This paper investigates the rotatability of planar parallel mechanisms by revealing the crank conditions that relate to link parameters.The paper extends the theorem of assemblability and the rotatability criterion an...This paper investigates the rotatability of planar parallel mechanisms by revealing the crank conditions that relate to link parameters.The paper extends the theorem of assemblability and the rotatability criterion and applies these criteria to parallel mechanisms in investigating the crank conditions of a parallel mechanism,leading to classification of three types of crank existing conditions including three-crank’s,six-crank’s and nine-crank’s of 3-RRR planar parallel mechanisms.The results are summarized as constraint conditions in relation with link parameters with a concluding table and case studies.展开更多
Objectives:One of the most notable challenges in endoscopic procedures is maintaining correct orientation.Mental rotation exercise(MRE)has been suggested as a potential aid for improving orientation.However,there is a...Objectives:One of the most notable challenges in endoscopic procedures is maintaining correct orientation.Mental rotation exercise(MRE)has been suggested as a potential aid for improving orientation.However,there is a lack of research on designing MREs with varying difficultylevels for training purposes.Furthermore,few studies provide solid evidence linking MRE difficultylevels with cognitive load measurements.This study aims to address this gap by investigating the correlation between the MRE difficultylevels and participants’cognitive load,as measured by pupil dilation.Method:We recruited 33 participants to perform MREs on a computer equipped with a screen-mounted eye-tracker.The test consisted of 15 MREs,with the first10 relatively easy(traditional cube)and the next 5 more complex(invented molecule).The participants’eye movements during MREs were recorded.The participants’MRE scores and pupil dilation were obtained and compared between two MRE difficultylevels.Results:The participants who performed traditional cube MREs achieved significantlybetter MRE scores(0.77±0.11 vs.0.58±0.03,p<0.001)and lower pupil dilation(0.27±0.04 pixels vs.0.47±0.09 pixels,p<0.001)than did those who performed the invented molecule MREs.Moreover,there were significant negative correlations(r=0.62,p=0.015)between pupil dilation and MRE scores.Conclusions:The results revealed a significantnegative correlation between MRE scores and pupil dilation.The more challenging MRE questions led to worse MRE scores but increased pupil dilation.The MRE difficultylevels can be evaluated not only by the degrees or dimensions with which the objects were rotated but also by the participants’MRE scores and pupil dilation.The results of this study provide a basis for training orientation skills in endoscopy using MREs.By incorporating MREs with varying difficultylevels,customized training programs can be developed to enhance camera navigation in endoscopic and laparoscopic procedures.展开更多
BACKGROUND The optimal surgical approach for patients with primary glenohumeral osteoarthritis(GHOA)and an intact rotator cuff remains debated.While anatomic total shoulder arthroplasty(TSA)has traditionally been favo...BACKGROUND The optimal surgical approach for patients with primary glenohumeral osteoarthritis(GHOA)and an intact rotator cuff remains debated.While anatomic total shoulder arthroplasty(TSA)has traditionally been favoured,reverse TSA(RTSA)is increasingly utilized.AIM To systematically compare the outcomes of RTSA and TSA in this specific patient population.METHODS A systematic review and meta-analysis were conducted in accordance with PRISMA guidelines.Retrospective comparative studies evaluating RTSA and TSA in patients with GHOA and intact rotator cuff were included.Key outcomes assessed included complication and reoperation rates,patient-reported outcome measures(PROMs),and range of motion.Risk of bias was assessed using the Risk of Bias in Non-randomized Studies of Interventions tool.RESULTS Twelve studies encompassing 1608 patients(580 RTSA,1028 TSA)met inclusion criteria.RTSA was associated with a lower reoperation rate compared to TSA[odds ratio=0.37;95%confidence interval(CI):0.14-0.94;P value=0.04],while no significant difference in overall complication rates was observed(odds ratio=0.47;95%CI:0.19-1.16;P value=0.10).RTSA patients showed superior outcomes in University of California Los Angeles,Simple Shoulder Test,and Shoulder Pain and Disability Index scores;however,the differences did not exceed the minimal clinically important difference.TSA patients had significantly better external rotation(mean difference=-9.0°;95%CI:-13.21 to-5.02;P value<0.0001).No significant differences were found in other range of motion measures or satisfaction scores.The overall methodological quality of included studies was moderate to serious.CONCLUSION In patients with GHOA and an intact rotator cuff,RTSA may offer comparable or improved outcomes to TSA with lower reoperation rates and similar complication profiles.Functional outcomes favour RTSA in certain patientreported outcome measures,while TSA retains an advantage in external rotation.Surgical decision-making should remain individualized based on patient characteristics and functional demands.展开更多
[Objectives]To investigate the clinical effects of implementing structured phased rehabilitation training,in addition to conventional rehabilitation,on shoulder joint function and pain alleviation in patients with rot...[Objectives]To investigate the clinical effects of implementing structured phased rehabilitation training,in addition to conventional rehabilitation,on shoulder joint function and pain alleviation in patients with rotator cuff injuries managed conservatively.[Methods]Eighty patients diagnosed with rotator cuff injury were selected and randomly assigned to either the control group or the experimental group,each comprising 40 individuals.The control group received conventional rehabilitation treatment,whereas the experimental group underwent phased rehabilitation training in addition to the conventional treatment for 6 weeks.Assessments were conducted prior to treatment,6 weeks following treatment,and 8 weeks after the completion of treatment(follow-up period).The visual analogue scale(VAS)was employed to evaluate pain intensity,the Constant-Murley score was utilized to assess shoulder joint function,and the shoulder joint range of motion was measured.[Results]Prior to treatment,no statistically significant differences were observed between the two patient groups across all measured indicators(P>0.05).Following 6 weeks of treatment and throughout the follow-up period,both groups exhibited significant reductions in VAS scores compared to baseline measurements,alongside improvements in Constant-Murley scores and shoulder joint range of motion(P<0.05).Furthermore,the magnitude of improvement in the experimental group was significantly greater than that in the control group(P<0.05).[Conclusions]Phased rehabilitation training can enhance shoulder joint function and alleviate pain in patients with rotator cuff injuries beyond the effects of conventional rehabilitation treatment,demonstrating notable clinical application value.展开更多
The accurate segmentation of deep gray matter nuclei is critical for neuropathological research,disease diagnosis and treatment.Existing methods employ the supervised learning training approach,which requires large la...The accurate segmentation of deep gray matter nuclei is critical for neuropathological research,disease diagnosis and treatment.Existing methods employ the supervised learning training approach,which requires large labeled datasets.It is challenging and time-consuming to obtain such datasets for medical image analysis.In addition,these methods based on convolutional neural networks(CNNs)only achieve suboptimal performance due to the locality of convolutional operations.Vision Transformers(ViTs)efficiently model long-range dependencies and thus have the potentiality to outperform these methods in segmentation tasks.To address these issues,we propose a novel hybrid network based on self-supervised pre-training for deep gray matter nuclei segmentation.Specifically,we present a CNN-Transformer hybrid network(CTNet),whose encoder consists of 3D CNN and ViT to learn local spatial-detailed features and global semantic information.A self-supervised learning(SSL)approach that integrates rotation prediction and masked feature reconstruction is proposed to pre-train the CTNet,enabling the model to learn valuable visual representations from unlabeled data.We evaluate the effectiveness of our method on 3T and 7T human brain MRI datasets.The results demonstrate that our CTNet achieves better performance than other comparison models and our pre-training strategy outperforms other advanced self-supervised methods.When the training set has only one sample,our pre-trained CTNet enhances segmentation performance,showing an 8.4%improvement in Dice similarity coefficient(DSC)compared to the randomly initialized CTNet.展开更多
Shield tunneling in saturated ground poses challenges due to the potential risk of ground collapse resulting from seepage force and inadequate support pressure.This study employed a laboratory model test and a theoret...Shield tunneling in saturated ground poses challenges due to the potential risk of ground collapse resulting from seepage force and inadequate support pressure.This study employed a laboratory model test and a theoretical validation to elucidate the mechanisms of face failure and subsequent ground collapse in saturated ground during slurry pressure-balanced shield(SPBS)tunneling operations.A slurry circulation system was developed to ensure steady shield tunneling and to replicate the phenomena of ground collapse.Investigations into shield tunneling parameters and ground responses,including soil pressure,pore water pressure,and surface subsidence,were conducted to understand the mechanisms of face failure and subsequent ground collapse.The theoretical solution for the critical collapse pressure of the tunnel face,based on the rotational failure mechanism,was validated through the comparison with the experimentally determined critical collapse pressure.The results indicate that:(1)appropriate adjustments of tunneling parameters are crucial for promoting filtercake formation,maintaining chamber pressure,and minimizing ground subsidence;(2)chamber pressure,soil pressure,pore water pressure,and ground subsidence are closely correlated with shield tunneling parameters and the formation of filter cake;(3)ground collapse follows a continuous failure mode due to the destruction of filtercake and the decrease in chamber pressure;(4)the soil pressure at the cutterhead is more sensitive to disturbances from shield tunneling than chamber pressure;and(5)experimentally determined critical collapse pressures is consistent with the theoretical solution of limit analysis.展开更多
The octupole correlations of the K^(π)=5/2^(+)ground state and the rotational spectrum built on it in^(229)Th are studied using the microscopic relativistic density functional theory on a three-dimensional lattice sp...The octupole correlations of the K^(π)=5/2^(+)ground state and the rotational spectrum built on it in^(229)Th are studied using the microscopic relativistic density functional theory on a three-dimensional lattice space and the reflection-asymmetric triaxial particle rotor model.It is found that^(229)Th has a ground state with static axial octupole and quadrupole deformations.The occurrence of octupole correlations,driven by the octupole deformation,is analyzed through the evolution of single-particle levels around the Fermi surface.The experimental energy spectrum and the electromagnetic transition probabilities,including B(E2)and B(M1),are reasonably well reproduced.展开更多
Rotatability is a desirable quality of fitting response surface experimental designs. The propertystates that the variance of the estimated response made from the Taylor’s series expansion areconstant on circles, sph...Rotatability is a desirable quality of fitting response surface experimental designs. The propertystates that the variance of the estimated response made from the Taylor’s series expansion areconstant on circles, spheres and hyper-spheres about the centre of the design. In this article,a measure of rotatability of modified second-order rotatable design is presented. The variancefunction of a second-order response design and an infinite class of supplementary difference setsis used in coming up with the design.展开更多
1.Introduction.Cold Spray(CS)is a highly advanced solid-state metal depo-sition process that was first developed in the 1980s.This innovative technique involves the high-speed(300-1200 m/s)impact deposition of micron-...1.Introduction.Cold Spray(CS)is a highly advanced solid-state metal depo-sition process that was first developed in the 1980s.This innovative technique involves the high-speed(300-1200 m/s)impact deposition of micron-sized particles(5-50μm)to fabricate coatings[1-3].CS has been extensively used in a variety of coating applications,such as aerospace,automotive,energy,medical,marine,and others,to provide protection against high temperatures,corrosion,erosion,oxidation,and chemicals[4,5].Nowadays,the technical interest in CS is twofold:(i)as a repair process for damaged components,and(ii)as a solid-state additive manufacturing process.Compared to other fusion-based additive manufacturing(AM)technologies,Cold Spray Additive Manufacturing(CSAM)is a new member of the AM family that can enable the fabrication of deposits without undergoing melting.The chemical composition has been largely preserved from the powder to the deposit due to the minimal oxidation.The significant advantages of CSAM over other additive manufacturing processes include a high production rate,unlimited deposition size,high flexibility,and suitability for repairing damaged parts.展开更多
Global food production faces enormous challenges in increasing yields while promoting environmental sustainability.A field experiments in the ecotone between the Yangtze River Basin and the HuangHuai-Hai Plain evaluat...Global food production faces enormous challenges in increasing yields while promoting environmental sustainability.A field experiments in the ecotone between the Yangtze River Basin and the HuangHuai-Hai Plain evaluated the effects of changing preceding crop rotation cycles(wheat and rapeseed)on long-term wheat-rice(W)and rapeseed-rice(R)rotation systems.A comprehensive evaluation of crop rotation systems was conducted using life cycle assessment,considering productivity,economic benefits,carbon footprint(CF),and soil health.Compared with fallow-rice rotation(F),alternating rapeseed and wheat rotations increased equivalent yield by 60.4%-82.2%,reduced CF by 0.3%-5.7%,and improved soil health by 0.3%-47.5%.Additionally,adding rapeseed to rotations increased soil nutrient content and raised soil organic carbon stocks by 31.3%-40.5%.The 3R rotation(3-year rapeseed-rice and 1-year wheat-rice)boosted rice yield by 82.2%and annual economic benefits by 84.4%,offering an effective model for optimizing long-term R rotations.Similarly,the 2W rotation(2-year wheat-rice and 1-year rapeseed rice)enhanced rice yield by 70.0% and annual economic benefits by 65.9%,providing a successful example for optimizing long-term W rotations.The 3R rapeseed-based rotation and the 2W wheatbased rotation demonstrated good environmental sustainability.These rotation systems have broad potential in sustainable intensive farming,especially in China and similar regions.展开更多
Dislocations and disclinations are fundamental topological defects within crystals,which determine the mechanical properties of metals and alloys.Despite their important roles in multiple physical mechanisms,e.g.,dyna...Dislocations and disclinations are fundamental topological defects within crystals,which determine the mechanical properties of metals and alloys.Despite their important roles in multiple physical mechanisms,e.g.,dynamic recovery and grain boundary mediated plasticity,the intrinsic coupling and correlation between disclinations and dislocations,and their impacts on the deformation behavior of metallic materials still remain obscure,partially due to the lack of a theoretical tool to capture the rotational nature of disclinations.By using a Lie-algebra-based theoretical framework,we obtain a general equation to quantify the intrinsic coupling of disclinations and dislocations.Through quasi in-situ electron backscatter diffraction characterizations and disclination/dislocation density analyses in Mg alloys,the generation,coevolution and reactions of disclinations and dislocations during dynamic recovery and superplastic deformation have been quantitatively analyzed.It has been demonstrated that the obtained governing equation can capture multiple physical processes associated with mechanical deformation of metals,e.g.,grain rotation and grain boundary migration,at both room temperature and high temperature.By establishing the disclination-dislocation coupling equation within a Lie algebra description,our work provides new insights for exploring the coevolution and reaction of disclinations/dislocations,with profound implications for elucidating the microstructure-property relationship and underlying deformation mechanisms in metallic materials.展开更多
Management of patients with acute hemorrhage requires addressing the source of bleeding,replenishing blood volume,and addressing any coagulopathy that may be present.Assessing coagulopathy and predicting blood require...Management of patients with acute hemorrhage requires addressing the source of bleeding,replenishing blood volume,and addressing any coagulopathy that may be present.Assessing coagulopathy and predicting blood requirements in real-time in patients experiencing ongoing bleeding can pose substantial challenges.In these patients,transfusion concepts based on ratios do not effectively address coagulopathy or reduce mortality.Moreover,ratio-based concepts do not stop bleeding;instead,they just give physicians more time to identify the bleeding source and plan management strategies.In clinical practice,standard laboratory coagulation tests(SLCT)are frequently used to assess various aspects of blood clotting.However,these tests may not always offer a comprehensive under-standing of clinically significant coagulopathy and the severity of blood loss.Furthermore,the SLCT have a considerable turnaround time,which may not be ideal for making prompt clinical decisions.In recent years,there has been a growing interest in point-of-care viscoelastic assays like rotational thromboelast-ometry,which provide real-time,dynamic information about clot formation and dissolution.展开更多
Existing nanogenerator technologies for harvesting high-power energy from wind encounter significant chal-lenges due to limitations in current output.Here,we propose a rotating-switch triboelectric nanogenerator(RS-TE...Existing nanogenerator technologies for harvesting high-power energy from wind encounter significant chal-lenges due to limitations in current output.Here,we propose a rotating-switch triboelectric nanogenerator(RS-TENG)that uses mechanical triggering switches(on-off-on)to enhance the instantaneous current pulses during rotation.The rotating-switch in the proposed device addresses the issue of low instantaneous current output in triboelectric nanogenerators while maintaining voltage stability.At a constant rotational speed,the RS-TENG achieves an instantaneous current of 3.2 times that of its nonswitching counterpart,with an 89%reduction in response time.Furthermore,at a wind speed of 2 m·s^(-1),the RS-TENG achieves a wind power density of 10.4 mW·m^(-2)·m^(-1)·s.Additionally,by integrating the RS-TENG with energy management circuits,the nanogenerator can power wireless signal transmitters and temperature sensors,offering a self-sustaining power solution for remote wireless services.This research presents a promising technology for powering electronic devices in energy-scarce environments.展开更多
The field-reversed configuration(FRC)plasma thruster driven by rotating magnetic field(RMF),abbreviated as the RMF-FRC thruster,is a new type of electric propulsion technology that is expected to accelerate the deep s...The field-reversed configuration(FRC)plasma thruster driven by rotating magnetic field(RMF),abbreviated as the RMF-FRC thruster,is a new type of electric propulsion technology that is expected to accelerate the deep space exploration.An experimental prototype,including diagnostic devices,was designed and constructed based on the principles of the RMF-FRC thruster,with an RMF frequency of 210 kHz and a maximum peak current of 2 kA.Under the rated operating conditions,the initial plasma density was measured to be 5×10^(17)m^(-3),and increased to 2.2×10^(19)m^(-3)after the action of RMF.The coupling efficiency of RMF was about 53%,and the plasma current reached 1.9 kA.The axial magnetic field changed in reverse by 155 Gauss,successfully reversing the bias magnetic field of 60 Gauss,which verifies the formation of FRC plasma.After optimization research,it was found that when the bias magnetic field is 100 Gauss,the axial magnetic field reverse variation caused by FRC is the highest at 164 Gauss.The experimental results are discussed and strategies are proposed to improve the performance of the prototype.展开更多
Electrical energy can be harvested from the rotational kinetic energy of moving bodies,consisting of both mechanical and kinetic energy as a potential power source through electromagnetic induction,similar to wind ene...Electrical energy can be harvested from the rotational kinetic energy of moving bodies,consisting of both mechanical and kinetic energy as a potential power source through electromagnetic induction,similar to wind energy applications.In industries,rotational bodies are commonly present in operations,yet this kinetic energy remains untapped.This research explores the energy generation characteristics of two rotational body types,disk-shaped and cylinder-shaped under specific experimental setups.The hardware setup included a direct current(DC)motor driver,power supply,DC generator,mechanical support,and load resistance,while the software setup involved automation testing tools and data logging.Electromagnetic induction was used to harvest energy,and experiments were conducted at room temperature(25℃)with controlled variables like speed and friction.Results showed the disk-shaped body exhibited higher energy efficiency than the cylinder-shaped body,largely due to lower mechanical losses.The disk required only two bearings,while the cylinder required four,resulting in lower bearing losses for the disk.Additionally,the disk experienced only air friction,whereas the cylinder encountered friction from a soft,uneven rubber material,increasing surface contact losses.Under a 40 W resistive load,the disk demonstrated a 17.1%energy loss due to mechanical friction,achieving up to 15.55 J of recycled energy.Conversely,the cylinder body experienced a 48.05%energy loss,delivering only 51.95%of energy to the load.These insights suggest significant potential for designing efficient energy recycling systems in industrial settings,particularly in manufacturing and processing industries where rotational machinery is prevalent.Despite its lower energy density,this system could be beneficially integrated with energy storage solutions,enhancing sustainability in industrial practices.展开更多
This paper demonstrated the generation of multi-wavelength bound state noise-like pulse(BNLP)in a dispersion-managed composite-filtered fiber laser consisting of nonlinear polarization rotation(NPR)and loop.In the cas...This paper demonstrated the generation of multi-wavelength bound state noise-like pulse(BNLP)in a dispersion-managed composite-filtered fiber laser consisting of nonlinear polarization rotation(NPR)and loop.In the case of BNLP,the generation is caused by the interaction between two noise-like pulses(NLPs)induced by the comb-filtering effect,and bound state level can be artificially controlled in the researches.Our work provides a new method for generating low-coherence pulses and establishes a research idea for the study of the comb-filtering effects.展开更多
Internal rotation of conjugated organic backbone seriously impaired room temperature phosphorescence(RTP),leading to rare realization of ultra-long afterglows with RTP lifetimes over 2 s in non-bibulous polymers.Herei...Internal rotation of conjugated organic backbone seriously impaired room temperature phosphorescence(RTP),leading to rare realization of ultra-long afterglows with RTP lifetimes over 2 s in non-bibulous polymers.Herein,N-(bromophenyl)carbazoles are cyclized to lock up phenyl-carbazol internal rotation in advance and the fused nitrogen hetero-cyclic compounds are doped into poly(methyl methacrylate)(PMMA).The results show that locking up the molecular internal rotation can achieve ultra-long RTP polymers with lifetimes over 2 s,in contrast,the unlocked molecules hardly emit RTP in PMMA.The high-lying triplet excitons can transfer the energy to low-lying organic fluorescent dyes,and the persistent multicolor afterglows including white emission can be readily modulated.This work discloses an effective and extendable dopant molecular strategy for developing high-performance ultra-long organic RTP polymers.展开更多
This letter compares the clinical efficacy and economic feasibility of the scoliocorrector fatma-UI(SCFUI)with direct vertebral rotation(DVR)in treating adolescent idiopathic scoliosis(AIS).SCFUI has shown promising r...This letter compares the clinical efficacy and economic feasibility of the scoliocorrector fatma-UI(SCFUI)with direct vertebral rotation(DVR)in treating adolescent idiopathic scoliosis(AIS).SCFUI has shown promising results in threedimensional spinal correction,providing superior rotational alignment compared to DVR and achieving significant improvements in coronal and sagittal planes.Additionally,SCFUI’s advanced design reduces risks associated with AIS surgeries and enhances overall patient outcomes.Economic analysis reveals SCFUI as a cost-effective option,potentially lowering long-term healthcare costs by minimizing complications and revisions.Our findings suggest that SCFUI is a viable,innovative approach in AIS treatment,meeting clinical and economic demands in orthopedic care.展开更多
Osteoporosis is a known risk factor for rotator cuff tears(RCTs),but the causal correlation and underlying mechanisms remain unclear.This study aims to evaluate the impact of osteoporosis on RCT risk and investigate t...Osteoporosis is a known risk factor for rotator cuff tears(RCTs),but the causal correlation and underlying mechanisms remain unclear.This study aims to evaluate the impact of osteoporosis on RCT risk and investigate their genetic associations.Using data from the UK Biobank(n=457871),cross-sectional analyses demonstrated that osteoporosis was significantly associated with an increased risk of RCTs(adjusted OR[95%CI]=1.38[1.25–1.52]).A longitudinal analysis of a subset of patients(n=268117)over 11 years revealed that osteoporosis increased the risk of RCTs(adjusted HR[95%CI]=1.56[1.29–1.87]),which is notably varied between sexes in sex-stratified analysis.Causal inference methods,including propensity score matching,inverse probability weighting,causal random forest and survival random forest models further confirmed the causal effect,both from cross-sectional and longitudinal perspectives.展开更多
基金Supported by the Natural Science Foundation of Shanxi Province in China(Grant No.20041070)
文摘This paper investigates the rotatability of planar parallel mechanisms by revealing the crank conditions that relate to link parameters.The paper extends the theorem of assemblability and the rotatability criterion and applies these criteria to parallel mechanisms in investigating the crank conditions of a parallel mechanism,leading to classification of three types of crank existing conditions including three-crank’s,six-crank’s and nine-crank’s of 3-RRR planar parallel mechanisms.The results are summarized as constraint conditions in relation with link parameters with a concluding table and case studies.
文摘Objectives:One of the most notable challenges in endoscopic procedures is maintaining correct orientation.Mental rotation exercise(MRE)has been suggested as a potential aid for improving orientation.However,there is a lack of research on designing MREs with varying difficultylevels for training purposes.Furthermore,few studies provide solid evidence linking MRE difficultylevels with cognitive load measurements.This study aims to address this gap by investigating the correlation between the MRE difficultylevels and participants’cognitive load,as measured by pupil dilation.Method:We recruited 33 participants to perform MREs on a computer equipped with a screen-mounted eye-tracker.The test consisted of 15 MREs,with the first10 relatively easy(traditional cube)and the next 5 more complex(invented molecule).The participants’eye movements during MREs were recorded.The participants’MRE scores and pupil dilation were obtained and compared between two MRE difficultylevels.Results:The participants who performed traditional cube MREs achieved significantlybetter MRE scores(0.77±0.11 vs.0.58±0.03,p<0.001)and lower pupil dilation(0.27±0.04 pixels vs.0.47±0.09 pixels,p<0.001)than did those who performed the invented molecule MREs.Moreover,there were significant negative correlations(r=0.62,p=0.015)between pupil dilation and MRE scores.Conclusions:The results revealed a significantnegative correlation between MRE scores and pupil dilation.The more challenging MRE questions led to worse MRE scores but increased pupil dilation.The MRE difficultylevels can be evaluated not only by the degrees or dimensions with which the objects were rotated but also by the participants’MRE scores and pupil dilation.The results of this study provide a basis for training orientation skills in endoscopy using MREs.By incorporating MREs with varying difficultylevels,customized training programs can be developed to enhance camera navigation in endoscopic and laparoscopic procedures.
文摘BACKGROUND The optimal surgical approach for patients with primary glenohumeral osteoarthritis(GHOA)and an intact rotator cuff remains debated.While anatomic total shoulder arthroplasty(TSA)has traditionally been favoured,reverse TSA(RTSA)is increasingly utilized.AIM To systematically compare the outcomes of RTSA and TSA in this specific patient population.METHODS A systematic review and meta-analysis were conducted in accordance with PRISMA guidelines.Retrospective comparative studies evaluating RTSA and TSA in patients with GHOA and intact rotator cuff were included.Key outcomes assessed included complication and reoperation rates,patient-reported outcome measures(PROMs),and range of motion.Risk of bias was assessed using the Risk of Bias in Non-randomized Studies of Interventions tool.RESULTS Twelve studies encompassing 1608 patients(580 RTSA,1028 TSA)met inclusion criteria.RTSA was associated with a lower reoperation rate compared to TSA[odds ratio=0.37;95%confidence interval(CI):0.14-0.94;P value=0.04],while no significant difference in overall complication rates was observed(odds ratio=0.47;95%CI:0.19-1.16;P value=0.10).RTSA patients showed superior outcomes in University of California Los Angeles,Simple Shoulder Test,and Shoulder Pain and Disability Index scores;however,the differences did not exceed the minimal clinically important difference.TSA patients had significantly better external rotation(mean difference=-9.0°;95%CI:-13.21 to-5.02;P value<0.0001).No significant differences were found in other range of motion measures or satisfaction scores.The overall methodological quality of included studies was moderate to serious.CONCLUSION In patients with GHOA and an intact rotator cuff,RTSA may offer comparable or improved outcomes to TSA with lower reoperation rates and similar complication profiles.Functional outcomes favour RTSA in certain patientreported outcome measures,while TSA retains an advantage in external rotation.Surgical decision-making should remain individualized based on patient characteristics and functional demands.
文摘[Objectives]To investigate the clinical effects of implementing structured phased rehabilitation training,in addition to conventional rehabilitation,on shoulder joint function and pain alleviation in patients with rotator cuff injuries managed conservatively.[Methods]Eighty patients diagnosed with rotator cuff injury were selected and randomly assigned to either the control group or the experimental group,each comprising 40 individuals.The control group received conventional rehabilitation treatment,whereas the experimental group underwent phased rehabilitation training in addition to the conventional treatment for 6 weeks.Assessments were conducted prior to treatment,6 weeks following treatment,and 8 weeks after the completion of treatment(follow-up period).The visual analogue scale(VAS)was employed to evaluate pain intensity,the Constant-Murley score was utilized to assess shoulder joint function,and the shoulder joint range of motion was measured.[Results]Prior to treatment,no statistically significant differences were observed between the two patient groups across all measured indicators(P>0.05).Following 6 weeks of treatment and throughout the follow-up period,both groups exhibited significant reductions in VAS scores compared to baseline measurements,alongside improvements in Constant-Murley scores and shoulder joint range of motion(P<0.05).Furthermore,the magnitude of improvement in the experimental group was significantly greater than that in the control group(P<0.05).[Conclusions]Phased rehabilitation training can enhance shoulder joint function and alleviate pain in patients with rotator cuff injuries beyond the effects of conventional rehabilitation treatment,demonstrating notable clinical application value.
基金supported in part by the National Natural Science Foundation of China under Grant 62071405the National Natural Science Foundation of China under Grant 12175189.
文摘The accurate segmentation of deep gray matter nuclei is critical for neuropathological research,disease diagnosis and treatment.Existing methods employ the supervised learning training approach,which requires large labeled datasets.It is challenging and time-consuming to obtain such datasets for medical image analysis.In addition,these methods based on convolutional neural networks(CNNs)only achieve suboptimal performance due to the locality of convolutional operations.Vision Transformers(ViTs)efficiently model long-range dependencies and thus have the potentiality to outperform these methods in segmentation tasks.To address these issues,we propose a novel hybrid network based on self-supervised pre-training for deep gray matter nuclei segmentation.Specifically,we present a CNN-Transformer hybrid network(CTNet),whose encoder consists of 3D CNN and ViT to learn local spatial-detailed features and global semantic information.A self-supervised learning(SSL)approach that integrates rotation prediction and masked feature reconstruction is proposed to pre-train the CTNet,enabling the model to learn valuable visual representations from unlabeled data.We evaluate the effectiveness of our method on 3T and 7T human brain MRI datasets.The results demonstrate that our CTNet achieves better performance than other comparison models and our pre-training strategy outperforms other advanced self-supervised methods.When the training set has only one sample,our pre-trained CTNet enhances segmentation performance,showing an 8.4%improvement in Dice similarity coefficient(DSC)compared to the randomly initialized CTNet.
基金support of the National Natural Science Foundation of China(Grant Nos.52179116 and 51991392)the support of Key Deployment Projects of Chinese Academy of Sciences(Grant No.ZDRW-ZS-2021-3).
文摘Shield tunneling in saturated ground poses challenges due to the potential risk of ground collapse resulting from seepage force and inadequate support pressure.This study employed a laboratory model test and a theoretical validation to elucidate the mechanisms of face failure and subsequent ground collapse in saturated ground during slurry pressure-balanced shield(SPBS)tunneling operations.A slurry circulation system was developed to ensure steady shield tunneling and to replicate the phenomena of ground collapse.Investigations into shield tunneling parameters and ground responses,including soil pressure,pore water pressure,and surface subsidence,were conducted to understand the mechanisms of face failure and subsequent ground collapse.The theoretical solution for the critical collapse pressure of the tunnel face,based on the rotational failure mechanism,was validated through the comparison with the experimentally determined critical collapse pressure.The results indicate that:(1)appropriate adjustments of tunneling parameters are crucial for promoting filtercake formation,maintaining chamber pressure,and minimizing ground subsidence;(2)chamber pressure,soil pressure,pore water pressure,and ground subsidence are closely correlated with shield tunneling parameters and the formation of filter cake;(3)ground collapse follows a continuous failure mode due to the destruction of filtercake and the decrease in chamber pressure;(4)the soil pressure at the cutterhead is more sensitive to disturbances from shield tunneling than chamber pressure;and(5)experimentally determined critical collapse pressures is consistent with the theoretical solution of limit analysis.
基金supported by the National Natural Science Foundation of China(Grant Nos.12205097,12141501,12475117,and 12435006)the National Key Laboratory of Neutron Science and Technology(Grant No.NST202401016)+1 种基金the National Key R&D Program of China(Grant Nos.2024YFA1612600 and 2024YFE0109803)the High-performance Computing Platform of Peking University。
文摘The octupole correlations of the K^(π)=5/2^(+)ground state and the rotational spectrum built on it in^(229)Th are studied using the microscopic relativistic density functional theory on a three-dimensional lattice space and the reflection-asymmetric triaxial particle rotor model.It is found that^(229)Th has a ground state with static axial octupole and quadrupole deformations.The occurrence of octupole correlations,driven by the octupole deformation,is analyzed through the evolution of single-particle levels around the Fermi surface.The experimental energy spectrum and the electromagnetic transition probabilities,including B(E2)and B(M1),are reasonably well reproduced.
文摘Rotatability is a desirable quality of fitting response surface experimental designs. The propertystates that the variance of the estimated response made from the Taylor’s series expansion areconstant on circles, spheres and hyper-spheres about the centre of the design. In this article,a measure of rotatability of modified second-order rotatable design is presented. The variancefunction of a second-order response design and an infinite class of supplementary difference setsis used in coming up with the design.
基金supported by the National Natural Science Foundation of China(No.52061135101 and 52001078)the German Research Foundation(DFG,No.448318292)+3 种基金the Technology Innovation Guidance Special Foundation of Shaanxi Province(No.2023GXLH-085)the Fundamental Research Funds for the Central Universities(No.D5000240161)the Project of Key areas of innovation team in Shaanxi Province(No.2024RS-CXTD-20)The author Yingchun Xie thanks the support from the National Key R&D Program(No.2023YFE0108000).
文摘1.Introduction.Cold Spray(CS)is a highly advanced solid-state metal depo-sition process that was first developed in the 1980s.This innovative technique involves the high-speed(300-1200 m/s)impact deposition of micron-sized particles(5-50μm)to fabricate coatings[1-3].CS has been extensively used in a variety of coating applications,such as aerospace,automotive,energy,medical,marine,and others,to provide protection against high temperatures,corrosion,erosion,oxidation,and chemicals[4,5].Nowadays,the technical interest in CS is twofold:(i)as a repair process for damaged components,and(ii)as a solid-state additive manufacturing process.Compared to other fusion-based additive manufacturing(AM)technologies,Cold Spray Additive Manufacturing(CSAM)is a new member of the AM family that can enable the fabrication of deposits without undergoing melting.The chemical composition has been largely preserved from the powder to the deposit due to the minimal oxidation.The significant advantages of CSAM over other additive manufacturing processes include a high production rate,unlimited deposition size,high flexibility,and suitability for repairing damaged parts.
基金supported by the National Natural Science Foundation of China(31971855)the Agricultural Science and Technology Innovation Project of the Chinese Academy of Agricultural Science(CAAS-ASTIP-2021-OCRI)+2 种基金the Hubei Provincial Natural Science Foundation of China(2024AFB442)the Wuhan Knowledge Innovation Special Program(2023020201020400)the China Agriculture Research System(CARS-12)。
文摘Global food production faces enormous challenges in increasing yields while promoting environmental sustainability.A field experiments in the ecotone between the Yangtze River Basin and the HuangHuai-Hai Plain evaluated the effects of changing preceding crop rotation cycles(wheat and rapeseed)on long-term wheat-rice(W)and rapeseed-rice(R)rotation systems.A comprehensive evaluation of crop rotation systems was conducted using life cycle assessment,considering productivity,economic benefits,carbon footprint(CF),and soil health.Compared with fallow-rice rotation(F),alternating rapeseed and wheat rotations increased equivalent yield by 60.4%-82.2%,reduced CF by 0.3%-5.7%,and improved soil health by 0.3%-47.5%.Additionally,adding rapeseed to rotations increased soil nutrient content and raised soil organic carbon stocks by 31.3%-40.5%.The 3R rotation(3-year rapeseed-rice and 1-year wheat-rice)boosted rice yield by 82.2%and annual economic benefits by 84.4%,offering an effective model for optimizing long-term R rotations.Similarly,the 2W rotation(2-year wheat-rice and 1-year rapeseed rice)enhanced rice yield by 70.0% and annual economic benefits by 65.9%,providing a successful example for optimizing long-term W rotations.The 3R rapeseed-based rotation and the 2W wheatbased rotation demonstrated good environmental sustainability.These rotation systems have broad potential in sustainable intensive farming,especially in China and similar regions.
基金Financial supports from the National Natural Science Foundation of China(Nos.52171116,U22A20109,52334010 and T2325013)are greatly acknowledgedPartial financial support came from The Program for the Central University Youth Innovation Team,and the Fundamental Research Funds for the Central Universities,JLU.
文摘Dislocations and disclinations are fundamental topological defects within crystals,which determine the mechanical properties of metals and alloys.Despite their important roles in multiple physical mechanisms,e.g.,dynamic recovery and grain boundary mediated plasticity,the intrinsic coupling and correlation between disclinations and dislocations,and their impacts on the deformation behavior of metallic materials still remain obscure,partially due to the lack of a theoretical tool to capture the rotational nature of disclinations.By using a Lie-algebra-based theoretical framework,we obtain a general equation to quantify the intrinsic coupling of disclinations and dislocations.Through quasi in-situ electron backscatter diffraction characterizations and disclination/dislocation density analyses in Mg alloys,the generation,coevolution and reactions of disclinations and dislocations during dynamic recovery and superplastic deformation have been quantitatively analyzed.It has been demonstrated that the obtained governing equation can capture multiple physical processes associated with mechanical deformation of metals,e.g.,grain rotation and grain boundary migration,at both room temperature and high temperature.By establishing the disclination-dislocation coupling equation within a Lie algebra description,our work provides new insights for exploring the coevolution and reaction of disclinations/dislocations,with profound implications for elucidating the microstructure-property relationship and underlying deformation mechanisms in metallic materials.
文摘Management of patients with acute hemorrhage requires addressing the source of bleeding,replenishing blood volume,and addressing any coagulopathy that may be present.Assessing coagulopathy and predicting blood requirements in real-time in patients experiencing ongoing bleeding can pose substantial challenges.In these patients,transfusion concepts based on ratios do not effectively address coagulopathy or reduce mortality.Moreover,ratio-based concepts do not stop bleeding;instead,they just give physicians more time to identify the bleeding source and plan management strategies.In clinical practice,standard laboratory coagulation tests(SLCT)are frequently used to assess various aspects of blood clotting.However,these tests may not always offer a comprehensive under-standing of clinically significant coagulopathy and the severity of blood loss.Furthermore,the SLCT have a considerable turnaround time,which may not be ideal for making prompt clinical decisions.In recent years,there has been a growing interest in point-of-care viscoelastic assays like rotational thromboelast-ometry,which provide real-time,dynamic information about clot formation and dissolution.
基金financially supported by the National Natural Science Foundation of China(Grant No.62431006)the Inner Mongolia Major Science and Technology Project(Grant No.2020ZD0024)+2 种基金Local Science and Technology Development Project of the Central Government(Grant Nos.2021ZY0006,2022ZY0011)Natural Science Foundation of Inner Mongolia(Grant No.2024LHMS05046)Inner Mongolia Autonomous Region Key Research and Technological Achievements Transformation Plan Project(Grant No.2023YFHH0063).
文摘Existing nanogenerator technologies for harvesting high-power energy from wind encounter significant chal-lenges due to limitations in current output.Here,we propose a rotating-switch triboelectric nanogenerator(RS-TENG)that uses mechanical triggering switches(on-off-on)to enhance the instantaneous current pulses during rotation.The rotating-switch in the proposed device addresses the issue of low instantaneous current output in triboelectric nanogenerators while maintaining voltage stability.At a constant rotational speed,the RS-TENG achieves an instantaneous current of 3.2 times that of its nonswitching counterpart,with an 89%reduction in response time.Furthermore,at a wind speed of 2 m·s^(-1),the RS-TENG achieves a wind power density of 10.4 mW·m^(-2)·m^(-1)·s.Additionally,by integrating the RS-TENG with energy management circuits,the nanogenerator can power wireless signal transmitters and temperature sensors,offering a self-sustaining power solution for remote wireless services.This research presents a promising technology for powering electronic devices in energy-scarce environments.
基金supported by National Natural Science Foundation of China (NSFC) (Nos.62201217 and 51821005)。
文摘The field-reversed configuration(FRC)plasma thruster driven by rotating magnetic field(RMF),abbreviated as the RMF-FRC thruster,is a new type of electric propulsion technology that is expected to accelerate the deep space exploration.An experimental prototype,including diagnostic devices,was designed and constructed based on the principles of the RMF-FRC thruster,with an RMF frequency of 210 kHz and a maximum peak current of 2 kA.Under the rated operating conditions,the initial plasma density was measured to be 5×10^(17)m^(-3),and increased to 2.2×10^(19)m^(-3)after the action of RMF.The coupling efficiency of RMF was about 53%,and the plasma current reached 1.9 kA.The axial magnetic field changed in reverse by 155 Gauss,successfully reversing the bias magnetic field of 60 Gauss,which verifies the formation of FRC plasma.After optimization research,it was found that when the bias magnetic field is 100 Gauss,the axial magnetic field reverse variation caused by FRC is the highest at 164 Gauss.The experimental results are discussed and strategies are proposed to improve the performance of the prototype.
基金The APC was funded by Research Management Center, Multimedia University, Malaysia.
文摘Electrical energy can be harvested from the rotational kinetic energy of moving bodies,consisting of both mechanical and kinetic energy as a potential power source through electromagnetic induction,similar to wind energy applications.In industries,rotational bodies are commonly present in operations,yet this kinetic energy remains untapped.This research explores the energy generation characteristics of two rotational body types,disk-shaped and cylinder-shaped under specific experimental setups.The hardware setup included a direct current(DC)motor driver,power supply,DC generator,mechanical support,and load resistance,while the software setup involved automation testing tools and data logging.Electromagnetic induction was used to harvest energy,and experiments were conducted at room temperature(25℃)with controlled variables like speed and friction.Results showed the disk-shaped body exhibited higher energy efficiency than the cylinder-shaped body,largely due to lower mechanical losses.The disk required only two bearings,while the cylinder required four,resulting in lower bearing losses for the disk.Additionally,the disk experienced only air friction,whereas the cylinder encountered friction from a soft,uneven rubber material,increasing surface contact losses.Under a 40 W resistive load,the disk demonstrated a 17.1%energy loss due to mechanical friction,achieving up to 15.55 J of recycled energy.Conversely,the cylinder body experienced a 48.05%energy loss,delivering only 51.95%of energy to the load.These insights suggest significant potential for designing efficient energy recycling systems in industrial settings,particularly in manufacturing and processing industries where rotational machinery is prevalent.Despite its lower energy density,this system could be beneficially integrated with energy storage solutions,enhancing sustainability in industrial practices.
基金supported by the Research Fund of Guangdong-Hong Kong-Macao Joint Laboratory for Intelligent Micro-Nano Optoelectronic Technology(No.2020B1212030010)。
文摘This paper demonstrated the generation of multi-wavelength bound state noise-like pulse(BNLP)in a dispersion-managed composite-filtered fiber laser consisting of nonlinear polarization rotation(NPR)and loop.In the case of BNLP,the generation is caused by the interaction between two noise-like pulses(NLPs)induced by the comb-filtering effect,and bound state level can be artificially controlled in the researches.Our work provides a new method for generating low-coherence pulses and establishes a research idea for the study of the comb-filtering effects.
文摘Internal rotation of conjugated organic backbone seriously impaired room temperature phosphorescence(RTP),leading to rare realization of ultra-long afterglows with RTP lifetimes over 2 s in non-bibulous polymers.Herein,N-(bromophenyl)carbazoles are cyclized to lock up phenyl-carbazol internal rotation in advance and the fused nitrogen hetero-cyclic compounds are doped into poly(methyl methacrylate)(PMMA).The results show that locking up the molecular internal rotation can achieve ultra-long RTP polymers with lifetimes over 2 s,in contrast,the unlocked molecules hardly emit RTP in PMMA.The high-lying triplet excitons can transfer the energy to low-lying organic fluorescent dyes,and the persistent multicolor afterglows including white emission can be readily modulated.This work discloses an effective and extendable dopant molecular strategy for developing high-performance ultra-long organic RTP polymers.
文摘This letter compares the clinical efficacy and economic feasibility of the scoliocorrector fatma-UI(SCFUI)with direct vertebral rotation(DVR)in treating adolescent idiopathic scoliosis(AIS).SCFUI has shown promising results in threedimensional spinal correction,providing superior rotational alignment compared to DVR and achieving significant improvements in coronal and sagittal planes.Additionally,SCFUI’s advanced design reduces risks associated with AIS surgeries and enhances overall patient outcomes.Economic analysis reveals SCFUI as a cost-effective option,potentially lowering long-term healthcare costs by minimizing complications and revisions.Our findings suggest that SCFUI is a viable,innovative approach in AIS treatment,meeting clinical and economic demands in orthopedic care.
基金the Scientific Research Innovation Capability Support Project for Young Faculty(ZYGXQNJSKYCXNLZCXM-H8)Fundamental Research Funds for the Central Universities(2024ZYGXZR077)+3 种基金Guangdong Basic and Applied Basic Research Foundation(2023B1515120006)Guangzhou Basic and Applied Basic Research Foundation(2024A04J5776)the Research Fund(2023QN10Y421)Guangzhou Talent Recruitment Team Program(2024D03J0004),all related to this study.
文摘Osteoporosis is a known risk factor for rotator cuff tears(RCTs),but the causal correlation and underlying mechanisms remain unclear.This study aims to evaluate the impact of osteoporosis on RCT risk and investigate their genetic associations.Using data from the UK Biobank(n=457871),cross-sectional analyses demonstrated that osteoporosis was significantly associated with an increased risk of RCTs(adjusted OR[95%CI]=1.38[1.25–1.52]).A longitudinal analysis of a subset of patients(n=268117)over 11 years revealed that osteoporosis increased the risk of RCTs(adjusted HR[95%CI]=1.56[1.29–1.87]),which is notably varied between sexes in sex-stratified analysis.Causal inference methods,including propensity score matching,inverse probability weighting,causal random forest and survival random forest models further confirmed the causal effect,both from cross-sectional and longitudinal perspectives.
