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International audience; Acoustic metasurfaces can reshape a reflected wavefront rather arbitrarily, despite being much thinner than the wavelength, thus allowing on-demand wavefront modulation in a variety of applications. Recent passive metasurfaces, however, have suffered from bandwidth limitations, thus restricting their range of operation. In this work, we propose the systematic design of ultra-broadband passive metasurfaces by combining the broadband local reflection rule with an optimization method. The validation of the technique is demonstrated by fabrication and measurement of an ultra-broadband carpet cloak. Numerical and experimental results show that the relative bandwidth of the optimized carpet cloak, thinner than one fifth of the maximum wavelength, can exceed 93.33%, a value that is much larger than that of previous passive metasurfaces. Furthermore, multi-frequency pulse incidence tests reveal the excellent time-domain broadband characteristics of the metasurface over a wide range of angles of incidence. The proposed strategy opens a new route for the design of advanced passive metasurfaces for ultra-broadband wave manipulation and thus promotes practical applications of broadband acoustical devices.

Self-accelerating beams have applications in optic and acoustic fields due to their peculiar properties. As a promising artificial two-dimensional metamaterial, a metasurface can be used as the generator of self-accelerating beams. However, restricted by the generalized Snell's law, most research hotspots focus on flat metasurfaces. In this Letter, the generalized Snell's law on an arbitrary curved reflective surface is discussed. Then, the phase profile for the self-accelerating beams generated from the curved reflective surface is derived based on the caustic theory. The metasurface consisting of the tunable spiral path units is constructed, and numerical and experimental validations are performed. The methodology developed in the present letter extends the applications of the self-accelerating beams.

Summary Objective To clarify whether exanthema is related to illness severity in acute enterovirus infection in children. Methods The data of pediatric inpatients at Zhujiang Hospital during 2009–2012 with an acute enterovirus infection were reviewed retrospectively. Enterovirus infection was determined by real-time reverse transcription PCR. Clinical data were summarized and compared between cases with and without exanthema. Results A total of 780 pediatric inpatients with an acute enterovirus infection were included in this study, of whom 83 (10.6%) presented no exanthema. The percentage of deaths in the group of patients without exanthema was significantly higher than that in the group with exanthema (7.2% vs. 1.1%; p = 0.002). Central nervous system involvement (41.0% vs. 30.0%; p = 0.041), severe central nervous system (CNS) involvement (21.7% vs. 11.0%; p = 0.005), severe CNS involvement with cardiopulmonary failure (9.6% vs. 2.3%; p = 0.002), an altered level of consciousness (15.7% vs. 7.6%; p = 0.013), and convulsions (14.4% vs. 6.3%; p = 0.007) occurred significantly more frequently in the group without exanthema. Conclusions A considerable proportion of children with an acute enterovirus infection in Guangdong Province, China during 2009–2012 presented no exanthema, and the absence of exanthema was found to be related to death and illness severity for these acute enterovirus infections. Clinicians in China should consider enterovirus as the possible pathogen when treating children with an acute pathogen infection without exanthema.

A series of experiments were carried out aiming at resource utilization of fresh green waste and sewage sludge. The green waste, rice straw and sewage sludge were chosen as raw materials and packing materials in composting experiments to study the variation characteristics of composting in different aeration patterns. It was found that the effect of intermittent aeration pattern during composting was better than continuous aeration pattern according to the results of detection of composting temperature, oxygen, carbon dioxide.

Measure the temperature of exterior window and surrounding walls’ inner surface, and measure interior air temperature to analyze the effect, which was brought to building energy consumption and interior thermal conditions by the exterior window of the building; studied several details of exterior window design, and proposes a method, which is separately controlling the heat-transfer coefficient according to different orientation, room’s positions and room’s functions while designing the exterior windows, in order to improve the interior thermal conditions and reduce energy consumption of the residential buildings.

Through improving the real-coded genetic algorithms and embedding the algorithm of accelerating the local search in the Powell direction and the operation of accelerating cycle, thereby it is constructed the New blend Accelerating Genetic Algorithm (hereinafter referred to as NBAGA). The applied examples of the calibration on nonlinear single return period storm intensity model parameters show that this method takes into account of the advantages of both the advantages of the improved real-coded genetic algorithms and the Powell Algorithm, therefore this method is an excellent nonlinear optimization method which can search the global optimal exact solutions quickly and in greater probability, as well as doing subtle search locally.

Background Enterovirus (EV)-related hand, foot, and mouth disease/herpangina (HFMD/HA) has been prevalent in Guangdong Province, China, since 2010. Methods Clinical data for EV-related HFMD/HA inpatients admitted to the Department of Paediatrics of Zhujiang Hospital from 2010 to 2013 were retrospectively reviewed. The corresponding EV serotypes were also determined by reverse transcription-polymerase chain reaction or BLAST analysis of the sequenced partial lengths of the viral protein1/5′-untranslated region. Results A total of 867 eligible inpatients admitted during 2010–2013 were included in the study. Of these, the serotype of the responsible EV was successfully identified in 824 cases. The incidence of enterovirus 71 (EV71) infection amongst pediatric HFMD/HA inpatients decreased dramatically from 55.5 % in 2010 to 8.1 % in 2013, with a similar decrease recorded for coxsackievirus A16 (CVA16). However, the incidence of non-EV71/CVA16 infection increased from 30.0 % in 2010 to 83.8 % in 2013. We noted that the types of infection caused by different EV serotypes varied: EV71 was responsible for 100 % of the paralysis cases (26/26), 84.6 % of the deaths (11/13), and 84.1 % of cases with severe central nervous system involvement (SCNSI) (74/88); echovirus contributed to 16.4 % of the deaths (2/13) and 4.4 % of the SCNSI cases; and coxsackievirus accounted for only 2.2 % of the SCNSI cases (2/90). The clinical features of HFMD/HA cases varied greatly during the time period examined, with drastic changes in the hospitalization rates (45.1, 63.7, 36.4, and 19.1 % for 2010, 2011, 2012, and 21013, respectively), mortality rates (2.3, 0.9, 2.5, and 0.0 %, respectively), paralysis (5.1, 1.2, 5.4, and 0.0 %, respectively), SCNSI (16.8, 7.1, 12.7, and 2.2 %, respectively), and acute respiratory infection (21.1, 22.0, 45.9, and 59.0 %, respectively). Conclusions The incidences of infection caused by different EV serotypes, along with the clinical features of HFMD/HA cases, changed drastically in Guangdong Province, China, from 2010 to 2013, with the biggest changes observed in 2013. The changed constituent ratios of the different EV serotypes might therefore be responsible for the differences in the observed clinical features of HFMD/HA during this period. Electronic supplementary material The online version of this article (doi:10.1186/s12879-016-1690-0) contains supplementary material, which is available to authorized users.

Using the Fluent software, the flow field of oxidation ditch was simulated by the three dimensional turbulence mathematical model. The velocities were analyzed and measured, and the simulation results showed acceptable prediction of the velocities in the oxidation ditch. The results also showed that velocity could reach more than 0.3m/s when 8 impellers worked, and MLSS in the whole ditch were almost uniform, therefore, the oxidation ditch runs well.

Summary Some viruses, including certain members of the enterovirus genus, have been reported to cause nephrotic syndrome. However, no case of coxsackievirus A16 (CVA16)-related nephrotic syndrome has been reported so far. We describe a case of CVA16-related hand, foot and mouth disease presenting with nephrotic syndrome in a 3-year-old boy. This is the first report of CVA16-related nephrotic syndrome.

Background Treatment with the alpha-glucosidase inhibitor (AGI) acarbose is associated with a significant reduction the risk of cardiovascular events. However, the underlying mechanisms of this effect are unclear. AGIs were recently suggested to participate in stimulating glucagon-like peptide 1 (GLP-1) secretion. We therefore examined the effects of a 24-week treatment of acarbose on endogenous GLP-1, nitric oxide (NO) levels, nitric oxide synthase (NOS) activity, and carotid intima-media thickness (CIMT) in newly diagnosed patients with type 2 diabetes (T2D). Methods Blood was drawn from 24 subjects (14 male, 10 female, age: 50.7 ± 7.36 years, BMI: 26.64 ± 3.38 kg/m2, GHbA1c: 7.00 ± 0.74%) with drug-naïve T2D at 0 and 120 min following a standard mixed meal for the measurements of active GLP-1, NO and NOS. The CIMT was measured prior to and following 24 weeks of acarbose monotherapy (mean dose: 268 mg daily). Results Following 24 weeks of acarbose treatment, both fasting and postprandial plasma GLP-1 levels were increased. In patients with increased postprandial GLP-1 levels, serum NO levels and NOS activities were also significantly increased and were positively related to GLP-1 levels. Although the CIMT was not significantly altered following treatment with acarbose, a decreased CIMT was negatively correlated with increased GLP-1 levels. Conclusions Twenty-four weeks of acarbose monotherapy in newly diagnosed patients with T2D is associated with significantly increased levels of both fasting and postprandial GLP-1 as well as significantly increased NO levels and NOS activity for those patients in whom postprandial GLP-1 levels were increased. Therefore, the benefits of acarbose on cardiovascular risk may be related to its stimulation of GLP-1 secretion.

Background A series of complications caused by enteroviruses, including meningitis, encephalitis, acute flaccid paralysis, acute cardiopulmonary failure, respiratory infection, and myocardial injury have been reported in hand, foot and mouth disease/herpangina (HFMD/HA). However, the complication of diarrhoea caused by enteroviruses has been neglected, and a summary of its clinical features and impact on HFMD/HA is unavailable. Methods We included inpatients with HFMD/HA admitted to the Paediatric Department of Zhujiang Hospital during 2009–2012. We summarised and compared clinical data for cases with and without diarrhoea, and determined enterovirus serotypes by reverse transcriptase polymerase chain reaction and genotyping based on a partial-length fragment of viral protein 1 or the 5’-untranslated region. Results There were 804 inpatients with HFMD/HA and 28 (3.5 %) presented with diarrhoea. Gastrointestinal symptoms were mild in most cases of diarrhoea (82.1 %), with high prevalence of no dehydration (82.1 %), short duration of diarrhoea (78.6 %) and watery stools (75.0 %). The prevalence of multi-organ dysfunction syndrome (10.7 vs 0.40 %) (p = 0.001), hepatic injury (14.3 vs 3.4 %) (p = 0.019), myocardial injury (21.4 vs 6.1 %) (p = 0.002) and convulsion (21.4 vs 7.2 %) (p = 0.016) was significantly higher in the diarrhoea than no diarrhoea group. There was no significant difference between the two groups regarding prevalence of death, altered consciousness, paralysis, central nervous system involvement, or acute respiratory infection. Conclusions Most patients with diarrhoea caused by enteroviruses circulating in Guangdong Province in 2009–2012 had mild or moderate gastrointestinal symptoms. Although enterovirus-related diarrhoea caused additional multi-organ dysfunction syndrome, hepatic injury and myocardial injury in children with HFMD/HA, timely intervention efficiently reduced disease severity and improved outcome.