Guidelines were created at our single centrer institution for which anesthesiology team should care for pediatric cardiac patients for noncardiac surgery. The goal of the survey was to assess inter-team dynamics after the implementation of guidelines and revealed that practice behaviour can quickly change but a sustained change in team dynamics and workplace culture takes time.

We study the multifractal properties of the uniform approximation exponent and asymptotic approximation exponent in continued fractions. As a corollary, we calculate the Hausdorff dimension of the uniform Diophantine set

$$ \begin{align*} {\mathcal{U}(\hat{\nu})}= &\ \{x\in[0,1)\colon \text{for all }N\gg1,\text{ there exists }n\in[1,N],\\&\ \ \text{ such that }|T^{n}(x)-y| < |I_{N}(y)|^{\hat{\nu}}\} \end{align*} $$

$y\in [0,1)$

The Chinese Loess Plateau (CLP), recognized as the world's largest loess plateau, has been a subject of ongoing debate regarding the continuity of its sedimentary loess sequence due to its intricate depositional environment. In this study, we conducted dating on a 9.8-m-long Malan loess core obtained from the Sanmen Gorge in the southern CLP using optically stimulated luminescence (OSL). The OSL dates indicate loess deposition between 52.4 and 11.3 ka, with no apparent hiatus on a millennial scale, and a sedimentation rate (SR) exhibiting six distinct episodes. Additionally, a comprehensive review of 613 OSL ages from 18 sections at 14 sites across the CLP was conducted. The results reveal loess deposition at most sites shows no apparent hiatus on a millennial scale over the past 60 ka, except for two specific locations. High SR episodes during Marine Isotope Stage (MIS) 3 across the CLP were attributed to heightened dust emissions from the source region and an enhanced dust deposition efficiency, while MIS 2 deposits were influenced by an intensified East Asian winter monsoon. Low SR episodes during MIS 1 at most sites were likely associated with reduced atmospheric transportation and pedogenesis. Spatially heterogeneous SR variations across the CLP might be influenced by local depositional environments.

Background: Candida auris (CA) is an urgent threat per Centers for Disease Control and Prevention with rapidly increasing cases across the US. Patient rooms recontaminate with CA within hours after daily cleaning due to skin shedding, persistence on environmental surfaces and resistance to commonly used disinfectants. Continuous dry hydrogen peroxide (cDHP) is a novel environmental technology augmenting daily room disinfection. cDHP reduces CA organism counts based on environmental cultures. Adenosine triphosphatase (ATPase) testing offers rapid results to monitor surface cleanliness. ATPase Testing Protocol: Upon identification of CA, cDHP was activated in the patient’s room. ATPase surface testing was performed in rooms of CA infected inpatients and nearby control rooms of inpatients without CA and thus no cDHP. Group A surfaces near the patient were nurse call handheld devices and/or bed rail. Group B surfaces were horizontal counter and/or computer keyboard, located >3 feet away from the patient. ATPase testing was to occur within one hour of daily room disinfection for CA patient Day0 (day of cDHP activation), Day1, Day7 and Day14 and controls. Daily room disinfection using quaternary disinfectants was replaced with EPA Class P chemicals upon CA identification. Nursing spot disinfects with Class P ready to use disinfectant wipes in all rooms. Results: Testing occurred among 13 CA and 22 control patients in 5 hospitals. In Table 1, pass rates are displayed by cumulative (Day0+1+7+14) test days for surfaces and patient room groups. Analysis applied Pearson’s Chi-squared test with Yates’ continuity correction. Conclusions: Surfaces further from the patient in rooms of CA patients exposed to cDHP had higher ATPase pass rates than controls. Surfaces close to the patient have a high ATPase failure rate, regardless of CA or cDHP. Strategies are needed to ensure disinfection occurs on high touch surfaces near patients. cDHP may have value in supplementing room disinfection. Contributing failure factors include surfaces missed for disinfection, delays in timely testing and known limitations with ATPase methods.

In this paper, an unmanned bicycle (UB) with a reaction wheel is designed, and a second-order mathematical model with uncertainty is established. In order to achieve excellent balancing performance of the UB system, an adaptive controller is designed, which is composed of nominal feedback control, compensating control using extreme learning machine observer and reaching control via integral terminal sliding mode (ITSM) and barrier function (BF)-based adaptive law. Owing to the features of BF-based ITSM (BFITSM), not only any uncertainty or disturbance upper bound is not needed any longer but also the finite-time convergence of the closed-loop system can be ensured with a predefined error bound. Moreover, the BF-based control gain can be adaptively adjusted according to the update of the lumped uncertainty such that the overestimation is removed. The stability analysis of the closed-loop system is given according to Lyapunov theory. Comparable experimental results on an actual UB are carried out to validate the superior balancing performance of the proposed controller.

Linguistic synesthesia as a productive figurative language usage has received little attention in the field of Natural Language Processing (NLP). Although linguistic synesthesia is similar to metaphor concerning involving conceptual mappings and showing great usefulness in the NLP tasks such as sentiment analysis and stance detection, the well-studied methods of metaphor detection cannot be applied to the detection of linguistic synesthesia directly. This study incorporates comprehensive linguistic features (i.e., character and radical information, word segmentation information, and part-of-speech tagging) into a neural model to detect linguistic synesthetic usages in a sentence automatically. In particular, we employ a span-based boundary detection model to extract sensory words. In addition, a joint model is proposed to detect the original and synesthetic modalities of the sensory words collectively. Based on the experiments, our model is shown to achieve state-of-the-art results on the dataset for linguistic synesthesia detection. The results prove that leveraging culturally enriched linguistic features and joint learning are effective in linguistic synesthesia detection. Furthermore, as the proposed model leverages non-language-specific linguistic features, the model would be applied to the detection of linguistic synesthesia in other languages.

Comprehensive coherent structures around a surface-mounted low aspect ratio square cylinder in uniform flow with an oblique angle of $45^{\circ }$ were investigated for cylinder-width-based Reynolds numbers of 3000 and 10 000 by direct numerical simulation based on a topology-confined mesh refinement framework. High-resolution simulations and the critical-point concept were scrutinized to reveal for the first time the reasonable and compatible topologies of flow separation and complete near-wall structures, due to their extensive impact on various engineering applications. Large-scale horseshoe vortices are observed at two notable foci in the viscous sublayer. Within this layer, a wall-parallel jet is formed by downflow intruding into the bottom surface at the half-saddle point, then deflecting in the upstream direction and finally penetrating the bottom surface until the half-saddle point. A pair of conical vortices on the cylinder's top surface switch themselves on two sides of the square cylinder, where the switching frequency is identical with that of the sway of the side shear layer. The undulation of the Kelvin–Helmholtz instability is identified in the instantaneous development of a conical vortex and side shear layer, where the scaling of the ratio of the Kelvin–Helmholtz and von Kármán frequencies follows the power-law relation obtained by Lander et al. (J. Fluid Mech., vol. 849, 2018, pp. 1096–1119). Large-scale arch-shaped vortex is often detected in the intermediate wake region of a square cylinder, involving two interconnected portions, such as the leg portion separated from leeward surfaces and head portion rolled up from the top surface. The leg portion of the arch-shaped vortex was rooted by two foci near the bottom-surface plane.

Understanding settling motion of coral grains is important in terms of protection of coral reef systems and resotoration of the associated ecosystems. In this paper, a series of laboratory experiments was conducted to investigate the settling motion, using optical microscopy to measure shape parameters of coral grains and the particle-filtering-based object tracking to reconstruct the three-dimensional trajectory. Three characteristic descent regimes, namely, tumbling, chaotic and fluttering, are classified based on the three-dimensional trajectory, the spiral radius variation and the velocity spectrum. It is demonstrated that if one randomly picks up one coral grain, then the probabilities of occurrence of the three regimes are approximately $26\,\%$, $42\,\%$ and $32\,\%$, respectively. We have shown that first, the dimensionless settling velocity generally increases with the non-dimensional diameter and Corey shape factor and second, the drag coefficient generally decreases with the Reynolds number and Corey shape factor. Based on this, the applicability of existing models on predicting settling velocity and drag coefficient for coral grains is demonstrated further. Finally, we have proposed extended models for predicting the settling velocity. This study contributes to better understanding of settling motion and improves our predictive capacity of settling velocity for coral grains with complex geometry.

In the mid-nineteenth century—even as many European liberals took a “turn to empire”—Mexican President Benito Juárez and his supporters enunciated an anti-imperial, liberal vision for international politics. In the context of the French intervention, Mexican liberals rejected claims that Europe’s material progress conferred upon the continent a “civilizing mission” vis-à-vis the rest of the world. Reconfiguring liberal and republican scripts, juaristas proposed an order legitimated by popular sovereignty and based on equality among states, non-intervention, and republican fraternity. This article situates juarista liberal internationalism in its historical context and in light of recent debates over liberalism’s longstanding entanglements with empire. By uncovering this overlooked strand of anti-imperial liberalism from the periphery, this article helps to decenter debates on liberal political thought and liberalism’s international implications. The juaristas’ rejoinder, we argue, should be integral to constructing a more pluralist and global understanding of the lineages of liberal internationalism.

The evolution of the water-entry cavity affects the impact load and the motion of the body. This paper adopts the Eulerian finite element method for multiphase flow for simulations of the high-speed water-entry process. The accuracy and convergence of the numerical method are verified by comparing it with the experimental data and the results of the transient cavity dynamics theory. Based on the results, the representative characteristics of the cavity are discussed from the perspective of the cavity cross-section. It is found that the asymmetry of the cavity expansion and contraction durations is related to the motion of the free surface and the closure of the cavity. The uplift of the free surface suppresses cavity expansion, while the jet generated from free surface closure accelerates cavity contraction. The duration of the contraction of the cavity near the free surface is shorter than the expansion duration due to the change in the velocity distribution caused by the free surface motion. The necking phenomenon during deep closure leads to an increase in the internal pressure of the cavity, prolonging cavity contraction near the deep closure area. This work provides new insights into the cavity dynamics in high-speed water entry.

The turbulent boundary layer (TBL) is a widely existing flow phenomenon in nature and engineering applications. Its strong mixing effect can achieve more sufficient material mixing, heat transport, etc. The understanding of the entrainment process and mechanism of irrotational fluids entering the turbulent region can be promoted by studying the geometric and dynamic characteristics of turbulent${/}$non-turbulent interfaces (TNTI). In compressible flow, it is unclear whether the properties of TNTI will change and whether the entrainment will show different features due to the influence of compressibility. Based on the direct numerical simulation results of supersonic compressible plate TBLs with Mach number of 2.9, the geometric and dynamic characteristics of TNTI are investigated in this paper. The interface is identified by the enstrophy method, and the height, thickness, fractal dimension, enstrophy transportation and entrainment characteristics of the interface are investigated. It is found that for the enstrophy transportation in a TBL, the contribution of compressibility-related terms accounts for approximately 13.4 % of the total enstrophy transportation, which tends to transfer the enstrophy of turbulence near the interface to both directions vertical to the interface. This promotes the expansion of the turbulent region towards the non-turbulent region, and the mean height, thickness and entrainment velocity are increased by approximately 3.7 %, 7.0 % and 8.5 %, respectively, while the fractal dimension is basically unaffected. Different from the incompressible flow, the contribution of the compressibility-related terms to the entrainment velocity is independent of the local curvature, and the intense entrainment process is more likely to occur on a highly curved concave surface.

Insects flip their wings around each stroke reversal and may enhance lift in the early stage of a half-stroke. The possible lift-enhancing mechanism of this rapid wing rotation and its strong connection with wake vortices are still underexplored, especially when unsteady leading-edge vortex (LEV) behaviours occur. Here, we numerically studied the lift generation and underlying vorticity dynamics during the rapid rotation of a low aspect ratio flapping wing at a Reynolds number (${\textit {Re}}$) of 1500. Our findings prove that when the outboard LEV breaks down, an advanced rotation can still enhance the lift in the early stage of a half-stroke, which originates from an interaction with the breakdown vortex in the outboard region. This interaction, named the breakdown-vortex jet mechanism, results in a jet and thus a higher pressure on the upwind surface, including a stronger wingtip suction force on the leeward surface. Although the stable LEV within the mid-span retains its growth and location during an advanced rotation, it can be detrimental to lift enhancement as it moves underneath the wing. Therefore, for a flapping wing at ${\textit {Re}}\sim 10^3$, the interactions with stable and breakdown leading-edge vortices lead to the single-vortex suction and breakdown-vortex jet mechanisms, respectively. In other words, the contribution of wing–wake interaction depends on the spanwise location. The current work also implies the importance of wing kinematics to this wing–wake interaction in flapping wings, and provides an alternative perspective for understanding this complex flow phenomenon at ${\textit {Re}}\sim 10^3$.

Cinque (2020) presents a unified theory positing that various types of relative clauses (RCs) originate from a single, double-headed universal structure via raising or matching. The Frame Noun-Modifying Clause (FRC) as described and analyzed by Matsumoto et al. (2017a, 2017b) presents a significant challenge to Cinque's framework, as it does not conform to any of Cinque's identified RC types, which include amount RCs, kind(-defining) RCs, restrictive RCs and non-restrictive RCs. The FRC eludes derivation via the proposed matching or raising mechanisms. Determining the semantic link between the head noun and the FRC, as well as its external merger position, remains elusive. One might suggest that inserting additional material into the FRC, which incorporates a plausible internal head, could clarify their connection. This approach falls short of providing a systematic and coherent syntactic criterion, relying instead on semantic intuition that lacks operational reliability.

The relationship between spirituality and behavioural addictions is complex. Although some studies have suggested spirituality to be a protective factor helping in recovery from addictive behaviours, others have found spirituality to be a potential risk factor. To better understand the relationship between spirituality and various behavioural addictions, this review summarises the literature on the association between spirituality and the following behavioural addictions: gaming disorder, gambling disorder, problematic internet use, problematic smartphone use, compulsive sexual behaviour disorder and compulsive buying/shopping disorder. Implications for clinical practice and future research are discussed.