The non-archosauriform archosauromorph Dinocephalosaurus orientalis was first described from the Upper Member of the Guanling Formation (late Anisian, Middle Triassic) of Guizhou Province by Li in 2003 on the basis of a complete articulated skull and the first three cervical vertebrae exposed in dorsal to right lateral view. Since then, additional specimens have been discovered in southwestern China. Here, five newly discovered specimens are described for the first time, and redescriptions of the holotype IVPP V13767 and another referred specimen, IVPP V13898, are provided. Together, these permit the description of the complete skeleton of this remarkable long-necked marine reptile. The postcranial skeleton is as much as 6 metres long, and characterised by its long tail and even longer neck. The appendicular skeleton exhibits a high degree of skeletal paedomorphosis recalling that of many sauropterygians, but the skull and neck are completely inconsistent with sauropterygian affinities. The palate does not extend back over the basisphenoid region and lacks any development of the closed condition typical of sauropterygians. The arrangement of cranial elements, including the presence of narial fossae, is very similar to that seen in another long-necked archosauromorph, Tanystropheus hydroides, which at least in part represents a convergence related to an aquatic piscivorous lifestyle. The long and low cervical vertebrae support exceptionally elongate cervical ribs that extend across multiple intervertebral joints and contribute to a ‘stiffening bundle of ribs’ extending along the entire ventral side of the neck, as in many other non-crocopodan archosauromorphs. The functional significance of the extraordinarily elongate neck is hard to discern but it presumably played a key role in feeding, and it is probably analogous to the elongate necks seen in pelagic, long-necked plesiosaurs. Dinocephalosaurus orientalis was almost certainly a fully marine reptile and even gave birth at sea.

The differences in the clinical features and outcomes of respiratory adenovirus infection (RAI) between immunocompetent and immunocompromised adult patients remain unclear. Thirty-nine adult RAI patients, including 28 (71.8%) immunocompetent patients and 11 (28.2%) immunocompromised patients were enrolled in this retrospective study. Demographic characteristics, symptoms, laboratory tests, radiographic findings, therapies and clinical outcomes were compared between the two groups. We found fever (94.9%), cough (66.7%) and sputum production (56.4%) were the most frequent symptoms. Compared with immunocompetent RAI patients, the immunocompromised RAI patients were more likely to experience anaemia (g/l; 90.8 ± 24.0 vs 134.3 ± 14.6, P < 0.001), thrombocytopaenia ( × 109/l; 116.9 ± 92.7 vs 178.4 ± 74.6, P = 0.037), hypoalbuminaemia (g/l; 29.6 ± 5.5 vs 36.9 ± 5.2, P < 0.001), hyponatraemia (mmol/l; 134.8 ± 5.6 vs 138.5 ± 3.9, P = 0.026) and low levels of cholinesterase (U/l; 2650.5 ± 1467.4 vs 5892.8 ± 1875.1, P < 0.001). Chest computed tomography (CT) scans indicated that lung infiltrate was the most common finding (64.1%). Immunocompromised patients had a higher likelihood of bilateral lung involvement (72.7%) and lower lobe involvement (81.8%) of both lungs. The hospitalized mortality rate was 27.3% in immunocompromised RAI patients, but no death occurred among immunocompetent RAI patients (P = 0.018). Our data suggested immunocompromised RAI patients had worse laboratory test results, more bilateral lung and lower lobe involvement and higher in-hospital mortality compared with immunocompetent RAI patients.

To investigate the association between the Metabolic Score for Visceral Fat (METS-VF) and risk of type 2 diabetes mellitus (T2DM) and compare the predictive value of the METS-VF for T2DM incidence with other obesity indices in Chinese people. A total of 12 237 non-T2DM participants aged over 18 years from the Rural Chinese Cohort Study of 2007–2008 were included at baseline and followed up during 2013–2014. The cox proportional hazards regression was used to calculate hazard ratios (HR) and 95 % CI for the association between baseline METS-VF and T2DM risk. Restricted cubic splines were used to model the association between METS-VF and T2DM risk. Area under the receiver operating characteristic curve (AUC) analysis was used to evaluate the ability of METS-VF to predict T2DM incidence. During a median follow-up of 6·01 (95 % CI 5·09, 6·06) years, 837 cases developed T2DM. After adjusting for potential confounding factors, the adjusted HR for the highest v. lowest METS-VF quartile was 5·97 (95 % CI 4·28, 8·32), with a per 1-sd increase in METS-VF positively associated with T2DM risk. Positive associations were also found in the sensitivity and subgroup analyses, respectively. A significant nonlinear dose–response association was observed between METS-VF and T2DM risk for all participants (Pnonlinearity = 0·0347). Finally, the AUC value of METS-VF for predicting T2DM was largest among six indices. The METS-VF may be a reliable and applicable predictor of T2DM incidence in Chinese people regardless of sex, age or BMI.

The origins of metal coinage and the monetisation of ancient economies have long been a research focus in both archaeology and economic history. Recent excavations of an Eastern Zhou period (c. 770–220 BC) bronze foundry at Guanzhuang in Henan Province, China, have yielded clay moulds for casting spade coins. The technical characteristics of the moulds demonstrate that the site functioned as a mint for producing standardised coins. Systematic AMS radiocarbon-dating indicates that well-organised minting developed c. 640–550 BC, making Guanzhuang the world's oldest-known, securely dated minting site. This discovery provides important new data for exploring the origin of monetisation in ancient China.

Eating architecture is a term that describes meal frequency, meal timing and meal size and the daily variation in each of these. The aim of this study was to determine the relationship between components of eating architecture on body fat and markers of glycaemic control in healthy adults at increased risk of type 2 diabetes (T2DM). Participants (n 73, 39 males, age 58·8 (8·1) years, BMI 33·4 (4·4) kg/m2) recorded food intake and wore accelerometers and continuous glucose monitors (CGM) for 7–14 d under free-living conditions. Body fat and glycated Hb (HbA1c) were also measured. The mean and day-to-day variation (calculated as the standard deviation during the monitoring period) of each component of eating architecture were calculated. Multivariable linear regression models were constructed for three separate outcome variables (body fat mass, mean CGM glucose and HbA1c) for each component of eating architecture before and after adjustment for confounders. Higher variability in the time of first meal consumption was associated with increased body fat mass after adjusting for confounders (β = 0·227, 95 % CI: 0·019, 0·434, P = 0·033). Increased variability in the time lag from waking to first meal consumption was also positively associated with increased HbA1c after adjustment (β = 0·285, 95 % CI: 0·040, 0·530, P = 0·023). Low day-to-day variability in first meal consumption was associated with lower body fat and improved glucose control in adults at increased risk of T2DM. Routine consumption of meals may optimise temporal regulation to anticipate and respond appropriately to a glucose challenge.

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.

The Rotterdam Rules, as the latest marine cargo convention, seek to promote legal uniformity of multimodal transport. The network-liability approach of this convention attempts to harmonise conflicts of liability regimes among different types of navigation in multi-modal transport. However, its Articles 26 and 82 only harmonise limited scenarios among all the potential conflicts of interest. Additionally, the network-liability approach itself relies on localising any occurrence of damage to or loss of goods, which corresponds to different degrees of liability among marine, land and air navigation. Thus, it is impossible for carriers and navigators to anticipate their liabilities when entering into a contract of multimodal transport. Through analysing UNCITRAL negotiating documents, a comprehensive safeguard is proposed to solve these problems.

Cobalt crystals with hcp or hcp/fcc mixed structure were prepared by a solvothermal process based on the dosages of N2H4·H2O and the effect of crystal structure on their magnetic properties and Congo red (CR) removal abilities was studied. To our best knowledge, it is the first report on CR removal by micrometer and submicrometer sizes of Co crystals with the best CR removal ability reaching 694.4 mg g−1. For the hcp and fcc mixed structure, the degree of mixing can be clearly observed from the high-resolution transmission electron microscopy images. The micrometer and submicrometer sizes of Co crystals will be good for magnetic separation after CR removal.

Recent studies report a correlation between excision repair cross-complementing group 2 (ERCC2) Lys751Gln polymorphism and an increased risk of lung cancer, but results are controversial and inconclusive. Thus, we conducted a comprehensive meta-analysis in order to assess the correlation between them. Our study uses an odds ratio (OR) with a 95% confidence interval (95% CI) to evaluate the strength of the association; we also performed Begg's funnel plot and the Egger's test to assess the publication bias of previous articles. Finally, our meta-analysis is comprised of 28 full studies, including 23,370 subjects (10,242 cases and 13,128 controls). Our overall research shows that ERCC2 Lys751Gln polymorphism carries an increased risk of developing lung cancer (C vs. A: OR = 1.160, 95% CI = 1.081–1.245, p = .000; CC vs. AA: OR = 1.252, 95% CI = 1.130–1.388, p = .000; CA vs. AA: OR = 1.152, 95% CI = 1.060–1.252, p = .001; CC+CA vs. AA: OR = 1.186, 95% CI = 1.089–1.292, p = .000; CC vs. CA+AA: OR = 1.196, 95% CI = 1.087–1.316, p = .000). In ethnic subgroup analyses, we find a significant risk among Caucasians (C vs. A: OR = 1.106, 95% CI = 1.048–1.166, p = .000; CC vs. AA: OR = 1.233, 95% CI = 1.103–1.378, p = .000; CC+CA vs. AA: OR = 1.113, 95% CI = 1.033–1.199, p = .005; CC vs. CA+AA: OR = 1.185, 95% CI = 1.069–1.313, p = .001) and among Asians under two genetic models (CA vs. AA: OR = 1.265, 95% CI = 1.034–1.549, p = .023; CC+CA vs. AA: OR = 1.252, 95% CI = 1.015–1.544, p = .036). These results were confirmed by similar findings, demonstrated by stratified analyses in study design and histological typing. This meta-analysis indicates that ERCC2 Lys751Gln polymorphism may lead to an increased susceptibility to lung cancer risk among Caucasians and Asians.

A simple and convenient method for preparing visible light response photocatalyst polypyrrole/TiO2 (PPy/TiO2) nanocomposite was developed. The products were characterized by x-ray diffraction, transmission electron microscopy, atomic force microscopy, ultraviolet-visible, and Fourier transform infrared techniques. The results indicated that the nanohybrid was composed of anatase TiO2 and PPy and exhibited an enhanced visible light-capturing ability. Average diameters of TiO2 and PPy/TiO2 were 18 and 35 nm, respectively. The photocatalytic activity of the nanocomposite was evaluated by the degradation of methyl orange under visible light irradiation. In the presence of PPy/TiO2 nanocomposite, the degradation efficiency of methyl orange of 95.54% could be obtained under visible light irradiation within 120 min. The apparent rate constant was 2.19 × 10−2, which was better than that Degussa P25 nano-TiO2. The sensitization mechanism of PPy/TiO2 photocatalyst was discussed briefly.