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Acute hospital-community hospital care bundle for elderly orthopedic surgery patients:A propensity score-matched economic analysis

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World Journal of Orthopedics 2023年第4期14卷 231-239页

作者： Ivan En-Howe Tan Aik Yong Chok Yun Zhao Yonghui Chen Chee Hoe Koo junjie aw Mave Hean Teng Soh Chek Hun Foo Kwok Ann Ang Emile John Kwong Wei Tan Andrew Hwee Chye Tan Marianne Kit Har Au Group Finance Singapore Health ServicesSingapore 168582Singapore Department of Colorectal Surgery Singapore General HospitalSingapore 169608Singapore Post-Acute and Continuing Care Family MedicineOutram Community HospitalSingapore 168582Singapore Finance Singapore General HospitalSingapore 169608Singapore Department of Orthopedic Surgery Singapore General HospitalSingapore 169856Singapore Singhealth Community Hospital Singapore 168582Singapore

BACKGROUND While Singapore attains good health outcomes,Singapore’s healthcare system is confronted with bed shortages and prolonged stays for elderly people recovering from surgery in acute *** Acute Hospital-Community Hospital(AHCH)care bundle has been developed to assist patients in postoperative *** core concept is to transfer patients out of AHs when clinically recommended and into CHs,where they can receive more beneficial dedicated care to aid in their recovery,while freeing up bed capacities in *** To analyze the AH length of stay(LOS),costs,and savings associated with the AH-CH care bundle intervention initiated and implemented in elderly patients aged 75 years and above undergoing elective orthopedic *** A total of 8621:1 propensity score-matched patients aged 75 years and above who underwent elective orthopedic surgery in Singapore General Hospital(SGH)before(2017-2018)and after(2019-2021)the care bundle intervention period was *** measures were AH LOS,CH LOS,hospitalization metrics,postoperative 30-d mortality,and modified Barthel Index(MBI)*** costs of AH inpatient hospital stay in the matched cohorts were compared using cost data in Singapore *** Of the 862 matched elderly patients undergoing elective orthopedic surgery before and after the care bundle intervention,the age distribution,sex,American Society of Anesthesiologists classification,Charlson Comorbidity Index,and surgical approach were comparable between both *** transferred to CHs after the surgery had a shorter median AH LOS(7 d vs 9 d,P<0.001).The mean total AH inpatient cost per patient was 14.9%less for the elderly group transferred to CHs(S$24497.3 vs S$28772.8,P<0.001).The overall AH U-turn rates for elderly patients within the care bundle were low,with a 0%mortality rate following orthopedic *** elderly patients were discharged from CHs,their MBI scores increased significantly(50.9 vs 71.9,P<0.

关键词： Care bundle Community hospital Orthopedic surgery Cost-effectiveness Care transition Intervention

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Influence of introducing Zr,Ti,Nb and Ce elements on externally solidified crystals and mechanical properties of high-pressure die-casting Al–Si alloy

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International Journal of Minerals,Metallurgy and Materials 2025年第1期32卷 147-153页

作者： junjie Li Wenbo Yu Zhenyu Sun Weichen Zheng Liangwei Zhang Yanling Xue Wenning Liu Shoumei Xiong Center of Materials Science and Engineering School of Mechanical and Electronic Control EngineeringBeijing Jiaotong UniversityBeijing 100044China Traffic&Transportation Engineering Central South UniversityChangsha 410075China Shanghai Synchrotron Radiation Facility Shanghai Advanced Research InstituteChinese Academy of SciencesShanghai 201204China School of Materials Science and Engineering Tsinghua UniversityBeijing 100084China

High pressure die casting(HPDC)AlSi10Mn Mg alloy castings are widely used in the automobile *** can optimize the mechanical properties of castings through heat treatment,while the release of thermal stress arouses the deformation of large integrated ***,the development of non-heat treatment Al alloys is becoming the hot *** addition,HPDC contains externally solidified crystals(ESCs),which are detrimental to the mechanical properties of *** achieve high strength and toughness of non-heat treatment die-casting Al-Si alloy,we used AlSi9Mn alloy as matrix with the introduction of Zr,Ti,Nb,and *** influences on ESCs and mechanical properties were systematically investigated through three-dimensional reconstruction and thermodynamic *** results reveal that the addition of Ti increased ESCs'size and porosity,while the introduction of Nb refined ESCs and decreased ***,large-sized Al_3(Zr,Ti)phases formed and degraded the mechanical *** introduction of Ce resulted in the poisoning effect and reduced mechanical properties.

关键词： aluminium alloy high-pressure die-casting externally solidified crystals non-heat treatment

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Low-temperature chlorination roasting technology for the simultaneous recovery of valuable metals from spent LiCoO_(2)cathode material

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International Journal of Minerals,Metallurgy and Materials 2025年第1期32卷 80-91页

作者： junjie Shi Changle Hou Jingjing Dong Dong Chen Jianzhong Li Key Laboratory for Ecological Metallurgy of Multimetallic Mineral(Ministry of Education) Northeastern UniversityShenyang 110819China School of Metallurgy Northeastern UniversityShenyang 110819China

With the continuous increase in the disposal volume of spent lithium-ion batteries(LIBs),properly recycling spent LIBs has become essential for the advancement of the circular *** study presents a systematic analysis of the chlorination roasting kinetics and proposes a new two-step chlorination roasting process that integrates thermodynamics for the recycling of LIB cathode *** activation energy for the chloride reaction was 88.41 kJ/mol according to thermogravimetric analysis–derivative thermogravimetry data obtained by using model-free,model-fitting,and Z(α)function(αis conversion rate).Results indicated that the reaction was dominated by the first-order(F1)model when the conversion rate was less than or equal to 0.5 and shifted to the second-order(F2)model when the conversion rate exceeded *** conditions were determined by thoroughly investigating the effects of roasting temperature,roasting time,and the mass ratio of NH_(4)Cl to LiCoO_(2).Under the optimal conditions,namely 400℃,20 min,and NH_(4)Cl/LiCoO_(2)mass ratio of 3:1,the leaching efficiency of Li and Co reached 99.43% and 99.05%,*** of the roasted products revealed that valuable metals in LiCoO_(2)transformed into CoCl_(2) and ***,the reaction mechanism was elucidated,providing insights for the establishment of a novel low-temperature chlorination roasting technology based on a crystal structure *** technology can guide the development of LIB recycling processes with low energy consumption,low secondary pollution,high recovery efficiency,and high added value.

关键词： spent lithium-ion battery thermodynamics chlorination roasting kinetics circular economy

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Nanoparticles for the treatment of spinal cord injury

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Neural Regeneration Research 2025年第6期20卷 1665-1680页

作者： Qiwei Yang Di Lu Jiuping Wu Fuming Liang Huayi Wang junjie Yang Ganggang Zhang Chen Wang Yanlian Yang Ling Zhu Xinzhi Sun Department of Orthopedic Surgery The First Affiliated Hospital of Zhengzhou UniversityZhengzhouHenan ProvinceChina CAS Key Laboratory of Standardization and Measurement for Nanotechnology CAS Key Laboratory for Biomedical Effects of Nanomaterials and NanosafetyCAS Center for Excellence in NanoscienceNational Center for Nanoscience and TechnologyBeijingChina University of Chinese Academy of Sciences BeijingChina Department of Neurosurgery The First Affiliated Hospital of Chongqing Medical UniversityChongqingChina

Spinal cord injuries lead to significant loss of motor, sensory, and autonomic functions, presenting major challenges in neural regeneration. Achieving effective therapeutic concentrations at injury sites has been a slow process, partly due to the difficulty of delivering drugs effectively. Nanoparticles, with their targeted delivery capabilities, biocompatibility, and enhanced bioavailability over conventional drugs, are garnering attention for spinal cord injury treatment. This review explores the current mechanisms and shortcomings of existing treatments, highlighting the benefits and progress of nanoparticle-based approaches. We detail nanoparticle delivery methods for spinal cord injury, including local and intravenous injections, oral delivery, and biomaterial-assisted implantation, alongside strategies such as drug loading and surface modification. The discussion extends to how nanoparticles aid in reducing oxidative stress, dampening inflammation, fostering neural regeneration, and promoting angiogenesis. We summarize the use of various types of nanoparticles for treating spinal cord injuries, including metallic, polymeric, protein-based, inorganic non-metallic, and lipid nanoparticles. We also discuss the challenges faced, such as biosafety, effectiveness in humans, precise dosage control, standardization of production and characterization, immune responses, and targeted delivery in vivo. Additionally, we explore future directions, such as improving biosafety, standardizing manufacturing and characterization processes, and advancing human trials. Nanoparticles have shown considerable progress in targeted delivery and enhancing treatment efficacy for spinal cord injuries, presenting significant potential for clinical use and drug development.

关键词： antioxidants axon regeneration biocompatible materials drug carriers nanoparticles nerve regeneration neuroinflammatory diseases neuroprotection spinal cord injury stem cells

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Life-Cycle Bearing Capacity for Pre-Stressed T-beams Based on Full-Scale Destructive Test

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Structural Durability & Health Monitoring 2025年第1期19卷 145-166页

作者： Yushan Ye Tao Gao Liankun Wang junjie Ma Yingchun Cai Heng Liu Xiaoge Liu China Construction Seventh Engineering Division Corp. Ltd.Zhengzhou450004China School of Water Conservancy and Transportation Zhengzhou UniversityZhengzhou450001China

To investigate the evolution of load-bearing characteristics of pre-stressed beams throughout their service life and to provide a basis for accurately assessing the actual working state of damaged pre-stressed concrete T-beams,destructive tests were conducted on full-scale pre-stressed concrete *** on the measurement and ana-lysis of beam deﬂection,strain,and crack development under various loading levels during the research tests,combined with the veriﬁcation coefﬁcient indicators speciﬁed in the codes,the veriﬁcation coefﬁcients of bridges at different stages of damage can be *** results indicate that the T-beams experience complete,incom-plete linear,and non-linear stages during the destructive test *** the complete linear elastic stage,both the deﬂection and bottom strain veriﬁcation coefﬁcients comply with the speciﬁcations,indicating a good structural load-bearing capacity no longer adheres to the code’s *** the non-linear stage,both coefﬁcients exhi-bit a sharp increase,resulting in a further decrease in the structure’s load-bearing *** to the pro-visions of the current code,the beam can be in the incomplete linear stage when both values fall within the code’s speciﬁed *** strain veriﬁcation coefﬁcient sourced from the compression zone at the bottom of theﬂange is not recommended for assessing the bridge’s load-bearing capacity.

关键词： Pre-stressed T-beams whole process destructive test bearing capacity veriﬁcation coefﬁcient

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A simple and rapid simultaneous measurement strategy for optical rotatory dispersion and circular dichroism

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Light(Science & Applications) 2024年第11期13卷 2431-2433页

作者： junjie Du State Key Laboratory of Precision Spectroscopy School of Physics and Electronic ScienceEast China Normal UniversityShanghai 200062China

A simple cavity-based technology capable of simultaneously measuring optical rotary dispersion and circular dichroism within milliseconds offers ultra-high sensitivity and unprecedented spectral *** advancement holds significant potential for various biochemical applications,including drug development,clinical diagnosis,and food science and safety.

关键词： dispersion circular simultaneous

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Modeling,Characterization,and Application of Soft Bellows-Type Pneumatic Actuators for Bionic Locomotion

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Acta Mechanica Solida Sinica 2023年第1期36卷 1-12页

作者： Huichen Ma junjie Zhou School of Mechanical Engineering Beijing Institute of TechnologyBeijing 100081China Institute of Advanced Technology Beijing Institute of TechnologyJinan 250101China

Soft bellows-type pneumatic actuators(SBPAs),which consist of two cavities with small chambers embedded in elastomeric structures,are an essential embranchment in the field of soft ***,more analytical modeling and analysis of SBPAs need to be *** this article,we first present the structure design,fabrication method,and material property test of the ***,based on the plate bending theory,an analytical model and the corresponding design approach for SBPAs are established,which consider both geometric complexity and material *** verification results indicate that the predicted analytical results coincide well with the physical experimental measurement and simulation *** decision coefficient is R^(2)=*** impacts of geometric dimensions and silicone material characteristics on the bending deformation of SBPAs are also *** further demonstrate the bionic utility of *** an approach can be used as a tool for the design optimization of bellows-type actuators and save the designer lots of finite element analysis with its low computational *** work provides a detailed investigation of the performance of SBPAs,which can be a basic module for various types of soft robots such as soft snake robots,crawling robots,and robotic arms in the future.

关键词： Plate bendingtheory Soft actuator Modeling Bionic application

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Dual-ion carrier storage through Mg^(2+) addition for high-energy and long-life zinc-ion hybrid capacitor

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International Journal of Minerals,Metallurgy and Materials 2024年第1期31卷 179-185页

作者： junjie Zhang Xiang Wu School of Materials Science and Engineering Shenyang University of TechnologyShenyang 110870China

Cation additives can efficiently enhance the total electrochemical capabilities of zinc-ion hybrid capacitors (ZHCs).However their energy storage mechanisms in zinc-based systems are still under ***,we modulate the electrolyte and achieve dual-ion storage by adding magnesium *** we assemble several Zn//activated carbon devices with different electrolyte concentrations and investigate their electrochemical reaction dynamic *** zinc-ion capacitor with Mg^(2+)mixed solution delivers 82 mAh·g^(-1)capacity at 1 A·g^(-1) and maintains 91%of the original capacitance after 10000 *** is superior to the other assembled zinc-ion devices in single-component *** finding demonstrates that the double-ion storage mechanism enables the superior rate performance and long cycle lifetime of ZHCs.

关键词： zinc-ion hybrid capacitor MgSO_(4) electrolyte rate performance storage mechanism

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MULTI-SYMPLECTIC FOURIER PSEUDOSPECTRAL METHOD FOR A HIGHER ORDER WAVE EQUATION OF KDV TYPE

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Journal of Computational Mathematics 2015年第4期33卷 379-395页

作者： junjie Wang Mathematics and Statistical Institute Pu Er University Pu Er 665000 China Mathematics Department of Northwest University Xidn 710127 China

The higher order wave equation of KdV type, which describes many important physical phenomena, has been investigated widely in last several decades. In this work, multi- symplectic formulations for the higher order wave equation of KdV type are presented, and the local conservation laws are shown to correspond to certain well-known Hamiltonian functionals. The multi-symplectic discretization of each formulation is calculated by the multi-symplectic Fourier pseudospectral scheme. Numerical experiments are carried out, which verify the efficiency of the Fourier pseudospectral method.

关键词： The higher order wave equation of KdV type Multi-symplectic theory Fourierpseudospectral method Local conservation laws.

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Detecting large-scale underwater cracks based on remote operated vehicle and graph convolutional neural network

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Frontiers of Structural and Civil Engineering 2022年第11期16卷 1378-1396页

作者： Wenxuan CAO junjie LI Faculty of Infrastructure Engineering Dalian University of TechnologyDalian 116024China College of Water Conservancy and Hydropower Engineering Hohai UniversityNanjing 210098China

It is of great significance to quickly detect underwater cracks as they can seriously threaten the safety of underwater *** to date has mainly focused on the detection of above-water-level cracks and hasn’t considered the large scale *** this paper,a large-scale underwater crack examination method is proposed based on image stitching and *** addition,a purpose of this paper is to design a new convolution method to segment underwater *** improved As-Projective-As-Possible(APAP)algorithm was designed to extract and stitch keyframes from *** graph convolutional neural network(GCN)was used to segment the stitched *** GCN’s m-IOU is 24.02%higher than Fully convolutional networks(FCN),proving that GCN has great potential of application in image segmentation and underwater image *** result shows that the improved APAP algorithm and GCN can adapt to complex underwater environments and perform well in different study areas.

关键词： underwater cracks remote operated vehicle image stitching image segmentation graph convolutional neural network

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