114 research outputs found
Research and Design of Indoor Parking Guidance System for Urban Traffic
In view of the existing drawbacks of indoor parking guidance system in commercial areas, this paper designs an indoor parking guidance system suitable for urban traffic. The owner first selects the appropriate parking lot through the Mini Program, and reserves a detailed parking space on the Mini Program, and after arriving at the parking lot, the Mini Program performs optimal path planning according algorithm to guide the owner to find the parking space. After arriving at the reserved parking space according to the prompts, the smart parking lock is unlocked by "one-key unlock", and the video detection system observes the parking behavior in real time to avoid the occurrence of illegal parking. At the same time, voice assistants and blind spot guidance facilities are also provided during the induction process to optimize the urban parking guidance system
Intensive glucose control for critically ill patients: an updated meta-analysis
This meta-analysis aims to update the evidence for the effects of intensive glucose control (IGC) on the outcomes among critically ill patients. We performed a systematic literature review from inception through December, 2017 by two independent authors by searching PubMed, EMBASE and Cochrane Library. Randomized clinical trials of the effects of IGC compared with conventional glucose control were selected. Random-effect models were applied to calculate summary relative risks (RRs) for the related outcomes. Of 4247 records identified, we abstracted data from 27 relevant trials for meta-analysis. Compared with patients receiving conventional glucose control (controls), patients with IGC did not have significantly decreased risk of short-term mortality (in-hospital mortality or intensive care unit (ICU) mortality) (RR 0.99, 95% CI 0.92–1.06) or 3- to 6-month mortality (RR 1.02, 95% CI 0.97–1.08). These results remained constant among different study settings including surgical ICUs, medical ICUs or mixed ICUs. Similarly, we also found that patients with IGC did not have significantly lower risk of sepsis (RR 1.00, 95% CI 0.89–1.11) or new need for dialysis (RR 0.97, 95% CI 0.84–1.11). However, patients with IGC had almost 4-fold increase in risk of hypoglycemia (RR 4.86, 95% CI 3.16–7.46). In conclusion, in this updated meta-analysis of published trials, critically ill patients receiving IGC were found to be at neutral risk for short-term or 3- 6-month mortality, risk of sepsis or new need for dialysis, but at higher risk of hypoglycemia
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Data integrity auditing without private key storage for secure cloud storage
Using cloud storage services, users can store their data in the cloud to avoid the expenditure of local data storage and maintenance. To ensure the integrity of the data stored in the cloud, many data integrity auditing schemes have been proposed. In most, if not all, of the existing schemes, a user needs to employ his private key to generate the data authenticators for realizing the data integrity auditing. Thus, the user has to possess a hardware token (e.g. USB token, smart card) to store his private key and memorize a password to activate this private key. If this hardware token is lost or this password is forgotten, most of the current data integrity auditing schemes would be unable to work. In order to overcome this problem, we propose a new paradigm called data integrity auditing without private key storage and design such a scheme. In this scheme, we use biometric data (e.g. iris scan, fingerprint) as the user's fuzzy private key to avoid using the hardware token. Meanwhile, the scheme can still effectively complete the data integrity auditing.We utilize a linear sketch with coding and error correction processes to confirm the identity of the user. In addition, we design a new signature scheme which not only supports blockless verifiability, but also is compatible with the linear sketch. The security proof and the performance analysis show that our proposed scheme achieves desirable security and efficiency
Is re-Rex shunt a better choice for patients with failed Rex shunt?
PurposeTo review our single-center surgical outcomes of redo operations after failed Rex shunt procedures.MethodsFrom September 2017 to October 2021, a total of 20 patients (11 males, 9 females; median age: 8.6 years) with Rex shunt occlusions were admitted to our hospital. Two of these patients were previously operated on in our hospital, and the remaining 18 were from other centers. All patients underwent repeat operations after detailed preoperative evaluations.ResultsPreoperative wedged hepatic vein portography (WHVP) was conducted for 18 patients. Thirteen patients exhibited well-developed Rex recessus and intrahepatic portal vein during WHPV examination, consistent with the intraoperative exploration results. Fifteen patients (75%, 15/20) underwent redo-Rex shunt, four underwent Warren shunt and one underwent devascularization surgery. During the redo-Rex shunt operations, the left internal jugular veins (IJV) were used as bypass grafts in 11 patients; the intra-abdominal veins were used in 4 patients. The patients were followed up for 12–59 months (mean, 24.8 months). After redo Rex shunts, the grafts were patent in 14 patients (93.3%, 14/15), but 1 graft had thrombosis (6.7%, 1/15). Three patients suffered from postoperative anastomotic stenosis, and all of the stenosis was relieved with balloon dilatations. After re-Rex shunts, esophageal varices and spleen size were substantially reduced, and the platelet count significantly increased. Postoperative graft thrombosis was found in 1 patient after Warren shunt (1/4, 25%), and there was no graft stenosis. Compared with Warren surgery, patients who underwent re-Rex shunt had a significantly higher rate of platelet increase.ConclusionsRedo-rex shunts can be finished in most patients with failed Rex shunts. Re-Rex shunt is a preferred surgical choice after a failed Rex shunt when a good bypass graft is available, and the surgical success rate can reach more than 90%. A suitable bypass graft is essential for a successful redo Rex shunt. Preoperative WHVP is recommended for the design of a redo surgical plan preoperatively
Quantitative characterization of the disturbance of groundwater system in typical coal seam mining in contiguous area of Inner Mongolia and Shaanxi
High-intensity mining of coal mines in ecologically fragile areas disturbs the groundwater system and causes water resources loss. The typical shallow and deep mining mines in the middle section of the Yellow River basin are selected as the research objects, and the development height of the water-conducting fracture zone in the shallow composite coal seam mining and the deep single coal seam mining is comprehensively determined by using the theoretical analysis, numerical simulation of overburden damage and the underground measurement, and the comparison with surrounding mines with similar conditions. According to the spatial location relationship between the water-conducting fracture zone and the main roof aquifer/aquiclude, the water filling model of Zhiluo Formation - Zhidan Group aquifer in shallow coal seam mining and that of Zhiluo Formation aquifer in deep coal seam mining are divided; By generalizing the groundwater flow system of different aquifer water filling modes, the three-dimensional unsteady flow mathematical model of groundwater in typical coal seam mining is constructed, and the numerical model of groundwater flow in two working conditions is established by using Visual Modflow software. The quantitative prediction of groundwater flow field and water resource loss in the mining of the continuous working face is carried out, and the results show that the groundwater from Zhidan Group and Zhiluo Formation aquifers in the disturbed aquifer is converging towards the goaf at the same time, the flow field also gradually recovers with the formation of the secondary stable structure of the roof after mining. Around the goaf, the groundwater flow field shows a local high hydraulic gradient phenomenon; In addition, the average annual water loss of the two coal mining conditions in the continuous period is more than 2 million m3 and 7.3 million m3 respectively. The research results provide a reference for the advanced fine control of regional water resources loss and the utilization of mine water resources
Discovery of a high-altitude ecotype and ancient lineage of Arabidopsis thaliana from Tibet
Arabidopsis thaliana (A. thaliana) has long been a model species for dicotyledon study, and was the first flowering plant to get its genome completed sequenced [1]. Although most wild A. thaliana are collected in Europe, several studies have found a rapid A. thaliana west-east expansion from Central Asia [2]. The Qinghai-Tibet Plateau (QTP) is close to Central Asia and known for its high altitude, unique environments and biodiversity [3]. However, no wild-type A. thaliana had been either discovered or sequenced from QTP. Studies on the A. thaliana populations collected under 2000 m asl have shown that the adaptive variations associated with climate and altitudinal gradients [4]. Hence a high-altitude A. thaliana provides a precious natural material to investigate the evolution and adaptation process. Here, we present the genome of a new ecotype of A. thaliana collected in the Gongga County, Tibet (4200 m asl) (Fig. 1a), to demonstrate its evolutionary history and adaptation to highaltitude regions
In-Hospital Mortality Risk Model of Gastric Cancer Surgery:Analysis of a Nationwide Institutional-Level Database With 94,277 Chinese Patients
Clinical management of gastric cancer: results of a multicentre survey
<p>Abstract</p> <p>Background</p> <p>The National Comprehensive Cancer Network clinical practice guidelines in oncology-gastric cancer guidelines have been widely used to provide appropriate recommendations for the treatment of patients with gastric cancer. The aim of this study was to examine the adherence of surgical oncologists, medical oncologists, and radiation oncologists' to the recommended guidelines.</p> <p>Methods</p> <p>A questionnaire asking the treatment options for gastric cancer cases was sent to 394 Chinese oncology specialists, including surgical oncologists, medical oncologists, and radiation oncologists working in hospitals joined in The Western Cooperative Gastrointestinal Oncology Group of China. The questionnaire involved a series of clinical scenarios regarding the interpretation of surgery, neoadjuvant, adjuvant, and advanced treatment planning of gastric cancer.</p> <p>Results</p> <p>Analysis of 358 respondents (91%) showed variations between each specialization and from the recommended guidelines in the management approaches to specific clinical scenarios. The majority of specialists admitted that less than 50% of patients received multidisciplinary evaluation before treatment. The participants gave different responses to questions involving adjuvant, neoadjuvant, and advanced settings, compared to the recommended guidelines.</p> <p>Conclusions</p> <p>These results highlight the heterogeneity of the treatment of gastric cancer. Surgical oncologists, medical oncologists, and radiation oncologists are not adhering to the recommended guidelines.</p
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