Phrenic nerve stimulation(PNS)may preserve diaphragm activation and mitigate multiorgan injury during mechanical ventilation(MV);however,a minimal invasive rat model integrating PNS with MV is lacking.We established a...Phrenic nerve stimulation(PNS)may preserve diaphragm activation and mitigate multiorgan injury during mechanical ventilation(MV);however,a minimal invasive rat model integrating PNS with MV is lacking.We established an omohyoid muscle-based PNS rat model combined with MV.Bilateral nerves were exposed within 20±2 min by transection at the intermediate tendon of omohyoid muscle,minimizing trauma and bleeding.Threshold stimulation(0.6±0.2 mA)correlated with body weight.Ventilator-synchronized stimulation increased compound muscle action potentials by~30%,whereas histology confirmed intact nerve.Physiological parameters remained stable throughout ventilation.This model provides a safe and scalable platform for mechanistic and preclinical studies on PNS-mediated protection against MV-induced organ injury.展开更多
Objective:To investigate the application effect of intelligent empowerment standardized airway management process in patients receiving mechanical ventilation.Methods:A retrospective analysis was conducted on the clin...Objective:To investigate the application effect of intelligent empowerment standardized airway management process in patients receiving mechanical ventilation.Methods:A retrospective analysis was conducted on the clinical data of 79 EICU inpatients who underwent tracheal intubation and mechanical ventilation treatment at our hospital from January 2023 to May 2025.The patients were divided into a control group(conventional airway management process,n=40)and a study group(intelligent empowerment standardized airway management process,n=39)based on the intervention protocols they received.Oral health scores,dental plaque index,oral odor,serum inflammatory markers[C-reactive protein(CRP),procalcitonin(PCT)],clinical pulmonary infection score(CPIS),as well as the incidence of ventilator-associated pneumonia(VAP),duration of mechanical ventilation,and length of stay in the EICU were assessed before and after treatment.Results:The baseline values of all indicators were consistent between the two groups before intervention(p>0.05).After corresponding interventions,both groups showed significant improvements in Beck oral health scores,dental plaque index,and oral odor,with more pronounced improvements observed in the study group(p<0.05).After the intervention,the research group showed a significant decrease in serum CRP and PCT levels,as well as CPIS scores(p<0.05).In contrast,the control group experienced an increase in these three indicators to a certain extent(p<0.05).Moreover,the incidence of ventilator-associated pneumonia(VAP),duration of mechanical ventilation,and length of stay in the EICU were all lower in the research group compared to the control group,while the nurse’s compliance rate with the protocol was higher in the research group(p<0.05).Conclusion:The standardized airway management protocol empowered by intelligent technology can significantly improve nursing compliance,benefit oral health status,reduce the risk of pulmonary infection and systemic inflammation levels,and promote rapid patient recovery,demonstrating considerable potential for widespread adoption.展开更多
Prediction of weaning success from invasive mechanical ventilation remains a challenge in everyday clinical practice.Several prediction scores have been developed to guide success during spontaneous breathing trials t...Prediction of weaning success from invasive mechanical ventilation remains a challenge in everyday clinical practice.Several prediction scores have been developed to guide success during spontaneous breathing trials to help with weaning decisions.These scores aim to provide a structured framework to support clinical judgment.However,their effectiveness varies across patient populations,and their predictive accuracy remains inconsistent.In this review,we aim to identify the strengths and limitations of commonly used clinical prediction tools in assessing readiness for ventilator liberation.While scores such as the Rapid Shallow Breathing Index and the Integrative Weaning Index are widely adopted,their sensitivity and specificity often fall short in complex clinical settings.Factors such as underlying disease pathophysiology,patient characteristics,and clinician subjectivity impact score performance and reliability.Moreover,disparities in validation across diverse populations limit generalizability.With growing interest in artificial intelligence(AI)and machine learning,there is potential for enhanced prediction models that integrate multidimensional data and adapt to individual patient profiles.However,current AI approaches face challenges related to interpretability,bias,and ethical implementation.This paper underscores the need for more robust,individualized,and transparent prediction systems and advocates for careful integration of emerging technologies into clinical workflows to optimize weaning success and patient outcomes.展开更多
BACKGROUND Lung ultrasonography is being increasingly used in mechanically ventilated patients to evaluate the lung aeration during incremental positive end expiratory pressure(PEEP)adjustments and to evaluate the wea...BACKGROUND Lung ultrasonography is being increasingly used in mechanically ventilated patients to evaluate the lung aeration during incremental positive end expiratory pressure(PEEP)adjustments and to evaluate the weaning process from mechanical ventilation.The effects of PEEP may vary across different lung pathologies and may not consistently correlate with changes in lung aeration as assessed by lung ultrasound scores(LUSs).AIM To assess the role of lung ultrasonography in evaluating lung aeration during the application of PEEP in mechanically ventilated patients with various lung pathologies.METHODS An observational study was conducted over 18 months in a tertiary care hospital.Patients of both genders,aged between 18-75 years,who had been admitted to the intensive care unit,and required mechanical ventilation,were studied.A standard ventilatory strategy was used and incremental levels of PEEP[5,10,and 15 cm water(H_(2)O)]were applied.Baseline characteristics,including oxygen saturation(SpO2),LUS,mean arterial pressure(MAP),heart rate(HR),and their changes with incremental PEEP levels,were recorded and analyzed.RESULTS In this study,45.9%of patients required a PEEP of 5 cm H_(2)O to achieve the endpoint of lung aeration(LUS of 0).In addition,86.5% and 13.5% of patients reached the endpoint of lung aeration at PEEP levels of 10 and 15 cm H_(2)O,respectively.The proportion of patients with higher lung scores decreased significantly with increasing PEEP levels(P<0.001 for 5 and 10 cm H_(2)O and P=0.032 for 15 cm H_(2)O).SpO2 increased significantly with higher PEEP levels(P<0.001),confirming the effectiveness of PEEP in improving oxygenation.The results also revealed a significant increase in HR and a decrease in MAP following the application of higher PEEP levels.CONCLUSION Increasing PEEP levels in mechanically ventilated patients improves lung aeration,which can be effectively assessed using bedside lung ultrasonography.展开更多
Objective:To explore the role of lung ultrasound combined with multi-organ evaluation in assessing the risk of weaning from mechanical ventilation(MV)in severe patients.Methods:A retrospective analysis was conducted o...Objective:To explore the role of lung ultrasound combined with multi-organ evaluation in assessing the risk of weaning from mechanical ventilation(MV)in severe patients.Methods:A retrospective analysis was conducted on 60 severe patients admitted to the hospital from December 2022 to December 2024,all of whom underwent MV treatment.Based on weaning status,thirty-eight patients were successfully weaned(success group),and 22 patients failed weaning(failure group).All patients underwent lung ultrasound and multi-organ evaluation.The parameter differences between the two groups were compared,risk factors for weaning risk were evaluated,and a receiver operating characteristic curve(ROC)was drawn to assess the predictive value of lung ultrasound combined with multi-organ evaluation for weaning risk.Results:The lung ultrasound score(LUS)of the success group was lower than that of the failure group,the left ventricular ejection fraction(LVEF)was higher than that of the failure group,and the diaphragmatic excursion(DE)and diaphragmatic thickening fraction(DTF)were higher than those of the failure group(P<0.05).Multifactor analysis showed that LUS was a risk factor for weaning risk,while LVEF,DE,and DTF were protective factors(P<0.05).The ROC showed that the area under the curve(AUC)of a single parameter for weaning risk was smaller than that of the combined parameters(P<0.05).Conclusion:Lung ultrasound combined with multi-organ evaluation can predict the weaning risk of severe patients undergoing MV treatment,and the diagnostic efficiency of multiple parameters combined evaluation is higher.展开更多
Indoor air quality(IAQ)is often overlooked,yet a poorly maintained environment can lead to significant health issues and reduced concentration and productivity in work or educational settings.This study presents an in...Indoor air quality(IAQ)is often overlooked,yet a poorly maintained environment can lead to significant health issues and reduced concentration and productivity in work or educational settings.This study presents an innovative control system for mechanical ventilation specifically designed for university classrooms,with the dual goal of enhancing IAQ and increasing energy efficiency.Two classrooms with distinct construction characteristics were analyzed:one with exterior walls and windows,and the other completely underground.For each classroom,a model was developed using DesignBuilder software,which was calibrated with experimental data regarding CO_(2) concentration,temperature,and relative humidity levels.The proposed ventilation system operates based on CO_(2) concentration,relative humidity,and potential for free heating and cooling.In addition,the analysis was conducted for other locations,demonstrating consistent energy savings across different climates and environments,always showing an annual reduction in energy consumption.Results demonstrate that mechanical ventilation,when integrated with heat recovery and free cooling strategies,significantly reduces energy consumption by up to 25%,while also maintaining optimal CO_(2) levels to enhance comfort and air quality.These findings emphasize the essential need for well-designed mechanical ventilation systems to ensure both psychophysical well-being and IAQ in enclosed spaces,particularly in environments intended for extended occupancy,such as classrooms.Furthermore,this approach has broad applicability,as it could be adapted to various building types,thereby contributing to sustainable energy management practices and promoting healthier indoor spaces.This study serves as a model for future designs aiming to balance energy efficiency with indoor air quality,especially relevant in the post-COVID era,where the importance of indoor air quality has become more widely recognized.展开更多
Objective:To investigate the predictive value of diaphragm thickening fraction(DTF)combined with cough peak expiratory flow(CPEF)on the success rate of weaning from mechanical ventilation.Methods:The clinical data of ...Objective:To investigate the predictive value of diaphragm thickening fraction(DTF)combined with cough peak expiratory flow(CPEF)on the success rate of weaning from mechanical ventilation.Methods:The clinical data of patients undergoing invasive mechanical ventilation via oral endotracheal intubation in the ICU of our hospital from January 2022 to December 2023 were studied.All patients underwent a 30-minute spontaneous breathing trial(SBT)using low-level pressure support ventilation(PSV)after meeting the clinical weaning screening criteria.Among them,150 patients who met the clinical weaning criteria were weaned from the ventilator.They were divided into a successful weaning group(n=100)and a failed weaning group(n=50)based on the weaning outcome.Clinical data,including age,gender,APACHE II score,duration of mechanical ventilation,DTF,and CPEF,were collected from 150 patients.The differences in clinical data between the two groups were compared,and the correlation between DTF,CPEF,and the success rate of weaning was analyzed.Results:There were no significant differences between the two groups in gender ratio(χ^(2)=0.884,P=0.347>0.05),age(t=0.350,P=0.727>0.05),and APACHE II score(t=1.295,P=0.197>0.05),but there was a significant difference in the duration of mechanical ventilation(t=3.766,P<0.001).The DTF and CPEF values in the successful weaning group were significantly higher than those in the failed weaning group(P<0.05).ROC curves were drawn to predict the weaning results using DTF,CPEF,and the combination of DTF and CPEF.The results showed that the specificity of the combination of DTF and CPEF was comparable to that of either metric alone,but the sensitivity and AUC were significantly higher than those of either metric alone.Conclusion:The combination of DTF and CPEF can be used as an effective indicator to evaluate the weaning efficacy of mechanically ventilated patients,which has important clinical significance for guiding clinical weaning treatment,improving the success rate of weaning,reducing the incidence of ventilator-associated pneumonia,and shortening the length of hospital stay.展开更多
BACKGROUND:In this study,we aimed to evaluate the impact of mechanical ventilator(MV)utilizaton during cardiopulmonary resuscitation(CPR)on out-of-hospital cardiac arrest(OHCA)patient clinical outcomes in the emergenc...BACKGROUND:In this study,we aimed to evaluate the impact of mechanical ventilator(MV)utilizaton during cardiopulmonary resuscitation(CPR)on out-of-hospital cardiac arrest(OHCA)patient clinical outcomes in the emergency department.METHODS:This single-centered,retrospective,case-control study analyzed electronic medical records.Patients aged>18 years with non-traumatic OHCA who were treated at an emergency medical center between January 2019 and December 2023 were included.These patients were accessed according to the ventilatory method used:MV ventilation(volume control,tidal volume 6-8 mL/kg,frequency 10 beat per minute,inspiratory time 1 s)and manual resuscitator bag valve(BV)ventilation.The primary outcome was the return of spontaneous circulation(ROSC).After 1:1 propensity score matching,the clinical outcomes were analyzed.RESULTS:A total of 649 patients were enrolled in this study.Before matching,the clinical outcomes and pneumothorax incidence did not differ between the MV and BV groups.After 1:1 matching between the two groups using propensity scores,522 patients(261 MV and 261 BV)were analyzed.Propensity score matching yielded an adequate balance(standardized mean difference<0.10)for all covariates.The estimated odds ratio(OR)for ROSC was 1.23(95%confidence interval[CI]:0.85-1.77;P=0.267),for survival at hospital admission was 1.02(95%CI:0.68-1.53;P=0.918),for survival at hospital discharge was 2.31(95%CI:1.10-5.20;P=0.033),and for good neurologic outcome was 2.56(95%CI:0.84-9.43;P=0.116).CONCLUSION:In patients with OHCA admitted to the emergency department,MV ventilation during CPR showed clinical outcomes similar to those of BV ventilation in most measures.However,survival at hospital discharge was significantly higher in the MV group,suggesting potential benefits of MV use in selected patients.展开更多
Articular cartilage maintains joint homeostasis by adapting to mechanical loading,but both insufficient and excessive loading can impair cartilage integrity.Whether mechanical activity should be restricted in early os...Articular cartilage maintains joint homeostasis by adapting to mechanical loading,but both insufficient and excessive loading can impair cartilage integrity.Whether mechanical activity should be restricted in early osteoarthritis(OA),particularly among exercise enthusiasts,remains controversial.Here,we established in vitro and in vivo models of prolonged moderate mechanical loading(7.5%strain,1 Hz)and analyzed human cartilage from weight-bearing and non-weight-bearing regions using RNA sequencing.Prolonged exposure(≥12 h)significantly increased chondrocyte apoptosis(2.3-fold),reduced expression of the chondrogenic transcription factor SOX9 and the matrix markers COL2A1,and elevated nerve growth factor(NGF)expression(1.8-fold),accompanied by enrichment of neural sensitization and inflammatory pathways.Immunofluorescence staining revealed NGF accumulation in mechanically stressed cartilage.Unlike high-intensity stress,which led to immediate apoptosis,moderate loading induced a delayed pro-apoptotic response after 12 h.These findings indicate that prolonged moderate mechanical loading may promote chondrocyte apoptosis through an NGFmediated inflammatory microenvironment and provide mechanistic evidence suggesting that patients with early OA may benefit from limiting high-impact or prolonged moderate-intensity exercise sessions to prevent cartilage damage and guide rehabilitation.展开更多
The effects of channel segregation on the macro-and micro-scale chemical composition,microstructure,hardness,and tensile deformation behavior of Ti45Nb wires were investigated.The results show that wires with severe c...The effects of channel segregation on the macro-and micro-scale chemical composition,microstructure,hardness,and tensile deformation behavior of Ti45Nb wires were investigated.The results show that wires with severe channel segregation exhibit a macroscopic chemical composition identical to those without segregation,and 3D X-ray imaging result also reveals no abnormalities.After annealing,both types of wires exhibit an equiaxed single-phase microstructure with comparable grain sizes,suggesting that channel segregation has negligible influence on the macroscopic composition and grain size.Metallographic examination reveals that channel segregation manifests as spot-like features in the transverse section and band-like structures in the longitudinal section.EDS analysis identifies these regions as Ti-enriched segregations,with a Ti content higher than that of the surrounding matrix by approximately 4.42wt%.Compared to segregation-free wires,those containing extensive channel segregation demonstrate a 15.5%increase in ultimate tensile strength and a 12.3%increase in yield strength,but suffer a reduction in elongation and reduction of area by 19.8%and 18.9%,respectively.Furthermore,the mechanical properties of wires with segregation show significant fluctuations.Fractographic analysis reveals a larger fracture surface area in segregated wires.Severe dislocation pile-ups occur at the interfaces of these segregated regions,initiating microcrack nucleation.This promotes rapid crack propagation of the Ti45Nb wire,leading to a significant decrease in plasticity and reduction of area.展开更多
Silicon carbide fibers are considered ideal reinforcing materials for ceramic matrix composites due to their excellent mechanical properties and high-temperature performance.Different types of fibers necessitate indiv...Silicon carbide fibers are considered ideal reinforcing materials for ceramic matrix composites due to their excellent mechanical properties and high-temperature performance.Different types of fibers necessitate individual investigation due to variations in their composition and fabrication processes.This study presents a comprehensive investigation into evolution of the mechanical properties,surface microstructure,and composition of Shicolon-Ⅱ fibers subjected to argon heat treatment at temperatures ranging from 1300℃to 1700℃.The Shicolon-Ⅱ fibers are composed of small-sized β-SiC grains,SiC_(x)O_(y) amorphous phase,and a minor amount of graphite microcrystals.Following treatment in an argon atmosphere at 1300℃,the fibers maintain a monofilament tensile strength of 3.620 GPa,corresponding to a retention of 98.32%.This strength diminishes to 2.875 GPa,equating to a retention of 78.08%,after treatment at 1500℃.The reduction in mechanical properties of the fibers can be ascribed to the decomposition of the amorphous phase and the growth of β-SiC grains.Furthermore,creep resistance is an essential factor influencing the long-term performance of composite materials.After treatment at temperatures above 1400℃,the high-temperature creep resistance of the fibers is significantly enhanced due to growth of β-SiC grains.This study offers valuable theoretical insights into high-temperature applications of second-generation fibers,contributing to an enhanced understanding of their performance under extreme conditions.展开更多
A multi-stimuli-responsive hydrogel,P(VI-co-MAAC-NE),was successfully constructed by covalently integrating the aggregation-induced emission(AIE)moiety(Z)-N-(4-(1-cyano-2-(4-(diethylamino)phenyl)vinyl)-phenyl)methacry...A multi-stimuli-responsive hydrogel,P(VI-co-MAAC-NE),was successfully constructed by covalently integrating the aggregation-induced emission(AIE)moiety(Z)-N-(4-(1-cyano-2-(4-(diethylamino)phenyl)vinyl)-phenyl)methacrylamide(NE)into a dynamic hydrogen-bonding network composed of 1-vinylimidazole(VI)and methacrylic acid(MAAC)groups.The dense hydrogen-bonding network not only provides enhanced mechanical robustness,but also significantly enhances the AIE effect of NE by restricting its molecular motion.Under various external stimuli,the hydrogen bonds within the hydrogel network undergo reversible dissociation and reformation,thus enabling synergistic modulation of the hydrogel’s mechanical properties and luminescence behavior.Specifically,organic solvents disrupt the hydrogen-bonding network and the aggregation of the AIE moiety NE,resulting in macroscopic swelling and fluorescence quenching of the hydrogel.In strongly acidic conditions,protonation of NE molecules suppresses the intramolecular charge transfer(ICT)process,yielding a blue-shifted emission band accompanied by intense blue fluorescence;in highly alkaline environments,deprotonation of carboxyl groups induces hydrogel swelling and disperses NE aggregates,leading to pronounced fluorescence quenching.Moreover,the system exhibits thermally activated shape-memory behavior:heating above the glass transition temperature(T_(g):ca.62℃)softens the hydrogel to allow programmable reshaping,and subsequent hydrogen bond reformation at ambient conditions locks in the resultant geometries without sacrificing the hydrogel’s fluorescence performance.By capitalizing on these multi-stimuli-responsive characteristics and shape-memory behavior,the potential of hydrogel P(VI-co-MAAC-NE)for advanced information encryption and anti-counterfeiting applications is demonstrated.This work not only provides a versatile material platform for sensing and information storage,but also offers new insights into the design of intelligent soft materials integrating AIE features with dynamically regulated supramolecular network structures.展开更多
Two-dimensional(2D)materials have attracted extensive attention from aerospace,integrated circuits,precision sensors,and flexible electronics due to their unique layered structure and excellent physicochemical propert...Two-dimensional(2D)materials have attracted extensive attention from aerospace,integrated circuits,precision sensors,and flexible electronics due to their unique layered structure and excellent physicochemical properties.In practice applications,the components of functional nanodevices are subjected to mechanical stress,which can affect the robust performance and structural reliability of these devices.Therefore,it is imperative to explore the mechanical properties and underlying mechanisms of 2D materials.However,researchers have an inadequate understanding of the accuracy of various in situ microscopy techniques and neglect the significance of high-quality,clean transfer techniques,resulting in deviated measurement results.There is now an urgent need to develop guidelines that allow researchers to select appropriate material transfer techniques and mechanical testing strategies based on the specific properties of 2D materials.Furthermore,the mechanical mechanism of 2D materials lacks systematic and comprehensive studies,which hinders researchers from deeply understanding the relationship between the material structure and the device performance.This work reviews the latest progress in the mechanics of 2D materials,focusing on the challenges of various transfer techniques and in situ microscopy techniques in mechanical testing,and provides effective guidance for the formulation of experimental schemes for mechanical testing.In addition,we offer detailed mechanistic insights into the fracture behavior,geometric dimension effects,edge defects,and interlayer bonding effects of 2D materials.This work is expected to advance the field development of 2D material mechanics.展开更多
The rapid advancement of wearable electronic devices has paved the way for a more intelligent and interconnected world.However,ensuring the sustainable energy supply for these devices remains a critical challenge,part...The rapid advancement of wearable electronic devices has paved the way for a more intelligent and interconnected world.However,ensuring the sustainable energy supply for these devices remains a critical challenge,particularly for specialized populations and professionals in demanding environments,where a lack of power can pose life-threatening risks.Herein,we propose a mechanically intelligent biomechanical energy harvesting approach that adapts to complex human motion excitations,thereby improving the energy harvesting performance.Leveraging a mechanical intelligence mechanism,the energy harvester aligns with human physiological habits,selectively activating or deactivating as needed.The system can also adapt to excitations of varying directions,amplitudes,and frequencies.Furthermore,the string tension helps reduce the impact forces on the knee joint during foot strikes.A theoretical model for the biomechanical energy harvesting system is developed to describe its dynamic and electrical characteristics,and a prototype is fabricated and tested under diverse conditions.The experimental results are in good agreement with the simulation trends,validating the effectiveness of the theoretical model.A test subject running at 8 km/h for 90 seconds can successfully power a smartphone for 20 seconds,demonstrating the viability of self-powered applications.This mechanically intelligent biomechanical energy harvesting method holds a promising solution for the sustainable power supply for wearable electronic devices.展开更多
Severe acute pancreatitis(SAP)can induce acute respiratory distress syndrome(ARDS)and abdominal compartment syndrome(ACS).Although prone position ventilation(PPV)can improve outcomes in patients with ARDS,there is sig...Severe acute pancreatitis(SAP)can induce acute respiratory distress syndrome(ARDS)and abdominal compartment syndrome(ACS).Although prone position ventilation(PPV)can improve outcomes in patients with ARDS,there is significant controversy regarding its concurrent use with ACS owing to concerns of increased risk of intra-abdominal pressure(IAP).[1]We present a case of successful PPV application without adverse eff ects.展开更多
Utilization of ceramic wastes to fabricate concrete can not only effectively dispose the wastes,but also reduce the energy and source consumptions.Therefore,we fabricated a green ultra high performance concrete using ...Utilization of ceramic wastes to fabricate concrete can not only effectively dispose the wastes,but also reduce the energy and source consumptions.Therefore,we fabricated a green ultra high performance concrete using ceramic waste powder(CWP)to replace 55%of cement,and ceramic waste aggregate(CWA)to replace 100%natural quartz sand.However,high content of ceramic wastes will harm the concrete performance including workability and mechanical properties.Therefore,a low-cost and low carbon nano-calcium carbonate(NC)was introduced to compensate for the defects caused by large amounts of CWP and CWA to workability and mechanical behavior.The experimental results show that the workability of ultra high performance concrete with large amounts of CWP and CWA(UHPCLCC)increases by 28.57%with NC content of 5%.Moreover,the flexural strengths,fracture energy,compressive strengths,and compressive toughness of UHPCLCC increase up to 29.6%,56.5%,20.4%,and 37.6%,respectively,which is caused by the nano-core effect of NC.展开更多
Objective: To evaluate the efficacy of noninvasive positive pressure ventilation (NIPPV) in respiratory support for severe pneumonia. Methods: Data were analyzed from 74 patients with severe pneumonia undergoing respi...Objective: To evaluate the efficacy of noninvasive positive pressure ventilation (NIPPV) in respiratory support for severe pneumonia. Methods: Data were analyzed from 74 patients with severe pneumonia undergoing respiratory support at our hospital between May 2024 and April 2025. Patients were randomly assigned using a random number table to two groups (n = 37 each): the experimental group received NIPPV, while the control group underwent conventional invasive mechanical ventilation. Intergroup differences were compared. Results: Compared with the control group, the experimental group demonstrated significantly higher PaO2 and oxygenation index, significantly lower PaCO2, significantly reduced levels of WBC, CRP, and PCT, significantly higher overall efficacy rate, and significantly lower incidence of adverse reactions after treatment (p < 0.05). Pre-treatment PaO2, oxygenation index, PaCO2, WBC, CRP, and PCT levels showed no significant differences between groups (p > 0.05). Conclusion: Non-invasive positive pressure ventilation demonstrates favorable outcomes in respiratory support for severe pneumonia.展开更多
The deformation and failure of coal walls in front of a working face cause significant difficulties during mining operations.This study reveals the nonuniform distribution of bearing pressure in front of coal walls ba...The deformation and failure of coal walls in front of a working face cause significant difficulties during mining operations.This study reveals the nonuniform distribution of bearing pressure in front of coal walls based on in situ monitoring data and numerical simulation.Therefore,an eccentric compression mechanical model was established to study the deformation and failure characteristics of a coal wall.The slenderness ratio of the compression bar is introduced to define coal walls.The results showed that instability failure occurs when λ>λ_(c) and material failure occurs when λ≤λ_(c).The instability failure-type coal wall spalling was related to the mining height,eccentricity of roof pressure,the horizontal force,and the reaction moment of the floor.The material failure-type coal wall spalling was related to the cohesion,the internal friction angle of the coal,the upper pressure,and the horizontal force of coal walls.Unstable and destructive coal wall peeling usually occurs at a height of 0.5–0.6 times the mining height,while material damage to coal wall peeling is determined to occur within the range of 0.4-0.6 times the mining depth.The findings contribute to the understanding of the deformation and failure of coal walls.展开更多
This study presents the development of high-performance,solvent-free polyurethane-urea(PU)elastomeric coatings engineered for rapid curing and precise sprayability.Utilizing polyoxytetramethylene glycol(PTMG)as the pr...This study presents the development of high-performance,solvent-free polyurethane-urea(PU)elastomeric coatings engineered for rapid curing and precise sprayability.Utilizing polyoxytetramethylene glycol(PTMG)as the primary polyol and a static-mixing spraying technique,the formulations were systematically optimized.It was found that a soft-segment content of 64% yields optimalmechanical properties,achieving a remarkable tensile strength exceeding 30 MPa.Crucially,the incorporation of an ultra-low concentration(0.002 wt%)of dibutyltin dilaurate catalyst was sufficient to enhance curing completeness and mechanical performance while effectively eliminating moisture-induced foaming,a common challenge in solvent-free spray applications.The gel and tack-free times were successfully reduced to the order of minutes through strategic formulation with the chain extender dimethylsulfidetoluene diamine,minimizing reliance on high catalyst loadings.Theresultant PTMG-based coatings exhibit exceptional comprehensive properties,including a tensile strength>30 MPa,elongation at break>400%,and a tear strength of 66 N/mm,significantly surpassing conventional polypropylene-diamine-based polyurea systems.Furthermore,the coatings demonstrated superior low-temperature flexibility,evidenced by a glass transition temperature of-53℃,and suppressed soft-segment crystallinity.The solvent-free nature and tunable curing kinetics of this system enable precise spraying on complex geometries,effectively overcoming thickness-control limitations for small-object applications.This work establishes a sustainable and high-performance coating solution ideal for demanding impact-and corrosionresistant protective layers.展开更多
基金Outstanding Young Investigator Program of Capital Medical University,Grant/Award Number:A2308。
文摘Phrenic nerve stimulation(PNS)may preserve diaphragm activation and mitigate multiorgan injury during mechanical ventilation(MV);however,a minimal invasive rat model integrating PNS with MV is lacking.We established an omohyoid muscle-based PNS rat model combined with MV.Bilateral nerves were exposed within 20±2 min by transection at the intermediate tendon of omohyoid muscle,minimizing trauma and bleeding.Threshold stimulation(0.6±0.2 mA)correlated with body weight.Ventilator-synchronized stimulation increased compound muscle action potentials by~30%,whereas histology confirmed intact nerve.Physiological parameters remained stable throughout ventilation.This model provides a safe and scalable platform for mechanistic and preclinical studies on PNS-mediated protection against MV-induced organ injury.
文摘Objective:To investigate the application effect of intelligent empowerment standardized airway management process in patients receiving mechanical ventilation.Methods:A retrospective analysis was conducted on the clinical data of 79 EICU inpatients who underwent tracheal intubation and mechanical ventilation treatment at our hospital from January 2023 to May 2025.The patients were divided into a control group(conventional airway management process,n=40)and a study group(intelligent empowerment standardized airway management process,n=39)based on the intervention protocols they received.Oral health scores,dental plaque index,oral odor,serum inflammatory markers[C-reactive protein(CRP),procalcitonin(PCT)],clinical pulmonary infection score(CPIS),as well as the incidence of ventilator-associated pneumonia(VAP),duration of mechanical ventilation,and length of stay in the EICU were assessed before and after treatment.Results:The baseline values of all indicators were consistent between the two groups before intervention(p>0.05).After corresponding interventions,both groups showed significant improvements in Beck oral health scores,dental plaque index,and oral odor,with more pronounced improvements observed in the study group(p<0.05).After the intervention,the research group showed a significant decrease in serum CRP and PCT levels,as well as CPIS scores(p<0.05).In contrast,the control group experienced an increase in these three indicators to a certain extent(p<0.05).Moreover,the incidence of ventilator-associated pneumonia(VAP),duration of mechanical ventilation,and length of stay in the EICU were all lower in the research group compared to the control group,while the nurse’s compliance rate with the protocol was higher in the research group(p<0.05).Conclusion:The standardized airway management protocol empowered by intelligent technology can significantly improve nursing compliance,benefit oral health status,reduce the risk of pulmonary infection and systemic inflammation levels,and promote rapid patient recovery,demonstrating considerable potential for widespread adoption.
文摘Prediction of weaning success from invasive mechanical ventilation remains a challenge in everyday clinical practice.Several prediction scores have been developed to guide success during spontaneous breathing trials to help with weaning decisions.These scores aim to provide a structured framework to support clinical judgment.However,their effectiveness varies across patient populations,and their predictive accuracy remains inconsistent.In this review,we aim to identify the strengths and limitations of commonly used clinical prediction tools in assessing readiness for ventilator liberation.While scores such as the Rapid Shallow Breathing Index and the Integrative Weaning Index are widely adopted,their sensitivity and specificity often fall short in complex clinical settings.Factors such as underlying disease pathophysiology,patient characteristics,and clinician subjectivity impact score performance and reliability.Moreover,disparities in validation across diverse populations limit generalizability.With growing interest in artificial intelligence(AI)and machine learning,there is potential for enhanced prediction models that integrate multidimensional data and adapt to individual patient profiles.However,current AI approaches face challenges related to interpretability,bias,and ethical implementation.This paper underscores the need for more robust,individualized,and transparent prediction systems and advocates for careful integration of emerging technologies into clinical workflows to optimize weaning success and patient outcomes.
文摘BACKGROUND Lung ultrasonography is being increasingly used in mechanically ventilated patients to evaluate the lung aeration during incremental positive end expiratory pressure(PEEP)adjustments and to evaluate the weaning process from mechanical ventilation.The effects of PEEP may vary across different lung pathologies and may not consistently correlate with changes in lung aeration as assessed by lung ultrasound scores(LUSs).AIM To assess the role of lung ultrasonography in evaluating lung aeration during the application of PEEP in mechanically ventilated patients with various lung pathologies.METHODS An observational study was conducted over 18 months in a tertiary care hospital.Patients of both genders,aged between 18-75 years,who had been admitted to the intensive care unit,and required mechanical ventilation,were studied.A standard ventilatory strategy was used and incremental levels of PEEP[5,10,and 15 cm water(H_(2)O)]were applied.Baseline characteristics,including oxygen saturation(SpO2),LUS,mean arterial pressure(MAP),heart rate(HR),and their changes with incremental PEEP levels,were recorded and analyzed.RESULTS In this study,45.9%of patients required a PEEP of 5 cm H_(2)O to achieve the endpoint of lung aeration(LUS of 0).In addition,86.5% and 13.5% of patients reached the endpoint of lung aeration at PEEP levels of 10 and 15 cm H_(2)O,respectively.The proportion of patients with higher lung scores decreased significantly with increasing PEEP levels(P<0.001 for 5 and 10 cm H_(2)O and P=0.032 for 15 cm H_(2)O).SpO2 increased significantly with higher PEEP levels(P<0.001),confirming the effectiveness of PEEP in improving oxygenation.The results also revealed a significant increase in HR and a decrease in MAP following the application of higher PEEP levels.CONCLUSION Increasing PEEP levels in mechanically ventilated patients improves lung aeration,which can be effectively assessed using bedside lung ultrasonography.
基金Sichuan Provincial Medical Scientific Research Project(Project No.:s19085)。
文摘Objective:To explore the role of lung ultrasound combined with multi-organ evaluation in assessing the risk of weaning from mechanical ventilation(MV)in severe patients.Methods:A retrospective analysis was conducted on 60 severe patients admitted to the hospital from December 2022 to December 2024,all of whom underwent MV treatment.Based on weaning status,thirty-eight patients were successfully weaned(success group),and 22 patients failed weaning(failure group).All patients underwent lung ultrasound and multi-organ evaluation.The parameter differences between the two groups were compared,risk factors for weaning risk were evaluated,and a receiver operating characteristic curve(ROC)was drawn to assess the predictive value of lung ultrasound combined with multi-organ evaluation for weaning risk.Results:The lung ultrasound score(LUS)of the success group was lower than that of the failure group,the left ventricular ejection fraction(LVEF)was higher than that of the failure group,and the diaphragmatic excursion(DE)and diaphragmatic thickening fraction(DTF)were higher than those of the failure group(P<0.05).Multifactor analysis showed that LUS was a risk factor for weaning risk,while LVEF,DE,and DTF were protective factors(P<0.05).The ROC showed that the area under the curve(AUC)of a single parameter for weaning risk was smaller than that of the combined parameters(P<0.05).Conclusion:Lung ultrasound combined with multi-organ evaluation can predict the weaning risk of severe patients undergoing MV treatment,and the diagnostic efficiency of multiple parameters combined evaluation is higher.
基金Funding Statement:This research was conducted as part of the Tech4You Project“Technologies for climate change adaptation and quality of life improvement”,n.ECS0000009,CUP H23C22000370006,Italian PNRR,Mission 4,Component 2,Investment 1.5 funded by the European Union-NextGenerationEU.
文摘Indoor air quality(IAQ)is often overlooked,yet a poorly maintained environment can lead to significant health issues and reduced concentration and productivity in work or educational settings.This study presents an innovative control system for mechanical ventilation specifically designed for university classrooms,with the dual goal of enhancing IAQ and increasing energy efficiency.Two classrooms with distinct construction characteristics were analyzed:one with exterior walls and windows,and the other completely underground.For each classroom,a model was developed using DesignBuilder software,which was calibrated with experimental data regarding CO_(2) concentration,temperature,and relative humidity levels.The proposed ventilation system operates based on CO_(2) concentration,relative humidity,and potential for free heating and cooling.In addition,the analysis was conducted for other locations,demonstrating consistent energy savings across different climates and environments,always showing an annual reduction in energy consumption.Results demonstrate that mechanical ventilation,when integrated with heat recovery and free cooling strategies,significantly reduces energy consumption by up to 25%,while also maintaining optimal CO_(2) levels to enhance comfort and air quality.These findings emphasize the essential need for well-designed mechanical ventilation systems to ensure both psychophysical well-being and IAQ in enclosed spaces,particularly in environments intended for extended occupancy,such as classrooms.Furthermore,this approach has broad applicability,as it could be adapted to various building types,thereby contributing to sustainable energy management practices and promoting healthier indoor spaces.This study serves as a model for future designs aiming to balance energy efficiency with indoor air quality,especially relevant in the post-COVID era,where the importance of indoor air quality has become more widely recognized.
文摘Objective:To investigate the predictive value of diaphragm thickening fraction(DTF)combined with cough peak expiratory flow(CPEF)on the success rate of weaning from mechanical ventilation.Methods:The clinical data of patients undergoing invasive mechanical ventilation via oral endotracheal intubation in the ICU of our hospital from January 2022 to December 2023 were studied.All patients underwent a 30-minute spontaneous breathing trial(SBT)using low-level pressure support ventilation(PSV)after meeting the clinical weaning screening criteria.Among them,150 patients who met the clinical weaning criteria were weaned from the ventilator.They were divided into a successful weaning group(n=100)and a failed weaning group(n=50)based on the weaning outcome.Clinical data,including age,gender,APACHE II score,duration of mechanical ventilation,DTF,and CPEF,were collected from 150 patients.The differences in clinical data between the two groups were compared,and the correlation between DTF,CPEF,and the success rate of weaning was analyzed.Results:There were no significant differences between the two groups in gender ratio(χ^(2)=0.884,P=0.347>0.05),age(t=0.350,P=0.727>0.05),and APACHE II score(t=1.295,P=0.197>0.05),but there was a significant difference in the duration of mechanical ventilation(t=3.766,P<0.001).The DTF and CPEF values in the successful weaning group were significantly higher than those in the failed weaning group(P<0.05).ROC curves were drawn to predict the weaning results using DTF,CPEF,and the combination of DTF and CPEF.The results showed that the specificity of the combination of DTF and CPEF was comparable to that of either metric alone,but the sensitivity and AUC were significantly higher than those of either metric alone.Conclusion:The combination of DTF and CPEF can be used as an effective indicator to evaluate the weaning efficacy of mechanically ventilated patients,which has important clinical significance for guiding clinical weaning treatment,improving the success rate of weaning,reducing the incidence of ventilator-associated pneumonia,and shortening the length of hospital stay.
文摘BACKGROUND:In this study,we aimed to evaluate the impact of mechanical ventilator(MV)utilizaton during cardiopulmonary resuscitation(CPR)on out-of-hospital cardiac arrest(OHCA)patient clinical outcomes in the emergency department.METHODS:This single-centered,retrospective,case-control study analyzed electronic medical records.Patients aged>18 years with non-traumatic OHCA who were treated at an emergency medical center between January 2019 and December 2023 were included.These patients were accessed according to the ventilatory method used:MV ventilation(volume control,tidal volume 6-8 mL/kg,frequency 10 beat per minute,inspiratory time 1 s)and manual resuscitator bag valve(BV)ventilation.The primary outcome was the return of spontaneous circulation(ROSC).After 1:1 propensity score matching,the clinical outcomes were analyzed.RESULTS:A total of 649 patients were enrolled in this study.Before matching,the clinical outcomes and pneumothorax incidence did not differ between the MV and BV groups.After 1:1 matching between the two groups using propensity scores,522 patients(261 MV and 261 BV)were analyzed.Propensity score matching yielded an adequate balance(standardized mean difference<0.10)for all covariates.The estimated odds ratio(OR)for ROSC was 1.23(95%confidence interval[CI]:0.85-1.77;P=0.267),for survival at hospital admission was 1.02(95%CI:0.68-1.53;P=0.918),for survival at hospital discharge was 2.31(95%CI:1.10-5.20;P=0.033),and for good neurologic outcome was 2.56(95%CI:0.84-9.43;P=0.116).CONCLUSION:In patients with OHCA admitted to the emergency department,MV ventilation during CPR showed clinical outcomes similar to those of BV ventilation in most measures.However,survival at hospital discharge was significantly higher in the MV group,suggesting potential benefits of MV use in selected patients.
基金supported by the Zhejiang Medical and Health Innovation Talent Support Project(Grant No.2021RC128 to S.S.)Zhejiang Medicine and Health Science and Technology Project(2025KY1540 to J.J.L.)+3 种基金Zhejiang Province Health Science and Technology Project(2024KY409 and 2021KY1086 to J.Y.L.)Huzhou Science and Technology Planning Project(2020GY10 to W.L.,2022GZ65 to J.Y.L.)Huzhou Basic and Clinical Translation of Orthopedics Key Laboratory(Grant No.HZGKSYS01Y to S.S.)South Taihu Lake Outstanding Young Health Talents Cultivation Program(Grant No.rsk2023001 to S.S.).
文摘Articular cartilage maintains joint homeostasis by adapting to mechanical loading,but both insufficient and excessive loading can impair cartilage integrity.Whether mechanical activity should be restricted in early osteoarthritis(OA),particularly among exercise enthusiasts,remains controversial.Here,we established in vitro and in vivo models of prolonged moderate mechanical loading(7.5%strain,1 Hz)and analyzed human cartilage from weight-bearing and non-weight-bearing regions using RNA sequencing.Prolonged exposure(≥12 h)significantly increased chondrocyte apoptosis(2.3-fold),reduced expression of the chondrogenic transcription factor SOX9 and the matrix markers COL2A1,and elevated nerve growth factor(NGF)expression(1.8-fold),accompanied by enrichment of neural sensitization and inflammatory pathways.Immunofluorescence staining revealed NGF accumulation in mechanically stressed cartilage.Unlike high-intensity stress,which led to immediate apoptosis,moderate loading induced a delayed pro-apoptotic response after 12 h.These findings indicate that prolonged moderate mechanical loading may promote chondrocyte apoptosis through an NGFmediated inflammatory microenvironment and provide mechanistic evidence suggesting that patients with early OA may benefit from limiting high-impact or prolonged moderate-intensity exercise sessions to prevent cartilage damage and guide rehabilitation.
基金National Natural Science Foundation of China(U24A2038)。
文摘The effects of channel segregation on the macro-and micro-scale chemical composition,microstructure,hardness,and tensile deformation behavior of Ti45Nb wires were investigated.The results show that wires with severe channel segregation exhibit a macroscopic chemical composition identical to those without segregation,and 3D X-ray imaging result also reveals no abnormalities.After annealing,both types of wires exhibit an equiaxed single-phase microstructure with comparable grain sizes,suggesting that channel segregation has negligible influence on the macroscopic composition and grain size.Metallographic examination reveals that channel segregation manifests as spot-like features in the transverse section and band-like structures in the longitudinal section.EDS analysis identifies these regions as Ti-enriched segregations,with a Ti content higher than that of the surrounding matrix by approximately 4.42wt%.Compared to segregation-free wires,those containing extensive channel segregation demonstrate a 15.5%increase in ultimate tensile strength and a 12.3%increase in yield strength,but suffer a reduction in elongation and reduction of area by 19.8%and 18.9%,respectively.Furthermore,the mechanical properties of wires with segregation show significant fluctuations.Fractographic analysis reveals a larger fracture surface area in segregated wires.Severe dislocation pile-ups occur at the interfaces of these segregated regions,initiating microcrack nucleation.This promotes rapid crack propagation of the Ti45Nb wire,leading to a significant decrease in plasticity and reduction of area.
基金National Natural Science Foundation of China(52172108)National Key R&D Program of China(2022YFB3707700)Strategic Priority Research Program of the Chinese Academy of Sciences(XDC0144005)。
文摘Silicon carbide fibers are considered ideal reinforcing materials for ceramic matrix composites due to their excellent mechanical properties and high-temperature performance.Different types of fibers necessitate individual investigation due to variations in their composition and fabrication processes.This study presents a comprehensive investigation into evolution of the mechanical properties,surface microstructure,and composition of Shicolon-Ⅱ fibers subjected to argon heat treatment at temperatures ranging from 1300℃to 1700℃.The Shicolon-Ⅱ fibers are composed of small-sized β-SiC grains,SiC_(x)O_(y) amorphous phase,and a minor amount of graphite microcrystals.Following treatment in an argon atmosphere at 1300℃,the fibers maintain a monofilament tensile strength of 3.620 GPa,corresponding to a retention of 98.32%.This strength diminishes to 2.875 GPa,equating to a retention of 78.08%,after treatment at 1500℃.The reduction in mechanical properties of the fibers can be ascribed to the decomposition of the amorphous phase and the growth of β-SiC grains.Furthermore,creep resistance is an essential factor influencing the long-term performance of composite materials.After treatment at temperatures above 1400℃,the high-temperature creep resistance of the fibers is significantly enhanced due to growth of β-SiC grains.This study offers valuable theoretical insights into high-temperature applications of second-generation fibers,contributing to an enhanced understanding of their performance under extreme conditions.
文摘A multi-stimuli-responsive hydrogel,P(VI-co-MAAC-NE),was successfully constructed by covalently integrating the aggregation-induced emission(AIE)moiety(Z)-N-(4-(1-cyano-2-(4-(diethylamino)phenyl)vinyl)-phenyl)methacrylamide(NE)into a dynamic hydrogen-bonding network composed of 1-vinylimidazole(VI)and methacrylic acid(MAAC)groups.The dense hydrogen-bonding network not only provides enhanced mechanical robustness,but also significantly enhances the AIE effect of NE by restricting its molecular motion.Under various external stimuli,the hydrogen bonds within the hydrogel network undergo reversible dissociation and reformation,thus enabling synergistic modulation of the hydrogel’s mechanical properties and luminescence behavior.Specifically,organic solvents disrupt the hydrogen-bonding network and the aggregation of the AIE moiety NE,resulting in macroscopic swelling and fluorescence quenching of the hydrogel.In strongly acidic conditions,protonation of NE molecules suppresses the intramolecular charge transfer(ICT)process,yielding a blue-shifted emission band accompanied by intense blue fluorescence;in highly alkaline environments,deprotonation of carboxyl groups induces hydrogel swelling and disperses NE aggregates,leading to pronounced fluorescence quenching.Moreover,the system exhibits thermally activated shape-memory behavior:heating above the glass transition temperature(T_(g):ca.62℃)softens the hydrogel to allow programmable reshaping,and subsequent hydrogen bond reformation at ambient conditions locks in the resultant geometries without sacrificing the hydrogel’s fluorescence performance.By capitalizing on these multi-stimuli-responsive characteristics and shape-memory behavior,the potential of hydrogel P(VI-co-MAAC-NE)for advanced information encryption and anti-counterfeiting applications is demonstrated.This work not only provides a versatile material platform for sensing and information storage,but also offers new insights into the design of intelligent soft materials integrating AIE features with dynamically regulated supramolecular network structures.
基金National Natural Science Foundation of China(Grant.Nos.52422505,12274124)the Shanghai Pilot Program for Basic Research(Grant.No.22TQ14001006)+2 种基金National Natural Science Foundation of China(Grant No.52275149)the Scientific Research Innovation Capability Support Project for Young Faculty(Grant No.ZYGXQNJSKYCXNLZCXM-D5)Innovative Research Group Project of the National Natural Science Foundation of China(Grant.No.52321002)。
文摘Two-dimensional(2D)materials have attracted extensive attention from aerospace,integrated circuits,precision sensors,and flexible electronics due to their unique layered structure and excellent physicochemical properties.In practice applications,the components of functional nanodevices are subjected to mechanical stress,which can affect the robust performance and structural reliability of these devices.Therefore,it is imperative to explore the mechanical properties and underlying mechanisms of 2D materials.However,researchers have an inadequate understanding of the accuracy of various in situ microscopy techniques and neglect the significance of high-quality,clean transfer techniques,resulting in deviated measurement results.There is now an urgent need to develop guidelines that allow researchers to select appropriate material transfer techniques and mechanical testing strategies based on the specific properties of 2D materials.Furthermore,the mechanical mechanism of 2D materials lacks systematic and comprehensive studies,which hinders researchers from deeply understanding the relationship between the material structure and the device performance.This work reviews the latest progress in the mechanics of 2D materials,focusing on the challenges of various transfer techniques and in situ microscopy techniques in mechanical testing,and provides effective guidance for the formulation of experimental schemes for mechanical testing.In addition,we offer detailed mechanistic insights into the fracture behavior,geometric dimension effects,edge defects,and interlayer bonding effects of 2D materials.This work is expected to advance the field development of 2D material mechanics.
基金Project supported by the National Natural Science Foundation of China(Nos.12202262,12172127,12032015,and 12121002)the Young Elite Scientists Sponsorship Program by the China Association for Science and Technology(No.2023QNRC001)the Hunan Province Science and Technology Innovation Program of China(Nos.2025JJ20012 and 2025RC4022)。
文摘The rapid advancement of wearable electronic devices has paved the way for a more intelligent and interconnected world.However,ensuring the sustainable energy supply for these devices remains a critical challenge,particularly for specialized populations and professionals in demanding environments,where a lack of power can pose life-threatening risks.Herein,we propose a mechanically intelligent biomechanical energy harvesting approach that adapts to complex human motion excitations,thereby improving the energy harvesting performance.Leveraging a mechanical intelligence mechanism,the energy harvester aligns with human physiological habits,selectively activating or deactivating as needed.The system can also adapt to excitations of varying directions,amplitudes,and frequencies.Furthermore,the string tension helps reduce the impact forces on the knee joint during foot strikes.A theoretical model for the biomechanical energy harvesting system is developed to describe its dynamic and electrical characteristics,and a prototype is fabricated and tested under diverse conditions.The experimental results are in good agreement with the simulation trends,validating the effectiveness of the theoretical model.A test subject running at 8 km/h for 90 seconds can successfully power a smartphone for 20 seconds,demonstrating the viability of self-powered applications.This mechanically intelligent biomechanical energy harvesting method holds a promising solution for the sustainable power supply for wearable electronic devices.
文摘Severe acute pancreatitis(SAP)can induce acute respiratory distress syndrome(ARDS)and abdominal compartment syndrome(ACS).Although prone position ventilation(PPV)can improve outcomes in patients with ARDS,there is significant controversy regarding its concurrent use with ACS owing to concerns of increased risk of intra-abdominal pressure(IAP).[1]We present a case of successful PPV application without adverse eff ects.
基金Funded by the National Science Foundation of China(No.52368031)the China Postdoctoral Science Foundation(No.2022M713497)+1 种基金the Jiangxi Provincial Natural Science Foundation(No.20252BAC250115)the Jiangxi Provincial Department of Transportation Science and Technology Project(No.2022H0017)。
文摘Utilization of ceramic wastes to fabricate concrete can not only effectively dispose the wastes,but also reduce the energy and source consumptions.Therefore,we fabricated a green ultra high performance concrete using ceramic waste powder(CWP)to replace 55%of cement,and ceramic waste aggregate(CWA)to replace 100%natural quartz sand.However,high content of ceramic wastes will harm the concrete performance including workability and mechanical properties.Therefore,a low-cost and low carbon nano-calcium carbonate(NC)was introduced to compensate for the defects caused by large amounts of CWP and CWA to workability and mechanical behavior.The experimental results show that the workability of ultra high performance concrete with large amounts of CWP and CWA(UHPCLCC)increases by 28.57%with NC content of 5%.Moreover,the flexural strengths,fracture energy,compressive strengths,and compressive toughness of UHPCLCC increase up to 29.6%,56.5%,20.4%,and 37.6%,respectively,which is caused by the nano-core effect of NC.
文摘Objective: To evaluate the efficacy of noninvasive positive pressure ventilation (NIPPV) in respiratory support for severe pneumonia. Methods: Data were analyzed from 74 patients with severe pneumonia undergoing respiratory support at our hospital between May 2024 and April 2025. Patients were randomly assigned using a random number table to two groups (n = 37 each): the experimental group received NIPPV, while the control group underwent conventional invasive mechanical ventilation. Intergroup differences were compared. Results: Compared with the control group, the experimental group demonstrated significantly higher PaO2 and oxygenation index, significantly lower PaCO2, significantly reduced levels of WBC, CRP, and PCT, significantly higher overall efficacy rate, and significantly lower incidence of adverse reactions after treatment (p < 0.05). Pre-treatment PaO2, oxygenation index, PaCO2, WBC, CRP, and PCT levels showed no significant differences between groups (p > 0.05). Conclusion: Non-invasive positive pressure ventilation demonstrates favorable outcomes in respiratory support for severe pneumonia.
基金Youth Innovation Team of Shandong Higher Education Institutions,Grant/Award Number:2022KJ214Shandong Postdoctoral Science Foundation,Grant/Award Number:SDCXZG‐202303031+2 种基金China Postdoctoral Science Foundation,Grant/Award Number:2023M732109National Natural Science Foundation of China,Grant/Award Number:52209141Natural Science Foundation of Shandong Province,China,Grant/Award Number:ZR2021QE069。
文摘The deformation and failure of coal walls in front of a working face cause significant difficulties during mining operations.This study reveals the nonuniform distribution of bearing pressure in front of coal walls based on in situ monitoring data and numerical simulation.Therefore,an eccentric compression mechanical model was established to study the deformation and failure characteristics of a coal wall.The slenderness ratio of the compression bar is introduced to define coal walls.The results showed that instability failure occurs when λ>λ_(c) and material failure occurs when λ≤λ_(c).The instability failure-type coal wall spalling was related to the mining height,eccentricity of roof pressure,the horizontal force,and the reaction moment of the floor.The material failure-type coal wall spalling was related to the cohesion,the internal friction angle of the coal,the upper pressure,and the horizontal force of coal walls.Unstable and destructive coal wall peeling usually occurs at a height of 0.5–0.6 times the mining height,while material damage to coal wall peeling is determined to occur within the range of 0.4-0.6 times the mining depth.The findings contribute to the understanding of the deformation and failure of coal walls.
基金funded by the National Natural Science Foundation of China(No.U2330207)the presidential foundation of China Academy of Engineering Physics(No.YZJJZQ2024004).
文摘This study presents the development of high-performance,solvent-free polyurethane-urea(PU)elastomeric coatings engineered for rapid curing and precise sprayability.Utilizing polyoxytetramethylene glycol(PTMG)as the primary polyol and a static-mixing spraying technique,the formulations were systematically optimized.It was found that a soft-segment content of 64% yields optimalmechanical properties,achieving a remarkable tensile strength exceeding 30 MPa.Crucially,the incorporation of an ultra-low concentration(0.002 wt%)of dibutyltin dilaurate catalyst was sufficient to enhance curing completeness and mechanical performance while effectively eliminating moisture-induced foaming,a common challenge in solvent-free spray applications.The gel and tack-free times were successfully reduced to the order of minutes through strategic formulation with the chain extender dimethylsulfidetoluene diamine,minimizing reliance on high catalyst loadings.Theresultant PTMG-based coatings exhibit exceptional comprehensive properties,including a tensile strength>30 MPa,elongation at break>400%,and a tear strength of 66 N/mm,significantly surpassing conventional polypropylene-diamine-based polyurea systems.Furthermore,the coatings demonstrated superior low-temperature flexibility,evidenced by a glass transition temperature of-53℃,and suppressed soft-segment crystallinity.The solvent-free nature and tunable curing kinetics of this system enable precise spraying on complex geometries,effectively overcoming thickness-control limitations for small-object applications.This work establishes a sustainable and high-performance coating solution ideal for demanding impact-and corrosionresistant protective layers.
