•The rapid diagnosis of COVID-19 patients is essential to reduce the disease spread.•The detection limits between rapid antigen detection (RAD) test, viral culture and RT-PCR varied hugely.•The RAD ...test was 103 fold less sensitive than viral culture while RAD was 105 fold less sensitive than RT-PCR.•The RAD test detected between 11.1 % and 45.7 % of RT-PCR-positive samples from COVID-19 patients.•The RAD test serves only as adjunct to RT-PCR test because of potential for false-negative results.
The rapid diagnosis of Coronavirus Disease 2019 (COVID-19) patients is essential to reduce the disease spread. Rapid antigen detection (RAD) tests are available, however, there is scanty data on the performance of RAD tests.
To evaluate the performance of the commercially available BIOCREDIT COVID-19 Ag test and compare it with RT-PCR for detecting Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) virus. Analytical sensitivity for the detection of SARS-CoV-2 virus was determined for the RAD test using viral culture and RT-PCR as reference methods. The RAD test was further evaluated using respiratory samples collected from confirmed COVID-19 patients. The results were compared with RT-PCR test.
The detection limits between RAD test, viral culture and RT-PCR varied hugely. RAD was 103 fold less sensitive than viral culture while RAD was 105 fold less sensitive than RT-PCR. The RAD test detected between 11.1 % and 45.7 % of RT-PCR-positive samples from COVID-19 patients.
This study demonstrated that the RAD test serves only as adjunct to RT-PCR test because of potential for false-negative results.
Fundamental to the onset of the Indian Summer Monsoon is the land‐sea thermal gradient from the Indian Ocean to the Himalayas‐Tibetan Plateau (HTP). The timing of the onset is strongly controlled by ...the meridional tropospheric temperature gradient due to the rapid pre‐monsoon heating of the HTP compared to the relatively cooler Indian Ocean. Analysis of tropospheric temperatures from the longest available record of microwave satellite measurements reveals widespread warming over the Himalayan‐Gangetic region and consequent strengthening of the land‐sea thermal gradient. This trend is most pronounced in the pre‐monsoon season, resulting in a warming of 2.7°C in the 29‐year record (1979–2007), when this region is strongly influenced by dust aerosols at elevated altitudes. The enhanced tropospheric warming is accompanied by increased atmospheric loading of absorbing aerosols, particularly vertically extended dust aerosols, raising the possibility that aerosol solar heating has amplified the seasonal warming and in turn strengthened the land‐sea gradient.
Currently, there are two rapid antigen detection (RAD) kits from the WHO Emergency Use List for detecting SARS-CoV-2.
The Panbio COVID-19 Ag Rapid Test Device was selected to evaluate the performance ...for detecting SARS-CoV-2.
Analytical sensitivity for the detection of SARS-CoV-2 virus was determined by limit of detection (LOD) using RT-PCR as a reference method. Clinical sensitivity was evaluated by using respiratory specimens collected from confirmed COVID-19 patients.
The LOD results showed that the RAD kit was 100 fold less sensitive than RT-PCR. Clinical sensitivity of the RAD kit was 68.6 % for detecting specimens from COVID-19 patients.
The RAD kit evaluated in the present study shared similar performance with another kit from the WHO Emergency Use List, the Standard Q COVID-19 Ag. Understanding the clinical characteristics of RAD kits can guide us to decide different testing strategies in different settings.
As an emergent electronic material and model system for condensed-matter physics, graphene and its electrical transport properties have become a subject of intense focus. By performing ...low-temperature transport spectroscopy on single-layer and bilayer graphene, we observe ballistic propagation and quantum interference of multiply reflected waves of charges from normal electrodes and multiple Andreev reflections from superconducting electrodes, thereby realizing quantum billiards in which scattering only occurs at the boundaries. In contrast to the conductivity of conventional two-dimensional materials, graphene's conductivity at the Dirac point is geometry-dependent because of conduction via evanescent modes, approaching the theoretical value 4e²/πh (where e is the electron charge and h is Planck's constant) only for short and wide devices. These distinctive transport properties have important implications for understanding chaotic quantum systems and implementing nanoelectronic devices, such as ballistic transistors.
We present numerical simulations of internal gravity waves (IGW) in a star with a convective core and extended radiative envelope. We report on amplitudes, spectra, dissipation, and consequent ...angular momentum transport by such waves. We find that these waves are generated efficiently and transport angular momentum on short timescales over large distances. We show that, as in Earth's atmosphere, IGW drive equatorial flows which change magnitude and direction on short timescales. These results have profound consequences for the observational inferences of massive stars, as well as their long term angular momentum evolution. We suggest IGW angular momentum transport may explain many observational mysteries, such as: the misalignment of hot Jupiters around hot stars, the Be class of stars, Ni enrichment anomalies in massive stars, and the non-synchronous orbits of interacting binaries.
Little is known about the lifetime risk of progression to diabetes in the Asian population. We determined remaining lifetime risk of diabetes and life years spent with diabetes in Chinese people with ...normoglycemia and prediabetes. Using territory-wide diabetes surveillance data curated from electronic medical records of Hong Kong Hospital Authority (HA), we conducted a population-based cohort study in 2,608,973 individuals followed from 2001 to 2019. Prediabetes and diabetes were identified based on laboratory measurements, diagnostic codes, and medication records. Remaining lifetime risk and life years spent with diabetes were estimated using Monte Carlo simulations with state transition probabilities based on a Markov chain model. Validations were performed using several sensitivity analyses and modified survival analysis. External replication was performed using the China Health and Retirement Longitudinal Survey (CHARLS) cohort (2010 to 2015). These findings suggest that Hong Kong, an economically developed city in Asia, is confronted with huge challenge of high lifetime risk of diabetes and long life years spent with diabetes, especially in people with prediabetes. Effective public health policies and targeted interventions for preventing progression to diabetes are urgently needed.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
The prevalence of type 2 diabetes has increased in both young and old people. We examined age-specific associations and population attributable fractions (PAFs) of risk factors for all-cause and ...cause-specific mortality in people with type 2 diabetes.
We analysed data from 360,202 Chinese with type 2 diabetes who participated in a territory-wide diabetes complication screening programme in Hong Kong between January 2000 and December 2019. We compared the hazard ratios and PAFs of eight risk factors, including three major comorbidities (cardiovascular disease CVD, chronic kidney disease CKD, all-site cancer) and five modifiable risk factors (suboptimal HbA1c, suboptimal blood pressure, suboptimal low-density lipoprotein cholesterol, smoking, and suboptimal weight), for mortality across four age groups (18 to 54, 55 to 64, 65 to 74, and ≥75 years). During a median 6.0 years of follow-up, 44,396 people died, with cancer, CVD, and pneumonia being the leading causes of death. Despite a higher absolute mortality risk in older people (crude all-cause mortality rate: 59.7 versus 596.2 per 10,000 person-years in people aged 18 to 54 years versus those aged ≥75 years), the relative risk of all-cause and cause-specific mortality associated with most risk factors was higher in younger than older people, after mutually adjusting for the eight risk factors and other potential confounders including sex, diabetes duration, lipid profile, and medication use. The eight risk factors explained a larger proportion of mortality events in the youngest (PAF: 51.6%, 95% confidence interval CI 39.1%, 64.0%, p < 0.001) than the oldest (PAF: 35.3%, 95% CI 27.2%, 43.4%, p < 0.001) age group. Suboptimal blood pressure (PAF: 16.9%, 95% CI 14.7%, 19.1%, p < 0.001) was the leading attributable risk factor for all-cause mortality in the youngest age group, while CKD (PAF: 15.2%, 95% CI 14.0%, 16.4%, p < 0.001) and CVD (PAF: 9.2%, 95% CI 8.3%, 10.1%, p < 0.001) were the leading attributable risk factors in the oldest age group. The analysis was restricted to Chinese, which might affect the generalisability to the global population with differences in risk profiles. Furthermore, PAFs were estimated under the assumption of a causal relationship between risk factors and mortality. However, reliable causality was difficult to establish in the observational study.
Major comorbidities and modifiable risk factors were associated with a greater relative risk for mortality in younger than older people with type 2 diabetes and their associations with population mortality burden varied substantially by age. These findings highlight the importance of early control of blood pressure, which could reduce premature mortality in young people with type 2 diabetes and prevent the onset of later CKD and related mortality at older ages.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
We assessed current status of multi-model ensemble (MME) deterministic and probabilistic seasonal prediction based on 25-year (1980-2004) retrospective forecasts performed by 14 climate model systems ...(7 one-tier and 7 two-tier systems) that participate in the Climate Prediction and its Application to Society (CliPAS) project sponsored by the Asian-Pacific Economic Cooperation Climate Center (APCC). We also evaluated seven DEMETER models' MME for the period of 1981-2001 for comparison. Based on the assessment, future direction for improvement of seasonal prediction is discussed. We found that two measures of probabilistic forecast skill, the Brier Skill Score (BSS) and Area under the Relative Operating Characteristic curve (AROC), display similar spatial patterns as those represented by temporal correlation coefficient (TCC) score of deterministic MME forecast. A TCC score of 0.6 corresponds approximately to a BSS of 0.1 and an AROC of 0.7 and beyond these critical threshold values, they are almost linearly correlated. The MME method is demonstrated to be a valuable approach for reducing errors and quantifying forecast uncertainty due to model formulation. The MME prediction skill is substantially better than the averaged skill of all individual models. For instance, the TCC score of CliPAS one-tier MME forecast of Niño 3.4 index at a 6-month lead initiated from 1 May is 0.77, which is significantly higher than the corresponding averaged skill of seven individual coupled models (0.63). The MME made by using 14 coupled models from both DEMETER and CliPAS shows an even higher TCC score of 0.87. Effectiveness of MME depends on the averaged skill of individual models and their mutual independency. For probabilistic forecast the CliPAS MME gains considerable skill from increased forecast reliability as the number of model being used increases; the forecast resolution also increases for 2 m temperature but slightly decreases for precipitation. Equatorial Sea Surface Temperature (SST) anomalies are primary sources of atmospheric climate variability worldwide. The MME 1-month lead hindcast can predict, with high fidelity, the spatial-temporal structures of the first two leading empirical orthogonal modes of the equatorial SST anomalies for both boreal summer (JJA) and winter (DJF), which account for about 80-90% of the total variance. The major bias is a westward shift of SST anomaly between the dateline and 120°E, which may potentially degrade global teleconnection associated with it. The TCC score for SST predictions over the equatorial eastern Indian Ocean reaches about 0.68 with a 6-month lead forecast. However, the TCC score for Indian Ocean Dipole (IOD) index drops below 0.40 at a 3-month lead for both the May and November initial conditions due to the prediction barriers across July, and January, respectively. The MME prediction skills are well correlated with the amplitude of Niño 3.4 SST variation. The forecasts for 2 m air temperature are better in El Niño years than in La Niña years. The precipitation and circulation are predicted better in ENSO-decaying JJA than in ENSO-developing JJA. There is virtually no skill in ENSO-neutral years. Continuing improvement of the one-tier climate model's slow coupled dynamics in reproducing realistic amplitude, spatial patterns, and temporal evolution of ENSO cycle is a key for long-lead seasonal forecast. Forecast of monsoon precipitation remains a major challenge. The seasonal rainfall predictions over land and during local summer have little skill, especially over tropical Africa. The differences in forecast skills over land areas between the CliPAS and DEMETER MMEs indicate potentials for further improvement of prediction over land. There is an urgent need to assess impacts of land surface initialization on the skill of seasonal and monthly forecast using a multi-model framework.
Surface plasmons are collective oscillations of electrons in metals or semiconductors that enable confinement and control of electromagnetic energy at subwavelength scales. Rapid progress in ...plasmonics has largely relied on advances in device nano-fabrication, whereas less attention has been paid to the tunable properties of plasmonic media. One such medium--graphene--is amenable to convenient tuning of its electronic and optical properties by varying the applied voltage. Here, using infrared nano-imaging, we show that common graphene/SiO(2)/Si back-gated structures support propagating surface plasmons. The wavelength of graphene plasmons is of the order of 200 nanometres at technologically relevant infrared frequencies, and they can propagate several times this distance. We have succeeded in altering both the amplitude and the wavelength of these plasmons by varying the gate voltage. Using plasmon interferometry, we investigated losses in graphene by exploring real-space profiles of plasmon standing waves formed between the tip of our nano-probe and the edges of the samples. Plasmon dissipation quantified through this analysis is linked to the exotic electrodynamics of graphene. Standard plasmonic figures of merit of our tunable graphene devices surpass those of common metal-based structures.
Celotno besedilo
Dostopno za:
DOBA, IJS, IZUM, KILJ, KISLJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
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