High complex anal fistula managed by the modified transanal opening of the intersphincteric space via the inter-sphincteric approach:A case report

BACKGROUND High complex anal fistulas are epithelialized tunnels,with the main fistula piercing above the deep external sphincter and the internal opening approaching the dentate line.Conventional surgical procedures for high complex anal fistulas remove most of the external sphincter and damage the anorectal ring.Postoperative loss of anal function can cause physical and mental damage.Transanal opening of the intersphincteric space(TROPIS)is an effective procedure that completely preserves the external anal sphincter.However,its clinical application is limited by challenges in the localization of the internal opening of a fistula and the high risk of complications.On the basis of our clinical experience,we modified the TROPIS procedure for the treatment of treating high complex anal fistulas.CASE SUMMARY A patient with a high complex anal fistula located above the anorectal ring underwent modified TROPIS,which involved sepsis drainage and identification of the internal opening in the intersphincteric space.The patient with the high complex anal fistula recovered well postoperatively,without any postoperative complications or anal dysfunction.Anal function returned to normal after 17 months of follow-up.CONCLUSION The modified TROPIS procedure is the most minimally invasive surgery for anal fistulas that minimally impairs anal function.It allows the complete removal of infected anal glands and reduces the risk of postoperative complications.Modified TROPIS via the intersphincteric approach is an alternative sphincter-preserving treatment for high complex anal fistulas.

Interest Coordination Mechanism of Green Open Space Development in International Metropolises:Experience from New York City

The development of green open spaces is the key component for cities built for the people and a major initiative to enhance the core competitiveness of Chinese cities.This paper summarizes the research on green open spaces in international metropolitan cities,focusing on public participation,funding mix,and governmental actions.It focuses on the alignment of interests between public,private,and community sectors in New York City's green open space development in a series of case studies.It draws lessons from New York's experience and applies them to Chinese cities and proposes that:private non-government organizations should be introduced to improve the mechanism of major development and governance;real estate development incentives should be optimized to guide the private capital to provide public welfare;and policy innovation in land and property development is imperative in fiscal health and sustainability.

Damage of multi-layer spaced metallic target plates impacted by radial layered PELE

Three different kinds of PELE(the penetrator with lateral efficiency) were launched by ballistic artillery to impact the multi-layer spaced metal target plates.The lmpact velocities of the projectiles were measured by the velocity measuring system.The damage degree and process of each laye r of target plate impacted by the three kinds of projectiles were analyzed.The experimental results show that all the three kinds of projectiles have the effect of expanding holes on the multi-layer spaced metal target plates.For the normal structure PELE(without layered) with tungsten alloy jacket and the radial layered PELE with tungsten alloy jacket,the diameters of holes on the seco nd layer of plates are 3.36 times and 3.76 times of the diameter of the projectile,re spectively.For radial layered PELE with W/Zr-based amorphous composite jacket,due to the large number of tungsten wires dispersed after the impact,the diameter of the holes on the four-layer spaced plates can reach 2.4 times,3.04 times,5.36 times and 2.68 times of the diameter of the projectile.Besides,the normal structure PELE with tungsten alloy jacket and the radial layered PELE whit tungsten alloy jacket formed a large number of fragments impact marks on the third target plate.Although the number of fragments penetrating the third target plate is not as large as that of the normal structure PELE,the area of dispersion of fragments impact craters on the third target plate is larger by the radial layered PELE.The radial layered PELE with W/Zr-based amorphous composite jacket released a lot of heat energy due to the impact of the matrix material,and formed a large area of ablation marks on the last three target plates.

LSTM-based lane change prediction using Waymo open motion dataset: The role of vehicle operating space

Lane change prediction is critical for crash avoidance but challenging as it requires the understanding of the instantaneous driving environment.With cutting-edge artificial intelligence and sensing technologies,autonomous vehicles(AVs)are expected to have exceptional perception systems to capture instantaneously their driving environments for predicting lane changes.By exploring the Waymo open motion dataset,this study proposes a framework to explore autonomous driving data and investigate lane change behaviors.In the framework,this study develops a Long Short-Term Memory(LSTM)model to predict lane changing behaviors.The concept of Vehicle Operating Space(VOS)is introduced to quantify a vehicle's instantaneous driving environment as an important indicator used to predict vehicle lane changes.To examine the robustness of the model,a series of sensitivity analysis are conducted by varying the feature selection,prediction horizon,and training data balancing ratios.The test results show that including VOS into modeling can speed up the loss decay in the training process and lead to higher accuracy and recall for predicting lane-change behaviors.This study offers an example along with a methodological framework for transportation researchers to use emerging autonomous driving data to investigate driving behaviors and traffic environments.

On Fuzzy Regularly Closed Filters in Michálek Fuzzy Topological Space

C.L. Chang’s introduction of fuzzy topology in 1981 opened up new avenues for parallel theories in topology. However, Chang’s work appears to focus more on the topology of fuzzy sets rather than fuzzy topology itself. In 1975, Michálek presented a functional definition of ordinary topology and later developed fuzzy topology as a distinct extension of this idea, setting it apart from Chang’s approach. While there has been significant research on Chang’s fuzzy topology, Michálek’s version has not received as much attention. This paper introduces the concept of fuzzy regularly closed filters, or FRCM filters, within Michálek’s fuzzy topological space and explores some properties of FRCM ultrafilters.

基于CiteSpace知识图谱的近20年城市开放空间研究

在城市土地存量化利用背景下,如何盘活碎片化城市开放空间、营造高质量城市开放空间体系成为人居环境学科面临的困境。本文利用CiteSpace软件对城市开放空间近20年的文献进行图示化分析,整合不同视角的开放空间研究,总结开放空间研究现状与研究前沿。同时,从量化分析模型角度归纳总结基于不同角度开放空间量化评价方法。通过对开放空间理论研究与量化方法研究总结,探索开放空间研究的总体趋势与发展方向,为城市更新新阶段开放空间规划设计提供研究思路。

Open Space Planning and Design for the Old Campus of Southeast University

Open space is an important part of the campus landscape,and it is the material carrier which can implement the education idea of school.Through the transformation of the campus environment of Southeast University,the study analyzes of the concept and attributes of open space on campus,as well as the actual problems which should be noticed.

Open Space Ratio的译名、概念辨析与适用价值

Open Space Ratio(OSR)是《1961纽约市区划决议案》中居住环境控制的核心概念与重要指标,自1990年代始国内的许多学者引进这个概念,并倡导作为规划控制指标,因此也催生了中文术语"空地率"。本文系统梳理国内有关"OSR"和"空地率"研究的30余年学术文献,基于《1961纽约市区划决议案》的法律文本,对OSR的译名及其概念作出全面的阐释,澄清了OSR指标的意义、应用目的及其范围,辨析了OSR与中文术语"空地率"本质性的概念差异,建议将OSR指标引入控制性详细规划的居住环境控制,调整和完善我国控制性详细规划的指标控制体系。

Comparison between recent sphincter-sparing procedures for complex anal fistulas-ligation of intersphincteric tract vs transanal opening of intersphincteric space

Complex anal fistulas are difficult to treat.The main reasons for this are a higher recurrence rate and the risk of disrupting the continence mechanism because of sphincter involvement.Due to this,several sphincter-sparing procedures have been developed in the last two decades.Though moderately successful in simple fistulas(50%-75%healing rate),the healing rates in complex fistulas for most of these procedures has been dismal.Only two procedures,ligation of intersphincteric fistula tract and transanal opening of intersphincteric space have been shown to have good success rates in complex fistulas(60%-95%).Both of these procedures preserve continence while achieving high success rates.In this opinion review,I shall outline the history,compare the pros and cons,indications and contraindications and future application of both these procedures for the management of complex anal fistulas.

An Urban Open Space Extraction Method: Combining Spectral and Geometric Characteristics

This paper introduces an advanced method based on remote sensing and Geographic Information System for urban open space extraction combining spectral and geometric characteristics. From both semantic and remote sensing perspectives, a hybrid hierarchy structure and class organization of open space are issues and mapped from one to another. Based on per-pixel and segmentation mechanism separately, two classification approaches are performed. Owing to prior of spatial aggregation and spectral contribution, the segmentation-based classification exhibits its superiority over a pixel-based classification. Finally a GIS-based post procedure is hired to eliminate some unsuitable open space components in both spatial and numerical constraints on the one hand, and separate open space some fabrics from fused remote sensing classes by defining their Shape Index on the other hand. The case study of Beer Sheva based on ASTER data proves this method is a feasible way for open space extraction.

Commodification of Traditional Open Spaces as a Commodity and the Consequent Damage of Environmental Ethics (Case Study in Ubud Village Bali Indonesia)

This paper aims to examine the phenomenon of commodification of traditional open space into commodities which results in the destruction of environmental ethics. Environmental ethics places restrictions on freedom in exercising ownership rights and pays more attention to ethical obligations to the environment. The anthropocentric approach should be avoided because it only sees the environment from its commercial angles to satisfy human interests. This research critically describes the reality of the utilization of traditional open spaces in Ubud to become an economic space. The rapid influence of global culture has implications for the practices of capitalist culture within the frame of the tourism industry, resulting in cultural industries, popular culture, hedonic lifestyles and consumerism. This study used a qualitative method. The data was obtained through observation, interviews, literature studies, and documents. The results of the study revealed how traditional open spaces were produced, distributed and consumed by the market. Traditional open spaces were commercialized, traded like goods and services. Traditional open spaces, such as paddy fields, cliffs, telajakan (front part of the house complex), city parks, domestic properties, backyards, cemeteries have been turned into economic spaces to satisfy the taste of tourists. Space is controlled and commodified by capital owners to feed their economic libido while disobeying environmental ethics.

Research on Age-friendly Open Spaces Design in Residential Areas of Small Towns

Taking the accelerating aging and newly promoted urbanization as backdrops, this paper, on one side, analyzed the demands for parks, squares, fi tness facilities, chairs, etc. of elders in small towns from perspectives of unique physical, psychological and social features of elders. On the other side, it also tackled the inadequacies of open spaces in small towns. Moreover, it proposed strategies such as creating social activity spaces, cultivating therapeutic green landscapes, constructing diversely secure fi tness spaces and building age integrated environments, etc. for designing age-friendly open spaces in small towns.

Multi-layer structure formation of relativistic electron beams in plasmas

A two-dimensional electromagnetic particle-in-cell simulation model is proposed to study the density evolution and collective stopping of electron beams in background plasmas.We show here the formation of the multi-layer structure of the relativistic electron beam in the plasma due to the different betatron frequency from the beam front to the beam tail.Meanwhile,the nonuniformity of the longitudinal wakefield is the essential reason for the multi-layer structure formation in beam phase space.The influences of beam parameters(beam radius and transverse density profile)on the formation of the multi-layer structure and collective stopping in background plasmas are also considered.

Hausdorff Dimension of Multi-Layer Neural Networks

This elucidation investigates the Hausdorff dimension of the output space of multi-layer neural networks. When the factor map from the covering space of the output space to the output space has a synchronizing word, the Hausdorff dimension of the output space relates to its topological entropy. This clarifies the geometrical structure of the output space in more details.

The Role of Open Space in Human Settlement Development in the Tamale Metropolis of Northern Ghana

Most parts of the world are rapidly urbanizing. In sub-Saharan Africa, towns are urbanizing at a faster pace than earlier predicted. Also, large portions of rural settings have been gradually moving towards urbanization. The Tamale Metropolis has been rated as the fastest-growing metropolis in Sub-Saharan Africa. City planning and concerns about the need for open-space creation have been a major challenge due to poor adherence to standards in the building codes. This study was conducted to assess the role of open space in human settlement development in the Tamale Metropolis. The study sampled the views of 157 residents who stay closed to community open spaces in five suburbs of the metropolis. Key informant interviews were also conducted with officials from the Town and Country Planning Department. The study revealed that most residents spend leisure by taking a walk in the neighborhood or idling in outdoor spaces. Also, the majority of the residents had poor knowledge of institutional and land administration. This often led to non-adherence to regulations and this affects open spaces in the metropolis. Common among residents is also a poor appreciation of the importance of open space and this results in encroachment. The Town and Country Planning Department should institute sanctions and stringent measures to deter offenders. Also, public seminars should be used to educate residents on the need to adhere to planning and building codes. Lastly, the study recommends strong collaboration between the various institutions engaged in land administration to facilitate effective provision and preservation of quality open spaces in the metropolis.

Research on Open Campus Space Evaluation System Based on CSOA Theory

As an important part of urban open space,campus space plays an important role in connecting urban traffic environment with the gradual improvement of urban space quality today.Based on CSOA(Campus Space Openness Assessment)theory,the paper calculates the current situation of walking space and vehicle crossing space in the campus,including entrance coupling degree(ξ),campus crossing degree(ε)and campus space opening degree(∑).The coupling relationship between campus entrance layout and campus road form for campus space openness is analyzed and the strategies are optimized respectively.The conclusions are as follows:①the location of campus entrances and exits can be reflected by the coupling degree of campus entrance,which is affected by the number and nodes,and the coupling degree is positively correlated with the number;②the closer the azimuth distance between the two entrances and exits on the campus to the linear distance,the higher the crossing rate;③the higher the product of campus entrance coupling degree and campus crossing degree,the higher the campus space opening degree.The results of this study provide quantitative guidance for modern campus design from the perspective of open campus space evaluation system.

Evaluation and Promotion of the Service Capacity of Urban Public Open Spaces Based on Improving Accessibility:A Case Study of Shenyang City,China

The service capacity of urban public open spaces is an important indicator of the justness and soundness of the allocation of public space resources,such as parks and green spaces,in the process of urban development.Improving the service capacity of urban public open spaces is conductive to healthy,sustainable urban development.In this study,taking Shengyang City,China as a case study,a Gaussian-based two-step floating catchment area method(2 SFCA)is used to calculate an accessibility index and identify residential areas with a poor accessibility to urban public open spaces.Then,a particle swarm algorithm(PSA)is used to optimize the locations of new open space developments.Finally,the optimization results are verified using the analytic network process(ANP).The results show that the service capacity of public open spaces in the center of Shenyang City(covering six districts)is relatively low and exhibits an uneven spatial distribution.In the service scope of the existing urban public open spaces,the accessibility for 48.6%of the residential estates is moderately poor or poor.The layout is optimized when the number of optimization points is set to 8.These points are mainly located in old town areas such as the Tiexi,Huanggu,and Dadong districts.The optimization increases the green space area accessible by motor vehicles(60 min),bicycles(60 min),and walking(30 min)by 4.67%,5.38%,and 8.03%of the study area,respectively.Finally,green space planning recommendations are offered from two perspectives:spatial layout and transport system optimization.

Research on Improvement of Utilization of Open Space: Through Demonstration Experiment Focusing on Spatial Elements

Along with the rise of buildings, a large number of public open spaces have been created for the purpose of mitigating hatching restrictions and the like. However, many of them are used at low levels, and there remain very few known public open spaces. In this research, we set up a resting place to demonstrate the effect of elements and placement in order to obtain knowledge for appropriately managing and utilizing such low use open public spaces. The survey means analyzed the presence/absence of the attraction/retention degree based on the cross-sectional traffic volume by video analysis and a hearing questionnaire survey for the users of the resting place. From the results, we have found that placement methods and effects that exceed the expectation value of each element, regionality, and attachment, occur by continuing experiments.

Improving Open Spaces for a Sustainable City

The feasibility of city living with nature as a way to restore the balance between human uses and natural processes is the focus of this paper about the city of Maringa in Southern Brazil. This urban form, a planned new town founded in 1947 upon a previous, comprehensive British land-development scheme, originally offered a friendly interaction between urban settlement and nature. Hence, this paper outlines how open spaces can be enhanced as an ecological structure, bringing parks, squares, gardens and urban farming into a productive system, both for nature＇s and for people＇s sakes. Following a morphological study, the proposed ecological structure will maintain ecological processes within the urban grid and help to preserve historical and social values, by linking a wide variety of natural and restored ecosystems and landscape features. The adoption of this kind of ecological planning will certainly result in an increase of the urban landscape quality, changing actual planning paradigm and preventing the city from environmental quality decrease.

Study of the Relationship between Building Arrangement and Visibility of Open Spaces Based on a Simplified Area Evaluation

This paper studies which building arrangement will provide the maximum visibility to an example of open space proposed in the Abu Dhabi 2030 Master Plan. The building forms, the distance between the buildings, the setback and the building heights would all affect visibility and were considered closely. Although this research methodology could be applied to any site in different situations, it remains simple and interesting. It can be applied in general, with a change of the variables （setback, distance between buildings, building height, building form）, to any site by both professionals and students who can simply use any CAD program for producing drawing in both the architectural or urban designs phases, hence the importance of this research. Two different building arrangements were proposed and studied： a linear and an L-shaped arrangement. After applying the simulations, it appears that the L-shape offers more visibility to the open space. The outcomes of this study were combined with another research project that studies the same building arrangements to test the possible climatic comfort provided in outdoor spaces in order to encourage the use of open spaces and walkability in the studied area.