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Aging plays a crucial role in the mechanisms of the impacts of genetic and environmental factors on blood pressure and serum lipids. However, to our knowledge, how the influence of genetic and environmental factors on the correlation between blood pressure and serum lipids changes with age remains to be determined. In this study, data from the Chinese National Twin Registry (CNTR) were used. Resting blood pressure, including systolic and diastolic blood pressure (SBP and DBP), and fasting serum lipids, including total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and triglycerides (TGs) were measured in 2378 participants (1189 twin pairs). Univariate and bivariate structural equation models examined the genetic and environmental influences on blood pressure and serum lipids among three age groups. All phenotypes showed moderate to high heritability (0.37–0.59) and moderate unique environmental variance (0.30–0.44). The heritability of all phenotypes showed a decreasing trend with age. Among all phenotypes, SBP and DBP showed a significant monotonic decreasing trend. For phenotype-phenotype pairs, the phenotypic correlation (Rph) of each pair ranged from −0.04 to 0.23, and the additive genetic correlation (Ra) ranged from 0.00 to 0.36. For TC&SBP, TC&DBP, TG&SBP and TGs&DBP, both the Rph and Ra declined with age, and the Ra difference between the young group and the older adult group is statistically significant (p < .05). The unique environmental correlation (Re) of each pair did not follow any pattern with age and remained relatively stable with age. In summary, we observed that the heritability of blood pressure was affected by age. Moreover, blood pressure and serum lipids shared common genetic backgrounds, and age had an impact on the phenotypic correlation and genetic correlations.
A novel experiment was performed in rotating Rayleigh–Bénard convection (RRBC), wherein the convection cell with radius $R$ was shifted away from the rotation axis by a distance $d$. In this case, the centrifugal force felt by a fluid parcel (characterized by the Froude number $Fr$) can be decomposed into an axisymmetrical part $Fr_R$ and a directed one $Fr_d$. It has been reported that the global heat transport enhances at $Fr_{d,c}$ and then reaches an optimal state at $Fr_{d,max}$ (Hu et al., Phys. Rev. Lett., vol. 127, 2021, 244501). In this paper, the local properties after the offset effects set in are investigated further, which show different features before and after $Fr_{d,max}$. The local temperature measurements at the cell centre reveal that the bulk flow turns from a turbulent state into a laminar state at $Fr_{d,max}$, which is consistent with the particle image velocimetry results. This transition can be qualitatively understood by an equivalent tilted RRBC system. As for the hot and cold coherent structures near the sidewall, their vertical temperature variations reach a minimum at $Fr_{d,max}$, implying that these structures are mostly uniform in the vertical direction at $Fr_{d,max}$. Their temperature contrasts show a linear dependence on $Fr_d$ and start to deviate from this linear behaviour when $Fr_d>Fr_{d,max}$. Besides the dominant effects of $Fr_d$, the secondary effects of $Fr_R$ are also investigated. Due to the positive effect of $+Fr_R$ on the cold structure and the negative effect of $-Fr_R$ on the hot one, the cold structure is more coherent than the hot one, but its size is smaller. The shift of the cold cluster centre from the farthest point is also larger than the shift of the hot one from the nearest point.
Convective dissolution is an important mechanism for long-term CO$_2$ sequestration in deep saline aquifers. The presence of an unstable geothermal gradient can affect the process of dissolution. In this paper, we present direct numerical simulations in a three-dimensional porous medium at three different concentration Rayleigh numbers $Ra_S$ with a set of thermal Rayleigh numbers $Ra_T$. Simulations reveal that the flow structures alter when ${\textit {Ra}}_T$ increases for a fixed ${\textit {Ra}}_S$. Strong thermal gradient can yield large-scale convection rolls which change the horizontal distribution and motions of concentration fingers. The time evolution of fluxes also has different responses to different ${\textit {Ra}}_T$. A theoretical model is developed and successfully describes the evolution of concentration flux and volume averaged concentration during the final shutdown stage. We further calculate the dissolved CO$_2$ into the interior over time, which shows non-monotonic variations as ${\textit {Ra}}_T$ increases. At the end of our simulations, the maximum increment of dissolved CO$_2$ occurs when density ratio is around unity for all three concentration Rayleigh numbers we have explored. We apply our results to a typical geological reservoir and discuss their implications.
We presented the first photometric and orbital period investigations for four W Ursae Majoris-type binaries: V473 And, V805 And, LQ Com, and EG CVn. The photometric solutions suggested that V805 And and LQ Com are two total-eclipse contact binaries, while V473 And and EG CVn are partial-eclipse ones. V473 And and LQ Com belong to the A-subtype contact binaries, while V805 And and EG CVn belong to the W subtype. The O’Connell effects found in the light curves of V805 And, LQ Com, and EG CVn can be interpreted as a result of a cool spot on the surface of their less massive and hotter primary components. Based on two different methods, the absolute physical parameters were properly determined. Combining the eclipse timings derived from our observations and survey’s data with those collected from literature, we investigated their orbital period variations. The results show that the orbital periods of V473 And, V805 And, and EG CVn are undergoing a secular decrease/increase superposed a periodic variation, while LQ Com exhibits a possible cyclic period variation with a small amplitude. The secular period changes are caused mainly by the mass transfer between two components, while the cyclic period oscillations may be interpreted as the results of either the light-time effect due to the third body or the cyclic magnetic activity. Finally, we made a statistical investigation for nearly 200 contact binaries with reliable physical parameters. The statistical results suggested that the W-subtype systems are more evolved than the A-subtype ones. Furthermore, the evolutionary direction of A-subtype into W-subtype systems is also discussed. The opposite evolutionary direction seems to be unlikely because it requires an increase of the total mass, the orbital angular momentum, and the temperature differences between two components of a binary system.
The epidemic of drug-resistant tuberculosis (DR-TB) has become a major concern in global TB control. This study aimed to investigate the patterns and trend of DR-TB epidemic between different time periods in Chongqing.
Methods:
A total of 985 and 835 culture positive TB patients with drug susceptibility testing (DST) results admitted to the hospital in 2016 and 2019, respectively, were included. Chi-square testing was used to compare the prevalence and trends of DR-TB in 2016 and 2019.
Results:
The proportion of previously treated TB cases with culture positivity was 45.7% in 2019, significantly higher than that in 2016 (39.1%, P = 0.004). The overall rate of drug resistance in 2019 was 43.1%, higher than that in 2016 (40.2%). The rates of multi-drug resistant TB (MDR-TB) and pre-extensively drug resistant TB (pre-XDR-TB) increased significantly from 2016 to 2019 among all TB cases (MDR: 25% vs 33.4%, P < 0.001 and pre-XDR: 7.1% vs 12.8%, P < 0.001, respectively) and previously treated TB cases (MDR: 46.5% vs 56%, P = 0.008 and pre-XDR: 13.2% vs 21.5%, P = 0.003, respectively).
Conclusions:
Our findings indicated that the prevalence of DR-TB remains high in Chongqing. The trend of resistance to anti-TB drugs beccame worse between 2016 and 2019. Moreover, acquired MDR may play a major role in MDR-TB epidemic in Chongqing. Therefore, rapid diagnosis and effective treatment of TB patients will be important to reduce the burden of DR-TB in Chongqing.
The effect of centrifugal force in turbulent rotating Rayleigh–Bénard convection (RRBC) is studied experimentally in an aspect-ratio $\varGamma =1$ cylindrical convection cell and in the ranges of the Froude number $0.004\leq Fr \leq 0.363$ and the Rayleigh number $2.8\times 10^8 \leq Ra \leq 9.5\times 10^9$, and with the Prandtl number fixed at $Pr=4.34$. We use the bulk temperature anomaly to determine the onset Froude number $Fr_c$, beyond which the centrifugal effects cannot be regarded as insignificant. It is found that $Fr_c$ depends on $Ra$ as $Fr_c\sim Ra^{0.53}$, which may be understood qualitatively by the idea of local force balance. For $Fr>Fr_c$, the centrifugal effect is more pronounced for smaller $Ra$, which is also found for larger constant $1/Ro$. This implies that the response of the system to the centrifugal force depends on the flow states, which, in RRBC, is mainly determined by the competition between the buoyancy and Coriolis forces. Detailed analysis of the sidewall temperature signal shows results consistent with those obtained from the bulk temperature. Based on the above results, we propose a different division of the $1/Ro$–$Fr$ phase space than previously suggested. For the heat transport, the results under fixed $1/Ro$ show well-defined $Nu$–$Ra$ scalings, which can provide a better prediction for the heat transport when extrapolating to the unexplored regions in the phase space.
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.
A deep ice core was drilled at Dome A, Antarctic Plateau, East Antarctica, which started with the installation of a casing in January 2012 and reached 800.8 m in January 2017. To date, a total of 337 successful ice-core drilling runs have been conducted, including 118 runs to drill the pilot hole. The total drilling time was 52 days, of which eight days were required for drilling down and reaming the pilot hole, and 44 days for deep ice coring. The average penetration depths of individual runs were 1 and 3.1 m for the pilot hole drilling and deep ice coring, respectively. The quality of the ice cores was imperfect in the brittle zone (650−800 m). Some of the troubles encountered are discussed for reference, such as armoured cable knotting, screws falling into the hole bottom, and damaged parts, among others.
The aim of this study is to evaluate the clinical characteristics and outcomes in 2019 coronavirus disease (COVID-19) patients and to help clinicians perform correct treatment and evaluate prognosis and guide the treatment.
Methods:
Patients totaling 239 were diagnosed with COVID-19 and were included in this study. Patients were divided into the improvement group and the death group according to their outcome (improvement or death). Clinical characteristics and laboratory parameters were collected from medical records. Continuous variables were tested by an independent sample T test, and categorical variables were analyzed by the chi-square test or Fisher’s exact test. The Cox proportional hazard regression model was used for survival analysis in death patients. The time-dependent area under curves (AUC) based on white blood cell count, lymphocyte count, neutrophil count by age, blood urea nitrogen, and C-reactive protein were plotted.
Results:
Efficacy evaluation indicated that 99 (41.4%) patients had deteriorated, and 140 (58.6%) patients had improved. Oxygen saturation, hemoglobin levels, infection-related indicators, lymphocyte and platelet counts, C-reactive protein, serum albumin, liver and kidney function, and lactate dehydrogenase in improvement group were statistically significant between the improvement and death groups. A survival analysis revealed that comorbidities, lymphocyte counts, platelet count, serum albumin, C-reactive protein level, and renal dysfunction may be risk factors in patients with COVID-19.
Conclusion:
Patients with comorbidities, lower lymphocyte counts in hemogram, platelet count and serum albumin, high C-reactive protein level, and renal dysfunction may have higher risk for death. More attention should be given to risk management in the progression of COVID-19.
Previous studies have revealed associations of meteorological factors with tuberculosis (TB) cases. However, few studies have examined their lag effects on TB cases. This study was aimed to analyse nonlinear lag effects of meteorological factors on the number of TB notifications in Hong Kong. Using a 22-year consecutive surveillance data in Hong Kong, we examined the association of monthly average temperature and relative humidity with temporal dynamics of the monthly number of TB notifications using a distributed lag nonlinear models combined with a Poisson regression. The relative risks (RRs) of TB notifications were >1.15 as monthly average temperatures were between 16.3 and 17.3 °C at lagged 13–15 months, reaching the peak risk of 1.18 (95% confidence interval (CI) 1.02–1.35) when it was 16.8 °C at lagged 14 months. The RRs of TB notifications were >1.05 as relative humidities of 60.0–63.6% at lagged 9–11 months expanded to 68.0–71.0% at lagged 12–17 months, reaching the highest risk of 1.06 (95% CI 1.01–1.11) when it was 69.0% at lagged 13 months. The nonlinear and delayed effects of average temperature and relative humidity on TB epidemic were identified, which may provide a practical reference for improving the TB warning system.
With the rapid rise in the prevalence of non-tuberculous mycobacteria (NTM) diseases across the world, the microbiological diagnosis of NTM isolates is becoming increasingly important for the diagnosis and treatment of NTM disease. In this study, the clinical presentation, species distribution and drug susceptibility of patients with NTM disease visiting the Chongqing Public Health Medical Centre during March 2016–April 2019 were retrospectively analysed. Among the 146 patients with NTM disease, eight NTM species (complex) were identified. The predominant NTM species in these patients were identified to be Mycobacterium abscessus complex (53, 36.3%), M. intracellulare (38, 26%) and M. fortuitum (17, 11.7%). In addition, two or more species were isolated from 7.5% of the patients. Pulmonary NTM disease (142, 97.3%) showed the highest prevalence among the patients. It was observed that 40.1% of the patients with pulmonary NTM disease had chronic pulmonary obstructive disease and bronchiectasis, while 22.5% had prior tuberculosis. Male patients showed more association with the conditions of cough and haemoptysis than the female patients. In an in vitro antimicrobial susceptibility testing, most of the species showed susceptibility to linezolid, amikacin and clarithromycin, while M. fortuitum exhibited low susceptibility to tobramycin. In conclusion, the prevalence of NTM disease, especially that of the pulmonary NTM disease, is common in Southwest China. Species identification and drug susceptibility testing are thus extremely important to ensure appropriate treatment regimens for patient care and management.
Nitrogen is an important element for the growth of flue-cured tobacco and is closely related to its yield and quality. In order to pursue higher economic benefits, excessive fertilizer is generally applied in flue-cured tobacco production, which is unfavourable for the sustainable development of flue-cured tobacco production and for the environment. In 2016 and 2017, experiments using different nitrogen fertilizer application rates in flue-cure tobacco were conducted in Yunnan province, and the changes in agronomic, economic and chemical indices as well as in residual soil nitrogen were compared. Linear and quadratic models were used to compare the response of tobacco to nitrogen fertilizer. With increasing nitrogen fertilizer rate, the proportions of superior to medium tobacco and the average price of flue-cured tobacco leaves initially increased and then decreased, while fresh weight, dry weight and the proportion of inferior tobacco showed the opposite trend. Total sugar and reducing sugar contents decreased with increasing nitrogen fertilizer rates, while total nitrogen and nicotine contents increased. Sensory evaluation scores had the highest value when 90 kg N/ha and 120 kg N/ha were applied. Soil nitrate contents increased as nitrogen fertilizer rate increased. The quadratic model was suitable for the response of cultivar K326 to nitrogen and 90 kg N/ha could meet the needs of cultivar K326.
The present study aimed to investigate the association of early-life exposure to famine with abdominal fat accumulation and function and further evaluate the influence of first-degree family history of diabetes and physical activity on this association. The present work analysed parts of the REACTION study. A total of 3033 women were enrolled. Central obesity was defined as waist circumferences (W) ≥ 85 cm. Chinese visceral adiposity index (CVAI) was used to evaluate visceral adipose distribution and function. Partial correlation analysis showed BMI, W, glycated Hb and CVAI were associated with early-life exposure to famine (both P < 0·05). Logistic regression showed that the risks of overall overweight/obesity and central obesity in fetal, early-childhood, mid-childhood and late-childhood exposed subgroups were increased significantly (all P < 0·05). Compared with the non-exposed group, the BMI, W and CVAI of fetal, early- to late-childhood exposed subgroups were significantly increased both in those with or without first-degree family history of diabetes and in those classified as physically active or inactive, respectively (all P < 0·05). The associations of BMI, W and CVAI with early-life exposure to famine were independent of their associations with first-degree family history of diabetes (all P < 0·01) or physical activity status (all P < 0·001). Early-life exposure to famine contributed to abdominal fat accumulation and dysfunction, which was independent of the influence of genetic background and exercise habits. Physical activity could serve as a supplementary intervention for women with high risk of central obesity.
A one-dimensional steady-state model for stimulated Raman backscatter (SRS) and stimulated Brillouin backscatter (SBS) processes in laser-irradiated plasmas is presented. Based on a novel “predictor-corrector” method, the model is capable to deal with broadband scattered light and inhomogeneous plasmas, exhibiting robustness and high efficiency. Influences of the electron density and temperature on the linear gains of both SRS and SBS are investigated, which indicates that the SRS gain is more sensitive to the electron density and temperature than that of the SBS. For the low-density case, the SBS dominates the scattering process, while the SRS exhibits much higher reflectivity in the high-density case. The nonlinear saturation mechanisms and competition between SRS and SBS are included in our model by a phenomenological method. The typical anti-correlation between SRS and SBS versus electron density is reproduced in the model. Calculations of the reflectivities are qualitatively in agreement with the typical results of experiments and simulations.
Influenza activity is subject to environmental factors. Accurate forecasting of influenza epidemics would permit timely and effective implementation of public health interventions, but it remains challenging. In this study, we aimed to develop random forest (RF) regression models including meterological factors to predict seasonal influenza activity in Jiangsu provine, China. Coefficient of determination (R2) and mean absolute percentage error (MAPE) were employed to evaluate the models' performance. Three RF models with optimum parameters were constructed to predict influenza like illness (ILI) activity, influenza A and B (Flu-A and Flu-B) positive rates in Jiangsu. The models for Flu-B and ILI presented excellent performance with MAPEs <10%. The predicted values of the Flu-A model also matched the real trend very well, although its MAPE reached to 19.49% in the test set. The lagged dependent variables were vital predictors in each model. Seasonality was more pronounced in the models for ILI and Flu-A. The modification effects of the meteorological factors and their lagged terms on the prediction accuracy differed across the three models, while temperature always played an important role. Notably, atmospheric pressure made a major contribution to ILI and Flu-B forecasting. In brief, RF models performed well in influenza activity prediction. Impacts of meteorological factors on the predictive models for influenza activity are type-specific.
We present an investigation of the root-mean-square (r.m.s.) temperature $\unicode[STIX]{x1D70E}_{T}$ and the r.m.s. velocity $\unicode[STIX]{x1D70E}_{w}$ in the bulk of Rayleigh–Bénard turbulence, using new experimental data from the current study and experimental and numerical data from previous studies. We find that, once scaled by the convective temperature $\unicode[STIX]{x1D703}_{\ast }$, the value of $\unicode[STIX]{x1D70E}_{T}$ at the cell centre is a constant ($\unicode[STIX]{x1D70E}_{T,c}/\unicode[STIX]{x1D703}_{\ast }\approx 0.85$) over a wide range of the Rayleigh number ($10^{8}\leqslant Ra\leqslant 10^{15}$) and the Prandtl number ($0.7\leqslant Pr\leqslant 23.34$), and is independent of the surface topographies of the top and bottom plates of the convection cell. A constant close to unity suggests that $\unicode[STIX]{x1D703}_{\ast }$ is a proper measure of the temperature fluctuation in the core region. On the other hand, $\unicode[STIX]{x1D70E}_{w,c}/w_{\ast }$, the vertical r.m.s. velocity at the cell centre scaled by the convective velocity $w_{\ast }$, shows a weak $Ra$-dependence (${\sim}Ra^{0.07\pm 0.02}$) over $10^{8}\leqslant Ra\leqslant 10^{10}$ at $Pr\sim 4.3$ and is independent of plate topography. Similar to a previous finding by He & Xia (Phys. Rev. Lett., vol. 122, 2019, 014503), we find that the r.m.s. temperature profile $\unicode[STIX]{x1D70E}_{T}(z)/\unicode[STIX]{x1D703}_{\ast }$ in the region of the mixing zone with a mean horizontal shear exhibits a power-law dependence on the distance $z$ from the plate, but now the universal profile applies to both smooth and rough surface topographies and over a wider range of $Ra$. The vertical r.m.s. velocity profile $\unicode[STIX]{x1D70E}_{w}(z)/w_{\ast }$ obeys a logarithmic dependence on $z$. The study thus demonstrates that the typical scales for the temperature and the velocity are the convective temperature $\unicode[STIX]{x1D703}_{\ast }$ and the convective velocity $w_{\ast }$, respectively. Finally, we note that $\unicode[STIX]{x1D703}_{\ast }$ may be utilised to study the flow regime transitions in ultrahigh-$Ra$-number turbulent convection.
Three gravity cores (LZK1, ZKA4, and CSJA6) from the incised Yangtze paleo-valley comprise a thick sequence of the post-glacial deposit. Nineteen genera (26 species) of the benthic foraminifers are described from these cores, with detailed down-core foraminiferal variations to investigate their paleoenvironmental implications. Three foraminiferal assemblages are recognized for the lower, middle, and upper parts of the cores respectively. The lower part is dominated by Ammonia beccarii var. and Florilus decorus with lower abundance and diversity. In the middle part, the foraminifers are abundant and diverse, dominated by both Ammonia beccarii var. and Elphidium advenum. Cavarotalia annectens, Pararotalia nipponica, and porcellaneous benthic foraminiferal forms are always present, sometimes abundant. The upper part is characterized by the Ammonia beccarii-Elphidium magellanicum assemblage, except for the Core ZKA4, which is barren of foraminifers in this interval. AMS 14C dates and foraminiferal assemblages both confirm that the transgression-regression sequence in these cores belongs to the “Ammonia transgression” during the Holocene. In addition to documenting the post-glacial sea-level fluctuations, the benthic foraminifers also reflect a warmer climate during the early–middle Holocene. The foraminiferal differences among the three cores can be used to interpret the influence of seawater during the post-glacial sea-level fluctuations. The area in the vicinity of Core ZKA4 was affected by marine water only during the middle Holocene, which was much shorter than the areas of the other cores.
Glacier change has been recognized as an important climate variable due to its sensitive response to climate change. Although there are a large number of glaciers distributed over the southeastern Qinghai–Tibetan Plateau, the region is poorly represented in glacier databases due to seasonal snow cover and frequent cloud cover. Here, we present an improved glacier inventory for this region by combining Landsat observations acquired over 2011–13 (Landsat 8/OLI and Landsat TM/ETM+), coherence images from Advanced Land Observing Satellite Phased Array type L-band Synthetic Aperture Radar images and the Shuttle Radar Topography Mission (SRTM) DEM. We present a semi-automated scheme for integrating observations from multi-temporal Landsat scenes to mitigate cloud obscuration. Further, the clean-ice observations, together with coherence information, slope constraints, vegetation cover and water classification information extracted from the Landsat scenes, are integrated to determine the debris-covered glacier area. After manual editing, we derive a new glacier inventory containing 6892 glaciers >0.02 km2, covering a total area of 6566 ± 197 km2. This new glacier inventory indicates gross overestimation in glacier area (over 30%) in previously published glacier inventories, and reveals various spatial characteristics of glaciers in the region. Our inventory can be used as a baseline dataset for future studies including glacier change assessment.
The aim of this study was to explore the effect of single-dose albendazole and vitamin A intervention on the anaemic status and Fe metabolism of pre-school children. This study was a randomised, placebo-controlled and double-blinded intervention trial. All eligible anaemic pre-school children were randomly divided into three groups: group 1 received no intervention, which served as the control group, group 2 received 400 mg single-dose albendazole administration and group 3 received a 60000 μg vitamin A capsule combined with 400 mg single-dose albendazole at the beginning of the study. The follow-up period was for 6 months. Anthropometry and biochemical index about Fe metabolism were measured before and after intervention. A total of 209 pre-school anaemic children were randomly divided into three intervention groups (sixty-four, sixty-two and sixty for groups 1, 2 and 3, respectively). The mean age of the children in the study was 4·4 (sd 0·7) years and 50·5 % of the children were female (94/186). After a follow-up period of 6 months, the levels of serum retinol, ferritin, transferrin receptor-ferritin index and body total Fe content of children in group 3 were significantly higher compared with children in groups 1 and 2 (P<0·05). Moreover, the proportion of vitamin A deficiency, marginal vitamin A deficiency and Fe deficiency among children in group 3 were markedly lower compared with children in groups 1 and 2 (P<0·05). Albendazole plus vitamin A administration showed more efficacy on the improvement of serum retinol and Fe metabolic status.