To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
To explore the factors influencing Taiwanese adolescents’ consumption of sugar-sweetened beverages (SSB) and sugary snacks from a socio-ecological perspective.
This study adopted a qualitative design by using face-to-face, in-depth interviews guided by a semistructured questionnaire.
Eight junior high schools in New Taipei City and Changhua County, Taiwan, September to November 2018.
Fifty-nine participants aged 12–14 years participated in this study.
Reflexive thematic analysis was used to analyse the data. This study identified four themes to address the multifaceted factors that influence adolescents’ consumption of SSB and sugary snacks. At the intrapersonal level, physiological factors, psychological factors, individual economic factors and taste preferences were mentioned in connection with people’s consumption of SSB and sugary snacks. Positive or negative influences of parents, siblings, peers and teachers on SSB and sugary snack intake were identified at the interpersonal level. The availability of SSB and sugary snacks at home, their availability in vending machines or in school stores in the school environment and participants’ access to convenience stores and hand-shaken drink shops in the broader community influenced SSB and sugary snack consumption. Additionally, food culture and food advertising were identified as influencing societal factors.
Overall, this qualitative study determined not only that the consumption of SSB and sugary snacks is influenced by intrapersonal factors but also that interpersonal, environmental and societal factors affect adolescents’ increased sugar intake. The findings are helpful to broaden the options for designing and developing interventions to decrease SSB and sugary snack consumption by adolescents.
Lower-crust-derived adakitic rocks in the Gangdese belt provide important constraints on the timing of Tibetan crustal thickening and on the relative contributions of magmatic and tectonic processes. Here we present geochronological and geochemical data for the Wangdui porphyritic monzogranites in the western Gangdese belt. Zircon U–Pb dating yields emplacement ages of 46–44 Ma. All samples have high Sr (321–599 ppm), low Yb (0.76–1.33 ppm) and Y (10.6–18.3 ppm) contents, with high La/Yb (51.1–72.3) and Sr/Y (21.0–51.4) ratios, indicating adakitic affinities. The low MgO (0.97–1.76 wt %), Cr (7.49–53.6 ppm) and Ni (4.75–29.1 ppm) contents, as well as high 87Sr/86Sr(i) (0.7143–0.7145), low ϵNd(t) (−10.4 to −9.8) and zircon ϵHf(t) (−17.7 to 0.4) values, suggest that the Wangdui pluton most likely originated from partial melting of the thickened ancient lower crust. In combination with previously published data, despite the east–west-trending heterogeneity of crustal composition in the Gangdese belt, the La/Yb ratios of magmatic rocks reveal that both western and eastern segments experienced remarkable crustal thickening in the Eocene. However, in contrast to the thickened juvenile lower crust in the eastern segment formed by the underplating of mantle-derived magmas, tectonic shortening plays a more crucial role in thickening of the ancient basement in western Gangdese. In fact, such Eocene-thickened ancient lower-crust-derived adakitic rocks are widely distributed in the central Himalayan–Tibetan orogen. This, together with the extensive development of fold–thrust belts, suggests that tectonic shortening might be the main mechanism accounting for the crustal thickening associated with the India–Asia collision.
It is generally accepted that high-oleic crops have at least 70% oleate. As compared to their normal-oleic counterparts, oil and food products made from high-oleic peanut have better keeping quality and are much healthier. Therefore, high-oleic peanut is well recognized by processors and consumers. However, owing to the limited availability of high-oleic donors, most present-day high-oleic peanut varietal releases merely have F435 type FAD2 mutations. Through screening of a mutagenized peanut population of 15L46, a high-yielding peanut line with desirable elliptical oblong large seeds, using near infrared model for predicting oleate content in individual single seeds, high-oleic peanut mutants were identified. Sequencing FAD2A and FAD2B of the mutants along with the wild type revealed that these mutants possessed G448A FAD2A (F435 type FAD2A mutation) and G558A FAD2B (non-F435 type FAD2B mutation). Expression of the wild and mutated type FAD2B in yeast verified that the functional mutation contributed to the high-oleic phenotype in these mutants. The mutants provided additional high-oleic donors to peanut quality improvement.
A multidecadal-resolved stalagmite δ18O record from two nearby caves, Lianhua and Dragon, in Shanxi Province, northern China, characterizes the detailed East Asian summer monsoon (EASM) intensity changes at 114.6–108.3 ka during Marine Oxygen Isotope Stage 5d. Our record shows an intensification of the EASM at 114.6–109.5 ka, followed by a rapid weakening at 109.5–108.4 ka. The millennial-scale strong monsoonal event appears to be correlated with the warm Greenland interstadial 25 (GI 25), whereas the weak monsoonal event is related to the cold Greenland stadial 25 within dating errors. The GI 25 monsoonal event registered in our record is also documented in various published time series from different regions of China. The lines of evidence indicate that this event occurred over the entirety of monsoonal China and was also broadly antiphase, similar to the corresponding event on a millennial time scale in the South American monsoon territory. In our record, one 700 yr weak monsoon event at 110.7+0.6−0.5 to 110.0+0.8−0.4 ka divides the GI 25 into three substages. These multicentennial to millennial–scale monsoon events correspond to two warm periods and an intervening cold interval for the intra-interstadial climate oscillations within GI 25, thus supporting a persistent coupling of the high- and low-latitude climate systems over the last glacial period.
Preterm birth is the leading cause of perinatal mortality and morbidity. Some prospective cohort studies suggested that fish and shellfish consumption may affect the incidence of preterm birth. However, conflicting evidence exists on the relationship between fish and shellfish consumption and preterm birth. A total of 10 179 women from Gansu province were interviewed after delivery to collect information on their past intake of fish and shellfish using FFQ. Logistic regression models were used to estimate OR and 95 % CI to examine the association between fish and shellfish consumption and preterm birth and its clinical subtypes. Fish and shellfish consumption was associated with reduced risk of preterm birth (OR = 0·65, 95 % CI 0·56, 0·77). Increasing frequency of fish and shellfish consumption, compared with no fish and shellfish consumption, was associated with decreasing odds of preterm birth. Besides, increasing weekly total amount of fish and shellfish consumption, compared with no fish and shellfish consumption, was also associated with decreasing odds of preterm birth. Significant trend effect was also seen between fish and shellfish consumption and very preterm birth (Pfor trend = 0·001) and spontaneous preterm birth (Pfor trend = 0·003). Interaction was observed between total fish and shellfish consumption with maternal age (Pfor interaction = 0·041) and pre-pregnancy BMI underweight (Pfor interaction = 0·012). Our findings showed that maternal fish and shellfish consumption was associated with lower incidence of preterm birth.We recommend for the national guideline of ≥350 g/week of fish and shellfish consumption among pregnant women.
In order to maintain the no-slip condition and the divergence-free property simultaneously, an iterative scheme of immersed boundary method in the finite element framework is presented. In this method, the Characteristic-based Split scheme is employed to solve the momentum equations and the formulation for the pressure and the extra body force is derived according to the no-slip condition. The extra body force is divided into two divisions, one is in relation to the pressure and the other is irrelevant. Two corresponding independent iterations are set to solve the two sections. The novelty of this method lies in that the correction of the velocity increment is included in the calculation of the extra body force which is relevant to the pressure and the update of the force is incorporated into the iteration of the pressure. Hence, the divergence-free properties and no-slip conditions are ensured concurrently. In addition, the current method is validated with well-known benchmarks.
In this special collection, we address the origin and dispersal of the Transeurasian languages, i.e. Japonic, Koreanic, Tungusic, Mongolic and Turkic, from an interdisciplinary perspective. Our key objective is to effectively synthesize linguistic, archaeological and genetic evidence in a single approach, for which we use the term ‘triangulation’. The 10 articles collected in this volume contribute to the question of whether and to what extent the early spread of Transeurasian languages was driven by agriculture in general, and by economic reliance on millet cultivation in particular.
Major depressive disorder is characterized by a high risk of relapse. We aimed to compare the prophylactic effects of different antidepressant medicines (ADMs).
PubMed, Cochrane Central Register of Controlled Trials, Embase and the Web of Science were searched on 4 July 2019. A pooled analysis of parametric survival curves was performed using a Bayesian framework. The main outcomes were hazard ratios (HRs), relapse-free survival and mean relapse-free months.
Forty randomized controlled trials were included. The 1-year relapse-free survival for ADM (76%) was significantly better than that for placebo (56%). Most of the relapse difference (86.5%) occurred in the first 6 months. Most HRs were not constant over time. Proof of benefit after 6 months of follow-up was not established partially because of small differences between the drug and placebo after 6 months. Almost all studies used an ‘enriched’ randomized discontinuation design, which may explain the high relapse rates in the first 6 months after randomization.
The superiority of ADM v. placebo was mainly attributed to the difference in relapse rates that occurred in the first 6 months. Our analysis provided evidence that the prophylactic efficacy was not constant over time. A beneficial effect was observed, but the prevention of new episodes after 6 months was questionable. These findings may have implications for clinical practice.
The Tungusic languages form a language family spoken in Xinjiang, Siberia, Manchuria and the Russian Far East. There is a general consensus that these languages are genealogically related and descend from a common ancestral language, conventionally called ‘Proto-Tungusic’. However, the exact geographical location where the ancestral speakers of Proto-Tungusic originated from is subject to debate. Here we take an unprecedented approach to this problem, by integrating linguistic, archaeological and genetic evidence in a single study. Our analysis of ancient DNA suggests genetic continuity between an ancient Amur genetic lineage and the contemporary speakers of the Tungusic languages. Adding an archaeolinguistic perspective, we infer that the most plausible homeland for the speakers of Proto-Tungusic is the region around Lake Khanka in the Russian Far East. Our study pushes the field forward in answering the tantalizing question about the location of the Tungusic homeland and in illustrating how these three disciplines can converge into a holistic approach to the human past.
Hypertrophic cardiomyopathy is an autosomal dominant hereditary disease characterised by left ventricular asymmetry hypertrophy. However, our knowledge of the genetic background in hypertrophic cardiomyopathy cases is limited. Here, we aimed to evaluate pathogenic gene mutations in a family with high-risk hypertrophic cardiomyopathy and analyse the genotype/phenotype relationships in this family.
The proband, her parents, and her niece underwent whole-exome sequencing, and the genotypes of family members were identified using Sanger sequencing. mRNA expression was detected using reverse transcription sequencing. Structural impairments were predicted by homologous modelling. A family survey was conducted for patients with positive results to obtain information on general clinical symptoms, electrocardiography, ambulatory electrocardiography, echocardiography, and 3.0T cardiac magnetic resonance findings. Regular follow-up was performed for up to 6 months.
Five family members, including the proband, carried a cleavage site mutation in the MYBPC3 gene (c.2737+1 (IVS26) G>T), causing exon 26 of the MYBPC3 gene transcript to be skipped and leading to truncation of cardiac myosin-binding protein C. Family survey showed that the earliest onset age was 13 years old, and three people had died suddenly at less than 40 years old. Three pathogenic gene carriers were diagnosed with hypertrophic cardiomyopathy, and all showed severe ventricular septal hypertrophy.
The c.2737+1 (IVS26) G>T mutation in the MYBPC3 gene led to exon 26 skipping, thereby affecting the structure and function of cardiac myosin-binding protein C and leading to severe ventricular hypertrophy and sudden death.
Objective: Deficits in the semantic learning strategy were observed in subjects with amnestic mild cognitive impairment (aMCI) in our previous study. In the present study, we explored the contributions of executive function and brain structure changes to the decline in the semantic learning strategy in aMCI. Methods: A neuropsychological battery was used to test memory and executive function in 96 aMCI subjects and 90 age- and gender-matched healthy controls (HCs). The semantic clustering ratio on the verbal learning test was calculated to evaluate learning strategy. Medial temporal lobe atrophy (MTA) and white matter hyperintensities (WMH) were measured on MRI with the MTA and Fazekas visual rating scales, respectively. Results: Compared to HCs, aMCI subjects had poorer performance in terms of memory, executive function, and the semantic clustering ratio (P < .001). In aMCI subjects, no significant correlation between learning strategy and executive function was observed. aMCI subjects with obvious MTA demonstrated a lower semantic clustering ratio than those without MTA (P < .001). There was no significant difference in the learning strategies between subjects with high-grade WMH and subjects with low-grade WMH. Conclusion: aMCI subjects showed obvious impairment in the semantic learning strategy, which was attributable to MTA but independent of executive dysfunction and subcortical WMH. These findings need to be further validated in large cohorts with biomarkers identified using volumetric brain measurements. (JINS, 2019, 25, 706–717)
This study proposes two multimodal frameworks to classify pathological voice samples by combining acoustic signals and medical records. In the first framework, acoustic signals are transformed into static supervectors via Gaussian mixture models; then, a deep neural network (DNN) combines the supervectors with the medical record and classifies the voice signals. In the second framework, both acoustic features and medical data are processed through first-stage DNNs individually; then, a second-stage DNN combines the outputs of the first-stage DNNs and performs classification. Voice samples were recorded in a specific voice clinic of a tertiary teaching hospital, including three common categories of vocal diseases, i.e. glottic neoplasm, phonotraumatic lesions, and vocal paralysis. Experimental results demonstrated that the proposed framework yields significant accuracy and unweighted average recall (UAR) improvements of 2.02–10.32% and 2.48–17.31%, respectively, compared with systems that use only acoustic signals or medical records. The proposed algorithm also provides higher accuracy and UAR than traditional feature-based and model-based combination methods.
Mutual fund managers with degrees from elite universities tend to outperform their counterparts from less elite universities. We show that the better performance of elite graduates is generated from their better connections with underwriters that facilitate allocations to underpriced initial public offerings (IPOs). Indeed, we find that the funds outperform only in months when they are connected to underwriters issuing IPOs. A strategy of buying mutual funds in months when they are connected to underwriters scheduled to issue IPOs generates significant abnormal returns, as high as 4.08% per annum in hot markets.
Introduction: To investigate the effects of paroxetine (PAR) on motor and cognitive function recovery in patients with non-depressed ischemic stroke (nD-AIS).
Methods: One hundred sixty-seven patients hospitalized for non-depressed acute ischemic stroke were selected and divided into treatment (T) and control (C) groups using a random number table. All patients received conventional secondary ischemic stroke prevention and rehabilitation training; patients in Group T additionally received treatment with PAR (10 mg/day during week 1 and 20 mg/day thereafter) for 3 months. The follow-up observation lasted 6 months. The Fugl–Meyer motor scale (FMMS), Montreal cognitive assessment (MoCA), and Hamilton depression scale (HAMD) were used on D0, D15, D90, and D180 (T0, 1, 2, and 3, respectively; D180 = 90 days after treatment cessation) after study initiation, and scores were compared between the groups.
Results: The FMMS and MoCA scores differed significantly between Groups T and C at T2 and T3 (p < .05); by contrast, these scores did not differ significantly between the groups at T1 (p > .05). Furthermore, the HAMD scores differed significantly between the two groups at T3 (p < .05), but not at T1 and T2 (p > .05).
Conclusions: PAR treatment may improve motor and cognitive function recovery in patients with nD-AIS. Moreover, PAR may reduce the occurrence of depression after stroke.
Suitable fertilization is crucial for the sustainability of rice production and for the potential mitigation of global warming. The effects of fertilization on porewater nutrients and greenhouse-gas fluxes in cropland, however, remain poorly known. We studied the effects of no fertilization (control), standard fertilization and double fertilization on the concentrations of porewater nutrients, greenhouse-gas fluxes and emissions, and rice yield in a subtropical paddy in southeastern China. Double fertilization increased dissolved NH4+ in porewater. Mean CO2 and CH4 emissions were 13.5% and 7.4%, and 20.4% and 39.5% higher for the standard and double fertilizations, respectively, than the control. N2O depositions in soils were 61% and 101% higher for the standard and double fertilizations, respectively, than the control. The total global warming potentials (GWPs) for all emissions were 14.1% and 10.8% higher for the standard and double fertilizations, respectively than the control, with increasing contribution of CH4 with fertilization and a CO2 contribution > 85%. The total GWPs per unit yield were significantly higher for the standard and double fertilizations than the control by 7.3% and 10.9%, respectively. The two levels of fertilization did not significantly increase rice yield. Prior long-term fertilization in the paddy (about 20 years with annual doses of 95 kg N ha−1, 70 kg P2O5 ha−1 and 70 kg K2O ha−1) might have prevented these fertilizations from increasing the yield. However, fertilizations increased greenhouse-gas emissions. This situation is common in paddy fields in subtropical China, suggesting a saturation of soil nutrients and the necessity to review current fertilization management. These areas likely suffer from unnecessary nutrient leaching and excessive greenhouse-gas emissions. These results provide a scientific basis for continued research to identify an easy and optimal fertilization management solution.
Rice is the main food for most of the human population, so sustainable rice production is very important for food security. The fertility of the soil in paddy fields is the key factor controlling rice growth and production. Steel slag amendment is becoming an effective method to increase the soil fertility, stabilize rice production and reduce greenhouse-gas emissions in Asiatic paddy fields (i.e. Korea, Japan, Bangladesh and China). We studied the relationships of steel slag amendment with plant–soil nutrient allocation, stoichiometry and rice yield in a paddy field in subtropical China. Amendment was associated with higher soil N and P availability, lower available-N:available-P ratio and higher available Ca and Si concentrations. Increases in P, Ca and Mg availability were correlated with high yields. High yields under steel slag amendment were also associated with high foliar and stem N and P concentrations and lower N:P ratios and with high shoot/root N and P concentration ratios, traits that are typically associated with productive ecosystems able to support species with high growth rates. The positive correlation between steel slag application and yield was partially due to an indirect effect (35% of the total effect) of enhancement of soil Ca, Si and P availability, which were positively correlated with yield. Steel slag amendment in this paddy field increased plant growth and yield by enhancing nutrient availability, altering soil and plant stoichiometry and shifting stem:root nutrient allocation.
Integration of photonic devices on silicon (Si) substrates is a key method in enabling large scale manufacturing of Si-based photonic–electronic circuits for next generation systems with high performance, small form factor, low power consumption, and low cost. Germanium (Ge) is a promising material due to its pseudo-direct bandgap and its compatibility with Si-CMOS processing. In this article, we present our recent progress on achieving high quality germanium-on-silicon (Ge/Si) materials. Subsequently, the performance of various functional devices such as photodetectors, lasers, waveguides, and sensors that are fabricated on the Ge/Si platform are discussed. Some possible future works such as the incorporation of tin (Sn) into Ge will be proposed. Finally, some applications based on a fully monolithic integrated photonic–electronic chip on an Si platform will be highlighted at the end of this article.
We present two isotopic (δ18O and δ13C) sequences of a twin-stalagmite from Zhuliuping Cave, southwestern China, with 230Th dates from 14.6 to 4.6 ka. The stalagmite δ18O record characterizes orbital- to decadal-scale variability of Asian summer monsoon (ASM) intensity, with the Holocene optimum period (HOP) between 9.8 and 6.8 ka BP which is reinforced by its co-varying δ13C data. The large multi-decadal scale amplitude of the cave δ18O indicates its high sensitivity to climate change. Four centennial-scale weak ASM events during the early Holocene are centered at 11.2, 10.8, 9.1 and 8.2 ka. They can be correlated to cold periods in the northern high latitudes, possibly resulting from rapid dynamics of atmospheric circulation associated with North Atlantic cooling. The 8.2 ka event has an amplitude more than two-thirds that of the Younger Dryas (YD), and is significantly stronger than other cave records in the Asia monsoon region, likely indicating a more severe dry climate condition at the cave site. At the end of the YD event, the δ13C record lags the δ18O record by 300–500 yr, suggesting a multi-centennial slow response of vegetation and soil processes to monsoon enhancement.
This paper presents the design and tests of a repetitive 800 kA fast linear transformer driver (LTD) stage aimed for the Z-pinch driven fusion-fission hybrid reactor (Z-FFR).The LTD stage consists of 34 parallel basic resistor R, inductor L, and capacitor C (RLC) circuits each made up of two 100 kV/40 nF capacitors, a multi-stage gas switch and Metglas magnetic cores. The stage can deliver about 800 kA current pulse with rise time of 100 ns into the matched liquid resistive load at a repetitive frequency 0.1 Hz. A novel method to trigger the stage via a continuous internal trigger bus composed by a single cable has been proposed and demonstrated. The experimental results show that the new trigger method is feasible and reliable. A 140 kV, 25 ns rising time trigger pulse, and a 5.2 kA, 30 μs width pre-magnetization current pulse which can operate at a repetition rate 0.1 Hz were used in this stage to insure the LTD stage generating a 80 kV/800 kA current pulse every 10 s. A multi-stage gas switch that has a lifetime in excess of 10,000 shots and a jitter less than 3 ns one sigma agrees well with the demand of Z-FFR. The electrical behavior of the stage can be predicted from a simple RLC circuit, which can simplify the design of various LTD-based accelerators.