BACKGROUND Eyelid reconstruction is an intricate process,addressing both aesthetic and functional aspects post-trauma or oncological surgery.Aesthetic concerns and oncological radicality guide personalized approaches....BACKGROUND Eyelid reconstruction is an intricate process,addressing both aesthetic and functional aspects post-trauma or oncological surgery.Aesthetic concerns and oncological radicality guide personalized approaches.The complex anatomy,involving anterior and posterior lamellae,requires tailored reconstruction for optimal functionality.AIM To formulate an eyelid reconstruction algorithm through an extensive literature review and to validate it by juxtaposing surgical outcomes from Cattinara Hos-in dry eye and tears,which may lead to long-term consequences such as chronic conjunctivitis,discomfort,or photo-phobia.To prevent this issue,scars should be oriented vertically or perpendicularly to the free eyelid margin when the size of the tumor allows.In employing a malar flap to repair a lower eyelid defect,the malar incision must ascend diagonally;this facilitates enhanced flap advancement and mitigates ectropion by restricting vertical traction.Conse-quently,it is imperative to maintain that the generated tension remains consistently horizontal and never vertical[9].Lagophthalmos is a disorder characterized by the inability to completely close the eyelids,leading to corneal exposure and an increased risk of keratitis or ulceration;it may arise following upper eyelid surgery.To avert this issue,it is essential to preserve a minimum of 1 cm of skin between the superior edge of the excision and the inferior boundary of the eyebrow.Epiphora may occur in cancers involving the lacrimal puncta,requiring their removal.As previously stated,when employing a glabellar flap to rectify medial canthal abnormalities,it is essential to prevent a trapdoor effect or thickening of the flap relative to the eyelid skin to which it is affixed.Constraints about our proposed algorithm enco-mpass limited sample sizes and possible publication biases in existing studies.Subsequent investigations ought to examine long-term results to further refine the algorithm.Future research should evaluate the algorithm across varied populations and examine the impact of novel graft materials on enhancing reconstructive outcomes.CONCLUSION Eyelid reconstruction remains one of the most intriguing challenges for a plastic surgeon today.The most fascinating aspect of this discipline is the need to restore the functionality of such an essential structure while maintaining its aesthetics.In our opinion,creating decision-making algorithms can facilitate reaching this goal by allowing for the individualization of the reconstructive path while minimizing the incidence of complications.The fact that we have decreased the incidence of severe complications is a sign that the work is moving in the right direction.The fact that there has been no need for reintervention,neither for reconstructive issues nor for inadequate oncological radicality,overall signifies greater patient satisfaction as they do not have to undergo the stress of new surgeries.Even the minor complic-ations recorded are in line with those reported in the literature,and,even more importantly for patients,they are of limited duration.In our experience,after a year of application,we can say that the objective has been achieved,but much more can still be done.Behind every work,a scientific basis must be continually renewed and refreshed to maintain high-quality standards.Therefore,searching for possible alternative solutions to be included in one’s surgical armamentarium is fundamental to providing the patient with a fully personalized option.展开更多
Measurement-while-drilling(MWD)and guidance technologies have been extensively deployed in the exploitation of oil,natural gas,and other energy resources.Conventional control approaches are plagued by challenges,inclu...Measurement-while-drilling(MWD)and guidance technologies have been extensively deployed in the exploitation of oil,natural gas,and other energy resources.Conventional control approaches are plagued by challenges,including limited anti-interference capabilities and the insufficient generalization of decision-making experience.To address the intricate problem of directional well trajectory control,an intelligent algorithm design framework grounded in the high-level interaction mechanism between geology and engineering is put forward.This framework aims to facilitate the rapid batch migration and update of drilling strategies.The proposed directional well trajectory control method comprehensively considers the multi-source heterogeneous attributes of drilling experience data,leverages the generative simulation of the geological drilling environment,and promptly constructs a directional well trajectory control model with self-adaptive capabilities to environmental variations.This construction is carried out based on three hierarchical levels:“offline pre-drilling learning,online during-drilling interaction,and post-drilling model transfer”.Simulation results indicate that the guidance model derived from this method demonstrates remarkable generalization performance and accuracy.It can significantly boost the adaptability of the control algorithm to diverse environments and enhance the penetration rate of the target reservoir during drilling operations.展开更多
目前国内石油工程企业已通过自动化钻机、井场集控中心、钻井分析决策平台等技术初步构建形成了基于咨询模式的智能钻井决策系统,启动了从咨询模式向自主决策控制的升级。由于现有钻井机理模型与传统机器学习技术难以满足升级需求,文章...目前国内石油工程企业已通过自动化钻机、井场集控中心、钻井分析决策平台等技术初步构建形成了基于咨询模式的智能钻井决策系统,启动了从咨询模式向自主决策控制的升级。由于现有钻井机理模型与传统机器学习技术难以满足升级需求,文章基于AI FOR SCIENCE研究范式,以深度强化学习技术框架,面向钻井效率、风险与成本等优化场景,提出智能钻井大模型概念及构建方法。以智能钻井大模型为核心,设计了融合专家经验、机理模型、数据分析的多智能体协同决策的应用范式。通过技术架构设计与关键技术实验验证,该模型依托强化学习智能体的自适应学习、持续学习等能力,可适配复杂钻井环境并实现自主决策和全局优化,为智能钻井自主化升级提供了可行路径。展开更多
文摘BACKGROUND Eyelid reconstruction is an intricate process,addressing both aesthetic and functional aspects post-trauma or oncological surgery.Aesthetic concerns and oncological radicality guide personalized approaches.The complex anatomy,involving anterior and posterior lamellae,requires tailored reconstruction for optimal functionality.AIM To formulate an eyelid reconstruction algorithm through an extensive literature review and to validate it by juxtaposing surgical outcomes from Cattinara Hos-in dry eye and tears,which may lead to long-term consequences such as chronic conjunctivitis,discomfort,or photo-phobia.To prevent this issue,scars should be oriented vertically or perpendicularly to the free eyelid margin when the size of the tumor allows.In employing a malar flap to repair a lower eyelid defect,the malar incision must ascend diagonally;this facilitates enhanced flap advancement and mitigates ectropion by restricting vertical traction.Conse-quently,it is imperative to maintain that the generated tension remains consistently horizontal and never vertical[9].Lagophthalmos is a disorder characterized by the inability to completely close the eyelids,leading to corneal exposure and an increased risk of keratitis or ulceration;it may arise following upper eyelid surgery.To avert this issue,it is essential to preserve a minimum of 1 cm of skin between the superior edge of the excision and the inferior boundary of the eyebrow.Epiphora may occur in cancers involving the lacrimal puncta,requiring their removal.As previously stated,when employing a glabellar flap to rectify medial canthal abnormalities,it is essential to prevent a trapdoor effect or thickening of the flap relative to the eyelid skin to which it is affixed.Constraints about our proposed algorithm enco-mpass limited sample sizes and possible publication biases in existing studies.Subsequent investigations ought to examine long-term results to further refine the algorithm.Future research should evaluate the algorithm across varied populations and examine the impact of novel graft materials on enhancing reconstructive outcomes.CONCLUSION Eyelid reconstruction remains one of the most intriguing challenges for a plastic surgeon today.The most fascinating aspect of this discipline is the need to restore the functionality of such an essential structure while maintaining its aesthetics.In our opinion,creating decision-making algorithms can facilitate reaching this goal by allowing for the individualization of the reconstructive path while minimizing the incidence of complications.The fact that we have decreased the incidence of severe complications is a sign that the work is moving in the right direction.The fact that there has been no need for reintervention,neither for reconstructive issues nor for inadequate oncological radicality,overall signifies greater patient satisfaction as they do not have to undergo the stress of new surgeries.Even the minor complic-ations recorded are in line with those reported in the literature,and,even more importantly for patients,they are of limited duration.In our experience,after a year of application,we can say that the objective has been achieved,but much more can still be done.Behind every work,a scientific basis must be continually renewed and refreshed to maintain high-quality standards.Therefore,searching for possible alternative solutions to be included in one’s surgical armamentarium is fundamental to providing the patient with a fully personalized option.
基金supported by the National Key R&D Program of China(No.2019YFA0708304)the CNPC Innovation Fund(No.2022DQ02-0609)the Scientific research and technology development Project of CNPC(No.2022DJ4507).
文摘Measurement-while-drilling(MWD)and guidance technologies have been extensively deployed in the exploitation of oil,natural gas,and other energy resources.Conventional control approaches are plagued by challenges,including limited anti-interference capabilities and the insufficient generalization of decision-making experience.To address the intricate problem of directional well trajectory control,an intelligent algorithm design framework grounded in the high-level interaction mechanism between geology and engineering is put forward.This framework aims to facilitate the rapid batch migration and update of drilling strategies.The proposed directional well trajectory control method comprehensively considers the multi-source heterogeneous attributes of drilling experience data,leverages the generative simulation of the geological drilling environment,and promptly constructs a directional well trajectory control model with self-adaptive capabilities to environmental variations.This construction is carried out based on three hierarchical levels:“offline pre-drilling learning,online during-drilling interaction,and post-drilling model transfer”.Simulation results indicate that the guidance model derived from this method demonstrates remarkable generalization performance and accuracy.It can significantly boost the adaptability of the control algorithm to diverse environments and enhance the penetration rate of the target reservoir during drilling operations.
文摘目前国内石油工程企业已通过自动化钻机、井场集控中心、钻井分析决策平台等技术初步构建形成了基于咨询模式的智能钻井决策系统,启动了从咨询模式向自主决策控制的升级。由于现有钻井机理模型与传统机器学习技术难以满足升级需求,文章基于AI FOR SCIENCE研究范式,以深度强化学习技术框架,面向钻井效率、风险与成本等优化场景,提出智能钻井大模型概念及构建方法。以智能钻井大模型为核心,设计了融合专家经验、机理模型、数据分析的多智能体协同决策的应用范式。通过技术架构设计与关键技术实验验证,该模型依托强化学习智能体的自适应学习、持续学习等能力,可适配复杂钻井环境并实现自主决策和全局优化,为智能钻井自主化升级提供了可行路径。
