Maternal syphilis not only seriously affects the quality of life of pregnant women themselves but also may cause various adverse pregnancy outcomes (APOs). This study aimed to analyse the association between the related factors and APOs in maternal syphilis. 7,030 pregnant women infected with syphilis in Henan Province between January 2016 and December 2022 were selected as participants. Information on their demographic and clinical characteristics, treatment status, and pregnancy outcomes was collected. Multivariate logistic regression models and chi-squared automatic interaction detector (CHAID) decision tree models were used to analyse the factors associated with APOs. The multivariate logistic regression results showed that the syphilis infection history (OR = 1.207, 95% CI, 1.035–1.409), the occurrence of abnormality during pregnancy (OR = 5.001, 95% CI, 4.203–5.951), not receiving standard treatment (OR = 1.370, 95% CI, 1.095–1.716), not receiving any treatment (OR = 1.313, 95% CI, 1.105–1.559), and a titre ≥1:8 at diagnosis (OR = 1.350, 95%CI, 1.079–1.690) and before delivery (OR = 1.985, 95%CI, 1.463–2.694) were risk factors. A total of six influencing factors of APOs in syphilis-infected women were screened using the CHAID decision tree model. Integrated prevention measures such as early screening, scientific eugenics assessment, and standard syphilis treatment are of great significance in reducing the incidence of APOs for pregnant women infected with syphilis.

SARS-CoV-2 rapidly spreads among humans via social networks, with social mixing and network characteristics potentially facilitating transmission. However, limited data on topological structural features has hindered in-depth studies. Existing research is based on snapshot analyses, preventing temporal investigations of network changes. Comparing network characteristics over time offers additional insights into transmission dynamics. We examined confirmed COVID-19 patients from an eastern Chinese province, analyzing social mixing and network characteristics using transmission network topology before and after widespread interventions. Between the two time periods, the percentage of singleton networks increased from 38.9$ \% $ to 62.8$ \% $$ (p<0.001) $; the average shortest path length decreased from 1.53 to 1.14 $ (p<0.001) $; the average betweenness reduced from 0.65 to 0.11$ (p<0.001) $; the average cluster size dropped from 4.05 to 2.72 $ (p=0.004) $; and the out-degree had a slight but nonsignificant decline from 0.75 to 0.63 $ (p=0.099). $ Results show that nonpharmaceutical interventions effectively disrupted transmission networks, preventing further disease spread. Additionally, we found that the networks’ dynamic structure provided more information than solely examining infection curves after applying descriptive and agent-based modeling approaches. In summary, we investigated social mixing and network characteristics of COVID-19 patients during different pandemic stages, revealing transmission network heterogeneities.

Although ethanol treatment is widely used to activate oocytes, the underlying mechanisms are largely unclear. Roles of intracellular calcium stores and extracellular calcium in ethanol-induced activation (EIA) of oocytes remain to be verified, and whether calcium-sensing receptor (CaSR) is involved in EIA is unknown. This study showed that calcium-free ageing (CFA) in vitro significantly decreased intracellular stored calcium (sCa) and CaSR expression, and impaired EIA, spindle/chromosome morphology and developmental potential of mouse oocytes. Although EIA in oocytes with full sCa after ageing with calcium does not require calcium influx, calcium influx is essential for EIA of oocytes with reduced sCa after CFA. Furthermore, the extremely low EIA rate in oocytes with CFA-downregulated CaSR expression and the fact that inhibiting CaSR significantly decreased the EIA of oocytes with a full complement of CaSR suggest that CaSR played a significant role in the EIA of ageing oocytes. In conclusion, CFA impaired EIA and the developmental potential of mouse oocytes by decreasing sCa and downregulating CaSR expression. Because mouse oocytes routinely treated for activation (18 h post hCG) are equipped with a full sCa complement and CaSR, the present results suggest that, while calcium influx is not essential, CaSR is required for the EIA of oocytes.

My 5 moments (M5M) was used less frequently among cleaning staff members, suggesting that a poor compliance score in this group may not indicate deficient handwashing. This quasi-experimental study compared hand hygiene compliance (HHC), hand hygiene (HH) moments, and HH time distribution in the control group (no HH intervention; n = 21), case group 1 (normal M5M intervention; n = 26), case group 2 (extensive novel six moments (NSM) training; n = 24), and case group 3 (refined NSM training; n = 18). The intervention’s effect was evaluated after 3 months. The HHC gap among the four groups gradually increased in the second intervention month (control group, 31.43%; case group 1, 38.74%; case group 2, 40.19%; case group 3, 52.21%; p < 0.05). After the intervention period, the HHC of case groups 2 and 3 improved significantly from the baseline (23.85% vs. 59.22%, 27.41% vs. 83.62%, respectively; p < 0.05). ‘After transferring medical waste from the site’ had the highest HHC in case group 3, 90.72% (95% confidence interval, 0.1926–0.3967). HH peak hours were from 6 AM to 9 AM and 2 PM to 3 PM. The study showed that the implementation of an NSM practice can serve as an HHC monitoring indicator and direct relevant training interventions to improve HH among hospital cleaning staff.

The Lochkovian, Pragian, and basal part of the Emsian, which represent the post-Kwangsian Orogeny strata in the South China Block, are mainly composed of siliciclastic rocks. This lithological composition impedes investigation of Pragian and Lochkovian conodont biostratigraphy in the South China Block, which results in a persistent controversy on the age of relevant lithological units. The present study provides new evidence by reporting for the first time Lochkovian conodonts obtained from the South China Block, specifically the Gaoling Member of the Nahkaoling Formation at the Lingli section, central Guangxi. The conodont fauna, consisting of Pandorinellina exigua lingliensis Lu n. subsp., Pandorinellina exigua exigua, Zieglerodina? tuojiangensis Lu n. sp., Amydrotaxis praejohnsoni, and Eognathodus cf. E. irregularis, places the studied interval of the Gaoling Member in the lower or middle Lochkovian (contingent upon varying definitions for the base of the middle Lochkovian) to lower Pragian. Moreover, Amydrotaxis praejohnsoni, which was reported previously only in North America and eastern Australia, is herein also recorded in the South China Block, and thus may play an important role in intercontinental biostratigraphical correlation. By shedding light on the age of the upper limit of the underlying Lianhuashan Formation at the Lingli section, the present study indicates that the Kwangsian Orogeny ended before the late Lochkovian. This date is slightly earlier than the previously estimated late Lochkovian based on studies of fossil plants from the siliciclastic rocks deposited after the Kwangsian Orogeny.

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In this paper, the acoustic resonance mechanism for different axisymmetric screech modes of the underexpanded jets that impinge on an inclined plate is investigated experimentally. The ideally expanded Mach number of jets ($M_j$) ranges from 1.05 to 1.56. The nozzle-to-plate distance at the jet axis and the impingement angle are respectively set as 5.0$D$ and $30^{\circ }$, where $D$ is the nozzle exit diameter. The acoustic results show that the $M_j$ range for the A2 screech mode of impinging jets is broader than that of underexpanded free jets, and a new axisymmetric screech mode A3 appears. With the increase of $M_j$, the effect of the impinging plate on the shock cell structures of jets becomes obvious gradually, and the second suboptimal peaks are evident in the axial wavenumber spectra of mean shock structures. The coherent flow structures at screech frequencies are extracted from time-resolved schlieren images via the spectral proper orthogonal decomposition (SPOD). The axial wavenumber spectra of the selected SPOD modes suggest that the A1, A2 and A3 screech modes are respectively closed by the guided jet modes that are energized by the interactions between the Kelvin–Helmholtz wavepacket and the first three shock wavenumber peaks. The upstream- and downstream-propagating waves that constitute the screech feedback loop are analysed by applying wavenumber filters to the wavenumber spectra of SPOD modes. The frequencies of these three screech modes can be predicted by the phase constraints between the nozzle exit and the rear edge of the third shock cell. For the A3 mode, the inclined plate invades the third shock cell with the increase of $M_j$, and the phase constraint cannot be satisfied at the lower side of the jets, which leads the A3 mode to fade away. The present results suggest that external boundaries can modulate the frequency and mode of jet screech by changing the axial spacings of shock cells.

Piezoelectric macro-fibre composite (MFC) actuators are employed onto the flexible leeward surface of an airfoil for active control. Time-resolved aerodynamic forces, membrane deformations and flow fields are synchronously measured at low Reynolds number (Re = 6 × 104). Mean aerodynamics show that the actively controlled airfoil can achieve lift-enhancement and drag-reduction simultaneously in the angle of attack range of 10° ≤ α ≤ 14°, where the rigid airfoil encounters stall. The maximum increments of lift and lift-to-drag ratio are 27.1 % and 126 % at the reduced actuation frequency of ${f^ + } = 3.52$. The unsteady coupling features are further analysed at α = 12°, where the maximum lift-enhancement occurs. It is newly discovered that the membrane vibrations and flow fields are locked into half of the actuation frequency when ${f^ + } > 3$. The shift of the dominant vibration mode from bending to inclining is the reason for the novel ‘half-frequency lock-in’ phenomenon. To the fluid–structure interaction, there are three characteristic frequencies for the actively controlled airfoil: $S{t_1} = 0.5{f^ + }$, $S{t_2} = {f^ + }$, and $S{t_3} = 1.5{f^ + }$. Here, St1 and its harmonics (St2, St3) are coupled with the natural frequencies of the leading-edge shear layer, resulting in the generation of multi-scale flow structures and suppression of flow separation. The lift presents comparable dominant frequencies between St1 and St3, which means the instantaneous lift is determined by the flow structures of St1 and St3. The local membrane bulge and dent affect the instantaneous swirl strength of flow structures near the maximum vibration amplitude location, which is the main reason for the variation of instantaneous lift.

An experimental investigation of the stereocamera's systematic error is carried out to optimize three-dimensional (3-D) dust observation on the HL-2A tokamak. It is found that a larger 3-D region occupied by all calibration points is able to reduce the 3-D reconstruction systematic error of the stereocamera. In addition, the 3-D reconstruction is the most accurate around the region where the calibration points are located. Based on these experimental results, the design of the stereocamera on the HL-2A tokamak is presented, and a set of practical procedures to optimize the 3-D reconstruction accuracy of the stereocamera are proposed.

This paper describes the mechanism underpinning modal staging behaviour in screeching jets. An upstream-propagating subsonic guided-jet mode is shown to be active in all stages of screech. Axial variation of shock-cell spacing manifests in the spectral domain as a series of suboptimal peaks. It is demonstrated that the guided-jet mode may be energized by interactions of the Kelvin–Helmholtz wavepacket with not only the primary shock wavenumber peak, but also suboptimal peaks; interaction with suboptimals is shown to be responsible for closing the resonance loop in multiple stages of jet screech. A consideration of the full spectral representation of the shocks reconciles several of the classical models and results for jet screech that had heretofore been paradoxical. It is demonstrated that there are multiple standing waves present in the near field of screeching jets, corresponding to the superposition of the various waves active in these jets. Multimodal behaviour is explored for jets in a range of conditions, demonstrating that multiple peaks in the frequency spectra can be due to either changes in which peak of the shock spectra the Kelvin–Helmholtz wavepacket is interacting with, or a change in azimuthal mode, or both. The absence of modal staging in high-aspect-ratio non-axisymmetric jets is also explained in the context of the aforementioned mechanism. The paper closes with a new proposed theory for frequency selection in screeching jets, based on the observation that these triadic interactions appear to underpin selection of the guided-jet mode wavelength in all measured cases.

Multi-legged robots with rigid-flexible coupling grippers have appealing applications to asteroid exploration with the microgravity. However, these robots usually have significantly complicated structures, which leads to a great challenge for the kinematic design.This paper proposes the kinematic design method for a novel multi-legged robot with the microspine gripper. First, the structure of the multi-legged asteroid exploration robot and the microspine gripper are demonstrated. Second, four performance evaluation indices, which are used to evaluate the stiffness, velocity, motion / force transfer efficiency and gripper attachment efficiency of the robot, are derived from the kinematic model. Non-dimensional design spaces of parameters to be optimized are drawn, and performance atlases are presented in design spaces. Third, the stiffness model of the microspine is derived. In addition, the constraint condition of the restoring spring is established, and the stiffness of restoring springs are optimized using the genetic algorithm. Several experiments are conducted to verify the stiffness model of the microspine. Finally, the prototype is developed and the experimental results validates the kinematic design method.

This study investigates the dynamics of low-viscosity nanodroplets impacting surfaces with static contact angles from θ = 73° to 180° via molecular dynamics (MD) simulations. Two typical morphologies of impacting nanodroplets are observed at the maximum spreading state, a Hertz-ball-like in a low-Weber-number range and a thin-film-like in a high-Weber-number range. Only inertial and capillary forces dominate the impact for the former, whereas viscous force also becomes dominant for the latter. Regardless of morphologies at the maximum spreading state, the ratio of spreading time to contact time always remains constant on an ideal superhydrophobic surface with θ = 180°. With the help of different kinematic approximations of the spreading time and scaling laws of the contact time, scaling laws of the maximum spreading factor ${\beta _{max}}\sim W{e^{1/5}}$ in the low-Weber-number range (capillary regime) and ${\beta _{max}}\sim W{e^{2/3}}R{e^{ - 1/3}}$ (or ${\beta _{max}}\sim W{e^{1/2}}O{h^{1/3}}$) in the high-Weber-number range (cross-over regime) are obtained. Here, We, Re, and Oh are the Weber number, Reynolds number, and Ohnesorge number, respectively. Although the scaling laws are proposed only for the ideal superhydrophobic surface, they are tested valid for θ over 73° owing to the ignorable zero-velocity spreading effect. Furthermore, combining the two scaling laws leads to an impact number, $W{e^{3/10}}O{h^{1/3}} = 2.1$. This impact number can be used to determine whether viscous force is ignorable for impacting nanodroplets, thereby distinguishing the capillary regime from the cross-over regime.

The orogenic process and crustal growth of the Changning–Menglian Palaeo-Tethys orogenic belt in the southeastern Tibetan Plateau is not fully understood. Triassic Caojian rhyolites and granites occur extensively in this orogenic belt and represent important constraints for this issue. This study aims to examine the relationships between the Triassic Caojian rhyolites and granites and to gain a better understanding of their possible petrogenesis. The study used zircon U–Pb geochronology, trace element analyses and Sr–Nd–Hf isotope data to better understand the relationships and possible origin of the rhyolites and granites. Recent zircon U–Pb ages indicated that the Caojian rhyolites were emplaced at 227.2 Ma, whereas age estimates for Caojian granites were slightly older (233.4–236.9 Ma). The Caojian rhyolites are enriched in large-ion lithophile elements and high-field-strength elements, with elevated FeOtot/MgO and Ga/Al ratios. However, they are significantly depleted in Ba, Sr, Eu, P and Ti. These geochemical characteristics indicate that they have an A-type affinity. Furthermore, the Caojian granites comprise biotite monzogranites and granodiorites and show unfractionated composition. Mineralogically, the Caojian granites were found to contain diagnostic I-type minerals such as hornblende. Geochemical data suggest that the petrogenesis of the Triassic Caojian rhyolites is characterized by rejuvenation of crystal mush represented by the Triassic Caojian granites. The necessary thermal input was supplied by mafic magma. This magmatic evolution was likely related to lithospheric delamination and upwelling of the asthenosphere during the Mid- to Late Triassic, forming post-collisional I-type granites and A-type volcanics in the Changning–Menglian Palaeo-Tethys orogenic belt.

Frozen embryo transfer (FET) has been adopted by growing number of reproductive medicine centers due to the improved outcome compared with fresh embryo transfer. However, few studies have focused on the impact of embryo cryopreservation duration on pregnancy-related complications and neonatal birthweight. Thus, a retrospective cohort study including all FET cycles with livebirth deliveries in a university affiliated hospital from May 2010 to September 2017 was conducted. These deliveries were grouped by the cryopreservation duration of the transferred embryo (≤3 months, 4–6 months, 7–12 months, and >12 months). The associations between embryo cryopreservation duration and pregnancy-related complications were evaluated among the groups using multinomial logistic regression. Neonatal birthweight was compared according to the stratification of singletons and multiples using multinomial and multilevel logistic regression, respectively. Among all 12,158 FET cycles, a total of 3864 livebirth deliveries comprising 2995 singletons and 1739 multiples were included. Compared with those within 3 months, women undergoing FET after a cryopreservation time longer than 3 months did not show any increased risk of gestational diabetes mellitus, gestational hypertension, preeclampsia, meconium staining of the amniotic fluid, or preterm birth. Furthermore, the risk of lower birthweight, macrosomia, small-for-gestational-age, or large-for-gestational-age for either singletons or multiples was not affected by long-term cryopreservation. In summary, embryo cryopreservation duration does not have negative effects on pregnancy-related complications or birthweight after FET.

This paper proposes an alternating elliptical impingement chamber in the leading edge of a gas turbine to restrain the cross flow and enhance the heat transfer, and investigates the detailed flow and heat transfer characteristics. The chamber consists of straight sections and transition sections. Numerical simulations are performed by solving the three-dimensional (3D) steady Reynolds-Averaged Navier–Stokes (RANS) equations with the Shear Stress Transport (SST) k– $\omega$ turbulence model. The influences of alternating the cross section on the impingement flow and heat transfer of the chamber are studied by comparison with a smooth semi-elliptical impingement chamber at a cross-flow Velocity Ratio (VR) of 0.2 and Temperature Ratio (TR) of 1.00 in the primary study. Then, the effects of the cross-flow VR and TR are further investigated. The results reveal that, in the semi-elliptical impingement chamber, the impingement jet is deflected by the cross flow and the heat transfer performance is degraded. However, in the alternating elliptical chamber, the cross flow is transformed to a pair of longitudinal vortices, and the flow direction at the centre of the cross section is parallel to the impingement jet, thus improving the jet penetration ability and enhancing the impingement heat transfer. In addition, the heat transfer in the semi-elliptical chamber degrades rapidly away from the stagnation region, while the longitudinal vortices enhance the heat transfer further, making the heat transfer coefficient distribution more uniform. The Nusselt number decreases with increase of VR and TR for both the semi-elliptical chamber and the alternating elliptical chamber. The alternating elliptical chamber enhances the heat transfer and moves the stagnation point up for all VR and TR, and the heat transfer enhancement is more obvious at high cross-flow velocity ratio.