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This study aimed to assess the relationship between COVID-19 infection-related conditions and depressive symptoms among medical staff after easing the zero-COVID policy in China, and to further examine the mediating role of professional burnout.
Methods
A total of 1716 medical staff from all levels of health care institutions in 16 administrative districts of Beijing, China, were recruited to participate at the end of 2022 in this cross-sectional study. Several multiple linear regressions and mediating effects tests were performed to analyze the data.
Results
At the beginning of the end of the zero-COVID policy in China, 91.84% of respondents reported infection with COVID-19. After adjusting for potential confounding variables, the severity of infection symptoms was significantly positively associated with high levels of depressive symptoms (β = 0.06, P < 0.001), and this association was partially mediated by professional burnout. Specifically, emotional exhaustion (95% CI, 0.131, 0.251) and depersonalization (95% CI, 0.009, 0.043) significantly mediated the association between the severity of infection symptoms and depressive symptoms.
Conclusions
The mental health of medical staff with more severe symptoms of COVID-19 infection should be closely monitored. Also, interventions aimed at reducing emotional exhaustion and depersonalization may effectively reduce their risk of developing depressive symptoms.
where ɛ is apositive parameter, $0 \lt s \lt 1$, $2 \leqslant p \lt q \lt \min\{2p, N / s\}$, $0 \lt \mu \lt sp$, $(- \Delta)_t^s$$(t \in \left\{p,q\right\})$ is the fractional t-Laplace operator, the reaction term $f : \mathbb{R} \mapsto \mathbb{R}$ is continuous, and the potential $V \in C (\mathbb{R}^N , \mathbb{R})$ satisfying a local condition. Using a variational approach and topological tools (the non-standard C1-Nehari manifold analysis and the abstract category theory), multiplicity of positive solutions and concentration properties for the above problem are established. Our results extend and complement some previous contributions related to double phase variational integrals.
Folate metabolism is involved in the development and progression of various cancers. We investigated the association of single nucleotide polymorphisms (SNP) in folate-metabolising genes and their interactions with serum folate concentrations with overall survival (OS) and liver cancer-specific survival (LCSS) of newly diagnosed hepatocellular carcinoma (HCC) patients. We detected the genotypes of six SNP in three genes related to folate metabolism: methylenetetrahydrofolate reductase (MTHFR), 5-methyltetrahydrofolate-homocysteine methyltransferase reductase (MTRR) and 5-methyltetrahydrofolate-homocysteine methyltransferase (MTR). Cox proportional hazard models were used to calculate multivariable-adjusted hazard ratios (HR) and 95 % CI. This analysis included 970 HCC patients with genotypes of six SNP, and 864 of them had serum folate measurements. During a median follow-up of 722 d, 393 deaths occurred, with 360 attributed to HCC. In the fully-adjusted models, the MTRR rs1801394 polymorphism was significantly associated with OS in additive (per G allele: HR = 0·84, 95 % CI: 0·71, 0·99), co-dominant (AG v. AA: HR = 0·77; 95 % CI: 0·62, 0·96) and dominant (AG + GG v. AA: HR = 0·78; 95 % CI: 0·63, 0·96) models. Carrying increasing numbers of protective alleles was linked to better LCSS (HR10–12 v. 2–6 = 0·70; 95 % CI: 0·49, 1·00) and OS (HR10–12 v. 2–6 = 0·67; 95 % CI: 0·47, 0·95). Furthermore, we observed significant interactions on both multiplicative and additive scales between serum folate levels and MTRR rs1801394 polymorphism. Carrying the variant G allele of the MTRR rs1801394 is associated with better HCC prognosis and may enhance the favourable association between higher serum folate levels and improved survival among HCC patients.
Weedy rice (Oryza sativa f. spontanea Auct. ex Backer) is a troublesome annual weed from the Gramineae family and infests rice (Oryza sativa L.) fields globally, with a notable presence in China. However, limited information is available regarding the effects of diverse environmental factors on its germination and emergence. A better understanding of the seed biology and ecology of weedy rice is crucial for developing effective weed management strategies. Experiments were conducted to evaluate the effects of temperature, light, soil burial depth, wheat (Triticum aestivum L.) crop residue amount, salt stress, osmotic stress, and radiant heat on the germination and seedling emergence of weedy rice. Weedy rice exhibited robust germination (>98%) when exposed to varying day/night temperatures (20/15 to 35/30 C) and remained unaffected by light conditions. Seedling emergence was not influenced within the top 5-cm soil layer, where 100% of the seedlings emerged. However, emergence decreased as the soil burial depth increased, eventually resulting in no emergence from a burial depth of 11 cm. The soil burial depth required for 50% of the maximum emergence was 8.3 cm. Seedling emergence ranged from 97% to 100% across different amounts of the wheat straw residue cover (0 to 10,000 kg ha−1). The sodium chloride concentration and osmotic potential required for 50% were 230.8 mM and −0.5 MPa, respectively. No germination was observed when weedy rice seeds were exposed to >110 C pretreatment (radiant heat for 5 min), indicating that residue burning could reduce infestation of weedy rice. The insights gained from this study contribute valuable knowledge to enhance the integrated management of weedy rice in China.
Bilinguals may choose to speak a language either at their own will or in response to an external demand, but the underlying neural mechanisms in the two contexts is poorly understood. In the present study, Chinese–English bilinguals named pairs of pictures in three conditions: during forced-switch, the naming language altered between pictures 1 and 2. During non-switch, the naming language used was the same. During free-naming, either the same or different languages were used at participants' own will. While behavioural switching costs were observed during free-naming and forced-switching, neuroimaging results showed that forced language selection (i.e., forced-switch and non-switch) is associated with left-lateralized frontal activations, which have been implicated in inhibitory control. Free language selection (i.e., free-naming), however, was associated with fronto-parietal activations, which have been implicated in self-initiated behaviours. These findings offer new insights into the neural differentiation of language control in forced and free language selection contexts.
This paper retrospectively analysed the prevalence of macrolide-resistant Mycoplasma pneumoniae (MRMP) in some parts of China. Between January 2013 and December 2019, we collected 4,145 respiratory samples, including pharyngeal swabs and alveolar lavage fluid. The highest PCR-positive rate of M. pneumoniae was 74.5% in Beijing, the highest resistance rate was 100% in Shanghai, and Gansu was the lowest with 20%. The highest PCR-positive rate of M. pneumoniae was 74.5% in 2013, and the highest MRMP was 97.4% in 2019; the PCR-positive rate of M. pneumoniae for adults in Beijing was 17.9% and the MRMP was 10.48%. Among the children diagnosed with community-acquired pneumonia (CAP), the PCR-positive and macrolide-resistant rates of M. pneumoniae were both higher in the severe ones. A2063G in domain V of 23S rRNA was the major macrolide-resistant mutation, accounting for more than 90%. The MIC values of all MRMP to erythromycin and azithromycin were ≥ 64 μg/ml, and the MICs of tetracycline and levofloxacin were ≤ 0.5 μg/ml and ≤ 1 μg/ml, respectively. The macrolide resistance varied in different regions and years. Among inpatients, the macrolide-resistant rate was higher in severe pneumonia. A2063G was the common mutation, and we found no resistance to tetracycline and levofloxacin.
The integration of camera and LiDAR technologies has the potential to significantly enhance construction robots’ perception capabilities by providing complementary construction information. Structured light cameras (SLCs) are a desirable alternative as they provide comprehensive information on construction defects. However, fusing these two types of information depends largely on the sensors’ relative positions, which can only be established through extrinsic calibration. This paper introduces a novel calibration algorithm considering a customized board for SLCs and repetitive LiDARs, which are designed to facilitate the automation of construction robots. The calibration board is equipped with four symmetrically distributed hemispheres, whose centers are obtained by fitting the spheres and adoption with the geometric constraints. Subsequently, the spherical centers serve as reference features to estimate the relationship between the sensors. These distinctive features enable our proposed method to only require one calibration board pose and minimize human intervention. We conducted both simulation and real-world experiments to assess the performance of our algorithm. And the results demonstrate that our method exhibits enhanced accuracy and robustness.
Cis-1,4-polyisoprene latex (IRL) is the best alternative to natural rubber latex (NRL), and can help to avoid human allergic reactions caused by proteins in NRL. The mechanical properties of IRL are inferior to those of NRL, however. To address this issue, a novel strategy was developed using an in situ solution emulsification to prepare a latex composite incorporating sodium montmorillonite (Na-Mnt). The properties of the latex film prepared were investigated. The dispersion state of the Mnt in the latex composites and the morphology of the resulting composite films were characterized using scanning electron microscopy (SEM) and transmission electron microscopy (TEM). In addition, the mechanism of Mnt reinforcement of IRL is described comprehensively. The results showed that the Mnt/IRL latex composites prepared were stable and excellent films were formed, similar to those of NRL. The current research provided an effective method for preparing high-performance composite films suitable for use in high-end medical applications.
We introduce a natural two-cardinal version of Bagaria’s sequence of derived topologies on ordinals. We prove that for our sequence of two-cardinal derived topologies, limit points of sets can be characterized in terms of a new iterated form of pairwise simultaneous reflection of certain kinds of stationary sets, the first few instances of which are often equivalent to notions related to strong stationarity, which has been studied previously in the context of strongly normal ideals. The non-discreteness of these two-cardinal derived topologies can be obtained from certain two-cardinal indescribability hypotheses, which follow from local instances of supercompactness. Additionally, we answer several questions posed by the first author, Holy and White on the relationship between Ramseyness and indescribability in both the cardinal context and in the two-cardinal context.
To examine the effectiveness of Self-Help Plus (SH+) as an intervention for alleviating stress levels and mental health problems among healthcare workers.
Methods
This was a prospective, two-arm, unblinded, parallel-designed randomised controlled trial. Participants were recruited at all levels of medical facilities within all municipal districts of Guangzhou. Eligible participants were adult healthcare workers experiencing psychological stress (10-item Perceived Stress Scale scores of ≥15) but without serious mental health problems or active suicidal ideation. A self-help psychological intervention developed by the World Health Organization in alleviating psychological stress and preventing the development of mental health problems. The primary outcome was psychological stress, assessed at the 3-month follow-up. Secondary outcomes were depression symptoms, anxiety symptoms, insomnia, positive affect (PA) and self-kindness assessed at the 3-month follow-up.
Results
Between November 2021 and April 2022, 270 participants were enrolled and randomly assigned to either SH+ (n = 135) or the control group (n = 135). The SH+ group had significantly lower stress at the 3-month follow-up (b = −1.23, 95% CI = −2.36, −0.10, p = 0.033) compared to the control group. The interaction effect indicated that the intervention effect in reducing stress differed over time (b = −0.89, 95% CI = −1.50, −0.27, p = 0.005). Analysis of the secondary outcomes suggested that SH+ led to statistically significant improvements in most of the secondary outcomes, including depression, insomnia, PA and self-kindness.
Conclusions
This is the first known randomised controlled trial ever conducted to improve stress and mental health problems among healthcare workers experiencing psychological stress in a low-resource setting. SH+ was found to be an effective strategy for alleviating psychological stress and reducing symptoms of common mental problems. SH+ has the potential to be scaled-up as a public health strategy to reduce the burden of mental health problems in healthcare workers exposed to high levels of stress.
Vegetables are known to be beneficial to human health, but the association between vegetable consumption and gastric cancer remains uncertain. To synthesise knowledge about the relationship between vegetable group consumption and gastric cancer risk, update present meta-analyses and estimate associations between vegetable consumption and gastric cancer risk based solely on prospective studies, we perform a PRISMA-compliant three-level meta-analysis. Systematic search identified thirteen prospective studies with fifty-two effect sizes that met all inclusion criteria and no exclusion criteria for our meta-analysis. Pooled risk ratios (RRs) showed a positive association between high vegetable consumption and low gastric cancer risk (pooled RR 0·93, 95% confidence interval 0·90–0·97, P = 0·06). In moderator analyses for indicators of gender, region and quantity of vegetable intake, there was no significant difference between subgroups. However, the effect became significant in populations with lower than the minimum risk exposure level (TMREL) of vegetable consumption (P < 0·05). Higher vegetable intake is associated with a decreased risk of gastric cancer. This effect may be limited to specific populations, such as ones with lower vegetable consumption. Evidence from our study has important public health implications for dietary recommendations.
We design a scheme for laser-inertial odometry and mapping with bundle adjustment (BA-LIOM), which can greatly mitigate the problem of undesired ground warping due to sparsity of laser scans and significantly reduce odometry drift. Specifically, an Inertial measurement unit (IMU)-assisted adaptive voxel map initialization algorithm is proposed and elaborately integrated with the existing framework LIO-SAM, allowing for accurate registration in the beginning of the localization and mapping process. In addition, to accommodate to fast-moving and structure-less scenarios, we design a tightly coupled odometry, which jointly optimizes both the IMU preintegration constraints and scan matching with adaptive voxel maps. The voxels (edge and plane, respectively) are updated with BA optimization. And then the accurate mapping result is obtained by performing local BA. The proposed BA-LIOM is thoroughly assessed using datasets collected from multiple platforms over a variety of environments. Experimental results show the superiority of BA-LIOM over the state-of-the-art methods in robustness and precision, especially for large-scale scenarios. BA-LIOM improves the accuracy of localization by $61\%$ and $73\%$ on the buildings and lawn datasets, respectively, and has a $29\%$ accuracy improvement over LIO-SAM on the KITTI datasets. A supplementary video can be accessed at https://youtu.be/5l4ZFhTc2sw.
Creating an environmentally friendly precursor to form a kaolinite intercalation compound is important for promoting the applications of nanohybrid kaolinite in electrochemical sensors, low- or zero-toxicity drug carriers, and clay-polymer nanocompounds. In the present study, a stable hydrated kaolinite pre-cursor with d001= 0.84 nm was prepared successfully by heating the transition phase, the as-prepared kaolinite-hydrazine intercalate, at temperatures between 40 and 70ºC. The structure of the hydrated kaolinite was characterized by X-ray diffraction and infrared spectroscopy. The morphology was examined using scanning electron microscopy. The results showed that the hydrated hydrazine of the transition phase was easy to decompose to hydrazines and water molecules in the interlayer at 40-70ºC. Hydrazine molecules de-intercalated gradually, and water molecules remained in the ditrigonal holes of the silicate layer with sufficient stability, finally forming the stable 0.84 nm hydrated kaolinite in the system with a success rate of 80–90%. The 0.84 nm hydrated kaolinite may become an excellent precursor for the preparation of other kaolinite intercalates. A degree of intercalation of ~100% was obtained for the kaolinite-ethylene glycol intercalate, and a degree of intercalation of ~80% was obtained for the kaolinite-glycine intercalate from the 0.84 nm hydrated kaolinite precursor.
The efficient separation of hexane isomers from the light naphtha fraction is a significant challenge in the petrochemical industry. 5A zeolite adsorbent is used commercially to sieve alkane isomers. In this study, 5A zeolites were synthesized using a low-cost natural clay mineral precursor, i.e. palygorskite (PAL), with the addition of crystallization directing agent (CDA). By varying the mass ratio of CDA/deionized water, 5A zeolites were obtained as CDA-5%, CDA-7.5%, and CDA-10%. All products were submicron particles with an average particle size of 400–800 nm. A sieving test of CDA-induced 5A zeolites was carried out on hexane adsorbates including n-hexane (nHEX), 2-methylpentane (2MP), and 3-methylpentane (3MP). According to vapor-phase batch adsorption experiments, a significant equilibrium amount (0.149 g/g) of nHEX and only 0.0321 g/g 2MP and 0.0416 g/g 3MP were adsorbed on the 5A zeolite product with CDA-5%. The dynamic adsorption performance of 5A zeolite (CDA-5%) was evaluated by breakthrough curves of binary mixtures of nHEX/2MP and nHEX/3MP. Palygorskite 5A (PAL 5A) zeolite achieved maximum dynamic adsorption capacities of nHEX (0.16 g/g in both cases) at 200°C and 1.2 MPa total pressure. This work provided an economic alternative for the synthesis of 5A zeolites using natural clay minerals instead of chemical raw materials.
L subshell X-rays of 48Cd and 49In have been measured for the impact of protons with energies from 75 to 250 keV. Obviously, it is found that Lγ2 (abbreviation Lγ2,3 for 48Cd and Lγ2,3,4 for 49In) X-ray emission is enhanced in comparison with Lγ1 X-ray emission. The relative intensity ratios of Lγ2 to Lγ1 X-ray are larger than the atomic data and increase with decreasing proton energy. This is caused by the multiple ionization of outer-shell electrons. To verify this explanation, the enhancements for relative intensity ratio of Lι and Lβ2 to Lα X-ray in experiments are discussed, and the direct ionization cross sections of 4d, 5s, and 5p electrons are calculated using BEA theory.
Based on the path encoding pulse compression teleology, a novel method for obtaining high-power microwave (HPM) pulse with ultrahigh repetition frequency is proposed in this paper. The mechanism of the path encoding pulse compression teleology is first introduced. And then, the obtained HPM pulse is analyzed. Theoretical analysis shows that the peak power of MW level and the repetition frequency of MHz level for the generated HPM pulse can be easily reached. To demonstrate the effectiveness of this method for obtaining HPM pulse with ultrahigh repetition frequency characteristic, a HPM-obtaining experiment was carried out based on an S-band microwave source. The HPM pulses with the width of 1 ns, 2 ns, and 3 ns are studied, respectively. The measured results show that the HPM pulse with the power higher than 100 kW and the repetition frequency of 250 kHz at the frequency of 2.856 GHz is easily obtained. The repetition frequency of the generated HPM pulse can be easily changed. Because the pulse with the power higher than 100 kW and the repetition frequency of several hundreds of kHz is obtained for the first time, this type of pulse will have a broad prospect of application in the communication, radar, and electronic countermeasure fields. In addition, the effect experiment of interfering communication and control links was carried out by utilizing the ultrahigh repetition frequency characteristic of the generated HPM pulse. Also, the experiment results show the feasibility of this pulse for interfering the communication and control links.
The aim was to assess epidemiological characteristics of the most recent consumption patterns of meat, vegetable, and fruit among representative urban and rural residents aged 60+ years in regional China. In this cross-sectional survey conducted in mid-2018, participants aged 60+ years were randomly chosen from urban and rural communities in Nanjing municipality of China. Meat, vegetable, and fruit intake were assessed with a validated food frequency questionnaire. Multivariate logistic regression models were applied to compute odds ratio (OR) and 95 % confidence interval (CI) to investigate the association of socio-demographic characteristics with a likelihood of meeting intake recommendation. Among the 20 867 participants, 49⋅5 % were men and 45⋅0 % urban elders, and 6⋅5 % aged 80+ years. The mean values of consumption frequency of red meat, white meat, vegetable, and fruit were 2⋅99 ± 2⋅28, 1⋅37 ± 1⋅13, 5⋅24 ± 6⋅43, and 2⋅64 ± 2⋅91 times/week, respectively, among overall participants. Moreover, there were 14⋅9, 23⋅7, and 12⋅1 % of participants meeting intake recommendations of meat, vegetable, and fruit, separately, in this study. After adjustment for potential confounders, age, gender, residence area, and educational attainment each was associated with the likelihood of meeting intake recommendation of meat, vegetable, or fruit. The consumption frequency and proportion of participants meeting intake recommendations of meat, vegetable, or fruit were not high among elders in regional China. Socio-demographic characteristics were associated with intake recommendations of meat, vegetables, and fruit. It has public health implications that participants’ socio-demographic attributes shall be considered for precision intervention on meat, vegetable, and fruit consumption in healthy eating campaigns among elders in China.
High-intensity vortex beams with tunable topological charges and low coherence are highly demanded in applications such as inertial confinement fusion (ICF) and optical communication. However, traditional optical vortices featuring nonuniform intensity distributions are dramatically restricted in application scenarios that require a high-intensity vortex beam owing to their ineffective amplification resulting from the intensity-dependent nonlinear effect. Here, a low-coherence perfect vortex beam (PVB) with a topological charge as high as 140 is realized based on the super-pixel wavefront-shaping technique. More importantly, a globally adaptive feedback algorithm (GAFA) is proposed to efficiently suppress the original intensity fluctuation and achieve a flat-top PVB with dramatically reduced beam speckle contrast. The GAFA-based flat-top PVB generation method can pave the way for high-intensity vortex beam generation, which is crucial for potential applications in ICF, laser processing, optical communication and optical trapping.
Catecholaminergic polymorphic ventricular tachycardia is an ion channelopathy, caused by mutations in genes coding for calcium-handling proteins. It can coexist with left ventricular non-compaction. We aim to investigate the clinical and genetic characteristics of this co-phenotype.
Methods:
Medical records of 24 patients diagnosed with catecholaminergic polymorphic ventricular tachycardia in two Chinese hospitals between September, 2005, and January, 2020, were retrospectively reviewed. We evaluated their clinical and genetic characteristics, including basic demographic data, electrocardiogram parameters, medications and survival during follow-up, and their gene mutations. We did structural analysis for a novel variant ryanodine receptor 2-E4005V.
Results:
The patients included 19 with catecholaminergic polymorphic ventricular tachycardia mono-phenotype and 5 catecholaminergic polymorphic ventricular tachycardia-left ventricular non-compaction overlap patients. The median age of onset symptoms was 9.0 (8.0,13.5) years. Most patients (91.7%) had cardiac symptoms, and 50% had a family history of syncope. Overlap patients had lower peak heart rate and threshold heart rate for ventricular tachycardia and ventricular premature beat during the exercise stress test (p < 0.05). Sudden cardiac death risk may be higher in overlap patients during follow-up. Gene sequencing revealed 1 novel ryanodine receptor 2 missense mutation E4005V and 1 mutation previously unreported in catecholaminergic polymorphic ventricular tachycardia, but no left ventricular non-compaction-causing mutations were observed. In-silico analysis showed the novel mutation E4005V broke down the interaction between two charged residues.
Conclusions:
Catecholaminergic polymorphic ventricular tachycardia overlapping with left ventricular non-compaction may lead to ventricular premature beat/ventricular tachycardia during exercise stress test at lower threshold heart rate than catecholaminergic polymorphic ventricular tachycardia alone; it may also indicate a worse prognosis and requires strict follow-up. ryanodine receptor 2 mutations disrupted interactions between residues and may interfere the function of ryanodine receptor 2.
An infinite graph is said to be highly connected if the induced subgraph on the complement of any set of vertices of smaller size is connected. We continue the study of weaker versions of Ramsey’s theorem on uncountable cardinals asserting that if we color edges of the complete graph, we can find a large highly connected monochromatic subgraph. In particular, several questions of Bergfalk, Hrušák, and Shelah (2021, Acta Mathematica Hungarica 163, 309–322) are answered by showing that assuming the consistency of suitable large cardinals, the following are relatively consistent with ZFC:
•$\kappa \to _{hc} (\kappa )^2_\omega $ for every regular cardinal $\kappa \geq \aleph _2$,