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
Hepatocellular carcinoma(HCC)is the most common type of primary liver cancer.However,no previous studies systematically provided global HCC burden and population attributable fractions(PAFs)of major risk factors for H...Hepatocellular carcinoma(HCC)is the most common type of primary liver cancer.However,no previous studies systematically provided global HCC burden and population attributable fractions(PAFs)of major risk factors for HCC at the global,regional,subregional,and national levels.We conducted a population-based study to assess the global burden of HCC and the contribution of nine modifiable risk factors.We used data from GLOBOCAN 2022,CI5,GBD 2021,and other large-scale data sources.We categorized nine major modifiable risk factors as infections(hepatitis B or C virus[HBV,HCV],or C.sinensis),metabolic factors(obesity,type 2 diabetes mellitus,and metabolic dysfunction-associated steatotic liver disease[MASLD]),and behavioral/toxic factors(high alcohol use,smoking,and aflatoxin B1).In 2022,globally,there were 684,659 new HCC cases and 597,434 deaths,with the highest age-standardized rates observed in Eastern Asia and Northern Africa.An estimated 78.4%(536,571/684,659)of global HCC cases were attributable to the evaluated risk factors,with 82.5%in Asia and 60.4%in America.Infections contributed most worldwide(65.9%),followed by behavioral/toxic risk factors(22.4%)and metabolic factors(19.7%).Region-specific predominant risk factors included HBV in Eastern Asia(72.5%),HCV in Northern Africa(43.9%),smoking in Northern America(24.5%),and high alcohol use in Western Europe(24.9%).Between 1990 and 2022,infection and behavioral/toxic factors declined globally,whereas metabolic factors steadily increased.The substantial variations in HCC burden and PAF across regions highlight the importance of tailored,region-specific preventive interventions to address the varying modifiable 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
Children often present to pediatric and primary care settings with nonspecific complaints,such as persistent tiredness,low energy,or general malaise.These symptoms are commonly attributed to psychological stressors,ir...Children often present to pediatric and primary care settings with nonspecific complaints,such as persistent tiredness,low energy,or general malaise.These symptoms are commonly attributed to psychological stressors,irregular sleep patterns,or behavioral concerns.However,an emerging body of literature suggests that nutritional factors—particularly vitamin D insufficiency—may represent an underrecognized but reversible cause of fatigue in this group.Vitamin D deficiency is prevalent worldwide,especially among children with limited sun exposure or dietary intake.Despite being largely preventable,hypovitaminosis D often goes unrecognized,especially in children living in high-latitude regions or those whose sun exposure is restricted by lifestyle,clothing,or skin pigmentation.In children with unexplained fatigue,clinicians may miss an opportunity to diagnose and address vitamin D deficiency,thereby improving quality of life through simple intervention.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
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
Oral immunization is an alternative or supplementary approach that can significantly improve dog vaccination coverage,especially for free-roaming dogs.Safe and effective oral rabies vaccines for dogs are still being s...Oral immunization is an alternative or supplementary approach that can significantly improve dog vaccination coverage,especially for free-roaming dogs.Safe and effective oral rabies vaccines for dogs are still being sought.In our previous studies,we generated a genetically modified rabies virus(RABV) ERA strain,rERAG_(333E),containing a mutation from arginine(Arg,R) to glutamic acid(Glu,E) at residue 333 of the G protein(G_(333E)).Our previous results demonstrated that rERAG_(333E) was safe for adult mice and dogs,and oral vaccination with rERAG_(333E) induced a strong and long-lasting protective immune response in dogs.Here,we further investigated the safety and immunogenicity of rERAG_(333E) in nontarget species,including suckling mice,rhesus monkeys,foxes,raccoon dogs,piglets,goats,and sheep.Suckling mice studies demonstrated that the G_(333E) mutation significantly reduced the virulence of the ERA strain.All of the suckling mice aged 10 days and above survived and showed no apparent signs of disease after intracerebral inoculation with rERAG_(333E).Animal studies demonstrated that rERAG_(333E) was safe in rhesus monkeys,foxes,raccoon dogs,piglets,goats,and sheep.None of those animals inoculated orally with 10 times the intended field dose of rERAG_(333E) showed abnormal clinical signs before and after the booster immunization with Rabvac 3,an inactivated rabies vaccine.Meanwhile,oral inoculation with rERAG_(333E) induced strong neutralizing antibody(NA) responses to RABV in rhesus monkeys,foxes,raccoon dogs,and piglets.These results demonstrated that rERAG_(333E) has the potential to serve as a safe oral rabies vaccine for dogs.展开更多
Owing to their global search capabilities and gradient-free operation,metaheuristic algorithms are widely applied to a wide range of optimization problems.However,their computational demands become prohibitive when ta...Owing to their global search capabilities and gradient-free operation,metaheuristic algorithms are widely applied to a wide range of optimization problems.However,their computational demands become prohibitive when tackling high-dimensional optimization challenges.To effectively address these challenges,this study introduces cooperative metaheuristics integrating dynamic dimension reduction(DR).Building upon particle swarm optimization(PSO)and differential evolution(DE),the proposed cooperative methods C-PSO and C-DE are developed.In the proposed methods,the modified principal components analysis(PCA)is utilized to reduce the dimension of design variables,thereby decreasing computational costs.The dynamic DR strategy implements periodic execution of modified PCA after a fixed number of iterations,resulting in the important dimensions being dynamically identified.Compared with the static one,the dynamic DR strategy can achieve precise identification of important dimensions,thereby enabling accelerated convergence toward optimal solutions.Furthermore,the influence of cumulative contribution rate thresholds on optimization problems with different dimensions is investigated.Metaheuristic algorithms(PSO,DE)and cooperative metaheuristics(C-PSO,C-DE)are examined by 15 benchmark functions and two engineering design problems(speed reducer and composite pressure vessel).Comparative results demonstrate that the cooperative methods achieve significantly superior performance compared to standard methods in both solution accuracy and computational efficiency.Compared to standard metaheuristic algorithms,cooperative metaheuristics achieve a reduction in computational cost of at least 40%.The cooperative metaheuristics can be effectively used to tackle both high-dimensional unconstrained and constrained optimization problems.展开更多
Motor neuron diseases are sporadic or inherited fatal neurodegenerative conditions.They selectively affect the upper and/or lower motor neurons in the brain and spinal cord and feature a slow onset and a subacute cour...Motor neuron diseases are sporadic or inherited fatal neurodegenerative conditions.They selectively affect the upper and/or lower motor neurons in the brain and spinal cord and feature a slow onset and a subacute course contingent upon the site of damage.The main types include amyotrophic lateral sclerosis,progressive muscular atrophy,primary lateral sclerosis,and progressive bulbar palsy,the pathological processes of which are largely identical,with the main disparity lying in the location of the lesions.Amyotrophic lateral sclerosis is the representative condition in this group of diseases,while other types are its variants.Hence,this article mainly focuses on the advancements and challenges in drug research for amyotrophic lateral sclerosis but also briefly addresses several other important degenerative motor neuron diseases.Although the precise pathogenesis remains elusive,recent advancements have shed light on various theories,including gene mutation,excitatory amino acid toxicity,autoimmunology,and neurotrophic factors.The US Food and Drug Administration has approved four drugs for use in delaying the progression of amyotrophic lateral sclerosis:riluzole,edaravone,AMX0035,and tofersen,with the latter being the most recent to receive approval.However,following several phaseⅢtrials that failed to yield favorable outcomes,AMX0035 has been voluntarily withdrawn from both the US and Canadian markets.This article presents a comprehensive summary of drug trials primarily completed between January 1,2023,and June 30,2024,based on data sourced from clinicaltrials.gov.Among these trials,five are currently in phaseⅠ,seventeen are in phaseⅡ,and eleven are undergoing phaseⅢevaluation.Notably,24 clinical trials are now investigating potential disease-modifying therapy drugs,accounting for the majority of the drugs included in this review.Some promising drugs being investigated in preclinical studies,such as ATH-1105,are included in our analysis,and another review in frontiers in gene therapy and immunotherapy has demonstrated their therapeutic potential for motor neuron diseases.This article was written to be an overview of research trends and treatment prospects related to motor neuron disease drugs,with the aim of highlighting the latest potentialities for clinical therapy.展开更多
The inter-related pathological cascades following a traumatic spinal cord injury(tSCI)disrupt multiple cell types and physiological processes.Subsequently,motor and sensory functions are disrupted by breakdowns in cel...The inter-related pathological cascades following a traumatic spinal cord injury(tSCI)disrupt multiple cell types and physiological processes.Subsequently,motor and sensory functions are disrupted by breakdowns in cellular interactions and circuitry.Therapeutic interventions seek to modify some aspects of the injury course to enable the re-establishment of functional circuitry.Interventions often target one cell type(e.g.,promoting neuroprotection or neural regeneration)or one process(e.g.,modulating inflammation,affecting astrocytic,microglial,or macrophage responses.)Many axons in the spinal cord are myelinated,and after injury oligodendrocyte death causes demyelination.Promoting remyelination of spared or new axons to re-establish conduction seems a logical choice as a therapeutic target.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
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
Chemotherapy-induced intestinal mucositis(IM)is a prevalent complication affecting up to 80%of cancer patients undergoing treatment.Current therapies focus on symptomatic relief rather than addressing the underlying m...Chemotherapy-induced intestinal mucositis(IM)is a prevalent complication affecting up to 80%of cancer patients undergoing treatment.Current therapies focus on symptomatic relief rather than addressing the underlying mechanism.Recent advances in integrative medicine highlight the potential of traditional Chinese medicine formulations as alternatives or adjuncts to existing therapies.In this context,this editorial discusses the recent results of a study published by Qiu et al,which investigates the multifaceted potential of modified Pulsatilla decoction(PD),a formulation of PD with licorice(Glycyrrhiza uralensis)and Ejiao(Colla corii asini),on 5-fluorouracil-induced IM in mice to alleviate clinical symptoms including diarrhea,weight loss,and intestinal damage.A series of histological,biochemical,bioinformatic,and microbiological assays evaluated body weight,diarrhea scores,inflammatory cytokine profiles,oxidative stress modulation,and microbiota composition.The findings indicated a reduction in diarrhea and oxidative stress,as well as an improvement in body weight and intestinal histopathology.Furthermore,the modified PD suppressed the TLR4/MyD88/nuclear factor kappa-B inflammatory pathway and down-regulated key proinflammatory cytokines.Moreover,the study underscores the role of gut microbiota in IM pathogenesis.Modified PD treatment reshaped microbial diversity by promoting beneficial genera such as Bacteroides acidifaciens while suppressing pathogenic species like Salmonella.These findings suggest that the therapeutic effects of the modified PD extend beyond inflammation modulation to encompass microbiome reprogramming and mucosal barrier repair.Although the study provides significant insights,several limitations still prevail.The broader implications of modified PD in gastrointestinal disorders and integrative oncology need further exploration.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supported by the National Natural Science Foundation of China(82473715)Noncommunicable Chronic DiseaseNational Science and Technology Major Project(2024ZD0525401 and 2023ZD0500100)3-year public health program of Shanghai Municipal Health Commission(GWVI-11.1-10).
文摘Hepatocellular carcinoma(HCC)is the most common type of primary liver cancer.However,no previous studies systematically provided global HCC burden and population attributable fractions(PAFs)of major risk factors for HCC at the global,regional,subregional,and national levels.We conducted a population-based study to assess the global burden of HCC and the contribution of nine modifiable risk factors.We used data from GLOBOCAN 2022,CI5,GBD 2021,and other large-scale data sources.We categorized nine major modifiable risk factors as infections(hepatitis B or C virus[HBV,HCV],or C.sinensis),metabolic factors(obesity,type 2 diabetes mellitus,and metabolic dysfunction-associated steatotic liver disease[MASLD]),and behavioral/toxic factors(high alcohol use,smoking,and aflatoxin B1).In 2022,globally,there were 684,659 new HCC cases and 597,434 deaths,with the highest age-standardized rates observed in Eastern Asia and Northern Africa.An estimated 78.4%(536,571/684,659)of global HCC cases were attributable to the evaluated risk factors,with 82.5%in Asia and 60.4%in America.Infections contributed most worldwide(65.9%),followed by behavioral/toxic risk factors(22.4%)and metabolic factors(19.7%).Region-specific predominant risk factors included HBV in Eastern Asia(72.5%),HCV in Northern Africa(43.9%),smoking in Northern America(24.5%),and high alcohol use in Western Europe(24.9%).Between 1990 and 2022,infection and behavioral/toxic factors declined globally,whereas metabolic factors steadily increased.The substantial variations in HCC burden and PAF across regions highlight the importance of tailored,region-specific preventive interventions to address the varying modifiable 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.
文摘Children often present to pediatric and primary care settings with nonspecific complaints,such as persistent tiredness,low energy,or general malaise.These symptoms are commonly attributed to psychological stressors,irregular sleep patterns,or behavioral concerns.However,an emerging body of literature suggests that nutritional factors—particularly vitamin D insufficiency—may represent an underrecognized but reversible cause of fatigue in this group.Vitamin D deficiency is prevalent worldwide,especially among children with limited sun exposure or dietary intake.Despite being largely preventable,hypovitaminosis D often goes unrecognized,especially in children living in high-latitude regions or those whose sun exposure is restricted by lifestyle,clothing,or skin pigmentation.In children with unexplained fatigue,clinicians may miss an opportunity to diagnose and address vitamin D deficiency,thereby improving quality of life through simple intervention.
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 the Natural Science Foundation of Heilongjiang Province,China (YQ2022C040)。
文摘Oral immunization is an alternative or supplementary approach that can significantly improve dog vaccination coverage,especially for free-roaming dogs.Safe and effective oral rabies vaccines for dogs are still being sought.In our previous studies,we generated a genetically modified rabies virus(RABV) ERA strain,rERAG_(333E),containing a mutation from arginine(Arg,R) to glutamic acid(Glu,E) at residue 333 of the G protein(G_(333E)).Our previous results demonstrated that rERAG_(333E) was safe for adult mice and dogs,and oral vaccination with rERAG_(333E) induced a strong and long-lasting protective immune response in dogs.Here,we further investigated the safety and immunogenicity of rERAG_(333E) in nontarget species,including suckling mice,rhesus monkeys,foxes,raccoon dogs,piglets,goats,and sheep.Suckling mice studies demonstrated that the G_(333E) mutation significantly reduced the virulence of the ERA strain.All of the suckling mice aged 10 days and above survived and showed no apparent signs of disease after intracerebral inoculation with rERAG_(333E).Animal studies demonstrated that rERAG_(333E) was safe in rhesus monkeys,foxes,raccoon dogs,piglets,goats,and sheep.None of those animals inoculated orally with 10 times the intended field dose of rERAG_(333E) showed abnormal clinical signs before and after the booster immunization with Rabvac 3,an inactivated rabies vaccine.Meanwhile,oral inoculation with rERAG_(333E) induced strong neutralizing antibody(NA) responses to RABV in rhesus monkeys,foxes,raccoon dogs,and piglets.These results demonstrated that rERAG_(333E) has the potential to serve as a safe oral rabies vaccine for dogs.
基金funded by National Natural Science Foundation of China(Nos.12402142,11832013 and 11572134)Natural Science Foundation of Hubei Province(No.2024AFB235)+1 种基金Hubei Provincial Department of Education Science and Technology Research Project(No.Q20221714)the Opening Foundation of Hubei Key Laboratory of Digital Textile Equipment(Nos.DTL2023019 and DTL2022012).
文摘Owing to their global search capabilities and gradient-free operation,metaheuristic algorithms are widely applied to a wide range of optimization problems.However,their computational demands become prohibitive when tackling high-dimensional optimization challenges.To effectively address these challenges,this study introduces cooperative metaheuristics integrating dynamic dimension reduction(DR).Building upon particle swarm optimization(PSO)and differential evolution(DE),the proposed cooperative methods C-PSO and C-DE are developed.In the proposed methods,the modified principal components analysis(PCA)is utilized to reduce the dimension of design variables,thereby decreasing computational costs.The dynamic DR strategy implements periodic execution of modified PCA after a fixed number of iterations,resulting in the important dimensions being dynamically identified.Compared with the static one,the dynamic DR strategy can achieve precise identification of important dimensions,thereby enabling accelerated convergence toward optimal solutions.Furthermore,the influence of cumulative contribution rate thresholds on optimization problems with different dimensions is investigated.Metaheuristic algorithms(PSO,DE)and cooperative metaheuristics(C-PSO,C-DE)are examined by 15 benchmark functions and two engineering design problems(speed reducer and composite pressure vessel).Comparative results demonstrate that the cooperative methods achieve significantly superior performance compared to standard methods in both solution accuracy and computational efficiency.Compared to standard metaheuristic algorithms,cooperative metaheuristics achieve a reduction in computational cost of at least 40%.The cooperative metaheuristics can be effectively used to tackle both high-dimensional unconstrained and constrained optimization problems.
基金supported by the National Key Research and Development Program of China,No.2022YFC2703101(to YC)the National Natural Science Fundation of China,No.82371422(to YC)+1 种基金the National Innovation and Entrepreneurship Training Program for College Students,No.202310611408(to XW)the 1·3·5 Project for Disciplines of Excellence Clinical Research Fund,West China Hospital,Sichuan University,No.2023HXFH032(to YC)。
文摘Motor neuron diseases are sporadic or inherited fatal neurodegenerative conditions.They selectively affect the upper and/or lower motor neurons in the brain and spinal cord and feature a slow onset and a subacute course contingent upon the site of damage.The main types include amyotrophic lateral sclerosis,progressive muscular atrophy,primary lateral sclerosis,and progressive bulbar palsy,the pathological processes of which are largely identical,with the main disparity lying in the location of the lesions.Amyotrophic lateral sclerosis is the representative condition in this group of diseases,while other types are its variants.Hence,this article mainly focuses on the advancements and challenges in drug research for amyotrophic lateral sclerosis but also briefly addresses several other important degenerative motor neuron diseases.Although the precise pathogenesis remains elusive,recent advancements have shed light on various theories,including gene mutation,excitatory amino acid toxicity,autoimmunology,and neurotrophic factors.The US Food and Drug Administration has approved four drugs for use in delaying the progression of amyotrophic lateral sclerosis:riluzole,edaravone,AMX0035,and tofersen,with the latter being the most recent to receive approval.However,following several phaseⅢtrials that failed to yield favorable outcomes,AMX0035 has been voluntarily withdrawn from both the US and Canadian markets.This article presents a comprehensive summary of drug trials primarily completed between January 1,2023,and June 30,2024,based on data sourced from clinicaltrials.gov.Among these trials,five are currently in phaseⅠ,seventeen are in phaseⅡ,and eleven are undergoing phaseⅢevaluation.Notably,24 clinical trials are now investigating potential disease-modifying therapy drugs,accounting for the majority of the drugs included in this review.Some promising drugs being investigated in preclinical studies,such as ATH-1105,are included in our analysis,and another review in frontiers in gene therapy and immunotherapy has demonstrated their therapeutic potential for motor neuron diseases.This article was written to be an overview of research trends and treatment prospects related to motor neuron disease drugs,with the aim of highlighting the latest potentialities for clinical therapy.
基金supported by Grant 3195 from Paralyzed Veterans of America Research Foundation (to BRK)
文摘The inter-related pathological cascades following a traumatic spinal cord injury(tSCI)disrupt multiple cell types and physiological processes.Subsequently,motor and sensory functions are disrupted by breakdowns in cellular interactions and circuitry.Therapeutic interventions seek to modify some aspects of the injury course to enable the re-establishment of functional circuitry.Interventions often target one cell type(e.g.,promoting neuroprotection or neural regeneration)or one process(e.g.,modulating inflammation,affecting astrocytic,microglial,or macrophage responses.)Many axons in the spinal cord are myelinated,and after injury oligodendrocyte death causes demyelination.Promoting remyelination of spared or new axons to re-establish conduction seems a logical choice as a therapeutic target.
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Chemotherapy-induced intestinal mucositis(IM)is a prevalent complication affecting up to 80%of cancer patients undergoing treatment.Current therapies focus on symptomatic relief rather than addressing the underlying mechanism.Recent advances in integrative medicine highlight the potential of traditional Chinese medicine formulations as alternatives or adjuncts to existing therapies.In this context,this editorial discusses the recent results of a study published by Qiu et al,which investigates the multifaceted potential of modified Pulsatilla decoction(PD),a formulation of PD with licorice(Glycyrrhiza uralensis)and Ejiao(Colla corii asini),on 5-fluorouracil-induced IM in mice to alleviate clinical symptoms including diarrhea,weight loss,and intestinal damage.A series of histological,biochemical,bioinformatic,and microbiological assays evaluated body weight,diarrhea scores,inflammatory cytokine profiles,oxidative stress modulation,and microbiota composition.The findings indicated a reduction in diarrhea and oxidative stress,as well as an improvement in body weight and intestinal histopathology.Furthermore,the modified PD suppressed the TLR4/MyD88/nuclear factor kappa-B inflammatory pathway and down-regulated key proinflammatory cytokines.Moreover,the study underscores the role of gut microbiota in IM pathogenesis.Modified PD treatment reshaped microbial diversity by promoting beneficial genera such as Bacteroides acidifaciens while suppressing pathogenic species like Salmonella.These findings suggest that the therapeutic effects of the modified PD extend beyond inflammation modulation to encompass microbiome reprogramming and mucosal barrier repair.Although the study provides significant insights,several limitations still prevail.The broader implications of modified PD in gastrointestinal disorders and integrative oncology need further exploration.
