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Previous analyses of grey and white matter volumes have reported that schizophrenia is associated with structural changes. Deep learning is a data-driven approach that can capture highly compact hierarchical non-linear relationships among high-dimensional features, and therefore can facilitate the development of clinical tools for making a more accurate and earlier diagnosis of schizophrenia.
Aims
To identify consistent grey matter abnormalities in patients with schizophrenia, 662 people with schizophrenia and 613 healthy controls were recruited from eight centres across China, and the data from these independent sites were used to validate deep-learning classifiers.
Method
We used a prospective image-based meta-analysis of whole-brain voxel-based morphometry. We also automatically differentiated patients with schizophrenia from healthy controls using combined grey matter, white matter and cerebrospinal fluid volumetric features, incorporated a deep neural network approach on an individual basis, and tested the generalisability of the classification models using independent validation sites.
Results
We found that statistically reliable schizophrenia-related grey matter abnormalities primarily occurred in regions that included the superior temporal gyrus extending to the temporal pole, insular cortex, orbital and middle frontal cortices, middle cingulum and thalamus. Evaluated using leave-one-site-out cross-validation, the performance of the classification of schizophrenia achieved by our findings from eight independent research sites were: accuracy, 77.19–85.74%; sensitivity, 75.31–89.29% and area under the receiver operating characteristic curve, 0.797–0.909.
Conclusions
These results suggest that, by using deep-learning techniques, multidimensional neuroanatomical changes in schizophrenia are capable of robustly discriminating patients with schizophrenia from healthy controls, findings which could facilitate clinical diagnosis and treatment in schizophrenia.
Some studies have suggested that the Toll-like receptor 9 polymorphism (TLR9 rs352140) is closely related to the risk of bacterial meningitis (BM), but this is subject to controversy. This study set out to estimate whether the TLR9 rs352140 polymorphism confers an increased risk of BM. Relevant literature databases were searched including PubMed, Embase, the Cochrane Library and China National Knowledge Infrastructure (CNKI) up to August 2020. Seven case-control studies from four publications were enrolled in the present meta-analysis. Odds ratios (OR) and confidence intervals (95% CI) were calculated to estimate associations between BM risk and the target polymorphism. Significant associations identified were allele contrast (A vs. G: OR 0.66, 95% CI 0.59–0.75, P = 0.000), homozygote comparison (AA vs. AG/GG: OR 0.62, 95% CI 0.49–0.78, P = 0.000), heterozygote comparison (A vs. G: OR 0.74, 95% CI 0.61–0.91, P = 0.005), recessive genetic model (AA vs. AG/GG: OR 0.78, 95% CI 0.65–0.93, P = 0.006) and dominant genetic model (AA vs. AG/GG: OR 0.70, 95% CI 0.57–0.85, P = 0.000). The findings indicate that, in contrast to some studies, the TLR9 rs352140 polymorphism is associated with a decreased risk for BM.
The outbreak of COVID-19 generated severe emotional reactions, and restricted mobility was a crucial measure to reduce the spread of the virus. This study describes the changes in public emotional reactions and mobility patterns in the Chinese population during the COVID-19 outbreak.
Methods
We collected data on public emotional reactions in response to the outbreak through Weibo, the Chinese Twitter, between 1st January and 31st March 2020. Using anonymized location-tracking information, we analyzed the daily mobility patterns of approximately 90% of Sichuan residents.
Results
There were three distinct phases of the emotional and behavioral reactions to the COVID-19 outbreak. The alarm phase (19th–26th January) was a restriction-free period, characterized by few new daily cases, but a large amount public negative emotions [the number of negative comments per Weibo post increased by 246.9 per day, 95% confidence interval (CI) 122.5–371.3], and a substantial increase in self-limiting mobility (from 45.6% to 54.5%, changing by 1.5% per day, 95% CI 0.7%–2.3%). The epidemic phase (27th January–15th February) exhibited rapidly increasing numbers of new daily cases, decreasing expression of negative emotions (a decrease of 27.3 negative comments per post per day, 95% CI −40.4 to −14.2), and a stabilized level of self-limiting mobility. The relief phase (16th February–31st March) had a steady decline in new daily cases and decreasing levels of negative emotion and self-limiting mobility.
Conclusions
During the COVID-19 outbreak in China, the public's emotional reaction was strongest before the actual peak of the outbreak and declined thereafter. The change in human mobility patterns occurred before the implementation of restriction orders, suggesting a possible link between emotion and behavior.
Due to the drastic surge of COVID-19 patients, many countries are considering or already graduating health professional students early to aid professional resources. We aimed to assess outbreak-related psychological distress and symptoms of acute stress reaction (ASR) in health professional students and to characterize individuals with potential need for interventions.
Methods
We conducted a prospective cohort study of 1442 health professional students at Sichuan University, China. At baseline (October 2019), participants were assessed for childhood adversity, stressful life events, internet addiction, and family functioning. Using multivariable logistic regression, we examined associations of the above exposures with subsequent psychological distress and ASR in response to the outbreak.
Results
Three hundred and eighty-four (26.63%) participants demonstrated clinically significant psychological distress, while 160 (11.10%) met the criterion for a probable ASR. Individuals who scored high on both childhood adversity and stressful life event experiences during the past year were at increased risks of both distress (ORs 2.00–2.66) and probable ASR (ORs 2.23–3.10), respectively. Moreover, internet addiction was associated with elevated risks of distress (OR 2.05, 95% CI 1.60–2.64) and probable ASR (OR 2.15, 95% CI 1.50–3.10). By contrast, good family functioning was associated with decreased risks of distress (OR 0.43, 95% CI 0.33–0.55) and probable ASR (OR 0.48, 95% CI 0.33–0.69). All associations were independent of baseline psychological distress.
Conclusions
Our findings suggest that COVID-19 related psychological distress and high symptoms burden of ASR are common among health professional students. Extended family and professional support should be considered for vulnerable individuals during these unprecedented times.
We aimed to evaluate the relationship of plasma Mg with the risk of new-onset hyperuricaemia and examine any possible effect modifiers in hypertensive patients. This is a post hoc analysis of the Uric acid (UA) Sub-study of the China Stroke Primary Prevention Trial (CSPPT). A total of 1685 participants were included in the present study. The main outcome was new-onset hyperuricaemia defined as a UA concentration ≥417 μmol/l in men or ≥357 μmol/l in women. The secondary outcome was a change in UA concentration defined as UA at the exit visit minus that at baseline. During a median follow-up duration of 4·3 years, new-onset hyperuricaemia occurred in 290 (17·2 %) participants. There was a significantly inverse relation of plasma Mg with the risk of new-onset hyperuricaemia (per sd increment; OR 0·85; 95 % CI 0·74, 0·99) and change in UA levels (per sd increment; β −3·96 μmol/l; 95 % CI −7·14, −0·79). Consistently, when plasma Mg was analysed as tertiles, a significantly lower risk of new-onset hyperuricaemia (OR 0·67; 95 % CI 0·48, 0·95) and less increase in UA levels (β −8·35 μmol/l; 95 % CI −16·12, −0·58) were found among participants in tertile 3 (≥885·5 μmol/l) compared with those in tertile 1 (<818·9 μmol/l). Similar trends were found in males and females. Higher plasma Mg levels were associated with a decreased risk of new-onset hyperuricaemia in hypertensive adults.
Schizophrenia is a complex mental disorder with high heritability and polygenic inheritance. Multimodal neuroimaging studies have also indicated that abnormalities of brain structure and function are a plausible neurobiological characterisation of schizophrenia. However, the polygenic effects of schizophrenia on these imaging endophenotypes have not yet been fully elucidated.
Aims
To investigate the effects of polygenic risk for schizophrenia on the brain grey matter volume and functional connectivity, which are disrupted in schizophrenia.
Method
Genomic and neuroimaging data from a large sample of Han Chinese patients with schizophrenia (N = 509) and healthy controls (N = 502) were included in this study. We examined grey matter volume and functional connectivity via structural and functional magnetic resonance imaging, respectively. Using the data from a recent meta-analysis of a genome-wide association study that comprised a large number of Chinese people, we calculated a polygenic risk score (PGRS) for each participant.
Results
The imaging genetic analysis revealed that the individual PGRS showed a significantly negative correlation with the hippocampal grey matter volume and hippocampus–medial prefrontal cortex functional connectivity, both of which were lower in the people with schizophrenia than in the controls. We also found that the observed neuroimaging measures showed weak but similar changes in unaffected first-degree relatives of patients with schizophrenia.
Conclusions
These findings suggested that genetically influenced brain grey matter volume and functional connectivity may provide important clues for understanding the pathological mechanisms of schizophrenia and for the early diagnosis of schizophrenia.
Graphene oxide (GO) is a promising material in improving the corrosion resistance properties of metals. This improvement significantly relies on the microstructure and electrical properties of GO, which nevertheless is rarely studied. Here, multiscale GOs with different flake sizes and oxidation degrees were fabricated and incorporated into waterborne alkyd resin (AR). The physical and chemical structures of GO and AR/GO composites were characterized in detail. Multiscale GOs are successfully prepared, and the corrosion resistance of AR/GO coatings is measured by electrochemical workstation. Electrochemical experiments indicate that GOs with larger flake sizes have excellent barrier properties due to the shielding effect; GOs with appropriate oxidation degrees could effectively improve the dispersion of GO and avoid the conductive path of GO in the matrix, because oxidation degree of GO could influence the dispersion and electrical properties. The corrosion protection efficiency of AR/GO(GO: 120 μm, 1.5 wt%, sp2/sp3 = 2.61) is 98.14%, which is 2.26 times higher than AR. The multiscale effects of GO on the corrosion resistance property of AR coatings are quite general, thus providing guidelines for developing highly efficient corrosion resistant coatings for practical usage.
Using phytolith analysis from a well-dated and high-resolution sediment sequence in the apex of northern Yangtze Delta, we investigate environmental changes, the rise and decline of rice exploitation and possible impacts of environment on rice exploitation during the early mid-Holocene. The phytolith sequence documents a relatively warm and dry interval during ca.9000 to 8200 cal yr BP, followed by climatic amelioration before 7200 cal yr BP. Phytolith evidence indicates that rice exploitation at the apex of northern Yangtze Delta began at 8200 cal yr BP, flourished by 7700 cal yr BP and ceased after 7400 cal yr BP. The first emergence of marine diatom species approximately 7300 cal yr BP likely indicates an accelerated sea-level rise. The apparent correlation of the initiation of rice exploitation with climatic amelioration during the early mid-Holocene suggests that climatic changes may have played an important role in facilitating rice exploitation. Both the ideal climatic conditions and stable sea level enabled flourishing rice exploitation during 8200 to 7400 cal yr BP. Although the climate remained warm and wet after 7400 cal yr BP, local sea-level rise possibly led to the termination of earlier rice exploitation at this site of the northern Yangtze Delta.
This research reviews the constructs and measurements of guanxi and concludes that colleague guanxi is appropriately conceptualized as a multidimensional construct that describes Chinese colleague relationships. The development of a colleague guanxi scale with four dimensions is described. Two studies test the convergent, discriminant, and nomological validity of the guanxi scale. In validation tests guanxi intensity increases with cognition features (subjective fit and cognitive trust) and results in a positive affect (affective trust). Contributions of the colleague guanxi scale are offered.
To describe the knowledge, attitudes and practices of type 2 diabetics in Yakeshi City and to assess the effect of implementation of nutritional and eating education in enhancing knowledge and practices regarding a healthy diet.
Design
A questionnaire-based survey was conducted with 162 diabetics to determine their nutrition knowledge, attitudes and practices; fifty-four participants received nutritional and eating education for 6 months. Diabetes-related nutrition knowledge, awareness, practice accuracy, dietary intake and glycaemic control were assessed before and after education.
Setting
Yakeshi, a remote city in northern China.
Subjects
A total of 162 type 2 diabetics recruited from three hospitals, fifty-four of whom were selected randomly to receive education.
Results
Among the 162 respondents, most diabetics (75 %) considered that controlling diet was important in the methods of controlling blood glucose. Scores for knowledge, practices and overall KAP (knowledge–attitude–practice) were low, but scores for attitude were high. Participants with diabetes education experiences, practice duration over 1 year or high education level all had higher scores for KAP (P < 0·001, P < 0·05 and P < 0·001, respectively) than their counterparts. After education, patients’ nutrition knowledge, awareness and practice accuracy improved significantly (P < 0·05). The rates of patients with recommended daily intake of vegetables, grains and dairy were boosted (P < 0·05). Various nutrient intakes increased (P < 0·05) but not protein, Fe, Zn and Se. Significant improvements were also found in glycaemic control (P < 0·05).
Conclusions
Diabetics in Yakeshi had positive attitudes, but relatively poor nutrition knowledge and practices. Nutritional and eating education was effective in improving diabetics’ nutrition knowledge and practices, and this optimal practice helped them control blood glucose effectively.
from
Section 3
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Involvement of Magnesium in Psychiatric Diseases
By
Dehua Chui, Neuroscience Research Institute & Department of Neurobiology, Key Laboratory for Neuroscience, Ministry of Education & Ministry of Public Health, Health Science Center, Peking University, Beijing 100191, China,
Zheng Chen, Department of Psychiatry & Institute for Geriatric Clinic and Rehabilitation, Beijing Geriatric Hospital, Beijing 100095, China,
Jia Yu, Department of Psychiatry & Institute for Geriatric Clinic and Rehabilitation, Beijing Geriatric Hospital, Beijing 100095, China,
Honglin Zhang, Department of Psychiatry & Institute for Geriatric Clinic and Rehabilitation, Beijing Geriatric Hospital, Beijing 100095, China,
Weishan Wang, Department of Psychiatry & Institute for Geriatric Clinic and Rehabilitation, Beijing Geriatric Hospital, Beijing 100095, China,
Yuetao Song, Department of Psychiatry & Institute for Geriatric Clinic and Rehabilitation, Beijing Geriatric Hospital, Beijing 100095, China,
Huan Yang, Neuroscience Research Institute & Department of Neurobiology, Key Laboratory for Neuroscience, Ministry of Education & Ministry of Public Health, Health Science Center, Peking University, Beijing 100191, China,
Yi Liu, Neuroscience Research Institute & Department of Neurobiology, Key Laboratory for Neuroscience, Ministry of Education & Ministry of Public Health, Health Science Center, Peking University, Beijing 100191, China
Edited by
Robert Vink, University of Adelaide,Mihai Nechifor, University of Medicine and Pharmacy, Iasi, Romania
Alzheimer's disease (AD) is the most common form of dementia. It is characterized by a progressive cognitive impairment clinically, and excessive deposits of aggregated amyloid-β (Aβ) peptides pathologically. Environmental factors, including nutrition and metal elements, are implicated in the pathophysiology of AD. Magnesium (Mg) affects many biochemical mechanisms vital for neuronal properties and synaptic plasticity, including the response of N-methyl D-aspartate (NMDA) receptors to excitatory amino acids, stability and viscosity of the cell membrane and antagonism of calcium. Mg levels were found decreased in various tissues of AD patients and negatively correlated with clinical deterioration. Moreover, Mg was demonstrated to modulate the trafficking and processing of amyloid-β precursor protein (APP), which plays a central role in the pathogenesis of AD. Here, we review in vitro and in vivo data that indicated a role for magnesium in many biological and clinical aspects of AD.
Alzheimer's disease
Alzheimer's disease (AD) is the most prevalent neurodegenerative disease in elderly people, affecting approximate 6∼8% of all individuals over the age of 65 years. AD is characterized by progressive cognitive impairment and distinct neuropathological lesions in the brain, including intracellular neurofibrillary tangles, extracellular parenchymal and cerebrovascular senile plaques (Braak and Braak, 1991).
A parent strain of Aspergillus niger LW-1 producing β-mannanase, preserved in our laboratory, was isolated. A strain, N-9, was screened out and further treated with vacuum microwave irradiation and ethyl methane sulphonate (EMS). A mutant strain, E-30, producing a high and stable yield of β-mannanase was obtained through screening by solid-state cultivation on the basic fermentation medium and several generations of bevel subculture. Its enzyme activity (36 675 U/g) was increased by 2.15 times compared to that of A. niger LW-1 (17 048 U/g). The production of high-yield β-mannanase by E-30 remained stable when maintained at 4°C for 2 months.
We consider the stationary non-linear Schrödinger equation\begin{equation*}\Delta u + \{1 + \lambda g(x)\} u = f(u)\mbox{with}u \in H^{1} (\mathbb{R}^{N}), u \not\equiv 0,\end{equation*} where $\lambda >0$ and the functions $f$ and $g$ are such that\begin{equation*} \lim_{s \rightarrow 0}\frac{f(s)}{s} = 0 \mbox{and} 1 < \alpha + 1 = \lim _{|s| \rightarrow \infty}\frac{f(s)}{s} < \infty\end{equation*} and \begin{equation*} g(x)\equiv 0 \mbox{on} \bar{\Omega}, g(x)\in (0, 1] \mbox{on} {\mathbb{R}^{N}} \setminus {\overline{\Omega}} \mbox{and} \lim_{|x| \rightarrow + \infty} g(x) = 1 \end{equation*} for some bounded open set $\Omega \in \mathbb{R}^{N}$. We use topological methods to establish the existence of two connected sets $\mathcal{D}^{\pm}$ of positive/negative solutions in $\mathbb{R} \times W^{2, p} (\mathbb{R}^{N})$ where $p \in [2, \infty) \cap (\frac{N}{2},\infty)$ that cover the interval $(\alpha,\Lambda(\alpha))$ in the sense that \begin{align*} P \mathcal{D}^{\pm} & = (\alpha, \Lambda(\alpha)) \text{where}P(\lambda, u) = \lambda \text{and furthermore,} \\ \lim_{\lambda \rightarrow \Lambda(\alpha)-}\left\Vert u_{\lambda} \right\Vert _{L^{\infty} (\mathbb{R}^{N})} & = \lim_{\lambda \rightarrow \Lambda (\alpha )-} \left\Vert u_{\lambda} \right\Vert _{W^{2, p}(\mathbb{R}^{N})} = \infty \text{ for }(\lambda, u_{\lambda}) \in \mathcal{D}^{\pm}. \end{align*} The number $\Lambda(\alpha)$ is characterized as the unique value of $\lambda$ in the interval $(\alpha, \infty)$ for which the asymptotic linearization has a positive eigenfunction. Our work uses a degree for Fredholm maps of index zero.
the paper considers the eigenvalue problem \[ -\delta u-\alpha u+\lambda g(x)u=0\quad \mbox{with}u\in h^{1}(\mathbb{r}^{n}),\;u\neq0, \] where $\alpha,\lambda\in\mathbb{r}$ and \[g(x)\equiv0\mbox{on}\overline{\omega},\quad\ g(x)\in(0,1]\mbox{on}{\mathbb{r}^{n}}\setminus{\overline{\omega}}\quad\mbox{and}\quad\lim_{|x|\rightarrow+\infty}g(x)=1 \] for some bounded open set $\omega\in\mathbb{r}^{n}$.
given $\alpha>0$, does there exist a value of $\lambda>0$ for which the problem has a positive solution? it is shown that this occurs if and only if $\alpha$ lies in a certain interval $(\gamma,\xi_{1})$ and that in this case the value of $\lambda$ is unique, $\lambda=\lambda(\alpha)$. the properties of the function $\lambda(\alpha)$ are also discussed.
The effects of some factors on the isolation of protoplasts from Penicillium digitatum were studied, including the appropriate material (young mycelia and generating spores), the concentrations of enzyme and osmotic pressure stabilizers, reaction time and reaction temperature. Results demonstrated that germinating spores were an ideal material resource for the isolation of P. digitatum protoplasts. Highest yield and quality of P. digitatum protoplasts were obtained by shaking germinating spores suspended in a solution of 10 mg/ml Lywallzyme™ dissolved in 0.7 M NaCl as osmotic pressure stabilizer at 80 rev/min and 30°C for 3.0–3.5 h. The regeneration rate of the isolated protoplasts was as high as 24.9% on double-layer Czapek medium containing 0.7 M NaCl. Additionally, observation of the protoplast release pattern showed that the protoplasts of P. digitatum were released primarily from the hyphal apex and occasionally from the subapical or original sites of germinating tubes. The protoplasts of P. digitatum were regenerated in a direct manner of either yeast-like cell development or mycelium formation.
The Chinese giant salamander Andrias davidianus is the largest living amphibian. Most wild populations are threatened and some are already extinct. The Chinese government has declared the species a Class II Protected Species, and it is listed as Critically Endangered in the Chinese Red Book of Amphibians and Reptiles and as Data Deficient on the IUCN Red List. Populations of the species have declined sharply in both range and number since the 1950s because of habitat loss and fragmentation, and hunting for the commercial luxury food trade. Remaining populations appear to be distributed in 12 areas across 17 provinces in the mountainous areas of the middle Yangtze, Yellow and Pearl Rivers. Since the 1980s, 14 nature reserves, with a total area of more than 355,000 ha, have been established for the conservation of the Chinese giant salamander. We carried out habitat and questionnaire surveys for the species in 13 locations, and based on the results and on the little amount of published information, most of it in Chinese, we assess the current status of the species and make recommendations for its conservation management. Conservation of the Chinese giant salamander should be given a high priority and considered an important part of wetland management.
In this paper, we consider the problem of the steady-state fully developed magnetohydrodynamic (MHD) flow of a conducting fluid through a channel with arbitrary wall conductivity in the presence of a transverse external magnetic field with various inclined angles. The coupled governing equations for both axial velocity and induced magnetic field are firstly transformed into decoupled Poisson-type equations with coupled boundary conditions. Then the dual reciprocity boundary element method (DRBEM) [20] is used to solve the Poisson-type equations. As testing examples, flows in channels of three different crosssections, rectangular, circular and triangular, are calculated. It is shown that solutions obtained by the DRBEM with constant elements are accurate for Hartmann number up to 8 and for large conductivity parameters comparing to exact solutions and solutions by the finite element method (FEM).
The paper studies the existence of multiple solutions to the following p-Laplacian type elliptic problem
(p > 1):
where Ω is a bounded domain in ℝN(N [ges ] 1) with smooth boundary
∂Ω, and f(x, u) goes asymptotically
in u to [mid ]u[mid ]p−2u at infinity.
It is well known that this kind of nonlinear term creates some difficulties in
the application of the mountain pass theorem because of the lack of an Ambrosetti–Rabinowitz type
superlinear condition on f(x, u). An improved mountain pass theorem is used to prove that the above
problem possesses multiple solutions under some natural conditions on f(x, u), and some known results
are generalized.
where for all ≦f(x,u)≦c1up-1 + c2u for all x ∈ℝN,u≧0 with c1>0,c2∈(0, 1), 2<p<(2N/(N – 2)) if N ≧ 3, 2 ≧ + ∝ if N = 2. We prove that (*) has at least two positive solutions if
and h≩0 in ℝN, where S is the best Sobolev constant and