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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.
This is a copy of the slides presented at the meeting but not formally written up for the volume.
Surface morphology modification by low-energy ion bombardment is widely used in many thin film techniques such as sputter deposition, ion-beam-assisted growth and ion polishing, in order to obtain smooth surfaces desirable for device applications. Under certain circumstances, ion bombardment on surfaces is also known to produce 2-D (ripples or wires) and 1-D (dot) structures by a self-organization process that arises from a competition of a roughing instability mechanism and surface relaxation. Knowledge of the mechanisms which govern those surface processes is very crucial to engineer technologically significant surface morphologies at the submicron or nano-scale in a more controlled way. Recently, the fast-growing advances in synchrotron x-ray scattering and detector techniques have enabled detailed investigations into the surface kinetics during ion bombardment. In this work, a study of surface smoothing on nanocorrugated sapphire surfaces by low-energy ion bombardment at normal incidence will be presented. Real time characterization by synchrotron grazing incidence small angle x-ray scattering for the dependence of smoothing rate on ion energy and wavelength of sapphire ripples is performed. A ripple amplitude displays a classic behavior of profile-preserving exponential decay with time upon ion irradiation. The dependence of smoothing rate on ion energy and wavelength is discussed with existing surface smoothing mechanisms. The wavelength dependence exhibits a power law behavior with exponential close to 2 instead of 4, which suggests a dominant smoothing mechanism related to ion impact induced lateral mass redistribution for near normal incidence condition. The appearance of multiple smoothing rate constants at high temperature is thought to be relative with emerging atomic steps after surface recrystallization.
A novel and highly efficient Ag3VO4/C3N4/reduced TiO2 microsphere composite was obtained through a hydrothermal and depositional process. The microstructure, individual components with different proportions, and optical properties of the ternary nanocomposites were intensively studied. The prepared ternary composites exhibited superior photocatalytic performance of degradation of methylene blue compared with single component and S1 (C3N4/reduced TiO2) binary composites, demonstrating that the introduction of Ag3VO4 into g-C3N4/r-TiO2 can effectively improve the photocatalytic activity. Recycling experiments confirmed that the nanocomposites exhibited superior cycle performance. The enhanced capability could be attributed to a synergetic effect including the formation of heterojunction, large surface area, improved light absorption, matched energy band structure, and the improved separation efficiency of photogenerated charges coming from dual Z-scheme structure. Particularly, the introduction of Ag3VO4 makes the dual Z-scheme charge transfer pathway completed with improved separation efficiency and stronger redox ability of photogenerated electrons and holes. The work provides a promising method to develop a new dual Z-scheme photocatalytic system to remove environmental pollutant.
Penetrative turbulent Rayleigh–Bénard convection which depends on the density maximum of water near
is studied using two-dimensional and three-dimensional direct numerical simulations. The working fluid is water near
with Prandtl number
. The considered Rayleigh numbers
. The density inversion parameter
varies from 0 to 0.9. It is found that the ratio of the top and bottom thermal boundary-layer thicknesses (
) increases with increasing
, and the relationship between
seems to be independent of
. The centre temperature
is enhanced compared to that of Oberbeck–Boussinesq cases, as
is related to
is also found to have a universal relationship with
which is independent of
. Both the Nusselt number
and the Reynolds number
decrease with increasing
, the normalized Nusselt number
and Reynolds number
also have universal relationships with
which seem to be independent of both
and the aspect ratio
. The scaling exponents of
are found to be insensitive to
despite of the remarkable change of the flow organizations.
Nutrition therapy is considered an important treatment of burn patients. The aim of the study was to delineate the nutritional support in severe burn patients and to investigate association between nutritional practice and clinical outcomes. Severe burn patients were enrolled (n 100). In 90 % of the cases, the burn injury covered above 70 % of the total body surface area. Mean interval from injury to nutrition start was 2·4 (sd 1·1) d. Sixty-seven patients were initiated with enteral nutrition (EN) with a median time of 1 d from injury to first feed. Twenty-two patients began with parenteral nutrition (PN). During the study, thirty-two patients developed EN intolerance. Patients received an average of about 70 % of prescribed energy and protein. Patients with EN providing <30 % energy had significantly higher 28- d and in-hospital mortality than patients with EN providing more than 30 % of energy. Mortality at 28 d was 11 % and in-hospital mortality was 45 %. Multiple regression analysis demonstrated that EN providing <30 % energy and septic shock were independent risk factors for 28- d prognosis. EN could be initiated early in severe burn patients. Majority patients needed PN supplementation for energy requirement and EN feeding intolerance. Post-pyloric feeding is more efficient than gastric feeding in EN tolerance and energy supplement. It is difficult for severe burn patients to obtain enough feeding, especially in the early stage of the disease. More than 2 weeks of underfeeding is harmful to recovery.
Chickenpox is a common acute and highly contagious disease in childhood; moreover, there is currently no targeted treatment. Carrying out an early warning on chickenpox plays an important role in taking targeted measures in advance as well as preventing the outbreak of the disease. In recent years, the infectious disease dynamic model has been widely used in the research of various infectious diseases. The logistic differential equation model can well demonstrate the epidemic characteristics of epidemic outbreaks, gives the point at which the early epidemic rate changes from slow to fast. Therefore, our study aims to use the logistic differential equation model to explore the epidemic characteristics and early-warning time of varicella. Meanwhile, the data of varicella cases were collected from first week of 2008 to 52nd week of 2017 in Changsha. Finally, our study found that the logistic model can be well fitted with varicella data, besides the model illustrated that there are two peaks of varicella at each year in Changsha City. One is the peak in summer–autumn corresponding to the 8th–38th week; the other is in winter–spring corresponding to the time from the 38th to the seventh week next year. The ‘epidemic acceleration week’ average value of summer–autumn and winter–spring are about the 16th week (ranging from the 15th to 17th week) and 45th week (ranging from the 44th to 47th week), respectively. What is more, taking warning measures during the acceleration week, the preventive effect will be delayed; thus, we recommend intervene during recommended warning weeks which are the 15th and 44th weeks instead.
In this paper, we completely characterize the finite rank commutator and semi-commutator of two monomial-type Toeplitz operators on the Bergman space of certain weakly pseudoconvex domains. Somewhat surprisingly, there are not only plenty of commuting monomial-type Toeplitz operators but also non-trivial semi-commuting monomial-type Toeplitz operators. Our results are new even for the unit ball.
In this paper, we review the status of the multifunctional experimental platform at the National Laboratory of High Power Laser and Physics (NLHPLP). The platform, including the SG-II laser facility, SG-II 9th beam, SG-II upgrade (SG-II UP) facility, and SG-II 5 PW facility, is operational and available for interested scientists studying inertial confinement fusion (ICF) and a broad range of high-energy-density physics. These facilities can provide important experimental capabilities by combining different pulse widths of nanosecond, picosecond, and femtosecond scales. In addition, the SG-II UP facility, consisting of a single petawatt system and an eight-beam nanosecond system, is introduced including several laser technologies that have been developed to ensure the performance of the facility. Recent developments of the SG-II 5 PW facility are also presented.
The aim of this retrospective study was to investigate the prognostic significance of pre-treatment immunological and nutritional statuses in patients with locally advanced gastric cancer (GC), and to use the risk factors to develop a predictive score. A total of 731 patients who underwent gastrectomy for stage II/III GC from November 2010 to December 2015 were recruited into this retrospective study. On the basis of univariate and further multivariate Cox regression analyses, decreased pretreatment lymphocyte count (<1·5×109/litre) and prealbumin concentrations (<180 mg/l) were identified to be independently associated with poorer overall survival (OS) and disease-free survival (DFS). Low albumin concentrations (<33 g/l) were identified as an independent risk factor only for OS, but not for DFS. Thereafter, patients who had a decreased prealbumin concentration and lymphocyte count were given a combination of serum prealbumin concentration and lymphocyte count (Co-PaL) score of 2. Patients with only one or neither of these concentrations were given a Co-PaL score of 1 or 0, respectively. Both the OS and the DFS time were inversely related to the Co-PaL scores, and the differences among the three groups were all significant. In contrast, the prognosis did not differ significantly between patients with good nutrition and those with mild to moderate malnutrition according to the prognostic nutritional index. This study indicated that the simple scoring system could accurately predict the prognosis of patients who underwent gastrectomy for stage II/III GC. The score might be helpful in terms of clinical preoperative decision-making.
In this article, we provide a complete description of the spectra of linear fractional composition operators acting on the growth space and Bloch space over the upper half-plane. In addition, we also prove that the norm, essential norm, spectral radius and essential spectral radius of a composition operator acting on the growth space are all equal.
Astrophysical collisionless shocks are amazing phenomena in space and astrophysical plasmas, where supersonic flows generate electromagnetic fields through instabilities and particles can be accelerated to high energy cosmic rays. Until now, understanding these micro-processes is still a challenge despite rich astrophysical observation data have been obtained. Laboratory astrophysics, a new route to study the astrophysics, allows us to investigate them at similar extreme physical conditions in laboratory. Here we will review the recent progress of the collisionless shock experiments performed at SG-II laser facility in China. The evolution of the electrostatic shocks and Weibel-type/filamentation instabilities are observed. Inspired by the configurations of the counter-streaming plasma flows, we also carry out a novel plasma collider to generate energetic neutrons relevant to the astrophysical nuclear reactions.
The influence of tilt on flow reversals in two-dimensional thermal convection in rectangular cells with two typical aspect ratios,
and 2, are investigated by means of direct numerical simulations. For
, tilt tends to suppress flow reversals. However, it is found that flow reversals characterized by two main rolls are promoted by tilt for
, which are even observed for some cases of small Prandtl numbers (
) and large tilt angles (
). Different from level cases where the four corner rolls all have opportunities to grow and trigger a flow reversal, the reversals in an anticlockwise tilted cell with
are always led by the growth of the bottom-right or the top-left corner roll. Tilt is favourable for the growth of the bottom-right or the top-left corner roll and thus for breaking the balance between the two main rolls and triggering a flow reversal. The mode decomposition analysis shows that the appearance of the intermediate single-roll mode is crucial for reversals, and flow reversals in a tilted cell with
can be viewed as a mode competition process between single-roll mode and horizontally adjacent double-roll mode. They can only occur in a limited range of
where the two modes have comparable strength. Furthermore, the Nusselt numbers at the hot plate
and at the cold plate
behave differently during a flow reversal for
due to the preference of single corner roll growth.
Cycle slip detection for single frequency Global Navigation Satellite System (GNSS) data is currently mainly based on measurement modelling or prediction, which cannot be effectively performed for kinematic applications and it is difficult to detect or repair small cycle slips such as half-cycle slips. In this paper, a new method that is based on the total differential of ambiguity and Least-Squares Adjustment (LSA) for cycle slip detection and repair is introduced and validated. This method utilises only carrier-phase observations to build an ambiguity function. LSA is then conducted for detecting and repairing cycle slips, where the coordinate and cycle slips are obtained successively. The performance of this method is assessed through processing short and long baselines in static and kinematic modes and the impact of linearization and atmospheric errors are analysed at the same time under a controlled variable method. The results indicate this method is very effective and reliable in detecting and repairing multiple cycle slips, especially small cycle slips.
In high power laser facility for inertial confinement fusion research, final optics assembly (FOA) plays a critical role in the frequency conversion, beam focusing, color separation, beam sampling and debris shielding. The design and performance of FOA in SG-II Upgrade laser facility are mainly introduced here. Due to the limited space and short focal length, a coaxial aspheric wedged focus lens is designed and applied in the FOA configuration. Then the ghost image analysis, the focus characteristic analysis, the B integral control design and the optomechanical design are carried out in the FOA design phase. In order to ensure the FOA performance, two key technologies are developed including measurement and adjustment technique of the wedged focus lens and the stray light management technique based on ground glass. Experimental results show that the design specifications including laser fluence, frequency conversion efficiency and perforation efficiency of the focus spot have been achieved, which meet the requirements of physical experiments well.
The Shen-Guang II Upgrade (SG-II-U) laser facility consists of eight high-power nanosecond laser beams and one short-pulse picosecond petawatt laser. It is designed for the study of inertial confinement fusion (ICF), especially for conducting fast ignition (FI) research in China and other basic science experiments. To perform FI successfully with hohlraum targets containing a golden cone, the long-pulse beam and cylindrical hohlraum as well as the short-pulse beam and cone target alignment must satisfy tight specifications (30 and
rms for each case). To explore new ICF ignition targets with six laser entrance holes (LEHs), a rotation sensor was adapted to meet the requirements of a three-dimensional target and correct beam alignment. In this paper, the strategy for aligning the nanosecond beam based on target alignment sensor (TAS) is introduced and improved to meet requirements of the picosecond lasers and the new six LEHs hohlraum targets in the SG-II-U facility. The expected performance of the alignment system is presented, and the alignment error is also discussed.
The objective of this Research Communication was to use polymerase chain reaction-single stranded conformational polymorphism (PCR-SSCP) analysis to investigate a region of the bovine TLR4 gene (TLR4) in pasture-fed New Zealand (NZ) Holstein-Friesian × Jersey (HF × J) cross dairy cows and to determine whether gene variation was associated with milk production traits. Genetic variation was observed, with two variants (A and B) containing a single nucleotide polymorphism (SNP) (c.2021C/T) that was non-synonymous and putatively results in a p.Thr674Ile substitution in the transmembrane/cytoplasmic domain of TLR4. Variant A was associated with higher milk yields, but lower milk fat percentages, whereas B was associated with lower milk yields, but higher fat and protein percentages. Cows of genotype AA produced more milk than AB or BB cows, but the milk produced by AA cows contained less fat than AB or BB cows.
We identified human paleodietary changes from inhabitants of the Guanzhong basin since 8000 BP, based on published carbon and nitrogen isotopic measurements on bones, fauna and plant remains. We also directly measured 14C ages, δ13C and δ15N values from bones unearthed at the Zhouyuan site, west of Guanzhong, in order to reconstruct paleodietary changes of the ancient inhabitants. We found that during the Laoguantai period, animal foods were the main source of nourishment with supplementary plant-derived foods. After this period, plant-derived foods became the main food source, with supplementary animal sources. The development of dry farming led to increased consumption of foxtail millet and broomcorn millet. This trend persisted and marked a fundamental shift from hunting, gathering, and fishing to farming and animal domestication. The dietary trends of the ancient inhabitants also show pronounced regional differences through time. The use of domestic animals was proportionally higher in the eastern part of the Guanzhong region, while wild animals were more common in the west.