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Endometrial receptivity is the ability of the endometrium to accept embryos. Thus, endometrial receptivity dysfunction is an important factor leading to embryo implantation failure. A good endometrial receptivity provides a suitable environment for embryo implantation, improving the embryo implantation rate. The “implantation window” stage, or the receptive stage of the endometrium, is regulated by various hormones, genes, proteins and cytokines, among which microRNAs (miRNAs) and their target genes have a regulatory effect on endometrial receptivity. This review outlines the relationship between endometrial receptivity and pregnancy, the mRNAs and related signalling pathways that regulate endometrial receptivity, and the regulatory role of miRNA in endometrial receptivity, providing a deeper understanding of the regulatory mechanisms of miRNA on endometrial receptivity in humans and animals and reference for the endometrial receptivity-related research.
Weather conditions such as low air temperatures, low barometric pressure, and low wind speed have been linked to more cases of carbon monoxide (CO) poisoning. However, limited literature exists regarding the impact of air pollution. This study aims to investigate the relationship between outdoor air pollution and CO poisoning in 2 distinct cities in Turkey.
Methods
A prospective study was conducted at 2 tertiary hospitals, recording demographic data, presenting complaints, vital signs, blood gas and laboratory parameters, carboxyhemoglobin (COHb) levels, meteorological parameters, and pollutant parameters. Complications and outcomes were also documented.
Results
The study included 83 patients (Group 1 = 44, Group 2 = 39). The air quality index (AQI) in Group 2 (61.7 ± 27.7) (moderate AQI) was statistically significantly higher (dirtier AQI) than that in Group 1 (47.3 ± 26.4) (good AQI) (P = 0.018). The AQI was identified as an independent predictor for forecasting the need for hospitalization (OR = 1.192, 95% CI: 1.036 - 1.372, P = 0.014) and predicting the risk of developing cardiac complications (OR: 1.060, 95% CI: 1.017 - 1.104, P = 0.005).
Conclusions
The AQI, derived from the calculation of 6 primary air pollutants, can effectively predict the likelihood of hospitalization and cardiac involvement in patients presenting to the emergency department with CO poisoning.
This paper presents an artificial neural network (ANN)-based nonlinear model predictive visual servoing method for mobile robots. The ANN model is developed for state predictions to mitigate the unknown dynamics and parameter uncertainty issues of the physics-based (PB) model. To enhance both the model generalization and accuracy for control, a two-stage ANN training process is proposed. In a pretraining stage, highly diversified data accommodating broad operating ranges is generated by a PB kinematics model and used to train an ANN model first. In the second stage, the test data collected from the actual system, which is limited in both the diversity and the volume, are employed to further finetune the ANN weights. Path-following experiments are conducted to compare the effects of various ANN models on nonlinear model predictive control and visual servoing performance. The results confirm that the pretraining stage is necessary for improving model generalization. Without pretraining (i.e., model trained only with the test data), the robot fails to follow the entire track. Weight finetuning with the captured data further improves the tracking accuracy by 0.07–0.15 cm on average.
Moritz Altenried's The Digital Factory (2022) accomplishes in just under two hundred pages what many other books twice that length have struggled with: assembling a concise yet readable introductory map to the global, fragmented, and too-often hidden landscape of digitally-mediated capitalism. But the digital factory itself is an incomplete concept, almost always requiring us to look for the external and contingent labor support hidden just outside of its supposedly totalizing network of logistics, robotics and algorithms.
This paper introduces a new set of comprehensive and cross-country-comparable indexes of migration policy selectivity. Crucially, these reflect the multidimensional nature of the differential treatment of migrants. We use these indexes to study the evolution of migration policy selectivity and estimate how they affect migration flows. Combining all publicly available and relevant data since WWII, we build three composite indexes that identify selectivity in terms of skills, economic resources and nationality. First, we use these to characterize migration policies in 42 countries between 1990 and 2014. Second, we examine the relationship between the selectivity of migration policy and migration flows. Each of the three dimensions of migration policy is found to correlate strongly and significantly with both the size and structure of migration flows.
Limited guidance exists for public health agencies to use existing data sources to conduct monitoring and surveillance of behavioral health (BH) in the context of public health emergencies (PHEs).
Methods
We conducted a literature review and environmental scan to identify existing data sources, indicators, and analytic methods that could be used for BH surveillance in PHEs. We conducted exploratory analyses and interviews with public health agencies to examine the utility of a subset of these data sources for BH surveillance in the PHE context.
Results
Our comprehensive search revealed no existing dedicated surveillance systems to monitor BH in the context of PHEs. However, there are a few data sources designed for other purposes that public health agencies could use to conduct BH surveillance at the substate level. Some of these sources contain lagging indicators of BH impacts of PHEs. Most do not consistently collect the sociodemographic data needed to explore PHEs’ inequitable impacts on subpopulations, including at the intersection of race, gender, and age.
Conclusions
Public health agencies have opportunities to strengthen BH surveillance in PHEs and build partnerships to act based on timely, geographically granular existing data.
Functional decline following hospitalization remains an important problem in health care, especially for frail older adults. Modifiable factors related to reduction in harms of hospitalization are not well described. One particularly pervasive factor is emergency department (ED) boarding time; time waiting from decision to admit, until transfer to an in-patient medical unit. We sought to investigate how the functional status of frail older adults correlated with the length of time spent boarded in the ED. We found that patients who waited for 24 hours or more exhibited functional decline in both the Barthel Index and Hierarchical Assessment of Balance and Mobility and an increase in the Clinical Frailty Scale from discharge to 6 months post discharge. In conclusion, there is a need for additional investigation into ED focused interventions to reduce ED boarding time for this population or to improve access to specialized geriatric services within the ED.
Resistive tearing instabilities are common in fluids that are highly electrically conductive and carry strong currents. We determine the effect of stable stratification on the tearing instability under the Boussinesq approximation. Our results generalise previous work that considered only specific parameter regimes, and we show that the length scale of the fastest-growing mode depends non-monotonically on the stratification strength. We confirm our analytical results by solving the linearised equations numerically, and we discuss whether the instability could operate in the solar tachocline.
Recent years have seen the emergence of new technologies that exploit nanoscale evaporation, ranging from nanoporous membranes for distillation to evaporative cooling in electronics. Despite the increasing depth of fundamental knowledge, there is still a lack of simulation tools capable of capturing the underlying non-equilibrium liquid–vapour phase changes that are critical to these and other such technologies. This work presents a molecular kinetic theory model capable of describing the entire flow field, i.e. the liquid and vapour phases and their interface, while striking a balance between accuracy and computational efficiency. In particular, unlike previous kinetic models based on the isothermal assumption, the proposed model can capture the temperature variations that occur during the evaporation process, yet does not require the computational resources of more complicated mean-field kinetic approaches. We assess the present kinetic model in three test cases: liquid–vapour equilibrium, evaporation into near-vacuum condition, and evaporation into vapour. The results agree well with benchmark solutions, while reducing the simulation time by almost two orders of magnitude on average in the cases studied. The results therefore suggest that this work is a stepping stone towards the development of an accurate and efficient computational approach to optimising the next generation of nanotechnologies based on nanoscale evaporation.
This study investigated the relationship between various intrapersonal factors and the discrepancy between subjective and objective cognitive difficulties in adults with attention-deficit hyperactivity disorder (ADHD). The first aim was to examine these associations in patients with valid cognitive symptom reporting. The next aim was to investigate the same associations in patients with invalid scores on tests of cognitive symptom overreporting.
Method:
The sample comprised 154 adults who underwent a neuropsychological evaluation for ADHD. Patients were divided into groups based on whether they had valid cognitive symptom reporting and valid test performance (n = 117) or invalid cognitive symptom overreporting but valid test performance (n = 37). Scores from multiple symptom and performance validity tests were used to group patients. Using patients’ scores from a cognitive concerns self-report measure and composite index of objective performance tests, we created a subjective-objective discrepancy index to quantify the extent of cognitive concerns that exceeded difficulties on objective testing. Various measures were used to assess intrapersonal factors thought to influence the subjective-objective cognitive discrepancy, including demographics, estimated premorbid intellectual ability, internalizing symptoms, somatic symptoms, and perceived social support.
Results:
Patients reported greater cognitive difficulties on subjective measures than observed on objective testing. The discrepancy between subjective and objective scores was most strongly associated with internalizing and somatic symptoms. These associations were observed in both validity groups.
Conclusions:
Subjective cognitive concerns may be more indicative of the extent of internalizing and somatic symptoms than actual cognitive impairment in adults with ADHD, regardless if they have valid scores on cognitive symptom overreporting tests.
This essay reflects the journey of two business scholars, Stephen X. Zhang and Jiyao Chen, who ventured into mental health research during the COVID-19 pandemic. We experienced first-hand how health sciences have operated their publication systems in ways that uphold scientific standing while addressing real-world problems. In doing so, we found the publishing expectations and norms in health and medical sciences to be vastly different from those in management. This essay further discusses aspects such as the preference for evidence over theory, the relationship with basic sciences, diverse evaluation criteria, encouragement of exploration and replication, timeliness, and democratization and inclusivity of scholarship as concrete steps of responsible research.
The Chinese Loess Plateau (CLP), recognized as the world's largest loess plateau, has been a subject of ongoing debate regarding the continuity of its sedimentary loess sequence due to its intricate depositional environment. In this study, we conducted dating on a 9.8-m-long Malan loess core obtained from the Sanmen Gorge in the southern CLP using optically stimulated luminescence (OSL). The OSL dates indicate loess deposition between 52.4 and 11.3 ka, with no apparent hiatus on a millennial scale, and a sedimentation rate (SR) exhibiting six distinct episodes. Additionally, a comprehensive review of 613 OSL ages from 18 sections at 14 sites across the CLP was conducted. The results reveal loess deposition at most sites shows no apparent hiatus on a millennial scale over the past 60 ka, except for two specific locations. High SR episodes during Marine Isotope Stage (MIS) 3 across the CLP were attributed to heightened dust emissions from the source region and an enhanced dust deposition efficiency, while MIS 2 deposits were influenced by an intensified East Asian winter monsoon. Low SR episodes during MIS 1 at most sites were likely associated with reduced atmospheric transportation and pedogenesis. Spatially heterogeneous SR variations across the CLP might be influenced by local depositional environments.
Sanctuary cities define themselves as metropoles that refuse to share information, personnel, and facilities with federal immigration authorities to police immigrants. While research suggests that sanctuary cities contest the criminalization of migration, a growing literature depicts how these urban sanctuaries could, in practice, perpetuate hierarchies and exclusionary politics against noncitizens. Yet, most of these studies conceive of urban sanctuary as local policies designed to challenge federal power and, thus, fail to fully capture how sanctuary policies could actually rely on the criminalization of migration to govern cities’ political problems. Drawing upon 1,900 pages of archival materials and 100 newspaper articles, this article takes the case of Chicago to study how and why the urban sanctuary expands immigrants’ rights while reinforcing policing with punitive implications for Latino “undeserving” noncitizens. As a form of racialized governance, I argue that Chicago’s sanctuary policies activate a set of punitive exceptions that—in response to distinct political urgencies—allow law and immigration enforcement to converge and control Latino undocumented workers, “criminals,” and “gangs.” This study not only challenges the premise that sanctuary cities necessarily resist federal power but also illustrates how they could strengthen the legitimacy of the state and racialized police power.
Severe weather events exacerbate existing health disparities due to poorly managed non-communicable diseases (NCDs). Our objective is to understand the experiences of staff, providers, and administrators (employees) of Federally Qualified Health Centers (FQHCs) in Puerto Rico and the US Virgin Islands (USVI) in providing care to patients living with NCDs in the setting of recent climate-related extreme events.
Methods
We used a convergent mixed-methods study design. A quantitative survey was distributed to employees at 2 FQHCs in Puerto Rico and the USVI, assessing experience with disasters, knowledge of disaster preparedness, the relevance of NCDs, and perceived gaps. Qualitative in-depth interviews explored their experience providing care for NCDs during recent disasters. Quantitative and qualitative data were merged using a narrative approach.
Results
Through the integration of quantitative and qualitative data, we recognize: (1) significant gaps in confidence and preparedness of employees with a need for more training; (2) challenges faced by persons with multiple NCDs, especially cardiovascular and mental health disorders; and (3) most clinicians do not discuss disaster preparedness with patients but recognize their important role in community resilience.
Conclusion
With these results, we recommend strengthening the capacity of FQHCs to address the needs of their patients with NCDs in disasters.
Whether colliding drops will merge with or bounce off each other is critical to numerous processes, and the physics involved is notoriously complex. In particular, experiments show that both sufficiently slow and fast head-on drop collisions lead to merging, but that there is often an intermediate regime in which bouncing is observed; these transitions in behaviour were recently discovered to be surprisingly sensitive to the radius of the drops and the ambient gas pressure. We show here that these transitions between bouncing and merging are governed by nanoscale phenomena; namely, gas-kinetic and disjoining pressure effects. To capture these crucial effects, a novel, open-source computational model is developed for the simulation of colliding drops. The model uses a hybrid approach, based on solving the Navier–Stokes equations in the drop with a lubrication approach for the unconventional physics of the gas film. Our simulations show remarkably good agreement with experiments of head-on collisions and also provide new experimentally verifiable predictions.
This study investigated the mental health significance of Barack Obama’s 2012 presidential re-election among Blacks. Upon his re-election, we hypothesized Blacks would either feel symbolic empowerment or relative deprivation. They would feel symbolic empowerment because a man who identifies as Black won re-election to the nation’s highest office. His second victory should generate optimism, given his status as a historic first. Alternatively, they would feel relative deprivation because The Great Recession from 2007 to 2009 curtailed what Obama could achieve. More important, he withered when afforded opportunities to challenge White supremacy and championed individual responsibility. Using a quasi-experimental design with nationally representative survey data from the 2012 Behavioral Risk Factor Surveillance System (BRFSS), we predicted Blacks’ preelection and postelection poor mental health days. We found no time period main effects. However, Black men with less than a college degree experienced 1.11 more poor mental health days postelection whereas Black men with a college degree or more experienced 2.93 fewer poor mental health days postelection. These findings support relative deprivation theory.
The expeditions removing and excavating antiquities at the site of Xanthos in Lycia (1841–4) have been highlighted by scholars as setting a new precedent for whole-sale collection from a single site, and the support – through the national museum and the Royal Navy – of the British government for archaeological endeavours. Questions remain, however, regarding the failure of the first mission to remove the antiquities. According to the current narrative, the blame rests on the navy officer assigned to support Charles Fellows. Based on archival research, this article presents the concerns that Commander Thomas Graves had with the undertaking. His perspective sheds new light on how ill-planned the initial attempts were, and consequently how much was learned. The obstacles encountered in the first Xanthos expedition spurred developments in archaeological practice, introduced by people of non-academic professions.