Turbulent flow induced by elastorotational instability in viscoelastic Taylor–Couette flow (TCF) with Keplerian rotation is analogous to a turbulent accretion disk destabilized by magnetorotational instability. We examine this novel viscoelastic Keplerian turbulence via direct numerical simulations (DNS) for the shear Reynolds number ($Re$) ranging from $10^2$ to $10^4$. The observed characteristic flow structure consists of penetrating streamwise vortices with axial length scales much smaller than the gap width, distinct from the classic centrifugally induced Taylor vortices, which have axial lengths of the gap width. These intriguing vortices persist for the wide $Re$ range considered and give rise to intriguing scaling behaviour in key flow quantities. Specifically, the characteristic axial length of the penetrating vortices is shown to scale as $Re^{-0.22}$; the angular momentum transport scales as $Re^{0.42}$; the kinetic and elastic boundary-layer thicknesses based on angular velocity and hoop stress near the inner cylinder wall scale as $Re^{-0.48}$ and $Re^{-0.49}$, respectively. This implies that the viscoelastic Keplerian turbulence belongs to the classical turbulent regime of TCF with the Prandtl–Blasius-type boundary layer. Furthermore, we present an analytical relation between the viscous and elastic dissipation rates of kinetic energy and the angular momentum transport and in turn demonstrate its validity using our DNS data. This study has paved the way for future research to explore astrophysics-related Keplerian turbulence and angular momentum transport via the scaling relations of the analogous TCF of dilute polymeric solutions.

Metabolic and inflammatory dysfunction is prevalent in middle-aged people with major mood disorders, but less is known about young people. We investigated the trajectories of sensitive metabolic (Homeostatic Model Assessment for Insulin Resistance [HOMA2-IR]) and inflammatory markers (C-reactive protein [CRP]) in 155 young people (26.9 ± 5.6 years) accessing mental health services. We examined demographic and clinical correlates, longitudinal trajectories and relationships with specific illness subtypes. Additionally, we compared the HOMA2-IR with fasting blood glucose (FBG) for sensitivity. We observed a significant increase in HOMA2-IR and CRP over time with higher baseline levels predicting greater increases, although the rate of increase diminished in those with higher baseline levels. Body mass index predicted increases in HOMA2-IR (p < 0.001), but not CRP (p = 0.135). Multinomial logistic regression revealed that higher HOMA2-IR levels were associated with 2.3-fold increased odds of the “circadian-bipolar spectrum” subtype (p = 0.033), while higher CRP levels were associated with a reduced risk of the “neurodevelopmental psychosis” subtype (p = 0.033). Standard FBG measures were insensitive in detecting early metabolic dysregulation in young people with depression. The study supports the use of more sensitive markers of metabolic dysfunction to address the longitudinal relationships between immune-metabolic dysregulation and mood disorders in young people.

Background: Data on antimicrobial use at the national level is crucial to establish domestic antimicrobial stewardship policies and enable medical institutions to benchmark against each other. This study aimed to analyze antimicrobial use in Korean hospitals. Methods: We investigated the antimicrobials prescribed in Korean hospitals between 2018 and 2021, using data from the Health Insurance Review and Assessment. Primary care hospitals (PCHs), secondary care hospitals (SCHs), and tertiary care hospitals (TCHs) were included in this analysis. Antimicrobials were categorized according to the Korea National Antimicrobial Use Analysis System (KONAS) classification, which is suitable for measuring antimicrobial use in Korean hospitals. Results: Out of more than 1,900 hospitals, PCHs and TCHs represented the largest and lowest percentage of hospitals, respectively. The most frequently prescribed antimicrobial in 2021 was piperacillin/β-lactamase inhibitor (9.3%) in TCHs, ceftriaxone (11.0%) in SCHs, and cefazedone (18.9%) in PCHs. Between 2018 and 2021, the most used antimicrobial class according to the KONAS classification was ‘broad-spectrum antibacterial agents predominantly used for community-acquired infections’ in TCHs and SCHs, and 'narrow spectrum beta-lactam agents' in PCH. Total consumption of antimicrobials has decreased from 951.7 to 929.9 days of therapy (DOT)/1,000 patient-days in TCHs and from 817.8 to 752.2 DOT/1,000 patient-days in SCHs during study period, but not in PCHs (from 504.3 to 527.2 DOT/1,000 patient-days). Moreover, in 2021, while use of reserve antimicrobials has decreased from 13.6 to 10.7 DOT/1,000 patient-days in TCHs and from 4.6 to 3.3 DOT/1,000 patient-days in SCHs, it has increased from 0.7 to 0.8 DOT/1,000 patient-days in PCHs. Conclusion: This study confirms that antimicrobial use differs by hospital type in Korea. Recent increases of use of antimicrobials, including reserve antimicrobials, in PCHs reflect the challenges that must be addressed.

Three-dimensional elastic turbulence in Taylor–Couette flows of dilute polymer solutions has been realized and thoroughly investigated via direct numerical simulations. A novel flow transition pathway from elastically dominated turbulence to solitary vortex pairs (or diwhirls) and eventually to elastic turbulence is observed by decreasing the fluid inertia ($Re$) over seven orders of magnitude, i.e. from $Re=1000$ to $0.0001$. The dominant spatio-temporal flow features in the elastic turbulence regime are those of large-scale unsteady diwhirls and small-scale axial and azimuthal travelling waves in the outer and inner halves of the gap, respectively. Moreover, it is conclusively shown that production of turbulent kinetic energy in purely elastic turbulence solely arises due to the stochastic nature of polymer stretch/relaxation. Overall, based on this comprehensive numerical investigation, the differences in the underlying fluid physics that give rise to turbulent fluctuations in elastically dominated and purely elastic turbulence have been delineated.

Jeju Island, designated by UNESCO as a world heritage site, continues to face the anthropogenic pressures of reckless development for regional tourism and economic revitalization purposes. Because land use/land cover (LULC) affects ecosystem services and human well-being, it is crucial to comprehensively identify the causes of changes in LULC based on long-term analyses. This study examined LULC changes on Jeju Island over 47 years from 1973 to 2019 and quantified changes in four ecosystem services: habitat quality, carbon stock, water yield and cumulative viewshed. From 1973 to 1998, forest land increased from 22% to 56%, but these restoration efforts were conducted in grassland, reducing that land type from 42% to 17%. This process increased the areas of highest habitat quality from 68% to 73%, and carbon stock increased from 20 to 30 million tonnes. Between 1998 and 2009, the area of cropland more than doubled from 21% to 44%. As a result, the areas of highest habitat quality decreased from 73% to 49%, and carbon stock decreased from 3.0 million tonnes to 2.3 million tonnes. Our analysis could help stakeholders and policymakers to develop their management planning and improve ecosystem services through restoration and conservation policies on Jeju Island.

Many waterflooding oil fields, injecting water into an oil-bearing reservoir for pressure maintenance, are in their middle to late stages of development. To explore the geological conditions and improve oilfield recovery of the most important well group of the Hu 136 block, located on the border areas of three provinces (Henan, Shandong, and Hebei), Zhongyuan Oilfield, Sinopec, central China, a 14C cross-well tracer monitoring technology was developed and applied in monitoring the development status and recognize the heterogeneity of oil reservoirs. The tracer response in the production well was tracked, and the water drive speed, swept volume of the injection fluid were obtained. Finally, the reservoir heterogeneity characteristics, such as the dilution coefficient, porosity, permeability, and average pore-throat radius, were fitted according to the mathematical model of the heterogeneous multi-layer inter-well theory. The 14C-AMS technique developed in this work is expected to be a potential analytical method for evaluating underground reservoir characteristics and providing crucial scientific guidance for the mid to late oil field recovery process.

Nosocomial transmission of COVID-19 among immunocompromised hosts can have a serious impact on COVID-19 severity, underlying disease progression and SARS-CoV-2 transmission to other patients and healthcare workers within hospitals. We experienced a nosocomial outbreak of COVID-19 in the setting of a daycare unit for paediatric and young adult cancer patients. Between 9 and 18 November 2020, 473 individuals (181 patients, 247 caregivers/siblings and 45 staff members) were exposed to the index case, who was a nursing staff. Among them, three patients and four caregivers were infected. Two 5-year-old cancer patients with COVID-19 were not severely ill, but a 25-year-old cancer patient showed prolonged shedding of SARS-CoV-2 RNA for at least 12 weeks, which probably infected his mother at home approximately 7–8 weeks after the initial diagnosis. Except for this case, no secondary transmission was observed from the confirmed cases in either the hospital or the community. To conclude, in the day care setting of immunocompromised children and young adults, the rate of in-hospital transmission of SARS-CoV-2 was 1.6% when applying the stringent policy of infection prevention and control, including universal mask application and rapid and extensive contact investigation. Severely immunocompromised children/young adults with COVID-19 would have to be carefully managed after the mandatory isolation period while keeping the possibility of prolonged shedding of live virus in mind.

A high-order transition route from inertial to elasticity-dominated turbulence (EDT) in Taylor–Couette flows of polymeric solutions has been discovered via direct numerical simulations. This novel two-step transition route is realized by enhancing the extensional viscosity and hoop stresses of the polymeric solution via increasing the maximum chain extension at a fixed polymer concentration. Specifically, in the first step inertial turbulence is stabilized to a laminar flow much like the modulated wavy vortex flow. The second step destabilizes this laminar flow state to EDT, i.e. a spatially smooth and temporally random flow with a $-3.5$ scaling law of the energy spectrum reminiscent of elastic turbulence. The flow states involved are distinctly different to those observed in the reverse transition route from inertial turbulence via a relaminarization of the flow to elasto-inertial turbulence in parallel shear flows, underscoring the importance of polymer-induced hoop stresses in realizing EDT that are absent in parallel shear flows.

The flow physics of inertio-elastic turbulent Taylor–Couette flow for a radius ratio of $0.5$ in the Reynolds number ($Re$) range of $500$ to $8000$ is investigated via direct numerical simulation. It is shown that as $Re$ is increased the turbulence dynamics can be subdivided into two distinct regimes: (i) a low $Re \leqslant 1000$ regime where the flow physics is essentially dominated by nonlinear elastic forces and the main contribution to transport and mixing of momentum, stress and energy comes from large-scale flow structures in the bulk region and (ii) a high $Re \geqslant 5000$ regime where inertial forces govern the flow physics and the flow dynamics is mainly governed by small-scale flow structures in the near-wall region. Flow–microstructure coupling analysis reveals that the elastic Görtler instability in the near-wall region is triggered via significant polymer extension and commensurately high hoop stresses. This instability gives rise to small-scale elastic vortical structures identified as elastic Görtler vortices which are present at all $Re$ considered. In fact, these vortices develop herringbone streaks near the inner wall that have a longer average life span than their Newtonian counterparts due to their elastic origin. Examination of the budgets of mean streamwise enstrophy, mean kinetic energy, turbulent kinetic energy and Reynolds shear stress demonstrates that increasing fluid inertia hinders the generation of elastic stresses, leading to a monotonic reduction of the elastic-related effects on the flow physics.

The aim of this study was to explore the effects and mechanisms of different starvation treatments on the compensatory growth of Acipenser dabryanus. A total of 120 fish (60·532 (sem 0·284) g) were randomly assigned to four groups (fasting 0, 3, 7 or 14 d and then refed for 14 d). During fasting, middle body weight decreased significantly with prolonged starvation. The whole-body and muscle composition, serum biochemical indexes, visceral indexes and digestive enzyme activities had been effected with varying degrees of changes. The growth hormone (GH) level in serum was significantly increased in 14D; however, insulin-like growth factor-1 (IGF-1) showed the opposite trend. The neuropeptide Y (npy) mRNA level in brain was significantly improved in 7D; peptide YY (pyy) mRNA level in intestine was significantly decreased during fasting. After refeeding, the final body weight, percentage weight gain, specific growth rate, feed intake, feed efficiency and protein efficiency ratio showed no difference between 0D and 3D. The changes of whole-body and muscle composition, serum biochemical indexes, visceral indexes and digestive enzyme activities had taken place in varying degrees. GH levels in 3D and 7D were significantly higher than those in the 0D; the IGF-1 content decreased significantly during refeeding. There was no significant difference in npy and pyy mRNA levels. These results indicated that short-term fasting followed by refeeding resulted in full compensation and the physiological and biochemical effects on A. dabryanus were the lowest after 3 d of starvation and 14 d of refeeding. Additionally, compensation in A. dabryanus may be mediated by appetite genes and GH, and the degree of compensation is also affected by the duration of starvation.

We aimed to evaluate the relationship of plasma Mg with the risk of new-onset hyperuricaemia and examine any possible effect modifiers in hypertensive patients. This is a post hoc analysis of the Uric acid (UA) Sub-study of the China Stroke Primary Prevention Trial (CSPPT). A total of 1685 participants were included in the present study. The main outcome was new-onset hyperuricaemia defined as a UA concentration ≥417 μmol/l in men or ≥357 μmol/l in women. The secondary outcome was a change in UA concentration defined as UA at the exit visit minus that at baseline. During a median follow-up duration of 4·3 years, new-onset hyperuricaemia occurred in 290 (17·2 %) participants. There was a significantly inverse relation of plasma Mg with the risk of new-onset hyperuricaemia (per sd increment; OR 0·85; 95 % CI 0·74, 0·99) and change in UA levels (per sd increment; β −3·96 μmol/l; 95 % CI −7·14, −0·79). Consistently, when plasma Mg was analysed as tertiles, a significantly lower risk of new-onset hyperuricaemia (OR 0·67; 95 % CI 0·48, 0·95) and less increase in UA levels (β −8·35 μmol/l; 95 % CI −16·12, −0·58) were found among participants in tertile 3 (≥885·5 μmol/l) compared with those in tertile 1 (<818·9 μmol/l). Similar trends were found in males and females. Higher plasma Mg levels were associated with a decreased risk of new-onset hyperuricaemia in hypertensive adults.