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Bayesian Network Reconstruction and Iterative Divergence Problem Solving Method Based on Norm Minimization
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作者 Kuo Li Aimin Wang +2 位作者 Limin Wang Yuetan Zhao Xinyu Zhu 《Computer Modeling in Engineering & Sciences》 2025年第4期617-637,共21页
A Bayesian network reconstruction method based on norm minimization is proposed to address the sparsity and iterative divergence issues in network reconstruction caused by noise and missing values.This method achieves... A Bayesian network reconstruction method based on norm minimization is proposed to address the sparsity and iterative divergence issues in network reconstruction caused by noise and missing values.This method achieves precise adjustment of the network structure by constructing a preliminary random network model and introducing small-world network characteristics and combines L1 norm minimization regularization techniques to control model complexity and optimize the inference process of variable dependencies.In the experiment of game network reconstruction,when the success rate of the L1 norm minimization model’s existence connection reconstruction reaches 100%,the minimum data required is about 40%,while the minimum data required for a sparse Bayesian learning network is about 45%.In terms of operational efficiency,the running time for minimizing the L1 normis basically maintained at 1.0 s,while the success rate of connection reconstruction increases significantly with an increase in data volume,reaching a maximum of 13.2 s.Meanwhile,in the case of a signal-to-noise ratio of 10 dB,the L1 model achieves a 100% success rate in the reconstruction of existing connections,while the sparse Bayesian network had the highest success rate of 90% in the reconstruction of non-existent connections.In the analysis of actual cases,the maximum lift and drop track of the research method is 0.08 m.The mean square error is 5.74 cm^(2).The results indicate that this norm minimization-based method has good performance in data efficiency and model stability,effectively reducing the impact of outliers on the reconstruction results to more accurately reflect the actual situation. 展开更多
关键词 Bayesian norm minimization network reconstruction iterative divergence SPARSITY
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Effort minimization:A permanent,dynamic,and surmountable influence on physical activity
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作者 Silvio Maltagliati Layan Fessler +7 位作者 Qian Yu Zhihao Zhang Yanxia Chen Olivier Dupuy Ryan SFalck Neville Owen Liye Zou Boris Cheval 《Journal of Sport and Health Science》 2025年第4期43-47,共5页
Today, most people know that physical activity(PA) is beneficial for their health ^(1,2)and aspire to engage in regular PA.^(3,4)However, despite their awareness of the importance of PA, it is evident that the transit... Today, most people know that physical activity(PA) is beneficial for their health ^(1,2)and aspire to engage in regular PA.^(3,4)However, despite their awareness of the importance of PA, it is evident that the transition from intention to action is challenging-a situation that has important public health implications. According to the World Health Organization,^(5)1 person dies every 6 s worldwide from causes related to physical inactivity, which underscores the urgency of addressing this situation. 展开更多
关键词 World Health Organization physical activity pa effort minimization intention action public health physical inactivity physical activity
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Task offloading delay minimization in vehicular edge computing based on vehicle trajectory prediction
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作者 Feng Zeng Zheng Zhang Jinsong Wu 《Digital Communications and Networks》 2025年第2期537-546,共10页
In task offloading,the movement of vehicles causes the switching of connected RSUs and servers,which may lead to task offloading failure or high service delay.In this paper,we analyze the impact of vehicle movements o... In task offloading,the movement of vehicles causes the switching of connected RSUs and servers,which may lead to task offloading failure or high service delay.In this paper,we analyze the impact of vehicle movements on task offloading and reveal that data preparation time for task execution can be minimized via forward-looking scheduling.Then,a Bi-LSTM-based model is proposed to predict the trajectories of vehicles.The service area is divided into several equal-sized grids.If the actual position of the vehicle and the predicted position by the model belong to the same grid,the prediction is considered correct,thereby reducing the difficulty of vehicle trajectory prediction.Moreover,we propose a scheduling strategy for delay optimization based on the vehicle trajectory prediction.Considering the inevitable prediction error,we take some edge servers around the predicted area as candidate execution servers and the data required for task execution are backed up to these candidate servers,thereby reducing the impact of prediction deviations on task offloading and converting the modest increase of resource overheads into delay reduction in task offloading.Simulation results show that,compared with other classical schemes,the proposed strategy has lower average task offloading delays. 展开更多
关键词 Vehicular edge computing Task offloading Vehicle trajectory prediction Delay minimization Bi-LSTM model
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Latency minimization for multiuser computation offloading in fog-radio access networks
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作者 Wei Zhang Shafei Wang +3 位作者 Ye Pan Qiang Li Jingran Lin Xiaoxiao Wu 《Digital Communications and Networks》 2025年第1期160-171,共12页
Recently,the Fog-Radio Access Network(F-RAN)has gained considerable attention,because of its flexible architecture that allows rapid response to user requirements.In this paper,computational offloading in F-RAN is con... Recently,the Fog-Radio Access Network(F-RAN)has gained considerable attention,because of its flexible architecture that allows rapid response to user requirements.In this paper,computational offloading in F-RAN is considered,where multiple User Equipments(UEs)offload their computational tasks to the F-RAN through fog nodes.Each UE can select one of the fog nodes to offload its task,and each fog node may serve multiple UEs.The tasks are computed by the fog nodes or further offloaded to the cloud via a capacity-limited fronhaul link.In order to compute all UEs'tasks quickly,joint optimization of UE-Fog association,radio and computation resources of F-RAN is proposed to minimize the maximum latency of all UEs.This min-max problem is formulated as a Mixed Integer Nonlinear Program(MINP).To tackle it,first,MINP is reformulated as a continuous optimization problem,and then the Majorization Minimization(MM)method is used to find a solution.The MM approach that we develop is unconventional in that each MM subproblem is solved inexactly with the same provable convergence guarantee as the exact MM,thereby reducing the complexity of MM iteration.In addition,a cooperative offloading model is considered,where the fog nodes compress-and-forward their received signals to the cloud.Under this model,a similar min-max latency optimization problem is formulated and tackled by the inexact MM.Simulation results show that the proposed algorithms outperform some offloading strategies,and that the cooperative offloading can exploit transmission diversity better than noncooperative offloading to achieve better latency performance. 展开更多
关键词 Fog-radio access network Fog computing Majorization minimization WMMSE
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The Dantzig Selector:Sparse Signals Recovery via l_(1-q)Minimization Model
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作者 LI Jie DENG Chaohong LI Baode 《新疆大学学报(自然科学版中英文)》 2025年第1期14-23,共10页
We propose the Dantzig selector based on the l_(1-q)(1<q≤2)minimization model for the sparse signal recovery.First,we discuss some properties of l_(1-q)minimization model and give some useful inequalities.Then,we ... We propose the Dantzig selector based on the l_(1-q)(1<q≤2)minimization model for the sparse signal recovery.First,we discuss some properties of l_(1-q)minimization model and give some useful inequalities.Then,we give a sufficient condition based on the restricted isometry property for the stable recovery of signals.The l_(1-2)minimization model of Yin-Lou-He is extended to the l_(1-q)minimization model. 展开更多
关键词 Dantzig selector l_(1-q)minimization model signal recovery restricted isometry property
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Random Regret Minimization Model of Carpool Travel Choice for Urban Residents Considering Perceived Heterogeneity and Psychological Distance 被引量:1
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作者 XIAO Qiang HE Ruichun WANG Ziyi 《Journal of Shanghai Jiaotong university(Science)》 2024年第6期995-1008,共14页
Carpooling is a sustainable,economical,and environmentally friendly solution to reduce air pollution and ease traffic congestion in urban areas.However,existing regret theories lack consideration of the heterogeneity ... Carpooling is a sustainable,economical,and environmentally friendly solution to reduce air pollution and ease traffic congestion in urban areas.However,existing regret theories lack consideration of the heterogeneity of attribute perception in different ways and the psychological factors that affect regret,so they cannot accurately portray urban residents’carpool travel decisions and cannot provide a correct explanation of the actual carpool choice behavior.In this paper,based on the analysis of classical random regret minimization models and random regret minimization models considering heterogeneity,the concept of psychological distance is introduced to address shortcomings of the existing models and construct an improved random regret minimization model considering heterogeneity and psychological distance.The results show that the fit and explanatory effect of the improved model proposed in this paper is better than that of the other two models.The psychological distance of travel residents during the Corona Virus Disease 2019(COVID-19)affects the anticipated regret value and the willingness to carpool.The model can better describe the carpool travel choice mechanism of travelers and effectively explain the carpool travel choice behavior of travelers. 展开更多
关键词 carpool travel behavior random regret minimization theory anticipated regret value perceived heterogeneity psychological distance
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Proximal Linearized Minimization Algorithm for Nonsmooth Nonconvex Minimization Problems in Image Deblurring with Impulse Noise
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作者 Shirong DENG Yuchao TANG 《Journal of Mathematical Research with Applications》 CSCD 2024年第1期122-142,共21页
Impulse noise removal is an important task in image restoration.In this paper,we introduce a general nonsmooth nonconvex model for recovering images degraded by blur and impulsive noise,which can easily include some p... Impulse noise removal is an important task in image restoration.In this paper,we introduce a general nonsmooth nonconvex model for recovering images degraded by blur and impulsive noise,which can easily include some prior information,such as box constraint or low rank,etc.To deal with the nonconvex problem,we employ the proximal linearized minimization algorithm.For the subproblem,we use the alternating direction method of multipliers to solve it.Furthermore,based on the assumption that the objective function satisfies the KurdykaLojasiewicz property,we prove the global convergence of the proposed algorithm.Numerical experiments demonstrate that our method outperforms both the l1TV and Nonconvex TV models in terms of subjective and objective quality measurements. 展开更多
关键词 nonconvex data fidelity term impulse noise total variation proximal linearized minimization
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Energy Minimization for Heterogenous Traffic Coexistence with Puncturing in Mobile Edge Computing-Based Industrial Internet of Things
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作者 Wang Xue Wang Ying +1 位作者 Fei Zixuan Zhao Junwei 《China Communications》 SCIE CSCD 2024年第10期167-180,共14页
Puncturing has been recognized as a promising technology to cope with the coexistence problem of enhanced mobile broadband(eMBB) and ultra-reliable low latency communications(URLLC)traffic. However, the steady perform... Puncturing has been recognized as a promising technology to cope with the coexistence problem of enhanced mobile broadband(eMBB) and ultra-reliable low latency communications(URLLC)traffic. However, the steady performance of eMBB traffic while meeting the requirements of URLLC traffic with puncturing is a major challenge in some realistic scenarios. In this paper, we pay attention to the timely and energy-efficient processing for eMBB traffic in the industrial Internet of Things(IIoT), where mobile edge computing(MEC) is employed for data processing. Specifically, the performance of eMBB traffic and URLLC traffic in a MEC-based IIoT system is ensured by setting the threshold of tolerable delay and outage probability, respectively. Furthermore,considering the limited energy supply, an energy minimization problem of eMBB device is formulated under the above constraints, by jointly optimizing the resource blocks(RBs) punctured by URLLC traffic, data offloading and transmit power of eMBB device. With Markov's inequality, the problem is reformulated by transforming the probabilistic outage constraint into a deterministic constraint. Meanwhile, an iterative energy minimization algorithm(IEMA) is proposed.Simulation results demonstrate that our algorithm has a significant reduction in the energy consumption for eMBB device and achieves a better overall effect compared to several benchmarks. 展开更多
关键词 energy minimization enhanced mobile broadband(eMBB)and ultra-reliable low latency communications(URLLC)coexistence industrial Internet of Things(IIoT) mobile edge computing(MEC) PUNCTURING
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Modeling Solid Waste Minimization Performance at Source in Dar es Salaam City, Tanzania
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作者 Abdon Salim Mapunda Richard Joseph Kimwaga Shaaban Ally Kassuwi 《Journal of Geoscience and Environment Protection》 2024年第9期17-32,共16页
Municipal solid waste generation is strongly linked to rising human population and expanding urban areas, with significant implications on urban metabolism as well as space and place values redefinition. Effective man... Municipal solid waste generation is strongly linked to rising human population and expanding urban areas, with significant implications on urban metabolism as well as space and place values redefinition. Effective management performance of municipal solid waste management underscores the interdisciplinarity strategies. Such knowledge and skills are paramount to uncover the sources of waste generation as well as means of waste storage, collection, recycling, transportation, handling/treatment, disposal, and monitoring. This study was conducted in Dar es Salaam city. Driven by the curiosity model of the solid waste minimization performance at source, study data was collected using focus group discussion techniques to ward-level local government officers, which was triangulated with literature and documentary review. The main themes of the FGD were situational factors (SFA) and local government by-laws (LGBY). In the FGD session, sub-themes of SFA tricked to understand how MSW minimization is related to the presence and effect of services such as land use planning, availability of landfills, solid waste transfer stations, material recovery facilities, incinerators, solid waste collection bins, solid waste trucks, solid waste management budget and solid waste collection agents. Similarly, FGD on LGBY was extended by sub-themes such as contents of the by-law, community awareness of the by-law, and by-law enforcement mechanisms. While data preparation applied an analytical hierarchy process, data analysis applied an ordinary least square (OLS) regression model for sub-criteria that explain SFA and LGBY;and OLS standard residues as variables into geographically weighted regression with a resolution of 241 × 241 meter in ArcMap v10.5. Results showed that situational factors and local government by-laws have a strong relationship with the rate of minimizing solid waste dumping in water bodies (local R square = 0.94). 展开更多
关键词 Modeling Solid Waste minimization Dar es Salaam City Ordinary Least Square (OLS) Regression Model Situation Factors Local Government by Laws
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可视化针刀微创技术的临床应用 被引量:3
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作者 李石良 《中国针灸》 北大核心 2025年第1期47-52,共6页
可视化针刀微创技术适用于治疗以软组织损害为病理特点的疾病,包括脊柱、四肢关节、周围神经卡压及慢性软组织疾病等,主要优势病种为颈源性头痛、腰椎间盘突出症、腕管综合征、屈指肌腱狭窄性腱鞘炎等。可视化针刀微创技术借助超声实现... 可视化针刀微创技术适用于治疗以软组织损害为病理特点的疾病,包括脊柱、四肢关节、周围神经卡压及慢性软组织疾病等,主要优势病种为颈源性头痛、腰椎间盘突出症、腕管综合征、屈指肌腱狭窄性腱鞘炎等。可视化针刀微创技术借助超声实现了针刀临床的术前诊断、术中引导与术后评估,使其成为一项精准、安全、可靠的临床治疗技术。可视化针刀微创技术本质上是一种“超微创”治疗,重视在外治措施诱导下的机体自我康复过程,与现代医学微创外科突出修复与重建在临床应用方面形成高度互补。 展开更多
关键词 针刀 超声引导 可视化 微创
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关于城市轨道交通系统协同及最小化的思考 被引量:1
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作者 陈光 《城市轨道交通研究》 北大核心 2025年第3期170-174,180,共6页
[目的]当前城市轨道交通系统存在信息孤岛、协同效率低下等问题,难以满足数字化转型和高安全性、高自动化水平的需求。为解决这些问题,须对机电系统高效协作和最小化问题进行深入研究。[方法]分析了城市轨道交通系统的现状,包括系统构... [目的]当前城市轨道交通系统存在信息孤岛、协同效率低下等问题,难以满足数字化转型和高安全性、高自动化水平的需求。为解决这些问题,须对机电系统高效协作和最小化问题进行深入研究。[方法]分析了城市轨道交通系统的现状,包括系统构成、接口现状及协同最小化案例,并提出了系统协同及最小化发展的规划和实施路径。[结果及结论]随着数字化转型和智慧城市轨道交通建设的推进,系统协同及最小化将成为提升城市轨道交通效率、服务质量和安全性的重要手段,具有广阔的应用前景。 展开更多
关键词 城市轨道交通 系统 协同 最小化
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全胸腔镜微创修复Barlow’s病长期随访结果的回顾性队列研究 被引量:1
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作者 钟丽珊 黄燕莹 +6 位作者 汪珍忠 肖硕 李玉欣 方斗 王秋吉 张朝龙 黄焕雷 《中国胸心血管外科临床杂志》 北大核心 2025年第1期114-120,共7页
目的 探讨全胸腔镜微创(totally endoscopic minimally invasive,TEMI)二尖瓣修复手术在Barlow’s病治疗中的安全性、有效性和耐久性。方法 本研究采用回顾性研究方法,连续收集2010年1月—2021年6月在广东省人民医院接受二尖瓣成形手术... 目的 探讨全胸腔镜微创(totally endoscopic minimally invasive,TEMI)二尖瓣修复手术在Barlow’s病治疗中的安全性、有效性和耐久性。方法 本研究采用回顾性研究方法,连续收集2010年1月—2021年6月在广东省人民医院接受二尖瓣成形手术的Barlow’s病患者的临床资料。根据手术入路方式将患者分为正中胸骨切开术(median sternotomy,MS)组和TEMI组。结果 最终纳入196例患者,其中男133例、女63例,年龄(43.8±14.9)岁。MS组103例,TEMI组93例。全组无在院死亡病例。TEMI组人工腱索植入率高于MS组(P=0.020),但两组在其他修复技术使用率方面差异无统计学意义(P>0.05)。两组总手术时间差异无统计学意义(P=0.265),TEMI组体外循环时间(P<0.001)和主动脉阻断时间(P<0.001)长于MS组,机械通气时间(P<0.001)和术后住院时间(P<0.001)均短于MS组。两组患者围手术期并发症发生率差异无统计学意义(P=0.689)。随访率为94.2%(180/191),平均随访时间0.2~12.4(4.0±2.4)年,随访期间MS组2例患者发生非心源性死亡。全组患者3年、5年和10年总生存率分别为100.0%、99.2%、99.2%。与MS组相比,TEMI组在生存率、中度及中度以上二尖瓣反流复发率、二尖瓣再次手术率、心脑血管不良事件发生率方面差异均无统计学意义(P>0.05)。结论 在Barlow’s病的二尖瓣成形手术治疗方面,TEMI安全、可行和有效,可获得良好的远期修复效果。 展开更多
关键词 Barlow’s病 二尖瓣反流 全胸腔镜微创 正中胸骨切开术 二尖瓣成形
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面向细粒度应急物资配送的空间众包任务分配算法 被引量:1
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作者 刘俊岭 吴晴晴 +1 位作者 孙焕良 许景科 《计算机应用研究》 北大核心 2025年第2期494-500,共7页
应急物资的“最后一公里”配送为整个救援行动的末端环节,是提高整个救援行动效率的关键所在。为了解决细粒度的应急物资配送任务分配问题,提出了一种基于K-means聚类的博弈论任务分配算法,该算法能够保证所有任务在容忍时间内得到分配... 应急物资的“最后一公里”配送为整个救援行动的末端环节,是提高整个救援行动效率的关键所在。为了解决细粒度的应急物资配送任务分配问题,提出了一种基于K-means聚类的博弈论任务分配算法,该算法能够保证所有任务在容忍时间内得到分配的同时最小化工人数量;然后,设计了一种延迟更新优化策略以进一步提升算法的运行效率;最后,在真实数据集上进行实验,结果表明所提算法与随机任务分配算法、贪心任务分配算法、K-means聚类任务分配算法相比,在工人数量方面分别减少了38%、28%、10%。结合延迟更新优化策略后,算法在最优分配结果的基础上提升了12.5%的运行效率,验证了所提算法的有效性与实用性。 展开更多
关键词 空间众包 应急物资配送 任务分配 博弈论 最小化工人数量
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女性盆底功能障碍患者对生殖道激光微创治疗的认知现状与治疗决策意向的关系 被引量:2
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作者 张双好 陶杰 +4 位作者 蔡泽华 冉雪荣 韦思似 潘金凤 翟巾帼 《实用医学杂志》 北大核心 2025年第1期126-133,共8页
目的调查女性盆底功能障碍患者对生殖道激光微创治疗的认知,并分析其决策意向的影响因素,为盆底功能障碍患者的早期治疗及生殖健康管理的持续发展提供依据。方法采用便利抽样,选取2023年6月至2024年8月在东莞市妇幼保健院盆底康复中心... 目的调查女性盆底功能障碍患者对生殖道激光微创治疗的认知,并分析其决策意向的影响因素,为盆底功能障碍患者的早期治疗及生殖健康管理的持续发展提供依据。方法采用便利抽样,选取2023年6月至2024年8月在东莞市妇幼保健院盆底康复中心就诊的164例女性盆底功能障碍患者,采用女性性功能指数量表、尿失禁生活质量问卷及家庭支持自评量表进行调查,应用二元logistic逐步回归分析患者进行生殖道激光微创治疗的影响因素。结果164例女性患者中共143例(87.2%)有治疗意向,对生殖道激光微创治疗相对了解者占22.6%。logistic回归分析显示,不同职业对患者治疗意向有影响(P<0.05),与医务人员相比,从事教师(OR=10.81,95%CI:1.04~112.21)、个体户(OR=20.34,95%CI:3.46~119.43)及其他职业(OR=16.26,95%CI:4.05~65.29)的患者治疗意向更高;低尿失禁生活质量得分是患者治疗意向的促进因素(OR=0.96,95%CI:0.93~0.99)。结论盆底功能障碍患者对于接受生殖道激光微创治疗的意向较高,但对该治疗技术的整体认知不足。 展开更多
关键词 盆底功能障碍 生殖道激光微创治疗 认知 治疗决策
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大黄煎剂调节大鼠肠道微生态干预轻微型肝性脑病 被引量:1
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作者 王萌 姚春 +4 位作者 杜沅沁 黄良江 付蕾 蔡颖莹 庞娣 《中国中西医结合杂志》 北大核心 2025年第2期205-212,共8页
目的 通过16SrDNA测序技术分析大黄煎剂干预轻微型肝性脑病大鼠后肠道菌群变化情况,探讨中药大黄煎剂的作用靶点。方法 将45只大鼠随机分为对照组(NC组)、轻微型肝性脑病模型组(MHE组)、大黄煎剂干预组(MHEY组:醋制大黄30 g乌梅30 g),每... 目的 通过16SrDNA测序技术分析大黄煎剂干预轻微型肝性脑病大鼠后肠道菌群变化情况,探讨中药大黄煎剂的作用靶点。方法 将45只大鼠随机分为对照组(NC组)、轻微型肝性脑病模型组(MHE组)、大黄煎剂干预组(MHEY组:醋制大黄30 g乌梅30 g),每组15只。采用腹腔注射四氯化碳(CCl4)和硫代乙酰胺(TAA)诱导MHE大鼠模型,造模成功后各组选取10只进行对比分析。采用水迷宫实验评价各组大鼠干预前后学习记忆能力,分析生化指标,16SrDNA测序技术分析各组大鼠肠道菌群的数量、结构和丰度变化。结果 与NC组比较,MHE组寻台时间延长,丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、总胆红素(TBIL)、总胆汁酸(TBA)、血氨均明显升高,白蛋白(ALB)下降(P<0.05);与MHE组比较,MHEY组水迷宫寻台时间缩短,AST、ALT、TBIL、TBA及血氨减少,ALB升高(P<0.05)。16SrDNA研究发现:与NC组比较,MHE组、MHEY组厚壁菌门、蓝藻细菌门均下调,拟杆菌门、放线菌门均上调(P<0.05);MHE组有害菌增加;MHEY组有益菌增加明显,并且放线菌门有下调趋势,乳杆菌属为优势菌群。MHEY组微生物标志物为:梭菌属、梭菌目、瘤胃球菌科、疣微菌科、毛螺菌科等。结论 大黄煎剂可下调MHE大鼠肠道有害菌群的菌落数量,通过中医学“通腑开窍法”酸化肠道,重建肠道菌群稳态,有利于MHE向愈。 展开更多
关键词 16SrDNA测序 大黄煎剂 轻微型肝性脑病 肠道菌群 中药复方 中西医结合
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机器人辅助腹腔镜下盆腔脓肿清除术一例报道(附手术视频) 被引量:1
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作者 黄璐 沈燕 +2 位作者 刘金炜 葛月 高紫菡 《机器人外科学杂志(中英文)》 2025年第2期345-348,共4页
在盆腔脓肿的治疗中,由于脓肿壁的存在,应用抗生素常难以奏效,且对于多腔隙脓肿,超声穿刺引流的效果也并不理想。但微创手术在盆腔脓肿的治疗中逐渐显现出其独特的优势。本研究报道了2023年3月于浙江省人民医院行机器人辅助腹腔镜下盆... 在盆腔脓肿的治疗中,由于脓肿壁的存在,应用抗生素常难以奏效,且对于多腔隙脓肿,超声穿刺引流的效果也并不理想。但微创手术在盆腔脓肿的治疗中逐渐显现出其独特的优势。本研究报道了2023年3月于浙江省人民医院行机器人辅助腹腔镜下盆腔脓肿清除术患者1例。手术过程顺利,手术总用时约38 min,术中出血10 mL,术后6 h拔除尿管,3 d拔除引流管,术后5 d患者出院。结果显示机器人辅助腹腔镜手术治疗女性盆腔脓肿安全有效,患者术后恢复快,值得在临床中进一步推广。 展开更多
关键词 盆腔脓肿 微创手术 机器人辅助手术
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未成年人室间隔缺损经胸微创封堵失败的危险因素分析和预测模型构建
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作者 王锡峥 白英 +3 位作者 齐弘炜 赵建刚 陈楠 袁彪 《中国心血管杂志》 北大核心 2025年第5期560-565,共6页
目的 探讨未成年人室间隔缺损(VSD)经胸微创封堵失败的危险因素,并构建预测模型。方法 采用回顾性分析,连续纳入2013年9月至2020年11月首都医科大学附属北京同仁医院在经食管超声心动图引导下行经胸小切口封堵术治疗的未成年单纯VSD患者... 目的 探讨未成年人室间隔缺损(VSD)经胸微创封堵失败的危险因素,并构建预测模型。方法 采用回顾性分析,连续纳入2013年9月至2020年11月首都医科大学附属北京同仁医院在经食管超声心动图引导下行经胸小切口封堵术治疗的未成年单纯VSD患者257例,年龄4个月至18岁,其中男性125例,占比48.6%。术后随访3年,记录患者临床资料。使用二元logistic回归分析探讨封堵失败的独立危险因素,采用受试者工作特征(ROC)曲线评估临床预测模型效能。结果 本组病例术中封堵成功240例、失败17例,封堵成功率93.4%。两组患者临床资料比较显示,年龄<6个月、VSD直径≥10 mm或VSD/主动脉瓣口面积(AVA)≥0.8、VSD边缘距离主动脉瓣环≤2 mm和三尖瓣反流为封堵失败的危险因素(均为P<0.001)。二元logistic回归分析显示,年龄<6个月(OR=1.435,95%CI:1.400~1.471,P=0.047)、VSD直径≥10 mm或VSD/AVA≥0.8(OR=2.070,95%CI:2.008~2.136,P=0.027)和VSD边缘距离主动脉瓣环≤2 mm(OR=1.869,95%CI:1.498~2.332,P=0.010)是封堵失败的独立危险因素。ROC曲线分析显示,上述3个独立危险因素预测封堵失败的ROC曲线下面积分别为0.827、0.856和0.822,敏感度分别为70.5%、79.2%和74.9%,特异度分别为83.6%、77.0%和76.2%;3个独立危险因素联合预测封堵失败的ROC曲线下面积为0.931,敏感度为82.1%、特异度为79.6%(均为P<0.001)。结论 年龄<6个月、VSD直径≥10 mm和VSD边缘距离主动脉瓣环≤2 mm是未成年人VSD经胸微创封堵失败的独立危险因素,且联合预测模型对封堵失败的预测效能最高。 展开更多
关键词 室间隔缺损 经胸微创封堵 经食管超声心动图 未成年人 危险因素 预测模型
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天玑骨科手术机器人辅助微创治疗老年脆性骨盆骨折
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作者 李灿辉 代永鸿 +4 位作者 蔡伟琼 司徒晓鹏 曾焰辉 杜雪莲 洪石 《中国修复重建外科杂志》 北大核心 2025年第11期1421-1427,共7页
目的探讨天玑骨科手术机器人(TiRobot)辅助微创治疗老年脆性骨盆骨折(fragility fractures of the pelvis,FFP)的疗效。方法回顾分析2018年7月—2024年7月收治且符合选择标准的176例FFP患者临床资料。95例采用TiRobot辅助下闭合复位微... 目的探讨天玑骨科手术机器人(TiRobot)辅助微创治疗老年脆性骨盆骨折(fragility fractures of the pelvis,FFP)的疗效。方法回顾分析2018年7月—2024年7月收治且符合选择标准的176例FFP患者临床资料。95例采用TiRobot辅助下闭合复位微创空心螺钉内固定术(机器人组),81例采用传统切开复位钢板螺钉内固定术(对照组)。两组患者性别、年龄、骨折分型、病程及术前疼痛视觉模拟评分(VAS)等基线资料比较,差异均无统计学意义(P>0.05)。记录并比较两组手术时间、术中失血量、术中输血率、术中输血量、最大切口长度、住院时间、最大残余位移、复位质量、骨折愈合时间、并发症发生情况及VAS评分、Majeed骨盆功能评分及分级。结果两组手术均顺利完成。机器人组手术时间、术中失血量、术中输血率、术中输血量、最大切口长度、住院时间均少于对照组(P<0.05)。机器人组共植入14个INFIX内固定支架和280枚空心螺钉,其中螺钉位置优250枚、良17枚、差13枚,螺钉位置优良率为95.36%。影像学复查示,机器人组复位优良率为91.58%(87/95),对照组为81.48%(66/81),两组术后最大骨折残余位移、复位质量差异无统计学意义(P>0.05)。两组患者均获随访,随访时间12~66个月,平均28.9个月,两组随访时间差异无统计学意义(P>0.05)。机器人组骨折愈合时间短于对照组(P<0.05)。末次随访时,两组VAS评分均较术前显著改善(P<0.05);机器人组VAS评分变化值、Majeed评分和Majeed骨盆功能优良率均高于对照组(P<0.05)。术后并发症方面,两组在步态改变、二次手术、异位骨化、切口感染、行走困难、内固定失效、死亡发生率方面差异均无统计学意义(P>0.05);机器人组切口延期愈合发生率低于对照组(P<0.05)。结论TiRobot辅助微创治疗老年FFP在手术创伤控制、术后康复速度及功能恢复效果方面均优于传统切开复位内固定术。 展开更多
关键词 天玑骨科手术机器人 脆性骨盆骨折 微创手术 老年
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一类新的无参数的填充打洞函数法
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作者 袁柳洋 汤梦瑶 迟晓妮 《运筹学学报(中英文)》 北大核心 2025年第2期214-220,共7页
自填充函数算法被提出以来,参数被视为制约算法效率的主要因素,因此构造无参数的填充函数显得极为重要。为了提高算法效率,本文构造了一类新的无参数的填充打洞函数,分析并讨论了该函数的性质。基于新的填充打洞函数,提出了一个新的全... 自填充函数算法被提出以来,参数被视为制约算法效率的主要因素,因此构造无参数的填充函数显得极为重要。为了提高算法效率,本文构造了一类新的无参数的填充打洞函数,分析并讨论了该函数的性质。基于新的填充打洞函数,提出了一个新的全局优化算法,并对算法进行了数值实验,数值实验结果表明该算法可行且有效。 展开更多
关键词 填充函数法 打洞函数法 全局优化算法 局部极小点 全局极小点
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