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A recently developed pneumonia caused by SARS-CoV-2 has quickly spread across the world. Unfortunately, a simplified risk score that could easily be used in primary care or general practice settings has not been developed. The objective of this study is to identify a simplified risk score that could easily be used to quickly triage severe COVID-19 patients. All severe and critical adult patients with laboratory-confirmed COVID-19 on the West campus of Union Hospital, Wuhan, China, from 28 January 2020 to 29 February 2020 were included in this study. Clinical data and laboratory results were obtained. CURB-65 pneumonia score was calculated. Univariate logistic regressions were applied to explore risk factors associated with in-hospital death. We used the receiver operating characteristic curve and multivariate COX-PH model to analyse risk factors for in-hospital death. A total of 74 patients (31 died, 43 survived) were finally included in the study. We observed that compared with survivors, non-survivors were older and illustrated higher respiratory rate, neutrophil-to-lymphocyte ratio, D-dimer and lactate dehydrogenase (LDH), but lower SpO2 as well as impaired liver function, especially synthesis function. CURB-65 showed good performance for predicting in-hospital death (area under curve 0.81, 95% confidence interval (CI) 0.71–0.91). CURB-65 ⩾ 2 may serve as a cut-off value for prediction of in-hospital death in severe patients with COVID-19 (sensitivity 68%, specificity 81%, F1 score 0.7). CURB-65 (hazard ratio (HR) 1.61; 95% CI 1.05–2.46), LDH (HR 1.003; 95% CI 1.001–1.004) and albumin (HR 0.9; 95% CI 0.81–1) were risk factors for in-hospital death in severe patients with COVID-19. Our study indicates CURB-65 may serve as a useful prognostic marker in COVID-19 patients, which could be used to quickly triage severe patients in primary care or general practice settings.
Our present genetic data of Acanthocephala, especially the mitochondrial (mt) genomes, remains very limited. In the present study, the nearly complete mt genome sequences of Sphaerirostris lanceoides (Petrochenko, 1949) was sequenced and determined for the first time based on specimens collected from the Indian pond heron Ardeola grayii (Sykes) (Ciconiiformes: Ardeidae) in Pakistan. The mt genome of S. lanceoides is 13 478 bp in size and contains 36 genes, including 12 protein-coding genes (PCGs), 22 transfer RNA genes (tRNAs) and two ribosomal RNA genes (rRNAs). Moreover, in order to clarify the phylogenetic relationship of the genera Centrorhynchus and Sphaerirostris, and to test the systematic position of S. lanceoides in the Centrorhynchidae, the phylogenetic analyses were performed using Bayesian inference and maximum likelihood methods, based on concatenated nucleotide sequences of 12 PCGs, rRNAs and tRNAs. The phylogenetic results further confirmed the monophyly of the order Polymorphida and the paraphyly of the order Echinorhynchida in the class Palaeacanthocephala. Our results also challenged the validity of the genus Sphaerirostris (Polymorphida: Centrorhynchidae) and showed a sister relationship between S. lanceoides and S. picae (Rudolphi, 1819).
Previous studies have shown conflicting findings regarding the relationship between maternal vitamin D deficiency (VDD) and fetal growth restriction (FGR). We hypothesised that parathyroid hormone (PTH) may be an underlying factor relevant to this potential association. In a prospective birth cohort study, descriptive statistics were evaluated for the demographic characteristics of 3407 pregnancies in the second trimester from three antenatal clinics in Hefei, China. The association of the combined status of vitamin D and PTH with birth weight and the risk of small for gestational age (SGA) was assessed by a multivariate linear and binary logistic regression. We found that declined status of 25-hydroxyvitamin D is associated with lower birth weight (for moderate VDD: adjusted β = −49·4 g, 95 % CI −91·1, −7·8, P < 0·05; for severe VDD: adjusted β = −79·8 g, 95 % CI −127·2, −32·5, P < 0·01), as well as ascended levels of PTH (for elevated PTH: adjusted β = −44·5 g, 95 % CI −82·6, −6·4, P < 0·05). Compared with the non-VDD group with non-elevated PTH, pregnancies with severe VDD and elevated PTH had the lowest neonatal birth weight (adjusted β = −124·7 g, 95 % CI −194·6, −54·8, P < 0·001) and the highest risk of SGA (adjusted risk ratio (RR) = 3·36, 95 % CI 1·41, 8·03, P < 0·01). Notably, the highest risk of less Ca supplementation was founded in severe VDD group with elevated PTH (adjusted RR = 4·67, 95 % CI 2·78, 7·85, P < 0·001). In conclusion, elevated PTH induced by less Ca supplementation would further aggravate the risk of FGR in pregnancies with severe VDD through impaired maternal Ca metabolism homoeostasis.
This study develops a Yb:KGW dual-crystal based regenerative amplifier. The thermal lensing and gain-narrowing effects are compensated by the dual-crystal configuration. Sub-nanojoule pulses are amplified to 1.5 mJ with 9 nm spectral bandwidth and 1 kHz repetition rate using chirped pulse amplification technology. Consequently, 1.2 mJ pulses with a pulse duration of 227 fs are obtained after compression. Thanks to the cavity design, the output laser was a near diffraction limited beam with M2 around 1.1. The amplifier has the potential to boost energy above 2 mJ after compression and act as a front end for a future kilohertz terawatt-class diode-pumped Yb:KGW laser system.
Graphite nitride carbon nanosheets have received more and more attention toward the photocatalytic research and applications. Ultrathin g-CN nanosheets with porous structure were synthesized successfully by thermal calcination of melamine supramolecular complexes, which was obtained by pre-treating melamine in nitric acid solution at different concentrations (0.5–2 mol/L). Effects of HNO3 pre-treatment on the microstructure of supramolecular complexes were studied. The characteristics of g-CN nanosheets were investigated by X-ray diffractometry, X-ray photoelectron spectroscopy, transmission electron microscopy and Fourier transform infrared spectroscopy. The degradation performance for RhB and water splitting hydrogen production performance were used to evaluate the photocatalytic performances of g-CN nanosheets. The morphology and microstructure of HNO3/melamine supramolecular complexes are different from those of melamine precursor due to the better arrangement of the melamine units. Ultrathin porous g-CN nanosheets which possess a thickness of less than 2 nm were successfully prepared by calcination of melamine pre-treated with 1.0 mol/L nitric acid. The g-CN(1.0) nanosheets possess the highest photocatalytic degradation performance and water splitting hydrogen production performance due to the effective separation of photogenerated carriers and high specific surface area providing a large number of active sites.
Droplet dynamics on a solid substrate is significantly influenced by surfactants. It remains a challenging task to model and simulate the moving contact line dynamics with soluble surfactants. In this work, we present a derivation of the phase-field moving contact line model with soluble surfactants through the first law of thermodynamics, associated thermodynamic relations and the Onsager variational principle. The derived thermodynamically consistent model consists of two Cahn–Hilliard type of equations governing the evolution of interface and surfactant concentration, the incompressible Navier–Stokes equations and the generalized Navier boundary condition for the moving contact line. With chemical potentials derived from the free energy functional, we analytically obtain certain equilibrium properties of surfactant adsorption, including equilibrium profiles for phase-field variables, the Langmuir isotherm and the equilibrium equation of state. A classical droplet spread case is used to numerically validate the moving contact line model and equilibrium properties of surfactant adsorption. The influence of surfactants on the contact line dynamics observed in our simulations is consistent with the results obtained using sharp interface models. Using the proposed model, we investigate the droplet dynamics with soluble surfactants on a chemically patterned surface. It is observed that droplets will form three typical flow states as a result of different surfactant bulk concentrations and defect strengths, specifically the coalescence mode, the non-coalescence mode and the detachment mode. In addition, a phase diagram for the three flow states is presented. Finally, we study the unbalanced Young stress acting on triple-phase contact points. The unbalanced Young stress could be a driving or resistance force, which is determined by the critical defect strength.
Existing data on folate status and hepatocellular carcinoma (HCC) prognosis are scarce. We prospectively examined whether serum folate concentrations at diagnosis were associated with liver cancer-specific survival (LCSS) and overall survival (OS) among 982 patients with newly diagnosed, previously untreated HCC, who were enrolled in the Guangdong Liver Cancer Cohort (GLCC) study between September 2013 and February 2017. Serum folate concentrations were measured using chemiluminescent microparticle immunoassay. Cox proportional hazards models were performed to estimate hazard ratios (HR) and 95 % CI by sex-specific quartile of serum folate. Compared with patients in the third quartile of serum folate, patients in the lowest quartile had significantly inferior LCSS (HR = 1·48; 95 % CI 1·05, 2·09) and OS (HR = 1·43; 95 % CI 1·03, 1·99) after adjustment for non-clinical and clinical prognostic factors. The associations were not significantly modified by sex, age at diagnosis, alcohol drinking status and Barcelona Clinic Liver Cancer (BCLC) stage. However, there were statistically significant interactions on both multiplicative and additive scale between serum folate and C-reactive protein (CRP) levels or smoking status and the associations of lower serum folate with worse LCSS and OS were only evident among patients with CRP > 3·0 mg/l or current smokers. An inverse association with LCSS were also observed among patients with liver damage score ≥3. These results suggest that lower serum folate concentrations at diagnosis are independently associated with worse HCC survival, most prominently among patients with systemic inflammation and current smokers. A future trial of folate supplementation seems to be promising in HCC patients with lower folate status.
Underground Nuclear Astrophysics in China (JUNA) will take the advantage of the ultra-low background in Jinping underground lab. High current accelerator with an ECR source and detectors were commissioned. JUNA plans to study directly a number of nuclear reactions important to hydrostatic stellar evolution at their relevant stellar energies. At the first period, JUNA aims at the direct measurements of 25Mg(p,γ)26 Al, 19F(p,α) 16 O, 13C(α, n) 16O and 12C(α,γ) 16O near the Gamow window. The current progress of JUNA will be given.
In this paper, high-gain cavity backed patch antenna arrays are proposed based on low temperature co-fired ceramic technology at 140 GHz. By introducing a substrate integrated cavity to the patch antenna element, the gain is enhanced by 3.3 dB. Moreover, a rectangular ring is loaded around the patch for better impedance matching and further gain enhancement. The final simulated maximum gain of the proposed antenna element is 9.8 dBi. Based on the proposed high-gain antenna element, a 4 × 4-element array and an 8 × 8- element array are presented. The 4 × 4-element array shows a measured maximum gain of 16.9 dBi with 9.5 GHz bandwidth (136.2–145.7 GHz) and the 8 × 8-element array shows a measured maximum gain of 21.8 dBi with 9.8 GHz bandwidth(136.7–146.5 GHz), respectively.
The stability of dynamic fracture is a fundamental and challenging problem in the field of materials science. The grain size effect on dynamic fracture instability in polycrystalline graphene under tear loading is explored via theoretical analysis and molecular dynamics simulations. The fracture stability phase diagram in terms of grain size and crack propagation velocity is obtained, and three regions of crack propagation are identified: stable, metastable, and unstable. For grain size above 2 nm, there exists a critical velocity beyond which fracture instability occurs, and this critical velocity depends linearly on grain size. Decreasing grain size leads to reduced characteristic time for correction of crack path deflection, which plays a dominant role in dynamic fracture instabilities. However, when grain size is below 2 nm, there does not exist a critical velocity for steady propagation of cracks due to discontinuous effects. Our results also provide a valuable insight into dynamic fracture of polycrystalline graphene as well as other 2D and quasi-2D materials.
We report on the study of single-mode fiber-laser-pumped mode-locked Yb:CALYO lasers via using a passive saturable absorber and Kerr-lens mode-locking technique, respectively. Up to 3.1-W average power with 103-fs pulse duration is obtained from the passive mode-locking, and down to 36-fs pulse duration with more than 2-W average power is achieved by the pure Kerr-lens mode-locking, which is to the best of our knowledge, the highest average power from a reported sub-40-fs Yb-based solid-state oscillator.