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This study exploits rich data sources to investigate city-level patterns of internal migration policies in response to the reform of Chinese household registration and the economic, political and sociocultural determinants that drive policy approaches. First, we collected and systematically coded policy documents from 231 cities. Cluster analyses showed that the majority of cities (63%) adopted less lenient selection policies while offering integrative social welfare policies. Rights to internal migration remain selectively granted in China, yet rights to welfare have become more equitable than they were in the past because of the reform. Second, multinomial regression analyses showed that economic development and growth are related to selection policies that are more lenient towards high-skilled migrants, whereas top-down controls of superior governments, local politicians’ characteristics (e.g. tenure concerns and hometown favouritism) and migrants’ sociocultural environments (e.g. pre-existing labour disputes) account for both selection and integration policies.
The book offers a succinct overview of the technical components of blockchain networks, also known as distributed digital ledger networks. Written from an academic perspective, it surveys ongoing research challenges as well as existing literature. Several chapters illustrate how the mathematical tools of game theory and algorithmic mechanism design can be applied to the analysis, design, and improvement of blockchain network protocols. Using an engineering perspective, insights are provided into how the economic interests of different types of participants shape the behaviors of blockchain systems. Readers are thus provided with a paradigm for developing blockchain consensus protocols and distributed economic mechanisms that regulate the interactions of system participants, thus leading to desired cooperative behaviors in the form of system equilibria. This book will be a vital resource for students and scholars of this budding field.
The random distributed-feedback fiber laser (RFL) is a new approach to obtain a high-power stable supercontinuum (SC) source. To consider both structure simplification and high-power SC output, an innovative structure achieving a kilowatt-level SC output in a single-stage RFL with a half-open cavity is demonstrated in this paper. It consists of a fiber oscillator, a piece of long passive fiber and a broadband coupler, among which the broadband coupler acting as a feedback device is crucial in SC generation. When the system has no feedback, the backward output power is up to 298 W under the pump power of 1185 W. When the feedback is introduced before the pump laser, the backward power loss can be reduced and the pump can be fully utilized, which could promote forward output power and conversion efficiency significantly. Under the maximum pump power of 1847 W, a 1300 W SC with spectrum ranging from 887 to 1920 nm and SC conversion efficiency of 66% is obtained. To the best of our knowledge, it is the simplest structure used for high-power SC generation, and both the generated SC output power and the conversion efficiency are highest in the scheme of the half-opened RFL output SC.
We report a Yb-doped all-fiber laser system generating burst-mode pulses with high energy and high peak power at a GHz intra-burst repetition rate. To acquire the uniform burst envelope, a double-pre-compensation structure with an arbitrary waveform laser diode driver and an acoustic optical modulator is utilized for the first time. The synchronous pumping is utilized for the system to reduce the burst repetition rate to 100 Hz and suppress the amplified spontaneous emission effect. By adjusting the gain of every stage, uniform envelopes with different output energies can be easily obtained. The intra-burst repetition rate can be tuned from 0.5 to 10 GHz actively modulated by an electro-optic modulator. Optimized by timing control of eight channels of analog signal and amplified by seven stages of Yb-doped fiber amplifier, the pulse energy achieves 13.3 mJ at 0.5 ns intra-burst pulse duration, and the maximum peak power reaches approximately 3.6 MW at 48 ps intra-burst pulse duration. To the best of our knowledge, for reported burst-mode all-fiber lasers, this is a record for output energy and peak power with nanosecond-level burst duration, and the widest tuning range of the intra-burst repetition rate. In particular, this flexibly tunable burst-mode laser system can be directly applied to generate high-power frequency-tunable microwaves.
We propose a 2.1 μm high-energy dissipative soliton resonant (DSR) fiber laser system based on a mode-locked seed laser and dual-stage amplifiers. In the seed laser, the nonlinear amplifying loop mirror technique is employed to realize mode-locking. The utilization of an in-band pump scheme and long gain fiber enables effectively exciting 2.1 μm pulses. A section of ultra-high numerical aperture fiber (UHNAF) with normal dispersion and high nonlinearity and an output coupler with a large coupling ratio are used to achieve a high-energy DSR system. By optimizing the UHNAF length to 55 m, a 2103.7 nm, 88.1 nJ DSR laser with a 3-dB spectral bandwidth of 0.48 nm and a pulse width of 17.1 ns is obtained under a proper intracavity polarization state and pump power. The output power and conversion efficiency are 0.233 W and 4.57%, respectively, both an order of magnitude higher than those of previously reported holmium-doped DSR seed lasers. Thanks to the high output power and nanosecond pulse width of the seed laser, the average power of the DSR laser is linearly scaled up to 50.4 W via a dual-stage master oscillator power amplifier system. The 3-dB spectral bandwidth broadens slightly to 0.52 nm, and no distortion occurs in the amplified pulse waveform. The corresponding pulse energy reaches 19.1 μJ, which is the highest pulse energy in a holmium-doped mode-locked fiber laser system to the best of our knowledge. Such a 2.1 μm, high-energy DSR laser with relatively wide pulse width has prospective applications in mid-infrared nonlinear frequency conversion.
In strong-field physics experiments with ultraintense lasers, a single-shot cross-correlator (SSCC) is essential for fast optimization of the pulse contrast and meaningful comparison with theory for each pulse shot. To simultaneously characterize an ultrashort pulse and its long pedestal, the SSCC device must have both a high resolution and a large temporal window. However, the resolution and window in all kinds of single-shot measurement contradict each other in principle. Here we propose and demonstrate a novel SSCC device with two separate measurement channels: channel-1 for the large-window pedestal measurement has a moderate resolution but a large window, while channel-2 for the ultrashort pulse measurement has a small window but a high resolution; this allows the accurate characterization of the pulse contrast in a single shot. A two-channel SSCC device with a 200-fs resolution and 114-ps window has been developed and tested for its application in ultraintense lasers at 800 nm.
This study aimed to analyze the clinical effects of microdissection testicular sperm extraction (micro-TESE) surgery combined with an intracytoplasmic sperm injection (ICSI) regimen in the treatment of non-obstructive azoospermia (NOA) patients with different etiologies. In total, 128 NOA patients participated in this study, in which they received infertility treatment by micro-TESE surgery combined with an ICSI regimen, and all patients were divided into three groups [the Klinefelter syndrome (KS), the idiopathic and the secondary NOA groups]. In addition, the sperm retrieval rate (SRR), fertilization rate, embryo development status and clinical treatment effects were analyzed. Among the 128 NOA patients, the SRR of KS NOA patients was 48.65%, those of idiopathic and the secondary patients were 33.82% and 73.91%, respectively. Regardless of etiologies, there was no correlation with age, hormone value or testicular volume. Further analysis showed that the SRR of the KS group was positively related with testosterone (T) values, and the SRR of the secondary group had a positive relationship with follicle-stimulating hormone or luteinizing hormone values. In the subsequent clinical treatment, the retrieved sperm was subjected to ICSI and achieved good treatment effects, especially in the secondary group, and the implantation rate (55.56%) and clinical pregnancy rate (68.42%) were both higher than those of the idiopathic group (28.75% and 40.00%) and KS group (22.05% and 30.77%). Micro-TESE surgery combined with ICSI insemination is the most effective treatment regimen for NOA patients. The SRR of NOA patients with different etiologies are related to certain specific factors, and micro-TESE surgery seems to be the ideal and only way to have biological children.
We report the demonstration of a mid-infrared (MIR) supercontinuum (SC) laser delivering a record-breaking average output power of more than 40 W with a long-wavelength edge up to 3.5 μm. The all-fiberized configuration was composed of a thulium-doped fiber amplifier system emitting a broadband spectrum covering 1.9–2.6 μm with pulse repetition rate of 3 MHz, and a short piece of germania fiber. A 41.9 W MIR SC with a whole spectrum of 1.9–3.5 μm was generated in a piece of 0.2-m-long germania fiber, with a power conversion efficiency of 71.4%. For an even shorter germania fiber (0.1 m), an SC with even higher output power of 44.9 W (corresponding to a conversion efficiency of 76.5%) was obtained, but the energy conversion toward the long-wavelength region was slightly limited. A continuous operation for 1 hour with output power of 32.6 W showed outstanding power stability (root mean square 0.17%) of the obtained SC laser. To the best of the authors’ knowledge, for the first time, this work demonstrates the feasibility of germania fiber on generating a 40-W level MIR SC with high efficiency and excellent power stability, paving the way to real applications requiring high power and high reliability of MIR SC lasers.
The relationship of a diet low in fibre with mortality has not been evaluated. This study aims to assess the burden of non-communicable chronic diseases (NCD) attributable to a diet low in fibre globally from 1990 to 2019.
All data were from the Global Burden of Disease (GBD) Study 2019, in which the mortality, disability-adjusted life-years (DALY) and years lived with disability (YLD) were estimated with Bayesian geospatial regression using data at global, regional and country level acquired from an extensively systematic review.
All data sourced from the GBD Study 2019.
All age groups for both sexes.
The age-standardised mortality rates (ASMR) declined in most GBD regions; however, in Southern sub-Saharan Africa, the ASMR increased from 4·07 (95 % uncertainty interval (UI) (2·08, 6·34)) to 4·60 (95 % UI (2·59, 6·90)), and in Central sub-Saharan Africa, the ASMR increased from 7·46 (95 % UI (3·64, 11·90)) to 9·34 (95 % UI (4·69, 15·25)). Uptrends were observed in the age-standardised YLD rates attributable to a diet low in fibre in a number of GBD regions. The burden caused by diabetes mellitus increased in Central Asia, Southern sub-Saharan Africa and Eastern Europe.
The burdens of disease attributable to a diet low in fibre in Southern sub-Saharan Africa and Central sub-Saharan Africa and the age-standardised YLD rates in a number of GBD regions increased from 1990 to 2019. Therefore, greater efforts are needed to reduce the disease burden caused by a diet low in fibre.
Subthreshold depression (sD) negatively impacts well-being and psychosocial function and is more prevalent compared with major depressive disorder (MDD). However, as adults with sD are less likely to seek face-to-face intervention, internet-based cognitive-behavioral therapy (ICBT) may overcome barriers of accessibility to psychotherapy. Although several trials explored the efficacy of ICBT for sD, the results remain inconsistent. This study evaluated whether ICBT is effective in reducing depressive symptoms among Chinese adults with sD.
A randomized controlled trial was performed. The participants were randomly assigned to 5 weeks of ICBT, group-based face-to-face cognitive-behavioral therapy (CBT), or a waiting list (WL). Assessments were conducted at baseline, post-intervention and at a 6-month follow-up. The primary outcome measured depressive symptoms using the Center for Epidemiological Studies Depression Scale (CES-D). Outcomes were analyzed using a mixed-effects model to assess the effects of ICBT.
ICBT participants reported greater reductions on all the outcomes compared to the WL group at post-intervention. The ICBT group showed larger improvement on the Patient Health Questionnaire-9 (PHQ-9) at post-intervention (d = 0.12) and at follow-up (d = 0.10), and with CES-D at post-intervention (d = 0.06), compared to the CBT group.
ICBT is effective in reducing depressive symptoms among Chinese adults with sD, and improvements in outcomes were sustained at a 6-month follow-up. Considering the low rates of face-to-face psychotherapy, our findings highlight the considerable potential and implications for the Chinese government to promote the use of ICBT for sD in China.
The significance of spiritual care competence among nurses has been emphasized across countries and cultures in many studies. However, there were few studies on correlations among spiritual care competence, spiritual care perceptions, and spiritual health of nurses in China.
To investigate spiritual care competence, spiritual care perceptions, and spiritual health, and examine the correlations among spiritual care competence, spiritual care perceptions and spiritual health, and the mediating role of spiritual health between other two variables of Chinese nurses.
A cross-sectional and correlational design was implemented, and the STROBE Checklist was used to report the study. A convenience sample of 2,181 nurses were selected from 17 hospitals in 3 provinces, China. Participants provided data on sociodemographic by completing the Chinese Version of the Spiritual Care Competence Scale, the Chinese Version of the Spiritual Care-Giving Scale, and the Spiritual Health Scale Short Form. Descriptive statistics, univariate, multiple linear regression, and Pearson correlation analysis were used to analyze data.
The total scores of spiritual care competence, spiritual care perceptions, and spiritual health were 58.25 ± 16.21, 144.49 ± 16.87, and 84.88 ± 10.57, respectively, which both were moderate. Spiritual care competence was positively correlated with spiritual care perceptions (r = 0.653, p < 0.01) and spiritual health (r = 0.587, p < 0.01). And spiritual health played a mediating role between the other two variables (accounting for 35.6%).
Significance of results
The spiritual care competence, spiritual care perceptions, and spiritual health of Chinese nurses need to be improved. It is recommended that nursing managers should pay attention to spiritual care education of nurses, and improve spiritual care perceptions and spiritual health in multiple ways, so as to improve their spiritual care competence and to maximize the satisfy spiritual care needs of patients in China.
This study assessed the molecular mechanism of EPA or DHA protection against intestinal porcine epithelial cell line 1 (IPEC-1) cell damage induced by deoxynivalenol (DON). The cells were divided into six groups, including the CON group, the EPA group, the DHA group, the DON group, the EPA + DON group and the DHA + DON group. RNA sequencing was used to investigate the potential mechanism, and qRT-PCR was employed to verify the expression of selected genes. Changes in ultrastructure were used to estimate pathological changes and endoplasmic reticulum (ER) injury in IPEC-1 cells. Transferrin receptor 1 (TFR1) was tested by ELISA. Fe2+ and malondialdehyde (MDA) contents were estimated by spectrophotometry, and reactive oxygen species (ROS) was assayed by fluorospectrophotometry. RNA sequencing analysis showed that EPA and DHA had a significant effect on the expression of genes involved in ER stress and iron balance during DON-induced cell injury. The results showed that DON increased ER damage, the content of MDA and ROS, the ratio of X-box binding protein 1s (XBP-1s)/X-box binding protein 1u (XBP-1u), the concentration of Fe2+ and the activity of TFR1. However, the results also showed that EPA and DHA decreased the ratio of XBP-1s/XBP-1u to relieve DON-induced ER damage of IPEC-1 cells. Moreover, EPA and DHA (especially DHA) reversed the factors related to iron balance. It can be concluded that EPA and DHA reversed IPEC-1 cell damage induced by DON. DHA has the potential to protect IPEC-1 cells from DON-induced iron imbalance by inhibiting ER stress.
Vitamin D, Ca and dairy products are negatively associated with colorectal cancer (CRC) incidence, but little is known of their influence on CRC survival. To investigate prediagnostic intakes of vitamin D, Ca and dairy products for their relevance to CRC prognosis, we analysed 504 CRC patients enrolled in the Newfoundland Colorectal Cancer Registry Cohort Study who were diagnosed for the first time with CRC between 1999 and 2003. Follow-up for mortality and cancer recurrence was through April 2010. Data on diet and lifestyle factors were gathered via a validated, semi-quantitative FFQ and a Personal History Questionnaire. Multivariate Cox models estimated hazard ratios (HR) and 95 % CI for the relationship of prediagnostic intakes of vitamin D, Ca and dairy products with all-cause mortality (overall survival, OS) and disease-free survival (DFS) among CRC patients. We found that prediagnostic Ca intake from foods, but not total Ca intake, was negatively associated with all-cause mortality (HR for Q2 v. Q1, 0·44; 95 % CI, 0·26, 0·75). An inverse relationship was also seen in a dose–response fashion for prediagnostic cheese intake (HR for Q4 v. Q1, 0·57, 95 % CI, 0·34, 0·95, Ptrend = 0·029). No evidence for modification by sex, physical activity, alcohol drinking and cigarette smoking was observed. In summary, high prediagnostic intakes of cheese and Ca from foods may be associated with increased survival among CRC patients. By manipulating diet, this study may contribute to the development of novel therapies that add to the armamentarium against CRC. Replication studies are required before any nutritional interventions are made available.