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Background Since the comprehensive implementation of the contracted family doctor service in 2016, the willingness of residents to have their first contact in primary care has gradually increased, but the effectiveness evaluation of contracted residents' first contact in primary care needs to be further explored. Objective To understand the current status of contracted residents' first contact evaluation, explore its influencing factors and propose improvement strategies. Methods A multi-stage stratified random sampling method was used to select 54 community health service institutions/township health centers in three cities in Shandong Province, with a total of 4 000 contracted residents. The first contact dimension questionnaire of the Chinese version of the Primary Care Quality Assessment Scale (PCAT) was used to conduct the survey, comparing the first contact dimension scores of contracted residents with different characteristics and using multiple linear regression to analyse the factors affecting the first contact evaluation of contracted residents. Results A total of 3 859 valid questionnaires were collected, with the effective recovery rate of 96.48%. Among them, 2 086 (54.1%) were residents of township health centers and 1 773 (45.9%) were residents of community health centers; the total score of the first contact dimension in the three regions was 3.49, with the highest score being "Is your contracted institution open on Saturdays and Sundays?" (3.74) ; the item with the lowest score was "During non-business hours, if you were sick at night, would your contracted facility have a doctor or nurse available?" (3.05). The results of the multiple linear regression analysis showed that the contracted facility, personal monthly income, education level, marital status, occupation, physical health and diagnosis of chronic disease were the factors influencing the scores of the first contact dimension of contracted residents (P

The histological features of irregular mandibular condylar surfaces revealed on CT images remain unknown.

Background Objective Methods Results Conclusion Aberrant occlusion and aging are two main risks for temporomandibular joint (TMJ) degeneration.To assess the combined impact of occlusion and age on TMJ disc.To avoid the confounding impact of gender, presently, 126 female C57BL/6J mice, 63 youngsters, 6‐week old and 63 adults, 28‐week old, were used. An experimental bilateral anterior crossbite (BAC) relation was created by installing metal tubes onto the mandibular incisors. Mice were sacrificed at 3, 7 and 11 weeks (n = 9). Additionally, the installed tubes were removed at 7 weeks in removal groups and the TMJs were sampled after another 4 weeks (n = 9). Disc changes were detected by histomorphology, immunohistochemistry, and western blot assays.Disc deformation was obvious in BAC groups. The typical change was hyperplasia at the posterior region of the disc where there was significant infiltration of inflammatory cells. Expressions of the inflammatory markers, including tumour necrosis factor‐α and interleukin‐1β, and the catabolic markers, including fibronectin (FN), FN N‐terminal fragments, and vascular endothelial growth factor‐A, were all increased. The changes were more obvious in adults than in youngsters. Removal of BAC attenuated inflammatory and catabolic changes in the youngsters, but the inflammatory markers recovered little in the adults.TMJ disc responds to BAC by degeneration and inflammation, and respond to BAC removal by rehabilitation. Adult discs show severer degeneration responses to BAC and a lower level of anti‐inflammatory capability to BAC removal than the youngster's discs. Animals cannot be equated with humans. The human disc response to occlusion changes worth further exploration. [ABSTRACT FROM AUTHOR]

This paper investigates a carrier landing controller for unmanned aerial vehicles (UAVs), and a nonlinear model predictive control (NMPC) approach is proposed considering a precise motion control required under dynamic landing platform and environment disturbances. The NMPC controller adopts constraint aware particle filtering (CAPF) to predict deck positions for disturbance compensation and to solve the nonlinear optimization problem, based on a model establishment of carrier motion and wind field. CAPF leverages Monte Carlo sampling to optimally estimate control variables for improved optimization, while utilizing constraint barrier functions to keep particles within a feasible domain. The controller considers constraints such as fuel optimization, control saturation, and flight safety to achieve trajectory control. The advanced control method enhances the solution, estimating optimal control sequences of UAV and forecasting deck positions within a moving visual field, with effective trajectory tracing and higher control accuracy than traditional methods, while significantly reducing single-step computation time. The simulation is carried out using UAV "Silver Fox", considering several scenarios of different wind scales compared with traditional CAPF–NMPC and the nlmpc method. The results show that the proposed NMPC approach can effectively reduce control chattering, with a landing error in rough marine environments of around 0.08 m, and demonstrate improvements in trajectory tracking capability, constraint performance and computational efficiency. [ABSTRACT FROM AUTHOR]

With the large-scale growth and grid connection of intermittent renewable energy such as wind and solar, the problem of increasing renewable energy curtailment rate and system backup flexibility has become increasingly prominent. In order to solve the problem of high proportion of renewable energy scientific consumption and flexible and stable operation of energy system. We propose a flexible and economical dispatch method based on data-driven multi-regional power system. For the problem of economic dispatch of multi-area power system, a mathematical calculation model is established to satisfy the constraints of unit output, system power balance, unit ramp rate, and valve point effect, and to consider the requirement of minimizing the cost of multi-area power load comprehensively. Based on data-driven, this paper adopts an improved fruit fly optimization algorithm to quickly find the global optimal solution. The calculations are performed by IEEE6 simulation test system, and the results verify the feasibility of the proposed algorithm. The improved fruit fly optimization algorithm is compared and analyzed with other algorithms considering the quality of the obtained solutions. The results show the effectiveness and superiority of the proposed algorithm in solving multi-area economic dispatching problems in real power systems. [ABSTRACT FROM AUTHOR]

Based on the flow field characteristics of the missile body, an integrated design method for missile and inlet with two side layout is proposed under asymmetric inflow. The result of numerical simulation shows that shock waves hit on cowl lip on the symmetry plane at the design condition, which verifies the method of integrated design. And the flow characteristics of inlet under the influence of the missile body are analyzed. Under the influence of asymmetric incoming flow and missile body, the first shock wave surface of the two-dimensional inlet presents the characteristics of a three-dimensional concave surface, and there is a pair of asymmetric vortex structures in the inner flow path. Finally, a bleed cavity of self-adaptively adjusting bleeding by vortex is proposed to improve the performance of inlet and broaden the inlet start and attack angle boundary. The minimum Mach number of the inlet start is reduced from 2.8 to 2.3 at ɑ = 6° and the maximum attack angle of inlet start is widened from ɑ = −1° to ɑ = 3° at Ma = 2.1. [ABSTRACT FROM AUTHOR]