ABSTRACT
INTRODUCTION: Discrimination in medical settings (DMS) contributes to healthcare disparities in the United States, but few studies have determined the extent of DMS in a large national sample and across different populations. This study estimated the national prevalence of DMS and described demographic and health-related characteristics associated with experiencing DMS in seven different situations. METHODS: Survey data from 41,875 adults participating in the All of Us Research Program collected in 2021-2022 and logistic regression were used to examine the association between sociodemographic and health-related characteristics and self-reported DMS among adults engaged with a healthcare provider within the past 12 months. Statistical analysis was performed in 2023-2024. RESULTS: About 36.89% of adults reported having experienced at least one DMS situation. Adults with relative social and medical disadvantages had higher prevalence of experiencing DMS. Compared to their counterparts, respondents with higher odds of experiencing DMS in at least one situation identified as female, non-Hispanic Black, having at least some college, living in the South, renter, having other living arrangement, being publicly insured, not having a usual source of care, having multiple chronic conditions, having any disability, and reporting fair or poor health, p<0.05. CONCLUSIONS: The findings indicate a high prevalence of DMS, particularly among some population groups. Characterizing DMS may be a valuable tool for identifying populations at risk within the healthcare system and optimizing the overall patient care experience. Implementing relevant policies remains an essential strategy for mitigating the prevalence of DMS and reducing healthcare disparities.
ABSTRACT
P91 steel is an important steam pipe for ultra-supercritical power plants due to its excellent creep strength, which generally has a design life of 100,000 h. Here, we found a significant aberrant decrease in the creep rupture life of a main steam pipe elbow after only 20,000 h of service. The microstructure in the aberrant piece exhibited a decomposition of martensitic lath into blocky ferrite due to recrystallization and accumulation of M23C6 as well as formation of the Laves phase along the prior austenitic grain boundaries, resulting in the decrease of hardness that no long meet ASME standard requirement. The creep testing of the P91 piece at 550-600 °C and 85-140 MPa shows that the influence of temperature on the cavity formation and cracking is greater than that of the applied stress. The rupture life is nearly two orders of magnitude shorter than the normal P91, attributing to the creep damage of the subgrain growth, M23C6 and Laves phase coarsening (aggregation approaching 3.4 µm). The residual life of the aberrant piece was evaluated to be 53,353 h based on the Larson-Miller parameter, which is much shorter than the design life, suggesting the safety operation of the elbow area should be paid more attention during the afterward service periods. P91 steel, main steam pipe elbow, aberrant microstructure, service degradation, creep life prediction.
ABSTRACT
Temperature is one of the most important factors significantly affecting damage detection performance in civil engineering. A new method called the Adaptive Bandwidth Filter Algorithm (ABFA) is proposed in this paper to separate the temperature effect from quasi-static long-term structural health monitoring data. The Adaptive Bandwidth Filter Algorithm (ABFA) is referred to as an algorithm of automatically adjusting the frequency bandwidth filter via the particle swarm optimization (PSO) algorithm. Considering the obvious multi-scale feature of the collected data of civil structure, the acquired time series are divided into different time scales (for example, day, month, year, etc.), and these scales in the frequency domain correspond to the center frequencies of the adaptive bandwidth filter. The temperature effect on structure responses across different time scales is thereafter explored by adaptively adjusting the frequency bandwidth of the filter based on the known center frequencies of different scales. The relationship between the temperature and the structure responses is established through statistical regression facilitated by sufficient in situ monitoring data. Simulation and experiment results show the very promising performance of the proposed algorithm and decouple the temperature effect accurately from the contaminated data; thus an enhanced capability of damage detection is achieved.
ABSTRACT
A reconfigurable dexterous gripper is designed which can switch states, including rigidity and flexibility, for different application scenarios. Moreover, the stiffness of the fingers in the flexible state can also be tuned for different objects. Three fingers are connected to the revolute joints of the palm, and each finger has a reshape mechanism with a slider moving up and down to lock or release the fingertip joint. When the slider moves upward, the gripper works in the rigid state and the fingers are actuated by the servos. When the slider moves downward, the gripper works in the flexible state that the fingertip is supported by a spring, and the fingertip joint is rotated by an embedded motor with two group cables for tuning stiffness. This novel design provides the gripper with the advantages of high precision and strong load capacity of rigid grippers and shape adaptability and safety of soft grippers. The reconfigurable mechanism allows the gripper great versatility for grasping and manipulation, which facilitates the planning and execution of the motion of objects with different shapes and stiffness. We discuss the stiffness-tunable mechanism with different states, analyze the kinematic characteristics, and test the manipulator performance to investigate the application in rigid-flexible collaborative works. Experimental results show the practicability of this gripper under different requirements and the rationality of this proposed concept.
ABSTRACT
In this study, the Wikipedia page views for four selected topics, namely, education, the economy/finance, medicine, and nature/environment from 2016-2018 are collected and the sample entropies of the three years' page views are estimated and investigated using a short-time series multiscale entropy (sMSE) algorithm for a comprehensible understanding of the complexity of human website searching activities. The sample entropies of the selected topics are found to exhibit different temporal variations. In the past three years, the temporal characteristics of the sample entropies are vividly revealed, and the sample entropies of the selected topics follow the same tendencies and can be quantitatively ranked. By taking the 95% confidence interval into account, the temporal variations of sample entropies are further validated by statistical analysis (non-parametric), including the Wilcoxon signed-rank test and the Mann-Whitney U-test. The results suggest that the sample entropies estimated by the sMSE algorithm are feasible for analyzing the temporal variations of complexity for certain topics, whereas the regular variations of estimated sample entropies of different selected topics can't simply be accepted as is. Potential explanations and paths in forthcoming studies are also described and discussed.
