Accurately predicting neurosyphilis prior to a lumbar puncture (LP) is critical for the prompt management of neurosyphilis. However, a valid and reliable model for this purpose is still lacking. This study aimed to develop a nomogram for the accurate identification of neurosyphilis in patients with syphilis. The training cohort included 9,504 syphilis patients who underwent initial neurosyphilis evaluation between 2009 and 2020, while the validation cohort comprised 526 patients whose data were prospectively collected from January 2021 to September 2021. Neurosyphilis was observed in 35.8% (3,400/9,504) of the training cohort and 37.6% (198/526) of the validation cohort. The nomogram incorporated factors such as age, male gender, neurological and psychiatric symptoms, serum RPR, a mucous plaque of the larynx and nose, a history of other STD infections, and co-diabetes. The model exhibited good performance with concordance indexes of 0.84 (95% CI, 0.83–0.85) and 0.82 (95% CI, 0.78–0.86) in the training and validation cohorts, respectively, along with well-fitted calibration curves. This study developed a precise nomogram to predict neurosyphilis risk in syphilis patients, with potential implications for early detection prior to an LP.

Acid-activated bentonites are utilized in many applications, including those that depend on their rheological properties and behavior, but little information is available regarding the rheological characteristics of this important industrial material. The purpose of this study was to investigate the effects of solids concentration, salt concentration, and pH value on the shear rate, shear stress, and other flow parameters of acid-activated bentonite suspensions. Activated Na-bentonite was prepared using sulfuric acid. Flow curves of the suspensions were modeled using the Herschel-Bulkley equation, which performed well for this system. The Herschel-Bulkley yield stress increased with the solids concentration and showed a maximum and minimum at the NaCl concentrations of 0.001 M and 0.01 M, respectively, and increased again slightly with further increases in NaCl concentration. The yield stress was at a maximum and a minimum at pH values of ≈5 and ≈7, respectively, followed by a slight increase with pH under alkaline conditions. The variations in dispersion rheological properties can be attributed to the change in the particle-association modes under different conditions.

The three-dimensional flow over a low-aspect-ratio (low-$A\!R$) trapezoidal plate is investigated experimentally with a focus on how the tip effects impact the structure and dynamics of the separation bubble. The chord-based Reynolds number is $5800$, and the angle of attack varies from $4^\circ$ to $10^\circ$. Once the flow separates, the separation bubble emerges and features a swallow-tailed structure that shrinks near the midspan, which is first found for the flows over low-$A\!R$ plates. This structure develops into the conventional single-tailed structure as the angle of attack increases. Moreover, the vortex shedding within the swallow-tailed separation bubble is restored from multiple asynchronously measured local velocity fields. It is revealed that the leading-edge vortex undergoes the novel transformation from a C-shape vortex into an M-shape vortex. This vortex transformation stems from the mass transport of the near-wall spanwise flow, which affects the fluid motion on the windward side of the C-shape vortex head, strengthening and accelerating the vortex head. The strengthened vortex head facilitates the entrainment of high-momentum fluid from the outer flow. This is responsible for the formation of the swallow-tailed structure. These findings help to fill the gaps left by the downwash at low angles of attack for low-$A\!R$ wings, and are of value in improving the cruising and gliding performance of micro-air vehicles.

Straightplasma channels are widely used to guide relativistic intense laser pulses over several Rayleigh lengths for laser wakefield acceleration. Recently, a curved plasma channel with gradually varied curvature was suggested to guide a fresh intense laser pulse and merge it into a straight channel for staged wakefield acceleration [Phys. Rev. Lett. 120, 154801 (2018)]. In this work, we report the generation of such a curved plasma channel from a discharged capillary. Both longitudinal and transverse density distributions of the plasma inside the channel were diagnosed by analyzing the discharging spectroscopy. Effects of the gas-filling mode, back pressure and discharging voltage on the plasma density distribution inside the specially designed capillary are studied. Experiments show that a longitudinally uniform and transversely parabolic plasma channel with a maximum channel depth of 47.5 μm and length of 3 cm can be produced, which is temporally stable enough for laser guiding. Using such a plasma channel, a laser pulse with duration of 30 fs has been successfully guided along the channel with the propagation direction bent by 10.4°.

As intense, ultrashort, kHz-repetition-rate laser systems become commercially available, pulse cumulative effects are critical for laser filament-based applications. In this work, the pulse repetition-rate effect on femtosecond laser filamentation in air was investigated both numerically and experimentally. The pulse repetition-rate effect has negligible influence at the leading edge of the filament. Clear intensity enhancement from a high-repetition pulse is observed at the peak and tailing edge of the laser filament. As the repetition rate of the laser pulses increases from 100 to 1000 Hz, the length of the filament extends and the intensity inside the filament increases. A physical picture based on the pulse repetition-rate dependent ‘low-density hole’ effect on filamentation is proposed to explain the obtained results well.

People tend to prefer smaller and sooner (SS) rewards over larger and later (LL) ones even when the latter are much larger. Previous research have identified several ways to enhance people’s patience. Adding to this literature, the current paper demonstrates that introduction of upfront losses as well as gains to both SS and LL rewards can decrease people’s impatience. This effect is incompatible with both the normative exponential and descriptive hyperbolic discounting models, which agree on the additive assumption and the independence assumption. We also exculde the integration explanation which assumes subjects integrate upfront money with final rewards and make a decision with bottom line at the end. We consider several possible explanations, including the salience hypothesis, which states that introducing upfront money makes the money dimension more salient than not and thus increases the attractiveness of LL options.

Recently, Scholten and Read (2014) found new violations of dominance in intertemporal choice. Although adding a small receipt before a delayed payment or adding a small delayed receipt after an immediate receipt makes the prospect objectively better, it decreases the preference for that prospect (better is worse). Conversely, although adding a small payment before a delayed receipt or adding a small delayed payment after an immediate payment makes the prospect objectively worse, it increases the preference for that prospect (worse is better). Scholten and Read explained these violations in terms of a preference for improvement. However, to produce violations such as these, we find that the temporal sequences need not be constructed as Scholten and Read suggested. In this study, adding a small receipt before a dated receipt (thus constructed as improving) or adding a receipt after a dated payment (thus constructed as improving) decreases preferences for those prospects. Conversely, adding a small payment after a dated receipt (thus constructed as deteriorating) or adding a small payment before a delayed payment (thus constructed as deteriorating) increases preferences for those prospects.

Extraction of reference signal is an indispensable step in the signal processing of polarization diversity passive radar (PDPR) based on a digital television signal. A conventional reference signal extraction method requires an additional reference antenna, which has a certain demand for space. Single dual-polarization antenna passive radar (SDPPR) systems do not require a reference antenna, and the radar station layout is flexible, which is suitable for a large-scale radar network. It is a main research direction of PDPR in future. However, its reference signal extraction needs to rely on the signal reconstruction method. When the signal to interference and noise ratio of the direct-path signal is relatively low, the signal reconstruction method will fail. In this paper, we propose a reference signal extraction method based on sub-carrier processing method, blind adaptive oblique projection technology, and extensive cancelation algorithm to solve the above problem. Experimental results show that the method proposed in this paper is a reasonable alternative after the failure of reference signal reconstruction, and it is an effective supplement to the reference signal extraction technology.

The subduction model of the Neo-Tethys during the Early Cretaceous has always been a controversial topic, and the scarcity of Early Cretaceous magmatic rocks in the southern part of the Gangdese batholith is the main cause of this debate. To address this issue, this article presents new zircon U–Pb chronology, zircon Hf isotope, whole-rock geochemistry and Sr–Nd isotope data for the Early Cretaceous quartz diorite dykes with adakite affinity in Liuqiong, Gongga. Zircon U–Pb dating of three samples yielded ages of c. 141–137 Ma, indicating that the Liuqiong quartz diorite was emplaced in the Early Cretaceous. The whole-rock geochemical analysis shows that the Liuqiong quartz diorite is enriched in large-ion lithophile elements (LILEs) and light rare-earth elements (LREEs) and is depleted in high-field-strength elements (HFSEs), which are related to slab subduction. Additionally, the Liuqiong quartz diorite has high SiO2, Al2O3 and Sr contents, high Sr/Y ratios and low heavy rare-earth element (HREE) and Y contents, which are compatible with typical adakite signatures. The initial 87Sr/86Sr values of the Liuqiong adakite range from 0.705617 to 0.705853, and the whole-rock ϵNd(t) values vary between +5.78 and +6.24. The zircon ϵHf(t) values vary from +11.5 to +16.4. Our results show that the Liuqiong adakite magma was derived from partial melting of the Neo-Tethyan oceanic plate (mid-ocean ridge basalt (MORB) + sediment + fluid), with some degree of subsequent peridotite interaction within the overlying mantle wedge. Combining regional data, we favour the interpretation that the Neo-Tethyan oceanic crust was subducted at a low angle beneath the Gangdese during the Early Cretaceous.

The association between dietary Fe intake and diabetes risk remains inconsistent. We aimed to explore the association between dietary Fe intake and type 2 diabetes mellitus (T2DM) risk in middle-aged and older adults in urban China. This study used data from the Guangzhou Nutrition and Health Study, an on-going community-based prospective cohort study. Participants were recruited from 2008 to 2013 in Guangzhou community. A total of 2696 participants aged 40–75 years without T2DM at baseline were included in data analyses, with a median of 5·6 (interquartile range 4·1–5·9) years of follow-up. T2DM was identified by self-reported diagnosis, fasting glucose ≥ 7·0 mmol/l or glycosylated Hb ≥ 6·5 %. Cox proportional hazard models were used to estimate hazard ratios (HR) and 95 % CI. We ascertained 205 incident T2DM cases during 13 476 person-years. The adjusted HR for T2DM risk in the fourth quartile of haem Fe intake was 1·92 (95 % CI 1·07, 3·46; Ptrend = 0·010), compared with the first quartile intake. These significant associations were found in haem Fe intake from total meat (HR 2·74; 95 % CI 1·22, 6·15; Ptrend = 0·011) and haem Fe intake from red meat (HR 1·86; 95 % CI 1·01, 3·44; Ptrend = 0·034), but not haem Fe intake from processed meat, poultry or fish/shellfish. The association between dietary intake of total Fe or non-haem Fe with T2DM risk had no significance. Our findings suggested that higher dietary intake of haem Fe (especially from red meat), but not total Fe or non-haem Fe, was associated with greater T2DM risk in middle-aged and older adults.

The dependence of fishbone cycle on energetic particle intensity has been investigated in EAST low-magnetic-shear plasmas. It is observed that the fishbone mode growth rate, saturation amplitude as well as fishbone cycle frequency clearly increase with increasing neutral beam injection (NBI) power. Moreover, enhanced electron density and temperature perturbations as well as energetic particle loss were observed with greater injected NBI power. Simulation results using M3D-K code show that as the NBI power increases, the resonant frequency and the energy of the resonant particles become higher, and the saturation amplitude of the mode also changes, due to the non-perturbative energetic particle contribution. The relationship between the calculated energetic particle pressure ratio and fishbone cycle frequency is obtained as ${f_{\textrm{FC}}} = 2.2{(1000{\beta _{\textrm{ep,calc}}} - 0.1)^{5.9 \pm 0.5}}$. Results consistent with the experimental observations have been achieved based on a predator–prey model.

A higher dietary intake or serum concentration of betaine has been associated with greater lean body mass in middle-aged and older adults. However, it remains unknown whether betaine intake is associated with age-related loss of skeletal muscle mass (SMM). We assessed the association between dietary betaine intake and relative changes in SMM after 3 years in middle-aged adults. A total of 1242 participants aged 41–60 years from the Guangzhou Nutrition and Health Study 2011–2013 and 2014–2017 with body composition measurements by dual-energy X-ray absorptiometry were included. A face-to-face questionnaire was used to collect general baseline information. After adjustment for potential confounders, multiple linear regression found that energy-adjusted dietary betaine intake was significantly and positively associated with relative changes (i.e. percentage loss or increase) in SMM of legs, limbs and appendicular skeletal mass index (ASMI) over 3 years of follow-up (β 0·322 (se 0·157), 0·309 (se 0·142) and 0·303 (se 0·145), respectively; P < 0·05). The ANCOVA models revealed that participants in the highest betaine tertile had significantly less loss in SMM of limbs and ASMI and more increase in SMM of legs over 3 years of follow-up, compared with those in the bottom betaine tertile (all Ptrend < 0·05). In conclusion, our findings suggest that elevated higher dietary betaine intake may be associated with less loss of SMM of legs, limbs and ASMI in middle-aged adults.

The rate of hyperglycaemia in people around the world is increasing at an alarming rate at present, and innovative methods of alleviating hyperglycaemia are needed. The effects of Jerusalem artichoke inulin on hyperglycaemia, liver-related genes and the intestinal microbiota in mice fed a high-fat diet (HFD) and treated with streptozotocin (STZ) to induce hyperglycaemia were investigated. Inulin-treated hyperglycaemic mice had decreased average daily food consumption, body weight, average daily water consumption and relative liver weight and blood concentrations of TAG, total cholesterol, HDL-cholesterol and fasting blood glucose. Liver-related gene expressions in hyperglycaemic (HFD-fed and STZ-treated) compared with control mice showed eighty-four differentially expressed genes (forty-nine up-regulated and thirty-five down-regulated). In contrast, hyperglycaemic mice treated with inulin had twenty-two differentially expressed genes compared with control ones. Using Illumina high-throughput sequencing technology, the rarefaction and the rank abundance curves as well as the α diversity indices showed the treatment-induced differences in bacterial diversity in intestine. The linear discriminant analysis of effect size showed that the inulin treatment improved intestinal microbiota; in particular, it significantly increased the number of Bacteroides in the intestine of mice. In conclusion, inulin is potentially an effective functional food for the prevention and/or treatment of hyperglycaemia.

Existing data on folate status and hepatocellular carcinoma (HCC) prognosis are scarce. We prospectively examined whether serum folate concentrations at diagnosis were associated with liver cancer-specific survival (LCSS) and overall survival (OS) among 982 patients with newly diagnosed, previously untreated HCC, who were enrolled in the Guangdong Liver Cancer Cohort (GLCC) study between September 2013 and February 2017. Serum folate concentrations were measured using chemiluminescent microparticle immunoassay. Cox proportional hazards models were performed to estimate hazard ratios (HR) and 95 % CI by sex-specific quartile of serum folate. Compared with patients in the third quartile of serum folate, patients in the lowest quartile had significantly inferior LCSS (HR = 1·48; 95 % CI 1·05, 2·09) and OS (HR = 1·43; 95 % CI 1·03, 1·99) after adjustment for non-clinical and clinical prognostic factors. The associations were not significantly modified by sex, age at diagnosis, alcohol drinking status and Barcelona Clinic Liver Cancer (BCLC) stage. However, there were statistically significant interactions on both multiplicative and additive scale between serum folate and C-reactive protein (CRP) levels or smoking status and the associations of lower serum folate with worse LCSS and OS were only evident among patients with CRP > 3·0 mg/l or current smokers. An inverse association with LCSS were also observed among patients with liver damage score ≥3. These results suggest that lower serum folate concentrations at diagnosis are independently associated with worse HCC survival, most prominently among patients with systemic inflammation and current smokers. A future trial of folate supplementation seems to be promising in HCC patients with lower folate status.

GH3536 alloy is one of the high-temperature nickel-based alloys and widely applied in aviation and aerospace industries. In this study, a combination of experiment and simulation is proposed to study the effect of processing parameters on the selective laser melting (SLM) of GH3536 powder. It is concluded that the relationship between density and laser input energy during SLM complies with a quadratic function and presents an inverted U-shaped distribution. By fitting density and input power to a quadratic polynomial, the optimal laser input energy during SLM of GH3536 alloy can be obtained. The result shows that using 275 W laser power and 960 mm/s scanning speed, the SLM GH3536 specimens can reach the maximum density. This experimental result is consistent with the simulation result obtained by analyzing molten pool dimension. Furthermore, a full process energy prediction diagram for SLM GH3536 alloy based on the simulated molten pool depth and width is proposed. The result shows that it provides an innovative and efficient method for the selection of processing parameters during SLM of GH3536 powder.

Environmental pollution and energy shortages seriously restrict the development of society. Photocatalytic oxidation technology can directly use solar energy to drive a series of chemical reactions. It has the advantages of low energy consumption, mild reaction conditions, and no secondary pollution, and is an effective method to solve organic pollutions in water. The key to achieve this process is to find and design efficient photocatalytic materials. In this paper, a novel silver-based metal–organic framework (Ag-MOF) [{Ag(H2btc)}{Ag2(Hbtc)}]n (1) (H3btc = 1,3,5-trimesic acid) is designed that exhibits a high performance in the photocatalytic degradation of methylene blue (MB). The process of photocatalytic degradation of MB conforms to pseudo first-order kinetics, and the rate is the fastest at pH 3 (K = 0.2654). Meanwhile, the photocatalytic mechanism of 1 is analyzed by in situ electron paramagnetic resonance (EPR) and ESI-MS spectra. The results are helpful for in situ research of the photocatalytic mechanism of MOFs.

A new band-reject frequency-selective surface (FSS) based on dual-band near-zero refractive index metamaterial (ZIM) design is presented in this paper. Consisting of a planar array of complementary dual-layer symmetry resonant ring, the proposed FSS exhibits a high-selective band-reject filtering response. From the viewpoint of effective medium, the subwavelength FSS is characterized by near-zero effective magnetic permeability and near-zero effective electric permittivity in two different operational bands, respectively. The corresponding resonant behavior and E-field distributions are analyzed in detail. A prototype of the proposed FSS working in X-band is fabricated and measured. The simulation and experiment results verify the effectiveness and correctness of the ZIM-based design method.

We examined the in vitro developmental competence of parthenogenetic activation (PA) oocytes activated by an electric pulse (EP) and treated with various concentrations of AZD5438 for 4 h. Treatment with 10 µM AZD5438 for 4 h significantly improved the blastocyst formation rate of PA oocytes in comparison with 0, 20, or 50 µM AZD5438 treatment (46.4% vs. 34.5%, 32.3%, and 24.0%, respectively; P < 0.05). The blastocyst formation rate was higher in the group treated with AZD5438 for 4 h than in the groups treated with AZD5438 for 2 or 6 h (42.8% vs. 38.6% and 37.2%, respectively; P > 0.05). Furthermore, 66.67% of blastocysts derived from these AZD5438-treated PA oocytes had a diploid karyotype. The blastocyst formation rate of PA and somatic cell nuclear transfer (SCNT) embryos was similar between oocytes activated by an EP and treated with 2 mM 6-dimethylaminopurine for 4 h and those activated by an EP and treated with 10 µM AZD5438 for 4 h (11.11% vs. 13.40%, P > 0.05). In addition, the level of maturation-promoting factor (MPF) was significantly decreased in oocytes activated by an EP and treated with 10 µM AZD5438 for 4 h. Finally, the mRNA expression levels of apoptosis-related genes (Bax and Bcl-2) and pluripotency-related genes (Oct4, Nanog, and Sox2) were checked by RT-PCR; however, there were no differences between the AZD5438-treated and non-treated control groups. Our results demonstrate that porcine oocyte activation via an EP in combination with AZD5438 treatment can lead to a high blastocyst formation rate in PA and SCNT experiments.