Introduction: Reducing and maintaining viral load is crucial to reducing morbidity and mortality associated with HIV infection in children. The aim of this study was to determine the factors influencing the maintenanc...Introduction: Reducing and maintaining viral load is crucial to reducing morbidity and mortality associated with HIV infection in children. The aim of this study was to determine the factors influencing the maintenance of children and adolescents on antiretroviral therapy in the continuum of care. Methodology: This was a descriptive and analytical cross-sectional study conducted from August 1 to August 31, 2023. It included all children living with HIV, under 15 years of age, with at least two viral load results and whose parents consented to participate in the study. Participants were recruited during their child’s treatment renewal consultations. Results: The study included 143 children, mostly boys (55.2%), with a mean age of 11.54 years (±2.8). More than half (55.2) were unaware of their HIV-positive status, and most treatments were administered by parents (60.8%). Of the 99 children with an undetectable viral load at the first test, 23 (23.2%) showed a viral rebound at the last test, mainly due to poor treatment compliance (p Conclusion: Virological rebound after suppression in children is worrying. It is crucial that the national AIDS program improves Therapeutic Education, trains health workers to communicate results and encourages ongoing dialogue with young people to reinforce adherence and maintain viral suppression.展开更多
A previous paper showed that the real numbers between 0 and 1 could be represented by an infinite tree structure, called the ‘infinity tree’, which contains only a countably infinite number of nodes and arcs. This p...A previous paper showed that the real numbers between 0 and 1 could be represented by an infinite tree structure, called the ‘infinity tree’, which contains only a countably infinite number of nodes and arcs. This paper discusses how a finite-state Turing machine could, in a countably infinite number of state transitions, write all the infinite paths in the infinity tree to a countably infinite tape. Hence it is argued that the real numbers in the interval [0, 1] are countably infinite in a non-Cantorian theory of infinity based on Turing machines using countably infinite space and time. In this theory, Cantor’s Continuum Hypothesis can also be proved. And in this theory, it follows that the power set of the natural numbers P(ℕ) is countably infinite, which contradicts the claim of Cantor’s Theorem for the natural numbers. However, this paper does not claim there is an error in Cantor’s arguments that [0, 1] is uncountably infinite. Rather, this paper considers the situation as a paradox, resulting from different choices about how to represent and count the continuum of real numbers.展开更多
In this study,an end-to-end deep learning method is proposed to improve the accuracy of continuum estimation in low-resolution gamma-ray spectra.A novel process for generating the theoretical continuum of a simulated ...In this study,an end-to-end deep learning method is proposed to improve the accuracy of continuum estimation in low-resolution gamma-ray spectra.A novel process for generating the theoretical continuum of a simulated spectrum is established,and a convolutional neural network consisting of 51 layers and more than 105 parameters is constructed to directly predict the entire continuum from the extracted global spectrum features.For testing,an in-house NaI-type whole-body counter is used,and 106 training spectrum samples(20%of which are reserved for testing)are generated using Monte Carlo simulations.In addition,the existing fitting,step-type,and peak erosion methods are selected for comparison.The proposed method exhibits excellent performance,as evidenced by its activity error distribution and the smallest mean activity error of 1.5%among the evaluated methods.Additionally,a validation experiment is performed using a whole-body counter to analyze a human physical phantom containing four radionuclides.The largest activity error of the proposed method is−5.1%,which is considerably smaller than those of the comparative methods,confirming the test results.The multiscale feature extraction and nonlinear relation modeling in the proposed method establish a novel approach for accurate and convenient continuum estimation in a low-resolution gamma-ray spectrum.Thus,the proposed method is promising for accurate quantitative radioactivity analysis in practical applications.展开更多
Two types of bound states in continuum(BICs),symmetry-protected and Brillouin zone folding driven,are identified in hollow Si nanorod arrays.By modulating the direction and distance of the air holes from the center of...Two types of bound states in continuum(BICs),symmetry-protected and Brillouin zone folding driven,are identified in hollow Si nanorod arrays.By modulating the direction and distance of the air holes from the center of the nanorods,it is possible to achieve either a single quasi-BIC or three quasi-BICs.The transmission spectra exhibit ultra-narrow lines,and the quasi-BICs demonstrate ultra-high Q factors.Additionally,efficient third-harmonic generation occurs at low pump intensities.The results indicate that the proposed nanostructures of two types of BICs with a flexible modulation hold great potential applications for nonlinear photonic devices.展开更多
We have introduced a new approach to calculate the orbital angular momentum(OAM)of bound states in continuum(BICs)and below-continuum-resonance(BCR)modes in the rotational periodic system nested inside and outside by ...We have introduced a new approach to calculate the orbital angular momentum(OAM)of bound states in continuum(BICs)and below-continuum-resonance(BCR)modes in the rotational periodic system nested inside and outside by transforming the Bloch wave number from the translational periodic system.We extensively classify and study these BICs and BCR modes,which exhibit high-quality(high-Q)factors,in different regions relative to the interface of the system.These BICs and BCR modes with a high-Q factor have been studied in detail based on distinctive structural parameters and scattering theory.The outcomes of this research break the periodic limitation of interface state-based BICs,and realize more and higher symmetry interface state-based BICs and BCR modes.Moreover,we can control the region where light is captured by adjusting the frequency,and show that the Q factor of BICs is more closely related to the ordinal number of rings and the rotational symmetry number of the system.展开更多
This paper describes numerical simulation of hydraulic fracturing using fracture-based continuum modeling(FBCM)of coupled geomechanical-hydrological processes to evaluate a technique for high-density fracturing and fr...This paper describes numerical simulation of hydraulic fracturing using fracture-based continuum modeling(FBCM)of coupled geomechanical-hydrological processes to evaluate a technique for high-density fracturing and fracture caging.The simulations are innovative because of modeling discrete fractures explicitly in continuum analysis.A key advantage of FBCM is that fracture initiation and propagation are modeled explicitly without changing the domain grid(i.e.no re-meshing).Further,multiple realizations of a preexisting fracture distribution can be analyzed using the same domain grid.The simulated hydraulic fracturing technique consists of pressurizing multiple wells simultaneously:initially without permeating fluids into the rock,to seed fractures uniformly and at high density in the wall rock of the wells;followed by fluid injection to propagate the seeded fracture density hydraulically.FBCM combines the ease of continuum modeling with the potential accuracy of modeling discrete fractures and fracturing explicitly.Fractures are modeled as piecewise planar based on intersections with domain elements;fracture geometry stored as continuum properties is used to calculate parameters needed to model individual fractures;and rock behavior is modeled through tensorial aggregation of the behavior of discrete fractures and unfractured rock.Simulations are presented for previously unfractured rock and for rock with preexisting fractures of horizontal,shallow-dipping,steeply dipping,or vertical orientation.Simulations of a single-well model are used to determine the pattern and spacing for a multiple-well design.The results illustrate high-density fracturing and fracture caging through simultaneous fluid injection in multiple wells:for previously unfractured rock or rock with preexisting shallow-dipping or horizontal fractures,and in situ vertical compressive stress greater than horizontal.If preexisting fractures are steeply dipping or vertical,and considering the same in situ stress condition,well pressurization without fluid permeation appears to be the only practical way to induce new fractures and contain fracturing within the target domain.展开更多
The exploration of novel chiral optical platforms holds both fundamental and practical importances,which have shown great promise towards applications in valleytronics,chiral sensing and nanoscopic chiroptics.In this ...The exploration of novel chiral optical platforms holds both fundamental and practical importances,which have shown great promise towards applications in valleytronics,chiral sensing and nanoscopic chiroptics.In this work,we combine two key concepts—chiral bound states in the continuum and exciton polaritons—to showcase a strong chiral response from polaritons.Using the finite element method,we numerically design a CsPbBr_(3)based metasurface that supports intrinsically chiral bound states in the continuum and verify the chirality by calculating the reflection spectrum and eigenpolarization mapping.We further demonstrate chirality-dependent exciton polariton angular dispersion arising from the strong coupling between the chiral BIC and excitons in CsPbBr_(3)by simulating the polariton angle-resolved absorption spectrum.Reciprocity analysis reveals that the polariton photoluminescence in different momentum space locations is selectively enhanced by chiral pumping light.Our results suggest a promising first step towards chiral polaritonics.展开更多
Quasi-bound state in the continuum(QBIC)resonance is gradually attracting attention and being applied in Goos-Hänchen(GH)shift enhancement due to its high quality(Q)factor and superior optical confinement.Current...Quasi-bound state in the continuum(QBIC)resonance is gradually attracting attention and being applied in Goos-Hänchen(GH)shift enhancement due to its high quality(Q)factor and superior optical confinement.Currently,symmetry-protected QBIC resonance is often achieved by breaking the geometric symmetry,but few cases are achieved by breaking the material symmetry.This paper proposes a dielectric compound grating to achieve a high Q factor and high-reflection symmetry-protectede QBIC resonance based on material asymmetry.Theoretical calculations show that the symmetry-protected QBIC resonance achieved by material asymmetry can significantly increase the GH shift up to-980 times the resonance wavelength,and the maximum GH shift is located at the reflection peak with unity reflectance.This paper provides a theoretical basis for designing and fabricating high-performance GH shift tunable metasurfaces/dielectric gratings in the future.展开更多
Continuum robots with high flexibility and compliance have the capability to operate in confined and cluttered environments. To enhance the load capacity while maintaining robot dexterity, we propose a novel non-const...Continuum robots with high flexibility and compliance have the capability to operate in confined and cluttered environments. To enhance the load capacity while maintaining robot dexterity, we propose a novel non-constant subsegment stiffness structure for tendon-driven quasi continuum robots(TDQCRs) comprising rigid-flexible coupling subsegments.Aiming at real-time control applications, we present a novel static-to-kinematic modeling approach to gain a comprehensive understanding of the TDQCR model. The analytical subsegment-based kinematics for the multisection manipulator is derived based on screw theory and product of exponentials formula, and the static model considering gravity loading,actuation loading, and robot constitutive laws is established. Additionally, the effect of tension attenuation caused by routing channel friction is considered in the robot statics, resulting in improved model accuracy. The root-mean-square error between the outputs of the static model and the experimental system is less than 1.63% of the arm length(0.5 m). By employing the proposed static model, a mapping of bending angles between the configuration space and the subsegment space is established. Furthermore, motion control experiments are conducted on our TDQCR system, and the results demonstrate the effectiveness of the static-to-kinematic model.展开更多
The main objective of this paper is to investigate the influence of inertia of nonlinear springs on the dispersion behavior of discrete monoatomic chains with lumped and distributed masses.The developed model can repr...The main objective of this paper is to investigate the influence of inertia of nonlinear springs on the dispersion behavior of discrete monoatomic chains with lumped and distributed masses.The developed model can represent the wave propagation problem in a non-homogeneous material consisting of heavy inclusions embedded in a matrix.The inclusions are idealized by lumped masses,and the matrix between adjacent inclusions is modeled by a nonlinear spring with distributed masses.Additionally,the model is capable of depicting the wave propagation in bi-material bars,wherein the first material is represented by a rigid particle and the second one is represented by a nonlinear spring with distributed masses.The discrete model of the nonlinear monoatomic chain with lumped and distributed masses is first considered,and a closed-form expression of the dispersion relation is obtained by the second-order Lindstedt-Poincare method(LPM).Next,a continuum model for the nonlinear monoatomic chain is derived directly from its discrete lattice model by a suitable continualization technique.The subsequent use of the second-order method of multiple scales(MMS)facilitates the derivation of the corresponding nonlinear dispersion relation in a closed form.The novelties of the present study consist of(i)considering the inertia of nonlinear springs on the dispersion behavior of the discrete mass-spring chains;(ii)developing the second-order LPM for the wave propagation in the discrete chains;and(iii)deriving a continuum model for the nonlinear monoatomic chains with lumped and distributed masses.Finally,a parametric study is conducted to examine the effects of the design parameters and the distributed spring mass on the nonlinear dispersion relations and phase velocities obtained from both the discrete and continuum models.These parameters include the ratio of the spring mass to the lumped mass,the nonlinear stiffness coefficient of the spring,and the wave amplitude.展开更多
Over the last decade,nuclear theory has made dramatic progress in few-body and ab initio many-body calculations.These great advances stem from chiral efective feld theory(xEFT),which provides an efcient expansion and ...Over the last decade,nuclear theory has made dramatic progress in few-body and ab initio many-body calculations.These great advances stem from chiral efective feld theory(xEFT),which provides an efcient expansion and consistent treatment of nuclear forces as inputs of modern many-body calculations,among which the in-medium similarity renormalization group(IMSRG)and its variants play a vital role.On the other hand,signifcant eforts have been made to provide a unifed description of the structure,decay,and reactions of the nuclei as open quantum systems.While a fully comprehensive and microscopic model has yet to be realized,substantial progress over recent decades has enhanced our understanding of open quantum systems around the dripline,which are often characterized by exotic structures and decay modes.To study these interesting phenomena,Gamow coupled-channel(GCC)method,in which the open quantum nature of few-body valence nucleons coupled to a deformed core,has been developed.This review focuses on the developments of the advanced IMSRG and GCC and their applications to nuclear structure and reactions.展开更多
The atomic and molecular compounds of cometary ices serve as valuable knowledge into the chemical and physical properties of the outer solar nebula, where comets are formed. From the cometary atmospheres, the atoms an...The atomic and molecular compounds of cometary ices serve as valuable knowledge into the chemical and physical properties of the outer solar nebula, where comets are formed. From the cometary atmospheres, the atoms and gas-phase molecules arise mainly in three ways:(i) the outgassing from the nucleus,(ii) the photochemical process, and(iii) the sublimation of icy grains from the nucleus. In this paper, we present the radio and millimeter wavelength observation results of Oort cloud non-periodic comet C/2022 E3(ZTF) using the Giant Metrewave Radio Telescope(GMRT) band L and the Atacama Large Millimeter/submillimeter Array(ALMA) band 6. We do not detect continuum emissions and an emission line of atomic hydrogen(H I) at rest frequency 1420 MHz from this comet using the GMRT. Based on ALMA observations, we detect the dust continuum emission and rotational emission lines of methanol(CH_(3)OH) from comet C/2022 E3(ZTF). From the dust continuum emission, the dust production(Afρ) activity of comet ZTF is 2280 ± 50 cm. Based on LTE spectral modeling, the column density and excitation temperature of CH_(3)OH toward C/2022 E3(ZTF) are(4.50 ± 0.25) × 10^(14)cm^(-2)and 70 ± 3 K respectively. The integrated emission maps show that CH_(3)OH was emitted from the coma region of the comet. The production rate of CH_(3)OH toward C/2022 E3(ZTF) is(7.32 ± 0.64) × 10^(26) molecules s^(-1). The fractional abundance of CH_(3)OH with respect to H2O in the coma of the comet is 1.52%. We also compare our derived abundance of CH_(3)OH with the existence modeled value, and we see the observed and modeled values are quite similar. We claim that CH_(3)OH is formed via the subsequential hydrogenation of formaldehyde(H2CO) on the grain surface of comet C/2022 E3(ZTF).展开更多
BACKGROUND The human immunodeficiency virus(HIV)continuum of care cascade illustrates the 90-90-90 goals defined by the Joint United Nations Program on HIV/acquired immunodeficiency syndrome(UNAIDS).The care cascade i...BACKGROUND The human immunodeficiency virus(HIV)continuum of care cascade illustrates the 90-90-90 goals defined by the Joint United Nations Program on HIV/acquired immunodeficiency syndrome(UNAIDS).The care cascade includes the following five steps:Diagnosis,linkage to care,retention in care,adherence to antiretroviral therapy(ART),and viral suppression.AIM To elaborate the HIV cascade of patients diagnosed with HIV at the Nossa Senhora da Conceição Hospital(HNSC)and to determine possible local causes for the loss of patients between each step of the cascade.METHODS This retrospective cohort study included patients diagnosed with HIV infection from January 1,2015 to December 31,2016 and followed up until July 31,2019.The data were analyzed by IBM SPSS software version 25,and Poisson regression with simple robust variance was used to analyze variables in relation to each step of the cascade.Variables with P<0.20 were included in multivariable analysis,and P<0.05 was considered significant.Pearson’sχ^(2) test was used to compare the groups of patients followed up at the HNSC and those followed up at other sites.RESULTS The results were lower than those expected by the UNAIDS,with 94%of patients linked,91%retained,81%adhering to ART,and 84%in viral suppression.Age and site of follow-up were the variables with the highest statistical significance.A comparison showed that the cascade of patients from the HNSC had superior results than outpatients,with a significant difference in the last step of the cascade.CONCLUSION The specialized and continued care provided at the HNSC was associated with better results and was closer to the goals set by the UNAIDS.The development of the HIV cascade using local data allowed for the stratification and evaluation of risk factors associated with the losses occurring between each step of the cascade.展开更多
Freeway work zone forms as a result of traffic crash or road rehabilitation.To ascertain the effects of work zone with lane II completely blocked on vehicular flow on ring freeways with a tunnel,a three-lane continuum...Freeway work zone forms as a result of traffic crash or road rehabilitation.To ascertain the effects of work zone with lane II completely blocked on vehicular flow on ring freeways with a tunnel,a three-lane continuum model is put forward.The mandatory net lanechanging rate from lane II to lane I or III just upstream of the work zone is described by a random number model,with the random number being produced within a small range around a median based on a golden section analysis.The net-changing rate between adjacent lanes is described using a lane-changing time on the basis of an assumption:the time ratio to relaxation time equals infinity when the absolute value of traffic densities between the two adjacent lanes is less than 1 veh/km,implying that the net-changing rate is zero;otherwise,the time ratio is inversely proportional to the vehicular spatial headway,which is equal to unity for traffic flow at saturation state,but infinity when the traffic flow is completely jammed.It is assumed that the freeway is a three lane ring with a total length of 100 km,and has a tunnel with a speed limit of 60 km/h and a length of 1.6 km located downstream the work zone with a length of 0.16 km.The free flow speeds on lanes I,II,and III are 120 km/h,100 km/h,and 85 km/h,respectively.For the vehicular flow on the ring freeway with a tunnel,numerical simulations based on the three-lane continuum model are carried out with a reliable numerical method of high accuracy.It is found that the vehicular flow has two thresholds of traffic jam formation,one depending upon the tunnel and the other upon the work zone.The tunnel triggers a traffic jam when the initial density normalized by jam density is equal to the first threshold 0.15,and the work zone originates another traffic jam when the normalized initial density equals the second threshold 0.19.The freeway tunnel plays a dominant role in the prediction of mean travel time as soon as the tunnel has generated a traffic jam at the tunnel entrance.For the vehicular flow at unsaturated state,the average speed through the tunnel is about 26.67 km/h.When the normalized initial density exceeds the second threshold 0.19,the mean travel time through every lane increases with the initial density linearly.Vehicle fuel consumption can be estimated by interpolation with the time averaged grid traffic speed and an assumed vehicle performance curve.It is found that the vehicle fuel consumption is lane number dependent,and distributes with the initial density concavely,as well as has a value in the range of 6.5 to 8.3 l.展开更多
A non-linear continuum damage model was presented based on the irreversible thermodynamics framework developed by LEMAITRE and CHABOCHE. The proposed model was formulated by taking into account the influence of loadin...A non-linear continuum damage model was presented based on the irreversible thermodynamics framework developed by LEMAITRE and CHABOCHE. The proposed model was formulated by taking into account the influence of loading frequency on fatigue life. The parameters H and c are constants for frequency-independent materials, but functions of cyclic frequency for frequency-dependent materials. In addition, the expression of the model was discussed in detail at different stress ratios （R）. Fatigue test data of AlZnMgCu1.5 aluminium alloy and AMg6N alloy were used to verify the proposed model. The results showed that the model possesses a good ability of predicting fatigue life at different loading frequencies and stress ratios.展开更多
Inclusion of dissipation and memory mechanisms, non-classical elasticity and thermal effects in the currently used plate/shell mathematical models require that we establish if these mathematical models can be derived ...Inclusion of dissipation and memory mechanisms, non-classical elasticity and thermal effects in the currently used plate/shell mathematical models require that we establish if these mathematical models can be derived using the conservation and balance laws of continuum mechanics in conjunction with the corresponding kinematic assumptions. This is referred to as thermodynamic consistency of the mathematical models. Thermodynamic consistency ensures thermodynamic equilibrium during the evolution of the deformation. When the mathematical models are thermodynamically consistent, the second law of thermodynamics facilitates consistent derivations of constitutive theories in the presence of dissipation and memory mechanisms. This is the main motivation for the work presented in this paper. In the currently used mathematical models for plates/shells based on the assumed kinematic relations, energy functional is constructed over the volume consisting of kinetic energy, strain energy and the potential energy of the loads. The Euler’s equations derived from the first variation of the energy functional for arbitrary length when set to zero yield the mathematical model(s) for the deforming plates/shells. Alternatively, principle of virtual work can also be used to derive the same mathematical model(s). For linear elastic reversible deformation physics with small deformation and small strain, these two approaches, based on energy functional and the principle of virtual work, yield the same mathematical models. These mathematical models hold for reversible mechanical deformation. In this paper, we examine whether the currently used plate/shell mathematical models with the corresponding kinematic assumptions can be derived using the conservation and balance laws of classical or non-classical continuum mechanics. The mathematical models based on Kirchhoff hypothesis (classical plate theory, CPT) and first order shear deformation theory (FSDT) that are representative of most mathematical models for plates/shells are investigated in this paper for their thermodynamic consistency. This is followed by the details of a general and higher order thermodynamically consistent plate/shell thermoelastic mathematical model that is free of a priori consideration of kinematic assumptions and remains valid for very thin as well as thick plates/shells with comprehensive nonlinear constitutive theories based on integrity. Model problem studies are presented for small deformation behavior of linear elastic plates in the absence of thermal effects and the results are compared with CPT and FSDT mathematical models.展开更多
The research is: by using Wdolkowski's Time Continuum Model throughout a lesson plan enables the teacher to increase students'motivation and help them move closer to success in a learning environment. This res...The research is: by using Wdolkowski's Time Continuum Model throughout a lesson plan enables the teacher to increase students'motivation and help them move closer to success in a learning environment. This research supports the theory that instruction is a network of interactions between the teacher and learner that promotes a successful learning experience. It identifies a three-part learning sequence-a beginning, middle and an end. Each part has two of six key motivational factors that when applied correctly by the teacher will maximize the success and continued motivation of the learner.展开更多
Analysis of the mechanical behavior of nanos- tructures has been very challenging. Surface energy and non- local elasticity of materials have been incorporated into the traditional continuum analysis to create modifie...Analysis of the mechanical behavior of nanos- tructures has been very challenging. Surface energy and non- local elasticity of materials have been incorporated into the traditional continuum analysis to create modified continuum mechanics models. This paper reviews recent advancements in the applications of such modified continuum models in nanostructures such as nanotubes, nanowires, nanobeams, graphenes, and nanoplates. A variety of models for these nanostructures under static and dynamic loadings are men- tioned and reviewed. Applications of surface energy and nonlocal elasticity in analysis of piezoelectric nanomateri- als are also mentioned. This paper provides a comprehensive introduction of the development of this area and inspires fur- ther applications of modified continuum models in modeling nanomaterials and nanostructures.展开更多
Fatigue life and reliability of aero-engine blade are always of important significance to flight safety.The establishment of damage model is one of the key factors in blade fatigue research.Conventional linear Miner＇...Fatigue life and reliability of aero-engine blade are always of important significance to flight safety.The establishment of damage model is one of the key factors in blade fatigue research.Conventional linear Miner＇s sum method is not suitable for aero-engine because of its low accuracy.A back propagation neutral network（BPNN） based on the combination of Levenberg-Marquardt（LM） and finite element method（FEM） is used to describe process of nonlinear damage accumulation behavior in material and predict fatigue life of the blade.Fatigue tests of standard specimen made from TC4 are carried out to obtain material fatigue parameters and S-N curve.A nonlinear continuum damage model（CDM）,based on the BPNN with one hidden layer and ten neurons,is built to investigate the nonlinear damage accumulation behavior,in which the results from the tests are used as training set.Comparing with linear models and previous nonlinear models,BPNN has the lowest calculation error in full load range.It has significant accuracy when the load is below 500 MPa.Especially,when the load is 350 MPa,the calculation error of the BPNN is only 0.4%.The accurate model of the blade is built by using 3D coordinate measurement technology.The loading cycle in fatigue analysis is defined from takeoff to cruise in 10 min,and the load history is obtained from finite element analysis（FEA）.Then the fatigue life of the compressor blade is predicted by using the BPNN model.The final fatigue life of the aero-engine blade is 6.55 104 cycles（10 916 h） based on the BPNN model,which is effective for the virtual design of aero-engine blade.展开更多
文摘Introduction: Reducing and maintaining viral load is crucial to reducing morbidity and mortality associated with HIV infection in children. The aim of this study was to determine the factors influencing the maintenance of children and adolescents on antiretroviral therapy in the continuum of care. Methodology: This was a descriptive and analytical cross-sectional study conducted from August 1 to August 31, 2023. It included all children living with HIV, under 15 years of age, with at least two viral load results and whose parents consented to participate in the study. Participants were recruited during their child’s treatment renewal consultations. Results: The study included 143 children, mostly boys (55.2%), with a mean age of 11.54 years (±2.8). More than half (55.2) were unaware of their HIV-positive status, and most treatments were administered by parents (60.8%). Of the 99 children with an undetectable viral load at the first test, 23 (23.2%) showed a viral rebound at the last test, mainly due to poor treatment compliance (p Conclusion: Virological rebound after suppression in children is worrying. It is crucial that the national AIDS program improves Therapeutic Education, trains health workers to communicate results and encourages ongoing dialogue with young people to reinforce adherence and maintain viral suppression.
文摘A previous paper showed that the real numbers between 0 and 1 could be represented by an infinite tree structure, called the ‘infinity tree’, which contains only a countably infinite number of nodes and arcs. This paper discusses how a finite-state Turing machine could, in a countably infinite number of state transitions, write all the infinite paths in the infinity tree to a countably infinite tape. Hence it is argued that the real numbers in the interval [0, 1] are countably infinite in a non-Cantorian theory of infinity based on Turing machines using countably infinite space and time. In this theory, Cantor’s Continuum Hypothesis can also be proved. And in this theory, it follows that the power set of the natural numbers P(ℕ) is countably infinite, which contradicts the claim of Cantor’s Theorem for the natural numbers. However, this paper does not claim there is an error in Cantor’s arguments that [0, 1] is uncountably infinite. Rather, this paper considers the situation as a paradox, resulting from different choices about how to represent and count the continuum of real numbers.
基金supported by the National Natural Science Foundation of China(No.12005198).
文摘In this study,an end-to-end deep learning method is proposed to improve the accuracy of continuum estimation in low-resolution gamma-ray spectra.A novel process for generating the theoretical continuum of a simulated spectrum is established,and a convolutional neural network consisting of 51 layers and more than 105 parameters is constructed to directly predict the entire continuum from the extracted global spectrum features.For testing,an in-house NaI-type whole-body counter is used,and 106 training spectrum samples(20%of which are reserved for testing)are generated using Monte Carlo simulations.In addition,the existing fitting,step-type,and peak erosion methods are selected for comparison.The proposed method exhibits excellent performance,as evidenced by its activity error distribution and the smallest mean activity error of 1.5%among the evaluated methods.Additionally,a validation experiment is performed using a whole-body counter to analyze a human physical phantom containing four radionuclides.The largest activity error of the proposed method is−5.1%,which is considerably smaller than those of the comparative methods,confirming the test results.The multiscale feature extraction and nonlinear relation modeling in the proposed method establish a novel approach for accurate and convenient continuum estimation in a low-resolution gamma-ray spectrum.Thus,the proposed method is promising for accurate quantitative radioactivity analysis in practical applications.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.12174228 and 12274271)。
文摘Two types of bound states in continuum(BICs),symmetry-protected and Brillouin zone folding driven,are identified in hollow Si nanorod arrays.By modulating the direction and distance of the air holes from the center of the nanorods,it is possible to achieve either a single quasi-BIC or three quasi-BICs.The transmission spectra exhibit ultra-narrow lines,and the quasi-BICs demonstrate ultra-high Q factors.Additionally,efficient third-harmonic generation occurs at low pump intensities.The results indicate that the proposed nanostructures of two types of BICs with a flexible modulation hold great potential applications for nonlinear photonic devices.
基金supported by the National Natural Science Foundation of China (Grant Nos.61405058 and 62075059)the Natural Science Foundation of Hunan Province (Grant Nos.2017JJ2048 and 2020JJ4161)+2 种基金the Scientific Research Foundation of Hunan Provincial Education Department (Grant No.21A0013)the Open Project of State Key Laboratory of Advanced Optical Communication Systems and Networks of China (Grant No.2024GZKF20)the Guangdong Basic and Applied Basic Research Foundation (Grant No.2024A1515011353)。
文摘We have introduced a new approach to calculate the orbital angular momentum(OAM)of bound states in continuum(BICs)and below-continuum-resonance(BCR)modes in the rotational periodic system nested inside and outside by transforming the Bloch wave number from the translational periodic system.We extensively classify and study these BICs and BCR modes,which exhibit high-quality(high-Q)factors,in different regions relative to the interface of the system.These BICs and BCR modes with a high-Q factor have been studied in detail based on distinctive structural parameters and scattering theory.The outcomes of this research break the periodic limitation of interface state-based BICs,and realize more and higher symmetry interface state-based BICs and BCR modes.Moreover,we can control the region where light is captured by adjusting the frequency,and show that the Q factor of BICs is more closely related to the ordinal number of rings and the rotational symmetry number of the system.
文摘This paper describes numerical simulation of hydraulic fracturing using fracture-based continuum modeling(FBCM)of coupled geomechanical-hydrological processes to evaluate a technique for high-density fracturing and fracture caging.The simulations are innovative because of modeling discrete fractures explicitly in continuum analysis.A key advantage of FBCM is that fracture initiation and propagation are modeled explicitly without changing the domain grid(i.e.no re-meshing).Further,multiple realizations of a preexisting fracture distribution can be analyzed using the same domain grid.The simulated hydraulic fracturing technique consists of pressurizing multiple wells simultaneously:initially without permeating fluids into the rock,to seed fractures uniformly and at high density in the wall rock of the wells;followed by fluid injection to propagate the seeded fracture density hydraulically.FBCM combines the ease of continuum modeling with the potential accuracy of modeling discrete fractures and fracturing explicitly.Fractures are modeled as piecewise planar based on intersections with domain elements;fracture geometry stored as continuum properties is used to calculate parameters needed to model individual fractures;and rock behavior is modeled through tensorial aggregation of the behavior of discrete fractures and unfractured rock.Simulations are presented for previously unfractured rock and for rock with preexisting fractures of horizontal,shallow-dipping,steeply dipping,or vertical orientation.Simulations of a single-well model are used to determine the pattern and spacing for a multiple-well design.The results illustrate high-density fracturing and fracture caging through simultaneous fluid injection in multiple wells:for previously unfractured rock or rock with preexisting shallow-dipping or horizontal fractures,and in situ vertical compressive stress greater than horizontal.If preexisting fractures are steeply dipping or vertical,and considering the same in situ stress condition,well pressurization without fluid permeation appears to be the only practical way to induce new fractures and contain fracturing within the target domain.
基金funding support from the National Key Research and Development Program of China(Grant No.2022YFA1204700)the National Natural Science Foundation of China(Grant Nos.12020101003,92056204,and 92250301)the funding support from the National Natural Science Foundation of China(Grant No.12274034)。
文摘The exploration of novel chiral optical platforms holds both fundamental and practical importances,which have shown great promise towards applications in valleytronics,chiral sensing and nanoscopic chiroptics.In this work,we combine two key concepts—chiral bound states in the continuum and exciton polaritons—to showcase a strong chiral response from polaritons.Using the finite element method,we numerically design a CsPbBr_(3)based metasurface that supports intrinsically chiral bound states in the continuum and verify the chirality by calculating the reflection spectrum and eigenpolarization mapping.We further demonstrate chirality-dependent exciton polariton angular dispersion arising from the strong coupling between the chiral BIC and excitons in CsPbBr_(3)by simulating the polariton angle-resolved absorption spectrum.Reciprocity analysis reveals that the polariton photoluminescence in different momentum space locations is selectively enhanced by chiral pumping light.Our results suggest a promising first step towards chiral polaritonics.
基金Project supported by the Zhejiang Provincial Natural Science Foundation of China(Grant No.LQ23F040001)the National Natural Science Foundation of China(Grant No.12204446)+1 种基金the Public Welfare Technology Research Project of Zhejiang Province(Grant No.LGC22E050006)the Quzhou Science and Technology Project of China(Grant No.2022K104).
文摘Quasi-bound state in the continuum(QBIC)resonance is gradually attracting attention and being applied in Goos-Hänchen(GH)shift enhancement due to its high quality(Q)factor and superior optical confinement.Currently,symmetry-protected QBIC resonance is often achieved by breaking the geometric symmetry,but few cases are achieved by breaking the material symmetry.This paper proposes a dielectric compound grating to achieve a high Q factor and high-reflection symmetry-protectede QBIC resonance based on material asymmetry.Theoretical calculations show that the symmetry-protected QBIC resonance achieved by material asymmetry can significantly increase the GH shift up to-980 times the resonance wavelength,and the maximum GH shift is located at the reflection peak with unity reflectance.This paper provides a theoretical basis for designing and fabricating high-performance GH shift tunable metasurfaces/dielectric gratings in the future.
基金Project supported by the National Natural Science Foundation of China (Grant No.61973167)the Jiangsu Funding Program for Excellent Postdoctoral Talent。
文摘Continuum robots with high flexibility and compliance have the capability to operate in confined and cluttered environments. To enhance the load capacity while maintaining robot dexterity, we propose a novel non-constant subsegment stiffness structure for tendon-driven quasi continuum robots(TDQCRs) comprising rigid-flexible coupling subsegments.Aiming at real-time control applications, we present a novel static-to-kinematic modeling approach to gain a comprehensive understanding of the TDQCR model. The analytical subsegment-based kinematics for the multisection manipulator is derived based on screw theory and product of exponentials formula, and the static model considering gravity loading,actuation loading, and robot constitutive laws is established. Additionally, the effect of tension attenuation caused by routing channel friction is considered in the robot statics, resulting in improved model accuracy. The root-mean-square error between the outputs of the static model and the experimental system is less than 1.63% of the arm length(0.5 m). By employing the proposed static model, a mapping of bending angles between the configuration space and the subsegment space is established. Furthermore, motion control experiments are conducted on our TDQCR system, and the results demonstrate the effectiveness of the static-to-kinematic model.
基金the support of Texas A&M University at Qatar for the 2022 Sixth Cycle Seed Grant Project。
文摘The main objective of this paper is to investigate the influence of inertia of nonlinear springs on the dispersion behavior of discrete monoatomic chains with lumped and distributed masses.The developed model can represent the wave propagation problem in a non-homogeneous material consisting of heavy inclusions embedded in a matrix.The inclusions are idealized by lumped masses,and the matrix between adjacent inclusions is modeled by a nonlinear spring with distributed masses.Additionally,the model is capable of depicting the wave propagation in bi-material bars,wherein the first material is represented by a rigid particle and the second one is represented by a nonlinear spring with distributed masses.The discrete model of the nonlinear monoatomic chain with lumped and distributed masses is first considered,and a closed-form expression of the dispersion relation is obtained by the second-order Lindstedt-Poincare method(LPM).Next,a continuum model for the nonlinear monoatomic chain is derived directly from its discrete lattice model by a suitable continualization technique.The subsequent use of the second-order method of multiple scales(MMS)facilitates the derivation of the corresponding nonlinear dispersion relation in a closed form.The novelties of the present study consist of(i)considering the inertia of nonlinear springs on the dispersion behavior of the discrete mass-spring chains;(ii)developing the second-order LPM for the wave propagation in the discrete chains;and(iii)deriving a continuum model for the nonlinear monoatomic chains with lumped and distributed masses.Finally,a parametric study is conducted to examine the effects of the design parameters and the distributed spring mass on the nonlinear dispersion relations and phase velocities obtained from both the discrete and continuum models.These parameters include the ratio of the spring mass to the lumped mass,the nonlinear stiffness coefficient of the spring,and the wave amplitude.
基金National Key R&D Program of China under Grant Nos.2023YFA1606400 and 2022YFA1602303National Natural Science Foundation of China under Grants Nos.12335007,12035001,11921006,12347106,12147101,and 12205340+1 种基金Gansu Natural Science Foundation under Grant No.22JR5RA123U.S.Department of Energy(DOE),Office of Science,under SciDAC-5(NUCLEI collaboration)。
文摘Over the last decade,nuclear theory has made dramatic progress in few-body and ab initio many-body calculations.These great advances stem from chiral efective feld theory(xEFT),which provides an efcient expansion and consistent treatment of nuclear forces as inputs of modern many-body calculations,among which the in-medium similarity renormalization group(IMSRG)and its variants play a vital role.On the other hand,signifcant eforts have been made to provide a unifed description of the structure,decay,and reactions of the nuclei as open quantum systems.While a fully comprehensive and microscopic model has yet to be realized,substantial progress over recent decades has enhanced our understanding of open quantum systems around the dripline,which are often characterized by exotic structures and decay modes.To study these interesting phenomena,Gamow coupled-channel(GCC)method,in which the open quantum nature of few-body valence nucleons coupled to a deformed core,has been developed.This review focuses on the developments of the advanced IMSRG and GCC and their applications to nuclear structure and reactions.
文摘The atomic and molecular compounds of cometary ices serve as valuable knowledge into the chemical and physical properties of the outer solar nebula, where comets are formed. From the cometary atmospheres, the atoms and gas-phase molecules arise mainly in three ways:(i) the outgassing from the nucleus,(ii) the photochemical process, and(iii) the sublimation of icy grains from the nucleus. In this paper, we present the radio and millimeter wavelength observation results of Oort cloud non-periodic comet C/2022 E3(ZTF) using the Giant Metrewave Radio Telescope(GMRT) band L and the Atacama Large Millimeter/submillimeter Array(ALMA) band 6. We do not detect continuum emissions and an emission line of atomic hydrogen(H I) at rest frequency 1420 MHz from this comet using the GMRT. Based on ALMA observations, we detect the dust continuum emission and rotational emission lines of methanol(CH_(3)OH) from comet C/2022 E3(ZTF). From the dust continuum emission, the dust production(Afρ) activity of comet ZTF is 2280 ± 50 cm. Based on LTE spectral modeling, the column density and excitation temperature of CH_(3)OH toward C/2022 E3(ZTF) are(4.50 ± 0.25) × 10^(14)cm^(-2)and 70 ± 3 K respectively. The integrated emission maps show that CH_(3)OH was emitted from the coma region of the comet. The production rate of CH_(3)OH toward C/2022 E3(ZTF) is(7.32 ± 0.64) × 10^(26) molecules s^(-1). The fractional abundance of CH_(3)OH with respect to H2O in the coma of the comet is 1.52%. We also compare our derived abundance of CH_(3)OH with the existence modeled value, and we see the observed and modeled values are quite similar. We claim that CH_(3)OH is formed via the subsequential hydrogenation of formaldehyde(H2CO) on the grain surface of comet C/2022 E3(ZTF).
文摘BACKGROUND The human immunodeficiency virus(HIV)continuum of care cascade illustrates the 90-90-90 goals defined by the Joint United Nations Program on HIV/acquired immunodeficiency syndrome(UNAIDS).The care cascade includes the following five steps:Diagnosis,linkage to care,retention in care,adherence to antiretroviral therapy(ART),and viral suppression.AIM To elaborate the HIV cascade of patients diagnosed with HIV at the Nossa Senhora da Conceição Hospital(HNSC)and to determine possible local causes for the loss of patients between each step of the cascade.METHODS This retrospective cohort study included patients diagnosed with HIV infection from January 1,2015 to December 31,2016 and followed up until July 31,2019.The data were analyzed by IBM SPSS software version 25,and Poisson regression with simple robust variance was used to analyze variables in relation to each step of the cascade.Variables with P<0.20 were included in multivariable analysis,and P<0.05 was considered significant.Pearson’sχ^(2) test was used to compare the groups of patients followed up at the HNSC and those followed up at other sites.RESULTS The results were lower than those expected by the UNAIDS,with 94%of patients linked,91%retained,81%adhering to ART,and 84%in viral suppression.Age and site of follow-up were the variables with the highest statistical significance.A comparison showed that the cascade of patients from the HNSC had superior results than outpatients,with a significant difference in the last step of the cascade.CONCLUSION The specialized and continued care provided at the HNSC was associated with better results and was closer to the goals set by the UNAIDS.The development of the HIV cascade using local data allowed for the stratification and evaluation of risk factors associated with the losses occurring between each step of the cascade.
基金supported by the National Natural Science Foundation of China(No.11972341)the fundamental research project of Lomonosov Moscow State University‘Mathematical models for multi-phase media and wave processes in natural,technical and social systems’.
文摘Freeway work zone forms as a result of traffic crash or road rehabilitation.To ascertain the effects of work zone with lane II completely blocked on vehicular flow on ring freeways with a tunnel,a three-lane continuum model is put forward.The mandatory net lanechanging rate from lane II to lane I or III just upstream of the work zone is described by a random number model,with the random number being produced within a small range around a median based on a golden section analysis.The net-changing rate between adjacent lanes is described using a lane-changing time on the basis of an assumption:the time ratio to relaxation time equals infinity when the absolute value of traffic densities between the two adjacent lanes is less than 1 veh/km,implying that the net-changing rate is zero;otherwise,the time ratio is inversely proportional to the vehicular spatial headway,which is equal to unity for traffic flow at saturation state,but infinity when the traffic flow is completely jammed.It is assumed that the freeway is a three lane ring with a total length of 100 km,and has a tunnel with a speed limit of 60 km/h and a length of 1.6 km located downstream the work zone with a length of 0.16 km.The free flow speeds on lanes I,II,and III are 120 km/h,100 km/h,and 85 km/h,respectively.For the vehicular flow on the ring freeway with a tunnel,numerical simulations based on the three-lane continuum model are carried out with a reliable numerical method of high accuracy.It is found that the vehicular flow has two thresholds of traffic jam formation,one depending upon the tunnel and the other upon the work zone.The tunnel triggers a traffic jam when the initial density normalized by jam density is equal to the first threshold 0.15,and the work zone originates another traffic jam when the normalized initial density equals the second threshold 0.19.The freeway tunnel plays a dominant role in the prediction of mean travel time as soon as the tunnel has generated a traffic jam at the tunnel entrance.For the vehicular flow at unsaturated state,the average speed through the tunnel is about 26.67 km/h.When the normalized initial density exceeds the second threshold 0.19,the mean travel time through every lane increases with the initial density linearly.Vehicle fuel consumption can be estimated by interpolation with the time averaged grid traffic speed and an assumed vehicle performance curve.It is found that the vehicle fuel consumption is lane number dependent,and distributes with the initial density concavely,as well as has a value in the range of 6.5 to 8.3 l.
文摘A non-linear continuum damage model was presented based on the irreversible thermodynamics framework developed by LEMAITRE and CHABOCHE. The proposed model was formulated by taking into account the influence of loading frequency on fatigue life. The parameters H and c are constants for frequency-independent materials, but functions of cyclic frequency for frequency-dependent materials. In addition, the expression of the model was discussed in detail at different stress ratios （R）. Fatigue test data of AlZnMgCu1.5 aluminium alloy and AMg6N alloy were used to verify the proposed model. The results showed that the model possesses a good ability of predicting fatigue life at different loading frequencies and stress ratios.
文摘Inclusion of dissipation and memory mechanisms, non-classical elasticity and thermal effects in the currently used plate/shell mathematical models require that we establish if these mathematical models can be derived using the conservation and balance laws of continuum mechanics in conjunction with the corresponding kinematic assumptions. This is referred to as thermodynamic consistency of the mathematical models. Thermodynamic consistency ensures thermodynamic equilibrium during the evolution of the deformation. When the mathematical models are thermodynamically consistent, the second law of thermodynamics facilitates consistent derivations of constitutive theories in the presence of dissipation and memory mechanisms. This is the main motivation for the work presented in this paper. In the currently used mathematical models for plates/shells based on the assumed kinematic relations, energy functional is constructed over the volume consisting of kinetic energy, strain energy and the potential energy of the loads. The Euler’s equations derived from the first variation of the energy functional for arbitrary length when set to zero yield the mathematical model(s) for the deforming plates/shells. Alternatively, principle of virtual work can also be used to derive the same mathematical model(s). For linear elastic reversible deformation physics with small deformation and small strain, these two approaches, based on energy functional and the principle of virtual work, yield the same mathematical models. These mathematical models hold for reversible mechanical deformation. In this paper, we examine whether the currently used plate/shell mathematical models with the corresponding kinematic assumptions can be derived using the conservation and balance laws of classical or non-classical continuum mechanics. The mathematical models based on Kirchhoff hypothesis (classical plate theory, CPT) and first order shear deformation theory (FSDT) that are representative of most mathematical models for plates/shells are investigated in this paper for their thermodynamic consistency. This is followed by the details of a general and higher order thermodynamically consistent plate/shell thermoelastic mathematical model that is free of a priori consideration of kinematic assumptions and remains valid for very thin as well as thick plates/shells with comprehensive nonlinear constitutive theories based on integrity. Model problem studies are presented for small deformation behavior of linear elastic plates in the absence of thermal effects and the results are compared with CPT and FSDT mathematical models.
文摘The research is: by using Wdolkowski's Time Continuum Model throughout a lesson plan enables the teacher to increase students'motivation and help them move closer to success in a learning environment. This research supports the theory that instruction is a network of interactions between the teacher and learner that promotes a successful learning experience. It identifies a three-part learning sequence-a beginning, middle and an end. Each part has two of six key motivational factors that when applied correctly by the teacher will maximize the success and continued motivation of the learner.
基金project was supported the National Natural Science Foundation of China (Grant 11372086)the Natural Science Foundation of Guangdong Province of China (Grant 2014A030313696)
文摘Analysis of the mechanical behavior of nanos- tructures has been very challenging. Surface energy and non- local elasticity of materials have been incorporated into the traditional continuum analysis to create modified continuum mechanics models. This paper reviews recent advancements in the applications of such modified continuum models in nanostructures such as nanotubes, nanowires, nanobeams, graphenes, and nanoplates. A variety of models for these nanostructures under static and dynamic loadings are men- tioned and reviewed. Applications of surface energy and nonlocal elasticity in analysis of piezoelectric nanomateri- als are also mentioned. This paper provides a comprehensive introduction of the development of this area and inspires fur- ther applications of modified continuum models in modeling nanomaterials and nanostructures.
基金supported by National Natural Science Foundation of China (Grant No. 60879002)Tianjin Municipal Science and Technology Support Plan of China (Grant No. 10ZCKFGX03800)
文摘Fatigue life and reliability of aero-engine blade are always of important significance to flight safety.The establishment of damage model is one of the key factors in blade fatigue research.Conventional linear Miner＇s sum method is not suitable for aero-engine because of its low accuracy.A back propagation neutral network（BPNN） based on the combination of Levenberg-Marquardt（LM） and finite element method（FEM） is used to describe process of nonlinear damage accumulation behavior in material and predict fatigue life of the blade.Fatigue tests of standard specimen made from TC4 are carried out to obtain material fatigue parameters and S-N curve.A nonlinear continuum damage model（CDM）,based on the BPNN with one hidden layer and ten neurons,is built to investigate the nonlinear damage accumulation behavior,in which the results from the tests are used as training set.Comparing with linear models and previous nonlinear models,BPNN has the lowest calculation error in full load range.It has significant accuracy when the load is below 500 MPa.Especially,when the load is 350 MPa,the calculation error of the BPNN is only 0.4%.The accurate model of the blade is built by using 3D coordinate measurement technology.The loading cycle in fatigue analysis is defined from takeoff to cruise in 10 min,and the load history is obtained from finite element analysis（FEA）.Then the fatigue life of the compressor blade is predicted by using the BPNN model.The final fatigue life of the aero-engine blade is 6.55 104 cycles（10 916 h） based on the BPNN model,which is effective for the virtual design of aero-engine blade.
