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This study aims to evaluate the impact of low-carbohydrate diet, balanced dietary guidance and pharmacotherapy on weight loss among individuals with overweight or obesity over a period of 3 months. The study involves 339 individuals with overweight or obesity and received weight loss treatment at the Department of Clinical Nutrition at the Second Affiliated Hospital of Zhejiang University, School of Medicine, between 1 January 2020 and 31 December 2023. The primary outcome is the percentage weight loss. Among the studied patients, the majority chose low-carbohydrate diet as their primary treatment (168 (49·56 %)), followed by balanced dietary guidance (139 (41·00 %)) and pharmacotherapy (32 (9·44 %)). The total percentage weight loss for patients who were followed up for 1 month, 2 months and 3 months was 4·98 (3·04, 6·29) %, 7·93 (5·42, 7·93) % and 10·71 (7·74, 13·83) %, respectively. Multivariable logistic regression analysis identified low-carbohydrate diet as an independent factor associated with percentage weight loss of ≥ 3 % and ≥ 5 % at 1 month (OR = 0·461, P < 0·05; OR = 0·349, P < 0·001). The results showed that a low-carbohydrate diet was an effective weight loss strategy in the short term. However, its long-term effects were comparable to those observed with balanced dietary guidance and pharmacotherapy.
In this study, a high-isolation multiple-input multiple-output (MIMO) microstrip patch antenna (MPA), which utilizes an orthogonal mode cancellation method is proposed. This method employs TM10 and TM01 modes, which are simultaneously excited in the rectangular passive MPA. Initially, a rectangular decoupling structure featuring polarization rotation characteristics is designed. Further studies show that by loading the polarization conversion parasitic structure (PCPS), the electric field of the spatial coupling wave can be transformed from the x-polarized TM10 mode to the y-polarized TM01 mode. Therefore, TM10 and TM01 modes from the excited antenna and decoupling structure are concurrently coupled to the passive antenna, forming an evident weak-field region on the passive antenna. Placing the feeding probe of the passive MPA within the weak-field region prevents signal reception at the port. Consequently, this results in an extremely low mutual coupling of −49 dB at a resonant frequency of 5.8 GHz. Finally, a prototype of the proposed antenna is fabricated and tested, and the measured results closely match the simulated results. Additionally, it is observed that PCPS slightly influences the performance of the MIMO antenna.
Aiming at the problem that the covariance matrix includes the desired signal and the signal steer vector mismatches will degrade the beamforming performance, an effective robust adaptive beamforming (RAB) approach is presented in this paper based on a residual convolutional neural network (RAB-RCNN). In the presented method, the RAB-RCNN model is designed by introducing a residual unit, which can extract the deeper features from the signal sample covariance matrix. Residual noise elimination and interferences power estimation are utilized to reconstruct the desired signal covariance matrix, and correct the mismatched steering vector (SV) by the eigenvalue decomposition of the reconstructed desired signal covariance matrix. The projection method is utilized to redesign the signal interference-plus-noise covariance matrix. Furthermore, the beamforming weight vector is calculated with the two parameters obtained before and used as the label of the RAB-RCNN model, The trained model can rapidly and precisely output the predicted beamforming weight vector without complex matrix operations, including the matrix inversion of the signal covariance matrix, so that the calculation time can be reduced for beamforming. Simulations demonstrate the robustness of the presented approach against SV mismatches due to the direction-of-arrival estimation error, sensor position error, and local scattering interference.
Schizophrenia is a complex and heterogeneous syndrome with high clinical and biological stratification. Identifying distinctive subtypes can improve diagnostic accuracy and help precise therapy. A key challenge for schizophrenia subtyping is understanding the subtype-specific biological underpinnings of clinical heterogeneity. This study aimed to investigate if the machine learning (ML)-based neuroanatomical and symptomatic subtypes of schizophrenia are associated.
Methods
A total of 314 schizophrenia patients and 257 healthy controls from four sites were recruited. Gray matter volume (GMV) and Positive and Negative Syndrome Scale (PANSS) scores were employed to recognize schizophrenia neuroanatomical and symptomatic subtypes using K-means and hierarchical methods, respectively.
Results
Patients with ML-based neuroanatomical subtype-1 had focally increased GMV, and subtype-2 had widespread reduced GMV than the healthy controls based on either K-means or Hierarchical methods. In contrast, patients with symptomatic subtype-1 had severe PANSS scores than subtype-2. No differences in PANSS scores were shown between the two neuroanatomical subtypes; similarly, no GMV differences were found between the two symptomatic subtypes. Cohen’s Kappa test further demonstrated an apparent dissociation between the ML-based neuroanatomical and symptomatic subtypes (P > 0.05). The dissociation patterns were validated in four independent sites with diverse disease progressions (chronic vs. first episodes) and ancestors (Chinese vs. Western).
Conclusions
These findings revealed a replicable dissociation between ML-based neuroanatomical and symptomatic subtypes of schizophrenia, which provides a new viewpoint toward understanding the heterogeneity of schizophrenia.
Ice records provide a qualitative rather than a quantitative indication of the trend of climate change. Using the bulk aerodynamic method and degree day model, this study quantified ice mass loss attributable to sublimation/evaporation (S/E) and meltwater on the basis of integrated observations (1960–2006) of glacier-related and atmospheric variables in the northeastern Tibetan Plateau. During 1961–2005, the average annual mass loss in the ice core was 95.33 ± 20.56 mm w.e. (minimum: 78.97 mm w.e. in 1967, maximum: 146.67 mm w.e. in 2001), while the average ratio of the revised annual ice accumulation was 21.2 ± 7.7% (minimum: 11.0% in 1992, maximum 44.8% in 2000). A quantitative formula expressing the relationship between S/E and air temperature at the monthly scale was established, which could be extended to estimation of S/E changes of other glaciers in other regions. The elevation effect on alpine precipitation determined using revised ice accumulation and instrumental data was found remarkable. This work established a method for quantitative assessment of the temporal variation in ice core mass loss, and advanced the reconstruction of long-term precipitation at high elevations. Importantly, the formula established for reconstruction of S/E from temperature time series data could be used in other regions.
Identification of treatment-specific predictors of drug therapies for bipolar disorder (BD) is important because only about half of individuals respond to any specific medication. However, medication response in pediatric BD is variable and not well predicted by clinical characteristics.
Methods
A total of 121 youth with early course BD (acute manic/mixed episode) were prospectively recruited and randomized to 6 weeks of double-blind treatment with quetiapine (n = 71) or lithium (n = 50). Participants completed structural magnetic resonance imaging (MRI) at baseline before treatment and 1 week after treatment initiation, and brain morphometric features were extracted for each individual based on MRI scans. Positive antimanic treatment response at week 6 was defined as an over 50% reduction of Young Mania Rating Scale scores from baseline. Two-stage deep learning prediction model was established to distinguish responders and non-responders based on different feature sets.
Results
Pre-treatment morphometry and morphometric changes occurring during the first week can both independently predict treatment outcome of quetiapine and lithium with balanced accuracy over 75% (all p < 0.05). Combining brain morphometry at baseline and week 1 allows prediction with the highest balanced accuracy (quetiapine: 83.2% and lithium: 83.5%). Predictions in the quetiapine and lithium group were found to be driven by different morphometric patterns.
Conclusions
These findings demonstrate that pre-treatment morphometric measures and acute brain morphometric changes can serve as medication response predictors in pediatric BD. Brain morphometric features may provide promising biomarkers for developing biologically-informed treatment outcome prediction and patient stratification tools for BD treatment development.
A compact four-element ultra-wideband (UWB) multiple-input–multiple-output (MIMO) antenna with dual polarization and dual-notched capabilities was developed and fabricated. The MIMO antenna is composed of four orthogonally placed half-cutting UWB antenna elements. This orthogonal placement improves the isolation. Furthermore, an L-shaped slot and a continuous bending slot are etched to realize the band-rejection function in the WiMAX and WLAN bands. The result shows that the antenna achieved operating bands of 2.9–16.5 GHz (140.2%, S11 < −10 dB), fully covering the UWB (3.1–10.6 GHz). The port isolation is greater than 23 dB in the frequency band of interest, excluding two rejected bands. Moreover, the MIMO antenna has excellent diversity performance, such as a low envelope correlation coefficient (<0.004), high diversity gain (approximately 10 dB), and good omnidirectional radiation characteristics.
People with serious mental illness are at great risk of suicide, but little is known about the suicide rates among this population. We aimed to quantify the suicide rates among people with serious mental illness (bipolar disorder, major depression, or schizophrenia).
Methods
PubMed and Web of Science were searched to identify studies published from 1 January 1975 to 10 December 2020. We assessed English-language studies for the suicide rates among people with serious mental illness. Random-effects meta-analysis was used. Changes in follow-up time and the suicide rates were presented by a locally weighted scatter-plot smoothing (LOESS) curve. Suicide rate ratio was estimated for assessments of difference in suicide rate by sex.
Results
Of 5014 identified studies, 41 were included in this analysis. The pooled suicide rate was 312.8 per 100 000 person-years (95% CI 230.3–406.8). Europe was reported to have the highest pooled suicide rate of 335.2 per 100 000 person-years (95% CI 261.5–417.6). Major depression had the highest suicide rate of 534.3 per 100 000 person-years (95% CI 30.4–1448.7). There is a downward trend in suicide rate estimates over follow-up time. Excess risk of suicide in males was found [1.90 (95% CI 1.60–2.25)]. The most common suicide method was poisoning [21.9 per 100 000 person-years (95% CI 3.7–50.4)].
Conclusions
The suicide rates among people with serious mental illness were high, highlighting the requirements for increasing psychological assessment and monitoring. Further study should focus on region and age differences in suicide among this population.
Varicella is an acute respiratory infectious diseases, with high transmissibility and quick dissemination. In this study, an SEIR (susceptible-exposed-infected-recovered) dynamic model was established to explore the optimal prevention and control measures according to the epidemiological characteristics about varicella outbreak in a school in a central city of China. Berkeley Madonna 8.3.18 and Microsoft Office Excel 2010 software were employed for the model simulation and data management, respectively. The result showed that the simulated result of SEIR model agreed well with the reported data when β (infected rate) equal to 0.067. Models showed that the cumulative number of cases was only 13 when isolation adopted when the infected individuals were identified (assuming isolation rate was up to 100%); the cumulative number of cases was only two and the TAR (total attack rate) was 0.56% when the vaccination coefficient reached 50%. The cumulative number of cases did not change significantly with the change of efficiency of ventilation and disinfection, but the peak time was delayed; when δ (vaccination coefficient) = 0.1, m (ventilation efficiency) = 0.7 or δ = 0.2, m = 0.5 or δ = 0.3, m = 0.1 or δ = 0.4 and above, the cumulative number of cases would reduce to one case and TAR would reduce to 0.28% with combined interventions. Varicella outbreak in school could be controlled through strict isolation or vaccination singly; combined interventions have been adopted when the vaccination coefficient was low.
Underground Nuclear Astrophysics in China (JUNA) will take the advantage of the ultra-low background in Jinping underground lab. High current accelerator with an ECR source and detectors were commissioned. JUNA plans to study directly a number of nuclear reactions important to hydrostatic stellar evolution at their relevant stellar energies. At the first period, JUNA aims at the direct measurements of 25Mg(p,γ)26 Al, 19F(p,α) 16 O, 13C(α, n) 16O and 12C(α,γ) 16O near the Gamow window. The current progress of JUNA will be given.
Ti–47Al samples with a diameter of 18 mm are obtained by electromagnetic confinement and directional solidification at different growth velocities. Controlled by a Ti–43Al–3Si seed, the α grains are aligned well and the parallel lamellar microstructure is obtained at the growth velocity of 10 μm/s. With the growth velocity increases to 25 and 50 μm/s, although the lamellar microstructures are still aligned well in the initial transition stage, the lamellar alignment fails due to the nucleation and growth of new β and α grains and then the inclined and perpendicular lamellar microstructures form eventually. The room temperature tensile properties of the different lamellar microstructures are measured and the results show that the desired lamellar microstructure has a tensile strength of 693 MPa and an elongation of 10.0% simultaneously. They are the maximum values that have been reported in binary γ-TiAl alloys so far and are far higher than those of the other two types of lamellar microstructures. The fracture behaviors of the lamellar microstructures are checked by scanning electron microscopy and transmission electron microscopy. Two models are used to illustrate the fracture mechanism of the different lamellar structures.
We analyzed a 2-year time series of meteorological data (January 2011–December 2012) from three automatic weather stations on Laohugou glacier No. 12, western Qilian Mountains, China. Air temperature, humidity and incoming radiation were significantly correlated between the three sites, while wind speed and direction were not. In this work, we focus on the effects of clouds on other meteorological parameters and on glacier melt. On an average, ~18% of top-of-atmosphere shortwave radiation was attenuated by the clear-sky atmosphere, and clouds attenuated a further 12%. Most of the time the monthly average increases in net longwave radiation caused by clouds were larger than decreases in net shortwave radiation but there was a tendency to lose energy during the daytime when melting was most intense. Air temperature and wind speed related to turbulent heat flux were found to suppress glacier melt during cloudy periods, while increased water vapor pressure during cloudy days could enhance glacier melt by reducing energy loss by latent heat. From these results, we have increased the physical understanding of the significance of cloud effects on continental glaciers.
Glacier surface melting can be described using energy-balance models. We conducted a surface energy budget experiment to quantify surface energy fluxes and to identify factors affecting glacial melt in the ablation zone of Laohugou glacier No. 12, western Qilian mountains. The surface energy budget was calculated based on data from an automatic weather station, and turbulent fluxes calculated using the bulk-aerodynamic approach were corrected using measurements from an eddy-covariance system. Simulated mass balances were validated by stake observations. Net shortwave radiation was the primary component of the surface energy balance (126Wm–2), followed by sensible heat flux. Net longwave radiation (–45Wm–2) and latent heat flux (–12.8 Wm–2) represented heat sinks. The bulk-aerodynamic method underestimated sensible and latent heat fluxes by 3.4 and 1.2 W m–2, respectively. The simulated total mass balance of –1703mmw.e. exceeded the observed total by 90 mm w.e. Daily positive accumulated temperature and low albedo were the main factors accelerating glacier melt. An uncertainty assessment showed that mass balance was very sensitive to albedo and varied by 36% when albedo changed by 0.1.
Knowledge of present-day ice temperature and velocity is important in order to determine how fast a glacier will respond to present and future climate change. We apply a two-dimensional higher-order thermomechanical flowband model to simulate present-day ice temperature and velocity along the main flowline of East Rongbuk Glacier, Qomolangma (Mount Everest), Himalaya. We use recent (2005–11) observational data to validate the numerical model. Modelled and observed ice surface velocities exhibit good agreement. Modelled ice temperatures agree well with observed values in two shallow boreholes that are ∼18 m deep. The model suggests that the ablation zone of East Rongbuk Glacier, km 4 to km 10 from the glacier head, is underlain by temperate ice.
Previous studies have thoroughly investigated the prevalence and risk factors for completed suicide. In marked contrast is the lack of a better understanding of attempted suicide in the elderly. The aim of this study was to estimate the prevalence of attempted suicide in the elderly and examine the associated factors.
Methods:
Using a multi-stage cluster sampling approach, a cross-sectional survey of 8,399 elderly house-dwelling residents was conducted in Shanghai, China.
Results:
The two-week prevalence of attempted suicide in the elderly was 0.75%. In the bivariate analysis, having no caregivers, depressive, anxiety, sad, fear, obsessive-compulsive and anger symptom, and lower scores on the Barthel Index of Activities of Daily Living and the Lawton Instrumental Activities of Daily Living Scale were significantly associated with an increased risk of attempted suicide in the elderly. In the multivariate analysis, sad and fear symptoms were significantly and independently associated with a higher risk of attempted suicide in the elderly.
Conclusion:
The two-week prevalence of attempted suicide in the elderly is relatively high when compared with the annualized or lifetime prevalence reported in China and foreign settings. Elderly individuals with certain mental symptoms should be targeted for suicide prevention and provided with timely mental health support.
Zeolite–zeolite composite composed of alumina-rich hierarchically porous ZSM-5 cores and high-silicon MFI shells was prepared by a hydrothermal synthesis procedure, in which a commercial ZSM-5 zeolite with a SiO2/Al2O3 of 36 was treated by an alkaline solution and then used as a supporter for epitaxial growth of a polycrystalline Silicalite-1 zeolite shell (denoted as MMZsa). Acid sites associated with framework Al on exterior surfaces of ZSM-5 zeolite cores are therefore passivated in different degrees by the epitaxial MFI zeolite shell. The structural, crystalline, and textural properties of the as-synthesized samples were characterized by x-ray powder diffraction (XRD), energy-dispersive x-ray spectroscopy, X-ray photoelectron spectroscopy (XPS), scanning electron microscopy (SEM), transmission electron microscopy (TEM), selected area electron diffraction (SAED), N2 adsorption-desorption, in situ IR spectra of pyridine and NH3-TPD. Aluminum species were observed to transfer from the alumina-rich cores to the high-silica shells. The adjustable thickness and SiO2/Al2O3 ratio of the shell offer the as-synthesized composite a potential and high-efficiency catalyst for methanol conversion into gasoline and diesel. As compared with the commercial ZSM-5 zeolite, the composite catalyst exhibits excellent catalytic performances with a longer catalytic life as well as a higher conversion and a slightly higher yield of diesel oil.
Findings from observational studies have suggested a possible relation between Ca and breast cancer risk. However, the results of these studies are inconclusive, and the dose–response relationship between Ca intake and risk of breast cancer remains to be determined. A meta-analysis of prospective studies was conducted to address these issues. PubMed and Embase databases were searched for relevant studies concerning the association between Ca intake and breast cancer up to March 2016. The summary relative risks (RR) with 95 % CI were calculated with a random-effects model. The final analysis included eleven prospective cohort studies involving 26 606 cases and 872 895 participants. The overall RR of breast cancer for high v. low intake of Ca was 0·92 (95 % CI 0·85, 0·99), with moderate heterogeneity (P=0·026, I2=44·2 %). In the subgroup analysis, the inverse association appeared stronger for premenopausal breast cancer (RR 0·75; 95 % CI 0·59, 0·96) than for postmenopausal breast cancer (RR 0·94; 95 % CI 0·87, 1·01). Dose–response analysis revealed that each 300 mg/d increase in Ca intake was associated with 2 % (RR 0·98; 95 % CI 0·96, 0·99), 8 % (RR 0·92; 95 % CI 0·87, 0·98) and 2 % (RR 0·98; 95 % CI 0·97, 0·99) reduction in the risk of total, premenopausal and postmenopausal breast cancer, respectively. Our findings suggest an inverse dose–response association between Ca intake and risk of breast cancer.
In this work, we developed a convenient way to immobilize silver nanoparticles on the aminated polyacrylonitrile (PAN) nanofibrous mats by combing the electrospinning technology from complex-containing polymer solution, amination of PAN nanofibrous and electroless plating technique. The resultant composite nanaofibrous mats had been characterized by scanning electron microscopy, energy-dispersive spectrometer, transmission electron microscopy, X-ray diffraction, and Fourier transform infrared spectra analysis. The catalytic activity and stability of these resultant composite nanofibrous mats for the catalytic reactions, including reduction of 4-nitrophenol to form 4-aminophenol, and selective oxidation of benzyl alcohol, were investigated. The resultant nanofibrous mats exhibited high-efficiency, convenient separation, recovery, and cyclic utilization properties.
This study was designed to determine the effect of melatonin on the in vitro maturation (IVM) and developmental potential of bovine oocytes denuded of the cumulus oophorus (DOs). DOs were cultured alone (DOs) or with 10−9 M melatonin (DOs + MT), cumulus–oocyte complexes (COCs) were cultured without melatonin as the control. After IVM, meiosis II (MII) rates of DOs, and reactive oxygen species (ROS) levels, apoptotic rates and parthenogenetic blastocyst rates of MII oocytes were determined. The relative expression of ATP synthase F0 Subunit 6 and 8 (ATP6 and ATP8), bone morphogenetic protein 15 (BMP-15) and growth differentiation factor 9 (GDF-9) mRNA in MII oocytes and IFN-tau (IFN-τ), Na+/K+-ATPase, catenin-beta like 1 (CTNNBL1) and AQP3 mRNA in parthenogenetic blastocysts were quantified using real-time polymerase chain reaction (PCR). The results showed that: (1) melatonin significantly increased the MII rate of DOs (65.67 ± 3.59 % vs. 82.29 ± 3.92%; P < 0.05), decreased the ROS level (4.83 ± 0.42 counts per second (c.p.s) vs. 3.78 ± 0.29 c.p.s; P < 0.05) and apoptotic rate (36.99 ± 3.62 % vs. 21.88 ± 2.08 %; P < 0.05) and moderated the reduction of relative mRNA levels of ATP6, ATP8, BMP-15 and GDF-9 caused by oocyte denudation; (2) melatonin significantly increased the developmental rate (24.17 ± 3.54 % vs. 35.26 ± 4.87%; P < 0.05), and expression levels of IFN-τ, Na+/K+-ATPase, CTNNBL1 and AQP3 mRNA of blastocyst. These results indicated that melatonin significantly improved the IVM quality of DOs, leading to an increased parthenogenetic blastocyst formation rate and quality.
Alternating layer-by-layer (LbL) deposition of polycations and polyanions on porous substrates is a convenient and versatile method for forming high-flux nanofiltration (NF) membranes. In this work, positively charged NF membranes were fabricated by the LbL assembly of poly(ethyleneimine) (PEI) and poly(sodium 4-styrenesulfonate) (PSS) on the modified polyacrylonitrile ultra-filtration substrate. The charge variation with each layer was characterized by zeta potential. ATR-FTIR, SEM, N2 adsorption and the weight changes with bi-layers were used to confirm the LbL deposition of the polyelectrolytes. NF performances of the prepared membrane with a number of bi-layers as well as solute concentrations were also investigated. The results of zeta potential showed that the whole multilayer films exhibited periodic variations in positive charge. NF results indicated that the rejection of Ni2+ and Cd2+ ions increased, while the permeate fluxes decreased with the number of bi-layers. And the rejections of the metal ion solutes were 98.02% for CuSO4, 95.53% for ZnSO4, 95.66% for NiCl2, 94.9% for CdCl2, along with permeation fluxes of 19.02, 19.72, 24.02, and 21.19 L/m2·h, respectively.