BACKGROUND Spastic pelvic floor syndrome(SPFS)is a refractory pelvic floor disease characterized by abnormal(uncoordinated)contractions of the external anal sphincter and puborectalis muscle during defecation,resultin...BACKGROUND Spastic pelvic floor syndrome(SPFS)is a refractory pelvic floor disease characterized by abnormal(uncoordinated)contractions of the external anal sphincter and puborectalis muscle during defecation,resulting in rectal emptation and obstructive constipation.The clinical manifestations of SPFS are mainly characterized by difficult defecation,often accompanied by a sense of anal blockage and drooping.Manual defecation is usually needed during defecation.From physical examination,it is commonly observed that the patient's anal muscle tension is high,and it is difficult or even impossible to enter with his fingers.AIM To investigate the characteristics of anorectal pressure and botulinum toxin A injection combined with biofeedback in treating pelvic floor muscle spasm syndrome.METHODS Retrospective analysis of 50 patients diagnosed with pelvic floor spasm syndrome.All patients underwent pelvic floor surface electromyography assessment,anorectal dynamics examination,botulinum toxin type A injection 100 U intramuscular injection,and two cycles of biofeedback therapy.RESULTS After the botulinum toxin A injection combined with two cycles of biofeedback therapy,the patient's postoperative resting and systolic blood pressure were significantly lower than before surgery(P<0.05).Moreover,the electromyography index of the patients in the resting stage and post-resting stages was significantly lower than before surgery(P<0.05).CONCLUSION Botulinum toxin A injection combined with biofeedback can significantly reduce pelvic floor muscle tension in treating pelvic floor muscle spasm syndrome.Anorectal manometry is an effective method to evaluate the efficacy of treatment objectively.However,randomized controlled trials are needed.展开更多
The presence of horizontal layered rocks in tunnel engineering significantly impacts the stability and strength of the surrounding rock mass,leading to floor heave in the tunnel.This study focused on preparing layered...The presence of horizontal layered rocks in tunnel engineering significantly impacts the stability and strength of the surrounding rock mass,leading to floor heave in the tunnel.This study focused on preparing layered specimens of rock-like material with varying thickness to investigate the failure behaviors of tunnel floors.The results indicate that thin-layered rock mass exhibits weak interlayer bonding,causing rock layers near the surface to buckle and break upwards when subjected to horizontal squeezing.With an increase in the layer thickness,a transition in failure mode occurs from upward buckling to shear failure along the plane,leading to a noticeable reduction in floor heave deformation.The primary cause of significant deformation in floor heave is upward buckling failure.To address this issue,the study proposes the installation of a partition wall in the middle of the floor to mitigate heave deformation of the rock layers.The results demonstrate that the partition wall has a considerable stabilizing effect on the floor,reducing the zone of buckling failure and minimizing floor heave deformation.It is crucial for the partition wall to be sufficiently high to prevent buckling failure and ensure stability.Through simulation calculations on an engineering example,it is confirmed that implementing a partition wall can effectively reduce floor heave and enhance the stability of tunnel floor.展开更多
BACKGROUND Pelvic floor dysfunction(PFD)is related to muscle fiber tearing during childbirth,negatively impacting postpartum quality of life of parturient.Appropriate and effective intervention is necessary to promote...BACKGROUND Pelvic floor dysfunction(PFD)is related to muscle fiber tearing during childbirth,negatively impacting postpartum quality of life of parturient.Appropriate and effective intervention is necessary to promote PFD recovery.AIM To analyze the use of hydrogen peroxide and silver ion disinfection for vaginal electrodes in conjunction with comprehensive rehabilitation therapy for postpartum women with PFD.METHODS A total of 59 women with PFD who were admitted to the hospital from May 2019 to July 2022 were divided into two groups:Control group(n=27)received comprehensive rehabilitation therapy and observation group(n=32)received intervention with pelvic floor biostimulation feedback instrument in addition to comprehensive rehabilitation therapy.The vaginal electrodes were disinfected with hydrogen peroxide and silver ion before treatment.Intervention for both groups was started 6 weeks postpartum,and rehabilitation lasted for 3 months.Pelvic floor muscle voltage,pelvic floor muscle strength,vaginal muscle voltage,vaginal muscle tone,pelvic floor function,quality of life,and incidence of postpartum PFD were compared between the two groups.RESULTS Before comprehensive rehabilitation treatment,basic data and pelvic floor function were not significantly different between the two groups.After treatment,the observation group showed significant improvements in the maximum voltage and average voltage of pelvic floor muscles,contraction time of type I and type II fibers,pelvic floor muscle strength,vaginal muscle tone,vaginal muscle voltage,and quality of life(GQOLI-74 reports),compared with the control group.The observation group had lower scores on the pelvic floor distress inventory(PFDI-20)and a lower incidence of postpartum PFD,indicating the effectiveness of the pelvic floor biostimulation feedback instrument in promoting the recovery of maternal pelvic floor function.CONCLUSION The combination of the pelvic floor biostimulation feedback instrument and comprehensive rehabilitation nursing can improve pelvic floor muscle strength,promote the recovery of vaginal muscle tone,and improve pelvic floor function and quality of life.The use of hydrogen peroxide and silver ion disinfectant demonstrated favorable antibacterial efficacy and is worthy of clinical application.展开更多
The Noise,Vibration,and Harshness(NVH)experience during driving is significantly influenced by the sound insulation performance of the car floor acoustic package.As such,accurate and efficient predictions of its sound...The Noise,Vibration,and Harshness(NVH)experience during driving is significantly influenced by the sound insulation performance of the car floor acoustic package.As such,accurate and efficient predictions of its sound insulation performance are crucial for optimizing related noise reduction designs.However,the complex acoustic transmission mechanisms and difficulties in characterizing the sound absorption and insulation properties of the floor acoustic package pose significant challenges to traditional Computer-Aided Engineering(CAE)methods,leading to low modeling efficiency and prediction accuracy.To address these limitations,a hierarchical multiobjective decomposition system for predicting the sound insulation performance of the floor acoustic package has been developed based on an analysis of the noise transmission path.This approach involves introducing a 1D-Convolutional Neural Network(1D-CNN)model for predicting the sound insulation performance of the floor acoustic package,thereby avoiding the limitations of conventional CAE approaches that rely solely on“data-driven”methods.The proposed method was applied and tested using specific vehicle models,and the results demonstrated the effectiveness and superiority of the proposed approach relative to those obtained using 2D-CNN and Support Vector Regression(SVR)models.展开更多
Digital twin technology, originally developed for intricate physical systems, holds great potential in women’s healthcare, particularly in the management of pelvic floor disorders. This paper delves into the developm...Digital twin technology, originally developed for intricate physical systems, holds great potential in women’s healthcare, particularly in the management of pelvic floor disorders. This paper delves into the development of a digital twin specifically for the female pelvic floor, which can amalgamate various data sources such as imaging, biomechanical assessments, and patient-reported outcomes to offer personalized diagnostic and therapeutic insights. Through the utilization of 3D modeling and machine learning, the digital twin may facilitate precise visualization, prediction, and individualized treatment planning. Nevertheless, it is crucial to address the ethical and practical challenges related to data privacy and ensuring fair access. As this technology progresses, it has the potential to revolutionize gynecological and obstetric care by enhancing diagnostics, customizing treatments, and increasing patient involvement.展开更多
Recently the manufacture of epoxy coating and flooring materials begun to be under strong pressure to use more environmentally friendly raw materials in its composition.First tendency to reduce of solvents and diluent...Recently the manufacture of epoxy coating and flooring materials begun to be under strong pressure to use more environmentally friendly raw materials in its composition.First tendency to reduce of solvents and diluents contained in the materials appeared at the end of 90´s.This situation was supported by the Council of Europe in 2004 to reduce VOC emissions to zero till 2020.Solvent materials were thus largely replaced by solvent free materials from which the volatile substances are not released into the air.But pressure continued to increase,and over the past decade began to take centre stage water-based epoxy.On the Czech market solvent based material is still occasionally used,but predominant are solvent free materials.There are no commonly used materials containing wastes as fillers in new water-borne and solvent-free epoxy materials.Characteristics identification of the waste material as a potential filler is a set of properties that determine the limits of secondary raw materials or waste as a filler.This paper describes the basic characteristics which must be selected to meet the requirements,to affect negatively the workability,sedimentation,properties and behavior of the final floor system.Some materials must comply with special requirements,such as resistance to chemicals,etc.Next part of paper talks about utilization of polymer floors and their mechanical properties.展开更多
Machining is as old as humanity, and changes in temperature in both the machine’s internal and external environments can be of great concern as they affect the machine’s thermal stability and, thus, the machine’s d...Machining is as old as humanity, and changes in temperature in both the machine’s internal and external environments can be of great concern as they affect the machine’s thermal stability and, thus, the machine’s dimensional accuracy. This paper is a continuation of our earlier work, which aimed to analyze the effect of the internal temperature of a machine tool as the machine is put into operation and vary the external temperature, the machine floor temperature. Some experiments are carried out under controlled conditions to study how machine tool components get heated up and how this heating up affects the machine’s accuracy due to thermally induced deviations. Additionally, another angle is added by varying the machine floor temperature. The parameters mentioned above are explored in line with the overall thermal stability of the machine tool and its dimensional accuracy. A Robodrill CNC machine tool is used. The CNC was first soaked with thermal energy by gradually raising the machine floor temperature to a certain level before putting the machine in operation. The machine was monitored, and analytical methods were deplored to evaluate thermal stability. Secondly, the machine was run idle for some time under raised floor temperature before it was put into operation. Data was also collected and analyzed. It is observed that machine thermal stability can be achieved in several ways depending on how the above parameters are joggled. This paper, in conclusion, reinforces the idea of machine tool warm-up process in conjunction with a carefully analyzed and established machine floor temperature variation for the approximation of the machine tool’s thermally stability to map the long-time behavior of the machine tool.展开更多
The measurement and observation for this study were carried out by using a three-dimensional (u, v, w) Sonic anemometer (IAP-SA 485), at Forest Ecosystem Opened Research Station of Changbai Mountains (12828扙 and 4224...The measurement and observation for this study were carried out by using a three-dimensional (u, v, w) Sonic anemometer (IAP-SA 485), at Forest Ecosystem Opened Research Station of Changbai Mountains (12828扙 and 4224?N, Jilin Province, P. R. China) in August 2001. The basic characteristics of turbulence, such as turbulence intensity, atmospheric stability, time scales, and convection state, near the forest floor were analyzed. It is concluded that the airflow near forest floor is characterized by high intermittence and asymmetry, and the active and upward movement takes the leading position. Near forest floor, the vertical turbulence is retained and its time scale and length scale are much less than that of u, v components. The eddy near forest floor shows a flat structure and look like a ’Disk’. Buoyancy plays a leading role in the generation and maintenance of local turbulence展开更多
The agility and the flexibility of the current shop floor control systems have been limited so far, owing to the lack of structural flexibility and agility in its control software layer. Most of them are based on trad...The agility and the flexibility of the current shop floor control systems have been limited so far, owing to the lack of structural flexibility and agility in its control software layer. Most of them are based on traditional hierarchical architecture and the top down approach and depend structurally on their specific configuration and job scheduling. Not only can they hardly satisfactorily adapt to these increasing changes and disturbances, but also make the redevelopment and maintenance of shop floor control system (SFCS) to need high cost and much time. And SFCS based on the heterarchical architecture don′t provide a predictable and high performance system, especially not in the heterogeneous environments, where the resources are scarce and the current decisions have serious repercussions on the future performances. For this reason, the heterarchical control is hardly applied in industry. Obviously, it is necessary to develop a new structural framework of reconfigurable SFCS to improve their agility, flexibility and maintainability. This paper presents a holonic framework of reconfigurable SFCS based on holonic manufacturing concepts. The framework is composed of resource holons, product holons and other staff holons. The model of each holon and the co operative mechanisms of holons are described. To verify the proposed approach experimentally, a prototype reconfigurable SFCS for a flexible manufacturing shop floor producing discrete parts is implemented.展开更多
In order to improve the heat transfer characteristics of the traditional phase change material（PCM） floor, a new double-layer radiant floor system with PCM is proposed, which can store thermal or cold energy in the ...In order to improve the heat transfer characteristics of the traditional phase change material（PCM） floor, a new double-layer radiant floor system with PCM is proposed, which can store thermal or cold energy in the off-peak period and use them in the peak period. An experimental setup was developed to study the heat transfer characteristics of the new system under both cooling and heating modes. The experimental results show that the double-layer radiant floor system with PCM can meet both the cold and thermal requirements of users. Moreover, with the same duration of the thermal energy storage process, the increase of water temperature supplied to the system can improve the heat transfer characteristics of the system but lead to the discomfort of users. On the other hand, if the air temperature at the end of the thermal energy storage process is the same under different conditions, the increase of supplied water temperature will decrease the thermal energy storage time and ensure the comfort of users.展开更多
文摘BACKGROUND Spastic pelvic floor syndrome(SPFS)is a refractory pelvic floor disease characterized by abnormal(uncoordinated)contractions of the external anal sphincter and puborectalis muscle during defecation,resulting in rectal emptation and obstructive constipation.The clinical manifestations of SPFS are mainly characterized by difficult defecation,often accompanied by a sense of anal blockage and drooping.Manual defecation is usually needed during defecation.From physical examination,it is commonly observed that the patient's anal muscle tension is high,and it is difficult or even impossible to enter with his fingers.AIM To investigate the characteristics of anorectal pressure and botulinum toxin A injection combined with biofeedback in treating pelvic floor muscle spasm syndrome.METHODS Retrospective analysis of 50 patients diagnosed with pelvic floor spasm syndrome.All patients underwent pelvic floor surface electromyography assessment,anorectal dynamics examination,botulinum toxin type A injection 100 U intramuscular injection,and two cycles of biofeedback therapy.RESULTS After the botulinum toxin A injection combined with two cycles of biofeedback therapy,the patient's postoperative resting and systolic blood pressure were significantly lower than before surgery(P<0.05).Moreover,the electromyography index of the patients in the resting stage and post-resting stages was significantly lower than before surgery(P<0.05).CONCLUSION Botulinum toxin A injection combined with biofeedback can significantly reduce pelvic floor muscle tension in treating pelvic floor muscle spasm syndrome.Anorectal manometry is an effective method to evaluate the efficacy of treatment objectively.However,randomized controlled trials are needed.
基金supported by the Key Program of National Natural Science Foundation of China(No.U23A202579)the National Natural Science Foundation of China(No.42277187,42007276,41972297)the Natural Science Foundation of Hebei Province(No.D2021202002)。
文摘The presence of horizontal layered rocks in tunnel engineering significantly impacts the stability and strength of the surrounding rock mass,leading to floor heave in the tunnel.This study focused on preparing layered specimens of rock-like material with varying thickness to investigate the failure behaviors of tunnel floors.The results indicate that thin-layered rock mass exhibits weak interlayer bonding,causing rock layers near the surface to buckle and break upwards when subjected to horizontal squeezing.With an increase in the layer thickness,a transition in failure mode occurs from upward buckling to shear failure along the plane,leading to a noticeable reduction in floor heave deformation.The primary cause of significant deformation in floor heave is upward buckling failure.To address this issue,the study proposes the installation of a partition wall in the middle of the floor to mitigate heave deformation of the rock layers.The results demonstrate that the partition wall has a considerable stabilizing effect on the floor,reducing the zone of buckling failure and minimizing floor heave deformation.It is crucial for the partition wall to be sufficiently high to prevent buckling failure and ensure stability.Through simulation calculations on an engineering example,it is confirmed that implementing a partition wall can effectively reduce floor heave and enhance the stability of tunnel floor.
文摘BACKGROUND Pelvic floor dysfunction(PFD)is related to muscle fiber tearing during childbirth,negatively impacting postpartum quality of life of parturient.Appropriate and effective intervention is necessary to promote PFD recovery.AIM To analyze the use of hydrogen peroxide and silver ion disinfection for vaginal electrodes in conjunction with comprehensive rehabilitation therapy for postpartum women with PFD.METHODS A total of 59 women with PFD who were admitted to the hospital from May 2019 to July 2022 were divided into two groups:Control group(n=27)received comprehensive rehabilitation therapy and observation group(n=32)received intervention with pelvic floor biostimulation feedback instrument in addition to comprehensive rehabilitation therapy.The vaginal electrodes were disinfected with hydrogen peroxide and silver ion before treatment.Intervention for both groups was started 6 weeks postpartum,and rehabilitation lasted for 3 months.Pelvic floor muscle voltage,pelvic floor muscle strength,vaginal muscle voltage,vaginal muscle tone,pelvic floor function,quality of life,and incidence of postpartum PFD were compared between the two groups.RESULTS Before comprehensive rehabilitation treatment,basic data and pelvic floor function were not significantly different between the two groups.After treatment,the observation group showed significant improvements in the maximum voltage and average voltage of pelvic floor muscles,contraction time of type I and type II fibers,pelvic floor muscle strength,vaginal muscle tone,vaginal muscle voltage,and quality of life(GQOLI-74 reports),compared with the control group.The observation group had lower scores on the pelvic floor distress inventory(PFDI-20)and a lower incidence of postpartum PFD,indicating the effectiveness of the pelvic floor biostimulation feedback instrument in promoting the recovery of maternal pelvic floor function.CONCLUSION The combination of the pelvic floor biostimulation feedback instrument and comprehensive rehabilitation nursing can improve pelvic floor muscle strength,promote the recovery of vaginal muscle tone,and improve pelvic floor function and quality of life.The use of hydrogen peroxide and silver ion disinfectant demonstrated favorable antibacterial efficacy and is worthy of clinical application.
基金funded by the SWJTU Science and Technology Innovation Project(2682022CX008).
文摘The Noise,Vibration,and Harshness(NVH)experience during driving is significantly influenced by the sound insulation performance of the car floor acoustic package.As such,accurate and efficient predictions of its sound insulation performance are crucial for optimizing related noise reduction designs.However,the complex acoustic transmission mechanisms and difficulties in characterizing the sound absorption and insulation properties of the floor acoustic package pose significant challenges to traditional Computer-Aided Engineering(CAE)methods,leading to low modeling efficiency and prediction accuracy.To address these limitations,a hierarchical multiobjective decomposition system for predicting the sound insulation performance of the floor acoustic package has been developed based on an analysis of the noise transmission path.This approach involves introducing a 1D-Convolutional Neural Network(1D-CNN)model for predicting the sound insulation performance of the floor acoustic package,thereby avoiding the limitations of conventional CAE approaches that rely solely on“data-driven”methods.The proposed method was applied and tested using specific vehicle models,and the results demonstrated the effectiveness and superiority of the proposed approach relative to those obtained using 2D-CNN and Support Vector Regression(SVR)models.
文摘Digital twin technology, originally developed for intricate physical systems, holds great potential in women’s healthcare, particularly in the management of pelvic floor disorders. This paper delves into the development of a digital twin specifically for the female pelvic floor, which can amalgamate various data sources such as imaging, biomechanical assessments, and patient-reported outcomes to offer personalized diagnostic and therapeutic insights. Through the utilization of 3D modeling and machine learning, the digital twin may facilitate precise visualization, prediction, and individualized treatment planning. Nevertheless, it is crucial to address the ethical and practical challenges related to data privacy and ensuring fair access. As this technology progresses, it has the potential to revolutionize gynecological and obstetric care by enhancing diagnostics, customizing treatments, and increasing patient involvement.
基金supported by the project"OKTAEDR-partnership and building network."Project registration number is cz.1.07./2.4.00/31.0012.
文摘Recently the manufacture of epoxy coating and flooring materials begun to be under strong pressure to use more environmentally friendly raw materials in its composition.First tendency to reduce of solvents and diluents contained in the materials appeared at the end of 90´s.This situation was supported by the Council of Europe in 2004 to reduce VOC emissions to zero till 2020.Solvent materials were thus largely replaced by solvent free materials from which the volatile substances are not released into the air.But pressure continued to increase,and over the past decade began to take centre stage water-based epoxy.On the Czech market solvent based material is still occasionally used,but predominant are solvent free materials.There are no commonly used materials containing wastes as fillers in new water-borne and solvent-free epoxy materials.Characteristics identification of the waste material as a potential filler is a set of properties that determine the limits of secondary raw materials or waste as a filler.This paper describes the basic characteristics which must be selected to meet the requirements,to affect negatively the workability,sedimentation,properties and behavior of the final floor system.Some materials must comply with special requirements,such as resistance to chemicals,etc.Next part of paper talks about utilization of polymer floors and their mechanical properties.
文摘Machining is as old as humanity, and changes in temperature in both the machine’s internal and external environments can be of great concern as they affect the machine’s thermal stability and, thus, the machine’s dimensional accuracy. This paper is a continuation of our earlier work, which aimed to analyze the effect of the internal temperature of a machine tool as the machine is put into operation and vary the external temperature, the machine floor temperature. Some experiments are carried out under controlled conditions to study how machine tool components get heated up and how this heating up affects the machine’s accuracy due to thermally induced deviations. Additionally, another angle is added by varying the machine floor temperature. The parameters mentioned above are explored in line with the overall thermal stability of the machine tool and its dimensional accuracy. A Robodrill CNC machine tool is used. The CNC was first soaked with thermal energy by gradually raising the machine floor temperature to a certain level before putting the machine in operation. The machine was monitored, and analytical methods were deplored to evaluate thermal stability. Secondly, the machine was run idle for some time under raised floor temperature before it was put into operation. Data was also collected and analyzed. It is observed that machine thermal stability can be achieved in several ways depending on how the above parameters are joggled. This paper, in conclusion, reinforces the idea of machine tool warm-up process in conjunction with a carefully analyzed and established machine floor temperature variation for the approximation of the machine tool’s thermally stability to map the long-time behavior of the machine tool.
基金This study was supported by the grand of the Knowledge Innovation Program of the Chinese Academy of Sciences (KZCX1-SW-01) and National Natural Science Foundation (30070158).
文摘The measurement and observation for this study were carried out by using a three-dimensional (u, v, w) Sonic anemometer (IAP-SA 485), at Forest Ecosystem Opened Research Station of Changbai Mountains (12828扙 and 4224?N, Jilin Province, P. R. China) in August 2001. The basic characteristics of turbulence, such as turbulence intensity, atmospheric stability, time scales, and convection state, near the forest floor were analyzed. It is concluded that the airflow near forest floor is characterized by high intermittence and asymmetry, and the active and upward movement takes the leading position. Near forest floor, the vertical turbulence is retained and its time scale and length scale are much less than that of u, v components. The eddy near forest floor shows a flat structure and look like a ’Disk’. Buoyancy plays a leading role in the generation and maintenance of local turbulence
文摘The agility and the flexibility of the current shop floor control systems have been limited so far, owing to the lack of structural flexibility and agility in its control software layer. Most of them are based on traditional hierarchical architecture and the top down approach and depend structurally on their specific configuration and job scheduling. Not only can they hardly satisfactorily adapt to these increasing changes and disturbances, but also make the redevelopment and maintenance of shop floor control system (SFCS) to need high cost and much time. And SFCS based on the heterarchical architecture don′t provide a predictable and high performance system, especially not in the heterogeneous environments, where the resources are scarce and the current decisions have serious repercussions on the future performances. For this reason, the heterarchical control is hardly applied in industry. Obviously, it is necessary to develop a new structural framework of reconfigurable SFCS to improve their agility, flexibility and maintainability. This paper presents a holonic framework of reconfigurable SFCS based on holonic manufacturing concepts. The framework is composed of resource holons, product holons and other staff holons. The model of each holon and the co operative mechanisms of holons are described. To verify the proposed approach experimentally, a prototype reconfigurable SFCS for a flexible manufacturing shop floor producing discrete parts is implemented.
基金The National Science and Technology Pillar Program during the 12th Five-Year Plan Period(No.2011BAJ03B14)the National Natural Science Foundation of China(No.51376044)
文摘In order to improve the heat transfer characteristics of the traditional phase change material（PCM） floor, a new double-layer radiant floor system with PCM is proposed, which can store thermal or cold energy in the off-peak period and use them in the peak period. An experimental setup was developed to study the heat transfer characteristics of the new system under both cooling and heating modes. The experimental results show that the double-layer radiant floor system with PCM can meet both the cold and thermal requirements of users. Moreover, with the same duration of the thermal energy storage process, the increase of water temperature supplied to the system can improve the heat transfer characteristics of the system but lead to the discomfort of users. On the other hand, if the air temperature at the end of the thermal energy storage process is the same under different conditions, the increase of supplied water temperature will decrease the thermal energy storage time and ensure the comfort of users.
