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环状RNA-MYC-overlap.2/微小RNA-19a-3p在胃癌的表达及临床意义 被引量:2
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作者 殷爱红 王楚畅 +2 位作者 李梦芸 俞悦 邓蕾 《江苏医药》 CAS 2022年第9期874-878,共5页
目的探讨环状RNA-MYC-overlap.2(circ-MYC-overlap.2)/微小RNA-19a-3p(miR-19a-3p)在胃癌的表达及其临床意义。方法采用RT-PCR检测56例胃癌组织及其癌旁正常组织以及56例胃癌患者和50例健康人群血清中circ-MYC-overlap.2、miR-19a-3p的... 目的探讨环状RNA-MYC-overlap.2(circ-MYC-overlap.2)/微小RNA-19a-3p(miR-19a-3p)在胃癌的表达及其临床意义。方法采用RT-PCR检测56例胃癌组织及其癌旁正常组织以及56例胃癌患者和50例健康人群血清中circ-MYC-overlap.2、miR-19a-3p的表达,并分析circ-MYC-overlap.2表达与胃癌患者临床特征的相关性。采用Kaplan-Meier生存曲线分析胃癌患者血清中circ-MYC-overlap.2表达与术后5年生存期的关系。观察人胃癌细胞株SGC-7901中信号传导与转录激活因子3(STAT3)信号通路对circ-MYC-overlap.2表达的调控作用。结果与癌旁正常组织相比,胃癌组织中circ-MYC-overlap.2表达上调,miR-19a-3p表达下调(P<0.01);胃癌组织中circ-MYC-overlap.2与miR-19a-3p表达呈负相关(r=-0.503,P<0.01)。与健康人群相比,胃癌患者血清中circ-MYC-overlap.2表达上调,miR-19a-3p表达下调(P<0.01);胃癌患者血清中circ-MYC-overlap.2与miR-19a-3p表达呈负相关(r=-0.658,P<0.01)。TNM分期Ⅲ和Ⅳ期、伴有淋巴结或远处转移患者的胃癌组织和血清中circ-MYC-overlap.2表达分别高于TNM分期Ⅰ和Ⅱ期、未转移患者(P<0.05)。circ-MYC-overlap.2低表达患者5年生存率高于circ-MYC-overlap.2高表达患者(P<0.01)。在SGC-7901细胞中,IL-6可上调circ-MYC-overlap.2表达(P<0.01),而加入STAT3抑制剂硝呋齐特后circ-MYC-overlap.2表达下调(P<0.01)。结论circ-MYC-overlap.2可作为判断胃癌患者临床分级、转移及预后的潜在标志物。circ-MYC-overlap.2可能通过吸附效应下调miR-19a-3p的作用。 展开更多
关键词 胃癌 环状核糖核酸MYC-overlap.2 微小核糖核酸19a-3p
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腹腔镜全胃切除术联合食管空肠π吻合与Overlap吻合对胆囊容积及血清前白蛋白水平影响的对比研究
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作者 张俊飞 周伯良 +3 位作者 杨茜 牛帅 张一曼 张惠卿 《腹腔镜外科杂志》 2025年第4期246-250,256,共6页
目的:探讨腹腔镜全胃切除术中采用食管空肠π吻合对胆囊容积、血清前白蛋白水平的影响。方法:回顾分析2021年9月至2023年10月为80例胃癌患者行腹腔镜全胃切除术的临床资料,根据消化道重建方式分为Overlap组(行Overlap吻合,n=36)、π吻合... 目的:探讨腹腔镜全胃切除术中采用食管空肠π吻合对胆囊容积、血清前白蛋白水平的影响。方法:回顾分析2021年9月至2023年10月为80例胃癌患者行腹腔镜全胃切除术的临床资料,根据消化道重建方式分为Overlap组(行Overlap吻合,n=36)、π吻合组(行食管空肠π吻合,n=44)。比较两组手术情况、胆囊容积相关指标、营养指标、术后并发症及生活质量。结果:π吻合组手术时间短于Overlap组(P<0.05)。术后3个月,π型组空腹胆囊容积、脂肪餐后胆囊容积、与术前差值均小于Overlap组;白蛋白、血红蛋白、总蛋白、前白蛋白与术前差值均大于Overlap组(P<0.05),BMI与术前差值小于O verlap组(P<0.05);两组术后并发症、胆囊收缩率差异无统计学意义(P>0.05)。术后随访6个月,两组Visick分级差异无统计学意义(P>0.05),π吻合组胃肠道症状评定量表评分低于Overlap组(P<0.05)。结论:与Overlap吻合相比,腹腔镜全胃切除术中采用食管空肠π吻合具有更好的临床效果,可有效缩短手术时间,利于改善胆囊容积,减少胆囊功能障碍的发生,改善患者营养状况,提高生活质量。 展开更多
关键词 胃切除术 腹腔镜检查 食管空肠π吻合 overlap吻合 胆囊容积 前白蛋白
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基于指标数据差异化分析自牵引Overlap吻合在全腔镜右半结肠癌中的应用价值
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作者 薛建飞 杨侃侃 +2 位作者 汤朝 江涛 江兵 《中文科技期刊数据库(引文版)医药卫生》 2025年第7期106-111,共6页
研究自牵引Overlap吻合在全腔镜右半结肠癌中的应用价值。方法 右半结肠癌患者63例均于2021年1月至2023年9月在本院接受手术治疗。以术中吻合方式的不同展开分组,对照组33例进行腹腔镜辅助切口吻合,观察组30例实施自牵引Overlap吻合。... 研究自牵引Overlap吻合在全腔镜右半结肠癌中的应用价值。方法 右半结肠癌患者63例均于2021年1月至2023年9月在本院接受手术治疗。以术中吻合方式的不同展开分组,对照组33例进行腹腔镜辅助切口吻合,观察组30例实施自牵引Overlap吻合。对比两组的围术期相关情况、并发症情况。结果 观察组术后切口长度短于对照组,吻合、术后肛门首次排气与住院相关时间均更短,P<0.05;并发症发生率组间对比,P>0.05。结论 在全腔镜右半结肠癌根治术中应用自牵引Overlap吻合的效果显著,创伤小且可使疼痛减轻,加快患者康复速度。 展开更多
关键词 右半结肠癌 腔镜 自牵引overlap吻合
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机器人辅助下全胃切除术Overlap吻合与π吻合对患者术后短期疗效及安全性研究分析
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作者 刘珊 邱庆安 邢兆东 《临床普外科电子杂志》 2025年第3期2-6,共5页
目的 探究机器人辅助下全胃切除术中Overlap吻合与π吻合术后短期疗效及安全性。方法 选取2022年1月至2025年1月于海南省人民医院接受全胃切除术患者103例作为研究对象,按照随机数字表法分成两组,其中Overlap组接受Overlap吻合术(n=52)... 目的 探究机器人辅助下全胃切除术中Overlap吻合与π吻合术后短期疗效及安全性。方法 选取2022年1月至2025年1月于海南省人民医院接受全胃切除术患者103例作为研究对象,按照随机数字表法分成两组,其中Overlap组接受Overlap吻合术(n=52),π组接受π吻合术(n=51),比较两组的手术情况(手术时间、消化道重建时间、术中出血量、淋巴结清扫个数、吻合时间)、术后恢复(术后镇痛时间、下床活动时间、肛门排气时间、术后住院时间)、营养指标、并发症发生情况。结果 π组患者的手术时间、吻合时间短于Overlap组(P<0.05);两组患者的术中出血量和淋巴结清扫个数比较差异无显著性(P>0.05);π组患者术后肛门排气时间和术后住院时间短于Overlap组(P<0.05);两组患者的术后镇痛时间和下床活动时间比较差异无显著性(P>0.05)。术后3个月,两组的血红蛋白、白蛋白、前白蛋白水平均较术前升高(P<0.05),但两组比较差异无显著性(P>0.05)。π组患者并发症发生率显著低于Overlap组患者(P<0.05)。结论 在机器人辅助全胃切除术中,π吻合的手术时间短,患者术后恢复较快,且并发症发生率低,短期疗效显著且具备较高的安全性。 展开更多
关键词 机器人 全胃切除术 overlap吻合 π吻合
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Deformation analysis of ground and existing tunnel induced by overlapped curved shield tunneling 被引量:1
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作者 Yingnan Liu Huayang Lei +2 位作者 Liang Shi Gang Zheng Mengting Wang 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第2期795-809,共15页
The deformation caused by tunnel excavation is quite important for safety,especially when it is adjacent to the existing tunnel.Nevertheless,the investigation of deformation characteristics in overlapped curved shield... The deformation caused by tunnel excavation is quite important for safety,especially when it is adjacent to the existing tunnel.Nevertheless,the investigation of deformation characteristics in overlapped curved shield tunneling remains inadequate.The analytical solution for calculating the deformation of the ground and existing tunnel induced by overlapped curved shield tunneling is derived by the Mirror theory,Mindlin solution and Euler-Bernoulli-Pasternak model,subsequently validated through both finite element simulation and field monitoring.It is determined that the overcutting plays a crucial role in the ground settlement resulting from curved shield tunneling compared to straight shield tunneling.The longitudinal settlement distribution can be categorized into five areas,with the area near the tunnel surface experiencing the most dramatic settlement changes.The deformation of the existing tunnel varies most significantly with turning radius compared to tunnel clearance and grouting pressure,especially when the turning radius is less than 30 times the tunnel diameter.The tunnel crown exhibits larger displacement than the tunnel bottom,resulting in a distinctive‘vertical egg'shape.Furthermore,an optimized overcutting mode is proposed,involving precise control of the extension speed and angular velocity of the overcutting cutter,which effectively mitigates ground deformation,ensuring the protection of the existing tunnel during the construction. 展开更多
关键词 overlapped curved shield tunneling Analytical solution Ground deformation Existing tunnel Overcutting mode
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Bulging Performance and Quality Control of Aluminum Alloy Tailor-welded Overlapping Sheets Based on Interface Friction
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作者 GAO Tiejun GAO Bowen +1 位作者 LI Weijie ZHANG Jiabin 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2025年第1期258-264,共7页
In order to solve the problem of poor formability caused by different materials and properties in the process of tailor-welded sheets forming,a forming method was proposed to change the stress state of tailor-welded s... In order to solve the problem of poor formability caused by different materials and properties in the process of tailor-welded sheets forming,a forming method was proposed to change the stress state of tailor-welded sheets by covering the tailor-welded sheets with better plastic properties overlapping sheets.At the same time,the interface friction effect between the overlapping and tailor-welded sheets was utilized to control the stress magnitude and further improve the formability and quality of the tailor-welded sheets.In this work,the bulging process of the tailor-welded overlapping sheets was taken as the research object.Aluminum alloy tailor-welded overlapping sheets bulging specimens were studied by a combination of finite element analysis and experimental verification.The results show that the appropriate use of interface friction between tailor-welded and overlapping sheets can improve the formability of tailor-welded sheets and control the flow of weld seam to improve the forming quality.When increasing the interface friction coefficient on the side of tailor-welded sheets with higher strength and decreasing that on the side of tailor-welded sheets with lower strength,the deformation of the tailor-welded sheets are more uniform,the offset of the weld seam is minimal,the limit bulging height is maximal,and the forming quality is optimal. 展开更多
关键词 tailor-welded sheets overlapping sheet BULGING interface friction weld seam stress
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Multi-omics analysis reveals gut microbiota-metabolite interactions and their association with liver function in autoimmune overlap syndrome
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作者 Qi Wang Li-Na Sun +7 位作者 Han Shi Xin-Yue Ma Wen Gao Bin Xu Xiao Lin Yan-Min Liu Chun-Yang Huang Rong-Hua Jin 《World Journal of Gastroenterology》 2025年第25期26-44,共19页
BACKGROUND Autoimmune liver diseases,including primary biliary cholangitis(PBC),autoi-mmune hepatitis(AIH),and their overlap syndrome(OS),involve immune-mediated liver injury,with OS occurring in 1.2%-25%of PBC patien... BACKGROUND Autoimmune liver diseases,including primary biliary cholangitis(PBC),autoi-mmune hepatitis(AIH),and their overlap syndrome(OS),involve immune-mediated liver injury,with OS occurring in 1.2%-25%of PBC patients.OS carries a higher risk of cirrhosis,hepatocellular carcinoma,and reduced survival.While its pathogenesis remains unclear,gut microbiota dysbiosis and serum metabolite alterations may play key roles.This study uses 16S rRNA sequencing and liquid chromatography-mass spec-trometry(LC-MS)metabolomics to compare gut microbiota and serum metabolites among PBC,AIH,and OS patients,and explores their associations with liver function.AIM To differentiate OS from PBC and AIH based on gut microbiota,serum metabolites,and liver function.METHODS Gut microbiota profiles were analyzed using 16S rRNA sequencing,while untargeted serum metabolomics was conducted via LC-MS.Comparative analyses were performed to identify differences in microbial composition and serum metabolite levels among PBC,AIH,and OS groups.Correlation analyses and network visualization tech-niques were applied to elucidate the interactions among liver function parameters,gut microbiota,and serum metabolites in OS patients.RESULTS Compared to patients with PBC or AIH,OS patients demonstrated significantly reduced microbial diversity and richness.Notable taxonomic shifts included decreased abundances of Firmicutes,Bacteroidetes,and Actinobacteria,alongside increased levels of Proteobacteria and Verrucomicrobia.Distinct serum metabolites,such as pentadecanoic acid and aminoimidazole carboxamide ribonucleotide,were identified in OS patients.Correlation analysis revealed that aspartate aminotransferase(AST)levels were negatively associated with the bacterial genus Fusicatenibacter and the metabolite L-Tyrosine.A microbial-metabolite network diagram further confirmed a strong association between Fusicatenibacter and L-Tyrosine in OS patients.CONCLUSION OS patients show decreased gut microbiota diversity and unique serum metabolites.Multi-omics linked AST,Fusicatenibacter,and L-Tyrosine,revealing OS mechanisms and diagnostic potential. 展开更多
关键词 overlap syndrome Multi-omics Gut microbiomes METABOLITES Liver function
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Distribution pattern and niche overlap of sympatric breeding birds alonghuman-modified habitat gradients in Inner Mongolia,China
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作者 Xi Yang Lishi Zhang +3 位作者 Piotr Tryjanowski Frédéric Jiguet Zheng Han Haitao Wang 《Avian Research》 2025年第1期11-20,共10页
The transformation of natural habitats into human-modified landscapes has far-reaching consequences for species distribution and abundance.As species adapt to these changing environments,shifts in distribution pattern... The transformation of natural habitats into human-modified landscapes has far-reaching consequences for species distribution and abundance.As species adapt to these changing environments,shifts in distribution patterns,niche dynamics,and interspecies interactions may occur,impacting biodiversity at multiple levels and potentially leading to ecosystem imbalances.This study aims to assess the impact of variations in vegetation composition and human disturbance on the distribution of sympatric breeding birds and to determine the extent of niche overlap or differentiation among these species.We conducted field surveys and collected data on bird distribution,vegetation composition,and level of human disturbance in eastern Inner Mongolian grasslands.We focused on the six most frequently co-occurring breeding birds,representing a mix of sparrows,larks,and corvids.Generalized Additive Models revealed varying responses of species occurrence along habitat gradients.Species like the Eurasian Skylark(Alauda arvensis),Mongolian Lark(Melanocorypha mongolica),and Asian Shorttoed Lark(Calandrella cheleensis),increased in larger and more connected habitats,while others,like the Tree Sparrow(Passer montanus),Eurasian Magpie(Pica pica),and Barn Swallow(Hirundo rustica),adapted to more fragmented habitats.Niche analysis indicated habitat generalists tended to occupy larger niches than grassland specialists.Substantial niche overlap was also found among the six co-occurring bird species.Conservation efforts should consider the specific needs of specialist species and strive to maintain or restore critical grassland habitats.Additionally,promoting sustainable agricultural practices that balance the needs of birds and human activities can contribute to the coexistence of generalist and specialist bird species in modified landscapes. 展开更多
关键词 Breeding birds Community assembly Habitat selection Niche overlap Species co-existence
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Enhancing p-d hybridization via synergistic regulation of spatial and energetic orbital overlaps in Ba-doped LaNiO_(3)epitaxial films for oxygen evolution activity
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作者 Yingjia Li Xiang Xu +11 位作者 Xiaoyu Qiu Jie Tu Zijian Chen Yujie Zhou Zhao Guan Youyuan Zhang Wen-Yi Tong Shaohui Xu Ni Zhong Pinghua Xiang Chun-Gang Duan Binbin Chen 《Chinese Physics B》 2025年第5期157-163,共7页
The hybridization between oxygen 2p and transition-metal 3d states largely determines the electronic structure near the Fermi level and related functionalities of transition-metal oxides(TMOs).Considerable efforts hav... The hybridization between oxygen 2p and transition-metal 3d states largely determines the electronic structure near the Fermi level and related functionalities of transition-metal oxides(TMOs).Considerable efforts have been made to manipulate the p-d hybridization in TMOs by tailoring the spatial orbital overlap via structural engineering.Here,we demonstrate enhanced p-d hybridization in Ba^(2+)-doped LaNiO_(3)epitaxial films by simultaneously modifying both the spatial and energetic overlaps between the O-2p and Ni-3d orbitals.Combining x-ray absorption spectroscopy and firstprinciples calculations,we reveal that the enhanced hybridization stems from the synergistic effects of a reduced chargetransfer energy due to hole injection and an increased spatial orbital overlap due to straightening of Ni-O-Ni bonds.We further show that the enhanced p-d hybridization can be utilized to promote the oxygen evolution activity of LaNiO_(3).This work sheds new insights into the fine-tuning of the electronic structures of TMOs for enhanced functionalities. 展开更多
关键词 transition-metal oxide doping p-d hybridization orbital overlap oxygen evolution activity
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A Computationally Efficient Density-Aware Adversarial Resampling Framework Using Wasserstein GANs for Imbalance and Overlapping Data Classification
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作者 Sidra Jubair Jie Yang +2 位作者 Bilal Ali Walid Emam Yusra Tashkandy 《Computer Modeling in Engineering & Sciences》 2025年第7期511-534,共24页
Effectively handling imbalanced datasets remains a fundamental challenge in computational modeling and machine learning,particularly when class overlap significantly deteriorates classification performance.Traditional... Effectively handling imbalanced datasets remains a fundamental challenge in computational modeling and machine learning,particularly when class overlap significantly deteriorates classification performance.Traditional oversampling methods often generate synthetic samples without considering density variations,leading to redundant or misleading instances that exacerbate class overlap in high-density regions.To address these limitations,we propose Wasserstein Generative Adversarial Network Variational Density Estimation WGAN-VDE,a computationally efficient density-aware adversarial resampling framework that enhances minority class representation while strategically reducing class overlap.The originality of WGAN-VDE lies in its density-aware sample refinement,ensuring that synthetic samples are positioned in underrepresented regions,thereby improving class distinctiveness.By applying structured feature representation,targeted sample generation,and density-based selection mechanisms strategies,the proposed framework ensures the generation of well-separated and diverse synthetic samples,improving class separability and reducing redundancy.The experimental evaluation on 20 benchmark datasets demonstrates that this approach outperforms 11 state-of-the-art rebalancing techniques,achieving superior results in F1-score,Accuracy,G-Mean,and AUC metrics.These results establish the proposed method as an effective and robust computational approach,suitable for diverse engineering and scientific applications involving imbalanced data classification and computational modeling. 展开更多
关键词 Machine learning imbalanced classification class overlap computational modelling adversarial resampling density estimation
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An Overlapped Multihead Self-Attention-Based Feature Enhancement Approach for Ocular Disease Image Recognition
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作者 Peng Xiao Haiyu Xu +3 位作者 Peng Xu Zhiwei Guo Amr Tolba Osama Alfarraj 《Computers, Materials & Continua》 2025年第11期2999-3022,共24页
Medical image analysis based on deep learning has become an important technical requirement in the field of smart healthcare.In view of the difficulties in collaborative modeling of local details and global features i... Medical image analysis based on deep learning has become an important technical requirement in the field of smart healthcare.In view of the difficulties in collaborative modeling of local details and global features in multimodal image analysis of ophthalmology,as well as the existence of information redundancy in cross-modal data fusion,this paper proposes amultimodal fusion framework based on cross-modal collaboration and weighted attention mechanism.In terms of feature extraction,the framework collaboratively extracts local fine-grained features and global structural dependencies through a parallel dual-branch architecture,overcoming the limitations of traditional single-modality models in capturing either local or global information;in terms of fusion strategy,the framework innovatively designs a cross-modal dynamic fusion strategy,combining overlappingmulti-head self-attention modules with a bidirectional feature alignment mechanism,addressing the bottlenecks of low feature interaction efficiency and excessive attention fusion computations in traditional parallel fusion,and further introduces cross-domain local integration technology,which enhances the representation ability of the lesion area through pixel-level feature recalibration and optimizes the diagnostic robustness of complex cases.Experiments show that the framework exhibits excellent feature expression and generalization performance in cross-domain scenarios of ophthalmic medical images and natural images,providing a high-precision,low-redundancy fusion paradigm for multimodal medical image analysis,and promoting the upgrade of intelligent diagnosis and treatment fromsingle-modal static analysis to dynamic decision-making. 展开更多
关键词 overlapping multi-head self-attention deep learning cross-modal dynamic fusion multi-level fusion
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What determines survival in autoimmune liver disease overlap syndromes:A critical commentary
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作者 Jian-Guo Zhang Yan-Wei Wang +1 位作者 Lan Li Biao Wen 《World Journal of Hepatology》 2025年第5期209-212,共4页
Recently,Jayabalan et al published an important study.The authors defined the liver outcome score as a novel biomarker for predicting liver-related mortality in patients with autoimmune hepatitis-primary biliary chola... Recently,Jayabalan et al published an important study.The authors defined the liver outcome score as a novel biomarker for predicting liver-related mortality in patients with autoimmune hepatitis-primary biliary cholangitis overlap syndrome.After thoroughly reviewing their work,we offer insights that primarily relate to their study design to enhance the medical community’s understanding of this complex disease. 展开更多
关键词 Autoimmune liver disease overlap syndromes Autoimmune hepatitis Primary biliary cholangitis Primary sclerosing cholangitis Criterion Interventions COMMENT
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Addressing Class Overlap in Sonic Hedgehog Medulloblastoma Molecular Subtypes Classification Using Under-Sampling and SVD-Enhanced Multinomial Regression
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作者 Isra Mohammed Mohamed Elhafiz M.Musa +4 位作者 Murtada K.Elbashir Ayman Mohamed Mostafa Amin Ibrahim Adam Mahmood A.Mahmood Areeg S.Faggad 《Computers, Materials & Continua》 2025年第8期3749-3763,共15页
Sonic Hedgehog Medulloblastoma(SHH-MB)is one of the four primary molecular subgroups of Medulloblastoma.It is estimated to be responsible for nearly one-third of allMB cases.Using transcriptomic and DNA methylation pr... Sonic Hedgehog Medulloblastoma(SHH-MB)is one of the four primary molecular subgroups of Medulloblastoma.It is estimated to be responsible for nearly one-third of allMB cases.Using transcriptomic and DNA methylation profiling techniques,new developments in this field determined four molecular subtypes for SHH-MB.SHH-MB subtypes show distinct DNAmethylation patterns that allow their discrimination fromoverlapping subtypes and predict clinical outcomes.Class overlapping occurs when two or more classes share common features,making it difficult to distinguish them as separate.Using the DNA methylation dataset,a novel classification technique is presented to address the issue of overlapping SHH-MBsubtypes.Penalizedmultinomial regression(PMR),Tomek links(TL),and singular value decomposition(SVD)were all smoothly integrated into a single framework.SVD and group lasso improve computational efficiency,address the problem of high-dimensional datasets,and clarify class distinctions by removing redundant or irrelevant features that might lead to class overlap.As a method to eliminate the issues of decision boundary overlap and class imbalance in the classification task,TL enhances dataset balance and increases the clarity of decision boundaries through the elimination of overlapping samples.Using fivefold cross-validation,our proposed method(TL-SVDPMR)achieved a remarkable overall accuracy of almost 95%in the classification of SHH-MB molecular subtypes.The results demonstrate the strong performance of the proposed classification model among the various SHH-MB subtypes given a high average of the area under the curve(AUC)values.Additionally,the statistical significance test indicates that TL-SVDPMR is more accurate than both SVM and random forest algorithms in classifying the overlapping SHH-MB subtypes,highlighting its importance for precision medicine applications.Our findings emphasized the success of combining SVD,TL,and PMRtechniques to improve the classification performance for biomedical applications with many features and overlapping subtypes. 展开更多
关键词 Class overlap SHH-MB molecular subtypes UNDER-SAMPLING singular value decomposition penalized multinomial regression DNA methylation profiles
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Prognostic value of liver outcome score and hemoglobin in autoimmune liver disease overlap syndromes
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作者 Kai Wang Lei-Yang Jin Qin-Guo Zhang 《World Journal of Hepatology》 2025年第2期316-319,共4页
This letter addresses the study by Jayabalan et al,which underscores the liver outcome score(LOS)and hemoglobin(Hb)as key prognostic markers for patients with autoimmune liver disease overlap syndromes(AILDOS),with pa... This letter addresses the study by Jayabalan et al,which underscores the liver outcome score(LOS)and hemoglobin(Hb)as key prognostic markers for patients with autoimmune liver disease overlap syndromes(AILDOS),with particular relevance to the autoimmune hepatitis-primary biliary cholangitis(AIH-PBC)subgroup.The findings indicate that an LOS threshold of 6 achieves high sensitivity and specificity in predicting liver-related mortality among AIH-PBC patients.Moreover,low Hb levels emerge as a significant mortality predictor across all AILDOS cases.These results contribute valuable perspectives on risk stratification in AILDOS,highlighting the promise of non-invasive prognostic tools.Future studies with larger cohorts are needed to substantiate LOS and Hb as robust markers for clinical application. 展开更多
关键词 Autoimmune liver disease overlap syndromes ANEMIA Autoimmune hepatitis Clinical decision-making HEMOGLOBIN Liver outcome score Predictive accuracy Risk stratification
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Hydrodynamic performance of bionic streamlined remotely operated vehicle based on CFD and overlapping mesh technology
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作者 Bin Guan Junjie Li 《Theoretical & Applied Mechanics Letters》 2025年第3期246-256,共11页
To meet the intelligent detection needs of underwater defects in large hydropower stations,the hydrodynamic performance of a bionic streamlined remotely operated vehicle containing a thruster protective net structure ... To meet the intelligent detection needs of underwater defects in large hydropower stations,the hydrodynamic performance of a bionic streamlined remotely operated vehicle containing a thruster protective net structure is numerically simulated via computational fluid dynamics and overlapping mesh technology.The results show that the entity model generates greater hydrodynamic force during steady motion,whereas the square net model experiences greater force and moment during unsteady motion.The lateral and vertical force coefficients of the entity model are 4.32 and 3.13 times greater than those of the square net model in the oblique towing test simulation.The square net model also offers better static and dynamic stability,with a 24.5%increase in dynamic stability,achieving the highest lift-to-drag ratio at attack angles of 6°∼8°.This research provides valuable insights for designing and controlling underwater defect detection vehicles for large hydropower stations. 展开更多
关键词 Underwater defect detection Remotely operated vehicle Hydrodynamic performance Computational fluid dynamics overlapping mesh technology
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Innovative Aczel Alsina Group Overlap Functions for AI-Based Criminal Justice Policy Selection under Intuitionistic Fuzzy Set
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作者 Ikhtesham Ullah Muhammad Sajjad Ali Khan +3 位作者 Fawad Hussain Madad Khan Kamran Ioan-Lucian Popa 《Computer Modeling in Engineering & Sciences》 2025年第8期2123-2164,共42页
Multi-criteria decision-making(MCDM)is essential for handling complex decision problems under uncertainty,especially in fields such as criminal justice,healthcare,and environmental management.Traditional fuzzy MCDM te... Multi-criteria decision-making(MCDM)is essential for handling complex decision problems under uncertainty,especially in fields such as criminal justice,healthcare,and environmental management.Traditional fuzzy MCDM techniques have failed to deal with problems where uncertainty or vagueness is involved.To address this issue,we propose a novel framework that integrates group and overlap functions with Aczel-Alsina(AA)operational laws in the intuitionistic fuzzy set(IFS)environment.Overlap functions capture the degree to which two inputs share common features and are used to find how closely two values or criteria match in uncertain environments,while the Group functions are used to combine different expert opinions into a single collective result.This study introduces four new aggregation operators:Group Overlap function-based intuitionistic fuzzy Aczel-Alsina(GOF-IFAA)Weighted Averaging(GOF-IFAAWA)operator,intuitionistic fuzzy Aczel-Alsina(GOF-IFAA)Weighted Geometric(GOF-IFAAWG),intuitionistic fuzzy Aczel-Alsina(GOF-IFAA)OrderedWeighted Averaging(GOF-IFAAOWA),and intuitionistic fuzzy Aczel-Alsina(GOF-IFAA)Ordered Weighted Geometric(GOF-IFAAOWG),which are rigorously defined and mathematically analyzed and offer improved flexibility in managing overlapping,uncertain,and hesitant information.The properties of these operators are discussed in detail.Further,the effectiveness,validity,activeness,and ability to capture the uncertain information,the developed operators are applied to the AI-based Criminal Justice Policy Selection problem.At last,the comparison analysis between prior and proposed studies has been displayed,and then followed by the conclusion of the result. 展开更多
关键词 Fuzzy sets(FS) intuitionistic fuzzy set(IFS) group function(GF) overlap function(OF) aczel alsina(AA)operators multi-criteria decision making problem(MCDM)
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Overlap吻合与π吻合在全腹腔镜全胃切除术中的应用 被引量:1
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作者 李锋 彭德伟 +2 位作者 李文艺 何静 黄金向 《郑州大学学报(医学版)》 CAS 北大核心 2024年第4期531-536,共6页
目的:比较Overlap吻合与π吻合在全腹腔镜全胃切除术(TLTG)中的应用效果。方法:选择2019年2月至2022年2月在成都市第五人民医院行TLTG的胃癌患者98例,根据食管空肠吻合方式分为Overlap吻合组(n=56)和π吻合组(n=42)。比较两组围手术期指... 目的:比较Overlap吻合与π吻合在全腹腔镜全胃切除术(TLTG)中的应用效果。方法:选择2019年2月至2022年2月在成都市第五人民医院行TLTG的胃癌患者98例,根据食管空肠吻合方式分为Overlap吻合组(n=56)和π吻合组(n=42)。比较两组围手术期指标(手术时间、吻合时间、术中出血量、淋巴结清扫数目、术后肛门排气时间、术后拔除引流管时间、术后住院时间、肿瘤上缘至食管切缘距离),吻合口相关并发症(吻合口出血、吻合口狭窄、吻合口漏)与随访并发症(吻合口溃疡、倾倒综合征、反流性食管炎、营养不良)发生情况,以及术前与术后3个月整体营养状况主观评估量表(PG-SGA)评分与营养状况客观指标(血红蛋白、白蛋白、总蛋白)水平的变化。结果:Overlap吻合组手术时间[(230.36±25.12)min vs(205.58±20.43)min]、吻合时间[(43.22±6.15)min vs(27.45±5.36)min]均长于π吻合组(P<0.05);两组吻合口相关并发症、随访并发症发生率及术前、术后3个月PG-SGA量表评分与营养状况客观指标水平的变化差异均无统计学意义(P>0.05)。结论:Overlap吻合和π吻合在TLTG术中各有优势,π吻合可缩短手术时间和吻合时间。 展开更多
关键词 胃癌 全腹腔镜全胃切除术 overlap吻合 π吻合 并发症 营养状况
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右半结肠癌根治术中全腹腔镜下Overlap吻合的短期疗效及并发症分析 被引量:1
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作者 胡柏庚 张哲 +1 位作者 刘跃 孙亮 《现代肿瘤医学》 CAS 2024年第22期4329-4333,共5页
目的:通过对比全腹腔镜下顺蠕动侧侧吻合(Overlap吻合)与腹腔外吻合相关临床资料及短期疗效,探究腹腔内吻合在右半结肠癌根治术中的临床疗效及价值。方法:回顾性选择2021年01月至2023年12月我院胃肠与疝外科收治的腹腔镜右半结肠癌根治... 目的:通过对比全腹腔镜下顺蠕动侧侧吻合(Overlap吻合)与腹腔外吻合相关临床资料及短期疗效,探究腹腔内吻合在右半结肠癌根治术中的临床疗效及价值。方法:回顾性选择2021年01月至2023年12月我院胃肠与疝外科收治的腹腔镜右半结肠癌根治术患者临床资料,共计92例纳入临床研究。其中采用腹腔内Overlap吻合的患者为ICA组;采用腹腔外端侧吻合为ECA组。收集并分析两组患者临床资料,讨论全腹腔镜下Overlap吻合安全性及短期临床疗效差异。结果:纳入患者一般资料差异无统计学意义(P值>0.05)。手术资料方面,ICA组手术时间[(185.83±27.55)min;P=0.026]与吻合时间[(33.86±4.05)min;P<0.001]均显著长于ECA组,切口长度方面[(4.86±0.84)cm;P<0.001]ICA组显著短于ECA组。而术中出血、清扫淋巴结总数两组差异无统计学意义。术后康复方面,ICA组首次排气时间[(2.55±0.55)天;P=0.001]、首次进流质时间[(3.38±0.62)天;P<0.001]、下床时间[(2.71±0.55)天;P=0.006]、术后住院时间[(7.67±1.26)天;P=0.019]均优于ECA组,且ICA组术后引流量[(277.74±147.68)mL;P=0.017]显著少于ECA组。在术后第3天,ICA组疼痛VAS评分(3.19±0.77;P=0.04)低于ECA组。术后炎症指标方面,两组术后C反应蛋白、中性粒细胞-淋巴细胞比值(NLR)均无统计学差异(P值>0.05)。在手术后并发症方面,总并发症发生率、吻合口瘘、腹腔感染、腹腔出血、吻合口出血、切口感染、肺部感染、术后肠梗阻、术后胃瘫两组并无统计学差异(P值>0.05)。结论:全腹腔镜下Overlap吻合安全可行,具有术后肠道功能恢复更快、创伤更小等优势,手术疗效与传统腔镜辅助手术效果相当,且不会增加短期并发症发生率。 展开更多
关键词 右半结肠癌 腹腔内吻合 腹腔外吻合 overlap吻合
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Predictors of survival in autoimmune liver disease overlap syndromes 被引量:2
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作者 Dujinthan Jayabalan Yi Huang +11 位作者 Luis Calzadilla-Bertot Malik Janjua Bastiaan de Boer John Joseph Wendy Cheng Simon Hazeldine Briohny W Smith Gerry C MacQuillan Michael C Wallace George Garas Leon A Adams Gary P Jeffrey 《World Journal of Hepatology》 2024年第9期1269-1277,共9页
BACKGROUND Survival in patients with autoimmune liver disease overlap syndromes(AILDOS)compared to those with single autoimmune liver disease is unclear.AIM To investigate the survival of patients with AILDOS and asse... BACKGROUND Survival in patients with autoimmune liver disease overlap syndromes(AILDOS)compared to those with single autoimmune liver disease is unclear.AIM To investigate the survival of patients with AILDOS and assess the accuracy of non-invasive serum models for predicting liver-related death.METHODS Patients with AILDOS were defined as either autoimmune hepatitis and primary biliary cholangitis overlap(AIH-PBC)or autoimmune hepatitis and primary sclerosing cholangitis overlap(AIH-PSC)and were identified from three tertiary centres for this cohort study.Liver-related death or transplantation(liver-related mortality)was determined using a population-based data linkage system.Prognostic scores for liver-related death were compared for accuracy[including liver outcome score(LOS),Hepascore,Mayo Score,model for end-stage liver disease(MELD)score and MELD incorporated with serum sodium(MELD-Na)score].RESULTS Twenty-two AILDOS patients were followed for a median of 3.1 years(range,0.35-7.7).Fourteen were female,the median age was 46.7 years(range,17.8 to 82.1)and median Hepascore was 1(range,0.07-1).At five years post enrolment,57%of patients remained free from liver-related mortality(74%AIH-PBC,27%AIH-PSC).There was no significant difference in survival between AIH-PBC and AIH-PSC.LOS was a significant predictor of liver-related mortality(P<0.05)in patients with AIH-PBC(n=14)but not AIH-PSC(n=8).A LOS cut-point of 6 discriminated liver-related mortality in AIH-PBC patients(P=0.012,log-rank test,100%sensitivity,77.8%specificity)(Harrell's C-statistic 0.867).The MELD score,MELD-Na score and Mayo Score were not predictive of liver-related mortality in any group.CONCLUSION Survival in the rare,AILDOS is unclear.The current study supports the LOS as a predictor of liver-related mortality in AIH-PBC patients.Further trials investigating predictors of survival in AILDOS are required. 展开更多
关键词 Autoimmune liver disease overlap syndromes Liver outcome score Liver-related death Hepascore Autoimmune hepatitis Primary biliary cholangitis Primary sclerosing cholangitis
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Novel method for extraction of ship target with overlaps in SAR image via EM algorithm 被引量:1
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作者 CAO Rui WANG Yong 《Journal of Systems Engineering and Electronics》 SCIE CSCD 2024年第4期874-887,共14页
The quality of synthetic aperture radar(SAR)image degrades in the case of multiple imaging projection planes(IPPs)and multiple overlapping ship targets,and then the performance of target classification and recognition... The quality of synthetic aperture radar(SAR)image degrades in the case of multiple imaging projection planes(IPPs)and multiple overlapping ship targets,and then the performance of target classification and recognition can be influenced.For addressing this issue,a method for extracting ship targets with overlaps via the expectation maximization(EM)algorithm is pro-posed.First,the scatterers of ship targets are obtained via the target detection technique.Then,the EM algorithm is applied to extract the scatterers of a single ship target with a single IPP.Afterwards,a novel image amplitude estimation approach is pro-posed,with which the radar image of a single target with a sin-gle IPP can be generated.The proposed method can accom-plish IPP selection and targets separation in the image domain,which can improve the image quality and reserve the target information most possibly.Results of simulated and real mea-sured data demonstrate the effectiveness of the proposed method. 展开更多
关键词 expectation maximization(EM)algorithm image processing imaging projection plane(IPP) overlapping ship tar-get synthetic aperture radar(SAR)
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