Passive descent

Geometry scaling of microwave circuits is an essential but challenging task. In particular, the employment of a given passive structure in a different application area often requires re-adjustment of the operating frequencies/bands while maintaining top performance. Achieving this necessitates the utilization of numerical optimization methods. Nonetheless, if the intended frequencies are distant from the ones at the starting point, local search procedures tend to fail, whereas global search algorithms are computationally expensive...

In radial basis function neural network (RBFNN)-based real-time learning tasks, forgetting mechanisms are widely used such that the neural network can keep its sensitivity to new data. However, with forgetting mechanisms, some useful knowledge will get lost simply because they are learned a long time ago, which we refer to as the passive knowledge forgetting phenomenon. To address this problem, this article proposes a real-time training method named selective memory recursive least squares (SMRLS) in which the classical forgetting mechanisms are recast into a memory mechanism...

INTRODUCTION: Efforts to reduce primary cesarean birth may include supporting longer second stages of labor. Although midwifery-led care is associated with lower cesarean use, little has been published on associated outcomes of prolonged second stage (≥3 hours of pushing) for nulliparous individuals in US hospital-based midwifery care. Epidural analgesia and the role of passive descent in midwifery-led care are also underexplored in relation to the second stage. In this study, we report the incidence of prolonged second stage stratified by epidural analgesia and/or passive descent...

The second stage of labor extends from complete cervical dilatation to delivery. During this stage, descent and rotation of the presenting part occur as the fetus passively negotiates its passage through the birth canal. Generally, descent begins during the deceleration phase of dilatation as the cervix is drawn upward around the fetal presenting part. The most common means of assessing the normality of the second stage of labor is to measure its duration, but progress can be more meaningfully gauged by measuring the change in fetal station as a function of time...

Powered knee-ankle prostheses can offer benefits over conventional passive devices during stair locomotion by providing biomimetic net-positive work and active control of joint angles. However, many modern control approaches for stair ascent and descent are often limited by time-consuming hand-tuning of user/task-specific parameters, predefined trajectories that remove user volition, or heuristic approaches that cannot be applied to both stair ascent and descent. This work presents a phase-based hybrid kinematic and impedance controller (HKIC) that allows for semi-volitional, biomimetic stair ascent and descent at a variety of step heights...

Stair navigation is an essential and demanding form of locomotion. During stair ascent and descent, persons with lower limb loss exhibit gait characteristics which may increase their risk of falls and joint degeneration of the intact limb. To reduce deviations from typically-able-bodied gait and overloading of the intact limb for this population, one potential intervention involves modifying passive prosthetic feet by incorporating a flexible toe joint that simulates the biological metatarsophalangeal joint...

[Purpose] To measure the reliability of and quantify the force on the spinous process during lumbar neuromuscular joint facilitation using mechanical measuring gloves. [Participants and Methods] We recruited 12 healthy participants. The operator wore a mechanical measuring glove and performed evaluations in the four modes of neuromuscular joint facilitation of the lumbar spine. The mechanical glove was used to measure the force applied by the fingers on the spinous process during the intervention. [Results] The reliability of measuring the supraspinous force during lumbar neuromuscular joint facilitation with mechanical gloves was found to be good; the force was 30...

Muscle ultrasonography is frequently used to improve the understanding of musculoskeletal impairments in children with spastic cerebral palsy (SCP). So far, most studies on muscle morphology and architecture have included typically developing children and children with SCP with similar ancestry, being mainly Caucasian. Less is known about differences in muscle morphology between children with different ancestral backgrounds. Therefore, the aim of this study was to compare muscle morphology and architecture of the medial gastrocnemius in typically developing children with African, South Asian and Southeast Asian descent from Suriname...

Powered prosthetic knees and ankles have the capability of restoring power to the missing joints and potential to provide increased functional mobility to users. Nearly all development with these advanced prostheses is with individuals who are high functioning community level ambulators even though limited community ambulators may also receive great benefit from these devices. We trained a 70 year old male participant with a unilateral transfemoral amputation to use a powered knee and powered ankle prosthesis...

As a new technology for reconstructing communication environments, intelligent reflecting surfaces (IRSs) can be applied to UAV communication systems. However, some challenges exist in IRS-assisted UAV communication system design, such as physical layer security issues, IRS design, and power consumption issues owing to the limitation of the hardware. Therefore, a secrecy capacity optimization scheme for an active IRS-assisted unmanned aerial vehicle (UAV) communication system is proposed to solve multi-user security issues...

Established in 2017, the Screening Cohort for Asian Nomadic descendants (Scan-China) has benefited over 180,000 members of a multi-ethnic population, particularly individuals of Mongolian descent compared with the general population (Han ethnicity), in the Inner Mongolia Autonomous Region, China. This cohort study aims to evaluate the effectiveness of cancer screening and serve as a real-world data platform for cancer studies. The 6 most prevalent cancers in China are considered-namely, breast, lung, colorectal, gastric, liver and esophageal cancer...

The high-prevalence blood group antigen, Sda , had been puzzling blood bankers and transfusionists for at least a decade when it was reported in 1967. The characteristic mix of agglutinates and free red blood cells (RBCs), caused by anti-Sda , is seen with the RBCs from 90 percent of individuals of European descent. However, only 2-4 percent of individuals are truly Sd(a-) and may produce anti-Sda . The antibodies, generally considered insignificant, may cause hemolytic transfusion reactions with high-expressing Sd(a+) RBCs (e...

The total heat flux sensors for NASA's Mars Entry, Descent, and Landing Instrumentation 2 (MEDLI2) sensor suite on the Mars 2020 vehicle and the Low-Earth Orbit Flight Test of an Inflatable Decelerator (LOFTID) technology demonstration mission are passively cooled Schmidt-Boelter gauges. The output of these sensors has been experimentally demonstrated to be dependent on the temperature of the sensing element. The experimental results are shown to align with a model that assumes temperature-dependent material properties, specifically the Seebeck coefficient...

Robot-assisted surgical systems can predict post-operative kinematics based upon intra-operative passive kinematics, planned implant position and alignment, and soft-tissue tension. It is currently unknown how well the intra-operative passive kinematics replicate the post-surgical weight bearing active kinematics. This study compared intra-operative and post-operative tibiofemoral implant contact paths after medial unicompartmental knee arthroplasty (mUKA). Passive intraoperative and active postoperative tibiofemoral contact path data was collected from eight patients who underwent mUKA...

In this study, the performance of intelligent reflecting surfaces (IRSs) with a discrete phase shift strategy is examined in multiple-antenna systems. Considering the IRS network overhead, the achievable rate model is newly designed to evaluate the practical IRS system performance. Finding the optimal resolution of the IRS discrete phase shifts and a corresponding phase shift vector is an NP-hard combinatorial problem with an extremely large search complexity. Recognizing the performance trade-off between the IRS passive beamforming gain and IRS signaling overheads, the incremental search method is proposed to present the optimal resolution of the IRS discrete phase shift...

Many people struggle with mobility impairments due to lower limb amputations. To participate in society, they need to be able to walk on a wide variety of terrains, such as stairs, ramps, and level ground. Current lower limb powered prostheses require different control strategies for varying ambulation modes, and use data from mechanical sensors within the prosthesis to determine which ambulation mode the user is in. However, it can be challenging to distinguish between ambulation modes. Efforts have been made to improve classification accuracy by adding electromyography information, but this requires a large number of sensors, has a low signal-to-noise ratio, and cannot distinguish between superficial and deep muscle activations...

BACKGROUND: Anterior cruciate ligament (ACL) rupture has direct effect on passive and active knee stability and, specifically, stretch-reflex excitability. PURPOSE/HYPOTHESIS: The purpose of this study was to investigate neuromuscular activity in patients with an acute ACL deficit (ACL-D group) compared with a matched control group with an intact ACL (ACL-I group) during stair descent and artificially induced anterior tibial translation. It was hypothesized that neuromuscular control would be impaired in the ACL-D group...

We experimentally demonstrate a 4 × 10 Gb/s cost-effective coherent ultra-dense wavelength division multiplexing passive optical network (UDWDM-PON) by the use of unequally-spaced 4-level pulse-amplitude modulation (UES-PAM-4) signaling. Because of the advantages of simple architecture and low cost, the simplified coherent receiver (SCR) based on the transmitted signal diversity (TS-D) has been reported, but its receiver sensitivity is constrained by the severe noise arising in the higher level of conventional PAM-4 signals...

Prosthetic knees available to individuals with transfemoral amputation seek to restore functional ability to the user. Passive prosthetic knees are lightweight but can restore only limited, dissipative ambulation activities whereas active knees can provide energy to restore additional ambulation activities such as stair climbing and standing up from a chair. Semi-active prosthetic devices aim to only power a subset of activities and use passive components and control when that power is not necessary. Here, we outline an ambulation control system for a lightweight Hybrid Knee prosthesis that is powered for climbing stairs and passive for other ambulation activities (level-ground walking, walking on an incline, and stair descent)...

Active prostheses can provide net positive work to individuals with amputation, offering more versatility across locomotion tasks than passive prostheses. However, the effect of powered joints on the bilateral biomechanics has not been widely explored for ambulation modes different than level ground and treadmill walking. In this study, we present the bilateral biomechanics of stair ascent and descent with a powered knee-ankle prosthesis compared to the biomechanical profiles of healthy subjects at different configurations of stair height...