Hierarchical bound states in heat transport.

Higher-order topological phases in non-Hermitian photonics revolutionize the understanding of wave propagation and modulation, which lead to hierarchical states in open systems. However, intrinsic insulating properties endorsed by the lattice symmetry of photonic crystals fundamentally confine the robust transport only at explicit system boundaries, letting alone the flexible reconfiguration in hierarchical states at arbitrary positions. Here, we report a dynamic topological platform for creating the reconfigurable hierarchical bound states in heat transport systems and observe the robust and nonlocalized higher-order states in both the real- and imaginary-valued bands. Our experiments showcase that the hierarchical features of zero-dimension corner and nontrivial edge modes occur at tailored positions within the system bulk states instead of the explicit system boundaries. Our findings uncover the mechanism of non-localized hierarchical non-trivial topological states and offer distinct paradigms for diffusive transport field management.

Study on ultrasound diagnosis and pathological anatomy of fetal complex congenital heart disease in the first trimester.

PURPOSE: To assess the feasibility of using the stereo-microscope to identify the pathological anatomy of the congenital heart diseases in the first trimester. METHODS: Fifteen fetuses of 8-12 weeks aborted due to prevent miscarriage failure and 42 fetuses of 11-14 weeks with congenital heart diseases were included in the study, we dissected their hearts through a stereo-microscope, then compared with the prenatal ultrasonographic diagnosis. RESULTS: Using stereomicroscopy, the positive view of the heart and the great arteries, the long axis view of the aortic arch, the inflow tract view of the bottom heart, the semilunar valve view of the bottom heart, and the transverse section of the ventricle were showed contented and obtained satisfactory images, but the structure of atrioventricular valve and venous system had a lower rate of display. CONCLUSION: The characteristic pathological changes of cardiac inflow and outflow tract can be obtained by dissecting the heart sequential under the stereo-microscopy. However it is often difficult to obtain satisfactory pathological sections for pulmonary venous abnormalities and Ebstein anomaly.

Localized and delocalized topological modes of heat.

The topological physics has sparked intensive investigations into topological lattices in photonic, acoustic, and mechanical systems, powering counterintuitive effects otherwise inaccessible with usual settings. Following the success of these endeavors in classical wave dynamics, there has been a growing interest in establishing their topological counterparts in diffusion. Here, we propose an additional real-space dimension in diffusion, and the system eigenvalues are transformed from "imaginary" to "real." By judiciously tailoring the effective Hamiltonian with coupling networks, localized and delocalized topological modes are realized in heat transfer. Simulations and experiments in active thermal lattices validate the effectiveness of the proposed theoretical strategy. This approach can be applied to establish various topological lattices in diffusion systems, offering insights into engineering topologically protected edge states in dynamic diffusive scenarios.

Topological Anderson phases in heat transport.

Topological Anderson phases (TAPs) offer intriguing transitions from ordered to disordered systems in photonics and acoustics. However, achieving these transitions often involves cumbersome structural modifications to introduce disorders in parameters, leading to limitations in flexible tuning of topological properties and real-space control of TAPs. Here, we exploit disordered convective perturbations in a fixed heat transport system. Continuously tunable disorder-topology interactions are enabled in thermal dissipation through irregular convective lattices. In the presence of a weak convective disorder, the trivial diffusive system undergos TAP transition, characterized by the emergence of topologically protected corner modes. Further increasing the strength of convective perturbations, a second phase transition occurs converting from TAP to Anderson phase. Our work elucidates the pivotal role of disorders in topological heat transport and provides a novel recipe for manipulating thermal behaviors in diverse topological platforms.

Unconventional Thermophotonic Charge Density Wave.

Charge-order states of broken symmetry, such as charge density wave (CDW), are able to induce exceptional physical properties, however, the precise understanding of the underlying physics is still elusive. Here, we combine fluctuational electrodynamics and density functional theory to reveal an unconventional thermophotonic effect in CDW-bearing TiSe_{2}, referred to as thermophotonic-CDW (tp-CDW). The interplay of plasmon polariton and CDW electron excitations give rise to an anomalous negative temperature dependency in thermal photons transport, offering an intuitive fingerprint for a transformation of the electron order. Additionally, the demonstrated nontrivial features of tp-CDW transition hold promise for a controllable manipulation of heat flow, which could be extensively utilized in various fields such as thermal science and electron dynamics, as well as in next-generation energy devices.

Twisted moiré conductive thermal metasurface.

Extensive investigations on the moiré magic angle in twisted bilayer graphene have unlocked the emerging field-twistronics. Recently, its optics analogue, namely opto-twistronics, further expands the potential universal applicability of twistronics. However, since heat diffusion neither possesses the dispersion like photons nor carries the band structure as electrons, the real magic angle in electrons or photons is ill-defined for heat diffusion, making it elusive to understand or design any thermal analogue of magic angle. Here, we introduce and experimentally validate the twisted thermotics in a twisted diffusion system by judiciously tailoring thermal coupling, in which twisting an analog thermal magic angle would result in the function switching from cloaking to concentration. Our work provides insights for the tunable heat diffusion control, and opens up an unexpected branch for twistronics -- twisted thermotics, paving the way towards field manipulation in twisted configurations including but not limited to fluids.

Efficacy of atrioventricular valve regurgitation in the first trimester for the diagnosis of atrioventricular septal defect.

PURPOSE: To investigate the efficacy of atrioventricular valve regurgitation (AVVR) for predicting atrioventricular septal defect (AVSD) in the first trimester. METHODS: We performed a prospective observational study, screening for complicated congenital heart diseases and AVVR in fetuses at 11 to 13+6 weeks of gestation by advanced dynamic flow in four-chamber view and three-vessel-trachea view. RESULTS: 43 549 fetuses at 11 to 13+6 weeks of gestation were screened by echocardiography, of which 37 cases were diagnosed with AVSD, including complete AVSD (31 cases), intermediate AVSD (3 cases) and partial AVSD (1 cases), undiagnosed intermediate AVSD (2 cases), and misdiagnosed case (2 cases). AVVR was observed in 34 cases (34/37) in the first trimester, 59. 46% (22/37) nuchal translucency greater than 95th percentile, 29. 73% (11/37) absence of nasal bone, 32. 43% (12/37) ductus venosus A wave inversion, and 40. 54% (15/37) had tricuspid regurgitation. The sensitivity of common AVVR in predicting AVSD is better than other ultrasonic indexes. CONCLUSIONS: AVVR can be used as an ultrasonic indicator to predict AVSD in the first trimester, which is beneficial to detect AVSD.

An Easy and Effective Method for Evaluating the Position of Conus Medullaris: Counting the Number of Vertebral Ossification Center Below the End of Conus Medullaris.

OBJECTIVE: This study aimed to ascertain the conus medullaris position by counting the number of ossification centers in the vertebral bodies below the conus medullaris endpoint (N) and assess its utility in screening for closed spinal dysraphism and tethered cord syndrome. METHODS: A total of 900 normal fetuses and 146 fetuses with closed spinal dysraphism or tethered cord syndrome were included in this study. The N values were tallied and compared along the spinal longitudinal plane. The receiver operating characteristic curve was utilized, and the cut-off value of N was analyzed. RESULTS: The counting of N was successfully performed in 856 normal and 146 abnormal fetuses. In the normal group, an increase in N with gestational age was observed. Specifically, in the subgroup of 17-20 wk fetuses, N was ≥6 in 117 out of 131 cases. This figure increased to 211 out of 213 in 21-24 wk and 512 out of 512 in 25-41 wk, respectively. Cases with N ≥7 accounted for 715 out of 856 fetuses in the 17-41 wk range. In the abnormal group, N was less than 7 in 152 out of 163 fetuses, showing statistical differences between the two groups. With a cut-off value of 6.5, specificity and sensitivity reached 93.3% and 83.5%. CONCLUSIONS: The counting of N was found to be a straightforward and efficient method for evaluating the position of the conus medullaris.

A genetic variant in the MAST1 gene is associated with mega-corpus-callosum syndrome with hypoplastic cerebellar vermis, in a fetus.

BACKGROUND: Mega-corpus-callosum syndrome with cerebellar hypoplasia and cortical malformations is a rare neurological disorder that is associated with typical clinical and imaging features. The syndrome is caused by pathogenic variants in the MAST1 gene, which encodes a microtubule-associated protein that is predominantly expressed in postmitotic neurons in the developing nervous system. METHODS: Fetal DNA from umbilical cord blood samples and genomic DNA from peripheral blood lymphocytes were subjected to whole-exome sequencing. The potential causative variants were verified by Sanger sequencing. RESULTS: A 26-year-old primigravid woman was referred to our prenatal center at 25 weeks of gestation due to abnormal ultrasound findings in the brain of the fetus. The brain abnormalities included wide cavum septum pellucidum, shallow and incomplete bilateral lateral fissure cistern, bilateral dilated lateral ventricles, hyperplastic corpus callosum, lissencephaly, and cortical dysplasia. No obvious abnormalities were observed in the brainstem or cerebellum hemispheres, but the cerebellum vermis was small. Whole-exome sequencing identified a de novo, heterozygous missense variant, c.695T>C(p.Leu232Pro), in the MAST1 gene and a genetic diagnosis of mega-corpus-callosum syndrome was considered. CONCLUSION: This study is the first prenatal case of MAST1-related disorder reported in the Chinese population and has expanded the mutation spectrum of the MAST1 gene.

Nonreciprocal Heat Circulation Metadevices.

Thermal nonreciprocity typically stems from nonlinearity or spatiotemporal variation of parameters. However, constrained by the inherent temperature-dependent properties and the law of mass conservation, previous works have been compelled to treat dynamic and steady-state cases separately. Here, by establishing a unified thermal scattering theory, the creation of a convection-based thermal metadevice which supports both dynamic and steady-state nonreciprocal heat circulation is reported. The nontrivial dependence between the nonreciprocal resonance peaks and the dynamic parameters is observed and the unique nonreciprocal mechanism of multiple scattering is revealed at steady state. This mechanism enables thermal nonreciprocity in the initially quasi-symmetric scattering matrix of the three-port metadevice and has been experimentally validated with a significant isolation ratio of heat fluxes. The findings establish a framework for thermal nonreciprocity that can be smoothly modulated for dynamic and steady-state heat signals, it may also offer insight into other heat-transfer-related problems or even other fields such as acoustics and mechanics.

Performance Investigation of Micromixer with Spiral Pattern on the Cylindrical Chamber Side Wall.

In this paper, a sequence of passive micromixers with spiral patterns on the side wall of cylindrical chambers are designed, optimized, prepared and tested. The simulation studies show that the vortex magnitude and continuity in the mixing chamber are the most important factors to determine mixing performance, while the inlet position and structural parameters are secondary influences on their performance. According to the above principles, the performance of a micromixer with a continuous sidewall spiral finally wins out. The total mixing length is only 14 mm, but when Re = 5, the mixing index can reach 99.81%. The multi-view visual tests of these mixer chips prepared by 3D printing are consistent with the simulation results. This paper provides a new idea for optimizing the micromixer with spiral patterns on the side wall and the problems of floor area and pressure loss are significantly improved compared to the conventional spiral structure.

Observation of bulk quadrupole in topological heat transport.

The quantized bulk quadrupole moment has so far revealed a non-trivial boundary state with lower-dimensional topological edge states and in-gap zero-dimensional corner modes. In contrast to photonic implementations, state-of-the-art strategies for topological thermal metamaterials struggle to achieve such higher-order hierarchical features. This is due to the absence of quantized bulk quadrupole moments in thermal diffusion fundamentally prohibiting possible band topology expansions. Here, we report a recipe for generating quantized bulk quadrupole moments in fluid heat transport and observe the quadrupole topological phases in non-Hermitian thermal systems. Our experiments show that both the real- and imaginary-valued bands exhibit the hierarchical features of bulk, gapped edge and in-gap corner states-in stark contrast to the higher-order states observed only on real-valued bands in classical wave fields. Our findings open up unique possibilities for diffusive metamaterial engineering and establish a playground for multipolar topological physics.

Scale effects of land use on river water quality: a case study of the Tuojiang River Basin, China.

Assessing the scale effects of land use on water quality is of great significance for effectively controlling nonpoint source (NPS) pollution in river basins. In this study, redundancy analysis (RDA) and stepwise multiple linear regression (SMLR) analysis were applied to assess the effects of land use on water quality across multiscales in the Tuojiang River Basin. All monitoring sections were classified into three groups according to the characteristics of land use and cluster analysis of water quality. Results showed that the improvement in water quality of rivers in the Tuojiang River Basin lies in the emphasis and protection of the small-scale scope. Concomitantly, the linkages between individual water quality parameter and land use were highly dependent on spatial scales and regional basis. For the upstream group A, urban land is the main source of COD and TN pollution, while industrial and rural residential land contributed the most to TP pollution. Water body exhibits favorable effects on ammonia nitrogen due to its absorption and degradation, together with the growth of phytoplankton within it. For group B in the middle-lower reaches, controlling the input of organic fertilizers in paddy field will effectively alleviate COD pollution. Increasing the proportion of grassland near the riparian zone can have a positive effect on TN and TP pollution. It should continue to strengthen the strict supervision of NH3-N concentration in wastewater discharge from industrial enterprises. Our results can provide important information for land use planning and making multiple scale measures for water quality conservation.

Prenatal Diagnosis of Congenital Cataract: Sonographic Features and Perinatal Outcome in 41 Cases.

PURPOSE: To describe the prenatal ultrasonographic characteristics and perinatal outcomes of congenital cataract. MATERIALS AND METHODS: We analyzed congenital cataract diagnosed prenatally at four referral centers between August 2004 and February 2019. The diagnosis was confirmed by postnatal ophthalmologic evaluation of liveborn infants or autopsy for terminated cases. Maternal demographics, genetic testing results, prenatal ultrasound images, and perinatal outcomes were abstracted. RESULTS: Total of 41 cases of congenital cataract diagnosed prenatally among 788 751 women undergoing anatomic survey. Based on the sonographic characteristics, 16/41 (39.0 %) had a dense echogenic structure, 15/41 (36.6 %) had a hyperechogenic spot and 10/41 (24.4 %) had the "double ring" sign. 17/41 (41.5 %) were isolated, and 24/41 (58.5 %) had associated intraocular and extraocular findings. Microphthalmia, cardiac abnormalities, and central nervous system abnormalities were the most common associated abnormalities. Regarding potential etiology, 6 cases had a known family history of congenital cataract, 4 cases had confirmed congenital rubella infection, and 2 cases had aneuploidy. 31/41 (75.6 %) elected termination and 10/41 (24.4 %) elected to continue their pregnancy. Among the 10 cases, one case died, one case was lost to follow-up, and the remaining 8 cases were referred for ophthalmologist follow-up and postnatal surgery. CONCLUSION: Once fetal cataracts are detected, a detailed fetal anatomy survey to rule out associated abnormalities and a workup to identify the potential etiology are recommended. Prenatal diagnosis of congenital cataracts provides vital information for counseling and subsequent management.

Prenatal diagnosis of type A fetal interrupted aortic arch by four-dimensional echocardiography with HD-flow STIC: A case report.

Interrupted aortic arch (IAA) is a rare complex congenital heart disease characterized by interrupted continuity between ascending aorta and descending aorta. Prenatal diagnosis of IAA by echocardiography is not uncommonly reported despite its rarity. However, employing four-dimensional ultrasound HD-flow imaging and spatiotemporal image correlation (STIC) in diagnosis of this condition has seldom been reported. We report a case of fetal IAA prenatally diagnosed by two-dimensional echocardiography and HD-flow STIC.

Basin-Scale Pollution Loads Analyzed Based on Coupled Empirical Models and Numerical Models.

Pollutant source apportionment is of great significance for water environmental protection. However, it is still challenging to accurately quantify pollutant loads at basin-scale. Refined analytical methods combined the pollution discharge coefficient method (PDCM), field observation, and numerical model (Soil & Water Assessment Tool, SWAT) to make quantitative source appointment in the Tuojiang River, a key tributary of the upper Yangtze River. The chemical oxygen demand (COD), total nitrogen (TN), total phosphorus (TP), and ammonia nitrogen (N-NH4+) were analyzed. Results showed that the urban sewage treatment plant point source has the largest contribution to COD, TN, and N-NH4+, while TP is mostly from the agricultural sources throughout the year. The total inflowing loads of pollution sources are significantly affected by rainfall. The overall pollution characteristics showed that pollutant loads present in different seasons are as follows: wet season > normal season > dry season. The month with the highest levels of pollutants is July in the wet season. Among the nine cities, the city that contributes the most COD, TN and N-NH4+, is Neijiang, accounting for about 25%, and the city that contributes the most TP is Deyang, accounting for 23%. Among the sub-basins, the Fuxi River subbasin and Qiuxihe River subbasin contribute the most pollutant loads. The technical framework adopted in this paper can be used to accurately identify the types, administrative regions and sub-basins of the main pollution sources in the watershed, which is conducive to management and governance of the environment.

Zoned strategy for water pollutant emissions of China based on spatial heterogeneity analysis.

A zoned strategy based on the spatial heterogeneity of water pollutant emissions is helpful for water environment management. With principal component analysis and clustering analysis, 31 provincial administrative regions (not including Hong Kong, Macao, and Taiwan regions) of China with emissions of 12 kinds of water quality indicators had been categorized into 4 zone type regions. Zone type-1 is the largest emissions of heavy metals, including mining-developed provinces of Hunan and Jiangxi. Zone type-2 is constituted of economically and agriculturally developed with large COD, NH4+-N, TP, and TN emissions, including Hebei, Jiangsu and Zhejiang, Anhui, Shandong, Henan, Hubei, Guangdong, and Sichuan. Zone type-3 only contains Shanxi with massive oil and volatile phenol emissions. Zone type-4 is the other 19 provinces with small discharges of water pollutants. Zone type-4 could be divided into three subclasses which are related to the location of these areas. With these cluster zones, the targeted water pollutant emissions strategy has been put forward in the paper. These methods and ideas of this paper can be further applied to the analysis of spatial and temporal differentiation of pollutant discharges in basins. With the zoning regions, more concrete water pollution prevention and control strategies can be set at a national level.

Vascular ring and sling in a fetus who developed esophageal and airway compression after birth.

Vascular ring and sling are congenital anomalies of the vascular structure in the thorax with a prevalence of 2.4/10,000 live births. Double aortic arch (DAA), right aortic arch with left ductus arteriosus and aberrant left subclavian artery (RAA-ALSA), and pulmonary artery sling (PAS) are the three common types of vascular ring and sling. These anomalies can be isolated or accompanied by intracardiac malformation. The presence of both vascular ring and PAS is extremely rare. Here, we report a fetus who was prenatally diagnosed with PAS and RAA-ALS, and developed symptoms due to esophageal and airway compression after birth.

Association between metal cobalt exposure and the risk of congenital heart defect occurrence in offspring: a multi-hospital case-control study.

BACKGROUND: Many studies have investigated heavy metal exposure could increase the occurrence of congenital heart defects (CHDs). However, there are limited data regarding the relationship between cobalt exposure and CHD occurrence in offspring. The aim of this study was to analyze the association between cobalt exposure in mothers and the risk of CHDs in offspring. MATERIALS AND METHODS: In order to explore the association between cobalt exposure and occurrence of congenital heart defect (CHD), a case-control study with 490 controls and 399 cases with CHDs in China were developed. The concentrations of cobalt in hair of pregnant woman and fetal placental tissue were measured and processed by a logistic regression analysis to explore the relationship between cobalt exposure and risk of CHDs. RESULTS: The median concentration of hair cobalt in the control and case group was 0.023 ng/mg and 0.033 ng/mg (aOR, 1.837; 95% CI, 1.468-2.299; P < 0.001), respectively. And the median (5-95% range) fetal placental cobalt concentrations were 19.350 ng/g and 42.500 ng/g (aOR, 2.924; 95% CI, 2.211-3.868; P < 0.001) in the control and case groups, respectively. Significant differences in the middle level of cobalt in hair were found in the different CHD subtypes, including septal defects, conotruncal defects, right ventricular outflow tract obstruction, and left ventricular outflow tract obstruction (P < 0.001). Dramatically, different cobalt concentrations in fetal placental tissue were found in all subtypes of cases with CHDs (P < 0.01). CONCLUSIONS: The finding suggested that the occurrence of CHDs may be associated with cobalt exposure.