Background Raising a child with attention deficit hyperactivity disorder(ADHD)is a key challenge for the primary caregiver.This systematic review aims to identify major burdens facing the primary caregiver of a child ...Background Raising a child with attention deficit hyperactivity disorder(ADHD)is a key challenge for the primary caregiver.This systematic review aims to identify major burdens facing the primary caregiver of a child with ADHD.Methods The electronic databases CINAHL,PubMed,and Google Scholar were searched for studies published in English from 2017 to 2022 assessing the challenges facing caregivers of a child with ADHD.The Johns Hopkins Nursing Evidence-Based Practice Model was used to assess quality and risk of bias of studies identified for inclusion.Articles were synthesized by evaluating principal themes of burden to caregivers,stress of caregivers,and effectiveness of intervention programs.Results Eleven articles were included in this review and included a total of 2426 participants.Findings revealed that caregivers of children with ADHD have a poor quality of life and high stress levels.Supportive parenting programs can be effective for improved coping and adaptation mechanisms with children with ADHD.However,few interventional studies were identified,increasing potential for bias.No meta-analysis was conducted.Conclusion Caregivers of children with ADHD can benefit from strategies to improve their quality of life and reduce their stress levels.Targeted parenting programs can make a positive difference in the well-being of caregivers and children with ADHD.Additional research is needed to address the evidence-based effectiveness of parenting support programs.展开更多
The prevalence of autism and attention deficit/hyperactivity disorders is increasing worldwide.Recent studies suggest the excessive intake of ultra-processed food plays a role in the inheritance of these disorders via...The prevalence of autism and attention deficit/hyperactivity disorders is increasing worldwide.Recent studies suggest the excessive intake of ultra-processed food plays a role in the inheritance of these disorders via heavy metal exposures and nutritional deficits that impact the expression of genes.In the case of the metallothionein(MT)gene,biomarker studies show dietary zinc(Zn)deficits impact MT protein levels in children with autism and are associated with the bioaccumulation of lead and/or mercury in children exhibiting autism/attention deficit/hyperactivity disorders symptomology.The impact of dietary changes on lead and mercury exposures and MT gene behavior could be determined using a randomized test and control group design.Pregnant women serving in the testgroup would participate in a nutritional epigenetics education intervention/course designed to reduce ultra-processed food intake and heavy metal levels in blood while increasing whole food intake and MT and Zn levels.Changes in maternal diet would be measured using data derived from an online diet survey administered to the test and control groups pre-post intervention.Changes in maternal lead,mercury,Zn,and MT levels would be measured via blood sample analyses prior to the intervention and after childbirth via cord blood analyses to determine infant risk factors.展开更多
High atmospheric vapor pressure deficit(VPD)reduces the calcium(Ca)distribution in tomato(Solanum lycopersicum L.)fruits,severely reducing fruit mass.Reducing the VPD or increasing Ca fertilizer is an important measur...High atmospheric vapor pressure deficit(VPD)reduces the calcium(Ca)distribution in tomato(Solanum lycopersicum L.)fruits,severely reducing fruit mass.Reducing the VPD or increasing Ca fertilizer is an important measure to improve Ca distribution in fruits.However,the mechanism through which VPD and Ca regulate fruit Ca distribution remains unclear.This study investigated the effects of high and low VPD and Ca levels on Ca distribution and fruit mass based on carbon fixation,water transport dynamics,and pectin and Ca content and identified key differential genes and metabolites through transcriptome and metabolome analyses.The results showed that both reducing VPD under low Ca and increasing Ca under high VPD increased water and Ca transport to fruits.The increased Ca combined with pectin to form Ca pectinate,which effectively stabilized the cell wall and enhanced the fruit mass.Reduced VPD under low Ca increased the distribution of Ca to fruits but decreased the distribution of Ca to leaves.Lower Ca distribution in leaves increased their absorption of other nutrients,such as potassium,magnesium,copper,and zinc,which increased the stomatal size and density,thereby improving plant carbon absorption and assimilation efficiency.However,transcriptomic and metabolomic data indicated that carbohydrates,as important regulatory factors under drought stress,increased significantly under high VPD,thereby reducing the fruit water potential while improving fruit water and Ca absorption.Therefore,the carbon assimilation efficiency,water transport capacity,and differential genes and metabolites regulated Ca distribution.This work provides a theoretical basis for environmental and fertilizer management in greenhouse tomato production.展开更多
BACKGROUND Attention-deficit hyperactivity disorder(ADHD)and its pharmacological treatments may influence growth in children and adolescents.This meta-analysis aimed to clarify their effects on the physical developmen...BACKGROUND Attention-deficit hyperactivity disorder(ADHD)and its pharmacological treatments may influence growth in children and adolescents.This meta-analysis aimed to clarify their effects on the physical development,especially weight and height.AIM To investigate the effects of ADHD and its treatment on growth in children and adolescents.METHODS Researchers reviewed 18 studies published up to September 2023 from databases such as PubMed,EMBASE,Cochrane,and Web of Science.They analyzed changes in body weight,height,and body mass index(BMI)before and after ADHD treatment,along with the risks of overweight and obesity.RESULTS Children with ADHD undergoing long-term medication therapy showed decreased actual weight[weighted mean difference(WMD)=-9.50]and height(WMD=-0.15),along with a slight increase in weight standard deviation scores(WMD=0.23)and height z scores(WMD=0.10).BMI showed a non-significant downward trend(WMD=-1.72).Regarding overweight and obesity risks,the pooled odds ratios were 1.37 and 1.16,respectively,but these were not statistically significant.CONCLUSION Overall,the study suggests that long-term pharmacological treatment for ADHD may be associated with reduced growth in weight and height among young patients.However,no clear link was found between ADHD and increased risk of overweight or obesity.These findings highlight the importance of monitoring growth in children receiving medication for ADHD.展开更多
Erratum to:Current Medical Science 44(5):987–1000,2024 https://doi.org/10.1007/s11596-024-2908-9 In the originally published article,there was an error in the funding information.Instead of“Shenzhen Science and Tech...Erratum to:Current Medical Science 44(5):987–1000,2024 https://doi.org/10.1007/s11596-024-2908-9 In the originally published article,there was an error in the funding information.Instead of“Shenzhen Science and Technology Program(No.2021-22154)”,it should be corrected to“Shenzhen Science and Technology Program(No.JCYJ20210324111609024)”.The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way.展开更多
At present,momentous changes not seen in a century are accelerating across the world.Our world,our times and the history are changing in ways like never before."International competition and frictions are intensi...At present,momentous changes not seen in a century are accelerating across the world.Our world,our times and the history are changing in ways like never before."International competition and frictions are intensifying,geopolitical manoeuvring has grown more pronounced,and trust and cooperation in the international community are being undermined"China,as a responsible major country.展开更多
BACKGROUND Attention deficit hyperactivity disorder(ADHD)affects approximately 5%of children worldwide and is associated with significant academic impairment.Parents of children with ADHD experience elevated stress an...BACKGROUND Attention deficit hyperactivity disorder(ADHD)affects approximately 5%of children worldwide and is associated with significant academic impairment.Parents of children with ADHD experience elevated stress and anxiety levels,which may further affect their children's educational outcomes.This prospective study examined the relationship between parental anxiety and academic performance of children with ADHD over a 6-year period.AIM To investigate the longitudinal impact of parental anxiety on academic performance in children with ADHD and explore the mediating and moderating factors over a 6-year follow-up period.METHODS A longitudinal cohort study was conducted from 2018 to 2024,enrolling 118 children with ADHD(aged 6-12 years)and their parents from three specialized educational centers.Parental anxiety was assessed using the Parenting Stress Index-4(PSI-4)and Parental Anxiety Scale.Children's academic performance was measured using the Academic Performance Questionnaire and standardized achievement tests.Assessments were conducted at baseline and every 6 months for 3 years.RESULTS Higher parental anxiety scores were significantly associated with poorer academic performance in children with ADHD(β=-0.42,P<0.001).Children of parents with clinically significant anxiety(PSI-4 scores>85th percentile)showed 1.2 standard deviations lower academic achievement than children of parents with normal anxiety levels.The relationship was partially mediated by parent-child interaction quality(indirect effect=-0.18,95%CI:-0.26 to-0.10)and homework supervision practices(indirect effect=-0.15,95%CI:-0.22 to-0.08).CONCLUSION Parental anxiety could significantly affect the academic outcomes of children with ADHD via multiple pathways.Interventions targeting parental mental health may improve the educational outcomes of children with ADHD.展开更多
Attention deficit hyperactivity disorder(ADHD)turns into a common neuro progressional disorder.Although gender identity has obtained increasing attention in ADHD researches,its role in ADHD presentation and treatment ...Attention deficit hyperactivity disorder(ADHD)turns into a common neuro progressional disorder.Although gender identity has obtained increasing attention in ADHD researches,its role in ADHD presentation and treatment response remains underexplored.Our review seeks to mainly delve into the effect of gender identity on ADHD,exploring the unique needs of individuals with various gender identities in the context of ADHD symptoms,diagnostic assessment,and treatment,with the goal of supplying theoretical support and practical recommendations for future research and clinical practice.The primary content includes,specifically:(1)Symptom expression differences:Gender identity significantly affects ADHD symptoms;male-identified individuals commonly perform worse in task orientation and attention stability,while female-identified individuals may demonstrate more variability in attention control and executive functions;(2)Diagnosis and treatment:Clinical practice generally neglects the impact of gender identity on ADHD management,with personalized needs of gender-identified individuals frequently not adequately addressed,potentially,affecting treatment outcomes;and(3)Future research directions:Future studies should further assess how gender identity affects the specific mechanisms of ADHD,conduct researches in multicultural contexts,and engage in long-term follow-up studies to evaluate the long-term impact of gender identity on ADHD progression.Besides,enhanced funding and public education on the relationship between gender identity and ADHD are needed to advance the field.展开更多
The study investigated the effects of monetary rewards and punishments on the behavioral inhibition in children with attention deficit hyperactivity disorder(ADHD)tendencies.The present study adopted the signal stoppi...The study investigated the effects of monetary rewards and punishments on the behavioral inhibition in children with attention deficit hyperactivity disorder(ADHD)tendencies.The present study adopted the signal stopping task paradigm,with 66 children with ADHD tendencies as the research subjects.A mixed design of 2(reward and punishment type:reward,punishment)×2(stimulus type:monetary stimulus,social stimulus)was used.The analysis applied a between intervention group(with reward and punishment type variables)and within type of reward approach(by stimulus type as intra subject variables).The results showed that monetary punishment better promotes behavioral inhibition in children with an ADHD tendency than does reward.In addition,this study showed that monetary punishment and social rewards affected the speed–accuracy trade-off of inhibited behavior in children with an ADHD tendency.Thesefindings suggest that withdrawal of a material token resulted in more behavioural compliance in children with an ADHD tendency.展开更多
Integrating sprinkler with deficit irrigation system is a new approach to improve crop water productivity and ensure water and food security in arid areas of India.This study undertook a field experiment of sprinkler-...Integrating sprinkler with deficit irrigation system is a new approach to improve crop water productivity and ensure water and food security in arid areas of India.This study undertook a field experiment of sprinkler-irrigated cumin(variety GC-4)with a mini-lysimeter setup at an experimental research farm in Jodhpur,India during 2019-2022.Four irrigation treatments T_(1),T_(2),T_(3),and T4 were designed at irrigation water/cumulative pan evaporation(IW/CPE)of 1.0,0.8,0.6,and 0.4,respectively,with three replications.Daily actual crop evapotranspiration(ETc)was recorded and weekly soil moisture was monitored over the crop growth period.Quantities of applied water and drainage from mini-lysimeters were also measured at every irrigation event.Yield of cumin was recorded at crop maturity.Furthermore,change in farmer's net income from 1-hm2 land was computed based on the cost of applying irrigation water and considering yield variations among the treatments.Results indicated the highest mean seasonal actual ETc(371.7 mm)and cumin yield(952.47 kg/hm2)under T_(1)(with full irrigation).Under T_(2),T_(3),and T4,the seasonal actual ETc decreased by 10.4%,27.6%,and 41.3%,respectively,while yield declined by 5.0%,28.4%,and 50.8%,respectively,as compared to the values under T_(1).Furthermore,crop water productivity of 0.272(±0.068)kg/m3 under T_(2)was found relatively higher in comparison to other irrigation treatments,indicating that T_(2)can achieve improved water productivity of cumin in arid areas at an optimum level of deficit irrigation.The results of cost-economics indicated that positive change in farmer's net income from 1-hm2 land was 108.82 USD under T_(2),while T_(3)and T4 showed net losses of 5.33 and 209.67 USD,respectively.Moreover,value of yield response factor and ratio of relative yield reductions to relative ETc deficits were found to be less than 1.00 under T_(2)(0.48),and more than 1.00 under T_(3)(1.07)and T4(1.23).This finding further supports that T_(2)shows the optimized level of deficit irrigation that saves 20.0%of water with sacrificing 5.0%yield in the arid areas of India.Findings of this study provide useful strategies to save irrigation water,bring additional area under irrigation,and improve crop water productivity in India and other similar arid areas in the world.展开更多
Drought significantly constrains vegetation growth and reduces terrestrial carbon sinks.Currently,the spatiotemporal patterns and mechanisms of the differential impacts of soil and meteorological droughts on vegetatio...Drought significantly constrains vegetation growth and reduces terrestrial carbon sinks.Currently,the spatiotemporal patterns and mechanisms of the differential impacts of soil and meteorological droughts on vegetation productivity remain inadequately understood.In this study,we analyzed soil moisture(SM),vapor pressure deficit(VPD),and gross primary productivity(GPP)to investigate their spatiotemporal patterns and the combined effects on GPP over China.The results revealed that:(1)Soil drought and meteorological drought generally exhibited temporally synchronous trends across China.(2)GPP was predominantly affected by the combined and synchronous effects of both SM and VPD,although their effects displayed directional variability differences in certain regions.(3)SM demonstrated a greater relative importance on GPP than VPD across more than half of the regions in China,whereas deciduous broadleaf forests were the only vegetation type primarily affected by VPD.(4)Under the lag effects,both SM and VPD exhibited bidirectional Granger causality with GPP,with the interaction between VPD and GPP proving more pronounced than that of SM.Our research provides valuable insights into the mechanisms through which SM and VPD influence GPP,contributing to improved predictions vegetation productivity and implementing ecological restoration.展开更多
BACKGROUND Speech and language therapy(ST)might moderate the prognosis in children with attention deficit and hyperactivity disorder(ADHD)comorbid with speech delay.This study investigated whether ST in children with ...BACKGROUND Speech and language therapy(ST)might moderate the prognosis in children with attention deficit and hyperactivity disorder(ADHD)comorbid with speech delay.This study investigated whether ST in children with ADHD is associated with a decreased risk of subsequent psychiatric disorders.AIM To investigate whether ST in children with ADHD is associated with a decreased risk of subsequent psychiatric disorders.METHODS The population-based National Health Insurance Research Database in Taiwan was used.Hazards of subsequent psychiatric disorders were compared between those who received ST and a propensity-score matched comparison group by Cox regression analyses.RESULTS Of 11987 children with ADHD identified from the dataset,2911(24%)had received ST.The adjusted hazard ratio for any subsequent recorded psychiatric disorder was 0.72(95%confidence interval:0.63-0.82)in children who received ST compared to the matched counterparts.This protective association was only statistically significant in the subgroup that received both medication and behavioral interventions.CONCLUSION ST can moderate the effects of integrated early interventions in ADHD children with speech delay.展开更多
The international order and global system are undergoing complex and profound changes nowadays.Unparalleled transformations in the world,the speed at which they happen,and the course of history are unfolding in unprec...The international order and global system are undergoing complex and profound changes nowadays.Unparalleled transformations in the world,the speed at which they happen,and the course of history are unfolding in unprecedented ways,ushering in a new period of turbulence and transition.Geopolitical and geo-economic competition among major powers is intensifying;global economic growth remains sluggish;crises and conflicts continue to emerge;and both regional and global peace and security are repeatedly challenged.展开更多
BACKGROUND Attention deficit hyperactivity disorder(ADHD)is a prevalent neurodevelopmental disorder in adolescents characterized by inattention,hyperactivity,and impulsivity,which impact cognitive,behavioral,and emoti...BACKGROUND Attention deficit hyperactivity disorder(ADHD)is a prevalent neurodevelopmental disorder in adolescents characterized by inattention,hyperactivity,and impulsivity,which impact cognitive,behavioral,and emotional functioning.Resting-state functional magnetic resonance imaging(rs-fMRI)provides critical insights into the functional architecture of the brain in ADHD.Despite extensive research,specific brain regions consistently affected in ADHD patients during these formative years have not been comprehensively delineated.AIM To identify consistent vulnerable brain regions in adolescent ADHD patients using rs-fMRI and activation likelihood estimation(ALE)meta-analysis.METHODS We conducted a comprehensive literature search up to August 31,2024,to identify studies investigating functional brain alterations in adolescents with ADHD.We utilized regional homogeneity(ReHo),amplitude of low-frequency fluctuations(ALFF),dynamic ALFF(dALFF)and fractional ALFF(fALFF)analyses.We compared the regions of aberrant spontaneous neural activity in adolescents with ADHD with those in healthy controls(HCs)using ALE.RESULTS Fifteen studies(468 adolescent ADHD patients and 466 HCs)were included.Combining the ReHo and ALFF/fALFF/dALFF data,the results revealed increased activity in the right lingual gyrus[LING,Brodmann Area(BA)18],left LING(BA 18),and right cuneus(CUN,BA 23)in adolescent ADHD patients compared with HCs(voxel size:592-32 mm³,P<0.05).Decreased activity was observed in the left medial frontal gyrus(MFG,BA 9)and left precuneus(PCUN,BA 31)in adolescent ADHD patients compared with HCs(voxel size:960-456 mm³,P<0.05).Jackknife sensitivity analyses demonstrated robust reproducibility in 11 of the 13 tests for the right LING,left LING,and right CUN and in 11 of the 14 tests for the left MFG and left PCUN.CONCLUSION We identified specific brain regions with both increased and decreased activity in adolescent ADHD patients,enhancing our understanding of the neural alterations that occur during this pivotal stage of development.展开更多
To the editor:Adverse home environments(AHE),characterised by family conflict,parental separation or dysfunctional parenting,are linked to negative mental health outcomes in children and adults.12 AHE disproportionate...To the editor:Adverse home environments(AHE),characterised by family conflict,parental separation or dysfunctional parenting,are linked to negative mental health outcomes in children and adults.12 AHE disproportionately affect children with neurodevelopmental disorders such as attention-deficit/hyperactivity disorder(ADHD),which is characterised by inattention,hyperactivity/impulsivity and functional impairments.3 Apart from core symptoms,including inattention and hyperactivity,disruptive behaviour disorders(DBD),such as oppositional defiant disorder(ODD)and conduct disorder(CD),may be associated with AHE.Conduct problems are risk factors for ODD.And CD has become a main concern for childhood mental health.展开更多
Alzheimer’s disease(AD)has become an important public health issue worldwide.p-Coumaric acid(CA)and lactoferrin(Lf)possessed antioxidant,anti-inflammatory,and anti-AD activities.Herein,we hypothesized that a combinat...Alzheimer’s disease(AD)has become an important public health issue worldwide.p-Coumaric acid(CA)and lactoferrin(Lf)possessed antioxidant,anti-inflammatory,and anti-AD activities.Herein,we hypothesized that a combination treatment of CA and Lf would synergistically improve AD symptoms and studied its mechanisms.Twelve-week-old amyloid precursor protein(APP)/presenilin 1(PS1)mice were treated with CA,Lf,or both CA and Lf for 8 weeks.Results showed that individual and combined treatments could ameliorate cognitive deficits to varying degrees,with stronger effects for combined intervention than for CA or Lf alone.Specifically,combined treatment was most effective in improving nesting ability and reducing amyloidββ_(1-42)(Aβ_(1-42))deposition in mice.Moreover,combined treatment was more effective in suppressing APP,β-site APP cleavage enzyme 1,and inflammation;it inhibited the CCAAT-enhancer-binding protein(C/EBPβ)/asparagine endopeptidase(AEP)signaling pathway in the hippocampus and colon and upregulated the expression of tight junction protein zonula occludens-1 in the colon;it also decreased the Firmicutes/Bacteroidetes ratio at the phylum level and increased the relative abundance of Prevotellaceae,Lachnospira,and Eubacterium at the genus level.Overall,the combination of CA and Lf may ameliorate cognitive deficits in APP/PS1 mice by improving inflammation and inhibiting the C/EBPβ/AEP signaling pathway via modulating gut microbiome.展开更多
On the basis of discussing the influencing mode of plant moisture stress on plant physiological process and the division of soil moisture availability range, the water suction values partitioning soil moisture were pu...On the basis of discussing the influencing mode of plant moisture stress on plant physiological process and the division of soil moisture availability range, the water suction values partitioning soil moisture were put forward, and then the corresponding water moistures under water stress were obtained by conversing together with characteristic curve of water moisture.展开更多
The mirror neuron system consists of a set of brain areas capable of matching action observation with action execution. One core feature of the mirror neuron system is the activation of motor areas by action observati...The mirror neuron system consists of a set of brain areas capable of matching action observation with action execution. One core feature of the mirror neuron system is the activation of motor areas by action observation alone. This unique capacity of the mirror neuron system to match action perception and action execution stimulated the idea that mirror neuron system plays a crucial role in the understanding of the content of observed actions and may participate in procedural learning. These features bear a high potential for neurorehabilitation of motor deficits and of aphasia following stroke. Since the first articles exploring this principle were published, a growing number of follow-up studies have been conducted in the last decade. Though, the combination of action observation with practice of the observed actions seems to constitute the most powerful approach. In the present review, we present the existing studies analyzing the effects of this neurorehabJlitative approach in clinical settings especially in the rehabilitation of stroke associated motor deficits and give a perspective on the ongoing trials by our research group. The data obtained up to date showed significant positive effect of action observation on recovery of motor functions of the upper limbs even in the chronic state after stroke, indicating that our approach might become a new standardized add-on feature of modern neurorehabilitative treatment schemes.展开更多
For a long time,seasonal drought occurs frequently in Southwest China,and the management of water and fertilizer in kiwifruit orchards has no quantitative standards,which seriously affects the yield and quality of kiw...For a long time,seasonal drought occurs frequently in Southwest China,and the management of water and fertilizer in kiwifruit orchards has no quantitative standards,which seriously affects the yield and quality of kiwifruit.Therefore,the effects of water and fertilizer deficit regulation with drip irrigation(WFDRDI)on the quality of kiwifruit at different growth stages were explored to achieve water and fertilizer saving,and green and efficient production of kiwifruit.We select‘Jin Yan'kiwifruit and set two water deficit levels(W_(D20%)and W_(D40%))and three fertilizer deficit levels(F_(D15%),F_(D30%)and F_(D45%))at bud burst to leafing stage(stageⅠ),flowering to fruit set stage(stageⅡ),fruit expansion stage(stageⅢ)and fruit maturation stage(stageⅣ),respectively,with a full irrigation and fertilization as the control treatment(CK)in 2017and 2018.Results showed that the WFDRDI at stageⅡandⅢhad significant effect on fruit physical quality of kiwifruit,specifically,theⅢ-WD40%F_(D30%)andⅢ-W_(D20%)F_(D45%)treatments significantly increased fruit firmness by 13.62 and 15.59%(P<0.05),respectively;theⅡ-W_(D40%)F_(D15%)andⅢ-W_(D40%)F_(D15%)treatments significantly increased dry matter by 8.19 and 6.47%(P<0.05),respectively;theⅢ-W_(D20%)F_(D15%)treatment significantly increased single fruit weight and fruit volume by 9.33 and 12.65%(P<0.05),respectively;theⅡ-W_(D20%)F_(D15%)treatment significantly increased fruit water content by 1.99%(P<0.05).The WFDRDI had an obvious effect on fruit chemical quality of kiwifruit.TheⅢ-W_(D20%)F_(D45%),Ⅳ-W_(D40%)F_(D15%)andⅣ-W_(D20%)F_(D30%)treatments significantly increased vitamin C(Vc)content by 69.96,36.96 and 34.31%(P<0.05),respectively;theⅢ-W_(D40%)F_(D15%)andⅣ-W_(D40%)F_(D15%)treatments significantly increased total soluble solid(TSS)content by 3.79 and 17.05%(P<0.05),respectively,and significantly increased soluble sugar content by 28.61 and 34.79%(P<0.05),respectively;the contents of fructose,glucose and sucrose also had a significantly increasing trend,which was increased significantly by 5.58–19.63%,40.55–60.36%and 54.03–54.92%in theⅢ-WD40%F_(D15%)andⅣ-W_(D40%)F_(D15%)treatments(P<0.05),respectively;sugar–acid ratio was increased significantly in theⅣ-W_(D40%)F_(D15%)treatment by 64.65%(P<0.05).The degree and duration of water and fertilizer deficit had a comprehensive effect on fruit quality of kiwifruit.The WFDRDI at stageⅡandⅢcontribute to improving fruit physical quality,and the threshold of water and fertilizer deficit were 20 and 15%,respectively;stageⅢandⅣare the critical periods for improving fruit chemical quality by water and fertilizer coupling effect,and the threshold of water and fertilizer deficit were 40 and 15%,respectively.Therefore,aiming at precise water and fertilizer saving,theⅠ-W_(D20%)F_(D30%),Ⅱ-W_(D40%)F_(D15%),Ⅲ-W_(D40%)F_(D15%)andⅣ-W_(D40%)F_(D15%)treatments under WFDRDI during the whole growth period of kiwifruit were the best mode to improve quality and production of kiwifruit.展开更多
文摘Background Raising a child with attention deficit hyperactivity disorder(ADHD)is a key challenge for the primary caregiver.This systematic review aims to identify major burdens facing the primary caregiver of a child with ADHD.Methods The electronic databases CINAHL,PubMed,and Google Scholar were searched for studies published in English from 2017 to 2022 assessing the challenges facing caregivers of a child with ADHD.The Johns Hopkins Nursing Evidence-Based Practice Model was used to assess quality and risk of bias of studies identified for inclusion.Articles were synthesized by evaluating principal themes of burden to caregivers,stress of caregivers,and effectiveness of intervention programs.Results Eleven articles were included in this review and included a total of 2426 participants.Findings revealed that caregivers of children with ADHD have a poor quality of life and high stress levels.Supportive parenting programs can be effective for improved coping and adaptation mechanisms with children with ADHD.However,few interventional studies were identified,increasing potential for bias.No meta-analysis was conducted.Conclusion Caregivers of children with ADHD can benefit from strategies to improve their quality of life and reduce their stress levels.Targeted parenting programs can make a positive difference in the well-being of caregivers and children with ADHD.Additional research is needed to address the evidence-based effectiveness of parenting support programs.
文摘The prevalence of autism and attention deficit/hyperactivity disorders is increasing worldwide.Recent studies suggest the excessive intake of ultra-processed food plays a role in the inheritance of these disorders via heavy metal exposures and nutritional deficits that impact the expression of genes.In the case of the metallothionein(MT)gene,biomarker studies show dietary zinc(Zn)deficits impact MT protein levels in children with autism and are associated with the bioaccumulation of lead and/or mercury in children exhibiting autism/attention deficit/hyperactivity disorders symptomology.The impact of dietary changes on lead and mercury exposures and MT gene behavior could be determined using a randomized test and control group design.Pregnant women serving in the testgroup would participate in a nutritional epigenetics education intervention/course designed to reduce ultra-processed food intake and heavy metal levels in blood while increasing whole food intake and MT and Zn levels.Changes in maternal diet would be measured using data derived from an online diet survey administered to the test and control groups pre-post intervention.Changes in maternal lead,mercury,Zn,and MT levels would be measured via blood sample analyses prior to the intervention and after childbirth via cord blood analyses to determine infant risk factors.
基金supported by grants from the Construction of Shaanxi Vegetable Industry Technology System in 2022[Grant No.NYKJ-2022-(XN)-03]the Construction of the Scientists+Engineers Team in Qin Chuangyuan,Shaanxi Province(Grant No.2023KXJ-024)。
文摘High atmospheric vapor pressure deficit(VPD)reduces the calcium(Ca)distribution in tomato(Solanum lycopersicum L.)fruits,severely reducing fruit mass.Reducing the VPD or increasing Ca fertilizer is an important measure to improve Ca distribution in fruits.However,the mechanism through which VPD and Ca regulate fruit Ca distribution remains unclear.This study investigated the effects of high and low VPD and Ca levels on Ca distribution and fruit mass based on carbon fixation,water transport dynamics,and pectin and Ca content and identified key differential genes and metabolites through transcriptome and metabolome analyses.The results showed that both reducing VPD under low Ca and increasing Ca under high VPD increased water and Ca transport to fruits.The increased Ca combined with pectin to form Ca pectinate,which effectively stabilized the cell wall and enhanced the fruit mass.Reduced VPD under low Ca increased the distribution of Ca to fruits but decreased the distribution of Ca to leaves.Lower Ca distribution in leaves increased their absorption of other nutrients,such as potassium,magnesium,copper,and zinc,which increased the stomatal size and density,thereby improving plant carbon absorption and assimilation efficiency.However,transcriptomic and metabolomic data indicated that carbohydrates,as important regulatory factors under drought stress,increased significantly under high VPD,thereby reducing the fruit water potential while improving fruit water and Ca absorption.Therefore,the carbon assimilation efficiency,water transport capacity,and differential genes and metabolites regulated Ca distribution.This work provides a theoretical basis for environmental and fertilizer management in greenhouse tomato production.
基金Supported by First-class Undergraduate Course Construction Project of Henan Province(Online and Offline Hybrid Course),No.[2021]21548and 2021 Pingdingshan Smart Nursing Key Laboratory.
文摘BACKGROUND Attention-deficit hyperactivity disorder(ADHD)and its pharmacological treatments may influence growth in children and adolescents.This meta-analysis aimed to clarify their effects on the physical development,especially weight and height.AIM To investigate the effects of ADHD and its treatment on growth in children and adolescents.METHODS Researchers reviewed 18 studies published up to September 2023 from databases such as PubMed,EMBASE,Cochrane,and Web of Science.They analyzed changes in body weight,height,and body mass index(BMI)before and after ADHD treatment,along with the risks of overweight and obesity.RESULTS Children with ADHD undergoing long-term medication therapy showed decreased actual weight[weighted mean difference(WMD)=-9.50]and height(WMD=-0.15),along with a slight increase in weight standard deviation scores(WMD=0.23)and height z scores(WMD=0.10).BMI showed a non-significant downward trend(WMD=-1.72).Regarding overweight and obesity risks,the pooled odds ratios were 1.37 and 1.16,respectively,but these were not statistically significant.CONCLUSION Overall,the study suggests that long-term pharmacological treatment for ADHD may be associated with reduced growth in weight and height among young patients.However,no clear link was found between ADHD and increased risk of overweight or obesity.These findings highlight the importance of monitoring growth in children receiving medication for ADHD.
文摘Erratum to:Current Medical Science 44(5):987–1000,2024 https://doi.org/10.1007/s11596-024-2908-9 In the originally published article,there was an error in the funding information.Instead of“Shenzhen Science and Technology Program(No.2021-22154)”,it should be corrected to“Shenzhen Science and Technology Program(No.JCYJ20210324111609024)”.The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way.
文摘At present,momentous changes not seen in a century are accelerating across the world.Our world,our times and the history are changing in ways like never before."International competition and frictions are intensifying,geopolitical manoeuvring has grown more pronounced,and trust and cooperation in the international community are being undermined"China,as a responsible major country.
文摘BACKGROUND Attention deficit hyperactivity disorder(ADHD)affects approximately 5%of children worldwide and is associated with significant academic impairment.Parents of children with ADHD experience elevated stress and anxiety levels,which may further affect their children's educational outcomes.This prospective study examined the relationship between parental anxiety and academic performance of children with ADHD over a 6-year period.AIM To investigate the longitudinal impact of parental anxiety on academic performance in children with ADHD and explore the mediating and moderating factors over a 6-year follow-up period.METHODS A longitudinal cohort study was conducted from 2018 to 2024,enrolling 118 children with ADHD(aged 6-12 years)and their parents from three specialized educational centers.Parental anxiety was assessed using the Parenting Stress Index-4(PSI-4)and Parental Anxiety Scale.Children's academic performance was measured using the Academic Performance Questionnaire and standardized achievement tests.Assessments were conducted at baseline and every 6 months for 3 years.RESULTS Higher parental anxiety scores were significantly associated with poorer academic performance in children with ADHD(β=-0.42,P<0.001).Children of parents with clinically significant anxiety(PSI-4 scores>85th percentile)showed 1.2 standard deviations lower academic achievement than children of parents with normal anxiety levels.The relationship was partially mediated by parent-child interaction quality(indirect effect=-0.18,95%CI:-0.26 to-0.10)and homework supervision practices(indirect effect=-0.15,95%CI:-0.22 to-0.08).CONCLUSION Parental anxiety could significantly affect the academic outcomes of children with ADHD via multiple pathways.Interventions targeting parental mental health may improve the educational outcomes of children with ADHD.
基金Supported by the Central Guiding Local Science and Technology Development Fund Project,No.YDZX2022091。
文摘Attention deficit hyperactivity disorder(ADHD)turns into a common neuro progressional disorder.Although gender identity has obtained increasing attention in ADHD researches,its role in ADHD presentation and treatment response remains underexplored.Our review seeks to mainly delve into the effect of gender identity on ADHD,exploring the unique needs of individuals with various gender identities in the context of ADHD symptoms,diagnostic assessment,and treatment,with the goal of supplying theoretical support and practical recommendations for future research and clinical practice.The primary content includes,specifically:(1)Symptom expression differences:Gender identity significantly affects ADHD symptoms;male-identified individuals commonly perform worse in task orientation and attention stability,while female-identified individuals may demonstrate more variability in attention control and executive functions;(2)Diagnosis and treatment:Clinical practice generally neglects the impact of gender identity on ADHD management,with personalized needs of gender-identified individuals frequently not adequately addressed,potentially,affecting treatment outcomes;and(3)Future research directions:Future studies should further assess how gender identity affects the specific mechanisms of ADHD,conduct researches in multicultural contexts,and engage in long-term follow-up studies to evaluate the long-term impact of gender identity on ADHD progression.Besides,enhanced funding and public education on the relationship between gender identity and ADHD are needed to advance the field.
基金supported by the National General Projects in 2020 of the 13th Five Year Plan of National Education Science in China:A Study on Attention Training Interventions for ADHD Children in Regular Classes from the Perspective of Educational Neuroscience(BHA200123).
文摘The study investigated the effects of monetary rewards and punishments on the behavioral inhibition in children with attention deficit hyperactivity disorder(ADHD)tendencies.The present study adopted the signal stopping task paradigm,with 66 children with ADHD tendencies as the research subjects.A mixed design of 2(reward and punishment type:reward,punishment)×2(stimulus type:monetary stimulus,social stimulus)was used.The analysis applied a between intervention group(with reward and punishment type variables)and within type of reward approach(by stimulus type as intra subject variables).The results showed that monetary punishment better promotes behavioral inhibition in children with an ADHD tendency than does reward.In addition,this study showed that monetary punishment and social rewards affected the speed–accuracy trade-off of inhibited behavior in children with an ADHD tendency.Thesefindings suggest that withdrawal of a material token resulted in more behavioural compliance in children with an ADHD tendency.
文摘Integrating sprinkler with deficit irrigation system is a new approach to improve crop water productivity and ensure water and food security in arid areas of India.This study undertook a field experiment of sprinkler-irrigated cumin(variety GC-4)with a mini-lysimeter setup at an experimental research farm in Jodhpur,India during 2019-2022.Four irrigation treatments T_(1),T_(2),T_(3),and T4 were designed at irrigation water/cumulative pan evaporation(IW/CPE)of 1.0,0.8,0.6,and 0.4,respectively,with three replications.Daily actual crop evapotranspiration(ETc)was recorded and weekly soil moisture was monitored over the crop growth period.Quantities of applied water and drainage from mini-lysimeters were also measured at every irrigation event.Yield of cumin was recorded at crop maturity.Furthermore,change in farmer's net income from 1-hm2 land was computed based on the cost of applying irrigation water and considering yield variations among the treatments.Results indicated the highest mean seasonal actual ETc(371.7 mm)and cumin yield(952.47 kg/hm2)under T_(1)(with full irrigation).Under T_(2),T_(3),and T4,the seasonal actual ETc decreased by 10.4%,27.6%,and 41.3%,respectively,while yield declined by 5.0%,28.4%,and 50.8%,respectively,as compared to the values under T_(1).Furthermore,crop water productivity of 0.272(±0.068)kg/m3 under T_(2)was found relatively higher in comparison to other irrigation treatments,indicating that T_(2)can achieve improved water productivity of cumin in arid areas at an optimum level of deficit irrigation.The results of cost-economics indicated that positive change in farmer's net income from 1-hm2 land was 108.82 USD under T_(2),while T_(3)and T4 showed net losses of 5.33 and 209.67 USD,respectively.Moreover,value of yield response factor and ratio of relative yield reductions to relative ETc deficits were found to be less than 1.00 under T_(2)(0.48),and more than 1.00 under T_(3)(1.07)and T4(1.23).This finding further supports that T_(2)shows the optimized level of deficit irrigation that saves 20.0%of water with sacrificing 5.0%yield in the arid areas of India.Findings of this study provide useful strategies to save irrigation water,bring additional area under irrigation,and improve crop water productivity in India and other similar arid areas in the world.
基金National Key Research and Development Program,No.2021xjkk0303。
文摘Drought significantly constrains vegetation growth and reduces terrestrial carbon sinks.Currently,the spatiotemporal patterns and mechanisms of the differential impacts of soil and meteorological droughts on vegetation productivity remain inadequately understood.In this study,we analyzed soil moisture(SM),vapor pressure deficit(VPD),and gross primary productivity(GPP)to investigate their spatiotemporal patterns and the combined effects on GPP over China.The results revealed that:(1)Soil drought and meteorological drought generally exhibited temporally synchronous trends across China.(2)GPP was predominantly affected by the combined and synchronous effects of both SM and VPD,although their effects displayed directional variability differences in certain regions.(3)SM demonstrated a greater relative importance on GPP than VPD across more than half of the regions in China,whereas deciduous broadleaf forests were the only vegetation type primarily affected by VPD.(4)Under the lag effects,both SM and VPD exhibited bidirectional Granger causality with GPP,with the interaction between VPD and GPP proving more pronounced than that of SM.Our research provides valuable insights into the mechanisms through which SM and VPD influence GPP,contributing to improved predictions vegetation productivity and implementing ecological restoration.
文摘BACKGROUND Speech and language therapy(ST)might moderate the prognosis in children with attention deficit and hyperactivity disorder(ADHD)comorbid with speech delay.This study investigated whether ST in children with ADHD is associated with a decreased risk of subsequent psychiatric disorders.AIM To investigate whether ST in children with ADHD is associated with a decreased risk of subsequent psychiatric disorders.METHODS The population-based National Health Insurance Research Database in Taiwan was used.Hazards of subsequent psychiatric disorders were compared between those who received ST and a propensity-score matched comparison group by Cox regression analyses.RESULTS Of 11987 children with ADHD identified from the dataset,2911(24%)had received ST.The adjusted hazard ratio for any subsequent recorded psychiatric disorder was 0.72(95%confidence interval:0.63-0.82)in children who received ST compared to the matched counterparts.This protective association was only statistically significant in the subgroup that received both medication and behavioral interventions.CONCLUSION ST can moderate the effects of integrated early interventions in ADHD children with speech delay.
文摘The international order and global system are undergoing complex and profound changes nowadays.Unparalleled transformations in the world,the speed at which they happen,and the course of history are unfolding in unprecedented ways,ushering in a new period of turbulence and transition.Geopolitical and geo-economic competition among major powers is intensifying;global economic growth remains sluggish;crises and conflicts continue to emerge;and both regional and global peace and security are repeatedly challenged.
基金Supported by National Natural Science Foundation of China,No.82460282Guizhou Province Science and Technology Plan Project,No.ZK-2023-195+1 种基金Guizhou High-Level Innovative Talent Project,No.gzwjrs2022-013Health Commission of Guizhou Province Project,No.gzwkj2024-475 and No.gzwkj2021-150.
文摘BACKGROUND Attention deficit hyperactivity disorder(ADHD)is a prevalent neurodevelopmental disorder in adolescents characterized by inattention,hyperactivity,and impulsivity,which impact cognitive,behavioral,and emotional functioning.Resting-state functional magnetic resonance imaging(rs-fMRI)provides critical insights into the functional architecture of the brain in ADHD.Despite extensive research,specific brain regions consistently affected in ADHD patients during these formative years have not been comprehensively delineated.AIM To identify consistent vulnerable brain regions in adolescent ADHD patients using rs-fMRI and activation likelihood estimation(ALE)meta-analysis.METHODS We conducted a comprehensive literature search up to August 31,2024,to identify studies investigating functional brain alterations in adolescents with ADHD.We utilized regional homogeneity(ReHo),amplitude of low-frequency fluctuations(ALFF),dynamic ALFF(dALFF)and fractional ALFF(fALFF)analyses.We compared the regions of aberrant spontaneous neural activity in adolescents with ADHD with those in healthy controls(HCs)using ALE.RESULTS Fifteen studies(468 adolescent ADHD patients and 466 HCs)were included.Combining the ReHo and ALFF/fALFF/dALFF data,the results revealed increased activity in the right lingual gyrus[LING,Brodmann Area(BA)18],left LING(BA 18),and right cuneus(CUN,BA 23)in adolescent ADHD patients compared with HCs(voxel size:592-32 mm³,P<0.05).Decreased activity was observed in the left medial frontal gyrus(MFG,BA 9)and left precuneus(PCUN,BA 31)in adolescent ADHD patients compared with HCs(voxel size:960-456 mm³,P<0.05).Jackknife sensitivity analyses demonstrated robust reproducibility in 11 of the 13 tests for the right LING,left LING,and right CUN and in 11 of the 14 tests for the left MFG and left PCUN.CONCLUSION We identified specific brain regions with both increased and decreased activity in adolescent ADHD patients,enhancing our understanding of the neural alterations that occur during this pivotal stage of development.
基金supported by National Natural Science Foundation Youth Project (81901386)the Fundamental Research Funds for the Central Universities (YG2025ZD07)+5 种基金the National Science and Technology Innovation 2030 Major Project of China (2021ZD0203900)National Natural Science Foundation of China (NSFC) grant (82422029)the Science and Technology Commission of Shanghai Municipality (24Y22800200, 22QA1407900)NSFC grant (82271530)Innovation teams of high-level universities in Shanghaithe Scientific Research and Innovation Team of Liaoning Normal University (24TD004).
文摘To the editor:Adverse home environments(AHE),characterised by family conflict,parental separation or dysfunctional parenting,are linked to negative mental health outcomes in children and adults.12 AHE disproportionately affect children with neurodevelopmental disorders such as attention-deficit/hyperactivity disorder(ADHD),which is characterised by inattention,hyperactivity/impulsivity and functional impairments.3 Apart from core symptoms,including inattention and hyperactivity,disruptive behaviour disorders(DBD),such as oppositional defiant disorder(ODD)and conduct disorder(CD),may be associated with AHE.Conduct problems are risk factors for ODD.And CD has become a main concern for childhood mental health.
基金funded by the National Natural Science Foundation of China(82103818)the Suzhou Applied Basic Research(Medical and Health)Science and Technology Innovation Project(SYW2024179)+1 种基金Jiangsu Key Laboratory of Preventive and Translational Medicine for Major Chronic Non-communicable Diseases,Soochow University(KJS2437)the Priority Academic Program Development of Jiangsu Higher Education Institutions(PAPD).
文摘Alzheimer’s disease(AD)has become an important public health issue worldwide.p-Coumaric acid(CA)and lactoferrin(Lf)possessed antioxidant,anti-inflammatory,and anti-AD activities.Herein,we hypothesized that a combination treatment of CA and Lf would synergistically improve AD symptoms and studied its mechanisms.Twelve-week-old amyloid precursor protein(APP)/presenilin 1(PS1)mice were treated with CA,Lf,or both CA and Lf for 8 weeks.Results showed that individual and combined treatments could ameliorate cognitive deficits to varying degrees,with stronger effects for combined intervention than for CA or Lf alone.Specifically,combined treatment was most effective in improving nesting ability and reducing amyloidββ_(1-42)(Aβ_(1-42))deposition in mice.Moreover,combined treatment was more effective in suppressing APP,β-site APP cleavage enzyme 1,and inflammation;it inhibited the CCAAT-enhancer-binding protein(C/EBPβ)/asparagine endopeptidase(AEP)signaling pathway in the hippocampus and colon and upregulated the expression of tight junction protein zonula occludens-1 in the colon;it also decreased the Firmicutes/Bacteroidetes ratio at the phylum level and increased the relative abundance of Prevotellaceae,Lachnospira,and Eubacterium at the genus level.Overall,the combination of CA and Lf may ameliorate cognitive deficits in APP/PS1 mice by improving inflammation and inhibiting the C/EBPβ/AEP signaling pathway via modulating gut microbiome.
文摘On the basis of discussing the influencing mode of plant moisture stress on plant physiological process and the division of soil moisture availability range, the water suction values partitioning soil moisture were put forward, and then the corresponding water moistures under water stress were obtained by conversing together with characteristic curve of water moisture.
文摘The mirror neuron system consists of a set of brain areas capable of matching action observation with action execution. One core feature of the mirror neuron system is the activation of motor areas by action observation alone. This unique capacity of the mirror neuron system to match action perception and action execution stimulated the idea that mirror neuron system plays a crucial role in the understanding of the content of observed actions and may participate in procedural learning. These features bear a high potential for neurorehabilitation of motor deficits and of aphasia following stroke. Since the first articles exploring this principle were published, a growing number of follow-up studies have been conducted in the last decade. Though, the combination of action observation with practice of the observed actions seems to constitute the most powerful approach. In the present review, we present the existing studies analyzing the effects of this neurorehabJlitative approach in clinical settings especially in the rehabilitation of stroke associated motor deficits and give a perspective on the ongoing trials by our research group. The data obtained up to date showed significant positive effect of action observation on recovery of motor functions of the upper limbs even in the chronic state after stroke, indicating that our approach might become a new standardized add-on feature of modern neurorehabilitative treatment schemes.
基金the National Natural Science Foundation of China(51779161 and 52279041)the National Funds for Distinguished Young Scientists of China(51922072)+1 种基金the Sichuan Science and Technology Program,China(2023YFN0024 and 2023NZZJ0015)the Key Development Project of the Chengdu Science and Technology Plan,China(2022-YF05-01008-SN)。
文摘For a long time,seasonal drought occurs frequently in Southwest China,and the management of water and fertilizer in kiwifruit orchards has no quantitative standards,which seriously affects the yield and quality of kiwifruit.Therefore,the effects of water and fertilizer deficit regulation with drip irrigation(WFDRDI)on the quality of kiwifruit at different growth stages were explored to achieve water and fertilizer saving,and green and efficient production of kiwifruit.We select‘Jin Yan'kiwifruit and set two water deficit levels(W_(D20%)and W_(D40%))and three fertilizer deficit levels(F_(D15%),F_(D30%)and F_(D45%))at bud burst to leafing stage(stageⅠ),flowering to fruit set stage(stageⅡ),fruit expansion stage(stageⅢ)and fruit maturation stage(stageⅣ),respectively,with a full irrigation and fertilization as the control treatment(CK)in 2017and 2018.Results showed that the WFDRDI at stageⅡandⅢhad significant effect on fruit physical quality of kiwifruit,specifically,theⅢ-WD40%F_(D30%)andⅢ-W_(D20%)F_(D45%)treatments significantly increased fruit firmness by 13.62 and 15.59%(P<0.05),respectively;theⅡ-W_(D40%)F_(D15%)andⅢ-W_(D40%)F_(D15%)treatments significantly increased dry matter by 8.19 and 6.47%(P<0.05),respectively;theⅢ-W_(D20%)F_(D15%)treatment significantly increased single fruit weight and fruit volume by 9.33 and 12.65%(P<0.05),respectively;theⅡ-W_(D20%)F_(D15%)treatment significantly increased fruit water content by 1.99%(P<0.05).The WFDRDI had an obvious effect on fruit chemical quality of kiwifruit.TheⅢ-W_(D20%)F_(D45%),Ⅳ-W_(D40%)F_(D15%)andⅣ-W_(D20%)F_(D30%)treatments significantly increased vitamin C(Vc)content by 69.96,36.96 and 34.31%(P<0.05),respectively;theⅢ-W_(D40%)F_(D15%)andⅣ-W_(D40%)F_(D15%)treatments significantly increased total soluble solid(TSS)content by 3.79 and 17.05%(P<0.05),respectively,and significantly increased soluble sugar content by 28.61 and 34.79%(P<0.05),respectively;the contents of fructose,glucose and sucrose also had a significantly increasing trend,which was increased significantly by 5.58–19.63%,40.55–60.36%and 54.03–54.92%in theⅢ-WD40%F_(D15%)andⅣ-W_(D40%)F_(D15%)treatments(P<0.05),respectively;sugar–acid ratio was increased significantly in theⅣ-W_(D40%)F_(D15%)treatment by 64.65%(P<0.05).The degree and duration of water and fertilizer deficit had a comprehensive effect on fruit quality of kiwifruit.The WFDRDI at stageⅡandⅢcontribute to improving fruit physical quality,and the threshold of water and fertilizer deficit were 20 and 15%,respectively;stageⅢandⅣare the critical periods for improving fruit chemical quality by water and fertilizer coupling effect,and the threshold of water and fertilizer deficit were 40 and 15%,respectively.Therefore,aiming at precise water and fertilizer saving,theⅠ-W_(D20%)F_(D30%),Ⅱ-W_(D40%)F_(D15%),Ⅲ-W_(D40%)F_(D15%)andⅣ-W_(D40%)F_(D15%)treatments under WFDRDI during the whole growth period of kiwifruit were the best mode to improve quality and production of kiwifruit.
