BACKGROUND Lack of mobilization and prolonged stay in the intensive care unit(ICU)are major factors resulting in the development of ICU-acquired muscle weakness(ICUAW).ICUAW is a type of skeletal muscle dysfunction an...BACKGROUND Lack of mobilization and prolonged stay in the intensive care unit(ICU)are major factors resulting in the development of ICU-acquired muscle weakness(ICUAW).ICUAW is a type of skeletal muscle dysfunction and a common complication of patients after cardiac surgery,and may be a risk factor for prolonged duration of mechanical ventilation,associated with a higher risk of readmission and higher mortality.Early mobilization in the ICU after cardiac surgery has been found to be low with a significant trend to increase over ICU stay and is also associated with a reduced duration of mechanical ventilation and ICU length of stay.Neuromuscular electrical stimulation(NMES)is an alternative modality of exercise in patients with muscle weakness.A major advantage of NMES is that it can be applied even in sedated patients in the ICU,a fact that might enhance early mobilization in these patients.AIM To evaluate safety,feasibility and effectiveness of NMES on functional capacity and muscle strength in patients before and after cardiac surgery.METHODS We performed a search on Pubmed,Physiotherapy Evidence Database(PEDro),Embase and CINAHL databases,selecting papers published between December 2012 and April 2023 and identified published randomized controlled trials(RCTs)that included implementation of NMES in patients before after cardiac surgery.RCTs were assessed for methodological rigor and risk of bias via the PEDro.The primary outcomes were safety and functional capacity and the secondary outcomes were muscle strength and function.RESULTS Ten studies were included in our systematic review,resulting in 703 participants.Almost half of them performed NMES and the other half were included in the control group,treated with usual care.Nine studies investigated patients after cardiac surgery and 1 study before cardiac surgery.Functional capacity was assessed in 8 studies via 6MWT or other indices,and improved only in 1 study before and in 1 after cardiac surgery.Nine studies explored the effects of NMES on muscle strength and function and,most of them,found increase of muscle strength and improvement in muscle function after NMES.NMES was safe in all studies without any significant complication.CONCLUSION NMES is safe,feasible and has beneficial effects on muscle strength and function in patients after cardiac surgery,but has no significant effect on functional capacity.展开更多
Objective： To present a case of electrical storm （ES） in a female patient with rheumatic valve disease. Methods： A female patient with severe rheumatic valve disease suffered an unexpected ES. She received more th...Objective： To present a case of electrical storm （ES） in a female patient with rheumatic valve disease. Methods： A female patient with severe rheumatic valve disease suffered an unexpected ES. She received more than 50 electrical shocks for repeated cardiac arrests due to ES over 16 hours. Then she received beta-blocking agent treatment and had an operation of double valves replacement. Results： ES was suppressed by sympathetic blockade with beta-receptor blocker and finally disappeared after the double pathological valves had been replaced. Conclusion： Increased sympathetic activity plays an important role in the genesis of electrical storm and sympathetic blockade may effectively suppress ES. However, the most important thing in the treatment of ES is to identify and eliminate the underlying cause of ES.展开更多
特高压直流换流阀的电磁场和电磁兼容性是其研制过程中的关键问题,国内外学者对此进行了系统研究。中国电力科学研究院成功研制出中国首个具有完全自主知识产权的800 kV/4 750 A特高压直流（ultra high voltage directcurrent,UHVDC）...特高压直流换流阀的电磁场和电磁兼容性是其研制过程中的关键问题,国内外学者对此进行了系统研究。中国电力科学研究院成功研制出中国首个具有完全自主知识产权的800 kV/4 750 A特高压直流（ultra high voltage directcurrent,UHVDC）换流阀。针对电磁场和电磁兼容问题,利用三维电场边界元法实现换流阀寄生参数的提取,通过理论计算、数值仿真及试验测试等多种手段,对瞬态电磁干扰等问题提出了解决方案,为换流阀的研制和工程应用提供了必要的技术支撑。总结了上述领域的研究成果,对未来特高压直流换流阀电磁兼容领域的研究课题与解决方案提出了一些建议和设想。展开更多
This paper presents an adaptive friction compensation method based on LuGre model for large diameter electric-hydraulic proportional valves in which the valve core contains friction.A mathematic model of the electric-...This paper presents an adaptive friction compensation method based on LuGre model for large diameter electric-hydraulic proportional valves in which the valve core contains friction.A mathematic model of the electric-hydraulic proportional valve is established,and the friction characteristics are described based on the LuGre model.The global asymptotic stability of the control system with the adaptive friction compensation controller is guaranteed over Lyapunov theorem.The adaptive compensation of the friction on LuGre friction model is verified by simulation and experiment.The steady-state error is about [-4.23 × 10^(-5)m,5.91 × 10^(-5)m]and[-2.5 × 10^(-4)m,2.6 ×10^(-4) m] on simulation and experiment,the position tracking accuracy is higher,and the lag time of the main valve through the dead zone is shorter.The result proves that the adaptive friction compensation method can effectively compensate for the negative effects of nonlinear friction.展开更多
Objective A novel high-speed three-way solenoid valve is developed, which is used for the common-rail injection system equipped on DME powered engine. In order to improve the dynamic response performance of the three-...Objective A novel high-speed three-way solenoid valve is developed, which is used for the common-rail injection system equipped on DME powered engine. In order to improve the dynamic response performance of the three-way solenoid. Methods Experimental studies have been conducted to investigate the effects of spool stroke, drive voltage, negative demagnetizing pulse and two drive schemes on the dynamic response performance of the three-way solenoid valve. Results The results show that the dynamic response performance of the three-way solenoid valve can be remarkably improved by shortening the spool stroke and increasing the drive voltage. Simultaneously, the difference between the response time of closing valve and that of opening valve decreases. At each different drive voltage, there exists an optimal negative demagnetizing pulse corresponding to the same positive exciting pulse. At this optimal pulse, the dynamic response performance of the three-way solenoid valve is the best. In addition, the high drive voltage can lead to the smaller optimal negative demagnetizing pulse. It is also indicated from the experiments that the dynamic response performance of the three-way solenoid valve is better when the NO.1 drive scheme is adopted. The lower drive voltage results in the larger difference between the dynamic response performances for the two drive schemes. Conclusion The dynamic response performance of a novel three-way solenoid valve is good.展开更多
文摘BACKGROUND Lack of mobilization and prolonged stay in the intensive care unit(ICU)are major factors resulting in the development of ICU-acquired muscle weakness(ICUAW).ICUAW is a type of skeletal muscle dysfunction and a common complication of patients after cardiac surgery,and may be a risk factor for prolonged duration of mechanical ventilation,associated with a higher risk of readmission and higher mortality.Early mobilization in the ICU after cardiac surgery has been found to be low with a significant trend to increase over ICU stay and is also associated with a reduced duration of mechanical ventilation and ICU length of stay.Neuromuscular electrical stimulation(NMES)is an alternative modality of exercise in patients with muscle weakness.A major advantage of NMES is that it can be applied even in sedated patients in the ICU,a fact that might enhance early mobilization in these patients.AIM To evaluate safety,feasibility and effectiveness of NMES on functional capacity and muscle strength in patients before and after cardiac surgery.METHODS We performed a search on Pubmed,Physiotherapy Evidence Database(PEDro),Embase and CINAHL databases,selecting papers published between December 2012 and April 2023 and identified published randomized controlled trials(RCTs)that included implementation of NMES in patients before after cardiac surgery.RCTs were assessed for methodological rigor and risk of bias via the PEDro.The primary outcomes were safety and functional capacity and the secondary outcomes were muscle strength and function.RESULTS Ten studies were included in our systematic review,resulting in 703 participants.Almost half of them performed NMES and the other half were included in the control group,treated with usual care.Nine studies investigated patients after cardiac surgery and 1 study before cardiac surgery.Functional capacity was assessed in 8 studies via 6MWT or other indices,and improved only in 1 study before and in 1 after cardiac surgery.Nine studies explored the effects of NMES on muscle strength and function and,most of them,found increase of muscle strength and improvement in muscle function after NMES.NMES was safe in all studies without any significant complication.CONCLUSION NMES is safe,feasible and has beneficial effects on muscle strength and function in patients after cardiac surgery,but has no significant effect on functional capacity.
文摘Objective： To present a case of electrical storm （ES） in a female patient with rheumatic valve disease. Methods： A female patient with severe rheumatic valve disease suffered an unexpected ES. She received more than 50 electrical shocks for repeated cardiac arrests due to ES over 16 hours. Then she received beta-blocking agent treatment and had an operation of double valves replacement. Results： ES was suppressed by sympathetic blockade with beta-receptor blocker and finally disappeared after the double pathological valves had been replaced. Conclusion： Increased sympathetic activity plays an important role in the genesis of electrical storm and sympathetic blockade may effectively suppress ES. However, the most important thing in the treatment of ES is to identify and eliminate the underlying cause of ES.
文摘特高压直流换流阀的电磁场和电磁兼容性是其研制过程中的关键问题,国内外学者对此进行了系统研究。中国电力科学研究院成功研制出中国首个具有完全自主知识产权的800 kV/4 750 A特高压直流（ultra high voltage directcurrent,UHVDC）换流阀。针对电磁场和电磁兼容问题,利用三维电场边界元法实现换流阀寄生参数的提取,通过理论计算、数值仿真及试验测试等多种手段,对瞬态电磁干扰等问题提出了解决方案,为换流阀的研制和工程应用提供了必要的技术支撑。总结了上述领域的研究成果,对未来特高压直流换流阀电磁兼容领域的研究课题与解决方案提出了一些建议和设想。
基金Supported by the National Key Basic Research Program of China(No.2014CB046405)Key Projects in the National Science&Technology Pillar Program during the Twelfth Five-year Plan of China(No.2014BAF02B00,2011BAF09B04)
文摘This paper presents an adaptive friction compensation method based on LuGre model for large diameter electric-hydraulic proportional valves in which the valve core contains friction.A mathematic model of the electric-hydraulic proportional valve is established,and the friction characteristics are described based on the LuGre model.The global asymptotic stability of the control system with the adaptive friction compensation controller is guaranteed over Lyapunov theorem.The adaptive compensation of the friction on LuGre friction model is verified by simulation and experiment.The steady-state error is about [-4.23 × 10^(-5)m,5.91 × 10^(-5)m]and[-2.5 × 10^(-4)m,2.6 ×10^(-4) m] on simulation and experiment,the position tracking accuracy is higher,and the lag time of the main valve through the dead zone is shorter.The result proves that the adaptive friction compensation method can effectively compensate for the negative effects of nonlinear friction.
文摘Objective A novel high-speed three-way solenoid valve is developed, which is used for the common-rail injection system equipped on DME powered engine. In order to improve the dynamic response performance of the three-way solenoid. Methods Experimental studies have been conducted to investigate the effects of spool stroke, drive voltage, negative demagnetizing pulse and two drive schemes on the dynamic response performance of the three-way solenoid valve. Results The results show that the dynamic response performance of the three-way solenoid valve can be remarkably improved by shortening the spool stroke and increasing the drive voltage. Simultaneously, the difference between the response time of closing valve and that of opening valve decreases. At each different drive voltage, there exists an optimal negative demagnetizing pulse corresponding to the same positive exciting pulse. At this optimal pulse, the dynamic response performance of the three-way solenoid valve is the best. In addition, the high drive voltage can lead to the smaller optimal negative demagnetizing pulse. It is also indicated from the experiments that the dynamic response performance of the three-way solenoid valve is better when the NO.1 drive scheme is adopted. The lower drive voltage results in the larger difference between the dynamic response performances for the two drive schemes. Conclusion The dynamic response performance of a novel three-way solenoid valve is good.
