Conductor externalization and insulation failure are frequent complications with the recalled St. Jude Medical Riata implantable cardioverter-defibrillator(ICD) leads. Conductor externalization is a "unique"...Conductor externalization and insulation failure are frequent complications with the recalled St. Jude Medical Riata implantable cardioverter-defibrillator(ICD) leads. Conductor externalization is a "unique" failure mechanism: Cables externalize through the insulation("inside-out" abrasion) and appear outside the lead body. Recently, single reports described a similar failure also for Biotronik leads. Moreover, some studies reported a high rate of electrical dysfunction(not only insulation failure) with Biotronik Linox leads and a reduced survival rate in comparison with the competitors. In this paper we describe the case of a patient with a Biotronik Kentrox ICD lead presenting with signs of insulation failure and conductor externalization at fluoroscopy. Due to the high risk of extraction we decided to implant a new lead, abandoning the damaged one; lead reimplant was uneventful. Subsequently, we review currently available literature about Biotronik Kentrox and Linox ICD lead failure and in particular externalized conductors. Some single-center studies and a nonprospective registry reported a survival rate between 88% and 91% at 5 years for Linox leads, significantly worse than that of other manufacturers. However, the preliminary results of two ongoing multicenter, prospective registries(GALAXY and CELESTIAL) showed 96% survival rate at 5 years after implant, well within industry standards. Ongoing data collection is needed to confirm longer-term performance of this family of ICD leads.展开更多
Computational phantoms play an essential role in radiation dosimetry and health physics.Although mesh-type phantoms offer a high resolution and adjustability,their use in dose calculations is limited by their slow com...Computational phantoms play an essential role in radiation dosimetry and health physics.Although mesh-type phantoms offer a high resolution and adjustability,their use in dose calculations is limited by their slow computational speed.Progress in heterogeneous computing has allowed for substantial acceleration in the computation of mesh-type phantoms by utilizing hardware accelerators.In this study,a GPU-accelerated Monte Carlo method was developed to expedite the dose calculation for mesh-type computational phantoms.This involved designing and implementing the entire procedural flow of a GPUaccelerated Monte Carlo program.We employed acceleration structures to process the mesh-type phantom,optimized the traversal methodology,and achieved a flattened structure to overcome the limitations of GPU stack depths.Particle transport methods were realized within the mesh-type phantom,encompassing particle location and intersection techniques.In response to typical external irradiation scenarios,we utilized Geant4 along with the GPU program and its CPU serial code for dose calculations,assessing both computational accuracy and efficiency.In comparison with the benchmark simulated using Geant4 on the CPU using one thread,the relative differences in the organ dose calculated by the GPU program predominantly lay within a margin of 5%,whereas the computational time was reduced by a factor ranging from 120 to 2700.To the best of our knowledge,this study achieved a GPU-accelerated dose calculation method for mesh-type phantoms for the first time,reducing the computational time from hours to seconds per simulation of ten million particles and offering a swift and precise Monte Carlo method for dose calculation in mesh-type computational phantoms.展开更多
The effects of the high pressure die casting(HPDC)processes on porosity,microstructure,and mechanical properties of heat-treatment-free aluminum silicon(Al-Si)alloys have long been a focal point in automotive die-cast...The effects of the high pressure die casting(HPDC)processes on porosity,microstructure,and mechanical properties of heat-treatment-free aluminum silicon(Al-Si)alloys have long been a focal point in automotive die-casting research.In this work,the combined effect of shot sleeve materials and slow shot speeds on porosity,microstructure and mechanical properties of a newly designed HPDC Al-Si alloy was investigated.Results show that employing a ceramic shot sleeve or increasing the slow shot speed significantly reduces both the average size and area fraction of externally solidified crystals(ESCs),as well as the average pore size and volume fraction.When the slow shot speed is increased from 0.05 m·s^(-1)to 0.1 m·s^(-1),the pore volume fraction decreases by 10.2%in steel-shot-sleeve samples,compared to a substantial 67.1%reduction in ceramic-shot-sleeve samples.At a slow shot speed of 0.1 m·s^(-1),castings produced with a ceramic shot sleeve exhibit superior mechanical properties:8.3%higher yield strength,17.4%greater tensile strength,and an 81.4%improvement in elongation,relative to those from a steel shot sleeve.These findings provide valuable insights for minimizing porosity and coarse ESCs in die castings,offering promising potential for broader industrial applications.展开更多
Traditional strategies for designing hyperhalogens,superatoms with exceptional electron-withdrawing capacity,rely on complex superhalogen assembly,posing significant experimental challenges.Here,we introduce a non-inv...Traditional strategies for designing hyperhalogens,superatoms with exceptional electron-withdrawing capacity,rely on complex superhalogen assembly,posing significant experimental challenges.Here,we introduce a non-invasive dual external field(DEF) approach combining solvent effects and an oriented external electric field(OEEF) to construct hyperhalogens,as demonstrated by density functional theory(DFT) calculations.Our DEF strategy proves versatile,successfully designing hyperhalogens not only in simplified Ag_n^(-) model systems but also in the experimentally synthesized Ag_(25) nanocluster.Using the 3D Ag_(19)^(-) structure as a model,we further reveal the DEF's pivotal role in O_(2) activation,where solvent-OEEF synergy induces tunable O-O bond elongation and charge transfer,proportional to field strength.Our findings establish a field-driven paradigm for hyperhalogen design that preserves native cluster composition,providing a theoretical foundation for tailoring high-performance catalysts through precise activesite modulation.展开更多
Amphibious vehicles are more prone to attitude instability compared to ships,making it crucial to develop effective methods for monitoring instability risks.However,large inclination events,which can lead to instabili...Amphibious vehicles are more prone to attitude instability compared to ships,making it crucial to develop effective methods for monitoring instability risks.However,large inclination events,which can lead to instability,occur frequently in both experimental and operational data.This infrequency causes events to be overlooked by existing prediction models,which lack the precision to accurately predict inclination attitudes in amphibious vehicles.To address this gap in predicting attitudes near extreme inclination points,this study introduces a novel loss function,termed generalized extreme value loss.Subsequently,a deep learning model for improved waterborne attitude prediction,termed iInformer,was developed using a Transformer-based approach.During the embedding phase,a text prototype is created based on the vehicle’s operation log data is constructed to help the model better understand the vehicle’s operating environment.Data segmentation techniques are used to highlight local data variation features.Furthermore,to mitigate issues related to poor convergence and slow training speeds caused by the extreme value loss function,a teacher forcing mechanism is integrated into the model,enhancing its convergence capabilities.Experimental results validate the effectiveness of the proposed method,demonstrating its ability to handle data imbalance challenges.Specifically,the model achieves over a 60%improvement in root mean square error under extreme value conditions,with significant improvements observed across additional metrics.展开更多
In order to investigate the effect of die wall thickness on morphologies of defect band,a stepped mold with a wall thickness of 5 mm,4 mm,3 mm,2 mm,and 1 mm was designed to carry out high pressure die casting experime...In order to investigate the effect of die wall thickness on morphologies of defect band,a stepped mold with a wall thickness of 5 mm,4 mm,3 mm,2 mm,and 1 mm was designed to carry out high pressure die casting experiments with AlSi10 MgMn alloy.For castings with wall thickness of 2-4 mm,the ratio of the mean defect band width(w)and mean grain size(d)in the defect band(w/d)ranges 7-18,while it increases to 24.47 for the 5 mm-thick casting.This difference is related with the filling speed and the distribution of externally solidified crystals(ESCs).The mold flow analysis indicates that the filling speed decreases from 25.41 m·s^(-1)to 11.07 m·s^(-1)when wall thickness increases from 2 mm to 5 mm.Due to the decreasing filling speed along the wall thickness,ESCs gradually diffuse from the center to the defect band,which keep the shear strength in the defect band at a high-level during filling.Meanwhile,the shear strength generated during the filling also decreases as the shear rate drops.Finally,the defect bands in the 5 mm-thick region become widen and indistinct,and the porosity is as high as 5.25%.展开更多
Electroslag remelting(ESR) is an important metallurgical process for producing high-purity materials with homogeneous compositions and sound microstructures,and its typical products are ingots or simple castings.The c...Electroslag remelting(ESR) is an important metallurgical process for producing high-purity materials with homogeneous compositions and sound microstructures,and its typical products are ingots or simple castings.The core principle involves the resistive melting of a consumable electrode within a slag pool,followed by the refining of molten metal droplets as they traverse the slag,and subsequent sequential solidification in a water-cooled mold.However,conventional ESR processes face limitations in producing large or complex-shaped components,enhancing production efficiency,achieving highly specialized microstructures,and meeting ultra-high purity demands for advanced applications.Advanced composite ESR technologies have been developed to overcome these limitations by innovatively modifying key process aspects.For instance,electrode systems are improved using vibration,rotation,or multiple electrodes.Enhanced mold design and solidification control are achieved through techniques including conductive molds,mold rotation,and ingot withdrawal.Precise control of the process is realized through the use of protective gas,vacuum,or elevated pressure,as well as the application of external fields such as magnetic fields or ultrasonic vibration.This review comprehensively summarizes these advanced techniques,examining their principles and characteristics,and discussing their specific advantages and challenges.展开更多
Objective:To understand the current awareness and willingness to learn about the use of out-of-hospital automated external defibrillators(AEDs)in Deyang City,providing a basis for improving the success rate of rescue ...Objective:To understand the current awareness and willingness to learn about the use of out-of-hospital automated external defibrillators(AEDs)in Deyang City,providing a basis for improving the success rate of rescue operations.Methods:A questionnaire survey was conducted among residents in Deyang City from January 2025 to October 2025,covering residents’basic information,awareness of AED-related knowledge,and attitudes towards AED usage.Results:A total of 1,886 questionnaires were collected,with 1,823 valid questionnaires,yielding an effective rate of 96.66%.Among the 1,823 respondents,692(37.96%)had received cardiopulmonary resuscitation(CPR)-related learning or training,619(33.96%)could accurately describe the name of an AED,417(22.87%)could clearly describe the function of an AED,and 308(16.89%)could accurately describe how to use an AED.Among them,1,549(84.97%)were willing to provide assistance to patients experiencing cardiac arrest;1,731(94.95%)were willing to provide assistance under the premise of knowing how to use an AED;and 1,750(95.99%)were willing to learn about AED-related knowledge.Among the 91 individuals unwilling to provide rescue,75 responded with reasons.Among them,36 cases(48.00%)were reluctant to rescue due to a lack of relevant first aid knowledge,32 cases(42.67%)expressed concerns about exacerbating the patient’s condition due to improper operation,and 4 cases(5.33%)were unwilling to interact with strangers due to personal reasons.Conclusion:Currently,residents in Deyang City have limited knowledge about AEDs but demonstrate a strong willingness to learn and apply them.Measures need to be taken to enhance their understanding and application of AEDs.展开更多
Titanium alloy has the advantages of high strength,strong corrosion resistance,excellent high and low temperature mechanical properties,etc.,and is widely used in aerospace,shipbuilding,weapons and equipment,and other...Titanium alloy has the advantages of high strength,strong corrosion resistance,excellent high and low temperature mechanical properties,etc.,and is widely used in aerospace,shipbuilding,weapons and equipment,and other fields.In recent years,with the continuous increase in demand for medium-thick plate titanium alloys,corresponding welding technologies have also continued to develop.Therefore,this article reviews the research progress of deep penetration welding technology for medium-thick plate titanium alloys,mainly covering traditional arc welding,high-energy beam welding,and other welding technologies.Among many methods,narrow gap welding,hybrid welding,and external energy field assistance welding all contribute to improving the welding efficiency and quality of medium-thick plate titanium alloys.Finally,the development trend of deep penetration welding technology for mediumthick plate titanium alloys is prospected.展开更多
Additive manufacturing(AM)technology has demonstrated significant potential in the green,lightweight,and functional development of metal materials,offering greater freedom and flexibility in the manufacturing process....Additive manufacturing(AM)technology has demonstrated significant potential in the green,lightweight,and functional development of metal materials,offering greater freedom and flexibility in the manufacturing process.However,the microstructural heterogeneity and mechanical property anisotropy of nickel-based superalloys along the build direction,stemming from thermal cycling,limit their widespread application in the aerospace industry.The proposed hybrid manufacturing process introduces external energy fields(thermal,ultrasonic,magnetic fields)into the forming processes,offering an innovative pathway to overcome the limitations of AM superalloys.This paper systematically discusses the influence of energy fields on the AM process of nickel-based superalloys,focusing on key issues such as cracking,porosity,microstructural heterogeneity,and mechanical property.Various energy fields modulate the melt pool dynamics and solidification process through distinct mechanisms.However,there remain several unresolved challenges and controversies regarding their mechanisms,particularly concerning the microstructural evolution under the synergistic effects of multiple energy fields.To address this issue,current studies predominantly focus on experimental validation,with a lack of unified theoretical models and numerical simulations,which limits the further development of energy field optimization strategies.Accordingly,the roles and advantages of various energy fields in AM of nickel-based superalloys are summarized.And engineering challenges are highlighted,such as multi-field synergistic control strategies,quantitative prediction models for microstructure-property,and energy field optimization methods for practical applications.Finally,the future trends of energy field-assisted AM for high-performance superalloys are discussed,with an outlook on its potential applications in re-manufacturing technologies and integrated equipment.展开更多
This work investigated the dynamic behavior of vertical pipes conveying gas-liquid two-phase flow when subjected to external excitations at both ends.Even with minimal excitation amplitude,resonance can occur when the...This work investigated the dynamic behavior of vertical pipes conveying gas-liquid two-phase flow when subjected to external excitations at both ends.Even with minimal excitation amplitude,resonance can occur when the excitation frequency aligns with the natural frequency of the pipe,significantly increasing the degree of operational risk.The governing equation of motion based on the Euler-Bernoulli beam is derived for the relative deflection with stationary simply supported ends,with the effects of the external excitations represented by source terms distributed along the pipe length.The fourth-order partial differential equation is solved via the generalized integral transform technique(GITT),with the solution successfully verified via comparison with results in the literature.A comprehensive analysis of the vibration phenomena and changes in the motion state of the pipe is conducted for three classes of external excitation conditions:same frequency and amplitude(SFSA),same frequency but different amplitudes(SFDA),and different frequencies and amplitudes(DFDA).The numerical results show that with increasing gas volume fraction,the position corresponding to the maximum vibration displacement shifts upward.Compared with conditions without external excitation,the vibration displacement of the pipe conveying two-phase flow under external excitation increases significantly.The frequency of external excitation has a significant effect on the dynamic behavior of a pipe conveying two-phase flow.展开更多
Electrochemical metallurgy at low temperature(<473 K)shows promise for the extraction and refinement of metals and alloys in a green and sustainable manner.However,the kinetics of the electrodeposition process is g...Electrochemical metallurgy at low temperature(<473 K)shows promise for the extraction and refinement of metals and alloys in a green and sustainable manner.However,the kinetics of the electrodeposition process is generally slow at low temperature,resulting in large overpotential and low current efficiency.Thus,the application of external physical fields has emerged as an effective strategy for improving the mass and charge transfer processes during electrochemical reactions.This review highlights the challenges associated with low-temperature electrochemical processes and briefly discusses recent achievements in optimizing electrodeposition processes through the use of external physical fields.The regulating effects on the optimization of the electrodeposition process and the strategies for select-ing various external physical fields,including magnetic,supergravity,and ultrasonic fields are summarized from the perspectives of equipment and mechanisms.Finally,advanced methods for in-situ characterization of external physical field-assisted electrodeposition processes are reviewed to gain a deeper understanding of metallic electrodeposition.An in-depth exploration of the mechanism by which external physical fields affect the electrode process is essential for enhancing the efficiency of metal extraction at low temperatures.展开更多
Bcakground: Pancreatic pseudocyst (PPC) is a common complication arising from acute or chronic pancreatitis, trauma, or pancreatic duct obstruction. When acute fluid collection persists for 4 - 6 weeks and is encapsul...Bcakground: Pancreatic pseudocyst (PPC) is a common complication arising from acute or chronic pancreatitis, trauma, or pancreatic duct obstruction. When acute fluid collection persists for 4 - 6 weeks and is encapsulated by a fibrous wall, it is classified as a pancreatic pseudocyst. While PPC is generally asymptomatic in many patients, it can manifest with persistent abdominal pain, dyspepsia, intra-cystic infection, and potentially lead to gastrointestinal obstruction in some cases. Although smaller PPCs may resolve spontaneously, larger PPCs tend to be refractory to absorption and often necessitate surgical intervention to prevent complications such as intracystic hemorrhage. Objective: To explore the efficacy of percutaneous catheterization with negative pressure in the treatment of large pancreatic pseudocysts. Methods: The cases of large pancreatic pseudocysts treated in our hospital from 2004 to 2022 were retrospectively collected, and the general condition, operation time, drainage time, feeding time, postoperative complications, hospital stay, cost and follow-up of the patients were analyzed. Results: A total of 132 patients with large pancreatic pseudocysts were collected. The average operation time was 32.4 ± 2.1 min;The retention time of the drainage tube was 30 ± 1.8 days in the percutaneous negative pressure drainage group;The postoperative feeding time was no fasting after local anesthesia drainage;Postoperative complications (bleeding, infection, pancreatic leakage, recurrence, anastomotic leakage, etc.): Two of the 132 patients had recurrent cysts, which were cured by re-puncture and negative pressure drainage. The length of hospital stay was 6 ± 1.1 days;The cost was 11,200 ± 1300 yuan;Follow-up: The follow-up time ranged from 1 to 3 years, and the patients had no discomfort. Conclusion: Percutaneous catheterization and negative pressure drainage can effectively treat large pancreatic pseudocysts. Compared with other treatment methods, it is simple and effective, the postoperative recovery of patients is faster, the physical damage is less, the hospital stay is shorter, and the cost is lower.展开更多
High pressure die casting(HPDC)AlSi10Mn Mg alloy castings are widely used in the automobile industry.Mg can optimize the mechanical properties of castings through heat treatment,while the release of thermal stress aro...High pressure die casting(HPDC)AlSi10Mn Mg alloy castings are widely used in the automobile industry.Mg can optimize the mechanical properties of castings through heat treatment,while the release of thermal stress arouses the deformation of large integrated die-castings.Herein,the development of non-heat treatment Al alloys is becoming the hot topic.In addition,HPDC contains externally solidified crystals(ESCs),which are detrimental to the mechanical properties of castings.To achieve high strength and toughness of non-heat treatment die-casting Al-Si alloy,we used AlSi9Mn alloy as matrix with the introduction of Zr,Ti,Nb,and Ce.Their influences on ESCs and mechanical properties were systematically investigated through three-dimensional reconstruction and thermodynamic simulation.Our results reveal that the addition of Ti increased ESCs'size and porosity,while the introduction of Nb refined ESCs and decreased porosity.Meanwhile,large-sized Al_3(Zr,Ti)phases formed and degraded the mechanical properties.Subsequent introduction of Ce resulted in the poisoning effect and reduced mechanical properties.展开更多
As oil and gas exploration moves into deeper waters,marine risers are subjected to increasingly complex service conditions,including vessel motions,ocean currents,seabed-soil interactions,and internal flow effects.Thi...As oil and gas exploration moves into deeper waters,marine risers are subjected to increasingly complex service conditions,including vessel motions,ocean currents,seabed-soil interactions,and internal flow effects.This work establishes a dynamic behavior model of steel catenary risers(SCRs)with varying curvatures subjected to internal flow and external currents and considers the effects of pipe-soil interactions on the curvature profile.The governing equation is solved via the generalized integral transform technique(GITT),which yields a semi-analytical solution of a high-order nonlinear partial differential equation.Parametric studies are then performed to analyze the effects of varying curvature on the vibration frequency and amplitude of SCRs.The vibration frequency and amplitude increase with the touchdown angle and hang-off angle,although the effect of the hang-off angle is negligible.Additionally,as the curvature increases along the centerline axis,the position of the maximum amplitude of the SCR moves upward.展开更多
The paper presents experimental investigation results of crack pattern change in cement pastes caused by external sulfate attack(ESA).To visualize the formation and development of cracks in cement pastes under ESA,an ...The paper presents experimental investigation results of crack pattern change in cement pastes caused by external sulfate attack(ESA).To visualize the formation and development of cracks in cement pastes under ESA,an X-ray computed tomography(X-ray CT)was used,i e,the tomography system of Zeiss Xradia 510 versa.The results indicate that X-CT can monitor the development process and distribution characteristics of the internal cracks of cement pastes under ESA with attack time.In addition,the C3A content in the cement significantly affects the damage mode of cement paste specimens during sulfate erosion.The damage of ordinary Portland cement(OPC)pastes subjected to sulfate attack with high C3A content are severe,while the damage of sulfate resistant Portland cement(SRPC)pastes is much smaller than that of OPC pastes.Furthermore,a quadratic function describes the correlation between the crack volume fraction and development depth for two cement pastes immermed in sulfate solution.展开更多
BACKGROUND Pain in the back or pelvis or fear of back pain may affect the timing or cocontraction of the core muscles.In both static and dynamic movements,the Sahrmann core stability test provides an assessment of cor...BACKGROUND Pain in the back or pelvis or fear of back pain may affect the timing or cocontraction of the core muscles.In both static and dynamic movements,the Sahrmann core stability test provides an assessment of core muscle activation and a person's ability to stabilize the lumbopelvic complex.Preparatory cues and images can be used to increase the activation of these muscles.To attain optimal movement patterns,it will be necessary to determine what cueing will give the most effective results for core stability.AIM To investigate the effects of external and internal cues on core muscle activation during the Sahrmann five-level core stability test.METHODS Total 68 participants(21.83±3.47 years)were randomly allocated to an external(n=35)or internal cue group(n=33).Participants performed the Sahrmann fivelevel core stability test without a cue as baseline and the five-level stability exercises with an internal or external cue.External cue group received a pressure biofeedback unit(PBU),and the internal cue group received an audio cue.A Delsys Trigno^(TM)surface electromyography unit was used for muscle activation from the rectus abdominis,external oblique,and transverse abdominis/internal oblique muscles.RESULTS Linear mixed effects model analysis showed that cueing had a significant effect on core muscle activation(P=0.001);however,there was no significant difference between cue types(internal or external)(P=0.130).CONCLUSION Both external and internal cueing have significant effects on core muscle activation during the Sahrmann five-level core stability test and the PBU does not create higher muscle activation than internal cueing.展开更多
Dear Editor,We aimed to describe the management of the intraoperative injury of the right external iliac artery that occurred during robot-assisted right nephroureterectomy with bladder cuff excision.Surgery was sched...Dear Editor,We aimed to describe the management of the intraoperative injury of the right external iliac artery that occurred during robot-assisted right nephroureterectomy with bladder cuff excision.Surgery was scheduled for suspected urothelial carcinoma of the distal ureter in a 60-year-old woman.The patient involved in the present research signed a dedicated form to consent to the publication of images and/or information about her.Past medical history included Brugada syndrome diagnosed in 2015,and hypercholesterolemia.Past surgical history included one cesarean section only.Family history included ovarian cancer(sister),colorectal cancer(mother),and kidney cancer(father).展开更多
This study explores whether the current external quality assessment(EQA)level and acceptable bias for basic semen analysis in China are clinically useful.We collected data of semen EQA from Andrology laboratories in t...This study explores whether the current external quality assessment(EQA)level and acceptable bias for basic semen analysis in China are clinically useful.We collected data of semen EQA from Andrology laboratories in the Hunan Province(China)in 2022 and searched for data in the published literature from January2000 to December 2023 in China.On the basis of these data,we analyzed the coefficients of variation and acceptable biases of different quality control materials for basic semen analysis through robust statistics.We compared these findings with quality specifications based on biological variation from optimal,desirable,and minimum levels of bias to seek a unified and more suitable semen EQAbias evaluation standard for China's national conditions.Different sources of semen quality control material exhibited considerable variation in acceptable biases among laboratories,ranging from 8.2%to 56.9%.A total of 50.0% of the laboratories met the minimum quality specifications for progressive motility(PR),whereas 100.0%and 75.0%of laboratories met only the minimum quality specifications for sperm concentration and total motility(nonprogressive[NP]+PR),respectively.The Z value for sperm concentration and PR+NP was equivalent to the desirable performance specification,whereas the Z value for PR was equivalent only to the minimum performance specification.This study highlights the feasibility of operating external quality assessment schemes for basic semen analysis using quality specifications based on biological variation.These specifications should be unified among external quality control(EQC)centers based on biological variation.展开更多
Basic life support for cardiac arrest associates cardiopulmonary resuscitation(CPR)and defibrillation.CPR relies on chest compressions(CC)and ventilation.Current guidelines on CPR recommend a depth of 5-6 cm at a rhyt...Basic life support for cardiac arrest associates cardiopulmonary resuscitation(CPR)and defibrillation.CPR relies on chest compressions(CC)and ventilation.Current guidelines on CPR recommend a depth of 5-6 cm at a rhythm of 100-120 times/min for CC.[1,2]Interruptions of the CC must be as short as possible and are related to ventilation,defibrillation and turnover of the rescuers.Most of the automated external defibrillators(AEDs)require interruptions of the CC to perform rhythm analysis.Among the numerous marketed models of AEDs,some provide real-time feedback about the quality of the CC.展开更多
文摘Conductor externalization and insulation failure are frequent complications with the recalled St. Jude Medical Riata implantable cardioverter-defibrillator(ICD) leads. Conductor externalization is a "unique" failure mechanism: Cables externalize through the insulation("inside-out" abrasion) and appear outside the lead body. Recently, single reports described a similar failure also for Biotronik leads. Moreover, some studies reported a high rate of electrical dysfunction(not only insulation failure) with Biotronik Linox leads and a reduced survival rate in comparison with the competitors. In this paper we describe the case of a patient with a Biotronik Kentrox ICD lead presenting with signs of insulation failure and conductor externalization at fluoroscopy. Due to the high risk of extraction we decided to implant a new lead, abandoning the damaged one; lead reimplant was uneventful. Subsequently, we review currently available literature about Biotronik Kentrox and Linox ICD lead failure and in particular externalized conductors. Some single-center studies and a nonprospective registry reported a survival rate between 88% and 91% at 5 years for Linox leads, significantly worse than that of other manufacturers. However, the preliminary results of two ongoing multicenter, prospective registries(GALAXY and CELESTIAL) showed 96% survival rate at 5 years after implant, well within industry standards. Ongoing data collection is needed to confirm longer-term performance of this family of ICD leads.
基金supported by the National Natural Science Foundation of China(Nos.U2167209 and 12375312)Open-end Fund Projects of China Institute for Radiation Protection Scientific Research Platform(CIRP-HYYFZH-2023ZD001).
文摘Computational phantoms play an essential role in radiation dosimetry and health physics.Although mesh-type phantoms offer a high resolution and adjustability,their use in dose calculations is limited by their slow computational speed.Progress in heterogeneous computing has allowed for substantial acceleration in the computation of mesh-type phantoms by utilizing hardware accelerators.In this study,a GPU-accelerated Monte Carlo method was developed to expedite the dose calculation for mesh-type computational phantoms.This involved designing and implementing the entire procedural flow of a GPUaccelerated Monte Carlo program.We employed acceleration structures to process the mesh-type phantom,optimized the traversal methodology,and achieved a flattened structure to overcome the limitations of GPU stack depths.Particle transport methods were realized within the mesh-type phantom,encompassing particle location and intersection techniques.In response to typical external irradiation scenarios,we utilized Geant4 along with the GPU program and its CPU serial code for dose calculations,assessing both computational accuracy and efficiency.In comparison with the benchmark simulated using Geant4 on the CPU using one thread,the relative differences in the organ dose calculated by the GPU program predominantly lay within a margin of 5%,whereas the computational time was reduced by a factor ranging from 120 to 2700.To the best of our knowledge,this study achieved a GPU-accelerated dose calculation method for mesh-type phantoms for the first time,reducing the computational time from hours to seconds per simulation of ten million particles and offering a swift and precise Monte Carlo method for dose calculation in mesh-type computational phantoms.
基金the National Key Research and Development Program of China(Grant No.2022YFB3404201)the National Natural Science Foundation of China(Grant Nos.52175335,52405342)+1 种基金the Natural Science Foundation Joint Foundation of Liaoning province(Grant No.2023-B SB A-108)the Fundamental Research Funds for the Central Universities(Grant No.N2402005)。
文摘The effects of the high pressure die casting(HPDC)processes on porosity,microstructure,and mechanical properties of heat-treatment-free aluminum silicon(Al-Si)alloys have long been a focal point in automotive die-casting research.In this work,the combined effect of shot sleeve materials and slow shot speeds on porosity,microstructure and mechanical properties of a newly designed HPDC Al-Si alloy was investigated.Results show that employing a ceramic shot sleeve or increasing the slow shot speed significantly reduces both the average size and area fraction of externally solidified crystals(ESCs),as well as the average pore size and volume fraction.When the slow shot speed is increased from 0.05 m·s^(-1)to 0.1 m·s^(-1),the pore volume fraction decreases by 10.2%in steel-shot-sleeve samples,compared to a substantial 67.1%reduction in ceramic-shot-sleeve samples.At a slow shot speed of 0.1 m·s^(-1),castings produced with a ceramic shot sleeve exhibit superior mechanical properties:8.3%higher yield strength,17.4%greater tensile strength,and an 81.4%improvement in elongation,relative to those from a steel shot sleeve.These findings provide valuable insights for minimizing porosity and coarse ESCs in die castings,offering promising potential for broader industrial applications.
基金supported by the National Natural Science Foundation of China (NSFC,Nos.12474274,92161101)the Innovation Project of Jinan Science and Technology Bureau(No.2021GXRC032)the Natural Science Foundation of Shandong Province (No.ZR2024MA091)。
文摘Traditional strategies for designing hyperhalogens,superatoms with exceptional electron-withdrawing capacity,rely on complex superhalogen assembly,posing significant experimental challenges.Here,we introduce a non-invasive dual external field(DEF) approach combining solvent effects and an oriented external electric field(OEEF) to construct hyperhalogens,as demonstrated by density functional theory(DFT) calculations.Our DEF strategy proves versatile,successfully designing hyperhalogens not only in simplified Ag_n^(-) model systems but also in the experimentally synthesized Ag_(25) nanocluster.Using the 3D Ag_(19)^(-) structure as a model,we further reveal the DEF's pivotal role in O_(2) activation,where solvent-OEEF synergy induces tunable O-O bond elongation and charge transfer,proportional to field strength.Our findings establish a field-driven paradigm for hyperhalogen design that preserves native cluster composition,providing a theoretical foundation for tailoring high-performance catalysts through precise activesite modulation.
基金Supported by the National Defense Basic Scientific Research Program of China.
文摘Amphibious vehicles are more prone to attitude instability compared to ships,making it crucial to develop effective methods for monitoring instability risks.However,large inclination events,which can lead to instability,occur frequently in both experimental and operational data.This infrequency causes events to be overlooked by existing prediction models,which lack the precision to accurately predict inclination attitudes in amphibious vehicles.To address this gap in predicting attitudes near extreme inclination points,this study introduces a novel loss function,termed generalized extreme value loss.Subsequently,a deep learning model for improved waterborne attitude prediction,termed iInformer,was developed using a Transformer-based approach.During the embedding phase,a text prototype is created based on the vehicle’s operation log data is constructed to help the model better understand the vehicle’s operating environment.Data segmentation techniques are used to highlight local data variation features.Furthermore,to mitigate issues related to poor convergence and slow training speeds caused by the extreme value loss function,a teacher forcing mechanism is integrated into the model,enhancing its convergence capabilities.Experimental results validate the effectiveness of the proposed method,demonstrating its ability to handle data imbalance challenges.Specifically,the model achieves over a 60%improvement in root mean square error under extreme value conditions,with significant improvements observed across additional metrics.
基金supported by the National Natural Science Foundation of China(No.52474396 and 52175284)the National Key Research and Development Program of China(Grant No.2022YFB3404201)。
文摘In order to investigate the effect of die wall thickness on morphologies of defect band,a stepped mold with a wall thickness of 5 mm,4 mm,3 mm,2 mm,and 1 mm was designed to carry out high pressure die casting experiments with AlSi10 MgMn alloy.For castings with wall thickness of 2-4 mm,the ratio of the mean defect band width(w)and mean grain size(d)in the defect band(w/d)ranges 7-18,while it increases to 24.47 for the 5 mm-thick casting.This difference is related with the filling speed and the distribution of externally solidified crystals(ESCs).The mold flow analysis indicates that the filling speed decreases from 25.41 m·s^(-1)to 11.07 m·s^(-1)when wall thickness increases from 2 mm to 5 mm.Due to the decreasing filling speed along the wall thickness,ESCs gradually diffuse from the center to the defect band,which keep the shear strength in the defect band at a high-level during filling.Meanwhile,the shear strength generated during the filling also decreases as the shear rate drops.Finally,the defect bands in the 5 mm-thick region become widen and indistinct,and the porosity is as high as 5.25%.
基金supported by the National Natural Science Foundation of China (NSFC 52175352)。
文摘Electroslag remelting(ESR) is an important metallurgical process for producing high-purity materials with homogeneous compositions and sound microstructures,and its typical products are ingots or simple castings.The core principle involves the resistive melting of a consumable electrode within a slag pool,followed by the refining of molten metal droplets as they traverse the slag,and subsequent sequential solidification in a water-cooled mold.However,conventional ESR processes face limitations in producing large or complex-shaped components,enhancing production efficiency,achieving highly specialized microstructures,and meeting ultra-high purity demands for advanced applications.Advanced composite ESR technologies have been developed to overcome these limitations by innovatively modifying key process aspects.For instance,electrode systems are improved using vibration,rotation,or multiple electrodes.Enhanced mold design and solidification control are achieved through techniques including conductive molds,mold rotation,and ingot withdrawal.Precise control of the process is realized through the use of protective gas,vacuum,or elevated pressure,as well as the application of external fields such as magnetic fields or ultrasonic vibration.This review comprehensively summarizes these advanced techniques,examining their principles and characteristics,and discussing their specific advantages and challenges.
文摘Objective:To understand the current awareness and willingness to learn about the use of out-of-hospital automated external defibrillators(AEDs)in Deyang City,providing a basis for improving the success rate of rescue operations.Methods:A questionnaire survey was conducted among residents in Deyang City from January 2025 to October 2025,covering residents’basic information,awareness of AED-related knowledge,and attitudes towards AED usage.Results:A total of 1,886 questionnaires were collected,with 1,823 valid questionnaires,yielding an effective rate of 96.66%.Among the 1,823 respondents,692(37.96%)had received cardiopulmonary resuscitation(CPR)-related learning or training,619(33.96%)could accurately describe the name of an AED,417(22.87%)could clearly describe the function of an AED,and 308(16.89%)could accurately describe how to use an AED.Among them,1,549(84.97%)were willing to provide assistance to patients experiencing cardiac arrest;1,731(94.95%)were willing to provide assistance under the premise of knowing how to use an AED;and 1,750(95.99%)were willing to learn about AED-related knowledge.Among the 91 individuals unwilling to provide rescue,75 responded with reasons.Among them,36 cases(48.00%)were reluctant to rescue due to a lack of relevant first aid knowledge,32 cases(42.67%)expressed concerns about exacerbating the patient’s condition due to improper operation,and 4 cases(5.33%)were unwilling to interact with strangers due to personal reasons.Conclusion:Currently,residents in Deyang City have limited knowledge about AEDs but demonstrate a strong willingness to learn and apply them.Measures need to be taken to enhance their understanding and application of AEDs.
基金financially supported by the Key Research and Development Program of Ningbo(Grant No.2023Z098)Natural Science Foundation of Inner Mongolia(Grant No.2023MS05040)+1 种基金Shenyang Collaborative Innovation Center Project for Multiple Energy Fields Composite Processing of Special Materials(Grant No.JG210027)Shenyang Key Technology Special Project of The Open Competition Mechanism to Select the Best Solution(Grant Nos.2022210101000827,2022-0-43-048).
文摘Titanium alloy has the advantages of high strength,strong corrosion resistance,excellent high and low temperature mechanical properties,etc.,and is widely used in aerospace,shipbuilding,weapons and equipment,and other fields.In recent years,with the continuous increase in demand for medium-thick plate titanium alloys,corresponding welding technologies have also continued to develop.Therefore,this article reviews the research progress of deep penetration welding technology for medium-thick plate titanium alloys,mainly covering traditional arc welding,high-energy beam welding,and other welding technologies.Among many methods,narrow gap welding,hybrid welding,and external energy field assistance welding all contribute to improving the welding efficiency and quality of medium-thick plate titanium alloys.Finally,the development trend of deep penetration welding technology for mediumthick plate titanium alloys is prospected.
基金financially supported by the National Key Re-search and Development Program of China(No.2023YFB4603301)Science Center for Gas Turbine Project(No.P2022-C-Ⅳ-002-001)+3 种基金National Natural Science Foundation of China(No.52401066)IMR Innovation Fund(No.2024-PY10)Project of TaiHang Laboratory(A3023)China Postdoctoral Science Foundation(No.2022M723211).
文摘Additive manufacturing(AM)technology has demonstrated significant potential in the green,lightweight,and functional development of metal materials,offering greater freedom and flexibility in the manufacturing process.However,the microstructural heterogeneity and mechanical property anisotropy of nickel-based superalloys along the build direction,stemming from thermal cycling,limit their widespread application in the aerospace industry.The proposed hybrid manufacturing process introduces external energy fields(thermal,ultrasonic,magnetic fields)into the forming processes,offering an innovative pathway to overcome the limitations of AM superalloys.This paper systematically discusses the influence of energy fields on the AM process of nickel-based superalloys,focusing on key issues such as cracking,porosity,microstructural heterogeneity,and mechanical property.Various energy fields modulate the melt pool dynamics and solidification process through distinct mechanisms.However,there remain several unresolved challenges and controversies regarding their mechanisms,particularly concerning the microstructural evolution under the synergistic effects of multiple energy fields.To address this issue,current studies predominantly focus on experimental validation,with a lack of unified theoretical models and numerical simulations,which limits the further development of energy field optimization strategies.Accordingly,the roles and advantages of various energy fields in AM of nickel-based superalloys are summarized.And engineering challenges are highlighted,such as multi-field synergistic control strategies,quantitative prediction models for microstructure-property,and energy field optimization methods for practical applications.Finally,the future trends of energy field-assisted AM for high-performance superalloys are discussed,with an outlook on its potential applications in re-manufacturing technologies and integrated equipment.
基金financially supported by the Key Research and Development Program of Shandong Province(Grant Nos.2022CXGC020405,2023CXGC010415 and 2025TSGCCZZB0238)the National Natural Science Foundation of China(Grant No.52171288)the financial support from CNPq,FAPERJ,ANP,Embrapii,and China National Petroleum Corporation(CNPC).
文摘This work investigated the dynamic behavior of vertical pipes conveying gas-liquid two-phase flow when subjected to external excitations at both ends.Even with minimal excitation amplitude,resonance can occur when the excitation frequency aligns with the natural frequency of the pipe,significantly increasing the degree of operational risk.The governing equation of motion based on the Euler-Bernoulli beam is derived for the relative deflection with stationary simply supported ends,with the effects of the external excitations represented by source terms distributed along the pipe length.The fourth-order partial differential equation is solved via the generalized integral transform technique(GITT),with the solution successfully verified via comparison with results in the literature.A comprehensive analysis of the vibration phenomena and changes in the motion state of the pipe is conducted for three classes of external excitation conditions:same frequency and amplitude(SFSA),same frequency but different amplitudes(SFDA),and different frequencies and amplitudes(DFDA).The numerical results show that with increasing gas volume fraction,the position corresponding to the maximum vibration displacement shifts upward.Compared with conditions without external excitation,the vibration displacement of the pipe conveying two-phase flow under external excitation increases significantly.The frequency of external excitation has a significant effect on the dynamic behavior of a pipe conveying two-phase flow.
基金supported by Southern Marine Science and Engineering Guangdong Laboratory(Zhuhai)(No.SML2023SP243)the National Key Research and Development Program of China(No.2022YFC2906100)the National Natural Science Foundation of China(No.92475202)are acknowledged.
文摘Electrochemical metallurgy at low temperature(<473 K)shows promise for the extraction and refinement of metals and alloys in a green and sustainable manner.However,the kinetics of the electrodeposition process is generally slow at low temperature,resulting in large overpotential and low current efficiency.Thus,the application of external physical fields has emerged as an effective strategy for improving the mass and charge transfer processes during electrochemical reactions.This review highlights the challenges associated with low-temperature electrochemical processes and briefly discusses recent achievements in optimizing electrodeposition processes through the use of external physical fields.The regulating effects on the optimization of the electrodeposition process and the strategies for select-ing various external physical fields,including magnetic,supergravity,and ultrasonic fields are summarized from the perspectives of equipment and mechanisms.Finally,advanced methods for in-situ characterization of external physical field-assisted electrodeposition processes are reviewed to gain a deeper understanding of metallic electrodeposition.An in-depth exploration of the mechanism by which external physical fields affect the electrode process is essential for enhancing the efficiency of metal extraction at low temperatures.
文摘Bcakground: Pancreatic pseudocyst (PPC) is a common complication arising from acute or chronic pancreatitis, trauma, or pancreatic duct obstruction. When acute fluid collection persists for 4 - 6 weeks and is encapsulated by a fibrous wall, it is classified as a pancreatic pseudocyst. While PPC is generally asymptomatic in many patients, it can manifest with persistent abdominal pain, dyspepsia, intra-cystic infection, and potentially lead to gastrointestinal obstruction in some cases. Although smaller PPCs may resolve spontaneously, larger PPCs tend to be refractory to absorption and often necessitate surgical intervention to prevent complications such as intracystic hemorrhage. Objective: To explore the efficacy of percutaneous catheterization with negative pressure in the treatment of large pancreatic pseudocysts. Methods: The cases of large pancreatic pseudocysts treated in our hospital from 2004 to 2022 were retrospectively collected, and the general condition, operation time, drainage time, feeding time, postoperative complications, hospital stay, cost and follow-up of the patients were analyzed. Results: A total of 132 patients with large pancreatic pseudocysts were collected. The average operation time was 32.4 ± 2.1 min;The retention time of the drainage tube was 30 ± 1.8 days in the percutaneous negative pressure drainage group;The postoperative feeding time was no fasting after local anesthesia drainage;Postoperative complications (bleeding, infection, pancreatic leakage, recurrence, anastomotic leakage, etc.): Two of the 132 patients had recurrent cysts, which were cured by re-puncture and negative pressure drainage. The length of hospital stay was 6 ± 1.1 days;The cost was 11,200 ± 1300 yuan;Follow-up: The follow-up time ranged from 1 to 3 years, and the patients had no discomfort. Conclusion: Percutaneous catheterization and negative pressure drainage can effectively treat large pancreatic pseudocysts. Compared with other treatment methods, it is simple and effective, the postoperative recovery of patients is faster, the physical damage is less, the hospital stay is shorter, and the cost is lower.
基金financially supported by the National Natural Science Foundation of China(Nos.52175284 and 52474396)the National Key Research and Development Program of China(No.2022YFB3404201)。
文摘High pressure die casting(HPDC)AlSi10Mn Mg alloy castings are widely used in the automobile industry.Mg can optimize the mechanical properties of castings through heat treatment,while the release of thermal stress arouses the deformation of large integrated die-castings.Herein,the development of non-heat treatment Al alloys is becoming the hot topic.In addition,HPDC contains externally solidified crystals(ESCs),which are detrimental to the mechanical properties of castings.To achieve high strength and toughness of non-heat treatment die-casting Al-Si alloy,we used AlSi9Mn alloy as matrix with the introduction of Zr,Ti,Nb,and Ce.Their influences on ESCs and mechanical properties were systematically investigated through three-dimensional reconstruction and thermodynamic simulation.Our results reveal that the addition of Ti increased ESCs'size and porosity,while the introduction of Nb refined ESCs and decreased porosity.Meanwhile,large-sized Al_3(Zr,Ti)phases formed and degraded the mechanical properties.Subsequent introduction of Ce resulted in the poisoning effect and reduced mechanical properties.
基金financially supported by the National Natural Science Foundation of China(Grant No.52201312).
文摘As oil and gas exploration moves into deeper waters,marine risers are subjected to increasingly complex service conditions,including vessel motions,ocean currents,seabed-soil interactions,and internal flow effects.This work establishes a dynamic behavior model of steel catenary risers(SCRs)with varying curvatures subjected to internal flow and external currents and considers the effects of pipe-soil interactions on the curvature profile.The governing equation is solved via the generalized integral transform technique(GITT),which yields a semi-analytical solution of a high-order nonlinear partial differential equation.Parametric studies are then performed to analyze the effects of varying curvature on the vibration frequency and amplitude of SCRs.The vibration frequency and amplitude increase with the touchdown angle and hang-off angle,although the effect of the hang-off angle is negligible.Additionally,as the curvature increases along the centerline axis,the position of the maximum amplitude of the SCR moves upward.
基金Funded by Chinese National Natural Science Foundation of China(No.U2006224)。
文摘The paper presents experimental investigation results of crack pattern change in cement pastes caused by external sulfate attack(ESA).To visualize the formation and development of cracks in cement pastes under ESA,an X-ray computed tomography(X-ray CT)was used,i e,the tomography system of Zeiss Xradia 510 versa.The results indicate that X-CT can monitor the development process and distribution characteristics of the internal cracks of cement pastes under ESA with attack time.In addition,the C3A content in the cement significantly affects the damage mode of cement paste specimens during sulfate erosion.The damage of ordinary Portland cement(OPC)pastes subjected to sulfate attack with high C3A content are severe,while the damage of sulfate resistant Portland cement(SRPC)pastes is much smaller than that of OPC pastes.Furthermore,a quadratic function describes the correlation between the crack volume fraction and development depth for two cement pastes immermed in sulfate solution.
文摘BACKGROUND Pain in the back or pelvis or fear of back pain may affect the timing or cocontraction of the core muscles.In both static and dynamic movements,the Sahrmann core stability test provides an assessment of core muscle activation and a person's ability to stabilize the lumbopelvic complex.Preparatory cues and images can be used to increase the activation of these muscles.To attain optimal movement patterns,it will be necessary to determine what cueing will give the most effective results for core stability.AIM To investigate the effects of external and internal cues on core muscle activation during the Sahrmann five-level core stability test.METHODS Total 68 participants(21.83±3.47 years)were randomly allocated to an external(n=35)or internal cue group(n=33).Participants performed the Sahrmann fivelevel core stability test without a cue as baseline and the five-level stability exercises with an internal or external cue.External cue group received a pressure biofeedback unit(PBU),and the internal cue group received an audio cue.A Delsys Trigno^(TM)surface electromyography unit was used for muscle activation from the rectus abdominis,external oblique,and transverse abdominis/internal oblique muscles.RESULTS Linear mixed effects model analysis showed that cueing had a significant effect on core muscle activation(P=0.001);however,there was no significant difference between cue types(internal or external)(P=0.130).CONCLUSION Both external and internal cueing have significant effects on core muscle activation during the Sahrmann five-level core stability test and the PBU does not create higher muscle activation than internal cueing.
文摘Dear Editor,We aimed to describe the management of the intraoperative injury of the right external iliac artery that occurred during robot-assisted right nephroureterectomy with bladder cuff excision.Surgery was scheduled for suspected urothelial carcinoma of the distal ureter in a 60-year-old woman.The patient involved in the present research signed a dedicated form to consent to the publication of images and/or information about her.Past medical history included Brugada syndrome diagnosed in 2015,and hypercholesterolemia.Past surgical history included one cesarean section only.Family history included ovarian cancer(sister),colorectal cancer(mother),and kidney cancer(father).
基金supported by the Hunan Province Municipal Natural Science Foundation(2022JJ30018)the Hunan Province Health Commission Science Foundation(B202301037899)to WNL。
文摘This study explores whether the current external quality assessment(EQA)level and acceptable bias for basic semen analysis in China are clinically useful.We collected data of semen EQA from Andrology laboratories in the Hunan Province(China)in 2022 and searched for data in the published literature from January2000 to December 2023 in China.On the basis of these data,we analyzed the coefficients of variation and acceptable biases of different quality control materials for basic semen analysis through robust statistics.We compared these findings with quality specifications based on biological variation from optimal,desirable,and minimum levels of bias to seek a unified and more suitable semen EQAbias evaluation standard for China's national conditions.Different sources of semen quality control material exhibited considerable variation in acceptable biases among laboratories,ranging from 8.2%to 56.9%.A total of 50.0% of the laboratories met the minimum quality specifications for progressive motility(PR),whereas 100.0%and 75.0%of laboratories met only the minimum quality specifications for sperm concentration and total motility(nonprogressive[NP]+PR),respectively.The Z value for sperm concentration and PR+NP was equivalent to the desirable performance specification,whereas the Z value for PR was equivalent only to the minimum performance specification.This study highlights the feasibility of operating external quality assessment schemes for basic semen analysis using quality specifications based on biological variation.These specifications should be unified among external quality control(EQC)centers based on biological variation.
文摘Basic life support for cardiac arrest associates cardiopulmonary resuscitation(CPR)and defibrillation.CPR relies on chest compressions(CC)and ventilation.Current guidelines on CPR recommend a depth of 5-6 cm at a rhythm of 100-120 times/min for CC.[1,2]Interruptions of the CC must be as short as possible and are related to ventilation,defibrillation and turnover of the rescuers.Most of the automated external defibrillators(AEDs)require interruptions of the CC to perform rhythm analysis.Among the numerous marketed models of AEDs,some provide real-time feedback about the quality of the CC.
