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The effect of centrifugal force in turbulent rotating Rayleigh–Bénard convection (RRBC) is studied experimentally in an aspect-ratio $\varGamma =1$ cylindrical convection cell and in the ranges of the Froude number $0.004\leq Fr \leq 0.363$ and the Rayleigh number $2.8\times 10^8 \leq Ra \leq 9.5\times 10^9$, and with the Prandtl number fixed at $Pr=4.34$. We use the bulk temperature anomaly to determine the onset Froude number $Fr_c$, beyond which the centrifugal effects cannot be regarded as insignificant. It is found that $Fr_c$ depends on $Ra$ as $Fr_c\sim Ra^{0.53}$, which may be understood qualitatively by the idea of local force balance. For $Fr>Fr_c$, the centrifugal effect is more pronounced for smaller $Ra$, which is also found for larger constant $1/Ro$. This implies that the response of the system to the centrifugal force depends on the flow states, which, in RRBC, is mainly determined by the competition between the buoyancy and Coriolis forces. Detailed analysis of the sidewall temperature signal shows results consistent with those obtained from the bulk temperature. Based on the above results, we propose a different division of the $1/Ro$–$Fr$ phase space than previously suggested. For the heat transport, the results under fixed $1/Ro$ show well-defined $Nu$–$Ra$ scalings, which can provide a better prediction for the heat transport when extrapolating to the unexplored regions in the phase space.
Different from developed countries, there is a paucity of research examining how the Dietary Approaches to Stop Hypertension (DASH) and Mediterranean diets relate to lipids in less-developed ethnic minority regions (LEMR). A total of 83 081 participants from seven ethnic groups were retrieved from the baseline data of the China Multi-Ethnic Cohort study, which was conducted in less-developed Southwest China between May 2018 and September 2019. Multivariable linear regression models were then used to examine the associations of the DASH and alternative Mediterranean diet (AMED) scores, assessed by modified DASH score and AMED, as well as their components with total cholesterol (TC), LDL-cholesterol, HDL-cholesterol, TAG and TC/HDL-cholesterol. The DASH scores were negatively associated with TC, HDL-cholesterol and TAG. Comparing the highest quintiles with the lowest DASH scores, TC decreased 0·0708 (95 % CI −0·0923, −0·0493) mmol/l, HDL-cholesterol decreased 0·0380 (95 % CI −0·0462, −0·0299) mmol/l and TAG decreased 0·0668 (95 % CI −0·0994, −0·0341) mmol/l. The AMED scores were negatively associated with TC, LDL-cholesterol and HDL-cholesterol. Comparing the highest quintiles with the lowest AMED scores, TC decreased 0·0816 (95 % CI −0·1035, −0·0597) mmol/l, LDL-cholesterol decreased 0·0297 (95 % CI −0·0477, −0·0118) mmol/l and HDL-cholesterol decreased 0·0275 (95 % CI −0·0358, −0·0192) mmol/l. Although both the DASH diet and the Mediterranean diet were negatively associated with blood lipids, those associations showed different patterns in LEMR, particularly for TAG and HDL-cholesterol.
Responding to the extreme scarcity of medical resources during the early outbreak of the coronavirus disease (COVID-19) in Wuhan, China, an emergency specialist hospital of Leishenshan started to construct on January 26, 2020, and accommodate patients on February 6, 2020. The clinical laboratory center of Leishenshan Hospital (CLCLH) was constructed at the same time within 11 days to support the treatment of inpatients in Leishenshan Hospital and the testing of suspected patients from different fever clinics in Wuhan. The CLCLH could perform a total of 320 clinic, 299 biochemistry, 31 microorganism, and 47 infection and immunity examinations per day. It could also complete an average of 239 nucleic acid tests and 118 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody examinations per day. No suspected cases were documented among the health care workers during the operation of the CLCLH. The construction and operation experiences of the CLCLH is provided in this study and might be used by other countries as reference. The content of this study is divided into 4 parts: (1) the establishment of the CLCLH, including its layout and medical resource allocation; (2) the major testing items; (3) the specific procedure of COVID-19 indicator examination; and (4) the standardized personal protection measures.
Preoperative nutritional status plays an important role in predicting postoperative outcomes. Prognostic Nutritional Index (PNI) and Controlling Nutritional Status (CONUT) are good tools to assess patients’ nutritional status. They have been used in predicting outcomes in various malignancies, but few studies have focused on pancreatic adenocarcinoma (PDAC) patients. Totally, 306 PDAC patients were enrolled. The propensity score matching (PSM) method was introduced to eliminate the baseline inequivalence. Patients with different PNI (or CONUT) scores showed inequivalence baseline characteristics, and patients with compromised nutritional status were related with a more advanced tumour stage. After PSM, the baseline characteristics were well balanced. Both low PNI (≤45) and high CONUT (≥3) were independent risk factors for poor overall survival (P < 0·05), and the result remained the same after PSM. Survival analysis demonstrated both patients with low PNI and high CONUT score were associated with poorer survival, and the result remained the same after PSM. The results of AUC indicated that CONUT might have a higher sensitivity and specificity in predicting complications and survival. Preoperative low PNI (≤45) and high CONUT (≥3) scores might be reliable predictors of prognosis and surgical complications in PDAC patients. Compared with PNI, CONUT might be more effective.
The clinical characteristics of patients with COVID-19 were analysed to determine the factors influencing the prognosis and virus shedding time to facilitate early detection of disease progression. Logistic regression analysis was used to explore the relationships among prognosis, clinical characteristics and laboratory indexes. The predictive value of this model was assessed with receiver operating characteristic curve analysis, calibration and internal validation. The viral shedding duration was calculated using the Kaplan–Meier method, and the prognostic factors were analysed by univariate log-rank analysis and the Cox proportional hazards model. A retrospective study was carried out with patients with COVID-19 in Tianjin, China. A total of 185 patients were included, 27 (14.59%) of whom were severely ill at the time of discharge and three (1.6%) of whom died. Our findings demonstrate that patients with an advanced age, diabetes, a low PaO2/FiO2 value and delayed treatment should be carefully monitored for disease progression to reduce the incidence of severe disease. Hypoproteinaemia and the fever duration warrant special attention. Timely interventions in symptomatic patients and a time from symptom onset to treatment <4 days can shorten the duration of viral shedding.
Uranium–35 wt.% zirconium (U–35 wt.% Zr) alloy was annealed for 1 h and 24 h at 650 °C and characterized to understand the early-stage microstructure evolution. Dendritic microstructure with fine (∼300 nm in length) α-U precipitates clustered between dendrite branches were observed in the 1-h annealed sample. After 24-h annealing at 650 °C, the α-U precipitates coarsened, and the dendritic microstructure disappeared because of microstructure homogenization. Furthermore, microchemical homogenization observed with energy-dispersive X-ray spectroscopy analysis suggests that α-U precipitates are approaching thermodynamic equilibrium in the 24-h annealed sample. The findings from this study have potential impacts on the manufacturing and computer modeling of metallic nuclear fuel.
A tunable ultrafast intensity-rotating optical field is generated by overlapping a pair of 20 Hz, 800 nm chirped pulses with a Michelson interferometer (MI). Its rotating rate can be up to 10 trillion radians per second ($\text{Trad}/\text{s}$), which can be flexibly tuned with a mirror in the MI. Besides, its fold rotational symmetry structure is also changeable by controlling the difference from the topological charges of the pulse pair. Experimentally, we have successfully developed a two-petal lattice with a tunable rotating speed from $3.9~\text{Trad}/\text{s}$ up to $11.9~\text{Trad}/\text{s}$, which is confirmed by our single-shot ultrafast frame imager based on noncollinear optical-parametric amplification with its highest frame rate of 15 trillion frames per second (Tfps). This work is carried out at a low repetition rate. Therefore, it can be applied at relativistic, even ultrarelativistic, intensities, which usually operate in low repetition rate ultrashort and ultraintense laser systems. We believe that it may have application in laser-plasma-based accelerators, strong terahertz radiations and celestial phenomena.
Identifying risk factors and mortality of individuals with Alzheimer’s disease (AD) could have important implications for the clinical management of AD.
Objective:
This pilot study aimed to examine the overall mortality of AD patients over a 10-year surveillance period in Shanghai, China. This study is an extension of our previous investigation on mortality of neurodegenerative diseases.
Methods:
One hundred and thirty-two AD patients recruited from the memory clinics of two hospitals in Shanghai in 2007 were followed up until December 31, 2017 or death, representing a follow-up period of up to 10 years. Overall standardized mortality ratios (SMRs) were calculated, and predictors for survival at recruitment were estimated.
Results:
Sixty-seven patients had died by December 31, 2017, and the SMR at 10 years of follow-up was 1.225 (95% confidence interval 0.944–1.563). Employing Cox’s proportional hazard modeling, lower Mini-Mental State Examination score, and comorbid diabetes predicted poor survival in this cohort.
Conclusion:
This pilot study suggests a similar survival trend of patients with AD compared to the general population in Shanghai urban region. Poor cognitive status and comorbid diabetes had a negative impact on the survival of AD patients.
We present an investigation of the root-mean-square (r.m.s.) temperature $\unicode[STIX]{x1D70E}_{T}$ and the r.m.s. velocity $\unicode[STIX]{x1D70E}_{w}$ in the bulk of Rayleigh–Bénard turbulence, using new experimental data from the current study and experimental and numerical data from previous studies. We find that, once scaled by the convective temperature $\unicode[STIX]{x1D703}_{\ast }$, the value of $\unicode[STIX]{x1D70E}_{T}$ at the cell centre is a constant ($\unicode[STIX]{x1D70E}_{T,c}/\unicode[STIX]{x1D703}_{\ast }\approx 0.85$) over a wide range of the Rayleigh number ($10^{8}\leqslant Ra\leqslant 10^{15}$) and the Prandtl number ($0.7\leqslant Pr\leqslant 23.34$), and is independent of the surface topographies of the top and bottom plates of the convection cell. A constant close to unity suggests that $\unicode[STIX]{x1D703}_{\ast }$ is a proper measure of the temperature fluctuation in the core region. On the other hand, $\unicode[STIX]{x1D70E}_{w,c}/w_{\ast }$, the vertical r.m.s. velocity at the cell centre scaled by the convective velocity $w_{\ast }$, shows a weak $Ra$-dependence (${\sim}Ra^{0.07\pm 0.02}$) over $10^{8}\leqslant Ra\leqslant 10^{10}$ at $Pr\sim 4.3$ and is independent of plate topography. Similar to a previous finding by He & Xia (Phys. Rev. Lett., vol. 122, 2019, 014503), we find that the r.m.s. temperature profile $\unicode[STIX]{x1D70E}_{T}(z)/\unicode[STIX]{x1D703}_{\ast }$ in the region of the mixing zone with a mean horizontal shear exhibits a power-law dependence on the distance $z$ from the plate, but now the universal profile applies to both smooth and rough surface topographies and over a wider range of $Ra$. The vertical r.m.s. velocity profile $\unicode[STIX]{x1D70E}_{w}(z)/w_{\ast }$ obeys a logarithmic dependence on $z$. The study thus demonstrates that the typical scales for the temperature and the velocity are the convective temperature $\unicode[STIX]{x1D703}_{\ast }$ and the convective velocity $w_{\ast }$, respectively. Finally, we note that $\unicode[STIX]{x1D703}_{\ast }$ may be utilised to study the flow regime transitions in ultrahigh-$Ra$-number turbulent convection.
To explore whether and how group cognitive-behavioural therapy (GCBT) plus medication differs from medication alone for the treatment of generalised anxiety disorder (GAD).
Methods:
Hundred and seventy patients were randomly assigned to the GCBT plus duloxetine (n=89) or duloxetine group (n=81). The primary outcomes were Hamilton Anxiety Scale (HAMA) response and remission rates. The explorative secondary measures included score reductions from baseline in the HAMA total, psychic, and somatic anxiety subscales (HAMA-PA, HAMA-SA), the Hamilton Depression Scale, the Severity Subscale of Clinical Global Impression Scale, Global Assessment of Functioning, and the 12-item Short-Form Health Survey. Assessments were conducted at baseline, 4-week, 8-week, and 3-month follow-up.
Results:
At 4 weeks, HAMA response (GCBT group 57.0% vs. control group 24.4%, p=0.000, Cohen’s d=0.90) and remission rates (GCBT group 21.5% vs. control group 6.2%, p=0.004; d=0.51), and most secondary outcomes (all p<0.05, d=0.36−0.77) showed that the combined therapy was superior. At 8 weeks, all the primary and secondary significant differences found at 4 weeks were maintained with smaller effect sizes (p<0.05, d=0.32−0.48). At 3-month follow-up, the combined therapy was only significantly superior in the HAMA total (p<0.045, d=0.43) and HAMA-PA score reductions (p<0.001, d=0.77). Logistic regression showed superiority of the combined therapy for HAMA response rates [odds ratio (OR)=2.12, 95% confidence interval (CI) 1.02−4.42, p=0.04] and remission rates (OR=2.80, 95% CI 1.27−6.16, p=0.01).
Conclusions:
Compared with duloxetine alone, GCBT plus duloxetine showed significant treatment response for GAD over a shorter period of time, particularly for psychic anxiety symptoms, which may suggest that GCBT was effective in changing cognitive style.
Three gravity cores (LZK1, ZKA4, and CSJA6) from the incised Yangtze paleo-valley comprise a thick sequence of the post-glacial deposit. Nineteen genera (26 species) of the benthic foraminifers are described from these cores, with detailed down-core foraminiferal variations to investigate their paleoenvironmental implications. Three foraminiferal assemblages are recognized for the lower, middle, and upper parts of the cores respectively. The lower part is dominated by Ammonia beccarii var. and Florilus decorus with lower abundance and diversity. In the middle part, the foraminifers are abundant and diverse, dominated by both Ammonia beccarii var. and Elphidium advenum. Cavarotalia annectens, Pararotalia nipponica, and porcellaneous benthic foraminiferal forms are always present, sometimes abundant. The upper part is characterized by the Ammonia beccarii-Elphidium magellanicum assemblage, except for the Core ZKA4, which is barren of foraminifers in this interval. AMS 14C dates and foraminiferal assemblages both confirm that the transgression-regression sequence in these cores belongs to the “Ammonia transgression” during the Holocene. In addition to documenting the post-glacial sea-level fluctuations, the benthic foraminifers also reflect a warmer climate during the early–middle Holocene. The foraminiferal differences among the three cores can be used to interpret the influence of seawater during the post-glacial sea-level fluctuations. The area in the vicinity of Core ZKA4 was affected by marine water only during the middle Holocene, which was much shorter than the areas of the other cores.
We present a systematic investigation of the effects of roughness geometry on turbulent Rayleigh–Bénard convection (RBC) over rough plates with pyramid-shaped and periodically distributed roughness elements. Using a parameter $\unicode[STIX]{x1D706}$ defined as the height of a roughness element over its base width, the heat transport, the flow dynamics and the local temperatures are measured for the Rayleigh number range $7.50\times 10^{7}\leqslant Ra\leqslant 1.31\times 10^{11}$ and Prandtl numbers $Pr$ from 3.57 to 23.34 at four values of $\unicode[STIX]{x1D706}$ (0.5, 1.0, 1.9 and 4.0). It is found that the heat transport scaling, i.e. $Nu\sim Ra^{\unicode[STIX]{x1D6FC}}$ where $Nu$ is the Nusselt number, may be classified into three regimes in turbulent RBC over rough plates. In Regime I, the system is in a dynamically smooth state. The heat transport scaling is the same as that in a smooth cell. In Regimes II and III, the heat transport is enhanced. When $\unicode[STIX]{x1D706}$ is increased from 0.5 to 4.0, $\unicode[STIX]{x1D6FC}$ increases from 0.36 to 0.59 in Regime II and it increases from 0.30 to 0.50 in Regime III. The experiment thus clearly demonstrates that the heat transport scaling in turbulent RBC can be manipulated using $\unicode[STIX]{x1D706}$ in the heat transport enhanced regime. Previous studies suggest that the transition to heat transport enhanced regime, i.e. from Regime I to Regime II, occurs when the thermal boundary layer (BL) thickness becomes smaller than the roughness height. Direct measurements of the viscous BL in the present study suggest that the transition from Regime II to Regime III is likely a result of the viscous BL thickness becoming smaller than the roughness height. The scaling exponent of the Reynolds number $Re$ with respect to $Ra$ changes from 0.471 to 0.551 when $\unicode[STIX]{x1D706}$ is increased from 0.5 to 4.0, suggesting a change of the dynamics of the large-scale circulation. Interestingly, the transition from Regime II to Regime III in terms of the heat transport scaling is not reflected in the $Re$ scaling with $Ra$. It is also found that increasing $\unicode[STIX]{x1D706}$ increases the clustering of thermal plumes which effectively increases the plume lifetime. This leads to a great increase in the probability of observing large temperature fluctuations in the bulk flow, which corresponds to the formation of more coherent plumes or plume clusters that are ultimately responsible for the enhanced heat transport.
It is important to fabricate iron-based nitride/conductive material composite to obtain good catalytic performance. In this work, Fe2N nanoparticles with diameter of approximately 30 nm have been successfully dispersed on the surface of nitrogen-doped graphite oxide (NrGO) by a facile sol–gel method and further ammonia atmosphere treatment. XPS, XRD, Raman, and TEM proved that Fe2N nanoparticles are well monodispersed, and nitrogen atoms are doped in NrGO. The composite possessed two merits, that is, the more catalytic active site in Fe2N nanoparticles due to the well monodispersion, and fast electron transfer due to the nitrogen dope in rGO. With the proper ratio, the composite exhibited brilliant catalytic activity and durability in acidic media. It possesses overpotential of 94 mV to approach 10 mA/cm2, a small Tefel slope of 49 mV/dec, and maintains the good electrocatalytic activity for 10 h. Cyclic voltammetry and electrochemical impedance spectroscopy indicated that the electrocatalyst possessed high catalytic active area and fast electron transfer. Our work may provide a new avenue for the preparation of low-cost iron-based nitride/NrGO composite for highly efficient electrochemical hydrogen evolution.
Excavation of the Han Dynasty chambered tomb at Laoguanshan in Chengdu, south-west China, has provided the earliest known evidence of pattern loom technology. Four model looms, along with accompanying artefacts and figurines relating to the weaving process, give insight into the technique of jin silk production. The discovery is hugely significant as it provides the first direct evidence of pattern-weave textile production in ancient China. Jin silk, made using this method, was both valuable and widely distributed, and the design of the machine influenced the invention of later looms and the spread of technology throughout Eurasia and Europe, representing great technological accomplishment for the second century BC.
Cancer patients with depression or anxiety have poor survival, and the interaction between mental and physical problems in older patients may exacerbate this problem. K-ras oncogene (KRAS) mutation may play a role in the development of psychosocial distress and may be associated with poor survival of metastatic colorectal cancer (mCRC) patients. This study investigated the association between KRAS gene mutations and psychosocial morbidity to explore the possible cancer/psychosis relationship in older mCRC patients.
Methods:
In this study, 62 newly diagnosed mCRC patients were recruited and completed the Hospital Anxiety and Depression Scale (HADS). Demographic data were also collected, and clinicopathological data were retrieved from medical records. KRAS mutations were assessed via PCR analysis of tissue specimens from the patients.
Results:
The results showed that 28 of the 62 participants (45.2%) had positive screens for possible depression, and 45 of the 62 participants (72.6%) had positive screens for anxiety. The KRAS mutation rate was 40.3% (25/62), and 19 of the 25 patients with KRAS mutations (76.0%) had probable depression, whereas only 24.3% of the patients with wild-type KRAS were probably depressed (p < 0.05). The KRAS mutation was associated with higher HADS depression scores, independent of gender and performance status (p < 0.05), but not with higher HADS anxiety or total scores.
Conclusions:
KRAS mutations were associated with depression severity and higher rates of probable depression in older mCRC patients. Depression should be assessed and treated as early as possible in older mCRC patients with the KRAS mutation. Further studies are needed to verify our current findings using a larger sample size.
There is an ongoing relationship between host plants and herbivores. The nutrient substances and secondary compounds found in the host plant can not only impact the growth and development process of herbivores, but, more importantly, may also affect their survival and reproductive fitness. Vitellogenesis is the core process of reproductive regulation and is generally considered as a reliable indicator for evaluating the degree of ovarian development in females. Vitellogenin (Vg) plays a critical role in the synthesis and secretion of yolk protein. In this study, the full-length cDNA of the Vg gene in an alien invasive species, the nipa palm hispid beetle Octodonta nipae Maulik (Coleoptera: Chrysomelidae) (OnVg) was cloned and, the effect of host plant on the OnVg expression level and ovarian development was investigated. The results revealed that the OnVg was highly and exclusively expressed in adult females, but barely detectable in larvae, pupae and adult males. The relative expression level of OnVg and egg hatchability were much higher in females fed on Phoenix canariensis (their preferred host) than those fed on Phoenix roebelenii. A positive correlation relationship between OnVg expression and egg hatchability was also detected. Additionally, the anatomy of the female reproductive system showed that the ovaries of individuals fed on P. canariensis were considerably more developed than in females fed on P. roebelenii. The results may be applicable to many pest management situations through reproductive disturbance by alternating host plant species or varieties or by reproductive regulation through vitellogenesis mediated by specific endocrine hormones.