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A kind of PZT/polymer gripper is proposed in this paper and its nonlinear dynamic response in bounded noise is described. In this paper, a polymer piezoelectric material is applied in gripper to substitute the traditional PZT to improve the response range. Nonlinear differential items are introduced to interpret the hysteretic phenomena of the PZT/polymer piezoelectric composites material, and the nonlinear dynamic model of the PZT/polymer gripper in bounded noise is developed. The dynamic response of the system is obtained, and the bifurcation characteristics of the system are analyzed. The results of numerical simulation and experiments show that the stochastic noise intensity has important influence on the system's dynamical response, and the stochastic resonance phenomenon occurs with the stochastic noise intensity variety. [ABSTRACT FROM AUTHOR]

Chronic kidney disease (CKD) and peripheral arterial disease (PAD) share common risk factors. We assessed renal function and the prevalence of CKD in patients with PAD and investigated the characteristics of the risk factors for CKD in this population. Renal function of 421 patients with PAD was evaluated. Among the participants, 194 (46.1%) patients had decreased estimated glomerular filtration rate (eGFR). The prevalence of CKD was much higher among patients with PAD. Hypertension (odds ratios [ORs] 2.156, 95% confidence interval [CI] 1.413-3.289, P < .001), serum uric acid (OR 3.794, 95% CI 2.220-6.450, P < .001), and dyslipidemia (OR 1.755, 95% CI 1.123-2.745, P = .014) were significantly associated with CKD and the independent risk factors for CKD in patients with PAD. CKD is common and has a high prevalence in a population with PAD. Patients with PAD may be considered as a high-risk population for CKD. Recognition and modification of risk factors for CKD might beneficially decrease CKD incidence and improve prognosis in patients with PAD. [ABSTRACT FROM AUTHOR]