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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.
During recent stratigraphical and micropaleontological investigations of the Gulupu section in Tüna, Yadong, of the Eocene Zhepure Formation, numerous holoplanktonic mollusks (pteropods) were recovered. Four species, assignable to two genera of pteropods (including Limacina yadongensis new species) were systematically described and illustrated, and a gastropod-bivalve biofacies was identified. This is the first report of Eocene (Ypresian) pteropods in southern Tibet; the same stratum also yields many other neritic faunas. The data presented in this study suggest that a semi-closed restricted gulf in the Tüna area existed and the occurrence of pteropods in Tüna may indicate transport from more open, deep water by oceanic currents during early Eocene. Based on the analysis of paleogeographical distribution of pteropods, it indicates that a Tethys seaway existed during the early Eocene (Ypresian).
Schizophrenia is a serious health problem worldwide. This systematic analysis aims to quantify the burden of schizophrenia at the global, regional and national levels using the Global Burden of Disease Study 2017 (GBD 2017).
We collected detailed information on the number of incidence cases, disability-adjusted life years (DALYs) and age-standardised incidence rate (ASIR) and age-standardised rate of DALYs (ASDR) during 1990–2017 from GBD 2017. The estimated annual percentage changes (EAPCs) in the ASIR and in the ASDR were calculated to quantify the temporal trends in the ASIR and ASDR of schizophrenia.
Globally there were 1.13 million (95% uncertainty interval [UI] = 1.00 to 1.28) incident schizophrenia cases and 12.66 million (95% UI = 9.48 to 15.56) DALYs due to schizophrenia in 2017. The global ASIR decreased slightly from 1990 to 2017 (EAPC = −0.124, 95% UI = −0.114 to −0.135), while the ASDR was stable. The number of incident cases, DALYs, ASIR and ASDR were higher for males than for females. The incident rate and DALYs rate were highest among those aged 20–29 and 30–54 years, respectively. ASIR and ASDR were highest in East Asia in 2017, at 19.66 (95% UI = 17.72 to 22.00) and 205.23 (95% UI = 153.13 to 253.34), respectively. In 2017, the ASIR was highest in countries with a high-moderate sociodemographic index (SDI) and the ASDR was highest in high-SDI countries. We also found that the EAPC in ASDR was negatively correlated with the ASDR in 1990 (P = 0.001, ρ = −0.23).
The global burden of schizophrenia remains large and continues to increase, thereby increasing the burden on health-care systems. The reported findings should be useful for resource allocation and health services planning for the increasing numbers of patients with schizophrenia in ageing societies.
The dipeptide dl-methionyl-dl-methionine (Met-Met) has extremely low water solubility and better absorption than other methionine sources (such as dl-methionine and l-methionine) available in the market. Therefore, six diets (D1, D2, D3, D4, D5 and D6) containing 0, 0·07, 0·15, 0·21, 0·28 and 0·38 % Met-Met were formulated to investigate the effects of Met-Met in juvenile Nile tilapia, Oreochromis niloticus (17 g initial body weight). The results indicated that percentage weight gain and specific growth rate of fish fed with D2 and D3 diets were higher than those fed with D1, D4–D6 diets. The levels of total essential amino acid in whole body of fish fed with D3 and D4 diets were significantly higher than those fed the D1 diet. Superoxide dismutase activity and malondialdehyde content have no significant difference in fish fed the diet with or without Met-Met supplementation. Majority of reads derived from the fish intestine belonged to members of Fusobacteria, followed by Bacteroidetes and Proteobacteria. Diversity of intestinal microbiota and total antioxidant capacity in fish fed with D3 diet was significantly higher than that of other groups. Based on the growth results, the authors conclude that the optimal level of Met is 0·61 % Met with the addition of 0·15 % Met-Met for grower-phase O. niloticus.
Schizophrenia is a complex mental disorder with high heritability and polygenic inheritance. Multimodal neuroimaging studies have also indicated that abnormalities of brain structure and function are a plausible neurobiological characterisation of schizophrenia. However, the polygenic effects of schizophrenia on these imaging endophenotypes have not yet been fully elucidated.
To investigate the effects of polygenic risk for schizophrenia on the brain grey matter volume and functional connectivity, which are disrupted in schizophrenia.
Genomic and neuroimaging data from a large sample of Han Chinese patients with schizophrenia (N = 509) and healthy controls (N = 502) were included in this study. We examined grey matter volume and functional connectivity via structural and functional magnetic resonance imaging, respectively. Using the data from a recent meta-analysis of a genome-wide association study that comprised a large number of Chinese people, we calculated a polygenic risk score (PGRS) for each participant.
The imaging genetic analysis revealed that the individual PGRS showed a significantly negative correlation with the hippocampal grey matter volume and hippocampus–medial prefrontal cortex functional connectivity, both of which were lower in the people with schizophrenia than in the controls. We also found that the observed neuroimaging measures showed weak but similar changes in unaffected first-degree relatives of patients with schizophrenia.
These findings suggested that genetically influenced brain grey matter volume and functional connectivity may provide important clues for understanding the pathological mechanisms of schizophrenia and for the early diagnosis of schizophrenia.
Paediatric Mycoplasma pneumoniae pneumonia (MPP) is a major cause of community-acquired pneumonia in China. Data on epidemiology of paediatric MPP from China are little known. This study retrospectively collected data from June 2006 to June 2016 in Beijing Children's Hospital, Capital Medical University of North China and aims to explore the epidemiological features of paediatric MPP and severe MPP (SMPP) in North China during the past 10 years. A total of 27 498 paediatric patients with pneumonia were enrolled. Among them, 37.5% of paediatric patients had MPP. In this area, an epidemic took place every 2–3 years at the peak, and the positive rate of MPP increased during these peak years over time. The peak age of MPP was between the ages of 6 and 10 years, accounting for 75.2%, significantly more compared with other age groups (χ2 = 1384.1, P < 0.0001). The epidemics peaked in September, October and November (χ2 = 904.9, P < 0.0001). Additionally, 13.0% of MPP paediatric patients were SMPP, but over time, the rate of SMPP increased, reaching 42.6% in 2016. The mean age of paediatric patients with SMPP (6.7 ± 3.0 years old) was younger than that of patients with non-SMPP (7.4 ± 3.2 years old) (t = 3.60, P = 0.0001). The prevalence of MPP and SMPP is common in China, especially in children from 6 to 10 years old. Paediatric patients with SMPP tend to be younger than those with non-SMPP. MPP outbreaks occur every 2–3 years in North China. September, October and November are the peak months, unlike in South China. Understanding the epidemiological characteristics of paediatric MPP can contribute to timely treatment and diagnosis, and may improve the prognosis of children with SMPP.
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.
This paper proposes a new radar cross section (RCS) reduced microstrip antenna incorporating 475 square slots on the patch. The proposed antenna achieves wideband RCS reduction with radiation performance sustained. The modified and reference antenna are simulated and analyzed in radiating and scattering mode, respectively. Prototypes of two antennas are fabricated and measured. Compared with the reference antenna, the simulated result shows the modified antenna RCS reduced in the frequency range 1.1–2.6 GHz, which contains the in-band and out-of-band frequency band simultaneously. And the maximum RCS reduction is 7.6dB at the frequency of 1.19GHz. Besides, the modified antenna can achieve the antenna RCS reduction in the case of oblique incidence. The prototypes of two antennas are fabricated and measured, and the accuracy of the simulation is proved by the measured result. Due to its advantages of simplicity, wideband RCS reduced, broad-angle RCS reduced, the method in this paper is suitable for wideband antenna RCS reduction in space-limited environment.
As important epigenetic regulators, microRNA regulate protein expression by triggering the degradation of target mRNA and/or by inhibiting their translation. Dysregulation of microRNA expression has been reported in several cancers, including colorectal cancer. In this study, microRNA-array differential analysis revealed strongly enhanced expression of miR-24-1-5p in the colon tissue of azoxymethane/dextran sulphate sodium-induced mice that were fed with black raspberry anthocyanins for 9 weeks. Overexpression of miR-24-1-5p in human colorectal cancer cells significantly repressed β-catenin expression, and simultaneously decreased cell proliferation, migration and survival. Furthermore, miR-24-1-5p could target β-catenin and trigger a negative regulatory loop for β-catenin and its downstream target genes. β-Catenin signalling is vital to the formation and progression of human colorectal cancer. The current findings therefore identified miR-24-1-5p as a potent regulator of β-catenin, and this may provide a novel chemopreventive and therapeutic strategy for β-catenin signalling-driven colorectal cancer.
There is a dearth of data on the iodine balance studies of Chinese population. In the present study, we aimed to explore the appropriate recommended nutrient intake (RNI) of iodine based on healthy Chinese women. A 4-week study was conducted in twenty-five Chinese euthyroid women. Uniform diets with different iodine contents were provided in two different periods, in which non-iodised salt was given in the first 3 weeks, followed by 1 week of iodised salt administration. The total iodine intake from diet, water and air as well as the total iodine excretion through urine, faeces and respiration were monitored and determined. The sweat iodine loss was also considered. Moreover, the regression curve model was established between the 24 h iodine intake and 24 h iodine excretion. The 24 h iodine intake in the two periods was 194·8 (sd 62·9) and 487·1 (sd 177·3) μg/d, respectively. The 24 h iodine excretion was 130·9 (sd 39·5) and 265·4 (sd 71·8) μg/d, respectively. Both 24 h iodine intake and 24 h iodine excretion of the two periods were significantly different (all P<0·05). The iodised salt contributed approximately 62·7 % of the total daily iodine intake. Moreover, 92·3 % (277/300) of samples were in positive balance, while twenty-three cases were in negative balance. Our data show that the estimated average requirement for iodine was 110·5 μg/d. Therefore, the RNI for iodine to non-pregnant, non-lactating Chinese women was 154·7 μg/d.
In this study, a new microstrip patch antenna with wideband radar cross-section (RCS) reduction is presented. The RCS of the proposed antenna was reduced by subtracting the current-direction slots of the patch, with the radiation performance sustained not only for the current-direction subtraction, but also for the no modification in the ground plane. Modified and reference antenna were fabricated and measured. The simulation and measurement results showed that the modified antenna reduced the in-band and out-band RCS simultaneously with no detriment to the radiation performance. In the frequency band from 3.9 to 8.1 GHz, the RCS of the modified antenna was reduced in the whole band compared with the RCS of the reference antenna. The maximum RCS reduction was 7 dB at a frequency of 6.7 GHz.
A large number of well-preserved chancelloriid scleritomes from the Guanshan biota, early Cambrian of Yunnan, China, are described as a new species, Allonnia tenuis n. sp., and provide solid evidence for the original appearance of these enigmatic animals, based on specimens compacted laterally and top-down. With the assistance of a flexible integument, chancelloriids, especially Allonnia from early and middle Cambrian, may have had the ability to partially or completely expand and contract the body, which might have played an important role in feeding. A new metazoan with single-element spines, Nidelric gaoloufangensis n. sp., is also described. Preservation and affinity are discussed. Detailed comparison of the morphology of the body and spines of this metazoan indicate that it shares many similarities with chancelloriids, of which it may be an unusual form.
Dietary energy density (ED) might have influences on body composition. We therefore examined whether ED is associated with body composition among Chinese adults.
We collected dietary data through validated two-day 24 h recalls. ED, defined as the amount of energy per unit weight of food consumed, was calculated based on five methods. Multiple linear regression analyses were performed to explore the associations between ED and body composition parameters, including BMI, fat mass index (FMI), fat-free mass index (FFMI), percentage body fat (%BF) and waist circumference (WC).
Chinese adults (n 1933) in 2013.
After adjusting the covariates, all ED definitions were positively associated with BMI, FMI, FFMI, %BF and WC among women (P<0·01). In men, however, ED with foods only was positively associated with BMI, FMI, FFMI and %BF (P<0·05), but not with WC (P=0·07); we also found null associations between ED with foods and all beverages and body composition among men. Additionally, ED contributed to higher increases of body composition in women than in men (P<0·01).
The present study supports the positive association between ED and body composition among adults in Southwest China, in which beverages may play an important role.
A wideband and high-efficiency polarization conversion metasurface (PCM) is proposed and applied to reduce radar cross section (RCS). The proposed PCM unit is composed of two oblique asymmetry triangle split rings, which generate multiple plasmon resonances. Simulated and measured results demonstrate that it achieves polarization conversion over 90% from 9.24 to 17.64 GHz. Besides square checkerboard, the proposed PCM units and mirror units are arranged in triangle checkerboard. The mechanisms of both checkerboard PCMs are analyzed based on standard array theory, including the relationship between RCS reduction value and polarization conversion ratio value. The derived formulas provide a guideline to design checkerboard structure based on PCM. Simulated results demonstrate that both checkerboard PCMs achieve over 62% relative bandwidth of 10 dB RCS reduction under normal incidence with respect to the equal-sized metallic plate, which also means that the triangle one could be an alternative solution to reduce RCS. To verify the analyzed and simulated results, the fabricated sample and measured results of both checkerboard PCMs are presented. Good agreements are achieved between measurements, simulations and numerical analysis.
For the first time, an experiment has been conducted to investigate synthetic jet laminar vortex rings impinging onto porous walls with different geometries by time-resolved particle image velocimetry. The geometry of the porous wall is changed by varying the hole diameter on the wall (from 1.0 mm to 3.0 mm) when surface porosity is kept constant (
). The finite-time Lyapunov exponent and phase-averaged vorticity field derived from particle image velocimetry data are presented to reveal the evolution of the vortical structures. A mechanism associated with vorticity cancellation is proposed to explain the formation of downstream transmitted vortex rings; and both the vortex ring trajectory and the time-mean flow feature are compared between different cases. It is found that the hole diameter significantly influences the evolution of the flow structures on both the upstream and downstream sides of the porous wall. In particular, for a porous wall with a small hole diameter (
, 0.10 and 0.133), the transmitted finger-type jets will reorganize into a well-formed transmitted vortex ring in the downstream flow. However, for the case of a large hole diameter of
, the transmitted vortex ring is not well formed because of insufficient vorticity cancellation. Additionally, the residual vorticity gradually evolves into discrete jet-like structures downstream, which further weaken the intensity of the transmitted vortex ring. Consequently, the transmitted flow structures for the
case would lose coherence more easily (or probably even transition to turbulence), resulting in a faster decay of the axial velocity and stronger entrainment of the transmitted jet. For all porous wall cases, the velocity profile of the transmitted jet exhibits self-similar behaviour in the far field (
), which agrees well with the velocity distribution of free synthetic jets. With the help of the control-volume approach, the time-mean drag of the porous wall is evaluated experimentally for the first time. It is shown that the porous wall drag increases with the decrease in the hole diameter. Moreover, for a porous wall with a small hole diameter (
, 0.10 and 0.133), it appears that the porous wall drag mainly derives from the viscous effect. However, as
increases to 0.20, the form drag associated with the porous wall geometry becomes significant.
We present laboratory measurement and theoretical analysis of silicon K-shell lines in plasmas produced by Shenguang II laser facility, and discuss the application of line ratios to diagnose the electron density and temperature of laser plasmas. Two types of shots were carried out to interpret silicon plasma spectra under two conditions, and the spectra from 6.6 Å to 6.85 Å were measured. The radiative-collisional code based on the flexible atomic code (RCF) is used to identify the lines, and it also well simulates the experimental spectra. Satellite lines, which are populated by dielectron capture and large radiative decay rate, influence the spectrum profile significantly. Because of the blending of lines, the traditional
value are not applicable in diagnosing electron temperature and density of plasma. We take the contribution of satellite lines into the calculation of line ratios of He-
lines, and discuss their relations with the electron temperature and density.
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.
In this paper, a high gain broadband low profile microstrip antenna with the dual-layered substrate and four parasitic metal elements is presented. The proposed microstrip antenna is mainly composed of four parts: four circular parasitic metal patches with dual arced breaches, a rectangular metal patch sandwiched between substrates, a square ground plane, and two-square substrates. The circular parasitic elements are the main radiation structure and determine the characteristics of the proposed antenna are closely related to the parasitic elements. The proposed antenna has been fabricated for experimental measurement. The reflection coefficient, radiation pattern, radiation efficiency, and gain have been studied in detail. The simulated and measured impedance bandwidth is 27.0% (3.30–4.33 GHz), the maximum realized peak gain reaches up to 6.52 dBi at the frequency of 3.65 GHz. The radiation pattern has a single peak which is perpendicular to the surface of the substrate. The proposed antenna is suitable to be applied in the 5G mobile or WiMAX wireless communication. Dual antenna with a pair of parasitic elements has been investigated numerically to explain the principle of the proposed antenna.