Phantom limb pain(PLP)is not only a physical pain experience but also poses a significant challenge to mental health and quality of life.Currently,the mechanism of PLP treatment is still unclear,and there are many met...Phantom limb pain(PLP)is not only a physical pain experience but also poses a significant challenge to mental health and quality of life.Currently,the mechanism of PLP treatment is still unclear,and there are many methods with varying effects.This article starts with the application research of extended reality technology in PLP treatment,through describing the application of its branch technologies(virtual reality,augmented reality,and mixed reality technology),to lay the foundation for subsequent research,in the hope of finding advanced and effective treatment methods,and providing a basis for future product transformation.展开更多
AIM:To compare the clinical outcomes of extended depth-of-focus intraocular lenses(EDOF IOLs)using either micromonovision implantation or mixed implantation of EDOF and diffractive bifocal IOLs.METHODS:This retrospect...AIM:To compare the clinical outcomes of extended depth-of-focus intraocular lenses(EDOF IOLs)using either micromonovision implantation or mixed implantation of EDOF and diffractive bifocal IOLs.METHODS:This retrospective clinical trial included 130 patients(260 eyes),who were divided into two groups.Group RR comprised 70 patients(140 eyes)bilaterally implanted with ZXR00 IOLs(Tecnis ZXR00,where one target was-0.5 D to-0.75 D and the other was 0 to-0.25 D).Group RM comprised 60 patients(120 eyes)unilaterally implanted with both ZXR00 and ZMB00 IOLs(Tecnis ZMB00,0 to-0.25 D).Postoperative outcomes were compared after 3 mo,including visual acuity,defocus curves,stereoacuity,modulation transfer functions(MTFs),higher-order aberrations,and Visual Function-14(VF-14)questionnaire responses.RESULTS:Group RR had superior bilateral intermediate vision,while the group RM had superior bilateral near vision(both P<0.05).Group RM also exhibited superior MTFs and reduced higher-order aberrations(both P<0.05).Stereoacuity and VF-14 questionnaire results showed no statistically significant difference between groups(P>0.05).CONCLUSION:The implantation of micromonovision has significantly improved near vision.IOLs and their collocation can be customized according to individual patient needs to achieve precise treatment and provide cataract patients with high-quality vision.展开更多
In order to explore the mechanism of improving the surface wettability of low-energy polytetrafluoroethylene(PTFE)by new extended surfactants,five kinds of extended anionic surfactants with different numbers of oxypro...In order to explore the mechanism of improving the surface wettability of low-energy polytetrafluoroethylene(PTFE)by new extended surfactants,five kinds of extended anionic surfactants with different numbers of oxypropylene(PO)and oxyethylene(EO),octadecyl-(PO)_(m)-(EO)_(n)-sodium carboxylate(C_(18)PO_(m)EO_(n)C,m=5,10,15,n=5,10,15),were studied.The surface tension and contact angle of C_(18)PO_(m)EO_(n)C solution with different concentrations were measured,and the adhesion tension,PTFE-water interfacial tension,and adhesion work were calculated.It was found that the extended surfactant molecules adsorb on the surface of the solution and the PTFE-liquid interface simultaneously when the concentration is lower than the critical micelle concentration(cmc),and there was a linear relationship between surface tension and adhesion tension.The adsorption amount of C_(18)PO_(m)EO_(n)C at the PTFE-water interface was significantly lower than that on the surface of the solution.As the concentration increases above cmc,semi-micelle aggregates on the surface of PTFE are formed by C_(18)PO_(m)EO_(n)C molecules through hydrophobic interaction,and the hydrophilic group faces the solution to modify the surface of PTFE with high efficiency.展开更多
在线维修是节约核电厂大修工期和提升经济性的重要手段。然而目前EPR核电厂运行技术规范(Operating Technical Specifications,OTS)对乏燃料水池冷却和处理系统(Fuel pool cooling and purification system,PTR)的管理要求限制了PTR及...在线维修是节约核电厂大修工期和提升经济性的重要手段。然而目前EPR核电厂运行技术规范(Operating Technical Specifications,OTS)对乏燃料水池冷却和处理系统(Fuel pool cooling and purification system,PTR)的管理要求限制了PTR及其相关系统在线维修的效率和灵活性。OTS对PTR系统的管理要求来自乏燃料水池(Spent Fuel Pool,SFP)相关设计基准事故(Design Basis Condition,DBC),这些事故采用基于“乏燃料水池温度”的验收准则,事故后需要PTR系统尽快投入运行防止SFP沸腾。为了提高PTR系统在线维修灵活性,本文根据乏燃料水池事故特点,结合国内法规和同类型核电厂的良好实践,将SFP相关DBC事故的验收准则修改为基于“乏燃料组件淹没”的验收准则并重新开展事故分析。根据新的事故分析结果,优化反应堆功率运行期间PTR系统的最低可用列数要求,为PTR系统在线维修的优化提供依据。展开更多
With respect to oceanic fluid dynamics,certain models have appeared,e.g.,an extended time-dependent(3+1)-dimensional shallow water wave equation in an ocean or a river,which we investigate in this paper.Using symbolic...With respect to oceanic fluid dynamics,certain models have appeared,e.g.,an extended time-dependent(3+1)-dimensional shallow water wave equation in an ocean or a river,which we investigate in this paper.Using symbolic computation,we find out,on one hand,a set of bilinear auto-Backlund transformations,which could connect certain solutions of that equation with other solutions of that equation itself,and on the other hand,a set of similarity reductions,which could go from that equation to a known ordinary differential equation.The results in this paper depend on all the oceanic variable coefficients in that equation.展开更多
为了完成进化动力反应堆(Evolutionary Power Reactor,EPR)压力容器单体顶盖的水压密封试验,设计一套专用的水压密封工装。介绍该工装的设计要求、结构特性和材料选用,并应用ABAQUS软件对关键部件在水压工况下的应力进行校核计算。实际...为了完成进化动力反应堆(Evolutionary Power Reactor,EPR)压力容器单体顶盖的水压密封试验,设计一套专用的水压密封工装。介绍该工装的设计要求、结构特性和材料选用,并应用ABAQUS软件对关键部件在水压工况下的应力进行校核计算。实际应用结果表明,该密封工装的性能能够满足水压试验设计要求。展开更多
In this paper,a scheme of commonly-resonated extended interaction circuit system based on high order TMn,mode is proposed to lock the phases of two extended interaction oscillators(EIOs)for generating high power at G-...In this paper,a scheme of commonly-resonated extended interaction circuit system based on high order TMn,mode is proposed to lock the phases of two extended interaction oscillators(EIOs)for generating high power at G-band.Two separate EIOs are coupled through a specific single-gap coupling field supported by a designed gap waveguide with length Lg,which form the phase-locked EIOs based on the commonly-resonated system.As a whole system,the system has been focused on with mode analysis based on different single-gap coupling fields,mode hopping,which present the variation of phase difference between the two-beam-wave interactions when changing Lg.To demonstrate the effectiveness of the proposed circuit system in producing the phase locking,we conducted particle-in-cell(PIC)simulations to show that the interesting mode hopping occurs with the phase difference of O and r between the output signals from two output ports,corresponding to the excitation of the TMn mode with different n.Simulation results show that 1)the oscillator can deliver two times of the output power obtained from one single oscillator at 220 GHz,2)the two EIOs can still deliver output signals with phase difference of O and when the currents of the two beams are different or the fabrication errors of the two EIO cavities are taken into account.The proposed scheme is promising in extending to phase locking between multiple EIOs,and generating higher power at millimeter-wave and higher frequencies.展开更多
Liver transplantation(LT)has made significant progress in the treatment of end stage liver disease(ESLD).However,many patients still die from disease progression while awaiting transplantation.As the number of patient...Liver transplantation(LT)has made significant progress in the treatment of end stage liver disease(ESLD).However,many patients still die from disease progression while awaiting transplantation.As the number of patients on LT waiting lists is increasing,and the organ shortage crisis is obvious,various efforts have been made to increase the pool of available liver grafts[1].In addition to living donor liver transplantation(LDLT),improving the utilization rate of extended criteria donor(ECD)livers is an important way.However,under traditional cold storage,ECD livers are usually associated with a higher risk of ischemic biliary disease,early allograft dysfunction(EAD)or even primary nonfunction(PNF).The frequently described definition in the literature for ECD grafts generally includes elderly,steatotic,long cold ischemia time(CIT),grafts obtained from donation after circulatory death(DCD),split liver grafts,donors with increased risk of infectious disease transmission and prolonged donor intensive care unit stay[2].展开更多
When the proton exchange membrane fuel cell(PEMFC)system is running,there will be a condition that does not require power output for a short time.In order to achieve zero power output under low power consumption,it is...When the proton exchange membrane fuel cell(PEMFC)system is running,there will be a condition that does not require power output for a short time.In order to achieve zero power output under low power consumption,it is necessary to consider the diversity of control targets and the complexity of dynamic models,which brings the challenge of high-precision tracking control of the stack output power and cathode intake flow.For system idle speed control,a modelbased nonlinear control framework is constructed in this paper.Firstly,the nonlinear dynamic model of output power and cathode intake flow is derived.Secondly,a control scheme combining nonlinear extended Kalman filter observer and state feedback controller is designed.Finally,the control scheme is verified on the PEMFC experimental platform and compared with the proportion-integration-differentiation(PID)controller.The experimental results show that the control strategy proposed in this paper can realize the idle speed control of the fuel cell system and achieve the purpose of zero power output.Compared with PID controller,it has faster response speed and better system dynamics.展开更多
This theory proposes an extended model of the electron based on the image of the screened electron in the concept of vacuum polarization of QED. The extended electron consists of a negatively charged core −q0which is ...This theory proposes an extended model of the electron based on the image of the screened electron in the concept of vacuum polarization of QED. The extended electron consists of a negatively charged core −q0which is surrounded by an assembly (an aggregation) of tiny static electric dipoles −q,+q. When subjected to an external field, electromagnetic forces are produced on these point charges to give rise to various properties of the electron. Three major properties of the electron that will be explored in this theory are: 1) the effective electric charge of the electron;2) the mechanism of the spin of the electron;3) the mechanism of radiation of the electron. The investigation of these properties leads to various innovative explanations for the generation of anti-particle, the orbital of the electron, the strong nuclear forces between nucleons … Other topics are also listed in the following content.展开更多
BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental di...BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental diseases,and improve prognosis.AIM To analyze the value of extended nursing based on the self-efficacy theory in older patients with intertrochanteric fractures.METHODS Older patients with intertrochanteric fractures(n=88)admitted to our hospital between January 2021 and December 2024 were randomly divided into two groups-the control group(n=44,routine nursing)and the observation group(n=44,extended nursing)-via balloting and treated for 12 weeks.The mental state,pain severity,limb function,and self-nursing ability of all patients before and after nursing were analyzed.RESULTS After nursing,the Hamilton Anxiety Scale and General Self-Efficacy Scale scores of patients in the two groups improved.Notably,Hamilton Anxiety Scale and General Self-Efficacy Scale scores in the observation group were lower and higher,respectively,than those in the control group(P<0.05).The pain severity in the observation group(2.64±0.22)was lower than that in the control group(2.85±0.41)(P<0.05).The recovery rate of limb function was higher in the observation group than in the control group(P<0.05).In addition,the self-nursing ability scores of the patients in both groups increased,with a significantly higher score in the observation group(P<0.05).CONCLUSION Extended nursing based on the self-efficacy theory can significantly improve mental state,relieve pain,and promote the recovery of limb function and self-nursing ability in older patients with intertrochanteric fractures.展开更多
BACKGROUNDLiving donor kidney transplantation (LDKT) is considered the gold standard fortreating end-stage kidney disease. Previous studies have highlighted the impact ofdonor and recipient demographics in influencing...BACKGROUNDLiving donor kidney transplantation (LDKT) is considered the gold standard fortreating end-stage kidney disease. Previous studies have highlighted the impact ofdonor and recipient demographics in influencing post-transplant outcomes. Webelieve that patient and graft outcomes in a tertiary university hospital setting willhave no difference between pairs of standard criteria vs pairs of extended criteria(EC) donors and recipients in LDKT.AIMTo investigate the outcomes of allocating EC donation (ECD) kidneys to ECrecipients (ECR) in LDKT and compare them to standard and mixed standard andEC pair counterparts.METHODSWe collected data from adult LDKTs conducted between April 2017 and April2022. Donor-recipient pairs were grouped based on criteria as follows: (1) Group1: Standard criteria donor (SCD) to standard criteria recipient (SCR);(2) Group 2:SCD to ECR;(3) Group 3: ECD to SCR;and (4) Group 4: ECD to ECR.RESULTSA total of 149 living donor transplants were analysed over a 5-year period. Graftsurvival, patient survival, and graft function were similar across all four groups.The incidence of common postoperative complications was as follows: (1) Perioperative bleeding (5.6%);(2) Surgical site infection (6.8%);and (3) Incisional hernia (7.4%). No statistically significantdifferences were found in patient or graft outcomes amongst the four groups. Multivariate analysis showed thatgroup 4 recipients might experience inferior 5-year graft function (β = -11.8, P = 0.037) when compared with group1.CONCLUSIONIn LDKT, long-term patient and graft outcomes are comparable amongst different combinations of standard vs ECdonors and recipients. These findings show the primary potential of living donor ECD to ECR kidney transplantationwith satisfying outcomes.展开更多
文摘Phantom limb pain(PLP)is not only a physical pain experience but also poses a significant challenge to mental health and quality of life.Currently,the mechanism of PLP treatment is still unclear,and there are many methods with varying effects.This article starts with the application research of extended reality technology in PLP treatment,through describing the application of its branch technologies(virtual reality,augmented reality,and mixed reality technology),to lay the foundation for subsequent research,in the hope of finding advanced and effective treatment methods,and providing a basis for future product transformation.
文摘AIM:To compare the clinical outcomes of extended depth-of-focus intraocular lenses(EDOF IOLs)using either micromonovision implantation or mixed implantation of EDOF and diffractive bifocal IOLs.METHODS:This retrospective clinical trial included 130 patients(260 eyes),who were divided into two groups.Group RR comprised 70 patients(140 eyes)bilaterally implanted with ZXR00 IOLs(Tecnis ZXR00,where one target was-0.5 D to-0.75 D and the other was 0 to-0.25 D).Group RM comprised 60 patients(120 eyes)unilaterally implanted with both ZXR00 and ZMB00 IOLs(Tecnis ZMB00,0 to-0.25 D).Postoperative outcomes were compared after 3 mo,including visual acuity,defocus curves,stereoacuity,modulation transfer functions(MTFs),higher-order aberrations,and Visual Function-14(VF-14)questionnaire responses.RESULTS:Group RR had superior bilateral intermediate vision,while the group RM had superior bilateral near vision(both P<0.05).Group RM also exhibited superior MTFs and reduced higher-order aberrations(both P<0.05).Stereoacuity and VF-14 questionnaire results showed no statistically significant difference between groups(P>0.05).CONCLUSION:The implantation of micromonovision has significantly improved near vision.IOLs and their collocation can be customized according to individual patient needs to achieve precise treatment and provide cataract patients with high-quality vision.
文摘In order to explore the mechanism of improving the surface wettability of low-energy polytetrafluoroethylene(PTFE)by new extended surfactants,five kinds of extended anionic surfactants with different numbers of oxypropylene(PO)and oxyethylene(EO),octadecyl-(PO)_(m)-(EO)_(n)-sodium carboxylate(C_(18)PO_(m)EO_(n)C,m=5,10,15,n=5,10,15),were studied.The surface tension and contact angle of C_(18)PO_(m)EO_(n)C solution with different concentrations were measured,and the adhesion tension,PTFE-water interfacial tension,and adhesion work were calculated.It was found that the extended surfactant molecules adsorb on the surface of the solution and the PTFE-liquid interface simultaneously when the concentration is lower than the critical micelle concentration(cmc),and there was a linear relationship between surface tension and adhesion tension.The adsorption amount of C_(18)PO_(m)EO_(n)C at the PTFE-water interface was significantly lower than that on the surface of the solution.As the concentration increases above cmc,semi-micelle aggregates on the surface of PTFE are formed by C_(18)PO_(m)EO_(n)C molecules through hydrophobic interaction,and the hydrophilic group faces the solution to modify the surface of PTFE with high efficiency.
基金financially supported by the Scientific Research Foundation of North China University of Technology(Grant Nos.11005136024XN147-87 and 110051360024XN151-86).
文摘With respect to oceanic fluid dynamics,certain models have appeared,e.g.,an extended time-dependent(3+1)-dimensional shallow water wave equation in an ocean or a river,which we investigate in this paper.Using symbolic computation,we find out,on one hand,a set of bilinear auto-Backlund transformations,which could connect certain solutions of that equation with other solutions of that equation itself,and on the other hand,a set of similarity reductions,which could go from that equation to a known ordinary differential equation.The results in this paper depend on all the oceanic variable coefficients in that equation.
文摘为了完成进化动力反应堆(Evolutionary Power Reactor,EPR)压力容器单体顶盖的水压密封试验,设计一套专用的水压密封工装。介绍该工装的设计要求、结构特性和材料选用,并应用ABAQUS软件对关键部件在水压工况下的应力进行校核计算。实际应用结果表明,该密封工装的性能能够满足水压试验设计要求。
基金Supported in part by the National Natural Science Foundation of China(62401125)the Natural Science Foundation of Sichuan Province(2023NSFSC1376)the Fundamental Research Funds for the Central Universities(ZYGX2024J008)。
文摘In this paper,a scheme of commonly-resonated extended interaction circuit system based on high order TMn,mode is proposed to lock the phases of two extended interaction oscillators(EIOs)for generating high power at G-band.Two separate EIOs are coupled through a specific single-gap coupling field supported by a designed gap waveguide with length Lg,which form the phase-locked EIOs based on the commonly-resonated system.As a whole system,the system has been focused on with mode analysis based on different single-gap coupling fields,mode hopping,which present the variation of phase difference between the two-beam-wave interactions when changing Lg.To demonstrate the effectiveness of the proposed circuit system in producing the phase locking,we conducted particle-in-cell(PIC)simulations to show that the interesting mode hopping occurs with the phase difference of O and r between the output signals from two output ports,corresponding to the excitation of the TMn mode with different n.Simulation results show that 1)the oscillator can deliver two times of the output power obtained from one single oscillator at 220 GHz,2)the two EIOs can still deliver output signals with phase difference of O and when the currents of the two beams are different or the fabrication errors of the two EIO cavities are taken into account.The proposed scheme is promising in extending to phase locking between multiple EIOs,and generating higher power at millimeter-wave and higher frequencies.
文摘Liver transplantation(LT)has made significant progress in the treatment of end stage liver disease(ESLD).However,many patients still die from disease progression while awaiting transplantation.As the number of patients on LT waiting lists is increasing,and the organ shortage crisis is obvious,various efforts have been made to increase the pool of available liver grafts[1].In addition to living donor liver transplantation(LDLT),improving the utilization rate of extended criteria donor(ECD)livers is an important way.However,under traditional cold storage,ECD livers are usually associated with a higher risk of ischemic biliary disease,early allograft dysfunction(EAD)or even primary nonfunction(PNF).The frequently described definition in the literature for ECD grafts generally includes elderly,steatotic,long cold ischemia time(CIT),grafts obtained from donation after circulatory death(DCD),split liver grafts,donors with increased risk of infectious disease transmission and prolonged donor intensive care unit stay[2].
基金Supported by the Major Science and Technology Projects in Jilin Province and Changchun City(20220301010GX).
文摘When the proton exchange membrane fuel cell(PEMFC)system is running,there will be a condition that does not require power output for a short time.In order to achieve zero power output under low power consumption,it is necessary to consider the diversity of control targets and the complexity of dynamic models,which brings the challenge of high-precision tracking control of the stack output power and cathode intake flow.For system idle speed control,a modelbased nonlinear control framework is constructed in this paper.Firstly,the nonlinear dynamic model of output power and cathode intake flow is derived.Secondly,a control scheme combining nonlinear extended Kalman filter observer and state feedback controller is designed.Finally,the control scheme is verified on the PEMFC experimental platform and compared with the proportion-integration-differentiation(PID)controller.The experimental results show that the control strategy proposed in this paper can realize the idle speed control of the fuel cell system and achieve the purpose of zero power output.Compared with PID controller,it has faster response speed and better system dynamics.
文摘This theory proposes an extended model of the electron based on the image of the screened electron in the concept of vacuum polarization of QED. The extended electron consists of a negatively charged core −q0which is surrounded by an assembly (an aggregation) of tiny static electric dipoles −q,+q. When subjected to an external field, electromagnetic forces are produced on these point charges to give rise to various properties of the electron. Three major properties of the electron that will be explored in this theory are: 1) the effective electric charge of the electron;2) the mechanism of the spin of the electron;3) the mechanism of radiation of the electron. The investigation of these properties leads to various innovative explanations for the generation of anti-particle, the orbital of the electron, the strong nuclear forces between nucleons … Other topics are also listed in the following content.
文摘BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental diseases,and improve prognosis.AIM To analyze the value of extended nursing based on the self-efficacy theory in older patients with intertrochanteric fractures.METHODS Older patients with intertrochanteric fractures(n=88)admitted to our hospital between January 2021 and December 2024 were randomly divided into two groups-the control group(n=44,routine nursing)and the observation group(n=44,extended nursing)-via balloting and treated for 12 weeks.The mental state,pain severity,limb function,and self-nursing ability of all patients before and after nursing were analyzed.RESULTS After nursing,the Hamilton Anxiety Scale and General Self-Efficacy Scale scores of patients in the two groups improved.Notably,Hamilton Anxiety Scale and General Self-Efficacy Scale scores in the observation group were lower and higher,respectively,than those in the control group(P<0.05).The pain severity in the observation group(2.64±0.22)was lower than that in the control group(2.85±0.41)(P<0.05).The recovery rate of limb function was higher in the observation group than in the control group(P<0.05).In addition,the self-nursing ability scores of the patients in both groups increased,with a significantly higher score in the observation group(P<0.05).CONCLUSION Extended nursing based on the self-efficacy theory can significantly improve mental state,relieve pain,and promote the recovery of limb function and self-nursing ability in older patients with intertrochanteric fractures.
文摘BACKGROUNDLiving donor kidney transplantation (LDKT) is considered the gold standard fortreating end-stage kidney disease. Previous studies have highlighted the impact ofdonor and recipient demographics in influencing post-transplant outcomes. Webelieve that patient and graft outcomes in a tertiary university hospital setting willhave no difference between pairs of standard criteria vs pairs of extended criteria(EC) donors and recipients in LDKT.AIMTo investigate the outcomes of allocating EC donation (ECD) kidneys to ECrecipients (ECR) in LDKT and compare them to standard and mixed standard andEC pair counterparts.METHODSWe collected data from adult LDKTs conducted between April 2017 and April2022. Donor-recipient pairs were grouped based on criteria as follows: (1) Group1: Standard criteria donor (SCD) to standard criteria recipient (SCR);(2) Group 2:SCD to ECR;(3) Group 3: ECD to SCR;and (4) Group 4: ECD to ECR.RESULTSA total of 149 living donor transplants were analysed over a 5-year period. Graftsurvival, patient survival, and graft function were similar across all four groups.The incidence of common postoperative complications was as follows: (1) Perioperative bleeding (5.6%);(2) Surgical site infection (6.8%);and (3) Incisional hernia (7.4%). No statistically significantdifferences were found in patient or graft outcomes amongst the four groups. Multivariate analysis showed thatgroup 4 recipients might experience inferior 5-year graft function (β = -11.8, P = 0.037) when compared with group1.CONCLUSIONIn LDKT, long-term patient and graft outcomes are comparable amongst different combinations of standard vs ECdonors and recipients. These findings show the primary potential of living donor ECD to ECR kidney transplantationwith satisfying outcomes.
