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Internet addiction (IA) refers to excessive internet use that causes cognitive impairment or distress. Understanding the neurophysiological mechanisms underpinning IA is crucial for enabling an accurate diagnosis and informing treatment and prevention strategies. Despite the recent increase in studies examining the neurophysiological traits of IA, their findings often vary. To enhance the accuracy of identifying key neurophysiological characteristics of IA, this study used the phase lag index (PLI) and weighted PLI (WPLI) methods, which minimize volume conduction effects, to analyze the resting-state electroencephalography (EEG) functional connectivity. We further evaluated the reliability of the identified features for IA classification using various machine learning methods.
Methods
Ninety-two participants (42 with IA and 50 healthy controls (HCs)) were included. PLI and WPLI values for each participant were computed, and values exhibiting significant differences between the two groups were selected as features for the subsequent classification task.
Results
Support vector machine (SVM) achieved an 83% accuracy rate using PLI features and an improved 86% accuracy rate using WPLI features. t-test results showed analogous topographical patterns for both the WPLI and PLI. Numerous connections were identified within the delta and gamma frequency bands that exhibited significant differences between the two groups, with the IA group manifesting an elevated level of phase synchronization.
Conclusions
Functional connectivity analysis and machine learning algorithms can jointly distinguish participants with IA from HCs based on EEG data. PLI and WPLI have substantial potential as biomarkers for identifying the neurophysiological traits of IA.
Nutraceuticals have been taken as an alternative and add-on treatment for depressive disorders. Direct comparisons between different nutraceuticals and between nutraceuticals and placebo or antidepressants are limited. Thus, it is unclear which nutraceuticals are the most efficacious.
Methods
We conducted a network meta-analysis to estimate the comparative efficacy and tolerability of nutraceuticals for the treatment of depressive disorder in adults. The primary outcome was the change in depressive symptoms, as measured by the standard mean difference (SMD). Secondary outcomes included response rate, remission rate, and anxiety. Tolerability was defined as all-cause discontinuation and adverse events. Frequentist random-effect NMA was conducted.
Results
Hundred and ninety-two trials involving 17,437 patients and 44 nutraceuticals were eligible for inclusion. Adjunctive nutraceuticals consistently showed better efficacy than antidepressants (ADT) alone in outcomes including SMD, remission, and response. Notable combinations were Eicosapentaenoic acid + Docosahexaenoic Acid plus ADT (EPA + DHA + ADT) (SMD 1.04, 95% confidence interval 0.64–1.44), S-Adenosyl Methionine (SAMe) + ADT (0.99, 0.31–1.68), curcumin + ADT (1.03, 0.55–1.51), Zinc + ADT (1.59, 0.63–2.55), tryptophan + ADT (1.24, 0.32–2.16), and folate + ADT (0.64, 0.17–1.10). Additionally, four nutraceutical monotherapies demonstrated superior efficacy compared to ADT: EPA + DHA (0.6, 0.32–0.88), SAMe (0.52, 0.18–0.87), curcumin (0.62, −0.17 to 1.40) and saffron (0.69, 0.34–1.04). It is noted that EPA + DHA, SAMe, and curcumin showed strong performance as either monotherapies or adjuncts to ADT. Most nutraceuticals showed comparable tolerability to placebo.
Conclusions
This extensive systematic review and NMA of nutraceuticals for treating depressive disorders indicated a number of nutraceuticals that could offer benefits, either as adjuncts or monotherapies.
We aimed to validate In-Body BIA measures with DXA as reference and to describe the BC profiling of Tibetan adults.
Design:
This cross-sectional study included 855 participants (391 men and 464 women).Correlation and Bland-Altman analyses were performed for method agreement of In-Body BIA and DXA. BC were described by obesity and metabolic status.
Setting:
Bioelectrical Impedance Analysis (In-Body BIA) and Dual-energy X-ray absorptiometry (DXA) have not been employed to characterize the body composition (BC) of the Tibetan population living in the Qinghai-Tibet Plateau.
Participants:
A total of 855 Tibetan adults, including 391 men and 464 women, were enrolled in the study.
Results:
Concordance correlation coefficient for total fat mass (FM) and total lean mass (LM) between In-Body BIA and DXA were 0.91 and 0.89. The bias of In-Body BIA for percentages of total FM and total LM was 0.91% (2.46%) and -1.74% (-2.80%) compared with DXA, respectively. Absolute limits of agreement were wider for total FM in obese men and women and for total LM in overweight men than their counterparts. Gradience in the distribution of total and regional FM content was observed across different BMI categories and its combinations with waist circumference and metabolic status.
Conclusions:
In-Body BIA and DXA provided overall good agreement at group level in Tibetan adults, but the agreement was inferior in participants being overweight or obese.
History effects play a significant role in determining the velocity in boundary layers with pressure gradients, complicating the identification of a velocity scaling. This work pivots away from traditional velocity analysis to focus on fluid acceleration in boundary layers with strong adverse pressure gradients. We draw parallels between the transport equation of the velocity in an equilibrium spatially evolving boundary layer and the transport equation of the fluid acceleration in temporally evolving boundary layers with pressure gradients, establishing an analogy between the two. To validate our analogy, we show that the laminar Stokes solution, which describes the flow immediately after the application of a pressure gradient force, is consistent with the present analogy. Furthermore, fluid acceleration exhibits a linear scaling in the wall layer and transitions to logarithmic scaling away from the wall after the initial period, mirroring the velocity in an equilibrium boundary layer, lending further support to the analogy. Finally, by integrating fluid acceleration, a velocity scaling is derived, which compares favourably with data as well.
Insufficient sleep’s impact on cognitive and emotional function is well-documented, but its effects on social functioning remain understudied. This research investigates the influence of depressive symptoms on the relationship between sleep deprivation (SD) and social decision-making. Forty-two young adults were randomly assigned to either the SD or sleep control (SC) group. The SD group stayed awake in the laboratory, while the SC group had a normal night’s sleep at home. During the subsequent morning, participants completed a Trust Game (TG) in which a higher monetary offer distributed by them indicated more trust toward their partners. They also completed an Ultimatum Game (UG) in which a higher acceptance rate indicated more rational decision-making. The results revealed that depressive symptoms significantly moderated the effect of SD on trust in the TG. However, there was no interaction between group and depressive symptoms found in predicting acceptance rates in the UG. This study demonstrates that individuals with higher levels of depressive symptoms display less trust after SD, highlighting the role of depressive symptoms in modulating the impact of SD on social decision-making. Future research should explore sleep-related interventions targeting the psychosocial dysfunctions of individuals with depression.
The operating goals of family firms (FFs) typically include building both economic and socioemotional wealth. Innovation is increasingly recognized as a key source for the development and growth of family firms. From the multiple dimensions of socioemotional wealth (SEW), this research has focused on how family influences a particular type of innovation – green innovation – in family firms. Using 5,071 observations from among the listed firms in Taiwan over an eight-year period (2014–2021), we examined the relationships between FFs and green innovation. The results indicate that FFs are more likely to develop green innovation than their nonfamily counterparts. In particular, there are complicated effects within different types of FFs – control deviation family firms (CDFFs).
This study aimed to investigate the relationship between serum folate levels and the risk of psoriasis by integrating observational study with Mendelian Randomisation (MR) analysis. We firstly conducted an observational study using data from the National Health and Nutrition Examination Survey (NHANES). Subsequently, genetic instruments were selected for two-sample MR analyses to investigate the causal relationship between serum folate levels and the risk of psoriasis. The observational study showed no significant association between serum folate levels and psoriasis. In the fully adjusted model, neither serum folate level as a continuous variable (OR = 0·99, 95 % CI: 0·98, 1·00, P = 0·071) nor serum folate quartiles Q4 compared to Q1 (OR = 0·83, 95 % CI: 0·58, 1·19, P = 0·309) showed statistical significance. The MR analysis revealed that higher genetically predicted serum folate levels from Icelandic and Danish populations were significantly associated with a reduced risk of psoriasis (OR = 0·63, 95 % CI: 0·45, 0·88, P = 0·005). Similarly, higher genetically predicted serum folate levels from South Asian populations were significantly associated with a lower risk of psoriasis (OR = 0·84, 95 % CI: 0·72, 0·98, P = 0·025). Integrating observational study with MR analysis suggests that serum folate levels are protective factors against psoriasis, indicating that higher serum folate levels may help prevent the onset of the disease.
This study explores an interesting fluid–structure interaction scenario: the flow past a flexible filament fixed at two ends. The dynamic performance of the filament under various inclination angles ($\theta$) was numerically investigated using the immersed boundary method. The motion of the filament in the $\theta$–$Lr$ space was categorised into three flapping modes and two stationary modes, where $Lr$ is the ratio of filament length to the distance between its two ends. The flow fields for each mode and their transitions were introduced. A more in-depth analysis was carried out for flapping at a large angle (FLA mode), which is widely present in the $\theta$–$Lr$ space. The maximum width $W$ of the time-averaged shape of the filament has been shown to strongly correlate with the flapping frequency. After non-dimensionalising based on $W$, the flapping frequency shows little variation across different $Lr$ and $\theta$. Moreover, two types of lift variation process were also identified. Finally, the total lift, drag and lift-to-drag ratio of the system were studied. Short filaments, such as those with $Lr\leqslant 1.5$, were shown to significantly increase lift and the lift-to-drag ratio over a wide range of $\theta$ compared with a rigid plate. Flow field analysis concluded that the increases in pressure difference on both sides of the filament, along with the upper part of the flexible filament having a normal direction closer to the $y$ direction, were the primary reasons for the increase in lift and lift-to-drag ratio. This study can provide some guidance for the potential applications of flexible structures.
This article uses the career and writings of political philosopher Wu Teh-yao (1916-1994) to argue that Singapore in the 1970s–1980s embodied crucial aspects of conservatism as a modern, transnational ideological project in post-Second World War Asia. Wu opposed radicalism and was sceptical towards liberal democracy and Westernisation, all while promoting culture and tradition to legitimise a less-than-democratic political and social order. His worldview was shaped by a peripatetic life that spanned Asia and the United States and found expression in his propaganda work for the United Board for Christian Higher Education in Asia, presidency of Tunghai University, and, above all, contributions to nation building in Singapore. Indeed, during this period, no intellectual lent as much discursive and administrative support, in English and Chinese, to legitimising authoritarianism and social conservatism in the city-state. Both intellectual biography and social history of ideology, the article explains how Singapore represented the realisation of what we typically call ‘Asian Values’ and was embedded within a wider conservative ideoscape. It questions the conventional temporality and genealogy of Asian Values, arguing that they did not simply flow downwards from upon high, but were also produced and circulated by figures who operated between the state and public.
Anxiety disorders are among the most common mental disorders worldwide, and most previous studies have focused solely on alcohol drinking or tobacco smoking as risk factors for anxiety.
Aim
This study investigated the associations of alcohol drinking and tobacco smoking with anxiety.
Method
The data of 30 836 individuals in the Taiwan Biobank were retrieved and analysed in our study. To investigate the associations of tobacco and alcohol use with anxiety, we analysed Patient Health Questionnaire 4 (specifically scores for the first two questions assessing generalised anxiety disorder) results of the included participants and data on their tobacco and alcohol use, and other covariates.
Results
Participants who used only tobacco and those using both tobacco and alcohol were more likely to experience anxiety than were those who did not use tobacco or alcohol. Among men, the use of alcohol and/or tobacco was associated with a significantly higher risk of anxiety. Among women, the use of both alcohol and tobacco was associated with a significantly higher risk of anxiety. Older age was associated with a lower risk of anxiety.
Conclusions
Tobacco and alcohol use significantly influence the risk of anxiety, particularly in men, and older age also influences this risk. The associations of anxiety with tobacco and alcohol use in women may change because of the increasing prevalence of their use among women in Taiwan in recent years.
Conditional risk measures and their associated risk contribution measures are commonly employed in finance and actuarial science for evaluating systemic risk and quantifying the effects of risk interactions. This paper introduces various types of contribution ratio measures based on the multivariate conditional value-at-risk (MCoVaR), multivariate conditional expected shortfall (MCoES), and multivariate marginal mean excess (MMME) studied in [34] (Ortega-Jiménez, P., Sordo, M., & Suárez-Llorens, A. (2021). Stochastic orders and multivariate measures of risk contagion. Insurance: Mathematics and Economics, vol. 96, 199–207) and [11] (Das, B., & Fasen-Hartmann, V. (2018). Risk contagion under regular variation and asymptotic tail independence. Journal of Multivariate Analysis165(1), 194–215) to assess the relative effects of a single risk when other risks in a group are in distress. The properties of these contribution risk measures are examined, and sufficient conditions for comparing these measures between two sets of random vectors are established using univariate and multivariate stochastic orders and statistically dependent notions. Numerical examples are presented to validate these conditions. Finally, a real dataset from the cryptocurrency market is used to analyze the spillover effects through our proposed contribution measures.
Dusty plasmas typically contain various species of dust particles, though most studies have focused on homogeneous systems. This paper investigates the propagation of dust acoustic waves in an inhomogeneous dusty plasma with an interface, analysing how plasma inhomogeneity influences wave behaviour. Using scattering and reductive perturbation methods, we show that both transmitted and reflected waves depend strongly on the mass ratio between regions. Dust acoustic waves cannot propagate through a dust lattice when the wavelength is smaller than the lattice constant. At a discontinuous interface, at least one transmitted solitary wave is generated, with its amplitude determined by the mass ratio, while at most one reflected solitary wave can exist. These results underscore the critical role of the mass ratio in wave propagation and suggest a method for estimating dust particle masses and properties by analysing the incident, transmitted and reflected waves.
Obesity, a global health issue, is associated with numerous diseases and has been shown to affect male reproductive health by inducing endocrine hormonal changes, chronic inflammation, oxidative stress and epigenetic alterations in reproductive cells. This study investigates the impact of obesity on testicular gene expression across mice, monkeys and humans, identifying 730 conserved testis-specific genes. High-fat diet-induced obesity upregulates GNG5, INHA, MSH5, SLC30A8 and SLC7A4 in testes, suggesting their potential as regulatory targets in testicular damage associated with obesity. Single-cell analysis reveals species-conserved expression patterns of SLC7A4 in Sertoli cells and SLC30A8 in SPG cells. It also confirmed that SLC30A8 and SLC7A4 were significantly upregulated in the testes of spontaneously obese mice. The findings highlight the potential of these genes as regulatory targets in obesity-related testicular dysfunction, providing insights into male reproductive health impairments caused by obesity.
The cumulative effects of long-term exposure to pandemic-related stressors and the severity of social restrictions may have been important determinants of mental distress in the time of COVID-19.
Aim
This study aimed to investigate mental health among a cohort of Chinese university students over a 28-month period, focusing on the effects of lockdown type.
Methods
Depression, anxiety, stress and fear of COVID-19 infection were measured ten times among 188 Chinese students (females 77.7%, meanage = 19.8, s.d.age = 0.97), every 3 months: from prior to the emergence of COVID-19 in November 2019 (T1) to March 2022 (T10).
Results
Initially depression, anxiety and stress dipped from T1 to T2, followed by a sudden increase at T3 and a slow upward rise over the remainder of the study period (T3 to T10). When locked down at university, participants showed greater mental distress compared with both home lockdown (d = 0.35–0.48) and a no-lockdown comparison period (d = 0.28–0.40). Conversely, home lockdown was associated with less anxiety and stress (d = 0.19 and 0.21, respectively), but not with depression (d = 0.13) compared with a no-lockdown period.
Conclusions
This study highlights the cumulative effects of exposure to COVID-19 stressors over time. It also suggests that the way in which a lockdown is carried out can impact the well-being of those involved. Some forms of lockdown appear to pose a greater threat to mental health than others.
In this article, motivated by the regularity theory of the solutions of doubly nonlinear parabolic partial differential equations, the authors introduce the off-diagonal two-weight version of the parabolic Muckenhoupt class with time lag. Then the authors introduce the uncentered parabolic fractional maximal operator with time lag and characterize its two-weighted boundedness (including the endpoint case) in terms of these weights under an additional mild assumption (which is not necessary for one-weight case). The most novelty of this article exists in that the authors further introduce a new parabolic shaped domain and its corresponding parabolic fractional integral with time lag and, moreover, applying the aforementioned (two-)weighted boundedness of the parabolic fractional maximal operator with time lag, the authors characterize the (two-)weighted boundedness (including the endpoint case) of these parabolic fractional integrals in terms of the off-diagonal (two-weight) parabolic Muckenhoupt class with time lag; as applications, the authors further establish a parabolic weighted Sobolev embedding and a priori estimate for the solution of the heat equation. The key tools to achieve these include the parabolic Calderón–Zygmund-type decomposition, the chaining argument, and the parabolic Welland inequality, which is obtained by making the utmost of the geometrical relation between the parabolic shaped domain and the parabolic rectangle.
The chemistry of combining the simulation hypothesis (which many believe to be a modern variation of skepticism) and manipulation arguments will be explored for the first time in this paper. I argue: If we take the possibility that we are now in a simulation seriously enough, then contrary to a common intuition, manipulation very likely does not undermine moral responsibility. To this goal, I first defend the structural isomorphism between simulation and manipulation: Provided such isomorphism, either both of them are compatible with moral responsibility, or none of them is. Later, I propose two kinds of reasons – i.e., the simulator-centric reason and the simulatee-centric reason – for why we have (genuine) moral responsibilities even if we are in a simulation. I close by addressing the significance of this paper in accounting for the relevance of artificial intelligence and its philosophy, in helping resolve a long-locked debate over free will, and in offering one reminder for moral responsibility specialists.
This essay argues that modes of conceptualizing global-local entanglements provide a useful lens for looking at the different ways Belt and Road Initiative (BRI) projects localize in BRI-host countries. The essay draws on recent work on George Ritzer to examine examples of BRI projects where global norms and practices are locally conceived and controlled, in contrast to other cases where the projects barely reflect local culture. Examples of Serbia and Hungary are provided to illuminate these points.
Despite being almost 4000m above sea level, cereal crops have been grown in the Ngari Prefecture on the Tibetan Plateau for thousands of years. Where and when domestic crop species adapted to high-altitude growing conditions is a matter of ongoing debate. Here, the authors present a new radiocarbon date from the Gepa serul cemetery, providing the earliest evidence of naked six-rowed barley in Tibet (c. 3500 BP). Evaluating the available evidence for barley cultivation and interregional connections in central Asia at this time, two hypotheses are considered—a generational advance with farmers migrating up river valleys or rapid, long-distance trade through mountain corridors.
Increasing evidence has established a strong association between social anxiety disorder and suicidal behaviours, including suicidal ideation and suicide attempts. However, the association between social anxiety disorder and suicide mortality remains unclear.
Methods
This study analysed data from 15,776 patients with social anxiety disorder, extracted from a nationwide Taiwanese cohort between 2003 and 2017. Two unexposed groups without social anxiety disorder, matched by birth year and sex in 1:4 and 1:10 ratios, respectively, were used for comparison. Suicide deaths during the same period were examined. Psychiatric comorbidities commonly associated with social anxiety disorder, including schizophrenia, bipolar disorder, major depression, alcohol use disorder (AUD), substance use disorder (SUD), obsessive-compulsive disorder, autism, and attention deficit hyperactivity disorder, were identified.
Results
Time-dependent Cox regression models, adjusted for demographic factors and psychiatric comorbidities, revealed that individuals with social anxiety disorder had an increased risk of suicide (hazard ratio: 3.49 in the 1:4 matched analysis and 2.84 in the 1:10 matched analysis) compared with those without the disorder. Comorbidities such as schizophrenia, bipolar disorder, major depression, AUD, and SUD further increased the risk of suicide in patients with social anxiety disorder.
Conclusion
Social anxiety disorder is an independent risk factor for suicide death. Additional psychiatric comorbidities, including schizophrenia, major affective disorders, and AUD, further increased social anxiety disorder-related suicide risk. Therefore, mental health officers and clinicians should develop targeted suicide prevention strategies for individuals with social anxiety disorder.