Rock-ice avalanches in cold high-mountain regions pose severe hazards due to their high mobility,yet the quantitative controls of particle-size ratio and ice content remain insufficiently constrained.This study invest...Rock-ice avalanches in cold high-mountain regions pose severe hazards due to their high mobility,yet the quantitative controls of particle-size ratio and ice content remain insufficiently constrained.This study investigates their coupled effects using inclinedflume experiments and Discrete Element Method(DEM)simulations,covering three gravel sizes(2-5 mm,5-7 mm,7-10 mm)and four ice-content levels(0%,20%,40%,60%).Run-out distance,velocity,energy components,flow regime(Savage number),and segregation indexαwere quantified.Increasing ice content significantly enhances mobility,but with diminishing marginal effectiveness.From 0%to 40%ice content,run-out distance increases by 41%-86%,whereas the additional increase from 40%to 60%contributes only 12%-23%.Particle-size ratio strongly governs segregation intensity.Fine-gravel groups reach segregation indices ofα=0.92-0.98,indicating nearly complete upward migration of ice,whereas medium-gravel and coarse-gravel groups exhibit much weaker segregation,stabilizing atα=0.68-0.74 and 0.60-0.69.Savage number analyses reveal marked flow-regime transitions.At 0%ice content,Savage numbers reach 1.0-1.5,indicating a collisional regime.Increasing ice content suppresses collisionality,with Savage numbers decreasing to 0.03-0.07 at 60%ice content,consistent with dense-regime flow.DEM energy analyses confirm this regime shift:for finegravel mixtures,collision energy decreases by 14%,while sliding-friction energy increases by 33%as ice content increases from 0%to 60%,reflecting enhanced overburden effects imposed by upward-segregated ice layers.Medium and coarse mixtures exhibit weaker or opposite energy-shift patterns,demonstrating strong size dependence.Mechanistically,large particle-size contrasts promote strong segregation and form dense basal rock layers that increase basal friction and reduce mobility.When particle sizes are similar or ice content is high,segregation remains limited,allowing ice to mix into the basal layer,thereby reducing basal friction and enhancing mobility.This research quantitatively demonstrates how composition controls particle spatial distribution,flow regime,and energy dissipation,offering new mechanistic insights into the propagation and deposition behaviors of rock-ice avalanches and improving hazard assessment in vulnerable high-mountain regions.展开更多
Negative Poisson’s ratio materials and structures exhibit lateral expansion under tensile loading,demonstrating significant mechanical advantages over conventional materials.This study systematically investigated thr...Negative Poisson’s ratio materials and structures exhibit lateral expansion under tensile loading,demonstrating significant mechanical advantages over conventional materials.This study systematically investigated three typical two-dimensional negative Poisson’s ratio metamaterial structures(Concave honeycomb,Anti-chiral,and Anti-chiral concave honeycomb hybrid structures)through both experimental tests and numerical analysis.The test specimens were fabricated using selective laser melting(SLM)additive manufacturing technology,and the experimental test was conducted with the use of a DIC strain measurement system.The numerical studies were performed considering both static tensile loading and dynamic impact loading with different strain rates.The deformation behaviors,failure process,negative Poisson’s ratio effects,and energy absorption capacity of the three different metamaterial structures are systematically investigated,and the associated mechanical mechanisms are thoroughly revealed.Results and findings of this work could provide valuable guidance for the engineering design and application of negative Poisson’s ratio metamaterials and structures.展开更多
In modern construction,Lightweight Aggregate Concrete(LWAC)has been recognized as a vital material of concern because of its unique properties,such as reduced density and improved thermal insulation.Despite the extens...In modern construction,Lightweight Aggregate Concrete(LWAC)has been recognized as a vital material of concern because of its unique properties,such as reduced density and improved thermal insulation.Despite the extensive knowledge regarding its macroscopic properties,there is a wide knowledge gap in understanding the influence of microscale parameters like aggregate porosity and volume ratio on the mechanical response of LWAC.This study aims to bridge this knowledge gap,spurred by the need to enhance the predictability and applicability of LWAC in various construction environments.With the help of advanced numerical methods,including the finite element method and a random circular aggregate model,this study critically evaluates the role played by these microscale factors.We found that an increase in the aggregate porosity from 23.5%to 48.5%leads to a drastic change of weakness from the bonding interface to the aggregate,reducing compressive strength by up to 24.2%and tensile strength by 27.8%.Similarly,the increase in the volume ratio of lightweight aggregate from 25%to 40%leads to a reduction in compressive strength by 13.0%and tensile strength by 9.23%.These results highlight the imperative role of microscale properties on the mechanical properties of LWAC.By supplying precise quantitative details on the effect of porosity and aggregate volume ratio,this research makes significant contributions to construction materials science by providing useful recommendations for the creation and optimization of LWAC with improved performance and sustainability in construction.展开更多
As the prevalence of obesity increases dramatically,obesity-associated cardiac dysfunction constitutes a considerable challenge to human health.This study aimed to identify more useful lipid/inflammatory markers to pr...As the prevalence of obesity increases dramatically,obesity-associated cardiac dysfunction constitutes a considerable challenge to human health.This study aimed to identify more useful lipid/inflammatory markers to predict the risk of obesity-associated cardiac dysfunction.By retrospectively analyzing the clinical characteristics of 5648 cardiac disease patients,we found that both the plasma level of high-density lipoprotein cholesterol(HDLC)and the blood monocyte count were significantly associated with impairment of the left ventricular ejection fraction(LVEF).Univariate and multivariate regression analyses revealed that the monocyte to HDL-C ratio(MHR)was a more powerful predictor of the risk of LVEF decline than either HDL-C or monocyte alone.Mediation analysis further revealed a mediating effect of a high MHR on the decline in obesity-associated cardiac systolic function.Collectively,our results demonstrate a superior role of MHR in predicting the risk of an obesityassociated decline in cardiac systolic function among routine metabolic/inflammatory markers.展开更多
Background:The long-term outcomes of robotic-assisted surgery and the prognostic significance of the pretreatment neutrophil-to-lymphocyte ratio(NLR)in locally advanced rectal cancer(LARC)remain uncertain.This study a...Background:The long-term outcomes of robotic-assisted surgery and the prognostic significance of the pretreatment neutrophil-to-lymphocyte ratio(NLR)in locally advanced rectal cancer(LARC)remain uncertain.This study aimed to assess the long-term outcomes of patients with LARC undergoing robotic-assisted surgery and to determine the prognostic value of pretreatment NLR.Methods:We retrospectively reviewed 252 patients with LARC who were treated at a single medical center in Taiwan between January 2012 and January 2023.All patients underwent neoadjuvant concurrent chemoradiotherapy(CRT)followed by robotic-assisted surgery with total mesorectal excision(TME).Patients were stratified into four groups on the basis of pretreatment NLRs and carcinoembryonic antigen(CEA)levels.Univariate and multivariate analyses were conducted to identify prognostic indicators for overall survival(OS)and disease-free survival(DFS).Results:Patients with a pretreatment NLR of≥3.2 exhibited significantly worse OS and DFS compared with those with an NLR of<3.2(OS:94.4 vs.116.5 months,p=0.001;DFS:78.8 vs.101.7 months,p=0.003).Group A exhibited the poorest prognosis,whereas Group D had the most favorable outcomes.Multivariate analysis revealed NLR≥3.2 as an independent predictor of poor OS(hazard ratio[HR]=2.306,95%CI:1.149-3.747;p=0.001)and DFS(HR=2.055,95%CI:1.341-3.148;p=0.001).Conclusion:Neoadjuvant concurrent CRT followed by robotic-assisted TME is an effective treatment strategy for LARC.A higher pretreatment NLR(≥3.2)independently predicted worse OS and DFS.Stratification using the NLR in combination with CEA levels may enhance prognostic accuracy for patients undergoing robotic-assisted surgery for LARC.展开更多
This study presents a framework involving statistical modeling and machine learning to accurately predict and optimize the mechanical and damping properties of hybrid granite-epoxy(G-E)composites reinforced with cast ...This study presents a framework involving statistical modeling and machine learning to accurately predict and optimize the mechanical and damping properties of hybrid granite-epoxy(G-E)composites reinforced with cast iron(CI)filler particles.Hybrid G-E composite with added cast iron(CI)filler particles enhances stiffness,strength,and vibration damping,offering enhanced performance for vibration-sensitive engineering applications.Unlike conventional approaches,this work simultaneously employs Artificial Neural Networks(ANN)for highaccuracy property prediction and Response Surface Methodology(RSM)for in-depth analysis of factor interactions and optimization.A total of 24 experimental test data sets of varying input factors(granite weight%,epoxy weight%,and CI filler weight%)were utilized to train and test the prediction models using an ANN approach and further analyze the interaction effects using RSM.Mechanical properties,including tensile,compressive,and flexural strength,elastic modulus,density and damping properties measured under various testing conditions,were set as output parameters for prediction.This study analyzed and optimized the performance of the ANN model using Bayesian Regularization and Levenberg-Marquardt algorithms to identify the best performing number of neurons in the hidden layer for achieving the highest prediction accuracy.The proposed ANN framework achieved an exceptional average determination coefficient(R2)exceeding 99%,with Bayesian Regularization demonstrating remarkable stability in the 22-neuron range and minimal variation across all properties.RSM and ANN form a powerful framework for predicting and optimizing hybrid G-E composite properties,enabling efficient design for vibration-critical applications with reduced experimental effort and performance optimization.展开更多
This study employed tri-component continuous monitoring data from 10 measurement points on both sides of a base isolation layer in the basement of a large-span high-rise building in Beijing,as well as from a free-fiel...This study employed tri-component continuous monitoring data from 10 measurement points on both sides of a base isolation layer in the basement of a large-span high-rise building in Beijing,as well as from a free-field station and roof frame,during a Mw 5.5 magnitude earthquake in Pingyuan,Shandong,in 2023.The H/V spectral ratio method was used to evaluate the structural dynamic response characteristics of the building and analyze the regulatory effect of the base-isolation layer on seismic waves.The results indicate that during the earthquake,the peak frequency of the free-field and the measurement points below the base-isolation layer was stable at 0.17 Hz,whereas the main frequency of the measurement points above the base-isolation layer increased to 0.75–1.18 Hz,which is 4–6 times greater than that of the points below.The amplitude was suppressed by more than 70%,confirming that the base isolation layer effectively isolated the low-frequency energy from the ground and increased the response frequency of the building.When the building was excited by an earthquake,a three-tier frequency gradient was formed throughout the building:“base-isolation layer(0.17 Hz)-main body(1.18 Hz)-roof frame(3.83 Hz)”,which can effectively avoid resonance of the entire building.In addition,the composite base-isolation device changed the dynamic characteristics of the structure.The resonance period was extended from 0.74 s(theoretical value without base isolation)to 5.9 s(calculated value),and the resonance frequency was reduced from 1.35 to 0.17 Hz.This finding indicates that the base-isolation layer can enhance seismic performance by increasing flexibility and damping.展开更多
Background:Panacis Quinquefolii Radix(PQR)is known for its ability to nourish“Qi”(it serves as the driving force for the functional activities of the body’s organs and meridians,promoting and regulating various phy...Background:Panacis Quinquefolii Radix(PQR)is known for its ability to nourish“Qi”(it serves as the driving force for the functional activities of the body’s organs and meridians,promoting and regulating various physiological functions)and“Yin”(it represents the material foundation of the human body.It plays a role in nourishing,moistening,and cooling the body).Notoginseng Radix et Rhizoma(NRR)is recognized for its properties of resolving blood stasis(it refers to a pathological condition characterized by impaired or stagnant blood circulation within the body).Changes in the compatibility ratio of these herbs often lead to variations in their chemical composition and efficacy.However,the specific alterations in chemical composition and efficacy resulting from compatibility adjustments remain unclear.We aimed to compare the material basis and their effects of different compatibility ratios of PQR and NRR on“Qi”deficiency and blood stasis syndrome(QBS).Methods:This study employed UPLC-Q/TOF-MS to identify effective compounds in the compatibility of PQR and NRR and utilized UPLC-TQ-MS/MS to analyze the dissolution of 16 saponins in PQR and NRR at 9 different ratios.A rat model of QBS was established,and the efficacy of PQR and NRR in treating this syndrome was assessed using hemorheology and coagulation analyses.Results:The study results show that PQR and NRR exhibit significant efficacy,effectively reducing blood viscosity induced by platelet aggregation and lowering inflammatory markers such as IL-6,IL-10,TXB2 and ET associated with vascular injury.Moreover,this combination regulates ATP and ADP levels,enhances energy metabolism,and promotes overall health.A total of 104 compounds in the compatibility of PQR and NRR were identified.The ratios of 1:2 and 1:3 showed the highest total saponin content,but the ratio of 1:1 demonstrated a superior pharmacological effect for the treatment of QBS.Conclusion:In summary,the compatibility of PQR and NRR not only shows the complex interactions between traditional Chinese medicinal materials,but also provides a new idea and method for the treatment of QBS.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
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
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 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
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
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
基金funded by the Natural Science Foundation of China(Grants No 42277127)。
文摘Rock-ice avalanches in cold high-mountain regions pose severe hazards due to their high mobility,yet the quantitative controls of particle-size ratio and ice content remain insufficiently constrained.This study investigates their coupled effects using inclinedflume experiments and Discrete Element Method(DEM)simulations,covering three gravel sizes(2-5 mm,5-7 mm,7-10 mm)and four ice-content levels(0%,20%,40%,60%).Run-out distance,velocity,energy components,flow regime(Savage number),and segregation indexαwere quantified.Increasing ice content significantly enhances mobility,but with diminishing marginal effectiveness.From 0%to 40%ice content,run-out distance increases by 41%-86%,whereas the additional increase from 40%to 60%contributes only 12%-23%.Particle-size ratio strongly governs segregation intensity.Fine-gravel groups reach segregation indices ofα=0.92-0.98,indicating nearly complete upward migration of ice,whereas medium-gravel and coarse-gravel groups exhibit much weaker segregation,stabilizing atα=0.68-0.74 and 0.60-0.69.Savage number analyses reveal marked flow-regime transitions.At 0%ice content,Savage numbers reach 1.0-1.5,indicating a collisional regime.Increasing ice content suppresses collisionality,with Savage numbers decreasing to 0.03-0.07 at 60%ice content,consistent with dense-regime flow.DEM energy analyses confirm this regime shift:for finegravel mixtures,collision energy decreases by 14%,while sliding-friction energy increases by 33%as ice content increases from 0%to 60%,reflecting enhanced overburden effects imposed by upward-segregated ice layers.Medium and coarse mixtures exhibit weaker or opposite energy-shift patterns,demonstrating strong size dependence.Mechanistically,large particle-size contrasts promote strong segregation and form dense basal rock layers that increase basal friction and reduce mobility.When particle sizes are similar or ice content is high,segregation remains limited,allowing ice to mix into the basal layer,thereby reducing basal friction and enhancing mobility.This research quantitatively demonstrates how composition controls particle spatial distribution,flow regime,and energy dissipation,offering new mechanistic insights into the propagation and deposition behaviors of rock-ice avalanches and improving hazard assessment in vulnerable high-mountain regions.
基金supported by the National Natural Science Foundation of China(No.12472136)Innovation Fund of Marine Defense Technology Innovation Center(No.25GFC-JJ16-3608).
文摘Negative Poisson’s ratio materials and structures exhibit lateral expansion under tensile loading,demonstrating significant mechanical advantages over conventional materials.This study systematically investigated three typical two-dimensional negative Poisson’s ratio metamaterial structures(Concave honeycomb,Anti-chiral,and Anti-chiral concave honeycomb hybrid structures)through both experimental tests and numerical analysis.The test specimens were fabricated using selective laser melting(SLM)additive manufacturing technology,and the experimental test was conducted with the use of a DIC strain measurement system.The numerical studies were performed considering both static tensile loading and dynamic impact loading with different strain rates.The deformation behaviors,failure process,negative Poisson’s ratio effects,and energy absorption capacity of the three different metamaterial structures are systematically investigated,and the associated mechanical mechanisms are thoroughly revealed.Results and findings of this work could provide valuable guidance for the engineering design and application of negative Poisson’s ratio metamaterials and structures.
基金supported by National Science Foundation of China(10972015,11172015)the Beijing Natural Science Foundation(8162008).
文摘In modern construction,Lightweight Aggregate Concrete(LWAC)has been recognized as a vital material of concern because of its unique properties,such as reduced density and improved thermal insulation.Despite the extensive knowledge regarding its macroscopic properties,there is a wide knowledge gap in understanding the influence of microscale parameters like aggregate porosity and volume ratio on the mechanical response of LWAC.This study aims to bridge this knowledge gap,spurred by the need to enhance the predictability and applicability of LWAC in various construction environments.With the help of advanced numerical methods,including the finite element method and a random circular aggregate model,this study critically evaluates the role played by these microscale factors.We found that an increase in the aggregate porosity from 23.5%to 48.5%leads to a drastic change of weakness from the bonding interface to the aggregate,reducing compressive strength by up to 24.2%and tensile strength by 27.8%.Similarly,the increase in the volume ratio of lightweight aggregate from 25%to 40%leads to a reduction in compressive strength by 13.0%and tensile strength by 9.23%.These results highlight the imperative role of microscale properties on the mechanical properties of LWAC.By supplying precise quantitative details on the effect of porosity and aggregate volume ratio,this research makes significant contributions to construction materials science by providing useful recommendations for the creation and optimization of LWAC with improved performance and sustainability in construction.
基金supported by grants from the National Natural Science Foundation of China(Grant Nos.82430018 to Q.C.,82270361 and 82570402 to H.Z.)the Nanjing Medical University Undergraduate Innovation and Entrepreneurship Training Program Fund(Grant No.202410312138Y to C.Z.)the Basic Sciences of Jiangsu Higher Education Institutions(Grant No.22KJA310002 to H.Z.)。
文摘As the prevalence of obesity increases dramatically,obesity-associated cardiac dysfunction constitutes a considerable challenge to human health.This study aimed to identify more useful lipid/inflammatory markers to predict the risk of obesity-associated cardiac dysfunction.By retrospectively analyzing the clinical characteristics of 5648 cardiac disease patients,we found that both the plasma level of high-density lipoprotein cholesterol(HDLC)and the blood monocyte count were significantly associated with impairment of the left ventricular ejection fraction(LVEF).Univariate and multivariate regression analyses revealed that the monocyte to HDL-C ratio(MHR)was a more powerful predictor of the risk of LVEF decline than either HDL-C or monocyte alone.Mediation analysis further revealed a mediating effect of a high MHR on the decline in obesity-associated cardiac systolic function.Collectively,our results demonstrate a superior role of MHR in predicting the risk of an obesityassociated decline in cardiac systolic function among routine metabolic/inflammatory markers.
基金supported by grants through funding from the National Science and Technology Council(NSTC112-2314-B-037-050-MY3,NSTC114-2314-B-037-103-MY3,NSTC114-2321-B-037-003)the Ministry of Health and Welfare(MOHW113-TDU-B-222-134014)+3 种基金funded by the health and welfare surcharge of on tobacco products,and the Kaohsiung Medical University Hospital(KMUH113-3R31,KMUH113-3R32,KMUH113-3R33,KMUH113-3M58,KMUH113-3M59,KMUH-S11412,KMUH-SH11403)Kaohsiung Medical University Research Center Grant(KMU-TC113A04)National Tsing Hua University-Kaohsiung Medical University Joint Research Project(NTHU-KMU-KT114P008)supported by the Grant of Taiwan Precision Medicine Initiative and Taiwan Biobank,Academia Sinica,Taiwan.
文摘Background:The long-term outcomes of robotic-assisted surgery and the prognostic significance of the pretreatment neutrophil-to-lymphocyte ratio(NLR)in locally advanced rectal cancer(LARC)remain uncertain.This study aimed to assess the long-term outcomes of patients with LARC undergoing robotic-assisted surgery and to determine the prognostic value of pretreatment NLR.Methods:We retrospectively reviewed 252 patients with LARC who were treated at a single medical center in Taiwan between January 2012 and January 2023.All patients underwent neoadjuvant concurrent chemoradiotherapy(CRT)followed by robotic-assisted surgery with total mesorectal excision(TME).Patients were stratified into four groups on the basis of pretreatment NLRs and carcinoembryonic antigen(CEA)levels.Univariate and multivariate analyses were conducted to identify prognostic indicators for overall survival(OS)and disease-free survival(DFS).Results:Patients with a pretreatment NLR of≥3.2 exhibited significantly worse OS and DFS compared with those with an NLR of<3.2(OS:94.4 vs.116.5 months,p=0.001;DFS:78.8 vs.101.7 months,p=0.003).Group A exhibited the poorest prognosis,whereas Group D had the most favorable outcomes.Multivariate analysis revealed NLR≥3.2 as an independent predictor of poor OS(hazard ratio[HR]=2.306,95%CI:1.149-3.747;p=0.001)and DFS(HR=2.055,95%CI:1.341-3.148;p=0.001).Conclusion:Neoadjuvant concurrent CRT followed by robotic-assisted TME is an effective treatment strategy for LARC.A higher pretreatment NLR(≥3.2)independently predicted worse OS and DFS.Stratification using the NLR in combination with CEA levels may enhance prognostic accuracy for patients undergoing robotic-assisted surgery for LARC.
文摘This study presents a framework involving statistical modeling and machine learning to accurately predict and optimize the mechanical and damping properties of hybrid granite-epoxy(G-E)composites reinforced with cast iron(CI)filler particles.Hybrid G-E composite with added cast iron(CI)filler particles enhances stiffness,strength,and vibration damping,offering enhanced performance for vibration-sensitive engineering applications.Unlike conventional approaches,this work simultaneously employs Artificial Neural Networks(ANN)for highaccuracy property prediction and Response Surface Methodology(RSM)for in-depth analysis of factor interactions and optimization.A total of 24 experimental test data sets of varying input factors(granite weight%,epoxy weight%,and CI filler weight%)were utilized to train and test the prediction models using an ANN approach and further analyze the interaction effects using RSM.Mechanical properties,including tensile,compressive,and flexural strength,elastic modulus,density and damping properties measured under various testing conditions,were set as output parameters for prediction.This study analyzed and optimized the performance of the ANN model using Bayesian Regularization and Levenberg-Marquardt algorithms to identify the best performing number of neurons in the hidden layer for achieving the highest prediction accuracy.The proposed ANN framework achieved an exceptional average determination coefficient(R2)exceeding 99%,with Bayesian Regularization demonstrating remarkable stability in the 22-neuron range and minimal variation across all properties.RSM and ANN form a powerful framework for predicting and optimizing hybrid G-E composite properties,enabling efficient design for vibration-critical applications with reduced experimental effort and performance optimization.
基金supported by the Deep Earth Probe and Mineral Resources Exploration-National Science and Technology Major Project(Grant No.2025ZD005100)by Beijing Geolight Technology Co.,Ltd.under the project“The Impact of Strong Ground Motion on Buildings”(YF-202520).
文摘This study employed tri-component continuous monitoring data from 10 measurement points on both sides of a base isolation layer in the basement of a large-span high-rise building in Beijing,as well as from a free-field station and roof frame,during a Mw 5.5 magnitude earthquake in Pingyuan,Shandong,in 2023.The H/V spectral ratio method was used to evaluate the structural dynamic response characteristics of the building and analyze the regulatory effect of the base-isolation layer on seismic waves.The results indicate that during the earthquake,the peak frequency of the free-field and the measurement points below the base-isolation layer was stable at 0.17 Hz,whereas the main frequency of the measurement points above the base-isolation layer increased to 0.75–1.18 Hz,which is 4–6 times greater than that of the points below.The amplitude was suppressed by more than 70%,confirming that the base isolation layer effectively isolated the low-frequency energy from the ground and increased the response frequency of the building.When the building was excited by an earthquake,a three-tier frequency gradient was formed throughout the building:“base-isolation layer(0.17 Hz)-main body(1.18 Hz)-roof frame(3.83 Hz)”,which can effectively avoid resonance of the entire building.In addition,the composite base-isolation device changed the dynamic characteristics of the structure.The resonance period was extended from 0.74 s(theoretical value without base isolation)to 5.9 s(calculated value),and the resonance frequency was reduced from 1.35 to 0.17 Hz.This finding indicates that the base-isolation layer can enhance seismic performance by increasing flexibility and damping.
基金funded by the Entrusted service project of Shaanxi Administration of Traditional Chinese Medicine(ZYJXG-L23001)2023 Sanqin Talent Special Support Program Innovation and Entrepreneurship Team Project,and Sci-Tech Innovation Talent System Construction Program of Shaanxi University of Chinese Medicine(2023).
文摘Background:Panacis Quinquefolii Radix(PQR)is known for its ability to nourish“Qi”(it serves as the driving force for the functional activities of the body’s organs and meridians,promoting and regulating various physiological functions)and“Yin”(it represents the material foundation of the human body.It plays a role in nourishing,moistening,and cooling the body).Notoginseng Radix et Rhizoma(NRR)is recognized for its properties of resolving blood stasis(it refers to a pathological condition characterized by impaired or stagnant blood circulation within the body).Changes in the compatibility ratio of these herbs often lead to variations in their chemical composition and efficacy.However,the specific alterations in chemical composition and efficacy resulting from compatibility adjustments remain unclear.We aimed to compare the material basis and their effects of different compatibility ratios of PQR and NRR on“Qi”deficiency and blood stasis syndrome(QBS).Methods:This study employed UPLC-Q/TOF-MS to identify effective compounds in the compatibility of PQR and NRR and utilized UPLC-TQ-MS/MS to analyze the dissolution of 16 saponins in PQR and NRR at 9 different ratios.A rat model of QBS was established,and the efficacy of PQR and NRR in treating this syndrome was assessed using hemorheology and coagulation analyses.Results:The study results show that PQR and NRR exhibit significant efficacy,effectively reducing blood viscosity induced by platelet aggregation and lowering inflammatory markers such as IL-6,IL-10,TXB2 and ET associated with vascular injury.Moreover,this combination regulates ATP and ADP levels,enhances energy metabolism,and promotes overall health.A total of 104 compounds in the compatibility of PQR and NRR were identified.The ratios of 1:2 and 1:3 showed the highest total saponin content,but the ratio of 1:1 demonstrated a superior pharmacological effect for the treatment of QBS.Conclusion:In summary,the compatibility of PQR and NRR not only shows the complex interactions between traditional Chinese medicinal materials,but also provides a new idea and method for the treatment of QBS.
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.
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(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 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.
