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电磁导航支气管镜引导下肺结节定位和CT引导下Hook-wire穿刺定位在肺癌根治术中的应用效果及安全性比较
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作者 郑晓东 聂世威 +2 位作者 周军正 岳光成 张卫民 《癌症进展》 2024年第16期1814-1817,共4页
目的对比电磁导航支气管镜(ENB)引导下肺结节定位和CT引导下Hook-wire穿刺定位在肺癌根治术中的应用效果和安全性。方法将87例行肺癌根治术患者根据定位方式的不同分为CT组(n=45,行CT引导下Hook-wire穿刺定位)和ENB组(n=42,行ENB引导下... 目的对比电磁导航支气管镜(ENB)引导下肺结节定位和CT引导下Hook-wire穿刺定位在肺癌根治术中的应用效果和安全性。方法将87例行肺癌根治术患者根据定位方式的不同分为CT组(n=45,行CT引导下Hook-wire穿刺定位)和ENB组(n=42,行ENB引导下肺结节定位)。比较两组患者手术情况、切缘阳性率、心肺功能指标、应激指标和并发症发生情况。结果ENB组患者定位时间、定位后等待时间均短于CT组,差异均有统计学意义(P﹤0.05)。术后7天,两组患者左心室射血分数(LVEF)、每搏量(SV)、用力肺活量(FVC)均较术前降低,但ENB组患者LVEF、SV、FVC均高于CT组,差异均有统计学意义(P﹤0.05)。术后1天,两组患者白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、C反应蛋白(CRP)、皮质醇(Cor)水平均较术前升高,但ENB组患者IL-6、IL-8、CRP、Cor水平均低于CT组,差异均有统计学意义(P﹤0.05)。两组患者并发症总发生率比较,差异无统计学意义(P﹥0.05)。结论相比于CT引导下Hook-wire穿刺定位,ENB引导下肺结节定位的定位时间和定位后等待时间更短,能够更加有效地改善患者的心肺功能,减轻应激反应。 展开更多
关键词 电磁导航支气管镜引导下肺结节定位 CT引导下hook-wire穿刺定位 肺癌根治术 定位时间
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CT引导下Hook-wire定位辅助胸腔镜手术对早期肺癌患者的疗效分析
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作者 孔建峰 《实用癌症杂志》 2024年第2期255-258,共4页
目的探讨CT引导下Hook-wire定位辅助胸腔镜手术对早期肺癌患者的疗效。方法选取92例早期肺癌患者,按随机数字表法分为两组,各46例。对照组行常规胸腔镜手术治疗,观察组行CT引导下Hook-wire定位辅助胸腔镜手术治疗。比较两组手术情况、... 目的探讨CT引导下Hook-wire定位辅助胸腔镜手术对早期肺癌患者的疗效。方法选取92例早期肺癌患者,按随机数字表法分为两组,各46例。对照组行常规胸腔镜手术治疗,观察组行CT引导下Hook-wire定位辅助胸腔镜手术治疗。比较两组手术情况、创伤应激指标、肿瘤标志物水平及并发症。结果观察组手术时间、术后引流时间及住院时间为(138.52±10.52)min、(3.12±0.45)d、(10.35±1.25)d,短于对照组,术中出血量为(105.41±12.36)ml,少于对照组,差异有统计学意义(P<0.05);观察组术后皮质醇(Cor)、去甲肾上腺素(NE)、C反应蛋白(CRP)水平分别为(118.52±8.36)ng/ml、(185.93±14.52)ng/L、(32.41±4.25)mg/L,低于对照组,差异有统计学意义(P<0.05);观察组术后癌胚抗原(CEA)、细胞角蛋白19片段抗原21-1(CYFRA21-1)、糖类抗原125(CA125)水平为(8.96±1.15)ng/ml、(3.88±0.42)ng/ml、(12.63±1.54)U/ml,低于对照组,并发症少于对照组,差异有统计学意义(P<0.05)。结论CT引导下Hook-wire定位辅助胸腔镜手术治疗早期肺癌效果更佳,可减轻手术创伤,降低创伤应激反应,加快肿瘤标志物复常,减少并发症发生。 展开更多
关键词 早期肺癌 CT引导 hook-wire定位 胸腔镜手术 创伤应激指标 肿瘤标志物
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亚甲蓝与Hook-wire在肺小结节患者电视胸腔镜术前定位中的效果比较
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作者 梁卓荣 莫均杰 +1 位作者 陈锦棠 梁宇闯 《中国现代医药杂志》 2024年第8期48-50,共3页
目的探讨应用电视胸腔镜技术诊疗肺小结节,在术前定位中分别采用亚甲蓝注射和Hook-wire技术的有效性和安全性。方法对2022年10月~2023年10月我院收治的100例肺小结节患者展开研究,拟实施电视胸腔镜下手术切除术,根据术前定位方式的不同... 目的探讨应用电视胸腔镜技术诊疗肺小结节,在术前定位中分别采用亚甲蓝注射和Hook-wire技术的有效性和安全性。方法对2022年10月~2023年10月我院收治的100例肺小结节患者展开研究,拟实施电视胸腔镜下手术切除术,根据术前定位方式的不同进行分组,将实施亚甲蓝注射定位的47例患者纳入对照组,实施Hook-wire技术定位的53例患者纳入观察组;比较两组的定位准确率和所用时间、肺功能指标、并发症发生率及开胸手术率。结果与对照组比较,观察组定位成功率高,但所用时间长(P<0.05);两组术后1d FEV1低于术前,PEF高于术前(P<0.05),两组间术后1d FEV1、PEF对比,差异无统计学意义(P>0.05);两组术后并发症与开胸手术率对比,差异均无统计学意义(P>0.05)。结论在肺小结节患者电视胸腔镜术前定位中,与亚甲蓝注射定位相比,Hook-wire技术定位用时较长,但定位成功率更高,且两组定位技术均不影响患者肺功能,并发症发生风险低,安全性高。 展开更多
关键词 亚甲蓝 hook-wire 肺小结节 胸腔镜 术前定位 安全性
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Clinicopathologic characteristics of pulmonary ground glass opacity located preoperatively using a Hook-wire guidewire 被引量:5
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作者 Haonan Zhang Tongguo Si Zhi Guo 《Journal of Interventional Medicine》 2020年第2期89-92,共4页
Objective:To evaluate the relationship between the clinical and imaging features of ground glass opacity(GGO)localized using a preoperative Hook-wire guidewire and postoperative pathology.Method:Preoperative Hook-wire... Objective:To evaluate the relationship between the clinical and imaging features of ground glass opacity(GGO)localized using a preoperative Hook-wire guidewire and postoperative pathology.Method:Preoperative Hook-wire guidewire localization was performed in 83 patients with GGO less than 2 cm,and their clinical data,imaging data,and postoperative pathology findings were retrospectively analyzed.The images were classified as pure GGO(pGGO) or mixed GGO(mGGO).The relationship between clinical and imaging features and postoperative pathology was analyzed.Result:The 83 cases were colocalized,and the success rate of the guidewire positioning was 100%.Complications included pneumothorax(19.2% [16/83]) and the incidence of minor bleeding(30.2 [25/83]).Forty-seven patients had mGGO and 36 had pGGO.Among the 47 cases of mGGO,18(38.3%) were invasive adenocarcinoma(IAC),18(38.3%) were microinvasive adenocarcinoma(MIA),8(17.0%) were adenocarcinoma in situ(AIS),2(4.3%) were atypical adenomatous hyperplasia(AAH),and 1(2.1%) was benign.Among the 36 cases of pGGO,6(16.7%) were IAC,13(36.1%) were MIA,8(22.2%) were AIS,2(5.6%) were AAH,and 7(19.4%) cases were benign lesions.A significantly higher proportion of patients with IAC had mGGO than pGGO(21.7% vs.7.2%,respectively;p=0.004).Among patients with mGGO,a higher proportion of them had a nodule diameter of ≥1 cm than those with a diameter of <1 cm(25.5% vs.12.8%,respectively;p=0.003).There was no significant difference in age,location distribution,or pathological type.Conclusion: Preoperative CT-guided Hook-wire guidewire positioning was safe with minor complications.A significantly higher proportion of patients with IAC had mGGO than pGGO.Patients with mGGO and a nodule diameter ≥1 cm require active treatment. 展开更多
关键词 CT guidance hook-wire localization Ground glass opacity Imaging PATHOLOGY
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Microseismic source location using deep learning:A coal mine case study in China
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作者 Yue Song Enyuan Wang +3 位作者 Hengze Yang Chengfei Liu Baolin Li Dong Chen 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第9期3407-3418,共12页
Microseismic source location is crucial for the early warning of rockburst risks.However,the conventional methods face challenges in terms of the microseismic wave velocity and arrival time accuracy.Intelligent techni... Microseismic source location is crucial for the early warning of rockburst risks.However,the conventional methods face challenges in terms of the microseismic wave velocity and arrival time accuracy.Intelligent techniques,such as the full convolutional neural network(FCNN),can capture spatial information but struggle with complex microseismic sequence.Combining the FCNN with the long shortterm memory(LSTM)network enables better time-series signal classification by integrating multiscale information and is therefore suitable for waveform location.The LSTM-FCNN model does not require extensive data preprocessing and it simplifies the microseismic source location through feature extraction.In this study,we utilized the LSTM-FCNN as a regression learning model to locate the seismic focus.Initially,the method of short-time-average/long-time-average(STA/LTA)arrival time picking was employed to augment spatiotemporal information.Subsequently,oversampling the on-site data was performed to address the issue of data imbalance,and finally,the performance of LSTM-FCNN was tested.Meanwhile,we compared the LSTM-FCNN model with previous deep-learning models.Our results demonstrated remarkable location capabilities with a mean absolute error(MAE)of only 7.16 m.The model can realize swift training and high accuracy,thereby significantly improving risk warning of rockbursts. 展开更多
关键词 Microseismic source location ROCKBURST Deep learning Intelligent early warning
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A Secure Device Management Scheme with Audio-Based Location Distinction in IoT
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作者 Haifeng Lin Xiangfeng Liu +5 位作者 Chen Chen Zhibo Liu Dexin Zhao Yiwen Zhang Weizhuang Li Mingsheng Cao 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第1期939-956,共18页
Identifying a device and detecting a change in its position is critical for secure devices management in the Internet of Things(IoT).In this paper,a device management system is proposed to track the devices by using a... Identifying a device and detecting a change in its position is critical for secure devices management in the Internet of Things(IoT).In this paper,a device management system is proposed to track the devices by using audio-based location distinction techniques.In the proposed scheme,traditional cryptographic techniques,such as symmetric encryption algorithm,RSA-based signcryption scheme,and audio-based secure transmission,are utilized to provide authentication,non-repudiation,and confidentiality in the information interaction of the management system.Moreover,an audio-based location distinction method is designed to detect the position change of the devices.Specifically,the audio frequency response(AFR)of several frequency points is utilized as a device signature.The device signature has the features as follows.(1)Hardware Signature:different pairs of speaker and microphone have different signatures;(2)Distance Signature:in the same direction,the signatures are different at different distances;and(3)Direction Signature:at the same distance,the signatures are different in different directions.Based on the features above,amovement detection algorithmfor device identification and location distinction is designed.Moreover,a secure communication protocol is also proposed by using traditional cryptographic techniques to provide integrity,authentication,and non-repudiation in the process of information interaction between devices,Access Points(APs),and Severs.Extensive experiments are conducted to evaluate the performance of the proposed method.The experimental results show that the proposedmethod has a good performance in accuracy and energy consumption. 展开更多
关键词 Acoustic hardware fingerprinting device management IOT location distinction
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Using Improved Particle Swarm Optimization Algorithm for Location Problem of Drone Logistics Hub
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作者 Li Zheng Gang Xu Wenbin Chen 《Computers, Materials & Continua》 SCIE EI 2024年第1期935-957,共23页
Drone logistics is a novel method of distribution that will become prevalent.The advantageous location of the logistics hub enables quicker customer deliveries and lower fuel consumption,resulting in cost savings for ... Drone logistics is a novel method of distribution that will become prevalent.The advantageous location of the logistics hub enables quicker customer deliveries and lower fuel consumption,resulting in cost savings for the company’s transportation operations.Logistics firms must discern the ideal location for establishing a logistics hub,which is challenging due to the simplicity of existing models and the intricate delivery factors.To simulate the drone logistics environment,this study presents a new mathematical model.The model not only retains the aspects of the current models,but also considers the degree of transportation difficulty from the logistics hub to the village,the capacity of drones for transportation,and the distribution of logistics hub locations.Moreover,this paper proposes an improved particle swarm optimization(PSO)algorithm which is a diversity-based hybrid PSO(DHPSO)algorithm to solve this model.In DHPSO,the Gaussian random walk can enhance global search in the model space,while the bubble-net attacking strategy can speed convergence.Besides,Archimedes spiral strategy is employed to overcome the local optima trap in the model and improve the exploitation of the algorithm.DHPSO maintains a balance between exploration and exploitation while better defining the distribution of logistics hub locations Numerical experiments show that the newly proposed model always achieves better locations than the current model.Comparing DHPSO with other state-of-the-art intelligent algorithms,the efficiency of the scheme can be improved by 42.58%.This means that logistics companies can reduce distribution costs and consumers can enjoy a more enjoyable shopping experience by using DHPSO’s location selection.All the results show the location of the drone logistics hub is solved by DHPSO effectively. 展开更多
关键词 Drone logistics location problem mathematical model DIVERSITY particle swarm optimization
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Prognostic impact and reasons for variability by tumor location in gastric cancer
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作者 Yi-Xing Huang Han-Yi He +16 位作者 Ken Chen Hai-Dong Liu Dan Zu Chen Liang Qi-Mei Bao Yang-Chan Hu Guo-Xia Liu Yu-Ke Zhong Chun-Kai Zhang Ming-Cong Deng Yan-Hua He Ji Jing Yin Shi Sheng-Feng Xu Yao-Shu Teng Zu Ye Xiang-Dong Cheng 《World Journal of Gastroenterology》 SCIE CAS 2024年第44期4709-4724,共16页
BACKGROUND Gastric cancer(GC)is a highly prevalent gastrointestinal tract tumor.Several trials have demonstrated that the location of GC can affect patient prognosis.However,the factors determining tumor location rema... BACKGROUND Gastric cancer(GC)is a highly prevalent gastrointestinal tract tumor.Several trials have demonstrated that the location of GC can affect patient prognosis.However,the factors determining tumor location remain unclear.AIM To investigate the tumor location of patients,we went on to study the influencing factors that lead to changes in the location of GC.METHODS A retrospective evaluation was carried out on 3287 patients who underwent gastrectomy for GC in Zhejiang Cancer Hospital.The patients were followed up post-diagnosis and post-gastrectomy.The clinicopathological variables and overall survival of the patients were recorded.By analyzing the location of GC,the tumor location was divided into four categories:“Upper”,“middle”,“lower”,and“total”.Statistical software was utilized to analyze the relationship of each variable with the location of GC.RESULTS A total of 3287 patients were included in this study.The clinicopathological indices of gender,age,serum levels of carcinoembryonic antigen(CEA),carbohydrate antigen(CA19-9)and CA72-4 levels,were significantly associated with tumor location in patients with GC.In addition,there was a strong correlation between GC location and the prognosis of postoperative patients.Specifically,patients with“lower”and“middle”GC demonstrated a better prognosis than those with tumors in other categories.CONCLUSION The five clinicopathological indices of gender,age,CEA,CA19-9 and CA72-4 levels exhibit varying degrees of influence on the tumor location.The tumor location correlates with patient prognosis following surgery. 展开更多
关键词 Gastric cancer Clinicopathologic characteristics Tumor marker Tumor location Overall survival
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Dynamic Location Method for Shallow Ocean Bottom Nodes Using the Levenberg-Marquart Algorithm
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作者 TONG Siyou LI Junjie +2 位作者 XU Xiugang FANG Yunfen WANG Zhongcheng 《Journal of Ocean University of China》 SCIE CAS CSCD 2024年第4期953-960,共8页
Ocean bottom node(OBN)data acquisition is the main development direction of marine seismic exploration;it is widely promoted,especially in shallow sea environments.However,the OBN receivers may move several times beca... Ocean bottom node(OBN)data acquisition is the main development direction of marine seismic exploration;it is widely promoted,especially in shallow sea environments.However,the OBN receivers may move several times because they are easily affected by tides,currents,and other factors in the shallow sea environment during long-term acquisition.If uncorrected,then the imaging quality of subsequent processing will be affected.The conventional secondary positioning does not consider the case of multiple movements of the receivers,and the accuracy of secondary positioning is insufficient.The first arrival wave of OBN seismic data in shallow ocean mainly comprises refracted waves.In this study,a nonlinear model is established in accordance with the propagation mechanism of a refracted wave and its relationship with the time interval curve to realize the accurate location of multiple receiver movements.In addition,the Levenberg-Marquart algorithm is used to reduce the influence of the first arrival pickup error and to automatically detect the receiver movements,identifying the accurate dynamic relocation of the receivers.The simulation and field data show that the proposed method can realize the dynamic location of multiple receiver movements,thereby improving the accuracy of seismic imaging and achieving high practical value. 展开更多
关键词 OBN dynamic location method Levenberg-Marquart algorithm seismic exploration of shallow sea
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Earthquake relocation using a 3D velocity model and implications on seismogenic faults in the Beijing-Tianjin-Hebei region
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作者 Jinxin Hou Yunpeng Zhang +1 位作者 Liwei Wang Zhirong Zhao 《Earthquake Research Advances》 CSCD 2024年第2期55-64,共10页
To enhance the understanding of the geometry and characteristics of seismogenic faults in the Beijing-Tianjin-Hebei region,we relocated 14805 out of 16063 earthquakes(113°E-120°E,36°N-43°N)that occ... To enhance the understanding of the geometry and characteristics of seismogenic faults in the Beijing-Tianjin-Hebei region,we relocated 14805 out of 16063 earthquakes(113°E-120°E,36°N-43°N)that occurred between January 2008 and December 2020 using the double-difference tomography method.Based on the spatial variation in seismicity after relocation,the Beijing-Tianjin-Hebei region can be divided into three seismic zones:Xingtai-Wen'an,Zhangbei-Ninghexi,and Tangshan.(1)The Xingtai-Wen'an Seismic Zone has a northeastsouthwest strike.The depth profile of earthquakes perpendicular to the strike reveals three northeast-striking,southeast-dipping,high-angle deep faults(>10 km depth),including one below the shallow(<10 km depth)listric,northwest-dipping Xinghe fault in the Xingtai region.Two additional deep faults in the Wen'an region are suggested to be associated with the 2006 M 5.1 Wen'an Earthquake and the 1967 M 6.3 Dacheng earthquake;(2)The Zhangbei-Ninghexi Seismic Zone is oriented north-northwest.Multiple northeast-striking faults(10-20 km depth),inferred from the earthquake-intensive zones,exist beneath the shallow(<10 km depth)Xiandian Fault,Xiaotangshan Fault,Huailai-Zhuolu Basin North Fault,Yangyuan Basin Fault and Yanggao Basin North Fault;(3)In the Tangshan Seismic Zone,earthquakes are mainly concentrated near the northeast-striking Tangshan-Guye Fault,Lulong Fault,and northwest-striking Luanxian-Laoting Fault.An inferred north-south-oriented blind fault is present to the north of the Tangshan-Guye Fault.The 1976 M 7.8 Tangshan earthquake occurred at the junction of a shallow northwest-dipping fault and a deep southeast-dipping fault.This study emphasizes that earthquakes in the region are primarily associated with deep blind faults.Some deep blind faults have different geometries compared to shallow faults,suggesting a complex fault system in the region.Overall,this research provides valuable insights into the seismogenic faults in the Beijing–Tianjin–Hebei region.Further studies and monitoring of these faults are essential for earthquake mitigation efforts in this region. 展开更多
关键词 BEIJING-TIANJIN-HEBEI Double difference tomography Earthquake location Seismogenic faults
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Location Prediction from Social Media Contents using Location Aware Attention LSTM Network
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作者 Madhur Arora Sanjay Agrawal Ravindra Patel 《Journal of Harbin Institute of Technology(New Series)》 CAS 2024年第5期68-77,共10页
Location prediction in social media,a growing research field,employs machine learning to identify users' locations from their online activities.This technology,useful in targeted advertising and urban planning,rel... Location prediction in social media,a growing research field,employs machine learning to identify users' locations from their online activities.This technology,useful in targeted advertising and urban planning,relies on natural language processing to analyze social media content and understand the temporal dynamics and structures of social networks.A key application is predicting a Twitter user's location from their tweets,which can be challenging due to the short and unstructured nature of tweet text.To address this challenge,the research introduces a novel machine learning model called the location-aware attention LSTM(LAA-LSTM).This hybrid model combines a Long Short-Term Memory(LSTM) network with an attention mechanism.The LSTM is trained on a dataset of tweets,and the attention network focuses on extracting features related to latitude and longitude,which are crucial for pinpointing the location of a user's tweet.The result analysis shows approx.10% improvement in accuracy over other existing machine learning approaches. 展开更多
关键词 TWITTER social media location machine learning attention network
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Optimal Configuration of Fault Location Measurement Points in DC Distribution Networks Based on Improved Particle Swarm Optimization Algorithm
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作者 Huanan Yu Hangyu Li +1 位作者 He Wang Shiqiang Li 《Energy Engineering》 EI 2024年第6期1535-1555,共21页
The escalating deployment of distributed power sources and random loads in DC distribution networks hasamplified the potential consequences of faults if left uncontrolled. To expedite the process of achieving an optim... The escalating deployment of distributed power sources and random loads in DC distribution networks hasamplified the potential consequences of faults if left uncontrolled. To expedite the process of achieving an optimalconfiguration of measurement points, this paper presents an optimal configuration scheme for fault locationmeasurement points in DC distribution networks based on an improved particle swarm optimization algorithm.Initially, a measurement point distribution optimization model is formulated, leveraging compressive sensing.The model aims to achieve the minimum number of measurement points while attaining the best compressivesensing reconstruction effect. It incorporates constraints from the compressive sensing algorithm and networkwide viewability. Subsequently, the traditional particle swarm algorithm is enhanced by utilizing the Haltonsequence for population initialization, generating uniformly distributed individuals. This enhancement reducesindividual search blindness and overlap probability, thereby promoting population diversity. Furthermore, anadaptive t-distribution perturbation strategy is introduced during the particle update process to enhance the globalsearch capability and search speed. The established model for the optimal configuration of measurement points issolved, and the results demonstrate the efficacy and practicality of the proposed method. The optimal configurationreduces the number of measurement points, enhances localization accuracy, and improves the convergence speedof the algorithm. These findings validate the effectiveness and utility of the proposed approach. 展开更多
关键词 Optimal allocation improved particle swarm algorithm fault location compressed sensing DC distribution network
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Multi-Branch Fault Line Location Method Based on Time Difference Matrix Fitting
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作者 Hua Leng Silin He +3 位作者 Jian Qiu Feng Liu Xinfei Huang Jiran Zhu 《Energy Engineering》 EI 2024年第1期77-94,共18页
The distribution network exhibits complex structural characteristics,which makes fault localization a challenging task.Especially when a branch of the multi-branch distribution network fails,the traditional multi-bran... The distribution network exhibits complex structural characteristics,which makes fault localization a challenging task.Especially when a branch of the multi-branch distribution network fails,the traditional multi-branch fault location algorithm makes it difficult to meet the demands of high-precision fault localization in the multi-branch distribution network system.In this paper,the multi-branch mainline is decomposed into single branch lines,transforming the complex multi-branch fault location problem into a double-ended fault location problem.Based on the different transmission characteristics of the fault-traveling wave in fault lines and non-fault lines,the endpoint reference time difference matrix S and the fault time difference matrix G were established.The time variation rule of the fault-traveling wave arriving at each endpoint before and after a fault was comprehensively utilized.To realize the fault segment location,the least square method was introduced.It was used to find the first-order fitting relation that satisfies the matching relationship between the corresponding row vector and the first-order function in the two matrices,to realize the fault segment location.Then,the time difference matrix is used to determine the traveling wave velocity,which,combined with the double-ended traveling wave location,enables accurate fault location. 展开更多
关键词 Multi-branch lines distribution network fault location double-ended traveling wave positioning least square method
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术前运用Hook-wire与医用胶定位行胸腔镜手术切除孤立性肺小结节的效果
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作者 郑伟 闻武 程冠球 《当代医学》 2024年第8期135-138,共4页
目的探讨术前运用Hook-wire与医用胶定位方式行胸腔镜手术(VATS)切除孤立性肺小结节(SPN)的效果。方法选取2020年1月至2022年2月福州市长乐区医院收治的81例行VATS切除SPN的患者作为研究对象,按照随机数字表法分为观察组(n=41)与对照组(... 目的探讨术前运用Hook-wire与医用胶定位方式行胸腔镜手术(VATS)切除孤立性肺小结节(SPN)的效果。方法选取2020年1月至2022年2月福州市长乐区医院收治的81例行VATS切除SPN的患者作为研究对象,按照随机数字表法分为观察组(n=41)与对照组(n=40)。对照组术前予以Hook-wire定位,观察组术前予以医用胶定位,比较两组定位和手术情况、定位相关并发症发生率及病理结果。结果两组定位时间、穿刺深度比较差异无统计学意义;观察组定位成功率高于对照组,术中结节切除时间短于对照组,定位费用少于对照组,差异有统计学意义(P<0.05)。观察组定位相关并发症发生率为24.39%,低于对照组的47.50%,差异有统计学意义(P<0.05)。两组良性、非典型增生、微浸润癌、浸润性癌、原位癌、转移瘤病理结果比较差异无统计学意义。结论对VATS切除SPN术前运用医用胶定位可提高定位成功率,缩短手术时间,节省手术费用,降低定位相关并发症发生率,且不影响病理诊断结果。 展开更多
关键词 孤立性肺小结节 胸腔镜手术 医用胶定位 hook-wire定位 并发症发生率 病理结果
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How Does a University’s Computer Science Strength and Location Impact Its Total ChatGPT News?
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作者 Eileen Zhan Sumith Gunasekera Yong Xu 《Open Journal of Applied Sciences》 2024年第10期2973-2984,共12页
As AI, starting with ChatGPT has become increasingly prevalent in academic discussions, school especially, colleges have become hotspots of AI activities and debates. Colleges have the responsibility of addressing not... As AI, starting with ChatGPT has become increasingly prevalent in academic discussions, school especially, colleges have become hotspots of AI activities and debates. Colleges have the responsibility of addressing not only the academic, integrity-based concerns of students using AI for their homework, but also as the forebearers of new learning and technology, how AI will change their students’ futures and careers. In this study, we will explore the different factors, such as Computer Science Score and location, that might affect how much a college discusses AI, ChatGPT specifically. To demonstrate the validity of our research, we used self-collected data with our methods detailed below. 展开更多
关键词 AI ChatGPT Computer Science Statistical Analysis location Impact
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Unknown DDoS Attack Detection with Fuzzy C-Means Clustering and Spatial Location Constraint Prototype Loss
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作者 Thanh-Lam Nguyen HaoKao +2 位作者 Thanh-Tuan Nguyen Mong-Fong Horng Chin-Shiuh Shieh 《Computers, Materials & Continua》 SCIE EI 2024年第2期2181-2205,共25页
Since its inception,the Internet has been rapidly evolving.With the advancement of science and technology and the explosive growth of the population,the demand for the Internet has been on the rise.Many applications i... Since its inception,the Internet has been rapidly evolving.With the advancement of science and technology and the explosive growth of the population,the demand for the Internet has been on the rise.Many applications in education,healthcare,entertainment,science,and more are being increasingly deployed based on the internet.Concurrently,malicious threats on the internet are on the rise as well.Distributed Denial of Service(DDoS)attacks are among the most common and dangerous threats on the internet today.The scale and complexity of DDoS attacks are constantly growing.Intrusion Detection Systems(IDS)have been deployed and have demonstrated their effectiveness in defense against those threats.In addition,the research of Machine Learning(ML)and Deep Learning(DL)in IDS has gained effective results and significant attention.However,one of the challenges when applying ML and DL techniques in intrusion detection is the identification of unknown attacks.These attacks,which are not encountered during the system’s training,can lead to misclassification with significant errors.In this research,we focused on addressing the issue of Unknown Attack Detection,combining two methods:Spatial Location Constraint Prototype Loss(SLCPL)and Fuzzy C-Means(FCM).With the proposed method,we achieved promising results compared to traditional methods.The proposed method demonstrates a very high accuracy of up to 99.8%with a low false positive rate for known attacks on the Intrusion Detection Evaluation Dataset(CICIDS2017)dataset.Particularly,the accuracy is also very high,reaching 99.7%,and the precision goes up to 99.9%for unknown DDoS attacks on the DDoS Evaluation Dataset(CICDDoS2019)dataset.The success of the proposed method is due to the combination of SLCPL,an advanced Open-Set Recognition(OSR)technique,and FCM,a traditional yet highly applicable clustering technique.This has yielded a novel method in the field of unknown attack detection.This further expands the trend of applying DL and ML techniques in the development of intrusion detection systems and cybersecurity.Finally,implementing the proposed method in real-world systems can enhance the security capabilities against increasingly complex threats on computer networks. 展开更多
关键词 CYBERSECURITY DDoS unknown attack detection machine learning deep learning incremental learning convolutional neural networks(CNN) open-set recognition(OSR) spatial location constraint prototype loss fuzzy c-means CICIDS2017 CICDDoS2019
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肺小结节术前CT引导下Hook-wire定位的临床应用 被引量:24
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作者 闾夏轶 杨运海 +1 位作者 胡坚 倪一鸣 《中国肺癌杂志》 CAS 2011年第5期418-420,共3页
背景与目的胸腔镜术中对于直径<1cm的肺小结节较难准确定位。数年前即有学者开始尝试使用各种方法进行术前的肺小结节定位。本文从适应症、结果、并发症三个方面回顾性分析了胸腔镜术前CT引导下Hook-wire定位的临床应用价值。方法 2... 背景与目的胸腔镜术中对于直径<1cm的肺小结节较难准确定位。数年前即有学者开始尝试使用各种方法进行术前的肺小结节定位。本文从适应症、结果、并发症三个方面回顾性分析了胸腔镜术前CT引导下Hook-wire定位的临床应用价值。方法 2010年1月-2010年4月,20例患者于胸腔镜术前接受了CT引导下肺小结节Hook-wire定位。小结节直径从0.5cm-2cm(平均9.8cm±5.3cm)。评价指标包括定位成功率,定位相关并发症,中转开胸比率等。结果 20例患者中18例定位成功,CT定位花费时间平均为14.5min,全组无严重并发症发生。结论胸腔镜术前CT引导下肺小结节Hook-wire定位有一定的临床应用价值,可帮助术中精确定位肺小结节位置,并且并发症发生率较低。 展开更多
关键词 CT引导 hook-wire 肺结节
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CT引导下Hook-wire精确定位并微创切除肺结节 被引量:33
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作者 王通 马少华 +4 位作者 闫天生 宋金涛 王可毅 贺未 白洁 《中国肺癌杂志》 CAS CSCD 北大核心 2015年第11期680-685,共6页
背景与目的肺小结节尤其是磨玻璃结节(ground glass opacity,GGO)病灶的定位是微创手术切除的难点,报道的方法很多但均有不足。本研究旨在探讨计算机断层扫描(computed tomography,CT)引导下Hook-wire术前定位在胸腔镜下(video-assisted... 背景与目的肺小结节尤其是磨玻璃结节(ground glass opacity,GGO)病灶的定位是微创手术切除的难点,报道的方法很多但均有不足。本研究旨在探讨计算机断层扫描(computed tomography,CT)引导下Hook-wire术前定位在胸腔镜下(video-assisted thoracoscopic surgery,VATS)肺结节切除术中的临床应用价值,并初步探讨GGOs积极微创手术治疗的必要性和可行性。方法 2013年5月-2015年6月共25例患者的26枚肺结节于术前行CT引导下Hookwire定位,然后施行胸腔镜楔形切除术。统计Hook-wire定位时间、成功率、并发症及楔形切除时间、住院时间等,计算病灶组织学分型中的恶性几率,讨论肺部GGOs积极手术治疗的必要性。结果共25例患者26个结节(男性10例,女性15例,6个实性结节,20个GGOs),病灶直径5 mm-20 mm(平均8 mm),病灶距离胸膜垂直距离5 mm-30mm(平均14 mm),CT引导下Hook-wire定位成功率为100%。VATS楔形切除术成功率为100%。CT定位时间平均10min(5 min-15 min),微创切除病灶所需时间平均20 min(15 min-40 min),平均住院时间为4 d(3 d-6 d)。4例患者定位后发生微量气胸,但无需闭式引流处理。术中定位针脱落1例,但仍于胸腔镜下观察到穿刺点脏层胸膜下血肿后,准确定位并成功切除。20个GGOs术后组织学诊断结果为:16个混合性GGOs(mixed GGO,m GGO)中,微浸润腺癌2例,腺癌5例,小细胞肺癌(small cell lung cancer,SCLC)1例,炎性病灶8例;4个纯GGOs(pure GGO,p GGO)中原位腺癌1例,非典型性腺瘤样增生(atypical adenomatoid hyperplasia,AAH)1例,炎性病灶2例。结论 CT引导下Hook-wire肺结节尤其是GGOs术前定位准确率高,相关并发症轻微,是一种安全、有效的方法,能快速确定下一步诊疗方案,值得临床推广;肺部m GGOs是恶性病灶的几率很大,积极微创手术治疗是非常必要的。 展开更多
关键词 肺磨玻璃样结节 电视胸腔镜手术 CT引导下hook-wire定位
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CT引导下Hook-wire定位肺磨玻璃样微小结节微创切除的临床研究 被引量:18
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作者 初向阳 侯晓彬 +6 位作者 张连斌 薛志强 任志鹏 温佳新 刘毅 马克峰 孙玉鹗 《中国肺癌杂志》 CAS 北大核心 2014年第12期845-849,共5页
背景与目的肺磨玻璃样微小结节(ground glass opacity,GGO)病灶的定位是微创手术切除的技术难点。各种定位方法均有报道,但每一种方法均有其不足。本研究拟通过评价术中CT引导下Hook-wire定位对GGO微创切除的价值,初步探索肺部<10 mm... 背景与目的肺磨玻璃样微小结节(ground glass opacity,GGO)病灶的定位是微创手术切除的技术难点。各种定位方法均有报道,但每一种方法均有其不足。本研究拟通过评价术中CT引导下Hook-wire定位对GGO微创切除的价值,初步探索肺部<10 mm的GGO积极手术治疗的必要性和可行性。方法 2009年10月-2013年10月共32例GGO患者,41个GGO,行胸腔镜微创切除术,麻醉插管后皆在手术体位下行计算机断层扫描(computed tomography,CT)CT引导Hook-wire定位。记录术中CT引导下Hook-wire定位技术的失败率、并发症、胸腔镜手术转为开胸手术的几率、住院时间等,计算病灶组织学分型中的恶性几率,讨论肺部<10 mm的GGO积极手术治疗的必要性。结果共32例患者(男性15例,女性17例)行41个GGO胸腔镜微创切除术,其中2个病灶、3个病灶和5个病灶同时微创切除患者数量分别是3例、1例、1例。病灶直径2 mm-10 mm(平均5 mm),病灶距离胸膜垂直距离5 mm-24 mm(平均12.5 mm)。术中CT引导下Hook-wire定位成功率100%,严重并发症发生率0,转化为开胸手术比率为0,CT定位时间平均8.4 min(4 min-18 min),微创切除病灶所需时间平均32 min(14 min-98 min),中位住院时间为8 d(5 d-14 d)。GGOs术后组织学诊断结果为:原位腺癌(肺泡癌)19例,约46.3%,腺癌8例,约19.5%,大细胞癌1例,约2.4%,不典型腺瘤样增生9例,约22%,炎性病灶4例,约9.8%。结论肺部GGO是恶性病灶的几率很大,对典型GGO患者积极微创手术治疗是非常必要的;术中CT引导下Hook-wire定位技术极大提高GGO微创切除可行性、并发症发生率低,对于GGO的鉴别诊断及治疗具有很好的临床价值。 展开更多
关键词 肺磨玻璃样结节 CT引导下hook-wire定位 微创切除
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同步法Hook-wire多针定位在多发肺结节胸腔镜切除术中的应用 被引量:14
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作者 李明明 李智 +3 位作者 沈健 毛国才 张帅 倪才方 《介入放射学杂志》 CSCD 北大核心 2020年第11期1136-1139,共4页
目的探讨运用Hook-wire多针同步穿刺同侧肺多发结节进行电视胸腔镜手术(videoassisted thoracic surgery,VATS)前定位的安全性和可行性。方法回顾性分析2016年4月至2020年6月使用同步法Hook-wire多针穿刺进行胸腔镜术前定位的52例同侧... 目的探讨运用Hook-wire多针同步穿刺同侧肺多发结节进行电视胸腔镜手术(videoassisted thoracic surgery,VATS)前定位的安全性和可行性。方法回顾性分析2016年4月至2020年6月使用同步法Hook-wire多针穿刺进行胸腔镜术前定位的52例同侧肺多发性结节患者资料。记录定位成功率、定位时间、CT扫描次数及手术完整切除率,评估定位方法的可行性;记录气胸、肺内出血等穿刺相关并发症发生率,评估定位方法安全性。结果 52例患者共定位105枚结节,定位成功率100%,平均定位用时(9.98±1.02) min,CT扫描次数(3.17±0.38)次。VATS术中验证无定位针脱钩发生,病灶完整切除率100%。定位后气胸发生率30.8%(16/52例),均为无症状少量气胸,肺内出血发生率9.5%(10/105枚),均为无症状肺内少量出血。结论同步法Hook-wire多针定位同侧肺多发结节,避免了穿刺过程中气胸对结节精准定位的干扰,定位成功率高,安全可行。 展开更多
关键词 hook-wire 肺多发结节 术前定位 胸腔镜手术
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