Guided waves based damage detection methods using base signals offer the advantages of simplicity of signal generation and reception,sensitivity to damage,and large area coverage;however,applications of the technology...Guided waves based damage detection methods using base signals offer the advantages of simplicity of signal generation and reception,sensitivity to damage,and large area coverage;however,applications of the technology are limited by the sensitivity to environmental temperature variations.In this paper,a Spearman Damage Index-based damage diagnosis method for structural health condition monitoring under varying temperatures is presented.First,a PZT sensor-based Guided wave propagation model is proposed and employed to analyze the temperature effect.The result of the analysis shows the wave speed of the Guided wave signal has higher temperature sensitivity than the signal fluctuation features.Then,a Spearman rank correlation coefficient-based damage index is presented to identify damage of the structure under varying temperatures.Finally,a damage detection test on a composite plate is conducted to verify the effectiveness of the Spearman Damage Index-based damage diagnosis method.Experimental results show that the proposed damage diagnosis method is capable of detecting the existence of the damage and identify its location under varying temperatures.展开更多
In the power distribution system,the missing or incorrect file of users-transformer relationship(UTR)in lowvoltage station area(LVSA)will affect the leanmanagement of the LVSA,and the operation andmaintenance of the d...In the power distribution system,the missing or incorrect file of users-transformer relationship(UTR)in lowvoltage station area(LVSA)will affect the leanmanagement of the LVSA,and the operation andmaintenance of the distribution network.To effectively improve the lean management of LVSA,the paper proposes an identification method for the UTR based on Local Selective Combination in ParallelOutlier Ensembles algorithm(LSCP).Firstly,the voltage data is reconstructed based on the information entropy to highlight the differences in between.Then,the LSCP algorithmcombines four base outlier detection algorithms,namely Isolation Forest(I-Forest),One-Class Support VectorMachine(OC-SVM),Copula-Based Outlier Detection(COPOD)and Local Outlier Factor(LOF),to construct the identification model of UTR.This model can accurately detect users’differences in voltage data,and identify users with wrong UTR.Meanwhile,the key input parameter of the LSCP algorithm is determined automatically through the line loss rate,and the influence of artificial settings on recognition accuracy can be reduced.Finally,thismethod is verified in the actual LVSA where the recall and precision rates are 100%compared with othermethods.Furthermore,the applicability to the LVSAs with difficult data acquisition and the voltage data error in transmission are analyzed.The proposed method adopts the ensemble learning framework and does not need to set the detection threshold manually.And it is applicable to the LVSAs with difficult data acquisition and high voltage similarity,which improves the stability and accuracy of UTR identification in LVSA.展开更多
Comprehensive Summary,The development of novel building blocks with sp3-hybridized-carbon-free conjugated skeletons is important to further advance and enrich nonfullerene acceptors(NFAs),but this remains a challenge ...Comprehensive Summary,The development of novel building blocks with sp3-hybridized-carbon-free conjugated skeletons is important to further advance and enrich nonfullerene acceptors(NFAs),but this remains a challenge due to the lack of strategies to effectively modulate the aggregation behavior of resulting NFAs.Herein,two novel nitrogen-bridged octacyclic ladder-type heteroarenes end-capped with thiophene rings(BTPS)or selenophene rings(BTPSe)are designed and synthesized as the donor cores for constructing NFAs(MQX-2 and MQX-4).It is found that replacing the sulfur atoms(MQX-2)at the outer positions of the heteroarene core with selenium atoms(MQX-4)can effectively modulate the molecular packing mode of the NFAs.The incorporation of selenium atoms induces stronger O···Se noncovalent interaction than O···S,thus promoting the formation of mixed H/J-type aggregates in MQX-4.Benefiting from more electron hopping channels,MQX-4 exhibits higher electron transport(more than 1-fold enhancement)and photovoltaic properties compared to MQX-2,which forms only H-type aggregates.展开更多
Optimal bulk-heterojunction(BHJ)morphology is crucial for efficient charge transport and good photovoltaic performance in organic solar cells(OSCs).Yet,the correlation between chemical structures of nonfullerene accep...Optimal bulk-heterojunction(BHJ)morphology is crucial for efficient charge transport and good photovoltaic performance in organic solar cells(OSCs).Yet,the correlation between chemical structures of nonfullerene acceptors(NFAs)and molecular interaction in the BHJ blends remains opaque.Herein,we study three isomeric NFAs referred to as MQ1-x(x=β,y,or 8)that shared an asymmetric selenophene-fused heteroheptacene backbone end-capped by two monochlorinated end groups.Remarkably,miscibility between the polymer donor of PM6 and MQ1-x successively elevates as the chlorine atoms move fromβ-,to y-,to 8-position of terminals.Combined with the varied molecular crystallinity of these NFAs,diverse BHJ morphologies are observed in their blend films.As a result,the MQ1-8-based devices present the highest PCE of 12.08%owing to the efficient charge dissociation and transport induced by the compact molecular packing and optimal BHJ morphology.Our investigation provides a new insight in the material design that has a good balance in molecular packing and film morphology for high-performance OSCs.展开更多
Comprehensive Summary,Although polyimides(PIs)have shown great potential for a broad range of applications,it remains very challenging to achieve the malleability,rehealability and recyclability for PIs and their comp...Comprehensive Summary,Although polyimides(PIs)have shown great potential for a broad range of applications,it remains very challenging to achieve the malleability,rehealability and recyclability for PIs and their composites targeting various applications,particularly for the rapidly emerging flexible and stretchable electronics.Herein,malleable conductive poly(imide-imine)hybrid(PIIH)vitrimer-graphene aerogel(GA)composites have been prepared,for the first time,via simple sol-gel film formation followed by heat-press.The resulting PIIH-GA composites exhibit not only the highly desired properties of thermosetting(strong mechanical strength)and thermoplastic(reprocessability)polymers,but also good conductivity enabled by the GA filler.PIIH3-GA-10(with 10 wt%GA)showed one of the highest electrical conductivities(26.7 S/m)for PI-based composites,as well as good electromagnetic interference(EMI)shielding performance.Moreover,the PIIH-GA films could maintain good performance during stretching and even after chemical recycling,which opens new opportunities for flexible and sustainable electronics development.展开更多
Graphene-polymer composites have attracted great attention as sensing materials due to their tailorable electrical conductivity, physicochemical properties, and sensitivity to geometric and functional changes.Herein, ...Graphene-polymer composites have attracted great attention as sensing materials due to their tailorable electrical conductivity, physicochemical properties, and sensitivity to geometric and functional changes.Herein, we report the first example of cylindrical monolithic polyimine vitrimer/graphene composites with excellent mechanical, compressive, rehealable and recyclable, and piezoresistive properties via simple infiltration of polymer monomers into the pores of graphene aerogel followed by thermal curing. The composites exhibit excellent durable compressibility(negligible reduction in the compression properties even after 3000 consecutive compression cycles), rapid recovery to the original size upon stress released,high compressive strength(up to 1.2 MPa), and high conductivity(up to 79 S/m). Excellent piezoresistive properties were observed, displaying consistent and reliable change of the electrical resistance with the compression ratio. Furthermore, rehealing with ~100% recovery of the compressive strength and electric conductivity was achieved under mild rehealing conditions, which is highly desired but has rarely been reported for electronic materials. The facile strategy for fabrication of rehealable monolithic polymer/GAs can open new possibilities for the sustainable development of composites with high electrical conductivity for various applications such as sensing, health monitoring, and movement detection.展开更多
Pedestrian group detection is a challenging but significant issue in pedestrian flow control and public safety management.To address the issue that most conventional pedestrian grouping models(PGMs)can only identify a...Pedestrian group detection is a challenging but significant issue in pedestrian flow control and public safety management.To address the issue that most conventional pedestrian grouping models(PGMs)can only identify a pedestrian group at a limited distance of less than 2 m,this study extended the pedestrian distance constraint of conventional PGMs with a reconstruction of the normal group detection criterion and development of a novelgroup detection criterion suitable for long-span space.To measure the movement behaviorsimilarity with normal distance,five necessary constraints:velocity difference,moving direction offset,distance limitation,distance fluctuation,and group-keeping duration were studied quantitatively to form the criterion to detect normal groups.Meanwhile,a long-span group detection criterion was proposed with extended distance and direction con-sistency constraints.Therefore,this study proposed an improved PGM that considers long-span spaces(PGMLS).In the PGMLS workflow,the MMTrack algorithm was used to obtainpedestrian trajectories.A difference measurement method based on sequential pattern analysis(SPA)was adopted to analyze the velocity similarity of pedestrians.To validate the proposed grouping model,experiments based on pedestrian movement videos in the exit hall of the Shanghai Hongqiao International Airport were conducted.The results indicate that the proposed model can detect both normal and widely separated pedestrian groups,with a long span range of 2-12 m.展开更多
Asymmetric nonfullerene acceptors(NFAs)possess larger dipole moments and stronger intermolecular bonding energy than their symmetric counterparts thereby making them promising candidates for high-performance polymer s...Asymmetric nonfullerene acceptors(NFAs)possess larger dipole moments and stronger intermolecular bonding energy than their symmetric counterparts thereby making them promising candidates for high-performance polymer solar cells(PSCs).Herein,we report twoefficient acceptor–donor–acceptor(A–D–A)type NFAs(M14 and M18)with asymmetric side chains that show enhanced intermolecular interactions compared with their corresponding counterparts(M17 and M19)based on symmetric side chains.Furthermore,M14 and M18 exhibit elevated lowest unoccupiedmolecular orbitals and smallerπ–πstacking distances in comparison with M17 and M19,respectively.In combination with the benchmark polymer donor of PM6,the PM6:M14 blend affords superior charge transport properties,and more importantly,an increased power conversion efficiency(PCE)of 15.49%in comparison with the M17-based counterpart(13.01%PCE).Similarly,the asymmetric M18-based blend also shows a higher PCE of 13.00%than the M19-based blend(11.55%).Through further interface engineering,the bestperforming M14-based device delivers an enhanced PCE of 16.46%,which represents a record value among all asymmetric A–D–A type NFAs.Our results provide new insights into the design of asymmetric NFAs with enhanced intermolecular interactions for highperformance PSCs.展开更多
Controlling the aggregation of small-molecule acceptors(SMAs)is essential to obtain an optimal morphology and to improve the photovoltaic performance of polymer solar cells(PSCs).However,reducing intermolecular aggreg...Controlling the aggregation of small-molecule acceptors(SMAs)is essential to obtain an optimal morphology and to improve the photovoltaic performance of polymer solar cells(PSCs).However,reducing intermolecular aggregation of SMAs is usually accompanied by the disruption of compact molecular packing thereby leading to their decreased electron mobilities.Here,two novel M-series SMAs(MD1T and MD2T)based on ladder-type heterononacenes with neighboring side-chains separated by one or two thiophene rings are designed and synthesized.It is found that shortening the spacing of the neighboring side-chains of the SMAs can greatly alleviate the intermolecular aggregation and alter the molecular orientation from bimodal edge-on/face-on to predominant face-on while maintaining the compact molecular packing.As a result,a more favorable morphology with smaller domain sizes is formed for the MD1T-based blend films,which greatly improves the charge generation and charge transport for the corresponding PSCs.The best-performing MD1T-based device affords an efficiency of 12.43%,over seven times higher than that of the MD2T-based device.This work reveals the importance of the spacing between the neighboring side-chains in modulating the molecular aggregation and active layer morphology,and the obtained structure-performance relationships shall provide important guidance for designing highly efficient SMAs.展开更多
Background:Myopia is the most common visual impairment in children and adolescents worldwide.This study described an economical and effective population-based screening pipeline and performed the project of a million ...Background:Myopia is the most common visual impairment in children and adolescents worldwide.This study described an economical and effective population-based screening pipeline and performed the project of a million scale children and adolescents myopia survey(CAMS),which will shed light on the further study of myopia from the level of epidemiology and precision medicine.Methods:We developed a novel population-based screening pattern,an intelligent screening process and internetbased information transmission and analysis system to carry out the survey consisting of school children in Wenzhou,China.The examination items include unaided distance visual acuity,presenting distance visual acuity,and noncycloplegic autorefraction.Myopia and high myopia were defined as spherical equivalent(SE)≤−1.00 diopters(D)and SE≤−6.00 D,respectively.Next,the reports of the vision checking were automatically sent to parents and the related departments.The CAMS project will be done two to four times annually with the support of the government.An online eyesight status information management system(OESIMS)was developed to construct comprehensive and efficient electronic vision health records(EVHRs)for myopia information inquiry,risk pre-warning,and further study.Results:The CAMS completed the first-round of screening within 30 days for 99.41%of Wenzhou students from districts and counties,in June 2019.A total of 1,060,925 participants were eligible for CAMS and 1,054,251(99.37%participation rate)were selected through data quality control,which comprised 1305 schools,and 580,609,251,050 and 170,967 elementary,middle,and high school students.The mean age of participants was 12.21±3.32 years(6-20 years),the female-to-male ratio was 0.82.The prevalence of myopia in elementary,middle,and high school students was 38.16%,77.52%,and 84.00%,respectively,and the high myopia incidence was 0.95%,6.90%,and 12.98%.Conclusions:The CAMS standardized myopia screening model involves automating large-scale information collection,data transmission,data analysis and early warning,thereby supporting myopia prevention and control.The entire survey reduced 90%of staff,cost,and time consumption compared with previous surveys.This will provide new insights for decision support for public health intervention.展开更多
基金This work was supported by the National Key Research and Development Program of China(2018YFA0702800)the National Natural Science Foundation of China(51805068).
文摘Guided waves based damage detection methods using base signals offer the advantages of simplicity of signal generation and reception,sensitivity to damage,and large area coverage;however,applications of the technology are limited by the sensitivity to environmental temperature variations.In this paper,a Spearman Damage Index-based damage diagnosis method for structural health condition monitoring under varying temperatures is presented.First,a PZT sensor-based Guided wave propagation model is proposed and employed to analyze the temperature effect.The result of the analysis shows the wave speed of the Guided wave signal has higher temperature sensitivity than the signal fluctuation features.Then,a Spearman rank correlation coefficient-based damage index is presented to identify damage of the structure under varying temperatures.Finally,a damage detection test on a composite plate is conducted to verify the effectiveness of the Spearman Damage Index-based damage diagnosis method.Experimental results show that the proposed damage diagnosis method is capable of detecting the existence of the damage and identify its location under varying temperatures.
文摘In the power distribution system,the missing or incorrect file of users-transformer relationship(UTR)in lowvoltage station area(LVSA)will affect the leanmanagement of the LVSA,and the operation andmaintenance of the distribution network.To effectively improve the lean management of LVSA,the paper proposes an identification method for the UTR based on Local Selective Combination in ParallelOutlier Ensembles algorithm(LSCP).Firstly,the voltage data is reconstructed based on the information entropy to highlight the differences in between.Then,the LSCP algorithmcombines four base outlier detection algorithms,namely Isolation Forest(I-Forest),One-Class Support VectorMachine(OC-SVM),Copula-Based Outlier Detection(COPOD)and Local Outlier Factor(LOF),to construct the identification model of UTR.This model can accurately detect users’differences in voltage data,and identify users with wrong UTR.Meanwhile,the key input parameter of the LSCP algorithm is determined automatically through the line loss rate,and the influence of artificial settings on recognition accuracy can be reduced.Finally,thismethod is verified in the actual LVSA where the recall and precision rates are 100%compared with othermethods.Furthermore,the applicability to the LVSAs with difficult data acquisition and the voltage data error in transmission are analyzed.The proposed method adopts the ensemble learning framework and does not need to set the detection threshold manually.And it is applicable to the LVSAs with difficult data acquisition and high voltage similarity,which improves the stability and accuracy of UTR identification in LVSA.
基金supported by the National Natural Science Foundation of China(Nos.52130306,22075287)the Program of Youth Innovation Promotion Association CAs(No.2021299).
文摘Comprehensive Summary,The development of novel building blocks with sp3-hybridized-carbon-free conjugated skeletons is important to further advance and enrich nonfullerene acceptors(NFAs),but this remains a challenge due to the lack of strategies to effectively modulate the aggregation behavior of resulting NFAs.Herein,two novel nitrogen-bridged octacyclic ladder-type heteroarenes end-capped with thiophene rings(BTPS)or selenophene rings(BTPSe)are designed and synthesized as the donor cores for constructing NFAs(MQX-2 and MQX-4).It is found that replacing the sulfur atoms(MQX-2)at the outer positions of the heteroarene core with selenium atoms(MQX-4)can effectively modulate the molecular packing mode of the NFAs.The incorporation of selenium atoms induces stronger O···Se noncovalent interaction than O···S,thus promoting the formation of mixed H/J-type aggregates in MQX-4.Benefiting from more electron hopping channels,MQX-4 exhibits higher electron transport(more than 1-fold enhancement)and photovoltaic properties compared to MQX-2,which forms only H-type aggregates.
基金supported by the National Natural Science Foundation of China(Nos.52130306,22075287,22101285)the Program of Youth Innovation Promotion Association CAS(No.2021299).
文摘Optimal bulk-heterojunction(BHJ)morphology is crucial for efficient charge transport and good photovoltaic performance in organic solar cells(OSCs).Yet,the correlation between chemical structures of nonfullerene acceptors(NFAs)and molecular interaction in the BHJ blends remains opaque.Herein,we study three isomeric NFAs referred to as MQ1-x(x=β,y,or 8)that shared an asymmetric selenophene-fused heteroheptacene backbone end-capped by two monochlorinated end groups.Remarkably,miscibility between the polymer donor of PM6 and MQ1-x successively elevates as the chlorine atoms move fromβ-,to y-,to 8-position of terminals.Combined with the varied molecular crystallinity of these NFAs,diverse BHJ morphologies are observed in their blend films.As a result,the MQ1-8-based devices present the highest PCE of 12.08%owing to the efficient charge dissociation and transport induced by the compact molecular packing and optimal BHJ morphology.Our investigation provides a new insight in the material design that has a good balance in molecular packing and film morphology for high-performance OSCs.
基金supported by the National Natural Science Foundation of China(21875208,51962036)Key Project of the Natural Science Foundation of Yunnan(Grant 202201AS070011)High-Level Talents Introduction in Yunnan Province(C619300A025).
文摘Comprehensive Summary,Although polyimides(PIs)have shown great potential for a broad range of applications,it remains very challenging to achieve the malleability,rehealability and recyclability for PIs and their composites targeting various applications,particularly for the rapidly emerging flexible and stretchable electronics.Herein,malleable conductive poly(imide-imine)hybrid(PIIH)vitrimer-graphene aerogel(GA)composites have been prepared,for the first time,via simple sol-gel film formation followed by heat-press.The resulting PIIH-GA composites exhibit not only the highly desired properties of thermosetting(strong mechanical strength)and thermoplastic(reprocessability)polymers,but also good conductivity enabled by the GA filler.PIIH3-GA-10(with 10 wt%GA)showed one of the highest electrical conductivities(26.7 S/m)for PI-based composites,as well as good electromagnetic interference(EMI)shielding performance.Moreover,the PIIH-GA films could maintain good performance during stretching and even after chemical recycling,which opens new opportunities for flexible and sustainable electronics development.
基金financially supported by National Natural Science Foundation of China (No. 21875208)Yunnan University (Nos. WX160117, C176220100005)+3 种基金University of Colorado Boulder, HighLevel Talents Introduction in Yunnan Province (No. C619300A025)the Key Project of Natural Science Foundation of Yunnan (No. 202201AS070011)Major Science and Technology Project of Precious Metal Materials Genetic Engineering in Yunnan Province (Nos. 2019ZE001-1, 202002AB080001)International Joint Research Center for Advanced Energy Materials of Yunnan Province (No. 202003AE140001)。
文摘Graphene-polymer composites have attracted great attention as sensing materials due to their tailorable electrical conductivity, physicochemical properties, and sensitivity to geometric and functional changes.Herein, we report the first example of cylindrical monolithic polyimine vitrimer/graphene composites with excellent mechanical, compressive, rehealable and recyclable, and piezoresistive properties via simple infiltration of polymer monomers into the pores of graphene aerogel followed by thermal curing. The composites exhibit excellent durable compressibility(negligible reduction in the compression properties even after 3000 consecutive compression cycles), rapid recovery to the original size upon stress released,high compressive strength(up to 1.2 MPa), and high conductivity(up to 79 S/m). Excellent piezoresistive properties were observed, displaying consistent and reliable change of the electrical resistance with the compression ratio. Furthermore, rehealing with ~100% recovery of the compressive strength and electric conductivity was achieved under mild rehealing conditions, which is highly desired but has rarely been reported for electronic materials. The facile strategy for fabrication of rehealable monolithic polymer/GAs can open new possibilities for the sustainable development of composites with high electrical conductivity for various applications such as sensing, health monitoring, and movement detection.
基金support of the National Natural Science Foundation of China(No.72074170).
文摘Pedestrian group detection is a challenging but significant issue in pedestrian flow control and public safety management.To address the issue that most conventional pedestrian grouping models(PGMs)can only identify a pedestrian group at a limited distance of less than 2 m,this study extended the pedestrian distance constraint of conventional PGMs with a reconstruction of the normal group detection criterion and development of a novelgroup detection criterion suitable for long-span space.To measure the movement behaviorsimilarity with normal distance,five necessary constraints:velocity difference,moving direction offset,distance limitation,distance fluctuation,and group-keeping duration were studied quantitatively to form the criterion to detect normal groups.Meanwhile,a long-span group detection criterion was proposed with extended distance and direction con-sistency constraints.Therefore,this study proposed an improved PGM that considers long-span spaces(PGMLS).In the PGMLS workflow,the MMTrack algorithm was used to obtainpedestrian trajectories.A difference measurement method based on sequential pattern analysis(SPA)was adopted to analyze the velocity similarity of pedestrians.To validate the proposed grouping model,experiments based on pedestrian movement videos in the exit hall of the Shanghai Hongqiao International Airport were conducted.The results indicate that the proposed model can detect both normal and widely separated pedestrian groups,with a long span range of 2-12 m.
基金supported by the National Natural Science Foundation of China(nos.22101285,51873138,52130306,21734009,and 22075287)the Key Research Program of Frontier Sciences,Chinese Academy of Sciences(CAS)(no.QYZDB-SSW-SLH032)+2 种基金the China Postdoctoral Science Foundation(no.2021M703218)the Program of Youth Innovation Promotion Association CAS(no.2021000060)Beijing National Laboratory for Molecular Sciences(no.BNLMS201902).
文摘Asymmetric nonfullerene acceptors(NFAs)possess larger dipole moments and stronger intermolecular bonding energy than their symmetric counterparts thereby making them promising candidates for high-performance polymer solar cells(PSCs).Herein,we report twoefficient acceptor–donor–acceptor(A–D–A)type NFAs(M14 and M18)with asymmetric side chains that show enhanced intermolecular interactions compared with their corresponding counterparts(M17 and M19)based on symmetric side chains.Furthermore,M14 and M18 exhibit elevated lowest unoccupiedmolecular orbitals and smallerπ–πstacking distances in comparison with M17 and M19,respectively.In combination with the benchmark polymer donor of PM6,the PM6:M14 blend affords superior charge transport properties,and more importantly,an increased power conversion efficiency(PCE)of 15.49%in comparison with the M17-based counterpart(13.01%PCE).Similarly,the asymmetric M18-based blend also shows a higher PCE of 13.00%than the M19-based blend(11.55%).Through further interface engineering,the bestperforming M14-based device delivers an enhanced PCE of 16.46%,which represents a record value among all asymmetric A–D–A type NFAs.Our results provide new insights into the design of asymmetric NFAs with enhanced intermolecular interactions for highperformance PSCs.
基金National Natural Science Foundation of China,Grant/Award Numbers:52130306,22075287,22101285Program of Youth Innovation Promotion Association CAS,Grant/Award Number:2021299。
文摘Controlling the aggregation of small-molecule acceptors(SMAs)is essential to obtain an optimal morphology and to improve the photovoltaic performance of polymer solar cells(PSCs).However,reducing intermolecular aggregation of SMAs is usually accompanied by the disruption of compact molecular packing thereby leading to their decreased electron mobilities.Here,two novel M-series SMAs(MD1T and MD2T)based on ladder-type heterononacenes with neighboring side-chains separated by one or two thiophene rings are designed and synthesized.It is found that shortening the spacing of the neighboring side-chains of the SMAs can greatly alleviate the intermolecular aggregation and alter the molecular orientation from bimodal edge-on/face-on to predominant face-on while maintaining the compact molecular packing.As a result,a more favorable morphology with smaller domain sizes is formed for the MD1T-based blend films,which greatly improves the charge generation and charge transport for the corresponding PSCs.The best-performing MD1T-based device affords an efficiency of 12.43%,over seven times higher than that of the MD2T-based device.This work reveals the importance of the spacing between the neighboring side-chains in modulating the molecular aggregation and active layer morphology,and the obtained structure-performance relationships shall provide important guidance for designing highly efficient SMAs.
基金supported by the Key Research and Development Program of Zhejiang Province(Grant Numbers 2020C03036 and 2021C03102)the National Natural Science Foundation of China(Grant Numbers 31801098 and 81830027)+2 种基金National Key Research and Development Program for Active Health and Aging Response(Grant Number 2020YFC2008200)the Major Scientific and Technological Innovation Projects of Wen Zhou(Grant Number ZY2020013)the Internal Fund Project of Eye Hospital of Wenzhou Medical University(Grant Numbers YJGG20181001 and KYQD20190101).
文摘Background:Myopia is the most common visual impairment in children and adolescents worldwide.This study described an economical and effective population-based screening pipeline and performed the project of a million scale children and adolescents myopia survey(CAMS),which will shed light on the further study of myopia from the level of epidemiology and precision medicine.Methods:We developed a novel population-based screening pattern,an intelligent screening process and internetbased information transmission and analysis system to carry out the survey consisting of school children in Wenzhou,China.The examination items include unaided distance visual acuity,presenting distance visual acuity,and noncycloplegic autorefraction.Myopia and high myopia were defined as spherical equivalent(SE)≤−1.00 diopters(D)and SE≤−6.00 D,respectively.Next,the reports of the vision checking were automatically sent to parents and the related departments.The CAMS project will be done two to four times annually with the support of the government.An online eyesight status information management system(OESIMS)was developed to construct comprehensive and efficient electronic vision health records(EVHRs)for myopia information inquiry,risk pre-warning,and further study.Results:The CAMS completed the first-round of screening within 30 days for 99.41%of Wenzhou students from districts and counties,in June 2019.A total of 1,060,925 participants were eligible for CAMS and 1,054,251(99.37%participation rate)were selected through data quality control,which comprised 1305 schools,and 580,609,251,050 and 170,967 elementary,middle,and high school students.The mean age of participants was 12.21±3.32 years(6-20 years),the female-to-male ratio was 0.82.The prevalence of myopia in elementary,middle,and high school students was 38.16%,77.52%,and 84.00%,respectively,and the high myopia incidence was 0.95%,6.90%,and 12.98%.Conclusions:The CAMS standardized myopia screening model involves automating large-scale information collection,data transmission,data analysis and early warning,thereby supporting myopia prevention and control.The entire survey reduced 90%of staff,cost,and time consumption compared with previous surveys.This will provide new insights for decision support for public health intervention.