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 Righi–Leduc heat flux generated by the self-generated magnetic field in the ablative Rayleigh–Taylor instability driven by a laser irradiating thin targets is studied through two-dimensional extended-magnetohydrodynamic simulations. The perturbation structure gets into a low magnetization state though the peak strength of the self-generated magnetic field could reach hundreds of teslas. The Righi–Leduc effect plays an essential impact both in the linear and nonlinear stages, and it deflects the total heat flux towards the spike base. Compared to the case without the self-generated magnetic field included, less heat flux is concentrated at the spike tip, finally mitigating the ablative stabilization and leading to an increase in the velocity of the spike tip. It is shown that the linear growth rate is increased by about 10% and the amplitude during the nonlinear stage is increased by even more than 10% due to the feedback of the magnetic field, respectively. Our results reveal the importance of Righi–Leduc heat flux to the growth of the instability and promote deep understanding of the instability evolution together with the self-generated magnetic field, especially during the acceleration stage in inertial confinement fusion.

The three-dimensional dynamic behaviour of a tip vortex generated by a NACA $66_2$-415 hydrofoil is investigated under wetted flow and cavitating conditions using time-resolved tomographic particle image velocimetry. Two main cavitation modes are studied, namely the breathing and double-helical modes. The time-averaged flow field consists of a system of two streamwise vortices for all three conditions. The shape of the tip vortex resembles that of the cavitation mode, instead of a circular cylinder. Multi-scale vortical structures are captured in the instantaneous flow field. The surface oscillation of the cavity contributes to the growth of Kelvin–Helmholtz instability over the tip vortex, leading to the onset of hairpin vortices. Stronger spanwise interaction between the tip vortex and flow separation of the hydrofoil is produced by cavitation, further intensifying the perturbation growth. The proper orthogonal decomposition analysis gives insight into the relationship between cavity oscillation and vortex instability. Two major types of unstable modes of the tip vortex are obtained, leading to serpentine centreline displacement and elliptical deformation motion. The selection of the dominant unstable mode is associated with cavity surface oscillation. For the wetted flow condition, the displacement mode dominates the growth of vortex perturbation, while for breathing mode cavitation, the most energetic unstable mode changes into an elliptical deformation pattern, the disturbance energy of which is negligible in the wetted flow condition. Consistency is found between the peak frequency of the deformation mode and the cavity resonance frequency, indicating the contribution of cavity oscillation to the disturbance growth and breakdown of the tip vortex.

Big data has been reported widely to facilitate epidemic prevention and control in health care during the coronavirus disease 2019 (COVID-19) pandemic. However, there is still a lack of practical experience in applying it to hospital prevention and control. This study is devoted to the practical experience of design and implementation as well as the preliminary results of an innovative big data-driven COVID-19 risk personnel screening management system in a hospital. Our screening system integrates data sources in four dimensions, which includes Health Quick Response (QR) code, abroad travelling history, transportation close contact personnel and key surveillance personnel. Its screening targets cover all patients, care partner and staff who come to the hospital. As of November 2021, nearly 690 000 people and 5.79 million person-time had used automated COVID-19 risk screening and monitoring. A total of 10 376 person-time (0.18%) with abnormal QR code were identified, 242 person-time with abroad travelling history were identified, 925 person-time were marked based on the data of key surveillance personnel, no transportation history personnel been reported and no COVID-19 nosocomial infection occurred in the hospital. Through the application of this system, the hospital's expenditure on manpower and material resources for epidemic prevention and control has also been significantly reduced. Collectively, this study has proved to be an effective and efficient model for the use of digital health technology in response to the COVID-19 pandemic. Based on the data from multiple sources, this system has an irreplaceable role in identifying close contacts or suspicious person, and can significantly reduce the social burden caused by COVID-19, especially the human resources and economic costs of hospital prevention and control. It may provide guidance for clinical epidemic prevention and control in hospitals, as well as for future public health emergencies.

Pyroptosis is a recently identified mechanism of programmed cell death related to Caspase-1 that triggers a series of inflammatory reactions by releasing several proinflammatory factors such as IL-1β and IL-18. The process is characterised by the rupture of cell membranes and the release of cell contents through the mediation of gasdermin (GSDM) proteins. GSDMD is an important member of the GSDM family and plays a critical role in the two pathways of pyroptosis. Diabetic nephropathy (DN) is a microvascular complication of diabetes and a major cause of end-stage renal disease. Recently, it was revealed that GSDMD-mediated pyroptosis plays an important role in the occurrence and development of DN. In this review, we focus on two types of kidney cells, tubular epithelial cells and renal podocytes, to illustrate the mechanism of pyroptosis in DN and provide new ideas for the prevention, early diagnosis and molecular therapy of DN.

In this paper we give an answer to Furstenberg’s problem on topological disjointness. Namely, we show that a transitive system $(X,T)$ is disjoint from all minimal systems if and only if $(X,T)$ is weakly mixing and there is some countable dense subset $D$ of $X$ such that for any minimal system $(Y,S)$, any point $y\in Y$ and any open neighbourhood $V$ of $y$, and for any non-empty open subset $U\subset X$, there is $x\in D\cap U$ such that $\{n\in \mathbb{Z}_{+}:T^{n}x\in U,S^{n}y\in V\}$ is syndetic. Some characterization for the general case is also given. By way of application we show that if a transitive system $(X,T)$ is disjoint from all minimal systems, then so are $(X^{n},T^{(n)})$ and $(X,T^{n})$ for any $n\in \mathbb{N}$. It turns out that a transitive system $(X,T)$ is disjoint from all minimal systems if and only if the hyperspace system $(K(X),T_{K})$ is disjoint from all minimal systems.

Previous neuroimaging studies demonstrated that retinal detachment (RD) subjects were associated with abnormal spontaneous brain activities; however, whether the altered interhemispheric functional connectivity (FC) occurred in RD patients remains unknown. The current study tried to explore the alternations of interhemispheric FC of the whole brain in unilateral RD patients using the voxel-mirrored homotopic connectivity (VMHC) method and their connections to clinical features. Methods: We recruited 30 patients with RD (16 males and 14 females) and 30 healthy controls (HCs) (16 males and 14 females) whose age and sex were closely matched. All subjects underwent the rs-fMRI scans. The VMHC method was applied to directly assess the hemispheres’ functional interaction. The VMHC in these brain areas, which could be used as biomarkers to differentiate RD from HC, was identified by the receiver operating characteristic (ROC) curve analyses. The relations between these patients’ clinical features and their mean VMHC signal values in multiple brain regions were calculated by Pearson correlation analysis. Results: RD patients had significantly lower VMHC values than HCs in the bilateral occipital lobe (Brodmann areas, BA 18), bilateral superior temporal gyrus (BA 39), and bilateral cuneus (BA 19). Moreover, the mean VMHC signal values of the bilateral cuneus were in positive correlation with the duration of the RD (r = 0.446, P = 0.013). Conclusion: Our results provided an evidence of disturbed interhemispheric FC in the visual area occurred in RD patients, which might provide some useful information to understand the neural mechanism of RD patients with acute vision loss. Furthermore, the VMHC values might indicate the progress of the RD.

In high power laser facility for inertial confinement fusion research, final optics assembly (FOA) plays a critical role in the frequency conversion, beam focusing, color separation, beam sampling and debris shielding. The design and performance of FOA in SG-II Upgrade laser facility are mainly introduced here. Due to the limited space and short focal length, a coaxial aspheric wedged focus lens is designed and applied in the FOA configuration. Then the ghost image analysis, the focus characteristic analysis, the B integral control design and the optomechanical design are carried out in the FOA design phase. In order to ensure the FOA performance, two key technologies are developed including measurement and adjustment technique of the wedged focus lens and the stray light management technique based on ground glass. Experimental results show that the design specifications including laser fluence, frequency conversion efficiency and perforation efficiency of the focus spot have been achieved, which meet the requirements of physical experiments well.

The Shen-Guang II Upgrade (SG-II-U) laser facility consists of eight high-power nanosecond laser beams and one short-pulse picosecond petawatt laser. It is designed for the study of inertial confinement fusion (ICF), especially for conducting fast ignition (FI) research in China and other basic science experiments. To perform FI successfully with hohlraum targets containing a golden cone, the long-pulse beam and cylindrical hohlraum as well as the short-pulse beam and cone target alignment must satisfy tight specifications (30 and $20~\unicode[STIX]{x03BC}\text{m}$ rms for each case). To explore new ICF ignition targets with six laser entrance holes (LEHs), a rotation sensor was adapted to meet the requirements of a three-dimensional target and correct beam alignment. In this paper, the strategy for aligning the nanosecond beam based on target alignment sensor (TAS) is introduced and improved to meet requirements of the picosecond lasers and the new six LEHs hohlraum targets in the SG-II-U facility. The expected performance of the alignment system is presented, and the alignment error is also discussed.

More than 200 molecular clouds were newly found distributed beyond the Outer arm in the extreme outer Galaxy (EOG) region by MWISP. Those MCs roughly following the HI′s distribution well delineate the outermost spiral structure (the Outer Scutum-Centaurus arm) and warp of our Galaxy. Besides, those MCs show different σv-Radius relation and exhibit higher value of αvir than MCs in the inner Galaxy.

The ordering of polarization field of inhomogeneous ferroelectric systems were investigated. We found that these systems exhibit rather complex polarization ordering behaviors with the coexistence of polar and toroidal ordering, and particularly, a novel and tunable polar-toroidal phase transformation under external mechanical, electrical or thermal fields. Accompanying with this polar-toroidal phase transformation, there is a large change of polarization and strain. As a result, large eletromechanical and thermomechanical performance can be achieved in these systems. The polar/toroidal phase boundaries can be regarded a new kind of morphotropic phase boundary (MPB). The polar-toroidal phase transformation in nanoscale ferroelectric systems should provide us a novel strategy to develop energy conversion nanodevices.

The acquisition and tracking strategies of the BeiDou navigation satellite signals are affected by the modulation of Neumann-Hoffman code (NH code), which increases the complexity of receiver baseband signal processing. Based on the analysis of probability statistics of the NH code, a special sequence of incoming signals is proposed to evade the bit transitions caused by the NH code, and an NH Code Evasion and Stripping method (NCES) based on the NH-pre-modulated code is proposed. The NCES can be applied in both 20-bit NH code and 10-bit NH code. The fine acquisition eliminates the impact of NH code on the traditional tracking loop. These methods were verified with a BeiDou PC-based software-defined receiver using the actual sampled signals. Compared with other acquisition schemes which try to determine or ignore the NH code phase, the NCES needs fewer incoming signals and the actual runtime is greatly reduced without sacrificing much time to search in the secondary code dimension, and the success rate of acquisition is effectively improved. An extension of Fast Fourier Transform (FFT)-based parallel code-phase search acquisition gives the NCES an advantage in engineering applications.

Beyond the traditional phase conversion or biphase mixing hybrid, we developed the dilute magnesium-doped wollastonite inks and three-dimensional (3D) printing approaches to fabricate the ultrahigh strength bioceramic porous scaffolds. The mechanical strength (>120 MPa) of the porous bioceramics was an order of magnitude higher than the pure wollastonite and other stoichiometric Ca–Mg silicate porous bioceramics. This abnormal but expected improvement in strength in bioceramic scaffolds is equivalent or even superior to the mechanical requirement in load-bearing bone defects. The breakthrough is totally unexpected, and it quickly opens the door for the 3D printing bioceramics manufacture and large-area segmental bone defect repair applications.

Deterministic lateral displacement (DLD) technology is a newly developed method which can separate microscale and nanoscale particles continuously and efficiently. In this paper, a direct numerical simulation method (i.e. a fictitious domain method) is used to simulate the motion of an elastic particle (modelled as homogeneously elastic body) in the DLD device. The effects of the particle deformability on the critical separation diameter are investigated. Our results indicate that there exists a critical deformability, below which the critical diameter decreases with increasing deformability, whereas beyond which the critical diameter increases with increasing deformability. The reasons are discussed via the consideration of the effects of the particle deformation and the lubrication force on the lateral position of the particle centre point. In addition, our results show that the increase in the gap distance between adjacent posts in both directions or in the longitudinal direction alone leads to the increase in the critical particle size with respect to the gap size, which can be explained by the lateral position of the separation streamline of the undisturbed flow.

Screw implantation inevitably causes microdamage in surrounding bone. However, little is known about the detailed characteristics of microdamage in peri-screw bone. In this study, we developed a method to construct microdamage cast with methylmethacrylate (MMA) and observed the cast using scanning electron microscopy (SEM). In basic fuchsin stained bone sections observed by bright-field and fluorescence microscopy, diffuse damage, cross-hatched damage, and linear cracks were all presented in peri-screw bone. Using MMA casting/SEM method, we found numerous densely packed microcracks in the areas with diffuse damage. The osteocyte canaliculi and the microcracks consisting of diffuse damage had a similar diameter (or width), usually <0.5 μm, but their morphology was largely different. In the area with cross-hatched damage, the orientation of microcracks was similar to that in diffuse damage, but the number was significantly decreased. Many microcracks were thicker than 1 μm and associated with a rough surface. Large linear cracks (∼10 μm in diameter) occurred in different areas. Plenty of microcracks were present on the surface of some linear cracks. In conclusion, the MMA casting/SEM method can demonstrate the three-dimensional morphology of different types of microdamage, particularly the microcracks in diffuse damage, which are unable to be shown by light microscopy.

An ∞-step nilsystem is an inverse limit of minimal nilsystems. In this article, it is shown that a minimal distal system is an ∞-step nilsystem if and only if it has no non-trivial pairs with arbitrarily long finite IP-independence sets. Moreover, it is proved that any minimal system without non-trivial pairs with arbitrarily long finite IP-independence sets is an almost one-to-one extension of its maximal ∞-step nilfactor, and each invariant ergodic measure is isomorphic (in the measurable sense) to the Haar measure on some ∞-step nilsystem. The question if such a system is uniquely ergodic remains open. In addition, the topological complexity of an ∞-step nilsystem is computed, showing that it is polynomial for each non-trivial open cover.

Let (X,T) be a topologically transitive dynamical system. We show that if there is a subsystem (Y,T) of (X,T) such that (X×Y,T×T) is transitive, then (X,T) is strongly chaotic in the sense of Li and Yorke. We then show that many of the known sufficient conditions in the literature, as well as a few new results, are corollaries of this statement. In fact, the kind of chaotic behavior we deduce in these results is a much stronger variant of Li–Yorke chaos which we call uniform chaos. For minimal systems we show, among other results, that uniform chaos is preserved by extensions and that a minimal system which is not uniformly chaotic is PI.

This paper discusses some of the highly interesting effects that occur when photons interact with carbon nanotubes. From position dependent photoconductivity of nanotube thin films to photon induced elastic actuation of carbon nanotubes is presented. A new field of micro-opto-mechanical systems (MOMS) is envisioned through the miniaturization of nanotube actuators using MEMS and CMOS processes. Number of remotely controlled MOMS devices including MOMS grippers, MOMS cantilevers and MOMS mirrors are presented. The performance of these devices rivals their MEMS electrostatic counterparts while consuming only fraction of energy and enabling remote controllability. Finally, the interaction of light with nanotubes for biomedical nanotechnology and photodynamic cancer therapy is presented.

We report the integration of single wall carbon nanotube ensembles into micro-mechanical systems to realize a new carbon nanotube micro-optomechanical system (CNT-MOMS). CNT-MOM grippers were fabricated with CMOS compatible techniques involving nanotube film formation, wafer bonding, photo-lithography, plasma etching and dry release. MOM-grippers displacement of ∼24μm was obtained from a gripper of 430μm in length under infra-red laser stimulus and continuous operation of more than 100,000 cycles was acquired. The optical power consumption of the gripper operation was estimated to be as small as ∼240μW. This study is a good example of how nano-materials could be integrated into CMOS compatible techniques for applications in high performance MEMS and nanoscale actuation technologies.