The upsurge in the number of people affected by the COVID-19 is likely to lead to increased rates of emotional trauma and mental illnesses. This article systematically reviewed the available data on the benefits of interventions to reduce adverse mental health sequelae of infectious disease outbreaks, and to offer guidance for mental health service responses to infectious disease pandemic. PubMed, Web of Science, Embase, PsycINFO, WHO Global Research Database on infectious disease, and the preprint server medRxiv were searched. Of 4278 reports identified, 32 were included in this review. Most articles of psychological interventions were implemented to address the impact of COVID-19 pandemic, followed by Ebola, SARS, and MERS for multiple vulnerable populations. Increasing mental health literacy of the public is vital to prevent the mental health crisis under the COVID-19 pandemic. Group-based cognitive behavioral therapy, psychological first aid, community-based psychosocial arts program, and other culturally adapted interventions were reported as being effective against the mental health impacts of COVID-19, Ebola, and SARS. Culturally-adapted, cost-effective, and accessible strategies integrated into the public health emergency response and established medical systems at the local and national levels are likely to be an effective option to enhance mental health response capacity for the current and for future infectious disease outbreaks. Tele-mental healthcare services were key central components of stepped care for both infectious disease outbreak management and routine support; however, the usefulness and limitations of remote health delivery should also be recognized.

In this paper, instabilities in the flow over a circular cylinder of diameter $D$ with dual splitter plates attached to its rear surface are numerically investigated using the spectral element method. The key parameters are the splitter plate length $L$, the attachment angle $\unicode[STIX]{x1D6FC}$ and the Reynolds number $Re$. The presence of the plates was found to significantly modify the flow topology, leading to substantial changes in both the primary and secondary instabilities. The results showed that the three instability modes present in the bare circular cylinder wake still exist in the wake of the present configurations and that, in general, the occurrences of modes A and B are delayed, while the onset of mode QP is earlier in the presence of the splitter plates. Furthermore, two new synchronous modes, referred to as mode A$^{\prime }$ and mode B$^{\prime }$, are found to develop in the wake. Mode A$^{\prime }$ is similar to mode A but with a quite long critical wavelength. Mode B$^{\prime }$ shares the same spatio-temporal symmetries as mode B but has a distinct spatial structure. With the exception of the case of $L/D=0.25$, mode A$^{\prime }$ persists for all configurations investigated here and always precedes the transition through mode A. The onset of mode B$^{\prime }$ occurs for $\unicode[STIX]{x1D6FC}>20^{\circ }$ with $L/D=1.0$ and for $L/D>0.5$ with $\unicode[STIX]{x1D6FC}=60^{\circ }$. The characteristics of all the transition modes are analysed, and their similarities and differences are discussed in detail in comparison with the existing modes. In addition, the physical mechanism responsible for the instability mode B$^{\prime }$ is proposed. The weakly nonlinear feature of mode B$^{\prime }$, as well as that of mode A$^{\prime }$, is assessed by employing the Landau model. Finally, selected three-dimensional simulations are performed to confirm the existence of these two new modes and to investigate the nonlinear evolution of the three-dimensional modes.

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.

This study attempted to investigate and validate whether epididymis cold storage could be a suitable alternative for short-term preservation of spermatozoa. Mouse cauda epididymides and spermatozoa were preserved at 4–8°C from 1 day to 6 weeks. From days 1 to 10, motility and fertility were daily examined when motility loss occurred. From week 1, spermatozoa were used for intracytoplasmic sperm injection (ICSI) at weekly intervals to test their fertility, and spermatozoa DNA integrity was determined by comet assay. We found that motility and progressive motility scores gradually decreased with storage time. In nearly all spermatozoa, DNA integrity was maintained from days 1 to 10, but the percentage of spermatozoa with damaged DNA significantly increased from week 2 to week 6. Spermatozoa retained fertility until day 6, although fertility gradually decreased after day 3. From week 1 to week 5, fertilization rates by ICSI were more than 82.69% but decreased gradually after week 3. We found that spermatozoa preserved in the epididymis at 4–8°C had progressively lower motility, fertility and proportion of undamaged DNA, but could still fertilize oocytes. However, all the parameters of cold-preserved spermatozoa were completely inferior to that from cold-preserved cauda epididymides. The results imply that cold storage of cauda epididymides could be conducive to short-term preservation of spermatozoa, and the cold-stored spermatozoa can resist DNA denaturation, which is necessary for maintaining reproductive ability.

The micromorphology of a seed is linked to its dispersal and germination, but evolutionary and ecological aspects in Orchidaceae remain unclear. We investigated the seed characters of Paphiopedilum and Cypripedium that might be associated with life form and involved in possible ecological adaptations. A phylogenetic comparative analysis of nine seed micromorphological characters was performed in 24 species from two genera with close phylogenetic relationships but significant differences in their ecological characteristics. Species within Paphiopedilum had larger embryos and a smaller percentage of air space (AS) than those of Cypripedium species. Compared with 16 terrestrial species, two epiphytic Paphiopedilum species had larger embryos and smaller AS. Those larger embryos might ensure more successful seedling establishment while the higher amount of air space in both terrestrial Paphiopedilum and Cypripedium may increase seed buoyancy and enable them to disperse over longer distances. Whereas AS and seed length (SL) are phylogenetically conservative, most other characters examined here had weak signals, indicating clear convergent evolution. Across species, SL was positively correlated with AS, indicating a high degree of seed size–dispersal coordination. These findings may imply a trade-off of seed characters in relation to the possible ecological adaptations required for seedling establishment versus dispersal.

In order to obtain the dynamic variation rule of the sulfur content of liquid steel in the LF refining process, a complete mathematical model including a desulfurization kinetic model and temperature model in the deep desulfurization process is presented, based on the practical production and reaction mechanism of ultra-low-sulfur steel in a LF. The results show that the calculated values of the sulfur content in liquid steel using the model fit the experimental values well, and the relative error is less than 8%. The effects of refining slag on the desulfurization process are analyzed in this paper, which shows that slag basicity is most important at the early and middle stages of the process, while slag weight is most important at the middle and late stages. The effect of the above factors on the final sulfur content of liquid steel is further analyzed quantitatively. The simulated results provide a theoretical basis to segment control the refining process in order to achieve the maximum effect, improving efficiency, saving energy and reducing consumption.

Protein tyrosine phosphatase 1B (PTP1B) is implicated in the negative regulation of the insulin signalling pathway by dephosphorylating the insulin receptor (IR) and IR substrates. Ganodermalucidum has traditionally been used for the treatment of diabetes in Chinese medicine; however, its anti-diabetic potency and mechanism in vivo is still unclear. Our previously published study reported a novel proteoglycan PTP1B inhibitor, named Fudan-Yueyang-Ganoderma lucidum (FYGL) from G. lucidum, with a half-maximal inhibitory concentration (IC50) value of 5·12 (sem 0·05) μg/ml, a protein:polyglycan ratio of 17:77 and 78 % glucose in polysaccharide, and dominant amino acid residues of aspartic acid, glycine, glutamic acid, alanine, serine and threonine in protein. FYGL is capable of decreasing plasma glucose in streptozotocin-induced diabetic mice with a high safety of median lethal dose (LD50) of 6 g/kg. In the present study, C57BL/6 db/db diabetic mice were trialed further using FYGL as well as metformin for comparison. Oral treatment with FYGL in db/db diabetic mice for 4 weeks significantly (P < 0·01 or 0·05) decreased the fasting plasma glucose level, serum insulin concentration and the homeostasis model assessment of insulin resistance. FYGL also controlled the biochemistry indices relative to type 2 diabetes-accompanied lipidaemic disorders. Pharmacology research suggests that FYGL decreases the plasma glucose level by the mechanism of inhibiting PTP1B expression and activity, consequently, regulating the tyrosine phosphorylation level of the IR β-subunit and the level of hepatic glycogen, thus resulting in the improvement of insulin sensitivity. Therefore, FYGL is promising as an insulin sensitiser for the therapy of type 2 diabetes and accompanied dyslipidaemia.