Risk Factors for IN-Hospital Seizure and New-Onset Epilepsy in Coiling and Clipping Treatment of Aneurysmal Subarachnoid Hemorrhage

OBJECTIVE: To identify risk factors associated with in-hospital seizures and new-onset epilepsy in patients with aneurysmal subarachnoid hemorrhage (SAH) who underwent coiling embolization or clipping surgery. METHODS: This retrospective descriptive study included 195 patients diagnosed with aneurysmal SAH and treated with coiling embolization or clipping surgery between January 2018 and June 2022. RESULTS: Among the 195 patients meeting inclusion criteria, 9 experienced an onset seizure at the time of SAH. In-hospital seizures were observed in 33 patients, of which 24 were electrographic seizures detected in 24 patients with suspected subclinical seizures. After 12 months of follow-up, 11 patients met criteria for diagnosis of epilepsy. The incidence of epilepsy after discharge at 12 months was 2.41% in the coiling group and 8.03% in the clipping group. The risk of in-hospital seizures was significantly higher in the clipping group (P = 0.007), although the difference was not statistically significant after 12 months of follow-up (P = 0.121). CONCLUSIONS: Epilepsy following aneurysmal SAH was relatively common. Clipping surgery and brain edema emerged as independent predictive factors for in-hospital seizures, while onset seizures and in-hospital seizures were identified as independent predictors of epilepsy during follow-up. Patients presenting with these risk factors may benefit from long-term electroencephalogram monitoring and should be considered for prophylactic antiepileptic drugs. Additionally, lumbar drainage proved effective in improving both early and late epileptic outcomes in the group with Fisher grades 3 and 4

Regional Difference in Ethics Decision Making: A Study of IT Pre-professionals in China

Information and communications technology played a significant role in the recent economic growth of China, which now ranks as the second largest economy in the world. As a result, China faces many social and ethical challenges common to technology-advanced countries. Ethical reasoning and practices are often influenced by cultural expectations and regional norms. The purpose of this study is to investigate IT ethics decision making in different regions of China.An IT ethics survey was developed and administered in four regions in China with different degrees of westernization. The data were analyzed using standard cross tabulation and Chi-square test techniques. Preliminary results reveal observable differences among subjects from the four regions with respect to their decision choices, reasons for the choices, the scope of consideration, and the stage of their moral development. In particular, the subject group that was exposed to the strongest western influence, showed the highest degree of individualism in ethics decision making

A review of internal combustion engines powered by renewable energy based on ethanol fuel and HCCI technology

In general, as compared to conventional combustion engines, the homogeneous charge compression ignition (HCCI) engine offers better fuel efficiency, NOx, and particulate matter emissions. The HCCI engine, on the other hand, is not connected to the spark plugs or the fuel injection system. This implies that the auto-ignition time and following combustion phase of the HCCI engine are not controlled directly. The HCCI engine will be confined to a short working range due to the cold start, high-pressure rate, combustion noise, and even knocking combustion. Biofuel innovation, such as ethanol-powered HCCI engines, has a lot of promise in today's car industry. As a result, efforts must be made to improve the distinctive characteristics of the engine by turning the engine settings to different ethanol mixtures. This study examines the aspects of ethanol-fueled HCCI engines utilizing homogenous charge preparation procedures. In addition, comparing HCCI engines to other advanced combustion engines revealed their increased importance and prospective consequences. Furthermore, the challenges of transitioning from conventional to HCCI engines are examined, along with potential answers for future upgrade approaches and control tactics

CeO2 based catalysts for the treatment of propylene in motorcycle's exhaust gases

In this work, the catalytic activities of several single metallic oxides were studied for the treatment of propylene, a component in motorcycles' exhaust gases, under oxygen deficient conditions. Amongst them, CeO2 is one of the materials that exhibit the highest activity for the oxidation of C3H6. Therefore, several mixtures of CeO2 with other oxides (SnO2, ZrO2, Co3O4) were tested to investigate the changes in catalytic activity (both propylene conversion and CO2 selectivity). Ce0.9Zr0.1O2, Ce0.8Zr0.2O2 solid solutions and the mixtures of CeO2 and Co3O4 was shown to exhibit the highest propylene conversion and CO2 selectivity. They also exhibited good activities when tested under oxygen sufficient and excess conditions and with the presence of co-existing gases (CO, H2O)

A discretized point-hyperplane incidence bound in Rd\mathbb{R}^d

Let $P$ be a $\delta$-separated $(\delta, s, C_P)$-set of points in $B(0, 1)\subset \mathbb{R}^d$ and $\Pi$ be a $\delta$-separated $(\delta, t, C_\Pi)$-set of hyperplanes intersecting $B(0, 1)$ in $\mathbb{R}^d$. Define $$I_{C\delta}(P, \Pi)=\#\{(p, \pi)\in P\times \Pi\colon p\in \pi(C\delta)\}.$$ Suppose that $s, t\ge \frac{d+1}{2}$, then we have $I_{C\delta}(P, \Pi)\lesssim \delta |P||\Pi|$. The main ingredient in our argument is a measure theoretic result due to Eswarathansan, Iosevich, and Taylor (2011) which was proved by using Sobolev bounds for generalized Radon transforms. Our result is essentially sharp, a construction will be provided and discussed in the last section.Comment: 14 page

A neurodynamic approach for a class of pseudoconvex semivectorial bilevel optimization problem

The article proposes an exact approach to find the global solution of a nonconvex semivectorial bilevel optimization problem, where the objective functions at each level are pseudoconvex, and the constraints are quasiconvex. Due to its non-convexity, this problem is challenging, but it attracts more and more interest because of its practical applications. The algorithm is developed based on monotonic optimization combined with a recent neurodynamic approach, where the solution set of the lower-level problem is inner approximated by copolyblocks in outcome space. From that, the upper-level problem is solved using the branch-and-bound method. Finding the bounds is converted to pseudoconvex programming problems, which are solved using the neurodynamic method. The algorithm's convergence is proved, and computational experiments are implemented to demonstrate the accuracy of the proposed approach

Modified moth swarm algorithm for optimal economic load dispatch problem

In this study, optimal economic load dispatch problem (OELD) is resolved by a novel improved algorithm. The proposed modified moth swarm algorithm (MMSA), is developed by proposing two modifications on the classical moth swarm algorithm (MSA). The first modification applies an effective formula to replace an ineffective formula of the mutation technique. The second modification is to cancel the crossover technique. For proving the efficient improvements of the proposed method, different systems with discontinuous objective functions as well as complicated constraints are used. Experiment results on the investigated cases show that the proposed method can get less cost and achieve stable search ability than MSA. As compared to other previous methods, MMSA can archive equal or better results. From this view, it can give a conclusion that MMSA method can be valued as a useful method for OELD problem