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1.
Sci Rep ; 14(1): 19562, 2024 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-39174717

RESUMO

In this work, intelligent numerical models for the prediction of debris flow susceptibility using slope stability failure factor of safety (FOS) machine learning predictions have been developed. These machine learning techniques were trained using novel metaheuristic methods. The application of these training mechanisms was necessitated by the need to enhance the robustness and performance of the three main machine learning methods. It was necessary to develop intelligent models for the prediction of the FOS of debris flow down a slope with measured geometry due to the sophisticated equipment required for regular field studies on slopes prone to debris flow and the associated high project budgets and contingencies. With the development of smart models, the design and monitoring of the behavior of the slopes can be achieved at a reduced cost and time. Furthermore, multiple performance evaluation indices were utilized to ensure the model's accuracy was maintained. The adaptive neuro-fuzzy inference system, combined with the particle swarm optimization algorithm, outperformed other techniques. It achieved an FOS of debris flow down a slope performance of over 85%, consistently surpassing other methods.

2.
Surgery ; 169(6): 1500-1509, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33642052

RESUMO

BACKGROUND: Venous outflow reconstruction is very important especially in right lobe living donor liver transplantation without middle hepatic vein. Various interposition (venous or synthetic) grafts have been recommended for reconstruction of anterior sector tributaries. METHODS: We aimed to describe our surgical technique and analyze anterior sector venous reconstruction using expanded polytetrafluroethylene graft. Retrospective analysis of prospectively collected data for 760 primary right lobe living donor liver transplantations performed at our institute between December 2011 and June 2018. Reconstruction of anterior sector: expanded polytetrafluroethylene (group A, n = 705) and autologous vein (group B, n = 55). RESULTS: Pretransplant characteristics were comparable among both groups. Group A has significantly lower cold ischemia time (68.7 ± .3.5 minutes vs 127.8 ± 7.2 minutes; P < .001) and anhepatic time (116.3 ± 5.5 minutes vs 190.81 ± 9.35 minutes; P < .001) compared with group B. There was no difference in recovery pattern of liver functions, morbidity, and mortality between the 2 groups. One- and 6-month patency rates of interposition grafts were 97.6% and 84.4% (group A) and 96.4% and 78.1% (group B), respectively. CONCLUSION: In centers with limited access to homologous or autologous vascular grafts, use of expanded polytetrafluroethylene graft for anterior sector venous outflow reconstruction in right lobe living donor liver transplantation is a viable option with excellent patency and patient outcomes.


Assuntos
Veias Hepáticas/cirurgia , Transplante de Fígado/métodos , Procedimentos de Cirurgia Plástica/métodos , Politetrafluoretileno , Enxerto Vascular/métodos , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Fígado/irrigação sanguínea , Fígado/cirurgia , Transplante de Fígado/mortalidade , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Resultado do Tratamento , Grau de Desobstrução Vascular , Adulto Jovem
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