We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure coreplatform@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
COVID-19 is erupting globally and Wuhan successfully controlled it within a month. Infections arose from infectious persons outside hospitals. After data revision, data-based and model-based analyses are implemented and the conclusions are as follows. The incubation period of most infected people may be 6-7 days. The number of infectious persons outside hospitals in Wuhan on Jan.20 is about 10000 and reached more than 20000 on the day of Lockdown, it exceeded 72000 on Feb.4. Both data-based and model-based analyses gave out the evolution of the reproduction number, which is over 2.5 in early January, then go down to 1.62 in late January and 1.20 in early February, a sudden drop to less than 0.5 due to the strict Stay-at-home management after Feb.11. Strategies of Stay-at-home, Safe-protective measures and Ark hospitals are the main contributions to control COVID-19 in Wuhan. Two inflection points of COVID-19 in Wuhan exactly correspond to Feb.5 and Feb.15, the two days when Ark hospitals were introduced and the complete implementation of Stay-at-home. Based on the expression of the reproduction number, group immunity also is discussed. It shows that only when the group immunization rate is over 75 percent can COVID-19 be under control, group immunity actually would be full infection and the total deaths will be 220,000 for a city as big as Wuhan. Sensitivity analysis suggests that 30 percent of people staying at home in combination with better behavior changes, such as social-distancing and frequent hand-washing, can effectively contain COVID-19. But only when this proportion is over 60 percent can the control effect and efficiency like Wuhan be obtained.
To investigate the correlation between ventricular pre-excitation-related dyssynchrony, on cardiac dysfunction, and recovery.
Methods and Results:
This study included 76 children (39 boys and 37 girls) with a median age of 5.25 (2.67–10.75) years. The patients with pre-excitation-related cardiac dysfunction (cardiac dysfunction group, n = 34) had a longer standard deviation of the time-to-peak systolic strain of the left ventricle and larger difference between the maximum and minimum times-to-peak systolic strain than those with a normal cardiac function (normal function group, n = 42) (51.77 ± 24.70 ms versus 33.29 ± 9.48 ms, p < 0.05; 185.82 ± 92.51 ms versus 111.93 ± 34.27 ms, p < 0.05, respectively). The cardiac dysfunction group had a maximum time-to-peak systolic strain at the basal segments of the anterior and posterior septa and the normal function group at the basal segments of anterolateral and posterolateral walls. The prevalence of ventricular septal dyssynchrony in the cardiac dysfunction group was significantly higher than that in the normal function group (94.1% (32/34) versus 7.7% (3/42), p < 0.05). The patients with ventricular septal dyssynchrony (n = 35) had a significantly higher prevalence of intra-left ventricular systolic dyssynchrony than those with ventricular septal synchrony (n = 41) (57.1% (20/35) versus 14.6% (6/41), p < 0.05). During follow-up after pathway ablation, the patients who recovered from intra-left ventricular dyssynchrony (n = 29) had a shorter left ventricular ejection fraction recovery time than those who did not (n = 5) (χ2 = 5.94, p < 0.05). Among the patients who recovered, 93.1% (27/29) had a normalised standard deviation of the time-to-peak systolic strain and difference between the maximum and minimum times-to-peak systolic strain within 1 month after ablation.
Conclusion:
Ventricular pre-excitation may cause ventricular septal dyssynchrony; thus, attention must be paid to intra-left ventricular dyssynchrony and cardiac dysfunction. Whether intra-left ventricular systolic dyssynchrony can resolve within 1 month may be a new early predictor of patient prognosis.
In this paper, the multi-state survival signature is first redefined for multi-state coherent or mixed systems with independent and identically distributed (i.i.d.) multi-state components. With the assumption of independence of component lifetimes at different state levels, transformation formulas of multi-state survival signatures of different sizes are established through the use of equivalent systems and a generalized triangle rule for order statistics from several independent and non-identical distributions. The results obtained facilitate stochastic comparisons of multi-state coherent or mixed systems with different numbers of i.i.d. multi-state components. Specific examples are finally presented to illustrate the transformation formulas established here, and also their use in comparing systems of different sizes.
Aiming at the problem that adaptive Monte Carlo localization (AMCL) algorithm is difficult to localize in large scenes and similar environments. This paper uses a semantic information-assisted approach to improve the AMCL algorithm. This method realizes the robust localization of the robot in the large scenes and similar environments. Firstly, the 2D grid map created by simultaneous localization and mapping using lidar can obtain highly accurate indoor environmental contour information. Secondly, the semantic object capture is achieved by using a depth camera combined with an instance segmentation algorithm. Then, the semantic grid map is created by mapping the semantic point cloud through the back-projection process of the pinhole camera. Finally, semantic grid maps are used as a priori information to assist in localization, which will be used to improve the initial particle swarm distribution in the global localization of the AMCL algorithm and thus will solve the robot localization problem in this environment. The experimental evidence shows that the semantic grid map solves the environmental information degradation problem caused by 2D lidar as well as improves the robot’s perception of the environment. In addition, this paper improves the localization robustness of the AMCL algorithm in large scenes and similar environments, resulting in an average localization success rate of about 90% or even higher, and further reduces the number of iterations. The global localization problem of robots in large scenes and similar environments is effectively solved.
Does the language we speak affect the way we think? This Element provides a synthesis of contemporary research on the interplay between language and cognition in speakers of two or more languages and examines variables deemed to impact bilingual acquisition and conceptualization of language-specific thinking patterns during L2 learning. An overview of different yet interrelated studies is offered across a variety of conceptual domains to illustrate different approaches and key variables. The comparison of monolingual and bilingual data demonstrates the highly integrative nature between L2 learning and the changing of one's entire cognitive outlook in L2 speakers. This Element makes relevant connections between language learning and bilingual cognition, aiming to shed new light on how learners acquire conceptual distinctions of the target language(s). It also raises theoretical and pedagogical issues that encourage teachers to reflect upon how to incorporate recent advances in language-and-cognition research with aspects of L2 teaching.
The parasite Fasciola hepatica is an important zoonotic parasite. The development of an animal model of F. hepatica's life cycle is critical for studying the biological characteristics of the parasite in snails and mammals. Eggs of F. hepatica of bovine origin were cultured, and metacercariae were obtained after infection of Galba pervia snails. The life cycle system of F. hepatica was initiated in 2 different animals by orally infecting rabbits, SD rats and Kunming mice with the metacercariae. The animals' survival after infection, parasite migration in the animals and pathological damage to the liver were observed. We discovered that rabbits died due to acute suppurative hepatitis 60–69 days after infection, and eggs were found in the feces on day 63 of infection. The liver of SD rats showed punctate lesions on day 3 of infection, and further changes occurred as the infection progressed. However, liver repair was observed at week 9. SD rats survived for more than a year after infection and continued the F. hepatica life cycle. The liver lesions in Kunming mice after infection were similar but more severe than those in SD rats. Death was observed on the 31st post-infection day. We discovered that while rabbits, SD rats and Kunming mice can all be used as animal models of F. hepatica, SD rats are more suitable experimental animals in terms of tolerance and pathological response.
Nicotine 2,6-dihydroxybenzoate is a nicotine salt that can be used as the nicotine source in tobacco products. X-ray powder diffraction data, unit-cell parameters, and space group for nicotine 2,6-dihydroxybenzoate, C10H15N2⋅C7H5O4, are reported [a = 7.726(8) Å, b = 11.724(3) Å, c = 9.437(1) Å, α = 90°, β = 109.081(3)°, γ = 90°, unit-cell volume V = 802.902 Å3, Z = 2, ρcal = 1.309 g cm−3, and space group P21] at room temperature. All measured lines were indexed and were consistent with the P21 space group.
To evaluate the dynamic changes of antibody levels in different groups after inoculation with the coronavirus disease 2019 (COVID-19) vaccine. The 1493 subjects who were tested for IgM and IgG against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) at Qionglai Medical Center Hospital from June to October in 2021 were accepted for analyses of geometric mean titre (GMT) of IgG and IgM. The overall GMT of IgM and IgG in the population of Qionglai reached at a peak value at 1.497 (+3.810, −3.810) S/CO and 4.048 (+2.059, −2.059) S/CO in the second week, and then gradually decreased to 0.114 (+2.707, −2.707) and 1.885 (+1.506, −1.506) S/CO in the 11th–25th weeks, respectively. IgG was positive within 1 day, after that GMT increased continuously and peaked on the 13th day. There was a significant difference between male and female groups for titre of IgM during the prior 2 weeks and among three age groups for titre of IgG during the 2nd–3rd week after vaccination. The GMT level of IgG in the population vaccinated with the COVID-19 vaccine remained at a high level within 25 weeks and peaked on the 13th day, indicating that IgG could exist for a longer period and exhibiting positive SARS-CoV-2- defending effect.
Interactions between the boundary layer and two successive incident shock waves (ISWs) often occur in the supersonic mixed-compression inlets. However, the flow mechanism involved in such interactions has been studied rarely. In this study, we investigate experimentally and analytically the turbulent boundary layer separation flow induced by the single ISW and dual ISWs at the identical total deflection angles in a Mach 2.73 flow. Schlieren photography, wall pressure measurement and surface oil-flow visualisation are employed to diagnose the flow field. Experiments with the impingement points of the two ISWs intersecting on the bottom wall exhibit a separated flow with a triangle-like separation bubble, namely the first kind of dual-ISW/turbulent boundary layer interaction (ISWTBLI). Comparative studies show that various flow features of this kind of dual-ISWTBLI, including the extent of the separation region, pressure distribution and surface-flow topological structures, are nearly identical to those of the single-ISWTBLI with an identical total deflection angle. As the distance between the two ISWs increases, the shape of the separation region in the dual-ISWTBLI changes from triangle-like to quadrilateral-like, and the height of the separation region decreases accordingly, forming the second kind of dual-ISWTBLI. Furthermore, an inviscid model is developed for the dual-ISWTBLI to describe the complex shock wave system and elucidate the cause of a quadrilateral-like separation bubble in the second kind of dual-ISWTBLI. Moreover, based on a previous work by Souverein et al. (J. Fluid Mech., vol. 714, 2013, pp. 505–535) on the single-ISWTBLI, a modified scaling method is established for the first kind of dual-ISWTBLI.
There is limited evidence on fruit and vegetable intake in relation to cognitive function. This study aimed to evaluate the associations of quantity and variety in fruit and vegetable intake in midlife with cognitive impairment in late life. We used data from 16,737 participants of the Singapore Chinese Health Study, a population-based cohort study. The participants provided dietary data at recruitment at median age of 52.5 (range: 45-74) years, and also participated in the third follow-up interview 20 years later at median age of 72.2 (range: 61-96) years. Quantity and variety of fruits and vegetables consumed at baseline were measured using a validated food-frequency-questionnaire. Cognitive impairment at the third follow-up was defined using a Singapore-modified version of Mini-Mental State Examination. About 14.3% participants had cognitive impairment. In multivariable logistic regression models, comparing extreme quartiles for intake of fruits and vegetables combined, the odds ratio (OR) [95% confidence interval (CI)] associated with cognitive impairment was 0.83 (0.73, 0.95; P-trend=0.006) for quantity and 0.76 (0.67, 0.87; P-trend<0.001) for variety scores. Independently, those with increased variety of fruit intake or higher quantity of vegetable intake also had significantly 22% and 15% reduced odds of cognitive impairment, respectively. Finally, compared to those with low intake for both quantity and variety, those with both high quantity and variety scores for fruits and vegetables had 23% reduction in odds of cognitive impairment. In conclusion, increase in quantity and variety of fruits and vegetables in midlife may reduce the risk of cognitive impairment in late life.
This study aimed to investigate the relationship between depression in older nursing home residents and family caregivers’ (FCGs) depressive status and reasons for involvement with residents.
Design:
This study employed a cross-sectional design.
Setting:
Eight nursing homes in northern Taiwan.
Participants:
A total of 139 older resident–FCG pairs were recruited.
Measurements:
Depression was measured with the Geriatric Depression Scale-Short Form for nursing home residents and the Center for Epidemiologic Studies Depression Scale-Short Form for family members. Depression and demographic data were collected with face-to-face interviews. The meaning ascribed to caregivers’ nursing home visits was calibrated using the Family Meaning of Nursing-Home Visits scale. Multiple logistic regression was used to understand the factors related to residents’ depressive symptoms.
Results:
Depressive symptoms were present in 58.3% of the nursing home residents (n = 81). Depressive status of family members (Chi-square = 1.46, p = 0.23) or family’s visiting frequency (Chi-square = 1.64, p = 0.44) did not differ between residents with or without depressive symptoms. Factors associated with an increased risk of residents having depressive symptoms were age, self-perceived health status, and having a caregiver motivated to visit to assuage their guilt.
Conclusions:
Visiting a family member to assuage their guilt was the only caregiver variable associated with depressive symptoms for nursing home residents. This finding suggests that developing interventions to improve personal relationships between nursing home residents and family members might facilitate the emotional support of caregivers and psychological support for older nursing home residents in Taiwan.
The paper deals with the workspace-based optimization of a novel humanoid robotic arm. The eight-degree-of-freedom hybrid manipulator that conforms to the kinematics characteristics of the human arm is briefly introduced. According to the structural features of this mechanism and the requirements of tasks in the complex environment, the workspace is divided into three parts, the orientation space of the humanoid shoulder joint, the position space of the humanoid elbow joint, and the active orientation space of the end-moving platform. Moreover, a multi-parameter planar model is proposed for the optimization problem with multidimensional parameters and highly nonlinear constraints. Based on the visualized optimization result, the coupling effect of each parameter on the corresponding workspace is clearly presented. Considering the compactness and the processing and assembling technology of this mechanism, a set of structural parameters satisfying the workspace-based optimization objective is obtained. Simulation results show that the corresponding workspace of the three parts has increased significantly by the factor of 1.45, 1.68, and 1.3, respectively.
Athetis lepigone Möschler (Lepidoptera, Noctuidae) is a common maize pest in Europe and Asia. However, there is no long-term effective management strategy is available yet to suppress its population. Adults rely heavily on olfactory cues to locate their optimal host plants and oviposition sites. Pheromone-binding proteins (PBPs) are believed to be responsible for recognizing and transporting different odorant molecules to interact with receptor membrane proteins. In this study, the ligand-binding specificities of two AlepPBPs (AlepPBP2 and AlepPBP3) for sex pheromone components and host plant (maize) volatiles were measured by fluorescence ligand-binding assay. The results demonstrated that AlepPBP2 had a high affinity with two pheromones [(Z)-7-dodecenyl acetate, Ki = 1.11 ± 0.1 μM, (Z)-9-tetradecenyl acetate, Ki = 1.32 ± 0.15 μM] and ten plant volatiles, including (-)-limonene, α-pinene, myrcene, linalool, benzaldehyde, nonanal, 2-hexanone, 3-hexanone, 2-heptanone and 6-methyl-5-hepten-2-one. In contrast, we found that none of these chemicals could bind to AlepPBP3. Our results clearly show no significant differences in the functional characterization of the binding properties between AlepPBP2 and AlepPBP3 to sex pheromones and host plant volatiles. Furthermore, molecular docking was employed for further detail on some crucial amino acid residues involved in the ligand-binding of AlepPBP2. These findings will provide valuable information about the potential protein binding sites necessary for protein-ligand interactions which appear as attractive targets for the development of novel technologies and management strategies for insect pests.
Contrasting the well-described effects of early intervention (EI) services for youth-onset psychosis, the potential benefits of the intervention for adult-onset psychosis are uncertain. This paper aims to examine the effectiveness of EI on functioning and symptomatic improvement in adult-onset psychosis, and the optimal duration of the intervention.
Methods
360 psychosis patients aged 26–55 years were randomized to receive either standard care (SC, n = 120), or case management for two (2-year EI, n = 120) or 4 years (4-year EI, n = 120) in a 4-year rater-masked, parallel-group, superiority, randomized controlled trial of treatment effectiveness (Clinicaltrials.gov: NCT00919620). Primary (i.e. social and occupational functioning) and secondary outcomes (i.e. positive and negative symptoms, and quality of life) were assessed at baseline, 6-month, and yearly for 4 years.
Results
Compared with SC, patients with 4-year EI had better Role Functioning Scale (RFS) immediate [interaction estimate = 0.008, 95% confidence interval (CI) = 0.001–0.014, p = 0.02] and extended social network (interaction estimate = 0.011, 95% CI = 0.004–0.018, p = 0.003) scores. Specifically, these improvements were observed in the first 2 years. Compared with the 2-year EI group, the 4-year EI group had better RFS total (p = 0.01), immediate (p = 0.01), and extended social network (p = 0.05) scores at the fourth year. Meanwhile, the 4-year (p = 0.02) and 2-year EI (p = 0.004) group had less severe symptoms than the SC group at the first year.
Conclusions
Specialized EI treatment for psychosis patients aged 26–55 should be provided for at least the initial 2 years of illness. Further treatment up to 4 years confers little benefits in this age range over the course of the study.
Chinese morphological awareness is conceptualized as a multidimensional construct but there is a lack of understanding of how its dimensions are related. Latent change score modeling was used to examine the bivariate relationships of two facets of oral morphological awareness, namely morpheme and structure awareness in Chinese children in grades one through three. Two hundred and three children in China completed morpheme (homonym awareness) and structure awareness (lexical compounding) tasks across the three grades (M = 6.66, SD = .30 at the first time point). Results indicated that growth in structure awareness was predicted in part by previous levels of morpheme awareness, suggesting that morpheme awareness leads the growth of structure awareness. Educational implications are discussed.
We present an experimental study of the large-scale vortex (or large-scale circulation, LSC) in turbulent Rayleigh–Bénard convection in a $\varGamma =\text {diameter}/\text {height}=2$ cylindrical cell. The working fluid is deionized water with Prandtl number ($Pr$) around 5.7, and the Rayleigh number ($Ra$) ranges from $7.64\times 10^7$ to $6.06\times 10^8$. We measured the velocity field in various vertical cross-sectional planes by using the planar particle image velocimetry technique. The velocity measurement in the LSC central plane shows that the flow is in the single-roll form, and the centre of the single-roll (vortex) does not always stay at the centre of the cell; instead, it orbits periodically in the direction opposite to the flow direction of the LSC, with its trajectory in the shape of an ellipse. The velocity measurements in the three vertical planes in parallel to the LSC central plane indicate that the flow is in the vortex tube form horizontally filling almost the whole cell, and the centre line of the vortex tube is consistent with the so-called ‘jump rope’ form proposed by a previous study that combined numerical simulation and local velocity measurements in the low $Pr$ case (Vogt et al., Proc. Natl Acad. Sci. USA, vol. 115, 2018, pp. 12674–12679). In addition, we found that the oscillation of the local velocity in $\varGamma =2$ cells originates from the periodical orbiting of the vortex centre. Our velocity measurements further indicate that the vortex centre orbiting is absent in $\varGamma =1$ cells, at least in the $Ra$ range of our experiments.
Pyroptosis is a recently identified mechanism of programmed cell death related to Caspase-1 that triggers a series of inflammatory reactions by releasing several proinflammatory factors such as IL-1β and IL-18. The process is characterised by the rupture of cell membranes and the release of cell contents through the mediation of gasdermin (GSDM) proteins. GSDMD is an important member of the GSDM family and plays a critical role in the two pathways of pyroptosis. Diabetic nephropathy (DN) is a microvascular complication of diabetes and a major cause of end-stage renal disease. Recently, it was revealed that GSDMD-mediated pyroptosis plays an important role in the occurrence and development of DN. In this review, we focus on two types of kidney cells, tubular epithelial cells and renal podocytes, to illustrate the mechanism of pyroptosis in DN and provide new ideas for the prevention, early diagnosis and molecular therapy of DN.
Based on a substrate integrated lens (SIL), a compact line source generator (LSG) for feeding continuous transverse stub (CTS) arrays with linear-polarized (LP) beam scanning and dual-polarized (DP) operations is presented in this paper. The SIL consists of metamaterial cells with different sizes being arranged as concentric annulus and is printed on the center surface of two substrate layers. The SIL can convert the cylindrical wave generated by the feed probe of SIW-horn to the planar wave for feeding the CTS array. This rotationally symmetric SIL can be used conveniently to design LSG for feeding CTS arrays with the continuous beam scanning and DP operations, which has been verified by the fabrications and measurements. By simply rotating the SIW-horn along the edge of SIL, the 10-element LP-CTS array obtains a measured beam scanning range of ±35° with the highest gain of 20.6 dBi. By setting two orthogonal SIW-horns at the edge of the proposed SIL, the nine-element DP-CTS array with orthogonal radiation stubs is excited. The DP array obtains the gain of 20.3 dBi at the center frequency with the isolation of 28 dB and the cross-polarization level <−25 dB.
This retrospective study investigated the predictive value of the Controlling Nutritional Status (CONUT) score in patients with intermediate-stage hepatocellular carcinoma (HCC) who received transarterial chemoembolization (TACE). Nomograms were developed to predict progression-free and overall survival (PFS, OS). The medical data of 228 patients with HCC and treated with TACE were collected. The patients were apportioned to 2 groups according to CONUT score: low or high (<4, ≥4). Univariate and multivariate analyses were performed using Cox regression for OS and PFS. OS and PFS were estimated by the Kaplan-Meier curve and compared with the log-rank test. Nomograms were constructed to predict patient OS and PFS. The nomograms were evaluated for accuracy, discrimination, and efficiency. The cut-off value of CONUT score was 4. The higher the CONUT score, the worse the survival; Kaplan-Meier curves showed significant differences in OS and PFS between the low and high CONUT score groups (P = 0·033, 0·047). The nomograms including CONUT, based on the prognostic factors determined by the univariate and multivariate analyses, to predict survival in HCC after TACE were generated. The CONUT score is an important prognostic factor for both OS and PFS for patients with intermediate HCC who underwent TACE. The cut-off value of the CONUT score was 4. A high CONUT score suggests poor survival outcomes. Nomograms generated based on the CONUT score were good models to predict patient OS and PFS.
Neuroimaging- and machine-learning-based brain-age prediction of schizophrenia is well established. However, the diagnostic significance and the effect of early medication on first-episode schizophrenia remains unclear.
Aims
To explore whether predicted brain age can be used as a biomarker for schizophrenia diagnosis, and the relationship between clinical characteristics and brain-predicted age difference (PAD), and the effects of early medication on predicted brain age.
Method
The predicted model was built on 523 diffusion tensor imaging magnetic resonance imaging scans from healthy controls. First, the brain-PAD of 60 patients with first-episode schizophrenia, 60 healthy controls and 21 follow-up patients from the principal data-set and 40 pairs of individuals in the replication data-set were calculated. Next, the brain-PAD between groups were compared and the correlations between brain-PAD and clinical measurements were analysed.
Results
The patients showed a significant increase in brain-PAD compared with healthy controls. After early medication, the brain-PAD of patients decreased significantly compared with baseline (P < 0.001). The fractional anisotropy value of 31/33 white matter tract features, which related to the brain-PAD scores, had significantly statistical differences before and after measurements (P < 0.05, false discovery rate corrected). Correlation analysis showed that the age gap was negatively associated with the positive score on the Positive and Negative Syndrome Scale in the principal data-set (r = −0.326, P = 0.014).
Conclusions
The brain age of patients with first-episode schizophrenia may be older than their chronological age. Early medication holds promise for improving the patient's brain ageing. Neuroimaging-based brain-age prediction can provide novel insights into the understanding of schizophrenia.