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Existing evidence on the association between combined lifestyle and depressive symptoms is limited to the general population and is lacking in individuals with subthreshold depression, a high-risk group for depressive disorders. Furthermore, it remains unclear whether an overall healthy lifestyle can mitigate the association between childhood trauma (CT) and depressive symptoms, even in the general population. We aimed to explore the associations of combined lifestyle, and its interaction with CT, with depressive symptoms and their subtypes (i.e. cognitive-affective and somatic symptoms) among adults with subthreshold depression.
Methods
This dynamic cohort was initiated in Shenzhen, China in 2019, including adults aged 18–65 years with the Patient Health Questionnaire-9 (PHQ-9) score of ≥ 5 but not diagnosed with depressive disorders at baseline. CT (present or absent) was assessed with the Childhood Trauma Questionnaire-Short Form. Combined lifestyle, including no current drinking, no current smoking, regular physical exercise, optimal sleep duration and no obesity, was categorized into 0–2, 3 and 4–5 healthy lifestyles. Depressive symptoms were assessed using the PHQ-9 during follow-up. This cohort was followed every 6 months, and as of March 2023, had been followed for 3.5 years.
Findings
This study included 2298 participants (mean [SD] age, 40.3 [11.1] years; 37.7% male). After fully adjusting for confounders, compared with 0–2 healthy lifestyles, 3 (β coefficient, −0.619 [95% CI, −0.943, −0.294]) and 4–5 (β coefficient, −0.986 [95% CI, −1.302, −0.671]) healthy lifestyles were associated with milder depressive symptoms during follow-up. There exists a significant synergistic interaction between a healthy lifestyle and the absence of CT. The CT-stratified analysis showed that compared with 0–2 healthy lifestyles, 3 healthy lifestyles were associated with milder depressive symptoms in participants with CT, but not in those without CT, and 4–5 healthy lifestyles were associated with milder depressive symptoms in both participants with and without CT, with a stronger association in those with CT. The lifestyle-stratified analysis showed that CT was associated with more severe depressive symptoms in participants with 0–2 healthy lifestyles, but not in those with 3 or 4–5 healthy lifestyles. Cognitive-affective and somatic symptoms showed similar results.
Conclusions
In this 3.5-year longitudinal study of adults with subthreshold depression, an overall healthy lifestyle was associated with subsequent milder depressive symptoms and their subtypes, with a stronger association in adults with CT than those without CT. Moreover, an overall healthy lifestyle mitigated the association of CT with depressive symptoms and their subtypes.
We present a high-power mid-infrared single-frequency pulsed fiber laser (SFPFL) with a tunable wavelength range from 2712.3 to 2793.2 nm. The single-frequency operation is achieved through a compound cavity design that incorporates a germanium etalon and a diffraction grating, resulting in an exceptionally narrow seed linewidth of approximately 780 kHz. Employing a master oscillator power amplifier configuration, we attain a maximum average output power of 2.6 W at 2789.4 nm, with a pulse repetition rate of 173 kHz, a pulse energy of 15 μJ and a narrow linewidth of approximately 850 kHz. This achievement underscores the potential of the mid-infrared SFPFL system for applications requiring high coherence and high power, such as high-resolution molecular spectroscopy, precision chemical identification and nonlinear frequency conversion.
To summarise the characteristics and postoperative outcomes in paediatric patients with coronary sinus septal defect.
Method:
This retrospective study recruited paediatric patients diagnosed with coronary sinus septal defect from the Guangdong Cardiovascular Institute between 2011 and 2023. Clinical characteristics, echocardiographic parameters, surgical procedures, and postoperative outcomes were collected from electronic health records.
Results:
Among the 68 patients, 50% were male, with a median age of 1.0 years. Four cases (5.9%) were diagnosed during the prenatal period. The proportions of patients with type I, II, III, and IV coronary sinus septal defect were 51.5%, 5.9%, 16.1%, and 26.5%, respectively. The most common coexisting cardiac anomalies were persistent left superior caval vein. Twenty-seven cases were either missed or misdiagnosed by echocardiogram, accounting for 39.7% of the overall cases, with type I being the most frequently missed diagnosis. Fifty-four patients underwent surgery, two patients received transcutaneous intervention, while the remaining patients did not undergo any surgery or intervention. At follow-up, two patients with type I coronary sinus septal defect died from multiorgan dysfunction, and one patient underwent reoperation due to narrowing of the extracardiac tunnel. The remaining patients did not experience any major events and recovered well.
Conclusion:
Paediatric patients with coronary sinus septal defect often do not exhibit specific clinical manifestations. Enhancing our understanding of the anatomic and haemodynamic characteristics of coronary sinus septal defect can improve the diagnostic accuracy of echocardiography. If diagnosis is suspected, confirmation can be obtained by cardiac CT and cardiac magnetic resonance. Accurate preoperative and intraoperative diagnosis of coronary sinus septal defect contributes to high surgical success rates and favourable treatment outcomes.
This paper retrospectively analysed the prevalence of macrolide-resistant Mycoplasma pneumoniae (MRMP) in some parts of China. Between January 2013 and December 2019, we collected 4,145 respiratory samples, including pharyngeal swabs and alveolar lavage fluid. The highest PCR-positive rate of M. pneumoniae was 74.5% in Beijing, the highest resistance rate was 100% in Shanghai, and Gansu was the lowest with 20%. The highest PCR-positive rate of M. pneumoniae was 74.5% in 2013, and the highest MRMP was 97.4% in 2019; the PCR-positive rate of M. pneumoniae for adults in Beijing was 17.9% and the MRMP was 10.48%. Among the children diagnosed with community-acquired pneumonia (CAP), the PCR-positive and macrolide-resistant rates of M. pneumoniae were both higher in the severe ones. A2063G in domain V of 23S rRNA was the major macrolide-resistant mutation, accounting for more than 90%. The MIC values of all MRMP to erythromycin and azithromycin were ≥ 64 μg/ml, and the MICs of tetracycline and levofloxacin were ≤ 0.5 μg/ml and ≤ 1 μg/ml, respectively. The macrolide resistance varied in different regions and years. Among inpatients, the macrolide-resistant rate was higher in severe pneumonia. A2063G was the common mutation, and we found no resistance to tetracycline and levofloxacin.
Data on epidemiology trends of paediatric tuberculosis (TB) are limited in China. So, we investigated the clinical and epidemiological profiles in diagnosed TB disease and TB infection patients at Beijing Children’s Hospital. Of 3 193 patients, 51.05% had pulmonary TB (PTB) and 15.16% had extrapulmonary TB (EPTB). The most frequent forms of EPTB were TB meningitis (39.05%), pleural TB (29.75%), and disseminated TB (10.33%). PTB patients were significantly younger and associated with higher hospitalization frequency. Children aged 1–4 years exhibited higher risk of PTB and TB meningitis, and children aged 5–12 years had higher risk of EPTB. The proportion of PTB patients increased slightly from 40.9% in 2012 to 65% in 2019, and then decreased to 17.8% in 2021. The percentage of EPTB cases decreased from 18.3% in 2012 to 15.2% in 2019, but increased to 16.4% in 2021. Among EPTB cases, the largest increase was seen in TB meningitis. In conclusion, female and young children had higher risk of PTB in children. TB meningitis was the most frequent forms of EPTB among children, and young children were at high risk of TB meningitis. The distribution of different types of EPTB differed by age.
Lubricants are an essential component in high-performance mechanical equipment, but traditional lubricants are becoming inadequate for meeting the increasing demands for anti-friction and anti-wear properties and they discharge harmful chemicals to the environment. The purpose of the present study was to explore the use of sepiolite as a novel oil additive to extend the performance of lubricants. Sepiolite nanofibers were first treated by acid followed by a dry air flow, aimed at increasing the pore volume and decreasing the particle size. Then the nanofibers were further modified by an organosilane coupling agent to reduce the surface free energy and to improve the dispersion stability in lubricant. A significant improvement in the performance of the lubricant was achieved by using the modified sepiolite nanofibers as an additive. When the amount of modified sepiolite nanofibers added was 1.5 wt.%, the best performance was demonstrated by the lubricant, showing a viscosity increase at 40°C and 100°C, and an increase in resistance to oxidation. Moreover, the acid value and pour point decreased, and the copper sheet corrosion level dropped to its lowest value.
The Fanshi Basin is one of the NE–SW-striking depocentres formed along the northern segment of the fault-bounded Shanxi rift. In order to understand the crustal driving stresses that led to the basin formation and development, a palaeostress analysis of a large quantity of fault-slip data collected mainly at the boundaries of the basin was accomplished. The stress inversion of these data revealed three stress regimes. The oldest SR1 was a Neogene stress regime giving rise to a strike-slip deformation with NE–SW contraction and NW–SE extension. SR1 activated the large faults trending NNE–NE, i.e. (sub)parallel to the main strike of the Shanxi rift, as right-lateral strike-slip faults. It was subjected to the Shanxi rift before the activation of the Fanshi Basin boundary fault, i.e. the Fanshi (or Wutai) fault, as a normal fault. The next is a short-lived NE–SW extensional stress regime SR2 in early Pleistocene time, which shows the inception of the basin’s extension. A strong NW–SE to NNW–SSE extensional stress regime SR3 has governed the northern segment of the Shanxi rift since late Pleistocene time and is the present-day extension. It gave rise to the current half-graben geometry of the Fanshi Basin by activating the Fanshi (or Wutai) fault as a normal fault in the southern part of the graben. Because of the dominance of the NW–SE to NNW–SSE extension, which is perpendicular to the NE–SW extension, mutual permutations between σ3 and σ2 due to inherited fault patterns might have occurred while the crustal stresses in the Fanshi Basin changed from the SR1 to SR3 stress regimes.
Electromagnetic inverse-scattering problems (ISPs) are concerned with determining the properties of an unknown object using measured scattered fields. ISPs are often highly nonlinear, causing the problem to be very difficult to address. In addition, the reconstruction images of different optimization methods are distorted which leads to inaccurate reconstruction results. To alleviate these issues, we propose a new linear model solution of generative adversarial network-based (LM-GAN) inspired by generative adversarial networks (GAN). Two sub-networks are trained alternately in the adversarial framework. A linear deep iterative network as a generative network captures the spatial distribution of the data, and a discriminative network estimates the probability of a sample from the training data. Numerical results validate that LM-GAN has admirable fidelity and accuracy when reconstructing complex scatterers.
Long non-coding RNAs (lncRNAs) exert vital functions in the occurrence and development of various tumours. The aim of this study was to examine the regulatory effect and underlying molecular mechanism of lncRNA small nucleolar RNA host gene 14 (SNHG14) on the proliferation, invasion and migration of thyroid tumour cells. The expression of SNHG14 in thyroid tumour cell lines was determined using qRT-PCR. CCK-8 and western blot were used to detect the effects of SNHG14 on proliferation and apoptosis of thyroid tumour cells. The effect of SNHG14 on the migration and invasion of thyroid tumour cells was analyzed using immunofluorescence, wound-healing and transwell assays. A targeting relationship between SNHG14 and miR-93-5p was determined using bioinformatics software and luciferase reporter assays. In addition, CCK-8, immunofluorescence, wound-healing and transwell assays were applied to demonstrate that SNHG14 promoted the proliferation, migration and invasion of thyroid tumour cells by targeting miR-93-5p. The biological function of SNHG14 in vivo was explored through a xenograft model and immunohistochemistry. SNHG14 was upregulated in thyroid tumour cells compared with normal cells. Downregulation of SNHG14 effectively reduced the proliferation, migration and invasion of TPC-1 cells, and induced cell apoptosis. Moreover, SNHG14 directly targeted miR-93-5p and there was a negative correlation between them. Further functional experiments illustrated that miR-93-5p overexpression dramatically reversed the promoting role of SNHG14 in proliferation, migration and invasion of TPC-1 cells. Our results demonstrated that SNHG14 promotes the proliferation, invasion and migration of thyroid tumour cells by downregulating miR-93-5p.
The aim of this study was to present the clinical characteristics and dynamic changes in laboratory parameters of the coronavirus disease 2019 (COVID-19) in Guangzhou, and explore the probable early warning indicators of disease progression.
Method:
We enrolled all the patients diagnosed with COVID-19 in the Guangzhou No. 8 People’s Hospital. The patients’ demographic and epidemiologic data were collected, including chief complaints, lab results, and imaging examination findings.
Results:
The characteristics of the patients in Guangzhou are different from those in Wuhan. The patients were younger in age, predominately female, and their condition was not commonly combined with other diseases. A total of 75% of patients suffered fever on admission, followed by cough occurring in 62% patients. Comparing the mild/normal and severe/critical patients, being male, of older age, combined with hypertension, abnormal blood routine test results, raised creatine kinase, glutamic oxaloacetic transaminase, lactate dehydrogenase, C-reactive protein, procalcitonin, D-dimer, fibrinogen, activated partial thromboplastin time, and positive proteinuria were early warning indicators of severe disease.
Conclusion:
The patients outside epidemic areas showed different characteristics from those in Wuhan. The abnormal laboratory parameters were markedly changed 4 weeks after admission, and also were different between the mild and severe patients. More evidence is needed to confirm highly specific and sensitive potential early warning indicators of severe disease.
The current epidemic of type 2 diabetes mellitus (T2DM) significantly affects human health worldwide. Activation of brown adipocytes and browning of white adipocytes are considered as a promising molecular target for T2DM treatment. Mulberry leaf, a traditional Chinese medicine, has been demonstrated to have multi-biological activities, including anti-diabetic and anti-inflammatory effects. Our experimental results showed that mulberry leaf significantly alleviated the disorder of glucose and lipid metabolism in T2DM rats. In addition, mulberry leaf induced browning of inguinal white adipose tissue (IWAT) by enhancing the expressions of brown-mark genes as well as beige-specific genes, including uncoupling protein-1 (UCP1), peroxisome proliferator-activated receptor gamma coactivator 1 alpha (PGC-1α), peroxisome proliferator-activated receptor alpha (PPARα), PRD1-BF-1-RIZ1 homologous domain containing protein 16 (PRDM16), cell death inducing DFFA-like effector A (Cidea), CD137 and transmembrane protein 26 (TMEM26). Mulberry leaf also activated brown adipose tissue (BAT) by increasing the expressions of brown-mark genes including UCP1, PGC-1α, PPARα, PRDM16 and Cidea. Moreover, mulberry leaf enhanced the expression of nuclear respiratory factor 1 (NRF-1) and mitochondrial transcription factor A (TFAM) genes that are responsible for mitochondrial biogenesis in IWAT and BAT. Importantly, mulberry leaf also increased the expression of UCP1 and carnitine palmitoyl transferase 1 (CPT-1) proteins in both IWAT and BAT via a mechanism involving AMP-activated protein kinase (AMPK) and PGC-1α pathway. In conclusion, our findings identify the role of mulberry leaf in inducing adipose browning, indicating that mulberry leaf may be used as a candidate browning agent for the treatment of T2DM.
The theory of plate tectonics suggests that deformation occurs mainly along plate boundaries; however, compression can result in the formation of orogens and basins within intracontinental settings. During these two tectonic processes, the sedimentation and environmental changes occur in response to marginal and intracontinental deformation. Early Jurassic – Early Cretaceous deformation and basin formation along the Qinling orogenic belt and the northwestern Sichuan Basin in central–SW China are ideal for investigating a reactivated tectonic belt and basin formation. We studied the Lower Jurassic – Lower Cretaceous sedimentary sequences and structures along the northwestern margin of the Sichuan Basin, and obtained detrital zircon U–Pb ages for these rocks. The structures show that deformation migrated SE-wards and S-wards into the Sichuan Basin along the Longmen Shan, Micang Shan and Daba Shan tectonic belts during middle–late Mesozoic time. The Lower Jurassic oligomictic conglomerates have a smaller grain size and thicken towards the south, indicating protracted transport from a northern source. The conglomerates deposited near-source record post-orogenic south-vergent thrusting during the Late Triassic – Early Jurassic epochs. The Lower Cretaceous conglomerates and sandstones have multiple sources, which indicate that they were rapidly deposited near their source, synchronous with thrusting that occurred in response to coeval SE-wards and S-wards thrusting in the Longmen Shan and Daba Shan tectonic belts during the Late Jurassic – Early Cretaceous epochs. Detrital zircon grains from the Lower Jurassic – Lower Cretaceous sedimentary rocks yielded age peaks of 2600–2200, 1850–1600, 850–700, 540–400, 250–180 and 180–140 Ma. A comparison of these ages with those of surrounding exposed rocks indicates that the sediments in the northwestern Sichuan Basin were supplied from the Qinling orogenic belt, the northwestern Yangtze Block, the south margin of the North China Block and the Songpan–Garzê Terrane. The youngest peaks of detrital zircon U–Pb ages at 207 and 159 Ma constrain the two stages of intracontinental shortening and highlight the link between intracontinental deformation and sedimentation.
Scholars have long debated when the Neolithic began in China. Neolithisation, however, is a process rather than an event. It is more realistic to investigate the timing and nature of the socio-economic trajectory from mobile, microblade-using foragers to sedentary communities during the Palaeolithic–Neolithic transition in northern China. Here, the authors use artefacts from Shuidonggou locality 12 to demonstrate the socio-economic organisation of the site's inhabitants. They identify long-term site occupation by a large group exhibiting high levels of individual mobility. Comparative analyses with contemporaneous data indicate that the early stages of complex social organisation—a fundamental element of Neolithisation—emerged among microblade-using groups.
Soft robots can perform effectively inspecting than rigid robots in some special environments such as nuclear pipelines and high-voltage cables. This article presents a versatile quadruped soft rod-climbing robot (SR-CR) that consists of four bending actuators and a telescopic actuator. The bending actuator is composed of flexible bellows with multiple folding air chambers, elastic telescopic layer (ETL), and strain-limiting layer (SLL). The telescopic actuator provides the energy for the robot to climb forward. The SR-CR is activated by a control strategy that alternates the body deformation and feet pneumatic clenched for stable climbing. The robot can climb rods at 90°, with the maximum speed of up to 2.33 mm/s (0.018 body length/s). At 0.83 HZ, the maximum moving speed of the robot in climbing horizontally parallel rods can reach 18.43 mm/s. In addition, the SR-CR can also achieve multiple impressive functions, including turning around a corner at a rate of 7 mm/s (0.054 body length/s), carrying a payload of 3.7 times its self-weight on horizontal rods at a speed of 9 mm/s (0.069 body length/s).
This study aimed to evaluate the effectiveness of hypertension management and analyse the factors associated with blood pressure reduction within China’s primary healthcare system.
Background:
Hypertension is one of the leading risk factors for global disease burden and is strongly associated with cardiovascular diseases. In China, hypertension is a serious public health problem, but few studies have evaluated the effectiveness of hypertension management in China’s primary healthcare system.
Methods:
The study sites were 24 primary healthcare institutions, selected using multistage stratified random sampling method. In each institution, hypertension patients aged at least 35 years who agreed to participate and had no disabilities or mental health problems were enrolled for hypertension management. Participants received comprehensive interventions in the primary healthcare system via a team. After a one-year intervention, data from 6575 hypertension patients were analysed to check the effectiveness of hypertension management and examined factors associated with hypertension control.
Findings:
There was an overall mean reduction of 4.5 mmHg in systolic blood pressure (SBP) and 1.9 mmHg in diastolic blood pressure (DBP). The blood pressure reduction after one year was greater in rural patients than in urban patients, 6.6 mmHg versus 3.4 mmHg for SBP and 2.6 mmHg versus 1.6 mmHg for DBP, respectively. The hypertension control rate also increased more in rural areas (22.1%) than in urban areas (10.6%) after the one-year intervention. Age, body mass index, region and being in an urban area had a significant negative association with the reduction of SBP (P < 0.05). Education level and baseline SBP showed a significant positive association (P < 0.05).
Conclusions:
Community-based hypertension management by general practitioners was feasible and effective. The effectiveness of hypertension management in rural areas was greater than in urban areas. Intervention strategies should pay more attention to patients in rural areas and western China.
The NE–NNE-trending Yuan-Ma Basin in central South China, an overprinted basin, is important for understanding the transition in Mesozoic intracontinental deformation in South China from compressional to extensional settings. A detailed sedimentary and structural cross-section across the basin reveals the Upper Triassic – Lower Jurassic black coal-bearing shale, greyish-green sandstone and brick-red claystone, and the Middle Jurassic brick-red sandstone, pebbly sandstone and conglomerate in the eastern segment of the basin. The Lower Cretaceous brick-red coarse sandstone, pebbly sandstone and siltstone occurred in the western and central segments, as well as fault breccia and Lower Cretaceous sandstone at the western margin of the basin. Detrital zircon U–Pb dating by laser ablation inductively coupled plasma mass spectrometry shows that the magmatic and metamorphic zircons yield significant age clusters at 900–700, 500–350 and 300–150 Ma, as well a minor age cluster at 120–100 Ma. Synthesizing the stratigraphic sequences, structures, isotopic dating results and palaeocurrent data, we infer that the Yuan-Ma Basin experienced three evolutionary stages and tectonic settings: (1) during Late Triassic – Early Jurassic time, the Yuan-Ma Basin was related to the diachronous progressive intracontinental deformation as a result of the early Mesozoic Xuefeng intracontinental orogeny in South China; (2) during Middle–Late Jurassic time, the Yuan-Ma Basin was related to intracontinental compression in South China; and (3) during late Early Cretaceous time, the Yuan-Ma Basin was constrained by the intracontinental extension that occurred in eastern China. These three stages, a result of various tectonic regimes, caused the intracontinental deformation that was controlled by the evolution of the continents and their margins.
The research reported in this Research Communication aimed to describe the influence of Toll-like receptor 4 gene polymorphisms on milk production traits in Chinese Holstein cows. Toll-like receptor 4 (TLR4) is an important member of the toll-like receptor gene family that is widely found in various organisms. Since TLR4 can identify molecular patterns from various pathogenic microorganisms and induce natural and acquired immunity, it plays an important role in disease resistance in dairy cows. Two single nucleotide polymorphisms (SNPs) of TLR4 (c.−226 G > C and c.2021 C > T) that were previously found to be associated with health traits were genotyped using Sequenom MassARRAY (Sequenom Inc., San Diego, CA) for Chinese Holstein cows (n = 866). The associations between SNPs or their haplotypes and milk production traits and somatic cell count were analyzed by the generalized linear model procedure of Statistics Analysis System software (SAS). The c.−226 G > C and c.2021 C > T showed low linkage disequilibrium (r2 = 0·192). There was no association between these two SNPs and SCC, but significant effects were found for SNP c.−226 G > C on test-day milk yield, fat content, protein content, and total solid and milk urea nitrogen (P < 0·05), and SNP c.2021 C > T and the SNP haplotypes on test-day milk yield, fat content, protein content, lactose content and total solids (P < 0·05). The software MatInspector revealed that c.−226 G > C was located within several potential transcription factor binding sites, including transcription factor AP-2. The polymorphisms c.−226 G > C and c.2021 C > T had significant effects on the milk production for Chinese Holstein, and these SNP could be used for molecular marker-assisted selection of milk production.
The influence of the content of trifluoroacetate (TFA), in the precursor solution, on the critical current density (Jc) of YBa2Cu3O7−x (YBCO) superconducting films was investigated. We found that a TFA/Ba ratio of 0.68 is optimal to obtain high-performance YBCO films. Using this optimal solution, we then developed an ultraviolet (UV) light soaking technique to prepare YBCO films. This resulted in the constituent elements being uniformly distributed in the films, and this then enabled enhanced Jc. The addition of water vapor during the UV soaking process decreased the content of carbon residue in the films, and further increased the Jc of the resulting YBCO films.
Parameter uncertainties which may lead to divergence of traditional Kalman filters during Mars entry are investigated in this paper. To achieve high precision navigation, a Derivative-free Nonlinear version of an Extended Recursive Three-Step Filter (DNERTSF) is introduced, which suits nonlinear systems with arbitrary parameter uncertainties. A DNERTSF can estimate the state and the parameters simultaneously, and Jacobian and Hessian calculations are not necessary for this filter. Considering the uncertainties in atmosphere density, ballistic coefficient and lift-to-drag ratio, a numerical simulation of Mars entry navigation is carried out. Compared with the standard Unscented Kalman Filter (UKF), DNERTSF can effectively reduce the adverse effects of parameter uncertainties and achieve a high navigation accuracy performance, keeping position and velocity estimation errors at a very low level. In all, the DNERTSF in this paper shows good advantages for Mars entry navigation, providing a possible application for a future Mars pinpoint landing.