The thermomechanical fatigue behaviour of different high temperature alloys has been investigated and is under investigation respectively. The creep-fatigue behaviour of heat resistant steels was investigated by long-...The thermomechanical fatigue behaviour of different high temperature alloys has been investigated and is under investigation respectively. The creep-fatigue behaviour of heat resistant steels was investigated by long-term service-type strain cycling tests simulating thermomechanical fatigue (TMF-) loading conditions at the heated surface of e.g. turbine rotors. Single-stage as well as three-stage cycles leads to similar results at the application of the damage accumulation rule. Life prediction which simulates typical combinations of cold starts, warm starts and hot starts has been established successfully for isothermal service-type loading and will be exceeded for thermomechanical loading. Long-term thermomechanical fatigue testing of Thermal Barrier Coating systems show typical delamination damage. An advanced TMF cruciform testing system enables complex multiaxial loading.展开更多
To understand the real experiences of patients with cancer-related fatigue and to promote quality of life,the researchers used computer searches of PubMed,EMbase,CINAHL,PsycINFO,Web of Science,and China National Knowl...To understand the real experiences of patients with cancer-related fatigue and to promote quality of life,the researchers used computer searches of PubMed,EMbase,CINAHL,PsycINFO,Web of Science,and China National Knowledge Infrastructure,China Biology Medicine disc,Wanfang Data,China Science and Technology Journal Database for relevant qualitative studies from the inception to November 1,2021.The results showed that a total of 16 papers were included,and 57 outcomes were distilled into 9 categories,which were pooled into four integrated outcomes,such as somatic,psychological and social support and so on.It is concluded that patients with cancer-related fatigue are not only in the midst of multidimensional,unspeakable somatic experiences,and complex psychological experiences,they are also hindered in coping with fatigue symptom and social life.Therefore,healthcare professionals should provide health interventions and psychological support to those patients whenever possible.展开更多
In order to study the fatigue failure mode and fatigue life laws of basalt-aramid and basalt-carbon hybrid fiber reinforced polymer ( FRP ) sheets, fatigue experiments are carried out, considering two hybrid ratios ...In order to study the fatigue failure mode and fatigue life laws of basalt-aramid and basalt-carbon hybrid fiber reinforced polymer ( FRP ) sheets, fatigue experiments are carried out, considering two hybrid ratios of 1 : 1 and 2:1 under different stress levels from 0.6 to 0.95. The results show that fractures occur first in carbon fibers or aramid fibers for the specimens with hybrid ratio of 1: 1, namely B1A1 and B1C1, while a fracture occurs first in basalt fibers for the specimens with a hybrid ratio of 2: 1, namely B2A1 and B2C1. The fatigue lives of the hybrid FRP sheets increase with the improvement of the content of carbon fibers or aramid fibers, and the influence of the carbon fibers content improvement to fatigue life is more significant. The fatigue performance of B2A1 is relatively worse, while the fatigue performance of B1C1 and B2C1 is relatively better. Finally, a new fatigue stiffness degradation model with dual variables and double inflection points is presented, which is applicable to both hybrid and normal FRP sheets.展开更多
The notched and smooth specimens of aluminum alloy LC4CS soaked in EXCO solution for different time are tested under the constant amplitude cyclic loading to obtain S-N curves and fatigue notch factors with different ...The notched and smooth specimens of aluminum alloy LC4CS soaked in EXCO solution for different time are tested under the constant amplitude cyclic loading to obtain S-N curves and fatigue notch factors with different pre-corrosion time. By analyzing the corrosion process of LC4CS specimens in EXCO solution, the influ- ence mechanism of corrosion on fatigue notch factor is expounded. Then, a two-parameter model used to describe the change of corrosion fatigue notch factor with time is established and verified by experiment. The results show that the pre-corrosion fatigue notch factor of LC4CS material decreases at first and then increases with the increasing pre-corrosion time. The inflection point appears at the beginning of denudation stage.展开更多
Ultrasonic fatigue tests are performed on a magnesium alloy with and without ultrasonic peening treatment(UPT).Surface enhancement layer leads to the complete change of crack initiation sites.However,crack initiation ...Ultrasonic fatigue tests are performed on a magnesium alloy with and without ultrasonic peening treatment(UPT).Surface enhancement layer leads to the complete change of crack initiation sites.However,crack initiation mechanism keeps the same and results in a single-faceted morphology at crack initiation site.Microcracks initiate as Mode Ⅱ crack within the original grain,but deflect to Mode I crack outside of the original cracked grain.A threshold SIF value is proposed to evaluate the retarding effect of grain boundary on microcrack propagation.Outside of the original cracked grain,Mode I crack propagation below the threshold ΔK_(σ-th) is responsible for the formation of fine granular area(FGA,a nano-grain layer).Based on the Numerous Cyclic Pressing(NCP) model,it is proposed that crack type should be another necessary condition for the formation of FGA.展开更多
There are actually no sufficient data for lifting technique assessment.A laboratory study was undertaken to determine the effect of 3 regular lifting techniques on erector muscle activation,cardiovascular strain and s...There are actually no sufficient data for lifting technique assessment.A laboratory study was undertaken to determine the effect of 3 regular lifting techniques on erector muscle activation,cardiovascular strain and subjective response.Thirty student volunteers participated in the study,and were required to lift a weight with different techniques.Stoop-,squat-,semi-squat-lifting resulted in 3,2 and 1 time of the highest percentage of the maximum voluntary electrical activation(MVE%) respectively.In the same order,the lowest median frequency(MF) existed 1,1 and 2 times.Muscle fatigue was 4 times in squat,36 in semi-squat and 43 in stoop lifting.Heart rate was the highest in squat and lowest in stoop respectively,with a middle level in semi-squat lifting.It may be recommended to adopt mainly the semi-squat technique for daily lifting works.For heavy lifting,it should use the squat technique.Stoop lifting may also be used alternatively but for light things.展开更多
A 70 MPa hydrogen environment fatigue test system has been designed and applied in the manufacture of a hydrogen storage vessel. The key equipment is a 80 MPa flat steel ribbon wound high pressure hydrogen storage ves...A 70 MPa hydrogen environment fatigue test system has been designed and applied in the manufacture of a hydrogen storage vessel. The key equipment is a 80 MPa flat steel ribbon wound high pressure hydrogen storage vessel. A reasonable stress distribution has been realized, which is low stress on the liner of the pressure vessel and even stress on the flat ribbon layers. This optimal stress distribution is achieved through the adjustment of the prestress in flat steel ribbons. A control system for the fatigue test system has also been designed. It consists of a double control model, manual control and automatic control, to satisfy different experiment requirements. The system is the only one which can be used in the real hydrogen environmental fatigue test system in China. An experiment for a 70 MPa onboard composite material hydrogen vessel has been carried out on the system. The experimental results from this test are in close agreement with the practical operating conditions.展开更多
Objective:To examine the present state of fatigue in young and middle-aged patients with coronary heart disease(CHD)and to identify the elements that may be affecting it.Methods:From December 2020 to June 2021,240 you...Objective:To examine the present state of fatigue in young and middle-aged patients with coronary heart disease(CHD)and to identify the elements that may be affecting it.Methods:From December 2020 to June 2021,240 young and middle-aged patients with CHD who were being treated in the cardiology department of a tertiary care hospital in Suzhou were chosen using a convenience sampling method in order to gather data on the patients’sociodemographic status,fatigue,social support,and stress.Results:Of the 240 disseminated questionnaires,220 valid responses were returned,resulting in an effective recovery rate of 91.67%.The frequency of exhaustion was 51.8%,and the fatigue score was(5.27±2.77).The stress score was(11.15±3.36),while the overall social support score was(39.13±4.72).Binary logistic regression analysis indicated that age,exercise,staying up late,stress,social support,high-sensitivity troponin T,high-density lipoprotein,and ejection fraction were independent risk factors for fatigue in young and middle-aged patients with CHD(P<0.05).Conclusions:Fatigue is more prevalent in young and middle-aged patients with CHD.Clinical nurses can create a unique management plan for patients based on their lifestyle and behavioral patterns,stress levels,social support,and clinical signs to reduce fatigue.展开更多
The need for very-high-cycle fatigue(VHCF)testing up to 1010cycles of aviation gas turbine engine blade materials under combined mechanical loads and complex environments has encouraged the development of VHCF testing...The need for very-high-cycle fatigue(VHCF)testing up to 1010cycles of aviation gas turbine engine blade materials under combined mechanical loads and complex environments has encouraged the development of VHCF testing instrumentation and technology.This article begins with a comprehensive review of the existing available techniques that enable VHCF testing.Recent advances in ultrasonic fatigue testing(UFT)techniques are highlighted,containing their new capabilities and methods for single load,multiaxial load,variable amplitude fatigue,and combined cycle fatigue.New techniques for conducting UFT in high-temperature,humid environments,and corrosive environments are summarized.These developments in mechanical loading and environmental building techniques provide the possibility of laboratory construction for real service conditions of blade materials.New techniques that can be used for in situ monitoring of VHCF damage are summarized.Key issues in the UFT field are presented,and countermeasures are collated.Finally,the existing problems and future trends in the field are briefly described.展开更多
Fatigue failure can still occur beyond 107 cycles,i.e.very-high-cycle fatigue(VHCF),in many metallic materials,such as aluminium alloys and high-strength steels.For VHCF of high-strength steels,a fine granular area(FG...Fatigue failure can still occur beyond 107 cycles,i.e.very-high-cycle fatigue(VHCF),in many metallic materials,such as aluminium alloys and high-strength steels.For VHCF of high-strength steels,a fine granular area(FGA)surrounding an inclusion is commonly identified as the characteristic region of crack initiation on the fracture surface.However,no such FGA feature and related crack initiation behaviour were observed in VHCF of conventionally cast or wrought aluminium alloys.Here,we first reported the distinct mechanisms of crack initiation and early growth,namely the microstructure feature and the role of FGA in VHCF performance for an additively manufactured(AM)AlSi10Mg alloy.The AM pores play a key role in fatigue crack initiation similar to that of the inclusions in high-strength steels,resulting in almost identical FGA behaviour for different materials under a range of mean stress with a stress ratio at R<0 or R>0.The profile microstructure of FGA is identified as a nanograin layer with Si rearrangement and grain boundary transition.This process consumes a large amount of cyclic plastic energy making FGA undertake a vast majority of VHCF life.These results will deepen the understanding of VHCF nature and shed light on crack initiation mechanism of other aluminium and AM alloys.展开更多
The specimens of a high carbon chromium steel were quenched and tempered at 150℃, 180℃ and 300℃. Such specimens were tested via rotating bending and a push-pull type of axial loading to investigate the influences o...The specimens of a high carbon chromium steel were quenched and tempered at 150℃, 180℃ and 300℃. Such specimens were tested via rotating bending and a push-pull type of axial loading to investigate the influences of loading condition on the behaviour of very-high-cycle fatigue (VHCF). Experimental results show the different influences of inclusion size on the fa- tigue life for the two loading conditions. Predominant factors and mechanism for the fine-granular-area (FGA) of crack origin were discussed. In addition, a reliability analysis based on a modified Tanaka-Mura model was carried out to evaluate the sen- sitivity of inclusion size, stress, and AKFGA to the life of VHCF crack initiation.展开更多
背景既往研究显示,脑卒中患者卒中后疲劳(PSF)发生率高达25%~85%,持续不断的疲乏感严重影响患者日常生活和康复进程,因此亟需了解此类患者的心理体验和需求,但既往已进行的单一的质性研究结果可能不具有代表性。目的系统评价和整合卒中...背景既往研究显示,脑卒中患者卒中后疲劳(PSF)发生率高达25%~85%,持续不断的疲乏感严重影响患者日常生活和康复进程,因此亟需了解此类患者的心理体验和需求,但既往已进行的单一的质性研究结果可能不具有代表性。目的系统评价和整合卒中后疲劳患者疲劳体验的质性研究,为构建PSF患者疲劳管理策略提供依据。方法计算机检索PsycINFO、PubMed、Web of Science、CINAHL、Cochrane Library、Scopus、澳大利亚安娜布里格斯研究所(JBI)循证卫生保健数据库及中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库,搜集与PSF患者疲劳体验相关的质性研究。检索时限为建库至2023-07-05。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准(2016)进行质量评价,并采用汇集性整合的方法进行Meta整合。结果共纳入10篇文献,提炼出22个主要结果,归纳为8个类别,综合为4个整合结果:对PSF的认知严重匮乏;存在错综复杂的负性身心体验;PSF的自我调适方式多样;存在多种PSF康复需求。结论PSF患者对疲劳认知不足且存在明显负性身心体验,因此应早期识别和筛查PSF患者,强化对患者的疲劳教育并为其制订个性化疲劳管理策略,同时应重视发挥社区和家庭在PSF患者疲劳管理中的作用,使其与医护人员一同为PSF患者提供良好的康复环境。展开更多
目的系统评价与整合血液透析患者疲劳体验及管理的质性研究。方法计算机检索Cochrane Library、Web of Science、PubMed、CINAHL、Embase、Scopus、CBM、知网、万方、维普数据库建库至2023年12月发表的关于血液透析患者疲劳体验或管理...目的系统评价与整合血液透析患者疲劳体验及管理的质性研究。方法计算机检索Cochrane Library、Web of Science、PubMed、CINAHL、Embase、Scopus、CBM、知网、万方、维普数据库建库至2023年12月发表的关于血液透析患者疲劳体验或管理的质性研究,采用汇集性整合方法对结果进行Meta整合。结果共纳入9篇文献,提炼出38个结果,形成10个类别,汇总成4个整合结果:血液透析患者对疲劳的认知、疲劳产生的影响、患者自我管理策略、疲劳管理需求及挑战。结论血液透析患者疲劳管理存在认知缺乏、负性情绪影响、自我管理策略不全面、干预措施不精准等障碍,医疗机构应构建多样化管理策略并提供全面支持,完善患者自我管理策略,延长血液透析患者生存周期并提高其生活质量。展开更多
基金supported by the Deutsche Forschungsgemeinschaft(DFG),Project No.BE1890,16-1the Forschungs-vereinigung der Arbeitsgemeinschaften der Eisen und Metall verarbeitenden Industrie e.V.(AVIF),Project No.A166+1 种基金the FKM Forschungskuratorium Maschinenbau e.V.Project No.052510the Arbeitsgemeinschaft industrieller Forschungsvereinigungen(AiF)and the VDEh-Gesellschaft zur Forderung der Eisenforschung mbH,Project No.11200 N.
文摘The thermomechanical fatigue behaviour of different high temperature alloys has been investigated and is under investigation respectively. The creep-fatigue behaviour of heat resistant steels was investigated by long-term service-type strain cycling tests simulating thermomechanical fatigue (TMF-) loading conditions at the heated surface of e.g. turbine rotors. Single-stage as well as three-stage cycles leads to similar results at the application of the damage accumulation rule. Life prediction which simulates typical combinations of cold starts, warm starts and hot starts has been established successfully for isothermal service-type loading and will be exceeded for thermomechanical loading. Long-term thermomechanical fatigue testing of Thermal Barrier Coating systems show typical delamination damage. An advanced TMF cruciform testing system enables complex multiaxial loading.
文摘To understand the real experiences of patients with cancer-related fatigue and to promote quality of life,the researchers used computer searches of PubMed,EMbase,CINAHL,PsycINFO,Web of Science,and China National Knowledge Infrastructure,China Biology Medicine disc,Wanfang Data,China Science and Technology Journal Database for relevant qualitative studies from the inception to November 1,2021.The results showed that a total of 16 papers were included,and 57 outcomes were distilled into 9 categories,which were pooled into four integrated outcomes,such as somatic,psychological and social support and so on.It is concluded that patients with cancer-related fatigue are not only in the midst of multidimensional,unspeakable somatic experiences,and complex psychological experiences,they are also hindered in coping with fatigue symptom and social life.Therefore,healthcare professionals should provide health interventions and psychological support to those patients whenever possible.
基金The National Natural Science Foundation of China(No.51108238)
文摘In order to study the fatigue failure mode and fatigue life laws of basalt-aramid and basalt-carbon hybrid fiber reinforced polymer ( FRP ) sheets, fatigue experiments are carried out, considering two hybrid ratios of 1 : 1 and 2:1 under different stress levels from 0.6 to 0.95. The results show that fractures occur first in carbon fibers or aramid fibers for the specimens with hybrid ratio of 1: 1, namely B1A1 and B1C1, while a fracture occurs first in basalt fibers for the specimens with a hybrid ratio of 2: 1, namely B2A1 and B2C1. The fatigue lives of the hybrid FRP sheets increase with the improvement of the content of carbon fibers or aramid fibers, and the influence of the carbon fibers content improvement to fatigue life is more significant. The fatigue performance of B2A1 is relatively worse, while the fatigue performance of B1C1 and B2C1 is relatively better. Finally, a new fatigue stiffness degradation model with dual variables and double inflection points is presented, which is applicable to both hybrid and normal FRP sheets.
基金Supported by the Program for Changjiang Scholars and Innovative Research Team of Ministry of Education(Irt0906)~~
文摘The notched and smooth specimens of aluminum alloy LC4CS soaked in EXCO solution for different time are tested under the constant amplitude cyclic loading to obtain S-N curves and fatigue notch factors with different pre-corrosion time. By analyzing the corrosion process of LC4CS specimens in EXCO solution, the influ- ence mechanism of corrosion on fatigue notch factor is expounded. Then, a two-parameter model used to describe the change of corrosion fatigue notch factor with time is established and verified by experiment. The results show that the pre-corrosion fatigue notch factor of LC4CS material decreases at first and then increases with the increasing pre-corrosion time. The inflection point appears at the beginning of denudation stage.
基金supported by the National Natural Science Foundation of China (Nos. 12102280, 12172238, 11832007, 12022208, 12072212, and 52003181)the Science & Technology Support Program of Sichuan Province (Nos. 2020YJ0230, and 2021YJ0555)the Fundamental Research Funds for the Central Universities of China (No.2021SCU12129)
文摘Ultrasonic fatigue tests are performed on a magnesium alloy with and without ultrasonic peening treatment(UPT).Surface enhancement layer leads to the complete change of crack initiation sites.However,crack initiation mechanism keeps the same and results in a single-faceted morphology at crack initiation site.Microcracks initiate as Mode Ⅱ crack within the original grain,but deflect to Mode I crack outside of the original cracked grain.A threshold SIF value is proposed to evaluate the retarding effect of grain boundary on microcrack propagation.Outside of the original cracked grain,Mode I crack propagation below the threshold ΔK_(σ-th) is responsible for the formation of fine granular area(FGA,a nano-grain layer).Based on the Numerous Cyclic Pressing(NCP) model,it is proposed that crack type should be another necessary condition for the formation of FGA.
基金supported in part by a grant from the Chinese Ministry of Science and Technology (No. 2006BAI06B08)
文摘There are actually no sufficient data for lifting technique assessment.A laboratory study was undertaken to determine the effect of 3 regular lifting techniques on erector muscle activation,cardiovascular strain and subjective response.Thirty student volunteers participated in the study,and were required to lift a weight with different techniques.Stoop-,squat-,semi-squat-lifting resulted in 3,2 and 1 time of the highest percentage of the maximum voluntary electrical activation(MVE%) respectively.In the same order,the lowest median frequency(MF) existed 1,1 and 2 times.Muscle fatigue was 4 times in squat,36 in semi-squat and 43 in stoop lifting.Heart rate was the highest in squat and lowest in stoop respectively,with a middle level in semi-squat lifting.It may be recommended to adopt mainly the semi-squat technique for daily lifting works.For heavy lifting,it should use the squat technique.Stoop lifting may also be used alternatively but for light things.
基金Sponsored by the National High Technology Research and Development Program of China(Grant No.2007AA05Z122)
文摘A 70 MPa hydrogen environment fatigue test system has been designed and applied in the manufacture of a hydrogen storage vessel. The key equipment is a 80 MPa flat steel ribbon wound high pressure hydrogen storage vessel. A reasonable stress distribution has been realized, which is low stress on the liner of the pressure vessel and even stress on the flat ribbon layers. This optimal stress distribution is achieved through the adjustment of the prestress in flat steel ribbons. A control system for the fatigue test system has also been designed. It consists of a double control model, manual control and automatic control, to satisfy different experiment requirements. The system is the only one which can be used in the real hydrogen environmental fatigue test system in China. An experiment for a 70 MPa onboard composite material hydrogen vessel has been carried out on the system. The experimental results from this test are in close agreement with the practical operating conditions.
基金This study received support from the Suzhou Science and Technology Development Plan Livelihood Technology Project(No.sys2018018)the Soochow University Medical Department Scientific Research Project(No.2021YXBKWKY044)。
文摘Objective:To examine the present state of fatigue in young and middle-aged patients with coronary heart disease(CHD)and to identify the elements that may be affecting it.Methods:From December 2020 to June 2021,240 young and middle-aged patients with CHD who were being treated in the cardiology department of a tertiary care hospital in Suzhou were chosen using a convenience sampling method in order to gather data on the patients’sociodemographic status,fatigue,social support,and stress.Results:Of the 240 disseminated questionnaires,220 valid responses were returned,resulting in an effective recovery rate of 91.67%.The frequency of exhaustion was 51.8%,and the fatigue score was(5.27±2.77).The stress score was(11.15±3.36),while the overall social support score was(39.13±4.72).Binary logistic regression analysis indicated that age,exercise,staying up late,stress,social support,high-sensitivity troponin T,high-density lipoprotein,and ejection fraction were independent risk factors for fatigue in young and middle-aged patients with CHD(P<0.05).Conclusions:Fatigue is more prevalent in young and middle-aged patients with CHD.Clinical nurses can create a unique management plan for patients based on their lifestyle and behavioral patterns,stress levels,social support,and clinical signs to reduce fatigue.
基金funded by the National Science Fund for Distinguished Young Scholars(Grant No.51925504)the National Key R and D Program of China(Grant No.2018YFF01012400)+4 种基金the National Key R&D Program of China(Grant No.2022YFA1604000)the National Major Scientific Research Instrument Development Project(Grant No.52227810)the Foundation for Innovative Research Groups of the National Natural Science Foundation of China(Grant No.52021003)the National Natural Science Foundation of China(Grant No.52075220)the Jilin Provincial Department of Science and Technology Fund Project(Grant No.20210101056JC)。
文摘The need for very-high-cycle fatigue(VHCF)testing up to 1010cycles of aviation gas turbine engine blade materials under combined mechanical loads and complex environments has encouraged the development of VHCF testing instrumentation and technology.This article begins with a comprehensive review of the existing available techniques that enable VHCF testing.Recent advances in ultrasonic fatigue testing(UFT)techniques are highlighted,containing their new capabilities and methods for single load,multiaxial load,variable amplitude fatigue,and combined cycle fatigue.New techniques for conducting UFT in high-temperature,humid environments,and corrosive environments are summarized.These developments in mechanical loading and environmental building techniques provide the possibility of laboratory construction for real service conditions of blade materials.New techniques that can be used for in situ monitoring of VHCF damage are summarized.Key issues in the UFT field are presented,and countermeasures are collated.Finally,the existing problems and future trends in the field are briefly described.
基金financially supported by the National Natural Science Foundation of China(No.11932020).
文摘Fatigue failure can still occur beyond 107 cycles,i.e.very-high-cycle fatigue(VHCF),in many metallic materials,such as aluminium alloys and high-strength steels.For VHCF of high-strength steels,a fine granular area(FGA)surrounding an inclusion is commonly identified as the characteristic region of crack initiation on the fracture surface.However,no such FGA feature and related crack initiation behaviour were observed in VHCF of conventionally cast or wrought aluminium alloys.Here,we first reported the distinct mechanisms of crack initiation and early growth,namely the microstructure feature and the role of FGA in VHCF performance for an additively manufactured(AM)AlSi10Mg alloy.The AM pores play a key role in fatigue crack initiation similar to that of the inclusions in high-strength steels,resulting in almost identical FGA behaviour for different materials under a range of mean stress with a stress ratio at R<0 or R>0.The profile microstructure of FGA is identified as a nanograin layer with Si rearrangement and grain boundary transition.This process consumes a large amount of cyclic plastic energy making FGA undertake a vast majority of VHCF life.These results will deepen the understanding of VHCF nature and shed light on crack initiation mechanism of other aluminium and AM alloys.
基金supported by the National Basic Research Program of China(Grant No.2012CB937500)the National Natural Science Foundation of China(Grant Nos.11172304,11021262 and 11202210)
文摘The specimens of a high carbon chromium steel were quenched and tempered at 150℃, 180℃ and 300℃. Such specimens were tested via rotating bending and a push-pull type of axial loading to investigate the influences of loading condition on the behaviour of very-high-cycle fatigue (VHCF). Experimental results show the different influences of inclusion size on the fa- tigue life for the two loading conditions. Predominant factors and mechanism for the fine-granular-area (FGA) of crack origin were discussed. In addition, a reliability analysis based on a modified Tanaka-Mura model was carried out to evaluate the sen- sitivity of inclusion size, stress, and AKFGA to the life of VHCF crack initiation.
文摘背景既往研究显示,脑卒中患者卒中后疲劳(PSF)发生率高达25%~85%,持续不断的疲乏感严重影响患者日常生活和康复进程,因此亟需了解此类患者的心理体验和需求,但既往已进行的单一的质性研究结果可能不具有代表性。目的系统评价和整合卒中后疲劳患者疲劳体验的质性研究,为构建PSF患者疲劳管理策略提供依据。方法计算机检索PsycINFO、PubMed、Web of Science、CINAHL、Cochrane Library、Scopus、澳大利亚安娜布里格斯研究所(JBI)循证卫生保健数据库及中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库,搜集与PSF患者疲劳体验相关的质性研究。检索时限为建库至2023-07-05。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准(2016)进行质量评价,并采用汇集性整合的方法进行Meta整合。结果共纳入10篇文献,提炼出22个主要结果,归纳为8个类别,综合为4个整合结果:对PSF的认知严重匮乏;存在错综复杂的负性身心体验;PSF的自我调适方式多样;存在多种PSF康复需求。结论PSF患者对疲劳认知不足且存在明显负性身心体验,因此应早期识别和筛查PSF患者,强化对患者的疲劳教育并为其制订个性化疲劳管理策略,同时应重视发挥社区和家庭在PSF患者疲劳管理中的作用,使其与医护人员一同为PSF患者提供良好的康复环境。
文摘目的系统评价与整合血液透析患者疲劳体验及管理的质性研究。方法计算机检索Cochrane Library、Web of Science、PubMed、CINAHL、Embase、Scopus、CBM、知网、万方、维普数据库建库至2023年12月发表的关于血液透析患者疲劳体验或管理的质性研究,采用汇集性整合方法对结果进行Meta整合。结果共纳入9篇文献,提炼出38个结果,形成10个类别,汇总成4个整合结果:血液透析患者对疲劳的认知、疲劳产生的影响、患者自我管理策略、疲劳管理需求及挑战。结论血液透析患者疲劳管理存在认知缺乏、负性情绪影响、自我管理策略不全面、干预措施不精准等障碍,医疗机构应构建多样化管理策略并提供全面支持,完善患者自我管理策略,延长血液透析患者生存周期并提高其生活质量。