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This study evaluated the association between inflammatory diets as measured by the Dietary Inflammatory index (DII), inflammation biomarkers and the development of preeclampsia among the Chinese population. We followed the reporting guidelines of the Strengthening the Reporting of Observational Studies in Epidemiology statement for observational studies. A total of 466 preeclampsia cases aged over 18 years were recruited between March 2016 and June 2019, and 466 healthy controls were 1:1 ratio matched by age (±3 years), week of gestation (±1 week) and gestational diabetes mellitus. The energy-adjusted DII (E-DII) was computed based on dietary intake assessed using a seventy-nine item semiquantitative FFQ. Inflammatory biomarkers were analysed by ELISA kits. The mean E-DII scores were −0·65 ± 1·58 for cases and −1·19 ± 1·47 for controls (P value < 0·001). E-DII scores positively correlated with interferon-γ (rs = 0·194, P value = 0·001) and IL-4 (rs = 0·135, P value = 0·021). After multivariable adjustment, E-DII scores were positively related to preeclampsia risk (Ptrend < 0·001). The highest tertile of E-DII was 2·18 times the lowest tertiles (95 % CI = 1·52, 3·13). The odds of preeclampsia increased by 30 % (95 % CI = 18 %, 43 %, P value < 0·001) for each E-DII score increase. The preeclampsia risk was positively associated with IL-2 (OR = 1·07, 95 % CI = 1·03, 1·11), IL-4 (OR = 1·26, 95 % CI = 1·03, 1·54) and transforming growth factor beta (TGF-β) (OR = 1·17, 95 % CI = 1·06, 1·29). Therefore, proinflammatory diets, corresponding to higher IL-2, IL-4 and TGF-β levels, were associated with increased preeclampsia risk.
In the presence of frictions, the existing literature shows that currency substitution is detrimental for domestic aggregate stability. This paper singles out the role of currency substitution and shows that diversified currency holdings operate as an automatic stabilizer that mitigates belief-driven cyclical fluctuations in Farmer’s (1997) indeterminate monetary economy. When the foreign inflation rate is lower than the domestic inflation rate, the model’s steady state always displays saddle-path stability. Hence, equilibrium indeterminacy originally present in the domestic country is entirely removed in the presence of diversified currency holdings. When the foreign inflation rate is higher than the domestic inflation rate, then depending on the degrees of currency substitution and relative risk aversion, indeterminacy is either impossible or the requisite level of the foreign inflation rate for indeterminacy is too high to square with data. The stabilizing effect of diversified currency holdings on domestic aggregate stability is robust to whether domestic and foreign currencies display as Edgeworth substitutes or complements, or are additively separable in the household’s preferences.
X-ray powder diffraction data, unit-cell parameters, and space group for rivaroxaban, C19H18ClN3O5S, are reported [a = 9.010(3) Å, b = 10.986(6) Å, c = 11.230(1) Å, α = 63.439(5)°, β = 74.355(4)°, γ = 78.133(3)°, unit-cell volume V = 952.87 Å3, Z = 2, ρcal = 1.519 g cm−3, and space group P1]. All measured lines were indexed and are consistent with the P1 space group. No detectable impurities were observed.
The tropical areas of eastern Asia contain a high diversity of foliicolous lichens, including various species of the genus Badimia. Badimia xanthocampylidia W. C. Wang & J. C. Wei is described from tropical rainforests in southern China and Thailand based on morphology, chemistry, and combined mtSSU, ITS and nrLSU sequences. It is characterized by a pale green thallus with yellow verrucae and bright yellow campylidia and the presence of isousnic acid. Three other species, B. multiseptata Papong & Lücking, B. pallidula (Kremp.) Vězda and B. polillensis (Vain.) Vězda, are discussed and the genus Badimia is newly reported from China. A worldwide key to currently known species in the genus is presented.
To investigate the safety and feasibility of midazolam for conscious sedation in transcatheter device closure of atrial septal defects guided solely by transthoracic echocardiography.
Methods:
A retrospective analysis was performed on 55 patients who underwent transcatheter device closure of atrial septal defects from October, 2019 to May, 2020. All patients received intravenous midazolam and local anesthesia with lidocaine to maintain sedation. A group of previous patients with unpublished data who underwent the same procedure with general anesthesia was set as the control group. The relevant clinical parameters, the Ramsay sedation scores, the numerical rating scale, and the post-operative satisfaction questionnaire were recorded and analyzed.
Results:
In the midazolam group, the success rate of atrial septal defect closure was 98.2%. Hemodynamic stability was observed during the procedure. None of the patients needed additional endotracheal intubation for general anesthesia. Compared with the control group, the midazolam group had no statistically significant differences in the Ramsay sedation score and numerical rating scale scores. Patients in the midazolam group experienced more post-operative satisfaction than those in the control group.
Conclusions:
Conscious sedation using midazolam is a safe and effective anesthetic technique for transcatheter device closure of atrial septal defects guided solely by transthoracic echocardiography.
It has been shown that progressive income taxation may stabilize an otherwise standard representative-agent real business cycle model with an indeterminate steady state against aggregate fluctuations caused by agents’ animal spirits. By contrast, within an identical model that allows for sustained economic growth, progressive taxation could lead to equilibrium indeterminacy and sunspot-driven fluctuations. In the context of household heterogeneity that gives rise to income and asset inequality, the fiscal authority has (at least) two options of setting the baseline level of taxable income: (i) the economy-wide average level of income and (ii) the economy’s steady-state level of per capita income. I show that the adoption of a fiscal rule (i) invalidates the effects that a progressive tax can exert on the model’s local stability properties. Progressive income taxation thus no longer operates as an automatic stabilizer that mitigates belief-driven cyclical fluctuations in a no-growth economy, nor as an automatic destabilizer that leads to local indeterminacy in a sustained-growth economy. If a tax policy rule (ii) is instead adopted, then the existing literature’s findings of the (de)stabilizing roles of progressive taxation are robust to the inclusion of household heterogeneity.
This paper systematically examines the interrelations between equilibrium indeterminacy, endogenous entry and exit of intermediate input firms, and increasing returns to specialization within two versions of a parsimonious one-sector monopolistically competitive RBC model. The technology for producing an intermediate good is postulated to display internal increasing returns to scale in our benchmark framework, whereas positive productive externalities are considered in the alternative setting. We analytically show that either formulation will exhibit belief-driven cyclical fluctuations provided the equilibrium wage-hours locus is positively sloped and steeper than the household’s labor supply curve. We also find that ceteris paribus our alternative macroeconomy is more susceptible to indeterminacy and sunspots than the baseline counterpart.
Background: Antimicrobial resistance (AMR) is an increasingly critical global public health challenge. An initial step in prevention is the understanding of resistance patterns with accurate surveillance. To improve accurate surveillance and good clinical care, we developed training materials to improve the appropriate collection of clinical culture samples in Ethiopia. Methods: Specimen-collection training materials were initially developed by a team of infectious diseases physicians, a clinical microbiologist, and a monitoring and evaluation specialist using a training of trainers (ToT) platform. Revisions after each training session were provided by Ethiopian attendees including the addition of regional and culturally relevant material. The training format involved didactic presentations, interactive practice sessions with participants providing feedback and training to each other and the entire group as well as assessments of all training activities. Results: Overall, 4 rounds of training were conducted from August 2017 to September 2019. The first 2 rounds of training were conducted by The Ohio State University (OSU) staff, and Ethiopian trainers conducted the last 2 rounds. Initial training was primarily in lecture format outlining use of microbiology laboratory findings in clinical practice and steps for collecting specimens correctly. Appropriate specimen collection was demonstrated and practiced. Essential feedback from this early audience provided input for the final development of the training manual and visual aids. The ToT for master trainers took place in July 2018 and was conducted by OSU staff. In sessions held in February and August 2019, these master trainers provided training to facility trainers, who provide training to personnel directly responsible for specimen collection. In total, 144 healthcare personnel (including physicians, nurses, and laboratory staff), from 12 representative Ethiopian public and academic hospitals participated in the trainings. Participants were satisfied with the quality of the training (typically ranked >4.5 of 5.0) and strongly agreed that the objectives were clearly defined and that the information was relevant to their work. Posttraining scores increased by 23%. Conclusions: Training materials for clinical specimen collection have been developed for use in low- and middle-resource settings and with initial pilot testing and adoption in Ethiopia. The trainings were well accepted, and Ethiopian personnel were able to successfully lead the trainings and improve their knowledge and skills regarding specimen collection. The materials are being finalized in an online format for easier open access dissemination. Further studies are planned to determine the effectiveness of the trainings in improving the quality of clinical specimen submissions to the microbiology laboratory.
Findings for the roles of dairy products, Ca and vitamin D on ovarian cancer risk remain controversial. We aimed to assess these associations by using an updated meta-analysis. Five electronic databases (e.g. PubMed and Embase) were searched from inception to 24 December 2019. Pooled relative risks (RR) with 95 % CI were calculated. A total of twenty-nine case–control or cohort studies were included. For comparisons of the highest v. lowest intakes, higher whole milk intake was associated with increased ovarian cancer risk (RR 1·35; 95 % CI 1·15, 1·59), whereas decreased risks were observed for higher intakes of low-fat milk (RR 0·84; 95 % CI 0·73, 0·96), dietary Ca (RR 0·71; 95 % CI 0·60, 0·84) and dietary vitamin D (RR 0·80; 95 % CI 0·67, 0·95). Additionally, for every 100 g/d increment, increased ovarian cancer risks were found for total dairy products (RR 1·03; 95 % CI 1·01, 1·04) and for whole milk (RR 1·07; 95 % CI 1·03, 1·11); however, decreased risks were found for 100 g/d increased intakes of low-fat milk (RR 0·95; 95 % CI 0·91, 0·99), cheese (RR 0·87; 95 % CI 0·76, 0·98), dietary Ca (RR 0·96; 95 % CI 0·95, 0·98), total Ca (RR 0·98; 95 % CI 0·97, 0·99), dietary vitamin D (RR 0·92; 95 % CI 0·87, 0·97) and increased levels of circulating vitamin D (RR 0·84; 95 % CI 0·72, 0·97). These results show that whole milk intake might contribute to a higher ovarian cancer risk, whereas low-fat milk, dietary Ca and dietary vitamin D might reduce the risk.
We present direct numerical simulations of non-Oberbeck–Boussinesq (NOB) Rayleigh–Bénard (RB) convection due to large temperature differences in two-dimensional (2-D) and three-dimensional (3-D) cells. Perfect air is chosen as the operating fluid and the Prandtl number ($Pr$) is fixed to 0.71 for the reference state $\hat{T}_{0}=300~\text{K}$. In the present system, we consider large temperature differences ranging from 60 K to 240 K, and relatively strong NOB effects are induced at moderate Rayleigh numbers ($Ra$) in the range $3\times 10^{6}\leqslant Ra\leqslant 5\times 10^{9}$. The large temperature difference also induces the turbulence system with large density variation. Due to top-down symmetry breaking under NOB conditions, an increase of the centre temperature $T_{c}$ is found compared to the arithmetic mean temperature $T_{m}$ of the top and bottom plates, and the shift of $T_{c}$ is strongly dependent on Rayleigh number $Ra$ and temperature differential $\unicode[STIX]{x1D716}$. The NOB effects on the Nusselt number ($Nu$) are quite small (${\lesssim}2\,\%$). The power-law scalings of $Nu$ versus $Ra$ are robust against NOB effects, even for the extremely large temperature difference 240 K, which has never been reached in previous experiments and simulations. The Reynolds numbers $Re$, as well as the scalings of $Re$ versus $Ra$, are also insensitive to NOB effects. It is noteworthy that the influence of NOB effects on $Nu$ and $Re$ in 3-D RB flow are weaker than its 2-D counterpart. Furthermore, the extended laminar boundary layer (BL) equations are developed based on the low-Mach-number Navier–Stokes equations, which qualitatively predicts the NOB effects on velocity profiles. Direct numerical simulation results indicate that the top and bottom thermal BLs can compensate each other much better than the velocity BLs under NOB conditions, which contribute to the robustness of $Nu$.
Terrorist attacks can occur anywhere. As the threat of terrorism develops, the China-Eurasia Expo held in Ürümqi, China is attracting fewer potential visitors. A nationwide survey of 2034 residents from 31 provinces and municipalities in China was conducted to examine the relation between the distance to respondents’ city of residence from Ürümqi and their levels of concern for safety and security concerning the Expo. The two were found to be positively related: the closer the respondents lived to Ürümqi, the less concerned they were with the safety and security of the Expo. This is consistent with the “psychological typhoon eye” effect, which states that people living closer to the center of an unfortunate event (whether natural or man-made hazards) are less concerned with the event’s negative consequences. This effect appears to hold for terrorism. There are implications of this finding for international counter-terrorism practice, tourism, and research.
To explore the relationship between dietary patterns and risk of chronic kidney disease (CKD) in Chinese adults aged 45–59 years.
Design:
Dietary data were collected using a semi-quantitative FFQ. Factor analysis was used to identify the major dietary patterns. Logistic regression models were applied to clarify the association between dietary patterns and the risk of CKD.
Setting:
The present study population was a part of the population-based Nutrition and Health Study performed in the city of Hangzhou, Zhejiang Province, eastern China.
Participants:
A total of 2437 eligible participants (45–59 years) were enrolled in the present cross-sectional study from June 2015 to December 2016.
Results:
Three major dietary patterns were identified: ‘traditional southern Chinese’, ‘Western’ and ‘grains–vegetables’ patterns, collectively accounting for 25·6 % of variance in the diet. After adjustment for potential confounders, participants in the highest quartile of the Western pattern had greater odds for CKD (OR = 1·83, 95 % CI 1·21, 2·81; P < 0·05) than those in the lowest quartile. Compared with the lowest quartile of the grains–vegetables pattern, the highest quartile had lower odds for CKD (OR = 0·84, 95 % CI 0·77, 0·93; P < 0·05). In addition, there was no significant association between the traditional southern Chinese pattern and risk of CKD (P > 0·05).
Conclusions:
Our results suggest that the Western pattern is associated with an increased risk, whereas the grains–vegetables pattern is associated with a reduced risk for CKD. These findings can guide dietary interventions for the prevention of CKD in a middle-aged Chinese population.
Although the streaked optical pyrometer (SOP) system has been widely adopted in shock temperature measurements, its reliability has always been of concern. Here, two calibrated Planckian radiators with different color temperatures were used to calibrate and verify the SOP system by comparing the two calibration standards using both multi-channel and single-channel methods. A high-color-temperature standard lamp and a multi-channel filter were specifically designed for the measurement system. To verify the reliability of the SOP system, the relative deviation between the measured data and the standard value of less than 5% was calibrated out, which demonstrates the reliability of the SOP system. Furthermore, a method to analyze the uncertainty and sensitivity of the SOP system is proposed. A series of laser-induced shock experiments were conducted at the ‘Shenguang-II’ laser facility to verify the reliability of the SOP system for temperature measurements at tens of thousands of kelvin. The measured temperature of the quartz in our experiments agreed fairly well with previous works, which serves as evidence for the reliability of the SOP system.
Schizophrenia is a complex mental disorder with high heritability and polygenic inheritance. Multimodal neuroimaging studies have also indicated that abnormalities of brain structure and function are a plausible neurobiological characterisation of schizophrenia. However, the polygenic effects of schizophrenia on these imaging endophenotypes have not yet been fully elucidated.
Aims
To investigate the effects of polygenic risk for schizophrenia on the brain grey matter volume and functional connectivity, which are disrupted in schizophrenia.
Method
Genomic and neuroimaging data from a large sample of Han Chinese patients with schizophrenia (N = 509) and healthy controls (N = 502) were included in this study. We examined grey matter volume and functional connectivity via structural and functional magnetic resonance imaging, respectively. Using the data from a recent meta-analysis of a genome-wide association study that comprised a large number of Chinese people, we calculated a polygenic risk score (PGRS) for each participant.
Results
The imaging genetic analysis revealed that the individual PGRS showed a significantly negative correlation with the hippocampal grey matter volume and hippocampus–medial prefrontal cortex functional connectivity, both of which were lower in the people with schizophrenia than in the controls. We also found that the observed neuroimaging measures showed weak but similar changes in unaffected first-degree relatives of patients with schizophrenia.
Conclusions
These findings suggested that genetically influenced brain grey matter volume and functional connectivity may provide important clues for understanding the pathological mechanisms of schizophrenia and for the early diagnosis of schizophrenia.
Suppression of stimulated Raman scattering (SRS) by means of chirped and tilted fiber Bragg gratings (CTFBGs) has become a key topic. However, research on high-power systems is still lacking due to two problems. Firstly, after the inscription, there are a large number of hydroxyl compounds and hydrogen molecules in CTFBGs that cause significant heating due to their strong infrared absorption. Secondly, CTFBGs can couple Stokes light from the core to the cladding and the coating, which causes serious heating in the coating of the CTFBG. Aimed at overcoming these bottlenecks, a process that combines constant-low-temperature and variable-high-temperature annealing is used to reduce the thermal slope of the CTFBG. Also, a segmented-corrosion cladding power stripping technology is used on the CTFBG to remove the Stokes light which is coupled to the cladding, which solves the problem of overheating in the coating of the CTFBG. Thereby, a CTFBG with both a kilowatt-level power-carrying load and the ability to suppress SRS in a fiber laser has been developed. Further, we establish a kW-level CW oscillator to test the CTFBG. Experimental results demonstrate that the power-carrying load of the CTFBG is close to 1 kW, the thermal slope is lower than $0.015\,^{\circ }\text{C}/\text{W}$, and the SRS suppression ratio is nearly 23 dB.
In this work, corrosion-resistant fluoridated Ca–Mg–P composite coatings were prepared on magnesium alloys via a hydrothermal assisted sol–gel process. All these coatings derived from Coating Sols with different F− concentrations are composed of fluoridated hydroxyapatite, magnesium hydroxide, and dittmarite. When F− concentration of Coating Sol is 0.03 M, the coating exhibited uniform and dense surface, and its thickness reached 32 μm, thus possessing a high charge transfer resistance of 312 ± 12.69 kΩ cm2 in simulated body fluid (SBF). Immersion test in SBF showed that this coating could quickly induce the formation of the mineralized layer, implying relatively high bioactivity. After 49 days of immersion, the original composite coating and newly formed mineralized layer reached 60 μm in thickness, providing effective long-term protection for magnesium alloys. These attractive results indicate that this fluoridated Ca–Mg–P composite coating is a promising protective coating on biodegradable magnesium and magnesium alloy implants for orthopaedic applications.
The influence of tilt on flow reversals in two-dimensional thermal convection in rectangular cells with two typical aspect ratios, $\unicode[STIX]{x1D6E4}=\text{width/height}=1$ and 2, are investigated by means of direct numerical simulations. For $\unicode[STIX]{x1D6E4}=1$, tilt tends to suppress flow reversals. However, it is found that flow reversals characterized by two main rolls are promoted by tilt for $\unicode[STIX]{x1D6E4}=2$, which are even observed for some cases of small Prandtl numbers ($Pr$) and large tilt angles ($\unicode[STIX]{x1D6FD}$). Different from level cases where the four corner rolls all have opportunities to grow and trigger a flow reversal, the reversals in an anticlockwise tilted cell with $\unicode[STIX]{x1D6E4}=2$ are always led by the growth of the bottom-right or the top-left corner roll. Tilt is favourable for the growth of the bottom-right or the top-left corner roll and thus for breaking the balance between the two main rolls and triggering a flow reversal. The mode decomposition analysis shows that the appearance of the intermediate single-roll mode is crucial for reversals, and flow reversals in a tilted cell with $\unicode[STIX]{x1D6E4}=2$ can be viewed as a mode competition process between single-roll mode and horizontally adjacent double-roll mode. They can only occur in a limited range of $\unicode[STIX]{x1D6FD}$ where the two modes have comparable strength. Furthermore, the Nusselt numbers at the hot plate $Nu_{h}$ and at the cold plate $Nu_{c}$ behave differently during a flow reversal for $\unicode[STIX]{x1D6E4}=2$ due to the preference of single corner roll growth.
The influences of non-Oberbeck–Boussinesq (NOB) effects on flow instabilities and bifurcation characteristics of Rayleigh–Bénard convection are examined. The working fluid is air with reference Prandtl number $Pr=0.71$ and contained in two-dimensional rigid cavities of finite aspect ratios. The fluid flow is governed by the low-Mach-number equations, accounting for the NOB effects due to large temperature difference involving flow compressibility and variations of fluid viscosity and thermal conductivity with temperature. The intensity of NOB effects is measured by the dimensionless temperature differential $\unicode[STIX]{x1D716}$. Linear stability analysis of the thermal conduction state is performed. An $\unicode[STIX]{x1D716}^{2}$ scaling of the leading-order corrections of critical Rayleigh number $Ra_{cr}$ and disturbance growth rate $\unicode[STIX]{x1D70E}$ due to NOB effects is identified, which is a consequence of an intrinsic symmetry of the system. The influences of weak NOB effects on flow instabilities are further studied by perturbation expansion of linear stability equations with regard to $\unicode[STIX]{x1D716}$, and then the influence of aspect ratio $A$ is investigated in detail. NOB effects are found to enhance (weaken) flow stability in large (narrow) cavities. Detailed contributions of compressibility, viscosity and buoyancy actions on disturbance kinetic energy growth are identified quantitatively by energy analysis. Besides, a weakly nonlinear theory is developed based on centre-manifold reduction to investigate the NOB influences on bifurcation characteristics near convection onset, and amplitude equations are constructed for both codimension-one and -two cases. Rich bifurcation regimes are observed based on amplitude equations and also confirmed by direct numerical simulation. Weakly nonlinear analysis is useful for organizing and understanding these simulation results.
Benhabib and Farmer show that in a laissez-faire one-sector real business cycle model under aggregate increasing returns, under sufficiently high degrees of productive externality, the demand-side effect in the labor market triggered by agents' expectations about the economy's future outweighs the supply-side effect, making agents' expectations become self-fulfilling. This paper analytically demonstrates that the conduct of monetary policy under nominal gross domestic product (GDP) targeting reinforces the supply-side effect in the labor market, thereby making belief-driven aggregate fluctuations more difficult to occur. This reinforcement effect on labor supply is absent under nominal consumption targeting and inflation targeting. Hence, under these two monetary regimes, the necessary and sufficient conditions for the economy to display equilibrium indeterminacy and sunspot fluctuations are identical to those in Benhabib and Farmer's laissez-faire economy. The results are robust to an endogenous growth extension of the model, implying that targeting the nominal GDP growth rate is more desirable than targeting the nominal consumption growth rate or the inflation rate in terms of macroeconomic stability.
Numerical simulations of two-dimensional (2D) turbulent thermal convection for inhomogeneous boundary condition are investigated using the lattice Boltzmann method (LBM). This study mainly appraises the temporal evolution and the scaling behavior of global quantities and of small-scale turbulence properties. The research results show that the flow is dominated by large-scale structures in the turbulence regime. Mushroom plumes emerge at both ends of each heat source, and smaller plumes increasingly rise. It is found that the gradient of root mean-square (rms) vertical velocities and the gradient of the rms temperature in the bottom boundary layer decreases with time evolution. It is further observed that the temporal evolution of the Kolmogorov scale, the kinetic-energy dissipation rates and thermal dissipation rates agree well with the theoretical predictions. It is also observed that there is a range of linear scaling in the 2nd-order structure functions of the velocity and temperature fluctuations and mixed velocity-temperature structure function.