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In this paper, a novel special structure derived from the double-slider mechanism is presented and apply it to the design of a parallel mechanism, endowing the designed parallel mechanism with reconfigurable characteristics. First, a comprehensive analysis of the motion modes of the double-slider mechanism is carried out. By ingeniously varying the slider structure of the double-slider mechanism, a special structure capable of three distinct motion modes is obtained. This special structure is then integrated into the 3UPU parallel mechanism. As a result, the redesigned 3UPU parallel mechanism exhibits reconfigurability and can seamlessly switch among the three motion modes. Subsequently, the inverse kinematics, workspace, and singular pose of the parallel mechanism in these three modes are meticulously analyzed. Moreover, the Jacobian matrix is utilized to evaluate its flexibility and load-bearing performance. The analysis reveals that in different motion modes, all performance indicators of the mechanism are remarkable, indicating a promising application prospect. Finally, a prototype is fabricated using 3D printing technology to further validate the effectiveness of the proposed special structure. Additionally, its versatility is further explored and analyzed in-depth.
The diverse implant landscape, the rising and disparate costs of implants in public healthcare institutions (PHIs), and the limited application of health technology assessment (HTA) impede fair and sustainable implant subsidies in Singapore. This study described the Agency for Care Effectiveness (ACE) Implant Subsidy List (ISL) methodology and the key enablers for supporting government subsidy of clinically effective and cost-effective implants in Singapore.
Methods
A multi-tiered implant grouping scheme on the ISL was established by adapting overseas implant classifications, consulting clinicians, and conducting HTA evaluations, with subsidy extensions at the product group tier. Implants within a product group share similar biomechanical actions and patient outcomes and are subject to the same clinical criteria and pricing requirement. Implants on the ISL must be approved by the regulatory authority. Patients who meet the clinical criteria for ISL implants are eligible for subsidy. ACE conducted value-based pricing (VBP) and partnered with the public healthcare supply chain agency to harmonize PHI implant prices. The ISL is updated three times per year.
Results
Implants listed on the ISL were deemed clinically and cost effective. Underpinned by HTA principles, the implant grouping scheme promoted parsimonious classification, while allowing the creation of new product groups for implants offering superior benefits for patients. Reasonable prices set for the product groups aided affordability and cost sustainability. The ISL clinical criteria and standardized implant identifiers encouraged the appropriate use of subsidized implants and facilitated implementation. By ISL implementation in December 2023, ACE assessed 42,165 implants and listed 22,689 ISL implants spanning 143 product groups. Industry can apply for ISL listing three times per year, which keeps the ISL updated and relevant.
Conclusions
The ISL adopts a fit-for-purpose methodology to standardize implant classifications, enable scalable application of HTA, drive appropriate use of subsidized implants, and bring cost sustainability to the government subsidy of implants in Singapore. A strategic partnership with the public healthcare supply chain agency to concurrently establish national procurement contracts reduced disparate implant prices in PHIs and provided greater leverage for better implant prices.
The COVID-19 pandemic has impacted patient’s visits to general practitioners (GPs). However, it is unclear what the impact of COVID-19 has been on the interaction among the local primary care clinics, the GP Department within the hospital and specialists.
Methods:
The interaction among GPs referring to hospital-based specialists and specialists to local doctors was determined, comparing pre-pandemic 2019 and 2020 during the pandemic.
Results:
Reduced referrals from GPs to specialists were consistent with the reduction in specialist referrals back to the local doctors, which dropped by approximately 50% in 2020, particularly in the two most common chronic conditions (hypertension and diabetes mellitus).
Discussion:
Reduced referral of patients from local clinics to Tongren Hospital is probably due to the extensive online training provided to the local GPs to become more competent in handling local patients via telehealth. Our data provide some insight to assist in combatting the pandemic of COVID-19, offering objective evidence of the impact of COVID-19 on patient management by GPs.
Steep wave breaking on a vertical cylinder (a typical foundation supporting offshore wind turbines) will induce slam loads. Many questions on the important violent wave loading and the associated secondary load cycle remain unanswered. We use laboratory experiments with unidirectional waves to investigate the fluid loading on vertical cylinders. We use a novel three-phase decomposition approach that allows us to separate different types of nonlinearity. Our findings reveal the existence of an additional quasi-impulsive loading component that is associated with the secondary load cycle and occurs in the backwards direction against that of the incoming waves. This quasi-impulsive force occurs at the end of the secondary load cycle and close to the passage of the downward zero-crossing point of the undisturbed wave. Wavelet analysis showed that the impulsive force exhibits superficially similar behaviour to a typical wave-slamming event but in the reverse direction. To monitor the scattered wave field and extract run-up on the cylinder, we installed a four-camera synchronised video system and found a strong temporal correlation between the arrival time of the Type-II scattered wave onto the cylinder and the occurrence of this quasi-impulsive force. The temporal characteristics of this quasi-impulsive force can be approximated by the Goda wave impact model, taking the collision of the Type-II scattered waves at the rear stagnation point as the impact source.
Trauma is a significant health issue that not only leads to immediate death in many cases but also causes severe complications, such as sepsis, thrombosis, haemorrhage, acute respiratory distress syndrome and traumatic brain injury, among trauma patients. Target protein identification technology is a vital technique in the field of biomedical research, enabling the study of biomolecular interactions, drug discovery and disease treatment. It plays a crucial role in identifying key protein targets associated with specific diseases or biological processes, facilitating further research, drug design and the development of treatment strategies. The application of target protein technology in biomarker detection enables the timely identification of newly emerging infections and complications in trauma patients, facilitating expeditious medical interventions and leading to reduced post-trauma mortality rates and improved patient prognoses. This review provides an overview of the current applications of target protein identification technology in trauma-related complications and provides a brief overview of the current target protein identification technology, with the aim of reducing post-trauma mortality, improving diagnostic efficiency and prognostic outcomes for patients.
An enhanced wideband tracking method for characteristic modes (CMs) is investigated in this paper. The method consists of three stages, and its core tracking stage (CTS) is based on a classical eigenvector correlation-based algorithm. To decrease the tracking time and eliminate the crossing avoidance (CRA), we append a commonly used eigenvalue filter (EF) as the preprocessing stage and a novel postprocessing stage to the CTS. The proposed postprocessing stage can identify all CRA mode pairs by analyzing their trajectory and correlation characteristics. Subsequently, it can predict corresponding CRA frequencies and correct problematic qualities rapidly. Considering potential variations in eigenvector numbers at consecutive frequency samples caused by the EF, a new execution condition for the adaptive frequency adjustment in the CTS is introduced. Finally, CMs of a conductor plate and a fractal structure are investigated to demonstrate the performance of the proposed method, and the obtained results are discussed.
The poor environmental stability of natural anthocyanin hinders its usefulness in various functional applications. The objectives of the present study were to enhance the environmental stability of anthocyanin extracted from Lycium ruthenicum by mixing it with montmorillonite to form an organic/inorganic hybrid pigment, and then to synthesize allochroic biodegradable composite films by incorporating the hybrid pigment into sodium alginate and test them for potential applications in food testing and packaging. The results of X-ray diffraction, Fourier-transform infrared spectroscopy, and use of the Brunauer–Emmett–Teller method and zeta potential demonstrated that anthocyanin was both adsorbed on the surface and intercalated into the interlayer of montmorillonite via host–guest interaction, and the hybrid pigments obtained allowed good, reversible, acid/base behavior after exposure to HCl and NH3 atmospheres. The composite films containing hybrid pigments had good mechanical properties due to the uniform dispersion of the pigments in a sodium alginate substrate and the formation of hydrogen bonds between them. Interestingly, the composite films also exhibited reversible acidichromism. The as-prepared hybrid pigments in composite films could, therefore, serve simultaneously as a reinforced material and as a smart coloring agent for a polymer substrate.
South-east Asia's diverse coastal wetlands, which span natural mudflats and mangroves to man-made salt pans, offer critical habitat for many migratory waterbird species in the East Asian–Australasian Flyway. Species dependent on these wetlands include nearly the entire population of the Critically Endangered spoon-billed sandpiper Calidris pygmaea and the Endangered spotted greenshank Tringa guttifer, and significant populations of several other globally threatened and declining species. Presently, more than 50 coastal Important Bird and Biodiversity Areas (IBAs) in the region (7.4% of all South-east Asian IBAs) support at least one threatened migratory species. However, recent studies continue to reveal major knowledge gaps on the distribution of migratory waterbirds and important wetland sites along South-east Asia's vast coastline, including undiscovered and potential IBAs. Alongside this, there are critical gaps in the representation of coastal wetlands across the protected area networks of many countries in this region (e.g. Viet Nam, Indonesia, Malaysia), hindering effective conservation. Although a better understanding of the value of coastal wetlands to people and their importance to migratory species is necessary, governments and other stakeholders need to do more to strengthen the conservation of these ecosystems by improving protected area coverage, habitat restoration, and coastal governance and management. This must be underpinned by the judicious use of evidence-based approaches, including satellite-tracking of migratory birds, ecological research and ground surveys.
We investigate the dynamics of a self-rewetting drop placed on a substrate with a constant temperature gradient via three-dimensional numerical simulations using a conservative level-set approach to track the interface of the drop. The surface tension of a so-called self-rewetting fluid exhibits a parabolic dependence on temperature with a well-defined minimum. Two distinct drop behaviours, namely deformation and elongation, are observed when it is placed at the location of the minimum surface tension. The drop spreads slightly and reaches a pseudo-steady state in the deformation regime, while it continuously spreads until breakup in the elongation regime. Theoretical models based on the forces exerted on the drop have been developed to predict the critical condition at which the drop undergoes the transition between the two regimes, and the predictions are in good agreement with the numerical results. We also investigate the effect of the initial position of the drop with respect to the location of the minimum surface tension on the spreading and migration dynamics. It is found that, at early times, the migration of the drop obeys an exponential function with time, but it diverges at the later stage due to an increase in the drop deformation.
This paper presents a novel dual-band (DB) dual-polarized (DP) shared aperture antenna with high isolation by using a combination of microstrip dipoles and dielectric resonator antennas (DRAs) for S and C bands, respectively. In the S band, two sets of proximity coupled stacked microstrip dipoles which crossed at the center are employed to achieve dual-linear polarization (DLP) and obtain desired bandwidth (BW), isolation, and pure polarization. The rectangle DRA with hybrid feed is selected as the C band element for its advantages of small base area and high isolation, and a 2 × 2 array is presented with the “pair-wise” anti-phase feed technique to achieve a low cross-polarized level. Moreover, benefited from the back feed scheme, the proposed antenna has a symmetrical structure and has the potential of expanding into a larger aperture. The proposed antenna has been manufactured and measured, and the results agree well with simulations, which prove the validity of the proposed design.
Terrorist attacks can occur anywhere. As the threat of terrorism develops, the China-Eurasia Expo held in Ürümqi, China is attracting fewer potential visitors. A nationwide survey of 2034 residents from 31 provinces and municipalities in China was conducted to examine the relation between the distance to respondents’ city of residence from Ürümqi and their levels of concern for safety and security concerning the Expo. The two were found to be positively related: the closer the respondents lived to Ürümqi, the less concerned they were with the safety and security of the Expo. This is consistent with the “psychological typhoon eye” effect, which states that people living closer to the center of an unfortunate event (whether natural or man-made hazards) are less concerned with the event’s negative consequences. This effect appears to hold for terrorism. There are implications of this finding for international counter-terrorism practice, tourism, and research.
A multilevel nonvolatile memory based on an amorphous indium–gallium–zinc oxide thin-film transistor is successfully demonstrated by using an atomic layer–deposited ZnO film as a charge trapping layer. The memory device shows a much higher erasing efficiency at a negative bias, i.e., after erasing at −13 V for 1 μs, the threshold voltage shift is as large as −7.4 V. In the case of 13 V/1 μs programming (P) and −12 V/1 μs erasing (E), the device demonstrates an ON/OFF readout drain current (IDS) ratio of ∼103 after 105 s, and a large and stable ON/OFF IDS ratio of ∼106 till 104 of P/E cycles. Furthermore, multilevel memory characteristics are also demonstrated on the device, showing an IDS ratio of >102 for 4 different states. Additionally, the device also successfully demonstrates typical synaptic behaviors, such as excitatory and inhibitory postsynaptic current with different memory times at different memory states.
The present study was conducted to evaluate the effects of glucose, soya oil or glutamine on jejunal morphology, protein metabolism and protein expression of the mammalian target of rapamycin complex 1 (mTORC1) signalling pathway in jejunal villus or crypt compartment of piglets. Forty-two 21 d-weaned piglets were randomly allotted to one of the three isoenergetic diets formulated with glucose, soya oil or glutamine for 28 d. On day 14 or 28, the proteins in crypt enterocytes were analysed with isobaric tags for relative and absolute quantification and proteins involved in mTORC1 signalling pathway in villus or crypt compartment cells were determined by Western blotting. Our results showed no significant differences (P > 0·05) in jejunal morphology among the three treatments on day 14 or 28. The differentially expressed proteins mainly took part in a few network pathways, including antimicrobial or inflammatory response, cell death and survival, digestive system development and function and carbohydrate metabolism. On day 14 or 28, there were higher protein expression of eukaryotic initiation factor-4E binding protein-1 in jejunal crypt compartment of piglets supplemented with glucose or glutamine compared with soya oil. On day 28, higher protein expression of phosphor-mTOR in crypt compartment was observed in piglets supplemented with glucose compared with the soya oil. In conclusion, the isoenergetic glucose, soya oil or glutamine did not affect the jejunal morphology of piglets; however, they had different effects on the protein metabolism in crypt compartment. Compared with soya oil, glucose or glutamine may be better energy supplies for enterocytes in jejunal crypt compartment.
Metal oxides are promising candidates as the anodes of next-generation lithium ion batteries. However, the low electronic conductivities hinder their practical applications. Herein, through a facile calcination process using ammonium bicarbonate (NH4HCO3) as the N source, the nitrogen heteroelement was introduced into the ZnO/CoO micro-/nanospheres, which greatly improves the conductivity of the composites. As the lithium-ion battery anode, the N-doped ZnO/CoO micro-/nanosphere demonstrates much enhanced electrochemical performance. It displays a high initial capacity of 911.8 mA h/g at a current density of 0.2 A/g and long-term cycling stability, with a reversible capacity of 977.8 mA h/g remained after 500 cycles at a current density of 1 A/g. Furthermore, the N-doped ZnO/CoO composite presents an outstanding rate performance, with 605 mA h/g remained even at 5 A/g. The excellent electrochemical properties make N-doped ZnO/CoO micro-/nanospheres a promising candidate as high-performance anodes for next-generation rechargeable LIBs.
A varactor-based fully reconfigurable microstrip bandpass-to-bandpass-with-embedded-stopband filter is presented in this paper. This filter offers wide center frequency and bandwidth tuning flexibility under both bandpass mode and bandpass-with-embedded-stopband mode. The entire tuning ability is based on multiple mode resonator theory and external quality factor tuning structure for bandpass mode and the introduction of transmission zeros (TZs) for bandpass-with-embedded-stopband mode. Under the bandpass mode, the center frequency tuning range is 0.96–1.45 GHz and the bandwidth can be tuned from 0.09 to 1.41 GHz with a fixed center frequency at 1.22 GHz. Under bandpass-with-embedded-stopband mode, the center frequency and bandwidth can be tuned from 0.94 to 1.61 GHz and 0.2–0.33 GHz, respectively. Good agreements are shown between simulated and measured results.
This paper proposes a new radar cross section (RCS) reduced microstrip antenna incorporating 475 square slots on the patch. The proposed antenna achieves wideband RCS reduction with radiation performance sustained. The modified and reference antenna are simulated and analyzed in radiating and scattering mode, respectively. Prototypes of two antennas are fabricated and measured. Compared with the reference antenna, the simulated result shows the modified antenna RCS reduced in the frequency range 1.1–2.6 GHz, which contains the in-band and out-of-band frequency band simultaneously. And the maximum RCS reduction is 7.6dB at the frequency of 1.19GHz. Besides, the modified antenna can achieve the antenna RCS reduction in the case of oblique incidence. The prototypes of two antennas are fabricated and measured, and the accuracy of the simulation is proved by the measured result. Due to its advantages of simplicity, wideband RCS reduced, broad-angle RCS reduced, the method in this paper is suitable for wideband antenna RCS reduction in space-limited environment.
This paper proposes a microstrip antenna with reduced in-band and out-of-band radar cross-section (RCS) by subtracting the area of weak scattered current on the ground plane. Fourteen square slots were subtracted from the ground plane, reducing in-band and out-of-band RCS while maintaining radiation performance. Modified and reference antenna surface current distributions were simulated and analyzed in radiating and scattering modes. Two antenna prototypes were fabricated and measured to verify the simulation. The proposed antenna RCS was reduced compared with the reference antenna in the frequency range 1–4.4 GHz, including in-band and out-of-band frequency bands. Maximum in-band and out-of-band RCS reduction was 16.3 dBsm at the working frequency, and 19.3 dBsm at 3.4 GHz, respectively
Astrophysical collisionless shocks are amazing phenomena in space and astrophysical plasmas, where supersonic flows generate electromagnetic fields through instabilities and particles can be accelerated to high energy cosmic rays. Until now, understanding these micro-processes is still a challenge despite rich astrophysical observation data have been obtained. Laboratory astrophysics, a new route to study the astrophysics, allows us to investigate them at similar extreme physical conditions in laboratory. Here we will review the recent progress of the collisionless shock experiments performed at SG-II laser facility in China. The evolution of the electrostatic shocks and Weibel-type/filamentation instabilities are observed. Inspired by the configurations of the counter-streaming plasma flows, we also carry out a novel plasma collider to generate energetic neutrons relevant to the astrophysical nuclear reactions.
To understand better the microbial functional populations which are involved in methanogenesis and denitrification in paddy soils with rice straw (RS) and/or nitrogen fertiliser (potassium nitrate, N) application, the dynamics of methanogens and the denitrifying community were monitored simultaneously during the incubation period. The results show that the community structure of methanogens remained relatively stable among treatments based on 16S rDNA analysis, but fluctuated based on 16S rRNA. The Methanocellaceae and Methanosarcinaceae dominated all treatments at 16S rDNA and 16S rRNA level, respectively. RS+N increased the relative abundance of Methanosaetaceae at the 16S rRNA level, while there was an increasing trend in that Methanomicrobiaceae following RS addition at the 16S rDNA level. RS and/or N did not significantly change the diversity of methanogens targeting both 16S rDNA and 16S rRNA. RS and RS+N increased copy numbers of methanogens targeting both 16S rDNA and 16S rRNA analyses. The community structure and abundance of nirS and nosZ-containing denitrifiers, and the diversity of nirS-containing denitrifiers was significantly altered only by the N treatment. These results indicate that the community structure, diversity and abundance of methanogens respond differently to RS addition at the 16S rDNA and 16S rRNA levels.
In this study, a new microstrip patch antenna with wideband radar cross-section (RCS) reduction is presented. The RCS of the proposed antenna was reduced by subtracting the current-direction slots of the patch, with the radiation performance sustained not only for the current-direction subtraction, but also for the no modification in the ground plane. Modified and reference antenna were fabricated and measured. The simulation and measurement results showed that the modified antenna reduced the in-band and out-band RCS simultaneously with no detriment to the radiation performance. In the frequency band from 3.9 to 8.1 GHz, the RCS of the modified antenna was reduced in the whole band compared with the RCS of the reference antenna. The maximum RCS reduction was 7 dB at a frequency of 6.7 GHz.