s u m m a r yBackground: The ongoing outbreak of COVID-19 pneumonia is globally concerning. We aimed to investigate the clinical and CT features in the pregnant women and children with this disease, which have not been well reported. Methods: Clinical and CT data of 59 patients with COVID-19 from January 27 to February 14, 2020 were retrospectively reviewed, including 14 laboratory-confirmed non-pregnant adults, 16 laboratory-confirmed and 25 clinically-diagnosed pregnant women, and 4 laboratory-confirmed children. The clinical and CT features were analyzed and compared. Findings: Compared with the non-pregnant adults group ( n = 14), initial normal body temperature (9 [56%] and 16 [64%]), leukocytosis (8 [50%] and 9 [36%]) and elevated neutrophil ratio (14 [88%] and 20 [80%]), and lymphopenia (9 [56%] and 16 [64%]) were more common in the laboratory-confirmed ( n = 16) and clinically-diagnosed ( n = 25) pregnant groups. Totally 614 lesions were detected with predominantly peripheral and bilateral distributions in 54 (98%) and 37 (67%) patients, respectively. Pure ground-glass opacity (GGO) was the predominant presence in 94/131 (72%) lesions for the non-pregnant adults. Mixed consolidation and complete consolidation were more common in the laboratory-confirmed (70/161 [43%]) and clinically-diagnosed (153/322 [48%]) pregnant groups than 37/131 (28%) in the non-pregnant adults ( P = 0 ·007, P < 0 ·001). GGO with reticulation was less common in 9/161 (6%) and 16/322 (5%) lesions for the two pregnant groups than 24/131 (18%) for the non-pregnant adults ( P = 0 ·001, P < 0 ·001). The pulmonary involvement in children with COVID-19 was mild with a focal GGO or consolidation. Twentythree patients underwent follow-up CT, revealing progression in 9/13 (69%) at 3 days whereas improvement in 8/10 (80%) at 6-9 days after initial CT scans. Interpretation: Atypical clinical findings of pregnant women with COVID-19 could increase the difficulty in initial identification. Consolidation was more common in the pregnant groups. The clinically-diagnosed cases were vulnerable to more pulmonary involvement. CT was the modality of choice for early detection, severity assessment, and timely therapeutic effects evaluation for the cases with epidemic and clinical features of COVID-19 with or without laboratory confirmation. The exposure history and clinical symptoms were more helpful for screening in children versus chest CT.
Sequential recommendation, which aims to recommend next item that the user will likely interact in a near future, has become essential in various Internet applications. Existing methods usually consider the transition patterns between items, but ignore the transition patterns between features of items. We argue that only the item-level sequences cannot reveal the full sequential patterns, while explicit and implicit feature-level sequences can help extract the full sequential patterns. In this paper, we propose a novel method named Feature-level Deeper Self-Attention Network (FDSA) for sequential recommendation. Specifically, FDSA first integrates various heterogeneous features of items into feature sequences with different weights through a vanilla mechanism. After that, FDSA applies separated self-attention blocks on item-level sequences and feature-level sequences, respectively, to model item transition patterns and feature transition patterns. Then, we integrate the outputs of these two blocks to a fully-connected layer for next item recommendation. Finally, comprehensive experimental results demonstrate that considering the transition relationships between features can significantly improve the performance of sequential recommendation.
Japanese encephalitis (JE) is arguably one of the most serious viral encephalitis diseases worldwide. China has a long history of high prevalence of Japanese encephalitis, with thousands of cases reported annually and incidence rates often exceeding 15/100,000. In global terms, the scale of outbreaks and high incidence of these pandemics has almost been unique, placing a heavy burden on the Chinese health authorities. However, the introduction of vaccines, developed in China, combined with an intensive vaccination program initiated during the 1970s, as well as other public health interventions, has dramatically decreased the incidence from 20.92/100,000 in 1971, to 0.12/100,000 in 2011. Moreover, in less readily accessible areas of China, changes to agricultural practices designed to reduce chances of mosquito bites as well as mosquito population densities have also been proven effective in reducing local JE incidence. This unprecedented public health achievement has saved many lives and provided valuable experience that could be directly applicable to the control of vector-borne diseases around the world. Here, we review and discuss strategies for promotion and expansion of vaccination programs to reduce the incidence of JE even further, for the benefit of health authorities throughout Asia and, potentially, worldwide.
Inspired by strong mechanical stability of "Y"-shaped beams for building construction, we design a new class of quasi-one-dimensional graphene nanostructures, namely, tri-wing graphene (TWG) nanoribbons. TWG possesses significantly augmented mechanical stability against torsional and compression forces, and also each wing of the TWG can retain independent electronic properties of the constituent graphene nanoribbons. As such, by tailoring the wing structures, the TWGs can provide broader property tunability for nanoelectronic application. In addition, zigzag-edged TWG is a metallic ferromagnet with a large magnetic moment. When its edges are decorated with suitable chemical functional groups, a TWG can be converted to a half metal for potential spintronic applications.
Soil moisture products acquired from passive satellite missions have been widely applied in environmental processes. A primary challenge for the use of soil moisture products from passive sensors is their reliability. It is crucial to evaluate the reliability of those products before they can be routinely used at a global scale. In this paper, we evaluated the Soil Moisture Active/Passive (SMAP) and the Advanced Microwave Scanning Radiometer (AMSR2) radiometer soil moisture products against in situ measurements collected from American networks with four statistics, including the mean difference (MD), the root mean squared difference (RMSD), the unbiased root mean square error (ubRMSE) and the correlation coefficient (R). The evaluation results of SMAP and AMSR2 soil moisture products were compared. Moreover, the triple collocation (TC) error model was used to assess the error among AMSR2, SMAP and in situ data. The monthly average and daily AMSR2 and SMAP soil moisture data were analyzed. Different spatial series, temporal series and combined spatial-temporal analysis were carried out. The results reveal that SMAP soil moisture retrievals are generally better than AMSR2 soil moisture data. The remotely sensed retrievals show the best agreement with in situ measurements over the central Great Plains and cultivated crops throughout the year. In particular, SMAP soil moisture data shows a stable pattern for capturing the spatial distribution of surface soil moisture. Further studies are required for better understanding the SMAP soil moisture product.
In situ detection and monitoring of telomerase is of great importance as it is a relatively specific cancer target. However, the complexity of the biological system makes it difficult for the nanoprobe to keep absolutely stable and have a low background in living cells. This study designs a probe termed Förster resonance energy transfer (FRET) nanoflare to achieve ratiometric fluorescent detection of intracellular telomerase with higher specificity, which can effectively resist the disturbance from DNase I and GSH, etc. The probe is composed of a gold nanoparticle (AuNP) which is functioned with telomerase primer sequences (TS) and flares fluorescently labeled donors and acceptors at two terminals. In the presence of telomerase, flares are displaced from the primer sequences and form hairpin structures, so that the donors and acceptors are brought into close proximity, resulting in high FRET efficiency. The probe exhibits good performance for efficiently distinguishing tumor cells from normal cells and monitoring the change of intracellular telomerase activity during treatment with telomerase-related drugs, showing great potential for cancer diagnosis and estimating therapeutic effect.
Quantification of trace serum circulate microRNAs is extremely important in clinical diagnosis but remains a great challenge. Herein we developed an ultrasensitive platform for microRNA 141 (miR-141) detection based on a silver coated gold nanorods (Au@Ag NRs) etching process accompanied by surface plasmon resonance (SPR) shift. Both SPR absorption and scattering responses were monitored. Combined amplification cascades of catalyzed hairpin assembly (CHA) and hybridization chain reaction (HCR) with the sensitive SPR responses of plasmonic Au@Ag NRs, the proposed bioassay exhibited ultrahigh sensitivity toward miRNA-141 with dynamic range from 5.0 × 10 M to 1.0 × 10 M. With target concentration higher than 1.0 × 10 M, the color of the solution changed obviously that could be observed with naked eyes. Under dark-field microscopy observation of individual particle, a limit of detection down to 50 aM could be achieved. Owing to the superior sensitivity and selectivity, the proposed method was applied to detecting trace microRNA in serum. Similar SPR assays could be developed simply by redesigning the switching aptamer for the detections of other microRNAs or targets such as small molecule, DNA, or protein. Considering the convenient operation, good performance and simple observation modes of this method, it may have great potential in trace bioanalysis for clinical applications.
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