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Maternal gestational weight gain (GWG) is an important determinant of infant birth weight, and having adequate total GWG has been widely recommended. However, the association of timing of GWG with birth weight remains controversial. We aimed to evaluate this association, especially among women with adequate total GWG. In a prospective cohort study, pregnant women’s weight was routinely measured during pregnancy, and their GWG was calculated for the ten intervals: the first 13, 14–18, 19–23, 24–28, 29–30, 31–32, 33–34, 35–36, 37–38 and 39–40 weeks. Birth weight was measured, and small-for-gestational-age (SGA) and large-for-gestational-age were assessed. Generalized linear and Poisson models were used to evaluate the associations of GWG with birth weight and its outcomes after multivariate adjustment, respectively. Of the 5049 women, increased GWG in the first 30 weeks was associated with increased birth weight for male infants, and increased GWG in the first 28 weeks was associated with increased birth weight for females. Among 1713 women with adequate total GWG, increased GWG percent between 14 and 23 weeks was associated with increased birth weight. Moreover, inadequate GWG between 14 and 23 weeks, compared with the adequate GWG, was associated with an increased risk of SGA (43 (13·7 %) v. 42 (7·2 %); relative risk 1·83, 95 % CI 1·21, 2·76). Timing of GWG may influence infant birth weight differentially, and women with inadequate GWG between 14 and 23 weeks may be at higher risk of delivering SGA infants, despite having adequate total GWG.
Dynamics of two-dimensional flow past a rigid flat plate with a trailing closed flexible filament acting as a deformable afterbody are investigated numerically by an immersed boundary-lattice Boltzmann method for the fluid flow and a finite element method for the filament motion. The effects of Reynolds number ($Re$) and length ratio ($Lr$) on the flow patterns and dynamics of the rigid-flexible coupling system are studied. Based on our numerical results, five typical state modes have been identified in $Lr\unicode{x2013}Re$ plane in terms of the filament shape and corresponding dynamics, i.e. static deformation, micro-vibration, multi-frequency flapping, periodic flapping and chaotic flapping modes, respectively. Benefiting from the passive flow control by using the flexible filament as a deformable afterbody, the coupled system may enjoy a significant drag reduction (up to $22\,\%$) compared with bare plate scenarios ($Lr=1$). Maximum drag reduction achieved at $L_{c,{min}} \in [1.8, 2]$ is often accompanied by the onset of the system state transition. The flow characteristic and its relation to the change in hydrodynamic drag are further explored in order to reveal the underlying mechanisms of the counterintuitive dynamical behaviour of the coupled system. The scaling laws for the form drag and the friction drag, which arise from the pressure and viscous effects, respectively, are proposed to estimate the overall drag acting on the system. The results obtained in the present study may shed some light on understanding the dynamical behaviour of rigid-flexible coupling systems.
According to a WHO report, the number of patients with coronavirus disease 2019 (COVID-19) has reached 456,797,217 worldwide as of 15 March, 2022. In Wuhan, China, large teams of health-care personnel were dispatched to respond to the COVID-19 emergency. This study aimed to determine the sociodemographic and psychological predictors of resilience among frontline nurses fighting the current pandemic.
Methods:
A total of 143 nurses were recruited from February 15 to February 20, 2020, to participate in this study. The 10-item Connor-Davidson Resilience Scale and the 21-item Depression Anxiety Stress Scale were used to estimate the participants’ resilience and mental wellbeing.
Results:
Results showed that the nurses displayed a moderate resilience level. Their median depression, anxiety, and stress scores were 1, 2, and 3, respectively, which were negatively correlated with resilience. Female gender, being dispatched to Wuhan, and depression levels were the significant predictors of resilience.
Conclusions:
The results suggest that particular attention should be given to nurses who were dispatched to Wuhan and who exhibited depression symptoms, and appropriate measures should be taken to boost their resilience.
The propulsion of a pitching flexible plate in a uniform flow is investigated numerically. The effects of bending stiffness ($K$), pitching amplitude ($A_L$) and frequency ($St$) on the wake patterns, thrust generations and propulsive performances of the fluid–plate system are analysed. Four typical wake patterns, i.e. von Kármán, reversed von Kármán, deflected and chaotic wakes, emerge from various kinematics, and the $St-A_L$ wake maps are given for various $K$. The drag-to-thrust transitions (DTT) and the wake transitions (WT) between the von Kármán and reversed von Kármán wakes are examined. Results indicate that the WT and DTT boundaries can be scaled by the chord-averaged distance of travel, $\mathcal {L}$, which leads to $\mathcal {L}\times St \approx 1$ and $\mathcal {L}\times St \approx 1.2$, respectively. Further, the resonance mechanism for the performance enhancement is revealed and confirmed in a wide range of parameters. The dimensionless average speed of plate, $\mathcal {U^*}\left (=\mathcal {L}\times St\right )$, is adopted merely to characterize the propulsive performances. For the first time, the $\mathcal {U^*}$-based scaling laws for the thrust and power are revealed in pitching rigid and flexible plates for various $A_L$ and $St$. This study may deepen our understanding of biological swimming and flying, and provide a guide for bionic design.
Recognition of obstacle type based on visual sensors is important for navigation by unmanned surface vehicles (USV), including path planning, obstacle avoidance, and reactive control. Conventional detection techniques may fail to distinguish obstacles that are similar in visual appearance in a cluttered environment. This work proposes a novel obstacle type recognition approach that combines a dilated operator with the deep-level features map of ResNet50 for autonomous navigation. First, visual images are collected and annotated from various different scenarios for USV test navigation. Second, the deep learning model, based on a dilated convolutional neural network, is set and trained. Dilated convolution allows the whole network to learn deep features with increased receptive field and further improves the performance of obstacle type recognition. Third, a series of evaluation parameters are utilised to evaluate the obtained model, such as the mean average precision (mAP), missing rate and detection speed. Finally, some experiments are designed to verify the accuracy of the proposed approach using visual images in a cluttered environment. Experimental results demonstrate that the dilated convolutional neural network obtains better recognition performance than the other methods, with an mAP of 88%.
Metabolically healthy obesity (MHO) might be an alternative valuable target in obesity treatment. We aimed to assess whether alternative Mediterranean (aMED) diet and Dietary Approaches to Stop Hypertension (DASH) diet were favourably associated with obesity and MHO phenotype in a Chinese multi-ethnic population. We conducted this cross-sectional analysis using the baseline data of the China Multi-Ethnic Cohort study that enrolled 99 556 participants from seven diverse ethnic groups. Participants with self-reported cardiometabolic diseases were excluded to eliminate possible reverse causality. Marginal structural logistic models were used to estimate the associations, with confounders determined by directed acyclic graph (DAG). Among 65 699 included participants, 11·2 % were with obesity. MHO phenotype was present in 5·7 % of total population and 52·7 % of population with obesity. Compared with the lowest quintile, the highest quintile of DASH diet score had 23 % decreased odds of obesity (OR = 0·77, 95 % CI 0·71, 0·83, Ptrend < 0·001) and 27 % increased odds of MHO (OR = 1·27, 95 % CI 1·10, 1·48, Ptrend = 0·001) in population with obesity. However, aMED diet showed no obvious favourable associations. Further adjusting for BMI did not change the associations between diet scores and MHO. Results were robust to various sensitivity analyses. In conclusion, DASH diet rather than aMED diet is associated with reduced risk of obesity and presents BMI-independent metabolic benefits in this large population-based study. Recommendation for adhering to DASH diet may benefit the prevention of obesity and related metabolic disorders in Chinese population.
Whole-genome sequencing (WGS) has shown tremendous potential in rapid diagnosis of drug-resistant tuberculosis (TB). In the current study, we performed WGS on drug-resistant Mycobacterium tuberculosis isolates obtained from Shanghai (n = 137) and Russia (n = 78). We aimed to characterise the underlying and high-frequency novel drug-resistance-conferring mutations, and also create valuable combinations of resistance mutations with high predictive sensitivity to predict multidrug- and extensively drug-resistant tuberculosis (MDR/XDR-TB) phenotype using a bootstrap method. Most strains belonged to L2.2, L4.2, L4.4, L4.5 and L4.8 lineages. We found that WGS could predict 82.07% of phenotypically drug-resistant domestic strains. The prediction sensitivity for rifampicin (RIF), isoniazid (INH), ethambutol (EMB), streptomycin (STR), ofloxacin (OFL), amikacin (AMK) and capreomycin (CAP) was 79.71%, 86.30%, 76.47%, 88.37%, 83.33%, 70.00% and 70.00%, respectively. The mutation combination with the highest sensitivity for MDR prediction was rpoB S450L + rpoB H445A/P + katG S315T + inhA I21T + inhA S94A, with a sensitivity of 92.17% (0.8615, 0.9646), and the mutation combination with highest sensitivity for XDR prediction was rpoB S450L + katG S315T + gyrA D94G + rrs A1401G, with a sensitivity of 92.86% (0.8158, 0.9796). The molecular information presented here will be of particular value for the rapid clinical detection of MDR- and XDR-TB isolates through laboratory diagnosis.
Cancer remains the leading cause of death worldwide, and metastasis is still the major cause of treatment failure for cancer patients. Epithelial–mesenchymal transition (EMT) has been shown to play a critical role in the metastasis cascade of epithelium-derived carcinoma. Tumour microenvironment (TME) refers to the local tissue environment in which tumour cells produce and live, including not only tumour cells themselves, but also fibroblasts, immune and inflammatory cells, glial cells and other cells around them, as well as intercellular stroma, micro vessels and infiltrated biomolecules from the nearby areas, which has been proved to widely participate in the occurrence and progress of cancer. Emerging and accumulating studies indicate that, on one hand, mesenchymal cells in TME can establish ‘crosstalk’ with tumour cells to regulate their EMT programme; on the other, EMT-tumour cells can create a favourable environment for their own growth via educating stromal cells. Recently, our group has conducted a series of studies on the interaction between tumour-associated macrophages (TAMs) and colorectal cancer (CRC) cells in TME, confirming that the interaction between TAMs and CRC cells mediated by cytokines or exosomes can jointly promote the metastasis of CRC by regulating the EMT process of tumour cells and the M2-type polarisation process of TAMs. Herein, we present an overview to describe the current knowledge about EMT in cancer, summarise the important role of TME in EMT, and provide an update on the mechanisms of TME-induced EMT in CRC, aiming to provide new ideas for understanding and resisting tumour metastasis.
This paper is concerned with spreading phenomena of the classical two-species Lotka-Volterra reaction-diffusion system in the weak competition case. More precisely, some new sufficient conditions on the linear or nonlinear speed selection of the minimal wave speed of travelling wave fronts, which connect one half-positive equilibrium and one positive equilibrium, have been given via constructing types of super-sub solutions. Moreover, these conditions for the linear or nonlinear determinacy are quite different from that of the minimal wave speeds of travelling wave fronts connecting other equilibria of Lotka-Volterra competition model. In addition, based on the weighted energy method, we give the global exponential stability of such solutions with large speed $c$. Specially, when the competition rate exerted on one species converges to zero, then for any $c>c_0$, where $c_0$ is the critical speed, the travelling wave front with the speed $c$ is globally exponentially stable.
ABSTRACT IMPACT: The knowledge acquired from my research can inform the development of early diagnostic methods for HIV-associated neurocognitive disorders. OBJECTIVES/GOALS: In the era of combination antiretroviral therapy (cART), the prevalence of HIV-associated neurocognitive disorders (HAND) remains high but the neural mechanisms are unclear. We examined whether older people with HIV (PWH) with minimal cognitive impairment have reduced functional connectivity in frontostriatal circuits compared to controls. METHODS/STUDY POPULATION: 99 PWH (mean age 56.6 years, 75% male, 62% Black, mean duration of HIV-infection 26.2 years ±9.3, 90% viral load <50 copies, 98% on stable cART) and 38 demographically-comparable controls (mean age 54.5 years, 71% male, 58% Black) participated in a cross-sectional study. A 7-domain neuropsychological battery and an Activities of Daily Living index were used to determine HAND diagnoses: 32 PWH met criteria for asymptomatic to mild HAND. Motor skill was assessed using the Grooved Pegboard Test by measuring performance speed. Structural MRI and resting-state functional MRI were collected. Seed-to-voxel analyses were conducted using 4 distinct regions in the striatum as seed regions. We used a voxel threshold of p<0.001 and cluster threshold of p<0.05 (FDR-corrected) after controlling for demographic variables. RESULTS/ANTICIPATED RESULTS: Compared to controls, PWH had lower resting state functional connectivity between the default mode region of the striatum (i.e., medial caudate) and bilateral superior frontal gyrus, supplementary motor cortex and paracingulate gyrus (p<0.05; cluster size: 567 voxels). Also, compared to controls, PWH had reduced resting state functional connectivity between the motor division of the striatum (i.e., posterior putamen) and anterior cingulate cortex and left supplementary motor cortex (p<0.05, cluster size: 405 voxels). Performance speed on the Grooved Pegboard motor test negatively correlated with functional connectivity between the motor region of the striatum and supplementary motor frontal regions in all participants (Spearman’s rho=-0.18, p=0.04). DISCUSSION/SIGNIFICANCE OF FINDINGS: Our results support the hypothesis that frontostriatal abnormalities are widely present in PWH and might play a key role in HAND development. Our data suggest that dysfunction within the frontostriatal circuits may be involved in motor impairment in PWH, and ongoing inflammation may contribute to motor impairment and frontostriatal injury.
Previous studies have reported inverse associations between certain healthy lifestyle factors and non-alcoholic fatty liver disease (NAFLD), but limited evidence showed the synergistic effect of those lifestyles. This study examined the relationship of a combination of lifestyles, expressed as Healthy Lifestyle Score (HLS), with NAFLD.
Design:
A community-based cross-sectional study. Questionnaires and body assessments were used to collect data on the six-item HLS (ranging from 0 to 6, where higher scores indicate better health). The HLS consists of non-smoking (no active or passive smoking), normal BMI (18·5–23·9 kg/m2), physical activity (moderate or vigorous physical activity ≥ 150 min/week), healthy diet pattern, good sleep (no insomnia or <6 months) and no anxiety (Self-rating Anxiety Scale < 50), one point each. NAFLD was diagnosed by ultrasonography.
Setting:
Guangzhou, China.
Participants:
Two thousand nine hundred and eighty-one participants aged 40–75 years.
Results:
The overall prevalence of NAFLD was 50·8 %. After adjusting for potential covariates, HLS was associated with lower presence of NAFLD. The OR of NAFLD for subjects with higher HLS (3, 4, 5–6 v. 0–1 points) were 0·68 (95 % CI 0·51, 0·91), 0·58 (95 % CI 0·43, 0·78) and 0·35 (95 % CI 0·25, 0·51), respectively (P-values < 0·05). Among the six items, BMI and physical activity were the strongest contributors. Sensitivity analyses showed that the association was more significant after weighting the HLS. The beneficial association remained after excluding any one of the six components or replacing BMI with waist circumference.
Conclusions:
Higher HLS was associated with lower presence of NAFLD, suggesting that a healthy lifestyle pattern might be beneficial to liver health.
This study aimed to evaluate to what extent the different interval times between trophectoderm (TE) biopsy and vitrification influence the clinical outcomes in preimplantation genetic testing (PGT) cycles. Patients who underwent frozen embryo transfer (FET) after PGT between 2015 and 2019 were recruited. In total, 297 cycles with single day 5 euploid blastocyst transfer were included. These cycles were divided into three groups according to the interval times: <1 h group, 1–2 h group, and ≥2 h group. Blastocyst survival, clinical pregnancy, miscarriage, and ongoing pregnancy rates were compared. The results showed that, in PGT-SR cycles, survival rate in the ≥2 h group (96.72%) was significantly lower than in the <1 h group (100%, P = 0.047). The clinical pregnancy rate in the ≥2 h group was 55.93%, significantly lower than in the <1 h group (74.26%, P = 0.017). The ongoing pregnancy rates in the 1–2 h group and the ≥2 h group were 48.28% and 47.46%, respectively, significantly lower than that in the <1 h group (67.33%, P < 0.05). The miscarriage rate in the 1–2 h group was 18.42%, significantly higher than that in the <1 h group (5.33%, P = 0.027). In PGT-A cycles, the clinical pregnancy and ongoing pregnancy rates in the <1 h group were 67.44% and 53.49%, respectively, higher than that in the 1–2 h group (52.94%, 47.06%, P > 0.05) and the ≥2 h group (52.63%, 36.84%, P > 0.05). In conclusion, vitrification of blastocysts beyond 1 h after biopsy significantly influences embryo survival and clinical outcomes and is therefore not recommended.
As essential specifications of correlation domain for signal quality evaluation, distortions of the S-curve, including bias and slope distortions of the zero-crossing point, are usually selected as indicators of optimisation in the process of designing the channels of receivers or navigation satellites. Focusing on this issue, we present a detailed analysis of slope distortion in the presence of group delay and amplitude distortions. After validating the theoretical results, we present further discussions about the impacts of different group delay terms on slope distortions. The results indicate that both the odd-order and the even-order terms have impacts on the slope distortion, and higher odd-order terms have less slope distortion compared with the lower odd-order terms. These results are useful for evaluating the slope distortion from the group delay and guiding improvement in design of the channel.
In this paper, dual-band and tri-band bandpass filters (BPFs) with fully independent and controllable passbands based on multipath-embedded resonators are presented. The dual-band BPF consists of two double open-ended stub-loaded terminal-shorted resonators (DOESL-TSRs) with a common via-hole connected along the symmetric plane of the filter. Based on DOESL-TSRs, a triple open-ended stub-loaded terminal-shorted resonator (TOESL-TSR) is proposed in the design of tri-band BPFs. The resonant characteristics of DOESL-TSR/TOESL-TSR are analyzed by the numerical calculation method. The measured results of the dual-band BPF show that the center frequencies (CFs) are located at 2.595 and 5.75 GHz, respectively, with 3 dB fraction bandwidth (FBWs) of 15 and 12.8%. The measured CFs of the tri-band BPF are located at 2.545, 3.775, and 5.95 GHz, respectively, with 3 dB FBWs of 9.8, 9.3, and 5.5%. Both of the filters exhibit the merits of fully independent and controllable passbands, high selectivity, and compact size.
In this paper, the microstructure and the shear property of Cu/In–45Cu/Ni solder joints by transient liquid phase were studied, and the intermetallic compounds (IMCs) growth mechanism was investigated. The results showed that the IMCs volume ratio of solder joints was increased firstly and then decreased with increasing bonding time, and the IMCs volume ratio reached its maximum value of 95.8% at 60 min. The Cu interfacial IMC of the solder joint with dense microstructure was Cu2In phase at 60 min, and the Ni interfacial IMC was Ni3In7. The maximum shear strength of solder joints was obtained at 60 min, which is 15.21 MPa. The shear fracture appeared honeycomb structure, and the fracture occurred at the phase interface of Ni3In7/Cu11In9. The thickness of the interfacial IMCs and the white IMCs around the Cu particles (Cu@IMC) was increased continuously with increasing bonding time, and thus, the interconnection of Cu–Ni substrates was realized ultimately.
The aim of this study was to explore the application of the flipped classroom approach in the training of Mass Casualty Triage (MCT) to medical undergraduate students.
Methods:
In this study, 103 fourth-year medical students were randomly divided into a Flipped Classroom (FC) group (n = 51) and a Traditional Lecture-based Classroom (TLC) group (n = 52). A post-class quiz, simulated field triage (SFT) and feedback questionnaires were performed to assess both groups of students for their learning of the course.
Results:
In the post-quiz, the median (IQR) scores achieved by students from the FC and TLC groups were 42(5) and 39(5.5), respectively. Significant differences were found between the two groups. In the SFT, overall triage accuracy was 67.06% for FC, and 64.23% for TLC students. Over-triage and under-triage errors occurred in 18.43% and 14.50% of the FC group, respectively. The TLC group had a similar pattern of 20.77% over-triage and 15.0% under-triage errors. No significant differences were found regarding overall triage accuracy or triage errors between the two groups.
Conclusions:
The FC approach could enhance course grades reflected in the post-quiz and improve students’ satisfaction with the class. However, there was no significant difference of competency between the two groups demonstrated in the SFT exercise.
We develop a general method for constructing knotted flux tubes with finite thickness, arbitrary shape and tunable twist. The central axis of the knotted tube is specified by a smooth and non-degenerate parametric equation. The helicity of the corresponding solenoidal knotted field can be explicitly decomposed into writhe, normalized total torsion and intrinsic twist. We construct several knotted magnetic flux tubes with various twisting degrees, and investigate the effect of twist on their evolution in resistive magnetohydrodynamic flows using direct numerical simulation. For large twist, the magnetic knot gradually shrinks to a tight stable state, similar to the relaxation process in ideal magnetohydrodynamic flows. For small twist, the knotted flux tube splits at early times, accompanied by a rising magnetic dissipation rate. We elucidate the mechanism of the tube splitting using the phase portrait of the Lorentz force projected onto divergence-free space. For finite twist, the Hopf bifurcation from an unstable spiral point to a limit cycle occurs on the phase plane. In the evolution, field lines inside the limit cycle form invariant tori, whereas they become chaotic outside the limit cycle.
As electrode materials, metal-organic frameworks always have low electrical conductivity and poor structural stability, which limits its applications in electrochemical fields. Here, Ni-BPDC/GO composites are synthesized using graphene oxide (GO) as a substrate and 4,4′-biphenyldicarboxylic acid (BPDC) as an organic ligand via a hydrothermal approach. The growth mechanism of the Ni-BPDC and Ni-BPDC/GO composites is proposed. In the composites, highly dispersed Ni-BPDC macro-nanostrips are supported on the GO surface in parallel. The presence of GO does not affect the growth and crystalline structure of Ni-BPDC. Compared with the Ni-BPDC, Ni-BPDC/GO composites exhibit higher specific capacitance, rate capability, and operating current density through lowering intrinsic resistance, charge-transfer resistance, and ion diffusion impedance. Moreover, the assembled Ni-BPDC/GO-3//reduced graphene oxide (rGO) asymmetric supercapacitor has large specific capacitance, good cycling stability, and high energy density (16.5 W h/kg at 250 W/kg). Hence, Ni-BPDC/GO composites are a potential electrode material for supercapacitors.
The Gangdese magmatic belt across the southern Tibetan Plateau is juxtaposed with the Indus–Yurlung Zangbo suture zone (IYS), and many mafic microgranular enclaves (MMEs) are exposed in the belt, thus providing a window for observing deep crust–mantle processes related to the Indo-Asian collision. The Nyemo intrusion is located in the middle part of the Gangdese magmatic belt and comprises host diorites with abundant MMEs. Compared with other parts of the Gangdese magmatic belt, the host rock of the Nyemo intrusion has a mineral composition similar to that of the MME, although differences are observed in chemical contents. To explore the genetic type of the MMEs and the deep processes of the Gangdese magmatic belt, the Nyemo intrusion is selected as the research object for this paper. Here, we report zircon U–Pb geochronological and whole-rock geochemical data for host diorites and MMEs, and electron probe data for hornblendes in diorites and MMEs, and combine mineralogy, petrology, petrogeochemistry and isotope geochemistry analyses. Research has shown that diorites in the Nyemo intrusion belong to the medium-K, metaluminous series. The light rare earth elements (LREEs) and heavy rare earth elements (HREEs) are significantly fractionated, and the LREE/HREE values are 5.77–7.71. The (87Sr/86Sr)i values of the diorites range from 0.704260 to 0.704287, and the εNd(t) values are from 3.73 to 4.17. The MMEs in the Nyemo intrusion have a limited range of SiO2 contents, are calc-alkaline with metaluminous affinity, and have relatively high contents of MgO (4.34–5.00 wt %) with Mg# (Mg2+/Mg2+ + Fe2+) values of 42.36–43.53, which is close to that of evolved basic magma. The contents of REEs vary from 108.87 to 120.59 ppm and show obvious Eu anomalies. The (87Sr/86Sr)i values of the MMEs range from 0.704680 to 0.704704, and the εNd(t) values are 0.35–3.74. The crystallization temperature of the hornblende in the diorite is 820 °C, the formation depth is 5.39 km, the oxygen fugacity is ΔNNO + 0.88 and the water content is 5.95 %. The crystallization temperature of the hornblende in the MMEs is 880 °C, the formation depth is 12.18 km, the oxygen fugacity is ΔNNO + 0.38 and the water content is 8.27 %. The Nyemo MMEs are formed by magma mingling, and originate from the partial melting of the depleted mantle, while the host diorite originates from partial melting of the juvenile crust with the addition of mantle material. The formation of the Gangdese magmatic belt is related to the Indo-Asian continental collision. The break-off of the subducted Neo-Tethyan oceanic plate triggered partial melting of the asthenosphere, which resulted in accumulation of the basaltic magma and then caused the partial melting of the juvenile crust with the addition of mantle material, thus forming a variety of granitic rocks and the large Gangdese magmatic belt.
Organic light-emitting diodes (OLEDs) have aroused great attention due to the advantages of high luminescent efficiency, fast response time, wide viewing angle, and the compatibility with the flexible electronics. Nevertheless, the organic luminescent materials are vulnerable to environment moisture/oxygen. Thus, how to protect the OLEDs from the ambient moisture/oxygen erosion is of great importance to ensure the stability and reliability. Thin film encapsulation (TFE) via atomic layer deposition (ALD) has emerged as a potential method to meet the encapsulation requirements of OLEDs due to its unique assets. In this review, the challenges of TFE, including pinholes, crystallization, cracks, and overheated, are introduced first. The ALD-based monolayer, composite structures, and hybrid laminates were developed to improve the barrier property, flexibility, and thermal conductivity. Besides, the ALD reactors and processes for TFE are also reviewed. Finally, the challenges remained and future development in the stabilization of OLEDs via ALD are also discussed.