Adolescent and non-consensual anal sexual debut among Chinese men who have sex with men: a cross-sectional study.

BACKGROUND: Adolescent sexual debut and non-consensual sex have been linked to higher sexual risk and STI infection in adulthood among men who have sex with men (MSM) in high-income countries. This study aimed to examine adolescent and non-consensual anal sexual debut among Chinese MSM and to evaluate factors associated with adolescent sexual debut and non-consensual anal sex. METHODS: A cross-sectional study was conducted recently among Chinese men assigned male sex at birth, ≥18 years old, and who had ever engaged in anal sex with a man. Participants answered questions regarding socio-demographics, condomless sex, age at anal sexual debut with a man, and whether the first anal sex was consensual. Factors associated with an adolescent sexual debut (< 18 years old) and non-consensual sex at sexual debut were evaluated. We defined adolescent sexual debut as having anal sex with another man at 17 years old or younger, and the participants were asked whether their first male-to-male anal sex was non-consensual. RESULTS: Overall, 2031 eligible men completed the survey. The mean age of sexual debut was 20.7 (SD = 4.3) years old. 17.6% (358/2031) of men reported adolescent sexual debut, and 5.0% (101/2031) reported a non-consensual sexual debut. The adolescent sexual debut was associated with having more male sexual partners (adjusted OR 1.10, 95% CI 1.06-1.15) and condomless anal sex in the last three months (AOR = 1.71, 95% CI 1.34-2.18). MSM whose sexual debut was non-consensual were more likely to have condomless anal sex (AOR = 1.76, 95% CI 1.17-2.66), and to have reported an adolescent sexual debut (AOR = 2.72, 95% CI 1.75-4.21). CONCLUSIONS: Many Chinese MSM reported adolescent sexual debut and non-consensual sex, both of which are associated with sexual risk behaviors and drive STI transmission. These findings highlight the need for designing tailored interventions for MSM who experienced adolescent sexual debut and non-consensual sex at debut

Life-course blood pressure trajectories and cardiovascular diseases : A population-based cohort study in China.

BACKGROUND: The patterns of blood pressure trajectory (i.e., change over time) over life-course remain to be explored. In this study, we aim to determine the trajectories of systolic blood pressure (SBP) from adulthood to late life and to assess its impact on the risk of cardiovascular diseases (CVDs). METHODS: Based on the China Health and Nutrition Survey, a total of 3566 participants aged 20-50 years at baseline (1989) with at least three SBP measurements during 1989-2011 were included. SBP was measured through physical examination, and socio-demographic factors, lifestyles, medications, and CVDs were based on self-reported questionnaire. Latent class growth modeling was performed to examine SBP trajectory. Odds ratio (OR) and 95% confidence interval (CI) from logistic regression was used to determine the association between SBP trajectory and CVDs. RESULTS: Five trajectory groups of SBP were identified: Class 1: rapid increase (n = 113, 3.2%); Class 2: slight increase (n = 1958, 54.9%); Class 3: stable (n = 614, 17.2%); Class 4: increase (n = 800, 22.4%); Class 5: fluctuant (n = 81, 2.3%). After adjustment of demographic factors, baseline SBP, and lifestyles, compared with the "slight increase" group, the OR (95% CI) of CVDs was 0.65 (0.32, 1.28) for "stable" group, 2.24 (1.40, 3.58) for "increase" group, 3.95 (1.81, 8.62) for "rapid increase" group, and 4.32 (1.76, 10.57) for "fluctuant" group. After stratified by use of antihypertensive drugs, the association was only significant for "rapid increase" group among those using antihypertensive drugs with OR (95% CI) of 2.81 (1.01, 7.77). CONCLUSIONS: Having a rapidly increasing SBP over life-course is associated with a higher risk of CVDs. This implies the importance of monitoring lifetime change of blood pressure for the prevention of CVDs

Controlling factors of matrix acidizing potential of low permeability clastic reservoir in faulted lacustrine basin

Based on constant rate mercury injection experiment, casting thin section identification, scanning electron microscope observation, clay mineral X-ray and rock specific surface area analysis, the controlling factors of matrix acidizing potential of low-permeability sandstone reservoir in fault depression lacustrine basin were determined from three aspects: pore filling, throat filling and pore-throat combination characteristics. It is concluded that provenance controls the plane partition of reservoir pore fillings. Burial depth controls the longitudinal zoning of key filling material in reservoir throat. The difference of rock structure in sedimentary facies - microfacies controlling zone leads to the change of pore-throat assemblage pattern. The matrix acidizing scheme of low permeability sandstone reservoir in fault depression basin can be formulated according to the law of “provenance zoning, buried depth zoning and being controlled by microfacies in zone”, and the implementation scheme of pre-acid, main acid and post-acid can be put forward respectively. This method can effectively promote the integration process of exploration and development of low permeability clastic reservoir in mature exploration area

Visual quantification of Hg on a microfluidic paper-based analytical device using distance-based detection technique

We presented a distance-based detection method for visual quantification of mercury ions on a microfluidic paper-based analytical device (μPAD). Dithizone in NaOH solution was used as chromogenic reagent and deposited onto paper channel delimited by hydrophobic wax barrier. Reactions happened between mercury ions and dithizone to form an insoluble colored complex, producing colored precipitate on the paper channel. The length of colored precipitate could be readily measured using the printed ruler along each device. The length of precipitate increase linearly with the mercury concentrations, mercury in sample solution could be quantified by measuring the length of the colored precipitate. Being free of any electronic instruments, this method has the advantages of portability, ease of use, low cost and disposability. This presented method was used to detect mercury ions in a synthetic sample, demonstrating its potential in on-site and real time analysis

Formation of Volatile and Aroma Compounds during the Dehydration of Membrane-Clarified Sugarcane Juice to Non-Centrifugal Sugar

The development of volatile compounds and their precursors during the dehydration process of membrane-clarified sugarcane juice to non-centrifugal sugar (NCS) was investigated. Head-space solid phase microextraction/gas chromatography–mass spectrometry (HS-SPME/GC–MS) coupled with chemometrics was employed to assess the differences at the various stages of the dehydration process. A total of 111 volatile compounds were identified, among which 57 were endogenous compounds from sugarcane juice and displayed an attenuated abundance in the first 30 min. Typical oxygen and nitrogen heterocyclic compounds, including furans and pyrazines, and aldehydes derived were found to be the main volatiles contributing to the formation of NCS characteristic aroma, with phenols, alcohols, esters, acids, and sulfur compounds as supplementary odor. Free amino acids and reducing sugars were identified as important precursors for the aroma development process. The low temperature (90–108 °C) and micro vacuum condition (−0.03 MPa) approach used in this study could be an alternative option for the manufacture of NCS

Paleoclimate quantitative reconstruction and characteristics of continental red beds: a case study of the lower fourth sub-member of Shahejie Formation in the Bonan Sag

Abstract Varied origins have the ability to construct the continental red beds, such as paleoclimate, provenance, drainage status, etc. Reconstructing paleoclimate is the key to investigate the origin. Thus, this paper outlines the normal distribution constrained method (NDCM) to reconstruct paleoclimate quantitatively and accurately during the lower fourth sub-member of Shahejie (Es4x) in the Bonan Sag, which is in low requirement of data and environmental conditions. Based on the NDCM, the paleoclimate is still in a long-term arid background as the potential evapotranspiration rates (PERs) are larger than 6 in the transgressive system tract (TST) and regressive system tract (RST) during the period of Es4x. The decreasing PERs that range from 6.28 to 6.04, decreasing atmospheric temperature range from 14.37 to 13.95 °C and increasing mean precipitation of the wettest month and mean precipitation of the driest month indicate the paleoclimate is breaking away from the hot and arid background from TST to RST. Meanwhile, the paleoclimate fluctuation develops decreasing frequency and increasing amplitude which can be inferred from the increasing standard deviation (std), Th/K and Th/U curves. The hot and arid background is still the main origin of red color during the Es4x. Moreover, the other origin may also develop since there is no clear law between red coloration and the developing location of sediments

The deadly coronaviruses: The 2003 SARS pandemic and the 2020 novel coronavirus epidemic in China.

The 2019-nCoV is officially called SARS-CoV-2 and the disease is named COVID-19. This viral epidemic in China has led to the deaths of over 1800 people, mostly elderly or those with an underlying chronic disease or immunosuppressed state. This is the third serious Coronavirus outbreak in less than 20 years, following SARS in 2002-2003 and MERS in 2012. While human strains of Coronavirus are associated with about 15% of cases of the common cold, the SARS-CoV-2 may present with varying degrees of severity, from flu-like symptoms to death. It is currently believed that this deadly Coronavirus strain originated from wild animals at the Huanan market in Wuhan, a city in Hubei province. Bats, snakes and pangolins have been cited as potential carriers based on the sequence homology of CoV isolated from these animals and the viral nucleic acids of the virus isolated from SARS-CoV-2 infected patients. Extreme quarantine measures, including sealing off large cities, closing borders and confining people to their homes, were instituted in January 2020 to prevent spread of the virus, but by that time much of the damage had been done, as human-human transmission became evident. While these quarantine measures are necessary and have prevented a historical disaster along the lines of the Spanish flu, earlier recognition and earlier implementation of quarantine measures may have been even more effective. Lessons learned from SARS resulted in faster determination of the nucleic acid sequence and a more robust quarantine strategy. However, it is clear that finding an effective antiviral and developing a vaccine are still significant challenges. The costs of the epidemic are not limited to medical aspects, as the virus has led to significant sociological, psychological and economic effects globally. Unfortunately, emergence of SARS-CoV-2 has led to numerous reports of Asians being subjected to racist behavior and hate crimes across the world

Ofatumumab, a fully human anti-CD20 monoclonal antibody, in the treatment of severe refractory Anti-N-methyl-D-aspartate receptor encephalitis: Two case reports

Anti-N-methyl-D-aspartate (NMDA) receptor encephalitis is a type of autoimmune encephalitis (AE) characterized by antibodies against NMDA receptor. As the most common AE, anti-NMDAR encephalitis affects 54% ~ 80% of patients with AE. It is associated with a high percentage of severe illness. It typically manifests as behavioral and psychiatric disturbance, epilepsy, cognitive decline, decreased level of consciousness, involuntary movements, autonomic dysfunction, central hypoventilation, etc. We report two refractory anti-NMDAR encephalitis. One of them describes a case of anti-NMDA encephalitis coexisting with MOG antibodies. The two patients were administered first-line therapy with glucocorticoids and intravenous immunoglobulin but did not improve clinically. Therefore, the patient was switched to the fully human anti-CD20 monoclonal antibody, ofatumumab. Their consciousness, behavioral and psychiatric disturbance, and capacity to conduct daily tasks improved markedly after sequential therapy with ofatumumab, as demonstrated by the modified Rankin scale (mRS) score. For the first time, we report a successful approach to the treatment of refractory anti-NMDAR encephalitis using the fully human anti-CD20 monoclonal antibody ofatumumab, which serves as an important reference for the treatment of AE