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Despite Taiwan’s exclusion from many treaty regimes, Taiwan’s Constitutional Court (TCC) has at times cited international law, particularly international human rights norms. To analyse the authority and influence of these citations, this article proposes a typology along two dimensions: legal effect (whether the Court treats international norms as legally binding or merely advisory) and impact level (whether international norms are used to reaffirm or alter existing constitutional jurisprudence, or to guide future developments). Applying this framework reveals that the TCC’s traditional tendency to treat international norms as non-binding and reaffirming is evolving. In recent years, the TCC has increasingly invoked international law to articulate new rights protections and has begun to recognise its legal authority, suggesting a deeper engagement. Beyond the case study of Taiwan, this typology offers an analytical tool for distinguishing varying degrees of judicial engagement with international law and for underscoring the evolving nature of such engagement.
We numerically investigate the cellular detonation dynamics in ethylene/oxygen/ozone/nitrogen mixtures considering detailed chemical kinetics. The aim is to elucidate emergent detonation structures and reveal the transition mechanism from single- to double-cellular structures. Ozone is used to induce two-stage reactions within the mixture. Through systematic initiation strength analysis, we demonstrate two distinct propagation regimes: (i) under strong initiation, a stable double-cellular detonation is established; (ii) weak initiation triggers a multi-stage evolutionary process, beginning with a low-speed single-cellular detonation in the initiation zone. During the initial weak stage, the detonation propagates at a quasi-steady velocity with uniform cellular patterning. The subsequent transition phase features spontaneous acceleration accompanied by structural bifurcation into double cells, ultimately stabilising in a normal stage with sustained double-cellular structures. Further analysis reveals that the weak-stage dynamics is governed exclusively by first-stage chemical reactions, resulting in a single-cellular structure propagating at a velocity much lower than the Chapman–Jouguet speed. In contrast, the double-cellular structure observed at the normal stage results from the two-stage exothermic reactions. Thermodynamic perturbations arising from cellular instability and fluid dynamic instability are identified as critical drivers for the transition from single- to double-cellular detonation. Besides, conditions for the formation of double-cellular detonation are explored, and two qualitative requirements are summarised: the reactions of the two stages must proceed as independently as possible, and both heat releases from the two stages must be high enough to sustain the triple-shock configurations.
The hospitality industry’s commercial activities contribute to many negative environmental impacts; hence, promoting green restaurants is necessary. Considering the prevalent dining-out culture, green restaurants also bear the responsibility of changing people’s dietary habits to reduce greenhouse gas (GHG) emissions. This study examines how to increase people’s demand for green restaurants while changing their dietary habits to include more GHG-mitigating ingredients. Using the Attention, Interest, and Desire (AID) model and questionnaire survey, this study found that individuals exhibit a negative correlation between label attention and desire when interest is not considered. This may be attributed to the absence of sustainable social norms and values. In light of this, this study suggests that relevant government authorities could enhance subsidies for green restaurants, enabling them to compete with regular restaurants in terms of pricing, thereby accelerating the integration of green restaurants and GHG-mitigating ingredients into people’s daily lives.
We prove a scaling limit theorem for two-type Galton–Watson branching processes with interaction. The limit theorem gives rise to a class of mixed-state branching processes with interaction used to simulate evolution for cell division affected by parasites. Such processes can also be obtained by the pathwise-unique solution to a stochastic equation system. Moreover, we present sufficient conditions for extinction with probability 1 and the exponential ergodicity in the $L^1$-Wasserstein distance of such processes in some cases.
Danon disease is an X-linked disorder caused by variants in the lysosome-associated membrane protein-2 (LAMP2) gene located on Xq24. Due to its inheritance in an X-chromosome dominant manner, males typically experience more severe manifestations than females.
Method:
The whole exome sequencing was conducted on a cohort of 218 children diagnosed with hypertrophic cardiomyopathy; four children with hypertrophic cardiomyopathy carrying the LAMP2 variants were diagnosed at our centre. Variants in the LAMP2 gene were summarised, and their pathogenicity and conservation were analysed using bioinformatics methods. A retrospective analysis of genotype-phenotype associations was also conducted in conjunction with previously reported cases.
Results:
Four patients with Danon disease were diagnosed in our single centre by gene sequencing; they all presented with myocardial hypertrophy as the initial manifestation. Both male patients manifested symptoms from infancy, while disease onset in the two female cases occurred below the average age reported for females. Through gene sequencing, a total of four variants were identified in these four patients, including one splicing variant: c.865-1G>C, one loss of heterozygosity variant: loss1 exon:4-9), one frameshift variant: c.973delG(p.(L325Wfs×21)), and one stop codon variant: c.467T>G(p.(L156*)).
Conclusion:
This study identified four patients with LAMP2 gene variants, thereby enriching the documented genetic landscape of LAMP2-associated disorders. Bioinformatics analyses corroborated the pathogenicity of these variants. Additionally, we emphasised that women with suspected Danon disease should be thoroughly evaluated, and the possibility of implantable cardioverter defibrillator implantation and heart transplantation should be considered and discussed as early as possible.
To explore the treatment options and prognostic factors of vocal fold leukoplakia.
Methods
The study examined conservative and surgical treatment approaches, and analysed prognostic factors influencing vocal fold leukoplakia outcomes.
Results
In the conservative treatment group, lesion size (p = 0.035) and smoking (p < 0.001) were identified as independent factors influencing treatment outcomes. In the surgical treatment group, lesion size (p = 0.018) was identified as an independent factor affecting recurrence. There was no statistically significant difference in the effectiveness of conservative versus surgical treatment for patients with hyperplasia (p = 0.223), mild dysplasia (p = 0.634) and moderate dysplasia (p = 0.758).
Conclusion
Smoking and lesion size are key factors influencing the outcome of conservative treatment, while lesion size is a significant factor affecting recurrence in surgically treated patients. More importantly, conservative treatment should be prioritised for patients with moderate dysplasia and milder vocal fold leukoplakia.
Excessive zinc (Zn) intake can lead to Zn toxicity, causing adverse effects in gastrointestinal system. To date, there remains no definitive consensus on the mechanisms by which Zn overload induces cell death and intestinal injury. This study was to assess the toxicity mechanism of Zn overload in intestine, with a particular concentrate on oxidative stress and energy metabolism. We first explore the effects of short- and long-term Zn imbalances on intestinal health in mice. We found that the Zn imbalances resulted in oxidative damage, and impaired ketoglutarate dehydrogenase (α-KGDH) activity, which collectively contributed to a detrimental impact on the integrity of the intestinal barrier in mice. We next determined the dynamics of oxidative stress and energy metabolism in Zn overload treatment IPEC-J2 cells. Excessive Zn activated reactive oxygen species (ROS) overproduction and the PKC-NOX oxidative stress pathway. Moreover, the increase of mitochondrial Zn2+ caused mitochondrial ROS accumulation and influenced the expressions of α-KGDH andisocitrate dehydrogenase (IDH), two pivotal rate-limiting enzymes in tricarboxylic acid (TCA) cycle. Zn overload also significantly inhibited the expressions of key nicotinamide adenine dinucleotide (NAD+) synthesis enzymes, namely NMNAT1 and NAMPT, leading to a notable decline of NAD+ and ATP. Furthermore, rescue experiments showed supplementation of NAD+ or boosting NAD+ synthesis, but not antioxidants addition, could rescue Zn toxicity. The collective findings suggest NAD+ reduction is the primary factor contributing to intestinal Zn toxicity, although ROS also plays a role. This indicates that the modulation of NAD+ synthesis may prove an effective strategy for the minimization or elimination of Zn toxicity.
Persistent malnutrition is associated with poor clinical outcomes in cancer. However, assessing its reversibility can be challenging. The present study aimed to utilise machine learning (ML) to predict reversible malnutrition (RM) in patients with cancer. A multicentre cohort study including hospitalised oncology patients. Malnutrition was diagnosed using an international consensus. RM was defined as a positive diagnosis of malnutrition upon patient admission which turned negative one month later. Time-series data on body weight and skeletal muscle were modelled using a long short-term memory architecture to predict RM. The model was named as WAL-net, and its performance, explainability, clinical relevance and generalisability were evaluated. We investigated 4254 patients with cancer-associated malnutrition (discovery set = 2977, test set = 1277). There were 2783 men and 1471 women (median age = 61 years). RM was identified in 754 (17·7 %) patients. RM/non-RM groups showed distinct patterns of weight and muscle dynamics, and RM was negatively correlated to the progressive stages of cancer cachexia (r = –0·340, P < 0·001). WAL-net was the state-of-the-art model among all ML algorithms evaluated, demonstrating favourable performance to predict RM in the test set (AUC = 0·924, 95 % CI = 0·904, 0·944) and an external validation set (n 798, AUC = 0·909, 95 % CI = 0·876, 0·943). Model-predicted RM using baseline information was associated with lower future risks of underweight, sarcopenia, performance status decline and progression of malnutrition (all P < 0·05). This study presents an explainable deep learning model, the WAL-net, for early identification of RM in patients with cancer. These findings might help the management of cancer-associated malnutrition to optimise patient outcomes in multidisciplinary cancer care.
A dual-beam platform is developed for all-optical Thomson/Compton scattering, with versatile parameter tuning capabilities including electron energy, radiation energy, radiation polarization, etc. By integrating this platform with a 200 TW Ti:sapphire laser system, we demonstrate the generation of inverse Compton scattering X-/gamma-rays with tunable energies ranging from tens of keV to MeV. The polarization of X-/gamma-rays is manipulated by adjusting the polarization of the scattering laser. In the near future, by combining this platform with multi-PW laser facilities, our goal is to explore the transition from nonlinear Thomson scattering to nonlinear Compton scattering, ultimately verifying theories related to strong-field quantum electrodynamics effects induced by extreme scattering.
We investigated vitamin D (VitD) nutritional status in children aged 2–6 years to provide a basis for prevention and intervention strategies for VitD deficiency (VitDD) in Chinese children.
Design:
From November 2018 to September 2019, a total of 2192 healthy children aged 2–6 years were enrolled. The serum 25-hydroxyvitamin D (25(OH)D) concentrations were measured by liquid chromatography tandem MS.
Setting:
Twelve jurisdictions in eight provinces and cities across northern and southern China were selected through stratified cluster sampling.
Participants:
2192 children aged 2–6 years were enrolled.
Results:
(1) A serum 25(OH)D concentration of 23·87 (sd 8·24) ng/ml, a VitDS rate of 65·2 %, an insufficiency rate of 29·6 % and a deficiency rate of 5·2 % were noted. (2) Age (OR = 2·22, 95 % CI 1·86, 2·64) and spring (OR = 1·35, 95 % CI 0·91, 2·01) are risk factors for VitDD and VitDI. The male (OR = 0·68, 95 % CI 0·52, 0·90), the temperature (OR = 0·89, 95 % CI 0·86, 0·93), summer (OR = 0·25, 95 % CI 0·09, 0·68), autumn (OR = 0·26, 95 % CI 0·09, 0·74) the intake of VitD supplements (OR = 0·08, 95 % CI 0·03, 0·28), the intake frequency of dairy products (OR = 0·86, 95 % CI 0·78, 0·96) and egg products (OR = 0·83, 95 % CI 0·74, 0·93) are protective factors for VitDD and VitDI.
Conclusion:
VitDD in children aged 2–6 years is still prevalent in China, but the influencing factors of VitD nutrition have changed. Latitude is not the main factor in the 25(OH)D concentrations of children aged 2–6 years; temperature, intake of eggs and dairy products and sampling season have more obvious impacts.
Two-dimensional simulations incorporating detailed chemistry are conducted for detonation initiation induced by dual hot spots in a hydrogen/oxygen/argon mixture. The objective is to examine the transient behaviour of detonation initiation as facilitated by dual hot spots, and to elucidate the underlying mechanisms. Effects of hot spot pressure and distance on the detonation initiation process are assessed; and five typical initiation modes are identified. It is found that increasing the hot spot pressure promotes detonation initiation, but the impact of the distance between dual hot spots on detonation initiation is non-monotonic. During the initiation process, the initial hot spot autoignites, and forms the cylindrical shock waves. Then, the triple-shock structure, which is caused by wave collisions and consists of the longitudinal detonation wave, transverse detonation wave and cylindrical shock wave, dominates the detonation initiation behaviour. A simplified theoretical model is proposed to predict the triple-point path, whose curvature quantitatively indicates the diffraction intensity of transient detonation waves. The longitudinal detonation wave significantly diffracts when the curvature of the triple-point path is large, resulting in the failed detonation initiation. Conversely, when the curvature is small, slight diffraction effects fail to prevent the transient detonation wave from developing. The propagation of the transverse detonation wave is affected not only by the diffraction effects but also by the mixture reactivity. When the curvature of the triple-point trajectory is large, a strong cylindrical shock wave is required to compress the mixture, enhancing its reactivity to ensure the transverse detonation wave can propagate without decoupling.
This study aimed to investigate the relationship between serum folate levels and the risk of psoriasis by integrating observational study with Mendelian Randomisation (MR) analysis. We firstly conducted an observational study using data from the National Health and Nutrition Examination Survey (NHANES). Subsequently, genetic instruments were selected for two-sample MR analyses to investigate the causal relationship between serum folate levels and the risk of psoriasis. The observational study showed no significant association between serum folate levels and psoriasis. In the fully adjusted model, neither serum folate level as a continuous variable (OR = 0·99, 95 % CI: 0·98, 1·00, P = 0·071) nor serum folate quartiles Q4 compared to Q1 (OR = 0·83, 95 % CI: 0·58, 1·19, P = 0·309) showed statistical significance. The MR analysis revealed that higher genetically predicted serum folate levels from Icelandic and Danish populations were significantly associated with a reduced risk of psoriasis (OR = 0·63, 95 % CI: 0·45, 0·88, P = 0·005). Similarly, higher genetically predicted serum folate levels from South Asian populations were significantly associated with a lower risk of psoriasis (OR = 0·84, 95 % CI: 0·72, 0·98, P = 0·025). Integrating observational study with MR analysis suggests that serum folate levels are protective factors against psoriasis, indicating that higher serum folate levels may help prevent the onset of the disease.
This paper presents an investigation of the secondary saturation characteristics of a HfTe2 saturable absorber. Pulse energies of 5.85 and 7.4 mJ were demonstrated with a high-order Hermite–Gaussian (HG) laser and a vortex laser, respectively, using alexandrite as the gain medium. To the best of our knowledge, these are the highest pulse energies directly generated with HG and vortex lasers. To broaden the applications of high-energy pulsed HG and vortex lasers, wavelength tuning in the region of 40 nm was achieved using an etalon.
Schistosomiasis is a parasitic disease that imposes a significant burden on society. The eggs are the primary pathogenic factor in schistosomiasis, and their accumulation in liver could lead to the formation of granulomas and liver fibrosis. However, the metabolic changes in liver resulting from schistosomiasis remain poorly understood. We established a mouse model of schistosomiasis japonica, where the eggs accumulate in the liver and form egg granulomas. We used mass spectrometry imaging to analyze the differences in metabolites among various liver regions, including the liver tissue from normal mice, the liver area outside the granulomas in schistosomiasis mice, and the granuloma region in schistosomiasis mice. There were significant differences in metabolites between different liver regions, which enriched in metabolic pathways such as the biosynthesis of unsaturated fatty acids, taurine and hypotaurine metabolism, glycerophospholipid metabolism, glycolysis/gluconeogenesis, purine metabolism, arachidonic acid metabolism, and bile secretion. In normal liver tissue, higher concentrations of oleic acid (FA (18:1)), eicosapentaenoic acid (FA (20:5)), and L-glutamine were observed. In liver regions outside the granulomas, D-glucose and pyruvic acid were elevated compared to those in normal mice. Taurine increased in the liver of schistosomiasis. Meanwhile, there were elevated uric acid and spermidine in the egg granulomas. We employed mass spectrometry imaging technology to investigate metabolic reprogramming in liver of Schistosoma japonicum-infected mice. We explored the spatial distribution of differential metabolites in liver of schistosomiasis including unsaturated fatty acids, taurine, glutamine, spermidine, and uric acid. Our research provides valuable insights for further elucidating metabolic reprogramming in schistosomiasis.
This paper provides an overview of the current status of ultrafast and ultra-intense lasers with peak powers exceeding 100 TW and examines the research activities in high-energy-density physics within China. Currently, 10 high-intensity lasers with powers over 100 TW are operational, and about 10 additional lasers are being constructed at various institutes and universities. These facilities operate either independently or are combined with one another, thereby offering substantial support for both Chinese and international research and development efforts in high-energy-density physics.
The ubiquitous marine radiocarbon reservoir effect (MRE) constrains the construction of reliable chronologies for marine sediments and the further comparison of paleoclimate records. Different reference values were suggested from various archives. However, it remains unclear how climate and MREs interact. Here we studied two pre-bomb corals from the Hainan Island and Xisha Island in the northern South China Sea (SCS), to examine the relationship between MRE and regional climate change. We find that the MRE from east of Hainan Island is mainly modulated by the Southern Asian Summer Monsoon-induced precipitation (with 11.4% contributed to seawater), rather than wind induced upwelling. In contrast, in the relatively open seawater of Xisha Island, the MRE is dominated by the East Asian Winter Monsoon, with relatively more negative (lower) ΔR values associated with high wind speeds, implying horizontal transport of seawater. The average SCS ΔR value relative to the Marine20 curve is –161±39 14C years. Our finding highlights the essential role of monsoon in regulating the MRE in the northern SCS, in particularly the tight bond between east Asian winter monsoon and regional MRE.
The double-cone ignition scheme is a promising novel ignition method, which is expected to greatly save the driver energy and enhance the robustness of the implosion process. In this paper, ablation of the inner surface of the cone by the hard X-ray from coronal Au plasma is studied via radiation hydrodynamics simulations. It is found that the X-ray ablation of the inner wall will form strong pre-plasma, which will significantly affect the implosion process and cause the Au plasma to mix with the fuel, leading to ignition failure. The radiation and pre-ablation intensities in the system are estimated, and the evolutions of areal density, ion temperature and the distribution of Au ions are analysed. In addition, the mixing of Au in CH at collision is quantified. Then, a scheme to reduce the X-ray pre-ablation by replacing the gold cone with a tungsten cone is proposed, showing that it is effective in reducing high-Z mixing and improving collision results.
Stimulated Raman scattering is a third-order nonlinear optical effect that is not only effective for wavelength converting laser output, but also for single longitudinal-mode output due to the absence of spatial hole burning. Diamond is a prominent Raman-active medium that has significant potential for linewidth narrowing and wavelength converting lasers at high power levels due to its high thermal conductivity, long Raman frequency shift and wide spectral transmission range. In this work we utilize diamond in a resonantly mode-matched external cavity to achieve cascaded Raman conversion of a 1064 nm laser. By fine-tuning the length of this external cavity, we can obtain narrow linewidth emission at 1240 and 1485 nm. When operating at maximum power, the measured linewidths were more than twofold narrower than the linewidth of the fundamental field. In addition, the noise levels of the Stokes fields are lower than that of the fundamental field throughout the entire noise frequency range, and the intrinsic linewidth of the second Stokes field, which is expressed at the hertz level (~3.6 Hz), is decreased by approximately three orders of magnitude compared to that of the pump. This work represents the first measurement and analysis of the linewidth and noise characteristics of cascaded diamond Raman lasers and, significantly, offers a new means by which high-power, narrow linewidth laser output can be produced from wavelength-converted laser systems.