Quantifying the natural growth rate of hepatocellular carcinoma:A real-world retrospective study in southwestern China

BACKGROUND In recent years,approximately half of the newly diagnosed cases and mortalities attributed to hepatocellular carcinoma(HCC)have been reported in China.Despite the high incidence of HCC,there remains a paucity of data regarding the natural growth pattern and the determination of optimal surveillance intervals specific to the Chinese population.AIM To quantify the natural tumor growth pattern of HCC in regional China.METHODS A retrospective analysis was performed on patients from a single institution in Southwest China who had undergone two or more serial dynamic computed tomography or magnetic resonance imaging scans between 2014 and 2020,without having received any anti-cancer therapy.Tumor growth was assessed using tumor volume doubling time(TVDT)and tumor growth rate(TGR),with volumes measured manually by experienced radiologists.Simple univariate linear regression and descriptive analysis were applied to explore associations between growth rates and clinical factors.RESULTS This study identifies the median TVDT for HCC as 163.4 d,interquartile range(IQR)72.1 to 302.3 d,with a daily TGR of 0.42%(IQR 0.206%-0.97%).HCC growth patterns reveal that about one-third of tumors grow indolently with TVDT exceeding 270 d,another one-third of tumors exhibit rapid growth with TVDT under 90 d,and the remaining tumors show intermediate growth rates,with TVDT ranging between 3 to 9 months.CONCLUSION The identified TGRs support biannual surveillance and follow-up for HCC patients in certain regions of China.Given the observed heterogeneity in HCC growth,further investigation is warranted.

Knowledge and Perceptions of Hospital Care Staff towards Medical Internet of Things and the Role of Awareness Videos: A Quasi Experimental Study

Introduction: The healthcare industry continues to adopt and integrate smart technology into its operations. However, the adoption of the eHealth solutions has not been smooth in the Kingdom of Saudi Arabia (KSA) due to negative beliefs about the technology, lack of awareness and motivation and resistance to change. Thus, this study was developed to investigate the knowledge and perceptions of hospital care staff towards the Medical Internet of Things and to explore the role of awareness videos in changing negative perceptions. Methods: One group pre-test post-test quasi-experimental study design was incorporated, and 116 participants from Ministry of Health hospitals in Riyadh, KSA, were included. A series of four videos were developed to observe their influence on the knowledge and perceptions of mIoT. Results: The findings showed that participants had more knowledge about the individual components of mIoT (particularly wearable devices) compared to the processes or functions of mIoT. Similarly, just over half (56.0%) of the individuals think that the current systems in the hospital are enough to deliver mIoT. However, 90% think mIoT is the future of digital health. Similarly, PE, SI, BI, EE and CESE were considered facilitators and PTA and CC were considered grave barriers to mIoT adoption. The awareness videos positively influenced knowledge and perceptions of PE, EE, CESE and SI. Conclusion: The study concludes that hospital staff in Riyadh (excluding doctors) possess basic mIoT knowledge, consider various adoption factors as enablers, and awareness video can play a critical role in effectively introducing the technology to the hospital care staff.

AI-Driven Learning Management Systems:Modern Developments, Challenges and Future Trends during theAge of ChatGPT

COVID-19 pandemic restrictions limited all social activities to curtail the spread of the virus.The foremost and most prime sector among those affected were schools,colleges,and universities.The education system of entire nations had shifted to online education during this time.Many shortcomings of Learning Management Systems(LMSs)were detected to support education in an online mode that spawned the research in Artificial Intelligence(AI)based tools that are being developed by the research community to improve the effectiveness of LMSs.This paper presents a detailed survey of the different enhancements to LMSs,which are led by key advances in the area of AI to enhance the real-time and non-real-time user experience.The AI-based enhancements proposed to the LMSs start from the Application layer and Presentation layer in the form of flipped classroom models for the efficient learning environment and appropriately designed UI/UX for efficient utilization of LMS utilities and resources,including AI-based chatbots.Session layer enhancements are also required,such as AI-based online proctoring and user authentication using Biometrics.These extend to the Transport layer to support real-time and rate adaptive encrypted video transmission for user security/privacy and satisfactory working of AI-algorithms.It also needs the support of the Networking layer for IP-based geolocation features,the Virtual Private Network(VPN)feature,and the support of Software-Defined Networks(SDN)for optimum Quality of Service(QoS).Finally,in addition to these,non-real-time user experience is enhanced by other AI-based enhancements such as Plagiarism detection algorithms and Data Analytics.

Evaluation of Water Losses by Evaporation in the Nakanbe Basin

A numerical approach to heat and mass transfer in a large water reservoir is presented. This water reservoir is likened to a parallelepiped reservoir whose vertical and lower walls are adiabatic and impermeable. The equations that govern natural convection in water are solved by the finite volume method and Thomas’salgorithm. The adequacy between the velocity and pressure fields is ensured by the SIMPLE algorithm. We are going to evaluate the water losses by evaporation from three dams in the Nakanbé basin in Burkina Faso for a period of thirty years, that is to say from January 1, 1991, to March 15, 2020. The three dams have a rate of evaporation greater than 40% of the volume of water stored. Indeed the rate of evaporation in each dam increases with the water filling rate in the reservoir: we have observed the following results for each dam in the Nakanbé basin;for the date of 02/27/1988 to 03/13/2020., the Loumbila dam received a total volume of stored water of 22.02 Mm3 and 10.57 Mm3 as the total volume of water evaporated at the same date. At the Ouaga dam (2 + 3), it stored a water volume of 4.06 Mm3 and evaporated 2.03 Mm3 of its storage volume from 01/01/1988 to 05/07/2016. Finally, with regard to the Bagré dam, it stored 745.16 Mm3 of water and 365.13 Mm3 as the volume of water evaporated from 01/01/1993 to 03/31/2020.

Full scale experimental study of a small natural draft dry cooling tower for concentrating solar thermal power plant

Concentrating solar thermal power system can provide low carbon,renewable energy resources in countries or regions with strong solar irradiation.For this kind of power plant which is likely to be located in the arid area,natural draft dry cooling tower is a promising choice.To develop the experimental studies on small cooling tower,a 20 m high natural draft dry cooling tower with fully instrumented measurement system was established by the Queensland Geothermal Energy Centre of Excellence.The performance of this cooling tower was measured with the constant heat input of 600 kW and 840 kW and with ambient temperature ranging from 20 ℃ to 32 ℃.The cooling tower numerical model was refined and validated with the experimental data.The model of 1 MW concentrating solar thermal supercritical CO2 power cycle was developed and integrated with the cooling tower model.The influences of changing ambient temperature and the performance of the cooling tower on efficiency of the power system were simulated.The differences of the mechanism of the ambient temperature effect on Rankine cycle and supercritical CO2 Brayton cycle were analysed and discussed.

Theoretical Study on the Structures, Vibrational Spectra, and the Nature of the Intermediate Hydrogen Bond of Schiff Bases

Semi-empirical method PM3 was used to study the geometry and vibrational spectrum of N-(2-hydroxy-l-naphthyl-methylene)-l-pyrenamine (NPY) with the intermediate hydrogen bond. Results are comparable to experimentations. Based on results of both NPY and its model, N-(2-hydroxy-l-naphthyl-methylene)aniline, it was found that the N-(2-hydroxy-l-naphthyl-methylene) group is principally responsible for the special hydrogen bonding through conjugation effect.

LIRR's Project of “Study on Spalling Mechanism Mechanism of Dense Refractory Castables by Rapid Heating-up” Being Obtained the Support from National Natural Natural Science Foundation of China

LIRR＇s Priject of ＂Research on Spalling Mechanism Due to Rapid Heating-up of Dense Refractory Castables＂ declared by Wang Zhanmin,vice-president of LIRR,will gain the fund support from National Natural Science Foundation of China in 2011.

A Study on the Application of Task-based Approach to English Vocabulary Teaching

The core of task-based approach is"doing things with the language".During doing things,student will use language naturally.Teachers apply task-based approachin English vocabulary teaching to give students the opportunity to make full use of language.In the process of using language to do things students develop and improve their ability of language expression.

Structure optimization of the organ-pipe cavitating nozzle and its erosion ability test on hydrate-bearing sediments

Cavitating jet is a promising drilling rate improvement technology in both the marine natural gas hydrate (NGH) fluidization exploitation method and the integrated radial jet drilling and completion method. In present study, we aim to improve the efficiency of jet erosion and extracting NGH. With a computational fluid dynamics (CFD) method, the pressure, velocity and cavitation field characteristics of organ-pipe cavitating jet (OPCJ) are analysed. The divergent angle, throat length, and divergent length of OPCJ nozzle are preferred to obtain stronger jet cavitation erosion effect. Laboratory experiments of gas hydrate-bearing sediments (GHBS) erosion by OPCJ and conical jet (CJ) are conducted to compare and validate the jet erosion performance. The impinging models of OPCJ and CJ are constructed to study the impact characteristics. Results show that the preferred values of divergent angle, throat length, and divergent length are 15°, 1d, and 3d, respectively, in present simulation conditions. For GHBS, the OPCJ possesses the advantages of high efficiency and low energy consumption. Moreover, the OPCJ has higher penetration efficiency, while showing equivalent penetration ability compared to CJ. During the impinging process, the OPCJ can induce stronger impact pressure and turbulence effect, and also shows stronger chambering effect and bottom cleaning ability compared to CJ. This study presents the erosion performance of OPCJ and CJ on GHBS, and provides preliminary insights on the potential field applications in NGH exploitation.

Field study on thermal comfort of naturally ventilated residences in southwest China

Kunming,a city in southwest China,has a climate that is different from most of the other places in the world because of its unique geographical characteristics.Due to its temperate climate,most of the residential buildings in this region are naturally ventilated.Accordingly,a winter thermal comfort study was conducted in Kunming to reveal the thermal response of residents.Indoor and outdoor environmental parameters were measured,and participants were investigated about their clothing,thermal sensations,thermal preferences,and thermal acceptance using online questionnaires.Data from 162 valid questionnaires were collected in the survey.Although the climate is referred to as“mild”,the survey showed that the indoor temperature during winter was lower than the typical comfort range.Nevertheless,the participants responded that most of them felt neutral and comfortable.The neutral temperature of participants living in Kunming was determined to be 16.96℃.The acceptable thermal sensation vote(TSV)range of the residents is-0.72 to 1.52.The acceptable indoor air temperature range is 15.03℃ to 19.55℃,and the optimum indoor air temperature is 17.2℃.According to this study,the existing thermal comfort evaluation models can hardly predict residents’thermal responses in Kunming well.

Prototyping low-cost automatic weather stations for natural disaster monitoring

Weather events put human lives at risk mostly when people might occupy areas susceptible to natural disasters.Deploying Professional Weather Stations(PWS)in vulnerable areas is key for monitoring weather with reliable measurements.However,such professional instrumentation is notably expensive while remote sensing from a number of stations is paramount.This imposes challenges on the large-scale weather station deployment for broad monitoring from large observation networks such as in Cemaden—The Brazilian National Center for Monitoring and Early Warning of Natural Disasters.In this context,in this paper,we propose a Low-Cost Automatic Weather Station(LCAWS)system developed from Commercial Off-The-Shelf(COTS)and open-source Internet of Things(IoT)technologies,which provides measurements as reliable as a reference PWS for natural disaster monitoring.When being automatic,LCAWS is a stand-alone photovoltaic system connected wirelessly to the Internet in order to provide real-time reliable end-to-end weather measurements.To achieve data reliability,we propose an intelligent sensor calibration method to correct measures.From a 30-day uninterrupted observation with sampling in minute resolution,we show that the calibrated LCAWS sensors have no statistically significant differences from the PWS measurements.As such,LCAWS has opened opportunities for reducing maintenance costs in Cemaden's observational network.

Voices of Mother's Interaction with Midwives in Natural Childbirth: A Qualitative Study

Interaction between mothers and midwives during natural childbirth is one of the important factors in relationship between mothers and midwives in natural childbirth. In this qualitative study we explored experiences of mothers and midwives in interaction with each other in natural childbirth. This study was a part of a larger study which was carried out in Iran in 2013-2014. A total of 23 participants participated in this study. 12 primiparous and multiparous women planned to have natural deliveries and 11 midwives were purposefully included for semi-structured in-depth interviews in this study. For analysis and interpretation of mothers’ and midwives’ experience, conventional content analysis was used. Data were coded in MAXqda software (version 2). Interaction between mothers and midwives could be organized and categorized in one theme “relationship”. This theme consists of two subthemes: “respect for the mother” and “interaction” and five categories: “Feeling confidence, Feeling satisfaction, Associated with sensory relationship, Understanding mother’s situation, Understanding the meaning of interaction”. Good relationship between mothers and midwives in natural childbirth could improve the experience of natural childbirth for mothers. This experience could increase woman’s tendency toward natural birth instead of cesarean section in future pregnancies. Findings of this study can be seen as a challenge for health care professionals and policy makers to upgrade care of natural childbirth based on women’s preferences and needs.

Numerical Study of Natural Convection in a Two-Dimensional Enclosure with a Sinusoidal Boundary Thermal Condition Utilizing Nanofluid

Nanofluids are considered to offer important advantages over conventional heat transfer fluids. A model is developed to analyze the behavior of nanofluids taking into account the solid fraction χ. The Navier-Stokes equations are solved numerically with Alternating Direct Implicit method (ADI method) for various Grashof numbers 104 and 105;we have an excellent agreement between our numerical code and previously published works. Copper-Water nanofluid is used with Pr = 6.2 and solid volume fraction χ is varied as 0%;5%;10%;15% and 20%. The problem considered is a two-dimensional heat transfer in a square cavity. The vertical walls are differentially heated, the left is maintained at hot con- dition (sinusoidal) when the right one is cold. The horizontal walls are assumed to be insulated, non conducting and impermeable to mass transfer. The nanofluid in the enclosure is Newtonian, incompressible and laminar. The nanopar- ticles are assumed to have a uniform shape and size. Moreover, it is assumed that both the fluid phase and nanoparticles are in thermal equilibrium state and they flow at the same velocity. The thermophysical properties of the nanofluid are assumed to be constant except for the density variation in the buoyancy force, which is based on the Boussinesq approximation. Different correlations are proposed for predicting heat transfer for uniform and sinusoidal boundary thermal conditions.

AB INITIO STUDY OF LOW-LYING ELECTRONIC STATES OF THE AsH_2 RADICAL

The equilibrium geometries,excitation energies,force constants and vibrational frequencies for the low-ly- ing electronic states X ~2B_1,~2A_1,~2B_2 and ~2A_2 of the AsH_2 radical have been calculated at the MRSDCI level with a 3-21G~* basis set.Our calculated geometries,excitation enegies and vibional frequencies for the X ~2B_1 and ~2A_1 states are in good agreement with available experimental data.The electronic transition dipole mo- ments,oscillator strengths for the ~2A_1→X ~2B_1 and ~2A_2→X ~2B_1 transitions,radiative lifetimes for the ~2A_1 and ~2A_2 states are calculated based on the MRSDC^1 wavefunctions,predicting results in reasonable agreement with available experiment.

A Comparative Study of Nature's Subjectivity in Walden and Tang Poems

Thoreau's Walden and Chinese Tang Poems both attach great importance to nature,devoting large paragraphs to the depiction of it.The significance of this phenomenon is discussed in this paper.Based on the method of close reading and comparative study,it is found that nature,portrayed by Thoreau and Tang poets share one important character,that is,nature assumes subjectivity as an individual being.

Effect of Sinusoidal Heating on Natural Convection Coupled to Thermal Radiation in a Square Cavity Subjected to Cross Temperature Gradients

Coupled natural convection and surface radiation within a square cavity, filled with air and submitted to discrete heating and cooling from all its walls, is studied numerically. The thermally active elements are centrally located on the walls of the cavity. Two heating modes, called SB and SV, are considered. They correspond to bottom and vertical left elements sinusoidally heated in time, respectively, while the top and vertical right ones are constantly cooled. The remaining portions of all the walls are considered adiabatic. The parameters governing the problem are the amplitude and the period of the temporally sinusoidal temperature, the emissivity of the walls , the relative lengths of the active elements and the Rayleigh number . The effect of such parameters on flow and thermal fields and the resulting heat transfer is examined. It is shown that, during a flow cycle, the flow structure can present complex behavior, depending on the emissivity and the amplitude and period of the exciting temperature. The rate of heat transfer is generally enhanced in the case of sinusoidal heating. Also, the resonance phenomenon existence, characterized by maximum fluctuations in flow intensity and heat transfer, is proved in this study.

CO hydrogenation combined with water-gas-shift reaction for synthetic natural gas production:a thermodynamic and experimental study

The hydrogenation of CO to synthetic natural gas (SNG) needs a high molar ratio of H2/CO (usually large than 3.0 in industry), which consumes a large abundant of hydrogen. The reverse dry reforming reaction (RDR, 2H2 + 2CO←→CH4 + CO2), combining CO methanation with water-gas-shift reaction, can significantly decrease the H2/CO molar ratio to 1 for SNG production. A detailed thermodynamic analysis of RDR reaction was carried out based on the Gibbs free energy minimization method. The effect of temperature, pressure. H2/CO ratio and the addition of H2O, CH4, CO2, O2 and C2H4 into the feed gas on CO conversion, CH4 and CO2 selectivity, as well as CH4 and carbon yield, are discussed. Experimental results obtained on homemade impregnated Ni/Al2O3 catalyst are compared with the calculations. The results demonstrate that low temperature (200-500 °C), high pressure (1-5 MPa) and high H2/CO ratio (at least 1) promote CO conversion and CH4 selectivity and decrease carbon yield. Steam and CO2 in the feed gas decrease the CH4 selectivity and carb on yield, and enhance the CO2 con tent. Extra CH4 elevates the CH4 content in the products, but leads to more carbon formation at high temperatures. O2 significantly decreases the CH4 selectivity and C2H4 results in the generation of carbon.

Parametric study of natural convection over horizontal annular finned tube

Natural convection heat transfer from annular finned tubes was studied numerically. Effects of fin spacing, temperature difference and tube diameter on flow pathlines and local heat transfer were also studied. It was shown that pathlines remain mostly circular for different geometries. Moreover, the contributions of fin periphery, fin side and bare tube to heat transfer were specified. It was shown that the heat transfer per unit area of fin periphery can be several times that of other parts. Moreover, in higher finspacing, the heat transfer from the bare tube can be more important than fin sides.

Research on the Control Strategy of Variable Nozzle Turbocharger for Natural Gas Engine

A variable nozzle turbocharger （VNT） was applied to a 2.2-liter L4 natural gas engine,and a VNT control system was designed to operate it.Based on VNT matching test results,a VNT control strategy was studied,in which VNT adjustment is carried out through pre-calibrated VNT handling rod position,combined with a closed-loop target boost pressure feedback using proportional-integral-derivative（PID） algorithm.Experimental results showed that the VNT control system presented in this thesis can lead to optimized performance of VNT,increase engine volumetric efficiency over a wide speed range,improve engine dynamic characteristics and upgrade economic performance.

A computational simulation study for techno-economic comparison of conventional and stripping gas methods for natural gas dehydration

In the present work,the conventional natural gas dehydration method(CDM)and stripping gas method(SGM)are technically and economically analyzed,utilizing Aspen HYSYS and Aspen Process Economic Analyzer(APEA),respectively.To optimize the CDM and SGM,the sensitivities of the water content of dry gas,reboiler duty and raw material loss are analyzed against solvent rate and stripping gas rate.The optimized processes are set to achieve a targeted value of water content in dry gas and analyzed at optimized point.The analysis shows that SGM gives 46%lower TEG feed rate,42%lower reboiler duty and 99.97%pure regenerated TEG.Moreover,economic analysis reveals that SGM has 38%lower annual operating cost compared to CDM.According to results,from both technical and economic point of view,SGM is more feasible for natural gas dehydration compared to CDM.