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This study assessed the efficacy of ThinPrep cytologic test and human papillomavirus (HPV) co-test in cervical cancer screening during pregnancy. A cohort of 8,712 pregnant women from Ren Ji Hospital participated in the study. Among them, 601 (6.90%) tested positive for high-risk HPV (HR-HPV) and 38 (0.44%) exhibited abnormal cytology results (ASCUS+). Following positive HR-HPV findings, 423 patients underwent colposcopy, and 114 individuals suspected of having high-grade squamous intraepithelial lesion and cervical cancer (HSIL+) underwent cervical biopsy. Histological examination revealed 60 cases of normal pathology (52.63%), 35 cases of low‐grade squamous intraepithelial lesion (30.70%), 17 cases of HSIL (14.91%), and 2 cases of cervical cancer (1.75%). The incidence of HSIL+ in HPV 16/18 group was significantly higher than that in non-HPV16/18 group (10.53% vs. 6.14%, P < 0.05). Subsequent evaluation of the clinical performance of cytology alone, primary HPV screening, and co-testing for HSIL+ detection revealed that the HSIL+ detection rate was lowest with cytology alone. These findings suggest that HPV testing, either alone or combined with cytology, presents an efficient screening strategy for pregnant women, underscoring the potential for improved sensitivity in cervical cancer screening during pregnancy. The significantly higher incidence of HSIL+ in the HPV16/18 group emphasizes the importance of genotype-specific considerations.
The aim of this study is to evaluate the clinical characteristics and outcomes in 2019 coronavirus disease (COVID-19) patients and to help clinicians perform correct treatment and evaluate prognosis and guide the treatment.
Methods:
Patients totaling 239 were diagnosed with COVID-19 and were included in this study. Patients were divided into the improvement group and the death group according to their outcome (improvement or death). Clinical characteristics and laboratory parameters were collected from medical records. Continuous variables were tested by an independent sample T test, and categorical variables were analyzed by the chi-square test or Fisher’s exact test. The Cox proportional hazard regression model was used for survival analysis in death patients. The time-dependent area under curves (AUC) based on white blood cell count, lymphocyte count, neutrophil count by age, blood urea nitrogen, and C-reactive protein were plotted.
Results:
Efficacy evaluation indicated that 99 (41.4%) patients had deteriorated, and 140 (58.6%) patients had improved. Oxygen saturation, hemoglobin levels, infection-related indicators, lymphocyte and platelet counts, C-reactive protein, serum albumin, liver and kidney function, and lactate dehydrogenase in improvement group were statistically significant between the improvement and death groups. A survival analysis revealed that comorbidities, lymphocyte counts, platelet count, serum albumin, C-reactive protein level, and renal dysfunction may be risk factors in patients with COVID-19.
Conclusion:
Patients with comorbidities, lower lymphocyte counts in hemogram, platelet count and serum albumin, high C-reactive protein level, and renal dysfunction may have higher risk for death. More attention should be given to risk management in the progression of COVID-19.
Kawasaki disease is a type of acute febrile rash disease that is common in children and is characterised by primary lesions of systemic middle and small vasculitis, which can lead to coronary artery lesions. Manganese superoxide dismutase (MnSOD), one of the most important antioxidases in the human body, plays a key role in maintaining the balance of free radicals in the human body. Two single-nucleotide polymorphisms (SNPS) (rs4880 and rs5746136) in the MnSOD gene were related to oxidative stress disease. The purpose of this study is to explore the possible relationship between MnSOD gene polymorphisms and Kawasaki disease susceptibility.
Methods:
This study included 100 Kawasaki disease children and 102 healthy children. Two single-nucleotide polymorphisms (rs4880 and rs5746136) were detected by polymerase chain reaction sequence-based typing.
Results:
There was a significant difference in both the genotype frequency (χ2 = 10.805, p = 0.005) and the allele frequency (χ2 = 7.948, p = 0.005) of rs5746136 between the Kawasaki disease group and the control group. Children with the A allele had a 0.558 times lower risk of Kawasaki disease than those without the A allele (χ2 = 7.948, p = 0.005, odds ratio = 0.558, 95% confidence interval = 0.371–0.838). There was no significant difference in the genotype and gene frequencies of rs5746136 between the Kawasaki disease-coronary artery lesion and Kawasaki disease-without coronary artery lesion groups (p > 0.05), and there was no significant difference in the rs4880 genotype and allele frequencies between the Kawasaki disease and healthy control groups or between the Kawasaki disease-coronary artery lesion and Kawasaki disease-without coronary artery lesions groups (p > 0.05).
Conclusion:
This study provides evidence supporting an association between MnSOD gene polymorphisms and susceptibility to Kawasaki disease. The genotype AA and the allele A of the MnSOD gene locus rs5746136 were risk factors for Kawasaki disease.
The aim of this study was to investigate the combined effect of n-3 fatty acids (EPA and DHA, at an EPA:DHA ratio of 150:500) and phytosterol esters (PS) on non-alcoholic fatty liver disease (NAFLD) patients. We conducted a randomised, double-blind, placebo-controlled trial. Ninety-six NAFLD subjects were randomly assigned to the following groups: the PS group (receiving 3·3 g/d PS); the FO group (receiving 450 mg EPA + 1500 mg DHA/d); the PS + FO combination group (receiving 3·3 g/d PS and 450 mg EPA + 1500 mg DHA/d) and the PO group (a placebo group). The baseline clinical characteristics of the four groups were similar. The primary outcome was liver:spleen attenuation ratio (L:S ratio). The percentage increase in liver–spleen attenuation (≤1) in the PS + FO group was 36 % (P = 0·083), higher than those in the other three groups (PS group, 11 %, P = 0·519; FO group, 18 %, P = 0·071; PO group, 15 %, P = 0·436). Compared with baseline, transforming growth factor-β (TGF-β) was significantly decreased in the three study groups at the end of the trial (PS, P = 0·000; FO, P = 0·002; PS + FO, P = 0·001) and TNF-α was significantly decreased in the FO group (P = 0·036), PS + FO group (P = 0·005) and PO group (P = 0·032) at the end of the intervention. Notably, TGF-β was reduced significantly more in the PS + FO group than in the PO group (P = 0·032). The TAG and total cholesterol levels of the PS + FO group were reduced by 11·57 and 9·55 %, respectively. In conclusion, co-supplementation of PS and EPA + DHA could increase the effectiveness of treatment for hepatic steatosis.
Three-dimensional nano-mulberries consisting of SnO2 nanoparticles have been successfully anchored onto the surfaces of reduced graphene oxide (RGO) to construct hierarchical hybrids—SnO2@RGO with a one-pot approach. The SnO2 nano-mulberries with different amounts of RGO have been produced for optimizing their composition effect on Li storage performance. Specifically, SnO2@RGO hybrids incorporated with optimized amount of RGO nanosheets (∼20.8%) exhibit highly enhanced capacity of ∼1025 mA h/g at 0.1 A/g and a reversible capacity of 750 mA h/g over 100 cycles at 0.2 A/g. The materials also deliver much better rate performance with average specific capacity of ∼498 mA h/g at 2 A/g in comparison with that of SnO2 nano-mulberries. After cycling for 600 times at 1 A/g, the SnO2@RGO electrodes still maintain high reversible capacity of ∼602 mA h/g, corresponding to 35% of the second cycle and 133% of the 70th discharge capacity.
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.
The collimated electron jets ejected from cylindrical plasma are produced in particle-in-cell simulation under the applied longitudinal magnetostatic field and radial electrostatic field, which is a process that can be conveniently performed in a laboratory. We find that the applied magnetostatic field contributes significantly to the jet collimation, whereas the applied electrostatic field plays a vital role in the jet formation. The generation mechanism of collimated jets can be well understood through energy gain of the tagged electrons, and we conclude that the longitudinal momentum of the electrons is converted from the transverse momentum via the transverse-induced magnetic field. It has been found that the ejecting velocity of the jets is close to the speed of light when the applied electrostatic field reaches 3 × 1010 V/m. The present scheme may also give us an insight into the formation of astrophysical jets in celestial bodies.
A series of Ag2S/Ag2WO4 composite microrods with different Ag2S contents (10–50 wt%) were synthesized via a facile successive precipitation route. The texture and optical properties of the pure Ag2S, Ag2WO4, and Ag2S/Ag2WO4 composites were intensively characterized by some physicochemical characterizations like N2 physical adsorption, x-ray diffraction, scanning electron microscopy, Fourier transform infrared spectroscopy, Ultraviolet–visible spectroscopy, x‐ray photoelectron spectroscopy, photoluminescence spectroscopy, and photocurrent measurements. Under visible light irradiation, different organic dyes, e.g., methylene blue and methyl orange dye were applied to evaluate the photocatalytic performances by their photocatalytic degradation reactions. The Ag2S/Ag2WO4 composite microrods exhibited superior photocatalytic activity and stability. The high crystallinity of Ag2WO4 and improved texture properties of Ag2S/Ag2WO4 resulted in their enhanced photocatalytic property. More importantly, the Ag2S/Ag2WO4 heterojunctions with matching electronic band structures obviously enhanced the separation of photo‐generated electrons and holes, further promoting the photocatalytic reaction.
Novel 1–1.5 μm BiOCl0.5Br0.5 composite microspheres were prepared by coprecipitation method, then calcined at different temperatures. The BiOCl0.5Br0.5 samples before and after calcination were characterized by powder x-ray diffraction, thermogravimetric analysis, N2-physical adsorption, scanning electron microscopy, Fourier transformed infrared spectroscopy, and UV-Vis diffuse reflectance spectroscopy. The photocatalytic activity of the samples was evaluated by photocatalytic degradation of Rhodamine B under visible light irradiation. The results showed that the thermostability of BiOCl0.5Br0.5 composite microspheres is lower than BiOCl and higher than BiOBr. Heat treatment at low 500 °C could obviously improve the crystallinity of BiOCl0.5Br0.5 microspheres, resulting in a significant increase in activity. BiOCl0.5Br0.5 microspheres calcined at 450 °C displayed the highest activity and stability. At elevated temperature calcination (600–800 °C), phase transition occurred over BiOCl0.5Br0.5. Br element was gradually lost and new phase of Bi24O31Br10 appeared. High temperature calcination did not change the morphology of BiOCl0.5Br0.5, but the surface area and surface OH groups decreased, which resulted in a large decrease in activity.
To solve the problem of attitude determination using magnetometers independently and uniquely, which is important for underwater vehicles, a type of full attitude determination method based on geomagnetic gradient tensor is proposed in this paper. In this method, a group of non-linear equations concerning geomagnetic gradient tensors is established, where a quaternion is selected to calculate three attitude angles of an underwater vehicle. The optimal quaternion is estimated using Newton Down-hill to optimise the object function. The detailed steps of the full attitude determination based on geomagnetic gradient tensor are given, and the effects of the initial angle error and the sensor noise on the attitude determination are investigated. Simulations show that the algorithm can identify precisely and quickly the attitudes even in the presence of larger initial angle error and sensor noise, which proves the attitude determination algorithm.
An advanced cone-nanolayer target with nanolayers on both inside and outside of the hollow-cone tip is proposed. Two-dimensional particle-in-cell simulations show that laser interaction with such cone-nanolayer targets can efficiently produce fast electron beams with manageable spotsize, and the beams can propagate for a relatively long distance in the vacuum beyond the cone tip.
In order to improve the total laser-proton energy conversion efficiency, a nanobrush target is proposed for proton acceleration and investigated by two-dimensional particle-in-cell simulation. The simulation results show that the nanobrush target significantly enhances the energy and number of hot electrons through the target rear side. Compared with plain target, the sheath field on the rear surface is increased near 100% and the total laser-proton energy conversion efficiency is prompted more than 70%. Furthermore, the proton divergence angle is less than 30° by using nanobrush target. The proposed target may serve as a new method to increase the energy conversion efficiency from laser to protons.
Elimination of degenerate epitaxy in the growth of icosahedral boron arsenide (B12As2, abbreviated as IBA) was achieved on m-plane 15R-SiC substrates and 4H-SiC substrates intentionally misoriented by 7 degrees from (0001) towards [1-100]. Synchrotron white beam x-ray topography (SWBXT) revealed that only single orientation IBA was present in the epitaxial layers demonstrating the absence of twin variants which dominantly constitute the effects of degenerate epitaxy. Additionally, low asterism in the IBA diffraction spots compared to those grown on other SiC substrates indicates a superior film quality. Cross-sectional high resolution transmission electron microscopy (HRTEM) and scanning transmission electron microscopy (STEM) both confirmed the absence of twins in the IBA films and their high quality. The ease of nucleation on the ordered step structures present on these unique substrates overrides symmetry considerations that drive degenerate epitaxy and dominates the nucleation process of the IBA.
It is shown that an intense laser pulse can be focused by a conical channel. This anomalous light focusing can be attributed to a hitherto ignored effect in nonlinear optics, namely that the boundary response depends on the light intensity: the inner cone surface is ionized and the laser pulse is in turn modified by the resulting boundary plasma. The interaction creates a new self-consistently evolving light-plasma boundary, which greatly reduces reflection and enhances forward propagation of the light pulse. The hollow cone can thus be used for attaining extremely high light intensities for applications in strong-field and high energy-density physics and other areas.
In this work, 4H-SiC substrates intentionally misoriented from the (0001) plane toward [1-100] direction are shown to eliminate rotational twinning in icosahedral boron arsenide (B12As2, abbreviated here as IBA) epitaxial films. Previous studies of IBA on other substrates, including (100), (110), (111) Si and (0001) 6H-SiC, produced polycrystalline and twinned epilayers. Comparisons of IBA on on-axis and off-axis c-plane 4H-SiC by synchrotron white beam x-ray topography (SWBXT), and high resolution transmission electron microscopy (HRTEM) confirm the single crystalline and much higher quality of the films on the latter substrates. Furthermore, no intermediate layer between the epilayer and substrate was observed for IBA on off-axis 4H-SiC. Steps formed on the off-axis 4H-SiC substrate surface before deposition cause the film to adopt a single orientation, a process that is not seen with substrates with either no misorientation, or those tilted toward the [11-20] direction. This work demonstrates that c-plane 4H-SiC with 7° offcut toward (1-100) is potentially a good substrate choice for the growth of high-quality, untwinned B12As2 epilayers for future device applications.
The defect structure in B12As2 epitaxial layers grown at two different temperatures on (0001) 6H-SiC by chemical vapor deposition (CVD) was studied using synchrotron white beam x-ray topography (SWBXT) and high resolution transmission electron microscopy (HRTEM). The observed differences in microstructures were correlated with the differences in nucleation at the two growth temperatures. The effect of the difference in microstructure on macroscopic properties of the B12As2 was illustrated using the example of thermal conductivity which was measured using the 3-ω technique. The relationship between the measured thermal conductivity and observed microstructures is discussed.
We produced a new metal-core piezoelectric fiber by means of both hydrothermal and extrusion methods. The insertion of a metal core was significant in view of its strength—greater than that of ceramic materials—and in that electrodes are not required in the fiber's sensor and actuator applications. A new smart board was designed by mounting these piezoelectric fibers on the surface of a CFRP composite, and the sensor and the actuator function were evaluated. We showed that self-sensing was possible using this smart board. And function as a sensor and actuator, this board can control the vibration.
Electron acceleration by the ponderomotive force of a laser pulse with duration less than the plasma wavelength in inhomogeneous underdense plasmas is studied by two-dimensional relativistic parallel particle-in-cell (PIC) code. Particular attention is paid to the mechanism of electron acceleration associated with the increasing group velocity of the laser pulse. In an underdense plasma layer with linearly descending density profile, the accelerated electrons move together with the laser pulse which propagates with increasing group velocity. In an inhomogeneous pre-plasma with linearly ramping density profile, as the incident laser propagates up the density gradient with decreasing group velocity, ponderomotive acceleration is reduced compared with the uniform pre-plasma. As the reflected laser propagates down the density gradient with increasing group velocity, the ponderomotive acceleration by the reflected laser is more effective due to increasing group velocity of the reflected light and the return currents induced by the incident laser light. Relativistic electrons with multi-tens-MeV energies are generated.