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Milk fat is a crucial component for evaluating the production performance and nutritional value of goat milk. Previous research indicated that the composition of ruminal microbiota plays a significant role in regulating milk fat percentage in ruminants. Thus, this study aimed to identify key ruminal microorganisms and blood metabolites relevant to milk fat synthesis in dairy goats as a mean to explore their role in regulating milk fat synthesis. Sixty clinically healthy Xinong Saanen dairy goats at mid-lactation and of similar body weight, and similar milk yield were used in a feeding study for 15 days. Based on daily milk yield of dairy goats and the results of milk component determination on the 1st and 8th days, five goats with the highest milk fat content (H group) and five goats with the lowest milk fat content (L group) were selected for further analysis. Before the morning feeding on the 15th day of the experiment, samples of milk, blood and ruminal fluid were collected for analyses of components, volatile fatty acids, microbiota and metabolites. Results revealed that acetate content in the rumen of H group was greater compared with L group. H group had abundant beneficial bacteria including Ruminococcaceae_UCG-005, Saccharofermentans, Ruminococcaceae-UCG-002 and Prevotellaceae_UCG-3, which were important for plant cellulose and hemicellulose degradation and immune regulation. Metabolomics analysis revealed H group had greater relative concentrations of 4-acetamidobutanoic acid and azelaic acid in serum, and had lower relative concentrations of Arginyl-Alanine, SM(d18:1/12:0) and DL-Tryptophan. These altered metabolites are involved in the sphingolipid signaling pathway, arginine and proline metabolism. Overall, this study identified key ruminal microorganisms and serum metabolites associated with milk fat synthesis in dairy goats. These findings offer insights for enhancing the quality of goat milk and contribute to a better understanding of the regulatory mechanisms involved in milk fat synthesis in dairy goats.
This study explored mental workload recognition methods for carrier-based aircraft pilots utilising multiple sensor physiological signal fusion and portable devices. A simulation carrier-based aircraft flight experiment was designed, and subjective mental workload scores and electroencephalogram (EEG) and photoplethysmogram (PPG) signals from six pilot cadets were collected using NASA Task Load Index (NASA-TLX) and portable devices. The subjective scores of the pilots in three flight phases were used to label the data into three mental workload levels. Features from the physiological signals were extracted, and the interrelations between mental workload and physiological indicators were evaluated. Machine learning and deep learning algorithms were used to classify the pilots’ mental workload. The performances of the single-modal method and multimodal fusion methods were investigated. The results showed that the multimodal fusion methods outperformed the single-modal methods, achieving higher accuracy, precision, recall and F1 score. Among all the classifiers, the random forest classifier with feature-level fusion obtained the best results, with an accuracy of 97.69%, precision of 98.08%, recall of 96.98% and F1 score of 97.44%. The findings of this study demonstrate the effectiveness and feasibility of the proposed method, offering insights into mental workload management and the enhancement of flight safety for carrier-based aircraft pilots.
The World Cancer Research Fund and the American Institute for Cancer Research recommend a plant-based diet to cancer survivors, which may reduce chronic inflammation and excess adiposity associated with worse survival. We investigated associations of plant-based dietary patterns with inflammation biomarkers and body composition in the Pathways Study, in which 3659 women with breast cancer provided validated food frequency questionnaires approximately 2 months after diagnosis. We derived three plant-based diet indices: overall plant-based diet index (PDI), healthful plant-based diet index (hPDI) and unhealthful plant-based diet index (uPDI). We assayed circulating inflammation biomarkers related to systemic inflammation (high-sensitivity C-reactive protein [hsCRP]), pro-inflammatory cytokines (IL-1β, IL-6, IL-8, TNF-α) and anti-inflammatory cytokines (IL-4, IL-10, IL-13). We estimated areas (cm2) of muscle and visceral and subcutaneous adipose tissue (VAT and SAT) from computed tomography scans. Using multivariable linear regression, we calculated the differences in inflammation biomarkers and body composition for each index. Per 10-point increase for each index: hsCRP was significantly lower by 6·9 % (95 % CI 1·6%, 11·8%) for PDI and 9·0 % (95 % CI 4·9%, 12·8%) for hPDI but significantly higher by 5·4 % (95 % CI 0·5%, 10·5%) for uPDI, and VAT was significantly lower by 7·8 cm2 (95 % CI 2·0 cm2, 13·6 cm2) for PDI and 8·6 cm2 (95 % CI 4·1 cm2, 13·2 cm2) for hPDI but significantly higher by 6·2 cm2 (95 % CI 1·3 cm2, 11·1 cm2) for uPDI. No significant associations were observed for other inflammation biomarkers, muscle, or SAT. A plant-based diet, especially a healthful plant-based diet, may be associated with reduced inflammation and visceral adiposity among breast cancer survivors.
A maximum likelihood procedure for combining standardized mean differences based on a noncentratt-distribution is proposed. With a proper data augmentation technique, an EM-algorithm is developed. Information and likelihood ratio statistics are discussed in detail for reliable inference. Simulation results favor the proposed procedure over both the existing normal theory maximum likelihood procedure and the commonly used generalized least squares procedure.
In this paper, we present and evaluate a novel Bayesian regime-switching zero-inflated multilevel Poisson (RS-ZIMLP) regression model for forecasting alcohol use dynamics. The model partitions individuals’ data into two phases, known as regimes, with: (1) a zero-inflation regime that is used to accommodate high instances of zeros (non-drinking) and (2) a multilevel Poisson regression regime in which variations in individuals’ log-transformed average rates of alcohol use are captured by means of an autoregressive process with exogenous predictors and a person-specific intercept. The times at which individuals are in each regime are unknown, but may be estimated from the data. We assume that the regime indicator follows a first-order Markov process as related to exogenous predictors of interest. The forecast performance of the proposed model was evaluated using a Monte Carlo simulation study and further demonstrated using substance use and spatial covariate data from the Colorado Online Twin Study (CoTwins). Results showed that the proposed model yielded better forecast performance compared to a baseline model which predicted all cases as non-drinking and a reduced ZIMLP model without the RS structure, as indicated by higher AUC (the area under the receiver operating characteristic (ROC) curve) scores, and lower mean absolute errors (MAEs) and root-mean-square errors (RMSEs). The improvements in forecast performance were even more pronounced when we limited the comparisons to participants who showed at least one instance of transition to drinking.
We explore the globular cluster population of NGC 1052-DF4, a dark matter deficient galaxy, using Bayesian inference to search for the presence of rotation. The existence of such a rotating component is relevant to the estimation of the mass of the galaxy, and therefore the question of whether NGC 1052-DF4 is truly deficient of dark matter, similar to NGC 1052-DF2, another galaxy in the same group. The rotational characteristics of seven globular clusters in NGC 1052-DF4 were investigated, finding that a non-rotating kinematic model has a higher Bayesian evidence than a rotating model, by a factor of approximately 2.5. In addition, we find that under the assumption of rotation, its amplitude must be small. This distinct lack of rotation strengthens the case that, based on its intrinsic velocity dispersion, NGC 1052-DF4 is a truly dark matter deficient galaxy.
Disasters exacerbate inequities in health care. Health systems use the Hospital Incident Command System (HICS) to plan and coordinate their disaster response. This study examines how 2 health systems prioritized equity in implementing the Hospital Incident Command System (HICS) during the coronavirus disease 2019 (COVID-19) pandemic and identifies factors that influenced implementation.
Methods:
This is a qualitative case comparison study, involving semi-structured interviews with 29 individuals from 2 US academic health systems. Strategies for promoting health equity were categorized by social determinants of health. The Consolidated Framework for Implementation Research (CFIR) guided analysis using a hybrid inductive-deductive approach.
Results:
The health systems used various strategies to incorporate health equity throughout implementation, addressing all 5 social determinants of health domains. Facilitators included HICS principles, external partnerships, community relationships, senior leadership, health equity experts and networks, champions, equity-stratified data, teaming, and a culture of health equity. Barriers encompassed clarity of the equity representative role, role ambiguity for equity representatives, tokenism, competing priorities, insufficient resource allocation, and lack of preparedness.
Conclusions:
These findings elucidate how health systems centered equity during HICS implementation. Health systems and regulatory bodies can use these findings as a foundation to revise the HICS and move toward a more equitable disaster response.
Transient numerical simulations were conducted to investigate the influence of large amplitude and fast impact backpressure on a shock train. The fundamental problem consists of a shock train within a constant-area channel with a Ma=1.61 inflow and a pulse backpressure applied to the outlet. The pressure disturbance in the isolator has an intense forcing-response lag. From the moment of the backpressure peak appearance, it takes 36 times the backpressure duration for the pressure disturbance to reach the upstream end. It moves upstream with time in the form of a normal shock wave. As time progresses, the normal shock degenerates into a $\lambda $ shock and a compression wave behind due to the action of viscous dissipation in the boundary layer. Eventually, a multi-stage shock train is formed. The maximum backpropagation distance is a quadratic function of both the pulse backpressure peak and duration, and the relationship between these variables was determined by fitting. When the integral value of backpressure to time is fixed, reducing the backpressure peak while increasing the duration will reduce the backpressure pulsation at the isolator outlet, which will be more conducive to shortening the maximum backpropagation distance than reducing the duration and increasing the backpressure peak. The values of backpressure peak and duration are obtained from the detonation combustion case, which ensures the authenticity of backpressure characteristics. The relevant research conclusions can provide a reference for the design of the isolator of pulse detonation ramjet.
A series of organoclays with monolayers, bilayers, pseudotrilayers, paraffin monolayers and paraffin bilayers were prepared from montmorillonite by ion exchange with hexadecyltrimethylammonium bromide (HDTMAB). The HDTMAB concentrations used for preparing the organoclays were 0.5, 0.7, 1.0, 1.5, 2.0 and 2.5 times the montmorillonite cation exchange capacity (CEC). The microstructural parameters, including the BET-N2 surface area, pore volume, pore size, and surfactant loading and distribution, were determined by X-ray diffraction, N2 adsorption-desorption and high-resolution thermogravimetric analysis (HRTG). The BET-N2 surface area decreased from 55 to 1 m2/g and the pore volume decreased from 0.11 to 0.01 cm3/g as surfactant loading was increased from Na-Mt to 2.5CEC-Mt. The average pore diameter increased from 6.8 to 16.3 nm as surfactant loading was increased. After modifying montmorillonite with HDTMAB, two basic organoclay models were proposed on the basis of HRTG results: (1) the surfactant mainly occupied the clay interlayer space (0.5CEC-Mt, 0.7CEC-Mt, 1.0CEC-Mt); and (2) both the clay interlayer space and external surface (1.5CEC-Mt, 2.0CEC-Mt, 2.5CEC-Mt) were modified by surfactant. In model 1, the sorption mechanism of p-nitrophenol to the organoclay at a relatively low concentration involved both surface adsorption and partitioning, whereas, in model 2 it mainly involved only partitioning. This study demonstrates that the distribution of adsorbed surfactant and the arrangement of adsorbed HDTMA+ within the clay interlayer space control the efficiency and mechanism of sorption by the organoclay rather than BET-N2 surface area, pore volume, and pore diameter.
Long-term exposure to the psychoactive ingredient in cannabis, delta-9-tetrahydrocanabinol (THC), has been consistently raised as a notable risk factor for schizophrenia. Additionally, cannabis is frequently used as a coping mechanism for individuals diagnosed with schizophrenia. Cannabis use in schizophrenia has been associated with greater severity of psychotic symptoms, non-compliance with medication, and increased relapse rates. Neuropsychological changes have also been implicated in long-term cannabis use and the course of illness of schizophrenia. However, the impact of co-occurring cannabis use in individuals with schizophrenia on cognitive functioning is less thoroughly explored. The purpose of this meta-analysis was to examine whether neuropsychological test performance and symptoms in schizophrenia differ as a function of THC use status. A second aim of this study was to examine whether symptom severity moderates the relationship between THC use and cognitive test performance among people with schizophrenia.
Participants and Methods:
Peer-reviewed articles comparing schizophrenia with and without cannabis use disorder (SZ SUD+; SZ SUD-) were selected from three scholarly databases; Ovid, Google Scholar, and PubMed. The following search terms were applied to yield studies for inclusion: neuropsychology, cognition, cognitive, THC, cannabis, marijuana, and schizophrenia. 11 articles containing data on psychotic symptoms and neurocognition, with SZ SUD+ and SZ SUD- groups, were included in the final analyses. Six domains of neurocognition were identified across included articles (Processing Speed, Attention, Working Memory, Verbal Learning Memory, and Reasoning and Problem Solving). Positive and negative symptom data was derived from eligible studies consisting of the Positive and Negative Syndrome Scale (PANSS), the Scale for the Assessment of Positive Symptoms (SAPS), the Scale for the Assessment of Negative Symptoms (SANS), Self-Evaluation of Negative Symptoms (SNS), Brief Psychiatric Rating Scale (BPRS), and Structured Clinical Interview for DSM Disorders (SCID) scores. Meta analysis and meta-regression was conducted using R.
Results:
No statistically significant differences were observed between SZ SUD+ and SZ SUD-across the cognitive domains of Processing Speed, Attention, Working Memory, Verbal Learning Memory, and Reasoning and Problem Solving. Positive symptom severity was found to moderate the relationship between THC use and processing speed, but not negative symptoms. Positive and negative symptom severity did not significantly moderate the relationship between THC use and the other cognitive domains.
Conclusions:
Positive symptoms moderated the relationship between cannabis use and processing speed among people with schizophrenia. The reasons for this are unclear, and require further exploration. Additional investigation is warranted to better understand the impact of THC use on other tests of neuropsychological performance and symptoms in schizophrenia.
COVID-19 lockdowns increased the risk of mental health problems, especially for children with autism spectrum disorder (ASD). However, despite its importance, little is known about the protective factors for ASD children during the lockdowns.
Methods
Based on the Shanghai Autism Early Developmental Cohort, 188 ASD children with two visits before and after the strict Omicron lockdown were included; 85 children were lockdown-free, while 52 and 51 children were under the longer and the shorter durations of strict lockdown, respectively. We tested the association of the lockdown group with the clinical improvement and also the modulation effects of parent/family-related factors on this association by linear regression/mixed-effect models. Within the social brain structures, we examined the voxel-wise interaction between the grey matter volume and the identified modulation effects.
Results
Compared with the lockdown-free group, the ASD children experienced the longer duration of strict lockdown had less clinical improvement (β = 0.49, 95% confidence interval (CI) [0.19–0.79], p = 0.001) and this difference was greatest for social cognition (2.62 [0.94–4.30], p = 0.002). We found that this association was modulated by parental agreeableness in a protective way (−0.11 [−0.17 to −0.05], p = 0.002). This protective effect was enhanced in the ASD children with larger grey matter volumes in the brain's mentalizing network, including the temporal pole, the medial superior frontal gyrus, and the superior temporal gyrus.
Conclusions
This longitudinal neuroimaging cohort study identified that the parental agreeableness interacting with the ASD children's social brain development reduced the negative impact on clinical symptoms during the strict lockdown.
Wall-pressure and velocity statistics in the turbulent boundary layer (TBL) on a cambered controlled-diffusion aerofoil at $8^{\circ }$ incidence, a Mach number of 0.25 and a chord-based Reynolds number ${Re}_c=1.5\times 10^{5}$ are analysed at four locations on the suction side with zero and adverse pressure gradients (ZPG and APG), characterised by increasing Reynolds numbers based on momentum thickness, ${Re}_{\theta }=319$, 390, 877 and $1036$. The strong APG yields a highly non-equilibrium TBL at the trailing edge that significantly affects the turbulent flow statistics. Different normalisations of the full wall-pressure statistics involved in trailing-edge noise are analysed for the first time in such strong APG with convex curvature, and compared with available experimental and numerical data. Good overall agreement is found in the ZPG region, and most results obtained in previous APG TBL can be extended to the present highly non-equilibrium case. The presence of strong APG augments the intensity of wall-pressure fluctuations noticeably at low frequencies, shortens the streamwise and broadens the spanwise coherence of wall-pressure fluctuations in both time and space, and significantly reduces the convection velocity. The wall-pressure power spectral density are found to scale with the displacement thickness, the Zaragola–Smits velocity and the root-mean-squared pressure, the latter possibly being replaced by the local maximum Reynolds shear stress. The other two key parameters to trailing-edge noise modelling, the spanwise coherence length and the convection velocity, rather scale with displacement thickness and friction velocity, respectively.
Direct numerical simulations were performed to characterize fully developed supersonic turbulent channel flows over isothermal rough walls. The effect of roughness was incorporated using a level-set/volume-of-fluid immersed boundary method. Turbulence statistics of five channel flows are compared, including one reference case with both walls smooth and four cases with smooth top walls and bottom walls with two-dimensional (2-D) and three-dimensional (3-D) sinusoidal roughnesses. Results reveal a strong dependence of the turbulence on the roughness topography and the associated shock patterns. Specifically, the 2-D geometries generate strong oblique shock waves that propagate across the channel and are reflected back to the rough-wall side. These strong shocks are absent in the smooth-wall channel and are significantly weaker in cases with 3-D roughness geometries, replaced by weak shocklets. At the impingement locations of the shocks on the top wall in the 2-D roughness cases, localized augmentations of turbulence shear production are observed. Such regions of augmented production also exist for the 3-D cases, at a much weaker level. The oblique shock waves are thought to be responsible for a more significant entropy generation for cases with 2-D surfaces than those with 3-D ones, leading to a higher irreversible heat generation and consequently higher temperature values in 2-D roughness cases. In the present supersonic channels, the effects of roughness extend beyond the near-wall layer due to the shocks. This suggests that outer layer similarity may not fully apply to a rough-wall supersonic turbulent flow.
The evaluation of the on-ground casualty risk assessments due to a controlled or uncontrolled re-entry is highly sensitive to the accurate prediction of fragmentation events during an atmospheric re-entry. The main objective of this study is an investigation into the use of peridynamics (PD) to improve the analysis of fragmentation during atmospheric re-entry with respect to currently adopted semi-empirical approaches. The high temperatures characterising such scenarios may substantially impact fragmentation, which requires appropriate modelling of the damage process within the PD method. The damage models in PD require experimentally determined fracture mechanical properties that are unavailable as a function of temperature. This work proposes a numerical methodology to estimate the PD damage parameters changes with temperature to enable the study of fragmentation during atmospheric re-entry. Initially, tensile-testing simulation experiments are performed in peridynamics to calibrate material parameters for steel and aluminium alloys as a function of temperature. Then, a parametric study is carried out to evaluate the temperature-dependent damage model parameters for the same materials. The applicability of the proposed methodology is showcased using a re-entry test case scenario.
Children undergoing cardiac surgery have overall improving survival, though they consume substantial resources. Nationwide inpatient cost estimates and costs at longitudinal follow-up are lacking.
Methods:
Retrospective cohort study of children <19 years of age admitted to Pediatric Health Information System administrative database with an International Classification of Diseases diagnosis code undergoing cardiac surgery. Patients were grouped into neonates (≤30 days of age), infants (31–365 days of age), and children (>1 year) at index procedure. Primary and secondary outcomes included hospital stay and hospital costs at index surgical admission and 1- and 5-year follow-up.
Results:
Of the 99,670 cohort patients, neonates comprised 27% and had the highest total hospital costs, though daily hospital costs were lower. Mortality declined (5.6% in 2004 versus 2.5% in 2015, p < 0.0001) while inpatient costs rose (5% increase/year, p < 0.0001). Neonates had greater index diagnosis complexity, greater inpatient costs, required the greatest ICU resources, pharmacotherapy, and respiratory therapy. We found no relationship between hospital surgical volume, mortality, and hospital costs. Neonates had higher cumulative hospital costs at 1- and 5-year follow-up compared to infants and children.
Conclusions:
Inpatient hospital costs rose during the study period, driven primarily by longer stay. Neonates had greater complexity index diagnosis, required greater hospital resources, and have higher hospital costs at 1 and 5 years compared to older children. Surgical volume and in-hospital mortality were not associated with costs. Further analyses comprising merged clinical and administrative data are necessary to identify longer stay and cost drivers after paediatric cardiac surgery.
Alfvén wave collisions are the primary building blocks of the non-relativistic turbulence that permeates the heliosphere and low- to moderate-energy astrophysical systems. However, many astrophysical systems such as gamma-ray bursts, pulsar and magnetar magnetospheres and active galactic nuclei have relativistic flows or energy densities. To better understand these high-energy systems, we derive reduced relativistic magnetohydrodynamics equations and employ them to examine weak Alfvénic turbulence, dominated by three-wave interactions, in reduced relativistic magnetohydrodynamics, including the force-free, infinitely magnetized limit. We compare both numerical and analytical solutions to demonstrate that many of the findings from non-relativistic weak turbulence are retained in relativistic systems. But, an important distinction in the relativistic limit is the inapplicability of a formally incompressible limit, i.e. there exists finite coupling to the compressible fast mode regardless of the strength of the magnetic field. Since fast modes can propagate across field lines, this mechanism provides a route for energy to escape strongly magnetized systems, e.g. magnetar magnetospheres. However, we find that the fast-Alfvén coupling is diminished in the limit of oblique propagation.
Alfvén waves as excited in black hole accretion disks and neutron star magnetospheres are the building blocks of turbulence in relativistic, magnetized plasmas. A large reservoir of magnetic energy is available in these systems, such that the plasma can be heated significantly even in the weak turbulence regime. We perform high-resolution three-dimensional simulations of counter-propagating Alfvén waves, showing that an $E_{B_{\perp }}(k_{\perp }) \propto k_{\perp }^{-2}$ energy spectrum develops as a result of the weak turbulence cascade in relativistic magnetohydrodynamics and its infinitely magnetized (force-free) limit. The plasma turbulence ubiquitously generates current sheets, which act as locations where magnetic energy dissipates. We show that current sheets form as a natural result of nonlinear interactions between counter-propagating Alfvén waves. These current sheets form owing to the compression of elongated eddies, driven by the shear induced by growing higher-order modes, and undergo a thinning process until they break-up into small-scale turbulent structures. We explore the formation of current sheets both in overlapping waves and in localized wave packet collisions. The relativistic interaction of localized Alfvén waves induces both Alfvén waves and fast waves, and efficiently mediates the conversion and dissipation of electromagnetic energy in astrophysical systems. Plasma energization through reconnection in current sheets emerging during the interaction of Alfvén waves can potentially explain X-ray emission in black hole accretion coronae and neutron star magnetospheres.
Repetitive transcranial magnetic stimulation has been employed to treat drug dependence, reduce drug use and improve cognition. The aim of the study was to analyze the effectiveness of intermittent theta-burst stimulation (iTBS) on cognition in individuals with methamphetamine use disorder (MUD).
Methods
This was a secondary analysis of 40 MUD subjects receiving left dorsolateral prefrontal cortex (L-DLPFC) iTBS or sham iTBS for 20 times over 10 days (twice-daily). Changes in working memory (WM) accuracy, reaction time, and sensitivity index were analyzed before and after active and sham rTMS treatment. Resting-state EEG was also acquired to identify potential biological changes that may relate to any cognitive improvement.
Results
The results showed that iTBS increased WM accuracy and discrimination ability, and improved reaction time relative to sham iTBS. iTBS also reduced resting-state delta power over the left prefrontal region. This reduction in resting-state delta power correlated with the changes in WM.
Conclusions
Prefrontal iTBS may enhance WM performance in MUD subjects. iTBS induced resting EEG changes raising the possibility that such findings may represent a biological target of iTBS treatment response.