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To identify resilience to trauma using longitudinal psychological assessments and uncover its genetic components.
Methods
This prospective cohort study included 12,946 surgical patients from the China Surgery and Anesthesia Cohort (CSAC) with assessments of depressive symptoms from pre-surgery through 1, 6, and 12 months post-surgery, using the 9-item Patient Health Questionnaire (PHQ-9). Linear mixed-effects models predicted post-surgery PHQ-9 scores; individuals with much lower observed PHQ-9 score than expected (i.e. lowest 25th percentile of residuals) were defined as resilient. We performed genome-wide association study (GWAS) analysis to identify variants associated with psychological resilience. We examined the identified variant in 2,285 patients from the China Severe Trauma Cohort (CSTC) using genotype stratification and additive models.
Results
CSAC participants had a mean age of 52.2 years and 58.5% were female. Overall, 2,328 (18.0%) were identified as resilient and exhibited a lower prevalence of psychological symptoms. GWAS identified a lead single-nucleotide polymorphism (rs11766511, P = 3.082 × 10−8) mapped to the gene sidekick cell adhesion molecule 1 (SDK1), as a candidate locus implicating neural signaling pathways in stress response and resilience. In CSTC, genotype stratification suggested a lower symptom burden among GG genotype of rs11766511 compared with AA carriers (e.g. Beta = −0.94 [−1.76 to −0.12] for PHQ-9 score). The additive genetic model showed a directionally consistent but non-significant protective pattern of the G allele across psychological symptoms.
Conclusions
Longitudinal assessments of depressive symptoms offer a reliable method for measuring psychological resilience. The rs11766511 locus mapped to SDK1 may represent a candidate genetic signal for psychological resilience and warrants confirmation.
Zn and Mn are essential nutrients for fetal growth and development. Since deficiency of maternal nutrition may lead to preventable adverse pregnancy outcomes, we aimed to examine the association of maternal dietary Zn and Mn levels with low birth weight (LBW). A nested case–control study was conducted in 605 cases and 7497 controls in Lanzhou, China. Eligible participants reported on their diet and characteristics during pregnancy. The relationship between dietary Zn and Mn intake and the risk of LBW was analysed by unconditioned logistic regression and multivariate adjusted restricted cubic spline model. The receiver operating characteristic curve was used to determine the optimal cut-off values of Zn and Mn. The dietary intake below the cut-off value was defined as the low-level group, and greater than or equal to the cut-off value was defined as the high-level group. Low dietary Zn (<5·05 mg/d before pregnancy and <7·36 mg/d during pregnancy) and Mn (<2·66 mg/d before pregnancy and <3·41 mg/d during pregnancy) intake was associated with increased risk of LBW and some subtypes. Both Zn and Mn have a nonlinear relationship with the risk of LBW (P < 0·001). In addition, there was a synergistic effect of low Zn and low Mn intake on LBW risk. There were separate and interaction effects of Zn and Mn on the occurrence of LBW. An appropriate range of Zn and Mn intake may be beneficial to reduce the risk of LBW.
Upper extremity rehabilitation robots have become crucial in stroke rehabilitation due to their high durability, repeatability, and task-specific capabilities. A significant challenge in assessing the comfort performance of these robots is accurately calculating the human-robot interaction forces. In this study, a four-degree-of-freedom (4-DOF) upper extremity rehabilitation robot mechanism, kinematically compatible with the human upper limb, is proposed. Based on this mechanism, an algorithm for estimating human-robot interaction forces is developed using Newton-Euler dynamics. A prototype of the proposed robot is constructed, and a series of comparative experiments are carried out to validate the feasibility of the proposed force estimation approach. The results indicate that the proposed method reliably predicts interaction forces with minimal deviation from experimental data, demonstrating its potential for application in upper limb rehabilitation robots. This work provides a foundation for future studies focused on comfort evaluation and optimization of rehabilitation robots, with significant practical implications for improving patient rehabilitation outcomes.
Disaster preparedness plays a vital role in mitigating risks and strengthening resilience of local communities in rural areas. This study examines the linkage between psychological factors and 4 kinds of disaster preparedness intentions and explores the challenges in translating intentions into actions.
Methods
This study utilized survey data from 325 households in Chongqing, China, that are threatened by geological disasters. We conducted empirical analysis using a regression model and carried out several robustness tests. The independent variables, psychological factors, are divided into risk appraisal, coping appraisal, and stakeholder appraisal. The dependent variable, disaster preparedness intentions, includes evacuation, disaster insurance, emergency supplies storage, and behaving eco-friendly.
Results
Multiple psychological factors have significant influence on disaster preparedness intentions, with varying impacts on different preparedness aspects. Social barriers—lack of capital, access, and triggers—hinder translating preparedness intentions into actions.
Conclusions
Our study integrates protection motivation theory and protective action decision model to understand psychological factors influencing disaster preparedness in rural China. We identify key factors significantly impact preparedness intentions and uncover barriers hindering the translation of intentions into actions. The findings underscore the importance of integrated approaches that bridge the gap between psychological awareness and the availability of resources, ultimately fostering a more resilient society in the face of disasters.
The AIMTB rapid test assay is an emerging test, which adopted a fluorescence immunochromatographic assay to measure interferon-γ (IFN-γ) production following stimulation of effector memory T cells in whole blood by mycobacterial proteins. The aim of this article was to explore the ability of AIMTB rapid test assay in detecting Mycobacterium tuberculosis (MTB) infection compared with the widely applied QuantiFERON-TB Gold Plus (QFT-Plus) test among rural doctors in China. In total, 511 participants were included in the survey. The concordance between the QFT-Plus test and the AIMTB rapid test assay was 94.47% with a Cohen’s kappa coefficient (κ) of 0.84 (95% CI, 0.79–0.90). Improved concordance between the two tests was observed in males and in participants with 26 or more years of service as rural doctors. The quantitative values of the QFT-Plus test was higher in individuals with a result of QFT-Plus-/AIMTB+ as compared to those with a result of QFT-Plus-/AIMTB- (p < 0.001). Overall, our study found that there was an excellent consistency between the AIMTB rapid test assay and the QFT-Plus test in a Chinese population. As the AIMTB rapid test assay is fast and easy to operate, it has the potential to improve latent tuberculosis infection testing and treatment at the community level in resource-limited settings.
Growing evidence indicates a link between diet and depression risk. We aimed to examine the association between an inflammatory diet index and depression utilising extensive data from UK biobank cohort. The energy-adjusted dietary inflammation index (E-DII) was calculated to quantify the potential of daily diet, with twenty-seven food parameters utilised. The E-DII scores were classified into two categories (low v. high) based on median value. To mitigate bias and ensure comparability of participant characteristics, propensity score matching was employed. To ascertain the robustness of these associations, sensitivity analyses were conducted. Subgroup analyses were performed to evaluate the consistency of these associations within different subpopulations. Totally, 152 853 participants entered the primary analyses with a mean age of 56·11 (sd 7·98) years. Employing both univariate and multivariate logistic regression models, adjustments were made for varying degrees of confounding factors (socio-demographics, lifestyle factors, common chronic medical conditions including type 2 diabetes and hypertension). Results consistently revealed a noteworthy positive correlation between E-DII and depression. In the context of propensity score matching, participants displaying higher E-DII scores exhibited an increased likelihood of experiencing incident depression (OR = 1·12, 95 % CI: 1·05, 1·19; P = 0·000316). Subgroup analysis results demonstrated variations in these associations across diverse subpopulations. The E-value for the point-estimate OR calculated from the propensity score matching dataset was 1·48. Excluding individuals diagnosed with type 2 diabetes or hypertension, the findings consistently aligned with the positive association in the primary analysis. These findings suggested that consumption of a diet with higher pro-inflammatory potential might associated with an increase of future depression risk.
Although numerous neuroimaging studies have depicted neural alterations in individuals with obsessive–compulsive disorder (OCD), a psychiatric disorder characterized by intrusive cognitions and repetitive behaviors, the molecular mechanisms connecting brain structural changes and gene expression remain poorly understood.
Methods
This study combined the Allen Human Brain Atlas dataset with neuroimaging data from the Meta-Analysis (ENIGMA) consortium and independent cohorts. Later, partial least squares regression and enrichment analysis were performed to probe the correlation between transcription and cortical thickness variation among adults with OCD.
Results
The cortical map of case-control differences in cortical thickness was spatially correlated with cortical expression of a weighted combination of genes enriched for neurobiologically relevant ontology terms preferentially expressed across different cell types and cortical layers. These genes were specifically expressed in brain tissue, spanning all cortical developmental stages. Protein–protein interaction analysis revealed that these genes coded a network of proteins encompassing various highly interactive hubs.
Conclusions
The study findings bridge the gap between neural structure and transcriptome data in OCD, fostering an integrative understanding of the potential biological mechanisms.
Ferula sinkiangensis K.M. Shen is a threatened medicinal plant endemic to Xinjiang, China, with a small population size and a narrow distribution range. We assessed the status of this species with respect to its population age structure, the level of threat and extinction risk. Only one population remains, in Yining County, Xinjiang. We conducted field surveys of the population in 2022 and 2023, counting 2,033 and 1,515 individuals, respectively, in 144 sample quadrats. We assessed the age structure of the population by counting the number of basal leaves of each individual. The frequency distribution had an inverted J-shape, indicative of a relatively stable age structure. However, the number of mature individuals was small, raising concerns about the risk of genetic drift and inbreeding. This species is also threatened by habitat destruction and inappropriate collection practices. We recommend that F. sinkiangensis is categorized as Critically Endangered on the IUCN Red List on the basis of criteria B2ab(iii), C2a(i) and D.
Achieving optimal nutritional status in patients with penetrating Crohn’s disease is crucial in preparing for surgical resection. However, there is a dearth of literature comparing the efficacy of total parenteral nutrition (TPN) v. exclusive enteral nutrition (EEN) in optimising postoperative outcomes. Hence, we conducted a case-matched study to assess the impact of preoperative EEN v. TPN on the incidence of postoperative adverse outcomes, encompassing overall postoperative morbidity and stoma formation, among penetrating Crohn’s disease patients undergoing bowel surgery. From 1 December 2012 to 1 December 2021, a retrospective study was conducted at a tertiary centre to enrol consecutive patients with penetrating Crohn’s disease who underwent surgical resection. Propensity score matching was utilised to compare the incidence of postoperative adverse outcomes. Furthermore, univariate and multivariate logistic regression analyses were conducted to identify the risk factors associated with adverse outcomes. The study included 510 patients meeting the criteria. Among them, 101 patients in the TPN group showed significant improvements in laboratory indicators at the time of surgery compared with pre-optimisation levels. After matching, TPN increased the occurrence of postoperative adverse outcomes (92·2 % v. 64·1 %, P = 0·001) when compared with the EEN group. In the multivariate analysis, TPN showed a significantly higher OR for adverse outcomes than EEN (OR = 4·241; 95 % CI 1·567–11·478; P = 0·004). The study revealed that penetrating Crohn’s disease patients who were able to fulfil their nutritional requirements through EEN exhibited superior nutritional and surgical outcomes in comparison with those who received TPN.
Water droplets containing the SARS-CoV-2 virus, responsible for coronavirus 2019 transmission, were introduced into a controlled-temperature and -humidity chamber. The SARS-CoV-2 virus with green fluorescent protein tag in droplets was used to infect Caco-2 cells, with viability assessed through flow cytometry and microscopic counting. Whereas temperature fluctuations within typical indoor ranges (20°C–30°C) had minimal impact, we observed a notable decrease in infection rate as the surrounding air’s relative humidity increased. By investigating humidity levels between 20% and 70%, we identified a threshold of ≥40% relative humidity as most effective in diminishing SARS-CoV-2 infectivity. We also found that damage of the viral proteins under high relative humidity may be responsible for the decrease in their activity. This outcome supports previous research demonstrating a rise in the concentration of reactive oxygen species within water droplets with elevated relative humidity.
Dietary antioxidant indices (DAI) may be potentially associated with relative telomere length (RTL) of leucocytes. This study aimed to investigate the relationship between DAI and RTL. A cross-sectional study involving 1656 participants was conducted. A generalised linear regression model and a restricted cubic spline model were used to assess the correlation of DAI and its components with RTL. Generalised linear regression analysis revealed that DAI (β = 0·005, P = 0·002) and the intake of its constituents vitamin C (β = 0·043, P = 0·027), vitamin E (β = 0·088, P < 0·001), Se (β = 0·075, P = 0·003), and Zn (β = 0·075, P = 0·023) were significantly and positively correlated with RTL. Sex-stratified analysis showed that DAI (β = 0·006, P = 0·005) and its constituents vitamin E (β = 0·083, P = 0·012), Se (β = 0·093, P = 0·006), and Zn (β = 0·092, P = 0·034) were significantly and positively correlated with RTL among females. Meanwhile, among males, only vitamin E intake (β = 0·089, P = 0·013) was significantly and positively associated with RTL. Restricted cubic spline analysis revealed linear positive associations between DAI and its constituents’ (vitamin E, Se and Zn) intake and RTL in the total population. Sex-stratified analysis revealed a linear positive correlation between DAI and its constituents’ (vitamin E, Se and Zn) intake and RTL in females. Our study found a significant positive correlation between DAI and RTL, with sex differences.
HIV-1 molecular surveillance provides a new approach to explore transmission risks and targeted interventions. From January to June 2021, 663 newly reported HIV-1 cases were recruited in Zhaotong City, Yunnan Province, China. The distribution characteristics of HIV-1 subtypes and HIV-1 molecular network were analysed. Of 542 successfully subtyped samples, 12 HIV-1 strains were identified. The main strains were CRF08_BC (47.0%, 255/542), CRF01_AE (17.0%, 92/542), CRF07_BC (17.0%, 92/542), URFs (8.7%, 47/542), and CRF85_BC (6.5%, 35/542). CRF08_BC was commonly detected among Zhaotong natives, illiterates, and non-farmers and was mostly detected in Zhaoyang County. CRF01_AE was frequently detected among married and homosexual individuals and mostly detected in Weixin and Zhenxiong counties. Among the 516 pol sequences, 187 (36.2%) were clustered. Zhaotong natives, individuals aged ≥60 years, and illiterate individuals were more likely to be found in the network. Assortativity analysis showed that individuals were more likely to be genetically associated when stratified by age, education level, occupation, and reporting area. The genetic diversity of HIV-1 reflects the complexity of local HIV epidemics. Molecular network analyses revealed the subpopulations to focus on and the characteristics of the risk networks. The results will help optimise local prevention and control strategies.
Among the six sympatric swan and goose species wintering in the Yangtze River floodplain, only Greylag Goose Anser anser and Bean Goose A. fabalis showed increasing population trends in the last 20 years. Until now, almost nothing was known about the Greylag Geese breeding on the eastern Mongolian Plateau, which we now know mostly winter in the Yangtze River floodplain. We applied GPS transmitters to 20 Greylag Geese in the Yangtze River floodplain and eastern Mongolia, providing complete tracks of their movements in summer, winter, spring and autumn (n = 6, 8, 8, 7). We overlaid these locations on GIS layers of habitat type and national-level protected areas, and modelled their habitat selection. Geese summered in Dauria Region, Huihe National Nature Reserve, and Wulagai Wetlands (from where 55% of GPS fixes were located in protected areas), wintered in Poyang Lake, Longgan Lake, and Anqing Lakes (43%), and staged around Bohai Bay, Xila Mulun River, and Wulagai Wetlands (spring, 48%; autumn, 45%). Geese mainly used natural ecosystems in summer (essentially grasslands and wetlands/water bodies), but in the other three seasons, used croplands between 17% (spring) and 46% (winter) of the time, with most of the rest of the time spent on wetlands/water bodies. Geese were frequently associated with wetlands and areas close to lakes/wetlands in all seasons, and cropland during winter and spring/autumn migration. These results suggest Greylag Geese in this biogeographical sub-population have increasingly shifted to feeding in croplands during the non-breeding season and enjoy the benefit of using protected areas throughout the year. We infer that these factors could have potentially contributed to elevated survival and reproductive success (relatively high among sampled flocks in recent years) which could explain the favourable conservation status of this population of Greylag Geese in recent years compared to other sympatric wintering goose and swan species.
Improving grain yield and lodging resistance are two important targets for improving rice production. The aim of this study was to link grain yield and lodging resistance with growth patterns in rice. A nitrogen (N) fertilization experiment was conducted in 2020 and 2021, which consisted of two N rates (150 and 225 kg ha–1) and three N split-application ratios among the basal, early tillering, and panicle initiation stages (6:3:1, 5:3:2, and 4:3:3). The results demonstrated that increasing the N rate from 150 to 225 kg ha–1 did not affect grain yield but increased the plant lodging index by 16%. This increase in the plant lodging index was attributable to a higher plant fresh weight resulting from improved post-heading growth and a lower plant lodging load, which was partially due to a higher leaf area index. Altering the N split-application ratio from 6:3:1 to 4:3:3 increased grain yield by 4% but did not affect the plant lodging index in rice. The increase in grain yield was due to improved post-heading growth mainly resulting from increased radiation use efficiency during the post-heading period, which was partially attributable to increased specific leaf weight. An improvement in pre-heading growth in 2021 did not affect grain yield but increased the plant lodging load and decreased the plant lodging index by 36% compared to 2020. The improvement in pre-heading growth was due to a higher intercepted solar radiation resulting from higher leaf area index and incident solar radiation during the pre-heading period. The results of this study indicate that improving pre-heading growth can maintain grain yield and increase lodging resistance, while improving post-heading growth by increasing canopy radiation use efficiency (but not the leaf area index) can increase grain yield and maintain lodging resistance.
With the increasing demand for rehabilitation and the lack of professional rehabilitation personnel, robot-assisted rehabilitation technology plays an increasingly important role in neurological rehabilitation. In order to recover the exercise ability of patients with waist injury, a new type of wire-driven waist rehabilitation training parallel robot (WWRTPR) is designed. According to the motion trajectory planning of waist rehabilitation training, two coordinate systems are established: moving coordinate system and static coordinate system. The inverse kinematics modeling analysis is carried out, and the dynamic model of the robot is established by using Newton–Euler method. An intelligent control method of force/position hybrid control based on radial basis function neural network is proposed. The stability of the closed-loop system is analyzed, and the results show that WWRTPR tends to be stable. The simulation analysis of rehabilitation training on WWRTPR is carried out, and the simulation results show that the proposed intelligent control method can effectively control the robot system, which provides a reference for the development of a flexible intelligent rehabilitation training robot.
To evaluate the relationship between religious beliefs and mental state, care burden, and quality of life in parents of infantile patients with CHD.
Methods:
A cross-sectional study was conducted at a provincial hospital in Fujian, China. In this study, 114 parents of infant patients with CHD were successfully enrolled. Data were collected using the Duke University Religion Index, Hospital Anxiety and Depression Scale, Zarit Caregiver Burden Interview, and 36-Item Short-Form Health Survey.
Results:
The organisational religious activity, non-organisational religious activity, and intrinsic religiosity of parents were significantly related to the care burden and quality of life, and the two dimensions of non-organisational religious activity and intrinsic religiosity of parents were significantly related to their anxiety symptoms. No association was found between parents’ religious beliefs and their depressive symptoms. Among Buddhist parents, non-organisational religious activity and intrinsic religiosity reduced the care burden and improved quality of life. Among Christian parents, organisational religious activity and non-organisational religious activity were found to reduce the care burden, while organisational religious activity and intrinsic religiosity were found to improve quality of life. There was no correlation between the sub-dimensions of religious beliefs and a negative impact on the care process in Muslim parents.
Conclusion:
Religious beliefs have a protective effect on the parents of infant patients with CHD. They help relieve parents’ anxiety, reduce their care burden, and improve their quality of life. In addition, different religious beliefs have different dimensions of influence on caregivers.
To explore the feasibility and superiority of applying the WeChat platform in a midterm follow-up of surgical repair for ventricular septal defects in infants.
Methods:
Eighty-six infants with VSD who underwent surgical repair were divided into an outpatient follow-up group and a WeChat follow-up group. The clinical data, including complications, economic cost, time spent, loss to follow-up rate, and parents’ satisfaction at the 3-month and 1-year follow-ups, were recorded and analysed.
Results:
There was no significant difference in the incidence of post-operative complications between the two groups. Although the loss to follow-up rate in the WFU group was lower than that of the OFU group, the difference was not statistically significant. The economic cost and time spent in the 3 months and 1 year after discharge in the WFU group were significantly lower than those in the OFU group. One year after discharge, the PSQ-18 score of the WFU group was significantly higher than that of the OFU group.
Conclusion:
Compared with outpatient follow-up, the WeChat platform at the midterm follow-up after surgical repair of VSDs in infants has the advantages of saving time and economic costs and improves parents’ satisfaction.
The development of high-yielding, short-duration super-rice hybrids is important for ensuring food security in China where multiple cropping is widely practiced and large-scale farming has gradually emerged. In this study, field experiments were conducted over 3 years to identify the yield formation characteristics in the shorter-duration (∼120 days) super-rice hybrid ‘Guiliangyou 2’ (G2) by comparing it with the longer-duration (∼130 days) super-rice hybrid ‘Y-liangyou 1’ (Y1). The results showed that G2 had a shorter pre-heading growth duration and consequently a shorter total growth duration compared to Y1. Compared to Y1, G2 had lower total biomass production that resulted from lower daily solar radiation, apparent radiation use efficiency (RUE), crop growth rate (CGR), and biomass production during the pre-heading period, but the grain yield was not significantly lower than that of Y1 because it was compensated for by the higher harvest index that resulted from slower leaf senescence (i.e., slower decline in leaf area index during the post-heading period) and higher RUE, CGR, and biomass production during the post-heading period. Our findings suggest that it is feasible to reduce the dependence of yield formation on growth duration to a certain extent in rice by increasing the use efficiency of solar radiation through crop improvement and also highlight the need for a greater fundamental understanding of the physiological processes involved in the higher use efficiency of solar radiation in super-rice hybrids.