OBJECTIVE: Since December 2019, SARS-CoV-2 has been discovered in Wuhan and spread rapidly across China and worldwide. Characteristics of infected patients are needed to get insight into the full spectrum of the disease.

METHODS: Epidemiological and clinical information of 1738 diagnosed patients during February 7-26, 2020 in Wuhan Dongxihu Fangcang Hospital were analyzed. 709 patients were followed up on symptom, mental health, isolation site, and medication after discharge.

RESULTS: There were 852 males and 886 females in the cohort. The average age of the patients was 48.8 years. 79.98% of the patients were from Wuhan, Hubei province. The most common initial symptoms were fever, cough and shortness of breath. Among all the patients, 1463 had complications, with respiratory distress as the most common complication. The average duration of hospitalization was 15.95±14.69 days. The most common post-discharge symptom is cough. After discharge, most patients were full of energy, and chose hotel as their self-isolation site. COVID-19 Chinese medicine No.2 prescription is the medication used most commonly by the patients after discharge.

CONCLUSIONS: The population is generally susceptible to SARS-CoV-2. After receiving aggressive treatment of combined Chinese and Western medicine, most patients had a good prognosis and mental health after discharge.

Archaeological research demonstrates that an agropastoral economy was established in Tibet during the second millennium BC, aided by the cultivation of barley introduced from South-western Asia. The exact cultural contexts of the emergence and development of agropastoralism in Tibet, however, remain obscure. Recent excavations at the site of Bangga provide new evidence for settled agropastoralism in central Tibet, demonstrating a material divergence from earlier archaeological cultures, possibly corresponding to the intensification of agropastoralism in the first millennium BC. The authors’ results depict a more dynamic system of subsistence in the first millennium BC, as the populations moved readily between distinct economic modes and combined them in a variety of innovative ways.

Poor utilization efficiency of carbohydrate always leads to metabolic phenotypes in fish. The intestinal microbiota plays an important role in carbohydrate degradation. Whether the intestinal bacteria could alleviate high-carbohydrate diet (HCD) induced metabolic phenotypes in fish remains unknown. Here, a strain affiliated to Bacillus amyloliquefaciens was isolated from the intestine of Nile tilapia. A basal diet (CON), high carbohydrate diet (HCD), or HCD supplemented with B. amy SS1 (HCB) was used to feed fish for 10 weeks. The beneficial effects of B. amy SS1 on weight gain and protein accumulation were observed. Fasting glucose and lipid deposition were decreased in the HCB group compared with the HCD group. Highthroughput sequencing showed that the abundance of acetate-producing bacteria was increased in the HCB group relative to the HCD group. Gas chromatographic analysis indicated that the concentration of intestinal acetate was increased dramatically in the HCB group compared with that in the HCD group. Glucagon-like peptide-1 (GLP-1) was also increased in the intestine and serum of the HCB group. Thus, fish were fed with HCD, HCD supplemented with sodium acetate at 900 mg/kg (HLA), 1800 mg/kg (HMA) or 3600 mg/kg (HHA) diet for 8 weeks, and the HMA and HHA groups mirrored the effects of B. amy SS1. This study revealed that B. amy SS1 could alleviate the metabolic phenotypes caused by HCD by enriching acetate-producing bacteria in fish intestines. Regulating the intestinal microbiota and their metabolites might represent a powerful strategy for fish nutrition modulation and health maintenance in future.

We construct an example of a Hamiltonian flow $f^t$ on a four-dimensional smooth manifold $\mathcal {M}$ which after being restricted to an energy surface $\mathcal {M}_e$ demonstrates essential coexistence of regular and chaotic dynamics, that is, there is an open and dense $f^t$-invariant subset $U\subset \mathcal {M}_e$ such that the restriction $f^t|U$ has non-zero Lyapunov exponents in all directions (except for the direction of the flow) and is a Bernoulli flow while, on the boundary $\partial U$, which has positive volume, all Lyapunov exponents of the system are zero.

Grain-filling, as the final growth stage of rice, is sensitive to environmental temperature change. Previous studies mainly concerned about the effects of high temperature stress during grain-filling on rice growth, and most experiments were carried out with pot for cultivating rice and greenhouse for warming. This research investigated the response of rice grain-filling of superior spikelets (SS) and inferior spikelets (IS) of two japonica cultivars to elevated temperature during grain-filling stage under open-field warming conditions in lower reaches of Yangtze River Basin using free-air temperature enhancement facility. Results indicated that rice yield was not significantly changed by warming less than 4°C. SS and IS showed different responses to elevated temperature during the grain-filling stage, whereas there were similar trends between two cultivars and years. For SS, although elevated temperature enhanced its filling rate during the early grain-filling period, and caused a shorter grain-filling period and a lighter grain weight; for IS, elevated temperature improved its grain weight by enhancing its filling rate during middle and late grain-filling period due to the increased number of days with suitable temperature. For both SS and IS, key starch biosynthesis enzymes and indole-3-acetic acid content exhibited generally a similar dynamics trend with grain-filling rates, and these sink strength parameters presented higher levels under elevated temperature relative to natural temperature for IS during middle and late grain-filling period. Consequently, warming less than 4°C presented different influences on SS and IS; the improvement of IS filling under warming regime was associated with the intensification of grain sink strength.

Dilated cardiomyopathy is characterised by dilatation and impaired contraction of the left ventricle or both ventricles, which is the most common childhood cardiomyopathy. In recent years, it has been recognised that many sorts of genetic mutations may contribute to dilated cardiomyopathy. We now report a rare association of dilated cardiomyopathy with site mutation of BMPR2 gene. We did not find such an association reported in the medical literature.

The relationship between exposure to famine in early life and the risk of ascending aorta dilatation (AAD) in adulthood is still unclear; therefore, we aimed to examine the association in the Chinese population. We investigated the data of 2598 adults who were born between 1952 and 1964 in Guangdong, China. All enrolled subjects were categorised into five groups: not exposed to famine, exposed during fetal period, and exposed during early, mid or late childhood. AAD was assessed by cardiac ultrasound. Multivariate logistic regression and interaction tests were performed to estimate the OR and CI on the association between famine exposure and AAD. There were 2598 (943 male, mean age 58·3 ± 3·68 years) participants were enrolled, and 270 (10·4 %) subjects with AAD. We found that famine exposure (OR = 2·266, 95 % CI 1·477, 3·477, P = 0·013) was associated with elevated AAD after adjusting for multiple confounders. In addition, compared with the non-exposed group, the adjusted OR for famine exposure during fetal period, early, mid or late childhood were 1·374 (95 % CI 0·794, 2·364, P = 0·251), 1·976 (95 % CI 1·243, 3·181, P = 0·004), 1·929 (95 % CI 1·237, 3·058, P = 0·004) and 2·227 (95 % CI 1·433, 3·524, P < 0·001), respectively. Subgroup analysis showed that the effect of famine exposure on the association with AAD was more pronounced in female, current smokers, people with BMI ≥ 24 kg/m2 and hypertensive patients. We observed that exposure to famine during early life was linked to AAD in adulthood.

Spatial profiles of impurity emission measurements in the extreme ultraviolet (EUV) spectroscopic range in radiofrequency (RF)-heated discharges are combined with one-dimensional and three-dimensional transport simulations to study the effects of resonant magnetic perturbations (RMPs) on core impurity accumulation at EAST. The amount of impurity line emission mitigation by RMPs appears to be correlated with the ion Z for lithium, carbon, iron and tungsten monitored, i.e. stronger suppression of accumulation for heavier ions. The targeted effect on the most detrimental high-Z impurities suggests a possible advantage using RMPs for impurity control. Profiles of transport coefficients are calculated with the STRAHL one-dimensional impurity transport code, keeping $\nu /D$ fixed and using the measured spatial profiles of $\textrm{F}{\textrm{e}^{20 + }}$, $\textrm{F}{\textrm{e}^{21 + }}$ and $\textrm{F}{\textrm{e}^{22 + }}$ to disentangle the transport coefficients. The iron diffusion coefficient ${D_{\textrm{Fe}}}$ increases from $1.0- 2.0\;{\textrm{m}^2}\;{\textrm{s}^{ - 1}}$ to $1.5- 3.0\;{\textrm{m}^2}\;{\textrm{s}^{ - 1}}$ from the core region to the edge region $(\rho \gt 0.5)$ after the onset of RMPs. Meanwhile, an inward pinch of iron convective velocity ${\nu _{\textrm{Fe}}}$ decreases in magnitude in the inner core region and increases significantly in the outer confined region, simultaneously contributing to preserving centrally peaked $\textrm{Fe}$ profiles and exhausting the impurities. The ${D_{\textrm{Fe}}}$ and ${\nu _{\textrm{Fe}}}$ variations lead to reduced impurity contents in the plasma. The three-dimensional edge impurity transport code EMC3-EIRENE was also applied for a case of RMP-mitigated high-Z accumulation at EAST and compared to that of low-Z carbon. The exhaust of ${\textrm{C}^{6 + }}$ toward the scrape-off layer accompanying an overall suppression of heavier ${\textrm{W}^{30 + }}$ is observed when using RMPs.

Tuberculosis (TB) is a common infectious disease, and the present study aims to explore the associations of single nucleotide polymorphisms (SNPs) at rs1135216 and rs1057141 of transporter-associated antigen processing (TAP1) and rs2228396 of TAP2 with pulmonary tuberculosis (PTB) risk. A case–control study including 168 smear-positive PTB cases and 251 controls was conducted. Genotyping of the SNPs at rs1135216, rs1057141 and rs2228396 was performed, and their associations with PTB risk were analysed with SPSS software version 19.0. After conducting stratification for age, a significant association was detected for rs1057141 with increased PTB risk (OR = 0.17, 95% CI 0.04–0.79) among those aged ≥60 years. For those aged <60 years, a marginally significant association was detected between rs1135216 TC/CC and PTB risk (OR = 1.97, 95% CI 0.93–4.19). Haplotype analysis revealed that the haplotype AT at rs1135216 and rs2228396, as well as AAT at rs1057141, rs1135216 and rs2228396, was associated with increased PTB risk, and the ORs were 2.83 (95% CI 1.30–6.14) and 2.89 (95% CI 1.34–6.27), respectively. Rs1057141 is a genetic predictor of reduced PTB risk for those aged ≥60 years, while rs1135216 might be a potential genetic predictor for those aged <60 years. Haplotype AT at rs1135216 and rs2228396, as well as AAT at rs1057141, rs1135216 and rs2228396, is a genetic marker that may predict PTB risk.

The Upper Triassic Xujiahe Formation is a typical tight gas reservoir in which natural fractures determine the migration, accumulation and production capacity of tight gas. In this study, we focused on the influences of natural fractures on the tight gas migration and production. We clarified characteristics and attributes (i.e. dips, apertures, filling degree and cross-cutting relationships) of the fractures based on image logging interpretations and core descriptions. Previous studies of electron spin resonance, carbon and oxygen isotopes, homogenization temperature of fluid inclusions analysis and basin simulation were considered. This study also analysed the fracture sequences, source of fracture fillings, diagenetic sequences and tight gas enrichment stages. We obtained insight into the relationship between fracture evolution and hydrocarbon charging, particularly the effect of the apertures and intensity of natural fractures on tight gas production. We reveal that the bedding fractures are short horizontal migration channels of tight gas. The tectonic fractures with middle, high and nearly vertical angles are beneficial to tight gas vertical migration. The apertures of fractures are controlled by the direction of maximum principal stress and fracture angle. The initial gas production of the vertical wells presents a positive correlation with the fracture abundance, and the intensity and aperture of fractures are the fundamental factors that determine the tight gas production. With these findings, this study is expected to guide the future exploration and development of tight gas with similar geological backgrounds.

In this paper, we designed two different configurations with locally isothermal sidewalls, where the temperature is set to be the bulk temperature, to control the large-scale circulation in turbulent Rayleigh–Bénard convection, namely two-point control and four-point control. At fixed Rayleigh number $Ra=10^8$ and Prandtl number $Pr=2$, a series of direct numerical simulations are performed on both two-dimensional (2-D) and quasi-two-dimensional (quasi-2-D) cavities with both types of control, where the width of the control area is fixed at $\delta _c=0.05$ and the vertical distance from the cavity centre $h_c$ varies from 0 to 0.45 with an interval of 0.05. Our results show that the control effect depends on $h_c$, the control configurations as well as the flow dimensions. For 2-D cavities, both two-point control and four-point control suppress the flow reversal when $h_c \geq 0.05$, accompanied by the enhancement of vertical heat transfer and the strength of the large-scale circulation. For quasi-2-D cavities, the suppression of the flow reversals is obvious with two-point control and $h_c\geq 0.05$, while the effect is rather limited with four-point control. Further experiments with $Pr=5.7$ and $Ra$ up to $7.36\times10^8$ show that two-point control with $h_c=0.15$ can effectively suppress the flow reversal, while two-point control with $h_c=0$ can suppress the reversals at low $Ra=1.93\times 10^8$ and activate them at higher $Ra=7.36\times 10^8$, which agrees well with our numerical simulations.

Dry wind-tunnel (DWT) flutter test systems model the unsteady distributed aerodynamic force using various electromagnetic exciters. They can be used to test the aeroelastic and aeroservoelastic stability of smart aircraft or high-speed flight vehicles. A new parameterised modelling method at the full system level based on the generalised force equivalence for DWT flutter systems is proposed herein. The full system model includes the structural dynamic model, electromechanical coupling model and fast aerodynamic computation model. An optimisation search method is applied to determine the best locations for measurement and excitation by introducing Fisher’s information matrix. The feasibility and accuracy of the proposed system-level numerical DWT modelling method have been validated for a plate aeroelastic model with four exciters/transducers. The effects of key parameters including the number of exciters, the control time delay, the noise interference and the electrical parameters of the electromagnetic exciter model have also been investigated. The numerical and experimental results indicate that the proposed modelling method achieves good accuracy (with deviations of less than 1.5% from simulations and 4.5% from experimental test results for the flutter speed) and robust performance even in uncertain environments with a 10% noise level.

Active flow control for aerofoils has been proven to be an effective way to improve the aerodynamic performance of aircraft. A conceptual hybrid design with surfaces embedded with Shape-Memory Alloy (SMA) and trailing Macro Fibre Composites (MFC) is proposed to implement active flow control for aerofoils. A Computational Fluid Dynamics (CFD) model has been built to explore the feasibility and potential performance of the proposed conceptual hybrid design. Accordingly, numerical analysis is carried out to investigate the unsteady flow characteristics by dynamic morphing rather than using classical static simulations and complicated coupling. The results show that camber growth by SMA action could cause an evident rise of Cl and Cd in the take-off/landing phases when the Angle-of-Attack (AoA) is less than 10°. The transient tail vibration behaviour in the cruise period when using MFC actuators is studied over wide ranges of frequency, AoA and vibration amplitude. The buffet frequency is locked in by the vibration frequency, and a decrease of 1.66–2.32% in Cd can be achieved by using a proper vibration frequency and amplitude.

Thermal time models have been widely applied to predict temperature requirements for seed germination. Generally, a log-normal distribution for thermal time [θT(g)] is used in such models at suboptimal temperatures to examine the variation in time to germination arising from variation in θT(g) within a seed population. Recently, additional distribution functions have been used in thermal time models to predict seed germination dynamics. However, the most suitable kind of the distribution function to use in thermal time models, especially at suboptimal temperatures, has not been determined. Five distributions (log-normal, Gumbel, logistic, Weibull and log-logistic) were used in thermal time models over a range of temperatures to fit the germination data for 15 species. The results showed that a more flexible model with the log-logistic distribution, rather than the log-normal distribution, provided the best explanation of θT(g) variation in 13 species at suboptimal temperatures. Thus, at least at suboptimal temperatures, the log-logistic distribution is an appropriate candidate among the five distributions used in this study. Therefore, the distribution of parameters [θT(g)] should be considered when using thermal time models to prevent large deviations; furthermore, an appropriate equation should be selected before using such a model to make predictions.

Variations in glacier meltwater in the source regions of the Tibetan Plateau's (TP) largest lake (Selin Co) and China's longest river (Yangtze River) regulate the local and downstream water balance under the warming climate. However, the magnitude of their variations over the past four decades is still unknown. Here, we examine long-term changes in glacier mass balance over 1976–2017 using KH-9 and CoSSC-TanDEM-X data. We find that the mean rate of glacier mass loss (GML) has accelerated from −0.21 ± 0.11 m a–1 over 1976–2000, to −0.28 ± 0.14 m a–1 over 2000–11, and subsequently to −0.48 ± 0.10 m a–1 over 2011–17. Changes in temperature and precipitation are the major causes of GML. Over 1976–2017, the contribution of decadal GML to Tuotuohe sub-basin runoff ranges from 4.3 to 8.0%, while its contribution to increased lake volume change in Selin Co and Chibzhang Co-Dorsoidong Co ranges from 3.5 to 16.3% and 19.2 to 21.4%, respectively. The GML of source regions made relatively small contributions to river runoff and lake supply, but plays a vital role when precipitation decreases. The quantitative evaluation of the water balance for the sources of great rivers and lakes over the TP is therefore important for water resource management and hydrological cycle studies.

The tobacco cutworm Spodoptera litura (Lepidoptera: Noctuidae) is a polyphagous pest with a highly selective and sensitive chemosensory system involved in complex physiological behaviors such as searching for food sources, feeding, courtship, and oviposition. However, effective management strategies for controlling the insect pest populations under threshold levels are lacking. Therefore, there is an urgent need to formulate eco-friendly pest control strategies based on the disruption of the insect chemosensory system. In this study, we identified 158 putative chemosensory genes based on transcriptomic and genomic data for S. litura, including 45 odorant-binding proteins (OBPs, nine were new), 23 chemosensory proteins (CSPs), 60 odorant receptors (ORs, three were new), and 30 gustatory receptors (GRs, three were new), a number higher than those reported by previous transcriptome studies. Subsequently, we constructed phylogenetic trees based on these genes in moths and analyzed the dynamic expression of various genes in head capsules across larval instars using quantitative real-time polymerase chain reaction. Nine genes–SlitOBP8, SlitOBP9, SlitOBP25, SlitCSP1, SlitCSP7, SlitCSP18, SlitOR34, SlitGR240, and SlitGR242–were highly expressed in the heads of 3- to 5-day-old S. litura larvae. The genes differentially expressed in olfactory organs during larval development might play crucial roles in the chemosensory system of S. litura larvae. Our findings substantially expand the gene inventory for S. litura and present potential target genes for further studies on larval feeding in S. litura.

Diverse and abundant fossil taxa have been described in the lower Cambrian Shipai Formation in the Three Gorges area of Hubei Province, South China, but the taxonomy and diversity of the co-occurring brachiopod fauna are still far from clear. Here we describe the brachiopod fauna recovered from the Shipai Formation in the Three Gorges area of South China, including representatives of the subphylum Linguliformea: linguloids (Lingulellotreta ergalievi, Eoobolus malongensis, and Neobolidae gen. indet. sp. indet.), and an acrotretoid (Linnarssonia sapushanensis); and representatives from the subphylum Rhynchonelliformea: the calcareous-shelled Kutorginates (Kutorgina sinensis, Kutorgina sp., and Nisusia liantuoensis). This brachiopod assemblage and the first occurrence of Linnarssonia sapushanensis shell beds permit correlation of the Shipai Formation in the Three Gorges area of Hubei Province with the Stage 4 Wulongqing Formation in the Wuding area of eastern Yunnan. This correlation is further strengthened by the first appearance datum (FAD) of the rhynchonelliform brachiopod Nisusia in the upper silty mudstone of both the Shipai and Wulongqing formations. The new well-preserved material, derived from siliciclastic rocks, also gives critical new insights into the fine shell structure of L. sapushanensis. Microstructural studies on micromorphic acrotretoids (like Linnarssonia) have previously been restricted to fossils that were acid-etched from limestones. This is the first study to carry out detailed comparative ultrastructural studies on acrotretoid shells preserved in siliciclastic rocks. This work reveals a hollow tube and solid column microstructure in the acrotretoid shells from the Shipai Formation, which is likely to be equivalent of traditional column and central canal observed in shells dissolved from limestones.