Standard-definition White-light,High-definition White-light versus Narrow-band Imaging Endoscopy for Detecting Colorectal Adenomas:A Multicenter Randomized Controlled Trial

Objective This study aimed to compare the performance of standard-definition white-light endoscopy(SD-WL),high-definition white-light endoscopy(HD-WL),and high-definition narrow-band imaging(HD-NBI)in detecting colorectal lesions in the Chinese population.Methods This was a multicenter,single-blind,randomized,controlled trial with a non-inferiority design.Patients undergoing endoscopy for physical examination,screening,and surveillance were enrolled from July 2017 to December 2020.The primary outcome measure was the adenoma detection rate(ADR),defined as the proportion of patients with at least one adenoma detected.The associated factors for detecting adenomas were assessed using univariate and multivariate logistic regression.Results Out of 653 eligible patients enrolled,data from 596 patients were analyzed.The ADRs were 34.5%in the SD-WL group,33.5%in the HD-WL group,and 37.5%in the HD-NBI group(P=0.72).The advanced neoplasm detection rates(ANDRs)in the three arms were 17.1%,15.5%,and 10.4%(P=0.17).No significant differences were found between the SD group and HD group regarding ADR or ANDR(ADR:34.5%vs.35.6%,P=0.79;ANDR:17.1%vs.13.0%,P=0.16,respectively).Similar results were observed between the HD-WL group and HD-NBI group(ADR:33.5%vs.37.7%,P=0.45;ANDR:15.5%vs.10.4%,P=0.18,respectively).In the univariate and multivariate logistic regression analyses,neither HD-WL nor HD-NBI led to a significant difference in overall adenoma detection compared to SD-WL(HD-WL:OR 0.91,P=0.69;HD-NBI:OR 1.15,P=0.80).Conclusion HD-NBI and HD-WL are comparable to SD-WL for overall adenoma detection among Chinese outpatients.It can be concluded that HD-NBI or HD-WL is not superior to SD-WL,but more effective instruction may be needed to guide the selection of different endoscopic methods in the future.Our study’s conclusions may aid in the efficient allocation and utilization of limited colonoscopy resources,especially advanced imaging technologies.

Software-aided efficient identification of the components of compound formulae and their metabolites in rats by UHPLC/IM-QTOF-MS and an in-house high-definition MS^(2) library: Sishen formula as a case

Identifying the compound formulae-related xenobiotics in bio-samples is full of challenges.Conventional strategies always exhibit the insufficiencies in overall coverage,analytical efficiency,and degree of automation,and the results highly rely on the personal knowledge and experience.The goal of this work was to establish a software-aided approach,by integrating ultra-high performance liquid chromatography/ion-mobility quadrupole time-of-flight mass spectrometry(UHPLC/IM-QTOF-MS)and in-house high-definition MS^(2) library,to enhance the identification of prototypes and metabolites of the compound formulae in vivo,taking Sishen formula(SSF)as a template.Seven different MS2 acquisition methods were compared,which demonstrated the potency of a hybrid scan approach(namely high-definition data-independent/data-dependent acquisition(HDDIDDA))in the identification precision,MS1 coverage,and MS^(2) spectra quality.The HDDIDDA data for 55 reference compounds,four component drugs,and SSF,together with the rat bio-samples(e.g.,plasma,urine,feces,liver,and kidney),were acquired.Based on the UNIFI™platform(Waters),the efficient data processing workflows were established by combining mass defect filtering(MDF)-induced classification,diagnostic product ions(DPIs),and neutral loss filtering(NLF)-dominated structural confirmation.The high-definition MS^(2) spectral libraries,dubbed in vitro-SSF and in vivo-SSF,were elaborated,enabling the efficient and automatic identification of SSF-associated xenobiotics in diverse rat bio-samples.Consequently,118 prototypes and 206 metabolites of SSF were identified,with the identification rate reaching 80.51%and 79.61%,respectively.The metabolic pathways mainly involved the oxidation,reduction,hydrolysis,sulfation,methylation,demethylation,acetylation,glucuronidation,and the combined reactions.Conclusively,the proposed strategy can drive the identification of compound formulae-related xenobiotics in vivo in an intelligent manner.

Visual navigation in orchard based on multiple images at different shooting angles

The orchards usually have rough terrain,dense tree canopy and weeds.It is hard to use GNSS for autonomous navigation in orchard due to signal occlusion,multipath effect,and radio frequency interference.To achieve autonomous navigation in orchard,a visual navigation method based on multiple images at different shooting angles is proposed in this paper.A dynamic image capturing device is designed for camera installation and multiple images can be shot at different angles.Firstly,the obtained orchard images are classified into sky and soil detection stage.Each image is transformed to HSV space and initially segmented into sky,canopy and soil regions by median filtering and morphological processing.Secondly,the sky and soil regions are extracted by the maximum connected region algorithm,and the region edges are detected and filtered by the Canny operator.Thirdly,the navigation line in the current frame is extracted by fitting the region coordinate points.Then the dynamic weighted filtering algorithm is used to extract the navigation line for the soil and sky detection stage,respectively,and the navigation line for the sky detection stage is mirrored to the soil region.Finally,the Kalman filter algorithm is used to fuse and extract the final navigation path.The test results on 200 images show that the accuracy of visual navigation path fitting is 95.5%,and single frame image processing costs 60 ms,which meets the real-time and robustness requirements of navigation.The visual navigation experiments in Camellia oleifera orchard show that when the driving speed is 0.6 m/s,the maximum tracking offset of visual navigation in weed-free and weedy environments is 0.14 m and 0.24 m,respectively,and the RMSE is 30 mm and 55 mm,respectively.

机械工程trouble-shooting案例分析教学与动手能力培养

通过trouble shooting案例的分析、讨论、实例讲解,力图引导、启发和培养学生在实际工作中如何去发现问题、如何对已有知识、经验、技能的灵活处理和技术知识的转移、搬迁、嫁接、变异、变通和改进等方面的技巧和动手能力,目的是使学生学习达到“鱼”、“渔”共获。

A CASE STUDY ON LONG HOLE RAISING BY SHOOTING TO RELIEF HOLES

ＡＣＡＳＥＳＴＵＤＹＯＮＬＯＮＧＨＯＬＥＲＡＩＳＩＮＧＢＹＳＨＯＯＴＩＮＧＴＯＲＥＬＩＥＦＨＯＬＥＳ①ＤｉｎｇＤｅｘｉｎＣｅｎｔｒａｌＳｏｕｔｈＩｎｓｔｉｔｕｔｅｏｆＴｅｃｈｎｏｌｏｇｙ，Ｈｅｎｇｙａｎｇ４２１００１ＡＢＳＴＲＡＣＴＡｃａｓｅｓｔｕ...

High-definition colonoscopy with i-Scan:Better diagnosis for small polyps and flat adenomas

AIM： To investigate if high-definition （HD） colonoscope with i-Scan gave a higher detection rate of mucosal le- sions vs standard white-light instruments. METHODS： Data were collected from the computer- ized database of the endoscopy unit of our tertiary referral center. We retrospectively analyzed 1101 con- secutive colonoscopies that were performed over 1 year with standard white-light （n = 849） or HD＋ with i-Scan （n = 252） instruments by four endoscopists, in an outpatient setting. Colonoscopy records included patients＇ main details and family history for colorectal cancer, indication for colonoscopy （screening, diagnos- tic or surveillance）, type of instrument used （standard white-light or HD＋ plus i-Scan）, name of endoscopist and bowel preparation. Records for each procedure included whether the cecum was reached or not and the reason for failure, complications during or imme- diately after the procedure, and number, size, location and characteristics of the lesions. Polyps or protruding lesions were defined as sessile or pedunculated, and nonprotruding lesions were defined according to Paris classification. For each lesion, histological diagnosis was recorded. RESULTS： Eight hundred and forty-nine colonosco- pies were carried with the standard white-light video colonoscope and 252 with the HD＋ plus i-Scan video colonoscope, The four endoscopists did 264, 300, 276 and 261 procedures, respectively; 21.6%, 24.0%, 21.7% and 24.1% of them with the HD＋ plus i-Scan technique. There were no significant differences be- tween the four endoscopists in either the number of procedures done or the proportions of each imaging technique used. Both techniques detected one or more mucosal lesions in 522/1101 procedures （47.4%）. The overall number of lesions recognized was 1266; 645 in the right colon and 621 in the left. A significantly higher number of colonoscopies recognized lesions in the HD＋ plus i-Scan mode （171/252 = 67.9%） than with the standard white-light technique （408/849 = 48.1%） （P 〈 0.0001）. HD＋ with i-Scan colonoscopies identified more lesions than standard white-light imag- ing （459/252 and 807/849, P 〈 0.0001）, in the right or left colon （mean ：1： SD, 1.62±1.36 vs 1.33±0.73, P 〈 0.003 and 1.55±0.98 vs 1.17±0.93, P = 0.033）, more lesions 〈 10 mm （P 〈 0.0001） or nonprotruding （P 〈 0.022）, and flat polyps （P = 0.04）. The cumulative mean number of lesions per procedure detected by the four endoscopists was significantly higher with HD＋ with i-Scan than with standard white-light imaging （1.82 ± 2.89 vs 0.95± 1.35, P 〈 0.0001）. CONCLUSION： HD imaging with i-Scan during the withdrawal phase of colonoscopy significantly increased the detection of colonic mucosal lesions, particularly small and nonprotruding polyps.

Optimal index shooting policy for layered missile defense system

In order to cope with the increasing threat of the ballistic missile(BM)in a shorter reaction time,the shooting policy of the layered defense system needs to be optimized.The main decisionmaking problem of shooting optimization is how to choose the next BM which needs to be shot according to the previous engagements and results,thus maximizing the expected return of BMs killed or minimizing the cost of BMs penetration.Motivated by this,this study aims to determine an optimal shooting policy for a two-layer missile defense(TLMD)system.This paper considers a scenario in which the TLMD system wishes to shoot at a collection of BMs one at a time,and to maximize the return obtained from BMs killed before the system demise.To provide a policy analysis tool,this paper develops a general model for shooting decision-making,the shooting engagements can be described as a discounted reward Markov decision process.The index shooting policy is a strategy that can effectively balance the shooting returns and the risk that the defense mission fails,and the goal is to maximize the return obtained from BMs killed before the system demise.The numerical results show that the index policy is better than a range of competitors,especially the mean returns and the mean killing BM number.

Influence of core box vents distribution on flow dynamics of core shooting process based on experiment and numerical simulation

Core shooting process plays a decisive role in the quality of sand cores, and core box vents distribution is one of the most important factor determining the effectiveness of core shooting process. In this paper, the influence of core box vents distribution on the flow dynamics of core shooting process was investigated based on in situ experimental observations with transparent core box, high-speed camera and pressure measuring system. Attention was focused on the variation of both the flow behavior of sand and pressure curves due to different vents distribution. Taking both kinetic and frictional stress into account, a kinetic-frictional constitutive model was established to describe the internal momentum transfer in the solid phase. Two-fluid model(TFM) simulation was then performed and good agreement was achieved between the experimental and simulated results on both the flow behavior of sand and the pressure curves. It was found that vents distribution has direct effect on the pressure difference of different locations in the core box, which determines the buoyancy force exerting on the sand particles and significantly influences the filling process of core sand.

Influence of core sand properties on flow dynamics of core shooting process based on experiment and multiphase simulation

The influence of core sand properties on flow dynamics was investigated synchronously with various core sands, transparent core-box and high-speed camera. To confirm whether the core shooting process has significant turbulence, the flow pattern of sand particles in the shooting head and core box was reproduced with colored core sands. By incorporating the kinetic theory of granular flow(KTGF), kinetic-frictional constitutive correlation and turbulence model, a two-fluid model(TFM) was established to study the flow dynamics of the core shooting process. Two-fluid model(TFM) simulations were then performed and a areasonable agreement was achieved between the simulation and experimental results. Based on the experimental and simulation results, the effects of turbulence, sand density, sand diameter and binder ratio were analyzed in terms of filling process, sand volume fraction(αs) and sand velocity(Vs).

A SHOOTING METHOD FOR THE SWIFT-HOHENBERG EQUATION

Stationary even single bump periodic solutions of the Swift Hohenberg equation are analyzed. The coefficient k in the equation is found to be a critical parameter. It is proved if 0<k<1 , there exist periodic solutions having the same energy as the constant solution u=0; if 1<k<32 , there exist periodic solutions having the same energy as the stable states u=±k-1. The proof of the above results is based on a shooting technique, together with a linearization method and a scaling argument.

Analysis on Stochastic Passage Characteristics for Gun Barrel in Shooting Domain

Aiming at some weapon systems with shooting domain,the stochastic passage characteristics of the barrel were studied.On the basis of the exact definition of the stochastic passage characteristics,its opportunity-awaiting time,residence time and stochastic passage period were given by using the transition probability matrix,and they all obeyed the geometry distributions.Their means and variances were also derived,and the relations between the time indexes and the structure and parameters of weapon control system were established.Finally,the creditability of the conclusions was verified by the test data of weapon system in proving ground.

Optical diagnosis of colorectal polyps using high-definition i-scan: An educational experience

AIM:To examine performances regarding prediction of polyp histology using high-definition (HD) i-scan in a group of endoscopists with varying levels of experience. METHODS:We used a digital library of HD i-scan still images, comprising twin pictures (surface enhancement and tone enhancement), collected at our university hospital. We defined endoscopic features of adenomatous and non-adenomatous polyps, according to the following parameters:color, surface pattern and vascular pattern. We familiarized the participating endoscopists on optical diagnosis of colorectal polyps using a 20-min didactic training session. All endoscopists were asked to evaluate an image set of 50 colorectal polyps with regard to polyp histology. We classified the diagnoses into high confidence (i.e., cases in which the endoscopist could assign a diagnosis with certainty) and low confidence diagnoses (i.e., cases in which the endoscopist preferred to send the polyp for formal histology). Mean sensitivity, specificity and accuracy per endoscopist/image were computed and differences between groups tested using independent-samples t tests. High vs low confidence diagnoses were compared using the pairedsamples t test. RESULTS:Eleven endoscopists without previous experience on optical diagnosis evaluated a total of 550 images (396 adenomatous, 154 non-adenomatous). Mean sensitivity, specificity and accuracy for diagnosing adenomas were 79.3%, 85.7% and 81.1%, respectively. No significant differences were found between gastroenterologists and trainees regarding performances of optical diagnosis (mean accuracy 78.0%vs 82.9%,P = 0.098). Diminutive lesions were predicted with a lower mean accuracy as compared to non-diminutive lesions (74.2% vs 93.1%, P = 0.008). A total of 446 (81.1%) diagnoses were made with high confidence. High confidence diagnoses corresponded to a significantly higher mean accuracy than low confidence diagnoses (84.0% vs 64.3%, P = 0.008). A total of 319 (58.0%) images were evaluated as having excellent quality. Considering excellent quality images in conjunction with high confidence diagnosis, overall accuracy increased to 92.8%. CONCLUSION:After a single training session, endoscopists with varying levels of experience can already provide optical diagnosis with an accuracy of 84.0%.

Scattering from Rough Surfaces Using the"Shooting and Bouncing Rays" Technique

The “shooting and bouncing rays” (SBR) technique is used to analyze the electromagnetic scattering characters of ocean rough surfaces varying with time. Some numerical results are presented and compared with the method of moments, and some factors, such as the incident angle, polarization and frequency are investigated which influence on electromagnetic scattering characters of ocean rough surfaces.

Numerical experiment of anharmonic oscillators by using the symplectic scheme-shooting method

Symplectic scheme-shooting method (SSSM) is applied to solve the energy eigenvalues of anharmonic oscillators characterized by the potentials V(x)=λx 4 and V(x)=(1/2)x 2+λx 2α with α=2,3,4 and doubly anharmonic oscillators characterized by the potentials V(x)=(1/2)x 2+λ 1x 4 +λ 2x 6, and a high order symplectic scheme tailored to the "time"-dependent Hamiltonian function is presented. The numerical results illustrate that the energy eigenvalues of anharmonic oscillators with the symplectic scheme-shooting method are in good agreement with the numerical accurate ones obtained from the non-perturbative method by using an appropriately scaled basis for the expansion of each eigenfunction; and the energy eigenvalues of doubly anharmonic oscillators with the sympolectic scheme-shooting method are in good agreement with the exact ones and are better than the results obtained from the four-term asymptotic series. Therefore, the symplectic scheme-shooting method, which is very simple and is easy to grasp, is a good numerical algorithm.

A Reliable Adaptive High-Definition Transmission System for Distance Learning

There is an increasing demand for supporting high-quality real-time audiovisual services for the next generation wired and wireless networks. However, due to variety of bandwidths of different networks, it is a great challenge for deployment. In this paper, a novel high-definition (HD) video transmission system was proposed which depends upon reliable compound multicast protocols and QoS control over the various kinds of networks. This system detects client's network condition and assigns it to a proper proxy. Each proxy is capable of detecting network parameters and adaptively tuning such transport parameters as bit rate, video resolution, frame rate and QoS mechanisms to this condition. It also provides FEC error recovery under consideration of characteristics of MPEG4 video codec. Our simulation demonstrates that different network clients such as ADSL, CERNET, and CERNET2 can receive more video reliability with less delay.

Shooting Back

A project that puts cameras in the hands of war’s youngest victims offers them away to tell—and show——their stories. Two million children dead.Six millionmaimed or mutilated.Ten million psychologicallydamaged.Such is the tragic tally,in the last decade,of the world’s wars.border skirmishes and ethnicconflicts.And it doesn’t stop there.According toa 1999 report by the U.N.’s Special Representativefor Children and Armed Conflict,more than

Distribution of Soil-Bound Lead Arising from Rainfall-Runoff Events at Impact Berm of a Military Shooting Range

Surface runoff from rainfall event is an important indicator of metal mobility in soil, which may enhance non-point source contamination of soil. This study is designed to assess the mobility of soil-bound lead through simulated rainfall runoff experiment and its spatial distribution within the vicinity of a berm at a major military shooting range. Contamination was more significant at the impact area of berm, indicating threefold increase in Pb (17,500 ± 3811 μg/g) within a space of ten years. However, the non-impact area (459 ± 147 μg/g) was less contaminated. Other metals (Cu, Cd, Cr, Ni and Zn) analyzed were about background levels except for Cu at impact area. The enrichment ratio of Pb in runoff sediments was mostly high for the 0.43 mm sediment fractions independent of rainfall condition. Principal component analysis (PCA) biplot showed strong correlation between spatial distributions of metals around the vicinity of the berm (farmlands behind the berm) with concentrations on the impact berm soil. Surface runoff simulated on impact area soil had high concentrations of Pb (40.4 - 65.6 μg/mL) which could further lead to enrichment of soil-Pb levels within the vicinity of the berm. Decontamination measure is therefore required to minimize extensive contamination of surrounding soils of the impact berm due to rainfall runoff events.

The Lie-group Shooting Method for Radial Symmetric Solutions of the Yamabe Equation

We transform the Yamabe equation on a ball of arbitrary dimension greater than two into a nonlinear singularly boundary value problem on the unit interval[0;1].Then we apply Lie-group shooting method(LGSM)to search a missing initial condition of slope through a weighting factor r 2(0;1).The best r is determined by matching the right-end boundary condition.When the initial slope is available we can apply the group preserving scheme(GPS)to calculate the solution,which is highly accurate.By LGSM we obtain precise radial symmetric solutions of the Yamabe equation.These results are useful in demonstrating the utility of Lie-group based numerical approaches to solving nonlinear differential equations.

Reliability and Validity of the New Shooting Accuracy Measurement （SAM） System Software

The aim of this study was to investigate the reliability and validity of the New Shooting Accuracy Measurement Software （SAMS）. Thirty two male collegian soccer players performed three inner side kicking to the transparent goal construction. A High speed camera was placed at the back of the construction to determine where the ball contacted. Recorded video results were assessed with the SAMS and Kinovea software. To investigate test-retest reliability, three kicking results were examined twice by SAMS. Moreover kicking accuracy results obtained with SAMS were compared with results provided by Kinovea in order to investigate validity. Test-retest reproducibility of the new software was excellent, with Concordance Correlation Coefficient for distance to target （0.99, 0.99 and 0.99 respectively） and for angular degree of the ball （0.97, 0.99 and 0.99 respectively）, low Coefficients of Variation （between 2.10 to 6.33 for distance to target and 2.40 to 2.69 for angular degree） and random error （between _.＋ 0.55 to __＋ 3.44 for distance to target and ___ 0.63 to ___ 2.75 for angular degree）. Constant error （between 0.44 to 1.28 for distance to target and -1.16 to __. -2.51 for angular degree） and proportional error （between 0.97 to 0.98 for distance to target and 1.00 to 1.01 for angular degree） were very low for validity. In conclusion, the SAMS represents a valid and reliable instrument to measure accuracy of shooting to target.

A two-parameter multiple shooting method and its application to the natural vibrations of non-prismatic multi-segment beams

This paper presents an enhanced version of the standard shooting method that enables problems with two unknown parameters to be solved.A novel approach is applied to the analysis of the natural vibrations of Euler-Bernoulli beams.The proposed algorithm,named as two-parameter multiple shooting method,is a new powerful numerical tool for calculating the natural frequencies and modes of multi-segment prismatic and non-prismatic beams with different boundary conditions.The impact of the axial force and additional point masses is also taken into account.Due to the fact that the method is based directly on the fourth-order ordinary differential equation,the structures do not have to be divided into many small elements to obtain an accurate enough solution,even though the geometry is very complex.To verify the proposed method,three different examples are considered,i.e.,a three-segment non-prismatic beam,a prismatic column subject to non-uniformly distributed compressive loads,and a two-segment beam with an additional point mass.Numerical analyses are carried out with the software MATHEMATICA.The results are compared with the solutions computed by the commercial finite element program SOFiSTiK.Good agreement is achieved,which confirms the correctness and high effectiveness of the formulated algorithm.