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We investigate the energy transport and heat transfer efficiency in turbulent Rayleigh–Bénard (RB) convection laden with radiatively heated inertial particles. Direct numerical simulations combined with the Lagrangian point-particle mode were carried out in the range of density ratio $854.7\le \rho _p/\rho _0 \le 8547$ and radiation intensity $1\le \phi /\phi _{solar}\le 100$ for both two-dimensional (2-D) and three-dimensional (3-D) simulations. The Rayleigh number ranges from $2\times 10^6$ to $10^8$ for 2-D cases, and is $10^7$ for 3-D cases for $Pr=0.71$. It is found that particles with small density ratio that encounter strong radiation significantly alter the flow momentum transport and fluid heat transfer, so the fluid temperature of bulk is remarkably heated. We then derived the theoretical relation of the Nusselt number for interphase heat transfer in the heated particle-laden RB convection, which reveals that the heat transfer difference between the top and bottom plates stems from the interphase heat transfer. We further found that both the interphase heat transfer and the interphase thermal energy transport exhibit universal properties. They are both increased linearly with the reciprocal of the normalized density ratio. Additionally, both the interphase heat transfer and the interphase thermal energy transport increase linearly with the increase of radiation intensity. The growth rates exhibit specific scaling relations versus Rayleigh number and density ratio. Two different regimes distinguished by the critical density ratio, i.e. the exothermic particle regime and the endothermic particle regime, are observed. We further derived the power-law relation of the critical density ratios versus Rayleigh number and radiation intensity, i.e. $\rho _p/\rho _c \sim (\phi /\phi _{solar})^{1/2}\,Ra^{1/3}$, which is in remarkable agreement with the 3-D simulations.
Point-particle direct numerical simulations have been employed to quantify the turbulence modulation and particle responses in a turbulent particle-laden jet in the two-way coupled regime with an inlet Reynolds number based on bulk velocity and jet diameter $({D_j})$ of ~10 000. The investigation focuses on three cases with inlet bulk Stokes numbers of 0.3, 1.4 and 11.2. Special care is taken to account for the particle–gas slip velocity and non-uniform particle concentrations at the nozzle outlet, enabling a reasonable prediction of particle velocity and concentration fields. Turbulence modulation is quantified by the variation of the gas-phase turbulent kinetic energy (TKE). The presence of the particle phase is found to damp the gas-phase TKE in the near-field region within $5{D_j}$ from the inlet but subsequently increases the TKE in the intermediate region of (5–20)Dj. An analysis of the gas-phase TKE transport equation reveals that the direct impact of the particle phase is to dissipate TKE via the particle-induced source term. However, the finite inertia of the particle phase affects the gas-phase velocity gradients, which indirectly affects the TKE production and dissipation, leading to the observed TKE attenuation and enhancement. Particle response to the gas-phase flow is quantified. Particles are found to exhibit notably stronger response to the gas-phase axial velocity than to the radial velocity. A new dimensionless figure is presented that collapses both the axial and radial components of the particle response as a function of the local Stokes number based on their respective integral length scales.
The COVID-19 caused a world pandemic, posing a huge threat to global health. Widespread vaccination is the most effective way to control the pandemic. Vaccination with the third dose of the COVID-19 vaccine is currently underway. We aimed to determine the attitude of adolescents toward the third dose of COVID-19 vaccine.
Methods:
A structured questionnaire was administered between 16 August and 28 October 2021 among adolescents aged 12–17 years in three provinces of eastern region of China based on convenience sampling. The questionnaire was specifically developed to assess the adolescents’ attitude toward and willingness to accept a third dose of the COVID-19 vaccine.
Results:
In total, 94.3% (1742/1847) of the adolescents intended to accept the third dose of the COVID-19 vaccine. Age between 15–17 years, no worry about vaccine safety, confidence for vaccine effectiveness, and supporting opinion from parents were independently associated with acceptance of the third dose (p < 0.05).
Conclusions:
It is necessary for governments and school administrators to raise adolescents’ and parents’ awareness of the benefits and safety of the third dose of vaccination, which should be effective to increase the vaccination coverage among adolescents.
It is important to know how much of the increased atmospheric CO2 is derived from fossil fuel emissions. Here, we review the progress in atmospheric fossil fuel CO2 (CO2ff) tracing over recent years by measurement of Δ14C in Chinese cities. In this paper we make progress by expanding the analysis from some locations to more regional views, by combining observations with modeling, and by making a preliminary comparison of observation-derived CO2ff with inventory-derived CO2ff. We have obtained a general picture of Chinese urban CO2ff and characteristics of its spatio-temporal variations at different scale, and identified the corresponding influencing factors. Interestingly, we found that the weekend effect of CO2ff was less evident in Chinese cities. In addition, we observed simultaneous variations in CO2ff and PM2.5 in a winter haze event in Beijing and a simultaneous decrease in annual averages of CO2ff and PM2.5 in Xi’an based on multi-year (2011–2016) Δ14CO2 monitoring. We found that local coal combustion was the main source of CO2ff in Xi’an, which is located in the Guanzhong basin, by applying a WRF-Chem model and looking at δ13C signatures. Thus, reduction of coal consumption is a crucial target for carbon emissions reduction in China.
This study aimed to determine the risk factors for chronic diseases and to identify the potential influencing mechanisms from the perspectives of lifestyle and dietary factors. The findings could provide updated and innovative evidence for the prevention and control of chronic diseases.
Design:
A cross-sectional study.
Setting:
Shanghai, China.
Participants:
1005 adults from Yangpu district of Shanghai participated in the study, and responded to questions on dietary habits, lifestyle and health status.
Results:
Residents suffering from chronic diseases accounted for about 34·99 % of the respondents. Logistic regression analysis showed that age, diet quality, amount of exercise and tea drinking were related to chronic diseases. Age > 60 and overeating (Diet Balance Index total score > 0) had negative additive interaction on the occurrence of chronic disease, while overexercise (Physical Activity Index > 17·1) and tea drinking had negative multiplicative interaction and negative additive interaction on the occurrence of chronic disease. Diet quality, physical activity and tea drinking were incomplete mediators of the relationship between types of medical insurance residents participating in and chronic diseases.
Conclusions:
The residents in Yangpu District of Shanghai have a high prevalence of chronic diseases. Strengthening access of residents to health education and interventions to prevent chronic diseases and cultivating healthy eating and exercise habits of residents are crucial. The nutritional environment of the elderly population should be considered, and the reimbursement level of different types of medical insurance should be designed reasonably to improve the accessibility of medical and health services and reduce the risk of chronic diseases.
Shaded coffee systems can mitigate climate change by fixation of atmospheric carbon dioxide (CO2) in soil. Understanding soil organic carbon (SOC) storage and the factors influencing SOC in coffee plantations are necessary for the development of sound land management practices to prevent land degradation and minimize SOC losses. This study was conducted in the main coffee-growing regions of Yunnan; SOC concentrations and storage of shaded and unshaded coffee systems were assessed in the top 40 cm of soil. Relationships between SOC concentration and factors affecting SOC were analysed using multiple linear regression based on the forward and backward stepwise regression method. Factors analysed were soil bulk density (ρb), soil pH, total nitrogen of soil (N), mean annual temperature (MAT), mean annual moisture (MAM), mean annual precipitation (MAP) and elevations (E). Akaike's information criterion (AIC), coefficient of determination (R2), root mean square error (RMSE) and residual sum of squares (RSS) were used to describe the accuracy of multiple linear regression models. Results showed that mean SOC concentration and storage decreased significantly with depth under unshaded coffee systems. Mean SOC concentration and storage were higher in shaded than unshaded coffee systems at 20–40 cm depth. The correlations between SOC concentration and ρb, pH and N were significant. Evidence from the multiple linear regression model showed that soil bulk density (ρb), soil pH, total nitrogen of soil (N) and climatic variables had the greatest impact on soil carbon storage in the coffee system.
The aim of this study was to assess the current status of disease-related knowledge and to analyze the relationship among the general condition, illness perception, and psychological status of patients with coronavirus disease 2019 (COVID-19).
Methods:
A hospital-based cross-sectional study was conducted on 118 patients using convenience sampling. The general questionnaire, disease-related knowledge questionnaire of COVID-19, Illness Perception Questionnaire (IPQ), and Profile of Mood States (POMS) were used to measure the current status of participants.
Results:
The overall average score of the disease-related knowledge of patients with COVID-19 was (79.19 ± 14.25), the self-care situation was positively correlated with knowledge of prevention and control (r = 0.265; P = 0.004) and total score of disease-related knowledge (r = 0.206; P = 0.025); the degree of anxiety was negatively correlated with the knowledge of diagnosis and treatment (r = −0.182; P = 0.049). The score of disease-related knowledge was negatively correlated with negative cognition (volatility, consequences, emotional statements) and negative emotions (tension, fatigue, depression) (P < 0.05); positively correlated with positive cognition (disease coherence) and positive emotion (self-esteem) (P < 0.05).
Conclusions:
It was recommended that we should pay more attention to the elderly and low-income groups, and increase the knowledge about diagnosis and treatment of COVID-19 and self-care in the future health education for patients.
Nowadays, theranostics drug delivery systems (DDSs) with imaging and therapy bi-functions have been regarded as a future orientation for imaging-guided cancer therapy. To achieve high imaging quality, a donor–acceptor (D–A)/Förster resonance energy transfer (FRET) bi-adjustment strategy is carried out for designing dual-colored DDSs with amplified aggregation-induced emission (AIE) behavior for imaging-guided cocktail cancer therapy in this study. In detail, four AIE-active conjugated polymers P-1 to P-4 are synthesized via the Suzuki reaction. Noteworthily, the D–A-type structure is applied in tuning the fluorescence color from orange (P-1) to far-red/near-infrared (P-2), while the intramolecular FRET process further enhanced the fluorescence signal for six times (P-3). Afterwards, P-3-based amphipathic polymer P-4 further acts as a drug carrier in preparing doxorubicin (Dox)- and curcumin (Cur)-loaded polymer dots (Pdots) (Dox-loaded Pdots as PDox and Cur-loaded Pdots as PCur). PDox + PCur DDS is successfully applied in imaging-guided cocktail cancer therapy to give obviously higher in vivo anticancer efficacy compared with single PDox or PCur. In addition, the drug-loaded Pdots also exhibit higher biocompatibility compared with free drugs. This work provides a novel D–A/FRET bi-adjustment strategy for developing high efficiency imaging-guided cocktail DDSs in cancer therapy.
Although the progression of invasive aspergillosis (IA) shares some risk factors in the development of active pulmonary tuberculosis (PTB), however, the prevalence of IA in suspected PTB remains unclear. During a period of 1 year (from January 2016 to December 2016), consecutive patients with suspected PTB were included in a referral TB hospital. Data, including demographic information and underlying diseases, were collected from medical records. PTB were all confirmed by mycobacterial culture (Lowenstein–Jensen medium). IA were diagnosed as proven or probable according to the criteria of the 2008 EORTC/MSG definitions. A descriptive analysis was performed to estimate the corresponding prevalence. During the study year, 1507 patients have a positive mycobacterial culture, with a mean age of 45.6 (s.d. 19.9) years old and a female:male ratio of 1:4. Among the 82 patients with non-tuberculous mycobacterial diseases, two patients (2.44%, 95% CI 0.67–8.46%) were diagnosed as IA (one proven and one probable); two probable IA patients (0.15%, 95% CI 0.04–0.55%) were diagnosed in PTB patients (n = 1315), and all were retreatment cases. In addition, all four IA patients (100%) exhibited cavities in both lobes on radiograph. In China, the prevalence of IA is low in active PTB patients. However, when high-risk factors for IA are encountered in PTB patients, further investigations are required and empirically treatment for IA might be warranted.
Thrombocytopenia occasionally occurs following the closure of some giant patent ductus arteriosus cases. Unfortunately, there is no associated research describing the associated risk factors for thrombocytopenia post-procedure.
Methods:
We reviewed all patients who received occluders with sizes ≥10/12 mm between January 2013 and June 2019. All the data and information on the characteristics of the patients and their follow-up were recorded. Univariate analysis, receiver operating characteristic curves, and linear regression were used to analyse the risk factors for thrombocytopenia and the predictors of hospitalisation stay.
Results:
Finally, 32 patients (17.5%) suffered from thrombocytopenia. Univariate analysis revealed the ratio between occluder disc size (mm) and body weight (kg) (1.71 ± 0.51 versus 1.35 ± 0.53) as an independent predictive factor for thrombocytopenia, and the area under the curve of the ratio of occluder size and body weight for predicting thrombocytopenia post-closure was 0.691 (95% confidence interval: 0.589–0.792, p = 0.001). The best cut-off value for the ratio of occluder size and weight was 1.5895, with a sensitivity and specificity of 68.8 and 66.9%, respectively. Each unit of the ratio of occluder size and body weight predicted an average hospitalisation stay of 2.856 days (95% confidence interval: 1.380–4.332). Treatment with medication did not reduce the hospitalisation stay or benefit platelet restoration.
Conclusion:
Once the ratio of occluder size and body weight is greater than 1.6, thrombocytopenia always exists. Every unit of the ratio of occluder size and body weight represents an additional 3 days of hospitalisation. Treatment does not reduce the duration of hospitalisation.
A recently developed pneumonia caused by SARS-CoV-2 has quickly spread across the world. Unfortunately, a simplified risk score that could easily be used in primary care or general practice settings has not been developed. The objective of this study is to identify a simplified risk score that could easily be used to quickly triage severe COVID-19 patients. All severe and critical adult patients with laboratory-confirmed COVID-19 on the West campus of Union Hospital, Wuhan, China, from 28 January 2020 to 29 February 2020 were included in this study. Clinical data and laboratory results were obtained. CURB-65 pneumonia score was calculated. Univariate logistic regressions were applied to explore risk factors associated with in-hospital death. We used the receiver operating characteristic curve and multivariate COX-PH model to analyse risk factors for in-hospital death. A total of 74 patients (31 died, 43 survived) were finally included in the study. We observed that compared with survivors, non-survivors were older and illustrated higher respiratory rate, neutrophil-to-lymphocyte ratio, D-dimer and lactate dehydrogenase (LDH), but lower SpO2 as well as impaired liver function, especially synthesis function. CURB-65 showed good performance for predicting in-hospital death (area under curve 0.81, 95% confidence interval (CI) 0.71–0.91). CURB-65 ⩾ 2 may serve as a cut-off value for prediction of in-hospital death in severe patients with COVID-19 (sensitivity 68%, specificity 81%, F1 score 0.7). CURB-65 (hazard ratio (HR) 1.61; 95% CI 1.05–2.46), LDH (HR 1.003; 95% CI 1.001–1.004) and albumin (HR 0.9; 95% CI 0.81–1) were risk factors for in-hospital death in severe patients with COVID-19. Our study indicates CURB-65 may serve as a useful prognostic marker in COVID-19 patients, which could be used to quickly triage severe patients in primary care or general practice settings.
Drug use disorders are an important issue worldwide. Systematic attempts to estimate the global incidence of drug use disorders are rare. We aimed to determine the incidence of drug use disorders and their trends.
Methods
We obtained the annual incident cases and age-standardised incidence rate (ASR) of drug use disorders from 1990 to 2017 using the Global Health Data Exchange query tool. The estimated annual percentage changes of the ASR were used to quantify and evaluate the trends in the incidence rate. Gaussian process regression and the Pearson's correlation coefficient were used to assess the relationship between the ASR and socio-demographic index (SDI).
Results
The number of drug use disorders’ cases increased by 33.5% from 1990 to 2017 globally, whereas the ASR exhibited a stable trend. The ASR was higher in men than in women. Most cases (53.1%) of drug use disorders involved opioid. A positive association (ρ=0.35, p < 0.001) was found between ASR and SDI. Teenagers aged 15–19 years had the highest incidence rate.
Conclusions
The incident cases of drug use disorders were increasing, but the incidence rate did not change significantly from 1990 to 2017. Current preventive measures and policies for drug use disorders might have little effect. The present results suggest that future strategies should focus on men, teenagers and high-risk regions in order to improve the current status of drug use disorders.
With the popularization of carbon and nitrogen stable-isotope analysis methods used on archaeological samples from Xinjiang, the ancient paleodiet there has been revealed. However, research about isotopic analysis combined with environmental factors is rare, especially in such a variable and complex climate as that of the Tianshan region. We systematically analyzed the δ13C and δ15N results from animals and humans for dietary reconstruction of nomadic pastoralists from the Tianshan region during 3900–1200 cal BP. The δ13C and δ15N values for animals (sheep/goat, horse and cattle; n = 57) have a wide range from –20.8‰ to –14.7‰ for δ13C (–19.2 ± 1.0‰) and 3.2‰ to 9.9‰ for δ15N (7.0 ± 1.2‰). The δ13C and δ15N values from humans range from –19.6 to –12.3‰ (–16.0 ± 1.5‰) and 7.1 to 16.7‰ (–13.6 ± 1.5‰), respectively. The animal δ15N results indicate that the dry environment in the Tianshan region may result in elevated δ15N values. Synthesizing animal and human isotope results suggests that the inhabitants engaged in mobile herding economies subsidized with crops and wild animal meat from the Tianshan Mountains. In conclusion, we found that the regional environment closely relates to crop types, and temporal climate change has an effect on human dietary structure. Therefore, climate condition cannot be ignored when studying human paleodiet.
In maritime search and rescue (SAR), commanders need to understand the task execution efficiency of each SAR unit in real time to improve the overall efficiency of SAR efforts. This study proposes a method to evaluate the progress of maritime SAR missions using automatic identification system (AIS) data. First, the positioning accuracy of the AIS data was improved according to the relationship between position, speed, and course. Second, the historical track of the SAR ship was used to generate the SAR completion area based on a line buffer algorithm. The SAR completion area and SAR mission area were then superimposed to determine the overall progress of the SAR mission. The proposed method has been deployed within the SAR software on-board Haixun01 (China's largest and most advanced large-scale cruise rescue ship) since 2017 and has played an important role in devising SAR strategies and tracking mission progress, during several SAR actions.
Reduced graphene oxide supported titanium dioxide (GO/TiO2) heterojunction composites as highly active photocatalysts were synthesized via simple ultrasonic mixing and hydrothermal reaction using TiCl3 and GO as precursors. Their structure and morphology were characterized by X-ray diffraction, Fourier transform infrared spectroscopy, Raman spectra, UV-vis spectroscopy, and thermogravimetic analysis. The GO/TiO2 heterojunction composites were used to degrade methyl orange (MO). The adsorption and photocatalytic degradation rate of the prepared GO/TiO2 composites increased by nearly three times compared with that of pristine TiO2 or GO, which reached up 90%, to degrade MO after 4 h, which provides a simple method to obtain photocatalytic materials.
We present direct numerical simulations of non-Oberbeck–Boussinesq (NOB) Rayleigh–Bénard (RB) convection due to large temperature differences in two-dimensional (2-D) and three-dimensional (3-D) cells. Perfect air is chosen as the operating fluid and the Prandtl number ($Pr$) is fixed to 0.71 for the reference state $\hat{T}_{0}=300~\text{K}$. In the present system, we consider large temperature differences ranging from 60 K to 240 K, and relatively strong NOB effects are induced at moderate Rayleigh numbers ($Ra$) in the range $3\times 10^{6}\leqslant Ra\leqslant 5\times 10^{9}$. The large temperature difference also induces the turbulence system with large density variation. Due to top-down symmetry breaking under NOB conditions, an increase of the centre temperature $T_{c}$ is found compared to the arithmetic mean temperature $T_{m}$ of the top and bottom plates, and the shift of $T_{c}$ is strongly dependent on Rayleigh number $Ra$ and temperature differential $\unicode[STIX]{x1D716}$. The NOB effects on the Nusselt number ($Nu$) are quite small (${\lesssim}2\,\%$). The power-law scalings of $Nu$ versus $Ra$ are robust against NOB effects, even for the extremely large temperature difference 240 K, which has never been reached in previous experiments and simulations. The Reynolds numbers $Re$, as well as the scalings of $Re$ versus $Ra$, are also insensitive to NOB effects. It is noteworthy that the influence of NOB effects on $Nu$ and $Re$ in 3-D RB flow are weaker than its 2-D counterpart. Furthermore, the extended laminar boundary layer (BL) equations are developed based on the low-Mach-number Navier–Stokes equations, which qualitatively predicts the NOB effects on velocity profiles. Direct numerical simulation results indicate that the top and bottom thermal BLs can compensate each other much better than the velocity BLs under NOB conditions, which contribute to the robustness of $Nu$.
To improve the corrosion resistance and to increase the hardness of copper substrate in marine environment, the Cu-Ni/Ni-P composite coatings were prepared on the copper substrate using the galvanostatic electrolytic deposition method. The deposition current densities were explored to find the optimized deposition conditions for forming the composite coatings. Corrosion resistance properties were analyzed using the polarization curves and electrochemical impedance spectroscopy (EIS). Considering the corrosion resistance and hardness, the −20 mA/cm2 was selected to deposit Cu-Ni coatings on copper substrate and the −30 mA/cm2 was selected to deposit Ni-P coating on the Cu-Ni layer. The Cu-Ni/Ni-P composite coatings not only exhibited superior corrosion resistance compared to single Cu-Ni coating in 3.5 wt.% NaCl solution, but also showed much better mechanical properties than single Cu-Ni coating.
In this work, we studied an atomic layer deposition (ALD) process of ZrO2 with the precursors of tetrakis(dimethylamido)zirconium(IV) and water. We investigated the growth characteristics and mechanism of the ALD ZrO2 in the temperature range of 50–275 °C. Furthermore, the evolutions of film thickness and morphology were studied and discussed. It was found that the growth rate of ZrO2 decreased almost linearly with the increasing temperature from ∼1.81 Å/cycle at 50 °C to ∼0.8 Å/cycle at 225 °C. Interestingly, it was revealed that the growth of ZrO2 films ceased after a certain number of ALD cycles at a temperature higher than 250 °C. We also verified that the crystallinity of ZrO2 evolved with deposition temperature from amorphous to crystalline phase. In addition, the wettability of ZrO2 films was studied, showing a hydrophobic nature.
Cinnamomum chago is a woody species of the family Lauraceae endemic to Yunnan province, China, previously known from only one location, and categorized as a Plant Species with Extremely Small Population. We surveyed to determine the distribution and population size of C. chago, characterize its habitat, identify any threats, assess its conservation status, and provide guidelines for its management and conservation. During 2014–2017 we found only 64 mature C. chago, in five locations. These small, fragmented populations occur along Lancang River in Dali Prefecture at altitudes of 2,200–2,400 m. The species' extent of occurrence is c. 923 km2, with an area of occupancy of c. 60 km2. The habitat of the species has been degraded by expansion of pastoral activities and deforestation. We recommend categorization of C. chago as Endangered on the IUCN Red List, prevention of the collection of seeds and wood of the species, protection and monitoring, and ex situ propagation for future reintroductions.