Background and Aim Patients with 2019 novel coronavirus disease (COVID‐19) could present with gastrointestinal symptoms without fever or respiratory manifestations, which could be overlooked by health‐care providers. We aimed to evaluate the clinical characteristics of COVID‐19 in patients presenting with initial gastrointestinal symptoms. Methods We evaluated all confirmed cases of COVID‐19 in Zhongnan Hospital of Wuhan University between January 10 and February 29, 2020. We divided these patients into two groups: patients with initial gastrointestinal symptoms (group A, n = 183) and patients with respiratory syndrome and/or fever (group B, n = 1228). The clinical characteristics, radiological features, and laboratory data were assessed. Results The clinical procedures of both groups underwent 1–2 weeks rising period and were downward trend at 3 weeks; less than 5% of patients progressed to critical illness. In both groups, mean leukocyte count (P = 0.354) and lymphocyte count (P = 0.386) were below normal, and C‐reactive protein level was elevated (P = 0.412). There was mild liver function injury (aspartate aminotransferase, 65.8 ± 12.7 vs 67.4 ± 9.3 U/L, P = 0.246; alanine aminotransferase, 66.4 ± 13.2 vs 69.6 ± 12.7 U/L, P = 0.352), and normal renal function was intact (blood urea nitrogen 6.4 ± 2.5 vs 5.6 ± 2.8 mmol/L P = 0.358; creatinine 85.7 ± 37.2, 91.2 ± 32.6 μmol/L, P = 0.297). After a series of treatment, 176 and 1169 were stable and alive in groups A and B, respectively. The survival rate did not differ significantly between the groups (P = 0.313). Conclusion COVID‐19 patients presented with initial gastrointestinal symptoms had similar clinical characteristics and outcomes, when compared with patients with fever and respiratory symptoms.

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In March 2020, China had periodically controlled the coronavirus disease-19 (COVID-19) epidemic. We reported the results of health screening for COVID-19 among returned staff of a hospital and conducted a summary analysis to provide valuable experience for curbing the COVID-19 epidemic and rebound. In total, 4729 returned staff from Zhongnan Hospital of Wuhan University, Wuhan, China were examined for COVID-19, and the basic information, radiology and laboratory test results were obtained and systematically analysed. Among the 4729 employees, medical staff (62.93%) and rear-service personnel (30.73%) were the majority. The results of the first physical examination showed that 4557 (96.36%) were normal, 172 (3.64%) had abnormal radiological or laboratory test results. After reexamination and evaluation, four were at high risk (asymptomatic infections) and were scheduled to transfer to a designated hospital, and three were at low risk (infectivity could not be determined) and were scheduled for home isolation observation. Close contacts were tracked and managed by the Center for Disease Control and Prevention (CDC) in China. Asymptomatic infections are a major risk factor for returning to work. Extensive health screening combined with multiple detection methods helps to identify asymptomatic infections early, which is an important guarantee in the process of returning to work.

This paper uses citation analysis to measure the intellectual impact of Chinese library and information science on outside disciplines. It analyses 469 journals in disciplines outside the library and information science field containing citations to 20 Chinese library and information science journals from 1996 to 2015. It shows that Chinese library and information science mainly receives citations from related disciplines, such as business and management, communication, and computer science, and that the majority of library and information science articles are rarely cited. The library and information science subjects of bibliometrics, information technology and knowledge management are most likely to be cited.

Purpose The purpose of this paper is to understand how Chinese library and information science (LIS) journal articles cite works from outside the discipline (WOD) to identify the impact of knowledge import from outside the discipline on LIS development. Design/methodology/approach This paper explores the Chinese LIS’ preferences in citing WOD by employing bibliometrics and machine learning techniques. Findings Chinese LIS citations to WOD account for 29.69 percent of all citations, and they rise over time. Computer science, education and communication are the most frequently cited disciplines. Under the categorization of Biglan model, Chinese LIS prefers to cite WOD from soft science, applied science or nonlife science. In terms of community affiliation, the cited authors are mostly from the academic community, but rarely from the practice community. Mass media has always been a citation source that is hard to ignore. There is a strong interest of Chinese LIS in citing emerging topics. Practical implications This paper can be implemented in the reformulation of Chinese LIS knowledge system, the promotion of interdisciplinary collaboration, the development of LIS library collection and faculty advancement. It may also be used as a reference to develop strategies for the global LIS. Originality/value This paper fills the research gap in analyzing citations to WOD from Chinese LIS articles and their impacts on LIS, and recommends that Chinese LIS should emphasize on knowledge both on technology and people as well as knowledge from the practice community, cooperate with partners from other fields, thus to produce knowledge meeting the demands from library and information practice as well as users.