Gestational diabetes mellitus (GDM) is a frequent complication of pregnancy. The specific mechanisms underlying GDM have not yet been fully elucidated. Contemporary research indicates a potential association between liver enzyme irregularities and an increased risk of metabolic disorders, including diabetes. The alanine aminotransferase (ALT) level is recognized as a sensitive marker of liver injury. An increase in ALT levels is hypothesized to be linked to the pathogenesis of insulin resistance and diabetes. Nonetheless, the definitive causal link between ALT levels and GDM still needs to be determined. This investigation utilized two-sample Mendelian randomization (MR) to examine the genetic causation between alanine aminotransferase (ALT) and GDM. We acquired alanine aminotransferase (ALT)-related GWAS summary data from the UK Biobank, Million Veteran Program, Rotterdam Study, and Lifeline Study. Gestational diabetes data were obtained from the FinnGen Consortium. We employed various MR analysis techniques, including inverse-variance weighted (IVW), MR Egger, weighted median, simple, and weighted weighting. In addition to MR-Egger intercepts, Cochrane’s Q test was also used to assess heterogeneity in the MR data, and the MR-PRESSO test was used to assess horizontal pleiotropy. To assess the association’s sensitivity, a leave-one-out approach was employed. The IVW results confirmed the independent risk factor for GDM development, as indicated by the ALT level (p = .011). As shown by leave-one-out analysis, horizontal pleiotrophy did not significantly skew the causative link (p > .05). Our dual-sample MR analysis provides substantiated evidence of a genetic causal relationship between alanine aminotransferase (ALT) levels and gestational diabetes.

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.

A growing body of evidence demonstrates that individual differences in declarative memory may be an important predictor of second language (L2) abilities. However, the evidence comes from studies using different declarative memory tasks that vary in their reliance on verbal abilities and task demands, which preclude estimating the size of the relationship between declarative memory and L2 learning. To address these concerns, we examined the relationship between verbal and nonverbal declarative memory abilities within the same task while controlling for task demands and stimulus modality, to estimate the upper bound of the relationship between verbal and nonverbal declarative memory. Results indicate that when task demands and stimulus modality are controlled, verbal and nonverbal declarative memory abilities shared a medium-to-large amount of underlying variance. However, future studies should exercise caution in appraising associations between declarative memory abilities and L2 learning until a more precise understanding of the underlying mechanisms is achieved.

Robots with multi-sensors always have a problem of weak pairing among different modals of the collected information produced by multi-sensors, which leads to a bad perception performance during robot interaction. To solve this problem, this paper proposes a Force Vision Sight (FVSight) sensor, which utilizes a distributed flexible tactile sensing array integrated with a vision unit. This innovative approach aims to enhance the overall perceptual capabilities for object recognition. The core idea is using one perceptual layer to trigger both tactile images and force-tactile arrays. It allows the two heterogeneous tactile modal information to be consistent in the temporal and spatial dimensions, thus solving the problem of weak pairing between visual and tactile data. Two experiments are specially designed, namely object classification and slip detection. A dataset containing 27 objects with deep presses and shallow presses is collected for classification, and then 20 slip experiments on three objects are conducted. The determination of slip and stationary state is accurately obtained by covariance operation on the tactile data. The experimental results show the reliability of generated multimodal data and the effectiveness of our proposed FVSight sensor.

Objective. The current study aimed to compare the characteristics of chromosome abnormalities detected by conventional G-banding karyotyping, chromosome microarray analysis (CMA), or fluorescence in situ hybridization (FISH)/CNVplex analysis and further explore the application value of combined karyotype analysis and CMA in prenatal diagnosis with a larger sample size. Methods. From March 2019 to March 2021, 3710 amniocentesis samples were retrospectively collected from women who accepted prenatal diagnosis at 16 to 22 + 6 weeks of pregnancy. The pregnant women underwent karyotype analysis and CMA. In the case of fetal chromosomal mosaicism, FISH or CNVplex analysis was utilized for validation. Results. In total, 3710 G-banding karyotype results and CMA results from invasive prenatal diagnosis were collected. Of these, 201 (5.41%) fetuses with an abnormal karyotype were observed. The CMA analysis showed that the abnormality rate was 9.14% (340/3710). The detection rate of CMA combined with karyotype analysis was 0.35% higher than that of CMA alone and 4.08% higher than that of karyotyping alone. Additionally, 12 cases had abnormal karyotype analysis, despite normal CMA results. To further detect the chromosome mosaicism, we used FISH analysis to correct the karyotype results of case 1. Correspondingly, a total of 157 cases showed abnormal CMA results but normal karyotype analysis. We also found chromosomal mosaicism in 4 cases using CMA. Moreover, CNVplex and CMA demonstrated that representative case 15 was mosaicism for trisomy 2. Conclusions. Conventional G-banding karyotyping and CMA have their own advantages and limitations. A combination of karyotype analysis and CMA can increase the detection rate of chromosome abnormalities and make up for the limitation of signal detection.

The laboratory generation and diagnosis of uniform near-critical-density (NCD) plasmas play critical roles in various studies and applications, such as fusion science, high energy density physics, astrophysics as well as relativistic electron beam generation. Here we successfully generated the quasistatic NCD plasma sample by heating a low-density tri-cellulose acetate (TCA) foam with the high-power-laser-driven hohlraum radiation. The temperature of the hohlraum is determined to be 20 eV by analyzing the spectra obtained with the transmission grating spectrometer. The single-order diffraction grating was employed to eliminate the high-order disturbance. The temperature of the heated foam is determined to be T = 16.8 ± 1.1 eV by analyzing the high-resolution spectra obtained with a flat-field grating spectrometer. The electron density of the heated foam is about $N_e=4.0\pm 0.3\times {10}^{20}{\text{cm}}^{-3}$ under the reasonable assumption of constant mass density.

The clay mineralogy of the Zhada sediments was investigated, using X-ray diffraction and scanning electron microscopy, to obtain a better understanding of climatic change and uplift of the Himalayas in the Zhada region of Tibet. The sediments of Zhada basin in the late Miocene to Pliocene consist of lacustrine and fluvial deposits >800 m thick and can be subdivided into five clay assemblage zones based on their clay-mineral composition. The upward zonation is as follows: (1) smectite-kaolinite; (2) illite-chlorite; (3) chlorite-illite-kaolinite; (4) illite-chlorite; and (5) smectite, illite, and kaolinite. The ratio of chlorite + illite to kaolinite + smectite (Ch+I/K+S) and the Kübler index indicate a warm and humid climate from 9.5 to 8.4 Ma, a cold and dry climate from 8.4 to 7.2 Ma, a warm and seasonal arid climate from 7.2 to 4.5 Ma, a cool and humid climate from 4.5 to 3.6 Ma, and a warm and seasonally humid climate from 3.6 to 3.0 Ma. Intense fluctuations in the Kübler index and in the quantities of evaporite minerals dolomite, aragonite, and gypsum, during the period 7.2–4.5 Ma suggest strong climatic fluctuations between humid and seasonally humid conditions in the Zhada basin. Rapid uplift around the Zhada basin occurred at 8.4 and 3.6 Ma, with sharp subsidence at 7.2 and 4.5 Ma. Evolution of the climate at Zhada showed a different model from that of global climate change, and tectonics-led climate change was the major contributor to climate evolution in the area.

The association between the phospholipid transfer protein (PLTP) gene rs4810479 single-nucleotide polymorphism (SNP) and serum lipid levels is largely unknown. This investigation aimed to evaluate the relationship between the PLTP rs4810479 SNP, several environmental risk factors, and serum lipid parameters in the Chinese Maonan and Han nationalities. Polymerase chain reaction-restriction fragment length polymorphism, gel electrophoresis, and direct sequencing were employed to determine the PLTP rs4810479 genotypes in 633 Maonan and 646 Han participants. The frequencies of CC, CT, and TT genotypes and the C allele were different between Maonan and Han groups (29.07%, 53.08%, 17.85%, and 55.61% vs. 35.60%, 49.70%, 14.70%, and 60.45%, respectively, P < 0.05). The C allele carriers in the Maonan group had higher high-density lipoprotein cholesterol levels than the C allele noncarriers, but this finding was only found in Maonan males but not in females. The C allele carriers in Han males had lower total cholesterol and low-density lipoprotein cholesterol levels than the C allele noncarriers. Serum lipid profiles were also affected by several traditional cardiovascular risk factors in both populations. There might be an ethnic- and/or sex-specific association between the PLTP rs4810479 SNP and serum lipid traits.

Background. Both Lowe syndrome and Dent-2 disease are caused by variants in the OCRL gene. However, the reason why patients with similar OCRL gene mutations presented with different phenotypes remains uncertain. Methods. Children with hemizygous pathogenic or likely pathogenic variants in OCRL were compiled from published and unpublished consecutive cases from China. Furthermore, a Chi-square test was employed to analyze the correlation of the location and types of mutations on the phenotype of children with Lowe syndrome or Dent-2 disease. Results. Among the total 83 patients, 70.8% (34/48) cases of Lowe syndrome presented with truncating mutations, while only 31.4% (11/35) cases of Dent-2 disease presented with truncating mutation (Χ2 = 12.662; P < 0.001). Meanwhile, the majority of mutations in Dent-2 disease are located in Exon 2–12 (21/35, 60.0%), while the majority of mutations in Lowe syndrome are located in Exon 13–23 (39/48, 81.3%; Χ2 = 14.922; P < 0.001). Conclusions. Truncating mutations of the OCRL gene were more common in patients with Lowe syndrome than in Dent-2 disease, while mutation is more likely located at exon 2–12 in Dent-2 disease than that in Lowe syndrome. The type and location of mutation are important indicators for the phenotypes in patients with OCRL mutation. This is a large cohort study analyzing the genotype-phenotype correlation in patients with Lowe syndrome and Dent-2 disease in China. Our data may improve the interpretation of new OCRL variants and genetic counseling. Furthermore, a large international study would be necessary to illustrate the genotype-phenotype correlation in patients with OCRL mutations.

Human gait trajectory prediction is a long-standing research topic in human–machine interaction. However, there are two shortcomings in the current gait trajectory prediction technology. The first shortcoming is that the neural network model of gait prediction only predicts dozens of future time frames of gait trajectory. The second shortcoming is that the gait prediction neural network model is uninterpretable. We propose the Interpretable-Concatenation former (IC-former) model, which can predict long-term gait trajectories and explain the prediction results by quantifying the importance of data at different positions in the input sequence. Experiments prove that the IC-former model we proposed not only makes a breakthrough in prediction accuracy but also successfully explains the data basis of the prediction.

In 2009, Guangdong province initiated a programme of regenerating its blighted urban neighbourhoods, outdated industrial plants and dilapidated villages (also known as “three-old redevelopment”), which continues today. While the academic attention focuses mainly on the city and project levels, few studies give a full and up-to-date account of the overall programme. This paper documents the background, purpose, scope, policy framework, project types, implementation modalities and initial outcomes of the programme. Unlike most urban regeneration projects around the world, the Guangdong programme – the largest coordinated effort in the global history of urban regeneration – is primarily driven not by the potential increases of land value but by an urgent need to find solutions to the conflict between the local demand for urban land and the rigid national land use control. The expected land value increases are harnessed to attract the participation of market players at the project level. The Guangdong experience opens up a new way for urban spatial development in China, especially at a time when China further strengthens national land use control under the newly established national territorial planning system.

The lack of excellent wheat germplasm resources on the Qinghai-Tibet Plateau has led to a gradual decrease in genetic diversity and an increasingly narrow genetic background in wheat grown in this region. Rational use of excellent genes from wheat relatives is important to increase genetic diversity, broaden the genetic base and achieve high yield and quality in common wheat. The objective of this study was to use principal component and cluster analyses of 13 important agronomic traits of 44 Polish wheat varieties over 3 years and comprehensively evaluate them to screen for excellent germplasm resources, thus providing the basic material for broadening the genetic base of Qinghai-Tibet Plateau wheat germplasm resources.

To comprehensively study the physical properties of inductively coupled plasma (ICP), a finite element method (FEM) simulation model of ICP is developed using the well-established COMSOL software. To benchmark the validation of the FEM model, two key physical parameters, the electron density and the electron temperature of the ICP plasma, are precisely measured by the state-of-the-art laser Thomson scattering diagnostic approach. For low-pressure plasma such as ICP, the local pressure in the generator tube is difficult to measure directly. The local gas pressure in the ICP tube has been calibrated by comparing the experimental and simulation results of the maximum electron density. And on this basis, the electron density and electron temperature of ICP under the same gas pressure and absorbed power have been compared by experiments and simulations. The good agreement between the experimental and simulation data of these two key physical parameters fully verifies the validity of the ICP FEM simulation model. The experimental verification of the ICP FEM simulation model lays a foundation for further study of the distribution of various physical quantities and their variation with pressure and absorption power, which is beneficial for improving the level of ICP-related processes.

Se deficiency causes impaired growth of fish skeletal muscle due to the retarded hypertrophy of muscle fibres. However, the inner mechanisms remain unclear. According to our previous researches, we infer this phenomenon is associated with Se deficiency-induced high concentration of reactive oxygen species (ROS), which could suppress the target of rapamycin complex 1 (TORC1) pathway-mediated protein synthesis by inhibiting protein kinase B (Akt), an upstream protein of TORC1. To test this hypothesis, juvenile zebrafish (45 d post-fertilisation) were fed a basal Se-adequate diet or a basal Se-deficient diet or them supplemented with an antioxidant (DL-α-tocopherol acetate, designed as VE) or a TOR activator (MHY1485) for 30 d. Zebrafish fed Se-deficient diets exhibited a clear Se-deficient status in skeletal muscle, which was not influenced by dietary VE and MHY1485. Se deficiency significantly elevated ROS concentrations, inhibited Akt activity and TORC1 pathway, suppressed protein synthesis in skeletal muscle, and impaired hypertrophy of skeletal muscle fibres. However, these negative effects of Se deficiency were partly (except that on ROS concentration) alleviated by dietary MHY1485 and completely alleviated by dietary VE. These data strongly support our speculation that Se deficiency-induced high concentration of ROS exerts a clear inhibiting effect on TORC1 pathway-mediated protein synthesis by regulating Akt activity, thereby restricting the hypertrophy of skeletal muscle fibres in fish. Our findings provide a mechanistic explanation for Se deficiency-caused retardation of fish skeletal muscle growth, contributing to a better understanding of the nutritional necessity and regulatory mechanisms of Se in fish muscle physiology.

This study compared late bilinguals’ pitch feedback control in L1 and L2 production using a frequency-altered feedback paradigm in which participants read target words while presented with unexpected pitch-shift in their voice feedback. Variables of language (L1 or L2) and perturbation magnitudes (0, 100, 200, or 400 cents) were manipulated. Behaviorally, participants produced larger magnitudes but longer latencies of vocal compensation in L2 than in L1 production, suggesting that L2 pitch feedback control has greater importance but lower efficiency. Event-related potential findings demonstrated that 400-cent shifts elicited greater N1 amplitudes than those in the 0-cent baseline condition in L1 production. This difference was non-significant in L2 production, implying different neural processing of unaltered feedback and externally-generated feedback in L1 and L2 production. Participants’ vocal compensation and P2 amplitudes were similarly modulated by pitch-shift in L1 and L2 production, implying a similar gating mechanism to correct internal and external errors.

Sepsis is a clinical syndrome characterised by a severe disorder of pathophysiology caused by infection of pathogenic micro-organisms. The addition of antioxidant micronutrient therapies such as thiamine to sepsis treatment remains controversial. This study explored the effect of thiamine on the prognosis of patients with sepsis. This study was a retrospective study involving patients with sepsis from the Medical Information Mart for Intensive Care IV. Patients were divided into two groups, the thiamine received group (TR) and the thiamine unreceived group (TUR), according to whether they were supplemented with thiamin via intravenous while in the intensive care unit (ICU). The primary outcome was ICU mortality. The association between thiamine and outcome was analysed using the Cox proportional hazards regression model, propensity score matching (PSM), generalised boosted model-based inverse probability of treatment weighting (IPTW) and doubly robust estimation. A total of 11 553 sepsis patients were enrolled in this study. After controlling for potential confounders using Cox regression models, the TR group had a statistically significantly lower ICU mortality risk than the TUR group. The hazard ratio of ICU mortality for the TR group was 0·80 (95 % CI 0·70, 0·93). We obtained the same results after using PSM, IPTW and doubly robust estimation. Supplementation with thiamine has a beneficial effect on the prognosis of patients with sepsis. More randomised controlled trials are needed to confirm the effectiveness of thiamine supplementation in the treatment of sepsis.