Sporadic or late-onset Alzheimer’s disease(LOAD)occurs in 1 of 10 people over 65 years of age and comprises 95%of all AD patients.Unlike early-onset AD,which is caused by defined single gene mutations,the mechanisms ...Sporadic or late-onset Alzheimer’s disease(LOAD)occurs in 1 of 10 people over 65 years of age and comprises 95%of all AD patients.Unlike early-onset AD,which is caused by defined single gene mutations,the mechanisms and events underlying risk for LOAD are not fully understood and no substantial disease-modifying interventions are currently available.Age is the most prominent risk factor for LOAD,and interacting age-related and LOAD-associated factors contribute to its pathogenesis.Among these factors are changes in bioenergetic cell functions,which metabolize substrates and produce energy stored in adenosine triphosphate.展开更多
The onset,cessation,and length of the rainy season are crucial for global water resources,agricultural practices,and food security.However,the response of precipitation seasonality to global warming remains uncertain....The onset,cessation,and length of the rainy season are crucial for global water resources,agricultural practices,and food security.However,the response of precipitation seasonality to global warming remains uncertain.In this study,we analyze how global warming levels(GWLs)of 1.5℃ and 2℃ could affect the timing of rainfall onset(RODs),rainfall cessation(RCDs),and the overall duration of the rainy season(LRS)over global land monsoon(GLM)regions using simulations from CMIP6 under the SSP2-4.5 and SSP5-8.5 scenarios.With high model consensus,our results reveal that RODs are projected to occur later over Southern Africa,North Africa,and South America,but earlier over South Asia and Australia,in a warmer climate.The projected early RODs in Australia are more pronounced at the 2℃ GWL under SSP5-8.5.On the other hand,early RCDs are projected over South America and East Asia,while late RCDs are projected over North Africa,with high inter-model agreement.These changes are associated with a future decrease in LRS in most GLM regions.Additionally,we found that continuous warming over 1.5℃ will further reduce the length of the rainy season,especially over the South America,North Africa,and Southern Africa monsoon regions.The findings underscore the urgent need to mitigate global warming.展开更多
Urinary tract infections(UTIs)are among the most prevalent pediatric bacterial infections,and undertreated episodes may lead to renal scarring,hypertension,or chronic kidney disease.Multidrug-resistant(MDR)Enterobacte...Urinary tract infections(UTIs)are among the most prevalent pediatric bacterial infections,and undertreated episodes may lead to renal scarring,hypertension,or chronic kidney disease.Multidrug-resistant(MDR)Enterobacterales have been increasingly reported in children,with higher rates in Asian and Middle Eastern settings than in high-income countries[1,2].展开更多
BACKGROUND The atherogenic index of plasma(AIP)has been shown to be positively correlated with cardiovascular disease in previous studies.However,it is unclear whether elderly people with long-term high AIP levels are...BACKGROUND The atherogenic index of plasma(AIP)has been shown to be positively correlated with cardiovascular disease in previous studies.However,it is unclear whether elderly people with long-term high AIP levels are more likely to develop coronary heart disease(CHD).Therefore,the aim of this study was to investigate the relationship between AIP trajectory and CHD incidence in elderly people.METHODS 19,194 participants aged≥60 years who had three AIP measurements between 2018 and 2020 were included in this study.AIP was defined as log10(triglyceride/high-density lipoprotein cholesterol).The group-based trajectory model was used to identify different trajectory patterns of AIP from 2018 to 2020.Cox proportional hazards models were used to estimate the hazard ratio(HR)with 95%CI of CHD events between different trajectory groups from 2020 to 2023.RESULTS Three different trajectory patterns were identified through group-based trajectory model:the low-level group(n=7410,mean AIP:-0.25 to-0.17),the medium-level group(n=9981,mean AIP:0.02-0.08),and the high-level group(n=1803,mean AIP:0.38-0.42).During a mean follow-up of 2.65 years,a total of 1391 participants developed CHD.After adjusting for potential confounders,compared with the participants in the low-level group,the HR with 95%CI of the medium-level group and the high-level group were estimated to be 1.24(1.10-1.40)and 1.43(1.19-1.73),respectively.These findings remained consistent in subgroup analyses and sensitivity analyses.CONCLUSIONS There was a significant correlation between persistent high AIP level and increased CHD risk in the elderly.This suggests that monitoring the long-term changes in AIP is helpful to identify individuals at high CHD risk in elderly people.展开更多
Although the Chinese new-generation Fengyun-4B(FY-4B) geostationary satellite Atmospheric Motion Vector(AMV) products became operational in June 2022, their accuracy and utility remain largely unexamined. This study c...Although the Chinese new-generation Fengyun-4B(FY-4B) geostationary satellite Atmospheric Motion Vector(AMV) products became operational in June 2022, their accuracy and utility remain largely unexamined. This study comprehensively evaluates FY-4B AMV products for August and October 2023, as well as January and April 2024,exploring their application in monitoring the South China Sea Summer Monsoon(SCSSM) onset. The results indicate that AMV products derived from the upper-level water vapor absorption channel(AMV_WV) and the infrared channel(AMV_IR) demonstrate high accuracy when compared with ERA5 reanalysis data. The root mean square error(RMSE) is mostly between 4.5 m s^(–1)and 6.4 m s^(–1), with coefficients of determination(R2) values ranging from 0.7 to 0.8, indicating the overall reliability of FY-4B AMVs. The observation errors of AMVs exhibit significant vertical structure characteristics. Specifically, the AMV_WV products demonstrate superior accuracy above 350 h Pa, while the AMV_IR products exhibit reduced errors in the layers between 200–500 h Pa and 700–950 h Pa. Spatially, most areas exhibit low observation errors for AMVs, while clear-sky weather and deep convective cloud systems can increase errors. A lack of clouds or water vapor may reduce the number of observation samples in some areas, leading to unstable RMSE performance, which is particularly evident for AMV_WV RMSE around 25°–30°N in January and near 25°S in August. Deep convective cloud systems can influence AMV retrieval results, leading to systematic observation errors, especially for the infrared channel.Additionally, AMV_WV is more reliable during the daytime, with a lower RMSE compared to nighttime, while AMV_IR exhibits a diverging diurnal variation pattern. Finally, the FY-4B AMV_WV products were applied to monitor the SCSSM event in 2024. Significant zonal wind direction reversal characteristics were observed in key regions around the onset date,indicating that AMVs can serve as effective indicators for monitoring the SCSSM onset.展开更多
Dear Editor,We present the reported case of rapid onset bull’s eye maculopathy.Chloroquine(CQ)and its safer,more widely used analogue,hydroxychloroquine(HCQ),were originally developed as antimalarial medications.Howe...Dear Editor,We present the reported case of rapid onset bull’s eye maculopathy.Chloroquine(CQ)and its safer,more widely used analogue,hydroxychloroquine(HCQ),were originally developed as antimalarial medications.However,they have since become essential in the treatment of various autoimmune disorders due to their anti-inflammatory and immunomodulatory properties.HCQ is also being investigated for potential applications in diabetes mellitus,coronavirus disease 2019,heart disease,and as an adjunct in cancer therapy^([1-2]).展开更多
Spinal subarachnoid hemorrhage(SSAH)is a relatively uncommon but significant cause of acute and progressive neurological impairment.It represents less than 1.5%of all instances of bleeding within the subarachnoid spac...Spinal subarachnoid hemorrhage(SSAH)is a relatively uncommon but significant cause of acute and progressive neurological impairment.It represents less than 1.5%of all instances of bleeding within the subarachnoid space.[1]The early stages of SSAH often present atypical clinical symptoms,making diagnosis challenging and potentially leading to treatment delays,which further result in irreversible neurological damage.Lower back pain is a common complaint in the emergency department(ED).[2]Common causes include overuse resulting in back strain.展开更多
滑坡预警预报是滑坡研究的热点和难点。速度倒数模型的简捷性和有效性使之成为广泛使用的临滑预报模型。滑坡变形加速开始点(Onset of Acceleration)直接影响到速度倒数模型的预报精度。本文基于经济学领域广泛使用的指数移动平均线,提...滑坡预警预报是滑坡研究的热点和难点。速度倒数模型的简捷性和有效性使之成为广泛使用的临滑预报模型。滑坡变形加速开始点(Onset of Acceleration)直接影响到速度倒数模型的预报精度。本文基于经济学领域广泛使用的指数移动平均线,提出了准确识别滑坡变形加速开始点的方法:(1)将滑坡速度绝对值化;(2)定义趋势变化指数ω,利用滑动时间窗口法,识别滑坡加速趋势区;(3)对加速趋势区进行速度倒数线性拟合,根据线性拟合的相关性系数,识别滑坡加速变形开始点。在此基础上,以云南省区布嘎渐变型滑坡为例,对模型识别出的OOA点准确性进行了验证,结果表明:利用本文提出的方法,可准确识别渐变型滑坡的OOA点,利用识别的OOA点对后续数据进行线性回归,其相关性系数在0.8以上,预测误差在4 d以下,显示出较好的预测结果。展开更多
文摘Sporadic or late-onset Alzheimer’s disease(LOAD)occurs in 1 of 10 people over 65 years of age and comprises 95%of all AD patients.Unlike early-onset AD,which is caused by defined single gene mutations,the mechanisms and events underlying risk for LOAD are not fully understood and no substantial disease-modifying interventions are currently available.Age is the most prominent risk factor for LOAD,and interacting age-related and LOAD-associated factors contribute to its pathogenesis.Among these factors are changes in bioenergetic cell functions,which metabolize substrates and produce energy stored in adenosine triphosphate.
基金supported by the Australian Research Council(Grant No.CE230100012)。
文摘The onset,cessation,and length of the rainy season are crucial for global water resources,agricultural practices,and food security.However,the response of precipitation seasonality to global warming remains uncertain.In this study,we analyze how global warming levels(GWLs)of 1.5℃ and 2℃ could affect the timing of rainfall onset(RODs),rainfall cessation(RCDs),and the overall duration of the rainy season(LRS)over global land monsoon(GLM)regions using simulations from CMIP6 under the SSP2-4.5 and SSP5-8.5 scenarios.With high model consensus,our results reveal that RODs are projected to occur later over Southern Africa,North Africa,and South America,but earlier over South Asia and Australia,in a warmer climate.The projected early RODs in Australia are more pronounced at the 2℃ GWL under SSP5-8.5.On the other hand,early RCDs are projected over South America and East Asia,while late RCDs are projected over North Africa,with high inter-model agreement.These changes are associated with a future decrease in LRS in most GLM regions.Additionally,we found that continuous warming over 1.5℃ will further reduce the length of the rainy season,especially over the South America,North Africa,and Southern Africa monsoon regions.The findings underscore the urgent need to mitigate global warming.
文摘Urinary tract infections(UTIs)are among the most prevalent pediatric bacterial infections,and undertreated episodes may lead to renal scarring,hypertension,or chronic kidney disease.Multidrug-resistant(MDR)Enterobacterales have been increasingly reported in children,with higher rates in Asian and Middle Eastern settings than in high-income countries[1,2].
基金supported by the National Key Research and Development Program of China(2017YFC1307705).
文摘BACKGROUND The atherogenic index of plasma(AIP)has been shown to be positively correlated with cardiovascular disease in previous studies.However,it is unclear whether elderly people with long-term high AIP levels are more likely to develop coronary heart disease(CHD).Therefore,the aim of this study was to investigate the relationship between AIP trajectory and CHD incidence in elderly people.METHODS 19,194 participants aged≥60 years who had three AIP measurements between 2018 and 2020 were included in this study.AIP was defined as log10(triglyceride/high-density lipoprotein cholesterol).The group-based trajectory model was used to identify different trajectory patterns of AIP from 2018 to 2020.Cox proportional hazards models were used to estimate the hazard ratio(HR)with 95%CI of CHD events between different trajectory groups from 2020 to 2023.RESULTS Three different trajectory patterns were identified through group-based trajectory model:the low-level group(n=7410,mean AIP:-0.25 to-0.17),the medium-level group(n=9981,mean AIP:0.02-0.08),and the high-level group(n=1803,mean AIP:0.38-0.42).During a mean follow-up of 2.65 years,a total of 1391 participants developed CHD.After adjusting for potential confounders,compared with the participants in the low-level group,the HR with 95%CI of the medium-level group and the high-level group were estimated to be 1.24(1.10-1.40)and 1.43(1.19-1.73),respectively.These findings remained consistent in subgroup analyses and sensitivity analyses.CONCLUSIONS There was a significant correlation between persistent high AIP level and increased CHD risk in the elderly.This suggests that monitoring the long-term changes in AIP is helpful to identify individuals at high CHD risk in elderly people.
基金Science and Technology Planning Project of Guangdong Province (2023B1212060019)Natural Science Foundation of China (42175086)Innovation Group Project of Southern Marine Science and Engineering Guangdong Laboratory (Zhuhai)(SML2023SP208)。
文摘Although the Chinese new-generation Fengyun-4B(FY-4B) geostationary satellite Atmospheric Motion Vector(AMV) products became operational in June 2022, their accuracy and utility remain largely unexamined. This study comprehensively evaluates FY-4B AMV products for August and October 2023, as well as January and April 2024,exploring their application in monitoring the South China Sea Summer Monsoon(SCSSM) onset. The results indicate that AMV products derived from the upper-level water vapor absorption channel(AMV_WV) and the infrared channel(AMV_IR) demonstrate high accuracy when compared with ERA5 reanalysis data. The root mean square error(RMSE) is mostly between 4.5 m s^(–1)and 6.4 m s^(–1), with coefficients of determination(R2) values ranging from 0.7 to 0.8, indicating the overall reliability of FY-4B AMVs. The observation errors of AMVs exhibit significant vertical structure characteristics. Specifically, the AMV_WV products demonstrate superior accuracy above 350 h Pa, while the AMV_IR products exhibit reduced errors in the layers between 200–500 h Pa and 700–950 h Pa. Spatially, most areas exhibit low observation errors for AMVs, while clear-sky weather and deep convective cloud systems can increase errors. A lack of clouds or water vapor may reduce the number of observation samples in some areas, leading to unstable RMSE performance, which is particularly evident for AMV_WV RMSE around 25°–30°N in January and near 25°S in August. Deep convective cloud systems can influence AMV retrieval results, leading to systematic observation errors, especially for the infrared channel.Additionally, AMV_WV is more reliable during the daytime, with a lower RMSE compared to nighttime, while AMV_IR exhibits a diverging diurnal variation pattern. Finally, the FY-4B AMV_WV products were applied to monitor the SCSSM event in 2024. Significant zonal wind direction reversal characteristics were observed in key regions around the onset date,indicating that AMVs can serve as effective indicators for monitoring the SCSSM onset.
文摘Dear Editor,We present the reported case of rapid onset bull’s eye maculopathy.Chloroquine(CQ)and its safer,more widely used analogue,hydroxychloroquine(HCQ),were originally developed as antimalarial medications.However,they have since become essential in the treatment of various autoimmune disorders due to their anti-inflammatory and immunomodulatory properties.HCQ is also being investigated for potential applications in diabetes mellitus,coronavirus disease 2019,heart disease,and as an adjunct in cancer therapy^([1-2]).
基金National Natural Science Foundation of China(82472218)National Key Clinical Specialist Construction Project(Z155080000004)+4 种基金National Key Research and Development Program of China(2024YFC3044400)Noncommunicable Chronic Diseases-National Science and Technology Major Project(2023ZD0506502)the Science and Technology of Shanghai Committee(23Y31900100)Shen Kang Hospital Development Center Project for Technical Standardization Management and Promotion(SHDC22023239)Key Supporting Discipline of Shanghai Healthcare System(2023ZDFC0102).
文摘Spinal subarachnoid hemorrhage(SSAH)is a relatively uncommon but significant cause of acute and progressive neurological impairment.It represents less than 1.5%of all instances of bleeding within the subarachnoid space.[1]The early stages of SSAH often present atypical clinical symptoms,making diagnosis challenging and potentially leading to treatment delays,which further result in irreversible neurological damage.Lower back pain is a common complaint in the emergency department(ED).[2]Common causes include overuse resulting in back strain.
文摘滑坡预警预报是滑坡研究的热点和难点。速度倒数模型的简捷性和有效性使之成为广泛使用的临滑预报模型。滑坡变形加速开始点(Onset of Acceleration)直接影响到速度倒数模型的预报精度。本文基于经济学领域广泛使用的指数移动平均线,提出了准确识别滑坡变形加速开始点的方法:(1)将滑坡速度绝对值化;(2)定义趋势变化指数ω,利用滑动时间窗口法,识别滑坡加速趋势区;(3)对加速趋势区进行速度倒数线性拟合,根据线性拟合的相关性系数,识别滑坡加速变形开始点。在此基础上,以云南省区布嘎渐变型滑坡为例,对模型识别出的OOA点准确性进行了验证,结果表明:利用本文提出的方法,可准确识别渐变型滑坡的OOA点,利用识别的OOA点对后续数据进行线性回归,其相关性系数在0.8以上,预测误差在4 d以下,显示出较好的预测结果。
文摘【目的】早发性肌无力综合征(early onset muscle weakness syndrome,MW)是新近发现的一种荷斯坦牛遗传缺陷,患病犊牛表现为出生后趴卧不起、后肢肌肉萎缩等,其遗传机制与L型钙通道蛋白α1S亚基编码基因CACNA1S的单碱基突变相关。本研究旨在建立该遗传缺陷的分子检测方法,并探究其在国内荷斯坦牛群体中的扩散情况。【方法】基于MW致病位点特异性DNA序列,设计扩增阻滞突变系统-聚合酶链式反应(ARMS-PCR)检测引物,对317份荷斯坦牛冻精和毛囊样本进行MW遗传缺陷基因筛查,通过Sanger测序对ARMS-PCR检测结果进行验证,并利用系谱数据追溯MW突变源头。【结果】ARMS-PCR检出MW携带者21头,携带率为6.62%(21/317),未发现缺陷基因纯合子,提示该突变为隐性纯合致死。Sanger测序与ARMS-PCR所得基因型完全一致,证明该技术具有高度准确性。系谱追溯表明,MW携带者的遗传来源可追溯至1984年出生的荷斯坦公牛Southwind Bell of Bar-Lee。【结论】MW遗传缺陷已在中国荷斯坦牛群体中扩散且携带率较高,建议牧场应尽早开展MW遗传缺陷基因检测和风险评估,采取科学的选种选配措施以减少遗传缺陷导致的经济损失。
