39 research outputs found

    Association between sleep duration and quality with rapid kidney function decline and development of chronic kidney diseases in adults with normal kidney function: The China health and retirement longitudinal study

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    Research have shown that sleep is associated with renal function. However, the potential effects of sleep duration or quality on kidney function in middle-aged and older Chinese adults with normal kidney function has rarely been studied. Our study aimed to investigate the association of sleep and kidney function in middle-aged and older Chinese adults. Four thousand and eighty six participants with an eGFR ≥60 ml/min/1.73 m2 at baseline were enrolled between 2011 and 2015 from the China Health and Retirement Longitudinal Study. Survey questionnaire data were collected from conducted interviews in the 2011. The eGFR was estimated from serum creatinine and/or cystatin C using the Chronic Kidney Disease Epidemiology Collaboration equations (CKD-EPI). The primary outcome was defined as rapid kidney function decline. Secondary outcome was defined as rapid kidney function decline with clinical eGFR of <60 ml/min/1.73 m2 at the exit visit. The associations between sleep duration, sleep quality and renal function decline or chronic kidney disease (CKD) were assessed based with logistic regression model. Our results showed that 244 (6.0%) participants developed rapid decline in kidney function, while 102 (2.5%) developed CKD. In addition, participants who had 3–7 days of poor sleep quality per week had higher risks of CKD development (OR 1.86, 95% CI 1.24–2.80). However, compared with those who had 6–8 h of night-time sleep, no significantly higher risks of rapid decline in kidney function was found among those who had <6 h or >8 h of night time sleep after adjustments for demographic, clinical, or psychosocial covariates. Furthermore, daytime nap did not present significant risk in both rapid eGFR decline or CKD development. In conclusion, sleep quality was significantly associated with the development of CKD in middle-aged and older Chinese adults with normal kidney function

    A Model-Assisted Reduced-Order ESO Based Cascade Controller for Sensorless Control of Independent Gear-Shifting Actuators

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    Independent gear-shifting actuation systems, which are based on linear electromagnetic actuators (LEMAs), have tremendous potential to minimize the shifting duration of automated mechanical transmission (AMT). A velocity estimator based on the measurements of current is designed to achieve sensorless control of the actuator by using only electrical subsystem, thus avoiding the use of a complete system model that contains mechanical uncertainties. The elimination of the position sensor simplifies the structure of the gear-shifting system and reduces the manufacturing cost. To enhance the robustness of the position control, model-assisted reduced-order extended state observer (ESO) based cascade controller is constructed, which take parameter uncertainties and external load force as the lumped disturbance to observe and compensate them dynamically. Finally, simulation and experimental results are shown to demonstrate the effectiveness of the proposed velocity estimator and control method

    Survival Augmented Patient Preference Incorporated Reinforcement Learning to Evaluate Tailoring Variables for Personalized Healthcare

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    In this paper, we consider personalized treatment decision strategies in the management of chronic diseases, such as chronic kidney disease, which typically consists of sequential and adaptive treatment decision making. We investigate a two-stage treatment setting with a survival outcome that could be right censored. This can be formulated through a dynamic treatment regime (DTR) framework, where the goal is to tailor treatment to each individual based on their own medical history in order to maximize a desirable health outcome. We develop a new method, Survival Augmented Patient Preference incorporated reinforcement Q-Learning (SAPP-Q-Learning) to decide between quality of life and survival restricted at maximal follow-up. Our method incorporates the latent patient preference into a weighted utility function that balances between quality of life and survival time, in a Q-learning model framework. We further propose a corresponding m-out-of-n Bootstrap procedure to accurately make statistical inferences and construct confidence intervals on the effects of tailoring variables, whose values can guide personalized treatment strategies

    Sky Detection in Hazy Image

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    Sky detection plays an essential role in various computer vision applications. Most existing sky detection approaches, being trained on ideal dataset, may lose efficacy when facing unfavorable conditions like the effects of weather and lighting conditions. In this paper, a novel algorithm for sky detection in hazy images is proposed from the perspective of probing the density of haze. We address the problem by an image segmentation and a region-level classification. To characterize the sky of hazy scenes, we unprecedentedly introduce several haze-relevant features that reflect the perceptual hazy density and the scene depth. Based on these features, the sky is separated by two imbalance SVM classifiers and a similarity measurement. Moreover, a sky dataset (named HazySky) with 500 annotated hazy images is built for model training and performance evaluation. To evaluate the performance of our method, we conducted extensive experiments both on our HazySky dataset and the SkyFinder dataset. The results demonstrate that our method performs better on the detection accuracy than previous methods, not only under hazy scenes, but also under other weather conditions

    The Secondary Optical Design and Fabrication for the Uniform Illuminating LED Spotlight Using TIR Lens

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    Different with the fact that the traditional imaging optics emphasizes its ability to get clear image on the image plane, the purpose of LED illumination design is to meet the requirement of high availability of optical energy and homogeneity of illumination. As the study object, the LED track lighting has been designed with secondary optical design by the Lighttools design software. After using TIR lens which has two ways of concentrating: reflectors and lenses, the exit light of the spotlight will be adjusted and the illuminated surface will be with high homogeneity. Therefore, it will reduce the harm of the light to human’s eyes. In this study, the LED spotlights have been produced and tested with the corresponding test results: Lighting power is 7W, luminous efficiency is 82.57lm/W, color rendering index is 83.7, the main wavelength is 488.2nm, the ratio of red, green, blue is 13.1: 83.0: 3.9

    The Secondary Optical Design and Fabrication for the Uniform Illuminating LED Spotlight Using TIR Lens

    No full text
    Different with the fact that the traditional imaging optics emphasizes its ability to get clear image on the image plane, the purpose of LED illumination design is to meet the requirement of high availability of optical energy and homogeneity of illumination. As the study object, the LED track lighting has been designed with secondary optical design by the Lighttools design software. After using TIR lens which has two ways of concentrating: reflectors and lenses, the exit light of the spotlight will be adjusted and the illuminated surface will be with high homogeneity. Therefore, it will reduce the harm of the light to human’s eyes. In this study, the LED spotlights have been produced and tested with the corresponding test results: Lighting power is 7W, luminous efficiency is 82.57lm/W, color rendering index is 83.7, the main wavelength is 488.2nm, the ratio of red, green, blue is 13.1: 83.0: 3.9
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