Background As the population in China rapidly ages,the prevalence of mild cognitive impairment(MCI)is increasing considerably.However,the causes of MCI vary.The continued lack of understanding of the various subtypes ...Background As the population in China rapidly ages,the prevalence of mild cognitive impairment(MCI)is increasing considerably.However,the causes of MCI vary.The continued lack of understanding of the various subtypes of MCI impedes the implementation of effective measures to reduce the risk of advancing to more severe cognitive diseases.Aims To estimate the prevalence and incidence rates of two MCI subtypes—amnestic MCI(aMCI)and vascular cognitive impairment without dementia(VCIND)—and to determine modifiable factors for them among older individuals in a multiregional Chinese cohort.Method This 1-year longitudinal study surveyed a random sample of participants aged≥60 years from a large,community-dwelling cohort in China.Baseline lifestyle data were self-reported,while vascular and comorbid conditions were obtained from medical records and physical examinations.In total,3514 and 2051 individuals completed the baseline and 1-year follow-up assessments,respectively.Logistic and linear regression analyses were used to identify the modifiable factors for MCI subtypes and predictors of cognitive decline,respectively.Results Among our participants,aMCI and VCIND demonstrated prevalence of 14.83%and 2.71%,respectively,and annual incidence(per 1000 person-years)of 69.6 and 10.6,respectively.The risk factor for aMCI was age,whereas its protective factors were high education level,tea consumption and physical activity.Moreover,VCIND risk factors were age,hypertension and depression.The presence of endocrine disease,cerebral trauma or hypertension was associated with a faster decline in cognition over 1 year.Conclusions MCI is a serious health problem in China that will only worsen as the population ages if no widespread interventions are implemented.Preventive strategies that promote brain activity and support healthy lifestyle choices are required.We identified modifiable factors for MCI in older individuals.The easy-to-adopt solutions such as tea consumption and physical activity can aid in preventing MCI.展开更多
Introduction: Modifiable and non-modifiable risk factors contribute to the significant rise of non-communicable diseases (NCDs), most notably cardiovascular disease (CVD), in the Pacific Island nations. The aim of thi...Introduction: Modifiable and non-modifiable risk factors contribute to the significant rise of non-communicable diseases (NCDs), most notably cardiovascular disease (CVD), in the Pacific Island nations. The aim of this study is to review previously published articles to understand common modifiable and non-modifiable risk factors of CVD among Pacific countries. Methods: This systematic review is conducted using different databases including;Scopus, Medline, EMBASE, and psycINFO. This systematic review is based on the Cochrane review process. All articles published in the English language from 1<sup>st</sup> January 2000 to 1<sup>st</sup> September 2016, will be included in the study. After reviewing all of the articles’ titles, abstracts, and full text, the final articles were reviewed and the relevant data was included in the data extraction sheet. A descriptive analysis was conducted to measure the common risk factors of CVD in Pacific countries. Results: Overall, 45 articles met the inclusion criteria of the study. The results showed that age was the most common non-modifiable risk factor while diabetes, high blood lipid, and high blood pressure were the most common modifiable risk factors of CVD. There were only three interventional studies which had all of the significant influences in reducing the risk factors of CVD when the results were compared with the control group. Conclusion: While it is not possible to change the non-modifiable risk factors for CVD, we encourage policy makers to use the results of this study to develop health promotion strategies to address the modifiable risk factors for CVD. Interventional strategies are highly recommended in the Pacific countries to tackle the modifiable risk factors for CVD.展开更多
This paper presents a method for creating modificable quartic and quintic curves with shape parameters. The curves can achieve C 2 even C 3 continuity and unify both interpolation and approximation to the control poin...This paper presents a method for creating modificable quartic and quintic curves with shape parameters. The curves can achieve C 2 even C 3 continuity and unify both interpolation and approximation to the control points without solving a system of equations or inserting additional control points. They have the local properties like the cubic B spline. Besides, the quintic curve would be able globally to tend the control polygon.展开更多
<strong>Introduction:</strong> Type 2 diabetes is a major public health problem worldwide. This study aimed at identifying modifiable behavioral risk factors associated with biological factors in people at...<strong>Introduction:</strong> Type 2 diabetes is a major public health problem worldwide. This study aimed at identifying modifiable behavioral risk factors associated with biological factors in people at risk of type 2 diabetes which could be targeted in the design and implementation of appropriate interventions to prevent the disease. <strong>Methods:</strong> 180 subjects at risk of type 2 diabetes (aged 15 - 60 years) were identified and selected at random during a preliminary survey conducted in two groups of villages in northeastern Benin. The study took part on August 2017. Questionnaires were administered to consenting subjects;anthropometric measurements taken and blood samples withdrawn. Blood samples were subjected to biochemical testing according to standard protocols. <strong>Results:</strong> Data was obtained from 180 subjects at risk of type 2 diabetes. The average age of the subjects was 42.76 ± 11.30 years. Multivariate analysis showed inadequate dietary intake score, low physical activity and tobacco use as behavioral factors significantly associated with high waist circumference, high blood sugar, low HDL cholesterol, high triglyceride levels and high body fat percentage. <strong>Conclusion:</strong> There is a possible association between biological and behavioral risk factors.展开更多
Background The potential modifiable factors influencing irritable bowel syndrome(IBS)have not been thoroughly documented.We aimed to systematically investigate the modifiable factors associated with IBS,while accounti...Background The potential modifiable factors influencing irritable bowel syndrome(IBS)have not been thoroughly documented.We aimed to systematically investigate the modifiable factors associated with IBS,while accounting for the impact of unobserved confounders and coexisting disorders.Methods Genetic correlation and Mendelian randomisation(MR)analyses were integrated to identify potential modifiable factors and coexisting disorders linked to IBS.Subsequently,multiresponse MR(MR2)was employed to further examine these associations.Summary-level genome-wide association data were used.Modifiable factors and coexisting disorders(ie,gastrointestinal and psychiatric disorders)were identified based on evidence from cohort studies and meta-analysis.In all analyses,IBS was the primary outcome,while in the MR2 analysis,coexisting disorders were also treated as outcomes alongside IBS.Results Most identified modifiable factors and coexisting disorders exhibited genetic correlations with IBS.MR analyses revealed strong causation between IBS and multisite chronic pain(OR=2.20,95%CI 1.82 to 2.66),gastro-oesophageal reflux disease(OR=1.31,95%CI 1.23 to 1.39),well-being spectrum(OR=0.17,95%CI 0.13 to 0.21),life satisfaction(OR=0.31,95%CI 0.25 to 0.38),positive affect(OR=0.30,95%CI 0.24 to 0.37),neuroticism score(OR=1.20,95%CI 1.16 to 1.25)and depression(OR=1.50,95%CI 1.37 to 1.66).Additionally,smoking,alcohol frequency,college or university degree,intelligence,childhood maltreatment,frailty index,diverticular disease of the intestine and schizophrenia were suggestively associated with IBS.Robust associations were found between multisite chronic pain and both IBS and coexisting disorders.Conclusions Our study identified a comprehensive array of potential modifiable factors and coexisting disorders associated with IBS,supported by genetic evidence,including genetic correlation and multiple MR analyses.The presence of multisite chronic pain may offer a promising avenue for the concurrent prevention of IBS and its coexisting disorders.展开更多
Accurate identification of spatial patterns and risk factors of disease occurrence is crucial for public health interventions.However,the Modifiable Areal Unit Problem(MAUP)poses challenges in disease modelling by imp...Accurate identification of spatial patterns and risk factors of disease occurrence is crucial for public health interventions.However,the Modifiable Areal Unit Problem(MAUP)poses challenges in disease modelling by impacting the reliability of statistical inferences drawn from spatially aggregated data.This study examines the effect of MAUP on ecological model inference using locally and overseas-acquired COVID-19 case data from 2020 to 2023 in Queensland,Australia.Bayesian spatial Besag-York-Mollié(BYM)models were applied across four Statistical Area(SA)levels,as defined by the Australian Statistical Geography Standard,with and without covariates:Socio-Economic Indexes for Areas(SEIFA)and overseas-acquired(OA)COVID-19 cases.OA COVID-19 cases were also considered a response variable in our study.Results indicated that finer spatial scales(SA1 and SA2)captured localized patterns and significant spatial autocorrelation,while coarser levels(SA3 and SA4)smoothed spatial variability,masking potential outbreak clusters.Incorporating SEIFA as a covariate in locally-acquired(LA)cases reduced spatial autocorrelation in residuals,effectively capturing socioeconomic disparities.Conversely,OA cases showed limited effectiveness in reducing autocorrelation at finer scales.For LA cases,higher socioeconomic disadvantage was associated with increased COVID-19 incidence at finer scales,but this association became non-significant at coarser scales.OA cases showed significant positive association with higher SEIFA scores at finer scales.Model parameters displayed narrower credible intervals at finer scales,indicating greater precision,while coarser levels had increased uncertainty.SA2 emerged as an arguably optimal scale,striking a balance between spatial resolution,model stability,and interpretability.To improve inference on COVID-19 incidence,it is recommended to use data from both SA1 and SA2 levels to leverage their respective strengths.The findings emphasize the importance of selecting appropriate spatial scales and covariates or evaluating the inferential impacts of multiple scales,to address MAUP to facilitate more reliable spatial analysis.The study advocates exploring intermediate aggregation levels and multi-scale approaches to better capture nuanced disease dynamics and extend these analyses across Australia and replicating in other countries with low population densities to enhance generalizability.展开更多
Objectives Primary prevention targeting modifiable risk factors would reduce the global burden of colorectal cancer,but the quantitative results are uncertain.We aimed to assess the global burden of colorectal cancer ...Objectives Primary prevention targeting modifiable risk factors would reduce the global burden of colorectal cancer,but the quantitative results are uncertain.We aimed to assess the global burden of colorectal cancer attributed to modifiable lifestyle factors and quantify the potential increase in life expectancy resulting from the elimination of these risk factors.Methods Based on the Global Burden of Disease Study 2021,we examined colorectal cancer deaths and disability-adjusted life years attributed to modifiable risk factors(including smoking,diet low in whole grains,diet low in milk,diet high in red meat,diet low in calcium,diet high in processed meat,and diet low in fiber)at the global,regional,and national levels from 1990 to 2021.The abridged period life table method was utilized to quantify the potential gain in life expectancy from eliminating these risk factors.Results Globally in 2021,57.1%of colorectal cancer deaths and 56.4%of disability-adjusted life years were preventable,with rates of 7.55(4.94–9.64)and 174.67(114.54–222.24)per 100,000 population,respectively.The modifiable burden has diminished in the high,high-middle,and low socio-demographic index quintiles and remained steady in the middle one.However,there is a concerning increase in the low-middle one.In 2021,the elimination of global colorectal cancer attributed to modifiable factors would increase the life expectancy for males and females by 0.107 and 0.109 years,respectively.Conclusion Our results quantitatively demonstrate the substantial burden reduction in colorectal cancer and the significant gain in life expectancy that can be achieved by eliminating modifiable lifestyle factors.展开更多
Objective:To study the clinical profiles of children with febrile seizures,comparing those with single episodes to recurrent cases,and identify predictors of recurrence.In addition,to develop a scoring system to predi...Objective:To study the clinical profiles of children with febrile seizures,comparing those with single episodes to recurrent cases,and identify predictors of recurrence.In addition,to develop a scoring system to predict recurrence after the first febrile seizure,and identify modifiable risk factors to mitigate recurrence risks.Methods:This cross-sectional study included children aged 6 months to 5 years with typical febrile seizures,seen as inpatients or outpatients of the Department of Pediatrics at a tertiary care teaching hospital.Data were collected via parent interviews,physical exams,and laboratory tests.The questionnaire covered demographics,antenatal,natal,and postnatal events,seizure history,family history,immunization,daycare attendance,and fever management.Clinical evaluations ruled out central nervous system infections and fever causes were diagnosed per ICD-10 at discharge.Laboratory tests assessed anemia,dyselectrolytemia,and hypoglycemia.Data were analyzed in SPSS Version 25 using descriptive statistics,t-tests,Chi-square tests,and odds ratios with 95%confidence intervals(CI),with significance set at P<0.05.Results:451 children were included in this study.Low birth weight(OR=2.60,95%CI=1.12-6.33,P=0.026),age at first episode>12 months(OR=0.28,95%CI=0.16-0.48,P0.001),family history of febrile seizure(OR=5.21,95%CI=2.92-9.28,P<0.001),no intermittent prophylaxis(OR=15.25,95%CI=7.05-32.90,P<0.001),treatment for fever(OR=0.26,95%CI=0.13-0.51)and low socioeconomic status(OR=5.87,95%CI=3.32-10.38)were significantly associated with recurrent febrile seizures.Conclusions:Low birth weight,age at first episode≤12 months,family history of febrile seizure,no intermittent prophylaxis,inadequate treatment for fever and low socioeconomic status were significant risk factors for having recurrent febrile seizures in children aged from 6 months to 5 years.展开更多
BACKGROUND Motoric cognitive risk(MCR)syndrome represents an“ultra-early”stage of dementia prevention,highlighting the need for effective screening tools.AIM To develop and validate a novel tool for MCR identificati...BACKGROUND Motoric cognitive risk(MCR)syndrome represents an“ultra-early”stage of dementia prevention,highlighting the need for effective screening tools.AIM To develop and validate a novel tool for MCR identification,comparing its effectiveness with existing methods.METHODS As part of a community study on healthy aging,a cross-sectional study recruited 1189 Chinese participants aged 50 years and older between May 1,2022,and March 15,2023.The cohort was randomly split into training(70%)and testing(30%)datasets.Relevant features were selected for logistic regression(LR)and decision tree(DT)models using the training dataset,and their performance was subsequently assessed using the testing dataset to validate reliability and generalizability.RESULTS The prevalence of MCR was 13.12%among 1189 participants.DT models had the area under the curves(AUCs)of 0.834 and 0.821 for training and testing datasets,respectively,while LR models indicated AUCs of 0.840 and 0.859.Non-inferiority tests confirmed the DT model’s comparable effectiveness to the LR models in predicting MCR.Both models demonstrated good calibration and clinical utility.Seven modifiable risk factors were identified:Age,education level,social engagement,physical activity,nutritional status,depressive symptoms,and purpose in life.Notably,social engagement emerged as a novel factor compared to those previously identified.Both models are integrated into an easy-to-use,interpretable web-based user interface.CONCLUSION The interactive,web-based user interface of both models effectively identifies MCR,with the DT model recommended for its simplicity and interpretability,supporting community nurses and clinicians in triaging MCR.展开更多
With the approval of more and more genetically modified(GM)crops in our country,GM safety management has become more important.Transgenic detection is a major approach for transgenic safety management.Nevertheless,a c...With the approval of more and more genetically modified(GM)crops in our country,GM safety management has become more important.Transgenic detection is a major approach for transgenic safety management.Nevertheless,a convenient and visual technique with low equipment requirements and high sensitivity for the field detection of GM plants is still lacking.On the basis of the existing recombinase polymerase amplification(RPA)technique,we developed a multiplex RPA(multi-RPA)method that can simultaneously detect three transgenic elements,including the cauliflower mosaic virus 35S gene(CaMV35S)promoter,neomycin phosphotransferaseⅡgene(NptⅡ)and hygromycin B phosphotransferase gene(Hyg),thus improving the detection rate.Moreover,we coupled this multi-RPA technique with the CRISPR/Cas12a reporter system,which enabled the detection results to be clearly observed by naked eyes under ultraviolet(UV)light(254 nm;which could be achieved by a portable UV flashlight),therefore establishing a multi-RPA visual detection technique.Compared with the traditional test strip detection method,this multi-RPA-CRISPR/Cas12a technique has the higher specificity,higher sensitivity,wider application range and lower cost.Compared with other polymerase chain reaction(PCR)techniques,it also has the advantages of low equipment requirements and visualization,making it a potentially feasible method for the field detection of GM plants.展开更多
This study fully addressed the modifiable areal unit problem （MAUP） that was well-known in geography but generally ignored by safety analysis. The basic issue of MAUP was introduced firstly with a case study to expl...This study fully addressed the modifiable areal unit problem （MAUP） that was well-known in geography but generally ignored by safety analysis. The basic issue of MAUP was introduced firstly with a case study to explicitly demonstrate the existence of the problem in macro level crash modeling, and then four potential strategies, i.e., using disaggregate data as possible, capturing spatial non-stationarity, designing optimal zoning systems, conducting sensitivity analysis to report the scope and magnitude of MAUP, were proposed and illustrated in an integrated way, followed by the future research directions. Results revealed that more efforts are desired to calibrate the state-of-art modeling technique at various levels of aggregation based on spatial homogeneity in traffic safety, transport characteristics, and demographical factors. The awareness of this problem in traffic safety domain is expected to the delineation of basic spatial units （e.g. the traffic safety analysis zones）, as well as to provide new insights into the nature of MAUP in statistics and geography.展开更多
To reduce the temperature diseases of asphalt pavement,improve the service quality of road and extend service life,the research of inorganic powders that reduce the temperature of asphalt pavements was systematically ...To reduce the temperature diseases of asphalt pavement,improve the service quality of road and extend service life,the research of inorganic powders that reduce the temperature of asphalt pavements was systematically sorted out.The common types,physicochemical properties and application methods of inorganic powders were defined.The road performances of modified asphalt and its mixture were evaluated.The modification mechanism of inorganic powders in asphalt was analyzed.On this basis,the cooling effect and cooling mechanism of inorganic powders was revealed.The results indicate that inorganic powders are classified into hollow,porous,and energy conversion types.The high-temperature performance of inorganic powders modified asphalt and its mixture is significantly improved,while there is no significant change in low-temperature performance and water stability.The average increase in rutting resistance factor(G*/sin(δ))and dynamic stability is 40%–72%and 30%–50%,respectively.The modification mechanism of inorganic powders in asphalt is physical blending.The thermal conductivity of hollow and porous inorganic powders modified asphalt mixture decreases by 30.05%and 43.14%,respectively.The temperature of hollow,porous and energy conversion inorganic powders modified asphalt mixture at 5 cm decreases by 2.3 ℃–3.5 ℃,0.8 ℃–3.7 ℃and 4.1 ℃–4.7℃,respectively.Hollow and porous inorganic powders block heat conduction,while energy conversion inorganic powders achieve cooling through their functional properties.展开更多
Semenov-Tian-Shansky has given the solution of the modified classical Yang-Baxter equation, which was called the modified r-matrix. Relevant studies have been extensive in recent times. In this paper, we introduce the...Semenov-Tian-Shansky has given the solution of the modified classical Yang-Baxter equation, which was called the modified r-matrix. Relevant studies have been extensive in recent times. In this paper, we introduce the concept and representations of modified RotaBaxter Hom-Lie algebras. We develop a cohomology of modified Rota-Baxter Hom-Lie algebras with coefficients in a suitable representation. As applications, we study formal deformations and abelian extensions of modified Rota-Baxter Hom-Lie algebras in terms of second cohomology groups.展开更多
In lithium-sulfur batteries(LSBs),the limited utilization of sulfur and the sluggish kinetics of redox reaction significantly hinder their electrochemical performance,especially under high rates and high sulfur loadin...In lithium-sulfur batteries(LSBs),the limited utilization of sulfur and the sluggish kinetics of redox reaction significantly hinder their electrochemical performance,especially under high rates and high sulfur loadings.Here,we propose a novel separator structure with an interlayer composed of a vermiculite nanosheet combined with Ketjen Black(VMT@KB)for LSBs,facilitating efficient adsorption and rapid catalytic conversion toward lithium polysulfides(LiPSs).The VMT@KB nanosheets with an electrical double-layer structure and electronic conductivity are obtained through a high-temperature peeling process and Li^(+)exchange treatment in LiCl solution,followed by a mechanical combination process with KB.The results demonstrate that incorporating VMT@KB as an interlayer on a conventional separator enhances the conductivity and limits the LiPSs in the cathode region.The Li-S cell with VMT@KB interlayer shows satisfactory cycle and rate performance,especially in high sulfur loading.It exhibits a remarkable initial discharge capacity of 1225 mAh g^(-1)at 0.5 C and maintains a capacity of 816 mAh g^(-1)after 500 cycles.Besides,the discharge capacity remains 462 mAh g^(-1)even at 6 C.Moreover,the cell with high sulfur loading(8.2 mg cm^(-2))enables stable cycling for 100 cycles at 0.1 C with a discharge capacity of over1000 mAh g^(-1).展开更多
As a crucial human activity,dam construction can profoundly impact the surface hydrology patterns.The Three Gorges Reservoir(TGR),as one of the largest hydraulic engineering projects in the world,has gained continuous...As a crucial human activity,dam construction can profoundly impact the surface hydrology patterns.The Three Gorges Reservoir(TGR),as one of the largest hydraulic engineering projects in the world,has gained continuous attention for its eco-hydrological effects.However,further investigation is necessary to understand the runoff and social impacts of the TGR on the Upper Yangtze River.This study first employed a modified SWAT model to simulate runoff,compared scenarios with and without the TGR,and finally evaluated water supply and demand in the Upper Yangtze River.The results showed a significant increasing trend in the surface water area of the Upper Yangtze River from 2000-2020.The modified SWAT model performs well in simulating the runoff,with Nash-Sutcliffe Efficiency and Percent Bias improved by 0.04-0.30 and 2-31.90,respectively.Scenario simulation results revealed that the TGR reduced seasonal differences in runoff.During the flood season,the runoff volume at the Yichang Station in the scenario with the TGR is lower than in the scenario without the TGR,peaking at 4500 m3/s.Conversely,in the dry season,the runoff volume of the scenario with TGR is higher,with a maximum increase of 1500 m3/s.The region exhibiting the greatest runoff variations is the Yangtze River's main stem in the Three Gorges Reservoir region.Besides,the TGR notably alleviated the water supply-demand imbalance in Chongqing during the winter and spring seasons,with a maximum increase of 0.16 in the supplydemand index.This study can contribute significantly to understanding the natural and social impacts of the TGR from the perspective of hydrological and scenario simulation.展开更多
Spinal cord injury and treatment opportunities:The adult mammalian spinal cord has a very limited capacity for spontaneous regeneration due to various intrinsic molecular and cellular factors.Although the spinal cord ...Spinal cord injury and treatment opportunities:The adult mammalian spinal cord has a very limited capacity for spontaneous regeneration due to various intrinsic molecular and cellular factors.Although the spinal cord neurons have the capacity to regenerate their axons,the expression of growth inhibitory factors,lack or suppression of proper guidance cues,and profound inflammatory responses do not permit successful regeneration(Khyeam et al.,2021).展开更多
Dear Editor,This letter addresses the impulse game problem for a general scope of deterministic,multi-player,nonzero-sum differential games wherein all participants adopt impulse controls.Our objective is to formulate...Dear Editor,This letter addresses the impulse game problem for a general scope of deterministic,multi-player,nonzero-sum differential games wherein all participants adopt impulse controls.Our objective is to formulate this impulse game problem with the modified objective function including interaction costs among the players in a discontinuous fashion,and subsequently,to derive a verification theorem for identifying the feedback Nash equilibrium strategy.展开更多
Use of immunomodulating agents to prevent the progression of autoimmuneβ-cell damage leading to type 1 diabetes mellitus(T1DM)is an interesting area for research.These include non-specific anti-inflammatory agents,im...Use of immunomodulating agents to prevent the progression of autoimmuneβ-cell damage leading to type 1 diabetes mellitus(T1DM)is an interesting area for research.These include non-specific anti-inflammatory agents,immunologic vaccination and anti-inflammatory agents targeting specific immune cells or cytokines.Teplizumab is an anti-CD3-molecule that binds to and leads to the disappearance of the CD3/TCR complex and rendering the T cell anergic to its target antigen.Preclinical and clinical trials have demonstrated its efficacy in reducing the decline in serum C-peptide levels and the need for insulin therapy if used early in the disease process of T1DM.The benefits have been apparent as early as six months to as long as seven years after therapy.It has recently been approved by the Food and Drug Administration to delay the onset of clinical(stage 3)type 1 diabetes in children above 8 years of age.In their recent metaanalysis published in the World Journal of Diabetes,Ma et al found that those in the teplizumab treatment group have a greater likelihood of reduction in insulin use,change in C-peptide response,and better glycemic control compared to the control group with a good safety profile.However,all the included randomized control trials have been conducted in high-income countries.High cost of therapy and unknown utility of the molecule in stage 3 disease limit its widespread use.展开更多
基金supported by the Major Project of Wuxi Municipal Health Commission[grant number:Z202406]the Jiangsu Commission of Health Program[grant number:M2024010]+3 种基金the National Key Research and Development Program[grant number:2022YFC3600600]the China Ministry of Science and Technology grants[grant number:2009BAI77B03]the Shanghai Municipal Education Commission-Gaofeng Clinical Medicine Grant Support[grant number:20172029]the Innovative Research Team of High-level Local Universities in Shanghai[grant number:ZDCX20211201].
文摘Background As the population in China rapidly ages,the prevalence of mild cognitive impairment(MCI)is increasing considerably.However,the causes of MCI vary.The continued lack of understanding of the various subtypes of MCI impedes the implementation of effective measures to reduce the risk of advancing to more severe cognitive diseases.Aims To estimate the prevalence and incidence rates of two MCI subtypes—amnestic MCI(aMCI)and vascular cognitive impairment without dementia(VCIND)—and to determine modifiable factors for them among older individuals in a multiregional Chinese cohort.Method This 1-year longitudinal study surveyed a random sample of participants aged≥60 years from a large,community-dwelling cohort in China.Baseline lifestyle data were self-reported,while vascular and comorbid conditions were obtained from medical records and physical examinations.In total,3514 and 2051 individuals completed the baseline and 1-year follow-up assessments,respectively.Logistic and linear regression analyses were used to identify the modifiable factors for MCI subtypes and predictors of cognitive decline,respectively.Results Among our participants,aMCI and VCIND demonstrated prevalence of 14.83%and 2.71%,respectively,and annual incidence(per 1000 person-years)of 69.6 and 10.6,respectively.The risk factor for aMCI was age,whereas its protective factors were high education level,tea consumption and physical activity.Moreover,VCIND risk factors were age,hypertension and depression.The presence of endocrine disease,cerebral trauma or hypertension was associated with a faster decline in cognition over 1 year.Conclusions MCI is a serious health problem in China that will only worsen as the population ages if no widespread interventions are implemented.Preventive strategies that promote brain activity and support healthy lifestyle choices are required.We identified modifiable factors for MCI in older individuals.The easy-to-adopt solutions such as tea consumption and physical activity can aid in preventing MCI.
文摘Introduction: Modifiable and non-modifiable risk factors contribute to the significant rise of non-communicable diseases (NCDs), most notably cardiovascular disease (CVD), in the Pacific Island nations. The aim of this study is to review previously published articles to understand common modifiable and non-modifiable risk factors of CVD among Pacific countries. Methods: This systematic review is conducted using different databases including;Scopus, Medline, EMBASE, and psycINFO. This systematic review is based on the Cochrane review process. All articles published in the English language from 1<sup>st</sup> January 2000 to 1<sup>st</sup> September 2016, will be included in the study. After reviewing all of the articles’ titles, abstracts, and full text, the final articles were reviewed and the relevant data was included in the data extraction sheet. A descriptive analysis was conducted to measure the common risk factors of CVD in Pacific countries. Results: Overall, 45 articles met the inclusion criteria of the study. The results showed that age was the most common non-modifiable risk factor while diabetes, high blood lipid, and high blood pressure were the most common modifiable risk factors of CVD. There were only three interventional studies which had all of the significant influences in reducing the risk factors of CVD when the results were compared with the control group. Conclusion: While it is not possible to change the non-modifiable risk factors for CVD, we encourage policy makers to use the results of this study to develop health promotion strategies to address the modifiable risk factors for CVD. Interventional strategies are highly recommended in the Pacific countries to tackle the modifiable risk factors for CVD.
文摘This paper presents a method for creating modificable quartic and quintic curves with shape parameters. The curves can achieve C 2 even C 3 continuity and unify both interpolation and approximation to the control points without solving a system of equations or inserting additional control points. They have the local properties like the cubic B spline. Besides, the quintic curve would be able globally to tend the control polygon.
文摘<strong>Introduction:</strong> Type 2 diabetes is a major public health problem worldwide. This study aimed at identifying modifiable behavioral risk factors associated with biological factors in people at risk of type 2 diabetes which could be targeted in the design and implementation of appropriate interventions to prevent the disease. <strong>Methods:</strong> 180 subjects at risk of type 2 diabetes (aged 15 - 60 years) were identified and selected at random during a preliminary survey conducted in two groups of villages in northeastern Benin. The study took part on August 2017. Questionnaires were administered to consenting subjects;anthropometric measurements taken and blood samples withdrawn. Blood samples were subjected to biochemical testing according to standard protocols. <strong>Results:</strong> Data was obtained from 180 subjects at risk of type 2 diabetes. The average age of the subjects was 42.76 ± 11.30 years. Multivariate analysis showed inadequate dietary intake score, low physical activity and tobacco use as behavioral factors significantly associated with high waist circumference, high blood sugar, low HDL cholesterol, high triglyceride levels and high body fat percentage. <strong>Conclusion:</strong> There is a possible association between biological and behavioral risk factors.
基金China Postdoctoral Science Foundation(Grant No.2021M703366)the Shenzhen Science and Technology Program(Grant No.KQTD20190929172835662)athe Strategic Priority Research Program of Chinese Academy of Sciences(Grant No.XDB38040200).The funders had no role in the study design,data analysis,interpretation of data,or preparation of the manuscript.
文摘Background The potential modifiable factors influencing irritable bowel syndrome(IBS)have not been thoroughly documented.We aimed to systematically investigate the modifiable factors associated with IBS,while accounting for the impact of unobserved confounders and coexisting disorders.Methods Genetic correlation and Mendelian randomisation(MR)analyses were integrated to identify potential modifiable factors and coexisting disorders linked to IBS.Subsequently,multiresponse MR(MR2)was employed to further examine these associations.Summary-level genome-wide association data were used.Modifiable factors and coexisting disorders(ie,gastrointestinal and psychiatric disorders)were identified based on evidence from cohort studies and meta-analysis.In all analyses,IBS was the primary outcome,while in the MR2 analysis,coexisting disorders were also treated as outcomes alongside IBS.Results Most identified modifiable factors and coexisting disorders exhibited genetic correlations with IBS.MR analyses revealed strong causation between IBS and multisite chronic pain(OR=2.20,95%CI 1.82 to 2.66),gastro-oesophageal reflux disease(OR=1.31,95%CI 1.23 to 1.39),well-being spectrum(OR=0.17,95%CI 0.13 to 0.21),life satisfaction(OR=0.31,95%CI 0.25 to 0.38),positive affect(OR=0.30,95%CI 0.24 to 0.37),neuroticism score(OR=1.20,95%CI 1.16 to 1.25)and depression(OR=1.50,95%CI 1.37 to 1.66).Additionally,smoking,alcohol frequency,college or university degree,intelligence,childhood maltreatment,frailty index,diverticular disease of the intestine and schizophrenia were suggestively associated with IBS.Robust associations were found between multisite chronic pain and both IBS and coexisting disorders.Conclusions Our study identified a comprehensive array of potential modifiable factors and coexisting disorders associated with IBS,supported by genetic evidence,including genetic correlation and multiple MR analyses.The presence of multisite chronic pain may offer a promising avenue for the concurrent prevention of IBS and its coexisting disorders.
基金The National Health and Medical Research Council(NHMRC)Special Initiative in Human Health and Environmental Change(Grant No.2008937).
文摘Accurate identification of spatial patterns and risk factors of disease occurrence is crucial for public health interventions.However,the Modifiable Areal Unit Problem(MAUP)poses challenges in disease modelling by impacting the reliability of statistical inferences drawn from spatially aggregated data.This study examines the effect of MAUP on ecological model inference using locally and overseas-acquired COVID-19 case data from 2020 to 2023 in Queensland,Australia.Bayesian spatial Besag-York-Mollié(BYM)models were applied across four Statistical Area(SA)levels,as defined by the Australian Statistical Geography Standard,with and without covariates:Socio-Economic Indexes for Areas(SEIFA)and overseas-acquired(OA)COVID-19 cases.OA COVID-19 cases were also considered a response variable in our study.Results indicated that finer spatial scales(SA1 and SA2)captured localized patterns and significant spatial autocorrelation,while coarser levels(SA3 and SA4)smoothed spatial variability,masking potential outbreak clusters.Incorporating SEIFA as a covariate in locally-acquired(LA)cases reduced spatial autocorrelation in residuals,effectively capturing socioeconomic disparities.Conversely,OA cases showed limited effectiveness in reducing autocorrelation at finer scales.For LA cases,higher socioeconomic disadvantage was associated with increased COVID-19 incidence at finer scales,but this association became non-significant at coarser scales.OA cases showed significant positive association with higher SEIFA scores at finer scales.Model parameters displayed narrower credible intervals at finer scales,indicating greater precision,while coarser levels had increased uncertainty.SA2 emerged as an arguably optimal scale,striking a balance between spatial resolution,model stability,and interpretability.To improve inference on COVID-19 incidence,it is recommended to use data from both SA1 and SA2 levels to leverage their respective strengths.The findings emphasize the importance of selecting appropriate spatial scales and covariates or evaluating the inferential impacts of multiple scales,to address MAUP to facilitate more reliable spatial analysis.The study advocates exploring intermediate aggregation levels and multi-scale approaches to better capture nuanced disease dynamics and extend these analyses across Australia and replicating in other countries with low population densities to enhance generalizability.
基金supported by the National Natural Science Foundation of China(grant number:82404340)the CAMS Innovation Fund for Medical Science(grant number:2021-I2M-1–067)+1 种基金the Zhejiang Provincial Natural Science Foundation of China(grant number:LTGY23H260004)the Beijing Natural Science Foundation(grant number:Z240004).
文摘Objectives Primary prevention targeting modifiable risk factors would reduce the global burden of colorectal cancer,but the quantitative results are uncertain.We aimed to assess the global burden of colorectal cancer attributed to modifiable lifestyle factors and quantify the potential increase in life expectancy resulting from the elimination of these risk factors.Methods Based on the Global Burden of Disease Study 2021,we examined colorectal cancer deaths and disability-adjusted life years attributed to modifiable risk factors(including smoking,diet low in whole grains,diet low in milk,diet high in red meat,diet low in calcium,diet high in processed meat,and diet low in fiber)at the global,regional,and national levels from 1990 to 2021.The abridged period life table method was utilized to quantify the potential gain in life expectancy from eliminating these risk factors.Results Globally in 2021,57.1%of colorectal cancer deaths and 56.4%of disability-adjusted life years were preventable,with rates of 7.55(4.94–9.64)and 174.67(114.54–222.24)per 100,000 population,respectively.The modifiable burden has diminished in the high,high-middle,and low socio-demographic index quintiles and remained steady in the middle one.However,there is a concerning increase in the low-middle one.In 2021,the elimination of global colorectal cancer attributed to modifiable factors would increase the life expectancy for males and females by 0.107 and 0.109 years,respectively.Conclusion Our results quantitatively demonstrate the substantial burden reduction in colorectal cancer and the significant gain in life expectancy that can be achieved by eliminating modifiable lifestyle factors.
文摘Objective:To study the clinical profiles of children with febrile seizures,comparing those with single episodes to recurrent cases,and identify predictors of recurrence.In addition,to develop a scoring system to predict recurrence after the first febrile seizure,and identify modifiable risk factors to mitigate recurrence risks.Methods:This cross-sectional study included children aged 6 months to 5 years with typical febrile seizures,seen as inpatients or outpatients of the Department of Pediatrics at a tertiary care teaching hospital.Data were collected via parent interviews,physical exams,and laboratory tests.The questionnaire covered demographics,antenatal,natal,and postnatal events,seizure history,family history,immunization,daycare attendance,and fever management.Clinical evaluations ruled out central nervous system infections and fever causes were diagnosed per ICD-10 at discharge.Laboratory tests assessed anemia,dyselectrolytemia,and hypoglycemia.Data were analyzed in SPSS Version 25 using descriptive statistics,t-tests,Chi-square tests,and odds ratios with 95%confidence intervals(CI),with significance set at P<0.05.Results:451 children were included in this study.Low birth weight(OR=2.60,95%CI=1.12-6.33,P=0.026),age at first episode>12 months(OR=0.28,95%CI=0.16-0.48,P0.001),family history of febrile seizure(OR=5.21,95%CI=2.92-9.28,P<0.001),no intermittent prophylaxis(OR=15.25,95%CI=7.05-32.90,P<0.001),treatment for fever(OR=0.26,95%CI=0.13-0.51)and low socioeconomic status(OR=5.87,95%CI=3.32-10.38)were significantly associated with recurrent febrile seizures.Conclusions:Low birth weight,age at first episode≤12 months,family history of febrile seizure,no intermittent prophylaxis,inadequate treatment for fever and low socioeconomic status were significant risk factors for having recurrent febrile seizures in children aged from 6 months to 5 years.
基金Supported by the National Natural Science Foundation of China,No.72174061 and No.71704053China Scholarship Council Foundation,No.202308330251Health Science and Technology Project of Zhejiang Provincial Health Commission,No.2022KY370 and No.2023KY1186.
文摘BACKGROUND Motoric cognitive risk(MCR)syndrome represents an“ultra-early”stage of dementia prevention,highlighting the need for effective screening tools.AIM To develop and validate a novel tool for MCR identification,comparing its effectiveness with existing methods.METHODS As part of a community study on healthy aging,a cross-sectional study recruited 1189 Chinese participants aged 50 years and older between May 1,2022,and March 15,2023.The cohort was randomly split into training(70%)and testing(30%)datasets.Relevant features were selected for logistic regression(LR)and decision tree(DT)models using the training dataset,and their performance was subsequently assessed using the testing dataset to validate reliability and generalizability.RESULTS The prevalence of MCR was 13.12%among 1189 participants.DT models had the area under the curves(AUCs)of 0.834 and 0.821 for training and testing datasets,respectively,while LR models indicated AUCs of 0.840 and 0.859.Non-inferiority tests confirmed the DT model’s comparable effectiveness to the LR models in predicting MCR.Both models demonstrated good calibration and clinical utility.Seven modifiable risk factors were identified:Age,education level,social engagement,physical activity,nutritional status,depressive symptoms,and purpose in life.Notably,social engagement emerged as a novel factor compared to those previously identified.Both models are integrated into an easy-to-use,interpretable web-based user interface.CONCLUSION The interactive,web-based user interface of both models effectively identifies MCR,with the DT model recommended for its simplicity and interpretability,supporting community nurses and clinicians in triaging MCR.
基金the Experimental Technology Research Project of Zhejiang University(SYB202138)National Natural Science Foundation of China(32000195)。
文摘With the approval of more and more genetically modified(GM)crops in our country,GM safety management has become more important.Transgenic detection is a major approach for transgenic safety management.Nevertheless,a convenient and visual technique with low equipment requirements and high sensitivity for the field detection of GM plants is still lacking.On the basis of the existing recombinase polymerase amplification(RPA)technique,we developed a multiplex RPA(multi-RPA)method that can simultaneously detect three transgenic elements,including the cauliflower mosaic virus 35S gene(CaMV35S)promoter,neomycin phosphotransferaseⅡgene(NptⅡ)and hygromycin B phosphotransferase gene(Hyg),thus improving the detection rate.Moreover,we coupled this multi-RPA technique with the CRISPR/Cas12a reporter system,which enabled the detection results to be clearly observed by naked eyes under ultraviolet(UV)light(254 nm;which could be achieved by a portable UV flashlight),therefore establishing a multi-RPA visual detection technique.Compared with the traditional test strip detection method,this multi-RPA-CRISPR/Cas12a technique has the higher specificity,higher sensitivity,wider application range and lower cost.Compared with other polymerase chain reaction(PCR)techniques,it also has the advantages of low equipment requirements and visualization,making it a potentially feasible method for the field detection of GM plants.
基金Natural Science Foundation of China (No. 71371192)the Research Fund for Fok Ying Tong Education Foundation of Hong Kong (No. 142005)Science Fund for Outstanding Young Scholars of Hunan Province (No. 2015JJ1017)
文摘This study fully addressed the modifiable areal unit problem （MAUP） that was well-known in geography but generally ignored by safety analysis. The basic issue of MAUP was introduced firstly with a case study to explicitly demonstrate the existence of the problem in macro level crash modeling, and then four potential strategies, i.e., using disaggregate data as possible, capturing spatial non-stationarity, designing optimal zoning systems, conducting sensitivity analysis to report the scope and magnitude of MAUP, were proposed and illustrated in an integrated way, followed by the future research directions. Results revealed that more efforts are desired to calibrate the state-of-art modeling technique at various levels of aggregation based on spatial homogeneity in traffic safety, transport characteristics, and demographical factors. The awareness of this problem in traffic safety domain is expected to the delineation of basic spatial units （e.g. the traffic safety analysis zones）, as well as to provide new insights into the nature of MAUP in statistics and geography.
基金supported by Fundamental Research Funds for the Central Universities(300102214908)Innovation Capability Support Program of Shaanxi(2022TD-07).
文摘To reduce the temperature diseases of asphalt pavement,improve the service quality of road and extend service life,the research of inorganic powders that reduce the temperature of asphalt pavements was systematically sorted out.The common types,physicochemical properties and application methods of inorganic powders were defined.The road performances of modified asphalt and its mixture were evaluated.The modification mechanism of inorganic powders in asphalt was analyzed.On this basis,the cooling effect and cooling mechanism of inorganic powders was revealed.The results indicate that inorganic powders are classified into hollow,porous,and energy conversion types.The high-temperature performance of inorganic powders modified asphalt and its mixture is significantly improved,while there is no significant change in low-temperature performance and water stability.The average increase in rutting resistance factor(G*/sin(δ))and dynamic stability is 40%–72%and 30%–50%,respectively.The modification mechanism of inorganic powders in asphalt is physical blending.The thermal conductivity of hollow and porous inorganic powders modified asphalt mixture decreases by 30.05%and 43.14%,respectively.The temperature of hollow,porous and energy conversion inorganic powders modified asphalt mixture at 5 cm decreases by 2.3 ℃–3.5 ℃,0.8 ℃–3.7 ℃and 4.1 ℃–4.7℃,respectively.Hollow and porous inorganic powders block heat conduction,while energy conversion inorganic powders achieve cooling through their functional properties.
基金Supported by the Universities Key Laboratory of System Modeling and Data Mining in Guizhou Province(Grant No.2023013)the National Natural Science Foundation of China(Grant No.12161013)the Science and Technology Program of Guizhou Province(Grant No.ZK[2023]025)。
文摘Semenov-Tian-Shansky has given the solution of the modified classical Yang-Baxter equation, which was called the modified r-matrix. Relevant studies have been extensive in recent times. In this paper, we introduce the concept and representations of modified RotaBaxter Hom-Lie algebras. We develop a cohomology of modified Rota-Baxter Hom-Lie algebras with coefficients in a suitable representation. As applications, we study formal deformations and abelian extensions of modified Rota-Baxter Hom-Lie algebras in terms of second cohomology groups.
基金financially supported by the National Natural Science Foundation of China(52172245)the Key Scientific and Technological Innovation Project of Shandong(2023CXGC010302)the Qingdao Flexible Materials Precision Die-cutting Technology Innovation Center。
文摘In lithium-sulfur batteries(LSBs),the limited utilization of sulfur and the sluggish kinetics of redox reaction significantly hinder their electrochemical performance,especially under high rates and high sulfur loadings.Here,we propose a novel separator structure with an interlayer composed of a vermiculite nanosheet combined with Ketjen Black(VMT@KB)for LSBs,facilitating efficient adsorption and rapid catalytic conversion toward lithium polysulfides(LiPSs).The VMT@KB nanosheets with an electrical double-layer structure and electronic conductivity are obtained through a high-temperature peeling process and Li^(+)exchange treatment in LiCl solution,followed by a mechanical combination process with KB.The results demonstrate that incorporating VMT@KB as an interlayer on a conventional separator enhances the conductivity and limits the LiPSs in the cathode region.The Li-S cell with VMT@KB interlayer shows satisfactory cycle and rate performance,especially in high sulfur loading.It exhibits a remarkable initial discharge capacity of 1225 mAh g^(-1)at 0.5 C and maintains a capacity of 816 mAh g^(-1)after 500 cycles.Besides,the discharge capacity remains 462 mAh g^(-1)even at 6 C.Moreover,the cell with high sulfur loading(8.2 mg cm^(-2))enables stable cycling for 100 cycles at 0.1 C with a discharge capacity of over1000 mAh g^(-1).
基金supported by the National Natural Science Foundation of China(Nos.41975044,42371354,41801021,42101385)Open Fund of Hubei Luojia Laboratory(No.2201000043)the Fundamental Research Funds for National Universities,China University of Geosciences,Wuhan。
文摘As a crucial human activity,dam construction can profoundly impact the surface hydrology patterns.The Three Gorges Reservoir(TGR),as one of the largest hydraulic engineering projects in the world,has gained continuous attention for its eco-hydrological effects.However,further investigation is necessary to understand the runoff and social impacts of the TGR on the Upper Yangtze River.This study first employed a modified SWAT model to simulate runoff,compared scenarios with and without the TGR,and finally evaluated water supply and demand in the Upper Yangtze River.The results showed a significant increasing trend in the surface water area of the Upper Yangtze River from 2000-2020.The modified SWAT model performs well in simulating the runoff,with Nash-Sutcliffe Efficiency and Percent Bias improved by 0.04-0.30 and 2-31.90,respectively.Scenario simulation results revealed that the TGR reduced seasonal differences in runoff.During the flood season,the runoff volume at the Yichang Station in the scenario with the TGR is lower than in the scenario without the TGR,peaking at 4500 m3/s.Conversely,in the dry season,the runoff volume of the scenario with TGR is higher,with a maximum increase of 1500 m3/s.The region exhibiting the greatest runoff variations is the Yangtze River's main stem in the Three Gorges Reservoir region.Besides,the TGR notably alleviated the water supply-demand imbalance in Chongqing during the winter and spring seasons,with a maximum increase of 0.16 in the supplydemand index.This study can contribute significantly to understanding the natural and social impacts of the TGR from the perspective of hydrological and scenario simulation.
文摘Spinal cord injury and treatment opportunities:The adult mammalian spinal cord has a very limited capacity for spontaneous regeneration due to various intrinsic molecular and cellular factors.Although the spinal cord neurons have the capacity to regenerate their axons,the expression of growth inhibitory factors,lack or suppression of proper guidance cues,and profound inflammatory responses do not permit successful regeneration(Khyeam et al.,2021).
基金supported in part by the National Natural Science Foundation of China(62173051)the Fundamental Research Funds for the Central Universities(2024CDJCGJ012,2023CDJXY-010)+1 种基金the Chongqing Technology Innovation and Application Development Special Key Project(CSTB2022TIADCUX0015,CSTB2022TIAD-KPX0162)the China Postdoctoral Science Foundation(2024M763865)
文摘Dear Editor,This letter addresses the impulse game problem for a general scope of deterministic,multi-player,nonzero-sum differential games wherein all participants adopt impulse controls.Our objective is to formulate this impulse game problem with the modified objective function including interaction costs among the players in a discontinuous fashion,and subsequently,to derive a verification theorem for identifying the feedback Nash equilibrium strategy.
文摘Use of immunomodulating agents to prevent the progression of autoimmuneβ-cell damage leading to type 1 diabetes mellitus(T1DM)is an interesting area for research.These include non-specific anti-inflammatory agents,immunologic vaccination and anti-inflammatory agents targeting specific immune cells or cytokines.Teplizumab is an anti-CD3-molecule that binds to and leads to the disappearance of the CD3/TCR complex and rendering the T cell anergic to its target antigen.Preclinical and clinical trials have demonstrated its efficacy in reducing the decline in serum C-peptide levels and the need for insulin therapy if used early in the disease process of T1DM.The benefits have been apparent as early as six months to as long as seven years after therapy.It has recently been approved by the Food and Drug Administration to delay the onset of clinical(stage 3)type 1 diabetes in children above 8 years of age.In their recent metaanalysis published in the World Journal of Diabetes,Ma et al found that those in the teplizumab treatment group have a greater likelihood of reduction in insulin use,change in C-peptide response,and better glycemic control compared to the control group with a good safety profile.However,all the included randomized control trials have been conducted in high-income countries.High cost of therapy and unknown utility of the molecule in stage 3 disease limit its widespread use.
