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Generally, earth rotating and non-spherical perturbation of the earth in re-entry motion model are simplified using the standard trajectory guidance method. The re-entry motion is also simplified to horizontal motion and vertical motion and controlled, respectively. The simplification of re-entry motion model will lead to loss of motion accuracy and location accuracy. The direct decomposition will lead to the reduction of control accuracy because the horizontal motion and the vertical motion are coupled in re-entry. To improve the standard trajectory guidance method, the standard trajectory guidance method based on decoupling control variables and waypoint is proposed in this paper. The proposed guidance method will not simplify earth rotating and non-spherical perturbation of the earth in motion equation or decompose the re-entry motion to horizontal motion and vertical motion. Trajectory waypoint is adopted to reduce the change frequency of tracking states, because tracking states change frequently if the entire standard trajectory is tracked in real time.
At present, the number of people with tuberculosis in China is second only to India and ranks second in the world. Under such a severe case of tuberculosis in China, prevention and control of pulmonary tuberculosis are urgently needed. This study aimed to study the temporal and geographical relevance of the pathogenesis of pulmonary tuberculosis and the factors affecting the incidence of tuberculosis. Spatial autocorrelation model was used to study the spatial distribution characteristics of pulmonary tuberculosis from a quantitative level. The research results showed that the overall incidence of pulmonary tuberculosis (IPT) in China was low in the east, high in the west and had certain seasonal characteristics. We use Spatial Lag Model to explore influencing factors of pulmonary tuberculosis. It indicates that the IPT is high in areas with underdeveloped economics, poor social services and low average smoking ages. Additionally, the IPT is high in areas with high AIDS prevalence. Also, compared with Classical Regression Model and Spatial Error Model, our model has smaller values of Akaike information criterion and Schwarz criterion. Besides, our model has bigger values of coefficient of determination (R2) and log-likelihood (log L) than the other two models. Apart from that, it is more significant than Spatial Error Models in the spatial dependence test for the IPT.
Nasal irrigation is commonly performed in patients with chronic rhinosinusitis after functional endoscopic sinus surgery. This study systematically assessed the clinical efficacy of nasal irrigation from the medical literature.
The PubMed, Embase and Cochrane Central Register of Controlled Trials databases were searched using a comprehensive strategy, limited to English-language articles, published from October 1971 to March 2017, and comprising human subjects.
A total of 824 trials were identified, 5 of which, involving 331 participants, were included in this systematic review. After selection, only three trials were eligible for inclusion in a meta-analysis. Nasal irrigation using normal saline and various solutions was found to be effective in reducing symptom scores and endoscopic scores for chronic rhinosinusitis patients after functional endoscopic sinus surgery. Comparison of outcome measures, such as eosinophil count reduction, revealed that various solutions are more effective than normal saline alone; however, no statistical significance was found in terms of reduced symptom or endoscopic scores.
Based on the current limited evidence, nasal irrigation is an effective therapy for chronic rhinosinusitis patients after functional endoscopic sinus surgery. However, when comparing various solutions with normal saline, no significant difference was found in symptom scores or endoscopic scores.
Using an age-structured process-based simulation model for diamondback moth (DBM), we model the population dynamics of this major Brassica pest using the cropping practices and climate of Guangdong, China. The model simulates two interacting sub-populations (demes), each representing a short season crop. The simulated DBM abundance, and hence pest problems, depend on planting regime, crop hygiene and biological control. A continuous supply of hosts, a low proportion of crop harvested and long residue times between harvest and replanting each exacerbate pest levels. Biological control provided by a larval parasitoid can reduce pest problems, but not eliminate them when climate is suitable for DBM and under certain planting practices. The classic Integrated Pest Management (IPM) method of insecticide application, when pest threshold is reached, proved effective and halved the number of insecticide sprays when compared with the typical practice of weekly insecticide application.
This paper aims to build the finite element model of the composite sinusoidal specimens and to carry out the parametric analysis. In this paper, the damage behaviour and the energy-absorbing results of composite sinusoidal specimens have been studied by quasi-static crushing experiments. The failure mechanisms of specimens under quasi-static crushing is further analysed. A numerical simulation has been performed by using the finite element model code LS-DYNA. The numerical results, in terms of load -displacement data, have been compared against experimental data, and good agreement has been found. Moreover, a sensitivity study has been carried out by varying material properties in order to assess their influence on the numerical results, and the material parameter selection scheme is optimised based on the constructed corresponding response surfaces. The results show that the response surface model has passed the test of goodness of fit, and the optimisation method can effectively assist the finite element modelling, and greatly decrease the numbers of trial and error.
The uptake of genomic selection (GS) by the swine industry is still limited by the costs of genotyping. A feasible alternative to overcome this challenge is to genotype animals using an affordable low-density (LD) single nucleotide polymorphism (SNP) chip panel followed by accurate imputation to a high-density panel. Therefore, the main objective of this study was to screen incremental densities of LD panels in order to systematically identify one that balances the tradeoffs among imputation accuracy, prediction accuracy of genomic estimated breeding values (GEBVs), and genotype density (directly associated with genotyping costs). Genotypes using the Illumina Porcine60K BeadChip were available for 1378 Duroc (DU), 2361 Landrace (LA) and 3192 Yorkshire (YO) pigs. In addition, pseudo-phenotypes (de-regressed estimated breeding values) for five economically important traits were provided for the analysis. The reference population for genotyping imputation consisted of 931 DU, 1631 LA and 2103 YO animals and the remainder individuals were included in the validation population of each breed. A LD panel of 3000 evenly spaced SNPs (LD3K) yielded high imputation accuracy rates: 93.78% (DU), 97.07% (LA) and 97.00% (YO) and high correlations (>0.97) between the predicted GEBVs using the actual 60 K SNP genotypes and the imputed 60 K SNP genotypes for all traits and breeds. The imputation accuracy was influenced by the reference population size as well as the amount of parental genotype information available in the reference population. However, parental genotype information became less important when the LD panel had at least 3000 SNPs. The correlation of the GEBVs directly increased with an increase in imputation accuracy. When genotype information for both parents was available, a panel of 300 SNPs (imputed to 60 K) yielded GEBV predictions highly correlated (⩾0.90) with genomic predictions obtained based on the true 60 K panel, for all traits and breeds. For a small reference population size with no parents on reference population, it is recommended the use of a panel at least as dense as the LD3K and, when there are two parents in the reference population, a panel as small as the LD300 might be a feasible option. These findings are of great importance for the development of LD panels for swine in order to reduce genotyping costs, increase the uptake of GS and, therefore, optimize the profitability of the swine industry.
To explore the effects of maternal nutrition on offspring muscle characteristics, a total of 56 sows were assigned to one of the four dietary groups during gestation: control (CON), or control diets supplemented with methyl donor (MET), bisphenol A (BPA), and combined BPA and MET (BPA+MET). Compared with CON offspring, MET offspring showed a higher meat redness value, but lower glycogen content in the longissimus thoracis (LT). Moreover, compared with CON offspring, MET offspring showed lower LT glycogen synthase (GS) mRNA levels at birth and the finishing stage, and increased methylation at the GS promoter. Prenatal BPA exposure reduced the pH and redness value of meat, but increased the lightness value, lactate content, glycolytic potential and lactate dehydrogenase (LDH) enzyme activity in the LT muscle. Prenatal BPA exposure increased LDH mRNA levels in the LT muscle at birth and the finishing stage, and reduced methylation at the LDH promoter. Thus, maternal MET affects muscle GS and LDH expression via DNA methylation, thereby resulting in persistent effects on pork quality.
Human papillomavirus (HPV) has been identified as etiologic agent of various cancers for both men and women. However, HPV vaccine has not been recommended for men in China by far. To provide more evidences to promote HPV vaccination among males at high-risk of infection, this study investigated genital HPV genotypes among male attendees of sexually transmitted disease (STD) clinic. Male attendees (⩾18 years old) were recruited from STD clinic of Beijing Ditan Hospital. Data on sociodemographic characteristics and self-reported sexual behaviors were collected based on questionnaire. Genital swab specimens were collected for HPV genotypes. Finally, a total of 198 eligible participants were included in the study. Nearly half of them were infected with at least one type of HPV. The prevalence of genital infection among participants with only heterosexual behaviors (50·91%, 56/110) was significantly higher than those with only homosexual behaviors (36·36%, 32/88) (P < 0·001). However, the distribution pattern of the most frequently observed HPV subtypes were found to be similar between these two subgroups. HPV31, HPV18, HPV16 and HPV58 were the most frequently identified high-risk types and HPV11, HPV6, HPV81 and HPV61 were the most frequently observed low-risk types. Our results, although need further verification by larger sample size, suggested that currently available HPV vaccines covered most prevalent HPV types observed in Chinese men. As HPV vaccine has been approved for application in females in China, molecular epidemiological studies and intervention studies among high-risk males should be promoted as well.
Introduction: Burnout rates for emergency physicians (EP) continue to be amongst the highest in medicine. One of the commonly cited sources of stress contributing to disillusionment is bureaucratic tasks that distract EPs from direct patient care in the emergency department (ED). The novel position of Physician Navigator was created to help EPs decrease their non-clinical workload during shifts, and improve productivity. Physician Navigators are non-licensed healthcare team members that assist in activities which are often clerical in nature, but directly impact patient care. This program was implemented at no net-cost to the hospital or healthcare system. Methods: In this retrospective study, 6845 clinical shifts worked by 20 EPs over 39 months from January 1, 2012 to March 31, 2015 were evaluated. The program was implemented on April 1, 2013. The primary objective was to quantify the effect of Physician Navigators on measures of EP productivity: patient seen per hour (Pt/hr), and turn-around-time (TAT) to discharge. Secondary objectives included examining the impact of Physician Navigators on measures of ED throughput for non-resuscitative patients: emergency department length of stay (LOS), physician-initial-assessment times (PIA), and left-without-being-seen rates (LWBS). A mixed linear model was used to evaluate changes in productivity measures between shifts with and without Physician Navigators in a clustered design, by EP. Autoregressive modelling was performed to compare ED throughput metrics before and after the implementation of Physician Navigators for non-resuscitative patients. Results: Across 20 EPs, 2469 shifts before, and 4376 shifts after April 1, 2013 were analyzed. Daily patient volumes increased 8.7% during the period with Physician Navigators. For the EPs who used Physician Navigators, Pt/hr increased by 1.07 patients per hour (0.98 to 1.16, p<0.001), and TAT to discharge decreased by 10.6 minutes (-13.2 to -8.0, p<0.001). After the implementation of the Physician Navigators, overall LOS for non-resuscitative patients decreased by 2.6 minutes (1.0%, p=0.007), and average PIA decreased by 7.4 minutes (12.0%, p<0.001). LBWS rates decreased by 43.9% (0.50% of daily patient volume, p<0.001). Conclusion: The use of a Physician Navigator was associated with increased EP productivity as measured by Pt/hr, and TAT to discharge, and reductions in ED throughput metrics for non-resuscitative patients.
In individuals with latent tuberculosis (TB) infection, those living with human immunodeficiency virus (HIV) had a 20–37 times higher risk of developing active TB compared to those without HIV infection. Systematic testing and treatment of latent TB infection are priorities in HIV-infected persons. In China, the prevalence of HIV infection in men who have sex with men (MSM) has gradually increased in the past decade. However, the prevalence of TB infection has been studied sparsely in HIV-infected MSM. Hence, we conducted a pilot study in MSM living with HIV infection in Xi'an city to evaluate TB infection status by means of interferon-γ release assay (IGRA). A total of 182 HIV-infected MSM were included in this study, the prevalence of IGRA positivity was observed to be 8·79% (16/182). IGRA quantitative results were not statistically influenced by the CD4 cell counts of the study participants. However, IGRA positivity was found to be lower than our previously reported data from the general population. This suggests that immunological deficiency might decrease the sensitivity of IGRA and thus increase the number of false negatives. Our primary results, suggesting systematic testing and treatment of latent TB infection together with active case-finding, were equally important for TB control in persons living with HIV infection.
A total of 1145 samples were collected from chicken breeder farms, hatcheries, broiler farms, a slaughterhouse and retail refrigerated chicken stores in an integrated broiler supply chain in Guangdong Province, China, in 2013. One-hundred and two Salmonella enterica strains were isolated and subjected to serotyping, antimicrobial susceptibility testing, virulence profile determination and molecular subtyping by pulsed field gel electrophoresis (PFGE). The contamination rates in samples from breeder farms, hatcheries, broiler farms, the slaughterhouse and retail stores were 1·46%, 4·31%, 7·00%, 62·86% and 54·67%, respectively. The isolated strains of S. enterica belonged to 10 serotypes; most of them were S. Weltevreden (46·08%, 47/102) and S. Agona (18·63%, 19/102). Isolates were frequently resistant to streptomycin (38·2%), tetracycline (36·3%), sulfisoxazole (35·3%) and gentamicin (34·3%); 31·4% of isolates were multidrug resistant. The isolates were screened for 10 virulence factors. The Salmonella pathogenicity island genes avrA, ssaQ, mgtC, siiD, and sopB and the fimbrial gene bcfC were present in 100% of the strains. PFGE genotyping of the 102 S. enterica isolates yielded 24 PFGE types at an 85% similarity threshold. The PFGE patterns show that the genotypes of S. enterica in the production chain are very diverse, but some strains have 100% similarity in different parts of the production chain, which indicates that some S. enterica persist throughout the broiler supply chain.
Accelerator mass spectrometry (AMS) radiocarbon dating a continuous core from Lake Gun Nur, northern Mongolia, shows a period between 10 and 8 ka BP that could not be dated accurately. Further dating on alkali-insoluble residue and humic acid from the same samples in the Gun Nur core suggest that this AMS 14C date anomaly is neither analytical nor material related. We hypothesize that the 14C anomaly may be derived from increasing production rates of 14C caused by diminished solar activity, a low 14CO2/14CO ratio in the atmosphere, or an unstable 14C flux in the lower atmosphere caused by changing geomagnetic field strength. Our results imply that the 14C data used for 14C age calibration cannot correct the age-depth regression between 8 and 10 ka BP to fit the age-depth model along with other time intervals.
This paper presents an analytical study on the buckling of cylindrical shells with arbitrary circumferential thickness variations under external pressure. Firstly, based on the thin shell theory and separation of variables, corresponding ordinary differential equations of laterally pressured cylinders are obtained. Secondly, the general asymptotic formula of buckling load, which is in terms of thickness variation parameter up to arbitrary order, is derived by combining the perturbation method and Fourier series expansion. Thirdly, the effects of uniform and circumferential modal thickness variations on the buckling of cylindrical shells under external pressure are investigated, respectively, and the results agree well with those available in literature. Particularly, the buckling load reduction of cylinders with circumferential modal thickness variation obtained by the proposed method coincides with the numerical results presented by Gusic et al. This analytical method is applicable for evaluating the stability of laterally pressured cylindrical shells with arbitrary circumferential thickness variations, once the thickness variation is known.
There are six strains of the complete genomic sequences of black queen cell virus (BQCV) published in the GenBank, including South Africa (AF183905), South Korea (JX149531), Hungary 10 (EF517515), Poland 4 (EF517519), Poland 5 (EF517520) and Poland 6 (EF517521). Based on the six BQCV strains published in the GenBank, ten pairs of primers were designed in the present study using reverse transcription polymerase chain reaction to obtain the first complete genome sequence of a BQCV strain in China, called the BQCV China-JL1 strain (KP119603). A phylogenetic tree was then built to analyse their genetic relationships. The BQCV China-JL1 strain showed 86–93% similarity with the six strains published in the GenBank. The BQCV China-JL1 strain consisted of 8358 nucleotides (nt). The 5′-proximal open reading frame (ORF1) initiated at nt position 546 and terminated at nt position 4676, ORF3 initiated at nt position 4891 and terminated at nt position 5433, and the 3′-proximal ORF (ORF2) was located between nt positions 5750 and 8203.
A large-scale network named the default mode network (DMN) dynamically cooperates and competes with an external attention system (EAS) to facilitate various cognitive functioning that is prominently impaired in schizophrenia. However, it is unclear whether the cognitive deficit in schizophrenia is related to the disrupted competition and/or cooperation between these two networks.
A total of 35 schizophrenia patients and 30 healthy controls were scanned using gradient-echo echo-planar imaging during n-back working memory (WM) processing. Brain activities of the DMN and EAS were measured using general linear modelling of the functional magnetic resonance imaging data. Dynamic interaction between the DMN and EAS was decomposed into two directions using Granger causality analysis.
We observed a significant failure of DMN suppression in patients with schizophrenia, which was significantly related to WM/attentional deficit. Granger causality modelling showed that in healthy controls, while the EAS inhibitorily influenced the DMN, the DMN exerted an ‘excitatory’ or cooperative influence back on the EAS, especially in those with lower WM accuracy. In schizophrenia, this ‘excitatory’ DMN→EAS influence within the reciprocal EAS–DMN loop was significantly reduced, especially in patients with WM/attentional deficit.
The dynamic interaction between the DMN and EAS is likely to be comprised of both competitive and cooperative influences. In healthy controls, both the ‘inhibitory’ EAS→DMN interaction and ‘excitatory’ DMN→EAS interaction are correlated with WM performance. In schizophrenia, reduced ‘cooperative’ influence from the DMN to dorsal nodes of the EAS occurs in the context of non-suppression of the DMN and may form a possible pathophysiological substrate of WM deficit and attention disorder.
Post-irradiation rhinosinusitis is one of the most common untoward side effects in patients with nasopharyngeal carcinoma. This study aimed to evaluate the effect of fluticasone propionate aqueous nasal spray on post-irradiation rhinosinusitis.
Nasopharyngeal carcinoma patients who had undergone radiotherapy and subsequently developed chronic rhinosinusitis were randomised to receive either fluticasone propionate aqueous nasal spray 200 µg plus nasal irrigation or a single nasal irrigation, for six months. A questionnaire, nasal endoscopy and computed tomography were used to evaluate rhinosinusitis severity, at the beginning of treatment, and at three and six months after treatment.
The group who received fluticasone propionate aqueous nasal spray combined with irrigation had fewer nasal complaints (overall symptoms, blocked nose and headache were reduced), a better quality of life and less severe endoscopic findings than those who only received nasal irrigation at three and six months after treatment.
Nasal steroids are a safe and effective therapy for patients with post-irradiation rhinosinusitis.
Diamondback moth or DBM is the major pest of Brassica vegetable production worldwide. Control has relied on insecticides, and DBM resistance to these compounds has evolved rapidly. We review and summarize data on DBM population dynamics across a large latitudinal gradient from southwest to northeast China: DBM is, on average, more common in southern locations than in northern locations. The species' phenology is consistent: in southern and central locations there is a decline during hot summer months, while in the north, the species can only exist in the summer following migrations from the south. A cohort-based discrete-time model, driven by daily maximum and minimum temperatures and rainfall, which was built using the DYMEX modelling software, captures the age-structured population dynamics of DBM at representative locations, with year round cropping and threshold-based insecticide applications. The scale of the simulated pest problem varies with cropping practices. Local production breaks and strict post-harvest crop hygiene are associated with lower DBM populations. Biological control appears to improve the management of DBM. Of the management strategies explored, non-threshold based applications of insecticides with reduced spray efficacy (due to poor application or resistance) appear the least effective. The model simulates the phenology and abundance patterns in the population dynamics across the climatic gradient in China reasonably well. With planned improvements, and backed by a system of field sampling and weather inputs, it should serve well as a platform for a local pest forecast system, spanning the range of DBM in China, and perhaps elsewhere.
Nanoparticles (NPs) of Indium Antimonide (InSb) were synthesized using a vapor phase synthesis technique known as Inert Gas Condensation. NPs were directly deposited, at room temperature and under high vacuum, on glass cover slides, TEM grid, 1 inch-square (111) p-type Silicon wafer and Sodium Chloride substrates. XRD study revealed the crystalline behavior of these NPs exhibiting a cubic symmetry with preferred growth direction of (111). The average grain size of the NPs obtained using XRD results and the Debye-Scherrer formula was 25.62 nm. TEM studies showed a bimodal distribution of NPs with average NPs size of 13.70 and 33.20 nm. These values are consistent with the value obtained using XRD. 1:1 composition ratio of In:Sb was confirmed by the Energy Dispersive X-Ray Spectroscopy studies. The band gap of the NPs obtained using Fourier Transform Infrared (FTIR) spectroscopy was 0.413 eV at 300 K, which indicates quantum confinement in the band structure of these NPs.
Important to the development of dye-sensitized solar cells is the longevity and photo-conversion efficiency of the dye. To improve cost effectiveness, dyes of superior thermal and chemical stability are desirable to extend device performance. In this study, we examine a series of peripherally fluorinated Zinc-Phthalocyanines (FxZnPc). Introduction of chemically inert fluorine and isopropyl fluoroalkyl groups on the periphery of the Pc improve the dye stability and allow for tunable photo-physical properties. Additionally, introduction of the bulky isopropyl fluoroalkyl groups help mitigate molecular aggregation in thin films which is known to be detrimental to maintaining the desired photo-physical properties of the surface coating. Using molecular dynamics and first principles modeling, various substituent effects on surface adhesion and aggregation over TiO2 surfaces are characterized for both symmetric and asymmetric substitution.
Carbon dioxide is the major greenhouse gas that is a bi-product of industrial approaches to energy production. Forests and nonagricultural lands act as a natural sink for CO2 removal from the atmosphere; however, the amount of emitted CO2 is significantly larger than the capacity of these natural sinks. This is particularly problematic as two cornerstones of our modern world, electricity generation and transportation, hold the largest share in greenhouse gas (such as CO2) emission. This leads to malignant impacts on the natural environment and human life, such as global warming. The obvious approach to reduce the amount of generated CO2 is to limit the use of fossil fuels. However, coal-fired power plants remain the largest source of electricity generation in 2014 and an equally potent and financially reasonable source is yet to be fully developed. Hence, new systems and strategies are crucial for the remediation of CO2. In this work, we present novel TiO2 nanoparticles, synthesized via a facile solution-phase method, which show a significant visible light absorption. The synthesized nanoparticles can be applied towards photoreduction of CO2 for hydrocarbon solar fuels production. A thorough photoemission spectroscopy analysis outlined the energy structure of the materials which uncovered a sub-bandgap absorption in the visible range due to the presence of intragap states. The origins of intragap states were investigated in greater detail using various characterization techniques. An in-depth chemical composition study of the developed material using X-ray diffraction (XRD) and X-ray photoelectron spectroscopy (XPS) indicated that the synthesized material is considerably un-doped. Further structural analysis using transmission electron microscopy (TEM) showed that distances between visible lattice fringes are matched with ordered crystalline phases of TiO2. The core emission study using XPS revealed that the oxygen vacancy defects in the structure--i.e. likely due the synthesis--are responsible for intragap states formation. Charge dynamics were investigated using Electron Paramagnetic Resonance (EPR) spectroscopy. EPR spectra were dominated by signals from oxygen-centered surface hole trapping sites with principle g values [2.003, 2.010, 2.023]--i.e. Ti4+ ˗ O2- on anatase. A faint signal was also observed as a function of visible light illumination at 5 K with principle g value of 1.975 that is suggestive of Ti3+ in rutile, a typical product of UV light exposure. In general, this study demonstrates the potential of a relatively inexpensive material for photoreduction of CO2 and generation of solar fuels.