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Compared with the general population, individuals with schizophrenia have a higher risk of periodontal disease, which can potentially reduce their life expectancy. However, evidence for the early development of periodontal disease in schizophrenia is scant. The current study investigated risk factors for periodontal disease in patients newly diagnosed with schizophrenia.
We identified a population-based cohort of patients in Taiwan with newly diagnosed schizophrenia who developed periodontal disease within 1 year of their schizophrenia diagnosis. Treatment with antipsychotics and other medications was categorised according to medication type and duration, and the association between medication use and the treated periodontal disease was assessed through logistic regression.
Among 3610 patients with newly diagnosed schizophrenia, 2373 (65.7%) had an incidence of treated periodontal disease during the 1-year follow-up. Female sex (adjusted odds ratios [OR] 1.40; 95% confidence interval [CI] 1.20–1.63); young age (adjusted OR 0.99; 95% CI 0.98–0.99); a 2-year history of periodontal disease (adjusted OR 2.45; 95% CI 1.84–3.26); high income level (adjusted OR 2.24; 95% CI 1.64–3.06) and exposure to first-generation (adjusted OR 1.89; 95% CI 1.54–2.32) and secondary-generation (adjusted OR 1.33; 95% CI 1.11–1.58) antipsychotics, anticholinergics (adjusted OR 1.24; 95% CI 1.03–1.50) and antihypertensives (adjusted OR 1.91; 95% CI 1.64–2.23) were independent risk factors for periodontal disease. Hyposalivation – an adverse effect of first-generation antipsychotics (FGAs) (adjusted OR 2.00; 95% CI 1.63–2.45), anticholinergics (adjusted OR 1.27; 95% CI 1.05–1.53) and antihypertensives (adjusted OR 1.90; 95% CI 1.63–2.22) – was associated with increased risk of periodontal disease. Therefore, hypersalivation due to FGA use (adjusted OR 0.72; 95% CI 0.59–0.88) was considered a protective factor.
The current study highlights that early prevention of periodontal disease in individuals with schizophrenia is crucial. Along with paying more attention to the development of periodontal disease, assessing oral health regularly, helping with oral hygiene, and lowering consumption of sugary drinks and tobacco, emphasis should also be given by physicians to reduce the prescription of antipsychotics to the extent possible under efficacious pharmacotherapy for schizophrenia.
We present a numerical study of quasistatic magnetoconvection in a cubic Rayleigh–Bénard (RB) convection cell subjected to a vertical external magnetic field. For moderate values of the Hartmann number
(characterising the strength of the stabilising Lorentz force), we find an enhancement of heat transport (as characterised by the Nusselt number
). Furthermore, a maximum heat transport enhancement is observed at certain optimal
. The enhanced heat transport may be understood as a result of the increased coherence of the thermal plumes, which are elementary heat carriers of the system. To our knowledge this is the first time that a heat transfer enhancement by the stabilising Lorentz force in quasistatic magnetoconvection has been observed. We further found that the optimal enhancement may be understood in terms of the crossing of the thermal and the momentum boundary layers (BL) and the fact that temperature fluctuations are maximum near the position where the BLs cross. These findings demonstrate that the heat transport enhancement phenomenon in the quasistatic magnetoconvection system belongs to the same universality class of stabilising–destabilising (S–D) turbulent flows as the systems of confined Rayleigh–Bénard (CRB), rotating Rayleigh–Bénard (RRB) and double-diffusive convection (DDC). This is further supported by the findings that the heat transport, boundary layer ratio and temperature fluctuations in magnetoconvection at the boundary layer crossing point are similar to the other three cases. A second type of boundary layer crossing is also observed in this work. In the limit of
, the (traditionally defined) viscous boundary
is found to follow a Prandtl–Blasius-type scaling with the Reynolds number
and is independent of
. In the other limit of
exhibits an approximate
dependence, which has been predicted for a Hartmann boundary layer. Assuming the inertial term in the momentum equation is balanced by both the viscous and Lorentz terms, we derived an expression
is the height of the cell) for all values of
, which fits the obtained viscous boundary layer well.
We give some sufficient conditions for the periodicity of entire functions based on a conjecture of C. C. Yang, using the concepts of value sharing, unique polynomial of entire functions and Picard exceptional value.
We hypothesize that the tumor necrosis factor-α (TNF-α) may play a role in disturbing the effect of selective serotonin reuptake inhibitor (SSRI) on the striatal connectivity in patients with major depressive disorder (MDD).
We performed a longitudinal observation by combining resting-state functional magnetic resonance imaging (rs-fMRI) and biochemical analyses to identify the abnormal striatal connectivity in MDD patients, and to evaluate the effect of TNF-α level on these abnormal connectivities during SSRI treatment. Eighty-five rs-fMRI scans were collected from 25 MDD patients and 35 healthy controls, and the scans were repeated for all the patients before and after a 6-week SSRI treatment. Whole-brain voxel-wise functional connectivity (FC) was calculated by correlating the rs-fMRI time courses between each voxel and the striatal seeds (i.e. spherical regions placed at the striatums). The level of TNF-α in serum was evaluated by Milliplex assay. Factorial analysis was performed to assess the interaction effects of ‘TNF-α × treatment’ in the regions with between-group FC difference.
Compared with controls, MDD patients showed significantly higher striatal FC in the medial prefrontal cortex (MPFC) and bilateral middle/superior temporal cortices before SSRI treatment (p < 0.001, uncorrected). Moreover, a significant interaction effect of ‘TNF-α × treatment’ was found in MPFC-striatum FC in MDD patients (p = 0.002), and the significance remained after adjusted for age, gender, head motion, and episode of disease.
These findings provide evidence that treatment-related brain connectivity change is dependent on the TNF-α level in MDD patients, and the MPFC-striatum connectivities possibly serve as an important target in the brain.
To prevent spinning of the upper non-rotated part of the electromechanical drill, an ‘anti-torque system’ has to be included in the downhole unit. At the same time, the anti-torque must allow the drill to move up and down the borehole during drilling and tripping operations. Usually the anti-torque system has a blade form of various designs that engages with the borehole wall and counteracts the torque from the stator of the driving motor. This paper presents a review of the different anti-torque systems and test results with selected designs (leaf spring, skate and U-shaped anti-torque systems). Experiments showed that the skate anti-torque system can provide the maximal holding torque between 67 and 267 Nm−1 depending on the skates’ outer diameter and ice temperature, while the leaf spring anti-torque system can provide only 2.5–40 N m−1 (in case of straight contact between the ice and the leaf springs). The total resistance force to axial movement of the skate anti-torque system lies in the range 209–454N if the system is vibrating. For the leaf spring anti-torque system, the total axial resistance force is far less (19–243 N).
CVD remains the leading cause of mortality worldwide, with abnormal lipid metabolism as a major risk factor. The aim of this study was to investigate associations between spicy food consumption and serum lipids in Chinese adults. Data were extracted from the 2009 phase of the China Health and Nutrition Survey, consisting of 6774 apparently healthy Chinese adults aged 18–65 years. The frequency of consumption and degree of pungency of spicy food were self-reported, and regular spicy food consumption was assessed using three consecutive 24-h recalls. Total cholesterol, TAG, LDL-cholesterol and HDL-cholesterol in fasting serum were measured. Multilevel mixed-effects models were constructed to estimate associations between spicy food consumption and serum lipid profiles. The results showed that the frequency and the average amount of spicy food intake were both inversely associated with LDL-cholesterol and LDL-cholesterol:HDL-cholesterol ratio (all Pfor trend<0·05) after adjustment for potential confounders and cluster effects. HDL-cholesterol in participants who usually consumed spicy food (≥5 times/week) and who consumed spicy food perceived as moderate in pungency were significantly higher than those who did not (both P<0·01). The frequency and the average amount of spicy food intake and the degree of pungency in spicy food were positively associated with TAG (all Pfor trend<0·05). Spicy food consumption was inversely associated with serum cholesterol and positively associated with serum TAG, and additional studies are needed to confirm the findings as well as to elucidate the potential roles of spicy food consumption in lipid metabolism.
Vision navigation using environmental features has been widely applied when satellite signals are not available. However, the matching performance of traditional environmental features such as keypoints degrades significantly in weakly textured areas, deteriorating navigation performance. Further, the user needs to evaluate and assure feature matching quality. In this paper, a new feature, named Line Segment Intersection Feature (LSIF), is proposed to solve the availability problem in weakly textured regions. Then a combined descriptor involving global structure and local gradient is designed for similarity comparison. To achieve reliable point-to-point matching, a coarse-to-fine matching algorithm is developed, which improves the performance of the point set matching algorithm. Finally, a framework of matching quality evaluation is proposed to assure matching performance. Through the comparison, it is demonstrated that the proposed new feature has superior overall performance especially on correctly matched numbers of keypoints and matching correctness. Also, using real image sets with weak texture, it is shown that the proposed LSIF can achieve improved navigation solutions with high continuity and accuracy.
A miniaturized substrate-integrated coaxial line (SICL) bandpass filter with improved upper stopband using asymmetrical spiral stub-loaded resonators is presented in this paper. Owing to the space-filling feature of the spiral structure, the size of the proposed filter is significantly reduced. A theoretical analysis is carried out to examine the resonance property of the proposed resonator. It is found that the frequency ratios of the second and third harmonics to the fundamental frequency can be extended to 2.86 and 4.4. Benefiting from the circuit structure and SICL technology, the designed filter has a small size, wide stopband, low crosstalk, and high-density integration ability. The measured results show that the proposed filter, with dimensions of 0.051λ0 × 0.044λ0, operates at 1.056 GHz and the 20-dB rejection band is extended to 3.94f0.
The composite Li-ion battery anode material of Fe2SiO4, Fe3O4, Fe3C (Fe-Si-O) and carbon nanotubes was prepared by a simple one-step reaction between ferrocene and tetraethyl orthosilicate. When cycled at 100 mA g-1, this material exhibited ever-increasing capacities and reached 588 mAh g-1 at the 280th cycle. At 500 mA g-1, a reversible capacity of 350 mAh g-1 was retained for 600 cycles. Compared with Fe3O4 materials, the Fe-Si-O/CNT exhibited superior long-term high-rate performance, which could mainly result from its enhanced stability and conductivities by introducing silicates and CNTs during the one-step synthesis.
Objectives: Curative hepatectomy and tumor thrombectomy for hepatocellular carcinoma with complicating biliary tumor thrombosis (HCC/BTT) is associated with high surgical morbidity and mortality. This retrospective study evaluated the effectiveness and safety of neoadjuvant transcatheter arterial chemoembolization (TACE) in HCC/BTT patients scheduled for curative resection.
Methods: Thirty consecutive patients with diagnosed HCC/BTT were hospitalized for neoadjuvant TACE and elective curative liver resection (group A; n=20) or curative liver resection alone (group B; n=10). The primary outcome measure was median survival.
Results: Group A had a significantly shorter overall operative time (160±25 versus 190±35 min; p < .01) and duration of inflow control (14.3±3.6 versus 25.1±5.1 min; p < .01) and significantly less intraoperative blood loss (150±35 versus 520±75 ml; p < .01) and transfusion (100±40 versus 375±55 ml; p < .01) as compared to group B. Among patients undergoing both thrombectomy and curative resection, the median survival of group A was significantly longer than that of group B (28.5 [9–54] versus 21.5 [6–39] months; p < .01); among those who received thrombectomy alone, the median survival of group A was also significantly longer than that of group B (12.8 [6–25] versus 4.5 [2–7] months; p < .01).
Conclusions: Neoadjuvant TACE significantly reduced the surgical risk of curative liver resection and significantly prolonged median survival in HCC patients with complicating BTT.
The Honggong pluton is the largest ferroan alkalic (A-type) granite intrusion emplaced along the Jiangshan–Shaoxing fault zone in southwestern Zhejiang Province, and has important implications for understanding the Late Mesozoic tectonic evolution of SE China. U–Pb ages of 138.7 ± 0.8, 134.2 ± 1.1, 128.5 ± 1.5 and 126.1 ± 0.9 Ma were obtained from zircon by laser ablation–inductively coupled plasma–mass spectrometry, indicating that the Honggong pluton formed in the Early Cretaceous. The Honggong pluton has a clear ferroan alkalic (A-type) granite geochemical signature with, for example, high total alkali contents and FeOt/(FeOt + MgO) values. The Sr–Nd–Hf isotopic compositions suggest that there was juvenile material in the magma source. Geochemical evidence indicates that the pluton was derived through extensive fractionation of melts that contained both asthenospheric mantle and Mesoproterozoic crustal components. These rare granites in southern China were emplaced during five episodes at 235–225, 190, 165–155, 100–90 and 140–120 Ma. The age of the Honggong pluton suggests that localized extension in southwestern Zhejiang Province began as early as ~138 Ma and continued to 126 Ma. This Early Cretaceous extensional event was triggered by localized rollback of the subducting Pacific Plate.
A series of Ag2S/Ag2WO4 composite microrods with different Ag2S contents (10–50 wt%) were synthesized via a facile successive precipitation route. The texture and optical properties of the pure Ag2S, Ag2WO4, and Ag2S/Ag2WO4 composites were intensively characterized by some physicochemical characterizations like N2 physical adsorption, x-ray diffraction, scanning electron microscopy, Fourier transform infrared spectroscopy, Ultraviolet–visible spectroscopy, x‐ray photoelectron spectroscopy, photoluminescence spectroscopy, and photocurrent measurements. Under visible light irradiation, different organic dyes, e.g., methylene blue and methyl orange dye were applied to evaluate the photocatalytic performances by their photocatalytic degradation reactions. The Ag2S/Ag2WO4 composite microrods exhibited superior photocatalytic activity and stability. The high crystallinity of Ag2WO4 and improved texture properties of Ag2S/Ag2WO4 resulted in their enhanced photocatalytic property. More importantly, the Ag2S/Ag2WO4 heterojunctions with matching electronic band structures obviously enhanced the separation of photo‐generated electrons and holes, further promoting the photocatalytic reaction.
Objective: To study the relationship of Nε-(carboxymethyl)-lysine level (CML) with microstructure changes of white matter (WM), and cognitive impairment in patients with type 2 diabetes mellitus (T2DM) and to discuss the potential mechanism underlying T2DM-associated cognitive impairment. Methods: The study was performed in T2DM patients (n=22) with disease course ≥5 years and age ranging from 65 to 75 years old. A control group consisted of 25 sex- and age-matched healthy volunteers. Fractional anisotropy (FA) of several WM regions was analyzed by diffusion tensor imaging scan. Plasma CML levels were measured by enzyme-linked immunosorbent assay, and cognitive function was assessed by Mini-Mental State Examination and Montreal cognitive assessment (MoCA). Results: The total Mini-Mental State Examination score in the patient group (25.72±3.13) was significantly lower than the control group (28.16±2.45) (p<0.05). In addition, the total MoCA score in the patient group (22.15±3.56) was significantly lower than the control group 25.63±4.12) (p<0.01). In the patient group, FA values were significantly decreased in the corpus callosum, cingulate fasciculus, inferior fronto-occipital fasciculus, parietal WM, hippocampus, and temporal lobes relative to corresponding regions of healthy controls (p<0.05). Plasma CML level was negatively correlated with average FA values in the global brain (r=−0.58, p<0.01) and MoCA scores (r=−0.47, p<0.05). Conclusions: In T2DM, WM microstructure changes occur in older patients, and elevations in CML may play a role in the development of cognitive impairment.
For exploring the prospect of higher-k dielectric phase engineering on a high
mobility substrate, films of Hf1-xZrxO2 with
varying x-values (0 ≤ x ≤ 1) were deposited on
Al2O3 passivated Ge substrates using atomic layer
deposition (ALD) with a cyclic deposit-anneal-deposit-anneal (DADA) scheme. The
evolution of monoclinic to higher-k tetragonal structure with increasing
ZrO2 concentration was probed by grazing incident x-ray
diffraction and partial reciprocal space maps using the highly brilliant
synchrotron x-ray source at the Cornell High Energy Synchrotron Source (CHESS).
A primarily amorphous/nano-crystalline matrix of the asdeposited films changed
to randomly aligned grains of nanocrystalline MO2 (M=Hf, Zr)
after post deposition annealing at 800 °C for 200 seconds. In contrast,
the DADA films annealed for same thermal budget showed high degree of preferred
orientation along certain crystallographic directions. With increasing
ZrO2 content, the structure of the films changed from a monoclinic to
a tetragonal phase. A lower amount of ZrO2 (x = 0.33) was
required for stabilizing the tetragonal phase in films grown on
Al2O3 passivated Ge substrate as compared to similar
films grown on a Si substrate via the same DADA process (x ≥
A 0.18 µm CMOS Binary Frequency Shift Keying Modulator with a novel frequency synthesizer structure is proposed in this paper. Based on an analog adder technique being the backbone of the synthesizer, this prototype demonstrates a compact modulator with low complexity, which achieves 1 Mbps at 400 MHz while dissipating 3.1 mW at 1.5 V supply. The proposed design is ideal for biomedical sensor network systems including distributed wearable body area network.