BackgroundRecent studies have suggested that vitamin D deficiency in children is widespread. But the vitamin D status of Chinese children is seldom investigated. The objective of the present study was to survey the serum levels of 25-hydroxyvitamin D [25(OH)D] in more than 6,000 children aged 1 month to 16 years in Hangzhou (latitude: 30°N), the capital of Zhejiang Province, southeast China.MethodsThe children aged 1 month to 16 years who came to the child health care department of our hospital, the children's hospital affiliated to Zhejiang university school of medicine, for health examination were taken blood for 25(OH) D measurement. Serum 25(OH) D levels were determined by direct enzyme-linked immunosorbent assay and categorized as < 25, < 50, and < 75 nmol/L.ResultsA total of 6,008 children aged 1 month to 16 years participated in this cross-sectional study. All the subjects were divided into subgroups according to their age: 0-1y, 2-5y, 6-11y and 12-16y representing infancy, preschool, school age and adolescence stages respectively. The highest mean level of serum 25(OH)D was found in the 0-1y stage (99 nmol/L) and the lowest one was found in 12-16y stage (52 nmol/L). Accordingly, the prevalence of serum 25(OH)D levels of < 75 nmol/L and < 50 nmol/L were at the lowest among infants (33.6% and 5.4% respectively) and rose to the highest among adolescents (89.6% and 46.4% respectively). The mean levels of serum 25(OH)D and the prevalence of vitamin D deficiency changed according to seasons. In winter and spring, more than 50% of school age children and adolescents had a 25(OH)D level at < 50 nmol/L. If the threshold is changed to < 75 nmol/L, all of the adolescents (100%) had low 25(OH)D levels in winter and 93.7% school age children as well.ConclusionsThe prevalence of vitamin D deficiency and insufficiency among children in Hangzhou Zhejiang province is high, especially among children aged 6-16 years. We suggest that the recommendation for vitamin D supplementation in Chinese children should be extended to adolescence.

Kawasaki disease (KD) is the most common cause of acquired heart disease in children in developed countries. Although functional and phenotypic changes of immune cells have been reported, a global understanding of immune responses underlying acute KD is unclear. Here, using single-cell RNA sequencing, we profile peripheral blood mononuclear cells from seven patients with acute KD before and after intravenous immunoglobulin therapy and from three age-matched healthy controls. The most differentially expressed genes are identified in monocytes, with high expression of pro-inflammatory mediators, immunoglobulin receptors and low expression of MHC class II genes in acute KD. Single-cell RNA sequencing and flow cytometry analyses, of cells from an additional 16 KD patients, show that although the percentage of total B cells is substantially decreased after therapy, the percentage of plasma cells among the B cells is significantly increased. The percentage of CD8+ T cells is decreased in acute KD, notably effector memory CD8+ T cells compared with healthy controls. Oligoclonal expansions of both B cell receptors and T cell receptors are observed after therapy. We identify biological processes potentially underlying the changes of each cell type. The single-cell landscape of both innate and adaptive immune responses provides insights into pathogenesis and therapy of KD.

This paper describes the novel preparation of three kinds of nanofibers [poly(styrene-co-methacrylic acid), poly(styrene-co-p-styrene sulfonate), polystyrene] investigated as solid-phase extraction (SPE) sorbents to extract six compounds (nitrobenzene, 2-naphthol, benzene, n-butyl p-hydroxybenzoate, naphthalene, p-dichlorobenzene) in environmental water by high-performance liquid chromatography. Parameters affecting extraction efficiency were investigated in detail to explore the extraction mechanism of the nanofibers. Under optimized conditions, six compounds followed an excellent linear relationship in the range 10-5,000 ng mL(-1) with coefficients of determination (r (2)) greater than 0.99. The repeatability (expressed as relative standard deviations) was from 3.0 to 7.0%, corresponding to 2.0 mL of water samples at 25 and 500 ng mL(-1) spiked levels for the six compounds. The limits of detection varied from 0.01 to 0.15 ng mL(-1) (signal-to-noise ratio of 3). A comparison of the SPE using nanofibers as sorbents and the most commonly used octadecylsilica SPE cartridges was carried out in terms of absolute recovery, sensitivity, and reproducibility for the compounds investigated. Finally, the method was applied to four real water samples. The results highlighted the importance of functional groups, and the polarity of nanofibers in controlling sorption of target compounds, and clearly showed that the new method could be a viable and environmentally friendly technique for analyzing pollutants in environmental samples.

Since no temporal information can be exploited, rain and snow removal from single image is a challenging problem. In this paper, an improved rain and snow removal method from single image is proposed by designing a guided L0 smoothing filter. The designed filter is inspired by the previous L0 gradient minimization. Then a coarse rain-free or snow-free image can be obtained with the proposed filter, and the final refined result is recovered by a further minimization operation depending on the observed image. Experimental results show that the proposed algorithm generates better or comparable outputs than the state-of-the-art algorithms in rain and snow removal task for single image.

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