Amyotrophic lateral sclerosis is a rare neurodegenerative disease characterized by the involvement of both upper and lower motor neurons.Early bilateral limb involvement significantly affects patients'daily lives ...Amyotrophic lateral sclerosis is a rare neurodegenerative disease characterized by the involvement of both upper and lower motor neurons.Early bilateral limb involvement significantly affects patients'daily lives and may lead them to be confined to bed.However,the effect of upper and lower motor neuron impairment and other risk factors on bilateral limb involvement is unclear.To address this issue,we retrospectively collected data from 586 amyotrophic lateral sclerosis patients with limb onset diagnosed at Peking University Third Hospital between January 2020 and May 2022.A univariate analysis revealed no significant differences in the time intervals of spread in different directions between individuals with upper motor neuron-dominant amyotrophic lateral sclerosis and those with classic amyotrophic lateral sclerosis.We used causal directed acyclic graphs for risk factor determination and Cox proportional hazards models to investigate the association between the duration of bilateral limb involvement and clinical baseline characteristics in amyotrophic lateral sclerosis patients.Multiple factor analyses revealed that higher upper motor neuron scores(hazard ratio[HR]=1.05,95%confidence interval[CI]=1.01–1.09,P=0.018),onset in the left limb(HR=0.72,95%CI=0.58–0.89,P=0.002),and a horizontal pattern of progression(HR=0.46,95%CI=0.37–0.58,P<0.001)were risk factors for a shorter interval until bilateral limb involvement.The results demonstrated that a greater degree of upper motor neuron involvement might cause contralateral limb involvement to progress more quickly in limb-onset amyotrophic lateral sclerosis patients.These findings may improve the management of amyotrophic lateral sclerosis patients with limb onset and the prediction of patient prognosis.展开更多
BACKGROUND Meniscal tears are one of the most common knee injuries.After the diagnosis of a meniscal tear has been made,there are several factors physicians use to guide clinical decision-making.The influence of time ...BACKGROUND Meniscal tears are one of the most common knee injuries.After the diagnosis of a meniscal tear has been made,there are several factors physicians use to guide clinical decision-making.The influence of time between injury and isolated meniscus repair on patient outcomes is not well described.Assessing this relationship is important as it may influence clinical decision-making and can add to the preoperative patient education process.We hypothesized that increasing the time from injury to meniscus surgery would worsen postoperative outcomes.AIM To investigate the current literature for data on the relationship between time between meniscus injury and repair on patient outcomes.METHODS PubMed,Academic Search Complete,MEDLINE,CINAHL,and SPORTDiscus were searched for studies published between January 1,1995 and July 13,2023 on isolated meniscus repair.Exclusion criteria included concomitant ligament surgery,incomplete outcomes or time to surgery data,and meniscectomies.Patient demographics,time to injury,and postoperative outcomes from each study were abstracted and analyzed.RESULTS Five studies met all inclusion and exclusion criteria.There were 204(121 male,83 female)patients included.Three of five(60%)studies determined that time between injury and surgery was not statistically significant for postoperative Lysholm scores(P=0.62),Tegner scores(P=0.46),failure rate(P=0.45,P=0.86),and International Knee Documentation Committee scores(P=0.65).Two of five(40%)studies found a statistically significant increase in Lysholm scores with shorter time to surgery(P=0.03)and a statistically significant association between progression of medial meniscus extrusion ratio(P=0.01)and increasing time to surgery.CONCLUSION Our results do not support the hypothesis that increased time from injury to isolated meniscus surgery worsens postoperative outcomes.Decision-making primarily based on injury interval is thus not recommended.展开更多
[Objectives]To assess the effects of high-intensity interval training(HIIT)in reducing or preventing depression.[Methods]A systematic electronic searching of the PubMed,EMBASE,Cochrane Central Register of Controlled T...[Objectives]To assess the effects of high-intensity interval training(HIIT)in reducing or preventing depression.[Methods]A systematic electronic searching of the PubMed,EMBASE,Cochrane Central Register of Controlled Trials(CENTRAL),Web of Science,SPORTSDiscus,PsyCINFO,SCOPUS and CINAHL(EBSCOhost)was initially performed up to June 25,2024.Randomized controlled trials(RCTs)were included if they contained data on depression taken before and after HIIT treatment.Data were extracted by 2 independent coders.Estimates were examined by using random-effects meta-analysis.[Results]14 independent samples(493 participants)were included.There was a statistically significant reduction in depression symptom following HIIT compared with both continuous training(CT)and control conditions(CON)(HIIT vs.CT:standardized mean difference[SMD]=-0.35,95%confidence interval[CI]-0.66 to-0.04,p=0.025;CON:SMD=-0.49,95%CI-0.92 to-0.07,p=0.022).There were no statistically significant differences between groups in anxiety symptom(HIIT vs.CT:SMD=-0.45,95%CI-1.11 to 0.21,p=0.182;CON:SMD=-0.14,95%CI-0.47 to 0.18,p=0.386).[Conclusions]HIIT is associated with decreased concurrent depressive symptoms;the association with anxiety symptoms is weak.展开更多
[Objectives]To synthesize evidence on HIIT versus moderate-intensity continuous training(MICT)or routine rehabilitation in stroke survivors.[Methods]We systematically searched 8 databases(PubMed,EMBASE,CENTRAL,Web of ...[Objectives]To synthesize evidence on HIIT versus moderate-intensity continuous training(MICT)or routine rehabilitation in stroke survivors.[Methods]We systematically searched 8 databases(PubMed,EMBASE,CENTRAL,Web of Science,SPORTSDiscus,PsycINFO,SCOPUS,CINAHL)up to May 2025.Seventeen randomized controlled trials(RCTs;total n=1142)met inclusion criteria:adults with stroke,device-based HIIT(≥70%HRR/VO 2peak),and outcomes assessing VO 2peak,6-min walk distance(6MWD),or Berg Balance Scale(BBS).Methodological quality was evaluated using the PEDro scale.Pooled effect sizes(Hedges'g)were calculated via random-effects models,with heterogeneity quantified by I^(2).[Results]HIIT significantly improved peak oxygen uptake(VO 2peak)versus controls(g=0.59,95%CI:0.44-0.75,p<0.001;I^(2)=16.29%).Low heterogeneity and symmetrical funnel plots supported robustness.HIIT also enhanced walking endurance(6MWD:g=0.32,95%CI:0.16-0.48,p<0.01;I^(2)=30%).In contrast,no significant benefit was observed for balance function(BBS:g=0.07,95%CI:-0.13-0.26,p=0.50;I^(2)=0%).[Conclusions]HIIT is a safe and highly effective intervention for enhancing aerobic capacity and walking function post-stroke.Its benefits are maximized at higher intensities and longer durations but do not extend to balance improvement.Integrating HIIT into stroke rehabilitation protocols is strongly recommended to promote functional independence.展开更多
To tackle the difficulties of the point prediction in quantifying the reliability of landslide displacement prediction,a data-driven combination-interval prediction method(CIPM)based on copula and variational-mode-dec...To tackle the difficulties of the point prediction in quantifying the reliability of landslide displacement prediction,a data-driven combination-interval prediction method(CIPM)based on copula and variational-mode-decomposition associated with kernel-based-extreme-learningmachine optimized by the whale optimization algorithm(VMD-WOA-KELM)is proposed in this paper.Firstly,the displacement is decomposed by VMD to three IMF components and a residual component of different fluctuation characteristics.The key impact factors of each IMF component are selected according to Copula model,and the corresponding WOA-KELM is established to conduct point prediction.Subsequently,the parametric method(PM)and non-parametric method(NPM)are used to estimate the prediction error probability density distribution(PDF)of each component,whose prediction interval(PI)under the 95%confidence level is also obtained.By means of the differential evolution algorithm(DE),a weighted combination model based on the PIs is built to construct the combination-interval(CI).Finally,the CIs of each component are added to generate the total PI.A comparative case study shows that the CIPM performs better in constructing landslide displacement PI with high performance.展开更多
Objectives:This study aimed to explore the perceptions and recommendations of multiparas and health-related professionals regarding appropriate birth intervals(Bis)and key determinants.Methods:In-depth semi-structured...Objectives:This study aimed to explore the perceptions and recommendations of multiparas and health-related professionals regarding appropriate birth intervals(Bis)and key determinants.Methods:In-depth semi-structured interviews were conducted between April 1 and June 30,2022.Nine multiparas and thirteen health-related professionals were purposefully sampled until data saturation was reached.A thematic analysis approach was applied to the interview transcripts,utilizing dual independent coding and consensus validation in NVivo 12.0.Results:The data generated two overarching categories:1)balanced decision-making on the appropriate birth intervals and 2)internal and external determinants integrated with health and societal considerations.Four key themes emerged following the two categories:1)consistency and discrepancy between the actual and recommended birth intervals of multiparas;2)health-and developmentoriented professional recommendations;3)internal determinants related to individual-level factors;and 4)external determinants related to child-related factors,family support,and social security.Weighing women's reproductive health and career development,multiparas and health-related professionals perceived a length between 18 and 36 months as the appropriate Bl.Conclusion:Multiparas and health-related professionals shaped their balanced recommendations on a relatively appropriate birth interval ranging from 18 to 36 months,which was influenced by women's individual-level factors,child-related factors,family support,and social security.Targeted social and healthcare services should be offered to women and their families during the Bls.展开更多
This paper presents the dynamical properties of a discrete-time prey-predator model with refuge in prey under imprecise biological parameters.We consider the refuge concept of prey,which is proportional to the density...This paper presents the dynamical properties of a discrete-time prey-predator model with refuge in prey under imprecise biological parameters.We consider the refuge concept of prey,which is proportional to the density of prey species with interval parameters.The model develops with natural interval parameters since the uncertainties of parameters of any ecological system are a widespread phenomenon in nature.The equilibria of the model are obtained,and the dynamic behaviours of the proposed system are examined.Simulations of the model are performed for different parameters of the model.Numerical simulations show that the proposed discrete model exhibits rich dynamics of a chaotic and complex nature.Our study,through analytical derivation and numerical example,presents the effect of refuge on population dynamics under imprecise biological parameters.展开更多
Seepage refers to the flow of water through porous materials.This phenomenon has a crucial role in dam,slope,excavation,tunnel,and well design.Performing seepage analysis usually is a challenging task,as one must cope...Seepage refers to the flow of water through porous materials.This phenomenon has a crucial role in dam,slope,excavation,tunnel,and well design.Performing seepage analysis usually is a challenging task,as one must cope with the uncertainty associated with the parameters such as the hydraulic conductivity in the horizontal and vertical directions that drive this phenomenon.However,at the same time,the data on horizontal and vertical hydraulic conductivities are typically scarce in spatial resolution.In this context,so-called non-traditional approaches for uncertainty quantification(such as intervals and fuzzy variables)offer an interesting alternative to classical probabilistic methods,since they have been shown to be quite effective when limited information on the governing parameters of a phenomenon is available.Therefore,the main contribution of this study is the development of a framework for conducting seepage analysis in saturated soils,where uncertainty associated with hydraulic conductivity is characterized using fuzzy fields.This method to characterize uncertainty extends interval fields towards the domain of fuzzy numbers.In fact,it is illustrated that fuzzy fields are an effective tool for capturing uncertainties with a spatial component,since they allow one to account for available physical measurements.A case study in confined saturated soil shows that with the proposed framework,it is possible to quantify the uncertainty associated with seepage flow,exit gradient,and uplift force effectively.展开更多
The Palu segment,situated in the northeastern part of the East Anatolian Fault System(EAFS),is a crucial structural feature with notable seismic potential.This study examines the paleoseismic activity of the Palu segm...The Palu segment,situated in the northeastern part of the East Anatolian Fault System(EAFS),is a crucial structural feature with notable seismic potential.This study examines the paleoseismic activity of the Palu segment through trench excavations and geochronological analyses utilizing Optically Stimulated Luminescence(OSL)and radiocarbon(14C)dating methods.Two trenches,located near Karşıbahçeler,exposed evidence of multiple surface-rupturing seismic events spanning the Holocene and Pleistocene epochs.Chronological analyses identified five distinct seismic events in trench 1(P1),dated between 94.09±6.07 ka and 0.84±0.45 ka,and three events in trench 2(P2),dated between 28.83±1.61 ka and 351±21 BP.Bayesian analysis using Oxcal distribution suggested event timings between 90.52±25.99 ka and 1.25±0.55 ka.Comparative analysis with historical earthquake records correlates the most recent event with the 1789 or 1874 AD earthquakes,while the penultimate event matches the 995 AD earthquake.Earlier events reflect prehistoric tectonic activity.The recurrence intervals for these events range from 710 to 5,370 years during the Holocene,with evidence of seismic activity extending into the Pleistocene.Stress inversion analyses and geodetic data indicate a predominantly strike-slip stress regime,consistent with geometry of the fault.These findings provide critical insights into the long-term seismic behavior and recurrence patterns of the Palu segment,enhancing seismic hazard assessments for the region.展开更多
BACKGROUND The reference ranges for biochemical parameters can fluctuate due to factors like altitude,age,gender,and socioeconomic conditions.These values are crucial for interpreting laboratory data and guide clinica...BACKGROUND The reference ranges for biochemical parameters can fluctuate due to factors like altitude,age,gender,and socioeconomic conditions.These values are crucial for interpreting laboratory data and guide clinical treatment decisions.Currently,there is no established set of reference intervals for cord blood biochemical parameters of newborns in India,particularly in Mumbai.AIM To create cord blood biochemical parameters reference intervals specifically for Mumbai,India.METHODS A cross-sectional study was conducted in an Indian tertiary care hospital.This study focused on healthy newborns with normal birth weight,born to pregnant mothers without health issues.Cord blood samples,approximately 2-3 mL in volume,were collected from 210 term neonates.These samples were divided into fluoride(glucose)and clot activator(serum)tubes and were subsequently analyzed in the institute's biochemical laboratory.The data obtained from the analysis was then subjected to statistical analysis.The result of the Shapiro-Wilk test suggested non-normality in the data distribution.Consequently,nonparametric statistics were utilized for analysis.The Mann-Whitney U test was utilized to compare parameter distributions among different factors,including the infant’s sex,delivery method,maternal age,and obstetric history.A significance level of P<0.05 was considered to indicate statistical significance.RESULTS The following represent the median figures and central 95 percentile reference intervals for biochemical parameters in umbilical cord blood of newborns:Serum direct bilirubin=(0.1-0.55)mg/dL,indirect bilirubin=(0.64-2.26)mg/dL,total bilirubin=(0.62-3.14)mg/dL,creatinine=(0.27-0.76)mg/dL,sodium=(128.19-143.26)mmol/L,chloride=(100.19-111.68)mmol/L,potassium=(1.62-9.98)mmol/L and plasma glucose=(24.75-94.23)mg/dL.Statistically significant differences were observed in serum sodium,potassium,and plasma glucose levels when comparing delivery modes.CONCLUSION This is the pioneering study in which first time,the biochemical reference intervals in cord blood for newborns are established in western India.The values are applicable for newborns from this area.Larger study throughout the country is required.展开更多
This paper addresses the computational problem of fixed-interval smoothing state estimation in linear time-varying Gaussian stochastic systems.A new fixed-interval Kalman smoothing algorithm is proposed,and the corres...This paper addresses the computational problem of fixed-interval smoothing state estimation in linear time-varying Gaussian stochastic systems.A new fixed-interval Kalman smoothing algorithm is proposed,and the corresponding form of the smoother is derived.The method is able to accommodate situations where process and measurement noises are correlated,a limitation often encountered in conventional approaches.The Kalman smoothing problem discussed in this paper can be reformulated as an equivalent constrained optimization problem,where the solution corresponds to a set of linear equations defined by a specific co-efficient matrix.Through multiple permutations,the co-efficient matrix of linear equations is transformed into a block tridiagonal form,and then both sides of the linear system are multiplied by the inverse of the co-efficient matrix.This approach is based on the transformation of linear systems described in the SPIKE algorithm and is particularly well-suited for large-scale sparse block tridiagonal matrix structures.It enables efficient,parallel,and flexible solutions while maintaining a certain degree of block diagonal dominance.Compared to directly solving block tridiagonal co-efficient matrices,this method demonstrates appreciable advantages in terms of numerical stability and computational efficiency.Consequently,the new smoothing algorithm yields a new smoother that features fewer constraints and broader applicability than traditional methods.The estimates,such as smoothed state,covariance,and cross-covariance,are essential for fields,such as system identification,navigation,guidance,and control.Finally,the effectiveness of the proposed smoothing algorithm and smoother is validated through numerical simulations.展开更多
In the present paper,we obtain the converse results of approximation of a newly introduced genuine Bernstein-Durrmeyer operators in movable interval.We also get the moments properties of an auxiliary operator which ha...In the present paper,we obtain the converse results of approximation of a newly introduced genuine Bernstein-Durrmeyer operators in movable interval.We also get the moments properties of an auxiliary operator which has its own independent values.The moments of the auxiliary operators play important roles in establishing the main result(Theorem 4).展开更多
High-intensity interval training(HIIT),a highly efficient and distinctive exercise format,has sparked growing academic interest in sports performance training.This article synthesizes theoretical and applied evidence ...High-intensity interval training(HIIT),a highly efficient and distinctive exercise format,has sparked growing academic interest in sports performance training.This article synthesizes theoretical and applied evidence to analyze mechanisms of HIIT in neuromuscular activation,hormonal responses,muscle fiber adaptation,and metabolic pathway effects.It focuses on its effectiveness in enhancing explosive power,maximum strength,and strength endurance,while also examining the integration of HIIT with traditional resistance training,periodized programming,and personalized prescription.Scientific implementation of HIIT can effectively diversify or even replace conventional strength training,not only offering positive directional changes for strength development but also introducing innovative approaches to sports performance training practices.展开更多
Most reliability studies assume large samples or independence among components,but these assump-tions often fail in practice,leading to imprecise inference.We address this issue by constructing confidence intervals(CI...Most reliability studies assume large samples or independence among components,but these assump-tions often fail in practice,leading to imprecise inference.We address this issue by constructing confidence intervals(CIs)for the reliability of two-component systems with Weibull distributed failure times under a copula-frailty framework.Our construction integrates gamma-distributed frailties to capture unobserved heterogeneity and a copula-based dependence structure for correlated failures.The main contribution of this work is to derive adjusted CIs that explicitly incorporate the copula parameter in the variance-covariance matrix,achieving near-nominal coverage probabilities even in small samples or highly dependent settings.Through simulation studies,we show that,although traditional methods may suffice with moderate dependence and large samples,the proposed CIs offer notable benefits when dependence is strong or data are sparse.We further illustrate our construction with a synthetic example illustrating how penalized estimation can mitigate the issue of a degenerate Hessian matrix under high dependence and limited observations,so enabling uncertainty quantification despite deviations from nominal assumptions.Overall,our results fill a gap in reliability modeling for systems prone to correlated failures,and contribute to more robust inference in engineering,industrial,and biomedical applications.展开更多
The distribution of Seidel eigenvalues of cographs is investigated in this paper.We prove that there is no Seidel eigenvalue of nontrivial cographs in the interval(−1,1).We also show the optimality of the interval(−1,...The distribution of Seidel eigenvalues of cographs is investigated in this paper.We prove that there is no Seidel eigenvalue of nontrivial cographs in the interval(−1,1).We also show the optimality of the interval(−1,1)in the sense that for any ε>0 either of the intervals(1,1+ε)and(−1−ε,−1)contains a Seidel eigenvalue of some cograph of order n when n is sufficiently large.展开更多
Acellular mucin refers to pools of mucin without epithelial component,oftentimes harboring inflammatory cells.Acellular mucin can be observed in both neoplastic and non-neoplastic lower gastrointestinal(GI)conditions....Acellular mucin refers to pools of mucin without epithelial component,oftentimes harboring inflammatory cells.Acellular mucin can be observed in both neoplastic and non-neoplastic lower gastrointestinal(GI)conditions.While mucinous neoplasms are classified and staged using established guidelines,interobserver variability occurs when acellular mucin pools are encountered,leading to inconsistent interpretation and staging.In particular,acellular mucin found in regional lymph nodes of colorectal adenocarcinoma patients who have not received treatment presents a diagnostic challenge,as its prognostic implication is not clearly defined.Acellular mucin is also commonly seen in treated colorectal adenocarcinoma,post neoadjuvant therapy.Although acellular mucin is not counted toward T or N staging in this setting,variation in how pathologists report and stage these cases persists.Acellular mucin can also be seen in non-neoplastic specimens,such as those from interval appendectomies,appendiceal diverticula,colonic diverticulitis,volvulus,and Crohn’s disease where it may mimic a neoplastic lesion.Acellular mucin in this setting is often a byproduct of inflammation,increased luminal pressure,and mural defect.This review highlights the clinical relevance and diagnostic complexity of acellular mucin in pathologic conditions of the lower GI tract.Further studies are needed to clarify its prognostic value and develop standardized guidelines.展开更多
With the increasing integration of large-scale distributed energy resources into the grid,traditional distribution network optimization and dispatch methods struggle to address the challenges posed by both generation ...With the increasing integration of large-scale distributed energy resources into the grid,traditional distribution network optimization and dispatch methods struggle to address the challenges posed by both generation and load.Accounting for these issues,this paper proposes a multi-timescale coordinated optimization dispatch method for distribution networks.First,the probability box theory was employed to determine the uncertainty intervals of generation and load forecasts,based on which,the requirements for flexibility dispatch and capacity constraints of the grid were calculated and analyzed.Subsequently,a multi-timescale optimization framework was constructed,incorporating the generation and load forecast uncertainties.This framework included optimization models for dayahead scheduling,intra-day optimization,and real-time adjustments,aiming to meet flexibility needs across different timescales and improve the economic efficiency of the grid.Furthermore,an improved soft actor-critic algorithm was introduced to enhance the uncertainty exploration capability.Utilizing a centralized training and decentralized execution framework,a multi-agent SAC network model was developed to improve the decision-making efficiency of the agents.Finally,the effectiveness and superiority of the proposed method were validated using a modified IEEE-33 bus test system.展开更多
基金supported by the National Natural Science Foundation of China,Nos.82071426,81873784Clinical Cohort Construction Program of Peking University Third Hospital,No.BYSYDL2019002(all to DF)。
文摘Amyotrophic lateral sclerosis is a rare neurodegenerative disease characterized by the involvement of both upper and lower motor neurons.Early bilateral limb involvement significantly affects patients'daily lives and may lead them to be confined to bed.However,the effect of upper and lower motor neuron impairment and other risk factors on bilateral limb involvement is unclear.To address this issue,we retrospectively collected data from 586 amyotrophic lateral sclerosis patients with limb onset diagnosed at Peking University Third Hospital between January 2020 and May 2022.A univariate analysis revealed no significant differences in the time intervals of spread in different directions between individuals with upper motor neuron-dominant amyotrophic lateral sclerosis and those with classic amyotrophic lateral sclerosis.We used causal directed acyclic graphs for risk factor determination and Cox proportional hazards models to investigate the association between the duration of bilateral limb involvement and clinical baseline characteristics in amyotrophic lateral sclerosis patients.Multiple factor analyses revealed that higher upper motor neuron scores(hazard ratio[HR]=1.05,95%confidence interval[CI]=1.01–1.09,P=0.018),onset in the left limb(HR=0.72,95%CI=0.58–0.89,P=0.002),and a horizontal pattern of progression(HR=0.46,95%CI=0.37–0.58,P<0.001)were risk factors for a shorter interval until bilateral limb involvement.The results demonstrated that a greater degree of upper motor neuron involvement might cause contralateral limb involvement to progress more quickly in limb-onset amyotrophic lateral sclerosis patients.These findings may improve the management of amyotrophic lateral sclerosis patients with limb onset and the prediction of patient prognosis.
文摘BACKGROUND Meniscal tears are one of the most common knee injuries.After the diagnosis of a meniscal tear has been made,there are several factors physicians use to guide clinical decision-making.The influence of time between injury and isolated meniscus repair on patient outcomes is not well described.Assessing this relationship is important as it may influence clinical decision-making and can add to the preoperative patient education process.We hypothesized that increasing the time from injury to meniscus surgery would worsen postoperative outcomes.AIM To investigate the current literature for data on the relationship between time between meniscus injury and repair on patient outcomes.METHODS PubMed,Academic Search Complete,MEDLINE,CINAHL,and SPORTDiscus were searched for studies published between January 1,1995 and July 13,2023 on isolated meniscus repair.Exclusion criteria included concomitant ligament surgery,incomplete outcomes or time to surgery data,and meniscectomies.Patient demographics,time to injury,and postoperative outcomes from each study were abstracted and analyzed.RESULTS Five studies met all inclusion and exclusion criteria.There were 204(121 male,83 female)patients included.Three of five(60%)studies determined that time between injury and surgery was not statistically significant for postoperative Lysholm scores(P=0.62),Tegner scores(P=0.46),failure rate(P=0.45,P=0.86),and International Knee Documentation Committee scores(P=0.65).Two of five(40%)studies found a statistically significant increase in Lysholm scores with shorter time to surgery(P=0.03)and a statistically significant association between progression of medial meniscus extrusion ratio(P=0.01)and increasing time to surgery.CONCLUSION Our results do not support the hypothesis that increased time from injury to isolated meniscus surgery worsens postoperative outcomes.Decision-making primarily based on injury interval is thus not recommended.
文摘[Objectives]To assess the effects of high-intensity interval training(HIIT)in reducing or preventing depression.[Methods]A systematic electronic searching of the PubMed,EMBASE,Cochrane Central Register of Controlled Trials(CENTRAL),Web of Science,SPORTSDiscus,PsyCINFO,SCOPUS and CINAHL(EBSCOhost)was initially performed up to June 25,2024.Randomized controlled trials(RCTs)were included if they contained data on depression taken before and after HIIT treatment.Data were extracted by 2 independent coders.Estimates were examined by using random-effects meta-analysis.[Results]14 independent samples(493 participants)were included.There was a statistically significant reduction in depression symptom following HIIT compared with both continuous training(CT)and control conditions(CON)(HIIT vs.CT:standardized mean difference[SMD]=-0.35,95%confidence interval[CI]-0.66 to-0.04,p=0.025;CON:SMD=-0.49,95%CI-0.92 to-0.07,p=0.022).There were no statistically significant differences between groups in anxiety symptom(HIIT vs.CT:SMD=-0.45,95%CI-1.11 to 0.21,p=0.182;CON:SMD=-0.14,95%CI-0.47 to 0.18,p=0.386).[Conclusions]HIIT is associated with decreased concurrent depressive symptoms;the association with anxiety symptoms is weak.
文摘[Objectives]To synthesize evidence on HIIT versus moderate-intensity continuous training(MICT)or routine rehabilitation in stroke survivors.[Methods]We systematically searched 8 databases(PubMed,EMBASE,CENTRAL,Web of Science,SPORTSDiscus,PsycINFO,SCOPUS,CINAHL)up to May 2025.Seventeen randomized controlled trials(RCTs;total n=1142)met inclusion criteria:adults with stroke,device-based HIIT(≥70%HRR/VO 2peak),and outcomes assessing VO 2peak,6-min walk distance(6MWD),or Berg Balance Scale(BBS).Methodological quality was evaluated using the PEDro scale.Pooled effect sizes(Hedges'g)were calculated via random-effects models,with heterogeneity quantified by I^(2).[Results]HIIT significantly improved peak oxygen uptake(VO 2peak)versus controls(g=0.59,95%CI:0.44-0.75,p<0.001;I^(2)=16.29%).Low heterogeneity and symmetrical funnel plots supported robustness.HIIT also enhanced walking endurance(6MWD:g=0.32,95%CI:0.16-0.48,p<0.01;I^(2)=30%).In contrast,no significant benefit was observed for balance function(BBS:g=0.07,95%CI:-0.13-0.26,p=0.50;I^(2)=0%).[Conclusions]HIIT is a safe and highly effective intervention for enhancing aerobic capacity and walking function post-stroke.Its benefits are maximized at higher intensities and longer durations but do not extend to balance improvement.Integrating HIIT into stroke rehabilitation protocols is strongly recommended to promote functional independence.
基金financially supported by the National Natural Science Foundation of China(Nos.42277149,41502299,41372306)the Research Planning of Sichuan Education Department,China(No.16ZB0105)+3 种基金the State Key Laboratory of Geohazard Prevention and Geoenvironment Protection Independent Research Project(Nos.SKLGP2016Z007,SKLGP2018Z017,SKLGP2020Z009)Chengdu University of Technology Young and Middle Aged Backbone Program(No.KYGG201720)Sichuan Provincial Science and Technology Department Program(No.19YYJC2087)China Scholarship Council。
文摘To tackle the difficulties of the point prediction in quantifying the reliability of landslide displacement prediction,a data-driven combination-interval prediction method(CIPM)based on copula and variational-mode-decomposition associated with kernel-based-extreme-learningmachine optimized by the whale optimization algorithm(VMD-WOA-KELM)is proposed in this paper.Firstly,the displacement is decomposed by VMD to three IMF components and a residual component of different fluctuation characteristics.The key impact factors of each IMF component are selected according to Copula model,and the corresponding WOA-KELM is established to conduct point prediction.Subsequently,the parametric method(PM)and non-parametric method(NPM)are used to estimate the prediction error probability density distribution(PDF)of each component,whose prediction interval(PI)under the 95%confidence level is also obtained.By means of the differential evolution algorithm(DE),a weighted combination model based on the PIs is built to construct the combination-interval(CI).Finally,the CIs of each component are added to generate the total PI.A comparative case study shows that the CIPM performs better in constructing landslide displacement PI with high performance.
基金supported by the Key Discipline Program of the Fifth Round of the Three-Year Public Health Action Plan(2020-2022 Year)of Shanghai,China(GWV-10.1-XK08).
文摘Objectives:This study aimed to explore the perceptions and recommendations of multiparas and health-related professionals regarding appropriate birth intervals(Bis)and key determinants.Methods:In-depth semi-structured interviews were conducted between April 1 and June 30,2022.Nine multiparas and thirteen health-related professionals were purposefully sampled until data saturation was reached.A thematic analysis approach was applied to the interview transcripts,utilizing dual independent coding and consensus validation in NVivo 12.0.Results:The data generated two overarching categories:1)balanced decision-making on the appropriate birth intervals and 2)internal and external determinants integrated with health and societal considerations.Four key themes emerged following the two categories:1)consistency and discrepancy between the actual and recommended birth intervals of multiparas;2)health-and developmentoriented professional recommendations;3)internal determinants related to individual-level factors;and 4)external determinants related to child-related factors,family support,and social security.Weighing women's reproductive health and career development,multiparas and health-related professionals perceived a length between 18 and 36 months as the appropriate Bl.Conclusion:Multiparas and health-related professionals shaped their balanced recommendations on a relatively appropriate birth interval ranging from 18 to 36 months,which was influenced by women's individual-level factors,child-related factors,family support,and social security.Targeted social and healthcare services should be offered to women and their families during the Bls.
文摘This paper presents the dynamical properties of a discrete-time prey-predator model with refuge in prey under imprecise biological parameters.We consider the refuge concept of prey,which is proportional to the density of prey species with interval parameters.The model develops with natural interval parameters since the uncertainties of parameters of any ecological system are a widespread phenomenon in nature.The equilibria of the model are obtained,and the dynamic behaviours of the proposed system are examined.Simulations of the model are performed for different parameters of the model.Numerical simulations show that the proposed discrete model exhibits rich dynamics of a chaotic and complex nature.Our study,through analytical derivation and numerical example,presents the effect of refuge on population dynamics under imprecise biological parameters.
文摘Seepage refers to the flow of water through porous materials.This phenomenon has a crucial role in dam,slope,excavation,tunnel,and well design.Performing seepage analysis usually is a challenging task,as one must cope with the uncertainty associated with the parameters such as the hydraulic conductivity in the horizontal and vertical directions that drive this phenomenon.However,at the same time,the data on horizontal and vertical hydraulic conductivities are typically scarce in spatial resolution.In this context,so-called non-traditional approaches for uncertainty quantification(such as intervals and fuzzy variables)offer an interesting alternative to classical probabilistic methods,since they have been shown to be quite effective when limited information on the governing parameters of a phenomenon is available.Therefore,the main contribution of this study is the development of a framework for conducting seepage analysis in saturated soils,where uncertainty associated with hydraulic conductivity is characterized using fuzzy fields.This method to characterize uncertainty extends interval fields towards the domain of fuzzy numbers.In fact,it is illustrated that fuzzy fields are an effective tool for capturing uncertainties with a spatial component,since they allow one to account for available physical measurements.A case study in confined saturated soil shows that with the proposed framework,it is possible to quantify the uncertainty associated with seepage flow,exit gradient,and uplift force effectively.
基金partially supported by the Fırat University Scientific Research Project in Elazığ,Türkiye,under Project Number ADEP.23.12.
文摘The Palu segment,situated in the northeastern part of the East Anatolian Fault System(EAFS),is a crucial structural feature with notable seismic potential.This study examines the paleoseismic activity of the Palu segment through trench excavations and geochronological analyses utilizing Optically Stimulated Luminescence(OSL)and radiocarbon(14C)dating methods.Two trenches,located near Karşıbahçeler,exposed evidence of multiple surface-rupturing seismic events spanning the Holocene and Pleistocene epochs.Chronological analyses identified five distinct seismic events in trench 1(P1),dated between 94.09±6.07 ka and 0.84±0.45 ka,and three events in trench 2(P2),dated between 28.83±1.61 ka and 351±21 BP.Bayesian analysis using Oxcal distribution suggested event timings between 90.52±25.99 ka and 1.25±0.55 ka.Comparative analysis with historical earthquake records correlates the most recent event with the 1789 or 1874 AD earthquakes,while the penultimate event matches the 995 AD earthquake.Earlier events reflect prehistoric tectonic activity.The recurrence intervals for these events range from 710 to 5,370 years during the Holocene,with evidence of seismic activity extending into the Pleistocene.Stress inversion analyses and geodetic data indicate a predominantly strike-slip stress regime,consistent with geometry of the fault.These findings provide critical insights into the long-term seismic behavior and recurrence patterns of the Palu segment,enhancing seismic hazard assessments for the region.
文摘BACKGROUND The reference ranges for biochemical parameters can fluctuate due to factors like altitude,age,gender,and socioeconomic conditions.These values are crucial for interpreting laboratory data and guide clinical treatment decisions.Currently,there is no established set of reference intervals for cord blood biochemical parameters of newborns in India,particularly in Mumbai.AIM To create cord blood biochemical parameters reference intervals specifically for Mumbai,India.METHODS A cross-sectional study was conducted in an Indian tertiary care hospital.This study focused on healthy newborns with normal birth weight,born to pregnant mothers without health issues.Cord blood samples,approximately 2-3 mL in volume,were collected from 210 term neonates.These samples were divided into fluoride(glucose)and clot activator(serum)tubes and were subsequently analyzed in the institute's biochemical laboratory.The data obtained from the analysis was then subjected to statistical analysis.The result of the Shapiro-Wilk test suggested non-normality in the data distribution.Consequently,nonparametric statistics were utilized for analysis.The Mann-Whitney U test was utilized to compare parameter distributions among different factors,including the infant’s sex,delivery method,maternal age,and obstetric history.A significance level of P<0.05 was considered to indicate statistical significance.RESULTS The following represent the median figures and central 95 percentile reference intervals for biochemical parameters in umbilical cord blood of newborns:Serum direct bilirubin=(0.1-0.55)mg/dL,indirect bilirubin=(0.64-2.26)mg/dL,total bilirubin=(0.62-3.14)mg/dL,creatinine=(0.27-0.76)mg/dL,sodium=(128.19-143.26)mmol/L,chloride=(100.19-111.68)mmol/L,potassium=(1.62-9.98)mmol/L and plasma glucose=(24.75-94.23)mg/dL.Statistically significant differences were observed in serum sodium,potassium,and plasma glucose levels when comparing delivery modes.CONCLUSION This is the pioneering study in which first time,the biochemical reference intervals in cord blood for newborns are established in western India.The values are applicable for newborns from this area.Larger study throughout the country is required.
文摘This paper addresses the computational problem of fixed-interval smoothing state estimation in linear time-varying Gaussian stochastic systems.A new fixed-interval Kalman smoothing algorithm is proposed,and the corresponding form of the smoother is derived.The method is able to accommodate situations where process and measurement noises are correlated,a limitation often encountered in conventional approaches.The Kalman smoothing problem discussed in this paper can be reformulated as an equivalent constrained optimization problem,where the solution corresponds to a set of linear equations defined by a specific co-efficient matrix.Through multiple permutations,the co-efficient matrix of linear equations is transformed into a block tridiagonal form,and then both sides of the linear system are multiplied by the inverse of the co-efficient matrix.This approach is based on the transformation of linear systems described in the SPIKE algorithm and is particularly well-suited for large-scale sparse block tridiagonal matrix structures.It enables efficient,parallel,and flexible solutions while maintaining a certain degree of block diagonal dominance.Compared to directly solving block tridiagonal co-efficient matrices,this method demonstrates appreciable advantages in terms of numerical stability and computational efficiency.Consequently,the new smoothing algorithm yields a new smoother that features fewer constraints and broader applicability than traditional methods.The estimates,such as smoothed state,covariance,and cross-covariance,are essential for fields,such as system identification,navigation,guidance,and control.Finally,the effectiveness of the proposed smoothing algorithm and smoother is validated through numerical simulations.
文摘In the present paper,we obtain the converse results of approximation of a newly introduced genuine Bernstein-Durrmeyer operators in movable interval.We also get the moments properties of an auxiliary operator which has its own independent values.The moments of the auxiliary operators play important roles in establishing the main result(Theorem 4).
文摘High-intensity interval training(HIIT),a highly efficient and distinctive exercise format,has sparked growing academic interest in sports performance training.This article synthesizes theoretical and applied evidence to analyze mechanisms of HIIT in neuromuscular activation,hormonal responses,muscle fiber adaptation,and metabolic pathway effects.It focuses on its effectiveness in enhancing explosive power,maximum strength,and strength endurance,while also examining the integration of HIIT with traditional resistance training,periodized programming,and personalized prescription.Scientific implementation of HIIT can effectively diversify or even replace conventional strength training,not only offering positive directional changes for strength development but also introducing innovative approaches to sports performance training practices.
基金supported by the Colombian government through COLCIENCIA scholarships,National Doctoral Program,Call 727 of 2015C.Castro gratefully acknowledges partial financial support from the Centro de Matematica da Universidade do Minho(CMAT/UM),through UID/00013V.Leiva acknowledges funding from the Agencia Nacional de Investigacion y Desarrollo(ANID)of the Chilean Ministry of Science,Technology,Knowledge and Innovation,through FONDECYT project grant 1200525.
文摘Most reliability studies assume large samples or independence among components,but these assump-tions often fail in practice,leading to imprecise inference.We address this issue by constructing confidence intervals(CIs)for the reliability of two-component systems with Weibull distributed failure times under a copula-frailty framework.Our construction integrates gamma-distributed frailties to capture unobserved heterogeneity and a copula-based dependence structure for correlated failures.The main contribution of this work is to derive adjusted CIs that explicitly incorporate the copula parameter in the variance-covariance matrix,achieving near-nominal coverage probabilities even in small samples or highly dependent settings.Through simulation studies,we show that,although traditional methods may suffice with moderate dependence and large samples,the proposed CIs offer notable benefits when dependence is strong or data are sparse.We further illustrate our construction with a synthetic example illustrating how penalized estimation can mitigate the issue of a degenerate Hessian matrix under high dependence and limited observations,so enabling uncertainty quantification despite deviations from nominal assumptions.Overall,our results fill a gap in reliability modeling for systems prone to correlated failures,and contribute to more robust inference in engineering,industrial,and biomedical applications.
基金Supported by the National Natural Science Foundation of China(Grant No.12001006)the Natural Science Foundation of Universities of Anhui Province(Grant No.2023AH050904).
文摘The distribution of Seidel eigenvalues of cographs is investigated in this paper.We prove that there is no Seidel eigenvalue of nontrivial cographs in the interval(−1,1).We also show the optimality of the interval(−1,1)in the sense that for any ε>0 either of the intervals(1,1+ε)and(−1−ε,−1)contains a Seidel eigenvalue of some cograph of order n when n is sufficiently large.
文摘Acellular mucin refers to pools of mucin without epithelial component,oftentimes harboring inflammatory cells.Acellular mucin can be observed in both neoplastic and non-neoplastic lower gastrointestinal(GI)conditions.While mucinous neoplasms are classified and staged using established guidelines,interobserver variability occurs when acellular mucin pools are encountered,leading to inconsistent interpretation and staging.In particular,acellular mucin found in regional lymph nodes of colorectal adenocarcinoma patients who have not received treatment presents a diagnostic challenge,as its prognostic implication is not clearly defined.Acellular mucin is also commonly seen in treated colorectal adenocarcinoma,post neoadjuvant therapy.Although acellular mucin is not counted toward T or N staging in this setting,variation in how pathologists report and stage these cases persists.Acellular mucin can also be seen in non-neoplastic specimens,such as those from interval appendectomies,appendiceal diverticula,colonic diverticulitis,volvulus,and Crohn’s disease where it may mimic a neoplastic lesion.Acellular mucin in this setting is often a byproduct of inflammation,increased luminal pressure,and mural defect.This review highlights the clinical relevance and diagnostic complexity of acellular mucin in pathologic conditions of the lower GI tract.Further studies are needed to clarify its prognostic value and develop standardized guidelines.
基金funded by Jilin Province Science and Technology Development Plan Project,grant number 20220203163SF.
文摘With the increasing integration of large-scale distributed energy resources into the grid,traditional distribution network optimization and dispatch methods struggle to address the challenges posed by both generation and load.Accounting for these issues,this paper proposes a multi-timescale coordinated optimization dispatch method for distribution networks.First,the probability box theory was employed to determine the uncertainty intervals of generation and load forecasts,based on which,the requirements for flexibility dispatch and capacity constraints of the grid were calculated and analyzed.Subsequently,a multi-timescale optimization framework was constructed,incorporating the generation and load forecast uncertainties.This framework included optimization models for dayahead scheduling,intra-day optimization,and real-time adjustments,aiming to meet flexibility needs across different timescales and improve the economic efficiency of the grid.Furthermore,an improved soft actor-critic algorithm was introduced to enhance the uncertainty exploration capability.Utilizing a centralized training and decentralized execution framework,a multi-agent SAC network model was developed to improve the decision-making efficiency of the agents.Finally,the effectiveness and superiority of the proposed method were validated using a modified IEEE-33 bus test system.
