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The clinical characteristics of patients with COVID-19 were analysed to determine the factors influencing the prognosis and virus shedding time to facilitate early detection of disease progression. Logistic regression analysis was used to explore the relationships among prognosis, clinical characteristics and laboratory indexes. The predictive value of this model was assessed with receiver operating characteristic curve analysis, calibration and internal validation. The viral shedding duration was calculated using the Kaplan–Meier method, and the prognostic factors were analysed by univariate log-rank analysis and the Cox proportional hazards model. A retrospective study was carried out with patients with COVID-19 in Tianjin, China. A total of 185 patients were included, 27 (14.59%) of whom were severely ill at the time of discharge and three (1.6%) of whom died. Our findings demonstrate that patients with an advanced age, diabetes, a low PaO2/FiO2 value and delayed treatment should be carefully monitored for disease progression to reduce the incidence of severe disease. Hypoproteinaemia and the fever duration warrant special attention. Timely interventions in symptomatic patients and a time from symptom onset to treatment <4 days can shorten the duration of viral shedding.
Although prenatal exposure to high ambient temperatures were reported to be associated with preterm birth, limited research assessed the impact of weather-related extreme heat events (EHE) on birthweight, particularly by trimester. We, therefore, investigated the impact of prenatal EHE on birthweight among term babies (tLBW) by trimester and birthweight percentile. We conducted a population-based case–control study on singleton live births at 38–42 gestational weeks in New York State (NYS) by linking weather data with NYS birth certificates. A total of 22,615 cases were identified as birthweight <2500 gram, and a random sample of 139,168 normal birthweight controls was included. EHE was defined as three consecutive days with the maximum temperatures of ≥32.2 °C/90 °F (EHE90) and two consecutive days of temperatures ≥97th percentile (EHE97) based on the distribution of the maximum temperature for the season and region. We estimated odds ratios (ORs) and 95% confidence intervals (95% CI) with multivariable unconditional logistic regression, controlling for confounders. Overall exposure to EHE97 for 2 d was associated with tLBW (OR 1.05; 95% CI 1.02, 1.09); however, the strongest associations were only observed in the first trimester for both heat indicators, especially when exposure was ≥3 d (ORs ranged: 1.06–1.13). EHE in the first trimester was associated with significant reduction in mean birthweight from 26.78 gram (EHE90) to 36.25 gram (EHE97), which mainly affected the 40th and 60th birthweight percentiles. Findings revealed associations between multiple heat indicators and tLBW, where the impact was consistently strongest in the first trimester.
Single-leg (p × n)-type transverse thermoelectrics (TTE) are reviewed as an alternative to conventional or “longitudinal” double-leg thermoelectrics for applications at room temperature and below. As the name suggests, this unique behavior of (p × n)-type transverse thermoelectrics results from choosing ambipolar anisotropic materials that have a Seebeck tensor with orthogonal p- and n-type Seebeck coefficients, leading to transverse relation between net heat and net electrical current. One feature of such materials is that they can operate near intrinsic doping and, therefore will not suffer from dopant freeze-out, opening the possibility of new cryogenic operation for solid state cooling. In this work, a Seebeck tensor analysis of thermoelectric materials is presented. To compare the performance of transverse thermoelectric materials, a transverse power factor PF⊥ is introduced. Materials searches based on these simple criteria reveal that over 1/4 of the database of about 48,000 inorganic materials could potentially function as (p × n)-type TTE’s, demonstrating the underappreciated prevalence of this class of materials.
Previous neuroimaging studies demonstrated that retinal detachment (RD) subjects were associated with abnormal spontaneous brain activities; however, whether the altered interhemispheric functional connectivity (FC) occurred in RD patients remains unknown. The current study tried to explore the alternations of interhemispheric FC of the whole brain in unilateral RD patients using the voxel-mirrored homotopic connectivity (VMHC) method and their connections to clinical features. Methods: We recruited 30 patients with RD (16 males and 14 females) and 30 healthy controls (HCs) (16 males and 14 females) whose age and sex were closely matched. All subjects underwent the rs-fMRI scans. The VMHC method was applied to directly assess the hemispheres’ functional interaction. The VMHC in these brain areas, which could be used as biomarkers to differentiate RD from HC, was identified by the receiver operating characteristic (ROC) curve analyses. The relations between these patients’ clinical features and their mean VMHC signal values in multiple brain regions were calculated by Pearson correlation analysis. Results: RD patients had significantly lower VMHC values than HCs in the bilateral occipital lobe (Brodmann areas, BA 18), bilateral superior temporal gyrus (BA 39), and bilateral cuneus (BA 19). Moreover, the mean VMHC signal values of the bilateral cuneus were in positive correlation with the duration of the RD (r = 0.446, P = 0.013). Conclusion: Our results provided an evidence of disturbed interhemispheric FC in the visual area occurred in RD patients, which might provide some useful information to understand the neural mechanism of RD patients with acute vision loss. Furthermore, the VMHC values might indicate the progress of the RD.
We conduct numerical simulations using the Eulerian–Lagrangian approach to investigate the formation of the leaking, finger, and stable-settling modes in convective sedimentation when a sediment-laden fluid layer descends through a sharply stratified ambient flow. We show that the temporal evolution of the sedimentation process for the leaking mode can be divided into three stages, including (in temporal order) Rayleigh–Taylor instability, convection, and leaking stages. The presence of sheet-like descending plumes of suspended particles is an important characteristic of the leaking mode, which marks the existence of the leaking stage. For larger particles, the motion is more dominated by gravitational settling and less affected by buoyancy-induced flow motion. The resulting lack of the leaking stage for the larger-particle case leads to persistent finger-like plumes of suspended particles, known as the finger mode. The stable-settling mode occurs when the particles are large and the concentration is dilute such that flow motion due to Rayleigh–Taylor instability has no effect on the particle motion, and the convective motion of suspended particles is insignificant. For the third stage of the leaking mode, which is also the final stationary state, we derive the criterion for the occurrence of the leaking pattern from a scaling argument of the viscous boundary layer. The criterion is further confirmed by the present simulation results and previous laboratory experiments. Through analysis of the energy budget and the vertical flux, we show that although the settling of individual particles is accelerated, the presence of the sheet-like descending plumes in the leaking mode does not contribute to an efficient settling enhancement compared with the finger mode and the Rayleigh–Taylor instability, i.e., the cases with no background stratification. This implies a negative effect on the settling enhancement for small suspended particles when a stable background density stratification exists. In addition, simulations using the equilibrium Eulerian description for the suspended particles are also conducted to examine the difference between the present Lagrangian particle approach and the conventional Eulerian model.
In this paper, field effect transistors (FET) based on different kinds of non-graphene materials are introduced, which are MoS2, WSe2 and black phosphorus (BP). Those devices have their unique features in fabrication process compared with conventional FETs. Among them, MoS2 FET shows better electrical characteristics by applying a SiO2 protective layer; WSe2 FET is fabricated based on a new low pressure chemical vapor deposition (LPCVD) method; BP FET acquires high on/off ratio and high hole mobility by using a simple dry transfer method. Those novel non-graphene materials inspire new design and fabrication process of basic logic device.
This study describes findings of the impacts of Hurricane Sandy on environmental factors including power outages, air quality, water quality, and weather factors and how these affected mental health during the hurricane.
An ecological study was conducted at the county level to describe changes in environmental factors—especially power outages—and their relationships to emergency department (ED) visits for mental health problems by use of a Poisson regression model.
We found that many environmental hazards occurred as co-exposures during Hurricane Sandy in addition to flooding. Mental health ED visits corresponded with the peak of maximum daily power blackouts, with a 3-day lag, and were positively associated with power blackouts in Bronx (prevalence ratio [PR]: 8.82, 95% confidence interval [CI]: 1.27–61.42) and Queens (PR: 2.47, 95% CI: 1.05–5.82) counties. A possible dose-response relationship was found between the quantile of maximum blackout percentage and the risk of mental health in the Bronx.
We found that multiple co-environmental hazards occurred during Hurricane Sandy, especially power blackouts that mediated this disaster’s impacts. The effects of power outage on mental health had large geographic variations and were substantial, especially in communities with low sociodemographic status. These findings may provide new insights for future disaster response and preparedness efforts. (Disaster Med Public Health Preparedness. 2016;10:314–319)
The bioavailability of dietary ionised calcium is affected by intestinal basic environment. Calcium-binding peptides can form complexes with calcium to improve its absorption and bioavailability. The aim of this study was focused on isolation and characterisation of a calcium-binding peptide from whey protein hydrolysates. Whey protein was hydrolysed using Flavourzyme and Protamex with substrate to enzyme ratio of 25 : 1 (w/w) at 49 °C for 7 h. The calcium-binding peptide was isolated by DEAE anion-exchange chromatography, Sephadex G-25 gel filtration and reversed phase high-performance liquid chromatography (RP-HPLC). A purified peptide of molecular mass 204 Da with strong calcium binding ability was identified on chromatography/electrospray ionisation (LC/ESI) tandem mass spectrum to be Glu-Gly (EG) after analysis and alignment in database. The calcium binding capacity of EG reached 67·81 μg/mg, and the amount increased by 95% compared with whey protein hydrolysate complex. The UV and infrared spectrometer analysis demonstrated that the principal sites of calcium-binding corresponded to the carboxyl groups and carbonyl groups of glutamic acid. In addition, the amino group and peptide amino are also the related groups in the interaction between EG and calcium ion. Meanwhile, the sequestered calcium percentage experiment has proved that EG-Ca is significantly more stable than CaCl2 in human gastrointestinal tract in vitro. The findings suggest that the purified dipeptide has the potential to be used as ion-binding ingredient in dietary supplements.
We present a reconstructed lithologic column compiled from a series of lacustrine outcrops along a tributary of the Nyang River, a major tributary of the Yarlung-Tsangpo in southeast Tibet. The deposits were preserved between terraces at altitudes of 2950–3100 m asl. The stratigraphic record features at least two sets of coarsening-upward sequences depicting episodic aggradation and progradation of a glacially dammed lake related delta. Recognized facies changes illustrate the evolution cycles of depositional environments from pro-delta, delta front, to delta plain. Radiocarbon and optically stimulated luminescence dates reveal an aging-downward trend in stratigraphic order and provide an approximate timeline for the formation of glacially dammed lakes in late Pleistocene. This result reflects that the Zelunglung Glacier had progressively advanced to block the Yarlung-Tsangpo river and the dam materials had stepwise stacked up to an altitude of 3095 m asl during Marine Oxygen Isotope Stages 4 to 2.
A broadband omnidirectional absorber which is realized by heterostructures containing a collision plasma layer and a zero − n̅ mirror is theoretically investigated. A collision plasma layer and an appropriate dielectric layer are put on the top of the PC. It is shown to absorb roughly 70% of all available electromagnetic wave in a relative omnidirectional absorption band width 244 MHz. The absorption band edge of the PC is influenced by the range of the reflection band gap. Meanwhile, the absorption range for the transverse magnetic (TM) wave decreases at large incident angle. Compared with some previous designs, our proposed structure has a relative flatter total absorption spectrum over a broad microwave frequency range and using a zero − n̅ gap as a mirror is insensitive to the incident angle. This kind of heterostructure offers additional opportunities to design novel optoelectronic devices.
The repeated administration of methamphetamine (MA) to animals in a single-day ‘binge’ dosing regimen produces damage to dopamine and serotonin terminals and psychosis-like behaviours similar to those observed in MA abusers. The present study aimed to examine the effects of MA binge exposure on 5-HT2A receptors, the subtype of serotonin receptors putatively involved in psychosis. ICR male mice were treated with MA (4 × 5 mg/kg) or saline at 2 h intervals. Recognition memory and social behaviours were sequentially evaluated by a novel location recognition test, a novel object recognition test, a social interaction and a nest-building test to confirm the persistent cognitive and behavioural impairments after this dosing regimen. Subsequently, a hallucinogenic 5-HT2A/2C receptor agonist 2,5-dimethoxy-4-iodoamphetamine (DOI)-induced head-twitch, molecular and electrophysiological responses were monitored. Finally, the levels of 5-HT2C, 5-HT1A, 5-HT2A and mGlu2 receptors in the medial prefrontal cortex were determined. MA binge exposure produced recognition memory impairment, reduced social behaviours, and increased DOI-induced head-twitch response, c-Fos and Egr-2 expression and field potentials in the medial prefrontal cortex. Furthermore, MA binge exposure increased 5-HT2A and decreased mGlu2 receptor expression in the medial frontal cortex, whereas 5-HT2C and 5-HT1A receptors were unaffected. These data reveal that the increased behavioural, molecular and electrophysiological responses to DOI might be associated with an up-regulation of 5-HT2A receptors in the medial prefrontal cortex after MA binge exposure. Identifying the biochemical alterations that parallel the behavioural changes in a mouse model of MA binge exposure may facilitate targeting therapies for treatment of MA-related psychiatric disorders.