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Blood metal concentrations and cardiac structure and function in total joint arthroplasty patients 被引量:1
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作者 Peter C Brennan Stephanie M Peterson +6 位作者 Thomas J O'Byrne Mariana L Laporta Cody C Wyles Paul J Jannetto Garvan C Kane Maria Vassilaki Hilal Maradit Kremers 《World Journal of Orthopedics》 2024年第8期773-782,共10页
BACKGROUND There is concern regarding potential long-term cardiotoxicity with systemic distribution of metals in total joint arthroplasty(TJA)patients.AIM To determine the association of commonly used implant metals w... BACKGROUND There is concern regarding potential long-term cardiotoxicity with systemic distribution of metals in total joint arthroplasty(TJA)patients.AIM To determine the association of commonly used implant metals with echocardiographic measures in TJA patients.METHODS The study comprised 110 TJA patients who had a recent history of high chromium,cobalt or titanium concentrations.Patients underwent two-dimensional,three-dimensional,Doppler and speckle-strain transthoracic echocardiography and a blood draw to measure metal concentrations.Age and sex-adjusted linear and logistic regression models were used to examine the association of metal concentrations(exposure)with echocardiographic measures(outcome).RESULTS Higher cobalt concentrations were associated with increased left ventricular end-diastolic volume(estimate 5.09;95%CI:0.02-10.17)as well as left atrial and right ventricular dilation,particularly in men but no changes in cardiac function.Higher titanium concentrations were associated with a reduction in left ventricle global longitudinal strain(estimate 0.38;95%CI:0.70 to 0.06)and cardiac index(estimate 0.08;95%CI,-0.15 to-0.01).CONCLUSION Elevated cobalt and titanium concentrations may be associated with structural and functional cardiac changes in some patients.Longitudinal studies are warranted to better understand the systemic effects of metals in TJA patients. 展开更多
关键词 Total joint arthroplasty METAL-ON-METAL CARDIOTOXICITY Heart failure ECHOCARDIOGRAPHY COBALT
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Cyclic shear behavior of en-echelon joints under constant normal stiffness conditions 被引量:1
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作者 Bin Wang Yujing Jiang +3 位作者 Qiangyong Zhang Hongbin Chen Richeng Liu Yuanchao Zhang 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第9期3419-3436,共18页
To reveal the mechanism of shear failure of en-echelon joints under cyclic loading,such as during earthquakes,we conducted a series of cyclic shear tests of en-echelon joints under constant normal stiffness(CNS)condit... To reveal the mechanism of shear failure of en-echelon joints under cyclic loading,such as during earthquakes,we conducted a series of cyclic shear tests of en-echelon joints under constant normal stiffness(CNS)conditions.We analyzed the evolution of shear stress,normal stress,stress path,dilatancy characteristics,and friction coefficient and revealed the failure mechanisms of en-echelon joints at different angles.The results show that the cyclic shear behavior of the en-echelon joints is closely related to the joint angle,with the shear strength at a positive angle exceeding that at a negative angle during shear cycles.As the number of cycles increases,the shear strength decreases rapidly,and the difference between the varying angles gradually decreases.Dilation occurs in the early shear cycles(1 and 2),while contraction is the main feature in later cycles(310).The friction coefficient decreases with the number of cycles and exhibits a more significant sensitivity to joint angles than shear cycles.The joint angle determines the asperities on the rupture surfaces and the block size,and thus determines the subsequent shear failure mode(block crushing and asperity degradation).At positive angles,block size is more greater and asperities on the rupture surface are smaller than at nonpositive angles.Therefore,the cyclic shear behavior is controlled by block crushing at positive angles and asperity degradation at negative angles. 展开更多
关键词 En-echelon joint Cyclic shear tests Shear stress Normal displacement Constant normal stiffness(CNS)
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Experimental and simulation research on hollow AZ31 magnesium alloy three-channel joint by hot extrusion forming with sand mandrel 被引量:1
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作者 Shi Shengnan Wang Hongyu +4 位作者 Teng Fei Jiang Lei Sun Juncai Sun Jie Zhang Shunhu 《Journal of Magnesium and Alloys》 SCIE EI CAS CSCD 2024年第1期98-109,共12页
Magnesium alloy is one of the lightest metal structural materials.The weight is further reduced through the hollow structure.However,the hollow structure is easily damaged during processing.In order to maintain the ho... Magnesium alloy is one of the lightest metal structural materials.The weight is further reduced through the hollow structure.However,the hollow structure is easily damaged during processing.In order to maintain the hollow structure and to transfer the stresses during the high temperature deformation,the sand mandrel is proposed.In this paper,the hollow AZ31 magnesium alloy three-channel joint is studied by hot extrusion forming.Sand as one of solid granule medium is used to fill the hollow magnesium alloy.The extrusion temperatures are 230℃ and 300℃,respectively.The process parameters(die angle,temperature,bottom thickness,sidewall thickness,edge-to-middle ratio in bottom,bottom shape)of the hollow magnesium alloy are analyzed based on the results of experiments and the finite element method.The results are shown that the formability of the hollow magnesium alloy will be much better when the ratio of sidewall thickness to the bottom thickness is 1:1.5.Also when edge-to-middle ratio in bottom is about 1:1.5,a better forming product can be received.The best bottom shape in these experiments will be convex based on the forming results.The grain will be refined obviously after the extrusion.Also the microstructures will be shown as streamlines.And these lines will be well agreement with the mold in the corner. 展开更多
关键词 AZ31 magnesium alloy Three-channel joint SAND Experiments and the finite element Die angle
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BEST法联合OSCE考核在门诊护士战伤自救互救训练中的应用
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作者 马林林 甘倩 +2 位作者 杭润霞 谢欣兰 于晓玲 《医学研究与战创伤救治》 CAS 北大核心 2024年第5期513-516,共4页
目的探讨BEST培训法联合OSCE考核对指导护士战伤自救互救操作技能培训的效果。方法选取东部战区总医院门诊部入职8年内的60名护士作为研究对象,随机为对照组和试验组各30名,对照组采用传统教学方法进行带教培训,试验组培训方案采用BEST... 目的探讨BEST培训法联合OSCE考核对指导护士战伤自救互救操作技能培训的效果。方法选取东部战区总医院门诊部入职8年内的60名护士作为研究对象,随机为对照组和试验组各30名,对照组采用传统教学方法进行带教培训,试验组培训方案采用BEST培训法进行同质化统一基线培训,两组均采用OECE进行考核,并采用问卷调查法由培训对象对培训教学方法进行满意度评分。结果试验组理论考核得分(92.1±2.2)分,高于对照组(89.6±2.4)分,差异有统计学意义(P<0.05)。试验组在止血、包扎、固定3项操作技能考试成绩[(97.2±1.7)分、(97.8±1.0)分、(98.0±1.1)分]均高于对照组[(90.4±2.2)分、(91.2±1.6)分、(90.7±1.2)分],差异有统计学意义(P<0.05)。试验组教学总体满意度(86.66%)高于对照组(56.66%),差异均有统计学意义(P<0.05)。结论BEST培训法联合OSCE考核是一种理想的战伤自救互救操作技能培训方法和考核方法。 展开更多
关键词 best培训 OSCE考核 战伤救治 自救互救
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k-best维特比解耦合知识蒸馏的命名实体识别模型
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作者 赵红磊 唐焕玲 +2 位作者 张玉 孙雪源 鲁明羽 《计算机科学与探索》 CSCD 北大核心 2024年第3期780-794,共15页
为提升命名实体识别(NER)模型的性能,可采用知识蒸馏方法,但是传统知识蒸馏损失函数因内部存在的耦合关系会导致蒸馏效果较差。为了解除耦合关系,有效提升输出层特征知识蒸馏的效果,提出一种结合k-best维特比解码的解耦合知识蒸馏方法(k... 为提升命名实体识别(NER)模型的性能,可采用知识蒸馏方法,但是传统知识蒸馏损失函数因内部存在的耦合关系会导致蒸馏效果较差。为了解除耦合关系,有效提升输出层特征知识蒸馏的效果,提出一种结合k-best维特比解码的解耦合知识蒸馏方法(kvDKD),该方法利用k-best维特比算法提高计算效率,能够有效提升模型性能。另外,基于深度学习的命名实体识别在数据增强时易引入噪声,因此提出了融合数据筛选和实体再平衡算法的数据增强方法,旨在减少因原数据集引入噪声和增强数据错误标注的问题,提高数据集质量,减少过度拟合。最后在上述方法的基础上,提出了一种新的命名实体识别模型NER-kvDKD。在MSRA、Resume、Weibo、CLUENER和CoNLL-2003数据集上的对比实验结果表明,该方法能够提高模型的泛化能力,同时也有效提高了学生模型性能。 展开更多
关键词 命名实体识别(NER) 知识蒸馏 k-best维特比解码 数据增强
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Analysis of the joint detection capability of the SMILE satellite and EISCAT-3D radar 被引量:2
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作者 JiaoJiao Zhang TianRan Sun +7 位作者 XiZheng Yu DaLin Li Hang Li JiaQi Guo ZongHua Ding Tao Chen Jian Wu Chi Wang 《Earth and Planetary Physics》 EI CSCD 2024年第1期299-306,共8页
The Solar wind Magnetosphere Ionosphere Link Explorer(SMILE)satellite is a small magnetosphere–ionosphere link explorer developed cooperatively between China and Europe.It pioneers the use of X-ray imaging technology... The Solar wind Magnetosphere Ionosphere Link Explorer(SMILE)satellite is a small magnetosphere–ionosphere link explorer developed cooperatively between China and Europe.It pioneers the use of X-ray imaging technology to perform large-scale imaging of the Earth’s magnetosheath and polar cusp regions.It uses a high-precision ultraviolet imager to image the overall configuration of the aurora and monitor changes in the source of solar wind in real time,using in situ detection instruments to improve human understanding of the relationship between solar activity and changes in the Earth’s magnetic field.The SMILE satellite is scheduled to launch in 2025.The European Incoherent Scatter Sciences Association(EISCAT)-3D radar is a new generation of European incoherent scatter radar constructed by EISCAT and is the most advanced ground-based ionospheric experimental device in the high-latitude polar region.It has multibeam and multidirectional quasi-real-time three-dimensional(3D)imaging capabilities,continuous monitoring and operation capabilities,and multiple-baseline interferometry capabilities.Joint detection by the SMILE satellite and the EISCAT-3D radar is of great significance for revealing the coupling process of the solar wind–magnetosphere–ionosphere.Therefore,we performed an analysis of the joint detection capability of the SMILE satellite and EISCAT-3D,analyzed the period during which the two can perform joint detection,and defined the key scientific problems that can be solved by joint detection.In addition,we developed Web-based software to search for and visualize the joint detection period of the SMILE satellite and EISCAT-3D radar,which lays the foundation for subsequent joint detection experiments and scientific research. 展开更多
关键词 Solar wind Magnetosphere Ionosphere Link Explorer(SMILE)satellite European Incoherent Scatter Sciences Association(EISCAT)-3D radar joint detection
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BEST励磁机过临界振动问题分析与处理
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作者 陈江 沙德生 +5 位作者 王洋 何胜 吴国民 邹歆 汪帅 付利民 《汽轮机技术》 北大核心 2024年第4期315-317,320,共4页
针对某厂BEST励磁机过临界振动问题进行了情况调研、振动测试和分析处理。确认励磁机临界转速位于常用转速区间加之转子不平衡是过临界振动大的主要原因。通过重新设计励磁机转子及支撑系统,严格控制加工制造工艺,彻底解决该问题。新转... 针对某厂BEST励磁机过临界振动问题进行了情况调研、振动测试和分析处理。确认励磁机临界转速位于常用转速区间加之转子不平衡是过临界振动大的主要原因。通过重新设计励磁机转子及支撑系统,严格控制加工制造工艺,彻底解决该问题。新转子在各转速范围振动均为优秀水平。 展开更多
关键词 best小汽轮机 励磁机 临界转速 过临界振动 振动治理
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A photogrammetric approach for quantifying the evolution of rock joint void geometry under varying contact states
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作者 Rui Yong Changshuo Wang +1 位作者 Nick Barton Shigui Du 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2024年第4期461-477,共17页
Accurate measurement of the evolution of rock joint void geometry is essential for comprehending the distribution characteristics of asperities responsible for shear and seepage behaviors.However,existing techniques o... Accurate measurement of the evolution of rock joint void geometry is essential for comprehending the distribution characteristics of asperities responsible for shear and seepage behaviors.However,existing techniques often require specialized equipment and skilled operators,posing practical challenges.In this study,a cost-effective photogrammetric approach is proposed.Particularly,local coordinate systems are established to facilitate the alignment and precise quantification of the relative position between two halves of a rock joint.Push/pull tests are conducted on rock joints with varying roughness levels to induce different contact states.A high-precision laser scanner serves as a benchmark for evaluating the photogrammetry method.Despite certain deviations exist,the measured evolution of void geometry is generally consistent with the qualitative findings of previous studies.The photogrammetric measurements yield comparable accuracy to laser scanning,with maximum errors of 13.2%for aperture and 14.4%for void volume.Most joint matching coefficient(JMC)measurement errors are below 20%.Larger measurement errors occur primarily in highly mismatched rock joints with JMC values below 0.2,but even in cases where measurement errors exceed 80%,the maximum JMC error is only 0.0434.Thus,the proposed photogrammetric approach holds promise for widespread application in void geometry measurements in rock joints. 展开更多
关键词 Rock joint Void geometry evolution PHOTOGRAMMETRY APERTURE Void volume joint matching coefficient
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Shear behavior and off-fault damage of saw-cut smooth and tension-induced rough joints in granite
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作者 Fanzhen Meng Feili Wang +4 位作者 Louis Ngai Yuen Wong Jie Song Muzi Li Chuanqing Zhang Liming Zhang 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第4期1216-1230,共15页
The damage of rock joints or fractures upon shear includes the surface damage occurring at the contact asperities and the damage beneath the shear surface within the host rock.The latter is commonly known as off-fault... The damage of rock joints or fractures upon shear includes the surface damage occurring at the contact asperities and the damage beneath the shear surface within the host rock.The latter is commonly known as off-fault damage and has been much less investigated than the surface damage.The main contribution of this study is to compare the results of direct shear tests conducted on saw-cut planar joints and tension-induced rough granite joints under normal stresses ranging from 1 MPa to 50 MPa.The shear-induced off-fault damages are quantified and compared with the optical microscope observation.Our results clearly show that the planar joints slip stably under all the normal stresses except under 50 MPa,where some local fractures and regular stick-slip occur towards the end of the test.Both post-peak stress drop and stick-slip occur for all the rough joints.The residual shear strength envelopes for the rough joints and the peak shear strength envelope for the planar joints almost overlap.The root mean square(RMS)of asperity height for the rough joints decreases while it increases for the planar joint after shear,and a larger normal stress usually leads to a more significant decrease or increase in RMS.Besides,the extent of off-fault damage(or damage zone)increases with normal stress for both planar and rough joints,and it is restricted to a very thin layer with limited micro-cracks beneath the planar joint surface.In comparison,the thickness of the damage zone for the rough joints is about an order of magnitude larger than that of the planar joints,and the coalesced micro-cracks are generally inclined to the shear direction with acute angles.The findings obtained in this study contribute to a better understanding on the frictional behavior and damage characteristics of rock joints or fractures with different roughness. 展开更多
关键词 Planar joint Rough joint Shear behavior Off-fault damage MICRO-CRACKS
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Three‑dimensional numerical simulation of dynamic strength and failure mode of a rock mass with cross joints
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作者 Tingting Liu Wenxu Huang +3 位作者 Chang Xiang Qian Dong Xinping Li Chao Zhang 《International Journal of Coal Science & Technology》 EI CAS CSCD 2024年第2期35-52,共18页
To study the dynamic mechanical properties and failure characteristics of intersecting jointed rock masses with different joint distributions under confining pressure,considering the cross angleαand joint persistence... To study the dynamic mechanical properties and failure characteristics of intersecting jointed rock masses with different joint distributions under confining pressure,considering the cross angleαand joint persistence ratioη,a numerical model of the biaxial Hopkinson bar test system was established using the finite element method–discrete-element model coupling method.The validity of the model was verified by comparing and analyzing it in conjunction with laboratory test results.Dynamics-static combined impact tests were conducted on specimens under various conditions to investigate the strength characteristics and patterns of crack initiation and expansion.The study revealed the predominant factors influencing intersecting joints with different angles and penetrations under impact loading.The results show that the peak stress of the specimens decreases first and then increases with the increase of the cross angle.Whenα<60°,regardless of the value ofη,the dynamic stress of the specimens is controlled by the main joint.Whenα≥60°,the peak stress borne by the specimens decreases with increasingη.Whenα<60°,the initiation and propagation of cracks in the cross-jointed specimens are mainly controlled by the main joint,and the final failure surface of the specimens is composed of the main joint and wing cracks.Whenα≥60°orη≥0.67,the secondary joint guides the expansion of the wing cracks,and multiple failure surfaces composed of main and secondary joints,wing cracks,and co-planar cracks are formed.Increasing lateral confinement significantly increases the dynamic peak stress able to be borne by the specimens.Under triaxial conditions,the degree of failure of the intersecting jointed specimens is much lower than that under uniaxial and biaxial conditions. 展开更多
关键词 Cross joints joint distribution form Dynamic failure characteristics FEM–DEM BHPB
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RB-DEM Modeling and Simulation of Non-Persisting Rough Open Joints Based on the IFS-Enhanced Method
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作者 Hangtian Song Xudong Chen +3 位作者 Chun Zhu Qian Yin Wei Wang Qingxiang Meng 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第4期337-359,共23页
When the geological environment of rock masses is disturbed,numerous non-persisting open joints can appear within it.It is crucial to investigate the effect of open joints on the mechanical properties of rock mass.How... When the geological environment of rock masses is disturbed,numerous non-persisting open joints can appear within it.It is crucial to investigate the effect of open joints on the mechanical properties of rock mass.However,it has been challenging to generate realistic open joints in traditional experimental tests and numerical simulations.This paper presents a novel solution to solve the problem.By utilizing the stochastic distribution of joints and an enhanced-fractal interpolation system(IFS)method,rough curves with any orientation can be generated.The Douglas-Peucker algorithm is then applied to simplify these curves by removing unnecessary points while preserving their fundamental shape.Subsequently,open joints are created by connecting points that move to both sides of rough curves based on the aperture distribution.Mesh modeling is performed to construct the final mesh model.Finally,the RB-DEM method is applied to transform the mesh model into a discrete element model containing geometric information about these open joints.Furthermore,this study explores the impacts of rough open joint orientation,aperture,and number on rock fracture mechanics.This method provides a realistic and effective approach for modeling and simulating these non-persisting open joints. 展开更多
关键词 Non-persisting rough open joints stochastic distribution of joints enhanced-IFS method RB-DEM
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Subsequent total joint arthroplasty: Are we learning from the first stage?
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作者 Christine Jiang Wu Colin Penrose +3 位作者 Sean Patrick Ryan Michael Paul Bolognesi Thorsten Markus Seyler Samuel Secord Wellman 《World Journal of Orthopedics》 2024年第3期230-237,共8页
BACKGROUND With the increasing incidence of total joint arthroplasty(TJA),there is a desire to reduce peri-operative complications and resource utilization.As degenerative conditions progress in multiple joints,many p... BACKGROUND With the increasing incidence of total joint arthroplasty(TJA),there is a desire to reduce peri-operative complications and resource utilization.As degenerative conditions progress in multiple joints,many patients undergo multiple proce-dures.AIM To determine if both physicians and patients learn from the patient’s initial arth-roplasty,resulting in improved outcomes following the second procedure.METHODS The institutional database was retrospectively queried for primary total hip arth-roplasty(THA)and total knee arthroplasty(TKA).Patients with only unilateral THA or TKA,and patients undergoing same-day bilateral TJA,were excluded.Patient demographics,comorbidities,and implant sizes were collected at the time of each procedure and patients were stratified by first vs second surgery.Outcome metrics evaluated included operative time,length of stay(LOS),disposition,90-d readmissions and emergency department(ED)visits.RESULTS A total of 642 patients,including 364 undergoing staged bilateral TKA and 278 undergoing bilateral THA,were analyzed.There was no significant difference in demographics or comorbidities between the first and second procedure,which were separated by a mean of 285 d.For THA and TKA,LOS was significantly less for the second surgery,with 66%of patients having a shorter hospitalization(P<0.001).THA patients had significantly decreased operative time only when the same sized implant was utilized(P=0.025).The vast majority(93.3%)of patients were discharged to the same type of location following their second surgery.However,when a change in disposition was present from the first surgery,patients were significantly more likely to be discharged to home after the second procedure(P=0.033).There was no difference between procedures for post-operative readmissions(P=0.438)or ED visits(P=0.915).CONCLUSION After gaining valuable experience recovering from the initial surgery,a patient’s perioperative outcomes are improved for their second TJA.This may be the result of increased confidence and decreased anxiety,and it supports the theory that enhanced patient education pre-operatively may improve outcomes.For the surgical team,the second procedure of a staged THA is more efficient,although this finding did not hold for TKA. 展开更多
关键词 Staged total joint arthroplasty Asynchronous total joint arthroplasty Subsequent total joint arthroplasty Contralateral total joint arthroplasty Perioperative outcomes
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On the calibration of a shear stress criterion for rock joints to represent the full stress-strain profile
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作者 Akram Deiminiat Jonathan D.Aubertin Yannic Ethier 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第2期379-392,共14页
Conventional numerical solutions developed to describe the geomechanical behavior of rock interfaces subjected to differential load emphasize peak and residual shear strengths.The detailed analysis of preand post-peak... Conventional numerical solutions developed to describe the geomechanical behavior of rock interfaces subjected to differential load emphasize peak and residual shear strengths.The detailed analysis of preand post-peak shear stress-displacement behavior is central to various time-dependent and dynamic rock mechanic problems such as rockbursts and structural instabilities in highly stressed conditions.The complete stress-displacement surface(CSDS)model was developed to describe analytically the pre-and post-peak behavior of rock interfaces under differential loads.Original formulations of the CSDS model required extensive curve-fitting iterations which limited its practical applicability and transparent integration into engineering tools.The present work proposes modifications to the CSDS model aimed at developing a comprehensive and modern calibration protocol to describe the complete shear stressdisplacement behavior of rock interfaces under differential loads.The proposed update to the CSDS model incorporates the concept of mobilized shear strength to enhance the post-peak formulations.Barton’s concepts of joint roughness coefficient(JRC)and joint compressive strength(JCS)are incorporated to facilitate empirical estimations for peak shear stress and normal closure relations.Triaxial/uniaxial compression test and direct shear test results are used to validate the updated model and exemplify the proposed calibration method.The results illustrate that the revised model successfully predicts the post-peak and complete axial stressestrain and shear stressedisplacement curves for rock joints. 展开更多
关键词 Full shear profile Post-peak shear behavior Rock joint joint roughness coefficient(JRC) Axial stress-strain curve
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常染色体隐性遗传Best病1例
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作者 龚轶 刘勃实 +2 位作者 邢东军 黄嘉威 李筱荣 《中国眼耳鼻喉科杂志》 2024年第S01期1-4,共4页
患儿13岁,因“双眼视力下降1周余,左眼重”就诊。患者曾于外院诊断为“双眼脉络膜视网膜炎?”,予口服糖皮质激素治疗,未遵医嘱。初诊查体:右眼最佳矫正视力0.8,左眼最佳矫正视力0.03,双眼眼前节未见明显异常,双眼玻璃体清,未见炎性细胞... 患儿13岁,因“双眼视力下降1周余,左眼重”就诊。患者曾于外院诊断为“双眼脉络膜视网膜炎?”,予口服糖皮质激素治疗,未遵医嘱。初诊查体:右眼最佳矫正视力0.8,左眼最佳矫正视力0.03,双眼眼前节未见明显异常,双眼玻璃体清,未见炎性细胞。眼底可见双眼后极部黄白色环形病灶及颞下方类圆形病灶。光学相干层析成像(OCT)及光学相干血管成像(OCTA)检查提示:双眼黄斑囊样水肿,黄斑中心凹下可见大量视网膜下液,左眼黄斑中心凹上方视网膜色素上皮层(RPE)局灶隆起,可见部分血流信号。初步诊断为“双眼非血管源性黄斑水肿,左眼脉络膜新生血管(CNV)”。为查找病因行全身检查,未发现弓形虫病、感染、自身免疫系统等指标异常。为治疗左眼CNV,给予患者左眼玻璃体腔注射雷珠单抗及左眼黄斑区微脉冲激光治疗,但无明显疗效。由于患者的广角像显示视网膜后极部多灶性、斑点状黄白色沉积物;自发荧光(FAF)表现为斑片状强荧光和弱荧光区;OCT可见囊样水肿、视网膜下液,脱离的神经上皮层下方观察到光感受器外节被拉长(钟乳石样改变),以上特征符合常染色体隐性遗传的Best病(ARB),后行基因检查确诊为该病。目前ARB尚无明确疗法,以对症治疗为主。给予该患者布林佐胺滴眼液和口服碳酸酐酶抑制剂治疗,可见囊样水肿部分吸收。讨论体会:ARB目前主要以国外研究报道为主,对于该类患者,应仔细询问病史,结合影像学特征和基因检测对于诊疗十分重要。 展开更多
关键词 best 常染色体隐性遗传best 中心性浆液性脉络膜视网膜病变 抗血管内皮生长因子治疗 碳酸酐酶抑制剂
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Detection of Novel BEST1 Variations in Autosomal Recessive Bestrophinopathy Using Third-generation Sequencing
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作者 Jia-xun LI Ling-rui MENG +6 位作者 Bao-ke HOU Xiao-lu HAO Da-jiang WANG Ling-hui QU Zhao-hui LI Lei ZHANG Xin JIN 《Current Medical Science》 SCIE CAS 2024年第2期419-425,共7页
Objective:Autosomal recessive bestrophinopathy(ARB),a retinal degenerative disease,is characterized by central visual loss,yellowish multifocal diffuse subretinal deposits,and a dramatic decrease in the light peak on ... Objective:Autosomal recessive bestrophinopathy(ARB),a retinal degenerative disease,is characterized by central visual loss,yellowish multifocal diffuse subretinal deposits,and a dramatic decrease in the light peak on electrooculogram.The potential pathogenic mechanism involves mutations in the BEST1 gene,which encodes Ca2+-activated Cl−channels in the retinal pigment epithelium(RPE),resulting in degeneration of RPE and photoreceptor.In this study,the complete clinical characteristics of two Chinese ARB families were summarized.Methods:Pacific Biosciences(PacBio)single-molecule real-time(SMRT)sequencing was performed on the probands to screen for disease-causing gene mutations,and Sanger sequencing was applied to validate variants in the patients and their family members.Results:Two novel mutations,c.202T>C(chr11:61722628,p.Y68H)and c.867+97G>A,in the BEST1 gene were identified in the two Chinese ARB families.The novel missense mutation BEST1 c.202T>C(p.Y68H)resulted in the substitution of tyrosine with histidine in the N-terminal region of transmembrane domain 2 of bestrophin-1.Another novel variant,BEST1 c.867+97G>A(chr11:61725867),located in intron 7,might be considered a regulatory variant that changes allele-specific binding affinity based on motifs of important transcriptional regulators.Conclusion:Our findings represent the first use of third-generation sequencing(TGS)to identify novel BEST1 mutations in patients with ARB,indicating that TGS can be a more accurate and efficient tool for identifying mutations in specific genes.The novel variants identified further broaden the mutation spectrum of BEST1 in the Chinese population. 展开更多
关键词 autosomal recessive bestrophinopathy best1 gene third-generation sequencing MUTATION
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Effect of cold-working on corrosion induced damage in lug joints
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作者 Ramanath M.N Chikmath L. Murthy H. 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第6期175-182,共8页
Lug joints are preferred joineries for transferring heavy loads to parent components in aerospace vehicles.They experience corrosion due to environmental conditions,improper surface finishes and rubbing displacement b... Lug joints are preferred joineries for transferring heavy loads to parent components in aerospace vehicles.They experience corrosion due to environmental conditions,improper surface finishes and rubbing displacement between the pin and lug-hole.This causes damage of different sizes and shapes near the lug-hole.Stiffness degradation due to corrosion-induced damage is modelled as a through-pit at one of the identified critical locations through stress analysis.The effect of this pit on fatigue crack initiation life is estimated.Lug-hole is pre-stressed by cold-working and the benefits of inducing plastic wake on the intended performance of the lug joint during the damages due to corrosion are brought out and compared with non-cold-worked lug-hole.Numerical analysis is performed on this lug joint with pressfit.The results obtained highlight the benefits of cold-working and the methodology can be extended to damage growth and analyse the effect of surface treatments for better structural integrity of components of aerospace vehicles. 展开更多
关键词 Lug joint CORROSION Crack initiation COLD-WORKING Structural integrity
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A review of extreme condition effects on solder joint reliability:Understanding failure mechanisms
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作者 Norliza Ismail Wan Yusmawati Wan Yusoff +2 位作者 Azuraida Amat Nor Azlian Abdul Manaf Nurazlin Ahmad 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第11期134-158,共25页
Solder joint,crucial component in electronic systems,face significant challenges when exposed to extreme conditions during applications.The solder joint reliability involving microstructure and mechanical properties w... Solder joint,crucial component in electronic systems,face significant challenges when exposed to extreme conditions during applications.The solder joint reliability involving microstructure and mechanical properties will be affected by extreme conditions.Understanding the behaviour of solder joints under extreme conditions is vital to determine the durability and reliability of solder joint.This review paper aims to comprehensively explore the underlying failure mechanism affecting solder joint reliability under extreme conditions.This study covers an in-depth analysis of effect extreme temperature,mechanical stress,and radiation conditions towards solder joint.Impact of each condition to the microstructure including solder matrix and intermetallic compound layer,and mechanical properties such as fatigue,shear strength,creep,and hardness was thoroughly discussed.The failure mechanisms were illustrated in graphical diagrams to ensure clarity and understanding.Furthermore,the paper highlighted mitigation strategies that enhancing solder joint reliability under challenging operating conditions.The findings offer valuable guidance for researchers,engineers,and practitioners involved in electronics,engineering,and related fields,fostering advancements in solder joint reliability and performance. 展开更多
关键词 Solder joint Extreme condition Failure mechanism Defence and military RELIABILITY
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Joint Optimization of Resource Allocation and Trajectory Based on User Trajectory for UAV-Assisted Backscatter Communication System
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作者 Peizhong Xie Junjie Jiang +1 位作者 Ting Li Yin Lu 《China Communications》 SCIE CSCD 2024年第2期197-209,共13页
The Backscatter communication has gained widespread attention from academia and industry in recent years. In this paper, A method of resource allocation and trajectory optimization is proposed for UAV-assisted backsca... The Backscatter communication has gained widespread attention from academia and industry in recent years. In this paper, A method of resource allocation and trajectory optimization is proposed for UAV-assisted backscatter communication based on user trajectory. This paper will establish an optimization problem of jointly optimizing the UAV trajectories, UAV transmission power and BD scheduling based on the large-scale channel state signals estimated in advance of the known user trajectories, taking into account the constraints of BD data and working energy consumption, to maximize the energy efficiency of the system. The problem is a non-convex optimization problem in fractional form, and there is nonlinear coupling between optimization variables.An iterative algorithm is proposed based on Dinkelbach algorithm, block coordinate descent method and continuous convex optimization technology. First, the objective function is converted into a non-fractional programming problem based on Dinkelbach method,and then the block coordinate descent method is used to decompose the original complex problem into three independent sub-problems. Finally, the successive convex approximation method is used to solve the trajectory optimization sub-problem. The simulation results show that the proposed scheme and algorithm have obvious energy efficiency gains compared with the comparison scheme. 展开更多
关键词 energy efficiency joint optimization UAV-assisted backscatter communication user trajectory
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Microstructure and mechanical performance of AZ31/6061 lap joints welded by laser-TIG hybrid welding with Zn-Al alloy filler metal
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作者 Xinze Lv Liming Liu 《Journal of Magnesium and Alloys》 SCIE EI CAS CSCD 2024年第8期3325-3338,共14页
A series of Zn-xAl(x=0-35 wt.%)alloy filler metals were designed to join AZ31 Mg alloy to 6061 Al alloy by laser-TIG hybrid welding.The effect of Al content on the wettability of filler metals,microstructure evolution... A series of Zn-xAl(x=0-35 wt.%)alloy filler metals were designed to join AZ31 Mg alloy to 6061 Al alloy by laser-TIG hybrid welding.The effect of Al content on the wettability of filler metals,microstructure evolution and strength of joint was investigated.The results indicated that the strength of joints was improved with the increase of Al content in filler metals.When Zn-15Al filler was used,the ultimate fracture load reached the maximum of 1475.3 N/cm,which was increased by 28%than that with pure Zn filler.The reason is that the Al element acts as a"reaction depressant"in filler metal,which contributes to inhibiting the dissolution of Mg base metal and the Mg-Zn reaction.The addition of appropriate quantity of Al element promoted the precipitation of Al-rich solid solution instead of Zn solid solution.The MgZn_(2) IMCs have lower lattice mismatch with Al solid solution than Zn solid solution,thus the strength of joints is improved.However,the excessive addition of Al caused the formation of brittle Mg32(Al,Zn)49 ternary compounds,leading to the deterioration of joint performance. 展开更多
关键词 Laser-TIG hybrid welding Mg-Al dissimilar joint Intermetallic compounds MICROSTRUCTURE FRACTURE
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Thermosphere joint observations by TM-1 constellations and Swarm-B during the April 2023 geomagnetic storm
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作者 YongPing Li YueQiang Sun +9 位作者 XianGuo Zhang JiangZhao Ai XiaoLiang Zheng Jia Li YuJie Wang BiBo Guo Feng Yan ShiLong Wei XinChun Tang YuanYuan Cao 《Earth and Planetary Physics》 EI CAS CSCD 2024年第2期307-316,共10页
The response of thermosphere density to geomagnetic storms is a complicated physical process.Multi-satellite joint observations at the same altitude but different local times(LTs)are important for understanding this p... The response of thermosphere density to geomagnetic storms is a complicated physical process.Multi-satellite joint observations at the same altitude but different local times(LTs)are important for understanding this process;however,until now such studies have hardly been done.In this report,we analyze in detail the thermosphere mass density response at 510 km during the April 23−24,2023 geomagnetic storm using data derived from the TM-1(TianMu-1)satellite constellation and Swarm-B satellites.The observations show that there were significant LT differences in the hemispheric asymmetry of the thermosphere mass density during the geomagnetic storm.Densities observed by satellite TM02 at nearly 11.3 and 23.3 LTs were larger in the northern hemisphere than in the southern.The TM04 dayside density observations appear to be almost symmetrical with respect to the equator,though southern hemisphere densities on the nightside were higher.Swarm-B data exhibit near-symmetry between the hemispheres.In addition,the mass density ratio results show that TM04 nightside observations,TM02 data,and Swarm-B data all clearly show stronger effects in the southern hemisphere,except for TM04 on the dayside,which suggest hemispheric near-symmetry.The South-North density enhancement differences in TM02 and TM04 on dayside can reach 130%,and Swarm-B data even achieve 180%difference.From the observations of all three satellites,large-scale traveling atmospheric disturbances(TADs)first appear at high latitudes and propagate to low latitudes,thereby disturbing the atmosphere above the equator and even into the opposite hemisphere.NRLMSISE00 model simulations were also performed on this geomagnetic storm.TADs are absent in the NRLMSISE00 simulations.The satellite data suggest that NRLMSISE00 significantly underestimates the magnitude of the density response of the thermosphere during geomagnetic storms,especially at high latitudes in both hemispheres.Therefore,use of the density simulation of NRLMSISE00 may lead to large errors in satellite drag calculations and orbit predictions.We suggest that the high temporal and spatial resolution of direct density observations by the TM-1 constellation satellites can provide an autonomous and reliable basis for correction and improvement of atmospheric models. 展开更多
关键词 TM-1 constellation Swarm-B joint observations geomagnetic storm Local Times
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