This meta-analysis assesses the relationship between vitamin D supplementation and incidence of major adverse cardiovascular events (MACE). PubMed, Web of science, Ovid, Cochrane Library and Clinical Trials were used to systematically search from their inception until July 2024. Hazard ratios (HR) and 95 % CI were employed to assess the association between vitamin D supplementation and MACE. This analysis included five randomised controlled trials (RCT). Pooled results showed no significant difference in the incidence of MACE (HR: 0·96; P = 0·77) and expanded MACE (HR: 0·96; P = 0·77) between the vitamin D intervention group and the control group. Further, the vitamin D intervention group had a lower incidence of myocardial infarction (MI), but the difference was not statistically significant (HR: 0·88, 95 % CI: 0·77, 1·01; P = 0·061); nevertheless, vitamin D supplementation had no effect on the reduced incidence of stroke (P = 0·675) or cardiovascular death (P = 0·422). Among males (P = 0·109) and females (P = 0·468), vitamin D supplementation had no effect on the reduced incidence of MACE. For participants with a BMI < 25 kg/m2, the difference was not statistically significant (P = 0·782); notably, the vitamin D intervention group had a lower incidence of MACE for those with BMI ≥ 25 kg/m2 (HR: 0·91, 95 % CI: 0·83, 1·00; P = 0·055). Vitamin D supplementation did not significantly contribute to the risk reduction of MACE, stroke and cardiovascular death in the general population, but may be helpful for MI. Notably, the effect of vitamin D supplementation for MACE was influenced by BMI. Overweight/obese people should be advised to take vitamin D to reduce the incidence of MACE.

Direct numerical simulations are performed to explore the impact of surface roughness on inter-scale energy transfer and interaction in a turbulent open-channel flow over differently arranged rough walls. With friction Reynolds number approximately 540, six distinct configurations of roughness arrangements are examined. The results show that the clustered roughness arrangements yield notable changes in large-scale secondary-flow structures, which manifest in the profiles of dispersive stresses, predominantly near the roughness elements. They are marked by the presence of spanwise alternating high-momentum pathways and low-momentum pathways. From the outer peak in the spanwise energy spectra, the size and intensity of turbulent secondary flows are shown to be related to the spanwise spacing of the roughness heterogeneity. The emergence of turbulent secondary flows serves to suppress the original large-scale structures in the outer region of smooth-wall turbulence, paving the way for the development of new turbulent structures at the second harmonic scale. Furthermore, the spanwise triadic interaction analysis reveals the mutual energy exchange between the secondary harmonic scale and the secondary-flow scale. These findings elucidate the underlying mechanisms behind the attenuation of large-scale structures in the outer region influenced by roughness, offering new insights into the dynamic interplay of scale interactions in rough-wall turbulence.

Glaciers play a crucial role in the Asian Water Tower, underscoring the necessity of accurately assessing their mass balance and ice volume to evaluate their significance as sustainable freshwater resources. In this study, we analyzed ground-penetrating radar (GPR) measurements from a 2020 survey of the Xiao Dongkemadi Glacier (XDG) to determine ice thickness, and we extended the glacier’s volume-change record to 2020 by employing multi-source remote-sensing data. Our findings show that the GPR-derived mean ice thickness of XDG in 2020 was 54.78 ± 3.69 m, corresponding to an ice volume of 0.0811 ± 0.0056 km3. From 1969 to 2020, the geodetic mass balance was −0.19 ± 0.02 m w.e. a−1, and the glacier experienced area and ice volume losses of 16.38 ± 4.66% and 31.01 ± 4.59%, respectively. The long-term mass-balance reconstruction reveals weak fluctuations occurred from 1967 to 1993 and that overall mass losses have occurred since 1994. This ongoing shrinkage and ice loss are mainly associated with the temperature increases in the warm season since the 1960s. If the climate trend across the central Tibetan Plateau follows to the SSP585 scenario, then XDG is at risk of disappearing by the end of the century.

The seminal Bolgiano–Obukhov (BO) theory established the fundamental framework for turbulent mixing and energy transfer in stably stratified fluids. However, the presence of BO scalings remains debatable despite their being observed in stably stratified atmospheric layers and convective turbulence. In this study, we performed precise temperature measurements with 51 high-resolution loggers above the seafloor for 46 h on the continental shelf of the northern South China Sea. The temperature observation exhibits three layers with increasing distance from the seafloor: the bottom mixed layer (BML), the mixing zone and the internal wave zone. A BO-like scaling $\alpha =-1.34\pm 0.10$ is observed in the temperature spectrum when the BML is in a weakly stable stratified ($N\sim 0.0018$ rad s$^{-1}$) and strongly sheared ($Ri\sim 0.0027$) condition, whereas in the unstably stratified convective turbulence of the BML, the scaling $\alpha =-1.76\pm 0.10$ clearly deviated from the BO theory but approached the classical $-$5/3 scaling in isotropic turbulence. This suggests that the convective turbulence is not the promise of BO scaling. In the mixing zone, where internal waves alternately interact with the BML, the scaling follows the Kolmogorov scaling. In the internal wave zone, the scaling $\alpha =-2.12 \pm 0.15$ is observed in the turbulence range and possible mechanisms are provided.

The efficacy of steady large-amplitude blowing/suction on instability and transition control for a hypersonic flat plate boundary layer with Mach number 5.86 is investigated systematically. The influence of the blowing/suction flux and amplitude on instability is examined through direct numerical simulation and resolvent analysis. When a relatively small flux is used, the two-dimensional instability critical frequency that distinguishes the promotion/suppression mode effect closely aligns with the synchronisation frequency. For the oblique wave, as the spanwise wavenumber increases, the suppression effects would become weaker and the mode suppression bandwidth diminishes/increases in general in the blowing/suction control. Increasing the blowing/suction flux can effectively broaden the frequency bandwidth of disturbance suppression. The influence of amplitude on disturbance suppression is weak in a scenario of constant flux. To gain a deeper insight into disturbance suppression mechanism, momentum potential theory (MPT) and kinetic energy budget analysis are further employed in analysing disturbance evolution with and without control. When the disturbance is suppressed, the blowing induces the transport of certain acoustic components along the compression wave out of the boundary layer, whereas the suction does not. The velocity fluctuations are derived from the momentum fluctuations of the MPT. Compared with the momentum fluctuations, the evolutions indicated by each component's velocity fluctuations greatly facilitate the investigations of the acoustic nature of the second mode. The rapid variation of disturbance amplitude near the blowing is caused by the oscillations of the acoustic component and phase speed differences between vortical and thermal components. Kinetic energy budget analysis is performed to address the non-parallel effect of the boundary layer introduced by blowing/suction, which tends to suppress disturbances near the blowing. Moreover, viscous effects leading to energy dissipation are identified to be stronger in regions where the boundary layer is rapidly thickening. Finally, it is demonstrated that a flat plate boundary layer transition triggered by a random disturbance can be delayed by a blowing/suction combination control. The resolvent analysis further demonstrates that disturbances with frequencies that dominate the early transition stage are dampened in the controlled base flow.

We report the unified constitutive law of vibroconvective turbulence in microgravity, i.e. $Nu \sim a^{-1} Re_{os}^\beta$ where the Nusselt number $Nu$ measures the global heat transport, $a$ is the dimensionless vibration amplitude, $Re_{os}$ is the oscillational Reynolds number and $\beta$ is the universal exponent. We find that the dynamics of boundary layers plays an essential role in vibroconvective heat transport and the $Nu$-scaling exponent $\beta$ is determined by the competition between the thermal boundary layer (TBL) and vibration-induced oscillating boundary layer (OBL). Then a physical model is proposed to explain the change of scaling exponent from $\beta =2$ in the TBL-dominant regime to $\beta = 4/3$ in the OBL-dominant regime. Our finding elucidates the emergence of universal constitutive laws in vibroconvective turbulence, and opens up a new avenue for generating a controllable effective heat transport under microgravity or even microfluidic environment in which the gravity effect is nearly absent.

Most natural and synthetic rubbers have inherently high flammability, a property which limits their uses. The aim of the present work was to study the effect of organo-montmorillonite (OMMT) and modified OMMT on the flame-retardance and mechanical properties of natural rubber (NR) composites. The OMMT was modified with hyper-branched polymer via condensation polymerization between the intercalation agent, N,N-di(2-hydroxyethyl)-N-dodecyl-N-methylammonium chloride, and the monomer, N,N-dihydroxyl-3-aminomethyl propionate. This modified OMMT was then reacted with phosphate, and a novel flame-retardant hyper-branched organic montmorillonite (FR-HOMMT) was thus obtained. The surface morphology, interlayer space, interlamellar structure, and thermal properties of these modified clays were investigated by Fourier-transform infrared spectroscopy, scanning electron microscopy, X-ray diffraction, and thermogravimetric analysis. The FR-HOMMT showed increased basal spacing and better thermal stabilities due to the different arrangement and thermal stability of the novel organic macromolecular surfactant. Natural rubber NR/OMMT and NR/FR-HOMMT composites were prepared by conventional compounding with OMMT and the phosphorus-based organo-montmorillonite. The cure characteristics, tensile strength, wear resistance, thermal stabilities, and flame-retardant properties were researched and compared. The best dispersion of this modified clay was observed for 20 phr (parts per hundred of rubber) of FR-HOMMT-filled composite, which resulted in the best mechanical performance with an increase of 47% in tensile strength, of 40% in elongation at break, and decrease of 140% in abrasion loss compared with 20 phr of the OMMT-filled matrix. A mechanism for reinforcing and flame retardance is proposed here. The 'anchor' effect caused by the hyper-branched polymer may decrease the number and size of the voids in the NR matrix, and thus increase the crack path during tensile drawing. Meanwhile, the flame retardance of the OMMT and the phosphate may increase the number of carbonaceous layers, thus inhibiting the degree of pyrolysis of the NR matrix during burning.

This study investigates the effect of vibration on the flow structure transitions in thermal vibrational convection (TVC) systems, which occur when a fluid layer with a temperature gradient is excited by vibration. Direct numerical simulation (DNS) of TVC in a two-dimensional enclosed square box is performed over a range of dimensionless vibration amplitudes $0.001 \le a \le 0.3$ and angular frequencies $10^{2} \le \omega \le 10^{7}$, with a fixed Prandtl number of 4.38. The flow visualisation shows the transition behaviour of flow structure upon the varying frequency, characterising three distinct regimes, which are the periodic-circulation regime, columnar regime and columnar-broken regime. Different statistical properties are distinguished from the temperature and velocity fluctuations at the boundary layer and mid-height. Upon transition into the columnar regime, columnar thermal coherent structures are formed, in contrast to the periodic oscillating circulation. These columns are contributed by the merging of thermal plumes near the boundary layer, and the resultant thermal updrafts remain at almost fixed lateral position, leading to a decrease in fluctuations. We further find that the critical point of this transition can be described nicely by the vibrational Rayleigh number ${{Ra}}_{vib}$. As the frequency continues to increase, entering the so-called columnar-broken regime, the columnar structures are broken, and eventually the flow state becomes a large-scale circulation (LSC), characterised by a sudden increase in fluctuations. Finally, a phase diagram is constructed to summarise the flow structure transition over a wide range of vibration amplitude and frequency parameters.

Direct numerical simulations (DNSs) are performed to investigate the roughness effects on the statistical properties and the large-scale coherent structures in the turbulent channel flow over three-dimensional sinusoidal rough walls. The outer-layer similarities of mean streamwise velocity and Reynolds stresses are examined by systematically varying the roughness Reynolds number $k^{+}$ and the ratio of the roughness height to the half-channel height $k / \delta$. The energy transfer mechanism of turbulent motions in the presence of roughness elements with different sizes is explored through spectral analysis of the transport equation of the two-point velocity correlation and the scale-energy path display of the generalized Kolmogorov equation. The results show that, with increasing $k^+$, the downward shift of the mean streamwise velocity profile in the logarithmic region increases and the peak intensities of turbulent Reynolds stresses decrease. At an intermediate Reynolds number ($Re_{\tau }= 1080$), the length scale and intensity of the large-scale coherent structures increase for a small roughness ($k^{+}=10$), which leads to failure of the outer-layer similarity in rough-wall turbulence, and decrease for a large roughness ($k^{+}=60$), as compared with the smooth-wall case. The existence of the small roughness ($k^{+}=10$) enhances the mechanism of inverse energy cascade from the inner-layer small-scale structures to the outer-layer large-scale structures. Correspondingly, the self-sustaining processes of the outer-layer large-scale coherent structures, including turbulent production, interscale transport, pressure transport and spatial turbulent transport, are all enhanced, whereas the large roughness ($k^{+}=60$) weakens the energy transfer between the inner and outer regions.

Piezoelectric macro-fibre composite (MFC) actuators are employed onto the flexible leeward surface of an airfoil for active control. Time-resolved aerodynamic forces, membrane deformations and flow fields are synchronously measured at low Reynolds number (Re = 6 × 104). Mean aerodynamics show that the actively controlled airfoil can achieve lift-enhancement and drag-reduction simultaneously in the angle of attack range of 10° ≤ α ≤ 14°, where the rigid airfoil encounters stall. The maximum increments of lift and lift-to-drag ratio are 27.1 % and 126 % at the reduced actuation frequency of ${f^ + } = 3.52$. The unsteady coupling features are further analysed at α = 12°, where the maximum lift-enhancement occurs. It is newly discovered that the membrane vibrations and flow fields are locked into half of the actuation frequency when ${f^ + } > 3$. The shift of the dominant vibration mode from bending to inclining is the reason for the novel ‘half-frequency lock-in’ phenomenon. To the fluid–structure interaction, there are three characteristic frequencies for the actively controlled airfoil: $S{t_1} = 0.5{f^ + }$, $S{t_2} = {f^ + }$, and $S{t_3} = 1.5{f^ + }$. Here, St1 and its harmonics (St2, St3) are coupled with the natural frequencies of the leading-edge shear layer, resulting in the generation of multi-scale flow structures and suppression of flow separation. The lift presents comparable dominant frequencies between St1 and St3, which means the instantaneous lift is determined by the flow structures of St1 and St3. The local membrane bulge and dent affect the instantaneous swirl strength of flow structures near the maximum vibration amplitude location, which is the main reason for the variation of instantaneous lift.

We aimed to examine the association between the quantity and quality of dietary fat in early pregnancy and gestational diabetes mellitus (GDM) risk. In total, 1477 singleton pregnant women were included from Sichuan Provincial Hospital for Women and Children, Southwest China. Dietary information was collected by a 3-d 24-h dietary recall. GDM was diagnosed based on the results of a 75-g, 2-h oral glucose tolerance test at 24–28 gestational weeks. Log-binomial models were used to estimate relative risks (RR) and 95% CI. The results showed that total fat intake was positively associated with GDM risk (Q4 v. Q1: RR = 1·40; 95 % CI 1·11, 1·76; Ptrend = 0·001). This association was also observed for the intakes of animal fat and vegetable fat. After stratified by total fat intake (< 30 %E v. ≥ 30 %E), the higher animal fat intake was associated with higher GDM risk in the high-fat group, but the moderate animal fat intake was associated with reduced risk of GDM (T2 v. T1: RR = 0·65; 95 % CI 0·45, 0·96) in the normal-fat group. Vegetable fat intake was positively associated with GDM risk in the high-fat group but not in the normal-fat group. No association between fatty acids intakes and GDM risk was found. In conclusion, total fat, animal and vegetable fat intakes were positively associated with GDM risk, respectively. Whereas when total fat intake was not excessive, higher intakes of animal and vegetable fat were likely irrelevant with increased GDM risk, even the moderate animal fat intake could be linked to lower GDM risk.

No relevant studies have yet been conducted to explore which measurement can best predict the survival time of patients with cancer cachexia. This study aimed to identify an anthropometric measurement that could predict the 1-year survival of patients with cancer cachexia. We conducted a nested case–control study using data from a multicentre clinical investigation of cancer from 2013 to 2020. Cachexia was defined using the Fearon criteria. A total of 262 patients who survived less than 1 year and 262 patients who survived more than 1 year were included in this study. Six candidate variables were selected based on clinical experience and previous studies. Five variables, BMI, mid-arm circumference, mid-arm muscle circumference, calf circumference and triceps skin fold (TSF), were selected for inclusion in the multivariable model. In the conditional logistic regression analysis, TSF (P = 0·014) was identified as a significant independent protective factor. A similar result was observed in all patients with cancer cachexia (n 3084). In addition, a significantly stronger positive association between TSF and the 1-year survival of patients with cancer cachexia was observed in participants aged > 65 years (OR: 0·94; 95 % CI 0·89, 0·99) than in those aged ≤ 65 years (OR: 0·96; 95 % CI 0·93, 0·99; Pinteraction = 0·013) and in participants with no chronic disease (OR: 0·92; 95 % CI 0·87, 0·97) than in those with chronic disease (OR: 0·97; 95 % CI 0·94, 1·00; Pinteraction = 0·049). According to this study, TSF might be a good anthropometric measurement for predicting 1-year survival in patients with cancer cachexia.

We aimed to examine the association between low-carbohydrate diet (LCD) scores during the first trimester and gestational diabetes mellitus (GDM) risk in a Chinese population. A total of 1455 women were included in 2017. Dietary information during the first trimester was collected by 24-h dietary recalls for 3 d. The overall, animal and plant LCD scores, which indicated adherence to different low-carbohydrate dietary patterns, were calculated. GDM was diagnosed based on the results of a 75-g, 2-h oral glucose tolerance test at 24–28 weeks gestation. Log-binomial models were used to estimate relative risks (RR) and 95 % CI. The results showed that the multivariable-adjusted RR of GDM from the lowest to the highest quartiles of the overall LCD score were 1·00 (reference), 1·15 (95 % CI 0·92, 1·42), 1·30 (95 % CI 1·06, 1·60) and 1·24 (95 % CI 1·01, 1·52) (P = 0·026 for trend). Multivariable-adjusted RR (95 % CI) of GDM from the lowest to the highest quartiles of the animal LCD score were 1·00 (reference), 1·20 (95 % CI 0·96, 1·50), 1·41 (95 % CI 1·14, 1·73) and 1·29 (95 % CI 1·04, 1·59) (P = 0·002 for trend). After additional adjustment for gestational weight gain before GDM diagnosis, the association of the overall LCD score with GDM risk was non-significant, while the association of animal LCD score with GDM risk remained significant. In conclusion, a low-carbohydrate dietary pattern characterised by high animal fat and protein during the first trimester is associated with an increased risk of GDM in Chinese women.

A roughness scaling behaviour is tested by performing the direct numerical simulation (DNS) of a turbulent channel flow over three-dimensional sinusoidal rough walls. By systematically varying the roughness height ${{k}^{+}}$ and the roughness steepness S, the results for three groups of cases are considered and compared with those for flat-wall turbulence. The results show that the mean velocity and Reynolds stresses are highly dependent on both ${{k}^{+}}$ and S. To describe these specific relationships, we define a coupling scale ${{k}^{+}} S$. With this coupling scale, all the simulated data for the roughness function (${\rm \Delta} {{U}^{+}}$), the ratio of the pressure drag to the total wall resistance (${{\gamma }_{p}}$), the normalized bulk mean velocity ($U_{b}^{+}$) and the peak of the streamwise turbulent velocity fluctuations ($\overline {u_{p}^{\prime +}}$) collapse onto single curves, which shows that there is a strong direct correlation between them, i.e. ${\rm \Delta} U^{+}, \gamma _{p}, U_{b}^{+}, \overline {u_{p}^{\prime +}} \propto f(k^{+} S)$. Furthermore, a model for the prediction of wall resistance based on the roughness function can be established by defining a drag increasing ratio (DI). Accordingly, the wall resistance coefficient ${{C}_{f}}$ can be estimated directly from ${{k}^{+}}S$ of a given rough surface. These results suggest that this coupling scale provides a useful alternative to the equivalent sand grain roughness ${{k}_{s}}$.

Al-based composites with micrometer and submicro-TiB2 reinforcements (1 wt%) have been produced by selective laser melting (SLM) from mixed powder under different processing conditions. The results show that the densification level of SLM-processed composite with submicro-TiB2 particles (>99.0%) was 0.3–2.4% larger than that of micrometer TiB2-reinforced composite under the same processing conditions. The distribution of Si precipitates in the matrix experienced a transform from continuous cellular to directional line-like morphology with reinforcement size decreasing from micron to submicron. The reinforcement size added in the matrix also exhibited a critical influence on preferred orientation and grain size of matrix. The SLM-processed composites exhibited improved tensile strength and ductility with a decrease of reinforcement size. High tensile strength of ∼400 MPa and elongation of ∼3.6% were obtained for the fine TiB2-reinforced samples, increasing by 6 and 13% compared with that of micro-TiB2–added samples, respectively.