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This study aims to understand the epidemiological characteristics of SARS-CoV-2 infection in the paediatric population during the outbreak of the Omicron variant in Shanghai. We retrospectively analysed the population-based epidemiological characteristics and clinical outcome of SARS-CoV-2 Omicron variant infection in children in Minhang District, Shanghai, based on the citywide surveillance system during the outbreak period in 2022 (March to May). During this time, a total of 63,969 cases of SARS-CoV-2 infection were notified in Minhang District, out of which 4,652 (7.3%) were children and adolescents <18 years. The incidence rate of SARS-CoV-2 infections in children was 153 per 10,000. Of all paediatric cases, 50% reported to be clinically symptomatic within 1–3 days after PCR confirmation by parents or themselves, with 36.3% and 18.9% of paediatric cases reporting fever and cough. Also, 58.4% of paediatric cases had received at least one dose of the COVID-19 vaccine and 52.1% had received two doses of the COVID-19 vaccination. Our findings are informative for the implementation of appropriate measures to protect children from the threat of SARS-CoV-2 infection.
Instrument delivery is critical part in vascular intervention surgery. Due to the soft-body structure of instruments, the relationship between manipulation commands and instrument motion is non-linear, making instrument delivery challenging and time-consuming. Reinforcement learning has the potential to learn manipulation skills and automate instrument delivery with enhanced success rates and reduced workload of physicians. However, due to the sample inefficiency when using high-dimensional images, existing reinforcement learning algorithms are limited on realistic vascular robotic systems. To alleviate this problem, this paper proposes discrete soft actor-critic with auto-encoder (DSAC-AE) that augments SAC-discrete with an auxiliary reconstruction task. The algorithm is applied with distributed sample collection and parameter update in a robot-assisted preclinical environment. Experimental results indicate that guidewire delivery can be automatically implemented after 50k sampling steps in less than 15 h, demonstrating the proposed algorithm has the great potential to learn manipulation skill for vascular robotic systems.
To establish optimal gestational weight gain (GWG) in Chinese pregnant women by Chinese-specific BMI categories and compare the new recommendations with the Institute of Medicine (IOM) 2009 guidelines.
Multicentre, prospective cohort study. Unconditional logistic regression analysis was used to evaluate the OR, 95 % CI and the predicted probabilities of adverse pregnancy outcomes. The optimal GWG range was defined as the range that did not exceed a 1 % increase from the lowest predicted probability in each pre-pregnancy BMI group.
From nine cities in mainland China.
A total of 3731 women with singleton pregnancy were recruited from April 2013 to December 2014.
The optimal GWG (ranges) by Chinese-specific BMI was 15·0 (12·8–17·1), 14·2 (12·1–16·4) and 12·6 (10·4–14·9) kg for underweight, normal weight and overweight pregnant women, respectively. Inappropriate GWG was associated with several adverse pregnancy outcomes. Compared with women gaining weight within our proposed recommendations, women with excessive GWG had higher risk for macrosomia, large for gestational age and caesarean section, whereas those with inadequate GWG had higher risk for low birth weight, small for gestational age and preterm delivery. The comparison between our proposed recommendations and IOM 2009 guidelines showed that our recommendations were comparable with the IOM 2009 guidelines and could well predict the risk of several adverse pregnancy outcomes.
Inappropriate GWG was associated with higher risk of several adverse pregnancy outcomes. Optimal GWG recommendations proposed in the present study could be applied to Chinese pregnant women.
Underground Nuclear Astrophysics in China (JUNA) will take the advantage of the ultra-low background in Jinping underground lab. High current accelerator with an ECR source and detectors were commissioned. JUNA plans to study directly a number of nuclear reactions important to hydrostatic stellar evolution at their relevant stellar energies. At the first period, JUNA aims at the direct measurements of 25Mg(p,γ)26 Al, 19F(p,α) 16 O, 13C(α, n) 16O and 12C(α,γ) 16O near the Gamow window. The current progress of JUNA will be given.
With the development of remote sensing and geostatistical technology, complex environmental variables are increasingly easily quantified and applied in modelling soil organic carbon (SOC). However, this emphasizes data redundancy and multicollinearity problems adding to the difficulty in selecting dominant influential auxiliary variables and uncertainty in estimating SOC stocks. The current paper considers the spatial characteristics of SOC density (SOCD) to construct prediction models of SOCD on the basis of reducing the data dimensionality and complexity using the principal component analysis (PCA) method. A total of 260 topsoil samples were collected from Chahe town, China. Eight environmental variables (elevation, aspect, slope, normalized difference vegetation index, normalized difference moisture index, nearest distance to construction area and road, and land use degree comprehensive index) were pre-analysed by PCA and then extracted as the main principal component variables to construct prediction models. Two geostatistical approaches (ordinary kriging and ordinary co-kriging) and two regression approaches (ordinary least squares and geographically weighted regression (GWR)) were used to estimate SOCD. Results showed that PCA played an important role in reducing the redundancy and multicollinearity of the auxiliary variables and GWR achieved the highest prediction accuracy in these four models. GWR considered not only the spatial characteristics of SOCD but also the related valuable information of the auxiliary attributes. In summary, PCA-GWR is a promising spatial method used here to predict SOC stocks.
Multiplicative noise removal is a challenging problem in image restoration. In this paper, by applying Box-Cox transformation, we convert the multiplicative noise removal problem into the additive noise removal problem and the block matching three dimensional (BM3D) method is applied to get the final recovered image. Indeed, BM3D is an effective method to remove additive Gaussian white noise in images. A maximum likelihood method is designed to determine the parameter in the Box-Cox transformation. We also present the unbiased inverse transform for the Box-Cox transformation which is important. Both theoretical analysis and experimental results illustrate clearly that the proposed method can remove multiplicative noise very well especially when multiplicative noise is heavy. The proposed method is superior to the existing methods for multiplicative noise removal in the literature.
This study aimed to explore whether the presence of a Y chromosome azoospermia factor (AZF) microdeletion confers any adverse effect on embryonic development and clinical outcomes after intracytoplasmic sperm injection (ICSI) treatment. Fifty-seven patients with AZF microdeletion were included in the present study and 114 oligozoospermia and azoospermia patients without AZF microdeletion were recruited as controls. Both AZF and control groups were further divided into subgroups based upon the methods of semen collection: the AZF-testicular sperm extraction subgroup (AZF-TESE, n = 14), the AZF-ejaculation subgroup (AZF-EJA, n = 43), the control-TESE subgroup (n = 28) and the control-EJA subgroup (n = 86). Clinical data were analyzed in the two groups and four subgroups respectively. A retrospective case–control study was performed. A significantly lower fertilization rate (69.27 versus 75.70%, P = 0.000) and cleavage rate (89.55 versus 94.39%, P = 0.000) was found in AZF group compared with the control group. Furthermore, in AZF-TESE subgroup, the fertilization rate (67.54 versus 74.25%, P = 0.037) and cleavage rate (88.96 versus 94.79%, P = 0.022) were significantly lower than in the control-TESE subgroup; similarly, the fertilization rate (69.85 versus 75.85%, P = 0.004) and cleavage rate (89.36 versus 94.26%, P = 0.002) in AZF-EJA subgroup were significantly lower than in the control-EJA subgroup; however, the fertilization rate and cleavage rate in AZF-TESE (control-TESE) subgroup was similar to that in the AZF-EJA (control-EJA) subgroup. The other clinical outcomes were comparable between four subgroups (P > 0.05). Therefore, sperm from patients with AZF microdeletion, obtained either by ejaculation or TESE, may have lower fertilization and cleavage rates, but seem to have comparable clinical outcomes to those from patients without AZF microdeletion.
N6 medium, Murashige and Skoog (MS) medium and BNBN medium were adopted in tissue cultures of Nipponbare (japonica) scutellum for performance comparison. Results indicated that, among the three kinds of culture media, the NB medium worked best in callus induction and gene transformation and was most suitable for tissue culture of Nipponbare scutellum. Based on this, the elicitor-encoding gene pemG1 from Magnaporthe grisea was introduced into the genome of Nipponbare via the Agrobacterium-mediated method. Transgenic rice plants were obtained. The integration, transcription and expression of pemG1 in rice were confirmed by polymerase chain reaction (PCR), Northern blot and Western blot, respectively. Genetic analysis showed that the transgenes were segregated normally in the progenies.
Nano-crystalline films of pure cubic ZrO2 have been produced by ion beam assisted deposition (IBAD) processes which combine physical vapor deposition with the concurrent ion beam bombardment in a high vacuum environment and exhibit superior properties and strong adhesion to the substrate. Oxygen and argon gases are used as source materials to generate energetic ions to produce these coatings with differential nanoscale (7 to 70 nm grain size) characteristics that affect the wettability, roughness, mechanical and optical properties of the coating. The nanostructurally stabilized chemically pure cubic phase has been shown to possess hardness as high as 16 GPa and a bulk modulus of 235 GPa. We examine the mechanical properties and the phase stability in zirconia nanoparticles using first principle electronic structure method. The elastic constants of the bulk systems were calculated for monoclinic, tetragonal and cubic phases. We find that calculated bulk modulus of cubic phase (237GPa) agrees well with the measured values, while that of monoclinic (189GPa) or tetragonal (155GPa) are considerably lower. We observe considerable relaxation of lattice in the monoclinic phase near the surface. This effect combined with surface tension and possibly vacancies in nanostructures are sources of stability of cubic zirconia at nanoscale.
Growth and development of 207 children (49% males; mean age 5.4 years [SD 0.2], range 4 to 7.3 years whose mothers received iodine during pregnancy, and children who received iodine first in their 2nd year, were examined in 1996; 192 children (49% males; mean age 6.5 years[SD 0.2], range 5.8 to 6.9 years) whose mothers received iodine while pregnant were seen in 1998. Children were from the southern part of China's Xinjiang Province which has the lowest levels of iodine in water and soil ever recorded. Head circumference but not height was improved for those who received iodine during pregnancy (compared with those receiving iodine at age 2) and for those supplemented before the end of the 2nd trimester (relative to those supplemented during the 3rd trimester). Iodine before the 3rd trimester predicted higher psychomotor test scores for children relative to those provided iodine later in pregnancy or at 2 years. Results from the test for cognitive development resulted in trend only differences between those children supplemented during pregnancy versus later. The results address the question of when maternal iodine supplements should begin in public health programs world wide. Findings may be relevant to the treatment of maternal and newborn thyroid deficiency in industrialized countries, particularly for those infants delivered before the end of the second trimester.
lO×16 GaAs/AlGaAs quantum well infrared detector arrays with peak responsivity at 9.3μm have been achieved with front-side normal illumination based on a waveguide of doubly periodic grating coupler. The detector array with a wideband response from 4.2μm to 10.3μm is demonstrated by optimizing the quantum well structures and device processes. A peak detectivity D*λ =2.9×1010 cmHz1/2 /W and high a responsivity Rp=0.37A/W have been obtained at λp=9.3μm and T=77K. The dark current densities of the detectors in the array were smaller than 6.2×10−6 A/cm2 with the detectors biased (Vb=3.2V) for maximum detectivity.
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