Routine blood examination is an easy way to examine infectious diseases. This study is aimed to develop a model to diagnose serious bacterial infections (SBI) in ICU neonates based on routine blood parameters. This was a cross-sectional study, and data were extracted from the Medical Information Mart for Intensive Care III (MIMIC-III). SBI was defined as suffering from one of the following: pyelonephritis, bacteraemia, bacterial meningitis, sepsis, pneumonia, cellulitis, and osteomyelitis. Variables with statistical significance in the univariate logistic regression analysis and log systemic immune–inflammatory index (SII) were used to develop the model. The area under the curve (AUC) was calculated to assess the performance of the model. A total of 1,880 participants were finally included for analysis. Weight, haemoglobin, mean corpuscular volume, white blood cell, monocyte, premature delivery, and log SII were selected to develop the model. The developed model showed a good performance to diagnose SBI for ICU neonates, with an AUC of 0.812 (95% confidence interval (CI): 0.737–0.888). A nomogram was developed to make this model visualise. In conclusion, our model based on routine blood parameters performed well in the diagnosis of neonatal SBI, which may be helpful for clinicians to improve treatment recommendations.

HIV-1 molecular surveillance provides a new approach to explore transmission risks and targeted interventions. From January to June 2021, 663 newly reported HIV-1 cases were recruited in Zhaotong City, Yunnan Province, China. The distribution characteristics of HIV-1 subtypes and HIV-1 molecular network were analysed. Of 542 successfully subtyped samples, 12 HIV-1 strains were identified. The main strains were CRF08_BC (47.0%, 255/542), CRF01_AE (17.0%, 92/542), CRF07_BC (17.0%, 92/542), URFs (8.7%, 47/542), and CRF85_BC (6.5%, 35/542). CRF08_BC was commonly detected among Zhaotong natives, illiterates, and non-farmers and was mostly detected in Zhaoyang County. CRF01_AE was frequently detected among married and homosexual individuals and mostly detected in Weixin and Zhenxiong counties. Among the 516 pol sequences, 187 (36.2%) were clustered. Zhaotong natives, individuals aged ≥60 years, and illiterate individuals were more likely to be found in the network. Assortativity analysis showed that individuals were more likely to be genetically associated when stratified by age, education level, occupation, and reporting area. The genetic diversity of HIV-1 reflects the complexity of local HIV epidemics. Molecular network analyses revealed the subpopulations to focus on and the characteristics of the risk networks. The results will help optimise local prevention and control strategies.

N-enriched biochar can increase the accumulation of carbon (C), nitrogen (N), phosphorus (P), and biomass in rice plants. On the other hand, the biomass and C, N, and P contents of plant organs are important indicators to reflect plant C, N, and P storages. We established control, 4 t ha−1, and 8 t ha−1 N-enriched biochar treatment plots in a subtropical paddy field in China to investigate the effect of these treatments on C, N, and P storages, ecological stoichiometry in various rice plant organs, and their relationships with edaphic factors. The application of N-enriched biochar increased the biomass and storages of C, N, and P in rice roots, stems, leaves, and grains, mainly at 4 t ha−1. The application of N-enriched biochar decreased the C/N and C/P ratios of rice organs, but increased their N/P ratio. Changes in C/N were mainly due to the changes in storage, while N/P was positively correlated with N storage of stems, leaves, and grains and negatively correlated with P storage in roots. Pearson’s correlation analysis revealed that pH was negatively correlated, and soil N content was positively correlated with P storage in various organs of rice. In addition, soil P content and chlorophyll were positively correlated with N storage. In conclusion, we found that the application of N-enriched biochar improved plant N and P storage and stoichiometrical relations among rice organs.

Let G be a graph with no isolated vertex. A semitotal forcing set of G is a (zero) forcing set S such that every vertex in S is within distance 2 of another vertex of S. The semitotal forcing number $F_{t2}(G)$ is the minimum cardinality of a semitotal forcing set in G. In this paper, we prove that it is NP-complete to determine the semitotal forcing number of a graph. We also prove that if $G\neq K_n$ is a connected graph of order $n\geq 4$ with maximum degree $\Delta \geq 2$ , then $F_{t2}(G)\leq (\Delta-1)n/\Delta$ , with equality if and only if either $G=C_{4}$ or $G=P_{4}$ or $G=K_{\Delta ,\Delta }$ .

Sleep apnea is one of the most common sleep disorders. The consequences of undiagnosed sleep apnea can be very serious, increasing the risk of high blood pressure, heart disease, stroke, and Alzheimer’s disease over a long period of time. However, many people are often unaware of their condition. The gold standard for diagnosing sleep apnea is nighttime polysomnography monitoring in a specialized sleep laboratory. However, these diagnoses are expensive and the number of beds is limited, and there is insufficient monitoring in terms of time dimension. Existing methods for automated detection use no more than three physiological signals, but all other signals are also associated with the patient’s sleep. In addition, the limited amount of medical real annotation data, especially abnormal samples, lead to weak model generalization capability. The gap between model generalization capability and medical field needs still exists. In this paper, we propose a method for integrating medical interpretation rules into a long short-term memory neural network based on self-attention with multichannel respiratory signals as input. We obtain attention weights through a token-level attention mechanism and then extract key rules of medical interpretation to assist the weights, improving model generalization and reducing the dependence on data volume. Compared with the best prediction performance of existing methods, the average improvements of our method in accuracy, precision, and f1-score are 3.26%, 7.03%, and 1.78%, respectively. The algorithm tested the performance of our model on the Sleep Heart Health Study data set and found that the model outperformed existing methods and could help physicians make decisions in their practices.

One of the most common harmful mites in edible fungi is Histiostoma feroniarum Dufour (Acaridida: Histiostomatidae), a fungivorous astigmatid mite that feeds on hyphae and fruiting bodies, thereby transmitting pathogens. This study examined the effects of seven constant temperatures and 10 types of mushrooms on the growth and development of H. feroniarum, as well as its host preference. Developmental time for the total immature stages was significantly affected by the type of mushroom species, ranging from 4.3 ± 0.4 days (reared on Pleurotus eryngii var. tuoliensis Mou at 28°C) to 17.1 ± 2.3 days (reared on Auricularia polytricha Sacc. at 19°C). The temperature was a major factor in the formation of facultative heteromorphic deutonymphs (hypopi). The mite entered the hypopus stage when the temperature dropped to 16°C or rose above 31°C. The growth and development of this mite were significantly influenced by the type of species and variety of mushrooms. Moreover, the fungivorous astigmatid mite preferred to feed on the ‘Wuxiang No. 1’ strain of Lentinula edodes (Berk.) Pegler and the ‘Gaowenxiu’ strain of P. pulmonarius (Fr.) Quél., with a shorter development period compared with that of feeding on other strains. These results therefore quantify the effect of host type and temperature on fungivorous astigmatid mite growth and development rates, and provide a reference for applying mushroom cultivar resistance to biological pest control.

The associations of red/processed meat consumption and cancer-related health outcomes have been well discussed. The umbrella review aimed to summarise the associations of red/processed meat consumption and various non-cancer-related outcomes in humans. We systematically searched the systematic reviews and meta-analyses of associations between red/processed meat intake and health outcomes from PubMed, Embase, Web of Science and the Cochrane Library databases. The umbrella review has been registered in PROSPERO (CRD 42021218568). A total of 40 meta-analyses were included. High consumption of red meat, particularly processed meat, was associated with a higher risk of all-cause mortality, CVD and metabolic outcomes. Dose–response analysis revealed that an additional 100 g/d red meat intake was positively associated with a 17 % increased risk of type 2 diabetes mellitus (T2DM), 15 % increased risk of CHD, 14 % of hypertension and 12 % of stroke. The highest dose–response/50 g increase in processed meat consumption at 95 % confident levels was 1·37, 95 % CI (1·22, 1·55) for T2DM, 1·27, 95 % CI (1·09, 1·49) for CHD, 1·17, 95 % CI (1·02, 1·34) for stroke, 1·15, 95 % CI (1·11, 1·19) for all-cause mortality and 1·08, 95 % CI (1·02, 1·14) for heart failure. In addition, red/processed meat intake was associated with several other health-related outcomes. Red and processed meat consumption seems to be more harmful than beneficial to human health in this umbrella review. It is necessary to take the impacts of red/processed meat consumption on non-cancer-related outcomes into consideration when developing new dietary guidelines, which will be of great public health importance. However, more additional randomised controlled trials are warranted to clarify the causality.

Taeniasis and cysticercosis, which are caused by Taenia saginata, Taenia solium and Taenia asiatica, are zoonotic parasitic infections with a significant disease burden worldwide. There is consensus amongst experts that T. saginata is a common tapeworm that causes taeniasis in humans as opposed to cysticercosis. This case study of a middle-aged Tibetan man conducted in 2021 challenges the prevailing notion that T. saginata exclusively causes taeniasis and not cysticercosis by documenting symptoms and laboratory studies related to both taeniasis and multiple cysticercosis. The patient's medical record with the symptoms of taeniasis and cysticercosis was reviewed, and the tapeworm's proglottids and cyst were identified from the patient by morphological evaluation, DNA amplification and sequencing. The patient frequently experienced severe headaches and vomiting. Both routine blood screenings and testing for antibodies against the most common parasites were normal. After anthelmintic treatment, an adult tapeworm was found in feces, and medical imaging examinations suggested multiple focal nodules in the brain and muscles of the patient. The morphological and molecular diagnosis of the proglottids revealed the Cestoda was T. saginata. Despite the challenges presented by the cyst's morphology, the molecular analysis suggested that it was most likely T. saginata. This case study suggests that T. saginata infection in humans has the potential to cause human cysticercosis. However, such a conclusion needs to be vetted by accurate genome-wide analysis in patients with T. saginata taeniasis associated with cysts. Such studies shall provide new insights into the pathogenicity of T. saginata.

We consider $L^{2}$-constraint minimizers of the mass critical fractional Schrödinger energy functional with a ring-shaped potential $V(x)=(|x|-M)^{2}$, where $M>0$ and $x\in \mathbb {R}^{2}$. By analysing some new estimates on the least energy of the mass critical fractional Schrödinger energy functional, we obtain the concentration behaviour of each minimizer of the mass critical fractional Schrödinger energy functional when $a\nearrow a^{\ast }=\|Q\|_{2}^{2s}$, where $Q$ is the unique positive radial solution of $(-\Delta )^{s}u+su-|u|^{2s}u=0$ in $\mathbb {R}^{2}$.

Well-resolved direct numerical simulations of turbulent open channel flows (OCFs) are performed for friction Reynolds numbers up to $Re_\tau =2000$. Various turbulent statistics are documented and compared with the closed channel flows (CCFs). As expected, the mean velocity profiles of the OCFs match well with the CCFs in the near-wall region but diverge notably in the outer region. Interestingly, a logarithmic layer with Kárman constant $\kappa =0.363$ occurs for OCF at $Re_\tau =2000$, distinctly different from CCF. Except for a very thin layer near the free surface, most of the velocity and vorticity variances match between OCFs and CCFs. The one-dimensional energy spectra reveal that the very-large-scale motions (VLSMs) with streamwise wavelength $\lambda _x>3 h$ or spanwise wavelength $\lambda _z>0.5 h$ contribute the most to turbulence intensity and Reynolds shear stress in the overlap and outer layers (where h is the water depth). Furthermore, the VLSMs in OCFs are stronger than those in CCFs, resulting in a slightly higher streamwise velocity variance in the former. Due to the footprint effect, these structures also have significant contributions to the mean wall shear stress, and the difference between OCF and CCF enlarges with increasing $Re_\tau$. In summary, the free surface in OCFs plays an essential role in various flow phenomena, including the formation of stronger VLSMs and turbulent kinetic energy redistribution.

The influence of second-order dispersion (SOD) on stimulated Raman scattering (SRS) in the interaction of an ultrashort intense laser with plasma was investigated. More significant backward SRS was observed with the increase of the absolute value of SOD ($\mid \kern-1pt\!{\psi}_2\!\kern-1pt\mid$). The integrated intensity of the scattered light is positively correlated to the driver laser pulse duration. Accompanied by the side SRS, filaments with different angles along the laser propagation direction were observed in the transverse shadowgraph. A model incorporating Landau damping and above-threshold ionization was developed to explain the SOD-dependent angular distribution of the filaments.

A pulsed fast neutron source is critical for applications of fast neutron resonance radiography and fast neutron absorption spectroscopy. However, due to the large transversal source size (of the order of mm) and long pulse duration (of the order of ns) of traditional pulsed fast neutron sources, it is difficult to realize high-contrast neutron imaging with high spatial resolution and a fine absorption spectrum. Here, we experimentally present a micro-size ultra-short pulsed neutron source by a table-top laser–plasma wakefield electron accelerator driving a photofission reaction in a thin metal converter. A fast neutron source with source size of approximately 500 μm and duration of approximately 36 ps has been driven by a tens of MeV, collimated, micro-size electron beam via a hundred TW laser facility. This micro-size ultra-short pulsed neutron source has the potential to improve the energy resolution of a fast neutron absorption spectrum dozens of times to, for example, approximately 100 eV at 1.65 MeV, which could be of benefit for high-quality fast neutron imaging and deep understanding of the theoretical model of neutron physics.

This article examines the abiding “one China” contention between the People's Republic of China (PRC) and the Republic of China (ROC or Taiwan), focusing on their 2008–2016 cooperation and the ensuing political stalemate. It does so by investigating the PRC's and the ROC's respective legal frameworks and the positions of the major political actors, including the Chinese Communist Party and both Taiwan's Kuomintang and its Democratic Progressive Party. While the PRC maintains its “one-China principle,” and the ROC's legal system retains some “one China” elements, the idea of “one China” has been in flux in Taiwan. The traditional conceptualization of “one China” has been increasingly challenged in Taiwan's democratic era by the rise of a countervailing Taiwanese national identity and opposition to the PRC's insistent agenda to absorb the island. These dynamics are rapidly minimizing the appeal and political utility of any “one China” notions in China–Taiwan relations.

Compared to the streamwise instability, the cross-flow instability in high-enthalpy flows has received relatively less attention, but the latter is of vital importance in the flow transition for practical configurations. This work aims to investigate the cross-flow primary and secondary instabilities in hypersonic and high-enthalpy boundary layers, considering thermochemical non-equilibrium (TCNE) effects. The numerical tools adopted include a high-order shock-fitting solver, nonlinear parabolized stability equations and secondary instability theory (SIT). The flow over a swept parabola is calculated at a free-stream Mach number of 16. It is found that TCNE has a destabilizing effect on the cross-flow mode with a non-catalytic wall. Two important non-dimensional parameters are summarized to explain this effect. One is the ratio between the wall and boundary-layer edge temperatures, and the other is the cross-flow Mach number. Due to nonlinear effects, the stationary cross-flow vortices evolve and exhibit the classic rollover structures as in lower-speed flows. Two different disturbance energy norms are used in the energy budget analysis to classify the secondary cross-flow instability modes. The results from SIT highlight the importance of type-IV modes in TCNE flows at the downwash region of the vortex. The type-IV modes arise with the combined contribution from the wall-normal (on top and trough of the vortex) and spanwise (in the downwash region) production terms. The type-I mode is dominant in the calorically perfect gas case with an adiabatic wall, whereas the type-IV mode has the largest growth rate in the TCNE cases irrespective of wall temperature variation.

This experiment was conducted to evaluate the impact of substituting rice straw with citrus pulp (CRP), sweet potato peels (SPP) and vines (SPV) on fermentation quality and in vitro digestibility when ensiled with or without wet brewers' grains (WBG). Seven treatments were set as follows: (i) rice straw only (control); (ii) 800 g rice straw/kg + 200 g CRP/kg (RC); (iii) 720 g rice straw/kg + 180 g CRP/kg + 100 g WBG/kg (RC+); (iv) 800 g rice straw/kg + 200 g SPP/kg (RP); (v) 720 g rice straw + 180 g SPP/kg + 100 g WBG/kg (RP+); (vi) 800 g rice straw/kg + 200 g SPV/kg (RV); (vii) 720 g rice straw/kg + 180 g SPV/kg + 100 g WBG/kg (RV+). After ensiling for 3, 7, 14, 30 and 60 days, silos were opened for fermentation profile, aerobic stability and in vitro parameter analyses. All substitution types improved fermentation quality, characterized by significantly lower pH and NH3-N content, higher lactic acid content and V-scores. WBG application promoted hetero-fermentation and significantly increased DM losses, acetic acid and ethanol contents. After 60 days of ensiling, the NDF, ADF and cellulose contents in mixed silages significantly decreased compared to control. During aerobic exposure, WBG application significantly prolonged aerobic stability. SPV substitution significantly improved in vitro digestibility of dry matter, NDF and ADF. In conclusion, the SPP substitution combined with WBG application was recommended as a result of the optimal balance of fermentation quality, aerobic stability and in vitro digestibility.