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The pandemic of Coronavirus Disease 2019 (COVID-19) threatens people’s lives, and they pay more attention to health than ever before. Medical workers and other members of society need to have knowledge of responding to medical emergencies, as does the public. With the improvement of the public’s health literacy, we will have more chances to prevent the development of the pandemic. The fifth-generation Pavilion of Health Emergency Experience (Wuhan, China) provides a new health interactive platform. It introduces advanced technology to present how these events happen, how they evolve, and how they are handled. With a deep understanding of the construction and structure of pavilions in this field both at home and abroad, we will know our limitations and make efforts to innovate. Therefore, we should make full use of the advanced technology of public health to benefit the people. And the fifth-generation pavilion deserves to generalize in other areas.
This study employs direct numerical simulations to examine the effects of varying backpressure conditions on the turbulent atomisation of impinging liquid jets. Using the incompressible Navier–Stokes equations, and a volume-of-fluid approach enhanced by adaptive mesh refinement and an isoface-based interface reconstruction algorithm, we analyse spray characteristics in the environments with ambient gas densities ranging from 1 to 40 times the atmospheric pressure under five different backpressure scenarios. We investigate the behaviour of turbulent jets, incorporate realistic orifice geometries and identify significant variations in the atomisation patterns depending on backpressure. Two distinct atomisation types emerge, namely jet-sheet-ligament-droplet at lower backpressures and jet-sheet-fragment-droplet at higher ones, alongside a transition from dilute to dense spray patterns. This variation affects the droplet size distribution and spray dynamics, with increased backpressure reducing the spray's spreading angle and breakup length, while increasing the droplet size variation. Furthermore, these conditions promote distributions that induce rapid, nonlinear wavy motion in liquid sheets. Topological analysis of the atomisation field using velocity-gradient tensor invariants reveals significant variations in topology volume fractions across different regions. Downstream, the droplet Sauter mean diameter increases and then stabilises, reflecting the continuous breakup and coalescence processes, notably under higher backpressures. This research underscores the substantial impact of backpressure on impinging-jet atomisation and provides essential insights for nozzle design to optimise droplet distributions.
Nonlinear compression experiments based on multiple solid thin plates are conducted in an ultra-high peak power Ti:sapphire laser system. The incident laser pulse, with an energy of 80 mJ and a pulse width of 30.2 fs, is compressed to 10.1 fs by a thin-plate based nonlinear compression. Significant small-scale self-focusing is observed as ring structures appear in the near-field of the output pulse at high energy. Numerical simulations based on the experimental setup provide a good explanation for the observed phenomena, offering quantitative predictions of the spectrum, pulse width, dispersion and near- and far-field distributions of the compressed laser pulse.
To determine the prevalence of overweight and obesity in patients with severe mental disorders (SMD) and the factors associated with their socio-demographic and disease characteristics in a cross-sectional population-based study.
Design:
This analysis examined the prevalence of overweight and obesity in 14 868 managed SMD patients in an urban area of Shenzhen city based on data from the health information monitoring system in 2021. Multivariate logistic regression were used to identify the factors associated with the prevalence of overweight and obesity in patients with SMD.
Setting:
China.
Participants:
14 868 patients with SMD.
Results:
The prevalence of overweight and obesity in patients with SMD in this study was 32·6 % and 16·1 %, respectively. In multivariate analysis, married status, Shenzhen household registration, management durations of 5–10 years and >10 years, participation in family physician services, taking clozapine or aripiprazole, FPG > 6·1 mmol/l, hypertension, TC ≥ 5·2 mmol/l, TG ≥ 1·7 mmol/l, and more frequent follow-ups in the past year were associated with higher odds of overweight and obesity. Compared to their respective reference categories, living with parents, spouse and children, taking risperidone, aripiprazole, amisulpride and perphenazine, FPG > 6·1 mmol/l, hypertension, TC ≥ 5·2 mmol/l, TG ≥ 1·7 mmol/l, and more frequent follow-ups in the past year were associated with higher odds of obesity.
Conclusion:
We observed a high prevalence of overweight and obesity in patients with SMD in this study. The findings highlight the need for integrated management of overweight and obesity risk factors among patients with SMD.
For every $r\in \mathbb {N}_{\geq 2}\cup \{\infty \}$, we prove a $C^r$-orbit connecting lemma for dynamically coherent and plaque expansive partially hyperbolic diffeomorphisms with one-dimensional orientation preserving center bundle. To be precise, for such a diffeomorphism f, if a point y is chain attainable from x through pseudo-orbits, then for any neighborhood U of x and any neighborhood V of y, there exist true orbits from U to V by arbitrarily $C^r$-small perturbations. As a consequence, we prove that for $C^r$-generic diffeomorphisms in this class, periodic points are dense in the chain recurrent set, and chain transitivity implies transitivity.
Thyroid cancer (TC) incidence has increased greatly during the past decades with a few established risk factors, while no study is available that has assessed the association of the Chinese Health Dietary Index (CHDI) with TC. We conducted a 1:1 matched case–control study in two hospitals in Shanghai, China. Diet-quality scores were calculated according to CHDI using a validated and reliable FFQ. Conditional logistic regression analysis and restricted cubic spline analysis were used to reveal potential associations between CHDI score and TC risk. A total of 414 pairs of historically confirmed TC patients and healthy controls were recruited from November 2012 to December 2015. The total score of cases and controls were 67·5 and 72·8, respectively (P < 0·001). The median score of total vegetables, fruit, diary products, dark green and orange vegetables, fish, shellfish and mollusk, soyabean, whole grains, dry bean and tuber in cases was significantly lower than those in controls. Compared with the reference group (≤60 points), the average (60–80 points) and high (≥80 points) levels of the CHDI score were associated with a reduced risk of TC (OR: 0·40, 95 % CI 0·26, 0·63 for 60–80 points; OR: 0·22, 95 % CI 0·12, 0·38 for ≥80 points). In age-stratified analyses, the favourable association remained significant among participants who are younger than 50 years old. Our data suggested that high diet quality as determined by CHDI was associated with lower risk of TC.
The eastern margin of the Tibetan Plateau, a global biodiversity hotspot, is threatened by habitat degradation. Conservation actions are required in this region, but limited knowledge of large and medium-sized mammals is hampering conservation planning. Using 149 camera traps, we surveyed large and medium-sized mammals in Xionglongxi Provincial Nature Reserve and adjacent areas, on the eastern margin of the Tibetan Plateau, during September 2016–May 2017. We obtained 5,752 independent captures of 29 large and medium-sized mammal species, including 13 that are globally threatened and 22 that are nationally threatened in China. Carnivores were especially diverse, with 16 species recorded. Of particular significance was our detection of seven felid species, including the leopard Panthera pardus and the snow leopard Panthera uncia. Our record of the Chinese mountain cat Felis bieti extends the known range of this species. We documented new upper elevation limits for eight species. There was elevational overlap between the leopard and the snow leopard, suggesting potential competition between the two species. The grey wolf Canis lupus and the leopard were the dominant predators, and the woolly hare Lepus oiostolus and several species of ungulates were the most frequently photographed prey species. The study area maintains a significant community of large and medium-sized mammals, which is more diverse than in other areas on the eastern edge of the Tibetan Plateau. We recommend the establishment of a larger nature reserve of national protection status in the region of the Xionglongxi Provincial Nature Reserve, to protect the unique subalpine and alpine ecosystems in this area.
The aim of this study was to investigate the changes in Chinese residents’ psychological state and its influencing factors after the Wuhan shutdown on January 23, 2020.
Methods:
Two surveys were conducted on February 1-5 and February 20-24, separately, using an online self-administrated questionnaire among 3145 and 3814 participants, respectively. Subjective indicators of daily-life changes include level of attention, risk of infection, impact of daily life, self-perceived health status, and mental health help-seeking. Individual scores on changes in anxiety, depression, and stress were generated by 6-item, 4-item, and 3-item questions. A multivariate regression model was fitted in each survey, separately and combined.
Results:
A total of 6959 residents participated in the study, with 32.78% male and 67.22% female, people living in Wuhan and other cities in Hubei Province accounted for 25.22% and 18.85%, respectively. One week after the Wuhan shutdown, their anxiety, depression, and stress had all increased. Compared with the first survey, the changes in the scores of anxiety, depression, and stress in the second survey were decreased (β = −1.220, −0.798, and −0.623, all P < 0.001). The level of attention, risk of infection, and self-perceived health status tended to be positively associated with the changes in the scores of anxiety, depression, and stress.
Conclusions:
The study showed that the lives and psychological conditions of residents had undergone negative changes after the Wuhan shutdown, but the measures taken during this period were effective. These results may provide guidance for public health policies in other countries and regions.
Understanding the patterns of treatment response is critical for the treatment of patients with schizophrenia; one way to achieve this is through using a longitudinal dynamic process study design.
Aims
This study aims to explore the response trajectory of antipsychotics and compare the treatment responses of seven different antipsychotics over 6 weeks in patients with schizoprenia (trial registration: Chinese Clinical Trials Registry Identifier: ChiCTR-TRC-10000934).
Method
Data were collected from a multicentre, randomised open-label clinical trial. Patients were evaluated with the Positive and Negative Syndrome Scale (PANSS) at baseline and follow-up at weeks 2, 4 and 6. Trajectory groups were classified by the method of k-means cluster modelling for longitudinal data. Trajectory analyses were also employed for the seven antipsychotic groups.
Results
The early treatment response trajectories were classified into a high-trajectory group of better responders and a low-trajectory group of worse responders. The results of trajectory analysis showed differences compared with the classification method characterised by a 50% reduction in PANSS scores at week 6. A total of 349 patients were inconsistently grouped by the two methods, with a significant difference in the composition ratio of treatment response groups using these two methods (χ2 = 43.37, P < 0.001). There was no differential contribution of high- and low trajectories to different drugs (χ2 = 12.52, P = 0.051); olanzapine and risperidone, which had a larger proportion in the >50% reduction at week 6, performed better than aripiprazole, quetiapine, ziprasidone and perphenazine.
Conclusions
The trajectory analysis of treatment response to schizophrenia revealed two distinct trajectories. Comparing the treatment responses to different antipsychotics through longitudinal analysis may offer a new perspective for evaluating antipsychotics.
We report on a high-power Ho:YAG single-crystal fiber (SCF) laser inband pumped by a high-brightness Tm-fiber laser at 1908 nm. The Ho:YAG SCF grown by the micro-pulling-down technique exhibits a propagation loss of $0.05\pm 0.005~\text{cm}^{-1}$ at $2.09~\unicode[STIX]{x03BC}\text{m}$. A continuous-wave output power of 35.2 W is achieved with a slope efficiency of 42.7%, which is to the best of our knowledge the highest power ever reported from an SCF-based laser in the 2 $\unicode[STIX]{x03BC}\text{m}$ spectral range.
The aim of this study was to determine the most cost-effective strategy for the prevention and control of multidrug-resistant organisms (MDROs) in intensive care units (ICUs) in areas with limited health resources. The study was conducted in 12 ICUs of four hospitals. The total cost for the prevention of MDROs and the secondary attack rate (SAR) of MDROs for each strategy were collected retrospectively from 2046 subjects from January to December 2017. The average cost-effectiveness ratio (CER), incremental cost-effectiveness ratio (ICER) and cost-effectiveness acceptability curve were calculated. Hand hygiene (HH) had the lowest total cost (2149.6 RMB) and SAR of MDROs (8.8%) while single-room isolation showed the highest cost (33 700.2 RMB) and contact isolation had the highest SAR of MDROs (31.8%). The average cost per unit infection prevention was 24 427.8 RMB, with the HH strategy followed by the environment disinfection strategy (CER = 21 314.67). HH had the highest iterative cost effect under willingness to pay less than 2000 RMB. Due to the low cost for repeatability and obvious effectiveness, we conclude that HH is the optimal strategy for MDROs infections in ICUs in developing countries. The cost-effectiveness of the four prevention strategies provides some reference for developing countries but multiple strategies remain to be examined.
Sea ice is composed of columnar-shaped grains. To investigate the influence of the loading direction on the uniaxial compressive strength and failure processes of sea ice, field experiments were performed with first-year level ice. Loads were applied both horizontally (parallel to the grain columns) and vertically (across the grain columns) with various nominal strain rates. Two failure modes have been observed: a ductile failure mode at low nominal strain rates, and a brittle failure mode at high nominal strain rates. However, the failure pattern of sea ice was clearly dependent on the loading direction. At low nominal strain rates (ductile failure mode), the sea-ice samples yielded due to the development of wing cracks under horizontal loading and due to splaying out at one end under vertical loading. When sea ice fails in the ductile mode, the deformation is driven by grain boundary sliding under horizontal loading and by grain decohesion and crystal deflection under vertical loading. At high nominal strain rates (brittle failure mode), the sea-ice samples failed in shear faulting under horizontal loading and in cross-column buckling under vertical loading. The nominal strain rate at the brittle–ductile transition zone is about ten times higher under vertical loading.
In this paper, the atomic resolution high-angle annular dark-field scanning transmission electron microscope (HAADF-STEM) was used as the main research method. Using HAADF-STEM, two types of long-period stacking ordered structure (LPSO)—14H and 18R-LPSO—were observed in Mg96Gd2Y1Ni1 alloy, and the precipitates at various stages of aging were observed. Moreover, a type of rectangular β precipitates were found, and the atomic models of β precipitates along the [0001]Mg and ${\tf="TeXGyrePagella-Bold (TrueType)"\char9001} 11\bar 20\hbox{]}_{{\rm{Mg}}}$ directions were identified. At the aging peak stage, a three-dimensional network structure composed of LPSO/γ′ precipitates and β′ precipitates and β precipitates was observed. The hardness of the unaged homogenized Mg96Gd2Y1Ni1 alloy was only 87 HV and the hardness value of aging peak was 128.4 HV. Compared with the unaged alloy, the hardness of the peak-aged alloy increased by 47.59%. The composite strengthening of the three types of precipitates induced a significant strengthening to the alloy.
The vortex sound interaction in acoustic resonance induced by vortex shedding from a cylinder in a flow duct is numerically studied based on a nonlinear physical model, which consists of three meshless sub-models describing the vortex shedding, sound generation and propagation within the duct. In addition, the acoustic particle velocity near the separation point of the shear layer is solved and added onto the Kutta condition of the vortex shedding, which takes the acoustic feedback effect into consideration and makes the vortex sound interaction bi-directional. The predicted results of resonant frequency and amplitude are found to be in conformity with previous experiment data, especially, a continuous description of the onset–sustain–cease of lock-in phenomenon is well captured. The lock-in phenomenon is depicted as a vigorous competition between the vortex shedding frequency $(f_{s})$ and the inherent frequency of the acoustic $\unicode[STIX]{x1D6FD}$-mode $(f_{a})$. The mutual capturing behaviour of these two frequencies is dominated by $f_{a}$. Moreover, $f_{s}$ cannot always be locked onto $f_{a}$ within the whole lock-in region, which is in marked contrast to the previous understanding. In this aspect, two lock-in regions, the synchronous region and the $\unicode[STIX]{x1D6FD}$-mode dominant region, are defined according to the relevance of $f_{s}$ and $f_{a}$. The maximum resonant sound appears at the end of the synchronous region. The present model not only predicts the proper characteristics of frequency lock-in as observed in experiments, but also helps to provide a more detailed understanding of the underlying lock-in mechanism.
We report on the study of single-mode fiber-laser-pumped mode-locked Yb:CALYO lasers via using a passive saturable absorber and Kerr-lens mode-locking technique, respectively. Up to 3.1-W average power with 103-fs pulse duration is obtained from the passive mode-locking, and down to 36-fs pulse duration with more than 2-W average power is achieved by the pure Kerr-lens mode-locking, which is to the best of our knowledge, the highest average power from a reported sub-40-fs Yb-based solid-state oscillator.
Aging treatment plays an important role in strengthening of 2198 Al–Li alloy. Through a serious of heat treatment processes, a large amount of precipitates emerge, mainly observed to be θ′(Al2Cu), Al3Zr, and T1(Al2CuLi), among which, T1 turns to be the most important precipitate that contributes to the strengthening of 2198 Al–Li alloy. While the temperature of the aging process is 175 °C, the density and size of T1 phase keep increasing through the process and reach peak in about 18 h. T1 phase tends to have a certain orientation relationship of ${\left( {0001} \right)_{{{\rm{T}}_1}}}//{\left\{ {111} \right\}_{{\rm{Al}}}}$, ${\left\langle {1010} \right\rangle _{{{\rm{T}}_{\rm{1}}}}}//{\left\langle {110} \right\rangle _{{\rm{Al}}}}$ and may have different kinds of multilayered structures. In most of the multilayered structures, the distance between two adjacent copper-rich laths is less than that in classical single-layered phase. Thus, it can be inferred that the microstructure of T1 phase might change in the process of developing from single-layered structure to multilayered structure. In addition, the interactions between different phases become relatively frequent when the density of T1 phase reaches a threshold.
Underground Nuclear Astrophysics in China (JUNA) will take the advantage of the ultra-low background in Jinping underground lab. High current accelerator with an ECR source and detectors were commissioned. JUNA plans to study directly a number of nuclear reactions important to hydrostatic stellar evolution at their relevant stellar energies. At the first period, JUNA aims at the direct measurements of 25Mg(p,γ)26 Al, 19F(p,α) 16 O, 13C(α, n) 16O and 12C(α,γ) 16O near the Gamow window. The current progress of JUNA will be given.
Effective suppression of transverse stimulated Raman scattering (TSRS) in a large-aperture potassium dihydrogen phosphate (KDP) crystal is an important scientific and technical problem in high-intensity laser research and applications. In this work, a method to suppress TSRS using pulse stacking is proposed. The method suppresses TSRS significantly, with greater numbers of subpulses producing more obvious suppression effects, and the threshold intensity growth rate of the 3ω laser in the KDP crystal reaches up to about 1.9 when the stacked pulse contains four subpulses. This suppression effect is attributed to the fact that the polarization directions of adjacent subpulses are perpendicular to each other. The method can be used to suppress other nonlinear effects, including transverse stimulated Brillouin scattering in large-aperture optical devices and stimulated rotational Raman scattering in long air paths.
Dyeing wastewater has caused serious environmental problems nowadays. In this work, nickel–phosphorus plating–titanium dioxide (Ni-P-TiO2) electroless plating polyimide (PI) fabric was fabricated as an excellent visible light response composite. First, polyaniline (PANI) was in situ polymerized on the surface of the PI fabric. Second, PANI reduced palladium ions to be active seeds for initiating electroless plating of Ni-P-TiO2 layer. Finally, the Ni-P-TiO2/PANI/PI fabric with all-in-one structure was prepared, which can effectively overcome the drawbacks of poor loading fastness and insensitivity to visible light response. It was characterized by scanning electron microscopy, energy-dispersive spectroscopy, X-ray diffraction, X-ray photoelectron spectroscopy, thermogravimetric analysis, and ultraviolet–visible diffuse reflectance spectroscopy. The photocatalytic activity was evaluated by degrading reactive blue 19, methylene blue, and reactive red (M-3BE) under visible light irradiation. The results show that the degradation rates of the all three dyes were over 91% with robust cycle stability for repeated 5 cycles of use. The possible photocatalytic degradation mechanism of fabrics was also proposed based on free radical and hole removal experiments.