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The risk of cholangitis after ERCP implantation in malignant obstructive jaundice patients remains unknown. To develop models based on artificial intelligence methods to predict cholangitis risk more accurately, according to patients after stent implantation in patients' MOJ clinical data. This retrospective study included 218 patients with MOJ undergoing ERCP surgery. A total of 27 clinical variables were collected as input variables. Seven models (including univariate analysis and six machine learning models) were trained and tested for classified prediction. The model' performance was measured by AUROC. The RFT model demonstrated excellent performances with accuracies up to 0.86 and AUROC up to 0.87. Feature selection in RF and SHAP was similar, and the choice of the best variable subset produced a high performance with an AUROC up to 0.89. We have developed a hybrid machine learning model with better predictive performance than traditional LR prediction models, as well as other machine learning models for cholangitis based on simple clinical data. The model can assist doctors in clinical diagnosis, adopt reasonable treatment plans, and improve the survival rate of patients. [ABSTRACT FROM AUTHOR]

The hydrological processes play an important role in stimulating fish spawning behavior. Changes in the natural hydrological processes will alter the populations and distribution of fish, which may have a negative impact on the native aquatic organisms. The aim of this study is to identify the alteration of the water rising process during the fish spawning period and to construct an ecological flow optimization model to restore the water rising conditions for fish reproduction. The Mann–Kendall test and the sliding t-test were used to detect the mutation year of the mean daily flow data sets in the fish spawning period in each monitoring year. Then the data sets can be divided into pre-altered and post-altered periods. The water rising process was characterized by the water rising processes count, the duration, the daily flow increase rate, the date of the water rising process, and the initial water rising flow. The changes in hydrological processes in the middle reaches of the Yangtze River were investigated by comparing the post-altered and pre-altered characteristic parameters. Furthermore, we integrated the statistical values of the five characteristic parameters in pre-altered into an ecological flow optimization model to simulate the natural water rising processes for the spawning of the Four Major Chinese Carps (FMCC) and Chinese Sturgeon (CS). The analysis showed that after the hydrological mutation year, the duration and the initial water rising flow in the FMCC spawning season were increased, with hydrological alteration degrees of 63.10% and 70.16%, respectively; however, the daily flow increase rate was significantly decreased, with hydrological alteration of 86.50%. During the CS spawning season, the water rising processes count and the initial water rising flow were dramatically altered parameters, with hydrological alteration degrees of 50.86% and 83.27%, respectively. The former parameter increased, but the latter decreased significantly in the post-altered period. To induce the spawning activity of FMCC and CS, appropriate ecological flows and hydrological parameters were proposed. These results showed that during the spawning seasons of FMCC and CS, the hydrological processes of the middle reaches of the Yangtze River changed significantly. Therefore, ecological flow must be ensured through ecological operation of upstream reservoirs to provide suitable spawning conditions in target fish spawning grounds. [ABSTRACT FROM AUTHOR]

On the western plateau of China, ventilation problems brought on by low atmospheric pressure must be overcome. And CO migration after blasting in high-altitude tunnel by inclined shaft has become a significant scientific issue. In this study, the Computational Fluid Dynamics (CFD) method was used to analyze the flow field characteristics at the junction of the inclined shaft and tunnel. In addition, the effects of different fan opening modes and different initial CO concentration distributions on the ventilation were discussed. The simulation results showed that the main difference in the ventilation wind field was reflected in the position of the vortex region due to the different fan opening modes. Meanwhile, various initial CO concentration distributions showed different migration when there was no air volume difference between the left and right tunnels. Eliminating vortex zones and fully using high velocity airflow could improve relative ventilation efficiency by at least 18%. CO would accumulate in the opposite direction of the tunnel if only one of the fans was turned on. Therefore, a two-stage ventilation scheme was proposed, and the energy consumption was reduced by at least 33%. This research can provide guidance on high-altitude tunnel construction with multiple working faces to improve ventilation efficiency and reduce energy consumption. [ABSTRACT FROM AUTHOR]

The current study explored the slide-lengthening potentials of double and triple hemisections and the biomechanical effects of different inter-hemisection distances. Forty-eight porcine flexor digitorum profundus tendons were divided into double- and triple-hemisection groups (Groups A and B) and a control group (Group C). Group A was divided into Group A1 (distance between hemisections were the same as Group B) and Group A2 (distance between hemisections corresponded to the greatest distance between hemisections in Group B). Biomechanical evaluation, motion analysis, and finite element analysis (FEA) were performed. Failure load of intact tendon was significantly highest among groups. When the distance was 4 cm, the failure load of Group A increased significantly. When the distance between the hemisections was 0.5 or 1 cm, the failure load of Group B was significantly lower than Group A. Tendon elongation and failure load of Group B were significantly lower than those in Group A when the greatest distance between hemisections was the same. Consequently, Double hemisections had a similar lengthening ability to that of triple hemisections with the same distance, but better when the distances between extreme hemisections matched. However, the driving force for the initiation of lengthening may be greater. [ABSTRACT FROM AUTHOR]