Kinematic Modeling and Experimental Study of a Rope-Driven Bionic Fish.

This paper presents a biomimetic fish robot featuring a flexible spine driven by cables, which integrates the cable-driven mechanism with a flexible spine. The drive system separates the body and tail fin drives for control, offering enhanced flexibility and ease in achieving phase difference control between the body and tail fin movements compared to the conventional servo motor cascaded structure. A prototype of the biomimetic fish robot was developed, accompanied by the establishment of a kinematic model.

Risk of Bleeding Following Non-Vitamin K Antagonist Oral Anticoagulant Use in Patients With Acute Ischemic Stroke Treated With Alteplase.

Importance: Current guidelines advise against intravenous alteplase therapy for treatment of acute ischemic stroke in patients previously treated with non-vitamin K antagonist oral anticoagulants (NOACs).

Objective: To evaluate the risk of bleeding and mortality after alteplase treatment for acute ischemic stroke among patients treated with NOACs compared to those not treated with NOACs.

Design, Setting, And Participants: This nationwide, population-based cohort study was conducted in Taiwan using data from Taiwan's National Health Insurance Research Database from January 2011 through November 2020 and included 7483 patients treated with alteplase for acute ischemic stroke.

Psychometric evaluation of the traditional chinese version of PedsQL 3.0 cardiac module scale in adolescents with congenital heart disease: reliability, validity, measurement invariance, and adolescent-parent agreement.

Background: In recent decades, 95% of children with congenital heart disease (CHD) can survive to adolescence and adulthood. However, adolescents with CHD are prone to poorer health-related quality of life (HRQoL). It is imperative to develop a reliable and valid instrument for health professionals to monitor the HRQoL.

Comorbidity as a mediator of depression in adults with congenital heart disease: A population-based cohort study.

Background: The population of adults with congenital heart disease (CHD) has increased dramatically with a high prevalence of acquired cardiac and non-cardiac comorbidities. However, the relationship among congenital heart disease, physical comorbidities, and psychological health in this population is not well studied.

Aims: The purpose of this study was to investigate (a) the association between adult congenital heart disease and the occurrence of depression and (b) whether physical comorbidities mediated the association between congenital heart disease and the occurrence of depression.