In this paper,we investigate the minimization problem e_(s)(p)=_(u∈W_(V)^(1,N))(r^(N)),||u||_(N)^(N)=p>0 inf E(u),where E(u)=1/N∫_(R_(N))|▽_(u)|^(N)dx+1/N∫_(R_(N))V(x)|u|^(N)dx-1/s∫_(R_(N))|u|^(s)dx.Here s>...In this paper,we investigate the minimization problem e_(s)(p)=_(u∈W_(V)^(1,N))(r^(N)),||u||_(N)^(N)=p>0 inf E(u),where E(u)=1/N∫_(R_(N))|▽_(u)|^(N)dx+1/N∫_(R_(N))V(x)|u|^(N)dx-1/s∫_(R_(N))|u|^(s)dx.Here s>N,V is a spherically symmetric increasing function satisfying V(0)=0,|x|→∞lin V(x)=+∞We discuss the problem in three cases.First,for the case s>2N,e_(s)(ρ)=-∞for anyρ>0.Secondly,for the case N<s<2N,for anyρ>0,we prove that it admits a minimizer which is nonnegative,spherically symmetric and decreasing via the N-Laplacian GagliardoNirenberg inequality.When s=2N,the existence and nonexistence of minimizers of e_(s)(ρ)will also be given.During the arguments,we provide the detailed proof of the N-Laplacian Gagliardo-Nirenberg inequality and N-Laplacian Pohozaev identity.展开更多
Thermoelastic martensitic transformations in shape memory alloys can be modeled on the basis of nonlinear elastic theory.Microstructures of fine phase mixtures are local energy minimizers of the total energy.Using a o...Thermoelastic martensitic transformations in shape memory alloys can be modeled on the basis of nonlinear elastic theory.Microstructures of fine phase mixtures are local energy minimizers of the total energy.Using a one-dimensional effective model,we have shown that such microstructures are inhomogeneous solutions of the nonlinear Euler-Lagrange equation and can appear upon loading or unloading to certain critical conditions,the bifurcation conditions.A hybrid numerical method is utilized to calculate the inhomogeneous solutions with a large number of interfaces.The characteristics of the solutions are clarified by three parameters：the number of interfaces,the interface thickness,and the oscillating amplitude.Approximated analytical expressions are obtained for the interface and inhomogeneity energies through the numerical solutions.展开更多
In this paper, the properties of the maps for the Heisenberg group targets are studied. For u e∈W1,α(Ω, Hm), some Poincare type inequalities are proved. For the energy minimizers, the ∈-regularity theorems and the...In this paper, the properties of the maps for the Heisenberg group targets are studied. For u e∈W1,α(Ω, Hm), some Poincare type inequalities are proved. For the energy minimizers, the ∈-regularity theorems and the singularity theorems are obtained.展开更多
In this article, we study constrained minimizers of the following variational problem ε（p）：={u∈H1 inf（R3）,｜｜u｜｜22=p} E（u）,ρ〉0,where E（u） is the SchrSdinger-Poisson-Slater （SPS） energy functional E（...In this article, we study constrained minimizers of the following variational problem ε（p）：={u∈H1 inf（R3）,｜｜u｜｜22=p} E（u）,ρ〉0,where E（u） is the SchrSdinger-Poisson-Slater （SPS） energy functional E（u）：1/2∫R3｜△u（x）｜2dx-1/4∫R3∫R3u2（y）u2（x）/｜x-y｜dydx-1/p∫R3｜u（x）∫pdx in R3,and p ∈ （2,6）. We prove the existence of minimizers for the cases 2 〈 p 〈10/3, p 〉 0, and P =10/3, 0 〈 p 〈 p＊, and show that e（ρ） = -∞ for the other cases, where p＊ = ｜｜φ｜｜22 and φ（x） is the unique （up to translations） positive radially symmetric solution of -△u ＋ u = u7/3 in R3. Moreover, when e（ρ＊） = -∞, the blow-up behavior of minimizers as p/p＊ is also analyzed rigorously.展开更多
This paper is concerned with the minimizers of L^(2)-subcritical constraint variar tional problems with spatially decaying nonlinearities in a bounded domain Ω of R~N(N≥1).We prove that the problem admits minimizers...This paper is concerned with the minimizers of L^(2)-subcritical constraint variar tional problems with spatially decaying nonlinearities in a bounded domain Ω of R~N(N≥1).We prove that the problem admits minimizers for any M> 0.Moreover,the limiting behavior of minimizers as M→∞ is also analyzed rigorously.展开更多
The behavior of radial minimizers for a Ginzburg-Landau type functional is considered. The weak convergence of minimizers in W1,n is improved to the strong convergence in W1,n. Some estimates of the rate of the conver...The behavior of radial minimizers for a Ginzburg-Landau type functional is considered. The weak convergence of minimizers in W1,n is improved to the strong convergence in W1,n. Some estimates of the rate of the convergence for the module of minimizers are presented.展开更多
In this paper, we introduce the concept of a (weak) minimizer of order k for a nonsmooth vector optimization problem over cones. Generalized classes of higher-order cone-nonsmooth (F, ρ)-convex functions are introduc...In this paper, we introduce the concept of a (weak) minimizer of order k for a nonsmooth vector optimization problem over cones. Generalized classes of higher-order cone-nonsmooth (F, ρ)-convex functions are introduced and sufficient optimality results are proved involving these classes. Also, a unified dual is associated with the considered primal problem, and weak and strong duality results are established.展开更多
This paper considers the concave minimization problem with linear constrailits,proposes a technique which may avoid the unsuitable Karush-Kuhn-Tucker poiats,then combines this technique with nank-Wolfe method and simp...This paper considers the concave minimization problem with linear constrailits,proposes a technique which may avoid the unsuitable Karush-Kuhn-Tucker poiats,then combines this technique with nank-Wolfe method and simplex method to form a pivoting method which can determine a strictly local minimizer of the problem in a finite number of iterations. Basing on strictly local minimizers, a new cutting plane method is proposed. Under some mild conditions, the new cutting plane method is proved to be finitely terminated at an θ-global minimizer of the problem.展开更多
We establish a general oracle inequality for regularized risk minimizers with strongly mixing observations, and apply this inequality to support vector machine （SVM） type algorithms. The obtained main results extend...We establish a general oracle inequality for regularized risk minimizers with strongly mixing observations, and apply this inequality to support vector machine （SVM） type algorithms. The obtained main results extend the previous known results for independent and identically distributed samples to the case of exponentially strongly mixing observations.展开更多
Let Ω IR^N, （N ≥ 2） be a bounded smooth domain, p is Holder continuous on Ω^-, 1 〈 p^- ：= inf pΩ（x） ≤ p＋ = supp（x） Ω〈∞, and f：Ω^-× IR be a C^1 function with f（x,s） ≥ 0, V （x,s） ∈Ω ...Let Ω IR^N, （N ≥ 2） be a bounded smooth domain, p is Holder continuous on Ω^-, 1 〈 p^- ：= inf pΩ（x） ≤ p＋ = supp（x） Ω〈∞, and f：Ω^-× IR be a C^1 function with f（x,s） ≥ 0, V （x,s） ∈Ω × R^＋ and sup ∈Ωf（x,s） ≤ C（1＋s）^q（x）, Vs∈IR^＋,Vx∈Ω for some 0〈q（x） ∈C（Ω^-） satisfying 1 〈p（x） 〈q（x） ≤p^＊ （x） -1, Vx ∈Ω ^- and 1 〈 p^- ≤ p^＋ ≤ q- ≤ q＋. As usual, p＊ （x） = Np（x）/N-p（x） if p（x） 〈 N and p^＊ （x） = ∞- if p（x） if p（x） 〉 N. Consider the functional I： W0^1,p（x） （Ω） →IR defined as I（u） def= ∫Ω1/p（x）｜△｜^p（x）dx-∫ΩF（x,u^＋）dx,Vu∈W0^1,p（x）（Ω）,where F （x, u） = ∫0^s f （x,s） ds. Theorem 1.1 proves that if u0 ∈ C^1 （Ω^-） is a local minimum of I in the C1 （Ω^-） ∩C0 （Ω^-）） topology, then it is also a local minimum in W0^1,p（x） （Ω）） topology. This result is useful for proving multiple solutions to the associated Euler-lagrange equation （P） defined below.展开更多
AIM:To present an overview of the research on global glaucoma treatment in the last decade in terms of publication year,journals,countries/regions,organizations,references,and keywords,to investigate the current resea...AIM:To present an overview of the research on global glaucoma treatment in the last decade in terms of publication year,journals,countries/regions,organizations,references,and keywords,to investigate the current research international trends and hot topics in this area.METHODS:Bibliometric analysis was conducted on 9128 articles in the Web of Science Core Collection(WoSCC;Clarivate)database.Quantitative and qualitative analysis was employed using VOSviewer(v1.6.18),Pajek(v1.0.0.0),and CiteSpace(v6.1.R2)software.RESULTS:The 9128 papers relating to glaucoma treatment were published from April 2013 to April 2023,of which 7482 articles(82%)were original research articles and 1464(18%)were review articles.The United States(2867)and Johns Hopkins University(166)were the most productive country and institution,respectively,but the University College London had the highest h-index(54).The Journal of Glaucoma was the most productive and Ophthalmology had the highest h-index compared with other journals.The Keywords of interest included treatment surgery,cyclophotocoagulation,minimally invasive glaucoma surgery(MIGS),trabeculectomy,baerveldt,epidemiology,medication adherence,nanoparticle,optical coherence tomography(OCT),gene therapy,and artificial intelligence(AI).Glaucoma surgery appeared as a current research hotspot through the analysis of keywords.CONCLUSION:This study provides insights into the research trends and potential research hotspots in the treatment of glaucoma.This will help researchers to evaluate research policies and to promote international cooperation.展开更多
Overweight and obesity has been a major public health problem globally.It was estimated that more than 2.1 billion adults were affected by overweight or obese in 2021 worldwide,about one fifth of whom lived in China^(...Overweight and obesity has been a major public health problem globally.It was estimated that more than 2.1 billion adults were affected by overweight or obese in 2021 worldwide,about one fifth of whom lived in China^([1]).By 2050,the country is forecast to remain the one with the largest population of overweight and obese globally^([1]),if no effective strategies were applied on overweight/obesity control.展开更多
AIM:To investigate the efficacy and safety of 90°inferonasal sectoral goniotomy with an micro-vitreoretinal(MVR)blade in patients with mild-to-moderate primary open-angle glaucoma(POAG)and pseudoexfoliation glauc...AIM:To investigate the efficacy and safety of 90°inferonasal sectoral goniotomy with an micro-vitreoretinal(MVR)blade in patients with mild-to-moderate primary open-angle glaucoma(POAG)and pseudoexfoliation glaucoma(PEXG).METHODS:This retrospective study included data from 60 patients(60 eyes)who underwent stand-alone goniotomy or goniotomy with phacoemulsification between August 2021 and January 2023,and 45 eyes underwent goniotomy combined with phacoemulsification,and 15 eyes underwent goniotomy as a stand-alone procedure.Postoperatively,intraocular pressure(IOP)and the number of medications were collected at 1,3,6,and 12 mo.The side effects of surgery were recorded 1 d,1 wk,and 1,3,6,and 12 mo postoperatively.The primary outcomes were a reduction in IOP of at least 20%from baseline and a decrease in the number of antiglaucomatous medications in 1 a postoperatively.The secondary outcome was surgical success,defined as an IOP<18 mmHg with(qualified)or without(complete)antiglaucomatous medication at 1 a postoperatively.RESULTS:At the end of 1 a,78%of patients achieved both a>20%reduction in IOP and a reduction in the number of medications used.Overall success was achieved in 63%of patients.Microhyphaema was the most common complication,none of the patients experienced a complication requiring surgical intervention.CONCLUSION:Sectoral inferonasal goniotomy with an MVR blade significantly reduced IOP and the number of medications required in patients with POAG and PEXG,and 1-year follow-up after goniotomy showed that the need for filtering surgery was either eliminated or delayed in a significant number of patients.展开更多
BACKGROUND Robotic assistance is increasingly used for donor and recipient hepatectomy in liver transplantation,yet existing evidence is fragmented and variably indirect.AIM To evaluate clinical outcomes,surgical perf...BACKGROUND Robotic assistance is increasingly used for donor and recipient hepatectomy in liver transplantation,yet existing evidence is fragmented and variably indirect.AIM To evaluate clinical outcomes,surgical performance,and economic effects of robotic-assisted donor and recipient hepatectomy in the transplant pathway.METHODS Following Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 and a priori registration,systematic reviews were included with or without meta-analysis.Four databases were searched through July 2025.Methodological quality was appraised with a measurement tool to assess systematic reviews(AMSTAR 2),and certainty was graded with grading of recommendations assessment,development and evaluation(GRADE).Evidence overlap was calculated via a citation-matrix-based corrected covered area(CCA).Effect sizes were prespecified as risk ratios(RR)for dichotomous outcomes and mean differences for continuous outcomes.RESULTS Five reviews met the inclusion criteria,four with meta-analyses and one consensus review used only for context.Donor(direct)findings were more favorable for robotics in terms of estimated blood loss(≈-117 mL)and length of stay(≈-0.6 days),although with longer operative time(≈+105 minutes).Absolute risks for donor complications were not estimable from ratio-only data.Recipient(indirect)meta-analysis indicated robotics to be favorable in terms of conversion(RR≈0.41)and severe morbidity(RR≈0.81),with a trend toward lower overall morbidity(RR≈0.92)and no difference in 30-day mortality.Differences in length of stay and operative time were small and heterogeneous.Economic evidence(indirect,network meta-analysis)suggested higher procedural costs for robotic vs laparoscopic intervention,but lower hospitalization costs vs open intervention,with laparoscopy the least expensive overall.AMSTAR 2 ratings were moderate-to-high across the reviews,GRADE certainty was low for key donor continuous outcomes,and low-to-moderate for recipient and economic outcomes.Overlap was slight(graded-corpus CCA=0.0%;including a contextual non-transplant review increased CCA to≈1.25%).CONCLUSION Robotic donor hepatectomy confers perioperative advantages at the cost of longer operative time.Recipient and economic findings are indirect and considered hypothesis-generating.Transplant-specific,prospective comparisons using a minimum standardized dataset and uniform outcome definitions are needed to resolve remaining uncertainties and to clarify the cost-utility correlation.展开更多
In this paper,we studyλ-biharmonic hypersurfaces M_(r)^(5) of 6-dimensional pseudo Riemannian space form N_(p)^(6)(c)with the indexs 0≤p≤6,r=p−1 or p,and constant curvature c.It was proved that if the shape operato...In this paper,we studyλ-biharmonic hypersurfaces M_(r)^(5) of 6-dimensional pseudo Riemannian space form N_(p)^(6)(c)with the indexs 0≤p≤6,r=p−1 or p,and constant curvature c.It was proved that if the shape operator of M_(r)^(5) is diagonalizable,then the mean curvature is a constant.As an application,we find some types of biharmonic hypersurfaces of N_(p)^(6)(c)are minimal.展开更多
Over the past ten years,numerous papers have been published on the use of indocyanine green(ICG)fluorescence in liver surgery for hepatocellular carcinoma(HCC).There are many different applications.The first involves ...Over the past ten years,numerous papers have been published on the use of indocyanine green(ICG)fluorescence in liver surgery for hepatocellular carcinoma(HCC).There are many different applications.The first involves targeting superficial tumors in patients with macronodular cirrhosis and an irregular liver surface.In a minimally invasive setting,the lack of tactile feedback on the hepatic surface makes detecting subcapsular HCC with ultrasound alone challenging.ICG fusion images can mimic the tactile feedback of the hand and act as an ultrasound booster.ICG fluorescence can be used to evaluate tumor residues after minimally invasive thermal ablation.ICG fluorescence imaging can also be used to identify the grade of HCC early on and evaluate the microinvasive component.展开更多
BACKGROUND Living donor kidney transplantation is the optimal method of long-term renal replacement therapy.Minimally invasive donor nephrectomy techniques,such as robot-assisted(RALDN)and hand-assisted(HALDN)laparosc...BACKGROUND Living donor kidney transplantation is the optimal method of long-term renal replacement therapy.Minimally invasive donor nephrectomy techniques,such as robot-assisted(RALDN)and hand-assisted(HALDN)laparoscopic procedures,are well-established in high-income countries and are being increasingly adopted worldwide.Nevertheless,no studies have reported surgical outcomes of RALDN donor nephrectomy from a United Kingdom center to date.AIM To compare surgical outcomes between RALDN and HALDN laparoscopic donor nephrectomy in a United Kingdom high-volume living kidney donor transplant program.METHODS A case-control matching analysis was performed based on the following parameters:Sex,age,body mass index,procedure laterality,number of renal arteries,and previous abdominal surgeries.Key surgical outcomes,including primary warm ischemia time,operative duration,and post-operative recovery,were evaluated.RESULTS In this cohort of 140 living donors(70 RALDN vs 70 HALDN),donor and recipient outcomes were equivalent across key metrics:Pain scores,overall complication rates,readmissions,reoperations,and creatinine levels at 30 days and 1 year.Recipient long-term renal function did not differ between groups.Operative time for RALDN decreased significantly over the study period,indicating progressive improvement along the learning curve.Although RALDN was associated with a modestly longer mean warm ischaemia time(3.53 minutes vs 2.76 minutes,P<0.001)and extended hospital stay(4.21 days vs 3.17 days,P<0.001),these did not translate into any disadvantage in clinical outcomes.CONCLUSION In this first United Kingdom comparative cohort,RALDN demonstrated excellent safety and efficacy,even in the early phase of our programme,matching the outcomes of the well-established,gold-standard HALDN approach.Moreover,the pronounced learning-curve trajectory suggests considerable potential for further improvements in robotic surgical outcomes as the programme matures.展开更多
基金supported by the Xingdian Talents Support Program of Yunnan Province of Youthsthe Yunnan Province Basic Research Project for General Program(202401AT070441)+5 种基金the Yunnan Key Laboratory of Modern Analytical Mathematics and Applications(202302AN360007)supported by the NNSF(12261031)supported by the NNSF(12401145)supported by the NNSF(12371120)the Yunnan Province Basic Research Project for Key Program(202401AS070024)the General Program(202301AT070141)。
文摘In this paper,we investigate the minimization problem e_(s)(p)=_(u∈W_(V)^(1,N))(r^(N)),||u||_(N)^(N)=p>0 inf E(u),where E(u)=1/N∫_(R_(N))|▽_(u)|^(N)dx+1/N∫_(R_(N))V(x)|u|^(N)dx-1/s∫_(R_(N))|u|^(s)dx.Here s>N,V is a spherically symmetric increasing function satisfying V(0)=0,|x|→∞lin V(x)=+∞We discuss the problem in three cases.First,for the case s>2N,e_(s)(ρ)=-∞for anyρ>0.Secondly,for the case N<s<2N,for anyρ>0,we prove that it admits a minimizer which is nonnegative,spherically symmetric and decreasing via the N-Laplacian GagliardoNirenberg inequality.When s=2N,the existence and nonexistence of minimizers of e_(s)(ρ)will also be given.During the arguments,we provide the detailed proof of the N-Laplacian Gagliardo-Nirenberg inequality and N-Laplacian Pohozaev identity.
基金supported by the National Natural Science Foundation of China(Grants 11461161008 and 11272092)
文摘Thermoelastic martensitic transformations in shape memory alloys can be modeled on the basis of nonlinear elastic theory.Microstructures of fine phase mixtures are local energy minimizers of the total energy.Using a one-dimensional effective model,we have shown that such microstructures are inhomogeneous solutions of the nonlinear Euler-Lagrange equation and can appear upon loading or unloading to certain critical conditions,the bifurcation conditions.A hybrid numerical method is utilized to calculate the inhomogeneous solutions with a large number of interfaces.The characteristics of the solutions are clarified by three parameters：the number of interfaces,the interface thickness,and the oscillating amplitude.Approximated analytical expressions are obtained for the interface and inhomogeneity energies through the numerical solutions.
基金National Natural Science Foundation of China (19771048)
文摘In this paper, the properties of the maps for the Heisenberg group targets are studied. For u e∈W1,α(Ω, Hm), some Poincare type inequalities are proved. For the energy minimizers, the ∈-regularity theorems and the singularity theorems are obtained.
基金partially supported by National Natural Science Foundation of China(11671394)
文摘In this article, we study constrained minimizers of the following variational problem ε（p）：={u∈H1 inf（R3）,｜｜u｜｜22=p} E（u）,ρ〉0,where E（u） is the SchrSdinger-Poisson-Slater （SPS） energy functional E（u）：1/2∫R3｜△u（x）｜2dx-1/4∫R3∫R3u2（y）u2（x）/｜x-y｜dydx-1/p∫R3｜u（x）∫pdx in R3,and p ∈ （2,6）. We prove the existence of minimizers for the cases 2 〈 p 〈10/3, p 〉 0, and P =10/3, 0 〈 p 〈 p＊, and show that e（ρ） = -∞ for the other cases, where p＊ = ｜｜φ｜｜22 and φ（x） is the unique （up to translations） positive radially symmetric solution of -△u ＋ u = u7/3 in R3. Moreover, when e（ρ＊） = -∞, the blow-up behavior of minimizers as p/p＊ is also analyzed rigorously.
基金supported by the Graduate Education Innovation Funds(2022CXZZ088)at Central China Normal University in Chinasupported by the NSFC(12225106,11931012)the Fundamental Research Funds(CCNU22LJ002)for the Central Universities in China。
文摘This paper is concerned with the minimizers of L^(2)-subcritical constraint variar tional problems with spatially decaying nonlinearities in a bounded domain Ω of R~N(N≥1).We prove that the problem admits minimizers for any M> 0.Moreover,the limiting behavior of minimizers as M→∞ is also analyzed rigorously.
文摘The behavior of radial minimizers for a Ginzburg-Landau type functional is considered. The weak convergence of minimizers in W1,n is improved to the strong convergence in W1,n. Some estimates of the rate of the convergence for the module of minimizers are presented.
文摘In this paper, we introduce the concept of a (weak) minimizer of order k for a nonsmooth vector optimization problem over cones. Generalized classes of higher-order cone-nonsmooth (F, ρ)-convex functions are introduced and sufficient optimality results are proved involving these classes. Also, a unified dual is associated with the considered primal problem, and weak and strong duality results are established.
文摘This paper considers the concave minimization problem with linear constrailits,proposes a technique which may avoid the unsuitable Karush-Kuhn-Tucker poiats,then combines this technique with nank-Wolfe method and simplex method to form a pivoting method which can determine a strictly local minimizer of the problem in a finite number of iterations. Basing on strictly local minimizers, a new cutting plane method is proposed. Under some mild conditions, the new cutting plane method is proved to be finitely terminated at an θ-global minimizer of the problem.
基金Acknowledgements The authors would like to express their sincere gratitude to the two anonymous referees for their value comments and suggestions. This work was supported by the National Natural Science Foundation of China （Grant Nos. 61272023, 61101240）.
文摘We establish a general oracle inequality for regularized risk minimizers with strongly mixing observations, and apply this inequality to support vector machine （SVM） type algorithms. The obtained main results extend the previous known results for independent and identically distributed samples to the case of exponentially strongly mixing observations.
文摘Let Ω IR^N, （N ≥ 2） be a bounded smooth domain, p is Holder continuous on Ω^-, 1 〈 p^- ：= inf pΩ（x） ≤ p＋ = supp（x） Ω〈∞, and f：Ω^-× IR be a C^1 function with f（x,s） ≥ 0, V （x,s） ∈Ω × R^＋ and sup ∈Ωf（x,s） ≤ C（1＋s）^q（x）, Vs∈IR^＋,Vx∈Ω for some 0〈q（x） ∈C（Ω^-） satisfying 1 〈p（x） 〈q（x） ≤p^＊ （x） -1, Vx ∈Ω ^- and 1 〈 p^- ≤ p^＋ ≤ q- ≤ q＋. As usual, p＊ （x） = Np（x）/N-p（x） if p（x） 〈 N and p^＊ （x） = ∞- if p（x） if p（x） 〉 N. Consider the functional I： W0^1,p（x） （Ω） →IR defined as I（u） def= ∫Ω1/p（x）｜△｜^p（x）dx-∫ΩF（x,u^＋）dx,Vu∈W0^1,p（x）（Ω）,where F （x, u） = ∫0^s f （x,s） ds. Theorem 1.1 proves that if u0 ∈ C^1 （Ω^-） is a local minimum of I in the C1 （Ω^-） ∩C0 （Ω^-）） topology, then it is also a local minimum in W0^1,p（x） （Ω）） topology. This result is useful for proving multiple solutions to the associated Euler-lagrange equation （P） defined below.
基金Suppotred by Tianjin Key Medical Discipline Construction Project(No.TJYXZDXK-3-004A-2).
文摘AIM:To present an overview of the research on global glaucoma treatment in the last decade in terms of publication year,journals,countries/regions,organizations,references,and keywords,to investigate the current research international trends and hot topics in this area.METHODS:Bibliometric analysis was conducted on 9128 articles in the Web of Science Core Collection(WoSCC;Clarivate)database.Quantitative and qualitative analysis was employed using VOSviewer(v1.6.18),Pajek(v1.0.0.0),and CiteSpace(v6.1.R2)software.RESULTS:The 9128 papers relating to glaucoma treatment were published from April 2013 to April 2023,of which 7482 articles(82%)were original research articles and 1464(18%)were review articles.The United States(2867)and Johns Hopkins University(166)were the most productive country and institution,respectively,but the University College London had the highest h-index(54).The Journal of Glaucoma was the most productive and Ophthalmology had the highest h-index compared with other journals.The Keywords of interest included treatment surgery,cyclophotocoagulation,minimally invasive glaucoma surgery(MIGS),trabeculectomy,baerveldt,epidemiology,medication adherence,nanoparticle,optical coherence tomography(OCT),gene therapy,and artificial intelligence(AI).Glaucoma surgery appeared as a current research hotspot through the analysis of keywords.CONCLUSION:This study provides insights into the research trends and potential research hotspots in the treatment of glaucoma.This will help researchers to evaluate research policies and to promote international cooperation.
文摘Overweight and obesity has been a major public health problem globally.It was estimated that more than 2.1 billion adults were affected by overweight or obese in 2021 worldwide,about one fifth of whom lived in China^([1]).By 2050,the country is forecast to remain the one with the largest population of overweight and obese globally^([1]),if no effective strategies were applied on overweight/obesity control.
文摘AIM:To investigate the efficacy and safety of 90°inferonasal sectoral goniotomy with an micro-vitreoretinal(MVR)blade in patients with mild-to-moderate primary open-angle glaucoma(POAG)and pseudoexfoliation glaucoma(PEXG).METHODS:This retrospective study included data from 60 patients(60 eyes)who underwent stand-alone goniotomy or goniotomy with phacoemulsification between August 2021 and January 2023,and 45 eyes underwent goniotomy combined with phacoemulsification,and 15 eyes underwent goniotomy as a stand-alone procedure.Postoperatively,intraocular pressure(IOP)and the number of medications were collected at 1,3,6,and 12 mo.The side effects of surgery were recorded 1 d,1 wk,and 1,3,6,and 12 mo postoperatively.The primary outcomes were a reduction in IOP of at least 20%from baseline and a decrease in the number of antiglaucomatous medications in 1 a postoperatively.The secondary outcome was surgical success,defined as an IOP<18 mmHg with(qualified)or without(complete)antiglaucomatous medication at 1 a postoperatively.RESULTS:At the end of 1 a,78%of patients achieved both a>20%reduction in IOP and a reduction in the number of medications used.Overall success was achieved in 63%of patients.Microhyphaema was the most common complication,none of the patients experienced a complication requiring surgical intervention.CONCLUSION:Sectoral inferonasal goniotomy with an MVR blade significantly reduced IOP and the number of medications required in patients with POAG and PEXG,and 1-year follow-up after goniotomy showed that the need for filtering surgery was either eliminated or delayed in a significant number of patients.
文摘BACKGROUND Robotic assistance is increasingly used for donor and recipient hepatectomy in liver transplantation,yet existing evidence is fragmented and variably indirect.AIM To evaluate clinical outcomes,surgical performance,and economic effects of robotic-assisted donor and recipient hepatectomy in the transplant pathway.METHODS Following Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 and a priori registration,systematic reviews were included with or without meta-analysis.Four databases were searched through July 2025.Methodological quality was appraised with a measurement tool to assess systematic reviews(AMSTAR 2),and certainty was graded with grading of recommendations assessment,development and evaluation(GRADE).Evidence overlap was calculated via a citation-matrix-based corrected covered area(CCA).Effect sizes were prespecified as risk ratios(RR)for dichotomous outcomes and mean differences for continuous outcomes.RESULTS Five reviews met the inclusion criteria,four with meta-analyses and one consensus review used only for context.Donor(direct)findings were more favorable for robotics in terms of estimated blood loss(≈-117 mL)and length of stay(≈-0.6 days),although with longer operative time(≈+105 minutes).Absolute risks for donor complications were not estimable from ratio-only data.Recipient(indirect)meta-analysis indicated robotics to be favorable in terms of conversion(RR≈0.41)and severe morbidity(RR≈0.81),with a trend toward lower overall morbidity(RR≈0.92)and no difference in 30-day mortality.Differences in length of stay and operative time were small and heterogeneous.Economic evidence(indirect,network meta-analysis)suggested higher procedural costs for robotic vs laparoscopic intervention,but lower hospitalization costs vs open intervention,with laparoscopy the least expensive overall.AMSTAR 2 ratings were moderate-to-high across the reviews,GRADE certainty was low for key donor continuous outcomes,and low-to-moderate for recipient and economic outcomes.Overlap was slight(graded-corpus CCA=0.0%;including a contextual non-transplant review increased CCA to≈1.25%).CONCLUSION Robotic donor hepatectomy confers perioperative advantages at the cost of longer operative time.Recipient and economic findings are indirect and considered hypothesis-generating.Transplant-specific,prospective comparisons using a minimum standardized dataset and uniform outcome definitions are needed to resolve remaining uncertainties and to clarify the cost-utility correlation.
基金Supported by National Natural Science Foundation of China(12161078)Foundation for Innovative Fundamental Research Group Project of Gansu Province(24JRRA778)Project of Northwest Normal University(20240010)。
文摘In this paper,we studyλ-biharmonic hypersurfaces M_(r)^(5) of 6-dimensional pseudo Riemannian space form N_(p)^(6)(c)with the indexs 0≤p≤6,r=p−1 or p,and constant curvature c.It was proved that if the shape operator of M_(r)^(5) is diagonalizable,then the mean curvature is a constant.As an application,we find some types of biharmonic hypersurfaces of N_(p)^(6)(c)are minimal.
文摘Over the past ten years,numerous papers have been published on the use of indocyanine green(ICG)fluorescence in liver surgery for hepatocellular carcinoma(HCC).There are many different applications.The first involves targeting superficial tumors in patients with macronodular cirrhosis and an irregular liver surface.In a minimally invasive setting,the lack of tactile feedback on the hepatic surface makes detecting subcapsular HCC with ultrasound alone challenging.ICG fusion images can mimic the tactile feedback of the hand and act as an ultrasound booster.ICG fluorescence can be used to evaluate tumor residues after minimally invasive thermal ablation.ICG fluorescence imaging can also be used to identify the grade of HCC early on and evaluate the microinvasive component.
文摘BACKGROUND Living donor kidney transplantation is the optimal method of long-term renal replacement therapy.Minimally invasive donor nephrectomy techniques,such as robot-assisted(RALDN)and hand-assisted(HALDN)laparoscopic procedures,are well-established in high-income countries and are being increasingly adopted worldwide.Nevertheless,no studies have reported surgical outcomes of RALDN donor nephrectomy from a United Kingdom center to date.AIM To compare surgical outcomes between RALDN and HALDN laparoscopic donor nephrectomy in a United Kingdom high-volume living kidney donor transplant program.METHODS A case-control matching analysis was performed based on the following parameters:Sex,age,body mass index,procedure laterality,number of renal arteries,and previous abdominal surgeries.Key surgical outcomes,including primary warm ischemia time,operative duration,and post-operative recovery,were evaluated.RESULTS In this cohort of 140 living donors(70 RALDN vs 70 HALDN),donor and recipient outcomes were equivalent across key metrics:Pain scores,overall complication rates,readmissions,reoperations,and creatinine levels at 30 days and 1 year.Recipient long-term renal function did not differ between groups.Operative time for RALDN decreased significantly over the study period,indicating progressive improvement along the learning curve.Although RALDN was associated with a modestly longer mean warm ischaemia time(3.53 minutes vs 2.76 minutes,P<0.001)and extended hospital stay(4.21 days vs 3.17 days,P<0.001),these did not translate into any disadvantage in clinical outcomes.CONCLUSION In this first United Kingdom comparative cohort,RALDN demonstrated excellent safety and efficacy,even in the early phase of our programme,matching the outcomes of the well-established,gold-standard HALDN approach.Moreover,the pronounced learning-curve trajectory suggests considerable potential for further improvements in robotic surgical outcomes as the programme matures.
