Objective:To investigate the application effect of intelligent empowerment standardized airway management process in patients receiving mechanical ventilation.Methods:A retrospective analysis was conducted on the clin...Objective:To investigate the application effect of intelligent empowerment standardized airway management process in patients receiving mechanical ventilation.Methods:A retrospective analysis was conducted on the clinical data of 79 EICU inpatients who underwent tracheal intubation and mechanical ventilation treatment at our hospital from January 2023 to May 2025.The patients were divided into a control group(conventional airway management process,n=40)and a study group(intelligent empowerment standardized airway management process,n=39)based on the intervention protocols they received.Oral health scores,dental plaque index,oral odor,serum inflammatory markers[C-reactive protein(CRP),procalcitonin(PCT)],clinical pulmonary infection score(CPIS),as well as the incidence of ventilator-associated pneumonia(VAP),duration of mechanical ventilation,and length of stay in the EICU were assessed before and after treatment.Results:The baseline values of all indicators were consistent between the two groups before intervention(p>0.05).After corresponding interventions,both groups showed significant improvements in Beck oral health scores,dental plaque index,and oral odor,with more pronounced improvements observed in the study group(p<0.05).After the intervention,the research group showed a significant decrease in serum CRP and PCT levels,as well as CPIS scores(p<0.05).In contrast,the control group experienced an increase in these three indicators to a certain extent(p<0.05).Moreover,the incidence of ventilator-associated pneumonia(VAP),duration of mechanical ventilation,and length of stay in the EICU were all lower in the research group compared to the control group,while the nurse’s compliance rate with the protocol was higher in the research group(p<0.05).Conclusion:The standardized airway management protocol empowered by intelligent technology can significantly improve nursing compliance,benefit oral health status,reduce the risk of pulmonary infection and systemic inflammation levels,and promote rapid patient recovery,demonstrating considerable potential for widespread adoption.展开更多
There is a contradiction between the evolution rate of materials and the time resolution of SR-CT characterization in the in situ synchrotron radiation computed tomography(SR-CT)characterization of ultrafast evolution...There is a contradiction between the evolution rate of materials and the time resolution of SR-CT characterization in the in situ synchrotron radiation computed tomography(SR-CT)characterization of ultrafast evolution process.The sampling strategy of the ultra-sparse angle is an effective method for improving time resolution.Accurate reconstruction under sparse sampling conditions has always been a bottleneck problem.In recent years,convolutional neural networks have shown outstanding advantages in sparse-angle CT reconstruction given the development of deep learning.However,existing ideas did not consider the expression of high-frequency details in neural networks,limiting their application in accurate SR-CT characterization.A novel high-frequency information-constrained deep learning network(HFIC-Net)is proposed in response to this problem.Additional high-frequency information constraints are added to improve the accuracy of the reconstruction results.Further,a series of numerical reconstruction experiments are conducted to verify this new method,and the results indicate that the reconstruction results of HFIC-Net method effectively improve reconstruction quality.This new method uses only eight-angle projections to achieve the reconstruction effect of the filtered backprojection method(FBP)method in 360 projections.The results of the HFIC-Net method demonstrate clear boundaries and accurate detailed structures,correcting the misinformation caused by using other methods.For quantitative evaluation,the SSIM used to evaluate image structure similarity is increased from 0.1951,0.9212,and 0.9308 for FBP,FBP-Conv,and DDC-Net,respectively,to 0.9620 for HFIC-Net.Finally,the results of actual SR-CT experimental data indicate that the new method can suppress artifacts and achieve accurate reconstruction,and it is suitable for the in situ SR-CT accurate characterization of ultxafast evolution process.展开更多
Severe acute pancreatitis(SAP)can induce acute respiratory distress syndrome(ARDS)and abdominal compartment syndrome(ACS).Although prone position ventilation(PPV)can improve outcomes in patients with ARDS,there is sig...Severe acute pancreatitis(SAP)can induce acute respiratory distress syndrome(ARDS)and abdominal compartment syndrome(ACS).Although prone position ventilation(PPV)can improve outcomes in patients with ARDS,there is significant controversy regarding its concurrent use with ACS owing to concerns of increased risk of intra-abdominal pressure(IAP).[1]We present a case of successful PPV application without adverse eff ects.展开更多
BACKGROUND Superimposed high-frequency jet ventilation(SHFJV)is suitable for respiratory motion reduction and essential for effective lung tumor ablation.Fluid filling of the target lung wing one-lung flooding(OLF)is ...BACKGROUND Superimposed high-frequency jet ventilation(SHFJV)is suitable for respiratory motion reduction and essential for effective lung tumor ablation.Fluid filling of the target lung wing one-lung flooding(OLF)is necessary for therapeutic ultrasound applications.However,whether unilateral SHFJV allows adequate hemodynamics and gas exchange is unclear.AIM To compared SHFJV with pressure-controlled ventilation(PCV)during OLF by assessing hemodynamics and gas exchange in different animal positions.METHODS SHFJV or PCV was used alternatingly to ventilate the non-flooded lungs of the 12 anesthetized pigs during OLF.The animal positions were changed from left lateral position to supine position(SP)to right lateral position(RLP)every 30 min.In each position,ventilation was maintained for 15 min in both modalities.Hemodynamic variables and arterial blood gas levels were repeatedly measured.RESULTS Unilateral SHFJV led to lower carbon dioxide removal than PCV without abnormally elevated carbon dioxide levels.SHFJV slightly decreased oxygenation in SP and RLP compared with PCV;the lowest values of PaO_(2) and PaO_(2)/FiO_(2) ratio were found in SP[13.0;interquartile range(IQR):12.6-5.6 and 32.5(IQR:31.5-38.9)kPa].Conversely,during SHFJV,the shunt fraction was higher in all animal positions(highest in the RLP:0.30).CONCLUSION In porcine model,unilateral SHFJV may provide adequate ventilation in different animal positions during OLF.Lower oxygenation and CO_(2) removal rates compared to PCV did not lead to hypoxia or hypercapnia.SHFJV can be safely used for lung tumor ablation to minimize ventilation-induced lung motion.展开更多
To compare effect of high-frequency oscillation ventilation （HFOV） and conventional mandatory ventilation （CMV） on lung injury development in rabbit with acute respiratory distress syndrome （ ARDS）. Methods Anim...To compare effect of high-frequency oscillation ventilation （HFOV） and conventional mandatory ventilation （CMV） on lung injury development in rabbit with acute respiratory distress syndrome （ ARDS）. Methods Animals that underwent saline lung lavage to produce lung injury were randomized to one of the two treatment groups （ HFOV or CMV, n =6）. PaCO2 was maintained between 35 -45mmHg and arterial oxygen saturation （ SaO2 ） was maintain 〉 88% by adjusting corresponding ventilator parameters. Ventilation period was 6h. Lung fluids were aspirated before and at the end of ventilation for cell analysis. Then the animals were euthanized, lung tissue was removed for wet/dry weight measurement, light and electron microscopic examination. Besults The difference of artery blood gas analyses（pH, PaO2, PaCO2 ） between HFOV and CMV was insignificant. The difference between HFOV and CMV in cytological examination of lung fluids, wet/dry weight measurement was also insignificant. But compared with CMV, HFOV not only reduced the area of lung injury, but also reduced lung injury score in light and electron microscopic examination. Conclusion When same artery blood gas analysis was obtained, HFOV significantly reduced lung injury development in ARDS animal than CMV. As a lung protection strategy, HFOV can be used in the treatment of ARDS.展开更多
Prediction of weaning success from invasive mechanical ventilation remains a challenge in everyday clinical practice.Several prediction scores have been developed to guide success during spontaneous breathing trials t...Prediction of weaning success from invasive mechanical ventilation remains a challenge in everyday clinical practice.Several prediction scores have been developed to guide success during spontaneous breathing trials to help with weaning decisions.These scores aim to provide a structured framework to support clinical judgment.However,their effectiveness varies across patient populations,and their predictive accuracy remains inconsistent.In this review,we aim to identify the strengths and limitations of commonly used clinical prediction tools in assessing readiness for ventilator liberation.While scores such as the Rapid Shallow Breathing Index and the Integrative Weaning Index are widely adopted,their sensitivity and specificity often fall short in complex clinical settings.Factors such as underlying disease pathophysiology,patient characteristics,and clinician subjectivity impact score performance and reliability.Moreover,disparities in validation across diverse populations limit generalizability.With growing interest in artificial intelligence(AI)and machine learning,there is potential for enhanced prediction models that integrate multidimensional data and adapt to individual patient profiles.However,current AI approaches face challenges related to interpretability,bias,and ethical implementation.This paper underscores the need for more robust,individualized,and transparent prediction systems and advocates for careful integration of emerging technologies into clinical workflows to optimize weaning success and patient outcomes.展开更多
During the train meeting events,train equipment compartments are exposed to the worst pressure changes,potentially affecting the ventilation performance of equipment,particularly for electrical facilities equipped wit...During the train meeting events,train equipment compartments are exposed to the worst pressure changes,potentially affecting the ventilation performance of equipment,particularly for electrical facilities equipped with independent air ducts.In this paper,a two-step method is used for numerical computation:(1)obtaining the temporal and spatial transient node data of the flow field sections during the train-passing simulation and(2)using the data as the input data for the equipment compartment simulation.In addition,this paper also compares the difference in equipment ventilation between the single-train and trainpassing scenarios in real vehicle tests.The results indicate that the primary factors influencing ventilation effectiveness are the aerodynamic compression and deceleration of airflow induced by the other train's nose,as well as the instability of the external flow field in the wake of the other train.During train crossing,the air is forced into the air duct,with a maximum ratio of the airflow in-duct to the airflow out-duct reaching 3.2.The average mass flow falls below the rated mass flow for the converter.Compared to the rated air volume of converter,the maximum suppression rates obtained from testing and simulation are-24.5%and-16.8%,respectively.Compared to the single-train operation,the maximum suppression rates obtained from testing and simulation are-15%and-18%,respectively.These findings provide valuable insights into the design and operation of high-speed trains.展开更多
BACKGROUND:In this study,we aimed to evaluate the impact of mechanical ventilator(MV)utilizaton during cardiopulmonary resuscitation(CPR)on out-of-hospital cardiac arrest(OHCA)patient clinical outcomes in the emergenc...BACKGROUND:In this study,we aimed to evaluate the impact of mechanical ventilator(MV)utilizaton during cardiopulmonary resuscitation(CPR)on out-of-hospital cardiac arrest(OHCA)patient clinical outcomes in the emergency department.METHODS:This single-centered,retrospective,case-control study analyzed electronic medical records.Patients aged>18 years with non-traumatic OHCA who were treated at an emergency medical center between January 2019 and December 2023 were included.These patients were accessed according to the ventilatory method used:MV ventilation(volume control,tidal volume 6-8 mL/kg,frequency 10 beat per minute,inspiratory time 1 s)and manual resuscitator bag valve(BV)ventilation.The primary outcome was the return of spontaneous circulation(ROSC).After 1:1 propensity score matching,the clinical outcomes were analyzed.RESULTS:A total of 649 patients were enrolled in this study.Before matching,the clinical outcomes and pneumothorax incidence did not differ between the MV and BV groups.After 1:1 matching between the two groups using propensity scores,522 patients(261 MV and 261 BV)were analyzed.Propensity score matching yielded an adequate balance(standardized mean difference<0.10)for all covariates.The estimated odds ratio(OR)for ROSC was 1.23(95%confidence interval[CI]:0.85-1.77;P=0.267),for survival at hospital admission was 1.02(95%CI:0.68-1.53;P=0.918),for survival at hospital discharge was 2.31(95%CI:1.10-5.20;P=0.033),and for good neurologic outcome was 2.56(95%CI:0.84-9.43;P=0.116).CONCLUSION:In patients with OHCA admitted to the emergency department,MV ventilation during CPR showed clinical outcomes similar to those of BV ventilation in most measures.However,survival at hospital discharge was significantly higher in the MV group,suggesting potential benefits of MV use in selected patients.展开更多
BACKGROUND There has been a growing interest in noninvasive ventilation(NIV)in comparison to invasive mechanical ventilation(IMV)as a standard of care for acute respiratory failure(ARF),especially in the post-covid er...BACKGROUND There has been a growing interest in noninvasive ventilation(NIV)in comparison to invasive mechanical ventilation(IMV)as a standard of care for acute respiratory failure(ARF),especially in the post-covid era,but direct head-to-head cost comparisons between the two modalities are not available in literature.AIM To compare the cost along with the clinical effectiveness of NIV in comparison to IMV in ARF.METHODS A prospective observational single-center case control study including adult patients with ARF(PaO2/FiO2 ratio<300)admitted from January 1,2024 to December 31,2024 in medical intensive care unit(ICU)of a tertiary care hospital requiring either NIV or invasive ventilation.NIV and IMV groups were compared based on average length of ICU and hospital stay,mortality,net cost of ICU treatment,need for intubation and tracheostomy.RESULTS A total of 319 patients were included in the study(197 in NIV,122 in IMV group).Statistically significant difference in length of ICU stay(NIV group:5±3.25 days,IMV group:9±2.6 days;P<0.05)and mortality rate was seen(11%NIV vs 34%IMV;P<0.01).On multivariate analyses,mortality showed a stronger association with IMV[odds ratio(OR)=7.73;95%CI:3.12-19.18]as compared to ICU stay(OR=2.73;95%CI:2.15-3.48).A total of 33 patients(17%)in NIV group required intubation of which 3 were tracheostomized,while 14 patients(11%)in IMV group needed tracheostomy.The net average cost of ICU stay was₹83902 in NIV group while in IMV group,the net ICU cost was₹476216.The average cost of ICU stay was five times higher with IMV.CONCLUSION NIV has potential economic and clinical benefits as compared to invasive ventilation in ARF.展开更多
Mechanical ventilation is a specialized oxygen therapy and life support technology with significant importance for critically ill patients. In fact, 40%–66% of patients in the intensive care unit(ICU) require mechani...Mechanical ventilation is a specialized oxygen therapy and life support technology with significant importance for critically ill patients. In fact, 40%–66% of patients in the intensive care unit(ICU) require mechanical ventilation.^([1,2]) However, the mechanical ventilation can lead to ventilatorassociated lung injury(VALI),^([3]) ultimately resulting in difficulties in weaning from mechanical ventilation,prolonged hospital stays, and even increased mortality.展开更多
Salience theory has been proposed as a new stock trading strategy.To assess the validity of this proposal,a complex decision trading system was constructed based on salience theory,a variational mode decomposition(VMD...Salience theory has been proposed as a new stock trading strategy.To assess the validity of this proposal,a complex decision trading system was constructed based on salience theory,a variational mode decomposition(VMD)model,a bidirectional gated recurrent unit(BiGRU)model,and high-frequency trading.The system selected 30 Chinese new energy concept stocks,ranked the stocks using salience theory,and selected the top and bottom three stocks for two portfolios.Twelve stages were established,following which the VMD and BiGRU models were applied to the predictions.The final predicted annualized returns for the high ST(salience theory value)group A(GA)and low ST group B(GB)were 194.06%and 165.88%,respectively.This finding validates the powerful utility of salience theory and deep learning to analyze the Chinese new energy market.Moreover,it explains the theoretical practicality issues that the short selling restriction is the essential reason,or even perhaps the only reason,that leads to the strength of salience theory.展开更多
A recent study on the rapid imaging of pulmonary ventilation using hyperpolarized ^(129)Xe MRI has demonstrated the ability to achieve isotropic 3D ventilation imaging with a spatial resolution of 3×3×3mm^(3...A recent study on the rapid imaging of pulmonary ventilation using hyperpolarized ^(129)Xe MRI has demonstrated the ability to achieve isotropic 3D ventilation imaging with a spatial resolution of 3×3×3mm^(3) in humans,within an acquisition time of just 3.5 seconds(https://doi.org/10.1002/mrm.30120).展开更多
The oil-based mud(OBM) borehole measurement environment presents significant limitations on the application of existing electrical logging instruments in high-resistance formations. In this paper, we propose a novel l...The oil-based mud(OBM) borehole measurement environment presents significant limitations on the application of existing electrical logging instruments in high-resistance formations. In this paper, we propose a novel logging method for detection of high-resistance formations in OBM using highfrequency electrodes. The method addresses the issue of shallow depth of investigation(DOI) in existing electrical logging instruments, while simultaneously ensuring the vertical resolution. Based on the principle of current continuity, the total impedance of the loop is obtained by equating the measurement loop to the series form of a capacitively coupled circuit. and its validity is verified in a homogeneous formation model and a radial two-layer formation model with a mud standoff. Then, the instrument operating frequency and electrode system parameters were preferentially determined by numerical simulation, and the effect of mud gap on impedance measurement was investigated. Subsequently, the DOI of the instrument was investigated utilizing the pseudo-geometric factor defined by the real part of impedance. It was determined that the detection depth of the instrument is 8.74 cm, while the effective vertical resolution was not less than 2 cm. Finally, a focused high-frequency electrode-type instrument was designed by introducing a pair of focused electrodes, which effectively enhanced the DOI of the instrument and was successfully deployed in the Oklahoma formation model. The simulation results demonstrate that the novel method can achieve a detection depth of 17.40 cm in highly-resistive formations drilling with OBM, which is approximately twice the depth of detection of the existing oil-based mud microimager instruments. Furthermore, its effective vertical resolution remains at or above 2 cm,which is comparable to the resolution of the existing OBM electrical logging instrument.展开更多
Objective:To analyze the significance of high-frequency ultrasound in differentiating benign and malignant breast micronodules.Methods:Eighty-five patients with breast micronodules admitted for diagnosis between Octob...Objective:To analyze the significance of high-frequency ultrasound in differentiating benign and malignant breast micronodules.Methods:Eighty-five patients with breast micronodules admitted for diagnosis between October 2022 and October 2024 were selected for high-frequency ultrasound diagnosis.The diagnostic efficacy of high-frequency ultrasound was evaluated by comparing it with the results of surgical pathology.Results:High-frequency ultrasound detected 50 benign nodules,primarily breast fibroadenomas,and 35 malignant nodules,mainly breast ductal carcinoma in situ.Based on surgical pathology results,the diagnostic accuracy of high-frequency ultrasound was 96.47%,specificity was 97.96%,and sensitivity was 94.44%.In high-frequency ultrasound diagnosis,the proportion of grade III and IV blood flow in malignant nodules was higher than that in benign nodules,while the proportion of regular shape and clear margins was lower.The proportion of microcalcifications and posterior echo attenuation was higher in malignant nodules,and the resistance index(RI)and peak blood flow velocity were lower than those in benign nodules(P<0.05).Conclusion:High-frequency ultrasound can effectively differentiate benign and malignant breast micronodules,determine specific nodule types,and exhibits high diagnostic accuracy and sensitivity.Additionally,benign and malignant nodules can be differentiated based on the grading of blood flow signals,sonographic features,and blood flow velocity,providing reasonable guidance for subsequent treatment plans.展开更多
China has a long history of coal mining,among which open-pit coal mines have a large number of small coal mine goafs underground.The distribution,shape,structure and other characteristics of goafs are isolated and dis...China has a long history of coal mining,among which open-pit coal mines have a large number of small coal mine goafs underground.The distribution,shape,structure and other characteristics of goafs are isolated and discontinuous,and there is no definite geological law to follow,which seriously threatens the safety of coal mine production and personnel life.Conventional ground geophysical methods have low accuracy in detecting goaf areas affected by mechanical interference from open-pit mines,especially for waterless goaf areas,which cannot be detected by existing methods.This article proposes the use of high-frequency electromagnetic waves for goaf detection.The feasibility of using drilling radar to detect goaf was theoretically analyzed,and a goaf detection model was established.The response characteristics of different fillers in the goaf under different frequencies of high-frequency electromagnetic waves were simulated and analyzed.In a certain open-pit mine in Inner Mongolia,100MHz high-frequency electromagnetic waves were used to detect the goaf through directional drilling on the ground.After detection,excavation verification was carried out,and the location of one goaf detected was verified.The results of engineering practice show that the application of high-frequency electromagnetic waves in goaf detection expands the detection radius of boreholes,has the advantages of high efficiency and accuracy,and has important theoretical and practical significance.展开更多
New electric power systems characterized by a high proportion of renewable energy and power electronics equipment face significant challenges due to high-frequency(HF)electromagnetic interference from the high-speed s...New electric power systems characterized by a high proportion of renewable energy and power electronics equipment face significant challenges due to high-frequency(HF)electromagnetic interference from the high-speed switching of power converters.To address this situation,this paper offers an in-depth review of HF interference problems and challenges originating from power electronic devices.First,the root cause of HF electromagnetic interference,i.e.,the resonant response of the parasitic parameters of the system to high-speed switching transients,is analyzed,and various scenarios of HF interference in power systems are highlighted.Next,the types of HF interference are summarized,with a focus on common-mode interference in grounding systems.This paper thoroughly reviews and compares various suppression methods for conducted HF interference.Finally,the challenges involved and suggestions for addressing emerging HF interference problems from the perspective of both power electronics equipment and power systems are discussed.This review aims to offer a structured understanding of HF interference problems and their suppression techniques for researchers and practitioners.展开更多
With different structural forms of ventilation pipes have various attenuation effects on incident shock waves while meeting ventilation requirements.The attenuation mechanism and the propagation law of shock waves in ...With different structural forms of ventilation pipes have various attenuation effects on incident shock waves while meeting ventilation requirements.The attenuation mechanism and the propagation law of shock waves in ventilation pipes of different structures are investigated by experiments and numerical simulations.Furthermore,for the same structure,the effects of peak pressure and positive pressure time on the attenuation rate are discussed.It is found that the attenuation rate increases with the incident shock wave pressure,and the shock wave attenuation rate tends to reach its limiting value k for the same structure and reasonably short positive pressure time.Under the same conditions,the attenuation rate is calculated using the pressure of the shock wave as follows:diffusion chamber pipe,branch pipe and selfconsumption pipe;the attenuation rate per unit volume is calculated as follows:self-consumption pipe,branch pipe and diffusion chamber pipe.In addition,an easy method is provided to calculate the attenuation rate of the shock wave in single and multi-stage ventilation pipes.Corresponding parameters are provided for various structures,and the margin of error between the formulae and experimental results is within 10%,which is significant for engineering applications.展开更多
Single-shot ultrafast compressed imaging(UCI)is an effective tool for studying ultrafast dynamics in physics,chemistry,or material science because of its excellent high frame rate and large frame number.However,the ra...Single-shot ultrafast compressed imaging(UCI)is an effective tool for studying ultrafast dynamics in physics,chemistry,or material science because of its excellent high frame rate and large frame number.However,the random code(Rcode)used in traditional UCI will lead to low-frequency noise covering high-frequency information due to its uneven sampling interval,which is a great challenge in the fidelity of large-frame reconstruction.Here,a high-frequency enhanced compressed active photography(H-CAP)is proposed.By uniformizing the sampling interval of R-code,H-CAP capture the ultrafast process with a random uniform sampling mode.This sampling mode makes the high-frequency sampling energy dominant,which greatly suppresses the low-frequency noise blurring caused by R-code and achieves high-frequency information of image enhanced.The superior dynamic performance and large-frame reconstruction ability of H-CAP are verified by imaging optical self-focusing effect and static object,respectively.We applied H-CAP to the spatial-temporal characterization of double-pulse induced silicon surface ablation dynamics,which is performed within 220 frames in a single-shot of 300 ps.H-CAP provides a high-fidelity imaging method for observing ultrafast unrepeatable dynamic processes with large frames.展开更多
Objective:To analyze the therapeutic effect of high-frequency electrosurgical knife surgery guided by painless digestive endoscopy(PDE)in elderly patients with gastrointestinal polyps(GP).Methods:A total of 100 elderl...Objective:To analyze the therapeutic effect of high-frequency electrosurgical knife surgery guided by painless digestive endoscopy(PDE)in elderly patients with gastrointestinal polyps(GP).Methods:A total of 100 elderly GP patients admitted between June 2021 and December 2022 were selected.Patients were randomly divided into two groups:the painless group(50 cases)underwent high-frequency electrosurgical knife surgery guided by PDE,while the conventional group(50 cases)underwent the same surgery guided by traditional digestive endoscopy(DE).The total treatment efficacy,perioperative indicators,gastrointestinal hormone levels,oxidative stress(OS)markers,and complication rates were compared between the two groups.Results:The total treatment efficacy in the painless group was higher than that in the conventional group,and perioperative indicators were superior in the painless group(P<0.05).One week after treatment,the gastrointestinal hormone levels and OS-related markers in the painless group were better than those in the conventional group(P<0.05).The complication rate in the painless group was lower than in the conventional group(P<0.05).Conclusion:High-frequency electrosurgical knife surgery guided by PDE improves the effectiveness of polyp removal in elderly GP patients and accelerates postoperative recovery.It also protects gastrointestinal function,reduces postoperative OS,and ensures higher surgical safety.展开更多
文摘Objective:To investigate the application effect of intelligent empowerment standardized airway management process in patients receiving mechanical ventilation.Methods:A retrospective analysis was conducted on the clinical data of 79 EICU inpatients who underwent tracheal intubation and mechanical ventilation treatment at our hospital from January 2023 to May 2025.The patients were divided into a control group(conventional airway management process,n=40)and a study group(intelligent empowerment standardized airway management process,n=39)based on the intervention protocols they received.Oral health scores,dental plaque index,oral odor,serum inflammatory markers[C-reactive protein(CRP),procalcitonin(PCT)],clinical pulmonary infection score(CPIS),as well as the incidence of ventilator-associated pneumonia(VAP),duration of mechanical ventilation,and length of stay in the EICU were assessed before and after treatment.Results:The baseline values of all indicators were consistent between the two groups before intervention(p>0.05).After corresponding interventions,both groups showed significant improvements in Beck oral health scores,dental plaque index,and oral odor,with more pronounced improvements observed in the study group(p<0.05).After the intervention,the research group showed a significant decrease in serum CRP and PCT levels,as well as CPIS scores(p<0.05).In contrast,the control group experienced an increase in these three indicators to a certain extent(p<0.05).Moreover,the incidence of ventilator-associated pneumonia(VAP),duration of mechanical ventilation,and length of stay in the EICU were all lower in the research group compared to the control group,while the nurse’s compliance rate with the protocol was higher in the research group(p<0.05).Conclusion:The standardized airway management protocol empowered by intelligent technology can significantly improve nursing compliance,benefit oral health status,reduce the risk of pulmonary infection and systemic inflammation levels,and promote rapid patient recovery,demonstrating considerable potential for widespread adoption.
基金supported by the National Nature Science Foundation of China(Nos.12027901 and 12041202)Synchrotron Radiation Joint Fund of University of Science and Technology of China(Nos.KY2090000059 and KY2090000054)。
文摘There is a contradiction between the evolution rate of materials and the time resolution of SR-CT characterization in the in situ synchrotron radiation computed tomography(SR-CT)characterization of ultrafast evolution process.The sampling strategy of the ultra-sparse angle is an effective method for improving time resolution.Accurate reconstruction under sparse sampling conditions has always been a bottleneck problem.In recent years,convolutional neural networks have shown outstanding advantages in sparse-angle CT reconstruction given the development of deep learning.However,existing ideas did not consider the expression of high-frequency details in neural networks,limiting their application in accurate SR-CT characterization.A novel high-frequency information-constrained deep learning network(HFIC-Net)is proposed in response to this problem.Additional high-frequency information constraints are added to improve the accuracy of the reconstruction results.Further,a series of numerical reconstruction experiments are conducted to verify this new method,and the results indicate that the reconstruction results of HFIC-Net method effectively improve reconstruction quality.This new method uses only eight-angle projections to achieve the reconstruction effect of the filtered backprojection method(FBP)method in 360 projections.The results of the HFIC-Net method demonstrate clear boundaries and accurate detailed structures,correcting the misinformation caused by using other methods.For quantitative evaluation,the SSIM used to evaluate image structure similarity is increased from 0.1951,0.9212,and 0.9308 for FBP,FBP-Conv,and DDC-Net,respectively,to 0.9620 for HFIC-Net.Finally,the results of actual SR-CT experimental data indicate that the new method can suppress artifacts and achieve accurate reconstruction,and it is suitable for the in situ SR-CT accurate characterization of ultxafast evolution process.
文摘Severe acute pancreatitis(SAP)can induce acute respiratory distress syndrome(ARDS)and abdominal compartment syndrome(ACS).Although prone position ventilation(PPV)can improve outcomes in patients with ARDS,there is significant controversy regarding its concurrent use with ACS owing to concerns of increased risk of intra-abdominal pressure(IAP).[1]We present a case of successful PPV application without adverse eff ects.
文摘BACKGROUND Superimposed high-frequency jet ventilation(SHFJV)is suitable for respiratory motion reduction and essential for effective lung tumor ablation.Fluid filling of the target lung wing one-lung flooding(OLF)is necessary for therapeutic ultrasound applications.However,whether unilateral SHFJV allows adequate hemodynamics and gas exchange is unclear.AIM To compared SHFJV with pressure-controlled ventilation(PCV)during OLF by assessing hemodynamics and gas exchange in different animal positions.METHODS SHFJV or PCV was used alternatingly to ventilate the non-flooded lungs of the 12 anesthetized pigs during OLF.The animal positions were changed from left lateral position to supine position(SP)to right lateral position(RLP)every 30 min.In each position,ventilation was maintained for 15 min in both modalities.Hemodynamic variables and arterial blood gas levels were repeatedly measured.RESULTS Unilateral SHFJV led to lower carbon dioxide removal than PCV without abnormally elevated carbon dioxide levels.SHFJV slightly decreased oxygenation in SP and RLP compared with PCV;the lowest values of PaO_(2) and PaO_(2)/FiO_(2) ratio were found in SP[13.0;interquartile range(IQR):12.6-5.6 and 32.5(IQR:31.5-38.9)kPa].Conversely,during SHFJV,the shunt fraction was higher in all animal positions(highest in the RLP:0.30).CONCLUSION In porcine model,unilateral SHFJV may provide adequate ventilation in different animal positions during OLF.Lower oxygenation and CO_(2) removal rates compared to PCV did not lead to hypoxia or hypercapnia.SHFJV can be safely used for lung tumor ablation to minimize ventilation-induced lung motion.
文摘To compare effect of high-frequency oscillation ventilation （HFOV） and conventional mandatory ventilation （CMV） on lung injury development in rabbit with acute respiratory distress syndrome （ ARDS）. Methods Animals that underwent saline lung lavage to produce lung injury were randomized to one of the two treatment groups （ HFOV or CMV, n =6）. PaCO2 was maintained between 35 -45mmHg and arterial oxygen saturation （ SaO2 ） was maintain 〉 88% by adjusting corresponding ventilator parameters. Ventilation period was 6h. Lung fluids were aspirated before and at the end of ventilation for cell analysis. Then the animals were euthanized, lung tissue was removed for wet/dry weight measurement, light and electron microscopic examination. Besults The difference of artery blood gas analyses（pH, PaO2, PaCO2 ） between HFOV and CMV was insignificant. The difference between HFOV and CMV in cytological examination of lung fluids, wet/dry weight measurement was also insignificant. But compared with CMV, HFOV not only reduced the area of lung injury, but also reduced lung injury score in light and electron microscopic examination. Conclusion When same artery blood gas analysis was obtained, HFOV significantly reduced lung injury development in ARDS animal than CMV. As a lung protection strategy, HFOV can be used in the treatment of ARDS.
文摘Prediction of weaning success from invasive mechanical ventilation remains a challenge in everyday clinical practice.Several prediction scores have been developed to guide success during spontaneous breathing trials to help with weaning decisions.These scores aim to provide a structured framework to support clinical judgment.However,their effectiveness varies across patient populations,and their predictive accuracy remains inconsistent.In this review,we aim to identify the strengths and limitations of commonly used clinical prediction tools in assessing readiness for ventilator liberation.While scores such as the Rapid Shallow Breathing Index and the Integrative Weaning Index are widely adopted,their sensitivity and specificity often fall short in complex clinical settings.Factors such as underlying disease pathophysiology,patient characteristics,and clinician subjectivity impact score performance and reliability.Moreover,disparities in validation across diverse populations limit generalizability.With growing interest in artificial intelligence(AI)and machine learning,there is potential for enhanced prediction models that integrate multidimensional data and adapt to individual patient profiles.However,current AI approaches face challenges related to interpretability,bias,and ethical implementation.This paper underscores the need for more robust,individualized,and transparent prediction systems and advocates for careful integration of emerging technologies into clinical workflows to optimize weaning success and patient outcomes.
基金support by Technology R&D Program of China State Railway Group Co.,Ltd(Grant number N2022J013)the Hunan Provincial Innovation Foundation for Postgraduate(Grant number CX20220279)+1 种基金the Fundamental Research Funds for the Central Universities of Central South University(Grant number 2022ZZTS0193)China Scholarship Council(202106370112)。
文摘During the train meeting events,train equipment compartments are exposed to the worst pressure changes,potentially affecting the ventilation performance of equipment,particularly for electrical facilities equipped with independent air ducts.In this paper,a two-step method is used for numerical computation:(1)obtaining the temporal and spatial transient node data of the flow field sections during the train-passing simulation and(2)using the data as the input data for the equipment compartment simulation.In addition,this paper also compares the difference in equipment ventilation between the single-train and trainpassing scenarios in real vehicle tests.The results indicate that the primary factors influencing ventilation effectiveness are the aerodynamic compression and deceleration of airflow induced by the other train's nose,as well as the instability of the external flow field in the wake of the other train.During train crossing,the air is forced into the air duct,with a maximum ratio of the airflow in-duct to the airflow out-duct reaching 3.2.The average mass flow falls below the rated mass flow for the converter.Compared to the rated air volume of converter,the maximum suppression rates obtained from testing and simulation are-24.5%and-16.8%,respectively.Compared to the single-train operation,the maximum suppression rates obtained from testing and simulation are-15%and-18%,respectively.These findings provide valuable insights into the design and operation of high-speed trains.
文摘BACKGROUND:In this study,we aimed to evaluate the impact of mechanical ventilator(MV)utilizaton during cardiopulmonary resuscitation(CPR)on out-of-hospital cardiac arrest(OHCA)patient clinical outcomes in the emergency department.METHODS:This single-centered,retrospective,case-control study analyzed electronic medical records.Patients aged>18 years with non-traumatic OHCA who were treated at an emergency medical center between January 2019 and December 2023 were included.These patients were accessed according to the ventilatory method used:MV ventilation(volume control,tidal volume 6-8 mL/kg,frequency 10 beat per minute,inspiratory time 1 s)and manual resuscitator bag valve(BV)ventilation.The primary outcome was the return of spontaneous circulation(ROSC).After 1:1 propensity score matching,the clinical outcomes were analyzed.RESULTS:A total of 649 patients were enrolled in this study.Before matching,the clinical outcomes and pneumothorax incidence did not differ between the MV and BV groups.After 1:1 matching between the two groups using propensity scores,522 patients(261 MV and 261 BV)were analyzed.Propensity score matching yielded an adequate balance(standardized mean difference<0.10)for all covariates.The estimated odds ratio(OR)for ROSC was 1.23(95%confidence interval[CI]:0.85-1.77;P=0.267),for survival at hospital admission was 1.02(95%CI:0.68-1.53;P=0.918),for survival at hospital discharge was 2.31(95%CI:1.10-5.20;P=0.033),and for good neurologic outcome was 2.56(95%CI:0.84-9.43;P=0.116).CONCLUSION:In patients with OHCA admitted to the emergency department,MV ventilation during CPR showed clinical outcomes similar to those of BV ventilation in most measures.However,survival at hospital discharge was significantly higher in the MV group,suggesting potential benefits of MV use in selected patients.
文摘BACKGROUND There has been a growing interest in noninvasive ventilation(NIV)in comparison to invasive mechanical ventilation(IMV)as a standard of care for acute respiratory failure(ARF),especially in the post-covid era,but direct head-to-head cost comparisons between the two modalities are not available in literature.AIM To compare the cost along with the clinical effectiveness of NIV in comparison to IMV in ARF.METHODS A prospective observational single-center case control study including adult patients with ARF(PaO2/FiO2 ratio<300)admitted from January 1,2024 to December 31,2024 in medical intensive care unit(ICU)of a tertiary care hospital requiring either NIV or invasive ventilation.NIV and IMV groups were compared based on average length of ICU and hospital stay,mortality,net cost of ICU treatment,need for intubation and tracheostomy.RESULTS A total of 319 patients were included in the study(197 in NIV,122 in IMV group).Statistically significant difference in length of ICU stay(NIV group:5±3.25 days,IMV group:9±2.6 days;P<0.05)and mortality rate was seen(11%NIV vs 34%IMV;P<0.01).On multivariate analyses,mortality showed a stronger association with IMV[odds ratio(OR)=7.73;95%CI:3.12-19.18]as compared to ICU stay(OR=2.73;95%CI:2.15-3.48).A total of 33 patients(17%)in NIV group required intubation of which 3 were tracheostomized,while 14 patients(11%)in IMV group needed tracheostomy.The net average cost of ICU stay was₹83902 in NIV group while in IMV group,the net ICU cost was₹476216.The average cost of ICU stay was five times higher with IMV.CONCLUSION NIV has potential economic and clinical benefits as compared to invasive ventilation in ARF.
文摘Mechanical ventilation is a specialized oxygen therapy and life support technology with significant importance for critically ill patients. In fact, 40%–66% of patients in the intensive care unit(ICU) require mechanical ventilation.^([1,2]) However, the mechanical ventilation can lead to ventilatorassociated lung injury(VALI),^([3]) ultimately resulting in difficulties in weaning from mechanical ventilation,prolonged hospital stays, and even increased mortality.
基金supported by the National Natural Science Foundation of China(Grant Nos.72032006 and 92146005).
文摘Salience theory has been proposed as a new stock trading strategy.To assess the validity of this proposal,a complex decision trading system was constructed based on salience theory,a variational mode decomposition(VMD)model,a bidirectional gated recurrent unit(BiGRU)model,and high-frequency trading.The system selected 30 Chinese new energy concept stocks,ranked the stocks using salience theory,and selected the top and bottom three stocks for two portfolios.Twelve stages were established,following which the VMD and BiGRU models were applied to the predictions.The final predicted annualized returns for the high ST(salience theory value)group A(GA)and low ST group B(GB)were 194.06%and 165.88%,respectively.This finding validates the powerful utility of salience theory and deep learning to analyze the Chinese new energy market.Moreover,it explains the theoretical practicality issues that the short selling restriction is the essential reason,or even perhaps the only reason,that leads to the strength of salience theory.
基金supported by the National Natural Science Foundation of China(81930049 and 82171926).
文摘A recent study on the rapid imaging of pulmonary ventilation using hyperpolarized ^(129)Xe MRI has demonstrated the ability to achieve isotropic 3D ventilation imaging with a spatial resolution of 3×3×3mm^(3) in humans,within an acquisition time of just 3.5 seconds(https://doi.org/10.1002/mrm.30120).
基金the National Natural Science Foundation of China(42074134,42474152,42374150)CNPC Innovation Found(2024DQ02-0152).
文摘The oil-based mud(OBM) borehole measurement environment presents significant limitations on the application of existing electrical logging instruments in high-resistance formations. In this paper, we propose a novel logging method for detection of high-resistance formations in OBM using highfrequency electrodes. The method addresses the issue of shallow depth of investigation(DOI) in existing electrical logging instruments, while simultaneously ensuring the vertical resolution. Based on the principle of current continuity, the total impedance of the loop is obtained by equating the measurement loop to the series form of a capacitively coupled circuit. and its validity is verified in a homogeneous formation model and a radial two-layer formation model with a mud standoff. Then, the instrument operating frequency and electrode system parameters were preferentially determined by numerical simulation, and the effect of mud gap on impedance measurement was investigated. Subsequently, the DOI of the instrument was investigated utilizing the pseudo-geometric factor defined by the real part of impedance. It was determined that the detection depth of the instrument is 8.74 cm, while the effective vertical resolution was not less than 2 cm. Finally, a focused high-frequency electrode-type instrument was designed by introducing a pair of focused electrodes, which effectively enhanced the DOI of the instrument and was successfully deployed in the Oklahoma formation model. The simulation results demonstrate that the novel method can achieve a detection depth of 17.40 cm in highly-resistive formations drilling with OBM, which is approximately twice the depth of detection of the existing oil-based mud microimager instruments. Furthermore, its effective vertical resolution remains at or above 2 cm,which is comparable to the resolution of the existing OBM electrical logging instrument.
文摘Objective:To analyze the significance of high-frequency ultrasound in differentiating benign and malignant breast micronodules.Methods:Eighty-five patients with breast micronodules admitted for diagnosis between October 2022 and October 2024 were selected for high-frequency ultrasound diagnosis.The diagnostic efficacy of high-frequency ultrasound was evaluated by comparing it with the results of surgical pathology.Results:High-frequency ultrasound detected 50 benign nodules,primarily breast fibroadenomas,and 35 malignant nodules,mainly breast ductal carcinoma in situ.Based on surgical pathology results,the diagnostic accuracy of high-frequency ultrasound was 96.47%,specificity was 97.96%,and sensitivity was 94.44%.In high-frequency ultrasound diagnosis,the proportion of grade III and IV blood flow in malignant nodules was higher than that in benign nodules,while the proportion of regular shape and clear margins was lower.The proportion of microcalcifications and posterior echo attenuation was higher in malignant nodules,and the resistance index(RI)and peak blood flow velocity were lower than those in benign nodules(P<0.05).Conclusion:High-frequency ultrasound can effectively differentiate benign and malignant breast micronodules,determine specific nodule types,and exhibits high diagnostic accuracy and sensitivity.Additionally,benign and malignant nodules can be differentiated based on the grading of blood flow signals,sonographic features,and blood flow velocity,providing reasonable guidance for subsequent treatment plans.
文摘China has a long history of coal mining,among which open-pit coal mines have a large number of small coal mine goafs underground.The distribution,shape,structure and other characteristics of goafs are isolated and discontinuous,and there is no definite geological law to follow,which seriously threatens the safety of coal mine production and personnel life.Conventional ground geophysical methods have low accuracy in detecting goaf areas affected by mechanical interference from open-pit mines,especially for waterless goaf areas,which cannot be detected by existing methods.This article proposes the use of high-frequency electromagnetic waves for goaf detection.The feasibility of using drilling radar to detect goaf was theoretically analyzed,and a goaf detection model was established.The response characteristics of different fillers in the goaf under different frequencies of high-frequency electromagnetic waves were simulated and analyzed.In a certain open-pit mine in Inner Mongolia,100MHz high-frequency electromagnetic waves were used to detect the goaf through directional drilling on the ground.After detection,excavation verification was carried out,and the location of one goaf detected was verified.The results of engineering practice show that the application of high-frequency electromagnetic waves in goaf detection expands the detection radius of boreholes,has the advantages of high efficiency and accuracy,and has important theoretical and practical significance.
基金supported by the science and technology project of State Grid Shanghai Municipal Electric Power Company(No.52094023003L).
文摘New electric power systems characterized by a high proportion of renewable energy and power electronics equipment face significant challenges due to high-frequency(HF)electromagnetic interference from the high-speed switching of power converters.To address this situation,this paper offers an in-depth review of HF interference problems and challenges originating from power electronic devices.First,the root cause of HF electromagnetic interference,i.e.,the resonant response of the parasitic parameters of the system to high-speed switching transients,is analyzed,and various scenarios of HF interference in power systems are highlighted.Next,the types of HF interference are summarized,with a focus on common-mode interference in grounding systems.This paper thoroughly reviews and compares various suppression methods for conducted HF interference.Finally,the challenges involved and suggestions for addressing emerging HF interference problems from the perspective of both power electronics equipment and power systems are discussed.This review aims to offer a structured understanding of HF interference problems and their suppression techniques for researchers and practitioners.
文摘With different structural forms of ventilation pipes have various attenuation effects on incident shock waves while meeting ventilation requirements.The attenuation mechanism and the propagation law of shock waves in ventilation pipes of different structures are investigated by experiments and numerical simulations.Furthermore,for the same structure,the effects of peak pressure and positive pressure time on the attenuation rate are discussed.It is found that the attenuation rate increases with the incident shock wave pressure,and the shock wave attenuation rate tends to reach its limiting value k for the same structure and reasonably short positive pressure time.Under the same conditions,the attenuation rate is calculated using the pressure of the shock wave as follows:diffusion chamber pipe,branch pipe and selfconsumption pipe;the attenuation rate per unit volume is calculated as follows:self-consumption pipe,branch pipe and diffusion chamber pipe.In addition,an easy method is provided to calculate the attenuation rate of the shock wave in single and multi-stage ventilation pipes.Corresponding parameters are provided for various structures,and the margin of error between the formulae and experimental results is within 10%,which is significant for engineering applications.
基金supported by the National Science Foundation of China(No.12127806,No.62175195 and No.12304382)the International Joint Research Laboratory for Micro/Nano Manufacturing and Measurement Technologies.
文摘Single-shot ultrafast compressed imaging(UCI)is an effective tool for studying ultrafast dynamics in physics,chemistry,or material science because of its excellent high frame rate and large frame number.However,the random code(Rcode)used in traditional UCI will lead to low-frequency noise covering high-frequency information due to its uneven sampling interval,which is a great challenge in the fidelity of large-frame reconstruction.Here,a high-frequency enhanced compressed active photography(H-CAP)is proposed.By uniformizing the sampling interval of R-code,H-CAP capture the ultrafast process with a random uniform sampling mode.This sampling mode makes the high-frequency sampling energy dominant,which greatly suppresses the low-frequency noise blurring caused by R-code and achieves high-frequency information of image enhanced.The superior dynamic performance and large-frame reconstruction ability of H-CAP are verified by imaging optical self-focusing effect and static object,respectively.We applied H-CAP to the spatial-temporal characterization of double-pulse induced silicon surface ablation dynamics,which is performed within 220 frames in a single-shot of 300 ps.H-CAP provides a high-fidelity imaging method for observing ultrafast unrepeatable dynamic processes with large frames.
文摘Objective:To analyze the therapeutic effect of high-frequency electrosurgical knife surgery guided by painless digestive endoscopy(PDE)in elderly patients with gastrointestinal polyps(GP).Methods:A total of 100 elderly GP patients admitted between June 2021 and December 2022 were selected.Patients were randomly divided into two groups:the painless group(50 cases)underwent high-frequency electrosurgical knife surgery guided by PDE,while the conventional group(50 cases)underwent the same surgery guided by traditional digestive endoscopy(DE).The total treatment efficacy,perioperative indicators,gastrointestinal hormone levels,oxidative stress(OS)markers,and complication rates were compared between the two groups.Results:The total treatment efficacy in the painless group was higher than that in the conventional group,and perioperative indicators were superior in the painless group(P<0.05).One week after treatment,the gastrointestinal hormone levels and OS-related markers in the painless group were better than those in the conventional group(P<0.05).The complication rate in the painless group was lower than in the conventional group(P<0.05).Conclusion:High-frequency electrosurgical knife surgery guided by PDE improves the effectiveness of polyp removal in elderly GP patients and accelerates postoperative recovery.It also protects gastrointestinal function,reduces postoperative OS,and ensures higher surgical safety.
