The early involvement of test and evaluation can significantly reduce the cost of modifying issues and errors found in the later stages of aircraft development and design process.This paper presents a methodology for ...The early involvement of test and evaluation can significantly reduce the cost of modifying issues and errors found in the later stages of aircraft development and design process.This paper presents a methodology for aircraft mission effectiveness evaluation and design space exploration based on Virtual Operational Test(VOT),incorporating Virtual Open Scenario(VOS)and User in Scenarios(UIS)concepts.By employing modeling and simulation technologies in the early stages of aircraft development and design,a virtual environment can be constructed,allowing aircraft users to participate more closely and conveniently in the design process.Virtual tests conducted by users within the mission context provide data on mission effectiveness and critical user feedback.This paper outlines the main components of the virtual operational test process and related conceptual methods,and discusses an open support system framework that supports VOT.The effectiveness and adaptability of the method are demonstrated through two case studies:a beyond-visual-range air combat scenario and a helicopter ground attack scenario.These case studies demonstrate the evaluation of aircraft mission effectiveness and the sensitivity analysis and optimization of design and operational parameters based on VOT.展开更多
Objective:To evaluate the efficacy of scenario-based participatory teaching methods in thoracic surgery nursing education.Methods:Sixty undergraduate nursing students were randomly assigned to two groups:a traditional...Objective:To evaluate the efficacy of scenario-based participatory teaching methods in thoracic surgery nursing education.Methods:Sixty undergraduate nursing students were randomly assigned to two groups:a traditional teaching group and a scenario-based participatory teaching group,with 30 students each.The teaching outcomes of both groups were assessed.Results:The clinical reasoning assessment scores of the scenario-based participatory teaching group were significantly higher than those of the traditional group(P<0.05).Additionally,the scenario group demonstrated higher satisfaction levels,superior theoretical and practical skills,improved patient education effectiveness during admission and discharge,and enhanced emergency response coordination(P<0.05).Conclusion:Scenario-based participatory teaching effectively enhances the comprehensive competencies of nursing students in thoracic surgery,demonstrating favorable educational outcomes.展开更多
Objective:To investigate the effectiveness of standardized patient scenario simulation teaching in geriatric medicine clinical education and provide references for improving teaching methods in geriatrics.Methods:Sixt...Objective:To investigate the effectiveness of standardized patient scenario simulation teaching in geriatric medicine clinical education and provide references for improving teaching methods in geriatrics.Methods:Sixty-five clinical physicians from other departments who rotated into the Geriatric Medicine Department for training between August 2024 and July 2025 were randomly divided into a control group(n=32)and an observation group(n=33).The control group received traditional centralized theoretical lectures combined with instructor-led clinical mentoring,while the observation group underwent standardized patient scenario simulation training.The two groups were compared on post-rotation examination scores and teaching satisfaction metrics.Results:The observation group achieved significantly higher post-rotation examination scores(88.37±3.04)than the control group(80.17±3.29)(p<0.01).Teaching satisfaction surveys revealed that trainees in the observation group demonstrated significantly higher satisfaction than the control group(p<0.05)regarding the teaching method’s effectiveness in enhancing learning interest,independent learning ability,comprehensive clinical problem-solving skills,patient communication skills,teamwork capabilities,and research conceptualization abilities.Conclusion:Standardized patient scenario simulation teaching effectively improves clinical teaching quality in geriatric medicine,enhances trainees’comprehensive clinical competencies,and holds value for broader application.展开更多
Objective:To evaluate the value of humanistic nursing care during pediatric nebulization treatment.Methods:From January 2024 to June 2024,250 pediatric patients receiving nebulization treatment were given routine care...Objective:To evaluate the value of humanistic nursing care during pediatric nebulization treatment.Methods:From January 2024 to June 2024,250 pediatric patients receiving nebulization treatment were given routine care and included in the control group.From July 2024 to December 2024,250 pediatric patients receiving nebulization treatment were given full humanistic care by nurses and included in the observation group.The differences in patient compliance,symptom resolution time,parental satisfaction,and emotional scores were compared.Results:The compliance of pediatric nebulization patients in the observation group was higher than that in the control group(P<0.05).The disappearance time of inflammation,cough,expectoration,fever,and hospital stay in the observation group were shorter than those in the control group(P<0.05).Parental satisfaction with pediatric nebulization in the observation group was higher than that in the control group(P<0.05).The scores of anxiety(SAS)and depression(SDS)among parents of pediatric nebulization patients in the observation group were lower than those in the control group(P<0.05).Conclusion:The application of nurses’full humanistic care in pediatric nebulization treatment can promote the resolution of respiratory system symptoms,optimize patients’lung function,improve patient cooperation,and is highly effective and feasible.展开更多
The strength and damping properties of Co-Ni-Cr-Mo-based alloys with 0.5wt%Nb addition after various plastic deformation and heat treatment processes were investigated.Through Vickers hardness tests,free resonance You...The strength and damping properties of Co-Ni-Cr-Mo-based alloys with 0.5wt%Nb addition after various plastic deformation and heat treatment processes were investigated.Through Vickers hardness tests,free resonance Young's modulus measurements,and microstructure analysis,the effects of dislocation density,vacancy formation,and recrystallization on the alloy performance were clarified.Results indicate that increasing the rolling reduction enhances damping property due to higher dislocation density,whereas aging below the recrystallization temperature reduces damping property via dislocation pinning by the Suzuki effect.Recrystallization heat treatment restores the original structure and damping level.This alloy possesses tensile strength of approximately 1500 MPa and logarithmic decrement valueδ^(-1) in the range of 2×10^(-4)–3×10^(-4),demonstrating superior mechanical properties compared with the Ti-based alloys,which makes it an excellent candidate material for ultrasonic tools and medical applications.展开更多
It is well recognized that Structural Health Monitoring(SHM)reliability evaluation is a key aspect that needs to be urgently addressed to promote the wide application of SHM methods.However,the existing studies typica...It is well recognized that Structural Health Monitoring(SHM)reliability evaluation is a key aspect that needs to be urgently addressed to promote the wide application of SHM methods.However,the existing studies typically transfer the Non-Destructive Testing/Evaluation(NDT/E)reliability metrics to SHM without a systematic analysis of where these metrics originated.Seldom attentions are paid to the evaluation conditions which are very important to apply these metrics.Aimed at this issue,a new condition control-based Dual-Reliability Evaluation(Dual-RE)method for SHM is proposed.This new method is proposed based on a systematic analysis of the whole framework of reliability evaluation from instrument to NDT,and emphasis is paid to the evaluation condition control.Based on these analyses,considering the special online application scenario of SHM,the proposed Dual-RE method contains two key components:Integrated Sensor-based SHM-RE(IS-SHM-RE)and Critical Service Condition-based SHM-RE(CSC-SHM-RE).ISSHM-RE evaluates the reliability of integrated SHM sensor and system themselves under approximate repeatability conditions,while CSC-SHM-RE assesses SHM reliability under the dominant uncertainties during service,namely intermediate conditions.To demonstrate the Dual-RE,crack monitoring by using the Guided Wave-based-SHM(GW-SHM)on aircraft lug structures is taken as a case study.Both the crack detection and sizing performance are evaluated from accuracy and uncertainty.展开更多
Evaluating the adversarial robustness of classification algorithms in machine learning is a crucial domain.However,current methods lack measurable and interpretable metrics.To address this issue,this paper introduces ...Evaluating the adversarial robustness of classification algorithms in machine learning is a crucial domain.However,current methods lack measurable and interpretable metrics.To address this issue,this paper introduces a visual evaluation index named confidence centroid skewing quadrilateral,which is based on a classification confidence-based confusion matrix,offering a quantitative and visual comparison of the adversarial robustness among different classification algorithms,and enhances intuitiveness and interpretability of attack impacts.We first conduct a validity test and sensitive analysis of the method.Then,prove its effectiveness through the experiments of five classification algorithms including artificial neural network(ANN),logistic regression(LR),support vector machine(SVM),convolutional neural network(CNN)and transformer against three adversarial attacks such as fast gradient sign method(FGSM),DeepFool,and projected gradient descent(PGD)attack.展开更多
Pull-ups are a very common fitness exercise that can be seen in many gyms.For athletes,it is very important to perform pull-ups correctly and scientifically.The pull-up scoring method designed in this paper can score ...Pull-ups are a very common fitness exercise that can be seen in many gyms.For athletes,it is very important to perform pull-ups correctly and scientifically.The pull-up scoring method designed in this paper can score the quality of pull-up movement scientifically and objectively,and provide guidance to help athletes better complete the pull-up movement.In this method,the OpenPose algorithm is used to identify the coordinates of skeleton points,and then the coordinate data are processed by a Kalman filter to obtain coordinates closer to the true values.Finally,the filtered data are input into the scoring algorithm designed based on the fuzzy comprehensive evaluation algorithm,and the results of the pull-up quality score and the corresponding guidance are obtained.展开更多
The incidence of benign airway stenosis(BAS)is on the rise,and current treatment options are associated with a significant risk of restenosis.Therefore,there is an urgent need to explore new and effective prevention a...The incidence of benign airway stenosis(BAS)is on the rise,and current treatment options are associated with a significant risk of restenosis.Therefore,there is an urgent need to explore new and effective prevention and treatment methods.Animal models serve as essential tools for investigating disease mechanisms and assessing novel therapeutic strategies,and the scientific rigor of their construction and validation significantly impacts the reliability of research findings.This paper systematically reviews the research progress and evaluation systems of BAS animal models over the past decade,aiming to provide a robust foundation for the optimized construction of BAS models,intervention studies,and clinical translation.This effort is intended to facilitate the innovation and advancement in BAS prevention and treatment strategies.展开更多
Crassostrea gigas has good taste and high nutritional value;however,there are few assessments of comprehensive and panoramic analyses of the nutritional quality of the northern oyster.To study the nutritional characte...Crassostrea gigas has good taste and high nutritional value;however,there are few assessments of comprehensive and panoramic analyses of the nutritional quality of the northern oyster.To study the nutritional characteristics of C.gigas from different sources(ploidy,region,size,and culture mode),C.gigas from various ploidy(diploid and triploid),regions(Rushan,Off-site fattening,and Rongcheng),sizes(small,medium,and large)and culture modes(nearshore and offshore)were selected for comparative analyses.The nutritional components(moisture,protein,fat,and mineral),flavor substances(taste amino acids,nucleotides,and succinic acid),and functional indices(eicosapentaenoic acid(EPA),docosahexaenoic acid(DHA),and taurine)of C.gigas were determined.Principal component analysis(PCA)was used to comprehensively evaluate the oysters and investigate the variations in nutritional quality.The PCA results indicate that protein,essential fatty acids,selenium,zinc,taste amino acids,taurine,EPA,and DHA were core components contributing to 82.25%of the cumulative variance,providing a more comprehensive reflection of the nutrient composition of C.gigas.The extensive quality rankings for the C.gigas were as follows:diploid>triploid,Rushan>fattening>Rongcheng,medium>large>small,and offshore>nearshore.The score rank revealed that diploid oysters of medium-size from Rushan demonstrated superior nutritional quality compared to other tested samples.This is the first comprehensive and systematic investigation of C.gigas in northern China to reveal the feature of nutrients,flavor,and functional components.The study provided data support for the culture,consumption,processing,research,and nutritional quality improvement of oyster industry.展开更多
BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an e...BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an evaluation index system for the mental health literacy of adolescent patients with mental disorders,providing a scientific,comprehensive,and reliable tool for the monitoring and intervention of mental health literacy of such patients.METHODS From December 2022 to June 2023,the evaluation index system for mental health literacy of adolescents with mental disorders was developed through literature reviews,semi-structured interviews,expert letter consultations,and the analytic hierarchy process.Based on this index system,a self-assessment questionnaire was compiled and administered to 305 adolescents with mental disorders to test the reliability and validity of the index system.RESULTS The final evaluation index system for mental health literacy of adolescents with mental disorders included 4 first-level indicators,10 second-level indicators,and 52 third-level indicators.The overall Cronbach’sαcoefficient of the index system was 0.957,with a partial reliability of 0.826 and a content validity index of 0.975.The cumulative variance contribution rate of 10 common factors was 66.491%.The correlation coefficients between each dimension and the total questionnaire ranged from 0.672 to 0.724,while the correlation coefficients in each dimension ranged from 0.389 to 0.705.CONCLUSION The evaluation index system for mental health literacy of adolescents with mental disorders,developed in this study,demonstrated notable reliability and validity,making it a valuable tool for evaluating mental health literacy in this population.展开更多
Climate models are essential for understanding past,present,and future changes in atmospheric circulation,with circulation modes providing key sources of seasonal predictability and prediction uncertainties for both g...Climate models are essential for understanding past,present,and future changes in atmospheric circulation,with circulation modes providing key sources of seasonal predictability and prediction uncertainties for both global and regional climates.This study assesses the performance of models participating in phase 6 of the Coupled Model Intercomparison Project in simulating interannual variability modes of Northern Hemisphere 500-hPa geopotential height during winter and summer,distinguishing predictable(potentially predictable on seasonal or longer timescales)and unpredictable(intraseasonal and essentially unpredictable at long range)components,using reanalysis data and a variance decomposition method.Although most models effectively capture unpredictable modes in reanalysis,their ability to reproduce dominant predictable modes-specifically the Pacific-North American pattern,Arctic Oscillation,and Western Pacific Oscillation in winter,and the East Atlantic and North Atlantic Oscillations in summer-varies notably.An optimal ensemble is identified to distinguish(a)predictable-external modes,dominated by external forcing,and(b)predictable-internal modes,associated with slow internal variability,during the historical period(1950-2014)and the SSP5-8.5 scenario(2036-2100).Under increased radiative forcing,the leading winter/summer predictable-external mode exhibits a more uniform spatial distribution,remarkably larger trend and annual variance,and enhanced height-sea surface temperature(SST)covariance under SSP5-8.5 compared to historical conditions.The dominant winter/summer predictable-internal modes also exhibit increased variance and height-SST covariance under SSP5-8.5,along with localized changes in spatial configuration.Minimal changes are observed in spatial distribution or variance for dominant winter/summer unpredictable modes under SSP5-8.5.This study,from a predictive perspective,deepens our understanding of model uncertainties and projected changes in circulations.展开更多
With the rapid development of the aviation industry,air travel has become one of the most important modes.Improving the service quality of civil aviation airports is crucial to their competitiveness.This study intends...With the rapid development of the aviation industry,air travel has become one of the most important modes.Improving the service quality of civil aviation airports is crucial to their competitiveness.This study intends to develop a scientific and rational evaluation methodology and framework for assessing service quality in civil aviation airports,thereby providing a theoretical foundation and practical guidance for enhancing service standards in the aviation industry.First,the study constructs a CRITIC-bidirectional grey possibility clustering model,which uses the CRITIC method to determine the weights of indicators and integrates the forward grey possibility clustering model and the inverse grey possibility clustering model to determine possibility functions from two perspectives.Second,a service quality evaluation index system for civil airports is constructed from four dimensions,and the weights of each index within the system are subsequently calculated.Finally,the constructed model is applied to evaluate the service quality of nine domestic civil airports.Based on the clustering results,targeted countermeasures and suggestions are proposed.Empirical results demonstrate that,compared to the traditional grey possibility clustering model,the proposed model balances the objectivity of indicator weighting,the objectivity of possibility function construction,and the simplicity of the computational process,thereby possessing significant theoretical and practical implications.展开更多
The construction of spot electricity markets plays a pivotal role in power system reforms,where market clearing systems profoundly influence market efficiency and security.Current clearing systems predominantly adopt ...The construction of spot electricity markets plays a pivotal role in power system reforms,where market clearing systems profoundly influence market efficiency and security.Current clearing systems predominantly adopt a single-system architecture,with research focusing primarily on accelerating solution algorithms through techniques such as high-efficiency parallel solvers and staggered decomposition of mixed-integer programming models.Notably absent are systematic studies evaluating the adaptability of primary-backup clearing systems incontingency scenarios—a critical gap given redundant systems’expanding applications in operational environments.This paper proposes a comprehensive evaluation framework for analyzing dual-system adaptability,demonstrated through an in-depth case study of the Inner Mongolia power market.First,we establish the innovative“Dual-Active Heterogeneous”architecture that enables independent parallelized operation and fault-isolated redundancy.Subsequently,key performance indices are quantitatively evaluated across four critical dimensions:unit commitment decisions,generator output constraints,transmission section congestion patterns,and clearing price formation mechanisms.An integrated fuzzy evaluation methodology incorporating grey relational analysis is employed for objective indicator weighting,enabling systematic quantification of system superiority under specific grid operating states.Empirical results based on actual operational data from 200 generation units demonstrate the framework’s efficacy in guiding optimal system selection,with particularly strong performance observed during peak load periods.The proposed approach shows high generalization potential for other regional markets employing redundant clearing mechanisms—particularly those with increasing renewable penetration and associated uncertainty.展开更多
The comprehensive evaluation of six properties for equipment product is an important basis for their quality control,and their correlative relationship among six properties will affect their quality level.To understan...The comprehensive evaluation of six properties for equipment product is an important basis for their quality control,and their correlative relationship among six properties will affect their quality level.To understand their correlative relationship among six properties,this paper firstly combines group evaluation with decision-making trial and evaluation laboratory(DEMATEL)model,and develops the optimization model based on group consensus to form six influent relationship matrices.Secondly,group consensus matrix is used to design super network hierarchy matrix,and the weights of six properties with relevant environment is also proposed.Thirdly,the elimination and choice translating reality(ELECTRE)model is used to make comprehensive evaluation,and an example is used to compare the results under two kinds of conditions,and illustrate the effect of the weights of six properties on the priority of equipment products.展开更多
In recent years,the amount of waste generated during milling has increased dramatically,and improper disposal poses a significant environmental challenge.To mitigate environmental pollution and enhance the road perfor...In recent years,the amount of waste generated during milling has increased dramatically,and improper disposal poses a significant environmental challenge.To mitigate environmental pollution and enhance the road performance of emulsified asphalt cold recycled mixtures(ECRM),this study employed recycled asphalt pavement(RAP)and reclaimed inorganic binder stabilized aggregate(RAI)as dual recycled materials for ECRM preparation.The blending ratios of reclaimed base and surface layer mixtures significantly influence ECRM's performance,with adjusted proportions substantially improving compressive strength and dynamic modulus.Firstly,three distinct proportioning options were developed for the recycled materials.Mix designs incorporating varying RAP/RAI ratios were used to determine the optimal mix parameters:moisture content,cement dosage,and emulsified asphalt content.Subsequently,comprehensive performance evaluations were conducted through high-temperature wheel tracking tests,freeze-thaw splitting tests,uniaxial compression tests,and dynamic modulus measurements to analyze the pavement characteristics of the three ECRM formulations.Experimental results demonstrate:Compared with ECRM with a blending ratio of RAP:RAI:new aggregate=30:50:20(Option 1),the dynamic stability,freeze-thaw splitting strength ratio,compressive strength,and compressive resilient modulus of ECRM under Option 3(RAP:RAI:new aggregate=50:30:20)decreased by 31.8%,5.2%,16.4%,and 13.1%,respectively.This indicates that increasing RAP content while reducing RAI proportion enhances the tensile strength of ECRM,yet adversely affects its high-temperature stability,moisture resistance,and compressive performance.This work not only addresses the challenge of jointly utilizing asphalt pavement waste and base waste,but also provides a cost-effective and sustainable method for the stable application of milling material resources in road engineering.展开更多
Modern battlefields exhibit high dynamism,where traditional static weighting methods in combat effectiveness assessment fail to capture real-time changes in indicator values,leading to limited assessment accuracy—esp...Modern battlefields exhibit high dynamism,where traditional static weighting methods in combat effectiveness assessment fail to capture real-time changes in indicator values,leading to limited assessment accuracy—especially critical in scenarios like sudden electronic warfare or degraded command,where static weights cannot reflect the operational value decay or surge of key indicators.To address this issue,this study proposes a dynamic adaptive weightingmethod for evaluation indicators based onG1-CRITIC-PIVW.First,theG1(Sequential Relationship Analysis Method)subjective weighting method—translates expert knowledge into indicator importance rankings—leverages expert knowledge to quantify the relative importance of indicators via sequential relationship ranking,while the CRITIC(Criteria Importance Through Intercriteria Correlation)objective weighting method—derives weights from data characteristics by integrating variability and inter-correlations—calculates weights by integrating indicator variability and inter-indicator correlations,ensuring data-driven objectivity.These two sets of weights are then fused using a deviation coefficient optimization model,minimizing the squared deviation from a reference weight and adjusting the fusion coefficient via Spearman’s rank correlation to resolve potential conflicts between subjective and objective judgments.Subsequently,the PIVW(Punishment-Incentive VariableWeight)theory—adapts weights to realtime indicator performance via penalty/incentive rules—is applied for dynamic adjustment.Scenario-specific penalty λ_(1) and incentive λ_(2) thresholds are set based on operational priorities and indicator volatility,penalizing indicators with values below λ_(1) and incentivizing those exceeding λ_(2) to reflect real-time indicator performance.Experimental validation was conducted using an Air Defense and Anti-Missile(ADAM)system effectiveness assessment framework,with data covering 7 indicators across 3 combat scenarios.Results show that compared to static weighting methods,the proposed method reduces MAE(Mean Absolute Error)by 15%-20% and weighted decision error rate by 84.2%,effectively reducing overestimation/underestimation of combat effectiveness in dynamic scenarios;compared to Entropy-TOPSIS,it lowers MAE by 12% while achieving a weighted Kendall’sτconsistency coefficient of 0.85,ensuring higher alignment with expert judgment.This method enhances the accuracy and scenario adaptability of effectiveness assessment,providing reliable decision support for dynamic battlefield environments.展开更多
Although previous studies have demonstrated that transcranial focused ultrasound stimulation protects the ischemic brain,clear criteria for the stimulation time window and intensity are lacking.Electrical impedance to...Although previous studies have demonstrated that transcranial focused ultrasound stimulation protects the ischemic brain,clear criteria for the stimulation time window and intensity are lacking.Electrical impedance tomography enables real-time monitoring of changes in cerebral blood perfusion within the ischemic brain,but investigating the feasibility of using this method to assess post-stroke rehabilitation in vivo remains critical.In this study,ischemic stroke was induced in rats through middle cerebral artery occlusion surgery.Transcranial focused ultrasound stimulation was used to treat the rat model of ischemia,and electrical impedance tomography was used to measure impedance during both the acute stage of ischemia and the rehabilitation stage following the stimulation.Electrical impedance tomography results indicated that cerebral impedance increased after the onset of ischemia and decreased following transcranial focused ultrasound stimulation.Furthermore,the stimulation promoted motor function recovery,reduced cerebral infarction volume in the rat model of ischemic stroke,and induced the expression of brain-derived neurotrophic factor in the ischemic brain.Our results also revealed a significant correlation between the impedance of the ischemic brain post-intervention and improvements in behavioral scores and infarct volume.This study shows that daily administration of transcranial focused ultrasound stimulation for 20 minutes to the ischemic hemisphere 24 hours after cerebral ischemia enhanced motor recovery in a rat model of ischemia.Additionally,our findings indicate that electrical impedance tomography can serve as a valuable tool for quantitatively evaluating rehabilitation after ischemic stroke in vivo.These findings suggest the feasibility of using impedance data collected via electrical impedance tomography to clinically assess the effects of rehabilitatory interventions for patients with ischemic stroke.展开更多
Background:While the treatment of metastatic renal cell carcinoma(mRCC)is evolving due to immune checkpoint inhibitors(ICIs),optimal strategies for later lines of therapy have yet to be defined.The combination of lenv...Background:While the treatment of metastatic renal cell carcinoma(mRCC)is evolving due to immune checkpoint inhibitors(ICIs),optimal strategies for later lines of therapy have yet to be defined.The combination of lenvatinib and everolimus represents a viable option,and the present review aimed to summarize its activity,effectiveness,and safety.Methods:A systematic review of the literature was conducted using PubMed,targeting studies published between 2018 and 2025.Eligible studies included English-language prospective and retrospective trials reporting survival outcomes in mRCC patients treated with lenvatinib and everolimus after at least one ICI-containing regimen.Results:Nine studies met the inclusion criteria,encompassing a total of 441 patients.The lenvatinib and everolimus combination was primarily used in the third and subsequent lines of therapy.Median overall survival ranged from 7.5 to 24.5 months,while median progression-free survival was more consistent,between 6.1 and 6.7 months,except for one study reporting 12.9 months.Objective response rates varied widely(14.0%–55.7%).Adverse events of grade≥3 did not exceed the expected rate,with diarrhoea and proteinuria as the most reported events.Dose reductions and treatment discontinuations due to toxicity occurred but were generally lower than in prior pivotal trials.Conclusions:Real-world evidence suggests that lenvatinib and everolimus represent an effective and safe option after ICI failure in mRCC patients.Nevertheless,the lack of randomized phase III trials and the heterogeneity of existing studies highlight the need for more robust prospective research to guide post-ICI therapeutic strategies.展开更多
Research on neutron-induced fission product yields of^(232)Th is crucial for understanding the competition between symmetric and asymmetric fission in actinide nuclei.However,obtaining complete isotopic yield distribu...Research on neutron-induced fission product yields of^(232)Th is crucial for understanding the competition between symmetric and asymmetric fission in actinide nuclei.However,obtaining complete isotopic yield distributions over a wide range of neutron energies remains a challenge.In this study,a Bayesian neural network model was developed to predict the independent(IND)and cumulative fission yields of^(232)Th under neutron irradiation at various incident energies.To address the limited availability of experimental data for the analysis of IND mass distributions,we substituted mass-number-based yields with the yields of specific isotopes.Furthermore,physical phenomena or quantities,such as the odd-even effect and isospin,were introduced as constraints to enhance the physical consistency of the predictions.The impact of these constraints was evaluated using mass-chain yield distributions and their dependence on energy.Incorporating physical constraints significantly improves the prediction accuracy,yielding more reliable and physically meaningful fission yield data for nuclear physics and reactor design applications.展开更多
文摘The early involvement of test and evaluation can significantly reduce the cost of modifying issues and errors found in the later stages of aircraft development and design process.This paper presents a methodology for aircraft mission effectiveness evaluation and design space exploration based on Virtual Operational Test(VOT),incorporating Virtual Open Scenario(VOS)and User in Scenarios(UIS)concepts.By employing modeling and simulation technologies in the early stages of aircraft development and design,a virtual environment can be constructed,allowing aircraft users to participate more closely and conveniently in the design process.Virtual tests conducted by users within the mission context provide data on mission effectiveness and critical user feedback.This paper outlines the main components of the virtual operational test process and related conceptual methods,and discusses an open support system framework that supports VOT.The effectiveness and adaptability of the method are demonstrated through two case studies:a beyond-visual-range air combat scenario and a helicopter ground attack scenario.These case studies demonstrate the evaluation of aircraft mission effectiveness and the sensitivity analysis and optimization of design and operational parameters based on VOT.
文摘Objective:To evaluate the efficacy of scenario-based participatory teaching methods in thoracic surgery nursing education.Methods:Sixty undergraduate nursing students were randomly assigned to two groups:a traditional teaching group and a scenario-based participatory teaching group,with 30 students each.The teaching outcomes of both groups were assessed.Results:The clinical reasoning assessment scores of the scenario-based participatory teaching group were significantly higher than those of the traditional group(P<0.05).Additionally,the scenario group demonstrated higher satisfaction levels,superior theoretical and practical skills,improved patient education effectiveness during admission and discharge,and enhanced emergency response coordination(P<0.05).Conclusion:Scenario-based participatory teaching effectively enhances the comprehensive competencies of nursing students in thoracic surgery,demonstrating favorable educational outcomes.
文摘Objective:To investigate the effectiveness of standardized patient scenario simulation teaching in geriatric medicine clinical education and provide references for improving teaching methods in geriatrics.Methods:Sixty-five clinical physicians from other departments who rotated into the Geriatric Medicine Department for training between August 2024 and July 2025 were randomly divided into a control group(n=32)and an observation group(n=33).The control group received traditional centralized theoretical lectures combined with instructor-led clinical mentoring,while the observation group underwent standardized patient scenario simulation training.The two groups were compared on post-rotation examination scores and teaching satisfaction metrics.Results:The observation group achieved significantly higher post-rotation examination scores(88.37±3.04)than the control group(80.17±3.29)(p<0.01).Teaching satisfaction surveys revealed that trainees in the observation group demonstrated significantly higher satisfaction than the control group(p<0.05)regarding the teaching method’s effectiveness in enhancing learning interest,independent learning ability,comprehensive clinical problem-solving skills,patient communication skills,teamwork capabilities,and research conceptualization abilities.Conclusion:Standardized patient scenario simulation teaching effectively improves clinical teaching quality in geriatric medicine,enhances trainees’comprehensive clinical competencies,and holds value for broader application.
文摘Objective:To evaluate the value of humanistic nursing care during pediatric nebulization treatment.Methods:From January 2024 to June 2024,250 pediatric patients receiving nebulization treatment were given routine care and included in the control group.From July 2024 to December 2024,250 pediatric patients receiving nebulization treatment were given full humanistic care by nurses and included in the observation group.The differences in patient compliance,symptom resolution time,parental satisfaction,and emotional scores were compared.Results:The compliance of pediatric nebulization patients in the observation group was higher than that in the control group(P<0.05).The disappearance time of inflammation,cough,expectoration,fever,and hospital stay in the observation group were shorter than those in the control group(P<0.05).Parental satisfaction with pediatric nebulization in the observation group was higher than that in the control group(P<0.05).The scores of anxiety(SAS)and depression(SDS)among parents of pediatric nebulization patients in the observation group were lower than those in the control group(P<0.05).Conclusion:The application of nurses’full humanistic care in pediatric nebulization treatment can promote the resolution of respiratory system symptoms,optimize patients’lung function,improve patient cooperation,and is highly effective and feasible.
文摘The strength and damping properties of Co-Ni-Cr-Mo-based alloys with 0.5wt%Nb addition after various plastic deformation and heat treatment processes were investigated.Through Vickers hardness tests,free resonance Young's modulus measurements,and microstructure analysis,the effects of dislocation density,vacancy formation,and recrystallization on the alloy performance were clarified.Results indicate that increasing the rolling reduction enhances damping property due to higher dislocation density,whereas aging below the recrystallization temperature reduces damping property via dislocation pinning by the Suzuki effect.Recrystallization heat treatment restores the original structure and damping level.This alloy possesses tensile strength of approximately 1500 MPa and logarithmic decrement valueδ^(-1) in the range of 2×10^(-4)–3×10^(-4),demonstrating superior mechanical properties compared with the Ti-based alloys,which makes it an excellent candidate material for ultrasonic tools and medical applications.
基金the support from National Natural Science Foundation of China(No.52275153)the Frontier Technologies R&D Program of Jiangsu,China(No.BF2024068)+1 种基金The Fund of Prospective Layout of Scientific Research for Nanjing University of Aeronautics and Astronautics,ChinaResearch Fund of State Key Laboratory of Mechanics and Control for Aerospace Structures(Nanjing University of Aeronautics and Astronautics),China(Nos.MCAS-I-0425K01,MCAS-I-0423G01)。
文摘It is well recognized that Structural Health Monitoring(SHM)reliability evaluation is a key aspect that needs to be urgently addressed to promote the wide application of SHM methods.However,the existing studies typically transfer the Non-Destructive Testing/Evaluation(NDT/E)reliability metrics to SHM without a systematic analysis of where these metrics originated.Seldom attentions are paid to the evaluation conditions which are very important to apply these metrics.Aimed at this issue,a new condition control-based Dual-Reliability Evaluation(Dual-RE)method for SHM is proposed.This new method is proposed based on a systematic analysis of the whole framework of reliability evaluation from instrument to NDT,and emphasis is paid to the evaluation condition control.Based on these analyses,considering the special online application scenario of SHM,the proposed Dual-RE method contains two key components:Integrated Sensor-based SHM-RE(IS-SHM-RE)and Critical Service Condition-based SHM-RE(CSC-SHM-RE).ISSHM-RE evaluates the reliability of integrated SHM sensor and system themselves under approximate repeatability conditions,while CSC-SHM-RE assesses SHM reliability under the dominant uncertainties during service,namely intermediate conditions.To demonstrate the Dual-RE,crack monitoring by using the Guided Wave-based-SHM(GW-SHM)on aircraft lug structures is taken as a case study.Both the crack detection and sizing performance are evaluated from accuracy and uncertainty.
文摘Evaluating the adversarial robustness of classification algorithms in machine learning is a crucial domain.However,current methods lack measurable and interpretable metrics.To address this issue,this paper introduces a visual evaluation index named confidence centroid skewing quadrilateral,which is based on a classification confidence-based confusion matrix,offering a quantitative and visual comparison of the adversarial robustness among different classification algorithms,and enhances intuitiveness and interpretability of attack impacts.We first conduct a validity test and sensitive analysis of the method.Then,prove its effectiveness through the experiments of five classification algorithms including artificial neural network(ANN),logistic regression(LR),support vector machine(SVM),convolutional neural network(CNN)and transformer against three adversarial attacks such as fast gradient sign method(FGSM),DeepFool,and projected gradient descent(PGD)attack.
文摘Pull-ups are a very common fitness exercise that can be seen in many gyms.For athletes,it is very important to perform pull-ups correctly and scientifically.The pull-up scoring method designed in this paper can score the quality of pull-up movement scientifically and objectively,and provide guidance to help athletes better complete the pull-up movement.In this method,the OpenPose algorithm is used to identify the coordinates of skeleton points,and then the coordinate data are processed by a Kalman filter to obtain coordinates closer to the true values.Finally,the filtered data are input into the scoring algorithm designed based on the fuzzy comprehensive evaluation algorithm,and the results of the pull-up quality score and the corresponding guidance are obtained.
基金National Natural Science Foundation of China,Grant/Award Number:82000102 and 82270112。
文摘The incidence of benign airway stenosis(BAS)is on the rise,and current treatment options are associated with a significant risk of restenosis.Therefore,there is an urgent need to explore new and effective prevention and treatment methods.Animal models serve as essential tools for investigating disease mechanisms and assessing novel therapeutic strategies,and the scientific rigor of their construction and validation significantly impacts the reliability of research findings.This paper systematically reviews the research progress and evaluation systems of BAS animal models over the past decade,aiming to provide a robust foundation for the optimized construction of BAS models,intervention studies,and clinical translation.This effort is intended to facilitate the innovation and advancement in BAS prevention and treatment strategies.
基金Supported by the Central Public-interest Scientific Institution Basal Research Fund,YSFRI,CAFS(No.20603022024016)the Central Public-interest Scientific Institution Basal Research Fund,CAFS(Nos.2023TD52,2023TD76)the earmarked fund for CARS(No.CARS-49)。
文摘Crassostrea gigas has good taste and high nutritional value;however,there are few assessments of comprehensive and panoramic analyses of the nutritional quality of the northern oyster.To study the nutritional characteristics of C.gigas from different sources(ploidy,region,size,and culture mode),C.gigas from various ploidy(diploid and triploid),regions(Rushan,Off-site fattening,and Rongcheng),sizes(small,medium,and large)and culture modes(nearshore and offshore)were selected for comparative analyses.The nutritional components(moisture,protein,fat,and mineral),flavor substances(taste amino acids,nucleotides,and succinic acid),and functional indices(eicosapentaenoic acid(EPA),docosahexaenoic acid(DHA),and taurine)of C.gigas were determined.Principal component analysis(PCA)was used to comprehensively evaluate the oysters and investigate the variations in nutritional quality.The PCA results indicate that protein,essential fatty acids,selenium,zinc,taste amino acids,taurine,EPA,and DHA were core components contributing to 82.25%of the cumulative variance,providing a more comprehensive reflection of the nutrient composition of C.gigas.The extensive quality rankings for the C.gigas were as follows:diploid>triploid,Rushan>fattening>Rongcheng,medium>large>small,and offshore>nearshore.The score rank revealed that diploid oysters of medium-size from Rushan demonstrated superior nutritional quality compared to other tested samples.This is the first comprehensive and systematic investigation of C.gigas in northern China to reveal the feature of nutrients,flavor,and functional components.The study provided data support for the culture,consumption,processing,research,and nutritional quality improvement of oyster industry.
基金Supported by Inter Disciplinary Direction Cultivation Project of Hunan University of Chinese Medicine,No.2025JC01032025 Hunan Province Science and Technology Innovation Plan Project,No.2025RC9012+2 种基金2022"Unveiling and Leading"Project of Discipline Construction at Hunan University of Chinese Medicine,No.22JBZ044Changsha Municipal Natural Science Foundation,No.kq2402174Hunan Provincial Science Popularization Fund Project,No.2025ZK4223.
文摘BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an evaluation index system for the mental health literacy of adolescent patients with mental disorders,providing a scientific,comprehensive,and reliable tool for the monitoring and intervention of mental health literacy of such patients.METHODS From December 2022 to June 2023,the evaluation index system for mental health literacy of adolescents with mental disorders was developed through literature reviews,semi-structured interviews,expert letter consultations,and the analytic hierarchy process.Based on this index system,a self-assessment questionnaire was compiled and administered to 305 adolescents with mental disorders to test the reliability and validity of the index system.RESULTS The final evaluation index system for mental health literacy of adolescents with mental disorders included 4 first-level indicators,10 second-level indicators,and 52 third-level indicators.The overall Cronbach’sαcoefficient of the index system was 0.957,with a partial reliability of 0.826 and a content validity index of 0.975.The cumulative variance contribution rate of 10 common factors was 66.491%.The correlation coefficients between each dimension and the total questionnaire ranged from 0.672 to 0.724,while the correlation coefficients in each dimension ranged from 0.389 to 0.705.CONCLUSION The evaluation index system for mental health literacy of adolescents with mental disorders,developed in this study,demonstrated notable reliability and validity,making it a valuable tool for evaluating mental health literacy in this population.
基金supported by the National Natural Science Foundation of China(Grant Nos.U2342210 and 42275043)the National Institute of Natural Hazards,Ministry of Emergency Management of China(Grant Nos.J2223806,ZDJ2024-25 and ZDJ2025-34)。
文摘Climate models are essential for understanding past,present,and future changes in atmospheric circulation,with circulation modes providing key sources of seasonal predictability and prediction uncertainties for both global and regional climates.This study assesses the performance of models participating in phase 6 of the Coupled Model Intercomparison Project in simulating interannual variability modes of Northern Hemisphere 500-hPa geopotential height during winter and summer,distinguishing predictable(potentially predictable on seasonal or longer timescales)and unpredictable(intraseasonal and essentially unpredictable at long range)components,using reanalysis data and a variance decomposition method.Although most models effectively capture unpredictable modes in reanalysis,their ability to reproduce dominant predictable modes-specifically the Pacific-North American pattern,Arctic Oscillation,and Western Pacific Oscillation in winter,and the East Atlantic and North Atlantic Oscillations in summer-varies notably.An optimal ensemble is identified to distinguish(a)predictable-external modes,dominated by external forcing,and(b)predictable-internal modes,associated with slow internal variability,during the historical period(1950-2014)and the SSP5-8.5 scenario(2036-2100).Under increased radiative forcing,the leading winter/summer predictable-external mode exhibits a more uniform spatial distribution,remarkably larger trend and annual variance,and enhanced height-sea surface temperature(SST)covariance under SSP5-8.5 compared to historical conditions.The dominant winter/summer predictable-internal modes also exhibit increased variance and height-SST covariance under SSP5-8.5,along with localized changes in spatial configuration.Minimal changes are observed in spatial distribution or variance for dominant winter/summer unpredictable modes under SSP5-8.5.This study,from a predictive perspective,deepens our understanding of model uncertainties and projected changes in circulations.
基金support supplied by the National Natural Science Foundation of China(Nos.72571136,72271120)the Ministry of Education of the People’s Republic of China Humanities and Social Science project(No.24YJA630087)。
文摘With the rapid development of the aviation industry,air travel has become one of the most important modes.Improving the service quality of civil aviation airports is crucial to their competitiveness.This study intends to develop a scientific and rational evaluation methodology and framework for assessing service quality in civil aviation airports,thereby providing a theoretical foundation and practical guidance for enhancing service standards in the aviation industry.First,the study constructs a CRITIC-bidirectional grey possibility clustering model,which uses the CRITIC method to determine the weights of indicators and integrates the forward grey possibility clustering model and the inverse grey possibility clustering model to determine possibility functions from two perspectives.Second,a service quality evaluation index system for civil airports is constructed from four dimensions,and the weights of each index within the system are subsequently calculated.Finally,the constructed model is applied to evaluate the service quality of nine domestic civil airports.Based on the clustering results,targeted countermeasures and suggestions are proposed.Empirical results demonstrate that,compared to the traditional grey possibility clustering model,the proposed model balances the objectivity of indicator weighting,the objectivity of possibility function construction,and the simplicity of the computational process,thereby possessing significant theoretical and practical implications.
基金supported by NARI Relays Electric Co.,Ltd.under the Project“Research on Evaluation of Clearing Results and Switching Criteria for Primary-Backup Systems in Electricity SpotMarkets”(Project No.CGSQ240800443).
文摘The construction of spot electricity markets plays a pivotal role in power system reforms,where market clearing systems profoundly influence market efficiency and security.Current clearing systems predominantly adopt a single-system architecture,with research focusing primarily on accelerating solution algorithms through techniques such as high-efficiency parallel solvers and staggered decomposition of mixed-integer programming models.Notably absent are systematic studies evaluating the adaptability of primary-backup clearing systems incontingency scenarios—a critical gap given redundant systems’expanding applications in operational environments.This paper proposes a comprehensive evaluation framework for analyzing dual-system adaptability,demonstrated through an in-depth case study of the Inner Mongolia power market.First,we establish the innovative“Dual-Active Heterogeneous”architecture that enables independent parallelized operation and fault-isolated redundancy.Subsequently,key performance indices are quantitatively evaluated across four critical dimensions:unit commitment decisions,generator output constraints,transmission section congestion patterns,and clearing price formation mechanisms.An integrated fuzzy evaluation methodology incorporating grey relational analysis is employed for objective indicator weighting,enabling systematic quantification of system superiority under specific grid operating states.Empirical results based on actual operational data from 200 generation units demonstrate the framework’s efficacy in guiding optimal system selection,with particularly strong performance observed during peak load periods.The proposed approach shows high generalization potential for other regional markets employing redundant clearing mechanisms—particularly those with increasing renewable penetration and associated uncertainty.
文摘The comprehensive evaluation of six properties for equipment product is an important basis for their quality control,and their correlative relationship among six properties will affect their quality level.To understand their correlative relationship among six properties,this paper firstly combines group evaluation with decision-making trial and evaluation laboratory(DEMATEL)model,and develops the optimization model based on group consensus to form six influent relationship matrices.Secondly,group consensus matrix is used to design super network hierarchy matrix,and the weights of six properties with relevant environment is also proposed.Thirdly,the elimination and choice translating reality(ELECTRE)model is used to make comprehensive evaluation,and an example is used to compare the results under two kinds of conditions,and illustrate the effect of the weights of six properties on the priority of equipment products.
基金sponsored by National Natural Science Foundation of China(No.52308466)SASAC Science and Technology Innovation Project(JF-23-01-0063)Shaanxi Provincial Transportation Research Project(25-84 K,25-85 K).
文摘In recent years,the amount of waste generated during milling has increased dramatically,and improper disposal poses a significant environmental challenge.To mitigate environmental pollution and enhance the road performance of emulsified asphalt cold recycled mixtures(ECRM),this study employed recycled asphalt pavement(RAP)and reclaimed inorganic binder stabilized aggregate(RAI)as dual recycled materials for ECRM preparation.The blending ratios of reclaimed base and surface layer mixtures significantly influence ECRM's performance,with adjusted proportions substantially improving compressive strength and dynamic modulus.Firstly,three distinct proportioning options were developed for the recycled materials.Mix designs incorporating varying RAP/RAI ratios were used to determine the optimal mix parameters:moisture content,cement dosage,and emulsified asphalt content.Subsequently,comprehensive performance evaluations were conducted through high-temperature wheel tracking tests,freeze-thaw splitting tests,uniaxial compression tests,and dynamic modulus measurements to analyze the pavement characteristics of the three ECRM formulations.Experimental results demonstrate:Compared with ECRM with a blending ratio of RAP:RAI:new aggregate=30:50:20(Option 1),the dynamic stability,freeze-thaw splitting strength ratio,compressive strength,and compressive resilient modulus of ECRM under Option 3(RAP:RAI:new aggregate=50:30:20)decreased by 31.8%,5.2%,16.4%,and 13.1%,respectively.This indicates that increasing RAP content while reducing RAI proportion enhances the tensile strength of ECRM,yet adversely affects its high-temperature stability,moisture resistance,and compressive performance.This work not only addresses the challenge of jointly utilizing asphalt pavement waste and base waste,but also provides a cost-effective and sustainable method for the stable application of milling material resources in road engineering.
基金funded by the National Natural Science Foundation of China(NSFC)under Grant Number 72071209.
文摘Modern battlefields exhibit high dynamism,where traditional static weighting methods in combat effectiveness assessment fail to capture real-time changes in indicator values,leading to limited assessment accuracy—especially critical in scenarios like sudden electronic warfare or degraded command,where static weights cannot reflect the operational value decay or surge of key indicators.To address this issue,this study proposes a dynamic adaptive weightingmethod for evaluation indicators based onG1-CRITIC-PIVW.First,theG1(Sequential Relationship Analysis Method)subjective weighting method—translates expert knowledge into indicator importance rankings—leverages expert knowledge to quantify the relative importance of indicators via sequential relationship ranking,while the CRITIC(Criteria Importance Through Intercriteria Correlation)objective weighting method—derives weights from data characteristics by integrating variability and inter-correlations—calculates weights by integrating indicator variability and inter-indicator correlations,ensuring data-driven objectivity.These two sets of weights are then fused using a deviation coefficient optimization model,minimizing the squared deviation from a reference weight and adjusting the fusion coefficient via Spearman’s rank correlation to resolve potential conflicts between subjective and objective judgments.Subsequently,the PIVW(Punishment-Incentive VariableWeight)theory—adapts weights to realtime indicator performance via penalty/incentive rules—is applied for dynamic adjustment.Scenario-specific penalty λ_(1) and incentive λ_(2) thresholds are set based on operational priorities and indicator volatility,penalizing indicators with values below λ_(1) and incentivizing those exceeding λ_(2) to reflect real-time indicator performance.Experimental validation was conducted using an Air Defense and Anti-Missile(ADAM)system effectiveness assessment framework,with data covering 7 indicators across 3 combat scenarios.Results show that compared to static weighting methods,the proposed method reduces MAE(Mean Absolute Error)by 15%-20% and weighted decision error rate by 84.2%,effectively reducing overestimation/underestimation of combat effectiveness in dynamic scenarios;compared to Entropy-TOPSIS,it lowers MAE by 12% while achieving a weighted Kendall’sτconsistency coefficient of 0.85,ensuring higher alignment with expert judgment.This method enhances the accuracy and scenario adaptability of effectiveness assessment,providing reliable decision support for dynamic battlefield environments.
基金supported by the Fundamental Research Funds for the Central Universities,Nos.G2021KY05107,G2021KY05101the National Natural Science Foundation of China,Nos.32071316,32211530049+1 种基金the Natural Science Foundation of Shaanxi Province,No.2022-JM482the Education and Teaching Reform Funds for the Central Universities,No.23GZ230102(all to LL and HH).
文摘Although previous studies have demonstrated that transcranial focused ultrasound stimulation protects the ischemic brain,clear criteria for the stimulation time window and intensity are lacking.Electrical impedance tomography enables real-time monitoring of changes in cerebral blood perfusion within the ischemic brain,but investigating the feasibility of using this method to assess post-stroke rehabilitation in vivo remains critical.In this study,ischemic stroke was induced in rats through middle cerebral artery occlusion surgery.Transcranial focused ultrasound stimulation was used to treat the rat model of ischemia,and electrical impedance tomography was used to measure impedance during both the acute stage of ischemia and the rehabilitation stage following the stimulation.Electrical impedance tomography results indicated that cerebral impedance increased after the onset of ischemia and decreased following transcranial focused ultrasound stimulation.Furthermore,the stimulation promoted motor function recovery,reduced cerebral infarction volume in the rat model of ischemic stroke,and induced the expression of brain-derived neurotrophic factor in the ischemic brain.Our results also revealed a significant correlation between the impedance of the ischemic brain post-intervention and improvements in behavioral scores and infarct volume.This study shows that daily administration of transcranial focused ultrasound stimulation for 20 minutes to the ischemic hemisphere 24 hours after cerebral ischemia enhanced motor recovery in a rat model of ischemia.Additionally,our findings indicate that electrical impedance tomography can serve as a valuable tool for quantitatively evaluating rehabilitation after ischemic stroke in vivo.These findings suggest the feasibility of using impedance data collected via electrical impedance tomography to clinically assess the effects of rehabilitatory interventions for patients with ischemic stroke.
文摘Background:While the treatment of metastatic renal cell carcinoma(mRCC)is evolving due to immune checkpoint inhibitors(ICIs),optimal strategies for later lines of therapy have yet to be defined.The combination of lenvatinib and everolimus represents a viable option,and the present review aimed to summarize its activity,effectiveness,and safety.Methods:A systematic review of the literature was conducted using PubMed,targeting studies published between 2018 and 2025.Eligible studies included English-language prospective and retrospective trials reporting survival outcomes in mRCC patients treated with lenvatinib and everolimus after at least one ICI-containing regimen.Results:Nine studies met the inclusion criteria,encompassing a total of 441 patients.The lenvatinib and everolimus combination was primarily used in the third and subsequent lines of therapy.Median overall survival ranged from 7.5 to 24.5 months,while median progression-free survival was more consistent,between 6.1 and 6.7 months,except for one study reporting 12.9 months.Objective response rates varied widely(14.0%–55.7%).Adverse events of grade≥3 did not exceed the expected rate,with diarrhoea and proteinuria as the most reported events.Dose reductions and treatment discontinuations due to toxicity occurred but were generally lower than in prior pivotal trials.Conclusions:Real-world evidence suggests that lenvatinib and everolimus represent an effective and safe option after ICI failure in mRCC patients.Nevertheless,the lack of randomized phase III trials and the heterogeneity of existing studies highlight the need for more robust prospective research to guide post-ICI therapeutic strategies.
基金supported by the National Natural Science Foundation of China(Nos.12247126 and 12375123)Henan Postdoctoral Foundation(No.HN2024013)the Natural Science Foundation of Henan Province(No.242300421048)。
文摘Research on neutron-induced fission product yields of^(232)Th is crucial for understanding the competition between symmetric and asymmetric fission in actinide nuclei.However,obtaining complete isotopic yield distributions over a wide range of neutron energies remains a challenge.In this study,a Bayesian neural network model was developed to predict the independent(IND)and cumulative fission yields of^(232)Th under neutron irradiation at various incident energies.To address the limited availability of experimental data for the analysis of IND mass distributions,we substituted mass-number-based yields with the yields of specific isotopes.Furthermore,physical phenomena or quantities,such as the odd-even effect and isospin,were introduced as constraints to enhance the physical consistency of the predictions.The impact of these constraints was evaluated using mass-chain yield distributions and their dependence on energy.Incorporating physical constraints significantly improves the prediction accuracy,yielding more reliable and physically meaningful fission yield data for nuclear physics and reactor design applications.
