This paper introduces a lane-changing strategy aimed at trajectory planning and tracking control for intelligent vehicles navigating complex driving environments.A fifth-degree polynomial is employed to generate a set...This paper introduces a lane-changing strategy aimed at trajectory planning and tracking control for intelligent vehicles navigating complex driving environments.A fifth-degree polynomial is employed to generate a set of potential lane-changing trajectories in the Frenet coordinate system.These trajectories are evaluated using non-cooperative game theory,considering the interaction between the target vehicle and its surroundings.Models considering safety payoffs,speed payoffs,comfort payoffs,and aggressiveness are formulated to obtain a Nash equilibrium solution.This way,collision avoidance is ensured,and an optimal lane change trajectory is planned.Three game scenarios are discussed,and the optimal trajectories obtained are compared using the NGSIM dataset.Comparison of trajectory tracking effects by themodel predictive control(MPC)and linear quadratic regulator(LQR).Finally,the left lane change,right lane change,and abort lane change operations are verified in the autonomous driving simulation platform.Simulation and experimental results show that the strategy can plan appropriate lane change trajectory and accomplish tracking in complex environments.展开更多
BACKGROUND Atrial fibrillation(AF)represents a common arrhythmia with significant implications and may occur pre-,intra-,or postoperatively(POAF).After cardiac surgery POAF occurs in approximately 30% of patients,whil...BACKGROUND Atrial fibrillation(AF)represents a common arrhythmia with significant implications and may occur pre-,intra-,or postoperatively(POAF).After cardiac surgery POAF occurs in approximately 30% of patients,while non-cardiac/nonthoracic surgery has a reported incidence between 0.4% to 15%,with new onset POAF occurring at a rate of 0.4% to 3%.While AF has been extensively studied,it has not been well described in emergent non-cardiac surgery associated with increased surgical stress in an intensive care unit setting(ICU).AIM To investigate the incidence/predictors of POAF in emergent non-cardiac surgery and its associations with postoperative outcomes in the ICU.METHODS This retrospective study included patients≥18 years who underwent exploratory laparotomy or lower extremity amputation between October 2012 and September 2023 and were admitted in the ICU.Data of interest included occurrence of POAF,demographic characteristics,comorbidities,laboratory values,administered fluids,medications,and postoperative outcomes.Statistical analyses consisted of identifying predic-tors of POAF and associations of POAF with outcomes of interest.RESULTS A total of 347 ICU patients were included,16.4% had a history of AF,13.0% developed POAF,and 7.9%developed new-onset POAF.Patients with new-onset POAF were older(79.6±9.1 vs 68.1±14.8 years,<0.001),of white race(47.8%vs 28.8,P<0.001),hypertensive(87.0%vs 71.2%,P=0.011),had longer ICU length of stay(ICU-LOS)(13.4 vs 6.7 days,P=0.042),higher mortality(43.5%vs 17.6%,P=0.016)and higher rate of cardiac arrest(34.8%vs 14.6%,P=0.005)compared to patients without new-onset POAF.Multivariable analysis revealed increased POAF risk with advanced age(OR=1.06;95%CI:1.02-1.10,P=0.005),white race(OR=2.85;95%CI:1.26-6.76,P=0.014),high intraoperative fluid(OR>1;95%CI:1.00-1.00,P=0.018),and longer ICU-LOS(OR=1.04;95%CI:1.00-1.08,P=0.023).After adjusting for demographics,new onset POAF significantly predicted mortality(OR=3.07;95%CI:1.14-8.01,P=0.022).CONCLUSION POAF was associated with prolonged ICU-LOS,white race,and high intraoperative fluid.New-onset POAF was associated with increased risk of cardiac arrest and death in critically ill patients.展开更多
The Lieb lattice, characterized by its distinctive Dirac cone and flat-band electronic structures, hosts a variety of exotic physical phenomena. However, its realization remains largely confined to artificial lattices...The Lieb lattice, characterized by its distinctive Dirac cone and flat-band electronic structures, hosts a variety of exotic physical phenomena. However, its realization remains largely confined to artificial lattices. In this work, we propose the concept of a Lieb electride, where the non-bound electrons gather at the middle edges,behaving as the quasi-atoms of a Lieb lattice, enabling the emergence of flat bands. Using crystal structure prediction method MAGUS and first-principles calculations, we predict a stable candidate, Ca_(2)I, at ambient pressure. Distinct from conventional electrides with localized electrons at cavity centers, Ca_(2)I features interstitial electrons situated at cavity edges. The resultant flat bands lie close to the Fermi level, giving rise to a pronounced peak in the density of states and leading to Stoner-type ferromagnetism. With increasing pressures, we observe quantum phase transitions from ferromagnetic to non-magnetic and finally to antiferromagnetic orders in Ca_(2)I.Intriguingly, superconductivity emerges in the antiferromagnetic region, suggesting potential competition between these correlated states. Our study not only extends the concepts of electrides but also provides a novel strategy for realizing Lieb lattices through non-bound electrons. This work establishes Ca_(2)I as a promising platform for exploring flat-band physics and correlated electronic states, opening avenues for novel quantum phenomena in electride-based materials.展开更多
BACKGROUND Appropriate care for individuals who attempt suicide and are admitted to the emergency department(ED)can prevent future suicidal behavior.It is vital to understand their sociodemographic characteristics and...BACKGROUND Appropriate care for individuals who attempt suicide and are admitted to the emergency department(ED)can prevent future suicidal behavior.It is vital to understand their sociodemographic characteristics and the effects of targeted psychological care.AIM To analyze sociodemographic characteristics of suicide attempters treated in the ED and evaluate the efficacy of psychological care.METHODS Data from 239 suicide attempters treated in the ED of the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture(Hubei Province,China)between January 2021 and February 2025 were divided into 2:Control(n=108)and psychological care(n=131).The demographic characteristics and effects of the psychological care were analyzed.RESULTS The mean(±SD)age of the 239 patients[114 male(47.7%),125 female(52.3%)]was 26.25±9.3 years,of whom 122(45.2%)were single,117(48.9%)were married,and 106(44.4%)had secondary education.Thirty-eight(15.9%)patients had suicidal intent,with a mean of 1.26±0.59 suicide attempts each.Twenty-two(9.21%)patients had a family history of suicide,while 8(3.34%)had a family history of suicide attempt(s).Before intervention,mean Suicidal Intent Scale scores in the psychological nursing and control groups were 21.57±5.28 and 19.86±5.92,respectively(P>0.05).After 1 month of nursing intervention,the respective scores were 10.09±1.11 and 16.48±0.87(P<0.001);and the re-suicide rates were 11.45%(15/131)and 24.07%(26/108)(P<0.001).CONCLUSION Psychological care significantly reduces suicide risk;EDs should provide comprehensive mental health care.展开更多
Peroxymonosulfate(PMS)-based advanced oxidation processes(AOPs)are an effective way to remove emerging contaminants(ECs)from water.The catalytic process involving PMS is hindered by the suboptimal electron trans-fer e...Peroxymonosulfate(PMS)-based advanced oxidation processes(AOPs)are an effective way to remove emerging contaminants(ECs)from water.The catalytic process involving PMS is hindered by the suboptimal electron trans-fer efficiency of current catalysts,the further application of AOPs technology is limited.Here,it is proposed that the interfacial electric field can be controlled by bor(B)-doped FeNC catalysts,which shows significant advantages in the efficient generation,release and participation of reactive oxygen species(ROS)in the reaction.The super exchange interaction between Fe sites and N and B sites is realized through the directional transfer of electrons in the interfacial electric field,which ensures the high efficiency and stability of the PMS catalytic process.B doping increases the d orbitals distribution at Fermi level,which facilitates enhanced electron transition activity,thereby promoting the effective generation of (1)^O_(2).At the same time,orbital hybridization causes the center of the d band to move to a lower energy level,which not only contributes to the desorption process of (1)^O_(2),but also accelerates its release.In addition,B-doping also improved the adsorption capacity of organic pollutants and shortened the migration distance of ROS,thereby significantly improving the degradation efficiency of ECs.The B-doping strategy outlined offers a novel approach to the development of FeNC catalysts,it lays a theoretical foundation and offers technical insights for the integration of PMS/AOPs technology in the ECs management.展开更多
Models disagree on a significant number of responses to climate change,such as climate feedback,regional changes,or the strength of equilibrium climate sensitivity.Emergent constraints aim to reduce these uncertaintie...Models disagree on a significant number of responses to climate change,such as climate feedback,regional changes,or the strength of equilibrium climate sensitivity.Emergent constraints aim to reduce these uncertainties by finding links between the inter-model spread in an observable predictor and climate projections.In this paper,the concepts underlying this framework are recalled with an emphasis on the statistical inference used for narrowing uncertainties,and a review of emergent constraints found in the last two decades.Potential links between highlighted predictors are explored,especially those targeting uncertainty reductions in climate sensitivity,cloud feedback,and changes of the hydrological cycle.Yet the disagreement across emergent constraints suggests that the spread in climate sensitivity can not be significantly narrowed.This calls for weighting the realism of emergent constraints by quantifying the level of physical understanding explaining the relationship.This would also permit more efficient model evaluation and better targeted model development.In the context of the upcoming CMIP6 model intercomparison a growing number of new predictors and uncertainty reductions is expected,which call for robust statistical inferences that allow cross-validation of more likely estimates.展开更多
In this paper we propose a two-layer emergent model for scalable swarm system. The first layer describes the indi-vidual flocking behavior to the local goal position (the center of minimal circumcircle decided by the ...In this paper we propose a two-layer emergent model for scalable swarm system. The first layer describes the indi-vidual flocking behavior to the local goal position (the center of minimal circumcircle decided by the neighbors in the positive visual set of individuals) resulting from the individual motion to one or two farthest neighbors in its positive visual set; the second layer describes the emergent aggregating swarm behavior resulting from the individual motion to its local goal position. The scale of the swarm will not be limited because only local individual information is used for modelling in the two-layer topology. We study the stability properties of the swarm emergent behavior based on Lyapunov stability theory. Simulations showed that the swarm system can converge to goal regions while maintaining cohesiveness.展开更多
To improve the ride comfort and safety of a traditional adaptive cruise control(ACC)system when the preceding vehicle changes lanes,it proposes a target vehicle selection algorithm based on the prediction of the lane-...To improve the ride comfort and safety of a traditional adaptive cruise control(ACC)system when the preceding vehicle changes lanes,it proposes a target vehicle selection algorithm based on the prediction of the lane-changing intention for the preceding vehicle.First,the Next Generation Simulation dataset is used to train a lane-changing intention prediction algorithm based on a sliding window support vector machine,and the lane-changing intention of the preceding vehicle in the current lane is identified by lateral position offset.Second,according to the lane-changing intention and collision threat of the preceding vehicle,the target vehicle selection algorithm is studied under three different conditions:safe lane-changing,dangerous lane-changing,and lane-changing cancellation.Finally,the effectiveness of the proposed algorithm is verified in a co-simulation platform.The simulation results show that the target vehicle selection algorithm can ensure the smooth transfer of the target vehicle and effectively reduce the longitudinal acceleration fluctuation of the subject vehicle when the preceding vehicle changes lanes safely or cancels their lane change maneuver.In the case of a dangerous lane change,the target vehicle selection algorithm proposed in this paper can respond more rapidly to a dangerous lane change than the target vehicle selection method of the traditional ACC system;thus,it can effectively avoid collisions and improve the safety of the subject vehicle.展开更多
In this paper, a new continuum traffic flow model is proposed, with a lane-changing source term in the continuity equation and a lane-changing viscosity term in the acceleration equation. Based on previous literature,...In this paper, a new continuum traffic flow model is proposed, with a lane-changing source term in the continuity equation and a lane-changing viscosity term in the acceleration equation. Based on previous literature, the source term addresses the impact of speed difference and density difference between adjacent lanes, which provides better precision for free lane-changing simulation; the viscosity term turns lane-changing behavior to a ＂force＂ that may influence speed distribution. Using a flux-splitting scheme for the model discretization, two cases are investigated numerically. The case under a homogeneous initial condition shows that the numerical results by our model agree well with the analytical ones; the case with a small initial disturbance shows that our model can simulate the evolution of perturbation, including propagation,dissipation, cluster effect and stop-and-go phenomenon.展开更多
In the field of traffic flow studies, compulsive lane-changing refers to lane-changing （LC） behaviors due to traffic rules or bad road conditions, while free LC happens when drivers change lanes to drive on a faster...In the field of traffic flow studies, compulsive lane-changing refers to lane-changing （LC） behaviors due to traffic rules or bad road conditions, while free LC happens when drivers change lanes to drive on a faster or less crowded lane. LC studies based on differential equation models accurately reveal LC influence on traffic environment. This paper presents a second-order partial differential equation （PDE） model that simulates both compulsive LC behavior and free LC behavior, with lane-changing source terms in the continuity equation and a lane-changing viscosity term in the momentum equation. A specific form of this model focusing on a typical compulsive LC behavior, the ＇off-ramp problem＇, is derived. Numerical simulations are given in several cases, which are consistent with real traffic phenomenon.展开更多
The emergent salt diapirs of the east Zagros, Iran have been investigated by their structural positions. The study area is including of Zagros orogeny belt and Persian Gulf that both of them have been formed on northe...The emergent salt diapirs of the east Zagros, Iran have been investigated by their structural positions. The study area is including of Zagros orogeny belt and Persian Gulf that both of them have been formed on northeastern part of Arabian plate. There are 84 emergent salt diapirs that originated from Hormuz formation with Infra-Cambrian to Cambrian age. Based on location, shape and orientation of the emergent salt domes in the east Zagros hinterland and Persian Gulf foreland basin, internal motivation forces in the salt deposits has been predominant compared to later tectonic forces. In the other words, most of the emergent salt diapirs are pre-orogenic diapirs and they had got prominent role as pines in determining the shape and location of next structures during to the Zagros orogeny. Finally, Neogene continental collision has a supplementary role to diapirism and salt reactivation. However there are an evidence to syn-orogenic emergent diapirs that they have got an important role in the progressive deformation.展开更多
Laparoscopic surgery has become well established in the management of both and malignant colorectal disease.The last decade has seen increasing numbers of surgeons trained to a high standard in minimallyinvasive surge...Laparoscopic surgery has become well established in the management of both and malignant colorectal disease.The last decade has seen increasing numbers of surgeons trained to a high standard in minimallyinvasive surgery.However there has not been the same enthusiasm for the use of laparoscopy in emergency colorectal surgery.There is a perception that emergent surgery is technically more difficult and may lead to worse outcomes.The present review aims to provide a comprehensive and critical appraisal of the available literature on the use of laparoscopic colorectal surgery(LCS)in the emergency setting.The literature is broadly divided by the underlying pathology;that is,inflammatory bowel disease,diverticulitis and malignant obstruction.There were no randomized trials and the majority of the studies were case-matched series or comparative studies.The overall trend was that LCS is associated with shorter hospital stay,par or fewer complications but an increased operating time.Emergency LCS can be safely undertaken for both benign and malignant disease providing there is appropriate patient selection,the surgeon is adequately experienced and there are sufficient resources to allow for a potentially more complex operation.展开更多
In order to increase the accuracy of microscopic traffic flow simulation,two acceleration models are presented to simulate car-following behaviors of the lane-changing vehicle and following putative vehicle during the...In order to increase the accuracy of microscopic traffic flow simulation,two acceleration models are presented to simulate car-following behaviors of the lane-changing vehicle and following putative vehicle during the discretionary lanechanging preparation( DLCP) process, respectively. The proposed acceleration models can reflect vehicle interaction characteristics. Samples used for describing the starting point and the ending point of DLCP are extracted from a real NGSIM vehicle trajectory data set. The acceleration model for a lanechanging vehicle is supposed to be a linear acceleration model.The acceleration model for the following putative vehicle is constructed by referring to the optimal velocity model,in which optimal velocity is defined as a linear function of the velocity of putative leading vehicle. Similar calibration,a hypothesis test and parameter sensitivity analysis were conducted on the acceleration model of the lane-changing vehicle and following putative vehicle,respectively. The validation results of the two proposed models suggest that the training and testing errors are acceptable compared with similar works on calibrations for car following models. The parameter sensitivity analysis shows that the subtle observed error does not lead to severe variations of car-following behaviors of the lane-changing vehicle and following putative vehicle.展开更多
BACKGROUND:Traditionally performed using a subxiphoid approach,the increasing use of point-of-care ultrasound in the emergency department has made other approaches(parasternal and apical)for pericardiocentesis viable....BACKGROUND:Traditionally performed using a subxiphoid approach,the increasing use of point-of-care ultrasound in the emergency department has made other approaches(parasternal and apical)for pericardiocentesis viable.The aim of this study is to identify the ideal approach for emergency-physician-performed ultrasound-guided pericardiocentesis as determined by ultrasound image quality,distance from surface to pericardial fl uid,and likely obstructions or complications.METHODS:A retrospective review of point-of-care cardiac ultrasound examinations was performed in two urban academic emergency departments for the presence of pericardial eff usions.The images were reviewed for technical quality,distance of eff usion from skin surface,and predicted complications.RESULTS:A total of 166 pericardial effusions were identified during the study period.The mean skin-to-pericardial fl uid distance was 5.6 cm(95%confi dence interval[95%CI]5.2-6.0 cm)for the subxiphoid views,which was signifi cantly greater than that for the parasternal(2.7 cm[95%CI 2.5-2.8 cm],P<0.001)and apical(2.5 cm[95%CI 2.3-2.7 cm],P<0.001)views.The subxiphoid view had the highest predicted complication rate at 79.7%(95%CI 71.5%-86.4%),which was signifi cantly greater than the apical(31.9%;95%CI 21.4%-44.0%,P<0.001)and parasternal(20.2%;95%CI 12.8%-29.5%,P<0.001)views.CONCLUSIONS:Our results suggest that complication rates with pericardiocentesis will be lower via the parasternal or apical approach compared to the subxiphoid approach.The distance from skin to fl uid collection is the least in both of these views.展开更多
The emergent task is a kind of uncertain event that satellite systems often encounter in the application process.In this paper,the multi-satellite distributed coordinating and scheduling problem considering emergent t...The emergent task is a kind of uncertain event that satellite systems often encounter in the application process.In this paper,the multi-satellite distributed coordinating and scheduling problem considering emergent tasks is studied.Due to the limitation of onboard computational resources and time,common online onboard rescheduling methods for such problems usually adopt simple greedy methods,sacrificing the solution quality to deliver timely solutions.To better solve the problem,a new multi-satellite onboard scheduling and coordinating framework based on multi-solution integration is proposed.This method uses high computational power on the ground and generates multiple solutions,changing the complex onboard rescheduling problem to a solution selection problem.With this method,it is possible that little time is used to generate a solution that is as good as the solutions on the ground.We further propose several multi-satellite coordination methods based on the multi-agent Markov decision process(MMDP)and mixed-integer programming(MIP).These methods enable the satellite to make independent decisions and produce high-quality solutions.Compared with the traditional centralized scheduling method,the proposed distributed method reduces the cost of satellite communication and increases the response speed for emergent tasks.Extensive experiments show that the proposed multi-solution integration framework and the distributed coordinating strategies are efficient and effective for onboard scheduling considering emergent tasks.展开更多
Objective: Since its inception, the use of the percutaneous dilational tracheostomy (PDT) has been contraindicated in the setting of an emergent airway. Emerging in the literature are several cases of successful emerg...Objective: Since its inception, the use of the percutaneous dilational tracheostomy (PDT) has been contraindicated in the setting of an emergent airway. Emerging in the literature are several cases of successful emergent PDTs. Here we present our experience with the use of PDT in managing emergent airways. Study Design: All patients who underwent emergent PDT, using the Ciaglia Blue Rhino Introducer Set (Cook Critical Care, Bloomington,IN), in an academic county hospital setting between February 2010 and May 2012 were included in the study. Electronic medical records were reviewed for demographic and procedural data. Results: Twelve patients were included in the study with ages ranging from 20 to 87 (mean 57) years-old. The most common reason for emergent airway was trauma (7 patients), followed by obstructing neck mass (2 patients), septic shock (2 patients), and angioedema (1 patient). Seven PDTs were performed in the OR, four at bedside and one in the ER. Three of the 12 patients had emergent cricothyroidotomies in place that malfunctioned, requiring emergent conversion. No patients suffered from short term complications. One patient developed a neck abscess at the site of the PDT one month post operatively, two patients had accidental decanulation post operatively, and both were replaced without complication. Conclusions: PDT can be used in the emergent setting in the hands of trained practitioners with minimal complications. A larger, prospective trial is needed to make conclusions regarding patient care.展开更多
Polarization singularities,which emerge from the incoherent superposition of two vector electric fields with the same frequency,and their evolution in free space are studied analytically and illustrated by numerical e...Polarization singularities,which emerge from the incoherent superposition of two vector electric fields with the same frequency,and their evolution in free space are studied analytically and illustrated by numerical examples.It is shown that there exist C-points,L-lines,in particular,C-lines in incoherently superimposed two-dimensional wavefields.Usually,the C-lines are unstable and disappear during the free-space propagation.The motion,pair creation-annihilation process of the emergent C-points,as well as the distortion of the L-lines may take place,and the degree of polarization of the emergent C-points varies upon propagation and may be less than 1.展开更多
Entanglement and the tunnel effect phenomena have been repeatedly observed and are generically accepted under orthodox quantum mechanics formalism. However, they remain rather inexplicable in the context of spacetime ...Entanglement and the tunnel effect phenomena have been repeatedly observed and are generically accepted under orthodox quantum mechanics formalism. However, they remain rather inexplicable in the context of spacetime usual conceptualization. In the present work, we suggest an alternative quantum mechanics formalism, refining the pilot-wave theory initially proposed by de Broglie. We suggest that spacetime is an emergent phenomenon from a prior subquantum medium and that entanglement and the tunnel effect can be explained in terms of a nonlinear relation between space and time that is imposed by subquantum waves.展开更多
This paper is to make a brief study on the professional qualities which a qualified interpreter should possess, aimed at giving the interpreter some advice on how to deal with the emergency situation while interpreting.
基金supported by the Science and Technology Program of Shandong Higher Education Institutions(Grant J18KA048).
文摘This paper introduces a lane-changing strategy aimed at trajectory planning and tracking control for intelligent vehicles navigating complex driving environments.A fifth-degree polynomial is employed to generate a set of potential lane-changing trajectories in the Frenet coordinate system.These trajectories are evaluated using non-cooperative game theory,considering the interaction between the target vehicle and its surroundings.Models considering safety payoffs,speed payoffs,comfort payoffs,and aggressiveness are formulated to obtain a Nash equilibrium solution.This way,collision avoidance is ensured,and an optimal lane change trajectory is planned.Three game scenarios are discussed,and the optimal trajectories obtained are compared using the NGSIM dataset.Comparison of trajectory tracking effects by themodel predictive control(MPC)and linear quadratic regulator(LQR).Finally,the left lane change,right lane change,and abort lane change operations are verified in the autonomous driving simulation platform.Simulation and experimental results show that the strategy can plan appropriate lane change trajectory and accomplish tracking in complex environments.
文摘BACKGROUND Atrial fibrillation(AF)represents a common arrhythmia with significant implications and may occur pre-,intra-,or postoperatively(POAF).After cardiac surgery POAF occurs in approximately 30% of patients,while non-cardiac/nonthoracic surgery has a reported incidence between 0.4% to 15%,with new onset POAF occurring at a rate of 0.4% to 3%.While AF has been extensively studied,it has not been well described in emergent non-cardiac surgery associated with increased surgical stress in an intensive care unit setting(ICU).AIM To investigate the incidence/predictors of POAF in emergent non-cardiac surgery and its associations with postoperative outcomes in the ICU.METHODS This retrospective study included patients≥18 years who underwent exploratory laparotomy or lower extremity amputation between October 2012 and September 2023 and were admitted in the ICU.Data of interest included occurrence of POAF,demographic characteristics,comorbidities,laboratory values,administered fluids,medications,and postoperative outcomes.Statistical analyses consisted of identifying predic-tors of POAF and associations of POAF with outcomes of interest.RESULTS A total of 347 ICU patients were included,16.4% had a history of AF,13.0% developed POAF,and 7.9%developed new-onset POAF.Patients with new-onset POAF were older(79.6±9.1 vs 68.1±14.8 years,<0.001),of white race(47.8%vs 28.8,P<0.001),hypertensive(87.0%vs 71.2%,P=0.011),had longer ICU length of stay(ICU-LOS)(13.4 vs 6.7 days,P=0.042),higher mortality(43.5%vs 17.6%,P=0.016)and higher rate of cardiac arrest(34.8%vs 14.6%,P=0.005)compared to patients without new-onset POAF.Multivariable analysis revealed increased POAF risk with advanced age(OR=1.06;95%CI:1.02-1.10,P=0.005),white race(OR=2.85;95%CI:1.26-6.76,P=0.014),high intraoperative fluid(OR>1;95%CI:1.00-1.00,P=0.018),and longer ICU-LOS(OR=1.04;95%CI:1.00-1.08,P=0.023).After adjusting for demographics,new onset POAF significantly predicted mortality(OR=3.07;95%CI:1.14-8.01,P=0.022).CONCLUSION POAF was associated with prolonged ICU-LOS,white race,and high intraoperative fluid.New-onset POAF was associated with increased risk of cardiac arrest and death in critically ill patients.
基金supported by the National Natural Science Foundation of China(Grant Nos.12125404,T2495231,123B2049,and 12204138)the National Key R&D Program of China(Grant No.2022YFA1403201)+7 种基金the Advanced MaterialsNational Science and Technology Major Project (Grant No.2024ZD0607000)the Basic Research Program of Jiangsu (Grant Nos.BK20233001 and BK20241253)the Jiangsu Funding Program for Excellent Postdoctoral Talent (Grant Nos.2024ZB002,2024ZB075,2025ZB440 and2025ZB852)the China Postdoctoral Science Foundation (Grant No.2025M773331)the Postdoctoral Fellowship Program of CPSF (Grant No.GZC20240695 and GZC20252202)the AI&AI for Science Program of Nanjing UniversityArtificial Intelligence and Quantum physics (AIQ) program of Nanjing Universitythe Fundamental Research Funds for the Central Universities。
文摘The Lieb lattice, characterized by its distinctive Dirac cone and flat-band electronic structures, hosts a variety of exotic physical phenomena. However, its realization remains largely confined to artificial lattices. In this work, we propose the concept of a Lieb electride, where the non-bound electrons gather at the middle edges,behaving as the quasi-atoms of a Lieb lattice, enabling the emergence of flat bands. Using crystal structure prediction method MAGUS and first-principles calculations, we predict a stable candidate, Ca_(2)I, at ambient pressure. Distinct from conventional electrides with localized electrons at cavity centers, Ca_(2)I features interstitial electrons situated at cavity edges. The resultant flat bands lie close to the Fermi level, giving rise to a pronounced peak in the density of states and leading to Stoner-type ferromagnetism. With increasing pressures, we observe quantum phase transitions from ferromagnetic to non-magnetic and finally to antiferromagnetic orders in Ca_(2)I.Intriguingly, superconductivity emerges in the antiferromagnetic region, suggesting potential competition between these correlated states. Our study not only extends the concepts of electrides but also provides a novel strategy for realizing Lieb lattices through non-bound electrons. This work establishes Ca_(2)I as a promising platform for exploring flat-band physics and correlated electronic states, opening avenues for novel quantum phenomena in electride-based materials.
文摘BACKGROUND Appropriate care for individuals who attempt suicide and are admitted to the emergency department(ED)can prevent future suicidal behavior.It is vital to understand their sociodemographic characteristics and the effects of targeted psychological care.AIM To analyze sociodemographic characteristics of suicide attempters treated in the ED and evaluate the efficacy of psychological care.METHODS Data from 239 suicide attempters treated in the ED of the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture(Hubei Province,China)between January 2021 and February 2025 were divided into 2:Control(n=108)and psychological care(n=131).The demographic characteristics and effects of the psychological care were analyzed.RESULTS The mean(±SD)age of the 239 patients[114 male(47.7%),125 female(52.3%)]was 26.25±9.3 years,of whom 122(45.2%)were single,117(48.9%)were married,and 106(44.4%)had secondary education.Thirty-eight(15.9%)patients had suicidal intent,with a mean of 1.26±0.59 suicide attempts each.Twenty-two(9.21%)patients had a family history of suicide,while 8(3.34%)had a family history of suicide attempt(s).Before intervention,mean Suicidal Intent Scale scores in the psychological nursing and control groups were 21.57±5.28 and 19.86±5.92,respectively(P>0.05).After 1 month of nursing intervention,the respective scores were 10.09±1.11 and 16.48±0.87(P<0.001);and the re-suicide rates were 11.45%(15/131)and 24.07%(26/108)(P<0.001).CONCLUSION Psychological care significantly reduces suicide risk;EDs should provide comprehensive mental health care.
基金supported by the National Natural Science Foundation of China(No.22278156)the Guangdong Special Support Program Project(No.2021JC060580)+1 种基金the Young Elite Scientists Sponsorship Program by CAST-Doctoral Student Special Plan,the China Scholarship Council Program(No.202406150148)the Natural Science Foundation of Guangdong Province(No.2023A1515011186).
文摘Peroxymonosulfate(PMS)-based advanced oxidation processes(AOPs)are an effective way to remove emerging contaminants(ECs)from water.The catalytic process involving PMS is hindered by the suboptimal electron trans-fer efficiency of current catalysts,the further application of AOPs technology is limited.Here,it is proposed that the interfacial electric field can be controlled by bor(B)-doped FeNC catalysts,which shows significant advantages in the efficient generation,release and participation of reactive oxygen species(ROS)in the reaction.The super exchange interaction between Fe sites and N and B sites is realized through the directional transfer of electrons in the interfacial electric field,which ensures the high efficiency and stability of the PMS catalytic process.B doping increases the d orbitals distribution at Fermi level,which facilitates enhanced electron transition activity,thereby promoting the effective generation of (1)^O_(2).At the same time,orbital hybridization causes the center of the d band to move to a lower energy level,which not only contributes to the desorption process of (1)^O_(2),but also accelerates its release.In addition,B-doping also improved the adsorption capacity of organic pollutants and shortened the migration distance of ROS,thereby significantly improving the degradation efficiency of ECs.The B-doping strategy outlined offers a novel approach to the development of FeNC catalysts,it lays a theoretical foundation and offers technical insights for the integration of PMS/AOPs technology in the ECs management.
基金funding from the Agence Nationale de la Recherche (ANR) [grant HIGH-TUNE ANR-16-CE01-0010]
文摘Models disagree on a significant number of responses to climate change,such as climate feedback,regional changes,or the strength of equilibrium climate sensitivity.Emergent constraints aim to reduce these uncertainties by finding links between the inter-model spread in an observable predictor and climate projections.In this paper,the concepts underlying this framework are recalled with an emphasis on the statistical inference used for narrowing uncertainties,and a review of emergent constraints found in the last two decades.Potential links between highlighted predictors are explored,especially those targeting uncertainty reductions in climate sensitivity,cloud feedback,and changes of the hydrological cycle.Yet the disagreement across emergent constraints suggests that the spread in climate sensitivity can not be significantly narrowed.This calls for weighting the realism of emergent constraints by quantifying the level of physical understanding explaining the relationship.This would also permit more efficient model evaluation and better targeted model development.In the context of the upcoming CMIP6 model intercomparison a growing number of new predictors and uncertainty reductions is expected,which call for robust statistical inferences that allow cross-validation of more likely estimates.
基金Project (No. 60574088) supported by the National Natural ScienceFoundation of China
文摘In this paper we propose a two-layer emergent model for scalable swarm system. The first layer describes the indi-vidual flocking behavior to the local goal position (the center of minimal circumcircle decided by the neighbors in the positive visual set of individuals) resulting from the individual motion to one or two farthest neighbors in its positive visual set; the second layer describes the emergent aggregating swarm behavior resulting from the individual motion to its local goal position. The scale of the swarm will not be limited because only local individual information is used for modelling in the two-layer topology. We study the stability properties of the swarm emergent behavior based on Lyapunov stability theory. Simulations showed that the swarm system can converge to goal regions while maintaining cohesiveness.
基金Supported by National Key Research and Development Program(Grant No.2017YFB0102601)National Natural Science Foundation of China(Grant Nos.51775236,U1564214).
文摘To improve the ride comfort and safety of a traditional adaptive cruise control(ACC)system when the preceding vehicle changes lanes,it proposes a target vehicle selection algorithm based on the prediction of the lane-changing intention for the preceding vehicle.First,the Next Generation Simulation dataset is used to train a lane-changing intention prediction algorithm based on a sliding window support vector machine,and the lane-changing intention of the preceding vehicle in the current lane is identified by lateral position offset.Second,according to the lane-changing intention and collision threat of the preceding vehicle,the target vehicle selection algorithm is studied under three different conditions:safe lane-changing,dangerous lane-changing,and lane-changing cancellation.Finally,the effectiveness of the proposed algorithm is verified in a co-simulation platform.The simulation results show that the target vehicle selection algorithm can ensure the smooth transfer of the target vehicle and effectively reduce the longitudinal acceleration fluctuation of the subject vehicle when the preceding vehicle changes lanes safely or cancels their lane change maneuver.In the case of a dangerous lane change,the target vehicle selection algorithm proposed in this paper can respond more rapidly to a dangerous lane change than the target vehicle selection method of the traditional ACC system;thus,it can effectively avoid collisions and improve the safety of the subject vehicle.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.11002035 and 11372147)Hui-Chun Chin and Tsung-Dao Lee Chinese Undergraduate Research Endowment(Grant No.CURE 14024)
文摘In this paper, a new continuum traffic flow model is proposed, with a lane-changing source term in the continuity equation and a lane-changing viscosity term in the acceleration equation. Based on previous literature, the source term addresses the impact of speed difference and density difference between adjacent lanes, which provides better precision for free lane-changing simulation; the viscosity term turns lane-changing behavior to a ＂force＂ that may influence speed distribution. Using a flux-splitting scheme for the model discretization, two cases are investigated numerically. The case under a homogeneous initial condition shows that the numerical results by our model agree well with the analytical ones; the case with a small initial disturbance shows that our model can simulate the evolution of perturbation, including propagation,dissipation, cluster effect and stop-and-go phenomenon.
基金supported by the National Natural Science Foundation of China(Grant Nos.11002035 and 11372147)
文摘In the field of traffic flow studies, compulsive lane-changing refers to lane-changing （LC） behaviors due to traffic rules or bad road conditions, while free LC happens when drivers change lanes to drive on a faster or less crowded lane. LC studies based on differential equation models accurately reveal LC influence on traffic environment. This paper presents a second-order partial differential equation （PDE） model that simulates both compulsive LC behavior and free LC behavior, with lane-changing source terms in the continuity equation and a lane-changing viscosity term in the momentum equation. A specific form of this model focusing on a typical compulsive LC behavior, the ＇off-ramp problem＇, is derived. Numerical simulations are given in several cases, which are consistent with real traffic phenomenon.
文摘The emergent salt diapirs of the east Zagros, Iran have been investigated by their structural positions. The study area is including of Zagros orogeny belt and Persian Gulf that both of them have been formed on northeastern part of Arabian plate. There are 84 emergent salt diapirs that originated from Hormuz formation with Infra-Cambrian to Cambrian age. Based on location, shape and orientation of the emergent salt domes in the east Zagros hinterland and Persian Gulf foreland basin, internal motivation forces in the salt deposits has been predominant compared to later tectonic forces. In the other words, most of the emergent salt diapirs are pre-orogenic diapirs and they had got prominent role as pines in determining the shape and location of next structures during to the Zagros orogeny. Finally, Neogene continental collision has a supplementary role to diapirism and salt reactivation. However there are an evidence to syn-orogenic emergent diapirs that they have got an important role in the progressive deformation.
文摘Laparoscopic surgery has become well established in the management of both and malignant colorectal disease.The last decade has seen increasing numbers of surgeons trained to a high standard in minimallyinvasive surgery.However there has not been the same enthusiasm for the use of laparoscopy in emergency colorectal surgery.There is a perception that emergent surgery is technically more difficult and may lead to worse outcomes.The present review aims to provide a comprehensive and critical appraisal of the available literature on the use of laparoscopic colorectal surgery(LCS)in the emergency setting.The literature is broadly divided by the underlying pathology;that is,inflammatory bowel disease,diverticulitis and malignant obstruction.There were no randomized trials and the majority of the studies were case-matched series or comparative studies.The overall trend was that LCS is associated with shorter hospital stay,par or fewer complications but an increased operating time.Emergency LCS can be safely undertaken for both benign and malignant disease providing there is appropriate patient selection,the surgeon is adequately experienced and there are sufficient resources to allow for a potentially more complex operation.
基金The National Basic Research Program of China(No.2012CB725405)the National Natural Science Foundation of China(No.51308115)+1 种基金the Science and Technology Demonstration Project of Ministry of Transport of China(No.2015364X16030)Fundamental Research Funds for the Central Universities,the Postgraduate Research&Practice Innovation Program of Jiangsu Province(No.KYLX15_0153)
文摘In order to increase the accuracy of microscopic traffic flow simulation,two acceleration models are presented to simulate car-following behaviors of the lane-changing vehicle and following putative vehicle during the discretionary lanechanging preparation( DLCP) process, respectively. The proposed acceleration models can reflect vehicle interaction characteristics. Samples used for describing the starting point and the ending point of DLCP are extracted from a real NGSIM vehicle trajectory data set. The acceleration model for a lanechanging vehicle is supposed to be a linear acceleration model.The acceleration model for the following putative vehicle is constructed by referring to the optimal velocity model,in which optimal velocity is defined as a linear function of the velocity of putative leading vehicle. Similar calibration,a hypothesis test and parameter sensitivity analysis were conducted on the acceleration model of the lane-changing vehicle and following putative vehicle,respectively. The validation results of the two proposed models suggest that the training and testing errors are acceptable compared with similar works on calibrations for car following models. The parameter sensitivity analysis shows that the subtle observed error does not lead to severe variations of car-following behaviors of the lane-changing vehicle and following putative vehicle.
文摘BACKGROUND:Traditionally performed using a subxiphoid approach,the increasing use of point-of-care ultrasound in the emergency department has made other approaches(parasternal and apical)for pericardiocentesis viable.The aim of this study is to identify the ideal approach for emergency-physician-performed ultrasound-guided pericardiocentesis as determined by ultrasound image quality,distance from surface to pericardial fl uid,and likely obstructions or complications.METHODS:A retrospective review of point-of-care cardiac ultrasound examinations was performed in two urban academic emergency departments for the presence of pericardial eff usions.The images were reviewed for technical quality,distance of eff usion from skin surface,and predicted complications.RESULTS:A total of 166 pericardial effusions were identified during the study period.The mean skin-to-pericardial fl uid distance was 5.6 cm(95%confi dence interval[95%CI]5.2-6.0 cm)for the subxiphoid views,which was signifi cantly greater than that for the parasternal(2.7 cm[95%CI 2.5-2.8 cm],P<0.001)and apical(2.5 cm[95%CI 2.3-2.7 cm],P<0.001)views.The subxiphoid view had the highest predicted complication rate at 79.7%(95%CI 71.5%-86.4%),which was signifi cantly greater than the apical(31.9%;95%CI 21.4%-44.0%,P<0.001)and parasternal(20.2%;95%CI 12.8%-29.5%,P<0.001)views.CONCLUSIONS:Our results suggest that complication rates with pericardiocentesis will be lower via the parasternal or apical approach compared to the subxiphoid approach.The distance from skin to fl uid collection is the least in both of these views.
基金supported by the National Natural Science Foundation of China(72001212,71701204,71801218)the China Hunan Postgraduate Research Innovating Project(CX2018B020)。
文摘The emergent task is a kind of uncertain event that satellite systems often encounter in the application process.In this paper,the multi-satellite distributed coordinating and scheduling problem considering emergent tasks is studied.Due to the limitation of onboard computational resources and time,common online onboard rescheduling methods for such problems usually adopt simple greedy methods,sacrificing the solution quality to deliver timely solutions.To better solve the problem,a new multi-satellite onboard scheduling and coordinating framework based on multi-solution integration is proposed.This method uses high computational power on the ground and generates multiple solutions,changing the complex onboard rescheduling problem to a solution selection problem.With this method,it is possible that little time is used to generate a solution that is as good as the solutions on the ground.We further propose several multi-satellite coordination methods based on the multi-agent Markov decision process(MMDP)and mixed-integer programming(MIP).These methods enable the satellite to make independent decisions and produce high-quality solutions.Compared with the traditional centralized scheduling method,the proposed distributed method reduces the cost of satellite communication and increases the response speed for emergent tasks.Extensive experiments show that the proposed multi-solution integration framework and the distributed coordinating strategies are efficient and effective for onboard scheduling considering emergent tasks.
文摘Objective: Since its inception, the use of the percutaneous dilational tracheostomy (PDT) has been contraindicated in the setting of an emergent airway. Emerging in the literature are several cases of successful emergent PDTs. Here we present our experience with the use of PDT in managing emergent airways. Study Design: All patients who underwent emergent PDT, using the Ciaglia Blue Rhino Introducer Set (Cook Critical Care, Bloomington,IN), in an academic county hospital setting between February 2010 and May 2012 were included in the study. Electronic medical records were reviewed for demographic and procedural data. Results: Twelve patients were included in the study with ages ranging from 20 to 87 (mean 57) years-old. The most common reason for emergent airway was trauma (7 patients), followed by obstructing neck mass (2 patients), septic shock (2 patients), and angioedema (1 patient). Seven PDTs were performed in the OR, four at bedside and one in the ER. Three of the 12 patients had emergent cricothyroidotomies in place that malfunctioned, requiring emergent conversion. No patients suffered from short term complications. One patient developed a neck abscess at the site of the PDT one month post operatively, two patients had accidental decanulation post operatively, and both were replaced without complication. Conclusions: PDT can be used in the emergent setting in the hands of trained practitioners with minimal complications. A larger, prospective trial is needed to make conclusions regarding patient care.
基金Project supported by the National Natural Science Foundation of China (Grant No. 10874125)
文摘Polarization singularities,which emerge from the incoherent superposition of two vector electric fields with the same frequency,and their evolution in free space are studied analytically and illustrated by numerical examples.It is shown that there exist C-points,L-lines,in particular,C-lines in incoherently superimposed two-dimensional wavefields.Usually,the C-lines are unstable and disappear during the free-space propagation.The motion,pair creation-annihilation process of the emergent C-points,as well as the distortion of the L-lines may take place,and the degree of polarization of the emergent C-points varies upon propagation and may be less than 1.
文摘Entanglement and the tunnel effect phenomena have been repeatedly observed and are generically accepted under orthodox quantum mechanics formalism. However, they remain rather inexplicable in the context of spacetime usual conceptualization. In the present work, we suggest an alternative quantum mechanics formalism, refining the pilot-wave theory initially proposed by de Broglie. We suggest that spacetime is an emergent phenomenon from a prior subquantum medium and that entanglement and the tunnel effect can be explained in terms of a nonlinear relation between space and time that is imposed by subquantum waves.
文摘This paper is to make a brief study on the professional qualities which a qualified interpreter should possess, aimed at giving the interpreter some advice on how to deal with the emergency situation while interpreting.
