Although the progression of invasive aspergillosis (IA) shares some risk factors in the development of active pulmonary tuberculosis (PTB), however, the prevalence of IA in suspected PTB remains unclear. During a period of 1 year (from January 2016 to December 2016), consecutive patients with suspected PTB were included in a referral TB hospital. Data, including demographic information and underlying diseases, were collected from medical records. PTB were all confirmed by mycobacterial culture (Lowenstein–Jensen medium). IA were diagnosed as proven or probable according to the criteria of the 2008 EORTC/MSG definitions. A descriptive analysis was performed to estimate the corresponding prevalence. During the study year, 1507 patients have a positive mycobacterial culture, with a mean age of 45.6 (s.d. 19.9) years old and a female:male ratio of 1:4. Among the 82 patients with non-tuberculous mycobacterial diseases, two patients (2.44%, 95% CI 0.67–8.46%) were diagnosed as IA (one proven and one probable); two probable IA patients (0.15%, 95% CI 0.04–0.55%) were diagnosed in PTB patients (n = 1315), and all were retreatment cases. In addition, all four IA patients (100%) exhibited cavities in both lobes on radiograph. In China, the prevalence of IA is low in active PTB patients. However, when high-risk factors for IA are encountered in PTB patients, further investigations are required and empirically treatment for IA might be warranted.

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.

We present direct numerical simulations of non-Oberbeck–Boussinesq (NOB) Rayleigh–Bénard (RB) convection due to large temperature differences in two-dimensional (2-D) and three-dimensional (3-D) cells. Perfect air is chosen as the operating fluid and the Prandtl number ( $Pr$ ) is fixed to 0.71 for the reference state $\hat{T}_{0}=300~\text{K}$ . In the present system, we consider large temperature differences ranging from 60 K to 240 K, and relatively strong NOB effects are induced at moderate Rayleigh numbers ( $Ra$ ) in the range $3\times 10^{6}\leqslant Ra\leqslant 5\times 10^{9}$ . The large temperature difference also induces the turbulence system with large density variation. Due to top-down symmetry breaking under NOB conditions, an increase of the centre temperature $T_{c}$ is found compared to the arithmetic mean temperature $T_{m}$ of the top and bottom plates, and the shift of $T_{c}$ is strongly dependent on Rayleigh number $Ra$ and temperature differential $\unicode[STIX]{x1D716}$ . The NOB effects on the Nusselt number ( $Nu$ ) are quite small ( ${\lesssim}2\,\%$ ). The power-law scalings of $Nu$ versus $Ra$ are robust against NOB effects, even for the extremely large temperature difference 240 K, which has never been reached in previous experiments and simulations. The Reynolds numbers $Re$ , as well as the scalings of $Re$ versus $Ra$ , are also insensitive to NOB effects. It is noteworthy that the influence of NOB effects on $Nu$ and $Re$ in 3-D RB flow are weaker than its 2-D counterpart. Furthermore, the extended laminar boundary layer (BL) equations are developed based on the low-Mach-number Navier–Stokes equations, which qualitatively predicts the NOB effects on velocity profiles. Direct numerical simulation results indicate that the top and bottom thermal BLs can compensate each other much better than the velocity BLs under NOB conditions, which contribute to the robustness of $Nu$ .

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.

Penetrative turbulent Rayleigh–Bénard convection which depends on the density maximum of water near $4^{\circ }\text{C}$ is studied using two-dimensional and three-dimensional direct numerical simulations. The working fluid is water near $4\,^{\circ }\text{C}$ with Prandtl number $Pr=11.57$ . The considered Rayleigh numbers $Ra$ range from $10^{7}$ to $10^{10}$ . The density inversion parameter $\unicode[STIX]{x1D703}_{m}$ varies from 0 to 0.9. It is found that the ratio of the top and bottom thermal boundary-layer thicknesses ( $F_{\unicode[STIX]{x1D706}}=\unicode[STIX]{x1D706}_{t}^{\unicode[STIX]{x1D703}}/\unicode[STIX]{x1D706}_{b}^{\unicode[STIX]{x1D703}}$ ) increases with increasing $\unicode[STIX]{x1D703}_{m}$ , and the relationship between $F_{\unicode[STIX]{x1D706}}$ and $\unicode[STIX]{x1D703}_{m}$ seems to be independent of $Ra$ . The centre temperature $\unicode[STIX]{x1D703}_{c}$ is enhanced compared to that of Oberbeck–Boussinesq cases, as $\unicode[STIX]{x1D703}_{c}$ is related to $F_{\unicode[STIX]{x1D706}}$ with $1/\unicode[STIX]{x1D703}_{c}=1/F_{\unicode[STIX]{x1D706}}+1$ , $\unicode[STIX]{x1D703}_{c}$ is also found to have a universal relationship with $\unicode[STIX]{x1D703}_{m}$ which is independent of $Ra$ . Both the Nusselt number $Nu$ and the Reynolds number $Re$ decrease with increasing $\unicode[STIX]{x1D703}_{m}$ , the normalized Nusselt number $Nu(\unicode[STIX]{x1D703}_{m})/Nu(0)$ and Reynolds number $Re(\unicode[STIX]{x1D703}_{m})/Re(0)$ also have universal relationships with $\unicode[STIX]{x1D703}_{m}$ which seem to be independent of both $Ra$ and the aspect ratio $\unicode[STIX]{x1D6E4}$ . The scaling exponents of $Nu\sim Ra^{\unicode[STIX]{x1D6FC}}$ and $Re\sim Ra^{\unicode[STIX]{x1D6FD}}$ are found to be insensitive to $\unicode[STIX]{x1D703}_{m}$ despite of the remarkable change of the flow organizations.

Nutrition therapy is considered an important treatment of burn patients. The aim of the study was to delineate the nutritional support in severe burn patients and to investigate association between nutritional practice and clinical outcomes. Severe burn patients were enrolled (n 100). In 90 % of the cases, the burn injury covered above 70 % of the total body surface area. Mean interval from injury to nutrition start was 2·4 (sd 1·1) d. Sixty-seven patients were initiated with enteral nutrition (EN) with a median time of 1 d from injury to first feed. Twenty-two patients began with parenteral nutrition (PN). During the study, thirty-two patients developed EN intolerance. Patients received an average of about 70 % of prescribed energy and protein. Patients with EN providing <30 % energy had significantly higher 28- d and in-hospital mortality than patients with EN providing more than 30 % of energy. Mortality at 28 d was 11 % and in-hospital mortality was 45 %. Multiple regression analysis demonstrated that EN providing <30 % energy and septic shock were independent risk factors for 28- d prognosis. EN could be initiated early in severe burn patients. Majority patients needed PN supplementation for energy requirement and EN feeding intolerance. Post-pyloric feeding is more efficient than gastric feeding in EN tolerance and energy supplement. It is difficult for severe burn patients to obtain enough feeding, especially in the early stage of the disease. More than 2 weeks of underfeeding is harmful to recovery.

Chickenpox is a common acute and highly contagious disease in childhood; moreover, there is currently no targeted treatment. Carrying out an early warning on chickenpox plays an important role in taking targeted measures in advance as well as preventing the outbreak of the disease. In recent years, the infectious disease dynamic model has been widely used in the research of various infectious diseases. The logistic differential equation model can well demonstrate the epidemic characteristics of epidemic outbreaks, gives the point at which the early epidemic rate changes from slow to fast. Therefore, our study aims to use the logistic differential equation model to explore the epidemic characteristics and early-warning time of varicella. Meanwhile, the data of varicella cases were collected from first week of 2008 to 52nd week of 2017 in Changsha. Finally, our study found that the logistic model can be well fitted with varicella data, besides the model illustrated that there are two peaks of varicella at each year in Changsha City. One is the peak in summer–autumn corresponding to the 8th–38th week; the other is in winter–spring corresponding to the time from the 38th to the seventh week next year. The ‘epidemic acceleration week’ average value of summer–autumn and winter–spring are about the 16th week (ranging from the 15th to 17th week) and 45th week (ranging from the 44th to 47th week), respectively. What is more, taking warning measures during the acceleration week, the preventive effect will be delayed; thus, we recommend intervene during recommended warning weeks which are the 15th and 44th weeks instead.

The influence of tilt on flow reversals in two-dimensional thermal convection in rectangular cells with two typical aspect ratios, $\unicode[STIX]{x1D6E4}=\text{width/height}=1$ and 2, are investigated by means of direct numerical simulations. For $\unicode[STIX]{x1D6E4}=1$ , tilt tends to suppress flow reversals. However, it is found that flow reversals characterized by two main rolls are promoted by tilt for $\unicode[STIX]{x1D6E4}=2$ , which are even observed for some cases of small Prandtl numbers ( $Pr$ ) and large tilt angles ( $\unicode[STIX]{x1D6FD}$ ). Different from level cases where the four corner rolls all have opportunities to grow and trigger a flow reversal, the reversals in an anticlockwise tilted cell with $\unicode[STIX]{x1D6E4}=2$ are always led by the growth of the bottom-right or the top-left corner roll. Tilt is favourable for the growth of the bottom-right or the top-left corner roll and thus for breaking the balance between the two main rolls and triggering a flow reversal. The mode decomposition analysis shows that the appearance of the intermediate single-roll mode is crucial for reversals, and flow reversals in a tilted cell with $\unicode[STIX]{x1D6E4}=2$ can be viewed as a mode competition process between single-roll mode and horizontally adjacent double-roll mode. They can only occur in a limited range of $\unicode[STIX]{x1D6FD}$ where the two modes have comparable strength. Furthermore, the Nusselt numbers at the hot plate $Nu_{h}$ and at the cold plate $Nu_{c}$ behave differently during a flow reversal for $\unicode[STIX]{x1D6E4}=2$ due to the preference of single corner roll growth.

Astrophysical collisionless shocks are amazing phenomena in space and astrophysical plasmas, where supersonic flows generate electromagnetic fields through instabilities and particles can be accelerated to high energy cosmic rays. Until now, understanding these micro-processes is still a challenge despite rich astrophysical observation data have been obtained. Laboratory astrophysics, a new route to study the astrophysics, allows us to investigate them at similar extreme physical conditions in laboratory. Here we will review the recent progress of the collisionless shock experiments performed at SG-II laser facility in China. The evolution of the electrostatic shocks and Weibel-type/filamentation instabilities are observed. Inspired by the configurations of the counter-streaming plasma flows, we also carry out a novel plasma collider to generate energetic neutrons relevant to the astrophysical nuclear reactions.

Twins reared apart provide a fascinating experiment to distinguish genetic from environmental influences. However, there is as yet no broad report on distribution of twins reared apart, especially in the Chinese population. In this study, information on 18,295 volunteer twin pairs of all age groups was compiled in nine provinces or cities of China, and questionnaires were used for zygosity determination. It was discovered that twins reared apart from 0 to 10 years of age accounted for 2.2% of all twin interviewees, with the proportion of this 0–10 group separated before 1, 2, and 5 years old, accounting for 65.3%, 76.1%, and 91.3%, respectively. The proportion of twins reared apart is not significantly related to zygosity or gender, but it is related to region and twin age. As the age of twins lowers, the proportion of those reared apart gradually decreases. Twins reared apart will become rarer in the future and therefore should be cherished as a resource.

We review the present status and future prospects of fast ignition (FI) research of the theoretical group at the IAPCM (Institute of Applied Physics and Computational Mathematics, Beijing) as a part of the inertial confinement fusion project. Since the approval of the FI project at the IAPCM, we have devoted our efforts to improving the integrated codes for FI and designing advanced targets together with the experimental group. Recent FI experiments [K. U. Akli et al., Phys. Rev. E 86, 065402 (2012)] showed that the petawatt laser beam energy was not efficiently converted into the compressed core because of the beam divergence of relativistic electron beams. The coupling efficiency can be improved in three ways: (1) using a cone–wire-in-shell advanced target to enhance the transport efficiency, (2) using external magnetic fields to collimate fast electrons, and (3) reducing the prepulse level of the petawatt laser beam. The integrated codes for FI, named ICFI, including a radiation hydrodynamic code, a particle-in-cell (PIC) simulation code, and a hybrid fluid–PIC code, have been developed to design this advanced target at the IAPCM. The Shenguang-II upgraded laser facility has been constructed for FI research; it consists of eight beams (in total $24~ {\rm kJ}/3\omega $ , 3 ns) for implosion compression, and a heating laser beam (0.5–1 kJ, 3–5 ps) for generating the relativistic electron beam. A fully integrated FI experiment is scheduled for the 2014 project.

A joint diagnostic system was established for the diagnosis of laser-driven shock wave experiments. The system has high temporal resolution (time resolution ~12 ps) and high spatial resolution (spatial resolution ~7 μm) and fits for diagnostics of the experiment with small sample size and short time physical process. The joint diagnostic system was applied for shock wave measurement on the Shenguang-II laser facility. The passive shock breakout signal and active diagnostic signal were simultaneously obtained. The temporal measurement reliability of the system was verified using a multi-layered target. The experimental results show that the two measurement results were consistent.

A ferroelectric memory diodes that consists of Au/Pb(Zr0.52Ti0.48)O3/Bi4Ti3O12/p-Si multilayer configuration was fabricated by pulsed laser deposition (PLD) technique. The ferroelectric properties and the electrical characteristics of the ferroelectric film system were investigated. The polarization-voltage curve of Pb(Zr0.52Ti0.48)O3/Bi4Ti3O12 thin films system had an asymmetry hysteresis loop with Pr=20μC/cm2 and Ec=48 kV/cm, and the decay in remnant polarization was only 10% after 109 switching cycles. The C-V curve and the I-V curve showed memory effects derived from the ferroelectric polarization of PZT/BIT films. The current density was 6.7×10−8A/cm2 at a voltage of +4V, and the conductivity behavior is discussed. The results suggested that the growth of the BIT ferroelectric layer is helpful to good ferroelectric properties, fatigue and capacitance retention characteristics.

A new method of epitaxial growth of CoSi2 film on Si substrate by ternary solid state interaction is investigated. XRD, RBS and TEM show that single-crystalline CoSi2 can be formed on both Si (111) and (100) substrates by using Co/Ti/Si or TiN/Co/Ti/Si multilayer. The evolution of multilayer structure and its resistivity is studied and epitaxy mechanism is discussed. Experimental results indicate strong affinity between Co and Si. During the ternary interaction the epitaxial CoSi2 can be grown directly on Si and its growth may behave as a diffusion controlled process. The thickness of Ti layer and the annealing procedure have important effect on CoSi2 epitaxial growth.