Recent Trends in Hospitalization for Acute Myocardial Infarction in Beijing: Increasing Overall Burden and a Transition From ST-Segment Elevation to Non-ST-Segment Elevation Myocardial Infarction in a Population-Based Study

Comparable data on trends of hospitalization rates for ST-segment elevation myocardial infarction (STEMI) and non-STEMI (NSTEMI) remain unavailable in representative Asian populations.To examine the temporal trends of hospitalization for acute myocardial infarction (AMI) and its subtypes in Beijing.Patients hospitalized for AMI in Beijing from January 1, 2007 to December 31, 2012 were identified from the validated Hospital Discharge Information System. Trends in hospitalization rates, in-hospital mortality, length of stay (LOS), and hospitalization costs were analyzed by regression models for total AMI and for STEMI and NSTEMI separately. In total, 77,943 patients were admitted for AMI in Beijing during the 6 years, among whom 67.5% were males and 62.4% had STEMI. During the period, the rate of AMI hospitalization per 100,000 population increased by 31.2% (from 55.8 to 73.3 per 100,000 population) after age standardization, with a slight decrease in STEMI but a 3-fold increase in NSTEMI. The ratio of STEMI to NSTEMI decreased dramatically from 6.5:1.0 to 1.3:1.0. The age-standardized in-hospital mortality decreased from 11.2% to 8.6%, with a significant decreasing trend evident for STEMI in males and females (P < 0.001) and for NSTEMI in males (P = 0.02). The rate of percutaneous coronary intervention increased from 28.7% to 55.6% among STEMI patients. The total cost for AMI hospitalization increased by 56.8% after adjusting for inflation, although the LOS decreased by 1 day.The hospitalization burden for AMI has been increasing in Beijing with a transition from STEMI to NSTEMI. Diverse temporal trends in AMI subtypes from the unselected "real-world" data in Beijing may help to guide the management of AMI in China and other developing countries

Experimental investigation of piloted flameholders

Four configurations of piloted flameholders were tested. The range of flame stabilization, flame propagation, pressure oscillation during ignition, and pressure drop of the configurations were determined. Some tests showed a very strong effect of inlet flow velocity profile and flameholder geometry on flame stabilization. These tests led to the following conclusions. (1) The use of a piloted flameholder in the turbofan augmentor may minimize the peak pressure rise during ignition. At the present experimental conditions, delta P/P asterisk over 2 is less than 10 percent; therefore, the use of a piloted flameholder is a good method to realize soft ignition. (2) The geometry of the piloted flameholder and the amount of fuel injected into the flameholder have a strong effect on the pressure oscillation during ignition of the fuel-air mixture in the secondary zone. (3) Compared with the V-gutter flameholder with holes in its wall, the V-gutter flameholder without holes not only has advantages such as simple structure and good rigidity but offers a wide combustion stability limit and a high capability of igniting the fuel-air mixture of the secondary zone

Stark effect on the exciton spectra of vertically coupled quantum dots: horizontal field orientation and non-aligned dots

We study the effect of an electric-field on an electron-hole pair in an asymmetric system of vertically coupled self-assembled quantum dots taking into account their non-perfect alignment. We show that the non-perfect alignment does not qualitatively influence the exciton Stark effect for the electric field applied in the growth direction, but can be detected by application of a perpendicular electric field. We demonstrate that the direction of the shift between the axes of non-aligned dots can be detected by rotation of a weak electric field within the plane of confinement. Already for a nearly perfect alignment the two-lowest energy bright exciton states possess antilocked extrema as function of the orientation angle of the horizontal field which appear when the field is parallel to the direction of the shift between the dot centers

Compliance adaptation of an intrinsically soft ankle rehabilitation robot driven by pneumatic muscles

Pneumatic muscles (PMs)-driven robots become more and more popular in medical and rehabilitation field as the actuators are intrinsically complaint and thus are safer for patients than traditional rigid robots. This paper proposes a new compliance adaptation method of a soft ankle rehabilitation robot that is driven by four pneumatic muscles enabling three rotational movement degrees of freedom (DoFs). The stiffness of a PM is dominated by the nominal pressure. It is possible to control the robot joint compliance independently of the robot movement in task space. The controller is designed in joint space to regulate the compliance property of the soft robot by tuning the stiffness of each active link. Experiments in actual environment were conducted to verify the control scheme and results show that the robot compliance can be adjusted when provided changing nominal pressures and the robot assistance output can be regulated, which provides a feasible solution to implement the patient-cooperative training strategy

Mechanically-Induced Transport Switching Effect in Graphene-based Nanojunctions

We report a theoretical study suggesting a novel type of electronic switching effect, driven by the geometrical reconstruction of nanoscale graphene-based junctions. We considered junction struc- tures which have alternative metastable configurations transformed by rotations of local carbon dimers. The use of external mechanical strain allows a control of the energy barrier heights of the potential profiles and also changes the reaction character from endothermic to exothermic or vice-versa. The reshaping of the atomic details of the junction encode binary electronic ON or OFF states, with ON/OFF transmission ratio that can reach up to 10^4-10^5. Our results suggest the possibility to design modern logical switching devices or mechanophore sensors, monitored by mechanical strain and structural rearrangements.Comment: 10 pages, 4 figure

A model for luminescence of localized state ensemble

A distribution function for localized carriers, $f(E,T)=\frac{1}{e^{(E-E_a)/k_BT}+\tau_{tr}/\tau_r}$, is proposed by solving a rate equation, in which, electrical carriers' generation, thermal escape, recapture and radiative recombination are taken into account. Based on this distribution function, a model is developed for luminescence from localized state ensemble with a Gaussian-type density of states. The model reproduces quantitatively all the anomalous temperature behaviors of localized state luminescence. It reduces to the well-known band-tail and luminescence quenching models under certain approximations.Comment: 14 pages, 4 figure