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.

The aeroacoustic characteristics of flying vehicles with pitch-fixed rotors differ from traditional helicopters with pitch-controlled rotor blades. Accurate predictions of rotor noise are still challenging because many uncertainty factors and unsteadinesses exist. This work investigates the aeroacoustic effects of rotational speed deviation, rotation speed fluctuation, blade vibration and blade geometric asymmetry. The analysis is based on the efficient computation of rotor noise under different working conditions. The mean aerodynamic variables are computed using the blade element moment theory, while small-amplitude fluctuations are introduced to account for the unsteadiness and uncertainty factors. It is shown that periodic rotation speed fluctuations and blade vibrations can produce significant extra tones. By contrast, if the fluctuations and vibrations are random, the noise level in a wide frequency range is increased. The intriguing result reminds us of the need to revisit the rotor broadband noise sources commonly attributed to turbulent flows. The influences are observer angle dependent, and the extra noise production is more significant in the upstream and downstream directions. The asymmetric blade geometry can cause extra tonal noise at the harmonics of the blade shaft frequency. The noise features of dual rotors are also investigated. Usually, the noise is sensitive to the initial phase difference and rotation directions due to the interference effect. However, the noise features are vastly altered if there are slight differences in the rotation speeds. Although the influences of some factors on rotor noise were already known, the present study provides a more comprehensive analysis of the problem. The results also highlight the need to consider these practical factors for accurate noise prediction of multi-rotor flying vehicles.

Given a plane graph $G=(V,E)$ , a Petrie tour of G is a tour P of G that alternately turns left and right at each step. A Petrie tour partition of G is a collection ${\mathscr P}=\{P_1,\ldots,P_q\}$ of Petrie tours so that each edge of G is in exactly one tour $P_i \in {\mathscr P}$ . A Petrie tour P is called a Petrie cycle if all its vertices are distinct. A Petrie cycle partition of G is a collection ${\mathscr C}=\{C_1,\ldots,C_p\}$ of Petrie cycles so that each vertex of G is in exactly one cycle $C_i \in {\mathscr C}$ . In this paper, we study the properties of 3-regular plane graphs that have Petrie cycle partitions and 4-regular plane multi-graphs that have Petrie tour partitions. Given a 4-regular plane multi-graph $G=(V,E)$ , a 3-regularization of G is a 3-regular plane graph $G_3$ obtained from G by splitting every vertex $v\in V$ into two degree-3 vertices. G is called Petrie partitionable if it has a 3-regularization that has a Petrie cycle partition. The general version of this problem is motivated by a data compression method, tristrip, used in computer graphics. In this paper, we present a simple characterization of Petrie partitionable graphs and show that the problem of determining if G is Petrie partitionable is NP-complete.

It was reported that about 10% of people suffer from painful knee arthritis, and a quarter of them were severely disabled. The core activities of daily living were severely limited by knee osteoarthritis (KOA). In order to reduce knee pain and prolong the life of the knee joint, there has been an increasing demand on the development of exoskeletons, for prevention and treatment. The course of KOA was closely related to the biomechanics of knee joint, and the pathogenesis was summarized based on the biomechanics of knee joint. For the prevention and clinical treatment, exoskeletons are classified into three categories: prevention, treatment, and rehabilitation after the operation. Furthermore, the design concepts, actuators, sensors, control strategies, and evaluation criteria were presented. Finally, the shortcomings and limitations were summarized. It is useful for researchers to develop suitable exoskeletons in the future.

A study was conducted to identify whether composted manure and straw amendments (replacement of a portion of chemical fertilizer [50% of the total nitrogen application] with composted pig manure, and straw return [all straw from the previous rice crop] combined with chemical fertilizer) compared with no fertilization and chemical fertilizer only would change the dominant species of wheat-associated weeds as well as influence their growth and seed yield in a rice (Oryza sativa L.)–wheat (Triticum aestivum L.) rotation system. The study was initiated in 2010, and the treatment effects on the species, density, plant height, shoot biomass, seed yield of dominant weeds, and wheat yields were assessed in 2017 and 2018. Fertilization significantly increased the height, density, and yield of wheat, as well as the shoot biomass of wheat-associated weeds, but decreased the weed species number. A total of 17 and 14 weed species were recorded in the experimental wheat fields in 2017 and 2018, respectively. The most dominant weed species were American sloughgrass [Beckmannia syzigachne (Steud.) Fernald] and catchweed bedstraw (Galium aparine L.), which made up more than 64% of the weed community in all treatments. When the chemical fertilizer application was amended with pig manure compost and straw return, the relative abundance of B. syzigachne significantly decreased, while the relative abundance of G. aparine significantly increased. The application of the chemical fertilizer-only treatment resulted in increases in the density, shoot biomass, and seed yield of B. syzigachne, while the composted manure and straw amendments applied together with chemical fertilizer led to significant increases in the density, shoot biomass, and seed yield of G. aparine. Consequently, further research on ways to promote greater cropping system diversity will be needed to prevent the selection of weed species that are adapted to a limited suite of crop management practices.

With the rapid rise in the prevalence of non-tuberculous mycobacteria (NTM) diseases across the world, the microbiological diagnosis of NTM isolates is becoming increasingly important for the diagnosis and treatment of NTM disease. In this study, the clinical presentation, species distribution and drug susceptibility of patients with NTM disease visiting the Chongqing Public Health Medical Centre during March 2016–April 2019 were retrospectively analysed. Among the 146 patients with NTM disease, eight NTM species (complex) were identified. The predominant NTM species in these patients were identified to be Mycobacterium abscessus complex (53, 36.3%), M. intracellulare (38, 26%) and M. fortuitum (17, 11.7%). In addition, two or more species were isolated from 7.5% of the patients. Pulmonary NTM disease (142, 97.3%) showed the highest prevalence among the patients. It was observed that 40.1% of the patients with pulmonary NTM disease had chronic pulmonary obstructive disease and bronchiectasis, while 22.5% had prior tuberculosis. Male patients showed more association with the conditions of cough and haemoptysis than the female patients. In an in vitro antimicrobial susceptibility testing, most of the species showed susceptibility to linezolid, amikacin and clarithromycin, while M. fortuitum exhibited low susceptibility to tobramycin. In conclusion, the prevalence of NTM disease, especially that of the pulmonary NTM disease, is common in Southwest China. Species identification and drug susceptibility testing are thus extremely important to ensure appropriate treatment regimens for patient care and management.

For $n\geq 3$ , let $Q_n\subset \mathbb {C}$ be an arbitrary regular n-sided polygon. We prove that the Cauchy transform $F_{Q_n}$ of the normalised two-dimensional Lebesgue measure on $Q_n$ is univalent and starlike but not convex in $\widehat {\mathbb {C}}\setminus Q_n$ .

Thermal and hydrological dynamics and their impacts on the stability of a moraine dam were analyzed and simulated for the Longbasaba Lake in the Himalaya, based on soil temperature, moisture and heat flux data observed at different depths in the dam from 2012 to 2016. Annual average heat income is greater than heat expenditure on the dam surface. The mean annual temperature at observed the depths of 0–150 cm is >0°C, although the average annual air temperature was −3.6°C over the dam, indicating a relatively larger temperature difference between moraine dam and air. The volumetric soil moisture content is relatively low with an annual average of 5%, peaking after the snow cover melting and active layer thawing. Simulation results indicate that the average yearly maximum thawing depth has been ~0.3 m deeper than the average yearly maximum freezing depth during the observation period. In the past 55 years, the yearly maximum thawing depth has increased, while yearly maximum freezing depth has decreased, implying that the permafrost in the dam has been deteriorating. The annual surplus heat and increasing permafrost thawing depth will result in further deterioration of permafrost and melting of buried ice in the dam, thereby decreasing its stability.

A stalagmite with high 238U content from Yangkou Cave, China, revealed the evolution of the Asian summer monsoon (ASM) between 49.1 and 59.5 ka, and the δ18O values recorded Dansgaard/Oeschger (D/O) events 13–17. The Yangkou record shows a relatively gradual transition into the D/O 14 and 16 events. The discrepancy between the abrupt and gradual transitions of D/O 14 in the records from northern and southern China, respectively, suggests different responses of the ASM to climate changes in the high northern latitudes. The higher resolution δ18O record and more precise 230Th dating indicate that the timing of D/O 14 and 17 in the Hulu records at 53 and 58 ka should be shifted to 54.3 and 59 ka, respectively. The gradual strengthening of the ASM at the onsets of D/O 16 and 14 in our record is different from the abrupt temperature rise in the northern high latitudes. Some other factors must contribute to this relatively gradual ASM change in southern China, but the actual reason is still unknown.

We studied the effects of four non-nutrient environmental factors (temperature, salinity, irradiance and pH) on the growth inhibition of the macroalgae Ulva pertusa (Chlorophyta) upon the microalgae Heterosigma akashiwo (Rhaphidophyta). Experiments were conducted in single-factor incubation and various two-factor combination experiments in which temperature (10, 15, 25 and 30°C), salinity (10, 20, 30 and 40 g kg−1 water), irradiance (20, 100, 200 and 400 μmol m−2 s−1), and pH (5.5, 7, 8.5 and 10) were varied systematically. The growth rates of U. pertusa and H. akashiwo and the rate of microalgal growth inhibition were altered significantly by changing some of the non-nutrient factors in both the single-factor and the two-factor experiments. The optimal growth conditions for U. pertusa were 20–25°C, salinity of 30 g kg−1, irradiance level of 200–400 μmol m−2 s−1, and pH 8.5–10; optimal conditions for H. akashiwo growth were 25°C, 30 g kg−1, 100 μmol m−2 s−1 and pH 8.5, respectively. The growth inhibitory influence of U. pertusa on H. akashiwo was strongest at 25°C with low salinity (10 g kg−1), high irradiance (400 μmol m−2 s−1) and high alkalinity (pH = 10). The results of this study may be helpful in the development of methods for using green macroalgae to control the proliferation of microalgae in harmful algal blooms (HABs). In particular, these findings provide guidance regarding optimum levels of non-nutrient environmental factors in confined areas, such as aquaculture factories.

A study of 7,388 consecutive patients after hepatic resection between 2011 and 2012 identified hepatolithiasis, cirrhosis, and intraoperative blood transfusion as the only independent risk factors of both incisional and organ/space surgical site infection (SSI). Patients with these conditions should be cared for with caution to lower SSI rates.

An accurate and direct algorithm for solving the semiclassical Boltzmann equation with relaxation time approximation in phase space is presented for parallel treatment of rarefied gas flows of particles of three statistics. The discrete ordinate method is first applied to discretize the velocity space of the distribution function to render a set of scalar conservation laws with source term. The high order weighted essentially non-oscillatory scheme is then implemented to capture the time evolution of the discretized velocity distribution function in physical space and time. The method is developed for two space dimensions and implemented on gas particles that obey the Maxwell-Boltzmann, Bose-Einstein and Fermi-Dirac statistics. Computational examples in one- and two-dimensional initial value problems of rarefied gas flows are presented and the results indicating good resolution of the main flow features can be achieved. Flows of wide range of relaxation times and Knudsen numbers covering different flow regimes are computed to validate the robustness of the method. The recovery of quantum statistics to the classical limit is also tested for small fugacity values.

On the basis of ab initio molecular dynamics modeling, we show that Ge-Sb-Te alloy under excitation can realize amorphization without going through a liquid phase. The electronic structure analysis further reveals that the excitation mainly involves the Ge s-like states near the valence band maximum. After the phase transition, the coordination number of Ge is reduced from six to four, while the change in the coordination number for Sb is noticeably less.

Angiostrongylus cantonensis infection causes eosinophilic meningitis in humans. Baicalein is a flavonoid originally isolated from the roots of Scutellaria baicalensis Georgi. In this study we evaluated the efficacy of the combination of albendazole and baicalein for treating eosinophilic meningitis in BALB/c mice. Therapeutic efficacy included the survival time, body weight, neurological function, leucocyte and eosinophil counts, eotaxin concentration, matrix metalloproteinase-9 (MMP-9) activity, larval recovery and histopathological examination. The results showed that the combination of albendazole and baicalein was more effective than either drug administered singly. Combination therapy increased the survival time, decreased body weight loss, neurological dysfunction, leucocyte response, eotaxin concentration and MMP-9 activity. Our results suggest that the combination of albendazole and baicalein may exhibit synergistic beneficial effects in the treatment of eosinophilic meningitis induced by A. cantonensis.

The bone morphogenetic protein receptor IB (BMPR-IB) gene, which controls the fecundity of Booroola Merino ewes, was studied as a candidate gene for the prolificacy of Small Tail Han and Hu ewes. A single nucleotide polymorphism of the BMPR-IB gene was detected in both high (Small Tail Han and Hu) and low (Suffolk and Dorset) fecundity sheep breeds by polymerase chain reaction–single-strand conformation polymorphism (PCR-SSCP) analysis. The results indicated the presence of the same mutation (A746G) of the BMPR-IB gene in both Small Tail Han and Hu ewes and in Booroola Merino ewes, but not in both Suffolk and Dorset ewes. In Small Tail Han ewes, frequencies of BB, B+ and ++ genotypes were 0.524, 0.383 and 0.093, respectively. In Hu ewes, these frequencies were 0.882, 0.118 and 0.000. The BMPR-IB genotype distributions were significantly different (P<0.001) among high- and low-fecundity sheep breeds. Small Tail Han ewes with genotype BB had 0.92 (P<0.01) and 1.02 (P<0.01) lambs more than those with genotype ++ in the first and second parity, respectively. These results demonstrated that the BMPR-IB gene is a major gene affecting the prolificacy in both Small Tail Han and Hu ewes, and could be used as a molecular genetic marker to select the litter size in sheep.