In order to meet the technical requirements of grinding the circumferential cutting edge of indexable inserts, thermo-mechanical properties of bowl-shaped grinding wheel in high speed grinding process and the influenc...In order to meet the technical requirements of grinding the circumferential cutting edge of indexable inserts, thermo-mechanical properties of bowl-shaped grinding wheel in high speed grinding process and the influence of dimension variations of the grinding wheel on machining accuracy were investigated. Firstly, the variation trends of the dimension due to centrifugal force generated in different wheel speeds were studied and the effect of stress stiffening and spin softening was presented. Triangular heat flux distribution model was adopted to determine temperature distribution in grinding process. Temperature field cloud pictures were obtained by the finite element software. Then, dimension variation trends of wheel structure were acquired by considering the thermo-mechanical characteristic under combined action of centrifugal force and grinding heat at different speeds. A method of online dynamic monitoring and automatic compensation for dimension error of indexable insert was proposed. By experimental verification, the precision of the inserts satisfies the requirement of processing.展开更多
42CrMo steel has the characteristics of high strength,high wear resistance,high impact resistance,and fatigue resistance.Therefore,drilling 42CrMo steel has always been a challenging task.The indexable drill bit has t...42CrMo steel has the characteristics of high strength,high wear resistance,high impact resistance,and fatigue resistance.Therefore,drilling 42CrMo steel has always been a challenging task.The indexable drill bit has the advantages of high processing efficiency and low processing cost and has been widely used in the field of aerospace hole processing.To better understand the machining mechanism of the indexable drill bit,this paper uses the Coupled EulerianLagrangian method(CEL)to simulate the three-dimensional drilling model for the first time.The simulation results of the drilling force obtained by the CEL method and Lagrangian method are compared with the experimental results.It is verified that the CEL method is easy to converge and can avoid the problem of program interruption caused by mesh distortion,and the CEL simulation value is more consistent with the actual value.Secondly,the simulation results of cutting force and blade cutting edge node temperature under different process parameters are extracted.The variation of time domain cutting force,frequency domain cutting force and tool temperature with process parameters are obtained.This study provides a new method for the prediction of cutting performance and the optimization of process parameters of indexable drills.展开更多
In order to improve the development efficiency of the indexable insert tip, three-dimensional parametric and visualization applications program of indexable insert tip was developed in AutoCAD VBA （Visual Basic for A...In order to improve the development efficiency of the indexable insert tip, three-dimensional parametric and visualization applications program of indexable insert tip was developed in AutoCAD VBA （Visual Basic for Applications）. The software could significantly improve the modeling efficiency of indexable insert tip and the model could also be used to static analysis, dynamic analysis and thermodynamic analysis. All aspects of performance could be fully understood by the finite element analysis. The ref- erence for the blade parameters preferred is also provided.展开更多
This commentary critically appraises the study by Li et al which pioneered the exploration of the triglyceride-glucose(TyG)index as a prognostic marker in hepatitis B virus-related advanced hepatocellular carcinoma pa...This commentary critically appraises the study by Li et al which pioneered the exploration of the triglyceride-glucose(TyG)index as a prognostic marker in hepatitis B virus-related advanced hepatocellular carcinoma patients undergoing combined camrelizumab and lenvatinib therapy.While we acknowledge the study’s clinical relevance in proposing an easily accessible metabolic biomarker,we delve into the mechanistic plausibility linking insulin resistance to immunotherapy response and angiogenic inhibition.We further critically examine the methodological limitations,including the retrospective design,the populationspecific TyG cut-off value,and unaddressed metabolic confounders.We highlight the imperative for future research to validate its utility across diverse etiologies and treatment settings,and to unravel the underlying immunometabolic pathways.展开更多
BACKGROUND Perioperative anesthesia management of obese patients presents significant challenges as traditional total body weight-based dosing fails to achieve optimal anesthetic effects due to altered pharmacokinetic...BACKGROUND Perioperative anesthesia management of obese patients presents significant challenges as traditional total body weight-based dosing fails to achieve optimal anesthetic effects due to altered pharmacokinetic characteristics including abnormal drug distribution and clearance.Rocuronium exhibits markedly different distribution patterns in obese patients,with conventional weight correction methods inadequately addressing individual muscle mass variations that critically influence drug distribution.AIM To investigate the quantitative relationship between skeletal muscle index(SMI)and rocuronium distribution volume in obese colorectal cancer patients,establish a population pharmacokinetic model,and develop individualized dosing strategies based on muscle mass.METHODS A retrospective cohort study was conducted,including 100 obese patients(body mass index≥30 kg/m^(2))who underwent elective radical colorectal cancer surgery at our hospital from June 2023 to January 2025.Skeletal muscle mass was measured using InBody 260 body composition analyzer and SMI was calculated to assess muscle mass,with male SMI<7.0 kg/m^(2) and female SMI<5.7 kg/m^(2)as diagnostic criteria for sarcopenia.Plasma rocuronium concentrations were detected by liquid chromatography-tandem mass spectrometry/mass spectrometry,and nonlinear mixed-effect modeling was used to establish population pharmacokinetic modeling.Stepwise regression was used to screen covariates,and dosing regimens were optimized through Monte Carlo simulation.The primary endpoint was targeted plasma concentration achievement rate,and the secondary endpoint was postoperative residual muscle relaxation incidence.RESULTS Among 100 patients,35(35.0%)had sarcopenia and 65(65.0%)did not.Patients in the sarcopenia group were older(64.1±9.8 years vs 54.2±10.9 years,P<0.001)and had significantly lower SMI(6.2±0.8 kg/m^(2)vs 8.4±1.2 kg/m^(2),P<0.001).SMI showed strong positive correlation with rocuronium steady-state distribution volume(r=0.718,P<0.001)and moderate negative correlation with clearance(r=-0.502,P<0.001).A two-compartment population pharmacokinetic model was successfully established,with SMI being the most important covariate affecting central compartment distribution volume(△OFV=-41.2,P<0.001).Model validation showed bootstrap successful convergence rate of 92.3%,and 92.1%of observed values fell within prediction intervals in predicted concentration versus predicted concentration.The SMI-based individualized dosing regimen improved target exposure achievement rate from 82.0%in traditional regimen to 93.5%(P=0.009),and reduced postoperative residual muscle relaxation incidence from 13.0%to 3.5%(P=0.018).The sarcopenia group showed the most significant improvement in achievement rate,from 71.4%to 93.8%(P=0.017).CONCLUSION SMI shows strong correlation with rocuronium distribution volume in obese colorectal cancer patients and is a key factor affecting drug distribution.SMI-based individualized dosing strategies can significantly improve target exposure achievement rate and reduce postoperative residual muscle relaxation incidence,providing scientific evidence for precision anesthesia management in obese patients.展开更多
BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an e...BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an evaluation index system for the mental health literacy of adolescent patients with mental disorders,providing a scientific,comprehensive,and reliable tool for the monitoring and intervention of mental health literacy of such patients.METHODS From December 2022 to June 2023,the evaluation index system for mental health literacy of adolescents with mental disorders was developed through literature reviews,semi-structured interviews,expert letter consultations,and the analytic hierarchy process.Based on this index system,a self-assessment questionnaire was compiled and administered to 305 adolescents with mental disorders to test the reliability and validity of the index system.RESULTS The final evaluation index system for mental health literacy of adolescents with mental disorders included 4 first-level indicators,10 second-level indicators,and 52 third-level indicators.The overall Cronbach’sαcoefficient of the index system was 0.957,with a partial reliability of 0.826 and a content validity index of 0.975.The cumulative variance contribution rate of 10 common factors was 66.491%.The correlation coefficients between each dimension and the total questionnaire ranged from 0.672 to 0.724,while the correlation coefficients in each dimension ranged from 0.389 to 0.705.CONCLUSION The evaluation index system for mental health literacy of adolescents with mental disorders,developed in this study,demonstrated notable reliability and validity,making it a valuable tool for evaluating mental health literacy in this population.展开更多
Let G be a finite group and H a subgroup of G.The normal index of H in G is defined as the order of K/H_(G),where K is a normal supplement of H in G such that|K|is minimal and H_(G)≤K■G.Let p be a prime which divide...Let G be a finite group and H a subgroup of G.The normal index of H in G is defined as the order of K/H_(G),where K is a normal supplement of H in G such that|K|is minimal and H_(G)≤K■G.Let p be a prime which divides the order of a group G.In this paper,some characterizations of G being p-solvable or p-supersolvable were obtained by analyzing the normal index of certain subgroups of G.These results can be viewed as local version of recent results in the literature.展开更多
Gastric ulcer(GU)represents a clinically significant manifestation of peptic ulcer disease,driven by a complex interplay of microbial,environmental,and immuneinflammatory factors.A recent cross-sectional study by Shen...Gastric ulcer(GU)represents a clinically significant manifestation of peptic ulcer disease,driven by a complex interplay of microbial,environmental,and immuneinflammatory factors.A recent cross-sectional study by Shen et al systematically evaluated six complete blood count-derived inflammatory indices:Neutrophil-tolymphocyte ratio,monocyte-to-lymphocyte ratio,platelet-to-lymphocyte ratio,systemic immune-inflammation index,systemic inflammatory response index(SIRI),and aggregate index of systemic inflammation and demonstrated their positive associations with GU prevalence,identifying SIRI as the strongest predictor.This editorial contextualizes these findings within the broader literature,clarifies that these indices reflect systemic rather than GU-specific inflammation,highlights methodological strengths and major limitations,and proposes a conceptual clinical algorithm for integrating SIRI into GU risk assessment.Future multicenter studies incorporating Helicobacter pylori infection,non-steroidal antiinflammatory drug exposure,and prospective design are essential to validate and translate these findings into clinical practice.展开更多
BACKGROUND Crohn’s disease(CD)is a chronic inflammatory bowel disease with unknown etiology.Inflammatory chemical mediators synthesized from arachidonic acid,an n-6 polyunsaturated fatty acid(PUFA),have been shown to...BACKGROUND Crohn’s disease(CD)is a chronic inflammatory bowel disease with unknown etiology.Inflammatory chemical mediators synthesized from arachidonic acid,an n-6 polyunsaturated fatty acid(PUFA),have been shown to activate CD.Additionally,n-3 PUFAs are metabolized by the same enzyme as n-6 PUFAs and known to inhibit the arachidonic acid cascade.Our previous study noted that the presence of erythrocyte membrane fatty acids is a characteristic finding in Japanese CD patients.It was thus speculated that FADS2 gene polymorphisms,which induce PUFA metabolizing enzymes,are involved in the pathogenesis of CD,though no such relationship was found.AIM To investigate the relationship of FADS2 polymorphisms with serum and erythrocyte membrane fatty acid composition ratios,and disease activity.METHODS Using previously reported findings regarding FADS2 genetic polymorphisms,the records of 52 CD patients undergoing treatment at Jikei University Kashiwa Hospital were analyzed.Mutations noted were divided into three groups;wild-type(GG),heterozygous mutants(GA),and homozygous(AA),with the activities of delta-6 and delta-5 desaturases compared using redefined d6d index(rd.d6di)and d5d index(d5di).Additionally,comparisons of serum and erythrocyte membranes for fatty acid composition,and also gene polymorphisms and CD activity index(CDAI)were performed.RESULTS The presence of the rs174538 mutation in FADS2 resulted in reduction of only rd.d6di in the erythrocyte membrane(P<0.01).In contrast,that mutation was found to be associated with d5di induced by FADS1 in serum(P=0.019)as well as the erythrocyte membrane(P<0.0001),and also with reduction in the fatty acid composition of arachidonic acid in both serum(P<0.0001)and the erythrocyte membrane(P<0.01).Regarding disease activity,a positive correlation of CDAI score with rd.d6di in both serum(P<0.05)and the erythrocyte membrane(P<0.05)was found only in the rs174538 wild-type group.In contrast,there was no correction between CDAI and d5di in either serum or erythrocyte membrane samples.CONCLUSION The rs174538 mutation alters the fatty acid profile through strong linkage to the FADS1 gene.In wild-type individuals,rd.d6di was positively correlated with CDAI,suggesting predictive utility of disease severity.展开更多
To establish practical,evidence-based strategies for noninvasive assessment and referral of patients with metabolic dysfunction-associated steatotic liver disease(MASLD)in Japan,we must address the urgent clinical nee...To establish practical,evidence-based strategies for noninvasive assessment and referral of patients with metabolic dysfunction-associated steatotic liver disease(MASLD)in Japan,we must address the urgent clinical need for accurate risk stratification and timely specialist intervention.A panel of 11 Japanese hepatology experts conducted a modified Delphi process to evaluate consensus recommendations regarding the use of noninvasive tests(NITs),including the fibrosis-4 index,enhanced liver fibrosis test,Mac-2-binding protein glycosylation isomer,type IV collagen 7S,cytokeratin-18 fragments,and imaging modalities such as ultrasound elastography and magnetic resonance elastography,for MASLD assessment and clinical referral.Practical algorithms were developed based on current Japanese data and panel consensus.The expert panel validated the utility of NITs as reliable tools for identifying patients with MASLD at risk for advanced fibrosis.Sequential use of NITs improved diagnostic accuracy and referral appropriateness while minimizing unnecessary specialist consultations.The proposed algorithms offer stepwise guidance for primary care physicians,supporting efficient,evidence-based decisionmaking.However,prospective longitudinal studies remain necessary for full prognostic validation of NITs in MASLD management.Noninvasive testing algorithms enable effective risk stratification and referral for MASLD in real-world Japanese practice with anticipated benefit for patient outcomes and healthcare systems.Broader adoption and further validation are warranted.展开更多
本文基于Web of Science、Medline、Nature Index、高被引科学家名单及世卫组织、FDA、NMPA、IQVIA等最新数据,系统分析全球医学科技战略演变、基础研究格局与医药研发态势,并比较中美创新能力。研究发现:全球医学科技已升级为关乎国家...本文基于Web of Science、Medline、Nature Index、高被引科学家名单及世卫组织、FDA、NMPA、IQVIA等最新数据,系统分析全球医学科技战略演变、基础研究格局与医药研发态势,并比较中美创新能力。研究发现:全球医学科技已升级为关乎国家安全、生物经济与供应链韧性的战略体系,病原体监测、疫苗平台、生物制造成为关键方向。基础研究进入高位稳定期,美国在规模、机构与人才上仍占主导;中国在生物科学高质量科研份额上已反超美国,但在健康科学和临床研究仍偏弱。在医药研发层面,资本与并购加速向ADC、细胞与基因治疗、GLP-1和AI药物研发集中,新兴生物制药公司成为首创新药重要来源。中美均保持全球新药批准高位,但美国在首创机制与罕见病体系上优势明显。总体看,中国正迈向全球医学创新关键力量,但仍需补强健康科学、临床转化与平台体系建设。展开更多
BACKGROUND Gastric cancer(GC)is a prevalent malignancy with a substantial health burden and high mortality rate,despite advances in prevention,early detection,and treatment.Compared with the global average,Asia,notabl...BACKGROUND Gastric cancer(GC)is a prevalent malignancy with a substantial health burden and high mortality rate,despite advances in prevention,early detection,and treatment.Compared with the global average,Asia,notably China,reports disproportionately high GC incidences.The disease often progresses asymptoma-tically in the early stages,leading to delayed diagnosis and compromised out-comes.Thus,it is crucial to identify early diagnostic biomarkers and enhance treatment strategies to improve patient outcomes and reduce mortality.METHODS Retrospectively analyzed the clinical data of 148 patients with GC treated at the Civil Aviation Shanghai Hospital between December 2022 and December 2023.The associations of coagulation indices-partial thromboplastin time(APTT),prothrombin time(PT),thrombin time(TT),fibrinogen,fibrinogen degradation products(FDP),fasting blood glucose,and D-dimer(D-D)with TNM stage and distant metastasis were examined.RESULTS Prolongation of APTT,PT,and TT was significantly correlated with the GC TNM stage.Hence,abnormal coagulation system activation was closely related to disease progression.Elevated FDP and D-D were significantly associated with distant metastasis in GC(P<0.05),suggesting that increased fibrinolytic activity contributes to increased metastatic risk.CONCLUSION Our Results reveal coagulation indices,FDPs as GC biomarkers,reflecting abnormal coagulation/fibrinolysis,aiding disease progression,metastasis prediction,and helping clinicians assess thrombotic risk for early intervention and personalized treatment plans.展开更多
This paper highlights the crucial role of Indonesia’s GNSS receiver network in advancing Equatorial Plasma Bubble(EPB)studies in Southeast and East Asia,as ionospheric irregularities within EPB can disrupt GNSS signa...This paper highlights the crucial role of Indonesia’s GNSS receiver network in advancing Equatorial Plasma Bubble(EPB)studies in Southeast and East Asia,as ionospheric irregularities within EPB can disrupt GNSS signals and degrade positioning accuracy.Managed by the Indonesian Geospatial Information Agency(BIG),the Indonesia Continuously Operating Reference Station(Ina-CORS)network comprises over 300 GNSS receivers spanning equatorial to southern low-latitude regions.Ina-CORS is uniquely situated to monitor EPB generation,zonal drift,and dissipation across Southeast Asia.We provide a practical tool for EPB research,by sharing two-dimensional rate of Total Electron Content(TEC)change index(ROTI)derived from this network.We generate ROTI maps with a 10-minute resolution,and samples from May 2024 are publicly available for further scientific research.Two preliminary findings from the ROTI maps of Ina-CORS are noteworthy.First,the Ina-CORS ROTI maps reveal that the irregularities within a broader EPB structure persist longer,increasing the potential for these irregularities to migrate farther eastward.Second,we demonstrate that combined ROTI maps from Ina-CORS and GNSS receivers in East Asia and Australia can be used to monitor the development of ionospheric irregularities in Southeast and East Asia.We have demonstrated the combined ROTI maps to capture the development of ionospheric irregularities in the Southeast/East Asian sector during the G5 Geomagnetic Storm on May 11,2024.We observed simultaneous ionospheric irregularities in Japan and Australia,respectively propagating northwestward and southwestward,before midnight,whereas Southeast Asia’s equatorial and low-latitude regions exhibited irregularities post-midnight.By sharing ROTI maps from Indonesia and integrating them with regional GNSS networks,researchers can conduct comprehensive EPB studies,enhancing the understanding of EPB behavior across Southeast and East Asia and contributing significantly to ionospheric research.展开更多
Antimony smelting activities damage the soil and vegetation surroundings while generating economic value.However,no standardizedmethods are available to diagnose the extent of soil degradation at antimony smelting sit...Antimony smelting activities damage the soil and vegetation surroundings while generating economic value.However,no standardizedmethods are available to diagnose the extent of soil degradation at antimony smelting sites.This study developed a standardized framework for assessing soil quality by consideringmicrobial-induced resilience and heavymetal contamination at Xikuangshan antimony smelting site.The soil resilience index(SRI)and soil contamination index(SCI)were calculated byMinimum Data Set and geo-accumulation model,respectively.After standardized by a multi-criteria quantitative procedure of modified Nemerow’s pollution index(NPI),the integrated assessment of soil quality index(SQI),which is the minimumof SRINPI and SCINPI,was achieved.The results showed that Sb and As were the prominent metal(loid)pollutants,and significant correlations between SQI and SRI indicated that the poor soil quality was mainly caused by the low level of soil resilience.The primary limiting factors of SRI were Fungi in high andmiddle contaminated areas,and Skermanella in low contaminated area,suggesting that the weak soil resilience was caused by low specific microbial abundances.Microbial regulation and phytoremediation are greatly required to improve the soil quality at antimony smelting sites from the perspectives of pollution control and resilience improvement.This study improves our understanding of ecological effects of antimony smelting sites and provides a theoretical basis for ecological restoration and sustainable development of mining areas.展开更多
Natural gas hydrates(hereinafter referred to as hydrates)are a promising clean energy source.However,their current development is far from reaching commercial exploitation.Reservoir stimulation tech-nology provides ne...Natural gas hydrates(hereinafter referred to as hydrates)are a promising clean energy source.However,their current development is far from reaching commercial exploitation.Reservoir stimulation tech-nology provides new approaches to enhance hydrate development effectiveness.Addressing the current lack of quantitative and objective methods for evaluating the fracability of hydrate reservoirs,this study clarifies the relationship between geological and engineering fracability and proposes a comprehensive evaluation model for hydrate reservoir fracability based on grey relational analysis and the criteria importance through intercriteria correlation method.By integrating results from hydraulic fracturing experiments on hydrate sediments,the fracability of hydrate reservoirs is assessed.The concept of critical construction parameter curves for hydrate reservoirs is introduced for the first time.Additionally,two-dimensional fracability index evaluation charts and three-dimensional fracability construction condition discrimination charts are established.The results indicate that as the comprehensive fracability index increases,the feasibility of forming fractures in hydrate reservoirs improves,and the required normalized fracturing construction parameters gradually decrease.The accuracy rate of the charts in judging experimental results reached 89.74%,enabling quick evaluations of whether hydrate reservoirs are worth fracturing,easy to fracture,and capable of being fractured.This has significant engineering implications forthehydraulicfracturingof hydratereservoirs.展开更多
Forest structure is fundamental in determining ecosystem function,yet the impact of bamboo invasion on these structural characteristics remains unclear.We investigated 219 invasion transects at 41 sites across the dis...Forest structure is fundamental in determining ecosystem function,yet the impact of bamboo invasion on these structural characteristics remains unclear.We investigated 219 invasion transects at 41 sites across the distribution areas of Moso bamboo(Phyllostachys edulis)in China to explore the effects of bamboo invasion on forest structural attributes and diameter–height allometries by comparing paired plots of bamboo,mixed bamboo-tree,and non-bamboo forests along the transects.We found that bamboo invasion decreased the mean and maximum diameter at breast height,maximum height,and total basal area,but increased the mean height,stem density,and scaling exponent for stands.Bamboo also had a higher scaling exponent than tree,particularly in mixed forests,suggesting a greater allocation of biomass to height growth.As invasion intensity increased,bamboo allometry became more plastic and decreased significantly,whereas tree allometry was indirectly promoted by increasing stem density.Additionally,a humid climate may favour the scaling exponents for both bamboo and tree,with only minor contributions from topsoil moisture and nitrogen content.The inherent superiority of diameter–height allometry allows bamboo to outcompete tree and contributes to its invasive success.Our findings provide a theoretical basis for understanding the causes and consequences of bamboo invasion.展开更多
Northern China is a prominent “hotspot” for land–atmosphere interactions, with substantial gradients in both moisture and thermal conditions. Previous studies have identified a link between land–atmosphere couplin...Northern China is a prominent “hotspot” for land–atmosphere interactions, with substantial gradients in both moisture and thermal conditions. Previous studies have identified a link between land–atmosphere coupling and the individual roles of each factor, but the synergistic effect of the two factors remains unclear. This study considers the covariation of evapotranspiration and precipitation to assess evapotranspiration–precipitation(ET–P) coupling across northern China,exploring its spatial variations and their linkage to water and heat factors. Our findings reveal a transition from strongly positive coupling in the northwest to weakly negative coupling in the southeast, peaking in spring. These spatial variations are attributable to water(soil moisture) and heat(air temperature), which explain 39% and 25% of the variability,respectively. The aridity index(AI), a water–heat synergy factor, is the dominant factor, explaining 66% of the spatial variation in ET–P coupling. As the AI increases, ET–P coupling shifts from strongly positive to weakly negative, with an AI around 0.7. This shift is determined by a shift in the evapotranspiration–lifting condensation level(LCL) coupling under an AI change. Regions with an AI below 0.7 experience water-limited evapotranspiration, where increased soil moisture enhances evapotranspiration, reduces sensible heat(H), and lowers the LCL, resulting in a negative ET–LCL coupling.Conversely, regions with an AI above 0.7 experience energy-limited evapotranspiration, where the positive ET–LCL coupling reflects a positive H–LCL coupling or a positive impact of the LCL on evapotranspiration. This analysis advances our understanding of the intricate influences of multifactor surface interactions on the spatial variations of land–atmosphere coupling.展开更多
Objective:Postpartum nutrition plays a critical role in maternal recovery and long-term health.However,the nutritional status of working mothers in the postpartum period remains understudied.This study aimed to assess...Objective:Postpartum nutrition plays a critical role in maternal recovery and long-term health.However,the nutritional status of working mothers in the postpartum period remains understudied.This study aimed to assess the dietary quality of postpartum women in urban Beijing,identify occupational-related factors influencing their diet,and explore potential interventions to improve maternal nutrition during the postpartum period.Methods:In this cross-sectional analysis,554 women one year after delivery were recruited from ten community health centers.Sociodemographic,occupational and postpartum care variables were collected via questionnaire.Dietary intake over the preceding year was assessed using a food frequency questionnaire.The modified dietary balance index for postpartum women were used for dietary quality assessment.Results:The study revealed severe dietary imbalances among postpartum women,characterized by excessive consumption of cereals,eggs,and meats,while their intake of vegetables,fruits,and dairy products was inadequate.According to dietary balance index for postpartum women,66.25%of mothers showed varying degrees of excessive intake.45.31%of mothers experienced varying levels of insufficient intake,with only 19.86%of participants having a relatively balanced diet.Occupational differences were observed,with women in the commercial employment group showing higher levels of excessive food intake.The analysis of influencing factors showed that family monthly income,maternity leave,and postpartum care significantly affected the dietary quality.Conclusions:Postpartum women in Beijing experience widespread dietary imbalances,with both excesses and deficiencies.Occupational context and related factors significantly shape diet quality.These findings highlight the need for targeted nutritional interventions tailored to the specific challenges of different occupational groups.展开更多
基金Project(2010ZX04001-162)supported by the National Science and Technology Major Project of China
文摘In order to meet the technical requirements of grinding the circumferential cutting edge of indexable inserts, thermo-mechanical properties of bowl-shaped grinding wheel in high speed grinding process and the influence of dimension variations of the grinding wheel on machining accuracy were investigated. Firstly, the variation trends of the dimension due to centrifugal force generated in different wheel speeds were studied and the effect of stress stiffening and spin softening was presented. Triangular heat flux distribution model was adopted to determine temperature distribution in grinding process. Temperature field cloud pictures were obtained by the finite element software. Then, dimension variation trends of wheel structure were acquired by considering the thermo-mechanical characteristic under combined action of centrifugal force and grinding heat at different speeds. A method of online dynamic monitoring and automatic compensation for dimension error of indexable insert was proposed. By experimental verification, the precision of the inserts satisfies the requirement of processing.
基金supported by the Natural Science Foundation of Heilongjiang Province(No.TD2022E003)the National Natural Science Foundation of China(No.52175393)。
文摘42CrMo steel has the characteristics of high strength,high wear resistance,high impact resistance,and fatigue resistance.Therefore,drilling 42CrMo steel has always been a challenging task.The indexable drill bit has the advantages of high processing efficiency and low processing cost and has been widely used in the field of aerospace hole processing.To better understand the machining mechanism of the indexable drill bit,this paper uses the Coupled EulerianLagrangian method(CEL)to simulate the three-dimensional drilling model for the first time.The simulation results of the drilling force obtained by the CEL method and Lagrangian method are compared with the experimental results.It is verified that the CEL method is easy to converge and can avoid the problem of program interruption caused by mesh distortion,and the CEL simulation value is more consistent with the actual value.Secondly,the simulation results of cutting force and blade cutting edge node temperature under different process parameters are extracted.The variation of time domain cutting force,frequency domain cutting force and tool temperature with process parameters are obtained.This study provides a new method for the prediction of cutting performance and the optimization of process parameters of indexable drills.
基金Supported by Program for Liaoning Scientific Research Project in University(No.LS2010073)
文摘In order to improve the development efficiency of the indexable insert tip, three-dimensional parametric and visualization applications program of indexable insert tip was developed in AutoCAD VBA （Visual Basic for Applications）. The software could significantly improve the modeling efficiency of indexable insert tip and the model could also be used to static analysis, dynamic analysis and thermodynamic analysis. All aspects of performance could be fully understood by the finite element analysis. The ref- erence for the blade parameters preferred is also provided.
文摘This commentary critically appraises the study by Li et al which pioneered the exploration of the triglyceride-glucose(TyG)index as a prognostic marker in hepatitis B virus-related advanced hepatocellular carcinoma patients undergoing combined camrelizumab and lenvatinib therapy.While we acknowledge the study’s clinical relevance in proposing an easily accessible metabolic biomarker,we delve into the mechanistic plausibility linking insulin resistance to immunotherapy response and angiogenic inhibition.We further critically examine the methodological limitations,including the retrospective design,the populationspecific TyG cut-off value,and unaddressed metabolic confounders.We highlight the imperative for future research to validate its utility across diverse etiologies and treatment settings,and to unravel the underlying immunometabolic pathways.
文摘BACKGROUND Perioperative anesthesia management of obese patients presents significant challenges as traditional total body weight-based dosing fails to achieve optimal anesthetic effects due to altered pharmacokinetic characteristics including abnormal drug distribution and clearance.Rocuronium exhibits markedly different distribution patterns in obese patients,with conventional weight correction methods inadequately addressing individual muscle mass variations that critically influence drug distribution.AIM To investigate the quantitative relationship between skeletal muscle index(SMI)and rocuronium distribution volume in obese colorectal cancer patients,establish a population pharmacokinetic model,and develop individualized dosing strategies based on muscle mass.METHODS A retrospective cohort study was conducted,including 100 obese patients(body mass index≥30 kg/m^(2))who underwent elective radical colorectal cancer surgery at our hospital from June 2023 to January 2025.Skeletal muscle mass was measured using InBody 260 body composition analyzer and SMI was calculated to assess muscle mass,with male SMI<7.0 kg/m^(2) and female SMI<5.7 kg/m^(2)as diagnostic criteria for sarcopenia.Plasma rocuronium concentrations were detected by liquid chromatography-tandem mass spectrometry/mass spectrometry,and nonlinear mixed-effect modeling was used to establish population pharmacokinetic modeling.Stepwise regression was used to screen covariates,and dosing regimens were optimized through Monte Carlo simulation.The primary endpoint was targeted plasma concentration achievement rate,and the secondary endpoint was postoperative residual muscle relaxation incidence.RESULTS Among 100 patients,35(35.0%)had sarcopenia and 65(65.0%)did not.Patients in the sarcopenia group were older(64.1±9.8 years vs 54.2±10.9 years,P<0.001)and had significantly lower SMI(6.2±0.8 kg/m^(2)vs 8.4±1.2 kg/m^(2),P<0.001).SMI showed strong positive correlation with rocuronium steady-state distribution volume(r=0.718,P<0.001)and moderate negative correlation with clearance(r=-0.502,P<0.001).A two-compartment population pharmacokinetic model was successfully established,with SMI being the most important covariate affecting central compartment distribution volume(△OFV=-41.2,P<0.001).Model validation showed bootstrap successful convergence rate of 92.3%,and 92.1%of observed values fell within prediction intervals in predicted concentration versus predicted concentration.The SMI-based individualized dosing regimen improved target exposure achievement rate from 82.0%in traditional regimen to 93.5%(P=0.009),and reduced postoperative residual muscle relaxation incidence from 13.0%to 3.5%(P=0.018).The sarcopenia group showed the most significant improvement in achievement rate,from 71.4%to 93.8%(P=0.017).CONCLUSION SMI shows strong correlation with rocuronium distribution volume in obese colorectal cancer patients and is a key factor affecting drug distribution.SMI-based individualized dosing strategies can significantly improve target exposure achievement rate and reduce postoperative residual muscle relaxation incidence,providing scientific evidence for precision anesthesia management in obese patients.
基金Supported by Inter Disciplinary Direction Cultivation Project of Hunan University of Chinese Medicine,No.2025JC01032025 Hunan Province Science and Technology Innovation Plan Project,No.2025RC9012+2 种基金2022"Unveiling and Leading"Project of Discipline Construction at Hunan University of Chinese Medicine,No.22JBZ044Changsha Municipal Natural Science Foundation,No.kq2402174Hunan Provincial Science Popularization Fund Project,No.2025ZK4223.
文摘BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an evaluation index system for the mental health literacy of adolescent patients with mental disorders,providing a scientific,comprehensive,and reliable tool for the monitoring and intervention of mental health literacy of such patients.METHODS From December 2022 to June 2023,the evaluation index system for mental health literacy of adolescents with mental disorders was developed through literature reviews,semi-structured interviews,expert letter consultations,and the analytic hierarchy process.Based on this index system,a self-assessment questionnaire was compiled and administered to 305 adolescents with mental disorders to test the reliability and validity of the index system.RESULTS The final evaluation index system for mental health literacy of adolescents with mental disorders included 4 first-level indicators,10 second-level indicators,and 52 third-level indicators.The overall Cronbach’sαcoefficient of the index system was 0.957,with a partial reliability of 0.826 and a content validity index of 0.975.The cumulative variance contribution rate of 10 common factors was 66.491%.The correlation coefficients between each dimension and the total questionnaire ranged from 0.672 to 0.724,while the correlation coefficients in each dimension ranged from 0.389 to 0.705.CONCLUSION The evaluation index system for mental health literacy of adolescents with mental disorders,developed in this study,demonstrated notable reliability and validity,making it a valuable tool for evaluating mental health literacy in this population.
基金Supported by the National Natural Science Foundation of China(Grant No.12071092)Guangdong Basic and Applied Basic Research Foundation(Grant No.2025A1515012072)+1 种基金the Natural Science Research Project of Anhui Educational Committee(Grant No.2024AH051298)the Scientific Research Foundation of Bozhou University(Grant No.BYKQ202419).
文摘Let G be a finite group and H a subgroup of G.The normal index of H in G is defined as the order of K/H_(G),where K is a normal supplement of H in G such that|K|is minimal and H_(G)≤K■G.Let p be a prime which divides the order of a group G.In this paper,some characterizations of G being p-solvable or p-supersolvable were obtained by analyzing the normal index of certain subgroups of G.These results can be viewed as local version of recent results in the literature.
基金Supported by the National Natural Science Foundation of China,No.82170406 and No.81970238.
文摘Gastric ulcer(GU)represents a clinically significant manifestation of peptic ulcer disease,driven by a complex interplay of microbial,environmental,and immuneinflammatory factors.A recent cross-sectional study by Shen et al systematically evaluated six complete blood count-derived inflammatory indices:Neutrophil-tolymphocyte ratio,monocyte-to-lymphocyte ratio,platelet-to-lymphocyte ratio,systemic immune-inflammation index,systemic inflammatory response index(SIRI),and aggregate index of systemic inflammation and demonstrated their positive associations with GU prevalence,identifying SIRI as the strongest predictor.This editorial contextualizes these findings within the broader literature,clarifies that these indices reflect systemic rather than GU-specific inflammation,highlights methodological strengths and major limitations,and proposes a conceptual clinical algorithm for integrating SIRI into GU risk assessment.Future multicenter studies incorporating Helicobacter pylori infection,non-steroidal antiinflammatory drug exposure,and prospective design are essential to validate and translate these findings into clinical practice.
文摘BACKGROUND Crohn’s disease(CD)is a chronic inflammatory bowel disease with unknown etiology.Inflammatory chemical mediators synthesized from arachidonic acid,an n-6 polyunsaturated fatty acid(PUFA),have been shown to activate CD.Additionally,n-3 PUFAs are metabolized by the same enzyme as n-6 PUFAs and known to inhibit the arachidonic acid cascade.Our previous study noted that the presence of erythrocyte membrane fatty acids is a characteristic finding in Japanese CD patients.It was thus speculated that FADS2 gene polymorphisms,which induce PUFA metabolizing enzymes,are involved in the pathogenesis of CD,though no such relationship was found.AIM To investigate the relationship of FADS2 polymorphisms with serum and erythrocyte membrane fatty acid composition ratios,and disease activity.METHODS Using previously reported findings regarding FADS2 genetic polymorphisms,the records of 52 CD patients undergoing treatment at Jikei University Kashiwa Hospital were analyzed.Mutations noted were divided into three groups;wild-type(GG),heterozygous mutants(GA),and homozygous(AA),with the activities of delta-6 and delta-5 desaturases compared using redefined d6d index(rd.d6di)and d5d index(d5di).Additionally,comparisons of serum and erythrocyte membranes for fatty acid composition,and also gene polymorphisms and CD activity index(CDAI)were performed.RESULTS The presence of the rs174538 mutation in FADS2 resulted in reduction of only rd.d6di in the erythrocyte membrane(P<0.01).In contrast,that mutation was found to be associated with d5di induced by FADS1 in serum(P=0.019)as well as the erythrocyte membrane(P<0.0001),and also with reduction in the fatty acid composition of arachidonic acid in both serum(P<0.0001)and the erythrocyte membrane(P<0.01).Regarding disease activity,a positive correlation of CDAI score with rd.d6di in both serum(P<0.05)and the erythrocyte membrane(P<0.05)was found only in the rs174538 wild-type group.In contrast,there was no correction between CDAI and d5di in either serum or erythrocyte membrane samples.CONCLUSION The rs174538 mutation alters the fatty acid profile through strong linkage to the FADS1 gene.In wild-type individuals,rd.d6di was positively correlated with CDAI,suggesting predictive utility of disease severity.
基金Supported by Japan Society for the Promotion of Science KAKENHI,No.25K11274.
文摘To establish practical,evidence-based strategies for noninvasive assessment and referral of patients with metabolic dysfunction-associated steatotic liver disease(MASLD)in Japan,we must address the urgent clinical need for accurate risk stratification and timely specialist intervention.A panel of 11 Japanese hepatology experts conducted a modified Delphi process to evaluate consensus recommendations regarding the use of noninvasive tests(NITs),including the fibrosis-4 index,enhanced liver fibrosis test,Mac-2-binding protein glycosylation isomer,type IV collagen 7S,cytokeratin-18 fragments,and imaging modalities such as ultrasound elastography and magnetic resonance elastography,for MASLD assessment and clinical referral.Practical algorithms were developed based on current Japanese data and panel consensus.The expert panel validated the utility of NITs as reliable tools for identifying patients with MASLD at risk for advanced fibrosis.Sequential use of NITs improved diagnostic accuracy and referral appropriateness while minimizing unnecessary specialist consultations.The proposed algorithms offer stepwise guidance for primary care physicians,supporting efficient,evidence-based decisionmaking.However,prospective longitudinal studies remain necessary for full prognostic validation of NITs in MASLD management.Noninvasive testing algorithms enable effective risk stratification and referral for MASLD in real-world Japanese practice with anticipated benefit for patient outcomes and healthcare systems.Broader adoption and further validation are warranted.
文摘本文基于Web of Science、Medline、Nature Index、高被引科学家名单及世卫组织、FDA、NMPA、IQVIA等最新数据,系统分析全球医学科技战略演变、基础研究格局与医药研发态势,并比较中美创新能力。研究发现:全球医学科技已升级为关乎国家安全、生物经济与供应链韧性的战略体系,病原体监测、疫苗平台、生物制造成为关键方向。基础研究进入高位稳定期,美国在规模、机构与人才上仍占主导;中国在生物科学高质量科研份额上已反超美国,但在健康科学和临床研究仍偏弱。在医药研发层面,资本与并购加速向ADC、细胞与基因治疗、GLP-1和AI药物研发集中,新兴生物制药公司成为首创新药重要来源。中美均保持全球新药批准高位,但美国在首创机制与罕见病体系上优势明显。总体看,中国正迈向全球医学创新关键力量,但仍需补强健康科学、临床转化与平台体系建设。
文摘BACKGROUND Gastric cancer(GC)is a prevalent malignancy with a substantial health burden and high mortality rate,despite advances in prevention,early detection,and treatment.Compared with the global average,Asia,notably China,reports disproportionately high GC incidences.The disease often progresses asymptoma-tically in the early stages,leading to delayed diagnosis and compromised out-comes.Thus,it is crucial to identify early diagnostic biomarkers and enhance treatment strategies to improve patient outcomes and reduce mortality.METHODS Retrospectively analyzed the clinical data of 148 patients with GC treated at the Civil Aviation Shanghai Hospital between December 2022 and December 2023.The associations of coagulation indices-partial thromboplastin time(APTT),prothrombin time(PT),thrombin time(TT),fibrinogen,fibrinogen degradation products(FDP),fasting blood glucose,and D-dimer(D-D)with TNM stage and distant metastasis were examined.RESULTS Prolongation of APTT,PT,and TT was significantly correlated with the GC TNM stage.Hence,abnormal coagulation system activation was closely related to disease progression.Elevated FDP and D-D were significantly associated with distant metastasis in GC(P<0.05),suggesting that increased fibrinolytic activity contributes to increased metastatic risk.CONCLUSION Our Results reveal coagulation indices,FDPs as GC biomarkers,reflecting abnormal coagulation/fibrinolysis,aiding disease progression,metastasis prediction,and helping clinicians assess thrombotic risk for early intervention and personalized treatment plans.
基金JSPS KAKENHI Grant Number16H06286 supports global GNSS ionospheric maps (TEC,ROTI,and detrended TEC maps) developed by the Institute for SpaceEarth Environmental Research (ISEE) of Nagoya Universitysupport of the 2024 JASSO Follow-up Research Fellowship Program for a 90-day visiting research at the Institute for Space-Earth Environmental Research (ISEE),Nagoya University+3 种基金the support received from Telkom University under the“Skema Penelitian Terapan Periode I Tahun Anggaran 2024”the Memorandum of Understanding for Research Collaboration on Regional Ionospheric Observation (No:092/SAM3/TE-DEK/2021)the National Institute of Information and Communications Technology (NICT) International Exchange Program 2024-2025(No.2024-007)support for a one-year visiting research at Hokkaido University
文摘This paper highlights the crucial role of Indonesia’s GNSS receiver network in advancing Equatorial Plasma Bubble(EPB)studies in Southeast and East Asia,as ionospheric irregularities within EPB can disrupt GNSS signals and degrade positioning accuracy.Managed by the Indonesian Geospatial Information Agency(BIG),the Indonesia Continuously Operating Reference Station(Ina-CORS)network comprises over 300 GNSS receivers spanning equatorial to southern low-latitude regions.Ina-CORS is uniquely situated to monitor EPB generation,zonal drift,and dissipation across Southeast Asia.We provide a practical tool for EPB research,by sharing two-dimensional rate of Total Electron Content(TEC)change index(ROTI)derived from this network.We generate ROTI maps with a 10-minute resolution,and samples from May 2024 are publicly available for further scientific research.Two preliminary findings from the ROTI maps of Ina-CORS are noteworthy.First,the Ina-CORS ROTI maps reveal that the irregularities within a broader EPB structure persist longer,increasing the potential for these irregularities to migrate farther eastward.Second,we demonstrate that combined ROTI maps from Ina-CORS and GNSS receivers in East Asia and Australia can be used to monitor the development of ionospheric irregularities in Southeast and East Asia.We have demonstrated the combined ROTI maps to capture the development of ionospheric irregularities in the Southeast/East Asian sector during the G5 Geomagnetic Storm on May 11,2024.We observed simultaneous ionospheric irregularities in Japan and Australia,respectively propagating northwestward and southwestward,before midnight,whereas Southeast Asia’s equatorial and low-latitude regions exhibited irregularities post-midnight.By sharing ROTI maps from Indonesia and integrating them with regional GNSS networks,researchers can conduct comprehensive EPB studies,enhancing the understanding of EPB behavior across Southeast and East Asia and contributing significantly to ionospheric research.
基金supported by the National Key Research and Development Program of China (No.2019YFC1803604)the National Natural Science Foundation of China (Nos.42007306 and 42277193).
文摘Antimony smelting activities damage the soil and vegetation surroundings while generating economic value.However,no standardizedmethods are available to diagnose the extent of soil degradation at antimony smelting sites.This study developed a standardized framework for assessing soil quality by consideringmicrobial-induced resilience and heavymetal contamination at Xikuangshan antimony smelting site.The soil resilience index(SRI)and soil contamination index(SCI)were calculated byMinimum Data Set and geo-accumulation model,respectively.After standardized by a multi-criteria quantitative procedure of modified Nemerow’s pollution index(NPI),the integrated assessment of soil quality index(SQI),which is the minimumof SRINPI and SCINPI,was achieved.The results showed that Sb and As were the prominent metal(loid)pollutants,and significant correlations between SQI and SRI indicated that the poor soil quality was mainly caused by the low level of soil resilience.The primary limiting factors of SRI were Fungi in high andmiddle contaminated areas,and Skermanella in low contaminated area,suggesting that the weak soil resilience was caused by low specific microbial abundances.Microbial regulation and phytoremediation are greatly required to improve the soil quality at antimony smelting sites from the perspectives of pollution control and resilience improvement.This study improves our understanding of ecological effects of antimony smelting sites and provides a theoretical basis for ecological restoration and sustainable development of mining areas.
基金support of the National Natural Science Foundation of China(Grant No.52074332).
文摘Natural gas hydrates(hereinafter referred to as hydrates)are a promising clean energy source.However,their current development is far from reaching commercial exploitation.Reservoir stimulation tech-nology provides new approaches to enhance hydrate development effectiveness.Addressing the current lack of quantitative and objective methods for evaluating the fracability of hydrate reservoirs,this study clarifies the relationship between geological and engineering fracability and proposes a comprehensive evaluation model for hydrate reservoir fracability based on grey relational analysis and the criteria importance through intercriteria correlation method.By integrating results from hydraulic fracturing experiments on hydrate sediments,the fracability of hydrate reservoirs is assessed.The concept of critical construction parameter curves for hydrate reservoirs is introduced for the first time.Additionally,two-dimensional fracability index evaluation charts and three-dimensional fracability construction condition discrimination charts are established.The results indicate that as the comprehensive fracability index increases,the feasibility of forming fractures in hydrate reservoirs improves,and the required normalized fracturing construction parameters gradually decrease.The accuracy rate of the charts in judging experimental results reached 89.74%,enabling quick evaluations of whether hydrate reservoirs are worth fracturing,easy to fracture,and capable of being fractured.This has significant engineering implications forthehydraulicfracturingof hydratereservoirs.
基金supported by the National Natural Science Foundation of China(No.31988102)Yunnan Province Major Program for Basic Research Project(No.202101BC070002)+1 种基金Yunnan Province Science and Technology Talents and Platform Program(No.202305AA160014)Yunnan Province Key Research and Development Program of China(No.202303AC100009)。
文摘Forest structure is fundamental in determining ecosystem function,yet the impact of bamboo invasion on these structural characteristics remains unclear.We investigated 219 invasion transects at 41 sites across the distribution areas of Moso bamboo(Phyllostachys edulis)in China to explore the effects of bamboo invasion on forest structural attributes and diameter–height allometries by comparing paired plots of bamboo,mixed bamboo-tree,and non-bamboo forests along the transects.We found that bamboo invasion decreased the mean and maximum diameter at breast height,maximum height,and total basal area,but increased the mean height,stem density,and scaling exponent for stands.Bamboo also had a higher scaling exponent than tree,particularly in mixed forests,suggesting a greater allocation of biomass to height growth.As invasion intensity increased,bamboo allometry became more plastic and decreased significantly,whereas tree allometry was indirectly promoted by increasing stem density.Additionally,a humid climate may favour the scaling exponents for both bamboo and tree,with only minor contributions from topsoil moisture and nitrogen content.The inherent superiority of diameter–height allometry allows bamboo to outcompete tree and contributes to its invasive success.Our findings provide a theoretical basis for understanding the causes and consequences of bamboo invasion.
基金jointly supported by the National Science Foundation of China (Grant No.42230611)the Meteorological Joint Fund (Grant No.U2142208)+2 种基金the Second Tibetan Plateau Scientific Expedition and Research (STEP) program (grant no.2019QZKK0102)the National Science Foundation of China (Grant No.42005071)the Gansu Province Key Talent Project (Grant No.2023RCXM37)。
文摘Northern China is a prominent “hotspot” for land–atmosphere interactions, with substantial gradients in both moisture and thermal conditions. Previous studies have identified a link between land–atmosphere coupling and the individual roles of each factor, but the synergistic effect of the two factors remains unclear. This study considers the covariation of evapotranspiration and precipitation to assess evapotranspiration–precipitation(ET–P) coupling across northern China,exploring its spatial variations and their linkage to water and heat factors. Our findings reveal a transition from strongly positive coupling in the northwest to weakly negative coupling in the southeast, peaking in spring. These spatial variations are attributable to water(soil moisture) and heat(air temperature), which explain 39% and 25% of the variability,respectively. The aridity index(AI), a water–heat synergy factor, is the dominant factor, explaining 66% of the spatial variation in ET–P coupling. As the AI increases, ET–P coupling shifts from strongly positive to weakly negative, with an AI around 0.7. This shift is determined by a shift in the evapotranspiration–lifting condensation level(LCL) coupling under an AI change. Regions with an AI below 0.7 experience water-limited evapotranspiration, where increased soil moisture enhances evapotranspiration, reduces sensible heat(H), and lowers the LCL, resulting in a negative ET–LCL coupling.Conversely, regions with an AI above 0.7 experience energy-limited evapotranspiration, where the positive ET–LCL coupling reflects a positive H–LCL coupling or a positive impact of the LCL on evapotranspiration. This analysis advances our understanding of the intricate influences of multifactor surface interactions on the spatial variations of land–atmosphere coupling.
基金supported by an Innovation Fund for Medical Sciences of the Chinese Academy of Medical Sciences (Grant No.2019-I2M-2-007).
文摘Objective:Postpartum nutrition plays a critical role in maternal recovery and long-term health.However,the nutritional status of working mothers in the postpartum period remains understudied.This study aimed to assess the dietary quality of postpartum women in urban Beijing,identify occupational-related factors influencing their diet,and explore potential interventions to improve maternal nutrition during the postpartum period.Methods:In this cross-sectional analysis,554 women one year after delivery were recruited from ten community health centers.Sociodemographic,occupational and postpartum care variables were collected via questionnaire.Dietary intake over the preceding year was assessed using a food frequency questionnaire.The modified dietary balance index for postpartum women were used for dietary quality assessment.Results:The study revealed severe dietary imbalances among postpartum women,characterized by excessive consumption of cereals,eggs,and meats,while their intake of vegetables,fruits,and dairy products was inadequate.According to dietary balance index for postpartum women,66.25%of mothers showed varying degrees of excessive intake.45.31%of mothers experienced varying levels of insufficient intake,with only 19.86%of participants having a relatively balanced diet.Occupational differences were observed,with women in the commercial employment group showing higher levels of excessive food intake.The analysis of influencing factors showed that family monthly income,maternity leave,and postpartum care significantly affected the dietary quality.Conclusions:Postpartum women in Beijing experience widespread dietary imbalances,with both excesses and deficiencies.Occupational context and related factors significantly shape diet quality.These findings highlight the need for targeted nutritional interventions tailored to the specific challenges of different occupational groups.
