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Abnormalities in the zona pellucida (ZP) adversely affect oocyte maturation, embryo development and pregnancy outcomes. However, the assessment of severity is challenging. To evaluate the effects of different degrees of ZP abnormalities on embryo development and clinical outcomes, in total, 590 retrieval cycles were scored and divided into four categories (control, mild, moderate and severe) based on three parameters: perivitelline space, percentage of immature oocytes and percentage of oocytes with abnormal morphology. As the severity of abnormal ZP increased, both the number of retrieved oocytes and mature oocytes decreased. The fertilization rate did not differ significantly among groups. The rates of embryo cleavage and day-3 high-quality embryos in the mild group and the moderate group did not vary significantly between the two groups but were significantly higher than those in the severe group. The blastulation rates of the abnormal ZP groups were similar; however, they were lower than those of the control group. Moreover, the cycle cancellation rate of the severe abnormal ZP group was as high as 66.20%, which was significantly higher than that of the other three groups. Although the rates of cumulative clinical pregnancy and live births were lower than those in the control group, they were comparable among the abnormal ZP groups. There were no differences in the neonatal outcomes of the different groups. Together, ZP abnormalities show various degrees of severity, and in all patients regardless of the degree of ZP abnormalities who achieve available embryos, there will be an opportunity to eventually give birth.
Non-suicidal self-injury (NSSI) is prevalent in major depressive disorder (MDD) during adolescence, but the underlying neural mechanisms are unclear. This study aimed to investigate microstructural abnormalities in the cingulum bundle associated with NSSI and its clinical characteristics.
130 individuals completed the study, including 35 healthy controls, 47 MDD patients with NSSI, and 48 MDD patients without NSSI. We used tract-based spatial statistics (TBSS) with a region of interest (ROI) analysis to compare the fractional anisotropy (FA) of the cingulum bundle across the three groups. receiver-operating characteristics (ROC) analysis was employed to evaluate the ability of the difficulties with emotion regulation (DERS) score and mean FA of the cingulum to differentiate between the groups.
MDD patients with NSSI showed reduced cingulum integrity in the left dorsal cingulum compared to MDD patients without NSSI and healthy controls. The severity of NSSI was negatively associated with cingulum integrity (r = −0.344, p = 0.005). Combining cingulum integrity and DERS scores allowed for successful differentiation between MDD patients with and without NSSI, achieving a sensitivity of 70% and specificity of 83%.
Our study highlights the role of the cingulum bundle in the development of NSSI in adolescents with MDD. The findings support a frontolimbic theory of emotion regulation and suggest that cingulum integrity and DERS scores may serve as potential early diagnostic tools for identifying MDD patients with NSSI.
Anxiety disorder is a common psychological disorder, manifested as excessive worry, fear, fear and other emotions, seriously affect the quality of life of patients. The therapeutic methods of psychological counseling include cognitive behavior therapy, interpersonal therapy, psychodynamic therapy and so on. Compared with drug treatment, psychological counseling does not produce drug dependence, fewer side effects, and good long-term effects. This study is based on psychological counseling to explore the anxiety of technical personnel in strategic emerging industries in Fujian province, China.
Subjects and Methods
In this study, 338 technical personnel in strategic emerging industries in Fujian Province were selected as the research subjects and divided into experimental groups and control groups with same number. The control group did not take any intervention measures, and the experimental group received psychological counseling. The scores of Self-rating Anxiety Scale (SAS), self-rating Depression Scale (SDS), Wechsler Adult Intelligence Test (WAIS-RC) and Health Survey Summary Form (SF-36) were compared between the two groups. T-test was performed on the measurement data.
Before the experiment, there was no significant difference in SAS and SDS scores between the two groups (P > 0.05). After the experiment, SAS and SDS scores of the experimental group were significantly lower than those of the control group (P < 0.05). The scores of verbal comprehension, memory and attention in the experimental group were significantly higher than those in the control group (P < 0.05). The scores of physiological function, mental function, mental health and vitality of the experimental group were significantly higher than those of the control group (P < 0.05).
Reply: Thank you for pointing out this issue. We have rewritten the methods and results section of another article.
Psychological counseling can effectively alleviate the anxiety of technical personnel in strategic emerging industries in Fujian Province and improve their quality of life.
Xiamen Institute of Technology 2023 University-level Research Fund Project (No.KYZX2023028); The 2022 “I contribute good ideas to the construction of A New Fujian” (No.JAT22128).
Linear models, based on stochastically forced linearized equations, are deployed for spectral linear stochastic estimation (SLSE) of the velocity and temperature fluctuations in compressible turbulent channel flows with a bulk Mach number of 1.5. Through comparison with the direct numerical simulation (DNS) data, an eddy-viscosity-enhanced model (eLNS) outperforms the one not enhanced (LNS) in computing the coherence and amplitude ratio of streamwise velocity at different wall-normal heights, but they both largely deviate from DNS regarding the temperature prediction. For further investigation, the eigenspectra and pseudospectra of the linear operators are scrutinized. The eddy viscosity is shown to stabilize the eigenmodes and decrease the non-normality of the vortical modes. Consequently, the relative importance of acoustic and entropy modes increases, and they can contribute 20 % to 55 % of the response growth, which is not supported by DNS. Hence, it is an intrinsic defect of the eLNS model introduced by turbulence modelling. After a procedure of cospectrum decomposition, the contributions of acoustic and entropy components are filtered out. The resulting SLSE quantities for velocity, temperature and their coupling are basically agreeable with DNS, demonstrating that the coherent temperature fluctuation is dominated by advection and other vortical motions, instead of the compressibility effects. Moreover, a parameter study of Reynolds and Mach numbers (from 0.3 to 4) is conducted. The semi-local units are shown to well collapse the velocity SLSE quantities to the incompressible case for streamwise-elongated structures of high coherence.
Aspergillosis is a rising concern worldwide; however, its prevalence is not well documented in China. This retrospective study determined Aspergillus’s epidemiology and antifungal susceptibilities at Meizhou People’s Hospital, South China. From 2017 to 2022, the demographic, clinical, and laboratory data about aspergillosis were collected from the hospital’s records and analysed using descriptive statistics, chi-square test, and ANOVA. Of 474 aspergillosis cases, A. fumigatus (75.32%) was the most common, followed by A. niger (9.92%), A. flavus (8.86%), and A. terreus (5.91%). A 5.94-fold increase in aspergillosis occurred during the study duration, with the highest cases reported from the intensive care unit (52.74%) – chronic pulmonary aspergillosis (79.1%) and isolated from sputum (62.93%). Only 38 (8.02%) patients used immunosuppressant drugs, while gastroenteritis (5.7%), haematologic malignancy (4.22%), and cardiovascular disease (4.22%) were the most prevalent underlying illnesses. In A. fumigatus, the wild-type (WT) isolates against amphotericin B (99.1%) were higher than triazoles (97–98%), whereas, in non-fumigatus Aspergillus species, the triazole (95–100%) WT proportion was greater than amphotericin B (91–95%). Additionally, there were significantly fewer WT A. fumigatus isolates for itraconazole and posaconazole in outpatients than inpatients. These findings may aid in better understanding and management of aspergillosis in the region.
Early diagnosis of acute coronary syndrome is more and more important because of its mortality and morbidity. Hypertension is one of the pathogenesis of acute coronary syndrome, which often leads to stenosis and ischaemia. Ischaemia-modified albumin is sensitive for the occurrence of ischaemia, which attracted us in the significance of ischaemia-modified albumin in patients with chest pain, especially patients complicated with hypertension.
In total, 200 patients with acute chest pain were included in the study. According to the diagnostic criteria, patients were divided into acute coronary syndrome group and non-ischaemic chest pain group. Cardiac biomarkers were measured with 30 minutes in emergency department, including cardiac troponin T, creatine kinase MB, and ischaemia-modified albumin. Receiver operating characteristic curve (ROC) analysis was used for the sensitivity and specificity of ischaemia-modified albumin in the early diagnosis of acute coronary syndrome. Comparisons between ischaemia-modified albumin and cardiac Troponin T were done between groups.
The demographics in two groups were not significantly different in most aspects. Compared with non-ischaemic chest pain group, serum levels of ischaemia-modified albumin and cardiac Troponin T were significantly higher in acute coronary syndrome group. ROC analysis showed that ischaemia-modified albumin had a good sensitivity and specificity in early diagnosis of acute coronary syndrome. The level of ischaemia-modified albumin in acute coronary syndrome patients with hypertension was higher than that in non-ischaemic chest pain patients.
In patients complained with acute chest pain, the serum measurement of ischaemia-modified albumin is potential valuable for the early diagnosis of acute coronary syndrome, especially combined with ECG. The serum level of ischaemia-modified albumin in acute coronary syndrome patients is significantly associated with hypertension.
Banks’ information technology (IT) capabilities affect their ability to serve customers during the COVID-19 pandemic, which generates an unexpected and unprecedented shock that shifts banking services from in-person to digital. Amid mobility restrictions, banks with better IT experience larger reductions in physical branch visits and larger increases in website traffic, implying a larger shift to digital banking. Stronger IT banks are able to originate more Paycheck Protection Program loans to small business borrowers, especially in areas with more severe COVID-19 outbreaks, higher internet use, and higher bank competition. Those banks also attract more deposit flows and receive better mobile customer reviews during the pandemic.
In this study, a novel kinematic calibration method is proposed to improve the absolute positioning accuracy of 6R robot. This method can achieve indirect compensation of the 25 parameters of modified Denavit–Hartenberg (MDH). The procedures of the method are threefold. Firstly, the 25-parameter errors model of MDH is initially established. However, only the errors of 10 parameters can be directly compensated in the 25-parameter errors model, since the inverse kinematics algorithm has to meet Pieper criterion. Subsequently, a calibration method is proposed to improve accuracy of the absolute position, which uses the Newton–Raphson method to transform the 25-parameter errors into 10-parameter errors (namely T-10 parameter model). Finally, the errors corresponding to 10 parameters in the T-10 parameters model are identified through the least square method. The calibration performances of T-10 parameters model are comprehensively validated by experimentation on two ER6B-C60 robots and one RS010N robot. After kinematic calibration, the average absolute positioning accuracy of the three robots can be improved by about 90%. The results indicate that the proposed calibration method can achieve more precise absolute positioning accuracy and has a wider range of universality.
Examination of the material collected by Taiwan deep-sea cruises reveals the presence of five species of the deep-sea shrimp genus Glyphocrangon A. Milne-Edwards, 1881, representing new records for Taiwan and Dongsha (Pratas Island; under jurisdiction of Taiwan). These species are Glyphocrangon albatrossae, G. caecescens, G. indonesiensis, G. major and G. proxima, all of which belong to the informal Glyphocrangon spinicauda species group. These findings bring the total number of species in the G. spinicauda species group reported in the waters around Taiwan and Dongsha to 11. The complex ornamentation of the body surface of each species is shown using micro-computed tomography. Diagnosis and illustrations showing diagnostic characters and living colouration are provided for most, if not all, of these species. Glyphocrangon grandis is placed under the synonymy of G. major based on morphology, because it was found that diagnostic characters proposed to distinguish these two taxa are variable within the current series of specimens. The biogeographical distributions of these species are presented, and a key is provided to help identify the 11 known species in this region.
Longitudinal studies on the variations of phenotypic and genotypic characteristics of K. pneumoniae across two decades are rare. We aimed to determine the antimicrobial susceptibility and virulence factors for K. pneumoniae isolated from patients with bacteraemia or urinary tract infection (UTI) from 1999 to 2022. A total of 699 and 1,267 K. pneumoniae isolates were isolated from bacteraemia and UTI patients, respectively, and their susceptibility to twenty antibiotics was determined; PCR was used to identify capsular serotypes and virulence-associated genes. K64 and K1 serotypes were most frequently observed in UTI and bacteraemia, respectively, with an increasing frequency of K20, K47, and K64 observed in recent years. entB and wabG predominated across all isolates and serotypes; the least frequent virulence gene was htrA. Most isolates were susceptible to carbapenems, amikacin, tigecycline, and colistin, with the exception of K20, K47, and K64 where resistance was widespread. The highest average number of virulence genes was observed in K1, followed by K2, K20, and K5 isolates, which suggest their contribution to the high virulence of K1. In conclusion, we found that the distribution of antimicrobial susceptibility, virulence gene profiles, and capsular types of K. pneumoniae over two decades were associated with their clinical source.
Rodents and shrews are major reservoirs of various pathogens that are related to zoonotic infectious diseases. The purpose of this study was to investigate co-infections of zoonotic pathogens in rodents and shrews trapped in four provinces of China. We sampled different rodent and shrew communities within and around human settlements in four provinces of China and characterised several important zoonotic viral, bacterial, and parasitic pathogens by PCR methods and phylogenetic analysis. A total of 864 rodents and shrews belonging to 24 and 13 species from RODENTIA and EULIPOTYPHLA orders were captured, respectively. For viral pathogens, two species of hantavirus (Hantaan orthohantavirus and Caobang orthohantavirus) were identified in 3.47% of rodents and shrews. The overall prevalence of Bartonella spp., Anaplasmataceae, Babesia spp., Leptospira spp., Spotted fever group Rickettsiae, Borrelia spp., and Coxiella burnetii were 31.25%, 8.91%, 4.17%, 3.94%, 3.59%, 3.47%, and 0.58%, respectively. Furthermore, the highest co-infection status of three pathogens was observed among Bartonella spp., Leptospira spp., and Anaplasmataceae with a co-infection rate of 0.46%. Our results suggested that species distribution and co-infections of zoonotic pathogens were prevalent in rodents and shrews, highlighting the necessity of active surveillance for zoonotic pathogens in wild mammals in wider regions.
Patients with remitted psychosis wish to reduce antipsychotic doses yet facing increased risks of relapse. Examining dose-tapering processes may provide insights to re-evaluate the risk-to-benefit balance. We aimed to depict and subgroup tapering trajectories, and explore factors associated with different dose-reduction patterns.
A 2-year open-label randomized prospective comparative trial from August 2017 to September 2022 in Taiwan. Patients with a history of schizophrenia-related psychotic disorders under stable medications and symptoms were eligible, randomizing a proportion to conduct guided dose reduction. We depicted the trajectories of individual patients and named subgroups based on dose-tapering patterns. Predictors of baseline characteristics for designated subgroups were examined by logistic regression analysis; changes in outcomes were compared by paired t-test.
Fifty-one patients undergoing guided dose reduction, 18 (35.3%) reduced 4 steps consecutively (sequential reducers, SR), 14 (27.5%) reduced 1 to 3 steps (modest reducers, MR), 3 (5.9%) re-escalated to previous level (alert reducers, AR), 7 (13.7%) returned to baseline level (baseline returners, BR), 6 (11.7%) relapsed (failed reducers, FR) and 3 (5.9%) withdrew without relapse (early exits, EE). Patients with a history of relapse assumed a conservative dose-tapering pace; only the SR subgroup exhibited significant improvements in functioning and quality of life while failing to identify variables for predicting who would become SR or FR.
Guided dose reduction comprises dynamic processes with differences between individual trajectories. The proposed naming of dose-tapering patterns/subgroups provides a framework depicting patients undergoing dose-tapering. Longer-term observation and more flexible tapering approaches are anticipated to reveal favorable outcomes.
Weeds contribute to biodiversity and a wide range of ecosystem functions. It is crucial to map different weed species and analyze their physiological activities. Remote sensing techniques for plant identification, especially hyperspectral imaging, are being developed using spectral response patterns to vegetation for detection and species identification. A library of hyperspectral images of 40 urban weed species in northeast China was established in this study. A terrestrial hyperspectral camera was used to acquire 435 hyperspectral images. The hyperspectral information for each weed species was extracted and analyzed. The spectral characteristics and vegetation indices of different weeds revealed the differences between weed species in the cities of northeast China and indirectly characterized the growth and physiological activity levels of different species, but could not effectively distinguish different species. Five methods—first derivative spectrum (FDS), second derivative spectrum (SDS), standard normal variate (SNV), moving averages (MA), and Savitzky-Golay (SG) smoothing—were used to pretreat the spectral curves to maximize the retention of spectral characteristics while removing the influence of noise. We investigated the application of a convolutional neural network (CNN) with terrestrial hyperspectral remote sensing to identify urban weeds in northeast China. A CNN classification model was established to distinguish weeds from the hyperspectral images and demonstrated a test accuracy of 95.32% to 98.15%. The accuracy of the original spectrum was 97.45%; SNV had the best accuracy (98.15%) and SG was the least accurate (95.32%). This provides a baseline for understanding the hyperspectral characteristics of urban weed species and monitoring their growth. It also contributes to the development of a hyperspectral imaging database with global applicability.
Routine blood examination is an easy way to examine infectious diseases. This study is aimed to develop a model to diagnose serious bacterial infections (SBI) in ICU neonates based on routine blood parameters. This was a cross-sectional study, and data were extracted from the Medical Information Mart for Intensive Care III (MIMIC-III). SBI was defined as suffering from one of the following: pyelonephritis, bacteraemia, bacterial meningitis, sepsis, pneumonia, cellulitis, and osteomyelitis. Variables with statistical significance in the univariate logistic regression analysis and log systemic immune–inflammatory index (SII) were used to develop the model. The area under the curve (AUC) was calculated to assess the performance of the model. A total of 1,880 participants were finally included for analysis. Weight, haemoglobin, mean corpuscular volume, white blood cell, monocyte, premature delivery, and log SII were selected to develop the model. The developed model showed a good performance to diagnose SBI for ICU neonates, with an AUC of 0.812 (95% confidence interval (CI): 0.737–0.888). A nomogram was developed to make this model visualise. In conclusion, our model based on routine blood parameters performed well in the diagnosis of neonatal SBI, which may be helpful for clinicians to improve treatment recommendations.
Flexible cables in cable-driven parallel robots (CDPRs) are easy to be excited and vibrate. Cable vibration will react on the end-effector, causing attitude deviation of the end-effector. The main objective of this study is to accurately model axially moving flexible cables and characterize the dynamic behaviors of associated compliant CDPRs. Firstly, a model for transverse vibration of the axially moving length-variable cable is developed. On this basis, an original nonlinear dynamic model of the CDPRs able to capture the vibration of the cables and the dynamics of the end-effector is proposed. Secondly, the frequency–amplitude relationship of the CDPR is obtained. Moreover, the significance of the excitation effect caused by the axially moving length-variable cables is demonstrated, by comparing the results with and without excitation effect at different frequencies. It turns out that, as the oscillation frequency of the end-effector increases, the end-effector and cables exhibit the dynamics process from steady state to unstable large-amplitude vibration and finally to stable small-amplitude vibration. This indicates that the dynamics of the CDPR exhibit non-linear characteristics, due to the influence of flexible cables. Finally, the proposed dynamic model of compliant CDPRs is validated by experiments performed in the laboratory.
The discharged capillary plasma channel has been extensively studied as a high-gradient particle acceleration and transmission medium. A novel measurement method of plasma channel density profiles has been employed, where the role of plasma channels guiding the advantages of lasers has shown strong appeal. Here, we have studied the high-order transverse plasma density profile distribution using a channel-guided laser, and made detailed measurements of its evolution under various parameters. The paraxial wave equation in a plasma channel with high-order density profile components is analyzed, and the approximate propagation process based on the Gaussian profile laser is obtained on this basis, which agrees well with the simulation under phase conditions. In the experiments, by measuring the integrated transverse laser intensities at the outlet of the channels, the radial quartic density profiles of the plasma channels have been obtained. By precisely synchronizing the detection laser pulses and the plasma channels at various moments, the reconstructed density profile shows an evolution from the radial quartic profile to the quasi-parabolic profile, and the high-order component is indicated as an exponential decline tendency over time. Factors affecting the evolution rate were investigated by varying the incentive source and capillary parameters. It can be found that the discharge voltages and currents are positive factors quickening the evolution, while the electron-ion heating, capillary radii and pressures are negative ones. One plausible explanation is that quartic profile contributions may be linked to plasma heating. This work helps one to understand the mechanisms of the formation, the evolutions of the guiding channel electron-density profiles and their dependences on the external controllable parameters. It provides support and reflection for physical research on discharged capillary plasma and optimizing plasma channels in various applications.
We design an open-loop active flow control for separated flows around a plunging circular cylinder based on resolvent analysis. The cylinder is plunging at a Strouhal number of 0.36 and a Reynolds number of 500. A linear time-periodic system for control is obtained by linearizing the non-inertial incompressible vorticity equation in the cylinder-fixed frame about a time-averaged base flow. Using the Lyapunouv–Floquet transformation, the linear time-periodic system is transformed into a similar linear time-invariant system, whose resolvent is analysed to obtain an optimal actuating Strouhal number of 0.1464 for the transformed linear system. Simulations show that the active control with tangential actuations is capable of reducing the lift fluctuation by up to 25.7 % when the flow is actuated near the predicted harmonic and subharmonic frequencies.
Undergraduate students encounter developmental challenges during their transition into adulthood. Previous studies have claimed that adults with later chronotypes usually manifest negative psychological effects: poor sleep quality, greater stress, depression, and cognitive dysfunction. However, knowledge about the relationship between chronotype, stress, and sleep quality among young adults is lacking.
The present study investigated the relationship between undergraduates’ chronotypes and perceived stress on sleep quality.
An online survey with a descriptive, cross-sectional design was conducted with a convenience sample of undergraduate students at a university in southern Taiwan. Those who were 20-25 years old and enrolled as a student were included; but who had been suspended or had deferred graduation were excluded. Students’ chronotype, stress, and sleep quality were assessed with three self-reported instruments: Munich Chronotype Questionnaire (MCTQ), Perceived Stress Scale (PSS), and Pittsburgh Sleep Quality Index (PSQI).
Of 161 undergraduates who completed the questionnaires, 51 reported using an alarm clock to wake and were removed from data analysis. One hundred and ten students’ mean age is 20.3 and perceived moderate stress. Sixty-one percent were poor-quality sleepers. The mean chronotype score was 5.7, and 85.5% had an intermediate chronotype, while 13.6% had an evening chronotype. Chronotype and perceived stress were positively correlated with sleep quality (p < .001). Social jetlag was positively correlated with chronotype (p =.036). Undergraduate’s later chronotype and higher stress perception predicted 30% of poorer sleep quality (p < .001).
Undergraduate students’ chronotype and perceived stress were positively correlated and acted as predictors of the sleep quality. The findings could help to develop health-promotion interventions for these emerging adults to adjust their daily routines; and reduce their social jetlag, stress levels, and sleep disturbance.