Fluctuating voltage levels in power grids necessitate automatic voltage regulators(AVRs)to ensure stability.This study examined the modeling and control of AVR in hydroelectric power plants using model predictive cont...Fluctuating voltage levels in power grids necessitate automatic voltage regulators(AVRs)to ensure stability.This study examined the modeling and control of AVR in hydroelectric power plants using model predictive control(MPC),which utilizes an extensive mathe-matical model of the voltage regulation system to optimize the control actions over a defined prediction horizon.This predictive feature enables MPC to minimize voltage deviations while accounting for operational constraints,thereby improving stability and performance under dynamic conditions.Thefindings were compared with those derived from an optimal proportional integral derivative(PID)con-troller designed using the artificial bee colony(ABC)algorithm.Although the ABC-PID method adjusts the PID parameters based on historical data,it may be difficult to adapt to real-time changes in system dynamics under constraints.Comprehensive simulations assessed both frameworks,emphasizing performance metrics such as disturbance rejection,response to load changes,and resilience to uncertainties.The results show that both MPC and ABC-PID methods effectively achieved accurate voltage regulation;however,MPC excelled in controlling overshoot and settling time—recording 0.0%and 0.25 s,respectively.This demonstrates greater robustness compared to conventional control methods that optimize PID parameters based on performance criteria derived from actual system behavior,which exhibited settling times and overshoots exceeding 0.41 s and 5.0%,respectively.The controllers were implemented using MATLAB/Simulink software,indicating a significant advancement for power plant engineers pursuing state-of-the-art automatic voltage regulations.展开更多
BACKGROUND A total of 100 patients diagnosed with mixed hemorrhoids from October 2022 to September 2023 in our hospital were randomly divided into groups by dice rolling and compared with the efficacy of different tre...BACKGROUND A total of 100 patients diagnosed with mixed hemorrhoids from October 2022 to September 2023 in our hospital were randomly divided into groups by dice rolling and compared with the efficacy of different treatment options.AIM To analyze the clinical effect and prognosis of mixed hemorrhoids treated with polidocanol injection combined with automatic elastic thread ligation operation(RPH).METHODS A total of 100 patients with mixed hemorrhoids who visited our hospital from October 2022 to September 2023 were selected and randomly divided into the control group(n=50)and the treatment group(n=50)by rolling the dice.The procedure for prolapse and hemorrhoids(PPH)was adopted in the control group,while polidocanol foam injection+RPH was adopted in the treatment group.The therapeutic effects,operation time,wound healing time,hospital stay,pain situation(24 hours post-operative pain score,first defecation pain score),quality of life(QOL),incidence of complications(post-operative hemorrhage,edema,infection),incidence of anal stenosis 3 months post-operatively and recurrence rate 1 year post-operatively of the two groups were compared.RESULTS Compared with the control group,the total effective rate of treatment group was higher,and the difference was significant(P<0.05).The operation time/wound healing time/hospital stay in the treatment group were shorter than those in the control group(P<0.05).The pain scores at 24 hours after operation/first defecation pain score of the treatment group was significantly lower than those in the control group(P<0.05).After surgery,the QOL scores of the two groups decreased,with the treatment group having higher scores than that of the control group(P<0.05).Compared with the control group,the incidence of postoperative complications in the treatment group was lower,and the difference was significant(P<0.05);However,there was no significant difference in the incidence of postoperative bleeding between the two groups(P>0.05);There was no significant difference in the incidence of anal stenosis 3 months after operation and the recurrence rate 1 year after operation between the two groups(P>0.05).CONCLUSION For patients with mixed hemorrhoids,the therapeutic effect achieved by using polidocanol injection combined with RPH was better.The wounds of the patients healed faster,the postoperative pain was milder,QOL improved,and the incidence of complications was lower,and the short-term and long-term prognosis was good.展开更多
In order to increase the stability of the Mongolia power system, a single-phase automatic reclosing device (SPAR) was introduced on double-circuit power lines built with a size of 330 kV, operating on a voltage of 220...In order to increase the stability of the Mongolia power system, a single-phase automatic reclosing device (SPAR) was introduced on double-circuit power lines built with a size of 330 kV, operating on a voltage of 220 kV and a length of 250 km. These overhead power lines (L-213, L-214) connect the 220/110/35 kV “Songino” substation with the “Mandal” substation and form system networks. This paper presents the challenges encountered when implementing single-phase automatic reclosing (SPAR) devices and compares the changes in power system parameters before and after SPAR deployment for a long 220 kV line. Simulations and analyses were carried out using DIgSILENT PowerFactory software, focusing on rotor angle stability, and the overall impact on the power system during short-circuit faults. The evaluation also utilized measurement data from the Wide Area Monitoring System (WAMS) to compare system behavior pre- and post-implementation of SPAR. The findings reveal that SPAR significantly enhances system reliability and stability, effectively mitigating the risk of oscillations and stability loss triggered by short circuits. This improvement contributes to a more resilient power system, reducing the potential for disturbances caused by faults.展开更多
BACKGROUND The degree of obstruction plays an important role in decision-making for obstructive colorectal cancer(OCRC).The existing assessment still relies on the colorectal obstruction scoring system(CROSS)which is ...BACKGROUND The degree of obstruction plays an important role in decision-making for obstructive colorectal cancer(OCRC).The existing assessment still relies on the colorectal obstruction scoring system(CROSS)which is based on a comprehensive analysis of patients’complaints and eating conditions.The data collection relies on subjective descriptions and lacks objective parameters.Therefore,a scoring system for the evaluation of computed tomography-based obstructive degree(CTOD)is urgently required for OCRC.AIM To explore the relationship between CTOD and CROSS and to determine whether CTOD could affect the short-term and long-term prognosis.METHODS Of 173 patients were enrolled.CTOD was obtained using k-means,the ratio of proximal to distal obstruction,and the proportion of nonparenchymal areas at the site of obstruction.CTOD was integrated with the CROSS to analyze the effect of emergency intervention on complications.Short-term and long-term outcomes were compared between the groups.RESULTS CTOD severe obstruction(CTOD grade 3)was an independent risk factor[odds ratio(OR)=3.390,95%confidence interval(CI):1.340-8.570,P=0.010]via multivariate analysis of short-term outcomes,while CROSS grade was not.In the CTOD-CROSS grade system,for the non-severe obstructive(CTOD 1-2 to CROSS 1-4)group,the complication rate of emergency interventions was significantly higher than that of non-emergency interventions(71.4%vs 41.8%,P=0.040).The postoperative pneumonia rate was higher in the emergency intervention group than in the non-severe obstructive group(35.7%vs 8.9%,P=0.020).However,CTOD grade was not an independent risk factor of overall survival and progression-free survival.CONCLUSION CTOD was useful in preoperative decision-making to avoid unnecessary emergency interventions and complications.展开更多
In this paper,the author follows the trail of C.Malabou,Q.Meillassoux,and G.Deleuze and tries to test three philosophical concepts that seem to be particularly threatened in the era of automatic digital reproduction.T...In this paper,the author follows the trail of C.Malabou,Q.Meillassoux,and G.Deleuze and tries to test three philosophical concepts that seem to be particularly threatened in the era of automatic digital reproduction.These three concepts are plasticity(defended for many years by C.Malabou),contingency(reconstructed by Q.Meillassoux),and virtuality(developed by G.Deleuze).The main task of the text will be to reflect on which of these three concepts better protects our thinking against automation and stays faithful to the ideal of creativity.In what sense are plasticity,contingency,and the possibility of virtualization the a priori condition of any transformation,physical or intellectual,affective or conceptual metamorphosis?In what sense are these three concepts the only conditions for the survival of every living being?Would a being without contingency,plasticity,and disposition to virtualization simply be a dead being?展开更多
BACKGROUND Depression is a leading global health concern with high suicide rates and recurrence.Cognitive models suggest that mental pain and automatic thoughts are central to depression's impact.The hypothesis is...BACKGROUND Depression is a leading global health concern with high suicide rates and recurrence.Cognitive models suggest that mental pain and automatic thoughts are central to depression's impact.The hypothesis is that self-compassion will be negatively associated with mental pain,mediated by automatic thoughts.AIM To determine the mediating role of automatic thoughts in the relationship between self-compassion and mental pain in individuals with depression.METHODS This cross-sectional study included 389 inpatients with depression from Tianjin Anding Hospital.Participants completed the Self-Compassion Scale-Chinese Version(SCS-C),Automatic Thought Questionnaire(ATQ),and Orbach&Mikulincer Mental Pain Scale-Chinese Version(OMMP).Data were analyzed using Pearson correlations,multiple linear regressions,and mediation analysis.RESULTS The SCS-C total score was 68.95±14.89,ATQ was 87.02±28.91,and OMMP was 129.01±36.74.Correlation analysis showed mental pain was positively associated with automatic thoughts(r=0.802,P<0.001)and negatively with selfcompassion(r=-0.636,P<0.001).Regression analysis indicated automatic thoughts(β=0.623,P<0.001)and self-compassion(β=-0.301,P<0.001)significantly predicted mental pain.Mediation analysis confirmed automatic thoughts partially mediated the relationship between self-compassion and mental pain(ab=-0.269,95%CI:-0.363 to-0.212).CONCLUSION Self-compassion is inversely related to mental pain in depression,with automatic thoughts playing a mediating role.These findings suggest potential therapeutic targets for alleviating mental pain in depressed patients.展开更多
Shen et al’s retrospective study aims to compare the utility of two separate scoring systems for predicting mortality attributable to gastrointestinal(GI)injury in critically ill patients[the GI Dysfunction Score(GID...Shen et al’s retrospective study aims to compare the utility of two separate scoring systems for predicting mortality attributable to gastrointestinal(GI)injury in critically ill patients[the GI Dysfunction Score(GIDS)and the Acute Gastroin-testinal Injury(AGI)grade].The authors note that this study is the first proposal that suggests an equivalence between the ability of both scores to predict mor-tality at 28 days from intensive care unit(ICU)admission.Shen et al retrospec-tively analysed an ICU cohort of patients utilising two physicians administering both the AGI grade and GIDS score,using electronic healthcare records and ICU flowsheets.Where these physicians disagreed about the scores,the final decision as to the scores was made by an associate chief physician,or chief physician.We note that the primary reason for the development of GIDS was to create a clear score for GI dysfunction,with minimal subjectivity or inter-operator variability.The subjectivity inherent to the older AGI grading system is what ultimately led to the development of GIDS in 2021.By ensuring consensus between physicians administering the AGI,Shen et al have controlled for one of this grading systems biggest issues.We have concerns,however,that this does not represent the real-world challenges associated with applying the AGI compared to the newer GIDS,and wonder if this arbitration process had not been instituted,would the two scoring systems remain equivalent in terms of predicted mortality?展开更多
Belt conveyors are prone to problems suchas conveyor belt deviation during operation.The main correction method is to adjust the angle of the roller frame,but the current adjustment is mostly manual.In order to solve ...Belt conveyors are prone to problems suchas conveyor belt deviation during operation.The main correction method is to adjust the angle of the roller frame,but the current adjustment is mostly manual.In order to solve the problem of low equipment transportation efficiency and low safety causedby conveyor belt deviation,a detection mechanism that can effectively detect conveyor belt deviation parameters is designed,and the working condition information is accurately transmitted to the PLC controller.If an abnormality is found,the designed correction device will correct the deviation,effectively ensuring the reliable and stable operation of the belt conveyor.展开更多
BACKGROUND The rising global prevalence of gastroesophageal reflux disease(GERD)has been closely linked to lifestyle changes driven by globalization.GERD imposes a substantial public health burden,affecting quality of...BACKGROUND The rising global prevalence of gastroesophageal reflux disease(GERD)has been closely linked to lifestyle changes driven by globalization.GERD imposes a substantial public health burden,affecting quality of life and leading to potential complications.Early intervention through lifestyle modification can prevent disease onset;however,there is a lack of effective risk prediction models that emphasize primary prevention.AIM To develop and validate a GERD Risk Scoring System(GRSS)aimed at identifying high-risk individuals and promoting primary prevention strategies.METHODS A 45-item questionnaire encompassing major lifestyle and demographic risk factors was developed and validated.It was administered to healthy controls and GERD patients.Two regression models-one using continuous variables and another using categorized variables-were used to develop a computational prediction equation and a clinically applicable scoring scale.An independent validation cohort of 355 participants was used to assess model performance in terms of discrimination(C-index),calibration,sensitivity,specificity,internal consistency(Cronbach's alpha),and test-retest reliability(intraclass correlation coefficient,Bland-Altman analysis).RESULTS Significant associations were observed between GERD and key lifestyle factors.The derived GRSS equation and scoring scale demonstrated strong discriminative ability,with high sensitivity and specificity.The scoring system exhibited excellent internal consistency(Cronbach’s alpha)and strong test-retest reliability.The C-index indicated excellent predictive accuracy in both derivation and validation cohorts.CONCLUSION GRSS offers a novel and validated approach to GERD risk prediction,combining a robust equation for digital applications and a practical scale for clinical use.Its ability to accurately identify at-risk individuals supports a paradigm shift toward primary prevention,underscoring its significance in addressing the growing burden of GERD at the population level.展开更多
Traditional calibration method for the digital inclinometer relies on manual inspection,and results in its disadvantages of complicated process,low-efficiency and human errors easy to be introduced.To improve both the...Traditional calibration method for the digital inclinometer relies on manual inspection,and results in its disadvantages of complicated process,low-efficiency and human errors easy to be introduced.To improve both the calibration accuracy and efficiency of digital inclinometer,an automatic digital inclinometer calibration system was developed in this study,and a new display tube recognition algorithm was proposed.First,a high-precision automatic turntable was taken as the reference to calculate the indication error of the inclinometer.Then,the automatic inclinometer calibration control process and the digital inclinometer zero-setting function were formulated.For display tube recognition,a new display tube recognition algorithm combining threading method and feature extraction method was proposed.Finally,the calibration system was calibrated by photoelectric autocollimator and regular polygon mirror,and the calibration system error and repeatability were calculated via a series of experiments.The experimental results showed that the indication error of the proposed calibration system was less than 4",and the repeatability was 3.9".A digital inclinometer with the resolution of 0.1°was taken as a testing example,within the calibration points'range of[-90°,90°],the repeatability of the testing was 0.085°,and the whole testing process was less than 90 s.The digital inclinometer indication error is mainly introduced by the digital inclinometer resolution according to the uncertainty evaluation.展开更多
A rotary sealing device that automatically compensates for wear is designed to address the issues of easy wear and the short service life of the rotary sealing device with automatic wear compensation in mining machine...A rotary sealing device that automatically compensates for wear is designed to address the issues of easy wear and the short service life of the rotary sealing device with automatic wear compensation in mining machinery.After the end face of the guide sleeve wears out,it still tightly adheres to the sealing valve seat under the pressure difference,achieving automatic wear compensation.Based on fluid-solid coupling technology,the structural strength of the rotary sealing device was checked.The influence of factors on the sealing performance of rotary sealing devices was studied using the control variable method.The results show that as the pressure of water increases,the leakage rate of the sealing device decreases,and after 30 MPa,the leakage rate is almost 0 mL/h.The temperature of the rotating sealing device increases with the increase of rotation speed or pressure,and the temperature is more affected by the rotation speed factor.The frictional torque increases with increasing pressure and is independent of rotational speed.Comprehensive analysis shows that the wear resistance and reliability level of the sealing guide sleeve material is PVDF>PEEK>PE>PA.This study designs a high-pressure automatic compensation wear rotary sealing device and selects the optimal sealing material,providing technical support for the application of high-pressure water jet in mining machinery.展开更多
Robot-assisted surgery has become an indispensable component in modern neurosurgical procedures.However,existing registration methods for neurosurgical robots often rely on high-end hardware and involve prolonged or u...Robot-assisted surgery has become an indispensable component in modern neurosurgical procedures.However,existing registration methods for neurosurgical robots often rely on high-end hardware and involve prolonged or unstable registration times,limiting their applicability in dynamic and time-sensitive intraoperative settings.This paper proposes a novel fully automatic monocular-based registration and real-time tracking method.First,dedicated fiducials are designed,and an automatic preoperative and intraoperative detection method for these fiducials is introduced.Second,a geometric representation of the fiducials is constructed based on a 2D KD-Tree.Through a two-stage optimization process,the depth of 2D fiducials is estimated,and 2D-3D correspondences are established to achieve monocular registration.This approach enables fully automatic intraoperative registration using only a single optical camera.Finally,a six-degree-of-freedom visual servo control strategy inspired by the mass-spring-damper system is proposed.By integrating artificial potential field and admittance control,the strategy ensures real-time responsiveness and stable tracking.Experimental results demonstrate that the proposed method achieves a registration time of 0.23 s per instance with an average error of 0.58 mm.Additionally,the motion performance of the control strategy has been validated.Preliminary experiments verify the effectiveness of MonoTracker in dynamic tracking scenarios.This method holds promise for enhancing the adaptability of neurosurgical robots and offers significant clinical application potential.展开更多
AIM:To develop different machine learning models to train and test diplopia images and data generated by the computerized diplopia test.METHODS:Diplopia images and data generated by computerized diplopia tests,along w...AIM:To develop different machine learning models to train and test diplopia images and data generated by the computerized diplopia test.METHODS:Diplopia images and data generated by computerized diplopia tests,along with patient medical records,were retrospectively collected from 3244 cases.Diagnostic models were constructed using logistic regression(LR),decision tree(DT),support vector machine(SVM),extreme gradient boosting(XGBoost),and deep learning(DL)algorithms.A total of 2757 diplopia images were randomly selected as training data,while the test dataset contained 487 diplopia images.The optimal diagnostic model was evaluated using test set accuracy,confusion matrix,and precision-recall curve(P-R curve).RESULTS:The test set accuracy of the LR,SVM,DT,XGBoost,DL(64 categories),and DL(6 binary classifications)algorithms was 0.762,0.811,0.818,0.812,0.858 and 0.858,respectively.The accuracy in the training set was 0.785,0.815,0.998,0.965,0.968,and 0.967,respectively.The weighted precision of LR,SVM,DT,XGBoost,DL(64 categories),and DL(6 binary classifications)algorithms was 0.74,0.77,0.83,0.80,0.85,and 0.85,respectively;weighted recall was 0.76,0.81,0.82,0.81,0.86,and 0.86,respectively;weighted F1 score was 0.74,0.79,0.82,0.80,0.85,and 0.85,respectively.CONCLUSION:In this study,the 7 machine learning algorithms all achieve automatic diagnosis of extraocular muscle palsy.The DL(64 categories)and DL(6 binary classifications)algorithms have a significant advantage over other machine learning algorithms regarding diagnostic accuracy on the test set,with a high level of consistency with clinical diagnoses made by physicians.Therefore,it can be used as a reference for diagnosis.展开更多
Esophageal cancer(EC),a common malignant tumor of the digestive tract,requires early diagnosis and timely treatment to improve patient prognosis.Automated detection of EC using medical imaging has the potential to inc...Esophageal cancer(EC),a common malignant tumor of the digestive tract,requires early diagnosis and timely treatment to improve patient prognosis.Automated detection of EC using medical imaging has the potential to increase screening efficiency and diagnostic accuracy,thereby significantly improving long-term survival rates and the quality of life of patients.Recent advances in deep learning(DL),particularly convolutional neural networks,have demons-trated remarkable performance in medical imaging analysis.These techniques have shown significant progress in the automated identification of malignant tumors,quantitative analysis of lesions,and improvement in diagnostic accuracy and efficiency.This article comprehensively examines the research progress of DL in medical imaging for EC,covering various imaging modalities such as digital pathology,endoscopy,computed tomography,etc.It explores the clinical value and application prospects of DL in EC screening and diagnosis.Additionally,the article addresses several critical challenges that must be overcome for the clinical translation of DL techniques,including constructing high-quality datasets,promoting multimodal feature fusion,and optimizing artificial intelligence-clinical workflow integration.By providing a detailed overview of the current state of DL in EC imaging and highlighting the key challenges and future directions,this article aims to guide future research and facilitate the clinical implementation of DL technologies in EC management,ultimately contributing to better patient outcomes.展开更多
BACKGROUND Functional gastrointestinal disorders(FGIDs),defined as‘Disorders of Gut-Brain Interaction’,are now considered a global health problem.There is a dearth of concepts and scales to assess the severity of th...BACKGROUND Functional gastrointestinal disorders(FGIDs),defined as‘Disorders of Gut-Brain Interaction’,are now considered a global health problem.There is a dearth of concepts and scales to assess the severity of the different symptoms encountered while dealing with the variety of FGIDs as described in the ROME IV classi-fication.We introduced a novel scoring system with the incorporation of 16 different symptoms called Bacharyya’s Questionnaire Scale and started using it while dealing with children suffering from FGIDs.AIM To verify the usefulness and applicability of this recently developed scale,this study was undertaken with the objectives to establish the validity of this scoring system in assessing the severity of symptoms associated with a specific FGID in children and to determine the scoring system's applicability in assessing the treatment response.METHODS The study included children aged 5 to 18 years diagnosed with any FGID based on ROME IV criteria.They completed the newly developed scale and a Visual Analog Scale at initial diagnosis and after a 2-month treatment period.A control group without FGID participated for comparative baseline purposes.Treatment response was defined as a less than or equal to 50%reduction in the total score,which is statistically significant.RESULTS Results from a comprehensive cohort of 190 cases and 90 controls indicated a female preponderance(57.9%)and prevalent disorders such as functional constipation(28%)and functional abdominal pain,not otherwise specified(21%).The grade of FGID(mild,moderate,severe)experienced by the patients was also derived.Post-treatment,96 children demonstrated symptom improvement.The Spearman rank correlation coefficient for pre(r=0.72,95%CI:0.65-0.77,P value<0.0001)and post(r=0.49,95%CI:0.3-0.64,P value<0.0001)treatment data showed positive results with significant P values.CONCLUSION The novel scoring system shows high comprehensibility and gives an objective view of the symptomatology of FGIDs.The use of this novel score in clinical settings will be helpful to typify the FGIDs and may significantly improve decision-making processes to initiate appropriate treatment.展开更多
With the development of machine translation technology,automatic pre-editing has attracted increasing research attention for its important role in improving translation quality and efficiency.This study utilizes UAM C...With the development of machine translation technology,automatic pre-editing has attracted increasing research attention for its important role in improving translation quality and efficiency.This study utilizes UAM Corpus Tool 3.0 to annotate and categorize 99 key publications between 1992 and 2024,tracing the research paths and technological evolution of automatic pre-translation editing.The study finds that current approaches can be classified into four categories:controlled language-based approaches,text simplification approaches,interlingua-based approaches,and large language model-driven approaches.By critically examining their technical features and applicability in various contexts,this review aims to provide valuable insights to guide the future optimization and expansion of pre-translation editing systems.展开更多
BACKGROUND Acute pancreatitis(AP)is an emergency gastrointestinal disease that requires immediate diagnosis and urgent clinical treatment.An accurate assessment and precise staging of severity are essential in initial...BACKGROUND Acute pancreatitis(AP)is an emergency gastrointestinal disease that requires immediate diagnosis and urgent clinical treatment.An accurate assessment and precise staging of severity are essential in initial intensive therapy.AIM To explore the prognostic value of inflammatory markers and several scoring systems[Acute Physiology and Chronic Health Evaluation II,the bedside index of severity in AP(BISAP),Ranson’s score,the computed tomography severity index(CTSI)and sequential organ failure assessment]in severity stratification of earlyphase AP.METHODS A total of 463 patients with AP admitted to our hospital between 1 January 2021 and 30 June 2024 were retrospectively enrolled in this study.Inflammation marker and scoring system levels were calculated and compared between different severity groups.Relationships between severity and several predictors were evaluated using univariate and multivariate logistic regression models.Predictive ability was estimated using receiver operating characteristic curves.RESULTS Of the 463 patients,50(10.80%)were classified as having severe AP(SAP).The results revealed that the white cell count significantly increased,whereas the prognostic nutritional index measured within 48 hours(PNI48)and calcium(Ca^(2+))were decreased as the severity of AP increased(P<0.001).According to multivariate logistic regression,C-reactive protein measured within 48 hours(CRP_(48)),Ca^(2+)levels,and PNI48 were independent risk factors for predicting SAP.The area under the curve(AUC)values for the CRP_(48),Ca^(2+),PNI48,Acute Physiology and Chronic Health Evaluation II,sequential organ failure assessment,BISAP,CTSI,and Ranson scores for the prediction of SAP were 0.802,0.736,0.871,0.799,0.783,0.895,0.931 and 0.914,respectively.The AUC for the combined CRP_(48)+Ca^(2+)+PNI48 model was 0.892.The combination of PNI48 and Ranson achieved an AUC of 0.936.CONCLUSION Independent risk factors for developing SAP include CRP_(48),Ca^(2+),and PNI48.CTSI,BISAP,and the combination of PNI48 and the Ranson score can act as reliable predictors of SAP.展开更多
Computer-vision and deep-learning techniques are widely applied to detect,monitor,and assess pavement conditions including road crack detection.Traditional methods fail to achieve satisfactory accuracy and generalizat...Computer-vision and deep-learning techniques are widely applied to detect,monitor,and assess pavement conditions including road crack detection.Traditional methods fail to achieve satisfactory accuracy and generalization performance in for crack detection.Complex network model can generate redundant feature maps and computational complexity.Therefore,this paper proposes a novel model compression framework based on deep learning to detect road cracks,which can improve the detection efficiency and accuracy.A distillation loss function is proposed to compress the teacher model,followed by channel pruning.Meanwhile,a multi-dilation model is proposed to improve the accuracy of the model pruned.The proposed method is tested on the public database CrackForest dataset(CFD).The experimental results show that the proposed method is more efficient and accurate than other state-of-art methods.展开更多
In this article,we discuss the recently published article by Yang et al.This retrospective analysis,which was conducted at a large urban tertiary care center,focused on comparing Lille model scores at days 3 and 7 wit...In this article,we discuss the recently published article by Yang et al.This retrospective analysis,which was conducted at a large urban tertiary care center,focused on comparing Lille model scores at days 3 and 7 with established scoring systems and identifying critical clinical predictors,such as renal dysfunction,nutritional status,and underlying cirrhosis.Alcoholic hepatitis(AH),a severe manifestation of alcohol-related liver disease,is associated with high morbidity and mortality,necessitating accurate prognostic tools and comprehensive clinical assessments.Prognostic tools are invaluable for early risk stratification,but they must be contextualized within the multifactorial nature of AH.Acute renal dysfunction and poor nutritional status,for example,are not just complications but pivotal markers of disease severity and systemic impact.Addressing these factors requires a holistic approach that extends beyond scoring systems to include targeted interventions and comprehensive patient care.This editorial emphasizes the need for a paradigm shift in AH management,where prognostic models are complemented by a deeper understanding of patient-specific factors.Such an approach can guide clinicians in tailoring therapies and improving outcomes for this high-risk population.展开更多
文摘Fluctuating voltage levels in power grids necessitate automatic voltage regulators(AVRs)to ensure stability.This study examined the modeling and control of AVR in hydroelectric power plants using model predictive control(MPC),which utilizes an extensive mathe-matical model of the voltage regulation system to optimize the control actions over a defined prediction horizon.This predictive feature enables MPC to minimize voltage deviations while accounting for operational constraints,thereby improving stability and performance under dynamic conditions.Thefindings were compared with those derived from an optimal proportional integral derivative(PID)con-troller designed using the artificial bee colony(ABC)algorithm.Although the ABC-PID method adjusts the PID parameters based on historical data,it may be difficult to adapt to real-time changes in system dynamics under constraints.Comprehensive simulations assessed both frameworks,emphasizing performance metrics such as disturbance rejection,response to load changes,and resilience to uncertainties.The results show that both MPC and ABC-PID methods effectively achieved accurate voltage regulation;however,MPC excelled in controlling overshoot and settling time—recording 0.0%and 0.25 s,respectively.This demonstrates greater robustness compared to conventional control methods that optimize PID parameters based on performance criteria derived from actual system behavior,which exhibited settling times and overshoots exceeding 0.41 s and 5.0%,respectively.The controllers were implemented using MATLAB/Simulink software,indicating a significant advancement for power plant engineers pursuing state-of-the-art automatic voltage regulations.
文摘BACKGROUND A total of 100 patients diagnosed with mixed hemorrhoids from October 2022 to September 2023 in our hospital were randomly divided into groups by dice rolling and compared with the efficacy of different treatment options.AIM To analyze the clinical effect and prognosis of mixed hemorrhoids treated with polidocanol injection combined with automatic elastic thread ligation operation(RPH).METHODS A total of 100 patients with mixed hemorrhoids who visited our hospital from October 2022 to September 2023 were selected and randomly divided into the control group(n=50)and the treatment group(n=50)by rolling the dice.The procedure for prolapse and hemorrhoids(PPH)was adopted in the control group,while polidocanol foam injection+RPH was adopted in the treatment group.The therapeutic effects,operation time,wound healing time,hospital stay,pain situation(24 hours post-operative pain score,first defecation pain score),quality of life(QOL),incidence of complications(post-operative hemorrhage,edema,infection),incidence of anal stenosis 3 months post-operatively and recurrence rate 1 year post-operatively of the two groups were compared.RESULTS Compared with the control group,the total effective rate of treatment group was higher,and the difference was significant(P<0.05).The operation time/wound healing time/hospital stay in the treatment group were shorter than those in the control group(P<0.05).The pain scores at 24 hours after operation/first defecation pain score of the treatment group was significantly lower than those in the control group(P<0.05).After surgery,the QOL scores of the two groups decreased,with the treatment group having higher scores than that of the control group(P<0.05).Compared with the control group,the incidence of postoperative complications in the treatment group was lower,and the difference was significant(P<0.05);However,there was no significant difference in the incidence of postoperative bleeding between the two groups(P>0.05);There was no significant difference in the incidence of anal stenosis 3 months after operation and the recurrence rate 1 year after operation between the two groups(P>0.05).CONCLUSION For patients with mixed hemorrhoids,the therapeutic effect achieved by using polidocanol injection combined with RPH was better.The wounds of the patients healed faster,the postoperative pain was milder,QOL improved,and the incidence of complications was lower,and the short-term and long-term prognosis was good.
文摘In order to increase the stability of the Mongolia power system, a single-phase automatic reclosing device (SPAR) was introduced on double-circuit power lines built with a size of 330 kV, operating on a voltage of 220 kV and a length of 250 km. These overhead power lines (L-213, L-214) connect the 220/110/35 kV “Songino” substation with the “Mandal” substation and form system networks. This paper presents the challenges encountered when implementing single-phase automatic reclosing (SPAR) devices and compares the changes in power system parameters before and after SPAR deployment for a long 220 kV line. Simulations and analyses were carried out using DIgSILENT PowerFactory software, focusing on rotor angle stability, and the overall impact on the power system during short-circuit faults. The evaluation also utilized measurement data from the Wide Area Monitoring System (WAMS) to compare system behavior pre- and post-implementation of SPAR. The findings reveal that SPAR significantly enhances system reliability and stability, effectively mitigating the risk of oscillations and stability loss triggered by short circuits. This improvement contributes to a more resilient power system, reducing the potential for disturbances caused by faults.
基金the Youth Foundation of Fujian Provincial Health Commission,No.2021QNA014the Construction Project of Fujian Province Minimally Invasive Medical Center,No.[2021]76.
文摘BACKGROUND The degree of obstruction plays an important role in decision-making for obstructive colorectal cancer(OCRC).The existing assessment still relies on the colorectal obstruction scoring system(CROSS)which is based on a comprehensive analysis of patients’complaints and eating conditions.The data collection relies on subjective descriptions and lacks objective parameters.Therefore,a scoring system for the evaluation of computed tomography-based obstructive degree(CTOD)is urgently required for OCRC.AIM To explore the relationship between CTOD and CROSS and to determine whether CTOD could affect the short-term and long-term prognosis.METHODS Of 173 patients were enrolled.CTOD was obtained using k-means,the ratio of proximal to distal obstruction,and the proportion of nonparenchymal areas at the site of obstruction.CTOD was integrated with the CROSS to analyze the effect of emergency intervention on complications.Short-term and long-term outcomes were compared between the groups.RESULTS CTOD severe obstruction(CTOD grade 3)was an independent risk factor[odds ratio(OR)=3.390,95%confidence interval(CI):1.340-8.570,P=0.010]via multivariate analysis of short-term outcomes,while CROSS grade was not.In the CTOD-CROSS grade system,for the non-severe obstructive(CTOD 1-2 to CROSS 1-4)group,the complication rate of emergency interventions was significantly higher than that of non-emergency interventions(71.4%vs 41.8%,P=0.040).The postoperative pneumonia rate was higher in the emergency intervention group than in the non-severe obstructive group(35.7%vs 8.9%,P=0.020).However,CTOD grade was not an independent risk factor of overall survival and progression-free survival.CONCLUSION CTOD was useful in preoperative decision-making to avoid unnecessary emergency interventions and complications.
文摘In this paper,the author follows the trail of C.Malabou,Q.Meillassoux,and G.Deleuze and tries to test three philosophical concepts that seem to be particularly threatened in the era of automatic digital reproduction.These three concepts are plasticity(defended for many years by C.Malabou),contingency(reconstructed by Q.Meillassoux),and virtuality(developed by G.Deleuze).The main task of the text will be to reflect on which of these three concepts better protects our thinking against automation and stays faithful to the ideal of creativity.In what sense are plasticity,contingency,and the possibility of virtualization the a priori condition of any transformation,physical or intellectual,affective or conceptual metamorphosis?In what sense are these three concepts the only conditions for the survival of every living being?Would a being without contingency,plasticity,and disposition to virtualization simply be a dead being?
文摘BACKGROUND Depression is a leading global health concern with high suicide rates and recurrence.Cognitive models suggest that mental pain and automatic thoughts are central to depression's impact.The hypothesis is that self-compassion will be negatively associated with mental pain,mediated by automatic thoughts.AIM To determine the mediating role of automatic thoughts in the relationship between self-compassion and mental pain in individuals with depression.METHODS This cross-sectional study included 389 inpatients with depression from Tianjin Anding Hospital.Participants completed the Self-Compassion Scale-Chinese Version(SCS-C),Automatic Thought Questionnaire(ATQ),and Orbach&Mikulincer Mental Pain Scale-Chinese Version(OMMP).Data were analyzed using Pearson correlations,multiple linear regressions,and mediation analysis.RESULTS The SCS-C total score was 68.95±14.89,ATQ was 87.02±28.91,and OMMP was 129.01±36.74.Correlation analysis showed mental pain was positively associated with automatic thoughts(r=0.802,P<0.001)and negatively with selfcompassion(r=-0.636,P<0.001).Regression analysis indicated automatic thoughts(β=0.623,P<0.001)and self-compassion(β=-0.301,P<0.001)significantly predicted mental pain.Mediation analysis confirmed automatic thoughts partially mediated the relationship between self-compassion and mental pain(ab=-0.269,95%CI:-0.363 to-0.212).CONCLUSION Self-compassion is inversely related to mental pain in depression,with automatic thoughts playing a mediating role.These findings suggest potential therapeutic targets for alleviating mental pain in depressed patients.
文摘Shen et al’s retrospective study aims to compare the utility of two separate scoring systems for predicting mortality attributable to gastrointestinal(GI)injury in critically ill patients[the GI Dysfunction Score(GIDS)and the Acute Gastroin-testinal Injury(AGI)grade].The authors note that this study is the first proposal that suggests an equivalence between the ability of both scores to predict mor-tality at 28 days from intensive care unit(ICU)admission.Shen et al retrospec-tively analysed an ICU cohort of patients utilising two physicians administering both the AGI grade and GIDS score,using electronic healthcare records and ICU flowsheets.Where these physicians disagreed about the scores,the final decision as to the scores was made by an associate chief physician,or chief physician.We note that the primary reason for the development of GIDS was to create a clear score for GI dysfunction,with minimal subjectivity or inter-operator variability.The subjectivity inherent to the older AGI grading system is what ultimately led to the development of GIDS in 2021.By ensuring consensus between physicians administering the AGI,Shen et al have controlled for one of this grading systems biggest issues.We have concerns,however,that this does not represent the real-world challenges associated with applying the AGI compared to the newer GIDS,and wonder if this arbitration process had not been instituted,would the two scoring systems remain equivalent in terms of predicted mortality?
基金Yingkou Institute of Technology school-level scientificresearch project(Grant:ZDIL202302).
文摘Belt conveyors are prone to problems suchas conveyor belt deviation during operation.The main correction method is to adjust the angle of the roller frame,but the current adjustment is mostly manual.In order to solve the problem of low equipment transportation efficiency and low safety causedby conveyor belt deviation,a detection mechanism that can effectively detect conveyor belt deviation parameters is designed,and the working condition information is accurately transmitted to the PLC controller.If an abnormality is found,the designed correction device will correct the deviation,effectively ensuring the reliable and stable operation of the belt conveyor.
文摘BACKGROUND The rising global prevalence of gastroesophageal reflux disease(GERD)has been closely linked to lifestyle changes driven by globalization.GERD imposes a substantial public health burden,affecting quality of life and leading to potential complications.Early intervention through lifestyle modification can prevent disease onset;however,there is a lack of effective risk prediction models that emphasize primary prevention.AIM To develop and validate a GERD Risk Scoring System(GRSS)aimed at identifying high-risk individuals and promoting primary prevention strategies.METHODS A 45-item questionnaire encompassing major lifestyle and demographic risk factors was developed and validated.It was administered to healthy controls and GERD patients.Two regression models-one using continuous variables and another using categorized variables-were used to develop a computational prediction equation and a clinically applicable scoring scale.An independent validation cohort of 355 participants was used to assess model performance in terms of discrimination(C-index),calibration,sensitivity,specificity,internal consistency(Cronbach's alpha),and test-retest reliability(intraclass correlation coefficient,Bland-Altman analysis).RESULTS Significant associations were observed between GERD and key lifestyle factors.The derived GRSS equation and scoring scale demonstrated strong discriminative ability,with high sensitivity and specificity.The scoring system exhibited excellent internal consistency(Cronbach’s alpha)and strong test-retest reliability.The C-index indicated excellent predictive accuracy in both derivation and validation cohorts.CONCLUSION GRSS offers a novel and validated approach to GERD risk prediction,combining a robust equation for digital applications and a practical scale for clinical use.Its ability to accurately identify at-risk individuals supports a paradigm shift toward primary prevention,underscoring its significance in addressing the growing burden of GERD at the population level.
基金the National Natural Science Foundation of China(No.61927822)。
文摘Traditional calibration method for the digital inclinometer relies on manual inspection,and results in its disadvantages of complicated process,low-efficiency and human errors easy to be introduced.To improve both the calibration accuracy and efficiency of digital inclinometer,an automatic digital inclinometer calibration system was developed in this study,and a new display tube recognition algorithm was proposed.First,a high-precision automatic turntable was taken as the reference to calculate the indication error of the inclinometer.Then,the automatic inclinometer calibration control process and the digital inclinometer zero-setting function were formulated.For display tube recognition,a new display tube recognition algorithm combining threading method and feature extraction method was proposed.Finally,the calibration system was calibrated by photoelectric autocollimator and regular polygon mirror,and the calibration system error and repeatability were calculated via a series of experiments.The experimental results showed that the indication error of the proposed calibration system was less than 4",and the repeatability was 3.9".A digital inclinometer with the resolution of 0.1°was taken as a testing example,within the calibration points'range of[-90°,90°],the repeatability of the testing was 0.085°,and the whole testing process was less than 90 s.The digital inclinometer indication error is mainly introduced by the digital inclinometer resolution according to the uncertainty evaluation.
基金Supported by Jiangsu Provincial Natural Science Foundation(Grant No.BK20231497)Jiangsu Provincial Post graduate Research&Practice Innovation Program(Grant No.KYCX25_2982)+3 种基金China University of Mining and Technology Graduate Innovation Program(Grant No.2025WLKXJ094)National Natural Science Foundation of China(Grant No.51975573)National Key R&D Program of China(Grant No.2022YFC2905600)Priority Academic Program Development of Jiangsu Higher Education Institute of China.
文摘A rotary sealing device that automatically compensates for wear is designed to address the issues of easy wear and the short service life of the rotary sealing device with automatic wear compensation in mining machinery.After the end face of the guide sleeve wears out,it still tightly adheres to the sealing valve seat under the pressure difference,achieving automatic wear compensation.Based on fluid-solid coupling technology,the structural strength of the rotary sealing device was checked.The influence of factors on the sealing performance of rotary sealing devices was studied using the control variable method.The results show that as the pressure of water increases,the leakage rate of the sealing device decreases,and after 30 MPa,the leakage rate is almost 0 mL/h.The temperature of the rotating sealing device increases with the increase of rotation speed or pressure,and the temperature is more affected by the rotation speed factor.The frictional torque increases with increasing pressure and is independent of rotational speed.Comprehensive analysis shows that the wear resistance and reliability level of the sealing guide sleeve material is PVDF>PEEK>PE>PA.This study designs a high-pressure automatic compensation wear rotary sealing device and selects the optimal sealing material,providing technical support for the application of high-pressure water jet in mining machinery.
基金Supported by National Natural Science Foundation of China(Grant No.92148206).
文摘Robot-assisted surgery has become an indispensable component in modern neurosurgical procedures.However,existing registration methods for neurosurgical robots often rely on high-end hardware and involve prolonged or unstable registration times,limiting their applicability in dynamic and time-sensitive intraoperative settings.This paper proposes a novel fully automatic monocular-based registration and real-time tracking method.First,dedicated fiducials are designed,and an automatic preoperative and intraoperative detection method for these fiducials is introduced.Second,a geometric representation of the fiducials is constructed based on a 2D KD-Tree.Through a two-stage optimization process,the depth of 2D fiducials is estimated,and 2D-3D correspondences are established to achieve monocular registration.This approach enables fully automatic intraoperative registration using only a single optical camera.Finally,a six-degree-of-freedom visual servo control strategy inspired by the mass-spring-damper system is proposed.By integrating artificial potential field and admittance control,the strategy ensures real-time responsiveness and stable tracking.Experimental results demonstrate that the proposed method achieves a registration time of 0.23 s per instance with an average error of 0.58 mm.Additionally,the motion performance of the control strategy has been validated.Preliminary experiments verify the effectiveness of MonoTracker in dynamic tracking scenarios.This method holds promise for enhancing the adaptability of neurosurgical robots and offers significant clinical application potential.
基金Supported by National Natural Science Foundation of China(No.82074524)Harbin Medical University Graduate Research and Practice Innovation Project(No.YJSCX2023-50HYD).
文摘AIM:To develop different machine learning models to train and test diplopia images and data generated by the computerized diplopia test.METHODS:Diplopia images and data generated by computerized diplopia tests,along with patient medical records,were retrospectively collected from 3244 cases.Diagnostic models were constructed using logistic regression(LR),decision tree(DT),support vector machine(SVM),extreme gradient boosting(XGBoost),and deep learning(DL)algorithms.A total of 2757 diplopia images were randomly selected as training data,while the test dataset contained 487 diplopia images.The optimal diagnostic model was evaluated using test set accuracy,confusion matrix,and precision-recall curve(P-R curve).RESULTS:The test set accuracy of the LR,SVM,DT,XGBoost,DL(64 categories),and DL(6 binary classifications)algorithms was 0.762,0.811,0.818,0.812,0.858 and 0.858,respectively.The accuracy in the training set was 0.785,0.815,0.998,0.965,0.968,and 0.967,respectively.The weighted precision of LR,SVM,DT,XGBoost,DL(64 categories),and DL(6 binary classifications)algorithms was 0.74,0.77,0.83,0.80,0.85,and 0.85,respectively;weighted recall was 0.76,0.81,0.82,0.81,0.86,and 0.86,respectively;weighted F1 score was 0.74,0.79,0.82,0.80,0.85,and 0.85,respectively.CONCLUSION:In this study,the 7 machine learning algorithms all achieve automatic diagnosis of extraocular muscle palsy.The DL(64 categories)and DL(6 binary classifications)algorithms have a significant advantage over other machine learning algorithms regarding diagnostic accuracy on the test set,with a high level of consistency with clinical diagnoses made by physicians.Therefore,it can be used as a reference for diagnosis.
基金Supported by Funding for Clinical Trials from the Nanjing Drum Tower Hospital,Affiliated Hospital of Medical School,Nanjing University,No.2021-LCYJ-MS-11.
文摘Esophageal cancer(EC),a common malignant tumor of the digestive tract,requires early diagnosis and timely treatment to improve patient prognosis.Automated detection of EC using medical imaging has the potential to increase screening efficiency and diagnostic accuracy,thereby significantly improving long-term survival rates and the quality of life of patients.Recent advances in deep learning(DL),particularly convolutional neural networks,have demons-trated remarkable performance in medical imaging analysis.These techniques have shown significant progress in the automated identification of malignant tumors,quantitative analysis of lesions,and improvement in diagnostic accuracy and efficiency.This article comprehensively examines the research progress of DL in medical imaging for EC,covering various imaging modalities such as digital pathology,endoscopy,computed tomography,etc.It explores the clinical value and application prospects of DL in EC screening and diagnosis.Additionally,the article addresses several critical challenges that must be overcome for the clinical translation of DL techniques,including constructing high-quality datasets,promoting multimodal feature fusion,and optimizing artificial intelligence-clinical workflow integration.By providing a detailed overview of the current state of DL in EC imaging and highlighting the key challenges and future directions,this article aims to guide future research and facilitate the clinical implementation of DL technologies in EC management,ultimately contributing to better patient outcomes.
文摘BACKGROUND Functional gastrointestinal disorders(FGIDs),defined as‘Disorders of Gut-Brain Interaction’,are now considered a global health problem.There is a dearth of concepts and scales to assess the severity of the different symptoms encountered while dealing with the variety of FGIDs as described in the ROME IV classi-fication.We introduced a novel scoring system with the incorporation of 16 different symptoms called Bacharyya’s Questionnaire Scale and started using it while dealing with children suffering from FGIDs.AIM To verify the usefulness and applicability of this recently developed scale,this study was undertaken with the objectives to establish the validity of this scoring system in assessing the severity of symptoms associated with a specific FGID in children and to determine the scoring system's applicability in assessing the treatment response.METHODS The study included children aged 5 to 18 years diagnosed with any FGID based on ROME IV criteria.They completed the newly developed scale and a Visual Analog Scale at initial diagnosis and after a 2-month treatment period.A control group without FGID participated for comparative baseline purposes.Treatment response was defined as a less than or equal to 50%reduction in the total score,which is statistically significant.RESULTS Results from a comprehensive cohort of 190 cases and 90 controls indicated a female preponderance(57.9%)and prevalent disorders such as functional constipation(28%)and functional abdominal pain,not otherwise specified(21%).The grade of FGID(mild,moderate,severe)experienced by the patients was also derived.Post-treatment,96 children demonstrated symptom improvement.The Spearman rank correlation coefficient for pre(r=0.72,95%CI:0.65-0.77,P value<0.0001)and post(r=0.49,95%CI:0.3-0.64,P value<0.0001)treatment data showed positive results with significant P values.CONCLUSION The novel scoring system shows high comprehensibility and gives an objective view of the symptomatology of FGIDs.The use of this novel score in clinical settings will be helpful to typify the FGIDs and may significantly improve decision-making processes to initiate appropriate treatment.
基金supported by Chunhui Collaborative Research Project funded by the Ministry of Education of China[Grant No.202200490]Humanities and Social Sciences Research Project funded by the Ministry of Education of China[Grant No.23YJAZH139].
文摘With the development of machine translation technology,automatic pre-editing has attracted increasing research attention for its important role in improving translation quality and efficiency.This study utilizes UAM Corpus Tool 3.0 to annotate and categorize 99 key publications between 1992 and 2024,tracing the research paths and technological evolution of automatic pre-translation editing.The study finds that current approaches can be classified into four categories:controlled language-based approaches,text simplification approaches,interlingua-based approaches,and large language model-driven approaches.By critically examining their technical features and applicability in various contexts,this review aims to provide valuable insights to guide the future optimization and expansion of pre-translation editing systems.
文摘BACKGROUND Acute pancreatitis(AP)is an emergency gastrointestinal disease that requires immediate diagnosis and urgent clinical treatment.An accurate assessment and precise staging of severity are essential in initial intensive therapy.AIM To explore the prognostic value of inflammatory markers and several scoring systems[Acute Physiology and Chronic Health Evaluation II,the bedside index of severity in AP(BISAP),Ranson’s score,the computed tomography severity index(CTSI)and sequential organ failure assessment]in severity stratification of earlyphase AP.METHODS A total of 463 patients with AP admitted to our hospital between 1 January 2021 and 30 June 2024 were retrospectively enrolled in this study.Inflammation marker and scoring system levels were calculated and compared between different severity groups.Relationships between severity and several predictors were evaluated using univariate and multivariate logistic regression models.Predictive ability was estimated using receiver operating characteristic curves.RESULTS Of the 463 patients,50(10.80%)were classified as having severe AP(SAP).The results revealed that the white cell count significantly increased,whereas the prognostic nutritional index measured within 48 hours(PNI48)and calcium(Ca^(2+))were decreased as the severity of AP increased(P<0.001).According to multivariate logistic regression,C-reactive protein measured within 48 hours(CRP_(48)),Ca^(2+)levels,and PNI48 were independent risk factors for predicting SAP.The area under the curve(AUC)values for the CRP_(48),Ca^(2+),PNI48,Acute Physiology and Chronic Health Evaluation II,sequential organ failure assessment,BISAP,CTSI,and Ranson scores for the prediction of SAP were 0.802,0.736,0.871,0.799,0.783,0.895,0.931 and 0.914,respectively.The AUC for the combined CRP_(48)+Ca^(2+)+PNI48 model was 0.892.The combination of PNI48 and Ranson achieved an AUC of 0.936.CONCLUSION Independent risk factors for developing SAP include CRP_(48),Ca^(2+),and PNI48.CTSI,BISAP,and the combination of PNI48 and the Ranson score can act as reliable predictors of SAP.
基金supported in part by the Jiangsu Province Construction System Science and Technology Project(No.2024ZD056)the Research Development Fund of Xi’an Jiaotong-Liverpool University(No.RDF-24-01-097).
文摘Computer-vision and deep-learning techniques are widely applied to detect,monitor,and assess pavement conditions including road crack detection.Traditional methods fail to achieve satisfactory accuracy and generalization performance in for crack detection.Complex network model can generate redundant feature maps and computational complexity.Therefore,this paper proposes a novel model compression framework based on deep learning to detect road cracks,which can improve the detection efficiency and accuracy.A distillation loss function is proposed to compress the teacher model,followed by channel pruning.Meanwhile,a multi-dilation model is proposed to improve the accuracy of the model pruned.The proposed method is tested on the public database CrackForest dataset(CFD).The experimental results show that the proposed method is more efficient and accurate than other state-of-art methods.
文摘In this article,we discuss the recently published article by Yang et al.This retrospective analysis,which was conducted at a large urban tertiary care center,focused on comparing Lille model scores at days 3 and 7 with established scoring systems and identifying critical clinical predictors,such as renal dysfunction,nutritional status,and underlying cirrhosis.Alcoholic hepatitis(AH),a severe manifestation of alcohol-related liver disease,is associated with high morbidity and mortality,necessitating accurate prognostic tools and comprehensive clinical assessments.Prognostic tools are invaluable for early risk stratification,but they must be contextualized within the multifactorial nature of AH.Acute renal dysfunction and poor nutritional status,for example,are not just complications but pivotal markers of disease severity and systemic impact.Addressing these factors requires a holistic approach that extends beyond scoring systems to include targeted interventions and comprehensive patient care.This editorial emphasizes the need for a paradigm shift in AH management,where prognostic models are complemented by a deeper understanding of patient-specific factors.Such an approach can guide clinicians in tailoring therapies and improving outcomes for this high-risk population.
