This paper mainly concerns the KAM persistence of the mapping $\mathscr {F}:\mathbb {T}^{n}\times E\rightarrow \mathbb {T}^{n}\times \mathbb {R}^{n}$ with intersection property, where $E\subset \mathbb {R}^{n}$ is a connected closed bounded domain with interior points. By assuming that the frequency mapping satisfies certain topological degree condition and weak convexity condition, we prove some Moser-type results about the invariant torus of mapping $\mathscr {F}$ with frequency-preserving under small perturbations. To our knowledge, this is the first approach to Moser's theorem with frequency-preserving. Moreover, given perturbed mappings over $\mathbb {T}^n$, it is shown that such persistence still holds when the frequency mapping and perturbations are only continuous about parameter beyond Lipschitz or even Hölder type. We also touch the parameter without dimension limitation problem under such settings.

This study aims to understand the epidemiological characteristics of SARS-CoV-2 infection in the paediatric population during the outbreak of the Omicron variant in Shanghai. We retrospectively analysed the population-based epidemiological characteristics and clinical outcome of SARS-CoV-2 Omicron variant infection in children in Minhang District, Shanghai, based on the citywide surveillance system during the outbreak period in 2022 (March to May). During this time, a total of 63,969 cases of SARS-CoV-2 infection were notified in Minhang District, out of which 4,652 (7.3%) were children and adolescents <18 years. The incidence rate of SARS-CoV-2 infections in children was 153 per 10,000. Of all paediatric cases, 50% reported to be clinically symptomatic within 1–3 days after PCR confirmation by parents or themselves, with 36.3% and 18.9% of paediatric cases reporting fever and cough. Also, 58.4% of paediatric cases had received at least one dose of the COVID-19 vaccine and 52.1% had received two doses of the COVID-19 vaccination. Our findings are informative for the implementation of appropriate measures to protect children from the threat of SARS-CoV-2 infection.

Objectives: Central-line–associated bloodstream infection (CLABSI) has been the leading cause of healthcare-associated infections (HAIs) in the intensive care unit (ICU) setting. Previous studies have shown that a care bundle is effective in reducing CLABSI rates; however, the data on long-term sustainability and cost savings of bundled care are limited. Methods: From January 2011 to December 2020, a prospective surveillance was performed to monitor CLABSI at a university hospital in northern Taiwan. To reduce the CLABSI rate, a hospital-wide bundled care program for CLABSI prevention was implemented in 2013. We evaluated the long-term effect of the care bundle on CLABSI incidence and length of stay in the ICU. Results: During the study period, the overall CLABSI incidence decreased from 8.22 per 1,000 catheter days before the care bundle was implemented to 6.33 per 1,000 catheter days in 2020 (P for trend <.01). The most common pathogens causing CLABSI were gut organisms (1,420 of 2,363, 60.1%), followed by environmental organisms (734 of 2,363, 31.1%) and skin organisms (177 of 2,363, 7.5%). The decreasing trend was statistically significant in the incidence of CLABSI caused by skin organisms (P for trend < .01), but not in the incidence of CLABSI caused by environmental organisms (P for trend = .86) or gut organisms (P for trend = .06). In the multivariable analysis, implementation of this care bundle was independently associated with a decrease in the CLABSI rate (RR, 0.77; 95% CI, 0.66–0.88). Compared with patients without CLABSI, patients with CLABSI had a longer average ICU length of stay (27 vs 17 days). Conclusions: A sustainable reduction in the incidence of CLABSI caused by common commensals could be achieved through a cost-saving bundled care program.

In recent years, the incidence of teratospermia has been increasing, and it has become a very important factor leading to male infertility. The research on the molecular mechanism of teratospermia is also progressing rapidly. This article briefly summarizes the clinical incidence of teratozoospermia, and makes a retrospective summary of related studies reported in recent years. Specifically discussing the relationship between gene status and spermatozoa, the review aims to provide the basis for the genetic diagnosis and gene therapy of teratozoospermia.

The kinetic–magnetohydrodynamic (MHD) hybrid simulation approach for macroscopic instabilities in plasmas can be extended to include the kinetic effects of both thermal ions and energetic ions. The new coupling scheme includes synchronization of the density and parallel velocity between thermal ions and MHD, in addition to pressure coupling, to ensure the quasineutrality condition and avoid numerical errors. The new approach has been implemented in the kinetic-MHD code M3D-C1-K, and was used to study the thermal ion kinetic effects and Landau damping in fishbone modes in both DIII-D and NSTX. It is found that the thermal ion kinetic effects can cause an increase of the frequencies of the non-resonant $n=1$ fishbone modes driven by energetic particles for $q_\mathrm {min}>1$, and Landau damping can provide additional stabilization effects. A nonlinear simulation for $n=1$ fishbone mode in NSTX is also performed, and the perturbation on magnetic flux surfaces and the transport of energetic particles are calculated.

Bifurcation analysis of confined salt-finger convection using single-mode equations obtained from a severely truncated Fourier expansion in the horizontal is performed. Strongly nonlinear staircase-like solutions having, respectively, one (S1), two (S2) and three (S3) regions of mixed salinity in the vertical direction are computed using numerical continuation, and their stability properties are determined. Near onset, the one-layer S1 solution is stable and corresponds to maximum salinity transport among the three solutions. The S2 and S3 solutions are unstable but exert an influence on the statistics observed in direct numerical simulations (DNS) in larger two-dimensional (2-D) domains. Secondary bifurcations of S1 lead either to tilted-finger (TF1) or to travelling wave (TW1) solutions, both accompanied by the spontaneous generation of large-scale shear, a process favoured for lower density ratios and Prandtl numbers ($Pr$). These states at low $Pr$ are associated, respectively, with two-layer and three-layer staircase-like salinity profiles in the mean. States breaking reflection symmetry in the midplane are also computed. In two dimensions and for low $Pr$, the DNS results favour direction-reversing tilted fingers resembling the pulsating wave state observed in other systems. Two-layer and three-layer mean salinity profiles corresponding to reversing tilted fingers and TW1 are observed in 2-D DNS averaged over time. The single-mode solutions close to the high wavenumber onset are in an excellent agreement with 2-D DNS in small horizontal domains and compare well with 3-D DNS.

The coniferous shrub Oliver’s plum yew (Cephalotaxus oliveri) is endemic to southern China with potential medicinal use for cancer treatment and ecological value in sustaining China’s threatened subtropical forest ecosystems. Comprehensive understanding of the current spatial patterns of this vulnerable species vis-à-vis climatic conditions is crucial for its sustained economic use and conservation. Based on 100 reliable occurrence records and nine environmental variables, MaxEnt and QGIS programs were used to predict the potential geographical distribution of C. oliveri in China. Combined with percentage contribution and permutation importance, the jackknife statistical method was used to test and evaluate pertinent factors restricting the potential distribution of C. oliveri. The response curves of critical bioclimatic factors were employed to determine the potential species range. The current core potential distribution areas were concentrated in China’s central and south-west regions. Temperature was identified as the crucial determinant of species distribution patterns, particularly the mean temperature of the coldest quarter. Precipitation was a necessary but not critical secondary factor. These findings should inform the ex situ conservation and cultivation of C. oliveri in China and its introduction to other parts of the world for similar purposes.

Recently, the collisionless pitch-angle scattering for relativistic runaway electrons (REs) in toroidal geometries such as tokamaks was discovered through a full orbit simulation approach (Liu et al., Nucl. Fusion, vol. 56, 2016, p. 064002), and it was then theoretically investigated that a new expression for the magnetic moment, including the second-order corrections, could essentially reproduce the so-called collisionless pitch-angle scattering process (Liu et al., Nucl. Fusion, vol. 58, 2018, p. 106018). In this paper, with synchrotron radiation, extensive numerical verification of the validity of the high-order guiding-centre theory is given for simulations involving REs by incorporating such an expression for the magnetic moment into our particle tracing code. A high-order guiding-centre simulation approach with synchrotron radiation (HGSA) is applied. Synchrotron radiation plays an essential role in the life cycle of REs. The energy of REs first increases and then becomes saturated until the electric field acceleration is balanced by the radiation dissipation. Unfortunately, the process cannot be simulated accurately with the standard guiding-centre model, i.e. the first-order guiding-centre model. Remarkably, it is found that the HGSA can effectively produce the fundamental process of REs. Since the time scale of the energy saturation of REs is close to seconds, the computational cost becomes significant. In order to save costs, it is necessary to estimate the time of energy saturation. An analytical estimate is derived for the time it takes for synchrotron drag to balance an accelerating electric field and the provided formula has been numerically verified. Test calculations reveal that HGSA is favourable for exploiting the dynamics of REs in tokamak plasmas.

First, we build a computational procedure to reconstruct the convex body from a pre-given surface area measure. Nontrivially, we prove the convergence of this procedure. Then, the sufficient and necessary conditions of a Sobolev binary function to be a lightness function of a convex body are investigated. Finally, we present a computational procedure to compute the curvature function from a pre-given lightness function, and then we reconstruct the convex body from this curvature function by using the first procedure. The convergence is also proved. The main computations in both procedures are simply about the spherical harmonics.

We employ a recently introduced structured input–output analysis (SIOA) approach to analyse streamwise and spanwise wavelengths of flow structures in stably stratified plane Couette flow. In the low-Reynolds-number ($Re$) low-bulk Richardson number ($Ri_b$) spatially intermittent regime, we demonstrate that SIOA predicts high amplification associated with wavelengths corresponding to the characteristic oblique turbulent bands in this regime. SIOA also identifies quasi-horizontal flow structures resembling the turbulent–laminar layers commonly observed in the high-$Re$ high-$Ri_b$ intermittent regime. An SIOA across a range of $Ri_b$ and $Re$ values suggests that the classical Miles–Howard stability criterion ($Ri_b\leq 1/4$) is associated with a change in the most amplified flow structures when the Prandtl number is close to one ($Pr\approx 1$). However, for $Pr\ll 1$, the most amplified flow structures are determined by the product $PrRi_b$. For $Pr\gg 1$, SIOA identifies another quasi-horizontal flow structure that we show is principally associated with density perturbations. We further demonstrate the dominance of this density-associated flow structure in the high $Pr$ limit by constructing analytical scaling arguments for the amplification in terms of $Re$ and $Pr$ under the assumptions of unstratified flow (with $Ri_b=0$) and streamwise invariance.

The study was to evaluate the reproducibility and validity of the FFQ for residents of northeast China. A total of 131 participants completed two FFQ (FFQ1 and FFQ2) within a 3-month period, 125 participants completed 8-d weighed diet records (WDR) and 112 participants completed blood biomarker testing. Reproducibility was measured by comparing nutrient and food intake between FFQ1 and FFQ2. The validity of the FFQ was assessed by WDR and the triad method. The Spearman correlation coefficients (SCC) and intraclass correlation coefficients (ICC) for reproducibility ranged from 0·41 to 0·69 (median = 0·53) and from 0·18 to 0·68 (median = 0·53) for energy and nutrients and from 0·37 to 0·73 (median = 0·59) and from 0·33 to 0·86 (median = 0·60) for food groups, respectively. The classifications of same or adjacent quartiles ranged from 73·64 to 93·80 % for both FFQ. The crude SCC between the FFQ and WDR ranged from 0·27 to 0·55 (median = 0·46) for the energy and nutrients and from 0·26 to 0·70 (median = 0·52) for food groups, and classifications of the same or adjacent quartiles ranged from 65·32 to 86·29 %. The triad method indicated that validation coefficients for the FFQ were above 0·3 for most nutrients, which indicated a moderate or high level of validity. The FFQ that was developed for residents of northeast China for the Northeast Cohort Study of China is reliable and valid for assessing the intake of most foods and nutrients.

We report on the design and characterization of the plasma mirror system installed on the J-KAREN-P laser at the Kansai Photon Science Institute, National Institutes for Quantum Science and Technology. The reflectivity of the single plasma mirror system exceeded 80%. In addition, the temporal contrast was improved by two orders of magnitude at 1 ps before the main pulse. Furthermore, the laser near-field spatial distribution after the plasma mirror was kept constant at plasma mirror fluence of less than 100 kJ/cm2. We also present the results of investigating the difference and the fluctuation in energy, pulse width and pointing stability with and without the plasma mirror system.

Mycoplasma genitalium (MG) and Chlamydia trachomatis (CT) are the most common sexually transmitted pathogens, which can cause cervicitis, pelvic inflammation and infertility in female. In the present study, we collected the basic information, clinical results of leucorrhoea and human papillomavirus (HPV) infection of patients, who were involved in both MG and CT RNA detection in West China Second Hospital of Sichuan University from January 2019 to April 2021, ranging from 18 to 50 years old. The results showed that the infection frequencies of MG and CT were 2.6% and 6.5%, respectively. The infection rate of CT in gynaecological patients was significantly higher than that of MG (P < 0.001). Moreover, patients with CT infection often had symptoms of gynaecological diseases, while patients with MG infection remain often asymptomatic. By exploring the connection between MG or CT infection and vaginal secretions, we found that the infection of MG or CT promoted to the increase of vaginal leukocytes, and CT infection exacerbated the decrease of the number of Lactobacillus in the vagina. Further analysis suggested that independent infection and co-infection of MG or CT resulted in abnormal vaginal secretion, affecting the stability of vaginal environment, which may induce vaginal diseases. Unexpectedly, our study found no association between MG or CT infection and high-risk HPV infection. In conclusion, our study explored the infection of MG and CT among women in Southwest China for the first time, and revealed that the infection of MG or CT would affect the homeostasis of vaginal environment, which laid a foundation for the clinical diagnosis and treatment of MG and CT infection.

The study aimed to explore the relationship between eosinophils and the prognosis of varicella in adults. We retrospectively reviewed the medical records of patients who were hospitalised in The Fifth People's Hospital of Suzhou with a diagnosis of adult varicella during the period between 1 January 2012 and 31 December 2020. Of the 359 patients, 228 (63.51%) had eosinopenia. The proportion of patients with mild type disease was significantly lower in the eosinopenia group than that in the non-eosinopenia group (50.44% vs. 65.65%, P = 0.006). The proportion of the patients with common type disease was significantly higher in the eosinopenia group than that in the non-eosinopenia group (39.47% vs. 28.24%, P = 0.039). The proportion of the patients with severe type disease was higher in the eosinopenia group, although the difference did not reach statistical significance (10.09% vs. 6.11%, P = 0.243). The rates of high fever (47.81% vs. 32.82%, P = 0.008; relative risk (RR) 1.296, 95% confidence interval (CI) 1.091–1.540), headache (43.42% vs. 22.14%, P < 0.001; RR 1.415, 95% CI 1.233–1.623), anorexia (53.51% vs. 35.88%, P = 0.001; RR 1.367, 95% CI 1.129–1.655) and complications (82.89% vs. 64.12%, P < 0.001; RR 2.106, 95% CI 1.460–3.038) were also significantly higher in the eosinopenia group. Among the complications, the liver injury and skin infection were more serious in the eosinopenia group. The disease course was significantly longer in the eosinopenia group than that in the non-eosinopenia group (9.43 ± 1.89 days vs. 8.73 ± 1.25 days, P < 0.001). The improvement rate of liver injury in the recovery period was lower in the eosinopenia group than that in the non-eosinopenia group (35.38% vs. 50%, P = 0.012). The study found that adult varicella patients with eosinopenia had a more serious condition, a higher morbidity of complications and a slower recovery. Blood eosinophils can be used as a new predictor of the severity of adult varicella.

Fine fibre immersed in different flows is ubiquitous. For a fibre in shear flows, most motion modes appear in the flow-gradient plane. Here the two-dimensional behaviours of an individual flexible flap in channel flows are studied. The nonlinear coupling of the fluid inertia ($\textit {Re}$), flexibility of the flap ($K$) and channel width ($W$) is discovered. Inside a wide channel (e.g. $W=4$), as $K$ decreases, the flap adopts rigid motion, springy motion, snake turn and complex mode in sequence. It is found that the fluid inertia tends to straighten the flap. Moreover, $\textit {Re}$ significantly affects the lateral equilibrium location $y_{eq}$, therefore affecting the local shear rate and the tumbling period $T$. For a rigid flap in a wide channel, when $\textit {Re}$ exceeds a threshold, the flap stays inclined instead of tumbling. As $\textit {Re}$ further increases, the flap adopts swinging mode. In addition, there is a scaling law between $T$ and $\textit {Re}$. For the effect of $K$, through the analysis of the torque generated by surrounding fluid, we found that a smaller $K$ slows down the tumbling of the flap even if $y_{eq}$ is comparable. As $W$ decreases, the wall confinement effect makes the flap easier to deform and closer to the centreline. The tumbling period would increase and the swinging mode would be more common. When $W$ further decreases, the flaps are constrained to stay inclined, parabolic-like or one-end bending configurations moving along with the flow. Our study may shed some light on the behaviours of a free fibre in flows.