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Vortex-Induced Vibration Characteristics of an Underwater Manipulator in Pulsating Flow
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作者 Yongqi Li Xia Liu +3 位作者 Zongqiang Li Derong Duan Senliang Dai Hui Zhang 《哈尔滨工程大学学报(英文版)》 2026年第1期63-81,共19页
Vortex-induced vibration(VIV)of an underwater manipulator in pulsating flow presents a notable engineering problem in precise control due to the velocity variation in the flow.This study investigates the VIV response ... Vortex-induced vibration(VIV)of an underwater manipulator in pulsating flow presents a notable engineering problem in precise control due to the velocity variation in the flow.This study investigates the VIV response of an underwater manipulator subjected to pulsating flow,focusing on how different postures affect the behavior of the system.The effects of pulsating parameters and manipulator arrangement on the hydrodynamic coefficient,vibration response,motion trajectory,and vortex shedding behaviors were analyzed.Results indicated that the cross flow vibration displacement in pulsating flow increased by 32.14%compared to uniform flow,inducing a shift in the motion trajectory from a crescent shape to a sideward vase shape.In the absence of interference between the upper and lower arms,the lift coefficient of the manipulator substantially increased with rising pulsating frequency,reaching a maximum increment of 67.0%.This increase in the lift coefficient led to a 67.05%rise in the vibration frequency of the manipulator in the in-line direction.As the pulsating amplitude increased,the drag coefficient of the underwater manipulator rose by 36.79%,but the vibration frequency in the cross-flow direction decreased by 56.26%.Additionally,when the upper and lower arms remained in a state of mutual interference,the cross-flow vibration amplitudes of the upper and lower arms were approximately 1.84 and 4.82 times higher in a circular-elliptical arrangement compared to an elliptical-circular arrangement,respectively.Consequently,the flow field shifted from a P+S pattern to a disordered pattern,disrupting the regularity of the motion trajectory. 展开更多
关键词 Underwater manipulator Pulsating flow Vortex-induced vibration TRAJECTORY Overlapping mesh method
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腹腔镜全胃切除术联合食管空肠π吻合与Overlap吻合对胆囊容积及血清前白蛋白水平影响的对比研究
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作者 张俊飞 周伯良 +3 位作者 杨茜 牛帅 张一曼 张惠卿 《腹腔镜外科杂志》 2025年第4期246-250,256,共6页
目的:探讨腹腔镜全胃切除术中采用食管空肠π吻合对胆囊容积、血清前白蛋白水平的影响。方法:回顾分析2021年9月至2023年10月为80例胃癌患者行腹腔镜全胃切除术的临床资料,根据消化道重建方式分为Overlap组(行Overlap吻合,n=36)、π吻合... 目的:探讨腹腔镜全胃切除术中采用食管空肠π吻合对胆囊容积、血清前白蛋白水平的影响。方法:回顾分析2021年9月至2023年10月为80例胃癌患者行腹腔镜全胃切除术的临床资料,根据消化道重建方式分为Overlap组(行Overlap吻合,n=36)、π吻合组(行食管空肠π吻合,n=44)。比较两组手术情况、胆囊容积相关指标、营养指标、术后并发症及生活质量。结果:π吻合组手术时间短于Overlap组(P<0.05)。术后3个月,π型组空腹胆囊容积、脂肪餐后胆囊容积、与术前差值均小于Overlap组;白蛋白、血红蛋白、总蛋白、前白蛋白与术前差值均大于Overlap组(P<0.05),BMI与术前差值小于O verlap组(P<0.05);两组术后并发症、胆囊收缩率差异无统计学意义(P>0.05)。术后随访6个月,两组Visick分级差异无统计学意义(P>0.05),π吻合组胃肠道症状评定量表评分低于Overlap组(P<0.05)。结论:与Overlap吻合相比,腹腔镜全胃切除术中采用食管空肠π吻合具有更好的临床效果,可有效缩短手术时间,利于改善胆囊容积,减少胆囊功能障碍的发生,改善患者营养状况,提高生活质量。 展开更多
关键词 胃切除术 腹腔镜检查 食管空肠π吻合 Overlap吻合 胆囊容积 前白蛋白
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基于指标数据差异化分析自牵引Overlap吻合在全腔镜右半结肠癌中的应用价值
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作者 薛建飞 杨侃侃 +2 位作者 汤朝 江涛 江兵 《中文科技期刊数据库(引文版)医药卫生》 2025年第7期106-111,共6页
研究自牵引Overlap吻合在全腔镜右半结肠癌中的应用价值。方法 右半结肠癌患者63例均于2021年1月至2023年9月在本院接受手术治疗。以术中吻合方式的不同展开分组,对照组33例进行腹腔镜辅助切口吻合,观察组30例实施自牵引Overlap吻合。... 研究自牵引Overlap吻合在全腔镜右半结肠癌中的应用价值。方法 右半结肠癌患者63例均于2021年1月至2023年9月在本院接受手术治疗。以术中吻合方式的不同展开分组,对照组33例进行腹腔镜辅助切口吻合,观察组30例实施自牵引Overlap吻合。对比两组的围术期相关情况、并发症情况。结果 观察组术后切口长度短于对照组,吻合、术后肛门首次排气与住院相关时间均更短,P<0.05;并发症发生率组间对比,P>0.05。结论 在全腔镜右半结肠癌根治术中应用自牵引Overlap吻合的效果显著,创伤小且可使疼痛减轻,加快患者康复速度。 展开更多
关键词 右半结肠癌 腔镜 自牵引Overlap吻合
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机器人辅助下全胃切除术Overlap吻合与π吻合对患者术后短期疗效及安全性研究分析
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作者 刘珊 邱庆安 邢兆东 《临床普外科电子杂志》 2025年第3期2-6,共5页
目的 探究机器人辅助下全胃切除术中Overlap吻合与π吻合术后短期疗效及安全性。方法 选取2022年1月至2025年1月于海南省人民医院接受全胃切除术患者103例作为研究对象,按照随机数字表法分成两组,其中Overlap组接受Overlap吻合术(n=52)... 目的 探究机器人辅助下全胃切除术中Overlap吻合与π吻合术后短期疗效及安全性。方法 选取2022年1月至2025年1月于海南省人民医院接受全胃切除术患者103例作为研究对象,按照随机数字表法分成两组,其中Overlap组接受Overlap吻合术(n=52),π组接受π吻合术(n=51),比较两组的手术情况(手术时间、消化道重建时间、术中出血量、淋巴结清扫个数、吻合时间)、术后恢复(术后镇痛时间、下床活动时间、肛门排气时间、术后住院时间)、营养指标、并发症发生情况。结果 π组患者的手术时间、吻合时间短于Overlap组(P<0.05);两组患者的术中出血量和淋巴结清扫个数比较差异无显著性(P>0.05);π组患者术后肛门排气时间和术后住院时间短于Overlap组(P<0.05);两组患者的术后镇痛时间和下床活动时间比较差异无显著性(P>0.05)。术后3个月,两组的血红蛋白、白蛋白、前白蛋白水平均较术前升高(P<0.05),但两组比较差异无显著性(P>0.05)。π组患者并发症发生率显著低于Overlap组患者(P<0.05)。结论 在机器人辅助全胃切除术中,π吻合的手术时间短,患者术后恢复较快,且并发症发生率低,短期疗效显著且具备较高的安全性。 展开更多
关键词 机器人 全胃切除术 Overlap吻合 π吻合
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Deformation analysis of ground and existing tunnel induced by overlapped curved shield tunneling 被引量:1
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作者 Yingnan Liu Huayang Lei +2 位作者 Liang Shi Gang Zheng Mengting Wang 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第2期795-809,共15页
The deformation caused by tunnel excavation is quite important for safety,especially when it is adjacent to the existing tunnel.Nevertheless,the investigation of deformation characteristics in overlapped curved shield... The deformation caused by tunnel excavation is quite important for safety,especially when it is adjacent to the existing tunnel.Nevertheless,the investigation of deformation characteristics in overlapped curved shield tunneling remains inadequate.The analytical solution for calculating the deformation of the ground and existing tunnel induced by overlapped curved shield tunneling is derived by the Mirror theory,Mindlin solution and Euler-Bernoulli-Pasternak model,subsequently validated through both finite element simulation and field monitoring.It is determined that the overcutting plays a crucial role in the ground settlement resulting from curved shield tunneling compared to straight shield tunneling.The longitudinal settlement distribution can be categorized into five areas,with the area near the tunnel surface experiencing the most dramatic settlement changes.The deformation of the existing tunnel varies most significantly with turning radius compared to tunnel clearance and grouting pressure,especially when the turning radius is less than 30 times the tunnel diameter.The tunnel crown exhibits larger displacement than the tunnel bottom,resulting in a distinctive‘vertical egg'shape.Furthermore,an optimized overcutting mode is proposed,involving precise control of the extension speed and angular velocity of the overcutting cutter,which effectively mitigates ground deformation,ensuring the protection of the existing tunnel during the construction. 展开更多
关键词 Overlapped curved shield tunneling Analytical solution Ground deformation Existing tunnel Overcutting mode
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Bulging Performance and Quality Control of Aluminum Alloy Tailor-welded Overlapping Sheets Based on Interface Friction
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作者 GAO Tiejun GAO Bowen +1 位作者 LI Weijie ZHANG Jiabin 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2025年第1期258-264,共7页
In order to solve the problem of poor formability caused by different materials and properties in the process of tailor-welded sheets forming,a forming method was proposed to change the stress state of tailor-welded s... In order to solve the problem of poor formability caused by different materials and properties in the process of tailor-welded sheets forming,a forming method was proposed to change the stress state of tailor-welded sheets by covering the tailor-welded sheets with better plastic properties overlapping sheets.At the same time,the interface friction effect between the overlapping and tailor-welded sheets was utilized to control the stress magnitude and further improve the formability and quality of the tailor-welded sheets.In this work,the bulging process of the tailor-welded overlapping sheets was taken as the research object.Aluminum alloy tailor-welded overlapping sheets bulging specimens were studied by a combination of finite element analysis and experimental verification.The results show that the appropriate use of interface friction between tailor-welded and overlapping sheets can improve the formability of tailor-welded sheets and control the flow of weld seam to improve the forming quality.When increasing the interface friction coefficient on the side of tailor-welded sheets with higher strength and decreasing that on the side of tailor-welded sheets with lower strength,the deformation of the tailor-welded sheets are more uniform,the offset of the weld seam is minimal,the limit bulging height is maximal,and the forming quality is optimal. 展开更多
关键词 tailor-welded sheets overlapping sheet BULGING interface friction weld seam stress
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双向缝合式食管空肠Overlap吻合在全腹腔镜全胃切除术中的应用
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作者 伍映鑫 杨信希 +2 位作者 郭朋森 聂攀 刘雁军 《中国普外基础与临床杂志》 2025年第12期1543-1548,共6页
目的 探讨双向缝合式食管空肠Overlap吻合在全腹腔镜全胃切除术中的应用价值。方法 回顾性收集2020年12月至2023年12月期间在成都市第三人民医院胃肠外科接受全腹腔镜全胃切除术的128例胃癌患者的临床病理资料。观察组采用双向缝合式食... 目的 探讨双向缝合式食管空肠Overlap吻合在全腹腔镜全胃切除术中的应用价值。方法 回顾性收集2020年12月至2023年12月期间在成都市第三人民医院胃肠外科接受全腹腔镜全胃切除术的128例胃癌患者的临床病理资料。观察组采用双向缝合式食管空肠Overlap吻合法,对照组采用Overlap食管空肠侧-侧吻合,比较2组患者的疗效指标。结果 共纳入128例患者,其中观察组80例,对照组48例。观察组患者的术中吻合时间[(25.75±5.78)min比(29.43±2.73)min,P<0.001]、手术时间[(244.81±39.16)min比(257.18±44.36)min,P=0.037]、术后肛门排气时间[(2.30±0.80)d比(2.85±1.33)d,P=0.004]、术后住院时间[(7.15±2.10)d比(9.00±2.66)d,P<0.001]与对照组相比均减少。观察组术后有1例发生吻合口漏(Clavien-DindoⅡ级),经保守治疗后好转出院。所有患者获得随访,随访时间范围为术后1~12个月,随访时间中位数为12个月。随访期间出现4例死亡(观察组2例,对照组2例),均为非肿瘤性死亡,无其他并发症、复发及转移发生。结论 全腹腔镜全胃切除术中应用双向缝合式食管空肠Overlap吻合法是安全可行的,具有良好的近期疗效。 展开更多
关键词 双向缝合式食管空肠Overlap吻合 胃癌 全腹腔镜全胃切除术 效果
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RETRACTION:Artificial Intelligence for Emergency Medical Care
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《Health Care Science》 2025年第5期375-375,共1页
The above article,published online on 13 October 2023 in Wiley Online Library(wileyonlinelibrary.com),has been retracted by agreement between the journal Editor‐in‐Chief,Zongjiu Zhang;Tsinghua University Press;and J... The above article,published online on 13 October 2023 in Wiley Online Library(wileyonlinelibrary.com),has been retracted by agreement between the journal Editor‐in‐Chief,Zongjiu Zhang;Tsinghua University Press;and John Wiley&Sons Ltd.The retraction has been agreed due to unattributed overlap between this article and a previously published article[1].The corresponding author R.Malviya disagrees with the retraction.S.Rajput and P.K.Sharma were informed of the decision to retract but remained unresponsive. 展开更多
关键词 emergency medical care unattributed overlap artificial intelligence OVERLAP RETRACTION
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Multi-omics analysis reveals gut microbiota-metabolite interactions and their association with liver function in autoimmune overlap syndrome
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作者 Qi Wang Li-Na Sun +7 位作者 Han Shi Xin-Yue Ma Wen Gao Bin Xu Xiao Lin Yan-Min Liu Chun-Yang Huang Rong-Hua Jin 《World Journal of Gastroenterology》 2025年第25期26-44,共19页
BACKGROUND Autoimmune liver diseases,including primary biliary cholangitis(PBC),autoi-mmune hepatitis(AIH),and their overlap syndrome(OS),involve immune-mediated liver injury,with OS occurring in 1.2%-25%of PBC patien... BACKGROUND Autoimmune liver diseases,including primary biliary cholangitis(PBC),autoi-mmune hepatitis(AIH),and their overlap syndrome(OS),involve immune-mediated liver injury,with OS occurring in 1.2%-25%of PBC patients.OS carries a higher risk of cirrhosis,hepatocellular carcinoma,and reduced survival.While its pathogenesis remains unclear,gut microbiota dysbiosis and serum metabolite alterations may play key roles.This study uses 16S rRNA sequencing and liquid chromatography-mass spec-trometry(LC-MS)metabolomics to compare gut microbiota and serum metabolites among PBC,AIH,and OS patients,and explores their associations with liver function.AIM To differentiate OS from PBC and AIH based on gut microbiota,serum metabolites,and liver function.METHODS Gut microbiota profiles were analyzed using 16S rRNA sequencing,while untargeted serum metabolomics was conducted via LC-MS.Comparative analyses were performed to identify differences in microbial composition and serum metabolite levels among PBC,AIH,and OS groups.Correlation analyses and network visualization tech-niques were applied to elucidate the interactions among liver function parameters,gut microbiota,and serum metabolites in OS patients.RESULTS Compared to patients with PBC or AIH,OS patients demonstrated significantly reduced microbial diversity and richness.Notable taxonomic shifts included decreased abundances of Firmicutes,Bacteroidetes,and Actinobacteria,alongside increased levels of Proteobacteria and Verrucomicrobia.Distinct serum metabolites,such as pentadecanoic acid and aminoimidazole carboxamide ribonucleotide,were identified in OS patients.Correlation analysis revealed that aspartate aminotransferase(AST)levels were negatively associated with the bacterial genus Fusicatenibacter and the metabolite L-Tyrosine.A microbial-metabolite network diagram further confirmed a strong association between Fusicatenibacter and L-Tyrosine in OS patients.CONCLUSION OS patients show decreased gut microbiota diversity and unique serum metabolites.Multi-omics linked AST,Fusicatenibacter,and L-Tyrosine,revealing OS mechanisms and diagnostic potential. 展开更多
关键词 Overlap syndrome Multi-omics Gut microbiomes METABOLITES Liver function
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Cluster Overlap as Objective Function
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作者 Pasi Fränti Claude Cariou Qinpei Zhao 《Computers, Materials & Continua》 2025年第12期4687-4704,共18页
K-means uses the sum-of-squared error as the objective function to minimize within-cluster distances.We show that,as a consequence,it also maximizes between-cluster variances.This means that the two measures do not pr... K-means uses the sum-of-squared error as the objective function to minimize within-cluster distances.We show that,as a consequence,it also maximizes between-cluster variances.This means that the two measures do not provide complementary information and that using only one is enough.Based on this property,we propose a new objective function called cluster overlap,which is measured intuitively as the proportion of points shared between the clusters.We adopt the new function within k-means and present an algorithm called overlap k-means.It is an alternative way to design a k-means algorithm.A localized variant is also provided by limiting the overlap calculation to the neighboring points. 展开更多
关键词 Clustering k-means overlap measure within-cluster distance between-cluster distance arbitrary-shape clusters
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Dineutron and diproton correlations in the exotic nuclei^(6)He and^(6)Be
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作者 Xiao-Quan Du Cong-Wu Wang +2 位作者 De-Ye Tao Bo Zhou Yu-Gang Ma 《Nuclear Science and Techniques》 2025年第11期243-249,共7页
To investigate the structural configuration of^(6)He and^(6)Be in a three-cluster system and to highlight dinucleon correlations,we performed a two-cluster overlap amplitude(TCOA)calculation,which is an extension of t... To investigate the structural configuration of^(6)He and^(6)Be in a three-cluster system and to highlight dinucleon correlations,we performed a two-cluster overlap amplitude(TCOA)calculation,which is an extension of the RWA formalism.The total wave functions were obtained using the generator coordinate method with microscopic cluster wave functions.Based on these wave functions,we calculated the overlap amplitudes to extract the relative motion and spatial correlations between clusters.The computed energy spectra showed reasonable agreement with the experimental data,emphasizing the effectiveness of the present framework for investigating dinucleon correlations in light nuclei.Our results revealed the presence of both dinucleon-like and cigar-like configurations in the ground states of^(6)He and^(6)Be,indicating a coexistence of compact and extended cluster structures.Furthermore,the 2_(1)^(+)state of^(6)He revealed a pronounced dineutron structure,with strong spatial correlations between the two valence neutrons.We also performed calculations for the higher-lying 2_(1)^(+)state,which showed a more spatially extended structure and provided potential references for future experimental investigations.These findings demonstrated that the TCOA method served as a powerful tool to explore cluster dynamics and dinucleon features in light,weakly bound nuclear systems. 展开更多
关键词 Diproton Dineutron Nuclear cluster model Halo nuclei Overlap amplitude
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Distribution pattern and niche overlap of sympatric breeding birds alonghuman-modified habitat gradients in Inner Mongolia,China
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作者 Xi Yang Lishi Zhang +3 位作者 Piotr Tryjanowski Frédéric Jiguet Zheng Han Haitao Wang 《Avian Research》 2025年第1期11-20,共10页
The transformation of natural habitats into human-modified landscapes has far-reaching consequences for species distribution and abundance.As species adapt to these changing environments,shifts in distribution pattern... The transformation of natural habitats into human-modified landscapes has far-reaching consequences for species distribution and abundance.As species adapt to these changing environments,shifts in distribution patterns,niche dynamics,and interspecies interactions may occur,impacting biodiversity at multiple levels and potentially leading to ecosystem imbalances.This study aims to assess the impact of variations in vegetation composition and human disturbance on the distribution of sympatric breeding birds and to determine the extent of niche overlap or differentiation among these species.We conducted field surveys and collected data on bird distribution,vegetation composition,and level of human disturbance in eastern Inner Mongolian grasslands.We focused on the six most frequently co-occurring breeding birds,representing a mix of sparrows,larks,and corvids.Generalized Additive Models revealed varying responses of species occurrence along habitat gradients.Species like the Eurasian Skylark(Alauda arvensis),Mongolian Lark(Melanocorypha mongolica),and Asian Shorttoed Lark(Calandrella cheleensis),increased in larger and more connected habitats,while others,like the Tree Sparrow(Passer montanus),Eurasian Magpie(Pica pica),and Barn Swallow(Hirundo rustica),adapted to more fragmented habitats.Niche analysis indicated habitat generalists tended to occupy larger niches than grassland specialists.Substantial niche overlap was also found among the six co-occurring bird species.Conservation efforts should consider the specific needs of specialist species and strive to maintain or restore critical grassland habitats.Additionally,promoting sustainable agricultural practices that balance the needs of birds and human activities can contribute to the coexistence of generalist and specialist bird species in modified landscapes. 展开更多
关键词 Breeding birds Community assembly Habitat selection Niche overlap Species co-existence
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Enhancing p-d hybridization via synergistic regulation of spatial and energetic orbital overlaps in Ba-doped LaNiO_(3)epitaxial films for oxygen evolution activity
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作者 Yingjia Li Xiang Xu +11 位作者 Xiaoyu Qiu Jie Tu Zijian Chen Yujie Zhou Zhao Guan Youyuan Zhang Wen-Yi Tong Shaohui Xu Ni Zhong Pinghua Xiang Chun-Gang Duan Binbin Chen 《Chinese Physics B》 2025年第5期157-163,共7页
The hybridization between oxygen 2p and transition-metal 3d states largely determines the electronic structure near the Fermi level and related functionalities of transition-metal oxides(TMOs).Considerable efforts hav... The hybridization between oxygen 2p and transition-metal 3d states largely determines the electronic structure near the Fermi level and related functionalities of transition-metal oxides(TMOs).Considerable efforts have been made to manipulate the p-d hybridization in TMOs by tailoring the spatial orbital overlap via structural engineering.Here,we demonstrate enhanced p-d hybridization in Ba^(2+)-doped LaNiO_(3)epitaxial films by simultaneously modifying both the spatial and energetic overlaps between the O-2p and Ni-3d orbitals.Combining x-ray absorption spectroscopy and firstprinciples calculations,we reveal that the enhanced hybridization stems from the synergistic effects of a reduced chargetransfer energy due to hole injection and an increased spatial orbital overlap due to straightening of Ni-O-Ni bonds.We further show that the enhanced p-d hybridization can be utilized to promote the oxygen evolution activity of LaNiO_(3).This work sheds new insights into the fine-tuning of the electronic structures of TMOs for enhanced functionalities. 展开更多
关键词 transition-metal oxide doping p-d hybridization orbital overlap oxygen evolution activity
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A Computationally Efficient Density-Aware Adversarial Resampling Framework Using Wasserstein GANs for Imbalance and Overlapping Data Classification
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作者 Sidra Jubair Jie Yang +2 位作者 Bilal Ali Walid Emam Yusra Tashkandy 《Computer Modeling in Engineering & Sciences》 2025年第7期511-534,共24页
Effectively handling imbalanced datasets remains a fundamental challenge in computational modeling and machine learning,particularly when class overlap significantly deteriorates classification performance.Traditional... Effectively handling imbalanced datasets remains a fundamental challenge in computational modeling and machine learning,particularly when class overlap significantly deteriorates classification performance.Traditional oversampling methods often generate synthetic samples without considering density variations,leading to redundant or misleading instances that exacerbate class overlap in high-density regions.To address these limitations,we propose Wasserstein Generative Adversarial Network Variational Density Estimation WGAN-VDE,a computationally efficient density-aware adversarial resampling framework that enhances minority class representation while strategically reducing class overlap.The originality of WGAN-VDE lies in its density-aware sample refinement,ensuring that synthetic samples are positioned in underrepresented regions,thereby improving class distinctiveness.By applying structured feature representation,targeted sample generation,and density-based selection mechanisms strategies,the proposed framework ensures the generation of well-separated and diverse synthetic samples,improving class separability and reducing redundancy.The experimental evaluation on 20 benchmark datasets demonstrates that this approach outperforms 11 state-of-the-art rebalancing techniques,achieving superior results in F1-score,Accuracy,G-Mean,and AUC metrics.These results establish the proposed method as an effective and robust computational approach,suitable for diverse engineering and scientific applications involving imbalanced data classification and computational modeling. 展开更多
关键词 Machine learning imbalanced classification class overlap computational modelling adversarial resampling density estimation
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Anal sphincter reconstruction for fecal incontinence:Techniques,outcomes,and future directions
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作者 Hai-Liang Li Hao-Ran Zhang +3 位作者 Yuan Wu Kai-Qiang He Tian-Jie Chen Jing Wang 《World Journal of Gastrointestinal Surgery》 2025年第11期131-143,共13页
Fecal incontinence,a debilitating condition that significantly impairs quality of life,affects 2%-21%of adults worldwide.For patients whose structural defects are unresponsive to conservative therapies,sphincter recon... Fecal incontinence,a debilitating condition that significantly impairs quality of life,affects 2%-21%of adults worldwide.For patients whose structural defects are unresponsive to conservative therapies,sphincter reconstruction remains the primary treatment approach.Although traditional surgical techniques effectively restore anatomy in the short term,their long-term efficacy is constrained by progressive muscle atrophy and fibrotic scarring.In complex cases,alternative interventions,including dynamic gracilis or gluteus maximus transposition and artificial sphincter implantation,offer therapeutic options yet are associated with increased surgical risks and high complication rates.Emerging therapies such as regenerative medicine and neuromodulatory approaches have potential,although further rigorous clinical validation is needed to establish standardized protocols.Optimizing fecal incontinence management necessitates precise patient stratification,multidisciplinary collaboration,and the development of individualized treatment algorithms.Advancements in this field depend on large-scale clinical trials and comprehensive long-term outcome assessments to improve therapeutic efficacy and patient-centered care. 展开更多
关键词 Fecal incontinence Sphincter reconstruction Overlapping sphincteroplasty Sacral nerve stimulation Regenerative medicine
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Diabetic foot ulcer with overlap syndrome:A case report and review of literature
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作者 Shi-Yi Sun Da-Wei Chen +2 位作者 Jing Wu Yan Li Xing-Wu Ran 《World Journal of Diabetes》 2025年第9期255-263,共9页
BACKGROUND Diabetic foot ulcer(DFU)is a common and serious complication among individuals with diabetes.However,the co-occurrence of DFU with overlap syndrome,particularly involving anti-synthetase syndrome(ASS)and sy... BACKGROUND Diabetic foot ulcer(DFU)is a common and serious complication among individuals with diabetes.However,the co-occurrence of DFU with overlap syndrome,particularly involving anti-synthetase syndrome(ASS)and systemic sclerosis(SSc),is exceptionally rare.CASE SUMMARY We report a case of overlap syndrome(ASS and SSc)with diabetes manifesting as biped gangrene.The patient,a 60-year-old female,presented with painful ulcers on both heels that had persisted for nine months.She was diagnosed with DFU,which was likely attributable to SSc,suboptimal long-term glycemic control,and glucocorticoid therapy.Following four months of treatment,the patient demonstrated significant improvement and was subsequently discharged.At the oneyear follow-up,the patient developed new cyanotic ulcers on the right 4^(th) and 5^(th) toes ten months post-discharge that resolved completely within 3 months following conservative management.The four-year follow-up revealed persistent intermittent cyanosis without ulcer recurrence,although progressive interstitial lung disease necessitated prolonged bed rest.CONCLUSION SSc-related foot ulcers demonstrate favorable outcomes when managed with conventional wound care combined with vasoactive agents. 展开更多
关键词 Diabetic foot ulcer Overlap syndrome Anti-synthetase syndrome Systemic scleroderma Case report
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Overlapping community detection on attributed graphs via neutrosophic C-means
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作者 Yuhan Jia Leyan Ouyang +1 位作者 Qiqi Wang Huijia Li 《Chinese Physics B》 2025年第12期569-580,共12页
Detecting overlapping communities in attributed networks remains a significant challenge due to the complexity of jointly modeling topological structure and node attributes,the unknown number of communities,and the ne... Detecting overlapping communities in attributed networks remains a significant challenge due to the complexity of jointly modeling topological structure and node attributes,the unknown number of communities,and the need to capture nodes with multiple memberships.To address these issues,we propose a novel framework named density peaks clustering with neutrosophic C-means.First,we construct a consensus embedding by aligning structure-based and attribute-based representations using spectral decomposition and canonical correlation analysis.Then,an improved density peaks algorithm automatically estimates the number of communities and selects initial cluster centers based on a newly designed cluster strength metric.Finally,a neutrosophic C-means algorithm refines the community assignments,modeling uncertainty and overlap explicitly.Experimental results on synthetic and real-world networks demonstrate that the proposed method achieves superior performance in terms of detection accuracy,stability,and its ability to identify overlapping structures. 展开更多
关键词 attributed graphs overlapping communities neutrosophic C-means density peaks
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The lawc gene emerged de novo from conserved genomic elements and acquired a broad expression pattern in Drosophila
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作者 Roman O.Cherezov Julia E.Vorontsova +3 位作者 Elena E.Kuvaeva Angelina A.Akishina Ekaterina L.Zavoloka Olga B.Simonova 《Journal of Genetics and Genomics》 2025年第7期901-914,共14页
It has recently become evident that the de novo emergence of genes is widespread and documented for a variety of organisms.De novo genes frequently emerge in proximity to existing genes,forming gene overlaps.Here,we p... It has recently become evident that the de novo emergence of genes is widespread and documented for a variety of organisms.De novo genes frequently emerge in proximity to existing genes,forming gene overlaps.Here,we present an analysis of the evolutionary history of a putative de novo gene,lawc,which overlaps with the conserved Trf2 gene,which encodes a general transcription factor in Drosophila melanogaster.We demonstrate that lawc emerged approximately 68 million years ago in the 5'-untranslated region(UTR)of Trf2 and displays an extensive spatiotemporal expression pattern.One of the most remarkable features of the lawc evolutionary history is that its emergence was facilitated by the engagement of Drosophilidae-specific short,highly conserved regions located in Trf2 introns.This represents a unique example of putative de novo gene birth involving conserved DNA regions localized in introns of conserved genes.The observed lawc expression pattern may be due to the overlap of lawc with the 5'-UTR of Trf2.This study not only enriches our understanding of gene evolution but also highlights the complex interplay between genetic conservation and innovation. 展开更多
关键词 De novo gene Overlapping genes Conserved regulatory element Expression pattern DROSOPHILA
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An Overlapped Multihead Self-Attention-Based Feature Enhancement Approach for Ocular Disease Image Recognition
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作者 Peng Xiao Haiyu Xu +3 位作者 Peng Xu Zhiwei Guo Amr Tolba Osama Alfarraj 《Computers, Materials & Continua》 2025年第11期2999-3022,共24页
Medical image analysis based on deep learning has become an important technical requirement in the field of smart healthcare.In view of the difficulties in collaborative modeling of local details and global features i... Medical image analysis based on deep learning has become an important technical requirement in the field of smart healthcare.In view of the difficulties in collaborative modeling of local details and global features in multimodal image analysis of ophthalmology,as well as the existence of information redundancy in cross-modal data fusion,this paper proposes amultimodal fusion framework based on cross-modal collaboration and weighted attention mechanism.In terms of feature extraction,the framework collaboratively extracts local fine-grained features and global structural dependencies through a parallel dual-branch architecture,overcoming the limitations of traditional single-modality models in capturing either local or global information;in terms of fusion strategy,the framework innovatively designs a cross-modal dynamic fusion strategy,combining overlappingmulti-head self-attention modules with a bidirectional feature alignment mechanism,addressing the bottlenecks of low feature interaction efficiency and excessive attention fusion computations in traditional parallel fusion,and further introduces cross-domain local integration technology,which enhances the representation ability of the lesion area through pixel-level feature recalibration and optimizes the diagnostic robustness of complex cases.Experiments show that the framework exhibits excellent feature expression and generalization performance in cross-domain scenarios of ophthalmic medical images and natural images,providing a high-precision,low-redundancy fusion paradigm for multimodal medical image analysis,and promoting the upgrade of intelligent diagnosis and treatment fromsingle-modal static analysis to dynamic decision-making. 展开更多
关键词 Overlapping multi-head self-attention deep learning cross-modal dynamic fusion multi-level fusion
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What determines survival in autoimmune liver disease overlap syndromes:A critical commentary
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作者 Jian-Guo Zhang Yan-Wei Wang +1 位作者 Lan Li Biao Wen 《World Journal of Hepatology》 2025年第5期209-212,共4页
Recently,Jayabalan et al published an important study.The authors defined the liver outcome score as a novel biomarker for predicting liver-related mortality in patients with autoimmune hepatitis-primary biliary chola... Recently,Jayabalan et al published an important study.The authors defined the liver outcome score as a novel biomarker for predicting liver-related mortality in patients with autoimmune hepatitis-primary biliary cholangitis overlap syndrome.After thoroughly reviewing their work,we offer insights that primarily relate to their study design to enhance the medical community’s understanding of this complex disease. 展开更多
关键词 Autoimmune liver disease overlap syndromes Autoimmune hepatitis Primary biliary cholangitis Primary sclerosing cholangitis Criterion Interventions COMMENT
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