Defining the association between the prolonged operative time and 90-day complications in patients undergoing radical cystectomy

Objective:Radical cystectomy is a complex lengthy procedure associated with postoperative morbidity.We aimed to assess the operative time(OT)in patients undergoing radical cystectomy and its impact on 90-day postoperative complications and readmission rates.Methods:The retrospective cohort study included 296 patients undergoing radical cystectomy and urinary diversion from May 2010 to December 2018 in our institution.The OT of 369 min was set as a cutoff value between short and long OT groups.The primary outcome was 90-day postoperative complication rates.Secondary outcomes were gastrointestinal recovery time,length of hospital stay,and 90-day readmission rates.Results:The overall incidence of 90-day postoperative complications was 79.7%where 43.2%representing low-grade complications according to the ClavieneDindo classification(Grade 1 and Grade 2),and 36.5%representing high-grade complications(Grade3).Gastrointestinal tract and infectious complications are the most common complications in our data set(45.9%and 45.6%,respectively).On multivariable analysis,prolonged OT was significantly associated with odds of high-grade complications(odds ratio 2.340,95%confidence interval 1.288e4.250,p=0.005).After propensity score-matched analysis,a higher incidence of major complications was identified in the long OT group 55(51.4%)compared to 35(32.7%)in the short OT group(p=0.006).A shorter gastrointestinal tract recovery time was noticed in the short OT group(p=0.009).Prolonged OT was associated with a higher 90-day readmission rate on univariate and multivariate analyses(p<0.001,p=0.001,respectively).

Multi-Time Scale Operation and Simulation Strategy of the Park Based on Model Predictive Control

Due to the impact of source-load prediction power errors and uncertainties,the actual operation of the park will have a wide range of fluctuations compared with the expected state,resulting in its inability to achieve the expected economy.This paper constructs an operating simulation model of the park power grid operation considering demand response and proposes a multi-time scale operating simulation method that combines day-ahead optimization and model predictive control(MPC).In the day-ahead stage,an operating simulation plan that comprehensively considers the user’s side comfort and operating costs is proposed with a long-term time scale of 15 min.In order to cope with power fluctuations of photovoltaic,wind turbine and conventional load,MPC is used to track and roll correct the day-ahead operating simulation plan in the intra-day stage to meet the actual operating operation status of the park.Finally,the validity and economy of the operating simulation strategy are verified through the analysis of arithmetic examples.

Vehicle Operating, Accident and User Time Costs in Pavement Management Systems： Approach for Portuguese Conditions

This paper presents a description and analysis of the most important models to predict each of the Road User Costs components （Vehicle Operating Costs, Accident Costs and Value of Time） and proposes a model for estimating RUC components suitable for the Portuguese road network. These results are part of a research which aimed to obtain a Road User Cost Model to be used as a tool in road management systems. This model is different from other models by the fact that it includes a simple formulation that allows calibration and calculation of cost parameters, for any year, in a simple and fast way, providing trustworthy results. The required data is already available in Portuguese institutions, allowing periodic revision of cost parameters to insure accuracy.

The Design of I/O Subsystem in Satellite Real-Time Microkernel Operating System

One of the most important features of modern minor satellites is to realize autonomous moving. The performance of the satellite autonomous computer operating system acting as the control center is utmost important. The recent trend in operating system development is adopting microkernel architecture which holds such advantages as microminiaturization, modularity, portability and extendibility. The performance of I/O subsystem is currently receiving considerable research attention. Object-orientation offers an approach to application development in which software system can be constructed by composing and refining the pre-designed plug-compatible software components.It also starts with some basic notions fairly well accepted in computer science, namely encapsulation and reuse. In this paper, a new object-oriented real-time I/O subsystem model has been designed.In this model, the traditional I/O subsystem framework is discarded and a stream mechanism based on the object-oriented concept is introduced. In addition, the I/O requests are classified according to their time emergency to obtain real-time performance. So, this model meets such satelliteperformance requirements as reliability, flexibility, portability and real-time performance.

A Smart Phone-oriented Embedded Real-time Operating System

This article presents an embedded Smart Phone Operating System (SPOS) independently designed by ZTE Corporation. The SPOS is based on single kernel architecture with its multi-task real-time kernel supporting hardware platforms and resources of mainstream mobile phones. It has remarkable advantages such as highly efficient and dynamic power management, priority - based preemptive scheduling, fast startup, a variety of drivers, and excellent system stability and operability. For the development of upper layer communication protocols and application software, the SPOS provides wireless communication interfaces and the application program framework.

Real-time Operating System of a CNC Machine Tool

This paper discusses the real-time operating system (RTOS) of a computer numericalcontrol machine tool. It includes the characteristic, structure, function sub-routines, managementand communication.There are mainly two structures of CNC' RTOS. They are foreground-background type andinterrupt type. In this paper we discuss mainly the method of job management, andcommunicaton of the two types.

Digital arc welding power supply based on real-time operating system

A digital arc welding power supply was designed with the advanced reduced instruction set computer machine （ARM） and embedded real-time multi-task operating system micro C/OS- Ⅱ. The ARM, with its powerful calculating speed and complete peripheral equipments, is very suitable to work as the controller of the digital power supply. The micro C/OS- Ⅱ transplanted in ARM, helps to improve the respondent speed against various welding signals, as well as the reliability of the controlling software. The welding process consists of nine tasks. The tasks of great significance on reliability of the welder, for example, the A/D conversion of current and voltage, enjoy top priority. To avoid simultaneous-sharing on A/D converter and LCD module, two semaphores are introduced in to ensure the smooth performance of the welding power supply. Proven by experiments ,the ARM and the micro C/OS- Ⅱ can greatly improve both the respondent speed and the reliability of the digital welder.

Getting pre-stack time migration travel times from the single square root operator

Improving the focusing capability of pre-stack time migration allows the imaged section to reflect structural characteristics, depth, and interface shape and it is a key step for the preparation of the initial depth migration velocity model. The traditional symmetrical travel time equation is derived based on the assumption of a layered model. It is difficult to achieve the desired effect of focusing in media with strong lateral variation. The nonsymmetrical travel time equation based on Lie algebra and a pseudo-differential operator contains a lateral velocity derivative which can improve the focusing capability even in strongly lateral variable media and also the computation precision of the weight coefficients for relative amplitude preservation. Compared with the symmetrical methods, the nonsymmetrical method is more effective. In this paper, we describe several key steps of nonsymmetric pre-stack travel time calculation and present some test results using synthetic and real data.

Associate factors for endoscopic submucosal dissection operation time and postoperative delayed hemorrhage of early gastric cancer

BACKGROUND Endoscopic submucosal dissection(ESD)is a treatment for early gastric cancer with the advantages of small invasion,fewer complications,and a low local recurrence rate.However,there is a high risk of complications such as bleeding and perforation,and the operation time is also longer.ESD operation time is closely related to bleeding and perforation.AIM To investigate the influencing factors associated with ESD operation time and postoperative delayed hemorrhage to provide a reference for early planning,early identification,and prevention of complications.METHODS We conducted a retrospective study based on the clinical data of 520 patients with early gastric cancer in the Second Affiliated Hospital of Hainan Medical University from January 2019 to December 2021.The baseline data,clinical features,and endoscopic and pathological characteristics of patients were collected.The multivariate linear regression model was used to investigate the influencing factors of ESD operation time.Logistic regression analysis was carried out to evaluate the influencing factors of postoperative delayed hemorrhage.RESULTS The multivariate analysis of ESD operation time showed that the maximum lesion diameter could affect 8.815%of ESD operation time when other influencing factors remained unchanged.The operation time increased by 3.766%or 10.247%if the lesion was mixed or concave.The operation time increased by 4.417%if combined with an ulcer or scar.The operation time increased by 3.692%if combined with perforation.If infiltrated into the submucosa,it increased by 2.536%.Multivariate analysis of delayed hemorrhage after ESD showed that the maximum diameter of the lesion,lesion morphology,and ESD operation time were independent influencing factors for delayed hemorrhage after ESD.Patients with lesion≥3.0 cm(OR=3.785,95%CI:1.165-4.277),lesion morphology-concave(OR=10.985,95%CI:2.133-35.381),and ESD operation time≥60 min(OR=2.958,95%CI:1.117-3.526)were prone to delayed hemorrhage after ESD.CONCLUSION If the maximum diameter of the lesion in patients with early gastric cancer is≥3.0 cm,and the shape of the lesion is concave,or accompanied by an ulcer or scar,combined with perforation,and infiltrates into the submucosa,the ESD operation will take a longer time.When the maximum diameter of the lesion is≥3.0 cm,the shape of the lesion is concave in patients and the operation time of ESD takes longer time,the risk of delayed hemorrhage after ESD is higher.

Exploring ideal operative time for best outcomes in gastric cancer surgery:A multi-institutional study based on KLASS-07 database

Objective:While a rushed operation can omit essential procedures,prolonged operative time results in higher morbidity.Nevertheless,the optimal operative time range remains uncertain.This study aimed to estimate the ideal operative time range and evaluate its applicability in laparoscopic cancer surgery.Methods:A prospectively collected multicenter database of 397 patients who underwent laparoscopic distal gastrectomy were retrospectively reviewed.The ideal operative time range was statistically calculated by separately analyzing the operative time of uneventful surgeries.Finally,intraoperative and postoperative outcomes were compared among the shorter,ideal,and longer operative time groups.Results:The statistically calculated ideal operative time was 135.4-165.4 min.The longer operative time(LOT)group had a lower rate of uneventful,perfect surgery than the ideal or shorter operative time(IOT/SOT)group(2.8%vs.8.8%and 2.2%vs.13.4%,all P<0.05).Longer operative time increased bleeding,postoperative morbidities,and delayed diet and discharge(all P<0.05).Particularly,an uneventful,perfect surgery could not be achieved when the operative time exceeded 240 min.Regardless of ideal time range,SOT group achieved the highest percentage of uneventful surgery(13.4%),which was possible by surgeon's ability to retrieve a higher number of lymph nodes and perform≥150 gastrectomies annually.Conclusions:Operative time longer than the ideal time range(especially≥240 min)should be avoided.If the essential operative procedure were faithfully conducted without compromising oncological safety,an operative time shorter than the ideal range leaded to a better prognosis.Efforts to minimize operative time should be attempted with sufficient surgical experience.

Combined hybrid energy storage system and transmission grid model for peak shaving based on time series operation simulation

This study proposes a combined hybrid energy storage system(HESS) and transmission grid(TG) model, and a corresponding time series operation simulation(TSOS) model is established to relieve the peak-shaving pressure of power systems under the integration of renewable energy. First, a linear model for the optimal operation of the HESS is established, which considers the different power-efficiency characteristics of the pumped storage system, electrochemical storage system, and a new type of liquid compressed air energy storage. Second, a TSOS simulation model for peak shaving is built to maximize the power entering the grid from the wind farms and HESS. Based on the proposed model, this study considers the transmission capacity of a TG. By adding the power-flow constraints of the TG, a TSOS-based HESS and TG combination model for peak shaving is established. Finally, the improved IEEE-39 and IEEE-118 bus systems were considered as examples to verify the effectiveness and feasibility of the proposed model.

Statistical Properties and Confidence Limits about the Mean Time between the Failures (MTBF) in Failure-free Period Life Test (FFPLT)

On the basis of strict mathematical description about Failure_Free Period Life Test (FFPLT), the statistical properties of the tests and optimal confidence limit of the parameter are discussed in detail and corresponding calculating formulae are found out.

Design and operation strategies of the system for destroying time-sensitive target based on system effectiveness

To improve the effect of destroying time-sensitive target （TST）, a method of operational effectiveness evaluation is presented and some influential factors are analyzed based on the combat flow of system for destroying TST. Considering the possible operation modes of the system, a waved operation mode and a continuous operation mode are put forward at first. At the same time, some relative formulas are modified. In examples, the influential factors and operation modes are analyzed based on the system effectiveness. From simulation results, some design and operation strategies of the system for destroying time sensitive targets are concluded, which benefit to the improvement of the system effectiveness.

Time and Energy Operators in Quantum Mechanics

Starting from a time operator, the form of the so called energy operator that is conjugate to the time operator is derived in time representation by analyzing the properties of time translation. This analysis also establishes the commutator between the time and the energy operators. It is seen from the analysis that the energy operator has nothing to do conceptually with the Hamiltonian operator of a system, so that the time operator is not conjugate to the Hamiltonian. Furthermore, it is shown that the Hermiticity of the energy operator requires introducing time integrate inner product. The time energy commutator and the time integral inner product put the time energy uncertainty relation on the same footing as the position momentum uncertainty relation.

Estimation of Standard Operation Time of Flight Legs Based on Clustering and Probability Analysis

A clustering algorithm and a probability statistics method were applied to different phases of a flight to analyze operation time during aircraft ground taxiing and airborne flight.And the clustering pattern,distribution characteristics and dynamically changing rules of the two phases were identified.Further,an estimate method was established to measure operation time of flight legs,with creative steps of calculating individual segment separately and then integrating them accordingly.The method can both objectively and dynamically measure operation time,and accurately reflect real situation.It helps to better utilize airport slot resources and provides a strong support for air traffic flow management when scheduling flight plan in strategic and pre-tactic phases.

Novel Doppler Frequency Extraction Method Based on Time-Frequency Analysis and Morphological Operation

A novel method of Doppler frequency extraction is proposed for Doppler radar scoring systems. The idea is that the time-frequency map can show how the Doppler frequency varies along the time-line, so the Doppler frequency extraction becomes curve detection in the image-view. A set of morphological operations are used to implement curve detection. And a map fusion scheme is presented to eliminate the influence of strong direct current （DC） component of echo signal during curve detection. The radar real-life data are used to illustrate the performance of the new approach. Experimental results show that the proposed method can overcome the shortcomings of piecewise-processing-based FFT method and can improve the measuring precision of miss distance.

Improving entanglement of assistance by local parity–time symmetric operation

We investigate entanglement of assistance without and with decoherence using a local non-Hermitian operation, i.e.,parity–time(PT) symmetric operation. First we give the explicit expressions of entanglement of assistance for a general W-like state of a three-qubit system under a local parity–time symmetric operation. Then for a famous W state without decoherence, we find that entanglement of assistance shared by two parties can be obviously enhanced with the assistance of the third party by a local parity–time symmetric operation. For the decoherence case, we provide two schemes to show the effects of local parity–time symmetric operation on improvement of entanglement of assistance against amplitude damping noise. We find that for the larger amplitude damping case the scheme of PT symmetric operation performed on one of two parties with the influence of noise is superior to that of PT symmetric operation performed on the third party without the influence of noise in suppressing amplitude damping noise. However, for the smaller amplitude damping case the opposite result is given. The obtained results imply that the local PT symmetric operation method may have potential applications in quantum decoherence control.

Exponential Dichotomies and Fredholm Operators of Dynamic Equations on Time Scales

For time-varying non-regressive linear dynamic equations on a time scale with bounded graininess, we introduce the concept of the associative operator with linear systems on time scales. The purpose of this research is the characterizations of the exponential dichotomy obtained in terms of Fredholm property of that associative operator. Particularly, we use Perron’s method, which was generalized on time scales by J. Zhang, M. Fan, H. Zhu in?[1], to show that if the associative operator is semi-Fredholm then the corresponding linear nonautonomous equation has an exponential dichotomy on both?T?+?and?T-.??Moreover, we also give the converse result that the linear systems have?an exponential dichotomy on both?T?+?andT-??then the associative operator is Fredholm on?T.

The effect of weeding frequency and schedule on weeding operation time: a simulation study on a sugi (Cryptomeria japonica) plantation in Japan

This study quantified the effect of weeding frequency and weeding schedules on weeding operation time in a sugi(Cryptomeria japonica)plantation stand.A weeding operation time estimation model was developed;then the cumulative weeding operation time after six growing seasons was simulated using the developed model.The developed model included weed height,relative height of weeds to sugi,and initial planting density.The simulated cumulative weeding operation time decreased approximately 6%for each one-treatment decrease in weeding frequency.Under a three-treatment weeding frequency scenario,the simulated cumulative operation time when weeding was conducted during non-consecutive years was longer than that when weeding was conducted during three consecutive years.The results suggest that carrying out weeding treatment during consecutive years is the more effective for reduction of weeding costs.We conclude that weeding schedule as well as weeding frequency must be considered for reduction of weeding operation time.