22 research outputs found
Dynamic analysis of localized defects in rolling bearing systems
In this paper, the dynamics of rolling bearing with localized defects of the outer ring and rolling element are investigated. In order to study the nonlinear dynamical behaviors of the rolling bearing precisely, a novel dynamic model of the rolling bearing is established based on the Lagrangian approach. By setting 0.2 mm, 0.4 mm and 0.6 mm local defects on the outer ring and rolling element of bearing respectively, the results demonstrate that the amplitude of the rolling bearing is more intense as the local defect size increases, and the acceleration amplitude fluctuation is more significant than the velocity. In addition, in the case of the same defect size, the vibration of the rolling element defect is more intense than the vibration response caused by the outer ring defect
Laparotomy and laparoscopy diversely affect macrophage-associated antimicrobial activity in a murine model
Background: Surgical intervention-related trauma contributes largely to the development of postoperative immunosuppression, with reduced resistance to secondary bacterial infection. This study compared the impact of laparotomy versus laparoscopy on macrophage-associated bactericidal ability and examined whether laparotomy renders the host more susceptible to microbial infection. Results: BALB/c mice were randomized into control, laparotomy, and laparoscopy groups. Laparotomy, but not laparoscopy, significantly downregulated CR3 expression on macrophages, diminished macrophage-induced uptake and phagocytosis of E. coli and S. aureus, and impaired macrophage-mediated intracellular bacterial killing. Consistent with this, mice that underwent laparotomy displayed substantially higher bacterial counts in the blood and visceral organs as well as a significantly enhanced mortality rate following bacterial infection, whereas mice subjected to laparoscopy did not show any defects in their bacterial clearance. Conclusion: Laparotomy has an adverse effect on host innate immunity against microbial infection by impairing macrophage-mediated phagocytosis and killing of the invaded bacteria. By contrast, laparoscopy appears to preserve macrophage-associated bactericidal ability, thus alleviating the development of postoperative immunosuppression
Identification and validation of PCSK9 as a prognostic and immune-related influencing factor in tumorigenesis: a pan-cancer analysis
IntroductionProprotein convertase subtilisin/kexin-9 (PCSK9) has been primarily studied in the cardiovascular field however, its role in cancer pathophysiology remains incompletely defined. Recently, a pivotal role for PCSK9 in cancer immunotherapy was proposed based on the finding that PCSK9 inhibition was associated with enhancing the antigen presentation efficacy of target programmed cell death-1 (PD-1). Herein, we provide results of a comprehensive pan-cancer analysis of PCSK9 that assessed its prognostic and immunological functions in cancer.MethodsUsing a variety of available online cancer-related databases including TIMER, cBioPortal, and GEPIA, we identified the abnormal expression of PCSK9 and its potential clinical associations in diverse cancer types including liver, brain and lung. We also validated its role in progression-free survival (PFS) and immune infiltration in neuroblastoma.ResultsOverall, the pan-cancer survival analysis revealed an association between dysregulated PCSK9 and poor clinical outcomes in various cancer types. Specifically, PCSK9 was extensively genetically altered across most cancer types and was consistently found in different tumor types and substages when compared with adjacent normal tissues. Thus, aberrant DNA methylation may be responsible for PCSK9 expression in many cancer types. Focusing on liver hepatocellular carcinoma (LIHC), we found that PCSK9 expression correlated with clinicopathological characteristics following stratified prognostic analyses. PCSK9 expression was significantly associated with immune infiltrate since specific markers of CD8+ T cells, macrophage polarization, and exhausted T cells exhibited different PCSK9-related immune infiltration patterns in LIHC and lung squamous cell carcinoma. In addition, PCSK9 was connected with resistance of drugs such as erlotinib and docetaxel. Finally, we validated PCSK9 expression in clinical neuroblastoma samples and concluded that PCSK9 appeared to correlate with a poor PFS and natural killer cell infiltration in neuroblastoma patients.ConclusionPCSK9 could serve as a robust prognostic pan-cancer biomarker given its correlation with immune infiltrates in different cancer types, thus potentially highlighting a new direction for targeted clinical therapy of cancers
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20
[1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
Research on electromagnetic characteristics of traction motor rotary shafts with variable parameter defects based on finite element method
Abstract In view of the breakage of the rotary shaft of the traction motor of the locomotive, in order to ensure the reliability and safety of the equipment, this paper studies the magnetic field containing rich information in the space around the rotary shaft, so that the crack defect can be detected and the crack size can be judged in time. In order to study the influence of defect geometric parameters (width, depth and hidden depth) on the spatial magnetic field distribution around the defect in the process of eddy current testing of metal shafts, based on the principle of eddy current testing, a metal rotary shaft detection model with different defect parameters was established by COMSOL software for simulation. The horizontal magnetic induction intensity, vertical magnetic induction intensity and their respective phases are used to analyze the magnetic field distribution around the defect under different parameters. The results show that the magnetic field related parameters can qualitatively and quantitatively evaluate the crack width, qualitatively evaluate the relative size of the crack depth, and qualitatively judge whether there are hidden cracks
Research on fault diagnosis method of deep transfer learning driven by simulation data
Sufficient labeled fault samples are the key to ensuring the performance of deep learning diagnostic models. However, in practical engineering applications, machinery and equipment operate normally most of the time, and it is difficult to collect enough fault data. In contrast, through the kinetics analysis method, simulation data sets of various fault types can be easily obtained. However, there is a difference in distribution between simulation data and real data. The deep learning diagnosis model trained directly with simulation data lacks versatility and cannot be applied to fault diagnosis of real data. To this end, this paper proposes a simulation data-driven deep transfer learning fault diagnosis method, which applies the fault diagnosis knowledge in the simulation data to the real data fault diagnosis task. The effectiveness of the method is verified by experiments on the two-stage planetary gearbox in the Drivetrain Diagnostics Simulator (DDS) test bench.</jats:p
Automated quantitative assessment of pediatric blunt hepatic trauma by deep learning-based CT volumetry
Abstract
Background
To develop an end-to-end deep learning method for automated quantitative assessment of pediatric blunt hepatic trauma based on contrast-enhanced computed tomography (CT).
Methods
This retrospective study included 170 children with blunt hepatic trauma between May 1, 2015, and August 30, 2021, who had undergone contrast-enhanced CT. Both liver parenchyma and liver trauma regions were manually segmented from CT images. Two deep convolutional neural networks (CNNs) were trained on 118 cases between May 1, 2015, and December 31, 2019, for liver segmentation and liver trauma segmentation. Liver volume and trauma volume were automatically calculated based on the segmentation results, and the liver parenchymal disruption index (LPDI) was computed as the ratio of liver trauma volume to liver volume. The segmentation performance was tested on 52 cases between January 1, 2020, and August 30, 2021. Correlation analysis among the LPDI, trauma volume, and the American Association for the Surgery of Trauma (AAST) liver injury grade was performed using the Spearman rank correlation. The performance of severity assessment of pediatric blunt hepatic trauma based on the LPDI and trauma volume was evaluated using receiver operating characteristic (ROC) analysis.
Results
The Dice, precision, and recall of the developed deep learning framework were 94.75, 94.11, and 95.46% in segmenting the liver and 72.91, 72.40, and 76.80% in segmenting the trauma regions. The LPDI and trauma volume were significantly correlated with AAST grade (rho = 0.823 and rho = 0.831, respectively; p < 0.001 for both). The area under the ROC curve (AUC) values for the LPDI and trauma volume to distinguish between high-grade and low-grade pediatric blunt hepatic trauma were 0.942 (95% CI, 0.882–1.000) and 0.952 (95% CI, 0.895–1.000), respectively.
Conclusions
The developed end-to-end deep learning method is able to automatically and accurately segment the liver and trauma regions from contrast-enhanced CT images. The automated LDPI and liver trauma volume can act as objective and quantitative indexes to supplement the current AAST grading of pediatric blunt hepatic trauma.
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Analysis of Vertical Vibration Mechanism of Reciprocating Compressors considering Flexibility of Piston Rod and Crosshead Subsidence
Establishing Ohmic Contact of a Radial Compressed CNT Bundle with High Work Function Metal
Establishing low-resistance ohmic contact is critical
for developing
electronic devices based on traditional silicon and new low-dimensional
materials. Due to unprecedented electronic and mechanical properties,
the one-dimensional carbon nanotubes (CNTs) have been used as source/drain,
gate, or tunnel to fabricate transistors. However, the mechanism causing
low-resistance ohmic contact is not clear yet. Here, the hybrid atomic
force microscopy–scanning electron microscopy (AFM–SEM)
instrument was developed to establish lower-resistance ohmic contact
between a radial compressed deformed multiwalled CNT bundle and high
work function metal (platinum and gold). The radial compression structure
under strong van der Waals attraction was in situ characterized through
the SEM image to obtain the diameter and width and through AFM to
get height and to perform nanoindentation, indicating that Pt has
the smaller radial compression deformation. Molecular dynamics simulations
exhibit that compared to Pt, a wider ribbon-like graphene layer formed
when the radial compressed CNTs contacted with Au. The bond forming
and electron orbital overlapping between C atoms of deformed CNTs
and the high work function metal atom is beneficial for good electrical
contact