Comparative efficacy of hyperbaric bupivacaine vs hyperbaric ropivacaine in spinal anesthesia for cesarean section:A metaanalysis

BACKGROUND Intrathecal bupivacaine is the traditional anesthetic drug used in spinal anesthesia for caesarean sections(CSs),but ropivacaine has emerged as a potential alter-native.This meta-analysis compares the efficacy and safety of intrathecal hyper-baric bupivacaine vs hyperbaric ropivacaine for cesarean sections.AIM To systematically evaluate and compare the efficacy and safety of intrathecal hyperbaric bupivacaine and hyperbaric ropivacaine for spinal anesthesia in CSs.METHODS A thorough search of electronic databases was carried out to find pertinent randomized controlled trials(RCTs)comparing intrathecal hyperbaric ropi-vacaine and hyperbaric bupivacaine during CSs.PubMed,Cochrane database,Google Scholar,and Scopus were searched,and papers from January 2000 to January 2024 were deemed eligible and filtered using predetermined inclusion and exclusion criteria.Studies were assessed for methodological quality,and data were extracted for time to adequate anesthesia(sensory and motor blockade),duration of sensory and motor block,hemodynamic changes and side effect profile.The standardized mean difference with 95%CI was used for continuous data.Dichotomous variables were assessed using the Mantel-Haenszel test and the random effect model to compute the odds ratio.RESULTS Total 8 RCTs were selected from a pool of 119 search results for meta-analysis.The meta-analysis evaluated pooled effect sizes and assessed heterogeneity among the studies.The primary objective was to compare key outcomes to identify any significant variances in efficacy and safety profiles between two local anesthetics.The analysis revealed that the difference in the onset of sensory blockade between the two local anesthetics was statistically insignificant(P=0.1586).However,the onset of motor blockade appeared to be faster with bupivacaine(P=0.03589).Additionally,the regression of sensory and motor blockade occurred earlier in the ropivacaine group.Furthermore,the duration of the first analgesic effect was shorter with a significance level of P<0.05.Regarding side effects profile,including hypotension,nausea,and shivering,the study did not observe any significant differences between the two groups.CONCLUSION This meta-analysis offers insights into the effectiveness and safety of hyperbaric bupivacaine vs ropivacaine for cesarean sections.Hyperbaric ropivacaine had a comparable safety profile and faster regression of sensory and motor blockade than hyperbaric bupivacaine,perhaps aiding early mobilization of parturient and facilitating mother-child bonding.Choosing ropivacaine may offer benefits beyond efficacy for cesarean section patients and short surgical procedures.

基于SSD与FaceNet的人脸识别系统设计

人脸识别技术广泛应用于考勤管理、移动支付等智慧建设中。伴随着常态化的口罩干扰,传统人脸识别算法已无法满足实际应用需求,为此,本文利用深度学习模型SSD以及FaceNet模型对人脸识别系统展开设计。首先,为消除现有数据集中亚洲人脸占比小造成的类内间距变化差距不明显的问题,在CAS-IA Web Face公开数据集的基础上对亚洲人脸数据进行扩充;其次,为解决不同口罩样式对特征提取的干扰,使用SSD人脸检测模型与DLIB人脸关键点检测模型提取人脸关键点,并利用人脸关键点与口罩的空间位置关系,额外随机生成不同的口罩人脸,组成混合数据集;最后,在混合数据集上进行模型训练并将训练好的模型移植到人脸识别系统中,进行检测速度与识别精度验证。实验结果表明,系统的实时识别速度达20 fps以上,人脸识别模型准确率在构建的混合数据集中达到97.1%,在随机抽取的部分LFW数据集验证的准确率达99.7%,故而该系统可满足实际应用需求,在一定程度上提高人脸识别的鲁棒性与准确性。

FREE-FORM SURFACE RECON-STRUCTION BASED ON NURBS TO SERIAL CROSS-SECTIONS

A new method for recovering shape from cross-sectional contours with complexbranching structures is presented. First, each branching problem by providing an intermediatecontour using distance function and image processing technology is solved. Then, all contours aredivided into several groups of simple contours. For each group, a NURBS curve is fitted to contourpoints in each section within a given accuracy on a common knot vector. Finally, the NURBS surfaceskinning of these contours is performed for providing a smooth geometric model. The method issuitable to reproduce the object by NC machining or rapid prototyping. Some results demonstrate itsusefulness and feasibility.

Photo-detachment cross section of H- near two parallel interfaces

The photo-detachment cross section of H^- near two parallel elastic interfaces is derived and calculated by using the closed orbit theory. The photo-detachment cross section of H^- near two interfaces is shown to exhibit multi-periodic oscillations when the distance between the H^- and the interface is varied. Each peak in the Fourier transformed photo-detachment cross section corresponds to the length of a closed orbit, which is quite similar to the case of atomic spontaneous emissions in a dielectric slab. This study provides a new understanding of the photo=detachment process of H^- in the presence of interfaces.

Ultra-wideband low radar cross-section metasurface and its application on waveguide slot antenna array

A novel approach devoted to achieving ultra-wideband radar cross section reduction（RCSR） of a waveguide slot antenna array（WGSAA） while maintaining its radiation performance is proposed. Three kinds of artificial magnetic conductors（AMCs） tiles consisting of three types of basic units resonant at different frequencies are designed and arranged in a novel quadruple-triangle-type configuration to create a composite planar metasurface. The proposed metasurface is characterized by low radar feature over an ultra-wideband based on the principle of phase cancellation. Both simulated and measured results demonstrate that after the composite metasurface is used to cover part of the antenna array, an ultrawideband RCSR involving in-band and out-of-band is achieved for co-and cross-polarized incident waves based on energy cancellation, while the radiation performance is well retained. The proposed method is simple, low-cost, and easy-tofabricate, providing a new method for ultra-wideband RCSR of an antenna array. Moreover, the method proposed in this paper can easily be applied to other antenna architectures.

基于YOLO5Face重分布的小尺度人脸检测方法

针对复杂场景下小尺度人脸检测精度较低的问题,提出了一种基于YOLO5Face重分布的小尺度人脸检测方法。方法以YOLO5Face为基础,在网络浅层引入改进的CBAM注意力并对模型计算重分布,提升复杂场景下小尺度人脸检测精度的同时降低模型参数量;采用融合mixup的数据增强方法,充分训练模型小尺度人脸检测分支;依据人脸检测特性,将softmax损失作为分类损失以最大化类间特征的差异。在WiderFace各个子集上的实验结果表明,与主流人脸检测方法相比,改进后的模型满足实时性的同时,小尺度人脸检测精度较高,其中Hard子集检测精度比YOLO5Face提升2个百分点。

The effect of the attractive well of the potential energy surface for Ne-HC1 on rotationally inelastic partial wave cross sections

An interaction potential of the Ne-HC1 van der Waals complex is obtained by utilizing the Huxley analytic potential function to fit the accurate interaction energy data, which have been computed at the coupled cluster singles and doubles including connected triple excitations level and with the augmented correlation consistent polarized valence quintuple zeta basis set extended with a set of 3s3p2dlflg mid-bond functions [CCSD （T）/aug-cc-pV5Z-33211]. The close coupling calculation of state-to-state partial cross sections for collision of Ne with HC1 is first performed by employing the fitted interaction potential. This calculation is performed at the incident energies： 40, 60, 75 and 100 meV, separately. The effects of the long-range attractive and the short-range anisotropic interactions on the inelastic state-to-state partial cross sections are discussed in detail. Two maxima are present in the rotationally inelastic partial cross sections and they originate from different mechanisms.

VR/AR-AdaptFace:面向虚拟现实与增强现实的自适应多模态面部替换模型

随着VR/AR技术的迅猛发展,用户对于沉浸式体验的需求日益增长。同时,虚拟人脸技术亦趋成熟。基于此,本文探索将高度拟真的虚拟人脸融入VR/AR,以增强用户体验的自然度与沉浸感。然而,在虚拟数字人领域,图像生成及换脸技术在VR/AR环境下仍遇诸多挑战,尤其是唇形合成模型在动态场景及多语言环境下的性能需进一步优化。为解决上述问题,本文提出VR/AR-AdaptFace模型,一个面向虚拟现实与增强现实的自适应多模态面部替换方案。该模型由两大模块构成:“文颜绘真”模块,采用先进的文本至图像转换技术和特定类别先验保存策略,优化虚拟人脸生成,并通过注意力机制大幅提升图像质量;“语唇映生”模块,依托强大的生成器、唇形同步判别器及视觉质量判别器,实现语音与唇形的精准同步,为VR/AR场景中的动态交互带来更加逼真的体验。

基于改进YOLOv5s-face的Face5系列人脸检测算法

针对人脸检测中小尺度人脸和遮挡人脸的漏检问题,提出了一种基于改进YOLOv5s-face(you only look once version 5 small-face)的Face5系列人脸检测算法Face5S(face5 small)和Face5M(face5 medium)。使用马赛克(mosaic)和图像混合(mixup)数据增强方法,提升算法在复杂场景下检测人脸的泛化性和稳定性;通过改进C3的网络结构和引入可变形卷积(DCNv2)降低算法的参数量,提高算法提取特征的灵活性;通过引入特征的内容感知重组上采样算子(CARAFE),提高多尺度人脸的检测性能;引入损失函数WIoUV3(wise intersection over union version 3),提升算法的小尺度人脸检测性能。实验结果表明,在WIDER FACE验证集上,相较于YOLOv5s-face算法,Face5S算法的平均mAP@0.5提升了1.03%;相较于先进的人脸检测算法ASFD-D3(automatic and scalable face detector-D3)和TinaFace,Face5M算法的平均mAP@0.5分别提升了1.07%和2.11%,提出的Face5系列算法能够有效提升算法对小尺度和部分遮挡人脸的检测性能,同时具有实时性。

Rational construction of heterointerfaces in biomass sugarcane-derived carbon for superior electromagnetic wave absorption

The pervasive adoption of 5th generation mobile communication technology propels electromagnetic wave(EW)absorbents to achieve high-level performance.The heterointerface construction is crucial to the improvement of absorption ability.Herein,a series of ultralight composites with rational heterointerfaces(Co/ZnO@N-doped C/layer-stacked C,MSC)is fabricated by calcination with ration-al construction of sugarcane and CoZn-zeolitic imidazolate framework(ZIF).The components and structures of as-prepared composites were investigated,and their electromagnetic parameters could be adjusted by the content of CoZn-ZIFs.All composites possess excellent EW absorption performance,especially MSC-3.The optimal minimum reflection loss and effective absorption band of MSC-3 can reach−42 dB and 7.28 GHz at the thickness of only 1.6 mm with 20wt%filler loading.This excellent performance is attributed to the syner-gistic effect of dielectric loss stemming from the multiple heterointerfaces and magnetic loss induced by magnetic single Co.The sugar-cane-derived layer-stacked carbon has formed consecutive conductive networks and has further dissipated the electromagnetic energy through multiple reflection and conduction losses.Moreover,the simulated radar cross section(RCS)technology manifests that MSC-3 possesses outstanding EW attenuation capacity under realistic far-field conditions.This study provides a strategy for building efficient ab-sorbents based on biomass.

Probabilistic analysis of tunnel face seismic stability in layered rock masses using Polynomial Chaos Kriging metamodel

Face stability is an essential issue in tunnel design and construction.Layered rock masses are typical and ubiquitous;uncertainties in rock properties always exist.In view of this,a comprehensive method,which combines the Upper bound Limit analysis of Tunnel face stability,the Polynomial Chaos Kriging,the Monte-Carlo Simulation and Analysis of Covariance method(ULT-PCK-MA),is proposed to investigate the seismic stability of tunnel faces.A two-dimensional analytical model of ULT is developed to evaluate the virtual support force based on the upper bound limit analysis.An efficient probabilistic analysis method PCK-MA based on the adaptive Polynomial Chaos Kriging metamodel is then implemented to investigate the parameter uncertainty effects.Ten input parameters,including geological strength indices,uniaxial compressive strengths and constants for three rock formations,and the horizontal seismic coefficients,are treated as random variables.The effects of these parameter uncertainties on the failure probability and sensitivity indices are discussed.In addition,the effects of weak layer position,the middle layer thickness and quality,the tunnel diameter,the parameters correlation,and the seismic loadings are investigated,respectively.The results show that the layer distributions significantly influence the tunnel face probabilistic stability,particularly when the weak rock is present in the bottom layer.The efficiency of the proposed ULT-PCK-MA is validated,which is expected to facilitate the engineering design and construction.

Effect of intraoperative injection of esketamine on postoperative analgesia and postoperative rehabilitation after cesarean section

BACKGROUND Following cesarean section,a significant number of women encounter moderate to severe pain.Inadequate management of acute pain post-cesarean section can have far-reaching implications,adversely impacting maternal emotional wellbeing,daily activities,breastfeeding,and neonatal care.It may also impede maternal organ function recovery,leading to escalated opioid usage,heightened risk of postpartum depression,and the development of chronic postoperative pain.Both the Chinese Enhanced Recovery After Surgery(ERAS)guidelines and the American ERAS Society guidelines consistently advocate for the adoption of multimodal analgesia protocols in post-cesarean section pain management.Esketamine,functioning as an antagonist of the N-Methyl-D-Aspartate receptor,has been validated for pain management in surgical patients and has exhibited effectiveness in depression treatment.Research has suggested that incorporating esketamine into postoperative pain management via pain pumps can lead to improvements in short-term depression and pain outcomes.This study aims to assess the efficacy and safety of administering a single dose of esketamine during cesarean section.AIM To investigate the effect of intraoperative injection of esketamine on postoperative analgesia and postoperative rehabilitation after cesarean section.METHODS A total of 315 women undergoing elective cesarean section under combined spinal-epidural anesthesia were randomized into three groups:low-dose esketamine(0.15 mg/kg),high-dose esketamine(0.25 mg/kg),and control(saline).Postoperative Visual Analog Scale(VAS)scores were recorded at 6 hours,12 hours,24 hours,and 48 hours.Edinburgh Postnatal Depression Scale(EPDS)scores were noted on 2 days,7 days and 42 days.Ramsay sedation scores were assessed at specified intervals post-injection.Postoperative adverse reactions were also recorded.RESULTS Low-dose group and high-dose group compared to control group,had significantly lower postoperative VAS pain scores at 6 hours 12 hours,and 24 hours(P<0.05),with reduced analgesic usage(P<0.05).EPDS scores and postpartum depression rates were significantly lower on 2 days and 7 days(P<0.05).No significant differences in first exhaust and defecation times were observed(P>0.05),but ambulation times were shorter(P<0.05).Ramsay scores were higher at 5 minutes,15 minutes,and upon room exit(P<0.05).Low-dose group and high-dose group had higher incidences of hallucination,lethargy,and diplopia within 2 hours(P<0.05),and with low-dose group had lower incidences of hallucination,lethargy,and diplopia than high-dose group(P<0.05).CONCLUSION Esketamine enhances analgesia and postpartum recovery;a 0.15 mg/kg dose is optimal for cesarean sections,balancing efficacy with minimized adverse effects.

The Hypersurfaces in a Unit Sphere with Nonnegative Mobius Sectional Curvature

Let x ： M→S^n＋1 be a hypersurface in the （n ＋ 1）-dimensional unit sphere S^n＋1 without umbilic point. The Mobius invariants of x under the Mobius transformation group of S^n＋1 are Mobius metric, Mobius form, Mobius second fundamental form and Blaschke tensor. In this paper, we prove the following theorem： Let x ： M→S^n＋1 （n≥2） be an umbilic free hypersurface in S^n＋1 with nonnegative Mobius sectional curvature and with vanishing Mobius form. Then x is locally Mobius equivalent to one of the following hypersurfaces： （i） the torus S^k（a） × S^n-k（√1- a^2） with 1 ≤ k ≤ n - 1; （ii） the pre-image of the stereographic projection of the standard cylinder S^k × R^n-k belong to R^n＋1 with 1 ≤ k ≤ n- 1; （iii） the pre-image of the stereographic projection of the Cone in R^n＋1 ： -↑x（u, v, t） = （tu, tv）, where （u,v, t）∈S^k（a） × S^n-k-1（ √1-a^2）× R^＋.

Rock mass quality prediction on tunnel faces with incomplete multi-source dataset via tree-augmented naive Bayesian network

Rock mass quality serves as a vital index for predicting the stability and safety status of rock tunnel faces.In tunneling practice,the rock mass quality is often assessed via a combination of qualitative and quantitative parameters.However,due to the harsh on-site construction conditions,it is rather difficult to obtain some of the evaluation parameters which are essential for the rock mass quality prediction.In this study,a novel improved Swin Transformer is proposed to detect,segment,and quantify rock mass characteristic parameters such as water leakage,fractures,weak interlayers.The site experiment results demonstrate that the improved Swin Transformer achieves optimal segmentation results and achieving accuracies of 92%,81%,and 86%for water leakage,fractures,and weak interlayers,respectively.A multisource rock tunnel face characteristic(RTFC)dataset includes 11 parameters for predicting rock mass quality is established.Considering the limitations in predictive performance of incomplete evaluation parameters exist in this dataset,a novel tree-augmented naive Bayesian network(BN)is proposed to address the challenge of the incomplete dataset and achieved a prediction accuracy of 88%.In comparison with other commonly used Machine Learning models the proposed BN-based approach proved an improved performance on predicting the rock mass quality with the incomplete dataset.By utilizing the established BN,a further sensitivity analysis is conducted to quantitatively evaluate the importance of the various parameters,results indicate that the rock strength and fractures parameter exert the most significant influence on rock mass quality.

广角SS-OCT En Face结构投射图揭示未成年人玻璃体早期液化特征

目的:应用广角扫频源光学相干断层扫描成像(swept-source optical coherence tomography,SS-OCT)的en face结构投射图研究玻璃体早期液化特征。方法:使用SS-OCT进行18 mm×18 mm的容积(Cube)扫描,创建并分析健康未成年人(年龄5~18岁)70眼的系列玻璃体en face结构投射图。结果:在未成年人中,视网膜前的玻璃体包含4种液化结构,分别为后皮质前玻璃体囊袋(posterior precortical vitreous pocket,PPVP)、视盘前Martegiani区(the area of Martegiani,AM)、血管前液化裂隙(prevascular vitreous fissures,PVF)和液化池(cistern)。所有研究眼均能检出PPVP、AM和PVF,其中22眼(31.4%)的PPVP和AM连通。41眼(58.6%)可检出液化池,且其年龄大于未检出液化池的个体(P=0.01),液化池的发生与年龄呈正相关(r_(s)=0.315,P=0.008)。液化池的象限空间分布频率依次为颞上(90.2%)、鼻上(58.5%)、颞下(36.6%)、鼻下(24.4%),最常累及颞上象限(P<0.001)。结论:PPVP、AM和PVF是健康人群视网膜前玻璃体早期液化过程中均出现的特征。液化池的发生与年龄呈正相关,最常出现在颞上象限,可能是年龄相关性玻璃体液化变性的结果。

Clinical nursing value of predictive nursing in reducing complications of pregnant women undergoing short-term massive blood transfusion during cesarean section

BACKGROUND Cesarean hemorrhage is one of the serious complications,and short-term massive blood transfusion can easily cause postoperative infection and physical stress response.However,predictive nursing intervention has important clinical significance for it.AIM To explore the effect of predictive nursing intervention on the stress response and complications of women undergoing short-term mass blood transfusion during cesarean section(CS).METHODS A clinical medical record of 100 pregnant women undergoing rapid mass blood transfusion during sections from June 2019 to June 2021.According to the different nursing methods,patients divided into control group(n=50)and observation group(n=50).Among them,the control group implemented routine nursing,and the observation group implemented predictive nursing intervention based on the control group.Moreover,compared the differences in stress res-ponse,complications,and pain scores before and after the nursing of pregnant women undergoing rapid mass blood transfusion during CS.RESULTS The anxiety and depression scores of pregnant women in the two groups were significantly improved after nursing,and the psychological stress response of the observation group was significantly lower than that of the control group(P<0.05).The heart rate and mean arterial pressure(MAP)of the observation group during delivery were lower than those of the control group,and the MAP at the end of delivery was lower than that of the control group(P<0.05).Moreover,different pain scores improved significantly in both groups,with the observation group considerably less than the control group(P<0.05).After nursing,complications such as skin rash,urinary retention,chills,diarrhea,and anaphylactic shock in the observation group were 18%,which significantly higher than in the control group(4%)(P<0.05).CONCLUSION Predictive nursing intervention can effectively relieve the pain,reduce the incidence of complications,improve mood and stress response,and serve as a reference value for the nursing of women undergoing rapid mass transfusion during CS.

Proper interpretation of sectional analysis results

Displacement control algorithms commonly used to evaluate axial force-bending moment(PM)diagrams may lead to incorrect interpretations of the strength envelopes for asymmetric sections.This paper aims to offer valuable insights by comparing existing displacement control algorithms with a newly proposed force control algorithm.The main focus is on the PM diagrams of three example sections that exhibit varying degrees of asymmetry.The comparative study indicates that conventional displacement control algorithms inevitably introduce non-zero out-of-plane bending moments.The reported PM diagram in such cases erroneously neglects the out-of-plane moment and fails to represent the strength envelope accurately.This oversight results in significant and unconservative errors when verifying the strength of asymmetric sections.

VanillaFaceNet:一种高精度快速推理的牛脸识别方法

快速精准确定牛只身份对于牛只活体贷款,改善牛只骗保等问题具有重要意义。针对不同牛只面部差异小,FaceNet网络层数深,推理速度较慢,模型分类精度不足等问题,该研究提出了基于FaceNet的牛脸识别方法-VanillaFaceNet。该方法首先将FaceNet的主干特征提取网络替换为极简网络VanillaNet-13并提出动态激活和增强型线性变换的激活函数两种方法提高网络的非线性;然后,提出一种新的DBCA(dual-branch coordinate attention)注意力模块,能够更好地反映不同牛只面部特征之间的差异,从而提高网络的识别精度;最后,针对triplet loss仅能减小牛只类间差异的问题,采用center-triplet loss联合监督来减少牛只类内差异,从而提高了相同牛只身份比对的准确性。基于自建的牛脸数据集对该模型进行训练和测试,试验结果表明,VanillaFaceNet对牛只识别的准确率达到88.21%,每秒传输帧数为26.23帧。与FaceNet、MobileFaceNet、CenterFace、CosFace和ArcFace算法相比,本文算法的识别准确率分别提高了2.99、9.58、6.26、3.85和4.49个百分点,推理速度分别提升了2.67、0.77、0.10、1.28和0.94帧/s。该模型对牛只有较为优秀的识别效果,适于在嵌入式设备上部署,实现了牛只面部识别精度和推理速度之间的平衡。

Geophysical signatures of Precambrian shields and suture zones: Preface for thematic section

The Precambrian shields and associated suture zones of the globe preserve important records of continental growth and destruction, the formation and closure of ocean basins, and the early evolution of the Earth in terms of tectonics, resources, and environment. They also offer critical clues on the nature and style of plate tectonics, mantle dynamics and crust-mantle interaction. In this thematic section of Geoscience Frontiers, a set of four contri- butions are assembled that provide a window to the mechanisms and processes in Precambrian shields and associated suture zones from a geological and geophysical perspective.

Wideband radar cross-section reduction using plasma-based checkerboard metasurface

For stealth technology,in order to overcome the limitations of thin-layer plasma for electromagnetic waves attenuation and further broaden the radar cross-section(RCS)reduction(RCSR)band of the metasurface,the plasma-based checkerboard metasurface composed of plasma and checkerboard metasurface is investigated to achieve better RCSR.We designed a checkerboard metasurface which can achieve abnormal reflection to reduce RCS and whose-10d B RCSR bandwidth is from 8.1 to 14.5 GHz,the RCSR principle of it lies in the backscattering cancellation,which depends on the phase difference of artificial magnetic conductor(AMC)units.The designed plasma-based checkerboard metasurface is a thin composite structure,including a checkerboard metasurface,a plasma layer,and an air gap which is between them.Full wave simulations confirm that the plasma-based checkerboard metasurface’s–10 dB RCS reduction bandwidth and RCS reduction amplitude,are both increased under different polarized waves compared with the only single plasma or the only metasurface.We also introduced the reason and mechanism of the interaction between plasma and the checkerboard metasurface to improve the RCSR effect in detail.As plasma-based checkerboard metasurface does not need the plasma to be too thick for plasma stealth,its application in practical scenarios is easier to implement.