To determine the effects of sperm DNA fragmentation (SDF) on embryo morphokinetic parameters, cleavage patterns and embryo quality, this retrospective study analyzed 151 intracytoplasmic sperm injection (ICSI) cycles (1152 embryos collected) between November 2016 and June 2019. SDF was assessed using sperm chromatin dispersion. The cycles were divided into two groups based on the SDF rate: SDF < 15% (n = 114) and SDF ≥ 15% (n = 37). The embryo morphokinetic parameters, cleavage patterns, and embryo quality were compared between the two groups. The morphokinetic parameters tPNf, t2, t3, t4, t5, t6, and t8 were achieved significantly earlier in the SDF < 15% group compared with in the SDF ≥ 15% group. The fertilization and 2PN rates seemed to be significantly higher in the SDF < 15% group compared with in the SDF ≥ 15% group, while the abnormal cleavage rates were similar. However, a significantly higher rate of chaotic cleavage (CC) was observed in the SDF ≥ 15% group. The D3 high-quality embryo and available embryo rates were similar between the two groups. The blastocyst formation, high-quality blastocyst, and available blastocyst rates in the SDF < 15% group were significantly higher than those in the SDF ≥ 15% group. With an increase in SDF level, the chemical pregnancy, clinical pregnancy and implantation rates tended to decrease, while the miscarriage rate increased. This study demonstrated that SDF ≥ 15% reduces the fertilization rate of ICSI cycles and affects certain morphokinetic parameters. A higher SDF level can also induce a higher rate of CC, with subsequent decreases in the blastocyst formation rate and blastocyst quality.

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.

Non-alcoholic fatty liver disease (NAFLD) is the hepatic manifestation of the metabolic syndrome. Recent evidence has suggested the protective effects of honey consumption against the metabolic syndrome, but the association between honey intake and NAFLD is still unclear. We investigated how the consumption frequency of honey was associated with NAFLD in the general population. This was a cross-sectional study of 21 979 adults aged 20–90 years. NAFLD was diagnosed based on the ultrasound-diagnosed fatty liver without significant alcohol intake and other liver diseases. Diet information, including consumption frequency of honey, was assessed by a validated 100-item FFQ. OR with 95 % CI were calculated by the binary logistic regression model, adjusting for confounding factors identified by the directed acyclic graph. Overall, 6513 adults (29·6 %) had NAFLD. Compared with participants consuming ≤1 time/week of honey, the multivariable OR of NAFLD were 0·86 (95 % CI 0·77, 0·97) for 2–6 times/week and 1·10 (95 % CI 0·95, 1·27) for ≥1 times/d (Pfor trend = 0·90). The results were generally similar in subgroups of BMI at a cut-point of 24·0 kg/m2 (Pfor interaction = 0·10). In this large-scale study, consuming honey 2–6 times/week was inversely associated with NAFLD, whereas consuming honey ≥1 times/d had no association with NAFLD. These results need replication in other large-scale prospective studies.

The European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines recommend the Royal Free Hospital-Nutritional Prioritizing Tool (RFH-NPT) to identify malnutrition risk in patients with liver disease. However, little is known about the application of the RFH-NPT to screen for the risk of malnutrition in China, where patients primarily suffer from hepatitis virus-related cirrhosis. A total of 155 cirrhosis patients without liver cancer or uncontrolled co-morbid illness were enrolled in this prospective study. We administered the Nutritional Risk Screening 2002 (NRS-2002), RFH-NPT, Malnutrition Universal Screening Tool (MUST) and Liver Disease Undernutrition Screening Tool (LDUST) to the patients within 24 h after admission and performed follow-up observations for 1·5 years. The RFH-NPT and NRS-2002 had higher sensitivities (64·8 and 52·4 %) and specificities (60 and 70 %) than the other tools with regard to screening for malnutrition risk in cirrhotic patients. The prevalence of nutritional risk was higher under the use of the RFH-NPT against the NRS-2002 (63 v. 51 %). The RFH-NPT tended more easily to detect malnutrition risk in patients with advanced Child–Pugh classes (B and C) and lower Model for End-stage Liver Disease scores (<15) compared with NRS-2002. RFH-NPT score was an independent predictive factor for mortality. Patients identified as being at high malnutrition risk with the RFH-NPT had a higher mortality rate than those at low risk; the same result was not obtained with the NRS-2002. Therefore, we suggest that using the RFH-NPT improves the ability of clinicians to predict malnutrition risk in patients with cirrhosis primarily caused by hepatitis virus infection at an earlier stage.

The effects of straw alone or combined with industrial and agricultural wastes as fertilizers on greenhouse gas (GHG) emissions are still poorly known in cropland areas. Here, we studied the effects of 3.5 Mg ha−1 straw and 3.5 Mg ha−1 straw combined with 8 Mg ha−1 of diverse wastes on GHG emission in a subtropical Jasminum sambac plantation in southeastern China. There were five treatments in a completely randomized block design: control, straw only, straw + biochar, straw + steel slag, and straw + gypsum slag. Emissions of carbon dioxide were generally higher in the treatments with waste than in the control or straw-only treatments, whereas the contrary pattern was observed in CH4 and N2O emission rates. Moreover, the total global warming potentials (GWPs) were no significantly higher in most of the amended treatments as compared to the control and straw-only treatments. In relation to the treatment with only straw, GWPs were 9.4% lower when steel slag was used. This finding could be a consequence of Fe amount added by steel slag, which would limit and inhibit the emissions of GHGs and their transport from soil to atmosphere. Our results showed that the application of slags did not increase the emission of GHGs and that the combination of straw with steel slag or biochar could be more effective than straw alone for controlling GHGs emission and improve soil C and nutrient provision.

For wave loads on cylinders constituting a long but finite array in the presence of incident waves, variations in the magnitude of the load with the non-dimensional wavenumber exhibit interesting features. Towering spikes and nearby secondary peaks (troughs) associated with trapped modes have been studied extensively. Larger non-trapped regions other than these two are termed Region III in this study. Studies of Region III are rare. We find that fluctuations in Region III are regular; the horizontal distance between two adjacent local maximum/minimum points, termed fluctuation spacing, is constant and does not change with non-dimensional wavenumbers. Fluctuation spacing is related only to the total number of cylinders in the array, identification serial number of the cylinder concerned and wave incidence angle. Based on the interaction theory and constructive/destructive interference, we demonstrate that the fluctuation characteristics can be predicted using simple analytical formulae. The formulae for predicting fluctuation spacing and the abscissae of every peak and trough in Region III are proposed. We reveal the intrinsic mechanism of the fluctuation phenomenon. When the diffraction waves emitted from the cylinders at the ends of the array and the cylinder concerned interfere constructively/destructively, peaks/troughs are formed. The fluctuation phenomenon in Region III is related to solutions of inhomogeneous equations. By contrast, spikes and secondary peaks are associated with solutions of the eigenvalue problem. This study of Region III complements existing understanding of the characteristics of the magnitude of wave load. The engineering significances of the results are discussed as well.

Direct determination of barrier height (ΦBH) value between Ir and single crystal (001) hydrogen-terminated diamond with lightly boron doped has been performed using x-ray photoelectron spectroscopy technique. 70 nm Ir islands were formed on hydrogen-terminated diamond surface using anodic aluminum oxide. The ΦBH value for Ir/hydrogen-terminated diamond was −0.43 ± 0.14 eV, indicating that Ir was a suitable metal for ohmic contact with hydrogen-terminated diamond. The band diagram of Ir/hydrogen-terminated diamond was obtained. The experimental ΦBH was compared with the theoretical ΦBH in this work.

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.

For an analytic function $f$ on the unit disk $\mathbb{D}$ , we show that the ${{L}^{2}}$ integral mean of $f$ on $\text{c}\,\text{}\,\text{ }\!\!|\!\!\text{ z }\!\!|\!\!\text{ }\,\text{}\,\text{r}$ with respect to the weighted area measure ${{\left( 1\,-\,|z{{|}^{2}} \right)}^{\alpha }}dA\left( z \right)$ is a logarithmically convex function of $r$ on $\left( c,\,1 \right)$ , where $-3\,\le \,\alpha \,\le \,0\,\text{and}\,\text{c}\,\in \,[\,0,\,1)$ . Moreover, the range $[-3,\,0]$ for $\alpha $ is best possible. When $c\,=\,0$ , our arguments here also simplify the proof for several results we obtained in earlier papers.

Universal salt iodisation (USI) has been successfully implemented in China for more than 15 years. Recent evidence suggests that the definition of ‘adequate iodine’ (100–199 µg/l) be revised to ‘sufficient iodine’ (100–299 µg/l) based on the median urinary iodine concentration (MUI) in school-age children. The objective of this study was to determine the prevalence of thyroid dysfunction in populations after long-term salt iodisation and examine whether the definition of adequate iodine can be broadened to sufficient iodine based on the thyroid function in four population groups. A cross-sectional survey was conducted in six provinces in the northern, central and southern regions of China. Four population groups consisting of 657 children, 755 adults, 347 pregnant women and 348 lactating women were recruited. Three spot urinary samples were collected over a 10-d period and blood samples were collected on the 1st day. In the study, among the adults, pregnant women and lactating women, the prevalence rates of elevated thyroglobulin antibody and thyroid microsomal antibody levels were 12·4, 8·5 and 7·8 %, and 12·1, 9·1 and 9·1 %, respectively. Abnormally high thyroid dysfunction prevalence was not observed after more than 15 years of USI in China because the thyroid dysfunction rates were all <5 %. The recommended range should be cautiously broadened from adequate iodine to sufficient iodine according to the MUI of school-age children considering the high levels of hormones and antibodies in the other populations. Adults, particularly pregnant women positive for thyroid antibodies, should be closely monitored.

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.

A continuous time delay-difference model (CD-DM) was applied to the Chinese neon flying squid (Ommastrephes bartramii) jigging fisheries data (2001–2004) in the north-west Pacific Ocean. The continuous time delay-difference model (CD-DM) was modified from the discrete-time delay-difference model (D-DM), in which recruitment, growth and mortality rates are treated as varying continuously over time. Some commercially important stocks, such as shrimp and O. bartrami with recruitment, growth and mortality rates all varying continuously over time, may be better analysed by a continuous delay-difference model. We estimated the growth and recruitment of O. bartramii on the basis of the CD-DM, and biological reference points (BRPs) and accuracy of estimates are discussed in this study. We obtained population sizes of 183.9–201.8 million squid during early September 2004. The status of the stock was not in a sustainable state at this time with the available data, which suggests that measures should be taken for the sustainable utilization of this stock. The ability to calculate reference points without need of a full age-structured data makes CD-DM an attractive option for data-poor fisheries. We provided an alternative method for assessing O. bartramii stock and bridged the gap between simple surplus production models and complex fully age-structured models.

Silicone Rubber (SR) filled with graphene nanoplatelets (GNPs) and carbon black (CB) is prepared for high performance flexible pressure sensor. Due to the synergetic effect of mixed GNPs and CB, the percolation threshold of GNPs/CB/SR is lower than that of CB/SR, which indicates the addition of GNPs is contributed to enhance the electrical conductivity of GNPs/CB/SR. Moreover, the GNPs/CB/SR has a higher electrical stability and weaker resistance creep than that of GNPs/SR. That is to say, the addition of CB can promote the electrical and mechanical performance of GNPs/CB/SR, simultaneously. The pressure sensor array based on GNPs/CB/SR with weight on different sensing element is tested, and the results show that the size of applied loading on the pressure-sensitivity array can be recognized accurately.

The existence of black holes with masses of about one billion solar masses in quasars at redshifts z > 6 presents significant challenges to theories of the formation and growth of black holes and the black hole/galaxy co-evolution in the early Universe. Here we report a recent discovery of an ultra-luminous quasar at redshift z = 6.30, which has an observed optical and near-infrared luminosity a few times greater than those of previously known z > 6 quasars. With near-infrared spectroscopy, we obtain a black hole mass of about 12 billion solar masses, which is well consistent with the mass derived by assuming an Eddington-limited accretion. This ultra-luminous quasar with at z > 6 provides a unique laboratory to the study of the mass assembly and galaxy formation around the most massive black holes at cosmic dawn. It raises further challenges to the black hole/galaxy co-evolution in the epoch of cosmic reionization because the black hole needs to grow much faster than the host galaxy.

The encapsulation failure is a serious problem which leads to power degradation and life time reduction of silicon based thin film solar module. Therefore, the encapsulation material and related technology research and development become more and more important. This article describes some different junction box and middle foil encapsulation technology of the silicon based thin film solar module, different encapsulation materials and processes are compared and their impact on the manufacturing cost and module performance are discussed. The aim of this study is to find an appropriate solution of module encapsulation failure.

Titanium carbide (TiC) twins are believed to be extremely unstable because of their high twin boundary energy. Here, we report that TiC twins are always presented in platelets with dimensions of 2–3 μm in length and less than 300 nm in width. In-depth microstructural characterizations by high-resolution transmission electron microscopy demonstrate that Al atoms at the twin boundary play a decisive role in stabilizing TiC twins. With different amounts of Al, perfect and defective TiC twins are formed. For perfect twins, three types of twin boundaries can be formed depending on the amount of remaining Al at the twin boundary. With inadequate Al, the TiC twins become defective with certain degrees of deviation from the perfect twin orientation. Based on a detailed analysis of the microstructure of the twin boundaries, a mechanism for the formation and stabilization of TiC twins is proposed.