Despite global efforts to end tuberculosis (TB), the goal of preventing catastrophic health expenditure (CHE) due to TB remains unmet. This cross-sectional study was conducted in Guizhou Province, Southwest China. Data were collected from the Hospital Information System and a survey of TB patients who had completed standardized antituberculosis treatment between January and March 2021. Among the 2 283 participants, the average total expenditure and out-of-pocket expenditure were $1 506.6 (median = $760.5) and $683.6 (median = $437.8), respectively. Health insurance reimbursement reduced CHE by 16.8%, with a contribution rate of 24.9%, and the concentration index changed from -0.070 prereimbursement to -0.099 postreimbursement. However, the contribution of health insurance varied significantly across different economic strata, with contribution rates of 6.4% for the lowest economic group and 53.1% for the highest group. For patients from lower socioeconomic strata, health insurance contributed 10.7% to CHE in the prediagnostic phase and 23.5% during treatment. While social health insurance alleviated the financial burden for TB patients, it did not provide sufficient protection for those in lower economic strata or during the prediagnostic stage. This study underscores the need for more effective and equitable subsidy policies for TB patients .

We report the unified constitutive law of vibroconvective turbulence in microgravity, i.e. $Nu \sim a^{-1} Re_{os}^\beta$ where the Nusselt number $Nu$ measures the global heat transport, $a$ is the dimensionless vibration amplitude, $Re_{os}$ is the oscillational Reynolds number and $\beta$ is the universal exponent. We find that the dynamics of boundary layers plays an essential role in vibroconvective heat transport and the $Nu$-scaling exponent $\beta$ is determined by the competition between the thermal boundary layer (TBL) and vibration-induced oscillating boundary layer (OBL). Then a physical model is proposed to explain the change of scaling exponent from $\beta =2$ in the TBL-dominant regime to $\beta = 4/3$ in the OBL-dominant regime. Our finding elucidates the emergence of universal constitutive laws in vibroconvective turbulence, and opens up a new avenue for generating a controllable effective heat transport under microgravity or even microfluidic environment in which the gravity effect is nearly absent.

Mosquito-borne diseases have emerged in North Borneo in Malaysia due to rapid changes in the forest landscape, and mosquito surveillance is key to understanding disease transmission. However, surveillance programmes involving sampling and taxonomic identification require well-trained personnel, are time-consuming and labour-intensive. In this study, we aim to use a deep leaning model (DL) to develop an application capable of automatically detecting mosquito vectors collected from urban and suburban areas in North Borneo, Malaysia. Specifically, a DL model called MobileNetV2 was developed using a total of 4880 images of Aedes aegypti, Aedes albopictus and Culex quinquefasciatus mosquitoes, which are widely distributed in Malaysia. More importantly, the model was deployed as an application that can be used in the field. The model was fine-tuned with hyperparameters of learning rate 0.0001, 0.0005, 0.001, 0.01 and the performance of the model was tested for accuracy, precision, recall and F1 score. Inference time was also considered during development to assess the feasibility of the model as an app in the real world. The model showed an accuracy of at least 97%, a precision of 96% and a recall of 97% on the test set. When used as an app in the field to detect mosquitoes with the elements of different background environments, the model was able to achieve an accuracy of 76% with an inference time of 47.33 ms. Our result demonstrates the practicality of computer vision and DL in the real world of vector and pest surveillance programmes. In the future, more image data and robust DL architecture can be explored to improve the prediction result.

In the present study, acid-modified attapulgite was used, as an adsorbent, to remove as much Cd2+ as possible from aqueous solution. Static adsorption experiments using powdered acid-modified attapulgite, and dynamic adsorption using granular acid-modifed attapulgite, were conducted to explore the practical application of modified attapulgite in the adsorption of Cd2+. The modified attapulgite had a larger specific surface area and thinner fibrous crystals than the unmodified version. No obvious differences were noted, in terms of the crystal structure, between the natural attapulgite and the modified version. The effects of initial concentration, pH, contact time, and ionic strength on the adsorption of Cd2+ were investigated, and the results showed that the adsorption capacity of the modified attapulgite was increased with increasing pH and the initial Cd2+ concentration. The adsorption properties were analyzed by means of dynamic adsorption tests with respect to various Cd2+ concentrations and flow rates. The maximum adsorption capacity of 8.83 mg/g occurred at a flow rate of 1 mL/min and at an initial concentration of 75 mg/L. Because there was better accord between the data and a pseudo-second order model than a pseudo-first-order model, external mass transfer is suggested to be the rate-controlling process. The experimental data were also fitted for the intraparticle diffusion model, implying that the intraparticle diffusion of Cd2+ onto the modified attapulgite was also important for controlling the adsorption process. The Bohart-Adams model was more suitable than the Thomas model for describing the dynamic behavior with respect to the flow rate and the initial Cd2+ concentration. This research provided the theoretical basis for the dynamic adsorption of Cd2+ on the modified attapulgite. Compared to the powdered modified attapulgite, the dynamic adsorption by granular modified attapulgite appeared more favorable in terms of practical application.

This study investigates the effect of vibration on the flow structure transitions in thermal vibrational convection (TVC) systems, which occur when a fluid layer with a temperature gradient is excited by vibration. Direct numerical simulation (DNS) of TVC in a two-dimensional enclosed square box is performed over a range of dimensionless vibration amplitudes $0.001 \le a \le 0.3$ and angular frequencies $10^{2} \le \omega \le 10^{7}$, with a fixed Prandtl number of 4.38. The flow visualisation shows the transition behaviour of flow structure upon the varying frequency, characterising three distinct regimes, which are the periodic-circulation regime, columnar regime and columnar-broken regime. Different statistical properties are distinguished from the temperature and velocity fluctuations at the boundary layer and mid-height. Upon transition into the columnar regime, columnar thermal coherent structures are formed, in contrast to the periodic oscillating circulation. These columns are contributed by the merging of thermal plumes near the boundary layer, and the resultant thermal updrafts remain at almost fixed lateral position, leading to a decrease in fluctuations. We further find that the critical point of this transition can be described nicely by the vibrational Rayleigh number ${{Ra}}_{vib}$. As the frequency continues to increase, entering the so-called columnar-broken regime, the columnar structures are broken, and eventually the flow state becomes a large-scale circulation (LSC), characterised by a sudden increase in fluctuations. Finally, a phase diagram is constructed to summarise the flow structure transition over a wide range of vibration amplitude and frequency parameters.

A high-power all polarization-maintaining (PM) chirped pulse amplification (CPA) system operating in the 2.0 μm range is experimentally demonstrated. Large mode area (LMA) thulium-doped fiber (TDF) with a core/cladding diameter of 25/400 μm is employed to construct the main amplifier. Through dedicated coiling and cooling of the LMA-TDF to manage the loss of the higher order mode and thermal effect, a maximum average power of 314 W with a slope efficiency of 52% and polarization extinction ratio of 20 dB is realized. The pulse duration is compressed to 283 fs with a grating pair, corresponding to a calculated peak power of 10.8 MW, considering the compression efficiency of 88% and the estimated Strehl ratio of 89%. Moreover, through characterizing the noise properties of the laser, an integrated relative intensity noise of 0.11% at 100 Hz−1 MHz is obtained at the maximum output power, whereas the laser timing jitter is degraded by the final amplifier from 318 to 410 fs at an integration frequency of 5 kHz to 1 MHz, owing to the self-phase modulation effect-induced spectrum broadening. The root-mean-square of long-term power fluctuation is tested to be 0.6%, verifying the good stability of the laser operation. To the best of our knowledge, this is the highest average power of an ultrafast laser realized from an all-PM-fiber TDF-CPA system ever reported.

An all-fiber high-power linearly polarized chirped pulse amplification (CPA) system is experimentally demonstrated. Through stretching the pulse duration to a full width of approximately 2 ns with two cascaded chirped fiber Bragg gratings (CFBGs), a maximum average output power of 612 W is achieved from a high-gain Yb-doped fiber that has a core diameter of 20 μm with a slope efficiency of approximately 68% at the repetition rate of 80 MHz. At the maximum output power, the polarization degree is 92.5% and the M2 factor of the output beam quality is approximately 1.29; the slight performance degradations are attributed to the thermal effects in the main amplifier. By optimizing the B-integral of the amplifier and finely adjusting the higher-order dispersion of one of the CFBGs, the pulse width is compressed to 863 fs at the highest power with a compression efficiency of 72%, corresponding to a maximum compressed average power of 440.6 W, single pulse energy of 5.5 μJ and peak power of about 4.67 MW. To the best of our knowledge, this is the highest average power of a femtosecond laser directly generated from an all-fiber linearly polarized CPA system.

Hexangulaconulariids (Cambrian stages 1–2) are an extinct group of medusozoan polyps having a biradially symmetrical, fan-shaped periderm that is distinct from those of medusozoan polyps showing three-, four-, five-, or six-fold radial symmetry. Hexangulaconulariids exhibit substantial variation in gross morphology, including variation in the number of faces on each of the two major sides of the periderm. An intermediate taxon of hexangulaconulariids with ten faces (five on each major side) was expected. Here we describe a new hexangulaconulariid, Decimoconularia isofacialis new genus new species from Bed 5 of the Yanjiahe Formation (Cambrian Stage 2) in the Three Gorges area of Hubei Province, China. The new taxon differs from other hexangulaconulariids (Arthrochites, Hexaconularia, and Septuconularia) mainly in possessing a total of ten faces. The two lateral margins are each marked by a ridge in about the apertural half of the periderm and by a collinear furrow in about the apical half, while the five faces on each major side are bounded by a furrow in about the apertural half and by a collinear ridge in about the apical half. Among hexangulaconulariids, Decimoconularia and Septuconularia may be more closely related to each other than either genus is to Arthrochites or Hexaconularia.

UUID: http://zoobank.org/ca270a3b-25ee-4d1f-bdeb-91a963370e70

Echinococcus shiquicus is currently limited to the Qinghai–Tibet plateau, a large mountainous region in China. Although the zoonotic potential remains unknown, progress is being made on the distribution and intermediate host range. In this study, we report E. shiquicus within Gansu and Qinghai provinces in regions located not only around the central areas but also the southeast edge of the plateau and describe their genetic relationship with previous isolates from the plateau. From 1879 plateau pikas examined, 2.39% (95% CI 1.79–3.18) were infected with E. shiquicus. The highest prevalence of 10.26% (4.06–23.58) was recorded in Makehe town, Qinghai province. Overall the prevalence was marginally higher in Qinghai (2.5%, CI 1.82–3.43) than in Gansu (2%, CI 1.02–3.89). The cox1 and nad1 genes demonstrated high and low haplotype and nucleotide diversities, respectively. The median-joining network constructed by the cox1–nad1 gene sequences demonstrated a star-like configuration with a median vector (unsampled haplotype) occupying the centre of the network. No peculiar distinction or common haplotype was observed in isolates originating from the different provinces. The presence of E. shiquicus in regions of the southeast and northeast edges of the Qinghai–Tibet plateau and high genetic variation warrants more investigation into the haplotype distribution and genetic polymorphism by exploring more informative DNA regions of the mitochondrial genome to provide epidemiologically useful insight into the population structure of E. shiquicus across the plateau and its axis.

The soft actuator is made of superelastic material and embedded flexible material. In this paper, a kind of soft tube was designed and used to assemble two kinds of pneumatic soft actuators. The experiment and finite element analysis are used to comprehensively analyze and describe the bending, elongation, and torsion deformation of the soft actuator. The results show that the two soft actuators have the best actuation performance when the inner diameter of the soft tube is 4 mm. In addition, when the twisting pitch of the torsional actuator is 24 mm, its torsional performance is optimized. Finally, a device that can be used in the production line was assembled by utilizing those soft actuators, and some operation tasks were completed. This experiment provides some insights for the development of soft actuators with more complex motions in the future.

The clinical characteristics of patients with COVID-19 were analysed to determine the factors influencing the prognosis and virus shedding time to facilitate early detection of disease progression. Logistic regression analysis was used to explore the relationships among prognosis, clinical characteristics and laboratory indexes. The predictive value of this model was assessed with receiver operating characteristic curve analysis, calibration and internal validation. The viral shedding duration was calculated using the Kaplan–Meier method, and the prognostic factors were analysed by univariate log-rank analysis and the Cox proportional hazards model. A retrospective study was carried out with patients with COVID-19 in Tianjin, China. A total of 185 patients were included, 27 (14.59%) of whom were severely ill at the time of discharge and three (1.6%) of whom died. Our findings demonstrate that patients with an advanced age, diabetes, a low PaO2/FiO2 value and delayed treatment should be carefully monitored for disease progression to reduce the incidence of severe disease. Hypoproteinaemia and the fever duration warrant special attention. Timely interventions in symptomatic patients and a time from symptom onset to treatment <4 days can shorten the duration of viral shedding.

Octapyrgites elongatus n. gen. n. sp., a relatively rare, tetraradial olivooid (Cnidaria, Medusozoa), is described from Bed 5 of the Yanjiahe Formation (Cambrian Stage 2) near Yichang, China. Although similar to Olivooides and Quadrapyrgites from the Fortunian Stage in consisting of a partially corrugated (longitudinal) periderm with a quadrate (transverse) apical portion and V-shaped apertural lobes, O. elongatus is substantially larger than other olivooids. The elongate apical region of O. elongatus is similar to four-sided Anaconularia anomala (Barrande, 1867), though with a flat tip that may have been an adaption for a sessile mode of life. As in other olivooids, embryonic development in O. elongatus may have been direct. Last, the paucity of olivooids and the absence of pentaradial cnidarians and carinachitids in Cambrian Stage 2 indicate a marked decline in the disparity of cnidarians near the Fortunian–Cambrian Age 2 boundary, when by contrast bilaterians underwent rapid diversification.

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The dipeptide dl-methionyl-dl-methionine (Met-Met) has extremely low water solubility and better absorption than other methionine sources (such as dl-methionine and l-methionine) available in the market. Therefore, six diets (D1, D2, D3, D4, D5 and D6) containing 0, 0·07, 0·15, 0·21, 0·28 and 0·38 % Met-Met were formulated to investigate the effects of Met-Met in juvenile Nile tilapia, Oreochromis niloticus (17 g initial body weight). The results indicated that percentage weight gain and specific growth rate of fish fed with D2 and D3 diets were higher than those fed with D1, D4–D6 diets. The levels of total essential amino acid in whole body of fish fed with D3 and D4 diets were significantly higher than those fed the D1 diet. Superoxide dismutase activity and malondialdehyde content have no significant difference in fish fed the diet with or without Met-Met supplementation. Majority of reads derived from the fish intestine belonged to members of Fusobacteria, followed by Bacteroidetes and Proteobacteria. Diversity of intestinal microbiota and total antioxidant capacity in fish fed with D3 diet was significantly higher than that of other groups. Based on the growth results, the authors conclude that the optimal level of Met is 0·61 % Met with the addition of 0·15 % Met-Met for grower-phase O. niloticus.

Extant medusozoans (phylum Cnidaria) are dominated by forms showing tetraradial symmetry, but stem-group medusozoans of early Cambrian age collectively exhibit tetra-, bi-, penta-, and hexaradial symmetry. Moreover, the developmental and evolutionary relationships between four-fold and other types of radial symmetry in medusozoans remain poorly understood. Here we describe a new hexangulaconulariid, Septuconularia yanjiaheensis new genus new species, from Bed 5 of the Yanjiahe Formation (Cambrian Stage 2) in the Three Gorges area of Hupei Province, China. The laterally compressed, biradially symmetrical periderm of this species possesses 14 gently tapered faces, the most of any hexangulaconulariid described thus far. The faces are bordered by longitudinal ridges and crossed by short, irregularly spaced transverse ribs. Longitudinally, the periderm consists of three regions that probably correspond, respectively, to an embryonic stage, a transient juvenile stage, and a long adult stage. Septuconularia yanjiaheensis may have been derived from six-faced Hexaconularia (Fortunian Stage), which is morphologically intermediate between Septuconularia yanjiaheensis and Arthrochites. Furthermore, conulariids sensu stricto, carinachitids, and hexangulaconulariids may constitute a monophyletic group united by possession of an organic or organophosphatic periderm exhibiting longitudinal (corner) sulci, a facial midline, and offset of transverse ribs along the facial midline.

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