An exquisite mesostructure model was presented to predict the effective elastic modulus of concrete,in which concrete is realized as a four-phase composite material consisting of coarse aggregates,mortar matrix,interf...An exquisite mesostructure model was presented to predict the effective elastic modulus of concrete,in which concrete is realized as a four-phase composite material consisting of coarse aggregates,mortar matrix,interfacial transition zone(ITZ),and initial defects.With the three-dimensional(3D)finite element(FE)simulation,the highly heterogeneous composite elastic behavior of concrete was modeled,and the predicted results were compared with theoretical estimations for validation.Monte Carlo(MC)simulations were performed with the proposed mesostructure model to investigate the various factors of initial defects influencing the elastic modulus of concrete,such as the shape and concentration(pore volume fraction or crack density)of microspores and microcracks.It is found that the effective elastic modulus of concrete decreases with the increase of initial defects concentration,while the distribution and shape characteristics also exert certain influences due to the stress concentration caused by irregular inclusion shape.展开更多
Background: Continuity of care is a distinguishing feature of primary care. Better continuity of care program showed a significant effect in controlling diabetes and it is complications. This study explores the effect...Background: Continuity of care is a distinguishing feature of primary care. Better continuity of care program showed a significant effect in controlling diabetes and it is complications. This study explores the effect of continuity of care on control of diabetes mellites in primary health care centres. Objectives: 1) To assess the effect of Continuity of care on controlling haemoglobin (Hb A1C) and fasting blood Sugar (FBS);2) To compare the control of Diabetes by using (Hb A1C and FBS) indices on same patient before and after application of chronic illness clinic;3) To identify the relation between age and gender affecting continuity of care in diabetic patient. Methods: It is a Prospective cohort study design. Included both gender and diabetic patient age above 24 years old. The data extracted from health care specialty center (HCSC) clinics in National guard hospital at Riyadh, through HCSC data base on three phases: 1) Phase 1: the data extracted of diabetic patients from October to November 2022 including MRN, diabetic patient, age, Hb A1C, Fasting blood glucose. 2) Phase 2: the same MRN extracted from phase 1 was extracted again retrospectively for six months from April to September 2022, to compare the indices before implanting the chronic illness clinic including Hb A1C, Fasting blood glucose. 3) Phase 3: prospectively from December 2022 to September 2023. Results: Among diabetic patients aged 60 years old and above showed better control of HbA1C and FBS comparing to these patients below age of 60 years old, with significant improvement of HbA1C after implanting chronic illness clinic. Conclusion: The significant improvement in the control of diabetic patients followed in primary health care centers reinforce the evidence of the importance of continuity of care.展开更多
Micro/nano-thin films are widely used in the fields of micro/nano-electromechanical system(MEMS/NEMS)and flexible electronics,and their mechanical properties have an important impact on the stability and reliability o...Micro/nano-thin films are widely used in the fields of micro/nano-electromechanical system(MEMS/NEMS)and flexible electronics,and their mechanical properties have an important impact on the stability and reliability of components.However,accurate characterization of the mechanical properties of thin films still faces challenges due to the complexity of film-substrate structure,and the characterization efficiency of traditional techniques is insufficient.In this paper,a high-throughput determination method of the elastic modulus of thin films is proposed based on the strain variance method,the feasibility of which is analyzed by the finite element method(FEM),and the specific tensile configuration with array-distributed thin films is designed and optimized.Based on the strain difference between the film-substrate region and the uncoated region,the elastic modulus of multiple films is obtained simultaneously,and the influences of film width,spacing,thickness,and distribution on the measurement of elastic modulus are elucidated.The results show that the change in film width has a more obvious effect on the elastic modulus determination than film spacing and thickness,i.e.,the larger the film width is,the closer the calculation results are to the theoretical value,and the change in calculation results tends to be stabilized when the film width increases to a certain length.Specifically,the simultaneous measurement of the elastic modulus of eight metal films on a polyimide(PI)substrate with a length of 110 mm and a width of 30 mm can be realized,and the testing throughput can be further increased with the extension of the substrate length.This study provides an efficient and low-cost method for measuring the elastic modulus of thin films,which is expected to accelerate the development of new thin film materials.展开更多
To enhance the Young’s modulus(E)and strength of titanium alloys,we designed titanium matrix composites with intercon-nected microstructure based on the Hashin-Shtrikman theory.According to the results,the in-situ re...To enhance the Young’s modulus(E)and strength of titanium alloys,we designed titanium matrix composites with intercon-nected microstructure based on the Hashin-Shtrikman theory.According to the results,the in-situ reaction yielded an interconnected microstructure composed of Ti_(2)C particles when the Ti_(2)C content reached 50vol%.With widths of 10 and 230 nm,the intraparticle Ti lamellae in the prepared composite exhibited a bimodal size distribution due to precipitation and the unreacted Ti phase within the grown Ti_(2)C particles.The composites with interconnected microstructure attained superior properties,including E of 174.3 GPa and ultimate flexural strength of 1014 GPa.Compared with that of pure Ti,the E of the composite was increased by 55% due to the high Ti_(2)C content and interconnected microstructure.The outstanding strength resulted from the strong interfacial bonding,load-bearing capacity of interconnected Ti_(2)C particles,and bimodal intraparticle Ti lamellae,which minimized the average crack driving force.Interrupted flexural tests revealed preferential crack initiation along the{001}cleavage plane and grain boundary of Ti_(2)C in the region with the highest tensile stress.In addition,the propagation can be efficiently inhibited by interparticle Ti grains,which prevented the brittle fracture of the composites.展开更多
This paper focuses on the continuity of the truncated Hardy-Littlewood maximal function.We first show that the truncated Hardy-Littlewood maximal function is lower semi-continuous.Then by investigating the behavior of...This paper focuses on the continuity of the truncated Hardy-Littlewood maximal function.We first show that the truncated Hardy-Littlewood maximal function is lower semi-continuous.Then by investigating the behavior of the truncated Hardy-Littlewood maximal function when the truncated parameterγchanges,we obtain an equivalent condition of the continuity of the truncated Hardy-Littlewood maximal function.展开更多
A cautious projection BFGS method is proposed for solving nonconvex unconstrained optimization problems.The global convergence of this method as well as a stronger general convergence result can be proven without a gr...A cautious projection BFGS method is proposed for solving nonconvex unconstrained optimization problems.The global convergence of this method as well as a stronger general convergence result can be proven without a gradient Lipschitz continuity assumption,which is more in line with the actual problems than the existing modified BFGS methods and the traditional BFGS method.Under some additional conditions,the method presented has a superlinear convergence rate,which can be regarded as an extension and supplement of BFGS-type methods with the projection technique.Finally,the effectiveness and application prospects of the proposed method are verified by numerical experiments.展开更多
To evaluate the regularity of resilient modulus for hot-mix asphalt(HMA)under large temperature fluctuations,back propagation(BP)neural network technology was used to analyze the continuous change of HMA resilient mod...To evaluate the regularity of resilient modulus for hot-mix asphalt(HMA)under large temperature fluctuations,back propagation(BP)neural network technology was used to analyze the continuous change of HMA resilient modulus.Firstly,based on the abundant data,the training model of HMA resilient modulus was established by using BP neural network technology.Subsequently,BP neural network prediction and regression analysis were performed,and the prediction model of HMA resilient modulus at different temperatures(50C to 60C)was obtained,which fully considered multi-factor and nonlinearity.Finally,the fitted theoretical model can be used to evaluate the HMA performance under the condition of large temperature fluctuations,and the rationality of theoretical model was verified by taking Harbin region as an example.It was found that the relationship between HMA resilient modulus and temperatures can be described by inverse tangent function.And the key parameters of theoretical model can be used to evaluate the continuous change characteristics of HMA resilient modulus with large temperature fluctuations.The results can further improve the HMA performance evaluation system and have certain theoretical value.展开更多
Objective:To analyze the effect of using continuity of care for elderly patients with coronary heart disease(CHD)with unstable angina pectoris(UAP)and its impact on their quality of life.Methods:100 cases of elderly p...Objective:To analyze the effect of using continuity of care for elderly patients with coronary heart disease(CHD)with unstable angina pectoris(UAP)and its impact on their quality of life.Methods:100 cases of elderly patients with CHD with UAP admitted to our hospital from March 2022 to March 2023 were selected and grouped into an observation group and a control group of 50 cases each according to the randomized number table method.The nursing effect and quality of life of the observation group(continuity nursing)and the control group(routine nursing)were compared.Results:The total effective rate of nursing care was 96.00%observation group and 80.00%for the control group,and the differences were significant(χ2=6.061,P<0.05).Patients in the observation group had fewer episodes(1.42±0.21)times/week and a shorter duration(5.46±0.39)min,which were better than the control group(t=3.465,2.973;P<0.05).The depression self-rating depression scale(SDS)score(42.16±6.64)and anxiety self-rating scale(SAS)score(32.26±7.35)in the observation group were lower and the quality of life was higher as compared to that of the control group(P<0.05).Conclusion:Continuous nursing care improved the nursing effect of elderly CHD with UAP patients,promoted the alleviation of UAP symptoms,improved patient mentality,and improved their quality of life.Hence,continuous nursing care possesses significant clinical application value.展开更多
This study introduces and evaluates a novel artificial hummingbird algorithm-optimised boosted tree(AHAboosted)model for predicting the dynamic modulus(E*)of hot mix asphalt concrete.Using a substantial dataset from N...This study introduces and evaluates a novel artificial hummingbird algorithm-optimised boosted tree(AHAboosted)model for predicting the dynamic modulus(E*)of hot mix asphalt concrete.Using a substantial dataset from NCHRP Report-547,the model was trained and rigorously tested.Performance metrics,specifically RMSE,MAE,and R2,were employed to assess the model's predictive accuracy,robustness,and generalisability.When benchmarked against well-established models like support vector machines(SVM)and gaussian process regression(GPR),the AHA-boosted model demonstrated enhanced performance.It achieved R2 values of 0.997 in training and 0.974 in testing,using the traditional Witczak NCHRP 1-40D model inputs.Incorporating features such as test temperature,frequency,and asphalt content led to a 1.23%increase in the test R2,signifying an improvement in the model's accuracy.The study also explored feature importance and sensitivity through SHAP and permutation importance plots,highlighting binder complex modulus|G*|as a key predictor.Although the AHA-boosted model shows promise,a slight decrease in R2 from training to testing indicates a need for further validation.Overall,this study confirms the AHA-boosted model as a highly accurate and robust tool for predicting the dynamic modulus of hot mix asphalt concrete,making it a valuable asset for pavement engineering.展开更多
To efficiently predict the mechanical parameters of granular soil based on its random micro-structure,this study proposed a novel approach combining numerical simulation and machine learning algorithms.Initially,3500 ...To efficiently predict the mechanical parameters of granular soil based on its random micro-structure,this study proposed a novel approach combining numerical simulation and machine learning algorithms.Initially,3500 simulations of one-dimensional compression tests on coarse-grained sand using the three-dimensional(3D)discrete element method(DEM)were conducted to construct a database.In this process,the positions of the particles were randomly altered,and the particle assemblages changed.Interestingly,besides confirming the influence of particle size distribution parameters,the stress-strain curves differed despite an identical gradation size statistic when the particle position varied.Subsequently,the obtained data were partitioned into training,validation,and testing datasets at a 7:2:1 ratio.To convert the DEM model into a multi-dimensional matrix that computers can recognize,the 3D DEM models were first sliced to extract multi-layer two-dimensional(2D)cross-sectional data.Redundant information was then eliminated via gray processing,and the data were stacked to form a new 3D matrix representing the granular soil’s fabric.Subsequently,utilizing the Python language and Pytorch framework,a 3D convolutional neural networks(CNNs)model was developed to establish the relationship between the constrained modulus obtained from DEM simulations and the soil’s fabric.The mean squared error(MSE)function was utilized to assess the loss value during the training process.When the learning rate(LR)fell within the range of 10-5e10-1,and the batch sizes(BSs)were 4,8,16,32,and 64,the loss value stabilized after 100 training epochs in the training and validation dataset.For BS?32 and LR?10-3,the loss reached a minimum.In the testing set,a comparative evaluation of the predicted constrained modulus from the 3D CNNs versus the simulated modulus obtained via DEM reveals a minimum mean absolute percentage error(MAPE)of 4.43%under the optimized condition,demonstrating the accuracy of this approach.Thus,by combining DEM and CNNs,the variation of soil’s mechanical characteristics related to its random fabric would be efficiently evaluated by directly tracking the particle assemblages.展开更多
This study aims to quantify the susceptibility of granular materials used in pavements to changes in moisture content and propose a correlation model to incorporate this susceptibility into seasonal analyses.The fines...This study aims to quantify the susceptibility of granular materials used in pavements to changes in moisture content and propose a correlation model to incorporate this susceptibility into seasonal analyses.The fines content and the percentage of fractured coarse aggregates were identified as direct indicators of the resilient modulus susceptibility to changes in water content.The results showed that the percentage of fractured coarse aggregates particles(FR)has a more significant impact on the resilient modulus(Er)of crushed granular materials used in pavement construction than the combined indicator of the fines content and sample volumetrics(nf).Crushed granular materials with a higher percentage of fractured coarse aggregates are relatively insensitive to changes in the degree of saturation,but become more sensitive as the fine fraction porosity decreases.An adjusted model was proposed based on the existing formulation,but considers a complex parameter to describe and adjust the sensitivity of base granular materials to variations in moisture content with respect to fabrication charac-teristics,fines content and volumetric properties.The model shows that the variation of Er values is below10%for fully crushed granular materials.However,it reaches approximately±12%for materials with 75%of crushed coarse aggregates andþ40%and-25%for materials with FR=50%.This model could help select good ag-gregates characteristics and adjust grain-size distribution for environments where significant moisture content variations can occur in the pavement system,such as in the Province of Quebec(Canada).As it is based on pa-rameters that can be easily determined or estimated,it also represents a valuable tool for detailed design and analysis that can consider material characteristics.展开更多
Objective: To explore the impact of the WeChat platform continuity of care model based on the KAP (knowledge, attitudes, and practices) theory on the self-management of stroke patients with hypertension after discharg...Objective: To explore the impact of the WeChat platform continuity of care model based on the KAP (knowledge, attitudes, and practices) theory on the self-management of stroke patients with hypertension after discharge from the hospital. Methods: 62 stroke patients with hypertension discharged from the rehabilitation department of a tertiary A hospital in Nanning City, Guangxi Zhuang Autonomous Region, from October 2022 to April 2023 were sampled by convenience sampling method. Patients discharged from Rehabilitation I were included in the control group, and conventional nursing care was used;while patients discharged from Rehabilitation II were included in the observation group, and WeChat platform continuity of nursing care model based on the KAP theory was implemented. The intervention effect of the two groups was compared. Results: After 4 and 12 weeks of intervention, the diastolic and systolic blood pressure of the patients in the observation group were lower than those in the control group (P < 0.05);after 12 weeks of intervention, the rate of medication adherence and the score of adherence to hypertension treatment in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion: The application of the WeChat platform continuity of care model based on KAP theory to stroke patients with hypertension can improve blood pressure, medication adherence rate, hypertension treatment adherence, and overall enhance the self-management level of these patients.展开更多
Objective:To analyze the effect of continuity of care in the cardiac intensive care unit(CICU)on improving cognitive function and psychological state in patients with heart failure(HF).Methods:A total of 112 chronic H...Objective:To analyze the effect of continuity of care in the cardiac intensive care unit(CICU)on improving cognitive function and psychological state in patients with heart failure(HF).Methods:A total of 112 chronic HF patients admitted to the CICU of Xuzhou Traditional Chinese Medicine Hospital from July 2022 to August 2024 were selected and randomly divided into two groups using the red and blue ball method:a control group(n=56)and a study group(n=56).The control group received routine CICU nursing management,while the study group received routine CICU nursing combined with continuity of care management.Cognitive function(using the Montreal Cognitive Assessment,MoCA),psychological state(using the Self-Rating Depression Scale,SDS,and Self-Rating Anxiety Scale,SAS),and quality of life(using the Minnesota Living with Heart Failure Questionnaire,MLHFQ)were compared between the two groups.Results:After the intervention,the cognitive function scores of the study group were significantly higher than those of the control group(P<0.05).The SDS and SAS scores of the study group were significantly lower than those of the control group after the intervention(P<0.05).The quality of life in the study group was also significantly better than in the control group(P<0.05).Conclusion:CICU continuity of care can effectively improve cognitive function and psychological state in patients with HF,while also enhancing their quality of life.展开更多
A high proportion of variable renewable energy(VRE)is one of the most significant characteristics of China’s future power system under the"dual carbon"target.However,wind and solar power units are more unco...A high proportion of variable renewable energy(VRE)is one of the most significant characteristics of China’s future power system under the"dual carbon"target.However,wind and solar power units are more uncontrollable and less supportive for power system stability than traditional thermal power units,due to their susceptibility to the weather and the grid connection of power electronics.Therefore,as the capacity and generation of VRE grow rapidly and even dominate the power structure,the power system’s ability to deal with disturbances will continue to decrease.展开更多
A novel Mg^(-1)0Li-3Al(wt.%,LA103)matrix composite reinforced by ex situ micron TiB_(2) particles was developed in the present study.The ball milling and cold pressing pretreatment of the reinforcements made it feasib...A novel Mg^(-1)0Li-3Al(wt.%,LA103)matrix composite reinforced by ex situ micron TiB_(2) particles was developed in the present study.The ball milling and cold pressing pretreatment of the reinforcements made it feasible to prepare this material under stir casting conditions with good dispersion.The microstructure and mechanical properties of the composites prepared by different pretreatment methods were analyzed in detail.The TiB_(2) particles in the Al-TiB_(2)/LA103 composite using the pretreatment process were uniformly distributed in the microstructure due to the formation of highly wettable core-shell units in the melt.Compared with the matrix alloys,the Al-TiB_(2)/LA103 composite exhibited effective strength and elastic modulus improvements while maintaining acceptable elongation.The strengthening effect in the composites was mainly attributed to the strong grain refining effect of TiB2.This work shows a balance of high specific modulus(36.1 GPa·cm^(3)·g^(-1))and elongation(8.4%)with the conventional stir casting path,which is of considerable application value.展开更多
Cancer is a major cause of morbidity and mortality worldwide,and the incidence is increasing,highlighting the need for effective strategies to treat this disease.Exercise has emerged as fundamental therapeutic medicin...Cancer is a major cause of morbidity and mortality worldwide,and the incidence is increasing,highlighting the need for effective strategies to treat this disease.Exercise has emerged as fundamental therapeutic medicine in the management of cancer,associated with a lower risk of recur-rence and increased survival.Several avenues of research demonstrate reduction in growth,proliferation,and increased apoptosis of cancer cells,including breast,prostate,colorectal,and lung cancer,when cultured by serum collected after exercise in vitro(i.e.,the cultivation of cancer cell lines in an experimental setting,which simplifies the biological system and provides mechanistic insight into cell responses).The underlying mechanisms of exercise-induced cancer suppressive effects may be attributed to the alteration in circulating factors,such as skeletal muscle-induced cytokines(i.e.,myokines)and hormones.However,exercise-induced tumor suppressive effects and detailed information about training interventions are not well investigated,constraining more precise application of exercise medicine within clinical oncology.To date,it remains unclear what role different training modes(i.e.,resistance and aerobic training)as well as volume and intensity have on exercise-condi-tioned serum and its effects on cancer cells.Nevertheless,the available evidence is that a single bout of aerobic training at moderate to vigorous intensity has cancer suppressive effects,while for chronic training interventions,exercise volume appears to be an influential candidate driving cancer inhibitory effects regardless of training mode.Insights for future research investigating training modes,volume and intensity are provided to further our understanding of the effects of exercise-conditioned serum on cancer cells.展开更多
The mineralogical composition of an aggregate influences its adhesion with bitumen and therefore its dynamic modulus. However, few studies have been conducted on this aspect. One of the most used properties to describ...The mineralogical composition of an aggregate influences its adhesion with bitumen and therefore its dynamic modulus. However, few studies have been conducted on this aspect. One of the most used properties to describe the impact of aggregate on the adhesiveness phenomena is the zeta potential. In this study, the first mineralogical and chemical properties were considered through the percentage of silica in the rock source of aggregates and the electric aggregate particles charge zeta. Dynamic modulus values used for regression process are determined from complex modulus test on nine asphalt concretes mix designed with aggregate types (basalt of Diack, quartzite of Bakel and Limestone of Bandia). The results showed that aggregate with high percentage of silica have higher zeta potential than aggregate with low percentage of silica. The development of a zeta potential predictive model showed a strong sensitivity to silica. The results of the complex modulus tests showed that Hot Mixture Asphalt (HMA) mixed with aggregate containing high silica contents gave better results than those mixed with aggregates containing low percentage of silica. The dynamic modulus predictive models of HMA developed shows that it is the properties of bitumen that influence more. However, the effect of silica although low, is very marked at low temperatures and high frequencies.展开更多
Integrated computational materials engineering(ICME)is to integrate multi-scale computational simulations and key experimental methods such as macroscopic,mesoscopic,and microscopic into the whole process of Al alloys...Integrated computational materials engineering(ICME)is to integrate multi-scale computational simulations and key experimental methods such as macroscopic,mesoscopic,and microscopic into the whole process of Al alloys design and development,which enables the design and development of Al alloys to upgrade from traditional empirical to the integration of compositionprocess-structure-mechanical property,thus greatly accelerating its development speed and reducing its development cost.This study combines calculation of phase diagram(CALPHAD),Finite element calculations,first principle calculations,and microstructure characterization methods to predict and regulate the formation and structure of composite precipitates from the design of highmodulus Al alloy compositions and optimize the casting process parameters to inhibit the formation of micropore defects in the casting process,and the final tensile strength of Al alloys reaches420 MPa and Young's modulus reaches more than 88 GPa,which achieves the design goal of the high strength and modulus Al alloys,and establishes a new mode of the design and development of the strength/modulus Al alloys.展开更多
We consider the questions connected with the approximation of a real continuous 1-periodic functions and give a new proof of the equivalence of the special Boman-Shapiro modulus of continuity with Peetre’s K-function...We consider the questions connected with the approximation of a real continuous 1-periodic functions and give a new proof of the equivalence of the special Boman-Shapiro modulus of continuity with Peetre’s K-functional. We also prove Jackson’s inequality for the approximation by trigonometric polynomials.展开更多
Traction power systems(TPSs)play a vital role in the operation of electrified railways.The transformation of conventional railway TPSs to novel structures is not only a trend to promote the development of electrified ...Traction power systems(TPSs)play a vital role in the operation of electrified railways.The transformation of conventional railway TPSs to novel structures is not only a trend to promote the development of electrified railways toward high-efficiency and resilience but also an inevitable requirement to achieve carbon neutrality target.On the basis of sorting out the power supply structures of conventional AC and DC modes,this paper first reviews the characteristics of the existing TPSs,such as weak power supply flexibility and low-energy efficiency.Furthermore,the power supply structures of various TPSs for future electrified railways are described in detail,which satisfy longer distance,low-carbon,high-efficiency,high-reliability and high-quality power supply requirements.Meanwhile,the application prospects of different traction modes are discussed from both technical and economic aspects.Eventually,this paper introduces the research progress of mixed-system electrified railways and traction power supply technologies without catenary system,speculates on the future development trends and challenges of TPSs and predicts that TPSs will be based on the continuous power supply mode,employing power electronic equipment and intelligent information technology to construct a railway comprehensive energy system with renewable energy.展开更多
基金Founded by the National Natural Science Foundation of China(No.42002287)the Fundamental Research Funds for the Central Universities,China University of Geosciences(Wuhan)(No.CUG2106335)。
文摘An exquisite mesostructure model was presented to predict the effective elastic modulus of concrete,in which concrete is realized as a four-phase composite material consisting of coarse aggregates,mortar matrix,interfacial transition zone(ITZ),and initial defects.With the three-dimensional(3D)finite element(FE)simulation,the highly heterogeneous composite elastic behavior of concrete was modeled,and the predicted results were compared with theoretical estimations for validation.Monte Carlo(MC)simulations were performed with the proposed mesostructure model to investigate the various factors of initial defects influencing the elastic modulus of concrete,such as the shape and concentration(pore volume fraction or crack density)of microspores and microcracks.It is found that the effective elastic modulus of concrete decreases with the increase of initial defects concentration,while the distribution and shape characteristics also exert certain influences due to the stress concentration caused by irregular inclusion shape.
文摘Background: Continuity of care is a distinguishing feature of primary care. Better continuity of care program showed a significant effect in controlling diabetes and it is complications. This study explores the effect of continuity of care on control of diabetes mellites in primary health care centres. Objectives: 1) To assess the effect of Continuity of care on controlling haemoglobin (Hb A1C) and fasting blood Sugar (FBS);2) To compare the control of Diabetes by using (Hb A1C and FBS) indices on same patient before and after application of chronic illness clinic;3) To identify the relation between age and gender affecting continuity of care in diabetic patient. Methods: It is a Prospective cohort study design. Included both gender and diabetic patient age above 24 years old. The data extracted from health care specialty center (HCSC) clinics in National guard hospital at Riyadh, through HCSC data base on three phases: 1) Phase 1: the data extracted of diabetic patients from October to November 2022 including MRN, diabetic patient, age, Hb A1C, Fasting blood glucose. 2) Phase 2: the same MRN extracted from phase 1 was extracted again retrospectively for six months from April to September 2022, to compare the indices before implanting the chronic illness clinic including Hb A1C, Fasting blood glucose. 3) Phase 3: prospectively from December 2022 to September 2023. Results: Among diabetic patients aged 60 years old and above showed better control of HbA1C and FBS comparing to these patients below age of 60 years old, with significant improvement of HbA1C after implanting chronic illness clinic. Conclusion: The significant improvement in the control of diabetic patients followed in primary health care centers reinforce the evidence of the importance of continuity of care.
文摘Micro/nano-thin films are widely used in the fields of micro/nano-electromechanical system(MEMS/NEMS)and flexible electronics,and their mechanical properties have an important impact on the stability and reliability of components.However,accurate characterization of the mechanical properties of thin films still faces challenges due to the complexity of film-substrate structure,and the characterization efficiency of traditional techniques is insufficient.In this paper,a high-throughput determination method of the elastic modulus of thin films is proposed based on the strain variance method,the feasibility of which is analyzed by the finite element method(FEM),and the specific tensile configuration with array-distributed thin films is designed and optimized.Based on the strain difference between the film-substrate region and the uncoated region,the elastic modulus of multiple films is obtained simultaneously,and the influences of film width,spacing,thickness,and distribution on the measurement of elastic modulus are elucidated.The results show that the change in film width has a more obvious effect on the elastic modulus determination than film spacing and thickness,i.e.,the larger the film width is,the closer the calculation results are to the theoretical value,and the change in calculation results tends to be stabilized when the film width increases to a certain length.Specifically,the simultaneous measurement of the elastic modulus of eight metal films on a polyimide(PI)substrate with a length of 110 mm and a width of 30 mm can be realized,and the testing throughput can be further increased with the extension of the substrate length.This study provides an efficient and low-cost method for measuring the elastic modulus of thin films,which is expected to accelerate the development of new thin film materials.
基金financially supported by the National Key R&D Program of China(No.2021YFB3701203)the National Natural Science Foundation of China(Nos.U22A20113,52201116,52071116,and 52261135543)+1 种基金Heilongjiang Touyan Team ProgramChina Postdoctoral Science Foundation(No.2022M710939).
文摘To enhance the Young’s modulus(E)and strength of titanium alloys,we designed titanium matrix composites with intercon-nected microstructure based on the Hashin-Shtrikman theory.According to the results,the in-situ reaction yielded an interconnected microstructure composed of Ti_(2)C particles when the Ti_(2)C content reached 50vol%.With widths of 10 and 230 nm,the intraparticle Ti lamellae in the prepared composite exhibited a bimodal size distribution due to precipitation and the unreacted Ti phase within the grown Ti_(2)C particles.The composites with interconnected microstructure attained superior properties,including E of 174.3 GPa and ultimate flexural strength of 1014 GPa.Compared with that of pure Ti,the E of the composite was increased by 55% due to the high Ti_(2)C content and interconnected microstructure.The outstanding strength resulted from the strong interfacial bonding,load-bearing capacity of interconnected Ti_(2)C particles,and bimodal intraparticle Ti lamellae,which minimized the average crack driving force.Interrupted flexural tests revealed preferential crack initiation along the{001}cleavage plane and grain boundary of Ti_(2)C in the region with the highest tensile stress.In addition,the propagation can be efficiently inhibited by interparticle Ti grains,which prevented the brittle fracture of the composites.
基金Supported by NSF of Zhejiang Province of China(LQ18A010002,LQ17A010002)。
文摘This paper focuses on the continuity of the truncated Hardy-Littlewood maximal function.We first show that the truncated Hardy-Littlewood maximal function is lower semi-continuous.Then by investigating the behavior of the truncated Hardy-Littlewood maximal function when the truncated parameterγchanges,we obtain an equivalent condition of the continuity of the truncated Hardy-Littlewood maximal function.
基金supported by the Guangxi Science and Technology base and Talent Project(AD22080047)the National Natural Science Foundation of Guangxi Province(2023GXNFSBA 026063)+1 种基金the Innovation Funds of Chinese University(2021BCF03001)the special foundation for Guangxi Ba Gui Scholars.
文摘A cautious projection BFGS method is proposed for solving nonconvex unconstrained optimization problems.The global convergence of this method as well as a stronger general convergence result can be proven without a gradient Lipschitz continuity assumption,which is more in line with the actual problems than the existing modified BFGS methods and the traditional BFGS method.Under some additional conditions,the method presented has a superlinear convergence rate,which can be regarded as an extension and supplement of BFGS-type methods with the projection technique.Finally,the effectiveness and application prospects of the proposed method are verified by numerical experiments.
基金appreciate support from the projects of Science and Technology Project of Transportation Department of Heilongjiang Province(No.HJK2019B009)the Fundamental Research Funds for the Cornell University(No.2572021AW10)the Ludong Uni-versity to Introduce Talents Research Start-up Funding Project(No.20240050).
文摘To evaluate the regularity of resilient modulus for hot-mix asphalt(HMA)under large temperature fluctuations,back propagation(BP)neural network technology was used to analyze the continuous change of HMA resilient modulus.Firstly,based on the abundant data,the training model of HMA resilient modulus was established by using BP neural network technology.Subsequently,BP neural network prediction and regression analysis were performed,and the prediction model of HMA resilient modulus at different temperatures(50C to 60C)was obtained,which fully considered multi-factor and nonlinearity.Finally,the fitted theoretical model can be used to evaluate the HMA performance under the condition of large temperature fluctuations,and the rationality of theoretical model was verified by taking Harbin region as an example.It was found that the relationship between HMA resilient modulus and temperatures can be described by inverse tangent function.And the key parameters of theoretical model can be used to evaluate the continuous change characteristics of HMA resilient modulus with large temperature fluctuations.The results can further improve the HMA performance evaluation system and have certain theoretical value.
文摘Objective:To analyze the effect of using continuity of care for elderly patients with coronary heart disease(CHD)with unstable angina pectoris(UAP)and its impact on their quality of life.Methods:100 cases of elderly patients with CHD with UAP admitted to our hospital from March 2022 to March 2023 were selected and grouped into an observation group and a control group of 50 cases each according to the randomized number table method.The nursing effect and quality of life of the observation group(continuity nursing)and the control group(routine nursing)were compared.Results:The total effective rate of nursing care was 96.00%observation group and 80.00%for the control group,and the differences were significant(χ2=6.061,P<0.05).Patients in the observation group had fewer episodes(1.42±0.21)times/week and a shorter duration(5.46±0.39)min,which were better than the control group(t=3.465,2.973;P<0.05).The depression self-rating depression scale(SDS)score(42.16±6.64)and anxiety self-rating scale(SAS)score(32.26±7.35)in the observation group were lower and the quality of life was higher as compared to that of the control group(P<0.05).Conclusion:Continuous nursing care improved the nursing effect of elderly CHD with UAP patients,promoted the alleviation of UAP symptoms,improved patient mentality,and improved their quality of life.Hence,continuous nursing care possesses significant clinical application value.
文摘This study introduces and evaluates a novel artificial hummingbird algorithm-optimised boosted tree(AHAboosted)model for predicting the dynamic modulus(E*)of hot mix asphalt concrete.Using a substantial dataset from NCHRP Report-547,the model was trained and rigorously tested.Performance metrics,specifically RMSE,MAE,and R2,were employed to assess the model's predictive accuracy,robustness,and generalisability.When benchmarked against well-established models like support vector machines(SVM)and gaussian process regression(GPR),the AHA-boosted model demonstrated enhanced performance.It achieved R2 values of 0.997 in training and 0.974 in testing,using the traditional Witczak NCHRP 1-40D model inputs.Incorporating features such as test temperature,frequency,and asphalt content led to a 1.23%increase in the test R2,signifying an improvement in the model's accuracy.The study also explored feature importance and sensitivity through SHAP and permutation importance plots,highlighting binder complex modulus|G*|as a key predictor.Although the AHA-boosted model shows promise,a slight decrease in R2 from training to testing indicates a need for further validation.Overall,this study confirms the AHA-boosted model as a highly accurate and robust tool for predicting the dynamic modulus of hot mix asphalt concrete,making it a valuable asset for pavement engineering.
基金supported by the National Key R&D Program of China (Grant No.2022YFC3003401)the National Natural Science Foundation of China (Grant Nos.42041006 and 42377137).
文摘To efficiently predict the mechanical parameters of granular soil based on its random micro-structure,this study proposed a novel approach combining numerical simulation and machine learning algorithms.Initially,3500 simulations of one-dimensional compression tests on coarse-grained sand using the three-dimensional(3D)discrete element method(DEM)were conducted to construct a database.In this process,the positions of the particles were randomly altered,and the particle assemblages changed.Interestingly,besides confirming the influence of particle size distribution parameters,the stress-strain curves differed despite an identical gradation size statistic when the particle position varied.Subsequently,the obtained data were partitioned into training,validation,and testing datasets at a 7:2:1 ratio.To convert the DEM model into a multi-dimensional matrix that computers can recognize,the 3D DEM models were first sliced to extract multi-layer two-dimensional(2D)cross-sectional data.Redundant information was then eliminated via gray processing,and the data were stacked to form a new 3D matrix representing the granular soil’s fabric.Subsequently,utilizing the Python language and Pytorch framework,a 3D convolutional neural networks(CNNs)model was developed to establish the relationship between the constrained modulus obtained from DEM simulations and the soil’s fabric.The mean squared error(MSE)function was utilized to assess the loss value during the training process.When the learning rate(LR)fell within the range of 10-5e10-1,and the batch sizes(BSs)were 4,8,16,32,and 64,the loss value stabilized after 100 training epochs in the training and validation dataset.For BS?32 and LR?10-3,the loss reached a minimum.In the testing set,a comparative evaluation of the predicted constrained modulus from the 3D CNNs versus the simulated modulus obtained via DEM reveals a minimum mean absolute percentage error(MAPE)of 4.43%under the optimized condition,demonstrating the accuracy of this approach.Thus,by combining DEM and CNNs,the variation of soil’s mechanical characteristics related to its random fabric would be efficiently evaluated by directly tracking the particle assemblages.
文摘This study aims to quantify the susceptibility of granular materials used in pavements to changes in moisture content and propose a correlation model to incorporate this susceptibility into seasonal analyses.The fines content and the percentage of fractured coarse aggregates were identified as direct indicators of the resilient modulus susceptibility to changes in water content.The results showed that the percentage of fractured coarse aggregates particles(FR)has a more significant impact on the resilient modulus(Er)of crushed granular materials used in pavement construction than the combined indicator of the fines content and sample volumetrics(nf).Crushed granular materials with a higher percentage of fractured coarse aggregates are relatively insensitive to changes in the degree of saturation,but become more sensitive as the fine fraction porosity decreases.An adjusted model was proposed based on the existing formulation,but considers a complex parameter to describe and adjust the sensitivity of base granular materials to variations in moisture content with respect to fabrication charac-teristics,fines content and volumetric properties.The model shows that the variation of Er values is below10%for fully crushed granular materials.However,it reaches approximately±12%for materials with 75%of crushed coarse aggregates andþ40%and-25%for materials with FR=50%.This model could help select good ag-gregates characteristics and adjust grain-size distribution for environments where significant moisture content variations can occur in the pavement system,such as in the Province of Quebec(Canada).As it is based on pa-rameters that can be easily determined or estimated,it also represents a valuable tool for detailed design and analysis that can consider material characteristics.
文摘Objective: To explore the impact of the WeChat platform continuity of care model based on the KAP (knowledge, attitudes, and practices) theory on the self-management of stroke patients with hypertension after discharge from the hospital. Methods: 62 stroke patients with hypertension discharged from the rehabilitation department of a tertiary A hospital in Nanning City, Guangxi Zhuang Autonomous Region, from October 2022 to April 2023 were sampled by convenience sampling method. Patients discharged from Rehabilitation I were included in the control group, and conventional nursing care was used;while patients discharged from Rehabilitation II were included in the observation group, and WeChat platform continuity of nursing care model based on the KAP theory was implemented. The intervention effect of the two groups was compared. Results: After 4 and 12 weeks of intervention, the diastolic and systolic blood pressure of the patients in the observation group were lower than those in the control group (P < 0.05);after 12 weeks of intervention, the rate of medication adherence and the score of adherence to hypertension treatment in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion: The application of the WeChat platform continuity of care model based on KAP theory to stroke patients with hypertension can improve blood pressure, medication adherence rate, hypertension treatment adherence, and overall enhance the self-management level of these patients.
文摘Objective:To analyze the effect of continuity of care in the cardiac intensive care unit(CICU)on improving cognitive function and psychological state in patients with heart failure(HF).Methods:A total of 112 chronic HF patients admitted to the CICU of Xuzhou Traditional Chinese Medicine Hospital from July 2022 to August 2024 were selected and randomly divided into two groups using the red and blue ball method:a control group(n=56)and a study group(n=56).The control group received routine CICU nursing management,while the study group received routine CICU nursing combined with continuity of care management.Cognitive function(using the Montreal Cognitive Assessment,MoCA),psychological state(using the Self-Rating Depression Scale,SDS,and Self-Rating Anxiety Scale,SAS),and quality of life(using the Minnesota Living with Heart Failure Questionnaire,MLHFQ)were compared between the two groups.Results:After the intervention,the cognitive function scores of the study group were significantly higher than those of the control group(P<0.05).The SDS and SAS scores of the study group were significantly lower than those of the control group after the intervention(P<0.05).The quality of life in the study group was also significantly better than in the control group(P<0.05).Conclusion:CICU continuity of care can effectively improve cognitive function and psychological state in patients with HF,while also enhancing their quality of life.
基金support from the Science and Technology Project of the State Grid Corporation of China,titled Research on the Flexibility Resource Requirements of a High-Resilience Power System(5100-202355762A-3-5-YS)。
文摘A high proportion of variable renewable energy(VRE)is one of the most significant characteristics of China’s future power system under the"dual carbon"target.However,wind and solar power units are more uncontrollable and less supportive for power system stability than traditional thermal power units,due to their susceptibility to the weather and the grid connection of power electronics.Therefore,as the capacity and generation of VRE grow rapidly and even dominate the power structure,the power system’s ability to deal with disturbances will continue to decrease.
基金supported by the National Natural Science Foundation of China(Nos.51821001 and U2037601)Major Scientific and Technological Inno-vation Projects in Luoyang(No.2201029A)+1 种基金Foundation Strengthening Plan Technical Field Fund(No.2021-JJ-0112)Shanghai Jiao Tong University Student Innovation Prac-tice Program(No.IPP24076).
文摘A novel Mg^(-1)0Li-3Al(wt.%,LA103)matrix composite reinforced by ex situ micron TiB_(2) particles was developed in the present study.The ball milling and cold pressing pretreatment of the reinforcements made it feasible to prepare this material under stir casting conditions with good dispersion.The microstructure and mechanical properties of the composites prepared by different pretreatment methods were analyzed in detail.The TiB_(2) particles in the Al-TiB_(2)/LA103 composite using the pretreatment process were uniformly distributed in the microstructure due to the formation of highly wettable core-shell units in the melt.Compared with the matrix alloys,the Al-TiB_(2)/LA103 composite exhibited effective strength and elastic modulus improvements while maintaining acceptable elongation.The strengthening effect in the composites was mainly attributed to the strong grain refining effect of TiB2.This work shows a balance of high specific modulus(36.1 GPa·cm^(3)·g^(-1))and elongation(8.4%)with the conventional stir casting path,which is of considerable application value.
文摘Cancer is a major cause of morbidity and mortality worldwide,and the incidence is increasing,highlighting the need for effective strategies to treat this disease.Exercise has emerged as fundamental therapeutic medicine in the management of cancer,associated with a lower risk of recur-rence and increased survival.Several avenues of research demonstrate reduction in growth,proliferation,and increased apoptosis of cancer cells,including breast,prostate,colorectal,and lung cancer,when cultured by serum collected after exercise in vitro(i.e.,the cultivation of cancer cell lines in an experimental setting,which simplifies the biological system and provides mechanistic insight into cell responses).The underlying mechanisms of exercise-induced cancer suppressive effects may be attributed to the alteration in circulating factors,such as skeletal muscle-induced cytokines(i.e.,myokines)and hormones.However,exercise-induced tumor suppressive effects and detailed information about training interventions are not well investigated,constraining more precise application of exercise medicine within clinical oncology.To date,it remains unclear what role different training modes(i.e.,resistance and aerobic training)as well as volume and intensity have on exercise-condi-tioned serum and its effects on cancer cells.Nevertheless,the available evidence is that a single bout of aerobic training at moderate to vigorous intensity has cancer suppressive effects,while for chronic training interventions,exercise volume appears to be an influential candidate driving cancer inhibitory effects regardless of training mode.Insights for future research investigating training modes,volume and intensity are provided to further our understanding of the effects of exercise-conditioned serum on cancer cells.
文摘The mineralogical composition of an aggregate influences its adhesion with bitumen and therefore its dynamic modulus. However, few studies have been conducted on this aspect. One of the most used properties to describe the impact of aggregate on the adhesiveness phenomena is the zeta potential. In this study, the first mineralogical and chemical properties were considered through the percentage of silica in the rock source of aggregates and the electric aggregate particles charge zeta. Dynamic modulus values used for regression process are determined from complex modulus test on nine asphalt concretes mix designed with aggregate types (basalt of Diack, quartzite of Bakel and Limestone of Bandia). The results showed that aggregate with high percentage of silica have higher zeta potential than aggregate with low percentage of silica. The development of a zeta potential predictive model showed a strong sensitivity to silica. The results of the complex modulus tests showed that Hot Mixture Asphalt (HMA) mixed with aggregate containing high silica contents gave better results than those mixed with aggregates containing low percentage of silica. The dynamic modulus predictive models of HMA developed shows that it is the properties of bitumen that influence more. However, the effect of silica although low, is very marked at low temperatures and high frequencies.
基金supported by the National Natural Science Foundation of China(No.52073030)。
文摘Integrated computational materials engineering(ICME)is to integrate multi-scale computational simulations and key experimental methods such as macroscopic,mesoscopic,and microscopic into the whole process of Al alloys design and development,which enables the design and development of Al alloys to upgrade from traditional empirical to the integration of compositionprocess-structure-mechanical property,thus greatly accelerating its development speed and reducing its development cost.This study combines calculation of phase diagram(CALPHAD),Finite element calculations,first principle calculations,and microstructure characterization methods to predict and regulate the formation and structure of composite precipitates from the design of highmodulus Al alloy compositions and optimize the casting process parameters to inhibit the formation of micropore defects in the casting process,and the final tensile strength of Al alloys reaches420 MPa and Young's modulus reaches more than 88 GPa,which achieves the design goal of the high strength and modulus Al alloys,and establishes a new mode of the design and development of the strength/modulus Al alloys.
文摘We consider the questions connected with the approximation of a real continuous 1-periodic functions and give a new proof of the equivalence of the special Boman-Shapiro modulus of continuity with Peetre’s K-functional. We also prove Jackson’s inequality for the approximation by trigonometric polynomials.
基金supported in part by the Scientific Foundation for Outstanding Young Scientists of Sichuan under Grant No.2021JDJQ0032in part by the National Natural Science Foundation of China under Grant No.52107128in part by the Natural Science Foundation of Sichuan Province under Grant No.2022NSFSC0436.
文摘Traction power systems(TPSs)play a vital role in the operation of electrified railways.The transformation of conventional railway TPSs to novel structures is not only a trend to promote the development of electrified railways toward high-efficiency and resilience but also an inevitable requirement to achieve carbon neutrality target.On the basis of sorting out the power supply structures of conventional AC and DC modes,this paper first reviews the characteristics of the existing TPSs,such as weak power supply flexibility and low-energy efficiency.Furthermore,the power supply structures of various TPSs for future electrified railways are described in detail,which satisfy longer distance,low-carbon,high-efficiency,high-reliability and high-quality power supply requirements.Meanwhile,the application prospects of different traction modes are discussed from both technical and economic aspects.Eventually,this paper introduces the research progress of mixed-system electrified railways and traction power supply technologies without catenary system,speculates on the future development trends and challenges of TPSs and predicts that TPSs will be based on the continuous power supply mode,employing power electronic equipment and intelligent information technology to construct a railway comprehensive energy system with renewable energy.
