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Viscoplastic fluids exhibit yield stress, beyond which they flow viscously, while at lower stress levels they behave as solids. Despite their fundamental biological and medical importance, the hydrodynamics of swimming in viscoplastic environments is still evolving. In this study, we investigate the swimming of an ellipsoidal squirmer and the associated tracer diffusion in a Bingham viscoplastic fluid. The results illustrate that neutral squirmers in viscoplastic fluids experience a reduction in swimming speed and an increase in power dissipation as the Bingham number increases, with swimming efficiency peaking at moderate Bingham numbers. As the aspect ratio of a squirmer increases, ellipsoidal squirmers exhibit significantly higher swimming speeds in viscoplastic fluids. The polar and swirling modes can either enhance or reduce swimming speed, depending on the specific scenarios. These outcomes are closely related to the confinement effects induced by the yield surface surrounding the swimmer, highlighting how both swimmer shape and swimming mode can significantly alter the yield surface and, in turn, modify the swimming hydrodynamics. In addition, this study investigates the influence of viscoplasticity on swimmer-induced diffusion in a dilute suspension. The plasticity enforces the velocity far from the swimmer to be zero, thus breaking the assumptions used in Newtonian fluids. The diffusivity reaches its maximum at intermediate aspect ratios and Bingham numbers, and increases with the magnitude of the squirmer’s dipolarity. These findings are important to understand microscale swimming in viscoplastic environments and the suspension properties.
Interface-resolved direct numerical simulations (DNS) of clustered settling suspensions in a periodic domain are performed to study the filtered drag force for clustered particle-laden flows. Our results show that, for the homogeneous system, the filtered drag is independent of the filter size, whereas for the clustered particle-laden flows, the averaged drag becomes smaller than the homogeneous drag at the filter size above 4 particle diameters. The drag reduction saturates at the filter size being comparable to the cluster size in the horizontal direction in our simulations. A new correlation is proposed to account for the mesoscale effect on the filtered drag force by using drift velocity and variance of the solid volume fraction, based on the modification of existing subgrid drag models for the inhomogeneous system. The existing models for the drift velocity and the variance of the solid volume fraction are assessed using our DNS data. A new model for the drift velocity and the variance of the solid volume fraction is proposed, based on the combination and modification of the previous models. All mesoscale models considered can predict well the filtered drag with comparable accuracy, and are superior to the homogeneous drag model for the clustered system. Our models with the same parameter values obtained from the large-scale system can also predict well the filtered drag for smaller computational domain sizes.
This paper studies the spatio-temporal dynamics of a diffusive plant-sulphide model with toxicity delay. More specifically, the effects of discrete delay and distributed delay on the dynamics are explored, respectively. The deep analysis of eigenvalues indicates that both diffusion and delay can induce Hopf bifurcations. The normal form theory is used to set up an exact formula that determines the properties of Hopf bifurcation in a diffusive plant-sulphide model. A sufficiently small discrete delay does not affect the stability and a sufficiently large discrete delay destabilizes the system. Nonetheless, a sufficiently small or large distributed delay does not affect the stability. Both delays cause instability by inducing Hopf bifurcation rather than Turing bifurcation.
This study aimed to explore the combined association between the dietary antioxidant quality score (DAQS) and leisure-time physical activity on sleep patterns in cancer survivors. Data of cancer survivors were extracted from the National Health and Nutrition Examination Surveys database in 2007–2014 in this cross-sectional study. Weighted multivariable logistic regression models were used to estimate OR and 95 % CI for the association of DAQS and leisure-time physical activity on sleep patterns. The combined association was also assessed in subgroups of participants based on age and use of painkillers and antidepressants. Among the eligible participants, 1133 had unhealthy sleep patterns. After adjusting for covariates, compared with low DAQS level combined with leisure-time physical activity level < 600 MET·min/week, high DAQS level combined with leisure-time physical activity ≥ 600 MET·min/week was associated with lower odds of unhealthy sleep patterns (OR = 0·41, 95 % CI: 0·23, 0·72). Additionally, the association of high DAQS level combined with high leisure-time physical activity with low odds of unhealthy sleep patterns was also significant in < 65 years old (OR = 0·30, 95 % CI: 0·13, 0·70), non-painkiller (OR = 0·39, 95 % CI: 0·22, 0·71), non-antidepressant (OR = 0·49, 95 % CI: 0·26, 0·91) and antidepressant (OR = 0·11, 95 % CI: 0·02, 0·50) subgroups. DAQS and leisure-time physical activity had a combined association on sleep patterns in cancer survivors. However, the causal associations of dietary nutrient intake and physical activity with sleep patterns in cancer survivors need further clarification.
An experimental investigation is conducted to study the flow patterns, spectral properties and energy fluxes in thin-layer turbulence with varying system sizes and damping rates. It is found that although a system-size vortex (an indicator of spectral condensation) occurs for small system sizes and does not for large ones, the spectra for different system sizes consistently exhibit a scaling close to $k^{-3}$ in inverse cascade (another indicator of spectral condensation). On the other hand, under a fixed system size larger than the friction-dominated length scale, the energy spectrum in the inverse cascade range changes from $k^{-3}$ to $k^{-5/3}$ as the damping rate increases, suggesting that the friction-dominated length scale may not be a suitable parameter for predicting spectral transition. At lower damping rates and large system sizes, turbulent structures grow larger via inverse cascade, manifesting as long streamers, and the small-scale vortices are suppressed. This suppression leads to a reduction of energy flux at intermediate scales and a change in the spectral shape. The dimensionless Taylor microscale is found to exhibit a monotonic dependence on the damping rate. With the reduction in the damping rate, the Taylor microscale increases to become comparable with the forcing scale, and the spectrum in inverse cascade transits to a steeper scaling, $k^{-3}$, indicating that the dimensionless Taylor microscale may be used as a diagnostic parameter for spectral transition.
In the application of rotorcraft atmospheric environment detection, to reflect the distribution of atmospheric pollutants more realistically and completely, the sampling points must be spread throughout the entire three-dimensional space, and the cooperation of multiple unmanned aerial vehicles (multi-UAVs) can ensure real-time performance and increase operational efficiency. In view of the problem of coordinated detection by multi-UAVs, the region division and global coverage path planning of the stereo space to be detected are studied. A whale optimization algorithm based on the simulated annealing-whale optimization algorithm (SA-WOA) is proposed, which introduces adaptive weights with the Levy flight mechanism, improves the metropolis criterion, and introduces an adaptive tempering mechanism in the SA stage. Path smoothing is subsequently performed with the help of nonuniform rational B-spline (NURBS) curves. The comparison of algorithms using the eil76 dataset shows that the path length planned by the SA-WOA algorithm in this paper is 10.15% shorter than that of the WOA algorithm, 13.25% shorter than the SA planning result, and only 0.95% difference from the optimal path length in the dataset. From the perspective of planning time, its speed is similar to WOA, with a relative speed increase of 27.15% compared to SA, proving that the algorithm proposed in this paper has good planning performance. A hardware system platform is designed and built, and environmental gas measurement experiments were conducted. The experimental results indicate that the multi-UAV collaborative environment detection task planning method proposed in this paper has certain practical value in the field of atmospheric environment detection.
Malignant vasovagal syncope in children seriously affects their physical and mental health. Our study aimed to explore the efficacy of catheter ablation in ganglionated plexus with malignant vasovagal syncope children.
Conclusion:
Catheter ablation of ganglionated plexus was safe and effective in children with malignant vasovagal syncope and can be used as a treatment option for these children.
Methods:
A total of 20 children diagnosed with malignant vasovagal syncope were enrolled in Beijing Children’s Hospital, affiliated with Capital Medical University. All underwent catheter ablation treatment of ganglionated plexus. Ganglionated plexuses of the left atrium were identified by high-frequency stimulation and/or anatomic landmarks being targeted by radiofrequency catheter ablation. The efficacy of the treatment was evaluated by comparing the remission rate of post-operative syncopal symptoms and the rate of negative head-up tilt results. Safety and adverse events were evaluated.
Results:
After follow-up for 2.5 (0.6–5) years, the syncope symptom scores were decreased significantly compared with before treatment [3 (2–4) versus 5 (3–8) scores, P < 0.01]. Eighty-five per cent (17/20) children no longer experienced syncope, whilst 80% (16/20) children showed negative head-up tilt test after treatment. No adverse effects such as cardiac arrhythmia occurred in the children.
A new species of Moniliformis, M. tupaia n. sp. is described using integrated morphological methods (light and scanning electron microscopy) and molecular techniques (sequencing and analysing the nuclear 18S, ITS, 28S regions and mitochondrial cox1 and cox2 genes), based on specimens collected from the intestine of the northern tree shrew Tupaia belangeri chinensis Anderson (Scandentia: Tupaiidae) in China. Phylogenetic analyses show that M. tupaia n. sp. is a sister to M. moniliformis in the genus Moniliformis, and also challenge the systematic status of Nephridiacanthus major. Moniliformis tupaia n. sp. represents the third Moniliformis species reported from China.
Childhood maltreatment is an established risk factor for psychopathology. However, it remains unclear how childhood traumatic events relate to mental health problems and how the brain is involved. This study examined the serial mediation effect of brain morphological alterations and emotion-/reward-related functions on linking the relationship from maltreatment to depression. We recruited 156 healthy adolescents and young adults and an additional sample of 31 adolescents with major depressive disorder for assessment of childhood maltreatment, depressive symptoms, cognitive reappraisal and anticipatory/consummatory pleasure. Structural MRI data were acquired to identify maltreatment-related cortical and subcortical morphological differences. The mediation models suggested that emotional maltreatment of abuse and neglect, was respectively associated with increased gray matter volume in the ventral striatum and greater thickness in the middle cingulate cortex. These structural alterations were further related to reduced anticipatory pleasure and disrupted cognitive reappraisal, which contributed to more severe depressive symptoms among healthy individuals. The above mediating effects were not replicated in our clinical group partly due to the small sample size. Preventative interventions can target emotional and reward systems to foster resilience and reduce the likelihood of future psychiatric disorders among individuals with a history of maltreatment.
Water droplets containing the SARS-CoV-2 virus, responsible for coronavirus 2019 transmission, were introduced into a controlled-temperature and -humidity chamber. The SARS-CoV-2 virus with green fluorescent protein tag in droplets was used to infect Caco-2 cells, with viability assessed through flow cytometry and microscopic counting. Whereas temperature fluctuations within typical indoor ranges (20°C–30°C) had minimal impact, we observed a notable decrease in infection rate as the surrounding air’s relative humidity increased. By investigating humidity levels between 20% and 70%, we identified a threshold of ≥40% relative humidity as most effective in diminishing SARS-CoV-2 infectivity. We also found that damage of the viral proteins under high relative humidity may be responsible for the decrease in their activity. This outcome supports previous research demonstrating a rise in the concentration of reactive oxygen species within water droplets with elevated relative humidity.
The provenance of clays in shaley intervals across the Permian-Triassic boundary (PTB) in the Xiakou section was investigated by X-ray diffraction (XRD), differential scanning calorimetry (DSC), and scanning electron microscopy (SEM), and the results suggest that the layers have three different provenances. The layer P267-b has a loose texture with an oriented arrangement of detrital clay particles, consisting mainly of illite and minor chlorite with irregular outlines or ragged edges. The dehydroxylation reaction of the clays in this layer is characterized by an intense overlapping endothermic effect at ∼600°C, produced by mixed-layer illite-smectite (I-S) consisting of a mixture of cis-vacant (cv)and trans-vacant (tv) octahedral sheets derived from weathering of detrital illite. Layer P259-b shows a more condensed texture with a dark color, and is composed mainly of I-S and minor illite and chlorite. Evidence for alteration of detrital materials to clay mineral aggregates was observed under SEM. Similar to layer P267-b, an intense dehydroxylation reaction occurs at ∼600°C, indicating clays consisting of a mixture of tv and cv sheets and, therefore, that the sediments were derived from a mixture of terrigenous and volcanic sources, combining the texture and the clay-mineral composition of those sediments. However, the undisturbed lamination and relatively small grain size in this bed indicate a low-energy depositional environment. The clay-mineral compositions of the other layers are mainly of I-S with minor amounts of illite and chlorite. Their endothermic dehydroxylation reaction, however, occurs mainly at ∼660°C, indicating that cv sheets are dominant in the clays, and thus, are derived from smectites of volcanic origin. Observations by SEM show that clay minerals grow at the expense of detrital materials, confirming the diagenetic alteration of volcanic ashes in marine sediments. Illite and chlorite are the detrital clay minerals in the clay layers across the PTB in the Xiakou section. The presence of detrital illite and chlorite in the sediments means that an arid climate prevailed in the region during the end-Permian and early Triassic period.
This study aimed to compare changes in the level of health technology assessment (HTA) development from 2016 to 2021, and to inform policies and decisions to promote further development of HTA in China.
Methods
We conducted a cross-sectional and anonymous web-based survey to relevant stakeholders in China in 2016 and 2021 respectively. The mapping of the HTA instrument was used to reflect the HTA development from eight domains. To reduce the influence of confounders and to compare the mapping outcomes between 2016 and 2021 groups, we performed 1:1 propensity score matching methodology in this study. Univariate analysis was performed to compare the differences in these two groups. We also compared the overall results with that of a mapping study that included ten countries.
Results
A total of 212 and 255 respondents completed the survey in 2016 and 2021 respectively. After propensity score matching methodology, 183 cases from the 2016 group and 2021 group were matched. Overall, the mean score of 2021 in most of the domains was higher than in 2016 in China (p < 0.05), matching the level of HTA institutionalization and dissemination strategy, except for the assessment domain. Although China scored significantly lower among the three developed countries, the overall HTA development score for China was comparable among the ten countries.
Conclusions
Our study suggested the level of HTA development in China has made great progress from 2016 to 2021. Prior to HTA activities, the researcher or policy makers should first formulate an explicit assessment goal and scope, and during the assessment process, more attention should be paid to the clinical effectiveness and cost-effectiveness indicator to ensure a higher quality of HTA evidence.
Non-small cell lung cancer (NSCLC) constitutes 85 percent of lung cancer diagnoses and poses an economic threat to the sustainability of healthcare services. This study was conducted to estimate hospitalization costs associated with advanced NSCLC without sensitizing EGFR (epidermal growth factor receptor) and ALK (anaplastic lymphoma kinase) alterations in China and explore the potential predictors.
Methods
Data linked with patients with advanced NSCLC (stage IIIB–IV) without sensitizing EGFR and ALK alterations were obtained from the electronic medical record system of one general hospital and one cancer hospital in Jiangsu province, China, ranging from January 2017 to December 2020. We excluded patients with lung metastases from tumors elsewhere in the body. The socio-demographic characteristics, disease-related characteristics, and hospitalization cost of eligible patients were extracted. We used the generalized linear model (GLM) to assess the potential influencing factors of hospitalization cost.
Results
Patients with advanced NSCLC (n=7,260) were included in this study. The median hospitalization cost of advanced NSCLC was USD11,540.47. The median hospitalization examination and test costs were USD1,539.46, and the median hospitalization drug cost was USD6,351.47. GLM results showed that patients aged 60 or older (95% Confidence Interval [CI]: -1019.1,128.6), who had no gene driver (95%CI: -1,681.6,-233.6) were more likely to have relatively lower hospitalization costs for advanced NSCLC. Patients treated in cancer hospital (95%CI: 1,329.1,2,620.0) and with non-squamous carcinoma (95%CI: 171.3, 1,235.4) may have higher hospitalization costs. Compared with Urban Employee Basic Medical Insurance, patients with free medical services (95%CI: 1,248.4,6,298.7) were associated with higher hospitalization costs. Patients with higher hospitalization frequency and longer length of hospital stay (p < 0.05) were linked to higher hospitalization costs.
Conclusions
The hospitalization costs linked to advanced NSCLC is considerable for patients, with drug costs accounting for the largest. More efforts still need to be made to alleviate the direct medical burden.
Using direct numerical simulations, we investigate the heat transport in bulk and boundary flows separately in rotating Rayleigh–Bénard convection in cylindrical cells. In the bulk we observe a steep scaling relationship between the Nusselt number ($Nu$) and the Rayleigh number ($Ra$), which is consistent with the results from simulations using periodic boundary conditions. For the boundary flow, we observe a power law $Nu_{BF}\sim (Ra/Ra_w)^1$ at the leading order, where $Nu_{BF}$ is the local Nusselt number of the boundary flow and $Ra_w$ is the onset Rayleigh number of the wall mode. We develop a model using the boundary layer marginal stability theory to explain this power law, and further show that a more precise description of the data can be obtained if a higher-order correction is introduced. A striking finding of our study is the observation of a sharp transition in flow state, manifested by a sudden drop in $Nu_{BF}$ with a corresponding collapse of the boundary flow coherency. After the transition, the boundary flow breaks into vortices, leading to a reduction in flow coherency and heat transport efficiency. As the physical properties of the vortices should not depend on the aspect ratio, $Nu_{BF}$ for all aspect ratios collapse together after the transition. Moreover, the centrifugal force helps trigger the breakdown of the coherent boundary flow state. For this reason, $Nu_{BF}$ for the cases with non-zero centrifugal force collapse together. We further develop a method that enables us to separate the contributions from the bulk and boundary flows in the global Nusselt number using only the global $Nu$ and it does not require the centrifugal force to be absent.
We investigate the spatial distribution and dynamics of the vortices in rotating Rayleigh–Bénard convection in a reduced Rayleigh number range $1.3\le Ra/Ra_{c}\le 83.1$. Under slow rotations ($Ra\approx 80\,Ra_{c}$), the vortices are distributed randomly, which is manifested by the size distribution of the Voronoi cells of the vortex centres being a standard $\varGamma$ distribution. The vortices exhibit Brownian-type horizontal motion in the parameter range $Ra\gtrsim 10\,Ra_{c}$. The probability density functions of the vortex displacements are, however, non-Gaussian at short time scales. At modest rotating rates ($4\,Ra_{c}\le Ra\lesssim 10\,Ra_{c}$), the centrifugal force leads to radial vortex motions, i.e. warm cyclones (cold anticyclones) moving towards (outwards from) the rotation axis. The horizontal scale of the vortices decreases with decreasing $Ra/Ra_c$, and the size distribution of their Voronoi cells deviates from the $\varGamma$ distribution. In the rapidly rotating regime ($1.6\,Ra_{c}\le Ra\le 4\,Ra_{c}$), the vortices are densely distributed. The hydrodynamic interaction of neighbouring vortices results in the formation of vortex clusters. Within clusters, cyclones exhibit inverse-centrifugal motion as they submit to the outward motion of the strong anticyclones, and the radial velocity of the anticyclones is enhanced. The radial mobility of isolated vortices, scaled by their vorticity strength, is shown to be a simple power function of the Froude number. For all flow regimes studied, we show that the number of vortices with a lifespan greater than $t$ decreases exponentially as $\exp ({-t/{\tau }})$ for large time, where $\tau$ represents the characteristic lifetime of long-lived vortices.
Many studies have investigated the positivity rate of hepatitis B surface antibody (HBsAb) after hepatitis B vaccine (HepB) immunization. However, the antibody level, assessed monthly or at more frequent intervals after each of the three doses, particularly within the first year after birth, has not been previously reported. To elucidate the level of antibody formation at various times after vaccination, the current study used the available detection data of HBsAb in hospitalized children to analyze the HBsAb level after immunization combined with their vaccination history. Both the positivity rate and geometric mean concentration (GMC) increased sequentially with immunization doses, reaching their peaks earlier after the third dose than after the first two doses, and the rate of HBsAb positivity was able to reach 100% between 11 and 90 days after completing the three doses of HepB. Within one year after receiving the three doses, the antibody positivity rate and GMC were maintained above 90% and 100 mIU/mL, respectively, and subsequently steadily declined, reaching the lowest value in the 9th and 10th years. The current findings reveal, in more detail, the level of antibody formation at different times following each dose of HepB in hospitalized children, particularly in the age group up to one year after vaccination. For the subjects of this study, we prefer to believe that the proportion of HBsAb non-response should be less than 5% after full immunization with HepB, provided that the appropriate time for blood collection is chosen.
By combining the technique of energy selective surface and frequency selective rasorber, an energy selective rasorber is proposed, which performs selective energy protection in the low communication frequency band (0.8–2 GHz) and wave-absorbing property in the high-frequency band (6–18 GHz). The design consists of two layers, of which the bottom one contains a lumped diode structure for energy selection function in the transmission band, while together with the top layer, they perform a wideband wave absorbing function. The simulated and measured results agree well with each other, and both show good absorption in 6–18 GHz and energy-selective property around 1.86 GHz. That is, when the incident power changes from −30 to 14 dBm, the reflection coefficient changes from below −22 dB to above −2 dB, while the transmission coefficient changes from above −3 dB to below −17 dB.
The sedimentation of two spherical solid objects in a viscous fluid has been extensively investigated and well understood. However, a pair of flat disks (in three dimensions) settling in the fluid shows more complex hydrodynamic behaviour. The present work aims to improve the understanding of this phenomenon by performing direct numerical simulation and physical experiments. The present results show that the sedimentation processes are significantly influenced by disk shape, characterized by a dimensionless moment of inertia I*, and Reynolds number Re of the leading disk. For the flatter disks with smaller I*, steady falling with enduring contact transits to periodic swinging with intermittent contacts as Re increases. The disks with larger I* tend to fall in a drafting-kissing-tumbling mode at low Re and to remain separated at high Re. Based on I* and Re, a phase diagram is created to classify the two-disk falling into ten distinctive patterns. The planar motion or three-dimensional motion of the disks is determined primarily by Re. Turbulent disturbance flows at a high Re contribute to the chaotic three-dimensional rotation of the disks. The chance for the two disks to contact is increased when I* and Re are reduced.
Circulating n-3 PUFA, which integrate endogenous and exogenous n-3 PUFA, can be better used to investigate the relationship between n-3 PUFA and disease. However, studies examining the associations between circulating n-3 PUFA and colorectal cancer (CRC) risk were limited, and the results remained inconclusive. This case–control study aimed to examine the association between serum n-3 PUFA and CRC risk in Chinese population. A total of 680 CRC cases and 680 sex- and age-matched (5-year interval) controls were included. Fatty acids were assayed by GC. OR and 95 % CI were calculated using multivariable logistic regression after adjustment for potential confounders. Higher level of serum α-linolenic acid (ALA), docosapentaenoic acid (DPA), DHA, long-chain n-3 PUFA and total n-3 PUFA were associated with lower odds of CRC. The adjusted OR and 95 % CI were 0·34 (0·24, 0·49, Pfor trend < 0·001) for ALA, 0·57 (0·40, 0·80, Pfor trend < 0·001) for DPA, 0·48 (0·34, 0·68, Pfor trend < 0·001) for DHA, 0·39 (0·27, 0·56, Pfor trend < 0·001) for long-chain n-3 PUFA and 0·31 (0·22, 0·45, Pfor trend < 0·001) for total n-3 PUFA comparing the highest with the lowest quartile. However, there was no statistically significant association between EPA and odds of CRC. Analysis stratified by sex showed that ALA, DHA, long-chain n-3 PUFA and total n-3 PUFA were inversely associated with odds of CRC in both sexes. This study indicated that serum ALA, DPA, DHA, long-chain n-3 PUFA and total n-3 PUFA were inversely associated with odds of having CRC in Chinese population.