简介：Flexiblebronchoscopyisanessentialbasicinvestigationinrespiratorymedicine.Itenablesvisualinspectionoftheairwaysdowntothesubsegments,andallowsvarioussamplestobeeasilyobtainde.Theprocedureisverysafeandisperformedasaday-caseprocedurewithlocalanaestheria,withorwithoutshort-actingintravenoussedation.

简介：AbstractBackground:Nasal insertion is the preferred method for non-intubated patients in flexible bronchoscopy; however, the relatively narrow nasal cavity results in difficulties related to bronchoscope insertion. This study aimed to investigate whether pre-operative nasal probe tests could reduce the time to pass the glottis, improve the first-pass success rate and patients’ tolerance, and reduce postoperative bleeding.Methods:This three-arm prospective randomized controlled trial was conducted in a tertiary hospital between May and October 2020. Three hundred patients requiring diagnosis and treatment using flexible bronchoscopy were randomly allocated to three groups: control group, simple cotton bud detection group (CD group), and adrenaline + lidocaine detection group (AD group). The primary outcome was the time to pass the glottis. Secondary outcomes included the first-pass success rate, the patients’ tolerance scores, and post-operative bleeding. One-way analysis of variance, Kruskal-Wallis H test, Chi-squared test, Fisher’s exact test, and Bonferroni’s multiple comparison tests were used in this study.Results:In total, 189 men and 111 women were enrolled in this study, with a mean age of 55.72 ± 12.86 years. The insertion time was significantly shorter in the AD group than in the control group (18.00 s [12.00–26.50 s] vs. 24.00 s [14.50–45.50 s], P = 0.005). Both the AD (99% vs. 83%, χ2 = 15.62, P < 0.001) and CD groups (94% vs. 83%, χ2 = 5.94, P = 0.015) had a significantly higher first-pass success rate than the control group. Compared with the control group, post-operative bleeding (1% vs. 13%, χ2 = 11.06, P < 0.001) was significantly lower in the AD group. However, no significant difference was found in the patients’ tolerance scores.Conclusions:Pre-operative nasal cavity probe tests especially with adrenaline and lidocaine during flexible bronchoscopy can significantly reduce the time to pass the glottis, improve the first-pass success rate, and reduce post-operative nasal bleeding. Pre-operative nasal probe tests are recommended as a time-saving procedure for patients undergoing flexible bronchoscopy.Trial registration:Chinese Clinical Trial Registry (ChiCTR), ChiCTR2000032668; http://www.chictr.org.cn/showprojen.aspx?proj=53321.

简介：Flexiblesupercapacitorsshowagreatpotentialforapplicationsinwearable,miniaturized,portable,largescaletransparentandflexibleconsumerelectronicsduetotheirsignificant,inherentadvantages,suchasbeingflexible,lightweight,lowcostandenvironmentallyfriendlyincomparisonwiththecurrentenergystoragedevices.Inthisreport,recentprogressonflexiblesupercapacitors,flexibleelectrodesandelectrolytesisreviewed.Inaddition,thefuturechallengesandopportunitiesarediscussed.

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简介：一个灵活起床人的机械表演是比处于强烈环境条件的另外的起床人更突出的。基于lumped团方法，灵活起床人配置纳入了漂浮的生产存储的一个陡峭的波浪并且(FPSO)卸载被用于全球分析以便获得灵活起床人的静态、动态的行为。起床人在每结束与一个节点被划分成一系列笔直地无团的线片断。当团，重量，和快活都是到节点的lumped时，仅仅线的轴、扭力的性质被建模。四不同快活模块长度被做了表明模式选择的重要性，以便证实最佳快活模块长度。在灵活起床人不对海洋水流很敏感的敏感学习表演的结果，和快活模块能减少Von协定压力并且改进灵活起床人的机械表演。更短的快活模块长度能减少起床人在快活模块长度的一个特定的范围的有效紧张当另外的参数是时，常数，而是它能也增加起床人的最大的弯曲。作为结果，各种起床人表演应该被考虑以便选择最适当的快活模块长度。

简介：Theunbondedflexiblepipeofeightlayers,inwhichallthelayersexceptthecarcasslayerareassumedtohaveisotropicproperties,hasbeenanalyzed.Specifically,thecarcasslayershowstheorthotropiccharacteristics.Theeffectiveelasticmoduliofthecarcasslayerhavebeendevelopedintermsoftheinfluenceofdeformationtostiffness.Withconsiderationoftheeffectiveelasticmoduli,thestructurecanbeproperlyanalyzed.Alsotherelativemovementsoftendonsandrelativedisplacementsofwiresinhelicalarmourlayerhavebeeninvestigated.Athree-dimensionalnonlinearfiniteelementmodelhasbeenpresentedtopredicttheresponseofflexiblepipesunderaxialforceandtorque.Further,thefrictionandcontactofinterlayerhavebeenconsidered.Comparisonbetweenthefiniteelementmodelandexperimentalresultsobtainedinliteraturehasbeengivenanddiscussed,whichmightprovidepracticalandtechnicalsupportfortheapplicationofunbondedflexiblepipes.

简介：Duringhissecondtenure,Clintonwillpaymoreattentiontodiplomaticworkandmaymakesomeadjustmentsinhisforeignpolicywhilemaintainingcontinuityofthepolicyduringhisfirsttenure.1.Theguidelineofforeignpolicyofthenewadministrationwouldbecharac-terizedbythefollowingthreefeatures:

简介：Intheviewofstaffshortagesandthehugeinventoryofproductsinthecurrentmarket,weputforwardapersonnelschedulingmodelinthetargetofclosingtothedeliverydateconsideringtheparallelism.Thenwedesignedaschedulingalgorithmbasedongeneticalgorithmandproposedaflexibleparalleldecodingmethodwhichtakefulluseofthepersonalcapacity.Casestudyresultsindicatethattheflexiblepersonnelschedulingconsideringtheorder-shopscheduling,machineautomaticcapabilitiesandpersonnelflexibleinthetargetofclosingtothedeliverydateoptimizetheallocationofhumanresources,thenmaximizetheefficiency.

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简介：Thestructuralpropertiesofwateratdifferenttemperatureshavebeeninestigatedusingaflexiblewatermodelintheisothermal-isobaricensemble.Withdecreasingtemperature,thetetrahedralityofthedistributionofthewatermoleculesaroundthecentralwatermoleculeisenhanced,andthehydrogenbondsbecomemorelinear.Bymeansofaconjugategradientenergyminimization,dynamicalconfigurationsatvarioustemperatureshavebeenmappedontonearbypotential-energyminima,the50°-60°peak(P1)inthedistributionfunctionoftheO-O-Oangleofatrimerbecomesfarsmaller.HoweverthereappearstobeasmallbutobservabletemperaturedependenceofP1,i.e.thehigherthetemperature,thehighertheP1intensity.

简介：宿命论对在调试的多线程的节目很有用，测试，等等。许多确定的途径被建议了，例如确定的多线程(DMT)并且确定重放。然而，这些系统任何一个是低效的或指向一个单�

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简介：Page-basedsoftwareDSMsystemssufferfromfalsesharingcausedbythelargesharinggranularity,andonlysupportone-dimensionBlockorCyclicblockdatadistributionschemes,Thusapplicationsrunningonthemwillsufferfrompoordatalocalityandwillbeabletoexploitparallelismonlywhenusingalargenumberofprocessors,Inthispaper.awaytowardssupportingflexibledatadistribution(FDD)onsoftwareDSMsystemispresented.Smallgranularity-tunableblocks,thesizeofwhichcanbesetbycompilerorprogrammer,areusedtooverlaptheworkingdatasetsdistributedamongprocessors.TheFDDwasimplmentedonasoftwareDSMsystemcalledJIAJIA.ComparedwithBlock/Cyclic-blockdistributionschemesusedbymostDSMsystemsnow,experimentsshowthattheproposedwayofflexibledatadistributionismoreeffective.Theperformanceoftheapplicationsusedintheexperimentsissignificantlyimproved.

简介：AbstractImportance:Pediatric hypervascular primary airway tumors are progressive, fatal lesions with a low incidence, and the disease is often more serious than that in adults.Objective:To evaluate the clinical efficacy and safety of interventional therapeutic bronchoscopy combined with conservative treatment and bronchial arterial embolization in children with primary airway tumors.Methods:We retrospectively analyzed the clinical data of four pediatric patients with hypervascular primary airway tumor between 2017 and 2019 at Beijing Children’s Hospital.Results:Two patients were low-grade bronchial mucoepidermoid carcinoma, one patient was pleomorphic adenoma, and one was bronchial leiomyoma. Interventional therapeutic bronchoscopy combined with bronchial arterial embolization was used for treatment (all four patients received general anesthesia). The tumors were safely resected in all patients via interventional bronchoscopy. There were no severe complications related to the procedures. All patients were followed up for 5-12 months, and one low-grade bronchial mucoepidermoid carcinoma recurred.Interpretation:Interventional therapeutic bronchoscopy combined with bronchial arterial embolization appears to be a safe and efficient therapeutic method associated with less trauma and fewer complications, including no serious adverse events, in children with hypervascular primary airway tumors without bronchus wall infiltration.

简介：Wecomputethewakeofatwo-dimensionalandthree-dimensionalflexiblefininanunsteadyflowfieldwithheavingandpitchingmotionsusingFLUENT.Deflexionmodeisusedforanon-uniformcantileverbeamwithnon-uniformlydistributedload.Theeffectofchordwisedeflexionlengthonthecharacteristicsofpropulsionisdiscussedfortwo-dimensionalflexiblefin.Thethrustcoefficientdecreases,propulsiveefficiencyincreasesandtheintensityofturbulenceattenuatesgraduallyasthedeflexionlengthincreases.Forathree-dimensionalflexiblefin,theintensityofthevortexintheplaneofsymmetryishigherthanthatintheplaneat3/4spanlengthofthecaudalfin.Butthepropulsiveperformanceachievedisnotwhatweexpectedwiththegivendeflexionmode.

简介：Anonlineardynamicanalysismodelisestabilishedonthebasisof"lumpedmass"approach,whichtakestheinfluenceofthefluidflowwithinthepipeintoconsideration.Numericalresultsarecomparedwiththepublishedworks,andtheeffectsofinternalfluidflow,internalpressure,dyanmicsaswellasthenonlinearcharacteristicsonthebehaviorofflexiblerisersarediscussed.Fromthiswork,someusefulconclusionsaredrawn.

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简介：Thepotentialforharvestingenergyfromaflexibledeltawingusingapiezoelectricbimorphisexperimentallyinvestigated.Differentconfigurationsoftheproposedharvestingsystemweretestedinawindtunneloverabroadrangeofairspeeds.Inadditiontoevaluatingthelevelofharvestedpower,ananalysisisperformedtoextractcriticalaspectsfortherelationbetweenspeed,flexibility,geometryandthepotentialpowerthatcanbeharvestedfromaclamped,cantileveredflexibledeltawingatlowanglesofattackandlowspeeds.Thisanalysisprovidesaninsightintoparametersthatimpactenergyharvestingfromflexiblemembranesorelements.

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