BACKGROUND:Tracheal intubation(TI)is a fundamental procedure for securing the airway or assisting ventilation in emergency medicine.Tracheal intubation in the lateral position(TILP)has been utilized in clinical practi...BACKGROUND:Tracheal intubation(TI)is a fundamental procedure for securing the airway or assisting ventilation in emergency medicine.Tracheal intubation in the lateral position(TILP)has been utilized in clinical practice,demonstrating potential advantages in specific scenarios,including emergency settings.However,there is a lack of comprehensive reviews and practical protocols on TILP application.To address this gap,we performed a narrative review,and provided evidence-based recommendations to formulate a practice protocol,to assist clinicians to effectively apply TILP.METHODS:We conducted a narrative review of TILP applications and developed recommendations based on clinical research evidence and clinical experience.Delphi method was used among the TILP consortium to grade the strength of the recommendations and to help reach consensus.The practice protocols were formulated as warranted by advancements in medical knowledge,technology,and practice.RESULTS:This narrative review summarized the current evidence on TILP application,highlighting its safety,efficacy,challenges,and potential complications.In total,24 recommendations and a clinical protocol for TILP application in emergency patients were established.CONCLUSION:TILP is a valuable technique in emergency medicine.We reviewed its application in emergency settings and formulated recommendations along with a clinical practice protocol.Future studies are needed to evaluate the safety and efficacy of TILP,broaden its scope of application,and explore effective training protocols.展开更多
For multi-vehicle networks,Cooperative Positioning(CP)technique has become a promising way to enhance vehicle positioning accuracy.Especially,the CP performance could be further improved by introducing Sensor-Rich Veh...For multi-vehicle networks,Cooperative Positioning(CP)technique has become a promising way to enhance vehicle positioning accuracy.Especially,the CP performance could be further improved by introducing Sensor-Rich Vehicles(SRVs)into CP networks,which is called SRV-aided CP.However,the CP system may split into several sub-clusters that cannot be connected with each other in dense urban environments,in which the sub-clusters with few SRVs will suffer from degradation of CP performance.Since Unmanned Aerial Vehicles(UAVs)have been widely used to aid vehicular communications,we intend to utilize UAVs to assist sub-clusters in CP.In this paper,a UAV-aided CP network is constructed to fully utilize information from SRVs.First,the inter-node connection structure among the UAV and vehicles is designed to share available information from SRVs.After that,the clustering optimization strategy is proposed,in which the UAV cooperates with the high-precision sub-cluster to obtain available information from SRVs,and then broadcasts this positioning-related information to other low-precision sub-clusters.Finally,the Locally-Centralized Factor Graph Optimization(LC-FGO)algorithm is designed to fuse positioning information from cooperators.Simulation results indicate that the positioning accuracy of the CP system could be improved by fully utilizing positioning-related information from SRVs.展开更多
The accuracy of spot centroid positioning has a significant impact on the tracking accuracy of the system and the stability of the laser link construction.In satellite laser communication systems,the use of short-wave...The accuracy of spot centroid positioning has a significant impact on the tracking accuracy of the system and the stability of the laser link construction.In satellite laser communication systems,the use of short-wave infrared wavelengths as beacon light can reduce atmospheric absorption and signal attenuation.However,there are strong non-uniformity and blind pixels in the short-wave infrared image,which makes the image distorted and leads to the decrease of spot centroid positioning accuracy.Therefore,the high-precision localization of the spot centroid of the short-wave infrared images is of great research significance.A high-precision spot centroid positioning model for short-wave infrared is proposed to correct for non-uniformity and blind pixels in short-wave infrared images and quantify the localization errors caused by the two,further model-based localization error simulations are performed,and a novel spot centroid positioning payload for satellite laser communications has been designed using the latest 640×512 planar array InGaAs shortwave infrared detector.The experimental results show that the non-uniformity of the corrected image is reduced from 7%to 0.6%,the blind pixels rejection rate reaches 100%,the frame rate can be up to 2000 Hz,and the spot centroid localization accuracy is as high as 0.1 pixel point,which realizes high-precision spot centroid localization of high-frame-frequency short-wave infrared images.展开更多
The existing Low-Earth-Orbit(LEO)positioning performance cannot meet the requirements of Unmanned Aerial Vehicle(UAV)clusters for high-precision real-time positioning in the Global Navigation Satellite System(GNSS)den...The existing Low-Earth-Orbit(LEO)positioning performance cannot meet the requirements of Unmanned Aerial Vehicle(UAV)clusters for high-precision real-time positioning in the Global Navigation Satellite System(GNSS)denial conditions.Therefore,this paper proposes a UAV Clusters Information Geometry Fusion Positioning(UC-IGFP)method using pseudoranges from the LEO satellites.A novel graph model for linking and computing between the UAV clusters and LEO satellites was established.By utilizing probability to describe the positional states of UAVs and sensor errors,the distributed multivariate Probability Fusion Cooperative Positioning(PF-CP)algorithm is proposed to achieve high-precision cooperative positioning and integration of the cluster.Criteria to select the centroid of the cluster were set.A new Kalman filter algorithm that is suitable for UAV clusters was designed based on the global benchmark and Riemann information geometry theory,which overcomes the discontinuity problem caused by the change of cluster centroids.Finally,the UC-IGFP method achieves the LEO continuous highprecision positioning of UAV clusters.The proposed method effectively addresses the positioning challenges caused by the strong direction of signal beams from LEO satellites and the insufficient constraint quantity of information sources at the edge nodes of the cluster.It significantly improves the accuracy and reliability of LEO-UAV cluster positioning.The results of comprehensive simulation experiments show that the proposed method has a 30.5%improvement in performance over the mainstream positioning methods,with a positioning error of 14.267 m.展开更多
Objective: The present research aims to determine if adherence to the Lewinnek safe zone, when exclusively considered, constitutes a pivotal element for ensuring stability in the context of total hip arthroplasty. Thi...Objective: The present research aims to determine if adherence to the Lewinnek safe zone, when exclusively considered, constitutes a pivotal element for ensuring stability in the context of total hip arthroplasty. This is done by examining the acetabular placement in instances of hip dislocation after total hip arthroplasty (THA). Methodology: The authors searched 2653 patient records from 2015 to 2022 looking for patients who had total hip arthroplasty at our facility. For the analysis, 23 patients were culled from 64 individuals who exhibited post-THA dislocations, employing a stringent exclusion criterion, and the resultant acetabular angulation and anteversion were quantified utilizing PEEKMED software (Peek Health S.A., Portugal) upon radiographic evidence. Results: Within the operational timeframe, from the cohort of 2653 subjects, 64 presented with at least a singular incident of displacement. Post-exclusion criterion enforcement, 23 patients were eligible for inclusion. Of these, 10 patients conformed to the safe zone demarcated by Lewinnek for both inclination and anteversion angles, while 13 exhibited deviations from the prescribed anteversion and/or inclination benchmarks. Conclusion: Analysis of the 23 patients reveals that 13 did not confirm to be in the safe zone parameters for anteversion and/or inclination, whereas 10 were within the safe zone as per Lewinnek’s guidelines. This investigative review, corroborated by extant literature, suggests that the isolated consideration of the Lewinnek safe zone does not suffice as a solitary protective factor. It further posits that additional variables are equally critical as acetabular positioning and mandate individual assessment.展开更多
In this paper,a novel train positioning method considering satellite raw observation data was proposed,which aims to promote train positioning performance from an innovative perspective of the train satellite-based po...In this paper,a novel train positioning method considering satellite raw observation data was proposed,which aims to promote train positioning performance from an innovative perspective of the train satellite-based positioning error sources.The method focused on overcoming the abnormal observations in satellite observation data caused by railway environment rather than the positioning results.Specifically,the relative positioning experimental platform was built and the zero-baseline method was firstly employed to evaluate the carrier phase data quality,and then,GNSS combined observation models were adopted to construct the detection values,which were applied to judge abnormal-data through the dual-frequency observations.Further,ambiguity fixing optimization was investigated based on observation data selection in partly-blocked environments.The results show that the proposed method can effectively detect and address abnormal observations and improve positioning stability.Cycle slips and gross errors can be detected and identified based on dual-frequency global navigation satellite system data.After adopting the data selection strategy,the ambiguity fixing percentage was improved by 29.2%,and the standard deviation in the East,North,and Up components was enhanced by 12.7%,7.4%,and 12.5%,respectively.The proposed method can provide references for train positioning performance optimization in railway environments from the perspective of positioning error sources.展开更多
As an endemic and critically-endangered wildlife species in China,the giant panda(Ailuropoda melanoleuca)has attracted widespread attention from all sectors of society regarding its survival status.In this study,the i...As an endemic and critically-endangered wildlife species in China,the giant panda(Ailuropoda melanoleuca)has attracted widespread attention from all sectors of society regarding its survival status.In this study,the impact of earthquake-dameged areas on the distribution and activities of giant pandas in the Qionglai Mountains was analyzed by comparing data from two giant panda surveys conducted in the Qionglai Mountains of Sichuan Province and combining with remote sensing(RS)data from relevant regions.The results indicated that there was only a small area of overlap between the earthquake-damaged areas and giant panda activity trace points.The main earthquake-damaged areas were distributed at elevations(3,500-4,100 m)higher than the primary elevation range of giant panda distribution(1,700-3,100 m).In the Wolong Nature Reserve,no major earthquake damage was observed in the central section east of Provincial Highway 303 with relatively more giant panda activities.Within the Caopo Nature Reserve,the earthquake-damaged areas were mostly concentrated in the northeastern corner and along the border with the Wolong Nature Reserve.However,no large-scale giant panda activity traces were detected in these areas during either of the two surveys.Overall,the range of giant panda activities showed no signs of decline.Therefore,the impact of earthquakes on giant panda activities remains limited.展开更多
In the context of security systems,adequate signal coverage is paramount for the communication between security personnel and the accurate positioning of personnel.Most studies focus on optimizing base station deploym...In the context of security systems,adequate signal coverage is paramount for the communication between security personnel and the accurate positioning of personnel.Most studies focus on optimizing base station deployment under the assumption of static obstacles,aiming to maximize the perception coverage of wireless RF(Radio Frequency)signals and reduce positioning blind spots.However,in practical security systems,obstacles are subject to change,necessitating the consideration of base station deployment in dynamic environments.Nevertheless,research in this area still needs to be conducted.This paper proposes a Dynamic Indoor Environment Beacon Deployment Algorithm(DIE-BDA)to address this problem.This algorithm considers the dynamic alterations in obstacle locations within the designated area.It determines the requisite number of base stations,the requisite time,and the area’s practical and overall signal coverage rates.The experimental results demonstrate that the algorithm can calculate the deployment strategy in 0.12 s following a change in obstacle positions.Experimental results show that the algorithm in this paper requires 0.12 s to compute the deployment strategy after the positions of obstacles change.With 13 base stations,it achieves an effective coverage rate of 93.5%and an overall coverage rate of 97.75%.The algorithm can rapidly compute a revised deployment strategy in response to changes in obstacle positions within security systems,thereby ensuring the efficacy of signal coverage.展开更多
Global Navigation Satellite System(GNSS)-based continuous and accurate train positioning is one of the key technologies for advanced train operations such as train virtual coupling.However,GNSS-based train positioning...Global Navigation Satellite System(GNSS)-based continuous and accurate train positioning is one of the key technologies for advanced train operations such as train virtual coupling.However,GNSS-based train positioning faces significant challenges in real-world scenarios due to environmental complexities and signal interferences.Considering this issue,this paper presents an approach for modeling and performance analysis of GNSS-based train positioning systems using Colored Petri Nets(CPNs).By systematically modeling the GNSS signal reception and processing process,the performance of the positioning system under various environment scenarios is evaluated.The system model integrates three types of interference signals(i.e.,Amplitude Modulation(AM)signals,Frequency Modulation(FM)signals,and pulse signals)while incorporating environmental factors such as terrain obstructions and tunnel shielding.Additionally,the Extended Kalman Filter(EKF)algorithm is employed to process GNSS observation data,providing accurate train position estimations.The simulation results demonstrate that signal interferences and complex environmental conditions significantly affect the GNSS-based positioning accuracy.This study offers a comprehensive framework for evaluating the performance of GNSS-based train positioning systems in different scenarios,highlighting critical factors that influence positioning accuracy and stability.展开更多
Applying visual grammar theory,this study examines representational,interactive,and compositional meanings of the giant panda in Western media cartoons related to China from 1999 to the present.Distinct phases in the ...Applying visual grammar theory,this study examines representational,interactive,and compositional meanings of the giant panda in Western media cartoons related to China from 1999 to the present.Distinct phases in the panda’s representation were identified and illustrated by cases of cartoons in major Western media.These phases trace shift of panda cartoon image from a symbol of peace and friendliness to a politicized emblem of China’s international stance.Key visual trends,such as transitivity,color symbolism,scale enlargement,and increasing compositional complexity,embody the panda’s role in shaping China’s global image and its function in international discourse.These trends reflect the panda’s transformation into a contested symbol,which mediates between China’s self-representation and Western perceptions of its geopolitical rise.By situating the analysis within the context of China’s growing global influence,this study contributes to visual and media studies,demonstrating how cultural symbols are recontextualized to reflect and shape geopolitical narratives.展开更多
Giant panda writing is a classic form of thematic nature writing.Since the scientific discovery and the popularization of the giant panda by naturalists,this writing tradition has spanned nearly a century.Throughout t...Giant panda writing is a classic form of thematic nature writing.Since the scientific discovery and the popularization of the giant panda by naturalists,this writing tradition has spanned nearly a century.Throughout this process,Chinese giant panda writing has developed its own distinct characteristics.Western giant panda writing encompasses genres such as scientific essays,fieldwork notes,and documentary works.Within Chinese giant panda writing,reportage,popular science works,and comprehensive,systematic documentary works all have representative authors and texts.In recent years,IP-oriented giant panda books have shown notable performance.While Chinese giant panda writing exhibits diverse types and perspectives,its scientific rigor,informative value,and innovative expression still require enhancement.As a form of thematic nature writing,giant panda writing provides valuable insights for writings on other subjects.展开更多
Expo 2025 Osaka will be held from April 13 to October 13 with the theme of“Designing Future Society for Our Lives”.China Pavilion is one of the foreign self-built pavilions with the largest land area at the Expo 202...Expo 2025 Osaka will be held from April 13 to October 13 with the theme of“Designing Future Society for Our Lives”.China Pavilion is one of the foreign self-built pavilions with the largest land area at the Expo 2025 Osaka,with the theme of“Building a Community of Life For Man And Nature-Future Society of Green Development”.展开更多
This study presents a novel analytical algorithm for solving the forward position problem of a triangular platform Stewart-type parallel robot(STPR).By introducing a virtual chain and leveraging tetrahedral geometric ...This study presents a novel analytical algorithm for solving the forward position problem of a triangular platform Stewart-type parallel robot(STPR).By introducing a virtual chain and leveraging tetrahedral geometric principles,the proposed method derives analytical solutions for the position and orientation of the moving platform.The algorithm systematically addresses the nonlinearity inherent in the kinematic equations of parallel mechanisms,providing explicit expressions for the coordinates of key moving attachment points.Furthermore,the methodology is extended to general triangular platform STPRs with non-coplanar fixed attachments.Numerical validation through virtual experiments confirms the accuracy of the solutions,demonstrating that the mechanism admits eight distinct configurations for a given set of limb lengths.The results align with established kinematic principles and offer a computationally efficient alternative to iterative analytical approaches,contributing to the advancement of precision control in parallel robotic systems.展开更多
Numerous arthropods evolve and optimize sensory systems, enabling them to effectively adapt complex and competitive habitats. Typically, scorpions can precisely perceive the prey location with the lowest metabolic rat...Numerous arthropods evolve and optimize sensory systems, enabling them to effectively adapt complex and competitive habitats. Typically, scorpions can precisely perceive the prey location with the lowest metabolic rate among invertebrates. This biological phenomenon contrasts sharply with engineered systems, which generally associates high accuracy with substantial energy consumption. Inspired by the Scorpion Compound Slit Sensilla (SCSS) with a stress field modulation strategy, a bionic positioning sensor with superior precision and minimal power consumption is developed for the first time, which utilizes the particular Minimum Positioning Units (MPUs) to efficiently locate vibration signals. The single MPU of the SCSS can recognize the direction of collinear loads by regulating the stress field distribution and further, the coupling action of three MPUs can realize all-angle vibration monitoring in plane. Experiments demonstrate that the bionic positioning sensor achieves 1.43 degrees of angle-error-free accuracy without additional energy supply. As a proof of concept, two bionic positioning sensors and machine learning algorithm are integrated to provide centimeter (cm)-accuracy target localization, ideally suited for the man-machine interaction. The novel design offers a new mechanism for the design of traditional positioning devices, improving precision and efficiency in both the meta-universe and real-world Internet-connected systems.展开更多
Null compensation interferometry is the primary testing method for the manufacture of ultra-high-precision aspheric mirrors.The crosstalk fringes generated by stray light in interferometry can affect accuracy and pote...Null compensation interferometry is the primary testing method for the manufacture of ultra-high-precision aspheric mirrors.The crosstalk fringes generated by stray light in interferometry can affect accuracy and potentially prevent the testing from proceeding normally.Position errors include the decenter error,tilt error,and distance error.During the testing process,position errors will impact the testing accuracy and the crosstalk fringes generated by stray light.To determine the specific impact of position errors,we use the concept of Hindle shell testing of a convex aspheric mirror,and propose the simulation method of crosstalk fringes in null compensation interferometry.We also propose evaluation indices of crosstalk fringes in interferometry and simulate the influence of position errors on the crosstalk fringes.This work aims to help improve the design of compensation interferometry schemes,enhance the feasibility of the design,reduce engineering risks,and improve efficiency.展开更多
Visual indoor positioning methods have the potential for widespread application in complex large-scale indoor environments,such as shopping centers and hospitals.However,during the visual positioning process,passing p...Visual indoor positioning methods have the potential for widespread application in complex large-scale indoor environments,such as shopping centers and hospitals.However,during the visual positioning process,passing pedestrians may cause occlusion in the visual image,leading to large deviations in the visual positioning results.Aiming at the problem of feature occlusion in visual images caused by pedestrians,this paper proposes a visual indoor positioning system that combines semantic segmentation and image restoration.The paper proposes a method called the fast image segmentation repair(FISR),which segments and rapidly repairs the selected image to eliminate the influence of pedestrians on image feature extraction and improve positioning accuracy.In addition,the paper proposes a method called local feature based bag-of-visual-words combined with high-level semantic information(LFHS)for image retrieval.LFHS uses both local features and high-level semantic information to obtain more comprehensive and accurate representations of image features.This approach improves the accuracy and robustness of image retrieval by harnessing the combined power of local features and high-level semantic information.Experimental results show that the proposed positioning method reduces the average positioning error by 0.35 m compared with NetVLAD and 0.49 m compared with MixVPR,significantly improving the performance of visual positioning technology.展开更多
This study aimed to explore an effective nursing plan for peripherally inserted central catheter(PICC)placement guided by endocardial electrocardiogram(ECG)positioning technology and to analyze related nursing problem...This study aimed to explore an effective nursing plan for peripherally inserted central catheter(PICC)placement guided by endocardial electrocardiogram(ECG)positioning technology and to analyze related nursing problems and countermeasures.A total of 96 patients who underwent PICC placement using ECG-guided positioning technology in our hospital from January 2024 to December 2024 were selected and randomly divided into an experimental group(n=48)and a control group(n=48)using a random number table.The control group received routine basic nursing care,while the experimental group was provided with comprehensive high-quality nursing care.The results showed that the success rate of one-time catheter placement was significantly higher in the experimental group than in the control group(P<0.05),while the incidence of complications was notably lower in the experimental group(P<0.05).These findings suggest that comprehensive high-quality nursing care during PICC placement guided by ECG positioning technology can effectively enhance the success rate of catheter placement and reduce complications,indicating that this nursing approach is valuable for clinical promotion and application.展开更多
Rail positioning is a critical step for detecting rail defects downstream.However,existing orientation-based detectors struggle to effectively manage rails with arbitrary inclinations and high aspect ratios,particular...Rail positioning is a critical step for detecting rail defects downstream.However,existing orientation-based detectors struggle to effectively manage rails with arbitrary inclinations and high aspect ratios,particularly in turnout sections.To address these challenges,a fuzzy boundary guidance and oriented Gaussian function-based anchor-free network termed the rail positioning network(RP-Net)is proposed for rail positioning in turnout sections.First,an oriented Gaussian function-based label generation strategy is introduced.This strategy produces smoother and more accu-rate label values by accounting for the specific aspect ratios and orientations of the rails.Second,a fuzzy boundary learning module is developed to enhance the network’s abil-ity to model the rail boundary regions effectively.Further-more,a boundary guidance module is developed to direct the network in fusing the features obtained from the downs-ampled network output with the boundary region features,which have been enhanced to contain more refined posi-tional and structural information.A local channel attention mechanism is integrated into this module to identify critical channels.Finally,experiments conducted on the tracking dataset show that the proposed RP-Net achieves high posi-tioning accuracy and demonstrates strong adaptability in complex scenarios.展开更多
Four benzocoumarin-based two-photon fluorescent probes(BH1-BH4)are proposed for ra-tiometric detection of hypochlorous acid(HClO)and their two-photon sensing perfor-mance are evaluated by means of time-dependent densi...Four benzocoumarin-based two-photon fluorescent probes(BH1-BH4)are proposed for ra-tiometric detection of hypochlorous acid(HClO)and their two-photon sensing perfor-mance are evaluated by means of time-dependent density func-tional theory and quadratic re-sponse theory.The effects of benzene-fused position on Stokes shift,fluorescence quantum yield and two-photon absorption are discussed comprehensively.The results show that fusing a benzene ring in coumarin can enhance Stokes shift efficiently.The benzene-fused position has important effects on these photophysical properties.The benzo[g]coumarins(BH1)and benzo[f]coumarins(BH2)derivatives have larger Stokes shifts in comparison with benzo[h]coumarins(BH3)and dihydrophenazine(BH4)derivatives.The two-photon absorp-tion of benzo[f]coumarins(BH2)derivative is much smaller than those of other benzo-coumarins derivatives.The large Stokes shift and increased two-photon action cross section can be achieved simultaneously in the dihydrophenazine(BH4)derivative.Therefore,the de-signed BH4 is expected to have superior performance for the ratiometric detection of HClO.To explore the reasons behind these effects,the intramolecular charge transfer degrees are il-lustrated quantitatively by plotting the hole-electron isosurface map,and the relation be-tween charge transfer and Stokes shift is revealed.A two-state model analysis is employed to understand two-photon absorption ability.Moreover,the fluorescence near-quenching mecha-nism of the product molecules B1 and B3 is explained by analyzing reorganization energy and Huang-Rhys factor,as well as related normal mode.Our research could contribute to the effi-cient design of ratiometric two-photon fluorescent probes with large Stokes shift and signifi-cant two-photon action cross section.展开更多
Objectives A systematic review and network meta-analysis was conducted to evaluate the effectiveness of different childbirth positions in reducing the duration of the second stage of labor,providing evidence-based ins...Objectives A systematic review and network meta-analysis was conducted to evaluate the effectiveness of different childbirth positions in reducing the duration of the second stage of labor,providing evidence-based insights for obstetric institutions to guide interventions related to childbirth positions.Methods A comprehensive literature search was conducted in databases,including PubMed,Web of Science,the Cochrane Library,Embase,Wanfang Databases,China National Knowledge Infrastructure Databases(CNKI),China Science and Technology Journal Database(CSTJ),and China Biology Medicine disc(CBMdisc)to identify studies on the effectiveness of different childbirth positions in reducing the duration of the second stage of labor.The search included randomized controlled trials published from database inception to September 30,2024.The Cochrane risk-of-bias tool was used to assess the quality of the studies.Two independent reviewers screened the literature,extracted data,and evaluated study quality.Subsequently,a network meta-analysis was performed using STATA software.The study protocol has been registered in PROSPERO(CRD42023428217).Results This study analyzed data from 25 randomized controlled trials involving 9,844 women.The findings indicated that in comparison to lithotomy position,free position(MD=20.53,95%CI[11.38,29.68])and upright position(MD=−24.13,95%CI[−42.94,-5.32])were found to be superior in reducing the duration of the second stage of labor.Free position outperformed kneeling position(MD=21.48,95%CI[4.67,38.28])and squatting position(MD=23.43,95%CI[1.88,44.97]);upright position was superior to kneeling position(MD=−25.08,95%CI[−46.93,−3.22]);semirecumbent position surpassed squatting position(MD=19.71,95%CI[2.05,37.38]);and upright position was also superior to squatting position(MD=−27.03,95%CI[−51.48,−2.57]).According to the surface under the cumulative ranking curve(SUCRA),the upright position emerged as the most effective for reducing the duration of the second stage of labor(87.4%),followed by free position(81.1%),semirecumbent position(70.0%),and lateral position(62.3%).Conclusion These findings offer valuable insights for midwifery practice and help inform future research directions.Considering the limitations of this review,more larger-scale,multicenter randomized controlled trials are warranted to further evaluate the relative effectiveness of different childbirth positions in reducing the duration of the second stage of labor.展开更多
基金National Natural Science Foundation of China(U24A20714 to XMF and 82102238 to PC)。
文摘BACKGROUND:Tracheal intubation(TI)is a fundamental procedure for securing the airway or assisting ventilation in emergency medicine.Tracheal intubation in the lateral position(TILP)has been utilized in clinical practice,demonstrating potential advantages in specific scenarios,including emergency settings.However,there is a lack of comprehensive reviews and practical protocols on TILP application.To address this gap,we performed a narrative review,and provided evidence-based recommendations to formulate a practice protocol,to assist clinicians to effectively apply TILP.METHODS:We conducted a narrative review of TILP applications and developed recommendations based on clinical research evidence and clinical experience.Delphi method was used among the TILP consortium to grade the strength of the recommendations and to help reach consensus.The practice protocols were formulated as warranted by advancements in medical knowledge,technology,and practice.RESULTS:This narrative review summarized the current evidence on TILP application,highlighting its safety,efficacy,challenges,and potential complications.In total,24 recommendations and a clinical protocol for TILP application in emergency patients were established.CONCLUSION:TILP is a valuable technique in emergency medicine.We reviewed its application in emergency settings and formulated recommendations along with a clinical practice protocol.Future studies are needed to evaluate the safety and efficacy of TILP,broaden its scope of application,and explore effective training protocols.
基金supported by the National Natural Science Foundation of China(No.62271399)the National Key Research and Development Program of China(No.2022YFB1807102)。
文摘For multi-vehicle networks,Cooperative Positioning(CP)technique has become a promising way to enhance vehicle positioning accuracy.Especially,the CP performance could be further improved by introducing Sensor-Rich Vehicles(SRVs)into CP networks,which is called SRV-aided CP.However,the CP system may split into several sub-clusters that cannot be connected with each other in dense urban environments,in which the sub-clusters with few SRVs will suffer from degradation of CP performance.Since Unmanned Aerial Vehicles(UAVs)have been widely used to aid vehicular communications,we intend to utilize UAVs to assist sub-clusters in CP.In this paper,a UAV-aided CP network is constructed to fully utilize information from SRVs.First,the inter-node connection structure among the UAV and vehicles is designed to share available information from SRVs.After that,the clustering optimization strategy is proposed,in which the UAV cooperates with the high-precision sub-cluster to obtain available information from SRVs,and then broadcasts this positioning-related information to other low-precision sub-clusters.Finally,the Locally-Centralized Factor Graph Optimization(LC-FGO)algorithm is designed to fuse positioning information from cooperators.Simulation results indicate that the positioning accuracy of the CP system could be improved by fully utilizing positioning-related information from SRVs.
基金Supported by the Short-wave Infrared Camera Systems(B025F40622024)。
文摘The accuracy of spot centroid positioning has a significant impact on the tracking accuracy of the system and the stability of the laser link construction.In satellite laser communication systems,the use of short-wave infrared wavelengths as beacon light can reduce atmospheric absorption and signal attenuation.However,there are strong non-uniformity and blind pixels in the short-wave infrared image,which makes the image distorted and leads to the decrease of spot centroid positioning accuracy.Therefore,the high-precision localization of the spot centroid of the short-wave infrared images is of great research significance.A high-precision spot centroid positioning model for short-wave infrared is proposed to correct for non-uniformity and blind pixels in short-wave infrared images and quantify the localization errors caused by the two,further model-based localization error simulations are performed,and a novel spot centroid positioning payload for satellite laser communications has been designed using the latest 640×512 planar array InGaAs shortwave infrared detector.The experimental results show that the non-uniformity of the corrected image is reduced from 7%to 0.6%,the blind pixels rejection rate reaches 100%,the frame rate can be up to 2000 Hz,and the spot centroid localization accuracy is as high as 0.1 pixel point,which realizes high-precision spot centroid localization of high-frame-frequency short-wave infrared images.
基金supported in part by the National Natural Science Foundation of China(Nos.62171375,62271397,62001392,62101458,62173276,61803310 and 61801394)the Shenzhen Science and Technology Innovation ProgramChina(No.JCYJ20220530161615033)。
文摘The existing Low-Earth-Orbit(LEO)positioning performance cannot meet the requirements of Unmanned Aerial Vehicle(UAV)clusters for high-precision real-time positioning in the Global Navigation Satellite System(GNSS)denial conditions.Therefore,this paper proposes a UAV Clusters Information Geometry Fusion Positioning(UC-IGFP)method using pseudoranges from the LEO satellites.A novel graph model for linking and computing between the UAV clusters and LEO satellites was established.By utilizing probability to describe the positional states of UAVs and sensor errors,the distributed multivariate Probability Fusion Cooperative Positioning(PF-CP)algorithm is proposed to achieve high-precision cooperative positioning and integration of the cluster.Criteria to select the centroid of the cluster were set.A new Kalman filter algorithm that is suitable for UAV clusters was designed based on the global benchmark and Riemann information geometry theory,which overcomes the discontinuity problem caused by the change of cluster centroids.Finally,the UC-IGFP method achieves the LEO continuous highprecision positioning of UAV clusters.The proposed method effectively addresses the positioning challenges caused by the strong direction of signal beams from LEO satellites and the insufficient constraint quantity of information sources at the edge nodes of the cluster.It significantly improves the accuracy and reliability of LEO-UAV cluster positioning.The results of comprehensive simulation experiments show that the proposed method has a 30.5%improvement in performance over the mainstream positioning methods,with a positioning error of 14.267 m.
文摘Objective: The present research aims to determine if adherence to the Lewinnek safe zone, when exclusively considered, constitutes a pivotal element for ensuring stability in the context of total hip arthroplasty. This is done by examining the acetabular placement in instances of hip dislocation after total hip arthroplasty (THA). Methodology: The authors searched 2653 patient records from 2015 to 2022 looking for patients who had total hip arthroplasty at our facility. For the analysis, 23 patients were culled from 64 individuals who exhibited post-THA dislocations, employing a stringent exclusion criterion, and the resultant acetabular angulation and anteversion were quantified utilizing PEEKMED software (Peek Health S.A., Portugal) upon radiographic evidence. Results: Within the operational timeframe, from the cohort of 2653 subjects, 64 presented with at least a singular incident of displacement. Post-exclusion criterion enforcement, 23 patients were eligible for inclusion. Of these, 10 patients conformed to the safe zone demarcated by Lewinnek for both inclination and anteversion angles, while 13 exhibited deviations from the prescribed anteversion and/or inclination benchmarks. Conclusion: Analysis of the 23 patients reveals that 13 did not confirm to be in the safe zone parameters for anteversion and/or inclination, whereas 10 were within the safe zone as per Lewinnek’s guidelines. This investigative review, corroborated by extant literature, suggests that the isolated consideration of the Lewinnek safe zone does not suffice as a solitary protective factor. It further posits that additional variables are equally critical as acetabular positioning and mandate individual assessment.
基金Project(52272339)supported by the National Natural Science Foundation of ChinaProject(2023YFB390730303)supported by the National Key Research and Development Program of China+2 种基金Project(L2023G004)supported by the Science and Technology Research and Development Program of China State Railway Group Co.,Ltd.Project(QZKFKT2023-005)supported by the State Key Laboratory of Heavy-duty and Express High-power Electric Locomotive,ChinaProject(2022JZZ05)supported by the Open Foundation of MOE Key Laboratory of Engineering Structures of Heavy Haul Railway(Central South University),China。
文摘In this paper,a novel train positioning method considering satellite raw observation data was proposed,which aims to promote train positioning performance from an innovative perspective of the train satellite-based positioning error sources.The method focused on overcoming the abnormal observations in satellite observation data caused by railway environment rather than the positioning results.Specifically,the relative positioning experimental platform was built and the zero-baseline method was firstly employed to evaluate the carrier phase data quality,and then,GNSS combined observation models were adopted to construct the detection values,which were applied to judge abnormal-data through the dual-frequency observations.Further,ambiguity fixing optimization was investigated based on observation data selection in partly-blocked environments.The results show that the proposed method can effectively detect and address abnormal observations and improve positioning stability.Cycle slips and gross errors can be detected and identified based on dual-frequency global navigation satellite system data.After adopting the data selection strategy,the ambiguity fixing percentage was improved by 29.2%,and the standard deviation in the East,North,and Up components was enhanced by 12.7%,7.4%,and 12.5%,respectively.The proposed method can provide references for train positioning performance optimization in railway environments from the perspective of positioning error sources.
文摘As an endemic and critically-endangered wildlife species in China,the giant panda(Ailuropoda melanoleuca)has attracted widespread attention from all sectors of society regarding its survival status.In this study,the impact of earthquake-dameged areas on the distribution and activities of giant pandas in the Qionglai Mountains was analyzed by comparing data from two giant panda surveys conducted in the Qionglai Mountains of Sichuan Province and combining with remote sensing(RS)data from relevant regions.The results indicated that there was only a small area of overlap between the earthquake-damaged areas and giant panda activity trace points.The main earthquake-damaged areas were distributed at elevations(3,500-4,100 m)higher than the primary elevation range of giant panda distribution(1,700-3,100 m).In the Wolong Nature Reserve,no major earthquake damage was observed in the central section east of Provincial Highway 303 with relatively more giant panda activities.Within the Caopo Nature Reserve,the earthquake-damaged areas were mostly concentrated in the northeastern corner and along the border with the Wolong Nature Reserve.However,no large-scale giant panda activity traces were detected in these areas during either of the two surveys.Overall,the range of giant panda activities showed no signs of decline.Therefore,the impact of earthquakes on giant panda activities remains limited.
文摘In the context of security systems,adequate signal coverage is paramount for the communication between security personnel and the accurate positioning of personnel.Most studies focus on optimizing base station deployment under the assumption of static obstacles,aiming to maximize the perception coverage of wireless RF(Radio Frequency)signals and reduce positioning blind spots.However,in practical security systems,obstacles are subject to change,necessitating the consideration of base station deployment in dynamic environments.Nevertheless,research in this area still needs to be conducted.This paper proposes a Dynamic Indoor Environment Beacon Deployment Algorithm(DIE-BDA)to address this problem.This algorithm considers the dynamic alterations in obstacle locations within the designated area.It determines the requisite number of base stations,the requisite time,and the area’s practical and overall signal coverage rates.The experimental results demonstrate that the algorithm can calculate the deployment strategy in 0.12 s following a change in obstacle positions.Experimental results show that the algorithm in this paper requires 0.12 s to compute the deployment strategy after the positions of obstacles change.With 13 base stations,it achieves an effective coverage rate of 93.5%and an overall coverage rate of 97.75%.The algorithm can rapidly compute a revised deployment strategy in response to changes in obstacle positions within security systems,thereby ensuring the efficacy of signal coverage.
基金supported by the National Key Research and Development Program of China(2023YFB3907300)the Fundamental Research Funds for the Central Universities(2024JBMC002)the National Natural Science Foundation of China(T2222015,U2268206).
文摘Global Navigation Satellite System(GNSS)-based continuous and accurate train positioning is one of the key technologies for advanced train operations such as train virtual coupling.However,GNSS-based train positioning faces significant challenges in real-world scenarios due to environmental complexities and signal interferences.Considering this issue,this paper presents an approach for modeling and performance analysis of GNSS-based train positioning systems using Colored Petri Nets(CPNs).By systematically modeling the GNSS signal reception and processing process,the performance of the positioning system under various environment scenarios is evaluated.The system model integrates three types of interference signals(i.e.,Amplitude Modulation(AM)signals,Frequency Modulation(FM)signals,and pulse signals)while incorporating environmental factors such as terrain obstructions and tunnel shielding.Additionally,the Extended Kalman Filter(EKF)algorithm is employed to process GNSS observation data,providing accurate train position estimations.The simulation results demonstrate that signal interferences and complex environmental conditions significantly affect the GNSS-based positioning accuracy.This study offers a comprehensive framework for evaluating the performance of GNSS-based train positioning systems in different scenarios,highlighting critical factors that influence positioning accuracy and stability.
基金supported by the Wuhan University Undergraduate Project of Innovation and Entrepreneurship Training“The Evolution of Cartoon Images of Pandas in Western Media’s China-Related News From the Perspective of Multimodal Theory”(Project Number:S202410486013).
文摘Applying visual grammar theory,this study examines representational,interactive,and compositional meanings of the giant panda in Western media cartoons related to China from 1999 to the present.Distinct phases in the panda’s representation were identified and illustrated by cases of cartoons in major Western media.These phases trace shift of panda cartoon image from a symbol of peace and friendliness to a politicized emblem of China’s international stance.Key visual trends,such as transitivity,color symbolism,scale enlargement,and increasing compositional complexity,embody the panda’s role in shaping China’s global image and its function in international discourse.These trends reflect the panda’s transformation into a contested symbol,which mediates between China’s self-representation and Western perceptions of its geopolitical rise.By situating the analysis within the context of China’s growing global influence,this study contributes to visual and media studies,demonstrating how cultural symbols are recontextualized to reflect and shape geopolitical narratives.
文摘Giant panda writing is a classic form of thematic nature writing.Since the scientific discovery and the popularization of the giant panda by naturalists,this writing tradition has spanned nearly a century.Throughout this process,Chinese giant panda writing has developed its own distinct characteristics.Western giant panda writing encompasses genres such as scientific essays,fieldwork notes,and documentary works.Within Chinese giant panda writing,reportage,popular science works,and comprehensive,systematic documentary works all have representative authors and texts.In recent years,IP-oriented giant panda books have shown notable performance.While Chinese giant panda writing exhibits diverse types and perspectives,its scientific rigor,informative value,and innovative expression still require enhancement.As a form of thematic nature writing,giant panda writing provides valuable insights for writings on other subjects.
文摘Expo 2025 Osaka will be held from April 13 to October 13 with the theme of“Designing Future Society for Our Lives”.China Pavilion is one of the foreign self-built pavilions with the largest land area at the Expo 2025 Osaka,with the theme of“Building a Community of Life For Man And Nature-Future Society of Green Development”.
基金supported by the Opening Project of State Key Laboratory of Mechanical Transmission for Advanced Equipment(No.SKLMT-MSKFKT202330)the National Natural Science Foundation of China(No.52575022)the Jiangsu Province Postgraduate Research&Practice Innovation Program(No.KYCX25_1403)。
文摘This study presents a novel analytical algorithm for solving the forward position problem of a triangular platform Stewart-type parallel robot(STPR).By introducing a virtual chain and leveraging tetrahedral geometric principles,the proposed method derives analytical solutions for the position and orientation of the moving platform.The algorithm systematically addresses the nonlinearity inherent in the kinematic equations of parallel mechanisms,providing explicit expressions for the coordinates of key moving attachment points.Furthermore,the methodology is extended to general triangular platform STPRs with non-coplanar fixed attachments.Numerical validation through virtual experiments confirms the accuracy of the solutions,demonstrating that the mechanism admits eight distinct configurations for a given set of limb lengths.The results align with established kinematic principles and offer a computationally efficient alternative to iterative analytical approaches,contributing to the advancement of precision control in parallel robotic systems.
基金supported by the National Natural Science Foundation of China(No.52175269)the Foundation for Innovative Research Groups of the National Natural Science Foundation of China(No.52021003)+2 种基金Science and Technology Research Project of Education Department of Jilin Province(JJKH20231146KJ,JJKH20241262KJ)Project ZR2024ME104 supported by Shandong Provincial Natural Science FoundationChina Postdoctoral Science Foundation(No.2024M751086).
文摘Numerous arthropods evolve and optimize sensory systems, enabling them to effectively adapt complex and competitive habitats. Typically, scorpions can precisely perceive the prey location with the lowest metabolic rate among invertebrates. This biological phenomenon contrasts sharply with engineered systems, which generally associates high accuracy with substantial energy consumption. Inspired by the Scorpion Compound Slit Sensilla (SCSS) with a stress field modulation strategy, a bionic positioning sensor with superior precision and minimal power consumption is developed for the first time, which utilizes the particular Minimum Positioning Units (MPUs) to efficiently locate vibration signals. The single MPU of the SCSS can recognize the direction of collinear loads by regulating the stress field distribution and further, the coupling action of three MPUs can realize all-angle vibration monitoring in plane. Experiments demonstrate that the bionic positioning sensor achieves 1.43 degrees of angle-error-free accuracy without additional energy supply. As a proof of concept, two bionic positioning sensors and machine learning algorithm are integrated to provide centimeter (cm)-accuracy target localization, ideally suited for the man-machine interaction. The novel design offers a new mechanism for the design of traditional positioning devices, improving precision and efficiency in both the meta-universe and real-world Internet-connected systems.
基金the National Key Research and Development Program of China(2022YFB3403404)the Youth Innovation Promotion Association,CAS(2022213)the National Natural Science Foundation of China(62127901 and 62305334).
文摘Null compensation interferometry is the primary testing method for the manufacture of ultra-high-precision aspheric mirrors.The crosstalk fringes generated by stray light in interferometry can affect accuracy and potentially prevent the testing from proceeding normally.Position errors include the decenter error,tilt error,and distance error.During the testing process,position errors will impact the testing accuracy and the crosstalk fringes generated by stray light.To determine the specific impact of position errors,we use the concept of Hindle shell testing of a convex aspheric mirror,and propose the simulation method of crosstalk fringes in null compensation interferometry.We also propose evaluation indices of crosstalk fringes in interferometry and simulate the influence of position errors on the crosstalk fringes.This work aims to help improve the design of compensation interferometry schemes,enhance the feasibility of the design,reduce engineering risks,and improve efficiency.
基金Supported by the National Natural Science Foundation of China(No.61971162,61771186)the Natural Science Foundation of Heilongjiang Province(No.PL2024F025)+2 种基金the Open Research Fund of National Mobile Communications Research Laboratory Southeast University(No.2023D07)the Outstanding Youth Program of Natural Science Foundation of Heilongjiang Province(No.YQ2020F012)the Fundamental Scientific Research Funds of Heilongjiang Province(No.2022-KYYWF-1050).
文摘Visual indoor positioning methods have the potential for widespread application in complex large-scale indoor environments,such as shopping centers and hospitals.However,during the visual positioning process,passing pedestrians may cause occlusion in the visual image,leading to large deviations in the visual positioning results.Aiming at the problem of feature occlusion in visual images caused by pedestrians,this paper proposes a visual indoor positioning system that combines semantic segmentation and image restoration.The paper proposes a method called the fast image segmentation repair(FISR),which segments and rapidly repairs the selected image to eliminate the influence of pedestrians on image feature extraction and improve positioning accuracy.In addition,the paper proposes a method called local feature based bag-of-visual-words combined with high-level semantic information(LFHS)for image retrieval.LFHS uses both local features and high-level semantic information to obtain more comprehensive and accurate representations of image features.This approach improves the accuracy and robustness of image retrieval by harnessing the combined power of local features and high-level semantic information.Experimental results show that the proposed positioning method reduces the average positioning error by 0.35 m compared with NetVLAD and 0.49 m compared with MixVPR,significantly improving the performance of visual positioning technology.
文摘This study aimed to explore an effective nursing plan for peripherally inserted central catheter(PICC)placement guided by endocardial electrocardiogram(ECG)positioning technology and to analyze related nursing problems and countermeasures.A total of 96 patients who underwent PICC placement using ECG-guided positioning technology in our hospital from January 2024 to December 2024 were selected and randomly divided into an experimental group(n=48)and a control group(n=48)using a random number table.The control group received routine basic nursing care,while the experimental group was provided with comprehensive high-quality nursing care.The results showed that the success rate of one-time catheter placement was significantly higher in the experimental group than in the control group(P<0.05),while the incidence of complications was notably lower in the experimental group(P<0.05).These findings suggest that comprehensive high-quality nursing care during PICC placement guided by ECG positioning technology can effectively enhance the success rate of catheter placement and reduce complications,indicating that this nursing approach is valuable for clinical promotion and application.
基金Major Scientific Research Projects of China Railway Group(No.K2019G046)the National Key Research and Devel-opment Program of China(No.2020YFB1600700).
文摘Rail positioning is a critical step for detecting rail defects downstream.However,existing orientation-based detectors struggle to effectively manage rails with arbitrary inclinations and high aspect ratios,particularly in turnout sections.To address these challenges,a fuzzy boundary guidance and oriented Gaussian function-based anchor-free network termed the rail positioning network(RP-Net)is proposed for rail positioning in turnout sections.First,an oriented Gaussian function-based label generation strategy is introduced.This strategy produces smoother and more accu-rate label values by accounting for the specific aspect ratios and orientations of the rails.Second,a fuzzy boundary learning module is developed to enhance the network’s abil-ity to model the rail boundary regions effectively.Further-more,a boundary guidance module is developed to direct the network in fusing the features obtained from the downs-ampled network output with the boundary region features,which have been enhanced to contain more refined posi-tional and structural information.A local channel attention mechanism is integrated into this module to identify critical channels.Finally,experiments conducted on the tracking dataset show that the proposed RP-Net achieves high posi-tioning accuracy and demonstrates strong adaptability in complex scenarios.
基金supported by the Shandong Provincial Natural Science Foundation,China(No.ZR2020MA078)。
文摘Four benzocoumarin-based two-photon fluorescent probes(BH1-BH4)are proposed for ra-tiometric detection of hypochlorous acid(HClO)and their two-photon sensing perfor-mance are evaluated by means of time-dependent density func-tional theory and quadratic re-sponse theory.The effects of benzene-fused position on Stokes shift,fluorescence quantum yield and two-photon absorption are discussed comprehensively.The results show that fusing a benzene ring in coumarin can enhance Stokes shift efficiently.The benzene-fused position has important effects on these photophysical properties.The benzo[g]coumarins(BH1)and benzo[f]coumarins(BH2)derivatives have larger Stokes shifts in comparison with benzo[h]coumarins(BH3)and dihydrophenazine(BH4)derivatives.The two-photon absorp-tion of benzo[f]coumarins(BH2)derivative is much smaller than those of other benzo-coumarins derivatives.The large Stokes shift and increased two-photon action cross section can be achieved simultaneously in the dihydrophenazine(BH4)derivative.Therefore,the de-signed BH4 is expected to have superior performance for the ratiometric detection of HClO.To explore the reasons behind these effects,the intramolecular charge transfer degrees are il-lustrated quantitatively by plotting the hole-electron isosurface map,and the relation be-tween charge transfer and Stokes shift is revealed.A two-state model analysis is employed to understand two-photon absorption ability.Moreover,the fluorescence near-quenching mecha-nism of the product molecules B1 and B3 is explained by analyzing reorganization energy and Huang-Rhys factor,as well as related normal mode.Our research could contribute to the effi-cient design of ratiometric two-photon fluorescent probes with large Stokes shift and signifi-cant two-photon action cross section.
基金the Obstetrics and Gynecology Hospital of Fudan University for supporting this project。
文摘Objectives A systematic review and network meta-analysis was conducted to evaluate the effectiveness of different childbirth positions in reducing the duration of the second stage of labor,providing evidence-based insights for obstetric institutions to guide interventions related to childbirth positions.Methods A comprehensive literature search was conducted in databases,including PubMed,Web of Science,the Cochrane Library,Embase,Wanfang Databases,China National Knowledge Infrastructure Databases(CNKI),China Science and Technology Journal Database(CSTJ),and China Biology Medicine disc(CBMdisc)to identify studies on the effectiveness of different childbirth positions in reducing the duration of the second stage of labor.The search included randomized controlled trials published from database inception to September 30,2024.The Cochrane risk-of-bias tool was used to assess the quality of the studies.Two independent reviewers screened the literature,extracted data,and evaluated study quality.Subsequently,a network meta-analysis was performed using STATA software.The study protocol has been registered in PROSPERO(CRD42023428217).Results This study analyzed data from 25 randomized controlled trials involving 9,844 women.The findings indicated that in comparison to lithotomy position,free position(MD=20.53,95%CI[11.38,29.68])and upright position(MD=−24.13,95%CI[−42.94,-5.32])were found to be superior in reducing the duration of the second stage of labor.Free position outperformed kneeling position(MD=21.48,95%CI[4.67,38.28])and squatting position(MD=23.43,95%CI[1.88,44.97]);upright position was superior to kneeling position(MD=−25.08,95%CI[−46.93,−3.22]);semirecumbent position surpassed squatting position(MD=19.71,95%CI[2.05,37.38]);and upright position was also superior to squatting position(MD=−27.03,95%CI[−51.48,−2.57]).According to the surface under the cumulative ranking curve(SUCRA),the upright position emerged as the most effective for reducing the duration of the second stage of labor(87.4%),followed by free position(81.1%),semirecumbent position(70.0%),and lateral position(62.3%).Conclusion These findings offer valuable insights for midwifery practice and help inform future research directions.Considering the limitations of this review,more larger-scale,multicenter randomized controlled trials are warranted to further evaluate the relative effectiveness of different childbirth positions in reducing the duration of the second stage of labor.
