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The risk of environmental contamination by severe acute respiratory coronavirus virus 2 (SARS-CoV-2) in the intensive care unit (ICU) is unclear. We evaluated the extent of environmental contamination in the ICU and correlated this with patient and disease factors, including the impact of different ventilatory modalities.
In this observational study, surface environmental samples collected from ICU patient rooms and common areas were tested for SARS-CoV-2 by polymerase chain reaction (PCR). Select samples from the common area were tested by cell culture. Clinical data were collected and correlated to the presence of environmental contamination. Results were compared to historical data from a previous study in general wards.
In total, 200 samples from 20 patient rooms and 75 samples from common areas and the staff pantry were tested. The results showed that 14 rooms had at least 1 site contaminated, with an overall contamination rate of 14% (28 of 200 samples). Environmental contamination was not associated with day of illness, ventilatory mode, aerosol-generating procedures, or viral load. The frequency of environmental contamination was lower in the ICU than in general ward rooms. Eight samples from the common area were positive, though all were negative on cell culture.
Environmental contamination in the ICU was lower than in the general wards. The use of mechanical ventilation or high-flow nasal oxygen was not associated with greater surface contamination, supporting their use and safety from an infection control perspective. Transmission risk via environmental surfaces in the ICUs is likely to be low. Nonetheless, infection control practices should be strictly reinforced, and transmission risk via droplet or airborne spread remains.
The Shuangjianzishan vein-type Ag-Pb-Zn deposit in the southern Great Xing’an Range (GXR), NE China, is hosted in the slate of the Lower Permian Dashizhai Formation intruded by granite porphyry. In this paper, U–Pb zircon ages and bulk-rock and isotope (Sr, Nd, Pb and Hf) compositions are reported to investigate the derivation, evolution and geodynamic setting of this granite porphyry. It is closely associated with Pb-Zn-Ag mineralization in the southern GXR and contains important geological information relating to regional tectonic evolution. Laser ablation – inductively coupled plasma – mass spectrometry (LA-ICP-MS) zircon U–Pb dating yields an emplacement age of 131 ± 1 Ma for the granite porphyry. Bulk-rock analyses show that the Shuangjianzishan granite porphyry is characterized by high Si, Na and K contents but low Mg and Fe contents, and that the enrichment of Zr, Y and Ga suggests an A-type granite affinity. Most of the studied samples have relatively low 87Sr/86Sr values (0.70549–0.70558), with positive ϵNd(t) (0.71–0.88) and ϵHf(t) (4.9–6.9) values. The Sr–Nd isotope modelling results, in combination with the young TDM2 ages of Nd and Hf (850–864 and 668–778 Ma, respectively), reveal that the Shuangjianzishan granite porphyry may be derived from the melting of mantle-derived juvenile component, with minor lower crustal components; this finding is also supported by Pb isotopic compositions. Considering the widespread presence of granitoids with coeval volcanic rocks and regional geology data, we propose that the Shuangjianzishan granite porphyry formed in a post-orogenic extensional environment related to the upwelling of asthenospheric mantle following the closure of the Mongol–Okhotsk Ocean.
Renal fibrosis is common especially in the elderly population. Recently, we found that vitamin D deficiency caused prostatic hyperplasia. This study aimed to investigate whether vitamin D deficiency promotes renal fibrosis and functional impairment. All mice except controls were fed with vitamin D-deficient (VDD) diets, beginning from their early life. The absolute and relative kidney weights on postnatal week 20 were decreased in VDD diet-fed male pups but not in female pups. A mild pathological damage was observed in VDD diet-fed male pups but not in females. Further analysis showed that VDD-induced pathological damage was aggravated, accompanied by renal dysfunction in 40-week-old male pups. An obvious collagen deposition was observed in VDD diet-fed 40-week-old male pups. Moreover, renal α-smooth muscle actin (α-SMA), a marker of epithelial–mesenchymal transition (EMT), and Tgf-β mRNA were up-regulated. The in vitro experiment showed that 1,25-dihydroxyvitamin D3 alleviated transforming growth factor-β1 (TGF-β1)-mediated down-regulation of E-cadherin and inhibited TGF-β1-evoked up-regulation of N-cadherin, vimentin and α-SMA in renal epithelial HK-2 cells. Moreover, 1,25-dihydroxyvitamin D3 suppressed TGF-β1-evoked Smad2/3 phosphorylation in HK-2 cells. These results provide experimental evidence that long-term vitamin D deficiency promotes renal fibrosis and functional impairment, at least partially, through aggravating TGF-β/Smad2/3-mediated EMT in middle-aged male mice.
The Arsenic (+3 oxidation state) methyltransferase (AS3MT) gene has been identified as a top risk gene for schizophrenia in several large-scale genome-wide association studies. A variable number tandem repeat (VNTR) of this gene is the most significant expression quantitative trait locus, but its role in brain activity in vivo is still unknown.
We first performed a functional magnetic resonance imaging (fMRI) scan of 101 healthy subjects during a memory span task, trained all subjects on an adaptive memory span task for 1 month, and finally performed another fMRI scan after the training. After excluding subjects with excessive head movements for one or more scanning sessions, data from 93 subjects were included in the final analyses.
The VNTR was significantly associated with both baseline brain activation and training-induced changes in multiple regions including the prefrontal cortex and the anterior and posterior cingulate cortex. Additionally, it was associated with baseline brain activation in the striatum and the parietal cortex. All these results were corrected based on the family-wise error rate method across the whole brain at the peak level.
This study sheds light on the role of AS3MT gene variants in neural plasticity related to memory span training.
Bipolar disorder (BD) is a severe psychiatric disorder associated with a high risk of suicide. This meta-analysis examined the prevalence of suicide attempts (SA) in patients with BD and its associated factors.
A systematic literature search was conducted in the PubMed, PsycINFO, EMBASE and Web of Science databases from their inception to 11 June 2018. The prevalence of SA in BD was synthesised using the random-effects model.
The search identified 3451 articles of which 79 studies with 33 719 subjects met the study entry criteria. The lifetime prevalence of SA was 33.9% (95% CI 31.3–36.6%; I2 = 96.4%). Subgroup and meta-regression analyses revealed that the lifetime prevalence of SA was positively associated with female gender, BD-I, BD Not Otherwise Specified and rapid cycling BD subtypes, income level and geographic region.
This meta-analysis confirmed that SA is common in BD and identified a number of factors related to SA. Further efforts are necessary to facilitate the identification and prevention of SA in BD. Long-term use of mood stabilisers coupled with psycho-social interventions should be available to BD patients to reduce the risk of suicidal behaviour.
Suicide attempt is an important indicator of suicide and potential future mortality. However, the prevalence of suicide attempts has been inconsistent across studies. This meta-analysis aimed to examine the prevalence of suicide attempts in individuals with schizophrenia and associated correlates.
Relevant publications in Embase, PsycINFO, PubMed, Web of science and Cochrane were systematically searched. Data on the prevalence of suicide attempts in individuals with schizophrenia were pooled using a random-effects model.
Thirty-five studies with 16 747 individuals with schizophrenia were included. The pooled lifetime prevalence of suicide attempts was 26.8% (95% CI 22.1–31.9%; I2 = 97.0%), while the 1-year prevalence, 1-month prevalence and the prevalence of suicide attempts from illness onset were 3.0% (95% CI 2.3–3.7%; I2 = 95.6%), 2.7% (95% CI 2.1–3.4%; I2 = 78.5%) and 45.9% (95% CI 42.1–49.9%; I2 = 0), respectively. Earlier age of onset (Q = 4.38, p = 0.04), high-income countries (Q = 53.29, p < 0.001), North America and Europe and Central Asia (Q = 32.83, p < 0.001) were significantly associated with a higher prevalence of suicide attempts.
Suicide attempts are common in individuals with schizophrenia, especially those with an early age of onset and living in high-income countries and regions. Regular screening and effective preventive measures should be implemented as part of the clinical care.
This study examined the mediating effects of future social expectations and interpersonal distrust on the relationship between individual relative deprivation and intention to rebel. Data were gathered from 807 people from multiple occupational backgrounds in a municipality in southwest China. Structural equation modelling showed that individual relative deprivation predicted intention to rebel directly and also that it predicted intention to rebel indirectly via negative future social expectations, interpersonal distrust, and a chain mediating effect of negative future social expectations and interpersonal distrust. These results highlight the importance of the associations between future social expectations and interpersonal distrust with intention to rebel in people who report relative deprivation. The findings also indicate that prevention and intervention programs related to relative deprivation and intention to rebel in China are worthy of further research.
Suicide-related behaviours are common in schizophrenia and are significantly associated with premature death. The objective of this meta-analysis study was to estimate the pooled prevalence of suicide-related behaviours in schizophrenia patients in China.
The relevant literature was searched systematically via the relevant electronic databases (PubMed, Embase, PsycINFO, Chinese National Knowledge Infrastructure, Wanfang Databases and Chinese Biological Medical Literature Database) from their inception until 14 September 2016. Only original studies that reported the prevalence of suicide-related behaviours including suicidal ideation (SI), suicide plan, suicide attempt (SA) and completed suicide were selected.
Nineteen articles met the inclusion criteria and were analysed. The pooled lifetime prevalence of SI and SA were 25.8% (95% CI 14.7–41.1%) and 14.6% (95% CI 9.1–22.8%), respectively. The 1-month prevalence of SI was 22.0% (95% CI 18.2–26.4%). Subgroup analyses of lifetime SI and SA showed that gender, sample size, survey year, study location and source of patients have no significant mediating effects on the results.
Suicide-related behaviours are common in Chinese schizophrenia patients. Due to the high mortality risk, regular screening and effective suicide prevention programmes are warranted.
The Myanmar snub-nosed monkey Rhinopithecus strykeri was discovered in 2010 on the western slopes of the Gaoligong Mountains in the Irrawaddy River basin in Myanmar and subsequently in the same river basin in China, in 2011. Based on 2 years of surveying the remote and little disturbed forest of the Gaoligong Mountains National Nature Reserve in China, with outline transect sampling and infrared camera monitoring, a breeding group comprising > 70 individuals was found on the eastern slopes of the Gaoligong Mountains in the Salween River Basin. Given the Critically Endangered status of this primate (a total of < 950 individuals are estimated to remain in the wild), efforts to protect the relatively undisturbed habitat of this newly discovered population and to prevent hunting are essential for the long-term survival of this species.
A new kind of nontoxic, water-soluble copolymer consisting of isobutylene and maleic anhydride was used to gelcast alumina ceramics at room temperature in air. The polymer acts as both a dispersant and a gelling agent. The influence of the polymer on zeta potential, rheological and gelling behavior of the alumina slurry was studied. Copolymers with a lower molecular weight had greater dispersing ability. Copolymers with a larger molecular weight had greater gelling ability. Alumina slurries with solids loading up to 58 vol% were prepared by adding copolymer (0.3 wt%, relative to the powder) with both short and long molecular chains. Increasing solids loading from 50 to 58 vol% decreased the linear shrinkage from 4.63% to 1.50% after drying, and from 14.51% to 13.18% after sintering, respectively. A solids loading of 56 vol% was associated with the highest flexural strength, as high as 534 MPa.
Studies of the end-Permian mass extinction have suggested a variety of patterns from a single catastrophic event to multiple phases. But most of these analyses have been based on fossil distributions from single localities. Although single sections may simplify the interpretation of species diversity, they are susceptible to bias from stratigraphic incompleteness and facies control of preservation. Here we use a data set of 1450 species from 18 fossiliferous sections in different paleoenvironmental settings across South China and the northern peri-Gondwanan region, and integrate it with high-precision geochronologic data to evaluate the rapidity of the largest Phanerozoic mass extinction. To reduce the Signor-Lipps effect, we applied constrained optimization (CONOP) to search for an optimal sequence of first and last occurrence datums for all species and generate a composite biodiversity pattern based on multiple sections. This analysis indicates that an abrupt extinction of 62% of species took place within 200 Kyr. The onset of the sudden extinction is around 252.3 Ma, just below Bed 25 at the Meishan section. Taxon turnover and diversification rates suggest a deterioration of the living conditions nearly 1.2 Myr before the sudden extinction. The magnitude of the extinction was such that there was no immediate biotic recovery. Prior suggestions of highly variable, multi-phased extinction patterns reflect the impact of the Signor-Lipps effect and facies-dependent occurrences, and are not supported following appropriate statistical treatment of this larger data set.
The preference of fertilized (IVF) and somatic cell nuclear transfer (SCNT) presumptive zygotes for different media when cultured in vitro to the blastocyst stage was evaluated in this study. The experiment comprised two zygote production methods (IVF and SCNT) × two culture media (mSOF and G1.5/G2.5) factorial design in which culture droplets that contained approximate 30 presumptive zygotes formed the experimental plots for the assessment of cleavage and blastocyst development. There were 15 to 20 replicates (culture droplets) per treatment combination. Sub-samples 30 to 41 of the blastocysts produced were assessed for cell number and cell apoptosis. A further 10 blastocysts per treatment combination were used for quantitative real-time polymerase chain reaction (RT-PCR) to evaluate the relative abundance of Hsp70 and Bax mRNA. Presumptive zygotes produced by IVF were developmentally more competent than SCNT zygotes in terms of cleavage rate (66.9 vs. 57.0%; P < 0.05) and blastocyst development rates (blastocysts of presumptive zygotes 29.7 vs. 24.8%; blastocysts of cleaved zygotes 44.4 vs. 36.6%; P < 0.05). Over both zygote production systems, however, the results were similar whether culture was in mSOF or in G1.5/G2.5 media for cleavage rate (63.2 vs. 62.4%; P > 0.05) and blastocyst development rate (blastocysts of presumptive zygotes 26.4 vs. 25.7%; P > 0.05; blastocysts of cleaved zygotes 41.8 vs. 41.2%; P > 0.05). There was, however, a significant interaction between the method of zygote production and culture medium for the apoptotic index of blastocysts. The interaction was such that IVF-produced zygotes cultured in mSOF had a lower apoptotic index compared with those cultured in G1.5/G2.5 (4.7 ± 1.2% vs. 9.8 ± 0.9%; P < 0.05) whereas SCNT zygotes had a higher apoptotic index when cultured in mSOF compared with those cultured in G1.5/G2.5 (11.9 ± 1.5% vs. 4.5 ± 1.2%; P < 0.05). Moreover, RT-PCR analysis showed that embryos from IVF-produced zygotes cultured in mSOF had a lower expression level of stress-related and apoptosis genes (Hsp70 and Bax) than those cells cultured in G1.5/G2.5 medium, while SCNT-derived embryos cultured in mSOF had a higher expression level of these genes than those embryos cultured in G1.5/G2.5 medium. The results of this study show that bovine IVF- and SCNT-produced presumptive zygotes have different nutrient requirements for in vitro culture to the blastocyst stage of development. IVF-derived zygotes have a preference for mSOF as the culture medium whereas the G1.5/G2.5 medium is more suitable for the culture of bovine SCNT-derived zygotes.
The four new transit light curves of WASP-12b are analyzed by using MCMC simulation so as to derive the system parameters. If the apsidal precession exists in the orbit of WASP-12b, according to the theory of Gimenez & Bastero (1995), the rate of precession is estimated as 0.0076 degrees per cycle in the case of orbit with an inclination of 90°.
Four new transit light curves of XO-2b obtained in 2008 and 2009, are analyzed by using MCMC algorithm, and the system parameters are derived. The result demonstrates that the orbital period of the system obtained from new observations is almost the same as Burke et al.'s one (2007), which does not confirm the result of Fernandez et al. (2009).
The dynamic uniaxial compressive behavior of Zr-based metallic glasses under a wide high strain rate was studied by a miniaturized split Hopkinson pressure bar, including high strain rate up to 104 s−1. Experimental results indicate that the uniaxial compressive failure stress would decrease suddenly and then tend to hold steady with increasing strain rate. This phenomenon provides a generalized perspective for understanding the effect of local heat generation on the deformation of metallic glasses under dynamic loads.
The effect of Li3N additive on the Li-Mg-N-H system was examined with respect to the reversible dehydrogenation performance. Screening study with varying Li3N additions (5, 10, 20, and 30 mol%) demonstrates that all are effective for improving the hydrogen desorption capacity. Optimally, incorporation of 10 mol% Li3N improves the practical capacity from 3.9 wt% to approximately 4.7 wt% hydrogen at 200 °C, which drives the dehydrogenation reaction toward completion. Moreover, the capacity enhancement persists well over 10 de-/rehydrogenation cycles. Systematic x-ray diffraction examinations indicate that Li3N additive transforms into LiNH2 and LiH phases and remains during hydrogen cycling. Combined structure/property investigations suggest that the LiNH2 “seeding” should be responsible for the capacity enhancement, which reduces the kinetic barrier associated with the nucleation of intermediate LiNH2. In addition, the concurrent incorporation of LiH is effective for mitigating the ammonia release.
Pregnenolone sulphate (PREGS) is one of the most important neuroactive steroids. Previous study showed that PREGS enhanced long-term potentiation (LTP) via activation of post-synaptic NMDA receptors at excitatory synapses in the hippocampus. The present paper studied the effect of PREGS on LTP at excitatory synapses in the pyramidal cells of layers V–VI of the medial prefrontal cortex (mPFC) using whole-cell patch-clamp in slices and made a comparison with that in the hippocampus. We also studied the mechanism of the effect of PREGS in the mPFC. We found that PREGS inhibited induction of LTP in the mPFC and had no influence on NMDA currents, which was different from its effect in the hippocampus. Moreover, the effect of PREGS on LTP in the mPFC was cancelled by α2-adrenoreceptor antagonist, α2A-adrenoreceptor antagonist, Gi protein inhibitor, adenylate cyclase inhibitor and protein kinase A inhibitor. These results suggest that PREGS inhibits LTP via activation of the α2-adrenoreceptor–Gi protein–adenylate cyclase–protein kinase A signalling pathway in the mPFC.
A combined structure/property investigation is performed to understand the catalytic effect of TiF3 additive on the absorption/desorption reactions of MgH2. It was found that both TiH2 and MgF2 phases identified by x-ray diffraction cannot explain the observed kinetic enhancement in the MgH2–TiF3 system, whether they are incorporated in a direct or an in situ manner. In combination with the comparative investigation on the catalytic activity of TiF3 and its analog TiCl3, as well as the samples milled under inert and reactive atmospheres, we propose that the catalytically active species is a multicomponent metastable phase composed of host Mg, transition metal Ti, and F anion, the catalytic activity of which is dependent on its interaction with the surrounding chemical environment.
Based on 137 specimens examined, the new species Commutia exoleta is characterized by a small, slightly scolecoid shape with 21 septa at a mean maximum corallite diameter of 6 mm (range 3 to 10.5 mm); a persistent inner wall, which encloses an aulos with a mean maximum diameter of 1.2 mm, formed during an early ontogenetic stage when the axial ends of the cardinal, alar and counter-lateral septa fused; short counter septa are lacking in the earliest stage of development.
Corallites are highly variable. Characters exhibiting a wide range of variation are: size and shape of corallites, number of septa, diameter of aulos and the timing of its appearance, number of septa connected to the inner wall, and the septal arrangement in each growth quadrant. Combinations of these variable characters result in corallites that are each uniquely different. Variations of those characters are partly due to stressed environments, such as unstable, muddy substrates resulting in corallite rejuvenescence and redirection.
In this article, we report formation of separation-by-implantation-of-oxygen (SIMOX) silicon-on-insulator (SOI) materials with doses ranging from (2.5 to 13.5) × 1017 cm−2 at acceleration energies of 70–160 keV and subsequent annealing at temperatures over 1300 °C in oxygen + argon atmosphere for 5 h. The microstructure evolution of SIMOX wafers was characterized by Rutherford backscattering spectroscopy, cross-sectional transmission electron microscopy, high-resolution transmission electron microscopy, Secco, and Cu-plating. This study revealed a series of good matches of dose-energy combination at acceleration energies of 70–160 keV with doses of (2.5–5.5) × 1017 cm−2, in which SIMOX wafers had good crystallinity of the top silicon, sharp Si/SiO2 interfaces, high-integrity buried oxide layers with low pinhole density, and low detectable silicon islands. Furthermore, the higher the oxygen dose, the higher the implanted energy required for the formation of a buried oxide free from Si islands. The mechanism of the optimum dose-energy match is discussed.