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This study attempts to figure out the seasonality of the transmissibility of hand, foot and mouth disease (HFMD). A mathematical model was established to calculate the transmissibility based on the reported data for HFMD in Xiamen City, China from 2014 to 2018. The transmissibility was measured by effective reproduction number (Reff) in order to evaluate the seasonal characteristics of HFMD. A total of 43 659 HFMD cases were reported in Xiamen, for the period 2014 to 2018. The median of annual incidence was 221.87 per 100 000 persons (range: 167.98/100,000–283.34/100 000). The reported data had a great fitting effect with the model (R2 = 0.9212, P < 0.0001), it has been shown that there are two epidemic peaks of HFMD in Xiamen every year. Both incidence and effective reproduction number had seasonal characteristics. The peak of incidence, 1–2 months later than the effective reproduction number, occurred in Summer and Autumn, that is, June and October each year. Both the incidence and transmissibility of HFMD have obvious seasonal characteristics, and two annual epidemic peaks as well. The peak of incidence is 1–2 months later than Reff.
Common seepweed [Suaeda glauca (Bunge) Bunge] is a common salt-tolerant weed species distributed across the agricultural regions of northern China. It produces dimorphic seeds with different phenotypic characteristics and seed sizes. However, there is no information regarding the germination biology of these dimorphic seeds. Studies were conducted to evaluate the effects of ecological factors such as temperature, light, pH, osmotic stress, salt concentration, and planting depth on seed germination and seedling emergence. The results showed that brown seeds were nondormant, whereas black seeds had an intermediate physiological dormancy. The germination percentage of brown seeds was more than 80% at all temperature regimes and light conditions, but the optimum germination occurred at the cold thermoperiod of 20/10 C. In contrast, less than 6% of black seeds germinated at all temperature regimes and light conditions. Eight weeks of cold stratification did not break the dormancy of black seeds, whereas low concentrations of gibberellic acid (0.1 and 1.0 mM) significantly increased seed germination. Removal of the testa of black seeds also promoted germination and produced normal seedlings. Brown seeds showed moderate tolerance to salt stress, with 16% germination percentage at a salt concentration of 600 mM NaCl. The germination of brown seeds was 38% at an osmotic potential stress of −0.8 MPa; above that, no germination was obtained. Brown seeds germinated well in a wide pH range (4 to 10), with a germination percentage higher than 95%. Seedling emergence percentage was higher than 90% at burial depths of 0 to 2 cm, while germination percentage severely decreased for brown seeds with burial depths >2 cm, indicating that shallow tillage could be an effective measure to minimize seed germination. Information gathered from this study will help to develop an effective protocols for controlling S. glauca.
This study seeks to identify healthcare utilization patterns following symptomatic respiratory tract infections (RTIs) and the variables that may influence these patterns.
RTIs are responsible for the bulk of the primary healthcare burden worldwide. Yet, the use of health services for RTIs displays great discrepancies between populations. This research examines the influence of social demographics, economic factors, and accessibility on healthcare utilization following RTIs.
Structured interviews were administered by trained physicians at the households of informants selected by cluster randomization. Descriptive and multivariate binary logistic regression analysis was performed to assess healthcare utilization and associated independent variables.
A total of 60 678 informants completed the interviews. Of the 2.9% informants exhibiting upper RTIs, 69.5–73.9% sought clinical care. Healthcare utilization rates for common cold, influenza, nine acute upper RTIs, and overall RTIs demonstrate statistically significant associations with the variables of age, type of residence, employment, medical insurance, annual food expenditure, distance to medical facilities, and others. The odds ratios for healthcare utilization rates varied substantially, ranging from 0.026 to 9.364. More than 69% of informants with RTIs sought clinical interventions. These findings signify a marked issue with the large amount of healthcare for self-limited RTIs.
Catheter-associated urinary tract infections in 592 hospitals immediately declined after federal value-based incentive program implementation, but this was fully attributable to a concurrent surveillance case definition revision. Post revision, more hospitals had favorable standardized infection ratios, likely leading to artificial inflation of their performance scores unrelated to changes in patient safety.
In this study, Mg-substituted tricalcium phosphate (Mg-TCP) nanoparticles were synthesized by hydrothermal reactions of Mg-calcite mesocrystals from echinoderm skeletons. Following the biomineralization of echinoderms, Mg-calcite powder was synthesized via the solid-state transition of Mg-amorphous calcium carbonate prepared by a wet-chemical precipitation method, which can also be used to fabricate Mg-TCP. We illustrated that Mg-calcite with a certain level of Mg substitution led to the formation of Mg-TCP through the ion-exchange reactions in the hydrothermal system. Therefore, this study provides a new pathway for the synthesis of Mg-TCP nanoparticles.
Inter-system code double differencing is an effective method for improving the positioning accuracy of low-cost receivers in complex environments. Due to the adoption of Frequency Division Multiple Access (FDMA), Globalnaya Navigazionnaya Sputnikovaya Sistema (GLONASS) code observations are affected by the Inter-Frequency Code Biases (IFCBs), which makes it difficult to calculate the Differential Inter-System Code Biases (DISCBs) between GLONASS and the Code Division Multiple Access (CDMA) systems directly. In this contribution, the focus is on the performance of tightly combined Global Positioning System (GPS) and GLONASS code Double Difference (DD) positioning. After analysing the relationship between IFCBs and GLONASS channel numbers, an IFCB correction model and an inter-system code differencing model between GLONASS and GPS are proposed. Results show that even if there is no obvious relationship between IFCBs and channel numbers, the long-term stable IFCB values of each satellite can be obtained by using the proposed model. In addition, the GPS + GLONASS DISCB is also stable. Therefore, compared with the intra-system model, the inter-system model can benefit from prior IFCBs and DISCBs parameters and thus can significantly improve the positioning accuracy in obstructed environments.
In this paper, instabilities in the flow over a circular cylinder of diameter
with dual splitter plates attached to its rear surface are numerically investigated using the spectral element method. The key parameters are the splitter plate length
, the attachment angle
and the Reynolds number
. The presence of the plates was found to significantly modify the flow topology, leading to substantial changes in both the primary and secondary instabilities. The results showed that the three instability modes present in the bare circular cylinder wake still exist in the wake of the present configurations and that, in general, the occurrences of modes A and B are delayed, while the onset of mode QP is earlier in the presence of the splitter plates. Furthermore, two new synchronous modes, referred to as mode A
and mode B
, are found to develop in the wake. Mode A
is similar to mode A but with a quite long critical wavelength. Mode B
shares the same spatio-temporal symmetries as mode B but has a distinct spatial structure. With the exception of the case of
, mode A
persists for all configurations investigated here and always precedes the transition through mode A. The onset of mode B
. The characteristics of all the transition modes are analysed, and their similarities and differences are discussed in detail in comparison with the existing modes. In addition, the physical mechanism responsible for the instability mode B
is proposed. The weakly nonlinear feature of mode B
, as well as that of mode A
, is assessed by employing the Landau model. Finally, selected three-dimensional simulations are performed to confirm the existence of these two new modes and to investigate the nonlinear evolution of the three-dimensional modes.
Employing atomic-scale simulations, the response of a high-angle grain boundary (GB), the soft/hard GB, against external loading was systematically investigated. Under tensile loading close to the hard orientation, strain-induced dynamic recrystallization was observed to initiate through direct soft-to-hard grain reorientation, which was triggered by stress mismatch, inhibited by surface tension from the soft-hard GB, and proceeded by interface ledges. Such grain reorientation corresponds with expansion and contraction of the hard grain along and perpendicular to the loading direction, respectively, accompanied by local atomic shuffling, providing relatively large normal strain of 8.3% with activation energy of 0.04 eV per atom. Tensile strain and residual dislocations on the hard/soft GB facilitate the initiation of dynamic recrystallization by lowering the energy barrier and the critical stress for grain reorientation, respectively.
Reynolds-averaged Navier–Stokes (RANS) simulations with turbulence closure models continue to play important roles in industrial flow simulations. However, the commonly used linear eddy-viscosity models are intrinsically unable to handle flows with non-equilibrium turbulence (e.g. flows with massive separation). Reynolds stress models, on the other hand, are plagued by their lack of robustness. Recent studies in plane channel flows found that even substituting Reynolds stresses with errors below 0.5 % from direct numerical simulation databases into RANS equations leads to velocities with large errors (up to 35 %). While such an observation may have only marginal relevance to traditional Reynolds stress models, it is disturbing for the recently emerging data-driven models that treat the Reynolds stress as an explicit source term in the RANS equations, as it suggests that the RANS equations with such models can be ill-conditioned. So far, a rigorous analysis of the condition of such models is still lacking. As such, in this work we propose a metric based on local condition number function for a priori evaluation of the conditioning of the RANS equations. We further show that the ill-conditioning cannot be explained by the global matrix condition number of the discretized RANS equations. Comprehensive numerical tests are performed on turbulent channel flows at various Reynolds numbers and additionally on two complex flows, i.e. flow over periodic hills, and flow in a square duct. Results suggest that the proposed metric can adequately explain observations in previous studies, i.e. deteriorated model conditioning with increasing Reynolds number and better conditioning of the implicit treatment of the Reynolds stress compared to the explicit treatment. This metric can play critical roles in the future development of data-driven turbulence models by enforcing the conditioning as a requirement on these models.
Brain structural connectome comprise of a minority of efficiently interconnected rich club nodes that are regarded as ‘high-order regions’. The remission of major depressive disorder (MDD) in response to selective serotonin reuptake inhibitor (SSRI) treatment could be investigated by the hierarchical structural connectomes’ alterations of subnetworks.
Fifty-five MDD patients who achieved remission underwent diffusion tensors imaging (DTI) scanning from 3 cohorts before and after 8-weeks antidepressant treatment. Five hierarchical subnetworks namely, rich, local, feeder, rich-feeder and feeder-local, were constructed according to the different combinations of connections and nodes as defined by rich club architecture. The critical treatment-related subnetwork pattern was explored by multivariate pattern analysis with support vector machine to differ the pre-/post-treatment patients. Then, relationships between graph metrics of discriminative subnetworks/ nodes and clinical variables were further explored.
The feeder-local subnetwork presented the most discriminative power in differing pre-/post- treatment patients, while the rich-feeder subnetwork had the highest discriminative power when comparing pre-treatment patients and controls. Furthermore, based on the feeder connection, which indicates the information transmission between the core and non-core architectures of brain networks, its topological measures were found to be significantly correlated with the reduction rate of 17-item Hamilton Rating Scale for Depression.
Although pathological lesion on MDD relied on abnormal core organization, disease remission was association with the compensation from non-core organization. These results suggested that the dysfunctions arising from hierarchical subnetworks are compensated by increased information interactions between core brain regions and functionally diverse regions.
The aim of this meta-analysis was to provide a comprehensive overview of human immunodeficiency virus (HIV)-1 subtypes and to investigate temporal and geographical trends of the HIV-1 epidemic among men who have sex with men (MSM) in China. Chinese and English articles published between January 2007 and December 2017 were systematically searched. Pooled HIV-1 prevalence was calculated, and its stability was analysed using sensitivity analysis. Subgroups were based on study time period, sampling area and prevalence. Publication bias was measured using Funnel plot and Egger's test. A total of 68 independent studies that included HIV-1 molecular investigations were eligible for meta-analysis. Circulating recombinant form (CRF) 01_AE (57.36%, 95% confidence interval (CI) 53.76–60.92) was confirmed as the most prevalent HIV-1 subtype among MSM in China. Subgroup analysis for time period found that CRF01_AE steadily increased prior to 2012 but decreased during 2012–2016. Further whereas CRF07_BC increased over time, B/B′ decreased over time. CRF55_01B has increased in recent years, with higher pooled estimated rate in Guangdong (12.22%, 95% CI 10.34–13.17) and Fujian (8.65%, 95% CI 4.98–13.17) provinces. The distribution of HIV-1 subtypes among MSM in China has changed across different regions and periods. HIV-1 strains in MSM are becoming more complex. Long-term molecular monitoring in this population remains necessary for HIV-1 epidemic control and prevention.
Wireless power transmission (WPT) systems with moveable mechanical parts have been acquired more and more attention during the past decade. However, due to the moveable feature of transmitting coil and receiving coil, misalignment issue lead to extra power loss, decrease in efficiency, increase in control complexity, and unwanted performance degradation of the whole system. Moreover, it happened frequently than those traditional planar coils systems. The motivation for this paper is trying to have a deep understanding of quantitative relationship between ball-shaped coils mutual inductance and misalignment. Based upon that, engineers would know more detail of the coils position and mutual inductance. So, optimized design might be achieved. On considering that, this paper presents a WPT system with a ball-shaped coil for robot joints. A mutual inductance calculation based on filament method aimed at ball-shaped coil is proposed. Based on these, nine different ball-shaped coil solutions are calculated. Then, model with a minimized change rate of mutual inductance against the angular misalignment is chosen as the optimized design. Circuit analysis of the WPT system with the series–series resonant topology is conducted to choose a proper working frequency and load. Finally, an experimental platform is established. It demonstrates the feasibility of the proposed calculation method and the feasibility of the WPT prototype.
Direct numerical simulation is conducted to uncover the response of a supersonic turbulent boundary layer to streamwise concave curvature and the related physical mechanisms at a Mach number of 2.95. Streamwise variations of mean flow properties, turbulence statistics and turbulent structures are analysed. A method to define the boundary layer thickness based on the principal strain rate is proposed, which is applicable for boundary layers subjected to wall-normal pressure and velocity gradients. While the wall friction grows with the wall turning, the friction velocity decreases. A logarithmic region with constant slope exists in the concave boundary layer. However, with smaller slope, it is located lower than that of the flat boundary layer. Streamwise varying trends of the velocity and the principal strain rate within different wall-normal regions are different. The turbulence level is promoted by the concave curvature. Due to the increased turbulence generation in the outer layer, secondary bumps are noted in the profiles of streamwise and spanwise turbulence intensity. Peak positions in profiles of wall-normal turbulence intensity and Reynolds shear stress are pushed outward because of the same reason. Attributed to the Görtler instability, the streamwise extended vortices within the hairpin packets are intensified and more vortices are generated. Through accumulations of these vortices with a similar sense of rotation, large-scale streamwise roll cells are formed. Originated from the very large-scale motions and by promoting the ejection, sweep and spanwise events, the formation of large-scale streamwise roll cells is the physical cause of the alterations of the mean properties and turbulence statistics. The roll cells further give rise to the vortex generation. The large number of hairpin vortices formed in the near-wall region lead to the improved wall-normal correlation of turbulence in the concave boundary layer.
Compared with traditional stainless steels, high nitrogen stainless steels (HNSS), have been widely used due to their high strength, toughness along with excellent corrosion resistance and low cost, formed by partial replacement of Ni (austenite-forming element) by N. The evolution of the microstructure of a Cr19Mn19Mo2N0.7 stainless steel is investigated after solution treatment at 1010, 1060, 1200 or 1250°C for 30min. A complex multilayer structure has been found under a negative pressure vacuum. A white ferritic layer at the surface is formed, and a subsurface layer with full austenitic structure and a bulk microstructure comprising of austenite and ferrite are detected. With increasing solution temperature, the surface layer thickness increases. The formation of the multilayer structure is attributed to an outward diffusion, a diffusive retardation and an abnormal accumulation of nitrogen during solution treatment.
National policies target healthcare-associated infections using medical claims and National Healthcare Safety Network surveillance data. We found low concordance between the 2 data sources in rates and rankings for surgical site infection following colon surgery in 155 hospitals, underscoring the limitations in evaluating hospital quality by claims data.
Heavy metal contamination in the paddy soils of China is a serious concern because of its health risk through transfer in food chains. A field experiment was conducted in 2014–2015 to investigate the long-term effects of different biochar amendments on cadmium (Cd) and arsenic (As) immobilisation in a contaminated paddy field in southern China. Two types of biochar, a rice-straw-derived biochar (RB) and a coconut-by-product-derived biochar (CB), were amended separately to determine their impacts on rice yield and their efficacy in reducing Cd and As in rice. The two-year field experiment showed that biochar amendments significantly improved the rice yields and that CB is superior to RB, especially in the first growth season. Using a large amount of biochar amendment (22.5tha–1) significantly increased soil pH and total organic carbon, and concomitantly decreased the Cd content in rice grains over the four growth seasons, regardless of biochar type and application rate. Arsenic levels in rice were similar to the control, and results from this study suggest that there was a sustainable effect of biochar on Cd sequestration in soil and reduction of Cd accumulation in rice for at least two years. Biochar amendment in soil could be considered as a sustainable, reliable and cost-effective option to remediate heavy metal contamination in paddy fields for long periods.
This article analyzes how creditors’ simultaneous debt and equity holdings affect firm investment policies. We find that firms with dual ownership are less likely to have capital expenditure restrictions in loan contracts, and the relation varies in predicted ways with the monitoring needs of borrowers and the monitoring capacity of dual owners. A less frequent use of capital expenditure restrictions, however, does not result in borrowers’ risk-shifting. Dual ownership firms are also more likely to be granted an unconditional waiver and do not significantly reduce debt issuance or investment expenditures after a financial covenant violation. Our results highlight how dual ownership can help mitigate shareholder–creditor conflicts.
The basic principle of high-entropy alloys (HEAs) is that high mixing entropies of solid-solution phases enhance the phase stability, which renders us a new strategy on alloy design. The current research of HEAs mostly emphasizes mechanical behavior at room and higher temperatures. Relatively fewer papers are focused on low-temperature behaviors, below room temperature. However, based on the published papers, we can find that the low-temperature properties of HEAs are generally excellent. The great potential for cryogenic applications could be expected on HEAs. In this article, we summarized and discussed the mechanical behaviors and deformation mechanisms, as well as stacking-fault energies, of HEAs at low temperatures. The comparison of low-temperature properties of HEAs and conventional alloys will be provided. Future research directions will be suggested at the end.