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Non-Invasive Pressure Support Ventilation in Major Lung Resection for High Risk Patients: Does It Matter?
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作者 Bernhard CDanner Wolfgang Koerber +5 位作者 Alexander Emmert Ulrike Olgemoeller Hilmar Doerge Michael Quintel Carl-PCriee Friedrich ASchoendube 《Open Journal of Thoracic Surgery》 2012年第3期63-71,共9页
Background and purpose: Patients with severely impaired pulmonary function have an increased operative risk for major lung resection. The clinical benefits of pre- and perioperative, non-invasive pressure support vent... Background and purpose: Patients with severely impaired pulmonary function have an increased operative risk for major lung resection. The clinical benefits of pre- and perioperative, non-invasive pressure support ventilation (NIPSV) have up to now not been extensively evaluated. Patients with severely reduced pulmonary function were investigated in this prospective and randomised single centre clinical trial. Methods: Standard pulmonary evaluation was performed in all patients before major lung resection. To predict postoperative pulmonary function, a lung perfusion-ventilation scan was carried out. All patients enrolled in the study were instructed preoperatively on how to use a NIPSV respirator. Af-ter lung resection patients were randomised either for continuation of NIPSV or for standard treatment. Results: Of the 52 patients assessed, 21 patients met the inclusion criteria for the study protocol. Predicted mean postoperative FEV1 was 1.10 L (range 0.92 - 1.27 L). Lobectomy was performed in 14 patients, pneumonectomy in 6 patients and a segmentectomy in 1 patient. No inhospital deaths occurred. Pulmonary complications (reintubation, pneumonia) were more frequent in the NIPSV group than in the control group (3 patients versus 1 patient), without statistical significance (p = 0.31). Conclusions: We observed no mortality and a low morbidity in this high risk group. Postoperative continuation of NIPSV had no beneficial effect on the clinical outcome. Preoperative conditioning with NIPSV, however, seems to be a suitable tool for patients with severely impaired pulmonary function. This study may serve therefore as basis for further investigations for the potential clinical benefits of prophylactic NIPSV in major lung surgery. 展开更多
关键词 Chronic Obstructive Lung Disease Clinical Trial non-invasive Positive-pressure Ventilation Thoracic Surgery
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Observation on the Efficacy of Non-Invasive Positive Pressure Ventilation in Respiratory Support Treatment for Severe Pneumonia
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作者 Baoshan Liu 《Journal of Clinical and Nursing Research》 2026年第2期88-93,共6页
Objective: To evaluate the efficacy of noninvasive positive pressure ventilation (NIPPV) in respiratory support for severe pneumonia. Methods: Data were analyzed from 74 patients with severe pneumonia undergoing respi... Objective: To evaluate the efficacy of noninvasive positive pressure ventilation (NIPPV) in respiratory support for severe pneumonia. Methods: Data were analyzed from 74 patients with severe pneumonia undergoing respiratory support at our hospital between May 2024 and April 2025. Patients were randomly assigned using a random number table to two groups (n = 37 each): the experimental group received NIPPV, while the control group underwent conventional invasive mechanical ventilation. Intergroup differences were compared. Results: Compared with the control group, the experimental group demonstrated significantly higher PaO2 and oxygenation index, significantly lower PaCO2, significantly reduced levels of WBC, CRP, and PCT, significantly higher overall efficacy rate, and significantly lower incidence of adverse reactions after treatment (p < 0.05). Pre-treatment PaO2, oxygenation index, PaCO2, WBC, CRP, and PCT levels showed no significant differences between groups (p > 0.05). Conclusion: Non-invasive positive pressure ventilation demonstrates favorable outcomes in respiratory support for severe pneumonia. 展开更多
关键词 non-invasive positive pressure ventilation Severe pneumonia Respiratory support therapy Application efficacy
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Pressure calibrations of high-pressure large-volume presses at HPSTAR
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作者 Yongjiang Xu Peiyan Wu +17 位作者 Sheng Shang Xue Wang Taihang Li Shuchang Gao Shijie Lv Hang Cheng Qianzhi Xu Shang Lei Jiajia Feng Lei Zhao Wim van Westrenen Takayuki Ishii Bin Chen Lei Su Yang Ding Wenge Yang Ho-Kwang Mao Yanhao Lin 《Matter and Radiation at Extremes》 2026年第1期111-130,共20页
Large-volume presses(LVPs)are widely utilized in diverse research fields—including high-pressure physics,chemistry,materials science,and Earth and planetary sciences—to investigate the physical and chemical properti... Large-volume presses(LVPs)are widely utilized in diverse research fields—including high-pressure physics,chemistry,materials science,and Earth and planetary sciences—to investigate the physical and chemical properties of materials under extreme high-pressure and hightemperature conditions.A prerequisite for achieving reproducible property measurements is the determination and control of pressure within experimental setups.However,the lack of precise pressure calibration in LVPs hinders the broader application of such devices in ultrahigh-pressure studies.This study employs a suite of standard phase transition-based pressure markers—comprising metallic conductors,semiconductors,and minerals—through both in situ and ex situ identification approaches,to establish pressure calibration curves ranging from 0.4 to>30 GPa for various types of LVP installed at the Center for High Pressure Science and Technology Advanced Research(HPSTAR),Beijing,including piston–cylinder,cubic,and multi-anvil presses.The results provide a unified and traceable pressure reference for highpressure experiments conducted at HPSTAR,while also offering technical guidance and calibration standards for other researchers utilizing similar LVP systems,thereby enabling more consistent comparison between different laboratories.This work facilitates the advancement of LVP research toward broader applications in higher-pressure regimes. 展开更多
关键词 CHEMISTRY earth planetary sciences pressure calibration high pressure physics materials science investigate physical chemical properties materials determination control pressure
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Application of an optimized non-invasive prenatal testing for thalassemia based on change of haplotype doses
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作者 Fei Sun Yao Zhou +9 位作者 Xing Zhao Qiuling Jie Linna Ma Dan Lin Yaxuan Li Yangqing Mai Ge Gao Yongfang Zhang Qi Li Yanlin Ma 《Journal of Genetics and Genomics》 2026年第3期488-496,共9页
Patients affected by monogenic diseases impose a substantial burden on both themselves and their families.The primary preventive measure,i.e.,invasive prenatal diagnosis,carries a risk of miscarriage and cannot be per... Patients affected by monogenic diseases impose a substantial burden on both themselves and their families.The primary preventive measure,i.e.,invasive prenatal diagnosis,carries a risk of miscarriage and cannot be performed early in pregnancy.Hence,there is a need for non-invasive prenatal testing(NIPT)for monogenic diseases.By utilizing enriched cell-free fetal DNA(cffDNA)from maternal plasma,we refine the NIPT method,which combines targeted region capture technology,haplotyping,and analysis of informative site frequency.We apply this method to 93 clinical families at genetic risk for thalassemia,encompassing various genetic variant types,to establish a workflow and evaluate its efficiency.Our approach requires only 3 ng of DNA input to generate 0.1 Gb informative target genomic data and leverages a minimum of 3%cffDNA.This method has a 98.16%success rate and 100%concordance with conventional invasive methods.Furthermore,we demonstrate the ability to analyze fetal genotypes as early as eight weeks of gestation.This study establishes an optimized NIPT method for the early detection of various thalassemia disorders during pregnancy.This technique demonstrates high accuracy and potential for clinical application in prenatal diagnosis. 展开更多
关键词 Cell-free fetal DNA non-invasive prenatal testing THALASSEMIA Hybrid capture HAPLOTYPE
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Non-Invasive Brain-Computer Interfaces:Converging Frontiers in Neural Signal Decoding and Flexible Bioelectronics Integration
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作者 Sheng Wang Xiaobin Song +4 位作者 Xiaopan Song Yang Gu Zhuangzhuang Cong Yi Shen Linwei Yu 《Nano-Micro Letters》 2026年第6期399-447,共49页
The development of non-invasive brain-computer interfaces(BCIs)relies on multidisciplinary integration across neuroscience,artificial intelligence,flexible electronics,and systems engineering.Recent advances in deep l... The development of non-invasive brain-computer interfaces(BCIs)relies on multidisciplinary integration across neuroscience,artificial intelligence,flexible electronics,and systems engineering.Recent advances in deep learning have significantly improved the accuracy and robustness of neural signal decoding.Parallel progress in electrode design—particularly through the use of flexible and stretchable materials like nanostructured conductors and novel fabrication strategies—has enhanced wearability and operational stability.Nevertheless,key challenges persist,including individual variability,biocompatibility limitations,and susceptibility to interference in complex environments.Further validation and optimization are needed to address gaps in generalization capability,long-term reliability,and real-world operational robustness.This review systematically examines the representative progress in neural decoding algorithms and flexible bioelectronic platforms over the past decade,highlighting key design principles,material innovations,and integration strategies that are poised to advance non-invasive BCI capabilities.It also discusses the importance of multimodal data fusion,hardware-software co-optimization,and closed-loop control strategies.Furthermore,the review discusses the application potential and associated engineering challenges of this technology in clinical rehabilitation and industrial translation,aiming to provide a reference for advancing non-invasive BCIs toward practical and scalable deployment. 展开更多
关键词 non-invasive BCIs Deep learning Neural signal decoding NANOWIRES Flexible bioelectronics
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Scaling of capillary pressure-saturation curve in porous media under various wetting conditions
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作者 Tian Lan Ran Hu +2 位作者 Xi-Ning Su Zhibing Yang Yi-Feng Chen 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第1期55-72,共18页
The capillary pressure curve provides fundamental insights into the dynamics of fluid-fluid displacement and phase distributions.Capillary scaling is crucial for extrapolating capillary pressure-saturation data from l... The capillary pressure curve provides fundamental insights into the dynamics of fluid-fluid displacement and phase distributions.Capillary scaling is crucial for extrapolating capillary pressure-saturation data from laboratory tests to field applications.However,the classic scaling method fails to capture the effect of wettability as the pore surface approaches neutral wetting.Here,inspired by the role of pore-filling events in controlling fluid-fluid displacement,we perform a theoretical analysis of the burst events occurring during drainage processes.We find that the median threshold capillary pressure,which corresponds to the occurrence of burst events for the median pore throat,is closely correlated with the capillary pressure curve across various contact angles.Using this concept,we propose a new scaling method for capillary pressure curves under various wetting conditions.We conduct microfluidic experiments and pore-network modeling across different contact angles,porosities,and disorders to evaluate the new scaling methods,indicating that the new scaling method performs better than the Leverett J-function as the contact angle approaches 90°.We further perform geometry analysis on the critical radius of curvature for burst events in an ideal tetrahedral arrangement and extend the new scaling method to 3D(three-dimensional)porous media.Model evaluation shows that the 3D version of the scaling method also performs well but requires fewer parameters compared to the Leverett J-function.Our work enhances the prediction and interpretation of experimental data for capillary pressure curves under various wet conditions,and more importantly,establishes a methodology that relates Darcy-scale flow behavior to pore-scale fluid displacements. 展开更多
关键词 Capillary pressure curve Capillary scaling Threshold capillary pressure Microfluidic experiments
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Analysis relationship between body composition and blood pressure among rural adults
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作者 Yunus Elon Evelin Malinti +1 位作者 Joshua H.L.Tobing Samuel Maju Simanjuntak 《Frontiers of Nursing》 2026年第1期51-60,共10页
Objective:Hypertension is a serious public health concern that is influenced by a variety of body composition parameters.This study examines the associations between body composition metrics and blood pressure(BP)in a... Objective:Hypertension is a serious public health concern that is influenced by a variety of body composition parameters.This study examines the associations between body composition metrics and blood pressure(BP)in a rural population,specifically how variations in body fat distribution and other metrics affect systolic blood pressure(SBP)and diastolic blood pressure(DBP).Methods:A cross-sectional study of 226 participants examined the relationships between body composition metrics—such as total body fat,visceral fat,and body mass index(BMI)—and BP.Correlation and regression analyses were used to assess these relationships.Results:The study found substantial positive correlations between visceral fat and total body fat with both SBP and DBP.Visceral fat was strongly connected with both SBP(r=0.145,P=0.030)and DBP(r=0.331,P<0.01),while total body fat was significantly correlated with DBP(r=0.268,P<0.01)but not SBP.Body composition variables explained 12.8% of the variance in SBP(R^(2)=0.128,P=0.001)and 15.0% in DBP(R^(2)=0.150,P<0.001).Conclusions:The study found substantial connections between body composition,particularly visceral and subcutaneous fat and systolic and DBP.Higher levels of visceral fat were linked to elevate BP.Body composition accounted for a significant amount of BP fluctuation. 展开更多
关键词 blood pressure body composition HYPERTENSION systolic and diastolic blood pressure visceral fat
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The mediating effect of blood pressure between healthy lifestyles and stroke:Results from the China Kadoorie Biobank study
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作者 Zidong Wang Jiaxi Zhou +12 位作者 Xikang Fan Jian Su Houyue Geng Xun Wu Yujie Hua Hongfu Ren Jun Lyu Pei Pei Canqing Yu Dianjianyi Sun Yan Lu Jinyi Zhou Ran Tao 《Journal of Biomedical Research》 2026年第1期23-31,共9页
While a healthy lifestyle is known to reduce the risk of stroke,the extent to which blood pressure(BP)mediates this association remains unclear.The present study aimed to quantify the mediating role of BP in the assoc... While a healthy lifestyle is known to reduce the risk of stroke,the extent to which blood pressure(BP)mediates this association remains unclear.The present study aimed to quantify the mediating role of BP in the association between combined lifestyle factors and stroke incidence.Using data from 51929 participants free of major cardiovascular diseases or cancer at baseline,we employed structural equation modeling to assess the mediating effects of systolic(SBP)and diastolic(DBP)blood pressure.During the follow-up,2811 incident stroke cases were identified.A healthy lifestyle was significantly associated with a reduced risk of stroke,with SBP mediating 44.70%(β=-0.0014,95%confidence interval[CI]:-0.0016 to-0.0012)and DBP mediating 37.81%(β=-0.0012,95%CI:-0.0015 to-0.0009)of this association.The mediating effects were attenuated but remained significant for ischemic stroke(SBP:33.21%;DBP:27.24%).In conclusion,approximately two-fifths of the protective association between a healthy lifestyle and stroke may be mediated by BP.These findings suggest that BP control may serve as an important early indicator for evaluating the effectiveness of lifestyle interventions in reducing stroke risk. 展开更多
关键词 STROKE blood pressure LIFESTYLE mediation analysis
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Experimental Verification of Intrinsic Pressure Framework in an Activity Landscape
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作者 Zihao Sun Longfei Li +6 位作者 Chuyun Wang Jing Wang Huaicheng Chen Gao Wang Fangfu Ye Liyu Liu Mingcheng Yang 《Chinese Physics Letters》 2026年第1期322-326,共5页
The intrinsic pressure framework,which treats self-propelling force as an external force,provides a convenient and consistent description of mechanical equilibrium in active matter.However,direct experimental evidence... The intrinsic pressure framework,which treats self-propelling force as an external force,provides a convenient and consistent description of mechanical equilibrium in active matter.However,direct experimental evidence is still lacking.To validate this framework,here we employ a programmable robotic platform,where a single light-controlled wheeled robot travels in an activity landscape.Our experiments quantitatively demonstrate that the intrinsic pressure difference across the activity interface is balanced by the emerged polarization force.This result unambiguously confirms the theoretical predictions,thus validating the intrinsic pressure framework and laying the experimental foundation for the intrinsic pressure-based mechanical description of dry active matter. 展开更多
关键词 intrinsic pressure framework activity landscape intrinsic pressure difference robotic platform programmable robotic platformwhere self propelling force polarization force mechanical equilibrium
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Artificial Intelligence-Enhanced Wearable Blood Pressure Monitoring in Resource-Limited Settings:A Co-Design of Sensors,Model,and Deployment
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作者 Yiming Zhang Shirong Qiu +9 位作者 Kai Du Shun Wu Ting Xiang Kenghao Zheng Zijun Liu Hanjie Chen Nan Ji Fa Wang Weijia Wu Yuan-Ting Zhang 《Nano-Micro Letters》 2026年第5期561-589,共29页
Accurate blood pressure(BP)monitoring is essential for preventing and managing cardiovascular disease.Advancements in materials science,medicine,flexible electronic,and artificial intelligence(AI)have enabled cuffless... Accurate blood pressure(BP)monitoring is essential for preventing and managing cardiovascular disease.Advancements in materials science,medicine,flexible electronic,and artificial intelligence(AI)have enabled cuffless,unobtrusive BP monitoring systems,offering an alternative to traditional sphygmomanometers.However,extending these advances to real-world cardiovascular care particularly in resource-limited settings remains challenging due to constraints in computational resources,power efficiency,and deployment scalability.This review presents a comprehensive synthesis of AI-enhanced wearable BP monitoring,emphasizing its potential for personalized,scalable,and accessible healthcare.We systematically analyze the end-to-end system architecture,from mechano-electric sensing principles and AI-based estimation models to edge-aware deployment strategies tailored for low-resource environments.We further discuss clinical validation metrics and implementation barriers and prospective strategies.To bridge lab-to-field translation,we propose an innovative"sensor-model-deployment-assessment"co-design framework.This roadmap highlights how AI-enhanced BP technologies can support proactive hypertension control and promote cardiovascular health equity on a global scale. 展开更多
关键词 Wearable blood pressure RESOURCE-LIMITED EdgeAI Cardiovascular health
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Deep Learning-Assisted Organogel Pressure Sensor for Alphabet Recognition and Bio-Mechanical Motion Monitoring
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作者 Kusum Sharma Kousik Bhunia +5 位作者 Subhajit Chatterjee Muthukumar Perumalsamy Anandhan Ayyappan Saj Theophilus Bhatti Yung‑Cheol Byun Sang-Jae Kim 《Nano-Micro Letters》 2026年第2期644-663,共20页
Wearable sensors integrated with deep learning techniques have the potential to revolutionize seamless human-machine interfaces for real-time health monitoring,clinical diagnosis,and robotic applications.Nevertheless,... Wearable sensors integrated with deep learning techniques have the potential to revolutionize seamless human-machine interfaces for real-time health monitoring,clinical diagnosis,and robotic applications.Nevertheless,it remains a critical challenge to simultaneously achieve desirable mechanical and electrical performance along with biocompatibility,adhesion,self-healing,and environmental robustness with excellent sensing metrics.Herein,we report a multifunctional,anti-freezing,selfadhesive,and self-healable organogel pressure sensor composed of cobalt nanoparticle encapsulated nitrogen-doped carbon nanotubes(CoN CNT)embedded in a polyvinyl alcohol-gelatin(PVA/GLE)matrix.Fabricated using a binary solvent system of water and ethylene glycol(EG),the CoN CNT/PVA/GLE organogel exhibits excellent flexibility,biocompatibility,and temperature tolerance with remarkable environmental stability.Electrochemical impedance spectroscopy confirms near-stable performance across a broad humidity range(40%-95%RH).Freeze-tolerant conductivity under sub-zero conditions(-20℃)is attributed to the synergistic role of CoN CNT and EG,preserving mobility and network integrity.The Co N CNT/PVA/GLE organogel sensor exhibits high sensitivity of 5.75 k Pa^(-1)in the detection range from 0 to 20 k Pa,ideal for subtle biomechanical motion detection.A smart human-machine interface for English letter recognition using deep learning achieved 98%accuracy.The organogel sensor utility was extended to detect human gestures like finger bending,wrist motion,and throat vibration during speech. 展开更多
关键词 Wearable ORGANOGEL Deep learning pressure sensor Bio-mechanical motion
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Influence of Martian environmental variables on methane partial pressure estimation
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作者 FengYi Chen Rui Li 《Earth and Planetary Physics》 2026年第2期315-325,共11页
Methane is considered a potential biosignature gas.The Mars Science Laboratory(MSL)Curiosity rover has observed seasonal variations in atmospheric methane within Gale Crater,suggesting possible microbial activity.The ... Methane is considered a potential biosignature gas.The Mars Science Laboratory(MSL)Curiosity rover has observed seasonal variations in atmospheric methane within Gale Crater,suggesting possible microbial activity.The origin of this methane could be either biological or abiotic or a combination of the two.Different physical mechanisms,involving distinct environmental variables,produce varying concentrations of methane.By analyzing the influence of various environmental variables on methane partial pressures and comparing differences between physical models and empirical measurements,we can better discern methane production mechanisms.This study investigates factors affecting methane cycling.We find that temperature and pressure strongly correlate with Martian atmospheric methane,while Ultraviolet(UV)radiation at the atmospheric boundary and surface UV radiation exhibit weaker correlations.Using Fuller’s method,we successfully reproduce the seasonal methane cycle in Gale Crater.Several potential physical models suggest that gas diffusion driven by variations in pressure and temperature within the shallow subsurface regolith may represent a primary mechanism determining methane concentrations observed in Gale Crater.However,errors in the pressure-dominated model cannot be neglected.As Curiosity enters its uphill exploration phase,we suggest that atmospheric pressure will play a significant role in predicting the methane concentrations that it will detect. 展开更多
关键词 METHANE Fuller’s method air pressure
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Improving Efficiency of Light Pressure Electric Generator Using Graphene Oxide Nanospacer Between Ag Nanoparticles
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作者 Ha Young Lee Sung-Hyun Kim +3 位作者 Sun-Lyeong Hwang Hyung Soo Ahn Heedae Kim Sam Nyung Yi 《Carbon Energy》 2026年第1期38-47,共10页
Improving device efficiency is fundamental for advancing energy harvesting technology,particularly in systems designed to convert light energy into electrical output.In our previous studies,we developed a basic struct... Improving device efficiency is fundamental for advancing energy harvesting technology,particularly in systems designed to convert light energy into electrical output.In our previous studies,we developed a basic structure light pressure electric generator(Basic-LPEG),which utilized a layered configuration of Ag/Pb(Zr,Ti)O_(3)(PZT)/Pt/GaAs to generate electricity based on light-induced pressure on the PZT.In this study,we sought to enhance the performance of this Basic-LPEG by introducing Ag nanoparticles/graphene oxide(AgNPs/GO)composite units(NP-LPEG),creating upgraded harvesting device.Specifically,by depositing the AgNPs/GO units twice onto the Basic-LPEG,we observed an increase in output voltage and current from 241 mV and 3.1μA to 310 mV and 9.3μA,respectively,under a solar simulator.The increase in electrical output directly correlated with the intensity of the light pressure impacting the PZT,as well as matched the Raman measurements,finite-difference time-domain simulations,and COMSOL Multiphysics Simulation.Experimental data revealed that the enhancement in electrical output was proportional to the number of hot spots generated between Ag nanoparticles,where the electric field experienced substantial amplification.These results underline the effectiveness of AgNPs/GO units in boosting the light-induced electric generation capacity,thereby providing a promising pathway for high-efficiency energy harvesting devices. 展开更多
关键词 Ag nanoparticles energy harvesting graphene oxide light pressure PIEZOELECTRIC
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Multi-Scale Modelling and Simulation of Graphene–PDMS and CNT–PDMS Flexible Capacitive Pressure Sensors for Enhanced Sensitivity
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作者 Rama Gautam Nikhil Marriwala +1 位作者 Reeta Devi Dhariya Singh Arya 《Computers, Materials & Continua》 2026年第5期330-346,共17页
In this study,the multi-scale(meso and macro)modelling was used to predict the electric response of the material.Porosity was introduced through a sugar-templating process to enhance compressibility and sensitivity.Me... In this study,the multi-scale(meso and macro)modelling was used to predict the electric response of the material.Porosity was introduced through a sugar-templating process to enhance compressibility and sensitivity.Mean-field homogenization was employed to predict the electrical conductivity of the nanocomposites,which was validated experimentally through I–V characterisation,confirming stable Ohmic behavior.The homogenised material parameters were incorporated into COMSOLMultiphysics to simulate diaphragmdeflection and capacitance variation under applied pressure.Experimental results showed a linear and stable capacitance response at the force magnitude of 0–7 N.The Graphene nanoplatelets(GnP)–Polydimethylsiloxane(PDMS)sensor demonstrated superior sensitivity(0.0032 pF/N)compared to the CNT–PDMS sensor(0.0019 pF/N),attributed to improved filler dispersion and higher effective surface area of GnP.Finite element simulations were further conducted to evaluate stress distribution in a GnP–PDMS-based capacitive sensor integrated into a shoe insole for gait analysis.The results correlated well with experimental capacitance changes,validating the sensor’s mechanical reliability and pressure sensitivity.This comparative study establishes the GnP–PDMS composite as a more effective candidate for low-cost,biocompatible,and high-performance flexible pressure sensors in wearable biomedical and gait monitoring applications. 展开更多
关键词 Sensitivity COMSOL simulation GRAPHENE POLYDIMETHYLSILOXANE carbon nanotube pressure sensor gait analysis
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Curvilinear Supine Position for Pressure Injury Prevention in Pediatric Cardiac Surgery Patients:A Randomized Controlled Trial
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作者 Qianxue Yang Xiuli Xiao +2 位作者 Minzhe Xing Shuo Qin Xian Li 《Journal of Clinical and Nursing Research》 2026年第1期345-353,共9页
Background:Pressure injury(PI)is a prevalent complication in pediatric cardiac surgery,with higher incidence than in general pediatric populations due to children’s thin skin,underdeveloped subcutaneous tissue,and pr... Background:Pressure injury(PI)is a prevalent complication in pediatric cardiac surgery,with higher incidence than in general pediatric populations due to children’s thin skin,underdeveloped subcutaneous tissue,and prolonged intraoperative pressure.Objective:To evaluate the effectiveness of the curvilinear supine position(CSP)in preventing PI among children undergoing congenital heart disease(CHD)surgery.Methods:Between October 2024 and February 2025,a single-center randomized controlled trial was conducted.Of the 80 children initially enrolled for congenital heart disease(CHD)surgery,77(aged 1 month to 14 years)completed the study and were included in the final analysis after 3 were excluded due to protocol violations.Participants were randomly assigned to the CSP group(n=38)or the conventional supine position group(n=39).Results:The incidence of PI was significantly lower in the CSP group(2.6%)compared to the control group(20.5%)(p=0.029).Postoperative LDH levels were also significantly reduced in the CSP group(422.67±86.52 U/L vs.592.92±215.71 U/L;p=0.031),while preoperative LDH and surgical variables(e.g.,cardiopulmonary bypass time)were comparable between groups.Although the CSP group had a shorter hospital stay(17.24 vs.22.51 days),the difference was not statistically significant(p=0.085).Caregiver satisfaction was significantly higher in the CSP group(100.0%vs.84.6%;p=0.025).Conclusion:CSP effectively reduces PI incidence,mitigates tissue injury,and enhances caregiver satisfaction in pediatric cardiac surgery,offering a safe and feasible strategy for perioperative PI prevention. 展开更多
关键词 Curvilinear supine position pressure injury CHILDREN Perioperative nursing Cardiac surgery
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Investigation of Durable Wettability of Polyethylene Separators via Continuous Atmospheric Pressure Plasma Treatment with Ar/O_(2)/Tetramethylcyclotetrasiloxane
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作者 Jie Cui Li Shao +2 位作者 Hao-Zhe Wang Cheng-Ran Du Jing Zhang 《Chinese Journal of Polymer Science》 2026年第4期1126-1141,I0017,共17页
The rapid decay of the surface wettability of plasma-treated polymers remains a critical limitation for their practical application in advanced materials.This study introduces a continuous atmospheric pressure plasma(... The rapid decay of the surface wettability of plasma-treated polymers remains a critical limitation for their practical application in advanced materials.This study introduces a continuous atmospheric pressure plasma(APP)technique for fabricating polyethylene(PE)separators with durable wettability,and elucidates the underlying mechanism.A systematic comparison of APP treatments with non-deposition and deposition gases,including Ar,Ar/O_(2),Ar/tetramethylcyclotetrasiloxane(TMCTS),and Ar/O_(2)/TMCTS,revealed the key impact factors in achieving durable wettability.Owing to the synergistic interactions of SiO_(x)C_(y)H_(z)nanoparticulate deposition,physical etching,and oxidative functionalization,the PE separator treated by Ar/O_(2)/TMCTS exhibited a 17.5-fold electrolyte wetting area compared to the original one.The improved surface energy and roughness of the SiO_(x)C_(y)H_(z)nanoparticle coating enhanced its electrochemical performance.The ionic conductivity increased by 1.9 times,while the charge transfer resistance decreased by 73.7%.Remarkably,owing to further oxidation of the SiO_(x)C_(y)H_(z)nanoparticle coating and the increase in its silica-like structure,the wetting area of the Ar/O_(2)/TMCTS-treated separator was still over 14-fold larger than that of the original separator after aging for 90 days.This study demonstrates an eco-friendly and scalable approach for fabricating high-performance battery separators and provides mechanistic insights into durable wettability by APP. 展开更多
关键词 Durable wettability Continuous atmospheric pressure plasma Polyethylene separator Tetramethylcyclotetrasiloxane Silica-like structure
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Plasma Metabolites Mediate the Associations of Gut Microbial Diversity with Ambulatory Blood Pressure and Its Variability
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作者 Zhenghao Tang Zhennan Lin +9 位作者 Jianxin Li Fangchao Liu Jie Cao Shufeng Chen Keyong Huang Hongfan Li Dongsheng Hu Jianfeng Huang Dongfeng Gu Xiangfeng Lu 《Biomedical and Environmental Sciences》 2026年第1期26-35,共10页
Objective Evidence suggests that depleted gut microbialα-diversity is associated with hypertension;however,whether metabolic markers affect this relationship remains unknown.We aimed to determine the potential metabo... Objective Evidence suggests that depleted gut microbialα-diversity is associated with hypertension;however,whether metabolic markers affect this relationship remains unknown.We aimed to determine the potential metabolites mediating the associations ofα-diversity with blood pressure(BP)and BP variability(BPV).Methods Metagenomics and plasma targeted metabolomics were conducted on 523 Chinese participants from the MetaSalt study.The 24-hour,daytime,and nighttime BP and BPV were calculated based on ambulatory BP measurements.Linear mixed models were used to characterize the relationships betweenα-diversity(Shannon and Chao1 index)and BP indices.Mediation analyses were performed to assess the contribution of metabolites to the observed associations.The influence of key metabolites on hypertension was further evaluated in a prospective cohort of 2,169 participants.Results Gut microbial richness(Chao1)was negatively associated with 24-hour systolic BP,daytime systolic BP,daytime diastolic BP,24-hour systolic BPV,and nighttime systolic BPV(P<0.05).Moreover,26 metabolites were strongly associated with richness(Bonferroni P<0.05).Among them,four key metabolites(imidazole propionate,2-hydroxy-3-methylbutyric acid,homovanillic acid,and hydrocinnamic acid)mediated the associations between richness and BP indices(proportions of mediating effects:14.1%–67.4%).These key metabolites were also associated with hypertension in the prospective cohort.For example,each 1-standard deviation unit increase in hydrocinnamic acid significantly reduced the risk of prevalent(OR[95%CI]=0.90[0.82,0.99];P=0.03)and incident hypertension(HR[95%CI]=0.83[0.71,0.96];P=0.01).Conclusion Our results suggest that gut microbial richness correlates with lower BP and BPV,and that certain metabolites mediate these associations.These findings provide novel insights into the pathogenesis and prevention of hypertension. 展开更多
关键词 Ambulatory blood pressure monitoring Gut microbial richness Plasma metabolites MEDIATION HYPERTENSION
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Curcumin attenuates pressure overload-induced cardiac fibrosis in mice via modulating the miR-29b/HDAC4 axis
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作者 Yu Xiang Ying Lv +2 位作者 Xiao-Xiang Liu Bo-Tao Li Jing Liu 《Asian Pacific Journal of Tropical Biomedicine》 2026年第2期59-67,I0001,I0002,共11页
Objective:To investigate the antifibrotic effects of curcumin in a transverse aortic constriction(TAC)mouse model and elucidate its molecular mechanisms.Methods:Male C57BL/6 mice underwent TAC and received vehicle,low... Objective:To investigate the antifibrotic effects of curcumin in a transverse aortic constriction(TAC)mouse model and elucidate its molecular mechanisms.Methods:Male C57BL/6 mice underwent TAC and received vehicle,low-dose curcumin(50 mg/kg),high-dose curcumin(200 mg/kg),high-dose curcumin plus a scrambled control antagomir,or high-dose curcumin plus anti-miR-29b treatments.Cardiac function was assessed by echocardiography.Fibrosis was evaluated by histology,collagen volume fraction,and hydroxyproline content.Expression of miR-29b,HDAC4,and fibrosis-related markers(Col1a1,Col3a1,TGF-β1)was measured by quantitative RT-PCR and Western blotting assays.Myocardial procollagen type I carboxy-terminal propeptide was determined by ELISA,and HDAC4-specific enzymatic activity was assayed using a fluorogenic kit.Results:Curcumin improved cardiac function,reduced fibrosis,restored miR-29b expression,and suppressed HDAC4 expression and activity in a dose-dependent manner.Furthermore,curcumin decreased myocardial procollagen type I carboxy-terminal propeptide levels,confirming reduced collagen synthesis.Anti-miR-29b administration partially abrogated the antifibrotic and cardioprotective effects of curcumin.Conclusions:Curcumin attenuates pressure overload-induced cardiac fibrosis and dysfunction in a TAC mouse model via modulation of the miR-29b/HDAC4 axis and suppression of collagen synthesis. 展开更多
关键词 CURCUMIN Cardiac fibrosis MiR-29b HDAC4 Heart failure pressure overload
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A relay-based probabilistic prediction model for multi-fidelity scenarios in total pressure loss of a compressor cascade with micro-textured surfaces
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作者 Liyue WANG Cong WANG +2 位作者 Xinyue LAN Haochen ZHANG Gang SUN 《Chinese Journal of Aeronautics》 2026年第1期55-65,共11页
The micro-riblet structures have been demonstrated effective in controlling the Total Pressure Loss(TPL)of aero-engine blades.However,due to the considerable scale gap between micro-texture and an actual aero-engine b... The micro-riblet structures have been demonstrated effective in controlling the Total Pressure Loss(TPL)of aero-engine blades.However,due to the considerable scale gap between micro-texture and an actual aero-engine blade,wind tunnel tests and numerical simulations with massive grids directly describing the global flow field are costly for aerodynamic evaluation.Furthermore,the fine micro surface structure brings unavoidable manufacturing errors,and the probability prediction contributes to gaining the confidence interval of the results.Therefore,a novel relay-based probabilistic model for multi-fidelity scenarios in the TPL prediction of a compressor cascade with micro-riblet surfaces is proposed to trade off accuracy and efficiency.Combined with the low-fidelity flow data generated by an aerodynamic solution strategy using the boundary surrogate model and the high-fidelity flow data from the experiment,the relay-based modeling has been achieved through knowledge transferring,and the confidence interval can be provided by the Gaussian Process Regression(GPR)model.The TPL of compressor cascades with micro-riblet surfaces under different surface structures at March number Ma=0.64,0.74,0.84 have been evaluated using the Relay-Based Probabilistic(RBP)model.The results illustrate that the RBP model could provide higher accuracy than the Single-Fidelity-Data-Driven(SFDD)prediction model,which show the promising potential of multi-fidelity scenarios data fusion in the aerodynamic evaluation of multi-scale configurations. 展开更多
关键词 Knowledge transfer Micro-riblet Multi-fidelity surrogate Probability prediction model Total pressure loss
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Experimental investigation on trigger dynamics of molten droplet under external disturbance pressure during fuel-coolant interaction
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作者 He-Lin Chen Cheng Peng +2 位作者 Xian-Pin Meng Jian Deng Jiang Wu 《Nuclear Science and Techniques》 2026年第3期189-207,共19页
Fuel-coolant interaction(FCI)remains one of the most complex challenges in severe accident research,with the triggering process being a key aspect that may govern subsequent fine fragmentation and potential steam expl... Fuel-coolant interaction(FCI)remains one of the most complex challenges in severe accident research,with the triggering process being a key aspect that may govern subsequent fine fragmentation and potential steam explosions.In this study,the evolution characteristics of droplet-water interactions under external disturbance conditions were investigated using a self-designed FCI experimental setup.The experimental observations revealed that cavity formation reduced the drag force on the droplet,thereby increasing its peak velocity.However,the external disturbance pressure can disrupt the cavity,leading to a reduction in the droplet peak velocity.Furthermore,it was found that an increase in external disturbance pressure tended to increase the peak value of the droplet expansion rate,thereby promoting the fine-fragmentation process.This effect holds regardless of the initial droplet temperature,coolant temperature,or even when using droplet materials such as lead,which is generally considered unfavorable for steam explosions.Comparative analyses indicated that a higher external disturbance pressure may shorten the triggering time of the droplet surface and enhance the trigger intensity.These findings provide important phenomenological insights for further investigation of the triggering mechanisms in the initial stage of fuel-coolant interactions. 展开更多
关键词 External disturbance pressure Molten droplet Transit velocity Expansion rate Fuel-coolant interaction
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