Rare earth elements (REEs) preserved in speleothems have garnered increasing attention as ideal proxies for the paleoenvironmental reconstruction. However, due to their typically low contents in stalagmites, the availability of stalagmite-based REE records remains limited. Here we present high-resolution REEs alongside oxygen isotope (δ18O) records in stalagmite SX15a from Sanxing Cave, southwestern China (110.1–103.3 ka). This study demonstrates that REE records could provide useful information for the provenance and formation process of the stalagmite, due to consistent distribution pattern across different periods indicating stable provenance. More interestingly, the total REE (ΣREE) record could serve as an effective indicator to reflect local hydrological processes associated with monsoonal precipitation. During Marine Isotopic Stage (MIS) 5d, a relatively low ΣREE content is consistent with the positive SX15a δ18O and negative NGRIP δ18O, reflecting a dry-cold environment; while during MIS 5c, a generally high ΣREE content suggests a humid-warm circumstance. Furthermore, the ΣREE record captured four prominent sub-millennial fluctuations within the Greenland interstadial 24 event, implying a combined influence by the regional climate and local soil redox conditions. Our findings indicate that the stalagmite-based REE records would be a useful proxy for better understanding of past climate and environment changes.

This study examined the sour grapes/sweet lemons rationalization through 2 conditions: ‘attainable’ (sweet lemons) and ‘unattainable’ (sour grapes), reflecting China’s 2019-nCoV vaccination strategy. The aim was to find ways to change people’s beliefs and preferences regarding vaccines by easing their safety concerns and encouraging more willingness to get vaccinated. An online survey was conducted from January 22 to 27, 2021, with 3,123 residents across 30 provinces and municipalities in the Chinese mainland. The direction of belief and preference changed in line with the sour grapes/sweet lemons rationalization. Using hypothetical and real contrasts, we compared those for whom the vaccine was relatively unattainable (‘sour grapes’ condition) with those who could get the vaccine easily (‘sweet lemons’). Whether the vaccine was attainable was determined in the early stage of the vaccine roll-out by membership in a select group of workers that was supposed to be vaccinated to the greatest extent possible, or, by being in the second stage when the vaccine was available to all. The attainable conditions demonstrated higher evaluation in vaccine safety, higher willingness to be vaccinated, and lower willingness to wait and see. Hence, we propose that the manipulation of vaccine attainability, which formed the basis of the application of sour grapes/sweet lemons rationalization, can be utilized as a means to manipulate the choice architecture to nudge individuals to ease vaccine safety concerns, reducing wait-and-see tendencies, and enhancing vaccination willingness. This approach can expedite universal vaccination and its associated benefits in future scenarios resembling the 2019-nCoV vaccine rollout.

The size of quaternary ${\text{NH}}_4^{+}$ cations defines their packing configurations in the interlayers and the basal spacings of organoclays, and hence strongly influences the sorptive properties of organoclays. A series of organoclays (TAA-SACs) was prepared from a smectite (SAC) fully exchanged with symmetrical tetraalkylammonium (TAA) cations of progressively increasing sizes with the carbon number of single alkyl group from 1 to 6. X-ray diffraction analysis indicated the packing configurations of monolayer, monolayer-to-bilayer transition, bilayer, and bilayer-to-trilayer transition in the interlayers of SAC. Calculations of the interionic distances between TAA ions support such packing configurations. Sorption of benzene by TAA-SACs displayed a high-low-high uptake trend and progressively weaker sorptive interactions as the size of TAA ions increased. Both the siloxane surfaces and TAA ions contributed to the overall sorption, with their relative contributions dependent on the TAA interionic distances and the basal spacings of TAA-SACs. High benzene sorption by small TAA-SAC (tetramethylammonium(TMA)-SAC) was attributed to the strong interactions between the siloxane surfaces and benzene molecules. With large TAAs, high sorption was due to the effective solute partitioning. Compared to benzene sorption, TCE sorption by small TAA-SACs (TMA-SAC and tetraethylammonium(TEA)-SAC) was less effective and displayed an abnormal trend, due largely to the lack of the siloxane surface-TCE interactions and to the stronger hydration of TMA as compared to TEA ions. The results provide strong evidence to support the use of either small or large quaternary ${\text{NH}}_4^{+}$ cations in preparation of organoclays as effective sorbents for removing organic contaminants from water.

Objectives: Medical devices and the hospital environment can be contaminated easily by multidrug-resistant bacteria. The effectiveness of cleaning practices is often suboptimal because environmental cleaning in hospitals is complex and depends on human factors, the physical and chemical characteristics of environment, and the viability of the microorganisms. Ultraviolet-C (UV-C) lamps can be used to reduce the spread of microorganisms. We evaluated the effectiveness of an ultraviolet-C (UV-C) device on terminal room cleaning and disinfection. Methods: The study was conducted at an ICU of a medical center in Taiwan. We performed a 3-stage evaluation for the effectiveness of UV-C radiation, including pre–UV-C radiation, UV-C radiation, and a bleaching procedure. The 3 stages of evaluation were implemented in the ICU rooms from which a patient had been discharged or transferred. We collected the data from adenosine triphosphate (ATP) bioluminescence testing, colonized strains, and their corresponding colony counts by sampling from the environmental surfaces and air. We tested 8 high-touch surfaces, including 2 sides of bed rails, headboards, footboards, bedside tables, monitors, pumping devices, IV stands, and oxygen flow meters. Results: In total, 1,696 environmental surfaces and 72 air samples were analyzed. The levels of ATP bioluminescence and colony counts of isolated bacteria decreased significantly after UV-C radiation and bleaching disinfection for both the environmental and air samples (P < .001). Resistant bacteria (vancomycin-resistant Enterococcus, VRE) were commonly isolated on the hard-to-clean surfaces of monitors, oxygen flow meters, and IV pumps. However, they were also eradicated (P < .001). Conclusions: UV-C can significantly reduce environmental contamination by multidrug-resistant microorganisms. UV-C is an effective device to assist staff in cleaning the hospital environment.

The most important issue for the clinical application of sarcopenic obesity (SO) is the lack of a consensus definition. The aim of the present study was to determine the best measurement for SO by estimating the association between various definitions and the risk of falls and metabolic syndrome (MS). We studied a community of 765 adults aged 65 years and older in 2015–2017. Sarcopenia obesity was measured by sarcopenia (defined by low muscle mass with either low handgrip strength or low gait speed or both) plus obesity (defined by waist circumference, body fat percentage and BMI). The MS was defined according to the National Cholesterol Education Program ATP III. Logistic regression models were constructed to examine the relationships between sarcopenia obesity and risk of fall and MS. In the analysis of the fall risk with SO defined by waist circumference, the participants with non-sarcopenia/non-obesity were treated as the reference group. The OR to fall in participants with SO was 10·16 (95 % CI 2·71, 38·13) after adjusting for confounding covariates. In the analysis of the risk of the MS between participants with individual components of sarcopenia coupled with obesity defined by waist circumference, the risk was statistically significant for low gait speed (OR: 7·19; 95 % CI 3·61, 14·30) and low grip strength (OR: 9·19; 95 % CI 5·00, 16·91). A combination of low grip strength and abdominal obesity for identifying SO may be a more precise and practical method for predicting target populations with unfavourable health risks, such as falls risk and MS.

The Wulanba granite, consisting of biotite monzogranite and syenogranite, is located in the southern part of the Great Xing’an Range, NE China. Whole-rock major- and trace-element geochemistry suggests the Wulanba granite is a high-K–shoshonitic, slightly peraluminous and highly differentiated I-type granite. The Sr–Nd–Hf isotopes indicate that it originated from partial melting of juvenile crust derived from the depleted mantle with a minor input of old crust. The relatively young T2DM and tDM2 ages indicate it was most likely derived from a Late Neoproterozoic to Early Palaeozoic source. We have demonstrated that the biotite monzogranite is the ore-related intrusion of the Haobugao Zn–Fe mineralization based on the following geological, geochronological and geochemical evidence: (1) the chalcopyrite/pyrite in the biotite monzogranite and the continuous mineralization of drill core ZK2508; (2) the consistence of the emplacement age of the biotite monzogranite (~141–140/138 Ma) with the skarn mineralization age (~142 Ma); and (3) the presence of rich ore-forming elements (Fe–Zn–Cu) in the biotite monzogranite, and the similar Pb compositions of the sulfides from the Haobugao deposit and the biotite monzogranite. Compared to the barren syenogranite, the fertile biotite monzogranite is more oxidized, while the edges of the apatite grains in the biotite monzogranite are more oxidized than the centres. The average F/Cl ratio of the fertile biotite monzogranite (~123.45) is much higher than that of the barren syenogranite (~73.98). We conclude that these differences reflect unique geochemical signatures, and the geochemical composition of the apatite can be used to infer the economic potential of granites.

Gallstone disease (GSD) represents a significant health burden and is reported to be strongly related to obesity. This study examined the effect of sex on the association of BMI, waist circumference (WC) and percentage body fat mass (%FM) with GSD. We enrolled 15 671 middle-aged Taiwanese adults undergoing a physical check-up at a health examination centre. Multiple logistic regression analysis was conducted to identify the association of BMI, WC and %FM with the presence of GSD. AUC of the receiver–operating characteristic (ROC) curves were calculated for BMI, WC and %FM to compare their respective ability to correctly classify patients with GSD. From our findings, GSD prevalence was 8·1 % in men and 6·3 % in women. The percentage of markedly increased obesity indicators was significantly higher in patients with GSD than in those without GSD. Multivariate analysis showed that all obesity indicators were significant predictors of the presence of GSD in women after adjustment. In men, only BMI and WC were significantly associated with the presence of GSD. In the ROC curve analysis, BMI and WC were the best predictors of GSD risk in women and men, respectively. The obesity indicators better predicted the presence of GSD in women than in men. In conclusion, the best obesity indicator of GSD risk differed by sex. In addition to body weight, fat mass and central obesity were associated with GSD risk in women. In men, central obesity may play a more important role in predicting GSD risk.

Northeastern China is a region of high tick abundance, multiple tick-borne pathogens and likely human infections. The spectrum of diseases caused by tick-borne pathogens has not been objectively evaluated in this region for clinical management and for comparison with other regions globally where tick-transmitted diseases are common. Based on clinical symptoms, PCR, indirect immunofluorescent assay and (or) blood smear, we identified and described tick-borne diseases from patients with recent tick bite seen at Mudanjiang Forestry Central Hospital. From May 2010 to September 2011, 42% (75/180) of patients were diagnosed with a specific tick-borne disease, including Lyme borreliosis, tick-borne encephalitis, human granulocytic anaplasmosis, human babesiosis and spotted fever group rickettsiosis. When we compared clinical and laboratory features to identify factors that might discriminate tick-transmitted infections from those lacking that evidence, we revealed that erythema migrans and neurological manifestations were statistically significantly differently presented between those with and without documented aetiologies (P < 0.001, P = 0.003). Twelve patients (6.7%, 12/180) were co-infected with two tick-borne pathogens. We demonstrated the poor ability of clinicians to identify the specific tick-borne disease. In addition, it is necessary to develop specific laboratory assays for optimal diagnosis of tick-borne diseases.

The LAMOST Galactic surveys provide robust stellar atmospheric parameters, abundances, masses and ages of millions of stars, allowing a unprecedented mapping of matter distribution, spatial structure, star formation rate, chemistry and kinematics of the Galaxy. In this proceeding we present structure and metallicity of the Galactic disk revealed by mono-age stellar populations within a few kilo-parsec of the solar neighborhood.

The strain hardening effect and dynamic recovery behavior of a Ni-based superalloy are studied by isothermal compressive tests. A new unified dislocation-density based constitutive model is developed to characterize the strain hardening effect and dynamic recovery behavior of the studied superalloy. In the developed constitutive model, some material parameters (yield stress, strain hardening coefficient, and dynamic recovery coefficient) are assumed as functions of initial grain size, deformation temperature, and strain rate. An iterative algorithm is designed to predict the high-temperature deformation behaviors under time-variant hot working conditions. The hot deformation parameters and material parameters can be updated in each strain increment. Comparisons between the experimental and calculated flow stresses indicate that the developed constitutive model can accurately describe the high-temperature deformation behavior of the studied superalloy. Furthermore, the developed constitutive model is also successfully used for analyzing time-variant hot working processes.

The Qiangtang Metamorphic Belt (QMB) was considered to have either formed in situ by amalgmation of the North and South Qiangtang blocks or been underthrust from the Jinsha suture and exhumed in the interior of a single ‘Qiangtang Block’. A new Sphaeroschwagerina fusuline fauna discovered in the Raggyorcaka Lake area supports the interpretation that the North and South Qiangtang blocks were separated by a wide ocean during Asselian (Early Permian) time, indicating that the QMB was formed by the suturing of the Palaeotethys Ocean along the Longmu Co-Shuanghu suture.

Many studies have suggested that folate-related one-carbon metabolism-related nutrients may play a role in certain cancer risks, but few studies have assessed their associations with the risk for nasopharyngeal carcinoma (NPC). In this study, we investigated the association between four folate-related one-carbon metabolism-related nutrients (folate, vitamin B6, vitamin B12 and methionine) and NPC risk in Chinese adults. A total of 600 patients newly diagnosed (within 3 months) with NPC were individually matched with 600 hospital-based controls by age, sex and household type (urban v. rural). Folate, vitamin B6, vitamin B12 and methionine intakes were measured using a validated seventy-eight-item FFQ. A higher dietary folate or vitamin B6 intake was associated with a lower NPC risk after adjusting for potential confounders. The adjusted OR of NPC for quartiles 2–4 (v. 1) were 0·66 (95 % CI 0·48, 0·91), 0·52 (95 % CI 0·37, 0·74) and 0·34 (95 % CI 0·23, 0·50) (P trend<0·001) for folate and 0·72 (95 % CI 0·52, 1·00), 0·55 (95 % CI 0·39, 0·78) and 0·44 (95 % CI 0·30, 0·63) (P trend<0·001) for vitamin B6. No significant association with NPC risk was observed for dietary vitamin B12 or methionine intake. The risk for NPC with dietary folate intake was more evident in the participants who were not exposed to toxic substances than in those who were exposed (P interaction=0·014). This study suggests that dietary folate and vitamin B6 may be protective for NPC in a high-risk population.