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Childhoods in urban or rural environments may differentially affect risk for neuropsychiatric disorders. Here, we leveraged on dramatic urbanization and rural-urban migration since the 1980s in China to explore the hypothesis that rural or urban childhoods may differentially influence memory processing and neural responses to neutral and aversive stimuli.
Explore the underlying mechanisms of childhood environment effect on brain function and neuropsychiatric risk.
We examined 420 adult subjects with similar current socioeconomic status and living in Beijing, China, but with differing rural (n = 227) or urban (n = 193) childhoods. In an episodic memory paradigm scanned in a 3 T GE MRI, subjects viewed blocks of neutral or aversive pictures in the encoding and retrieval sessions.
Episodic memory accuracy for neutral stimuli was less than for aversive stimuli (P < 0.001). However, subjects with rural childhoods apparently performed less accurately for memory of aversive but not neutral stimuli (P < 0.01). In subjects with rural childhoods, there was relatively increased engagement of bilateral striatum at encoding, increased engagement of bilateral hippocampus at retrieval of neutral and aversive stimuli, and increased engagement of amygdala at aversive retrieval (P < 0.05 FDR corrected, cluster size > 50).
Rural or urban childhoods appear associated with physiological and behavioural differences, particularly in the neural processing of aversive episodic memory at medial temporal and striatal brain regions. It remains to be explored the extent to which these effects relate to individual risk for neuropsychiatric or stress-related disorders.
Disclosure of interest
The authors have not supplied their declaration of competing interest.
The effects of stress-free and stress-assisted pretreatments at a relatively high temperature on the creep properties of  and  oriented Ni-based single-crystal superalloys are investigated in this article. The results show that the creep life of the pretreated samples is shorter than that of the original samples. The variation of the γ/γ′ morphology during the creep process is characterized by the microstructure period. Based on the interaction between the dislocations in the γ matrix channel and the γ′ phase, the difference in creep properties of the two oriented alloys after pretreatment is analyzed. Combined with the crystal plasticity theory and the number of activated slip systems observed in the experiments, it can be concluded that the two oriented alloys after pretreatment show obvious creep anisotropy and that the creep life increases with the number of activated slip system.
This study presents monazite and rutile U–Pb and hornblende and biotite 40Ar/39Ar geochronological data for high-grade rocks of the eastern Grenville-aged Rayner orogen at Mount Brown in order to analyse the extent and degree of Pan-African-aged reworking. Monazite from paragneiss yields U–Pb ages of 910 Ma for larger granular grains and 670–630 Ma for smaller globular beads around garnet porphyroblasts or hosted by symplectites. Rutile from leucogneiss yields U–Pb ages of 520–515 Ma. Hornblende and biotite from different rock types yield 40Ar/39Ar plateau ages of 744 and 520–505 Ma, respectively. Combining these results with published zircon U–Pb age data suggests that granulite facies metamorphism occurred at 910 Ma, with a local low-temperature fluid flow event at 670–630 Ma and thermal reworking at 520–505 Ma. The older age of 744 Ma may reflect cooling or partial resetting of the hornblende 40Ar/39Ar system, indicating that Pan-African-aged reworking did not exceed temperatures much higher than the hornblende Ar closure temperature. These data also suggest that the complete isotopic resetting of some minerals may occur without the growth of new mineral phases, providing an example of the style of reworking that is likely to occur in polymetamorphic terranes.
This paper presents a comprehensive study of the zircon geochronology, geochemistry and Sr–Nd isotope geology of Devonian mafic rocks developed in the East Kunlun orogenic belt, northern Tibetan Plateau, and reveals their mantle sources, petrogenesis and geodynamic implications for continental exhumation. The zircon geochronology of typical samples indicates that these mafic rocks crystallized at 406∼408 Ma. They can be classified into two different groups based on petrographic observations and geochemical compositions. Group 1 rocks exhibit low TiO2 and FeOt contents and Nb/Y ratios and have enriched mid-ocean ridge basalt (E-MORB)-like compositions with slight negative Nb and Ta anomalies. However, Group 2 rocks have distinctly high TiO2 and FeOt contents and Nb/Y ratios, comparable to typical Fe–Ti-rich mafic rocks worldwide. All the samples exhibit weak enrichments in light rare earth elements, Nb and Ta relative to the primitive mantle. Based on geochemical and isotopic studies, Group 1 rocks are suggested to be derived from depleted asthenospheric mantle that was metasomatized by c. 3–5 % continental crustal components, while Group 2 rocks originated from partial melting of enriched lithospheric mantle. The high contents of Fe, Ti and Nb for Group 2 rocks could be attributed to a high degree of olivine crystallization under low fO2 conditions with delayed nucleation of Fe–Ti oxides. Combining those results with other geological data, we conclude that slab break-off was the key factor causing exhumation of eclogites and triggering flare-up of the Devonian magmatism, and that continental collision or continental subduction may have initiated at 431∼436 Ma.
Identifying risk factors and mortality of individuals with Alzheimer’s disease (AD) could have important implications for the clinical management of AD.
This pilot study aimed to examine the overall mortality of AD patients over a 10-year surveillance period in Shanghai, China. This study is an extension of our previous investigation on mortality of neurodegenerative diseases.
One hundred and thirty-two AD patients recruited from the memory clinics of two hospitals in Shanghai in 2007 were followed up until December 31, 2017 or death, representing a follow-up period of up to 10 years. Overall standardized mortality ratios (SMRs) were calculated, and predictors for survival at recruitment were estimated.
Sixty-seven patients had died by December 31, 2017, and the SMR at 10 years of follow-up was 1.225 (95% confidence interval 0.944–1.563). Employing Cox’s proportional hazard modeling, lower Mini-Mental State Examination score, and comorbid diabetes predicted poor survival in this cohort.
This pilot study suggests a similar survival trend of patients with AD compared to the general population in Shanghai urban region. Poor cognitive status and comorbid diabetes had a negative impact on the survival of AD patients.
No risk assessment tools for the efficacy of folic acid treatment for hyperhomocysteinaemia (HHcy) have been developed. We aimed to use two common genetic risk score (GRS) methods to construct prediction models for the efficacy of folic acid therapy on HHcy, and the best gene–environment prediction model was screened out. A prospective cohort study enrolling 638 HHcy patients was performed. We used a logistic regression model to estimate the associations of two GRS methods with the efficacy. Performances were compared using area under the receiver operating characteristic curve (AUC). The simple count genetic risk score (SC-GRS) and weighted genetic risk score (wGRS) were found to be independently associated with the efficacy of folic acid treatment for HHcy. Using the SC-GRS, per risk allele increased with a 1·46-fold increased failure risk (P < 0·001) after adjustment for traditional risk factors, including age, sex, BMI, smoking, alcohol consumption, history of diabetes, history of hypertension, history of hyperlipidaemia, history of stroke and history of CHD. When used the wGRS, the association was strengthened (OR = 2·08, P < 0·001). Addition of the SC-GRS and wGRS to the traditional risk model significantly improved the predictive ability by AUC (0·859). A precise gene–environment predictive model with good performance was developed for predicting the treatment failure rate of folic acid therapy for HHcy.
While legal scholarship seeks mainly to assess the impact of climate change litigation (CCL) on the regulatory state and on climate change policy in common law countries, the potential influence of government climate policy on the judicial practices of jurisdictions with different legal traditions attracts much less attention. This article fills the gaps by exploring how courts in China, an authoritarian country with a civil law tradition, react to government climate policies and how this judicial response might affect relevant legal rules and eventually contribute to climate regulation. An empirical analysis of 177 Chinese judicial cases reveals that CCL in China consists mostly of contract-based civil actions steered by the government's low-carbon policies. Moreover, although the prospects of CCL against public authorities in China remain very bleak, there is scope for the emergence of tort-based CCL, backed by government policies. In this respect, recent tort-based public interest litigation on air pollution in China may serve as a substitute or, more promisingly, a gateway to the emergence of a tort-based branch of Chinese CCL.
Since 2009, China has initiated a national program on free provision of essential public health services. The national program has expanded both in terms of service categories and funding, showing China's great commitment to universal health coverage. However, with slowdown of public input in the health sector, the government decided to prioritize interventions and optimize reimbursement packages. Researchers in the China National Health Development Research Center (CNHDRC)—the Chinese national health technology assessment (HTA) agency were asked to design the tools to facilitate the decision process.
With multi-criteria decision analysis (MCDA) method, the researchers analyzed value dimensions in public health issues, and built an evidence matrix for the priority-setting decisions. Supported by HTA tools, they appraised interventions and services through literature review and field studies, and projected budget impact of potential adjustment decisions based on cost analysis results. A deliberative process of key stakeholder groups was taken, and their views were counted in making the final recommendations.
Based on evidence review and scores of stakeholders’ judgment, two public health service interventions were recommended for removal, and another two for adjustment (one for merger, one for optimizing care pathway). Cost estimation and potential budgetary impact were also analyzed to support financial decisions.
HTA and MCDA are key tools for defining the value criteria, evidence framework, and deliberative process for the essential public health program. However, lack of cost-effectiveness evidence hinders fine-tuned decisions on resource allocation. Continual health economic evaluation needs to be conducted in the near future.
Multi-functions devices attract much attention due to their great potential and large demands in wearable electronics. Besides some studies of integrated different functional devices as one, there is a novel strategy to fabricate multi-functions devices, that using one device to achieve two or more functions. Herein, we report the temperature sensing and energy storage multi-functions device based on graphene supercapacitor. By measuring the change of leakage current of supercapacitor, the obtained device could detect the environmental temperature. Integrating the planar-structure supercapacitor on one flexible printed circuit board with electronic components together, the obtain device presents perfect mechanical stability that no noticeable difference of both capacitance and leakage current under any bending status. Importantly, the temperature sensing function exhibits a high accuracy of 1 °C with a high resolution of 0.0588 °C. This work demonstrates the feasibility of the strategy of one device achieve two functions: using one supercapacitor to achieve temperature sensing and energy storage dual function simultaneously.
Low-pressure regional aureoles with steep metamorphic field gradients are critical to understanding progressive metamorphism in high-temperature metasedimentary rocks. Delicately layered pelitic and psammitic metasedimentary rocks at Mt Stafford, central Australia, record a greenschist- to granulite-facies Palaeoproterozoic regional aureole, associated with S-type granite plutons, reflecting metamorphism in the range 500–800 °C and at ∼3 kbar. The rocks experienced minimal deformation during metamorphism and partial melting. Partial melting textures evolve progressively along the steep metamorphic field gradient from the incipient stages of melting marked by cuspate grains with low dihedral angles, to melt proportions sufficient to form diatexite with schollen. Phase equilibria modelling in the NCKFMASHTO system for pelitic, semi-pelitic and high- and low-ferromagnesian psammitic samples quantitatively illustrates the dependence of partial melting on rock composition and water volume. Pelitic compositions are more fertile than psammitic compositions when the water content in the rocks is low, especially during the early stages of melting. The whole-rock ferromagnesian component additionally influences melt fertility, with ferromagnesian-rich psammite being more fertile than psammite with a lower ferromagnesian component. Subtle variations in free water content can result in obvious changes in melt volume but limited variation in melt composition. Distinct melting histories of pelitic and psammitic rocks inferred from field relationships may be partially attributed to potential differences in water volume retained to super-solidus conditions. Melt composition is more dependent on the rock composition than the variation in water content.
A series of CoCrFeNiMox (x = 0.2, 0.4, 0.6, 0.8, 1.0, and 1.2) high-entropy alloys were designed to develop a eutectic high-entropy alloy system and to acquire a superfine eutectic structure. The results show that for the CoCrFeNiMox alloys, with the increase of Mo content from 0.2 to 1.2, the microstructures shift from a typical dendrite structure to a hypoeutectic microstructure (x = 0.6), and then to a fully eutectic microstructure (x = 0.8) with a lamellar spacing only 110 nm, and finally culminate in the hypereutectic structure (x = 1.0, x = 1.2). The XRD results show that CoCrFeNiMox alloys have a single FCC phase when x is 0.2 or 0.4. When Mo content is over 0.6, it begins to separate Cr9Mo21Ni20 intermetallic compounds. The hardness of the CoCrFeNiMox alloys is increasing significantly from 172.8 to 763.7 HV with the increase of Mo content. Meanwhile, the fracture strength increased but the ductility decreases. Among these alloys, the CoCrFeNiMo0.6 alloy shows excellent integrated mechanical properties of compressive fracture strength and strain, which are 2051 Mpa and 23%, respectively.
Numerous systematic reviews of prospective studies on the association of stroke risk with the consumption of various food groups have been published. A review of the evidence across the existing systematic reviews and meta-analyses of prospective studies was conducted to provide an overview of the range and validity of the reported associations of food groups with stroke risk.
The PubMed, EMBASE and Cochrane Library databases were searched for articles published up to September 2015 to identify systematic reviews of prospective studies.
A total of eighteen studies published from 2008 to 2015 were eligible for analysis. Overall, thirteen specific foods were studied for an association with stroke outcome, including nuts, legumes, fruits and vegetables, refined grains, whole grains, dairy products, eggs, chocolate, red and/or processed meat, fish, tea, sugar-sweetened beverages and coffee. Whereas a high consumption of nuts, fruits, vegetables, dairy foods, fish and tea, and moderate consumption of coffee and chocolate demonstrated a protective effect, a high consumption of red and/or processed meat was associated with increased stroke risk. Refined grain, sugar-sweetened beverage, legume, egg and whole grain intake showed no effect on stroke outcome.
The current overview provided a high level of evidence to support the beneficial effect of specific foods on stroke outcome. Clinicians and policy makers could inform clinical practice and policy based on this overview.
In recent years, hand, foot, and mouth disease (HFMD) has been increasingly recognized as a critical challenge to disease control and prevention in China. Previous studies have found that meteorological factors such as mean temperature and relative humidity were associated with HFMD. However, little is known about whether the diurnal temperature range (DTR) has any impact on HFMD. This study aimed to quantify the impact of DTR on childhood HFMD in 18 cities in Sichuan Province. A distributed lag non-linear model was adopted to explore the temporal lagged association of daily temperature with age-, gender- and pathogen-specific HFMD. A total of 290 123 HFMD cases aged 0–14 years were reported in the 18 cities in Sichuan Province. The DTR–HFMD relationships were non-linear in all subgroups. Children aged 6–14 years and male children were more vulnerable to the temperature changes. Large DTR had the higher risk estimates of HFMD incidence in cases of EV71 infection, while small DTR had the higher risk estimates of HFMD incidence in cases of CV-A16 infection. Our study suggested that DTR played an important role in the transmission of HFMD with non-linear and delayed effects.
Glacier albedo controls the surface energy budget, the variability of which affects the glacier surface melt rate and, in turn, impacts the mass balance of the glacier. During 2013 and 2014, spatial and temporal variations of albedo were investigated using 18 Landsat images of Urumqi Glacier No. 1. Factors influencing these spatiotemporal profiles were analyzed. An established retrieval process, including geolocation, radiometric calibration, atmospheric, topographic, and anisotropic correction and narrow- to broadband conversion, was applied for the first time to Landsat-8 images. Differences between Landsat image derived albedo values and albedo values measured using a handheld spectroradiometer ranged from −0.024 to 0.049. Spatial and temporal variations of surface albedo were significant, especially in the ablation area. The variability of the values of ice albedo ranged from 0.06 to 0.44 due to topographic effects and light-absorbing impurities. The results suggest that this retrieval method can be used to investigate the spatial and temporal variability of surface albedo from Landsat-8 images on mountain glaciers. Moreover, as constant albedo values for ice and snow cannot be assumed, the distribution of albedo was not completely dependent on altitude under conditions of more intense ablation, and by reason of light-absorbing impurities during the melt season.
System architecture is important for the design of complex mechatronic systems because it acts as an intermediator between conceptual design and detail design. An explicit and exact system modeling language is imperative for successful architecture design. However, some deficiencies remain, such as the lack of geometry elements, hybrid behavior description, and specific association semantics for existing architecture modeling languages. In this study, a Systems Modeling Language extension for mechatronic system architecture modeling called ArchME is proposed. The requirements for the mechatronic System Modeling Language are analyzed, and the metamodels are defined. Then, the modeling elements are determined. Finally, the profiles based on the systems modeling language are defined to support the modeling of function, behavior, structure, and their association. This enables system designers to model the system architecture and facilitates communication between different stakeholders. A case study is provided to demonstrate the modeling capability of ArchME.
Disclosing the diagnosis of Alzheimer's disease (AD) to a patient is controversial. There is significant stigma associated with a diagnosis of AD or dementia in China, but the attitude of the society toward disclosure of such a diagnosis had not been formally evaluated prior to our study. Therefore, we aimed to evaluate the attitude toward disclosing an AD diagnosis to patients in China with cognitive impairment from their caregivers, and the factors that may affect their attitude.
We designed a 17-item questionnaire and administered this questionnaire to caregivers, who accompanied patients with cognitive impairment or dementia in three major hospitals in Shanghai, China. The caregiver's attitude toward disclosing the diagnosis of AD as evaluated by the questionnaire was compared to that of disclosing the diagnosis of terminal cancer.
A majority (95.7%) of the 175 interviewed participants (mean 14.2 years of education received) wished to know their own diagnosis if they were diagnosed with AD, and 97.6% preferred the doctor to tell their family members if they were diagnosed with AD. If a family member of the participants suffered from AD, 82.9% preferred to have the diagnosis disclosed to the patient. “Cognitive impairment” was the most accepted term by caregivers to disclose AD diagnosis in Chinese.
This study suggests most of the well-educated individuals in a Chinese urban area favored disclosing the diagnosis when they or their family members were diagnosed with AD.
As growers adopt and diffuse improved food crop cultivars, their investment decisions for producing new cultivars control product accessibility and directly affect the entire supply chain. In this study, we estimated growers’ willingness to invest (willingness to pay (WTP)) in cultivars with improved quality traits for five rosaceous fruit crops: apple, peach, strawberry, sweet cherry, and tart cherry. WTP values differed by crop, but fruit flavor was consistently rated one of the most important traits, with higher WTP. This information will help breeding programs focus resources to develop superior cultivars for long-term economic sustainability of the rosaceous fruit industry.
The Da Vinci surgical system is classified as a type “A” medical device in China; the procurement plan of which is regulated by the National Health and Family Planning Commission (NHFP). Between 2010 to 2015, there were thirty-four Da Vinci surgical robots purchased, and installed in thirty tertiary public hospitals across the country. In order to generate context-specific evidence and support further capital funding decisions, the NHFP commissioned a Health Technology Assessment (HTA) of Da Vinci surgical robots, with a focus on real use of the technology in those tertiary public hospitals.
Nine hospitals were selected to collect real word data between 2013 to 2015. Using a cross-sectional survey, data of all robotic surgical cases were collected and described. The unit costs of the robotic surgery were estimated from activity based costing. We also collected cases of prostatectomy (427 versus 421) and hysterectomy (247 versus 105) using the robotic system and laparoscope respectively, and then compared hospital fees and effectiveness during hospitalization. Simulation of the budget impact on health insurance in Shanghai City over the next 5 years was also performed.
A full HTA was conducted based on real data from nine public hospitals in the central and eastern region. Based on a systematic review methodology, we appraised evidence on safety, effectiveness and cost-effectiveness of the Da Vinci surgical robot. Data on technology use, clinical management, and pricing and payment were collected through a cross-sectional survey and interviews of hospital managers, surgeons and nurses. We designed a cohort study on cost-effectiveness of Da Vinci-assisted prostatectomy and hysterectomy, comparing Da Vinci-assisted and laparoscopic prostatectomy (427 vs 421) and Da Vinci-assisted and laparoscopic hysterectomy (247 versus 105). Ethics and inequity issues were discussed based on patient interviews. A budget impact analysis was performed based on scenario mapping of promoting Da Vinci-assisted prostatectomy in Shanghai City over a 5-year timeline.
Due to a lack of evidence on long-term clinical effectiveness and high impact on public finances, the Da Vinci robotic robot should not be procured in large numbers in China. For equipment purchasing the government should strengthen regulations and require the public hospitals to collect more evidence.
Currently large sky area spectral surveys like SDSS, 2dF, and LAMOST, using the new generation of telescopes and observatories, have provided massive spectral data sets for astronomical research. Most of the data can be automatically handled with pipelines, but visually inspection by human eyes is still necessary in several situations, like low SNR spectra, QSO recognition and peculiar spectra mining. Using ASERA, A Spectrum Eye Recognition Assistant, we can set up a team spectral inspection platform. On a preselected spectral data set, members of a team can individually view spectra one by one, find the best match template and estimate the redshift. Results from different members will be gathered and merged to raise the team work efficiency. ASERA mainly targets the spectra of SDSS and LAMOST fits data formats. Other formats can be supported with some conversion. Spectral templates from SDSS and LAMOST pipelines are embedded and users can easily add their own templates. Convenient cross identification interfaces with SDSS, SIMBAD, VIZIER, NED and DSS are also provided. An application example targeting finding strong emission line spectra from LAMOST DR2 is presented.