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1.
OBJECTIVES: The aim of this study was to determine (a) whether delay in femur fracture stabilization beyond twenty-four hours in patients with head injury increased the risk of pulmonary complications and (b) whether immediate (up to twenty-four hours) femur fracture stabilization increased the risk of central nervous system (CNS) complications. DESIGN: Retrospective analysis. MATERIALS AND METHODS: Thirty-two patients with femur fracture and head injury were identified. Fourteen underwent immediate stabilization of their fractures, and eighteen underwent delayed (four-teen patients) or no (four patients) stabilization of their fractures. RESULTS: In the immediate stabilization group, five patients had severe head injuries [Glasgow Coma Score (GCS) < or = 8] and nine had mild head injuries (GCS > 8). In the mild head injury group, no patient had a pulmonary complication and one had a CNS complication. In the severely head-injured group, one patient had a pulmonary complication and no patient had a CNS complication. In the delayed stabilization group, six patients had mild head injuries (GCS > 8) and twelve had severe head injuries (GCS < or = 8). In the mildly head injured group, one patient had a pulmonary complication, two patients had CNS complications, and one patient died. In the severely head injured group, nine patients had pulmonary complications, three patients had CNS complications, and one patient died. Logistic regression identified delay in femur stabilization as the strongest predictor of pulmonary complication (p = 0.0042), followed by severity of chest Abbreviated Injury Score (AIS; p = 0.0057) and head AIS (p = 0.0133). Delaying fracture stabilization made pulmonary complications forty-five times more likely. Each point increase in the chest AIS and head/neck AIS increased the risk of pulmonary complication by 300 percent and 500 percent, respectively. A statistically significant predictor of CNS complications could not be identified by using logistic regression. CONCLUSION: Delay in stabilization of femur fracture in head-injured patients appears to increase the risk of pulmonary complications. However, due to selection bias in this patient sample, this question cannot be definitively answered. Early fracture stabilization did not increase the prevalence of CNS complications.  相似文献   
2.
This paper addresses the first generation benchmark problem on structural health monitoring developed by the ASCE Task Group on Structural Health Monitoring. The focus of the problem is a four-story model of an existing physical model at the University of British Columbia where simulated data are used for the system identification. Modal parameters were extracted using the frequency domain decomposition method. Rather than relying on data from the undamaged structure, a new proposed methodology based on ratios between stiffness and mass values from the eigenvalue problem is presented to identify the undamaged state of the structure. Once the structural identification is complete, the damage index method is used to detect the location and severity of damage. By not relying on undamaged structure information, this approach may be applicable to existing structures that may already incorporate some amount of damage.  相似文献   
3.
如果效率和成本目标能够实现,薄膜晶体硅太阳能电池有潜力替代目前在光伏市场上占主导地位的多晶硅太阳能电池。  相似文献   
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Multifunctional electronic textiles (e‐textiles) incorporating miniaturized electronic devices will pave the way toward a new generation of wearable devices and human–machine interfaces. Unfortunately, the development of e‐textiles is subject to critical challenges, such as battery dependence, breathability, satisfactory washability, and compatibility with mass production techniques. This work describes a simple and cost‐effective method to transform conventional garments and textiles into waterproof, breathable, and antibacterial e‐textiles for self‐powered human–machine interfacing. Combining embroidery with the spray‐based deposition of fluoroalkylated organosilanes and highly networked nanoflakes, omniphobic triboelectric nanogenerators (RF‐TENGs) can be incorporated into any fiber‐based textile to power wearable devices using energy harvested from human motion. RF‐TENGs are thin, flexible, breathable (air permeability 90.5 mm s?1), inexpensive to fabricate (<0.04$ cm?2), and capable of producing a high power density (600 µW cm?2). E‐textiles based on RF‐TENGs repel water, stains, and bacterial growth, and show excellent stability under mechanical deformations and remarkable washing durability under standard machine‐washing tests. Moreover, e‐textiles based on RF‐TENGs are compatible with large‐scale production processes and exhibit high sensitivity to touch, enabling the cost‐effective manufacturing of wearable human–machine interfaces.  相似文献   
6.
Storage of elastic energy is key to increasing the efficiency, speed, and power output of many biological systems. This paper describes a simple design strategy for the rapid fabrication of prestressed soft actuators (PSAs), exploiting elastic energy storage to enhance the capabilities of soft robots. The elastic energy that PSAs store in their prestressed elastomeric layer enables the fabrication of grippers capable of zero‐power holding up to 100 times their weight and perching upside down from angles of up to 116°. The direction and magnitude of the force used to prestress the elastomeric layer can be controlled not only to define the final shape of the PSA but also to program its actuation sequence. Additionally, the release of the elastic energy stored by PSAs causes their high‐speed recovery (≈50 ms), which significantly improves the actuation rates of soft pneumatic actuators, especially after motions requiring large deformations. Moreover, judicious prestressing of PSAs can also create bistable soft robotic systems, which use their stored elastic energy as a source of power amplification for rapid movements. These strategies serve as a basis for a new class of entirely soft robots capable of recreating bioinspired high‐powered and high‐speed motions using stored elastic energy.  相似文献   
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Convenient and inexpensive methods to pattern the facets of optical fibers with metallic nanostructures would enable many applications. This communication reports a method to generate and transfer arrays of metallic nanostructures to the cleaved facets of optical fibers. The process relies on nanoskiving, in which an ultramicrotome, equipped with a diamond knife, sections epoxy nanostructures coated with thin metallic films and embedded in a block of epoxy. Sectioning produces arrays of nanostructures embedded in thin epoxy slabs, which can be transferred manually to the tips of optical fibers at a rate of approximately 2 min(-1), with 88% yield. Etching the epoxy matrices leaves arrays of nanostructures supported directly by the facets of the optical fibers. Examples of structures transferred include gold crescents, rings, high-aspect-ratio concentric cylinders, and gratings of parallel nanowires.  相似文献   
9.
A nanopatterning method to deposit ferritin proteins with nanoscale accuracy over large areas is reported. Selective deposition is driven by the electrostatic interactions existing between the proteins and nanoscale features. Upon deposition, the protein shell can be removed by heating the patterns in an oxygen atmosphere. This leaves exposed the iron oxide core, which can be further reduced in size by plasma-etching methods. In this way, the initial ferritin molecules, which have a nominal size of 12 nm, are reduced to 2 nm nanoparticles. Magnetic force measurements confirm the magnetic activity of the as-deposited and etched nanoparticles.  相似文献   
10.
This paper characterizes the ability of soft pneumatic actuators and robots to resist mechanical insults that would irreversibly damage or destroy hard robotic systems—systems fabricated in metals and structural polymers, and actuated mechanically—of comparable sizes. The pneumatic networks that actuate these soft machines are formed by bonding two layers of elastomeric or polymeric materials that have different moduli on application of strain by pneumatic inflation; this difference in strain between an extensible top layer and an inextensible, strain‐limiting, bottom layer causes the pneumatic network to expand anisotropically. While all the soft machines described here are, to some extent, more resistant to damage by compressive forces, blunt impacts, and severe bending than most corresponding hard systems, the composition of the strain‐limiting layers confers on them very different tensile and compressive strengths.  相似文献   
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