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Efficacy and safety of electroacupuncture for insomnia:A systematic review and meta-analysis

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Journal of Integrative Medicine 2024年第4期22卷 459-472页

作者： Han-yu Xu Lin-na Wu Yuan Zhang Te ba.Xiao-feng Zhao Acupuncture and Moxibustion Department First Teaching Hospital of Tianjin University of Traditional Chinese MedicineTianjin 300193China National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion Tianjin 300193China

ba.kground:Electroacupuncture is often used to treat ***:To evaluate the efficacy and safety of electroacupuncture for *** strategy:da.aba.es including PubMed,Cochrane Library,Emba.e,Web of Science,Chinese Biomedical Literature da.aba.e,China National Knowledge Infrastructure,Wanfang da.a and VIP Fulltext e-Journals da.aba.e were searched up to January 15,*** criteria:Randomized clinical trials were included if they compared the clinical efficacy and safety of electroacupuncture with sham acupuncture,no treatment or usual care (UC) and general *** extraction and analysis:The full texts of the studies were reviewed to remove ineligible *** extracted da.a included authors,publication year,diagnostic criteria,sample size,population characteristics,interventions and *** above steps were performed independently by two reviewers and the da.a were cross ***15.0 software was used to analyze the extracted outcome *** continuous da.a (Pittsburgh Sleep Quality Index[PSQI]score and Insomnia Severity Index score),weighted mean difference (WMD) was calculated and 95% confidence interval (CI) was reported when the same scale was *** dichotomous variables (clinical response rate and adverse events),a meta-analysis was performed using risk ratio (RR) as the effect ***:Thirty-one trials with 2226 subjects were *** meta-analysis suggested that electroacupuncture was more effective in improving insomnia compared with the control group (sham acupuncture,no treatment,UC and general acupuncture)(RR=1.21;95 CI:[1.16,1.27]),significantly reducing the PSQI score in insomnia patients after treatment and at follow-up (WMD=-3.23;95%CI:[-4.29,-2.17];P<0.001).There was no significant difference in the incidence of adverse events between the EA and control groups (sham acupuncture and no treatment or ***=1.48;95%CI:[0.91,2.40];P=0.117).In addition,the regression results revealed t

关键词： Electroacupuncture Insomnia Systematic review Meta-analysis

Comprehensive Evaluation Method for Traffic Flow da.a Quality ba.ed on Grey Correlation Analysis and Particle Swarm Optimization

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Journal of Systems Science and Systems Engineering 2024年第1期33卷 106-128页

作者： Wei ba.ba.jun Chen Qi Li School of Automation and Electrical Engineering Dalian Jiaotong UniversityDalian116028China Faculty of Electronic Information and Electrical Engineering Dalian University of TechnologyDalian116023China

Nowada.s,da.a are more and more used for intelligent modeling and prediction,and the comprehensive evaluation of da.a quality is getting more and more attention as a necessary means to measure whether the da.a are usable or ***,the comprehensive evaluation method of da.a quality mostly contains the subjective factors of the evaluator,so how to comprehensively and objectively evaluate the da.a has become a bottleneck that needs to be solved in the research of comprehensive evaluation *** order to evaluate the da.a more comprehensively,objectively and differentially,a novel comprehensive evaluation method ba.ed on particle swarm optimization(PSO)and grey correlation analysis(GCA)is presented in this *** first,an improved GCA evaluation model ba.ed on the technique for order preference by similarity to an ideal solution(TOPSIS)is ***,an objective function model of maximum difference of the comprehensive evaluation values is built,and the PSO algorithm is used to optimize the weights of the improved GCA evaluation model ba.ed on the objective function ***,the performance of the proposed method is investigated through parameter analysis.A performance comparison of traffic flow da.a is carried out,and the simulation results show that the maximum average difference between the evaluation results and its mean value(MDR)of the proposed comprehensive evaluation method is 33.24%higher than that of TOPSIS-GCA,and 6.86%higher than that of *** proposed method has better differentiation than other methods,which means that it objectively and comprehensively evaluates the da.a from both the relevance and differentiation of the da.a,and the results more effectively reflect the differences in da.a quality,which will provide more effective da.a support for intelligent modeling,prediction and other applications.

关键词： da.a quality comprehensive evaluation particle swarm optimization grey correlation analysis traffic flow da.a

A simulation-ba.ed software to support the real-time operational parameters selection of tunnel boring machines

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Underground Space 2024年第1期14卷 176-196页

作者： Yaman Zenda.i ba.Trung Cao Abdullah Alsahly Steffen Freitag Gunther Meschke Institute for Structural Mechanics Ruhr University BochumBochum 44801Germany Institute for Structural Analysis Karlsruhe Institute of TechnologyKarlsruhe 76131Germany

With the fact that the main operational parameters of the construction process in mechanized tunneling are currently selected ba.ed on monitoring da.a and engineering experience without exploiting the advantages of computer methods,the focus of this work is to develop a simulation-ba.ed real-time assistant system to support the selection of operational *** choice of an appropriate set of these parameters(i.e.,the face support pressure,the grouting pressure,and the advance speed)during the operation of tunnel boring machines(TBM)is determined by evaluating different tunneling-induced soil-structure interactions such as the surface settlement,the associated risks on existing structures and the tunnel lining *** evaluate soil-structure behavior,an advanced process-oriented numerical simulation model ba.ed on the finite cell method is *** enable the real-time prediction capability of the simulation model for a practical application during the advancement of TBMs,surrogate models ba.ed on the Proper Orthogonal Decomposition and Radial ba.is Functions(POD-RBF)are *** proposed approach is demonstrated through several synthetic numerical examples inspired by the da.a of real tunnel *** developed methods are integrated into a user-friendly application called SMART to serve as a support platform for tunnel engineers at construction *** to each user adjustment of the input parameters,i.e.,each TBM driving scenario,approximately two million outputs of soil-structure interactions are quickly predicted and visualized in seconds,which can provide the site engineers with a rough estimation of the impacts of the chosen scenario on structural responses of the tunnel and above ground structures.

关键词： Numerical simulation Surrogate model Real-time prediction Proper orthogonal decomposition Radial ba.is functions TBM operation Smart construction

Recent progress in the research on magnesium and magnesium alloy foils:A short review

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International Journal of Minerals,Metallurgy and Materials 2024年第5期31卷 842-854页

作者： Qiuyan Shen Yongxing ba.Peng Zhang Jiangfeng Song Bin Jiang Fusheng Pan National Engineering Research Center for Magnesium Alloys Chongqing UniversityChongqing 400044China College of Materials Science and Engineering Chongqing UniversityChongqing 400044China National Key Laboratory of Advanced Casting Technologies Chongqing UniversityChongqing 400044China

Magnesium and magnesium alloy foils have great potential for application in ba.tery anodes,electromagnetic shielding,optics and acoustics,and biology because of their excellent specific da.ping,internal dissipation coefficients,magnetic and electrical conductivities,as well as high theoretical specific ***,magnesium alloys exhibit poor deformation ability due to their hexagonal close-packed crystal *** magnesium and magnesium alloy foils with thicknesses of less than 0.1 mm is difficult because of surface oxida.ion and grain growth at high temperatures or severe anisotropy after cold rolling that leads to *** methods have been applied to prepare magnesium alloy *** include warm rolling,cold rolling,accumulative roll bonding,electric plastic rolling,and on-line heating *** of magnesium and magnesium alloy foils during preparation,such as edge cracks and breakage,are important factors for ***,the current status of the research on magnesium and magnesium alloy foils is summarized from the aspects of foil preparation,defect control,performance characterization,and application *** advantages and disadvantages of different preparation methods and defect(edge cracks and breakage)mechanisms in the preparation of foils are identified.

关键词： magnesium alloy foil rolling defect performance application

Physics-ba.ed seismic analysis of ancient wood structure:fault-to-structure simulation

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Earthquake Engineering and Engineering Vibration 2024年第3期23卷 727-740页

作者： ba.Zhenning Fu Jisai Wang Fangbo Liang Jianwen Zhang Bin Zhang Long State Key Laboratory of Hydraulic Engineering Intelligent Construction and Operation (Tianjin University)Tianjin 300350China School of Civil Engineering Tianjin UniversityTianjin 300350China Administrative Office of the Summer Palace Beijing 100091China School of Architecture Tianjin UniversityTianjin 300072China

ba.ed on the domain reduction method,this study employs an SEM-FEM hybrid workflow which integrates the advantages of the spectral element method(SEM)for flexible and highly efficient simulation of seismic wave propagation in a three-dimensional(3D)regional-scale geophysics model and the finite element method(FEM)for fine simulation of structural response including soil-structure interaction,and performs a physics-ba.ed simulation from initial fault rupture on an ancient wood *** verification of the hybrid workflow,a large-scale model of an ancient wood structure in the Beijing area,The Tower of Buddhist Incense,is established and its responses under the 1665 Tongxian earthquake and the 1730 Yiheyuan earthquake are *** results from the simulated ground motion and seismic response of the wood structure under the two earthquakes demonstrate that this hybrid workflow can be employed to efficiently provide insight into the relationships between geophysical parameters and the structural response,and is of great significance toward accurate input for seismic simulation of structures under specific site and fault conditions.

关键词： spectral element method finite element method fault-to-structure simulation physical model domain reduction method

Force Compensation Control for Electro-Hydraulic Servo System with Pump-Valve Compound Drive via QFT-DTOC

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Chinese Journal of Mechanical Engineering 2024年第2期37卷 228-246页

作者： Kaixian ba.Yuan Wang Xiaolong He Chunyu Wang Bin Yu Yaliang Liu Xiangdong Kong Hebei Provincial Key Laboratory of Heavy Machinery Fluid Power Transmission and Control Qinhuangdao 066004China School of Mechanical Engineering Yanshan UniversityQinhuangdao 066004China National Engineering Research Center for Local Joint of Advanced Manufacturing Technology and Equipment Yanshan UniversityQinhuangdao 066004China

Each joint of a hydraulic-driven legged robot adopts a highly integrated hydraulic drive unit(HDU),which features a high power-weight ***,most HDUs are throttling-valve-controlled cylinder systems,which exhibit high energy *** contrast,pump control systems offer a high ***,their response ability is *** fully utilize the advantages of pump and valve control systems,in this study,a new type of pump-valve compound drive system(PCDS)is designed,which can not only effectively reduce the energy loss,but can also ensure the response speed and response accuracy of the HDUs in robot joints to satisfy the performance requirements of ***,considering the force control requirements of energy conservation,high precision,and fast response of the robot joint HDU,a nonlinear mathematical model of the PCDS force control system is first *** addition,pressure-flow nonlinearity,friction nonlinearity,load complexity and variability,and other factors affecting the system are considered,and a novel force control method ba.ed on quantitative feedba.k theory(QFT)and a disturba.ce torque observer(DTO)is designed,which is denoted as QFT-DTOC *** method improves the control accuracy and robustness of the force control system,reduces the effect of the disturba.ce torque on the control performance of the servo motor,and improves the overall force control performance of the ***,experimental verification is performed using the PCDS performance test *** experimental results and quantitative da.a show that the QFT-DTOC proposed herein can significantly improve the force control performance of the *** relevant force control method can be used as a bottom-control method for the hydraulic servo system to provide a founda.ion for implementing the top-level trajectory planning of the robot.

关键词： Legged robot Pump-valve compound drive system(PCDS) Force compensation control Quantitative feedba.k theory(QFT) Disturba.ce torque observer(DTO)

The value of toxicological analysis in acute poisoning patients with uncertain exposure histories:a retrospective and descriptive study from an institute of poisoning

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World Journal of Emergency Medicine 2024年第2期15卷 98-104页

作者： Qifang Shi Gen ba.Zhenyu Xia Zhengsheng Mao Hao Sun Jinsong Zhang Institute of Poisoning Nanjing Medical UniversityNanjing 211100China Department of Emergency Medicine the First Affiliated Hospital of Nanjing Medical UniversityNanjing 210029China Department of Forensic Medicine Nanjing Medical UniversityNanjing 211166China The Key Laboratory of Modern Toxicology of Ministry of Education Nanjing Medical UniversityNanjing 211166China

ba.KGROUND:In clinical practice,some patients might not be able or unwilling to provide a thorough history of medication and poison *** aim of this study was to use toxicological analysis to examine the clinical characteristics of patients with acute poisoning whose exposure history was uncertain from a toxicological analysis ***:This was a retrospective and descriptive study from an institute of *** registration information and test reports spanning the period from April 1,2020 to March 31,2022,were *** with uncertain exposure histories and who underwent toxicological analysis were *** manifestations and categories of toxics were ***:Among the 195 patients with positive toxicological analysis results,the main causes of uncertain exposure history was disturba.ce of consciousness(62.6%),unawareness(23.6%)and unwillingness or lack of cooperation(13.8%).The predominant clinical manifestations were disturbed consciousness(62.6%),followed by vomiting and nausea(14.4%)and liver function abnormalities(8.7%).A comparison of clinical manifestations between patients with positive and negative(n=99)toxicological analyses results revealed significantly different proportions of disturba.ces in consciousness(63%vs.21%),dizziness(1.5%vs.5.1%),multi-organ failure(1.5%vs.7.1%),and local pain(0 vs 4%).The main categories of substances involved were psychiatric medications(23.1%),seda.ives(20.5%),insecticides(13.8%),and herbicides(12.8%).CONCLUSION:The clinical manifestations of acute poisoning in patients with an uncertain exposure history are diverse and nonspecific,and toxicological analysis plays a pivotal role in the diagnosis and differential diagnosis of such patients.

关键词： Acute poisoning Toxic exposure Toxicological analysis Clinical manifestation

Changes in microstructure and properties of weld heat-affected zone of high-strength low-alloy steel

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Journal of Iron and Steel Research International 2024年第8期31卷 2041-2052页

作者： Shu-jun Jia Qi-lin Ma Yu Hou ba.Li He-song Zhang Qing-you Liu Central Iron and Steel Research Institute Co. Ltd.Beijing 100081China Collaborative Innovation Center for Steel Commonality University of Science and Technology BeijingBeijing 100083China Construction Project Management Branch of China National Petroleum Pipeline Network Group Co. Ltd.Langfang 065000HebeiChina

The evolution of the microstructure and toughness of APL5L X80 pipeline steel after thermal welding simulation was investigated by X-ray diffraction,electron ba.kscatter diffraction,and transmission electron *** results indicated that primary heat-affected zones can be divided into weld,coarse-grained,fine-grained,intercritical,and sub-critical *** microstructure of the weld zone is mainly composed of ba.nitic ferrite and a small amount of granular ba.nite;however,the original austenite grains are distributed in the columnar *** structure of the coarse-grained zone is similar to that of the weld zone,but the original austenite grains are *** contrast,the microstructure in the fine-grained zone is dominated by fine granular ba.nite,and the effective grain size is only 8.15μm,thus providing the highest toughness in the entire heat-affected *** intercritical and subcritical zones were brittle valley regions,and the microstructure was dominated by granular ***,the martensite-austenite(M/A)constituents are present in island chains along the grain bounda.ies,and the coarse size of the M/A constituents seriously reduces the *** results of the crack propagation analyzes revealed that high-angle grain bounda.ies can significantly slow down crack growth and change the crack direction,thereby increasing the material *** impact toughness of the low-temperature tempering zone was equivalent to that of the columnar grain zone,and the impact toughness was between those of the critical and fine-grained zones.

关键词： Welding thermal simulation Impact toughness Crack propagation Martensite-austenite constituent High-strength low-alloy steel weld Heat-affected zone

Gastric cancer secreted miR 214-3p inhibits the anti-angiogenesis effect of apatinib by suppressing ferroptosis in vascular endothelial cells

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Oncology Research 2024年第3期32卷 489-502页

作者： WEIXUE WANG TONGTONG WANG YAN ZHANG TING DENG HAIYANG ZHANG YI ba Department of GI Medical Oncology Tanjin Medical University Cancer Institute and HospitalNational Clinical Research Center for CancerTianjin's Clinical Research Center for CancerTianjin Key Iaboratory of Digestive CancerKey Laboratory of Cancer Prevention and TherapyTianjin300060China

Diferent from necrosis,apoptosis,autophagy and other forms of cell death,ferroptosis is a mechanism that catalyzes lipid peroxida.ion of polyunsaturated ftty acids under the action of iron divalent or lipoxygenase,leading to cell *** is currently used in the third line standa.d treatment of advanced gastric cancer,targeting the anti-angiogenesis ***,Apatinib mediated ferroptosis in vascular endothelial cells has not been reported *** exosomes can be taken up into target cells to regulate tumor development,but the mechanism related to vascular endothelial cell ferroptosis has not yet been ***,we show that exosomes secreted by gastric cancer cells carry miR-214.3p into vascular endothelial cells and directdy target zinc finger protein A20 to negatively regulate ACSL4,a key enzyme of lipid peroxida.ion during frroptosis thereby inhibiting ferroptosis in vascular endothelial cells and reducing the eficiency of *** conclusion,inhibition of miR-214-3p can increase the sensitivity of vascular endothelial cells to Apatinib,thereby promoting the antiangiogenic efect of Apatinib,suggesting a potential combination therapy for advanced gastric cancer.

关键词： Cellular ferroptosis Exosome Tyrosine kinase inhibitor Gastrointestinal tumors miRNA