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Coronavirus disease-2019 (COVID-19) elicits a range of different responses in patients and can manifest into mild to very severe cases in different individuals, depending on many factors. We aimed to establish a prediction model of severe risk in COVID-19 patients, to help clinicians achieve early prevention, intervention and aid them in choosing effective therapeutic strategy. We selected confirmed COVID-19 patients who were admitted to First Hospital of Changsha city between 29 January and 15 February 2020 and collected their clinical data. Multivariate logical regression was used to identify the factors associated with severe risk. These factors were incorporated into the nomogram to establish the model. The ROC curve, calibration plot and decision curve were used to assess the performance of the model. A total of 228 patients were enrolled and 33 (14.47%) patients developed severe pneumonia. Univariate and multivariate analysis showed that shortness of breath, fatigue, creatine kinase, lymphocytes and h CRP were independent factors for severe risk in COVID-19 patients. Incorporating age, chronic obstructive pulmonary disease (COPD) and these factors, the nomogram achieved good concordance indexes of 0.89 [95% confidence interval (CI) 0.832–0.949] and well-fitted calibration plot curves (Hosmer–Lemeshow test: P = 0.97). The model provided superior net benefit when clinical decision thresholds were between 15% and 85% predicted risk. Using the model, clinicians can intervene early, improve therapeutic effects and reduce the severity of COVID-19, thus ensuring more targeted and efficient use of medical resources.
A high-carbohydrate diet could achieve a protein-sparing effect, but it may cause negative impacts on the growth condition of fish due to their poor utilisation ability of carbohydrate. How to reduce the adverse effects caused by a high-carbohydrate diet is important for the development of aquaculture. In the present study, we aimed to identify whether inulin could attenuate the metabolic syndrome caused by a high-carbohydrate diet in fish. Nile tilapia (Oreochromis niloticus) (1·19 (sd 0·01) g) were supplied with 35 % carbohydrate (CON), 45 % carbohydrate (HC) and 45 % carbohydrate + 5 g/kg inulin (HCI) diets for 10 weeks. The results showed that addition of inulin improved the survival rate when fish were challenged with Aeromonas hydrophila, indicating that inulin had an immunostimulatory effect. Compared with the HC group, the HCI group had lower lipid accumulation in liver and the gene expression analyses indicated that addition of inulin down-regulated genes related to lipogenesis and up-regulated genes relevant to β-oxidation significantly (P < 0·05). Higher liver glycogen and glucose tolerance were found in the HCI group compared with the HC group (P < 0·05). These results indicated that inulin could alleviate the metabolic syndrome induced by a high-carbohydrate diet. Furthermore, addition of inulin to a high-carbohydrate diet changed the intestinal bacterial composition and significantly increased the concentration of acetic acid and propionic acid in fish gut which have the potential to increase pathogen resistance and regulate metabolic characteristics in fish. Collectively, our results demonstrated a possible causal role for the gut microbiome in metabolic improvements induced by inulin in fish.
The head-on collision between two dust-acoustic solitary waves in a non-magnetized, collisionless and strongly coupled dust plasma has been studied. The application scope of the analytical solution of the head-on collision is given in the present paper by using the particle-in-cell simulation method. It is noted that the analytical results are valid if the amplitudes of both of the solitary waves are small enough. The effects of the coupling parameters on both the head-on collision and the waveform are also studied in the present paper.
Protein content (PC) and oil content (OC) are important breeding traits of soybean [Glycine max (L.) Merr.]. Quantitative trait locus (QTL) mapping for PC and OC is important for molecular breeding in soybean; however, the negative correlation between PC and OC influences the accuracy of QTL mapping. In the current study, a four-way recombinant inbred lines (FW-RILs) population comprising 160 lines derived from the cross (Kenfeng14 × Kenfeng15) × (Heinong48 × Kenfeng19) was planted in eight different environments and PC and OC measured. Conditional and unconditional QTL analyses were carried out by interval mapping (IM) and inclusive complete IM based on linkage maps of 275 simple sequences repeat markers in a FW-RILs population. This analysis revealed 59 unconditional QTLs and 52 conditional QTLs among the FW-RILs. An analysis of additive effects indicated that the effects of 13 protein QTLs were not related to OC, whereas OC affected the expression of 13 and eight QTLs either partially or completely, respectively. Eight QTLs affecting OC were not influenced by PC, whereas six and 26 QTLs were partially and fully affected by PC, respectively. Among the QTLs detected in the current study, two protein QTLs and five oil QTLs had not been previously reported. These findings will facilitate marker-assisted selection and molecular breeding of soybean.
Connected and Autonomous Vehicles (CAVs) have been researched extensively for solving traffic issues and for realising the concept of an intelligent transport system. A well-developed positioning system is critical for CAVs to achieve these aims. The system should provide high accuracy, mobility, continuity, flexibility and scalability. However, high-performance equipment is too expensive for the commercial use of CAVs; therefore, the use of a low-cost Global Navigation Satellite System (GNSS) receiver to achieve real-time, high-accuracy and ubiquitous positioning performance will be a future trend. This research used RTKLIB software to develop a low-cost GNSS receiver positioning system and assessed the developed positioning system according to the requirements of CAV applications. Kinematic tests were conducted to evaluate the positioning performance of the low-cost receiver in a CAV driving environment based on the accuracy requirements of CAVs. The results showed that the low-cost receiver satisfied the “Where in Lane” accuracy level (0·5 m) and achieved a similar positioning performance in rural, interurban, urban and motorway areas.
Markley variables have advantages of slow variation, easy numerical integration and high precision in describing the attitude of spinning spacecraft. Previous attitude estimation methods based on Markley variables for spinning spacecraft usually employ a sun vector from the sun sensor, a magnetic vector from the magnetometer, or the angular rate from the gyro as the measurement. This paper proposes a Markley variables-based attitude estimation method using optical flow and a star vector from a star sensor as the measurement, where optical flow provides rate information and the star vector provides direction information. This method can estimate the direction of the spin axis and spin angular rate very well by using only one star sensor. In addition, the star sensor has higher accuracy than the traditional sun sensor and magnetometer, and the star sensor can also replace the gyro in case the gyro is out of action. The impact factors of this method are also analysed, which include spin angular rate, spin axis orientation and spacecraft moment of inertia tensor error.
In the Venus capture period, it is difficult for celestial autonomous navigation to satisfy the requirement of high precision. To improve autonomous navigation performance, a Direction, Distance and Velocity (DDV) measurements deeply integrated navigation method is proposed. The “deeply” integrated navigation reflects the fact that the direction and velocity measurements suppress the Doppler effects in the pulsar signals. In the pulsar observation period, the direction and velocity measurements are utilised to compensate for Doppler effects in the pulsar signals. By these means, the residual effects can be ignored. When the direction, distance or velocity measurements are obtained, they are fused to improve the navigation performance. Simulation results demonstrate that the DDV measurements deeply integrated navigation filter converges very well, and provides highly accurate position estimation without a high quality requirement on navigation sensors.
Suprathermal electrons produced by laser–plasma interactions at 0.53-μm laser wavelength have been investigated using 19 electron spectrometers. The targets were 2- and 10-μm-thick Al foils, while the laser average intensities were 2 × 1013 and 7 × 1014 W/cm2. A double temperature distribution was observed in the electron energy spectrum: the lower electron temperature was below 25 keV, whereas the higher was ~50 keV. The angular distribution of the total suprathermal electron energy approximately obeyed the Gaussian distribution, peaking along the k vector of the incident laser beam for perpendicular incidence. Furthermore, the conversion rate of laser energy into escaped suprathermal electron energy over the π sr solid angle was ~10−4 at $\sim \!\!10^{14} \; {\rm W}/{\rm c}{\rm m}^{\rm 2}$, increasing almost linearly with the laser intensity.
Waist-to-height ratio (WHtR) has been reported to be more strongly associated with cardiometabolic risk factors among non-obese individuals than BMI and waist circumference (WC). A body shape index (ABSI) and body roundness index (BRI) have been proposed recently to assess obesity-related disorders or mortalities. Our aim was to compare the ability of ABSI and BRI with that of WHtR to identify cardiometabolic risk factors in Chinese adults with normal BMI and WC.
Design
Receiver-operating characteristic curves and areas under the curve (AUC) were employed to evaluate the ability of the indices (WHtR, BRI, ABSI) to identify metabolic risk factors and to determine the indices’ optimal cut-off values. The value of each index that resulted in maximization of the Youden index (sensitivity + specificity – 1) was defined as optimal. Differences in the AUC values between the indices were also evaluated.
Setting
Individuals attending a voluntary health check-up in Beijing, China, July–December 2015, were recruited to the study.
Subjects
Non-obese adults (n 1596).
Results
Among both genders, ABSI exhibited the lowest AUC value for identifying each risk factor among the three indices; the AUC value of BRI for identifying each risk factor was very close to that of WHtR, and no significant differences were observed between the AUC values of the two new indices.
Conclusions
When evaluating cardiometabolic risk factors among non-obese adults, WHtR was a simple and effective index in the assessment of cardiometabolic risk factors, BRI could be used as an alternative body index to WHtR, while ABSI could not.
A Celestial Navigation System (CNS) is a feasible and economical autonomous navigation system for deep-space probes. Ephemeris errors have a great influence on the performance of CNSs during the Mars approach phase, but there are few research studies on this problem. In this paper, the analysis shows that the ephemeris error of Mars is slowly-varying, while the ephemeris error of Phobos and Deimos is periodical. The influence of the ephemeris errors of Mars and its satellites is analysed in relation to both the Sun-centred frame and the Mars-centred frame. The simulations show that the position error of a probe relative to the Sun caused by the Mars ephemeris error is almost equal to the ephemeris error itself, that the velocity error is affected slightly, and that the position and velocity relative to Mars are hardly affected. The navigation result of a Mars probe is also greatly affected by the quantities and periodicities of the ephemeris errors of Phobos and Deimos, especially that of Deimos.
The relationship between climate, crop growth and crop yield is complicated. This study aimed to determine the ratio of CO2–C emission to grain yield, the field treatments were initiated in 2003, but the measurements for this analysis were collected during the summer maize-growing seasons of 2011 and 2012 in the North China Plain. The experiment showed that conventional tillage with straw application significantly increased grain yield and the ratio of CO2–C emission to grain yield of summer maize. The mean soil CO2–C emission rate with no tillage was significantly lower than that when conventional tillage was used; however, straw application significantly increased the soil CO2–C emission rate, irrespective of whether tillage was performed or not. This was mainly because straw application changed the soil total porosity and organic carbon content. In conclusion, the results of this study support the hypothesis that the ratio of CO2–C emission to grain yield in the North China Plain can be increased by straw application, whereas no tillage decreases this ratio.
Recent studies have suggested an association between vitamin D and non-alcoholic fatty liver disease (NAFLD); however, some results are subject to debate. This study was carried out to evaluate the correlation between NAFLD and vitamin D in men and women in East China. The data were obtained from a cross-sectional study that focused on the health and metabolic status of adults in sixteen areas of East China. According to ultrasonic assessments, the patients were divided into normal and NAFLD groups. Demographic characteristics and biochemical measurements were obtained. Binary logistic regression analysis was used to explore the association. In total, 5066 subjects were enrolled, and 2193 (43·3 %) were diagnosed with NAFLD; 84·56 % of the subjects showed vitamin D deficiency. Subjects with high vitamin D levels had a lower prevalence of NAFLD, particularly male subjects. Within the highest quartile of vitamin D levels, the prevalence of NAFLD was 40·8 %, whereas the lowest quartile of vitamin D levels showed a prevalence of 62·2 %, which was unchanged in women across the vitamin D levels. Binary logistic analysis showed that decreased vitamin D levels were associated with an increased risk of NAFLD (OR 1·54; 95 % CI 1·26, 1·88). This study suggests that vitamin D levels are significantly associated with NAFLD and that vitamin D acts as an independent factor for NAFLD prevalence, particularly in males in East China. Vitamin D interventional treatment might be a new target for controlling NAFLD; elucidating the mechanism requires further research.
To obtain accurate navigation results with respect to Earth simultaneously with those with respect to the target for an interplanetary probe to approach the target planet, this paper proposes a Radio/Optical integrated navigation method based on ephemeris correction, which deeply affects the fusion accuracy. In this paper, the model of the ephemeris error is established, and taking the analytical solution of the ephemeris uncertainty as measurement, the target ephemeris error and its covariance are estimated by Kalman filter and fed back to modify the force models. By correcting the target ephemeris and using information fusion, the Radio/Optical integrated navigation prevents the ephemeris uncertainty polluting the fusion accuracy, and efficiently combines the radio and optical navigation results. The results show the influence of the ephemeris error can be removed, and the Radio/Optical integrated navigation is capable of providing accurate navigation results with respect to Earth and the target. The results demonstrate the proposed method yields an accuracy superior to the conventional method, which proves its effectiveness.
To eliminate the impact of the Doppler effects caused by the motion of the Mars explorer, a novel X-ray pulsar navigation method based on a closed-loop filter is proposed. In the pulsar signal observation period, the Doppler velocity predicted by the orbit dynamic model and the prior information is utilised to compensate the X-ray photon time-of-arrival (TOA). However, because of the error in prior information, there is a bias caused by the Doppler compensation in the pulse time-of-arrival. The pulse TOA bias and the Mars explorer's state estimation error are correlated, which results in the decline of the Kalman filter performance. To deal with this problem, we build the TOA measurement model with respect to the state estimation error, and utilise the closed-loop extended Kalman filter (EKF) as the navigation filter, where the predicted state error is adopted as the state estimation. The simulation results demonstrate the feasibility, real-timeliness and effectiveness of the proposed navigation method. The navigation method based on the closed-loop EKF using the measurement model with the Doppler effects is more accurate than the traditional one.
Previous studies support Beck's cognitive model of vulnerability to depression. However, the relationship between his cognitive triad and other clinical features and risk factors among those with major depression (MD) has rarely been systematically studied.
Method
The three key cognitive symptoms of worthlessness, hopelessness and helplessness were assessed during their lifetime worst episode in 1970 Han Chinese women with recurrent MD. Diagnostic and other risk factor information was assessed at personal interview. Odds ratios (ORs) were calculated by logistic regression.
Results
Compared to patients who did not endorse the cognitive trio, those who did had a greater number of DSM-IV A criteria, more individual depressive symptoms, an earlier age at onset, a greater number of episodes, and were more likely to meet diagnostic criteria for melancholia, postnatal depression, dysthymia and anxiety disorders. Hopelessness was highly related to all the suicidal symptomatology, with ORs ranging from 5.92 to 6.51. Neuroticism, stressful life events (SLEs) and a protective parental rearing style were associated with these cognitive symptoms.
Conclusions
During the worst episode of MD in Han Chinese women, the endorsement of the cognitive trio was associated with a worse course of depression and an increased risk of suicide. Individuals with high levels of neuroticism, many SLEs and high parental protectiveness were at increased risk for these cognitive depressive symptoms. As in Western populations, symptoms of the cognitive trio appear to play a central role in the psychopathology of MD in Chinese women.
Nanoparticle functionalization and assembly is undergoing a period of challenging yet exciting development. Much of this research effort has been focused on the development of new functionalities that might enable strategically-directed assembly of nanoparticles into structures that can be utilized in other important applications.
In order to determine the success of such experiments, researchers often prepare a dried sample and study the assembly patterns with electron microscopy. However, these imaging techniques can be expensive and do not provide a complete illustration of what the three dimensional nanoparticle assemblies truly look like in solution. Moreover, sample preparation presents its own challenges. Most notably, sample preparation may cause alteration to the individual assemblies or unwanted aggregation of the assemblies upon removal of the solution.
To address these concerns, assemblies of anisotropic nanoparticles were tracked free-floating in solution with differential interference contrast (DIC) microscopy. DIC microscopy is an optical technique based on interferometry with high lateral resolution and shallow depth of field. After functionalizing gold and silver nanoparticles for self-assembly, aliquots of the nanoparticle solutions were examined in real-time. Nanoparticle assemblies were observed undergoing rotations, internal vibrations, structural modifications, and interactions with other assemblies. Observations of the dynamic behaviors of nanoparticle assemblies serve as a complement to imaging with electron microscopy and provide new insights into the actual assembly process.
Gravity Assist (GA) is a kind of transfer orbit technology widely used in interplanetary missions, which highly depends on navigation performance to succeed. The Orbital Dynamic Equation is an essential component in the navigation system, affected by factors including the numerical integrator, perturbing planets, integration step size, gravitational constant and planet ephemerides. To analyse the impact factors mentioned above and investigate an efficient system model, the propagation and navigation results are carried out in a Mars-assist explorer scenario; a specific case study is also provided in this paper. The results indicate that the planetary ephemeris uncertainty and integration size are the dominant error sources, and the integration step size is the dominant impact factor on the real-time performance. In this specific case, the ‘Orbital Dynamic Equation’ considering Sun and Mars perturbation is suggested for integration by RK4 with 60 s integration step size. The conclusions drawn by this study are particularly useful in the design, construction, and analysis of an autonomous navigation system for a GA explorer.
Reprogramming of DNA methylation in somatic cell nuclear transfer (SCNT) embryos is incomplete, and aberrant DNA methylation patterns are related to the inefficiency of SCNT. To facilitate nuclear reprogramming, this study investigated the effect of treating Guangxi Bama minipig donor cells with trichostatin A (TSA), 5-aza-2′-deoxycytine (5-aza-dC), or combination of TSA and 5-aza-dC prior to nuclear transfer. Analyses showed that there were no major changes in cell-cycle status among all groups. We monitored the transcription of DNMT1, DNMT3a, HDAC1 and IGF2 genes in donor cells. Transcription levels of HDAC1 were decreased significantly after treatment with a combination of TSA and 5-aza-dC, along with a significantly increased level of IGF2 (P < 0.05). Although treatment of donor cells with either TSA or 5-aza-dC alone resulted in non-significant effects in blastocyst formation rate and DNA methylation levels, a combination of TSA and 5-aza-dC significantly improved the development rates of minipig SCNT embryos to blastocyst (25.6% vs. 16.0%, P < 0.05). This change was accompanied by decreased levels of DNA methylation in somatic cells and blastocyst (P < 0.05). Thus in combination with TSA, lower concentrations of 5-aza-dC may produce a potent demethylating activity, and lead to the significantly enhanced blastocyst development percentage of Bama minipig SCNT embryos.
Chromospheric evaporation suggests the mass upflows from chromosphere to corona after the electron heating at the chromosphere during the solar flares. It takes place at the rising phase, and has a typical timescale about 100 s and a typical speed about 300–400 km s-1. Such characteristics are well observed as the blueshift at the spectral lines. By the way, the facts of the high-frequency cutoff negatively drifting on the radio dynamic spectra and the hard X-ray footpoint source motions along the loop legs are also thought to be the signatures of the chromosphere evaporation. In this paper, we show the observational evidences of the chromospheric evaporation at radio, EUV and X-ray emissions.