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Fire safety evacuation has been used in numerous different kinds of buildings. This research conducts a scientometric review of fire safety evacuation applications and advances in the buildings to clarify the research trends of fire evacuation in the future and provide guidance for relevant research. A total of 3312 journals and conference proceedings were analyzed through different dimensions. The result proves that evacuation environments concentrate mainly on residential building, commercial building, school, and railway station. The characteristics of the evacuee have been gradually refined in recent years, including children, the elderly, patients, and vulnerable groups. The main experimental approaches of fire safety evacuation are evacuation drills, site records, and VR/AR experiments. The crowd behavior models mainly consist of six types: a cellular automata model, a social force model, a lattice gas model, a game-theoretic model, an animal agent-based model, and a computer agent-based model. The analysis results in the theoretical method are becoming gradually closer to the behavioral characteristics and movement data of the crowd during the actual evacuation with improvements of practical considerations. The study of evacuation drills, disaster rescue, emergencies, and other external environmental factors will become the forefront of future research, and subway stations, airports, high-rise building, and other personnel places will be the focus of the study of crowd evacuation. [ABSTRACT FROM AUTHOR]

A comprehensive computational fluid dynamic (CFD) model of CEES‐developed polyethylenimine impregnated protonated titanate nanotubes (PEI‐PTNTs) was developed using the Multiphase Flow with Interphase eXchanges (MFiX) package to evaluate the performance of the PEI‐PTNTs in a 1‐MW pilot‐scale carbon capture reactor developed by the National Energy Technology Laboratory (NETL). In this CFD model, the momentum, continuity, and energy transport equations were integrated with the first‐order chemistry model for chemical kinetics of heterogeneous reactions to predict the adsorption of CO2 onto amine‐based sorbent particles and the reactor temperature. Based on the amount of the CO2 adsorption obtained in the small‐scale experiment, the coefficients for the chemical reaction equations of PEI‐PTNTs are adjusted. The adjusted PEI‐PTNTs model is applied to the simplified numerical model of 1‐MW pilot‐scale carbon capture system, which is calibrated through the comparison between our simulation results and the results provided by NETL. This calibrated CFD model is used for selecting the optimized flow rate of the gas phase. Our study shows that the optimized gas flow rate to absorb 100% CO2 without loss is 1.5 kg/s, but if higher absorption rate is preferable despite some loss of CO2 absorption in the reactor, a higher flow rate than 1.5 kg/s can be selected. [ABSTRACT FROM AUTHOR]

To implement sustainable water resource management, the industries that produce a huge amount of wastewater are aiming to recycle wastewater. Reverse osmosis (RO) is an advanced membrane process that can produce potable water from wastewater. However, the presence of diverse pollutants in the wastewater necessitates effective pretreatment to ensure successful RO implementation. This study evaluated the efficiency of microfiltration (MF) and ultrafiltration (UF) as two pretreatment methods prior to RO, i.e., MF-RO and UF-RO, for recycling poultry slaughterhouse wastewater (PSWW). The direct treatment of PSWW with RO (direct RO) was also considered for comparison. In this study, membrane technology serves as a post treatment for PSWW, which was conventionally treated at Sanderson Farm. The results demonstrated that all of the processes, including MF-RO, UF-RO, and direct RO treatment of PSWW, rejected 100% of total phosphorus (TP), over 91.2% of chemical oxygen demand (COD), and 87% of total solids (TSs). Total nitrogen (TN) levels were reduced to 5 mg/L for MF-RO, 4 mg/L for UF-RO, and 9 mg/L for direct RO. In addition, the pretreatment of PSWW with MF and UF increased RO flux from 46.8 L/m2 h to 51 L/m2 h, an increase of approximately 9%. The product water obtained after MF-RO, UF-RO, and direct RO meets the required potable water quality standards for recycling PSWW in the poultry industry. A cost analysis demonstrated that MF-RO was the most economical option among membrane processes, primarily due to MF operating at a lower pressure and having a high water recovery ratio. In contrast, the cost of using RO without MF and UF pretreatments was approximately 2.6 times higher because of cleaning and maintenance expenses related to fouling. This study concluded that MF-RO is a preferable option for recycling PSWW. This pretreatment method would significantly contribute to environmental sustainability by reusing well-treated PSWW for industrial poultry purposes while maintaining cost efficiency. [ABSTRACT FROM AUTHOR]

The cracked chevron notched semi-circular bend (CCNSCB) method has been utilized in split Hopkinson pressure bar (SHPB) tests to measure the rock dynamic mode I fracture toughness. However, the measuring principle has never been thoroughly evaluated. In this study, a three-dimensional discrete element method has been employed to numerically investigate the dynamic fracture mechanism of CCNSCB specimens in SHPB testing considering different loading rates and supporting spans. Our results show that, even if the dynamic force balance can be efficiently satisfied, the conventional quasi-static analysis can still be questionable. For specimens with smaller supporting spans, the developing crack fronts are rather curved during the loading process, and the critical crack length is highly dependent on the loading rates. While for specimens with a large supporting span, the crack profiles are less affected and the critical crack fronts are finely confined within the chevron ligament with few undesirable damages. Thus, the CCNSCB method with a larger supporting span appear to be sound in the SHPB tests for measuring dynamic mode I fracture toughness of rocks. [ABSTRACT FROM AUTHOR]

Abstract: We performed systematic first principles calculations based on density functional theory to probe the energetics of dissociation of water molecules on small (TiO2) n (n =3, 4, 6, 8, and 10) clusters. We found that the (TiO2) n clusters have a strong ability to adsorb water molecules and the dissociative adsorption of water molecules on the surface of (TiO2) n clusters with a three step process is irreversible, size-dependent and energetically more favorable than the same on the surfaces of titanium oxide. Charged (TiO2) n cluster also have strong ability in H2O molecule splitting similar as neutral ones. The efficiency of water molecules dissociating on (TiO2) n cluster surface varies inversely with the cluster size due to the steric effect. Our results indicate a higher efficiency of small clusters of titanium oxide in dissociating water molecules than its low index surfaces of bulk terminated. [Copyright &y& Elsevier]

In recent years, deep convolutional neural networks (DCNNs) have shown promising performance in medical image analysis, including breast lesion classification in 2D ultrasound (US) images. Despite the outstanding performance of DCNN solutions, explaining their decisions remains an open investigation. Yet, the explainability of DCNN models has become essential for healthcare systems to accept and trust the models. This paper presents a novel framework for explaining DCNN classification decisions of lesions in ultrasound images using the saliency maps linking the DCNN decisions to known cancer characteristics in the medical domain. The proposed framework consists of three main phases. First, DCNN models for classification in ultrasound images are built. Next, selected methods for visualization are applied to obtain saliency maps on the input images of the DCNN models. In the final phase, the visualization outputs and domain-known cancer characteristics are mapped. The paper then demonstrates the use of the framework for breast lesion classification from ultrasound images. We first follow the transfer learning approach and build two DCNN models. We then analyze the visualization outputs of the trained DCNN models using the EGrad-CAM and Ablation-CAM methods. We map the DCNN model decisions of benign and malignant lesions through the visualization outputs to the characteristics such as echogenicity, calcification, shape, and margin. A retrospective dataset of 1298 US images collected from different hospitals is used to evaluate the effectiveness of the framework. The test results show that these characteristics contribute differently to the benign and malignant lesions' decisions. Our study provides the foundation for other researchers to explain the DCNN classification decisions of other cancer types. [ABSTRACT FROM AUTHOR]

The Dallas-Fort Worth (DFW) area that experiences high temperature and intense solar radiation falls into the moderate nonattainment classification. The variation in meteorological parameters plays an important role in ambient ozone levels variation. Meteorological influences need to be decoupled from ozone data for long-term trend analysis. Temporal separation of maximum daily average 8-h ozone (MDA8 ozone), maximum daily temperature (TMAX), daily average solar radiation (DASR), and daily average wind speed (DAWS) were conducted using Kolmogorov-Zurbenko (KZ) filter for ozone records at Keller (C17), Arlington (C61), Red Bird (C402) monitoring stations in the DFW area from 2003 to 2017. Temporal separation, regression analysis, and meteorological detrending were performed. The long-term component had a clear and stable trend. The contribution of the long-term component to total variation was negligible, which is less than 2%. This is due to the removal of the data noise from the original time series data. The seasonal component had a major contribution (55% to 72%) in the total variation of the maximum temperature and solar radiation. However, the short-term component was dominant in the total variation of the MDA8 ozone (41–54%) and wind speed (68–79%). Regression analysis showed the baseline component bears the highest correlation than the short-term and raw. Solar radiation had the highest correlation to the MDA8 ozone, followed by temperature data in all three stations. Meteorological detrending showed the detrended long-term ozone had an increasing trend. The increasing trend was significant at C402 with a trend of 0.19 ± 0.006 ppb/y (0.398 R2), whereas slight increasing trends were found at C17 (0.072 ± 0.006 (0.107 R2)) and at C61 (0.019 ± 0.007 (0.005 R2)). The increasing trend of long-term components of MDA8 ozone was justified by the increasing level of NOx and VOCs from the mobile sources in the DFW area. [ABSTRACT FROM AUTHOR]

Chitosan has emerged as a biodegradable, nontoxic polymer with multiple beneficial applications in the agricultural and biomedical sectors. As nanotechnology has evolved as a promising field, researchers have incorporated chitosan-based nanomaterials in a variety of products to enhance their efficacy and biocompatibility. Moreover, due to its inherent antimicrobial and chelating properties, and the availability of modifiable functional groups, chitosan nanoparticles were also directly used in a variety of applications. In this review, the use of chitosan-based nanomaterials in agricultural and biomedical fields related to the management of abiotic stress in plants, water availability for crops, controlling foodborne pathogens, and cancer photothermal therapy is discussed, with some insights into the possible mechanisms of action. Additionally, the toxicity arising from the accumulation of these nanomaterials in biological systems and future research avenues that had gained limited attention from the scientific community are discussed here. Overall, chitosan-based nanomaterials show promising characteristics for sustainable agricultural practices and effective healthcare in an eco-friendly manner. [ABSTRACT FROM AUTHOR]

Number connection test A (NCT-A) and digit symbol test (DST), the preferential neuropsychological tests to detect minimal hepatic encephalopathy (MHE) in China, haven't been standardized in Chinese population. We aimed to establish the norms based on a multi-center cross-sectional study and to detect MHE in cirrhotic patients. NCT-A and DST were administered to 648 healthy controls and 1665 cirrhotic patients. The regression-based procedure was applied to develop demographically adjusted norms for NCT-A and DST based on healthy controls. Age, gender, education, and age by education interaction were all predictors of DST, while age, gender, and education by gender interaction were predictors of log10 NCT-A. The predictive equations for expected scores of NCT-A and DST were established, and Z-scores were calculated. The norm for NCT-A was set as Z ≤ 1.64, while the norm for DST was set as Z ≥ − 1.64. Cirrhotic patients with concurrent abnormal NCT-A and DST results were diagnosed with MHE. The prevalence of MHE was 8.89% in cirrhotic patients, and only worse Child–Pugh classification (P = 0.002, OR = 2.389) was demonstrated to be the risk factor for MHE. The regression-based normative data of NCT-A and DST have been developed to detect MHE in China. A significant proportion of Chinese cirrhotic patients suffered from MHE, especially those with worse Child–Pugh classification. [ABSTRACT FROM AUTHOR]

• Monitoring during the rare exposure period of the dike due to climatic conditions. • Spur dike greater impact on plankton diversity and physicochemical factors. • Planktonic community similarity in upstream–downstream of dike greater than dike type. • Co-occurrence network complexity for eukaryote is in longitudinal dike, prokaryote is in spur dike. • Flow velocity effect on planktonic community in aquatic environment around dike. To investigate the effects of the waterway regulation structures on the hydraulic characteristics, water physicochemical factors, and the planktonic community in the upper Yangtze River, this study was conducted in August and September of 2022 on two ecological dikes in the Chongqing section of the upper Yangtze River: the longitudinal dike and the spur dike. High-throughput sequencing technology was used to explore the differences in planktonic community structures upstream and downstream of the waterway regulation structures during the dry season, as well as their main influencing factors. The results showed that the dissolved oxygen increased significantly, and the turbidity and flow rate decreased significantly in downstream of dikes. The spur dike exhibited more pronounced changes in water quality and hydrodynamic factors compared to the longitudinal dike. The diversity index of phytoplankton, zooplankton, and fungi in the downstream of dikes were higher than those in the upstream, and the bacterial diversity index was higher than those of eukaryotes at each sampling site. The impact of the spur dike on the planktonic biodiversity index was greater than that of the longitudinal dike, as it alters flow velocity, turbidity, and dissolved oxygen. The major phyla of phytoplankton, zooplankton, and bacteria, including Cryptophyta (70.37–80.57 %), Mollusca (7.56–37.50 %), and Proteobacteria (48.53–55.92 %), had a higher relative abundance in upstream of dike, and their relative abundance in spur dike was higher than that in longitudinal dike. In contrast, the relative abundance of the major phylum of fungi, Ascomycota (37.15–56.85 %), showed an opposite trend in both dike-to-dike comparison and dike upstream-to-downstream comparison to the above three plankton. The analysis of the neutral community model indicated that the predominance of stochastic assembly processes in the planktonic community was higher in the longitudinal dike compared to the spur dike, and longitudinal dike demonstrated higher rates of planktonic migration and speciation compared to the spur dike. Flow rate, dissolved oxygen, and turbidity were the significance influencing factors on the planktonic community structure in the aquatic environment around dike. Differences in dike-related environmental factors result in greater interactions among prokaryotes in the spur dike, while eukaryotes exhibited a more complex network of relationships in the longitudinal dike. These findings can provide a theoretical basis for the protection of biodiversity and the construction of ecological waterways in the waterway regulation engineering area. [ABSTRACT FROM AUTHOR]

In this paper, an effective numerical method is proposed for a linear complementarity problem (LCP) arising in the valuation of American bond options under the Cox–Ingersoll–Ross (CIR) model. Firstly, a variable substitution is used to simplify the linear complementary model. Secondly, the finite difference method is adopted to discretize the simplified model, and an equivalent variational form is obtained. Based on the positive definiteness of the discretized matrix, a projection and contraction method (PCM) is adopted for the resulting discretized variational problem. Finally, numerical experiments highlight the effectiveness and performance of the proposed algorithm. [ABSTRACT FROM AUTHOR]

In this study, a modified maximum tangential stress criterion by considering T-stress and uniaxial compression tests have been utilized to theoretically and experimentally reveal the fracture initiation mechanism of a center-symmetric closed crack in compacted clay. The results show that wing cracks occur in the linear elastic phase of the stress-strain curve. In the plastic phase of the stress-strain curve, the wing cracks extend gradually and the shear cracks occur. The crack initiation stress and peak stress of compacted clay first decrease with the rise in pre-crack inclination angle (β = 0°–40°), and then increase with the rise in pre-crack inclination angle (β = 50°–90°). When the pre-crack inclination angle is relatively small or large (β ≤ 10° or β ≥ 70°), the crack type is mainly tension cracks. Secondary shear cracks occur when the pre-crack inclination angle is 10°–80°. When the dimensionless crack length is larger than 0.35, the crack types include wing-type tension cracks and secondary shear cracks. The experimental results were compared with the theoretical values. It was found that the critical size rc of compacted clay under compression-shear loading was 0.75 mm, smaller than the value calculated by the empirical formula (12 mm). The MTS criterion considering T-stress can be used to predict the compression-shear fracture behavior of compacted clay. [ABSTRACT FROM AUTHOR]

This paper investigates the effects of support friction on mixed-mode I/II fracture behavior of compacted clay using notched deep beam (NDB) specimens under symmetric fixed support. Numerical models of 330 NDB specimens were established considering the crack inclination angle, crack length, support span, and support friction coefficient, and the normalized fracture parameters (YI, YII, and T*) of NDB specimens were calibrated. The numerical results showed that the values of YI, YII, and T* decreased at different degrees after considering the support friction. Notably, the support friction coefficient could significantly change the loading pattern at the crack tip. To verify this phenomenon, 12 compacted clay NDB specimens were prepared, and a mixed-mode I/II fracture test was performed under fixed support conditions; the phenomenon of asymmetric crack propagation was studied. The test data were processed using the numerical calibration results of YI, YII, and T* with and without consideration of friction. Afterward, the test data were compared and analyzed by combining the generalized maximum tangential stress (GMTS) and the maximum tangential stress (MTS) criteria. The analysis indicated that the real fracture characteristics of compacted clay NDB specimens could not be reflected when conducting mixed-mode I/II fracture tests under symmetric fixed support conditions if the test results were analyzed by YI, YII, and T* without considering support friction, as in previous studies. [ABSTRACT FROM AUTHOR]

Objective. This aim is to evaluate the effect of Sijunzi decoction (SJZD) treating chronic atrophic gastritis (CAG). Methods. We performed searches in seven databases. The randomized controlled trials (RCTs) comparing SJZD with standard medical care or inactive intervention for CAG were enrolled. Combined therapy of SJZD plus conventional therapies compared with conventional therapies alone was also retrieved. The primary outcome included the incidence of gastric cancer and the improvement of atrophy, intestinal metaplasia, and dysplasia based on the gastroscopy and pathology. The secondary outcomes were Helicobacter pylori clearance rate, quality of life, and adverse event/adverse drug reaction. Results. Six RCTs met the inclusion criteria. The research quality was low in the trials. For the overall effect rate, pooled analysis from 4 trials showed that modified SJZD plus conventional medications exhibited a significant improvement (OR = 4.86; 95% CI: 2.80 to 8.44; P < 0.00001) and without significant heterogeneity compared with the conventional medications alone. None reported the adverse effect. Conclusions. Modified SJZD combined with conventional western medicines appears to have benefits for CAG. Due to the limited number and methodological flaw, the beneficial and harmful effects of SJZD for CAG could not be identified. More high-quality clinical trials are needed to confirm the results. [ABSTRACT FROM AUTHOR]

Cracked rocks are quite susceptible to dynamic loading from drilling, blasting, and impacting events. Understanding the dynamic response of cracked rocks under dynamic loadings is crucial for the assessment of rock structure stability. In this study, dynamic compression tests were carried out on rock specimens with multiple parallel cracks using a split Hopkinson pressure bar apparatus. Effects of strain rate and crack intensity on dynamic responses, including strength and deformation properties, progressive failure behavior, rock fragmentation characteristics, and energy dissipation of cracked rock specimens, were systematically investigated. Stress–strain curves migrate from class I curves into class II with increasing strain rate. Dynamic strength shows clear rate dependence while dynamic elastic modulus is independent of strain rate. Progressive failure behavior of cracked rock specimens under high loading rates was analyzed using high-speed photography and digital image correlation technique. Results show that the X-shaped shear failure mode is the final failure modes of all specimens, regardless of crack intensity. Fragmentation analysis indicates that increasing strain rate intensifies fragmentation, decreases mean fragment size, and increases fractal dimension of rock fragments. At low strain rates, specimens remain unbroken or slightly spilt; at high strain rates, specimens are systematically pulverized. Energy utilization efficiency decreases while energy dissipation density increases with increasing strain rate. For a given strain rate, crack intensity has no significant influences on energy dissipation and fragmentation characteristics of cracked rock specimens under dynamic loading. [ABSTRACT FROM AUTHOR]

Background: Diarrhea is a ubiquitous digestive system disease, leading to loss of fluid and electrolytes, and may be life-threatening, especially in children and adults who are immunosuppressed or malnourished. Berberine has a broad-spectrum antibiotic activity and is very widely used to treat diarrhea in China. No systematic review has been carried out to evaluate the evidence presented in clinical trials. The aim of this study was to assess the effectiveness and safety of berberine in diarrhea treatment among children and adults. Methods: Seven databases and two clinical trial registries were searched on 1 September 2019. Randomized controlled trials were included, where participants were diagnosed (first diagnosed) as having diarrhea according to clear diagnostic criteria. Berberine alone or in combination with Western medication as intervention were included. Subgroup analyses were conducted based on children or adults, acute or persistent diarrhea, infectious or noninfectious and treatment courses. Primary outcomes were clinical cure rate and duration of diarrhea. The GRADE tool was used to assess the quality of evidence. Results: A total of 38 randomized controlled trials were included involving 3948 participants (including 27 trials on 2702 children) were included. Compared with antibiotics, berberine plus antibiotics showed better results in both adults and in children in general, especially when given for 7 days or 3 days in acute infectious diarrhea of children. Compared with the control groups, using berberine alone or in combination with montmorillonite, probiotics, and vitamin B increased the clinical cure rate of diarrhea. The use of berberine alone or berberine combined with montmorillonite reduced the duration of hospitalization. Using berberine had significantly better laboratory indicators (isoenzyme, inflammatory factors, myocardial enzyme, and fecal trait) and fewer systemic symptoms than the no berberine groups. Overall, 22 of 27 trials on children used berberine as an enema. No deaths and serious adverse events were reported. The quality of evidence of included trials was moderate to low or very low. The impact of different dosages, frequencies and treatment durations on the outcomes was not evaluated due to insufficient number of trials. Conclusion: This review demonstrated that berberine was generally effective in improving clinical cure rates and shortening the duration of diarrhea compared with control groups. No severe adverse event was reported. However, there is still a lack of high-quality evidence for evaluating the efficacy and safety of berberine. Trial registration: PROSPERO CRD42020151001 (available from http://www.crd.york.ac.uk/PROSPERO/). [ABSTRACT FROM AUTHOR]

• An oblique impact method using inclined cylinder specimens is employed in a split Hopkinson pressure bar (SHPB) apparatus modified with an axial pressure chamber to achieve the compression-shear loading in a combined static-dynamic mode. • Numerical simulations using both the finite element method and the discrete element method are conducted to assess the validity of this compression-shear specimen and to establish a new data processing method. • Experimental results highlight the combined effects of the loading rate and the axial confinement on the failure strength, fracturing mode and deformation characteristics of sandstone. The compression-shear behavior and failure mechanism of rocks under combined static-dynamic loading are of essential importance for mechanical characterization and construction safety in deep underground engineering applications. An inclined cylinder specimen is designed using a split Hopkinson pressure bar (SHPB) apparatus modified with an axial pressure chamber for laboratory studies. Specific issues on the validity of this compression-shear specimen that were not addressed previously have been numerically assessed involving the dynamic equilibrium of force and moment, stress uniformity, and interfacial friction effects. Experiments are conducted at different loading rates ranging from 500 to 4000 GPa/s and under axial pressures of 7, 21, 35, 49, and 63 MPa. Experimental results verify the dynamic equilibrium of inclined specimens in the axially constrained SHPB tests using pulse shaping techniques, which validates the data processing method newly proposed. Both the dynamic strength and total strength linearly increase with the loading rate. With the increasing pre-load ratio (ratio of the axial confining load to the unconfined compression strength of the tested material), the dynamic strength decreases, while the total strength increases and then keeps constant, where the turning point of the pre-load ratio approximates 0.7. High-speed photographs at a high loading rate illustrate that the increasing confinement can result in less shear but more tensile cracks. Particularly at a high confining condition, the inclined specimen fails by a feather-like shear fracture band where tensile secondary cracks extensively develop. The equivalent stress-strain relationships indicate the reinforcing effect of the confinement on the deformation and energy dissipation. Image, graphical abstract [ABSTRACT FROM AUTHOR]

Objective: Hepatocellular carcinoma (HCC) has become a pressing health problem facing the world today due to its high morbidity, high mortality, and late discovery. As a diagnostic criteria of HCC, the exact threshold of Alpha-fetoprotein (AFP) is controversial. Therefore, this study was aimed to systematically estimate the performance of AFP in diagnosing HCC and to clarify its optimal threshold. Methods: Medline and Embase databases were searched for articles indexed up to November 2019. English language studies were included if both the sensitivity and specificity of AFP in the diagnosis of HCC were provided. The basic information and accuracy data included in the studies were extracted. Combined estimates for sensitivity and specificity were statistically analyzed by random-effects model using MetaDisc 1.4 and Stata 15.0 software at the prespecified threshold of 400 ng/mL, 200 ng/mL, and the range of 20–100 ng/mL. The optimal threshold was evaluated by the area under curve (AUC) of the summary receiver operating characteristic (SROC). Results: We retrieved 29,828 articles and included 59 studies and 1 review with a total of 11,731 HCC cases confirmed by histomorphology and 21,972 control cases without HCC. The included studies showed an overall judgment of at risk of bias. Four studies with AFP threshold of 400 ng/mL showed the summary sensitivity and specificity of 0.32 (95%CI 0.31–0.34) and 0.99 (95%CI 0.98–0.99), respectively. Four studies with AFP threshold of 200 ng/mL showed the summary sensitivity and specificity of 0.49 (95%CI 0.47–0.50) and 0.98 (95%CI 0.97–0.99), respectively. Forty-six studies with AFP threshold of 20–100 ng/mL showed the summary sensitivity and specificity of 0.61 (95%CI 0.60–0.62) and 0.86 (95%CI 0.86–0.87), respectively. The AUC of SROC and Q index of 400 ng/mL threshold were 0.9368 and 0.8734, respectively, which were significantly higher than those in 200 ng/mL threshold (0.9311 and 0.8664, respectively) and higher than those in 20–100 ng/mL threshold (0.8330 and 0.7654, respectively). Furthermore, similar result that favored 400 ng/mL were shown in the threshold in terms of AFP combined with ultrasound. Conclusion: AFP levels in serum showed good accuracy in HCC diagnosis, and the threshold of AFP with 400 ng/mL was better than that of 200 ng/mL in terms of sensitivity and specificity no matter AFP is used alone or combined with ultrasound. [ABSTRACT FROM AUTHOR]

Background: Diarrhea is a ubiquitous digestive system disease, leading to loss of fluid and electrolytes, and may be life-threatening, especially in children and adults who are immunosuppressed or malnourished. Berberine has a broad-spectrum antibiotic activity and is very widely used to treat diarrhea in China. No systematic review has been carried out to evaluate the evidence presented in clinical trials. The aim of this study was to assess the effectiveness and safety of berberine in diarrhea treatment among children and adults. Methods: Seven databases and two clinical trial registries were searched on 1 September 2019. Randomized controlled trials were included, where participants were diagnosed (first diagnosed) as having diarrhea according to clear diagnostic criteria. Berberine alone or in combination with Western medication as intervention were included. Subgroup analyses were conducted based on children or adults, acute or persistent diarrhea, infectious or noninfectious and treatment courses. Primary outcomes were clinical cure rate and duration of diarrhea. The GRADE tool was used to assess the quality of evidence. Results: A total of 38 randomized controlled trials were included involving 3948 participants (including 27 trials on 2702 children) were included. Compared with antibiotics, berberine plus antibiotics showed better results in both adults and in children in general, especially when given for 7 days or 3 days in acute infectious diarrhea of children. Compared with the control groups, using berberine alone or in combination with montmorillonite, probiotics, and vitamin B increased the clinical cure rate of diarrhea. The use of berberine alone or berberine combined with montmorillonite reduced the duration of hospitalization. Using berberine had significantly better laboratory indicators (isoenzyme, inflammatory factors, myocardial enzyme, and fecal trait) and fewer systemic symptoms than the no berberine groups. Overall, 22 of 27 trials on children used berberine as an enema. No deaths and serious adverse events were reported. The quality of evidence of included trials was moderate to low or very low. The impact of different dosages, frequencies and treatment durations on the outcomes was not evaluated due to insufficient number of trials. Conclusion: This review demonstrated that berberine was generally effective in improving clinical cure rates and shortening the duration of diarrhea compared with control groups. No severe adverse event was reported. However, there is still a lack of high-quality evidence for evaluating the efficacy and safety of berberine. Trial registration: PROSPERO CRD42020151001 (available from http://www.crd.york.ac.uk/PROSPERO/). [ABSTRACT FROM AUTHOR]

Introduction: Ovarian tumors are the most common diagnostic challenge for gynecologists and ultrasound examination has become the main technique for assessment of ovarian pathology and for preoperative distinction between malignant and benign ovarian tumors. However, ultrasonography is highly examiner-dependent and there may be an important variability between two different specialists when examining the same case. The objective of this work is the evaluation of different well-known Machine Learning (ML) systems to perform the automatic categorization of ovarian tumors from ultrasound images. Methods: We have used a real patient database whose input features have been extracted from 348 images, from the IOTA tumor images database, holding together with the class labels of the images. For each patient case and ultrasound image, its input features have been previously extracted using Fourier descriptors computed on the Region Of Interest (ROI). Then, four ML techniques are considered for performing the classification stage: K-Nearest Neighbors (KNN), Linear Discriminant (LD), Support Vector Machine (SVM) and Extreme Learning Machine (ELM). Results: According to our obtained results, the KNN classifier provides inaccurate predictions (less than 60% of accuracy) independently of the size of the local approximation, whereas the classifiers based on LD, SVM and ELM are robust in this biomedical classification (more than 85% of accuracy). Conclusions: ML methods can be efficiently used for developing the classification stage in computer-aided diagnosis systems of ovarian tumor from ultrasound images. These approaches are able to provide automatic classification with a high rate of accuracy. Future work should aim at enhancing the classifier design using ensemble techniques. Another ongoing work is to exploit different kind of features extracted from ultrasound images. [ABSTRACT FROM AUTHOR]

• Rate-dependent cracking behaviors of single-flawed rock specimen under dynamic loading are numerically observed via DEM simulation. • Tensile wing cracks dominate specimen failure under low strain rate, while anti-wing cracks and shear cracks are prevalent under high strain rate. • Different initiation locations of tensile wing cracks are explained by stress filed visualization and theoretical analysis. • The initiation angles of tensile wing cracks are predicted via GMTS criteria, and the length of FPZ increases with increasing strain rate. This paper numerically investigated the rate-dependent progressive cracking behaviours of single-flawed rock specimens in split Hopkinson pressure bar (SHPB) tests. First, a 3D numerical SHPB system is established based on the discrete element method (DEM). By comparing with our laboratory experiments, micro-parameters of the DEM model are calibrated, which guarantees the reliability of the numerical simulations results. Via slice-cutting view, the inner and surface progressive cracking processes are explicitly revealed and compared, which compensates some defects in laboratory tests. Our numerical simulation results show that the progressive cracking behaviours of the single-flawed rock specimens exhibit evident rate dependence. Under low strain rates, tensile wing cracks dominate the entire cracking process, and only a few shear cracks appear during the post-peak stage. In contrast, under high strain rates, tensile wing racks are significantly suppressed, while anti-wing cracks and shear cracks are fully developed, leading to the final X-shaped failure modes. In addition, progressive cracking behaviours of the single-flawed rock specimens with different flaw inclination angles are assessed. Via stress field visualization and theoretical analysis, the different initiation locations of tensile wing cracks are explained. Furthermore, based on the generalized maximal tangential stress (GMTS) criteria, the fracture initiation angles of tensile wing cracks are predicted. The results show that the fracture initiation angles and the fracture process zone (FPZ) are significantly affected by the strain rate. The length of FPZ under dynamic loads is evidently longer than that under static loads, and the length of FPZ generally increases with an increasing strain rate, exhibiting evident rate dependence. [ABSTRACT FROM AUTHOR]

• Numerical modeling was performed to study dynamic mixed mode I/II fracture behavior of rocks. • Different mixed mode loading conditions and various loading rates were considered. • Dynamic mixed mode fracture of the specimens was mainly induced by tensile damages at the micro scale. • Mixed mode fracture resistance of rocks showed loading rate dependence. • A semi-analytical criterion could predict well the dynamic mixed mode fracture of rocks. Research on rock fracture behavior is usually limited to static mixed mode I/II fracture and static or dynamic mode I fracture. In this study, the notched semi-circular bend (NSCB) specimens with different notch inclination angles were introduced into the split Hopkinson pressure bar (SHPB) system to numerically investigate dynamic mixed mode I/II fracture behavior of cracked rocks. First, the feasibility and reliability of our discrete-element-method-based numerical system to model dynamic fracture behavior of rock were validated; then, the effects of different mixed mode loading conditions and various loading rates on the mixed mode fracture of NSCB specimens were studied. The dynamic mixed mode fracture of the specimens was found to be mainly induced by tensile damages at the micro scale. The results also showed the loading rate dependence of the mixed mode fracture resistance. Moreover, for the same increment of the loading rate, the dynamic mode I fracture toughness increases more than the dynamic mode II fracture toughness. Subsequently, the fracture resistance and fracture initiation angles observed in the modeling were compared with the theoretical predictions based on some brittle fracture criteria. It was demonstrated that a semi-analytical criterion could reproduce well the dynamic mixed mode fracture behavior of rocks. [ABSTRACT FROM AUTHOR]