Background:Due to the high heterogeneity among hepatocellular carcinoma(HCC)patients receiving transarterial chemoembolization(TACE),the prognosis of patients varies significantly.The decisionmaking on the initiation ...Background:Due to the high heterogeneity among hepatocellular carcinoma(HCC)patients receiving transarterial chemoembolization(TACE),the prognosis of patients varies significantly.The decisionmaking on the initiation and/or repetition of TACE under different liver functions is a matter of concern in clinical practice.Thus,we aimed to develop a prediction model for TACE candidates using risk stratification based on varied liver function.Methods:A total of 222 unresectable HCC patients who underwent TACE as their only treatment were included in this study.Cox proportional hazards regression was performed to select the independent risk factors and establish a predictive model for the overall survival(OS).The model was validated in patients with different Child-Pugh class and compared to previous TACE scoring systems.Results:The five independent risk factors,including alpha-fetoprotein(AFP)level,maximal tumor size,the increase of albumin-bilirubin(ALBI)grade score,tumor response,and the increase of aspartate aminotransferase(AST),were used to build a prognostic model(ASARA).In the training and validation cohorts,the OS of patients with ASARA score≤2 was significantly higher than that of patients with ASARA score>2(P<0.001,P=0.006,respectively).The ASARA model and its modified version“AS(ARA)”can effectively distinguish the OS(P<0.001,P=0.004)between patients with Child-Pugh class A and B,and the C-index was 0.687 and 0.706,respectively.For repeated TACE,the ASARA model was superior to Assessment for Retreatment with TACE(ART)and ALBI grade,maximal tumor size,AFP,and tumor response(ASAR)among Child-Pugh class A patients.For the first TACE,the performance of AS(ARA)was better than that of modified hepatoma arterial-embolization prognostic(mHAP),mHAP3,and ASA(R)models among Child-Pugh class B patients.Conclusions:The ASARA scoring system is valuable in the decision-making of TACE repetition for HCC patients,especially Child-Pugh class A patients.The modified AS(ARA)can be used to screen the ideal candidate for TACE initiation in Child-Pugh class B patients with poor liver function.展开更多
Accurate prediction of flood events is important for flood control and risk management.Machine learning techniques contributed greatly to advances in flood predictions,and existing studies mainly focused on predicting...Accurate prediction of flood events is important for flood control and risk management.Machine learning techniques contributed greatly to advances in flood predictions,and existing studies mainly focused on predicting flood resource variables using single or hybrid machine learning techniques.However,class-based flood predictions have rarely been investigated,which can aid in quickly diagnosing comprehensive flood characteristics and proposing targeted management strategies.This study proposed a prediction approach of flood regime metrics and event classes coupling machine learning algorithms with clustering-deduced membership degrees.Five algorithms were adopted for this exploration.Results showed that the class membership degrees accurately determined event classes with class hit rates up to 100%,compared with the four classes clustered from nine regime metrics.The nonlinear algorithms(Multiple Linear Regression,Random Forest,and least squares-Support Vector Machine)outperformed the linear techniques(Multiple Linear Regression and Stepwise Regression)in predicting flood regime metrics.The proposed approach well predicted flood event classes with average class hit rates of 66.0%-85.4%and 47.2%-76.0%in calibration and validation periods,respectively,particularly for the slow and late flood events.The predictive capability of the proposed prediction approach for flood regime metrics and classes was considerably stronger than that of hydrological modeling approach.展开更多
Background and Aims:The poor outcomes of hepatocellular carcinoma(HCC)patients may be due to not only malignant tumors but also limited liver function.Therefore,as stated in major guidelines,only patients with relativ...Background and Aims:The poor outcomes of hepatocellular carcinoma(HCC)patients may be due to not only malignant tumors but also limited liver function.Therefore,as stated in major guidelines,only patients with relatively normal liver function(Child-Pugh A)would be referred for curative hepatectomy.Even so,the postsurgery survival rate of patients is still extremely poor.Direct curative resection may benefit most patients.This study aimed to improve the prognosis predicting accuracy of the Child-Pugh scoring system.Methods:This study included two cohorts:cohort A being composed of 613 HCC patients,with a 23-month median postsurgery follow-up time;and cohort B being composed of 554 tumor-free chronic liver disease patients.Kaplan-Meier test and Cox model were used for survival analysis.Independent-samples t test or one-way ANOVA was used to test the differences between different groups.Results:Serum prealbumin levels were found inversely correlated with worsening of flbrotic scores(r=-0.482,p<0.001).Lower levels of presurgery prealbumin was an independent factor of poor postsurgery prognosis in Child-Pugh A patients,with a hazard ratio of 0.731(p=0.001).By integrating prealbumin together with total bilirubin level,serum albumin concentration and prothrombin time,a modified liver disease prognosis scoring system was developed to define traditional Child-Pugh A HCC patients as Modified Child-Pugh MCP-1,MCP-2 and MCP-3,with median postsurgery overall survival times of 44.00,28.00 and 11.00 months respectively.Conclusions:Preoperative serum prealbumin is a valuable prognosis predicting biomarker for Child-Pugh A HCC patients who may be under consideration for curative resection.With serum prealbumin included as one of the parameters,the MCP scoring system might improve the postsurgery survival predicting accuracy for HCC patients.展开更多
The prevalence of Class Ⅲ malocclusion varies among different countries and regions. The populations from Southeast Asian countries (Chinese and Malaysian) showed the highest prevalence rate of 15.8%, which can serio...The prevalence of Class Ⅲ malocclusion varies among different countries and regions. The populations from Southeast Asian countries (Chinese and Malaysian) showed the highest prevalence rate of 15.8%, which can seriously affect oral function, facial appearance, and mental health. As anterior crossbite tends to worsen with growth, early orthodontic treatment can harness growth potential to normalize maxillofacial development or reduce skeletal malformation severity, thereby reducing the difficulty and shortening the treatment cycle of later-stage treatment. This is beneficial for the physical and mental growth of children. Therefore,early orthodontic treatment for Class Ⅲ malocclusion is particularly important. Determining the optimal timing for early orthodontic treatment requires a comprehensive assessment of clinical manifestations, dental age, and skeletal age, and can lead to better results with less effort. Currently, standardized treatment guidelines for early orthodontic treatment of Class Ⅲ malocclusion are lacking. This review provides a comprehensive summary of the etiology, clinical manifestations, classification, and early orthodontic techniques for Class Ⅲ malocclusion, along with systematic discussions on selecting early treatment plans. The purpose of this expert consensus is to standardize clinical practices and improve the treatment outcomes of Class Ⅲ malocclusion through early orthodontic treatment.展开更多
In this study we review the occurrence of different types (A, B, C, M, and X classes) of solar flares during different solar cycle phases from 1996 to 2019 covering the solar cycles 23 and 24. During this period, a to...In this study we review the occurrence of different types (A, B, C, M, and X classes) of solar flares during different solar cycle phases from 1996 to 2019 covering the solar cycles 23 and 24. During this period, a total of 19,126 solar flares were observed regardless the class: 3548 flares in solar cycle 23 (SC23) and 15,668 flares in solar cycle 24 (SC24). Our findings show that the cycle 23 has observed the highest occurrences of M-class and X-class flares, whereas cycle 24 has pointed out a predominance of B-class and C-class flares throughout its different phases. The results indicate that the cycle 23 was magnetically more intense than cycle 24, leading to more powerful solar flares and more frequent geomagnetic storms, capable of generating significant electromagnetic emissions that can affect satellites and GPS signals. The decrease in intense solar flares during cycle 24 compared to cycle 23 reflects an evolution in solar activity patterns over time.展开更多
Credit risk assessment is a crucial task in bank risk management.By making lending decisions based on credit risk assessment results,banks can reduce the probability of non-performing loans.However,class imbalance in ...Credit risk assessment is a crucial task in bank risk management.By making lending decisions based on credit risk assessment results,banks can reduce the probability of non-performing loans.However,class imbalance in bank credit default datasets limits the predictive performance of traditional machine learning and deep learning models.To address this issue,this study employs the conditional variational autoencoder-Wasserstein generative adversarial network with gradient penalty(CVAE-WGAN-gp)model for oversampling,generating samples similar to the original default customer data to enhance model prediction performance.To evaluate the quality of the data generated by the CVAE-WGAN-gp model,we selected several bank loan datasets for experimentation.The experimental results demonstrate that using the CVAE-WGAN-gp model for oversampling can significantly improve the predictive performance in credit risk assessment problems.展开更多
This paper addresses a fundamental question in rock mechanics:Are there Class II rocks?The historical development of servo-controlled rock testing machines is reviewed,followed by a brief review of some stiff testing ...This paper addresses a fundamental question in rock mechanics:Are there Class II rocks?The historical development of servo-controlled rock testing machines is reviewed,followed by a brief review of some stiff testing machines.The pioneering work of some researchers is reviewed,and the misconception of classifying rocks into Class I and Class II is discussed.The mechanism of post-peak Class II behavior is discussed based on some recent test results.When a brittle hard rock is tested using a soft testing machine under axial-strain-controlled loading,violent failure can occur when the peak strength is reached,and the post-peak stress-strain curve cannot be obtained.However,a Class II post-peak stress-strain curve can be obtained when the rock is tested under lateral-strain-controlled loading.If a stiff testing machine is used,Class I and Class II post-peak stress-strain curves will be obtained under axial-and lateral-strain-controlled loadings,respectively.It is therefore not appropriate to classify rocks into Class I or Class II rocks.The influences of other conditions,such as rock type,confinement,and specimen height-to-diameter ratio,on the type(Class I or Class II)of post-peak stress-strain curves are also discussed.Finally,some misconceptions in the rock mechanics community,stemming from the concept of“Class II rock”,are discussed.By clarifying these concepts related to Class I and Class II behaviors,this paper seeks to clarify misunderstandings and misapplications related to post-peak strength and deformation properties in the field.展开更多
师幼互动质量不仅是幼儿园教育质量的关键要素,还是我国学前教育内涵式发展的重要方面。运用文献资料、逻辑分析等方法,从CLASS理论视域下探析师幼互动的关联逻辑、困境与创新路径。研究发现:CLASS理论与师幼互动的关联逻辑在于理论同...师幼互动质量不仅是幼儿园教育质量的关键要素,还是我国学前教育内涵式发展的重要方面。运用文献资料、逻辑分析等方法,从CLASS理论视域下探析师幼互动的关联逻辑、困境与创新路径。研究发现:CLASS理论与师幼互动的关联逻辑在于理论同源性与实践契合性。CLASS视域下师幼互动面临情感支持的缺乏、课堂组织的失衡、教学支持的脱节的现实困境。基于此,提出情感交融,以情育情;协调秩序,灵活组织;回应需求,弥合引导的创新路径。The quality of teacher-child interaction is not only a key element of the quality of kindergarten education, but also an important aspect of the connotative development of pre-school education in China. Using literature, logical analysis and other methods, we analyze the associated logic, dilemma and innovative path of teacher-child interaction from the perspective of CLASS theory. The study found that the logic of CLASS theory and teacher-child interaction lies in the homology of the theory and the fit of practice, and that teacher-child interaction in the CLASS perspective faces the dilemmas of lack of emotional support, imbalance of classroom organization, and disconnection of pedagogical support. Based on this, we propose innovative paths of emotional integration, nurturing emotions with emotions, coordinating order, flexible organization, responding to needs, and bridging guidance.展开更多
Both acceleration and pseudo-acceleration response spectra play important roles in structural seismic design.However,only one of them is generally provided in most seismic codes.Therefore,many studies have attempted t...Both acceleration and pseudo-acceleration response spectra play important roles in structural seismic design.However,only one of them is generally provided in most seismic codes.Therefore,many studies have attempted to develop conversion models between the acceleration response spectrum(SA)and the pseudo-acceleration response spectrum(PSA).Our previous studies found that the relationship between SA and PSA is affected by magnitude,distance,and site class.Subsequently,we developed an SA/PSA model incorporating these effects.However,this model is suitable for cases with small and moderate magnitudes and its accuracy is not good enough for cases with large magnitudes.This paper aims to develop an efficient SA/PSA model by considering influences of magnitude,distance,and site class,which can be applied to cases not only with small or moderate magnitudes but also with large ones.For this purpose,regression analyses were conducted using 16,660 horizontal seismic records with a wider range of magnitude.The magnitude of these seismic records varies from 4 to 9 and the distances vary from 10 to 200 km.These ground motions were recorded at 338 stations covering four site classes.By comparing them with existing models,it was found that the proposed model shows better accuracy for cases with any magnitudes,distances,and site classes considered in this study.展开更多
On the basis of ESI data,all universities are ranked in 96 out of 109 world-class disciplines.There is no ESI data(either publications or citations)in the rest of 13 world-class disciplines.
基金This study was supported by a grant from Tianjin Key Medical Discipline(Specialty)Construction Project.
文摘Background:Due to the high heterogeneity among hepatocellular carcinoma(HCC)patients receiving transarterial chemoembolization(TACE),the prognosis of patients varies significantly.The decisionmaking on the initiation and/or repetition of TACE under different liver functions is a matter of concern in clinical practice.Thus,we aimed to develop a prediction model for TACE candidates using risk stratification based on varied liver function.Methods:A total of 222 unresectable HCC patients who underwent TACE as their only treatment were included in this study.Cox proportional hazards regression was performed to select the independent risk factors and establish a predictive model for the overall survival(OS).The model was validated in patients with different Child-Pugh class and compared to previous TACE scoring systems.Results:The five independent risk factors,including alpha-fetoprotein(AFP)level,maximal tumor size,the increase of albumin-bilirubin(ALBI)grade score,tumor response,and the increase of aspartate aminotransferase(AST),were used to build a prognostic model(ASARA).In the training and validation cohorts,the OS of patients with ASARA score≤2 was significantly higher than that of patients with ASARA score>2(P<0.001,P=0.006,respectively).The ASARA model and its modified version“AS(ARA)”can effectively distinguish the OS(P<0.001,P=0.004)between patients with Child-Pugh class A and B,and the C-index was 0.687 and 0.706,respectively.For repeated TACE,the ASARA model was superior to Assessment for Retreatment with TACE(ART)and ALBI grade,maximal tumor size,AFP,and tumor response(ASAR)among Child-Pugh class A patients.For the first TACE,the performance of AS(ARA)was better than that of modified hepatoma arterial-embolization prognostic(mHAP),mHAP3,and ASA(R)models among Child-Pugh class B patients.Conclusions:The ASARA scoring system is valuable in the decision-making of TACE repetition for HCC patients,especially Child-Pugh class A patients.The modified AS(ARA)can be used to screen the ideal candidate for TACE initiation in Child-Pugh class B patients with poor liver function.
基金National Key Research and Development Program of China,No.2023YFC3006704National Natural Science Foundation of China,No.42171047CAS-CSIRO Partnership Joint Project of 2024,No.177GJHZ2023097MI。
文摘Accurate prediction of flood events is important for flood control and risk management.Machine learning techniques contributed greatly to advances in flood predictions,and existing studies mainly focused on predicting flood resource variables using single or hybrid machine learning techniques.However,class-based flood predictions have rarely been investigated,which can aid in quickly diagnosing comprehensive flood characteristics and proposing targeted management strategies.This study proposed a prediction approach of flood regime metrics and event classes coupling machine learning algorithms with clustering-deduced membership degrees.Five algorithms were adopted for this exploration.Results showed that the class membership degrees accurately determined event classes with class hit rates up to 100%,compared with the four classes clustered from nine regime metrics.The nonlinear algorithms(Multiple Linear Regression,Random Forest,and least squares-Support Vector Machine)outperformed the linear techniques(Multiple Linear Regression and Stepwise Regression)in predicting flood regime metrics.The proposed approach well predicted flood event classes with average class hit rates of 66.0%-85.4%and 47.2%-76.0%in calibration and validation periods,respectively,particularly for the slow and late flood events.The predictive capability of the proposed prediction approach for flood regime metrics and classes was considerably stronger than that of hydrological modeling approach.
基金supported by the SZSM201612071the National S&T Major Project for Infectious Diseases(2017YFC0908100,2017ZX10302201,2017ZX10201201)the project from Beijing Municipal Science and Technology Commission(No.Z161100000116047)
文摘Background and Aims:The poor outcomes of hepatocellular carcinoma(HCC)patients may be due to not only malignant tumors but also limited liver function.Therefore,as stated in major guidelines,only patients with relatively normal liver function(Child-Pugh A)would be referred for curative hepatectomy.Even so,the postsurgery survival rate of patients is still extremely poor.Direct curative resection may benefit most patients.This study aimed to improve the prognosis predicting accuracy of the Child-Pugh scoring system.Methods:This study included two cohorts:cohort A being composed of 613 HCC patients,with a 23-month median postsurgery follow-up time;and cohort B being composed of 554 tumor-free chronic liver disease patients.Kaplan-Meier test and Cox model were used for survival analysis.Independent-samples t test or one-way ANOVA was used to test the differences between different groups.Results:Serum prealbumin levels were found inversely correlated with worsening of flbrotic scores(r=-0.482,p<0.001).Lower levels of presurgery prealbumin was an independent factor of poor postsurgery prognosis in Child-Pugh A patients,with a hazard ratio of 0.731(p=0.001).By integrating prealbumin together with total bilirubin level,serum albumin concentration and prothrombin time,a modified liver disease prognosis scoring system was developed to define traditional Child-Pugh A HCC patients as Modified Child-Pugh MCP-1,MCP-2 and MCP-3,with median postsurgery overall survival times of 44.00,28.00 and 11.00 months respectively.Conclusions:Preoperative serum prealbumin is a valuable prognosis predicting biomarker for Child-Pugh A HCC patients who may be under consideration for curative resection.With serum prealbumin included as one of the parameters,the MCP scoring system might improve the postsurgery survival predicting accuracy for HCC patients.
文摘The prevalence of Class Ⅲ malocclusion varies among different countries and regions. The populations from Southeast Asian countries (Chinese and Malaysian) showed the highest prevalence rate of 15.8%, which can seriously affect oral function, facial appearance, and mental health. As anterior crossbite tends to worsen with growth, early orthodontic treatment can harness growth potential to normalize maxillofacial development or reduce skeletal malformation severity, thereby reducing the difficulty and shortening the treatment cycle of later-stage treatment. This is beneficial for the physical and mental growth of children. Therefore,early orthodontic treatment for Class Ⅲ malocclusion is particularly important. Determining the optimal timing for early orthodontic treatment requires a comprehensive assessment of clinical manifestations, dental age, and skeletal age, and can lead to better results with less effort. Currently, standardized treatment guidelines for early orthodontic treatment of Class Ⅲ malocclusion are lacking. This review provides a comprehensive summary of the etiology, clinical manifestations, classification, and early orthodontic techniques for Class Ⅲ malocclusion, along with systematic discussions on selecting early treatment plans. The purpose of this expert consensus is to standardize clinical practices and improve the treatment outcomes of Class Ⅲ malocclusion through early orthodontic treatment.
文摘In this study we review the occurrence of different types (A, B, C, M, and X classes) of solar flares during different solar cycle phases from 1996 to 2019 covering the solar cycles 23 and 24. During this period, a total of 19,126 solar flares were observed regardless the class: 3548 flares in solar cycle 23 (SC23) and 15,668 flares in solar cycle 24 (SC24). Our findings show that the cycle 23 has observed the highest occurrences of M-class and X-class flares, whereas cycle 24 has pointed out a predominance of B-class and C-class flares throughout its different phases. The results indicate that the cycle 23 was magnetically more intense than cycle 24, leading to more powerful solar flares and more frequent geomagnetic storms, capable of generating significant electromagnetic emissions that can affect satellites and GPS signals. The decrease in intense solar flares during cycle 24 compared to cycle 23 reflects an evolution in solar activity patterns over time.
基金supported by National Key R&D Program of China(2022YFA1008000)the National Natural Science Foundation of China(12571297,12101585)+1 种基金the CAS Talent Introduction Program(Category B)the Young Elite Scientist Sponsorship Program by CAST(YESS20220125).
文摘Credit risk assessment is a crucial task in bank risk management.By making lending decisions based on credit risk assessment results,banks can reduce the probability of non-performing loans.However,class imbalance in bank credit default datasets limits the predictive performance of traditional machine learning and deep learning models.To address this issue,this study employs the conditional variational autoencoder-Wasserstein generative adversarial network with gradient penalty(CVAE-WGAN-gp)model for oversampling,generating samples similar to the original default customer data to enhance model prediction performance.To evaluate the quality of the data generated by the CVAE-WGAN-gp model,we selected several bank loan datasets for experimentation.The experimental results demonstrate that using the CVAE-WGAN-gp model for oversampling can significantly improve the predictive performance in credit risk assessment problems.
基金the Natural Science and Engineering Research Council of Canada(RGPIN/4052-16,ALLRP 560390-20).
文摘This paper addresses a fundamental question in rock mechanics:Are there Class II rocks?The historical development of servo-controlled rock testing machines is reviewed,followed by a brief review of some stiff testing machines.The pioneering work of some researchers is reviewed,and the misconception of classifying rocks into Class I and Class II is discussed.The mechanism of post-peak Class II behavior is discussed based on some recent test results.When a brittle hard rock is tested using a soft testing machine under axial-strain-controlled loading,violent failure can occur when the peak strength is reached,and the post-peak stress-strain curve cannot be obtained.However,a Class II post-peak stress-strain curve can be obtained when the rock is tested under lateral-strain-controlled loading.If a stiff testing machine is used,Class I and Class II post-peak stress-strain curves will be obtained under axial-and lateral-strain-controlled loadings,respectively.It is therefore not appropriate to classify rocks into Class I or Class II rocks.The influences of other conditions,such as rock type,confinement,and specimen height-to-diameter ratio,on the type(Class I or Class II)of post-peak stress-strain curves are also discussed.Finally,some misconceptions in the rock mechanics community,stemming from the concept of“Class II rock”,are discussed.By clarifying these concepts related to Class I and Class II behaviors,this paper seeks to clarify misunderstandings and misapplications related to post-peak strength and deformation properties in the field.
文摘师幼互动质量不仅是幼儿园教育质量的关键要素,还是我国学前教育内涵式发展的重要方面。运用文献资料、逻辑分析等方法,从CLASS理论视域下探析师幼互动的关联逻辑、困境与创新路径。研究发现:CLASS理论与师幼互动的关联逻辑在于理论同源性与实践契合性。CLASS视域下师幼互动面临情感支持的缺乏、课堂组织的失衡、教学支持的脱节的现实困境。基于此,提出情感交融,以情育情;协调秩序,灵活组织;回应需求,弥合引导的创新路径。The quality of teacher-child interaction is not only a key element of the quality of kindergarten education, but also an important aspect of the connotative development of pre-school education in China. Using literature, logical analysis and other methods, we analyze the associated logic, dilemma and innovative path of teacher-child interaction from the perspective of CLASS theory. The study found that the logic of CLASS theory and teacher-child interaction lies in the homology of the theory and the fit of practice, and that teacher-child interaction in the CLASS perspective faces the dilemmas of lack of emotional support, imbalance of classroom organization, and disconnection of pedagogical support. Based on this, we propose innovative paths of emotional integration, nurturing emotions with emotions, coordinating order, flexible organization, responding to needs, and bridging guidance.
基金National Natural Science Foundation of China under Grant No.52278135。
文摘Both acceleration and pseudo-acceleration response spectra play important roles in structural seismic design.However,only one of them is generally provided in most seismic codes.Therefore,many studies have attempted to develop conversion models between the acceleration response spectrum(SA)and the pseudo-acceleration response spectrum(PSA).Our previous studies found that the relationship between SA and PSA is affected by magnitude,distance,and site class.Subsequently,we developed an SA/PSA model incorporating these effects.However,this model is suitable for cases with small and moderate magnitudes and its accuracy is not good enough for cases with large magnitudes.This paper aims to develop an efficient SA/PSA model by considering influences of magnitude,distance,and site class,which can be applied to cases not only with small or moderate magnitudes but also with large ones.For this purpose,regression analyses were conducted using 16,660 horizontal seismic records with a wider range of magnitude.The magnitude of these seismic records varies from 4 to 9 and the distances vary from 10 to 200 km.These ground motions were recorded at 338 stations covering four site classes.By comparing them with existing models,it was found that the proposed model shows better accuracy for cases with any magnitudes,distances,and site classes considered in this study.
文摘On the basis of ESI data,all universities are ranked in 96 out of 109 world-class disciplines.There is no ESI data(either publications or citations)in the rest of 13 world-class disciplines.
