To explore the characteristics of Helicobacter pylori resistance in China and the association between antibiotic resistance and several clinical factors.
H. pylori strains were collected from ...patients in 13 provinces or cities in China between 2010 and 2016. Demographic data including type of disease, geographic area, age, gender and isolation year were collected to analyse their association with antibiotic resistance. Antibiotic resistance was detected using the Etest test and the Kirby-Bauer disc diffusion method.
H. pylori were successfully cultured from 1117 patients. The prevalence of metronidazole, clarithromycin (CLA), azithromycin, levofloxacin (LEV), moxifloxacin, amoxicillin (AMO), tetracycline and rifampicin resistance was 78.2, 22.1, 23.3, 19.2, 17.2, 3.4, 1.9 and 1.5%, respectively. No resistance to furazolidone was observed. The resistance rates to LEV and moxifloxacin were higher in strains isolated from patients with gastritis compared to those with duodenal ulcer and among women. Compared to patients ≥40 years old, younger patients exhibited lower resistance rates to CLA, azithromycin, LEV and moxifloxacin. The resistance rates to CLA and AMO were higher in strains isolated more recently, and we also found that the prevalence of resistance to metronidazole, CLA, azithromycin and AMO were significantly different among different regions of China.
The resistance rates to metronidazole, CLA and LEV were high in China. Patient age, gender, disease and location were associated with the resistance of H. pylori to some antibiotics. Furazolidone, AMO and tetracycline are better choices for H. pylori treatment in China.
Abstract
Background
Recent studies have focused on initial clinical and epidemiological characteristics of the coronavirus disease 2019 (COVID-19), which is the mainly revealing situation in Wuhan, ...Hubei.
Aim
This study aims to reveal more data on the epidemiological and clinical characteristics of COVID-19 patients outside of Wuhan, Zhejiang, China.
Design
This study was a retrospective case series.
Methods
Eighty-eight cases of laboratory-confirmed and three cases of clinically confirmed COVID-19 were admitted to five hospitals in Zhejiang province, China. Data were collected from 20 January 2020 to 11 February 2020.
Results and discussion
Of all 91 patients, 88 (96.70%) were laboratory-confirmed COVID-19 with throat swab samples that tested positive for SARS-Cov-2, three (3.30%) cases were clinically diagnosed. The median age of the patients was 50 (36.5–57) years, and female accounted for 59.34%. In this sample, 40 (43.96%) patients had contracted the disease from local cases, 31 (34.07%) patients had been to Wuhan/Hubei, eight (8.79%) patients had contacted with people from Wuhan, and 11 (12.09%) patients were diagnosed after having flown together in the same flight with no passenger that could later be identified as the source of infection. In particular within the city of Ningbo, 60.52% cases can be traced back to an event held in a temple. The most common symptoms were fever (71.43%), cough (60.44%) and fatigue (43.96%). The median of incubation period was 6 (interquartile range 3–8) days and the median time from the first visit to a doctor to the confirmed diagnosis was 1 (1–2) days. According to the chest computed tomography scans, 67.03% cases had bilateral pneumonia.
Conclusions
Social activity cluster, family cluster and flying alongside with persons already infected with COVID-19 were how people got infected with COVID-19 in Zhejiang.
The extension of the cosmic-ray spectrum beyond 1 petaelectronvolt (PeV; 10
electronvolts) indicates the existence of the so-called PeVatrons-cosmic-ray factories that accelerate particles to PeV ...energies. We need to locate and identify such objects to find the origin of Galactic cosmic rays
. The principal signature of both electron and proton PeVatrons is ultrahigh-energy (exceeding 100 TeV) γ radiation. Evidence of the presence of a proton PeVatron has been found in the Galactic Centre, according to the detection of a hard-spectrum radiation extending to 0.04 PeV (ref.
). Although γ-rays with energies slightly higher than 0.1 PeV have been reported from a few objects in the Galactic plane
, unbiased identification and in-depth exploration of PeVatrons requires detection of γ-rays with energies well above 0.1 PeV. Here we report the detection of more than 530 photons at energies above 100 teraelectronvolts and up to 1.4 PeV from 12 ultrahigh-energy γ-ray sources with a statistical significance greater than seven standard deviations. Despite having several potential counterparts in their proximity, including pulsar wind nebulae, supernova remnants and star-forming regions, the PeVatrons responsible for the ultrahigh-energy γ-rays have not yet been firmly localized and identified (except for the Crab Nebula), leaving open the origin of these extreme accelerators.
Two approaches were undertaken to characterize the arsenic (As) content of Chinese rice. First, a national market basket survey (n = 240) was conducted in provincial capitals, sourcing grain from ...China’s premier rice production areas. Second, to reflect rural diets, paddy rice (n = 195) directly from farmers fields were collected from three regions in Hunan, a key rice producing province located in southern China. Two of the sites were within mining and smeltery districts, and the third was devoid of large-scale metal processing industries. Arsenic levels were determined in all the samples while a subset (n = 33) were characterized for As species, using a new simple and rapid extraction method suitable for use with Hamilton PRP-X100 anion exchange columns and HPLC-ICP-MS. The vast majority (85%) of the market rice grains possessed total As levels < 150 ng g−1. The rice collected from mine-impacted regions, however, were found to be highly enriched in As, reaching concentrations of up to 624 ng g−1. Inorganic As (Asi) was the predominant species detected in all of the speciated grain, with Asi levels in some samples exceeding 300 ng g−1. The Asi concentration in polished and unpolished Chinese rice was successfully predicted from total As levels. The mean baseline concentrations for Asi in Chinese market rice based on this survey were estimated to be 96 ng g−1 while levels in mine-impacted areas were higher with ca. 50% of the rice in one region predicted to fail the national standard.
High-energy photons from the Crab Nebula
The Crab Nebula contains a pulsar that excites the surrounding gas to emit high-energy radiation. The combination of the pulsar's youth and nearby location ...makes the nebula the brightest gamma-ray source in the sky. The LHAASO Collaboration report observations of this source at energies of tera– to peta–electron volts, extending the spectrum of this prototypical object. They combine these data with observations at lower energies to model the physics of the emission process. The multiwave-length data can be explained by a combination of synchrotron radiation and inverse Compton scattering.
Science
, abg5137, this issue p.
425
Detection of the Crab Nebula at peta–electron volt energies constrains the gamma-ray emission mechanism.
The Crab Nebula is a bright source of gamma rays powered by the Crab Pulsar’s rotational energy through the formation and termination of a relativistic electron-positron wind. We report the detection of gamma rays from this source with energies from 5 × 10
−4
to 1.1 peta–electron volts with a spectrum showing gradual steepening over three energy decades. The ultrahigh-energy photons imply the presence of a peta–electron volt electron accelerator (a pevatron) in the nebula, with an acceleration rate exceeding 15% of the theoretical limit. We constrain the pevatron’s size between 0.025 and 0.1 parsecs and the magnetic field to ≈110 microgauss. The production rate of peta–electron volt electrons, 2.5 × 10
36
ergs per second, constitutes 0.5% of the pulsar spin-down luminosity, although we cannot exclude a contribution of peta–electron volt protons to the production of the highest-energy gamma rays.
In this study, the potential applications of Al–Mn–Mg 3004 alloy at elevated temperature have been evaluated through the systematic study of the precipitation behavior of α-Al(MnFe)Si dispersoids and ...their effect on material properties during precipitation treatment and long-term thermal holding. The results demonstrate a significant dispersion strengthening effect caused by the precipitation of fine uniformly distributed dispersoids during precipitation treatment. The peak compression yield strength (YS) at 300°C of the experimental 3004 alloy can reach as high as 78MPa due to a large volume fraction (~2.95vol.%) of α-Al(MnFe)Si dispersoids. The dispersoids are found to be thermally stable at 300°C for up to 1000h of holding, leading to consistently high mechanical performance and creep resistance. The superior and stable YS and creep resistance at 300°C enables the 3004 alloy to be applied to weight-sensitive applications at elevated temperatures.
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•Significant strengthening of α-Al(MnFe)Si dispersoids during heat treatment is observed.•Remarkable contribution of dispersoids on strength and creep resistance at 300°C is present.•High thermal stability of dispersoids during long-term high temperature holding is discovered.•Potential applications of 3004 alloy at elevated temperature are explored.
We investigate polarization-dependent ultrafast photocurrents in the Weyl semimetal TaAs using terahertz (THz) emission spectroscopy. Our results reveal that highly directional, transient ...photocurrents are generated along the noncentrosymmetric c axis regardless of incident light polarization, while helicity-dependent photocurrents are excited within the ab plane. This is consistent with earlier static photocurrent experiments, and demonstrates on the basis of both the physical constraints imposed by symmetry and the temporal dynamics intrinsic to current generation and decay that optically induced photocurrents in TaAs are inherent to the underlying crystal symmetry of the transition metal monopnictide family of Weyl semimetals.
Various surface characterization techniques were used to study the modified surface chemistry of superhydrophobic aluminum alloy surfaces prepared by immersing the substrates in an aqueous solution ...containing sodium hydroxide and fluoroalkyl-silane (FAS-17) molecules. The creation of a rough micronanostructure on the treated surfaces was revealed by scanning electron microscopy (SEM). X-ray photoelectron spectroscopy (XPS) and infrared reflection absorption spectroscopy (IRRAS) confirmed the presence of low surface energy functional groups of fluorinated carbon on the superhydrophobic surfaces. IRRAS also revealed the presence of a large number of OH groups on the hydrophilic surfaces. A possible bonding mechanism of the FAS-17 molecules with the aluminum alloy surfaces has been suggested based on the IRRAS and XPS studies. The resulting surfaces demonstrated water contact angles as high as ∼166° and contact angle hystereses as low as ∼4.5°. A correlation between the contact angle, rms roughnesses, and the chemical nature of the surface has been elucidated.
Two dissimilar ultrasonic spot welded joints of aluminum to commercial steel sheets at different levels of welding energy were investigated. The tensile lap shear tests were conducted to evaluate the ...failure strength in relation to microstructural changes. The main intermetallics at the weld interface in both joints was θ (FeAl3), along with ɳ (Fe2Al5) phase in Al-to-AISI 304 stainless steel joint and Fe3Al phase in Al-to-ASTM A36 steel joint, respectively. The welding strength of Al-to-AISI 304 stainless steel weld samples was slightly higher than Al-to-ASTM A36 steel weld samples, whereas the fracture energies of Al-to-AISI 304 stainless steel weld samples were significantly higher as compared with Al-to-ASTM A36 steel weld samples. The welding strength of both Al-to-Steel welds were higher than other reported dissimilar USW joints in literature. The fracture surfaces of both weld joints exhibits the growth of IMC layer with increasing welding energy or time, whose inherent brittleness compromises the integrity of joints. In both cases, the lap shear tensile fracture occurred from the Al/Fe interface at lower energy inputs and the failure mode at higher welding energy inputs became the “transverse through-thickness crack growth” at the edge of the nugget zone on the softer Al side.
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