Achieving optimal nutritional status in patients with penetrating Crohn’s disease is crucial in preparing for surgical resection. However, there is a dearth of literature comparing the efficacy of total parenteral nutrition (TPN) v. exclusive enteral nutrition (EEN) in optimising postoperative outcomes. Hence, we conducted a case-matched study to assess the impact of preoperative EEN v. TPN on the incidence of postoperative adverse outcomes, encompassing overall postoperative morbidity and stoma formation, among penetrating Crohn’s disease patients undergoing bowel surgery. From 1 December 2012 to 1 December 2021, a retrospective study was conducted at a tertiary centre to enrol consecutive patients with penetrating Crohn’s disease who underwent surgical resection. Propensity score matching was utilised to compare the incidence of postoperative adverse outcomes. Furthermore, univariate and multivariate logistic regression analyses were conducted to identify the risk factors associated with adverse outcomes. The study included 510 patients meeting the criteria. Among them, 101 patients in the TPN group showed significant improvements in laboratory indicators at the time of surgery compared with pre-optimisation levels. After matching, TPN increased the occurrence of postoperative adverse outcomes (92·2 % v. 64·1 %, P = 0·001) when compared with the EEN group. In the multivariate analysis, TPN showed a significantly higher OR for adverse outcomes than EEN (OR = 4·241; 95 % CI 1·567–11·478; P = 0·004). The study revealed that penetrating Crohn’s disease patients who were able to fulfil their nutritional requirements through EEN exhibited superior nutritional and surgical outcomes in comparison with those who received TPN.

Bullfrog is one of the most important economic aquatic animals in China that is widely cultured in southern China and is a key breed recommended as an industry of poverty alleviation in China. During recent years, a fatal bacterial disease has often been found in cultured bullfrogs. The clinical manifestations of the diseased bullfrogs were severe intestinal inflammation and an anal prolapse. A bacterial pathogen was isolated from the diseased bullfrog intestines. The bacterium was identified as Vibrio cholerae using morphological, biochemical and 16S rRNA phylogenetic analysis. In this study, V. cholerae was isolated and identified in diseased bullfrogs for the first time, providing a basis for the diagnosis and control of the disease. Therefore, attention should be paid to the modes of transmission of V. cholerae from bullfrog and formulate reasonable safety measures.

Transmission of varicella occurs frequently in schools and households. We investigated the characteristics of varicella cases derived from within-household transmission and the modes of varicella transmission between school and household settings in Shanghai, China, from 2009 to 2018. Within-household transmission occurred in 278 households, of which 134 transmission events were between children. Sixty-one household varicella transmission events may be attributed to isolation procedures for infected students during school outbreaks, and 7.6% of school outbreaks were caused by schoolchildren cases derived from within-household transmission. The frequency of ‘school-household-school’ transmission adds an additional layer of complexity to the control of school varicella outbreaks. Administration of varicella vaccine as post-exposure prophylaxis after exposure is considered to be an effective measure to control varicella spread within households and schools.

An experiment was conducted to determine the effects of supplementing different amounts of daidzein in a diet on the growth performance, blood biochemical parameters and meat quality of finishing beef cattle. Thirty finishing Xianan steers were distributed in three groups equilibrated by weight and fed three different dietary treatments (concentrate ratio = 80%): (1) control; (2) 500 mg/kg daidzein and (3) 1000 mg/kg daidzein, respectively. Steers were slaughtered after an 80-day feeding trial. Results showed that daidzein supplementation had no effect on the final body weight, average daily gain and feed conversion rate of steers. Steers fed with 1000 mg/kg daidzein had greater dry matter intake than those fed with control diets. Compared with the control group, the 1000 mg/kg daidzein group had a higher fat thickness, lower shear force and lightness. The pH, drip loss, cooking loss, redness (a*), yellowness (b*), moisture, ash, crude protein and intramuscular fat of the Longissimus dorsi muscle were unaffected by daidzein supplementation. Compared with the control group, the 1000 mg/kg daidzein group significantly increased the serum concentrations of insulin, free fatty acid and Glutamic-pyruvic transaminase. The 500 mg/kg daidzein group significantly increased the serum concentration of tetraiodothyronine compared with the control group. Supplemental daidzein did not affect the blood antioxidant ability and blood immune parameters in serum. In conclusion, daidzein supplementation above 500 mg/day modifies feed intake and metabolic and hormonal profile, with positive and negative effects on meat quality.

Hepatitis B constitutes a severe public health challenge in China. The Community-based Collaborative Innovation hepatitis B (CCI-HBV) project is a national epidemiological study of hepatitis B and has been conducting a comprehensive intervention in southern Zhejiang since 2009.

The comprehensive intervention in CCI-HBV areas includes the dynamic hepatitis B screening in local residents, the normalised treatment for hepatitis B infections and the upcoming full-aged hepatitis B vaccination. After two rounds of screening (each round taking for 4 years), the initial epidemiological baseline of hepatitis B in Qinggang was obtained, a coastal community in east China. By combining key data and system dynamics modelling, the regional hepatitis B epidemic in 20 years was predicted.

There were 1041 HBsAg positive cases out of 12 228 people in Round 1 indicating HBV prevalence of 8.5%. Of the 13 146 people tested in Round 2, 1171 people were HBsAg positive, with a prevalence of 8.9%. By comparing the two rounds of screening, the HBV incidence rate of 0.192 per 100 person-years was observed. By consulting electronic medical records, the HBV onset rate of 0.533 per 100 person-years was obtained. We generated a simulated model to replicate the real-world situation for the next two decades. To evaluate the effect of interventions on regional HBV prevalence, three comparative experiments were conducted.

In this study, the regional hepatitis B epidemic in 20 years was predicted and compared with HBV prevalence under different interventions. Owing to the existing challenges in research methodology, this study combined HBV field research and simulation to provide a system dynamics model with close-to-real key data to improve prediction accuracy. The simulation also provided a prompt guidance for the field implementation.

Introduction: The mortality of Parkinson’s disease (PD) and its associated risk factors among clinically definite PD patients in China has been rarely investigated. Our study aimed to identify the mortality rates and predictors of death in PD patients in China. Methods: 157 consecutive, clinically definite PD patients from the urban area of Shanghai were recruited from a central hospital based movement disorder clinic in 2006. All patients were regularly followed up at the clinic until December 31, 2011, or death. Mortality and associations with baseline demographics, health and medical factors were then determined within the cohort. Results: After 5 years, 11(7%) patients had died. The standardised mortality ratio was 0.62 (95% CI 0.32 to 1.07, P=0.104). The main causes of death were pneumonia (54.5%, 6/11) and digestive disorders (18.2%, 2/11), respectively. Age at onset, independent living, the mini mental state examination score, the Parkinson’s disease sleep scale score and the Epworth sleepiness scale score at baseline were statistically significantly different between the survival group and the deceased group (P<0.05). Across all participants, risk factors for death included low mini mental state examination score, and high Epworth sleepiness scale score according to a binary variable logistic regression analysis. Conclusions: This study confirms the similar survival of patients with PD to the control population up to a follow-up of 5 years. Interventions tailored to potential risk factors associated with death may offer further benefits.

Recent Genome-Wide Association Studies (GWAS) have identified four low-penetrance ovarian cancer susceptibility loci. We hypothesized that further moderate- or low-penetrance variants exist among the subset of single-nucleotide polymorphisms (SNPs) not well tagged by the genotyping arrays used in the previous studies, which would account for some of the remaining risk. We therefore conducted a time- and cost-effective stage 1 GWAS on 342 invasive serous cases and 643 controls genotyped on pooled DNA using the high-density Illumina 1M-Duo array. We followed up 20 of the most significantly associated SNPs, which are not well tagged by the lower density arrays used by the published GWAS, and genotyping them on individual DNA. Most of the top 20 SNPs were clearly validated by individually genotyping the samples used in the pools. However, none of the 20 SNPs replicated when tested for association in a much larger stage 2 set of 4,651 cases and 6,966 controls from the Ovarian Cancer Association Consortium. Given that most of the top 20 SNPs from pooling were validated in the same samples by individual genotyping, the lack of replication is likely to be due to the relatively small sample size in our stage 1 GWAS rather than due to problems with the pooling approach. We conclude that there are unlikely to be any moderate or large effects on ovarian cancer risk untagged by less dense arrays. However, our study lacked power to make clear statements on the existence of hitherto untagged small-effect variants.

Individual nanotubes made of carbon, boron nitride, iron, silicon, or other materials have properties such as high strength, toughness, electrical and thermal conductivity, and light weight that cannot be matched by conventional materials. Nanotubes also change their properties in response to external fields and change one type of energy into another, which are useful for design. This article explores three main steps in exploiting responsive materials based on nanotubes: nanotube synthesis, macroscale material fabrication, and incorporation into device structures for novel applications. Nanotubes are always synthesized as individual particles in the form of powders, smoke particles, or aligned forests. To be industrially important, nanotubes generally must be processed to form derivative materials such as functionalized/coated powders and forests and macroscale intermediate materials such as sheets, ribbon, and yarn. The processed nanotubes are then used to develop responsive materials and devices that are able to resist, react to, or generate energy from their environment. This article provides background information and ideas on how to develop nanotube responsive materials for everyday use.

This paper develops a method to re-evaluate the reliability of a structure after a period of service. System identification is performed on the structure to identify the current properties of the structure. The Bayesian approach is adopted to modify the prior distributions of the properties based on the identification results. Then, reliability analysis is performed on the structure using the updated distributions of the properties. Sensitivity analysis is also performed to attain the maintenance strategy.

By monitoring the electrical resistivity of single phase polycrystalline Y1Ba2Cu3O7-δ samples while changing their oxygen content in both ozone and ordinary oxygen environments, we were able to investigate the correlation between their average oxygen content and the diffusion time for oxygen inside the grains. We model the resistivity time dependence as a two-step process and find that this explains our experimental results satisfactorily. From this model we are able to estimate a value of the oxygen diffusion coefficient from our data that agrees well with other measurements. We also conclude that while ozone and ordinary oxygen may have different effects in oxidizing the surface of grains, they show no observable differences in the oxygen diffusion process in the bulk Y1Ba2Cu3O7-δ material.

The La-Ba-Cu-O system contains several phases of special interest in the field of high Tc superconductivity. Specifically intriguing is the La3−xBa3+xCu6O4+y (“3–3–6”) phase [1,2], the La1·8 5Ba·1 5CuO4 (‘K2NiF4’) phase with a zero resistance temperature (Tc) of about 20 K [3,4], and the La1Ba2CU3O9–6 (“1–2–3”) phase with Tc's reported up to 75 K [5–7]. It has been suggested that the “3–3–6” phase may also be superconducting, especially in a Ba-doped version such that the stoichiometry is 2–4–6 [8–10]. In addition to defining a new high temperature superconducting phase, this latter suggestion would also rule out the possibility of Cu-0 “chains” being important to 90 K superconductivity since these chains are absent in the proposed configuration [1,2] of this phase.

The discovery of superconductivity above liquid nitrogen temperature in copper oxide compounds has resulted in much research activity aimed at understanding the nature of these materials, as well as at using them in practical devices from sensors to levitated trains. Despite this intense interest, there have been relatively few studies of fluctuation phenomena in them. One fluctuation-induced property of interest is the electrical noise power spectrum. Although excess noise above the thermal background in metals is usually observable only in thin films, we report here measurements of significant noise power in bulk composite samples of the nominal 90K superconductors Y1Ba2Cu3O7-δ (YBCO) and Er1Ba2Cu3O7-δ (EBCO) from 77K to 290K. The “excess” noise spectrum (the total spectrum minus the frequency-independent amplifier and thermal noise contributions) is 1/f in shape in the normal state; no 1/f noise is observed while superconducting. The excess noise magnitude is found to be too large to originate from the expected number of charge carriers, and to have an unusual temperature dependence. We discuss two possible explanations for these observations.

The C14 dates given below have been obtained by counting CO2 at 2 atm pressure in a 1 L proportional counter. Details of procedure are given in our previous list (R., 1970, v. 12, p. 187–192). Radiocarbon dates in this list are based on 95% of activity of NBS oxalic acid as the modern standard and were calculated using 5570 yr as the half-life of C14. Errors quoted with the dates are standard deviation originating from the statistical nature of radioactive disintegration process. Results obtained during 1970 and 1971 are described here.