This paper retrospectively analysed the prevalence of macrolide-resistant Mycoplasma pneumoniae (MRMP) in some parts of China. Between January 2013 and December 2019, we collected 4,145 respiratory samples, including pharyngeal swabs and alveolar lavage fluid. The highest PCR-positive rate of M. pneumoniae was 74.5% in Beijing, the highest resistance rate was 100% in Shanghai, and Gansu was the lowest with 20%. The highest PCR-positive rate of M. pneumoniae was 74.5% in 2013, and the highest MRMP was 97.4% in 2019; the PCR-positive rate of M. pneumoniae for adults in Beijing was 17.9% and the MRMP was 10.48%. Among the children diagnosed with community-acquired pneumonia (CAP), the PCR-positive and macrolide-resistant rates of M. pneumoniae were both higher in the severe ones. A2063G in domain V of 23S rRNA was the major macrolide-resistant mutation, accounting for more than 90%. The MIC values of all MRMP to erythromycin and azithromycin were ≥ 64 μg/ml, and the MICs of tetracycline and levofloxacin were ≤ 0.5 μg/ml and ≤ 1 μg/ml, respectively. The macrolide resistance varied in different regions and years. Among inpatients, the macrolide-resistant rate was higher in severe pneumonia. A2063G was the common mutation, and we found no resistance to tetracycline and levofloxacin.

We explore the transition to chaos in a prototypical hydrodynamic oscillator, namely a globally unstable low-density jet subjected to external time-periodic forcing. As the forcing strengthens at an off-resonant frequency, we find that the jet exhibits a sequence of nonlinear states: period-1 limit cycle $\rightarrow $ quasiperiodicity $\rightarrow$ intermittency $\rightarrow$ low-dimensional chaos. We show that the intermittency obeys type-II Pomeau–Manneville dynamics by analysing the first return map and the scaling properties of the quasiperiodic lifetimes between successive chaotic epochs. By providing experimental evidence of the type-II intermittency route to chaos in a globally unstable jet, this study reinforces the idea that strange attractors emerge via universal mechanisms in open self-excited flows, facilitating the development of instability control strategies based on chaos theory.

We experimentally investigate the forced synchronization of a self-excited chaotic thermoacoustic oscillator with two natural frequencies, $f_1$ and $f_2$. On increasing the forcing amplitude, $\epsilon _f$, at a fixed forcing frequency, $f_f$, we find two different types of synchronization: (i) $f_f/f_1 = 1:1$ or $2:1$ chaos-destroying synchronization (CDS), and (ii) phase synchronization of chaos (PSC). En route to $1:1$ CDS, the system transitions from an unforced chaotic state (${\rm {CH}}_{1,2}$) to a forced chaotic state (${\rm {CH}}_{1,2,f}$), then to a two-frequency quasiperiodic state where chaos is destroyed ($\mathbb {T}^2_{2,f}$), and finally to a phase-locked period-1 state (${\rm {P1}}_f$). The route to $2:1$ CDS is similar, but the quasiperiodic state hosts a doubled torus $(2\mathbb {T}^2_{2,f})$ that transforms into a phase-locked period-2 orbit $({\rm {P2}}_f)$ when CDS occurs. En route to PSC, the system transitions to a forced chaotic state (${\rm {CH}}_{1,2,f}$) followed by a phase-locked chaotic state, where $f_1$, $f_2$ and $f_f$ still coexist but their phase difference remains bounded. We find that the maximum reduction in thermoacoustic amplitude occurs near the onset of CDS, and that the critical $\epsilon _f$ required for the onset of CDS does not vary significantly with $f_f$. We then use two unidirectionally coupled Anishchenko–Astakhov oscillators to phenomenologically model the experimental synchronization dynamics, including (i) the route to $1:1$ CDS, (ii) various phase dynamics, such as phase drifting, slipping and locking, and (iii) the thermoacoustic amplitude variations in the $f_f/f_1$–$\epsilon _f$ plane. This study extends the applicability of open-loop control further to a chaotic thermoacoustic system, demonstrating (i) the feasibility of using an existing actuation strategy to weaken aperiodic thermoacoustic oscillations, and (ii) the possibility of developing new active suppression strategies based on both established and emerging methods of chaos control.

Warm ice at temperatures close to the pressure melting point is often encountered in deep ice-core drilling. The heat generated by rotary cutting can melt ice chips, which seriously threatens the safety of drilling if the chips refreeze on the drill bit or barrel. Lowering the cutting heat is an effective method to reduce the melting of ice chips. In this study, a general theoretical model was established based on heat transfer theory and the cutting mechanism to calculate and analyze the cutter temperature during the circulation of the drilling fluid. The model was validated by a series of experiments, which demonstrated reasonable agreement between the calculated data and experimental results, with a maximum error of <16%. The factors that contribute to the rise in the cutter temperature during warm ice drilling were investigated. Results suggest that the drilling fluid has excellent cooling performance, and its type and flow rate have minimal impact on the cutter temperature. To mitigate the cutter temperature rise, maximizing the rake angle and thermal conductivity of the cutter, while minimizing the rotation speed of the drill bit, cutting depth, cutter width and friction coefficient between the ice and cutter is recommended.

The association between the phospholipid transfer protein (PLTP) gene rs4810479 single-nucleotide polymorphism (SNP) and serum lipid levels is largely unknown. This investigation aimed to evaluate the relationship between the PLTP rs4810479 SNP, several environmental risk factors, and serum lipid parameters in the Chinese Maonan and Han nationalities. Polymerase chain reaction-restriction fragment length polymorphism, gel electrophoresis, and direct sequencing were employed to determine the PLTP rs4810479 genotypes in 633 Maonan and 646 Han participants. The frequencies of CC, CT, and TT genotypes and the C allele were different between Maonan and Han groups (29.07%, 53.08%, 17.85%, and 55.61% vs. 35.60%, 49.70%, 14.70%, and 60.45%, respectively, P < 0.05). The C allele carriers in the Maonan group had higher high-density lipoprotein cholesterol levels than the C allele noncarriers, but this finding was only found in Maonan males but not in females. The C allele carriers in Han males had lower total cholesterol and low-density lipoprotein cholesterol levels than the C allele noncarriers. Serum lipid profiles were also affected by several traditional cardiovascular risk factors in both populations. There might be an ethnic- and/or sex-specific association between the PLTP rs4810479 SNP and serum lipid traits.

Sepsis is a severe disease with high mortality, and liver injury is an independent risk factor for sepsis morbidity and mortality. We analyzed co-differentially expressed genes (co-DEGs) to explore potential biomarkers and therapeutic targets for sepsis-related liver injury. Three gene expression datasets (GSE60088, GSE23767, and GSE71530) were downloaded from the Gene Expression Omnibus (GEO). DEGs were screened between sepsis and control samples using GEO2R. The association of these DEGs with infection and liver disease was analyzed by using the CTD database. GO functional analysis, KEGG pathway enrichment analysis, and protein-protein interaction (PPI) network analysis were performed to elucidate the potential molecular mechanism of DEGs. DEGs of different tissues in GSE60088 were analyzed again to obtain specific markers of septic liver injury. Mouse model of sepsis was also established by cecal ligation and puncture (CLP), and the expression of specific markers in liver, lung, and kidney tissues was analyzed using Western blot. Here, we identified 21 DEGs in three datasets with 8 hub genes, all of which showed higher inference scores in liver diseases than bacterial infections. Among them, only TNFRSF1A had a liver-specific differential expression. TNFRSF1A was also confirmed to be specifically reduced in septic liver tissues in mice. Therefore, TNFRSF1A may serve as a potential biomarker for septic liver injury.

To accelerate high-intensity heavy-ion beams to high energy in the booster ring (BRing) at the High-Intensity Heavy-Ion Accelerator Facility (HIAF) project, we take the typical reference particle 238U35+, which can be accelerated from an injection energy of 17 MeV/u to the maximal extraction energy of 830 MeV/u, as an example to study the basic processes of longitudinal beam dynamics, including beam capture, acceleration, and bunch merging. The voltage amplitude, the synchronous phase, and the frequency program of the RF system during the operational cycle were given, and the beam properties such as bunch length, momentum spread, longitudinal beam emittance, and beam loss were derived, firstly. Then, the beam properties under different voltage amplitude and synchronous phase errors were also studied, and the results were compared with the cases without any errors. Next, the beam properties with the injection energy fluctuation were also studied. The tolerances of the RF errors and injection energy fluctuation were dictated based on the CISP simulations. Finally, the effect of space charge at the low injection energy with different beam intensities on longitudinal emittance and beam loss was evaluated.

Background. Non-small cell lung cancer (NSCLC) is the most prevalent malignant tumor of the lung cancer, for which the molecular mechanisms remain unknown. In this study, we identified novel biomarkers associated with the pathogenesis of NSCLC aiming to provide new diagnostic and therapeutic approaches for NSCLC by bioinformatics analysis. Methods. From the Gene Expression Omnibus database, GSE118370 and GSE10072 microarray datasets were obtained. Identifying the differentially expressed genes (DEGs) between lung adenocarcinoma and normal samples was done. By using bioinformatics tools, a protein-protein interaction (PPI) network was constructed, modules were analyzed, and enrichment analyses were performed. The expression and prognostic values of 14 hub genes were validated by the GEPIA database, and the correlation between hub genes and survival in lung adenocarcinoma was assessed by UALCAN, cBioPortal, String and Cytoscape, and Timer tools. Results. We found three genes (PIK3R1, SPP1, and PECAM1) that have a clear correlation with OS in the lung adenocarcinoma patient. It has been found that lung adenocarcinoma exhibits high expression of SPP1 and that this has been associated with poor prognosis, while low expression of PECAM1 and PIK3R1 is associated with poor prognosis (P < 0.05). We also found that the expression of SPP1 was associated with miR-146a-5p, while the high expression of miR-146a-5p was related to good prognosis (P < 0.05). On the contrary, the lower miR-21-5p on upstream of PIK3R1 is associated with a higher surviving rate in cancer patients (P < 0.05). Finally, we found that the immune checkpoint genes CD274(PD-L1) and PDCD1LG2(PD-1) were also related to SPP1 in lung adenocarcinoma. Conclusions. The results indicated that SPP1 is a cancer promoter (oncogene), while PECAM1 and PIK3R1 are cancer suppressor genes. These genes take part in the regulation of biological activities in lung adenocarcinoma, which provides a basis for improving detection and immunotherapeutic targets for lung adenocarcinoma.

The lack of excellent wheat germplasm resources on the Qinghai-Tibet Plateau has led to a gradual decrease in genetic diversity and an increasingly narrow genetic background in wheat grown in this region. Rational use of excellent genes from wheat relatives is important to increase genetic diversity, broaden the genetic base and achieve high yield and quality in common wheat. The objective of this study was to use principal component and cluster analyses of 13 important agronomic traits of 44 Polish wheat varieties over 3 years and comprehensively evaluate them to screen for excellent germplasm resources, thus providing the basic material for broadening the genetic base of Qinghai-Tibet Plateau wheat germplasm resources.

We present experimental evidence of multifractality and scale-free network topology in a noise-perturbed laminar jet operated in a globally stable regime, prior to the critical point of a supercritical Hopf bifurcation and prior to the saddle-node point of a subcritical Hopf bifurcation. For both types of bifurcation, we find that (i) the degree of multifractality peaks at intermediate noise intensities, (ii) the conditions for peak multifractality produce a complex network whose node degree distribution obeys an inverse power-law scaling with an exponent of $2 < \gamma < 3$, indicating scale-free topology and (iii) the Hurst exponent and the global clustering coefficient can serve as early warning indicators of global instability under specific operating and forcing conditions. By characterising the noise-induced dynamics of a canonical shear flow, we demonstrate that the multifractal and scale-free network dynamics commonly observed in turbulent flows can also be observed in laminar flows under certain stochastic forcing conditions.

We describe an outbreak of echovirus 18 infection involving 10 patients in our neonatal intensive care unit (an attack rate of 33%). The mean age at the onset of illness was 26.8 days. Eighty percent were preterm infants. All were discharged home without sequelae. There were no differences in gestation age, birth weight, delivery mode, use of antibiotics, and parenteral nutrition between the enterovirus (EV) group and non-EV group, but the rate of breastfeeding was significantly higher in the EV group. Separation care and reinforcement of hand-washing seemed to be effective in preventing further spread of the virus. Visiting policy, hygiene practice, and handling of expressed breastmilk should be reinforced.

With the aid of recently proposed word embedding algorithms, the study of semantic relatedness has progressed rapidly. However, word-level representations are still lacking for many natural language processing tasks. Various sense-level embedding learning algorithms have been proposed to address this issue. In this paper, we present a generalized model derived from existing sense retrofitting models. In this generalization, we take into account semantic relations between the senses, relation strength, and semantic strength. Experimental results show that the generalized model outperforms previous approaches on four tasks: semantic relatedness, contextual word similarity, semantic difference, and synonym selection. Based on the generalized sense retrofitting model, we also propose a standardization process on the dimensions with four settings, a neighbor expansion process from the nearest neighbors, and combinations of these two approaches. Finally, we propose a Procrustes analysis approach that inspired from bilingual mapping models for learning representations that outside of the ontology. The experimental results show the advantages of these approaches on semantic relatedness tasks.

Pharmacological treatment of major depressive disorder is often inefficient, and multiple strategies are used for inadequate response to antidepressants. Second-generation antipsychotics are used as augmentation measures in clinical practice; evidence of their efficacy and acceptability is insufficient, and it remains confusing as to which drug should be selected first. In this systematic review and network meta-analysis, we included randomised controlled trials of second-generation antipsychotics used as adjunctive treatment in patients with suboptimal responses. Outcome measures were efficacy (response and remission) and acceptability (dropout due to any reason and adverse events). Thirty-three trials comprising 10 602 participants were included. Regarding efficacy, response rates indicated that all antipsychotics except for ziprasidone were more efficacious than the placebo, with the odds ratios (ORs) ranging from 1.34 for olanzapine and cariprazine [95% credible interval (CrI) 1.04–1.73 and 1.07–1.67, respectively] to 2.17 for risperidone (95% CrI 1.38–3.42). When considering remission, cariprazine was not effective (OR 1.21, 95% CrI 0.96–1.54). For acceptability, quetiapine (OR 0.68, 95% CrI 0.50–0.91), brexpiprazole (OR 0.69, 95% CrI 0.55–0.86), and cariprazine (OR 0.61, 95% CrI 0.46–0.82) were worse than the placebo. With regards to tolerability, only olanzapine (OR 0.51, 95% CrI 0.25–1.07) and risperidone (OR 0.48, 95% CrI 0.10–2.21) showed no significant differences compared with placebo. The administration of adjunctive antipsychotics is associated with high effectiveness and low acceptability. Risperidone and aripiprazole are more efficacious and accepted than other atypical antipsychotics.

This paper investigates whether pollution-intensive industries develop faster in a time of economic downturn. Using firm-level panel data from 2005 to 2013, we find supporting empirical results in an analysis of China's manufacturing industries in the 2008 economic crisis. We find that pollution-intensive firms tended to produce more compared with non-pollution-intensive firms in the 2008 economic crisis, with the pre-crisis period as a baseline. We further find that this effect is more pronounced in areas with higher export dependence and a smaller proportion of production from pollution-intensive industries. The relatively faster production expansion in pollution-intensive industries is more evident for state-owned enterprises.

The parasite Fasciola hepatica is an important zoonotic parasite. The development of an animal model of F. hepatica's life cycle is critical for studying the biological characteristics of the parasite in snails and mammals. Eggs of F. hepatica of bovine origin were cultured, and metacercariae were obtained after infection of Galba pervia snails. The life cycle system of F. hepatica was initiated in 2 different animals by orally infecting rabbits, SD rats and Kunming mice with the metacercariae. The animals' survival after infection, parasite migration in the animals and pathological damage to the liver were observed. We discovered that rabbits died due to acute suppurative hepatitis 60–69 days after infection, and eggs were found in the feces on day 63 of infection. The liver of SD rats showed punctate lesions on day 3 of infection, and further changes occurred as the infection progressed. However, liver repair was observed at week 9. SD rats survived for more than a year after infection and continued the F. hepatica life cycle. The liver lesions in Kunming mice after infection were similar but more severe than those in SD rats. Death was observed on the 31st post-infection day. We discovered that while rabbits, SD rats and Kunming mice can all be used as animal models of F. hepatica, SD rats are more suitable experimental animals in terms of tolerance and pathological response.

Metabolically healthy obesity (MHO) might be an alternative valuable target in obesity treatment. We aimed to assess whether alternative Mediterranean (aMED) diet and Dietary Approaches to Stop Hypertension (DASH) diet were favourably associated with obesity and MHO phenotype in a Chinese multi-ethnic population. We conducted this cross-sectional analysis using the baseline data of the China Multi-Ethnic Cohort study that enrolled 99 556 participants from seven diverse ethnic groups. Participants with self-reported cardiometabolic diseases were excluded to eliminate possible reverse causality. Marginal structural logistic models were used to estimate the associations, with confounders determined by directed acyclic graph (DAG). Among 65 699 included participants, 11·2 % were with obesity. MHO phenotype was present in 5·7 % of total population and 52·7 % of population with obesity. Compared with the lowest quintile, the highest quintile of DASH diet score had 23 % decreased odds of obesity (OR = 0·77, 95 % CI 0·71, 0·83, P trend < 0·001) and 27 % increased odds of MHO (OR = 1·27, 95 % CI 1·10, 1·48, P trend = 0·001) in population with obesity. However, aMED diet showed no obvious favourable associations. Further adjusting for BMI did not change the associations between diet scores and MHO. Results were robust to various sensitivity analyses. In conclusion, DASH diet rather than aMED diet is associated with reduced risk of obesity and presents BMI-independent metabolic benefits in this large population-based study. Recommendation for adhering to DASH diet may benefit the prevention of obesity and related metabolic disorders in Chinese population.