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Chronic inflammation exerts pleiotropic effects in the aetiology and progression of chronic obstructive pulmonary disease (COPD). Glucosamine is widely used in many countries and may have anti-inflammatory properties. We aimed to prospectively evaluate the association of regular glucosamine use with incident COPD risk and explore whether such association could be modified by smoking in the UK Biobank cohort, which recruited more than half a million participants aged 40–69 years from across the UK between 2006 and 2010. Cox proportional hazards models with adjustment for potential confounding factors were used to calculate hazard ratios (HR) as well as 95 % CI for the risk of incident COPD. During a median follow-up of 8·96 years (interquartile range 8·29–9·53 years), 9016 new-onset events of COPD were documented. We found that the regular use of glucosamine was associated with a significantly lower risk of incident COPD with multivariable adjusted HR of 0·80 (95 % CI, 0·75, 0·85; P < 0·001). When subgroup analyses were performed by smoking status, the adjusted HR for the association of regular glucosamine use with incident COPD were 0·84 (0·73, 0·96), 0·84 (0·77, 0·92) and 0·71 (0·62, 0·80) among never smokers, former smokers and current smokers, respectively. No significant interaction was observed between glucosamine use and smoking status (Pfor interaction = 0·078). Incident COPD could be reduced by 14 % to 84 % through a combination of regular glucosamine use and smoking cessation.
Nutritional Risk Screening index is a standard tool to assess nutritional risk, but epidemiological data are scarce on controlling nutritional status (CONUT) as a prognostic marker in acute haemorrhagic stroke (AHS). We aimed to explore whether the CONUT may predict a 3-month functional outcome in AHS. In total, 349 Chinese patients with incident AHS were consecutively recruited, and their malnutrition risks were determined using a high CONUT score of ≥ 2. The cohort patients were divided into high-CONUT (≥ 2) and low-CONUT (< 2) groups, and primary outcomes were a poor functional prognosis defined as the modified Rankin Scale (mRS) score of ≥ 3 at post-discharge for 3 months. Odds ratios (OR) with 95 % confidence intervals (CI) for the poor functional prognosis at post-discharge were estimated by using a logistic analysis with additional adjustments for unbalanced variables between the high-CONUT and low-CONUT groups. A total of 328 patients (60·38 ± 12·83 years; 66·77 % male) completed the mRS assessment at post-discharge for 3 months, with 172 patients at malnutrition risk at admission and 104 patients with a poor prognosis. The levels of total cholesterol and total lymphocyte counts were significantly lower in high-CONUT patients than low-CONUT patients (P = 0·012 and < 0·001, respectively). At 3-month post discharge, there was a greater risk for the poor outcome in the high-CONUT compared with the low-CONUT patients at admission (OR: 2·32, 95 % CI: 1·28, 4·17). High-CONUT scores independently predict a 3-month poor prognosis in AHS, which helps to identify those who need additional nutritional managements.
The fractional derivatives include nonlocal information and thus their calculation requires huge storage and computational cost for long time simulations. We present an efficient and high-order accurate numerical formula to speed up the evaluation of the Caputo fractional derivative based on the L2-1σ formula proposed in [A. Alikhanov, J. Comput. Phys., 280 (2015), pp. 424-438], and employing the sum-of-exponentials approximation to the kernel function appeared in the Caputo fractional derivative. Both theoretically and numerically, we prove that while applied to solving time fractional diffusion equations, our scheme not only has unconditional stability and high accuracy but also reduces the storage and computational cost.
Disaster can strike people in any community at any time anywhere in the world. Disasters occur with high frequency, take on multiple forms, and exert wide influence, typically causing property damage, injuries, and death. As the world’s largest developing country, China incurs great costs when a disaster hits. After the Wenchuan earthquake in 2008, the Chinese government focused its attention on the construction of an emergency response system, the creation of disaster prevention and mitigation systems, and the development of a disaster medicine program. Here, we describe the current status of disaster medicine in China, focusing on the following four aspects: the Emergency Management System, Education & Training, Rescue Practices, and Research. We also discuss the future of disaster medicine in China. (Disaster Med Public Health Preparedness. 2018;12:157–165)
This article is devoted to the study of some high-order difference schemes for the distributed-order time-fractional equations in both one and two space dimensions. Based on the composite Simpson formula and Lubich second-order operator, a difference scheme is constructed with convergence in the L1(L∞)-norm for the one-dimensional case, where τ,h and σ are the respective step sizes in time, space and distributed-order. Unconditional stability and convergence are proven. An ADI difference scheme is also derived for the two-dimensional case, and proven to be unconditionally stable and convergent in the L1(L∞)-norm, where h1 and h2 are the spatial step sizes. Some numerical examples are also given to demonstrate our theoretical results.
Some efficient numerical schemes are proposed to solve one-dimensional and two-dimensional multi-term time fractional diffusion-wave equation, by combining the compact difference approach for the spatial discretisation and an L1 approximation for the multi-term time Caputo fractional derivatives. The unconditional stability and global convergence of these schemes are proved rigorously, and several applications testify to their efficiency and confirm the orders of convergence.
Some efficient numerical schemes are proposed for solving one-dimensional (1D) and two-dimensional (2D) multi-term time fractional sub-diffusion equations, combining the compact difference approach for the spatial discretisation and L1 approximation for the multi-term time Caputo fractional derivatives. The stability and convergence of these difference schemes are theoretically established. Several numerical examples are implemented, testifying to their efficiency and confirming their convergence order.
This article deals with the numerical solution to the magneto-thermo-elasticity model, which is a system of the third order partial differential equations. By introducing a new function, the model is transformed into a system of the second order generalized hyperbolic equations. A priori estimate with the conservation for the problem is established. Then a three-level finite difference scheme is derived. The unique solvability, unconditional stability and second-order convergence in L∞-norm of the difference scheme are proved. One numerical example is presented to demonstrate the accuracy and efficiency of the proposed method.
The authors investigated the effects of annealing in Ar atmosphere at different temperatures (350–1100 °C) on the densification and leakage current characteristics of thermally oxidized SiO2 films on n-type 4H-SiC. A strong correlation between densification improvement and leakage current reduction was observed. Densification of the SiO2 films, which were characterized by spectroscopic ellipsometry, Fouriertransform infrared spectroscopy and atomic force microscopy, can be significantly improved after annealing at moderate temperature (600 °C). The leakage current is decreased by two orders of magnitude of the SiO2 thin film after annealing at 600 °C. Based on the studies, SiO2 film of the highest quality can be obtained after annealing at 600 °C. Improvements in the quality of the SiO2 thin films after annealing at 600 °C may be explained by the consumption and formation of carbon-related and oxygen-related defects during annealing.
In this study, inter-strain reconstructed embryos were produced by combining the female pronucleus of Kunming mouse (white) with male pronucleus of C57BL/6 strain (black). Metaphase II (MII) oocytes of Kunming mouse were enucleated and the zona pellucida was removed. Then, the enucleated oocytes were inseminated by capacitated sperm of C57BL/6 mouse in vitro. At the same time, MII oocytes of Kunming mouse were artificially activated using strontium chloride solution, which did not contain cytochalasin B. Finally, we removed the male pronucleus derived from C57BL/6 sperm and injected it into a parthenogenetically activated one-pronucleus oocyte by micromanipulation. The reconstructed 2-cell embryos were transplanted into the oviducts of 22 foster mother mice, each receiving about 20 embryos. In the end, seven healthy and live pups were born from one recipient.
Successful production of cloned animals derived from somatic cells has been achieved in sheep, cattle, goats, mice, pigs, rabbits, etc. But the efficiency of nuclear transfer is very low in all species. The present study was conducted to examine somatic nucleus remodelling and developmental ability in vitro of rabbit embryos by transferring somatic cells into enucleated germinal vesicle (GV), metaphase I (MI) or metaphase II (MII) oocytes. Microtubules were organized around condensed chromosomes after the nucleus had been transferred into any of the three types of cytoplasm. A bipolar spindle was formed in enucleated MII cytoplasm. Most of the nuclei failed to form a normal spindle within GV and MI cytoplasm. Some chromosomes scattered throughout the cytoplasm and some formed a monopolar spindle. Pseudopronucleus formation was observed in all three types of cytoplasm. Reconstructed embryos with MI and MII cytoplasm could develop to blastcysts. Nuclei in GV cytoplasm could develop only to the 4-cell stage. These results suggest that (1) GV material is important for nucleus remodelling after nuclear transfer, and (2) oocyte cytoplasm has the capacity to dedifferentiate somatic cells during oocyte maturation.
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