To address the issue of coordinated control of multiple hydrogen and battery storage units to suppress the grid-injected power deviation of wind farms,an online optimization strategy for Battery-hydrogen hybrid energy...To address the issue of coordinated control of multiple hydrogen and battery storage units to suppress the grid-injected power deviation of wind farms,an online optimization strategy for Battery-hydrogen hybrid energy storage systems based on measurement feedback is proposed.First,considering the high charge/discharge losses of hydrogen storage and the low energy density of battery storage,an operational optimization objective is established to enable adaptive energy adjustment in the Battery-hydrogen hybrid energy storage system.Next,an online optimization model minimizing the operational cost of the hybrid system is constructed to suppress grid-injected power deviations with satisfying the operational constraints of hydrogen storage and batteries.Finally,utilizing the online measurement of the energy states of hydrogen storage and batteries,an online optimization strategy based on measurement feedback is designed.Case study results show:before and after smoothing the fluctuations in wind power,the time when the power exceeded the upper and lower limits of the grid-injected power accounted for 24.1%and 1.45%of the total time,respectively,the proposed strategy can effectively keep the grid-injected power deviations of wind farms within the allowable range.Hydrogen storage and batteries respectively undertake long-term and short-term charge/discharge tasks,effectively reducing charge/discharge losses of the Battery-hydrogen hybrid energy storage systems and improving its operational efficiency.展开更多
The transcriptional cascade and regulatory loop play crucial roles in regulating plant-specialized metabolite biosynthesis.Capsaicinoids are unique to the genus Capsicum and confer a pungent flavor to its fruits.Howev...The transcriptional cascade and regulatory loop play crucial roles in regulating plant-specialized metabolite biosynthesis.Capsaicinoids are unique to the genus Capsicum and confer a pungent flavor to its fruits.However,the transcriptional regulation of capsaicinoid biosynthesis remains largely unknown.In this study,two AP2/ERF transcription factors(TFs),CaERF102 and CaERF111,were characterized for their role in the capsaicinoid biosynthesis process.Expression analysis of two ERFs and capsaicinoid biosynthetic genes(CBGs)suggested that they were associated with capsaicinoid biosynthesis.Both ERFs encode nuclear-localized proteins and function as transcriptional activators through their C-terminal activation motifs.The two ERF TFs participated in capsaicinoid biosynthesis by directly activating the promoters of key CBGs,and this activation was significantly enhanced when CaMYC2 was co-expressed.Moreover,CaERF102 and CaERF111 were found to interact with CaMYC2.This study helps elucidate the AP2/ERF TF regulatory network that governs capsaicinoid biosynthesis in Capsicum species.展开更多
Load deviations between the output of ultra-supercritical(USC)coal-fired power units and automatic generation control(AGC)commands can adversely affect the safe and stable operation of these units and grid load dispat...Load deviations between the output of ultra-supercritical(USC)coal-fired power units and automatic generation control(AGC)commands can adversely affect the safe and stable operation of these units and grid load dispatching.Data-driven diagnostic methods often fail to account for the imbalanced distribution of data samples,leading to reduced classification performance in diagnosing load deviations in USC units.To address the class imbalance issue in USC load deviation datasets,this study proposes a diagnostic method based on the multi-label natural neighbor boundary oversampling technique(MLNaNBDOS).The method is articulated in three phases.Initially,the traditional binary oversampling strategy is improved by constructing a binary multi-label relationship for the load deviations in coal-fired units.Subsequently,an adaptive adjustment of the oversampling factor is implemented to determine the oversampling weight for each sample class.Finally,the generation of new instances is refined by dynamically evaluating the similarity between new cases and natural neighbors through a random factor,ensuring precise control over the instance generation process.In comparisons with nine benchmark methods across three imbalanced USC load deviation datasets,the proposed method demonstrates superior performance on several key evaluation metrics,including Micro-F1,Micro-G-mean,and Hamming Loss,with average values of 0.8497,0.9150,and 0.1503,respectively.These results substantiate the effectiveness of the proposed method in accurately diagnosing the sources of load deviations in USC units.展开更多
The solar wind's interaction with the Moon has traditionally been understood through the Moon's absorption of solar wind particles and the formation of a plasma cavity on its nightside,known as the lunar wake....The solar wind's interaction with the Moon has traditionally been understood through the Moon's absorption of solar wind particles and the formation of a plasma cavity on its nightside,known as the lunar wake.This study reveals unexpected,large-scale perturbations in the solar wind upstream of the Moon,using 11 years of data from the OMNI and ARTEMIS(Acceleration,Reconnection,Turbulence and Electrodynamics of Moon's Interaction with the Sun)missions(2012-2023).We find systematic moonward deviations of~tens of km/s in a direction perpendicular to the solar wind(moonward),at altitudes of up to 1000 km,particularly when the interplanetary magnetic field(IMF)lines are oblique to the solar wind(30°<θ<60°)and connected to the lunar dayside.The longer the duration of the interaction,the greater the moonward deviation.These perturbations can be explained by neither solar wind pickup of the reflected ions,nor lunar wake dynamics.Instead,they appear to correlate with magnetic connectivity between the ARTEMIS probes and the lunar surface,suggesting a more complex solar wind interaction than previously thought.展开更多
AIM:To compare refractive error and angle of deviation in patients with basic esotropia and basic exotropia.METHODS:A retrospective review was conducted on the medical records of patients with basic-type strabismus.De...AIM:To compare refractive error and angle of deviation in patients with basic esotropia and basic exotropia.METHODS:A retrospective review was conducted on the medical records of patients with basic-type strabismus.Demographic data,refractive error,best-corrected distance visual acuity(BCVA),and the horizontal and vertical angle of deviation between basic esotropia and exotropia patients were compared.RESULTS:Among the 7129 patients(mean age 22.98±14.81y)evaluated,44.7%(3185 cases,54.9%male)exhibited basic-type esotropia,while 55.3%(3944 cases,53.9%male)presented with basic-type exotropia.Basic esotropia cases exhibited more hyperopic spherical equivalent measurements in both eyes(right:0.53±3.07 vs left:0.56±2.98 D)than those with basic exotropia(right eye:-0.33±2.84 vs left eye:-0.24±2.68 D,P<0.001 for both eyes).Patients with basic esotropia had significantly greater horizontal deviation angles(near:36.08±18.87 PD and far:35.56±18.75 PD)compared to those with basic exotropia(near:33.75±16.11 PD and far:33.26±15.90 PD,P<0.001).Conversely,patients with basic exotropia had slightly higher vertical deviation angles(near:1.67±5.80 PD and far:1.72±5.89 PD)compared to those with basic esotropia(near:1.12±4.57 PD and far:1.12±4.58 PD,P<0.001).Patients with basic esotropia underwent surgical intervention at younger ages compared to basic exotropia individuals(19.68±15.99 vs 25.66±13.20,P<0.001).CONCLUSION:Basic esotropia patients present more hyperopic refractive errors,better visual acuity,larger horizontal yet smaller vertical ocular misalignments,and tend to undergo strabismus surgery at younger ages relative to basic exotropia cases.展开更多
In this paper, we use sample average approximation with adaptive multiple importance sampling to explore moderate deviations for the optimal values. Utilizing the moderate deviation principle for martingale difference...In this paper, we use sample average approximation with adaptive multiple importance sampling to explore moderate deviations for the optimal values. Utilizing the moderate deviation principle for martingale differences and an appropriate Delta method, we establish a moderate deviation principle for the optimal value. Moreover, for a functional form of stochastic programming, we obtain a functional moderate deviation principle for its optimal value.展开更多
In bridge engineering,monitoring pier offsets is crucial for ensuring both structural safety and construction quality.The total station measurement method using a reflector is widely employed,offering significant adva...In bridge engineering,monitoring pier offsets is crucial for ensuring both structural safety and construction quality.The total station measurement method using a reflector is widely employed,offering significant advantages in specific scenarios.During measurements,errors are influenced by various factors.Initially,misalignment causes the lateral relative error to increase before decreasing,while longitudinal relative errors fluctuate due to instrument characteristics and operational factors.Lateral movements have a more pronounced impact on these errors.Investigating the positioning layout of pier offsets holds substantial importance as it enables precise displacement monitoring,prevents accidents,aids in maintenance planning,provides valuable references for design and construction,and enhances the pier’s resistance to deflection.Controlling and correcting subsequent errors is essential to ensure the overall safety of the bridge structure.展开更多
The angular deviations and influential factors of Burgers orientation relationship(BOR)in Ti-6Al-4V and Ti-6.5Al-2Zr-1Mo-1V alloys were investigated by optical microscope(OM),scanning electron microscope(SEM),electron...The angular deviations and influential factors of Burgers orientation relationship(BOR)in Ti-6Al-4V and Ti-6.5Al-2Zr-1Mo-1V alloys were investigated by optical microscope(OM),scanning electron microscope(SEM),electron backscattered diffraction(EBSD)and high-angle annular dark-field scanning transmission electron microscope(HAADF-STEM).A spherical center angle model was introduced to calculate the angular deviations from the ideal BOR between α and β phases.The results indicate thatαand β phases in α colonies of both alloys do not follow the perfect BOR during β→α phase transformation,with angular deviation values less than 3°.Through detailed microstructure characterization,the broad face of α/β interfaces viewed along two different electron incident directions shows the atomic-scale terrace-ledge structure,and many dislocations are observed within α and β phases and near α/β interfaces.Further studies reveal that the angular deviations mainly originate from lattice distortions caused by dislocations in α and β phases and lattice mismatches at α/β interfaces.展开更多
In this work, we first derive the one-point large deviations principle (LDP) for both the stochastic Cahn–Hilliard equation with small noise and its spatial finite difference method (FDM). Then, we focus on giving th...In this work, we first derive the one-point large deviations principle (LDP) for both the stochastic Cahn–Hilliard equation with small noise and its spatial finite difference method (FDM). Then, we focus on giving the convergence of the one-point large deviations rate function (LDRF) of the spatial FDM, which is about the asymptotical limit of a parametric variational problem. The main idea for proving the convergence of the LDRF of the spatial FDM is via the Γ-convergence of objective functions. This relies on the qualitative analysis of skeleton equations of the original equation and the numerical method. In order to overcome the difficulty that the drift coefficient is not one-sided Lipschitz continuous, we derive the equivalent characterization of the skeleton equation of the spatial FDM and the discrete interpolation inequality to obtain the uniform boundedness of the solution to the underlying skeleton equation. These play important roles in deriving the T-convergence of objective functions.展开更多
Accuracy allocation is crucial in the accuracy design of machining tools.Current accuracy allocation methods primarily focus on positional deviation,with little consideration for tool direction deviation.To address th...Accuracy allocation is crucial in the accuracy design of machining tools.Current accuracy allocation methods primarily focus on positional deviation,with little consideration for tool direction deviation.To address this issue,we propose a geometric error cost sensitivity-based accuracy allocation method for five-axis machine tools.A geometric error model consisting of 4l error components is constructed based on homogeneous transformation matrices.Volumetric points with positional and tool direction deviations are randomly sampled to evaluate the accuracy of the machine tool.The sensitivity of each error component at these sampling points is analyzed using the Sobol method.To balance the needs of geometric precision and manufacturing cost,a geometric error cost sensitivity function is developed to estimate the required cost.By allocating error components affecting tool direction deviation first and the remaining components second,this allocation scheme ensures that both deviations meet the requirements.We also perform numerical simulation of a BC-type(B-axis and C-axis type)five-axis machine tool to validate the method.The results show that the new allocation scheme reduces the total geometric error cost by 27.8%compared to a uniform allocation scheme,and yields the same positional and tool direction machining accuracies.展开更多
BACKGROUND Surgically created arterio-venous fistulas(AVFs)are the gold standard for haemodialysis access for patients with end-stage renal disease.Standard practice of AVF creation involves selecting the non-dominant...BACKGROUND Surgically created arterio-venous fistulas(AVFs)are the gold standard for haemodialysis access for patients with end-stage renal disease.Standard practice of AVF creation involves selecting the non-dominant upper limb and starting with most distally with radio-cephalic arterio-venous fistula.The primary patency rate of radio-cephalic arterio-venous fistula varies from 20%-25%.It has been suggested the neointimal hyperplasia at the mobilized venous segment causes stenosis of the anastomosis.Therefore,the radial artery deviation and reimplantation(RADAR)technique,in which the vein is minimally mobilized,should result in a higher success rate.AIM To compare the RADAR technique with classical technique in creation of AVF including:(1)Success rate;(2)Time to maturation;(3)Duration of surgery;and(4)Complication rate.METHODS In our study we recruited 94 patients in two randomized groups and performed the AVF by the classical method or the RADAR method.RESULTS The RADAR group had higher primary success rate(P=0.007),less rate of complications(P=0.04),shorter duration of surgery(P=0.00)and early time to maturation(0.001)when compared with the classical group.The RADAR procedure is a safe and a more efficient alternative to the current classical method of AVF creation.Longer duration of follow-up is required to assess the long-term outcomes in the future.CONCLUSION The RADAR procedure is a safe and more efficient alternative to the current classical method of AVF creation.Longer duration of follow-up is required to assess the long-term outcomes in the future.展开更多
基金Supported by State Grid Zhejiang Electric Power Co.,Ltd.Science and Technology Project Funding(No.B311DS230005).
文摘To address the issue of coordinated control of multiple hydrogen and battery storage units to suppress the grid-injected power deviation of wind farms,an online optimization strategy for Battery-hydrogen hybrid energy storage systems based on measurement feedback is proposed.First,considering the high charge/discharge losses of hydrogen storage and the low energy density of battery storage,an operational optimization objective is established to enable adaptive energy adjustment in the Battery-hydrogen hybrid energy storage system.Next,an online optimization model minimizing the operational cost of the hybrid system is constructed to suppress grid-injected power deviations with satisfying the operational constraints of hydrogen storage and batteries.Finally,utilizing the online measurement of the energy states of hydrogen storage and batteries,an online optimization strategy based on measurement feedback is designed.Case study results show:before and after smoothing the fluctuations in wind power,the time when the power exceeded the upper and lower limits of the grid-injected power accounted for 24.1%and 1.45%of the total time,respectively,the proposed strategy can effectively keep the grid-injected power deviations of wind farms within the allowable range.Hydrogen storage and batteries respectively undertake long-term and short-term charge/discharge tasks,effectively reducing charge/discharge losses of the Battery-hydrogen hybrid energy storage systems and improving its operational efficiency.
基金funded by the National Natural Science Foundation of China(Grant Nos.32202502,U21A20230,32070331,32102380 and 32072580)National Key Research and Development Program(Grant No.2018YFD1000800)+3 种基金the Key-Area Research and Development Program of Guangdong Province(Grant No.2022B0202080001)the Special Fund for Seed Industry of Guangdong Province Rural Revitalization Strategy(Grant No.2022-NPY00-024)Tibet Autonomous Region of Lhasa City Science and Technology Project(Grant No.LSKJ202310)the Science and Technology Project of Bijie City(Grant No.BKK2022-3)。
文摘The transcriptional cascade and regulatory loop play crucial roles in regulating plant-specialized metabolite biosynthesis.Capsaicinoids are unique to the genus Capsicum and confer a pungent flavor to its fruits.However,the transcriptional regulation of capsaicinoid biosynthesis remains largely unknown.In this study,two AP2/ERF transcription factors(TFs),CaERF102 and CaERF111,were characterized for their role in the capsaicinoid biosynthesis process.Expression analysis of two ERFs and capsaicinoid biosynthetic genes(CBGs)suggested that they were associated with capsaicinoid biosynthesis.Both ERFs encode nuclear-localized proteins and function as transcriptional activators through their C-terminal activation motifs.The two ERF TFs participated in capsaicinoid biosynthesis by directly activating the promoters of key CBGs,and this activation was significantly enhanced when CaMYC2 was co-expressed.Moreover,CaERF102 and CaERF111 were found to interact with CaMYC2.This study helps elucidate the AP2/ERF TF regulatory network that governs capsaicinoid biosynthesis in Capsicum species.
基金supported by the National Natural Science Foundation of China(Grant No.62173050)Shenzhen Municipal Science and Technology Innovation Committee(Grant No.KCXFZ20211020165004006)+3 种基金Natural Science Foundation of Hunan Province of China(Grant No.2023JJ30051)Hunan Provincial Graduate Student Research Innovation Project(Grant No.QL20230214)Major Scientific and Technological Innovation Platform Project of Hunan Province(2024JC1003)Hunan Provincial University Students’Energy Conservation and Emission Reduction Innovation and Entrepreneurship Education Center(Grant No.2019-10).
文摘Load deviations between the output of ultra-supercritical(USC)coal-fired power units and automatic generation control(AGC)commands can adversely affect the safe and stable operation of these units and grid load dispatching.Data-driven diagnostic methods often fail to account for the imbalanced distribution of data samples,leading to reduced classification performance in diagnosing load deviations in USC units.To address the class imbalance issue in USC load deviation datasets,this study proposes a diagnostic method based on the multi-label natural neighbor boundary oversampling technique(MLNaNBDOS).The method is articulated in three phases.Initially,the traditional binary oversampling strategy is improved by constructing a binary multi-label relationship for the load deviations in coal-fired units.Subsequently,an adaptive adjustment of the oversampling factor is implemented to determine the oversampling weight for each sample class.Finally,the generation of new instances is refined by dynamically evaluating the similarity between new cases and natural neighbors through a random factor,ensuring precise control over the instance generation process.In comparisons with nine benchmark methods across three imbalanced USC load deviation datasets,the proposed method demonstrates superior performance on several key evaluation metrics,including Micro-F1,Micro-G-mean,and Hamming Loss,with average values of 0.8497,0.9150,and 0.1503,respectively.These results substantiate the effectiveness of the proposed method in accurately diagnosing the sources of load deviations in USC units.
基金supported by the National Natural Science Foundation of China(Grant No.42474227,42241106,42388101)financial support through the German Ministry for Economy and Technology and the German Center for Aviation and Space(DLR)under contract 50 OC 0302
文摘The solar wind's interaction with the Moon has traditionally been understood through the Moon's absorption of solar wind particles and the formation of a plasma cavity on its nightside,known as the lunar wake.This study reveals unexpected,large-scale perturbations in the solar wind upstream of the Moon,using 11 years of data from the OMNI and ARTEMIS(Acceleration,Reconnection,Turbulence and Electrodynamics of Moon's Interaction with the Sun)missions(2012-2023).We find systematic moonward deviations of~tens of km/s in a direction perpendicular to the solar wind(moonward),at altitudes of up to 1000 km,particularly when the interplanetary magnetic field(IMF)lines are oblique to the solar wind(30°<θ<60°)and connected to the lunar dayside.The longer the duration of the interaction,the greater the moonward deviation.These perturbations can be explained by neither solar wind pickup of the reflected ions,nor lunar wake dynamics.Instead,they appear to correlate with magnetic connectivity between the ARTEMIS probes and the lunar surface,suggesting a more complex solar wind interaction than previously thought.
文摘AIM:To compare refractive error and angle of deviation in patients with basic esotropia and basic exotropia.METHODS:A retrospective review was conducted on the medical records of patients with basic-type strabismus.Demographic data,refractive error,best-corrected distance visual acuity(BCVA),and the horizontal and vertical angle of deviation between basic esotropia and exotropia patients were compared.RESULTS:Among the 7129 patients(mean age 22.98±14.81y)evaluated,44.7%(3185 cases,54.9%male)exhibited basic-type esotropia,while 55.3%(3944 cases,53.9%male)presented with basic-type exotropia.Basic esotropia cases exhibited more hyperopic spherical equivalent measurements in both eyes(right:0.53±3.07 vs left:0.56±2.98 D)than those with basic exotropia(right eye:-0.33±2.84 vs left eye:-0.24±2.68 D,P<0.001 for both eyes).Patients with basic esotropia had significantly greater horizontal deviation angles(near:36.08±18.87 PD and far:35.56±18.75 PD)compared to those with basic exotropia(near:33.75±16.11 PD and far:33.26±15.90 PD,P<0.001).Conversely,patients with basic exotropia had slightly higher vertical deviation angles(near:1.67±5.80 PD and far:1.72±5.89 PD)compared to those with basic esotropia(near:1.12±4.57 PD and far:1.12±4.58 PD,P<0.001).Patients with basic esotropia underwent surgical intervention at younger ages compared to basic exotropia individuals(19.68±15.99 vs 25.66±13.20,P<0.001).CONCLUSION:Basic esotropia patients present more hyperopic refractive errors,better visual acuity,larger horizontal yet smaller vertical ocular misalignments,and tend to undergo strabismus surgery at younger ages relative to basic exotropia cases.
基金Supported by the National Natural Science Foundation of China(Grant No.12071175)。
文摘In this paper, we use sample average approximation with adaptive multiple importance sampling to explore moderate deviations for the optimal values. Utilizing the moderate deviation principle for martingale differences and an appropriate Delta method, we establish a moderate deviation principle for the optimal value. Moreover, for a functional form of stochastic programming, we obtain a functional moderate deviation principle for its optimal value.
文摘In bridge engineering,monitoring pier offsets is crucial for ensuring both structural safety and construction quality.The total station measurement method using a reflector is widely employed,offering significant advantages in specific scenarios.During measurements,errors are influenced by various factors.Initially,misalignment causes the lateral relative error to increase before decreasing,while longitudinal relative errors fluctuate due to instrument characteristics and operational factors.Lateral movements have a more pronounced impact on these errors.Investigating the positioning layout of pier offsets holds substantial importance as it enables precise displacement monitoring,prevents accidents,aids in maintenance planning,provides valuable references for design and construction,and enhances the pier’s resistance to deflection.Controlling and correcting subsequent errors is essential to ensure the overall safety of the bridge structure.
基金supported by the National Natural Science Foundation of China(Nos.51971009,12002013,51831006)the Natural Science Foundation of Zhejiang Province,China(No.LZ23E010004).
文摘The angular deviations and influential factors of Burgers orientation relationship(BOR)in Ti-6Al-4V and Ti-6.5Al-2Zr-1Mo-1V alloys were investigated by optical microscope(OM),scanning electron microscope(SEM),electron backscattered diffraction(EBSD)and high-angle annular dark-field scanning transmission electron microscope(HAADF-STEM).A spherical center angle model was introduced to calculate the angular deviations from the ideal BOR between α and β phases.The results indicate thatαand β phases in α colonies of both alloys do not follow the perfect BOR during β→α phase transformation,with angular deviation values less than 3°.Through detailed microstructure characterization,the broad face of α/β interfaces viewed along two different electron incident directions shows the atomic-scale terrace-ledge structure,and many dislocations are observed within α and β phases and near α/β interfaces.Further studies reveal that the angular deviations mainly originate from lattice distortions caused by dislocations in α and β phases and lattice mismatches at α/β interfaces.
基金supported by the National Natural Science Foundation of China(12201228,12171047)the Fundamental Research Funds for the Central Universities(3034011102)supported by National Key R&D Program of China(2020YFA0713701).
文摘In this work, we first derive the one-point large deviations principle (LDP) for both the stochastic Cahn–Hilliard equation with small noise and its spatial finite difference method (FDM). Then, we focus on giving the convergence of the one-point large deviations rate function (LDRF) of the spatial FDM, which is about the asymptotical limit of a parametric variational problem. The main idea for proving the convergence of the LDRF of the spatial FDM is via the Γ-convergence of objective functions. This relies on the qualitative analysis of skeleton equations of the original equation and the numerical method. In order to overcome the difficulty that the drift coefficient is not one-sided Lipschitz continuous, we derive the equivalent characterization of the skeleton equation of the spatial FDM and the discrete interpolation inequality to obtain the uniform boundedness of the solution to the underlying skeleton equation. These play important roles in deriving the T-convergence of objective functions.
基金supported by the Key R&D Program of Zhejiang Province(Nos.2023C01166 and 2024SJCZX0046)the Zhejiang Provincial Natural Science Foundation of China(Nos.LDT23E05013E05 and LD24E050009)the Natural Science Foundation of Ningbo(No.2021J150),China.
文摘Accuracy allocation is crucial in the accuracy design of machining tools.Current accuracy allocation methods primarily focus on positional deviation,with little consideration for tool direction deviation.To address this issue,we propose a geometric error cost sensitivity-based accuracy allocation method for five-axis machine tools.A geometric error model consisting of 4l error components is constructed based on homogeneous transformation matrices.Volumetric points with positional and tool direction deviations are randomly sampled to evaluate the accuracy of the machine tool.The sensitivity of each error component at these sampling points is analyzed using the Sobol method.To balance the needs of geometric precision and manufacturing cost,a geometric error cost sensitivity function is developed to estimate the required cost.By allocating error components affecting tool direction deviation first and the remaining components second,this allocation scheme ensures that both deviations meet the requirements.We also perform numerical simulation of a BC-type(B-axis and C-axis type)five-axis machine tool to validate the method.The results show that the new allocation scheme reduces the total geometric error cost by 27.8%compared to a uniform allocation scheme,and yields the same positional and tool direction machining accuracies.
文摘BACKGROUND Surgically created arterio-venous fistulas(AVFs)are the gold standard for haemodialysis access for patients with end-stage renal disease.Standard practice of AVF creation involves selecting the non-dominant upper limb and starting with most distally with radio-cephalic arterio-venous fistula.The primary patency rate of radio-cephalic arterio-venous fistula varies from 20%-25%.It has been suggested the neointimal hyperplasia at the mobilized venous segment causes stenosis of the anastomosis.Therefore,the radial artery deviation and reimplantation(RADAR)technique,in which the vein is minimally mobilized,should result in a higher success rate.AIM To compare the RADAR technique with classical technique in creation of AVF including:(1)Success rate;(2)Time to maturation;(3)Duration of surgery;and(4)Complication rate.METHODS In our study we recruited 94 patients in two randomized groups and performed the AVF by the classical method or the RADAR method.RESULTS The RADAR group had higher primary success rate(P=0.007),less rate of complications(P=0.04),shorter duration of surgery(P=0.00)and early time to maturation(0.001)when compared with the classical group.The RADAR procedure is a safe and a more efficient alternative to the current classical method of AVF creation.Longer duration of follow-up is required to assess the long-term outcomes in the future.CONCLUSION The RADAR procedure is a safe and more efficient alternative to the current classical method of AVF creation.Longer duration of follow-up is required to assess the long-term outcomes in the future.
