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The association between milk consumption and metabolic syndrome remains inconclusive, and the data from Chinese populations are scarce. We conducted a cross-sectional study to investigate the association between milk consumption and metabolic syndrome and its components among the residents of Suzhou Industrial Park, Suzhou, China. A total of 5149 participants were included in the final analysis. A logistic regression model was applied to estimate the odds ratios (OR) and 95% confidence intervals (CIs) for the prevalence of metabolic syndrome and its components according to milk consumption. In addition, the results of our study were further meta-analyzed with other published observational studies to quantify the association between the highest versus lowest categories of milk consumption and metabolic syndrome and its components. There was no significant difference in the odds of having metabolic syndrome between milk consumers and non-milk consumers (OR 0.86, 95% CI 0.73, 1.01). However, milk consumers had lower odds of having elevated waist circumference (OR 0.78, 95% CI 0.67, 0.92), elevated triglyceride (OR 0.83, 95% CI 0.70, 0.99), and elevated blood pressure (OR 0.85, 95% CI 0.73, 0.99). When the results were pooled together with other published studies, higher milk consumption was inversely associated with the risk of metabolic syndrome (relative risk 0.80, 95% CI 0.72, 0.88) and its components (except elevated fasting blood glucose); however, these results should be treated with caution as high heterogeneity observed. In summary, the currently available evidence from observational studies suggests that higher milk consumption may be inversely associated with metabolic syndrome.
Antenatal exogenous glucocorticoids (ANG) are standard management for women at risk of preterm birth but are reputed to impair glucose tolerance in preterm offspring. We compared lambs born preterm (137 days gestation) following labour induced with exogenous glucocorticoids (G-Prem, glucocorticoid-induced preterm group), or with a progesterone synthesis inhibitor (NG-Prem, non-glucocorticoid-induced preterm group), with term-born lambs (Term; 149 days). We assessed glucose tolerance, insulin secretion and sensitivity at 4 and 10 months n = 11–14/group) and pancreatic and hepatic gene and protein expression at 4 weeks post-term (4 weeks; n = 6/group) and 12 months (12 months; n = 12–13/group). NG-Prem had higher plasma glucose concentrations than G-Prem, but not Term, at 4 months (Mean[SEM] mM: NG-Prem = 4.1[0.1]; G-Prem = 3.4[0.1]; Term = 3.7[0.1]; p = 0.003) and 10 months (NG-Prem = 3.9[0.1]; G-Prem = 3.5[0.1]; Term = 3.7[0.1]; p = 0.01). Insulin sensitivity decreased from 4 to 10 months, in NG-Prem but not in Term (Mean[SEM] µmol·ml−1·kg−1·min−1·ng−1, 4 vs. 10 months: NG-Prem = 18.7[2.5] vs. 9.5[1.5], p < 0.01; Term: 12.1[2.8] vs. 10.4[1.5], p = 0.44). At 12 months, β-cell mass in NG-Prem was reduced by 30% vs. G-Prem (p < 0.01) and 75% vs. Term (p < 0.01) and was accompanied by an increased β-cell apoptosis: proliferation ratio at 12 months. At 12 months, pancreatic glucokinase, igf2 and insulin mRNA levels were reduced 21%–71% in NG-Prem vs. G-Prem and 42%–80% vs. Term. Hepatic glut2 mRNA levels in NG-Prem were 250% of those in G-Prem and Term. Thus, induction of preterm birth without exogenous glucocorticoids more adversely affected pancreas and liver than induction with exogenous glucocorticoids. These findings do not support that ANG lead to long-term adverse metabolic effects, but support an effect of preterm birth itself.
This chapter examines China’s diversity regime which buried its political and cultural diversity in history. For most international relations scholars, China appears as an exception to this volume’s argument on cultural diversity. What is unique about China is not its unity but its precocious capacities for direct rule and military-fiscal extraction which began under the first two unified dynasties: the Qin and the Han. China’s seeming unity is the product of the mutually reinforcing processes of coercive political unification and cultural homogenization. Political unity achieved by military victories produced and reproduced cultural homogeneity. Successful unifiers equated cultural diversity with political troubles and thus sought to level their subjects. A flattened cultural landscape, in turn, legitimated unifiers’ claim to rule ‘all under heaven’. This chapter first outlines China’s cultural plurality in its formative era. It then examines how unified dynasties forged a singular Han culture with an extreme homogenization regime that included mass killings and migrations, standardization of weights and measures, erasure of intellectual diversity, and monopolization of history writing.
As an important dimensionless parameter for the vortex formation process, the general form of the formation time defined by Dabiri (Annu. Rev. Fluid Mech., vol. 41, 2009, pp. 17–33) is refined so as to provide better normalization for various vortex generator configurations. Our proposed definition utilizes the total circulation over the entire flow domain rather than that of the forming vortex ring alone. It adopts an integral form by considering the instantaneous infinitesimal increment in the formation time so that the effect of temporally varying properties of the flow configuration can be accounted for properly. By including the effect of buoyancy, the specific form of the general formation time for the starting forced plumes with negative and positive buoyancy is derived. A theoretical prediction based on the Kelvin–Benjamin variational principle shows that the general formation time manifests the invariance of the critical time scale, i.e. the formation number, under the influence of a source–ambient density difference. It demonstrates that the general formation time, based on the circulation production over the entire flow field, could take into account the effect of various vorticity production mechanisms, such as from a flux term or in a baroclinic fluid, on the critical formation number. The proposed definition may, therefore, serve as a guideline for deriving the specific form of the formation time in other types of starting/pulsatile flows.
Experience of emotion is closely linked to valuation. Mood can be viewed as a bias to experience positive or negative emotions and abnormally biased subjective reward valuation and cognitions are core characteristics of major depression.
Thirty-four unmedicated subjects with major depressive disorder and controls estimated the probability that fractal stimuli were associated with reward, based on passive observations, so they could subsequently choose the higher of either their estimated fractal value or an explicitly presented reward probability. Using model-based functional magnetic resonance imaging, we estimated each subject's internal value estimation, with psychophysiological interaction analysis used to examine event-related connectivity, testing hypotheses of abnormal reward valuation and cingulate connectivity in depression.
Reward value encoding in the hippocampus and rostral anterior cingulate was abnormal in depression. In addition, abnormal decision-making in depression was associated with increased anterior mid-cingulate activity and a signal in this region encoded the difference between the values of the two options. This localised decision-making and its impairment to the anterior mid-cingulate cortex (aMCC) consistent with theories of cognitive control. Notably, subjects with depression had significantly decreased event-related connectivity between the aMCC and rostral cingulate regions during decision-making, implying impaired communication between the neural substrates of expected value estimation and decision-making in depression.
Our findings support the theory that abnormal neural reward valuation plays a central role in major depressive disorder (MDD). To the extent that emotion reflects valuation, abnormal valuation could explain abnormal emotional experience in MDD, reflect a core pathophysiological process and be a target of treatment.
Most deep latent factor models choose simple priors for simplicity, tractability, or not knowing what prior to use. Recent studies show that the choice of the prior may have a profound effect on the expressiveness of the model, especially when its generative network has limited capacity. In this paper, we propose to learn a proper prior from data for adversarial autoencoders (AAEs). We introduce the notion of code generators to transform manually selected simple priors into ones that can better characterize the data distribution. Experimental results show that the proposed model can generate better image quality and learn better disentangled representations than AAEs in both supervised and unsupervised settings. Lastly, we present its ability to do cross-domain translation in a text-to-image synthesis task.
The frequency division multiple access (FDMA) strategy used in GLONASS causes inter-frequency phase bias (IFPB) and inter-frequency code bias (IFCB) between receivers from different manufacturers. The existence of IFPB and IFCB significantly increases the difficulties of fixing GLONASS ambiguity and limits the accuracy and reliability of GLONASS positioning. Moreover, the initial value of IFPB and IFCB may be unavailable or unreliable with the increasing number of receivers from different manufacturers in recent years. In this study, a real-time and reliable calibration algorithm of IFPB and IFCB based on multi-GNSS assistance is proposed by providing a fixed solution. Real-time IFPB rate and IFCB can be obtained using this algorithm without the initial IFPB and IFCB. The IFPB rate for all GLONASS satellites and IFCB for each GLONASS satellite are estimated due to different characteristics of IFPB and IFCB. IFPB calibration can be divided into constant and real-time IFPB calibrations to meet the different positioning requirements. Results show that constant IFPB rate has only 2 mm difference from the mean value of real-time IFPB rate. The IFPB rate and IFCB estimated by this algorithm have excellent stability, and the change in reference satellite cannot affect the results of IFPB rate and the stability of IFCB. The centimetre-level positioning results can be obtained using two calibration methods, and the positioning results with real-time calibration method are 10%–20% better than those with the constant calibration method. Under satellite-deprived environments, the improvements of multi-GNSS positioning accuracy with constant inter-frequency bias calibration gradually increase as the satellite cut-off elevation angle increases compared with GPS/BDS, which can reach up to 0·9 cm in the vertical direction.
Only 30% or fewer of individuals at clinical high risk (CHR) convert to full psychosis within 2 years. Efforts are thus underway to refine risk identification strategies to increase their predictive power. Our objective was to develop and validate the predictive accuracy and individualized risk components of a mobile app-based psychosis risk calculator (RC) in a CHR sample from the SHARP (ShangHai At Risk for Psychosis) program.
In total, 400 CHR individuals were identified by the Chinese version of the Structured Interview for Prodromal Syndromes. In the first phase of 300 CHR individuals, 196 subjects (65.3%) who completed neurocognitive assessments and had at least a 2-year follow-up assessment were included in the construction of an RC for psychosis. In the second phase of the SHARP sample of 100 subjects, 93 with data integrity were included to validate the performance of the SHARP-RC.
The SHARP-RC showed good discrimination of subsequent transition to psychosis with an AUC of 0.78 (p < 0.001). The individualized risk generated by the SHARP-RC provided a solid estimation of conversion in the independent validation sample, with an AUC of 0.80 (p = 0.003). A risk estimate of 20% or higher had excellent sensitivity (84%) and moderate specificity (63%) for the prediction of psychosis. The relative contribution of individual risk components can be simultaneously generated. The mobile app-based SHARP-RC was developed as a convenient tool for individualized psychosis risk appraisal.
The SHARP-RC provides a practical tool not only for assessing the probability that an individual at CHR will develop full psychosis, but also personal risk components that might be targeted in early intervention.
We fabricated a van der Waals heterostructure of WS2–ReSe2 and studied its charge-transfer properties. Monolayers of WS2 and ReSe2 were obtained by mechanical exfoliation and chemical vapor deposition, respectively. The heterostructure sample was fabricated by transferring the WS2 monolayer on top of ReSe2 by a dry transfer process. Photoluminescence quenching was observed in the heterostructure, indicating efficient interlayer charge transfer. Transient absorption measurements show that holes can efficiently transfer from WS2 to ReSe2 on an ultrafast timescale. Meanwhile, electron transfer from ReSe2 to WS2 was also observed. The charge-transfer properties show that monolayers of ReSe2 and WS2 form a type-II band alignment, instead of type-I as predicted by theory. The type-II alignment is further confirmed by the observation of extended photocarrier lifetimes in the heterostructure. These results provide useful information for developing van der Waals heterostructure involving ReSe2 for novel electronic and optoelectronic applications and introduce ReSe2 to the family of two-dimensional materials to construct van der Waals heterostructures.
Several studies suggested a potential role of viral infection in the pathophysiology of Parkinson’s disease (PD). However, the association between herpes zoster and PD was not investigated well till now.
Using the Taiwan National Health Insurance Research Database, 13 083 patients aged ≥45 years with herpes zoster and 52 332 (1:4) age-/sex-matched controls were enrolled between 1998 and 2008 and followed to the end of 2011. Those who developed PD during the follow-up period were identified.
The Cox regression analysis with adjustment of demographic characteristics, health system utilization, and comorbidities demonstrated that patients with herpes zoster had an increased risk (hazard ratio [HR]: 1.80, 95% confidence interval [CI]: 1.43-2.28) of developing PD in later life compared to the control group. Sensitivity tests after excluding the first year (HR: 1.50, 95% CI: 1.16-1.93) and first 2-year (HR: 1.44, 95% CI: 1.10-1.88) observation periods showed consistent results.
Patients with herpes zoster were more likely to develop PD in later life compared to the controls. Additional studies are necessary for validating our results and to clarify the underlying pathophysiology between herpes zoster and PD.
Fluctuation of the received signal strength (RSS) is the key performance-limiting factor for Wi-Fi indoor positioning schemes. In this study, the Manhattan distance was used in the weighted K-nearest neighbour (WKNN) algorithm to improve positioning accuracy. Reference point (RP) intervals were optimised to reduce the complexity of the system. Specifically, two new positioning schemes are proposed in this paper. Scheme 1 uses the cellular network to refine the fingerprint database, while Scheme 2 uses the cellular network positioning to locate the node a priori, then uses the Wi-Fi network to further improve accuracy. The experimental results showed that the average positioning error of Scheme 1 was 1·60 m, a reduction of 12% compared with the existing Wi-Fi fingerprinting schemes. In Scheme 2, when double cellular networks were used, RP usage was reduced by 64% and the calculating time was 0·24 s, a reduction of up to 69·5% compared with the Manhattan-WKNN algorithm. These proposed schemes are suitable for high accuracy and real-time positioning situations, respectively.
This longitudinal study examines change in maternal interaction strategies in Taiwanese mothers across time, and the synchronic and diachronic relationships between maternal interaction strategies and children's language and early literacy skills. Forty-two mother–child dyads participated in this study. Their interactions during joint book-reading were tape-recorded, transcribed, and analyzed when the children were fourteen, twenty-six, and thirty-six months of age. The children received a battery of language and early literacy tests when they were thirty-six months old. Findings showed that Taiwanese mothers adjusted their use of interaction strategies as their children grew. Maternal use of description, performance, prediction inference, and print-related talk were positively correlated with their children's language and literacy skills. Significant negative correlations were found between use of task-behavioral regulation strategy and text reading in mothers and their children's language performance. This study suggests that age-appropriate interaction strategies are important for children's language and early literacy development.
We used medical record abstraction to conduct research in a psychiatric hospital with paper-based medical records. The challenges we encountered included: the difficulty in retrieving files; the extensive effort and time needed to extract clinical information; the lack of a standardised documentation system of medical records; and the need for advanced computer literacy. To promote future research using electronic medical records, potential solutions include creating a registry of all patients receiving treatment, as well as equipping busy clinicians with computer skills.
Synaptotagmin 1 (Syt1) is an abundant and important presynaptic vesicle protein that binds Ca2+ for the regulation of synaptic vesicle exocytosis. Our previous study reported its localization and function on spindle assembly in mouse oocyte meiotic maturation. The present study was designed to investigate the function of Syt1 during mouse oocyte activation and subsequent cortical granule exocytosis (CGE) using confocal microscopy, morpholinol-based knockdown and time-lapse live cell imaging. By employing live cell imaging, we first studied the dynamic process of CGE and calculated the time interval between [Ca2+]i rise and CGE after oocyte activation. We further showed that Syt1 was co-localized to cortical granules (CGs) at the oocyte cortex. After oocyte activation with SrCl2, the Syt1 distribution pattern was altered significantly, similar to the changes seen for the CGs. Knockdown of Syt1 inhibited [Ca2+]i oscillations, disrupted the F-actin distribution pattern and delayed the time of cortical reaction. In summary, as a synaptic vesicle protein and calcium sensor for exocytosis, Syt1 acts as an essential regulator in mouse oocyte activation events including the generation of Ca2+ signals and CGE.
Rational construction of Z-scheme photocatalysts and exploration of the Z-scheme charge transfer mechanism have drawn much attention in the field of CO2 reduction because of its great potential to alleviate energy crisis and environmental problems. In this study, a series of Z-scheme CdS/BiOI composites were constructed by depositing CdS nanoparticles on the surface of BiOI nanosheets. The synthesized materials were characterized comprehensively, and their photoreduction CO2 activities were evaluated. The results show that the composites exhibit higher photoreduction CO2 activity under visible light irradiation (λ > 400 nm) than pure CdS and BiOI. The yields of CO and CH4 for the optimal composite after 3 h irradiation are 3.32 and 0.54 μmol/g, respectively. The improved photocatalytic activity is attributed to Z-scheme transfer mode of the photogenerated charges in the composites. The mechanism of CO2 reduction is proposed and verified experimentally.
Preparation is key to dealing with the rising number of disasters occurring globally. Teams may be inexperienced, but they cannot be inadequately prepared. Rescue providers must be equipped with knowledge, skills, equipment, and supplies to manage the complex demands of a disaster. To bridge the gaps in disaster management training, the Singapore Health Services, in collaboration with the University of Hasanuddin, developed a tailored training program for the teaching of medical support at the disaster site in Indonesia. This project was conducted in Makassar for participants in the province of South Sulawesi. Over the 2-year period, the project benefitted 301 participants, with 73 identified to become Master Trainers to take over local ownership and leadership of the program. The Master Trainers would continue the training of new participants, as well as work within their agencies and with each other to bring about changes to significantly improve disaster management in Indonesia.
When the average intermolecular distance is comparable to the size of gas molecules, the Boltzmann equation, based on the dilute gas assumption, becomes invalid. The Enskog equation was developed to account for this finite size effect that makes the collision non-local and increases the collision frequency. However, it is time-consuming to solve the Enskog equation due to its complicated structure of collision operator and high dimensionality. In this work, on the basis of the Shakhov model, a gas kinetic model is proposed to simplify the Enskog equation for non-ideal monatomic dense gases. The accuracy of the proposed Shakhov–Enskog model is assessed by comparing its solutions of the normal shock wave structures with the results of the Enskog equation obtained by the fast spectral method. It is shown that the Shakhov–Enskog model is able to describe non-equilibrium flow of dense gases, when the maximum local mean free path of gas molecules is still greater than the size of a molecular diameter. The accuracy and efficiency of the present model enable simulations of non-equilibrium flow of dense gases for practical applications.
I investigated the trajectory of processing variability, as measured by coefficient of variation (CV), using an intentional word learning experiment and reanalyzing published eye-tracking data of an incidental word learning study (Elgort et al., 2018). In the word learning experiment, native English speakers (N = 35) studied Swahili-English word pairs (k = 16) before performing 10 blocks of animacy judgment tasks. Results replicated the initial CV increase reported in Solovyeva and DeKeyser (2018) and, importantly, captured a roughly inverted U-shaped development in CV. In the reanalysis of eye-tracking data, I computed CVs based on reading times on the target and control words. Results did not reveal a similar inverted U-shaped development over time but suggested more stable processing of the high-frequency control words. Taken together, these results uncovered a fuller trajectory in CV development, differences in processing demands for different aspects of word knowledge, and the potential use of CV with eye-tracking research.