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RANDOMIZED POLICY OF A POISSON INPUT QUEUE WITH J VACATIONS

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Journal of Systems Science and Systems Engineering 2010年第1期19卷 50-71页

作者： Jau-Chuan KE kai-bin huang Wen Lea PEARN Department of Applied Statistic National Taichung lnstitute of Technology Taichung 404 Taiwan China Department of Industrial and Engineering Management National Chiao Tutig University Hsing Chu 300 Taiwan China

This paper studies the operating characteristics of an M/G/1 queuing system with a randomized control policy and at most J vacations. After all the customers are served in the queue exhaustively, the server immediately takes at most J vacations repeatedly until at least N customers are waiting for service in the queue upon returning from a vacation. If the number of arrivals does not reach N by the end of the jth vacation, the server remains idle in the system until the number of arrivals in the queue reaches N. If the number of customers in the queue is exactly accumulated N since the server remains idle or returns from vacation, the server is activated for services with probability p and deactivated with probability （l-p）. For such variant vacation model, other important system characteristics are derived, such as the expected number of customers, the expected length of the busy and idle period, and etc. Following the construction of the expected cost function per unit time, an efficient and fast procedure is developed for searching the joint optimum thresholds （N＊,J＊） that minimize the cost function. Some numerical examples are also presented.

关键词： Cost 〈 p N 〉 -policy supplementary variable technique vacation

Huge gastric plexiform fibromyxoma presenting as pyemia by rupture of tumor:A case report

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World Journal of Clinical Cases 2022年第7期10卷 2253-2260页

作者： Rui Zhang Li-Gang Xia kai-bin huang Nan-Di Chen The Second Clinical Medical College Shenzhen People’s HospitalJinan UniversityShenzhen 518020Guangdong ProvinceChina

BACKGROUND Plexiform fibromyxoma(PF)is a rare mesenchymal tumor,with limited case reports *** clinical symptoms are abdominal discomfort and bleeding signs,which frequently present slow-onset in reported ***,we report a case of gastric PF presenting as acute onset and with pyemia accompanying tumor *** resected the tumor as well as the distal gastric,bulbus duodeni and gallbladder for treatment in emergency ***,before the onset of the disease,the patient received coronavirus disease 2019(COVID-19)*** SUMMARY A 26-year-old man was admitted to our hospital,due to abdominal pain and fever after having received COVID-19 *** examination indicated severe *** tomography scan revealed a large mass in the *** of the gastrointestinal tract was seen during *** failure of anti-infective treatment and symptoms of shock developed,he received an emergency *** found a huge and partly ruptured mass,with thick ***,the mass was composed of spindle cells with clarified cytoplasm,accompanied by myxoid stroma and arborizing blood *** showed the tumor cells as positive for smooth muscle actin and succinate dehydrogenase subunit B but negative for DOG-1 and ***,the patient was diagnosed with gastric PF and discharged from the *** Gastric PF manifesting as tumor rupture combined with pyemia is *** surgery is critical for optimal prognosis.

关键词： Gastric plexiform fibromyxoma Clinical manifestations Sepsis Emergency surgery Pathology COVID-19 vaccines Case report

Validation of Angiostrongylus cantonensis combined with herpes simplex virus type 1 in cerebrospinal fluid by next-generation sequencing

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Chinese Medical Journal 2020年第2期133卷 247-249页

作者： Yong-Fang Zhang Sheng-Nan Wang Dong-Mei Wang kai-bin huang Ya-Fang Hu Department of Neurology Nanfang HospitalSouthern Medical UniversityGuangzhouGuangdong 510515China

To the Editor:Angiostrongylus cantonensis is one of the major causes of eosinophilic meningitis/meningoencephalitis,due to eating raw or undercooked paratenic or intermediate hosts like ***,we described a case of combined infection of *** and herpes simplex virus type 1(HSV-1)based on the results of next-generation sequencing(NGS).

关键词： encephalitis cerebrospinal fluid

Exploring the performance of large language models on hepatitis B infection-related questions:A comparative study

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World Journal of Gastroenterology 2025年第3期31卷 103-112页

作者： Yu Li Chen-kai huang Yi Hu Xiao-Dong Zhou Cong He Jia-Wei Zhong Department of Gastroenterology Jiangxi Provincial Key Laboratory of Digestive DiseasesJiangxi Clinical Research Center for GastroenterologyDigestive Disease HospitalThe First Affiliated HospitalJiangxi Medical CollegeNanchang UniversityNanchang 330006Jiangxi ProvinceChina HuanKui Academy Nanchang UniversityNanchang 330006Jiangxi ProvinceChina

BACKGROUND Patients with hepatitis B virus(HBV)infection require chronic and personalized care to improve *** language models(LLMs)can potentially provide medical information for *** To examine the performance of three LLMs,ChatGPT-3.5,ChatGPT-4.0,and Google Gemini,in answering HBV-related *** LLMs’responses to HBV-related questions were independently graded by two medical professionals using a four-point accuracy scale,and disagreements were resolved by a third *** question was run three times using three *** was assessed via the Gunning Fog index and Flesch-Kincaid grade *** Overall,all three LLM chatbots achieved high average accuracy scores for subjective questions(ChatGPT-3.5:3.50;ChatGPT-4.0:3.69;Google Gemini:3.53,out of a maximum score of 4).With respect to objective questions,ChatGPT-4.0 achieved an 80.8%accuracy rate,compared with 62.9%for ChatGPT-3.5 and 73.1%for Google *** the six domains,ChatGPT-4.0 performed better in terms of diagnosis,whereas Google Gemini demonstrated excellent clinical ***,in the readability analysis,the mean Gunning Fog index and Flesch-Kincaid grade level scores of the three LLM chatbots were significantly higher than the standard level eight,far exceeding the reading level of the normal *** Our results highlight the potential of LLMs,especially ChatGPT-4.0,for delivering responses to HBV-related *** may be an adjunctive informational tool for patients and physicians to improve ***,current LLMs should not replace personalized treatment recommendations from physicians in the management of HBV infection.

关键词： ChatGPT-3.5 ChatGPT-4.0 Google Gemini Hepatitis B infection Accuracy

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剑尾鱼在检测细菌毒力方面的应用

水产学报 2000年第5期24卷 467-471页

作者：潘厚军吴淑勤李凯彬黄志斌石存斌中国水产科学研究院珠江水产研究所!广东广州510380

用 18株从鱼类所分离的细菌攻毒剑尾鱼 ,结果显示细菌对剑尾鱼的毒力与回归感染或攻毒敏感鱼的毒力结果较为一致 ,另外 ,用剑尾鱼感染病原菌的适宜途径为背肌注射 ,与原代比较 ,近交高代剑尾鱼个体之间对病原菌的反应较为一致 ,感染后... 详细信息

用 18株从鱼类所分离的细菌攻毒剑尾鱼 ,结果显示细菌对剑尾鱼的毒力与回归感染或攻毒敏感鱼的毒力结果较为一致 ,另外 ,用剑尾鱼感染病原菌的适宜途径为背肌注射 ,与原代比较 ,近交高代剑尾鱼个体之间对病原菌的反应较为一致 ,感染后死亡时间相对集中。水生实验动物剑尾鱼在检测鱼类细菌的毒力方面有较好的应用前景

关键词：剑尾鱼细菌毒力检测

Association of stent thrombectomy and conventional treatment with neuroprotection, complications, anxiety, and depression in acute ischemic stroke patients

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World Journal of Psychiatry 2025年第1期15卷 72-82页

作者： kai-Jie Yang Jia-Jian huang Cai-Xia Xuan Department of Neurology Qinzhou Second People's HospitalQinzhou 535000Guangxi Zhuang Autonomous RegionChina

BACKGROUND Acute ischemic stroke(AIS)is an abrupt blood flow cessation to a specific brain region within a vascular zone,causing a subsequent decline in neurological *** thrombectomy is a recently established technique for treating *** provides the benefits of being a relatively simple and safe procedure,capable of partially enhancing a patient’s ***,some patients may experience endothelial damage and recurrent thrombosis,with clinical outcomes that are not always ***,the efficacy of this method remains *** To survey the association of stent thrombectomy vs standard treatment with neurological function protection,complications,and short-term prognosis in patients diagnosed with *** This study assigned 90 patients with AIS to the observation and control groups(n=45 patients)from December 2020 to December *** thrombectomy was conducted in the observation group,whereas routine treatment was provided to the control *** study assessed the therapeutic outcomes of two groups,including a comparison of their neurological function,living ability,anxiety and depression status,plaque area,serum inflammatory factors,serum Smur100βprotein,neuron-specific enolase(NSE),homocysteine(Hcy),and vascular endo-thelial ***,the incidence of complications was calculated and analyzed for each *** The total effective rate of treatment was 77.78%and 95.56%in the control and observation groups,*** 8 weeks of treatment,the scores on the National Institutes of Health Stroke Scale,Hamilton Anxiety Scale,and Hamilton Depression Scale decreased remarkably;the Barthel index increased remarkably,with better improvement effects of the scores in the observation group(P<0.05);total cholesterol,triglyceride,C-reactive protein,and plaque area lessened remarkably,with fewer patients in the observation group(P<0.05);S-100βprotein,NSE,and Hcy levels lessened remarkably,with fewer patients in

关键词： Stent thrombectomy Acute ischemic stroke Neurological function Complications Short-term prognosis

Cauda equina syndrome with urinary retention as a postoperative complication of lumbar spine surgery:A case report

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World Journal of Clinical Cases 2025年第10期13卷 40-45页

作者： kai-Wu Yang Wei-Hong Lai Da-Wei huang Department of Urology Chiayi Christian HospitalChiayi 600566Taiwan Department of Neurosurgery Chiayi Christian HospitalChiayi 600566Taiwan

BACKGROUND Cauda equina syndrome(CES)is characterized by a group of symptoms that may be caused by inflammation,spinal cord compression,venous congestion,or *** syndrome is commonly an indication for surgical intervention but has not been determined as a postoperative complication following surgery for lumbar spine *** SUMMARY To report the case of a 54-year-old male patient who had CES following spinal surgery,with no obvious compression lesions found during re-exploration,suggesting that vascular insufficiency may have contributed to the ***,a series of urodynamic studies on bladder recovery patterns in such complications have also been *** Postoperative CES requires urgent imaging and exploration to rule out compression;noncompressive cases,including vascular insufficiency may performed conservative management.

关键词： Cauda equina syndrome Lumbar spine surgery Urinary retention Urodynamic study Postoperative complication Case report

Inhibiting SHP2 reduces glycolysis, promotes microglial M1 polarization, and alleviates secondary inflammation following spinal cord injury in a mouse model

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Neural Regeneration Research 2025年第3期20卷 858-872页

作者： Xintian Ding Chun Chen Heng Zhao bin Dai Lei Ye Tao Song Shuai huang Jia Wang Tao You Department of Orthopedics The First Affiliated Hospital of USTCDivision of Life Sciences and MedicineUniversity of Science and Technology of ChinaHefeiAnhui ProvinceChina Department of Orthopedics Provincial Hospital Affiliated to Anhui Medical UniversityHefeiAnhui ProvinceChina

Reducing the secondary inflammatory response, which is partly mediated by microglia, is a key focus in the treatment of spinal cord injury. Src homology 2-containing protein tyrosine phosphatase 2(SHP2), encoded by PTPN11, is widely expressed in the human body and plays a role in inflammation through various mechanisms. Therefore, SHP2 is considered a potential target for the treatment of inflammation-related diseases. However, its role in secondary inflammation after spinal cord injury remains unclear. In this study, SHP2 was found to be abundantly expressed in microglia at the site of spinal cord injury. Inhibition of SHP2 expression using siRNA and SHP2 inhibitors attenuated the microglial inflammatory response in an in vitro lipopolysaccharide-induced model of inflammation. Notably, after treatment with SHP2 inhibitors, mice with spinal cord injury exhibited significantly improved hind limb locomotor function and reduced residual urine volume in the bladder. Subsequent in vitro experiments showed that, in microglia stimulated with lipopolysaccharide, inhibiting SHP2 expression promoted M2 polarization and inhibited M1 polarization. Finally, a co-culture experiment was conducted to assess the effect of microglia treated with SHP2 inhibitors on neuronal cells. The results demonstrated that inflammatory factors produced by microglia promoted neuronal apoptosis, while inhibiting SHP2 expression mitigated these effects. Collectively, our findings suggest that SHP2 enhances secondary inflammation and neuronal damage subsequent to spinal cord injury by modulating microglial phenotype. Therefore, inhibiting SHP2 alleviates the inflammatory response in mice with spinal cord injury and promotes functional recovery postinjury.

关键词： apoptosis glycolysis inflammatory response microglia neurons polarization spinal cord injury Src homology 2-containing protein tyrosine phosphatase 2

A promising approach for quantifying focal stroke modeling and assessing stroke progression:optical resolution photoacoustic microscopy photothrombosis

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Neural Regeneration Research 2025年第7期20卷 2029-2037页

作者： Xiao Liang Xingping Quan Xiaorui Geng Yujing huang Yonghua Zhao Lei Xi Zhen Yuan Ping Wang bin Liu Faculty of Health Sciences University of MacaoMacao Special Administrative RegionChina Center for Cognitive and Brain Sciences University of MacaoMacao Special Administrative RegionChina Department of Biomedical Engineering Southern University of Science and TechnologyShenzhenGuangdong ProvinceChina State Key Laboratory of Quality Research in Chinese Medicine Institute of Chinese Medical SciencesUniversity of MacaoTaipaMacao Special Administrative RegionChina Department of Emergency Zhujiang HospitalSouthern Medical UniversityGuangzhouGuangdong ProvinceChina

To investigate the mechanisms underlying the onset and progression of ischemic stroke,some methods have been proposed that can simultaneously monitor and create embolisms in the animal cerebral ***,these methods often require complex systems and the effect of age on cerebral embolism has not been adequately studied,although ischemic stroke is strongly *** this study,we propose an optical-resolution photoacoustic microscopy-based visualized photothrombosis methodology to create and monitor ischemic stroke in mice simultaneously using a 532 nm pulsed *** observed the molding process in mice of different ages and presented age-dependent vascular embolism ***,we integrated optical coherence tomography angiography to investigate age-associated trends in cerebrovascular variability following a *** imaging data and quantitative analyses underscore the differential cerebrovascular responses to stroke in mice of different ages,thereby highlighting the technique's potential for evaluating cerebrovascular health and unraveling age-related mechanisms involved in ischemic strokes.

关键词： age-dependent cerebral cortex ischemic stroke mouse model optical coherence tomography angiography photoacoustic microscopy photothrombosis vascular imaging