Objective Previous studies on adakitic rocks with high Sr/Y and La/Yb ratios have established that such rocks may form in a variety of tectonic settings through different petrogenetic processes including： （1） parti...Objective Previous studies on adakitic rocks with high Sr/Y and La/Yb ratios have established that such rocks may form in a variety of tectonic settings through different petrogenetic processes including： （1） partial melting of subducted young （〈25 Ma）, hot and hydrated oceanic slab; （2） partial melting of thickened lower crust; （3） assimilation and fractional crystallization processes involving basaltic magma; （4） partial melting of delaminated lower crust; and （5） partial melting of hydrous garnet peridotite. The various origins for adakites provide important constraints on crustal growth and evolution throughout the Earth＇s history.展开更多
Elizabeth Fisher and Victor collaboratively for many years on Tybulewicz have worked the Down syndrome mouse model project. Elizabeth Fisher＇s background is in molecular genetics and mouse models, with an interest in...Elizabeth Fisher and Victor collaboratively for many years on Tybulewicz have worked the Down syndrome mouse model project. Elizabeth Fisher＇s background is in molecular genetics and mouse models, with an interest in anueploidy. Victor Tybulewicz is an immunologist whose primary interest is in signal transduction from the antigen receptors of B and T cells.展开更多
Based on the stratum settlement resulting from water drainage, this paper establishes the calculating method of stresses and displacements of shaft lining and stratum by using Fourier integration, obtains the calculat...Based on the stratum settlement resulting from water drainage, this paper establishes the calculating method of stresses and displacements of shaft lining and stratum by using Fourier integration, obtains the calculating formulas of tangiential load which shaft lining is subjected to, and provides theoretical basis for design of shaft lining.展开更多
PEG (Polyethylene glycol average molecular weight 300) is used as absorbent of NO2. The absorption efficiency is found to reach up to 97%. The absorbing product, PEG NO2, can be used to cleave benzyl ethers mildly a...PEG (Polyethylene glycol average molecular weight 300) is used as absorbent of NO2. The absorption efficiency is found to reach up to 97%. The absorbing product, PEG NO2, can be used to cleave benzyl ethers mildly and selectively to benzaldehyde and corresponding fatty alcohols, showing that PEG is a valuable oxidizing agent of benzyl ethers. As a carrier of NO2.PEG can be recovered and utilized repeatedly after the oxidation.展开更多
Objective To explore the relevant risk factors of tramatic arthritis resulting from the surgery of acetabular fractures. Methods From January 2000 to January 2009,88 patients aged from 20 to 60 years old with acetabul...Objective To explore the relevant risk factors of tramatic arthritis resulting from the surgery of acetabular fractures. Methods From January 2000 to January 2009,88 patients aged from 20 to 60 years old with acetabular fractures展开更多
To the Editor:Calcific discitis is a self-limiting cervical disc disease usually seen in children and uncommon in adults.[1]It can typically be cured by conservative treatment.[2]In this article,we reported a case of ...To the Editor:Calcific discitis is a self-limiting cervical disc disease usually seen in children and uncommon in adults.[1]It can typically be cured by conservative treatment.[2]In this article,we reported a case of paralysis caused by thoracolumbar calcific discitis,with acute herniation.展开更多
Sleep is an indispensable part of life−its deficiency has significant implications for overall health and wellbeing[1].In today’s fast-paced society,sleep loss from either stressful or non-stressful origins has becom...Sleep is an indispensable part of life−its deficiency has significant implications for overall health and wellbeing[1].In today’s fast-paced society,sleep loss from either stressful or non-stressful origins has become prevalent.Specifically,active sleep deprivation(ASD),resulting from extended use of smartphones and other recreational activities,has risen as a global health issue.Clinical research has underscored a strong correlation between chronic pain and inadequate sleep[2].The relationship between pain and sleep is reciprocal:pain disturbs sleep,while poor sleep quality,in turn,reduces pain tolerance and exacerbates spontaneous pain sensations[3].While these interplays are well-documented in cases of passive sleep deprivation(PSD)associated with external pressures or illnesses,understanding how and which regions of the brain collaborate to recalibrate the intricate neural circuitry governing pain perception during ASD remains a crucial yet unresolved frontier.展开更多
BACKGROUND Ampullary adenocarcinoma is a rare malignant tumor of the gastrointestinal tract.Currently,only a few cases have been reported,resulting in limited information on survival.AIM To develop a dynamic nomogram ...BACKGROUND Ampullary adenocarcinoma is a rare malignant tumor of the gastrointestinal tract.Currently,only a few cases have been reported,resulting in limited information on survival.AIM To develop a dynamic nomogram using internal and external validation to predict survival in patients with ampullary adenocarcinoma.METHODS Data were sourced from the surveillance,epidemiology,and end results stat database.The patients in the database were randomized in a 7:3 ratio into training and validation groups.Using Cox regression univariate and multivariate analyses in the training group,we identified independent risk factors for overall survival and cancer-specific survival to develop the nomogram.The nomogram was validated with a cohort of patients from the First Affiliated Hospital of the Army Medical University.RESULTS For overall and cancer-specific survival,12(sex,age,race,lymph node ratio,tumor size,chemotherapy,surgical modality,T stage,tumor differentiation,brain metastasis,lung metastasis,and extension)and 6(age;surveillance,epidemiology,and end results stage;lymph node ratio;chemotherapy;surgical modality;and tumor differentiation)independent risk factors,respectively,were incorporated into the nomogram.The area under the curve values at 1,3,and 5 years,respectively,were 0.807,0.842,and 0.826 for overall survival and 0.816,0.835,and 0.841 for cancer-specific survival.The internal and external validation cohorts indicated good consistency of the nomogram.CONCLUSION The dynamic nomogram offers robust predictive efficacy for the overall and cancer-specific survival of ampullary adenocarcinoma.展开更多
Journal of Future Foods(ISSN 2772-5669.Owner:Bejjing Academy of Food Sciences.Production and Hosting:Elsevier B.V.on bchalf of KcAi Communications Co,Ltd.)is an intecrnational,pcer-reviewed open access journal bclongi...Journal of Future Foods(ISSN 2772-5669.Owner:Bejjing Academy of Food Sciences.Production and Hosting:Elsevier B.V.on bchalf of KcAi Communications Co,Ltd.)is an intecrnational,pcer-reviewed open access journal bclonging to the disciplinc of food scicnce and technology.The aim of the journal is to report latcst rescarch results of high-tcch in food science.We welcome submissions that drive the ficld of food science towards whole food nutrition,intelligencc and high technology.展开更多
Retrieval analysis in total knee arthroplasty(TKA)has been little studied in the literature.A narrative review of the literature to understand the current importance of retrieval analysis in TKA has been conducted.On ...Retrieval analysis in total knee arthroplasty(TKA)has been little studied in the literature.A narrative review of the literature to understand the current importance of retrieval analysis in TKA has been conducted.On August 27,2024,a literature search was performed in PubMed using“TKA retrieval analysis”as keywords.A total of 160 articles were found,of which only 19 were analyzed because they were directly related to the subject of this article.Rotating-platform(mobile-bearing)TKA has no surface damage advantage over fixed-bearing TKA.TKAs with central locking mechanisms are more prone to debond from the cement mantle.No major wear of the polyethylene(PE)component in TKA using oxidized zirconium components occurs.Femoral components of cobalt-chromium roughen more than oxidized zirconium femoral components.The use of a polished tibial tray over an unpolished design is advised.At short-run assessment(15 months on average),antioxidant-stabilized highly crosslinked PE components are not clinically different in surface damage,density of crosslinking,or oxidation compared to standard remelted highly crosslinked PE components.A correlation between implant position and PE component surface damage has been reported.It shows the importance of optimizing component position to reduce PE component damage.Contemporary knee tumor megaendoprostheses show notable volumetric metal wear originated at the rotating hinge.Retrieval analysis in TKA renders relevant data on how different prosthetic designs described in the literature perform.Such information can help to improve future prosthetic designs to increase prosthetic survival.展开更多
In this manuscript,a class of multi-term delay fractional differential equations(FDEs)under the Hilfer derivative is considered.Some newly updated results are established under boundary conditions.For the required res...In this manuscript,a class of multi-term delay fractional differential equations(FDEs)under the Hilfer derivative is considered.Some newly updated results are established under boundary conditions.For the required results,we utilize the fixed point theory and tools of the nonlinear functional analysis.Further keeping in mind the importance of stability results,we develop some adequate results about the said aspect.The Hyers-Ulam(H-U)-type concept is used to derive the required stability for the solution of the considered problem.Finally,by appropriate test problems,we justify our findings.展开更多
Types of paper Research Article A complete report on original research.A clear structure is required,including introduction,material and methods,results and discussion,conclusions generally.
Article Categories⋅Research article is a complete academic investigation that covers a significant advance in a specialty.It usually includes a structured abstract under 300 words,an introduction,sections with heading...Article Categories⋅Research article is a complete academic investigation that covers a significant advance in a specialty.It usually includes a structured abstract under 300 words,an introduction,sections with headings of Materials and Methods,Results,and Discussion,and References.Meta-analyses are published as original articles as well.The full text is about 3500 words and the figures and tables need to be kept under 7 items.展开更多
This study investigates the dynamics of pneumococcal pneumonia using a novel fractal-fractional Susceptible-Carrier-Infected-Recovered model formulated with the Atangana-Baleanu in Caputo(ABC)sense.Unlike traditional ...This study investigates the dynamics of pneumococcal pneumonia using a novel fractal-fractional Susceptible-Carrier-Infected-Recovered model formulated with the Atangana-Baleanu in Caputo(ABC)sense.Unlike traditional epidemiological models that rely on classical or Caputo fractional derivatives,the proposed model incorporates nonlocal memory effects,hereditary properties,and complex transmission dynamics through fractalfractional calculus.The Atangana-Baleanu operator,with its non-singular Mittag-Leffler kernel,ensures a more realistic representation of disease progression compared to classical integer-order models and singular kernel-based fractional models.The study establishes the existence and uniqueness of the proposed system and conducts a comprehensive stability analysis,including local and global stability.Furthermore,numerical simulations illustrate the effectiveness of the ABC operator in capturing long-memory effects and nonlocal interactions in disease transmission.The results provide valuable insights into public health interventions,particularly in optimizing vaccination strategies,treatment approaches,and mitigation measures.By extending epidemiological modeling through fractal-fractional derivatives,this study offers an advanced framework for analyzing infectious disease dynamics with enhanced accuracy and predictive capabilities.展开更多
BACKGROUND Pancreatic neuroendocrine tumors(PNETs)are rare malignancies frequently associated with liver metastases(LM).The benefit of primary tumor resection(PTR)in patients with unresectable LM remains controversial...BACKGROUND Pancreatic neuroendocrine tumors(PNETs)are rare malignancies frequently associated with liver metastases(LM).The benefit of primary tumor resection(PTR)in patients with unresectable LM remains controversial.This study evaluates the impact of PTR on overall survival(OS)and tumor grading by integrating evidence from a systematic review,meta-analysis,and Surveillance,Epidemiology,and End Results(SEER)database analysis.AIM To evaluate the survival benefits of PTR in patients with PNETs and LM.METHODS This study was conducted in accordance with the PRISMA guidelines.A systematic literature search and meta-analysis were performed using five databases:PubMed,Web of Science,EMBASE,Cochrane Library,and CNKI,with records included up to February 2025.A total of 16 studies(n=8761;including 1 prospective and 15 retrospective studies)were included.A random-effects model was applied to pool hazard ratios for OS and odds ratios for tumor grading,with heterogeneity assessed by the I2 statistic.Risk of bias was evaluated using the ROBINS-I tool.In addition,an independent analysis based on the SEER database(n=791)was conducted using Kaplan-Meier survival curves and log-rank tests.RESULTS Meta-analysis results revealed that PTR significantly improved OS in patients showed that neither study design(prospective vs.retrospective)nor sample size(<400 vs≥400)significantly influenced the survival benefit.In terms of tumor grading,no statistically significant difference was observed between the surgical and non-surgical groups(odds ratio=1.60,95%confidence interval:0.70-3.63,P=0.26).Independent analysis of the SEER database(n=791)further confirmed the survival advantage of PTR across different tumor differentiation levels,with significant differences in OS between surgical and non-surgical groups(P<0.05).CONCLUSION PTR significantly improves OS in PNET patients with LM.However,its effect on tumor grading remains unclear,warranting further prospective studies to refine surgical strategies for this population.展开更多
The shear wave(S-wave)velocity is a critical rock elastic parameter in shale reservoirs,especially for evaluating shale fracability.To effectively supplement S-wave velocity under the condition of no actual measuremen...The shear wave(S-wave)velocity is a critical rock elastic parameter in shale reservoirs,especially for evaluating shale fracability.To effectively supplement S-wave velocity under the condition of no actual measurement data,this paper proposes a physically-data driven method for the S-wave velocity prediction in shale reservoirs based on the class activation mapping(CAM)technique combined with a physically constrained two-dimensional Convolutional Neural Network(2D-CNN).High-sensitivity log curves related to S-wave velocity are selected as the basis from the data sensitivity analysis.Then,we establish a petrophysical model of complex multi-mineral components based on the petrophysical properties of porous medium and the Biot-Gassmann equation.This model can help reduce the dispersion effect and constrain the 2D-CNN.In deep learning,the 2D-CNN model is optimized using the Adam,and the class activation maps(CAMs)are obtained by replacing the fully connected layer with the global average pooling(GAP)layer,resulting in explainable results.The model is then applied to wells A,B1,and B2 in the southern Songliao Basin,China and compared with the unconstrained model and the petrophysical model.The results show higher prediction accuracy and generalization ability,as evidenced by correlation coefficients and relative errors of 0.98 and 2.14%,0.97 and 2.35%,0.96 and 2.89%in the three test wells,respectively.Finally,we present the defined C-factor as a means of evaluating the extent of concern regarding CAMs in regression problems.When the results of the petrophysical model are added to the 2D feature maps,the C-factor values are significantly increased,indicating that the focus of 2D-CNN can be significantly enhanced by incorporating the petrophysical model,thereby imposing physical constraints on the 2D-CNN.In addition,we establish the SHAP model,and the results of the petrophysical model have the highest average SHAP values across the three test wells.This helps to assist in proving the importance of constraints.展开更多
In this paper,we consider the discrete boundary value problem of the type{∆u1=0=∆un-1,∇(t_(k)^(N-1))φ(∆uk))+t_(k)^(N-1)fk(t_(k),u_(k),∆_(uk))=0,2≤k≤n-1,whereφ:(-a,a)→R,0<a<∞,is an increasing homeomorphism ...In this paper,we consider the discrete boundary value problem of the type{∆u1=0=∆un-1,∇(t_(k)^(N-1))φ(∆uk))+t_(k)^(N-1)fk(t_(k),u_(k),∆_(uk))=0,2≤k≤n-1,whereφ:(-a,a)→R,0<a<∞,is an increasing homeomorphism withφ(0)=0,such aφis called singular,N≥1,n≥3 are integers,tk are the grid points,uk:=u(tk),k=1,2,...,n,∇is the backward difference operator defined by∆uk=uk-uk-1,△is the forward difference operator defined by△uk=uk+1-uk,fk(2≤k≤n-1)are continuous functions.We prove the existence of solutions to this problem by employing the sign condition,the continuation lemma and the upper and lower solutions,respectively.On this basis,we also establish the Ambrosetti-Prodi type results for it.展开更多
BACKGROUND Stage IV pancreatic cancer(PC)has a poor prognosis and lacks individualized prognostic tools.Current survival prediction models are limited,and there is a need for more accurate,personalized methods.The Sur...BACKGROUND Stage IV pancreatic cancer(PC)has a poor prognosis and lacks individualized prognostic tools.Current survival prediction models are limited,and there is a need for more accurate,personalized methods.The Surveillance,Epidemiology,and End Results(SEER)database offers a valuable resource for studying large patient cohorts,yet machine learning-based nomograms for stage IV PC prognosis remain underexplored.This study hypothesizes that a machine learning-based nomogram can predict cancer-specific survival(CSS)and overall survival(OS)with high accuracy in stage IV PC patients.AIM To construct and validate a machine learning-based nomogram for predicting survival in stage IV PC patients using real-world data.METHODS Clinical data from stage IV PC patients diagnosed via pathology from 2000 to 2019 INTRODUCTION Pancreatic cancer(PC)is a significant human health issue and,by 2025,is projected to surpass breast cancer as the third leading cause of cancer-related deaths[1].In the United States,an estimated 66440 new cases and 51750 deaths due to PC were reported in 2024.PC is often asymptomatic in its early stages,with more than half of patients presenting with distant organ metastasis at the time of initial diagnosis[2].Consequently,the prognosis is very poor,with a 5-year relative survival rate of only 12.8%[2]In clinical practice,considerable heterogeneity in survival outcomes has been observed among patients with stage IV PC,highlighting the need for an individualized survival prediction tool for this population.Nomograms,which are visual tools incorporating multiple prognostic factors to predict patient survival,aid in person-alized treatment planning and clinical decision-making and are widely used in cancer prognosis evaluation[3-6].Machine learning,a core technique within artificial intelligence,employs algorithms to analyze data,learn from patterns,and predict real-world events with high accuracy,and is increasingly applied in health assessment,medical decision-making,prognosis,and personalized treatment[7-9].This study leverages the large sample size and comprehensive clinical data from the United State Surveillance,Epidemiology,and End Results(SEER)database to develop a prognostic nomogram for stage IV PC patients using machine learning,with the aim of providing individualized prognostic assessments to improve clinical decision-making.展开更多
基金financially supported by the National Nature Science Foundation of China(grant No. 41202037)
文摘Objective Previous studies on adakitic rocks with high Sr/Y and La/Yb ratios have established that such rocks may form in a variety of tectonic settings through different petrogenetic processes including： （1） partial melting of subducted young （〈25 Ma）, hot and hydrated oceanic slab; （2） partial melting of thickened lower crust; （3） assimilation and fractional crystallization processes involving basaltic magma; （4） partial melting of delaminated lower crust; and （5） partial melting of hydrous garnet peridotite. The various origins for adakites provide important constraints on crustal growth and evolution throughout the Earth＇s history.
基金the Brain Research Trust,the Wellcome Trust,the UK Medical Research Council and the AnEUploidy grant from Framework Programme 6 from the European Union Commission for funding
文摘Elizabeth Fisher and Victor collaboratively for many years on Tybulewicz have worked the Down syndrome mouse model project. Elizabeth Fisher＇s background is in molecular genetics and mouse models, with an interest in anueploidy. Victor Tybulewicz is an immunologist whose primary interest is in signal transduction from the antigen receptors of B and T cells.
文摘Based on the stratum settlement resulting from water drainage, this paper establishes the calculating method of stresses and displacements of shaft lining and stratum by using Fourier integration, obtains the calculating formulas of tangiential load which shaft lining is subjected to, and provides theoretical basis for design of shaft lining.
文摘PEG (Polyethylene glycol average molecular weight 300) is used as absorbent of NO2. The absorption efficiency is found to reach up to 97%. The absorbing product, PEG NO2, can be used to cleave benzyl ethers mildly and selectively to benzaldehyde and corresponding fatty alcohols, showing that PEG is a valuable oxidizing agent of benzyl ethers. As a carrier of NO2.PEG can be recovered and utilized repeatedly after the oxidation.
文摘Objective To explore the relevant risk factors of tramatic arthritis resulting from the surgery of acetabular fractures. Methods From January 2000 to January 2009,88 patients aged from 20 to 60 years old with acetabular fractures
文摘To the Editor:Calcific discitis is a self-limiting cervical disc disease usually seen in children and uncommon in adults.[1]It can typically be cured by conservative treatment.[2]In this article,we reported a case of paralysis caused by thoracolumbar calcific discitis,with acute herniation.
基金supported by the National Natural Science Foundation of China(U21A20418).
文摘Sleep is an indispensable part of life−its deficiency has significant implications for overall health and wellbeing[1].In today’s fast-paced society,sleep loss from either stressful or non-stressful origins has become prevalent.Specifically,active sleep deprivation(ASD),resulting from extended use of smartphones and other recreational activities,has risen as a global health issue.Clinical research has underscored a strong correlation between chronic pain and inadequate sleep[2].The relationship between pain and sleep is reciprocal:pain disturbs sleep,while poor sleep quality,in turn,reduces pain tolerance and exacerbates spontaneous pain sensations[3].While these interplays are well-documented in cases of passive sleep deprivation(PSD)associated with external pressures or illnesses,understanding how and which regions of the brain collaborate to recalibrate the intricate neural circuitry governing pain perception during ASD remains a crucial yet unresolved frontier.
基金Supported by the Appropriate Technology Promotion Program in Chongqing,No.2023jstg005.
文摘BACKGROUND Ampullary adenocarcinoma is a rare malignant tumor of the gastrointestinal tract.Currently,only a few cases have been reported,resulting in limited information on survival.AIM To develop a dynamic nomogram using internal and external validation to predict survival in patients with ampullary adenocarcinoma.METHODS Data were sourced from the surveillance,epidemiology,and end results stat database.The patients in the database were randomized in a 7:3 ratio into training and validation groups.Using Cox regression univariate and multivariate analyses in the training group,we identified independent risk factors for overall survival and cancer-specific survival to develop the nomogram.The nomogram was validated with a cohort of patients from the First Affiliated Hospital of the Army Medical University.RESULTS For overall and cancer-specific survival,12(sex,age,race,lymph node ratio,tumor size,chemotherapy,surgical modality,T stage,tumor differentiation,brain metastasis,lung metastasis,and extension)and 6(age;surveillance,epidemiology,and end results stage;lymph node ratio;chemotherapy;surgical modality;and tumor differentiation)independent risk factors,respectively,were incorporated into the nomogram.The area under the curve values at 1,3,and 5 years,respectively,were 0.807,0.842,and 0.826 for overall survival and 0.816,0.835,and 0.841 for cancer-specific survival.The internal and external validation cohorts indicated good consistency of the nomogram.CONCLUSION The dynamic nomogram offers robust predictive efficacy for the overall and cancer-specific survival of ampullary adenocarcinoma.
文摘Journal of Future Foods(ISSN 2772-5669.Owner:Bejjing Academy of Food Sciences.Production and Hosting:Elsevier B.V.on bchalf of KcAi Communications Co,Ltd.)is an intecrnational,pcer-reviewed open access journal bclonging to the disciplinc of food scicnce and technology.The aim of the journal is to report latcst rescarch results of high-tcch in food science.We welcome submissions that drive the ficld of food science towards whole food nutrition,intelligencc and high technology.
文摘Retrieval analysis in total knee arthroplasty(TKA)has been little studied in the literature.A narrative review of the literature to understand the current importance of retrieval analysis in TKA has been conducted.On August 27,2024,a literature search was performed in PubMed using“TKA retrieval analysis”as keywords.A total of 160 articles were found,of which only 19 were analyzed because they were directly related to the subject of this article.Rotating-platform(mobile-bearing)TKA has no surface damage advantage over fixed-bearing TKA.TKAs with central locking mechanisms are more prone to debond from the cement mantle.No major wear of the polyethylene(PE)component in TKA using oxidized zirconium components occurs.Femoral components of cobalt-chromium roughen more than oxidized zirconium femoral components.The use of a polished tibial tray over an unpolished design is advised.At short-run assessment(15 months on average),antioxidant-stabilized highly crosslinked PE components are not clinically different in surface damage,density of crosslinking,or oxidation compared to standard remelted highly crosslinked PE components.A correlation between implant position and PE component surface damage has been reported.It shows the importance of optimizing component position to reduce PE component damage.Contemporary knee tumor megaendoprostheses show notable volumetric metal wear originated at the rotating hinge.Retrieval analysis in TKA renders relevant data on how different prosthetic designs described in the literature perform.Such information can help to improve future prosthetic designs to increase prosthetic survival.
文摘In this manuscript,a class of multi-term delay fractional differential equations(FDEs)under the Hilfer derivative is considered.Some newly updated results are established under boundary conditions.For the required results,we utilize the fixed point theory and tools of the nonlinear functional analysis.Further keeping in mind the importance of stability results,we develop some adequate results about the said aspect.The Hyers-Ulam(H-U)-type concept is used to derive the required stability for the solution of the considered problem.Finally,by appropriate test problems,we justify our findings.
文摘Types of paper Research Article A complete report on original research.A clear structure is required,including introduction,material and methods,results and discussion,conclusions generally.
文摘Article Categories⋅Research article is a complete academic investigation that covers a significant advance in a specialty.It usually includes a structured abstract under 300 words,an introduction,sections with headings of Materials and Methods,Results,and Discussion,and References.Meta-analyses are published as original articles as well.The full text is about 3500 words and the figures and tables need to be kept under 7 items.
基金funded by the Research,Development,and Innovation Authority(RDIA)-Kingdom of Saudi Arabia-with grant number 12803-baha-2023-BU-R-3-1-EI.
文摘This study investigates the dynamics of pneumococcal pneumonia using a novel fractal-fractional Susceptible-Carrier-Infected-Recovered model formulated with the Atangana-Baleanu in Caputo(ABC)sense.Unlike traditional epidemiological models that rely on classical or Caputo fractional derivatives,the proposed model incorporates nonlocal memory effects,hereditary properties,and complex transmission dynamics through fractalfractional calculus.The Atangana-Baleanu operator,with its non-singular Mittag-Leffler kernel,ensures a more realistic representation of disease progression compared to classical integer-order models and singular kernel-based fractional models.The study establishes the existence and uniqueness of the proposed system and conducts a comprehensive stability analysis,including local and global stability.Furthermore,numerical simulations illustrate the effectiveness of the ABC operator in capturing long-memory effects and nonlocal interactions in disease transmission.The results provide valuable insights into public health interventions,particularly in optimizing vaccination strategies,treatment approaches,and mitigation measures.By extending epidemiological modeling through fractal-fractional derivatives,this study offers an advanced framework for analyzing infectious disease dynamics with enhanced accuracy and predictive capabilities.
文摘BACKGROUND Pancreatic neuroendocrine tumors(PNETs)are rare malignancies frequently associated with liver metastases(LM).The benefit of primary tumor resection(PTR)in patients with unresectable LM remains controversial.This study evaluates the impact of PTR on overall survival(OS)and tumor grading by integrating evidence from a systematic review,meta-analysis,and Surveillance,Epidemiology,and End Results(SEER)database analysis.AIM To evaluate the survival benefits of PTR in patients with PNETs and LM.METHODS This study was conducted in accordance with the PRISMA guidelines.A systematic literature search and meta-analysis were performed using five databases:PubMed,Web of Science,EMBASE,Cochrane Library,and CNKI,with records included up to February 2025.A total of 16 studies(n=8761;including 1 prospective and 15 retrospective studies)were included.A random-effects model was applied to pool hazard ratios for OS and odds ratios for tumor grading,with heterogeneity assessed by the I2 statistic.Risk of bias was evaluated using the ROBINS-I tool.In addition,an independent analysis based on the SEER database(n=791)was conducted using Kaplan-Meier survival curves and log-rank tests.RESULTS Meta-analysis results revealed that PTR significantly improved OS in patients showed that neither study design(prospective vs.retrospective)nor sample size(<400 vs≥400)significantly influenced the survival benefit.In terms of tumor grading,no statistically significant difference was observed between the surgical and non-surgical groups(odds ratio=1.60,95%confidence interval:0.70-3.63,P=0.26).Independent analysis of the SEER database(n=791)further confirmed the survival advantage of PTR across different tumor differentiation levels,with significant differences in OS between surgical and non-surgical groups(P<0.05).CONCLUSION PTR significantly improves OS in PNET patients with LM.However,its effect on tumor grading remains unclear,warranting further prospective studies to refine surgical strategies for this population.
基金supported by the National Natural Science Foundation of China(Nos.42374150,42374152)Natural Science Foundation of Shandong Province(ZR2020MD050).
文摘The shear wave(S-wave)velocity is a critical rock elastic parameter in shale reservoirs,especially for evaluating shale fracability.To effectively supplement S-wave velocity under the condition of no actual measurement data,this paper proposes a physically-data driven method for the S-wave velocity prediction in shale reservoirs based on the class activation mapping(CAM)technique combined with a physically constrained two-dimensional Convolutional Neural Network(2D-CNN).High-sensitivity log curves related to S-wave velocity are selected as the basis from the data sensitivity analysis.Then,we establish a petrophysical model of complex multi-mineral components based on the petrophysical properties of porous medium and the Biot-Gassmann equation.This model can help reduce the dispersion effect and constrain the 2D-CNN.In deep learning,the 2D-CNN model is optimized using the Adam,and the class activation maps(CAMs)are obtained by replacing the fully connected layer with the global average pooling(GAP)layer,resulting in explainable results.The model is then applied to wells A,B1,and B2 in the southern Songliao Basin,China and compared with the unconstrained model and the petrophysical model.The results show higher prediction accuracy and generalization ability,as evidenced by correlation coefficients and relative errors of 0.98 and 2.14%,0.97 and 2.35%,0.96 and 2.89%in the three test wells,respectively.Finally,we present the defined C-factor as a means of evaluating the extent of concern regarding CAMs in regression problems.When the results of the petrophysical model are added to the 2D feature maps,the C-factor values are significantly increased,indicating that the focus of 2D-CNN can be significantly enhanced by incorporating the petrophysical model,thereby imposing physical constraints on the 2D-CNN.In addition,we establish the SHAP model,and the results of the petrophysical model have the highest average SHAP values across the three test wells.This helps to assist in proving the importance of constraints.
基金Supported by the National Natural Science Foundation of China(Grant Nos.1236104012461035)+1 种基金the Outstanding Youth Fund of Gansu Province(Grant No.24JRRA121)the Scientific Research Ability Improvement Program for Young Teachers of Northwest Normal University(Grant No.NWNU-LKQN2021-17)。
文摘In this paper,we consider the discrete boundary value problem of the type{∆u1=0=∆un-1,∇(t_(k)^(N-1))φ(∆uk))+t_(k)^(N-1)fk(t_(k),u_(k),∆_(uk))=0,2≤k≤n-1,whereφ:(-a,a)→R,0<a<∞,is an increasing homeomorphism withφ(0)=0,such aφis called singular,N≥1,n≥3 are integers,tk are the grid points,uk:=u(tk),k=1,2,...,n,∇is the backward difference operator defined by∆uk=uk-uk-1,△is the forward difference operator defined by△uk=uk+1-uk,fk(2≤k≤n-1)are continuous functions.We prove the existence of solutions to this problem by employing the sign condition,the continuation lemma and the upper and lower solutions,respectively.On this basis,we also establish the Ambrosetti-Prodi type results for it.
基金Supported by Mianyang Health and Health Committee 2023 Scientific Research Project,No.202309Chengdu University of Traditional Chinese Medicine University-Hospital Joint Innovation Fund,No.LH202402010Mianyang Chinese Medicine Association 2024 Traditional Chinese Medicine Inheritance and Innovation Science and Technology Project,No.MYSZYYXH-202426.
文摘BACKGROUND Stage IV pancreatic cancer(PC)has a poor prognosis and lacks individualized prognostic tools.Current survival prediction models are limited,and there is a need for more accurate,personalized methods.The Surveillance,Epidemiology,and End Results(SEER)database offers a valuable resource for studying large patient cohorts,yet machine learning-based nomograms for stage IV PC prognosis remain underexplored.This study hypothesizes that a machine learning-based nomogram can predict cancer-specific survival(CSS)and overall survival(OS)with high accuracy in stage IV PC patients.AIM To construct and validate a machine learning-based nomogram for predicting survival in stage IV PC patients using real-world data.METHODS Clinical data from stage IV PC patients diagnosed via pathology from 2000 to 2019 INTRODUCTION Pancreatic cancer(PC)is a significant human health issue and,by 2025,is projected to surpass breast cancer as the third leading cause of cancer-related deaths[1].In the United States,an estimated 66440 new cases and 51750 deaths due to PC were reported in 2024.PC is often asymptomatic in its early stages,with more than half of patients presenting with distant organ metastasis at the time of initial diagnosis[2].Consequently,the prognosis is very poor,with a 5-year relative survival rate of only 12.8%[2]In clinical practice,considerable heterogeneity in survival outcomes has been observed among patients with stage IV PC,highlighting the need for an individualized survival prediction tool for this population.Nomograms,which are visual tools incorporating multiple prognostic factors to predict patient survival,aid in person-alized treatment planning and clinical decision-making and are widely used in cancer prognosis evaluation[3-6].Machine learning,a core technique within artificial intelligence,employs algorithms to analyze data,learn from patterns,and predict real-world events with high accuracy,and is increasingly applied in health assessment,medical decision-making,prognosis,and personalized treatment[7-9].This study leverages the large sample size and comprehensive clinical data from the United State Surveillance,Epidemiology,and End Results(SEER)database to develop a prognostic nomogram for stage IV PC patients using machine learning,with the aim of providing individualized prognostic assessments to improve clinical decision-making.
