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Understanding the patterns of treatment response is critical for the treatment of patients with schizophrenia; one way to achieve this is through using a longitudinal dynamic process study design.
This study aims to explore the response trajectory of antipsychotics and compare the treatment responses of seven different antipsychotics over 6 weeks in patients with schizoprenia (trial registration: Chinese Clinical Trials Registry Identifier: ChiCTR-TRC-10000934).
Data were collected from a multicentre, randomised open-label clinical trial. Patients were evaluated with the Positive and Negative Syndrome Scale (PANSS) at baseline and follow-up at weeks 2, 4 and 6. Trajectory groups were classified by the method of k-means cluster modelling for longitudinal data. Trajectory analyses were also employed for the seven antipsychotic groups.
The early treatment response trajectories were classified into a high-trajectory group of better responders and a low-trajectory group of worse responders. The results of trajectory analysis showed differences compared with the classification method characterised by a 50% reduction in PANSS scores at week 6. A total of 349 patients were inconsistently grouped by the two methods, with a significant difference in the composition ratio of treatment response groups using these two methods (χ2 = 43.37, P < 0.001). There was no differential contribution of high- and low trajectories to different drugs (χ2 = 12.52, P = 0.051); olanzapine and risperidone, which had a larger proportion in the >50% reduction at week 6, performed better than aripiprazole, quetiapine, ziprasidone and perphenazine.
The trajectory analysis of treatment response to schizophrenia revealed two distinct trajectories. Comparing the treatment responses to different antipsychotics through longitudinal analysis may offer a new perspective for evaluating antipsychotics.
The leaf skeletonizer, Eutectona machaeralis (Walker) (Lepidoptera: Crambidae), is a severe insect pest of teak trees (Tectona grandis L.f.) in China. To provide some basic evidence for future semiochemical-based management strategies of E. machaeralis, the morphology, ultrastructure, and distribution of antennal sensilla of adults were observed under scanning and transmission electron microscopy. The shape and structure of antenna were similar between males and females, both being filiform. However, the antennal length of males was significantly longer than that of females. Eight morphological sensilla types were observed in both sexes: Böhm's bristles, sensilla trichodea, sensilla basiconica, sensilla chaetica, sensilla styloconica, sensilla coeloconica, sensilla auricillica, and sensilla squamiformia. Significant sexual dimorphism of the sensilla dimensions was found, especially in sensillar length. The putative and potential functions of the different sensilla types are discussed based on the fine structures of the cuticular walls and dendrites of the different sensilla types. We expect these results to help lay a solid foundation for future functional research and develop further investigations of E. machaeralis.
The ablation and acceleration of diamond-like high-density carbon foils irradiated by thermal X-ray radiations are investigated with radiation hydrodynamics simulations. The time-dependent front of the ablation wave is given numerically for radiation temperatures in the range of 100–300 eV. The mass ablation rates and ablation pressures can be derived or implied from the coordinates of ablation fronts, which agree well with reported experiment results of high-density carbon with radiation temperatures Trad in the range of 160–260 eV. It is also found that the
scaling law for ablation rates does not apply to Trad above 260 eV. The trajectories of targets and hydrodynamic efficiencies for different target thicknesses can be derived from the coordinates of ablation fronts using a rocket model and the results agree well with simulations. The peak hydrodynamic efficiencies of the acceleration process are investigated for different foil thicknesses and radiation temperatures. Higher radiation temperatures and target thicknesses result in higher hydrodynamic efficiencies. The simulation results are useful for the design of fusion capsules.
Previous studies have shown conflicting findings regarding the relationship between maternal vitamin D deficiency (VDD) and fetal growth restriction (FGR). We hypothesised that parathyroid hormone (PTH) may be an underlying factor relevant to this potential association. In a prospective birth cohort study, descriptive statistics were evaluated for the demographic characteristics of 3407 pregnancies in the second trimester from three antenatal clinics in Hefei, China. The association of the combined status of vitamin D and PTH with birth weight and the risk of small for gestational age (SGA) was assessed by a multivariate linear and binary logistic regression. We found that declined status of 25-hydroxyvitamin D is associated with lower birth weight (for moderate VDD: adjusted β = −49·4 g, 95 % CI −91·1, −7·8, P < 0·05; for severe VDD: adjusted β = −79·8 g, 95 % CI −127·2, −32·5, P < 0·01), as well as ascended levels of PTH (for elevated PTH: adjusted β = −44·5 g, 95 % CI −82·6, −6·4, P < 0·05). Compared with the non-VDD group with non-elevated PTH, pregnancies with severe VDD and elevated PTH had the lowest neonatal birth weight (adjusted β = −124·7 g, 95 % CI −194·6, −54·8, P < 0·001) and the highest risk of SGA (adjusted risk ratio (RR) = 3·36, 95 % CI 1·41, 8·03, P < 0·01). Notably, the highest risk of less Ca supplementation was founded in severe VDD group with elevated PTH (adjusted RR = 4·67, 95 % CI 2·78, 7·85, P < 0·001). In conclusion, elevated PTH induced by less Ca supplementation would further aggravate the risk of FGR in pregnancies with severe VDD through impaired maternal Ca metabolism homoeostasis.
The stability of a thin falling film with both surface elasticity and surface viscosities induced by insoluble surfactants on its free surface is studied. Based on the full Navier–Stokes equations and surfactant concentration equation with corresponding boundary conditions, a weighted residual model (WRM) is derived to investigate the long-wave instability of the thin film incorporating the influence of surfactants. The Chebyshev spectral collocation method is employed to solve the linear stability of the film. The results show good agreement between the WRM and full equations. It is found that surface elasticity decreases the temporal growth rate and increases the critical Reynolds number, showing a stabilizing impact on the film. And the surface viscosity effect slightly reduces the growth rate and cutoff wavenumber while it does not alter the critical Reynolds number. Nonlinear travelling wave solutions are obtained using the WRM equations. As the surface elasticity is enhanced, the speed of travelling waves gradually approaches the corresponding linear neutral value, implying that the dispersion effect is damped; and the amplitudes of both fast waves and slow waves are suppressed by surface elasticity. Moreover, the bifurcation diagram of travelling waves is influenced by the surface viscosity, which basically promotes the speed of travelling waves with relatively large wavelengths. As the surface viscosity effect becomes stronger, for fast waves the amplitude of the humps slightly increases while that of the troughs becomes smaller for slow waves.
The advantage of alcohol–calcium method on the formation and the stability of vaterite against ethanol–water binary solvents (EWBS) method was studied through comparative experiment. The polymorphs and morphologies of CaCO3 were characterized by X-ray diffraction (XRD) and scanning electron microscopy (SEM). XRD results show that vaterite slowly decreases from 90.4 to 82.5% as increasing aging time from 0 to 1320 min in alcohol–calcium system, while quickly decreases from 46.5% to 0% at the same aging time in EWBS system. The similar variation as reaction temperature was found in both systems. SEM images indicate that calcite presents its typical rhombohedral morphology in both systems, while the morphologies of vaterite particles in two systems are different. In alcohol–calcium system, small vaterite nanoparticles aggregate into spherical microparticles, and these microparticles become porous, loose, and irregular, even incomplete, as increasing aging time and reaction temperature, while in EWBS system, vaterite nanoparticles aggregate into irregular microparticles. The advantage of alcohol–calcium method was discussed from the formation of the complex compound CaCl2·n(C2H5OH) in alcohol and its decomplexation in aqueous medium.
Maternal supraphysiological estradiol (E2) environment during pregnancy leads to adverse perinatal outcomes. However, the influence of oocyte exposure to high E2 levels on perinatal outcomes remains unknown. Thus, a retrospective cohort study was conducted to explore the effect of high E2 level induced by controlled ovarian stimulation (COH) on further outcomes after frozen embryo transfer (FET). The study included all FET cycles (n = 10,581) between 2014 and 2017. All cycles were categorized into three groups according to the E2 level on the day of the human Chorionic Gonadotropin trigger. Odds ratios (ORs) and their confidence intervals (CIs) were calculated to evaluate the association between E2 level during COH and pregnancy outcomes and subsequent neonatal outcomes. From our findings, higher E2 level was associated with lower percentage of chemical pregnancy, clinical pregnancy, ongoing pregnancy, and live birth as well as increased frequency of early miscarriage. Preterm births were more common among singletons in women with higher E2 level during COH (aOR1 = 1.93, 95% CI: 1.22–3.06; aOR2 = 2.05, 95% CI: 1.33–3.06). Incidence of small for gestational age (SGA) was more common in both singletons (aOR1 = 2.01, 95% CI: 1.30–3.11; aOR2 = 2.51, 95% CI: 1.69–3.74) and multiples (aOR1 = 1.58, 95% CI: 1.03–2.45; aOR2 = 1.99, 95% CI: 1.05–3.84) among women with relatively higher E2 level. No association was found between high E2 level during COH and the percentage of macrosomia or large for gestational age. In summary, oocyte exposure to high E2 level during COH should be brought to our attention, since the pregnancy rate decreasing and the risk of preterm birth and SGA increasing following FET.
The Sichuan–Yunnan–Guizhou (SYG) Pb–Zn metallogenic province is one of the most productive areas of Pb–Zn resources in China. The Fule deposit occurs in Permian carbonate and contains Pb–Zn reserves exceeding 1 Mt. To investigate the sulphur source, in situ S isotopic analysis of sphalerite and pyrite was carried out using nanoscale secondary-ion mass spectrometry. The results show that the δ34S values of the sulphide minerals range from +16.1‰ to +23.0‰, higher than that of marine sulphates hosted in Permian carbonate rocks (+11‰), but similar to that of sulphates over a broader area (+12.9‰ to +25.9‰). The sulphates in the regional rocks could therefore represent an important source of S for the Fule deposit via thermochemical sulphate reduction. The S source of the Fule deposit is different from those of most other Pb–Zn deposits in the SYG Pb–Zn mineralization province, which were mainly derived from the ore-bearing strata. The δ34S values of the early to late generations and some single sulphide crystals from the cores to rims show a slight increasing trend, implying that partial Rayleigh fractionation took place in the Fule deposit. It is suggested that the Fule sulphide precipitation resulted from the mixing of a metalliferous fluid with a H2S-rich fluid derived from the regional strata. Combining the geology, mineralogy and S isotope results with previous Pb isotope studies, it is suggested that the Fule deposit should be attributed to a Mississippi Valley type deposit.
A supercapacitor electrode featured with a voltage self-stabilizing capability is demonstrated by growing indium tin oxide (ITO) nanowires on Ni foam. The ITO nanowires with a single crystal structure are prepared by using magnetron sputtering technique, and they can act as an active electrode material. Charging–discharging experiments are performed under different current densities, demonstrating a good rate capability. Using properly designing top and bottom double connection circuits, part of the electrode can be used as a resistance switch. An electrode that can function as a supercapacitor and a resistance switch is fabricated. Detailed characteristics confirm that the device not only exhibits high performance as a supercapacitor but also has good characteristics of resistance switching (RS). The specific capacitance is 956 F/g at the scanning rate of 10 mV/s, and the switching ratio as a bipolar resistance switch is as high as 102. The stabilization time of discharging voltage is nearly doubled longer than that without any RS function, revealing the potential application of our devices, which can be used as a supercapacitor with voltage self-stabilizing.
Compared with traditional START Triage Method, the Sacco Triage Method is a new way to access death risk in disaster scenes. However, due to the difficulties in disaster medical research, there is still no evidence to prove which one is more effective.
To assess and compare the value of START Triage Method and Sacco Triage Method in the death risk assessment of transport and the one-month death risk assessment of the earthquake mass trauma patients.
A retrospective analysis was conducted on 1,612 patients who were transferred to the West China Hospital by assigning to different triage levels by Sacco Triage Method and START Triage Method respectively. Both of the triage methods were evaluated based on death cases on either during transport or in the emergency department, using the area under the receiver-operator curve.
For death during the transport and in the emergency department, the receiver-operator curve of two groups reflected as 0.721 and 0.649. For death in a consequence, the receiver-operator curve of the two groups was revealed as 0.667 and 0.519.
As an accurate triage method, the Sacco Triage Method may be used in a mass casualty incident. It is a more effective way than the START Triage Method for the evaluation of death risk assessment of the mass trauma patients.
Animate stimuli are remembered better than inanimate stimuli. The proximate mechanism of this preferential retrieval of animate stimuli has not been clarified. The present study proposes an inhibitory control explanation for the advantage of the memory of animate stimuli. The retrieval practice paradigm is employed to examine the role of inhibitory control in animacy effect in two experiments. The results of Experiment 1 revealed a strong inhibitory effect on animate stimuli but was not reliable on inanimate stimuli, suggesting that animacy effect is not due to the insensitivity to the inhibitory control. The results of Experiment 2 show the absence of animacy effect when animacy is designed as a between-subject variable, suggesting that the memory of artifact may be influenced by the memory of animals. These findings are discussed using the inhibitory control account and suggest that the role of inhibitory control in animacy effect is to selectively inhibit the memory of other categories in order to facilitate the retrieval of animals, indicating that inhibitory control is, in part, responsible for the animacy effect.
To assess the effect of famine exposure during early life on dietary patterns, chronic diseases, and the interaction effect between famine exposure and dietary patterns on chronic diseases in adulthood.
Cross-sectional study. Dietary patterns were derived by factor analysis. Multivariate quantile regression and log-binomial regression were used to evaluate the impact of famine exposure on dietary patterns, chronic diseases and the interaction effect between famine exposure and dietary patterns on chronic diseases, respectively.
Adults aged 45–60 years (n 939).
‘Healthy’, ‘high-fat and high-salt’, ‘Western’ and ‘traditional Chinese’ dietary patterns were identified. Early-childhood and mid-childhood famine exposure were remarkably correlated with high intake of the traditional Chinese dietary pattern. Compared with the non-exposed group (prevalence ratio (PR); 95 % CI), early-childhood (3·13; 1·43, 6·84) and mid-childhood (2·37; 1·05, 5·36) exposed groups showed an increased PR for diabetes, and the early-childhood (2·07; 1·01, 4·25) exposed group showed an increased PR for hypercholesterolaemia. Additionally, relative to the combination of non-exposed group and low-dichotomous high-fat and high-salt dietary pattern, the combination of famine exposure in early life and high-dichotomous high-fat and high-salt dietary pattern in adulthood had higher PR for diabetes (4·95; 1·66, 9·05) and hypercholesterolaemia (3·71; 1·73, 7·60), and significant additive interactions were observed.
Having suffered the Chinese famine in childhood might affect an individual’s dietary habits and health status, and the joint effect between famine and harmful dietary pattern could have serious consequences on later-life health outcomes.
The effect of zirconium alloying on the crystal structures and mechanical properties of binary tungsten–zirconium alloys is investigated in this study using the first-principles method. Firstly, we investigate the cell volumes, lattice constants, and formation energies of binary W1−xZrx (x = 0, 0.0625, 0.125, 0.1875, 0.25, and 0.5) alloys. It is shown that binary tungsten–zirconium alloys maintain BCC structures. When the concentration of zirconium atoms is lower than 12.5%, the structures of binary tungsten–zirconium alloys can be thermodynamically stable. The elastic constants of binary tungsten–zirconium alloys are calculated based on the optimized atomic lattice. Then, the elastic modulus and other mechanical parameters are deduced according to the relevant formulas. It is shown that the mechanical strength of binary tungsten–zirconium alloy decreases with an increasing concentration of zirconium atoms, which is lower than the mechanical strength of pure tungsten metal. However, the mechanical strength of binary tungsten–zirconium alloys is higher than that of pure zirconium metal. In addition, zirconium alloying can be effective in improving the ductility of pure tungsten metal.
A new helminthomorph millipede, Sinosoma luopingense new genus new species, from the Triassic Luoping biota of China, has 39 body segments, metazonites with lateral swellings that bear a pair of posterolateral pits (?insertion pits for spine bases), and sternites that are unfused to the pleurotergites. This millipede shares a number of characters with nematophoran diplopods, but lacks the prominent dorsal suture characteristic of that order. Other “millipede” material from the biota is more problematic. Millipedes are a rare part of the Luoping biota, which is composed mainly of marine and near-shore organisms. Occurrences of fossil millipedes are exceedingly rare in Triassic rocks worldwide, comprising specimens from Europe, Asia, and Africa, and consisting of juliform millipedes and millipedes that are either nematophorans or forms very similar to nematophorans.
Low-field magnetic stimulation (LFMS) has mood-elevating effect, and the increase of brain-derived neurotrophic factor (BDNF) is associated with antidepressant treatment. We evaluated the effects and association with BDNF of rhythmic LFMS in the treatment of major depressive disorder (MDD).
A total of 22 MDD patients were randomized to rhythmic alpha stimulation (RAS) or rhythmic delta stimulation (RDS), with 5 sessions per week, lasting for 6 weeks. Outcomes assessments included the 17-item Hamilton Depression Rating Scale (HAMD–17), the Hamilton Anxiety Rating Scale (HAMA), and the Clinical Global Impressions–Severity scale (CGI–S) at baseline and at weeks 1, 2, 3, 4, and 6. Serum BDNF level was measured at baseline and at weeks 2, 4, and 6.
HAMD–17, HAMA, and CGI–S scores were significantly reduced with both RAS and RDS. RAS patients had numerically greater reductions in HAMD–17 scores than RDS patients (8.9 ± 7.4 vs. 6.2 ± 6.2, effect size [ES]=0.40), while RDS patients had greater improvement in HAMA scores (8.2 ± 8.0 vs. 5.3 ± 5.8, ES=0.42). RAS was associated with clinically relevant advantages in response (54.5% vs. 18.2%, number-needed-to-treat [NNT]=3) and remission (36.4% vs. 9.1%, NNT=4). BDNF increased significantly during the 6-week study period (p<0.05), with greater increases in RAS at weeks 4 and 6 (ES=0.66—0.76) and statistical superiority at week 2 (p=0.034, ES=1.23). Baseline BDNF in the 8 responders (24.8±9.0 ng/ml) was lower than in the 14 nonresponders (31.1±7.3 ng/ml, p=0.083, ES=–0.79), and BDNF increased more in responders (8.9±7.8 ng/ml) than in nonresponders (1.8±3.5 ng/ml, p=0.044). The change in BDNF at week 2 was the most strongly predicted response (p=0.016).
Rhythmic LFMS was effective for MDD. BDNF may moderate/mediate the efficacy of LFMS.
Stimulated Raman scattering (SRS) effect is considered to be one of the main obstacles for power scaling in general-type fiber lasers. Different from previous techniques that aim at suppressing SRS, nonlinear fiber amplifier (NFA), which manipulates and employs the SRS for power scaling in rare-earth-doped fiber, is under intensive research in recent years. In this paper, the authors will present an all-round study on this new kind of high-power fiber amplifier. A theoretical model is proposed based on the rate equation and amplified spontaneous emission (ASE), with random noise taken into account. By numerical solving of the theoretical model, the power scaling potential, heat analysis and advantages in suppressing the undesired backscattering light are quantificationally analyzed for the first time. Then two different types of high-power NFAs are demonstrated individually. Firstly, a laser diode pumped NFA has reached kilowatt output power, and the results agree well with theoretical predictions. Secondly, a tandem-pumped NFA is proposed for the first time and validated experimentally, in which 1.5 kW output power has been achieved. The authors also briefly discuss several new issues relating to the complex nonlinear dynamics that occur in high-power NFAs, which might be interesting topics for future endeavors.
An all-fiberized and narrow-bandwidth master oscillator power amplification (MOPA) system with record output power of 4 kW level and slope efficiency of 78% is demonstrated. Tandem pumping strategy is tentatively introduced into the narrow-bandwidth MOPA system for thermally induced mode instability (TMI) suppression. The stimulated Brillouin scattering (SBS) effect is balanced by simply using one-stage phase modulation technique. With different phase modulation signals, SBS limited output powers of 336 W, 1.2 kW and 3.94 kW are respectively achieved with spectral bandwidths accounting for 90% power of
0.025, 0.17 and
0.89 nm. Compared with our previous 976 nm pumping system, TMI threshold is overall boosted to be
5 times in which tandem pumping increases the TMI threshold of
3 times. The beam quality (
factor) of the output laser is well within 1.5 below the TMI threshold while it is ultimately saturated to be 1.86 with the influence of TMI at maximal output power. Except for SBS and TMI, stimulated Raman scattering (SRS) effect will be another challenge for further power scaling. In such a high power MOPA system, multi-detrimental effects (SBS, SRS and TMI) will coexist and may be mutual-coupled, which could provide a well platform for further comprehensively investigating and optimizing the high power, narrow-bandwidth fiber amplifiers.
The discovery of the first electromagnetic counterpart to a gravitational wave signal has generated follow-up observations by over 50 facilities world-wide, ushering in the new era of multi-messenger astronomy. In this paper, we present follow-up observations of the gravitational wave event GW170817 and its electromagnetic counterpart SSS17a/DLT17ck (IAU label AT2017gfo) by 14 Australian telescopes and partner observatories as part of Australian-based and Australian-led research programs. We report early- to late-time multi-wavelength observations, including optical imaging and spectroscopy, mid-infrared imaging, radio imaging, and searches for fast radio bursts. Our optical spectra reveal that the transient source emission cooled from approximately 6 400 K to 2 100 K over a 7-d period and produced no significant optical emission lines. The spectral profiles, cooling rate, and photometric light curves are consistent with the expected outburst and subsequent processes of a binary neutron star merger. Star formation in the host galaxy probably ceased at least a Gyr ago, although there is evidence for a galaxy merger. Binary pulsars with short (100 Myr) decay times are therefore unlikely progenitors, but pulsars like PSR B1534+12 with its 2.7 Gyr coalescence time could produce such a merger. The displacement (~2.2 kpc) of the binary star system from the centre of the main galaxy is not unusual for stars in the host galaxy or stars originating in the merging galaxy, and therefore any constraints on the kick velocity imparted to the progenitor are poor.
Genotype by environment (G x E) interactions for grain yield were investigated in 13 perennial rice (Oryza sativa L./Oryza longistaminata) derivatives over three sites and 2 years in Lao PDR. Genotype accounted for 29.0% of the total sum of squares, with environment and the G x E interaction responsible for 60.2 and 10.8%, respectively. Cluster analysis identified three environment and six genotype groups, which accounted for 49.7, 98.0 and 42.8% of the E, G and G x E sums of squares, respectively. Principal component axes 1, 2 and 3 accounted for 54.0, 30.6 and 11.7% of the G x E sum of squares, respectively, with PCA1 indicating yield potential, PCA2 timing of cessation of rainfall in the 2011 wet season, and PCA3 environmental stresses affecting regrowth in the 2012 wet season. Genotype groups differed in adaptation to these contrasting conditions. G6 (Line 213, 240 and RD23) was widely adapted to all environments, with G5 (Line 248) being especially adapted to the 2012 environments. G3 and G4 were neutral, though G3 (Line 53) showed some preference for the Na Pok environments. G1 and G2 were poorly adapted everywhere, with the tall and late G1 (Line 11) being especially poor at Na Pok 2011 in a dry finish. While yields were lower in 2012, all derivatives survived the dry season with access to life-saving irrigation. This is promising, as the annual rice RD23 was unable to ratoon under these conditions, and had to be re-sown. Importantly, Line 213, 240 and 248 yielded comparably to RD23 from regrowth in 2012. Development of perennial rice should target rainfed and especially upland environments.
Change mode and effects analysis (CMEA) is a powerful technique for measuring product flexibility toward future changes and diminishing the cost of redesign as well as shortening time to market. As a systematic methodology, it provides an in-depth view for the investigation of potential changes, causes, and effects in designs, products, and processes. Traditional CMEA determines the risk priorities of change modes by using change potential number, which requires the risk factors of design flexibility, occurrence, and readiness to be precisely evaluated. However, this is not always possible in real applications due to the uncertainty and subjectivity involved in the early design stages. It has been criticized much for its deficiencies in criteria weighting of the risk factors, change potential number calculation, and risk priorities determination of the change modes. This paper presents a systematic evaluation approach for determining a more rational rank of change modes by combining with the entropy weight method, rough number, and grey relational analysis. In this study, the entropy weight method is adopted to calculate the relative importance of risk factors. Rough number is presented to aggregate individual weights and preferences, and to manipulate the vagueness in the evaluation process. Then a rough number enhanced grey relational analysis is proposed to evaluate the risk ranking of change modes. Finally, a practical example is put forward to validate the performance of the proposed method. The result shows that the proposed change mode evaluation method can effectively overcome the shortcomings of traditional CMEA and strengthen the objectivity of product flexibility measurement.