Search Results (7)

Introduction: The Da Vinci Single-Port (DV-SP) system emerged in 2018 but there is limited evidence on its use and perioperative outcomes for robot-assisted adrenalectomy (RAA). Methods: A systematic search was performed through PubMed, Scopus, Ovid, and WoS in December 2024. A PICO framework was used. Population: adult patients with adrenal masses; Intervention: DV-SP RAA; Outcomes: feasibility, reproducibility and safety of DV-SP RAA. A total of five retrospective studies involving 342 patients were included. The quantitative analysis was conducted using a random-effect model or a fixed-effect model as appropriate. A risk of bias assessment for non-randomized comparative studies and case series was performed. Results: The pooled mean operative time was 92.5 min (95% confidence interval [CI] 71.2, 113.9, p I² = 0%, four studies), and the mean estimated blood loss (EBL) was 26.5 mL (95%CI −8.1, 61.2, I² = 98.2%, three studies). Most of the procedures were completed with a single incision, though some required additional port placement, with a proportion of 9% (95%CI 0, 29, I² = 71.7%, five studies). Perioperative complications were rare (0%, 95% CI 0, 4, I² = 0%, five studies). Two studies comparing DV-SP and DV multi-port (MP) found no significant differences in complications. One study compared DV-SP RAA to DV Si or Xi single-access procedures. DV-SP showed improved operative techniques and better cosmetic outcomes. Limitations of this study are small sample size and potential selection bias due to smaller masses in the DV-SP RAA group. Conclusions: DV-SP RAA is a promising approach, offering reduced operative time, low EBL, and excellent cosmetic results. This study shows that DV-SP RAA seems reproducible, feasible, and safe. Limitation of the included studies are small sample size and selection bias, which limits the generalizability of the results. Randomized comparative studies between DV-SP and MP RAA are needed to further validate these findings. Full article

The frequent occurrence of forest fires in mountainous regions has posed severe threats to both the ecological environment and human activities. This study proposed a multi-target firefighting task planning method of forest fires by multiple UAVs (Unmanned Aerial Vehicles) integrating task allocation and path planning. The forest fire environment factors such high temperatures, dense smoke, and signal shielding zones were considered as the threats. The multi-UAVs task allocation and path planning model was established with the minimum of flight time, flight angle, altitude variance, and environmental threats. In this process, the study considers only the use of fire-extinguishing balls as the fire suppressant for the UAVs. The improved multi-population grey wolf optimization (MP–GWO) algorithm and non-Dominated sorting genetic algorithm II (NSGA-II) were designed to solve the path planning and task allocation models, respectively. Both algorithms were validated compared with traditional algorithms through simulation experiments, and the sensitivity analysis of different scenarios were conducted. Results from benchmark tests and case studies indicate that the improved MP–GWO algorithm outperforms the grey wolf optimizer (GWO), pelican optimizer (POA), Harris hawks optimizer (HHO), coyote optimizer (CPO), and particle swarm optimizer (PSO) in solving more complex optimization problems, providing better average results, greater stability, and effectively reducing flight time and path cost. At the same scenario and benchmark tests, the improved NSGA-II demonstrates advantages in both solution quality and coverage compared to the original algorithm. Sensitivity analysis revealed that with the increase in UAV speed, the flight time in the completion of firefighting mission decreases, but the average number of remaining fire-extinguishing balls per UAV initially decreases and then rises with a minimum of 1.9 at 35 km/h. The increase in UAV load capacity results in a higher average of remaining fire-extinguishing balls per UAV. For example, a 20% increase in UAV load capacity can reduce the number of UAVs from 11 to 9 to complete firefighting tasks. Additionally, as the number of fire points increases, both the required number of UAVs and the total remaining fire-extinguishing balls increase. Therefore, the results in the current study can offer an effective solution for multiple UAVs firefighting task planning in forest fire scenarios. Full article

The objective of our study was to evaluate the predictive ability of a multi-trait genomic prediction model that accounts for interactions between marker effects to estimate heritability and genetic correlations of traits including 305-day milk yield, milk fat percentage, milk protein percentage, milk lactose percentage, and milk dry matter percentage in the Polish Holstein Friesian cow population. For this aim, 14,742 SNP genotype records for 586 Polish Holstein Friesian dairy cows from Poland were used. Single-Trait-ssGBLUP (ST) and Multi-Trait-ssGBLUP (MT) methods were used for estimation. We examined 305-day milk yield (MY, kg), milk fat percentage (MF, %), milk protein percentage (MP, %), milk lactose percentage (ML, %), and milk dry matter percentage (MDM, %). The results showed that the highest marker effect rank correlation was found between milk fat percentage and milk dry matter. The weakest marker effect rank correlation was found between ML and all other traits. Obtained accuracies of this study were between 0.770 and 0.882, and 0.773 and 0.876 for MT and ST, respectively, which were acceptable values. All estimated bias values were positive, which is proof of underestimation. The highest heritability value was obtained for MP (0.3029) and the lowest heritability value was calculated for ML (0.2171). Estimated heritability values were low for milk yield and milk composition as expected. The strongest genetic correlation was estimated between MDM and MF (0.4990) and the weakest genetic correlation was estimated between MY and ML (0.001). The genetic relations with milk yield were negative and can be ignored as they were not significant. In conclusion, multi-trait genomic prediction can be more beneficial than single-trait genomic prediction. Full article

(1) Background: Recent studies report high accuracies when using machine learning (ML) algorithms to classify prostate cancer lesions on publicly available datasets. However, it is unknown if these trained models generalize well to data from different institutions. (2) Methods: This was a retrospective study using multi-parametric Magnetic Resonance Imaging (mpMRI) data from our institution (63 mpMRI lesions) and the ProstateX-2 challenge, a publicly available annotated image set (112 mpMRI lesions). Residual Neural Network (ResNet) algorithms were trained to classify lesions as high-risk (hrPCA) or low-risk/benign. Models were trained on (a) ProstateX-2 data, (b) local institutional data, and (c) combined ProstateX-2 and local data. The models were then tested on (a) ProstateX-2, (b) local and (c) combined ProstateX-2 and local data. (3) Results: Models trained on either local or ProstateX-2 image data had high Area Under the ROC Curve (AUC)s (0.82–0.98) in the classification of hrPCA when tested on their own respective populations. AUCs decreased significantly (0.23–0.50, p < 0.01) when models were tested on image data from the other institution. Models trained on image data from both institutions re-achieved high AUCs (0.83–0.99). (4) Conclusions: Accurate prostate cancer classification models trained on single-institutional image data performed poorly when tested on outside-institutional image data. Heterogeneous multi-institutional training image data will likely be required to achieve broadly applicable mpMRI models. Full article

Despite the fast emergent of smartphones in day-to-day activity, the sustainable development of mobile financial services (MFS) remains low partially due to online consumer’s trust and perceived risk. This research broadens the trust and the perceived risk at the multi-dimensional for understanding and prioritizing alternatives of MFS decision. A combined methodology; structural equation modeling (SEM) with two multiple criteria decision-making (MCDM) methods such as a technique for order of preference by similarity to ideal solution (TOPSIS) and analytic hierarchy process (AHP) were applied for data analysis. The two steps SEM-TOPSIS techniques were adopted through a two-types survey on datasets consisting of 538 MFS users, and 74 both experienced MFS users and experts in Togo. The SEM is used for causal relationships and assigning weights for the TOPSIS input. TOPSIS was applied for providing MFS alternative classification, in which the results were compared with prior research using the SEM-AHP technique on the given population. The results via SEM revealed particularly strong support for the dispositional trust and perceived privacy risk. Trust has a negative relationship with perceived risk. Except for perceived time risk, all the antecedents of perceived risk and trust validated the proposed relationship. The findings of TOPSIS uncovered that mobile money transfer (MMT) remains the core application used, followed by mobile payment (MP) and mobile banking (MB) and, therefore, consistent with AHP. However, the TOPSIS technique is better suited to the problem of MFS selection for this study field. This research offers a novel and practical modeling and classification concept for researchers, companies’ managers, and experts in the areas of information technology. The implications, limitations, and future research are provided. Full article

This paper proposes total optimization of energy networks in a smart city by multi-population global-best modified brain storm optimization (MP-GMBSO). Efficient utilization of energy is necessary for reduction of CO₂ emission, and smart city demonstration projects have been conducted around the world in order to reduce total energies and the amount of CO₂ emission. The problem can be formulated as a mixed integer nonlinear programming (MINLP) problem and various evolutionary computation techniques such as particle swarm optimization (PSO), differential evolution (DE), Differential Evolutionary Particle Swarm Optimization (DEEPSO), Brain Storm Optimization (BSO), Modified BSO (MBSO), Global-best BSO (BSO), and Global-best Modified Brain Storm Optimization (GMBSO) have been applied to the problem. However, there is still room for improving solution quality. Multi-population based evolutionary computation methods have been verified to improve solution quality and the approach has a possibility for improving solution quality. The proposed MS-GMBSO utilizes only migration for multi-population models instead of abest, which is the best individual among all of sub-populations so far, and both migration and abest. Various multi-population models, migration topologies, migration policies, and the number of sub-populations are also investigated. It is verified that the proposed MP-GMBSO based method with ring topology, the W-B policy, and 320 individuals is the most effective among all of multi-population parameters. Full article

The economic load dispatch (ELD) problem is an optimization problem of minimizing the total fuel cost of generators while satisfying power balance constraints, operating capacity limits, ramp-rate limits and prohibited operating zones. In this paper, a novel multi-population based chaotic JAYA algorithm (MP-CJAYA) is proposed to solve the ELD problem by applying the multi-population method (MP) and chaotic optimization algorithm (COA) on the original JAYA algorithm to guarantee the best solution of the problem. MP-CJAYA is a modified version where the total population is divided into a certain number of sub-populations to control the exploration and exploitation rates, at the same time a chaos perturbation is implemented on each sub-population during every iteration to keep on searching for the global optima. The proposed MP-CJAYA has been adopted to ELD cases and the results obtained have been compared with other well-known algorithms reported in the literature. The comparisons have indicated that MP-CJAYA outperforms all the other algorithms, achieving the best performance in all the cases, which indicates that MP-CJAYA is a promising alternative approach for solving ELD problems. Full article