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Predictors of compliance with aspirin in children following cardiac catheterisation have not been identified. The aim of this study is to identify the caregivers’ knowledge, compliance with aspirin medication, and predictors of compliance with aspirin in children with Congenital Heart Disease (CHD) post-percutaneous transcatheter occlusion.
A cross-sectional explorative design was adopted using a self-administered questionnaire and conducted between May 2017 and May 2018. Recruited were 220 caregivers of children with CHD post-percutaneous transcatheter occlusion. Questionnaires included child and caregivers’ characteristics, a self-designed and tested knowledge about aspirin scale (scoring scale 0–2), and the 8-item Morisky Medication Adherence Scale (scoring scale 0–8). Data were analysed using multivariate binary logistic regression analysis to identify predictors of compliance with aspirin.
Of the 220 eligible children and caregivers, 210 (95.5%) responded and 209 surveys were included in the analysis. The mean score of knowledge was 7.25 (standard deviation 2.27). The mean score of compliance was 5.65 (standard deviation 1.36). Child’s age, length of aspirin use, health insurance policies, relationship to child, monthly income, and knowledge about aspirin of caregivers were independent predictors of compliance with aspirin (p < 0.05).
Caregivers of children with CHD had an adequate level of knowledge about aspirin. Compliance to aspirin medication reported by caregivers was low. Predictors of medium to high compliance with aspirin were related to the child’s age and socio-economic reasons. Further studies are needed to identify effective strategies to improve knowledge, compliance with medication, and long-term outcomes of children with CHD.
A hallmark of the Song dynasty's achievements was the creation of a national network of state-sponsored local schools. This engendered an exponential growth of commemorative inscriptions dedicated to local government schools. Many authors used these inscriptions as an avenue to expound and disseminate their visions of schools and education. Using the methods of network analysis and document clustering, this article analyzes all the inscriptions extant from Song times for local government schools. It reveals a structural schism in the diffusion of ideas between the Upper Yangzi and other regions of the Song. It also demonstrates the growing intellectual influence of Neo-Confucian ideologues that gradually overtook that of renowned prose-writers. Methodologically, this article provides an example of how diverse digital methods enable us to handle a large body of texts from multiple perspectives and invite us to explore connections we might not have otherwise thought of.
The microstructure evolution, dynamic recrystallization (DRX) and precipitation of the ZM61 alloy sheets prepared with different rolling conditions were studied. The DRX grain sizes (dDRX) at four high strain rate rolling (HSRR) temperatures (275–350 °C) are 1.9, 2.3, 2.6 and 3.1 μm, respectively, while the DRX volume fractions (fVDRX) are 69, 73, 76 and 82%, respectively. 300 °C is selected as the optimal HSRR temperature. The dDRX and fVDRX of the alloys prepared by pre-rolling (PR) at 300 °C + HSRR are 1.0 μm and 91%, respectively. The PR treatment does not change the types of the precipitates but promotes the precipitation. The tensile strength (UTS) of 369 MPa and yield strength (YS) of 261 MPa can be achieved by HSRR at 300 °C, while a further increase in both UTS and YS can be obtained by PR treatment.
The oxidation behavior of the selective laser melting (SLM)–fabricated Inconel 718 was investigated through isothermal oxidation testing at 650 °C for 500 h and compared with that of the as-cast and as-forged specimens at the same testing conditions. The effect of microstructure and surface roughness on the oxidation behavior of the SLM-fabricated, as-cast, and as-forged Inconel 718 specimens was examined. The result shows that Inconel 718 fabricated by SLM with the unique layer structure exhibited a better resistance to the 500 h oxidation at 650 °C compared with as-cast and as-forged 718 with coarse dendritic structure and uniform equiaxed grain microstructure, respectively. The influence of the surface roughness on the long-time oxidation resistance of SLM specimens is not pronounced compared with that of as-cast and as-forged specimens. The tiny dendrites instead of grain boundaries are a major influencing factor for the oxidation process of SLM specimens. The surface roughness has more evident influence on the oxidation resistance of as-forged specimens than that of the as-cast ones subjected to the 500 h oxidation at 650 °C.
In this study, the glass forming ability, thermal stability, and room-temperature mechanical behavior of a high Zr-containing Zr71Cu11Ni10.5Al7Ti0.5 bulk glassy alloy were investigated. The glassy alloy exhibits a high glass-forming ability with a critical casting diameter of 5 mm using copper mold injection casting, and its critical cooling rate is estimated to be smaller than 40 K/s. A small kinetic fragility index m of 32 indicates its good thermodynamic stability and glass-forming ability. Compressive tests indicate that the glassy alloy displays a significant average plastic strain of 12.3%, a high fracture strength of 1592 MPa, and Young's modulus of 74.5 GPa. The good ductility is attributed to the introduction of more free volume and local compositional inhomogeneity with increasing Zr addition. This finding may provide useful guidelines for the development of novel high Zr-containing glassy alloys.
Amnestic mild cognitive impairment (aMCI) is characterized by delayed P300 latency and reduced grey matter (GM) volume, respectively. The relationship between the features in aMCI is unclear. This study was to investigate the relationship between the altered P300 latency and the GM volume in aMCI.
Thirty-four aMCI and 34 well-matched normal controls (NC) were studied using electroencephalogram during a visual oddball task and scanned with MRI. Both tests were finished in the same day.
As compared with the NC group, the aMCI group exhibited delayed P300 latency in parietal cortex and reduced GM volumes in bilateral temporal pole and left hippocampus/parahippocampal gyrus. A remarkable negative correlation was found between delayed P300 latency and reduced left hippocampal volume only in the aMCI group. Interestingly, the mediating analysis found P300 latency significantly mediated the association between right supramarginal gyrus volume and information processing speed indicated by Stroop Color and Word Test A scores.
The association between delayed P300 latency and reduced left hippocampal volume in aMCI subjects suggests that reduced left hippocampal volume may be the potential structural basis of delayed P300 latency.
The study investigated novel wear and corrosion resistance of stainless steel and 316 stainless steel samples which were successfully prepared by laser melting deposition. Phase composition, microstructure, microhardness, wear resistance, and electrochemical corrosion resistance were studied. The experimental results showed that novel stainless steel was mainly composed of α-Fe and a few carbide phase (Cr, Fe)7C3. The microhardness of novel stainless steel was about 2.7 times greater than 316 stainless steel. Meanwhile, the specific wear rate of novel stainless steel and 316 stainless steel was 2.63 × 10−5 mm3/N m and 1.63 × 10−4 mm3/N m, respectively. The wear volume of 316 stainless steel was 6.19 times greater than novel stainless steel. The corrosion current and the corrosion potential of novel stainless steel and 316 stainless steel were 1.02 × 10−7 A/cm2 and 1.5 × 10−7 A/cm2, and −138.8 mV, −135.9 mV, respectively, in 3.5 wt% NaCl solution. Therefore, both microhardness and wear resistance of novel stainless steel were greatly improved, with high corrosion resistance.
The mammary gland, a unique exocrine organ, is responsible for milk synthesis in mammals. Neonatal growth and health are predominantly determined by quality and quantity of milk production. Amino acids are crucial maternal nutrients that are the building blocks for milk protein and are potential energy sources for neonates. Recent advances made regarding the mammary gland further demonstrate that some functional amino acids also regulate milk protein and fat synthesis through distinct intracellular and extracellular pathways. In the present study, we discuss recent advances in the role of amino acids (especially branched-chain amino acids, methionine, arginine and lysine) in the regulation of milk synthesis. The present review also addresses the crucial questions of how amino acids are transported, sensed and transduced in the mammary gland.
We present a detailed overview of the cosmological surveys that we aim to carry out with Phase 1 of the Square Kilometre Array (SKA1) and the science that they will enable. We highlight three main surveys: a medium-deep continuum weak lensing and low-redshift spectroscopic HI galaxy survey over 5 000 deg2; a wide and deep continuum galaxy and HI intensity mapping (IM) survey over 20 000 deg2 from
$z = 0.35$
to 3; and a deep, high-redshift HI IM survey over 100 deg2 from
$z = 3$
to 6. Taken together, these surveys will achieve an array of important scientific goals: measuring the equation of state of dark energy out to
$z \sim 3$
with percent-level precision measurements of the cosmic expansion rate; constraining possible deviations from General Relativity on cosmological scales by measuring the growth rate of structure through multiple independent methods; mapping the structure of the Universe on the largest accessible scales, thus constraining fundamental properties such as isotropy, homogeneity, and non-Gaussianity; and measuring the HI density and bias out to
$z = 6$
. These surveys will also provide highly complementary clustering and weak lensing measurements that have independent systematic uncertainties to those of optical and near-infrared (NIR) surveys like Euclid, LSST, and WFIRST leading to a multitude of synergies that can improve constraints significantly beyond what optical or radio surveys can achieve on their own. This document, the 2018 Red Book, provides reference technical specifications, cosmological parameter forecasts, and an overview of relevant systematic effects for the three key surveys and will be regularly updated by the Cosmology Science Working Group in the run up to start of operations and the Key Science Programme of SKA1.
Transmission of varicella occurs frequently in schools and households. We investigated the characteristics of varicella cases derived from within-household transmission and the modes of varicella transmission between school and household settings in Shanghai, China, from 2009 to 2018. Within-household transmission occurred in 278 households, of which 134 transmission events were between children. Sixty-one household varicella transmission events may be attributed to isolation procedures for infected students during school outbreaks, and 7.6% of school outbreaks were caused by schoolchildren cases derived from within-household transmission. The frequency of ‘school-household-school’ transmission adds an additional layer of complexity to the control of school varicella outbreaks. Administration of varicella vaccine as post-exposure prophylaxis after exposure is considered to be an effective measure to control varicella spread within households and schools.
We report on a high-power Ho:YAG single-crystal fiber (SCF) laser inband pumped by a high-brightness Tm-fiber laser at 1908 nm. The Ho:YAG SCF grown by the micro-pulling-down technique exhibits a propagation loss of
. A continuous-wave output power of 35.2 W is achieved with a slope efficiency of 42.7%, which is to the best of our knowledge the highest power ever reported from an SCF-based laser in the 2
Blockchain technology has rapidly emerged as a decentralized trusted network to replace the traditional centralized intermediator. Especially, the smart contracts that are based on blockchain allow users to define the agreed behaviour among them, the execution of which will be enforced by the smart contracts. Based on this, we propose a decentralized booking system that uses the blockchain as the intermediator between hoteliers and travellers. The system enjoys the trustworthiness of blockchain, improves efficiency and reduces the cost of the traditional booking agencies. The design of the system has been formally modelled using the CSP# language and verified using the model checker Process Analysis Toolkit. We have implemented a prototype decentralized booking system based on the Ethereum ecosystem.
Schizophrenia is a common major mental disorder and prenatal nutritional deficiency may increase its risk. We aimed to investigate long-term impact of prenatal exposure to malnutrition on risk of schizophrenia in adulthood using the Chinese famine of 1959–1961 as a natural experiment.
We obtained data from the Second National Sample Survey on Disability implemented in 31 provinces in 2006, and restricted our analysis to 387,093 individuals born from 1956 to 1965. Schizophrenia was ascertained by psychiatrists based on the International Statistical Classification of Diseases, Tenth Revision. Famine severity was defined as cohort size shrinkage index. The famine effect on adult schizophrenia was estimated by difference-in-difference models, established by examining the variations of famine exposure across birth cohorts.
Compared with the reference cohort of 1965, famine cohorts (1959–1962) had significantly higher odds (OR: 1.84; 95% CI: 1.13, 3.00; P = 0.014) of schizophrenia in the rural population. After adjusting for multiple covariates, this association remained significant (OR: 1.82; 95% CI: 1.11, 2.98; P = 0.018). We did not observe statistically significant differences in odds of schizophrenia among famine cohorts compared with the reference cohort in the urban population.
Prenatal malnutrition exposure has a detrimental impact on risk of schizophrenia in adulthood in the rural population. Further studies were needed to investigate corresponding mechanisms on this topic.
The effects of flow topology on the subgrid-scale (SGS) kinetic energy flux in compressible isotropic turbulence is studied. The eight flow topological types based on the three invariants of the filtered velocity gradient tensor are analysed at different scales, along with their roles in the magnitude and direction of kinetic energy transfer. The unstable focus/compressing (UFC), unstable node/saddle/saddle (UN/S/S) and stable focus/stretching (SFS), are the three predominant topological types at all scales; they account for at least 75 % of the flow domain. The UN/S/S and SFS types make major contributions to the average SGS flux of the kinetic energy from large scales to small scales in the inertial range. The unstable focus/stretching (UFS) topology makes a contribution to the reverse SGS flux of kinetic energy from small scales to large scales. In strong compression regions, the average contribution of the stable node/saddle/saddle (SN/S/S) topology to the SGS kinetic energy flux is positive and is predominant over those of other flow topologies. In strong expansion regions, the UFS topology makes a major contribution to the reverse SGS flux of the kinetic energy. As the turbulent Mach number increases, the increase of volume fraction of the UFS topological regions leads to the increase of the SGS backscatter of kinetic energy. The SN/S/S topology makes a dominant contribution to the direct SGS flux of the compressible component of the kinetic energy, while the UFS topology makes a dominant contribution to the reverse SGS flux of the compressible component of the kinetic energy.
A high-isolation diplexer based on a dual-mode substrate integrated waveguide (SIW) resonator is proposed in this paper. Based on the theory of the dual-mode resonator, the miniaturized diplexers are designed by using the SIW dual-mode resonators. The superior isolation of the diplexers is obtained because the two operating modes of the dual-mode SIW resonators are not directly coupled and there is no interference with each other. In order to further improve the isolation of the circuit, the number of the order of the diplexer is added. Equivalent circuits are given to analyze and design the dual-mode high-isolation diplexers. Detailed analyses are given according to the equivalent circuits. The dual-mode third-order and fourth-order diplexers are designed and fabricated. The measured results agree well with the simulated ones. The total sizes of the fabricated third-order and fourth-order diplexers are 1.78λg × 2.64λg and 1.79λg × 3.63λg, respectively.
Experiments are presented on the deformation of free surface induced by water exit of axisymmetric bodies, particular at the moment before body detaching from water. A set of experimental apparatus is designed to provide driving force for the bodies. A high-speed camera is adopted to capture the motion and deformation of the free surface. Bodies of various shapes, including a stretched spheroid, a sphere, a circular cone and a combination of cylinder and circular cone, are lifted out of water with different velocities, by using a straight rod attached on the top of models. It is found that free-surface deformation is affected by the moving velocity a lot. Three wake flow or free-surface spike patterns are generated corresponding to different velocities. When the velocity is larger than a critical velocity, cavitation incepts and bubble is entrapped inside the water spike, which changes the flow pattern and shape of the spike. It is aimed to explore the spike phenomenon of free surface and explain the reasons behind it.