The noise that comes from finite element simulation often causes the model to fall into the local optimal solution and over fitting during optimization of generator.Thus,this paper proposes a Gaussian Process Regressi...The noise that comes from finite element simulation often causes the model to fall into the local optimal solution and over fitting during optimization of generator.Thus,this paper proposes a Gaussian Process Regression(GPR)model based on Conditional Likelihood Lower Bound Search(CLLBS)to optimize the design of the generator,which can filter the noise in the data and search for global optimization by combining the Conditional Likelihood Lower Bound Search method.Taking the efficiency optimization of 15 kW Permanent Magnet Synchronous Motor as an example.Firstly,this method uses the elementary effect analysis to choose the sensitive variables,combining the evolutionary algorithm to design the super Latin cube sampling plan;Then the generator-converter system is simulated by establishing a co-simulation platform to obtain data.A Gaussian process regression model combing the method of the conditional likelihood lower bound search is established,which combined the chi-square test to optimize the accuracy of the model globally.Secondly,after the model reaches the accuracy,the Pareto frontier is obtained through the NSGA-II algorithm by considering the maximum output torque as a constraint.Last,the constrained optimization is transformed into an unconstrained optimizing problem by introducing maximum constrained improvement expectation(CEI)optimization method based on the re-interpolation model,which cross-validated the optimization results of the Gaussian process regression model.The above method increase the efficiency of generator by 0.76%and 0.5%respectively;And this method can be used for rapid modeling and multi-objective optimization of generator systems.展开更多
Objective This study aims to analyze the burden of lower respiratory infections in Chinese elderly people aged 70 and above.Methods This study utilized Global Burden of Disease(GBD)1990-2050 prediction data to analyze...Objective This study aims to analyze the burden of lower respiratory infections in Chinese elderly people aged 70 and above.Methods This study utilized Global Burden of Disease(GBD)1990-2050 prediction data to analyze changes in mortality rates and disability-adjusted life year(DALY)rates for lower respiratory infections in the elderly population(aged 70 and above)in China from 1990 to 2050.It also discusses future trends in the burden of lower respiratory infections(LRI)in China under different scenarios.Results According to GBD predictions,the burden of lower respiratory infections in the elderly aged 70 years and above in China is lower than the global average.The burden has been decreasing from 1990 to 2020,but is projected to increase from 2020 to 2050.Scenario-based predictions suggest that,under scenarios involving improvements in nutrition and vaccination,the burden of lower respiratory infections in the elderly in China is expected to be the lowest in 2050.Conclusion This study indicates that the burden of lower respiratory infections in elderly people aged 70 years and above in China remains a significant public health issue and may worsen.The government should consider strengthening the preventive measures and management strategies for respiratory infections in the elderly population.展开更多
BACKGROUND Most patients who were included in previous studies on achalasia had increased lower esophageal sphincter(LES)pressure.Peroral endoscopic myotomy(POEM)has been confirmed to be effective at relieving the cli...BACKGROUND Most patients who were included in previous studies on achalasia had increased lower esophageal sphincter(LES)pressure.Peroral endoscopic myotomy(POEM)has been confirmed to be effective at relieving the clinical symptoms of achalasia associated with increased LES pressure.AIM To identify the safety and efficacy of POEM for patients with normal LES integrated relaxation pressure(LES-IRP).METHODS The clinical data of patients who underwent POEM successfully in The First Medical Center of Chinese PLA General Hospital were retrospectively analyzed.A total of 481 patients who underwent preoperative high-resolution manometry(HRM)at our hospital were ultimately included in this research.According to the HRM results,the patients were divided into two groups:71 patients were included in the normal LES-IRP group(LES-IRP<15 mmHg)and 410 patients were included in the increased LES-IRP group(LES-IRP≥15 mmHg).Clinical characteristics,procedure-related parameters,adverse events,and outcomes were compared between the two groups to evaluate the safety and efficacy of POEM for patients with normal LES-IRP.RESULTS Among the 481 patients included in our study,209 were males and 272 were females,with a mean age of 44.2 years.All patients underwent POEM without severe adverse events.The median pre-treatment Eckardt scores of the normal LES-IRP and increased LES-IRP groups were 7.0 and 7.0(P=0.132),respectively,decreasing to 1.0 and 1.0 post-treatment(P=0.572).The clinical success rate of the normal LES-IRP group was 87.3%(62/71),and that of the increased LES-IRP group was 91.2%(374/410)(P=0.298).Reflux symptoms were measured by the GerdQ questionnaire,and the percentages of patients with GerdQ scores≥9 in the normal LES-IRP and increased LES-IRP groups were 8.5%and 10.7%,respectively(P=0.711).After matching,the rates of clinical success and the rates of GerdQ score≥9 were not significantly different between the two groups.CONCLUSION Our results suggest that POEM is safe and effective for achalasia and patients with normal LES-IRP.In addition,in patients with normal LES-IRP,compared with those with increased LES-IRP,POEM was not associated with a greater incidence of reflux symptoms.展开更多
A nowhere-zero k-flow on a graph G=(V(G),E(G))is a pair(D,f),where D is an orientation on E(G)and f:E(G)→{±1,±2,,±(k-1)}is a function such that the total outflow equals to the total inflow at each vert...A nowhere-zero k-flow on a graph G=(V(G),E(G))is a pair(D,f),where D is an orientation on E(G)and f:E(G)→{±1,±2,,±(k-1)}is a function such that the total outflow equals to the total inflow at each vertex.This concept was introduced by Tutte as an extension of face colorings,and Tutte in 1954 conjectured that every bridgeless graph admits a nowhere-zero 5-flow,known as the 5-Flow Conjecture.This conjecture is verified for some graph classes and remains unresolved as of today.In this paper,we show that every bridgeless graph of Euler genus at most 20 admits a nowhere-zero 5-flow,which improves several known results.展开更多
Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and manag...Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and management of foreign bodies in the lower airways. Methodology: This was a descriptive study with retrospective data collection conducted over a 6-year period (January 1, 2014, to December 31, 2019) in the ENT and Head and Neck Surgery Department of Donka National Hospital. Results: We observed a prevalence of 1.79%. The average age was 5.71 years, with a sex ratio of 1.2. However, 82.61% of the cases originated from rural areas. We noted that 78.83% of patients were referred after visiting 1 to 2 healthcare facilities (75.36%). The consultation delay was 3 days. Penetration syndrome was present in 98.56% of cases. The foreign body incidents occurred during play in 54.84% and during meals in 29.09% of cases. Radiographs were performed in 93.9% of cases. Endoscopy was used for both diagnostic and therapeutic purposes in all patients. The foreign bodies were located in the trachea (37.68%), larynx (26.08%), and bronchi (21.73%). Non-organic foreign bodies were predominant (52.17%). Postoperative outcomes were uncomplicated in 95.98% of cases, and the lethality rate was 2.85%. Conclusion: The pathway of patients with foreign bodies in the airways remains unpredictable in our context due to parental hesitations. Early management reduces morbidity and mortality rates.展开更多
Compared to traditional single-frequency bound states in the continuum(BIC),dual-band BIC of-fers higher degrees of freedom and functionality.Moveover,implementing independent control of dual-band BICs can further enh...Compared to traditional single-frequency bound states in the continuum(BIC),dual-band BIC of-fers higher degrees of freedom and functionality.Moveover,implementing independent control of dual-band BICs can further enhance their advantages and maximize their performance.This study presents a design for a dielectric metasurface that achieves dual-band BICs in the terahertz(THz)range.By adjusting two asym-metry parameters of the structure,independent control of the two symmetry-protected BICs is achieved.Fur-thermore,by varying the shape of the silicon holes,the design's robustness to geometric variations is demon-strated.Finally,the test results show that the figures of merit(FOMs)for both BICs reach 109.This work provides a new approach for realizing and tuning dual-frequency BICs,offering expanded possibilities for applications in multimode lasers,nonlinear optics,multi-channel filtering,and optical sensing.展开更多
Varicose veins of the lower limbs are a cosmopolitan condition, thought to be rare in Africa but widespread in Europe. The aim of this study is to analyze the indications and evaluate the results of surgical managemen...Varicose veins of the lower limbs are a cosmopolitan condition, thought to be rare in Africa but widespread in Europe. The aim of this study is to analyze the indications and evaluate the results of surgical management of varicose pathology of the IM in Dakar. We enrolled 280 patients, with a mean age of 36 and a sex ratio of 2. Factors favouring venous disease were dominated by prolonged orthostatism and multiparity. The average consultation time was 6 years. The reasons for consultation were functional manifestations, progressive complications and aesthetics. The venous trunks concerned were the great saphenous vein (GSV) in 58.9% of cases, the small saphenous vein (SSV) in 29% of cases, perforating veins and varicose veins were unsystematized in 28.5% of cases. Surgery was performed under spinal anaesthesia. Surgical procedures were dominated by stripping of the GSV, crossectomy of the SSV and staged ligations. One patient developed meningismus immediately after the operation. Average follow-up was 2 years. Mortality was null.展开更多
The base of the ICS(International Commission on Stratigraphy)Geological Time Scale was ratified in 2022 by defining a new Global Stratigraphic Standard Age(GSSA)for the lower boundary of the Hadean Eon(formerly 4000–...The base of the ICS(International Commission on Stratigraphy)Geological Time Scale was ratified in 2022 by defining a new Global Stratigraphic Standard Age(GSSA)for the lower boundary of the Hadean Eon(formerly 4000–3600 Ma);the age of the Solar System based on the oldest solids,calcium-aluminium inclusions(CAIs),generated in the protoplanetary disk.The formal GSSA for the Hadean base is the oldest reliable,weighted mean Ucorrected Pb–Pb age of 4567.30±0.16 Ma obtained for CAIs in primitive meteorites Allende and Efremovka.This age is supported by the 4568–4567 Ma U-corrected Pb–Pb ages of chondrules in Northwest African meteorites.The boundary sets an upper lifetime for the protoplanetary disk and timing of planet formation.展开更多
Purpose: To evaluate open lower limb trauma management in children. Me-thod: We conducted a twelve-month cross-sectional prospective study. Results: Open trauma of lower limb had 7.9% of hospital frequency. Mean age w...Purpose: To evaluate open lower limb trauma management in children. Me-thod: We conducted a twelve-month cross-sectional prospective study. Results: Open trauma of lower limb had 7.9% of hospital frequency. Mean age was 8 years with a sex ratio of 2.45. In 68.4% of cases, trauma occurred in road traffic accidents. Average consultation time was 2.4 hours. Trauma mainly affected the leg in 39.5% of cases, and the thigh in 34.2%. Soft tissue wounds occurred in 52.6% of cases, and open fractures in 47.4%. Average response time was one hour. Wound trimming and suturing were performed in 76.3% of cases and combined with bone nailing in 15.8%. The outcome was favorable in 92.1% of cases. Average hospital stay was 4.37 days. Conclusion: Open trauma to the lower limb is a frequent and occurs mainly in road traffic accidents. Management was early, with a favorable outcome for most patients and a short hospital stay.展开更多
Here we report a left cheek plate of Psarolepis,a postparietal shield of Youngolepis,a skull of Diabolepis,and a scale of Styloichthys from the Lianhuashan and Nahkaoling formations(Lochkovian,Lower Devonian)of Nannin...Here we report a left cheek plate of Psarolepis,a postparietal shield of Youngolepis,a skull of Diabolepis,and a scale of Styloichthys from the Lianhuashan and Nahkaoling formations(Lochkovian,Lower Devonian)of Nanning,Guangxi.This marks the first report of Diabolepis and Styloichthys beside Qujing,Yunnan,and the latest occurrence of Psarolepis to date.The fossil community displays significant similarities to the Xujiachong Assemblage,and provides new data for the Lower Devonian stratigraphic correlation between southwestern China and northern Vietnam.Given the latest dating constraint based on the conodont evidence,we regard that the Xujiachong Assemblage has a much longer range than previously supposed,extending from the latest Lochkovian to the end of Pragian.We propose that the transition of the Nahkaoling and Lianhuashan formations in Nanning might correspond to the Guijiatun Formation in Qujing.The relatively large size of fish individuals from Guangxi is probably attributed to the increase in the oxygen content of the ocean.展开更多
This letter presents a method for probing the attosecond time delay between two radiatively resonant transitions from Fano structures,which arise from interference between the extreme ultraviolet free induction decay(...This letter presents a method for probing the attosecond time delay between two radiatively resonant transitions from Fano structures,which arise from interference between the extreme ultraviolet free induction decay(XFID)emission and high-order harmonics.The ellipticity dependence of the Ne^(+)XFID yield confirms that the ionic excited-state populations originate from inelastic recollision between tunneling electrons and parent ions.Subsequent extraction of relative phases from Fano structures enables the determination of the time delay(~22 as)between the two decay pathways.This work provides an experimental approach to probe the attosecond time delay between different XFID channels and contributes to a deeper understanding of the tunneling-plusrescattering model in strong laser fields.展开更多
We explored a distinct mechanism for matter creation via electron-positron pair production during bound-bound transitions in the deexcitation of muonic atoms.For ions with nuclear charges Z≥24,transitions from low-ly...We explored a distinct mechanism for matter creation via electron-positron pair production during bound-bound transitions in the deexcitation of muonic atoms.For ions with nuclear charges Z≥24,transitions from low-lying excited states to the 1s-muon state can lead to the production of electron-positron pairs.We show that the Breit interaction determines the transition probabilities for states with nonzero orbital momentum.We show that the pair production arises mainly from the decay of the 2p states.Thus,the Breit interaction governs electron-positron pair production in bound-bound muon transitions.This process offers a unique opportunity to explore quantum electrodynamics in strong fields,as well as a class of nonradiative transitions involving electron-positron pair production.展开更多
Shale gas is abundant in the Paleozoic of the Yangtze Platform,and several high-yield shale gas fields have been built in the Upper Yangtze Platform,China.The Permian of the South Yellow Sea Basin(SYSB)in the Lower Ya...Shale gas is abundant in the Paleozoic of the Yangtze Platform,and several high-yield shale gas fields have been built in the Upper Yangtze Platform,China.The Permian of the South Yellow Sea Basin(SYSB)in the Lower Yangtze area is considered a potential target for shale gas exploration;however,the fundamental geological conditions of shale gas have not been studied.Based on the first whole-cored scientific drilling borehole(CSDP-2)in the SYSB,detailed tests involving petrology,organic geochemistry,and reservoir physical properties were conducted to evaluate the shale gas potential of the Lower Permian.The Lower Permian is dominated by organic-rich siliceous,clay,and clay-mixed shales.The average total organic carbon content is 5.99%,and the organic matter is mainly type Ⅱ_(1)−Ⅱ_(2),which has entered the high-over mature evolution stage.The pore types of organic-rich shales mainly include organic pores,dissolution pores,and intergranular pores,of which the meso-/macropores are well developed.The average porosity is 3.04%,and the total specific surface area and pore volume are 3.47 m^(2)/g and 7.21×10^(−3) cm^(3)/g,respectively.The average Langmuir volume obtained from the methane adsorption isotherms is 2.70 cm^(3)/g,and methane is mainly adsorbed in the meso-/macropores.The lower Permian shales are rich in methane as indicated by gas logging results,with an average content of 7.3%,which can reach up to 65.9%.A comparison of the study area with typical shale gas fields shows that the Lower Permian is brittle and shallowly buried and has a high potential for shale gas exploration and low-cost development.The depression areas of the SYSB are overlain by thick Mesozoic-Cenozoic sediments,show higher organic matter maturity,and may have greater shale gas potential.The shale gas exploration breakthrough of the study area is of great significance to ensure the energy supply of economically developed areas on the east China.展开更多
This study mainly focuses on the triangle bounded L⁃algebras and triangle ideals.Firstly,the definition of triangle bounded L⁃algebras is presented,and several examples with different conditions are outlined along wit...This study mainly focuses on the triangle bounded L⁃algebras and triangle ideals.Firstly,the definition of triangle bounded L⁃algebras is presented,and several examples with different conditions are outlined along with an exploration of their properties.Moreover,we investigate the structure of triangle bounded L⁃algebra with a special condition.Secondly,we define the concept of triangle ideals of triangle bounded L⁃algebra and explore the connection between the triangle ideals of triangle bounded L⁃algebra L and the ideals of bounded L⁃algebra E(L).In addition,we classified and studied various classes of triangle ideals,including Stonean triangle ideals,extended Stonean triangle ideals,and lattice ideals,and by introducing the notion of Stonean triangle bounded L algebras,we examine the relationship between Stonean triangle bounded L⁃algebras and Stonean triangle ideals.Finally,we investigate the interrelationships among these various types of triangle ideals.展开更多
We propose a novel approach to generate and manipulate topological Floquet bound states in the continuum(BICs)via a class of systems constructed by coupling two identical periodically driven one-dimensional Su-Schrief...We propose a novel approach to generate and manipulate topological Floquet bound states in the continuum(BICs)via a class of systems constructed by coupling two identical periodically driven one-dimensional Su-Schrieffer-Heeger chains.The formation of topological Floquet BICs can be adjusted only by tuning the driving amplitude or frequency,regardless of whether the static system has BICs or not.The interchain bias can only change the localization property of topological Floquet BICs,and a bigger bias can lead to transforming topological Floquet BICs into bound states out of the continuum(BOCs).But it does not change the topological properties of these topological Floquet states.Based on the repulsion effect of edge states,we propose to detect occurrence of topological Floquet BICs and transition point between topological Floquet BICs and BOCs using quantum walk.Our work provided a convenient and realistic approach for the experimental realization and manipulation of BICs in a single-particle quantum system.展开更多
In this paper,we study the eigenvalue problem of the Markov diffusion operator L^(2),and give generalized inequalities for eigenvalues of the operator L^(2)on a Markov diffusion triple.By applying these inequalities,w...In this paper,we study the eigenvalue problem of the Markov diffusion operator L^(2),and give generalized inequalities for eigenvalues of the operator L^(2)on a Markov diffusion triple.By applying these inequalities,we then get some new universal bounds for eigenvalues of a special Markov diffusion operator L^(2)on bounded domains in an Euclidean space.Moreover,our results can reveal the relationship between the(k+1)-th eigenvalue and the first k eigenvalues in a relatively straightforward manner.展开更多
AIM:To evaluate the outcome and the degree of patient satisfaction with the reconstruction of full-thickness medial and central lower lid defects using a pendular flap of the remaining lateral part of the lower lid.ME...AIM:To evaluate the outcome and the degree of patient satisfaction with the reconstruction of full-thickness medial and central lower lid defects using a pendular flap of the remaining lateral part of the lower lid.METHODS:Totally 20 patients with full thickness medial or central lower lid defects that could not be repaired by direct closure with or without cantholysis.A sliding full-thickness composite flap was created from the lateral part of the remaining lid to cover the defect.The posterior lamella of the induced lateral defect was repaired by either a periosteal flap alone or in combination with a free tarsal graft.Postoperative cosmetic and functional outcomes were evaluated.RESULTS:The mean age of the patients was 46.3±18.1y(20-70y).The defects ranged from 30%-80%of the lid width and resulted from the excision of lid tumors in 11 patients(55%)and from trauma in 9(45%)patients.Postoperative complications included one case of lateral graft ectropion,2 cases of lid retraction and 3 cases of marginal graft necrosis.Most of the patients had an acceptable final cosmetic outcome.CONCLUSION:Reconstruction of moderate-sized defects in the medial/central lower lid via a sliding flap yielded acceptable cosmetic and functional outcomes with high patient satisfaction.Large defects≥50%of the horizontal length are at greater risk of complications.Reconstruction of medial defects by this technique was associated with a greater incidence of complications.展开更多
A new detector array with a large solid angle coverage for the coincidence measurement of charged fragments was developed to study the breakup reaction mechanisms of weakly bound nuclear systems at energies around the...A new detector array with a large solid angle coverage for the coincidence measurement of charged fragments was developed to study the breakup reaction mechanisms of weakly bound nuclear systems at energies around the Coulomb barrier.The array has been used to explore the breakup reaction mechanisms of^(6,7)Li+^(209)Bi systems at E_(beam)=30,40,47 MeV,showing good performance in particle identification and complete kinematic measurements.Based on this,different breakup modes and breakup components were clearly distinguished,and some new breakup modes were discovered,such as^(7)Li→α+t breakup mode in6Li+209Bi system and^(7)Li→^(6)He+p breakup mode in^(7)Li+^(209)Bi system.This array can also be used to explore other breakup reaction mechanisms induced by weakly bound nuclei.展开更多
BACKGROUND The prevalence of lower extremity arteriosclerosis obliterans(LEASO)in China is progressively increasing with the increment in age.Certain patients may be diagnosed with lower extremity arterial stenosis an...BACKGROUND The prevalence of lower extremity arteriosclerosis obliterans(LEASO)in China is progressively increasing with the increment in age.Certain patients may be diagnosed with lower extremity arterial stenosis and occlusion that resist complete curative efforts,which will invariably impose a substantial psychological strain on them.AIM To investigate the anxiety and depression conditions among patients with LEASO and analyze the associated risk factors.METHODS The Affiliated Hospital of Bengbu Medical University from January 2019 to December 2022.Their demographic and clinical data were obtained through the basic information questionnaire.The social support situation was assessed with the social support rating scale,and the hospital anxiety and depression scale were used to analyze their depression and anxiety levels.RESULTS The prevalence rate of anxiety was 44.0%among the 159 patients,with a total Self-Rating Anxiety Scale score of 49.01±9.65.The incidence of depression was 40.9%,and the total self-rating depression scale score reached 49.91±9.18.The overall social support score for all participants averaged 24.82±5.80.The correlation analysis between social support scores and anxiety and depression scores revealed that the total social support score,subjective social support,objective social support,as well as the degree of social support utilization,all exhibited a significant negative correlation with the anxiety and depression scores,which was statistically significant(P<0.05).The univariate analysis revealed statistically significant differences in the depression and anxiety states among patients with varying pain manifestations,disease stages,disease durations,and social support magnitudes(P<0.05).The multivariate analysis further demonstrated that patients presenting with intermittent claudication,rest pain,and pain,whose disease course was within half a year,and who had relatively low social support,were more predisposed to anxiety.Intriguingly,a monthly income of>6000 yuan was considered a protective factor in this context(P<0.05).Similarly,patients with intermittent claudication,rest pain,gangrene,and pain,and who had relatively low social support,were more liable to succumb to depressive moods(P<0.05).CONCLUSION Patients with LEASO typically receive relatively scant social support.Notably,those who concurrently present with symptoms,such as pain,claudication,and gangrene,are at a substantially increased risk of developing depression and anxiety disorders.A significant negative correlation is manifested between the social support level that patients receive and the severity of their anxiety and depression symptoms.Hence,the lower the social support score,the greater the propensity for patients to experience anxiety and depressive emotions.Therefore,during clinical practice,the crucial role that social support plays in safeguarding patients’physical and mental well-being as well as facilitating the effectiveness of disease treatment needs to be particularly emphasized.展开更多
The tiered geosynthetic-reinforced soil (GRS) walls have been increasingly applied in the high and steep retaining soil structures. However, very little is known about the design method for the tiered GRS wall in prac...The tiered geosynthetic-reinforced soil (GRS) walls have been increasingly applied in the high and steep retaining soil structures. However, very little is known about the design method for the tiered GRS wall in practice. This study is aimed at proposing an upper-bound stability analysis method of a tiered GRS wall. The proposed method was firstly validated by the existing results from the centrifuge test and the numerical method, and then a parametric study was performed to investigate the effects of the cohesionless backfill friction angle φ1 and the wall geometric parameters including the offset distance, the total wall height, the batter angle δ, the number of tiers n, and wall height ratio of adjacent tiers on the dimensionless equivalent earth pressure coefficient KT. The analysis results demonstrated that as the φ1 increases, the shear strength of backfill is enhanced and thus the KT or the total reinforcement tensile force decreases, and the KT decreases with the increase of the offset distance at the initial stage and then becomes stable when it reaches a certain critical value. For a fixed offset distance, the KT or the total reinforcement tensile force decreases with the increase of the δ. For the two-tiered GRS walls having the offset distance less than the critical value, the wall with the smaller wall height ratio has a larger KT. Further, the variation of the location of the critical failure surfaces of tiered GRS walls was presented in this study with the variation of the φ1 and the wall geometry.展开更多
基金supported in part by the National Key Research and Development Program of China(2019YFB1503700)the Hunan Natural Science Foundation-Science and Education Joint Project(2019JJ70063)。
文摘The noise that comes from finite element simulation often causes the model to fall into the local optimal solution and over fitting during optimization of generator.Thus,this paper proposes a Gaussian Process Regression(GPR)model based on Conditional Likelihood Lower Bound Search(CLLBS)to optimize the design of the generator,which can filter the noise in the data and search for global optimization by combining the Conditional Likelihood Lower Bound Search method.Taking the efficiency optimization of 15 kW Permanent Magnet Synchronous Motor as an example.Firstly,this method uses the elementary effect analysis to choose the sensitive variables,combining the evolutionary algorithm to design the super Latin cube sampling plan;Then the generator-converter system is simulated by establishing a co-simulation platform to obtain data.A Gaussian process regression model combing the method of the conditional likelihood lower bound search is established,which combined the chi-square test to optimize the accuracy of the model globally.Secondly,after the model reaches the accuracy,the Pareto frontier is obtained through the NSGA-II algorithm by considering the maximum output torque as a constraint.Last,the constrained optimization is transformed into an unconstrained optimizing problem by introducing maximum constrained improvement expectation(CEI)optimization method based on the re-interpolation model,which cross-validated the optimization results of the Gaussian process regression model.The above method increase the efficiency of generator by 0.76%and 0.5%respectively;And this method can be used for rapid modeling and multi-objective optimization of generator systems.
基金supported by the National High Level Hospital Clinical Research Funding(No.BJ-2023-066).
文摘Objective This study aims to analyze the burden of lower respiratory infections in Chinese elderly people aged 70 and above.Methods This study utilized Global Burden of Disease(GBD)1990-2050 prediction data to analyze changes in mortality rates and disability-adjusted life year(DALY)rates for lower respiratory infections in the elderly population(aged 70 and above)in China from 1990 to 2050.It also discusses future trends in the burden of lower respiratory infections(LRI)in China under different scenarios.Results According to GBD predictions,the burden of lower respiratory infections in the elderly aged 70 years and above in China is lower than the global average.The burden has been decreasing from 1990 to 2020,but is projected to increase from 2020 to 2050.Scenario-based predictions suggest that,under scenarios involving improvements in nutrition and vaccination,the burden of lower respiratory infections in the elderly in China is expected to be the lowest in 2050.Conclusion This study indicates that the burden of lower respiratory infections in elderly people aged 70 years and above in China remains a significant public health issue and may worsen.The government should consider strengthening the preventive measures and management strategies for respiratory infections in the elderly population.
文摘BACKGROUND Most patients who were included in previous studies on achalasia had increased lower esophageal sphincter(LES)pressure.Peroral endoscopic myotomy(POEM)has been confirmed to be effective at relieving the clinical symptoms of achalasia associated with increased LES pressure.AIM To identify the safety and efficacy of POEM for patients with normal LES integrated relaxation pressure(LES-IRP).METHODS The clinical data of patients who underwent POEM successfully in The First Medical Center of Chinese PLA General Hospital were retrospectively analyzed.A total of 481 patients who underwent preoperative high-resolution manometry(HRM)at our hospital were ultimately included in this research.According to the HRM results,the patients were divided into two groups:71 patients were included in the normal LES-IRP group(LES-IRP<15 mmHg)and 410 patients were included in the increased LES-IRP group(LES-IRP≥15 mmHg).Clinical characteristics,procedure-related parameters,adverse events,and outcomes were compared between the two groups to evaluate the safety and efficacy of POEM for patients with normal LES-IRP.RESULTS Among the 481 patients included in our study,209 were males and 272 were females,with a mean age of 44.2 years.All patients underwent POEM without severe adverse events.The median pre-treatment Eckardt scores of the normal LES-IRP and increased LES-IRP groups were 7.0 and 7.0(P=0.132),respectively,decreasing to 1.0 and 1.0 post-treatment(P=0.572).The clinical success rate of the normal LES-IRP group was 87.3%(62/71),and that of the increased LES-IRP group was 91.2%(374/410)(P=0.298).Reflux symptoms were measured by the GerdQ questionnaire,and the percentages of patients with GerdQ scores≥9 in the normal LES-IRP and increased LES-IRP groups were 8.5%and 10.7%,respectively(P=0.711).After matching,the rates of clinical success and the rates of GerdQ score≥9 were not significantly different between the two groups.CONCLUSION Our results suggest that POEM is safe and effective for achalasia and patients with normal LES-IRP.In addition,in patients with normal LES-IRP,compared with those with increased LES-IRP,POEM was not associated with a greater incidence of reflux symptoms.
文摘A nowhere-zero k-flow on a graph G=(V(G),E(G))is a pair(D,f),where D is an orientation on E(G)and f:E(G)→{±1,±2,,±(k-1)}is a function such that the total outflow equals to the total inflow at each vertex.This concept was introduced by Tutte as an extension of face colorings,and Tutte in 1954 conjectured that every bridgeless graph admits a nowhere-zero 5-flow,known as the 5-Flow Conjecture.This conjecture is verified for some graph classes and remains unresolved as of today.In this paper,we show that every bridgeless graph of Euler genus at most 20 admits a nowhere-zero 5-flow,which improves several known results.
文摘Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and management of foreign bodies in the lower airways. Methodology: This was a descriptive study with retrospective data collection conducted over a 6-year period (January 1, 2014, to December 31, 2019) in the ENT and Head and Neck Surgery Department of Donka National Hospital. Results: We observed a prevalence of 1.79%. The average age was 5.71 years, with a sex ratio of 1.2. However, 82.61% of the cases originated from rural areas. We noted that 78.83% of patients were referred after visiting 1 to 2 healthcare facilities (75.36%). The consultation delay was 3 days. Penetration syndrome was present in 98.56% of cases. The foreign body incidents occurred during play in 54.84% and during meals in 29.09% of cases. Radiographs were performed in 93.9% of cases. Endoscopy was used for both diagnostic and therapeutic purposes in all patients. The foreign bodies were located in the trachea (37.68%), larynx (26.08%), and bronchi (21.73%). Non-organic foreign bodies were predominant (52.17%). Postoperative outcomes were uncomplicated in 95.98% of cases, and the lethality rate was 2.85%. Conclusion: The pathway of patients with foreign bodies in the airways remains unpredictable in our context due to parental hesitations. Early management reduces morbidity and mortality rates.
文摘Compared to traditional single-frequency bound states in the continuum(BIC),dual-band BIC of-fers higher degrees of freedom and functionality.Moveover,implementing independent control of dual-band BICs can further enhance their advantages and maximize their performance.This study presents a design for a dielectric metasurface that achieves dual-band BICs in the terahertz(THz)range.By adjusting two asym-metry parameters of the structure,independent control of the two symmetry-protected BICs is achieved.Fur-thermore,by varying the shape of the silicon holes,the design's robustness to geometric variations is demon-strated.Finally,the test results show that the figures of merit(FOMs)for both BICs reach 109.This work provides a new approach for realizing and tuning dual-frequency BICs,offering expanded possibilities for applications in multimode lasers,nonlinear optics,multi-channel filtering,and optical sensing.
文摘Varicose veins of the lower limbs are a cosmopolitan condition, thought to be rare in Africa but widespread in Europe. The aim of this study is to analyze the indications and evaluate the results of surgical management of varicose pathology of the IM in Dakar. We enrolled 280 patients, with a mean age of 36 and a sex ratio of 2. Factors favouring venous disease were dominated by prolonged orthostatism and multiparity. The average consultation time was 6 years. The reasons for consultation were functional manifestations, progressive complications and aesthetics. The venous trunks concerned were the great saphenous vein (GSV) in 58.9% of cases, the small saphenous vein (SSV) in 29% of cases, perforating veins and varicose veins were unsystematized in 28.5% of cases. Surgery was performed under spinal anaesthesia. Surgical procedures were dominated by stripping of the GSV, crossectomy of the SSV and staged ligations. One patient developed meningismus immediately after the operation. Average follow-up was 2 years. Mortality was null.
文摘The base of the ICS(International Commission on Stratigraphy)Geological Time Scale was ratified in 2022 by defining a new Global Stratigraphic Standard Age(GSSA)for the lower boundary of the Hadean Eon(formerly 4000–3600 Ma);the age of the Solar System based on the oldest solids,calcium-aluminium inclusions(CAIs),generated in the protoplanetary disk.The formal GSSA for the Hadean base is the oldest reliable,weighted mean Ucorrected Pb–Pb age of 4567.30±0.16 Ma obtained for CAIs in primitive meteorites Allende and Efremovka.This age is supported by the 4568–4567 Ma U-corrected Pb–Pb ages of chondrules in Northwest African meteorites.The boundary sets an upper lifetime for the protoplanetary disk and timing of planet formation.
文摘Purpose: To evaluate open lower limb trauma management in children. Me-thod: We conducted a twelve-month cross-sectional prospective study. Results: Open trauma of lower limb had 7.9% of hospital frequency. Mean age was 8 years with a sex ratio of 2.45. In 68.4% of cases, trauma occurred in road traffic accidents. Average consultation time was 2.4 hours. Trauma mainly affected the leg in 39.5% of cases, and the thigh in 34.2%. Soft tissue wounds occurred in 52.6% of cases, and open fractures in 47.4%. Average response time was one hour. Wound trimming and suturing were performed in 76.3% of cases and combined with bone nailing in 15.8%. The outcome was favorable in 92.1% of cases. Average hospital stay was 4.37 days. Conclusion: Open trauma to the lower limb is a frequent and occurs mainly in road traffic accidents. Management was early, with a favorable outcome for most patients and a short hospital stay.
文摘Here we report a left cheek plate of Psarolepis,a postparietal shield of Youngolepis,a skull of Diabolepis,and a scale of Styloichthys from the Lianhuashan and Nahkaoling formations(Lochkovian,Lower Devonian)of Nanning,Guangxi.This marks the first report of Diabolepis and Styloichthys beside Qujing,Yunnan,and the latest occurrence of Psarolepis to date.The fossil community displays significant similarities to the Xujiachong Assemblage,and provides new data for the Lower Devonian stratigraphic correlation between southwestern China and northern Vietnam.Given the latest dating constraint based on the conodont evidence,we regard that the Xujiachong Assemblage has a much longer range than previously supposed,extending from the latest Lochkovian to the end of Pragian.We propose that the transition of the Nahkaoling and Lianhuashan formations in Nanning might correspond to the Guijiatun Formation in Qujing.The relatively large size of fish individuals from Guangxi is probably attributed to the increase in the oxygen content of the ocean.
基金supported by the National Natural Science Foundation of China(Grant Nos.12234020,12474281,12450403,and 12274461)the Science and Technology Innovation Program of Hunan Province(Grant No.2022RC1193).
文摘This letter presents a method for probing the attosecond time delay between two radiatively resonant transitions from Fano structures,which arise from interference between the extreme ultraviolet free induction decay(XFID)emission and high-order harmonics.The ellipticity dependence of the Ne^(+)XFID yield confirms that the ionic excited-state populations originate from inelastic recollision between tunneling electrons and parent ions.Subsequent extraction of relative phases from Fano structures enables the determination of the time delay(~22 as)between the two decay pathways.This work provides an experimental approach to probe the attosecond time delay between different XFID channels and contributes to a deeper understanding of the tunneling-plusrescattering model in strong laser fields.
基金supported by the National Key Research and Development Program of China(Grant No.2022YFA1602501)the National Natural Science Foundation of China(Grant No.12011530060)+1 种基金supported solely by the Russian Science Foundation(Grant No.22-12-00043)supported by the Chinese Academy of Sciences(CAS)Presidents International Fellowship Initiative(PIFI)(Grant Nos.2018VMB0016 and 2022VMC0002),respectively。
文摘We explored a distinct mechanism for matter creation via electron-positron pair production during bound-bound transitions in the deexcitation of muonic atoms.For ions with nuclear charges Z≥24,transitions from low-lying excited states to the 1s-muon state can lead to the production of electron-positron pairs.We show that the Breit interaction determines the transition probabilities for states with nonzero orbital momentum.We show that the pair production arises mainly from the decay of the 2p states.Thus,the Breit interaction governs electron-positron pair production in bound-bound muon transitions.This process offers a unique opportunity to explore quantum electrodynamics in strong fields,as well as a class of nonradiative transitions involving electron-positron pair production.
基金supported by the Natural Science Foundation of Shandong Province(ZR2023MD112)financially supported by Laoshan Laboratory(LSKJ202203401).
文摘Shale gas is abundant in the Paleozoic of the Yangtze Platform,and several high-yield shale gas fields have been built in the Upper Yangtze Platform,China.The Permian of the South Yellow Sea Basin(SYSB)in the Lower Yangtze area is considered a potential target for shale gas exploration;however,the fundamental geological conditions of shale gas have not been studied.Based on the first whole-cored scientific drilling borehole(CSDP-2)in the SYSB,detailed tests involving petrology,organic geochemistry,and reservoir physical properties were conducted to evaluate the shale gas potential of the Lower Permian.The Lower Permian is dominated by organic-rich siliceous,clay,and clay-mixed shales.The average total organic carbon content is 5.99%,and the organic matter is mainly type Ⅱ_(1)−Ⅱ_(2),which has entered the high-over mature evolution stage.The pore types of organic-rich shales mainly include organic pores,dissolution pores,and intergranular pores,of which the meso-/macropores are well developed.The average porosity is 3.04%,and the total specific surface area and pore volume are 3.47 m^(2)/g and 7.21×10^(−3) cm^(3)/g,respectively.The average Langmuir volume obtained from the methane adsorption isotherms is 2.70 cm^(3)/g,and methane is mainly adsorbed in the meso-/macropores.The lower Permian shales are rich in methane as indicated by gas logging results,with an average content of 7.3%,which can reach up to 65.9%.A comparison of the study area with typical shale gas fields shows that the Lower Permian is brittle and shallowly buried and has a high potential for shale gas exploration and low-cost development.The depression areas of the SYSB are overlain by thick Mesozoic-Cenozoic sediments,show higher organic matter maturity,and may have greater shale gas potential.The shale gas exploration breakthrough of the study area is of great significance to ensure the energy supply of economically developed areas on the east China.
基金Sponsored by Foreign Expert Program of China(Grant No.DL2023041002L)Yulin City Industry University Research Project(Grant No.CXY-2022-59).
文摘This study mainly focuses on the triangle bounded L⁃algebras and triangle ideals.Firstly,the definition of triangle bounded L⁃algebras is presented,and several examples with different conditions are outlined along with an exploration of their properties.Moreover,we investigate the structure of triangle bounded L⁃algebra with a special condition.Secondly,we define the concept of triangle ideals of triangle bounded L⁃algebra and explore the connection between the triangle ideals of triangle bounded L⁃algebra L and the ideals of bounded L⁃algebra E(L).In addition,we classified and studied various classes of triangle ideals,including Stonean triangle ideals,extended Stonean triangle ideals,and lattice ideals,and by introducing the notion of Stonean triangle bounded L algebras,we examine the relationship between Stonean triangle bounded L⁃algebras and Stonean triangle ideals.Finally,we investigate the interrelationships among these various types of triangle ideals.
基金supported by the National Natural Science Foundation of China(Grant Nos.12175315 and 12205385)。
文摘We propose a novel approach to generate and manipulate topological Floquet bound states in the continuum(BICs)via a class of systems constructed by coupling two identical periodically driven one-dimensional Su-Schrieffer-Heeger chains.The formation of topological Floquet BICs can be adjusted only by tuning the driving amplitude or frequency,regardless of whether the static system has BICs or not.The interchain bias can only change the localization property of topological Floquet BICs,and a bigger bias can lead to transforming topological Floquet BICs into bound states out of the continuum(BOCs).But it does not change the topological properties of these topological Floquet states.Based on the repulsion effect of edge states,we propose to detect occurrence of topological Floquet BICs and transition point between topological Floquet BICs and BOCs using quantum walk.Our work provided a convenient and realistic approach for the experimental realization and manipulation of BICs in a single-particle quantum system.
基金Supported by the Open Research Fund of Key Laboratory of Nonlinear Analysis and Applications(Central China Normal University),Ministry of Education,P.R.China(Grant No.NAA2025ORG011)Science and Technology Plan Project of Jingmen(Grant No.2024YFZD076)+3 种基金Research Team Project of Jingchu University of Technology(Grant No.TD202006)Research Project of Jingchu University of Technology(Grant Nos.HX20240049HX20240200)the Teaching Reform Research Project of Hubei Province(Grant No.2024496)。
文摘In this paper,we study the eigenvalue problem of the Markov diffusion operator L^(2),and give generalized inequalities for eigenvalues of the operator L^(2)on a Markov diffusion triple.By applying these inequalities,we then get some new universal bounds for eigenvalues of a special Markov diffusion operator L^(2)on bounded domains in an Euclidean space.Moreover,our results can reveal the relationship between the(k+1)-th eigenvalue and the first k eigenvalues in a relatively straightforward manner.
文摘AIM:To evaluate the outcome and the degree of patient satisfaction with the reconstruction of full-thickness medial and central lower lid defects using a pendular flap of the remaining lateral part of the lower lid.METHODS:Totally 20 patients with full thickness medial or central lower lid defects that could not be repaired by direct closure with or without cantholysis.A sliding full-thickness composite flap was created from the lateral part of the remaining lid to cover the defect.The posterior lamella of the induced lateral defect was repaired by either a periosteal flap alone or in combination with a free tarsal graft.Postoperative cosmetic and functional outcomes were evaluated.RESULTS:The mean age of the patients was 46.3±18.1y(20-70y).The defects ranged from 30%-80%of the lid width and resulted from the excision of lid tumors in 11 patients(55%)and from trauma in 9(45%)patients.Postoperative complications included one case of lateral graft ectropion,2 cases of lid retraction and 3 cases of marginal graft necrosis.Most of the patients had an acceptable final cosmetic outcome.CONCLUSION:Reconstruction of moderate-sized defects in the medial/central lower lid via a sliding flap yielded acceptable cosmetic and functional outcomes with high patient satisfaction.Large defects≥50%of the horizontal length are at greater risk of complications.Reconstruction of medial defects by this technique was associated with a greater incidence of complications.
基金supported by the National Key R&D Program of China(Nos.2022YFA1602302 and 2023YFA1606402)the National Natural Science Foundation of China(Nos.U2167204,12175314,12235020 and 12275360)+2 种基金the Continuous-Support Basic Scientific Research Projectthe"111 Center"the China Scholarship Council(CSC)。
文摘A new detector array with a large solid angle coverage for the coincidence measurement of charged fragments was developed to study the breakup reaction mechanisms of weakly bound nuclear systems at energies around the Coulomb barrier.The array has been used to explore the breakup reaction mechanisms of^(6,7)Li+^(209)Bi systems at E_(beam)=30,40,47 MeV,showing good performance in particle identification and complete kinematic measurements.Based on this,different breakup modes and breakup components were clearly distinguished,and some new breakup modes were discovered,such as^(7)Li→α+t breakup mode in6Li+209Bi system and^(7)Li→^(6)He+p breakup mode in^(7)Li+^(209)Bi system.This array can also be used to explore other breakup reaction mechanisms induced by weakly bound nuclei.
基金Supported by the Key Project of Natural Science Research in Universities of Anhui Province,No.2023AH051985Key Project of Natural Science Research at Bengbu Medical University,No.2023byzd038Anhui Provincial Health Research Project,No.AHWJ2024BAc30042.
文摘BACKGROUND The prevalence of lower extremity arteriosclerosis obliterans(LEASO)in China is progressively increasing with the increment in age.Certain patients may be diagnosed with lower extremity arterial stenosis and occlusion that resist complete curative efforts,which will invariably impose a substantial psychological strain on them.AIM To investigate the anxiety and depression conditions among patients with LEASO and analyze the associated risk factors.METHODS The Affiliated Hospital of Bengbu Medical University from January 2019 to December 2022.Their demographic and clinical data were obtained through the basic information questionnaire.The social support situation was assessed with the social support rating scale,and the hospital anxiety and depression scale were used to analyze their depression and anxiety levels.RESULTS The prevalence rate of anxiety was 44.0%among the 159 patients,with a total Self-Rating Anxiety Scale score of 49.01±9.65.The incidence of depression was 40.9%,and the total self-rating depression scale score reached 49.91±9.18.The overall social support score for all participants averaged 24.82±5.80.The correlation analysis between social support scores and anxiety and depression scores revealed that the total social support score,subjective social support,objective social support,as well as the degree of social support utilization,all exhibited a significant negative correlation with the anxiety and depression scores,which was statistically significant(P<0.05).The univariate analysis revealed statistically significant differences in the depression and anxiety states among patients with varying pain manifestations,disease stages,disease durations,and social support magnitudes(P<0.05).The multivariate analysis further demonstrated that patients presenting with intermittent claudication,rest pain,and pain,whose disease course was within half a year,and who had relatively low social support,were more predisposed to anxiety.Intriguingly,a monthly income of>6000 yuan was considered a protective factor in this context(P<0.05).Similarly,patients with intermittent claudication,rest pain,gangrene,and pain,and who had relatively low social support,were more liable to succumb to depressive moods(P<0.05).CONCLUSION Patients with LEASO typically receive relatively scant social support.Notably,those who concurrently present with symptoms,such as pain,claudication,and gangrene,are at a substantially increased risk of developing depression and anxiety disorders.A significant negative correlation is manifested between the social support level that patients receive and the severity of their anxiety and depression symptoms.Hence,the lower the social support score,the greater the propensity for patients to experience anxiety and depressive emotions.Therefore,during clinical practice,the crucial role that social support plays in safeguarding patients’physical and mental well-being as well as facilitating the effectiveness of disease treatment needs to be particularly emphasized.
基金financially supported by the National Natural Science Foundation of China(Grants Nos.41877255,and 52078182).
文摘The tiered geosynthetic-reinforced soil (GRS) walls have been increasingly applied in the high and steep retaining soil structures. However, very little is known about the design method for the tiered GRS wall in practice. This study is aimed at proposing an upper-bound stability analysis method of a tiered GRS wall. The proposed method was firstly validated by the existing results from the centrifuge test and the numerical method, and then a parametric study was performed to investigate the effects of the cohesionless backfill friction angle φ1 and the wall geometric parameters including the offset distance, the total wall height, the batter angle δ, the number of tiers n, and wall height ratio of adjacent tiers on the dimensionless equivalent earth pressure coefficient KT. The analysis results demonstrated that as the φ1 increases, the shear strength of backfill is enhanced and thus the KT or the total reinforcement tensile force decreases, and the KT decreases with the increase of the offset distance at the initial stage and then becomes stable when it reaches a certain critical value. For a fixed offset distance, the KT or the total reinforcement tensile force decreases with the increase of the δ. For the two-tiered GRS walls having the offset distance less than the critical value, the wall with the smaller wall height ratio has a larger KT. Further, the variation of the location of the critical failure surfaces of tiered GRS walls was presented in this study with the variation of the φ1 and the wall geometry.
