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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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Geophysical data sparse reconstruction based on L0-norm minimization 被引量:6
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作者 陈国新 陈生昌 +1 位作者 王汉闯 张博 《Applied Geophysics》 SCIE CSCD 2013年第2期181-190,236,共11页
Missing data are a problem in geophysical surveys, and interpolation and reconstruction of missing data is part of the data processing and interpretation. Based on the sparseness of the geophysical data or the transfo... Missing data are a problem in geophysical surveys, and interpolation and reconstruction of missing data is part of the data processing and interpretation. Based on the sparseness of the geophysical data or the transform domain, we can improve the accuracy and stability of the reconstruction by transforming it to a sparse optimization problem. In this paper, we propose a mathematical model for the sparse reconstruction of data based on the LO-norm minimization. Furthermore, we discuss two types of the approximation algorithm for the LO- norm minimization according to the size and characteristics of the geophysical data: namely, the iteratively reweighted least-squares algorithm and the fast iterative hard thresholding algorithm. Theoretical and numerical analysis showed that applying the iteratively reweighted least-squares algorithm to the reconstruction of potential field data exploits its fast convergence rate, short calculation time, and high precision, whereas the fast iterative hard thresholding algorithm is more suitable for processing seismic data, moreover, its computational efficiency is better than that of the traditional iterative hard thresholding algorithm. 展开更多
关键词 Geophysical data sparse reconstruction LO-norm minimization iterativelyreweighted least squares fast iterative hard thresholding
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OPTIMAL PERFORMANCE OF THERMOELECTRIC REFRIGERATION SYSTEM USING ENTROPY GENERATION MINIMIZATION METHOD 被引量:3
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作者 曹业玲 夏文庆 余莉 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI 2005年第4期339-343,共5页
With the entropy generation minimization (EGM) method, the thermodynamical performance optimization in a thermoelectric refrigeration system is studied. The optimization is affected by the irreversibility of heat tr... With the entropy generation minimization (EGM) method, the thermodynamical performance optimization in a thermoelectric refrigeration system is studied. The optimization is affected by the irreversibility of heat transfer caused by finite temperature differences, the heat leak between external heat reservoirs and the internal dissipation of working fluids. EGM is taken as an objective function for the optimization. The objective function and design parameters are obtained. Optimal performance curves are presented by thermal and electronic parameters. Effects of these parameters on general and optimal performances are investigated. Results are helpful in determining optimal design conditions in real thermoelectric refrigeration systems. 展开更多
关键词 thermoelectric refrigeration system entropy generation minimization finite-time thermodynamics
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基于内窥镜视觉的机器人辅助手术中力估计方法
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作者 邢元 王建敏 +3 位作者 马剑雄 唐吉思 马志康 史靖 《天津大学学报(自然科学与工程技术版)》 北大核心 2026年第1期99-110,共12页
在机器人辅助微创手术中,精确的力反馈对于提高手术操作的安全性与质量至关重要.然而,现有的解决方案在实际应用场景中仍面临着如小型化、精准化和普适性等多重挑战,限制了其在复杂临床场景中的广泛应用.因此,如何实现高精度、低成本且... 在机器人辅助微创手术中,精确的力反馈对于提高手术操作的安全性与质量至关重要.然而,现有的解决方案在实际应用场景中仍面临着如小型化、精准化和普适性等多重挑战,限制了其在复杂临床场景中的广泛应用.因此,如何实现高精度、低成本且适用于多种组织类型的力估计成为研究重点.为此,基于手术机器人配备的内窥镜系统,构建了包含多种材料和丰富力学信息数据集,并提出了结合注意力机制的深度学习模型,以优化内窥镜视觉信息的特征提取,从而提升力估计的准确性和鲁棒性.模型以材料变形的内窥镜图像作为输入,结合卷积神经网络的特征提取能力和循环神经网络的时序建模能力,实现对手术器械与组织之间交互力的精确估计.此外,为进一步探究注意力机制在力估计任务中的作用和优化策略,提出了3种不同的注意力模块引入方案.实验结果表明:采用DenseNet-BiLSTM结构并引入SENet模块的模型在3种材料上取得了最佳性能,显著提升了模型的整体表现;同时,注意力模块的位置对不同组织材料的力估计效果具有差异性影响.研究验证了基于内窥镜视觉的深度学习方法在精确估计手术过程中器械与组织间的交互力方面的有效性和可行性,为未来机器人辅助微创手术系统的发展和优化提供了新的方向与理论依据. 展开更多
关键词 机器人辅助微创手术 视觉反馈 交互力估计 注意力机制 深度学习
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单侧双通道内镜技术在颈椎病中的应用进展
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作者 许海委 徐宝山 《天津医药》 2026年第1期104-107,共4页
颈椎病是临床常见的脊柱疾病之一,症状严重者常需手术治疗。单侧双通道内镜技术是近年来快速发展的一项脊柱微创技术,具备创伤小、术后康复快、并发症少等优势,逐渐被用于治疗颈椎病,并且获得了良好临床疗效。该文就单侧双通道内镜技术... 颈椎病是临床常见的脊柱疾病之一,症状严重者常需手术治疗。单侧双通道内镜技术是近年来快速发展的一项脊柱微创技术,具备创伤小、术后康复快、并发症少等优势,逐渐被用于治疗颈椎病,并且获得了良好临床疗效。该文就单侧双通道内镜技术治疗颈椎病的应用进展进行综述,以期为临床医师提供参考。 展开更多
关键词 颈椎病 单侧双通道内镜 前路 后路 微创手术 应用进展
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Color Correction for Multi-view Video Using Energy Minimization of View Networks 被引量:4
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作者 Kenji Yamamoto Ryutaro Oi 《International Journal of Automation and computing》 EI 2008年第3期234-245,共12页
Systems using numerous cameras are emerging in many fields due to their ease of production and reduced cost, and one of the fields where they are expected to be used more actively in the near future is in image-based ... Systems using numerous cameras are emerging in many fields due to their ease of production and reduced cost, and one of the fields where they are expected to be used more actively in the near future is in image-based rendering (IBR). Color correction between views is necessary to use multi-view systems in IBR to make audiences feel comfortable when views are switched or when a free viewpoint video is displayed. Color correction usually involves two steps: the first is to adjust camera parameters such as gain, brightness, and aperture before capture, and the second is to modify captured videos through image processing. This paper deals with the latter, which does not need a color pattern board. The proposed method uses scale invariant feature transform (SIFT) to detect correspondences, treats RGB channels independently, calculates lookup tables with an energy-minimization approach, and corrects captured video with these tables. The experimental results reveal that this approach works well. 展开更多
关键词 MULTI-VIEW color correction image-based rendering (IBR) view networks (VNs) scale invariant feature transform (SIFT) energy minimization.
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Robotic-assisted donor and recipient hepatectomy in liver transplantation:An umbrella review of clinical outcomes,surgical performance,and cost-effectiveness
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作者 Carlos M Ardila Daniel González-Arroyave Jaime Ramírez-Arbelaez 《World Journal of Transplantation》 2026年第1期223-238,共16页
BACKGROUND Robotic assistance is increasingly used for donor and recipient hepatectomy in liver transplantation,yet existing evidence is fragmented and variably indirect.AIM To evaluate clinical outcomes,surgical perf... BACKGROUND Robotic assistance is increasingly used for donor and recipient hepatectomy in liver transplantation,yet existing evidence is fragmented and variably indirect.AIM To evaluate clinical outcomes,surgical performance,and economic effects of robotic-assisted donor and recipient hepatectomy in the transplant pathway.METHODS Following Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 and a priori registration,systematic reviews were included with or without meta-analysis.Four databases were searched through July 2025.Methodological quality was appraised with a measurement tool to assess systematic reviews(AMSTAR 2),and certainty was graded with grading of recommendations assessment,development and evaluation(GRADE).Evidence overlap was calculated via a citation-matrix-based corrected covered area(CCA).Effect sizes were prespecified as risk ratios(RR)for dichotomous outcomes and mean differences for continuous outcomes.RESULTS Five reviews met the inclusion criteria,four with meta-analyses and one consensus review used only for context.Donor(direct)findings were more favorable for robotics in terms of estimated blood loss(≈-117 mL)and length of stay(≈-0.6 days),although with longer operative time(≈+105 minutes).Absolute risks for donor complications were not estimable from ratio-only data.Recipient(indirect)meta-analysis indicated robotics to be favorable in terms of conversion(RR≈0.41)and severe morbidity(RR≈0.81),with a trend toward lower overall morbidity(RR≈0.92)and no difference in 30-day mortality.Differences in length of stay and operative time were small and heterogeneous.Economic evidence(indirect,network meta-analysis)suggested higher procedural costs for robotic vs laparoscopic intervention,but lower hospitalization costs vs open intervention,with laparoscopy the least expensive overall.AMSTAR 2 ratings were moderate-to-high across the reviews,GRADE certainty was low for key donor continuous outcomes,and low-to-moderate for recipient and economic outcomes.Overlap was slight(graded-corpus CCA=0.0%;including a contextual non-transplant review increased CCA to≈1.25%).CONCLUSION Robotic donor hepatectomy confers perioperative advantages at the cost of longer operative time.Recipient and economic findings are indirect and considered hypothesis-generating.Transplant-specific,prospective comparisons using a minimum standardized dataset and uniform outcome definitions are needed to resolve remaining uncertainties and to clarify the cost-utility correlation. 展开更多
关键词 Robotic-assisted surgery HEPATECTOMY Liver transplantation Living donor Surgical outcomes COST-EFFECTIVENESS Minimally invasive surgery Systematic review Meta-analysis
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Clinical applications of indocyanine green fluorescence for the treatment of hepatocellular carcinoma
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作者 Gaetano Piccolo Matteo Barabino +2 位作者 Laura Benuzzi Giampaolo Formisano Paolo Pietro Bianchi 《World Journal of Gastrointestinal Oncology》 2026年第1期20-27,共8页
Over the past ten years,numerous papers have been published on the use of indocyanine green(ICG)fluorescence in liver surgery for hepatocellular carcinoma(HCC).There are many different applications.The first involves ... Over the past ten years,numerous papers have been published on the use of indocyanine green(ICG)fluorescence in liver surgery for hepatocellular carcinoma(HCC).There are many different applications.The first involves targeting superficial tumors in patients with macronodular cirrhosis and an irregular liver surface.In a minimally invasive setting,the lack of tactile feedback on the hepatic surface makes detecting subcapsular HCC with ultrasound alone challenging.ICG fusion images can mimic the tactile feedback of the hand and act as an ultrasound booster.ICG fluorescence can be used to evaluate tumor residues after minimally invasive thermal ablation.ICG fluorescence imaging can also be used to identify the grade of HCC early on and evaluate the microinvasive component. 展开更多
关键词 Indocyanine green fluorescence Hepatocellular carcinoma Minimally invasive liver resection Laparoscopic thermal ablation Fluorescence patterns Tumour characteristics
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Robot-assisted vs hand-assisted laparoscopic donor nephrectomy in the United Kingdom:Equivalent outcomes in the first national series
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作者 Chrysanthos D Christou Savvas Antoniadis +10 位作者 Avishek Majumder Rhana Zakri Jonathon Olsburgh Chris Callaghan Georgios Papadakis Kiran Sran Martin Drage Karel Decaestecker Ben Challacombe Nicos Kessaris Ioannis Loukopoulos 《World Journal of Transplantation》 2026年第1期193-202,共10页
BACKGROUND Living donor kidney transplantation is the optimal method of long-term renal replacement therapy.Minimally invasive donor nephrectomy techniques,such as robot-assisted(RALDN)and hand-assisted(HALDN)laparosc... BACKGROUND Living donor kidney transplantation is the optimal method of long-term renal replacement therapy.Minimally invasive donor nephrectomy techniques,such as robot-assisted(RALDN)and hand-assisted(HALDN)laparoscopic procedures,are well-established in high-income countries and are being increasingly adopted worldwide.Nevertheless,no studies have reported surgical outcomes of RALDN donor nephrectomy from a United Kingdom center to date.AIM To compare surgical outcomes between RALDN and HALDN laparoscopic donor nephrectomy in a United Kingdom high-volume living kidney donor transplant program.METHODS A case-control matching analysis was performed based on the following parameters:Sex,age,body mass index,procedure laterality,number of renal arteries,and previous abdominal surgeries.Key surgical outcomes,including primary warm ischemia time,operative duration,and post-operative recovery,were evaluated.RESULTS In this cohort of 140 living donors(70 RALDN vs 70 HALDN),donor and recipient outcomes were equivalent across key metrics:Pain scores,overall complication rates,readmissions,reoperations,and creatinine levels at 30 days and 1 year.Recipient long-term renal function did not differ between groups.Operative time for RALDN decreased significantly over the study period,indicating progressive improvement along the learning curve.Although RALDN was associated with a modestly longer mean warm ischaemia time(3.53 minutes vs 2.76 minutes,P<0.001)and extended hospital stay(4.21 days vs 3.17 days,P<0.001),these did not translate into any disadvantage in clinical outcomes.CONCLUSION In this first United Kingdom comparative cohort,RALDN demonstrated excellent safety and efficacy,even in the early phase of our programme,matching the outcomes of the well-established,gold-standard HALDN approach.Moreover,the pronounced learning-curve trajectory suggests considerable potential for further improvements in robotic surgical outcomes as the programme matures. 展开更多
关键词 Robot-assisted donor nephrectomy Hand-assisted donor nephrectomy Living kidney donation Surgical outcomes Learning curve Minimally invasive surgery United Kingdom experience
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The Six Sigma Approach to Solid Waste Management and Minimization: Moving towards Zero Landfill Facilities
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作者 Matthew Franchetti 《Journal of Environmental Science and Engineering(B)》 2012年第3期299-311,共13页
This article provides an overview of an eleven step solid waste analysis and minimization process that is based on the six sigma approach to problem solving that may be applied at a wide variety of organizations. The ... This article provides an overview of an eleven step solid waste analysis and minimization process that is based on the six sigma approach to problem solving that may be applied at a wide variety of organizations. The six sigma approach provides a holistic process that focuses on minimizing defects, in this case, eliminating waste disposed at landfills. As many organizations are moving towards "zero landfill" facilities, such a process is needed to aid in achieving these goals. The eleven step processes provides details on establishing goals, creating process flowcharts, conducting waste sorts, data collection, establishing baseline data, identifying improvement opportunities, cost justification, executing improvement plans and validating results. The article also includes a case study that applies that eleven step process. The goal of the article is to provide the audience with a structured process to evaluate and minimize solid waste generation based on cost justified improvement opportunities. 展开更多
关键词 Six sigma solid waste auditing zero landfill solid waste minimization.
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Utility of liver surface-guided encirclement of hepatoduodenal ligament for the Pringle maneuver in minimally invasive repeat liver resection
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作者 Yoichi Kawano Takahiro Murokawa +18 位作者 Yuto Aoki Akira Hamaguchi Takashi Ono Takahiro Haruna DaigoYoshimori Toshiyuki Irie Junji Ueda Tetsuya Shimizu Akira Matsushita Mampei Kawashima Ryo Ga Hiroyasu Furuki Tomohiro Kanda Yukio Oshiro Keisuke Minamimura Masato Yoshioka Nobuhiko Taniai Yoshiharu Nakamura Hiroshi Yoshida 《World Journal of Gastroenterology》 2026年第1期126-138,共13页
BACKGROUND Repeated application of the Pringle maneuver is a key obstacle to safe minimally invasive repeat liver resection(MISRLR).However,limited technical guidance is available.AIM To study the utility of newly dev... BACKGROUND Repeated application of the Pringle maneuver is a key obstacle to safe minimally invasive repeat liver resection(MISRLR).However,limited technical guidance is available.AIM To study the utility of newly developed Pringle taping method guided by liver surface in MISRLR.METHODS We retrospectively reviewed 72 cases of MISRLR performed by a single surgeon at two centers from August 2015 to July 2024.Beginning in October 2019,a liver surface-guided encirclement of hepatoduodenal ligament(LSEH)was used for repeat Pringle taping.Perioperative outcomes including Pringle taping success,operative time,blood loss,conversion rate,morbidity,and mortality were assessed.RESULTS Laparoscopic and robotic approaches were used in 63 patients and 9 patients,respectively.The median operative time,blood loss,and hospital stay were 331.5 minutes,70 mL,and 8 days,respectively.Open conversion occurred in two cases(2.8%)due to severe adhesions and right renal vein injury.Clavien-Dindo grade≥III complications occurred in 5.6%of cases with no mortality.Anti-adhesion barriers were used in 54 patients(75.0%).LSEH was attempted in 57 cases,improving Pringle taping success from 33.0%to 91.4%(P<0.001).LSEH succeeded in all patients with prior open liver resection(n=11).Among 6 patients in whom LSEH failed,3 patients(50.0%)had undergone a third liver resection,and 1 patient had a history of distal gastrectomy with choledochoduodenostomy.CONCLUSION The newly developed LSEH technique for Pringle taping in MISRLR was feasible,enhancing safety and reproducibility even in patients with a history of open liver resection. 展开更多
关键词 Laparoscopic liver resection Repeat liver resection Pringle maneuver Postoperative adhesion Minimally invasive liver resection Hepatocellular carcinoma Cancer of colon and rectum Liver metastasis Guidelines Second and third hepatectomies
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Recombinant tissue plasminogen activator protects neurons after intracerebral hemorrhage through activating the PI3K/AKT/mTOR pathway
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作者 Jie Jing Shiling Chen +7 位作者 Xuan Wu Jingfei Yang Xia Liu Jiahui Wang Jingyi Wang Yunjie Li Ping Zhang Zhouping Tang 《Neural Regeneration Research》 2026年第4期1574-1585,共12页
Recombinant tissue plasminogen activator is commonly used for hematoma evacuation in minimally invasive surgery following intracerebral hemorrhage.However,during minimally invasive surgery,recombinant tissue plasminog... Recombinant tissue plasminogen activator is commonly used for hematoma evacuation in minimally invasive surgery following intracerebral hemorrhage.However,during minimally invasive surgery,recombinant tissue plasminogen activator may come into contact with brain tissue.Therefore,a thorough assessment of its safety is required.In this study,we established a mouse model of intracerebral hemorrhage induced by type VII collagenase.We observed that the administration of recombinant tissue plasminogen activator without hematoma aspiration significantly improved the neurological function of mice with intracerebral hemorrhage,reduced pathological damage,and lowered the levels of apoptosis and autophagy in the tissue surrounding the hematoma.In an in vitro model of intracerebral hemorrhage using primary cortical neurons induced by hemin,the administration of recombinant tissue plasminogen activator suppressed neuronal apoptosis,autophagy,and endoplasmic reticulum stress.Transcriptome sequencing analysis revealed that recombinant tissue plasminogen activator upregulated the phosphoinositide 3-kinase/RAC-alpha serine/threonine-protein kinase/mammalian target of rapamycin pathway in neurons.Moreover,the phosphoinositide 3-kinase inhibitor LY294002 abrogated the neuroprotective effects of recombinant tissue plasminogen activator in inhibiting excessive apoptosis,autophagy,and endoplasmic reticulum stress.Furthermore,to specify the domain of recombinant tissue plasminogen activator responsible for its neuroprotective effects,various inhibitors were used to target distinct domains.It has been revealed that the epidermal growth factor receptor inhibitor AG-1478 reversed the effect of recombinant tissue plasminogen activator on the phosphoinositide 3-kinase/RAC-alpha serine/threonineprotein kinase/mammalian target of rapamycin pathway.These findings suggest that recombinant tissue plasminogen activator exerts a direct neuroprotective effect on neurons following intracerebral hemorrhage,possibly through activation of the phosphoinositide 3-kinase/RAC-alpha serine/threonine-protein kinase/mammalian target of rapamycin pathway. 展开更多
关键词 apoptosis autophagy endoplasmic reticulum stress epidermal growth factor intracerebral hemorrhage mammalian target of rapamycin minimally invasive surgery phosphoinositide 3-kinase RAC-alpha serine/threonine-protein kinase recombinant tissue plasminogen activator
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腰椎融合联合单侧固定治疗腰椎退行性疾病:生物力学、技术演化及临床应用 被引量:1
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作者 张先绪 马忠 +3 位作者 刘欣 黄磊 沈文翔 罗志强 《中国组织工程研究》 北大核心 2026年第9期2334-2342,共9页
背景:腰椎退行性疾病是一种中老年人常见疾病,临床表现主要为腰背部疼痛和下肢功能障碍。传统上使用腰椎融合联合双侧椎弓根螺钉固定进行外科干预,但存在创伤大、并发症多等问题。而腰椎融合联合单侧椎弓根螺钉固定是一种新兴的微创治... 背景:腰椎退行性疾病是一种中老年人常见疾病,临床表现主要为腰背部疼痛和下肢功能障碍。传统上使用腰椎融合联合双侧椎弓根螺钉固定进行外科干预,但存在创伤大、并发症多等问题。而腰椎融合联合单侧椎弓根螺钉固定是一种新兴的微创治疗方式,具有较小的创伤和较低的并发症风险,已逐渐成为腰椎退行性疾病治疗的新选择。目的:探讨腰椎融合联合单侧椎弓根螺钉固定治疗腰椎退行性疾病的效果及优势。方法:通过检索中国知网和PubMed数据库2010年1月至2025年1月发表的相关文献,总结腰椎融合联合单侧椎弓根螺钉固定的临床研究及生物力学特点,以“腰椎融合术,单侧固定,双侧固定,生物力学,腰椎退行性疾病”为中文检索词,以“lumbar fusion,unilateral fixation,bilateral fixation,biomechanics,degenerative disease of the lumbar spine”为英文检索词,最终纳入70篇文献进行综述。结果与结论:①腰椎融合联合单侧椎弓根螺钉固定能有效减少手术创伤和术中失血量,提供与双侧椎弓根螺钉固定相似的生物力学稳定性,并降低邻近节段退变的风险;②单侧椎弓根螺钉固定在单节段及双节段腰椎退行性疾病治疗中已获得广泛认可,但在多节段腰椎退行性疾病中的应用效果仍需进一步研究;③腰椎融合联合单侧椎弓根螺钉固定为腰椎退行性疾病治疗提供了微创、安全的选择,未来需要更多高质量的研究验证其在复杂病例中的应用和长期疗效,进一步优化临床应用。 展开更多
关键词 腰椎退行性疾病 腰椎融合 单侧椎弓根螺钉固定 双侧椎弓根螺钉固定 微创手术 生物力学 邻近节段退变
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保守治疗与微创钻孔引流术治疗尿毒症脑出血的临床疗效分析
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作者 项莹 马世原 +2 位作者 乔洪波 王秋杰 鲁新 《中国实用医药》 2026年第4期31-34,共4页
目的分析尿毒症脑出血(ICH)患者采用保守治疗与微创钻孔引流术治疗的效果。方法选取69例尿毒症ICH患者,根据患者意愿不同分为对照组(n=32)和观察组(n=37)。对照组应用保守治疗,观察组在对照组基础上同时行微创钻孔引流术治疗。比较两组... 目的分析尿毒症脑出血(ICH)患者采用保守治疗与微创钻孔引流术治疗的效果。方法选取69例尿毒症ICH患者,根据患者意愿不同分为对照组(n=32)和观察组(n=37)。对照组应用保守治疗,观察组在对照组基础上同时行微创钻孔引流术治疗。比较两组手术效果,手术指标(住院时间、意识恢复时间、住院总费用),美国国立卫生研究院卒中量表(NIHSS)评分、格拉斯哥昏迷评分(GCS评分)及并发症发生情况。结果观察组总有效率94.59%比对照组的62.50%高(P<0.05);观察组住院时间(15.21±2.13)d、意识恢复时间(4.15±2.31)d均比对照组的(28.53±2.51)、(8.71±2.33)d短,住院总费用(12556.5±4.13)元比对照组的(15567.2±12.63)元少(P<0.05);术后6个月,两组NIHSS、GCS评分均较术前明显改善,且观察组NIHSS评分(3.85±2.63)分比对照组的(6.31±1.39)分低,GCS评分(14.83±0.11)分比对照组的(10.62±1.91)分高(P<0.05);观察组并发症发生率5.41%(2/37)比对照组的37.50%(12/32)低(P<0.05)。结论尿毒症ICH患者采取保守治疗与微创钻孔引流术治疗能够获得较好效果,优化临床指标,同时也可以改善神经功能,减少住院时间,另外该术式并发症少,安全性高,可推荐。 展开更多
关键词 微创钻孔引流术 尿毒症 脑出血 神经功能 手术效果
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口腔修复材料类型及厚度对全瓷修复体美学性能的影响
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作者 王秋月 付宏宇 +1 位作者 田月明 冯驭驰 《中国组织工程研究》 北大核心 2026年第20期5125-5133,共9页
背景:选择合适的陶瓷材料对口腔全瓷美学修复尤为重要。在口腔修复体美学性能研究中,多使用色差值和透光性作为评价指标,影响全瓷修复体色差和透光性的因素主要有陶瓷材料的种类、色调、厚度、加工工艺以及基牙颜色和粘接剂等。目的:探... 背景:选择合适的陶瓷材料对口腔全瓷美学修复尤为重要。在口腔修复体美学性能研究中,多使用色差值和透光性作为评价指标,影响全瓷修复体色差和透光性的因素主要有陶瓷材料的种类、色调、厚度、加工工艺以及基牙颜色和粘接剂等。目的:探究材料种类及厚度对全瓷修复体美学性能的影响。方法:选取各类可切削陶瓷中6种代表性的材料(常规氧化锆ZR-ST、树脂基陶瓷RC、高透氧化锆ZR-TT、白榴石增强玻璃陶瓷LE、二硅酸锂玻璃陶瓷LD及长石质瓷FP),每种材料分别制备成0.8,1.0,1.5 mm厚的10.0 mm×12.5 mm长方体陶瓷试件,进行对应的表面处理后与树脂试件(代表基牙)粘接制成陶瓷-树脂复合体试件,测算粘接前后的CIEL^(*)a^(*)b^(*)、色差值ΔE及透光率值。结果与结论:①当基牙厚度未达到无限光学厚度时,陶瓷材料的种类和厚度共同影响修复体的颜色和透光率值。当陶瓷试件厚度不超过1.0 mm时,与树脂片粘接后的颜色普遍向蓝红趋近;当陶瓷试件厚度为1.5 mm时,与树脂片粘接后的颜色普遍向蓝绿趋近,提示在全瓷修复体比色时可通过颜色预补偿优化美学匹配。②除厚度1.5 mm ZR-ST陶瓷试件外,粘接后各组陶瓷试件与树脂片之间的色差值ΔE均低于5,0.8 mm ZR-ST陶瓷试件与树脂片之间的色差值ΔE接近3,1.0 mm ZR-TT陶瓷试件与树脂片之间的色差值ΔE小于3,提示在微创修复过程中,若患牙透光率不高且美学修复空间不足、对材料强度要求高时,ZR-TT和ZR-ST陶瓷可能是潜在的选择。③陶瓷试件的透光率值在粘接后降低,并随陶瓷厚度的增加显著降低。RC陶瓷试件的透光率值高,粘接后与树脂片之间的色差值ΔE接近3,光学性能出色。 展开更多
关键词 口腔美学修复 全瓷材料 美学性能 色差 透光性 微创修复技术 CIEL^(*)a^(*)b^(*) 颜色补偿
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上海外滩源某优秀历史建筑框架结构分级抗震鉴定
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作者 商登峰 《山西建筑》 2026年第1期54-59,共6页
优秀历史建筑因结构老化及建造条件限制,往往难以满足传统的抗震鉴定标准要求。为平衡保护需求和抗震安全之间的矛盾,DG/TJ 08-2403-2022优秀历史建筑抗震鉴定与加固标准提出调整鉴定周期的分级抗震鉴定方法,以减小加固量或避免加固,实... 优秀历史建筑因结构老化及建造条件限制,往往难以满足传统的抗震鉴定标准要求。为平衡保护需求和抗震安全之间的矛盾,DG/TJ 08-2403-2022优秀历史建筑抗震鉴定与加固标准提出调整鉴定周期的分级抗震鉴定方法,以减小加固量或避免加固,实现对优秀历史建筑的有效保护。文中以上海外滩源某保护类别为三类的优秀历史建筑框架结构为例,在现场检测及结构安全评估的基础上,参照此标准将调整鉴定周期为25年,分抗震措施评估—小震验算—抗倒塌评估对抗震性能进行三级鉴定。结果表明,在小震作用下,少数构件不能满足抗震要求,但整体能满足抗倒塌评估要求,可暂不进行抗震加固。案例在坚守结构倒塌安全底线的同时实现了最小干预的保护原则,表明此抗震鉴定方法具有现实指导意义。 展开更多
关键词 优秀历史建筑 鉴定周期 保护类别 分级抗震鉴定 最小干预
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