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This paper presents a novel robust control method for a hip-assist exoskeleton robot’s joint module, addressing dynamic performance under variable loads. The proposed approach integrates traditional PID control with robust, model-based strategies, utilizing the system’s dynamic model and a Lyapunov-based robust controller to handle uncertainties. This method not only enhances traditional PID control but also offers practical advantages in implementation. Theoretical analysis confirms the system’s uniform boundedness and ultimate boundedness. A Matlab prototype was developed for simulation, demonstrating the control scheme’s feasibility and effectiveness. Numerical simulations show that the proposed fractional-order hybrid PD (FHPD) controller significantly reduces tracking error by 58.70% compared to the traditional PID controller, 55.41% compared to the MPD controller, and 32.32% compared to ADRC, highlighting its superior tracking performance and stability.
The emergence, on the Loess Plateau of Central China, of settlements enclosed by circular ditches has engendered lively debate about the function of these (often extensive) ditch systems. Here, the authors report on a suite of new dates and sedimentological analyses from the late Yangshao (5300–4800 BP) triple-ditch system at the Shuanghuaishu site, Henan Province. Exploitation of natural topographic variations, and evidence for ditch maintenance and varied water flows, suggests a key function in hydrological management, while temporal overlap in the use of these three ditches reveals the large scale of this endeavour to adapt to the pressures of the natural environment.
This study utilises large-eddy simulation with the actuator line model to examine the effects of the tip speed ratio (TSR) on the wake-meandering characteristics of a wind turbine in uniform and turbulent inflows. It is shown that as the TSR grows, the onset position of the wake meandering moves closer to the rotor, and the magnitude of wake oscillation is stronger. This aligns with previous work showing that a higher TSR can accelerate the instability and breakdown of tip vortices. Without a nacelle, the Strouhal number of the wake meandering is found to be independent of the TSR under both the uniform and turbulent inflows. However, with a relatively large nacelle, the Strouhal number first increases and then decreases with TSR. Therefore, the current discovery elucidates the crucial role of the nacelle and clarifies the origin of the TSR dependence of the Strouhal number in wake meandering. In addition, the characteristic frequency of the wake meandering under the turbulent inflow is much smaller than that under the uniform inflow, because of the significant influence of the freestream turbulence. Furthermore, the proper orthogonal decomposition (POD) and spectral POD (SPOD) methods are employed to study the spatiotemporal characteristics of the meandering wake and its TSR dependence. It is found that the tip and root vortices are the prominent wake structures under the uniform inflow, whereas more complex multiscale structures from the interaction between the freestream turbulence and tip/root vortices exist under the turbulent inflow. Moreover, an amplitude modulation phenomenon of the POD time coefficients at the optimal TSR is observed in the uniform inflow case. Finally, a reduced-order model is constructed for predicting the wake dynamics by combining the SPOD and the ‘sparse identification of nonlinear dynamics’ algorithm with high accuracy and interpretability.
Caused by multiple risk factors, heavy burden of major depressive disorder (MDD) poses serious challenges to public health worldwide over the past 30 years. Yet the burden and attributable risk factors of MDD were not systematically known. We aimed to reveal the long-term spatio-temporal trends in the burden and attributable risk factors of MDD at global, regional and national levels during 1990–2019.
Methods
We obtained MDD and attributable risk factors data from Global Burden of Disease Study 2019. We used joinpoint regression model to assess the temporal trend in MDD burden, and age–period–cohort model to measure the effects of age, period and birth cohort on MDD incidence rate. We utilized population attributable fractions (PAFs) to estimate the specific proportions of MDD burden attributed to given risk factors.
Results
During 1990–2019, the global number of MDD incident cases, prevalent cases and disability-adjusted life years (DALYs) increased by 59.10%, 59.57% and 58.57%, respectively. Whereas the global age-standardized incidence rate (ASIR), age-standardized prevalence rate (ASPR) and age-standardized DALYs rate (ASDR) of MDD decreased during 1990–2019. The ASIR, ASPR and ASDR in women were 1.62, 1.62 and 1.60 times as that in men in 2019, respectively. The highest age-specific incidence, prevalence and DALYs rate occurred at the age of 60–64 in women, and at the age of 75–84 in men, but the maximum increasing trends in these age-specific rates occurred at the age of 5–9. Population living during 2000–2004 had higher risk of MDD. MDD burden varied by socio-demographic index (SDI), regions and nations. In 2019, low-SDI region, Central sub-Saharan Africa and Uganda had the highest ASIR, ASPR and ASDR. The global PAFs of intimate partner violence (IPV), childhood sexual abuse (CSA) and bullying victimization (BV) were 8.43%, 5.46% and 4.86% in 2019, respectively.
Conclusions
Over the past 30 years, the global ASIR, ASPR and ASDR of MDD had decreased trends, while the burden of MDD was still serious, and multiple disparities in MDD burden remarkably existed. Women, elderly and populations living during 2000–2004 and in low-SDI regions, had more severe burden of MDD. Children were more susceptible to MDD. Up to 18.75% of global MDD burden would be eliminated through early preventing against IPV, CSA and BV. Tailored strategies-and-measures in different regions and demographic groups based on findings in this studywould be urgently needed to eliminate the impacts of modifiable risk factors on MDD, and then mitigate the burden of MDD.
Trailing-edge serrations inspired by owls are capable of reducing broadband noise. In this study, the wall-resolved large-eddy simulations (LES) are carried out on the flow over NACA-0012 airfoil with additional serrated trailing edges. The computations are conducted with the high-order flux reconstruction method on unstructured meshes. Three kinds of serrations with different lengths are studied and compared with the straight trailing-edge case, and all three types of serration achieved a certain degree of noise reduction. Presently, the medium-length serration achieves the best noise reduction effect. The maximum decrease of overall sound pressure level is approximately 2.4 dB, implying that the length of serration has a substantial impact on the noise reduction effect. The serration has no significant effect on the upstream turbulence statistics, but it changes the flow structure near the serration, such as inducing side vortex pairs attached to the serration edges. Moreover, dynamic mode decomposition shows that the pressure structures vary with the serration length. For the most unstable hydrodynamic wave, the spanwise coherence of the mode structure of pressure in the upstream boundary layer is weakened. In addition, serrations can redistribute the dipole sources on the surfaces of airfoil and serrations. The destructive interference is enhanced to some extent, which is favourable for noise reduction. In contrast with LES simulations, the pure dipole analysis shows that the longest serration case seems to be the best. Furthermore, a recently developed noise theory is used to evaluate the influence of serrations on the flow noise sources qualitatively and quantitatively. It is found that the serrations can mitigate noise source intensity near the serration edges but increase the source intensity in the near wake. The combined effect of serration on the dipole source and flow noise source determines the overall noise reduction effect. To conclude, destructive interference plays a primary role in suppressing noise radiation by serrated trailing edges, and the dual effect of flow noise sources should be considered in future serration designs. As the influence of turbulence structure will make it more difficult to find the optimal serration parameters, the position of high-fidelity simulation will become increasingly important.
We present an experimental study on controlling the number of vortices and the torque in a Taylor–Couette flow of water for Reynolds numbers from 660 to 1320. Different flow states are achieved in the annulus of width $d$ between the inner rotating and outer stationary cylinders through manipulating the initial height of the water annulus. We show that the torque exerted on the inner cylinder of the Taylor–Couette system can be reduced by up to 20 % by controlling the flow at a state where fewer than the nominal number of vortices develop between the cylinders. This flow state is achieved by starting the system with an initial water annulus height $h_0$ (which nominally corresponds to $h_0/d$ vortices), then gradually adding water into the annulus while the inner cylinder keeps rotating. During this filling process the flow topology is so persistent that the number of vortices does not increase; instead, the vortices are greatly stretched in the axial (vertical) direction. We show that this state with stretched vortices is sustainable until the vortices are stretched to around 2.05 times their nominal size. Our experiments reveal that by manipulating the initial height of the liquid annulus we are able to generate different flow states and demonstrate how the different flow states manifest themselves in global momentum transport.
Social anxiety disorder (SAD) is a prevalent mental disorder diagnosed in childhood and adolescence. Theories regarding brain development and SAD suggest a close link between neurodevelopmental dysfunction at the adolescent juncture and SAD, but direct evidence is rare. This study aims to examine brain structural abnormalities in adolescents with SAD.
Methods
High-resolution T1-weighted images were obtained from 31 adolescents with SAD (15–17 years) and 42 matching healthy controls (HC). We evaluated symptom severity with the Social Anxiety Scale for Children (SASC) and the Screen for Child Anxiety Related Emotional Disorders (SCARED). We used voxel-based morphometry analysis to detect regional gray matter volume abnormalities and structural co-variance analysis to investigate inter-regional coordination patterns.
Results
We found significantly higher gray matter volume in the orbitofrontal cortex (OFC) and the insula in adolescents with SAD compared to HC. We also observed significant co-variance of the gray matter volume between the OFC and amygdala, and the OFC and insula in HC, but these co-variance relationships diminished in SAD.
Conclusions
These findings provide the first evidence that the brain structural deficits in adolescents with SAD are not only in the core regions of the fronto-limbic system, but also represented by the diminished coordination in the development of these regions. The delayed and unsynchronized development pattern of the fronto-limbic system supports SAD as an adolescent-sensitive developmental mental disorder.
China has made great achievements in health insurance coverage and healthcare financing. Nonetheless, the rate of catastrophic health expenditure (CHE) in China was 13 percent in 2008, which is higher than in some other countries. There are differences among the provinces in China in terms of the lifestyles, customs, prevalent medical conditions, and health consciousness of their populations. This study aimed to compare the proportion of households with CHE and the factors influencing this expenditure between the Zhejiang and Qinghai province in China.
Methods
Data were derived from household surveys conducted in Zhejiang and Qinghai. Sampling was based on a multi-stage, stratified random cluster method. Households with CHE were defined as those with an out-of-pocket payment for health care that was at least 40 percent of the household income. Univariate and multivariate logistic regression analyses were used to identify the factors associated with CHE.
Results
A total of 1,598 households were included: 995 in Zhejiang and 603 in Qinghai. The average rates of CHE in Zhejiang and Qinghai were 10 percent and 31 percent, respectively. The economic status of a household influenced the likelihood of experiencing CHE; households headed by an employed person were less likely to experience CHE. In contrast, households that included outpatients or individuals with chronic diseases had a higher risk of experiencing CHE across the two provinces. Poorer or uninsured households in Zhejiang were more likely to experience CHE, as were households in Qinghai that included outpatients or were headed by a person from a minority nationality.
Conclusions
This study highlighted the importance of promoting economic development, expanding employment, and adjusting policies to better protect individuals with chronic diseases and outpatients from the risk of CHE. The Chinese government should pay more attention to actual conditions in different provinces to ensure that policy decisions incorporate local knowledge.
With the fast speed of aging, burden from non-communicable diseases (NCDs) is increasing in China, and will continue to increase to 2020 and beyond. This study aims to estimate the potential gains in health-adjusted life expectancy (HALE) after hypothetical elimination of four NCDs among Chinese elderly from 1990 to 2016, including cardiovascular diseases (CVD), cancers, chronic respiratory diseases (CRD) and diabetes mellitus (DM).
Methods
Based on data from Global Burden of Disease 2016, we generated life table by gender using Sullivan method to calculate HALE. Disease-deleted method was used to calculate cause-elimination HALE, after hypothetical elimination of specific diseases. This method could combine the impact of mortality and morbidity, which are particularly useful for estimating the impact of the disease and setting priorities for health planning to get ready for the new challenges in upcoming decade.
Results
From 1990 to 2016, HALE increased for all age groups. After hypothetically eliminating the four main NCDs, potential gain in HALE by CVD, DM and cancers increased, while CRD decreased from 1990 to 2016 for both genders. Among four main NCDs, potential gain in HALE after eliminating CVD was largest and increased most for both genders. Although elimination of DM led to the smallest gain in HALE, the increasing speed of gain in HALE by DM was faster than that by CVD and cancers from 1990 to 2016.
Conclusions
This study highlights the potential gains in HALE of NCDs among Chinese elderly from 1990 to 2016. HALE of Chinese elderly could further increase from the reduction of NCDs. Control measures and targeted prevention should be carried out to get ready for the new decade.
The aim of the study was to estimate the cost-effectiveness of esophageal cancer (EC) screening compared to non-screening in China.
Methods
A Markov model was conducted that followed the history of EC. Screening strategies targeted a population aged 40-69 years, classified into six age groups. Each age group had three cohorts: screening without follow-up, screening with yearly follow-up for low-grade intraepithelial neoplasia (LGIN), and non-screening. Life years (LYs) and quality-adjusted life years (QALYs) presented the effectiveness and utility. The incremental cost-effectiveness ratio (ICER) and incremental cost-utility ratio (ICUR) were evaluating indicators. Eighteen cohorts from 100,000 hypothetical individuals were used to run the model, until aged 79 years or death. Costs were changed into USD using the purchasing power parity of 3.506 in 2017. The willingness-to-pay was set as three times the gross domestic product per capita (USD 51,340.6) in 2017. A sensitivity analysis was introduced to assess model robustness.
Results
Screening with follow-up compared to non-screening, ages 40-44, 45-49, and 50-54 years, showed cost-effectiveness, with one LY gained costing USD 6,875.0, USD 9,204.6, and USD 25,278.6, respectively. Ages 40-44 and 45-49 years explained cost-utility, with ICURs of USD 6,709.4/QALY and USD 13,991.4/QALY, respectively. Screening without follow-up compared to non-screening, ages 40-54 years, addressed cost-effectiveness, with one LY gained costing USD 6,934.8, USD 9,760.0, and USD 35,126.0 in ages 40-44, 45-49, and 50-54 years, respectively; the 40-44 years age group demonstrated cost-utility with an ICUR of USD 8,512.3/QALY. Screening with follow-up compared to screening without follow-up, all ages, explained cost-effectiveness and cost-utility. The probabilistic sensitivity analysis supported the outcome of the base cohort analysis.
Conclusions
Compared to non-screening, screening with follow-up targeting ages 40-54 years was highly recommended with the ICER as the evaluated indicator, whereas it targeting ages 40-49 years was suggested with the ICUR as indicator.
U.S. multinational enterprises repatriated over $300 billion under the 2004 tax holiday. The repatriated funds can improve debt financing environment of nonrepatriating firms, especially those that are financially constrained. We document that such an externality of the tax holiday increases debt financing and consequently investments for financially constrained nonrepatriating firms relative to less constrained nonrepatriating firms. Using private loan market data, we further confirm a link from repatriated funds to increased debt financing for financially constrained nonrepatriating firms. Overall, the 2004 tax holiday appears to have benefited the U.S. economy through its positive externality on the debt market.
Isolated gametes can be used to investigate fertilization mechanisms, and probe distant hybridization between different species. Pollen grains of wheat and Setaria viridis are tricellular, containing sperm cells at anthesis. Sperm from these plants were isolated by breaking open pollen grains in a osmotic solution. Wheat ovules were digested in an enzyme solution for 20 min, and then transferred to an isolation solution without enzymes to separate egg cells from ovules. The fusion of wheat egg cells with wheat and S. viridis sperm was conducted using an electro-fusion apparatus. Under suitable osmotic pressure (10% mannitol), calcium concentration of 0.001% (CaCl2·2H2O), and a 30–35 V alternating electric field for 15 s, egg cells and sperm adhered to each other and became arranged in a line. Electroporation of the plasma membrane of egg cells and sperm using a 300–500 V direct-current electric field (45 µs amplitude pulse) caused them to fuse.
Direct numerical simulation is conducted to uncover the response of a supersonic turbulent boundary layer to streamwise concave curvature and the related physical mechanisms at a Mach number of 2.95. Streamwise variations of mean flow properties, turbulence statistics and turbulent structures are analysed. A method to define the boundary layer thickness based on the principal strain rate is proposed, which is applicable for boundary layers subjected to wall-normal pressure and velocity gradients. While the wall friction grows with the wall turning, the friction velocity decreases. A logarithmic region with constant slope exists in the concave boundary layer. However, with smaller slope, it is located lower than that of the flat boundary layer. Streamwise varying trends of the velocity and the principal strain rate within different wall-normal regions are different. The turbulence level is promoted by the concave curvature. Due to the increased turbulence generation in the outer layer, secondary bumps are noted in the profiles of streamwise and spanwise turbulence intensity. Peak positions in profiles of wall-normal turbulence intensity and Reynolds shear stress are pushed outward because of the same reason. Attributed to the Görtler instability, the streamwise extended vortices within the hairpin packets are intensified and more vortices are generated. Through accumulations of these vortices with a similar sense of rotation, large-scale streamwise roll cells are formed. Originated from the very large-scale motions and by promoting the ejection, sweep and spanwise events, the formation of large-scale streamwise roll cells is the physical cause of the alterations of the mean properties and turbulence statistics. The roll cells further give rise to the vortex generation. The large number of hairpin vortices formed in the near-wall region lead to the improved wall-normal correlation of turbulence in the concave boundary layer.
Equity is the core of primary care. The issue of equity in health has become urgent and China has attached increasing attention to it. With rapid economic development and great change of the policy on medical insurance, the pattern of equity in health has changed a lot. Reform of healthcare in Zhejiang province is at the forefront of China; studies on Zhejiang are of great significance to the whole country. This paper aims to measure the equity in health from the perspectives of health needs and health seeking behavior, and provides suggestions for decision making.
Methods:
A household survey was conducted in August 2016. A sample of 1000 households, 2807 individuals in Zhejiang was obtained with the multi-stage stratified cluster sampling method. Descriptive analysis and Chi-square test were adopted in the analysis. The value of concentration index was used to measure the equity.
Results:
This study finds that the poor have more urgent health needs and poorer health situation compared with the rich. The utilization of outpatient services was almost equal, whilst the utilization of hospitalization was pro-rich (the rich use more).Individuals with employer-based medical insurance use more outpatient services than those with rural and urban medical insurance. Compared to the rich, there were more people in the poorer income groups who didn't use inpatient services due to financial difficulties.
Conclusions:
The issue of equity in health has attracted broad attention in the world, and China is no exception. We measured and analyzed the equity of health needs and absent rate of health services. We find that the poor have more urgent health needs and high absent rate of inpatient services compared with the rich. Income level and medical insurance may well explain the equity of outpatient and inequity of hospitalization. In view of the pro-rich inequity of hospitalization, more financial protection should be provided for the poor.
The trajectory tracking of Autonomous Underwater Vehicles (AUV) is an important research topic. However, in the traditional research into AUV trajectory tracking control, the AUV often follows human-set trajectories without obstacles, and trajectory planning and tracking are separated. Focusing on this separation, a trajectory re-planning controller based on Model Predictive Control (MPC) is designed and added into the trajectory tracking controller to form a new control system. Firstly, an obstacle avoidance function is set up for the design of an MPC trajectory re-planning controller, so that the re-planned trajectory produced by the re-planning controller can avoid obstacles. Then, the tracking controller in the MPC receives the re-planned trajectory and obtains the optimal tracking control law after calculating the object function with a Sequential Quadratic Programming (SQP) optimisation algorithm. Lastly, in a backstepping algorithm, the speed jump can be sharp while the MPC tracking controller can solve the speed jump problem. Simulation results of different obstacles and trajectories demonstrate the efficiency of the proposed MPC trajectory re-planning tracking control algorithm for AUVs.
The nonlinear absorption (NLA) properties of potassium dideuterium phosphate crystals at 515 nm under different excitation laser intensities are investigated with the Z-scan technique. Two critical intensities are highlighted: the critical intensity for exciting the NLA and the critical intensity of the multiphoton absorption mechanism transition. Experimental results indicate the existence of defect states located in the band gap, which can be manipulated by varying laser intensity. A model based on the change of multiphoton absorption mechanism induced by the transformation of defect species is proposed to interpret the experiments. Modeling results are in good agreement with the experiment data.
China, with the largest aging population which is fast increasing, faces great challenges. Increasingly, researchers are looking at the relationship between whole life conditions from birth to death and health status in old age using a life-course approach. Few researchers have paid attention to developing countries like China where early life conditions were worse than those in western countries in the early twentieth century. China has had a complex social and political history in the twentieth century. This study investigates trajectories of aging and the effects of childhood and adulthood Socioeconomic Status (SES) encompassing education, job and family condition, on oldest-elders physical health in China.
METHODS:
The data used in this study was from all seven waves (1998-2014) of the Chinese Longitudinal Healthy Longevity Survey and covered 6,483 respondents aged 80 to105 years in baseline. Measuring the limitation in activities of daily living represents physical health. Group-based trajectory modeling is used to identify groups of individuals with statistically similar developmental characteristics or trajectories. Multinomial logistic regression is used to compare the differences among trajectory groups.
RESULTS:
Three-group models best fit the data for males and females. Along with increasing age, there was an increase in the limitation in activities of daily living. Some groups changed gradually, while others rose rapidly. Some childhood and adulthood socioeconomic status characteristics influenced trajectory-group membership. For both genders, group one and two had similar childhood socioeconomic status, while higher adulthood socioeconomic status like jobs were associated with less favorable health status. For group three of males suffering the hardest childhood in regard to education, had stable health status instead.
CONCLUSIONS:
Diversity exists among aging procedure. Childhood and adulthood socioeconomic status influence health conditions of the oldest-elders in complex ways. Education is a remarkably positive factor significantly contributing to better health status.
In this study, we propose a high order well-balanced weighted compact nonlinear (WCN) scheme for the gas dynamic equations under gravitational fields. The proposed scheme is an extension of the high order WCN schemes developed in (S. Zhang, S. Jiang, C.-W Shu, J. Comput. Phys. 227 (2008) 7294-7321). For the purpose of maintaining the exact steady state solution, the well-balanced technique in (Y. Xing, C.-W Shu, J. Sci. Comput. 54 (2013) 645-662) is employed to split the source term into two terms. The proposed scheme can maintain the isothermal equilibrium solution exactly, genuine high order accuracy and resolve small perturbations of the hydrostatic balance state on the coarse meshes. Furthermore, in order to capture the strong discontinuities and large gradients, the fifth-order upwind weighted nonlinear interpolations together with the fourth/sixth order cell-centered compact schemes with local characteristic projections are used to construct different WCN schemes. Several representative one- and two-dimensional examples are simulated to demonstrate the good performance of the proposed schemes.
In this study, a numerical framework of the high order well-balanced weighted compact nonlinear (WCN) schemes is proposed for the shallow water equations based on the work in [S. Zhang, S. Jiang, C.-W Shu, J. Comput. Phys. 227 (2008) 7294-7321]. We employ a special splitting technique for the source term proposed in [Y. Xing, C.-W Shu, J. Comput. Phys. 208 (2005) 206-227] to maintain the exact C-property, which can be proved theoretically. In the meantime, the genuine high order accuracy of the numerical scheme can be observed successfully, and small perturbation of the stationary state can be resolved and evolved well. In order to capture the strong discontinuities and large gradients, the fifth-order upwind weighted nonlinear interpolations together with the fourth/sixth order cell-centered compact scheme are used to construct different WCN schemes. In addition, the local characteristic projections are considered to further restrain the potential numerical oscillations. A variety of representative one- and two-dimensional examples are tested to demonstrate the good performance of the proposed schemes.