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Introduction: Durian is one of the tropical fruits that requires soil nutrients in its cultivation. It is important to understand the relationship between the content of critical nutrients, such as nitrogen (N), phosphorus (P), and potassium (K) in the soil and durian yield. How to optimize the fertilization plan is also important to the durian planting. Methods: Thus, this study proposes an Improved Radial Basis Neural Network Algorithm (IM-RBNNA) in the durian precision fertilization. It uses the gray wolf algorithm to optimize the weights and thresholds of the RBNNA algorithm, which can improve the prediction accuracy of the RBNNA algorithm for the soil nutrient content and its relationship with the durian yield. It also collects the soil nutrients and historical yield data to build the IM-RBNNA model and compare with other similar algorithms. Results: The results show that the IM-RBNNA algorithm is better than the other three algorithms in the average relative error, average absolute error, and coefficient of determination between the predicted and true values of soil N, K, and P fertilizer contents. It also predicts the relationship between soil nutrients and yield, which is closer to the true value. Discussion: It shows that the IM-RBNNA algorithm can accurately predict the durian soil nutrient content and yield, which is benefited for farmers to make agronomic plans and management strategies. It uses soil nutrient resources efficiently, which reduces the environmental negative impacts. It also ensures that the durian tree can obtain the appropriate amount of nutrients, maximize its growth potential, reduce production costs, and increase yields.
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Objective: To evaluate the effectiveness of percutaneous nephrolithotomy (PCNL) compared with open surgery for urinary stone removal. Methods: A total of 95 patients with urinary stones were screened for eligibility between October 2020 and December 2021. After excluding 5 patients who revoked their consent, 90 patients were randomized to receive either traditional open surgery (traditional group) or PCNL (PCNL group), with 45 patients in each group. In addition, the two groups received Shugan Qingre Tonglin decoction twice daily for 2 weeks. Outcome measures included intraoperative indexes, stone removal rate, postoperative healing, and quality of life. Results: PCNL resulted in significantly better intraoperative indexes (95% CI, 0.49-1.11; P < .001), lower creatinine concentration (95% CI, 0.59-1.61; P < .001), and higher glomerular filtration rate (95% CI, 2.43-2.91; P < .001) compared with traditional open surgery. Patients in the PCNL group had a significantly higher stone removal rate (95% CI, 1.09-2.51; P < .001) and a lower incidence of adverse events (95% CI, 0.69-1.87; P < .001) compared with those receiving traditional open surgery. Patients in the PCNL group had significantly higher quality of life (95% CI, 1.39-2.81; P < .001) and significantly higher maximum urinary flow rate (95% CI, 1.36-2.61; P < .001) than those in the traditional group at 1 month and 3 months after treatment. Conclusion: PCNL provides better postoperative renal function improvement, enhances the postoperative recovery of patients with urinary stones, and features manageable safety compared with traditional open surgery. The benefits of PCNL make it a promising technique for the clinical management of urinary stones. Its minimally invasive nature reduces patient discomfort, promotes faster recovery, and improves overall patient satisfaction. The superior outcomes of PCNL in terms of renal function improvement and postoperative recovery suggest that it is a viable alternative to traditional open surgery. Further research and clinical trials are warranted to validate these findings and establish PCNL as a widely adopted approach in the field of urology.
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With the popularization of big data technology, agricultural data processing systems have become more intelligent. In this study, a data processing method for farmland environmental monitoring based on improved Spark components is designed. It introduces the FAST-Join (Join critical filtering sampling partition optimization) algorithm in the Spark component for equivalence association query optimization to improve the operating efficiency of the Spark component and cluster. The experimental results show that the amount of data written and read in Shuffle by Spark optimized by the FAST-join algorithm only accounts for 0.958 and 1.384% of the original data volume on average, and the calculation speed is 202.11% faster than the original. The average data processing time and occupied memory size of the Spark cluster are reduced by 128.22 and 76.75% compared with the originals. It also compared the cluster performance of the FAST-join and Equi-join algorithms. The Spark cluster optimized by the FAST-join algorithm reduced the processing time and occupied memory size by an average of 68.74 and 37.80% compared with the Equi-join algorithm, which shows that the FAST-join algorithm can effectively improve the efficiency of inter-data table querying and cluster computing.
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A meta-analysis investigation to measure the influence of the usage of postoperative antibiotic prophylaxis (POP) compared with non-usage for stented distal hypospadias repair (SDHR). A comprehensive literature inspection till February 2023 was applied and 1067 interrelated investigations were reviewed. The 10 chosen investigations enclosed 1398 individuals with SDHR in the chosen investigations starting point, 812 of them were using POP, and 586 were not using POP. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were used to compute the value of the effect of the usage of POP compared with non-usage for SDHR by the dichotomous and continuous approaches and a fixed or random model. No significant difference was found between individuals using POP and not using POP in posthypospadias repair problem (PRP) (OR, 0.99; 95% CI, 0.42-2.34, P = .97) with moderate heterogeneity (I2 = 69%), posthypospadias repair infection problem (PRIP) (OR, 0.56; 95% CI, 0.30-1.06, P = .08) with no heterogeneity (I2 = 15%), and overall composite posthypospadias repair wound healing associated problem (OCPRWHAP) (OR, 1.27; 95% CI, 0.61-2.63, P = .53) with moderate heterogeneity (I2 = 59%) for SDHR. No significant difference was found between individuals using POP and not using POP in PRP, PRIP, and OCPRWHAP for SDHR. However, cautilised of the small sample sizes of several chosen investigations for this meta-analysis, care must be exercised when dealing with its values, for example, the low P-value of the PRIP.
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Hipospadias , Procedimientos de Cirugía Plástica , Humanos , Profilaxis Antibiótica , Hipospadias/cirugía , StentsRESUMEN
Objective: Comparing the clinical effect of flexible ureteroscope and laparoscope in the treatment of parapelvic cyst. Method: A total of 82 patients with parapelvic cyst who underwent surgical treatment in our hospital from May 2019 to May 2020 were selected. Patients were randomly divided into a control group and an observation group; the control group underwent laparoscopic parapelvic cyst topical decompression; the observation group underwent transurethral flexible ureteroscope holmium laser incision and drainage of parapelvic cyst. The intraoperative (operative time, intraoperative blood loss, and ventilation time), postoperative (time of getting out of bed, pain score, and length of hospital stay), and recurrence were compared between the two groups. Results: (1) The operative time and intraoperative blood loss in the observation group were significantly better than those in the control group (P < 0.05), while the ventilation time had no significant difference (P > 0.05). (2) The pain score and length of hospital stay in the observation group were better than those in the control group (P < 0.05). There was no significant difference in the time of getting out of bed (P > 0.05). (3) There was no serious infection or bleeding in either group. The observation group had no recurrence, and the postoperative recurrence rate was 0. There were 11 cases of recurrence in the control group, and the postoperative recurrence rate was 26.83%. The postoperative recurrence rate of the observation group was significantly lower than that of the control group, with statistical significance (χ 2 = 4.604, P < 0.05). Conclusion: Flexible ureteroscope for the treatment of parapelvic cyst could effectively reduce the operative time, intraoperative blood loss, and pain; in addition, the postoperative recovery was fast and the recurrence is rare, which was worth popularizing.
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Quistes , Enfermedades Renales Quísticas , Pérdida de Sangre Quirúrgica , Humanos , Laparoscopios , Dolor , Estudios Retrospectivos , Resultado del Tratamiento , UreteroscopiosRESUMEN
BACKGROUND: Duplication of the renal pelvis is a common congenital malformation of the urinary system. About one-third of cases are complete unilateral duplication of the renal pelvis, while bilateral duplication is extremely rare. Herein, we described a single case of bilateral renal duplication with double ureteral orifice ectopic vaginal fistula treated with laparoscopy. CASE SUMMARY: A 6-year-old girl suffering from long-term vaginal leakage was admitted on June 10, 2018. She was diagnosed with complete duplication of both kidneys and ureters and ectopic opening of both ureters combined with ureterovaginal fistula. The patient received laparoscopic ectopic ureteral bladder replantation and was followed up for 2 years. No renal function damage and vaginal leakage were found. CONCLUSION: Laparoscopic bladder-ureter reimplantation could effectively determine the location and number of ectopic ureters by imaging and cystoscopy.
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We report here the gelation of a series of petroleum products by serine derivatives. Among Fmoc (9-fluorenylmethoxycarbonyl) amino acids modified by long-chain amines with different substituents, serine-based compounds exhibit excellent performance in gel formation. Further studies on the variation of serine-based gelators demonstrate a considerable structure-property relationship between oil gelation performance and the molecular structure. Oils could be separated and collected by acid and distillation. Gelators exhibit the potential to be applied in an effective treatment of oil-containing water produced from frequent marine oil spills.
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Azobenzene and its derivatives are widely used as photoresponsive units for the fabrication of photoresponsive smart materials. In this work, two azobenzene derivatives were designed and investigated as hydrogelators, namely N-4-azodiphenyl-maleimic acid (ADPMA) and N-4-azodiphenyl-succinic acid (ADPSA) bearing azobenzene and carboxylic acid segments. In the process of deprotonation/protonation of the carboxylic acids by pH variation, the self-assembly of these two gelators was triggered. ADPMA could transform from solution to hydrogel while the solution of ADPSA formed a precipitate under the same conditions. The solution-gel/precipitate transformation can be repeated by changing the pH. In contrast to the conventional responsiveness to UV-light irradiation for azobenzene-based gels, the ADPMA hydrogel shows typical trans-cis isomerization of the azobenzene unit in solution, yet the hydrogel demonstrates remarkable stability to UV light irradiation in both the bulk gel and thin film states.
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Facile control over preparation of organic building blocks and self-assembled aggregations to construct the desired materials remains challenges. This article reports selective dynamic covalent bonds formation and the corresponding self-assembly behaviors by using a dipeptide, glycylglycine (GlyGly), reacting with isomeric aromatic dialdehydes o-phthalaldehyde (OPA), p-phthalaldehyde (PPA), and m-phthalaldehyde (MPA) to demonstrate diversified aggregation forms caused by structure topology variations. Under alkaline condition, the aldehyde groups of phthalaldehydes can be connected with the amino groups of GlyGly by imine bonds as the dynamic chemical bonds. Owing to the fact that formation and dissociation of the imine bonds were reversibly pH-responsive, the reactions and aggregates assembled by their products were also reversibly controlled by changing pH. Three products, including two-armed product (OPGG, in which two GlyGly molecules were connected with one OPA molecule), single-armed product (PPG, in which only one GlyGly molecule was connected with a PPA molecule), and a mixture product (MPGG and MPG), as well as their different self-assembly behaviors, were obtained from OPA/GlyGly, PPA/GlyGly, and MPA/GlyGly systems, respectively, at the same condition of pH 8.6 in 90% methanol aqueous solution. However, for OPA/GlyGly system, another different type of product with benzopyrrole structure (OPG) was obtained by nucleophilic substitution via mixing OPA and GlyGly in water, which generated organic nanoparticles. Based on the results above, we conjectured the differences in dynamic covalent bond formation and supramolecular assembly clearly were influenced by the structure topologies of phthalaldehydes (OPA, PPA, and MPA). The experimental phenomenon verified the hypothesis as well, which may guide us to realize facile construction of selective reaction products and intelligent reversibly responsive materials with diverse morphologies and functions.
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Two novel cyclodextrin derivatives were synthesized that could self-assemble into a supramolecular polymer and gel in different solvent environments. Importantly, the obtained self-assemblies, including vesicles, micro-fibers and gels, could respond to various external stimuli efficiently.