Retrospective analysis based on a clinical grading system for patients with hepatic hemangioma:A single center experience

BACKGROUND The optimal approach for managing hepatic hemangioma is controversial.AIM To evaluate a clinical grading system for management of hepatic hemangioma based on our 17-year of single institution experience.METHODS A clinical grading system was retrospectively applied to 1171 patients with hepatic hemangioma from January 2002 to December 2018.Patients were classified into four groups based on the clinical grading system and treatment:(1)Observation group with score<4(Obs score<4);(2)Surgical group with score<4(Sur score<4);(3)Observation group with score≥4(Obs score≥4);and(4)Surgical group with score≥4(Sur score≥4).The clinico-pathological index and outcomes were evaluated.RESULTS There were significantly fewer symptomatic patients in surgical groups(Sur score≥4 vs Obs score≥4,P<0.001;Sur score<4 vs Obs score<4,χ^(2)=8.60,P=0.004;Sur score≥4 vs Obs score<4,P<0.001).The patients in Sur score≥4 had a lower rate of in need for intervention and total patients with adverse event than in Obs score≥4(P<0.001;P<0.001).Nevertheless,there was no significant difference in need for intervention and total patients with adverse event between the Sur score<4 and Obs score<4(P>0.05;χ^(2)=1.68,P>0.05).CONCLUSION This clinical grading system appeared as a practical tool for hepatic hemangioma.Surgery can be suggested for patients with a score≥4.For those with<4,follow-up should be proposed.

Combined Optimal Dispatch of Thermal Power Generators and Energy Storage Considering Thermal Power Deep Peak Clipping and Wind Energy Emission Grading Punishment

Peak load and wind energy emission pressure rise more as wind energy penetration keeps growing,which affects the stabilization of the PS(power system).This paper suggests integrated optimal dispatching of thermal power generators and BESS(battery energy storage system)taking wind energy emission grading punishment and deep peak clipping into consideration.Firstly,in order to minimize wind abandonment,a hierarchical wind abandonment penalty strategy based on fuzzy control is designed and introduced,and the optimal grid-connected power of wind energy is determined as a result of minimizing the peak cutting cost of the system.Secondly,considering BESS and thermal power,the management approach of BESS-assisted virtual peak clipping of thermal power generators is aimed at reducing the degree of deep peak clipping of thermal power generators and optimizing the output of thermal power generators and the charging and discharging power of BESS.Finally,Give an example of how this strategy has been effective in reducing abandonment rates by 0.66% and 7.46% individually for different wind penetration programs,and the daily average can reduce the peak clipping power output of thermal power generators by 42.97 and 72.31 MWh and enhances the effect and economy of system peak clipping.

Relationship between neonatal respiratory distress syndrome pulmonary ultrasonography and respiratory distress score,oxygenation index,and chest radiography grading

BACKGROUND Accurate condition assessment is critical for improving the prognosis of neonatal respiratory distress syndrome(RDS),but current assessment methods for RDS pose a cumulative risk of harm to neonates.Thus,a less harmful method for assessing the health of neonates with RDS is needed.AIM To analyze the relationships between pulmonary ultrasonography and respiratory distress scores,oxygenation index,and chest X-ray grade of neonatal RDS to identify predictors of neonatal RDS severity.METHODS This retrospective study analyzed the medical information of 73 neonates with RDS admitted to the neonatal intensive care unit of Liupanshui Maternal and Child Care Service Center between April and December 2022.The pulmonary ultrasonography score,respiratory distress score,oxygenation index,and chest Xray grade of each newborn before and after treatment were collected.Spearman correlation analysis was performed to determine the relationships among these values and neonatal RDS severity.RESULTS The pulmonary ultrasonography score,respiratory distress score,oxygenation index,and chest X-ray RDS grade of the neonates were significantly lower after treatment than before treatment(P<0.05).Spearman correlation analysis showed that before and after treatment,the pulmonary ultrasonography score of neonates with RDS was positively correlated with the respiratory distress score,oxygenation index,and chest X-ray grade(ρ=0.429–0.859,P<0.05).Receiver operating characteristic curve analysis indicated that pulmonary ultrasonography screening effectively predicted the severity of neonatal RDS(area under the curve=0.805–1.000,P<0.05).CONCLUSION The pulmonary ultrasonography score was significantly associated with the neonatal RDS score,oxygenation index,and chest X-ray grade.The pulmonary ultrasonography score was an effective predictor of neonatal RDS severity.

ICPS multi-target constrained comprehensive security control based on DoS attacks energy grading detection and compensation

Aiming at the industry cyber-physical system(ICPS)where Denial-of-Service(DoS)attacks and actuator failure coexist,the integrated security control problem of ICPS under multi-objective constraints was studied.First,from the perspective of the defender,according to the differential impact of the system under DoS attacks of different energies,the DoS attacks energy grading detection standard was formulated,and the ICPS comprehensive security control framework was constructed.Secondly,a security transmission strategy based on event triggering was designed.Under the DoS attack energy classification detection mechanism,for large-energy attacks,the method based on time series analysis was considered to predict and compensate for lost data.Therefore,on the basis of passive and elastic response to small energy attacks,the active defense capability against DoS attacks was increased.Then by introducing the conecomplement linearization algorithm,the calculation methods of the state and fault estimation observer and the integrated safety controller were deduced,the goal of DoS attack active and passive hybrid intrusion tolerance and actuator failure active fault tolerance were realized.Finally,a simulation example of a four-capacity water tank system was given to verify the validity of the obtained conclusions.

The Identification and Assessment on Genetic Characteristics in Grading Breeding Sheep Populations with Microsatellite Markers

[Objective] The aim of the research was to identify and assess the genetic characteristics of grading breeding sheep populations in Ba Yan Nur City. [Method] Genetic polymorphism and aggregation of seven sheep populations, including three breeding sheep populations (breeding F1, F2 and Bamei mutton sheep), three introduced mutton sheep breeds (Texel, Dorset and German Merino sheep) and one local female parent population (Mongolia sheep), were assessed using 10 microsatellite markers. [Result] By cluster analysis, the seven sheep populations can be divided into two groups. The F1 and German Merino sheep were closely related, which were clustered with F2, Bamei mutton sheep and Mongolia sheep to form one group while Texel and Dorset to form another group. The genetic aggregation of the seven breeds was assessed by Bayesian discrimination. And the results show that the genetic aggregation of F1 and F2 were lower while that of Bamei mutton sheep, Texel, Dorset and German Merino sheep were higher. [Conclusion] Better genetic stability has been formed in Bamei mutton sheep.

Variation and Probability Grading of Fruit Firmness in Peach Germplasm Resource

Objective The aim was to provide basis for further studies on fruit firmness in peach fruits and the standardization and standardization of peach germplasm resource. [ Method] The analysis of fruit firmness of peach germplasm resource was based on the improved firmness measurement, and the probability grading of characteristics was carried out on peach fruit firmness. [Result] The coefficient of variation of peach fruit firmness with skin was less than that of fruit firmness without skin; the fruit firmness with skin and fruit firmness without skin were both fitted the normal distribution; the probability grading of characteristics were divided into five series based on four points of （X-1. 281 8s）, （X-0. 524 6s）, （X＋0. 524 6s） and （X＋1.281 8s）, so that the probability of 1 -5 were 10%, 20%, 40%, 20% and 10%. [Conclusion] There was more abundant genetic basis in fruit firmness, which held a potential for greater choice.

Performance of bottleneck shifting for remanufacturing system considering returns' quality grading

Aimed at the remanufacturing system, the effect of the uncertainty of returns＇ quality on bottleneck shifting is investigated. A novel definition of bottleneck station is presented and the probability of a station becoming a bottleneck is also given. By calculating the effective output, the effective operation time （EOT） and the ratio of EOT of each station, the system＇s current bottleneck of effective output time is determined. By calculating the probability coefficient of variation and index of bottleneck shifting, the quantitative performance of bottleneck shifting is obtained. Discrete event simulation and the experiment design method are adopted to simulate the system, in which the proportion of quality grading, repair rates and process routes are considered. The case study shows that the uncertainty of returns＇ quality greatly increases the probability of bottleneck shifting, and with the increase of the discrete degree of the returns＇ repair rate, the bottleneck shifting phenomenon is more obvious. Furthermore, bottleneck shifting is closely related to the process route of the dominating returns＇ quality grade.

Study on Grading Standard for One-Year-Old Container Seedling Quality of Phoebe zhennan

In order to improve the survival rate of planting seedlings of Phoebe zhen-nan, the grading standard for one-year-old container seedlings of Phoebe zhennan was developed by using cluster analysis. The results showed that the quality of Phoebe zhennan container seedlings could be estimated from seedling height and ground diameter. The Phoebe zhennan container seedlings were divided into 3 grades： Grade 1 （seedling height ≥ 38 cm; ground diameter ≥ 0.65 cm）, Grade 2 （31.7 cm ≤ seedling height 〈 38 cm; 0.56 cm ≤ ground diameter 〈 0.65 cm） and Grade 3 （seedling height 〈 31.7 cm; ground diameter 〈 0.56 cm）.

Grading Standards of the Coefficient of Variation in the Electronic Raw Silk Size Testing

In order to shorten the difference between the raw silk size grading standards of the world and that of China, to quicken the step of the electronic raw silk testing process, the distribution of the coefficient of variation (CV50m%) of the raw silk size in the electronic testing and the development of the new standards are studied according to the sampling and grading theory. By the theoretical deduction and the simulating experiments, the distribution of the coefficient of variation of the raw silk size is given, and the grading scheme whose quality index is the coefficient of variation(CV50m%)of the raw silk size and the grading precisions of all grades are proposed. Moreover, the rightness and the feasibility of the grading scheme are testified by the sampling and grading simulation.

Effects of Specific Gravity-based Seed Grading on Seed Germination, Seedling Emergence and Grain Yield of Hybrid Rice

Using the commercial seeds of two hybrid rice varieties including Lu- liangyou 996 and Liangyoupeijiu as the materials, four specific gravity-based seed grading treatments, Le., the specific gravity of 〈1.0 （T1）, 1.0-1.09 （T2）, 1.1-1.19（T3） and ≥1.2 （T4）, by selection with different saline solutions, and the control without seed grading （CK） were designed to study the effects of seed grading on seed germination, seedling emergence, seedling quality and grain yield. The results showed that the treatments of T2, T3 and T4 had higher or significantly higher seed germination rate, germination index and vigor index, seedling emergence rate and adult seedling rate than the CK, while T1 had significantly lower values of these traits than the CK. Compared with the CK, the number of spikelets per pani- cle was found to be the main reason for the yield increase of these treatments with high seed viability.

The Measurement and Grading of Pressure on Cultivated Land in City-level in Yunnan Province

For a long time pressure on cultivated land receives much concern be- cause of close relationship with food security. In Yunnan provice,natural conditions of mountain area are poor and the overall quality of cultivated land is ：not high. This paper selected state （city） level as research scale,calculated the pressure index on cultivated land of 16 states （cities） in Yunnan provice,revealed the level of tension states （cities） of cultivated land,provided basic basis for determining amount of culti- vated land of provice and states and developing the policy about cultivated land protection.The study indicated that pressure on cultivated land in Dehong belongs to ＂no pressure＂ grade,in Qujing and Baoshan belong to ＂critical pressure ＂grade,in Yuxi and Zhaotong belong to ＂moderate-pressure＂grade,in Kunming and Nujiang be- longs to ＂high-pressure＂ and in the rest 9 states belongs to ＂low-pressure＂grade.

Present Situation and Prospect of Professional Grading and Loose-leaf Purchasing of Flue-cured Tobacco

In terms of the common practice of professional grading and loose-leaf purchasing technology, the advantages of these technologies were demonstrated. The problems and proposals of the professional grading leaves purchasing model were also summarized and analyzed, so as to provide practical experiences for fur- ther promotion of loose-leaf purchasing.

Experimental study on the moving characteristics of fine grains in wide grading unconsolidated soil under heavy rainfall

The initiation mechanism of debris flow is regarded as the key step in understanding the debrisflow processes of occurrence, development and damage. Moreover, migration, accumulation and blocking effects of fine particles in soil will lead to soil failure and then develop into debris flow. Based on this hypothesis and considering the three factors of slope gradient, rainfall duration and rainfall intensity, 16 flume experiments were designed using the method of orthogonal design and completed in a laboratory. Particle composition changes in slope toe, volumetric water content, fine particle movement characteristics and soil failure mechanism were analyzed and understood as follows: the soil has complex, random and unstable structures, which causes remarkable pore characteristics of poor connectivity, non-uniformity and easy variation. The major factors that influence fine particle migration are rainfall intensity and slope. Rainfall intensity dominates particle movement, whereby high intensity rainfall induces a large number of mass movement and sharp fluctuation, causing more fine particles to accumulate at the steep slope toe. The slope toe plays an important role in water collection and fine particleaccumulation. Both fine particle migration and coarse particle movement appears similar fluctuation. Fine particle migration is interrupted in unconnected pores, causing pore blockage and fine particle accumulation, which then leads to the formation of a weak layer and further soil failure or collapses. Fine particle movement also causes debris flow formation in two ways: movement on the soil surface and migration inside the soil. The results verify the hypothesis that the function of fine particle migration in soil failure process is conducive for further understanding the formation mechanism of soil failure and debris flow initiation.

Method of Modulation Recognition Based on Combination Algorithm of K-Means Clustering and Grading Training SVM

For the existing support vector machine, when recognizing more questions, the shortcomings of high computational complexity and low recognition rate under the low SNR are emerged. The characteristic parameter of the signal is extracted and optimized by using a clustering algorithm, support vector machine is trained by grading algorithm so as to enhance the rate of convergence, improve the performance of recognition under the low SNR and realize modulation recognition of the signal based on the modulation system of the constellation diagram in this paper. Simulation results show that the average recognition rate based on this algorithm is enhanced over 30% compared with methods that adopting clustering algorithm or support vector machine respectively under the low SNR. The average recognition rate can reach 90% when the SNR is 5 dB, and the method is easy to be achieved so that it has broad application prospect in the modulating recognition.

Liver pathology of hepatitis C,beyond grading and stagingof the disease

Liver biopsy evaluation plays a critical role in management of patients with viral hepatitis C. In patients with acute viral hepatitis, a liver biopsy, though uncommonly performed, helps to rule out other nonviral causes of deranged liver function. In chronic viral hepatitis C, it is considered the gold standard in assessment of the degree of necroinflammation and the stage of fibrosis, to help guide treatment and determine prognosis. It also helps rule out any concomitant diseases such as steatohepatitis, hemochromatosis or others. In patients with chronic progressive liver disease with cirrhosis and dominant nodules, a targeted liver biopsy is helpful in differentiating a regenerative nodule from dysplastic nodule or hepatocellular carcinoma. In the setting of transplantation, the liver biopsy helps distinguish recurrent hepatitis C from acute rejection and also is invaluable in the diagnosis of fibrosing cholestatic hepatitis, a rare variant of recurrent hepatitis C. This comprehensive review discusses the entire spectrum of pathologic findings in the course of hepatitis C infection.

Histo-and clinico-pathological analysis of a large series of triple-negative breast cancer in a single center in China:Evidences on necessity of histological subtyping and grading

Objective: To investigate histo-pathological distribution and clinico-pathological significance in a large Chinese triple-negative breast cancer(TNBC) patients serials based on the latest understanding of its clinico-pathological diversity, and to provide more information to clinicians to improve precision of individualized treatment of TNBC.Methods: A retrospective analysis was performed on patients with TNBC at Breast Disease Center, Peking University First Hospital between January 2010 and December 2019. Histo-and clinico-pathological characteristics were analyzed by Chi-square test and Student's t-test, and prognoses were calculated using KaplanMeier method and a Cox proportionate hazards model. Bonferroni correction was used to correct for multiple comparison.Results: Conventional type of TNBC(c TNBC) were identified in 73.7% of 582 TNBC, while special type of TNBC(s TNBC) were 26.3%, including 71 apocrine carcinoma, 20 medullary carcinoma, 31 metaplastic carcinoma, 18 invasive lobular carcinoma, 7 invasive micropapillary carcinoma, 5 adenoid cystic carcinoma and 1 acinic cell carcinoma. Compared to s TNBC, c TNBC was associated with high histologic grade(P<0.001) and lower androgen receptor(AR) expression(P<0.001). TNM stage of low-grade c TNBC was significantly lower than that of high-grade c TNBC(P=0.002). Although no significant difference, there was a trend that the rate of 5-year disease-free survival(DFS) and 5-year overall survival(OS) were longer in high-grade c TNBC than in high-grade s TNBC(P=0.091 and 0.518), and were longer in low-grade s TNBC than in high-grade s TNBC(P=0.051 and0.350). Metaplastic carcinomas showed larger tumor size(P=0.008) and higher proliferative Ki67 index(P=0.004)than c TNBCs.Conclusions: Results from our cohort imply that sub-categorization or subtyping and histological grading could be meaningful in pathological evaluation of TNBC, and need to be clarified in more large collections of TNBC.

Multi-object optimization design for differential and grading toothed roll crusher using a genetic algorithm

Our differential and grading toothed roll crusher blends the advantages of a toothed roll crusher and a jaw crusher and possesses characteristics of great crushing,high breaking efficiency,multi-sieving and has,for the moment,made up for the short- comings of the toothed roll crusher.The moving jaw of the crusher is a crank-rocker mechanism.For optimizing the dynamic per- formance and improving the cracking capability of the crusher,a mathematical model was established to optimize the transmission angleγand to minimize the travel characteristic value m of the moving jaw.Genetic algorithm is used to optimize the crusher crank-rocker mechanism for multi-object design and an optimum result is obtained.According to the implementation,it is shown that the performance of the crusher and the cracking capability of the moving jaw have been improved.

Enhancement parameters of contrast-enhanced computed tomography for pancreatic ductal adenocarcinoma: Correlation with pathologic grading

BACKGROUND Pancreatic ductal adenocarcinoma(PDA)is a malignancy with a high mortality rate and short survival time.The conventional computed tomography(CT)has been worldwide used as a modality for diagnosis of PDA,as CT enhancement pattern has been thought to be related to tumor angiogenesis and pathologic grade of PDA.AIM To evaluate the relationship between the pathologic grade of pancreatic ductal adenocarcinoma and the enhancement parameters of contrast-enhanced CT.METHODS In this retrospective study,42 patients(Age,mean±SD:62.43±11.42 years)with PDA who underwent surgery after preoperative CT were selected.Two radiologists evaluated the CT images and calculated the value of attenuation at the aorta in the arterial phase and the pancreatic phase(VAarterial and VApancreatic)and of the tumor(VTarterial and VTpancreatic)by finding out four regions of interest.Ratio between the tumor and the aorta enhancement on the arterial phase and the pancreatic phase(TARarterial and TARpancreatic)was figured out through dividing VT arterial by VAarterial and VTpancreatic by VApancreatic.Tumor-to-aortic enhancement fraction(TAF)was expressed as the ratio of the difference between attenuation of the tumor on arterial and parenchymal images to that between attenuation of the aorta on arterial and pancreatic images.The Kruskal-Wallis analysis of variance and Mann-Whitney U test for statistical analysis were used.RESULTS Forty-two PDAs(23 men and 19 women)were divided into three groups:Welldifferentiated(n=13),moderately differentiated(n=21),and poorly differentiated(n=8).TAF differed significantly between the three groups(P=0.034)but TARarterial(P=0.164)and TARpancreatic(P=0.339)did not.The median value of TAF for poorly differentiated PDAs(0.1011;95%CI:0.01100-0.1796)was significantly higher than that for well-differentiated PDAs(0.1941;95%CI:0.1463-0.3194).CONCLUSION Calculation of TAF might be useful in predicting the pathologic grade of PDA.

The evolving Gleason grading system

The Gleason grading system for prostate adenocarcinoma has evolved from its original scheme established in the 1960s-1970s, to a significantly modified system after two major consensus meetings conducted by the International Society of Urologic Pathology （ISUP） in 2005 and 2014, respectively. The Gleason grading system has been incorporated into the WHO classification of prostate cancer, the AJCC/ UICC staging system, and the NCCN guidelines as one of the key factors in treatment decision. Both pathologists and clinicians need to fully understand the principles and practice of this grading system. We here briefly review the historical aspects of the original scheme and the recent developments of Gleason grading system, focusing on major changes over the years that resulted in the modern Gleason grading system, which has led to a new ＂Grade Group＂ system proposed by the 2014 ISUP consensus, and adopted by the 2016 WHO classification of tumours of the prostate.

Study and Commercial Application of Graded Optimization of Catalysts for Fixed Bed Residue Upgrading Unit

The SHIFT-G technology of inverse catalyst loading is used to optimize the catalyst grading in the residue hydrotreating unit. The results, taken from pilot tests and commercial units, have showed that the optimized catalyst grading system can reasonably distribute the reaction load, effectively improve the prop- erties of hydrotreated products, prolong the operating cycle and promote economic benefits.