BACKGROUND Lack of mobilization and prolonged stay in the intensive care unit(ICU)are major factors resulting in the development of ICU-acquired muscle weakness(ICUAW).ICUAW is a type of skeletal muscle dysfunction an...BACKGROUND Lack of mobilization and prolonged stay in the intensive care unit(ICU)are major factors resulting in the development of ICU-acquired muscle weakness(ICUAW).ICUAW is a type of skeletal muscle dysfunction and a common complication of patients after cardiac surgery,and may be a risk factor for prolonged duration of mechanical ventilation,associated with a higher risk of readmission and higher mortality.Early mobilization in the ICU after cardiac surgery has been found to be low with a significant trend to increase over ICU stay and is also associated with a reduced duration of mechanical ventilation and ICU length of stay.Neuromuscular electrical stimulation(NMES)is an alternative modality of exercise in patients with muscle weakness.A major advantage of NMES is that it can be applied even in sedated patients in the ICU,a fact that might enhance early mobilization in these patients.AIM To evaluate safety,feasibility and effectiveness of NMES on functional capacity and muscle strength in patients before and after cardiac surgery.METHODS We performed a search on Pubmed,Physiotherapy Evidence Database(PEDro),Embase and CINAHL databases,selecting papers published between December 2012 and April 2023 and identified published randomized controlled trials(RCTs)that included implementation of NMES in patients before after cardiac surgery.RCTs were assessed for methodological rigor and risk of bias via the PEDro.The primary outcomes were safety and functional capacity and the secondary outcomes were muscle strength and function.RESULTS Ten studies were included in our systematic review,resulting in 703 participants.Almost half of them performed NMES and the other half were included in the control group,treated with usual care.Nine studies investigated patients after cardiac surgery and 1 study before cardiac surgery.Functional capacity was assessed in 8 studies via 6MWT or other indices,and improved only in 1 study before and in 1 after cardiac surgery.Nine studies explored the effects of NMES on muscle strength 展开更多
In this paper, the He’s parameter-expanding method (HPEM) and the 4q-Boubaker Polynomials Expansion Scheme (BPES) are used in order to obtain analytical solutions to the non-linear modified Van der Pol’s oscillating...In this paper, the He’s parameter-expanding method (HPEM) and the 4q-Boubaker Polynomials Expansion Scheme (BPES) are used in order to obtain analytical solutions to the non-linear modified Van der Pol’s oscillating circuit equation. The resolution protocols are applied to the ordinary Van der Pol equation, which annexed to conjoint delayed feedback and delay-related damping terms. The results are plotted, and compared with exact solutions proposed elsewhere, in order to evaluate accuracy.展开更多
The electrical modulation valve can provide proportional output valve element displacement,flow,or pressure according to a continuously changing input electrical signal.It is the core component of electro-hydraulic pr...The electrical modulation valve can provide proportional output valve element displacement,flow,or pressure according to a continuously changing input electrical signal.It is the core component of electro-hydraulic proportional control technology.To remove the influence of pressure difference changes on the output flow,the traditional scheme is to use a pressure compensation valve,which increases the difficulty of both manufacturing and maintaining the valve.To solve this problem,a method of digital and mechanical redundancy control flow is proposed.Pressure sensors are installed at the inlet and outlet of the valve,and the controller adjusts the displacement of the valve element according to the pressure difference between the valve ports to realize high-precision control of the flow.A pressure compensation valve is installed in front of the valve,and a three-way solenoid valve is used to control the working of the compensation valve.In the case of sensor failure,the valve is switched to the mechanical compensation differential pressure mode,to control the flow and to achieve redundancy control.The system security is thereby improved.The feasibility of this scheme is verified through simulation and tests.The results show that,both for digital compensation and mechanical compensation,the output flow can be kept constant when the pressure difference changes,and the system has good static and dynamic characteristics.The principle can be applied to the displacement-flow feedback type electrical modulation valve,and can realize accurate control of the flow of the pilot valve and,finally,accurate control of the flow in the main valve.展开更多
文摘BACKGROUND Lack of mobilization and prolonged stay in the intensive care unit(ICU)are major factors resulting in the development of ICU-acquired muscle weakness(ICUAW).ICUAW is a type of skeletal muscle dysfunction and a common complication of patients after cardiac surgery,and may be a risk factor for prolonged duration of mechanical ventilation,associated with a higher risk of readmission and higher mortality.Early mobilization in the ICU after cardiac surgery has been found to be low with a significant trend to increase over ICU stay and is also associated with a reduced duration of mechanical ventilation and ICU length of stay.Neuromuscular electrical stimulation(NMES)is an alternative modality of exercise in patients with muscle weakness.A major advantage of NMES is that it can be applied even in sedated patients in the ICU,a fact that might enhance early mobilization in these patients.AIM To evaluate safety,feasibility and effectiveness of NMES on functional capacity and muscle strength in patients before and after cardiac surgery.METHODS We performed a search on Pubmed,Physiotherapy Evidence Database(PEDro),Embase and CINAHL databases,selecting papers published between December 2012 and April 2023 and identified published randomized controlled trials(RCTs)that included implementation of NMES in patients before after cardiac surgery.RCTs were assessed for methodological rigor and risk of bias via the PEDro.The primary outcomes were safety and functional capacity and the secondary outcomes were muscle strength and function.RESULTS Ten studies were included in our systematic review,resulting in 703 participants.Almost half of them performed NMES and the other half were included in the control group,treated with usual care.Nine studies investigated patients after cardiac surgery and 1 study before cardiac surgery.Functional capacity was assessed in 8 studies via 6MWT or other indices,and improved only in 1 study before and in 1 after cardiac surgery.Nine studies explored the effects of NMES on muscle strength
文摘In this paper, the He’s parameter-expanding method (HPEM) and the 4q-Boubaker Polynomials Expansion Scheme (BPES) are used in order to obtain analytical solutions to the non-linear modified Van der Pol’s oscillating circuit equation. The resolution protocols are applied to the ordinary Van der Pol equation, which annexed to conjoint delayed feedback and delay-related damping terms. The results are plotted, and compared with exact solutions proposed elsewhere, in order to evaluate accuracy.
基金supported by the National Key Research and Development Program of China(No.2019YFB2004502)the National Natural Science Foundation of China(No.51975397)the Key Research and Development Program of Shanxi Province(No.201903D111007),China。
文摘The electrical modulation valve can provide proportional output valve element displacement,flow,or pressure according to a continuously changing input electrical signal.It is the core component of electro-hydraulic proportional control technology.To remove the influence of pressure difference changes on the output flow,the traditional scheme is to use a pressure compensation valve,which increases the difficulty of both manufacturing and maintaining the valve.To solve this problem,a method of digital and mechanical redundancy control flow is proposed.Pressure sensors are installed at the inlet and outlet of the valve,and the controller adjusts the displacement of the valve element according to the pressure difference between the valve ports to realize high-precision control of the flow.A pressure compensation valve is installed in front of the valve,and a three-way solenoid valve is used to control the working of the compensation valve.In the case of sensor failure,the valve is switched to the mechanical compensation differential pressure mode,to control the flow and to achieve redundancy control.The system security is thereby improved.The feasibility of this scheme is verified through simulation and tests.The results show that,both for digital compensation and mechanical compensation,the output flow can be kept constant when the pressure difference changes,and the system has good static and dynamic characteristics.The principle can be applied to the displacement-flow feedback type electrical modulation valve,and can realize accurate control of the flow of the pilot valve and,finally,accurate control of the flow in the main valve.
