We present an empirical stellar spectra library created using spectra from the Large Sky Area Multi-Object Fiber Spectroscopic Telescope (LAMOST) DR5. This library represents a uniform data set ...ranging from 3750 through 8500 K in effective temperature (Teff), from −2.5 through +1.0 dex in metallicity (Fe/H), and from 0 to 5.0 dex in gravity (log g). The spectra in the library have resolutions R ∼ 1800, with well-calibrated fluxes and rest-framed wavelengths. Using a large number of red stars observed by LAMOST, we generated denser K-type templates to fill in data missing from current empirical spectral libraries, particularly the late K type. For K giants, we calibrated the spectroscopic surface gravities against the asteroseismic surface gravities. To verify the reliability of the parameters labeled for this library, we performed an internal cross-validation using a χ2 minimization method to interpolate the parameters of each individual spectrum using the remaining spectra in the library. We obtained precisions of 41 K, 0.11 dex, and 0.05 dex for Teff, log g, and Fe/H, respectively, which means the templates are labeled with correct stellar parameters. Through external comparisons, we confirmed that measurements of the stellar parameters through this library can achieve accuracies of approximately 125 K in Teff, 0.1 dex in Fe/H and 0.20 dex in log g without systematic offset. This empirical library is useful for stellar parameter measurements because it has large parameter coverage and full wavelength coverage from 3800 to 8900 .
Leptomeningeal metastases (LM) are more frequent in non-small-cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) mutations. Due to limited access to leptomeningeal lesions, the ...purpose of this study was to explore the potential role of cerebrospinal fluid (CSF) as a source of liquid biopsy in patients with LM.
Primary tumor, CSF, and plasma in NSCLC with LM were tested by next-generation sequencing. In total, 45 patients with suspected LM underwent lumbar puncture, and those with EGFR mutations diagnosed with LM were enrolled.
A total of 28 patients were enrolled in this cohort; CSF and plasma were available in 26 patients, respectively. Driver genes were detected in 100% (26/26), 84.6% (22/26), and 73.1% (19/26) of samples comprising CSF cell-free DNA (cfDNA), CSF precipitates, and plasma, respectively; 92.3% (24/26) of patients had much higher allele fractions in CSF cfDNA than the other two media. Unique genetic profiles were captured in CSF cfDNA compared with those in plasma and primary tissue. Multiple copy number variations (CNVs) were mainly identified in CSF cfDNA, and MET copy number gain identified in 47.8% (11/23) of patients was the most frequent one, while other CNVs included ERBB2, KRAS, ALK, and MYC. Moreover, loss of heterozygosity (LOH) of TP53 was identified in 73.1% (19/26) CSF cfDNA, which was much higher than that in plasma (2/26, 7.7%; P<0.001). There was a trend towards a higher frequency of concomitant resistance mutations in patients with TP53 LOH than those without (70.6% versus 33.3%; P=0.162). EGFR T790M was identified in CSF cfDNA of 30.4% (7/23) of patients who experienced TKI progression.
CSF cfDNA could reveal the unique genetic profiles of LM and should be considered as the most representative liquid biopsy medium for LM in EGFR-mutant NSCLC.
Abstract
Solar filaments often exhibit rotation and deflection during eruptions, which would significantly affect the geoeffectiveness of the corresponding coronal mass ejections (CMEs). Therefore, ...understanding the mechanisms that lead to such rotation and lateral displacement of filaments is a great concern to space weather forecasting. In this paper, we examine an intriguing filament eruption event observed by the Chinese H
α
Solar Explorer and the Solar Dynamics Observatory. The filament, which eventually evolves into a CME, exhibits significant lateral drifting during its rising. Moreover, the orientation of the CME flux rope axis deviates from that of the pre-eruptive filament observed in the source region. To investigate the physical processes behind these observations, we perform a data-constrained magnetohydrodynamic simulation. Many prominent observational features in the eruption are reproduced by our numerical model, including the morphology of the eruptive filament, eruption path, and flare ribbons. The simulation results reveal that the magnetic reconnection between the flux rope leg and neighboring low-lying sheared arcades may be the primary mechanism responsible for the lateral drifting of the filament material. Such a reconnection geometry leads to flux rope footpoint migration and a reconfiguration of its morphology. As a consequence, the filament material hosted in the flux rope drifts laterally, and the CME flux rope deviates from the pre-eruptive filament. This finding underscores the importance of external magnetic reconnection in influencing the orientation of a flux rope axis during eruption.
With the aim of gathering temporal trends on bacterial epidemiology and resistance from multiple laboratories in China, the CHINET surveillance system was organized in 2005. Antimicrobial ...susceptibility testing was carried out according to a unified protocol using the Kirby-Bauer method or automated systems. Results were analyzed according to Clinical and Laboratory Standards Institute (CLSI) 2014 definitions. Between 2005 and 2014, the number of bacterial isolates ranged between 22 774 and 84 572 annually. Rates of extended-spectrum β-lactamase production among Escherichia coli isolates were stable, between 51.7 and 55.8%. Resistance of E. coli and Klebsiella pneumoniae to amikacin, ciprofloxacin, piperacillin/tazobactam and cefoperazone/sulbactam decreased with time. Carbapenem resistance among K. pneumoniae isolates increased from 2.4 to 13.4%. Resistance of Pseudomonas aeruginosa strains against all of antimicrobial agents tested including imipenem and meropenem decreased with time. On the contrary, resistance of Acinetobacter baumannii strains to carbapenems increased from 31 to 66.7%. A marked decrease of methicillin resistance from 69% in 2005 to 44.6% in 2014 was observed for Staphylococcus aureus. Carbapenem resistance rates in K. pneumoniae and A. baumannii in China are high. Our results indicate the importance of bacterial surveillance studies.
Supramolecular macrocyclic hosts have long been used in smart materials. However, their triplet emission and regulation at crystal level is rarely studied. Herein, ultralong and universal ...room‐temperature phosphorescence (RTP) is reported for traditional crown ethers. A supramolecular strategy involving chain length adjustment and morphological locking through complexation with K+ was explored as a general method to tune the phosphorescence lifetime in the solid state. A maximum 10‐fold increase of lifetime after complex formation accompanied with by invisible to visible phosphorescence was achieved. A deep encryption based on this activated RTP strategy was also facilely fabricated. This work thus opens a new world for supramolecular macrocycles and their intrinsic guest responsiveness offers a new avenue for versatile smart luminescent materials.
Traditional crown ether is injected with fresh blood of room‐temperature phosphorescence in crystalline state. Supramolecular interactions introduced by multiple oxygen atoms and K+ were explored as a general method to tune lifetime. This work opens a new world for crown ether and its intrinsic guest responsiveness offers a new avenue for versatile smart luminescent materials.
Summary
We investigated the secular trends of the incidence and hospitalization cost of hip fracture in Tangshan, China. The incidence of hip fracture and the hospitalization cost were both ...increasing during the observation period.
Introduction
The present study aimed to determine sex-, age-, and fracture type-specific incidence and annual changes in hip fractures in Tangshan, China, between 2007 and 2018.
Methods
We analyzed annual hip fracture incidence using urban hospital data during 2007–2018 and calculated incidence rate/100,000 person years in each age group and sex. We assessed annual changes in incidence among people aged >60 years using linear-by-linear association tests and evaluated hospitalization costs with the Kruskal–Wallis test.
Results
During the study period, we observed an increasing proportion of hip fractures in people >60 years old from 14.2 to 22.79%. Crude hip fracture incidence increased markedly from 140.87 to 306.56/100,000 in women (
p
< 0.01) and from 124.83 to 167.19/100,000 in men (
p
< 0.01) in the age group >60 years. Type-specific analysis indicated significantly increased trends in incidence of cervical and trochanteric fractures among women and cervical fracture among men (
p
< 0.01). In people aged 36–60 years, the trend of hip fracture increased significantly in both sexes. The total and cervical-to-trochanteric ratio in men increased, with significant upward trends (
p
< 0.01). The proportion of cervical fracture was higher than that for trochanteric fracture in women, with stable levels from 2007 to 2018. Hospitalization costs for cervical and trochanteric fractures increased by 51.91% and 53.20%, respectively, during 2011–2018.
Conclusion
Tangshan will have an increasing burden on health care resources attributable to a considerable rise in hip fracture incidence and the older population. Further investigation of risk factors and subsequent implementation of effective measures to prevent hip fracture are needed.
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