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To investigate the association of dietary patterns (DPs) with prediabetes and Type 2 Diabetes among Tibetan adults, first to identify DPs associated with abdominal obesity and examine their relationships with prediabetes and type 2 diabetes. Additionally, the study aims to investigate the mediating effects of body fat distribution and altitude on the associations between these DPs and the prevalence of prediabetes and Type 2 Diabetes.
Design:
An open cohort among Tibetans.
Setting:
Community-based.
Participants:
The survey recruited 1003 participants registered for health check-ups from November to December 2018, and 1611 participants from December 2021 to May 2022. During the baseline and follow-up data collection, 1818 individuals participated in at least one of the two surveys, with 515 of them participating in both.
Results:
Two DPs were identified by reduced rank regression (RRR). DP1 had high consumption of beef and mutton, non-caloric drink, offal, and low intake in tubers and roots, salty snacks, onion and spring onion, fresh fruits, desserts and nuts and seeds; DP2 had high intake of whole grains, Tibetan cheese, light-colored vegetables and pork and low of sugar-sweetened beverages, whole-fat dairy and poultry. Individuals in the highest tertile of DP1 showed higher risks of prediabetes (OR 95% CI) 1.35 (1.05, 1.73) and T2D 1.36 (1.05, 1.76). In the highest tertile of DP2 exhibited an elevated risk of T2D 1.63 (1.11, 2.40) in fully adjustment.
Conclusion:
Abdominal adiposity-related DPs are positively associated with T2D. Promoting healthy eating should be considered to prevent T2D among Tibetan adults.
Temporal variability and methodological differences in data normalization, among other factors, complicate effective trend analysis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) wastewater surveillance data and its alignment with coronavirus disease 2019 (COVID-19) clinical outcomes. As there is no consensus approach for these analyses yet, this study explored the use of piecewise linear trend analysis (joinpoint regression) to identify significant trends and trend turning points in SARS-CoV-2 RNA wastewater concentrations (normalized and non-normalized) and corresponding COVID-19 case rates in the greater Las Vegas metropolitan area (Nevada, USA) from mid-2020 to April 2023. The analysis period was stratified into three distinct phases based on temporal changes in testing protocols, vaccination availability, SARS-CoV-2 variant prevalence, and public health interventions. While other statistical methodologies may require fewer parameter specifications, joinpoint regression provided an interpretable framework for characterization and comparison of trends and trend turning points, revealing sewershed-specific variations in trend magnitude and timing that also aligned with known variant-driven waves. Week-level trend agreement corroborated previous findings demonstrating a close relationship between SARS-CoV-2 wastewater surveillance data and COVID-19 outcomes. These findings guide future applications of advanced statistical methodologies and support the continued integration of wastewater-based epidemiology as a complementary approach to traditional COVID-19 surveillance systems.
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.
Few empirical studies have examined the collective impact of and interplay between individual factors on collaborative outcomes during major infectious disease outbreaks and the direct and interactive effects of these factors and their underlying mechanisms. Therefore, this study investigates the effects and underlying mechanisms of emergency preparedness, support and assurance, task difficulty, organizational command, medical treatment, and epidemic prevention and protection on collaborative outcomes during major infectious disease outbreaks.
Methods
A structured questionnaire was distributed to medical personnel with experience in responding to major infectious disease outbreaks. SPSS software was used to perform the statistical analysis. Structural equation modeling was conducted using AMOS 24.0 to analyze the complex relationships among the study variables.
Results
Organizational command, medical treatment, and epidemic prevention and protection had significant and positive impacts on collaborative outcomes. Emergency preparedness and supportive measures positively impacted collaborative outcomes during health crises and were mediated through organizational command, medical treatment, and epidemic prevention and protection.
Conclusions
The results underscore the critical roles of organizational command, medical treatment, and epidemic prevention and protection in achieving positive collaborative outcomes during health crises, with emergency preparedness and supportive measures enhancing these outcomes through the same key factors.
Turbulent emulsions are ubiquitous in chemical engineering, food processing, pharmaceuticals and other fields. However, our experimental understanding of this area remains limited due to the multiscale nature of turbulent flow and the presence of extensive interfaces, which pose significant challenges to optical measurements. In this study, we address these challenges by precisely matching the refractive indices of the continuous and dispersed phases, enabling us to measure local velocity information at high volume fractions. The emulsion is generated in a turbulent Taylor–Couette flow, with velocity measured at two radial locations: near the inner cylinder (boundary layer) and in the middle gap (bulk region). Near the inner cylinder, the presence of droplets suppresses the emission of angular velocity plumes, which reduces the mean azimuthal velocity and its root mean squared fluctuation. The former effect leads to a higher angular velocity gradient in the boundary layer, resulting in greater global drag on the system. In the bulk region, although droplets suppress turbulence fluctuations, they enhance the cross-correlation between azimuthal and radial velocities, leaving the angular velocity flux contributed by the turbulent flow nearly unchanged. In both locations, droplets suppress turbulence at scales larger than the average droplet diameter and increase the intermittency of velocity increments. However, the effects of the droplets are more pronounced near the inner cylinder than in the bulk, likely because droplets fragment in the boundary layer but are less prone to break up in the bulk. Our study provides experimental insights into how dispersed droplets modulate global drag, coherent structures and the multiscale characteristics of turbulent flow.
This paper presents an innovative eight-pass laser amplifier design that effectively utilizes polarization and angular multiplexing, enjoying high gain, high extraction efficiency and compact layout. To optimize the design parameters, a general spatiotemporal model for a multi-pass amplifier is established that accounts for beam passages in different angles, and the predicted output energy and gain distribution agree well with the experimental results. The multi-pass amplifier scales the seed energy of 120 mJ to 5 J at 10 Hz and 3 J at 50 Hz, with the beam quality within three times the diffraction limit.
Industrial robots are widely utilized in the machining of complex parts because of their flexibility. However, their low positioning accuracy and spatial geometric error characteristics significantly limit the contour precision of robot machined parts. Therefore, in the robot machining procedure, an in situ measurement system is typically required. This study aims to enhance the trajectory accuracy of robotic machining through robotic in situ measurement and meta-heuristic optimization. In this study, a measurement-machining dual-robot system for measurement and machining is established, consisting of a measurement robot with a laser sensor mounted at the robot end and a machining robot equipped with a machining tool. In the measuring process, high-precision standard spheres are set on the edge of the machining area, and the high-precision standard geometry is measured by the measurement robot. According to measured geometry information in the local area, the trajectory accuracy for the machining robot is improved. By utilizing the standard radius of the standard spheres and adopting a meta-heuristic optimization algorithm, this study addresses the complexity of the robot kinematics model, while also overcoming local optima commonly introduced by gradient-based iterative methods. The results of the experiments in this study confirm that the proposed method markedly refines the precision of the robot machining trajectory.
Cathepsin B (CTSB) is a cysteine protease that is widely found in eukaryotes and plays a role in insect growth, development, digestion, metamorphosis, and immunity. In the present study, we examined the role of CTSB in response to environmental stresses in Myzus persicae Sulzer (Hemiptera: Aphididae). Six MpCTSB genes, namely MpCTSB-N, MpCTSB-16D1, MpCTSB-3098, MpCTSB-10270, MpCTSB-mp2, and MpCTSB-16, were identified and cloned from M. persicae. The putative proteins encoded by these genes contained three conserved active site residues, i.e. Cys, His, and Asn. A phylogenetic tree analysis revealed that the six MpCTSB proteins of M. persicae were highly homologous to other Hemipteran insects. Real-time polymerase chain reaction revealed that the MpCTSB genes were expressed at different stages of M. persicae and highly expressed in winged adults or first-instar nymphs. The expression of nearly all MpCTSB genes was significantly upregulated under different environmental stresses (38°C, 4°C, and ultraviolet-B). This study shows that MpCTSB plays an important role in the growth and development of M. persicae and its resistance to environmental stress.
Second-generation antipsychotics (SGAs) can cause corrected QT interval (QTc) prolongation as a side-effect. This may limit their clinical use and pose safety concerns for patients.
Aims
To analyse the risk of QTc prolongation associated with eight second-generation antipsychotics and observe the timing characteristics of QTc prolongation events and subsequent changes in medication strategies.
Methods
Using data from the hospital information system of a large mental health centre, this retrospective cohort study included 5130 patients (median follow-up: 141.2 days) treated between 2007 and 2019. A marginal structural Cox model was used to compare the hazard ratios for QTc prolongation associated with various SGAs.
Results
The mean age of the cohort was 35.54 years (s.d. = 14.22), and 47.8% (N = 2454) were male. Ziprasidone, amisulpride and olanzapine were the only SGAs associated with QTc prolongation. Ziprasidone presented the highest risk (hazard ratio 1.72, 95% CI: 1.03–2.85, adjusted P = 0.03), followed by amisulpride (hazard ratio 1.56, 95% CI: 1.04–2.34, adjusted P = 0.03) and olanzapine (hazard ratio 1.40, 95% CI: 1.02–1.94, adjusted P = 0.04).
Conclusion
Ziprasidone, amisulpride and olanzapine are associated with increased risk of QTc prolongation. Regular electrocardiogram monitoring is recommended when clinicians prescribe such drugs.
Depression has been linked to disruptions in resting-state networks (RSNs). However, inconsistent findings on RSN disruptions, with variations in reported connectivity within and between RSNs, complicate the understanding of the neurobiological mechanisms underlying depression.
Methods
A systematic literature search of PubMed and Web of Science identified studies that employed resting-state functional magnetic resonance imaging (fMRI) to explore RSN changes in depression. Studies using seed-based functional connectivity analysis or independent component analysis were included, and coordinate-based meta-analyses were performed to evaluate alterations in RSN connectivity both within and between networks.
Results
A total of 58 studies were included, comprising 2321 patients with depression and 2197 healthy controls. The meta-analysis revealed significant alterations in RSN connectivity, both within and between networks, in patients with depression compared with healthy controls. Specifically, within-network changes included both increased and decreased connectivity in the default mode network (DMN) and increased connectivity in the frontoparietal network (FPN). Between-network findings showed increased DMN–FPN and limbic network (LN)–DMN connectivity, decreased DMN–somatomotor network and LN–FPN connectivity, and varied ventral attention network (VAN)–dorsal attentional network (DAN) connectivity. Additionally, a positive correlation was found between illness duration and increased connectivity between the VAN and DAN.
Conclusions
These findings not only provide a comprehensive characterization of RSN disruptions in depression but also enhance our understanding of the neurobiological mechanisms underlying depression.
This study explored the relationship between multifaceted multilingualism and cognitive shifting through a task-switching paradigm using fMRI. Multilingualism was modeled from both convergent (i.e., integrated multilingual index) and divergent (i.e., L2 proficiency, interpreting training, language entropy) perspectives. Participants identified letters or numbers based on task cues, with Repeat trials maintaining the same task and Switch trials requiring a different task. Switch cost (Switch–Repeat) was used to reflect shifting demands. Better task-switching performance was associated with a higher integrated multilingual index and interpreting training. Neuroimaging indicated that multilinguals predominantly engaged left-hemisphere regions for switching, with extensive multilingual experience requiring fewer neural resources for switch cost (i.e., more efficient processing for cognitive control). During task switching, brain connectivity was regulated locally by L2 proficiency, and globally by interpreting training. These findings underscore the importance of considering multifaceted multilingual experience to understand its impact on cognitive function and brain activity.
The safety of human-collaborative operations with robots depends on monitoring the external torque of the robot, in which there are toque sensor-based and torque sensor-free methods. Economically, the classic method for estimating joint external torque is the first-order momentum observer (MOB) based on a physic model without torque sensors. However, uncertainties in the dynamic model, which encompasses parameters identification error and joint friction, affect the torque estimation accuracy. To address this issue, this paper proposes using the backpropagation neural network (BPNN) method to estimate joint external torque without the delicate physical model by utilizing the powerful machine learning ability to handle the uncertainties of the MOB method and improve the accuracy of torque estimation. Using data obtained from the torque sensor to train the BPNN to build up a digital torque model, the trained BPNN can perceive force in practical applications without relying on the torque sensor. In the end, by contrast to the classic first-order MOB, the result demonstrates that BPNN achieves higher estimation accuracy compared to the MOB.
Substantial changes resulting from the interaction of environmental and dietary factors contribute to an increased risk of obesity, while their specific associations with obesity remain unclear. We identified inflammation-related dietary patterns (DP) and explored their associations with obesity among urbanised Tibetan adults under significant environmental and dietary changes. Totally, 1826 subjects from the suburbs of Golmud City were enrolled in an open cohort study, of which 514 were followed up. Height, weight and waist circumference were used to define overweight and obesity. DP were derived using reduced rank regression with forty-one food groups as predictors and high-sensitivity C-reactive protein and prognostic nutritional index as inflammatory response variables. Altitude was classified as high or ultra-high. Two DP were extracted. DP-1 was characterised by having high consumptions of sugar-sweetened beverages, savoury snacks, and poultry and a low intake of tsamba. DP-2 had high intakes of poultry, pork, animal offal, and fruits and a low intake of butter tea. Participants in the highest tertiles (T3) of DP had increased risks of overweight and obesity (DP-1: OR = 1·37, 95 % CI 1·07, 1·77; DP-2: OR = 1·48, 95 % CI 1·18, 1·85) than those in the lowest tertiles (T1). Participants in T3 of DP-2 had an increased risk of central obesity (OR = 2·25, 95 % CI 1·49, 3·39) than those in T1. The positive association of DP-1 with overweight and obesity was only significant at high altitudes, while no similar effect was observed for DP-2. Inflammation-related DP were associated with increased risks of overweight and/or obesity.
In laser systems requiring a flat-top distribution of beam intensity, beam smoothing is a critical technology for enhancing laser energy deposition onto the focal spot. The continuous phase modulator (CPM) is a key component in beam smoothing, as it introduces high-frequency continuous phase modulation across the laser beam profile. However, the presence of the CPM makes it challenging to measure and correct the wavefront aberration of the input laser beam effectively, leading to unwanted beam intensity distribution and bringing difficulty to the design of the CPM. To address this issue, we propose a deep learning enabled robust wavefront sensing (DLWS) method to achieve effective wavefront measurement and active aberration correction, thereby facilitating active beam smoothing using the CPM. The experimental results show that the average wavefront reconstruction error of the DLWS method is 0.04 μm in the root mean square, while the Shack–Hartmann wavefront sensor reconstruction error is 0.17 μm.
The presence of dispersed-phase droplets can result in a notable increase in a system's drag. However, our understanding of the mechanism underlying this phenomenon remains limited. In this study, we use three-dimensional direct numerical simulations with a modified multi-marker volume-of-fluid method to investigate liquid–liquid two-phase turbulence in a Taylor–Couette geometry. The dispersed phase has the same density and viscosity as the continuous phase. The Reynolds number $Re\equiv r_i\omega _i d/\nu$ is fixed at 5200, the volume fraction of the dispersed phase is up to $40\,\%$, and the Weber number $We\equiv \rho u^2_\tau d/\sigma$ is approximately 8. It is found that the increase in the system's drag originates from the contribution of interfacial tension. Specifically, droplets experience significant deformation and stretching in the streamwise direction due to shear near the inner cylinder. Consequently, the rear end of the droplets lags behind the fore head. This causes opposing interfacial tension effects on the fore head and rear end of the droplets. For the fore head of the droplets, the effect of interfacial tension appears to act against the flow direction. For the rear end, the effect appears to act in the flow direction. The increase in the system's drag is attributed primarily to the effect of interfacial tension on the fore head of the droplets which leads to the hindering effect of the droplets on the surrounding continuous phase. This hindering effect disrupts the formation of high-speed streaks, favouring the formation of low-speed ones, which are generally associated with higher viscous stress and drag of the system. This study provides new insights into the mechanism of drag enhancement reported in our previous experiments.
Developing large-eddy simulation (LES) wall models for separated flows is challenging. We propose to leverage the significance of separated flow data, for which existing theories are not applicable, and the existing knowledge of wall-bounded flows (such as the law of the wall) along with embedded learning to address this issue. The proposed so-called features-embedded-learning (FEL) wall model comprises two submodels: one for predicting the wall shear stress and another for calculating the eddy viscosity at the first off-wall grid nodes. We train the former using the wall-resolved LES (WRLES) data of the periodic hill flow and the law of the wall. For the latter, we propose a modified mixing length model, with the model coefficient trained using the ensemble Kalman method. The proposed FEL model is assessed using the separated flows with different flow configurations, grid resolutions and Reynolds numbers. Overall good a posteriori performance is observed for predicting the statistics of the recirculation bubble, wall stresses and turbulence characteristics. The statistics of the modelled subgrid-scale (SGS) stresses at the first off-wall grids are compared with those calculated using the WRLES data. The comparison shows that the amplitude and distribution of the SGS stresses and energy transfer obtained using the proposed model agree better with the reference data when compared with the conventional SGS model.
Elbow, with complex physiological structure, plays an important role in upper limb motion which can be assisted with exoskeleton in rehabilitation. However, the stiffness of elbow changes while training which decline the comfort and effect of rehabilitation. Moreover, the rotation axis of elbow is changing which will cause secondary injuries. In this paper, we design an elbow exoskeleton with a variable stiffness actuator and a deviation compensation unit to assist elbow rehabilitation. Firstly, we design a variable stiffness actuator by symmetric actuation principle to adapt the change of elbow stiffness. The parameters of the variable stiffness actuator are optimized by motion simulation. Next, we design a deviation compensation unit to follow the rotation axis deviation outside the horizontal plane. The compensation area is simulated to cover the deviation. Finally, simulation and experiments are carried out to show the performance of our elbow exoskeleton. The workspace can meet the need of daily elbow motion while the variable stiffness actuator can adjust the exoskeleton stiffness as expectation.
This study demonstrates a kilowatt-level, spectrum-programmable, multi-wavelength fiber laser (MWFL) with wavelength, interval and intensity tunability. The central wavelength tuning range is 1060–1095 nm and the tunable number is controllable from 1 to 5. The wavelength interval can be tuned from 6 to 32 nm and the intensity of each channel can be adjusted independently. Maximum output power up to approximately 1100 W has been achieved by master oscillator power amplifier structures. We also investigate the wavelength evolution experimentally considering the difference of gain competition, which may give a primary reference for kW-level high-power MWFL spectral manipulation. To the best of our knowledge, this is the highest output power ever reported for a programmable MWFL. Benefiting from its high power and flexible spectral manipulability, the proposed MWFL has great potential in versatile applications such as nonlinear frequency conversion and spectroscopy.
In this work, the shape of a bluff body is optimized to mitigate velocity fluctuations of turbulent wake flows based on large-eddy simulations (LES). The Reynolds-averaged Navier–Stokes method fails to capture velocity fluctuations, while direct numerical simulations are computationally prohibitive. This necessitates using the LES method for shape optimization given its scale-resolving capability and relatively affordable computational cost. However, using LES for optimization faces challenges in sensitivity estimation as the chaotic nature of turbulent flows can lead to the blowup of the conventional adjoint-based gradient. Here, we propose using the regularized ensemble Kalman method for the LES-based optimization. The method is a statistical optimization approach that uses the sample covariance between geometric parameters and LES predictions to estimate the model gradient, circumventing the blowup issue of the adjoint method for chaotic systems. Moreover, the method allows for the imposition of smoothness constraints with one additional regularization step. The ensemble-based gradient is first evaluated for the Lorenz system, demonstrating its accuracy in the gradient calculation of the chaotic problem. Further, with the proposed method, the cylinder is optimized to be an asymmetric oval, which significantly reduces turbulent kinetic energy and meander amplitudes in the wake flows. The spectral analysis methods are used to characterize the flow field around the optimized shape, identifying large-scale flow structures responsible for the reduction in velocity fluctuations. Furthermore, it is found that the velocity difference in the shear layer is decreased with the shape change, which alleviates the Kelvin–Helmholtz instability and the wake meandering.