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Dietary indices are widely used in diet quality measurement, and the index-based dietary patterns are related to gastric cancer risk. To evaluate the relationship between different kinds of index-based dietary patterns and gastric cancer risk, we systematically searched four English-language databases and four Chinese-language databases. The quality of studies was assessed by the Newcastle-Ottawa Scale. Meta-analyses were performed to estimate the association between gastric cancer incidence and different types of index-based dietary patterns. The odds ratios (OR) and hazard ratios (HR) of gastric cancer incidence were calculated by regression models in case-control studies and prospective cohort studies, respectively. The studies were pooled in the random-effects model to calculate the summarized risk estimate of the highest quantile interval of dietary indices, taking the lowest as the referent. The dietary indices included different versions of Mediterranean diet score (MDS) and dietary inflammatory index (DII), healthy eating index, Chinese food pagoda score, and food index score. The meta-analysis was carried out for studies on MDS and DII. The combined OR of gastric cancer for the highest MDS versus the referent was 0.42 (95% CI 0.2–0.86), and the combined HR was 0.89 (95% CI 0.68–1.17). The combined OR for DII was 2.11 (95% CI 1.41–3.15). Higher Mediterranean dietary pattern consumption might reduce gastric cancer risk, while higher inflammatory diet pattern consumption might increase gastric cancer risk.
The aim of this study is to explore the influence of tea consumption on diabetes mellitus in Chinese population. This multicenter, cross-sectional study was conducted in eight sites from south, east, north, west and middle regions in China by enrolling 12,017 subjects aged 20–70. Sociodemographic and general information were collected by standardized questionnaire. Standard procedure was used to measure anthropometric characteristics and obtain blood samples. The diagnosis of diabetes was determined using a standard 75-g oral glucose tolerance test. In the final analysis, 10,825 participants were included, and multiple logistic models and interaction effect analysis were applied for assessing the association between tea-drinking with diabetes. Compared with non-tea drinkers, the multivariable-adjusted odds ratios for newly-diagnosed diabetes were 0.80(0.67, 0.97), 0.88(0.71, 1.09) and 0.86(0.67, 1.11) for daily tea-drinkers, occasional tea-drinkers and seldom tea-drinkers, respectively. Furthermore, drinking tea daily was related to decreased risk of diabetes in female by 32%, elderly (>45y) by 24% and obese (BMI>30kg/m2) by 34%. Moreover, drinking dark tea was associated with reduced risk of diabetes by 45% [OR: 0.55 (0.42, 0.72), P < 0.01]. The results imply that drinking tea daily was negatively related to risk of diabetes in female, elderly and obese people. In addition, drinking dark tea was associated with decreased risk of T2DM.
The seminiferous tubule (ST) is the location of spermatogenesis, where mature spermatozoa are produced with the assistance of Sertoli cells. The role of extracellular vesicles in the direct communication between Sertoli-germ cells in the ST is still not fully understood. In this study, we reported multivesicular bodies (MVBs) and their source of CD63-enriched exosomes by light and ultrastructure microscopy during the reproductive phases of turtles. Strong CD63 immunopositivity was detected at the basal region in the early and luminal regions of the ST during late spermatogenesis by immunohistochemistry (IHC), immunofluorescence (IF), and western blot (WB) analysis. Labeling of CD63 was detected in the Sertoli cell cytoplasmic processes that surround the developing germ cells during early spermatogenesis and in the lumen of the ST with elongated spermatids during late spermatogenesis. Furthermore, ultrastructure analysis confirmed the existence of numerous MVBs in the Sertoli cell prolongations that surround the round and primary spermatogonia during acrosome biogenesis and with the embedded heads of spermatids in the cytoplasm of Sertoli cells. Additionally, in spermatids, Chrysanthemum flower centers (CFCs) generated isolated membranes involved in MVBs and autophagosome formation, and their fusion to form amphiosomes was also observed. Additionally, autophagy inhibition by 3-methyladenine (after 24 h) increased CD63 protein signals during late spermatogenesis, as detected by IF and WB. Collectively, our study found MVBs and CD63 rich exosomes within the Sertoli cells and their response to autophagy inhibition in the ST during the spermatogenesis in the turtle.
To explore whether and how group cognitive-behavioural therapy (GCBT) plus medication differs from medication alone for the treatment of generalised anxiety disorder (GAD).
Hundred and seventy patients were randomly assigned to the GCBT plus duloxetine (n=89) or duloxetine group (n=81). The primary outcomes were Hamilton Anxiety Scale (HAMA) response and remission rates. The explorative secondary measures included score reductions from baseline in the HAMA total, psychic, and somatic anxiety subscales (HAMA-PA, HAMA-SA), the Hamilton Depression Scale, the Severity Subscale of Clinical Global Impression Scale, Global Assessment of Functioning, and the 12-item Short-Form Health Survey. Assessments were conducted at baseline, 4-week, 8-week, and 3-month follow-up.
At 4 weeks, HAMA response (GCBT group 57.0% vs. control group 24.4%, p=0.000, Cohen’s d=0.90) and remission rates (GCBT group 21.5% vs. control group 6.2%, p=0.004; d=0.51), and most secondary outcomes (all p<0.05, d=0.36−0.77) showed that the combined therapy was superior. At 8 weeks, all the primary and secondary significant differences found at 4 weeks were maintained with smaller effect sizes (p<0.05, d=0.32−0.48). At 3-month follow-up, the combined therapy was only significantly superior in the HAMA total (p<0.045, d=0.43) and HAMA-PA score reductions (p<0.001, d=0.77). Logistic regression showed superiority of the combined therapy for HAMA response rates [odds ratio (OR)=2.12, 95% confidence interval (CI) 1.02−4.42, p=0.04] and remission rates (OR=2.80, 95% CI 1.27−6.16, p=0.01).
Compared with duloxetine alone, GCBT plus duloxetine showed significant treatment response for GAD over a shorter period of time, particularly for psychic anxiety symptoms, which may suggest that GCBT was effective in changing cognitive style.
In order to reveal the quantitative relationship between fatigue crack deflection path and cross-sectional grain boundary (GB) arrangement of metallic nanolayered composites (NLCs), a stochastic model was established based on the interface-dominant fatigue damage for the ultrafine-scale NLCs. The model indicates that the crack deflection length decreases with decreasing GB arrangement deviation and grain size of constituent layers. The observation and quantitative analysis of fatigue cracking behavior of the Cu/W multilayers with a layer thickness of 5 and 20 nm was conducted to verify the model.
Schizophrenia is a complex mental disorder with high heritability and polygenic inheritance. Multimodal neuroimaging studies have also indicated that abnormalities of brain structure and function are a plausible neurobiological characterisation of schizophrenia. However, the polygenic effects of schizophrenia on these imaging endophenotypes have not yet been fully elucidated.
To investigate the effects of polygenic risk for schizophrenia on the brain grey matter volume and functional connectivity, which are disrupted in schizophrenia.
Genomic and neuroimaging data from a large sample of Han Chinese patients with schizophrenia (N = 509) and healthy controls (N = 502) were included in this study. We examined grey matter volume and functional connectivity via structural and functional magnetic resonance imaging, respectively. Using the data from a recent meta-analysis of a genome-wide association study that comprised a large number of Chinese people, we calculated a polygenic risk score (PGRS) for each participant.
The imaging genetic analysis revealed that the individual PGRS showed a significantly negative correlation with the hippocampal grey matter volume and hippocampus–medial prefrontal cortex functional connectivity, both of which were lower in the people with schizophrenia than in the controls. We also found that the observed neuroimaging measures showed weak but similar changes in unaffected first-degree relatives of patients with schizophrenia.
These findings suggested that genetically influenced brain grey matter volume and functional connectivity may provide important clues for understanding the pathological mechanisms of schizophrenia and for the early diagnosis of schizophrenia.
The language history questionnaire (LHQ) is an important tool for assessing the linguistic background and language proficiency of multilinguals or second language learners. Previously we developed a generic LHQ based on the most commonly asked questions in published studies (Li, Sepanski & Zhao, 2006) and provided a web-based interface (LHQ 2.0) that has flexibility in functionality, accuracy in data recording, and privacy for users and data (Li, Zhang, Tsai & Puls, 2014). LHQ3 (version 3) introduces new functions, developed in response to many comments/requests from users. One important improvement is the addition of an automatic scoring system, in that the new interface automatically calculates aggregated scores for language proficiency, language dominance, and language immersion levels. Finally, LHQ3 allows researchers to assign different weights to the modules when calculating the aggregated scores, addressing the issue of different focuses that different researchers put on multilingual speakers’ language usage and background.
Compared with commercial polyolefin membranes, polyacrylonitrile (PAN) membrane prepared by electrostatic spinning has higher porosity, electrolyte uptake, thermal stability, and lithium-ion conductivity, etc. However, poor mechanical performance has largely limited the application of electrospun PAN separators. In this study, PAN/polyimide (PI) composite membrane is prepared by electrostatic spinning to improve the mechanical and electrochemical performances. Scanning electron microscopy, thermal analysis method, and electrochemical methods were used for evaluation of the electrospun composite membrane. The results show that the composite membrane possesses good thermal stability and exhibits better mechanical performance than pristine PAN membrane (increasing by 1.1 times in tension strength). The addition of PI can increase porosity and fluid absorption rate obviously. In addition, the composite membrane has high ionic conductivity (18.77 × 10−4 S/cm), wide electrochemical window (about 4.0 V), and excellent cycling performance. It can retain a discharge specific capacity of 153 mA h/g even after 50 cycles at 0.5 C. The electrospun PAN/PI membrane may be a promising candidate for lithium-ion battery separators.
M3:2 high-speed steel (HSS) billets with or without Nb addition were prepared by spray deposition. The effects of Nb and post-thermal-mechanical processing (decomposition treatment and hot forging), as well as heat treatment, on the microstructure and properties of M3:2 HSS were investigated. The microstructure of the as-deposited M3:2 HSS consisted of equiaxed grains with a mean size of approximately 25 μm and discontinuous plate-like M2C and irregular MC carbides distributed along grain boundaries. 0.5% Nb addition can refine the M2C plates and spheroidize MC carbides. With 2% Nb addition, the refined grains with a mean size of approximately 12 μm and continuous net of M6C and a uniform distribution of NbC carbides were obtained. The decomposition of metastable M2C carbides can be accelerated with 0.5% Nb addition due to the refined size and lower thermodynamic stability of M2C plates. With the increased degree of decomposition of M2C carbide, the M6C and MC carbides became refined and more uniformly distributed after optimal thermal-mechanical processing and heat treatment, which leads to a significant increase in bend strength and toughness.
In this paper, we review the status of the multifunctional experimental platform at the National Laboratory of High Power Laser and Physics (NLHPLP). The platform, including the SG-II laser facility, SG-II 9th beam, SG-II upgrade (SG-II UP) facility, and SG-II 5 PW facility, is operational and available for interested scientists studying inertial confinement fusion (ICF) and a broad range of high-energy-density physics. These facilities can provide important experimental capabilities by combining different pulse widths of nanosecond, picosecond, and femtosecond scales. In addition, the SG-II UP facility, consisting of a single petawatt system and an eight-beam nanosecond system, is introduced including several laser technologies that have been developed to ensure the performance of the facility. Recent developments of the SG-II 5 PW facility are also presented.
Haxilegen Glacier No.51 (43.731°N, 84.391°E; CN5Y741C0051) is located in the Kuytun river basin, Erenharbirga range, eastern Tien Shan. This study presents the annual mass balance of Haxilegen Glacier No.51 for 7 hydrological years and uses a temperature-index and an accumulation model to reconstruct the annual mass balance from 1999 to 2015. The model is calibrated against annual altitudinal mass-balance measurements and then applied to the period with no measurements. We find an accumulated mass balance of −6.06 ± 0.88 m w.e.a−1 over the period of 16 hydrological years, with an average annual value of −0.32 ± 0.22 m w.e.a−1. The mean glacier-wide annual, summer and winter balances for 1999 to 2015 are −0.37, −0.54 and 0.16 ± 0.22 m w.e.a−1, respectively, with a high correlation coefficient (r = 0.95, p < 0.001) between annual balance and summer balance. The calculated mass-balance sensitivity of the glacier to temperature is −0.51 m w.e.a−1 °C−1 and to precipitation is 0.08 m w.e.a−1 for a 10% increase. The sensitivity of seasonal mass balance indicates that temperature during the melt season (May–August) and annual precipitation are the major contributors to mass-balance fluctuation.
This study analyzed and assessed publication trends in articles on “disaster medicine,” using scientometric analysis. Data were obtained from the Web of Science Core Collection (WoSCC) of Thomson Reuters on March 27, 2017. A total of 564 publications on disaster medicine were identified. There was a mild increase in the number of articles on disaster medicine from 2008 (n=55) to 2016 (n=83). Disaster Medicine and Public Health Preparedness published the most articles, the majority of articles were published in the United States, and the leading institute was Tohoku University. F. Della Corte, M. D. Christian, and P. L. Ingrassia were the top authors on the topic, and the field of public health generated the most publications. Terms analysis indicated that emergency medicine, public health, disaster preparedness, natural disasters, medicine, and management were the research hotspots, whereas Hurricane Katrina, mechanical ventilation, occupational medicine, intensive care, and European journals represented the frontiers of disaster medicine research. Overall, our analysis revealed that disaster medicine studies are closely related to other medical fields and provides researchers and policy-makers in this area with new insight into the hotspots and dynamic directions. (Disaster Med Public Health Preparedness. 2019;13:165–172)
Kawasaki disease, which is characterised by systemic vasculitides accompanied by acute fever, is regularly treated by intravenous immunoglobulin to avoid lesion formation in the coronary artery; however, the mechanism of intravenous immunoglobulin therapy is unclear. Hence, we aimed to analyse the global expression profile of serum exosomal proteins before and after administering intravenous immunoglobulin.
Two-dimensional electrophoresis coupled with mass spectrometry analysis was used to identify the differentially expressed proteome of serum exosomes in patients with Kawasaki disease before and after intravenous immunoglobulin therapy.
Our analysis revealed 69 differential protein spots in the Kawasaki disease group with changes larger than 1.5-fold and 59 differential ones in patients after intravenous immunoglobulin therapy compared with the control group. Gene ontology analysis revealed that the acute-phase response disappeared, the functions of the complement system and innate immune response were enhanced, and the antibacterial humoral response pathway of corticosteroids and cardioprotection emerged after administration of intravenous immunoglobulin. Further, we showed that complement C3 and apolipoprotein A-IV levels increased before and decreased after intravenous immunoglobulin therapy and that the insulin-like growth factor-binding protein complex acid labile subunit displayed reverse alteration before and after intravenous immunoglobulin therapy. These observations might be potential indicators of intravenous immunoglobulin function.
Our results show the differential proteomic profile of serum exosomes of patients with Kawasaki disease before and after intravenous immunoglobulin therapy, such as complement C3, apolipoprotein A-IV, and insulin-like growth factor-binding protein complex acid labile subunit. These results may be useful in the identification of markers for monitoring intravenous immunoglobulin therapy in patients with Kawasaki disease.
We present a novel route to fabricate 3D nanoporous α-Ti foams by dealloying of TiCu master alloy in solid state using Mg powders. Pure open-cell nanoporous α-Ti foams are fabricated with BET surface area of 34.4 ± 0.8 m2/g and pore size in the range of 2–50 nm. The dealloying using powders is a solid state chemical reaction process to form Cu2Mg phase and Ti/Mg nanocomposites. The constituent of Cu in the TiCu alloy was dissolved into Mg powders thanks to the kinetics of interface reaction and volume diffusion. The pore-forming mechanism is a solid-state interdiffusion process. The ligament coarsening is from 492 to 650 nm with increasing of the dealloying temperature. The hardness and elastic modulus in nanoporous α-Ti foam follow linear decay fit with ligament size increasing. Our results demonstrate a facile strategy for the fabrication of nanoporous Ti foams with novel nanostructures and tailored properties.
Multi-wavelength flares have routinely been observed from the supermassive black hole, Sagittarius A⋆ (Sgr A⋆), at our Galactic center. The nature of these flares remains largely unclear, despite many theoretical models. We study the statistical properties of the Sgr A⋆ X-ray flares and find that they are consistent with the theoretical prediction of the self-organized criticality system with the spatial dimension S = 3. We suggest that the X-ray flares represent plasmoid ejections driven by magnetic reconnection (similar to solar flares) in the accretion flow onto the black hole. Motivated by the statistical results, we further develop a time-dependent magnetohydrodynamic (MHD) model for the multi-band flares from Sgr A⋆ by analogy with models of solar flares/coronal mass ejections (CMEs). We calculate the X-ray, infrared flare light curves, and the spectra, and find that our model can explain the main features of the flares.
In this study, we investigate the charge-transport behavior in a disordered one-dimensional (1D) chain of metallic islands using the newly developed multi-island transport simulator (MITS) based on semi-classical tunneling theory and kinetic Monte Carlo simulation. The 1D chain is parameterized to model the experimentally-realized devices studied by Lee et al. [Advanced Materials25, 4544-4548 (2013)], which consists of nano-meter-sized gold islands randomly deposited on an insulating boron-nitride nanotube. These devices show semiconductorlike behavior without having semiconductor materials. The effects of disorder, device length, temperature, and source-drain bias voltage (VSD) on the current are examined. Preliminary results of random assemblies of gold nano-islands in two dimensions (2D) are also examined in light of the 1D results.
At T = 0 K and low source-drain bias voltages, the disordered 1D-chain device shows charge-transport characteristics with a well-defined Coulomb blockade (CB) and Coulomb staircase (CS) features that are manifestations of the nanometer size of the islands and their separations. In agreement with experimental observations, the CB and the blockade threshold voltage (Vth) at which the device begins to conduct increases linearly with increasing chain length. The CS structures are more pronounced in longer chains, but disappear at high VSD. Due to tunneling barrier suppression at high bias, the current-voltage characteristics for VSD > Vth follow a non-linear relationship. Smaller islands have a dominant effect on the CB and Vth due to capacitive effects. On the other hand, the wider junctions with their large tunneling resistances predominantly determine the overall device current. This study indicates that smaller islands with smaller inter-island spacings are better suited for practical applications. Temperature has minimal effects on high-bias current behavior, but the CB is diminished as Vth decreases with increasing temperature.
In 2D systems with sufficient disorder, our studies demonstrate the existence of a dominant conducting path (DCP) along which most of the current is conveyed, making the device effectively quasi-1-dimensional. The existence of a DCP is sensitive to the device structure, but can be robust with respect to changes in VSD.
The fabrication of a temperature sensor based on graphene nanoplatelets (GNPs) is reported. A preheat process was carried out and the micrographs of both original and preheat-treated GNPs are observed and compared. Nonlinear temperature variation of resistance is observed and humidity interference is found to be negligible. Region of 10–60 °C (the linear region) is selected as the sensor range and further studied. High sensitivity of GNPs can be seen and the temperature coefficient of resistance (TCR) of 0.0371 is calculated, higher than that of multiwall carbon nanotubes (MWCNTs) and many other materials reported in references. Great repeatability and small hysteresis are obtained. The time constant of the GNPs film is about 5 s, much shorter than that of MWCNTs film. The result suggests that GNPs have potential applications for use in highly sensitive and fast-response temperature sensors.
P-type Cu1.8+xSe (x = 0, 0.16, 0.20) compounds were synthesized by mechanical alloying and spark plasma sintering technique. A 100% enhancement of the Seebeck coefficient was achieved in the whole temperature interval for x = 0.16 and x = 0.20 bulks compared with that of the x = 0 bulk. The thermal conductivity was all below 1.6 W m−1 K−1 in the whole temperature interval for x = 0.16 and x = 0.20 bulks, showing a pronounced reduction compared with that of the x = 0 bulk. The lowest thermal conductivity 0.69 W m−1 K−1 was achieved in the x = 0.16 sample at 773 K, whereby a maximum ZT value of 1.23 was obtained, revealing that optimizing Cu content in Cu1.8+xSe system is an effective method to improve the thermoelectric (TE) merit and indicating a great potential for TE application along with their nontoxicity and low cost.