Impact of Delivery Mode on Morbidity in Preterm Infants with Very Low Birth Weights (<1500 Grams)

The mode of delivery and gestational age for very-low-birth-weight (VLBW) preterm infants are not yet well established and are constant topics of debate. Objective: To analyze the impact of delivery mode on morbidity in preterm infants weighing less than 1500 g. Results: Among 21,957 births, 81 were analyzed;53 were delivered vaginally, and 28 were delivered by cesarean section. The median maternal age, gestational age and body mass index among those delivered vaginally and by cesarean section were 20 years and 22.5 years, 27.6 weeks and 30.1 weeks, and 26.0 kg/m2 and 27.8 kg/m2, respectively. With respect to neonatal blood gas parameters, for those born vaginally and by cesarean section, the median pH was 7.32 and 7.24, the pCO2 was 41.5 mmHg and 51.1 mmHg, and the pO2 was 22.3 mmHg and 16 mmHg. The median fetal weight among those born by cesarean section and vaginally were 1180 g and 955 g, respectively. The median Apgar scores at the first and fifth minutes among those born by cesarean section and vaginally were 5.00 and 8.00 and 4.50 and 7.00, respectively. Conclusion: There was no significant difference between the results of vaginal and cesarean delivery for VLBW infants. Thus, further studies on this subject are needed.

An Extrapolation Theorem on Martingale Spaces with A_p Weights

In this paper, we prove an extrapolation theorem of operators in martingale spaces with Ap weights, which shows that for operators T defined on martingale space Lu^I, if T is bounded on martingale space L^P0 （w） for some 1 〈 P0 〈 ∞ and every w ∈ A∞, so it is on L^P,S（w） for every 1〈p, s〈∞ , and w∈ A∞. We also get some properties of Ap weights and prove that if w ∈ AI, then the maximal operator M is bounded on L^p,q（w） with 1〈p〈∞, 1〈q≤∞.

Structural characterizations andα-glucosidase inhibitory activities of four Lepidium meyenii polysaccharides with different molecular weights

Four polysaccharides(MCPa,MCPb,MCPc,MCPd)were obtained from Lepidium meyenii Walp.Their structures were characterized by chemical and instrumental methods including total sugar,uronic acid and protein content determi-nation,UV,IR and NMR spectroscopy,as well as monosaccharide composition determination and methylation analy-ses.Four polysaccharides were a group of glucans with different molecular weights ranging from 3.12 to 14.4 kDa,and shared a similar backbone chain consisting of(1→4)-glucose linkages with branches attached to C-3 and C-6.Furthermore,bioactivity assay showed that MCPs had concentration-dependent inhibitory activity onα-glucosidase.MCPb(Mw=10.1 kDa)and MCPc(Mw=5.62 kDa)with moderate molecular weights exhibited higher inhibitory activ-ity compared with MCPa and MCPd.

Unsupervised Functional Data Clustering Based on Adaptive Weights

In recent years, functional data has been widely used in finance, medicine, biology and other fields. The current clustering analysis can solve the problems in finite-dimensional space, but it is difficult to be directly used for the clustering of functional data. In this paper, we propose a new unsupervised clustering algorithm based on adaptive weights. In the absence of initialization parameter, we use entropy-type penalty terms and fuzzy partition matrix to find the optimal number of clusters. At the same time, we introduce a measure based on adaptive weights to reflect the difference in information content between different clustering metrics. Simulation experiments show that the proposed algorithm has higher purity than some algorithms.

Inter-Provincial Transaction Model in Two-Level ElectricityMarket Considering Carbon Emission and Consumption Responsibility Weights

In the context of the joint operation of China’s intra-provincial markets and inter-provincial trading,how to meet the load demand and energy consumption using inter-provincial renewable energy trading is a key problem.The combined operation of intra-provincial and inter-provincial markets provides a new way for provincial power companies to optimize and clear the intra-provincial power market,complete the intra-provincial consumption responsibility weight index,and consume renewable energy across provinces and regions.This paper combines power generation and consumption within the province,uses inter-provincial renewable energy trading tomeet the load demand within the province and completes the index of intra-provincial consumption responsibility weights.The intra-provincial market trading and inter-provincial market clearing are respectively taken as the upper and lower levels of the model.Under the two-level electricity market operation framework,the upper-level model aims to minimize the expected total operating cost within the province considering the carbon emission cost and the weight of the consumption responsibility,while the lower-level model aims to minimize the inter-provincial renewable energy purchasing cost.Finally,the influence of inter-provincial transaction mechanism,risk aversion coefficient,voucher price,and responsibility weight on operating cost is analyzed.Simulation is used to verify that the proposed model can meet the requirements of the provincial load power consumption and the consumption responsibility weight index,and promote the consumption of renewable energy.

Assessing Criteria Weights by the Symmetry Point of Criterion (Novel SPC Method)–Application in the Efficiency Evaluation of the Mineral Deposit Multi-Criteria Partitioning Algorithm

Information about the relative importance of each criterion or theweights of criteria can have a significant influence on the ultimate rank of alternatives.Accordingly,assessing the weights of criteria is a very important task in solving multi-criteria decision-making problems.Three methods are commonly used for assessing the weights of criteria:objective,subjective,and integrated methods.In this study,an objective approach is proposed to assess the weights of criteria,called SPCmethod(Symmetry Point of Criterion).This point enriches the criterion so that it is balanced and easy to implement in the process of the evaluation of its influence on decision-making.The SPC methodology is systematically presented and supported by detailed calculations related to an artificial example.To validate the developed method,we used our numerical example and calculated the weights of criteria by CRITIC,Entropy,Standard Deviation and MEREC methods.Comparative analysis between these methods and the SPC method reveals that the developedmethod is a very reliable objective way to determine the weights of criteria.Additionally,in this study,we proposed the application of SPCmethod to evaluate the efficiency of themulti-criteria partitioning algorithm.The main idea of the evaluation is based on the following fact:the greater the uniformity of the weights of criteria,the higher the efficiency of the partitioning algorithm.The research demonstrates that the SPC method can be applied to solving different multi-criteria problems.

Utilizing OSA-modified starch with various molecular weights for flavonoid extraction from"Quzhiqiao"(immature fruit of Citrus paradisi'Changshan Huyou')

In order to investigate the extraction efficiency of flavonoids by octenyl succinic acid-modified starch(OSA-modified starch)with varying molecular weights,the immature fruit of Citrus paradisi'Changshan Huyou',commonly known as"Quzhiqiao",was used as the extraction target in this research.OSA-modified starch was successfully identified and refined,ensuring its molecular weight was appropriate and extraction was optimized.The experimental findings suggested that a concentration of 20 mg/mL of medium molecular weight gelatinized OSA-modified starch was optimal for extracting flavonoids from"Quzhiqiao"using an ultrasound-assisted method(1,000 W,40 min).Additionally,the ratio of the mass of"Quzhiqiao"to the volume of gelatinized OSA-modified starch employed in this process was determined to be 15 mg/mL.The findings from the in vitro antioxidant studies indicated significant variations in the antioxidant activities of the extract solutions of OSA-modified starches with varying molecular weights.These differences can potentially be attributed to substantial variations in the extract solutions composition.

城市洪涝风险的多方法组合评估与应用

近年来,受全球气候变化与城镇化快速发展的双重影响,城市极端降水事件频发,由此引发的城市洪涝灾害常造成灾难性的生命和财产损失,给城市公共安全带来了严重威胁。由于不同评估方法中指标赋权不同,评价结果往往存在较大差异,给风险评估与区划工作带来了诸多困难。因此,通过融合不同方法的权重构建一套复合权重,进而解决不同评估方法中结论非一致性的问题,这对于提升风险评估的准确性是至关重要的。该文以湖北省为例,旨从危险性、暴露性、脆弱性和恢复性四个层面构建城市洪涝风险评估体系。首先,分别采用熵权法和层次分析法计算指标权重;之后,通过Kendall检验判断两套权重序列的一致性并给出相应的复合权重计算结果;最后以湖北省下辖8个城市的历史洪涝事件为例,对上述风险评价结果进行了验证。结果显示,与熵权法和层次分析法相比,基于复合权重的组合评价方法具有更高的准确率。

融合IMR-WGAN的时序数据修复方法

工业数据由于技术故障和人为因素通常导致数据异常,现有基于约束的方法因约束阈值设置的过于宽松或严格会导致修复错误,基于统计的方法因平滑修复机制导致对时间步长较远的异常值修复准确度较低.针对上述问题,提出了基于奖励机制的最小迭代修复和改进WGAN混合模型的时序数据修复方法.首先,在预处理阶段,保留异常数据,进行信息标注等处理,从而充分挖掘异常值与真实值之间的特征约束.其次,在噪声模块提出了近邻参数裁剪规则,用于修正最小迭代修复公式生成的噪声向量.将其传递至模拟分布模块的生成器中,同时设计了一个动态时间注意力网络层,用于提取时序特征权重并与门控循环单元串联组合捕捉不同步长的特征依赖,并引入递归多步预测原理共同提升模型的表达能力;在判别器中设计了Abnormal and Truth奖励机制和Weighted Mean Square Error损失函数共同反向优化生成器修复数据的细节和质量.最后,在公开数据集和真实数据集上的实验结果表明,该方法的修复准确度与模型稳定性显著优于现有方法.

基于DEMATEL-ISM方法的水电站机组检修作业安全事故致因链分析

针对水电站机组检修作业种类和危险因素多、安全事故频发等问题,通过文献挖掘与专家访谈方式,对水电站机组检修作业安全影响因素类别进行了划分。基于DEMATEL-ISM方法,构建了安全事故致因多层次递阶ISM模型来确定事故致因因素层级,通过剖析事故致因因素的中心度和权重,挖掘关键致因因素和推求事故致因链的路径权重,厘定关键致因链。采用该模型对某水电站致因链进行了分析,结果表明,安全检查不到位为关键致因因素,“安全检查不到位→违规作业→设备的问题→粉尘、油漆等有害物质”为关键致因链。

基于组合赋权-云模型的城市洪涝灾害韧性评价方法

基于城市系统应对洪涝灾害事件的响应过程,从基础抵御、防灾预警、应急响应和适应恢复4个方面构建了包含4个一级指标和20个二级指标的城市洪涝灾害韧性评价指标体系,在此基础上通过可拓层次分析法和熵权法对指标分别进行主观和客观赋权,结合博弈论理论进行组合赋权,提出了基于组合赋权-云模型的城市洪涝灾害韧性评价方法。南京市6个行政区的验证结果表明:该方法可有效评价城市洪涝灾害韧性水平,6个行政区中建邺区、江宁区为高韧性地区,鼓楼区、秦淮区为较高韧性地区,雨花台区为中等韧性地区,溧水区为较低韧性地区。

盾构施工诱发临近桥梁安全风险评价

针对地铁盾构施工诱发临近桥梁安全风险评估结果不完善、存在失真等问题,提出一种基于变权可拓云模型的盾构施工诱发临近桥梁安全风险评价方法。首先,结合以往研究基础和实际工程经验,建立盾构施工诱发临近桥梁安全事故机理模型,进而确定孕险环境、致险因子和承险体3个1级指标,其中包括有岩土层物理性能参数、隧道工程条件、盾构施工条件、盾构施工参数、施工管理风险、桥梁现状及桥梁自身条件7个2级指标和内摩擦角、弹性模量等27个3级指标为依据建立盾构施工诱发临近桥梁安全风险评价指标体系。其次,通过改进CRITIC客观赋权法获取评价指标权重,并采用变权可拓云模型构建盾构施工诱发临近桥梁安全风险评价模型,其中引入变权理论得到使评价结果更加科学合理的变化权重。最后,对某市轨道交通1号线一期工程Ⅱ标段沿线桥梁进行实例分析。研究结果表明,4座盾构施工临近桥梁安全风险等级分别为Ⅲ、Ⅱ、Ⅱ、Ⅰ级。其中,该施工场地各项土体指标、隧道覆跨比、隧道埋深、隧道直径及桥桩与隧道的相对位置等指标风险较大,即该段隧道盾构施工时对于桥梁自身情况及其施工场地环境需要重点监测,并严格做好周围土体加固等各项技术措施。研究结果可为盾构施工诱发临近桥梁安全风险防控提供科学有效的参考依据。

受试者测试状态对卡尔曼加权平均ABR测试残余噪声的影响

目的探讨采用卡尔曼加权平均(Kalman-weighted averaging,KWA)的听性脑干反应(ABR)测试中,受试者不同测试状态对残余噪声及ABR波V振幅的影响。方法选取21例(42耳)18~34岁听力正常成年人,分别在安静诊室内三种不同的状态下(安静平卧、坐位、写字)使用卡尔曼加权平均的新型ABR系统(vivosonic integrity system)进行ABR测试,同时使用传统ABR测试系统(interacoustics,IA)在隔声屏蔽室内进行ABR测试,记录各状态下受试者ABR反应的残余噪声水平和波V幅值并进行比较。结果①传统ABR和卡尔曼加权平均ABR三种不同测试状态(平卧、坐位、写字)下波V振幅没有显著差异(P>0.05);②卡尔曼加权平均ABR安静平卧和坐位两种状态下的残余噪声水平较传统ABR低,但无统计学差异(P>0.05);卡尔曼加权平均ABR在写字状态下的残余噪声水平显著高于其他三种状态(P<0.05);③写字状态下卡尔曼加权平均ABR的残余噪声、波V振幅在左右耳之间没有显著差异(P>0.05)。结论与传统ABR相比,卡尔曼加权平均ABR在写字状态下的残余噪声显著升高,但安静平卧和坐位状态下的残余噪声水平与传统ABR无显著差异,受试者的不同测试状态对残余噪声水平有一定影响。

基于MobileViT的岩石薄片图像岩性识别方法研究

岩石薄片图像中包含了大量肉眼无法观察到的地质特征信息,对岩石薄片图像的岩性识别结果为后续的石油勘探和开发奠定了基础。针对岩性识别数据集不均衡、识别模型参数多等问题,提出一种改进的轻量化MobileViT模型,该模型针对涵盖了90%以上常见岩性的岩石薄片图像进行建模分析。首先,为使模型更好地学习到每类岩石薄片图像中所包含的独特特征,对数据集进行数字增加。其次,使用GELU替换MobileViT中MV2模块中常规ReLU6,从而作为该模块的激活函数,有效解决神经元死亡的问题,提升模型的收敛速度。最后,划分训练集和测试集,使用余弦退火算法自动更新学习率,以迁移学习加速训练过程,实现岩石薄片图像中针对岩性的自动识别。实验结果表明,改进后的MobileViT对岩性识别的准确率达82.9%,模型的参数仅为7.66M,通过实例验证该算法具有较好的鲁棒性。

出生缺陷与出生体重、胎龄的相关性

目的分析不同出生体重及胎龄围产儿的出生缺陷发生率,为进一步完善出生缺陷监测系统和降低出生缺陷发生率提供新的科学依据。方法对2003年10月1日至2015年9月30日西安市各级开设产科的医疗保健机构出生的孕28周~生后7 d所有围产儿进行出生缺陷监测并收集相关资料。结果2003至2015年共监测围产儿1236937例,其中出生缺陷儿10619例,出生缺陷发生率为8.59‰。2003至2015年西安市出生缺陷医院监测系统共收集出生体重<2500 g出生缺陷患儿3306例,出生孕周≥28周且<37周的出生缺陷患儿3473例,出生孕周≥42周的出生缺陷患儿共224例。2003至2015年低出生体重儿出生缺陷率显著高于正常体重儿(χ^(2)=37097.79,P<0.001)。2003至2015年早产儿(<37周)出生缺陷率显著高于正常产期儿(χ^(2)=24998.24,P<0.001),过期产儿出生缺陷率(≥42周)显著高于正常产期儿(χ^(2)=196.40,P<0.001)。低体重儿出生缺陷常见缺陷类型前5位依次是先天性脑积水、脊柱裂、先天性心脏病、无脑畸形、唇裂合并腭裂。正常体重儿出生缺陷出生结局以活产为主(占68.60%),而低体重儿出生缺陷出生结局以死胎为主(占54.72%),低体重儿出生缺陷与正常体重儿出生缺陷出生结局比较,差异有统计学意义(χ^(2)=647.59,P<0.001)。正常产期儿出生缺陷出生结局以活产为主(占77.38%),过期产儿出生缺陷出生结局以活产为主(占83.93%),而早产儿出生缺陷出生结局以死胎为主(占57.79%)。早产儿与正常产期儿出生缺陷出生结局比较,差异有统计学意义(χ^(2)=2025.08,P<0.001),早产儿与过期产儿出生缺陷出生结局比较,差异有统计学意义(χ^(2)=245.39,P<0.001),正常产期儿与过期产儿出生缺陷出生结局比较差异有统计学意义(χ^(2)=16.28,P=0.001)。结论早产儿、低出生体重儿及过期产儿出生缺陷发生率显著高于正常产期儿,低体重儿与正常体重儿、早产儿与正常产期儿、早产儿与过期产儿、正常产期儿与过期产儿出生缺陷出生结局比较,差异均有统计学意义。

基于熵权-TOPSIS法的中国高等教育高质量发展水平测度研究

实现高等教育高质量发展是推进新时代教育强国建设的必然要求。基于新发展理念,运用熵权法和TOPSIS法测度了中国2020年31个省份高等教育高质量发展水平。研究发现:第一,中国各省域高等教育高质量发展水平存在显著差距,江苏、北京和上海的高等教育发展水平明显高于其他省份。第二,中国高等教育高质量发展水平呈现“东高西低”的地区非均衡特征,表现为从东部地区、东北地区、中部地区、西部地区依次递减的态势;在东部、中部和西部地区内部,各省域高等教育高质量发展水平也存在明显的差异。第三,东部地区高等教育高质量发展的短板为绿色发展和共享发展;东北地区高等教育高质量发展的短板为协调发展和绿色发展;中部地区高等教育高质量发展的短板为创新发展、绿色发展和共享发展;西部地区高等教育高质量发展的短板为创新发展、协调发展和开放发展。最后根据测度结果提出实现中国高等教育高质量发展的对策建议。

不同分子质量水溶性壳聚糖在纸质文献加固中的应用研究

本研究采用乙酸酐制备了不同分子质量的水溶性壳聚糖(WSC-3、WSC-10、WSC-20、WSC-30和WSC-60)并用作修复液,探究其对纸质文献加固及耐老化的效果。结果表明,与未经加固处理的纸张(原纸)相比,采用不同分子质量的水溶性壳聚糖加固处理后,纸张的强度性能有所提升,白度下降幅度较小,色差变化较小,pH值和碱储量均增加。纸张加速老化后,与原纸相比,加固处理后纸张的强度性能下降幅度明显较小,其中WSC-30加固处理后纸张的抗张指数、撕裂指数、零距抗张强度的保留率分别提升了9.7、7.4、4.5个百分点,外观形貌、白度和色差等相差较小。

体质量管理在糖尿病防治中的利与弊

随着人民生活水平的提高及生活方式的改变,我国肥胖及糖尿病人群数量不断激增,造成了极大的疾病负担。近年来,循证证据越来越强调体质量管理在糖尿病防治中的重要地位。尽管在理论和实践层面有诸多问题有待进一步阐明,但新形势下迫切需要医患双方转变思维方式。减重是一把“双刃剑”,让伴有超重或肥胖的糖尿病患者获益最大化的减重策略应建立在正确理解体质量管理内涵的基础上。长期维持减重成效仍面临许多的挑战,需要准确评估病情,权衡减重利弊,实施合理可行的减重方案,坚持长期的专业化管理。

融合多重分解和差值修正的海浪波高预测研究

为了提升海浪波高预测精度,提出了融合多重分解和差值修正的海浪波高预测模型(J-DE-LSTM)。该模型采用自适应噪声完备集合经验模态分解,对波高数据进行一重分解,以及对分解后的残差分量进行二重分解;采用亲和力传播算法进行聚类降维并输人到长短期记忆网络进行预测获取初步预测值。建立波高观测值与初步预测值形成的差值序列进行三重分解,采用样本熵重构为趋势项和周期项并进行权重计算,构建粒子群算法优化极限学习机和LSTM的组合预测模型进行双轨并行预测;最后将预测结果与权重加权融合进行差值修正未来点位波高预测值。实验结果表明J-DE-LSTM模型较LSTM、TCN模型平均绝对误差提升约4.1%~11.5%,均方误差提升6.5%~15.2%。

MRI在急性脑梗死患者血管内血栓切除术后颅内出血的预测价值

目的探讨MRI在急性脑梗死患者进行血管内血栓切除术(EVT)后颅内出血(ICH)的预测价值。方法回顾性分析接受EVT治疗的急性脑梗死患者67例,收集这些患者的弥散加权成像(DWI)、灌注加权成像(PWI)和DWI-PWI不匹配(DPM)的体积以及其他临床相关数据,ICH由非增强CT评估。采用多元logistic回归分析预测急性脑梗死患者治疗后的ICH。结果接受EVT后,ICH的患者空腹血糖[(11.96±1.93)mg/L与(13.26±1.73)mg/L]、HbA1c[(5.73±0.42)%与(6.21±0.49)%]、DWI梗死体积(51.23±41.32 ml与29.61±32.26ml)显著大于无ICH的患者(t=-7.693,P<0.001;t=6.135,P<0.001;t=-2.531,P=0.016)。多变量逻辑回归分析显示血糖[OR(95%CI):1.312(1.145~1.417),P<0.001]、HbA1c[OR(95%CI):38.847(7.216~201.753),P<0.001]以及DWI梗死体积[OR(95%CI):1.021(1.004~1.034),P=0.016]为预测急性脑梗死患者EVT术后ICH独立的预测因子。结论急性脑梗死患者行EVT治疗后,通过检测患者的空腹血糖、HbA1c和DWI梗死体积能够预测ICH的发生风险,从而对后续的临床治疗提供信息。