High Safety Research Articles

Design and Fabrication of Automated Water Tank Cleaner

Abstract: To develop a mechanical system for cleaning automatic cylinder water tank. The mechanical system consists of water tank, electrical motor, shaft, handle for supporting frame and converter. Converter is used to supply the required voltage to the motor. As the power input is given to the electric motor. The mechanical system includes screw mechanism. A screw mechanism is a mechanical device that converts rotational motion into linear motion. It consists of a threaded shaft, known as a screw, and a nut with matching threads that engage with the screw. When the screw is rotated, the nut moves along the screw axis, resulting in linear motion of the nut. This arrangement is used to transport the entire mechanical system up and down for cleaning cylinder water tank. Brushes are connected to the shaft through coupling. When motor gets starts the energy transfers into the shaft. It cleans the interior surface of the cylinder water tank. The purpose of this project is to reduce the human efforts and to avoid the chemical influence on health of person entering the tank for cleaning. To overcome this cleaning tanks overhead manually is a critical job. So, we designed an automated cleaner with provide a high safety, better efficiency, and to reduce the time for cleaning

Towards More Sustainable Aqueous Zinc‐Ion Batteries

AbstractAqueous zinc‐ion batteries (AZIBs) are considered as the promising candidates for large‐scale energy storage because of their high safety, low cost and environmental benignity. The large‐scale applications of AZIBs will inevitably result in a large amount of spent AZIBs, which not only induce the waste of resources, but also pose environmental risks. Therefore, sustainable AZIBs have to be considered to minimize the risk of environmental pollution and maximize the utilization of spent compounds. Herein, this minireview focuses on the sustainability of AZIBs from material design and recycling techniques. The structure and degradation mechanism of AZIBs are discussed to guide the recycling design of the materials. Subsequently, the sustainability of component materials in AZIBs is further analysed to pre‐evaluate their recycling behaviors and mentor the selection of more sustainable component materials, including active materials in cathodes, Zn anodes, and aqueous electrolytes, respectively. According to the features of component materials, corresponding green and economic approaches are further proposed to realize the recycling of active materials in cathodes, Zn anodes and electrolytes, respectively. These advanced technologies endow the recycling of component materials with high efficiency and a closed‐loop control, ensuring that AZIBs will be the promising candidates of sustainable energy storage devices. This review will offer insight into potential future directions in the design of sustainable AZIBs.

Towards More Sustainable Aqueous Zinc-Ion Batteries.

Aqueous zinc-ion batteries (AZIBs) are considered as the promising candidates for large-scale energy storage because of their high safety, low cost and environmental benignity. The large-scale applications of AZIBs will inevitably result in a large amount of spent AZIBs, which not only induce the waste of resources, but also pose environmental risks. Therefore, sustainable AZIBs have to be considered to minimize the risk of environmental pollution and maximize the utilization of spent compounds. Herein, this minireview focuses on the sustainability of AZIBs from material design and recycling techniques. The structure and degradation mechanism of AZIBs are discussed to guide the recycling design of the materials. Subsequently, the sustainability of component materials in AZIBs is further analysed to pre-evaluate their recycling behaviors and mentor the selection of more sustainable component materials, including active materials in cathodes, Zn anodes, and aqueous electrolytes, respectively. According to the features of component materials, corresponding green and economic approaches are further proposed to realize the recycling of active materials in cathodes, Zn anodes and electrolytes, respectively. These advanced technologies endow the recycling of component materials with high efficiency and a closed-loop control, ensuring that AZIBs will be the promising candidates of sustainable energy storage devices. This review will offer insight into potential future directions in the design of sustainable AZIBs.

Agar‐Based Interface for Suppressing Parasitic Reactions toward High‐Performance Aqueous Zn‐Ion Batteries

With advantages including high capacity, intrinsic safety and low cost, aqueous zinc‐ion batteries (AZIBs) are ideal electrochemical energy storage devices for large‐scale and portable energy storage. However, the development of AZIBs suffers from tricky challenges, such as the notorious Zn dendrite growth and severe parasitic reactions. Herein, as a low‐cost and nontoxic biomass, agar is adopted to construct an interface layer on Zn foil to mitigate side reactions and induce uniform Zn deposition on Zn anodes. The interaction between Zn2+ and polar functional groups of agar can regulate Zn2+ distribution and promote Zn2+ desolvation, thus simultaneously achieving homogenous Zn deposition and suppressed hydrogen evolution reaction. Meanwhile, SO42− anions are blocked from contacting Zn surface due to electrostatic repulsion, greatly restraining corrosion and passivation. Consequently, Zn||A‐Cu asymmetric cell operates normally for 590 cycles with an average coulombic efficiency of 99.5%, suggesting good reversibility of Zn plating/stripping. Notably, A‐Zn symmetric cell exhibits a long lifespan of 1100 h at 2 mA cm−2. Furthermore, the A‐Zn||NVO full cell displays a superb capacity retention of 94.8% after 3600 cycles at 5 A g−1. This work offers a novel interface modification method for constructing stable and dendrite‐free anodes of AZIBs.

How to reduce construction risks in rural areas: an evolutionary game analysis

PurposeThe construction industry is widely recognized as one of the most hazardous sectors in the world. Despite extensive research on safety management, a critical issue remains that insufficient attention is devoted to safety practices in rural areas. Notably, accidents frequently occur during the construction of rural self-built houses (RSH) in China. Safety management tends to be overlooked due to the perceived simplicity of the construction process. Furthermore, it is essential to acknowledge that China currently lacks comprehensive laws and regulations governing safety management in RSH construction. This paper aims to analyze the behavior of key stakeholders (including households, workmen, rural village committee and the government) and propose recommendations to mitigate safety risks associated with RSH construction.Design/methodology/approachThis paper applies evolutionary game theory to analyze the symbiotic evolution among households, workmen and rural village committee, in situations with or without government participation. Additionally, numerical simulation is utilized to examine the outcomes of various strategies implemented by the government.FindingsWithout government participation, households, workmen, and rural village committee tend to prioritize maximizing apparent benefits, often overlooking the potential safety risks. Numerical simulations reveal that while government involvement can guide these parties towards safer decisions, achieving the desired outcomes necessitates the adoption of reasonable and effective strategies. Thus, the government needs to offer targeted subsidies to these stakeholders.Originality/valueConsidering that during the construction phase, stakeholders are the main administrators accountable for safety management. However, there exists insufficient research examining the impact of stakeholder behavior on RSH construction safety. This study aims to analyze the behavior of stakeholders about how to reduce the safety risks in building RSH. Thus, the authors intend to contribute to knowledge in this area by establishing evolutionary game model. Firstly, this study carried out a theoretical by using tripartite evolutionary game to reveal the reasons for the high safety risk during building RSH. Practically, this research points out the important role of households, workmen and rural village committee in improving safety management in rural areas. Besides, some suggestions are proposed to the government about how to reduce construction safety risks in rural areas.

6. Persistent spinal pain syndrome type 2.

Persistent Spinal Pain Syndrome (PSPS) refers to chronic axial pain and/or extremity pain. Two subtypes have been defined: PSPS-type 1 is chronic pain without previous spinal surgery and PSPS-type 2 is chronic pain, persisting after spine surgery, and is formerly known as Failed Back Surgery Syndrome (FBSS) or post-laminectomy syndrome. The etiology of PSPS-type 2 can be gleaned using elements from the patient history, physical examination, and additional medical imaging. Origins of persistent pain following spinal surgery may be categorized into an inappropriate procedure (eg a lumbar fusion at an incorrect level or for sacroiliac joint [SIJ] pain); technical failure (eg operation at non-affected levels, retained disk fragment, pseudoarthrosis), biomechanical sequelae of surgery (eg adjacent segment disease or SIJ pain after a fusion to the sacrum, muscle wasting, spinal instability); and complications (eg battered root syndrome, excessive epidural fibrosis, and arachnoiditis), or undetermined. The literature on the diagnosis and treatment of PSPS-type 2 was retrieved and summarized. There is low-quality evidence for the efficacy of conservative treatments including exercise, rehabilitation, manipulation, and behavioral therapy, and very limited evidence for the pharmacological treatment of PSPS-type 2. Interventional treatments such as pulsed radiofrequency (PRF) of the dorsal root ganglia, epidural adhesiolysis, and spinal endoscopy (epiduroscopy) might be beneficial in patients with PSPS-type 2. Spinal cord stimulation (SCS) has been shown to be an effective treatment for chronic, intractable neuropathic limb pain, and possibly well-selected candidates with axial pain. The diagnosis of PSPS-type 2 is based on patient history, clinical examination, and medical imaging. Low-quality evidence exists for conservative interventions. Pulsed radiofrequency, adhesiolysis and SCS have a higher level of evidence with a high safety margin and should be considered as interventional treatment options when conservative treatment fails.

Polypyrrole polymerized by iodine oxidation for zinc[sbnd]iodine batteries with high stability

Currently, aqueous rechargeable zinc-iodine (ZnI2) batteries are recognized as promising new energy storage devices due to their significant advantages, including large theoretical capacity, rapid charging and discharging capabilities and high safety. However, the shuttle effect caused by the soluble polyiodide ions leads to low utilization of active iodine and coulombic efficiency (CE). Herein, we use a high-concentration iodine solution as the oxidizing agent to synthesize polypyrrole (PPy/I2) for the first time. Compared with the PPy polymerized by using FeCl3 as oxidant (PPy/FeCl3), the ZnI2 battery based on PPy/I2 cathode demonstrates an extended cycle life (84.2 % after 3800 cycles at 2.0 A g−1), high CE (>98 % at 1.0 A g−1), and minimal self-discharge (75 % after rest 12 h). The results based on electrochemical testing and characterization indicate that the exceptional performance of PPy/I2 is primarily attributed to the early insertion of iodine species during the preparation process. This insertion creates reserved space for polyiodide ions, and the positive charge on the main chains of PPy effectively restricts their shuttle during battery operating. Furthermore, due to the ideal shuttle inhibition of PPy/I2, the Zn corrosion caused by polyiodide ions is effectively inhibited. The detailed characterizations explore the charge storage mechanism of PPy/I2. This research has guiding significance for improving the performance of PPy-based ZnI2 batteries.

Nonflammable Solid‐State Polymer Electrolyte for High‐Safety and Ultra‐Stable Lithium‐Ion Batteries

High safety and stability in batteries are crucial factors for the large‐scale application of lithium‐ion technology. In this work, flame‐retardant aluminum diethylphosphonite (ADP) is coated by urea‐formaldehyde (UF) shell to conquer the side reactions caused by ADP during cycling process. And then the core@shell structured ADP@UF is combined with poly(ethylene oxide) (PEO), high thermal stability can be realized. When exposed to high temperatures, ADP@UF generates N· and P· radicals to eliminate the combustion the H· and OH· radical, to inhibit fire. By controlling the percentage of flame retardant added, PEO‐ADP@UF has totally achieved the effect of inflaming retarding, realizing stable electrochemical properties at the same time. The ‐NH2 in UF forms hydrogen bonds with PEO, and acts as a Lewis base to promote the dissociation of lithium salts to increase the lithium‐ion mobility number. Compared to PEO, battery with PEO‐ADP@UF has outstanding cycling performance (103 mAh g‐1 at 1 C, 2.5‐4.2 V) and long service life (800 cycles).

UAV path planning: Integration of grey wolf algorithm and artificial potential field

SummaryUnmanned aerial vehicle (UAV) path planning is an important issue in UAV applications, with the goal of finding the optimal path to meet mission requirements, while considering factors such as avoiding obstacles and optimizing flight performance. To improve the efficiency of UAV path planning and enhance the smoothness and safety of UAV operation, this paper proposes a fusion optimization algorithm (GWO‐APF), which combines the grey wolf algorithm (GWO) and artificial potential field method (APF) for UAV path planning algorithms. Based on the GWO algorithm, this algorithm first sets planning constraints such as turning angle and tolerance to reduce the probability of local optima occurring; Second, using dimensionality reduction to improve the search efficiency of the GWO algorithm and generate the initial path; Finally, gravity is given to each point on the initial path, and the APF algorithm is used for path planning again. The simulation results show that the fused GWO‐APF algorithm has stronger path planning ability compared to the traditional GWO algorithm, and has the characteristics of short range and high safety.

MXene-Stabilized VS2 Nanostructures for High-Performance Aqueous Zinc Ion Storage.

Aqueous zinc-ion batteries (AZIBs) based on vanadium oxides or sulfides are promising candidates for large-scale rechargeable energy storage due to their ease of fabrication, low cost, and high safety. However, the commercial application of vanadium-based electrode materials has been hindered by challenging problems such as poor cyclability and low-rate performance. To this regard, sophisticated nanostructure engineering technology is used to adeptly incorporate VS2 nanosheets into the MXene interlayers to create a stable 2D heterogeneous layered structure. The MXene nanosheets exhibit stable interactions with VS2 nanosheets, while intercalation between nanosheets effectively increases the interlayer spacing, further enhancing their stability in AZIBs. Benefiting from the heterogeneous layered structure with high conductivity, excellent electron/ion transport, and abundant reactive sites, the free-standing VS2/Ti3C2Tz composite film can be used as both the cathode and the anode of AZIBs. Specifically, the VS2/Ti3C2Tz cathode presents a high specific capacity of 285 mAh g-1 at 0.2 A g-1. Furthermore, the flexible Zn-metal free in-plane VS2/Ti3C2Tz//MnO2/CNT AZIBs deliver high operation voltage (2.0 V) and impressive long-term cycling stability (with a capacity retention of 97% after 5000 cycles) which outperforms almost all reported Vanadium-based electrodes for AZIBs. The effective modulation of the material structure through nanocomposite engineering effectively enhances the stability of VS2, which shows great potential in Zn2+ storage. This work will hasten and stimulate further development of such composite material in the direction of energy storage.

In‐Situ Cross‐linked F‐ and P‐Containing Solid Polymer Electrolyte for Long‐Cycling and High‐Safety Lithium Metal Batteries with Various Cathode Materials

AbstractThe practical application of lithium metal batteries (LMBs) has been hindered by limited cycle‐life and safety concerns. To solve these problems, we develop a novel fluorinated phosphate cross‐linker for gel polymer electrolyte in high‐voltage LMBs, achieving superior electrochemical performance and high safety simultaneously. The fluorinated phosphate cross‐linked gel polymer electrolyte (FP‐GPE) by in‐situ polymerization method not only demonstrates high oxidation stability but also exhibits excellent compatibility with lithium metal anode. LMBs utilizing FP‐GPE realize stable cycling even at a high cut‐off voltage of 4.6 V (vs Li/Li+) with various high‐voltage cathode materials. The LiNi0.6Co0.2Mn0.2O2|FP‐GPE|Li battery exhibits an ultralong cycle‐life of 1200 cycles with an impressive capacity retention of 80.1 %. Furthermore, the FP‐GPE‐based batteries display excellent electrochemical performance even at practical conditions, such as high cathode mass loading (20.84 mg cm−2), ultrathin Li (20 μm), and a wide temperature range of −25 to 80 °C. Moreover, the first reported solid‐state 18650 cylindrical LMBs have been successfully fabricated and demonstrate exceptional safety under mechanical abuse. Additionally, the industry‐level 18650 cylindrical LiMn2O4|FP‐GPE|Li4Ti5O12 cells demonstrate a remarkable cycle‐life of 1400 cycles. Therefore, the impressive electrochemical performance and high safety in practical batteries demonstrate a substantial potential of well‐designed FP‐GPE for large‐scale industrial applications.

Pseudomyopia treated with auricular point sticking combined with periocular needle-embedding therapy and prevention of true myopia: a multicenter randomized controlled trial.

To observe the clinical effect and safety of auricular point sticking combined with periocular needle-embedding therapy for pseudomyopia and prevention of true myopia. A total of 269 children with pseudomyopia were randomized into an observation group (134 cases, 2 cases dropped out) and a control group (135 cases, 5 cases dropped out). In the control group, the healthy education was provided. In the observation group, besides the intervention as the control group, the auricular point sticking was delivered at gan (CO12), pi (CO13), xin (CO15) and yan (LO5) on one ear in each treatment, combined with periocular needle-embedding technique at bilateral Cuanzhu (BL 2), Yuyao (EX-HN 4) and Sibai (ST 2). There were 2 weeks of interval after 4 weeks of treatment. One course of treatment was composed of 6 weeks and 2 courses were required. Separately, before treatment, after 6 and 12 weeks of treatment, and after 12 weeks (the 1st follow-up visit) and 24 weeks (the 2nd follow-up visit) of treatment completion, the spherical equivalent (SE), SE progression, axial length (AL) progression, accommodative amplitude (AMP), the score of the TCM symptom and the general symptom were observed in the two groups. The safety and compliance were evaluated in the two groups. After 6 and 12 weeks of treatment, and in the 1st and 2nd follow-up visits, SE increased when compared with that before treatment in the two groups (P<0.05), and AMP was larger than that before treatment in the observation group (P<0.05). After 12 weeks of treatment, and in the 1st and 2nd follow-up visits, the progression of SE was slower in the observation group compared with that in the control group (P<0.01, P<0.001). After 6 and 12 weeks of treatment, and in the 1st and 2nd follow-up visits, the progression of AL in the observation group was lower than that of the control group (P<0.05, P<0.01, P<0.001); and in the 1st and 2nd follow-up visits, AMP of the observation group was larger when compared with that in the control group (P<0.05, P<0.001). After 6 and 12 weeks of treatment, and in the 1st and 2nd follow-up visits, the total scores of TCM symptom and general symptom were reduced in comparison with those before treatment in the observation group (P<0.05); after 6 and 12 weeks of treatment, the total scores of TCM symptom and general symptom were lower than those before treatment in the control group (P<0.05). In the 1st and 2nd follow-up visits, the difference of the total score of TCM symptom and general symptom in the observation group was larger than that of the control group (P<0.05). In the observation group, compared with the control group, the scores for pale/dark complexion in the 1st and 2nd follow-up visits and that for lassitude in the 2nd follow-up visit were lower (P<0.05), the score for poor concentration after 12 weeks of treatment and that for poor sleep and memory in the 2nd follow-up visit were lower (P<0.05). There were no adverse reactions in the two groups. The compliance was 98.5% in the observation group and was 96.3% in the control group, without statistical difference (P>0.05). On the basis of health education, auricular point sticking combined with periocular needle-embedding therapy can effectively prevent from true myopia, control the increase of SE, delay the growth of AL and improve AMP in children with pseudomyopia. This compound therapeutic regimen can relieve the general symptom and comprehensively prevent from myopia through multiple approaches, with high safety and satisfactory compliance.

Research Progress and Application Prospects of Solid-State Hydrogen Storage Technology

Solid-state hydrogen storage technology has emerged as a disruptive solution to the “last mile” challenge in large-scale hydrogen energy applications, garnering significant global research attention. This paper systematically reviews the Chinese research progress in solid-state hydrogen storage material systems, thermodynamic mechanisms, and system integration. It also quantitatively assesses the market potential of solid-state hydrogen storage across four major application scenarios: on-board hydrogen storage, hydrogen refueling stations, backup power supplies, and power grid peak shaving. Furthermore, it analyzes the bottlenecks and challenges in industrialization related to key materials, testing standards, and innovation platforms. While acknowledging that the cost and performance of solid-state hydrogen storage are not yet fully competitive, the paper highlights its unique advantages of high safety, energy density, and potentially lower costs, showing promise in new energy vehicles and distributed energy fields. Breakthroughs in new hydrogen storage materials like magnesium-based and vanadium-based materials, coupled with improved standards, specifications, and innovation mechanisms, are expected to propel solid-state hydrogen storage into a mainstream technology within 10–15 years, with a market scale exceeding USD 14.3 billion. To accelerate the leapfrog development of China’s solid-state hydrogen storage industry, increased investment in basic research, focused efforts on key core technologies, and streamlining the industry chain from materials to systems are recommended. This includes addressing challenges in passenger vehicles, commercial vehicles, and hydrogen refueling stations, and building a collaborative innovation ecosystem involving government, industry, academia, research, finance, and intermediary entities to support the achievement of carbon peak and neutrality goals and foster a clean, low-carbon, safe, and efficient modern energy system.

Effects of Lithium Halides on Electrode-Electrolyte Bifunctional Materials for High-Capacity All-Solid-State Batteries.

All-solid-state batteries have attracted attention because of their high energy density, safety, and long cycle life. Sulfide active materials exhibit high capacities and enable an enhanced energy density in all-solid-state batteries. In this study, we synthesized electrode-electrolyte bifunctional materials in the system Li2S-V2S3-LiX (X = F, Cl, Br, or I) through a mechanochemical process. In addition, the effects of the addition of lithium halides on the electrochemical properties were investigated. All-solid-state batteries with the Li2S-V2S3-LiI electrode showed the highest capacity of 400 mAh g-1 among all the cells, even though their electronic and ionic conductivities were the same. From the point of view of the ionic conductivity and structure of the electrodes during cycling, it was clarified that a high reversible capacity was achieved not only by high ionic and electronic conductivities before cycling but also by maintaining the ionic conductivity even at the deep state of charge. Furthermore, high-loading all-solid-state cells were fabricated using the Li2S-V2S3-LiI materials with a mass loading of 37.3 mg cm-2, exhibiting a high areal capacity of approximately 11.5 mAh cm-2 at 60 °C and good cycle performance.

Deprotonated of layered double hydroxides during electrocatalytic water oxidation for multi‐cations intercalation

AbstractAqueous rechargeable batteries using abundant multi‐ion cations have received increasing attention in the energy storage field for their high safety and low cost. Layered double hydroxides (LDHs) possess a two‐dimensional structure and exhibit great potential as cathodes for multi‐ion intercalation. However, the insufficient active sites of LDHs result in low capacities in the discharging process. Interestingly, the LDHs after the deprotonation process exhibit favorable electrochemical performance of multi‐cation intercalation. The deprotonation process of LDHs has been widely found in the oxygen evolution reaction and energy storage field, where LDHs lose H in laminates and converts to deprotonated γ‐phase MOOHs (MOOs). Herein, we take a comprehensive overview of the dynamics structure transformation of the deprotonation process of LDHs. Furthermore, the development of advanced aqueous battery cathode and metal battery anode based on deprotonated LDHs for energy storage is explored and summarized. Finally, the perspective of deprotonated LDHs in the energy storage field is discussed.

Acceptability of COVID-19 booster vaccine in malaysia: a cross-sectional study

Despite the high efficacy and safety demonstrated in clinical trials, COVID-19 booster vaccination rates in Malaysia remain below 50% among the general public. This study explores the factors influencing public acceptance of the COVID-19 booster vaccine among the Malaysian population. The questionnaire included variables on sociodemographics, knowledge, and the Health Belief Model (HBM) constructs. Based on the Chi-squared test of contingencies, a t-test and multivariate logistic regression analysis on 411 collected responses, the findings revealed that older participants, individuals of Chinese ethnicity, and those with higher education levels and incomes were more willing to accept booster vaccinations. The analysis further identified perceived susceptibility, perceived severity and perceived barriers as significant predictors influencing booster vaccination acceptance rates. Healthcare policymakers may consider targeting interventions to diminish the obstacles associated with booster vaccinations. These intervention strategies include implementing health intervention programmes, such as public health awareness initiatives, to raise awareness of the risks and severity of COVID-19, ultimately encouraging higher uptake of booster vaccines.

3D Ternary Alloy Artificial Interphase Toward Ultra‐Stable and Dendrite‐Free Aqueous Zinc Batteries

AbstractRechargeable aqueous zinc‐ion batteries (AZIBs) are one of the most promising post‐lithium battery technologies due to their low cost, high safety, and environmental friendliness. However, their practical development is hindered by the issues of Zn metal anodes, including dendrite growth, passivation, hydrogen evolution and other side reactions. Herein, to circumvent these issues, a facile and universal alloy electrodeposition strategy is proposed to construct a 3D structured ternary Zn alloy artificial interphase layer on Zn foil as an anode for high‐performance AZIBs. The density functional theory (DFT) theoretical calculations, in situ optical visualization and spectroscopic results validate that the zincophilic Zn─Sn─Bi@Zn ternary alloy anode with lower migration energy barrier and weak hydrogen adsorption sites can promote the uniform Zn deposition and suppress hydrogen evolution reactions. The Zn─Sn─Bi@Zn//NH4V4O10 full cell demonstrates a high specific capacity 110.4 mAh g−1 even after 10 000 cycles at 5.0 A g−1. Notably, the full cell with a high NH4V4O10 cathode loading mass of ≈20.0 mg cm−2 maintains cyclic stability for 400 cycles. This work proposes an innovative Zn‐based ternary alloy anode methodology as a design strategy for advanced AZIBs and beyond.

Modeling and economic model predictive control of constrained cutterhead system with disturbance in tunnel boring machines

Tunnel boring machines (TBMs) are usually the first choice for tunneling construction with its advantages on high safety, time saving, and less operators. Cutterhead system is an important component for TBMs since it is used to excavate rocks and soil. It is difficult to guarantee both the boring efficiency and energy saving under the excavating rock disturbances and the constraints on the driving motors in TBMs by manual operation. To deal with this problem, it is necessary to develop advanced control algorithms for the cutterhead system. Thus, we investigate an economic model predictive control (EMPC) structure for cutterhead system in TBMs. A generalized nonlinear dynamic model of TBM cutterhead system is built based on the first principle method. An economic cost is constructed with the boring efficiency and energy cost to evaluate the tunnel construction quality. EMPC algorithms are designed to optimize the constructed economic cost for a cutterhead system to guarantee good economic performance. It is shown that EMPC can improve the economic performance of the cutterhead system.

Recommendations for topical antimicrobial therapy of inflammatory diseases of the middle ear based on the results of evidence-based clinical study

Introduction. In conditions of widespread resistance of pathogens to traditional antimicrobial drugs, active attention is paid to the development of topical antimicrobial drugs for the effective treatment of inflammatory pathology of the middle ear.Aim. To study the efficacy and safety of a new dosage form of the drug Dioxydin® (2.5 mg/ml ear drops) in the treatment of patients with acute purulent otitis media and exacerbation of chronic purulent otitis media in comparison with ear drops containing 0.3% ciprofloxacin solution.Materials and methods. A multicenter randomized comparative clinical trial included adults with acute purulent otitis media or exacerbation of chronic purulent otitis media and during 6 face-to-face visits (days 1st, 3rd, 6th, 9th, as well as a therapy completion visit and a follow-up visit), the effect of drugs was evaluated according to examination, otoscopy, microbiological and audiometric examinations. Safety was assessed by the frequency of adverse events and the results of blood, urine tests and vital signs.Results. The achievement of the primary criteria was evaluated among 164 participants randomized into 2 groups: the proportion of patients with no indications for systemic antibacterial therapy at Visit 2 and with no ear pain at Visit 4, Dioxydin® ear drops had no less effectiveness than the comparison drug (64.6 and 89.9% versus 68.3 and 87.3%, respectively). In terms of the frequency of elimination of the pathogen and improvement of air conduction, the compared drugs also had no statistically significant differences, and according to some secondary criteria, Dioxydin® significantly exceeded 0.3% ciprofloxacin solution (the proportion of patients with a pronounced decrease in pain and congestion in the ear, as well as hyperemia of the eardrum). According to the safety criteria, the compared drugs had no significant differences.Conclusions. The results of the study confirmed the high efficacy and safety of Dioxydin® ear drops in the treatment of otitis media in adults.

Development of AAV-Mediated Gene Therapy Approaches to Treat Skeletal Diseases.

Adeno-associated viral (AAV) vectors have emerged as crucial tools in advancing gene therapy for skeletal diseases, offering the potential for sustained expression with low postinfection immunogenicity and pathogenicity. Preclinical studies support both the therapeutic efficacy and safety of these vectors, illustrating the promise of AAV-mediated gene therapy. Emerging technologies and innovations in AAV-mediated gene therapy strategies, such as gene addition, gene replacement, gene silencing, and gene editing, offer new approaches to clinical application. Recently, the increasing preclinical applications of AAV to rare skeletal diseases, such as fibrodysplasia ossificans progressiva (FOP) and osteogenesis imperfecta (OI), and prevalent bone diseases, such as osteoporosis, bone fracture, critical-sized bone defects, and osteoarthritis, have been reported. Despite existing limitations in clinical use, such as high cost and safety, the AAV-mediated gene transfer platform is a promising approach to deliver therapeutic gene(s) to the skeleton to treat skeletal disorders, including those otherwise intractable by other therapeutic approaches. This review provides a comprehensive overview of the therapeutic advancements, challenges, limitations, and solutions within AAV-based gene therapy for prevalent and rare skeletal diseases.