Efficacy-cost analysis of endoscopic mucosal resection and cold snare polypectomy:A propensity score matching analysis

BACKGROUND Although substantial evidence supports the advantages of cold snare polypectomy(CSP)in terms of polypectomy efficacy and reduced postoperative adverse events,few studies have examined the cost differences between CSP and traditional endoscopic mucosal resection(EMR)for the treatment of intestinal polyps.AIM To compare the efficacy-cost of EMR and CSP in the treatment of intestinal polyps.METHODS A total of 100 patients with intestinal polyps were included in the retrospective data of our hospital from April 2022 to May 2023.According to the treatment methods,they were divided into EMR(n=46)group and CSP(n=54)group.The baseline data of the two groups were balanced by 1:1 propensity score matching(PSM),and the cost-effectiveness analysis was performed on the two groups after matching.The recurrence rate of the two groups of patients was followed up for 1 year,and they were divided into recurrence group and non-recurrence group according to whether they recurred.Multivariate logistic regression analysis was used to screen out the influencing factors affecting the recurrence of intestinal polyps after endoscopic resection.RESULTS Significant disparities were observed in the number of polyps and smoking background between the two groups before PSM(P<0.05).Following PSM,the number of polyps and smoking history were well balanced between the EMR and CSP groups.The direct cost incurred by the CSP group was markedly higher than that incurred by the EMR group.Concurrently,the cost-effectiveness ratio in the CSP group was substantially reduced when juxtaposed with that in the EMR group(P<0.05).Upon completion of the 1-year follow-up,the rate of recurrence after endoscopic intestinal polypectomy was 38.00%.Multivariate methods revealed that age≥60 years,male sex,number of polyps≥3,and pathological type of adenoma were risk factors for recurrence after endoscopic intestinal polypectomy(all P<0.05).CONCLUSION CSP was more cost-effective for the treatment of intestinal polyps.An age≥60 years,male sex,having a number of polyps≥3,and pathological type of adenoma are independent influencing factors for recurrence.

Hydraulic Fracture Parameter Inversion Method for Shale Gas Wells Based on Transient Pressure-Drop Analysis during Hydraulic Fracturing Shut-in Period

Horizontal well drilling and multi-stage hydraulic fracturing are key technologies for the development of shale gas reservoirs.Instantaneous acquisition of hydraulic fracture parameters is crucial for evaluating fracturing effectiveness,optimizing processes,and predicting gas productivity.This paper establishes a transient flow model for shale gas wells based on the boundary element method,achieving the characterization of stimulated reservoir volume for a single stage.By integrating pressure monitoring data following the pumping shut-in period of hydraulic fracturing for well testing interpretation,a workflow for inverting fracture parameters of shale gas wells is established.This new method eliminates the need for prolonged production testing and can interpret parameters of individual hydraulic fracture segments,offering significant advantages over the conventional pressure transient analysismethod.The practical application of thismethodology was conducted on 10 shale gaswellswithin the Changning shale gas block of Sichuan,China.The results show a high correlation between the interpreted single-stage total length and surface area of hydraulic fractures and the outcomes of gas production profile tests.Additionally,significant correlations are observed between these parameters and cluster number,horizontal stress difference,and natural fracture density.This demonstrates the effectiveness of the proposed fracture parameter inversion method and the feasibility of field application.The findings of this study aim to provide solutions and references for the inversion of fracture parameters in shale gas wells.

Synthetic analysis of meteorological elements for the sea fogs occurred in northwest the Yellow Sea under low pressure control and comparison with sea fogs occurred under high pressure control in summer

Based on the principle of transient perturbation analysis,in this paper,a method to objectively determine the weather pattern formed by sea fog is provided.On the basis of the classification results,the circulation situation,divergence and vertical velocity field,and the vertical profile of temperature and humidity are synthesized and analyzed.The basic characteristics of the circulation and physical field of sea fog under low pressure control(L type sea fog)are obtained,and the results are compared with the sea fog under the control of high pressure(H type sea fog):a)L type sea fogs potential height anomaly disturbance is mainly manifested in the low layer,and its average value is-65.66 gpm,gradually weakening upward;b)L type sea fogs inversion structure is weaker than H type sea fogs when it occurs,the fog layer is thicker and the high relative humidity level is high over the fog layer,while the H type sea fogs fog layer has a relatively obvious dry layer;c)L sea fog has three layers of structure at the vertical direction.The first layer 1000-950 hPa is convergence accompanied by weak rise and subsidence,the second layer 950-850 hPa is divergence accompanied by weak subsidence,and the third layer 850 to 500hPa is gradually strengthened.While there are two layer structures of the H type sea fog.1000 hPa is divergence accompanied by weak rising and sinking movement,950-500 hPa is a uniform subsidence movement.d)Probability density statistical analysis further quantified the vertical movement of L and H type sea fog and the distribution of relative humidity in each layer.These conclusions provide an important reference for forecasting the sea fog in the northwest of the Yellow Sea under the condition of low pressure circulation in summer.

Effective stress analysis method of seismic response for high tailings dam

Based on the analysis method for tailings dam in upstream raising method presently used in metallurgy and nonferrous metals tailings depository in the world, an effective stress analysis method of seismic response for high tailings dam was developed according to the results of engineering geological exploration, static and dynamic test and stability analysis on Baizhishan tailing dam 113.5 m high. The law of generation, diffusion and dissipation of seismic pore water pressure during and after earthquake was investigated, and the results of tailings dam’s acceleration, seismic dynamic stress and pore water pressure were obtained. The results show that the seismic stability and liquefaction resistance of high tailings dam are strengthened remarkably, and the scope and depth of liquefaction area at the top of dam are reduced greatly. The interior stress is compressive stress, the stress level of every element is less than 1.0 and the safety coefficient of every element is greater than 1.0. The safety coefficient against liquefaction of every element of tailing dam is greater than 1.5 according to the effective stress analysis of seismic response by finite element method. The calculated results prove that liquefaction is the main reason of seismic failure of high tailing dams, and the effect of seismic inertia forces on high tailing dams’ stability during earthquake is secondary reason.

Size-dependent effect on biaxial and shear nonlinear buckling analysis of nonlocal isotropic and orthotropic micro-plate based on surface stress and modified couple stress theories using differential quadrature method

The size-dependent effect on the biaxial and shear nonlinear buckling analysis of an isotropic and orthotropic micro-plate based on the surface stress, the modified couple stress theory （MCST）, and the nonlocal elasticity theories using the differential quadrature method （DQM） is presented. Main advantages of the MCST over the classical theory （CT） are the inclusion of the asymmetric couple stress tensor and the consideration of only one material length scale parameter. Based on the nonlinear von Karman assumption, the governing equations of equilibrium for the micro-classical plate consid- ering midplane displacements are derived based on the minimum principle of potential energy. Using the DQM, the biaxial and shear critical buckling loads of the micro-plate for various boundary conditions are obtained. Accuracy of the obtained results is validated by comparing the solutions with those reported in the literature. A parametric study is conducted to show the effects of the aspect ratio, the side-to-thickness ratio, Eringen＇s nonlocal parameter, the material length scale parameter, Young＇s modulus of the surface layer, the surface residual stress, the polymer matrix coefficients, and various boundary conditions on the dimensionless uniaxial, biaxial, and shear critical buckling loads. The results indicate that the critical buckling loads are strongly sensitive to Eringen＇s nonlocal parameter, the material length scale parameter, and the surface residual stress effects, while the effect of Young＇s modulus of the surface layer on the critical buckling load is negligible. Also, considering the size dependent effect causes the increase in the stiffness of the orthotropic micro-plate. The results show that the critical biaxial buckling load increases with an increase in G12/E2 and vice versa for E1/E2. It is shown that the nonlinear biaxial buckling ratio decreases as the aspect ratio increases and vice versa for the buckling amplitude. Because of the most lightweight micro-composite materials with high strength/weight and stiffness/weight ratios, it is anticipated that the results of the present work are useful in experimental characterization of the mechanical properties of micro-composite plates in the aircraft industry and other engineering applications.

Soil Plug Effect Prediction and Pile Driveability Analysis for Large-Diameter Steel Piles in Ocean Engineering

Long steel piles with large diameters have been more widely used in the field of ocean engineering. Owing to the pile with a large diameter, soil plug development during pile driving has great influences on pile driveability and bearing capacity. The response of soil plug developed inside the open-ended pipe pile during the dynamic condition of pile-driving is different from the response under the static condition of loading during service. This paper addresses the former aspect. A numerical procedure for soil plug effect prediction and pile driveabihty analysis is proposed and described. By taking into consideration of the pile dimension effect on side and tip resistance, this approach introduces a dimensional coefficient to the conventional static eqnihbrium equations for the plug differential unit and proposes an improved static equity method for the plug effect prediction. At the same time, this approach introduces a simplified model by use of one-dimensional stress wave equation to simulate the interaction between soil plug and pile inner wall. The proposed approach has been applied in practical engineering analyses. Results show that the calculated plug effect and pile driveabihty based on the proposed approach agree well with the observed data.

Quantitative Analysis of Seeing with Height and Time at Muztagh-Ata Site Based on ERA5 Database

Seeing is an important index to evaluate the quality of an astronomical site.To estimate seeing at the Muztagh-Ata site with height and time quantitatively,the European Centre for Medium-Range Weather Forecasts reanalysis database(ERA5)is used.Seeing calculated from ERA5 is compared consistently with the Differential Image Motion Monitor seeing at the height of 12 m.Results show that seeing decays exponentially with height at the Muztagh-Ata site.Seeing decays the fastest in fall in 2021 and most slowly with height in summer.The seeing condition is better in fall than in summer.The median value of seeing at 12 m is 0.89 arcsec,the maximum value is1.21 arcsec in August and the minimum is 0.66 arcsec in October.The median value of seeing at 12 m is 0.72arcsec in the nighttime and 1.08 arcsec in the daytime.Seeing is a combination of annual and about biannual variations with the same phase as temperature and wind speed indicating that seeing variation with time is influenced by temperature and wind speed.The Richardson number Ri is used to analyze the atmospheric stability and the variations of seeing are consistent with Ri between layers.These quantitative results can provide an important reference for a telescopic observation strategy.

Application of the homotopy analysis method to nonlinear characteristics of a piezoelectric semiconductor fiber

Based on the nonlinear constitutive equation,a piezoelectric semiconductor(PSC)fiber under axial loads and Ohmic contact boundary conditions is investigated.The analytical solutions of electromechanical fields are derived by the homotopy analysis method(HAM),indicating that the HAM is efficient for the nonlinear analysis of PSC fibers,along with a rapid rate of convergence.Furthermore,the nonlinear characteristics of electromechanical fields are discussed through numerical results.It is shown that the asymmetrical distribution of electromechanical fields is obvious under a symmetrical load,and the piezoelectric effect is weakened by an applied electric field.With the increase in the initial carrier concentration,the electric potential decreases,and owing to the screen-ing effect of electrons,the distribution of electromechanical fields tends to be symmetrical.

Comparison of Calibration Curve Method and Partial Least Square Method in the Laser Induced Breakdown Spectroscopy Quantitative Analysis

The Laser Induced Breakdown Spectroscopy (LIBS) is a fast, non-contact, no sample preparation analytic technology;it is very suitable for on-line analysis of alloy composition. In the copper smelting industry, analysis and control of the copper alloy concentration affect the quality of the products greatly, so LIBS is an efficient quantitative analysis tech- nology in the copper smelting industry. But for the lead brass, the components of Pb, Al and Ni elements are very low and the atomic emission lines are easily submerged under copper complex characteristic spectral lines because of the matrix effects. So it is difficult to get the online quantitative result of these important elements. In this paper, both the partial least squares (PLS) method and the calibration curve (CC) method are used to quantitatively analyze the laser induced breakdown spectroscopy data which is obtained from the standard lead brass alloy samples. Both the major and trace elements were quantitatively analyzed. By comparing the two results of the different calibration method, some useful results were obtained: both for major and trace elements, the PLS method was better than the CC method in quantitative analysis. And the regression coefficient of PLS method is compared with the original spectral data with background interference to explain the advantage of the PLS method in the LIBS quantitative analysis. Results proved that the PLS method used in laser induced breakdown spectroscopy was suitable for simultaneous quantitative analysis of different content elements in copper smelting industry.

Analysis on nonlinear wind-induced dynamic response of membrane roofs with aerodynamic effects

Based on the characteristics of membrane structures and the air influence factors,this paper presented a method to simulate the air aerodynamic force effects including the added air mass,the acoustic radiation damping and the pneumatic stiffness.The infinite air was modeled using the acoustic fluid element of commercial FE software and the finite element membrane roof models were coupled with fluid models.A comparison between the results obtained by FE computation and those obtained by the vibration experiment for a cable-membrane verified the validity of the method.Furthermore,applying the method to a flat membrane roof structure and using its wind tunnel test results,the analysis of nonlinear wind-induced dynamic responses for such geometrically nonlinear roofs,including the roof-air coupled model was performed.The result shows that the air has large influence on vibrating membrane roofs according to results of comparing the nodal time-history displacements,accelerations and stress of the two different cases.Meantime,numerical studies show that the method developed can successfully solve the nonlinear wind-induced dynamic response of the membrane roof with aerodynamic effects.

A two-parameter mathematical model for immobilizedenzymes and Homotopy analysis method

A two parameter mathematical model was developed to find the concentration for immobilized enzyme systems in porous spherical particles. This model contains a non-linear term related to reversible Michaelies-Menten kinetics. Analytical expression pertaining to the substrate concentration was reported for all possible values of Thiele module φ and α . In this work, we report the theoretically evaluated steady-state effectiveness factor for immobilized enzyme systems in porous spherical particles. These analytical results were found to be in good agreement with numerical results. Moreover, herein we employ new “Homotopy analysis method” (HAM) to solve non-linear reaction/diffusion equation.

Calculating magnetic shielding effectiveness for high-power dc comparator by magnetic circuit method

Magnetic shielding is very important in the design of a high-power dc comparator. This paper addressed the application of magnetic circuit method to calculate the magnetic shielding effectiveness of high-power dc comparators when an external radial magnetic field is added. The mathematical relationship between the magnetic shielding effectiveness and the parameters of the magnetic shielding body were obtained. To verify the validity of the calculation method, we developped a procedure to measure the magnetic shielding effectiveness of the magnetic body by measuring the induction voltage of the detection winding instead of the magnetic intensity at a point in the magnetic shielding body, making the manipulation much easier. The result calculated with the magnetic circuit method turns out to be closer to the measured one compared with that calculated with a conventional algorithm proposed by Ren, suggesting that the magnetic circuit method is an applicable tool for estimating the toroidal cavity magnetic shielding effectiveness of a heavy current comparator when a radial magnetic field is added.

The Method for Optimum Estimation of COVID-19 Variant Type Virus Infection Status Analysis by the Multivariate Analysis Considering the Environmental Variability Impact in Japan

Currently, the estimated value of the effective reproduction number (ERN), which is an index for grasping the COVID-19 infection status, is used for important planning and evaluation of infection prevention measures. Since ERN in the Sequential SIR model fluctuates in multiple dimensions due to changes in the surrounding environment, it is difficult to set the appropriate accuracy of the uncertainty region of the estimated data. The challenge in this study is to build a mathematical model of infectious disease according to the characteristics and data characteristics of the infectious disease and select an appropriate estimation method. Highly accurate quantitative research that analyzes the validity of “how infectious diseases prevail” from an academic point of view is the key to prediction and estimation in appropriate infection situation analysis. In this study, we adopted a statistical multivariate analysis method (T method) that enables evaluation and prediction of important factors related to ERN estimation and analysis of phenomena that change in real time (time series analysis). It was clarified that it is possible to estimate with higher accuracy by applying the T method to the estimated value of ERN by the current SIR mathematical model.

Dynamic Analysis of Soil Structure Interaction Effect on Multi Story RC Frame

In this study dynamic analysis of Soil Structure Interaction (SSI) effect on multi story reinforced concrete (RC) frame founded on soft soil (flexible base) is made and compared with fixed base. Two model 2D RC frames with 7 and 12 story are selected for analysis. Winkler Spring and half space direct method models are used for flexible base for the frames founded on two types of soft soils with shear velocity Vs < 150 m/s Asper Seismic Codes of Chinese GB50011-2010 Soil IV and Ethiopian ES8-2015 soil D. The frames are subjected to strong ground motion matched to response spectrums of soft soil of Chinese GB50011-2010 and Ethiopian ES8-2015 for linear time history analysis. The dynamic analysis result shows Spring and Fixed base mass participation 90% reaches in 2 or 3 modes but in direct method 11 to 30 modes for story 12 and 7 respectively. However, both flexible base models have bigger fundamental period of vibration and inter story drift but smaller base shear than fixed base. In addition, within the flexible base models the inter-story drift, second order effect (P-Δ) and Story shear distribution are different along the height of frames. The spring model shows larger Story drift and second order effect (P-Δ) at the bottom of Story for both soft soils types. On the other hand, half space direct method model indicates value reverse to spring model;it gives bigger Story drift and P-Δ effect in the top stories than fixed base. Finally, this study concludes that base shear reduction due to SSI may not be always beneficial. Because the gravity load is constant in both fixed and flexible bases that cause bigger P-Δ effect at the bottom stories due to increase, inter story drift and decrease story shear in flexible base.

Meta-analysis研究方法述评

整合分析是一种用效应值对某一问题的定量研究进行综合、整合和解释的研究方法。介绍了整合分析的概念、历史、研究步骤和心理学中常见的数据报告形式的效应值的计算以及在我国的应用现状。并对整合分析这种研究方法进行了简要的评价。

Quantitative energy-dispersive X-ray fluorescence analysis for unknown samples using full-spectrum least-squares regression

The full-spectrum least-squares(FSLS) method is introduced to perform quantitative energy-dispersive X-ray fluorescence analysis for unknown solid samples.Based on the conventional least-squares principle, this spectrum evaluation method is able to obtain the background-corrected and interference-free net peaks, which is significant for quantization analyses. A variety of analytical parameters and functions to describe the features of the fluorescence spectra of pure elements are used and established, such as the mass absorption coefficient, the Gi factor, and fundamental fluorescence formulas. The FSLS iterative program was compiled in the C language. The content of each component should reach the convergence criterion at the end of the calculations. After a basic theory analysis and experimental preparation, 13 national standard soil samples were detected using a spectrometer to test the feasibility of using the algorithm. The results show that the calculated contents of Ti, Fe, Ni, Cu, and Zn have the same changing tendency as the corresponding standard content in the 13 reference samples. Accuracies of 0.35% and 14.03% are obtained, respectively, for Fe and Ti, whose standard concentrations are 8.82% and 0.578%, respectively. However, the calculated results of trace elements (only tens of lg/g) deviate from the standard values. This may be because of measurement accuracy and mutual effects between the elements.

Large Displacement Analysis of Tapered Beam Structures

A Bernoulli-Euler beam mechanism for static analysis of large displacement,large rotation but small strain planar tapered beam structures is proposed using the Updated Lagrangian formulation and the moving coordinate method.The object beam is the tapered one whose profile is assumed to be varying linearly.From the governing differential equation of lateral deflection including second-order effects by beam-column theory,the geometric nonlinear tangent elemental stiffness matrix is derived.The nonlinear effect of the bending distortions on the axial action is considered to manifest itself as an axial change in length.The aforementioned stiffness matrix is amended,by developing the auxiliary stiffness of bowing effect.The moving coordinate method is employed for obtaining the large displacement total equilibrium equations,and the hinged-hinged moving coordinate system is constructed at the last updated configuration.The multiple load steps Newton-Raphson iteration is adopted for the solution of the nonlinear equations.The validity and efficiency of the proposed method are shown by solving various typical numerical examples.

Statistical models for meta-analysis: A brief tutorial

Aggregate data meta-analysis is currently the most commonly used method for combining the results from different studies on the same outcome of interest. In this paper, we provide a brief introduction to meta-analysis, including a description of aggregate and individual participant data meta-analysis. We then focus the rest of the tutorial on aggregate data metaanalysis. We start by first describing the difference between fixed and random-effects meta-analysis, with particular attention devoted to the latter. This is followed by an example using the random-effects, method of moments approach and includes an intercept-only model as well as a model with one predictor. We then describe alternative random-effects approaches such as maximum likelihood, restricted maximum likelihood and profile likelihood as well as a non-parametric approach. A brief description of selected statistical programs available to conduct random-effects aggregate data meta-analysis, limited to those that allow both an interceptonly as well as at least one predictor in the model, is given. These descriptions include those found in an existing general statistics software package as well as one developed specifically for an aggregate data metaanalysis. Following this, some of the disadvantages of random-effects meta-analysis are described. We then describe recently proposed alternative models for conducting aggregate data meta-analysis, including the varying coefficient model. We conclude the paper with some recommendations and directions for future research. These recommendations include the continued use of the more commonly used random-effects models until newer models are more thoroughly tested as well as the timely integration of new and well-tested models into traditional as well as meta-analytic-specific software packages.

A Novel Method for PIT Effects Based on Plasmonic Decoupling

A tunable dual-band stop-band THz spectrum can be realized in a hybrid structure, which consists of metal nanoribbon arrays clad by graphene nanoribbons. Dual-band spectra can be controlled separately by the nanoribbon width ω and graphene chemical potential μ_c. We explain that two local plasmonic modes excited at graphene ribbons belong to different gratings, which uncouple with each other by electro-magnetic shielding of the metal ribbons. Furthermore, plasmonic induced transparent(PIT) effects can also be realized by making the two transmission notches close to each other, with better performance than the PIT system based on plasmonic coupling,such as with a larger extinction radio and a tunable transparency window.

Nonlinear dynamic modeling of planar moving Timoshenko beam considering non-rigid non-elastic axial effects

Due to the importance of vibration effects on the functional accuracy of mechanical systems,this research aims to develop a precise model of a nonlinearly vibrating single-link mobile flexible manipulator.The manipulator consists of an elastic arm,a rotary motor,and a rigid carrier,and undergoes general in-plane rigid body motion along with elastic transverse deformation.To accurately model the elastic behavior,Timoshenko’s beam theory is used to describe the flexible arm,which accounts for rotary inertia and shear deformation effects.By applying Newton’s second law,the nonlinear governing equations of motion for the manipulator are derived as a coupled system of ordinary differential equations(ODEs)and partial differential equations(PDEs).Then,the assumed mode method(AMM)is used to solve this nonlinear system of governing equations with appropriate shape functions.The assumed modes can be obtained after solving the characteristic equation of a Timoshenko beam with clamped boundary conditions at one end and an attached mass/inertia at the other.In addition,the effect of the transverse vibration of the inextensible arm on its axial behavior is investigated.Despite the axial rigidity,the effect makes the rigid body dynamics invalid for the axial behavior of the arm.Finally,numerical simulations are conducted to evaluate the performance of the developed model,and the results are compared with those obtained by the finite element approach.The comparison confirms the validity of the proposed dynamic model for the system.According to the mentioned features,this model can be reliable for investigating the system’s vibrational behavior and implementing vibration control algorithms.