Conventional blood sampling for glucose detection is prone to cause pain and fails to continuously record glucose fluctuations in vivo.Continuous glucose monitoring based on implantable electrodes could induce pain an...Conventional blood sampling for glucose detection is prone to cause pain and fails to continuously record glucose fluctuations in vivo.Continuous glucose monitoring based on implantable electrodes could induce pain and potential tissue inflammation,and the presence of reactive oxygen species(ROS)due to inflammationmay affect glucose detection.Microneedle technology is less invasive,yet microneedle adhesion with skin tissue is limited.In this work,we developed a microarrow sensor array(MASA),which provided enhanced skin surface adhesion and enabled simultaneous detection of glucose and H_(2)O_(2)(representative of ROS)in interstitial fluid in vivo.The microarrows fabricated via laser micromachining were modified with functional coating and integrated into a patch of a three-dimensional(3D)microneedle array.Due to the arrow tip mechanically interlocking with the tissue,the microarrow array could better adhere to the skin surface after penetration into skin.The MASA was demonstrated to provide continuous in vivo monitoring of glucose and H_(2)O_(2) concentrations,with the detection of H_(2)O_(2) providing a valuable reference for assessing the inflammation state.Finally,the MASA was integrated into a monitoring system using custom circuitry.This work provides a promising tool for the stable and reliable monitoring of blood glucose in diabetic patients.展开更多
Diabetic kidney disease(DKD)is a common complication of diabetes mellitus that contributes to the risk of end-stage kidney disease(ESKD).Wide glycemic var-iations,such as hypoglycemia and hyperglycemia,are broadly fou...Diabetic kidney disease(DKD)is a common complication of diabetes mellitus that contributes to the risk of end-stage kidney disease(ESKD).Wide glycemic var-iations,such as hypoglycemia and hyperglycemia,are broadly found in diabetic patients with DKD and especially ESKD,as a result of impaired renal metabolism.It is essential to monitor glycemia for effective management of DKD.Hemoglobin A1c(HbA1c)has long been considered as the gold standard for monitoring glycemia for>3 months.However,assessment of HbA1c has some bias as it is susceptible to factors such as anemia and liver or kidney dysfunction.Continuous glucose monitoring(CGM)has provided new insights on glycemic assessment and management.CGM directly measures glucose level in interstitial fluid,reports real-time or retrospective glucose concentration,and provides multiple glycemic metrics.It avoids the pitfalls of HbA1c in some contexts,and may serve as a precise alternative to estimation of mean glucose and glycemic variability.Emerging studies have demonstrated the merits of CGM for precise monitoring,which allows fine-tuning of glycemic management in diabetic patients.Therefore,CGM technology has the potential for better glycemic monitoring in DKD patients.More research is needed to explore its application and management in different stages of DKD,including hemodialysis,peritoneal dialysis and kidney transplantation.展开更多
Modern medicine is increasingly interested in advanced sensors to detect and analyze biochemical indicators.Ion sensors based on potentiometric methods are a promising platform for monitoring physiological ions in bio...Modern medicine is increasingly interested in advanced sensors to detect and analyze biochemical indicators.Ion sensors based on potentiometric methods are a promising platform for monitoring physiological ions in biological subjects.Current semi-implantable devices are mainly based on single-parameter detection.Miniaturized semi-implantable electrodes for multiparameter sensing have more restrictions on the electrode size due to biocompatibility considerations,but reducing the electrode surface area could potentially limit electrode sensitivity.This study developed a semi-implantable device system comprising a multiplexed microfilament electrode cluster(MMEC)and a printed circuit board for real-time monitoring of intra-tissue K^(+),Ca^(2+),and Na^(+)concentrations.The electrode surface area was less important for the potentiometric sensing mechanism,suggesting the feasibility of using a tiny fiber-like electrode for potentiometric sensing.The MMEC device exhibited a broad linear response(K^(+):2–32 mmol/L;Ca^(2+):0.5–4 mmol/L;Na^(+):10–160 mmol/L),high sensitivity(about 20–45 mV/decade),temporal stability(>2weeks),and good selectivity(>80%)for the above ions.In vitro detection and in vivo subcutaneous and brain experiment results showed that the MMEC system exhibits good multi-ion monitoring performance in several complex environments.This work provides a platform for the continuous real-time monitoring of ion fluctuations in different situations and has implications for developing smart sensors to monitor human health.展开更多
Managing diabetes during pregnancy is challenging,given the significant risk it poses for both maternal and foetal health outcomes.While traditional methods involve capillary self-monitoring of blood glucose level mon...Managing diabetes during pregnancy is challenging,given the significant risk it poses for both maternal and foetal health outcomes.While traditional methods involve capillary self-monitoring of blood glucose level monitoring and periodic HbA1c tests,the advent of continuous glucose monitoring(CGM)systems has revolutionized the approach.These devices offer a safe and reliable means of tracking glucose levels in real-time,benefiting both women with diabetes during pregnancy and the healthcare providers.Moreover,CGM systems have shown a low rate of side effects and high feasibility when used in pregnancies complicated by diabetes,especially when paired with continuous subcutaneous insulin infusion pump as hybrid closed loop device.Such a combined approach has been demonstrated to improve overall blood sugar control,lessen the occurrence of preeclampsia and neonatal hypoglycaemia,and minimize the duration of neonatal intensive care unit stays.This paper aims to offer a comprehensive evaluation of CGM metrics specifically tailored for pregnancies impacted by type 1 diabetes mellitus.展开更多
Predictive Emission Monitoring Systems (PEMS) offer a cost-effective and environmentally friendly alternative to Continuous Emission Monitoring Systems (CEMS) for monitoring pollution from industrial sources. Multiple...Predictive Emission Monitoring Systems (PEMS) offer a cost-effective and environmentally friendly alternative to Continuous Emission Monitoring Systems (CEMS) for monitoring pollution from industrial sources. Multiple regression is one of the fundamental statistical techniques to describe the relationship between dependent and independent variables. This model can be effectively used to develop a PEMS, to estimate the amount of pollution emitted by industrial sources, where the fuel composition and other process-related parameters are available. It often makes them sufficient to predict the emission discharge with acceptable accuracy. In cases where PEMS are accepted as an alternative method to CEMS, which use gas analyzers, they can provide cost savings and substantial benefits for ongoing system support and maintenance. The described mathematical concept is based on the matrix algebra representation in multiple regression involving multiple precision arithmetic techniques. Challenging numerical examples for statistical big data analysis, are investigated. Numerical examples illustrate computational accuracy and efficiency of statistical analysis due to increasing the precision level. The programming language C++ is used for mathematical model implementation. The data for research and development, including the dependent fuel and independent NOx emissions data, were obtained from CEMS software installed on a petrochemical plant.展开更多
The fatigue of concrete structures will gradually appear after being subjected to alternating loads for a long time,and the accidents caused by fatigue failure of bridge structures also appear from time to time.Aiming...The fatigue of concrete structures will gradually appear after being subjected to alternating loads for a long time,and the accidents caused by fatigue failure of bridge structures also appear from time to time.Aiming at the problem of degradation of long-span continuous rigid frame bridges due to fatigue and environmental effects,this paper suggests a method to analyze the fatigue degradation mechanism of this type of bridge,which combines long-term in-site monitoring data collected by the health monitoring system(HMS)and fatigue theory.In the paper,the authors mainly carry out the research work in the following aspects:First of all,a long-span continuous rigid frame bridge installed with HMS is used as an example,and a large amount of health monitoring data have been acquired,which can provide efficient information for fatigue in terms of equivalent stress range and cumulative number of stress cycles;next,for calculating the cumulative fatigue damage of the bridge structure,fatigue stress spectrum got by rain flow counting method,S-N curves and damage criteria are used for fatigue damage analysis.Moreover,it was considered a linear accumulation damage through the Palmgren-Miner rule for the counting of stress cycles.The health monitoring data are adopted to obtain fatigue stress data and the rain flow counting method is used to count the amplitude varying fatigue stress.The proposed fatigue reliability approach in the paper can estimate the fatigue damage degree and its evolution law of bridge structures well,and also can help bridge engineers do the assessment of future service duration.展开更多
Using on-line monitoring during the CNC grinding process,the hazard case such as the crushing of grinding wheel and various safety accidents could be avoided,and the optimum time for dressing and replacing grinding wh...Using on-line monitoring during the CNC grinding process,the hazard case such as the crushing of grinding wheel and various safety accidents could be avoided,and the optimum time for dressing and replacing grinding wheel could also be determined,and hence,the service life of the grinding wheel could be prolonged and grinding quality could be improved. To overcome the limitation of some traditional techniques in which some parameters including the grinding power and force,torque and so on were monitored,the acoustic emission (AE) technique,which provides high sensitivity and responding speed,were developed in the present paper. The mechanism of AE during grinding was reviewed. Moreover,a virtual AE monitoring system,which could monitor the grinding state under different working conditions during the grinding,has been developed based on the Virtual Instruments technique. Some experiments were also performed on the internal grinder. The results showed that the AE signals became stronger with increasing the main shaft speed and grinding depth or decreasing the distance between the AE sensor and grinding area.展开更多
Objective:To explore the effect of continuous non-invasive blood pressure monitoring on intraoperative hemodynamics and postoperative myocardial injury in craniotomy.Methods:120 cases of elective craniotomy were divid...Objective:To explore the effect of continuous non-invasive blood pressure monitoring on intraoperative hemodynamics and postoperative myocardial injury in craniotomy.Methods:120 cases of elective craniotomy were divided into the self-control group(continuous non-invasive blood pressure monitoring and intermittent cuff non-invasive blood pressure monitoring,CNAP group)and propensity score matching group(only intermittent cuff non-invasive blood pressure measurement in previous craniotomy,PSM group);Goal-directed hemodynamic management in CNAP group included heart rate(HR),blood pressure(BP),stroke volume(SV),stroke variability(SVV),and systemic vascular resistance index(SVRI).The main index is to compare the troponin level within 72 hours after operation between the CNAP group and the PSM group;The secondary indicators are the comparison of the hemodynamic conditions between the CNAP group and the PSM at 10 specific time points.Results:The incidence of postoperative myocardial injury in the CNAP group was significantly lower than that in the PSM group(12%vs.30%,P=0.01);in the CNAP group hypotensive episodes(6 vs.3,P=0.01),positive balance of fluid therapy(700 vs.500 mL,P<0.001),more use of vasoactive drugs(29 vs.18,P=0.04),more stable hemodynamics medical status(P=0.03)were recorded.Conclusion:The hemodynamic management strategy based on continuous non-invasive blood pressure monitoring can reduce the incidence of myocardial injury after elective craniotomy and maintain a more stable hemodynamic state.展开更多
BACKGROUND In 2016,the Food and Drug Administration approved the first hybrid closed-loop(HCL)insulin delivery system for adults with type 1 diabetes(T1D).There is limited information on the impact of using HCL system...BACKGROUND In 2016,the Food and Drug Administration approved the first hybrid closed-loop(HCL)insulin delivery system for adults with type 1 diabetes(T1D).There is limited information on the impact of using HCL systems on patient-reported outcomes(PROs)in patients with T1D in real-world clinical practice.In this independent study,we evaluated glycemic parameters and PROs over one year of continuous use of Medtronic’s 670G HCL in real-world clinical practice.AIM To assess the effects of hybrid closed loop system on glycemic control and quality of life in adults with T1D.METHODS We evaluated 71 patients with T1D(mean age:45.5±12.1 years;59%females;body weight:83.8±18.7 kg,body mass index:28.7±5.6 kg/m2,A1C:7.6%±0.8%)who were treated with HCL at Joslin Clinic from 2017 to 2019.We measured A1C and percent of glucose time-in-range(%TIR)at baseline and 12 months.We measured percent time in auto mode(%TiAM)for the last two weeks preceding the final visit and assessed PROs through several validated quality-of-life surveys related to general health and diabetes management.RESULTS At 12 mo,A1C decreased by 0.3%±0.1%(P=0.001)and%TIR increased by 8.1%±2.5%(P=0.002).The average%TiAM was only 64.3%±32.8%and was not associated with A1C,%TIR or PROs.PROs,provided at baseline and at the end of the study,showed that the physical functioning submodule of 36Item Short-Form Health Survey increased significantly by 22.9%(P<0.001).Hypoglycemia fear survey/worry scale decreased significantly by 24.9%(P<0.000);Problem Areas In Diabetes reduced significantly by-17.2%(P=0.002).The emotional burden submodules of dietary diversity score reduced significantly by-44.7%(P=0.001).Furthermore,analysis of Clarke questionnaire showed no increase in awareness of hypoglycemic episodes.WHO-5 showed no improvements in subject’s wellbeing among participants after starting the 670G HCL system.Finally,analysis of Pittsburgh Sleep Quality Index showed no difference in sleep quality,sleep latency,or duration of sleep from baseline to 12 mo.CONCLUSION The use of HCL in real-world clinical practice for one year was associated with significant improvements in A1C,%TIR,physical functioning,hypoglycemia fear,emotional distress,and emotional burden related to diabetes management.However,these changes were not associated with time in auto mode.展开更多
Intrapartum maternal normoglycemia seems to play an important role in the prevention of adverse perinatal, maternal and neonatal outcomes. Several glucose monitoring protocols have been developed, aiming to achieve a ...Intrapartum maternal normoglycemia seems to play an important role in the prevention of adverse perinatal, maternal and neonatal outcomes. Several glucose monitoring protocols have been developed, aiming to achieve a tight glucose monitoring and control. Depending on the type of diabetes and the optimal or suboptimal glycemic control, the treatment options include fasting status of the parturient, frequent monitoring of capillary blood glucose, intravenous dextrose infusion and subcutaneous or intravenous use of insulin. Continuous glucose monitoring system(CGMS) is a relatively new technology that measures interstitial glucose at very short time intervals over a specifi c period of time. The resulting profi le provides a more comprehensive measure of glycemic excursions than intermittent home blood glucose monitoring. Results of studies applying the CGMS technology in patients with or without diabetes mellitus(DM) have revealed new insights in glucose metabolism. Moreover, CGMS have a potential role in the improvement of glycemic control during pregnancy and labor, which may lead to a decrease in perinatal morbidity and mortality. In conclusion, the use of CGMS, with its important technical advantages compared to the conventional way of monitoring, may lead into a more etiological intrapartum management of both the mother and her fetus/infant in pregnancies complicated with DM.展开更多
Zirconia ceramics have become increasingly widely used in recent years and are favored by relevant enterprises. From the traditional dental field to aerospace, parts manufacturing has been used, but there is limited r...Zirconia ceramics have become increasingly widely used in recent years and are favored by relevant enterprises. From the traditional dental field to aerospace, parts manufacturing has been used, but there is limited research on the deformation and damage process of zirconia ceramics. This article analyzes the acoustic emission characteristics of each stage of ceramic damage from the perspective of acoustic emission, and explores its deformation process characteristics from multiple perspectives such as time domain, frequency, and EWT modal analysis. It is concluded that zirconia ceramics exhibit higher brittleness and acoustic emission strength than alumina ceramics, and when approaching the fracture, it tends to generate lower frequency acoustic emission signals.展开更多
To better understand the mechanical properties of marble at Jinping II hydropower station, this paper examines the changes of brittle rocks in excavation damaged zones(EDZs) before and after excavation of tunnel with ...To better understand the mechanical properties of marble at Jinping II hydropower station, this paper examines the changes of brittle rocks in excavation damaged zones(EDZs) before and after excavation of tunnel with the tunnel boring machine(TBM). The paper attempts to employ the acoustic emission(AE) to study the AE characteristics and distribution of rockburst before and after TBM-excavated tunnel. It is known that the headrace tunnel #2, excavated by the drill-and-blast(D&B) method, is ahead of the headrace tunnel #3 that is excavated by TBM method. The experimental sub-tunnel #2–1, about 2000 m in depth and 13 m in diameter, between the two tunnels is scheduled. In the experimental sub-tunnel #2–1, a large number of experimental boreholes are arranged, and AE sensors are installed within 10 m apart from the wall of the headrace tunnel #3. By tracking the microseismic signals in rocks, the location, frequency, quantity, scope and intensity of the microseismic signals are basically identifed. It is observed that the AE signals mainly occur within 5 m around the rock wall, basically lasting for one day before tunnel excavation and a week after excavation. Monitoring results indicate that the rockburst signals are closely related to rock stress adjustment. The rock structure has a rapid self-adjustment capacity before and after a certain period of time during tunneling. The variations of rock stresses would last for a long time before reaching a fnal steady state. Based on this, the site-specifc support parameters for the deep tunnels can be accordingly optimized.展开更多
Diabetes mellitus affects people worldwide,and management of its acute complications or treatment-related adverse events is particularly important in critically ill patients.Previous reports have confirmed that hyperg...Diabetes mellitus affects people worldwide,and management of its acute complications or treatment-related adverse events is particularly important in critically ill patients.Previous reports have confirmed that hyperglycemia can increase the risk of mortality in patients cared in the intensive care unit(ICU).In addition,severe and multiple hypoglycemia increases the risk of mortality when using insulin or intensive antidiabetic therapy.The innovation of continuous glucose monitoring(CGM)may help to alert medical caregivers with regard to the development of hyperglycemia and hypoglycemia,which may decrease the potential complications in patients in the ICU.The major limitation of CGM is the measurement of interstitial glucose levels rather than real-time blood glucose levels;thus,there will be a delay in the treatment of hyperglycemia and hypoglycemia in patients.Recently,the European Union approved a state-of-art artificial intelligence directed loop system coordinated by CGM and a continuous insulin pump for diabetes control,which may provide a practical way to prevent acute adverse glycemic events related to antidiabetic therapy in critically ill patients.In this mini-review paper,we describe the application of CGM to patients in the ICU and summarize the pros and cons of CGM.展开更多
BACKGROUND Time in range(TIR),as a novel metric for glycemic control,has robust relevance with diabetic complications.Diabetic peripheral neuropathy(DPN)is characterized by sudomotor dysfunction.AIM To explore the rel...BACKGROUND Time in range(TIR),as a novel metric for glycemic control,has robust relevance with diabetic complications.Diabetic peripheral neuropathy(DPN)is characterized by sudomotor dysfunction.AIM To explore the relationship between TIR obtained from continuous glucose monitoring(CGM)and sudomotor function detected by SUDOSCAN in subjects with type 2 diabetes.METHODS The research enrolled 466 inpatients with type 2 diabetes.All subjects underwent 3-d CGM and SUDOSCAN.SUDOSCAN was assessed with electrochemical skin conductance in hands(HESC)and feet(FESC).Average feet ESC<60μS was defined as sudomotor dysfunction(+),otherwise it was sudomotor dysfunction(-).TIR refers to the percentage of time when blood glucose is between 3.9-10 mmol/L during 1 d period.RESULTS Among the enrolled subjects,135(28.97%)presented with sudomotor dysfunction.Patients with sudomotor dysfunction(+)showed a decreased level of TIR(P<0.001).Compared to the lowest tertile of TIR,the middle and the highest tertiles of TIR was associated with an obviously lower prevalence of sudomotor dysfunction(20.51%and 21.94%vs 44.52%)(P<0.001).In addition,with the increase of TIR,HESC and FESC increased(P<0.001).Regression analysis demonstrated that TIR was inversely and independently linked with the prevalence of sudomotor dysfunction after adjusting for confounding values(odds ratio=0.979,95%CI:0.971-0.987,P<0.001).CONCLUSION The tight glycemic control assessed by TIR is of vitally protective value for sudomotor dysfunction in type 2 diabetes mellitus.展开更多
Based on a large span continuous rigid frame bridge in Chongqing of China, the main pier vertical displacement and deviation, the bridge deck alignment and the expansion joint deformation are analytically researched d...Based on a large span continuous rigid frame bridge in Chongqing of China, the main pier vertical displacement and deviation, the bridge deck alignment and the expansion joint deformation are analytically researched during operation. Firstly, the monitoring content and method of the large span continuous rigid frame bridge are clearly stated. Secondly, by finite element software Midas Civil, the relevant deformation values of the bridge are calculated. Thirdly, in practice, the relevant deformation values of the bridge are measured. Finally, the measured values in practice are compared with the calculated ones by the finite element software Midas Civil, finding that the former is less than the latter, and it can be concluded that the bridge is basically in the normal working condition. In this paper, the analytical research on the deformation monitoring can provide the basis for similar bridges, which has good practical significance.展开更多
With the increasing intelligence and integration,a great number of two-valued variables(generally stored in the form of 0 or 1)often exist in large-scale industrial processes.However,these variables cannot be effectiv...With the increasing intelligence and integration,a great number of two-valued variables(generally stored in the form of 0 or 1)often exist in large-scale industrial processes.However,these variables cannot be effectively handled by traditional monitoring methods such as linear discriminant analysis(LDA),principal component analysis(PCA)and partial least square(PLS)analysis.Recently,a mixed hidden naive Bayesian model(MHNBM)is developed for the first time to utilize both two-valued and continuous variables for abnormality monitoring.Although the MHNBM is effective,it still has some shortcomings that need to be improved.For the MHNBM,the variables with greater correlation to other variables have greater weights,which can not guarantee greater weights are assigned to the more discriminating variables.In addition,the conditional P(x j|x j′,y=k)probability must be computed based on historical data.When the training data is scarce,the conditional probability between continuous variables tends to be uniformly distributed,which affects the performance of MHNBM.Here a novel feature weighted mixed naive Bayes model(FWMNBM)is developed to overcome the above shortcomings.For the FWMNBM,the variables that are more correlated to the class have greater weights,which makes the more discriminating variables contribute more to the model.At the same time,FWMNBM does not have to calculate the conditional probability between variables,thus it is less restricted by the number of training data samples.Compared with the MHNBM,the FWMNBM has better performance,and its effectiveness is validated through numerical cases of a simulation example and a practical case of the Zhoushan thermal power plant(ZTPP),China.展开更多
Morlet wavelet is suitable to extract the impulse components of mechanical fault signals. And thus its continuous wavelet transform (CWT) has been successfully used in the field of fault diagnosis. The principle of sc...Morlet wavelet is suitable to extract the impulse components of mechanical fault signals. And thus its continuous wavelet transform (CWT) has been successfully used in the field of fault diagnosis. The principle of scale selection in CWT is discussed. Based on genetic algorithm,an opti-mization strategy for the waveform parameters of the mother wavelet is proposed with wavelet en-tropy as the optimization target. Based on the optimized waveform parameters,the wavelet scalogram is used to analyze the simulated acoustic emission (AE) signal and real AE signal of rolling bearing. The results indicate that the proposed method is useful and efficient to improve the quality of CWT.展开更多
Continuous blood glucose monitoring is important for the diagnosis,treatment,and study of diabetes. many organizations have been working on this subject in recent two decades. Glucose concentration in interstitial flu...Continuous blood glucose monitoring is important for the diagnosis,treatment,and study of diabetes. many organizations have been working on this subject in recent two decades. Glucose concentration in interstitial fluid is closely related to the blood glucose levels. Minimally invasive continuous blood glucose monitoring technology based on the glucose detection in interstitial fluid develops rapidly and gets more and more attentions from the patients and the doctors,due to its instantaneous real-time display of glucose level,"24/7"coverage,and the ability to characterize glycemic variability. According to the different detection methods,most of the continuous glucose monitoring technology could be divided into two kinds: subcutaneous implantation method and transdermal extraction method. This paper review s the recent development of minimally invasive blood glucose monitoring technology and instruments. The mainly remained challenges and related research directions are presented as well.展开更多
A corrosion resistant CuNi cladding was deposited on SM45C (equivalent to AI5I1045) substrate by DC inverse arcwelding. During the welding process, a three channel acoustic emission (AE) monitoring system was applied ...A corrosion resistant CuNi cladding was deposited on SM45C (equivalent to AI5I1045) substrate by DC inverse arcwelding. During the welding process, a three channel acoustic emission (AE) monitoring system was applied to detectthe crack signals generating from both the cladding process and after cladding. Characteristics of the welding cracksignal and noise signal had been analyzed systematically. Based on the record time of the signal, the solidificationcrack and delayed crack were distinguished. By two-dimensional AE source location, the crack position was located,and then investigated by scanning electron microscopy (SEM). Results showed that the AE system could detect thewelding crack with high sensitivity and the two-dimensional source location could accurately determine the crackposition. Microstructures of the cladding and heat affected zone (HAZ) were examined. Dendrites in the claddingand coarse grains in the HAZ were found.展开更多
基金This work was financially supported by the National Key R&D Program of China(Nos.2021YFF1200700 and 2021YFA0911100)the National Natural Science Foundation of China(Nos.32171399,32171456,and T2225010)+6 种基金the Guangdong Basic and Applied Basic Research Foundation(No.2021A1515012261)the Science and Technology Program of Guangzhou,China(No.202103000076)the Fundamental Research Funds for the Central Universities,Sun Yat-Sen University(No.22dfx02),and Pazhou Lab,Guangzhou(No.PZL2021KF0003)FML would like to thank the National Natural Science Foundation of China(Nos.32171335 and 31900954)JL would like to thank the National Natural Science Foundation of China(No.62105380)the China Postdoctoral Science Foundation(No.2021M693686)QQOY would like to thank the China Postdoctoral Science Foundation(No.2022M713645).
文摘Conventional blood sampling for glucose detection is prone to cause pain and fails to continuously record glucose fluctuations in vivo.Continuous glucose monitoring based on implantable electrodes could induce pain and potential tissue inflammation,and the presence of reactive oxygen species(ROS)due to inflammationmay affect glucose detection.Microneedle technology is less invasive,yet microneedle adhesion with skin tissue is limited.In this work,we developed a microarrow sensor array(MASA),which provided enhanced skin surface adhesion and enabled simultaneous detection of glucose and H_(2)O_(2)(representative of ROS)in interstitial fluid in vivo.The microarrows fabricated via laser micromachining were modified with functional coating and integrated into a patch of a three-dimensional(3D)microneedle array.Due to the arrow tip mechanically interlocking with the tissue,the microarrow array could better adhere to the skin surface after penetration into skin.The MASA was demonstrated to provide continuous in vivo monitoring of glucose and H_(2)O_(2) concentrations,with the detection of H_(2)O_(2) providing a valuable reference for assessing the inflammation state.Finally,the MASA was integrated into a monitoring system using custom circuitry.This work provides a promising tool for the stable and reliable monitoring of blood glucose in diabetic patients.
基金Supported by Natural Science Foundation of Zhejiang Province,No.LY23H050005and Zhejiang Medical Technology Project,No.2022RC009.
文摘Diabetic kidney disease(DKD)is a common complication of diabetes mellitus that contributes to the risk of end-stage kidney disease(ESKD).Wide glycemic var-iations,such as hypoglycemia and hyperglycemia,are broadly found in diabetic patients with DKD and especially ESKD,as a result of impaired renal metabolism.It is essential to monitor glycemia for effective management of DKD.Hemoglobin A1c(HbA1c)has long been considered as the gold standard for monitoring glycemia for>3 months.However,assessment of HbA1c has some bias as it is susceptible to factors such as anemia and liver or kidney dysfunction.Continuous glucose monitoring(CGM)has provided new insights on glycemic assessment and management.CGM directly measures glucose level in interstitial fluid,reports real-time or retrospective glucose concentration,and provides multiple glycemic metrics.It avoids the pitfalls of HbA1c in some contexts,and may serve as a precise alternative to estimation of mean glucose and glycemic variability.Emerging studies have demonstrated the merits of CGM for precise monitoring,which allows fine-tuning of glycemic management in diabetic patients.Therefore,CGM technology has the potential for better glycemic monitoring in DKD patients.More research is needed to explore its application and management in different stages of DKD,including hemodialysis,peritoneal dialysis and kidney transplantation.
基金The authors would like to acknowledge financial support from the National Key R&D Program of China(Nos.2021YFF1200700 and 2021YFA0911100)the National Natural Science Foundation of China(Nos.T2225010,32171399,and 32171456)+4 种基金the Fundamental Research Funds for the Central Universities,Sun Yat-Sen University(No.22dfx02)Pazhou Lab,Guangzhou(No.PZL2021KF0003)The authors also would like to thank the funding support from the Opening Project of Key Laboratory of Microelectronic Devices&Integrated Technology,Institute of Microelectronics,Chinese Academy of Sciences,and State Key Laboratory of Precision Measuring Technology and Instruments(No.pilab2211)QQOY would like to thank the China Postdoctoral Science Foundation(No.2022M713645)JL would like to thank the National Natural Science Foundation of China(No.62105380)and the China Postdoctoral Science Foundation(No.2021M693686).
文摘Modern medicine is increasingly interested in advanced sensors to detect and analyze biochemical indicators.Ion sensors based on potentiometric methods are a promising platform for monitoring physiological ions in biological subjects.Current semi-implantable devices are mainly based on single-parameter detection.Miniaturized semi-implantable electrodes for multiparameter sensing have more restrictions on the electrode size due to biocompatibility considerations,but reducing the electrode surface area could potentially limit electrode sensitivity.This study developed a semi-implantable device system comprising a multiplexed microfilament electrode cluster(MMEC)and a printed circuit board for real-time monitoring of intra-tissue K^(+),Ca^(2+),and Na^(+)concentrations.The electrode surface area was less important for the potentiometric sensing mechanism,suggesting the feasibility of using a tiny fiber-like electrode for potentiometric sensing.The MMEC device exhibited a broad linear response(K^(+):2–32 mmol/L;Ca^(2+):0.5–4 mmol/L;Na^(+):10–160 mmol/L),high sensitivity(about 20–45 mV/decade),temporal stability(>2weeks),and good selectivity(>80%)for the above ions.In vitro detection and in vivo subcutaneous and brain experiment results showed that the MMEC system exhibits good multi-ion monitoring performance in several complex environments.This work provides a platform for the continuous real-time monitoring of ion fluctuations in different situations and has implications for developing smart sensors to monitor human health.
文摘Managing diabetes during pregnancy is challenging,given the significant risk it poses for both maternal and foetal health outcomes.While traditional methods involve capillary self-monitoring of blood glucose level monitoring and periodic HbA1c tests,the advent of continuous glucose monitoring(CGM)systems has revolutionized the approach.These devices offer a safe and reliable means of tracking glucose levels in real-time,benefiting both women with diabetes during pregnancy and the healthcare providers.Moreover,CGM systems have shown a low rate of side effects and high feasibility when used in pregnancies complicated by diabetes,especially when paired with continuous subcutaneous insulin infusion pump as hybrid closed loop device.Such a combined approach has been demonstrated to improve overall blood sugar control,lessen the occurrence of preeclampsia and neonatal hypoglycaemia,and minimize the duration of neonatal intensive care unit stays.This paper aims to offer a comprehensive evaluation of CGM metrics specifically tailored for pregnancies impacted by type 1 diabetes mellitus.
文摘Predictive Emission Monitoring Systems (PEMS) offer a cost-effective and environmentally friendly alternative to Continuous Emission Monitoring Systems (CEMS) for monitoring pollution from industrial sources. Multiple regression is one of the fundamental statistical techniques to describe the relationship between dependent and independent variables. This model can be effectively used to develop a PEMS, to estimate the amount of pollution emitted by industrial sources, where the fuel composition and other process-related parameters are available. It often makes them sufficient to predict the emission discharge with acceptable accuracy. In cases where PEMS are accepted as an alternative method to CEMS, which use gas analyzers, they can provide cost savings and substantial benefits for ongoing system support and maintenance. The described mathematical concept is based on the matrix algebra representation in multiple regression involving multiple precision arithmetic techniques. Challenging numerical examples for statistical big data analysis, are investigated. Numerical examples illustrate computational accuracy and efficiency of statistical analysis due to increasing the precision level. The programming language C++ is used for mathematical model implementation. The data for research and development, including the dependent fuel and independent NOx emissions data, were obtained from CEMS software installed on a petrochemical plant.
文摘The fatigue of concrete structures will gradually appear after being subjected to alternating loads for a long time,and the accidents caused by fatigue failure of bridge structures also appear from time to time.Aiming at the problem of degradation of long-span continuous rigid frame bridges due to fatigue and environmental effects,this paper suggests a method to analyze the fatigue degradation mechanism of this type of bridge,which combines long-term in-site monitoring data collected by the health monitoring system(HMS)and fatigue theory.In the paper,the authors mainly carry out the research work in the following aspects:First of all,a long-span continuous rigid frame bridge installed with HMS is used as an example,and a large amount of health monitoring data have been acquired,which can provide efficient information for fatigue in terms of equivalent stress range and cumulative number of stress cycles;next,for calculating the cumulative fatigue damage of the bridge structure,fatigue stress spectrum got by rain flow counting method,S-N curves and damage criteria are used for fatigue damage analysis.Moreover,it was considered a linear accumulation damage through the Palmgren-Miner rule for the counting of stress cycles.The health monitoring data are adopted to obtain fatigue stress data and the rain flow counting method is used to count the amplitude varying fatigue stress.The proposed fatigue reliability approach in the paper can estimate the fatigue damage degree and its evolution law of bridge structures well,and also can help bridge engineers do the assessment of future service duration.
基金Supported by fund of National Key Laboratory for Remanufacturing(9140C85030106JS9102)
文摘Using on-line monitoring during the CNC grinding process,the hazard case such as the crushing of grinding wheel and various safety accidents could be avoided,and the optimum time for dressing and replacing grinding wheel could also be determined,and hence,the service life of the grinding wheel could be prolonged and grinding quality could be improved. To overcome the limitation of some traditional techniques in which some parameters including the grinding power and force,torque and so on were monitored,the acoustic emission (AE) technique,which provides high sensitivity and responding speed,were developed in the present paper. The mechanism of AE during grinding was reviewed. Moreover,a virtual AE monitoring system,which could monitor the grinding state under different working conditions during the grinding,has been developed based on the Virtual Instruments technique. Some experiments were also performed on the internal grinder. The results showed that the AE signals became stronger with increasing the main shaft speed and grinding depth or decreasing the distance between the AE sensor and grinding area.
文摘Objective:To explore the effect of continuous non-invasive blood pressure monitoring on intraoperative hemodynamics and postoperative myocardial injury in craniotomy.Methods:120 cases of elective craniotomy were divided into the self-control group(continuous non-invasive blood pressure monitoring and intermittent cuff non-invasive blood pressure monitoring,CNAP group)and propensity score matching group(only intermittent cuff non-invasive blood pressure measurement in previous craniotomy,PSM group);Goal-directed hemodynamic management in CNAP group included heart rate(HR),blood pressure(BP),stroke volume(SV),stroke variability(SVV),and systemic vascular resistance index(SVRI).The main index is to compare the troponin level within 72 hours after operation between the CNAP group and the PSM group;The secondary indicators are the comparison of the hemodynamic conditions between the CNAP group and the PSM at 10 specific time points.Results:The incidence of postoperative myocardial injury in the CNAP group was significantly lower than that in the PSM group(12%vs.30%,P=0.01);in the CNAP group hypotensive episodes(6 vs.3,P=0.01),positive balance of fluid therapy(700 vs.500 mL,P<0.001),more use of vasoactive drugs(29 vs.18,P=0.04),more stable hemodynamics medical status(P=0.03)were recorded.Conclusion:The hemodynamic management strategy based on continuous non-invasive blood pressure monitoring can reduce the incidence of myocardial injury after elective craniotomy and maintain a more stable hemodynamic state.
文摘BACKGROUND In 2016,the Food and Drug Administration approved the first hybrid closed-loop(HCL)insulin delivery system for adults with type 1 diabetes(T1D).There is limited information on the impact of using HCL systems on patient-reported outcomes(PROs)in patients with T1D in real-world clinical practice.In this independent study,we evaluated glycemic parameters and PROs over one year of continuous use of Medtronic’s 670G HCL in real-world clinical practice.AIM To assess the effects of hybrid closed loop system on glycemic control and quality of life in adults with T1D.METHODS We evaluated 71 patients with T1D(mean age:45.5±12.1 years;59%females;body weight:83.8±18.7 kg,body mass index:28.7±5.6 kg/m2,A1C:7.6%±0.8%)who were treated with HCL at Joslin Clinic from 2017 to 2019.We measured A1C and percent of glucose time-in-range(%TIR)at baseline and 12 months.We measured percent time in auto mode(%TiAM)for the last two weeks preceding the final visit and assessed PROs through several validated quality-of-life surveys related to general health and diabetes management.RESULTS At 12 mo,A1C decreased by 0.3%±0.1%(P=0.001)and%TIR increased by 8.1%±2.5%(P=0.002).The average%TiAM was only 64.3%±32.8%and was not associated with A1C,%TIR or PROs.PROs,provided at baseline and at the end of the study,showed that the physical functioning submodule of 36Item Short-Form Health Survey increased significantly by 22.9%(P<0.001).Hypoglycemia fear survey/worry scale decreased significantly by 24.9%(P<0.000);Problem Areas In Diabetes reduced significantly by-17.2%(P=0.002).The emotional burden submodules of dietary diversity score reduced significantly by-44.7%(P=0.001).Furthermore,analysis of Clarke questionnaire showed no increase in awareness of hypoglycemic episodes.WHO-5 showed no improvements in subject’s wellbeing among participants after starting the 670G HCL system.Finally,analysis of Pittsburgh Sleep Quality Index showed no difference in sleep quality,sleep latency,or duration of sleep from baseline to 12 mo.CONCLUSION The use of HCL in real-world clinical practice for one year was associated with significant improvements in A1C,%TIR,physical functioning,hypoglycemia fear,emotional distress,and emotional burden related to diabetes management.However,these changes were not associated with time in auto mode.
文摘Intrapartum maternal normoglycemia seems to play an important role in the prevention of adverse perinatal, maternal and neonatal outcomes. Several glucose monitoring protocols have been developed, aiming to achieve a tight glucose monitoring and control. Depending on the type of diabetes and the optimal or suboptimal glycemic control, the treatment options include fasting status of the parturient, frequent monitoring of capillary blood glucose, intravenous dextrose infusion and subcutaneous or intravenous use of insulin. Continuous glucose monitoring system(CGMS) is a relatively new technology that measures interstitial glucose at very short time intervals over a specifi c period of time. The resulting profi le provides a more comprehensive measure of glycemic excursions than intermittent home blood glucose monitoring. Results of studies applying the CGMS technology in patients with or without diabetes mellitus(DM) have revealed new insights in glucose metabolism. Moreover, CGMS have a potential role in the improvement of glycemic control during pregnancy and labor, which may lead to a decrease in perinatal morbidity and mortality. In conclusion, the use of CGMS, with its important technical advantages compared to the conventional way of monitoring, may lead into a more etiological intrapartum management of both the mother and her fetus/infant in pregnancies complicated with DM.
文摘Zirconia ceramics have become increasingly widely used in recent years and are favored by relevant enterprises. From the traditional dental field to aerospace, parts manufacturing has been used, but there is limited research on the deformation and damage process of zirconia ceramics. This article analyzes the acoustic emission characteristics of each stage of ceramic damage from the perspective of acoustic emission, and explores its deformation process characteristics from multiple perspectives such as time domain, frequency, and EWT modal analysis. It is concluded that zirconia ceramics exhibit higher brittleness and acoustic emission strength than alumina ceramics, and when approaching the fracture, it tends to generate lower frequency acoustic emission signals.
文摘To better understand the mechanical properties of marble at Jinping II hydropower station, this paper examines the changes of brittle rocks in excavation damaged zones(EDZs) before and after excavation of tunnel with the tunnel boring machine(TBM). The paper attempts to employ the acoustic emission(AE) to study the AE characteristics and distribution of rockburst before and after TBM-excavated tunnel. It is known that the headrace tunnel #2, excavated by the drill-and-blast(D&B) method, is ahead of the headrace tunnel #3 that is excavated by TBM method. The experimental sub-tunnel #2–1, about 2000 m in depth and 13 m in diameter, between the two tunnels is scheduled. In the experimental sub-tunnel #2–1, a large number of experimental boreholes are arranged, and AE sensors are installed within 10 m apart from the wall of the headrace tunnel #3. By tracking the microseismic signals in rocks, the location, frequency, quantity, scope and intensity of the microseismic signals are basically identifed. It is observed that the AE signals mainly occur within 5 m around the rock wall, basically lasting for one day before tunnel excavation and a week after excavation. Monitoring results indicate that the rockburst signals are closely related to rock stress adjustment. The rock structure has a rapid self-adjustment capacity before and after a certain period of time during tunneling. The variations of rock stresses would last for a long time before reaching a fnal steady state. Based on this, the site-specifc support parameters for the deep tunnels can be accordingly optimized.
文摘Diabetes mellitus affects people worldwide,and management of its acute complications or treatment-related adverse events is particularly important in critically ill patients.Previous reports have confirmed that hyperglycemia can increase the risk of mortality in patients cared in the intensive care unit(ICU).In addition,severe and multiple hypoglycemia increases the risk of mortality when using insulin or intensive antidiabetic therapy.The innovation of continuous glucose monitoring(CGM)may help to alert medical caregivers with regard to the development of hyperglycemia and hypoglycemia,which may decrease the potential complications in patients in the ICU.The major limitation of CGM is the measurement of interstitial glucose levels rather than real-time blood glucose levels;thus,there will be a delay in the treatment of hyperglycemia and hypoglycemia in patients.Recently,the European Union approved a state-of-art artificial intelligence directed loop system coordinated by CGM and a continuous insulin pump for diabetes control,which may provide a practical way to prevent acute adverse glycemic events related to antidiabetic therapy in critically ill patients.In this mini-review paper,we describe the application of CGM to patients in the ICU and summarize the pros and cons of CGM.
基金National Natural Science Foundation of China,No.81774134 and No.81873174Natural Science Foundation of Jiangsu Province of China,No.BK20150558 and No.BK20171331+2 种基金Postdoctoral Foundation of Jiangsu Province of China,No.1501120CJiangsu Province 333 Talent Funding Project,No.BRA2017595Young Medical Key Talents Project of Jiangsu Province,No.QNRC2016902.
文摘BACKGROUND Time in range(TIR),as a novel metric for glycemic control,has robust relevance with diabetic complications.Diabetic peripheral neuropathy(DPN)is characterized by sudomotor dysfunction.AIM To explore the relationship between TIR obtained from continuous glucose monitoring(CGM)and sudomotor function detected by SUDOSCAN in subjects with type 2 diabetes.METHODS The research enrolled 466 inpatients with type 2 diabetes.All subjects underwent 3-d CGM and SUDOSCAN.SUDOSCAN was assessed with electrochemical skin conductance in hands(HESC)and feet(FESC).Average feet ESC<60μS was defined as sudomotor dysfunction(+),otherwise it was sudomotor dysfunction(-).TIR refers to the percentage of time when blood glucose is between 3.9-10 mmol/L during 1 d period.RESULTS Among the enrolled subjects,135(28.97%)presented with sudomotor dysfunction.Patients with sudomotor dysfunction(+)showed a decreased level of TIR(P<0.001).Compared to the lowest tertile of TIR,the middle and the highest tertiles of TIR was associated with an obviously lower prevalence of sudomotor dysfunction(20.51%and 21.94%vs 44.52%)(P<0.001).In addition,with the increase of TIR,HESC and FESC increased(P<0.001).Regression analysis demonstrated that TIR was inversely and independently linked with the prevalence of sudomotor dysfunction after adjusting for confounding values(odds ratio=0.979,95%CI:0.971-0.987,P<0.001).CONCLUSION The tight glycemic control assessed by TIR is of vitally protective value for sudomotor dysfunction in type 2 diabetes mellitus.
文摘Based on a large span continuous rigid frame bridge in Chongqing of China, the main pier vertical displacement and deviation, the bridge deck alignment and the expansion joint deformation are analytically researched during operation. Firstly, the monitoring content and method of the large span continuous rigid frame bridge are clearly stated. Secondly, by finite element software Midas Civil, the relevant deformation values of the bridge are calculated. Thirdly, in practice, the relevant deformation values of the bridge are measured. Finally, the measured values in practice are compared with the calculated ones by the finite element software Midas Civil, finding that the former is less than the latter, and it can be concluded that the bridge is basically in the normal working condition. In this paper, the analytical research on the deformation monitoring can provide the basis for similar bridges, which has good practical significance.
基金supported by the National Natural Science Foundation of China(62033008,61873143)。
文摘With the increasing intelligence and integration,a great number of two-valued variables(generally stored in the form of 0 or 1)often exist in large-scale industrial processes.However,these variables cannot be effectively handled by traditional monitoring methods such as linear discriminant analysis(LDA),principal component analysis(PCA)and partial least square(PLS)analysis.Recently,a mixed hidden naive Bayesian model(MHNBM)is developed for the first time to utilize both two-valued and continuous variables for abnormality monitoring.Although the MHNBM is effective,it still has some shortcomings that need to be improved.For the MHNBM,the variables with greater correlation to other variables have greater weights,which can not guarantee greater weights are assigned to the more discriminating variables.In addition,the conditional P(x j|x j′,y=k)probability must be computed based on historical data.When the training data is scarce,the conditional probability between continuous variables tends to be uniformly distributed,which affects the performance of MHNBM.Here a novel feature weighted mixed naive Bayes model(FWMNBM)is developed to overcome the above shortcomings.For the FWMNBM,the variables that are more correlated to the class have greater weights,which makes the more discriminating variables contribute more to the model.At the same time,FWMNBM does not have to calculate the conditional probability between variables,thus it is less restricted by the number of training data samples.Compared with the MHNBM,the FWMNBM has better performance,and its effectiveness is validated through numerical cases of a simulation example and a practical case of the Zhoushan thermal power plant(ZTPP),China.
基金This project is supported by National Natural Science Foundation of China (No. 50105007)Program for New Century Excellent Talents in University, China.
文摘Morlet wavelet is suitable to extract the impulse components of mechanical fault signals. And thus its continuous wavelet transform (CWT) has been successfully used in the field of fault diagnosis. The principle of scale selection in CWT is discussed. Based on genetic algorithm,an opti-mization strategy for the waveform parameters of the mother wavelet is proposed with wavelet en-tropy as the optimization target. Based on the optimized waveform parameters,the wavelet scalogram is used to analyze the simulated acoustic emission (AE) signal and real AE signal of rolling bearing. The results indicate that the proposed method is useful and efficient to improve the quality of CWT.
基金supported by the National Natural Science Foundation of China (No.61176107,No.11204210,No.61428402,and No.61201039)the Key Program of Tianjin Natural Science Foundation (No.15JCZDJC36100)+1 种基金the National High Technology Research and Development Program of China (No.2012AA022602)the 111 Project of China (No.B07014)
文摘Continuous blood glucose monitoring is important for the diagnosis,treatment,and study of diabetes. many organizations have been working on this subject in recent two decades. Glucose concentration in interstitial fluid is closely related to the blood glucose levels. Minimally invasive continuous blood glucose monitoring technology based on the glucose detection in interstitial fluid develops rapidly and gets more and more attentions from the patients and the doctors,due to its instantaneous real-time display of glucose level,"24/7"coverage,and the ability to characterize glycemic variability. According to the different detection methods,most of the continuous glucose monitoring technology could be divided into two kinds: subcutaneous implantation method and transdermal extraction method. This paper review s the recent development of minimally invasive blood glucose monitoring technology and instruments. The mainly remained challenges and related research directions are presented as well.
文摘A corrosion resistant CuNi cladding was deposited on SM45C (equivalent to AI5I1045) substrate by DC inverse arcwelding. During the welding process, a three channel acoustic emission (AE) monitoring system was applied to detectthe crack signals generating from both the cladding process and after cladding. Characteristics of the welding cracksignal and noise signal had been analyzed systematically. Based on the record time of the signal, the solidificationcrack and delayed crack were distinguished. By two-dimensional AE source location, the crack position was located,and then investigated by scanning electron microscopy (SEM). Results showed that the AE system could detect thewelding crack with high sensitivity and the two-dimensional source location could accurately determine the crackposition. Microstructures of the cladding and heat affected zone (HAZ) were examined. Dendrites in the claddingand coarse grains in the HAZ were found.
