In recent years,as living standards have continued to improve,the number of diabetes patients in China,along with the incidence of complications associated with the disease,has been increasing.Among these complication...In recent years,as living standards have continued to improve,the number of diabetes patients in China,along with the incidence of complications associated with the disease,has been increasing.Among these complications,diabetic foot disease is one of the main causes of disability and death in diabetic patients.Due to the differences in economy,culture,religion and level of medical care available across different regions,preventive and treatment methods and curative results for diabetic foot vary greatly.In multidisciplinary models built around diabetic foot,the timely assessment and diagnosis of wounds and appropriate methods of prevention and treatment with internal and external surgery are key to clinical practice for this pathology.In 2019,under the leadership of the Jiangsu Medical Association and Chinese Diabetes Society,the writing group for the Guidelines on multidisciplinary approaches for the prevention and management of diabetic foot disease(2020 edition)was established with the participation of scholars from the specialist areas of endocrinology,burn injury,vascular surgery,orthopedics,foot and ankle surgery and cardiology.Drawing lessons from diabetic foot guidelines from other countries,this guide analyses clinical practices for diabetic foot,queries the theoretical basis and grades and gives recommendations based on the characteristics of the pathology in China.This paper begins with assessments and diagnoses of diabetic foot,then describes treatments for diabetic foot in detail,and ends with protections for high-risk feet and the prevention of ulcers.This manuscript covers the disciplines of internal medicine,surgical,nursing and rehabilitation and describes a total of 50 recommendations that we hope will provide procedures and protocols for clinicians dealing with diabetic foot.展开更多
To address the problems of difficult leveling and poor stability of hill crawler tractors,an attitude adjustment device based on a parallel four-bar mechanism was designed,and the mechanical reasons for the sideslip i...To address the problems of difficult leveling and poor stability of hill crawler tractors,an attitude adjustment device based on a parallel four-bar mechanism was designed,and the mechanical reasons for the sideslip instability of hill crawler tractors were analyzed.On this basis,a posture adjustment mechanism based on a parallel four-bar mechanism was proposed,and the structure of the complete attitude adjustment device was designed.To ensure that this device meets the strength requirements during operation,a mechanical analysis of the key components(active rocker and slave rocker)was carried out to accommodate the load during leveling.Based on ANSYS software,a finite element simulation analysis was used to determine the maximum stress position of the active and slave rockers.Finally,to verify the accuracy of the above simulation analysis results and determine the influence rules of the lateral slope angle,longitudinal slope angle and loading quality on the abovementioned maximum stress,a physical model test bench of the attitude adjustment device was built.An orthogonal regression experiment was carried out with the maximum stresses of the active and slave rockers as the test indices.The experimental data were analyzed by Design-Expert 10 software,and the results show that the order of the primary and secondary factors influencing the maximum stress of the active rocker was the loading mass,lateral slope angle and longitudinal slope angle.The order of the factors influencing the maximum stress of the slave rocker was the longitudinal slope angle,lateral slope angle and loading mass.The active and slave rockers meet the strength requirements.This work provides technical support for the production of hill crawler tractor physical prototypes.展开更多
基金The National Natural Science Foundation of China(grant number:81770810)。
文摘In recent years,as living standards have continued to improve,the number of diabetes patients in China,along with the incidence of complications associated with the disease,has been increasing.Among these complications,diabetic foot disease is one of the main causes of disability and death in diabetic patients.Due to the differences in economy,culture,religion and level of medical care available across different regions,preventive and treatment methods and curative results for diabetic foot vary greatly.In multidisciplinary models built around diabetic foot,the timely assessment and diagnosis of wounds and appropriate methods of prevention and treatment with internal and external surgery are key to clinical practice for this pathology.In 2019,under the leadership of the Jiangsu Medical Association and Chinese Diabetes Society,the writing group for the Guidelines on multidisciplinary approaches for the prevention and management of diabetic foot disease(2020 edition)was established with the participation of scholars from the specialist areas of endocrinology,burn injury,vascular surgery,orthopedics,foot and ankle surgery and cardiology.Drawing lessons from diabetic foot guidelines from other countries,this guide analyses clinical practices for diabetic foot,queries the theoretical basis and grades and gives recommendations based on the characteristics of the pathology in China.This paper begins with assessments and diagnoses of diabetic foot,then describes treatments for diabetic foot in detail,and ends with protections for high-risk feet and the prevention of ulcers.This manuscript covers the disciplines of internal medicine,surgical,nursing and rehabilitation and describes a total of 50 recommendations that we hope will provide procedures and protocols for clinicians dealing with diabetic foot.
基金This research was conducted at the College of Mechanical and Electronic Engineering,Northwest A&F University and was supported by the National Key Research and Development Plan Program(2016YFD0700503).
文摘To address the problems of difficult leveling and poor stability of hill crawler tractors,an attitude adjustment device based on a parallel four-bar mechanism was designed,and the mechanical reasons for the sideslip instability of hill crawler tractors were analyzed.On this basis,a posture adjustment mechanism based on a parallel four-bar mechanism was proposed,and the structure of the complete attitude adjustment device was designed.To ensure that this device meets the strength requirements during operation,a mechanical analysis of the key components(active rocker and slave rocker)was carried out to accommodate the load during leveling.Based on ANSYS software,a finite element simulation analysis was used to determine the maximum stress position of the active and slave rockers.Finally,to verify the accuracy of the above simulation analysis results and determine the influence rules of the lateral slope angle,longitudinal slope angle and loading quality on the abovementioned maximum stress,a physical model test bench of the attitude adjustment device was built.An orthogonal regression experiment was carried out with the maximum stresses of the active and slave rockers as the test indices.The experimental data were analyzed by Design-Expert 10 software,and the results show that the order of the primary and secondary factors influencing the maximum stress of the active rocker was the loading mass,lateral slope angle and longitudinal slope angle.The order of the factors influencing the maximum stress of the slave rocker was the longitudinal slope angle,lateral slope angle and loading mass.The active and slave rockers meet the strength requirements.This work provides technical support for the production of hill crawler tractor physical prototypes.
