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Dual versus single antiplatelet therapy after lower extremity revascularization in peripheral artery disease: A systematic review and meta-analysis
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作者 Mohammad Maroof Shahid Debvarsha Mandal +9 位作者 Ashesh Das Pershan Kumar Nikil Kumar Absar Mukhtar Hooria Ejaz Muhammad Soban Jaffar Mavia Habib Ayesha Afzal Mirza Muhammad Hadeed Khawar Ikra Rana 《World Journal of Cardiology》 2025年第10期155-166,共12页
BACKGROUND Peripheral artery disease(PAD)affects millions globally,with a 5.6%prevalence in 2015 impacting 236 million adults,rising above 10%in those over 60 due to factors like diabetes and smoking.Post-revasculariz... BACKGROUND Peripheral artery disease(PAD)affects millions globally,with a 5.6%prevalence in 2015 impacting 236 million adults,rising above 10%in those over 60 due to factors like diabetes and smoking.Post-revascularization,single antiplatelet therapy(SAPT)is standard,but dual antiplatelet therapy(DAPT)may improve outcomes,though duration and bleeding risks are unclear.The 2024 American College of Cardiology/American Heart Association guidelines endorse short-term DAPT,yet evidence gaps remain in comparative efficacy and safety.We hypothesized that DAPT reduces cardiovascular events and reinterventions vs SAPT without significantly elevating bleeding in PAD patients’post-lower extremity revascularization.AIM To evaluate the efficacy and safety of DAPT vs SAPT in PAD patients’post-revascularization.METHODS This systematic review and meta-analysis followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines,searching PubMed,EMBASE,and ScienceDirect up to July 2025.Included were randomized controlled trials(RCTs)and cohort studies from various global settings(e.g.,hospitals,tertiary care)comparing DAPT(aspirin plus P2Y12 inhibitor for>1 month)to SAPT in symptomatic PAD patients undergoing endovascular or surgical revascularization(n up to 28244 participants selected via eligibility criteria).Data were pooled using random-effects models for risk ratio(RR)with 95%CI;heterogeneity was assessed via the I²statistic.Quality appraisal used Risk of Bias in Non-randomized Studies of Interventions for cohorts and Risk of Bias 2.0 for RCTs;certainty was evaluated via Grading of Recommendations Assessment,Development and Evaluation(GRADE).RESULTS Twelve studies(3 RCTs,9 cohorts,conducted 2010–2025 with follow-ups of 6 months to 5 years)were included.DAPT showed no significant difference but a trend toward reduced all-cause mortality(RR:0.52,95%CI:0.27–1.01,P=0.05,DAPT of 298/9545 events vs SAPT of 165/566 events)or stroke(RR:0.72,95%CI:0.30–1.72,P=0.46,DAPT of 16/3729 events vs SAPT of 41/7673 events)vs SAPT.DAPT significantly reduced cardiac mortality(RR:0.46,95%CI:0.27–0.80,P=0.006,DAPT of 78/2903 events vs SAPT of 171/1465 events,risk difference:-5.4%),myocardial infarction(RR:0.82,95%CI:0.71–0.94,P=0.004,DAPT of 233/7704 events vs SAPT of 262/9130 events,risk difference:-1.8%),and major reintervention(RR:0.58,95%CI:0.35–0.98,P=0.04,DAPT of 803/205 events vs SAPT of 1197/4 events,risk difference:-42%).Bleeding showed no difference(RR:1.12,95%CI:0.42–3.03,P=0.82,DAPT of 195/2775 events vs SAPT of 202/8234 events).Heterogeneity was high(I^(2)=59%–97%).Quality revealed moderate to serious bias in cohorts and some concerns in RCTs;GRADE certainty moderate for cardiac mortality,myocardial infarction,reintervention,low for others due to inconsistency and imprecision.CONCLUSION DAPT reduces cardiac mortality,myocardial infarction,and major reintervention risks compared to SAPT in PAD post-revascularization without apparent bleeding increase,though limited by heterogeneity and low certainty for some outcomes. 展开更多
关键词 Peripheral artery disease Dual antiplatelet therapy Single antiplatelet therapy lower extremity revascularization Endovascular intervention Surgical bypass Cardiovascular outcomes Bleeding risk
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Lower Bound of Distance Between Unitary Orbits of Normal Elements in C^(*)-algebras of Tracial Rank One
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作者 WANG Ruofei LUO Zheng 《数学进展》 北大核心 2026年第1期171-182,共12页
This paper studies certain estimates for the lower bound of distance between unitary orbits of normal elements.We show that the distance between unitary orbits of normal elements of simple C^(*)-algebras of tracial ra... This paper studies certain estimates for the lower bound of distance between unitary orbits of normal elements.We show that the distance between unitary orbits of normal elements of simple C^(*)-algebras of tracial rank no more than k has a lower bound.Furthermore,if k≤1 and normal elements are commuting,then the lower bound will be better.Another result establishes a connection involving the spectrum distance operator Dc between a C^(*)-algebra of stable rank one C^(*)-algebra and its hereditary C^(*)-subalgebra. 展开更多
关键词 unitary orbit hereditary C^(*)-subalgebra tracial rank one lower bound
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Effect of neurodynamic mobilization on lower limb function in patients with mild post-traumatic knee osteoarthritis
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作者 Jun-Rong Hu Meng-Xiao He +4 位作者 Shan-Shan Wei Han-Wen Ren Cheng-Hao Liu Xiao-Long Liu Zhen-Cheng Chen 《World Journal of Orthopedics》 2026年第1期106-118,共13页
BACKGROUND The therapeutic role of neurodynamic mobilization in improving lower limb function in patients with mild post-traumatic knee osteoarthritis remains poorly understood.AIM To further elucidate the role of neu... BACKGROUND The therapeutic role of neurodynamic mobilization in improving lower limb function in patients with mild post-traumatic knee osteoarthritis remains poorly understood.AIM To further elucidate the role of neurodynamic mobilization in facilitating knee joint functional recovery.METHODS Thirty-two patients with post-traumatic knee osteoarthritis treated at Chonghua Hospital of Traditional Chinese Medicine(Guilin)from March 2024 to August 2025 were randomly assigned to a control group(n=16)or an intervention group(n=16).Both groups received eight weeks of conventional treatment;and the intervention group additionally underwent neurodynamic mobilization.Outcomes including pain assessed by the visual analogue scale,active range of motion,Lysholm score,stork stand test,single hop test,and Y-balance test were assessed before and after the intervention.RESULTS There were no significant differences between the two groups in baseline characteristics,including gender,age,body mass index,or surgical side(P>0.05).Two-way repeated-measures analysis of variance demonstrated significant time×group interaction effects for the visual analogue scale score(F=13.364,P<0.05),Lysholm knee score(F=20.385,P<0.05),stork stand test(F=103.756,P<0.05),and Y-balance test score(F=8.089,P<0.05).CONCLUSION Neurodynamic mobilization effectively reduces pain,improves knee function,and enhances lower limb balance in patients with mild post-traumatic knee osteoarthritis. 展开更多
关键词 Mild post-traumatic knee osteoarthritis Neurodynamic mobilization lower limb function Randomized controlled trial REHABILITATION
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Feasibility of water vapor thermal therapy for treating lower urinary tract symptoms in men with localized prostate cancer on active surveillance:a case series
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作者 Mustufa Babar Farooz Babar +2 位作者 Noah Hawks-Ladds Justin Loloi Michael Ciatto 《The Canadian Journal of Urology》 2026年第1期193-199,共7页
Background:Prostate cancer is a common malignancy,with many men on active surveillance for localized,low-risk disease also experiencing lower urinary tract symptoms(LUTS)from benign prostatic hyperplasia(BPH).Water Va... Background:Prostate cancer is a common malignancy,with many men on active surveillance for localized,low-risk disease also experiencing lower urinary tract symptoms(LUTS)from benign prostatic hyperplasia(BPH).Water Vapor Thermal Therapy(WVTT)is a minimally invasive BPH treatment,but its safety and efficacy in this setting are unclear.Case Description:We report three men with localized PCa on active surveillance who underwent WVTT for LUTS.Conclusions:WVTT appears safe and potentially effective in treating LUTS,especially in those with lower-risk disease and smaller prostate volumes.Further research is needed to confirm safety,efficacy,and optimal patient selection. 展开更多
关键词 lower urinary tract symptoms benign prostatic hyperplasia prostatic neoplasms active surveillance case report
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Classification Method of Lower Limbs Motor Imagery Based on Functional Connectivity and Graph Convolutional Network
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作者 Yang Liu Qi Lu +2 位作者 Junjie Wu Huaichang Yin Shiwei Cheng 《Computers, Materials & Continua》 2026年第3期1674-1689,共16页
The development of brain-computer interfaces(BCI)based on motor imagery(MI)has greatly improved patients’quality of life with movement disorders.The classification of upper limb MI has been widely studied and applied... The development of brain-computer interfaces(BCI)based on motor imagery(MI)has greatly improved patients’quality of life with movement disorders.The classification of upper limb MI has been widely studied and applied in many fields,including rehabilitation.However,the physiological representations of left and right lower limb movements are too close and activated deep in the cerebral cortex,making it difficult to distinguish their features.Therefore,classifying lower limbs motor imagery is more challenging.In this study,we propose a feature extraction method based on functional connectivity,which utilizes phase-locked values to construct a functional connectivity matrix as the features of the left and right legs,which can effectively avoid the problem of physiological representations of the left and right lower limbs being too close to each other during movement.In addition,considering the topology and the temporal characteristics of the electroencephalogram(EEG),we designed a temporal-spatial convolutional network(TSGCN)to capture the spatiotemporal information for classification.Experimental results show that the accuracy of the proposed method is higher than that of existing methods,achieving an average classification accuracy of 73.58%on the internal dataset.Finally,this study explains the network mechanism of left and right foot MI from the perspective of graph theoretic features and demonstrates the feasibility of decoding lower limb MI. 展开更多
关键词 Brain-computer interface lower limb motor imagery functional connectivity temporal-spatial convolutional network
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Deep Learning in Electromyography Signal-based Lower Limb Angle Prediction and Activity Classification
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作者 Gundala Jhansi Rani Mohammad Farukh Hashmi 《Journal of Bionic Engineering》 2026年第1期274-290,共17页
This research presents a Human Lower Limb Activity Recognition(HLLAR)system that identifies specific activities and predicts the angles of the knees simultaneously,based on the EMG signals.The HLLAR systems streamline... This research presents a Human Lower Limb Activity Recognition(HLLAR)system that identifies specific activities and predicts the angles of the knees simultaneously,based on the EMG signals.The HLLAR systems streamlines the research on the lower limb activities.The HILLAR model includes Discrete Hermite Wavelets Transform-based Synchrosqueezing(DHWTS),Deep Two-Layer Multiscale Convolutional Neural Network(DTLMCNN),and Generalized Regression Neural Network(GRNN)as feature extraction,activity recognition,and knee angle prediction respectively.Electromyography signal-based automatic lower limb activity detection is crucial to rehabilitation and human movement analysis.Yet several of these methods face issues in feature extraction in complex data,overlapping signals,extraction of crucial parameters,and adaptation constraints.This research aims classify lower limb activities and predict knee joint angles from electromy-ography signals using HILLAR model.The model is validated on two datasets,comprising 26 subjects performing three classes of activities:walking,standing,and sitting.The proposed model obtained a classification accuracy of 99.95%,along with significant achievements in precision(99.93%),recall(99.91%),and F1-score(99.93%).The generalized regression neural network predicted angles of the knee joint with a root mean squared error of 1.25%.Robustness is demonstrated through consistent results in five-fold cross-validation and statistical significance testing(p-value=0.004,McNemar's test).Additionally,the proposed model showed superior performance over baseline methods by reducing error rates by 18%and decreasing processing time to 0.98 s. 展开更多
关键词 ELECTROMYOGRAPHY lower limb motion recognition Knee joint angle prediction Convolutional neural network Wavelet transform
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Repetitive transcranial magnetic stimulation for lower extremity motor function in patients with stroke:a systematic review and network meta-analysis 被引量:36
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作者 Yun-Juan Xie Yi Chen +3 位作者 Hui-Xin Tan Qi-Fan Guo Benson Wui-Man Lau Qiang Gao 《Neural Regeneration Research》 SCIE CAS CSCD 2021年第6期1168-1176,共9页
Transcranial magnetic stimulation,a type of noninvasive brain stimulation,has become an ancillary therapy for motor function rehabilitation.Most previous studies have focused on the effects of repetitive transcranial ... Transcranial magnetic stimulation,a type of noninvasive brain stimulation,has become an ancillary therapy for motor function rehabilitation.Most previous studies have focused on the effects of repetitive transcranial magnetic stimulation(rTMS)on motor function in stroke patients.There have been relatively few studies on the effects of different modalities of rTMS on lower extremity motor function and corticospinal excitability in patients with stroke.The MEDLINE,Embase,Cochrane Library,ISI Science Citation Index,Physiotherapy Evidence Database,China National Knowledge Infrastructure Library,and ClinicalTrials.gov databases were searched.Parallel or crossover randomized controlled trials that addressed the effectiveness of rTMS in patients with stroke,published from inception to November 28,2019,were included.Standard pairwise meta-analysis was conducted using R version 3.6.1 with the“meta”package.Bayesian network analysis using the Markov chain Monte Carlo algorithm was conducted to investigate the effectiveness of different rTMS protocol interventions.Network meta-analysis results of 18 randomized controlled trials regarding lower extremity motor function recovery revealed that low-frequency rTMS had better efficacy in promoting lower extremity motor function recovery than sham stimulation.Network meta-analysis results of five randomized controlled trials demonstrated that highfrequency rTMS led to higher amplitudes of motor evoked potentials than low-frequency rTMS or sham stimulation.These findings suggest that rTMS can improve motor function in patients with stroke,and that low-frequency rTMS mainly affects motor function,whereas high-frequency rTMS increases the amplitudes of motor evoked potentials.More highquality randomized controlled trials are needed to validate this conclusion.The work was registered in PROSPERO(registration No.CRD42020147055)on April 28,2020. 展开更多
关键词 cortical excitability lower extremity motor function network meta-analysis noninvasive brain stimulation STROKE systematic review transcranial magnetic stimulation
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A New Species of Huaxiapterus (Pterosauria: Pterodactyloidea) from the Lower Cretaceous of Western Liaoning, China with Comments on the Systematics of Tapejarid Pterosaurs 被引量:5
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作者 Lü Junchang JIN Xingsheng +3 位作者 David M. UNWIN ZHAO Lijun AZUMA Yoichi JI Qiang 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2006年第3期315-326,共12页
A new species of tapejarid pterosaur, Huaxiapterus coroUatus sp. nov. is erected on the basis of a nearly complete skull and postcranial skeleton from the Lower Cretaceous Jiufotang Formation of Liaoning Province, Chi... A new species of tapejarid pterosaur, Huaxiapterus coroUatus sp. nov. is erected on the basis of a nearly complete skull and postcranial skeleton from the Lower Cretaceous Jiufotang Formation of Liaoning Province, China. Huaxiapterus coroUatus sp. nov. is characterized by a hatchet-shaped rectangular process on the premaxilla, whose short axis is perpendicular to the anterior margin of the premaxillae. Except for this process, other characters of the skull such as the breadth of the snout between the anterior margin of the nasoantorbital fenestra and the anterior margin of the premaxilla are similar to that of Huaxiapterus jii. Huaxiapterus and a second Chinese tapejarid, Sinopterus, share several unique cranial characters in common with Tapejara and these three genera appear to be more closely related to each other than to other azhdarchoids. The Chinese tapejarids (Sinopterus and Huaxiapterus) have relatively elongate skulls and weakly developed cranial crests and seem to be less derived than Tapejara, with its shorter, deeper skull and large cranial crest. Tupuxuarids (Tupuxuara and Thalassodromeus) have often been associated with tapejarids in the family Tapejaridae, but this relationship is controversial because some phylogenetic analyses have supported the pairing of tupuxuarids with Azhdarchidae. We propose that Tapejaridae be restricted to Tapejara, Sinopterus and Huaxiapterus. 展开更多
关键词 PTEROSAURIA Azhdarchoidea Tapejaridae Jiufotang Formation lower Cretaceous China
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Lower extremity amputations and long-term outcomes in diabetic foot ulcers:A systematic review 被引量:8
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作者 Ayeshmanthe Rathnayake Apoorva Saboo +1 位作者 Usman H Malabu Henrik Falhammar 《World Journal of Diabetes》 SCIE CAS 2020年第9期391-399,共9页
BACKGROUNDDiabetes mellitus causes a large majority of non-traumatic major and minoramputations globally. Patients with diabetes are clinically complex with amultifactorial association between diabetic foot ulcers (DF... BACKGROUNDDiabetes mellitus causes a large majority of non-traumatic major and minoramputations globally. Patients with diabetes are clinically complex with amultifactorial association between diabetic foot ulcers (DFU) and subsequentlower extremity amputations (LEA). Few studies show the long-term outcomeswithin the cohort of DFU-associated LEA.AIMTo highlight the long-term outcomes of LEA as a result of DFU.METHODSPubMed/MEDLINE and Google Scholar were searched for key terms, “diabetes”,“foot ulcers”, “amputations” and “outcomes”. Outcomes such as mortality, reamputation,re-ulceration and functional impact were recorded. Peer-reviewedstudies with adult patients who had DFU, subsequent amputation and follow upof at least 1 year were included. Non-English language articles or studiesinvolving children were excluded.RESULTSA total of 22 publications with a total of 2334 patients were selected against theinclusion criteria for review. The weighted mean of re-amputation was 20.14%,29.63% and 45.72% at 1, 3 and 5 years respectively. The weighted mean of mortality at 1, 3 and 5 years were 13.62%, 30.25% and 50.55% respectively withsignificantly higher rates associated with major amputation, re-amputation andischemic cardiomyopathy.CONCLUSIONPrevious LEA, level of the LEA and patient comorbidities were significant riskfactors contributing to re-ulceration, re-amputation, mortality and depreciatedfunctional status. 展开更多
关键词 lower extremity amputations Long-term outcomes Diabetic foot ulcers Quality of life Re-amputation DIABETES
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Sedimentary system characteristics and depositional filling model of Upper Permian——Lower Triassic in South Yellow Sea Basin 被引量:8
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作者 YUAN Yong CHEN Jian-wen +3 位作者 ZHANG Yin-g ZHANG Yu-xi LIANG Jie ZHANG Peng-hui 《Journal of Central South University》 SCIE EI CAS CSCD 2018年第12期2910-2928,共19页
In the South Yellow Sea Basin,Mesozoic–Paleozoic marine strata are generally well developed with large thickness,and no substantial breakthroughs have been made in hydrocarbon exploration.Through research,it is belie... In the South Yellow Sea Basin,Mesozoic–Paleozoic marine strata are generally well developed with large thickness,and no substantial breakthroughs have been made in hydrocarbon exploration.Through research,it is believed that the Upper Permian–Lower Triassic can be regarded as a long-term base-level cycle.Based on drilling data,characteristics of the lithology–electric property combination cyclicity,and the special lithology,the long-term base-level cycle was divided into five medium-term base-level cycles(MC1–MC5).On this basis,the Permian–Triassic sedimentary systems and their filling model were analyzed in accordance with the change of base-level cycle and transition of sedimentary environment,as well as characteristics of the drilling sedimentary facies and seismic facies.The results show that there were six sedimentary systems(fluvial,delta,tidal flat,open platform,restricted platform,and continental shelf)developed in the Upper Permian–Lower Triassic,the sedimentary systems were distributed such that the water was deep in the northwest and shallow in the southeast,and there were two base-level cycle filling models(a relatively stable tidal flat facies and a rapidly transgressive continental shelf facies to stable platform facies)developed in the Upper Permian–Lower Triassic.These models can provide a basis for evaluation of the Mesozoic–Paleozoic hydrocarbon geology in the South Yellow Sea Basin. 展开更多
关键词 sequence base-level cycle sedimentary system depositional filling model Upper Permian–lower Triassic South Yellow Sea Basin
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Reconstruction of paleo river systems and distribution of sedimentary facies of Shanxi and lower Shihezi formations in southern Ordos basin 被引量:11
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作者 WANG Chao-yong WANG Ze-cheng +2 位作者 WANG Ji-lin BAO Yuan HU Xiu-mei 《Journal of China University of Mining and Technology》 EI 2008年第2期241-244,共4页
The study area is located in the south of Huanxian county,in Yan'an and Puxian counties and to the north of Xi'an.The Shanxi and lower Shihezi formations are important gas-bearing formations.Given our analysis... The study area is located in the south of Huanxian county,in Yan'an and Puxian counties and to the north of Xi'an.The Shanxi and lower Shihezi formations are important gas-bearing formations.Given our analysis of the direction of rivers,the contents of stable heavy minerals and of feldspar of palaeo river systems,the study area is divided into six palaeodrainage patterns corresponding to six feldspar regions and six sedimentary facies regions.On this basis,the distribution of sedimentary facies was also analyzed.During the Shanxi stage,a delta front was deposited in the Huanxian region and delta plains and fronts were deposited in the Pingliang,Chunhua-Yaoxian and Hancheng-Chengcheng regions.In the Yan'an-Daning region,only a delta front was developed.The distribution of sedimentary facies in the earlier Shihezi stage originated from the Shanxi stage.A delta front was developed in the Huanxian region while a delta plain and front developed in the Pingliang-Zhenyuan region during the same time.Lakes originated only in the Zhenyuan-Huanxian-Huachi-Zhengning and Daning-Jixian zones.This analytical method shows that different palaeodrainage patterns can be effectively distinguished in order to forecast sedimentary facies. 展开更多
关键词 Ordos basin Shanxi formation lower Shihezi formation sedimentary facies palaeodrainage patterns
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Systematic Review on Wearable Lower Extremity Robotic Exoskeletons for Assisted Locomotion 被引量:4
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作者 Shuang Qiu Zhongcai Pei +1 位作者 Chen Wang Zhiyong Tang 《Journal of Bionic Engineering》 SCIE EI CSCD 2023年第2期436-469,共34页
Lower extremity robotic exoskeletons(LEEX)can not only improve the ability of the human body but also provide healing treatment for people with lower extremity dysfunction.There are a wide range of application needs a... Lower extremity robotic exoskeletons(LEEX)can not only improve the ability of the human body but also provide healing treatment for people with lower extremity dysfunction.There are a wide range of application needs and development prospects in the military,industry,medical treatment,consumption and other felds,which has aroused widespread concern in society.This paper attempts to review LEEX technical development.First,the history of LEEX is briefy traced.Second,based on existing research,LEEX is classifed according to auxiliary body parts,structural forms,functions and felds,and typical LEEX prototypes and products are introduced.Then,the latest key technologies are analyzed and summarized,and the research contents,such as bionic structure and driving characteristics,human–robot interaction(HRI)and intentawareness,intelligent control strategy,and evaluation method of power-assisted walking efciency,are described in detail.Finally,existing LEEX problems and challenges are analyzed,a future development trend is proposed,and a multidisciplinary development direction of the key technology is provided. 展开更多
关键词 lower extremity robotic exoskeletons Bionic robot Classifcation method Human-robot interaction Biomechatronic
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Extended state observer for uncertain lower triangular nonlinear systems subject to stochastic disturbance 被引量:4
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作者 Zehao WU Baozhu GUO 《Control Theory and Technology》 EI CSCD 2016年第3期179-188,共10页
The extended state observer(ESO)is the most important part of an emerging control technology known as active disturbance rejection control to this day,aiming at estimating"total disturbance"from observable m... The extended state observer(ESO)is the most important part of an emerging control technology known as active disturbance rejection control to this day,aiming at estimating"total disturbance"from observable measured output.In this paper,we construct a nonlinear ESO for a class of uncertain lower triangular nonlinear systems with stochastic disturbance and show its convergence,where the total disturbance includes internal uncertain nonlinear part and external stochastic disturbance.The numerical experiments are carried out to illustrate effectiveness of the proposed approach. 展开更多
关键词 Extended state observer stochastic disturbance lower triangular nonlinear systems
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LOWER BOUNDS OF BLOW UP TIME FOR A SYSTEM OF SEMI-LINEAR HYPERBOLIC PETROVSKY EQUATIONS 被引量:2
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作者 Amir PEYRAVI 《Acta Mathematica Scientia》 SCIE CSCD 2016年第3期683-688,共6页
Li et al. in [3] obtained blow-up results for a system of Petrovskey equations in some different cases. In this article we obtain lower bounds for the blow up time under some considerations on initial data.
关键词 lower bound blow up Petrovsky systems
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Prostate artery embolization on lower urinary tract symptoms related to benign prostatic hyperplasia: A systematic review and metaanalysis 被引量:5
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作者 Xiao-Yan Wang Yu-Meng Chai +1 位作者 Wen-Hui Huang Yong Zhang 《World Journal of Clinical Cases》 SCIE 2022年第32期11812-11826,共15页
BACKGROUND Prostate artery embolization(PAE)is a promising minimally invasive therapy that improves lower urinary tract symptoms(LUTS)related to benign prostatic hyperplasia(BPH).Transurethral resection of the prostat... BACKGROUND Prostate artery embolization(PAE)is a promising minimally invasive therapy that improves lower urinary tract symptoms(LUTS)related to benign prostatic hyperplasia(BPH).Transurethral resection of the prostate(TURP)is the gold standard therapy for LUTS/BPH.AIM To evaluate the efficacy and safety of PAE vs TURP on LUTS related to BPH.METHODS A literature review was performed to identify all published articles on PAE vs TURP for LUTS/BPH.Sources included PubMed,Embase,Cochrane library databases,and Chinese databases before June 2022.A systematic review and meta-analysis were conducted.Outcome measurements were combined by calculating the mean difference with a 95%confidence interval.Statistical analysis was carried out using Review Manager 5.3.RESULTS Eleven studies involving 1070 participants were included.Compared with the TURP group,the PAE group had a similar effect on the International Index of Erectile Function(IPSS)score,Peak urinary flow rate(Qmax),postvoid residual volume(PVR),Prostate volume(PV),prostatic specific antigen(PSA),The International Index of Erectile Function short form(IIEF-5)scores,and erectile dysfunction during 24 mo follow-up.Lower quality of life(QoL)score,lower rate of retrograde ejaculation and shorter hospital stay in the PAE group.There was no participant death in either group.A higher proportion of haematuria,urinary incontinence and urinary stricture was identified in the TURP group.CONCLUSION PAE may be an appropriate option for elderly patients,patients who are not candidates for surgery,and patients who do not want to risk the potential adverse effects of TURP.Studies with large cases and long follow-up time are needed to validate results. 展开更多
关键词 lower urinary tract symptoms Benign prostatic hyperplasia META-ANALYSIS Prostate artery embolization Transurethral resection of the prostate
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Dynamic simulation of differential accumulation history of deep marine oil and gas in superimposed basin:A case study of Lower Paleozoic petroleum system of Tahe Oilfield,Tarim Basin,NW China 被引量:3
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作者 LI Bin ZHONG Li +4 位作者 LYU Haitao YANG Suju XU Qinqi ZHANG Xin ZHENG Binsong 《Petroleum Exploration and Development》 SCIE 2024年第5期1217-1231,共15页
According to the complex differential accumulation history of deep marine oil and gas in superimposed basins,the Lower Paleozoic petroleum system in Tahe Oilfield of Tarim Basin is selected as a typical case,and the p... According to the complex differential accumulation history of deep marine oil and gas in superimposed basins,the Lower Paleozoic petroleum system in Tahe Oilfield of Tarim Basin is selected as a typical case,and the process of hydrocarbon generation and expulsion,migration and accumulation,adjustment and transformation of deep oil and gas is restored by means of reservoine-forming dynamics simulation.The thermal evolution history of the Lower Cambrian source rocks in Tahe Oilfield reflects the obvious differences in hydrocarbon generation and expulsion process and intensity in different tectonic zones,which is the main reason controlling the differences in deep oil and gas phases.The complex transport system composed of strike-slip fault and unconformity,etc.controlled early migration and accumulation and late adjustment of deep oil and gas,while the Middle Cambrian gypsum-salt rock in inner carbonate platform prevented vertical migration and accumulation of deep oil and gas,resulting in an obvious"fault-controlled"feature of deep oil and gas,in which the low potential area superimposed by the NE-strike-slip fault zone and deep oil and gas migration was conducive to accumulation,and it is mainly beaded along the strike-slip fault zone in the northeast direction.The dynamic simulation of reservoir formation reveals that the spatio-temporal configuration of"source-fault-fracture-gypsum-preservation"controls the differential accumulation of deep oil and gas in Tahe Oilfield.The Ordovician has experienced the accumulation history of multiple periods of charging,vertical migration and accumulation,and lateral adjustment and transformation,and deep oil and gas have always been in the dynamic equilibrium of migration,accumulation and escape.The statistics of residual oil and gas show that the deep stratum of Tahe Oilfield still has exploration and development potential in the Ordovician Yingshan Formation and Penglaiba Formation,and the Middle and Upper Cambrian ultra-deep stratum has a certain oil and gas resource prospect.This study provides a reference for the dynamic quantitative evaluation of deep oil and gas in the Tarim Basin,and also provides a reference for the study of reservoir formation and evolution in carbonate reservoir of paleo-craton basin. 展开更多
关键词 superimposed basin Tarim Basin marine carbonate rock oil and gas differential accumulation dynamic accumulation simulation fluid potential technology Tahe Oilfield lower Paleozoic petroleum system simulation deep and ultra-deep strata
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Impaired consciousness caused by injury of the lower ascending reticular activating system: evaluation by diffusion tensor tractography 被引量:2
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作者 Sung Ho Jang Seong Ho Kim Han Do Lee 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第2期352-352,共1页
A 34-year-old male patient underwent conservative management for traumatic hemorrhage in the right frontal lobe(Figure 1A).The patient lost consciousness for approximately 4 weeks and experienced post-traumatic amne... A 34-year-old male patient underwent conservative management for traumatic hemorrhage in the right frontal lobe(Figure 1A).The patient lost consciousness for approximately 4 weeks and experienced post-traumatic amnesia continuously from the time of the accident.The patient’s Glasgow Coma Scale score(Teasdale et al.,1974)was 6 展开更多
关键词 ARAS Impaired consciousness caused by injury of the lower ascending reticular activating system evaluation by diffusion tensor tractography Figure
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Efficacy and safety of solifenacin plus tamsulosin oral controlled absorption system in men with lower urinary tract symptoms: a meta-analysis 被引量:1
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作者 Ming-Chao Li Zheng-Yun Wang +5 位作者 Jun Yang Xiao-Lin Guo Tao Wang Shao-Gang Wang Ji-Hong Liu Zhang-Qun Ye 《Asian Journal of Andrology》 SCIE CAS CSCD 2015年第1期124-134,I0011,共12页
We performed a meta-analysis to compare treatment with a combination of solifenacin plus tamsulosin oral controlled absorption system (TOCAS) with placebo or TOCAS monotherapy. The aim of the meta-analysis was to cl... We performed a meta-analysis to compare treatment with a combination of solifenacin plus tamsulosin oral controlled absorption system (TOCAS) with placebo or TOCAS monotherapy. The aim of the meta-analysis was to clarify the efficacy and safety of the combination treatments method for lower urinary tract symptoms (LUTS). We searched for trials of men with LUTS that were randomized to combination treatment compared with TOCAS monotherapy or placebo. We pooled data from three placebo-controlled trials meeting inclusion criteria. Primary outcomes of interest included changes in International Prostate Symptom Score (IPSS) and urinary frequency. We also assessed postvoid residual, maximum urinary flow rate, incidence of urinary retention (UR), adverse events. Data were pooled using random or fixed effect models for continuous outcomes and the ManteI-Haenszel method to generate risk ratio. Reductions in IPSS storage subscore and total urgency and frequency score (TUFS) were observed with solifenacin 6 mg plus TOCAS compared with placebo (P 〈 0.0001 and P 〈 0.0001, respectively). Reductions in IPSS storage subscore and TUFS were observed with solifenacin 9 mg plus TOCAS compared with placebo (P= 0.003 and P = 0.0006, respectively). Reductions in TUFS was observed with solifenacin 6 mg plus TOCAS compared with TOCAS (P = 0.01). Both combination treatments were well tolerated, with low incidence of UR. Solifenacin 6 mg plus TOCAS significantly improved total IPSS, storage and voiding symptoms compared with placebo. Solifenacin 6 mg plus TOCAS also improved storage symptoms compared with TOCAS alone. There was no additional benefit of solifenacin 9 mg compared with 6 mg when used in combination with TOCAS. 展开更多
关键词 combination therapy lower urinary tract symptoms SOLIFENACIN tamsulosin oral controlled absorption system
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A Survey of Lower Limb Rehabilitation Systems and Algorithms Based on Functional Electrical Stimulation 被引量:1
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作者 Mingxu Sun Xueyan Wu Qi Liu 《Computers, Materials & Continua》 SCIE EI 2020年第1期281-292,共12页
Functional electrical stimulation is a method of repairing a dysfunctional limb in a stroke patient by using low-intensity electrical stimulation.Currently,it is widely used in smart medical treatment for limb rehabil... Functional electrical stimulation is a method of repairing a dysfunctional limb in a stroke patient by using low-intensity electrical stimulation.Currently,it is widely used in smart medical treatment for limb rehabilitation in stroke patients.In this paper,the development of FES systems is sorted out and analyzed in a time order.Then,the progress of functional electrical stimulation in the field of rehabilitation is reviewed in details in two aspects,i.e.,system development and algorithm progress.In the system aspect,the development of the first FES control and stimulation system,the core of the lower limb-based neuroprosthesis system and the system based on brain-computer interface are introduced.The algorithm optimization for control strategy is introduced in the algorithm.Asynchronous stimulation to prolong the function time of the lower limbs and a method to improve the robustness of knee joint modeling using neural networks.Representative applications in each of these aspects have been investigated and analyzed. 展开更多
关键词 Functional electrical stimulation lower limb systems ALGORITHMS REHABILITATION
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Design and Simulation for the Pulse High-Voltage DC Power Supply (HVPS) of 1.2 MW/2.45 GHz HT-7U Lower Hybrid Current Drive System 被引量:2
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作者 黄懿赟 匡光力 +5 位作者 徐伟华 刘保华 林建安 吴君闩 郑光华 杨春生 《Plasma Science and Technology》 SCIE EI CAS CSCD 2000年第6期537-548,共12页
The superconducting tokamak HT-7U [1] has been designed by the Institute of Plasma Physics since 1998 and will be set up before 2003. The 1.2 MW /2.45 GHz HT-7U LHCD (Lower hybrid current drive) system which being the... The superconducting tokamak HT-7U [1] has been designed by the Institute of Plasma Physics since 1998 and will be set up before 2003. The 1.2 MW /2.45 GHz HT-7U LHCD (Lower hybrid current drive) system which being the most efficient non-induction device can heat the plasma and drive the plasma current has been efficiently in operation 'owl and a particular design of the 2.8 MW/-35 kV high-voltage DC power supply has been already completed and will apply to the klystron of LHCD on HT-7 and the future HT-7U, and the project of the power supply has been examined and approved professionally by an authorized group of high-level specialist in the institute of Plasma Physics. The detailed design of the power supply and the simulation results are referred in the paper. 展开更多
关键词 of 1.2 MW/2.45 GHz HT-7U lower Hybrid Current Drive system LHCD DC Design and Simulation for the Pulse High-Voltage DC Power Supply HVPS HT
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