The restrictively preconditioned conjugate gradient （RPCG） method is further developed to solve large sparse system of linear equations of a block two-by-two structure. The basic idea of this new approach is that we...The restrictively preconditioned conjugate gradient （RPCG） method is further developed to solve large sparse system of linear equations of a block two-by-two structure. The basic idea of this new approach is that we apply the RPCG method to the normal-residual equation of the block two-by-two linear system and construct each required approximate matrix by making use of the incomplete orthogonal factorization of the involved matrix blocks. Numerical experiments show that the new method, called the restrictively preconditioned conjugate gradient on normal residual （RPCGNR）, is more robust and effective than either the known RPCG method or the standard conjugate gradient on normal residual （CGNR） method when being used for solving the large sparse saddle point problems.展开更多
Retinal aging has been recognized as a significant risk factor for various retinal disorders,including diabetic retinopathy,age-related macular degeneration,and glaucoma,following a growing understanding of the molecu...Retinal aging has been recognized as a significant risk factor for various retinal disorders,including diabetic retinopathy,age-related macular degeneration,and glaucoma,following a growing understanding of the molecular underpinnings of their development.This comprehensive review explores the mechanisms of retinal aging and investigates potential neuroprotective approaches,focusing on the activation of transcription factor EB.Recent meta-analyses have demonstrated promising outcomes of transcription factor EB-targeted strategies,such as exercise,calorie restriction,rapamycin,and metformin,in patients and animal models of these common retinal diseases.The review critically assesses the role of transcription factor EB in retinal biology during aging,its neuroprotective effects,and its therapeutic potential for retinal disorders.The impact of transcription factor EB on retinal aging is cell-specific,influencing metabolic reprogramming and energy homeostasis in retinal neurons through the regulation of mitochondrial quality control and nutrient-sensing pathways.In vascular endothelial cells,transcription factor EB controls important processes,including endothelial cell proliferation,endothelial tube formation,and nitric oxide levels,thereby influencing the inner blood-retinal barrier,angiogenesis,and retinal microvasculature.Additionally,transcription factor EB affects vascular smooth muscle cells,inhibiting vascular calcification and atherogenesis.In retinal pigment epithelial cells,transcription factor EB modulates functions such as autophagy,lysosomal dynamics,and clearance of the aging pigment lipofuscin,thereby promoting photoreceptor survival and regulating vascular endothelial growth factor A expression involved in neovascularization.These cell-specific functions of transcription factor EB significantly impact retinal aging mechanisms encompassing proteostasis,neuronal synapse plasticity,energy metabolism,microvasculature,and inflammation,ultimately offering protection against retinal aging and diseases.The review emphasizes transcription factor EB as a potential therapeutic target for retinal diseases.Therefore,it is imperative to obtain well-controlled direct experimental evidence to confirm the efficacy of transcription factor EB modulation in retinal diseases while minimizing its risk of adverse effects.展开更多
This article is based on a recent bibliometric analysis of research progress on liver aging.The liver is notable for its extraordinary ability to rejuvenate,thereby safeguarding and maintaining the organism’s integri...This article is based on a recent bibliometric analysis of research progress on liver aging.The liver is notable for its extraordinary ability to rejuvenate,thereby safeguarding and maintaining the organism’s integrity.With advancing age,there is a noteworthy reduction in both the liver’s size and blood circulation.Furthermore,the wide range of physiological alterations driven on by aging may foster the development of illnesses.Previous studies indicate that liver aging is linked to impaired lipid metabolism and abnormal gene expression associated with chronic inflammation.Factors such as mitochondrial dysfunction and telomere shortening accumulate,which may result in increased hepatic steatosis,which impacts liver regeneration,metabolism,and other functions.Knowing the structural and functional changes could help elderly adults delay liver aging.Increasing public awareness of anti-aging interventions is essential.Besides the use of dietary supplements,alterations in lifestyle,including changes in dietary habits and physical exercise routines,are the most efficacious means to decelerate the aging process of the liver.This article highlights recent advances in the mechanism research of liver aging and summarizes the promising intervention options to delay liver aging for preventing related diseases.展开更多
BACKGROUND Anxiety and depression are prevalent among patients with chronic heart failure(CHF)and can adversely contribute to treatment adherence and clinical outcomes.Poor fluid restriction adherence is a widespread ...BACKGROUND Anxiety and depression are prevalent among patients with chronic heart failure(CHF)and can adversely contribute to treatment adherence and clinical outcomes.Poor fluid restriction adherence is a widespread challenge in the management of CHF.To effectively manage disease progression and alleviate symptoms,it is crucial to identify key influencing factors to facilitate the implementation of targeted interventions.AIM To investigate the status of anxiety and depression among patients with CHF and determine the factors contributing to poor fluid restriction adherence.METHODS Three hundred CHF patients seeking medical treatment at The First Hospital of Hunan University of Traditional Chinese Medicine between June 2021 and June 2023 were included in the study.Questionnaires,including the Psychosomatic Symptom Scale,Self-Rating Anxiety Scale,Self-Rating Depression Scale,and Fluid Restriction Adherence Questionnaire were administered to patients.Based on their anxiety and depression scores,patients were categorized into anxiety/depression and non-anxiety/depression groups,as well as fluid restriction adherence and fluid restriction non-adherence groups.General patient data were collected,and univariate and logistic regression analyses were conducted to determine the occurrence of depression and anxiety.Logistic regression analysis was used to identify independent factors influencing fluid restriction adherence.RESULTS Statistically significant differences in age,New York Heart Association(NYHA)grading,marital status,educational attainment,and family support were observed between depressed and non-depressed CHF patients(P<0.05).Age,NYHA grading,marital status,educational attainment,and family support were identified as factors influencing the development of depression.The anxiety and non-anxiety groups differed statistically in terms of gender,age,NYHA grading,smoking history,alcohol consumption history,monthly income,educational attainment,and family support(P<0.05).Gender,smoking,alcohol consumption,monthly income,and educational attainment affected anxiety in these patients.The fluid restriction adherence rate was 28.0%,and thirst sensation,anxiety,and depression were identified as independent influencing factors.CONCLUSION CHF patients are susceptible to anxiety and depression,with multiple associated influencing factors.Moreover,anxiety and depression are independent factors that can influence fluid restriction adherence in these patients.展开更多
Amyotrophic lateral sclerosis is a rare neurodegenerative disease characterized by the involvement of both upper and lower motor neurons.Early bilateral limb involvement significantly affects patients'daily lives ...Amyotrophic lateral sclerosis is a rare neurodegenerative disease characterized by the involvement of both upper and lower motor neurons.Early bilateral limb involvement significantly affects patients'daily lives and may lead them to be confined to bed.However,the effect of upper and lower motor neuron impairment and other risk factors on bilateral limb involvement is unclear.To address this issue,we retrospectively collected data from 586 amyotrophic lateral sclerosis patients with limb onset diagnosed at Peking University Third Hospital between January 2020 and May 2022.A univariate analysis revealed no significant differences in the time intervals of spread in different directions between individuals with upper motor neuron-dominant amyotrophic lateral sclerosis and those with classic amyotrophic lateral sclerosis.We used causal directed acyclic graphs for risk factor determination and Cox proportional hazards models to investigate the association between the duration of bilateral limb involvement and clinical baseline characteristics in amyotrophic lateral sclerosis patients.Multiple factor analyses revealed that higher upper motor neuron scores(hazard ratio[HR]=1.05,95%confidence interval[CI]=1.01–1.09,P=0.018),onset in the left limb(HR=0.72,95%CI=0.58–0.89,P=0.002),and a horizontal pattern of progression(HR=0.46,95%CI=0.37–0.58,P<0.001)were risk factors for a shorter interval until bilateral limb involvement.The results demonstrated that a greater degree of upper motor neuron involvement might cause contralateral limb involvement to progress more quickly in limb-onset amyotrophic lateral sclerosis patients.These findings may improve the management of amyotrophic lateral sclerosis patients with limb onset and the prediction of patient prognosis.展开更多
BACKGROUND Silver-Russell syndrome(SRS)is a clinically heterogeneous entity characterized by intrauterine and postnatal growth restriction,relative macrocephaly at birth,distinct facial features,and body asymmetry com...BACKGROUND Silver-Russell syndrome(SRS)is a clinically heterogeneous entity characterized by intrauterine and postnatal growth restriction,relative macrocephaly at birth,distinct facial features,and body asymmetry combined with other malformations.CASE SUMMARY Herein,we describe four individuals with SRS,focusing on their prenatal phenotype,postnatal presentation,diagnosis,and management.All cases had a typical phenotype,including postnatal growth failure,short stature(chronic malnutrition),and protruding forehead.Individually,they presented with feeding difficulties,leg length discrepancy,triangular face,or relative macrocephaly at birth,and each one exhibited distinct SRS features,including motor and/or speech delay,experiencing frequent hypoglycemic episodes.The fact that each patient exhibited a different combination of clinical findings underlines the heterogeneity of the syndrome.CONCLUSION SRS is diagnosed clinically.However,only 60%of cases are genetically confirmed,while most are sporadic.Although SRS is a well-described syndrome,a delayed diagnosis can have grave consequences on a child’s growth.Recombinant human growth hormone treatment is often initiated shortly after the diagnosis.The follow-up requires a multidisciplinary approach.展开更多
The nutritional status of an individual can significantly influence its life history traits,including development,growth,reproduction,and survival.In the predatory mite Phytoseiulus persimilis Athias-Henriot(Acari:Phy...The nutritional status of an individual can significantly influence its life history traits,including development,growth,reproduction,and survival.In the predatory mite Phytoseiulus persimilis Athias-Henriot(Acari:Phytoseidae),the plasticity of life history traits,such as developmental time and size at maturity,is influenced by the quality and quantity of food.This study aimed to investigate the effects of dietary restriction at different life stages(i.e.,juvenile,early adulthood,and later adulthood)on the lifespan and fecundity of P persimilis.We found that reduced dietary intake during early adulthood resulted in a shorter lifespan for both male and female P persimilis.Furthermore,this study demonstrated a sex-specific response to dietary restriction:it extended the lifespan of males but reduced that of females during later adulthood.Diet restriction during the postovipositional period of females showed the most variable life history trait response.Our results showed that the impact of diet restriction at different life stages can have combined influences on the postovipositional duration of P persimilis,where the individuals receiving diet restriction during immature development and early adulthood had a greater reduction in ovipositional duration as those experiencing diet restriction during late adulthood.In addition,we observed a positive correlation between the lifespan and fecundity of females,with higher prey availability increasing both.The insights obtained from our research contribute to a better understanding of the aging process and dietary requirements of P persimilis,which can facilitate the development of more effective biological control strategies using this predator for spider mites in agriculture.展开更多
Under natural conditions, organisms regularly experience seasonal or unpredictable fluctuations in their diet that may shape the quantity and quality of their reproduction. While these dietary shifts are known to infl...Under natural conditions, organisms regularly experience seasonal or unpredictable fluctuations in their diet that may shape the quantity and quality of their reproduction. While these dietary shifts are known to influence overall reproductive output, their specific effects on the proportional composition of egg components remain unexplored. To partially simulate the natural conditions, we conducted two trials using adult Japanese Quails (Coturnix japonica) to examine how dietary restriction and unpredictable feeding influence the proportional composition of egg components. In the first trial, quails were assigned to one of four treatments: full-fed (control) or restricted feeding at 20% (DR20), 30% (DR30), and 40% (DR40) below daily intake. In the second trial, quails were assigned to one of three treatments: full feeding (control), constant 40% restriction (DR40), or unpredictable feeding schedule (UNPR). Each trial lasted for 14 days, and birds were housed individually. Severe dietary restrictions (DR30, DR40) reduced albumen and shell mass, shell thickness, and egg volume. However, yolk mass, yolk color, egg shape index, and shell density remained unaffected across all dietary levels. Severe restrictions also increased the yolk ratio while reducing the albumen ratio, suggesting that birds may evolutionarily prioritize yolk deposition to sustain reproductive functions. However, reduced albumen content due to maternal nutritional stress may also limit essential nutrients, and disrupt the embryo's osmoregulation, which ultimately affects offspring quality. Reduced shell contents at the severe restriction levels can affect the egg's ability to provide physical protection, regulate gas exchange and control water loss, thereby influencing embryonic development. In contrast, moderate restriction (DR20) and unpredictable feeding (UNPR) had no effect on any of the egg traits. These findings suggest that quails strategically allocate resources among egg components under dietary constraints, indicating potential trade-offs in reproductive investment. The resilience observed under moderate restriction and unpredictability underscores the species' adaptive capacity in fluctuating environments.展开更多
Background: Exercise has positive impacts on metabolic health, whereas sleep loss has potentially negative impacts. This systematic literature review investigates whether acute and short-term exercise interventions ca...Background: Exercise has positive impacts on metabolic health, whereas sleep loss has potentially negative impacts. This systematic literature review investigates whether acute and short-term exercise interventions can mitigate negative effects of experimentally-induced sleep loss on metabolic markers in humans.Methods: A systematic search(PubMed/Medline, Web of Science, Scopus, Embase, SPORTDiscus, and Cochrane) following Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines was conducted up to June 2024 for studies that compared glucose and insulin concentrations, insulin sensitivity, skeletal muscle gene expression, and other molecular markers following an acute or short-term(<14 days) exercise intervention during experimentally-induced sleep loss in adult humans. Articles were considered for inclusion and assessed for eligibility using the Population, Intervention, Comparison, Outcomes, and Study design(PICOS) framework, and critically appraised with the Cochrane Risk of Bias 2.0 tool.Results: Of the identified records, 4026 records were screened, with 12 studies meeting all the inclusion criteria and including 177 participants.Sleep intervention varied from a single night of total sleep deprivation to 5 consecutive nights of 4-h sleep opportunity(e.g., early or late sleep restriction), while exercise intervention varied in terms of model(walking/running, cycling, and resistance exercise), volume(e.g., minute to hour), and intensity(e.g., maximum efforts to low-intensity exercise). Most studies indicated a negative effect of insufficient sleep on glucose and insulin concentration as well as mitochondrial adaptations, whereas exercise had a positive impact, mitigating the negative effects on the aforementioned parameters.Conclusion: Exercise is likely to be effective as a therapeutic intervention for mitigating the negative effects of sleep loss on metabolic markers,at least in short-term intervention studies.展开更多
To evaluate the impact of behavioral restrictions on perinatal care caused by the COVID-19 pandemic, we conducted a questionnaire survey of 1976 medical institutions handling deliveries across Japan. The survey examin...To evaluate the impact of behavioral restrictions on perinatal care caused by the COVID-19 pandemic, we conducted a questionnaire survey of 1976 medical institutions handling deliveries across Japan. The survey examined changes in the number of antenatal checkups due to behavioral restrictions, visit restrictions at medical institutions, and the acceptance of COVID-19-infected pregnant and nursing mothers. An increased burden was observed at delivery hospitals, irrespective of whether they accepted infected pregnant and nursing mothers. Some medical institutions were unable to manage infected pregnant women and transferred them to other facilities, highlighting the need for role-sharing among institutions. The number of antenatal checkups showed a decreasing trend, indicating that the pandemic negatively affected checkup attendance. However, no clear increase in perinatal deaths was observed during the observation period, despite the reduction in the number of checkups.展开更多
Compacted sand-bentonite mixtures are used as waste containment barriers(e.g.landfill liners and bentonite buffers for nuclear waste)to restrict contaminant transport.The potential for enhanced chemical containment of...Compacted sand-bentonite mixtures are used as waste containment barriers(e.g.landfill liners and bentonite buffers for nuclear waste)to restrict contaminant transport.The potential for enhanced chemical containment of compacted sand-bentonite mixtures due to semipermeable membrane behavior has also been demonstrated.However,the extent to which membrane behavior persists in the presence of highly concentrated chemical solutions,which have been shown to degrade membrane behavior in bentonite-based barriers,remains largely unknown.Moreover,the limiting(threshold)salt concentrations at which membrane behavior of compacted sand-bentonite mixtures is effectively destroyed have not been evaluated.Accordingly,this study quantified the limiting membrane behavior of two duplicated specimens of compacted sand-bentonite mixture comprising 15%sodium bentonite(by dry mass)by determining the limiting salt concentrations at which measurable membrane behavior was eliminated.The specimens were exposed to increasingly higher source concentrations,Cot,of boundary monovalent salt solutions(KCl and NaCl)until measured values of the membrane efficiency coefficient,ω,were effectively zero.Overall,ωdecreased from an average of 0.032 to zero as Cot increased from 160 mmol/L KCl to 3.27 mol/L NaCl,resulting in limiting threshold salt concentrations for the two tests between 1.63 mol/L and 3.27 mol/L NaCl,which are significantly higher than those at which measurable membrane behavior has previously been demonstrated.展开更多
Objectives:To investigate the impact of a supervised bloodflow restriction(BFR)training program performed at different times of the morning on body composition and muscle performance in older,inactive adults.Methods:A...Objectives:To investigate the impact of a supervised bloodflow restriction(BFR)training program performed at different times of the morning on body composition and muscle performance in older,inactive adults.Methods:A single-arm intervention of supervised BFR resistance training was performed three times per week for six weeks.Participants(n=24;aged 65+years)were categorized into early morning(n=13;05:00–08:59)or late morning(n=11;09:00–12:00)groups.Primary outcomes were changes in body composition,total work,average peak power,average peak torque,muscle strength,and physical function.Results:Mixed model analysis of variance revealed a significant within-subject effect of time for all strength measures(p ranging from 0.017 to<0.001)and some physical function measures including the 30 s chair stand test,30 s bicep curl test,and grip strength(p ranging from 0.015 to<0.001).No between-group or time by group interaction effect was observed for all outcomes.Conclusions:This study showed that only six weeks of BFR training,performed at different time of the morning,did not enhance muscle mass and performance,but provided similar changes in muscle strength and some physical function tests in older adults.展开更多
Understanding the evolutionary processes that influence the distribution of genetic diversity in natural populations is a key issue in evolutionary biology. Both species' distribution ranges and environmental grad...Understanding the evolutionary processes that influence the distribution of genetic diversity in natural populations is a key issue in evolutionary biology. Both species' distribution ranges and environmental gradients can influence this diversity through mechanisms such as gene flow, selection, and genetic drift. To explore how these forces interact, we assessed neutral and adaptive genetic variation in three widely distributed and two narrowly distributed bird species co-occurring along the Cauca River canyon in Antioquia, Colombia—a region of pronounced environmental heterogeneity. We sampled individuals across eight sites spanning the canyon's gradient and analyzed genetic diversity and structure using microsatellites and toll-like receptors (TLRs), a gene family involved in innate immunity. Widely distributed species consistently exhibited higher genetic diversity at both marker types compared to their narrowly distributed counterparts. Although we did not find a significant relationship between microsatellite heterozygosity and TLR heterozygosity, we evidenced a negative trend for widely distributed species and a positive trend for narrowly distributed species. This result suggests that there is a stronger effect of genetic drift in narrowly distributed species. Our results highlight the role of distribution range in maintaining genetic diversity and suggest that environmental gradients, by interacting with gene flow and selection, may influence patterns of adaptive variation.展开更多
A hybrid Compressed Sensing and Primal-Dual Wavelet(CSP-PDW)technique is proposed for the compression and reconstruction of ECG signals.The compression and reconstruction algorithms are implemented using four key conc...A hybrid Compressed Sensing and Primal-Dual Wavelet(CSP-PDW)technique is proposed for the compression and reconstruction of ECG signals.The compression and reconstruction algorithms are implemented using four key concepts:Sparsifying Basis,Restricted Isometry Principle,Gaussian Random Matrix,and Convex Minimization.In addition to the conventional compression sensing reconstruction approach,wavelet-based processing is employed to enhance reconstruction efficiency.A mathematical model of the proposed algorithm is derived analytically to obtain the essential parameters of compression sensing,including the sparsifying basis,measurement matrix size,and number of iterations required for reconstructing the original signal and determining the type and level of wavelet processing.The low time complexity of the proposed algorithm makes it an ideal candidate for ECG monitoring systems in IoT-based e-healthcare applications.A feature extraction algorithm is also developed to show that the important ECG peaks remain unaltered after reconstruction.The clinical relevance of the reconstructed signal and the efficiency of the developed algorithm are evaluated using four validation parameters at three different compression ratios.展开更多
BACKGROUND Poor musculoskeletal recovery following foot and ankle injury can result in chronic instability and persistent muscle weakness.Preliminary evidence has shown that blood flow restriction(BFR)rehabilitation c...BACKGROUND Poor musculoskeletal recovery following foot and ankle injury can result in chronic instability and persistent muscle weakness.Preliminary evidence has shown that blood flow restriction(BFR)rehabilitation can increase muscle strength and stability,helping to restore physical function and prevent repeated injury.AIM To determine whether BFR is more effective than traditional rehabilitation in improving muscle strength,size,and stability after foot and ankle injury.METHODS A systematic review and meta-analysis were performed.Articles were retrieved from MEDLINE,EMBASE,and CENTRAL databases.Included studies compared the effectiveness of BFR rehabilitation to traditional foot and ankle rehabilitation exercises.Eligible patients were those with a history of foot or ankle injury.Muscle strength,size,and dynamic balance were assessed by comparing impro vements in peak torque,cross-sectional area,and percent muscle activation.Methodological quality assessments were performed using the PEDro scale and Methodological Index for Non-Randomized Studies(MINORS).RESULTS Ten studies met the inclusion criteria.Five studies were of good to excellent quality according to the PEDro scale,and 5 studies were of moderate quality as per the MINORS criteria.Two studies compared the effect of BFR and non-BFR rehabilitation on muscle strength;the overall mean difference between the BRF and non-BFR groups was 0.09[95%CI:(0.05,0.12),P<0.0001].Two studies analyzed muscle activation following BFR and non-BFR rehabilitation;the overall mean difference between the BRF and non-BFR groups was 0.09[95%CI:(0.05,0.12),P<0.0001].Data on dynamic balance was synthesized from two studies;the mean difference between the BFR and control groups was 1.23[95%CI:(-1.55,4.01);P=0.39].CONCLUSION BFR rehabilitation is more effective than non-BFR rehabilitation at improving muscle strength and activation following foot and ankle injury.Additional studies are needed to develop a standardized BFR training protocol.展开更多
BACKGROUND The primary complication associated with gestational diabetes mellitus(GDM)is delivery of an infant that is large for gestational age(LGA).Epidemiological findings have demonstrated that irregular lipid met...BACKGROUND The primary complication associated with gestational diabetes mellitus(GDM)is delivery of an infant that is large for gestational age(LGA).Epidemiological findings have demonstrated that irregular lipid metabolism significantly con-tributes to insulin resistance,a key pathophysiological mechanism in GDM.However,the correlation between various lipid indices and the probability of delivering LGA infants remains inconsistent.AIM To explore the relationships between lipid indices and the possibility of having LGA infants among GDM-affected pregnant females.METHODS Binary logistic regression methods were employed to evaluate the odds ratios and corresponding 95%confidence intervals for LGA according to five lipid indices.Restricted cubic spline models were applied to investigate dose-response relationships.The association between lipid indices and the risk of delivering LGA infants was further investigated among different subgroups.Receiver operating characteristic curves were utilized to assess the diagnostic performance of lipid indices.RESULTS Across crude and adjusted models,females with lipid indices in the upper two tertiles presented a markedly elevated risk of delivering LGA infants compared with the lowest tertile category.Conversely,high-density lipoprotein cholesterol levels demonstrated the contrary trend.Restricted cubic spline analyses revealed linear associations between the five lipid indices,except triglyceride levels,and the prevalence of LGA.The subgroup analysis highlighted that the correlation between lipid indices and the probability of LGA was inconsistent.The five lipid indices presented significant diagnostic efficacy,as indicated by receiver operating characteristic curve areas.CONCLUSION Our research demonstrated that lipid indices were effective predictors of the incidence of LGA infants in GDM-affected pregnancies irrespective of potential confounding factors.展开更多
To enhance the gas-damping effect and improve the bearing performance,a restricted layer is applied on the surface of aerostatic porous bearings.Based on the gas lubrication theory,a mathematical model of an aerostati...To enhance the gas-damping effect and improve the bearing performance,a restricted layer is applied on the surface of aerostatic porous bearings.Based on the gas lubrication theory,a mathematical model of an aerostatic porous bearing with a restricted layer is established,and two proportional coefficients,a permeability ratio δ and a thickness ratioγ,are proposed.Critical values of δ and γ are determined through sensitivity analyses of complex restriction-layer parameters.The static characteristics of aerostatic porous bearings with a restricted layer or an unrestricted layer are comparatively analyzed by using Fluent simulation.The results show that when δ≈0.005 and γ≈0.010,the load capacity and static stiffness of the restricted-layer aerostatic porous bearing are high;compared with the unrestricted-layer aerostatic porous bearing,the restricted-layer aerostatic porous bearing has a lower sensitivity to changes in the air supply area.The existence of the restricted layer not only enhances the throttling effect and reduces the mass flow rate,but also effectively improves the static stiffness of the bearing.展开更多
BACKGROUND Celiac disease(CeD),an autoimmune disorder triggered by gluten ingestion,is characterized by non-specific clinical manifestations such as fatigue,abdominal pain,and nutritional deficiencies,often leading to...BACKGROUND Celiac disease(CeD),an autoimmune disorder triggered by gluten ingestion,is characterized by non-specific clinical manifestations such as fatigue,abdominal pain,and nutritional deficiencies,often leading to substantial diagnostic delays.Prolonged delays(≥2 years from symptom onset)are associated with increased risks of complications like osteoporosis,small intestinal lymphoma,and reduced quality of life.AIM To estimate diagnostic delay prevalence and identify risk factors in Chinese CeD patients.METHODS We reviewed clinical records of 166 patients diagnosed with CeD from 2017 onward.Patient-attributed delays were measured from symptom onset to first consultation,while physician-related delays were measured from initial visit to diagnosis/treatment.Data on demographics,symptoms,time from onset to diagnosis,and laboratory results were analyzed.Logistic regression models were used to identify associations,while restricted cubic splines explored nonlinearities.Mediation analysis assessed the roles of intermediate factors in delayed diagnosis.RESULTS Delayed diagnosis(over 2 years from symptom onset)was observed in 42.2%of patients.Patients with diagnostic delay exceeding 5 years accounted for 18.7%.The mean interval from symptom onset to the first medical visit was 12.32 months,with an average of 20.57 months from the first visit to diagnosis.The time from first consultation to diagnosis significantly increased with prolonged delay(P<0.001).Multivariate analysis showed that blood urea nitrogen(BUN)was an independent risk factor(OR=1.29,95%CI:1.01–1.65,P=0.038).A nonlinear association was observed between BUN and delayed diagnosis,with a threshold of 4.3 mmol/L;the risk significantly increased above this threshold(OR=1.39,P=0.04).Subgroup analyses indicated that the risk effect of BUN was stronger in females,non-classical CeD patients,Kazak ethnic group members,individuals without vitamin D deficiency/anemia,and those with MarshⅢpathology(all P<0.05).Mediation analysis revealed that folic acid deficiency and anemia mediated 11.9%(P=0.028)and 13.0%(P=0.044)of the effect of BUN on diagnostic delay,respectively.CONCLUSION Elevated BUN levels are independent predictors of diagnostic delay in CeD,with heterogeneity observed across gender,disease subtype,ethnicity,and pathological type.Clinicians should prioritize high-risk populations with BUN≥4.3 mmol/L,particularly female patients with non-classical CeD and Kazak individuals,to reduce diagnostic delay.展开更多
Purpose We aimed to determine:(a)the chronic effects of interval training(IT)combined with blood flow restriction(BFR)on physiological adaptations(aerobic/anaerobic capacity and muscle responses)and performance enhanc...Purpose We aimed to determine:(a)the chronic effects of interval training(IT)combined with blood flow restriction(BFR)on physiological adaptations(aerobic/anaerobic capacity and muscle responses)and performance enhancement(endurance and sprints),and(b)the influence of participant characteristics and intervention protocols on these effects.Methods Searches were conducted in PubMed,Web of Science(Core Collection),Cochrane Library(Embase,ClinicalTrials.gov,and International Clinical Trials Registry Platform),and Chinese National Knowledge Infrastructure on April 2,with updates on October 17,2024.Pooled effects for each outcome were summarized using Hedge's g(g)through meta-analysis-based random effects models,and subgroup and regression analyses were used to explore moderators.Results A total of 24 studies with 621 participants were included.IT combined with BFR(IT+BFR)significantly improved maximal oxygen uptake(VO2_(max))(g=0.63,I^(2)=63%),mean power during the Wingate 30-s test(g=0.70,I^(2)=47%),muscle strength(g=0.88,I^(2)=64%),muscle endurance(g=0.43,I^(2)=0%),time to fatigue(g=1.26,I^(2)=86%),and maximal aerobic speed(g=0.74,I^(2)=0%)compared to IT alone.Subgroup analysis indicated that participant characteristics including training status,IT intensity,and IT modes significantly moderated VO2_(max)(subgroup differences:p<0.05).Specifically,IT+BFR showed significantly superior improvements in VO2_(max)compared to IT alone in trained individuals(g=0.76)at supra-maximal intensity(g=1.29)and moderate intensity(g=1.08)as well as in walking(g=1.64)and running(g=0.63)modes.Meta-regression analysis showed cuff width(β=0.14)was significantly associated with VO2_(max)change,identifying 8.23 cm as the minimum threshold required for significant improvement.Subgroup analyses regarding muscle strength did not reveal any significant moderators.Conclusion IT+BFR enhances physiological adaptations and optimizes aspects of endurance performance,with moderators including training status,IT protocol(intensity,mode,and type),and cuff width.This intervention addresses various IT-related challenges and provides tailored protocols and benefits for diverse populations.展开更多
The Late Permian to Early Triassic marked a pivotal phase in paleoenvironmental and tectonic shifts.The Kaijiang-Liangping intracratonic sag,a tectonic geomorphology formed by Emei taphrogenesis in the Sichuan Basin,i...The Late Permian to Early Triassic marked a pivotal phase in paleoenvironmental and tectonic shifts.The Kaijiang-Liangping intracratonic sag,a tectonic geomorphology formed by Emei taphrogenesis in the Sichuan Basin,is situated within a clear water carbonate platform.Under these conditions,the black shales of the Dalong Formation in the sag have ultrahigh organic matter content.However,the mechanism by which these conditions control the accumulation of such organic matter remains unclear.Petrological and geochemical analyses of well DY-1H revealed four distinct units within the Dalong Formation:A,B,C,and D,with average total organic carbon contents of 3.00%,9.59%,4.57%,and 0.27%,respectively.The kerogen maceral,carbon isotope,and pyrolysis results show that the organic matter mainly comprises Type Ⅱ_(2) kerogen.Benthic plants growing in clear water may be the primary source of this kerogen.Shallow water,suboxic conditions,strong volcanism,and high productivity characterize Unit A.Unit B features restricted ocean circulation,anoxic conditions,weak upwelling,moderate volcanism,and high productivity.Unit C is characterized by anoxic conditions,strong upwelling,weak volcanism,and moderate productivity.Oxic conditions and low productivity define Unit D.These findings challenge traditional models that struggle to explain the accumulation of ultrahigh organic matter in Unit A under suboxic conditions,Unit C under moderate productivity,and Unit B with abnormally high organic matter content.The flourishing of benthic plants,a considerable source of Type Ⅱ_(2) kerogen that resists decomposition and favors preservation,is the dominant factor controlling the ultrahigh organic matter accumulation of black shales in Units A,B,and C under clear water conditions.Oxidized bottom waters and decreased benthic plant growth were crucial to the sharp decline in organic matter.展开更多
基金supported by the National Basic Research Program (No.2005CB321702)the China NNSF Outstanding Young Scientist Foundation (No.10525102)the National Natural Science Foundation (No.10471146),P.R.China
文摘The restrictively preconditioned conjugate gradient （RPCG） method is further developed to solve large sparse system of linear equations of a block two-by-two structure. The basic idea of this new approach is that we apply the RPCG method to the normal-residual equation of the block two-by-two linear system and construct each required approximate matrix by making use of the incomplete orthogonal factorization of the involved matrix blocks. Numerical experiments show that the new method, called the restrictively preconditioned conjugate gradient on normal residual （RPCGNR）, is more robust and effective than either the known RPCG method or the standard conjugate gradient on normal residual （CGNR） method when being used for solving the large sparse saddle point problems.
基金supported by the Start-up Fund for new faculty from the Hong Kong Polytechnic University(PolyU)(A0043215)(to SA)the General Research Fund and Research Impact Fund from the Hong Kong Research Grants Council(15106018,R5032-18)(to DYT)+1 种基金the Research Center for SHARP Vision in PolyU(P0045843)(to SA)the InnoHK scheme from the Hong Kong Special Administrative Region Government(to DYT).
文摘Retinal aging has been recognized as a significant risk factor for various retinal disorders,including diabetic retinopathy,age-related macular degeneration,and glaucoma,following a growing understanding of the molecular underpinnings of their development.This comprehensive review explores the mechanisms of retinal aging and investigates potential neuroprotective approaches,focusing on the activation of transcription factor EB.Recent meta-analyses have demonstrated promising outcomes of transcription factor EB-targeted strategies,such as exercise,calorie restriction,rapamycin,and metformin,in patients and animal models of these common retinal diseases.The review critically assesses the role of transcription factor EB in retinal biology during aging,its neuroprotective effects,and its therapeutic potential for retinal disorders.The impact of transcription factor EB on retinal aging is cell-specific,influencing metabolic reprogramming and energy homeostasis in retinal neurons through the regulation of mitochondrial quality control and nutrient-sensing pathways.In vascular endothelial cells,transcription factor EB controls important processes,including endothelial cell proliferation,endothelial tube formation,and nitric oxide levels,thereby influencing the inner blood-retinal barrier,angiogenesis,and retinal microvasculature.Additionally,transcription factor EB affects vascular smooth muscle cells,inhibiting vascular calcification and atherogenesis.In retinal pigment epithelial cells,transcription factor EB modulates functions such as autophagy,lysosomal dynamics,and clearance of the aging pigment lipofuscin,thereby promoting photoreceptor survival and regulating vascular endothelial growth factor A expression involved in neovascularization.These cell-specific functions of transcription factor EB significantly impact retinal aging mechanisms encompassing proteostasis,neuronal synapse plasticity,energy metabolism,microvasculature,and inflammation,ultimately offering protection against retinal aging and diseases.The review emphasizes transcription factor EB as a potential therapeutic target for retinal diseases.Therefore,it is imperative to obtain well-controlled direct experimental evidence to confirm the efficacy of transcription factor EB modulation in retinal diseases while minimizing its risk of adverse effects.
基金Supported by the National Natural Science Foundation of China,No.82104525Open Foundation of Key Laboratory of Tropical Plant Resource Chemistry of Hainan Province,No.rdzw2024s01.
文摘This article is based on a recent bibliometric analysis of research progress on liver aging.The liver is notable for its extraordinary ability to rejuvenate,thereby safeguarding and maintaining the organism’s integrity.With advancing age,there is a noteworthy reduction in both the liver’s size and blood circulation.Furthermore,the wide range of physiological alterations driven on by aging may foster the development of illnesses.Previous studies indicate that liver aging is linked to impaired lipid metabolism and abnormal gene expression associated with chronic inflammation.Factors such as mitochondrial dysfunction and telomere shortening accumulate,which may result in increased hepatic steatosis,which impacts liver regeneration,metabolism,and other functions.Knowing the structural and functional changes could help elderly adults delay liver aging.Increasing public awareness of anti-aging interventions is essential.Besides the use of dietary supplements,alterations in lifestyle,including changes in dietary habits and physical exercise routines,are the most efficacious means to decelerate the aging process of the liver.This article highlights recent advances in the mechanism research of liver aging and summarizes the promising intervention options to delay liver aging for preventing related diseases.
基金Huxiang TCM Physique Intervention Clinical Research Center,No.2023SK4061Traditional Chinese Medicine Research Project of Hunan Province,No.B2023065+4 种基金Hunan Province"14th Five-Year Plan"key specialty of TCM,No.[2023]4Hunan University of Chinese Medicine and Hospital Joint Foundation,No.2023XYLH019 and 2024XYLH365R&D Plan for Key Areas of Hunan Provincial Department of Science and Technology,No.2019SK2321Excellent Youth Program of Hunan Education Department,No.24B0346Hunan Provincial Natural Science Foundation for Young Scientists,No.2025JJ60626.
文摘BACKGROUND Anxiety and depression are prevalent among patients with chronic heart failure(CHF)and can adversely contribute to treatment adherence and clinical outcomes.Poor fluid restriction adherence is a widespread challenge in the management of CHF.To effectively manage disease progression and alleviate symptoms,it is crucial to identify key influencing factors to facilitate the implementation of targeted interventions.AIM To investigate the status of anxiety and depression among patients with CHF and determine the factors contributing to poor fluid restriction adherence.METHODS Three hundred CHF patients seeking medical treatment at The First Hospital of Hunan University of Traditional Chinese Medicine between June 2021 and June 2023 were included in the study.Questionnaires,including the Psychosomatic Symptom Scale,Self-Rating Anxiety Scale,Self-Rating Depression Scale,and Fluid Restriction Adherence Questionnaire were administered to patients.Based on their anxiety and depression scores,patients were categorized into anxiety/depression and non-anxiety/depression groups,as well as fluid restriction adherence and fluid restriction non-adherence groups.General patient data were collected,and univariate and logistic regression analyses were conducted to determine the occurrence of depression and anxiety.Logistic regression analysis was used to identify independent factors influencing fluid restriction adherence.RESULTS Statistically significant differences in age,New York Heart Association(NYHA)grading,marital status,educational attainment,and family support were observed between depressed and non-depressed CHF patients(P<0.05).Age,NYHA grading,marital status,educational attainment,and family support were identified as factors influencing the development of depression.The anxiety and non-anxiety groups differed statistically in terms of gender,age,NYHA grading,smoking history,alcohol consumption history,monthly income,educational attainment,and family support(P<0.05).Gender,smoking,alcohol consumption,monthly income,and educational attainment affected anxiety in these patients.The fluid restriction adherence rate was 28.0%,and thirst sensation,anxiety,and depression were identified as independent influencing factors.CONCLUSION CHF patients are susceptible to anxiety and depression,with multiple associated influencing factors.Moreover,anxiety and depression are independent factors that can influence fluid restriction adherence in these patients.
基金supported by the National Natural Science Foundation of China,Nos.82071426,81873784Clinical Cohort Construction Program of Peking University Third Hospital,No.BYSYDL2019002(all to DF)。
文摘Amyotrophic lateral sclerosis is a rare neurodegenerative disease characterized by the involvement of both upper and lower motor neurons.Early bilateral limb involvement significantly affects patients'daily lives and may lead them to be confined to bed.However,the effect of upper and lower motor neuron impairment and other risk factors on bilateral limb involvement is unclear.To address this issue,we retrospectively collected data from 586 amyotrophic lateral sclerosis patients with limb onset diagnosed at Peking University Third Hospital between January 2020 and May 2022.A univariate analysis revealed no significant differences in the time intervals of spread in different directions between individuals with upper motor neuron-dominant amyotrophic lateral sclerosis and those with classic amyotrophic lateral sclerosis.We used causal directed acyclic graphs for risk factor determination and Cox proportional hazards models to investigate the association between the duration of bilateral limb involvement and clinical baseline characteristics in amyotrophic lateral sclerosis patients.Multiple factor analyses revealed that higher upper motor neuron scores(hazard ratio[HR]=1.05,95%confidence interval[CI]=1.01–1.09,P=0.018),onset in the left limb(HR=0.72,95%CI=0.58–0.89,P=0.002),and a horizontal pattern of progression(HR=0.46,95%CI=0.37–0.58,P<0.001)were risk factors for a shorter interval until bilateral limb involvement.The results demonstrated that a greater degree of upper motor neuron involvement might cause contralateral limb involvement to progress more quickly in limb-onset amyotrophic lateral sclerosis patients.These findings may improve the management of amyotrophic lateral sclerosis patients with limb onset and the prediction of patient prognosis.
文摘BACKGROUND Silver-Russell syndrome(SRS)is a clinically heterogeneous entity characterized by intrauterine and postnatal growth restriction,relative macrocephaly at birth,distinct facial features,and body asymmetry combined with other malformations.CASE SUMMARY Herein,we describe four individuals with SRS,focusing on their prenatal phenotype,postnatal presentation,diagnosis,and management.All cases had a typical phenotype,including postnatal growth failure,short stature(chronic malnutrition),and protruding forehead.Individually,they presented with feeding difficulties,leg length discrepancy,triangular face,or relative macrocephaly at birth,and each one exhibited distinct SRS features,including motor and/or speech delay,experiencing frequent hypoglycemic episodes.The fact that each patient exhibited a different combination of clinical findings underlines the heterogeneity of the syndrome.CONCLUSION SRS is diagnosed clinically.However,only 60%of cases are genetically confirmed,while most are sporadic.Although SRS is a well-described syndrome,a delayed diagnosis can have grave consequences on a child’s growth.Recombinant human growth hormone treatment is often initiated shortly after the diagnosis.The follow-up requires a multidisciplinary approach.
基金supported in part by New Zealand Government core funding for Crown Research Institutes from the Ministry of Business,Innovation,and Employment's Science and Innovation Group.
文摘The nutritional status of an individual can significantly influence its life history traits,including development,growth,reproduction,and survival.In the predatory mite Phytoseiulus persimilis Athias-Henriot(Acari:Phytoseidae),the plasticity of life history traits,such as developmental time and size at maturity,is influenced by the quality and quantity of food.This study aimed to investigate the effects of dietary restriction at different life stages(i.e.,juvenile,early adulthood,and later adulthood)on the lifespan and fecundity of P persimilis.We found that reduced dietary intake during early adulthood resulted in a shorter lifespan for both male and female P persimilis.Furthermore,this study demonstrated a sex-specific response to dietary restriction:it extended the lifespan of males but reduced that of females during later adulthood.Diet restriction during the postovipositional period of females showed the most variable life history trait response.Our results showed that the impact of diet restriction at different life stages can have combined influences on the postovipositional duration of P persimilis,where the individuals receiving diet restriction during immature development and early adulthood had a greater reduction in ovipositional duration as those experiencing diet restriction during late adulthood.In addition,we observed a positive correlation between the lifespan and fecundity of females,with higher prey availability increasing both.The insights obtained from our research contribute to a better understanding of the aging process and dietary requirements of P persimilis,which can facilitate the development of more effective biological control strategies using this predator for spider mites in agriculture.
基金funded by the National Research, Development and Innovation Office, Hungary (OTKA K139021 to AZL and LC)A Stipendium Hungaricum Scholarship and dissertation scholarship from Tempus Public Foundation
文摘Under natural conditions, organisms regularly experience seasonal or unpredictable fluctuations in their diet that may shape the quantity and quality of their reproduction. While these dietary shifts are known to influence overall reproductive output, their specific effects on the proportional composition of egg components remain unexplored. To partially simulate the natural conditions, we conducted two trials using adult Japanese Quails (Coturnix japonica) to examine how dietary restriction and unpredictable feeding influence the proportional composition of egg components. In the first trial, quails were assigned to one of four treatments: full-fed (control) or restricted feeding at 20% (DR20), 30% (DR30), and 40% (DR40) below daily intake. In the second trial, quails were assigned to one of three treatments: full feeding (control), constant 40% restriction (DR40), or unpredictable feeding schedule (UNPR). Each trial lasted for 14 days, and birds were housed individually. Severe dietary restrictions (DR30, DR40) reduced albumen and shell mass, shell thickness, and egg volume. However, yolk mass, yolk color, egg shape index, and shell density remained unaffected across all dietary levels. Severe restrictions also increased the yolk ratio while reducing the albumen ratio, suggesting that birds may evolutionarily prioritize yolk deposition to sustain reproductive functions. However, reduced albumen content due to maternal nutritional stress may also limit essential nutrients, and disrupt the embryo's osmoregulation, which ultimately affects offspring quality. Reduced shell contents at the severe restriction levels can affect the egg's ability to provide physical protection, regulate gas exchange and control water loss, thereby influencing embryonic development. In contrast, moderate restriction (DR20) and unpredictable feeding (UNPR) had no effect on any of the egg traits. These findings suggest that quails strategically allocate resources among egg components under dietary constraints, indicating potential trade-offs in reproductive investment. The resilience observed under moderate restriction and unpredictability underscores the species' adaptive capacity in fluctuating environments.
文摘Background: Exercise has positive impacts on metabolic health, whereas sleep loss has potentially negative impacts. This systematic literature review investigates whether acute and short-term exercise interventions can mitigate negative effects of experimentally-induced sleep loss on metabolic markers in humans.Methods: A systematic search(PubMed/Medline, Web of Science, Scopus, Embase, SPORTDiscus, and Cochrane) following Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines was conducted up to June 2024 for studies that compared glucose and insulin concentrations, insulin sensitivity, skeletal muscle gene expression, and other molecular markers following an acute or short-term(<14 days) exercise intervention during experimentally-induced sleep loss in adult humans. Articles were considered for inclusion and assessed for eligibility using the Population, Intervention, Comparison, Outcomes, and Study design(PICOS) framework, and critically appraised with the Cochrane Risk of Bias 2.0 tool.Results: Of the identified records, 4026 records were screened, with 12 studies meeting all the inclusion criteria and including 177 participants.Sleep intervention varied from a single night of total sleep deprivation to 5 consecutive nights of 4-h sleep opportunity(e.g., early or late sleep restriction), while exercise intervention varied in terms of model(walking/running, cycling, and resistance exercise), volume(e.g., minute to hour), and intensity(e.g., maximum efforts to low-intensity exercise). Most studies indicated a negative effect of insufficient sleep on glucose and insulin concentration as well as mitochondrial adaptations, whereas exercise had a positive impact, mitigating the negative effects on the aforementioned parameters.Conclusion: Exercise is likely to be effective as a therapeutic intervention for mitigating the negative effects of sleep loss on metabolic markers,at least in short-term intervention studies.
文摘To evaluate the impact of behavioral restrictions on perinatal care caused by the COVID-19 pandemic, we conducted a questionnaire survey of 1976 medical institutions handling deliveries across Japan. The survey examined changes in the number of antenatal checkups due to behavioral restrictions, visit restrictions at medical institutions, and the acceptance of COVID-19-infected pregnant and nursing mothers. An increased burden was observed at delivery hospitals, irrespective of whether they accepted infected pregnant and nursing mothers. Some medical institutions were unable to manage infected pregnant women and transferred them to other facilities, highlighting the need for role-sharing among institutions. The number of antenatal checkups showed a decreasing trend, indicating that the pandemic negatively affected checkup attendance. However, no clear increase in perinatal deaths was observed during the observation period, despite the reduction in the number of checkups.
文摘Compacted sand-bentonite mixtures are used as waste containment barriers(e.g.landfill liners and bentonite buffers for nuclear waste)to restrict contaminant transport.The potential for enhanced chemical containment of compacted sand-bentonite mixtures due to semipermeable membrane behavior has also been demonstrated.However,the extent to which membrane behavior persists in the presence of highly concentrated chemical solutions,which have been shown to degrade membrane behavior in bentonite-based barriers,remains largely unknown.Moreover,the limiting(threshold)salt concentrations at which membrane behavior of compacted sand-bentonite mixtures is effectively destroyed have not been evaluated.Accordingly,this study quantified the limiting membrane behavior of two duplicated specimens of compacted sand-bentonite mixture comprising 15%sodium bentonite(by dry mass)by determining the limiting salt concentrations at which measurable membrane behavior was eliminated.The specimens were exposed to increasingly higher source concentrations,Cot,of boundary monovalent salt solutions(KCl and NaCl)until measured values of the membrane efficiency coefficient,ω,were effectively zero.Overall,ωdecreased from an average of 0.032 to zero as Cot increased from 160 mmol/L KCl to 3.27 mol/L NaCl,resulting in limiting threshold salt concentrations for the two tests between 1.63 mol/L and 3.27 mol/L NaCl,which are significantly higher than those at which measurable membrane behavior has previously been demonstrated.
基金Public Health Agency of Canada:Healthy Seniors Pilot Project(project number:C0089).
文摘Objectives:To investigate the impact of a supervised bloodflow restriction(BFR)training program performed at different times of the morning on body composition and muscle performance in older,inactive adults.Methods:A single-arm intervention of supervised BFR resistance training was performed three times per week for six weeks.Participants(n=24;aged 65+years)were categorized into early morning(n=13;05:00–08:59)or late morning(n=11;09:00–12:00)groups.Primary outcomes were changes in body composition,total work,average peak power,average peak torque,muscle strength,and physical function.Results:Mixed model analysis of variance revealed a significant within-subject effect of time for all strength measures(p ranging from 0.017 to<0.001)and some physical function measures including the 30 s chair stand test,30 s bicep curl test,and grip strength(p ranging from 0.015 to<0.001).No between-group or time by group interaction effect was observed for all outcomes.Conclusions:This study showed that only six weeks of BFR training,performed at different time of the morning,did not enhance muscle mass and performance,but provided similar changes in muscle strength and some physical function tests in older adults.
基金funded by the Empresas Públicas de Medellín and Universidad de Antioquia.
文摘Understanding the evolutionary processes that influence the distribution of genetic diversity in natural populations is a key issue in evolutionary biology. Both species' distribution ranges and environmental gradients can influence this diversity through mechanisms such as gene flow, selection, and genetic drift. To explore how these forces interact, we assessed neutral and adaptive genetic variation in three widely distributed and two narrowly distributed bird species co-occurring along the Cauca River canyon in Antioquia, Colombia—a region of pronounced environmental heterogeneity. We sampled individuals across eight sites spanning the canyon's gradient and analyzed genetic diversity and structure using microsatellites and toll-like receptors (TLRs), a gene family involved in innate immunity. Widely distributed species consistently exhibited higher genetic diversity at both marker types compared to their narrowly distributed counterparts. Although we did not find a significant relationship between microsatellite heterozygosity and TLR heterozygosity, we evidenced a negative trend for widely distributed species and a positive trend for narrowly distributed species. This result suggests that there is a stronger effect of genetic drift in narrowly distributed species. Our results highlight the role of distribution range in maintaining genetic diversity and suggest that environmental gradients, by interacting with gene flow and selection, may influence patterns of adaptive variation.
文摘A hybrid Compressed Sensing and Primal-Dual Wavelet(CSP-PDW)technique is proposed for the compression and reconstruction of ECG signals.The compression and reconstruction algorithms are implemented using four key concepts:Sparsifying Basis,Restricted Isometry Principle,Gaussian Random Matrix,and Convex Minimization.In addition to the conventional compression sensing reconstruction approach,wavelet-based processing is employed to enhance reconstruction efficiency.A mathematical model of the proposed algorithm is derived analytically to obtain the essential parameters of compression sensing,including the sparsifying basis,measurement matrix size,and number of iterations required for reconstructing the original signal and determining the type and level of wavelet processing.The low time complexity of the proposed algorithm makes it an ideal candidate for ECG monitoring systems in IoT-based e-healthcare applications.A feature extraction algorithm is also developed to show that the important ECG peaks remain unaltered after reconstruction.The clinical relevance of the reconstructed signal and the efficiency of the developed algorithm are evaluated using four validation parameters at three different compression ratios.
文摘BACKGROUND Poor musculoskeletal recovery following foot and ankle injury can result in chronic instability and persistent muscle weakness.Preliminary evidence has shown that blood flow restriction(BFR)rehabilitation can increase muscle strength and stability,helping to restore physical function and prevent repeated injury.AIM To determine whether BFR is more effective than traditional rehabilitation in improving muscle strength,size,and stability after foot and ankle injury.METHODS A systematic review and meta-analysis were performed.Articles were retrieved from MEDLINE,EMBASE,and CENTRAL databases.Included studies compared the effectiveness of BFR rehabilitation to traditional foot and ankle rehabilitation exercises.Eligible patients were those with a history of foot or ankle injury.Muscle strength,size,and dynamic balance were assessed by comparing impro vements in peak torque,cross-sectional area,and percent muscle activation.Methodological quality assessments were performed using the PEDro scale and Methodological Index for Non-Randomized Studies(MINORS).RESULTS Ten studies met the inclusion criteria.Five studies were of good to excellent quality according to the PEDro scale,and 5 studies were of moderate quality as per the MINORS criteria.Two studies compared the effect of BFR and non-BFR rehabilitation on muscle strength;the overall mean difference between the BRF and non-BFR groups was 0.09[95%CI:(0.05,0.12),P<0.0001].Two studies analyzed muscle activation following BFR and non-BFR rehabilitation;the overall mean difference between the BRF and non-BFR groups was 0.09[95%CI:(0.05,0.12),P<0.0001].Data on dynamic balance was synthesized from two studies;the mean difference between the BFR and control groups was 1.23[95%CI:(-1.55,4.01);P=0.39].CONCLUSION BFR rehabilitation is more effective than non-BFR rehabilitation at improving muscle strength and activation following foot and ankle injury.Additional studies are needed to develop a standardized BFR training protocol.
基金Supported by Nanjing Medical Science and Technique Development Foundation,No.YKK23151the Opening Foundation of Key Laboratory,No.JSHD202313+3 种基金Yingke Xinchuang Research Foundation of Jiangsu Blood Transfusion Association,No.JSYK2024006the Jiangsu Province Capability Improvement Project through Science,Technology and Education,No.ZDXYS202210Open Project of the State Key Laboratory of Reproductive Medicine of Nanjing Medical University,No.SKLRM-K202107the Jiangsu Provincial Maternal and Child Health Research Program,No.F202040.
文摘BACKGROUND The primary complication associated with gestational diabetes mellitus(GDM)is delivery of an infant that is large for gestational age(LGA).Epidemiological findings have demonstrated that irregular lipid metabolism significantly con-tributes to insulin resistance,a key pathophysiological mechanism in GDM.However,the correlation between various lipid indices and the probability of delivering LGA infants remains inconsistent.AIM To explore the relationships between lipid indices and the possibility of having LGA infants among GDM-affected pregnant females.METHODS Binary logistic regression methods were employed to evaluate the odds ratios and corresponding 95%confidence intervals for LGA according to five lipid indices.Restricted cubic spline models were applied to investigate dose-response relationships.The association between lipid indices and the risk of delivering LGA infants was further investigated among different subgroups.Receiver operating characteristic curves were utilized to assess the diagnostic performance of lipid indices.RESULTS Across crude and adjusted models,females with lipid indices in the upper two tertiles presented a markedly elevated risk of delivering LGA infants compared with the lowest tertile category.Conversely,high-density lipoprotein cholesterol levels demonstrated the contrary trend.Restricted cubic spline analyses revealed linear associations between the five lipid indices,except triglyceride levels,and the prevalence of LGA.The subgroup analysis highlighted that the correlation between lipid indices and the probability of LGA was inconsistent.The five lipid indices presented significant diagnostic efficacy,as indicated by receiver operating characteristic curve areas.CONCLUSION Our research demonstrated that lipid indices were effective predictors of the incidence of LGA infants in GDM-affected pregnancies irrespective of potential confounding factors.
文摘To enhance the gas-damping effect and improve the bearing performance,a restricted layer is applied on the surface of aerostatic porous bearings.Based on the gas lubrication theory,a mathematical model of an aerostatic porous bearing with a restricted layer is established,and two proportional coefficients,a permeability ratio δ and a thickness ratioγ,are proposed.Critical values of δ and γ are determined through sensitivity analyses of complex restriction-layer parameters.The static characteristics of aerostatic porous bearings with a restricted layer or an unrestricted layer are comparatively analyzed by using Fluent simulation.The results show that when δ≈0.005 and γ≈0.010,the load capacity and static stiffness of the restricted-layer aerostatic porous bearing are high;compared with the unrestricted-layer aerostatic porous bearing,the restricted-layer aerostatic porous bearing has a lower sensitivity to changes in the air supply area.The existence of the restricted layer not only enhances the throttling effect and reduces the mass flow rate,but also effectively improves the static stiffness of the bearing.
基金Supported by Natural Science Foundation of the Xinjiang AutSupported by Natural Science Foundation of the Xinjiang Autonomous Region,No.2023D01C76Central Government Guide Local Science and Technology Development Special Fund Project,No.ZYYD2024JD1。
文摘BACKGROUND Celiac disease(CeD),an autoimmune disorder triggered by gluten ingestion,is characterized by non-specific clinical manifestations such as fatigue,abdominal pain,and nutritional deficiencies,often leading to substantial diagnostic delays.Prolonged delays(≥2 years from symptom onset)are associated with increased risks of complications like osteoporosis,small intestinal lymphoma,and reduced quality of life.AIM To estimate diagnostic delay prevalence and identify risk factors in Chinese CeD patients.METHODS We reviewed clinical records of 166 patients diagnosed with CeD from 2017 onward.Patient-attributed delays were measured from symptom onset to first consultation,while physician-related delays were measured from initial visit to diagnosis/treatment.Data on demographics,symptoms,time from onset to diagnosis,and laboratory results were analyzed.Logistic regression models were used to identify associations,while restricted cubic splines explored nonlinearities.Mediation analysis assessed the roles of intermediate factors in delayed diagnosis.RESULTS Delayed diagnosis(over 2 years from symptom onset)was observed in 42.2%of patients.Patients with diagnostic delay exceeding 5 years accounted for 18.7%.The mean interval from symptom onset to the first medical visit was 12.32 months,with an average of 20.57 months from the first visit to diagnosis.The time from first consultation to diagnosis significantly increased with prolonged delay(P<0.001).Multivariate analysis showed that blood urea nitrogen(BUN)was an independent risk factor(OR=1.29,95%CI:1.01–1.65,P=0.038).A nonlinear association was observed between BUN and delayed diagnosis,with a threshold of 4.3 mmol/L;the risk significantly increased above this threshold(OR=1.39,P=0.04).Subgroup analyses indicated that the risk effect of BUN was stronger in females,non-classical CeD patients,Kazak ethnic group members,individuals without vitamin D deficiency/anemia,and those with MarshⅢpathology(all P<0.05).Mediation analysis revealed that folic acid deficiency and anemia mediated 11.9%(P=0.028)and 13.0%(P=0.044)of the effect of BUN on diagnostic delay,respectively.CONCLUSION Elevated BUN levels are independent predictors of diagnostic delay in CeD,with heterogeneity observed across gender,disease subtype,ethnicity,and pathological type.Clinicians should prioritize high-risk populations with BUN≥4.3 mmol/L,particularly female patients with non-classical CeD and Kazak individuals,to reduce diagnostic delay.
文摘Purpose We aimed to determine:(a)the chronic effects of interval training(IT)combined with blood flow restriction(BFR)on physiological adaptations(aerobic/anaerobic capacity and muscle responses)and performance enhancement(endurance and sprints),and(b)the influence of participant characteristics and intervention protocols on these effects.Methods Searches were conducted in PubMed,Web of Science(Core Collection),Cochrane Library(Embase,ClinicalTrials.gov,and International Clinical Trials Registry Platform),and Chinese National Knowledge Infrastructure on April 2,with updates on October 17,2024.Pooled effects for each outcome were summarized using Hedge's g(g)through meta-analysis-based random effects models,and subgroup and regression analyses were used to explore moderators.Results A total of 24 studies with 621 participants were included.IT combined with BFR(IT+BFR)significantly improved maximal oxygen uptake(VO2_(max))(g=0.63,I^(2)=63%),mean power during the Wingate 30-s test(g=0.70,I^(2)=47%),muscle strength(g=0.88,I^(2)=64%),muscle endurance(g=0.43,I^(2)=0%),time to fatigue(g=1.26,I^(2)=86%),and maximal aerobic speed(g=0.74,I^(2)=0%)compared to IT alone.Subgroup analysis indicated that participant characteristics including training status,IT intensity,and IT modes significantly moderated VO2_(max)(subgroup differences:p<0.05).Specifically,IT+BFR showed significantly superior improvements in VO2_(max)compared to IT alone in trained individuals(g=0.76)at supra-maximal intensity(g=1.29)and moderate intensity(g=1.08)as well as in walking(g=1.64)and running(g=0.63)modes.Meta-regression analysis showed cuff width(β=0.14)was significantly associated with VO2_(max)change,identifying 8.23 cm as the minimum threshold required for significant improvement.Subgroup analyses regarding muscle strength did not reveal any significant moderators.Conclusion IT+BFR enhances physiological adaptations and optimizes aspects of endurance performance,with moderators including training status,IT protocol(intensity,mode,and type),and cuff width.This intervention addresses various IT-related challenges and provides tailored protocols and benefits for diverse populations.
基金supported by the National Natural Science Foundation of China(Grant Nos.U2344209,U42230310,U42207293)Natural Science Foundation of Sichuan Province,China(Grant No.2023NSFSC0262).
文摘The Late Permian to Early Triassic marked a pivotal phase in paleoenvironmental and tectonic shifts.The Kaijiang-Liangping intracratonic sag,a tectonic geomorphology formed by Emei taphrogenesis in the Sichuan Basin,is situated within a clear water carbonate platform.Under these conditions,the black shales of the Dalong Formation in the sag have ultrahigh organic matter content.However,the mechanism by which these conditions control the accumulation of such organic matter remains unclear.Petrological and geochemical analyses of well DY-1H revealed four distinct units within the Dalong Formation:A,B,C,and D,with average total organic carbon contents of 3.00%,9.59%,4.57%,and 0.27%,respectively.The kerogen maceral,carbon isotope,and pyrolysis results show that the organic matter mainly comprises Type Ⅱ_(2) kerogen.Benthic plants growing in clear water may be the primary source of this kerogen.Shallow water,suboxic conditions,strong volcanism,and high productivity characterize Unit A.Unit B features restricted ocean circulation,anoxic conditions,weak upwelling,moderate volcanism,and high productivity.Unit C is characterized by anoxic conditions,strong upwelling,weak volcanism,and moderate productivity.Oxic conditions and low productivity define Unit D.These findings challenge traditional models that struggle to explain the accumulation of ultrahigh organic matter in Unit A under suboxic conditions,Unit C under moderate productivity,and Unit B with abnormally high organic matter content.The flourishing of benthic plants,a considerable source of Type Ⅱ_(2) kerogen that resists decomposition and favors preservation,is the dominant factor controlling the ultrahigh organic matter accumulation of black shales in Units A,B,and C under clear water conditions.Oxidized bottom waters and decreased benthic plant growth were crucial to the sharp decline in organic matter.
