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
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
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
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
A new intelligent control method for welding positioner is proposed. Applying an improved fuzzy controller and a variable PID controller, a two-mode intelligent coordinating controller ( TMICC ) is designed on basis o...A new intelligent control method for welding positioner is proposed. Applying an improved fuzzy controller and a variable PID controller, a two-mode intelligent coordinating controller ( TMICC ) is designed on basis of fuzzy logic and rules. The simulation and experimental results show that this control system can obtain better dynamic and static characteristics.展开更多
Off line programming provides an essential link between CAD and CAM, whose development will result in greater use of robotic arc welding. An arc welding system with a robot and a rotating/tilting positioner is one of...Off line programming provides an essential link between CAD and CAM, whose development will result in greater use of robotic arc welding. An arc welding system with a robot and a rotating/tilting positioner is one of the most typical workcells. The inverse kinematics of robot and positioner is the foundation of the off line programming system. The previous researchers only focused on a special solution of the positioner inverse kinematics, which is the solution at down hand welding position. In this paper, we introduce a method for representing welding position. Then a general algorithm of rotating/tilting positioner inverse kinematics is presented, and an approach to find the unique solution of the inverse kinematics is discussed. The simulation experiment results show that the general algorithm can improve the ability of robotic arc welding off line programming system to program all types of welding positions.展开更多
Aiming at the robotic welding positioner with characteristic of parameter change, load change, nonlinearity, and an intelligent control system was researched and developed. This control system used a two-mode controll...Aiming at the robotic welding positioner with characteristic of parameter change, load change, nonlinearity, and an intelligent control system was researched and developed. This control system used a two-mode controller that based on Fuzzy and PID control method. The results of simulation show that the dynamic and steady performances of the intelligent controller are better than that of single PID or Fuzzy controller. This paper has made a detail theoretical analysis of the constitution design and real-time controlled software and brought up the design and fulfillment method of multi-task real-time control software of high precisely and numerically controlled welding positioner, which has a good result in practice.展开更多
A large workspace flexure parallel positioner system is developed, which can attain sub-micron scale accuracy over cubic centimeter motion range for utilizing novel wide-range flexure hinges instead of the conventiona...A large workspace flexure parallel positioner system is developed, which can attain sub-micron scale accuracy over cubic centimeter motion range for utilizing novel wide-range flexure hinges instead of the conventional mechanism joints. Flexure hinges eliminate backlash and friction, but on the other hand their deformation caused by initial loads influences the positioning accuracy greatly, so discussions about loads＇ influence analysis on this flexure parallel positioner is very necessary. The stiffness model of the whole mechanism is presented via stiffness assembly method based on the stiffness model of individual flexure hinge, And the analysis results are validated by the finite element analysis （FEA） simulation and experiment tests, which provide essential data to the practical application of this positioner system.展开更多
Traditional CAD technique does not support the design processes such as function definition, conceptual design and preliminary design, which are most creative and play significant roles on the design quality. Because ...Traditional CAD technique does not support the design processes such as function definition, conceptual design and preliminary design, which are most creative and play significant roles on the design quality. Because scheme design has close relationship with product structure, performance and technology cost, it is important for applying the intelligent CAD of scheme design to improve the quality and competitive level of the product. The definition and function of welding positioner are discussed in this paper. The new definition of welding positioner extends the research scope of welding positioner to welding fixture and welding positioning motion mechanism. The design process of welding fixture and positioning motion system is described, and the cased based and knowledge based design strategy of welding positioner scheme design intelligent CAD is then put forward, which lays foundation for developing proto type system of welding positioner scheme design.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
Analyzing the effects of heat rejection from condensers of split-type air-conditioning units at lower-floors of MLABs （multi-level apartment buildings）, using field measurements to monitor environmental conditions a...Analyzing the effects of heat rejection from condensers of split-type air-conditioning units at lower-floors of MLABs （multi-level apartment buildings）, using field measurements to monitor environmental conditions and condenser operation, revealed increases in the inlet air temperature at the condensers at the upper floors, which in turn increased the power and energy requirements for these units and decreased their cooling capacities. Results indicated that a decrease of up to 16,000 tons in cooling capacity and an increase of up to 67.2 MW in the national peak load demand might be reached for a 4 ℃ temperature differential for Kuwait conditions. It is recommended that the condensers be placed in the wind pathway to minimize the impact of heat rejection and stack effect and to optimize the operation of split-type air-conditioning units, and that other factors regarding installation setup and location are investigated.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
Position sensors are indispensable in robotic joint servo systems for acquiring mechanical positions, yet their installation inevitably occupies an axial space and increases system complexity, limiting their applicabi...Position sensors are indispensable in robotic joint servo systems for acquiring mechanical positions, yet their installation inevitably occupies an axial space and increases system complexity, limiting their applicability in compact robot design where spatial constraints and integration efficiency are critical. Sensorless control reduces mechanical and circuit complexity through hardware simplification, but inherently estimates only the electrical instead of mechanical rotor position information, thus remaining constrained in robot joint control applications. Based on the previously proposed dual-gap dualpole composite machine(DDCM), this paper systematically analyzes the causes of mechanical position estimation errors and proposes a correction method that utilizes a correction coefficient to reduce these errors and enhance estimation accuracy. Furthermore, this paper derives the applicability constraints of the proposed scheme, demonstrating that its requirements for electrical angle position errors are not stringent, thus enabling wide applicability in conventional sensorless control scenarios. The effectiveness of the proposed method is verified by conducting experiments on a 0.75 kW prototype.展开更多
Null compensation interferometry is the primary testing method for the manufacture of ultra-high-precision aspheric mirrors.The crosstalk fringes generated by stray light in interferometry can affect accuracy and pote...Null compensation interferometry is the primary testing method for the manufacture of ultra-high-precision aspheric mirrors.The crosstalk fringes generated by stray light in interferometry can affect accuracy and potentially prevent the testing from proceeding normally.Position errors include the decenter error,tilt error,and distance error.During the testing process,position errors will impact the testing accuracy and the crosstalk fringes generated by stray light.To determine the specific impact of position errors,we use the concept of Hindle shell testing of a convex aspheric mirror,and propose the simulation method of crosstalk fringes in null compensation interferometry.We also propose evaluation indices of crosstalk fringes in interferometry and simulate the influence of position errors on the crosstalk fringes.This work aims to help improve the design of compensation interferometry schemes,enhance the feasibility of the design,reduce engineering risks,and improve efficiency.展开更多
Sunflower leaf photosynthesis strongly depends on the leaf position in the plant stem conditioning,which directly affects other physiological processes.Therefore,a study of the leaf’s physiological status regarding t...Sunflower leaf photosynthesis strongly depends on the leaf position in the plant stem conditioning,which directly affects other physiological processes.Therefore,a study of the leaf’s physiological status regarding the leaf position in the stem was performed on sunflowers in the flowering stage.Eight differently positioned leaves were investigated,starting with the youngest leaf on the top of the stem to the leaves of the stem bottom,assigned as the oldest senescent leaves.According to chlorophyll fluorescence(ChlF)parameters connected to photosystem II(PSII)processes,significant changes in PSII functioning occurred only in the senescent leaves,while photosystem I(PSI)describing parameters showed a linear decrease with leaf age,i.e.,position on the stem.The antioxidative status of the leaves was dynamic,as stress indicators(lipid peroxidation and hydrogen peroxide content)fluctuated regarding leaf position on the stem,but no link was found between the activities of antioxidative enzymes and oxidative stress indicators.Linear decrease trend of secondary metabolites(mainly phenolic compounds)correlated with antioxidant activity,except for some phenolic acids(caffeic and ferulic acid),which increased in senescent leaves.The most changes in the physiological status of the leaves were confirmed in senescent leaves,which stand out the importance of younger leaves in maintaining the plant’s vitality after flowering,which is the most important for sunflower yield.展开更多
This study presents a novel analytical algorithm for solving the forward position problem of a triangular platform Stewart-type parallel robot(STPR).By introducing a virtual chain and leveraging tetrahedral geometric ...This study presents a novel analytical algorithm for solving the forward position problem of a triangular platform Stewart-type parallel robot(STPR).By introducing a virtual chain and leveraging tetrahedral geometric principles,the proposed method derives analytical solutions for the position and orientation of the moving platform.The algorithm systematically addresses the nonlinearity inherent in the kinematic equations of parallel mechanisms,providing explicit expressions for the coordinates of key moving attachment points.Furthermore,the methodology is extended to general triangular platform STPRs with non-coplanar fixed attachments.Numerical validation through virtual experiments confirms the accuracy of the solutions,demonstrating that the mechanism admits eight distinct configurations for a given set of limb lengths.The results align with established kinematic principles and offer a computationally efficient alternative to iterative analytical approaches,contributing to the advancement of precision control in parallel robotic systems.展开更多
Objectives A systematic review and network meta-analysis was conducted to evaluate the effectiveness of different childbirth positions in reducing the duration of the second stage of labor,providing evidence-based ins...Objectives A systematic review and network meta-analysis was conducted to evaluate the effectiveness of different childbirth positions in reducing the duration of the second stage of labor,providing evidence-based insights for obstetric institutions to guide interventions related to childbirth positions.Methods A comprehensive literature search was conducted in databases,including PubMed,Web of Science,the Cochrane Library,Embase,Wanfang Databases,China National Knowledge Infrastructure Databases(CNKI),China Science and Technology Journal Database(CSTJ),and China Biology Medicine disc(CBMdisc)to identify studies on the effectiveness of different childbirth positions in reducing the duration of the second stage of labor.The search included randomized controlled trials published from database inception to September 30,2024.The Cochrane risk-of-bias tool was used to assess the quality of the studies.Two independent reviewers screened the literature,extracted data,and evaluated study quality.Subsequently,a network meta-analysis was performed using STATA software.The study protocol has been registered in PROSPERO(CRD42023428217).Results This study analyzed data from 25 randomized controlled trials involving 9,844 women.The findings indicated that in comparison to lithotomy position,free position(MD=20.53,95%CI[11.38,29.68])and upright position(MD=−24.13,95%CI[−42.94,-5.32])were found to be superior in reducing the duration of the second stage of labor.Free position outperformed kneeling position(MD=21.48,95%CI[4.67,38.28])and squatting position(MD=23.43,95%CI[1.88,44.97]);upright position was superior to kneeling position(MD=−25.08,95%CI[−46.93,−3.22]);semirecumbent position surpassed squatting position(MD=19.71,95%CI[2.05,37.38]);and upright position was also superior to squatting position(MD=−27.03,95%CI[−51.48,−2.57]).According to the surface under the cumulative ranking curve(SUCRA),the upright position emerged as the most effective for reducing the duration of the second stage of labor(87.4%),followed by free position(81.1%),semirecumbent position(70.0%),and lateral position(62.3%).Conclusion These findings offer valuable insights for midwifery practice and help inform future research directions.Considering the limitations of this review,more larger-scale,multicenter randomized controlled trials are warranted to further evaluate the relative effectiveness of different childbirth positions in reducing the duration of the second stage of labor.展开更多
Forest ecosystems can be characterized by a set of catenas arranged along the slope in mountainous areas as these affect microhabitat features,which in turn influence soil properties.Heretofore,few studies have examin...Forest ecosystems can be characterized by a set of catenas arranged along the slope in mountainous areas as these affect microhabitat features,which in turn influence soil properties.Heretofore,few studies have examined how topographic variables affect soil properties and quality in semiarid regions.This study aimed to provide important insights into how catena position and shape influence soil properties,soil quality,and their interrelationships in a semiarid protected oak forest in western Iran.Basic soil properties were measured in the laboratory.In addition,the soil quality index(SQI)was calculated at different topographic positions along both convex(Λ-shaped)and concave(V-shaped)catenas at two soil depths(0-15 and 15-30 cm).The findings indicated that soil organic carbon and total nitrogen declined in the lower depth in both V-andΛ-shaped catenas and at all catena positions.The lowest porosity was observed in the lower depth at toeslope positions(TS)of both catenas.Substrate-induced respiration(SIR),microbial biomass carbon(MBC),and basal respiration(BR)were higher in the upper depths at TS positions on V-shaped catenas than onΛ-shaped catenas.These biological indices were consistently higher in the upper depths than in the lower depths across all positions of both catenas.SQI had the highest values at TS positions on both catenas and in the upper depths across all positions.Pearson correlations between soil properties indicated that SQI was most strongly and positively correlated with biological properties in both catenas.The nutrient levels,microbial activity,and soil porosity in both catena shapes and at both soil depths displayed a relatively downward trend with increasing elevation from toeslope to summit positions.The results showed that catena topographic sequence shape and position affected most of the soil properties,providing evidence of the important role of topography in creating pedodiversity in oak forest ecosystems.展开更多
Four benzocoumarin-based two-photon fluorescent probes(BH1-BH4)are proposed for ra-tiometric detection of hypochlorous acid(HClO)and their two-photon sensing perfor-mance are evaluated by means of time-dependent densi...Four benzocoumarin-based two-photon fluorescent probes(BH1-BH4)are proposed for ra-tiometric detection of hypochlorous acid(HClO)and their two-photon sensing perfor-mance are evaluated by means of time-dependent density func-tional theory and quadratic re-sponse theory.The effects of benzene-fused position on Stokes shift,fluorescence quantum yield and two-photon absorption are discussed comprehensively.The results show that fusing a benzene ring in coumarin can enhance Stokes shift efficiently.The benzene-fused position has important effects on these photophysical properties.The benzo[g]coumarins(BH1)and benzo[f]coumarins(BH2)derivatives have larger Stokes shifts in comparison with benzo[h]coumarins(BH3)and dihydrophenazine(BH4)derivatives.The two-photon absorp-tion of benzo[f]coumarins(BH2)derivative is much smaller than those of other benzo-coumarins derivatives.The large Stokes shift and increased two-photon action cross section can be achieved simultaneously in the dihydrophenazine(BH4)derivative.Therefore,the de-signed BH4 is expected to have superior performance for the ratiometric detection of HClO.To explore the reasons behind these effects,the intramolecular charge transfer degrees are il-lustrated quantitatively by plotting the hole-electron isosurface map,and the relation be-tween charge transfer and Stokes shift is revealed.A two-state model analysis is employed to understand two-photon absorption ability.Moreover,the fluorescence near-quenching mecha-nism of the product molecules B1 and B3 is explained by analyzing reorganization energy and Huang-Rhys factor,as well as related normal mode.Our research could contribute to the effi-cient design of ratiometric two-photon fluorescent probes with large Stokes shift and signifi-cant two-photon action cross section.展开更多
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.
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.
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.
文摘A new intelligent control method for welding positioner is proposed. Applying an improved fuzzy controller and a variable PID controller, a two-mode intelligent coordinating controller ( TMICC ) is designed on basis of fuzzy logic and rules. The simulation and experimental results show that this control system can obtain better dynamic and static characteristics.
基金ThispaperissupportedbyNationalNatureScienceFoundation (No .5 96 35 16 0 )AdvancedUniversityDoctoralSubjectFoundation (No .980 2 1311)
文摘Off line programming provides an essential link between CAD and CAM, whose development will result in greater use of robotic arc welding. An arc welding system with a robot and a rotating/tilting positioner is one of the most typical workcells. The inverse kinematics of robot and positioner is the foundation of the off line programming system. The previous researchers only focused on a special solution of the positioner inverse kinematics, which is the solution at down hand welding position. In this paper, we introduce a method for representing welding position. Then a general algorithm of rotating/tilting positioner inverse kinematics is presented, and an approach to find the unique solution of the inverse kinematics is discussed. The simulation experiment results show that the general algorithm can improve the ability of robotic arc welding off line programming system to program all types of welding positions.
文摘Aiming at the robotic welding positioner with characteristic of parameter change, load change, nonlinearity, and an intelligent control system was researched and developed. This control system used a two-mode controller that based on Fuzzy and PID control method. The results of simulation show that the dynamic and steady performances of the intelligent controller are better than that of single PID or Fuzzy controller. This paper has made a detail theoretical analysis of the constitution design and real-time controlled software and brought up the design and fulfillment method of multi-task real-time control software of high precisely and numerically controlled welding positioner, which has a good result in practice.
基金This project is supported by National Hi-tech Research and Development Program of China(863 Program, No.2002AA422260).
文摘A large workspace flexure parallel positioner system is developed, which can attain sub-micron scale accuracy over cubic centimeter motion range for utilizing novel wide-range flexure hinges instead of the conventional mechanism joints. Flexure hinges eliminate backlash and friction, but on the other hand their deformation caused by initial loads influences the positioning accuracy greatly, so discussions about loads＇ influence analysis on this flexure parallel positioner is very necessary. The stiffness model of the whole mechanism is presented via stiffness assembly method based on the stiffness model of individual flexure hinge, And the analysis results are validated by the finite element analysis （FEA） simulation and experiment tests, which provide essential data to the practical application of this positioner system.
文摘Traditional CAD technique does not support the design processes such as function definition, conceptual design and preliminary design, which are most creative and play significant roles on the design quality. Because scheme design has close relationship with product structure, performance and technology cost, it is important for applying the intelligent CAD of scheme design to improve the quality and competitive level of the product. The definition and function of welding positioner are discussed in this paper. The new definition of welding positioner extends the research scope of welding positioner to welding fixture and welding positioning motion mechanism. The design process of welding fixture and positioning motion system is described, and the cased based and knowledge based design strategy of welding positioner scheme design intelligent CAD is then put forward, which lays foundation for developing proto type system of welding positioner scheme design.
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.
文摘Analyzing the effects of heat rejection from condensers of split-type air-conditioning units at lower-floors of MLABs （multi-level apartment buildings）, using field measurements to monitor environmental conditions and condenser operation, revealed increases in the inlet air temperature at the condensers at the upper floors, which in turn increased the power and energy requirements for these units and decreased their cooling capacities. Results indicated that a decrease of up to 16,000 tons in cooling capacity and an increase of up to 67.2 MW in the national peak load demand might be reached for a 4 ℃ temperature differential for Kuwait conditions. It is recommended that the condensers be placed in the wind pathway to minimize the impact of heat rejection and stack effect and to optimize the operation of split-type air-conditioning units, and that other factors regarding installation setup and location are investigated.
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supported in part by the National Natural Science Foundation of China under Grants 52277057 and U22A20217in part by the Shandong Youth Innovation Team under Grant 2022KJ150。
文摘Position sensors are indispensable in robotic joint servo systems for acquiring mechanical positions, yet their installation inevitably occupies an axial space and increases system complexity, limiting their applicability in compact robot design where spatial constraints and integration efficiency are critical. Sensorless control reduces mechanical and circuit complexity through hardware simplification, but inherently estimates only the electrical instead of mechanical rotor position information, thus remaining constrained in robot joint control applications. Based on the previously proposed dual-gap dualpole composite machine(DDCM), this paper systematically analyzes the causes of mechanical position estimation errors and proposes a correction method that utilizes a correction coefficient to reduce these errors and enhance estimation accuracy. Furthermore, this paper derives the applicability constraints of the proposed scheme, demonstrating that its requirements for electrical angle position errors are not stringent, thus enabling wide applicability in conventional sensorless control scenarios. The effectiveness of the proposed method is verified by conducting experiments on a 0.75 kW prototype.
基金the National Key Research and Development Program of China(2022YFB3403404)the Youth Innovation Promotion Association,CAS(2022213)the National Natural Science Foundation of China(62127901 and 62305334).
文摘Null compensation interferometry is the primary testing method for the manufacture of ultra-high-precision aspheric mirrors.The crosstalk fringes generated by stray light in interferometry can affect accuracy and potentially prevent the testing from proceeding normally.Position errors include the decenter error,tilt error,and distance error.During the testing process,position errors will impact the testing accuracy and the crosstalk fringes generated by stray light.To determine the specific impact of position errors,we use the concept of Hindle shell testing of a convex aspheric mirror,and propose the simulation method of crosstalk fringes in null compensation interferometry.We also propose evaluation indices of crosstalk fringes in interferometry and simulate the influence of position errors on the crosstalk fringes.This work aims to help improve the design of compensation interferometry schemes,enhance the feasibility of the design,reduce engineering risks,and improve efficiency.
文摘Sunflower leaf photosynthesis strongly depends on the leaf position in the plant stem conditioning,which directly affects other physiological processes.Therefore,a study of the leaf’s physiological status regarding the leaf position in the stem was performed on sunflowers in the flowering stage.Eight differently positioned leaves were investigated,starting with the youngest leaf on the top of the stem to the leaves of the stem bottom,assigned as the oldest senescent leaves.According to chlorophyll fluorescence(ChlF)parameters connected to photosystem II(PSII)processes,significant changes in PSII functioning occurred only in the senescent leaves,while photosystem I(PSI)describing parameters showed a linear decrease with leaf age,i.e.,position on the stem.The antioxidative status of the leaves was dynamic,as stress indicators(lipid peroxidation and hydrogen peroxide content)fluctuated regarding leaf position on the stem,but no link was found between the activities of antioxidative enzymes and oxidative stress indicators.Linear decrease trend of secondary metabolites(mainly phenolic compounds)correlated with antioxidant activity,except for some phenolic acids(caffeic and ferulic acid),which increased in senescent leaves.The most changes in the physiological status of the leaves were confirmed in senescent leaves,which stand out the importance of younger leaves in maintaining the plant’s vitality after flowering,which is the most important for sunflower yield.
基金supported by the Opening Project of State Key Laboratory of Mechanical Transmission for Advanced Equipment(No.SKLMT-MSKFKT202330)the National Natural Science Foundation of China(No.52575022)the Jiangsu Province Postgraduate Research&Practice Innovation Program(No.KYCX25_1403)。
文摘This study presents a novel analytical algorithm for solving the forward position problem of a triangular platform Stewart-type parallel robot(STPR).By introducing a virtual chain and leveraging tetrahedral geometric principles,the proposed method derives analytical solutions for the position and orientation of the moving platform.The algorithm systematically addresses the nonlinearity inherent in the kinematic equations of parallel mechanisms,providing explicit expressions for the coordinates of key moving attachment points.Furthermore,the methodology is extended to general triangular platform STPRs with non-coplanar fixed attachments.Numerical validation through virtual experiments confirms the accuracy of the solutions,demonstrating that the mechanism admits eight distinct configurations for a given set of limb lengths.The results align with established kinematic principles and offer a computationally efficient alternative to iterative analytical approaches,contributing to the advancement of precision control in parallel robotic systems.
基金the Obstetrics and Gynecology Hospital of Fudan University for supporting this project。
文摘Objectives A systematic review and network meta-analysis was conducted to evaluate the effectiveness of different childbirth positions in reducing the duration of the second stage of labor,providing evidence-based insights for obstetric institutions to guide interventions related to childbirth positions.Methods A comprehensive literature search was conducted in databases,including PubMed,Web of Science,the Cochrane Library,Embase,Wanfang Databases,China National Knowledge Infrastructure Databases(CNKI),China Science and Technology Journal Database(CSTJ),and China Biology Medicine disc(CBMdisc)to identify studies on the effectiveness of different childbirth positions in reducing the duration of the second stage of labor.The search included randomized controlled trials published from database inception to September 30,2024.The Cochrane risk-of-bias tool was used to assess the quality of the studies.Two independent reviewers screened the literature,extracted data,and evaluated study quality.Subsequently,a network meta-analysis was performed using STATA software.The study protocol has been registered in PROSPERO(CRD42023428217).Results This study analyzed data from 25 randomized controlled trials involving 9,844 women.The findings indicated that in comparison to lithotomy position,free position(MD=20.53,95%CI[11.38,29.68])and upright position(MD=−24.13,95%CI[−42.94,-5.32])were found to be superior in reducing the duration of the second stage of labor.Free position outperformed kneeling position(MD=21.48,95%CI[4.67,38.28])and squatting position(MD=23.43,95%CI[1.88,44.97]);upright position was superior to kneeling position(MD=−25.08,95%CI[−46.93,−3.22]);semirecumbent position surpassed squatting position(MD=19.71,95%CI[2.05,37.38]);and upright position was also superior to squatting position(MD=−27.03,95%CI[−51.48,−2.57]).According to the surface under the cumulative ranking curve(SUCRA),the upright position emerged as the most effective for reducing the duration of the second stage of labor(87.4%),followed by free position(81.1%),semirecumbent position(70.0%),and lateral position(62.3%).Conclusion These findings offer valuable insights for midwifery practice and help inform future research directions.Considering the limitations of this review,more larger-scale,multicenter randomized controlled trials are warranted to further evaluate the relative effectiveness of different childbirth positions in reducing the duration of the second stage of labor.
文摘Forest ecosystems can be characterized by a set of catenas arranged along the slope in mountainous areas as these affect microhabitat features,which in turn influence soil properties.Heretofore,few studies have examined how topographic variables affect soil properties and quality in semiarid regions.This study aimed to provide important insights into how catena position and shape influence soil properties,soil quality,and their interrelationships in a semiarid protected oak forest in western Iran.Basic soil properties were measured in the laboratory.In addition,the soil quality index(SQI)was calculated at different topographic positions along both convex(Λ-shaped)and concave(V-shaped)catenas at two soil depths(0-15 and 15-30 cm).The findings indicated that soil organic carbon and total nitrogen declined in the lower depth in both V-andΛ-shaped catenas and at all catena positions.The lowest porosity was observed in the lower depth at toeslope positions(TS)of both catenas.Substrate-induced respiration(SIR),microbial biomass carbon(MBC),and basal respiration(BR)were higher in the upper depths at TS positions on V-shaped catenas than onΛ-shaped catenas.These biological indices were consistently higher in the upper depths than in the lower depths across all positions of both catenas.SQI had the highest values at TS positions on both catenas and in the upper depths across all positions.Pearson correlations between soil properties indicated that SQI was most strongly and positively correlated with biological properties in both catenas.The nutrient levels,microbial activity,and soil porosity in both catena shapes and at both soil depths displayed a relatively downward trend with increasing elevation from toeslope to summit positions.The results showed that catena topographic sequence shape and position affected most of the soil properties,providing evidence of the important role of topography in creating pedodiversity in oak forest ecosystems.
基金supported by the Shandong Provincial Natural Science Foundation,China(No.ZR2020MA078)。
文摘Four benzocoumarin-based two-photon fluorescent probes(BH1-BH4)are proposed for ra-tiometric detection of hypochlorous acid(HClO)and their two-photon sensing perfor-mance are evaluated by means of time-dependent density func-tional theory and quadratic re-sponse theory.The effects of benzene-fused position on Stokes shift,fluorescence quantum yield and two-photon absorption are discussed comprehensively.The results show that fusing a benzene ring in coumarin can enhance Stokes shift efficiently.The benzene-fused position has important effects on these photophysical properties.The benzo[g]coumarins(BH1)and benzo[f]coumarins(BH2)derivatives have larger Stokes shifts in comparison with benzo[h]coumarins(BH3)and dihydrophenazine(BH4)derivatives.The two-photon absorp-tion of benzo[f]coumarins(BH2)derivative is much smaller than those of other benzo-coumarins derivatives.The large Stokes shift and increased two-photon action cross section can be achieved simultaneously in the dihydrophenazine(BH4)derivative.Therefore,the de-signed BH4 is expected to have superior performance for the ratiometric detection of HClO.To explore the reasons behind these effects,the intramolecular charge transfer degrees are il-lustrated quantitatively by plotting the hole-electron isosurface map,and the relation be-tween charge transfer and Stokes shift is revealed.A two-state model analysis is employed to understand two-photon absorption ability.Moreover,the fluorescence near-quenching mecha-nism of the product molecules B1 and B3 is explained by analyzing reorganization energy and Huang-Rhys factor,as well as related normal mode.Our research could contribute to the effi-cient design of ratiometric two-photon fluorescent probes with large Stokes shift and signifi-cant two-photon action cross section.
