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This research employs an enhanced Polar Operation Limit Assessment Risk Indexing System (POLARIS) and multi-scale empirical analysis methods to quantitatively evaluate the risks in icy region navigation. It emphasises the significant influence of spatial effects and external environmental factors on maritime accidents. Findings reveal that geographical location, environmental and ice conditions are crucial contributors to accidents. The models indicate that an increase in ports, traffic volume and sea ice density directly correlates with higher accident rates. Additionally, a novel risk estimation model is introduced, offering a more accurate and conservative assessment than current standards. This research enriches the understanding of maritime accidents in icy regions, and provides a robust framework for different navigation stages and conditions. The proposed strategies and model can effectively assist shipping companies in route planning and risk management to enhance maritime safety in icy regions.
Parental psychopathology is a known risk factor for child autistic-like traits. However, symptom-level associations and underlying mechanisms are poorly understood.
Methods
We utilized network analyses and cross-lagged panel models to investigate the specific parental psychopathology related to child autistic-like traits among 8,571 adolescents (mean age, 9.5 years at baseline), using baseline and 2-year follow-up data from the Adolescent Brain Cognitive Development study. Parental psychopathology was measured by the Adult Self Report, and child autistic-like traits were measured by three methods: the Kiddie Schedule for Affective Disorders and Schizophrenia for DSM-5 autism spectrum disorder (ASD) subscale, the Child Behavior Checklist ASD subscale, and the Social Responsiveness Scale. We also examined the mediating roles of family conflict and children’s functional brain connectivity at baseline.
Results
Parental attention-deficit/hyperactivity problems were central symptoms and had a direct and the strongest link with child autistic-like traits in network models using baseline data. In longitudinal analyses, parental attention-deficit/hyperactivity problems at baseline were the only significant symptoms associated with child autistic-like traits at 2-year follow-up (β = 0.014, 95% confidence interval [0.010, 0.018], FDR q = 0.005), even accounting for children’s comorbid behavioral problems. The observed association was significantly mediated by family conflict (proportion mediated = 11.5%, p for indirect effect <0.001) and functional connectivity between the default mode and dorsal attention networks (proportion mediated = 0.7%, p for indirect effect = 0.047).
Conclusions
Parental attention-deficit/hyperactivity problems were associated with elevated autistic-like traits in offspring during adolescence.
Opioid use disorder (OUD) is a medical condition associated with problematic opioid use, leading to addiction and severe life impairments. This research delivers an in-depth evaluation of OUD burden and trends at global, regional and national levels.
Methods
This study analysed the global burden of OUD from 1990 to 2021 using data from the 2021 Global Burden of Diseases, Injuries, and Risk Factors Study. Key metrics included age-standardized prevalence, incidence, mortality and disability-adjusted life years (DALYs), disaggregated by gender, age, region, country and socio-demographic index (SDI) quintiles. The average annual percentage change described trends, while the age-period-cohort model evaluated age, period and cohort effects. A Bayesian Age-period-cohort model predicted future OUD trends from 2022 to 2040.
Results
In 2021, the global burden of OUD remained substantial, with a total of 16,164,876 cases and a prevalence of 154.59 cases per 100,000 population (95% uncertainty interval [UI]: 131.06–181.26). In 2021, the global incidence of OUD reached 1,942,525 cases (95% UI: 1,643,342–2,328,363), and its global mortality reached 99,555 deaths (95% UI: 92,948–108,050), with DALYs amounting to 11,218,519 (95% UI: 9,188,658–13,159,551). Regionally, high SDI regions, particularly in the High-income North America, exhibited the greatest burden. Among countries, the United States faced the most severe burden and increase, with the highest prevalence (2014.62 per 100,000), incidence (151.84 per 100,000), mortality (15.37 per 100,000) and DALYs (1594.63 per 100,000), and all APPC values exceeding 5%. Males aged 20–39 years were the most affected demographic. However, forecasts indicate that the OUD burden among females will significantly increase over the next 20 years, with the prevalence and incidence expected to rise by 39% and 49%, respectively.
Conclusions
The global burden of OUD has statistically significantly increased from 1990 to 2021. There are marked disparities across regions, countries and SDI levels. High-SDI regions, particularly High-income North America, bear the heaviest burden, with young males (aged 20–39 years) being the most affected groups. However, caution should be exercised regarding the female population, as the number of affected individuals is rapidly increasing.
Rare earth elements (REEs) preserved in speleothems have garnered increasing attention as ideal proxies for the paleoenvironmental reconstruction. However, due to their typically low contents in stalagmites, the availability of stalagmite-based REE records remains limited. Here we present high-resolution REEs alongside oxygen isotope (δ18O) records in stalagmite SX15a from Sanxing Cave, southwestern China (110.1–103.3 ka). This study demonstrates that REE records could provide useful information for the provenance and formation process of the stalagmite, due to consistent distribution pattern across different periods indicating stable provenance. More interestingly, the total REE (ΣREE) record could serve as an effective indicator to reflect local hydrological processes associated with monsoonal precipitation. During Marine Isotopic Stage (MIS) 5d, a relatively low ΣREE content is consistent with the positive SX15a δ18O and negative NGRIP δ18O, reflecting a dry-cold environment; while during MIS 5c, a generally high ΣREE content suggests a humid-warm circumstance. Furthermore, the ΣREE record captured four prominent sub-millennial fluctuations within the Greenland interstadial 24 event, implying a combined influence by the regional climate and local soil redox conditions. Our findings indicate that the stalagmite-based REE records would be a useful proxy for better understanding of past climate and environment changes.
An actively controllable cascaded proton acceleration driven by a separate 0.8 picosecond (ps) laser is demonstrated in proof-of-principle experiments. MeV protons, initially driven by a femtosecond laser, are further accelerated and focused into a dot structure by an electromagnetic pulse (EMP) on the solenoid, which can be tuned into a ring structure by increasing the ps laser energy. An electrodynamics model is carried out to explain the experimental results and show that the dot-structured proton beam is formed when the outer part of the incident proton beam is optimally focused by the EMP force on the solenoid; otherwise, it is overfocused into a ring structure by a larger EMP. Such a separately controlled mechanism allows precise tuning of the proton beam structures for various applications, such as edge-enhanced proton radiography, proton therapy and pre-injection in traditional accelerators.
Rheumatoid arthritis (RA) is a systemic autoimmune disease characterized by chronic inflammation of the synovial membrane, leading to cartilage destruction and bone erosion. Due to the complex pathogenesis of RA and the limitations of current therapies, increasing research attention has been directed towards novel strategies targeting fibroblast-like synoviocytes (FLS), which are key cellular components of the hyperplastic pannus. Recent studies have highlighted the pivotal role of FLS in the initiation and progression of RA, driven by their tumour-like transformation and the secretion of pro-inflammatory mediators, including cytokines, chemokines and matrix metalloproteinases. The aggressive phenotype of RA-FLS is marked by excessive proliferation, resistance to apoptosis, and enhanced migratory and invasive capacities. Consequently, FLS-targeted therapies represent a promising avenue for the development of next-generation RA treatments. The efficacy of such strategies – particularly those aimed at modulating FLS signalling pathways – has been demonstrated in both preclinical and clinical settings, underscoring their therapeutic potential. This review provides an updated overview of the pathogenic mechanisms and functional roles of FLS in RA, with a focus on critical signalling pathways under investigation, including Janus kinase/signal transducer and activator of transcription (JAK/STAT), mitogen-activated protein kinase (MAPK), nuclear factor kappa B (NF-κB), Notch and interleukin-1 receptor-associated kinase 4 (IRAK4). In addition, we discuss the emerging understanding of FLS-subset-specific contributions to immunometabolism and explore how computational biology is shaping novel targeted therapeutic strategies. A deeper understanding of the molecular and functional heterogeneity of FLS may pave the way for more effective and precise therapeutic interventions in RA.
In this study, the method of large-eddy simulation (LES) is applied to investigate the impact of patches of coarsened riverbed sediments on near-bed hydrodynamics and flow resistance. Six simulations are performed with riverbed coverage ratios of coarser particles (Ac/At, where Ac and At are the riverbed area covered by coarsened sediments and the total riverbed area, respectively) ranging from 0 % to 100 %. By ensuring identical crest heights for all particles, the influence of heterogeneous roughness height is eliminated, allowing for an isolated investigation of heterogeneous permeability effects. Results reveal distinct high- and low-flow streaks above coarsened and uncoarsened sediments, associated with elevated and reduced Reynolds shear stress, respectively. These streaky patterns are attributed to time-averaged secondary flows spanning the entire water depth, that converge toward coarsened sediments and diverge from uncoarsened areas. Elevated Reynolds shear stress, up to 1.9 times the reach-averaged bed shear stress, is observed in the interstitial spaces between coarser particles due to intensified hyporheic exchange at the sediment–water interface. Upwelling and downwelling flows occur upstream and downstream of coarsened sediments particles, respectively, driving dominant ejection and sweep events. At Ac/At = 16 %, ejections and sweeps contribute maximally to Reynold shear stress, increasing by up to 130 % and 110 %, respectively – approximately double their contributions in the uncoarsened case. The study identifies two mechanisms driving increased flow resistance over coarsened riverbeds: water-depth-scale secondary flows and grain-scale hyporheic exchanges. Consequently, the reach-averaged friction factor increases by 29.8 % from Ac/At = 0 % to 64 %, followed by a 15.8 % reduction in the fully coarsened scenario.
This study combines experimental observations and numerical simulations to comprehensively analyse the interface evolution of confined droplets in microfluidic devices with flow-focusing junctions under different aspect ratios. Microchannels with aspect ratios of 1, 1/2 and 1/3 are designed, where droplets are generated at the first flow-focusing junction, and three distinct flow patterns – no breakup, single breakup and multiple breakups – are observed at the second flow-focusing junction. The relationship between droplet length and flow parameters is established, investigating the effects of capillary number and channel aspect ratio on droplet breakup behaviour. It is found that the scaling exponent of the minimum neck thickness increases with the continuous phase flow rate. Numerical simulations are carried out to illustrate the shape evolution of a droplet in three-dimensional space, allowing the calculation of the curvature distribution of the interface. The scaling exponent of the mean radius of curvature in a channel with an aspect ratio of 1 differs from that in a channel with an aspect ratio of less than 1. These findings provide theoretical support for understanding droplet breakup dynamics and lay a foundation for optimising microfluidic device design and structural innovation.
Viscous fingering, a classic hydrodynamic instability, is governed by the the competition between destabilising viscosity ratios and stabilising surface tension or thermal diffusion. We show that the channel confinement can induce ‘diffusion’-like stabilising effects on viscous fingering even in the absence of interfacial tension and thermal diffusion, when a clear oil invades the mixture of the same oil and non-colloidal particles. The key lies in the generation of long-range dipolar disturbance flows by highly confined particles that form a monolayer inside a Hele-Shaw cell. We develop a coarse-grained model whose results correctly predict universal fingering dynamics that is independent of particle concentrations. This new mechanism offers insights into manipulating and harnessing collective motion in non-equilibrium systems.
Porcine small intestinal epithelial cell line (IPEC-J2) is a good research model exploring the impact of feed additives on intestinal epithelial cells. Monobutyrin (MB), as a derivative of butyric acid (BA), overcomes the shortcomings of BA. MB can maintain intestinal barrier function in animals, but its underlying regulatory mechanism is unknown. Thus, we used IPEC-J2 cells as the research object. We were using real-time fluorescence quantitative PCR, western blot, immunofluorescence, and transcriptomics technology to explore the effect of MB on the barrier function of IPEC-J2 cells and its regulatory mechanism. The results found that MB treatment could cause IPEC-J2 cells to occur a response to hypoxia at the transcriptional level, thereby increasing the expression of hypoxia-inducible factor 1 and phospho-extracellular signal-regulated kinase 1/2 protein and improving the expression of tight junction proteins. Therefore, MB can alleviate the activation of the NF-κB signaling pathway. In addition, MB mitigates the damage to cell transmembrane glycoproteins, microvilli, and tight junctions caused by lipopolysaccharides (LPS) stimulation, thus resisting the effects of LPS. As a dietary supplement, MB has good application prospects in maintaining the intestinal epithelial barrier function of animals.
The calibration between national regulatory oversight and local policy autonomy is a prominent feature in the discussion regarding social assistance institutions in large countries. The complex principal-agent structure embedded within such institutions and the resultant information asymmetry make it difficult for the national principal to monitor the behaviour of subnational agents, resulting in prevalent mis-targeting of welfare benefits and petty corruption. Built on a principal-agent framework, this study seeks to explain the puzzling shrinkage of China’s Minimum Livelihood Guarantee Scheme (Dibao) in recent years. Accountability mechanisms are found to exert major impacts on the scale of welfare programs. Using a unique city-level panel dataset and difference-in-differences (DID) strategy, this quantitative study finds that discipline inspection by upper-level government leads to a significant decrease of Dibao coverage in a city, a link reinforced by the local intensity of China’s anti-corruption campaign. Blame avoidance and the defensive reaction of local agents triggered by draconian enforcement of accountability result in distorted welfare administration on the ground. Building informational capacity presents a useful approach in mitigating the vertical control–autonomy dilemma illustrated in this study.
Simultaneous interpreting (SI) is an intensive multitasking activity that requires coordination of a variety of linguistic and cognitive control mechanisms. Research has shown that interpreters perform better in tasks that require domain-general executive functions (EF), but the question remains whether such cognitive alternation is a result of interpreting experience or it reflects a selection bias that only cognitively capable people are recruited and trained to be interpreters. We examined the cognitive changes experienced by beginner-level students engaged in an intensive, two-week interpreting training programme. Our findings show that: (a) only cognitive flexibility was enhanced by training, together with improvement in SI performance; (b) the three EF subcomponents in their pre-existing forms negatively correlated with training gains; and (c) only pre-existing cognitive flexibility was positively associated with improvement in SI performance. Findings were discussed regarding the relationship between cognitive abilities and the early-stage acquisition of interpreting.
The greatest challenge in pressure reconstruction from the measured velocity fields is that the error of material acceleration is significantly contaminated due to error propagation. Particularly for flows with moving boundaries, accurate boundary velocities are difficult to obtain due to error propagation, and a complex boundary processing technique is needed to treat the moving boundaries. The present work proposes a machine-learning-based method to determine the pressure for incompressible flows with moving boundaries. The proposed network consists of two neural networks: one network, named the boundary network, is used to track the Lagrangian boundary points; the other physics-informed neural network, named the flow network, is adopted to approximate the flow fields. These two networks are coupled by imposing boundary conditions. We further propose a new dynamic weight strategy for the loss terms to guarantee convergence and stability. The performance of the proposed method is validated by two examples: the flow over an oscillating cylinder and the flow around a swimming fish. The proposed method can accurately determine the pressure fields and boundary motion from synthetic particle image velocimetry (PIV) flow fields. Moreover, this method can also predict the boundary and pressure at a given instant without supervised data. Finally, this method was applied to reconstruct the pressure from the two-dimensional and three-dimensional PIV velocities of the left ventricle. All of the results indicate that the proposed method can accurately reconstruct the pressure fields for flows with moving boundaries and is a novel method for surface pressure estimation.
In this article, the performance analysis and multiobjective structure optimization of 4RRR parallel mechanism are carried out. Firstly, the 4RRR pure rotation parallel mechanism and its design route are introduced. Secondly, the Jacobian matrices in 2DoF pure rotation and 3DoF pure rotation modes are derived using the motion equations of the mechanism. Next, the singularity analysis, kinematic dexterity analysis, dynamic dexterity analysis, and stiffness analysis of the mechanism are carried out, respectively, and it is proved that there is no singularity in the mechanism in its workspace. Since the dexterity performance expression is a nonlinear piecewise function, the kinematic local comprehensive dexterity index and the dynamic local comprehensive dexterity index are proposed as the objects of analysis. Furthermore, the kinematic global comprehensive dexterity index, the dynamic global comprehensive dexterity index, and the global comprehensive stiffness index are proposed to carry out the multiobjective structural optimization. Finally, NSGA3 was used to complete the optimization, and the comprehensive optimal solution of the structure size was obtained.
The sulphur microbial diet (SMD), a dietary pattern associated with forty-three sulphur-metabolising bacteria, may influence gut microbiota composition and contribute to ageing process through gut-produced hydrogen sulfide (H2S). We aimed to explore the association between SMD and biological age (BA) acceleration, using the cross-sectional study that included 71 579 individuals from the UK Biobank. The SMD score was calculated by multiplying β-coefficients by corresponding serving sizes and summing them, based on dietary data collected using the Oxford WebQ, a 24-hour dietary assessment tool. BA was assessed using Klemerae–Doubal (KDM) and PhenoAge methods. The difference between BA and chronological age refers to the age acceleration (AgeAccel), termed ‘KDMAccel’ and ‘PhenoAgeAccel’. Generalised linear regression was performed. Mediation analyses were used to investigate underlying mediators including BMI and serum aspartate aminotransferase/alanine aminotransferase (AST/ALT) ratio. Following adjustment for multiple variables, a positive association was observed between consuming a dietary pattern with a higher SMD score and both KDMAccel (βQ4 v. Q1 = 0·35, 95 % CI = 0·27, 0·44, P < 0·001) and PhenoAgeAccel (βQ4 v. Q1 = 0·32, 95 % CI = 0·23, 0·41, P < 0·001). Each 1-SD increase in SMD score was positively associated with the acceleration of BA by 7·90 % for KDMAccel (P < 0·001) and 7·80 % for PhenoAgeAccel (P < 0·001). BMI and AST/ALT mediated the association. The stratified analysis revealed stronger accelerated ageing impacts in males and smokers. Our study indicated a higher SMD score is associated with elevated markers of biological ageing, supporting the potential utility of gut microbiota-targeted dietary interventions in attenuating the ageing process.
Rogue waves (RWs) can form on the ocean surface due to the well-known quasi-four-wave resonant interaction or superposition principle. The first is known as the nonlinear focusing mechanism and leads to an increased probability of RWs when unidirectionality and narrowband energy of the wave field are satisfied. This work delves into the dynamics of extreme wave focusing in crossing seas, revealing a distinct type of nonlinear RWs, characterised by a decisive longevity compared with those generated by the dispersive focusing (superposition) mechanism. In fact, through fully nonlinear hydrodynamic numerical simulations, we show that the interactions between two crossing unidirectional wave beams can trigger fully localised and robust development of RWs. These coherent structures, characterised by a typical spectral broadening then spreading in the form of dual bimodality and recurrent wave group focusing, not only defy the weakening expectation of quasi-four-wave resonant interaction in directionally spreading wave fields, but also differ from classical focusing mechanisms already mentioned. This has been determined following a rigorous lifespan-based statistical analysis of extreme wave events in our fully nonlinear simulations. Utilising the coupled nonlinear Schrödinger framework, we also show that such intrinsic focusing dynamics can be captured by weakly nonlinear wave evolution equations. This opens new research avenues for further explorations of these complex and intriguing wave phenomena in hydrodynamics as well as other nonlinear and dispersive multi-wave systems.
This study investigates the effects of fat emulsion-based early parenteral nutrition in patients following hemihepatectomy, addressing a critical gap in clinical knowledge regarding parenteral nutrition after hemihepatectomy. We retrospectively analysed clinical data from 274 patients who received non-fat emulsion-based parenteral nutrition (non-fatty nutrition group) and 297 patients who received fat emulsion-based parenteral nutrition (fatty nutrition group) after hemihepatectomy. Fat emulsion-based early parenteral nutrition significantly reduced levels of post-operative aspartate aminotransferase, total bilirubin and direct bilirubin, while minor decreases in red blood cell and platelet counts were observed in the fatty nutrition group. Importantly, fat emulsion-based early parenteral nutrition shortened lengths of post-operative hospital stay and fasting duration, but did not affect the incidence of short-term post-operative complications. Subgroup analyses revealed that the supplement of n-3 fish oil emulsions was significantly associated with a reduced inflammatory response and risk of post-operative infections. These findings indicate that fat emulsion-based early parenteral nutrition enhances short-term post-operative recovery in patients undergoing hemihepatectomy.
The dependence of the Richtmyer–Meshkov instability (RMI) on post-shock Atwood number ($A_1$) is experimentally investigated for a heavy–light single-mode interface. We create initial interfaces with density ratios of heavy to light gases ranging from 1.73 to 34.07, and achieve the highest $|A_1|$ value reported to date for gaseous-interface experiments (0.95). For the first time, spike acceleration is observed in experiments with a heavy–light configuration. The models for the start-up, linear and weakly nonlinear evolution stages are evaluated over a wide range of $A_1$ conditions. Specifically, the models proposed by Li et al. (Phys. Fluids, vol. 36, 2024, 056104) and Wouchuk & Nishihara (Phys. Plasmas, vol. 4, 1997, 1028–1038) effectively describe the start-up and linear stages, respectively, across all cases. None of the considered nonlinear models is valid under all $A_1$ conditions. Based on the dependence of spike and bubble evolutions on $A_1$ provided by the present work and previous study (Chen et al., J. Fluid Mech., vol. 975, 2023, A29), the SEA model (Sadot et al., Phys. Rev. Lett., vol. 80, 1998, pp. 1654–1657), whose expression has clear physical meanings, is modified by revising the coefficient that governs its prediction for early-time evolution. The modified model applies to prediction of the weakly nonlinear evolution of RMI with $A_1$ ranging from −0.95 to −0.35 and from 0.30 to 0.86. Based on this model, an approximation of the critical $A_1$ for the occurrence of spike acceleration is obtained.
The prevalence of co-morbid anxiety and depression varies greatly between research studies, making it difficult to understand and estimate the magnitude of this problem. This systematic review and meta-analysis aim to provide up-to-date information on the global prevalence of co-morbid anxiety and depression in pregnant and postpartum women and to further investigate the sources of heterogeneity. Systematic searches of eight electronic databases were conducted for original studies published from inception to December 10, 2024. We selected studies that directly reported prevalence data on co-morbid anxiety and depression during the perinatal periods. We extracted data from published study reports and calculated the pooled prevalence of symptoms of co-morbid anxiety and depression. There are 122 articles involving 560,736 women from 43 different countries included in this review. The global prevalence of co-morbid anxiety and depression during the perinatal period was about 9% (95%CI 8%–10%), with approximately 9% (95%CI 8%–11%) in pregnant women and 8% (95%CI 7%–10%) in postpartum women. Prevalence varied significantly by the assessment time points, study country, study design, and the assessment tool used for anxiety and depression, while prevalence was not dependent on publication year, country income level, and COVID-19 context. No publication bias was observed for this prevalence rate. These findings suggest that approximately 1 in 10 women experience co-morbid anxiety and depression during pregnancy and postpartum. Targeted action is needed to reduce this burden.