The aim of this study was to evaluate the effects of low-dose tibolone therapy on ovarian area, uterine volume and endometrial thickness, and define the cut-off value of endometrial thickness for curettage during uter...The aim of this study was to evaluate the effects of low-dose tibolone therapy on ovarian area, uterine volume and endometrial thickness, and define the cut-off value of endometrial thickness for curettage during uterine bleeding. We followed 619 postmenopausal women, aged 40-60 years, for two years. There were 301 subjects in the low-dose tibolone treatment group and 318 subjects in the control group. The ovarian area, uterine volume and endometrial thickness in all participants were measured by transvaginal ultrasound prior to, one and two years post enrollment, respectively. Endometrial specimens were collected from all subjects with abnormal uterine bleeding during the follow-up period. We found that the uterine volume in the treatment group was greater than that in the control group, and the difference was significant （P〈0.05）, but there were no significant differences in ovarian area and endometrial thickness between the two groups （P〉0.05）. When the cut-off value for endometrial thickness was 7.35 ram, the sensitivity and specificity were 100% and 79.07%, respectively, and 85.71% and 93.02% when 7.55 mm was set as the cut-offduring tibolone therapy. The results indicate that low-dose tibolone therapy may postpone uterine atrophy and the cut-off value of endometrial thickness may be appropriately adjusted for curettage.展开更多
The transverse relaxation time (T_(2)) cut-off value plays a crucial role in nuclear magnetic resonance for identifying movable and immovable boundaries, evaluating permeability, and determining fluid saturation in pe...The transverse relaxation time (T_(2)) cut-off value plays a crucial role in nuclear magnetic resonance for identifying movable and immovable boundaries, evaluating permeability, and determining fluid saturation in petrophysical characterization of petroleum reservoirs. This study focuses on the systematic analysis of T_(2) spectra and T_(2) cut-off values in low-permeability reservoir rocks. Analysis of 36 low-permeability cores revealed a wide distribution of T_(2) cut-off values, ranging from 7 to 50 ms. Additionally, the T_(2) spectra exhibited multimodal characteristics, predominantly displaying unimodal and bimodal morphologies, with a few trimodal morphologies, which are inherently influenced by different pore types. Fractal characteristics of pore structure in fully water-saturated cores were captured through the T_(2) spectra, which were calculated using generalized fractal and multifractal theories. To augment the limited dataset of 36 cores, the synthetic minority oversampling technique was employed. Models for evaluating the T_(2) cut-off value were separately developed based on the classified T_(2) spectra, considering the number of peaks, and utilizing generalized fractal dimensions at the weight <0 and the singular intensity range. The underlying mechanism is that the singular intensity and generalized fractal dimensions at the weight <0 can detect the T_(2) spectral shift. However, the T_(2) spectral shift has negligible effects on multifractal spectrum function difference and generalized fractal dimensions at the weight >0. The primary objective of this work is to gain insights into the relationship between the kurtosis of the T_(2) spectrum and pore types, as well as to predict the T_(2) cut-off value of low-permeability rocks using machine learning and data augmentation techniques.展开更多
Iron deficiency anemia is one of the most prevalent nutritional deficiency worldwide. The commonly used cut-off values for identifying iron deficiency are extrapolated from older children and may not be suitable for i...Iron deficiency anemia is one of the most prevalent nutritional deficiency worldwide. The commonly used cut-off values for identifying iron deficiency are extrapolated from older children and may not be suitable for infants. Therefore, our study aimed to establish appropriate cut-off values for the evaluation of iron status in Chinese infants. Pregnant women who delivered at 〉37 gestational weeks with normal iron status were recruited. Later, infants with normal birth weight and who were breastfed in the first 4 months were selected. Blood samples were collected to assess hemoglobin, serum ferritin, soluble transferrin receptor, mean corpuscular volume and free erythrocyte protoporphyrin. Cut-offs of all iron indices were determined as the limit of 95% confidence interval.展开更多
The aim of the present study was to investigate minimum inhibitory concentration(MIC)distributions by broth microdilution(BMD)method and to determine the preliminary epidemiological cut-off value(ECV)of colistin by ep...The aim of the present study was to investigate minimum inhibitory concentration(MIC)distributions by broth microdilution(BMD)method and to determine the preliminary epidemiological cut-off value(ECV)of colistin by epidemiological cut-off(ECOFF)finder against E.coli from chickens in China.Anal swabs were collected from chicken farms in China.BMD method was used to measure MIC50 and MIC90 of colistin which were 2 and 4μg•mL^(-1),respectively.MIC frequency distributions for colistin were used to estimate preliminary ECV(8μg•mL^(-1)).High percentages of resistance to ampicillin(94.12%),nalidixic acid(94.12%),enrofloxacin(94.12%),tetracycline(94.12%),ciprofloxacin(88.24%),florfenicol(88.24%),neomycin(64.71%),gentamicin(58.82%),levofloxacin(58.82%),doxycycline(88.24%)and cefalexin(76.47%)were found.In addition,low percentages of resistance to amikacin(5.88%),spectinomycin(17.65%)and fosfomycin(41.18%)were noted.Notably,amoxicillin,sulfisoxazole and trimethoprim resulted in a 100%resistance generation efficacy rate.Prevalence of mcr-1 in E.coli(9/17)in chromosomal DNA was higher than mcr-4(2/17)gene,and mcr-1(5/17)was higher than mcr-4(3/17)in plasmid.展开更多
BACKGROUND Glycated hemoglobin A1c(HbA1c)is considered the most suitable for diabetes mellitus diagnosis due to its accuracy and convenience.However,the effect of HbA1c on diabetic retinopathy(DR)in the Han and Korean...BACKGROUND Glycated hemoglobin A1c(HbA1c)is considered the most suitable for diabetes mellitus diagnosis due to its accuracy and convenience.However,the effect of HbA1c on diabetic retinopathy(DR)in the Han and Korean populations in Jilin,China,remains inconclusive.AIM To determine the best cut-off of HbA1c for diagnosing DR among the Chinese.METHODS This cross-sectional study included 1933 participants from the Yanbian area of Jilin Province,China.Trained investigators employed a questionnaire-based survey,physical examination,laboratory tests,and fundus photography for the investigation.The best cut-off value for HbA1c was established via the receiver operating characteristic curve.The factors associated with HbA1c-associated risk factors were determined via linear regression.RESULTS The analysis included 887 eligible Chinese Han and Korean participants,591 of whom were assigned randomly to the training set and 296 to the validation set.The prevalence of DR was 3.27% in the total population.HbA1c of 6.2% was the best cut-off value in the training set,while it was 5.9% in the validation set.In both Chinese Han and Korean populations,an HbA1c level of 6.2% was the best cut-off value.The optimal cut-off values of fasting blood glucose(FBG)≥7 mmol/L and<7 mmol/L were 8.1% and 6.2% respectively in Han populations,while those in Korean populations were 6.9%and 5.3%,respectively.Age,body mass index,and FBG were determined as the risk factors impacting HbA1c levels.CONCLUSION HbA1c may serve as a useful diagnostic indicator for DR.An HbA1c level of 6.2% may be an appropriate cut-off value for DR detection in the Chinese population.展开更多
This paper is concerned with a class of nonlinear fractional differential equations with a disturbance parameter in the integral boundary conditions on the infinite interval.By using Guo-Krasnoselskii fixed point theo...This paper is concerned with a class of nonlinear fractional differential equations with a disturbance parameter in the integral boundary conditions on the infinite interval.By using Guo-Krasnoselskii fixed point theorem,fixed point index theory and the analytic technique,we give the bifurcation point of the parameter which divides the range of parameter for the existence of at least two,one and no positive solutions for the problem.And,by using a fixed point theorem of generalized concave operator and cone theory,we establish the maximum parameter interval for the existence of the unique positive solution for the problem and show that such a positive solution continuously depends on the parameter.In the end,some examples are given to illustrate our main results.展开更多
Weak measurement offers a powerful framework for probing nonclassical features of quantum mechanics,with anomalous weak values serving as operational signatures of contextuality.While the anomalous weak value verifica...Weak measurement offers a powerful framework for probing nonclassical features of quantum mechanics,with anomalous weak values serving as operational signatures of contextuality.While the anomalous weak value verification of quantum contextuality has been predominantly investigated in the single-photon regime and analyzed under approximation condition of infinitesimally small perturbation strength.This study releases the approximation condition and takes into account the impact of perturbation strength on the rigor of the verification.And the investigation on the verification of contextuality is extended to the multi-photon scenarios for observing the influence of the correlation between photons on the verification.Without the limitation of infinitesimally small probability of disturbance,anomalous weak values are identified as necessary for contextuality to emerge,thereby refining the criterion proposed by Pusey[Phys.Rev.Lett.113200401(2014)].In the multi-photon scenarios,the emergence of contextuality also depends strongly on both the photon number and the photon-number distribution state.In particular,contextuality is found to be maximized when the single-photon component dominates and the second-order correlation is lower.These results highlight the critical role of photon statistics in experimental tests of contextuality via anomalous weak values.展开更多
BACKGROUND:Although the Confusion Assessment Methods for the Intensive Care Unit(CAMICU) is a recommended tool for diagnosing sepsis-associated encephalopathy(SAE),it has several limitations.Mismatch-negativity(MMN) a...BACKGROUND:Although the Confusion Assessment Methods for the Intensive Care Unit(CAMICU) is a recommended tool for diagnosing sepsis-associated encephalopathy(SAE),it has several limitations.Mismatch-negativity(MMN) and P3a are components of event-related potentials(ERPs) used with electroencephalography(EEG) and are associated with cerebral function changes in critically ill patients.This study aimed to provide a quantitative,non-invasive method to guide SAE diagnosis in nonsedated patients.METHODS:From January 2022 to March 2023,sepsis patients without sedation were enrolled and assessed via the CAM-ICU,Glasgow Coma Scale(GCS),and ERP under standard procedures.Both MMN and P3a data were collected.The diagnostic value of MMN and P3a was assessed with processed ERP data.RESULTS:Thirty-six patients were included in this study,comprising 19 patients with SAE and 17 patients without SAE(NSAE).MMN and P3a amplitudes decreased,and only FzMMN amplitude significantly decreased in SAE patients(2.03 [1.08,2.93] mV vs.3.21 [1.92,4.34] mV,P=0.040).After median dichotomization,low F3P3a and FzP3a amplitudes were associated with higher CAM-ICU positivity rates and APACHE II scores.Both amplitude in F3P3a(AUC=0.710,95%CI:0.527–0.893,P=0.034) and FzP3a(AUC=0.700,95%CI:0.519–0.881,P=0.041) exhibited moderate diagnostic efficacy for SAE,while FzMMN amplitude lacks effective diagnostic value.CONCLUSION:In this pilot study,ERP components F3P3a and FzP3a amplitudes demonstrated moderate diagnostic value for SAE.These exploratory findings require confirmation in larger and powered cohorts.展开更多
Lhasa,one of the world's highest cities,confronts the challenge of harmonizing cultural heritage preservation with ecological protection.Assessing the spatiotemporal dynamics of ecosystem service value(ESV)in its ...Lhasa,one of the world's highest cities,confronts the challenge of harmonizing cultural heritage preservation with ecological protection.Assessing the spatiotemporal dynamics of ecosystem service value(ESV)in its central urban area is therefore critical for informing future urban planning and land management.This study systematically analyzed land use evolution,the spatiotemporal characteristics of ecosystem services,and ecological network construction within Lhasa's central urban area.It integrated multi-source data,including Landsat remote sensing imagery from 2000,2010,and 2023,with multiple modeling methods such as the InVEST model,MaxEnt for cultural service assessment,the Minimum Cumulative Resistance(MCR)model,and circuit theory.Based on these analyses,optimization strategies were proposed.The results indicate that from 2000 to 2023,areas of cultivated land,grassland,and water bodies decreased by 7.47%,6.85%,and 0.68%,respectively,while wetland and forest areas expanded by 1.44%and 0.64%.Construction land exhibited significant expansion(12.94%),leading to an overall ESV reduction of 462.8×10^(5)yuan.Vegetation coverage was identified as the pivotal factor influencing ESV distribution,with higher values concentrated in the Lhasa River Basin and near the Lhalu Wetland,diminishing towards the urban core.Furthermore,spatial autocorrelation analysis revealed significant positive spatial clustering,with low-low aggregation in the eastern and central regions and high-high aggregation in the Lhasa River Basin and its surrounding water bodies.Moreover,based on a comprehensive ecosystem service assessment,11 ecological source sites were identified,primarily in the southwestern mountains and northeastern foothills.A comprehensive resistance surface,incorporating factors such as elevation,Normalized Difference Vegetation Index(NDVI),and land use,facilitated the extraction of 23 potential ecological corridors totaling 124.96 km in length.Topological network analysis indicated high redundancy and connectivity;however,marginal source sites relying on single connections exhibited significant vulnerability to rupture.Additionally,the application of circuit theory identified 30 ecological pinch points(current density≥1.5 A/km^(2))and 23 obstacle points,revealing significant blockages to ecological flow along the Qinghai-Xizang Highway,within the old city,and in other areas of high-intensity human activity.To address the identified network deficiencies—‘scattered cores,fragmented corridors,and insufficient resilience’—this study proposes an optimization strategy conceptualized as‘one vein,three corridors,and multiple cores’.Recommendations for enhancing network resilience include the delineation of ecological protection red lines,the integration of plateau-adapted technologies,and the fostering of community governance mechanisms.This approach aims to provide a scientific basis for constructing an ecological security pattern and promoting sustainable development in plateau cities.Ultimately,this research contributes to the enhancement of ecological well-being in the Himalayan region.展开更多
Against the backdrop of profound restructuring in the global industrial and supply chains,data elements have emerged as a critical force driving the transformation of enterprises'new quality productive forces.To a...Against the backdrop of profound restructuring in the global industrial and supply chains,data elements have emerged as a critical force driving the transformation of enterprises'new quality productive forces.To address the ambiguity surrounding its micro-level empowerment mechanism,this paper empirically examines the impact of data elements on enterprises'new quality productive forces and its transmission channels using panel data of Chinese A-share listed firms from 2014 to 2023.The results show that data elements significantly improve the level of enterprises'new quality productive forces.Heterogeneity analysis indicates that this promotional effect is more pronounced in non-state-owned enterprises,large-scale enterprises,and low-leverage enterprises.Mechanism tests confirm that data elements empower new quality productive forces through three paths:enhancing enterprise innovation capability,improving internal operational efficiency,and promoting inter-firm collaboration efficiency.This study provides empirical evidence for understanding the micro-level empowerment logic of data elements and offers theoretical references and practical implications for advancing the deep integration of the digital economy and the real economy.展开更多
AIM:To evaluate the predictive value of pan-immuneinflammation value(PIV)in the diagnosis of proliferative diabetic retinopathy(PDR)and its association with the stage of PDR.METHODS:This observational case-control stu...AIM:To evaluate the predictive value of pan-immuneinflammation value(PIV)in the diagnosis of proliferative diabetic retinopathy(PDR)and its association with the stage of PDR.METHODS:This observational case-control study included participants who underwent routine complete blood count testing.Inflammation-related indices,including neutrophil-to-lymphocyte ratio,systemic immune-inflammation index(SII),and PIV,were derived and analyzed.Receiver operating characteristic curve(ROC)analysis was applied to assess the diagnostic performance of these indices in distinguishing patients with PDR,with sensitivity,specificity,area under ROC,and optimal threshold values calculated.In addition,binary logistic regression analysis was performed to evaluate the association between inflammatory indices and PDR stage.RESULTS:This study included 205 patients:60 with diabetes without retinopathy(mean age:61.81±10.76y),80 with PDR(mean age:61.63±10.03y)and 65 healthy controls(mean age:59.52±5.88y).The PDR group had significantly higher white blood cell(WBC,P<0.001),monocyte(MONO,P=0.009)and neutrophil(NEU)counts(P<0.001).SII and PIV had the highest sensitivity and area under ROC for predicting patients with PDR(0.822,0.846,respectively).The optimal cut-off values for discriminating patients with PDR were determined to be>527.12 and>299.08 for SII and PIV,respectively.The logistic regression analysis demonstrated that a decrease in lymphocyte(LYM)count and an increase in platelet count(PLT),glycated haemoglobin(HbA1c),SII,and PIV were all significantly associated with the development of high-risk PDR(all P<0.05).PIV was more stable than independent MONO,LYM,PLT and NEU levels in predicting both the diagnosis and stage of PDR.The optimal cut-off value for PIV to discriminate patients with high-risk PDR was found to be>345.87 area under ROC=0.871,with sensitivity of 0.827 and specificity of 0.812.CONCLUSION:PIV is a reliable,valuable,and inexpensive blood index that can be used for early detection and staging of PDR.PIV may therefore be essential to be used for the follow-up of diabetic patients.展开更多
In this paper,we study the nonlinear Riemann boundary value problem with square roots that is represented by a Cauchy-type integral with kernel density in variable exponent Lebesgue spaces.We discuss the odd-order zer...In this paper,we study the nonlinear Riemann boundary value problem with square roots that is represented by a Cauchy-type integral with kernel density in variable exponent Lebesgue spaces.We discuss the odd-order zero-points distribution of the solutions and separate the single valued analytic branch of the solutions with square roots,then convert the problem to a Riemann boundary value problem in variable exponent Lebesgue spaces and discuss the singularity of solutions at individual zeros belonging to curve.We consider two types of cases those where the coefficient is Hölder and those where it is piecewise Hölder.Then we solve the Hilbert boundary value problem with square roots in variable exponent Lebesgue spaces.By discussing the distribution of the odd-order zero-points for solutions and the method of symmetric extension,we convert the Hilbert problem to a Riemann boundary value problem.The equivalence of the transformation is discussed.Finally,we get the solvable conditions and the direct expressions of the solutions in variable exponent Lebesgue spaces.展开更多
The shift toward specialized and large-scale agricultural production has spurred the emergence of agricultural clusters as key forces of rural vitalization and sustainable development.This paper explored the formation...The shift toward specialized and large-scale agricultural production has spurred the emergence of agricultural clusters as key forces of rural vitalization and sustainable development.This paper explored the formation and evolution of Meizhou pomelo industry cluster in China,focusing on its role in restructuring rural socio-economic systems and integrating the whole value chains.Based on a case study employing qualitative methods such as in-depth interviews and participatory observation,the agricultural cluster evolution of Meizhou pomelo was categorized into three key phases of initial decentralization,self-organized scaling,and reorganized clustering.Geographical proximity and industrial agglomeration constitute the physical foundation,while vertical/horizontal linkages,technologic-al innovation,and policy support enhance competitiveness.Special mechanisms emerge through localized social networks,farmer co-operatives’activation,and cross-regional market expansion.The cluster’s impact is manifested in the shift from extensive to standard-ized and modernized production,diversified and flexible livelihood of farmers,and the integration of agriculture with industry and ser-vices.The development of the whole value chain based on agricultural cluster represents a critical pathway for achieving agricultural modernization,encompassing both internal and external value chain optimization.Through quality assurance systems,product diversi-fication strategies,operational efficiency improvements,and brand enhancement,these clusters amplify product value propositions and market competitiveness.This systemic approach facilitates supply-demand coordination,enables resource synergies,and optimizes eco-nomic returns across the horizontal and vertical value chain.This paper argues that agricultural clusters serve as strategic catalysts for sustainable rural development by reconstructing local production systems,fostering innovation ecosystems,and aligning agricultural modernization.It contributes to debates on rural vitalization by demonstrating how agricultural clustering can reconfigure rural areas as hubs of ecological modernization,rather than mere urban peripheries.展开更多
In the Tianshan region,a complete textile industry chain has been established,covering the entire process from cotton cultivation and chemical fiber production,through spinning,weaving,dyeing,and finishing,and further...In the Tianshan region,a complete textile industry chain has been established,covering the entire process from cotton cultivation and chemical fiber production,through spinning,weaving,dyeing,and finishing,and further extending to apparel,home textiles,and industrial textiles.In November 2025,the first list of five characteristic textile and apparel industry clusters in Xinjiang was officially announced,marking a new stage in the clustering of Xinjiang's textile and apparel industry.Data shows that the total output value of Xinjiang's cotton and textile and apparel industry chain has exceeded 220 billion yuan.With the nation's largest cotton production,a complete industrial chain system,and strong synergistic effects,Xinjiang has become a leading and highly competitive textile industry hub in China.展开更多
The Double Take column looks at a single topic from an African and Chinese perspective.This month,we discuss how to understand the growing emphasis on emotional returns among young people.Emotional value has emerged a...The Double Take column looks at a single topic from an African and Chinese perspective.This month,we discuss how to understand the growing emphasis on emotional returns among young people.Emotional value has emerged as a central force shaping youth decision-making across work,consumption,relationships and lifestyle choices.Unlike traditional economic rationality that prioritises income and material security,emotional value focuses on how choices make individuals feel and how they align with personal meaning.This shift is particularly evident in rapidly transforming societies such as China and Ghana,where economic restructuring,globalisation and social change have reshaped pathways to adulthood.展开更多
Ming-style furniture represents the pinnacle of Chinese traditional furniture,with the four-head official’s cap chair standing out as a representative category due to its classic form and cultural connotations.This p...Ming-style furniture represents the pinnacle of Chinese traditional furniture,with the four-head official’s cap chair standing out as a representative category due to its classic form and cultural connotations.This paper takes a specific rosewood four-head official’s cap chair inscribed by Wang Shixiang as the research subject,employing a tripartite approach of form analysis,material examination,and inscription interpretation.The chair strictly adheres to the classic form of Ming-style four-head official’s cap chairs,embodying the Ming Dynasty design philosophy of“the unity of function and aesthetics”.The scarcity and unique grain pattern of the golden-flecked rosewood(Zitan)endow it with the status of“gold among woods”.Wang Shixiang’s inscription binds the furniture to the cultural essence of“the charm of the Ming Dynasty”,transforming it into“heritable cultural heritage”.This paper provides a new perspective for the case study of Ming-style furniture and offers theoretical reference for the contemporary inheritance of traditional craftsmanship.展开更多
The Nuo mask is the core visual vehicle within China’s Nuo culture and constitutes a complex symbolic system through facial features(icons),patterns(indexes),and colors(symbols).Within the context of intangible cultu...The Nuo mask is the core visual vehicle within China’s Nuo culture and constitutes a complex symbolic system through facial features(icons),patterns(indexes),and colors(symbols).Within the context of intangible cultural heritage(ICH)preservation,its value lies in the continuation and revitalization of its dynamic symbolic functions.Grounded in semiotic theory,this paper elaborates on three core dimensions of symbolic value manifested by Nuo masks in ICH preservation:a ritual symbol for living transmission,a symbol of identity for collective memory,and an aesthetic symbol as a source of creativity.展开更多
Numerous economically underdeveloped and ecologically fragile areas in southern China's mountainous regions face increasing challenges in achieving sustainable development. A comparative analysis of ecosystem serv...Numerous economically underdeveloped and ecologically fragile areas in southern China's mountainous regions face increasing challenges in achieving sustainable development. A comparative analysis of ecosystem service responses to land use scenarios, incorporating adaptive valuation coefficients, can reveal actionable pathways to reconcile sustainable development and ecological conservation in mountainous regions. In this study, the ecosystem service value(ESV) dynamics in the Hunan–Jiangxi Border Region(HJBR), which is a representative old revolutionary base with a relatively undeveloped economy, were investigated by integrating historical land use data analysis from 2000 to 2020 and adopting patch-generating land use simulation(PLUS) modelling. Three policy-responsive scenarios, namely, natural growth(NGS), farmland protection(FPS), and ecological protection(EPS), were systematically developed to project ESV variations for 2030 and 2040. Our analysis revealed that from 2000 to 2020, urban sprawl and water body expansion occurred at the expense of forestland, cultivated land, and grassland, yet yield-driven productivity improvements increased the ESV by 227.30%(equivalent to ¥250.0 billion). By 2040, the NGS achieves the greatest ESV increase(¥189.895 billion) while fully accommodating urban land demand;the FPS yields the smallest ESV increase(¥148.169 billion), with the EPS occupying an intermediate position(¥182.207 billion). Climate regulation and hydrological services dominate ecological functions, collectively exceeding 49% across all the scenarios and periods. By 2040, most service functions exhibit growth trends except for a 0.30% water supply decline under the FPS, whereas the EPS demonstrates balanced development through multidimensional service enhancements. These findings underscore the necessity of integrating ecological safeguards into land use planning frameworks to ensure sustainable regional development.展开更多
基金supported by the Sci-tech Research Development Program of Shaanxi Province (No.2015SF015)
文摘The aim of this study was to evaluate the effects of low-dose tibolone therapy on ovarian area, uterine volume and endometrial thickness, and define the cut-off value of endometrial thickness for curettage during uterine bleeding. We followed 619 postmenopausal women, aged 40-60 years, for two years. There were 301 subjects in the low-dose tibolone treatment group and 318 subjects in the control group. The ovarian area, uterine volume and endometrial thickness in all participants were measured by transvaginal ultrasound prior to, one and two years post enrollment, respectively. Endometrial specimens were collected from all subjects with abnormal uterine bleeding during the follow-up period. We found that the uterine volume in the treatment group was greater than that in the control group, and the difference was significant （P〈0.05）, but there were no significant differences in ovarian area and endometrial thickness between the two groups （P〉0.05）. When the cut-off value for endometrial thickness was 7.35 ram, the sensitivity and specificity were 100% and 79.07%, respectively, and 85.71% and 93.02% when 7.55 mm was set as the cut-offduring tibolone therapy. The results indicate that low-dose tibolone therapy may postpone uterine atrophy and the cut-off value of endometrial thickness may be appropriately adjusted for curettage.
基金supported by National Natural Science Foundation of China(Nos.42002171,42172159)China Postdoctoral Science Foundation(Nos.2020TQ0299,2020M682520)Postdoctoral Innovation Science Foundation of Hubei Province of China.
文摘The transverse relaxation time (T_(2)) cut-off value plays a crucial role in nuclear magnetic resonance for identifying movable and immovable boundaries, evaluating permeability, and determining fluid saturation in petrophysical characterization of petroleum reservoirs. This study focuses on the systematic analysis of T_(2) spectra and T_(2) cut-off values in low-permeability reservoir rocks. Analysis of 36 low-permeability cores revealed a wide distribution of T_(2) cut-off values, ranging from 7 to 50 ms. Additionally, the T_(2) spectra exhibited multimodal characteristics, predominantly displaying unimodal and bimodal morphologies, with a few trimodal morphologies, which are inherently influenced by different pore types. Fractal characteristics of pore structure in fully water-saturated cores were captured through the T_(2) spectra, which were calculated using generalized fractal and multifractal theories. To augment the limited dataset of 36 cores, the synthetic minority oversampling technique was employed. Models for evaluating the T_(2) cut-off value were separately developed based on the classified T_(2) spectra, considering the number of peaks, and utilizing generalized fractal dimensions at the weight <0 and the singular intensity range. The underlying mechanism is that the singular intensity and generalized fractal dimensions at the weight <0 can detect the T_(2) spectral shift. However, the T_(2) spectral shift has negligible effects on multifractal spectrum function difference and generalized fractal dimensions at the weight >0. The primary objective of this work is to gain insights into the relationship between the kurtosis of the T_(2) spectrum and pore types, as well as to predict the T_(2) cut-off value of low-permeability rocks using machine learning and data augmentation techniques.
基金supported by Natural Science Foundation of China(Grant No.30972483)The Chinese clinical trial registry number is ChiCTR-TRC-12002838
文摘Iron deficiency anemia is one of the most prevalent nutritional deficiency worldwide. The commonly used cut-off values for identifying iron deficiency are extrapolated from older children and may not be suitable for infants. Therefore, our study aimed to establish appropriate cut-off values for the evaluation of iron status in Chinese infants. Pregnant women who delivered at 〉37 gestational weeks with normal iron status were recruited. Later, infants with normal birth weight and who were breastfed in the first 4 months were selected. Blood samples were collected to assess hemoglobin, serum ferritin, soluble transferrin receptor, mean corpuscular volume and free erythrocyte protoporphyrin. Cut-offs of all iron indices were determined as the limit of 95% confidence interval.
基金Supported by the National Key Research and Development Program of China(2016YFD0501302)the National Natural Science Foundation of China(31772801)。
文摘The aim of the present study was to investigate minimum inhibitory concentration(MIC)distributions by broth microdilution(BMD)method and to determine the preliminary epidemiological cut-off value(ECV)of colistin by epidemiological cut-off(ECOFF)finder against E.coli from chickens in China.Anal swabs were collected from chicken farms in China.BMD method was used to measure MIC50 and MIC90 of colistin which were 2 and 4μg•mL^(-1),respectively.MIC frequency distributions for colistin were used to estimate preliminary ECV(8μg•mL^(-1)).High percentages of resistance to ampicillin(94.12%),nalidixic acid(94.12%),enrofloxacin(94.12%),tetracycline(94.12%),ciprofloxacin(88.24%),florfenicol(88.24%),neomycin(64.71%),gentamicin(58.82%),levofloxacin(58.82%),doxycycline(88.24%)and cefalexin(76.47%)were found.In addition,low percentages of resistance to amikacin(5.88%),spectinomycin(17.65%)and fosfomycin(41.18%)were noted.Notably,amoxicillin,sulfisoxazole and trimethoprim resulted in a 100%resistance generation efficacy rate.Prevalence of mcr-1 in E.coli(9/17)in chromosomal DNA was higher than mcr-4(2/17)gene,and mcr-1(5/17)was higher than mcr-4(3/17)in plasmid.
基金Supported by National Key R&D Program of China,No.2016YFC1305700.
文摘BACKGROUND Glycated hemoglobin A1c(HbA1c)is considered the most suitable for diabetes mellitus diagnosis due to its accuracy and convenience.However,the effect of HbA1c on diabetic retinopathy(DR)in the Han and Korean populations in Jilin,China,remains inconclusive.AIM To determine the best cut-off of HbA1c for diagnosing DR among the Chinese.METHODS This cross-sectional study included 1933 participants from the Yanbian area of Jilin Province,China.Trained investigators employed a questionnaire-based survey,physical examination,laboratory tests,and fundus photography for the investigation.The best cut-off value for HbA1c was established via the receiver operating characteristic curve.The factors associated with HbA1c-associated risk factors were determined via linear regression.RESULTS The analysis included 887 eligible Chinese Han and Korean participants,591 of whom were assigned randomly to the training set and 296 to the validation set.The prevalence of DR was 3.27% in the total population.HbA1c of 6.2% was the best cut-off value in the training set,while it was 5.9% in the validation set.In both Chinese Han and Korean populations,an HbA1c level of 6.2% was the best cut-off value.The optimal cut-off values of fasting blood glucose(FBG)≥7 mmol/L and<7 mmol/L were 8.1% and 6.2% respectively in Han populations,while those in Korean populations were 6.9%and 5.3%,respectively.Age,body mass index,and FBG were determined as the risk factors impacting HbA1c levels.CONCLUSION HbA1c may serve as a useful diagnostic indicator for DR.An HbA1c level of 6.2% may be an appropriate cut-off value for DR detection in the Chinese population.
基金Supported by the National Natural Science Foundation of China(11361047)Fundamental Research Program of Shanxi Province(20210302124529)。
文摘This paper is concerned with a class of nonlinear fractional differential equations with a disturbance parameter in the integral boundary conditions on the infinite interval.By using Guo-Krasnoselskii fixed point theorem,fixed point index theory and the analytic technique,we give the bifurcation point of the parameter which divides the range of parameter for the existence of at least two,one and no positive solutions for the problem.And,by using a fixed point theorem of generalized concave operator and cone theory,we establish the maximum parameter interval for the existence of the unique positive solution for the problem and show that such a positive solution continuously depends on the parameter.In the end,some examples are given to illustrate our main results.
基金Project supported by the National Natural Science Foun-dation of China(Grant Nos.62371199 and 62071186)the Natural Science Foundation of Guangdong Province,China(Grant No.2024A1515012427)+1 种基金the Quantum Science Strate-gic Initiative Project of Guangdong Province,China(Grant No.GDZX2305001)the Key Laboratory Project of Guangdong Province,China(Grant No.2020B1212060066).
文摘Weak measurement offers a powerful framework for probing nonclassical features of quantum mechanics,with anomalous weak values serving as operational signatures of contextuality.While the anomalous weak value verification of quantum contextuality has been predominantly investigated in the single-photon regime and analyzed under approximation condition of infinitesimally small perturbation strength.This study releases the approximation condition and takes into account the impact of perturbation strength on the rigor of the verification.And the investigation on the verification of contextuality is extended to the multi-photon scenarios for observing the influence of the correlation between photons on the verification.Without the limitation of infinitesimally small probability of disturbance,anomalous weak values are identified as necessary for contextuality to emerge,thereby refining the criterion proposed by Pusey[Phys.Rev.Lett.113200401(2014)].In the multi-photon scenarios,the emergence of contextuality also depends strongly on both the photon number and the photon-number distribution state.In particular,contextuality is found to be maximized when the single-photon component dominates and the second-order correlation is lower.These results highlight the critical role of photon statistics in experimental tests of contextuality via anomalous weak values.
基金supported by the CAMS Innovation Fund for Medical Sciences (CIFMS)(No.2021-1-I2M-020)National High Level Hospital Clinical Research Funding (No.2022-PUMCH-B-109)National Natural Science Foundation of China (82402543)。
文摘BACKGROUND:Although the Confusion Assessment Methods for the Intensive Care Unit(CAMICU) is a recommended tool for diagnosing sepsis-associated encephalopathy(SAE),it has several limitations.Mismatch-negativity(MMN) and P3a are components of event-related potentials(ERPs) used with electroencephalography(EEG) and are associated with cerebral function changes in critically ill patients.This study aimed to provide a quantitative,non-invasive method to guide SAE diagnosis in nonsedated patients.METHODS:From January 2022 to March 2023,sepsis patients without sedation were enrolled and assessed via the CAM-ICU,Glasgow Coma Scale(GCS),and ERP under standard procedures.Both MMN and P3a data were collected.The diagnostic value of MMN and P3a was assessed with processed ERP data.RESULTS:Thirty-six patients were included in this study,comprising 19 patients with SAE and 17 patients without SAE(NSAE).MMN and P3a amplitudes decreased,and only FzMMN amplitude significantly decreased in SAE patients(2.03 [1.08,2.93] mV vs.3.21 [1.92,4.34] mV,P=0.040).After median dichotomization,low F3P3a and FzP3a amplitudes were associated with higher CAM-ICU positivity rates and APACHE II scores.Both amplitude in F3P3a(AUC=0.710,95%CI:0.527–0.893,P=0.034) and FzP3a(AUC=0.700,95%CI:0.519–0.881,P=0.041) exhibited moderate diagnostic efficacy for SAE,while FzMMN amplitude lacks effective diagnostic value.CONCLUSION:In this pilot study,ERP components F3P3a and FzP3a amplitudes demonstrated moderate diagnostic value for SAE.These exploratory findings require confirmation in larger and powered cohorts.
基金National Natural Science Foundation of China Youth Fund Project:Research on the Construction of Ecological Security Pattern in the Transition Zone of Nature Reserves along the Sichuan-Xizang Railway(Western Sichuan Section)(51908470).
文摘Lhasa,one of the world's highest cities,confronts the challenge of harmonizing cultural heritage preservation with ecological protection.Assessing the spatiotemporal dynamics of ecosystem service value(ESV)in its central urban area is therefore critical for informing future urban planning and land management.This study systematically analyzed land use evolution,the spatiotemporal characteristics of ecosystem services,and ecological network construction within Lhasa's central urban area.It integrated multi-source data,including Landsat remote sensing imagery from 2000,2010,and 2023,with multiple modeling methods such as the InVEST model,MaxEnt for cultural service assessment,the Minimum Cumulative Resistance(MCR)model,and circuit theory.Based on these analyses,optimization strategies were proposed.The results indicate that from 2000 to 2023,areas of cultivated land,grassland,and water bodies decreased by 7.47%,6.85%,and 0.68%,respectively,while wetland and forest areas expanded by 1.44%and 0.64%.Construction land exhibited significant expansion(12.94%),leading to an overall ESV reduction of 462.8×10^(5)yuan.Vegetation coverage was identified as the pivotal factor influencing ESV distribution,with higher values concentrated in the Lhasa River Basin and near the Lhalu Wetland,diminishing towards the urban core.Furthermore,spatial autocorrelation analysis revealed significant positive spatial clustering,with low-low aggregation in the eastern and central regions and high-high aggregation in the Lhasa River Basin and its surrounding water bodies.Moreover,based on a comprehensive ecosystem service assessment,11 ecological source sites were identified,primarily in the southwestern mountains and northeastern foothills.A comprehensive resistance surface,incorporating factors such as elevation,Normalized Difference Vegetation Index(NDVI),and land use,facilitated the extraction of 23 potential ecological corridors totaling 124.96 km in length.Topological network analysis indicated high redundancy and connectivity;however,marginal source sites relying on single connections exhibited significant vulnerability to rupture.Additionally,the application of circuit theory identified 30 ecological pinch points(current density≥1.5 A/km^(2))and 23 obstacle points,revealing significant blockages to ecological flow along the Qinghai-Xizang Highway,within the old city,and in other areas of high-intensity human activity.To address the identified network deficiencies—‘scattered cores,fragmented corridors,and insufficient resilience’—this study proposes an optimization strategy conceptualized as‘one vein,three corridors,and multiple cores’.Recommendations for enhancing network resilience include the delineation of ecological protection red lines,the integration of plateau-adapted technologies,and the fostering of community governance mechanisms.This approach aims to provide a scientific basis for constructing an ecological security pattern and promoting sustainable development in plateau cities.Ultimately,this research contributes to the enhancement of ecological well-being in the Himalayan region.
文摘Against the backdrop of profound restructuring in the global industrial and supply chains,data elements have emerged as a critical force driving the transformation of enterprises'new quality productive forces.To address the ambiguity surrounding its micro-level empowerment mechanism,this paper empirically examines the impact of data elements on enterprises'new quality productive forces and its transmission channels using panel data of Chinese A-share listed firms from 2014 to 2023.The results show that data elements significantly improve the level of enterprises'new quality productive forces.Heterogeneity analysis indicates that this promotional effect is more pronounced in non-state-owned enterprises,large-scale enterprises,and low-leverage enterprises.Mechanism tests confirm that data elements empower new quality productive forces through three paths:enhancing enterprise innovation capability,improving internal operational efficiency,and promoting inter-firm collaboration efficiency.This study provides empirical evidence for understanding the micro-level empowerment logic of data elements and offers theoretical references and practical implications for advancing the deep integration of the digital economy and the real economy.
文摘AIM:To evaluate the predictive value of pan-immuneinflammation value(PIV)in the diagnosis of proliferative diabetic retinopathy(PDR)and its association with the stage of PDR.METHODS:This observational case-control study included participants who underwent routine complete blood count testing.Inflammation-related indices,including neutrophil-to-lymphocyte ratio,systemic immune-inflammation index(SII),and PIV,were derived and analyzed.Receiver operating characteristic curve(ROC)analysis was applied to assess the diagnostic performance of these indices in distinguishing patients with PDR,with sensitivity,specificity,area under ROC,and optimal threshold values calculated.In addition,binary logistic regression analysis was performed to evaluate the association between inflammatory indices and PDR stage.RESULTS:This study included 205 patients:60 with diabetes without retinopathy(mean age:61.81±10.76y),80 with PDR(mean age:61.63±10.03y)and 65 healthy controls(mean age:59.52±5.88y).The PDR group had significantly higher white blood cell(WBC,P<0.001),monocyte(MONO,P=0.009)and neutrophil(NEU)counts(P<0.001).SII and PIV had the highest sensitivity and area under ROC for predicting patients with PDR(0.822,0.846,respectively).The optimal cut-off values for discriminating patients with PDR were determined to be>527.12 and>299.08 for SII and PIV,respectively.The logistic regression analysis demonstrated that a decrease in lymphocyte(LYM)count and an increase in platelet count(PLT),glycated haemoglobin(HbA1c),SII,and PIV were all significantly associated with the development of high-risk PDR(all P<0.05).PIV was more stable than independent MONO,LYM,PLT and NEU levels in predicting both the diagnosis and stage of PDR.The optimal cut-off value for PIV to discriminate patients with high-risk PDR was found to be>345.87 area under ROC=0.871,with sensitivity of 0.827 and specificity of 0.812.CONCLUSION:PIV is a reliable,valuable,and inexpensive blood index that can be used for early detection and staging of PDR.PIV may therefore be essential to be used for the follow-up of diabetic patients.
基金supported by the National Natural Science Foundation of China(11601525)the Natural Science Foundation of Hunan Province(2024JJ5412),the Changsha Municipal Natural Science Foundation(kq2402193).
文摘In this paper,we study the nonlinear Riemann boundary value problem with square roots that is represented by a Cauchy-type integral with kernel density in variable exponent Lebesgue spaces.We discuss the odd-order zero-points distribution of the solutions and separate the single valued analytic branch of the solutions with square roots,then convert the problem to a Riemann boundary value problem in variable exponent Lebesgue spaces and discuss the singularity of solutions at individual zeros belonging to curve.We consider two types of cases those where the coefficient is Hölder and those where it is piecewise Hölder.Then we solve the Hilbert boundary value problem with square roots in variable exponent Lebesgue spaces.By discussing the distribution of the odd-order zero-points for solutions and the method of symmetric extension,we convert the Hilbert problem to a Riemann boundary value problem.The equivalence of the transformation is discussed.Finally,we get the solvable conditions and the direct expressions of the solutions in variable exponent Lebesgue spaces.
基金Under the auspices of the Key Projects of Philosophy and Social Sciences Research,Ministry of Education of China(No.23JZD008)National Natural Science Foundation of China(No.42171193)+2 种基金Key Project of Guangdong Provincial Philosophy and Social Sciences Planning(No.GD24ES013,GD25ZX04)2025 Guangzhou Basic and Applied Basic Research Special Project(No.2025A04J7127)Fundamental Research Funds for the Central Universities,Sun Yat-sen University(No.24wkjc11)。
文摘The shift toward specialized and large-scale agricultural production has spurred the emergence of agricultural clusters as key forces of rural vitalization and sustainable development.This paper explored the formation and evolution of Meizhou pomelo industry cluster in China,focusing on its role in restructuring rural socio-economic systems and integrating the whole value chains.Based on a case study employing qualitative methods such as in-depth interviews and participatory observation,the agricultural cluster evolution of Meizhou pomelo was categorized into three key phases of initial decentralization,self-organized scaling,and reorganized clustering.Geographical proximity and industrial agglomeration constitute the physical foundation,while vertical/horizontal linkages,technologic-al innovation,and policy support enhance competitiveness.Special mechanisms emerge through localized social networks,farmer co-operatives’activation,and cross-regional market expansion.The cluster’s impact is manifested in the shift from extensive to standard-ized and modernized production,diversified and flexible livelihood of farmers,and the integration of agriculture with industry and ser-vices.The development of the whole value chain based on agricultural cluster represents a critical pathway for achieving agricultural modernization,encompassing both internal and external value chain optimization.Through quality assurance systems,product diversi-fication strategies,operational efficiency improvements,and brand enhancement,these clusters amplify product value propositions and market competitiveness.This systemic approach facilitates supply-demand coordination,enables resource synergies,and optimizes eco-nomic returns across the horizontal and vertical value chain.This paper argues that agricultural clusters serve as strategic catalysts for sustainable rural development by reconstructing local production systems,fostering innovation ecosystems,and aligning agricultural modernization.It contributes to debates on rural vitalization by demonstrating how agricultural clustering can reconfigure rural areas as hubs of ecological modernization,rather than mere urban peripheries.
文摘In the Tianshan region,a complete textile industry chain has been established,covering the entire process from cotton cultivation and chemical fiber production,through spinning,weaving,dyeing,and finishing,and further extending to apparel,home textiles,and industrial textiles.In November 2025,the first list of five characteristic textile and apparel industry clusters in Xinjiang was officially announced,marking a new stage in the clustering of Xinjiang's textile and apparel industry.Data shows that the total output value of Xinjiang's cotton and textile and apparel industry chain has exceeded 220 billion yuan.With the nation's largest cotton production,a complete industrial chain system,and strong synergistic effects,Xinjiang has become a leading and highly competitive textile industry hub in China.
文摘The Double Take column looks at a single topic from an African and Chinese perspective.This month,we discuss how to understand the growing emphasis on emotional returns among young people.Emotional value has emerged as a central force shaping youth decision-making across work,consumption,relationships and lifestyle choices.Unlike traditional economic rationality that prioritises income and material security,emotional value focuses on how choices make individuals feel and how they align with personal meaning.This shift is particularly evident in rapidly transforming societies such as China and Ghana,where economic restructuring,globalisation and social change have reshaped pathways to adulthood.
文摘Ming-style furniture represents the pinnacle of Chinese traditional furniture,with the four-head official’s cap chair standing out as a representative category due to its classic form and cultural connotations.This paper takes a specific rosewood four-head official’s cap chair inscribed by Wang Shixiang as the research subject,employing a tripartite approach of form analysis,material examination,and inscription interpretation.The chair strictly adheres to the classic form of Ming-style four-head official’s cap chairs,embodying the Ming Dynasty design philosophy of“the unity of function and aesthetics”.The scarcity and unique grain pattern of the golden-flecked rosewood(Zitan)endow it with the status of“gold among woods”.Wang Shixiang’s inscription binds the furniture to the cultural essence of“the charm of the Ming Dynasty”,transforming it into“heritable cultural heritage”.This paper provides a new perspective for the case study of Ming-style furniture and offers theoretical reference for the contemporary inheritance of traditional craftsmanship.
基金National Social Science Fund project“Research on the Narrative of the Sense of Community for the Chinese Nation in Southwest Nuo Opera”(24XMZ063).
文摘The Nuo mask is the core visual vehicle within China’s Nuo culture and constitutes a complex symbolic system through facial features(icons),patterns(indexes),and colors(symbols).Within the context of intangible cultural heritage(ICH)preservation,its value lies in the continuation and revitalization of its dynamic symbolic functions.Grounded in semiotic theory,this paper elaborates on three core dimensions of symbolic value manifested by Nuo masks in ICH preservation:a ritual symbol for living transmission,a symbol of identity for collective memory,and an aesthetic symbol as a source of creativity.
基金supported by the National Natural Science Foundation of China(No.4230130142401322)+2 种基金the Scientific Research Foundation of Hunan Provincial Education Department,China(No.22A0159No.22B0191)the Fund Project of Key Laboratory of Rule of Law Research of Ministry of Natural Resources(CUGFZ-2204)。
文摘Numerous economically underdeveloped and ecologically fragile areas in southern China's mountainous regions face increasing challenges in achieving sustainable development. A comparative analysis of ecosystem service responses to land use scenarios, incorporating adaptive valuation coefficients, can reveal actionable pathways to reconcile sustainable development and ecological conservation in mountainous regions. In this study, the ecosystem service value(ESV) dynamics in the Hunan–Jiangxi Border Region(HJBR), which is a representative old revolutionary base with a relatively undeveloped economy, were investigated by integrating historical land use data analysis from 2000 to 2020 and adopting patch-generating land use simulation(PLUS) modelling. Three policy-responsive scenarios, namely, natural growth(NGS), farmland protection(FPS), and ecological protection(EPS), were systematically developed to project ESV variations for 2030 and 2040. Our analysis revealed that from 2000 to 2020, urban sprawl and water body expansion occurred at the expense of forestland, cultivated land, and grassland, yet yield-driven productivity improvements increased the ESV by 227.30%(equivalent to ¥250.0 billion). By 2040, the NGS achieves the greatest ESV increase(¥189.895 billion) while fully accommodating urban land demand;the FPS yields the smallest ESV increase(¥148.169 billion), with the EPS occupying an intermediate position(¥182.207 billion). Climate regulation and hydrological services dominate ecological functions, collectively exceeding 49% across all the scenarios and periods. By 2040, most service functions exhibit growth trends except for a 0.30% water supply decline under the FPS, whereas the EPS demonstrates balanced development through multidimensional service enhancements. These findings underscore the necessity of integrating ecological safeguards into land use planning frameworks to ensure sustainable regional development.
