Estimation of Physiologic Ability and Surgical Stress scoring system for predicting complications following abdominal surgery: A metaanalysis spanning 2004 to 2022

BACKGROUND Postoperative complications remain a paramount concern for surgeons and healthcare practitioners.AIM To present a comprehensive analysis of the Estimation of Physiologic Ability and Surgical Stress(E-PASS)scoring system’s efficacy in predicting postoperative complications following abdominal surgery.METHODS A systematic search of published studies was conducted,yielding 17 studies with pertinent data.Parameters such as preoperative risk score(PRS),surgical stress score(SSS),comprehensive risk score(CRS),postoperative complications,post-operative mortality,and other clinical data were collected for meta-analysis.Forest plots were employed for continuous and binary variables,withχ2 tests assessing heterogeneity(P value).RESULTS Patients experiencing complications after abdominal surgery exhibited significantly higher E-PASS scores compared to those without complications[mean difference and 95%confidence interval(CI)of PRS:0.10(0.05-0.15);SSS:0.04(0.001-0.08);CRS:0.19(0.07-0.31)].Following the exclusion of low-quality studies,results remained valid with no discernible heterogeneity.Subgroup analysis indicated that variations in sample size and age may contribute to hetero-geneity in CRS analysis.Binary variable meta-analysis demonstrated a correlation between high CRS and increased postoperative complication rates[odds ratio(OR)(95%CI):3.01(1.83-4.95)],with a significant association observed between high CRS and postoperative mortality[OR(95%CI):15.49(3.75-64.01)].CONCLUSION In summary,postoperative complications in abdominal surgery,as assessed by the E-PASS scoring system,are consistently linked to elevated PRS,SSS,and CRS scores.High CRS scores emerge as risk factors for heightened morbidity and mortality.This study establishes the accuracy of the E-PASS scoring system in predicting postoperative morbidity and mortality in abdominal surgery,underscoring its potential for widespread adoption in effective risk assessment.

Response Ability to External Signal Enhanced by Biological Spatial Configuration in Coupled Hindmarsh-Rose Neural System

The effect of realistic topology configuration of intercellular connections on the response ability in coupled cell system is numerically investigated by using the Hindmarsh-Rose model. For the proper coupling intensity, we set the control parameter to be near the critical value, and the external stimulus is introduced to the first cell in coupled system. It is found that, on one hand, when the cells are coupled with some proper topological structures, the external stimulus could transmit through the system, and shows better response ability and higher sensitivity. On the other hand, the influence of topological configuration on the synchronous ability and selection effect of neural system are also discussed. Our results display that the topology of coupled system may play an important role in the process of signal propagation, which could help us to understand the coordinated performance of cells in tissue.

A NEW AEROMECHANICAL STABILITY ANALYSIS METHODOLOGY FOR COUPLED ROTOR/FUSELAGE SYSTEM OF HELICOPTERS

The aeromechanical st ability for the coupled rotor/fuselage system of helicopters in forward flight i s investigated. The periodic time-varying equations of motion are developed thr ough building a new 24DOF coupled rigid/elastic blended element based on the fle xible multibody system theory in this paper. It accounts for the effects of prec one, sweep, and the moderately large elastic deflections on the blade and elasti city of shaft and fuselage of the helicopter. The dynamic coupling between the r igid motion of blades about the flap, lag and pitch hinges of articulated rotor and moderately large elastic deflections are included. There is no restriction o n the rotation amplitudes of flap, lag and pitch in the formulation. The stabili ty of periodic solution is studied using the Floquet theory. The transition matr ix is calculated by the Newmark integration method. The aeromechanical stability of a new helicopter is studied. The results show that it is stable in the given forward flight. But the instability arises with the decrease of the bending and torsion stiffness of the shaft.

The structure and ability of the China Seismological Gravity Monitoring System

This paper assesses the structure and ability of Local Seismological Gravity Monitoring Network (LSGMN) in China main tectonic zone and China Seismological Gravity Monitoring System (CSGMS) which formed after the project of 'China Crustal Movement Observation Network (CCMON)' has been performed. The main conclusions drawn are as follows: ①LSGMN has good monitoring and prediction ability for the earthquake of M_s about 5. But it lacks ability to monitor and predict the strong earthquake of M_s>6 because of the little range of the observation network;②CSGMS has good ability to monitor and predict the earthquake of M_s>7, but the resolving power is not enough for the earthquake magnitude from M_s=6 to M_s=7 because the observation stations are too sparse.

Melt Infiltration Ability and Microstructural Evolution of Fe40Al/ TiC Composites System

Pressureless melt infiltration is an economic route f or preparation of high-density ceramic/melt composites. In this study, the Fe40 Al iron aluminide intermetallic, a low cost material of excellent oxidation and corrosion resistance, was used as binder for fabricating Fe40Al/TiC composites b y pressureless melt infiltration. The wetting ability of liquid Fe40Al in porous TiC pre-form was studied by in-situ monitoring the melting and infiltration p rocess. The infiltration ability was investigated by observing the distance of l iquid Fe40Al intrusion in porous TiC pre-forms at different infiltration temper atures and times by using optical microscope. Porous TiC per-forms with density of 60%～88%TD (theoretical density), prepared under pre-defined sintering temp e rature cycles, were used for fabricating Fe40Al/TiC composites in the range of 1 2%～40% metal content by volume. Almost full dense Fe40Al/TiC composites were su c cessfully fabricated by this technique. Liquid Fe40Al exhibited excellent infilt ration ability, the distance of complete intrusion of liquid Fe40Al in the TiC s intered pre-form with density of 88%TD was over 7 mm after 5 min at the inf iltration temperature of 1 450 ℃. Microstructural observation by SEM and TEM also showed that liquid Fe40Al filled the very narrow gaps among TiC particles, the interfaces of TiC particles and F e40Al plastic ligaments being metallurgical bonded. TEM revealed that high densi ty of dislocations formed in Fe40Al ligaments during solidification, which favor the mechanical properties. Ti decomposed from TiC particles and dissolved into Fe40Al during infiltration. According to the compositional analysis of TEM-EDS, the concentration of Ti in Fe40Al ranges at 1at%～4at% depending on composite f a bricating conditions and the distance from the measuring point to the closest Ti C particles. XRD analysis indicated that the composites were composed of two pha ses, the original TiC and Fe 0.4Al 0.6 intermetallic. No new phase formed during infiltration, but the lattice parameter of Fe 0.4Al 0.6 was expended due to the Ti in the solid solution.

Coppicing ability of dry miombo woodland species harvested for traditional charcoal production in Zambia:a win–win strategy for sustaining rural livelihoods and recovering a woodland ecosystem

The miombo woodland is one of the most extensive woodlands in Africa, supporting livelihoods based on biomass fuel for millions of rural people. However, there are growing concerns about the sustainability of harvesting for biomass fuel （mainly charcoal）. Thus, the aim of this study was to examine whether regeneration by coppice is a viable option for sustainably managing miombo woodlands for biomass fuel production. We tested the hypotheses that （1） species, stump diameter, stump height and time since cutting significantly affect the number of sprouts per cut stump （coppice density） and mean sprout height （shoot vigour） and （2） higher coppice density reduces shoot vigour due to competition among coppice shoots in a given stump. In an inventory in areas that were harvested for charcoal production by the local people, 369 stumps of 11 species were recorded with mean coppice stumps ranged from 6 to 84. The mean coppice density ranged from 5 to 8 shoots per stump while the mean height of coppice shoots ranged from 46 to 118 cm with marked interspecific variations. Stump size was signifi- cantly and positively correlated with coppice density for some of the species, but not with shoot vigour for the majority of the species. However, shoot vigour was significantly positively correlated to time since cutting of trees for nearly half of the species. Coppice density had a significant negative correlation with shoot vigour for two species, and a positive correlation for one species. In conclusion, the results provide evidence about the importance of coppice management as a win-win strategy for sustaining charcoal-based rural livelihoods and recovering the miombo woodland ecosystem.

A Knowledge-based System for the Analysis of the Ability of Paying back Loans

This paper describes the development of a knowledgebased system (KBS) for determining whether or not, and under what conditions, a bank Ioan officer should grant a business loan to a company. The prototype system developed focuses on what is bank loans risks management, how to prevent risk by the analysis of the ability of paying back loans. The paper makes the structural analysis involved in the system's decision situation, the structured situation diagram or model, dependency diagram and the document needed by the KBS prototype system thus are developed. Through testing the samples from loan business, the quality for the analysis of the ability of paying back loans can be effectively evaluated by the KBS prototype system.

Thermodynamic model for glass forming ability of ternary metallic glass systems

The thermodynamic model of multicomponent chemical short range order (MCSRO) was established in order to evaluate the glass forming ability (GFA) of ternary alloys. Comprehensive numerical calculations using MSCRO software were conducted to obtain the composition dependence of the MCSRO undercooling in Zr Ni Cu, Zr Si Cu and Pd Si Cu ternary systems. By the MCSRO undercooling principle, the composition range of Zr Ni Cu system with optimum GFA is determined to be 62.5 ～ 75 Zr, 5～ 20 Cu, 12.5 ～ 25 Ni ( n (Ni)/ n (Cu)=1～5). The TTT curves of Zr Ni Cu system were also calculated based on the MCSRO model. The critical cooling rates for Zr based alloy with deep MSCRO undercooling are estimated to be as low as 100?K/s, which is consistent with the practical cooling rate in the preparation of Zr based bulk metallic glass (BMG). The calculation also illustrates that the easy glass forming systems such as Pd based alloys exhibit an extraordinary deep MCSRO undercooling. It is shown that the thermodynamic model of MCSRO provides an effective method for the alloy designing of BMG.

The Construction of Linux System and Network Programming Course to Develop Engineering Ability

To meet society’s needs for undergraduate students to have engineering skills and to develop students’ability to operate Linux and engage in network software development,this paper proposes the construction of a new specialized course for network engineering major--Linux system and network programming.This paper analyzes the course’s advantages,presents the contents of this course,designs a series of teaching methods aimed at improving students’engineering ability,proposes a course assessment method that will encourage students to practice,lists the development requirements for an examination software designed for this course,and finally,presents the results of our practice in teaching this course.

ZnO Additive Boosts Charging Speed and Cycling Stability of Electrolytic Zn–Mn Batteries

Electrolytic aqueous zinc-manganese(Zn–Mn) batteries have the advantage of high discharge voltage and high capacity due to two-electron reactions. However, the pitfall of electrolytic Zn–Mn batteries is the sluggish deposition reaction kinetics of manganese oxide during the charge process and short cycle life. We show that, incorporating ZnO electrolyte additive can form a neutral and highly viscous gel-like electrolyte and render a new form of electrolytic Zn–Mn batteries with significantly improved charging capabilities. Specifically, the ZnO gel-like electrolyte activates the zinc sulfate hydroxide hydrate assisted Mn^(2+) deposition reaction and induces phase and structure change of the deposited manganese oxide(Zn_(2)Mn_(3)O_8·H_(2)O nanorods array), resulting in a significant enhancement of the charge capability and discharge efficiency. The charge capacity increases to 2.5 mAh cm^(-2) after 1 h constant-voltage charging at 2.0 V vs. Zn/Zn^(2+), and the capacity can retain for up to 2000 cycles with negligible attenuation. This research lays the foundation for the advancement of electrolytic Zn–Mn batteries with enhanced charging capability.

Inuence of Electron Donating Ability on Reverse Intersystem Crossing Rate for One Kind of Thermally Activated Delayed Fluorescence Molecules

First-principles calculations are applied for investigating influence of electron donating ability of donor groups in eight thermally activated delayed fluorescence（TADF） molecules on their geometrical structures and transition properties as well as reverse intersystem crossing（RISC） processes. Results show that the diphenylamine substitution in the donor part can slightly change the bond angle but decrease bond length between donor and acceptor unit except for the lowest triplet state（Ti） of carbazole-xanthone molecule. As the electron donating ability of donor groups is increased, the overlap between the highest occupied molecular orbital（HOMO） and the lowest unoccupied molecular orbital（LUMO） is decreased. As the diphenylamine groups are added in donor part, the delocalization of HOMO is enlarged,which brings a decreased energy gap(△ES1-T1) between the lowest singlet excited state（S1）and T1 state. Furthermore, with the calculated spin-orbit coupling coefficient(HSO), one finds that the larger value of ■ is, the faster the RISC is. The results show that all investigated molecules are promising candidates as TADF molecules. Overall, a wise molecular design strategy for TADF molecules,in which a small △ES1-T1 can be achieved by enlarging the delocalization of frontier molecular orbitals with large separation between HOMO and LUMO, is proposed.

New criterion in predicting glass forming ability of various glass-forming systems

It has been confirmed that glass-forming ability （GFA） of supercooled liquids is related to not only liquid phase stability but also the crystallization resistance. In this paper, it is found that the liquid region interval （T1 - Tg） characterized by the normalized parameter of Tg/T1 could reflect the stability of glass-forming liquids at the equilibrium state, whilst the normalization of supercooled liquid region △Tx=（Tx - Tg）, i.e. △Tx/Tx （wherein T1 is the liquidus temperature, Tg the glass transition temperature, and Tx the onset crystallization temperature） could indicate the crystallization resistance during glass formation. Thus, a new parameter, defined as ζ = Tg/T1＋△Tx/Tx is established to predict the GFA of supercooled liquids. In comparison with other commonly used criteria, this parameter demonstrates a better statistical correlation with the GFA for various glass-forming systems including metallic glasses, oxide glasses and cryoprotectants.

Investigation of Glass Formability in Al-Co-Y Ternary System

The glass formation was investigated in the melt-spun Al-rich Al-Co-Y alloys by the microstructure evolution. The best glass former Al88Co5Y7 with the thickness of 230μm was found, and its glass forming ability （GFA） was higher than that of previously reported Al88Co4Y8 alloy. This result indicates that GFA is strongly sensitive to the alloy composition in the system. The phase selection method is an effective way to locate the optimum glass formation composition rather than Trg and △Tx parameters.

On the hydro－spectrum of deep wells and the response ability of well－aquifer system

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Whole-process case management effects on mental state and selfcare ability in patients with liver cancer

BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.

Effects of Spherical Light-weight Aggregates Additions on Workability and Mechanical Properties of Al_2O_3-SiO_2 System Castables

In order to clarify the effect of spherical light-weight aggregates addition on properties of A12 07 - Si02 system castables, adopting ATO mullite traditional light-weight aggregates and ATO mullite spherical light-weight aggre- gates, bauxite homogenization powder, microsilica , cal- cium aluminate cement as main raw materials, light- weight Al2 03 - SiO2 system castables were prepared by replacing conventional light-weight aggregate with spherical light-weight aggregates. The effects of spheri- cal light-weight aggregates addition on workability, me- chanical properties of castables after heated at different temperatures were researched; the microstructure of the aggregates was analyzed by SEM. The result shows that the introduction of spherical light-weight aggregates can significantly improve the flowability and reduce the water addition of the castables. Water demand of the castable is reduced from 18% with the conventional light-weight aggregates to 14% with spherical light-weight aggre- gates. In addition, light-weight castables prepared by spherical aggregates can keep the same workability with- in a wider range of water addition. Therefore, spherical aggregates are user-friendly. The introduction of spheri- cal light-weight aggregates is favorable to packing densi- ty and mechanical properties of castables, such as cold crushing strength, cold modulus of rupture, hot modulus of rupture at 1 200℃.

Construction of Structural Elements and Characteristic System of Athletes’Cognitive Ability

Cognitive ability is important component of competitive ability of athletes,an important content of winning elements in sports,and an important topic of modern sports training and scientific research.These problems will restrict the improvement of athletes’cognitive ability and mental level.Based on the theory of psychology,use multiple hierarchical thinking,research cognitive theory of sports and the characteristics of cognitive ability of elite athletes,research the structure element system of cognitive ability,construct a two-level structure model of the cognitive ability of excellent athletes,summarize specific characteristics of the first level elements,and apply psychological cognitive theory to the training of modern Olympic Games mobilization,so as to provide valuable cognitive training,psychological training,and intelligence training for athletes theoretical guidance.

A New Development of BQS （Blastability Quality System） for Closely Spaced Formations

Success in the excavation of geological formations is commonly known as being very important in asserting stability. Furthermore, when the subjected geological formation is rocky and the use of explosives is required, the demands of successful blasting are multiplied. The present paper proposes a classification system, named： BQS （Blastability Quality System）, for rock masses with closely spaced discontinuities （spacing lower than 0.1 m）. It is obvious that rock quality is one of the main characteristics which define the blast ability of a rock. The BQS can be an easy and widely-used tool as it is a quick evaluator for blastability and rock mass quality at one time. Taking into consideration the research calculations and the parameters of BQS, what has been at question in this paper is the effect of blast ability in a geological formation with closely spaced discontinuities.

Experimental Study on Wire Melting Control Ability of Twin-Body Plasma Arc

The twin-body plasma arc has the decoupling control ability of heat transfer and mass transfer,which is beneficial to shape and property control in wire arc additive manufacturing.In this paper,with the wire feeding speed as a characteristic quantity,the wire melting control ability of twin-body plasma arc was studied by adjusting the current separation ratio(under the condition of a constant total current),the wire current/main current and the position of the wire in the arc axial direction.The results showed that under the premise that the total current remains unchanged(100 A),as the current separation ratio increased,the middle and minimum melting amounts increased approximately synchronously under the effect of anode effect power,the first melting mass range remained constant;the maximum melting amount increased twice as fast as the middle melting amount under the effect of the wire feeding speed,and the second melting mass range was expanded.When the wire current increased,the anode effect power and the plasma arc power were both factors causing the increase in the wire melting amount;however,when the main current increased,the plasma arc power was the only factor causing the increase in the wire melting amount.The average wire melting increment caused by the anode effect power was approximately 2.7 times that caused by the plasma arc power.The minimum melting amount was not affected by the wire-torch distance under any current separation ratio tested.When the current separation ratio increased and reached a threshold,the middle melting amount remained constant with increasing wire-torch distance.When the current separation ratio continued to increase and reached the next threshold,the maximum melting amount remained constant with the increasing wire-torch distance.The effect of the wire-torch distance on the wire melting amount reduced with the increase in the current separation ratio.Through this study,the decoupling mechanism and ability of this innovative arc heat source is more clearly.

Effect of Y element on atomic structure, glass forming ability,and magnetic properties of FeBC alloy

The atomic structure of amorphous alloys plays a crucial role in determining both their glass-forming ability and magnetic properties. In this study, we investigate the influence of adding the Y element on the glass-forming ability and magnetic properties of Fe_(86-x)Y_xB_7C_7(x = 0, 5, 10 at.%) amorphous alloys via both experiments and ab initio molecular dynamics simulations. Furthermore, we explore the correlation between local atomic structures and properties. Our results demonstrate that an increased Y content in the alloys leads to a higher proportion of icosahedral clusters, which can potentially enhance both glass-forming ability and thermal stability. These findings have been experimentally validated. The analysis of the electron energy density and magnetic moment of the alloy reveals that the addition of Y leads to hybridization between Y-4d and Fe-3d orbitals, resulting in a reduction in ferromagnetic coupling between Fe atoms. This subsequently reduces the magnetic moment of Fe atoms as well as the total magnetic moment of the system, which is consistent with experimental results. The results could help understand the relationship between atomic structure and magnetic property,and providing valuable insights for enhancing the performance of metallic glasses in industrial applications.