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Lifestyle behaviors,serum metabolites and high myopia:Mendelian randomization and mediation analysis
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作者 Nian-En Liu Xiao-Tong Xu Xiao-Bing Yu 《International Journal of Ophthalmology(English edition)》 2026年第1期140-148,共9页
AIM:To explore the causal relationship between several possible behavioral factors and high myopia(HM)using multivariable Mendelian randomization(MVMR)approach and to find the mediators among them with mediation analy... AIM:To explore the causal relationship between several possible behavioral factors and high myopia(HM)using multivariable Mendelian randomization(MVMR)approach and to find the mediators among them with mediation analysis.METHODS:The causal effects of several behavioral factors,including screen time,education time,time spent outdoors,and physical activity,on the risk of HM using univariable Mendelian randomization(MR)and MVMR analyses were first assessed.Genome-wide association study summary statistics of serum metabolites were also used in mediation analysis to determine the extent to which serum metabolites mediate the effects of behavioral factors on HM.RESULTS:MR analyses indicated that both increased time spent outdoors and a higher frequency of moderate physical activity significantly reduced the risk of HM.Further MVMR analysis confirmed that moderate physical activity independently contributed to a lower risk of HM.Additionally,MR analyses identified 13 serum metabolites significantly associated with HM,of which 12 were lipids and one was an amino acid derivative.Mediation analysis revealed that six lipid metabolites mediated the protective effects of moderate physical activity on HM,with the highest mediation proportion observed for 1-(1-enyl-palmitoyl)-GPC(p-16:0;30.83%).CONCLUSION:This study suggests that in addition to outdoor time,moderate physical activity habits may have an independent protective effect against HM and pointed to lipid metabolites as priority targets for the prevention due to low physical activity.These results emphasize the importance of physical activity and metabolic health in HM and underscore the need for further study of these complex associations. 展开更多
关键词 high myopia physical activity serum metabolites multivariable Mendelian randomization mediation analysis
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Association between asthma and myopia:the NHANES database and Mendelian randomization analysis
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作者 Ya-Jing Zheng Ji-Fa Kuang +1 位作者 Fei-Lan Chen Wen-Bin Huang 《International Journal of Ophthalmology(English edition)》 2026年第1期132-139,共8页
AIM:To comprehensively assess the relationship between asthma and myopia based on the National Health and Nutrition Examination Survey(NHANES)database combined with Mendelian randomization(MR).METHODS:Initially,20497 ... AIM:To comprehensively assess the relationship between asthma and myopia based on the National Health and Nutrition Examination Survey(NHANES)database combined with Mendelian randomization(MR).METHODS:Initially,20497 subjects from the complete questionnaire cycle in the NHANES database from 2005 to 2008 were included.By exclusion criteria,8460 subjects were screened with 1676 myopia samples and 6784 control samples.Subsequently,baseline characteristics,association analyses,risk stratification analyses,and receive operating characteristic curve(ROC)were used to investigate the associations between covariates and myopia.Then,the causal relationship was explored in depth by MR analysis,and was estimated the reliability by sensitivity analyses and directionality tests.RESULTS:Baseline characteristics illustrated a significant difference between myopia and controls for both asthma and covariates(excluding gender;P<0.05).The results in all three models indicated that asthma was strongly associated with myopia and the effect on myopia was not significantly confounded by other covariates[model 3:odd ratio(OR)=1.31;95%CI=1.07-1.62;P=0.0133].The risk stratification analysis again verified that asthma remained strongly associated with myopia and was a risk factor for myopia(P<0.05,OR>1).ROC proved that the model was accurate in its prediction[area under curve(AUC)=0.7].Subsequently,the causal relationship between them was statistically significant(P<0.05)according to the inverse variance weighted(IVW)method in MR.Scatterplot showed that asthma and myopia had significant positive causality and were not affected by confounders.Forest plot displayed an increasing risk of myopia on asthma(OR>1).The funnel plot demonstrated compliance with Mendel’s second law.Sensitivity analysis and directional analysis further confirmed the confidence of the MR analysis results and a unidirectional causal relationship between them.CONCLUSION:A significant association and causality between asthma and myopia is found through the NHANES database and MR analysis,which is important implications for public health policy development and clinical practice. 展开更多
关键词 ASTHMA MYOPIA National Health and Nutrition Examination Survey Mendelian randomization
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Strong Laws of Large Numbers for Sequences of Blockwise m-Dependent and Sub-Orthogonal Random Variables under Sublinear Expectations
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作者 Jialiang FU 《Journal of Mathematical Research with Applications》 2026年第1期103-118,共16页
In this paper,we establish some strong laws of large numbers,which are for nonindependent random variables under the framework of sublinear expectations.One of our main results is for blockwise m-dependent random vari... In this paper,we establish some strong laws of large numbers,which are for nonindependent random variables under the framework of sublinear expectations.One of our main results is for blockwise m-dependent random variables,and another is for sub-orthogonal random variables.Both extend the strong law of large numbers for independent random variables under sublinear expectations to the non-independent case. 展开更多
关键词 sublinear expectations strong law of large numbers blockwise m-dependent suborthogonal random variables
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EXPONENTIAL STABILITY OF ATTRACTOR FOR RANDOM REACTION-DIFFUSION EQUATION DRIVEN BY NONLINEAR COLORED NOISE ON R^(N)
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作者 Huijuan ZHU Xiaojun LI Yanjiao LI 《Acta Mathematica Scientia》 2025年第4期1567-1596,共30页
In this paper, we consider the existence of pullback random exponential attractor for non-autonomous random reaction-diffusion equation driven by nonlinear colored noise defined onR^(N) . The key steps of the proof ar... In this paper, we consider the existence of pullback random exponential attractor for non-autonomous random reaction-diffusion equation driven by nonlinear colored noise defined onR^(N) . The key steps of the proof are the tails estimate and to demonstrate the Lipschitz continuity and random squeezing property of the solution for the equation defined on R^(N) . 展开更多
关键词 random reaction-diffusion equation continuous cocycle pullback random attractor fractal dimension random exponential attractor
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Evaluating Domain Randomization Techniques in DRL Agents:A Comparative Study of Normal,Randomized,and Non-Randomized Resets
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作者 Abubakar Elsafi 《Computer Modeling in Engineering & Sciences》 2025年第8期1749-1766,共18页
Domain randomization is a widely adopted technique in deep reinforcement learning(DRL)to improve agent generalization by exposing policies to diverse environmental conditions.This paper investigates the impact of diff... Domain randomization is a widely adopted technique in deep reinforcement learning(DRL)to improve agent generalization by exposing policies to diverse environmental conditions.This paper investigates the impact of different reset strategies,normal,non-randomized,and randomized,on agent performance using the Deep Deterministic Policy Gradient(DDPG)and Twin Delayed DDPG(TD3)algorithms within the CarRacing-v2 environment.Two experimental setups were conducted:an extended training regime with DDPG for 1000 steps per episode across 1000 episodes,and a fast execution setup comparing DDPG and TD3 for 30 episodes with 50 steps per episode under constrained computational resources.A step-based reward scaling mechanism was applied under the randomized reset condition to promote broader state exploration.Experimental results showthat randomized resets significantly enhance learning efficiency and generalization,with DDPG demonstrating superior performance across all reset strategies.In particular,DDPG combined with randomized resets achieves the highest smoothed rewards(reaching approximately 15),best stability,and fastest convergence.These differences are statistically significant,as confirmed by t-tests:DDPG outperforms TD3 under randomized(t=−101.91,p<0.0001),normal(t=−21.59,p<0.0001),and non-randomized(t=−62.46,p<0.0001)reset conditions.The findings underscore the critical role of reset strategy and reward shaping in enhancing the robustness and adaptability of DRL agents in continuous control tasks,particularly in environments where computational efficiency and training stability are crucial. 展开更多
关键词 DDPG agent TD3 agent deep reinforcement learning domain randomization generalization non-randomized reset normal reset randomized reset
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THE CONSTRUCTION OF MULTITYPE CANONICAL MARKOV BRANCHING CHAINS IN RANDOM ENVIRONMENTS 被引量:2
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作者 胡迪鹤 《Acta Mathematica Scientia》 SCIE CSCD 2006年第3期431-442,共12页
The investigation for branching processes has a long history by their strong physics background, but only a few authors have investigated the branching processes in random environments. First of all, the author introd... The investigation for branching processes has a long history by their strong physics background, but only a few authors have investigated the branching processes in random environments. First of all, the author introduces the concepts of the multitype canonical Markov branching chain in random environment (CMBCRE) and multitype Markov branching chain in random environment (MBCRE) and proved that CMBCRE must be MBCRE, and any MBCRE must be equivalent to another CMBCRE in distribution. The main results of this article are the construction of CMBCRE and some of its probability properties. 展开更多
关键词 random Markov matrix Markov chain in random environment Markov branching chain in random environment canonical Markov branching chain in random environment generator random variables
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THE ANALYTICAL PROPERTIES FOR HOMOGENEOUS RANDOM TRANSITION FUNCTIONS 被引量:1
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作者 胡迪鹤 邱育峰 《Acta Mathematica Scientia》 SCIE CSCD 2007年第1期180-192,共13页
The concepts of Markov process in random environment and homogeneous random transition functions are introduced. The necessary and sufficient conditions for homogeneous random transition function are given. The main r... The concepts of Markov process in random environment and homogeneous random transition functions are introduced. The necessary and sufficient conditions for homogeneous random transition function are given. The main results in this article are the analytical properties, such as continuity, differentiability, random Kolmogorov backward equation and random Kolmogorov forward equation of homogeneous random transition functions. 展开更多
关键词 Markov process in random environment random transition function homogeneous random transition function random Kohnogorov backward equation random Kohnogorov forward equation
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THE ERGODICITY FOR BI-IMMIGRATION BIRTH AND DEATH PROCESSES IN RANDOM ENVIRONMENT 被引量:1
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作者 Hu Dihe Zhang Shuli 《Acta Mathematica Scientia》 SCIE CSCD 2008年第1期43-53,共11页
The concepts of bi-immigration birth and death density matrix in random environment and bi-immigration birth and death process in random environment are introduced.For any bi-immigration birth and death matrix in rand... The concepts of bi-immigration birth and death density matrix in random environment and bi-immigration birth and death process in random environment are introduced.For any bi-immigration birth and death matrix in random environment Q(θ)with birth rateλ〈death rateμ,the following results are proved,(1)there is an unique q-process in random environment,P^-(θ*(0);t)=(p^-(θ^*(0);t,i,j),i,j≥0),which is ergodic,that is,lim t→∞(θ^*(0);t,i,j)=π^-(θ^*(0);j)≥0 does not depend on i≥0 and∑j≥0π(θ*(0);j)=1,(2)there is a bi-immigration birth and death process in random enjvironment(X^*={X^*,t≥0},ε^*={εt,t∈(-∞,∞)})with random transition matrix P^-(θ^*(0);t)such that X^*is a strictly stationary process. 展开更多
关键词 Density matrix in random environment random transition matrix Markov process in random environment bi-immigration birth and death density matrix in random environment bi-immigration birth and death process in random environment
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Complete f-Moment Convergence for Sung’s Type Weighted Sums of Negatively Superadditive Dependent Random Variables
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作者 HU Xueping WANG Liuliu +1 位作者 HU Ke XU Zhonghao 《应用概率统计》 北大核心 2025年第4期585-601,共17页
In this paper,by utilizing the Marcinkiewicz-Zygmund inequality and Rosenthal-type inequality of negatively superadditive dependent(NSD)random arrays and truncated method,we investigate the complete f-moment convergen... In this paper,by utilizing the Marcinkiewicz-Zygmund inequality and Rosenthal-type inequality of negatively superadditive dependent(NSD)random arrays and truncated method,we investigate the complete f-moment convergence of NSD random variables.We establish and improve a general result on the complete f-moment convergence for Sung’s type randomly weighted sums of NSD random variables under some general assumptions.As an application,we show the complete consistency for the randomly weighted estimator in a nonparametric regression model based on NSD errors. 展开更多
关键词 Marcinkiewicz-Zygmund inequality Rosenthal-type inequality Sung’s type randomly weighted sums negatively superadditive dependent random variables complete f-moment convergence
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ISOPERIMETRIC INEQUALITIES FOR INTEGRAL GEOMETRIC INVARIANTS OF RANDOM LINES
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作者 Gaoyong ZHANG 《Acta Mathematica Scientia》 2025年第1期189-199,共11页
Isoperimetric type inequalities for integral geometric invariants of random lines in the Euclidean space are shown.Entropy inequalities of probability densities on the affine Grassmann manifold of lines are given.
关键词 isoperimetric inequality convex body random points random lines chord integral Riesz potential ENTROPY
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Current state of nutritional psychiatry:A scoping review of randomized controlled trials
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作者 Takahiko Nagamine 《World Journal of Methodology》 2025年第4期364-373,共10页
BACKGROUND Nutritional psychiatry is a rapidly expanding field of research,with mounting evidence suggesting that nutritional factors may play a role in the development of psychiatric disorders.AIM To examine the leve... BACKGROUND Nutritional psychiatry is a rapidly expanding field of research,with mounting evidence suggesting that nutritional factors may play a role in the development of psychiatric disorders.AIM To examine the level of evidence for nutritional psychiatry.METHODS A scoping review was conducted to assess the current state of nutritional psychiatry,including a search for randomized controlled trials(RCTs).RESULTS The review identified a total of seven papers,with many concentrating on the relationship between depression and the gut microbiome.A salient issue that emerged from this review was the paucity of sample size in many studies.The inherent complexity of nutritional studies,characterized by a multitude of potential factors and exposures that often act as confounders,poses significant challenges to the development of effective RCT designs.The analysis revealed that probiotics,though demonstrating efficacy,exhibited a modest effect size.CONCLUSION Conducting RCTs with effective markers is imperative from these studies.The implementation of Mendelian randomization and the investigation of mechanisms in basic research are essential complementary approaches. 展开更多
关键词 Nutritional psychiatry randomized controlled trial Mendelian randomization Fundamental research PROBIOTICS Gut microbiota
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A CGAN Framework for Predicting Crack Patterns and Stress-Strain Behavior in Concrete Random Media
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作者 Xing Lin Junning Wu Shixue Liang 《Computer Modeling in Engineering & Sciences》 2025年第10期215-239,共25页
Random media like concrete and ceramics exhibit stochastic crack propagation due to their heterogeneous microstructures.This study establishes a Conditional Generative Adversarial Network(CGAN)combined with randomfiel... Random media like concrete and ceramics exhibit stochastic crack propagation due to their heterogeneous microstructures.This study establishes a Conditional Generative Adversarial Network(CGAN)combined with randomfieldmodeling for the efficient prediction of stochastic crack patterns and stress-strain responses.Atotal dataset of 500 samples,including crack propagation images and corresponding stress-strain curves,is generated via random Finite Element Method(FEM)simulations.This dataset is then partitioned into 400 training and 100 testing samples.Themodel demonstrates robust performance with Intersection overUnion(IoU)scores of 0.8438 and 0.8155 on training and testing datasets,and R2 values of 0.9584 and 0.9462 in stress-strain curve predictions.By using these results,the CGAN is subsequently implemented as a surrogate model for large-scale Monte Carlo(MC)Simulations to capture the key statistical characteristics such as crack density and spatial distribution.Compared to conventional FEM-based methods,this approach reduces the computational cost to about 1/250 while maintaining high prediction accuracy.The methodology establishes a viable pathway for probabilistic fracture analysis in quasi-brittle materials,balancing computational efficiency with physical fidelity in capturing material stochasticity. 展开更多
关键词 random media CONCRETE stochastic crack patterns random field deep learning method surrogate model
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A method for predicting random vibration response of train-track-bridge system based on GA-BP neural network
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作者 Jianfeng Mao Yun Zhang +2 位作者 Li Zheng Mansoor Khan Zhiwu Yu 《High-Speed Railway》 2025年第4期305-317,共13页
To enhance the efficiency of stochastic vibration analysis for the Train-Track-Bridge(TTB)coupled system,this paper proposes a prediction method based on a Genetic Algorithm-optimized Backpropagation(GA-BP)neural netw... To enhance the efficiency of stochastic vibration analysis for the Train-Track-Bridge(TTB)coupled system,this paper proposes a prediction method based on a Genetic Algorithm-optimized Backpropagation(GA-BP)neural network.First,initial track irregularity samples and random parameter sets of the Vehicle-Bridge System(VBS)are generated using the stochastic harmonic function method.Then,the stochastic dynamic responses corresponding to the sample sets are calculated using a developed stochastic vibration analysis model of the TTB system.The track irregularity data and vehicle-bridge random parameters are used as input variables,while the corresponding stochastic responses serve as output variables for training the BP neural network to construct the prediction model.Subsequently,the Genetic Algorithm(GA)is applied to optimize the BP neural network by considering the randomness in excitation and parameters of the TTB system,improving model accuracy.After optimization,the trained GA-BP model enables rapid and accurate prediction of vehicle-bridge responses.To validate the proposed method,predictions of vehicle-bridge responses under varying train speeds are compared with numerical simulation results.The findings demonstrate that the proposed method offers notable advantages in predicting the stochastic vibration response of high-speed railway TTB coupled systems. 展开更多
关键词 Train-track-bridge system Genetic algorithm BP neural network random response prediction random parameters
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Causal relationship between multiple types of food intake and myopia:a Mendelian randomization study
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作者 Sha-Sha Zhang Jiao-Jiao Liang +4 位作者 Yun Feng Xia Hong Yi-Jia Zhao Ling Chen Ping Lin 《International Journal of Ophthalmology(English edition)》 2025年第9期1718-1729,共12页
AIM:To investigate the causal relationship between dietary intake and myopia using Mendelian randomization(MR)analysis.METHODS:Genome-wide association study(GWAS)data from the IEU Open GWAS database were utilized to e... AIM:To investigate the causal relationship between dietary intake and myopia using Mendelian randomization(MR)analysis.METHODS:Genome-wide association study(GWAS)data from the IEU Open GWAS database were utilized to examine associations between myopia and various dietary factors.MR analysis,incorporating both univariable and multivariable approaches,assessed the impact of food intake on myopia risk through five analytical methods,with inverse variance weighted(IVW)serving as the primary reference.Sensitivity analyses,including heterogeneity assessment,horizontal pleiotropy evaluation,and leave-oneout analysis,were conducted to validate the MR findings.RESULTS:Univariable MR analysis identified a causal link between food intake and myopia.Consumption of breaded fish,canned soup,sweet biscuits,and certain fruits correlated with a lower risk of myopia,whereas intake of low-calorie hot chocolate and cereal was associated with an increased risk.Multivariable MR analysis further confirmed that breaded fish consumption exerted a direct protective effect against myopia,particularly when consumed alongside other dietary components.These findings highlight the intricate interplay between specific dietary factors and myopia development,offering valuable insights for further research.CONCLUSION:MR analysis provides evidence supporting a potential causal relationship between breaded fish intake and myopia,underscoring its relevance in targeted myopia prevention strategies. 展开更多
关键词 MYOPIA genome-wide association study food intakes univariable Mendelian randomization analysis multivariable Mendelian randomization analysis
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Effects of spatial heterogeneity on pseudo-static stability of coal mine overburden dump slope,using random limit equilibrium and random finite element methods:A comparative study
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作者 Madhumita Mohanty Rajib Sarkar Sarat Kumar Das 《Earthquake Engineering and Engineering Vibration》 2025年第1期83-99,共17页
Sudden and unforeseen seismic failures of coal mine overburden(OB)dump slopes interrupt mining operations,cause loss of lives and delay the production of coal.Consideration of the spatial heterogeneity of OB dump mate... Sudden and unforeseen seismic failures of coal mine overburden(OB)dump slopes interrupt mining operations,cause loss of lives and delay the production of coal.Consideration of the spatial heterogeneity of OB dump materials is imperative for an adequate evaluation of the seismic stability of OB dump slopes.In this study,pseudo-static seismic stability analyses are carried out for an OB dump slope by considering the material parameters obtained from an insitu field investigation.Spatial heterogeneity is simulated through use of the random finite element method(RFEM)and the random limit equilibrium method(RLEM)and a comparative study is presented.Combinations of horizontal and vertical spatial correlation lengths were considered for simulating isotropic and anisotropic random fields within the OB dump slope.Seismic performances of the slope have been reported through the probability of failure and reliability index.It was observed that the RLEM approach overestimates failure probability(P_(f))by considering seismic stability with spatial heterogeneity.The P_(f)was observed to increase with an increase in the coefficient of variation of friction angle of the dump materials.Further,it was inferred that the RLEM approach may not be adequately applicable for assessing the seismic stability of an OB dump slope for a horizontal seismic coefficient that is more than or equal to 0.1. 展开更多
关键词 coal mine overburden dump slope random limit equilibrium method random finite element method seismic slope stability spatial heterogeneity
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Spatially random polarization-smoothing optics by residual stress birefringence of fused silica for laser-driven inertial confinement fusion
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作者 Chuanchao Zhang Wei Liao +6 位作者 Xiaolong Jiang Haijun Wang Fa Zeng Wei Ni Ping Li Xiaodong Jiang Qihua Zhu 《Matter and Radiation at Extremes》 2025年第5期54-63,共10页
We demonstrate a new polarization smoothing(PS)approach utilizing residual stress birefringence in fused silica to create a spatially random polarization control plate(SRPCP),thereby improving target illumination unif... We demonstrate a new polarization smoothing(PS)approach utilizing residual stress birefringence in fused silica to create a spatially random polarization control plate(SRPCP),thereby improving target illumination uniformity in inertial confinement fusion(ICF)laser systems.The fundamental operating mechanism and key fabrication techniques for the SRPCP are systematically developed and experimentally validated.The SRPCP converts a linearly polarized 3ω incident laser beam into an output beam with a spatially randomized polarization distribution.When combined with a continuous phase plate,the SRPCP effectively suppresses high-intensity speckles at all spatial frequencies in the focal spot.The proposed PS technique is specifically designed for high-fluence large-aperture laser systems,enabling novel polarization control regimes in laser-driven ICF. 展开更多
关键词 spatially ra fused silica spatially random polarization control plate srpcp thereby linearly polarized incident laser beam residual stress birefringence fabrication techniques improving target illumination uniformity spatially random polarization smoothing
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THE BRANCHING CHAIN WITH DRIFT IN SPACE-TIME RANDOM ENVIRONMENT(I):MODEL,MARKOV PROPERTY,MOMENTS
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作者 胡迪鹤 胡晓予 《Acta Mathematica Scientia》 SCIE CSCD 2010年第5期1669-1678,共10页
There are three parts in this article. In Section 1, we establish the model of branching chain with drift in space-time random environment (BCDSTRE), i.e., the coupling of branching chain and random walk. In Section... There are three parts in this article. In Section 1, we establish the model of branching chain with drift in space-time random environment (BCDSTRE), i.e., the coupling of branching chain and random walk. In Section 2, we prove that any BCDSTRE must be a Markov chain in time random environment when we consider the distribution of the particles in space as a random element. In Section 3, we calculate the first-order moments and the second-order moments of BCDSTRE. 展开更多
关键词 branching chain with drift in space-time random enviromnent randombranching generating function local random transition generating function random drift law random branching law
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THE EXISTENCE AND MOMENTS OF CANONICAL BRANCHING CHAIN IN RANDOM ENVIRONMENT 被引量:19
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作者 Hu Dihe 《Acta Mathematica Scientia》 SCIE CSCD 2004年第3期499-506,共8页
The concepts of branching chain in random environmnet and canonical branching chain in random environment are introduced.Moreover the existence of these chains is proved.Finally the exact formulas of mathematical expe... The concepts of branching chain in random environmnet and canonical branching chain in random environment are introduced.Moreover the existence of these chains is proved.Finally the exact formulas of mathematical expectation and variance of branching chain in random environment are also given. 展开更多
关键词 random transition matrix branching chain in random environment canonical branching chains in random environments generator random varialble
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ON MARKOV CHAINS IN SPACE-TIME RANDOM ENVIRONMENTS 被引量:7
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作者 胡迪鹤 胡晓予 《Acta Mathematica Scientia》 SCIE CSCD 2009年第1期1-10,共10页
In Section 1, the authors establish the models of two kinds of Markov chains in space-time random environments (MCSTRE and MCSTRE(+)) with abstract state space. In Section 2, the authors construct a MCSTRE and a MCSTR... In Section 1, the authors establish the models of two kinds of Markov chains in space-time random environments (MCSTRE and MCSTRE(+)) with abstract state space. In Section 2, the authors construct a MCSTRE and a MCSTRE(+) by an initial distribution Φ and a random Markov kernel (RMK) p(γ). In Section 3, the authors es-tablish several equivalence theorems on MCSTRE and MCSTRE(+). Finally, the authors give two very important examples of MCMSTRE, the random walk in spce-time random environment and the Markov br... 展开更多
关键词 random Markov kernel Markov chain in space-time random environemnt random walk in space-time random environment Markov branching chain in space-time random environment
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Psychological effects of virtual reality intervention on breast cancer patients with different personalities: A randomized controlled trial 被引量:5
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作者 Shanshan Wu Guodu Liu +9 位作者 Jie Yang Xinxin Xie Mei-E Wu Lili Wang Yanhui Zhang Jinmei Chen Xiaowei Wang Wanjiao Li Yihong Qiu Jie Chen 《International Journal of Nursing Sciences》 2025年第2期107-114,共8页
Objectives:To explore the efficacy and safety of virtual reality(VR)in relieving negative emotions in patients with breast cancer with different personalities.Methods:A randomized controlled trial was conducted.Betwee... Objectives:To explore the efficacy and safety of virtual reality(VR)in relieving negative emotions in patients with breast cancer with different personalities.Methods:A randomized controlled trial was conducted.Between April 2023 and October 2023,we enrolled patients with breast cancer treated in the Department of Breast Cancer and Oncology at Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangdong Province.The patients were randomly divided into an intervention group(n=118)and a control group(n=119)using block randomization.The intervention group received the VR intervention 3-5 times over 5±2 weeks using natural landscapes with music or relaxation guidance,and the duration of each VR intervention was 15±3 min.The control group received routine nursing care,including disease education and psychological counseling.Patients were assessed using the Type D Scale,Positive and Negative Affect Scale,and Distress Thermometer,and adverse events during the intervention were recorded.Results:Overall,85 patients completed the study(44 in the intervention group and 41 in the control group).Patients with Type D personalities showed more negative emotions[25.0(21.5,27.5)vs.19.0(16.0,24.0),P=0.001]and distressed attitudes[4.0(2.0,5.0)vs.3.0(1.0,4.0),P=0.020]with fewer positive emotions(27.2±5.6 vs.31.0±5.9,P=0.014)than those with non-Type D personalities.Total population analysis revealed no significant differences between the groups.However,in the subgroup analysis,patients with Type D personalities in the intervention group showed greater relief from negative emotions than those in the control group[median difference,-5.0(-9.0,-2.5)vs.-2.0(-4.0,2.0),P=0.046].No significant differences were found between groups of patients with non-Type D personality traits.The proportion of adverse events was not significantly different between groups(P=0.110).Conclusions:Breast cancer patients with Type D personalities suffer more severe negative emotions and distress,and more attention should be paid to them.VR intervention significantly and safely reduced negative emotions in patients with Type D personalities. 展开更多
关键词 Breast neoplasms Rehabilitation research randomized controlled trial Type D personality Virtual reality
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