This paper is concerned with the minimizers of L^(2)-subcritical constraint variar tional problems with spatially decaying nonlinearities in a bounded domain Ω of R~N(N≥1).We prove that the problem admits minimizers...This paper is concerned with the minimizers of L^(2)-subcritical constraint variar tional problems with spatially decaying nonlinearities in a bounded domain Ω of R~N(N≥1).We prove that the problem admits minimizers for any M> 0.Moreover,the limiting behavior of minimizers as M→∞ is also analyzed rigorously.展开更多
This study examines the multicriteria scheduling problem on a single machine to minimize three criteria: the maximum cost function, denoted by maximum late work (V<sub>max</sub>), maximum tardy job, denote...This study examines the multicriteria scheduling problem on a single machine to minimize three criteria: the maximum cost function, denoted by maximum late work (V<sub>max</sub>), maximum tardy job, denoted by (T<sub>max</sub>), and maximum earliness (E<sub>max</sub>). We propose several algorithms based on types of objectives function to be optimized when dealing with simultaneous minimization problems with and without weight and hierarchical minimization problems. The proposed Algorithm (3) is to find the set of efficient solutions for 1//F (V<sub>max</sub>, T<sub>max</sub>, E<sub>max</sub>) and 1//(V<sub>max</sub> + T<sub>max</sub> + E<sub>max</sub>). The Local Search Heuristic Methods (Descent Method (DM), Simulated Annealing (SA), Genetic Algorithm (GA), and the Tree Type Heuristics Method (TTHM) are applied to solve all suggested problems. Finally, the experimental results of Algorithm (3) are compared with the results of the Branch and Bound (BAB) method for optimal and Pareto optimal solutions for smaller instance sizes and compared to the Local Search Heuristic Methods for large instance sizes. These results ensure the efficiency of Algorithm (3) in a reasonable time.展开更多
In early 2018,the Boliden Garpenberg operation implemented an optimized control strategy as an addition to the existing ventilation on demand system.The purpose of the strategy is to further minimize energy use for ma...In early 2018,the Boliden Garpenberg operation implemented an optimized control strategy as an addition to the existing ventilation on demand system.The purpose of the strategy is to further minimize energy use for main and booster fans,whilst also fulfilling airflow setpoints without violating constraints such as min/max differential pressure over fans and interaction of air between areas in mines.Using air flow measurements and a dynamical model of the ventilation system,a mine-wide coordination control of fans can be carried out.The numerical model is data driven and derived from historical operational data or step changes experiments.This makes both initial deployment and lifetime model maintenance,as the mine evolves,a comparably easy operation.The control has been proven to operate in a stable manner over long periods without having to re-calibrate the model.Results prove a 40%decrease in energy use for the fans involved and a greater controllability of air flow.Moreover,a 15%decrease of the total air flow into the mine will give additional proportional heating savings during winter periods.All in all,the multivariable controller shows a correlation between production in the mine and the ventilation system performance superior to all of its predecessors.展开更多
Thermoelastic martensitic transformations in shape memory alloys can be modeled on the basis of nonlinear elastic theory.Microstructures of fine phase mixtures are local energy minimizers of the total energy.Using a o...Thermoelastic martensitic transformations in shape memory alloys can be modeled on the basis of nonlinear elastic theory.Microstructures of fine phase mixtures are local energy minimizers of the total energy.Using a one-dimensional effective model,we have shown that such microstructures are inhomogeneous solutions of the nonlinear Euler-Lagrange equation and can appear upon loading or unloading to certain critical conditions,the bifurcation conditions.A hybrid numerical method is utilized to calculate the inhomogeneous solutions with a large number of interfaces.The characteristics of the solutions are clarified by three parameters:the number of interfaces,the interface thickness,and the oscillating amplitude.Approximated analytical expressions are obtained for the interface and inhomogeneity energies through the numerical solutions.展开更多
In this paper, the properties of the maps for the Heisenberg group targets are studied. For u e∈W1,α(Ω, Hm), some Poincare type inequalities are proved. For the energy minimizers, the ∈-regularity theorems and the...In this paper, the properties of the maps for the Heisenberg group targets are studied. For u e∈W1,α(Ω, Hm), some Poincare type inequalities are proved. For the energy minimizers, the ∈-regularity theorems and the singularity theorems are obtained.展开更多
In this article, we study constrained minimizers of the following variational problem ε(p):={u∈H1 inf(R3),||u||22=p} E(u),ρ〉0,where E(u) is the SchrSdinger-Poisson-Slater (SPS) energy functional E(...In this article, we study constrained minimizers of the following variational problem ε(p):={u∈H1 inf(R3),||u||22=p} E(u),ρ〉0,where E(u) is the SchrSdinger-Poisson-Slater (SPS) energy functional E(u):1/2∫R3|△u(x)|2dx-1/4∫R3∫R3u2(y)u2(x)/|x-y|dydx-1/p∫R3|u(x)∫pdx in R3,and p ∈ (2,6). We prove the existence of minimizers for the cases 2 〈 p 〈10/3, p 〉 0, and P =10/3, 0 〈 p 〈 p*, and show that e(ρ) = -∞ for the other cases, where p* = ||φ||22 and φ(x) is the unique (up to translations) positive radially symmetric solution of -△u + u = u7/3 in R3. Moreover, when e(ρ*) = -∞, the blow-up behavior of minimizers as p/p* is also analyzed rigorously.展开更多
We combine the maximum principle for vector-valued mappings established by D'Ottavio, Leonetti and Musciano [7] with regularity results from [5] and prove the Holder continuity of the first derivatives for local mini...We combine the maximum principle for vector-valued mappings established by D'Ottavio, Leonetti and Musciano [7] with regularity results from [5] and prove the Holder continuity of the first derivatives for local minimizers u: Ω→^R^N of splitting-type variational integrals provided Ω is a domain in R^2.展开更多
In this paper, we introduce the concept of a (weak) minimizer of order k for a nonsmooth vector optimization problem over cones. Generalized classes of higher-order cone-nonsmooth (F, ρ)-convex functions are introduc...In this paper, we introduce the concept of a (weak) minimizer of order k for a nonsmooth vector optimization problem over cones. Generalized classes of higher-order cone-nonsmooth (F, ρ)-convex functions are introduced and sufficient optimality results are proved involving these classes. Also, a unified dual is associated with the considered primal problem, and weak and strong duality results are established.展开更多
The behavior of radial minimizers for a Ginzburg-Landau type functional is considered. The weak convergence of minimizers in W1,n is improved to the strong convergence in W1,n. Some estimates of the rate of the conver...The behavior of radial minimizers for a Ginzburg-Landau type functional is considered. The weak convergence of minimizers in W1,n is improved to the strong convergence in W1,n. Some estimates of the rate of the convergence for the module of minimizers are presented.展开更多
The research reported in this paper focuses on non-technical power loss reduction for power distribution systems. Such reduction of costs of energy not served (ENS.COST), is intelligently evaluated and optimized using...The research reported in this paper focuses on non-technical power loss reduction for power distribution systems. Such reduction of costs of energy not served (ENS.COST), is intelligently evaluated and optimized using a firefly algorithm, from where savings of 43.3% on energy not served are achieved.展开更多
The top goal of modern medicine is treating disease without destroying organ structures and making patients as healthy as they were before their sickness.Minimally invasive surgery(MIS)has dominated the surgical realm...The top goal of modern medicine is treating disease without destroying organ structures and making patients as healthy as they were before their sickness.Minimally invasive surgery(MIS)has dominated the surgical realm because of its lesser invasiveness.However,changes in anatomical structures of the body and reconstruction of internal organs or different organs are common after traditional surgery or MIS,decreasing the quality of life of patients post-operation.Thus,I propose a new treatment mode,super MIS(SMIS),which is defined as“curing a disease or lesion which used to be treated by MIS while preserving the integrity of the organs”.In this study,I describe the origin,definition,operative channels,advantages,and future perspectives of SMIS.展开更多
Medical care has undergone remarkable improvements over the past few decades.One of the most important innovative breakthroughs in modern medicine is the advent of minimally and less invasive treatments.The trend towa...Medical care has undergone remarkable improvements over the past few decades.One of the most important innovative breakthroughs in modern medicine is the advent of minimally and less invasive treatments.The trend towards employing less invasive treatment has been vividly shown in the field of gastroenterology,particularly coloproctology.Parallel to foregut interventions,colorectal surgery has shifted towards a minimally invasive approach.Coloproctology,including both medical and surgical management of colorectal diseases,has undergone a remarkable paradigm shift.The treatment of both benign and malignant colorectal conditions has gradually transitioned towards more conservative and less inva-sive approaches.An interesting paradigm shift was the trend to avoid the need for radical resection of rectal cancer altogether in patients who showed complete response to neoadjuvant treatment.The trend of adopting less invasive appro-aches to treat various colorectal conditions does not seem to be stopping soon as further research on novel,more effective and safer methods is ongoing.展开更多
BACKGROUND Colorectal cancer is the third most common cancer and the second highest cause of cancer-related mortality worldwide.About 5%-10%of patients are diagnosed with locally advanced rectal cancer(LARC)on present...BACKGROUND Colorectal cancer is the third most common cancer and the second highest cause of cancer-related mortality worldwide.About 5%-10%of patients are diagnosed with locally advanced rectal cancer(LARC)on presentation.For LARC invading into other structures(i.e.T4b),multivisceral resection(MVR)and/or pelvic ex-enteration(PE)remains the only potential curative surgical treatment.MVR and/or PE is a major and complex surgery with high post-operative morbidity.Minimally invasive surgery(MIS)has been shown to improve short-term post-operative outcomes in other gastrointestinal malignancies,but there is little evi-dence on its use in MVR,especially so for robotic MVR.This is a single-center retrospective cohort study from 1st January 2015 to 31st March 2023.Inclusion criteria were patients diagnosed with cT4b rectal cancer and underwent MVR,or stage 4 disease with resectable systemic metastases.Pa-tients who underwent curative MVR for locally recurrent rectal cancer,or me-tachronous rectal cancer were also included.Exclusion criteria were patients with systemic metastases with non-resectable disease.All patients planned for elective surgery were enrolled into the standard enhanced recovery after surgery pathway with standard peri-operative management for colorectal surgery.Complex sur-gery was defined based on technical difficulty of surgery(i.e.total PE,bladder-sparing prostatectomy,pelvic lymph node dissection or need for flap creation).Our primary outcomes were the margin status,and complication rates.Cate-gorical values were described as percentages and analysed by the chi-square test.Continuous variables were expressed as median(range)and analysed by Mann-Whitney U test.Cumulative overall survival(OS)and recurrence-free survival(RFS)were analysed using Kaplan-Meier estimates with life table analysis.Log-rank test was performed to determine statistical significance between cumulative estimates.Statistical significance was defined as P<0.05.Meier estimates with life table analysis.Log-rank test was performed to determine statistical significance between cumulative estimates.Statistical significance was defined as P<0.05.RESULTS A total of 46 patients were included in this study[open MVR(oMVR):12(26.1%),miMVR:36(73.9%)].Patients’American Society of Anesthesiologists score,body mass index and co-morbidities were comparable between oMVR and miMVR.There is an increasing trend towards robotic MVR from 2015 to 2023.MiMVR was associated with lower estimated blood loss(EBL)(median 450 vs 1200 mL,P=0.008),major morbidity(14.7%vs 50.0%,P=0.014),post-operative intra-abdominal collections(11.8%vs 50.0%,P=0.006),post-operative ileus(32.4%vs 66.7%,P=0.04)and surgical site infection(11.8%vs 50.0%,P=0.006)compared with oMVR.Length of stay was also shorter for miMVR compared with oMVR(median 10 vs 30 d,P=0.001).Oncological outcomes-R0 resection,recurrence,OS and RFS were comparable between miMVR and oMVR.There was no 30-d mortality.More patients underwent robotic compared with laparoscopic MVR for complex cases(robotic 57.1%vs laparoscopic 7.7%,P=0.004).The operating time was longer for robotic compared with laparoscopic MVR[robotic:602(400-900)min,laparoscopic:Median 455(275-675)min,P<0.001].Incidence of R0 resection was similar(laparoscopic:84.6%vs robotic:76.2%,P=0.555).Overall complication rates,major morbidity rates and 30-d readmission rates were similar between la-paroscopic and robotic MVR.Interestingly,3-year OS(robotic 83.1%vs 58.6%,P=0.008)and RFS(robotic 72.9%vs 34.3%,P=0.002)was superior for robotic compared with laparoscopic MVR.CONCLUSION MiMVR had lower post-operative complications compared to oMVR.Robotic MVR was also safe,with acceptable post-operative complication rates.Prospective studies should be conducted to compare short-term and long-term outcomes between robotic vs laparoscopic MVR.展开更多
BACKGROUND Ovarian cancer is one of the most common malignant tumors in female reproductive system in the world,and the choice of its treatment is very important for the survival rate and prognosis of patients.Traditi...BACKGROUND Ovarian cancer is one of the most common malignant tumors in female reproductive system in the world,and the choice of its treatment is very important for the survival rate and prognosis of patients.Traditional open surgery is the main treatment for ovarian cancer,but it has the disadvantages of big trauma and slow recovery.With the continuous development of minimally invasive technology,minimally invasive laparoscopic surgery under general anesthesia has been gradually applied to the treatment of ovarian cancer because of its advantages of less trauma and quick recovery.However,the efficacy and safety of minimally invasive laparoscopic surgery under general anesthesia in the treatment of ovarian cancer are still controversial.AIM To explore the efficacy and safety of general anesthesia minimally invasive surgery in the treatment of ovarian cancer.METHODS The clinical data of 90 patients with early ovarian cancer in our hospital were analyzed retrospectively.According to the different surgical treatment methods,patients were divided into study group and control group(45 cases in each group).The study group received minimally invasive laparoscopic surgery under general anesthesia for ovarian cancer,while the control group received traditional open surgery for ovarian cancer.The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30),clinical efficacy and safety of the two groups were compared.RESULTS The intraoperative blood loss,length of hospital stay,postoperative gas evacuation time,and postoperative EORTC QLQ-C30 score of the study group were significantly better than those of the control group(P<0.05).The incidence of postoperative complications in the study group was significantly lower than in the control group(P<0.05).The two groups had no significant differences in the preoperative adrenocorticotropic hormone(ACTH),androstenedione(AD),cortisol(Cor),cluster of differentiation 3 positive(CD3+),and cluster of differentiation 4 positive(CD4+)indexes(P>0.05).In contrast,postoperatively,the study group's ACTH,AD,and Cor indexes were lower,and the CD3+and CD4+indexes were higher than those in the control group(P<0.05).CONCLUSION Minimally invasive laparoscopic surgery under general anesthesia in patients with early ovarian cancer can significantly improve the efficacy and safety,improve the short-term prognosis and quality of life of patients,and is worth popularizing.展开更多
With the rapidly increasing bandwidth requirements of optical communication networks, compact and low-cost large-scale optical switches become necessary. Silicon pbotonics is a promising technology due to its small fo...With the rapidly increasing bandwidth requirements of optical communication networks, compact and low-cost large-scale optical switches become necessary. Silicon pbotonics is a promising technology due to its small footprint, cost competitiveness, and high bandwidth density. In this paper, we demonstrate a 12 × 12 silicon wavelength routing switch employing cascaded arrayed waveguide interconnection network on a the switch's footprint. We single chip. We optimize develop an algorithm based gratings (AWGs) connected by a silicon waveguide the connecting strategy of the crossing structure to reduce on minimum standard deviation to minimize the port-to- port insertion loss (IL) fluctuation of the switch globally. The simulated port-to-port IL fluctuation decreases by about 3 dB compared with that of the conventional one. The average measured port-to-port IL is 13.03 dB, with a standard deviation of 0.78 dB and a fluctuation of 2.39 dB. The device can be used for wide applications in core networks and data centers.展开更多
Cell-free synthetic enzymatic biosystem is emerging to expand the traditional biotechnological mode by utilizing a number of purified/partially purified enzymes and coenzymes in a single reaction vessel for the produc...Cell-free synthetic enzymatic biosystem is emerging to expand the traditional biotechnological mode by utilizing a number of purified/partially purified enzymes and coenzymes in a single reaction vessel for the production of desired products from low-cost substrates.Here,a cell-free synthetic biosystem containing minimized number of reactions was designed for the conversion of D-glucose to L-lactate via pyruvate.This NADH-balanced biosystem was comprised of only 5 thermophilic enzymes without ATP supplementation.After optimization of enzyme loading amounts,buffer concentration and cofactor concentration,D-glucose was converted to L-lactate with a product yield of∼90%.Our study has provided an emerging platform with potentials in producing pyruvatederived chemicals,and may promote the development of cell-free synthetic enzymatic biosystems for biomanufacturing.展开更多
Objective:To describe and evaluate the technique using bilateral Boari flap ureteroneocystostomy(BBFUNC)for bilateral mid-lower ureteral strictures.Methods:We retrospectively reviewed five patients who underwent minim...Objective:To describe and evaluate the technique using bilateral Boari flap ureteroneocystostomy(BBFUNC)for bilateral mid-lower ureteral strictures.Methods:We retrospectively reviewed five patients who underwent minimally invasive BBFUNC in our institution(Union Hospital,Wuhan,China)between July 2019 and December 2021.The bilateral ureters were mobilized and transected above the stenotic segments.The bladder was isolated and incised longitudinally from the middle of the anterior wall.Then,an inverted U-shaped bladder flap was created on both sides,fixed onto the psoas tendon,and anastomosed to the ipsilateral distal normal ureter.Following double-J stenting,the Boari flaps were tubularized,and the bladder was closed with continuous sutures.The patients’perioperative data and follow-up outcomes were collected,and a descriptive statistical analysis was performed.Results:No case converted to open surgery,and no intraoperative complication occurred.The median surgical time was 230(range 203-294)min.The median length of the bladder flaps was 6.2(range 4.3-10.0)cm on the left and 5.5(range 4.7-10.5)cm on the right side.All patients had not developed recurrent ureteral stenosis during the median follow-up time of 17(range 16-45)months and had a normal maximum flow rate after surgery.The median post-void residual was 7(range 0-19)mL.The maximal bladder capacity was decreased in one(20%)patient.Conclusion:The present study demonstrates that minimally invasive BBFUNC is feasible and safe in treating is limited.展开更多
Although there has been significant advancement in the identification and management of colorectal cancer(CRC)in recent years,there is still room for improvement in the current standard treatment regimen.One area of c...Although there has been significant advancement in the identification and management of colorectal cancer(CRC)in recent years,there is still room for improvement in the current standard treatment regimen.One area of concern is the lack of reliable tumor markers to predict treatment efficacy and guide tailored care.Due to its dynamic,effective,and non-invasive benefits over tissue biopsy,the detection of minimal or molecular residual lesions(MRD)based on circulating tumor DNA(ctDNA)is beneficial to the clinical development of drugs for patients with CRC after radical treatment,as well as for continuous monitoring of tumor recurrence and malignancy molecular gene evolution.The detection of ctDNA can currently be used to guide individual postoperative auxiliary treatment decisions(upgrade or downgrade treatment)in CRC,stratify the risk of clinical recurrence more precisely,and predict the risk of recurrence in advance of imaging examination,according to a large number of observational or prospective clinical studies.With increasing clarity comes the possibility of selecting a regimen of treatment based on postoperative ctDNA,which also improves the accuracy of clinical recurrence risk assessment for CRC.Therefore,it is anticipated that the identification of ctDNA would alter the current framework for dealing with CRC and lead to individualized,stratified precision therapy;however,additional confirmation will require subsequent high-quality,prospective,large-scale randomized controlled studies.This article will provide an overview of the definition and clinical significance of MRD,the primary indications and technological challenges for MRD detection,along with the advancement in clinical research about ctDNA detection following radical resection of the CRC.展开更多
基金supported by the Graduate Education Innovation Funds(2022CXZZ088)at Central China Normal University in Chinasupported by the NSFC(12225106,11931012)the Fundamental Research Funds(CCNU22LJ002)for the Central Universities in China。
文摘This paper is concerned with the minimizers of L^(2)-subcritical constraint variar tional problems with spatially decaying nonlinearities in a bounded domain Ω of R~N(N≥1).We prove that the problem admits minimizers for any M> 0.Moreover,the limiting behavior of minimizers as M→∞ is also analyzed rigorously.
文摘This study examines the multicriteria scheduling problem on a single machine to minimize three criteria: the maximum cost function, denoted by maximum late work (V<sub>max</sub>), maximum tardy job, denoted by (T<sub>max</sub>), and maximum earliness (E<sub>max</sub>). We propose several algorithms based on types of objectives function to be optimized when dealing with simultaneous minimization problems with and without weight and hierarchical minimization problems. The proposed Algorithm (3) is to find the set of efficient solutions for 1//F (V<sub>max</sub>, T<sub>max</sub>, E<sub>max</sub>) and 1//(V<sub>max</sub> + T<sub>max</sub> + E<sub>max</sub>). The Local Search Heuristic Methods (Descent Method (DM), Simulated Annealing (SA), Genetic Algorithm (GA), and the Tree Type Heuristics Method (TTHM) are applied to solve all suggested problems. Finally, the experimental results of Algorithm (3) are compared with the results of the Branch and Bound (BAB) method for optimal and Pareto optimal solutions for smaller instance sizes and compared to the Local Search Heuristic Methods for large instance sizes. These results ensure the efficiency of Algorithm (3) in a reasonable time.
文摘In early 2018,the Boliden Garpenberg operation implemented an optimized control strategy as an addition to the existing ventilation on demand system.The purpose of the strategy is to further minimize energy use for main and booster fans,whilst also fulfilling airflow setpoints without violating constraints such as min/max differential pressure over fans and interaction of air between areas in mines.Using air flow measurements and a dynamical model of the ventilation system,a mine-wide coordination control of fans can be carried out.The numerical model is data driven and derived from historical operational data or step changes experiments.This makes both initial deployment and lifetime model maintenance,as the mine evolves,a comparably easy operation.The control has been proven to operate in a stable manner over long periods without having to re-calibrate the model.Results prove a 40%decrease in energy use for the fans involved and a greater controllability of air flow.Moreover,a 15%decrease of the total air flow into the mine will give additional proportional heating savings during winter periods.All in all,the multivariable controller shows a correlation between production in the mine and the ventilation system performance superior to all of its predecessors.
基金supported by the National Natural Science Foundation of China(Grants 11461161008 and 11272092)
文摘Thermoelastic martensitic transformations in shape memory alloys can be modeled on the basis of nonlinear elastic theory.Microstructures of fine phase mixtures are local energy minimizers of the total energy.Using a one-dimensional effective model,we have shown that such microstructures are inhomogeneous solutions of the nonlinear Euler-Lagrange equation and can appear upon loading or unloading to certain critical conditions,the bifurcation conditions.A hybrid numerical method is utilized to calculate the inhomogeneous solutions with a large number of interfaces.The characteristics of the solutions are clarified by three parameters:the number of interfaces,the interface thickness,and the oscillating amplitude.Approximated analytical expressions are obtained for the interface and inhomogeneity energies through the numerical solutions.
基金National Natural Science Foundation of China (19771048)
文摘In this paper, the properties of the maps for the Heisenberg group targets are studied. For u e∈W1,α(Ω, Hm), some Poincare type inequalities are proved. For the energy minimizers, the ∈-regularity theorems and the singularity theorems are obtained.
基金partially supported by National Natural Science Foundation of China(11671394)
文摘In this article, we study constrained minimizers of the following variational problem ε(p):={u∈H1 inf(R3),||u||22=p} E(u),ρ〉0,where E(u) is the SchrSdinger-Poisson-Slater (SPS) energy functional E(u):1/2∫R3|△u(x)|2dx-1/4∫R3∫R3u2(y)u2(x)/|x-y|dydx-1/p∫R3|u(x)∫pdx in R3,and p ∈ (2,6). We prove the existence of minimizers for the cases 2 〈 p 〈10/3, p 〉 0, and P =10/3, 0 〈 p 〈 p*, and show that e(ρ) = -∞ for the other cases, where p* = ||φ||22 and φ(x) is the unique (up to translations) positive radially symmetric solution of -△u + u = u7/3 in R3. Moreover, when e(ρ*) = -∞, the blow-up behavior of minimizers as p/p* is also analyzed rigorously.
文摘We combine the maximum principle for vector-valued mappings established by D'Ottavio, Leonetti and Musciano [7] with regularity results from [5] and prove the Holder continuity of the first derivatives for local minimizers u: Ω→^R^N of splitting-type variational integrals provided Ω is a domain in R^2.
文摘In this paper, we introduce the concept of a (weak) minimizer of order k for a nonsmooth vector optimization problem over cones. Generalized classes of higher-order cone-nonsmooth (F, ρ)-convex functions are introduced and sufficient optimality results are proved involving these classes. Also, a unified dual is associated with the considered primal problem, and weak and strong duality results are established.
文摘The behavior of radial minimizers for a Ginzburg-Landau type functional is considered. The weak convergence of minimizers in W1,n is improved to the strong convergence in W1,n. Some estimates of the rate of the convergence for the module of minimizers are presented.
文摘The research reported in this paper focuses on non-technical power loss reduction for power distribution systems. Such reduction of costs of energy not served (ENS.COST), is intelligently evaluated and optimized using a firefly algorithm, from where savings of 43.3% on energy not served are achieved.
基金Supported by National Key R&D Programs of China,No.2022YFC2503600.
文摘The top goal of modern medicine is treating disease without destroying organ structures and making patients as healthy as they were before their sickness.Minimally invasive surgery(MIS)has dominated the surgical realm because of its lesser invasiveness.However,changes in anatomical structures of the body and reconstruction of internal organs or different organs are common after traditional surgery or MIS,decreasing the quality of life of patients post-operation.Thus,I propose a new treatment mode,super MIS(SMIS),which is defined as“curing a disease or lesion which used to be treated by MIS while preserving the integrity of the organs”.In this study,I describe the origin,definition,operative channels,advantages,and future perspectives of SMIS.
文摘Medical care has undergone remarkable improvements over the past few decades.One of the most important innovative breakthroughs in modern medicine is the advent of minimally and less invasive treatments.The trend towards employing less invasive treatment has been vividly shown in the field of gastroenterology,particularly coloproctology.Parallel to foregut interventions,colorectal surgery has shifted towards a minimally invasive approach.Coloproctology,including both medical and surgical management of colorectal diseases,has undergone a remarkable paradigm shift.The treatment of both benign and malignant colorectal conditions has gradually transitioned towards more conservative and less inva-sive approaches.An interesting paradigm shift was the trend to avoid the need for radical resection of rectal cancer altogether in patients who showed complete response to neoadjuvant treatment.The trend of adopting less invasive appro-aches to treat various colorectal conditions does not seem to be stopping soon as further research on novel,more effective and safer methods is ongoing.
基金Informed consent was obtained from patients included(No.SDB-2023-0069-TTSH-01).
文摘BACKGROUND Colorectal cancer is the third most common cancer and the second highest cause of cancer-related mortality worldwide.About 5%-10%of patients are diagnosed with locally advanced rectal cancer(LARC)on presentation.For LARC invading into other structures(i.e.T4b),multivisceral resection(MVR)and/or pelvic ex-enteration(PE)remains the only potential curative surgical treatment.MVR and/or PE is a major and complex surgery with high post-operative morbidity.Minimally invasive surgery(MIS)has been shown to improve short-term post-operative outcomes in other gastrointestinal malignancies,but there is little evi-dence on its use in MVR,especially so for robotic MVR.This is a single-center retrospective cohort study from 1st January 2015 to 31st March 2023.Inclusion criteria were patients diagnosed with cT4b rectal cancer and underwent MVR,or stage 4 disease with resectable systemic metastases.Pa-tients who underwent curative MVR for locally recurrent rectal cancer,or me-tachronous rectal cancer were also included.Exclusion criteria were patients with systemic metastases with non-resectable disease.All patients planned for elective surgery were enrolled into the standard enhanced recovery after surgery pathway with standard peri-operative management for colorectal surgery.Complex sur-gery was defined based on technical difficulty of surgery(i.e.total PE,bladder-sparing prostatectomy,pelvic lymph node dissection or need for flap creation).Our primary outcomes were the margin status,and complication rates.Cate-gorical values were described as percentages and analysed by the chi-square test.Continuous variables were expressed as median(range)and analysed by Mann-Whitney U test.Cumulative overall survival(OS)and recurrence-free survival(RFS)were analysed using Kaplan-Meier estimates with life table analysis.Log-rank test was performed to determine statistical significance between cumulative estimates.Statistical significance was defined as P<0.05.Meier estimates with life table analysis.Log-rank test was performed to determine statistical significance between cumulative estimates.Statistical significance was defined as P<0.05.RESULTS A total of 46 patients were included in this study[open MVR(oMVR):12(26.1%),miMVR:36(73.9%)].Patients’American Society of Anesthesiologists score,body mass index and co-morbidities were comparable between oMVR and miMVR.There is an increasing trend towards robotic MVR from 2015 to 2023.MiMVR was associated with lower estimated blood loss(EBL)(median 450 vs 1200 mL,P=0.008),major morbidity(14.7%vs 50.0%,P=0.014),post-operative intra-abdominal collections(11.8%vs 50.0%,P=0.006),post-operative ileus(32.4%vs 66.7%,P=0.04)and surgical site infection(11.8%vs 50.0%,P=0.006)compared with oMVR.Length of stay was also shorter for miMVR compared with oMVR(median 10 vs 30 d,P=0.001).Oncological outcomes-R0 resection,recurrence,OS and RFS were comparable between miMVR and oMVR.There was no 30-d mortality.More patients underwent robotic compared with laparoscopic MVR for complex cases(robotic 57.1%vs laparoscopic 7.7%,P=0.004).The operating time was longer for robotic compared with laparoscopic MVR[robotic:602(400-900)min,laparoscopic:Median 455(275-675)min,P<0.001].Incidence of R0 resection was similar(laparoscopic:84.6%vs robotic:76.2%,P=0.555).Overall complication rates,major morbidity rates and 30-d readmission rates were similar between la-paroscopic and robotic MVR.Interestingly,3-year OS(robotic 83.1%vs 58.6%,P=0.008)and RFS(robotic 72.9%vs 34.3%,P=0.002)was superior for robotic compared with laparoscopic MVR.CONCLUSION MiMVR had lower post-operative complications compared to oMVR.Robotic MVR was also safe,with acceptable post-operative complication rates.Prospective studies should be conducted to compare short-term and long-term outcomes between robotic vs laparoscopic MVR.
文摘BACKGROUND Ovarian cancer is one of the most common malignant tumors in female reproductive system in the world,and the choice of its treatment is very important for the survival rate and prognosis of patients.Traditional open surgery is the main treatment for ovarian cancer,but it has the disadvantages of big trauma and slow recovery.With the continuous development of minimally invasive technology,minimally invasive laparoscopic surgery under general anesthesia has been gradually applied to the treatment of ovarian cancer because of its advantages of less trauma and quick recovery.However,the efficacy and safety of minimally invasive laparoscopic surgery under general anesthesia in the treatment of ovarian cancer are still controversial.AIM To explore the efficacy and safety of general anesthesia minimally invasive surgery in the treatment of ovarian cancer.METHODS The clinical data of 90 patients with early ovarian cancer in our hospital were analyzed retrospectively.According to the different surgical treatment methods,patients were divided into study group and control group(45 cases in each group).The study group received minimally invasive laparoscopic surgery under general anesthesia for ovarian cancer,while the control group received traditional open surgery for ovarian cancer.The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30),clinical efficacy and safety of the two groups were compared.RESULTS The intraoperative blood loss,length of hospital stay,postoperative gas evacuation time,and postoperative EORTC QLQ-C30 score of the study group were significantly better than those of the control group(P<0.05).The incidence of postoperative complications in the study group was significantly lower than in the control group(P<0.05).The two groups had no significant differences in the preoperative adrenocorticotropic hormone(ACTH),androstenedione(AD),cortisol(Cor),cluster of differentiation 3 positive(CD3+),and cluster of differentiation 4 positive(CD4+)indexes(P>0.05).In contrast,postoperatively,the study group's ACTH,AD,and Cor indexes were lower,and the CD3+and CD4+indexes were higher than those in the control group(P<0.05).CONCLUSION Minimally invasive laparoscopic surgery under general anesthesia in patients with early ovarian cancer can significantly improve the efficacy and safety,improve the short-term prognosis and quality of life of patients,and is worth popularizing.
基金National Natural Science Foundation of China(NSFC)(61775069,61635004)National High Technology Research and Development Program of China,863 Program(2015AA015504)
文摘With the rapidly increasing bandwidth requirements of optical communication networks, compact and low-cost large-scale optical switches become necessary. Silicon pbotonics is a promising technology due to its small footprint, cost competitiveness, and high bandwidth density. In this paper, we demonstrate a 12 × 12 silicon wavelength routing switch employing cascaded arrayed waveguide interconnection network on a the switch's footprint. We single chip. We optimize develop an algorithm based gratings (AWGs) connected by a silicon waveguide the connecting strategy of the crossing structure to reduce on minimum standard deviation to minimize the port-to- port insertion loss (IL) fluctuation of the switch globally. The simulated port-to-port IL fluctuation decreases by about 3 dB compared with that of the conventional one. The average measured port-to-port IL is 13.03 dB, with a standard deviation of 0.78 dB and a fluctuation of 2.39 dB. The device can be used for wide applications in core networks and data centers.
基金the Key Research Program of the Chinese Academy of Sciences(Grant No.ZDRW-ZS-2016-3)National Natural Science Foundation of China(Grant No.31600636).
文摘Cell-free synthetic enzymatic biosystem is emerging to expand the traditional biotechnological mode by utilizing a number of purified/partially purified enzymes and coenzymes in a single reaction vessel for the production of desired products from low-cost substrates.Here,a cell-free synthetic biosystem containing minimized number of reactions was designed for the conversion of D-glucose to L-lactate via pyruvate.This NADH-balanced biosystem was comprised of only 5 thermophilic enzymes without ATP supplementation.After optimization of enzyme loading amounts,buffer concentration and cofactor concentration,D-glucose was converted to L-lactate with a product yield of∼90%.Our study has provided an emerging platform with potentials in producing pyruvatederived chemicals,and may promote the development of cell-free synthetic enzymatic biosystems for biomanufacturing.
基金supported by the Wuhan Municipal Science and Technology Bureau,Wuhan,China(No.2020020601012222 to Li B)Zhongnan Hospital of Wuhan University,Wuhan,China(No.rcyj20230102 to Li B)Natural Science Foundation of Hubei Province,China(China,No.2020CFB829 to Xiao X).
文摘Objective:To describe and evaluate the technique using bilateral Boari flap ureteroneocystostomy(BBFUNC)for bilateral mid-lower ureteral strictures.Methods:We retrospectively reviewed five patients who underwent minimally invasive BBFUNC in our institution(Union Hospital,Wuhan,China)between July 2019 and December 2021.The bilateral ureters were mobilized and transected above the stenotic segments.The bladder was isolated and incised longitudinally from the middle of the anterior wall.Then,an inverted U-shaped bladder flap was created on both sides,fixed onto the psoas tendon,and anastomosed to the ipsilateral distal normal ureter.Following double-J stenting,the Boari flaps were tubularized,and the bladder was closed with continuous sutures.The patients’perioperative data and follow-up outcomes were collected,and a descriptive statistical analysis was performed.Results:No case converted to open surgery,and no intraoperative complication occurred.The median surgical time was 230(range 203-294)min.The median length of the bladder flaps was 6.2(range 4.3-10.0)cm on the left and 5.5(range 4.7-10.5)cm on the right side.All patients had not developed recurrent ureteral stenosis during the median follow-up time of 17(range 16-45)months and had a normal maximum flow rate after surgery.The median post-void residual was 7(range 0-19)mL.The maximal bladder capacity was decreased in one(20%)patient.Conclusion:The present study demonstrates that minimally invasive BBFUNC is feasible and safe in treating is limited.
基金supported by grants from Sanming Project of Medicine in Shenzhen(No.SZSM202211017)Shenzhen Key Medical Discipline Construction Fund(No.SZXK014).
文摘Although there has been significant advancement in the identification and management of colorectal cancer(CRC)in recent years,there is still room for improvement in the current standard treatment regimen.One area of concern is the lack of reliable tumor markers to predict treatment efficacy and guide tailored care.Due to its dynamic,effective,and non-invasive benefits over tissue biopsy,the detection of minimal or molecular residual lesions(MRD)based on circulating tumor DNA(ctDNA)is beneficial to the clinical development of drugs for patients with CRC after radical treatment,as well as for continuous monitoring of tumor recurrence and malignancy molecular gene evolution.The detection of ctDNA can currently be used to guide individual postoperative auxiliary treatment decisions(upgrade or downgrade treatment)in CRC,stratify the risk of clinical recurrence more precisely,and predict the risk of recurrence in advance of imaging examination,according to a large number of observational or prospective clinical studies.With increasing clarity comes the possibility of selecting a regimen of treatment based on postoperative ctDNA,which also improves the accuracy of clinical recurrence risk assessment for CRC.Therefore,it is anticipated that the identification of ctDNA would alter the current framework for dealing with CRC and lead to individualized,stratified precision therapy;however,additional confirmation will require subsequent high-quality,prospective,large-scale randomized controlled studies.This article will provide an overview of the definition and clinical significance of MRD,the primary indications and technological challenges for MRD detection,along with the advancement in clinical research about ctDNA detection following radical resection of the CRC.