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Using Flowable Composite as Gingival Retraction Cord in Prosthodontics Dentistry: Two Case Reports: A Dental Technique
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作者 Fahad Hussain Alqahtani 《Open Journal of Stomatology》 2024年第2期118-131,共14页
One of the most challenging factors affecting impression quality and good marginal fit is the gingival retraction method, which aims to separate the gingiva from the tooth to expose the finishing line of the prepared ... One of the most challenging factors affecting impression quality and good marginal fit is the gingival retraction method, which aims to separate the gingiva from the tooth to expose the finishing line of the prepared tooth. Bleeding and contamination from the crevicular fluid may compete for space with the impression material within the sulcus, leading to indistinct preparations and a lack of detail at the margin. In addition, such procedures might damage the PDL and cause permanent recession. Flowable composite cable, as opposed to traditional retraction cords, offers the proper marginal seal and visibility during the impression record because of its lower viscosity, improved adaptability, and elastic properties. The aim of this report is to present a brand-new, innovative method for controlling gingival hemorrhage in addition to the gingival retraction in restorative and prosthodontic treatment by utilizing a flowable composite during the final impression record procedure. In these case reports, the flowable composite cord technique is used instead of traditional gingival cords to modify and refine the gingival tissue before taking the traditional final impression or digital scan. Two cases were done for patients undergoing fixed prosthodontics and veneer treatment within a 2-year follow-up period. In addition, the flowable composite cord was used as temporary restoration before the final prosthetic cementation or under the provisional crowns. As a result, clean and healthy gingival tissues render cementation of the final prosthesis quicker and easier to perform. The patients in both cases claimed that their prosthodontic treatments, which involved the application of a flowable composite cord to temporarily retraction the gingiva, had produced good outcomes at the yearlong follow-up. In conclusion, the flowable composite cord technique is found to be a useful tool to improve the quality of impressions in fixed prosthodontics by providing excellent access for impression material to record fine details of the finish line of the prepared tooth structure, and to alter the inflamed tissue into a healthy tissue. 展开更多
关键词 Flowable Composite Gingival retraction Methods Impression Material Marginal Integrity Final Cementation
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Retraction note to:RNA-binding protein CPSF6 regulates IBSP to affect pyroptosis in gastric cancer
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作者 Xue-Jun Wang Yong Liu +2 位作者 Bin Ke Li Zhang Han Liang 《World Journal of Gastrointestinal Oncology》 SCIE 2024年第6期2865-2866,共2页
The authors have decided to retract the article published on World J Gastrointest Oncol(2023)for further consideration due to data errors and some misunderstandings in communication.
关键词 retraction note
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Retraction note to:Beneficial effect of probiotics supplements in reflux esophagitis treated with esomeprazole:A randomized controlled trial 被引量:2
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作者 Qing-Hua Sun Hong-Yan Wang +2 位作者 Shi-Dong Sun Xin Zhang Han Zhang 《World Journal of Gastroenterology》 SCIE CAS 2023年第1期221-222,共2页
We have decided to retract the above article for further consideration due to a data labelling error.
关键词 retraction note
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Efficacy of invisible advancement correction for mandibular retraction in adolescents based on Pancherz analysis 被引量:1
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作者 Lei Kong Xin-Qiang Liu 《World Journal of Clinical Cases》 SCIE 2023年第6期1299-1309,共11页
BACKGROUND Mandibular retraction is the main etiological mechanism of class II malocclusion in China and the subsequent distal molar relationship can cause functional discomfort in mastication,breathing and the tempor... BACKGROUND Mandibular retraction is the main etiological mechanism of class II malocclusion in China and the subsequent distal molar relationship can cause functional discomfort in mastication,breathing and the temporomandibular joint.The use of mandibular advancement(MA)devices has recently emerged as an adolescent mandibular retraction treatment;however,current studies regarding the effect thereof are relatively few,and there is lack of sufficient clinical support.AIM To investigate the clinical effect of invisalign MA on the treatment of mandibular retraction in adolescents.METHODS This study included 30 adolescent patients who underwent treatment with the MA appliances from December 2017 to June 2021.The lateral cephalometric data before and after treatment were collected and imported into Dolphin Imaging software.The changes were measured by linear measurement superimposed with lateral cephalometric trajectory based on the Pancherz technology.RESULTS There was no significant difference in the length and position of maxilla before and after the treatment.The position of the mandible moved 3.13 mm,the length increased 4.14 mm,the mandibular ramus length increased 4.09 mm,the body length increased 4.25 mm,and the position of the condyle moved 1.03 mm forward after treatment.Additionally,changes in the incisor sagittal position and labial inclination were observed.The position of the upper incisor point moved back 1.33 mm,without statistical difference,the inclination and tooth angle decreased by 3.44°and 4.06°,respectively;the position of the lower incisor point was moved 2.98 mm,and the inclination and tooth angle increased by 2.62°and 1.23°,respectively.Furthermore,changes in the incisor overjet and molar relationship were seen.Overjet decreased by 4.31 mm,of which 1.78 mm was due to dental factors,accounting for 41.3%of the effect as opposed to 58.7%due to skeletal factors.Molar relationship improved 3.87 mm,with 1.34 mm due to dental factors,and dental and skeletal factors were accounted for 34.6%and 65.4%of the effect,respectively.CONCLUSION For adolescent patients with mandible retraction,invisalign MA can effectively promote the mandible growth,and it was proven to be mainly due to skeletal effects. 展开更多
关键词 Mandibular retraction ADOLESCENT Pancherz technology Functional correction Invisible appliance Mandibular advancement
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Assessment of retracted papers,and their retraction notices,from a cancer journal associated with“paper mills”
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作者 Jaime A.Teixeira da Silva Serhii Nazarovets 《Journal of Data and Information Science》 CSCD 2023年第2期118-125,共8页
Cancer research is occasionally described as being in a reproducibility crisis.The cancer literature has ample papers retracted due to misconduct,including the use of paper mills,invalid authorship,or fake data.The ob... Cancer research is occasionally described as being in a reproducibility crisis.The cancer literature has ample papers retracted due to misconduct,including the use of paper mills,invalid authorship,or fake data.The objective of this paper was to gain an appreciation of the balance of retractions and associated retraction notices of 23 retracted Cancer Biotherapy and Radiopharmaceuticals papers associated with paper mills.By 23 March 2023,these retracted papers had already accumulated 287 citations according to Web of Science Core Collection,253 according to Scopus,and 365 according to Google Scholar,i.e.,metrically speaking,they were highly rewarded.All authors had an affiliation(71%being a hospital)in China.Most(12/21;57%)of corresponding authors had emails with a@163.com suffix.Four of the retraction notices(i.e.,17%)explicitly indicated paper mills as a reason for retraction although,in general,the retraction notices lacked details and background that could assist readers’understanding of the retractions. 展开更多
关键词 INDEXING ONCOLOGY Publishing history PUBMED retraction Notices TRANSPARENCY
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Long-term effect of triamcinolone acetonide in the treatment of upper lid retraction with thyroid associated ophthalmopathy 被引量:4
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作者 Dong-Dong Xu Yu Chen +3 位作者 Hai-Yan Xu Hui Li Zhu-Hua Zhang Yu-Hua Liu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2018年第8期1290-1295,共6页
AIM: To report the long-term outcomes of a large cohort of upper lid retraction patients treated with subconjunctival triamcinolone acetonide injections.METHODS: This retrospective clinical study was conducted from ... AIM: To report the long-term outcomes of a large cohort of upper lid retraction patients treated with subconjunctival triamcinolone acetonide injections.METHODS: This retrospective clinical study was conducted from 2009 to 2016. The documents of 97 patients(126 eyes) were reviewed. The patients were treated with subconjunctival triamcinolone acetonide injections monthly and evaluated pre-and post-treatment by taking measurements of the upper margin reflex distance(MRD1, the distance between the upper-lid margin and the pupil center), lid aperture, lagophthalmos and proptosis. The patients were divided into the cured group, the improved group and the ineffective group based on the final treatment effectiveness. The improved group and the ineffective group were combined into non-cured group.RESULTS: The follow-up time was 23.45±14.86 mo. Of the patients, 63(64.9%) were assigned to the cured group, 22(22.7%) in the improved group, 12(12.4%) in the ineffective group. Injection times for cured group was 4.66±1.74, and for non-cured group was 5.17±2.08(P≤0.05). The MRD1 was significantly reduced between baseline and 1 mo after the initiation of treatment in the cured and improved groups(P〈0.001). The values did not change significantly after 4 mo for the improved group, while they continued to decrease in the cured group. In the ineffective group, the MRD1 did not significantly change after treatment. A statistically significant difference was observed between the baseline and post-treatment values of the mean muscle thickness(2.95±0.99 mm vs 2.04±0.63 mm, P〈0.05) and surface area(27.27±10.5 mm2 vs 18.3±7.04 mm2,P〈0.05) of the levator superioris with magnetic resonance imaging examination. Twelve patients(12.4%) relapsed after treatment and required additional subconjunctival injections. The main side effects included menstrual cycle disturbances(32%) and elevations of intra-ocular pressure(18.6%). CONCLUSION: A repeated subconjunctival injection of triamcinolone is an effective and relatively safe treatment for upper lid retraction due to thyroid-associated ophthalmopathy. This is related to the anti-inflammation effect of the medicine and the levator thickness can become thinner. Patients must be monitored regularly for recurrences and side effects. 展开更多
关键词 triamcinolone acetonide thyroid associatedophthalmopathy eyelid retraction magnetic resonance imaging
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Retractions of One Dimensional Manifold 被引量:2
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作者 A. E. El-Ahmady Nashwa Salem Awyd Al-Hazmi 《Applied Mathematics》 2012年第10期1135-1143,共9页
Our aim in the present article is to introduce and study types of retraction of one dimensional manifold. New types of geodesics in one dimensional manifold are presented. The deformation retracts of one dimensional m... Our aim in the present article is to introduce and study types of retraction of one dimensional manifold. New types of geodesics in one dimensional manifold are presented. The deformation retracts of one dimensional manifold into itself and onto geodesics is deduced. Also, the isometric and topological folding in each case and the relation between the deformations retracts after and before folding has been obtained. New types of conditional folding are described. 展开更多
关键词 retractionS Deformation retracts FOLDING One DIMENSIONAL MANIFOLD
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A Geometrical Characterization of Spatially Curved Roberstion-Walker Space and Its Retractions 被引量:2
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作者 Abd El-Aziz El-Ahmady El-Bagoury Asma Salem Al-Luhaybi 《Applied Mathematics》 2012年第10期1153-1160,共8页
Our aim in the present article is to introduce and study new types of retractions of closed flat Robertson-Walker W4 model. Types of the deformation retract of closed flat Robertson-Walker W4 model are obtained. The r... Our aim in the present article is to introduce and study new types of retractions of closed flat Robertson-Walker W4 model. Types of the deformation retract of closed flat Robertson-Walker W4 model are obtained. The relations between the retraction and the deformation retract of curves in W4 model are deduced. Types of minimal retractions of curves in W4 model are also presented. Also, the isometric and topological folding in each case and the relation between the deformation retracts after and before folding have been obtained. New types of homotopy maps are deduced. New types of conditional folding are presented. Some commutative diagrams are obtained. 展开更多
关键词 retraction DEFORMATION retracts Foldings FLAT Robertson-Walker Model
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Treatment modalities in Duane’s Retraction Syndrome 被引量:1
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作者 Karim A Gaballah Dalal Shawky 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2020年第2期278-283,共6页
●AIM:To study the different treatment modalities needed in cases of Duane’s Retraction Syndrome(DRS).●METHODS:This prospective study undergone in more than four years,in Alexandria,included 238 patients of DRS,incl... ●AIM:To study the different treatment modalities needed in cases of Duane’s Retraction Syndrome(DRS).●METHODS:This prospective study undergone in more than four years,in Alexandria,included 238 patients of DRS,including type I,162 patients(68%),type II 12 patients(5%)and type III 64 patients(27%).Surgery was indicated in 98(41%)of them,to eliminate abnormal head posture,deviation of the eye in primary position,severe retraction of the globe or cosmetically unacceptable upshoot with attempted adduction.●RESULTS:Type I was the most common and type II was the least.Females were predominant in this study,constituting 125 patients(52.5%),and males 113 patients(47.5%).Left eye was more affected,in 110 patients(46.2%),right eye in 91 patients(38.2%)and bilateral in 37 patients(15.6%).Amblyopia was found in 27 patients(11.3%)and treated in 13 patients under 10 years of age,by patching the normal eye.Ninety-eight patients(41%)were operated,the results were most satisfactory and a nomogram is followed in the surgical plan.●CONCLUSION:The surgical management is needed in less than half of the cases and should be planned for every case individually according to the clinical findings,planned nomogram and modified intraoperatively according to the anatomical findings during surgery. 展开更多
关键词 Duane’s retraction SYNDROME globe retraction globe upshoot MEDIAL RECTUS LATERAL RECTUS FORCED duction test
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Retraction pocket excision with cartilage grafting as a preventive surgery for cholesteatoma 被引量:1
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作者 Comacchio Francesco Mion Marta Pedruzzi Barbara 《Journal of Otology》 CSCD 2017年第3期112-116,共5页
Aims: The goal of the present study is to summarize our experience on surgical management of retraction pockets(RP) as a preventive tool against cholesteatomas.Methods:Twenty-five ears have been followed up for a mean... Aims: The goal of the present study is to summarize our experience on surgical management of retraction pockets(RP) as a preventive tool against cholesteatomas.Methods:Twenty-five ears have been followed up for a mean period of 6.16 ± 4.35 years(from 1 to 17 years). The sample presented a mean age of 47.56 + 19.11 years(from 16 to 73 years). All patients underwent cartilage graft surgery. Furthermore 10(40%) underwent tympanoplasty(TPL) type Ⅰ, 14(56%) TPL type Ⅱ and 1(4%) TPL type Ⅴ.Results: Eleven ears(44%) showed cholesteatoma: all these cases were stage Ⅲ according to Charachon staging, and stage Ⅳ or Ⅴ according to Gersdorff classification. Twelve patients(48%) showed erosion of the ossicular chain. Of these, five were associated with cholesteatoma and seven only with retraction. The recurrence rate of cholesteatoma was 12%. None of the patients with a stage Ⅱ or Ⅲ RP(according to Gersdorff classification) developed cholesteatoma. The recurrence of RP was 0%.In regards to literature review, seven references were selected. These studies showed a success rate ranging from 79.1% to 88%, while recurrences of RP varied from 6.4% to 13%. Only one study specified a recurrence rate of cholesteatoma of 28%.Conclusions: Surgical treatment of stages Ⅱ and Ⅲ RP is an effective tool to prevent cholesteatoma formation. The presence of keratin accumulation and cholesteatoma at the RP(stages Ⅳ and Ⅴ, according to Gersdorff) are the real predictors of poor prognosis. 展开更多
关键词 CARTILAGE CHOLESTEATOMA Graft Pockets retraction
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Retraction of lumbar disc herniation achieved by noninvasive techniques: A case report 被引量:4
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作者 Ping Wang Cai Chen +3 位作者 Qing-Hao Zhang Guo-Dong Sun Cong-An Wang Wei Li 《World Journal of Clinical Cases》 SCIE 2021年第27期8082-8089,共8页
BACKGROUND Lumbar disc herniation(LDH)has emerged as one of the most common causes of low back pain.The routine treatment approach involves chemonucleolysis therapy,discectomy by percutaneous endoscopy,and percutaneou... BACKGROUND Lumbar disc herniation(LDH)has emerged as one of the most common causes of low back pain.The routine treatment approach involves chemonucleolysis therapy,discectomy by percutaneous endoscopy,and percutaneous laser disc decompression.Unfortunately,all of these methods carry inherent risk of causing harm to the patient and,as such,there is an unmet but urgent need for an effective and safe noninvasive treatment for LDH.The purpose of this report is to describe a non-invasive method for re-absorption of LDH.CASE SUMMARY A 34-year-old woman was admitted with a complaint of waist pain that she reported as having become acutely aggravated over the past 3 d and accompanied by discomfort in the right lower limb.Her self-reported medical history included persistent postpartum low back pain from 7 years prior.Physical exam showed positivity for neck flexion test(Lindner sign)and supine abdomen test;the straight leg-raising test showed right 60(+)and left 80(-).Findings from standard imaging(magnetic resonance)and collective physical examinations indicated a L5/S1 herniated lumbar disc.Treatment consisted of three-dimensional(balanced regulating)spinal manipulation and acupuncture,upon which the LDH resolved by retraction.CONCLUSION Following L5/S1 herniated lumbar disc diagnosis,three-dimensional(balanced regulating)spinal manipulation combined with acupuncture therapy is an effective treatment. 展开更多
关键词 Low back pain Lumbar disc herniation retraction Three-dimensional spinal manipulation Balance regulating MANIPULATION Case report
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Retraction Statement 被引量:1
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作者 Wang Qiujun Department of Anesthesiology The Third Hospital Hebei Medical University Shijiazhuang 050041,PR China 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2008年第3期372-372,共1页
As the corresponding author of a paper appearing in J Huazhong Univ Sci Technolog [Med Sci], here I retract the articletitled "Effect of Inhalational Anesthetics on Cytotoxicity and Intracellular Calcium Differen... As the corresponding author of a paper appearing in J Huazhong Univ Sci Technolog [Med Sci], here I retract the articletitled "Effect of Inhalational Anesthetics on Cytotoxicity and Intracellular Calcium Differently in Rat Pheochromocytoma Cells(PC12)" 展开更多
关键词 AS retraction Statement
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Autophagy in degenerating axons following spinal cord injury: evidence for autophagosome biogenesis in retraction bulbs 被引量:1
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作者 Vinicius T.Ribas Paul Lingor 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第2期198-200,共3页
Macroautophagy (here autophagy) is a catabolic mechanism responsible for the degradation of bulk cytoplasm, long-lived proteins and organeUes. During autophagy, the cargos are engulfed by double-membrane structures ... Macroautophagy (here autophagy) is a catabolic mechanism responsible for the degradation of bulk cytoplasm, long-lived proteins and organeUes. During autophagy, the cargos are engulfed by double-membrane structures named phagophores, which expand to form the autophagosomes. Subsequently, these autophagosomes fuse with lysosomes, in which the cytoplasmic cargos are degraded. Autophagy is a constitutive pro- cess, which plays an important role in cellular homeostasis. In primary neurons autophagosome formation occurs continuously and preferentially at the distal end of axons. On the other hand, autophagy is increased by different stresses, and its dysregulation or excessive induction may lead to detrimental effects. Many neurological disorders have been associated with alterations in the autophagic pathway and an increase in autophagy during axonal degeneration was described. 展开更多
关键词 Autophagy in degenerating axons following spinal cord injury evidence for autophagosome biogenesis in retraction bulbs SCI
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On Retractions of Lobachevsky Space
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作者 A. E. El-Ahmady K. Al-Onemi 《Applied Mathematics》 2013年第3期491-498,共8页
Our aim in the present article is to introduce and study new types of retractions of Lobachevsky space. Types of the deformation retracts of Lobachevsky space are presented. The relations between the folding and the d... Our aim in the present article is to introduce and study new types of retractions of Lobachevsky space. Types of the deformation retracts of Lobachevsky space are presented. The relations between the folding and the deformation retract of Lobachevsky space are deduced. Types of minimal retractions of Lobachevsky space are also presented. Also, the isometric and topological folding in each case and the relation between the deformation retracts after and before folding have been obtained. New types of homotopy maps are deduced. Theorems governing this connection are achieved. 展开更多
关键词 Lobachevsky SPACE LAGRANGIAN EQUATIONS retractionS DEFORMATION retractionS Foldings
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Retraction Note: Construction of Gpm6a/ReelinGFPCreERT2 by BAC recombination using a specific gene in hepatic mesothelial or stellate cells
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作者 Hong-Bo Shi Jin-Li Lou +3 位作者 Hong-Lin Shi Feng Ren Yu Chen Zhong-Ping Duan 《World Journal of Gastroenterology》 SCIE CAS 2019年第25期3281-3282,共2页
We have decided to retract the above article for further consideration due to some misunderstandings in communication.
关键词 retraction NOTE
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Retraction Notice
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《International Journal of Ophthalmology(English edition)》 SCIE CAS 2020年第4期566-566,共1页
Retraction:"Topographic distribution features of the choroidal and retinal nerve fiber layer thickness in Wenzhou schoolaged children" by Wei-Qin Liu, Dan-Dan Wang, Xiao-Xia Yang, Yan-Yan Pan, Xue Song, Yu-S... Retraction:"Topographic distribution features of the choroidal and retinal nerve fiber layer thickness in Wenzhou schoolaged children" by Wei-Qin Liu, Dan-Dan Wang, Xiao-Xia Yang, Yan-Yan Pan, Xue Song, Yu-Shan Hou, Chen-Xiao Wang published on International Journal of Ophthalmology 2020;13(3):466-473.This article has been retracted by the authors. The article involves in errors in statistical analysis of data. In the interest of scientific integrity, we regret to announce that this article has to be retracted. We apologize to the readership of International Journal of Ophthalmology. 展开更多
关键词 INTEGRITY CHILDREN retraction
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Retraction control of motorized seat belt system with linear state observer 被引量:3
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作者 LEE Kang-seok CHOI Chin-chul LEE Woo-taik 《Journal of Central South University》 SCIE EI CAS 2013年第2期385-392,共8页
A design and verification of linear state observers which estimate state information such as angular velocity and load torque for retraction control of the motorized seat belt (MSB) system were described. The motorize... A design and verification of linear state observers which estimate state information such as angular velocity and load torque for retraction control of the motorized seat belt (MSB) system were described. The motorized seat belt system provides functions to protect passengers and improve passenger's convenience. Each MSB function has its own required belt tension which is determined by the function's purpose. To realize the MSB functions, state information, such as seat belt winding velocity and seat belt tension are required. Using a linear state observer, the state information for MSB operations can be estimated without sensors. To design the linear state observer, the motorized seat belt system is analyzed and represented as a state space model which contains load torque as an augmented state. Based on the state space model, a linear state observer was designed and verified by experiments. Also, the retraction control of the MSB algorithm using linear state observer was designed and verified on the test bench. With the designed retraction control algorithm using the linear state observer, it is possible to realize various types of MSB functions. 展开更多
关键词 状态观测器 安全带系统 电动座椅 转矩控制 线性 状态空间模型 回退 状态信息
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Retraction Notice
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《International Journal of Ophthalmology(English edition)》 SCIE CAS 2016年第7期972-972,共1页
Retraction:"Brain derived neurotrophic factor keep pattern electroretinogram from dropping after superior colliculus lesion in mice"by Bin-Bin Yang,Xu Yang and Huai-Yu Ding published on International Journal of Oph... Retraction:"Brain derived neurotrophic factor keep pattern electroretinogram from dropping after superior colliculus lesion in mice"by Bin-Bin Yang,Xu Yang and Huai-Yu Ding published on International Journal of Ophthalmology2016;9(3):369-372.DOI:10.18240/ijo.2016.03.07This article has been retracted by the authors.This article involves in authorship dispute.After a thorough investigation, 展开更多
关键词 retraction Notice DOI
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Retraction Notice
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作者 The Press of International Journal of Ophthalmology(IJO Press) 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2015年第2期314-314,共1页
【正】Retraction:"Which lamp will be optimum to eye?Incandescent,fluorescent or LED etc"by Liang Chen and Xiao-Wei Zhang published on International Journal of Ophthalmology 2014;7(1):163-168.Authors of the a... 【正】Retraction:"Which lamp will be optimum to eye?Incandescent,fluorescent or LED etc"by Liang Chen and Xiao-Wei Zhang published on International Journal of Ophthalmology 2014;7(1):163-168.Authors of the above article failed to declare conflicts of interest,which violates the research ethics and moral norms.After a thorough investigation,we regret to announce that we must retract this article.We regret any adverse effects this article may have caused. 展开更多
关键词 retraction Notice LED
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A Working Classification of Retraction for the Whole Tympanic Membrane
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作者 G. D. Barr 《International Journal of Otolaryngology and Head & Neck Surgery》 2013年第4期143-147,共5页
Objective: To formulate a reliable classification of tympanic membrane retraction which is easy to use but capable of detecting small differences in retraction. Study Design: Prospective study. Methods: The classifica... Objective: To formulate a reliable classification of tympanic membrane retraction which is easy to use but capable of detecting small differences in retraction. Study Design: Prospective study. Methods: The classification was developed from observations dividing the drum into 3 areas: the pars tensa anterior to the malleus, type I, posterior to the malleus (subdivided into upper and lower) type II, and attic type III. The subclassification on paper is more complicated but using a database it is easy to use. The classification is automatically calculated by the database which can also be converted to numerical form. The classification also allows documentation of active disease in retractions. Photographs of seven retracted ear drums were incorporated into the database and ten otolaryngologists asked to classify them. Five were asked to reclassify the retractions in the same way after 3 months. Results: Intra class correlation was significantly high (>0.9) for pars tensa, attic, and for bony erosion. Cronbach’s alpha values were also high (>0.9) in all groups. Retest values were evaluated with Wilcoxon’s signed rank sum test establishing that there was no significant difference in results. Conclusion: The classification shows reliabiliy and validity allowing detection of small changes in tympanic membrane retraction especially affecting the pars tensa but allows classification of the whole tympanic membrane. 展开更多
关键词 Tympanic retraction ATELECTASIS OTITIS MEDIA
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