BACKGROUND An efficient index holds the potential to predict rectal cancer prognosis.AIM To investigate the impact of neutrophil-to-lymphocyte ratio(NLR),platelet-tolymphocyte ratio(PLR),and monocyte-to-lymphocyte rat...BACKGROUND An efficient index holds the potential to predict rectal cancer prognosis.AIM To investigate the impact of neutrophil-to-lymphocyte ratio(NLR),platelet-tolymphocyte ratio(PLR),and monocyte-to-lymphocyte ratio(MLR)on rectal cancer prognosis.METHODS This retrospective study involved 180 patients with rectal cancer from the Changzhi People’s Hospital of Shanxi Province.A 2-mL blood sample was collected at 24 h preoperatively and 72 h postoperatively to measure neutrophils,lymphocytes,platelets,and monocytes using an automatic blood analyzer.Preoperative and postoperative NLR,PLR,and MLR were compared.Patients were followed up for 12 months and categorized into good and poor prognosis groups.A receiver operating characteristic curve was constructed to analyze their predictive values.RESULTS The NLR,PLR,and MLR values were significantly lower post-surgery(P<0.05).A total of 152 and 28 patients were categorized in the good and poor prognosis groups,respectively.Patients with poor prognoses exhibited slightly higher postoperative NLR,PLR,and MLR values than those with good prognoses(P<0.05).Receiver operating characteristic analysis showed that the area under the curve for NLR,PLR,and MLR was 0.828 with a sensitivity and specificity of 89.29%and 90.79%,respectively.These values were higher than individual NLR(area under the curve:0.660,sensitivity:67.86%,specificity:54.61%),PLR(0.668,75.00%,55.30%),and MLR(0.635,60.71%,48.03%),all showing statistically significant differences(P<0.05),effectively predicting patient outcomes.CONCLUSION The findings of this study indicated that NLR,PLR,and MLR values of patients with rectal cancer can be used to effectively predict the outcome of patients.展开更多
This paper presents a new capacity planning method that utilizes the complementary characteristics of wind and solar power output.It addresses the limitations of relying on a single metric for a comprehensive assessme...This paper presents a new capacity planning method that utilizes the complementary characteristics of wind and solar power output.It addresses the limitations of relying on a single metric for a comprehensive assessment of complementarity.To enable more accurate predictions of the optimal wind-solar ratio,a comprehensive complementarity rate is proposed,which allows for the optimization of wind-solar capacity based on this measure.Initially,the Clayton Copula function is employed to create a joint probability distribution model for wind and solar power,enabling the calculation of the comprehensive complementarity rate.Following this,a joint planning model is developed to enhance the system’s economy and reliability.The goal is to minimize total costs,load deficit rates,and curtailment rates by applying an ImprovedMulti-Objective Particle SwarmOptimization algorithm(IMOPSO).Results show that when the proportion of wind power reaches 70%,the comprehensive complementarity rate is optimized.This optimization leads to a 14.83%reduction in total costs and a 9.27%decrease in curtailment rates.Compared to existing studies,this paper offers a multidimensional analysis of the relationship between the comprehensive complementarity rate and the optimal wind-solar ratio,thereby improving predictive accuracy and providing a valuable reference for research on the correlation between wind and solar power.展开更多
This study employed a wet impregnation method to synthesize five types of Cu/HZSM-5 adsorbents with Si/Al ratios of 25,50,85,200,and 300,used for the removal of H_(2)S in lowtemperature,low-oxygen environments.The imp...This study employed a wet impregnation method to synthesize five types of Cu/HZSM-5 adsorbents with Si/Al ratios of 25,50,85,200,and 300,used for the removal of H_(2)S in lowtemperature,low-oxygen environments.The impact of different Si/Al ratios on the adsorption oxidative performance of Cu_(30)/HZSM-5–85 adsorbents was investigated.According to the performance test results,Cu_(30)/HZSM-5–85 exhibited the highest breakthrough capacity,reaching 231.75 mg H_(2)S/g_(sorbent).Cu/HZSM-5 sorbent maintains a strong ability to remove H_(2)S even under humid conditions and shows excellent water resistance.XRD,BET,and XPS results revealed that CuO is the primary active species,with Cu_(30)/HZSM-5–85 having the largest surface area and highest CuO content,providing more active sites for H_(2)S adsorption.H_(2)-TPR and O_(2)-TPD results confirmed that Cu_(30)/HZSM-5–85 sorbent exhibits outstanding redox properties and oxygen storage capacity,contributing to excellent oxygen transferability in the molecular sieve adsorption-oxidation process.With notable characteristics such as a large surface area,high desulfurization efficiency,and water resistance,Cu_(30)/HZSM-5–85 sorbents hold significant importance for industrial applications.展开更多
The gas-liquid countercurrent flow pattern is complex and the bubble migration velocity is difficult to predict in the process of bullheading well killing.The experiment on bubble migration in gas-liquid countercurren...The gas-liquid countercurrent flow pattern is complex and the bubble migration velocity is difficult to predict in the process of bullheading well killing.The experiment on bubble migration in gas-liquid countercurrent flow in annulus is carried out under different working conditions to reveal how the wellbore inclination angle,liquid phase property and countercurrent liquid velocity affect the bubble deformation and bubble migration trajectory/velocity,and to establish a bubble migration velocity prediction model.The bubbles in the countercurrent flow mainly migrate in two modes:free rising of isolated bubbles,and interactive rising of multiple bubbles.The bubbles migrate by an S-shaped trajectory in the countercurrent flow.With the increase of countercurrent liquid velocity,the lateral oscillation of bubbles is intensified.The increases of wellbore inclination angle,liquid density and liquid viscosity make the bubble migration trajectory gradually to be linear.The bubble is generally ellipsoidal during its rising.The wellbore inclination angle has little effect on the degree of bubble deformation.The bubbles are ellipsoidal during rising,with little influence of wellbore inclination angle on bubble deformation.With the increase of liquid viscosity and density,the aspect ratio of the bubble decreases.As the wellbore inclination angle increases,the bubble migration velocity gradually decreases.As the liquid viscosity increases,the bubble migration velocity decreases.As the liquid density increases,the bubble migration velocity increases slightly.The established bubble migration velocity prediction model yields errors within±15%,and demonstrates broad applicability across a wide range of operating conditions.展开更多
BACKGROUND The diagnosis of gastric carcinoma(GC)is essential for improving clinical outcomes.However,the biomarkers currently used for GC screening are not ideal.AIM To explore the diagnostic implications of the neut...BACKGROUND The diagnosis of gastric carcinoma(GC)is essential for improving clinical outcomes.However,the biomarkers currently used for GC screening are not ideal.AIM To explore the diagnostic implications of the neutrophil-to-lymphocyte ratio(NLR),platelet-to-lymphocyte ratio(PLR),and systemic immune-inflammatory index(SII)for GC.METHODS The baseline data of 133 patients with GC and 134 patients with precancerous gastric conditions admitted between January 2022 and December 2023 were retrospectively analyzed.The information on peripheral blood platelet,neutrophil,and lymphocyte counts in each patient was collected,and the NLR,PLR,and SII levels of both groups were calculated.Additionally,multivariate logistic regression analysis was conducted,and the diagnostic implications of NLR,PLR,and SII in differentiating patients with precancerous gastric conditions,compared with those with GC,were analyzed through receiver operating characteristic(ROC)curves.RESULTS The data indicated that NLR,PLR,and SII had abnormally increased levels in the patients with GC.Gender and body mass index were risk factors for the occurrence of GC.ROC data revealed that the areas under the curve of three patients with precancerous gastric conditions,who were differentiated from those with GC,were 0.824,0.787,and 0.842,respectively.CONCLUSION NLR,PLR,and SII are all abnormally expressed in GC and have diagnostic implications,especially when used as joint indicators,in distinguishing patients with precancerous gastric conditions from those with GC.展开更多
BACKGROUND Non-ST segment elevation myocardial infarction(NSTEMI)poses significant challenges in clinical management due to its diverse outcomes.Understanding the prognostic role of hematological parameters and derive...BACKGROUND Non-ST segment elevation myocardial infarction(NSTEMI)poses significant challenges in clinical management due to its diverse outcomes.Understanding the prognostic role of hematological parameters and derived ratios in NSTEMI patients could aid in risk stratification and improve patient care.AIM To evaluate the predictive value of hemogram-derived ratios for major adverse cardiovascular events(MACE)in NSTEMI patients,potentially improving clinical outcomes.METHODS A prospective,observational cohort study was conducted in 2021 at the Internal Medicine Clinic of the University Hospital in Tuzla,Bosnia and Herzegovina.The study included 170 patients with NSTEMI,who were divided into a group with MACE and a control group without MACE.Furthermore,the MACE group was subdivided into lethal and non-lethal groups for prognostic analysis.Alongside hematological parameters,an additional 13 hematological-derived ratios(HDRs)were monitored,and their prognostic role was investigated.RESULTS Hematological parameters did not significantly differ between non-ST segment elevation myocardial infarction(NSTEMI)patients with MACE and a control group at T1 and T2.However,significant disparities emerged in HDRs among NSTEMI patients with lethal and non-lethal outcomes post-MACE.Notably,neutrophil-to-lymphocyte ratio(NLR)and platelet-to-lymphocyte ratio(PLR)were elevated in lethal outcomes.Furthermore,C-reactive protein-to-lymphocyte ratio(CRP/Ly)at T1(>4.737)demonstrated predictive value[odds ratio(OR):3.690,P=0.024].Both NLR at T1(>4.076)and T2(>4.667)emerged as significant predictors,with NLR at T2 exhibiting the highest diagnostic performance,as indicated by an area under the curve of 0.811(95%CI:0.727-0.859)and OR of 4.915(95%CI:1.917-12.602,P=0.001),emphasizing its important role as a prognostic marker.CONCLUSION This study highlights the significant prognostic value of hemogram-derived indexes in predicting MACE among NSTEMI patients.During follow-up,NLR,PLR,and CRP/Ly offer important insights into the inflammatory processes underlying cardiovascular events.展开更多
BACKGROUND The use of biomarkers,such as the neutrophil-to-lymphocyte ratio(NLR)and the neutrophil-to-platelet ratio(NPR),has shown promise in evaluating early outcomes after medical,interventional,and surgical treatm...BACKGROUND The use of biomarkers,such as the neutrophil-to-lymphocyte ratio(NLR)and the neutrophil-to-platelet ratio(NPR),has shown promise in evaluating early outcomes after medical,interventional,and surgical treatments.NLR has emer-ged as an indicator of systemic inflammation and physiological stress.NPR has emerged as a potential indicator of inflammation and thrombotic risk in the context of surgical and radiological procedures.AIM To analyze the correlation of NLR and NPR with the development of post-liver transplantation(LT)early complications after stratification for hepatocellular carcinoma diagnosis.METHODS Consecutive patients undergone LT between January 2019 and December 2023 were enrolled.Data regarding the concentration of hemoglobin and the differ-ential leukocyte count on postoperative days(POD)0,1,3,and 5 were collected.RESULTS The dataset included 161 consecutive patients undergone LT.Clavien-Dindo IV-V complications had a good correlation with NLR POD 1(P=0.05),NLR POD 3(P<0.001),NLR POD 7(P<0.001),NPR POD 3(P<0.001).In addition,the NPR ratio on POD 3 correlated with the onset of 30-day hemorrhage(P=0.009).Finally,30-day mortality had a significant association with the NLR POD 1(P=0.03)and with NLR POD 7(P=0.004),while NPR had a significant correlation with 30-day mortality in NPR POD 7(P=0.004).CONCLUSION The analysis of NLR and NPR are strictly correlated with Clavien-Dindo IV-V complications and 30-day post-LT death.展开更多
With the continuous application of new technologies in reconnaissance and attack, false camouflage plays a more important role in improving the survivability of targets, and the number of decoys plays a crucial role i...With the continuous application of new technologies in reconnaissance and attack, false camouflage plays a more important role in improving the survivability of targets, and the number of decoys plays a crucial role in the camouflaging effect. Based on the concept of cost-effectiveness ratio, according to the newly formulated Johnson criterion and the view of discovery and destruction, this paper proposes to take the identification probability as the probability of being destroyed and uses mathematical formulas to calculate the cost of a single use decoy. On this basis, a cost-effectiveness ratio model is established, with the product of the increase in the survival probability of the target and the cost of the target as the benefit, and the sum of the product of the probability of being destroyed and the cost of the decoy and the cost of a single use as the consumption cost. The model is calculated and analyzed, and the number of decoys that conform to the actual situation is obtained.展开更多
In addition to sequestering carbon in soil,biochars can also play a role in changing the potassium equilibration and dynamics of the soil.Nowadays,acidification of biochar is commonly used to improve its properties,wh...In addition to sequestering carbon in soil,biochars can also play a role in changing the potassium equilibration and dynamics of the soil.Nowadays,acidification of biochar is commonly used to improve its properties,which can impact the potassium content in the soil.Simultaneous application of acidified biochar and sodium bentonite can complicate this effect.In the present study,the effects of adding two types of biochars prepared from municipal waste and used coffee grounds and their acidified types,along with sodium bentonite at three levels(0.00%,1.00%,and 2.00%),on soil physical-chemical properties(pH,salinity,cation exchange capacity,concentration of soluble cations and their ratio,and sodium adsorption ratio)and the release of potassium from a calcareous soil were investigated.The results showed that the addition of coffee ground biochar increased the concentration of soluble potassium and decreased the ratio of calcium to potassium,while the acidified coffee ground biochar decreased the amount of soluble potassium and increased the ratio of calcium to potassium.Alkaline and acidified municipal waste biochars had no effect on soluble potassium and soluble cations ratio.Application of bentonite increased the amount of soluble calcium and sodium and the ratio of calcium to potassium.Addition of bentonite also increased the amount of exchangeable potassium and exchangeable sodium percentage,but use of different biochars reduced negative effect of bentonite.Use of bentonite also caused an increase in the exchangeable potassium and a decrease in the non-exchangeable potassium contents.Alkaline and acidified coffee ground biochars increased the amount of exchangeable,non-exchangeable,and total potassium,but this effect was greater by alkaline biochar.Application of municipal waste biochar did not affect the amount of exchangeable potassium but increased the amount of non-exchangeable and total potassium,with no significant difference observed between alkaline and acidified biochars.Potassium saturation percentage was not affected by bentonite,but coffee ground biochar increased its amount and municipal waste biochar had no effect on it.Acidified and alkaline coffee ground biochars were able to release more potassium from the soil(475 and 71 mg/kg,respectively),while alkaline municipal waste biochar did not affect it and acidified municipal waste biochar reduced it by 113 mg/kg.In general,it can be concluded that alkaline biochars in calcareous soils can improve potassium fertility by reduction of the ratio of calcium to potassium and increasing its various forms,while acidified biochars and bentonite may aggravate potassium deficiency in these soils.Considering the lack of significant change in the pH of calcareous soils with the use of different biochars,it is suggested to use alkaline biochars,which can improve the potassium status of the soil while reducing the costs associated with biochar modification.展开更多
BACKGROUND The hemoglobin-to-red cell distribution width ratio(HRR)is a recently intro-duced,easily accessible marker that provides insights into inflammation and the tumor vascular microenvironment.It has been sugges...BACKGROUND The hemoglobin-to-red cell distribution width ratio(HRR)is a recently intro-duced,easily accessible marker that provides insights into inflammation and the tumor vascular microenvironment.It has been suggested to have prognostic value for overall survival in various types of cancer,including urothelial carcinoma,lung cancer,and hepatocellular carcinoma.It has not yet been sufficiently invest-igated in colorectal cancers(CRC).AIM To investigate the prognostic significance of the HRR and other inflammation-based hematological markers in patients with metastatic CRC.Additionally,the study evaluated the impact of surgical interventions,particularly metastasectomy,and multiple clinical and laboratory parameters on overall survival.By iden-tifying low-cost,accessible prognostic indicators,this research seeks to support clinicians in optimizing treatment strategies and risk stratification for patients with CRC.METHODS In this retrospective study,patients diagnosed with CRC between January 2020 and December 2024 were analyzed.The impact of HRR in conjunction with inflammatory markers and a total of 22 different clinical and laboratory para-meters on overall survival were evaluated using univariate Cox regression and a multivariate model.Survival curves were visualized using Kaplan-Meier analysis.RESULTS A total of 155 patients with CRC were included in the study.The median age was 60 years,and 61.9%presented with de novo metastasis.In the receiver operating characteristic curve and area under the curve analysis performed to determine the optimal cutoff,the values were found to be 6.10 for carcinoembryonic antigen(CEA)(P=0.036),18.85 for platelet-to-red cell distribution width ratio(P=0.028),and 10.87 for platelet distribution width-to-lymphocyte ratio(P=0.028).For neutrophil-to-lymphocyte ratio,systemic immune-inflammation index(SII),platelet-to-lymphocyte ratio(PLR),monocyte-to-lymphocyte ratio,HRR,and carbohydrate antigen 19-9,an optimal cutoff could not be determined using the receiver operating characteristic-area under the curve analysis.Therefore,the median values were adopted as the cutoffs(3.09,835.96,177.50,0.380,0.824,and 21.6,respectively).Univariate analysis identified male gender(P=0.045),being under 65 years of age(P=0.001),history of metastas-ectomy(P=0.001),low serum CEA level(P=0.010),low PLR(P=0.024),low SII(P=0.010),and high HRR(P=0.025)as favorable prognostic factors for overall survival.In the multivariate model,being under 65 years of age[hazard ratio(HR)=1.59,95%confidence interval(CI):1.06-2.39,P=0.025],metastasectomy(HR=0.49,95%CI:0.29-0.85,P=0.011),CEA(HR=1.51,95%CI:1.0-2.28,P=0.048),and PLR(HR=1.63,95%CI:1.09-2.44,P=0.018)emerged as independent prognostic factors for overall survival,whereas gender,SII,and HRR did not retain statistical significance.CONCLUSION In conclusion,low HRR alone was a prognostic indicator.However,when modelled with other inflammatory and clinical parameters,it did not provide a sufficiently strong marker feature.展开更多
AIM To assess the utility of NLR,PLR,IMT and contrast-enhanced ultrasound(CEUS)aspredictive markers for monitoring inflammatory responses and the disease activity in cardiac involvementin Takayasu’s arteritis.METHODS...AIM To assess the utility of NLR,PLR,IMT and contrast-enhanced ultrasound(CEUS)aspredictive markers for monitoring inflammatory responses and the disease activity in cardiac involvementin Takayasu’s arteritis.METHODS A cohort retrospective study encompassing 86 patients(43 withcardiac compromise and 43 without)was conducted.A comparative analysis of NLR,PLR,IMT,andCEUS between TA patients with and without cardiac compromise was undertaken.RESULTS The NLR and PLR of the heart damage group were significantly higher than those of the non heart damagegroup(2.9±1.0 vs.2.1±0.8,P<0.01;166±79 vs.117±51,P<0.01).The IMT and CEUS of the heartdamage group were significantly higher than those of the TA non heart damage group(2.6±0.6 vs.1.5±0.4,P<0.01;2.6±0.5 vs.1.6±0.6,P<0.01).The NLR level of the heart damage group was positivelycorrelated with CRP(r=0.42,P<0.01),and PLR was positively correlated with CRP and CEUS(r=0.34,P<0.05;r=0.35,P<0.05).The results of multiple logistic regression analysis showed that NLR,IMT,andCEUS were independent risk factors for TA and cardiac damage.The area under the ROC curve for NLRto determine cardiac damage is 0.865,with a cut-off value of 2.265,a sensitivity of 69.8%,and aspecificity of 90.7%.The area under the ROC curve for determining cardiac damage using PLR is 0.812,with a cut-off value of 111.275,a sensitivity of 76.7%,and a specificity of 79.1%.CONCLUSION NLR and PLR,in conjunction with contrast-enhanced ultrasound,can be employed to assessinflammatory response and the disease activity in cardiac involvement in Takayasu’s arteritis.展开更多
Driver distraction is a leading cause of traffic accidents,with fatigue being a significant contributor.This paper introduces a novel method for detecting driver distraction by analyzing facial features using machine ...Driver distraction is a leading cause of traffic accidents,with fatigue being a significant contributor.This paper introduces a novel method for detecting driver distraction by analyzing facial features using machine deep learning and 68 face model.The proposed system assesses driver tiredness by measuring the distance between key facial landmarks,such as the distance between the eyes and the angle of the mouth,to evaluate signs of drowsiness or disengagement.Real-time video feed analysis allows for continuous monitoring of the driver’s face,enabling the system to detect behavioral cues associated with distraction,such as eye closures or changes in facial expressions.The effectiveness of this method is demonstrated through a series of experiments on a dataset of driver videos,which proves that the approach can accurately assess tiredness and distraction levels under various driving conditions.By focusing on facial landmarks,the system is computationally efficient and capable of operating in real-time,making it a practical solution for in-vehicle safety systems.This paper discusses the system’s performance,limitations,and potential for future enhancements,including integration with other in-vehicle technologies to provide comprehensive driver monitoring.展开更多
Background:Neutrophil-lymphocyte ratio(NLR)and platelet-lymphocyte ration(PLR)have been shown to contribute to tumour progression and response to therapy.Methods:We retrospectively counted NLR and PLR in 719 patients ...Background:Neutrophil-lymphocyte ratio(NLR)and platelet-lymphocyte ration(PLR)have been shown to contribute to tumour progression and response to therapy.Methods:We retrospectively counted NLR and PLR in 719 patients with advanced malignancies receiving chemo-and/or immuno-therapy.Results:Both the pretreatment NLR and PLR were significantly elevated in patients with progressive disease than in those without progressive disease.Compared to low groups,the high NLR and PLR groups showed significantly worse event free survival.Conclusion:We propose that NLR and PLR are not only effective blood markers for predicting therapeutic responses to chemo-and/or immuno-therapy,but also useful in detecting survival in diverse malignancies.展开更多
AIM:To assess and compare the utility of neutrophil-to-lymphocyte ratio(NLR),platelet-to-lymphocyte ratio(PLR),systemic inflammation index(SII),and red blood cell distribution width(RDW)as potential biomarkers to pred...AIM:To assess and compare the utility of neutrophil-to-lymphocyte ratio(NLR),platelet-to-lymphocyte ratio(PLR),systemic inflammation index(SII),and red blood cell distribution width(RDW)as potential biomarkers to predict the severity of diabetic retinopathy(DR)in the United States population.METHODS:The observational study enlisted patients diagnosed with DR from the National Health and Nutrition Examination Survey(NHANES)database,spanning the period from 2005 to 2008.The severity of DR was defined according to Early Treatment for Diabetic Retinopathy Study(ETDRs).The effect of NLR,PLR,SII,and RDW on proliferative diabetic retinopathy(PDR)were explored using multivariable logistic regression analysis model.Subgroup analysis and restricted cubic splines(RCS)were conducted to assess the robustness of the correlations across subgroups and to explore nonlinear relationships between four indices and PDR.The receiver operating characteristic(ROC)analysis was employed for the purpose of assessing and evaluating the predictive efficacy of NLR,PLR,SII,and RDW in determining the severity of DR.RESULTS:After adjusting for other confounders(age,gender,race,body mass index,diabetes duration,and HbA1c)in multivariable analysis,a unit increase of PLR×0.1,SII×0.01,and RDW would raise the risk for PDR by 15.6%,22.2%,and 33%,respectively.Particularly,there was a 2.208-fold greater risk of PDR in individuals with an elevated NLR(OR=2.208,95%CI,1.348-3.617,P<0.001).RCS analyses showed positive relationships of four indices and PDR after segmented regression based on their own turning points.The results of ROC analysis revealed that PLR+RDW[area under the curve(AUC)=0.772,95%CI:0.669-0.874]had the best predictive value for PDR,compared with NLR+PLR+SII(AUC=0.697,95%CI:0.570-0.825)or RDW alone(AUC=0.736,95%CI:0.646-0.826).CONCLUSION:The combination of RDW and NLR demonstrates a promising ability to predict the severity of DR across the United States population,and it could be promisingly used in clinics for monitoring the progress of DR.展开更多
Earthquakes are caused directly by the motion of the stress field,therefore,observing the stress field is significant.Experiments on the relationships among wave velocity,stress factors,and faults show that the wave v...Earthquakes are caused directly by the motion of the stress field,therefore,observing the stress field is significant.Experiments on the relationships among wave velocity,stress factors,and faults show that the wave velocity of rock media under stable stress fields corresponds one-to-one with stress factors.Therefore,the wave velocity gradient can indicate the direction of stress vector,and the gradient divergence can indicate the strength of the stress field.To verify the results,considering the limitations of wave velocity measurement in solid crustal media,two quantities,namely the apparent wave velocity and Poisson ratios relating to wave velocity,were used to refl ect the stress field state.The seismic data of the Tangshan and Luzhou regions were studied separately.The calculated apparent wave velocity and Poisson ratios were interpolated to achieve regional data gridding.The gradients and the gradient divergences of the apparent wave velocity and Poisson ratio fields in the two regions were analyzed,and it was found that their spatial distribution in the same region was the same.They are believed to refl ect the vertical projection of the stress direction vector and strength on the surface in the stress field,consistent with the experimental results.Whether it can eff ectively refl ect the stress field requires further analysis of the specific situation of the local medium and the movement mode of the stress field.展开更多
A piggyback pipeline is a special configuration of offshore pipelines for offshore oil and gas exploration and is characterized by the coupling of a large-diameter pipe with a small-diameter pipe. This study conducts ...A piggyback pipeline is a special configuration of offshore pipelines for offshore oil and gas exploration and is characterized by the coupling of a large-diameter pipe with a small-diameter pipe. This study conducts a numerical investigation of the transverse VIV characteristics of a piggyback pipeline at low Reynolds numbers, as the vortex shedding modes and vibration characteristics can be accurately represented under laminar flow conditions with minimal computational expense. The effects of influential factors, such as the mass ratio, position angle of the small pipe relative to the main pipe, and Reynolds number, on the VIV amplitude, frequency, vibration center, and mean lift coefficient are specifically examined. The results indicate that the mass ratio has a limited effect on the maximum VIV amplitude. However, as the mass ratio decreases, the lock-in region expands, and the vibration center of the piggyback pipeline deviates further from its original position. The VIV amplitude is minimized, and the lock-in region is the narrowest at a position angle of 45°, whereas the vibration center reaches its maximum displacement at a position angle of 135°. As the Reynolds number increases, the VIV amplitude slightly increases, accompanied by convergence of the vibration center toward its initial position. The mean lift coefficient and wake vortices are also analyzed to establish a connection with the vibration characteristics of the piggyback pipeline. The optimal configuration of the piggyback pipeline is also proposed on the basis of the present numerical results.展开更多
This study presents a significant advancement in the vibration analysis of functionally graded sandwich plates with auxetic cores by introducing a general viscoelastic foundation model that more accurately reflects th...This study presents a significant advancement in the vibration analysis of functionally graded sandwich plates with auxetic cores by introducing a general viscoelastic foundation model that more accurately reflects the complex interactions between the plate and the foundation.The novelty of this study is that the proposed viscoelastic foundation model incorporates elastic and damping effects in both the Winkler and Pasternak layers.To develop the theoretical framework for this analysis,the higher-order shear deformation theory is employed,while Hamilton's principle is used to derive the governing equations of motion.The closed-form solution is used to determine the damped vibration behaviors of the sandwich plates.The precision and robustness of the proposed mathematical model are validated through several comparison studies with existing numerical results.A detailed parametric study is conducted to investigate the influence of various parameters,including the elastic and damping coefficients of the foundation,the material gradation,and the properties of the auxetic core on the vibration behavior of the plates.The numerical results provide new insights into the vibration characteristics of sandwich plates with auxetic cores resting on viscoelastic foundation,highlighting the significant role of the two damping coefficients and auxetic cores in the visco-vibration behavior of the plates.展开更多
A finite element and boundary element model of the 100 m X-BOW polar exploration cruise ship is established. The vibrated velocity-excited force admittance matrix is calculated by frequency response analysis, and the ...A finite element and boundary element model of the 100 m X-BOW polar exploration cruise ship is established. The vibrated velocity-excited force admittance matrix is calculated by frequency response analysis, and the vibrated velocity in the stern plate and main engine foundations is tested during the trial trip. Then, the excited force of the propeller and main engine is derived using the vibrated velocity and admittance matrix.Based on the excited force, the cabin-simulated vibrated velocity is compared with the tested vibrated velocity, and the tolerance is within the allowable scope in engineering. Loading the excited forces on the boundary element model, the distribution characteristics of sound level underwater are analyzed. Then, forces excited by the main engine and propeller are loaded on the model, and the contribution ratio of excitation sources to underwater acoustic radiation is analyzed. The result provides a reference for vibration assessment in the early stage and control in the late stage.展开更多
It is well known that coarse-grained super-elastic NiTi shape memory alloys(SMAs)exhibit localized rather than homogeneous martensite transformation(MT),which,however,can be strongly influenced by either internal size...It is well known that coarse-grained super-elastic NiTi shape memory alloys(SMAs)exhibit localized rather than homogeneous martensite transformation(MT),which,however,can be strongly influenced by either internal size(grain size,GS)or the external size(geometric size).The coupled effect of GS and geometric size on the functional properties has not been clearly understood yet.In this work,the super-elasticity,one-way,and stress-assisted two-way shape memory effects of the polycrystalline NiTi SMAs with different aspect ratios(length/width for the gauge section)and different GSs are investigated based on the phase field method.The coupled effect of the aspect ratio and GS on the functional properties is adequately revealed.The simulated results indicate that when the aspect ratio is lower than about 4:1,the stress biaxiality and stress heterogeneity in the gauge section of the sample become more and more obvious with decreasing the aspect ratio,which can significantly influence the microstructure evolution in the process involving external stress.Therefore,the corresponding functional property is strongly dependent on the aspect ratio.With decreasing the GS and the aspect ratio(to be lower than 4:1),both the aspect ratio and GS can affect the MT or martensite reorientation in each grain and the interaction among grains.Thus,due to the strong internal constraint(i.e.,the constraint of grain boundary)and the external constraint(i.e.,the constraint of geometric boundary),the capabilities of the functional properties of NiTi SMAs are gradually weakened and highly dependent on these two factors.展开更多
BACKGROUND Chronic hepatitis B often progresses silently toward hepatocellular carcinoma(HCC),a leading cause of mortality worldwide.Early detection of HCC is crucial,yet challenging.AIM To investigate the role of dyn...BACKGROUND Chronic hepatitis B often progresses silently toward hepatocellular carcinoma(HCC),a leading cause of mortality worldwide.Early detection of HCC is crucial,yet challenging.AIM To investigate the role of dynamic changes in alkaline phosphatase to prealbumin ratio(APR)in hepatitis B progression to HCC.METHODS Data from 4843 patients with hepatitis B(January 2015 to January 2024)were analyzed.HCC incidence rates in males and females were compared using the log-rank test.Data were evaluated using Kaplan–Meier analysis.The Linear Mixed-Effects Model was applied to track the fluctuation of APR levels over time.Furthermore,Joint Modeling of Longitudinal and Survival data was employed to investigate the temporal relationship between APR and HCC risk.RESULTS The incidence of HCC was higher in males.To ensure the model’s normality assumption,this study applied a logarithmic transformation to APR,yielding ratio.Ratio levels were higher in females(t=5.26,P<0.01).A 1-unit increase in ratio correlated with a 2.005-fold higher risk of HCC in males(95%CI:1.653-2.431)and a 2.273-fold higher risk in females(95%CI:1.620-3.190).CONCLUSION Males are more prone to HCC,while females have higher APR levels.Despite no baseline APR link,rising APR indicates a higher HCC risk.展开更多
文摘BACKGROUND An efficient index holds the potential to predict rectal cancer prognosis.AIM To investigate the impact of neutrophil-to-lymphocyte ratio(NLR),platelet-tolymphocyte ratio(PLR),and monocyte-to-lymphocyte ratio(MLR)on rectal cancer prognosis.METHODS This retrospective study involved 180 patients with rectal cancer from the Changzhi People’s Hospital of Shanxi Province.A 2-mL blood sample was collected at 24 h preoperatively and 72 h postoperatively to measure neutrophils,lymphocytes,platelets,and monocytes using an automatic blood analyzer.Preoperative and postoperative NLR,PLR,and MLR were compared.Patients were followed up for 12 months and categorized into good and poor prognosis groups.A receiver operating characteristic curve was constructed to analyze their predictive values.RESULTS The NLR,PLR,and MLR values were significantly lower post-surgery(P<0.05).A total of 152 and 28 patients were categorized in the good and poor prognosis groups,respectively.Patients with poor prognoses exhibited slightly higher postoperative NLR,PLR,and MLR values than those with good prognoses(P<0.05).Receiver operating characteristic analysis showed that the area under the curve for NLR,PLR,and MLR was 0.828 with a sensitivity and specificity of 89.29%and 90.79%,respectively.These values were higher than individual NLR(area under the curve:0.660,sensitivity:67.86%,specificity:54.61%),PLR(0.668,75.00%,55.30%),and MLR(0.635,60.71%,48.03%),all showing statistically significant differences(P<0.05),effectively predicting patient outcomes.CONCLUSION The findings of this study indicated that NLR,PLR,and MLR values of patients with rectal cancer can be used to effectively predict the outcome of patients.
基金This work was supported by Inner Mongolia Natural Science Foundation Project and the Optimization of Exergy Efficiency of a Hybrid Energy Storage System with Crossover Control for Wind Power(2023JQ04).
文摘This paper presents a new capacity planning method that utilizes the complementary characteristics of wind and solar power output.It addresses the limitations of relying on a single metric for a comprehensive assessment of complementarity.To enable more accurate predictions of the optimal wind-solar ratio,a comprehensive complementarity rate is proposed,which allows for the optimization of wind-solar capacity based on this measure.Initially,the Clayton Copula function is employed to create a joint probability distribution model for wind and solar power,enabling the calculation of the comprehensive complementarity rate.Following this,a joint planning model is developed to enhance the system’s economy and reliability.The goal is to minimize total costs,load deficit rates,and curtailment rates by applying an ImprovedMulti-Objective Particle SwarmOptimization algorithm(IMOPSO).Results show that when the proportion of wind power reaches 70%,the comprehensive complementarity rate is optimized.This optimization leads to a 14.83%reduction in total costs and a 9.27%decrease in curtailment rates.Compared to existing studies,this paper offers a multidimensional analysis of the relationship between the comprehensive complementarity rate and the optimal wind-solar ratio,thereby improving predictive accuracy and providing a valuable reference for research on the correlation between wind and solar power.
基金supported by the National Natural Science Foundation of China(Nos.52270106 and 22266021)Yunnan Major Scientific and Technological Projects(No.202202AG050005)Yunnan Fundamental Research Projects(No.202201AT070116).
文摘This study employed a wet impregnation method to synthesize five types of Cu/HZSM-5 adsorbents with Si/Al ratios of 25,50,85,200,and 300,used for the removal of H_(2)S in lowtemperature,low-oxygen environments.The impact of different Si/Al ratios on the adsorption oxidative performance of Cu_(30)/HZSM-5–85 adsorbents was investigated.According to the performance test results,Cu_(30)/HZSM-5–85 exhibited the highest breakthrough capacity,reaching 231.75 mg H_(2)S/g_(sorbent).Cu/HZSM-5 sorbent maintains a strong ability to remove H_(2)S even under humid conditions and shows excellent water resistance.XRD,BET,and XPS results revealed that CuO is the primary active species,with Cu_(30)/HZSM-5–85 having the largest surface area and highest CuO content,providing more active sites for H_(2)S adsorption.H_(2)-TPR and O_(2)-TPD results confirmed that Cu_(30)/HZSM-5–85 sorbent exhibits outstanding redox properties and oxygen storage capacity,contributing to excellent oxygen transferability in the molecular sieve adsorption-oxidation process.With notable characteristics such as a large surface area,high desulfurization efficiency,and water resistance,Cu_(30)/HZSM-5–85 sorbents hold significant importance for industrial applications.
基金Supported by the National Natural Science Foundation of China(U21B2069,52274020,52288101,52274022)National Key Research and Development Program of China(2022YFC2806504)。
文摘The gas-liquid countercurrent flow pattern is complex and the bubble migration velocity is difficult to predict in the process of bullheading well killing.The experiment on bubble migration in gas-liquid countercurrent flow in annulus is carried out under different working conditions to reveal how the wellbore inclination angle,liquid phase property and countercurrent liquid velocity affect the bubble deformation and bubble migration trajectory/velocity,and to establish a bubble migration velocity prediction model.The bubbles in the countercurrent flow mainly migrate in two modes:free rising of isolated bubbles,and interactive rising of multiple bubbles.The bubbles migrate by an S-shaped trajectory in the countercurrent flow.With the increase of countercurrent liquid velocity,the lateral oscillation of bubbles is intensified.The increases of wellbore inclination angle,liquid density and liquid viscosity make the bubble migration trajectory gradually to be linear.The bubble is generally ellipsoidal during its rising.The wellbore inclination angle has little effect on the degree of bubble deformation.The bubbles are ellipsoidal during rising,with little influence of wellbore inclination angle on bubble deformation.With the increase of liquid viscosity and density,the aspect ratio of the bubble decreases.As the wellbore inclination angle increases,the bubble migration velocity gradually decreases.As the liquid viscosity increases,the bubble migration velocity decreases.As the liquid density increases,the bubble migration velocity increases slightly.The established bubble migration velocity prediction model yields errors within±15%,and demonstrates broad applicability across a wide range of operating conditions.
文摘BACKGROUND The diagnosis of gastric carcinoma(GC)is essential for improving clinical outcomes.However,the biomarkers currently used for GC screening are not ideal.AIM To explore the diagnostic implications of the neutrophil-to-lymphocyte ratio(NLR),platelet-to-lymphocyte ratio(PLR),and systemic immune-inflammatory index(SII)for GC.METHODS The baseline data of 133 patients with GC and 134 patients with precancerous gastric conditions admitted between January 2022 and December 2023 were retrospectively analyzed.The information on peripheral blood platelet,neutrophil,and lymphocyte counts in each patient was collected,and the NLR,PLR,and SII levels of both groups were calculated.Additionally,multivariate logistic regression analysis was conducted,and the diagnostic implications of NLR,PLR,and SII in differentiating patients with precancerous gastric conditions,compared with those with GC,were analyzed through receiver operating characteristic(ROC)curves.RESULTS The data indicated that NLR,PLR,and SII had abnormally increased levels in the patients with GC.Gender and body mass index were risk factors for the occurrence of GC.ROC data revealed that the areas under the curve of three patients with precancerous gastric conditions,who were differentiated from those with GC,were 0.824,0.787,and 0.842,respectively.CONCLUSION NLR,PLR,and SII are all abnormally expressed in GC and have diagnostic implications,especially when used as joint indicators,in distinguishing patients with precancerous gastric conditions from those with GC.
文摘BACKGROUND Non-ST segment elevation myocardial infarction(NSTEMI)poses significant challenges in clinical management due to its diverse outcomes.Understanding the prognostic role of hematological parameters and derived ratios in NSTEMI patients could aid in risk stratification and improve patient care.AIM To evaluate the predictive value of hemogram-derived ratios for major adverse cardiovascular events(MACE)in NSTEMI patients,potentially improving clinical outcomes.METHODS A prospective,observational cohort study was conducted in 2021 at the Internal Medicine Clinic of the University Hospital in Tuzla,Bosnia and Herzegovina.The study included 170 patients with NSTEMI,who were divided into a group with MACE and a control group without MACE.Furthermore,the MACE group was subdivided into lethal and non-lethal groups for prognostic analysis.Alongside hematological parameters,an additional 13 hematological-derived ratios(HDRs)were monitored,and their prognostic role was investigated.RESULTS Hematological parameters did not significantly differ between non-ST segment elevation myocardial infarction(NSTEMI)patients with MACE and a control group at T1 and T2.However,significant disparities emerged in HDRs among NSTEMI patients with lethal and non-lethal outcomes post-MACE.Notably,neutrophil-to-lymphocyte ratio(NLR)and platelet-to-lymphocyte ratio(PLR)were elevated in lethal outcomes.Furthermore,C-reactive protein-to-lymphocyte ratio(CRP/Ly)at T1(>4.737)demonstrated predictive value[odds ratio(OR):3.690,P=0.024].Both NLR at T1(>4.076)and T2(>4.667)emerged as significant predictors,with NLR at T2 exhibiting the highest diagnostic performance,as indicated by an area under the curve of 0.811(95%CI:0.727-0.859)and OR of 4.915(95%CI:1.917-12.602,P=0.001),emphasizing its important role as a prognostic marker.CONCLUSION This study highlights the significant prognostic value of hemogram-derived indexes in predicting MACE among NSTEMI patients.During follow-up,NLR,PLR,and CRP/Ly offer important insights into the inflammatory processes underlying cardiovascular events.
文摘BACKGROUND The use of biomarkers,such as the neutrophil-to-lymphocyte ratio(NLR)and the neutrophil-to-platelet ratio(NPR),has shown promise in evaluating early outcomes after medical,interventional,and surgical treatments.NLR has emer-ged as an indicator of systemic inflammation and physiological stress.NPR has emerged as a potential indicator of inflammation and thrombotic risk in the context of surgical and radiological procedures.AIM To analyze the correlation of NLR and NPR with the development of post-liver transplantation(LT)early complications after stratification for hepatocellular carcinoma diagnosis.METHODS Consecutive patients undergone LT between January 2019 and December 2023 were enrolled.Data regarding the concentration of hemoglobin and the differ-ential leukocyte count on postoperative days(POD)0,1,3,and 5 were collected.RESULTS The dataset included 161 consecutive patients undergone LT.Clavien-Dindo IV-V complications had a good correlation with NLR POD 1(P=0.05),NLR POD 3(P<0.001),NLR POD 7(P<0.001),NPR POD 3(P<0.001).In addition,the NPR ratio on POD 3 correlated with the onset of 30-day hemorrhage(P=0.009).Finally,30-day mortality had a significant association with the NLR POD 1(P=0.03)and with NLR POD 7(P=0.004),while NPR had a significant correlation with 30-day mortality in NPR POD 7(P=0.004).CONCLUSION The analysis of NLR and NPR are strictly correlated with Clavien-Dindo IV-V complications and 30-day post-LT death.
文摘With the continuous application of new technologies in reconnaissance and attack, false camouflage plays a more important role in improving the survivability of targets, and the number of decoys plays a crucial role in the camouflaging effect. Based on the concept of cost-effectiveness ratio, according to the newly formulated Johnson criterion and the view of discovery and destruction, this paper proposes to take the identification probability as the probability of being destroyed and uses mathematical formulas to calculate the cost of a single use decoy. On this basis, a cost-effectiveness ratio model is established, with the product of the increase in the survival probability of the target and the cost of the target as the benefit, and the sum of the product of the probability of being destroyed and the cost of the decoy and the cost of a single use as the consumption cost. The model is calculated and analyzed, and the number of decoys that conform to the actual situation is obtained.
文摘In addition to sequestering carbon in soil,biochars can also play a role in changing the potassium equilibration and dynamics of the soil.Nowadays,acidification of biochar is commonly used to improve its properties,which can impact the potassium content in the soil.Simultaneous application of acidified biochar and sodium bentonite can complicate this effect.In the present study,the effects of adding two types of biochars prepared from municipal waste and used coffee grounds and their acidified types,along with sodium bentonite at three levels(0.00%,1.00%,and 2.00%),on soil physical-chemical properties(pH,salinity,cation exchange capacity,concentration of soluble cations and their ratio,and sodium adsorption ratio)and the release of potassium from a calcareous soil were investigated.The results showed that the addition of coffee ground biochar increased the concentration of soluble potassium and decreased the ratio of calcium to potassium,while the acidified coffee ground biochar decreased the amount of soluble potassium and increased the ratio of calcium to potassium.Alkaline and acidified municipal waste biochars had no effect on soluble potassium and soluble cations ratio.Application of bentonite increased the amount of soluble calcium and sodium and the ratio of calcium to potassium.Addition of bentonite also increased the amount of exchangeable potassium and exchangeable sodium percentage,but use of different biochars reduced negative effect of bentonite.Use of bentonite also caused an increase in the exchangeable potassium and a decrease in the non-exchangeable potassium contents.Alkaline and acidified coffee ground biochars increased the amount of exchangeable,non-exchangeable,and total potassium,but this effect was greater by alkaline biochar.Application of municipal waste biochar did not affect the amount of exchangeable potassium but increased the amount of non-exchangeable and total potassium,with no significant difference observed between alkaline and acidified biochars.Potassium saturation percentage was not affected by bentonite,but coffee ground biochar increased its amount and municipal waste biochar had no effect on it.Acidified and alkaline coffee ground biochars were able to release more potassium from the soil(475 and 71 mg/kg,respectively),while alkaline municipal waste biochar did not affect it and acidified municipal waste biochar reduced it by 113 mg/kg.In general,it can be concluded that alkaline biochars in calcareous soils can improve potassium fertility by reduction of the ratio of calcium to potassium and increasing its various forms,while acidified biochars and bentonite may aggravate potassium deficiency in these soils.Considering the lack of significant change in the pH of calcareous soils with the use of different biochars,it is suggested to use alkaline biochars,which can improve the potassium status of the soil while reducing the costs associated with biochar modification.
文摘BACKGROUND The hemoglobin-to-red cell distribution width ratio(HRR)is a recently intro-duced,easily accessible marker that provides insights into inflammation and the tumor vascular microenvironment.It has been suggested to have prognostic value for overall survival in various types of cancer,including urothelial carcinoma,lung cancer,and hepatocellular carcinoma.It has not yet been sufficiently invest-igated in colorectal cancers(CRC).AIM To investigate the prognostic significance of the HRR and other inflammation-based hematological markers in patients with metastatic CRC.Additionally,the study evaluated the impact of surgical interventions,particularly metastasectomy,and multiple clinical and laboratory parameters on overall survival.By iden-tifying low-cost,accessible prognostic indicators,this research seeks to support clinicians in optimizing treatment strategies and risk stratification for patients with CRC.METHODS In this retrospective study,patients diagnosed with CRC between January 2020 and December 2024 were analyzed.The impact of HRR in conjunction with inflammatory markers and a total of 22 different clinical and laboratory para-meters on overall survival were evaluated using univariate Cox regression and a multivariate model.Survival curves were visualized using Kaplan-Meier analysis.RESULTS A total of 155 patients with CRC were included in the study.The median age was 60 years,and 61.9%presented with de novo metastasis.In the receiver operating characteristic curve and area under the curve analysis performed to determine the optimal cutoff,the values were found to be 6.10 for carcinoembryonic antigen(CEA)(P=0.036),18.85 for platelet-to-red cell distribution width ratio(P=0.028),and 10.87 for platelet distribution width-to-lymphocyte ratio(P=0.028).For neutrophil-to-lymphocyte ratio,systemic immune-inflammation index(SII),platelet-to-lymphocyte ratio(PLR),monocyte-to-lymphocyte ratio,HRR,and carbohydrate antigen 19-9,an optimal cutoff could not be determined using the receiver operating characteristic-area under the curve analysis.Therefore,the median values were adopted as the cutoffs(3.09,835.96,177.50,0.380,0.824,and 21.6,respectively).Univariate analysis identified male gender(P=0.045),being under 65 years of age(P=0.001),history of metastas-ectomy(P=0.001),low serum CEA level(P=0.010),low PLR(P=0.024),low SII(P=0.010),and high HRR(P=0.025)as favorable prognostic factors for overall survival.In the multivariate model,being under 65 years of age[hazard ratio(HR)=1.59,95%confidence interval(CI):1.06-2.39,P=0.025],metastasectomy(HR=0.49,95%CI:0.29-0.85,P=0.011),CEA(HR=1.51,95%CI:1.0-2.28,P=0.048),and PLR(HR=1.63,95%CI:1.09-2.44,P=0.018)emerged as independent prognostic factors for overall survival,whereas gender,SII,and HRR did not retain statistical significance.CONCLUSION In conclusion,low HRR alone was a prognostic indicator.However,when modelled with other inflammatory and clinical parameters,it did not provide a sufficiently strong marker feature.
文摘AIM To assess the utility of NLR,PLR,IMT and contrast-enhanced ultrasound(CEUS)aspredictive markers for monitoring inflammatory responses and the disease activity in cardiac involvementin Takayasu’s arteritis.METHODS A cohort retrospective study encompassing 86 patients(43 withcardiac compromise and 43 without)was conducted.A comparative analysis of NLR,PLR,IMT,andCEUS between TA patients with and without cardiac compromise was undertaken.RESULTS The NLR and PLR of the heart damage group were significantly higher than those of the non heart damagegroup(2.9±1.0 vs.2.1±0.8,P<0.01;166±79 vs.117±51,P<0.01).The IMT and CEUS of the heartdamage group were significantly higher than those of the TA non heart damage group(2.6±0.6 vs.1.5±0.4,P<0.01;2.6±0.5 vs.1.6±0.6,P<0.01).The NLR level of the heart damage group was positivelycorrelated with CRP(r=0.42,P<0.01),and PLR was positively correlated with CRP and CEUS(r=0.34,P<0.05;r=0.35,P<0.05).The results of multiple logistic regression analysis showed that NLR,IMT,andCEUS were independent risk factors for TA and cardiac damage.The area under the ROC curve for NLRto determine cardiac damage is 0.865,with a cut-off value of 2.265,a sensitivity of 69.8%,and aspecificity of 90.7%.The area under the ROC curve for determining cardiac damage using PLR is 0.812,with a cut-off value of 111.275,a sensitivity of 76.7%,and a specificity of 79.1%.CONCLUSION NLR and PLR,in conjunction with contrast-enhanced ultrasound,can be employed to assessinflammatory response and the disease activity in cardiac involvement in Takayasu’s arteritis.
文摘Driver distraction is a leading cause of traffic accidents,with fatigue being a significant contributor.This paper introduces a novel method for detecting driver distraction by analyzing facial features using machine deep learning and 68 face model.The proposed system assesses driver tiredness by measuring the distance between key facial landmarks,such as the distance between the eyes and the angle of the mouth,to evaluate signs of drowsiness or disengagement.Real-time video feed analysis allows for continuous monitoring of the driver’s face,enabling the system to detect behavioral cues associated with distraction,such as eye closures or changes in facial expressions.The effectiveness of this method is demonstrated through a series of experiments on a dataset of driver videos,which proves that the approach can accurately assess tiredness and distraction levels under various driving conditions.By focusing on facial landmarks,the system is computationally efficient and capable of operating in real-time,making it a practical solution for in-vehicle safety systems.This paper discusses the system’s performance,limitations,and potential for future enhancements,including integration with other in-vehicle technologies to provide comprehensive driver monitoring.
基金supported by the project of Young Technical Talents of Tianjin Medical University General Hospital(GG-2021-08).
文摘Background:Neutrophil-lymphocyte ratio(NLR)and platelet-lymphocyte ration(PLR)have been shown to contribute to tumour progression and response to therapy.Methods:We retrospectively counted NLR and PLR in 719 patients with advanced malignancies receiving chemo-and/or immuno-therapy.Results:Both the pretreatment NLR and PLR were significantly elevated in patients with progressive disease than in those without progressive disease.Compared to low groups,the high NLR and PLR groups showed significantly worse event free survival.Conclusion:We propose that NLR and PLR are not only effective blood markers for predicting therapeutic responses to chemo-and/or immuno-therapy,but also useful in detecting survival in diverse malignancies.
基金Supported by Tianjin Natural Science Foundation(No.23JCZXJC00140).
文摘AIM:To assess and compare the utility of neutrophil-to-lymphocyte ratio(NLR),platelet-to-lymphocyte ratio(PLR),systemic inflammation index(SII),and red blood cell distribution width(RDW)as potential biomarkers to predict the severity of diabetic retinopathy(DR)in the United States population.METHODS:The observational study enlisted patients diagnosed with DR from the National Health and Nutrition Examination Survey(NHANES)database,spanning the period from 2005 to 2008.The severity of DR was defined according to Early Treatment for Diabetic Retinopathy Study(ETDRs).The effect of NLR,PLR,SII,and RDW on proliferative diabetic retinopathy(PDR)were explored using multivariable logistic regression analysis model.Subgroup analysis and restricted cubic splines(RCS)were conducted to assess the robustness of the correlations across subgroups and to explore nonlinear relationships between four indices and PDR.The receiver operating characteristic(ROC)analysis was employed for the purpose of assessing and evaluating the predictive efficacy of NLR,PLR,SII,and RDW in determining the severity of DR.RESULTS:After adjusting for other confounders(age,gender,race,body mass index,diabetes duration,and HbA1c)in multivariable analysis,a unit increase of PLR×0.1,SII×0.01,and RDW would raise the risk for PDR by 15.6%,22.2%,and 33%,respectively.Particularly,there was a 2.208-fold greater risk of PDR in individuals with an elevated NLR(OR=2.208,95%CI,1.348-3.617,P<0.001).RCS analyses showed positive relationships of four indices and PDR after segmented regression based on their own turning points.The results of ROC analysis revealed that PLR+RDW[area under the curve(AUC)=0.772,95%CI:0.669-0.874]had the best predictive value for PDR,compared with NLR+PLR+SII(AUC=0.697,95%CI:0.570-0.825)or RDW alone(AUC=0.736,95%CI:0.646-0.826).CONCLUSION:The combination of RDW and NLR demonstrates a promising ability to predict the severity of DR across the United States population,and it could be promisingly used in clinics for monitoring the progress of DR.
文摘Earthquakes are caused directly by the motion of the stress field,therefore,observing the stress field is significant.Experiments on the relationships among wave velocity,stress factors,and faults show that the wave velocity of rock media under stable stress fields corresponds one-to-one with stress factors.Therefore,the wave velocity gradient can indicate the direction of stress vector,and the gradient divergence can indicate the strength of the stress field.To verify the results,considering the limitations of wave velocity measurement in solid crustal media,two quantities,namely the apparent wave velocity and Poisson ratios relating to wave velocity,were used to refl ect the stress field state.The seismic data of the Tangshan and Luzhou regions were studied separately.The calculated apparent wave velocity and Poisson ratios were interpolated to achieve regional data gridding.The gradients and the gradient divergences of the apparent wave velocity and Poisson ratio fields in the two regions were analyzed,and it was found that their spatial distribution in the same region was the same.They are believed to refl ect the vertical projection of the stress direction vector and strength on the surface in the stress field,consistent with the experimental results.Whether it can eff ectively refl ect the stress field requires further analysis of the specific situation of the local medium and the movement mode of the stress field.
基金financially supported by the National Natural Science Foundation of China (Grant Nos. 52371289 and 51979192)。
文摘A piggyback pipeline is a special configuration of offshore pipelines for offshore oil and gas exploration and is characterized by the coupling of a large-diameter pipe with a small-diameter pipe. This study conducts a numerical investigation of the transverse VIV characteristics of a piggyback pipeline at low Reynolds numbers, as the vortex shedding modes and vibration characteristics can be accurately represented under laminar flow conditions with minimal computational expense. The effects of influential factors, such as the mass ratio, position angle of the small pipe relative to the main pipe, and Reynolds number, on the VIV amplitude, frequency, vibration center, and mean lift coefficient are specifically examined. The results indicate that the mass ratio has a limited effect on the maximum VIV amplitude. However, as the mass ratio decreases, the lock-in region expands, and the vibration center of the piggyback pipeline deviates further from its original position. The VIV amplitude is minimized, and the lock-in region is the narrowest at a position angle of 45°, whereas the vibration center reaches its maximum displacement at a position angle of 135°. As the Reynolds number increases, the VIV amplitude slightly increases, accompanied by convergence of the vibration center toward its initial position. The mean lift coefficient and wake vortices are also analyzed to establish a connection with the vibration characteristics of the piggyback pipeline. The optimal configuration of the piggyback pipeline is also proposed on the basis of the present numerical results.
基金the funding of the Deanship of Graduate Studies and Scientific Research,Jazan University,Saudi Arabia,through project number:RG24-M027.
文摘This study presents a significant advancement in the vibration analysis of functionally graded sandwich plates with auxetic cores by introducing a general viscoelastic foundation model that more accurately reflects the complex interactions between the plate and the foundation.The novelty of this study is that the proposed viscoelastic foundation model incorporates elastic and damping effects in both the Winkler and Pasternak layers.To develop the theoretical framework for this analysis,the higher-order shear deformation theory is employed,while Hamilton's principle is used to derive the governing equations of motion.The closed-form solution is used to determine the damped vibration behaviors of the sandwich plates.The precision and robustness of the proposed mathematical model are validated through several comparison studies with existing numerical results.A detailed parametric study is conducted to investigate the influence of various parameters,including the elastic and damping coefficients of the foundation,the material gradation,and the properties of the auxetic core on the vibration behavior of the plates.The numerical results provide new insights into the vibration characteristics of sandwich plates with auxetic cores resting on viscoelastic foundation,highlighting the significant role of the two damping coefficients and auxetic cores in the visco-vibration behavior of the plates.
文摘A finite element and boundary element model of the 100 m X-BOW polar exploration cruise ship is established. The vibrated velocity-excited force admittance matrix is calculated by frequency response analysis, and the vibrated velocity in the stern plate and main engine foundations is tested during the trial trip. Then, the excited force of the propeller and main engine is derived using the vibrated velocity and admittance matrix.Based on the excited force, the cabin-simulated vibrated velocity is compared with the tested vibrated velocity, and the tolerance is within the allowable scope in engineering. Loading the excited forces on the boundary element model, the distribution characteristics of sound level underwater are analyzed. Then, forces excited by the main engine and propeller are loaded on the model, and the contribution ratio of excitation sources to underwater acoustic radiation is analyzed. The result provides a reference for vibration assessment in the early stage and control in the late stage.
基金supported by the National Natural Science Foundation of China (Grant Nos.12202294 and 12022208)the Project funded by China Postdoctoral Science Foundation (Grant No.2022M712243)the Fundamental Research Funds for the Central Universities (Grant No.2023SCU12098).
文摘It is well known that coarse-grained super-elastic NiTi shape memory alloys(SMAs)exhibit localized rather than homogeneous martensite transformation(MT),which,however,can be strongly influenced by either internal size(grain size,GS)or the external size(geometric size).The coupled effect of GS and geometric size on the functional properties has not been clearly understood yet.In this work,the super-elasticity,one-way,and stress-assisted two-way shape memory effects of the polycrystalline NiTi SMAs with different aspect ratios(length/width for the gauge section)and different GSs are investigated based on the phase field method.The coupled effect of the aspect ratio and GS on the functional properties is adequately revealed.The simulated results indicate that when the aspect ratio is lower than about 4:1,the stress biaxiality and stress heterogeneity in the gauge section of the sample become more and more obvious with decreasing the aspect ratio,which can significantly influence the microstructure evolution in the process involving external stress.Therefore,the corresponding functional property is strongly dependent on the aspect ratio.With decreasing the GS and the aspect ratio(to be lower than 4:1),both the aspect ratio and GS can affect the MT or martensite reorientation in each grain and the interaction among grains.Thus,due to the strong internal constraint(i.e.,the constraint of grain boundary)and the external constraint(i.e.,the constraint of geometric boundary),the capabilities of the functional properties of NiTi SMAs are gradually weakened and highly dependent on these two factors.
文摘BACKGROUND Chronic hepatitis B often progresses silently toward hepatocellular carcinoma(HCC),a leading cause of mortality worldwide.Early detection of HCC is crucial,yet challenging.AIM To investigate the role of dynamic changes in alkaline phosphatase to prealbumin ratio(APR)in hepatitis B progression to HCC.METHODS Data from 4843 patients with hepatitis B(January 2015 to January 2024)were analyzed.HCC incidence rates in males and females were compared using the log-rank test.Data were evaluated using Kaplan–Meier analysis.The Linear Mixed-Effects Model was applied to track the fluctuation of APR levels over time.Furthermore,Joint Modeling of Longitudinal and Survival data was employed to investigate the temporal relationship between APR and HCC risk.RESULTS The incidence of HCC was higher in males.To ensure the model’s normality assumption,this study applied a logarithmic transformation to APR,yielding ratio.Ratio levels were higher in females(t=5.26,P<0.01).A 1-unit increase in ratio correlated with a 2.005-fold higher risk of HCC in males(95%CI:1.653-2.431)and a 2.273-fold higher risk in females(95%CI:1.620-3.190).CONCLUSION Males are more prone to HCC,while females have higher APR levels.Despite no baseline APR link,rising APR indicates a higher HCC risk.
