Surgical techniques to prevent delayed gastric emptying after pancreaticoduodenectomy

Background: Delayed gastric emptying(DGE) is one of the most common complications after pancreaticoduodenectomy(PD). DGE represents impaired gastric motility without significant mechanical obstruction and is associated with an increased length of hospital stay, increased healthcare costs, and a high readmission rate. We reviewed published studies on various technical modifications to reduce the incidence of DGE. Data sources: Studies were identified by searching Pub Med for relevant articles published up to December 2022. The following search terms were used: “pancreaticoduodenectomy”, “pancreaticojejunostomy”, “pancreaticogastrostomy”, “gastric emptying”, “gastroparesis” and “postoperative complications”. The search was limited to English publications. Additional articles were identified by a manual search of references from key articles. Results: In recent years, various surgical procedures and techniques have been explored to reduce the incidence of DGE. Pyloric resection, Billroth II reconstruction, Braun's enteroenterostomy, and antecolic reconstruction may be associated with a decreased incidence of DGE, but more high-powered studies are needed in the future. Neither laparoscopic nor robotic surgery has demonstrated superiority in preventing DGE, and the use of staplers is controversial regarding whether they can reduce the incidence of DGE. Conclusions: Despite many innovations in surgical techniques, there is no surgical procedure that is superior to others to reduce DGE. Further larger prospective randomized studies are needed.

Delay-CJ:A novel cryptojacking covert attack method based on delayed strategy and its detection

Cryptojacking is a type of resource embezzlement attack,wherein an attacker secretly executes the cryptocurrency mining program in the target host to gain profits.It has been common since 2017,and in fact,it once became the greatest threat to network security.To better prove the attack ability the harm caused by cryptojacking,this paper proposes a new covert browser-based mining attack model named Delay-CJ,this model was deployed in a simulation environment for evaluation.Based on the general framework of cryptojacking,Delay-CJ adds hybrid evasion detection techniques and applies the delayed execution strategy specifically for video websites in the prototype implementation.The results show that the existing detection methods used for testing may become invalid as result of this model.In view of this situation,to achieve a more general and robust detection scheme,we built a cryptojacking detection system named CJDetector,which is based on cryptojacking process features.Specifically,it identifies malicious mining by monitoring CPU usage and analyzing the function call information.This system not only effectively detects the attack in our example but also has universal applicability.The recognition accuracy of CJDetector reaches 99.33%.Finally,we tested the web pages in Alexa 50K websites to investigate cryptojacking activity in the real network.We found that although cryptojacking is indeed on the decline,it remains a part of network security threats that cannot be ignored.

Relaxed Stability Criteria for Time-Delay Systems:A Novel Quadratic Function Convex Approximation Approach

This paper develops a quadratic function convex approximation approach to deal with the negative definite problem of the quadratic function induced by stability analysis of linear systems with time-varying delays.By introducing two adjustable parameters and two free variables,a novel convex function greater than or equal to the quadratic function is constructed,regardless of the sign of the coefficient in the quadratic term.The developed lemma can also be degenerated into the existing quadratic function negative-determination(QFND)lemma and relaxed QFND lemma respectively,by setting two adjustable parameters and two free variables as some particular values.Moreover,for a linear system with time-varying delays,a relaxed stability criterion is established via our developed lemma,together with the quivalent reciprocal combination technique and the Bessel-Legendre inequality.As a result,the conservatism can be reduced via the proposed approach in the context of constructing Lyapunov-Krasovskii functionals for the stability analysis of linear time-varying delay systems.Finally,the superiority of our results is illustrated through three numerical examples.

A NEW TECHNIQUE IN BOUNDEDNESS OF INFINITE DELAY DIFFERENTIAL EQUATIONS

ＡＮＥＷＴＥＣＨＮＩＱＵＥＩＮＢＯＵＮＤＥＤＮＥＳＳＯＦＩＮＦＩＮＩＴＥＤＥＬＡＹＤＩＦＦＥＲＥＮＴＩＡＬＥＱＵＡＴＩＯＮＳ＊ＺｈａｎｇＳｈｕｎｉａｎ（张书年）（Ｄｅｐｔ．ｏｆＡｐｐｌｉｅｄＭａｔｈｅｍａｔｉｃｓ，ＳｈａｎｇｈａｉＪｉａｏｔｏｎｇＵｎ...

Method for differential phase delay resolution of phase referencing VLBI technique and its experimental verification

The phase referencing Very Long Baseline Interferometry(VLBI)technique is a newly developed tool to measure the angular position of a deep space exploration probe in the plane-of-the-sky.Through alternating observations between the probe and a nearby reference radio source,their accurate relative angular separation can be obtained from the radio images generated by this technique.To meet the requirements of the current orbit determination software,differential delay should be firstly derived from those radio images.A method to resolve the differential phase delay from the phase referencing VLBI technique is proposed in this paper,and as well the mathematical model for differential phase ambiguity resolution is established.This method is verified with practical measurement data from the Chang’E-3 mission.The differential phase delay between the Chang’E-3 lander and rover was derived from the phase referencing VLBI measurements,and was then imported into the Shanghai astronomical observatory Orbit Determination Program(SODP)to calculate the position of the rover relative to the lander on the lunar surface.The results are consistent with those acquired directly from radio images,indicating that the differential phase ambiguity has been correctly resolved.The proposed method can be used to promote applications of the phase referencing VLBI technique in future lunar or deep space explorations,and more accurate orbit determination becomes promising.

Wind Velocity Measurement of Multi-Laser Beams Measurement System Based on Peak Delay Technique

Contactless measurement of wind flow has been utilized in many fields, such as weather forecasting, hurricane tracking, and aeronautic alarm. In this paper, a novel multi-laser beams measuring system （MLBM） for high precision detection of wind field based on optical scintillations and small perturbation theory was proposed and verified. According to the fluctuation intensity of laser backscatter received by two detectors, peak delay technique was adopted to determine the velocity of wind flow. Detailed procedure to deal with backscatter signals was also presented. Then, practical experiments and measurement results showed high precision of the proposed system for wind measurement with a relative error as 3.21%. Consequently, the MLBM system possesses obvious potential application in engineering project.

MONOTONE ITERATIVE TECHNIQUE FOR NONLINEAR NEUTRAL DELAY DIFFERENTIAL EQUATIONS

The objective of this paper is to develop monotone techniques for obtaining extremal solutions of initial value problem for nonlinear neutral delay differential equations.

The Effect of Benzyltetrahydropalmatine (BTHP) on Action Potentials and the Two Components of Delayed Rectifying Potassium Currents in Guinea Pig Ventricular Myocytes

The effects of BTHP on Ca 2+ independent action potential and the two components of delayed rectifier potassium currents were studied in guinea pig single ventricular myocytes by using whole cell patch clamp technique. BTHP 30 μmol·L -1 significantly prolonged APD 90 from 143±16 ms to 184±21 ms ( P 【0.01, n=5) without affecting either the RP or APA, and the APD prolonging effects of BTHP were independent of extracellular Ca 2+ . BTHP inhibited both I kr (IC 50 =7 9 μmol·L -1 ) and I ks (IC 50 =22 4 μmol·L -1 ) in a concentration dependent fashion. The results demon strated that BTHP had no obvious selectivity for I kr and I ks .

Self-expandable metal stents in patients with postoperative delayed gastric emptying after distal gastrectomy

AIM To investigate the efficacy and safety of endoscopic stent insertion in patients with delayed gastric emptying after gastrectomy.METHODS In this study, we prospectively collected data from patients who underwent stent placement for delayed gastric emptying(DGE) after distal gastrectomy between June 2010 and April 2017, at a tertiary referral academic center. Clinical improvement, complications, and consequences after stent insertion were analyzed.RESULTS Technical success was achieved in all patients(100%). Early symptom improvement was observed in 15 of 20 patients(75%) and clinical success was achieved in all patients. Mean follow-up period was 1178.3 ± 844.1 d and median stent maintenance period was 51 d(range 6-2114 d). During the follow-up period, inserted stents were passed spontaneously per rectum without any complications in 14 of 20 patients(70%). Symptom improvement was maintained after stent placement without the requirement of any additional intervention in 19 of 20 patients(95%).CONCLUSION Endoscopic stent placement provides prompt relief of obstructive symptoms. Thus, it can be considered an effective and safe salvage technique for post-operative DGE.

A modified averaging scheme with application to the secondary Hopf bifurcation of a delayed van der Pol oscillator

In this paper, a modified averaging scheme is presented for a class of time-delayed vibration systems with slow variables. The new scheme is a combination of the averaging techniques proposed by Hale and by Lehman and Weibel, respectively. The averaged equation obtained from the modified scheme is simple enough but it retains the required information for the local nonlinear dynamics around an equilibrium. As an application of the present method, the delay value for which a secondary Hopf bifurcation occurs is successfully located for a delayed van der Pol oscillator.

Robust adaptive synchronization of chaotic neural networks by slide technique

In this paper, we focus on the robust adaptive synchronization between two coupled chaotic neural networks with all the parameters unknown and time-varying delay. In order to increase the robustness of the two coupled neural networks, the key idea is that a sliding-mode-type controller is employed. Moreover, without the estimate values of the network unknown parameters taken as an updating object, a new updating object is introduced in the constructing of controller. Using the proposed controller, without any requirements for the boundedness, monotonicity and differentiability of activation functions, and symmetry of connections, the two coupled chaotic neural networks can achieve global robust synchronization no matter what their initial states are. Finally, the numerical simulation validates the effectiveness and feasibility of the proposed technique.

Finite-Time Stability of Nonautonomous Delayed Systems

The finite-time stability to linear discontinuous time-varying delayed system was investigated. By applying the method of upper and lower solutions, some sufficient conditions of this kind of stability were obtained. Furthermore, it also developed a monotone iterative technique for obtaining solutions which are obtained as limits of monotone sequences

New criterion for delay-dependent absolute stability of Lurie system with interval time-varying delay

The delay-dependent absolute stability for a class of Lurie systems with interval time-varying delay is studied. By employing an augmented Lyapunov functional and combining a free-weighting matrix approach and the reciprocal convex technique, an improved stability condition is derived in terms of linear matrix inequalities （LMIs）. By retaining some useful terms that are usually ignored in the derivative of the Lyapunov function, the proposed sufficient condition depends not only on the lower and upper bounds of both the delay and its derivative, but it also depends on their differences, which has wider application fields than those of present results. Moreover, a new type of equality expression is developed to handle the sector bounds of the nonlinear function, which achieves fewer LMIs in the derived condition, compared with those based on the convex representation. Therefore, the proposed method is less conservative than the existing ones. Simulation examples are given to demonstrate the validity of the approach.

Asymptotic Analysis of a Stochastic Model of Mosquito-Borne Disease with the Use of Insecticides and Bet Nets

Ross’ epidemic model describing the transmission of malaria uses two classes of infection, one for humans and one for mosquitoes. This paper presents a stochastic extension of a deterministic vector-borne epidemic model based only on the class of human infectious. The consistency of the model is established by proving that the stochastic delay differential equation describing the model has a unique positive global solution. The extinction of the disease is studied through the analysis of the stability of the disease-free equilibrium state and the persistence of the model. Finally, we introduce some numerical simulations to illustrate the obtained results.

Study on Robust Uniform Asymptotical Stability for Uncertain Linear Impulsive Delay Systems

In the area of control theory the time-delay systems have been investigated. It's well known that delays often result in instability, therefore, stability analysis of time-delay systems is an important subject in control theory. As a result, many criteria for testing the stability of linear time-delay systems have been proposed. Significant progress has been made in the theory of impulsive systems and impulsive delay systems in recent years. However, the corresponding theory for uncertain impulsive systems and uncertain impulsive delay systems has not been fully developed. In this paper, robust stability criteria are established for uncertain linear delay impulsive systems by using Lyapunov function, Razumikhin techniques and the results obtained. Some examples are given to illustrate our theory.

High Resolution Multipath Time Delay Estimation Based on FLOCCS-ESPRIT

The non-Gaussian α-stable distribution is introduced to model impulsive noise. Based on the theory of fractional lower order statistics (FLOS), the fractional lower order cross-covariance (FLOCC) sequence for two received signals is obtained and the fractional lower order cross-covariance spectrum (FLOCCS) can be approached by taking a Fourier transform for the FLOCC sequence. When the FLOCCS is treated as a sequence in the time domain, the problem of multipath time delay estimation (TDE) may be converted into one on multi-frequencies estimation or directions of arrival estimation. Accordingly, the high resolution multipath TDE can be realized with the ESPRIT technology. This idea on multipath TDE is referred to as FLOCCS-ESPRIT in this paper. Computer simulations show that this method has good performance both in a Gaussian noise and in an impulsive noise environment.

The m-delay Autoregressive Model with Application

The classical autoregressive(AR)model has been widely applied to predict future data usingmpast observations over five decades.As the classical AR model required m unknown parameters,this paper implements the AR model by reducing m parameters to two parameters to obtain a new model with an optimal delay called as the m-delay AR model.We derive the m-delay AR formula for approximating two unknown parameters based on the least squares method and develop an algorithm to determine optimal delay based on a brute-force technique.The performance of them-delay AR model was tested by comparing with the classical AR model.The results,obtained from Monte Carlo simulation using the monthly mean minimum temperature in PerthWestern Australia from the Bureau of Meteorology,are no significant difference compared to those obtained from the classical AR model.This confirms that the m-delay AR model is an effective model for time series analysis.

Research on Estimation of Time Delay Difference in Passive Locating for Impulse Signal

Analyzed the relation between time delay difference and time delay estimation errors, based on the principles of three-point locating, a reformed threshold method for time delay difference estimation of impulse signals, called as amendment estimation for short, is developed by introducing channel equalization technique to its conventional version, named as direct estimation in this paper, to improve the estimation stability. After inherent relationship between time delay and phase shift of signals is analyzed, an integer period error compensation method utilized the diversities of both contribution share and contribution mode of concerned estimates is proposed under the condition of high precision phase lag estimation. Finally, a cooperative multi-threshold estimation method composed of amendment and direct estimations to process impulse signals with three thresholds is established. In sea trials data tests of passive locating, this method improves the estimation precision of time delay difference efficiently. The experiments verify the theoretical predictions.

Design of Robust Controller for LFC of Interconnected Power System Considering Communication Delays

The usage of open communication infrastructure for transmitting the control signals in the Load Frequency Control (LFC) scheme of power system introduces time delays. These time delays may degrade the dynamic performance of the power system. This paper proposes a robust method to design a controller for multi-area LFC schemes considering communication delays. In existing literature, the controller values of LFC are designed using time domain approach which is less accurate than the proposed method. In proposed method, the controller values are determined by moving the rightmosteigenvalues of the system to the left half plane in a quasi-continuous way for a preset upper bound of time delay. Then the robustness of the proposed controller is assessed by estimating the maximumtolerable value of time delay for maintaining system stability. Simulation studies are carried out for multi-area LFC scheme equipped with the proposed controller using Matlab/simulink. From the results, it has been concluded that the proposed controller guarantees the tolerance for all time delays smaller than the preset upper bound and provides a bigger delay margin than the existing controllers.

Solar Energy Harvesting Using a Timer-Based Relay Selection

In this paper,the throughput and delay of cooperative communications are derived when solar energy is used and relay node is selected using a timer.The source and relays harvest energy from sun using a photo voltaic system.The harvested power is used by the source to transmit data to the relays.Then,a selected relay amplifies the signal to the destination.Opportunistic,partial and reactive relay selection are used.The relay transmits when its timer elapses.The timer is set to a value proportional to the inverse of its Signal to Noise Ratio(SNR).Therefore,the relay with largest SNR will transmit first and its signal will be detected by the other relays that will remain idle to avoid collisions.Harvesting duration is optimized to maximize the throughput.Packet’s waiting time and total delay are also computed.We also derive the statistics of SNR when solar energy is used.The harvested power from sun is proportional to the sum of a deterministic radiation intensity and a random attenuation due to weather effects and clouds occlusion.The fixed radiation intensity depends on season,month and time t in hour.The throughput of cooperative communications with energy harvesting from sun was not yet studied.