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Several studies suggested that depression might worsen the clinical outcome of diabetes mellitus; however, such association was confounded by duration of illness and baseline complications. This study aimed to assess whether depression increases the risk of diabetes complications and mortality among incident patients with diabetes.
This was a population-based matched cohort study using Taiwan's National Health Insurance Research Database. A total of 38 537 incident patients with diabetes who had depressive disorders and 154 148 incident diabetes patients without depression who were matched by age, sex and cohort entry year were randomly selected. The study endpoint was the development of macrovascular and microvascular complications, all-cause mortality and cause-specific mortality.
Among participants, the mean (±SD) age was 52.61 (±12.45) years, and 39.63% were male. The average duration of follow-up for mortality was 5.5 years, ranging from 0 to 14 years. The adjusted hazard ratios were 1.35 (95% confidence interval [CI], 1.32–1.37) for macrovascular complications and 1.08 (95% CI, 1.04–1.12) for all-cause mortality. However, there was no association of depression with microvascular complications, mortality due to cardiovascular diseases or mortality due to diabetes mellitus. The effect of depression on diabetes complications and mortality was more prominent among young adults than among middle-aged and older adults.
Depression was associated with macrovascular complications and all-cause mortality in our patient cohort. However, the magnitude of association was less than that in previous studies. Further research should focus on the benefits and risks of treatment for depression on diabetes outcome.
The bifurcation of two-dimensional gravity–capillary waves into solitary waves when the phase velocity and group velocity are nearly equal is investigated in the presence of constant vorticity. We found that gravity–capillary solitary waves with decaying oscillatory tails exist in deep water in the presence of vorticity. Furthermore we found that the presence of vorticity influences strongly (i) the solitary wave properties and (ii) the growth rate of unstable transverse perturbations. The growth rate and bandwidth instability are given numerically and analytically as a function of the vorticity.
A nonlinear Schrödinger equation for the envelope of two-dimensional gravity–capillary waves propagating at the free surface of a vertically sheared current of constant vorticity is derived. In this paper we extend to gravity–capillary wave trains the results of Thomas et al. (Phys. Fluids, 2012, 127102) and complete the stability analysis and stability diagram of Djordjevic & Redekopp (J. Fluid Mech., vol. 79, 1977, pp. 703–714) in the presence of vorticity. The vorticity effect on the modulational instability of weakly nonlinear gravity–capillary wave packets is investigated. It is shown that the vorticity modifies significantly the modulational instability of gravity–capillary wave trains, namely the growth rate and instability bandwidth. It is found that the rate of growth of modulational instability of short gravity waves influenced by surface tension behaves like pure gravity waves: (i) in infinite depth, the growth rate is reduced in the presence of positive vorticity and amplified in the presence of negative vorticity; (ii) in finite depth, it is reduced when the vorticity is positive and amplified and finally reduced when the vorticity is negative. The combined effect of vorticity and surface tension is to increase the rate of growth of modulational instability of short gravity waves influenced by surface tension, namely when the vorticity is negative. The rate of growth of modulational instability of capillary waves is amplified by negative vorticity and attenuated by positive vorticity. Stability diagrams are plotted and it is shown that they are significantly modified by the introduction of the vorticity.
In the recent years, the development of wind turbines has been so hectic in Taiwan. The design of the turbine blades directly impacts power effectiveness. In this study, the effects of manufacturing parameters and environmental factors on the mechanical properties of carbon fiber/epoxy composites that are used in turbine blades are discussed. Parameters of the manufacturing process affect the mechanical properties. Carbon composites made by a different numbers of layers are tested on various aspects of performance such as mechanical strength and corrosion resistance.
As the consciousness of energy saving and carbon reduction and comfortable environment is paid increasing attention to, the common objective of various countries with decreasing energy is to develop and popularize high efficiency and low running noise blowers. This study uses CFD to calculate the flow field and performance of a blower and compare with the experimental measurement. The characteristic curve of blower shows that the simulated and experimental values are close to each other, the difference between the values is only 0.4%. This analysis result proofs the CFD package is a highly reliable tool for the future blower design improvement. In addition, this study discusses the noise distribution of blower flow field, the periodic pressure output value calculated by CFD is used in the sound source input of sound pressure field, so as to simulate and analyze the aerodynamic noise reading of the flow field around the blower. The result shows that the simulated value of flow field around the fan has as high as 80.5 dB(A) ∼ 81.5 dB(A) noise level and is agree with measurement (82 dB(A)). The noise level is low but has a sharp noise. According to the numerical results, designer of the blower modify the tongue geometry and remove the sharp noise.
Prior to integrated circuit (IC) packaging, die performance must be verified using probe cards to screen for defective products. With the decrease in IC line width, the dimensions of the pads used for performance verification and the spacing between adjacent pads have also decreased. However, when the pad pitch is reduced to less than 30 μm, commonly used probe cards will face manufacturing problems in miniaturization. To resolve probe card manufacturing problems caused by the miniaturization of IC components, the use of an anisotropic conductive film (ACF) in probe cards was proposed in this study. Theoretical calculations and experimental testing of this probe structure were conducted to demonstrate the feasibility of this concept.
In theoretical calculations, composite material and buckling theory were utilized to evaluate the buckling behavior of the ACF. In experimental testing, photolithography and electroplating techniques were used to control the line width and spacing intervals of the micron-scale metal wires in the ACF. After the ACF was fabricated, the mechanical properties of the ACF during wafer testing were assessed. Theoretical analyses and experimental testing verified that ACFs can potentially be applied to the performance verification of IC products. In the ACF structure, multiple probes came into contact with each pad. Therefore, ACFs can potentially be applied to the performance verification of IC components with pad diameters of less than 20 μm. The results of this study directly benefit the miniaturization of ICs.
The simulations of flow past a two-dimensional circular cylinder are conducted to investigate the feasibility of adaptive mesh refinement applied on curved spectral elements. The nonconforming spectral element method and adaptive meshes technique are used to the curve surfaces and observe whether any discontinuity of the solutions. The adaptive nonconforming spectral element method is implemented to compare with those obtained by conforming mesh method with respect to several existing numerical and experimental studies. Meanwhile, three kinds of estimated error base mesh adaptation are conducted to compare their accuracy and efficiency with conforming mesh method. The results show adaptive nonconforming mesh method is more efficient than the conforming method. Especially, the vorticity error based method performs highest accuracy and fastest convergence. The results show this mesh refinement technique is applicable on the curved elements with satisfactory accuracy. It releases this technique may be applied on the simulations of flow past objects with more general geometries.
Recent meta-analyses of resting-state networks in major depressive disorder (MDD) implicate network disruptions underlying cognitive and affective features of illness. Heterogeneity of findings to date may stem from the relative lack of data parsing clinical features of MDD such as phase of illness and the burden of multiple episodes.
Resting-state functional magnetic resonance imaging data were collected from 17 active MDD and 34 remitted MDD patients, and 26 healthy controls (HCs) across two sites. Participants were medication-free and further subdivided into those with single v. multiple episodes to examine disease burden. Seed-based connectivity using the posterior cingulate cortex (PCC) seed to probe the default mode network as well as the amygdala and subgenual anterior cingulate cortex (sgACC) seeds to probe the salience network (SN) were conducted.
Young adults with remitted MDD demonstrated hyperconnectivity of the left PCC to the left inferior frontal gyrus and of the left sgACC to the right ventromedial prefrontal cortex (PFC) and left hippocampus compared with HCs. Episode-independent effects were observed between the left PCC and the right dorsolateral PFC, as well as between the left amygdala and right insula and caudate, whereas the burden of multiple episodes was associated with hypoconnectivity of the left PCC to multiple cognitive control regions as well as hypoconnectivity of the amygdala to large portions of the SN.
This is the first study of a homogeneous sample of unmedicated young adults with a history of adolescent-onset MDD illustrating brain-based episodic features of illness.
The growth of the size of cache and the number of processor cores in modern CPUs is the major factor in advancing the computing performance of modern machines. The effect of CPU cache size in multicore computers on performance, however, has attracted little attention in lubrication and engineering analyses. In this study, the effect of cache size on the computational performance of two parallel iterative methods in solving two Reynolds equations is examined. Four computers, with CPU cache size from 4 to 40 MB and the number of processor cores from 4 to 16, were used. The sizes of the numerical grid were selected to simulate large gridwork (256 × 256) to small gridwork (2048 × 2048) tasks. It is found that the size of CPU cache is a major factor influencing the parallel efficiency in using the RBSOR method. On the other hand, the SPSOR method obtains much higher parallel efficiency than the RBSOR for medium-grained tasks, regardless of the size of CPU cache. The use of the SPSOR can, therefore, provide a much better parallel computing performance than the RBSOR in the cases of having a large number of grids or in a system with limited CPU cache.
To investigate and compare the performance of head mirrors and headlights during otolaryngological examination.
The illuminance and illumination field of each device were measured and compared. Visual identification and visual acuity were also measured, in 13 medical students and 10 otolaryngology specialists.
The illuminance (mean ± standard deviation) of the LumiView, Kimscope 1 W and Kimscope 3 W headlights and a standard head mirror were 352.3 ± 9, 92.3 ± 4.5, 438 ± 15.7 and 68.3 ± 1.2 lux, respectively. The illumination field of the head mirror (mean ± standard deviation) was 348 ± 29.8 grids, significantly greater than that of the Kimscope 3 W headlight (183 ± 9.2 grids) (p = 0.0017). The student group showed no statistically significant difference between visual identification with the best headlight and the head mirror (score means ± standard deviations: 56.2 ± 9 and 53.3 ± 14.1, respectively; p = 0.3). The expert group scored significantly higher for visual identification with head mirrors versus headlights (59.7 ± 3.3 vs 55.2 ± 5.8, respectively; p = 0.0035), but showed no difference for visual acuity.
Despite the advantages of headlight illumination, head mirrors provided better, shadow-free illumination. Despite no differences amongst students, head mirrors performed better than headlights in experienced hands.
This paper studies the behavior of second grade viscoelastic fluid past a cavity in a horizontal channel. The effects of Reynolds number, fluid elasticity and the aspect ratio of the cavity on the flow field are simulated numerically. The equations are converted into the vorticity and stream function equations. The solution is obtained by the finite difference method.
The behavior of viscoelastic fluids is quite different from the Newtonian fluid, due to the effects of fluid elasticity. Only one flow pattern appears when the Newtonian fluid past the cavity. However, three kinds of flow patterns appear while the viscoelastic fluids past the cavity by increasing Reynolds number from 20 to 300. The flow field is affected by the fluid elasticity as well as the aspect ratio of the cavity. The transitional flow pattern appears at lower Reynolds number as the higher elasticity fluid past the cavity with larger aspect ratio.
Human aortic valve is made of thin collagen type tissue. The three leaflets open and close under fluid forces exerted upon them. To simulate the hemodynamic characteristics of the blood flow, ANSYS CFX10.0 software was utilized to analyze the three-dimensional Reynolds-averaged Navier-Stokes equations. With a quasi-steady analysis model, we predict values of the blood velocity and the wall shear stress both over the valve leaflets and the endothelial lining. In addition, investigation on fluid dynamic of a heart valve supposed suffering prolapsed disease has been also conducted, and compared with normal valve. Analysis results highlight that leaflet opening situation and valve geometry affect the shear stress distribution and vortex flow regime. Maximum shear stress takes place near the center of leaflet trailing edge at the very beginning of systolic phase with value of 7.093N/m2. At peak systole, the maximum wall shear stress distributes near the aortic root where jet impingement takes place. Current study also demonstrated the interactive impact between low and high wall shear stress on relation to heart valve disease.
The aim of current research is to investigate numerically the fluid dynamics of lobe pumps and typical factors which could impact on performance of the pump including profile of rotor surface, number of lobes, gap size between rotor and casing, and clearance between two rotors, etc. The circular and epicycloidal curves are used to generate profiles for rotor surface, while the complex flow phenomena inside the pump are simulated by dynamic mesh technique. With wide range of investigated speed from 1000 to 5000rpm, the study produces significant information on flow pattern, velocity and pressure fields. The advantage of epicycloidal pumps over circular ones has been demonstrated via characteristic curve which performs pressure head versus rotational speed. Meanwhile the analysis has proved that multilobes, three and four lobes, do not increase performance of the pump but provide more stable output and higher capacity compared with two-lobe pumps. The results confirm great impact of gap size between rotor and casing wall on the pump efficiency. Decrease of the gap from 1.25mm down to 0.5mm produces about 425% increasing of pressure head. In addition, it has been also proved that the clearance between two rotors could be varied from 0.12mm to 0.15mm without much effect on performance of the pump.
In this study, we present theoretical derivation of seepage flow in unsaturated and static soil using Homogenization theory. The derivation started in the microscopic scale in the soil. The representative elementary volume (REV) in the soil is set to be one order larger than the scale of characteristic length of pore. Solids in the REV are assumed to be rigid and cohesionless. The liquid velocity in the pore is slow. By no-slip boundary condition on the solid boundary in REV, we could obtain the microscopic flow conditions. Using spatial ensemble average under the microscopic scale, we obtain the relation between water content, pressure head and velocities in macroscopic scale. This macroscopic averaged equation is validated to be equal to Richards' equation.
This study demonstrates the feasibility of introducing a TaN thin film as a copper diffusion barrier for p-type (BiSb)2Te3 thermoelectric material. Compared to conventional Ni diffusion barrier, remarkably little void generation in Cu bulk or near Cu/TaN interface originated from Cu penetration is observed for TaN barrier after suffering the thermal budget of close to soldering. Diffusion behaviors of the barriers were analyzed by transmission electron microscopy (TEM) and energy dispersive spectrometry (EDS) to make a deep understanding in clarifying interface diffusion effects among the Cu electrode, the barrier layer, and the (BiSb)2Te3thermoelectric layer.