"Five steps four quadrants" modularized en bloc dissection technique for accessing hepatic hilum lymph nodes in laparoscopic pancreaticoduodenectomy

BACKGROUND Although en bloc dissection of hepatic hilum lymph nodes has many advantages in radical tumor treatment,the feasibility and safety of this approach for laparo-scopic pancreaticoduodenectomy(LPD)require further clinical evaluation and investigation.AIM To explore the application value of the"five steps four quadrants"modularized en bloc dissection technique for accessing hepatic hilum lymph nodes in LPD patients.METHODS A total of 52 patients who underwent LPD via the"five steps four quadrants"modularized en bloc dissection technique for hepatic hilum lymph nodes from April 2021 to July 2023 in our department were analyzed retrospectively.The patients'body mass index(BMI),preoperative laboratory indices,intraoperative variables and postoperative complications were recorded.The relationships between preoperative data and intraoperative lymph node dissection time and blood loss were also analyzed.RESULTS Among the 52 patients,36 were males and 16 were females,and the average age was 62.2±11.0 years.There were 26 patients with pancreatic head cancer,16 patients with periampullary cancer,and 10 patients with distal bile duct cancer.The BMI was 22.3±3.3 kg/m²,and the median total bilirubin(TBIL)concentration was 57.7(16.0-155.7)µmol/L.All patients successfully underwent the"five steps four quadrants"modularized en bloc dissection technique without lymph node clearance-related complications such as postoperative bleeding or lymphatic leakage.Correlation analysis revealed significant associations between preoperative BMI(r=0.3581,P=0.0091),TBIL level(r=0.2988,P=0.0341),prothrombin time(r=0.3018,P=0.0297)and lymph node dissection time.Moreover,dissection time was significantly correlated with intraoperative blood loss(r=0.7744,P<0.0001).Further stratified analysis demonstrated that patients with a preoperative BMI≥21.9 kg/m²and a TIBL concentration≥57.7μmol/L had significantly longer lymph node dissection times(both P<0.05).CONCLUSION The"five steps four quadrants"modularized en bloc dissection technique for accessing the hepatic hilum lymph node is safe and feasible for LPD.This technique is expected to improve the efficiency of hepatic hilum lymph node dissection and shorten the learning curve;thus,it is worthy of further clinical promotion and application.

Rapid fabrication of modular 3D paper-basedmicrofluidic chips using projection-based 3D printing

Paper-based microchips have different advantages,such as better biocompatibility,simple production,and easy handling,making them promising candidates for clinical diagnosis and other fields.This study describes amethod developed to fabricate modular three-dimensional(3D)paper-based microfluidic chips based on projection-based 3D printing(PBP)technology.A series of two-dimensional(2D)paper-based microfluidic modules was designed and fabricated.After evaluating the effect of exposure time on the accuracy of the flow channel,the resolution of this channel was experimentally analyzed.Furthermore,several 3D paper-based microfluidic chips were assembled based on the 2D ones using different methods,with good channel connectivity.Scaffold-based 2D and hydrogel-based 3D cell culture systems based on 3D paper-based microfluidic chips were verified to be feasible.Furthermore,by combining extrusion 3D bioprinting technology and the proposed 3D paper-based microfluidic chips,multiorgan microfluidic chips were established by directly printing 3D hydrogel structures on 3D paperbased microfluidic chips,confirming that the prepared modular 3D paper-based microfluidic chip is potentially applicable in various biomedical applications.

Harmonic Impedance Modeling and Oscillation Analysis of Modular Multilevel Converter

To facilitate rapid analysis of the oscillation stability mechanism in modular multilevel converter-based high voltage direct current(MMC-HVDC)systems and streamline the simulation process for determining MMC impedance characteristics,a simplified mathematical simulation model for MMC closed-loop impedance is developed using the harmonic state space method.This model considers various control strategies and includes both AC-side and DC-side impedance models.By applying a Nyquist criterion-based impedance analysis method,the stability mechanisms on the AC and DC sides of the MMC are examined.In addition,a data-driven oscillation stability analysis method is also proposed,leveraging a global sensitivity algorithm based on fast model results to identify key parameters influencing MMC oscillation stability.Based on sensitivity analysis results,a parameter adjustment strategy for oscillation suppression is proposed.The simulation results from the MATLAB/Simulinkbased MMC model validate the effectiveness of the proposed method.

Customized scaffolds for large bone defects using 3D‑printed modular blocks from 2D‑medical images

Additive manufacturing(AM)has revolutionized the design and manufacturing of patient-specific,three-dimensional(3D),complex porous structures known as scaffolds for tissue engineering applications.The use of advanced image acquisition techniques,image processing,and computer-aided design methods has enabled the precise design and additive manufacturing of anatomically correct and patient-specific implants and scaffolds.However,these sophisticated techniques can be timeconsuming,labor-intensive,and expensive.Moreover,the necessary imaging and manufacturing equipment may not be readily available when urgent treatment is needed for trauma patients.In this study,a novel design and AM methods are proposed for the development of modular and customizable scaffold blocks that can be adapted to fit the bone defect area of a patient.These modular scaffold blocks can be combined to quickly form any patient-specific scaffold directly from two-dimensional(2D)medical images when the surgeon lacks access to a 3D printer or cannot wait for lengthy 3D imaging,modeling,and 3D printing during surgery.The proposed method begins with developing a bone surface-modeling algorithm that reconstructs a model of the patient’s bone from 2D medical image measurements without the need for expensive 3D medical imaging or segmentation.This algorithm can generate both patient-specific and average bone models.Additionally,a biomimetic continuous path planning method is developed for the additive manufacturing of scaffolds,allowing porous scaffold blocks with the desired biomechanical properties to be manufactured directly from 2D data or images.The algorithms are implemented,and the designed scaffold blocks are 3D printed using an extrusion-based AM process.Guidelines and instructions are also provided to assist surgeons in assembling scaffold blocks for the self-repair of patient-specific large bone defects.

Fixed-Time Sliding Mode Control With Varying Exponent Coefficient for Modular Reconfigurable Flight Arrays

The modular system can change its physical structure by self-assembly and self-disassembly between modules to dynamically adapt to task and environmental requirements. Recognizing the adaptive capability of modular systems, we introduce a modular reconfigurable flight array(MRFA) to pursue a multifunction aircraft fitting for diverse tasks and requirements,and investigate the attitude control and the control allocation problem by using the modular reconfigurable flight array as a platform. First, considering the variable and irregular topological configuration of the modular array, a center-of-mass-independent flight array dynamics model is proposed to allow control allocation under over-actuated situations. Secondly, in order to meet the stable, fast and accurate attitude tracking performance of the MRFA, a fixed-time convergent sliding mode controller with state-dependent variable exponent coefficients is proposed to ensure fast convergence rate both away from and near the system equilibrium point without encountering the singularity. It is shown that the controller also has fixed-time convergent characteristics even in the presence of external disturbances. Finally,simulation results are provided to demonstrate the effectiveness of the proposed modeling and control strategies.

Optimal Design of the Modular Joint Drive Train for Enhancing Cobot Load Capacity and Dynamic Performance

Automation advancements prompts the extensive integration of collaborative robot(cobot)across a range of industries.Compared to the commonly used design approach of increasing the payload-to-weight ratio of cobot to enhance load capacity,equal attention should be paid to the dynamic response characteristics of cobot during the design process to make the cobot more flexible.In this paper,a new method for designing the drive train parameters of cobot is proposed.Firstly,based on the analysis of factors influencing the load capacity and dynamic response characteristics,design criteria for both aspects are established for cobot with all optimization design criteria normalized within the design domain.Secondly,with the cobot in the horizontal pose,the motor design scheme is discretized and it takes the joint motor diameter and gearbox speed ratio as optimization design variables.Finally,all the discrete values of the optimization objectives are obtained through the enumeration method and the Pareto front is used to select the optimal solution through multi-objective optimization.Base on the cobot design method proposed in this paper,a six-axis cobot is designed and compared with the commercial cobot.The result shows that the load capacity of the designed cobot in this paper reaches 8.4 kg,surpassing the 5 kg load capacity commercial cobot which is used as a benchmark.The minimum resonance frequency of the joints is 42.70 Hz.

Modularized and Parametric Modeling Technology for Finite Element Simulations of Underground Engineering under Complicated Geological Conditions

The surrounding geological conditions and supporting structures of underground engineering are often updated during construction,and these updates require repeated numerical modeling.To improve the numerical modeling efficiency of underground engineering,a modularized and parametric modeling cloud server is developed by using Python codes.The basic framework of the cloud server is as follows:input the modeling parameters into the web platform,implement Rhino software and FLAC3D software to model and run simulations in the cloud server,and return the simulation results to the web platform.The modeling program can automatically generate instructions that can run the modeling process in Rhino based on the input modeling parameters.The main modules of the modeling program include modeling the 3D geological structures,the underground engineering structures,and the supporting structures as well as meshing the geometric models.In particular,various cross-sections of underground caverns are crafted as parametricmodules in themodeling program.Themodularized and parametric modeling program is used for a finite element simulation of the underground powerhouse of the Shuangjiangkou Hydropower Station.This complicatedmodel is rapidly generated for the simulation,and the simulation results are reasonable.Thus,this modularized and parametric modeling program is applicable for three-dimensional finite element simulations and analyses.

Small Modular Solutions to Fermat’s Last Theorem

The proof by Andrew Wiles of Fermat’s Last Theorem in 1995 resolved the existence question for non-trivial solutions in integers x,y,zto the equation xn+yn=znfor n>2. There are none. Surprisingly, there are infinitely many solutions if the problem is recast in terms of modular arithmetic. Over a hundred years ago Issai Schur was able to show that for any n there is always a sufficiently large prime p0such that for all primes p≥p0the congruence xn+yn≡zn(modp)has a non-trivial solution. Schur’s argument wasnon-constructive, and there is no systematic method available at present to construct specific examples for small primes. We offer a simple method for constructing all possible solutions to a large class of congruences of this type.

Modular System of Cascaded Converters Based onModel Predictive Control

A modular system of cascaded converters based on model predictive control(MPC)is proposed to meet the application requirements ofmultiple voltage levels and electrical isolation in renewable energy generation systems.The system consists of a Buck/Boost+CLLLC cascaded converter as a submodule,which is combined in series and parallel on the input and output sides to achieve direct-current(DC)voltage transformation,bidirectional energy flow,and electrical isolation.The CLLLC converter operates in DC transformer mode in the submodule,while the Buck/Boost converter participates in voltage regulation.This article establishes a suitable mathematical model for the proposed system topology,and uses MPC to control the system based on this mathematical model.Module parameters are designed and calculated,and simulation is built in MATLAB/Simulink to complete the simulation comparison experiment between MPC and traditional proportional integral(PI)control.Finally,a physical experimental platform is built to complete the physical comparison experiment.The simulation and physical experimental results prove that the control accuracy and response speed ofMPC are better than traditional PI control strategy.

The“Digital”Approach Impact Today:Modularity in Interior Architecture

Understanding digital technology requires a shift in mindset that takes into account the broader implications of design,social dynamics,environmental factors,and cultural influences.Acknowledging the fact that technology is not confined to the virtual domain but rather has a tangible influence on our daily lives and the surrounding environment,the extensive integration and potential of digital technologies offer a distinctive prospect to fundamentally transform our shared comprehension of architecture.Digital technologies are revolutionizing design practices,manufacturing processes,and our engagement with and understanding of the built environment,by fostering the development of novel models that promote equity and inclusivity.The application of“digital technologies”can function as a methodology for examining and expressing the possible paths of emerging digital technologies.Extrapolate the expected impact of digital technologies on the design,development,and occupancy of the environment to achieve a more sustainable future in the long run.This paper will examine the potential connections and origins of digital technology concerning modularity,as well as the implications of modularity on forthcoming architectural developments in customization.

Experimental Research on the Fabrication of Modular Devices for Drilling Using PLA for Model Parts

The objective of the work is to determine the influence of the PLA melting temperature during 3D printing on the dimensional accuracy of the model parts. Two modular drilling devices were also made using PLA model parts. The model parts were 3D printed using FDM technology and the ZMorph 2.0 hybrid 3D printer. The accuracy of 3D printing of the model part influences the realization of modular devices. In recent years, technology has evolved a lot, and the need to have the most efficient manufacturing equipment has increased. This is the reason for the development of 3D printers using FDM technology for plastic parts. The software used by these 3D printers used in FDM technology is very sophisticated, as they allow the manufacture of very precise 3D prototypes, identical to the designed 3D model, through modern additive manufacturing techniques. The quality and mechanical strength of the prototypes obtained using 3D printers is very good. The materials used by the 3D printers manufactured by FDM are cheap and accessible. These 3D printers are used to make three-dimensional objects (gears, flanges, bearings, covers, casings, mechanisms, figurines, interior and exterior design elements, architectural models, medical models).

Illumination Adaptive Identification Algorithm of a Reconfigurable Modular Robot

Reconfigurable modular robots feature high mobility due to their unconstrained connection manners.Inspired by the snake multi-joint crawling principle,a chain-type reconfigurable modular robot(CRMR)is designed,which could reassemble into various configurations through the compound joint motion.Moreover,an illumination adaptive modular robot identification(IAMRI)algorithm is proposed for CRMR.At first,an adaptive threshold is applied to detect oriented FAST features in the robot image.Then,the effective detection of features in non-uniform illumination areas is achieved through an optimized quadtree decomposition method.After matching features,an improved random sample consensus algorithm is employed to eliminate the mismatched features.Finally,the reconfigurable robot module is identified effectively through the perspective transformation.Compared with ORB,MA,Y-ORB,and S-ORB algorithms,the IAMRI algorithm has an improvement of over 11.6%in feature uniformity,and 13.7%in the comprehensive indicator,respectively.The IAMRI algorithm limits the relative error within 2.5 pixels,efficiently completing the CRMR identification under complex environmental changes.

Design and Development of Small Modular Courses for“Education-Training Integration”in Vocational Colleges:A Case Study

Vocational education plays a vital role in the development of skilled technical professionals and the advancement of the economy.However,the emphasis on campus education often neglects the importance of external training,hindering the overall development of vocational education.This study aims to address this issue by exploring the design and development of small modular courses that integrate training and education in vocational colleges,focusing on the mechanics course as a case study.The research methods employed in this study include an in-depth analysis of enterprise training needs,the development of digital teaching resources utilizing the finite element method(FEM),and the implementation of a small modular course integrating education and training.The data analysis reveals positive outcomes in terms of learners’comprehension and engagement with complex mechanics formulas through the use of stress nephograms and other digital resources.This research provides a new perspective on curriculum design and offers insights into the integration of training and education in vocational colleges.The findings underscore the significance of incorporating innovative teaching methodologies and digital resources in enhancing the quality and relevance of vocational education,ultimately contributing to the cultivation of skilled professionals and the growth of the vocational education sector.

Application Strategies of Modular Design in Assembled Teaching Buildings

As an efficient,environmentally friendly,energy-saving construction method,assembled buildings are now widely used in campus building construction.Modular design thinking is system-based design thinking,and its application to the design of an assembled teaching building project will comprehensively improve the rationality of the teaching building and component design.The paper focuses on the application of modular design thinking in assembled teaching building design,aiming to provide references for China’s architectural design units,giving full play to the advantages of modular design thinking in future teaching building design projects,and enhancing the level of design,for the construction of the teaching building and the basis of the technical guarantee.

基于LabVIEW的拖拉机电气故障诊断系统设计

设计了一种基于LabVIEW的拖拉机电气故障诊断系统,其采用模块化设计,可以自动检测和诊断拖拉机的电气故障,并提供可视化的诊断结果。系统由数据采集模块、信号处理模块、故障诊断模块和用户界面模块组成。数据采集模块负责采集拖拉机各个部件的电气参数数据,信号处理模块对采集到的数据进行处理和分析,故障诊断模块通过分析处理后的数据来判断拖拉机是否存在故障,并给出相应的诊断结果,用户界面模块提供友好的交互界面。试验结果表明:系统可以准确地诊断拖拉机的电气故障,具有良好的应用前景和推广价值。

罗氏cobase602与modular e170电化学发光分析仪检测血清HBsAg阳性低值结果的对比分析

目的探讨乙肝表面抗原(HBsAg)阳性低值结果在不同检测系统间结果的相关性,为临床检验结果分析及报告的准确发布提供参考。方法选取经罗氏电化学发光检测仪Cobas e602检测的HBsAg结果在1~80 COI的标本243份,同时将标本在罗氏电化学发光检测仪Modular e170上进行检测,计算两组测定值的直线回归相关系数R^2值,计算各组别的阳性符合率。结果两个检测系统比对实验结果为R^2=0.933。根据测定值高低分为A,B,C,D和E组的阳性符合率分别为60.60%,92.72%,96.66%,96.66%和100%;男性组阳性符合率为87.66%,女性组阳性符合率为70.96%,男性患者阳性符合率大于女性患者(P<0.05)。结论两检测系统对于范围在1~80 COI的标本检测结果有相关性:其中测量值在10 COI以上标本的阳性符合率完全一致;测量值在1~10 COI的标本阳性符合率不一致,且随结果的减小而降低,在临床上可能导致有争议的结果,建议做进一步复查。

Design and Analysis of Analog Front-End of Passive RFID Transponders

An analog front-end of HF passive RFID transponders compatible with ISO/IEC 18000-3 is presented.Design considerations, especially the power transmission in the RFID transponder, are analyzed. Based on these considerations,an analog front-end is presented with novel architecture, high power conversion efficiency, low voltage, low power consumption, and high performance in an environment of noise and power fluctuation. The circuit is implemented in a Chartered 0.35μm standard CMOS process. The experimental results show that the chip can satisfy the design target well.

基于模糊Modular神经网络的官厅水库及邻区的地震危险性估计

首先介绍了模糊Modular神经网络的原理、建模方法与仿真实验,然后利用该方法把一些常用的地震学指标作为神经网络的输入,未来50年最大震级则作为网络的期望输出,对官厅水库及邻区的地震活动进行学习与最大震级序列建模,进行危险性预测。通过分析,认为该方法在一定程度上具有学习、建模与外推预测泛化能力,具有很好的中长期地震危险性预测效果,可以作为中长期地震危险性分析的工具。

酶学指标检测验证罗氏Modular P800全自动生化分析仪性能的分析

目的通过检测酶学指标丙氨酸氨基转移酶(ALT)和天门冬氨酸氨基转移酶(AST)验证罗氏Modular P800全自动生化分析仪的分析性能。方法根据美国临床实验室标准协会(CLSI)系列文件(EP15-A2,EP6-A2)和其他相关文献的实验方案,对罗氏Modular P800全自动生化分析仪检测ALT、AST的精密度、正确度、线性、临床可报告范围、生物参考区间5大性能进行验证,参照昆涞Q-expertTM质控软件进行结果判断,并与厂商声明的性能或公认的质量标准进行比较。结果精密度均符合制造商性能标准;ALT与AST相对偏倚(SE%)均在临床可接受水平范围内;ALT、AST检测均呈一阶线性,线性范围分别为10.63~600U/L、4~800U/L;ALT和AST临床可报告范围分别为10.63~9600U/L、4~12800U/L;ALT、AST生物参考区间验证结果均符合要求。结论罗氏Modular P800全自动生化分析仪ALT、AST检测的主要分析性能符合质量目标要求。

改进的模糊Modular神经网络在既有建筑可靠性鉴定中的应用

在Takagi-Sugeno模糊逻辑系统的基础上,提出了改进的模糊Modular神经网络模型(IF-MNN),并将该模型应用于既有建筑的可靠性鉴定。改进的模型是将传统的模糊Modular神经网络模型中的单输出改进为多输出。这种改进的多输入多输出的模糊Modular神经网络模型具有预测性能好、训练学习速度快的优点,它的系统门网络采用模糊C均值聚类算法代替K-means算法,专家网络的训练中引进了先进的Levenberg-Marquardt算法。在应用改进的模糊Modular神经网络模型对既有建筑进行可靠性鉴定的过程中,综合考虑了各主要因素对既有建筑可靠性鉴定等级的影响,并将经量化处理的影响因素作为网络的外部输入,将网络计算得到的4个输出值分别作为样本对应于不同可靠性等级的隶属度,建筑可靠性鉴定的最终评判等级为最大隶属度所对应的等级。训练和预测样本的计算结果证明了改进的模糊Modular神经网络模型在既有建筑可靠性鉴定中应用的可行性和有效性。