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简介：Despitewidespreadawarenessanduseofscientificallyprovenlife-prolongingmedicalanddevice-basedtherapiesoverthelasttwodecades,heartfailureremainsaleadingcauseofmorbidity,mortality,andhealthcareexpenditureintheUnitedStates.Mechanicalcirculatorysupportwithacontinuous-flowleftventricularassistdevice(CF-LVAD),eitherasabridgetohearttransplantationorasdestinationtherapy,isanincreasinglyusedtreatmentmodalityforpatientswithadvancedheartfailuresyndromesthatworsendespitetheirreceivingstandardtherapies.CF-LVADsupportcreatesuniquehemodynamicalterationsthatmustbeunderstoodtoprovideappropriatecareforthesepatientsbeforeandafterimplantation.EchocardiographyisessentialintheevaluationofpatientswhoarebeingconsideredfororaremechanicallysupportedbyCF-LVADs.Hereweprovideafocusedclinicalreviewontheuseofechocardiographyintwomainaspectsoftheevaluationofthesepatients:(a)optimalpatientselectionforCF-LVADsupportand(b)followupassessmentofoptimalpumpfunction.

简介：AbstractBackground:It remains unclear whether the outcomes of ST-elevation myocardial infarction (STEMI) patients treated with primary percutaneous coronary intervention (PPCI) during off-hours are as favorable as those treated during on-hours, especially those with a first medical contact-to-device (FMC-to-device) time within 90 min. We aimed to determine whether off-hours admission impacted late outcomes in patients undergoing PPCI and with an FMC-to-device time ≤90 min.Methods:This multicenter retrospective study included 670 STEMI patients who underwent successful PPCI and had an FMC-to-device time ≤90 min from 19 chest pain centers in Beijing from January 2018 to December 2018. Patients were divided into on-hours group and off-hours group based on their arrival time. Baseline characteristics, clinical data, and key time intervals during treatment were collected from the Quality Control & Improvement Center of Cardiovascular Intervention of Beijing by the "Heart and Brain Green Channel" app.Results:Overall, the median age of the patients was 58.8 years and 19.9% (133/670) were female. Of these, 296 (44.2%) patients underwent PPCI during on-hours and 374 (55.8%) patients underwent PPCI during off-hours. Compared with the on-hours group, the off-hours group had a longer FMC-to-device time and fewer patients with FMC-to-device time ≤60 min (P < 0.05). During the mean follow-up period of 24 months, a total of 64 (9.6%) participants experienced a major adverse cardiovascular event (MACE), with 28 (9.1%) in the on-hours group and 36 (9.6%) in the off-hours group (P > 0.05). According to the Cox regression analyses, off-hours admission was not a predictor of 2-year MACEs (P = 0.788). Similarly, the Kaplan-Meier curves showed that the risks of a MACE, all-cause death, reinfarction, and target vessel revascularization were not significantly different between the two groups (P > 0.05).Conclusions:This real-world, multicenter retrospective study demonstrated that for STEMI patients who underwent PPCI within 90 min, off-hours admission was safe, with no difference in the risk of 2-year MACEs compared with those with on-hours admission.

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简介：ThephysicalmodeldescribingtheYin-Yangbalanceinthetai-chidiagramviathemeltingandfreezingprocessesinarotatingdevicepresentedinparts1and2isfurtherdevelopedforthecontemporarytai-chidiagramandintheyuan-chidiagram.Thecontemporarytai-chidiagramshowninFig.1isasimplificationformoftheancienttai-chidiagrampresentedinReference[2].Therearetwosemi-circlesformingtheinterfacecurvebetweentheyinandyanginthecontemporarytai-chidiagram.Byknowingthelocationoftheinterfacebetweentheyinandyanginthecontemporarytai-chidiagram,therequirementforthesimulationmodelistofindtheconditiontomatchtheinterfacelocation.Thesimplificationchangesnotonlythestructurebutalsothephysicalinsightoftheancienttai-chidiagram,whichwillbedescribedinthepresentstudy.Theyuan-chidiagramshowninFig.2isthecombinationoftheMasterChen’stai-chidiagrampresentedinReferences[1,2]andthecontemporarytai-chidiagram.Th

简介：摘要：能源是现代社会存在和发展的基石，大规模开发利用可再生能源已成为未来我国能源战略的重要组成部分。接下来，我国将大力发展太阳能光伏产业。但是，目前我国在收集和利用太阳能方面仍存在一些问题。其中有一部分原因是太阳在运动过程中，太阳能光伏发电板不能一直被太阳直射，从而未能最大程度利用太阳能。本文基于双轴平衡式追光方式，设计了一个太阳能光伏发电装置，在现有追光技术的基础上，将视日运动轨迹追踪和光电追踪的有机结合，通过对光照强度的自动识别，实现了对太阳光全天候的追踪，提高了太阳能收集效率。