Clinical Outcomes of Complete Mesocolic Excision for Right-Sided Colon Cancer Using 3D Laparoscopy versus 2D Laparoscopy

Objective:To study the clinical outcomes of complete mesocolic excision(CME)for right-sided colon cancer using 3D(three-dimensional)laparoscopy compared to 2D(two-dimensional)laparoscopy.Methods:From January 2022 to December 2023,58 patients with right-sided colon cancer treated at the Affiliated Hospital of Hebei Engineering University were randomly divided into a 3D laparoscopy group(observation group)and a 2D laparoscopy group(control group),with 29 patients in each group.Intraoperative blood loss,postoperative time to first flatulence,length of hospital stay,and incidence of complications in both groups were recorded.Results:There was a statistically significant difference in intraoperative blood loss between the two groups(P<0.05).There was no statistically significant difference in the time to first flatulence between the groups(P>0.05).However,there was a statistically significant difference in the length of hospital stay(P<0.05)and the incidence of complications(P<0.05)between the two groups.Conclusion:3D laparoscopy for CME can reduce intraoperative blood loss,shorten hospital stay,and decrease postoperative complications,showing significant clinical advantages over traditional 2D laparoscopy.

Clinical Application Analysis of Laparoscopic-Assisted Total Gastrectomy in the Surgical Treatment of Gastric Cancer

Objective:To investigate the clinical application effect of laparoscopic-assisted total gastrectomy in the surgical treatment of gastric cancer.Methods:The clinical data of 86 COPD patients included in the study were collected and divided into 43 cases each in Groups A and B using the randomization method,with open total gastrectomy in Group A and laparoscopic-assisted total gastrectomy in Group B.The clinical indexes,pain levels,and complications of patients in the two groups were observed in combination with the indexes.Results:The baseline data of the two groups of patients were not statistically significant(all P>0.05);the operation time,incision length,first flatulence time,and hospitalization time of patients in Group B were shorter than those in Group A(all P=0.000);the NRS scores of patients in Group B on the 1st postoperative day and the 2nd postoperative day were significantly lower than those in Group A(t=23.443,t=28.784,all P=0.000);the total complication rate of patients in Group B(1;2.33%)was significantly lower than that of Group A(9;20.94%)(χ^(2)=7.242,P=0.007).Conclusion:In the surgical treatment of gastric cancer,laparoscopic-assisted total gastrectomy can promote patients’recovery,reduce patients’pain,and lower the probability of complications.

Milli-Joule pulses post-compressed from 14 ps to 475 fs in bulk-material multi-pass cell based on cylindrical vector beam

A cylindrical vector beam is utilized to enhance the energy scale of the pulse post-compressed in a bulk-material Herriott multi-pass cell(MPC).The method proposed here enables,for the first time to the best of our knowledge,pulse compression from 14 ps down to 475 fs with throughput energy beyond 1 mJ,corresponding to a compression ratio of 30,which is the highest pulse energy and compression ratio in single-stage bulk-material MPCs.Furthermore,we demonstrate the characteristic of the vector polarization beam is preserved in the MPC.

A Matrix Approach to the Modeling and Analysis of Networked Evolutionary Games With Time Delays

Using the semi-tensor product method, this paper investigates the modeling and analysis of networked evolutionary games(NEGs) with finite memories, and presents a number of new results. Firstly, a kind of algebraic expression is formulated for the networked evolutionary games with finite memories, based on which the behavior of the corresponding evolutionary game is analyzed. Secondly, under a proper assumption, the existence of Nash equilibrium of the given networked evolutionary games is proved and a free-type strategy sequence is designed for the convergence to the Nash equilibrium. Finally, an illustrative example is worked out to support the obtained new results.

Microstructure, mechanical properties and deformation mechanisms of an Al-Mg alloy processed by the cyclical continuous expanded extrusion and drawing approach

Al-Mg alloys are an important class of non-heat treatable alloys in which Mg solute and grain size play essential role in their mechanical properties and plastic deformation behaviors.In this work,a cyclical continuous expanded extrusion and drawing(CCEED)process was proposed and implemented on an Al-3Mg alloy to introduce large plastic deformation.The results showed that the continuous expanded extrusion mainly improved the ductility,while the cold drawing enhanced the strength of the alloy.With the increased processing CCEED passes,the multi-pass cross shear deformation mechanism progressively improved the homogeneity of the hardness distributions and refined grain size.Continuous dynamic recrystallization played an important role in the grain refinement of the processed Al-3Mg alloy rods.Besides,the microstructural evolution was basically influenced by the special thermomechanical deformation conditions during the CCEED process.

The Application of BP Neural Networks to Analysis the National Vulnerability

Climate change is the main factor affecting the country’s vulnerability,meanwhile,it is also a complicated and nonlinear dynamic system.In order to solve this complex problem,this paper first uses the analytic hierarchy process(AHP)and natural breakpoint method(NBM)to implement an AHP-NBM comprehensive evaluation model to assess the national vulnerability.By using ArcGIS,national vulnerability scores are classified and the country’s vulnerability is divided into three levels:fragile,vulnerable,and stable.Then,a BP neural network prediction model which is based on multivariate linear regression is used to predict the critical point of vulnerability.The function of the critical point of vulnerability and time is established through multiple linear regression analysis to obtain the regression equation.And the proportion of each factor in the equation is established by using the partial least-squares regression to select the main factors affecting the country’s vulnerability,and using the neural network algorithm to perform the fitting.Lastly,the BP neural network prediction model is optimized by genetic algorithm to get the chaotic time series BP neural network prediction model.In order to verify the practicability of the model,Cambodia is selected to be an example to analyze the critical point of the national vulnerability index.

Prevalence and Spectrum of Complex Congenital Heart Disease in the Neonatal Intensive Care Unit at High Altitude in China

Background:Previous studies from high altitudes have reported significantly higher prevalence of congenital heart disease(CHD),consisting almost solely of simple CHD.Little is known about the occurrence of complex CHD.Neonates with complex CHD are likely admitted to NICU.We examined the prevalence and spectrum of complex CHD in NICU in order to depict a truer picture of CHD at high altitude.Methods:We reviewed charts of 4,214 neonates admitted to NICU in Qinghai province(average altitude 3,000 m).Echocardiography was performed in 1,943 babies when CHD was suspected based on clinical examinations.Results:CHD was diagnosed in 1,093(56.3%of echoed babies).Mild CHD in 96.8%(1058 babies).Moderate CHD in 0.8%(9)included 1(0.1%)large secundum atrial septal defect,3(0.3%)moderate pulmonary stenosis,2(0.2%)aortic stenosis and 3(0.3%)partial anomalous pulmonary venous connection.Severe CHD in 2.4%(26)included 6(0.5%)complete atrioventricular septal defect,5(0.5%)complete transposition of the great arteries,5(0.5%)hypoplastic right heart,3(0.3%)hypoplastic left heart,3(0.3%)double outlet right ventricle,3(0.3%)tetralogy of Fallot,2(0.2%)truncus arteriosus,2(0.2%)total anomalous pulmonary venous connection,2(0.2%)severe aortic stenosis,2(0.2%)interrupted aortic arch and 2(0.2%)severe pulmonary stenosis and 1(0.1%)single-ventricle abnormality.At two-years follow-up in 737(67.4%)patients,18(90%)with severe CHD and 38(5.3%)with mild and moderate CHD died,and 15 underwent cardiac surgery with 1 early death.Conclusions:At high altitude,a wide spectrum of CHD exists,with many heretofore unreported complex CHD.There is urgent need for routine echocardiography and early interventions in newborns particularly in NICU.

Total laparoscopic-assisted radical gastrectomy (D2+) with jejunal Roux-en-Y reconstruction

Total laparoscopic-assisted radical gastrectomy and the jejunal Roux-en-Y anastomosis were performed to treat cancer of the upper gastric body and fundic region. In the case of open anastomosis during total laparoscopic-assisted radical gastrectomy, an incision of 6-8 cm would be required due to the need for placing the stapler anvil. If using the Roux-en-Y procedure, however, the incision could be reduced to as small as 4-5 cm without increasing the length of operation and intraoperative bleeding that favors postoperative recovery.

PMS-Sorting:A New Sorting Algorithm Based on Similarity

Borda sorting algorithm is a kind of improvement algorithm based on weighted position sorting algorithm,it is mainly suitable for the high duplication of search results,for the independent search results,the effect is not very good and the computing method of relative score in Borda sorting algorithm is according to the rule of the linear regressive,but position relationship cannot fully represent the correlation changes.aimed at this drawback,the new sorting algorithm is proposed in this paper,named PMS-Sorting algorithm,firstly the position score of the returned results is standardized processing,and the similarity retrieval word string with the query results is combined into the algorithm,the similarity calculation method is also improved,through the experiment,the improved algorithm is superior to traditional sorting algorithm.

有机场效应气体传感器研究进展

得益于有机半导体的固有优点,包括分子结构可设计、溶液法可加工和机械柔性良好,以及其自身多参数、信号可调控以及高集成性等特点,场效应晶体管为气体传感器的发展注入了新活力.基于有机场效应晶体管(OFET)的气体传感器研究取得了显著进展,展现出了卓越的传感性能.本文综述了自2018年以来,OFET气体传感器领域的最新研究进展,包括化学敏感材料、界面工程、半导体层微结构调控以及柔性OFET气体传感器、集成电路和集成阵列方面的进展.最后,对有机场效应晶体管在气体传感器中的应用进行了简要的总结和展望.本综述旨在全面而深入地解析基于OFET的气体传感器,以促进科研人员对其基本工作原理和性能的深入理解并为高性能气体传感器的制造和相关产业的蓬勃发展提供有价值的参考和启示.

Effect of oxide interactions on chromium speciation transformation during simulated municipal solid waste incineration

Chromium released during municipal solid waste incineration(MSWI)is toxic and carcinogenic.The removal of chromium from simulated MSWI flue gas by four sorbents(CaO,bamboo charcoal(BC),powdered activated carbon(PAC),and Al_(2)O_(3))and the effects of four oxides(SiO_(2),Al_(2)O_(3),Fe_(2)O_(3),and CaO)on chromium speciation transformationwere investigated.The results showed that the removal rates of total Cr by the four sorbents were Al_(2)O_(3)<CaO<PAC<BC,while the removal rates of Cr(Ⅵ)by the four sorbents were Al_(2)O_(3)<PAC<BC<CaO.CaO had a strong oxidizing effect on Cr(Ⅲ),while BC and PAC had a better-reducing effect on Cr(Ⅵ).SiO_(2)was better for the reduction of Na_(2)CrO_(4)and K_(2)CrO_(4)above 1000℃due to its strong acidity,and the addition of CaO significantly inhibited the reduction of Cr(Ⅵ).MgCrO_(4)decomposed above 700℃to form MgCr_(2)O_(4),and the reaction between MgCrO_(4)and oxides also existed in the form of a more stable trivalent spinel.Furthermore,when investigating the effect of oxides on the oxidation of Cr(Ⅲ)in CrC_(l3),it was discovered that CaO promoted the conversion of Cr(Ⅲ)to Cr(Ⅵ),while the presence of chlorine caused chromium to exist in the form of Cr(V),and increasing the content of CaO and extending the heating time facilitated the oxidation of Cr(Ⅲ).In addition,silicate,aluminate,and ferrite were generated after the addition of SiO_(2),Al_(2)O_(3),and Fe_(2)O_(3),which reduced the alkalinity of CaO and had an important role in inhibiting the oxidation of Cr(Ⅲ).The acidic oxides can not only promote the reduction of Cr(Ⅵ)but also have an inhibitory effect on the oxidation of Cr(Ⅲ)ascribed to alkali metals/alkaline earth metals,and the proportion of acidic oxides can be increased moderately to reduce the generation of harmful substances in the hazardous solid waste heat treatment.

Lessons learned:Symbiotic autonomous robot ecosystem for nuclear environments

Nuclear facilities have a regulatory requirement to measure radiation levels within Post Operational Clean Out(POCO)around nuclear facilities each year,resulting in a trend towards robotic deployments to gain an improved understanding during nuclear decommissioning phases.The UK Nuclear Decommissioning Authority supports the view that human-in-the-loop(HITL)robotic deployments are a solution to improve procedures and reduce risks within radiation characterisation of nuclear sites.The authors present a novel implementation of a Cyber-Physical System(CPS)deployed in an analogue nuclear environment,comprised of a multi-robot(MR)team coordinated by a HITL operator through a digital twin interface.The development of the CPS created efficient partnerships across systems including robots,digital systems and human.This was presented as a multi-staged mission within an inspection scenario for the hetero-geneous Symbiotic Multi-Robot Fleet(SMuRF).Symbiotic interactions were achieved across the SMuRF where robots utilised automated collaborative governance to work together,where a single robot would face challenges in full characterisation of radiation.Key contributions include the demonstration of symbiotic autonomy and query-based learning of an autonomous mission supporting scalable autonomy and autonomy as a service.The coordination of the CPS was a success and displayed further challenges and improvements related to future MR fleets.

Microstructure, mechanical properties and deformation characteristics of Al-Mg-Si alloys processed by a continuous expansion extrusion approach

In the present work,a double-pass continuous expansion extrusion forming(CEEF) process was proposed for an Al-Mg-Si alloy,in which the diameter of rods was gradually expanded.The microstructural evolution,mechanical properties and deformation characteristics were investigated by utilizing microstructural observations,mechanical testing and a finite element method coupled with a cellular automata model.The results showed that the strength and ductility of the double-pass CEEF processed Al-Mg-Si alloys were improved synchronously,especially in artificially aged alloys.The grain size of the processed Al-Mg-Si alloy rods was refined remarkably by continuous dynamic recrystallization(CDRX)and geometric dynamic recrystallization(GDRX),and the homogeneity of microstructure was gradually improved with increasing number of processing passes.The artificially aged alloy processed with double-pass CEEF and water quenching contained fine(sub)grains and high-density dislocations,which resulted in more needle-shaped β" precipitates and a larger precipitate aspect ratio than the as-received and air-cooled CEEF alloys owing to the different precipitation kinetics.The severe cumulate strain and microshear bands were found to accelerate CDRX and GDRX for grain refinement between adjacent positions of the parabolic metal flow due to the special temperature characteristics and la rge shear straining during the CEEF process.