The Reynolds number dependence of the normalised energy dissipation rate $C_{\epsilon }=\epsilon L/u^3$ is studied, where $\epsilon$ is the energy dissipation rate, $L$ is the integral length scale and $u$ is the root-mean-square velocity. We present the derivation of the exact relationship between the normalised energy dissipation rate and integrated form of the Kármán–Howarth equation in homogeneous isotropic turbulence. The present mathematical formulation is valid for both forced and decaying turbulence. The discussion of $C_{\epsilon }$ is developed under the assumption that the term resulting from the nonlinear energy transfer appearing in $C_{\epsilon }$ is constant at sufficiently high-Reynolds-number turbulence. The fact that the integrated term originating from nonlinear energy transfer is constant plays the role of a lower bound in $C_{\epsilon }$, implying that the energy dissipation rate is finite in high-Reynolds-number turbulence. Furthermore, the origin of the non-equilibrium dissipation law could be the imbalance between $u$ and ${\rm d}L/{\rm d}t$, the influence of external forces, or both. In decaying turbulence with forced turbulence as the initial condition, the imbalance between $u$ and ${\rm d}L/{\rm d}t$ causes the non-equilibrium dissipation law. The validity of the theoretical analysis is investigated using direct numerical simulations of the forced and decaying turbulence.

Japan is still a medium-burden tuberculosis (TB) country. We aimed to examine trends in newly notified active TB incidence and TB-related mortality in the last two decades in Japan. This is a population-based study using Japanese Vital Statistics and Japan Tuberculosis Surveillance from 1997 to 2016. We determined active TB incidence and mortality rates (per 100 000 population) by sex, age and disease categories. Joinpoint regression was applied to calculate the annual percentage change (APC) in age-adjusted mortality rates and to identify the years showing significant trend changes. Crude and age-adjusted incidence rates reduced from 33.9 to 13.9 and 37.3 to 11.3 per 100 000 population, respectively. Also, crude and age-adjusted mortality rates reduced from 2.2 to 1.5 and 2.8 to 1.0 per 100 000 population, respectively. Average APC in the incidence and mortality rates showed significant decline both in men (−6.2% and −5.4%, respectively) and women (−5.7% and −4.6%, respectively). Age-specific analysis demonstrated decreases in incidence and mortality rates for every age category, except for the incidence trend in the younger population. Although trends in active TB incidence and mortality rates in Japan have favourably decreased, the rate of decline is far from achieving TB elimination by 2035.

We examined the cross-lagged relations between word reading fluency in the two orthographic systems of Japanese: phonetic (syllabic) Hiragana and morphographic Kanji. One hundred forty-two Japanese-speaking children were assessed on word reading fluency twice in Grade 1 (Times 1 and 2) and twice in Grade 2 (Times 3 and 4). Nonverbal IQ, vocabulary, phonological awareness, morphological awareness, and rapid automatized naming were also assessed in Time 1. Results of path analysis revealed that Time 1 Hiragana fluency predicted Time 2 Kanji fluency after controlling for the cognitive skills. Time 2 Hiragana fluency did not predict Time 3 Kanji fluency or vice versa after the autoregressor was controlled, but Hiragana and Kanji fluency were reciprocally related between Times 3 and 4. These findings provide evidence for a cross-script transfer of word reading fluency across the two contrastive orthographic systems, and the first evidence of fluency in a morphographic script predicting fluency development in a phonetic script within the same language.

Several studies have reported association of altered levels of lipids and some trace elements with risk factors for cardiovascular disease development in adulthood. Accordingly, the present study aimed to determine the relationship among the serum levels of copper (Cu), zinc (Zn), lipids, lipoproteins and apolipoproteins in preterm infants through an assessment of atherogenic indices shortly after birth. Blood samples were collected within 20 min of birth from 45 preterm infants with gestational ages ranging from 32 to 35 weeks. Serum Cu, Zn, total cholesterol (TC), low-density lipoprotein cholesterol (LDLc), high-density lipoprotein cholesterol (HDLc), apolipoprotein-A1 (apoA1) and apolipoprotein-B (apoB) levels were measured, and the TC/HDLc, LDLc/HDLc and apoB/apoA1 ratios were calculated. Upon determining the correlation between the levels of Cu, Zn and these indices of lipid metabolism, triglyceride (TG) and Cu were found to correlate negatively with birth weight (BW) and the standard deviation (s.d.) score for body weight. Furthermore, Cu levels correlated positively with the TG level and TC/HDLc, LDLc/HDLc and apoB/apoA1 ratios and negatively with the HDLc level and HDLc/apoA1 ratios. However, a stepwise multiple regression analysis indicated that the s.d. score for BW and TG level were significant independent determinants of the Cu level. In contrast, Zn did not correlate with any of these indices. In conclusion, intrauterine growth restriction and the TG level at birth influence Cu levels in preterm infants, whereas atherogenic indices do not affect this parameter.

The interactions between homogeneous turbulence and a planar shock wave are analytically investigated using rapid distortion theory (RDT). Analytical solutions in the solenoidal modes are obtained. Qualitative answers to unsolved questions in a report by Andreopoulos et al. (Annu. Rev. Fluid Mech., vol. 524, 2000, pp. 309–345) are provided within the linear theoretical framework. The results show that the turbulence kinetic energy (TKE) is increased after interaction with a shock wave and that the contributions to the amplification can be interpreted primarily as the combined effect of shock-induced compression, which is a direct consequence of the Rankine–Hugoniot relation, and the nonlinear effect, which is an indirect consequence of the Rankine–Hugoniot relation via the perturbation manner. For initial homogeneous axisymmetric turbulence, the amplification of the TKE depends on the initial degree of anisotropy. Furthermore, the increase in energy at high wavenumbers is confirmed by the one-dimensional spectra. The enstrophy is also increased; its increase is more significant than that of the TKE because of the significant increase in enstrophy at high wavenumbers. The vorticity components perpendicular to the shock-induced compressed direction are amplified more than the parallel vorticity component. These results strongly suggest that a high resolution is needed to obtain accurate results for the turbulence–shock-wave interaction. The integral length scales ( $L$ ) and the Taylor microscales ( $\unicode[STIX]{x1D706}$ ) are decreased for most cases after the interaction. However, $L_{22,3}(=\,L_{33,2})$ and $\unicode[STIX]{x1D706}_{22,3}(=\,\unicode[STIX]{x1D706}_{33,2})$ are amplified. Here, the subscripts 2 and 3 indicate the perpendicular components relative to the shock-induced compressed direction. The dissipation length and TKE dissipation rate are amplified.

Glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) are the incretin hormones secreted from the intestine in response to enteral feeding to stimulate insulin secretion. We investigated the relationship serum GIP and GLP-1 levels with gestational age, and insulin secretion in preterm infants. Serum GIP and GLP-1 levels were measured at birth and at 1, 2 and 4 weeks after birth in 30 infants, including 12 born before 30th week of gestation (early group) and 18 born after 30th week of gestation (late group). Blood glucose and serum insulin levels were measured, and the quantitative insulin sensitivity check index (QUICKI) was also calculated. The levels of GLP-1 at 2 and 4 weeks were significantly higher in the early group than those in the late group. The levels of GIP were not significantly different between two groups. At 4 weeks, serum insulin level was significantly higher and QUICKI was significantly lower in the early group. Furthermore, GLP-1 levels were significantly correlated with QUICKI and the serum insulin levels in all infants at 4 weeks. In preterm infants, enteral feeding to premature intestine may be associated with GLP-1 secretion. GLP-1 is also related to stimulated insulin secretion in early postnatal period.

We studied GeTe structures in topological switching random access memories (TRAMs) with a [GeTe/Sb2Te3] superlattice by using X-ray diffraction (XRD) analysis. We examined the electrical characteristics of the TRAMs deposited at different temperatures. We found that XRD spectra differed between the films deposited at 200 and 240°C and that the differences corresponded to the differences in the GeTe sequences in the films.

The decay characteristics and invariants of grid turbulence were investigated by means of laboratory experiments conducted in a wind tunnel. A turbulence-generating grid was installed at the entrance of the test section for generating nearly isotropic turbulence. Five grids (square bars of mesh sizes $M= 15$ , 25 and 50 mm and cylindrical bars of mesh sizes $M= 10$ and 25 mm) were used. The solidity of all grids is $\sigma = 0. 36$ . The instantaneous streamwise and vertical (cross-stream) velocities were measured by hot-wire anemometry. The mesh Reynolds numbers were adjusted to $R{e}_{M} = 6700$ , 9600, 16 000 and 33 000. The Reynolds numbers based on the Taylor microscale $R{e}_{\lambda } $ in the decay region ranged from 27 to 112. In each case, the result shows that the decay exponent of turbulence intensity is close to the theoretical value of ${- }6/ 5$ (for the $M= 10~\mathrm{mm} $ grid, ${- }6(1+ p)/ 5\sim - 1. 32$ ) for Saffman turbulence. Here, $p$ is the power of the dimensionless energy dissipation coefficient, $A(t)\sim {t}^{p} $ . Furthermore, each case shows that streamwise variations in the integral length scales, ${L}_{uu} $ and ${L}_{vv} $ , and the Taylor microscale $\lambda $ grow according to ${L}_{uu} \sim 2{L}_{vv} \propto {(x/ M- {x}_{0} / M)}^{2/ 5} $ (for the $M= 10~\mathrm{mm} $ grid, ${L}_{uu} \propto {(x/ M- {x}_{0} / M)}^{2(1+ p)/ 5} \sim {(x/ M- {x}_{0} / M)}^{0. 44} $ ) and $\lambda \propto {(x/ M- {x}_{0} / M)}^{1/ 2} $ , respectively, at $x/ M\gt 40{\unicode{x2013}} 60$ (depending on the experimental conditions, including grid geometry), where $x$ is the streamwise distance from the grid and ${x}_{0} $ is the virtual origin. We demonstrated that in the decay region of grid turbulence, ${ u}_{\mathit{rms}}^{2} { L}_{uu}^{3} $ and ${ v}_{\mathit{rms}}^{2} { L}_{vv}^{3} $ , which correspond to Saffman’s integral, are constant for all grids and examined $R{e}_{M} $ values. However, ${ u}_{\mathit{rms}}^{2} { L}_{uu}^{5} $ and ${ v}_{\mathit{rms}}^{2} { L}_{vv}^{5} $ , which correspond to Loitsianskii’s integral, and ${ u}_{\mathit{rms}}^{2} { L}_{uu}^{2} $ and ${ v}_{\mathit{rms}}^{2} { L}_{vv}^{2} $ , which correspond to the complete self-similarity of energy spectrum and $\langle {\boldsymbol{u}}^{2} \rangle \sim {t}^{- 1} $ , are not constant. Consequently, we conclude that grid turbulence is a type of Saffman turbulence for the examined $R{e}_{M} $ range of 6700–33 000 ( $R{e}_{\lambda } = 27{\unicode{x2013}} 112$ ) regardless of grid geometry.

We present new, wide, and deep images in the AzTEC/ASTE 1.1 mm continuum and the 12 CO (J = 1–0) emission toward the northern part of the Orion-A GMC. We have found evidence for interactions between molecular clouds and the external forces that may trigger star formation. Two types of possible triggers were revealed: (1) Collisions of the diffuse gas on the cloud surface, particularly at the eastern side of the OMC-2/3 region, and (2) Irradiation of UV on the pre-existing filaments and dense molecular cloud cores. Our wide-field and high-sensitivity imaging has provided the first comprehensive view of the potential sites of triggered star formation in the Orion-A GMC.

Angiosarcomas rarely arise from schwannomas, but we describe here a case of angiosarcoma that arose from a remnant of a benign vestibular schwannoma that had been removed 10 years earlier. The patient was a 66-year-old man with no sign of neurofibromatosis. Although we attempted surgical resection, we could not totally remove the tumour. The patient died nine months after diagnosis, primarily as result of an abscess in the cerebellum and base of the skull. The histological diagnosis was confirmed by the immunohistochemical findings of positivity for CD34 antigen and S-100 protein in the resected tumour.

A review of the literature revealed four other cases of angiosarcoma with schwannoma, all of which arose from an extracranial nerve. The present case is the first report of an angiosarcoma with schwannoma arising from an intracranial locus.

Background. Depression is a remitting but recurring disease. However, there is a paucity of prospectively recorded data on the course of depression after recovery.

Method. A multi-centre prospective serial follow-up study of an inception cohort of hitherto untreated unipolar major depression (N=95) for 6 years. We report the time to recurrence after recovery from the index depressive episode and their predictors.

Results. The cumulative probability of remaining well without subthreshold symptoms was 57% (95% CI, 46 to 68%) at 1 year, 47% (95% CI, 36 to 58%) at 2 years and 35% (95% CI, 23 to 47%) at 5 years. The same without full relapse was 79% (95% CI, 70 to 88%) at 1 year, 70% (95% CI, 60 to 80%) at 2 years and 58% (95% CI, 46 to 70%) at 5 years. The median duration of well-interval from the end of the index episode to the beginning of the subthreshold episode was 19·0 months (95% CI, 2·4 to 35·7), and that to the end of the full episode was over 6 years. Residual symptoms at time of recovery predicted earlier recurrence.

Conclusions. The median length of the well-interval was much longer than previously reported in studies employing similar definitions but dealing with a more severe spectrum of patients. However, the sobering fact remains that less than half of the patients can expect to remain virtually symptom-free for 2 years or more after recovery from the depressive episode.

Summary

Background and objective: Although midazolam is commonly given orally to infants and small children for premedication, the taste is sometimes unacceptable even when mixed with syrup. We tested the efficacy and safety of oral fentanyl compared with oral midazolam in a randomized open-label study.

Methods: Fifty-one children, aged 12–107 months and weighing 10–25 kg, were randomly assigned to fentanyl or midazolam treatment groups. Midazolam (5 mg) or fentanyl (0.1 mg) was given orally from a small bottle with a small orifice 30 min before transfer to the preoperative holding room. The excitation–sedation conditions of the patients were assessed before and after general anaesthesia.

Results: The preoperative scores did not differ significantly between the two groups. No major complications were observed in either group. Postoperative vomiting occurred in 5 of 27 (18.5%) patients treated with oral fentanyl and in none of 24 of those treated with midazolam.

Conclusions: Oral administration of fentanyl 30 min before entrance to the holding room for an operation from a bottle with a small orifice is a premedication option for children between 1 and 8 yr of age.

Haplotype analysis is important for mapping traits. Recently, methods for estimating haplotype frequencies from genotypes of unrelated individuals based on the expectation-maximization (EM) algorithm have been developed. Our program estimates haplotype frequencies in the population and determines the posterior probability distribution of diplotype configuration (diplotype distribution) for each subject based on the estimated haplotype frequencies. Samples from three ethnic groups for the smoothelin gene (SMTN) and those from three Japanese groups for serum amyloid A genes (SAA@) were analyzed. The estimated diplotype distribution for each individual was concentrated, in most cases, in a single diplotype configuration. The diplotype configuration thus determined was the same as that determined in in vitro experiments, with one exception. Thus, the diplotype configurations determined using the estimated haplotype frequencies from unrelated individuals are reliable. Using this method, the risk of a subject developing a phenotype may be estimated from the diplotype distribution when the phenotype is associated with diplotype configurations.

GaN layers were grown on a (001) rutile TiO2 substrate by electron cyclotron resonance plasma-excited molecular beam epitaxy. For the first time, c-GaN with a preferential growth orientation was obtained. Based on the results from electron diffraction and X-ray diffraction analysis, we found that c-GaN with the growth direction of [110] was grown on the TiO2 substrate. The formation of c-GaN was also confirmed by cathodoluminescence, in which a luminescence peak was observed at 3.24eV.

The hypotensive and vasorelaxing peptides adrenomedullin (AM) and its gene-related peptide, proadrenomedullin N-terminal 20 peptide (PAMP), were found to be distributed on the surface of the colonic mucosa. AM and PAMP showed dose-dependent antimicrobial activity against E. coli. The results suggest that the novel vasoactive peptides AM and PAMP play an important role in mucosal defence. Experimental Physiology (2001) 86.5, 543-545.

Optical properties of fully-strained wurtzite and zincblende InxGa1-xN/GaN multiple quantum well (MQW) structures were compared to discuss the origin of exciton localization. In contrast to the hexagonal InGaN MQWs, the photoluminescence (PL) peak energy of cubic InGaN MQWs showed a moderate blueshift with decreasing well thickness, L, and low-temperature PL decay time of the cubic MQWs did not depend strongly on L. The results imply that the wavefunction overlap in cubic InGaN MQWs was not reduced compared to the hexagonal ones, since they do not suffer from the electric field normal to the QW plane due either to spontaneous or piezoelectric polarization. Both MQWs exhibited a large and composition-dependent bandgap bowing, and time-resolved PL (TR-PL) signals showed a stretched-exponential decay even at room temperature. The exciton localization is considered to be an intrinsic property of InGaN.