Owing to the Benjamin-Feir instability, the Stokes wave train experiences a modulation-demodulation process, and presents a recurrence characteristics. Stiassnie and Shemer researched the unstable evolution process an...Owing to the Benjamin-Feir instability, the Stokes wave train experiences a modulation-demodulation process, and presents a recurrence characteristics. Stiassnie and Shemer researched the unstable evolution process and provided a theoretical formulation for the recurrence period in 1985 on the basis of the nonlinear cubic Schrodinger equation （NLS）. However, NLS has limitations on the narrow band and the weak nonlinearity. The recurrence period is re-investigated in this paper by using a highly efficient High Order Spectral （HOS） method, which can be applied for the direct phase- resolved simulation of the nonlinear wave train evolution. It is found that the Stiassnie and Shemer＇s formula should be modified in the cases with most unstable initial conditions, which is important for such topics as the generation mechanisms of freak waves. A new recurrence period formula is presented and some new evolution characteristics of the Stokes wave train are also discussed in details.展开更多
A new convergence theorem for the Secant method in Banach spaces based on new recurrence relations is established for approximating a solution of a nonlinear operator equation. It is assumed that the divided differenc...A new convergence theorem for the Secant method in Banach spaces based on new recurrence relations is established for approximating a solution of a nonlinear operator equation. It is assumed that the divided difference of order one of the nonlinear operator is Lipschitz continuous. The convergence conditions differ from some existing ones and are easily satisfied. The results of the paper are justified by numerical examples that cannot be handled by earlier works.展开更多
In 1673, Yoshimasu Murase made a cubic equation to obtain the thickness of a hearth. He introduced two kinds of recurrence formulas of square and the deformation (Ref.[1]). We find that the three formulas lead to the ...In 1673, Yoshimasu Murase made a cubic equation to obtain the thickness of a hearth. He introduced two kinds of recurrence formulas of square and the deformation (Ref.[1]). We find that the three formulas lead to the extension of Newton-Raphson’s method and Horner’s method at the same time. This shows originality of Japanese native mathematics (Wasan) in the Edo era (1600- 1867). Suzuki (Ref.[2]) estimates Murase to be a rare mathematician in not only the history of Wasan but also the history of mathematics in the world. Section 1 introduces Murase’s three solutions of the cubic equation of the hearth. Section 2 explains the Horner’s method. We give the generalization of three formulas and the relation between these formulas and Horner’s method. Section 3 gives definitions of Murase-Newton’s method (Tsuchikura-Horiguchi’s method), general recurrence formula of Murase-Newton’s method (Tsuchikura-Horiguchi’s method), and general recurrence formula of the extension of Murase-Newton’s method (the extension of Tsuchikura-Horiguchi’s method) concerning n-degree polynomial equation. Section 4 is contents of the title of this paper.展开更多
AIM: To compare long term outcomes of laparoscopic and open ventral hernia mesh repair with respect to recurrence, pain and satisfaction.METHODS: We conducted a single-centre follow-up study of 194 consecutive patient...AIM: To compare long term outcomes of laparoscopic and open ventral hernia mesh repair with respect to recurrence, pain and satisfaction.METHODS: We conducted a single-centre follow-up study of 194 consecutive patients after laparoscopic and open ventral hernia mesh repair between March 2000 and June 2010. Of these, 27 patients(13.9%) died and 12(6.2%) failed to attend their follow-up appointment. One hundred and fifty-three(78.9%) patients attended for follow-up and two patients(1.0%) were interviewed by telephone. Of those who attended the follow-up appointment, 82(52.9%) patients had received laparoscopic ventral hernia mesh repair(LVHR) while 73(47.1%) patients had undergone open ventral hernia mesh repair(OVHR), including 11 conversions. The follow-up study included analyses of medical records, clinical interviews, examination of hernia recurrence and assessment of pain using a 100 mm visual analogue scale(VAS) ruler anchored by word descriptors. Overall patient satisfaction was also determined. Patients with signs of recurrence were examined by magnetic resonance imaging or computed tomography scan.RESULTS: Median time from hernia mesh repair to follow-up was 48 and 52 mo after LVHR and OVHR respectively. Overall recurrence rates were 17.1% after LVHR and 23.3% after OVHR. Recurrence after LVHR was associated with higher body mass index. Smoking was associated with recurrence after OVHR. Chronic pain(VAS > 30 mm) was reported by 23.5% in the laparoscopic cohort and by 27.8% in the open surgery cohort. Recurrence and late complications were predictors of chronic pain after LVHR. Smoking was associated with chronic pain after OVHR. Sixty point five percent were satisfied with the outcome after LVHR and 49.3% after OVHR. Predictors for satisfaction were absence of chronic pain and recurrence. Old age and short time to follow-up also predicted satisfaction after LVHR.CONCLUSION: LVHR and OVHR give similar long term results for recurrence, pain and overall satisfaction. Chronic pain is frequent and is therefore important for explaining dissatisfaction.展开更多
An improved recursive doubling algorithm for solving linear recurrence R <n,1>is given,whose parallel time complexity is (τ++τ.) logn when n processors are available,achieving the lower bound in array processo...An improved recursive doubling algorithm for solving linear recurrence R <n,1>is given,whose parallel time complexity is (τ++τ.) logn when n processors are available,achieving the lower bound in array processor type computation.展开更多
Objective:To evaluate the effectiveness and safety of Bushen Huoxue prescription in the treatment of recurrent spontaneous abortion(RSA)due to prethrombotic state(PTS).Methods:Databases such as CNKI,WanFang,VIP,CBM,Pu...Objective:To evaluate the effectiveness and safety of Bushen Huoxue prescription in the treatment of recurrent spontaneous abortion(RSA)due to prethrombotic state(PTS).Methods:Databases such as CNKI,WanFang,VIP,CBM,PubMed,Embase,and Cochrane Library were searched for randomized controlled trials on Bushen Huoxue prescription in treating RSA due to PTS from inception to March 2021;meta-analysis was performed by RevMan Version 5.3.0 following quality evaluation.Results:Seven trials were included,with 496 patients;the meta-analysis indicated that Bushen Huoxue prescription has advantages on the improvement of total clinical effective rate[RR=1.22,95%CI(1.10,1.35),Z=3.80(P=0.0001)],embryo survival rate at pregnancy of 12 weeks[RR=1.25,95%CI(1.10,1.41),Z=3.53(P=0.0004)],D-dimer levels[SMD=-1.59,95%CI(-2.20,-0.97),Z=5.07(P<0.00001)],and fibrinogen levels[MD=-1.00,95%CI(-1.29,-0.70),Z=6.61(P<0.00001)],but the statistical heterogeneity was significant;in terms of incidence of adverse reactions,there was no statistical difference between Bushen Huoxue prescription and western medicine.Conclusion:Compared with western medicine alone,Bushen Huoxue prescription alone or in combination with western medicine showed significant advantages in improving the overall clinical efficiency,embryonic survival rate at 12 weeks of pregnancy,and reducing D-dimer values as well as fibrinogen levels,without any significant difference in the incidence of adverse effects;however,the number of included studies is small and there are drawbacks,such as small sample size and low quality;therefore,high-quality clinical studies with large sample size and rigorous trial designs are needed in the future to provide a reliable basis for the effectiveness and safety of TCM in reducing the incidence of RSA due to prethrombotic state.展开更多
Using core-scattered closed-orbit theory and region-splitting iterative method, we calculated the scaled recurrence spectra of helium atom in parallel electric and magnetic fields. Closed orbits in the corresponding c...Using core-scattered closed-orbit theory and region-splitting iterative method, we calculated the scaled recurrence spectra of helium atom in parallel electric and magnetic fields. Closed orbits in the corresponding classical system have also been obtained. When we search the closed orbits, in order to remove the Coulomb singularity of the classical Hamiltonian motion equations, we implement the Kustaanheimo-Stiefel transformation, which transforms the system from a three-dimensional to a four-dimensional one. The Fourier transformed spectrum of helium atom has allowed direct comparison between peaks in such plot and the scaled action values of closed orbits. The results are compared with those of the hydrogen case, which shows that the core-scattered effects play an important role in the recurrence spectra of the multi-electron Rydberg atom.展开更多
Objectives:This study aimed to explore the preferences and influencing factors of self-management behaviors in patients with recurrent gout and provide a theoretical basis for developing targeted strategies to improve...Objectives:This study aimed to explore the preferences and influencing factors of self-management behaviors in patients with recurrent gout and provide a theoretical basis for developing targeted strategies to improve self-management preferences.Methods:A total of 10 patients with recurrent gout were recruited from the gout specialist outpatient clinic at a tertiary hospital in Shenyang,Liaoning Province,China.Semi-structured interviews were conducted with these patients,and the Kawakita Jiro(KJ)method was used to analyze the interview data.Results:After four rounds of screening by five researchers,35 codes were selected from an initial 132.After three rounds of discussion and induction,the KJ method identified seven domains of selfmanagement behavior preferences in patients with recurrent gout:1)extensive knowledge of gout,yet difficulty in distinguishing between accurate and inaccurate information;2)a passive attitude of“no pain,no management”;3)the challenge of changing entrenched daily habits;4)the optimistic but unrealistic belief of“self-delusion”;5)a tendency to seek medical attention late due to hopelessness of cure and familiarity with recurrences;6)preference for analgesics for gout recurrences while neglecting long-term urate-lowering therapy(ULT);and 7)gout-related stigma.Conclusion:The results of this study showed that the self-management behavior of patients with recurrent gout could be improved,especially in the aspects of medical seeking behavior,medication compliance,daily management and emotional management.At the same time,we found that gout stigma,difficulty in distinguishing true and false knowledge of gout and negative attitude of“ignoring pain”were significantly associated with self-management behavior.展开更多
Objective: to analyze the prevention and clinical effect of hysteroscopic endometrial polypectomy (TCRP) in the treatment of postoperative recurrence of endometrial polyp (EP). Methods: a total of 112 EP patients were...Objective: to analyze the prevention and clinical effect of hysteroscopic endometrial polypectomy (TCRP) in the treatment of postoperative recurrence of endometrial polyp (EP). Methods: a total of 112 EP patients were selected from Our hospital from August 2020 to August 2021, and were randomly divided into 2 groups with 56 patients in each group according to the number table. Patients in the control group were given TCRP operation treatment, and patients in the observation group were given levonorgestrel intrauterine sustained release system (LNG?IUS) on this basis. Postoperative observation time, endocrine hormone test results before and after treatment and recurrence rate of EP were compared between the two groups. Results: the observation group was shorter than the control group, and the endocrine hormone test results were better than the control group after treatment, P < 0.05. The recurrence rate of EP in observation group was lower than that in control group, P < 0.05. Conclusion: TCRP combined with LNG?IUS has a definite therapeutic effect on EP, can improve the endocrine status of patients and reduce the recurrence rate of EP after operation, which is worthy of promotion and application.展开更多
BACKGROUND In esophageal squamous carcinoma,lymphadenectomy along the left recurrent laryngeal nerve(RLN)is recommended owing to its highly metastatic potential.However,this procedure is difficult due to limited worki...BACKGROUND In esophageal squamous carcinoma,lymphadenectomy along the left recurrent laryngeal nerve(RLN)is recommended owing to its highly metastatic potential.However,this procedure is difficult due to limited working space in the left upper mediastinum,and increases postoperative complications.AIM To present a novel method for lymphadenectomy along the left RLN during thoracoscopic esophagectomy in the semi-prone position.METHODS The fundamental concept of this novel method is to exfoliate a bilateral pedicled nerve flap,which is a two-dimensional membrane,which includes the left RLN,lymph nodes(LNs)along the left RLN,and tracheoesophageal vessels,by suspending the esophagus to the dorsal side and pushing the trachea to the ventral side(named“bilateral exposure method”).Then,the hollow-out method is performed to transform the two-dimensional membrane to a three-dimensional structure,in which the left RLN and tracheoesophageal vessels are easily distinguished and preserved during lymphadenectomy along the left RLN.This novel method was retrospectively evaluated in 116 consecutive patients with esophageal squamous carcinoma from August 2016 to February 2018.RESULTS There were 58 patients in each group.No significant difference was found between the two groups in terms of age,gender,postoperative pneumonia,anastomotic fistula,and postoperative hospitalization.However,the number of dissected LNs along the left RLN in this novel method was significantly higher than that in the conventional method(4.17±0.359 vs 2.93±0.463,P=0.0447).Moreover,the operative time and the rate of postoperative hoarseness in the novel method were significantly lower than those in the conventional method(306.0±6.774 vs 335.2±7.750,P=0.0054;4/58 vs 12/58,P=0.0312).CONCLUSION This novel method for lymphadenectomy along the left RLN during thoracoscopic esophagectomy in the semi-prone position is much safer and more effective.展开更多
To supplement missing logging information without increasing economic cost, a machine learning method to generate synthetic well logs from the existing log data was presented, and the experimental verification and app...To supplement missing logging information without increasing economic cost, a machine learning method to generate synthetic well logs from the existing log data was presented, and the experimental verification and application effect analysis were carried out. Since the traditional Fully Connected Neural Network(FCNN) is incapable of preserving spatial dependency, the Long Short-Term Memory(LSTM) network, which is a kind of Recurrent Neural Network(RNN), was utilized to establish a method for log reconstruction. By this method, synthetic logs can be generated from series of input log data with consideration of variation trend and context information with depth. Besides, a cascaded LSTM was proposed by combining the standard LSTM with a cascade system. Testing through real well log data shows that: the results from the LSTM are of higher accuracy than the traditional FCNN; the cascaded LSTM is more suitable for the problem with multiple series data; the machine learning method proposed provides an accurate and cost effective way for synthetic well log generation.展开更多
In this paper, the minimal residual （MRES） method for solving nonsymmetric equation systems was improved, the recurrence relation was deduced between the approximate solutions of the linear equation system Ax = b, a...In this paper, the minimal residual （MRES） method for solving nonsymmetric equation systems was improved, the recurrence relation was deduced between the approximate solutions of the linear equation system Ax = b, and a more effective method was presented, which can reduce the operational count and the storage.展开更多
In this paper, the influence of the noise and delay upon the stability property of reaction-diffusion recurrent neural networks （RNNs） with the time-varying delay is discussed. The new and easily verifiable conditio...In this paper, the influence of the noise and delay upon the stability property of reaction-diffusion recurrent neural networks （RNNs） with the time-varying delay is discussed. The new and easily verifiable conditions to guarantee the mean value exponential stability of an equilibrium solution are derived. The rate of exponential convergence can be estimated by means of a simple computation based on these criteria.展开更多
The paper develops the local convergence of Inexact Newton-Like Method(INLM)for approximating solutions of nonlinear equations in Banach space setting.We employ weak Lipschitz and center-weak Lipschitz conditions to p...The paper develops the local convergence of Inexact Newton-Like Method(INLM)for approximating solutions of nonlinear equations in Banach space setting.We employ weak Lipschitz and center-weak Lipschitz conditions to perform the error analysis.The obtained results compare favorably with earlier ones such as[7,13,14,18,19].A numerical example is also provided.展开更多
基金supported by the National Natural Science Foundation of China (Grant No. 41106001)the Specialized Research Fund for the Doctoral Program of Higher Education (Grant No. 20100094110016)+1 种基金the Special Research Funding of State Key Laboratory of Hydrology-Water Resources and Hydraulic Engineering (Grant No. 2009585812)the Priority Academic Program Development of Jiangsu Higher Education Institutions (Coastal Development and Conservancy)
文摘Owing to the Benjamin-Feir instability, the Stokes wave train experiences a modulation-demodulation process, and presents a recurrence characteristics. Stiassnie and Shemer researched the unstable evolution process and provided a theoretical formulation for the recurrence period in 1985 on the basis of the nonlinear cubic Schrodinger equation （NLS）. However, NLS has limitations on the narrow band and the weak nonlinearity. The recurrence period is re-investigated in this paper by using a highly efficient High Order Spectral （HOS） method, which can be applied for the direct phase- resolved simulation of the nonlinear wave train evolution. It is found that the Stiassnie and Shemer＇s formula should be modified in the cases with most unstable initial conditions, which is important for such topics as the generation mechanisms of freak waves. A new recurrence period formula is presented and some new evolution characteristics of the Stokes wave train are also discussed in details.
基金Supported by the National Natural Science Foundation of China (10871178)the Natural Science Foundation of Zhejiang Province of China (Y606154)Foundation of the Education Department of Zhejiang Province of China (20071362)
文摘A new convergence theorem for the Secant method in Banach spaces based on new recurrence relations is established for approximating a solution of a nonlinear operator equation. It is assumed that the divided difference of order one of the nonlinear operator is Lipschitz continuous. The convergence conditions differ from some existing ones and are easily satisfied. The results of the paper are justified by numerical examples that cannot be handled by earlier works.
文摘In 1673, Yoshimasu Murase made a cubic equation to obtain the thickness of a hearth. He introduced two kinds of recurrence formulas of square and the deformation (Ref.[1]). We find that the three formulas lead to the extension of Newton-Raphson’s method and Horner’s method at the same time. This shows originality of Japanese native mathematics (Wasan) in the Edo era (1600- 1867). Suzuki (Ref.[2]) estimates Murase to be a rare mathematician in not only the history of Wasan but also the history of mathematics in the world. Section 1 introduces Murase’s three solutions of the cubic equation of the hearth. Section 2 explains the Horner’s method. We give the generalization of three formulas and the relation between these formulas and Horner’s method. Section 3 gives definitions of Murase-Newton’s method (Tsuchikura-Horiguchi’s method), general recurrence formula of Murase-Newton’s method (Tsuchikura-Horiguchi’s method), and general recurrence formula of the extension of Murase-Newton’s method (the extension of Tsuchikura-Horiguchi’s method) concerning n-degree polynomial equation. Section 4 is contents of the title of this paper.
基金Supported by Akershus University Hospital,No.2619046
文摘AIM: To compare long term outcomes of laparoscopic and open ventral hernia mesh repair with respect to recurrence, pain and satisfaction.METHODS: We conducted a single-centre follow-up study of 194 consecutive patients after laparoscopic and open ventral hernia mesh repair between March 2000 and June 2010. Of these, 27 patients(13.9%) died and 12(6.2%) failed to attend their follow-up appointment. One hundred and fifty-three(78.9%) patients attended for follow-up and two patients(1.0%) were interviewed by telephone. Of those who attended the follow-up appointment, 82(52.9%) patients had received laparoscopic ventral hernia mesh repair(LVHR) while 73(47.1%) patients had undergone open ventral hernia mesh repair(OVHR), including 11 conversions. The follow-up study included analyses of medical records, clinical interviews, examination of hernia recurrence and assessment of pain using a 100 mm visual analogue scale(VAS) ruler anchored by word descriptors. Overall patient satisfaction was also determined. Patients with signs of recurrence were examined by magnetic resonance imaging or computed tomography scan.RESULTS: Median time from hernia mesh repair to follow-up was 48 and 52 mo after LVHR and OVHR respectively. Overall recurrence rates were 17.1% after LVHR and 23.3% after OVHR. Recurrence after LVHR was associated with higher body mass index. Smoking was associated with recurrence after OVHR. Chronic pain(VAS > 30 mm) was reported by 23.5% in the laparoscopic cohort and by 27.8% in the open surgery cohort. Recurrence and late complications were predictors of chronic pain after LVHR. Smoking was associated with chronic pain after OVHR. Sixty point five percent were satisfied with the outcome after LVHR and 49.3% after OVHR. Predictors for satisfaction were absence of chronic pain and recurrence. Old age and short time to follow-up also predicted satisfaction after LVHR.CONCLUSION: LVHR and OVHR give similar long term results for recurrence, pain and overall satisfaction. Chronic pain is frequent and is therefore important for explaining dissatisfaction.
文摘An improved recursive doubling algorithm for solving linear recurrence R <n,1>is given,whose parallel time complexity is (τ++τ.) logn when n processors are available,achieving the lower bound in array processor type computation.
基金National Natural Science Foundation of China Project(Project Number:81603656)Shaanxi University of Traditional Chinese Medicine 2017 Annual Scientific Research Program Project(Project Number:2017PY10)Infertility Innovation Team(Project Number:132041929).
文摘Objective:To evaluate the effectiveness and safety of Bushen Huoxue prescription in the treatment of recurrent spontaneous abortion(RSA)due to prethrombotic state(PTS).Methods:Databases such as CNKI,WanFang,VIP,CBM,PubMed,Embase,and Cochrane Library were searched for randomized controlled trials on Bushen Huoxue prescription in treating RSA due to PTS from inception to March 2021;meta-analysis was performed by RevMan Version 5.3.0 following quality evaluation.Results:Seven trials were included,with 496 patients;the meta-analysis indicated that Bushen Huoxue prescription has advantages on the improvement of total clinical effective rate[RR=1.22,95%CI(1.10,1.35),Z=3.80(P=0.0001)],embryo survival rate at pregnancy of 12 weeks[RR=1.25,95%CI(1.10,1.41),Z=3.53(P=0.0004)],D-dimer levels[SMD=-1.59,95%CI(-2.20,-0.97),Z=5.07(P<0.00001)],and fibrinogen levels[MD=-1.00,95%CI(-1.29,-0.70),Z=6.61(P<0.00001)],but the statistical heterogeneity was significant;in terms of incidence of adverse reactions,there was no statistical difference between Bushen Huoxue prescription and western medicine.Conclusion:Compared with western medicine alone,Bushen Huoxue prescription alone or in combination with western medicine showed significant advantages in improving the overall clinical efficiency,embryonic survival rate at 12 weeks of pregnancy,and reducing D-dimer values as well as fibrinogen levels,without any significant difference in the incidence of adverse effects;however,the number of included studies is small and there are drawbacks,such as small sample size and low quality;therefore,high-quality clinical studies with large sample size and rigorous trial designs are needed in the future to provide a reliable basis for the effectiveness and safety of TCM in reducing the incidence of RSA due to prethrombotic state.
文摘Using core-scattered closed-orbit theory and region-splitting iterative method, we calculated the scaled recurrence spectra of helium atom in parallel electric and magnetic fields. Closed orbits in the corresponding classical system have also been obtained. When we search the closed orbits, in order to remove the Coulomb singularity of the classical Hamiltonian motion equations, we implement the Kustaanheimo-Stiefel transformation, which transforms the system from a three-dimensional to a four-dimensional one. The Fourier transformed spectrum of helium atom has allowed direct comparison between peaks in such plot and the scaled action values of closed orbits. The results are compared with those of the hydrogen case, which shows that the core-scattered effects play an important role in the recurrence spectra of the multi-electron Rydberg atom.
文摘Objectives:This study aimed to explore the preferences and influencing factors of self-management behaviors in patients with recurrent gout and provide a theoretical basis for developing targeted strategies to improve self-management preferences.Methods:A total of 10 patients with recurrent gout were recruited from the gout specialist outpatient clinic at a tertiary hospital in Shenyang,Liaoning Province,China.Semi-structured interviews were conducted with these patients,and the Kawakita Jiro(KJ)method was used to analyze the interview data.Results:After four rounds of screening by five researchers,35 codes were selected from an initial 132.After three rounds of discussion and induction,the KJ method identified seven domains of selfmanagement behavior preferences in patients with recurrent gout:1)extensive knowledge of gout,yet difficulty in distinguishing between accurate and inaccurate information;2)a passive attitude of“no pain,no management”;3)the challenge of changing entrenched daily habits;4)the optimistic but unrealistic belief of“self-delusion”;5)a tendency to seek medical attention late due to hopelessness of cure and familiarity with recurrences;6)preference for analgesics for gout recurrences while neglecting long-term urate-lowering therapy(ULT);and 7)gout-related stigma.Conclusion:The results of this study showed that the self-management behavior of patients with recurrent gout could be improved,especially in the aspects of medical seeking behavior,medication compliance,daily management and emotional management.At the same time,we found that gout stigma,difficulty in distinguishing true and false knowledge of gout and negative attitude of“ignoring pain”were significantly associated with self-management behavior.
文摘Objective: to analyze the prevention and clinical effect of hysteroscopic endometrial polypectomy (TCRP) in the treatment of postoperative recurrence of endometrial polyp (EP). Methods: a total of 112 EP patients were selected from Our hospital from August 2020 to August 2021, and were randomly divided into 2 groups with 56 patients in each group according to the number table. Patients in the control group were given TCRP operation treatment, and patients in the observation group were given levonorgestrel intrauterine sustained release system (LNG?IUS) on this basis. Postoperative observation time, endocrine hormone test results before and after treatment and recurrence rate of EP were compared between the two groups. Results: the observation group was shorter than the control group, and the endocrine hormone test results were better than the control group after treatment, P < 0.05. The recurrence rate of EP in observation group was lower than that in control group, P < 0.05. Conclusion: TCRP combined with LNG?IUS has a definite therapeutic effect on EP, can improve the endocrine status of patients and reduce the recurrence rate of EP after operation, which is worthy of promotion and application.
文摘BACKGROUND In esophageal squamous carcinoma,lymphadenectomy along the left recurrent laryngeal nerve(RLN)is recommended owing to its highly metastatic potential.However,this procedure is difficult due to limited working space in the left upper mediastinum,and increases postoperative complications.AIM To present a novel method for lymphadenectomy along the left RLN during thoracoscopic esophagectomy in the semi-prone position.METHODS The fundamental concept of this novel method is to exfoliate a bilateral pedicled nerve flap,which is a two-dimensional membrane,which includes the left RLN,lymph nodes(LNs)along the left RLN,and tracheoesophageal vessels,by suspending the esophagus to the dorsal side and pushing the trachea to the ventral side(named“bilateral exposure method”).Then,the hollow-out method is performed to transform the two-dimensional membrane to a three-dimensional structure,in which the left RLN and tracheoesophageal vessels are easily distinguished and preserved during lymphadenectomy along the left RLN.This novel method was retrospectively evaluated in 116 consecutive patients with esophageal squamous carcinoma from August 2016 to February 2018.RESULTS There were 58 patients in each group.No significant difference was found between the two groups in terms of age,gender,postoperative pneumonia,anastomotic fistula,and postoperative hospitalization.However,the number of dissected LNs along the left RLN in this novel method was significantly higher than that in the conventional method(4.17±0.359 vs 2.93±0.463,P=0.0447).Moreover,the operative time and the rate of postoperative hoarseness in the novel method were significantly lower than those in the conventional method(306.0±6.774 vs 335.2±7.750,P=0.0054;4/58 vs 12/58,P=0.0312).CONCLUSION This novel method for lymphadenectomy along the left RLN during thoracoscopic esophagectomy in the semi-prone position is much safer and more effective.
基金Supported by the National Natural Science Foundation of China(U1663208,51520105005)the National Science and Technology Major Project of China(2017ZX05009-005,2016ZX05037-003)
文摘To supplement missing logging information without increasing economic cost, a machine learning method to generate synthetic well logs from the existing log data was presented, and the experimental verification and application effect analysis were carried out. Since the traditional Fully Connected Neural Network(FCNN) is incapable of preserving spatial dependency, the Long Short-Term Memory(LSTM) network, which is a kind of Recurrent Neural Network(RNN), was utilized to establish a method for log reconstruction. By this method, synthetic logs can be generated from series of input log data with consideration of variation trend and context information with depth. Besides, a cascaded LSTM was proposed by combining the standard LSTM with a cascade system. Testing through real well log data shows that: the results from the LSTM are of higher accuracy than the traditional FCNN; the cascaded LSTM is more suitable for the problem with multiple series data; the machine learning method proposed provides an accurate and cost effective way for synthetic well log generation.
文摘In this paper, the minimal residual （MRES） method for solving nonsymmetric equation systems was improved, the recurrence relation was deduced between the approximate solutions of the linear equation system Ax = b, and a more effective method was presented, which can reduce the operational count and the storage.
文摘In this paper, the influence of the noise and delay upon the stability property of reaction-diffusion recurrent neural networks （RNNs） with the time-varying delay is discussed. The new and easily verifiable conditions to guarantee the mean value exponential stability of an equilibrium solution are derived. The rate of exponential convergence can be estimated by means of a simple computation based on these criteria.
文摘The paper develops the local convergence of Inexact Newton-Like Method(INLM)for approximating solutions of nonlinear equations in Banach space setting.We employ weak Lipschitz and center-weak Lipschitz conditions to perform the error analysis.The obtained results compare favorably with earlier ones such as[7,13,14,18,19].A numerical example is also provided.
