Estimation of Physiologic Ability and Surgical Stress scoring system for predicting complications following abdominal surgery: A metaanalysis spanning 2004 to 2022

BACKGROUND Postoperative complications remain a paramount concern for surgeons and healthcare practitioners.AIM To present a comprehensive analysis of the Estimation of Physiologic Ability and Surgical Stress(E-PASS)scoring system’s efficacy in predicting postoperative complications following abdominal surgery.METHODS A systematic search of published studies was conducted,yielding 17 studies with pertinent data.Parameters such as preoperative risk score(PRS),surgical stress score(SSS),comprehensive risk score(CRS),postoperative complications,post-operative mortality,and other clinical data were collected for meta-analysis.Forest plots were employed for continuous and binary variables,withχ2 tests assessing heterogeneity(P value).RESULTS Patients experiencing complications after abdominal surgery exhibited significantly higher E-PASS scores compared to those without complications[mean difference and 95%confidence interval(CI)of PRS:0.10(0.05-0.15);SSS:0.04(0.001-0.08);CRS:0.19(0.07-0.31)].Following the exclusion of low-quality studies,results remained valid with no discernible heterogeneity.Subgroup analysis indicated that variations in sample size and age may contribute to hetero-geneity in CRS analysis.Binary variable meta-analysis demonstrated a correlation between high CRS and increased postoperative complication rates[odds ratio(OR)(95%CI):3.01(1.83-4.95)],with a significant association observed between high CRS and postoperative mortality[OR(95%CI):15.49(3.75-64.01)].CONCLUSION In summary,postoperative complications in abdominal surgery,as assessed by the E-PASS scoring system,are consistently linked to elevated PRS,SSS,and CRS scores.High CRS scores emerge as risk factors for heightened morbidity and mortality.This study establishes the accuracy of the E-PASS scoring system in predicting postoperative morbidity and mortality in abdominal surgery,underscoring its potential for widespread adoption in effective risk assessment.

Correlation of Cooperatively Localized Rearrangement on the ＂Fluidized Domain＂ of Polymers to Their Nonexponentially Viscoelastic Behavior and Lifetime at Double Aging Processes II： Estimation of Long-term Mechanical Behavior and Lifetime of Polymeric Materials from Short-time Creep and Stress Relaxation Tests

Three kinds of polymeric materials are taken as example for the verification of linear ex-trapolation method from unified master lines with reduced universal equations on creep and stress relaxation tests. The theoretical values of long-term mechanical behavior and lifetime for a cured epoxide, polypropylene, poly（methyl-methacrylate）, and SBR rubber are directly evaluated with the universal equations on reduced creep compliance and reduced stress relax-ation modulus and are compared with their predicted values by the linear extrapolation from the unified master lines of creep and stress relaxation. The results show that the theoretical values of dimensional stability, bearing ability and lifetime are in an excellent agreement with the predicted values, it shows that the linear extrapolation method is more simple and reliable. The dependences of long-term mechanical behaviors and lifetime on the different aging times are discussed.

A FULLY DISCRETE IMPLICIT-EXPLICIT FINITE ELEMENT METHOD FOR SOLVING THE FITZHUGH-NAGUMO MODEL

This work develops a fully discrete implicit-explicit finite element scheme for a parabolicordinary system with a nonlinear reaction term which is known as the FitzHugh-Nagumo model from physiology.The first-order backward Euler discretization for the time derivative,and an implicit-explicit discretization for the nonlinear reaction term are employed for the model,with a simple linearization technique used to make the process of solving equations more efficient.The stability and convergence of the fully discrete implicit-explicit finite element method are proved,which shows that the FitzHugh-Nagumo model is accurately solved and the trajectory of potential transmission is obtained.The numerical results are also reported to verify the convergence results and the st ability of the proposed method.