BACKGROUND Bile duct leaks(BDLs)are serious postsurgical adverse events.Typically,conservative management with ab-dominal drainage is the initial treatment option.However,prolonged abdominal drainage without improveme...BACKGROUND Bile duct leaks(BDLs)are serious postsurgical adverse events.Typically,conservative management with ab-dominal drainage is the initial treatment option.However,prolonged abdominal drainage without improvement can lead to biliary stricture and delay the optimal timing of endoscopic retrograde cholangiopancreatography(ERCP).AIM To identify the optimal timing for ERCP and the period during which clinical observation with conservative management is acceptable,balancing ERCP success and the risk of biliary strictures.METHODS We conducted a multicenter retrospective study involving 448 patients with BDLs between November 2002 and November 2022.The patients were divided into four groups based on the timing of ERCP:3 days,7 days,14 days,and 21 days.The primary outcome was clinical success,defined as the resolution of BDL and related symptoms within 6 months without additional percutaneous drainage,surgery,or death.The secondary outcome was incidence of biliary strictures.Univariate and multivariate logistic regression analyses were performed to identify factors associated with ERCP success and biliary stricture occurrence.RESULTS In a cohort of 448 consecutive patients diagnosed with BDLs,354 were excluded,leaving 94 patients who underwent ERCP.Clinical success was achieved in 84%of cases(79/94),with a median ERCP timing of 20 days(9.5-35.3 days).Biliary strictures were identified in 29(30.9%)patients.Performing ERCP within 3 weeks,compared to after 3 weeks,was associated with higher success rates[92.0%(46/50)vs 75.0%(33/44),P=0.032]and a lower incidence of biliary stricture incidence[18.0%(9/50)vs 45.5%(20/44),P=0.005].Subsequent multivariate analysis confirmed the association with higher success rates(odds ratio=4.168,P=0.045)and lower biliary stricture rates(odds ratio=0.256,P=0.007).CONCLUSION Performing ERCP for BDLs within 3 weeks may be associated with a higher success rate and a lower biliary stricture rate.If patients with BDLs do not respond to conservative treatment,ERCP is suggested to be performed within 3 weeks.展开更多
Apart from listening to the cry of a healthy newborn,it is the declaration by the attending paediatrician in the labour room that the child is normal which brings utmost joy to parents.The global incidence of children...Apart from listening to the cry of a healthy newborn,it is the declaration by the attending paediatrician in the labour room that the child is normal which brings utmost joy to parents.The global incidence of children born with congenital anomalies has been reported to be 3%-6%with more than 90%of these occurring in low-and middle-income group countries.The exact percentages/total numbers of children requiring surgical treatment cannot be estimated for several reasons.These children are operated under several surgical disciplines,viz,paediatric-,plastic reconstructive,neuro-,cardiothoracic-,orthopaedic surgery etc.These conditions may be life-threatening,e.g.,trachea-oesophageal fistula,critical pulmonary stenosis,etc.and require immediate surgical intervention.Some,e.g.,hydrocephalus,may need intervention as soon as the patient is fit for surgery.Some,e.g.,patent ductus arteriosus need‘wait and watch’policy up to a certain age in the hope of spontaneous recovery.Another extremely important category is that of patients where the operative intervention is done based on their age.Almost all the congenital anomalies coming under care of a plastic surgeon are operated as elective surgery(many as multiple stages of correction)at appropriate ages.There are advantages and disadvantages of intervention at different ages.In this article,we present a review of optimal timings,along with reasoning,for surgery of many of the common congenital anomalies which are treated by plastic surgeons.Obstetricians,paediatricians and general practitioners/family physicians,who most often are the first ones to come across such children,must know to guide the parents appropriately and convincingly impress upon the them as to why their child should not be operated immediately and also the consequences of too soon or too late.展开更多
Objective To investigate the optimal timing for the repair of persistent incomplete facial paralysis by hypoglossal-facial ‘side＇-to-side neurorrhaphy in rats. Methods A total of 30 adult rats with crushed and bulld...Objective To investigate the optimal timing for the repair of persistent incomplete facial paralysis by hypoglossal-facial ‘side＇-to-side neurorrhaphy in rats. Methods A total of 30 adult rats with crushed and bulldog-clamped facial nerve injury were randomly divided into 5 groups（n = 6 each） that were subjected to injury without nerve repair or with immediate repair, 2-week-delayed repair, 4-week-delayed repair, or 8-week-delayed repair. Three months later, the effects of repair in each rat were evaluated by facial symmetry assessment, electrophysiological examination, retrograde labeling, and axon regeneration measurement. Results At 3 months after injury, the alpha angle significantly increased in the group of rats with 4-week-delayed repair compared with the other four groups. Upon stimulation of the facial nerve or Pre degenerated nerve, the muscle action potentials MAPs were recorded in the whisker pad muscle, and the MAP amplitude and area under the curve in the 4-week-delayed repair group were significantly augmented at 3 months post-injury. Similarly, the number of retrograde-labeled motor neurons in the facial and hypoglossal nuclei was quantified to be significantly greater in the 4-week-delayed repair group than in the other groups, and a large number of regenerated axons was also observed. Conclusion The results of this study demonstrated that hemi HN-FN neurorrhaphy performed 4 weeks after facial nerve injury was most effective in terms of the functional recovery of axonal regeneration and activation of facial muscles.展开更多
In this study,we construct a bi-level optimization model based on the Stackelberg game and propose a robust optimization algorithm for solving the bi-level model,assuming an actual situation with several participants ...In this study,we construct a bi-level optimization model based on the Stackelberg game and propose a robust optimization algorithm for solving the bi-level model,assuming an actual situation with several participants in energy trading.Firstly,the energy trading process is analyzed between each subject based on the establishment of the operation framework of multi-agent participation in energy trading.Secondly,the optimal operation model of each energy trading agent is established to develop a bi-level game model including each energy participant.Finally,a combination algorithm of improved robust optimization over time(ROOT)and CPLEX is proposed to solve the established game model.The experimental results indicate that under different fitness thresholds,the robust optimization results of the proposed algorithm are increased by 56.91%and 68.54%,respectively.The established bi-level game model effectively balances the benefits of different energy trading entities.The proposed algorithm proposed can increase the income of each participant in the game by an average of 8.59%.展开更多
The uncertainties of remanufactured products in multi-life cycle service, such as injury and restoration process route, are comprehensively analyzed in the present study from perspectives of cost and the environment. ...The uncertainties of remanufactured products in multi-life cycle service, such as injury and restoration process route, are comprehensively analyzed in the present study from perspectives of cost and the environment. Based on life cycle assessment method and the life cycle cost analysis, the optimal timing model of active remanufacturing for electro-mechanical products is established considering these uncertainties. In addition, regarding the active remanufacturing as its guidance, this study explores the economic efficiency and corresponding operation mode of electro-mechanical products when recycling in the optimal timing. To validate the optimal timing model for electro-mechanical products active remanufacturing, a specific type of product is taken as a case study with mathematical statistics method and Monte Carlo simulation.展开更多
Based on the elastic theory of porous media,embedded discrete fracture model and finite volume method,and considering the micro-seepage mechanism of shale gas,a fully coupled seepage-geomechanical model suitable for f...Based on the elastic theory of porous media,embedded discrete fracture model and finite volume method,and considering the micro-seepage mechanism of shale gas,a fully coupled seepage-geomechanical model suitable for fractured shale gas reservoirs is established,the optimization method of refracturing timing is proposed,and the influencing factors of refracturing timing are analyzed based on the data from shale gas well in Fuling of Sichuan Basin.The results show that due to the depletion of formation pressure,the percentage of the maximum horizontal principal stress reversal area in the total area increases and then decreases with time.The closer the area is to the hydraulic fracture,the shorter the time for the peak of the stress reversal area percentage curve to appear,and the shorter the time for the final zero return(to the initial state).The optimum time of refracturing is affected by matrix permeability,initial stress difference and natural fracture approach angle.The larger the matrix permeability and initial stress difference is,the shorter the time for stress reversal area percentage curve to reach peak and return to the initial state,and the earlier the time to take refracturing measures.The larger the natural fracture approach angle is,the more difficult it is for stress reversal to occur near the fracture,and the earlier the optimum refracturing time is.The more likely the stress reversal occurs at the far end of the artificial fracture,the later the optimal time of refracturing is.Reservoirs with low matrix permeability have a rapid decrease in single well productivity.To ensure economic efficiency,measures such as shut-in or gas injection can be taken to restore the stress,and refracturing can be implemented in advance.展开更多
An algorithm of path based timing optimization by buffer insertion is presented.The algorithm adopts a high order model to estimate interconnect delay and a nonlinear delay model based on look up table for gate dela...An algorithm of path based timing optimization by buffer insertion is presented.The algorithm adopts a high order model to estimate interconnect delay and a nonlinear delay model based on look up table for gate delay estimation.And heuristic method of buffer insertion is presented to reduce delay.The algorithm is tested by industral circuit case.Experimental results show that the algorithm can optimize the timing of circuit efficiently and the timing constraint is satisfied.展开更多
The expected cost per unit of time for a sequential inspection policy is derived. It still has some difficulties to compute an optimal sequential policy numerically, which minimizes the expected cost of a system with ...The expected cost per unit of time for a sequential inspection policy is derived. It still has some difficulties to compute an optimal sequential policy numerically, which minimizes the expected cost of a system with finite number of inspections. This paper gives the algorithm for an optimal inspection schedule and specifies the computing procedure for a Weibull distribution. Using this algorithm, optimal inspection times are computed as a numerical result. Compared with the periodic point inspection, the policies in this paper reduce the cost successfully.展开更多
Signal filtering and differential acquisition are classic yet challenging issues in control engineering.The discrete-time optimal control(DTOC)based on classic tracking differentiator(TD)can effectively extract differ...Signal filtering and differential acquisition are classic yet challenging issues in control engineering.The discrete-time optimal control(DTOC)based on classic tracking differentiator(TD)can effectively extract differentiation signals and filter signals,while eliminating the chattering problem that arises during the discretization of the continuous solution.However,under external disturbance,the convergence mode may change,leading to overshoot and noise amplification.In this paper,a dual-switching strategy is proposed,which can alternate between the base double-integral system and its dual system according to the quadrant of the system’s state.And a novel linearized control law is also introduced,deriving a novel dual-switch tracking differentiator.Further analysis of system convergence and time optimality is provided.Simulation results show that the application of this dual-switching strategy notably reduces overshoot in both tracking and differential signals while enhancing noise filtering performance.Moreover,experiments conducted on a permanent magnet synchronous motor(PMSM)platform,where the proposed TD acts as a filter in the speed feedback loop,demonstrate that the standard deviation between the reference speed and the target speed(at a constant speed of 378 r/min)decreased from 5.63 r/min to 4.93 r/min,compared to the moving average algorithm.展开更多
Dear Editor,This letter investigates predefined-time optimization problems(OPs) of multi-agent systems(MASs), where the agent of MASs is subject to inequality constraints, and the team objective function accounts for ...Dear Editor,This letter investigates predefined-time optimization problems(OPs) of multi-agent systems(MASs), where the agent of MASs is subject to inequality constraints, and the team objective function accounts for impulse effects. Firstly, to address the inequality constraints,the penalty method is introduced. Then, a novel optimization strategy is developed, which only requires that the team objective function be strongly convex.展开更多
As mobile edge computing continues to develop,the demand for resource-intensive applications is steadily increasing,placing a significant strain on edge nodes.These nodes are normally subject to various constraints,fo...As mobile edge computing continues to develop,the demand for resource-intensive applications is steadily increasing,placing a significant strain on edge nodes.These nodes are normally subject to various constraints,for instance,limited processing capability,a few energy sources,and erratic availability being some of the common ones.Correspondingly,these problems require an effective task allocation algorithmto optimize the resources through continued high system performance and dependability in dynamic environments.This paper proposes an improved Particle Swarm Optimization technique,known as IPSO,for multi-objective optimization in edge computing to overcome these issues.To this end,the IPSO algorithm tries to make a trade-off between two important objectives,which are energy consumption minimization and task execution time reduction.Because of global optimal position mutation and dynamic adjustment to inertia weight,the proposed optimization algorithm can effectively distribute tasks among edge nodes.As a result,it reduces the execution time of tasks and energy consumption.In comparative assessments carried out by IPSO with benchmark methods such as Energy-aware Double-fitness Particle Swarm Optimization(EADPSO)and ICBA,IPSO provides better results than these algorithms.For the maximum task size,when compared with the benchmark methods,IPSO reduces the execution time by 17.1%and energy consumption by 31.58%.These results allow the conclusion that IPSO is an efficient and scalable technique for task allocation at the edge environment.It provides peak efficiency while handling scarce resources and variable workloads.展开更多
While many controlled irrigation and drainage techniques have been adopted in China, the environmental effects of these techniques require further investigation. This study was conducted to examine the changes of nitr...While many controlled irrigation and drainage techniques have been adopted in China, the environmental effects of these techniques require further investigation. This study was conducted to examine the changes of nitrogen and phosphorus of a flooded paddy water system after fertilizer application and at each growth stage so as to obtain the optimal drainage time at each growth stage. Four treatments with different water level management methods at each growth stage were conducted under the condition of ten-day continuous flooding. Results show that the ammonia nitrogen （ NH4-N ） concentration reached the peak value once the fertilizer was applied, and then decreased to a relatively low level seven to ten days later, and that the nitrate nitrogen （NO^-N） concentration gradually rose to its peak value, which appeared later in subsurface water than in surface water. Continuous flooding could effectively reduce the concentrations of NH^-N , NO3-N, and total phosphorus （TP） in surface water. However, the paddy water disturbance, in the process of soil surface adsorption and nitrification, caused NH]-N to be released and increased the concentrations of NH4-N and NO^-N in surface water. A multi-objective controlled drainage model based on environmental factors was established in order to obtain the optimal drainage time at each growth stage and better guide the drainage practices of farmers. The optimal times for surface drainage are the fourth, sixth, fifth, and sixth days after flooding at the tillering, jointing-booting, heading-flowering, and milking stages, respectively.展开更多
As a classical technique for chaos suppression,the time-delayed feedback controlling strategy has been widely developed by stabilizing unstable periodic orbits(UPOs)embedded in chaotic systems.A critical issue for ach...As a classical technique for chaos suppression,the time-delayed feedback controlling strategy has been widely developed by stabilizing unstable periodic orbits(UPOs)embedded in chaotic systems.A critical issue for achieving high controlling precision is to search for an appropriate time delay.This paper proposes a simple yet effective approach,based on incremental harmonic balance method,to determine the optimal time delay in the delayed feedback controller.The time delay is adjusted within the iterative scheme provided by the proposed method,and finally converges to the period of the target UPO.As long as the optimal time delay is fixed,moreover,the attained solution makes it quite convenient to analyze its stability according to the Floquet theory,which further provides the effective interval of the feedback gain.展开更多
A signal optimization model for roundabout was control concept were used to eliminate the conflict points proposed based on dual-ring scheme and two stop lines for left turns and weaving sections at a roundabout. A cy...A signal optimization model for roundabout was control concept were used to eliminate the conflict points proposed based on dual-ring scheme and two stop lines for left turns and weaving sections at a roundabout. A cycle length minimization problem was considered to generate optimal signal timings for roundabout, and a set of constraints to ensure feasibility and safety of the resulting optimal signal settings were proposed. Extensive experimental analyses in comparison with signalized intersection reveal that the proposed model is quite promising for application in design of roundabout signals, and the minimum cycle length can decrease from 186 s to 79 s while the capacity increases from 8 682 pcu/h to 9 011 pcu/h under high demand scenario. Sensitivity analysis with respect to the system performance show that the lane assignment plan, number of circulatory lanes and left turn ratio are three critical factors which have dominate impacts on performance of signalized roundabout展开更多
Polymer flooding has been proven to effectively improve oil recovery in the Bohai Oil Field. However, due to high oil viscosity and significant formation heterogeneity, it is necessary to further improve the displacem...Polymer flooding has been proven to effectively improve oil recovery in the Bohai Oil Field. However, due to high oil viscosity and significant formation heterogeneity, it is necessary to further improve the displacement effectiveness of polymer flooding in heavy oil reservoirs in the service life of offshore platforms. In this paper, the effects of the water/oil mobility ratio in heavy oil reservoirs and the dimensionless oil productivity index on polymer flooding effectiveness were studied utilizing rel- ative permeability curves. The results showed that when the water saturation was less than the value, where the water/oil mobility ratio was equal to 1, polymer flooding could effectively control the increase of fractional water flow, which meant that the upper limit of water/oil ratio suitable for polymer flooding should be the value when the water/oil mobility ratio was equal to 1. Mean while, by injecting a certain volume of water to create water channels in the reservoir, the polymer flooding would be the most effective in improving sweep efficiency, and lower the fractional flow of water to the value corresponding to △Jmax. Considering the service life of the platform and the polymer mobility control capacity, the best polymer injection timing for heavy oil reservoirs was optimized. It has been tested for reservoirs with crude oil viscosity of 123 and 70 mPa s, the optimum polymer flooding effec- tiveness could be obtained when the polymer floods were initiated at the time when the fractional flow of water were 10 % and 25 %, respectively. The injection timing range for polymer flooding was also theoretically analyzed for the Bohai Oil Field utilizing which provided methods for effectiveness. relative permeability curves, improving polymer flooding展开更多
By assay of accelerated aging germination, germination index, vigor index, seedling length, seedling weight, electric conductivity, dehydrogenase activity, ATP content and acid phosphoesterase activity during seed dev...By assay of accelerated aging germination, germination index, vigor index, seedling length, seedling weight, electric conductivity, dehydrogenase activity, ATP content and acid phosphoesterase activity during seed development of turf-type tall fescue, the seed vigor of tall fescue were studied. Combining with seed moisture content and yield, the optimal harvesting time of tall fescue was determined. The results indicated that the seed vigor increased continuously along with seed maturity, and the higher seed vigor was achieved at 19th day after perk anthesis and maintained continuously until 31st day after peak anthesis. At 25th day after peak anthesis, the highest yield of 3 533 kg ha-1 and the good quality of seeds of tall fescue were harvested with 32.19% moisture content. From 22nd to 31st day after peak anthesis, the seed yield of 3 300 kg ha-1 and the good quality seeds of tall fescue were harvested with 40 - 12. 43% moisture content, and the span was the optimal harvesting time.展开更多
In order to study the diurnal variation of soil CO2 effiux from temperate meadow steppes in Northeast China, and determine the best time for observation, a field experiment was conducted with a LI-6400 soil CO2 flux s...In order to study the diurnal variation of soil CO2 effiux from temperate meadow steppes in Northeast China, and determine the best time for observation, a field experiment was conducted with a LI-6400 soil CO2 flux system under five typical plant communi- ties （Suaeda glauca （Sg）, Chloris virgata （Cv）, Puecinellia distans （Pd）, Leymus chinensis （Lc） and Phragmites australis （Pa）） and an alkali-spot land （As） at the meadow steppe of western Songnen Plain. The results showed that the diurnal variation of soil CO2 effiux exhibited a single peak curve in the growing season. Diurnal maximum soil respiration （Rs） often appeared between 1 1：00 and 13：00, while the minimum occurred at 21：00-23：00 or before dawn. Air temperature near the soil surface （Ta） and soil temperature at 10 cm depth （Tlo） exerted dominant control on the diurnal variations of soil respiration. The time-windows 7：00-9：00 could be used as the optimal measuring time to represent the daily mean soil CO2 effiux at the Cv, Pd, Lc and Pa sites. The daily mean soil CO2 effiux was close to the soil COz effiux from 15：00 to 17：00 and the mean of 2 individual soil CO2 effiux from 15：00 to 19：00 at the As and Sg sites, respectively. During nocturnal hours, negative soil CO2 fluxes （CO2 downwards into the soil） were frequently observed at the As and Sg sites, the magnitude of the negative CO2 fluxes were 0.10-1.55 gmol/（m2.s） and 0.10-0.69 gmol/（m2.s）at the two sites. The results im- plied that alkaline soils could absorb CO2 under natural condition, which might have significant implications to the global carbon budget accounting.展开更多
Gestational diabetes mellitus(GDM)is a common pregnancy complication strongly associated with poor maternal-fetal outcomes.Its incidence and prevalence have been increasing in recent years.Women with GDM typically giv...Gestational diabetes mellitus(GDM)is a common pregnancy complication strongly associated with poor maternal-fetal outcomes.Its incidence and prevalence have been increasing in recent years.Women with GDM typically give birth through either vaginal delivery or cesarean section,and the maternal-fetal outcomes are related to several factors such as cervical level,fetal lung maturity,the level of glycemic control still present,and the mode of treatment for the condition.We categorized women with GDM based on the latter two factors.GDM that is managed without medication when it is responsive to nutrition-and exercise-based therapy is considered diet-and exercise-controlled GDM,or class A1 GDM,and GDM managed with medication to achieve adequate glycemic control is considered class A2 GDM.The remaining cases in which neither medical nor nutritional treatment can control glucose levels or patients who do not control their blood sugar are categorized as class A3 GDM.We investigated the optimal time of delivery for women with GDM according to the classification of the condition.This review aimed to address the benefits and harms of giving birth at different weeks of gestation for women with different classes of GDM and attempted to provide an analytical framework and clearer advice on the optimal time for labor.展开更多
Energy transmission efficiency in the magnetic pulse generators varies with saturated time of magnetic switch. An optimal matching time exists and depends on the compression ratio, under which, the energy transmission...Energy transmission efficiency in the magnetic pulse generators varies with saturated time of magnetic switch. An optimal matching time exists and depends on the compression ratio, under which, the energy transmission efficiency can reach approximate 100%. The equation of required magnetic core volume is obtained by taken into account the optimal matching mode. It indicates that a great reduction on the volume is feasible under the optimal matching mode. The circuit simulation code-PSPICE is also introduced to simulate a 3-stage magnetic pulse compressor, and the results are in accordance with those of equivalent circuit analyses.展开更多
基金Supported by the National Key Research and Development Program,China,No.2022YFC2503603.
文摘BACKGROUND Bile duct leaks(BDLs)are serious postsurgical adverse events.Typically,conservative management with ab-dominal drainage is the initial treatment option.However,prolonged abdominal drainage without improvement can lead to biliary stricture and delay the optimal timing of endoscopic retrograde cholangiopancreatography(ERCP).AIM To identify the optimal timing for ERCP and the period during which clinical observation with conservative management is acceptable,balancing ERCP success and the risk of biliary strictures.METHODS We conducted a multicenter retrospective study involving 448 patients with BDLs between November 2002 and November 2022.The patients were divided into four groups based on the timing of ERCP:3 days,7 days,14 days,and 21 days.The primary outcome was clinical success,defined as the resolution of BDL and related symptoms within 6 months without additional percutaneous drainage,surgery,or death.The secondary outcome was incidence of biliary strictures.Univariate and multivariate logistic regression analyses were performed to identify factors associated with ERCP success and biliary stricture occurrence.RESULTS In a cohort of 448 consecutive patients diagnosed with BDLs,354 were excluded,leaving 94 patients who underwent ERCP.Clinical success was achieved in 84%of cases(79/94),with a median ERCP timing of 20 days(9.5-35.3 days).Biliary strictures were identified in 29(30.9%)patients.Performing ERCP within 3 weeks,compared to after 3 weeks,was associated with higher success rates[92.0%(46/50)vs 75.0%(33/44),P=0.032]and a lower incidence of biliary stricture incidence[18.0%(9/50)vs 45.5%(20/44),P=0.005].Subsequent multivariate analysis confirmed the association with higher success rates(odds ratio=4.168,P=0.045)and lower biliary stricture rates(odds ratio=0.256,P=0.007).CONCLUSION Performing ERCP for BDLs within 3 weeks may be associated with a higher success rate and a lower biliary stricture rate.If patients with BDLs do not respond to conservative treatment,ERCP is suggested to be performed within 3 weeks.
文摘Apart from listening to the cry of a healthy newborn,it is the declaration by the attending paediatrician in the labour room that the child is normal which brings utmost joy to parents.The global incidence of children born with congenital anomalies has been reported to be 3%-6%with more than 90%of these occurring in low-and middle-income group countries.The exact percentages/total numbers of children requiring surgical treatment cannot be estimated for several reasons.These children are operated under several surgical disciplines,viz,paediatric-,plastic reconstructive,neuro-,cardiothoracic-,orthopaedic surgery etc.These conditions may be life-threatening,e.g.,trachea-oesophageal fistula,critical pulmonary stenosis,etc.and require immediate surgical intervention.Some,e.g.,hydrocephalus,may need intervention as soon as the patient is fit for surgery.Some,e.g.,patent ductus arteriosus need‘wait and watch’policy up to a certain age in the hope of spontaneous recovery.Another extremely important category is that of patients where the operative intervention is done based on their age.Almost all the congenital anomalies coming under care of a plastic surgeon are operated as elective surgery(many as multiple stages of correction)at appropriate ages.There are advantages and disadvantages of intervention at different ages.In this article,we present a review of optimal timings,along with reasoning,for surgery of many of the common congenital anomalies which are treated by plastic surgeons.Obstetricians,paediatricians and general practitioners/family physicians,who most often are the first ones to come across such children,must know to guide the parents appropriately and convincingly impress upon the them as to why their child should not be operated immediately and also the consequences of too soon or too late.
基金supported by the Basic-Clinical scientific research cooperation fund of Capital Medical University[Grant No.14JL49]+1 种基金the National Natural Science Foundation of China[Grant No.31440051]Special fund for scientific research on health development in the capital[Grant No.2014-2-1073]
文摘Objective To investigate the optimal timing for the repair of persistent incomplete facial paralysis by hypoglossal-facial ‘side＇-to-side neurorrhaphy in rats. Methods A total of 30 adult rats with crushed and bulldog-clamped facial nerve injury were randomly divided into 5 groups（n = 6 each） that were subjected to injury without nerve repair or with immediate repair, 2-week-delayed repair, 4-week-delayed repair, or 8-week-delayed repair. Three months later, the effects of repair in each rat were evaluated by facial symmetry assessment, electrophysiological examination, retrograde labeling, and axon regeneration measurement. Results At 3 months after injury, the alpha angle significantly increased in the group of rats with 4-week-delayed repair compared with the other four groups. Upon stimulation of the facial nerve or Pre degenerated nerve, the muscle action potentials MAPs were recorded in the whisker pad muscle, and the MAP amplitude and area under the curve in the 4-week-delayed repair group were significantly augmented at 3 months post-injury. Similarly, the number of retrograde-labeled motor neurons in the facial and hypoglossal nuclei was quantified to be significantly greater in the 4-week-delayed repair group than in the other groups, and a large number of regenerated axons was also observed. Conclusion The results of this study demonstrated that hemi HN-FN neurorrhaphy performed 4 weeks after facial nerve injury was most effective in terms of the functional recovery of axonal regeneration and activation of facial muscles.
基金supported by the National Nature Science Foundation of China(Nos.62063019)Natural Science Foundation of Gansu Province(22JR5RA241,2023CXZX-465).
文摘In this study,we construct a bi-level optimization model based on the Stackelberg game and propose a robust optimization algorithm for solving the bi-level model,assuming an actual situation with several participants in energy trading.Firstly,the energy trading process is analyzed between each subject based on the establishment of the operation framework of multi-agent participation in energy trading.Secondly,the optimal operation model of each energy trading agent is established to develop a bi-level game model including each energy participant.Finally,a combination algorithm of improved robust optimization over time(ROOT)and CPLEX is proposed to solve the established game model.The experimental results indicate that under different fitness thresholds,the robust optimization results of the proposed algorithm are increased by 56.91%and 68.54%,respectively.The established bi-level game model effectively balances the benefits of different energy trading entities.The proposed algorithm proposed can increase the income of each participant in the game by an average of 8.59%.
基金supported by grants from the National Basic Research Program of China (2011CB013406)
文摘The uncertainties of remanufactured products in multi-life cycle service, such as injury and restoration process route, are comprehensively analyzed in the present study from perspectives of cost and the environment. Based on life cycle assessment method and the life cycle cost analysis, the optimal timing model of active remanufacturing for electro-mechanical products is established considering these uncertainties. In addition, regarding the active remanufacturing as its guidance, this study explores the economic efficiency and corresponding operation mode of electro-mechanical products when recycling in the optimal timing. To validate the optimal timing model for electro-mechanical products active remanufacturing, a specific type of product is taken as a case study with mathematical statistics method and Monte Carlo simulation.
基金Supported by National Natural Science Foundation Joint Fund Project(U21B2071)National Natural Science Foundation of China(52174033)National Natural Science Youth Foundation of China(52304041).
文摘Based on the elastic theory of porous media,embedded discrete fracture model and finite volume method,and considering the micro-seepage mechanism of shale gas,a fully coupled seepage-geomechanical model suitable for fractured shale gas reservoirs is established,the optimization method of refracturing timing is proposed,and the influencing factors of refracturing timing are analyzed based on the data from shale gas well in Fuling of Sichuan Basin.The results show that due to the depletion of formation pressure,the percentage of the maximum horizontal principal stress reversal area in the total area increases and then decreases with time.The closer the area is to the hydraulic fracture,the shorter the time for the peak of the stress reversal area percentage curve to appear,and the shorter the time for the final zero return(to the initial state).The optimum time of refracturing is affected by matrix permeability,initial stress difference and natural fracture approach angle.The larger the matrix permeability and initial stress difference is,the shorter the time for stress reversal area percentage curve to reach peak and return to the initial state,and the earlier the time to take refracturing measures.The larger the natural fracture approach angle is,the more difficult it is for stress reversal to occur near the fracture,and the earlier the optimum refracturing time is.The more likely the stress reversal occurs at the far end of the artificial fracture,the later the optimal time of refracturing is.Reservoirs with low matrix permeability have a rapid decrease in single well productivity.To ensure economic efficiency,measures such as shut-in or gas injection can be taken to restore the stress,and refracturing can be implemented in advance.
文摘An algorithm of path based timing optimization by buffer insertion is presented.The algorithm adopts a high order model to estimate interconnect delay and a nonlinear delay model based on look up table for gate delay estimation.And heuristic method of buffer insertion is presented to reduce delay.The algorithm is tested by industral circuit case.Experimental results show that the algorithm can optimize the timing of circuit efficiently and the timing constraint is satisfied.
文摘The expected cost per unit of time for a sequential inspection policy is derived. It still has some difficulties to compute an optimal sequential policy numerically, which minimizes the expected cost of a system with finite number of inspections. This paper gives the algorithm for an optimal inspection schedule and specifies the computing procedure for a Weibull distribution. Using this algorithm, optimal inspection times are computed as a numerical result. Compared with the periodic point inspection, the policies in this paper reduce the cost successfully.
基金Project(QZKFKT2023-012)supported by the State Key Laboratory of Heavy-duty and Express High-power Electric Locomotive,China。
文摘Signal filtering and differential acquisition are classic yet challenging issues in control engineering.The discrete-time optimal control(DTOC)based on classic tracking differentiator(TD)can effectively extract differentiation signals and filter signals,while eliminating the chattering problem that arises during the discretization of the continuous solution.However,under external disturbance,the convergence mode may change,leading to overshoot and noise amplification.In this paper,a dual-switching strategy is proposed,which can alternate between the base double-integral system and its dual system according to the quadrant of the system’s state.And a novel linearized control law is also introduced,deriving a novel dual-switch tracking differentiator.Further analysis of system convergence and time optimality is provided.Simulation results show that the application of this dual-switching strategy notably reduces overshoot in both tracking and differential signals while enhancing noise filtering performance.Moreover,experiments conducted on a permanent magnet synchronous motor(PMSM)platform,where the proposed TD acts as a filter in the speed feedback loop,demonstrate that the standard deviation between the reference speed and the target speed(at a constant speed of 378 r/min)decreased from 5.63 r/min to 4.93 r/min,compared to the moving average algorithm.
基金supported in part by the National Natural Science Foundation of China(62276119)the Natural Science Foundation of Jiangsu Province(BK20241764)the Postgraduate Research & Practice Innovation Program of Jiangsu Province(KYCX22_2860)
文摘Dear Editor,This letter investigates predefined-time optimization problems(OPs) of multi-agent systems(MASs), where the agent of MASs is subject to inequality constraints, and the team objective function accounts for impulse effects. Firstly, to address the inequality constraints,the penalty method is introduced. Then, a novel optimization strategy is developed, which only requires that the team objective function be strongly convex.
基金supported by the University Putra Malaysia and the Ministry of Higher Education Malaysia under grantNumber:(FRGS/1/2023/ICT11/UPM/02/3).
文摘As mobile edge computing continues to develop,the demand for resource-intensive applications is steadily increasing,placing a significant strain on edge nodes.These nodes are normally subject to various constraints,for instance,limited processing capability,a few energy sources,and erratic availability being some of the common ones.Correspondingly,these problems require an effective task allocation algorithmto optimize the resources through continued high system performance and dependability in dynamic environments.This paper proposes an improved Particle Swarm Optimization technique,known as IPSO,for multi-objective optimization in edge computing to overcome these issues.To this end,the IPSO algorithm tries to make a trade-off between two important objectives,which are energy consumption minimization and task execution time reduction.Because of global optimal position mutation and dynamic adjustment to inertia weight,the proposed optimization algorithm can effectively distribute tasks among edge nodes.As a result,it reduces the execution time of tasks and energy consumption.In comparative assessments carried out by IPSO with benchmark methods such as Energy-aware Double-fitness Particle Swarm Optimization(EADPSO)and ICBA,IPSO provides better results than these algorithms.For the maximum task size,when compared with the benchmark methods,IPSO reduces the execution time by 17.1%and energy consumption by 31.58%.These results allow the conclusion that IPSO is an efficient and scalable technique for task allocation at the edge environment.It provides peak efficiency while handling scarce resources and variable workloads.
基金supported by the National Natural Science Foundation of China (Grant No. 50839002)the National Key Technologies R&D Program of China during the Eleventh Five-Year Plan Period (Grant No.2006BAD11B06)the Jiangsu Province Graduate Cultivation Innovative Project (Grant No.CXZZ11_0453)
文摘While many controlled irrigation and drainage techniques have been adopted in China, the environmental effects of these techniques require further investigation. This study was conducted to examine the changes of nitrogen and phosphorus of a flooded paddy water system after fertilizer application and at each growth stage so as to obtain the optimal drainage time at each growth stage. Four treatments with different water level management methods at each growth stage were conducted under the condition of ten-day continuous flooding. Results show that the ammonia nitrogen （ NH4-N ） concentration reached the peak value once the fertilizer was applied, and then decreased to a relatively low level seven to ten days later, and that the nitrate nitrogen （NO^-N） concentration gradually rose to its peak value, which appeared later in subsurface water than in surface water. Continuous flooding could effectively reduce the concentrations of NH^-N , NO3-N, and total phosphorus （TP） in surface water. However, the paddy water disturbance, in the process of soil surface adsorption and nitrification, caused NH]-N to be released and increased the concentrations of NH4-N and NO^-N in surface water. A multi-objective controlled drainage model based on environmental factors was established in order to obtain the optimal drainage time at each growth stage and better guide the drainage practices of farmers. The optimal times for surface drainage are the fourth, sixth, fifth, and sixth days after flooding at the tillering, jointing-booting, heading-flowering, and milking stages, respectively.
基金supported by the National Natural Science Foundation of China(Grants 11702333 and 11672337)Natural Science Foundation of Guangdong Province(Grant 2018B030311001).
文摘As a classical technique for chaos suppression,the time-delayed feedback controlling strategy has been widely developed by stabilizing unstable periodic orbits(UPOs)embedded in chaotic systems.A critical issue for achieving high controlling precision is to search for an appropriate time delay.This paper proposes a simple yet effective approach,based on incremental harmonic balance method,to determine the optimal time delay in the delayed feedback controller.The time delay is adjusted within the iterative scheme provided by the proposed method,and finally converges to the period of the target UPO.As long as the optimal time delay is fixed,moreover,the attained solution makes it quite convenient to analyze its stability according to the Floquet theory,which further provides the effective interval of the feedback gain.
基金Project(51178345) supported by the National Natural Science Foundation of ChinaProject(2011AA110305) supported by the National High Technology Research and Development Program of ChinaProject supported by the Program for Young Excellent Talents in Tongji University, China
文摘A signal optimization model for roundabout was control concept were used to eliminate the conflict points proposed based on dual-ring scheme and two stop lines for left turns and weaving sections at a roundabout. A cycle length minimization problem was considered to generate optimal signal timings for roundabout, and a set of constraints to ensure feasibility and safety of the resulting optimal signal settings were proposed. Extensive experimental analyses in comparison with signalized intersection reveal that the proposed model is quite promising for application in design of roundabout signals, and the minimum cycle length can decrease from 186 s to 79 s while the capacity increases from 8 682 pcu/h to 9 011 pcu/h under high demand scenario. Sensitivity analysis with respect to the system performance show that the lane assignment plan, number of circulatory lanes and left turn ratio are three critical factors which have dominate impacts on performance of signalized roundabout
基金supported by Open Fund (CRI2012RCPS0152CN) of State Key Laboratory of Offshore Oil Exploitationthe National Science and Technology Major Project (2011ZX05024-004-01)
文摘Polymer flooding has been proven to effectively improve oil recovery in the Bohai Oil Field. However, due to high oil viscosity and significant formation heterogeneity, it is necessary to further improve the displacement effectiveness of polymer flooding in heavy oil reservoirs in the service life of offshore platforms. In this paper, the effects of the water/oil mobility ratio in heavy oil reservoirs and the dimensionless oil productivity index on polymer flooding effectiveness were studied utilizing rel- ative permeability curves. The results showed that when the water saturation was less than the value, where the water/oil mobility ratio was equal to 1, polymer flooding could effectively control the increase of fractional water flow, which meant that the upper limit of water/oil ratio suitable for polymer flooding should be the value when the water/oil mobility ratio was equal to 1. Mean while, by injecting a certain volume of water to create water channels in the reservoir, the polymer flooding would be the most effective in improving sweep efficiency, and lower the fractional flow of water to the value corresponding to △Jmax. Considering the service life of the platform and the polymer mobility control capacity, the best polymer injection timing for heavy oil reservoirs was optimized. It has been tested for reservoirs with crude oil viscosity of 123 and 70 mPa s, the optimum polymer flooding effec- tiveness could be obtained when the polymer floods were initiated at the time when the fractional flow of water were 10 % and 25 %, respectively. The injection timing range for polymer flooding was also theoretically analyzed for the Bohai Oil Field utilizing which provided methods for effectiveness. relative permeability curves, improving polymer flooding
基金The study was supported by“948”Project of the Ministry of Agriculture of China.
文摘By assay of accelerated aging germination, germination index, vigor index, seedling length, seedling weight, electric conductivity, dehydrogenase activity, ATP content and acid phosphoesterase activity during seed development of turf-type tall fescue, the seed vigor of tall fescue were studied. Combining with seed moisture content and yield, the optimal harvesting time of tall fescue was determined. The results indicated that the seed vigor increased continuously along with seed maturity, and the higher seed vigor was achieved at 19th day after perk anthesis and maintained continuously until 31st day after peak anthesis. At 25th day after peak anthesis, the highest yield of 3 533 kg ha-1 and the good quality of seeds of tall fescue were harvested with 32.19% moisture content. From 22nd to 31st day after peak anthesis, the seed yield of 3 300 kg ha-1 and the good quality seeds of tall fescue were harvested with 40 - 12. 43% moisture content, and the span was the optimal harvesting time.
基金Under the auspices of National Natural Science Foundation of China(No.41501090,41501105)Fundamental Research Funds for Central Universities(No.2412015KJ023)
文摘In order to study the diurnal variation of soil CO2 effiux from temperate meadow steppes in Northeast China, and determine the best time for observation, a field experiment was conducted with a LI-6400 soil CO2 flux system under five typical plant communi- ties （Suaeda glauca （Sg）, Chloris virgata （Cv）, Puecinellia distans （Pd）, Leymus chinensis （Lc） and Phragmites australis （Pa）） and an alkali-spot land （As） at the meadow steppe of western Songnen Plain. The results showed that the diurnal variation of soil CO2 effiux exhibited a single peak curve in the growing season. Diurnal maximum soil respiration （Rs） often appeared between 1 1：00 and 13：00, while the minimum occurred at 21：00-23：00 or before dawn. Air temperature near the soil surface （Ta） and soil temperature at 10 cm depth （Tlo） exerted dominant control on the diurnal variations of soil respiration. The time-windows 7：00-9：00 could be used as the optimal measuring time to represent the daily mean soil CO2 effiux at the Cv, Pd, Lc and Pa sites. The daily mean soil CO2 effiux was close to the soil COz effiux from 15：00 to 17：00 and the mean of 2 individual soil CO2 effiux from 15：00 to 19：00 at the As and Sg sites, respectively. During nocturnal hours, negative soil CO2 fluxes （CO2 downwards into the soil） were frequently observed at the As and Sg sites, the magnitude of the negative CO2 fluxes were 0.10-1.55 gmol/（m2.s） and 0.10-0.69 gmol/（m2.s）at the two sites. The results im- plied that alkaline soils could absorb CO2 under natural condition, which might have significant implications to the global carbon budget accounting.
基金Supported by National Natural Science Foundation of China,No. 82071679 and 82271721Basic and Clinical Cooperative Research Promotion Program of Anhui Medical University,No. 2019xkj T020
文摘Gestational diabetes mellitus(GDM)is a common pregnancy complication strongly associated with poor maternal-fetal outcomes.Its incidence and prevalence have been increasing in recent years.Women with GDM typically give birth through either vaginal delivery or cesarean section,and the maternal-fetal outcomes are related to several factors such as cervical level,fetal lung maturity,the level of glycemic control still present,and the mode of treatment for the condition.We categorized women with GDM based on the latter two factors.GDM that is managed without medication when it is responsive to nutrition-and exercise-based therapy is considered diet-and exercise-controlled GDM,or class A1 GDM,and GDM managed with medication to achieve adequate glycemic control is considered class A2 GDM.The remaining cases in which neither medical nor nutritional treatment can control glucose levels or patients who do not control their blood sugar are categorized as class A3 GDM.We investigated the optimal time of delivery for women with GDM according to the classification of the condition.This review aimed to address the benefits and harms of giving birth at different weeks of gestation for women with different classes of GDM and attempted to provide an analytical framework and clearer advice on the optimal time for labor.
基金supported by the High Technology Resesarch Development Project of China (863)
文摘Energy transmission efficiency in the magnetic pulse generators varies with saturated time of magnetic switch. An optimal matching time exists and depends on the compression ratio, under which, the energy transmission efficiency can reach approximate 100%. The equation of required magnetic core volume is obtained by taken into account the optimal matching mode. It indicates that a great reduction on the volume is feasible under the optimal matching mode. The circuit simulation code-PSPICE is also introduced to simulate a 3-stage magnetic pulse compressor, and the results are in accordance with those of equivalent circuit analyses.
