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Time and Energy Operators in Quantum Mechanics
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作者 Li Chunfang Wang Qi (College of Sciences) 《Advances in Manufacturing》 SCIE CAS 1998年第1期43-46,共4页
Starting from a time operator, the form of the so called energy operator that is conjugate to the time operator is derived in time representation by analyzing the properties of time translation. This analysis also es... Starting from a time operator, the form of the so called energy operator that is conjugate to the time operator is derived in time representation by analyzing the properties of time translation. This analysis also establishes the commutator between the time and the energy operators. It is seen from the analysis that the energy operator has nothing to do conceptually with the Hamiltonian operator of a system, so that the time operator is not conjugate to the Hamiltonian. Furthermore, it is shown that the Hermiticity of the energy operator requires introducing time integrate inner product. The time energy commutator and the time integral inner product put the time energy uncertainty relation on the same footing as the position momentum uncertainty relation. 展开更多
关键词 time operator energy operator COMMUTATOR uncertainty relation
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Focusing with the decomposition of the time reversal operator method in noisy environments 被引量:1
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作者 Chun-xiao LI Jian-long LI +1 位作者 Xian-yi GONG Ming-fei GUO 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2009年第7期997-1008,共12页
This paper presents a detailed analysis of the effects of noise (reverberation) on the focusing performance of de-composition of the time reversal operator (DORT) in a noise-limited case and in a reverberation-limited... This paper presents a detailed analysis of the effects of noise (reverberation) on the focusing performance of de-composition of the time reversal operator (DORT) in a noise-limited case and in a reverberation-limited case, respectively. Quantitative results obtained from simulations and experiments are presented. The results show the DORT method can be effi-ciently applied to target detection with enough source level to yield significant backscatter. For a target placed on the bottom, the influence of the reverberation on the focusing performance is slight. However, distinguishing between a target and constant backscattering returning from strong local clutter on the bottom (false alarms) needs further research. 展开更多
关键词 Decomposition of the time reversal operator (DORT) time reversal mirror Retrofocusing performance
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Defining the association between the prolonged operative time and 90-day complications in patients undergoing radical cystectomy
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作者 Peter Hanna Joseph Zabell +1 位作者 Badrinath Konety Christopher Warlick 《Asian Journal of Urology》 CSCD 2024年第3期429-436,共8页
Objective:Radical cystectomy is a complex lengthy procedure associated with postoperative morbidity.We aimed to assess the operative time(OT)in patients undergoing radical cystectomy and its impact on 90-day postopera... Objective:Radical cystectomy is a complex lengthy procedure associated with postoperative morbidity.We aimed to assess the operative time(OT)in patients undergoing radical cystectomy and its impact on 90-day postoperative complications and readmission rates.Methods:The retrospective cohort study included 296 patients undergoing radical cystectomy and urinary diversion from May 2010 to December 2018 in our institution.The OT of 369 min was set as a cutoff value between short and long OT groups.The primary outcome was 90-day postoperative complication rates.Secondary outcomes were gastrointestinal recovery time,length of hospital stay,and 90-day readmission rates.Results:The overall incidence of 90-day postoperative complications was 79.7%where 43.2%representing low-grade complications according to the ClavieneDindo classification(Grade 1 and Grade 2),and 36.5%representing high-grade complications(Grade3).Gastrointestinal tract and infectious complications are the most common complications in our data set(45.9%and 45.6%,respectively).On multivariable analysis,prolonged OT was significantly associated with odds of high-grade complications(odds ratio 2.340,95%confidence interval 1.288e4.250,p=0.005).After propensity score-matched analysis,a higher incidence of major complications was identified in the long OT group 55(51.4%)compared to 35(32.7%)in the short OT group(p=0.006).A shorter gastrointestinal tract recovery time was noticed in the short OT group(p=0.009).Prolonged OT was associated with a higher 90-day readmission rate on univariate and multivariate analyses(p<0.001,p=0.001,respectively). 展开更多
关键词 Radical cystectomy Operative time COMPLICATION READMISSION
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Predictive Simulation of External Truck Operation Time in a Container Terminal Based on Traffic Big Data
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作者 DU Ye ZHAO Yifei GAO Deyi 《Journal of Shanghai Jiaotong university(Science)》 EI 2024年第5期801-808,共8页
The operation time of external trucks in a container terminal is one of port operation key performance indicators concerned by port operators,external truck operators and related government authorities.With the traffi... The operation time of external trucks in a container terminal is one of port operation key performance indicators concerned by port operators,external truck operators and related government authorities.With the traffic big data combined with the operation characteristics of the container terminal,the system dynamics method is used to build the simulation model of the operation system for external trucks.The simulation results of the operation time of external trucks are consistent with the actual situation,which provides an effective way to eliminate the“black box”of the operation time of the external trucks.The model can also be applied in multiple scenarios by using the traffic big data,and the simulation results can be adopted by the relevant organizations. 展开更多
关键词 big data external truck operation time system dynamics predictive simulation
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Research on fault time prediction method for high speed rail BTM unit based on multi method interactive validation
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作者 Limin Fu Junqiang Gou +2 位作者 Chao Sun Hanrui Li Wei Liu 《High-Speed Railway》 2024年第3期164-171,共8页
The Balise Transmission Module(BTM)unit of the on-board train control system is a crucial component.Due to its unique installation position and complex environment,this unit has a higher fault rate within the on-board... The Balise Transmission Module(BTM)unit of the on-board train control system is a crucial component.Due to its unique installation position and complex environment,this unit has a higher fault rate within the on-board train control system.To conduct fault prediction for the BTM unit based on actual fault data,this study proposes a prediction method combining reliability statistics and machine learning,and achieves the fusion of prediction results from different dimensions through multi-method interactive validation.Firstly,a method for predicting equipment fault time targeting batch equipment is introduced.This method utilizes reliability statistics to construct a model of the remaining faultless operating time distribution considering uncertainty,thereby predicting the remaining faultless operating probability of the BTM unit.Secondly,considering the complexity of the BTM unit’s fault mechanism,the small sample size of fault cases,and the potential presence of multiple fault features in fault text records,an individual-oriented fault prediction method based on Bayesian-optimized Gradient Boosting Regression Tree(Bayes-GBRT)is proposed.This method achieves better prediction results compared to linear regression algorithms and random forest regression algorithms,with an average absolute error of only 0.224 years for predicting the fault time of this type of equipment.Finally,a multi-method interactive validation approach is proposed,enabling the fusion and validation of multi-dimensional results.The results indicate that the predicted fault time and the actual fault time conform to a log-normal distribution,and the parameter estimation results are basically consistent,verifying the accuracy and effectiveness of the prediction results.The above research findings can provide technical support for the maintenance and modification of BTM units,effectively reducing maintenance costs and ensuring the safe operation of high-speed railway,thus having practical engineering value for preventive maintenance. 展开更多
关键词 High speed rail BTM unit Remaining faultless operating time Machine learning Multi method interactive verification
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Dynamical time versus system time in quantum mechanics
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作者 Duan Arsenovi Nikola Buri +1 位作者 Dragomir Davidovi Slobodan Prvanovi 《Chinese Physics B》 SCIE EI CAS CSCD 2012年第7期101-107,共7页
Properties of an operator representing the dynamical time in the extended parameterization invariant formulation of quantum mechanics are studied. It is shown that this time operator is given by a positive operator me... Properties of an operator representing the dynamical time in the extended parameterization invariant formulation of quantum mechanics are studied. It is shown that this time operator is given by a positive operator measure analogously to the quantities that are known to represent various measurable time operators. The relation between the dynamical time of the extended formulation and the best known example of the system time operator, i.e., for the free one- dimensional particle, is obtained. 展开更多
关键词 time operators extended state space positive operator valued measure
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Comparative outcomes of robotic surgery vs conventional sternotomy for cardiac myxoma excision:A meta-analysis
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作者 Mirza Muhammad Hadeed Khawar Hooria Ejaz +10 位作者 Muhammad Soban Jaffar Muhammad Kashif Mavia Habib Absar Mukhtar Hafsa Riaz Syed Abdullah Shah Awon Muhammad Umad Ali Hannan Saeed Muhammad Khan Buhadur Ali Rejina Chhetri 《World Journal of Cardiology》 2025年第8期110-118,共9页
BACKGROUND Cardiac myxoma,a benign intracardiac tumor,is traditionally excised via conven-tional sternotomy,which is invasive and associated with longer recovery times.Minimally invasive robotic surgery has emerged as... BACKGROUND Cardiac myxoma,a benign intracardiac tumor,is traditionally excised via conven-tional sternotomy,which is invasive and associated with longer recovery times.Minimally invasive robotic surgery has emerged as a potential alternative,offe-ring reduced trauma and faster recovery.This meta-analysis compares the effi-cacy and safety of robotic surgery vs conventional sternotomy for cardiac myxo-ma excision.We hypothesized that robotic surgery would provide comparable safety outcomes with improved postoperative recovery,such as shorter hospital stays and reduced transfusion rates,despite potentially longer operative times.METHODS A systematic review was performed using EMBASE,OVID,Scopus,PubMed,Cochrane,and ScienceDirect databases to identify studies comparing robotic surgery and sternotomy for cardiac myxoma excision.Continuous outcomes were analyzed using mean differences(MDs),and categorical outcomes with odds ratios(ORs)and 95%confidence intervals(95%CIs).A random-effects model was used to pool data,accounting for study heterogeneity.RESULTS Six studies involving 425 patients(180 robotic,245 conventional)were included.Robotic surgery significantly increased cross-clamp time(MD=12.03 minutes,95%CI:2.14-21.92,P=0.02)and cardiopulmonary bypass time(MD=28.37 minutes,95%CI:11.85-44.89,P=0.001).It reduced hospital stay(MD=-1.86 days,95%CI:-2.45 to-1.27,P<0.00001)and blood transfusion requirements(OR=0.30,95%CI:0.13-0.69,P=0.007).No significant differences were observed in atrial arrhythmia(OR=0.55,95%CI:0.27-1.12)or ventilation time(MD=-1.72 hours,95%CI:-5.27 to 1.83,P=0.34).CONCLUSION Robotic surgery for cardiac myxoma excision prolongs operative times but shortens hospital stays and reduces transfusion needs,suggesting enhanced recovery without compromising safety. 展开更多
关键词 Robotic surgery Cardiac myxoma STERNOTOMY META-ANALYSIS Operative time Hospital stay Blood transfusion Postoperative complications
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A Note on the Expectation Value of Time
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作者 Yigal Ronen 《Journal of Modern Physics》 2016年第6期459-460,共2页
In this note, the expectation value of time based on quantum mechanics formalism is derived. It is found that the expectation value of time does not depend on space.
关键词 Expectation Value of time Space Dependence time operator
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Associate factors for endoscopic submucosal dissection operation time and postoperative delayed hemorrhage of early gastric cancer 被引量:10
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作者 Ren-Song Cai Wei-Zhong Yang Guang-Rui Cui 《World Journal of Gastrointestinal Surgery》 SCIE 2023年第1期94-104,共11页
BACKGROUND Endoscopic submucosal dissection(ESD)is a treatment for early gastric cancer with the advantages of small invasion,fewer complications,and a low local recurrence rate.However,there is a high risk of complic... BACKGROUND Endoscopic submucosal dissection(ESD)is a treatment for early gastric cancer with the advantages of small invasion,fewer complications,and a low local recurrence rate.However,there is a high risk of complications such as bleeding and perforation,and the operation time is also longer.ESD operation time is closely related to bleeding and perforation.AIM To investigate the influencing factors associated with ESD operation time and postoperative delayed hemorrhage to provide a reference for early planning,early identification,and prevention of complications.METHODS We conducted a retrospective study based on the clinical data of 520 patients with early gastric cancer in the Second Affiliated Hospital of Hainan Medical University from January 2019 to December 2021.The baseline data,clinical features,and endoscopic and pathological characteristics of patients were collected.The multivariate linear regression model was used to investigate the influencing factors of ESD operation time.Logistic regression analysis was carried out to evaluate the influencing factors of postoperative delayed hemorrhage.RESULTS The multivariate analysis of ESD operation time showed that the maximum lesion diameter could affect 8.815%of ESD operation time when other influencing factors remained unchanged.The operation time increased by 3.766%or 10.247%if the lesion was mixed or concave.The operation time increased by 4.417%if combined with an ulcer or scar.The operation time increased by 3.692%if combined with perforation.If infiltrated into the submucosa,it increased by 2.536%.Multivariate analysis of delayed hemorrhage after ESD showed that the maximum diameter of the lesion,lesion morphology,and ESD operation time were independent influencing factors for delayed hemorrhage after ESD.Patients with lesion≥3.0 cm(OR=3.785,95%CI:1.165-4.277),lesion morphology-concave(OR=10.985,95%CI:2.133-35.381),and ESD operation time≥60 min(OR=2.958,95%CI:1.117-3.526)were prone to delayed hemorrhage after ESD.CONCLUSION If the maximum diameter of the lesion in patients with early gastric cancer is≥3.0 cm,and the shape of the lesion is concave,or accompanied by an ulcer or scar,combined with perforation,and infiltrates into the submucosa,the ESD operation will take a longer time.When the maximum diameter of the lesion is≥3.0 cm,the shape of the lesion is concave in patients and the operation time of ESD takes longer time,the risk of delayed hemorrhage after ESD is higher. 展开更多
关键词 Early gastric cancer Endoscopic submucosal dissection Operation time Delayed hemorrhage
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Analytical Solution for Single—Mode Time—Dependent Oscillator 被引量:1
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作者 HOUGuang XUXin-Wei 《Communications in Theoretical Physics》 SCIE CAS CSCD 2002年第5期531-534,共4页
Based on the general theory of time-dependent quantum transformation, we use the 'time evolutionoperator' method to solve the single-mode time-dependent oscillator.
关键词 time-dependent transformation time-dependent oscillator time evolution operator
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Exploring ideal operative time for best outcomes in gastric cancer surgery:A multi-institutional study based on KLASS-07 database 被引量:1
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作者 Shin-Hoo Park Ye-Rim Shin +14 位作者 Hoon Hur Chang Min Lee Jae Seok Min Seung Wan Ryu Hyun Dong Chae Oh Jeong Chang-In Choi Kyo-Young Song Ho Goon Kim Ye Seob Jee Kwang Hee Kim Jeong Goo Kim Kyung Sook Yang Hua Huang Sungsoo Park 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2023年第6期660-674,共15页
Objective:While a rushed operation can omit essential procedures,prolonged operative time results in higher morbidity.Nevertheless,the optimal operative time range remains uncertain.This study aimed to estimate the id... Objective:While a rushed operation can omit essential procedures,prolonged operative time results in higher morbidity.Nevertheless,the optimal operative time range remains uncertain.This study aimed to estimate the ideal operative time range and evaluate its applicability in laparoscopic cancer surgery.Methods:A prospectively collected multicenter database of 397 patients who underwent laparoscopic distal gastrectomy were retrospectively reviewed.The ideal operative time range was statistically calculated by separately analyzing the operative time of uneventful surgeries.Finally,intraoperative and postoperative outcomes were compared among the shorter,ideal,and longer operative time groups.Results:The statistically calculated ideal operative time was 135.4-165.4 min.The longer operative time(LOT)group had a lower rate of uneventful,perfect surgery than the ideal or shorter operative time(IOT/SOT)group(2.8%vs.8.8%and 2.2%vs.13.4%,all P<0.05).Longer operative time increased bleeding,postoperative morbidities,and delayed diet and discharge(all P<0.05).Particularly,an uneventful,perfect surgery could not be achieved when the operative time exceeded 240 min.Regardless of ideal time range,SOT group achieved the highest percentage of uneventful surgery(13.4%),which was possible by surgeon's ability to retrieve a higher number of lymph nodes and perform≥150 gastrectomies annually.Conclusions:Operative time longer than the ideal time range(especially≥240 min)should be avoided.If the essential operative procedure were faithfully conducted without compromising oncological safety,an operative time shorter than the ideal range leaded to a better prognosis.Efforts to minimize operative time should be attempted with sufficient surgical experience. 展开更多
关键词 Operative time laparoscopic surgery gastric cancer GASTRECTOMY MORBIDITY
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Combined hybrid energy storage system and transmission grid model for peak shaving based on time series operation simulation 被引量:1
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作者 Mingkui Wei Yiyu Wen +3 位作者 Qiu Meng Shunwei Zheng Yuyang Luo Kai Liao 《Global Energy Interconnection》 EI CAS CSCD 2023年第2期154-165,共12页
This study proposes a combined hybrid energy storage system(HESS) and transmission grid(TG) model, and a corresponding time series operation simulation(TSOS) model is established to relieve the peak-shaving pressure o... This study proposes a combined hybrid energy storage system(HESS) and transmission grid(TG) model, and a corresponding time series operation simulation(TSOS) model is established to relieve the peak-shaving pressure of power systems under the integration of renewable energy. First, a linear model for the optimal operation of the HESS is established, which considers the different power-efficiency characteristics of the pumped storage system, electrochemical storage system, and a new type of liquid compressed air energy storage. Second, a TSOS simulation model for peak shaving is built to maximize the power entering the grid from the wind farms and HESS. Based on the proposed model, this study considers the transmission capacity of a TG. By adding the power-flow constraints of the TG, a TSOS-based HESS and TG combination model for peak shaving is established. Finally, the improved IEEE-39 and IEEE-118 bus systems were considered as examples to verify the effectiveness and feasibility of the proposed model. 展开更多
关键词 Peak shaving Hybrid energy storage system Combined energy storage and transmission grid model time series operation simulation
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Finite-difference time-domain studies of low-frequency stop band in superconductor-dielectric superlattice 被引量:1
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作者 王身云 刘少斌 Le-Wei Joshua Li 《Chinese Physics B》 SCIE EI CAS CSCD 2010年第8期374-378,共5页
The transmission coefficients of electromagnetic (EM) waves due to a superconductor-dielectric superlattice are numerically calculated. Shift operator finite difference time domain (SO-FDTD) method is used in the ... The transmission coefficients of electromagnetic (EM) waves due to a superconductor-dielectric superlattice are numerically calculated. Shift operator finite difference time domain (SO-FDTD) method is used in the analysis. By using the SO-FDTD method, the transmission spectrum is obtained and its characteristics are investigated for different thicknesses of superconductor layers and dielectric layers, from which a stop band starting from zero frequency can be apparently observed. The relation between this low-frequency stop band and relative temperature, and also the London penetration depth at a superconductor temperature of zero degree are discussed, separately. The low-frequency stop band properties of superconductor-dielectric superlattice thus are well disclosed. 展开更多
关键词 shift operator finite difference time domain method SUPERCONDUCTOR superconductor- dielectric superlattice high-pass filter
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High performance reconfigurable hardware system for real-time image processing
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作者 赵广州 张天序 +2 位作者 王岳环 曹治国 左峥嵘 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2005年第3期502-509,共8页
A novel reconfigurable hardware system which uses both muhi-DSP and FPGA to attain high performance and real-time image processing are presented. The system structure and working principle of mainly processing multi-B... A novel reconfigurable hardware system which uses both muhi-DSP and FPGA to attain high performance and real-time image processing are presented. The system structure and working principle of mainly processing multi-BSP board, extended multi-DSP board are analysed. The outstanding advantage is that the communication among different board components of this system is supported by high speed link ports & serial ports for increasing the system performance and computational power. Then the implementation of embedded real-time operating systems (RTOS) by us is discussed in detail. In this system, we adopt two kinds of parallel structures controlled by RTOS for parallel processing of algorithms. The experimental results show that exploitive period of the system is short, and maintenance convenient. Thus it is suitable for real-time image processing and can get satisfactory effect of image recognition. 展开更多
关键词 MULTI-DSP fidd programmable gate arrays real-time image processing real time operating systems parallel structure.
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The effect of weeding frequency and schedule on weeding operation time: a simulation study on a sugi (Cryptomeria japonica) plantation in Japan
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作者 Keiko Fukumoto Tetsuji Ota +3 位作者 Nobuya Mizoue Shigejiro Yoshida Yukio Teraoka Tsuyoshi Kajisa 《Journal of Forestry Research》 SCIE CAS CSCD 2020年第6期2129-2135,共7页
This study quantified the effect of weeding frequency and weeding schedules on weeding operation time in a sugi(Cryptomeria japonica)plantation stand.A weeding operation time estimation model was developed;then the cu... This study quantified the effect of weeding frequency and weeding schedules on weeding operation time in a sugi(Cryptomeria japonica)plantation stand.A weeding operation time estimation model was developed;then the cumulative weeding operation time after six growing seasons was simulated using the developed model.The developed model included weed height,relative height of weeds to sugi,and initial planting density.The simulated cumulative weeding operation time decreased approximately 6%for each one-treatment decrease in weeding frequency.Under a three-treatment weeding frequency scenario,the simulated cumulative operation time when weeding was conducted during non-consecutive years was longer than that when weeding was conducted during three consecutive years.The results suggest that carrying out weeding treatment during consecutive years is the more effective for reduction of weeding costs.We conclude that weeding schedule as well as weeding frequency must be considered for reduction of weeding operation time. 展开更多
关键词 WEEDING Operation time Simulation Lowcost silviculture Growth model
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Evolution and Generation of Dynamics of Two-Mode Squeezed States of Time-Dependent Coupled Boson System
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作者 ZHANG Xue ZHENG Tai-Yu ZHENG Li 《Communications in Theoretical Physics》 SCIE CAS CSCD 2008年第10期955-960,共6页
The system of the Hamiltonian involving a driving part,a single mode part,and a two-mode squeezedone and a two-mode coupled one is discussed using the Lewis-Riesenfeld invariant theory.The time evolution operatoris ob... The system of the Hamiltonian involving a driving part,a single mode part,and a two-mode squeezedone and a two-mode coupled one is discussed using the Lewis-Riesenfeld invariant theory.The time evolution operatoris obtained.When the initial state is a coherent state,the quantum fluctuation of the system is calculated,and it isdependent on the squeezed part and the two-mode coupled part,but not dependent on the driving one. 展开更多
关键词 two-mode squeezed states Lewis Riesenfeld invariant theory time evolution operator
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Estimation of Standard Operation Time of Flight Legs Based on Clustering and Probability Analysis
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作者 Yuan Ligang Hu Minghua +1 位作者 Xie Hua Li Yinfeng 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI CSCD 2016年第4期491-501,共11页
A clustering algorithm and a probability statistics method were applied to different phases of a flight to analyze operation time during aircraft ground taxiing and airborne flight.And the clustering pattern,distribut... A clustering algorithm and a probability statistics method were applied to different phases of a flight to analyze operation time during aircraft ground taxiing and airborne flight.And the clustering pattern,distribution characteristics and dynamically changing rules of the two phases were identified.Further,an estimate method was established to measure operation time of flight legs,with creative steps of calculating individual segment separately and then integrating them accordingly.The method can both objectively and dynamically measure operation time,and accurately reflect real situation.It helps to better utilize airport slot resources and provides a strong support for air traffic flow management when scheduling flight plan in strategic and pre-tactic phases. 展开更多
关键词 flight leg standard operation time CLUSTERING probability analysis
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Improving entanglement of assistance by local parity–time symmetric operation
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作者 Zhi He Zun-Yan Nie Qiong Wang 《Chinese Physics B》 SCIE EI CAS CSCD 2019年第12期92-98,共7页
We investigate entanglement of assistance without and with decoherence using a local non-Hermitian operation, i.e.,parity–time(PT) symmetric operation. First we give the explicit expressions of entanglement of assist... We investigate entanglement of assistance without and with decoherence using a local non-Hermitian operation, i.e.,parity–time(PT) symmetric operation. First we give the explicit expressions of entanglement of assistance for a general W-like state of a three-qubit system under a local parity–time symmetric operation. Then for a famous W state without decoherence, we find that entanglement of assistance shared by two parties can be obviously enhanced with the assistance of the third party by a local parity–time symmetric operation. For the decoherence case, we provide two schemes to show the effects of local parity–time symmetric operation on improvement of entanglement of assistance against amplitude damping noise. We find that for the larger amplitude damping case the scheme of PT symmetric operation performed on one of two parties with the influence of noise is superior to that of PT symmetric operation performed on the third party without the influence of noise in suppressing amplitude damping noise. However, for the smaller amplitude damping case the opposite result is given. The obtained results imply that the local PT symmetric operation method may have potential applications in quantum decoherence control. 展开更多
关键词 entanglement of assistance local parity–time symmetric operation amplitude damping noise
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Radiation therapy prior to a pancreaticoduodenectomy for adenocarcinoma is associated with longer operative times and higher blood loss
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作者 Krist Aploks Minha Kim +6 位作者 Stephanie Stroever Alexander Ostapenko Young Bo Sim Ashwinkumar Sooriyakumar Arash Rahimi-Ardabily Ramanathan Seshadri Xiang Da Dong 《World Journal of Gastrointestinal Surgery》 SCIE 2023年第8期1663-1672,共10页
BACKGROUND Pancreatic adenocarcinoma is currently the fourth leading cause of cancer-related deaths in the United States.In patients with“borderline resectable”disease,current National Comprehensive Cancer Center gu... BACKGROUND Pancreatic adenocarcinoma is currently the fourth leading cause of cancer-related deaths in the United States.In patients with“borderline resectable”disease,current National Comprehensive Cancer Center guidelines recommend the use of neoadjuvant chemoradiation prior to a pancreaticoduodenectomy.Although neoadjuvant radiotherapy may improve negative margin resection rate,it is theorized that its administration increases operative times and complexity.AIM To investigate the association between neoadjuvant radiotherapy and 30-d morbidity and mortality outcomes among patients receiving a pancreaticoduodenectomy for pancreatic adenocarcinoma.METHODS Patients listed in the 2015-2019 National Surgery Quality Improvement Program data set,who received a pancreaticoduodenectomy for pancreatic adenocarcinoma,were divided into two groups based off neoadjuvant radiotherapy status.Multivariable regression was used to determine if there is a significant correlation between neoadjuvant radiotherapy,perioperative blood transfusion status,total operative time,and other perioperative outcomes.RESULTS Of the 11458 patients included in the study,1470(12.8%)underwent neoadjuvant radiotherapy.Patients who received neoadjuvant radiotherapy were significantly more likely to require a perioperative blood transfusion[adjusted odds ratio(aOR)=1.58,95%confidence interval(CI):1.37-1.82;P<0.001]and have longer surgeries(insulin receptor-related receptor=1.14,95%CI:1.11-1.16;P<0.001),while simultaneously having lower rates of organ space infections(aOR=0.80,95%CI:0.66-0.97;P=0.02)and pancreatic fistula formation(aOR=0.50,95%CI:0.40-0.63;P<0.001)compared to those who underwent surgery alone.CONCLUSION Neoadjuvant radiotherapy,while not associated with increased mortality,will impact the complexity of surgical resection in patients with pancreatic adenocarcinoma. 展开更多
关键词 PANCREATICODUODENECTOMY Pancreatic adenocarcinoma Neoadjuvant chemoradiation National Surgery Quality Improvement Program Whipple procedure Operative time
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Effect of body mass index on the operation time and postoperative hospital stay of retroperitoneal laparoscopic renal cyst decortication
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作者 Peng Gu Meilin Li +1 位作者 Minhao Zhang Xiaoliang He 《Laparoscopic, Endoscopic and Robotic Surgery》 2021年第2期40-43,共4页
Objective:To investigate the effect of body mass index(BMI)on the operation time and postoperative hospital stay for patients who underwent retroperitoneal laparoscopic decortication for a single simple renal cyst.Met... Objective:To investigate the effect of body mass index(BMI)on the operation time and postoperative hospital stay for patients who underwent retroperitoneal laparoscopic decortication for a single simple renal cyst.Methods:A retrospective cohort study was conducted among 81 patients with single simple renal cyst who had undergone retroperitoneal laparoscopic cyst decortication from January 2017 to December 2019 in Wuxi Xishan People's Hospital.All patients were divided into three groups according to BMI:normal group(BMI<25 kg/m^(2),n=44),overweight group(BMI=25-30 kg/m^(2),n=21),and obese group(BMI>30 kg/m^(2),n=16).Multiple linear regression was conducted to investigate the correlation.Results:The three groups were comparable in terms of age,gender,maximum diameter of cyst,and cyst location.In the aspect of operation time,only the patients in obese group had longer duration when compared with those in the normal group(59.1±15.7 min vs.45.2±12.8 min,p=0.001).And the patients in the obese group had significantly longer hospital stay compared with those in the normal group(6.2±1.9 d vs.5.2±0.5 d,p=0.002)and overweight group(6.2±1.9 d vs.5.0±1.0d,p=0.001).In the analysis of multiple linear regression,it was found that operation time is significantly affected by BMI and location 2,with coefficients of 1.299 and -8.646 respectively.The influence of BMI was greater than location 2(0.335 vs.-0.289).For hospital stay,only BMI had an effect on it,with a coefficient of 0.110.Conclusion:BMI was a major factor that associated with longer operation time and hospital stay in patients with retroperitoneal laparoscopic renal cyst decortication. 展开更多
关键词 Body mass index Renal cyst Laparoscopic decortication Operation time Hospital stay
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