Patients with cirrhosis experience worse health-related quality of life (HRQoL), and attempts are warranted further exploration of modifiable factors to improve HRQoL. Data on the impact of malnutrition risk on HRQoL among cirrhosis are limited; thus, we aimed to strengthen understanding by clarifying the relationship between nutritional status and low HRQoL in patients with decompensated cirrhosis. Consecutive inpatients with cirrhosis attending our department within a tertiary hospital were studied. Generic health profiles and malnutrition risk were evaluated by the EuroQol-5D (EQ-5D) and Royal Free Hospital-Nutritional Prioritizing Tool (RFH-NPT) score, respectively. Multiple linear regression analysis was used to determine association of malnutrition risk with low HRQoL. In this cohort of 364 patients with median age of 64 years and 49·5 % male, 55·5 % of the study population reported impairment pertinent to HRQoL in at least one dimension in terms of the EQ-5D. Moreover, malnutrition risk (RFH-NPT score: β coefficient = −0·114, P = 0·038) was proved to be independently associated with poor HRQoL in multiple analysis, after adjustment for significant variables like age, BMI and markers of decompensation. Notably, we found that health dimensions representing physical function (i.e. mobility, self-care and usual activities) are substantially affected, while malnourished patients reported less frequencies of complaints in other domain such as anxiety/depression. In conclusion, the risk of malnutrition assessed by the RFH-NPT score is independently associated with low HRQoL. It is operational to improve HRQoL by identifying patients at high malnutrition risk and providing timely nutrition treatment.

In the present study, turbulent particle-laden boundary layer combustion over a flat plate is investigated using direct numerical simulation (DNS). A two-way coupled Eulerian–Lagrangian point particle method is used for the solid phase. The effects of particle Stokes numbers, mass loadings and chemical reactions on the interactions between particles and boundary layer turbulence in the near-wall region are explored. It was found that particle heat transfer is dominant over wall heat transfer in the reacting case with heavy particles and large mass loadings, resulting in a lower fluid temperature. Particle accumulation due to the turbophoresis effect in the near-wall region is observed, which is more prominent in the cases with a large Stokes number. The turbophoresis effect is examined via the magnitude of streamwise vorticity $\varOmega _x$. It is shown that $\varOmega _x$ is attenuated by heavy particles, and the attenuation increases with increasing mass loadings. Therefore, particle wall–accumulation is less prominent in the cases with large mass loadings. Compared with the non-reacting cases, the distribution of particles is more inhomogeneous for the reacting cases, where the particles move faster due to intense reactions with increasing wall-normal distance. Finally, the flow topologies and the Reynolds stress anisotropy are examined to understand turbulence modulation by combustion and particles. It was suggested that light particles augment the vortex-dominant topologies, whereas heavy particles have an opposite effect. The anisotropy mapping of the Reynolds stress shows that the flows become more one-dimensional in the near-wall region for the cases with combustion and/or large mass loadings.

Fibronectin type III domain-containing protein 5 (FNDC5) is a transmembrane protein and the precursor of irisin, which serves as a systemic exerkine/myokine with multiple origins. Since its discovery in 2012, this hormone-like polypeptide has rapidly evolved to a component significantly involved in a gamut of metabolic dysregulations and various liver diseases. After a decade of extensive investigation on FNDC5/irisin, we are still surrounded by lots of open questions regarding its diagnostic and therapeutic values. In this review, we first concentrated on the structure–function relationship of FNDC5/irisin. Next, we comprehensively summarised the current knowledge and research findings regarding pathogenic roles/therapeutic applications of FNDC5/irisin in the context of non-alcoholic fatty liver disease, fibrosis, liver injury due to multiple detrimental insults, hepatic malignancy and intrahepatic cholestasis of pregnancy. Moreover, the prominent molecules involved in the underlying mechanisms and signalling pathways were highlighted. As a result, emerging evidence reveals FNDC5/irisin may act as a proxy for diagnosing liver disease pathology, a sensitive biomarker for assessing damage severity, a predisposing factor for surveilling illness progression and a treatment option with protective/preventive impact, all of which are highly dependent on disease grading and contextually pathological features.

Chemotherapy, as an important clinical treatment, has greatly enhanced survival in cancer patients, but the side effects and long-term sequelae bother both patients and clinicians. 5-Fluorouracil (5-FU) has been widely used as a chemotherapeutic agent in the clinical treatment of various cancers, but several studies showed its adverse effects on reproduction. Reproductive toxicity of 5-FU often associates with developmental block, malformation and ovarian damage in the females. In males, 5-FU administration alters the morphology of sexual organs, the levels of reproductive endocrine hormones and the progression of spermatogenesis, ultimately reducing sperm numbers. Mechanistically, 5-FU exerts its effect through incorporating the active metabolites into nucleic acids directly, or inhibiting thymidylate synthase to disrupt the function of DNA and RNA, leading to profound effects on cellular metabolism and viability. However, some studies suggested that the toxicity of 5-FU on reproduction is reversible and certain drugs used in combination with 5-FU during chemotherapy could protect reproductive systems from 5-FU damage both in females and males. Herein, we summarise the recent findings and discuss underlying mechanisms of the 5-FU-induced reproductive toxicity, providing a reference for future research and clinical treatments.

A high-frequency short-pulsed stroboscopic micro-visual system was employed to capture the transient image sequences of a periodically in-plane working micro-electro-mechanical system (MEMS) devices. To demodulate the motion parameters of the devices from the images, we developed the feature point matching (FPM) algorithm based on Speeded-Up Robust Features (SURF). A MEMS gyroscope, vibrating at a frequency of 8.189 kHz, was used as a testing sample to evaluate the performance of the proposed algorithm. Within the same processing time, the SURF-based FPM method demodulated the velocity of the in-plane motion with a precision of 10−5 pixels of the image, which was two orders of magnitude higher than the template-matching and frame-difference algorithms.

This paper proposes a novel speed optimisation scheme for unmanned sailboats by sliding mode extremum seeking control (SMESC) without steady-state oscillation. In the sailing speed optimisation scheme, an initial sail angle of attack is first computed by a piecewise constant function in the feed forward block, which ensures a small deviation between sailing speed and the maximum speed. Second, the sailing speed approaches to maximum gradually by extremum search control (ESC) in the feedback block. In SMESC without steady-state oscillation, a switching law is designed to carry out the control transformation, so that the speed optimisation system carries out SMESC in the first convergence phase and ESC without steady-state oscillation in the second stability phase. This scheme combines the advantages of both control algorithms to maintain a faster convergence rate and to eliminate steady-state oscillation. Furthermore, the strict stability of the speed optimisation system is proved in this paper. Finally, we test a 12-m mathematical model of an unmanned sailboat in the simulation to demonstrate the effectiveness and robustness of this speed optimisation scheme.

Success of any needle-based medical procedures depends on accurate placement of the needle at the target location. However, accurate targeting and control of flexible self-actuating (active) needle are challenging. We have developed a shape memory alloy-actuated flexible needle steered by a 3D Cartesian robot and performed a comparative study of four, non-model-based, coordinated control methodologies for the combined robot steering and flexible-needle insertion process for surgical interventions. Investigated four controllers are: proportional–integral–derivative (PID), PID with the cubic of positional error term (PID-P3), static PID sliding mode controller, and robust adaptive PID sliding mode controller (RAPID-SMC). Relative efficacies of these controllers are demonstrated by performing experiements using a tissue-mimicking soft material phantom. Results from experiments have reavealed that RAPID-SMC is superior to other three controllers.

Epidemiological studies have shown that higher intake of flavonoid is inversely associated with CHD risk. However, which flavonoid subclass could reduce CHD risk has remained controversial. The present meta-analysis of prospective cohort studies aimed to quantitatively assess the associations between flavonoid subclasses and CHD risk. A systematic literature search was implemented from PubMed and Web of Science databases up to March 2021, and eligible studies were identified. Multivariate-adjust relative risks (RR) with corresponding 95 % CI were pooled by using a random-effects model. A restricted cubic spline regression model was performed for non-linear dose–response analysis. A total of 19 independent prospective cohort studies with 894 471 participants and 34 707 events were included. The results showed that dietary intakes of anthocyanins (RR = 0·90; 95 % CI: 0·83, 0·98), proanthocyanidins (RR = 0·78; 95 % CI: 0·65, 0·94), flavonols (RR = 0·88; 95 % CI: 0·79, 0·98), flavones (RR = 0·94; 95 % CI: 0·89, 0·99) and isoflavones (RR = 0·90; 95 % CI: 0·83, 0·98) were negatively associated with CHD risk. Dose–response analysis showed that increment of 50 mg/d anthocyanins, 100 mg/d proanthocyanidins, 25 mg/d flavonols, 5 mg/d flavones and 0·5 mg/d isoflavones were associated with 5 % reduction in CHD risk, respectively. Sensitivity and subgroup analyses were used to further support these associations. The present results indicate that dietary intakes of fruits and vegetables abundant five flavonoid subclasses, namely anthocyanins, proanthocyanidins, flavonols, flavones and isoflavones, are associated with a lower risk of CHD.

The present study evaluated whether fat mass assessment using the triceps skinfold (TSF) thickness provides additional prognostic value to the Global Leadership Initiative on Malnutrition (GLIM) framework in patients with lung cancer (LC). We performed an observational cohort study including 2672 LC patients in China. Comprehensive demographic, disease and nutritional characteristics were collected. Malnutrition was retrospectively defined using the GLIM criteria, and optimal stratification was used to determine the best thresholds for the TSF. The associations of malnutrition and TSF categories with survival were estimated independently and jointly by calculating multivariable-adjusted hazard ratios (HR). Malnutrition was identified in 808 (30·2 %) patients, and the best TSF thresholds were 9·5 mm in men and 12 mm in women. Accordingly, 496 (18·6 %) patients were identified as having a low TSF. Patients with concurrent malnutrition and a low TSF had a 54 % (HR = 1·54, 95 % CI = 1·25, 1·88) greater death hazard compared with well-nourished individuals, which was also greater compared with malnourished patients with a normal TSF (HR = 1·23, 95 % CI = 1·06, 1·43) or malnourished patients without TSF assessment (HR = 1·31, 95 % CI = 1·14, 1·50). These associations were concentrated among those patients with adequate muscle mass (as indicated by the calf circumference). Additional fat mass assessment using the TSF enhances the prognostic value of the GLIM criteria. Using the population-derived thresholds for the TSF may provide significant prognostic value when used in combination with the GLIM criteria to guide strategies to optimise the long-term outcomes in patients with LC.

The present paper focuses on the structures and dynamics of flame edges in planar turbulent non-premixed flames bounded with a wall using direct numerical simulation (DNS). The global quenching behaviour was first examined and the flame edges were identified based on the intersections of mixture fraction and OH mass fraction iso-surfaces. For the upper branch of the planar jet flame, it is observed that the structures of flame edges change from tribrachial to monobrachial with increasing scalar dissipation rate. The flame edge speed is negatively correlated with the scalar dissipation rate in regions away from the wall, highlighting the role of turbulent mixing on the flame edge dynamics. During flame–wall interactions, the propagation speed of flame edges is mainly affected by the projection of edge flame normal in the wall-normal direction, i.e. $\boldsymbol {N}_{Z}\boldsymbol {\cdot }\boldsymbol {N}_{wall}$. In particular, the propagation speed increases with increasing $\boldsymbol {N}_{Z}\boldsymbol {\cdot }\boldsymbol {N}_{wall}$ in the near-wall region. The interactions of flame edges and turbulence bounded with a wall are characterized by the alignment between edge flame normal and principal strain rates. The normal of quenching edges has a tendency to align with the most extensive strain rate $\boldsymbol {e}_{1}$ in regions where the heat-release-induced dilatation is dominant over turbulent strain. In contrast, when the heat loss by cold wall effect is large enough to counteract the heat release induced by chemical reactions, turbulent strain is prevalent and the edge flame normal of the quenching edges preferentially aligns with the most compressive strain rate $\boldsymbol {e}_{3}$.

We prove a higher genus version of the genus $0$ local-relative correspondence of van Garrel-Graber-Ruddat: for $(X,D)$ a pair with X a smooth projective variety and D a nef smooth divisor, maximal contact Gromov-Witten theory of $(X,D)$ with $\lambda _g$-insertion is related to Gromov-Witten theory of the total space of ${\mathcal O}_X(-D)$ and local Gromov-Witten theory of D.

Specializing to $(X,D)=(S,E)$ for S a del Pezzo surface or a rational elliptic surface and E a smooth anticanonical divisor, we show that maximal contact Gromov-Witten theory of $(S,E)$ is determined by the Gromov-Witten theory of the Calabi-Yau 3-fold ${\mathcal O}_S(-E)$ and the stationary Gromov-Witten theory of the elliptic curve E.

Specializing further to $S={\mathbb P}^2$, we prove that higher genus generating series of maximal contact Gromov-Witten invariants of $({\mathbb P}^2,E)$ are quasimodular and satisfy a holomorphic anomaly equation. The proof combines the quasimodularity results and the holomorphic anomaly equations previously known for local ${\mathbb P}^2$ and the elliptic curve.

Furthermore, using the connection between maximal contact Gromov-Witten invariants of $({\mathbb P}^2,E)$ and Betti numbers of moduli spaces of semistable one-dimensional sheaves on ${\mathbb P}^2$, we obtain a proof of the quasimodularity and holomorphic anomaly equation predicted in the physics literature for the refined topological string free energy of local ${\mathbb P}^2$ in the Nekrasov-Shatashvili limit.

A suspended-stripline Gysel low-insertion-loss power combiner is presented in this paper. The multi-layer cavity structure reduces the circuit size and increases power density, composed of suspended strip lines and coaxial lines. The transmission-line theory is used to analyze this proposed power combiner, and the equivalent circuit model is developed to investigate the characteristics and design of the power combiner. The measured input return loss is greater than 20 dB from 7.15 to 9.35 GHz. The measured insertion loss is less than 0.36 dB, and the power-combining efficiency is greater than 92% from 7.39 to 9.19 GHz. The maximum power-combining efficiency is 98.8% at 8.1 GHz. Besides, the measured isolation is greater than 20 dB from 7 to 10 GHz. The power capacity is analyzed, and the cross-sectional power density is greater than 3.57 kW/cm2. The measured and simulated results show reasonable agreement with each other.

Three-dimensional (3-D) measurements of flame stretch are experimentally challenging. In this paper, two-dimensional (2-D) and 3-D measurements of flame stretch and turbulence–flame interactions were examined using direct numerical simulation (DNS) data of turbulent premixed flames, and models to estimate 3-D statistics of flame stretch-related quantities by correcting 2-D measurements were developed. A variety of DNS cases were simulated, including three freely propagating planar flames without a mean shear and a slot-jet flame with a mean shear. The main findings are summarized as follows. First, the mean shear mainly influences the flame orientations. However, it does not change the flame stretch and turbulence–flame interactions qualitatively. The distributions of out-of-plane angle of all cases are nearly isotropic. Second, models were proposed to approximate the 3-D statistics of flame stretch-related quantities using 2-D measurements, the performance of which was verified by comparing modelled and actual 3-D surface averages and probability density functions of tangential strain rate, curvature and displacement velocity. Third, 2-D measurements of flame stretch capture properly the trends of the 3-D results, with flame surface area being produced in low curvature regions and destroyed in highly curved regions. However, the magnitude of flame stretch was under-estimated in 2-D measurements. Finally, 2-D and 3-D turbulence–flame interactions were examined. The flame normal vector is aligned with the most compressive strain rate in both 2-D and 3-D measurements. Meanwhile, the flame normal vector is misaligned (weakly aligned) with the most extensive strain rate in 3-D (2-D) measurements, highlighting the difference in 2-D and 3-D results of turbulence–flame interactions.