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The effect of maternal folate intake on small-for-gestational-age (SGA) births remains inconclusive. The present study aimed to investigate the associations of maternal folate intake from diet and supplements with the risk of SGA births using data from a cross-sectional study in Shaanxi Province of Northwest China. A total of 7307 women who were within 12 months (median 3; 10th–90th percentile 0–7) after delivery were included. Two-level models were adopted to examine the associations of folate (dietary folate, supplemental folic acid and total folate) intake with the risk of SGA births and birth weight Z score, controlling for a minimum set of confounders that were identified in a directed acyclic graph. Results showed that a higher supplemental folic acid intake during the first trimester was negatively associated with the risk of SGA births (≤60 d v. non-use: OR 0·80; 95 % CI 0·66, 0·96; >60 d v. non-use: OR 0·78; 95 % CI 0·65, 0·94; Ptrend = 0·010; per 10-d increase: OR 0·97; 95 % CI 0·95, 0·99). A higher total folate intake during pregnancy was associated with a reduced risk of SGA births (highest tertile v. lowest tertile: OR 0·77; 95 % CI 0·64, 0·94; Ptrend = 0·010; per one-unit increase in the log-transformed value: OR 0·81; 95 % CI 0·69, 0·95). A similar pattern was observed for the birth weight Z score. Our study suggested that folic acid supplementation during the first trimester and a higher total folate intake during pregnancy were associated with a reduced risk of SGA births.
Novel NiMoO4-integrated electrode materials were successfully prepared by solvothermal method using Na2MoO4·2H2O and NiSO4·6H2O as main raw materials, water, and ethanol as solvents. The morphology, phase, and structure of the as-prepared materials were characterized by SEM, XRD, Raman, and FT-IR. The electrochemical properties of the materials in supercapacitors were investigated by cyclic voltammetry, constant current charge–discharge, and electrochemical impedance spectroscopy techniques. The effects of volume ratio of water to ethanol (W/E) in solvent on the properties of the product were studied. The results show that the pure phase monoclinic crystal NiMoO4 product can be obtained when the W/E is 2:1. The diameter and length are 0.1–0.3 µm and approximately 3 µm, respectively. As an active material for supercapacitor, the NiMoO4 nanorods material delivered a discharge specific capacitance of 672, 498, and 396 F/g at a current density of 4, 7, and 10 A/g, respectively. The discharge specific capacitance slightly decreased from 815 to 588 F/g with a retention of 72% after 1000 cycles at a current density of 1 A/g. With these superior capacitance properties, the novel NiMoO4 integrated electrode materials could be considered as promising material for supercapacitors.
Compared with commercial polyolefin membranes, polyacrylonitrile (PAN) membrane prepared by electrostatic spinning has higher porosity, electrolyte uptake, thermal stability, and lithium-ion conductivity, etc. However, poor mechanical performance has largely limited the application of electrospun PAN separators. In this study, PAN/polyimide (PI) composite membrane is prepared by electrostatic spinning to improve the mechanical and electrochemical performances. Scanning electron microscopy, thermal analysis method, and electrochemical methods were used for evaluation of the electrospun composite membrane. The results show that the composite membrane possesses good thermal stability and exhibits better mechanical performance than pristine PAN membrane (increasing by 1.1 times in tension strength). The addition of PI can increase porosity and fluid absorption rate obviously. In addition, the composite membrane has high ionic conductivity (18.77 × 10−4 S/cm), wide electrochemical window (about 4.0 V), and excellent cycling performance. It can retain a discharge specific capacity of 153 mA h/g even after 50 cycles at 0.5 C. The electrospun PAN/PI membrane may be a promising candidate for lithium-ion battery separators.
This study was performed to explore the clinical features of Kawasaki disease shock syndrome and analyse the association between the left ventricular ejection fraction and Kawasaki disease shock syndrome.
We retrospectively reviewed the medical records of all consecutive inpatients with Kawasaki disease at Wenzhou Medical University Second Affiliated Hospital and Yuying Children’s Hospital in Wenzhou, China from January 2009 to December 2016. We compared the clinical characteristics, laboratory data, and left ventricular ejection fraction between patients with and without Kawasaki disease shock syndrome and analysed the effect of the left ventricular ejection fraction on Kawasaki disease shock syndrome under different clinical conditions of Kawasaki disease.
In total, 1147 patients were diagnosed with Kawasaki disease. Of these 1147 patients, 17 were diagnosed with Kawasaki disease shock syndrome; 68 patients admitted to the hospital at the same time, ±2 weeks, with Kawasaki disease but without Kawasaki disease shock syndrome served as the control group. Compared with the control group, the Kawasaki disease shock syndrome group had a significantly higher incidence of coronary artery lesions, cardiac troponin I concentration, N-terminal prohormone of brain natriuretic peptide concentration, neutrophil count and ratio, alanine aminotransferase concentration, aspartate aminotransferase concentration, and C-reactive protein concentration and a significantly lower platelet count, serum albumin concentration, and left ventricular ejection fraction. A low left ventricular ejection fraction was associated with Kawasaki disease shock syndrome under different conditions of Kawasaki disease.
Among patients with Kawasaki disease, cardiac injury is more likely in those with Kawasaki disease shock syndrome than without, and a low left ventricular ejection fraction may be associated with the development of Kawasaki disease shock syndrome.
Subcutaneous immunotherapy is an effective and safe treatment for allergic rhinitis and allergic asthma. Different symptom scores are used to evaluate the efficacy of subcutaneous immunotherapy in clinical trials.
A total of 58 allergic rhinitis patients sensitised to house dust mites, with or without mild asthma, were included. Symptom score, medication score, visual analogue scale score and quality of life were assessed before and after 6, 12 and 24 months of subcutaneous immunotherapy.
After two years of subcutaneous immunotherapy, asthma symptom scores nearly reached zero, whereas the scores remained higher for nasal symptoms. The changes in asthma symptom scores were markedly different (p < 0.05) and occurred faster than the changes in nasal symptom scores when compared between monosensitised and polysensitised groups. Significant reductions in visual analogue scale score and medication score were demonstrated after subcutaneous immunotherapy.
Two-year subcutaneous immunotherapy with house dust mite vaccine is an effective treatment for both monosensitised and polysensitised allergic patients. The changes in asthma symptom scores were markedly different and occurred quicker than the changes in nasal symptom scores in Chinese house dust mite allergic patients.
Path planning under 2D map is a key issue in robot applications. However, most related algorithms rely on point-by-point traversal. This causes them usually cannot find the strict shortest path, and their time cost increases dramatically as the map scale increases. So we proposed RimJump to solve the above problem, and it is a new path planning method that generates the strict shortest path for a 2D map. RimJump selects points on the edge of barriers to form the strict shortest path. Simulation and experimentation prove that RimJump meets the expected requirements.
Manganese sulfides (MnS) with a diversity of well-defined morphologies and phases have been successfully synthesized by the solvothermal approach. The phase structure and morphology of MnS could readily be tuned by adjusting the sulfur sources and solvents. Hollow γ-MnS spheres were obtained by treating L-cysteine and manganese source in ethylene glycol (EG) at 200 °C for 2 h, whereas a replacement of the mixture solvent by EG and deionized water yields the hierarchical flower-like γ-MnS. γ-MnS tubes were also produced under the same condition by using diethylene glycol and deionized water as solvents. When thioacetamide used as the sulfur source and oleylamine used as the solvent, monodisperse α-MnS nanoparticles with the mean diameter of 17 nm could be synthesized successfully. The phase structures, sizes, and morphologies of samples were investigated in detail by powder X-ray diffraction, scanning electron microscopy, and transmission electron microscopy. The UV-vis absorption peak and the width of band gap with different morphologies of the as-prepared MnS were measured. The samples described in this paper are promising to be utilized in solar cells, biomedicine, short wavelength electronic devices, photocatalysis, and other fields.
Dipetalonema gracile is a common parasite in squirrel monkeys (Saimiri sciureus), which can cause malnutrition and progressive wasting of the host, and lead to death in the case of massive infection. This study aimed to identify a suspected D. gracile worm from a dead squirrel monkey by means of molecular biology, and to amplify its complete mitochondrial genome by polymerase chain reaction (PCR) and sequence analysis. The results identified the worm as D. gracile, and the full length of its complete mitochondrial genome was 13,584 bp, which contained 22 tRNA genes, 12 protein-coding genes, two rRNA genes, one AT-rich region and one small non-coding region. The nucleotide composition included A (16.89%), G (20.19%), T (56.22%) and C (6.70%), among which A + T = 73.11%. The 12 protein-coding genes used TTG and ATT as start codons, and TAG and TAA as stop codons. Among the 22 tRNA genes, only trnS1AGN and trnS2UCN exhibited the TΨC-loop structure, while the other 20 tRNAs showed the TV-loop structure. The rrnL (986 bp) and rrnS (685 bp) genes were single-stranded and conserved in secondary structure. This study has enriched the mitochondrial gene database of Dipetalonema and laid a scientific basis for further study on classification, and genetic and evolutionary relationships of Dipetalonema nematodes.
In this paper, zircon U–Pb geochronology, major and trace elements, and Sr–Nd isotope geochemistry of the Baiyanghe dolerites in northern West Junggar of NW China are presented. The U–Pb dating of zircons from the dolerites yielded ages of 272.2±4 Ma and 276.7±6.2 Ma, which indicate the emplacement times. The dolerites are characterized by minor variations in SiO2 (46.89 to 49.07 wt%), high contents of Al2O3 (13.60 to 13.92 wt%) and total Fe2O3 (11.14 to 11.70 wt%), and low contents of MgO (2.67 to 3.64 wt%) and total alkalis (Na2O+K2O, 5.1 to 5.97 wt%, K2O/Na2O = 0.37–0.94), which indicate affinities to metaluminous tholeiite basalt. The REE pattern ((La/Sm)N = 2.25–2.34, (La/Yb)N = 7.42–8.36), V–Ti/1000 and 50*Zr–Ti/50–Sm discrimination diagrams show that these rocks are OIB-type. The high contents of Zr and Ti indicate a within-plate tectonic setting, and samples plot in the ‘plume source’ field shown on the Dy/Yb(N) versus Ce/Yb(N) diagram. The positive εNd(t) values (+7.09 to +7.48), high initial 87Sr/86Sr ratios (0.70442 to 0.70682) and depletions of Nb and Ta elements in the samples can be explained by the involvement of subducted sediments. In summary, it is possible that the Baiyanghe dolerites were derived from an OIB-like mantle source and associated with a mantle plume tectonic setting. Therefore, our samples provide the youngest evidence for the existence of a mantle plume, which may provide new insights into the Late Palaeozoic tectonic setting of West Junggar.
To investigate the prevalence of canine and feline hookworms in South China, and to assess the risk of zoonotic hookworms to humans, one pair of primers (HRM-F/HRM-R) was designed to establish a high-resolution melting (HRM) method based on internal transcribed spacer 1 (ITS-1) rDNA for the detection of Ancylostoma ceylanicum, A. caninum and A. tubaeforme infection. The results showed that the HRM for the three hookworms produced different melting-curve profiles, where melting temperature (Tm) values were 84.50°C for A. ceylanicum, 82.25°C for A. caninum and 81.73°C for A. tubaeforme, respectively. The reproducibility of intra- and inter-assay melting curves was almost perfect. The lowest concentration detected was about 5.69 ×10−4 g/μl. The HRM detection results from 18 canine and feline hookworm samples were in complete accordance with their sequencing results. The HRM method was more sensitive than the polymerase chain reaction–restriction fragment length polymorphism (PCR-RFLP) technique in the detection of 98 clinical samples. It is concluded that the HRM method can differentiate between A. ceylanicum, A. caninum, A. tubaeforme and their mixed infections, which may provide important technical support for the zoonotic risk assessment and molecular epidemiological survey of canine and feline hookworms.
The lichen family Ophioparmaceae contains three genera: Boreoplaca, Hypocenomyce and Ophioparma. The genus Hypocenomyce is reported here for the first time for China, being represented by the species Hypocenomyce scalaris which is distributed in south-western China. For the genus Ophioparma, one new species is described in this paper, namely Ophioparma pruinosa Li S. Wang & Y. Y. Zhang sp. nov., which is characterized by a pruinose thallus and the presence of usnic acid. Ophioparma araucariae is also reported as new for the Chinese lichen biota. Previous reports of O. lapponica in China are recognized as misidentifications of O. ventosa. Descriptions, keys and phylograms are provided for these species.
Since 2010, Jankowski’s Bunting Emberiza jankowskii has been listed as ‘Endangered’ on the IUCN Red List of Threatened Species. However, because no comprehensive surveys had been conducted, it was not known whether undiscovered populations existed elsewhere, so the population status of the species could not be assessed accurately. The aim of this study was to assess the breeding distribution and population size of Jankowski’s Bunting in China. Fifty sites in Inner Mongolia, and Jilin, Heilongjiang, Liaoning and Hebei Provinces were surveyed to locate suitable habitat and breeding populations of Jankowski’s Bunting. The surveyed sites included historical breeding distribution areas, wintering sites, and regions adjacent to historical breeding distribution areas. We confirmed that Jankowski’s Bunting has disappeared from most of its former breeding distributions, with the exceptions of Dagang, Xiergen and Tumiji. Additionally, 13 new breeding sites were discovered in Inner Mongolia. All currently known populations breed in Mongolian steppe-vegetation zones, with shrubs dominated by the natural Siberian apricot Prunus sibirica, indicating that this type of habitat is crucial for the survival of the species. Based on remote sensing, the suitable breeding habitat for Jankowski’s Bunting is estimated to be approximately 280 km2. The population size of Jankowski’s Bunting could range between 9,800 and 12,500 individuals, which is much higher than the numbers estimated in previous reports that were based on partial surveys. The suitable habitat remaining in Inner Mongolia would highly benefit from the implementation of the National Key Public Forest Protection Project. The population size of Jankowski’s Bunting is larger than previously estimated, but it is still threatened by habitat degradation and fragmentation, and our survey results reinforce the need for more research. The status of Jankowski’s Bunting in China still meets the IUCN criteria B2ab for an ‘Endangered’ species.
Children’s poor growth and nutrition status has serious consequences and therefore it is important to understand its contributing factors.
A community-based interventional study focusing on child feeding was conducted in a rural community in China. Data from the intervention group at baseline (1–4 months of age) and follow-up visits (12 and 18 months of age) were used in the present study (n 236). A structural equation model was generated to explore the effects of family wealth, household food safety, dietary intake, diseases and other factors on the growth and nutrition of young children.
Mother’s knowledge and behaviours on household food safety had positive effects on children’s weight-for-age Z-score (WAZ; βdirect=0·03 and 0·15, respectively, at 12 months of age; βdirect=0·02 and 0·08, respectively, at 18 months; P<0·05) and weight-for-length Z-score (WLZ; βdirect=0·04 and 0·21, respectively, at 12 months of age; βdirect=0·01 and 0·06, respectively, at 18 months; P<0·05). While mothers’ feeding behaviours and children’s dietary intake at 12 months of age were positively associated with WAZ and/or WLZ at current and later ages, children’s diseases were negatively associated with WAZ and WLZ cross-sectionally.
Caregiver’s knowledge and feeding behaviours, and children’s dietary intake and diseases, are factors influencing the WAZ and WLZ of children. Promoting feeding and health knowledge and behaviours at early stages of childhood can improve children’s physical growth at later ages.
Previous studies have demonstrated adverse mental health effects of Pb exposure. The purpose of this study is to investigate the relationship between consumption of preserved egg (PE), a high-Pb-containing food and depressive symptoms among adults in China. A sample of 25 213 adults (mean age 41·4 (sd 11·8) years; males, 53·9 %) in Tianjin, China, was studied in a cross-sectional analysis. Dietary intake including PE was assessed using a valid self-administered FFQ. Depressive symptoms were assessed using the Self-Rating Depression Scale (SDS). The association was estimated by OR using logistic regression models adjusted for multiple confounders. The prevalence of elevated depressive symptoms was 6·6 % (SDS≥50). Compared with the least frequent PE consumption (<once/week), multivariable adjusted OR for elevated depressive symptoms were 1·52 (95 % CI 1·28, 1·81), 2·24 (95 % CI 1·76, 2·81) and 3·31 (95 % CI 2·52, 4·30) for consumption of once, 2–3 times and ≥4 times/week, respectively (Pfor trend<0·0001), indicating a clear dose–response relationship. The results suggested that higher consumption of PE was strongly associated with depressive symptoms among adults in China. These findings underscore the need to consider dietary Pb exposure as a risk factor for psychological distress.
To investigate lung function in Chinese patients suffering from chronic rhinosinusitis with nasal polyps and examine its association with histopathological features.
The lung function of 99 patients with nasal polyps was measured. Haematoxylin and eosin and immunohistochemistry staining were performed to evaluate any inflammatory cells and epithelial tissue remodelling.
Predicted maximal expiratory flow rate at 25 per cent vital capacity was reduced (p < 0.05) in epithelial hyperplasia, and predicted maximal expiratory flow rate at 50 per cent vital capacity was reduced (p < 0.05) in goblet cell hyperplasia. Both peripheral blood eosinophilia and tissue eosinophilia nasal polyps manifested significantly reduced: forced expiratory volume in 1 second/forced vital capacity ratio, predicted maximal expiratory flow rate at 25, 50 and 75 per cent of vital capacity, and predicted maximal mid-expiratory flow. Peripheral blood eosinophils were negatively correlated with predicted maximal expiratory flow rate at 25 and 50 per cent of vital capacity, and predicted maximal mid-expiratory flow. Eosinophils in tissue were negatively correlated with all lung function parameters investigated except predicted forced vital capacity.
Clinicians should be aware of lung function decline in nasal polyps patients, especially in those with tissue eosinophilia.
An apparatus design is described. It is for detecting VHE gamma ray point sources by means of the atmospheric Cerenkov technique. Obviously, the improvement of flux sensitivity and discrimination between gamma ray and isotropic proton showers is still a key problem. Of course, it is necessary to set up more observatories and to track an object continuously with several facilities. With this in mind, we decided to develop an experiment for observing VHE gamma ray sources in China. As a first step, we will set up an apparatus which consists of three 1.5 m diameter searchlight morrors at Xinglong station of Beijing Observatory, Xinglong county, Hebei province (40°. 4N, 117°.5E, altitude 940 m). The observation will start in 1988. Then, the second apparatus will be set up at Delingha station of Purple Mountain Observatory, Delingha county, Qinghai porvince (37°.22N, altitude 3204 m). Both the sites are far from air and light pollution, and have suitable meteological condition for Cerenkov light detection as well as quite convenient facilities for transportation. Some probable technical improvements are also discussed in this paper.
The Chinese First Deep Ice-Core Drilling Project DK-1 has commenced at Kunlun station in the Dome A region, the highest plateau in Antarctica. During the first season, within the 28th Chinese National Antarctic Research Expedition (CHINARE) 2011/12 the pilot hole was drilled and reamed in order to install a 100 m deep fiberglass casing. In the next season, 29th CHINARE 2012/13, the deep ice-core drilling system was installed, and all the auxiliary equipment was connected and commissioned. After filling the hole with drilling fluid (n-butyl acetate), three runs of ‘wet’ ice-core drilling were carried out and a depth of 131.24 m was reached. Drilling to the bedrock at the target depth of ∼3100 m is planned to be completed during a further four seasons. We describe the work in progress and the status of equipment for the Dome A drilling project.
Accurate prediction of the flow around multi-element airfoil is a prerequisite for improving aerodynamic performance, but its complex flow features impose high demands on turbulence modeling. In this work, delayed detached-eddy-simulation (DDES) and zonal detached-eddy-simulation (ZDES) was applied to simulate the flow past a three-element airfoil. To investigate the effects of numerical dissipation of spatial schemes, the third-order MUSCL and the fifth-order interpolation based on modified Roe scheme were implemented. From the comparisons between the calculations and the available experimental result, third-order MUSCL-Roe can provide satisfactory mean velocity profiles, but the excessive dissipation suppresses the velocity fluctuations level and eliminates the small-scale structures; DDES cannot reproduce the separation near the trailing edge of the flap which lead to the discrepancy in mean pressure coefficients, while ZDES result has better tally with the experiment.
To investigate the prevalence of Cyclospora cayetanensis in a longitudinal study and to conduct a population genetic analysis, fecal specimens from 6579 patients were collected during the cyclosporiasis – prevalent seasons in two urban areas of central China in 2011–2015. The overall incidence of C. cayetanensis infection was 1·2% (76/6579): 1·6% (50/3173) in Zhengzhou and 0·8% (26/3406) in Kaifeng (P < 0·05), with infections in all age groups (P > 0·05). All the isolates clustered in the C. cayetanensis clade based on the small subunit ribosomal RNA gene sequence phylogenetic analysis. There were 45 specimens positive for all the five C. cayetanensis microsatellite loci, and formed 29 multilocus genotypes (MLGs). The phylogenetic relationships of 54 distinct MLGs (including 25 known reference MLGs), based on the concatenated multilocus sequences, formed three main clusters. A population structure analysis showed that the 79 isolates (including 34 known reference isolates) of C. cayetanensis produced three distinct subpopulations based on allelic profile data. In conclusion, we determined the frequency of C. cayetanensis infection in humans in Henan Province. The clonal population structure of the human C. cayetanensis isolates showed linkage disequilibrium and three distinct subpopulations.
Disclosing the diagnosis of Alzheimer's disease (AD) to a patient is controversial. There is significant stigma associated with a diagnosis of AD or dementia in China, but the attitude of the society toward disclosure of such a diagnosis had not been formally evaluated prior to our study. Therefore, we aimed to evaluate the attitude toward disclosing an AD diagnosis to patients in China with cognitive impairment from their caregivers, and the factors that may affect their attitude.
We designed a 17-item questionnaire and administered this questionnaire to caregivers, who accompanied patients with cognitive impairment or dementia in three major hospitals in Shanghai, China. The caregiver's attitude toward disclosing the diagnosis of AD as evaluated by the questionnaire was compared to that of disclosing the diagnosis of terminal cancer.
A majority (95.7%) of the 175 interviewed participants (mean 14.2 years of education received) wished to know their own diagnosis if they were diagnosed with AD, and 97.6% preferred the doctor to tell their family members if they were diagnosed with AD. If a family member of the participants suffered from AD, 82.9% preferred to have the diagnosis disclosed to the patient. “Cognitive impairment” was the most accepted term by caregivers to disclose AD diagnosis in Chinese.
This study suggests most of the well-educated individuals in a Chinese urban area favored disclosing the diagnosis when they or their family members were diagnosed with AD.