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Preparation of ultra-fine grain Ni-Al-WC coating with interlocking bonding on austenitic stainless steel by laser clad and friction stir processing 被引量:4
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作者 熊拥军 邱子力 +3 位作者 李瑞迪 袁铁锤 吴宏 刘锦辉 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2015年第11期3685-3693,共9页
The ultra-fine structured Ni?Al?WC layer with interlocking bonding was fabricated on austenitic stainless steel by combination of laser clad and friction stir processing (FSP). Laser was initially applied to Ni?Al ele... The ultra-fine structured Ni?Al?WC layer with interlocking bonding was fabricated on austenitic stainless steel by combination of laser clad and friction stir processing (FSP). Laser was initially applied to Ni?Al elemental powder preplaced on the austenitic stainless steel substrate to produce a coating for further processing. The as-received coating was subjected to FSP treatment, processed by a rotary tool rod made of WC?Co alloy, to obtain sample for inspection. Microstructure, phase constitutions, hardness and wear property were investigated by methods of scanning electronic microscopy (SEM) with energy-dispersive X-ray spectroscopy (EDX) microanalysis, and X-ray diffraction (XRD), hardness test alongside with dry sliding wear test. The results show that the severe deformation effect exerted on the specimen resulted in an ultra-fine grain layer of about 100μmin thickness and grain size of 1?2μm. Synergy between introduction of WC particles to the deformation layer and deformation strengthening contributes greatly to the increase in hardness and friction resistance. An interlocking bonding between the coating and matrix which significantly improves bonding strength was formed due to the severe deformation effect. 展开更多
关键词 laser clad friction stir processing Ni-Al-WC coating ultra-fine grain interlocking bonding
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Influence of Femtosecond Laser Parameters on Autler-Townes Splitting of Three-Level Ladder Molecules
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作者 李月华 略兴强 +1 位作者 郭玮 姚洪斌 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 2015年第2期128-133,I0001,共7页
We theoretically investigate the Autler-Townes (AT) splitting in the photoelectron spectra of three-level ladder K2 molecule driven by a pump-probe pulse via employing the time- dependent wave packet approach. The d... We theoretically investigate the Autler-Townes (AT) splitting in the photoelectron spectra of three-level ladder K2 molecule driven by a pump-probe pulse via employing the time- dependent wave packet approach. The dependence of AT splitting on two laser intensities and wavelengths are studied in detail. We firstly quantify these effects on peak shift and AT separation. The photoelectron spectra show double splitting with symmetric profiles, but with asymmetric profiles when the wavelength is changed. The magnitude of AT splitting increases with the pump laser intensity, but does not vary with probe intensity. The shifts of the absorption peaks and the splitting between AT doublet are predicted by using an analyt- ical fitting function when the intensity/wavelength of one of the two fields is changed. These novel results are of importance for the molecular spectroscopy and may further stimulate the first principles theoretical studies analytically. 展开更多
关键词 Autler-Townes splitting Photoelectron spectra three-level ladder K2 molecule
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Interlock可解脱弹簧圈系统在冠状动脉-肺动脉瘘栓塞术中的应用 被引量:4
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作者 万俊义 张戈军 +3 位作者 徐仲英 胡海波 蒋世良 徐亮 《中国介入心脏病学杂志》 2018年第12期696-699,共4页
目的探讨Interlock可解脱弹簧圈系统应用于冠状动脉-肺动脉瘘栓塞术的安全性及有效性。方法回顾性分析2016年12月23日至2017年9月7日于中国医学科学院阜外医院选用Interlock可解脱弹簧圈系统行冠状动脉-肺动脉瘘栓塞术的6例冠状动脉-肺... 目的探讨Interlock可解脱弹簧圈系统应用于冠状动脉-肺动脉瘘栓塞术的安全性及有效性。方法回顾性分析2016年12月23日至2017年9月7日于中国医学科学院阜外医院选用Interlock可解脱弹簧圈系统行冠状动脉-肺动脉瘘栓塞术的6例冠状动脉-肺动脉瘘患者临床资料,其中包括男性2例,女性4例。所有患者均常规采用右侧桡动脉入径行冠状动脉造影以明确诊断,沿导管置入并释放Interlock可解脱弹簧圈于瘘管或瘤腔内,栓塞后行选择性冠状动脉造影评价疗效,观察术中及术后有无并发症发生。结果 6例选用Interlock可解脱弹簧圈行冠状动脉-肺动脉瘘栓塞术的患者均手术成功,无血管损伤及心肌梗死等术中并发症发生。有4例合并动脉瘤形成,其中3例应用弹簧圈填塞在动脉瘤体,1例栓塞在动脉瘤近心端瘘管。术中共用Interlock可解脱弹簧圈18枚,其中3枚为钻石型,15枚为普通2D型;弹簧圈直径为2~12 mm,长度为2.3~30 cm;瘘口直径为2~3 mm。即刻行选择性冠状动脉造影,其中3例为完全栓塞,3例有少量残余分流。术后所有患者胸闷、胸痛症状均得以缓解;超声心动图提示无异常血流,X线胸片提示弹簧圈位置、形态良好,心电图检查无新发心律失常或心肌缺血等改变。随访12个月,无心肌梗死、心源性休克、心室颤动、心室扑动、心脏破裂或猝死等主要不良心血管事件发生。结论 Interlock可解脱弹簧圈系统可控性高、安全性好,尤其适用于伴有动脉瘤形成、血管迂曲需要准确定位的冠状动脉-肺动脉瘘患者介入治疗。 展开更多
关键词 冠状动脉瘘 interlock可解脱弹簧圈 介入栓塞术治疗
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Modeling the relationship of land use change and some geophysical indicators for the interlock area of farming and pasturing in China 被引量:19
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作者 DENG Xiangzheng, LIU Jiyuan, ZHUANG Dafang, ZHAN Jinyan, ZHAO Tao(Inst. of Geographic Sciences and Natural Resources Research, CAS, Beijing 100101, China) 《Journal of Geographical Sciences》 SCIE CSCD 2002年第4期397-404,共8页
This paper discusses land-use changes in the interlock area of farming and pasturing (IAFP) in northern China. It presents detailed analyses of land-use features in the IAFP, which are controlled by the macro geomorph... This paper discusses land-use changes in the interlock area of farming and pasturing (IAFP) in northern China. It presents detailed analyses of land-use features in the IAFP, which are controlled by the macro geomorphic units and geophysical conditions-constraints or advantages. Additionally, it selects some indicators, according to the availability in acquiring and processing their quantitative data, to analyze the canonical correlations between the typical conversion of grassland and geophysical conditions. The preliminary study indicates that the physical conditions are of great advantages to the development of grassland. There exists significant correlation between land use change and some geophysical conditions. 展开更多
关键词 land use driving force interlock area of farming and pasturing China
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Population Dynamics and Emission Spectrum of a Cascade Three-Level Jaynes-Cummings Model with Intensity-Dependent Coupling in a Kerr-like Medium 被引量:3
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作者 ZHOU Qing-Chun 《Communications in Theoretical Physics》 SCIE CAS CSCD 2006年第4期727-731,共5页
By using the method of eigenvectors, the atomic populations and emission spectrum are investigated in a system that consists of a cascade three-level atom resonantly interacting with a single-mode tield in a Kerr-like... By using the method of eigenvectors, the atomic populations and emission spectrum are investigated in a system that consists of a cascade three-level atom resonantly interacting with a single-mode tield in a Kerr-like medium. The atom and the field are assumed to be initially in the upper atomic state and the Fock state, respectively. Results for models with intensity-dependent coupling and with intensity-independent coupling are compared. It is found that both population dynamics and emission spectrum show no indications of atom-field decoupling in the strong field limit if the intensity-dependent coupling is taken into account. 展开更多
关键词 POPULATION emission spectrum cascade three-level atom Kerr-like medium
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Decoupling Bang-Bang Group for Adiabatic Decoherence Control in a Three-Level Atom 被引量:3
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作者 LIU Xiao-Shu WU Re-Bing +2 位作者 LIU Yang LIU Wen-Zhang LONG Gui-Lu 《Communications in Theoretical Physics》 SCIE CAS CSCD 2005年第5X期810-814,共5页
In this paper, we study the control problem of adiabatic decoherence in a three-level atom. We will find the decoupling bang-bang group for various configurations, including the V configuration and the cascade type of... In this paper, we study the control problem of adiabatic decoherence in a three-level atom. We will find the decoupling bang-bang group for various configurations, including the V configuration and the cascade type of three-levelatom subjected to adiabatic decoherence. We also give the programs to design a sequence of periodic twinborn pulses to suppress the decoherence. 展开更多
关键词 decoupling bang-bang group three-level atom adiabatic decoherence
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Generation of the nonlocal quantum entanglement of three three-level particles by local operations 被引量:2
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作者 金星日 张英俏 +1 位作者 金哲 张寿 《Chinese Physics B》 SCIE EI CAS CSCD 2005年第10期1936-1941,共6页
We propose a scheme to realize the nonlocal quantum entanglement of three three-level particles by using a threeparticle entangled state of three levels as a quantum channel with the aid of some local unitary transfor... We propose a scheme to realize the nonlocal quantum entanglement of three three-level particles by using a threeparticle entangled state of three levels as a quantum channel with the aid of some local unitary transformations. This scheme can be directly generalized to the nonlocal quantum entanglement of N three-level particles. 展开更多
关键词 quantum entanglement three-level particle unitary transformation
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A scheme for conditional quantum phase gate via bimodal cavity and a∧-type three-level atom 被引量:3
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作者 蔡建武 方卯发 +1 位作者 廖湘平 郑小娟 《Chinese Physics B》 SCIE EI CAS CSCD 2006年第11期2518-2522,共5页
We propose a scheme to implement a two-qubit conditional quantum phase gate for the intracavity field via a single three-level ∧-type atom driven by two modes in a high-Q cavity. The quantum inforraation is encoded o... We propose a scheme to implement a two-qubit conditional quantum phase gate for the intracavity field via a single three-level ∧-type atom driven by two modes in a high-Q cavity. The quantum inforraation is encoded on the Fock states of the bimodal cavity. The gate's averaged fidelity is expected to reach 99.8%. 展开更多
关键词 quantum phase gate ∧-type three-level atom bimodal cavity FIDELITY
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Teleportation of Three-Level Multi-partite Entangled State by a Partial Three-Level Bipartite Entangled State 被引量:2
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作者 DAI Hong-Yi ZHANG Ming LI Cheng-Zu 《Communications in Theoretical Physics》 SCIE CAS CSCD 2008年第4期891-894,共4页
We present a scheme for probabilistically teleporting an unknown three-level bipartite entangled state by using a partial entangled three-level bipartite state as quantum channel This scheme can be directly generalize... We present a scheme for probabilistically teleporting an unknown three-level bipartite entangled state by using a partial entangled three-level bipartite state as quantum channel This scheme can be directly generalized to probabilistically teleport an unknown three-level k-particle entangled state by a partial three-level bipartite entangled state. A11 kinds of unitary transformations are given in detail We calculate the successful total probability and the total classical communication cost required for this scheme. 展开更多
关键词 TELEPORTATION three-level multi-partite entangled state classical communication cost
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Schemes for Probabilistic Teleportation of an Unknown Three-Particle Three-Level Entangled state 被引量:2
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作者 ZHAN You-Bang 《Communications in Theoretical Physics》 SCIE CAS CSCD 2006年第2期275-278,共4页
In this paper, two schemes for teleporting an unknown three-particle three-level entangled state are proposed. In the first scheme, two partial three-particle three-level entangled states are used as the quantum chann... In this paper, two schemes for teleporting an unknown three-particle three-level entangled state are proposed. In the first scheme, two partial three-particle three-level entangled states are used as the quantum channels, while in the second scheme, three two-particle three-level non-maximally entangled states are employed as quantum channels. It is shown that the teleportation can be successfully realized with certain probability, for both two schemes, ira receiver adopts some appropriate unitary transformations. It is shown also that the successful probabilities of these two schemes are different. 展开更多
关键词 probabilistic teleportation three-particle three-level entangled state unitary transformation
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Open Fracture Tibia Treated by Unreamed Interlocking Nail. Long Experience in El-Bakry General Hospital 被引量:1
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作者 Mohamed A. Abdelaal Saied Kareem 《Open Journal of Orthopedics》 2014年第3期60-69,共10页
Background: Internal splintage of open tibial fractures had gained acceptance as a preferred method of early stabilization of such injuries. Patients and Methods: Fifty-five patients had been operated upon. They were ... Background: Internal splintage of open tibial fractures had gained acceptance as a preferred method of early stabilization of such injuries. Patients and Methods: Fifty-five patients had been operated upon. They were followed from July 2008 to March 2013 (56 months) with an average time of 39 months. The final results had been evaluated through a scheme including 7 parameters: pain, union, malunion, infection, range motions of nearby joints, implant and technical failure and activity and returning to the same work. Results: According to previous parameters, union was achieved in 52 cases (94.5%) at an average time of 20 weeks (16 - 52 weeks) with 5.5% incidence of nonunion. Excellent and good ranges of knee and ankle motions were achieved at final follow-up visit in 49 cases (89.09%). The incidence of complication was acceptable mainly malunion 7.3%, deep infection 12.7%, implant and technical failure 9.1% full activity and returning to the same work achieved in 89.1%. The overall net results of our series are as follows: excellent—19 cases (34.5%), good—27 cases (49.1%), fair—6 cases (10.9%) and poor—3 cases (5.5%). Conclusion: Utilizing unreamed interlocking nail for open tibial fractures is a good method of treatment particularly those of grade (II), and (IIIA). 展开更多
关键词 Fracture TIBIA Unreamed interlockING NAIL
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Suppression of Phase and Amplitude Damping Decoherence in a Three-Level Atom in A-Configuration Using Bang-Bang Controls 被引量:1
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作者 WANG Yan-Hui LIU Xiao-Shu LONG Gui-Lu1 Key Laboratory for Atomic and Molecular NanoSciences and Department of Physics,Tsinghua University,Beijing 100084,China2 Tsinghua National Laboratory for Information Science and Technology,Tsinghua University,Beijing 100084,China 《Communications in Theoretical Physics》 SCIE CAS CSCD 2007年第7期71-74,共4页
In this paper,we present decoupling bang-bang operations for the suppression of general decoherence,bothamplitude and phase damping,in a three-level system in A-configuration.We give a program to design a sequence ofp... In this paper,we present decoupling bang-bang operations for the suppression of general decoherence,bothamplitude and phase damping,in a three-level system in A-configuration.We give a program to design a sequence ofperiodic twinborn pulses to suppress the decoherence in such the system. 展开更多
关键词 bang-bang operation general decoherence three-level system
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Design of a personnel safety interlock system for proton therapy 被引量:1
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作者 Shou-Yuan Wang Yun-Tao Song +5 位作者 Han-Sheng Feng Shi Li Hai-Lin Cao Jing Zhang Ou-Wen Huang Zhu Li 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2021年第4期49-59,共11页
Proton therapy is the most advanced radiotherapy approach in the world,and causes less damage to normal human tissue than traditional radiotherapy.Because the treatment process produces a high-energy proton beam,the p... Proton therapy is the most advanced radiotherapy approach in the world,and causes less damage to normal human tissue than traditional radiotherapy.Because the treatment process produces a high-energy proton beam,the personnel safety interlock system mainly considers measures to protect personnel from radiation hazards during beam preparation and the beam release process.Unlike other safety interlock systems,the personnel safety interlock system designed in this study focuses on the safety and stability of the system itself.The hardware and software of important interlock control loops are designed and developed according to the requirements of Safety Integrity Level 3 specified by IEC61508.A set of redundant ring networks was developed to ensure that damage to a certain network line does not affect the normal operation of the system.A set of friendly operation interfaces and data storage systems were developed to ensure that the operator can monitor the data in real time and trace the data.The personnel safety interlock system mainly includes a beam enabling function,clearance function,and emergency stop function.The system was put into actual use and successfully ensured personnel safety. 展开更多
关键词 Personnel safety Radiation protection interlock system Safety integrity levels
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An Analytical Solution to the Model for Single Three-Level Trapped Ion Driven by External Fields 被引量:1
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作者 WANG Zhong-Jie CHEN Feng 《Communications in Theoretical Physics》 SCIE CAS CSCD 2007年第4期725-727,共3页
The interaction of a single three-level trapped ion with two laser beams has been studied theoretically. With application of two successive unitary transformations, an analytical solution to this quantum system has be... The interaction of a single three-level trapped ion with two laser beams has been studied theoretically. With application of two successive unitary transformations, an analytical solution to this quantum system has been obtained. 展开更多
关键词 three-level trapped ion unitary transformation Lamb-Dicke limit
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Entropy squeezing for a V-type three-level atom interacting with a single-mode field and passing through the amplitude damping channel with weak measurement 被引量:1
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作者 Cui-Yu Zhang Mao-Fa Fang 《Chinese Physics B》 SCIE EI CAS CSCD 2021年第1期158-163,共6页
The entropy squeezing of a V-type three-level atom interacting with a single-mode field and passing through the amplitude damping channel is investigated in detail. Our results show that when coupled to the single-mod... The entropy squeezing of a V-type three-level atom interacting with a single-mode field and passing through the amplitude damping channel is investigated in detail. Our results show that when coupled to the single-mode field, the atom in appropriate initial states can not only generate obvious entropy squeezing but also keep in the optimal squeezing state,while passing through the amplitude damping channel, the atom can generate entropy squeezing under the control of the weak measurement. Besides, it is proved again that as a measurement method for atomic squeezing, the entropy squeezing is precise and effective. Therefore our work is instructive for experiments in preparing three-level system information resource with ultra-low quantum noise. 展开更多
关键词 entropy squeezing V-type three-level atom single-mode field weak measurement
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Comparative study of intertrochanteric fracture fixation using proximal femoral nail with and without distal interlocking screws 被引量:2
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作者 Nadeem A Lil Vipul R Makwana +1 位作者 Tirth D Patel Arjav R Patel 《World Journal of Orthopedics》 2022年第3期267-277,共11页
BACKGROUND Intertrochanteric(IT)fracture is one of the most common fractures seen in an orthopaedic practice.Proximal femoral nailing(PFN)is a common modality of fixing IT femur fracture.We retrospectively studied whe... BACKGROUND Intertrochanteric(IT)fracture is one of the most common fractures seen in an orthopaedic practice.Proximal femoral nailing(PFN)is a common modality of fixing IT femur fracture.We retrospectively studied whether a PFN with two proximal lag screws can be done without distal interlocking screws in the 31-A1 and 31-A2 fracture patterns according to the Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association(AO/OTA)guidelines for IT femur fractures.AIM To compare the outcomes of IT fractures(AO/OTA 31-A1 and 31-A2)treated by PFN with and without distal interlocking screws.METHODS We carried out a retrospective study of 140 patients in a tertiary care centre who had AO/OTA type 31-A1 and 31-A2 IT fractures.We divided the patients into two groups,in which one of the groups received distal interlocking screws(group 1)and the other group did not(group 2).The subjects were followed up for a mean period of 14 mo and assessed for radiological union time,fracture site collapse,mechanical stability of implant,and complications associated with the PFN with distal interlocking and without distal interlocking.Then,the results were compared.RESULTS PFN without distal interlocking screws has several advantages and gives better results over PFN with distal interlocking screws in the AO/OTA 31-A2 fracture pattern.However,similar results were observed in both groups with the fracture pattern AO/OTA 31-A1.In patients with fracture pattern AO/OTA 31-A2 treated by PFN without distal interlocking screws,there were minimal proximal lockrelated complications and no risk of distal interlock-related complications.The operative time,IITV radiation time and time to radiological union were reduced.These patients also had better rotational alignment of the proximal femur,and the anatomy of the proximal femur was well maintained.It was also noted that in the cases where distal interlocking was performed,there was a gradual decrease in neck shaft angle,which led to varus collapse and failure of bone-implant construct in 21.40%.CONCLUSION In fracture pattern AO/OTA 31-A2,PFN without distal interlocking had better results and less complications than PFN with distal interlocking. 展开更多
关键词 Intertrochanteric fracture Arbeitsgemeinschaft für Osteosynthesefra-gen/Orthopaedic Trauma Association 31-A1 and 31-A2 Proximal femoral nail Distal interlocking screws Without distal interlocking screws Outcome
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Interlocked MXene/rGO aerogel with excellent mechanical stability for a health-monitoring device 被引量:1
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作者 Shufang Zhao Wenhao Ran +1 位作者 Lili Wang Guozhen Shen 《Journal of Semiconductors》 EI CAS CSCD 2022年第8期60-66,共7页
Two-dimensional(2D)materials have attracted considerable interest thanks to their unique electronic/physical-chemical characteristics and their potential for use in a large variety of sensing applications.However,few-... Two-dimensional(2D)materials have attracted considerable interest thanks to their unique electronic/physical-chemical characteristics and their potential for use in a large variety of sensing applications.However,few-layered nanosheets tend to agglomerate owing to van der Waals forces,which obstruct internal nanoscale transport channels,resulting in low electrochemical activity and restricting their use for sensing purposes.Here,a hybrid MXene/rGO aerogel with a three-dimensional(3D)interlocked network was fabricated via a freeze-drying method.The porous MXene/rGO aerogel has a lightweight and hierarchical porous architecture,which can be compressed and expanded several times without breaking.Additionally,a flexible pressure sensor that uses the aerogel as the sensitive layer has a wide response range of approximately 0-40 kPa and a considerable response within this range,averaging approximately 61.49 kPa^(-1).The excellent sensing performance endows it with a broad range of applications,including human-computer interfaces and human health monitoring. 展开更多
关键词 flexible electronic MXene/rGO interlocking structure high performance healthcare monitoring
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Optical power limiting of ultrashort hyper-Gaussian pulses in cascade three-level system 被引量:1
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作者 Ji-Cai Liu Fen-Fen Guo +1 位作者 Ya-Nan Zhao Xing-Zhe Li 《Chinese Physics B》 SCIE EI CAS CSCD 2018年第10期357-361,共5页
Propagation of strong femtosecond hyper-Gaussian pulses in a cascade three-level molecular system is studied by solving numerically the Maxwell–Bloch equations by the iterative predictor-corrector finite-difference t... Propagation of strong femtosecond hyper-Gaussian pulses in a cascade three-level molecular system is studied by solving numerically the Maxwell–Bloch equations by the iterative predictor-corrector finite-difference time-domain method.Optical power limiting behavior induced by strong nonlinear two-photon absorption is observed for different orders of the femtosecond hyper-Gaussian pulses. Pulses of a higher order temporal profile are found to have a wider power range of optical limiting but a larger output saturation intensity. Both the output saturation value and the damage threshold of optical power limiting decrease with pulse duration increasing. The decrease of the pulse area along the pulse propagation is much slower than that obtained from the two-photon area theorem due to invalidity of the slowly varying amplitude approximation and the monochromatic field hypothesis. 展开更多
关键词 optical power limiting two-photon absorption ultrashort hyper-Gaussian pulse cascade three-level system
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Radiation forces on a three-level atom in the high-order Bessel beams 被引量:1
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作者 王正岭 印建平 《Chinese Physics B》 SCIE EI CAS CSCD 2008年第7期2466-2477,共12页
The general expressions of the average dissipative and dipole forces acting on a A-configuration three-level atom in an arbitrary light field are derived by means of the optical Bloch equations based on the atomic den... The general expressions of the average dissipative and dipole forces acting on a A-configuration three-level atom in an arbitrary light field are derived by means of the optical Bloch equations based on the atomic density matrix elements, and the general properties of the average dissipative and dipole forces on a three-level atom in the linearly-polarized high-order Bessel beams (HBBs) are analysed. We find a resonant property (with two resonant peaks) of the dissipative force and a non-resonant property (with two pairs of non-resonant peaks) of the dipole force on the three-level atom, which are completely different from those on the two-level atom. Meanwhile we find a saturation effect of the average dissipative force in the HBB, which comes from the saturation of the upper-level population. Our study shows that the general expressions of the average dissipative and dipole forces on the three-level atom will be simplified to those of the two-level atom under the approximation of large detuning. Finally, we study the axial and azimuthal Doppler cooling of atoms in ID optical molasses composed of two counter-propagating HBBs and discuss the azimuthal influence of the HBB on the Doppler cooling limit. We also find that the Doppler limit of atoms in the molasses HBB is slightly below the conventional Doppler limit of hГ/(2kB) due to the orbital angular momentum lh of the HBB. 展开更多
关键词 radiation forces optical Bloch equations three-level atom azimuthal Doppler cooling
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Olecranon anatomy:Use of a novel proximal interlocking screw for intramedullary nailing,a cadaver study 被引量:1
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作者 Fatih Kücükdurmaz Necdet Saglam +2 位作者 Ismail Agir Cengiz Sen Fuat Akpinar 《World Journal of Orthopedics》 2013年第3期130-133,共4页
AIM: To define the optimum safe angle of use for an eccentrically aligned proximal interlocking screw(PIS) for intramedullary nailing(IMN).METHODS: Thirty-six dry cadaver ulnas were split into two equal pieces sagital... AIM: To define the optimum safe angle of use for an eccentrically aligned proximal interlocking screw(PIS) for intramedullary nailing(IMN).METHODS: Thirty-six dry cadaver ulnas were split into two equal pieces sagitally. The following points were identified for each ulna: the deepest point of the incisura olecrani(A), the point where perpendicular lines from A and the ideal IMN entry point(D) are intersected(C) and a point at 3.5 mm(2 mm safety distance from articular surface + 1.5 mm radius of PIS) posterior from point A(B). We calculated the angle of screws inserted from point D through to point B in relation to D-C and B-C. In addition, an eccentrically aligned screw was inserted at a standard 20° through the anterior cortex of the ulna in each bone and the articular surface wasobserved macroscopically for any damage.RESULTS: The mean A-C distance was 9.6 mm(mean ± SD, 9.600 ± 0.763 mm), A-B distance was 3.5 mm, C-D distance was 12.500 mm(12.500 ± 1.371 mm) and the mean angle was 25.9°(25.9°± 2.0°). Lack of articular damage was confirmed macroscopically in all bones after the 20.0° eccentrically aligned screws were inserted. Intramedullary nail fixation systems have well known biological and biomechanical advantages for osteosynthesis. However, as well as these well-known advantages, IMN fixation of the ulna has some limitations. Some important limitations are related to the proximal interlocking of the ulna nail. The location of the PIS itself limits the indications for which intramedullary systems can be selected as an implant for the ulna. The new PIS design, where the PIS is aligned 20°eccentrically to the nail body, allows fixing of fractures even at the level of the olecranon without disturbing the joint. It also allows the eccentrically aligned screw to be inserted in any direction except through the proximal radio-ulnar joint. Taking into consideration our results, we now use a 20° eccentrically aligned PIS for all ulnas. In our results, the angle required to insert the PIS was less than 20° for only one bone. However, 0.7° difference corresponds to placement of the screw only 0.2 mm closer to the articular surface. As we assume 2.0 mm to be a safe distance, a placement of the screw 0.2 mm closer to the articular surface may not produce any clinical symptoms.CONCLUSION: The new PIS may give us the opportunity to interlock IMN without articular damage and confirmation by fluoroscopy if the nail is manufactured with a PIS aligned at a 20.0° fixed angle in relation to the IMN. 展开更多
关键词 interlocking screw Intramedullary nailing Ulna fracture Ulna anatomy
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