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Cognitive reserve (CR) is considered a positive factor in the onset, progression, and prognosis of diseases. It may also help explain the clinical heterogeneity observed in schizophrenia (SZ).
Methods
This cross-sectional study included 70 patients with SZ and 64 healthy controls. Participants were assessed on CR, symptoms, cognition, and functional outcomes. Following PRISMA guidelines, we also searched PubMed, Scopus, Web of Science, Embase, the Cochrane Library, and PsycINFO for studies published up to September 25, 2025. Study quality was evaluated using the Newcastle-Ottawa Scale (NOS).
Results
Patients with higher CR showed less severe negative and general psychopathological symptoms, along with better functional outcomes. Meta-analysis confirmed this relationship and further revealed positive correlations between CR and multiple cognitive domains, including speed of processing, working memory, verbal learning, visual learning, and reasoning and problem solving.
Conclusions
This study demonstrates a positive association between CR and symptoms severity, cognitive performance, and functional outcomes in SZ.
A classical result for the simple symmetric random walk with 2n steps is that the number of steps above the origin, the time of the last visit to the origin, and the time of the maximum height all have exactly the same distribution and converge when scaled to the arcsine law. Motivated by applications in genomics, we study the distributions of these statistics for the non-Markovian random walk generated from the ascents and descents of a uniform random permutation and a Mallows(q) permutation and show that they have the same asymptotic distributions as for the simple random walk. We also give an unexpected conjecture, along with numerical evidence and a partial proof in special cases, for the result that the number of steps above the origin by step 2n for the uniform permutation generated walk has exactly the same discrete arcsine distribution as for the simple random walk, even though the other statistics for these walks have very different laws. We also give explicit error bounds to the limit theorems using Stein’s method for the arcsine distribution, as well as functional central limit theorems and a strong embedding of the Mallows(q) permutation which is of independent interest.
The effects of early thiamine use on clinical outcomes in critically ill patients with acute kidney injury (AKI) are unclear. The purpose of this study was to investigate the associations between early thiamine administration and clinical outcomes in critically ill patients with AKI. The data of critically ill patients with AKI within 48 h after ICU admission were extracted from the Medical Information Mart for Intensive Care III (MIMIC III) database. PSM was used to match patients early receiving thiamine treatment to those not early receiving thiamine treatment. The association between early thiamine use and in-hospital mortality due to AKI was determined using a logistic regression model. A total of 15 066 AKI patients were eligible for study inclusion. After propensity score matching (PSM), 734 pairs of patients who did and did not receive thiamine treatment in the early stage were established. Early thiamine use was associated with lower in-hospital mortality (OR 0·65; 95 % CI 0·49, 0·87; P < 0·001) and 90-d mortality (OR 0·58; 95 % CI 0·45, 0·74; P < 0·001), and it was also associated with the recovery of renal function (OR 1·26; 95 % CI 1·17, 1·36; P < 0·001). In the subgroup analysis, early thiamine administration was associated with lower in-hospital mortality in patients with stages 1 to 2 AKI. Early thiamine use was associated with improved short-term survival in critically ill patients with AKI. It was possible beneficial role in patients with stages 1 to 2 AKI according to the Kidney Disease: Improving Global Outcomes criteria.
Electropulsing treatment (EPT) has been first applied to the recrystallization of a refractory metal—tungsten (W). We have three major observations: (i) the recrystallization temperature of a rolled pure W under EPT is ∼900 K higher than its conventional recrystallization temperature (1603 K); (ii) the time required for recrystallization is significantly reduced compared with that of conventional heat treatment (CHT); (iii) the recrystallized grains are also much finer than the ones under CHT. Based on quantitative analysis, we conclude that the huge increase of the recrystallization temperature of the rolled pure W under EPT is due to the high heating rate generated by EPT and high activation energy for vacancy diffusion of W, and the accelerated recrystallization and grain refinement have resulted from the coupling of thermal and electromigration effects of EPT at relatively high temperatures.
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