Abstract-This paper presents the design of two suspended substrate stripline (SSS) bandpass filters (BPFs), both with a source-load coupling structure embedded to create a transmission zero (TZ) near each side of the passband edges. For the first BPF, the physical circuit layout is proposed first and followed by the establishment of an equivalent LC circuit. The optimization of element values of the LC circuit using a circuit-level simulator leads to quick adjustment of the structural parameters of the physical circuit layout with the aid of a full-wave simulator. For the second BPF, the ingenious equivalent LC circuit modified from that of the first one is proposed for bandwidth enhancement, which is achieved by exciting two extra loaded resonances in the passband. With the element values of the LC circuit optimized, proper reshaping the physical circuit layout from that of the first BPF is easily accomplished. The presented lumped and full-wave mixed approach is very efficient in that the circuitlevel simulator is used to the largest extent and the time-consuming full-wave simulator is employed only at the later stage of the design. Experiments are conducted to verify the design of the two SSS BPFs and agreements are observed between the measured and simulated data.
An inverse hull design problem for optimizing the shape of the after hull based on the desired wake distribution is solved using the Levenberg-Marquardt Method (LMM) and the commercial code SHIPFLOW. The desired wake distribution on a propeller plane can be obtained by modifying the existing wake distribution of the parent ship. The surface geometry of the ship is generated using the B-spline surface method, which enables the shape of the hull to be completely specified with only a small number of parameters (i.e., the control points). The advantage of calling SHIPFLOW as a subroutine in the present inverse calculation lies in that many difficult but practical hydrodynamic problems regarding ship design can be solved under this construction. The validity of the present 3-D inverse hull design problem for the after hull of a ship is justified based on the numerical experiments. Results show that optimal hull form can always be obtained based on the required wake distributions.
Background Previous studies have assessed note quality and the use of electronic medical record (EMR) as a part of medical training. However, a generalized and user-friendly note quality assessment tool is required for quick clinical assessment. We held a medical record writing competition and developed a checklist for assessing the note quality of participants’ medical records. Using the checklist, this study aims to explore note quality between residents of different specialties and offer pedagogical implications. Methods The authors created an inpatient checklist that examined fundamental EMR requirements through six note types and twenty items. A total of 149 records created by residents from 32 departments/stations were randomly selected. Seven senior physicians rated the EMRs using a checklist. Medical records were grouped as general medicine, surgery, paediatric, obstetrics and gynaecology, and other departments. The overall and group performances were analysed using analysis of variance (ANOVA). Results Overall performance was rated as fair to good. Regarding the six note types, discharge notes (0.81) gained the highest scores, followed by admission notes (0.79), problem list (0.73), overall performance (0.73), progress notes (0.71), and weekly summaries (0.66). Among the five groups, other departments (80.20) had the highest total score, followed by obstetrics and gynaecology (78.02), paediatrics (77.47), general medicine (75.58), and surgery (73.92). Conclusions This study suggested that duplication in medical notes and the documentation abilities of residents affect the quality of medical records in different departments. Further research is required to apply the insights obtained in this study to improve the quality of notes and, thereby, the effectiveness of resident training.
In support of the neurodevelopmental model of schizophrenia, minor physical anomalies (MPAs) have been suggested as biomarkers and potential pathophysiological significance for schizophrenia. However, an integrated, clinically useful tool that used qualitative and quantitative MPAs to visualize and predict schizophrenia risk while characterizing the degree of importance of MPA items was lacking. We recruited a training set and a validation set, including 463 schizophrenia patients and 281 healthy controls to conduct logistic regression and the least absolute shrinkage and selection operator (Lasso) regression to select the best parameters of MPAs and constructed nomograms. Two nomograms were built to show the weights of these predictors. In the logistic regression model, 11 out of a total of 68 parameters were identified as the best MPA items for distinguishing between patients with schizophrenia and controls, including hair whorls, epicanthus, adherent ear lobes, high palate, furrowed tongue, hyperconvex fingernails, a large gap between first and second toes, skull height, nasal width, mouth width, and palate width. The Lasso regression model included the same variables of the logistic regression model, except for nasal width, and further included two items (interpupillary distance and soft ears) to assess the risk of schizophrenia. The results of the validation dataset verified the efficacy of the nomograms with the area under the curve 0.84 and 0.85 in the logistic regression model and lasso regression model, respectively. This study provides an easy-to-use tool based on validated risk models of schizophrenia and reflects a divergence in development between schizophrenia patients and healthy controls (https://www.szprediction.net/).
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