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
AIM:To evaluate and compare alterations in the effective lens position(ELP)and refractive outcomes among three distinct intraocular lens(IOL)types.METHODS:Patients with cataracts were enrolled and allocated to 3 group...AIM:To evaluate and compare alterations in the effective lens position(ELP)and refractive outcomes among three distinct intraocular lens(IOL)types.METHODS:Patients with cataracts were enrolled and allocated to 3 groups:Group A(implanted with the SN6CWS),Group B(implanted with the MI60),and Group C(implanted with the Aspira-aA).ELP measurements were obtained with swept-source optical coherence tomography(SS-OCT)at 1d,1wk,1mo,and 3mo postoperatively.Subjective refraction assessments were conducted at 1wk,1mo,and 3mo following surgery.RESULTS:The study included 189 eyes of 150 cataract patients(66 males).There were 77 eyes in Group A,55 eyes in Group B,and 57 eyes in Group C.The root mean square of the ELP(ELPRMS)within the initial 3mo was significantly lower for Group A than for Groups B and C.Refractive changes within Group A were not significant across the time points of 1wk,1mo,and 3mo.Conversely,both Group B and Group C demonstrated statistically significant shifts toward hyperopia from 1wk to 3mo postsurgery.CONCLUSION:Among the three IOLs examined,the SN6CWS IOL showes the greatest stability during the first 3mo postoperatively.Between 1wk and 3mo after surgery,notable hyperopic shifts are evident in eyes implanted with the MI60 and Aspira-aA IOLs,whereas refractive outcomes remain relatively constant in eyes implanted with SN6CWS IOLs.展开更多
Severe acute pancreatitis(SAP)can induce acute respiratory distress syndrome(ARDS)and abdominal compartment syndrome(ACS).Although prone position ventilation(PPV)can improve outcomes in patients with ARDS,there is sig...Severe acute pancreatitis(SAP)can induce acute respiratory distress syndrome(ARDS)and abdominal compartment syndrome(ACS).Although prone position ventilation(PPV)can improve outcomes in patients with ARDS,there is significant controversy regarding its concurrent use with ACS owing to concerns of increased risk of intra-abdominal pressure(IAP).[1]We present a case of successful PPV application without adverse eff ects.展开更多
The high-quality assembly of Large Aircraft Components(LACs)is essential in modern aviation manufacturing.Numerical control locators are employed for the posture adjustment of LAC,yet the system's multi-input mult...The high-quality assembly of Large Aircraft Components(LACs)is essential in modern aviation manufacturing.Numerical control locators are employed for the posture adjustment of LAC,yet the system's multi-input multi-output,nonlinearity,and strong coupling presents significant challenges.The substantial internal force generated during the adjustment process can potentially damage the LAC and degrade the assembly quality.Hence,a workspace-based hybrid force position control scheme was developed to achieve high quality assembly with high-precision and lower internal force.Firstly,an offline workspace analysis with inherent geometric characteristics to form time-varying posture error constraint.Then,the posture error is integrated into the online position axis control to ensure tracking the ideal posture,while the force control axis compensates for posture deviation by minimizing internal force,thereby achieving high precision and low internal force.Finally,the effectiveness was demonstrated through experiments.The root mean square errors of orientation and position are 104 rad and 0.1 mm,respectively.A reduction in internal force can range from 10.96%to 57.4%compared to the traditional method.Key points'max position error is decreased from 0.32 mm to 0.18 mm,satisfying the 0.5 mm tolerance.Therefore,the proposed method will help promote the development of high-performance manufacturing.展开更多
The fluorination strategy has been proven effective in significantly enhancing the photovoltaic performance of organic solar cells(OSCs) based on non-fused ring electron acceptors(NFREAs).However,research on the impac...The fluorination strategy has been proven effective in significantly enhancing the photovoltaic performance of organic solar cells(OSCs) based on non-fused ring electron acceptors(NFREAs).However,research on the impact of fluorination positions at side chains on NFREAs device performance remains scant.In this study,we introduce two isomeric NFREAs,designated as GA-2F-E and GA-2F,distinguished by their fluorination positions at the side chains.Both NFREAs share a thiophene[3,2-b]thiophene core,but their side chains differ:GA-2F-E features two(4-butylphenyl)-N-(4-fluorophenyl) amino groups,whereas GA-2F's side chains consist of bis(4-fluorophenyl)amino and bis(4-butylphenyl)amino groups attached to opposite sides of the core.To delve into the influence of fluorination positions on the optoelectronic properties,aggregation behavior,and overall efficiency of the acceptor molecules,a comprehensive investigation was conducted.The findings reveal that,despite similar photophysical properties and comparable absorption bandwidths,GA-2F-E,with fluorine atoms positioned on both sides of the molecular framework,demonstrates more compact π-π stacking,reduced bimolecular recombination,superior exciton transport,and a more balanced,higher mobility.As a result of these advantages,OSCs optimized with D18:GA-2F-E achieve a remarkable power conversion efficiency(PCE) of 16.45 %,surpassing the 15.83 %PCE of devices utilizing D18:GA-2F.This research underscores the potential of NFREAs in future applications and highlights the significance of fluorination positions in enhancing OSC performance,paving the way for the development of more efficient NFREAs.展开更多
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
Precise coseismic displacements in earthquake/tsunamic early warning are necessary to characterize earthquakes in real time in order to enable decision-makers to issue alerts for public safety.Real-time global navigat...Precise coseismic displacements in earthquake/tsunamic early warning are necessary to characterize earthquakes in real time in order to enable decision-makers to issue alerts for public safety.Real-time global navigation satellite systems(GNSSs)have been a valuable tool in monitoring seismic motions,allowing permanent displacement computation to be unambiguously achieved.As a valuable tool presented to the seismic commu nity,the GSeisRT software developed by Wuhan University(China)can realize multi-GNSS precise point positioning with ambiguity resolution(PPP-AR)and achieve centimeterlevel to sub-centimeter-level precision in real time.While the stable maintenance of a global precise point positioning(PPP)service is challenging,this software is capable of estimating satellite clocks and phase biases in real time using a regional GNSS network.This capability makes GSeisRT especially suitable for proprietary GNSS networks and,more importantly,the highest possible positio ning precision and reliability can be obtained.According to real-time results from the Network of the Americas,the mean root mean square(RMS)errors of kinematic PPP-AR over a 24 h span are as low as 1.2,1.3,and 3.0 cm in the east,north,and up components,respectively.Within the few minutes that span a typical seismic event,a horizontal displacement precision of 4 mm can be achieved.The positioning precision of the GSeisRT regional PPP/PPP-AR is 30%-40%higher than that of the global PPP/PPP-AR.Since 2019,GSeisRT has successfully recorded the static,dynamic,and peak ground displacements for the 2020Oaxaca,Mexico moment magnitude(Mw)7.4 event;the 2020 Lone Pine,California Mw 5.8 event;and the 2021 Qinghai,China Mw 7.3 event in real time.The resulting immediate magnitude estimates have an error of around 0.1 only.The GSeisRT software is open to the scientific community and has been applied by the China Earthquake Ne tworks Center,the EarthScope Consortium of the United States,the National Seismological Center of Chile,Institute of Geological and Nuclear Sciences Limited(GNS Science Te PūAo)of New Zealand,and the Geospatial Information Agency of Indonesia.展开更多
The intensified kernel position effect is a common phenomenon in maize production under higher plant density,which limits crop productivity.Subsoiling is an effective agronomic practice for improving crop productivity...The intensified kernel position effect is a common phenomenon in maize production under higher plant density,which limits crop productivity.Subsoiling is an effective agronomic practice for improving crop productivity.To clarify the effect of subsoiling before winter wheat on the kernel position effect of densely grown summer maize and its regulatory mechanism,field experiments were conducted during the 2020-2021 and 2021-2022 growing seasons using a split-plot design.The main plots included two tillage practices:conventional tillage practice(CT)and subsoiling before the sowing of winter wheat(SS);and the subplots consisted of three plant densities(D1-D3 at 6.0×10~4,7.5×10~4,and 9.0×10~4 plants ha-1).Compared with CT,SS alleviated the kernel position effect by increasing the weight ratio of inferior to superior kernels(WR)in the D2 and D3 treated plants.The higher WR of SS treated plants contributed largely to the improved flling of inferior kernels.Under the same plant density,SS signifcantly improved the root dry matter accumulation(DMA)and antioxidant enzyme activities(superoxide dismutase(SOD)and peroxidase(POD)),and it reduced the malondialdehyde(MDA)content,especially for the plants grown under higher plant densities.These results indicated that SS delayed the root senescence,which is associated with the reduced soil bulk density.In addition,compared with CT,SS increased the leaf chlorophyll content from 20 days after silking to physiological maturity and the post-silking leaf area duration,and it reduced the post-silking leaf chlorophyll reduction rate and leaf area reduction rate,indicating that the post-silking leaf senescence had been alleviated.Under the same plant density,the post-silking DMA of SS was obviously higher than that of CT,which was probably related to the improved leaf area duration and photosynthetic enzyme activities(phosphoenolpyruvate carboxylase(PEPC)and Rubisco).The correlation analysis revealed that the main mechanism of SS in alleviating the kernel position effect of densely grown summer maize is as follows:SS delays the post-silking root-shoot senescence by regulating soil physical properties,and further improves the post-silking DMA and flling of inferior kernels,which ultimately alleviates the kernel position effect and improves grain yield.The results of this study provide new theoretical support for the promotion of summer maize yield by subsoiling before winter wheat.展开更多
A rock-drilling jumbo is the main piece of tunneling equipment used in the energy and infrastructure industries in various countries.The positioning accuracy of its drilling boom greatly affects tunneling efficiency a...A rock-drilling jumbo is the main piece of tunneling equipment used in the energy and infrastructure industries in various countries.The positioning accuracy of its drilling boom greatly affects tunneling efficiency and section-forming quality of mine roadways and engineering tunnels.In order to improve the drilling-positioning accuracy of a three-boom drilling jumbo,we established a kinematics model of the multi-degree-of-freedom(multi-DOF)multi-boom system,using the improved Denavit-Hartenberg(D-H)method,and obtained the mapping relationship between the end position and the amount of motion of each joint.The error of the inverse kinematics calculation for the drilling boom is estimated by an analytical method and a global search algorithm based on particle swarm optimization(PSO)for a straight blasting hole and an inclined blasting hole.On this basis,we propose a back-propagation(BP)neural network optimized by an improved sparrow search algorithm(ISSA)to predict the positioning error of the drilling booms of a three-boom drilling jumbo.In order to verify the accuracy of the proposed error compensation model,we built an automatic-control test platform for the boom,and carried out a positioning error compensation test on the boom.The results show that the average drilling-positioning error was reduced from 9.79 to 5.92 cm,and the error was reduced by 39.5%.Therefore,the proposed method effectively reduces the positioning error of the drilling boom,and improves the accuracy and efficiency of rock drilling.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
Dear Editor,As the Internet of things(IoT)and autonomous driving continue to evolve,positioning technology faces increasing demands for higher accuracy and reliability.Traditional positioning methods often struggle in...Dear Editor,As the Internet of things(IoT)and autonomous driving continue to evolve,positioning technology faces increasing demands for higher accuracy and reliability.Traditional positioning methods often struggle in complex signal environments with multipath interference and non-line-of-sight(NLOS)conditions.Reconfigurable intelligent surfaces(RIS),an innovative technology that can flexibly control signal propagation,offer new possibilities for positioning systems.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
文摘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.
基金Supported by the Zhejiang Medical Health Science and Technology Project(No.2021KY217)the Basic Public Welfare Research Project of Wenzhou Municipal Science and Technology Bureau(No.2024Y1221).
文摘AIM:To evaluate and compare alterations in the effective lens position(ELP)and refractive outcomes among three distinct intraocular lens(IOL)types.METHODS:Patients with cataracts were enrolled and allocated to 3 groups:Group A(implanted with the SN6CWS),Group B(implanted with the MI60),and Group C(implanted with the Aspira-aA).ELP measurements were obtained with swept-source optical coherence tomography(SS-OCT)at 1d,1wk,1mo,and 3mo postoperatively.Subjective refraction assessments were conducted at 1wk,1mo,and 3mo following surgery.RESULTS:The study included 189 eyes of 150 cataract patients(66 males).There were 77 eyes in Group A,55 eyes in Group B,and 57 eyes in Group C.The root mean square of the ELP(ELPRMS)within the initial 3mo was significantly lower for Group A than for Groups B and C.Refractive changes within Group A were not significant across the time points of 1wk,1mo,and 3mo.Conversely,both Group B and Group C demonstrated statistically significant shifts toward hyperopia from 1wk to 3mo postsurgery.CONCLUSION:Among the three IOLs examined,the SN6CWS IOL showes the greatest stability during the first 3mo postoperatively.Between 1wk and 3mo after surgery,notable hyperopic shifts are evident in eyes implanted with the MI60 and Aspira-aA IOLs,whereas refractive outcomes remain relatively constant in eyes implanted with SN6CWS IOLs.
文摘Severe acute pancreatitis(SAP)can induce acute respiratory distress syndrome(ARDS)and abdominal compartment syndrome(ACS).Although prone position ventilation(PPV)can improve outcomes in patients with ARDS,there is significant controversy regarding its concurrent use with ACS owing to concerns of increased risk of intra-abdominal pressure(IAP).[1]We present a case of successful PPV application without adverse eff ects.
基金co-supported by the National Natural Science Foundation of China(No.52125504)the Liaoning Revitalization Talents Program(No.XLYC2202017)Dalian Support Policy Project for Innovation of Technological Talents(No.2023RG001)。
文摘The high-quality assembly of Large Aircraft Components(LACs)is essential in modern aviation manufacturing.Numerical control locators are employed for the posture adjustment of LAC,yet the system's multi-input multi-output,nonlinearity,and strong coupling presents significant challenges.The substantial internal force generated during the adjustment process can potentially damage the LAC and degrade the assembly quality.Hence,a workspace-based hybrid force position control scheme was developed to achieve high quality assembly with high-precision and lower internal force.Firstly,an offline workspace analysis with inherent geometric characteristics to form time-varying posture error constraint.Then,the posture error is integrated into the online position axis control to ensure tracking the ideal posture,while the force control axis compensates for posture deviation by minimizing internal force,thereby achieving high precision and low internal force.Finally,the effectiveness was demonstrated through experiments.The root mean square errors of orientation and position are 104 rad and 0.1 mm,respectively.A reduction in internal force can range from 10.96%to 57.4%compared to the traditional method.Key points'max position error is decreased from 0.32 mm to 0.18 mm,satisfying the 0.5 mm tolerance.Therefore,the proposed method will help promote the development of high-performance manufacturing.
基金financially supported by the National Natural Science Foundation of China (Nos.22375024,21975031,51933001,and 21734009)。
文摘The fluorination strategy has been proven effective in significantly enhancing the photovoltaic performance of organic solar cells(OSCs) based on non-fused ring electron acceptors(NFREAs).However,research on the impact of fluorination positions at side chains on NFREAs device performance remains scant.In this study,we introduce two isomeric NFREAs,designated as GA-2F-E and GA-2F,distinguished by their fluorination positions at the side chains.Both NFREAs share a thiophene[3,2-b]thiophene core,but their side chains differ:GA-2F-E features two(4-butylphenyl)-N-(4-fluorophenyl) amino groups,whereas GA-2F's side chains consist of bis(4-fluorophenyl)amino and bis(4-butylphenyl)amino groups attached to opposite sides of the core.To delve into the influence of fluorination positions on the optoelectronic properties,aggregation behavior,and overall efficiency of the acceptor molecules,a comprehensive investigation was conducted.The findings reveal that,despite similar photophysical properties and comparable absorption bandwidths,GA-2F-E,with fluorine atoms positioned on both sides of the molecular framework,demonstrates more compact π-π stacking,reduced bimolecular recombination,superior exciton transport,and a more balanced,higher mobility.As a result of these advantages,OSCs optimized with D18:GA-2F-E achieve a remarkable power conversion efficiency(PCE) of 16.45 %,surpassing the 15.83 %PCE of devices utilizing D18:GA-2F.This research underscores the potential of NFREAs in future applications and highlights the significance of fluorination positions in enhancing OSC performance,paving the way for the development of more efficient NFREAs.
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funded by National Science Foundation of China(42025401)National Key Research and Development Program of China(2022YFB3903800)。
文摘Precise coseismic displacements in earthquake/tsunamic early warning are necessary to characterize earthquakes in real time in order to enable decision-makers to issue alerts for public safety.Real-time global navigation satellite systems(GNSSs)have been a valuable tool in monitoring seismic motions,allowing permanent displacement computation to be unambiguously achieved.As a valuable tool presented to the seismic commu nity,the GSeisRT software developed by Wuhan University(China)can realize multi-GNSS precise point positioning with ambiguity resolution(PPP-AR)and achieve centimeterlevel to sub-centimeter-level precision in real time.While the stable maintenance of a global precise point positioning(PPP)service is challenging,this software is capable of estimating satellite clocks and phase biases in real time using a regional GNSS network.This capability makes GSeisRT especially suitable for proprietary GNSS networks and,more importantly,the highest possible positio ning precision and reliability can be obtained.According to real-time results from the Network of the Americas,the mean root mean square(RMS)errors of kinematic PPP-AR over a 24 h span are as low as 1.2,1.3,and 3.0 cm in the east,north,and up components,respectively.Within the few minutes that span a typical seismic event,a horizontal displacement precision of 4 mm can be achieved.The positioning precision of the GSeisRT regional PPP/PPP-AR is 30%-40%higher than that of the global PPP/PPP-AR.Since 2019,GSeisRT has successfully recorded the static,dynamic,and peak ground displacements for the 2020Oaxaca,Mexico moment magnitude(Mw)7.4 event;the 2020 Lone Pine,California Mw 5.8 event;and the 2021 Qinghai,China Mw 7.3 event in real time.The resulting immediate magnitude estimates have an error of around 0.1 only.The GSeisRT software is open to the scientific community and has been applied by the China Earthquake Ne tworks Center,the EarthScope Consortium of the United States,the National Seismological Center of Chile,Institute of Geological and Nuclear Sciences Limited(GNS Science Te PūAo)of New Zealand,and the Geospatial Information Agency of Indonesia.
基金fnancially supported by the Natural Science Foundation of Hebei Province,China(C2021301004)the State Key Laboratory of North China Crop Improvement and Regulation,China(NCCIR2023KF-10)the HAAFS Science and Technology Innovation Special Project,China(2022KJCXZX-LYS-9)。
文摘The intensified kernel position effect is a common phenomenon in maize production under higher plant density,which limits crop productivity.Subsoiling is an effective agronomic practice for improving crop productivity.To clarify the effect of subsoiling before winter wheat on the kernel position effect of densely grown summer maize and its regulatory mechanism,field experiments were conducted during the 2020-2021 and 2021-2022 growing seasons using a split-plot design.The main plots included two tillage practices:conventional tillage practice(CT)and subsoiling before the sowing of winter wheat(SS);and the subplots consisted of three plant densities(D1-D3 at 6.0×10~4,7.5×10~4,and 9.0×10~4 plants ha-1).Compared with CT,SS alleviated the kernel position effect by increasing the weight ratio of inferior to superior kernels(WR)in the D2 and D3 treated plants.The higher WR of SS treated plants contributed largely to the improved flling of inferior kernels.Under the same plant density,SS signifcantly improved the root dry matter accumulation(DMA)and antioxidant enzyme activities(superoxide dismutase(SOD)and peroxidase(POD)),and it reduced the malondialdehyde(MDA)content,especially for the plants grown under higher plant densities.These results indicated that SS delayed the root senescence,which is associated with the reduced soil bulk density.In addition,compared with CT,SS increased the leaf chlorophyll content from 20 days after silking to physiological maturity and the post-silking leaf area duration,and it reduced the post-silking leaf chlorophyll reduction rate and leaf area reduction rate,indicating that the post-silking leaf senescence had been alleviated.Under the same plant density,the post-silking DMA of SS was obviously higher than that of CT,which was probably related to the improved leaf area duration and photosynthetic enzyme activities(phosphoenolpyruvate carboxylase(PEPC)and Rubisco).The correlation analysis revealed that the main mechanism of SS in alleviating the kernel position effect of densely grown summer maize is as follows:SS delays the post-silking root-shoot senescence by regulating soil physical properties,and further improves the post-silking DMA and flling of inferior kernels,which ultimately alleviates the kernel position effect and improves grain yield.The results of this study provide new theoretical support for the promotion of summer maize yield by subsoiling before winter wheat.
基金National Natural Science Foundation of China(No.12472038)Natural Science Foundation of Jiangsu Province(No.BK20230688)+2 种基金Natural Science Foundation of the Jiangsu Higher Education Institutions of China(No.22KJB440004)Key Research and Development Program of Xuzhou(No.KC22404)Research Fund for Doctoral Degree Teachers of Jiangsu Normal University of China(No.22XFRS011).
文摘A rock-drilling jumbo is the main piece of tunneling equipment used in the energy and infrastructure industries in various countries.The positioning accuracy of its drilling boom greatly affects tunneling efficiency and section-forming quality of mine roadways and engineering tunnels.In order to improve the drilling-positioning accuracy of a three-boom drilling jumbo,we established a kinematics model of the multi-degree-of-freedom(multi-DOF)multi-boom system,using the improved Denavit-Hartenberg(D-H)method,and obtained the mapping relationship between the end position and the amount of motion of each joint.The error of the inverse kinematics calculation for the drilling boom is estimated by an analytical method and a global search algorithm based on particle swarm optimization(PSO)for a straight blasting hole and an inclined blasting hole.On this basis,we propose a back-propagation(BP)neural network optimized by an improved sparrow search algorithm(ISSA)to predict the positioning error of the drilling booms of a three-boom drilling jumbo.In order to verify the accuracy of the proposed error compensation model,we built an automatic-control test platform for the boom,and carried out a positioning error compensation test on the boom.The results show that the average drilling-positioning error was reduced from 9.79 to 5.92 cm,and the error was reduced by 39.5%.Therefore,the proposed method effectively reduces the positioning error of the drilling boom,and improves the accuracy and efficiency of rock drilling.
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.
基金supported by the Open Fund Project of Key Laboratory of Ocean Observation Technology,MNR(2023klootA01).
文摘Dear Editor,As the Internet of things(IoT)and autonomous driving continue to evolve,positioning technology faces increasing demands for higher accuracy and reliability.Traditional positioning methods often struggle in complex signal environments with multipath interference and non-line-of-sight(NLOS)conditions.Reconfigurable intelligent surfaces(RIS),an innovative technology that can flexibly control signal propagation,offer new possibilities for positioning systems.
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.
