Traditional craniotomy versus current minimally invasive surgery for spontaneous supratentorial intracerebral haemorrhage:A propensity-matched analysis

BACKGROUND Minimally invasive surgery(MIS)and craniotomy(CI)are the current treatments for spontaneous supratentorial cerebral haemorrhage(SSTICH).AIM To compare the efficacy and safety of MIS and CI for the treatment of SSTICH.METHODS Clinical and imaging data of 557 consecutive patients with SSTICH who underwent MIS or CI between January 2017 and December 2022 were retrospectively analysed.The patients were divided into two subgroups:The MIS group and CI group.Propensity score matching was performed to minimise case selection bias.The primary outcome was a dichotomous prognostic(favourable or unfavourable)outcome based on the modified Rankin Scale(mRS)score at 3 months;an mRS score of 0–2 was considered favourable.RESULTS In both conventional statistical and binary logistic regression analyses,the MIS group had a better outcome.The outcome of propensity score matching was unexpected(odds ratio:0.582;95%CI:0.281–1.204;P=0.144),which indicated that,after excluding the interference of each confounder,different surgical modalities were more effective,and there was no significant difference in their prognosis.CONCLUSION Deciding between MIS and CI should be made based on the individual patient,considering the hematoma size,degree of midline shift,cerebral swelling,and preoperative Glasgow Coma Scale score.

Thermodynamic analysis of combined reforming process using Gibbs energy minimization method: In view of solid carbon formation

Thermodynamic analysis was applied to study combined partial oxidation and carbon dioxide reforming of methane in view of carbon formation. The equilibrium calculations employing the Gibbs energy minimization were performed upon wide ranges of pressure （1-25 atm）, temperature （600-1300 K）, carbon dioxide to methane ratio （0-2） and oxygen to methane ratio （0-1）. The thermodynamic results were compared with the results obtained over a Ru supported catalyst. The results revealed that by increasing the reaction pressure methane conversion decreased. Also it was found that the atmospheric pressure is the preferable pressure for both dry reforming and partial oxidation of methane and increasing the temperature caused increases in both activity of carbon and conversion of methane. The results clearly showed that the addition of O2 to the feed mixture could lead to a reduction of carbon deposition.

Operation and Force Analysis of the Guide Wire in a Minimally Invasive Vascular Interventional Surgery Robot System

To develop a robot system for minimally invasive surgery is significant,however the existing minimally invasive surgery robots are not applicable in practical operations,due to their limited functioning and weaker perception.A novel wire feeder is proposed for minimally invasive vascular interventional surgery.It is used for assisting surgeons in delivering a guide wire,balloon and stenting into a specific lesion location.By contrasting those existing wire feeders,the motion methods for delivering and rotating the guide wire in blood vessel are described,and their mechanical realization is presented.A new resistant force detecting method is given in details.The change of the resistance force can help the operator feel the block or embolism existing in front of the guide wire.The driving torque for rotating the guide wire is developed at different positions.Using the CT reconstruction image and extracted vessel paths,the path equation of the blood vessel is obtained.Combining the shapes of the guide wire outside the blood vessel,the whole bending equation of the guide wire is obtained.That is a risk criterion in the delivering process.This process can make operations safer and man-machine interaction more reliable.A novel surgery robot for feeding guide wire is designed,and a risk criterion for the system is given.

Iron Fertilization with Enhanced Phytoplankton Productivity under Minimal Sulfur Compounds and Grazing Control Analysis in HNLC Region

The present study investigated quantitatively the significance of HNLC (high-nutrient low-chlorophyll) regions and its grazing control with the improved iron fertilization for climate change. The limitation of iron (Fe) for phytoplankton growth in HNLC regions was confirmed by sulfur compounds (S) such as volcanic ash and hydrogen sulfide (H2S) in batch cultures, whose chemical sediment of Fe3S4 showed 4.06 wt%. The technologies developed for iron fertilization since 1993 till now were not practical to provide sufficient amounts of bioavailable iron due to sedimentary iron sulfides induced by undersea volcanic sulfur compounds. The proposed technology for iron fertilization was improved to enhance the bioavailable iron to phytoplankton by keeping minimal sulfur compounds in HNLC regions. The low productivity of phytoplankton by grazing control in HNLC regions was 6% diatoms whose 52% was grazed by copepods and 42% by krill on the basis of data analysis in 2000 EisenEx Experiment at boundary of Antarctic and African tectonic plates. All of the previous iron fertilization experiments were conducted at volcanic sulfur compounds enriched HNLC regions. The present study revealed that the enhanced phytoplankton productivity in batch culture without sedimentary iron sulfides can be possible only if sulfur compounds are minimal, as is in Shag Rocks (53°S, 42°W) of South Georgia in Scotia Sea in the Southern Ocean.

A COST-BENEFIT ANALYSIS OF GREEN BUILDINGS WITH RESPECT TO CONSTRUCTION WASTE MINIMIZATION USING BIG DATA IN HONG KONG

It is generally accepted that the extra construction costs involved in the construction of green buildings will result in benefits including lower operation costs,higher sale/rental prices,and better sustainability performance.However,there has been little recognition of construction waste minimization(CWM)as one of the important benefits of sustainability performance as designated in green building. is paper aims to provide a better understanding of the cost benefit of green buildings with respect to CWM by using big data in the context of Hong Kong.The study is innovative in that it conducts a cost-benefit analysis specifically on CWM of green buildings by mining large-volume datasets.A surprise finding is that Hong Kong’s green building rating system(GBRS),i.e.the BEAM Plus,has a negligible effect on CWM,while it generally increases construction costs by approximately 24%.Hence,the increased construction cost of green buildings cannot be offset by CWM if corresponding items in the BEAM Plus are not properly incentivized. is paper demonstrates the necessity of emphasizing CWM-related items in GBRSs and of taking appropriate measures to deal with them.It also provides better decision-support information on the increased construction costs and the attainable benefits of green building that developers may wish to consider when initiating a green building project.

Improving landscape Characteristics in Port Said’s El Sallam Garden via Observational and Space Syntax Analysis

This paper provides a comprehensive examination of El Sallam Garden in Port Said City,concentrating on its landscape characteristics and potential for design enhancement.This study looks at how space syntax can be used to assess the impact of a tree planting design’s spatial configuration on an urban park’s visual fields.Trees play an important role in determining the spatial characteristics of an outdoor space.According to space syntax theory,an urban area is a collection of connected spaces that can be represented by a matrix of quantitative properties known as syntactic measures.Computer simulations can be used to measure the quantitative properties of these matrices.This study uses space syntax techniques to assess how tree configurations and garden area which can affect the social structures of small-scale gardens in Port Said.It also looks at how these techniques can be used to predict the social structures of four garden zones in El Sallam Garden.The study includes an observational and space syntax study through comparative analysis of four garden zones in El Sallam garden.The results of the study show that the area and planting configurations of the garden had a significant effect on the syntactic social and visual measures of the urban garden.The conclusions and recommendations can be a useful tool for landscape architects,urban planners,and legislators who want to enhance public areas and encourage social interaction in urban settings.

Bayesian analysis of minimal model under the insulin-modified IVGTT

A Bayesian analysis of the minimal model was proposed where both glucose and insulin were analyzed simultaneously under the insulin-modified intravenous glucose tolerance test (IVGTT). The resulting model was implemented with a nonlinear mixed-effects modeling setup using ordinary differential equations (ODEs), which leads to precise estimation of population parameters by separating the inter- and intra-individual variability. The results indicated that the Bayesian method applied to the glucose-insulin minimal model provided a satisfactory solution with accurate parameter estimates which were numerically stable since the Bayesian method did not require approximation by linearization.

A SIMULATED ANNEALING METHOD FOR FAULT TREE ANALYSIS

This paper presents an approximate algorithm based on simulated annealing to achieve the maximum probability of the minimal cut sets for a fault tree. Near optimal minimal cut sets and important sequence of the basic events are also solved by the method. Computer simulations show that the algorithm performs very well.

Sacroiliac joint stability: Finite element analysis of implant number, orientation, and superior implant length

AIM To analyze how various implants placement variables affect sacroiliac(SI) joint range of motion. METHODS An experimentally validated finite element model of the lumbar spine and pelvis was used to simulate a fusion of the SI joint using various placement configurations of triangular implants(iF use Implant System~?). Placement configurations were varied by changing implant orientation, superior implant length, and number of implants. The range of motion of the SI joint was calculated using a constant moment of 10 N-m with a follower load of 400 N. The changes in motion were compared between the treatment groups to assess how the different variables affected the overall motion of the SI joint. RESULTS Transarticular placement of 3 implants with superior implants that end in the middle of the sacrum resulted in the greatest reduction in range of motion(flexion/extension = 73%, lateral bending = 42%, axial rotation = 72%). The range of motions of the SI joints were reduced with use of transarticular orientation(9%-18%) when compared with an inline orientation. The use of a superior implant that ended mid-sacrum resulted in median reductions of(8%-14%) when compared with a superior implant that ended in the middle of the ala. Reducing the number of implants, resulted in increased SI joint range of motions for the 1 and 2 implant models of 29%-133% and 2%-39%, respectively,when compared with the 3 implant model.CONCLUSION Using a validated finite element model we demonstrated that placement of 3 implants across the SI joint using a transarticular orientation with superior implant reaching the sacral midline resulted in the most stable construct. Additional clinical studies may be required to confirm these results.

The thermodynamics analysis and experimental validation for complicated systems in CO_2 hydrogenation process

Catalytic conversion of COinto chemicals and fuels is an alternative to alleviate climate change and ocean acidification.The catalytic reduction of COby Hcan lead to the formation of various products:carbon monoxide,carboxylic acids,aldehydes,alcohols and hydrocarbons.In this paper,a comprehensive thermodynamics analysis of COhydrogenation is conducted using the Gibbs free energy minimization method.The results show that COreduction to CO needs a high temperature and H/COratio to achieve a high COconversion.However,synthesis of methanol from COneeds a relatively high pressure and low temperature to minimize the reverse water-gas shift reaction.Direct COhydrogenation to formic acid or formaldehyde is thermodynamically limited.On the contrary,production of CHfrom COhydrogenation is the thermodynamically easiest reaction with nearly 100%CH4 yield at moderate conditions.In addition,complex reactions with more than one product are also calculated in this work.Among the considered carboxylic acids（HCOOH,CHCOOH and CHCOOH）,propionic acid dominates in the product stream（selectivity above 90%）.The same trend can also be found in the hydrogenation of COto aldehydes and alcohols with the major product of propionaldehyde and butanol,respectively.In the process of COhydrogenation to alkenes,low temperature,high pressure,and high Hpartial pressure favor the COconversion.CHis the most thermodynamically favorable among all considered alkynes under different temperatures and pressures.The thermodynamic calculations are validated with experimental results,suggesting that the Gibbs free energy minimization method is effective for thermodynamically understanding the reaction network involved in the COhydrogenation process,which is helpful for the development of high-performance catalysts.

Oxidative reforming of methane for hydrogen and synthesis gas production:Thermodynamic equilibrium analysis

A thermodynamic analysis of methane oxidative reforming was carried out by Gibbs energy minimization （at constant pressure and temperature） and entropy maximization （at constant pressure and enthalpy） methods,to determine the equilibrium compositions and equilibrium temperatures,respectively.Both cases were treated as optimization problems （non-linear programming formulation）.The GAMS 23.1 software and the CONOPT2 solver were used in the resolution of the proposed problems.The hydrogen and syngas production were favored at high temperatures and low pressures,and thus the oxygen to methane molar ratio （O 2 /CH 4） was the dominant factor to control the composition of the product formed.For O 2 /CH 4 molar ratios higher than 0.5,the oxidative reforming of methane presented autothermal behavior in the case of either utilizing O 2 or air as oxidant agent,but oxidation reaction with air possessed the advantage of avoiding peak temperatures in the system,due to change in the heat capacity of the system caused by the addition of nitrogen.The calculated results were compared with previously published experimental and simulated data with a good agreement between them.

Application of causality diagram in system safety analysis

Causality Diagram (CD) is a new graphical knowledge representation based on probability theory. The application of this methodology in the safety analysis of the gas explosion in collieries was discussed in this paper, and the Minimal Cut Set, the Minimal Path Set and the Importance were introduced to develop the methodology. These concepts are employed to analyze the influence each event has on the top event ? the gas explosion, so as to find out about the defects of the system and accordingly help to work out the emphasis of the precautionary work and some preventive measures as well. The results of the safety analysis are in accordance with the practical requirements; therefore the preventive measures are certain to work effectively. In brief, according to the research CD is so effective in the safety analysis and the safety assessment that it can be a qualitative and quantitative method to predict the accident as well as offer some effective measures for the investigation, the prevention and the control of the accident.

Mini-invasive vs open resection of colorectal cancer and liver metastases: A meta-analysis

BACKGROUND The safety and feasibility of the simultaneous resection of primary colorectal cancer (CRC) and synchronous colorectal liver metastases (SCRLM) have been demonstrated in some studies. Combined resection is expected to be the optimal strategy for patients with CRC and SCRLM. However, traditional laparotomy is traumatic, and the treatment outcome of minimally invasive surgery (MIS) is still obscure. AIM To compare the treatment outcomes of MIS and open surgery (OS) for the simultaneous resection of CRC and SCRLM. METHODS A systematic search through December 22, 2018 was conducted in electronic databases (PubMed, EMBASE, Web of Science, and Cochrane Library). All studies comparing the clinical outcomes of MIS and OS for patients with CRC and SCRLM were included by eligibility criteria. The meta-analysis was performed using Review Manager Software. The quality of the pooled study was assessed using the Newcastle-Ottawa scale. The publication bias was evaluated by a funnel plot and the Begg’s and Egger’s tests. Fixed- and random-effects models were applied according to heterogeneity. RESULTS Ten retrospective cohort studies involving 502 patients (216 patients in the MIS group and 286 patients in the OS group) were included in this study. MIS was associated with less intraoperative blood loss [weighted mean difference (WMD)=-130.09, 95% confidence interval (CI):-210.95 to -49.23, P = 0.002] and blood transfusion [odds ratio (OR)= 0.53, 95%CI: 0.29 to 0.95, P = 0.03], faster recovery of intestinal function (WMD =-0.88 d, 95%CI:-1.58 to -0.19, P = 0.01) and diet (WMD =-1.54 d, 95%CI:-2.30 to -0.78, P < 0.0001), shorter length of postoperative hospital stay (WMD =-4.06 d, 95%CI:-5.95 to -2.18, P < 0.0001), and lower rates of surgical complications (OR = 0.60, 95%CI: 0.37 to 0.99, P = 0.04). However, the operation time, rates and severity of overall complications, and rates of general complications showed no significant differences between the MIS and OS groups. Moreover, the overall survival and disease-free survival after MIS were equivalent to those after OS. CONCLUSION Considering the studies included in this meta-analysis, MIS is a safe and effective alternative technique for the simultaneous resection of CRC and SCRLM. Compared with OS, MIS has less intraoperative blood loss and blood transfusion and quicker postoperative recovery. Furthermore, the two groups show equivalent long-term outcomes.

Parallel Active Subspace Decomposition for Tensor Robust Principal Component Analysis

Tensor robust principal component analysis has received a substantial amount of attention in various fields.Most existing methods,normally relying on tensor nuclear norm minimization,need to pay an expensive computational cost due to multiple singular value decompositions at each iteration.To overcome the drawback,we propose a scalable and efficient method,named parallel active subspace decomposition,which divides the unfolding along each mode of the tensor into a columnwise orthonormal matrix(active subspace)and another small-size matrix in parallel.Such a transformation leads to a nonconvex optimization problem in which the scale of nuclear norm minimization is generally much smaller than that in the original problem.We solve the optimization problem by an alternating direction method of multipliers and show that the iterates can be convergent within the given stopping criterion and the convergent solution is close to the global optimum solution within the prescribed bound.Experimental results are given to demonstrate that the performance of the proposed model is better than the state-of-the-art methods.

Study and application of an improved four-dimensional variational assimilation system based on the physical-space statistical analysis for the South China Sea

The four-dimensional variational assimilation(4D-Var)has been widely used in meteorological and oceanographic data assimilation.This method is usually implemented in the model space,known as primal approach(P4D-Var).Alternatively,physical space analysis system(4D-PSAS)is proposed to reduce the computation cost,in which the 4D-Var problem is solved in physical space(i.e.,observation space).In this study,the conjugate gradient(CG)algorithm,implemented in the 4D-PSAS system is evaluated and it is found that the non-monotonic change of the gradient norm of 4D-PSAS cost function causes artificial oscillations of cost function in the iteration process.The reason of non-monotonic variation of gradient norm in 4D-PSAS is then analyzed.In order to overcome the non-monotonic variation of gradient norm,a new algorithm,Minimum Residual(MINRES)algorithm,is implemented in the process of assimilation iteration in this study.Our experimental results show that the improved 4D-PSAS with the MINRES algorithm guarantees the monotonic reduction of gradient norm of cost function,greatly improves the convergence properties of 4D-PSAS as well,and significantly restrains the numerical noises associated with the traditional 4D-PSAS system.

Combined Water-Oxygen Pinch Analysis with Mathematical Programming for Wastewater Treatment

Water-oxygen pinch analysis is an effective method to decrease the wastewater quantity and improve the wastewater quality. But when multiple-contaminants are present, the method is difficult to be carried out. In this paper, the method that combines water-oxygen pinch analysis with mathematical programming is proposed. It obtains the general optimal solution and leads to the reuse stream that cannot be found only by pinch analysis. The new method is illustrated by an example, and the annual cost is reduced by 8.43% compared with the solution of literature.

Sparse Representation by Frames with Signal Analysis

The use of frames is analyzed in Compressed Sensing (CS) through proofs and experiments. First, a new generalized Dictionary-Restricted Isometry Property (D-RIP) sparsity bound constant for CS is established. Second, experiments with a tight frame to analyze sparsity and reconstruction quality using several signal and image types are shown. The constant is used in fulfilling the definition of D-RIP. It is proved that k-sparse signals can be reconstructed if by using a concise and transparent argument1. The approach could be extended to obtain other D-RIP bounds (i.e. ). Experiments contrast results of a Gabor tight frame with Total Variation minimization. In cases of practical interest, the use of a Gabor dictionary performs well when achieving a highly sparse representation and poorly when this sparsity is not achieved.

个性化GYROID结构髁突假体:设计及有限元分析

背景:目前国内外制作的颞下颌关节假体在置换过程中需要依靠螺钉固定假体中的髁突部分,通过预留固位孔方便术中进行操作,但由于缺少个性化的颌骨设计,可能存在固位板与颌骨不贴合导致螺钉松动、脱位。因此,个性化髁突假体置换在修复颞下颌关节中具有重要的应用价值。目的:设计一种内部为GYROID结构的个性化髁突假体,用于下颌骨髁突的修复重建。方法:在Rhinoceros 7软件中选择GYROID结构,单胞为6 mm,设置壁厚分别为0.2,0.3,0.4,0.5,0.6,0.7,0.8 mm,利用有限元分析GYROID结构的力学性能。3D打印不同壁厚(0.2,0.3,0.4,0.5,0.6,0.7,0.8 mm)的GYROID结构实验试件,通过室温压缩实验检测试件的力学性能。通过有限元分析与室温压缩实验结果筛选符合下颌骨力学性能范围的一个壁厚值,对1名成年男性下颌骨CT数据进行逆向建模,设计内部为GYROID结构的髁突假体,采用有限元分析模拟髁突假体置换后牙尖交错颌位与对刃颌位的运动。结果与结论:(1)有限元分析与室温压缩实验结果显示,随着壁厚的增大,GYROID结构的弹性模量增大,其中壁厚0.5-0.7 mm GYROID结构的弹性模量位于下颌骨的弹性模量(1.5-4.0 GPa)范围内,因此选取壁厚值0.6 mm的6 mm单胞GYROID结构模型进行髁突假体的设计;(2)有限元分析结果显示,下颌骨模型的应力分布呈左右对称,两种咬合时的应力分布大致相同,应力峰值无较大差距,应力集中于髁突假体颈部,置换侧受力较健侧略大;内固定模型整体的最大等效应力为269.34 MPa,螺钉的最大等效应力为20.14 MPa,牙尖交错颌位时假体的等效应力和等效应变值均大于对刃颌位时,牙尖交错颌位时螺钉的等效应力和等效应变值均小于对刃颌位时;(3)结果显示个性化GYROID结构髁突假体的设计与固位效果良好,符合下颌骨力学传导。

Discrimination for minimal hepatic encephalopathy based on Bayesian modeling of default mode network

In order to classify the minimal hepatic encephalopathy （MHE） patients from healthy controls, the independent component analysis （ICA） is used to generate the default mode network （DMN） from resting-state functional magnetic resonance imaging （fMRI）. Then a Bayesian voxel- wised method, graphical-model-based multivariate analysis （GAMMA）, is used to explore the associations between abnormal functional integration within DMN and clinical variable. Without any prior knowledge, five machine learning methods, namely, support vector machines （SVMs）, classification and regression trees （ CART ）, logistic regression, the Bayesian network, and C4.5, are applied to the classification. The functional integration patterns were alternative within DMN, which have the power to predict MHE with an accuracy of 98%. The GAMMA method generating functional integration patterns within DMN can become a simple, objective, and common imaging biomarker for detecting MIIE and can serve as a supplement to the existing diagnostic methods.

Innovative Design and Additive Manufacturing of Regenerative Cooling Thermal Protection System Based on the Triply Periodic Minimal Surface Porous Structure

The new regenerative cooling thermal protection system exhibits the multifunctional characteristics of load-carrying and heat exchange cooling,which are fundamental for the lightweight design and thermal protection of hypersonic vehicles.Triply periodic minimal surface(TPMS)is especially suitable for the structural design of the internal cavity of regenerative cooling structures owing to its excellent structural characteristics.In this study,test pieces were manufactured using Ti6Al4V lightweight material.We designed three types of porous test pieces,and the interior was filled with a TPMS lattice(Gyroid,Primitive,I-WP)with a porosity of 30%.All porous test pieces were manufactured via selective laser melting technology.A combination of experiments and finite element simulations were performed to study the selection of the internal cavity structure of the regenerative cooling thermal protection system.Hence,the relationship between the geometry and mechanical properties of a unit cell is established,and the deformation mechanism of the porous unit cell is clarified.Among the three types of porous test pieces,the weight of the test piece filled with the Gyroid unit cell was reduced by 8.21%,the average tensile strength was reduced by 17.7%compared to the solid test piece,while the average tensile strength of the Primitive and I-WP porous test pieces were decreased by 30.5%and 33.3%,respectively.Compared with the other two types of unit cells,Gyroid exhibited better mechanical conductivity characteristics.Its deformation process was characterised by stretching,shearing,and twisting,while the Primitive and I-WP unit cells underwent tensile deformation and tensile and shear deformation,respectively.The finite element predictions in the study agree well with the experimental results.The results can provide a basis for the design of regenerative cooling thermal protection system.