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.
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 (As(i)) was the predominant species detected in all of the speciated grain, with As(i) levels in some samples exceeding 300 ng g(-1). The As(i) concentration in polished and unpolished Chinese rice was successfully predicted from total As levels. The mean baseline concentrations for As(i) 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.
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.
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.
Flexible thermoelectric (TE) materials have wide applications in fabricating portable/wearable devices owing to the advantages of being bendable, small size, and lightweight. Inorganic material–based ...flexible thin films have attracted much attention owing to their high TE performance. So far, developing high TE properties and environment friendly flexible thin films for practical applications is still a considerable challenge. Copper selenide (Cu2Se) is a non-toxic and low-cost material, providing relatively safe TE modules for thin film devices. In this work, Cu2Se-based thin films with single crystal phase have been fabricated successfully at a flexible substrate by an efficient layer-by-layer combination reaction method. By optimizing the composition, a high power factor of 5.3 μWcm−1K−2 and dimensionless figure of merit value of 0.35 with low thermal conductivity are achieved at room temperature. Through bending tests, it has been shown that the prepared thin films possess good flexibility and the designed flexible device displays stable output power, which demonstrates the potential of inorganic TE materials to be mountable on flexible/wearable substrates for energy harvesting and management devices.
The well-crystallized Cu2Se thermoelectric thin films have been synthesized via an efficient layer-by-layer combination reaction method, and the high power factor of 5.3 μWcm−1K−2 and ZT value of 0.35 with low thermal conductivity are achieved at room temperature by optimizing the composition. Cu2Se, copper selenide; ZT, dimensionless figure of merit. Display omitted
•The layer-by-layer combination reaction method was used for preparing high-performance copper selenide (Cu2Se) thin films.•The self-assembled growth of Cu2Se with single crystal phase was successfully realized.•A high power factor of 5.3 μWcm−1K−2 and dimensionless figure of merit value of 0.35 are achieved at room temperature.•The thin film possesses good flexibility, and the designed flexible device displays stable output power.
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