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Abstract Vascular covered stents play a significant therapeutic role in cardiovascular diseases. However, the poor compliance and biological inertness of commercial materials cause post-implantation complications. Silk fibroin (SF), as a biomaterial, possesses satisfactory hemocompatibility and tissue compatibility. In this study, we developed a silk film for use in covered stents by employing a layer-by-layer self-assembly strategy with regenerated SF on silk braiding fabric. We investigated the effects on the mechanical properties of the silk films in detail, which were closely correlated with fabric parameters and layer-by-layer self-assembly. The results showed that there was a significant relationship between these factors and both the compliance and mechanical strength. The 1 × 2/90°/100/SF6 film exhibited excellent mechanical properties. Notably, compliance reached 2.6%/100 mmHg, matching that of the human saphenous vein. Thus, this strategy shows promise in developing a novel covered stent, with biocompatible and comprehensive mechanical properties, and significant potential for clinical applications.

Abstract Achieving near-zero-wear remains a major challenge in mechanical engineering and material science. Current ultra-low wear materials are typically developed based on the self-consumption strategy. Here, we demonstrate a new self-repairing approach to achieve near-zero-wear. We find that the WB4-βB/WC tribo-pair has a low wear rate of 10−8 mm3 N−1 m−1 in low vacuum conditions, under a maximum Hertzian contact stress of 2.23 GPa over 1 × 105 friction cycles. Additionally, we observe an abnormal wear phenomenon after 5 × 104 friction cycles, characterized by an increase in the dimensions of the tribo-pair. This near-zero-wear mechanism is attributed to the synergistic action of the super-hard WB4-βB substrate and the self-repairing tribo-oxide layer. This research provides a new approach for advancing wear-resistant materials and enhancing material longevity.

Abstract Background Urinary incontinence (UI) is the most prevalent pelvic floor disorder following treatment for gynaecological cancer with a distressing impact on quality-of-life in survivors. Physiotherapist-supervised pelvic floor muscle (PFM) training is recommended as the first-line intervention for UI in community-dwelling women. However, it is not known if this intervention is effective in women following treatment for gynaecological cancer, nor whether PFM training can be delivered entirely remotely. The primary aim of this study is to investigate if a telehealth-delivered PFM training program incorporating a novel biofeedback device reduces UI compared with usual care, following gynaecological cancer. Methods This is a pragmatic, two-arm parallel-group, stratified superiority randomised controlled trial recruiting 72 participants (ACTRN12622000580774). Recruitment sites include gynaecology-oncology outpatient clinics, supplemented by advertisements through community foundations/social media/care groups. Participants must have completed primary cancer treatment at least 6 months prior or adjuvant therapy at least 3 months prior, for Stage I, II or III uterine, cervical, fallopian tube, primary peritoneal or ovarian cancer or borderline ovarian tumour, and have UI occurring at least weekly. Participants randomised to the usual care group will receive bladder and bowel advice handouts and one audio telehealth physiotherapist consultation to answer any queries about the handouts. Participants randomised to the intervention group will receive the same handouts plus eight video telehealth physiotherapist consultations for PFM training with a biofeedback device (femfit®), alongside a home-based program over 16 weeks. The primary outcome measure is a patient-reported outcome of UI frequency, amount and interference with everyday life (measured using the International Consultation on Incontinence Questionnaire – Urinary Incontinence Short Form), immediately post-intervention compared with baseline. Secondary outcomes include quality-of-life measures, bother of pelvic floor symptoms, leakage episodes, use of continence pads and global impression of change. We will also investigate if the intervention improves intra-vaginal resting and squeeze pressure in women in the intervention arm, using data from the biofeedback device. Discussion If clinical effectiveness of telehealth-delivered physiotherapist-supervised PFM training, supplemented with home biofeedback is shown, this will allow this therapy to enter pathways of care, and provide an evidence-based option for treatment of post-cancer UI not currently available. Trial registration Australian New Zealand Clinical Trials Registry (ANZCTR), ID 12622000580774. Registered 20 April 2022.

Background: Knee osteoarthritis (OA) is a leading contributor to global disability, with exercise proven to be an effective treatment. Tai Chi is a recommended type of exercise, but it is primarily done in person which imposes an accessibility issue. This study aims to evaluate the effects of an online unsupervised program, when provided with online educational information and exercise adherence support, on changes in knee pain and physical function, when compared to online education control for people with knee OA. Methods: A two-arm, superiority parallel-design, pragmatic randomised controlled trial will be conducted involving 178 people with a clinical diagnosis of knee OA. After completing baseline assessment, participants will be randomly assigned to either: i) “My Joint Education”, an education control website containing OA information only; or ii) “My Joint Tai Chi”, an intervention website containing the same information as the control, a 12-week unsupervised online Tai Chi program to be undertaken at home 3 times a week, and information about an exercise adherence support app. All participants will be reassessed at 12 weeks after randomisation. Primary outcomes are overall knee pain during walking and physical function using the Western Ontario and McMaster Universities Osteoarthritis Index subscale. Discussion: This randomised controlled trial will provide evidence about the effectiveness of the “My Joint Tai Chi” website compared to “My Joint Education” website on self-reported knee pain and physical function for people with knee OA. Trial registration: Prospectively registered with the Australia New Zealand Clinical Trials Registry (ID: ACTRN12623000780651) on 18th July 2023.

Immune responses, especially NLRP3 signaling in macrophages, play critical roles in rheumatoid arthritis (RA), an autoimmune and inflammatory disease. In this study, we aimed to identify novel therapies for RA. We focused on sophoricoside (SOP), an isoflavone glycoside isolated from Sophora japonica. We predicted the targets of SOP and performed a Gene Ontology analysis to assess its effects. The results suggested that SOP is related to inflammation regulation. We verified these findings by performing in vitro experiments with M1 macrophages differentiated from human peripheral blood monocytes (THP-1 cells). Sophoricoside administration reduced inflammatory activity and NLRP3, Caspase-1, and IL-1β protein levels in macrophages. In addition, SOP and triptolide (TP) was administered intragastrically to male SD rats (n = 40) in a collagen-induced arthritis model. We observed that SOP and TP reduced the inflammatory responses and symptoms of RA. Moreover, unlike TP, SOP showed no liver or kidney toxicity in rats. In conclusion, SOP reduces inflammation in type II collagen-induced arthritis by downregulating NLRP3 signaling and has potential for future clinical applications as an ideal therapy for RA.

Based on electrophysiological activity, neuroprostheses can effectively monitor and control neural activity. Currently, electrophysiological neuroprostheses are widely utilized in treating neurological disorders, particularly in restoring motor, visual, auditory, and somatosensory functions after nervous system injuries. They also help alleviate inflammation, regulate blood pressure, provide analgesia, and treat conditions such as epilepsy and Alzheimer’s disease, offering significant research, economic, and social value. Enhancing the targeting capabilities of neuroprostheses remains a key objective for researchers. Modeling and simulation techniques facilitate the theoretical analysis of interactions between neuroprostheses and the nervous system, allowing for quantitative assessments of targeting efficiency. Throughout the development of neuroprostheses, these modeling and simulation methods can save time, materials, and labor costs, thereby accelerating the rapid development of highly targeted neuroprostheses. This article introduces the fundamental principles of neuroprosthesis simulation technology and reviews how various simulation techniques assist in the design and performance enhancement of neuroprostheses. Finally, it discusses the limitations of modeling and simulation and outlines future directions for utilizing these approaches to guide neuroprosthesis design.

Dynamic compaction (DC) represents a cost-effective method for reinforcing subgrade and is particularly suited to treating large-scale building subgrade. Nevertheless, the effect of DC reinforcement on high groundwater level (HGL) subgrade remains uncertain due to the lack of clarity surrounding the energy transfer mechanism of DC in HGL subgrade. In this paper, an outdoor model test of HGL subgrade was conducted based on the DC method. The temporal evolution of the internal transverse and vertical dynamic stresses in soil under different water levels, energy levels, and tamper weight conditions was monitored, and the DC mechanism of HGL subgrade was described from the perspectives of the dynamic stress waveform, peak development, and attenuation. On this basis, a novel methodology for assessing the extent of subgrade reinforcement through the utilization of impulses was put forth, thereby facilitating a more precise evaluation. The results showed that the HGL is obstructive in DC energy transfer. The peak dynamic stress, depth of impact and maximum impulse per unit area were markedly diminished when tamping the water surface. The study results also recommend that construction could expand the application range of the DC method and provide engineering suggestions for the selection of construction parameters and subsequent building construction.

To address the calculating difficulty of external resistance of vertical tube in the widely used indirect evaporative coolers, this paper experimentally investigates the influencing factors of the tube external resistance and develops calculation formula for tube external resistance. An experimental setup was constructed to test the external resistance of different numbers of tube rows at wind speeds of 1 m/s, 1.5 m/s, 2 m/s, 2.5 m/s, and 3 m/s. A specific vertical tube indirect evaporative cooler with a tube diameter of 25 mm, tube-to-tube center distance of 35 mm, and row-to-row center distance of 30 mm was studied. It was found that the tube external resistance of the studied cases is mainly affected by the face wind speed and the number of tube rows. Based on the response surface method (RSM), a formula for calculating the tube external resistance was fitted using the measured data, which provides guidance for engineering applications of vertical tube type indirect evaporative coolers.

The volatile organic compounds (VOCs) of plant hosts allow insect localization through olfactory recognition. In this study, the oviposition behavior of the codling moth was investigated and the VOCs from different walnut organs were extracted and analyzed to systematically study their composition and content differences. The electrophysiological and behavioral responses of the codling moth to walnut VOCs were measured using gas chromatography–electroantennographic detection (GC-EAD) and a four-arm olfactometer to screen the key active contents. The field investigation results indicated that 90.3% of the eggs spawned by the first generation of adult codling moths were adjacent to the walnut fruits. Walnut VOCs are mainly composed of terpenes, aromatics, and alkanes. Twelve VOCs can produce electroantennogenic (EAG) responses in the codling moths. Both adult males and females exhibit concentration dependence, with notable disparities in their EAG response levels. In the olfactory behavioral bioassay, linalool, eucalyptol, and high doses of geranyl acetate showed repellent effects on the codling moths, while myrcene, β-ocimene, nonanal, methyl salicylate, α-farnesene, and heptaldehyde showed the opposite. The relative levels of heptaldehyde, geranyl acetate, nonanal, and methyl salicylate were high in the fruits, which is intimately related to the localization of the walnut fruit by females. These VOCs can influence the oviposition behavior of codling moths but their application in the control of this pest needs to be confirmed and improved through further field experiments.

Abstract Background The rate of autism spectrum disorder (ASD) has been rising worldwide, and therefore it is important to identify potential causes of ASD to facilitate early prevention. This study examined the role of breastfeeding and the association between caesarean delivery (CD) and children’s autism spectrum disorder. Methods The data were from the Ma’anshan birth cohort (MABC) in China, that was set up between May 2013 and September 2014. Women within 14 gestational weeks were recruited. The delivery mode was extracted from medical notes and infant feeding was obtained from questionnaire surveys. Autism-like behaviour was assessed using the Checklist for Autism in Toddlers (CHAT-23) when children were 18 months old, and 3 years of age. At 5 years of age, autism-like behaviour was assessed using the Clancy Autism Behavior Scale behavior. Structural equation models tested the mediation effects of breastfeeding between CD and children’s autism spectrum disorder. Results In all, 1520 (48.89%) women gave birth via CD, and 406 (13.86%) children were identified with autism-like behaviours at 18 months. Compared with women giving birth via vaginal delivery, those giving birth via CD were more likely to experience a higher proportion of delayed initiation of breastfeeding (p

ABSTRACT: Fumonisin B1 (FB1), a worldwide contaminating mycotoxin produced by Fusarium, poses a great threat to the poultry industry. It was reported that extracellular traps could be induced by FB1 efficiently in chickens. However, the relevance of autophagy and glycolysis in FB1-triggered heterophil extracellular trap (HET) formation is unclear. In this study, immunostaining revealed that FB1-induced HETs structures were composed of DNA coated with histones H3, and elastase, and that heterophils underwent LC3B-related autophagosome formation assembly driven by FB1. Western blotting showed that FB1 downregulated the phosphorylated phosphoinositide 3-kinase3-kinase (PI3K)/protein kinase B (AKT)/mechanistic target of rapamycin complex 1 (mTORC1) axis and raised the AMP-activated kinase α (AMPKα) activation protein. Furthermore, rapamycin- and 3-Methyladenine (3-MA)-treatments modulated FB1-triggered HET formation according to the pharmacological analysis. Further studies on energy metabolism showed that glucose/lactate transport and glycolysis inhibitors abated FB1-induced HETs. These results showed that FB1-induced HET formation might interact with the autophagy process and relied on glucose/monocarboxylic acid transporter 1 (MCT1) and glycolysis, reflecting chicken's early innate immune responses against FB1 intake.

The problem of vibration in urban rail transportation has become a current research hotspot. When a train passes through a bridge line at high speed, it interacts with the rail, leading to vibration energy transfer and causing issues such as vibration and noise in the line infrastructure. To propose a more targeted vibration-damping track structure, it is necessary to explore the vibration characteristics of urban rail transit bridge lines and understand the regulations governing the distribution of vibration energy. This paper employs the theory of vehicle–rail–bridge interaction to establish a coupled dynamics model for a subway A-type vehicle–integral ballast bed–box girder bridge. Based on the proposed model, the transmission characteristics and distribution of vibration energy in the rail–bridge system are systematically analyzed and the influence of the parameters of the track structural components on the power flow of the system are investigated. The results of this study indicate that low-frequency vibration energy in the track system of urban rail transit bridges is primarily concentrated within the track structure, whereas high-frequency vibration energy is mainly focused on the rail. The fastener, as a component connecting the rail and the overall roadbed, has different effects on the peak value of the power flow and the accumulation of vibration energy in various components such as the rail, the overall roadbed, the top plate of the box girder bridge, and the bottom plate in different frequency bands due to its own stiffness and damping. An appropriate increase in fastener damping is beneficial for reducing the accumulation of low-frequency vibration energy in the track structure.

This study analyzes the transient axial force of a centrifugal pump under variable operating conditions using wavelet analysis and a novel technique called windowed multi-resolution dynamic mode decomposition (wmrDMD). Numerically simulating the sampled time series allows the reconstruction of the impeller’s axial force information, providing validation for this innovative data-driven analysis technique. The comparison between the reconstructed results and the original axial force data demonstrates a remarkable agreement, as all data points exhibit error values below 2.49%. The wmrDMD technique systematically decomposes the impeller’s axial force field into dynamically significant modes across various time scales. Removing the mean flow field in this study resolves the transient motion of the impeller’s axial force, facilitating the identification of positions with high-frequency axial force oscillations and fluctuations in intensity amplitude. The high-frequency axial force of the impeller exhibits stable periodic variations within the operating range of 1.0nr-1.0Qr, whereas the changes are insignificant within the range of 0.4nr-0.4Qr. However, within the operating range of 1.0nr-0.4Qr, both the position and intensity amplitude of the axial force exhibit significant variations without a stable trend. Furthermore, cross-wavelet and wavelet coherence analyses reveal that within the operating range of 0.4nr-0.4Qr, the axial forces on the front and rear cover plates show the strongest correlation at the periodic scale. Within the operating range of 1.0nr-1.0Qr, the next highest correlation is observed, whereas the correlation is lowest within the 1.0nr-0.4Qr operating range.

A bidirectional wavelength division multiplexing (WDM) analog radio-over-fiber (A-RoF) mobile fronthaul (MFH) link is enhanced using photonic integrated devices. Two key photonic integrated devices are combined in the A-RoF link: an 8-channel InP directly modulated laser (DML) transmitter and a 32×100-GHz silicon array waveguide grating (AWG). The DML transmitter has 8 parallel monolithically integrated distributed feedback lasers, enabling cooperative and reconfigurable downlink analog transmission. Moreover, the 32×100-GHz AWG is featured by low insertion loss (

Adenylate cyclase (AC) regulates growth, reproduction, and pathogenicity in many fungi by synthesizing cyclic adenosine monophosphate (cAMP) and activating downstream protein kinase A (PKA). Botrytis cinerea is a typical necrotrophic plant-pathogenic fungus. It shows a typical photomorphogenic phenotype of conidiation under light and sclerotia formation under dark; both are important reproduction structures for the dispersal and stress resistance of the fungus. The report of B. cinerea adenylate cyclase (BAC) mutation showed it affects the production of conidia and sclerotia. However, the regulatory mechanisms of the cAMP signaling pathways in photomorphogenesis have not been clarified. In this study, the S1407 site was proven to be an important conserved residue in the PP2C domain which poses a remarkable impact on the phosphorylation levels and enzyme activity of the BAC and the overall phosphorylation status of total proteins. The point mutation bacS1407P, complementation bacP1407S, phosphomimetic mutation bacS1407D, and phosphodeficient mutation bacS1407A strains were used for comparison with the light receptor white-collar mutant Δbcwcl1 to elucidate the relationship between the cAMP signaling pathway and the light response. The comparison of photomorphogenesis and pathogenicity phenotype, evaluation of circadian clock components, and expression analysis of light response transcription factor genes Bcltf1, Bcltf2, and Bcltf3 showed that the cAMP signaling pathway could stabilize the circadian rhythm that is associated with pathogenicity, conidiation, and sclerotium production. Collectively, this reveals that the conserved S1407 residue of BAC is a vital phosphorylation site to regulate the cAMP signaling pathway and affects the photomorphogenesis, circadian rhythm, and pathogenicity of B. cinerea.

Abstract Artificial neural networks (ANN) which include deep learning neural networks (DNN) have problems such as the local minimal problem of Back propagation neural network (BPNN), the unstable problem of Radial basis function neural network (RBFNN) and the limited maximum precision problem of Convolutional neural network (CNN). Performance (training speed, precision, etc.) of BPNN, RBFNN and CNN are expected to be improved. Main works are as follows: Firstly, based on existing BPNN and RBFNN, Wavelet neural network (WNN) is implemented in order to get better performance for further improving CNN. WNN adopts the network structure of BPNN in order to get faster training speed. WNN adopts the wavelet function as an activation function, whose form is similar to the radial basis function of RBFNN, in order to solve the local minimum problem. Secondly, WNN-based Convolutional wavelet neural network (CWNN) method is proposed, in which the fully connected layers (FCL) of CNN is replaced by WNN. Thirdly, comparative simulations based on MNIST and CIFAR-10 datasets among the discussed methods of BPNN, RBFNN, CNN and CWNN are implemented and analyzed. Fourthly, the wavelet-based Convolutional Neural Network (WCNN) is proposed, where the wavelet transformation is adopted as the activation function in Convolutional Pool Neural Network (CPNN) of CNN. Fifthly, simulations based on CWNN are implemented and analyzed on the MNIST dataset. Effects are as follows: Firstly, WNN can solve the problems of BPNN and RBFNN and have better performance. Secondly, the proposed CWNN can reduce the mean square error and the error rate of CNN, which means CWNN has better maximum precision than CNN. Thirdly, the proposed WCNN can reduce the mean square error and the error rate of CWNN, which means WCNN has better maximum precision than CWNN.

As a key role in hindering the large-scale application of fuel cells, oxygen reduction reaction has always been a hot issue and nodus. Aiming to explore state-of-art electrocatalysts, this paper reviews the latest development of nonmetallic catalysts in oxygen reduction reactions, including single atoms doped with carbon materials such as N, B, P or S and multi-doped carbon materials. Afterward, the remaining challenges and research directions of carbon-based nonmetallic catalysts are prospected.

A data identifier (DID) is an essential tag or label in all kinds of databases—particularly those related to integrated computational materials engineering (ICME), inheritable integrated intelligent manufacturing (I3M), and the Industrial Internet of Things. With the guidance and quick acceleration of the development of advanced materials, as envisioned by official documents worldwide, more investigations are required to construct relative numerical standards for material informatics. This work proposes a universal DID format consisting of a set of build chains, which aligns with the classical form of identifier in both international and national standards, such as ISO/IEC 29168-1:2000, GB/T 27766–2011, GA/T 543.2–2011, GM/T 0006–2012, GJB 7365–2011, SL 325–2014, SL 607–2018, WS 363.2–2011, and QX/T 39–2005. Each build chain is made up of capital letters and numbers, with no symbols. Moreover, the total length of each build chain is not restricted, which follows the formation of the Universal Coded Character Set in the international standard of ISO/IEC 10646. Based on these rules, the proposed DID is flexible and convenient for extending and sharing in and between various cloud-based platforms. Accordingly, classical two-dimensional (2D) codes, including the Hanxin Code, Lots Perception Matrix (LP) Code, Quick Response (QR) code, Grid Matrix (GM) code, and Data Matrix (DM) Code, can be constructed and precisely recognized and/or decoded by either smart phones or specific machines. By utilizing these 2D codes as the fingerprints of a set of data linked with its cloud-based platforms, progress and updates in the composition–processing–structure–property–performance workflow process can be tracked spontaneously, paving a path to accelerate the discovery and manufacture of advanced materials and enhance research productivity, performance, and collaboration.

For civil and military applications, the ability to instantaneously capture and process wideband RF (radio-frequency) signal is of great importance. In this paper, a novel photonics-assisted RF channelized receiver aiming for instantaneous broadband RF signal reception is proposed and experimentally demonstrated. The channelizer is composed of two branches. In one branch, an optical frequency comb (OFC) is generated through a phase modulator (PM), while in the other the optical carrier is frequency-shifted via a polarization modulator (PolM) and then modulated by the captured unknown RF signal. Next, the frequency information of the unknown signal is derived from the frequency sum and the power difference of two specific beating tones, while the incorporation of the comb spacing and the amplitude profile of the OFC enable resolving the ambiguity cases. In the experiments, four receiving channels are constructed using five selected comb lines. The reception and analysis of several RF signals including single-tone, multi-tone and linear frequency modulation (LFM) ones within 1-40 GHz are experimentally validated, which can be extended up to 72 GHz in theory. The proposed channelizer is characterized with ambiguous-free capability, low measurement errors less than 2 MHz, and an SFDR of ~92 dB·Hz2/3.

Fumonisin B1 (FB1) is a common mycotoxin contamination in agricultural commodities being considered as a significant risk to human and livestock health, while the mechanism of FB1 immunotoxicity are less understood, especially in chicken. Given that extracellular traps as a novel defense mechanism of leukocytes play an important role against foreign matters, in this study we aimed to investigate the effects of FB1 on chicken heterophil extracellular traps (HETs) formation. Our result showed that FB1 induced HETs release in chicken heterophils observed via immunostaining, and it was concentration-dependent during 10 to 40 μM. Moreover, in 40 μM FB1-exposed chicken heterophils, reactive oxygen species (ROS) level was increased, while catalase (CAT), superoxide dismutase (SOD), and glutathione peroxidase (GSH-Px) activity and glutathione (GSH) content were decreased. Simultaneously, FB1 (40 μM) activated ERK and p38 MAPK signaling pathways via increasing the phosphorylation level of ERK and p38 proteins. However, pretreatment of SB202190, U0126, and diphenyleneiodonium chloride (DPI) did not change FB1-triggered ROS production and HETs formation, suggesting FB1-induced HETs was a nicotinamide adenine dinucleotide phosphate (NADPH) oxidase, p38, and extracellular regulated protein kinases (ERK) signaling pathways-independent process. Inhibition of peptidyl arginine deiminase 4 (PAD4) enzyme and P2 × 1 receptor showed their vital role in 40 μM FB1-triggered HETs. This study reported for the first time that 40 μM FB1 induced the release of HETs in heterophils, and it was related to ROS production, PAD4, and P2 × 1, but was independent of NADPH oxidase, p38 and ERK signaling pathways, which might provide a whole novel perspective of perceiving and understanding the role of FB1 in immunotoxicity.

BackgroundElective cesarean section (ECS) is the most common reason for the increasing cesarean section rate worldwide, and it is reported to be related to adverse short-term and long-term outcomes in both mothers and infants. Findings on the association between ECS and overweight and obesity in children are controversial in recent studies. Therefore, we conducted a systematic review and meta-analysis to examine the effect of ECS on offspring's overweight and obesity.MethodsPubMed, Science Direct, Web of Science, CNKI (China National Knowledge Infrastructure), Wanfang Database (in Chinese), and China Biology Medicine disc databases were searched using different combinations of three groups of keywords: “elective cesarean section,” “overweight/obesity,” and “children.” Nine cohort studies and 11 independent risk estimates were finally identified.ResultsWe have observed significant association between ECS and children's obesity, the total pooled risk ratio (RR) being 1.10 (95% CI: 1.01–1.18; I2 = 32.4%). In subgroup analysis, ECS was found to be associated with the occurrence of obesity in preschoolers (RR = 1.12, 95% CI: 1.02–1.22; I2 = 16.8%). Furthermore, it revealed that ECS was related with the high risk of children's obesity where the rate of ECS exceeded 10%. No significant association was observed between ECS and children's overweight, and the RR was 1.12 (95% CI: 0.94–1.30; I2 = 55.6%).ConclusionsOverall, it indicated that children born via ECS had an increased risk of later-life obesity. Given the global increase in childhood obesity, our findings would provide evidence-based reference for early life intervention on children's obesity.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021267211, identifier: CRD42021267211.

[This corrects the article DOI: 10.1371/journal.pone.0242523.].

This paper copes with a joint Location-Allocation-Inventory problem in a three-echelon base-level spare part support system with epistemic uncertainty in uncertain demands of bases. The aim of the paper is to propose an optimization model under the uncertainty theory to minimize the total cost, which integrates crucial characterizations of the inventory control decisions and the location-allocation scheme arrangement under a periodic review order-up-to-S (T, S) policy. Uncertainty theory is introduced in this paper to characterize epistemic uncertainty, where demands are treated as uncertain variables and stockout loss is represented by value-at-risk in uncertain measurement. To solve the original uncertain optimization model, an equivalent deterministic model is derived and addressed by an improved bilevel genetic algorithm. Moreover, the proposed models and algorithm are encoded into numerical examples for supply chain programming. The results highlight the applicability of the model and the algorithm’s effectiveness in approaching the optimal solution compared with traditional genetic algorithm. Sensitivity analyses are further made for the impacts of review time and inventory capacity on different cost components.

The proper design of the flywheel undeniably determines in tuning the engine to confirm the better output engine performance. The aim of this study is to mathematically investigate the effect of various values of the compression ratio on some essential parameters to determine the appropriate value for the flywheel dimension. A numerical calculation approach was proposed to eventually determine the dimension of the engine flywheel on a five-cylinder four-stroke Spark Ignition (SI) engine. The various compression ratios of 8.5, 9, 9.5, 10, 10.5, and 11 were selected to perform the calculations. The effects of compression ratio on effective pressure, indicated mean effective pressure (IMEP), dynamic irregularity value of the crankshaft, and the diameter of the flywheel was clearly investigated. The study found that 2.5 increment value of the compression ratio significantly increases the effective pressure of about 41.53% on the starting of the expansion stroke. While at the end of the compression stroke, the rise of effective pressure is about 76.67%, and the changes in dynamic irregularity merely increase by about 1.79%. The same trend applies to the flywheel diameter and width, which increases 2.08% for both.

BackgroundSulfonamides are widely used to treat infectious diseases during pregnancy. However, the safety of maternal exposure to sulfonamides is controversial. This study aims to systematically review the available studies and examine the effect of maternal sulfonamides use on adverse pregnancy outcomes.MethodsWe searched PubMed, Science Direct, Web of Science, ClinicalTrials.gov, CNKI and Wanfang Database (in Chinese). The meta-analysis used random effects model or fixed effects model to obtain the total odds ratio (OR) for each outcome through Stata11.0 software. Study on the relationship between sulfonamide exposure during pregnancy and adverse pregnancy outcomes. The study design covered randomized controlled trials, cohort studies and case-control studies. The study protocol was registered in PROSPERO with protocol number CRD42020178687.ResultsA total of 10 studies, and 1096350 participants were included for systematic review. Maternal exposure to sulfonamides was found to be possibly associated with increased risk of congenital malformations (OR = 1.21, 95% CI 1.07-1.37). The use of sulfonamides in the first trimester of pregnancy and during the entire pregnancy might be associated with congenital malformations.ConclusionsMaternal exposure to sulfonamides may be associated with offspring' s congenital malformations. Prescription of sulfonamides for pregnant women is suggested to be carefully censored.

Microwave frequency downconversion is optically implemented by using two cascaded polarization modulators (PolMs), characterized by full-frequency-range coverage and high conversion efficiency. In this proposed approach, the incident radio-frequency signal (RF) and the local oscillator signal (LO) are applied to the first PolM at the transmitter and the second one at the receiver, respectively. Effective optical carrier suppression can be achieved using the cascaded PolMs, whereas the optical sidebands induced by the RF and the LO signals remain unchanged. Since no additional optical filter is needed, the lower operation frequency limit in other approaches with an optical filter is eliminated, such that a full-frequency-range coverage is ensured in this approach. Meanwhile, the use of optical carrier suppression (OCS) enables high conversion efficiency for microwave downconversion. In the proof-of-concept experiments, the conversion efficiency is improved by over 20 dB within the frequency range from 2 to 15 GHz, as compared to those of cascaded modulators without OCS. Both the upper and the lower limits of such a frequency range can be greatly extended when test instruments with full frequency range are used.