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Abstract Background Although maternal deaths are rare in developed regions, the morbidity associated with severe postpartum hemorrhage (SPPH) remains a major problem. To determine the prevalence and risk factors of SPPH, we analyzed data of women who gave birth in Guangzhou Medical Centre for Critical Pregnant Women, which received a large quantity of critically ill obstetric patients who were transferred from other hospitals in Southern China. Methods In this study, we conducted a retrospective case-control study to determine the prevalence and risk factors for SPPH among a cohort of women who gave birth after 28 weeks of gestation between January 2015 and August 2019. SPPH was defined as an estimated blood loss ≥1000 mL and total blood transfusion≥4 units. Logistic regression analysis was used to identify independent risk factors for SPPH. Results SPPH was observed in 532 mothers (1.56%) among the total population of 34,178 mothers. Placenta-related problems (55.83%) were the major identified causes of SPPH, while uterine atony without associated retention of placental tissues accounted for 38.91%. The risk factors for SPPH were maternal age

The optimal regulation properties of multi-input and multioutput (MIMO) discrete-time networked control systems (NCSs), over additive white Gaussian noise (AWGN) fading channels, based on state space representation, are investigated. The average performance index is introduced. Moreover, the regulation performance is measured by the control energy and the error energy of the system, and fundamental limitations are obtained. Two kinds of network parameters, fading and the additive white Gaussian noise, are considered. The best attainable regulation performance limitations can be obtained by the limiting steady state solution of the corresponding algebraic Riccati equation (ARE). The simulation results are given to demonstrate the main results of the theoretical development.

We propose an energy-aware dynamic routing strategy in order to provide balanced energy consumption in wireless sensor networks, hence, prolonging the lifetime of the network. The proposed routing algorithm uses local betweenness centrality to estimate the energy consumption of the neighboring nodes around a given local sensor node, without requiring global information about the network topology or energy consumption, and to divert traffic from nodes that are more heavily used. Because nodes with large local betweenness centrality consume energy more quickly, the network lifetime can be prolonged by redistributing energy consumption to nodes with smaller local betweenness centrality. Simulation results showed that the proposed routing strategy has advantages over shortest path routing with respect to extending network lifetime and balancing energy consumption in wireless sensor networks, yet does not introduce significant additional transmission overhead or a longer average path length.

This paper deals with the distributed consensus of the multiagent system. In particular, we consider the case where the velocity (second state) is unmeasurable and the communication among agents occurs at sampling instants. Based on the impulsive control theory, we propose an impulsive consensus algorithm that extends some of our previous work to account for the lack of velocity measurement. By using the stability theory of the impulsive system, some necessary and sufficient conditions are obtained to ensure the consensus of the controlled multiagent system. It is shown that the control gains, the sampled period and the eigenvalues of Laplacian matrix of communication graph play key roles in achieving consensus. Finally, a numerical simulation is provided to illustrate the effectiveness of the proposed algorithm.