k-Nearest Neighbors(kNN),Gradient Boosting,and Extra Trees *** ensemble model shows better prediction performance with the coefficient of determination R squared value equal *** proposed framework is supported by several Statistical analyses,such as theWilcoxon signed-rank *** of the benefits of this study are the introduction of new efficient optimization algorithms,the selection of features and more reliable ensemble models which improve the efficiency of 5G technology.

关键词： Optimization ensemble learning 5G technology artificial intelligence greylag goose optimization AnovA test

Gastric cystica profunda:Another indication for minimally invasive endoscopic resection techniques?

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World journal of Gastroenterology 2024年第27期30卷 3278-3283页

作者： Harjot k Bedi Douglas Motomura Neal Shahidi Department of Medicine University of British ColumbiaVancouver V6Z 2K5BCCanada

Gastric cancer presents a significant global health burden,as it is the fifth most common malignancy and fourth leading cause of cancer mortality *** in incidence rates across regions underscores the multifactorial etiology of this *** overall 5-year survival rate remains low despite advances in its diagnosis and *** surgical gastrectomy was previously standard-of-care,endoscopic resection techniques,including endoscopic mucosal resection and endoscopic submucosal dissection(ESD)have emerged as effective alternatives for early *** to surgical resection,endoscopic resection techniques have comparable 5-year survival rates,reduced treatment-related adverse events,shorter hospital stays and lower *** also enables en bloc resection,thus affording organ-sparing curative endoscopic resection for early *** this editorial,we comment on the recent publication by Geng et al regarding gastric cystica profunda(GCP).GCP is a rare gastric pseudotumour with the potential for malignant *** presents a diagnostic challenge due to its nonspecific clinical manifestations and varied endoscopic *** are several gaps in the literature regarding the diagnosis and management of GCP which warrants further research to standardize patient *** in endoscopic resection techniques offer promising avenues for GCP and early gastric cancers.

关键词： Early gastric cancer Endoscopy Endoscopic submucosal dissection Gastric cystica profunda

Enhancing Healthcare Data Security and Disease Detection Using Crossover-Based Multilayer Perceptron in Smart Healthcare Systems

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Computer Modeling in Engineering & Sciences 2024年第4期139卷 977-997页

作者： Mustufa Haider Abidi Hisham Alkhalefah Mohamed k.Aboudaif Department of Industrial Engineering College of EngineeringKing Saud UniversityP.O.Box-800Riyadh11421Saudi Arabia

The healthcare data requires accurate disease detection analysis,real-timemonitoring,and advancements to ensure proper treatment for ***,Machine Learning methods are widely utilized in Smart Healthcare Systems(SHS)to extract valuable features fromheterogeneous and high-dimensional healthcare data for predicting various diseases and monitoring patient *** methods are employed across different domains that are susceptible to adversarial attacks,necessitating careful ***,this paper proposes a crossover-based Multilayer Perceptron(CMLP)*** collected samples are pre-processed and fed into the crossover-based multilayer perceptron neural network to detect adversarial attacks on themedical records of *** an attack is detected,healthcare professionals are promptly alerted to prevent data *** paper utilizes two datasets,namely the synthetic dataset and the University of Queensland Vital Signs(UQVS)dataset,from which numerous samples are *** results are conducted to evaluate the performance of the proposed CMLP model,utilizing various performancemeasures such as Recall,Precision,Accuracy,and F1-score to predict patient *** the proposed method with existing approaches,it achieves the highest accuracy,precision,recall,and ***,the proposedmethod achieves a precision of 93%,an accuracy of 97%,an F1-score of 92%,and a recall of 92%.

关键词： Smart healthcare systems multilayer perceptron cybersecurity adversarial attack detection Healthcare 4.0

Influence of curing conditions on the shrinkage behavior of three-dimensional printed concrete formwork

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Frontiers of Structural and Civil Engineering 2024年第8期18卷 1225-1236页

作者： M.BEkAERT k.van TITTELBOOM G.de SCHUTTER Magnel-Vandepitte Laboratory for structural Engineering and Building Materials Department of Structural Engineering and Building MaterialsFaculty of Engineering and ArchitectureGhent UniversityGhent 60 B-9052Belgium

The use of three-dimensional(3D)printed concrete as formwork is becoming more widely applied within the ***,the technology is still not optimized and there are many reports of preliminary cracking during the curing of cast *** is believed to result from differential shrinkage between the printed and cast *** cracks(in the printed concrete or at the interface between the infill and printed concrete)form a preferential path for aggressive substances and can reduce the durability of the combined concrete *** ensure the desired service life of the structure,it is important that the differential shrinkage between cast and printed concrete is *** study investigated the effect of curing conditions on the differential shrinkage behavior of 3D and cast *** influence of prewetting of the dry-cured 3D printed formwork was also *** the experimental program,a vibrated and self-compacting concrete were used as cast *** 3D printed formwork was produced and combined with cast concrete to simulate a concrete *** formwork was cured for 1,7,or 28 d exposed to the air(relative humidity:60%or 95%)or submerged in *** length change of the combined elements was observed over 56 d after concrete casting and throughout the thickness of the *** show that increasing the curing period in dry conditions of the printed concrete leads to an expansion of the formwork on the first day after *** expansion leads to a non-uniform strain evolution throughout the curing period of the combined *** concrete formwork stored in wet conditions does not expand after the casting process but tends to show a decreasing linear deformation within the whole elements.

关键词： 3D concrete printing formwork shrinkage curing

Crystal field and magnetism with Wannier functions: rare-earth doped aluminum garnets

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journal of Rare Earths 2015年第12期33卷 1316-1323页

作者： Eva Mihóková Pavel novák Valentin V.Laguta Institute of Physics Czech Academy of Sciences

Using the recently developed method we calculated the crystal field parameters m yttrium anct lutetium aluminum garnets doped with seven trivalent krarners rare-earth ions. We then inserted calculated parameters into the atomic-like Hamiltonian taking into account the electron-electron, spin-orbit and Zeeman interactions and determined the multiplet splitting by the crystal field as well as magnetic tensors. We compared calculated results with available experimental data. Very good agreement with the spectroscopic data and qualitative agreement with experimental tensors was found.

关键词： crystal field ab initio calculations gamets rare earths

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New evidence for the epigenetic regulation of skeletal stem cells

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Science Bulletin 2024年第13期69卷 2004-2006页

作者： Liming Zhao jun Xiao Charles k.F.Chan Institute for Stem Cell Biology and Regenerative Medicine Stanford University School of MedicineStanford CA 94305USA Department of Surgery Division of Plastic and Reconstructive SurgeryStanford University School of MedicineStanford CA 94305USA Department of Orthopaedic Surgery Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China

Skeletal stem cells(SSCs)are crucial for skeletal development and regeneration,yet the epigenetic regulation of these cells remains poorly *** studies have delineated the epigenetic landscape across the developmental trajectory of SSCs,highlighting the involvement of Ptip in regulating SSC *** skeletal system undergoes dynamic remodeling throughout *** stem cells(SSCs),residing within the skeleton and lineage-restricted,serve as a cellular reserve to foster development and maintain skeletal *** categorized within the broader mesenchymal stromal/stem cells(MSCs).

关键词： skeletal involvement maintain

Enhanced quantum resources via two distant atom-cavity systems under the influence of atomic dissipation

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Communications in Theoretical Physics 2024年第2期76卷 62-73页

作者： M Setodeh kheirabady M k Tavassoly M Rafeie E Ghasemian Laser and Optics Group Faculty of PhysicsYazd UniversityYazd 89195-741Iran Department of Electrical Engineering Faculty of Intelligent Systems Engineering and Data SciencePersian Gulf UniversityBushehrIran

Quantum resources such as entanglement and coherence are the holy grail for modern quantum technologies. Although the unwanted environmental effects tackle quantum information processing tasks, suprisingly these key quantum resources may be protected and even enhanced by the implementation of some special hybrid open quantum systems. Here, we aim to show how a dissipative atom-cavity-system can be accomplished to generate enhanced quantum *** do so, we consider a couple of dissipative cavities, where each one contains two effective two-level atoms interacting with a single-mode cavity field. In practical applications, a classical laser field may be applied to drive each atomic subsystem. After driving the system, a Bell-state measurement is performed on the output of the system to quantify the entanglement and coherence. The obtained results reveal that the remote entanglement and coherence between the atoms existing inside the two distant cavities are not only enhanced, but can be stabilized, even under the action of dissipation. In contrast, the local entanglement between two atoms inside each dissipative cavity attenuates due to the presence of unwanted environmental ***, the local coherence may show the same behavior as the remote ***, the system provides the steady state entanglement in various interaction regimes,particularly in the strong atom-cavity coupling and with relatively large detuning. More interestingly, our numerical analyses demonstrate that the system may show a memory effect due to the fact that the death and revival of the entanglement take place during the interaction. Our proposed model may find potential applications for the implementation of long distance quantum networks. In particular, it facilitates the distribution of quantum resources between the nodes of large-scale quantum networks for secure communication.

关键词： remote entanglement and coherence atomic dissipation steady state entanglement Bell-statemeasurement

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