Predictive value of diaphragm ultrasound for mechanical ventilation outcome in patients with acute exacerbation of chronic obstructive pulmonary disease

BACKGROUND Acute exacerbation of chronic obstructive pulmonary disease(AECOPD)is often combined with respiratory failure,which increases the patient's morbidity and mortality.Diaphragm ultrasound(DUS)has developed rapidly in the field of critical care in recent years.Studies with DUS monitoring diaphragm-related rapid shallow breathing index have demonstrated important results in guiding intensive care unit patients out of the ventilator.Early prediction of the indications for withdrawal of non-invasive ventilator and early evaluation of patients to avoid or reduce disease progression are very important.AIM To explore the predictive value of DUS indexes for non-invasive ventilation outcome in patients with AECOPD.METHODS Ninety-four patients with AECOPD who received mechanical ventilation in our hospital from January 2022 to December 2023 were retrospectively analyzed,and they were divided into a successful ventilation group(68 cases)and a failed ventilation group(26 cases)according to the outcome of ventilation.The clinical data of patients with successful and failed noninvasive ventilation were compared,and the independent predictors of noninvasive ventilation outcomes in AECOPD patients were identified by multivariate logistic regression analysis.RESULTS There were no significant differences in gender,age,body mass index,complications,systolic pressure,heart rate,mean arterial pressure,respiratory rate,oxygen saturation,partial pressure of oxygen,oxygenation index,or time of inspiration between patients with successful and failed mechanical ventilation(P>0.05).The patients with successful noninvasive ventilation had shorter hospital stays and lower partial pressure of carbon dioxide(PaCO_(2))than those with failed treatment,while potential of hydrogen(pH),diaphragm thickening fraction(DTF),diaphragm activity,and diaphragm movement time were significantly higher than those with failed treatment(P<0.05).pH[odds ratio(OR)=0.005,P<0.05],PaCO_(2)(OR=0.430,P<0.05),and DTF(OR=0.570,P<0.05)were identified to be independent factors influencing the outcome of mechanical ventilation in AECOPD patients.CONCLUSION The DUS index DTF can better predict the outcome of non-invasive ventilation in AECOPD patients.

Application Effect of External Diaphragm Pacemaker Combined with Active Respiratory Circulation Technology in Pulmonary Rehabilitation of Perioperative Lung Cancer Patients

Aim: To explore the application effect of external diaphragm pacemaker combined with active respiratory circulation technology in pulmonary rehabilitation of perioperative lung cancer patients. Methods: A total of 98 lung cancer patients admitted to our hospital from April 2020 to November 2021 were selected as the observation objects, and then divided into a control group and an observation group using the random number table method, with 49 cases in each group. The control group received routine admission guidance and active respiratory circulation training, while the observation group was supplemented with external diaphragm pacemaker on the basis of the control group. The intervention effect was evaluated by blood gas indicators, pulmonary function indicators, diaphragm function indicators, sputum comfort degree, and activity tolerance indicators before and after intervention. Results: Before intervention, there were no significant differences in blood gas analysis indicators, pulmonary function indicators, diaphragm function indicators, sputum comfort degree, and activity tolerance indicators between the two groups (P > 0.05). After intervention, the improvement degree of the above indicators in the observation group was higher than that in the control group (P < 0.05). Conclusions: The application of external diaphragm pacemaker combined with active respiratory circulation technology in pulmonary rehabilitation of perioperative lung cancer patients is significant, which can effectively improve the pulmonary function, blood gas function, and diaphragm function of lung cancer patients after surgery, and improve the activities of daily living and quality of life of patients.

Low-temperature characteristicsof rubbers and performance testsof type 120 emergencyvalve diaphragms

Purpose–The type 120 emergency valve is an essential braking component of railway freight trains,butcorresponding diaphragms consisting of natural rubber(NR)and chloroprene rubber(CR)exhibit insufficientaging resistance and low-temperature resistance,respectively.In order to develop type 120 emergency valverubber diaphragms with long-life and high-performance,low-temperatureresistant CR and NR were processed.Design/methodology/approach–The physical properties of the low-temperature-resistant CR and NRwere tested by low-temperature stretching,dynamic mechanical analysis,differential scanning calorimetryand thermogravimetric analysis.Single-valve and single-vehicle tests of type 120 emergency valves werecarried out for emergency diaphragms consisting of NR and CR.Findings–The low-temperature-resistant CR and NR exhibited excellent physical properties.The elasticityand low-temperature resistance of NR were superior to those of CR,whereas the mechanical properties of thetwo rubbers were similar in the temperature range of 0℃–150℃.The NR and CR emergency diaphragms metthe requirements of the single-valve test.In the low-temperature single-vehicle test,only the low-temperaturesensitivity test of the NR emergency diaphragm met the requirements.Originality/value–The innovation of this study is that it provides valuable data and experience for futuredevelopment of type 120 valve rubber diaphragms.

Theoretical and Experimental Study on the Performance of Hermetic Diaphragm Squeeze Film Dampers for Gas-Lubricated Bearings

Low damping characteristics have always been a key sticking points in the development of gas bearings.The application of squeeze film dampers can significantly improve the damping performance of gas lubricated bearings.This paper proposed a novel hermetic diaphragm squeeze film damper(HDSFD)for oil-free turbomachinery supported by gas lubricated bearings.Several types of HDSFDs with symmetrical structure were proposed for good damping performance.By considering the compressibility of the damper fluid,based on hydraulic fluid mechanics theory,a dynamic model of HDSFDs under medium is proposed,which successfully reflects the frequency dependence of force coefficients.Based on the dynamic model,the effects of damper fluid viscosity,bulk modulus of damper fluid,thickness of damper fluid film and plunger thickness on the dynamic stiffness and damping of HDSFDs were analyzed.An experimental test rig was assembled and series of experimental studies on HDSFDs were conducted.The damper fluid transverse flow is added to the existing HDSFD concept,which aims to make the dynamic force coefficients independent of frequency.Although the force coefficient is still frequency dependent,the damping coefficient at high frequency excitation with damper fluid supply twice as that without damper fluid supply.The results serve as a benchmark for the calibration of analytical tools under development.

Traumatic Diaphragmatic Hernia in Children: A Case Report

Introduction: Traumatic diaphragmatic hernia is a rare condition in children complicating closed or penetrating trauma to the abdomen and thorax. We report the case of an 11-year-old girl with a traumatic diaphragmatic hernia. Case Presentation: An 11-year-old girl was seen in the paediatric surgery department for a thoracolumbar spine deformity and intermittent chest pain. These symptoms occurred after a domestic accident involving a fall from a low wall onto the thoracolumbar spine 5 months previously. The diagnosis was suggested by the presence of a left hemithoracic hydroaera and confirmed by a thoraco-abdominal CT scan. Surgical exploration revealed a linear rupture of the entire left hemi-diaphragm with herniation of the stomach, small intestine, cecum, transverse colon and omentum. We performed a double-layer suture of the diaphragmatic rupture with a non-absorbable suture without edge rejuvenation after the reduction of the hernia. The outcome was favourable with normal postoperative radiographs at one year follow-up. Conclusion: Traumatic diaphragmatic hernia, although uncommon and difficult to diagnose, is a condition that is relatively easy to manage surgically, even if it is discovered late. In all cases of trauma to the thoracolumbar spine, regular follow-up and repeat X-rays are necessary if pain persists.

Hepatic ectopic pregnancy with hemorrhage secondary diaphragmatic adhesion:A case report

BACKGROUND Primary abdominal pregnancy is an extremely rare form of ectopic pregnancy.Ectopic pregnancies that occur in the liver and diaphragm are even rarer,limited case reports are available in the literature.CASE SUMMARY A woman of childbearing age was transferred to the emergency department due to lumbar and abdominal pain radiating to the back toward the lower right.After a series of physical and auxiliary examinations,she was clinically diagnosed with hepatic ectopic pregnancy.Laparoscopic surgery was performed to remove the pregnancy tissue and achieve hemostasis.After a period of follow-up,the patient was successfully cured.CONCLUSION Paying attention to the patient's signs and utilizing imaging examination methods can help avoid missed diagnoses of liver pregnancy.

Sensitivity Analysis of Electromagnetic Scattering from Dielectric Targets with Polynomial Chaos Expansion and Method of Moments

In this paper,an adaptive polynomial chaos expansion method(PCE)based on the method of moments(MoM)is proposed to construct surrogate models for electromagnetic scattering and further sensitivity analysis.The MoM is applied to accurately solve the electric field integral equation(EFIE)of electromagnetic scattering from homogeneous dielectric targets.Within the bistatic radar cross section(RCS)as the research object,the adaptive PCE algorithm is devoted to selecting the appropriate order to construct the multivariate surrogate model.The corresponding sensitivity results are given by the further derivative operation,which is compared with those of the finite difference method(FDM).Several examples are provided to demonstrate the effectiveness of the proposed algorithm for sensitivity analysis of electromagnetic scattering from homogeneous dielectric targets.

Implementing and evaluating an automatic centroid moment tensor procedure for the Indonesia region and surrounding areas

The purpose of this research was to suggest an applicable procedure for computing the centroid moment tensor(CMT)automatically and in real time from earthquakes that occur in Indonesia and the surrounding areas.Gisola software was used to estimate the CMT solution by selecting the velocity model that best suited the local and regional geological conditions in Indonesia and the surrounding areas.The data used in this study were earthquakes with magnitudes of 5.4 to 8.0.High-quality,real-time broadband seismographic data were provided by the International Federation of Digital Seismograph Networks Web Services(FDSNWS)and the European Integrated Data Archive(EIDA)Federation in Indonesia and the surrounding areas.Furthermore,the inversion process and filter adjustment were carried out on the seismographic data to obtain good CMT solutions.The CMT solutions from Gisola provided good-quality solutions,in which all earthquake data had A-level quality(high quality,with good variant reduction).The Gisola CMT solution was justified with the Global CMT(GCMT)solution by using the Kagan angle value,with an average of approximately 11.2°.This result suggested that the CMT solution generated from Gisola was trustworthy and reliable.The Gisola CMT solution was typically available within approximately 15 minutes after an earthquake occurred.Once it met the quality requirement,it was automatically published on the internet.The catalog of local and regional earthquake records obtained through this technology holds great promise for improving the current understanding of regional seismic activity and ongoing tectonic processes.The accurate and real-time CMT solution generated by implementing the Gisola algorithm consisted of moment tensors and moment magnitudes,which provided invaluable insights into earthquakes occurring in Indonesia and the surrounding areas.

The deterministic condition for the ground reaction force acting point on the combined knee valgus and tibial internal rotation moments in early phase of cutting maneuvers in female athletes

Background:Combined knee valgus and tibial internal rotation(VL+IR)moments have been shown to stress the anterior cruciate ligament(ACL)in several in vitro cadaveric studies.To utilize this knowledge for non-contact ACL injury prevention in sports,it is necessary to elucidate how the ground reaction force(GRF)acting point(center of pressure(CoP))in the stance foot produces combined knee VL+IR moments in risky maneuvers,such as cuttings.However,the effects of the GRF acting point on the development of the combined knee VL+IR moment in cutting are still unknown.Methods:We first established the deterministic mechanical condition that the CoP position relative to the tibial rotational axis differentiates the GRF vector’s directional probability for developing the combined knee VL+IR moment,and theoretically predicted that when the CoP is posterior to the tibial rotational axis,the GRF vector is more likely to produce the combined knee VL+IR moment than when the CoP is anterior to the tibial rotational axis.Then,we tested a stochastic aspect of our theory in a lab-controlled in vivo experiment.Fourteen females performed 60˚cutting under forefoot/rearfoot strike conditions(10 trials each).The positions of lower limb markers and GRF data were measured,and the knee moment due to GRF vector was calculated.The trials were divided into anterior-and posterior-CoP groups depending on the CoP position relative to the tibial rotational axis at each 10 ms interval from 0 to 100 ms after foot strike,and the occurrence rate of the combined knee VL+IR moment was compared between trial groups.Results:The posterior-CoP group showed significantly higher occurrence rates of the combined knee VL+IR moment(maximum of 82.8%)at every time point than those of the anterior-CoP trials,as theoretically predicted by the deterministic mechanical condition.Conclusion:The rearfoot strikes inducing the posterior CoP should be avoided to reduce the risk of non-contact ACL injury associated with the combined knee VL+IR stress.

Moments of Inertia, Magnetic Dipole Moments, and Electric Quadrupole Moments of the Lithium Isotopes

The single-particle Schrödinger fluid model is designed mainly to calculate the moments of inertia of the axially symmetric deformed nuclei by assuming that each nucleon in the nucleus is moving in a single-particle potential which is deformed with time t, through its parametric dependence on a classical shape variable α(t). Also, the Nilsson model is designed for the calculations of the single-particle energy levels, the magnetic dipole moments, and the electric quadrupole moments of axially symmetric deformed nuclei by assuming that all the nucleons are moving in the field of an anisotropic oscillator potential. On the other hand, the nuclear superfluidity model is designed for the calculations of the nuclear moments of inertia and the electric quadrupole moments of deformed nuclei which have no axes of symmetry by assuming that the nucleons are moving in a quadruple deformed potential. Furthermore, the cranked Nilsson model is designed for the calculations of the total nuclear energy and the quadrupole moments of deformed nuclei which have no axes of symmetry by modifying the Nilsson potential to include second and fourth order oscillations. Accordingly, to investigate whether the six p-shell isotopes 6Li, 7Li, 8Li, 9Li, 10Li, and 11Li have axes of symmetry or not, we applied the four mentioned models to each nucleus by calculating their moments of inertia, their magnetic dipole moments, and their electric quadrupole moments by varying the deformation parameter β and the non-axiality parameter γ in wide ranges of values for this reason. Hence for the assumption that these isotopes are deformed and have axes of symmetry, we applied the single-particle Schrödinger fluid model and the Nilsson model. On the other hand, for the assumption that these isotopes are deformed and have no axes of symmetry, we applied the cranked Nilsson model and the nuclear super fluidity model. As a result of our calculations, we can conclude that the nucleus 6Li may be assumed to be deformed and has an axis of symmetry.

Determining the moment of inertia of triaxial Mars with updated global gravity models

The principal moments of inertia(PMIs)with the principal axes are usually taken as the dynamic figure parameters of Mars;they can be deduced from satellite-observed degree-two gravitational potentials in recent global gravity models and from the dynamic ellipticities resulting from precession observations.These PMIs are natural and significant for the geodetic,geophysical,and geodynamic problems of Mars,which are functions of internal density distributions.In this study,a closed and concise formula for determining the PMIs of the entire planet and its core was developed based on the second invariants of gravity and a multipole expansion.We deduced the polar oblateness J^(2)and the equatorial ellipticity J_(22)of Mars to be 1.9566×10^(−3)and 6.3106×10^(−5),respectively.The preferred principal moments of inertia of Mars are A=2.66589×1036 kg·m^(2),B=2.66775×10^(36)kg·m^(2),and C=2.68125×10^(36)kg·m^(2).These values indicate that Mar is slightly triaxial.The equatorial principal moment of inertia of the Martian core is 1.46008×10^(35)kg·m^(2),accounting for~5.47%of the planet’s PMI;this result is critical for investigating the density and size of the core of Mars,and the planet’s free core nutation.

Band engineering of valleytronics WSe_(2)–MoS_(2)heterostructures via stacking form,magnetic moment and thickness

Spin-valley polarization and bandgap regulation are critical in the developing of quantum devices.Here,by employing the density functional theory,we investigate the effects of stacking form,thickness and magnetic moment in the electronic structures of WSe_(2)–MoS_(2)heterostructures.Calculations show that spin-valley polarization maintains in all situations.Increasing thickness of 2H-MoS_(2)not only tunes the bandgap but also changes the degeneracy of the conduction band minimums(CBM)at K/K_(1) points.Gradual increase of micro magnetic moment tunes the bandgap and raises the valence band maximums(VBM)atΓpoint.In addition,the regulation of band gap by the thickness of 2H-MoS_(2)and introduced magnetic moment depends on the stacking type.Results suggest that WSe_(2)–MoS_(2)heterostructure supports an ideal platform for valleytronics applications.Our methods also give new ways of optical absorption regulation in spin-valley devices.

Unusual magnetic relaxation in a single-molecule magnet with toroidal magnetic moments

We report the synthesis and characterization of a single-molecule magnet composed of triangular clusters of dysprosium ions.The structural study shows that the symmetry changes from one polar point group(mm2)at room temperature to another polar point group(m)at low temperature.Magnetic studies and theory calculations illustrate that the vortex distribution of magnetic dipoles in the triangular dysprosium clusters forms a toroidal magnetic moment.Interestingly,the analysis of AC magnetic susceptibility reveals the coexistence of three distinct magnetic relaxation processes,corresponding to the Raman,Orbach,and QTM relaxation pathways,respectively.The sum of three modified Debye functions is successfully used to describe the multiple relaxation behavior.

Dynamic connectedness and network in the high moments of cryptocurrency,stock,and commodity markets

This study examines the connectedness in high-order moments between cryptocurrency,major stock(U.S.,U.K.,Eurozone,and Japan),and commodity(gold and oil)markets.Using intraday data from 2020 to 2022 and the time and frequency connectedness models of Diebold and Yilmaz(Int J Forecast 28(1):57–66,2012)and Barunik and Křehlik(J Financ Econom 16(2):271–296,2018),we investigate spillovers among the markets in realized volatility,the jump component of realized volatility,realized skewness,and realized kurtosis.These higher-order moments allow us to identify the unique characteristics of financial returns,such as asymmetry and fat tails,thereby capturing various market risks such as downside risk and tail risk.Our results show that the cryptocurrency,stock,and commodity markets are highly connected in terms of volatility and in the jump component of volatility,while their connectedness in skewness and kurtosis is smaller.Moreover,jump and volatility connectedness are more persistent than that of skewness and kurtosis connectedness.Our rolling-window analysis of the connectedness models shows that connectedness varies over time across all moments,and tends to increase during periods of high uncertainty.Finally,we show the potential of gold and oil as hedging and safe-haven investments for other markets given that they are the least connected to other markets across all moments and investment horizons.Our findings provide useful information for designing effective portfolio management and cryptocurrency regulations.

Analytical Investigation into the Rotational Performance of Glulam Bolted Beam-Column Connections under Coupled Bending Moment and Shear Force

Considering the glulam beam-column connection form and the number of bolts,monotonic loading test and finite element analysis was carried out on 9 connection specimens in 3 groups to study the rotational performance and failure mode of the connection.The test results revealed that compared with U-shaped connectors,T-shaped connectors can effectively improve the ductility of connections,and the increase in the number of bolts can reduce the initial stiffness and ductility of connections.By theoretical analysis,formulas for calculating the initial stiffness and ultimate moment of connections were deduced.Subsequently,the moment-rotation theoretical model of connections was established based on the formulas,which were validated according to the test data and simulation results.The proposed model can not only improve the current theoretical system of heavy-duty glulam beam-column structure but also provide a theoretical basis for calculating the mechanical properties of the glulam beam-column connection.

Complete moment convergence for ND random variables under the sub-linear expectations

In this article,we establish a general result on complete moment convergence for arrays of rowwise negatively dependent(ND)random variables under the sub-linear expectations.As applications,we can obtain a series of results on complete moment convergence for ND random variables under the sub-linear expectations.

Measurement of remanent magnetic moment using a torsion pendulum with single frequency modulation method

In Tian Qin spaceborne gravitational-wave detectors, the stringent requirements on the magnetic cleanliness of the test masses demand the high resolution ground-based characterization measurement of their magnetic properties. Here we present a single frequency modulation method based on a torsion pendulum to measure the remanent magnetic moment mr of 1.1 kg dummy copper test mass, and the measurement result is(6.45 ± 0.04(stat) ± 0.07(syst)) × 10^(-8)A · m^(2). The measurement precision of the mr is about 0.9 n A · m^(2), well below the present measurement requirement of Tian Qin. The method is particularly useful for measuring extremely low magnetic properties of the materials for use in the construction of space-borne gravitational wave detection and other precision scientific apparatus.

Explaining Pomeranchuk Effect by Parity of Magnetic Moments of Leptons and Hadrons for Superconductivity in 3He and Graphene*

The mystery of superconductivity has intrigued scientists for 110 years now. The author in 2014 specifically predicted the superconductivity in carbon, sulfur and hydrogen compounds and generally predicted carbonaceous, hydrogeneous and sulfurous compounds in 2005 with reference to scattering to asymmetric orbital motions and associated spin and orbital exchanges between nuclei and electrons. The emphasis was in 2005 upon stronger electron and nuclear interactions and electron-phonon effects. But here the author develops more the un-gerade parity of the p and f orbitals and their contributions to the superconductivity at lower pressures and higher temperatures. On the bases of such, the role of parity from the origin and inflation of the Universe is noted and dark and bright energies and matters in the mature Universe are reasoned. Moreover, the superconductors are all reasoned by positive and negative nuclear magnetic moments (NMMs) with availability of un-gerade parities of p and f subshells and their orbitals. In addition to superconductivity, such positive and negative NMMs by Little Effect is presented for explaining Pomeranchuk Effect and thereby further explaining superconductivity and superfluidity of 3He. On the bases of successes of Little Effect via positive and negative NMMs, in particular negative NMMs of 3He, the superconductivity in twisted graphene is explained and also its recently discovered Pomeranchuk Effect.

On the Spectral Moments of Wind Waves

In order to obtain high order spectral moments, the residual moment M(w(n))(i) = integral(0)(wn) w(i)S(w)dw, as proposed by Denis s, is presented for approximate estimation of spectral moment m(i) = integral(0)(infinity) w(i)S(w)dw. Glazman's partial averaging idea is discussed. It is pointed out that Glazman's method and definition of non-dimensional spectral moment can not be used to estimate spectral moments for engineering purposes and that method is not supported by theory and computation. The non-dimensional spectral moment of PM spectrum, which should be expressed as [GRAPHICS] is related to wind speed. The 0 - 8th moments of PM spectrum are estimated for wind speeds of 10, 20 and 30 m/s and some discussions are given.

Analysis of rockburst mechanism and warning based on microseismic moment tensors and dynamic Bayesian networks

One of the major factors inhibiting the construction of deep underground projects is the risk posed by rockbursts.A study was conducted on the access tunnel of the Shuangjiangkou hydropower station to determine the evolutionary mechanism of microfractures within the surrounding rock mass during rockburst development and develop a rockburst warning model.The study area was chosen through the combination of field studies with an analysis of the spatial and temporal distribution of microseismic(MS)events.The moment tensor inversion method was adopted to study rockburst mechanism,and a dynamic Bayesian network(DBN)was applied to investigating the sensitivity of MS source parameters for rockburst warnings.A MS multivariable rockburst warning model was proposed and validated using two case studies.The results indicate that fractures in the surrounding rock mass during the development of strain-structure rockbursts initially show shear failure and are then followed by tensile failure.The effectiveness of the DBN-based rockburst warning model was demonstrated using self-validation and K-fold cross-validation.Moment magnitude and source radius are the most sensitive factors based on an investigation of the influence on the parent and child nodes in the model,which can serve as important standards for rockburst warnings.The proposed rockburst warning model was found to be effective when applied to two actual projects.