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Identifying risk factors and mortality of individuals with Alzheimer’s disease (AD) could have important implications for the clinical management of AD.
This pilot study aimed to examine the overall mortality of AD patients over a 10-year surveillance period in Shanghai, China. This study is an extension of our previous investigation on mortality of neurodegenerative diseases.
One hundred and thirty-two AD patients recruited from the memory clinics of two hospitals in Shanghai in 2007 were followed up until December 31, 2017 or death, representing a follow-up period of up to 10 years. Overall standardized mortality ratios (SMRs) were calculated, and predictors for survival at recruitment were estimated.
Sixty-seven patients had died by December 31, 2017, and the SMR at 10 years of follow-up was 1.225 (95% confidence interval 0.944–1.563). Employing Cox’s proportional hazard modeling, lower Mini-Mental State Examination score, and comorbid diabetes predicted poor survival in this cohort.
This pilot study suggests a similar survival trend of patients with AD compared to the general population in Shanghai urban region. Poor cognitive status and comorbid diabetes had a negative impact on the survival of AD patients.
Metabolically healthy obesity refers to a subset of obese people with a normal metabolic profile. We aimed to explore the association between metabolically healthy and obesity status and risk of hypertension among Chinese adults from The Rural Chinese Cohort Study. This prospective cohort study enrolled 9137 Chinese adults without hypertension, type 2 diabetes or treatment for lipid abnormality at baseline (2007–2008) and followed up during 2013–2014. Modified Poisson regression models were used to examine the risk of hypertension by different metabolically healthy and obesity status, estimating relative risks (RR) and 95 % CI. During 6 years of follow-up, we identified 1734 new hypertension cases (721 men). After adjusting for age, sex, smoking and other confounding factors, risk of hypertension was increased with metabolically healthy general obesity (MHGO) defined by BMI (RR 1·75, 95 % CI 1·02, 3·00) and metabolically healthy abdominal obesity (MHAO) defined by waist circumference (RR 1·51, 95 % CI 1·12, 2·04) as compared with metabolically healthy non-obesity. The associations between metabolically healthy and obesity status and hypertension outcome were consistent after stratifying by sex, age, smoking, alcohol drinking and physical activity. Both MHGO and MHAO were associated with increased risk of hypertension. Obesity control programmes should be implemented to prevent or delay the development of hypertension in rural China.
Laves phase plays a positive role in improving the strength of high-entropy alloys (HEAs); Nb and Ti elements have potential to promote Laves phase formation in some HEAs. For improving the strength of the face-centered cubic (FCC) CoCrFeMnNi HEA, a series of (CoCrFeMnNi)100−xNbx (atomic ratio: x = 0, 4, 8, 12, 16) and (CoCrFeMnNi)100−xTix (atomic ratio: x = 0, 2, 4, 6, 8, 12) HEAs were prepared by melting. The effects of Nb and Ti on the microstructure evolution and compressive properties of the CoCrFeMnNi HEAs were investigated. For (CoCrFeMnNi)100−xNbx HEAs, the second-phase (Laves and σ phase) volume fraction increased from 0 to 42%. The yield strength also increased gradually from 202 to 1010 MPa. However, the fracture strain decreased from 60% (no fracture) to 12% with increasing Nb content. For (CoCrFeMnNi)100−xTix HEAs, the yield strength increased from 202 to 1322 MPa. The Laves phase volume fraction also increased from 0 to 27%. However, the fracture strain decreased from 60% (no fracture) to 7.5% with increasing Ti content. Addition of Nb and Ti has a good effect on improving the strength of FCC CoCrFeMnNi HEA.
In order to improve the damage threshold and enlarge the aperture of a laser beam shaper, photolithographic patterning technology is adopted to design a new type of liquid crystal binary mask. The inherent conductive metal layer of commercial liquid crystal electro-optical spatial light modulators is replaced by azobenzene-based photoalignment layers patterned by noncontact photolithography. Using the azobenzene-based photoalignment layer, a liquid crystal binary mask for beam shaping is fabricated. In addition, the shaping ability, damage threshold, write/erase flexibility and stability of the liquid crystal binary mask are tested. Using a 1 Hz near-IR (1064 nm) laser, the multiple-shot nanosecond damage threshold of the liquid crystal mask is measured to be higher than
. The damage threshold of the azobenzene-based photoalignment layer is higher than
under the same testing conditions.
The output performances of a bidirectional ring amplifier with twin pulses are demonstrated. Compared to the extraction efficiency of 32% for single-pulse injection, the extraction efficiency of stored energy for twin-pulse injection with bidirectional propagation is increased to 60%. The maximum output energies of the twin pulses are 347 mJ and 351 mJ, and the output energy of a single pulse is only 373 mJ under the same amplifier operating conditions. The experimental results show that the bidirectional ring amplifier with twin pulses can achieve a higher extraction efficiency of stored energy at a lower operating fluence, and has potential applications in high-power and high-energy laser facilities.
A high-power, Joule-class, nanosecond temporally shaped multi-pass ring laser amplifier system with two neodymium-doped phosphate glass (Nd:glass) laser heads is demonstrated. The laser amplifier system consists of three parts: an all-fiber structure seeder, a diode-pumped Nd:glass regenerative amplifier and a multi-pass ring amplifier, where the thermally induced depolarization of two laser heads is studied experimentally and theoretically. Following the injection of a square pulse with the pulse energy of 0.9 mJ and pulse width of 6 ns, a 0.969-J high-energy laser pulse at 1 Hz was generated, which had the ability to change the waveform arbitrarily, based on the all-fiber structure front end. The experimental results show that the proposed laser system is promising to be adopted in the preamplifier of high-power laser facilities.
Kaolinite can be used for many applications, including the underground storage of gases. Density functional theory was employed to investigate the adsorption of hydrogen molecules on the kaolinite (001) surface. The coverage dependence of the adsorption sites and energetics was studied systematically for a wide range of coverage, Θ (from 1/16 to 1 monolayer). The three-fold hollow site is the most stable, followed by the bridge, top-z and top sites. The adsorption energy of H2 decreased with increasing coverage, thus indicating the lower stability of surface adsorption due to the repulsion of neighbouring H2 molecules. The coverage has obvious effects on hydrogen adsorption. Other properties of the H2/kaolinite (001) system, including the lattice relaxation and changes of electronic density of states, were also studied and are discussed in detail.
In this paper, the kinematic accuracy problem caused by geometric errors of a 2(3HUS+S) parallel manipulator is described. The kinematic equation of the manipulator is obtained by establishing a D–H (Denavit–Hartenberg) coordinate system. A D–H transformation matrix is used as the error-modeling tool, and the kinematic error model of the manipulator integrating manufacturing and assembly errors is established based on the perturbation theory. The iterative Levenberg–Marquardt algorithm is used to identify the geometric errors in the error model. According to the experimentally measured attitudes, the kinematic calibration process is simulated using MATLAB software. The simulation and experiment results show that the attitude errors of the moving platforms after calibration are reduced compared with before the calibration, and the kinematic accuracy of the manipulator is significantly improved. The correctness and effectiveness of the error model and the kinematic calibration method of the 2(3HUS+S) parallel manipulator for simulation of hip joint motion are verified.
The Chinese Solar and Geophysical Data (CSGD) was first issued at the Beijing Astronomical Observatory, Chinese Academy of Sciences (now the headquarter of the National Astronomical Observatories, Chinese Academy of Sciences) in 1971, when China’s satellite-industry was booming. CSGD covers the observational data (observations of the sunspots, solar flares, solar radio bursts, ionospheric storm and geomagnetic storm) from a couple of domestic observatories and the forecast data. The compiler of CSGD still keeps the data exchange with other institutes worldwide. The type of the dataset includes texts, tables, figures and so on. Up to now, we have electronized all the historic archives, making them easily accessible to people who are interested in them.
We present laboratory measurement and theoretical analysis of silicon K-shell lines in plasmas produced by Shenguang II laser facility, and discuss the application of line ratios to diagnose the electron density and temperature of laser plasmas. Two types of shots were carried out to interpret silicon plasma spectra under two conditions, and the spectra from 6.6 Å to 6.85 Å were measured. The radiative-collisional code based on the flexible atomic code (RCF) is used to identify the lines, and it also well simulates the experimental spectra. Satellite lines, which are populated by dielectron capture and large radiative decay rate, influence the spectrum profile significantly. Because of the blending of lines, the traditional
value are not applicable in diagnosing electron temperature and density of plasma. We take the contribution of satellite lines into the calculation of line ratios of He-
lines, and discuss their relations with the electron temperature and density.
Astrophysical collisionless shocks are amazing phenomena in space and astrophysical plasmas, where supersonic flows generate electromagnetic fields through instabilities and particles can be accelerated to high energy cosmic rays. Until now, understanding these micro-processes is still a challenge despite rich astrophysical observation data have been obtained. Laboratory astrophysics, a new route to study the astrophysics, allows us to investigate them at similar extreme physical conditions in laboratory. Here we will review the recent progress of the collisionless shock experiments performed at SG-II laser facility in China. The evolution of the electrostatic shocks and Weibel-type/filamentation instabilities are observed. Inspired by the configurations of the counter-streaming plasma flows, we also carry out a novel plasma collider to generate energetic neutrons relevant to the astrophysical nuclear reactions.
The degradation, alteration and depletion of riparian habitats caused by river regulation are among critical conservation concerns. Aquatic and riparian habitats support not only river-dwelling biota such as macroinvertebrates and fish, but also waterbirds, the top predators in the aquatic food web. Despite the intimate relationships between fish and waterbirds, the two groups are often investigated separately. Using an integrative approach, we examined the effects of dams on fish and scaly-sided merganser (Mergus squamatus), an endangered, iconic riverine species, where the lack of knowledge about habitat preferences greatly hampers long-term conservation efforts. Our analysis quantified three causal links: (1) water depth had direct, comparable, negative effects on both fish and waterbirds, and the path coefficients for fish and birds are –0.31 and –0.46, respectively; (2) river landscape heterogeneity directly and positively affected fish and waterbirds, and the path coefficients for fish and birds are 0.63 and 0.19, respectively; and (3) depth and river landscape also exerted indirect effects on waterbirds through their impacts on fish abundance, and the path coefficients for fish and birds are –0.15 and 0.28, respectively. Our findings could contribute to the rational spatial planning and sustainable operation of dams in that maintaining instream habitat availability and heterogeneity would benefit the whole riverine ecosystem.
Disclosing the diagnosis of Alzheimer's disease (AD) to a patient is controversial. There is significant stigma associated with a diagnosis of AD or dementia in China, but the attitude of the society toward disclosure of such a diagnosis had not been formally evaluated prior to our study. Therefore, we aimed to evaluate the attitude toward disclosing an AD diagnosis to patients in China with cognitive impairment from their caregivers, and the factors that may affect their attitude.
We designed a 17-item questionnaire and administered this questionnaire to caregivers, who accompanied patients with cognitive impairment or dementia in three major hospitals in Shanghai, China. The caregiver's attitude toward disclosing the diagnosis of AD as evaluated by the questionnaire was compared to that of disclosing the diagnosis of terminal cancer.
A majority (95.7%) of the 175 interviewed participants (mean 14.2 years of education received) wished to know their own diagnosis if they were diagnosed with AD, and 97.6% preferred the doctor to tell their family members if they were diagnosed with AD. If a family member of the participants suffered from AD, 82.9% preferred to have the diagnosis disclosed to the patient. “Cognitive impairment” was the most accepted term by caregivers to disclose AD diagnosis in Chinese.
This study suggests most of the well-educated individuals in a Chinese urban area favored disclosing the diagnosis when they or their family members were diagnosed with AD.
Interleukin (IL)-13-associated signal pathway plays an important role in schistosomiasis hepatic fibrosis. In this study we tried to investigate the effects of corilagin to ameliorate schistosomiasis hepatic fibrosis through regulating IL-13-associated signal pathway in vitro and in vivo. Cellular model was set up with hepatic stellate cells-T6 cells stimulated by rIL-13 and male Balb/c mice were infected with Schistosoma japonicum cercariaeas as animal model. Liver histological changes were observed with haematoxylin and eosin staining. Masson staining was employed to observe the change of egg granulomas. Expression of Col (collagen) and Col III were examined with Immunohistochemistry. Western bolt was employed to detect the JAK-1 and IL13Rα1 proteins. The mRNA expression of Col I, Col III, IL-13, JAK-1 and IL13Rα1 were tested by quantitative polymerase chain reaction. As a result, less inflammatory changes were found in all corilagin groups compared with model group and praziquantel group. The mRNA levels of Col I, Col III, IL-13, JAK-1 and IL13Rα1 were significantly decreased after corilagin intervention (P < 0·01). JAK-1 and IL-13Rα1 protein levels were also greatly decreased in the corilagin groups (P < 0·01). In conclusion, corilagin could ameliorate schistosomiasis hepatic fibrosis by down-regulating the expression of IL-13 and signal molecules in IL-13 pathway.
Accumulating evidence suggests that altered immunity contributes to the
development of major depressive disorder (MDD).
To examine whether complement factor H (CFH), a regulator of activation
of the alternative pathway of the complement cascade, confers
susceptibility to MDD.
Expression analyses were tested in 53 unmedicated people with MDD and 55
healthy controls. A two-stage genetic association analysis was performed
in 3323 Han Chinese with or without MDD. Potential associations between
CFH single nucleotide polymorphisms and age at MDD
onset were evaluated.
CFH levels were significantly lower in the MDD group at
both protein and mRNA levels (P = 0.009 and
P = 0.014 respectively). A regulatory variant in the
CFH gene, rs1061170, showed statistically significant
genotypic and allelic differences between the MDD and control groups
(genotypic P = 0.0005, allelic P =
0.0001). Kaplan–Meier survival analysis showed that age at onset of MDD
was significantly associated with the C allele of
rs1061170 (log rank statistic χ2 = 6.82, P =
0.009). The C-allele carriers had a younger age at onset
of MDD (22.2 years, s.d. = 4.0) than those without the C
allele (23.6 years, s.d. = 4.3).
CFH is likely to play an important role in the
development of MDD. rs1061170 has an important effect on age at onset of
MDD in Han Chinese and may therefore be related to early pathogenesis of
MDD, although further study is needed.
By reviewing the ideas of Yu Keping, one of the most prominent Chinese theorists on Chinese-style democracy and a key contributor to Chinese intellectual discourse on good governance, this article has two objectives: to fill a research gap in China studies by examining influential discourse during the past decade; and to shed light on Yu's controversial conception of Chinese-style democracy, which is intertwined with his views on good governance. We find that the discourse revolves around the call to “move China towards good governance.” First, the ultimate objective of China's political reform is to move towards good governance, and not towards what Western social scientists call “democracy.” Second, “good government” and civil society are two keys for achieving good governance, which demonstrates that Yu's basic orientation is liberal. Third, governance reform, constituting a major component of China's political reform, has achieved much progress.
Thermal stress can induce birefringence in a laser medium, which can cause depolarization of the laser. The depolarization effect will be very severe in a high-average-power laser. Because the depolarization will make the frequency doubling efficiency decline, it should be compensated. In this paper, the thermal characteristics of two kinds of materials are analyzed in respect of temperature, thermal deformation and thermal stress. The depolarization result from thermal stress was simulated. Depolarization on non-uniform pumping was also simulated, and the compensation method is discussed.
The high repetition rate 10 J/10 ns Yb:YAG laser system and its key techniques are reported. The amplifiers in this system have a multi-pass V-shape structure and the heat in the amplifiers is removed by means of laminar water flow. In the main amplifier, the laser is four-pass, and an approximately 8.5 J/1 Hz/10 ns output is achieved in the primary test. The far-field of the output beam is approximately 10 times the diffraction limit. Because of the higher levels of amplified spontaneous emission (ASE) in the main amplifier, the output energy is lower than expected. At the end we discuss some measures that can improve the properties of the laser system.
To clarify the role of inflammation in the pathogenesis of cerebral small vessel disease (SVD), we investigated whether the gene encoding transforming growth factor-beta 1(TGF-beta 1) is a risk factor for cerebral SVD as a whole, and for two different SVD subtypes.
TGF-beta 1 codon10 (T+29C) genotype was determined in 441 Chinese patients (313 male and 128 female) with cerebral SVD and 450 control subjects (326 male and 124 female). Cerebral SVD patients were retrospectively classified into two groups based on neuroimaging findings: lacunar infarction group with 112 patients and ischaemic leukoaraiosis group with 329 patients.
Subjects carrying TT homozygote were susceptible to cerebral SVD [adjusted odds ratio (OR) =1.44, 95% confidence interval (CI), 1.05-1.98; P=0.026]. Further analysis of SVD subtypes revealed a moderate association with the ischaemic leukoaraiosis group [OR= 1.60, 95% CI, 1.14-2.25; P=0.007].
Codon 10 of TGF-beta 1 might be a risk factor for SVD, specifically in ischaemic leukoaraiosis phenotype.