What is already known about this topic?The level of molybdenum(Mo)in a mother’s urine has been linked to the growth rate of the fetus and the blood pressure levels in children.What is added by this report?We evaluate...What is already known about this topic?The level of molybdenum(Mo)in a mother’s urine has been linked to the growth rate of the fetus and the blood pressure levels in children.What is added by this report?We evaluated the variations in maternal plasma Mo concentrations throughout pregnancy and their potential association with the risk of spontaneous preterm birth(SPB).What are the implications for public health practice?Future research must determine the Mo levels in pregnant women across various regions in China.Moreover,particular attention needs to be given to the potential increase in Mo concentration throughout pregnancy and its possible adverse impacts on the health of both the mother and the fetus.展开更多
Recently,considerable efforts have been focused on intensifying the screening process for asymptomatic COVID-19 cases in the ChineseMainland,especially for up to 10 million citizens living in Wuhan City by nucleic ac...Recently,considerable efforts have been focused on intensifying the screening process for asymptomatic COVID-19 cases in the ChineseMainland,especially for up to 10 million citizens living in Wuhan City by nucleic acid testing.However,a high percentage of domestic asymptomatic cases did not develop into symptomatic ones,which is abnormal and has drawn considerable public attention.Here,we aimed to investigate the prevalence of COVID-19 infections in the Chinese Mainland from a statistical perspective,as it is of referential significance for other regions.By conservatively assuming a development time lag from pre-symptomatic(i.e.,referring to the infected cases that were screened before the COVID-19 symptom onset)to symptomatic as an incubation time of 5.2 days,our results indicated that 92.5%of those tested in Wuhan City,China,and 95.1%of those tested in the Chinese Mainland should have COVID-19 syndrome onset,which was extremely higher than their corresponding practical percentages of 0.8%and 3.3%,respectively.We propose that a certain false positive rate may exist if large-scale nucleic acid screening tests for asymptomatic cases are conducted in common communities with a low incidence rate.Despite adopting relatively high-sensitivity,high-specificity detection kits,we estimated a very low prevalence of COVID-19 infections,ranging from 106 to 104 in both Wuhan City and the Chinese Mainland.Thus,the prevalence rate of asymptomatic infections in China had been at a very low level.Furthermore,given the lower prevalence of the infection,close examination of the data for false positive results is necessary to minimize social and economic impacts.展开更多
The COVID-19 outbreak has already become a global pandemic and containing this rapid worldwide transmission is of great challenge.The impacts of temperature and humidity on the COVID-19 transmission rate are still und...The COVID-19 outbreak has already become a global pandemic and containing this rapid worldwide transmission is of great challenge.The impacts of temperature and humidity on the COVID-19 transmission rate are still under discussion.Here,we elucidated these relationships by utilizing two unique scenarios,repeated measurement and natural experiment,using the COVID-19 cases reported from January 23–February 21,2020,in China.The modeling results revealed that higher temperature was most strongly associated with decreased COVID-19 transmission at a lag time of 8 days.Relative humidity(RH)appeared to have only a slight effect.These findings were verified by assessing SARSCoV-2 infectivity under the relevant conditions of temperature(4C–37C)and RH(>40%).We concluded that temperature increase made an important,but not determined,contribution to restrain the COVID19 outbreak in China.It suggests that the emphasis of other effective controlling polices should be strictly implemented to restrain COVID19 transmission in cold seasons.展开更多
Background:Insulo-opercular seizures are highly heterogeneous in seizure semiology and electrical features.Bilateral asymmetric limb posturing,as a classical pattern of supplementary sensorimotor area(SMA)seizure,also...Background:Insulo-opercular seizures are highly heterogeneous in seizure semiology and electrical features.Bilateral asymmetric limb posturing,as a classical pattern of supplementary sensorimotor area(SMA)seizure,also occurs in insulo-opercular epilepsy.This study was aimed to study the anatomo-electro-clinical correlations in bilateral asymmetric tonic seizures(BATS),in order to advance the understanding of insulo-opercular epilepsy.Methods:Eight patients with insulo-opercular epilepsy as confirmed by stereoelectroencephalography(SEEG)and manifesting BATS as the major ictal motor sign,in Guangdong Sanjiu Brain Hospital Epilepsy Center from 2014 to 2018,were employed in this study.The BATS of the patients were evaluated,and the semiologic features and concomitant intracerebral EEG changes were quantified.Then the variables were examined with Cluster Analysis,and the semiologic features were correlated with anatomic localization using the Kendall correlation test.Results:Of the 8 patients,the most frequent initial motor sign was bilateral asymmetric tonic posturing(62.5%).Facial tonic-clonic sign also had a high prevalence in the evolution of seizures(87.5%).The results of Cluster Analysis showed that the semiologic features were subdivided into two main groups,one group comprising exclusively BATS and the other including signs of focal tonic seizure,aura,focal limb tonic-clonic seizure(TCS),facial TCS,hypermotor behavior,eye movement,autonomic changes and generalized TCS.The BATS was strongly associated with the posterior long gyrus(PLG)of insula(t=0.732)and parietal operculum(t=1.000);the hypermotor behaviors were associated with the anterior long gyrus(ALG)(t=0.770);and the autonomic changes were associated with the anterior limiting sulcus(ALS)(t=0.734)and middle short gyrus(MSG)(t=0.700).Conclusions:The seizure semiology of insulo-opercular epilepsy is characterized,in temporal order,by BATS,with or without simultaneous hypermotor behaviors,and frequently ends up with facial tonic-clonic signs,which is different from that of the SMA seizure.The early spread network involving the posterior insular lobe and parietal operculum may contribute to this pattern of manifestation.展开更多
Summary What is already known about this topic?The coronavirus disease 2019(COVID-19)pandemic potentially affected prenatal care quality and maternal and fetal outcomes globally.What is added by this report?During COV...Summary What is already known about this topic?The coronavirus disease 2019(COVID-19)pandemic potentially affected prenatal care quality and maternal and fetal outcomes globally.What is added by this report?During COVID-19 pandemic period,the rates of caesarean sections(CS)and preterm birth for uninfected pregnant women increased slightly in areas that were relatively severely impacted by the pandemic in China.展开更多
基金Supported by Beijing Hospitals Authority’Ascent Plan(DFL20191402)National Natural Science Foundation of China(82171671)+2 种基金Scientific Research Common Program of Beijing Municipal Commission of Education(KM202110025007)the National Key Research and Development Program of China(2016YFC1000304)Beijing Natural Science Foundation(7222248).
文摘What is already known about this topic?The level of molybdenum(Mo)in a mother’s urine has been linked to the growth rate of the fetus and the blood pressure levels in children.What is added by this report?We evaluated the variations in maternal plasma Mo concentrations throughout pregnancy and their potential association with the risk of spontaneous preterm birth(SPB).What are the implications for public health practice?Future research must determine the Mo levels in pregnant women across various regions in China.Moreover,particular attention needs to be given to the potential increase in Mo concentration throughout pregnancy and its possible adverse impacts on the health of both the mother and the fetus.
文摘Recently,considerable efforts have been focused on intensifying the screening process for asymptomatic COVID-19 cases in the ChineseMainland,especially for up to 10 million citizens living in Wuhan City by nucleic acid testing.However,a high percentage of domestic asymptomatic cases did not develop into symptomatic ones,which is abnormal and has drawn considerable public attention.Here,we aimed to investigate the prevalence of COVID-19 infections in the Chinese Mainland from a statistical perspective,as it is of referential significance for other regions.By conservatively assuming a development time lag from pre-symptomatic(i.e.,referring to the infected cases that were screened before the COVID-19 symptom onset)to symptomatic as an incubation time of 5.2 days,our results indicated that 92.5%of those tested in Wuhan City,China,and 95.1%of those tested in the Chinese Mainland should have COVID-19 syndrome onset,which was extremely higher than their corresponding practical percentages of 0.8%and 3.3%,respectively.We propose that a certain false positive rate may exist if large-scale nucleic acid screening tests for asymptomatic cases are conducted in common communities with a low incidence rate.Despite adopting relatively high-sensitivity,high-specificity detection kits,we estimated a very low prevalence of COVID-19 infections,ranging from 106 to 104 in both Wuhan City and the Chinese Mainland.Thus,the prevalence rate of asymptomatic infections in China had been at a very low level.Furthermore,given the lower prevalence of the infection,close examination of the data for false positive results is necessary to minimize social and economic impacts.
基金We would like to express our gratitude for discussions with the researchers from the environmental exposure and human health working group of the China Cohort Consortium(http://chinacohort.bjmu.edu.cn/),as well as special thanks to Dr.Ping Zhong and Dr.Wentao Wang for their instructive guidance.This work was supported by the National Key Research and Development Program,P.R.China(Grant No.2020YFC0846300 and 2020YFC0846200)the National Natural Science Foundation of China(Grant No.41771527,41922057).
文摘The COVID-19 outbreak has already become a global pandemic and containing this rapid worldwide transmission is of great challenge.The impacts of temperature and humidity on the COVID-19 transmission rate are still under discussion.Here,we elucidated these relationships by utilizing two unique scenarios,repeated measurement and natural experiment,using the COVID-19 cases reported from January 23–February 21,2020,in China.The modeling results revealed that higher temperature was most strongly associated with decreased COVID-19 transmission at a lag time of 8 days.Relative humidity(RH)appeared to have only a slight effect.These findings were verified by assessing SARSCoV-2 infectivity under the relevant conditions of temperature(4C–37C)and RH(>40%).We concluded that temperature increase made an important,but not determined,contribution to restrain the COVID19 outbreak in China.It suggests that the emphasis of other effective controlling polices should be strictly implemented to restrain COVID19 transmission in cold seasons.
基金Medical Scientific Research Foundation of GuangdongProvince,China(A2020067).
文摘Background:Insulo-opercular seizures are highly heterogeneous in seizure semiology and electrical features.Bilateral asymmetric limb posturing,as a classical pattern of supplementary sensorimotor area(SMA)seizure,also occurs in insulo-opercular epilepsy.This study was aimed to study the anatomo-electro-clinical correlations in bilateral asymmetric tonic seizures(BATS),in order to advance the understanding of insulo-opercular epilepsy.Methods:Eight patients with insulo-opercular epilepsy as confirmed by stereoelectroencephalography(SEEG)and manifesting BATS as the major ictal motor sign,in Guangdong Sanjiu Brain Hospital Epilepsy Center from 2014 to 2018,were employed in this study.The BATS of the patients were evaluated,and the semiologic features and concomitant intracerebral EEG changes were quantified.Then the variables were examined with Cluster Analysis,and the semiologic features were correlated with anatomic localization using the Kendall correlation test.Results:Of the 8 patients,the most frequent initial motor sign was bilateral asymmetric tonic posturing(62.5%).Facial tonic-clonic sign also had a high prevalence in the evolution of seizures(87.5%).The results of Cluster Analysis showed that the semiologic features were subdivided into two main groups,one group comprising exclusively BATS and the other including signs of focal tonic seizure,aura,focal limb tonic-clonic seizure(TCS),facial TCS,hypermotor behavior,eye movement,autonomic changes and generalized TCS.The BATS was strongly associated with the posterior long gyrus(PLG)of insula(t=0.732)and parietal operculum(t=1.000);the hypermotor behaviors were associated with the anterior long gyrus(ALG)(t=0.770);and the autonomic changes were associated with the anterior limiting sulcus(ALS)(t=0.734)and middle short gyrus(MSG)(t=0.700).Conclusions:The seizure semiology of insulo-opercular epilepsy is characterized,in temporal order,by BATS,with or without simultaneous hypermotor behaviors,and frequently ends up with facial tonic-clonic signs,which is different from that of the SMA seizure.The early spread network involving the posterior insular lobe and parietal operculum may contribute to this pattern of manifestation.
基金The Peking University ethics board(No.IRB00001052-20025)The National Key Research and Development Program,P.R.China(Grant No.2020YFC0846300)+1 种基金National Natural Science Foundation of China(Grant No.81673177,41771527)National Health Commission Capacity Building and Continuing Education Center(Grant No.:GWJJ2020100101).
文摘Summary What is already known about this topic?The coronavirus disease 2019(COVID-19)pandemic potentially affected prenatal care quality and maternal and fetal outcomes globally.What is added by this report?During COVID-19 pandemic period,the rates of caesarean sections(CS)and preterm birth for uninfected pregnant women increased slightly in areas that were relatively severely impacted by the pandemic in China.
