This study aims to evaluate the impact of low-carbohydrate diet, balanced dietary guidance and pharmacotherapy on weight loss among individuals with overweight or obesity over a period of 3 months. The study involves 339 individuals with overweight or obesity and received weight loss treatment at the Department of Clinical Nutrition at the Second Affiliated Hospital of Zhejiang University, School of Medicine, between 1 January 2020 and 31 December 2023. The primary outcome is the percentage weight loss. Among the studied patients, the majority chose low-carbohydrate diet as their primary treatment (168 (49·56 %)), followed by balanced dietary guidance (139 (41·00 %)) and pharmacotherapy (32 (9·44 %)). The total percentage weight loss for patients who were followed up for 1 month, 2 months and 3 months was 4·98 (3·04, 6·29) %, 7·93 (5·42, 7·93) % and 10·71 (7·74, 13·83) %, respectively. Multivariable logistic regression analysis identified low-carbohydrate diet as an independent factor associated with percentage weight loss of ≥ 3 % and ≥ 5 % at 1 month (OR = 0·461, P < 0·05; OR = 0·349, P < 0·001). The results showed that a low-carbohydrate diet was an effective weight loss strategy in the short term. However, its long-term effects were comparable to those observed with balanced dietary guidance and pharmacotherapy.

The elasto-inertial focusing and rotating characteristics of spheroids in a square channel flow of Oldroyd-B viscoelastic fluids are studied by the direct forcing/fictitious domain method. The rotational behaviours, changes in the equilibrium positions and travel distances are explored to analyse the mechanisms of spheroid migration in viscoelastic fluids. Within the present simulated parameters (1 ≤ Re ≤ 100, 0 ≤ Wi ≤ 2, 0.4 ≤ α ≤3), the results show that there are four kinds of equilibrium positions and six (five) kinds of rotational behaviours for the elasto-inertial migration of prolate (oblate) spheroids. We are the first to identify a new rotational mode for the migration of prolate spheroids. Only when the particles are initially located at a corner and wall bisector, some special initial orientations of the spheroids have an impact on the final equilibrium position and rotational mode. In other general initial positions, the initial orientation of the spheroid has a negligible effect. A higher Weissenberg number means the faster the particles migrate to the equilibrium position. The spheroid gradually changes from the corner (CO), channel centreline (CC), diagonal line (DL) and cross-section midline (CSM) equilibrium positions as the elastic number decreases, depending on the aspect ratio, initial orientation and rotational behaviour of the particles and the elastic number of the fluid. When the elastic number is less than the critical value, the types of rotational modes of the spheroids are reduced. By controlling the elastic number near the critical value, spheroids with different aspect ratios can be efficiently separated.

In this paper, we have experimentally demonstrated a high-power and high-brightness narrow-linewidth fiber amplifier seeded by an optimized fiber oscillator. In order to improve the temporal stability, the fiber oscillator consists of a composite fiber Bragg grating-based cavity with an external feedback structure. By optimizing the forward and backward pumping ratio, the nonlinear effects and stimulated Raman scattering-induced mode distortion of the fiber amplifier are suppressed comprehensively, accompanied with the simultaneous improvement of beam quality and output power. The laser brightness is enhanced further by raising the threshold of transverse mode instability by approximately 1.0 kW by coiling the gain fiber with a novel curvature shape. Finally, a 6 kW narrow-linewidth laser is achieved with beam quality (M2) of approximately 1.4. The laser brightness doubled compared to the results before optimization. To the best of our knowledge, it is the highest brightness narrow-linewidth fiber laser based on a one-stage master oscillator power amplification structure.

In this study, we investigated the influence of fiber parameters on stimulated Raman scattering (SRS) and identified a unique pattern of SRS evolution in the counter tandem pumping configuration. Our findings revealed that the SRS threshold in counter-pumping is predominantly determined by the length of the output delivery fiber rather than the gain fiber. By employing the counter tandem pumping scheme and optimizing the fiber parameters, a 10 kW fiber laser was achieved with beam quality M2 of 1.92. No mode instability or severe SRS limitation was observed. To our knowledge, this study achieved the highest beam quality in over 10 kW fiber lasers based on conventional double-clad Yb-doped fiber.

The Righi–Leduc heat flux generated by the self-generated magnetic field in the ablative Rayleigh–Taylor instability driven by a laser irradiating thin targets is studied through two-dimensional extended-magnetohydrodynamic simulations. The perturbation structure gets into a low magnetization state though the peak strength of the self-generated magnetic field could reach hundreds of teslas. The Righi–Leduc effect plays an essential impact both in the linear and nonlinear stages, and it deflects the total heat flux towards the spike base. Compared to the case without the self-generated magnetic field included, less heat flux is concentrated at the spike tip, finally mitigating the ablative stabilization and leading to an increase in the velocity of the spike tip. It is shown that the linear growth rate is increased by about 10% and the amplitude during the nonlinear stage is increased by even more than 10% due to the feedback of the magnetic field, respectively. Our results reveal the importance of Righi–Leduc heat flux to the growth of the instability and promote deep understanding of the instability evolution together with the self-generated magnetic field, especially during the acceleration stage in inertial confinement fusion.

Species of Baylisascaris (Nematoda: Ascarididae) are of great veterinary and zoonotic significance, owing to cause Baylisascariosis or Baylisascariasis in wildlife, captive animals and humans. However, the phylogenetic relationships of the current 10 Baylisascaris species remain unclear. Moreover, our current knowledge of the detailed morphology and morphometrics of the important zoonotic species B. procyonis is still insufficient. The taxonomical status of B. procyonis and B. columnaris remains under debate. In the present study, the detailed morphology of B. procyonis was studied using light and scanning electron microscopy based on newly collected specimens from the raccoon Procyon lotor (Linnaeus) in China. The results of the ASAP analysis and Bayesian inference (BI) using the 28S, ITS, cox1 and cox2 genetic markers did not support that B. procyonis and B. columnaris represent two distinct species. Integrative morphological and molecular assessment challenged the validity of B. procyonis, and suggested that B. procyonis seems to represent a synonym of B. columnaris. Molecular phylogenetic results indicated that the species of Baylisascaris were grouped into 4 clades according to their host specificity. The present study provided new insights into the taxonomic status of B. procyonis and preliminarily clarified the phylogenetic relationships of Baylisascaris species.

With the severity and frequency of significant weather events increasing, methods for alleviating unsteady wind loading for high-rise buildings are gaining interest. This study numerically investigates the three-dimensional flow structures around a canonical high-rise building immersed in an atmospheric boundary layer at different oncoming wind angles, using wall-resolved large eddy simulations. A synthetic jet located on the top surface is used as open-loop active actuation with the aim of suppressing the building's side-force fluctuations when exposed to oncoming wind variations. Three different frequencies of jet forcing are considered, all half an order of magnitude larger than the vortex shedding frequency. The behaviour of the synthetic jet and its effect on the building's unsteady side force, time-averaged flow fields and unsteady flow structures are investigated numerically. The synthetic jet actuation is found to reduce the side-force fluctuation of the building, enhance the downwash flow and successfully attenuate the antisymmetric vortex shedding. This was achieved to different extents across the range of oncoming wind angles considered and may motivate future attempts to explore experimental active control strategies for attenuation of unsteady wind loading.

The purpose of this study was to analyse the clinical characteristics of patients with severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) PCR re-positivity after recovering from coronavirus disease 2019 (COVID-19). Patients (n = 1391) from Guangzhou, China, who had recovered from COVID-19 were recruited between 7 September 2021 and 11 March 2022. Data on epidemiology, symptoms, laboratory test results and treatment were analysed. In this study, 42.7% of recovered patients had re-positive result. Most re-positive patients were asymptomatic, did not have severe comorbidities, and were not contagious. The re-positivity rate was 39%, 46%, 11% and 25% in patients who had received inactivated, mRNA, adenovirus vector and recombinant subunit vaccines, respectively. Seven independent risk factors for testing re-positive were identified, and a predictive model was constructed using these variables. The predictors of re-positivity were COVID-19 vaccination status, previous SARs-CoV-12 infection prior to the most recent episode, renal function, SARS-CoV-2 IgG and IgM antibody levels and white blood cell count. The predictive model could benefit the control of the spread of COVID-19.

Pie charts are often used to communicate risk, such as the risk of driving. In the foreground-background salience effect (FBSE), foreground (probability of bad event) has greater salience than background (no bad event) in such a chart. Experiment 1 confirmed that the displays format of pie charts showed a typical FBSE. Experiment 2 showed that the FBSE resulted from a difference in cognitive efforts in processing the messages and that a foreground-emphasizing display was easier to process. Experiment 3 manipulated subjects’ information processing mindset and explored the interaction between displays format and information processing mindset. In the default mindset, careless subjects displayed a typical FBSE, while those who were instructed to be careful reported similar risk-avoidant behavior preference reading both charts. Suggestions for improving risk communication are discussed.

This work elucidated the performance and mechanisms of Pb2+ adsorption by kaolinite, montmorillonite, goethite and ferrihydrite using batch experiments. The contributions of various adsorption mechanisms were quantified using a stepwise extraction method. Several characterizations (scanning electron microscopy, X-ray diffraction, Fourier-transform infrared spectroscopy, point of zero charge analysis and X-ray fluorescence) were utilized to analyse the physicochemical properties and the potential adsorption mechanisms. The results indicated that the adsorption processes of montmorillonite and goethite approached equilibrium within 20 min, while 60 min were required for the adsorption processes of kaolinite and ferrihydrite. The adsorption processes of Pb2+ by the four minerals best fit the pseudo-second order model. The adsorption capacities of the four minerals for Pb2+ followed the order: montmorillonite > goethite > ferrihydrite > kaolinite, and the maximum adsorption capacities were 69.20, 46.95, 34.32 and 18.62 mg g–1, respectively. The stepwise extraction test showed that the adsorption mechanism of Pb2+ was dominated by ion exchange for montmorillonite, precipitation and complexation for goethite and complexation for kaolinite and ferrihydrite.

Instrument delivery is critical part in vascular intervention surgery. Due to the soft-body structure of instruments, the relationship between manipulation commands and instrument motion is non-linear, making instrument delivery challenging and time-consuming. Reinforcement learning has the potential to learn manipulation skills and automate instrument delivery with enhanced success rates and reduced workload of physicians. However, due to the sample inefficiency when using high-dimensional images, existing reinforcement learning algorithms are limited on realistic vascular robotic systems. To alleviate this problem, this paper proposes discrete soft actor-critic with auto-encoder (DSAC-AE) that augments SAC-discrete with an auxiliary reconstruction task. The algorithm is applied with distributed sample collection and parameter update in a robot-assisted preclinical environment. Experimental results indicate that guidewire delivery can be automatically implemented after 50k sampling steps in less than 15 h, demonstrating the proposed algorithm has the great potential to learn manipulation skill for vascular robotic systems.

In this work, a confined-doped fiber with the core/inner-cladding diameter of 40/250 μm and a relative doping ratio of 0.75 is fabricated through a modified chemical vapor deposition method combined with the chelate gas deposition technique, and subsequently applied in a tandem-pumped fiber amplifier for high-power operation and transverse mode instability (TMI) mitigation. Notably, the impacts of the seed laser power and mode purity are preliminarily investigated through comparative experiments. It is found that the TMI threshold could be significantly affected by the seed laser mode purity. The possible mechanism behind this phenomenon is proposed and revealed through comprehensive comparative experiments and theoretical analysis. Finally, a maximum output power of 7.49 kW is obtained with the beam quality factor of approximately 1.83, which is the highest output power ever reported in a forward tandem-pumped confined-doped fiber amplifier. This work could provide a good reference and practical solution to improve the TMI threshold and realize high-power high-brightness fiber lasers.

The unsteady wind loading on high-rise buildings has the potential to influence strongly their structural performance in terms of serviceability, habitability and occupant comfort. This paper investigates numerically the flow structures around a canonical high-rise building immersed in an atmospheric boundary layer, using wall-resolved large eddy simulations. The switching between two vortex shedding modes is explored, and the influence of the atmospheric boundary layer on suppressing symmetric vortex shedding is identified. It is shown that the antisymmetric vortex shedding mode is prevalent in the near wake behind the building, with strong coherence between the periodic fluctuations of the building side force and the antisymmetric vortex shedding mode demonstrated. Two feedback control strategies, exploiting this idea, are designed to alleviate the aerodynamic side-force fluctuations, using pressure sensing on just a single building wall. The sensor response to synthetic jet actuation along the two ‘leading edges’ of the building is characterised using system identification. Both the designed linear controller and the least mean square adaptive controller attenuate successfully the side-force fluctuations when implemented in simulations. The linear controller exhibits a better performance, and its effect on the flow field is to delay the formation of dominant vortices and increase the extent of the recirculation region. Feedback control that requires a smaller sensing area is then explored, with a comparable control effect achieved in the attenuation of the unsteady loading. This study could motivate future attempts to understand and control the unsteady loading of a high-rise building exposed to oncoming wind variations.

The migration of polydisperse particles and the formation of self-organized particle chains in a square channel flow of non-Newtonian fluids is studied. The effects of rheological behaviour of the fluid, solution concentration and flow rate are explored experimentally. The direct forcing/fictitious domain method is adopted to qualitatively verify the experiments and further analyse the mechanisms of particle migration and particle chain self-organization. The results show that only particles in viscoelastic fluids with negligible shear-thinning effect will remain at the channel centreline as the flow rate increases. The monodisperse particles reach the same velocity when migrating to the equilibrium position. However, in polydisperse suspensions, the smaller the particle diameter, the greater the velocity when the particle migrates to the equilibrium position. In a viscoelastic fluid, the polydisperse particles are more likely to self-organize into long particle chains along the channel centreline than the monodisperse particles, where the large and small particles are at the front and end of the chain. The dimensionless alignment factor (Af) is adopted to quantify the formation of particle chains, which is the largest in viscoelastic fluids and rapidly increases before decreasing to a stable value as the flow rate increases. For larger particle diameter ratios and stronger shear-thinning effect, the long particle chain self-organization is less obvious. The self-organizing particle chains at the channel centreline are strongly influenced by the fluid elastic properties and weakly by the inertial effect; however, the shear-thinning effect disperses the particles and prevents the formation of long straight particle chains.

To persist (without immigration) in habitats with unpredictable environmental conditions, annuals must produce seeds each year or have a seed bank. Thus, we predicted that compared to perennials, annuals have a wider germination temperature range (GTR, the difference in temperature between the week with the highest and the week with the lowest germination during the natural germination season). We determined the GTR via germination phenology data for 350 herbaceous species in 59 families from the eastern USA: summer annuals (SA), 63; winter annuals (WA), 83; monocarpic perennials (MP), 28; and polycarpic perennials (PP), 176. There was no significant phylogenetic signal for the GTR. The width of the GTR during the first spring germination season was 9.6, 8.7 and 8.8°C for MP, PP and SA, respectively, and during the first autumn germination season 12.8, 11.8 and 12.4°C for MP, PP and WA, respectively. Annuals did not have a wider GTR than perennials in either the spring or the autumn germination season. Our data suggest that selection for early germination in either spring or autumn has resulted in only small differences in the GTR. We predict that global warming will have little or no effect on reshaping the germination phenology of herbaceous species of temperate eastern North America.