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Research on the association between the Chinese visceral adiposity index (CVAI) and hyperuricemia (HUA) is scarce, and whether the association differs by sex is unclear. This research aimed to explore sex-specific associations between CVAI and HUA and to compare CVAI’s predictive performance with other adiposity indices using data from 22,171 adults (30–79 years) in the China Multi-Ethnic Cohort (CMEC) study (Chongqing region). The prevalence of HUA was 20.9% in men and 9.7% in women. Multivariable logistic regression analyses were utilized to assess the adjusted odds ratios (ORs) and 95% confidence intervals (CIs). After multivariable adjustment, CVAI was associated with HUA in men (OR Q4 vs. Q1 = 3.31, 95% CI 2.73, 4.03) and women (OR Q4 vs. Q1 = 7.20, 95% CI 5.12, 10.12). Moreover, Significant interactions were observed between BMI and CVAI on HUA in both sexes (all Pinteraction <0.001), with the strongest associations in those with BMI <24.0 kg/m2. The ORs (95% CI) across different BMI groups (<24.0, 24.0–27.9, ≥28.0 kg/m²) were 1.87 (1.63, 2.13), 1.65 (1.48, 1.85), and 1.30 (1.14, 1.49) for men, and 2.76 (2.18, 3.51), 2.46 (1.98, 3.07), and 1.87 (1.47, 2.39) for women, respectively. Additionally, CVAI showed satisfactory predictive performance for HUA in women, with the largest area under the receiver operating characteristic curve (AUROC) of 0.735, but not in men (0.660). These findings suggest a close association between CVAI and HUA, particularly pronounced in those with BMI <24.0 kg/m², and a stronger association in women than in men.
Eotetranychus kankitus is an important pest on several agricultural crops, and its resistance to pesticides has promoted the exploration of biological control strategies. Beauveria bassiana and Neoseiulus barkeri have been identified as potential agents for suppressing spider mites. This study aimed to investigate the pathogenicity of B. bassiana on E. kankitus and its compatibility with N. barkeri. Results showed that among the five tested strains of B. bassiana, Bb025 exhibited the highest level of pathogenicity on E. kankitus. Higher application rates (1 × 108 conidia/mL) of Bb025 led to a higher mortality rate of E. kankitus (90.402%), but also resulted in a 15.036% mortality of N. barkeri. Furthermore, preference response tests indicated that both E. kankitus and N. barkeri actively avoided plants sprayed with Bb025 compared to the control group that was sprayed with Tween-80. In a no-choice test, we observed that N. barkeri actively attacked Bb025-treated E. kankitus with no adverse effect on its predatory capacities. Furthermore, N. barkeri laid more eggs when fed on Bb025-treated E. kankitus compared to Tween-80-treated E. kankitus, but the subsequent generation of surviving individuals fed on Bb025-treated E. kankitus was reduced. These findings demonstrate that the Bb025 strain of B. bassiana is highly virulent against E. kankitus while causing less harm to N. barkeri. Consequently, a promising strategy for controlling E. kankitus could involve the sequential utilisation of Bb025 and N. barkeri at appropriate intervals.
This study aimed to investigate the intake of dairy products during pregnancy in women with gestational diabetes mellitus (GDM) and its impacts on neonatal birth weight and pregnancy outcomes. A total of 386 women with GDM during the second trimester pregnancy participated in this prospective cohort study. We evaluated dairy products intake through the FFQ. Pregnancy outcomes were obtained from the delivery data. Participants were divided into insufficient and sufficient intake of milk and dairy products groups (< 300 g/d and ≥ 300 g/d, respectively). The average intake of dairy products during the second trimester pregnancy in women with GDM was 317·8 ± 179·5 g/d, and the total energy intake was 1635·4 ± 708·7 kcal/d. However, 76·68 % of them did not meet the recommended total energy intake of women with GDM. After adjusting for confounding factors, women with GDM who consumed ≥ 300 g/d of dairy products had an average reduction in birth weight of 93·1 g compared with women who consumed < 300 g/d of dairy products (95 % CI −171·343, −14·927). Women with GDM in sufficient intake group was also associated with lower risk of macrosomia (95 % CI 0·043, 0·695) and caesarean section (95 % CI 0·387, 0·933) and not related to low birth weight infant (95 % CI 0·617, 14·502) and preterm birth (95 % CI 0·186, 1·510) when compared with participants in insufficient intake group. Under the premise of insufficient total energy intake, the intake of dairy products during the second trimester pregnancy in women with GDM might be related to the decrease of neonatal birth weight.
Electron cyclotron resonance ion thrusters (ECRITs) have the potential to be used for space gravitational wave detection due to their wide thrust range. However, an unclear understanding of dynamic processes of ECRITs with strongly coupled multi-operating parameters limits further improvements on thrust noise and response velocity by feedback control systems. An integrative mathematical model considering the non-Maxwell electron energy distribution function for ECRITs is validated by experiments and used to study the influence of operating parameters on the dynamic processes of thrusters, which provides a new simplified grid model. Simulation results show the response processes with microwave (MW) power can be divided into two stages. The characteristic times of the first and second stages are respectively several microseconds and 10 ms, which are respectively dominated by plasma motion and the volume effect. The overshoot of screen grid (SG) current decreases, while its response time remains unchanged when the response time of MW power is prolonged. The response time of SG current with a step increase of flow rate is approximately 10 ms, consistent with the volume effect. The SG current decreases with rise of flow rate for high flow rate operations due to the small increment of ion density limited by low electron temperature, the decrease of ion Bohm velocity and reduction of sheath extraction area. The influence of grid voltage on the dynamic process of the SG current depends on variation ranges of extraction capabilities. When variations of sheath extraction area are limited, the response time is 5 μs, consistent with plasma response time. It is prolonged to 0.5 ms if sheath extraction area variations are large because they cause obvious variations of plasma parameters in the discharge chamber. These dynamic results can not only facilitate designing feedback controllers of micro-propulsion systems for high-precision space missions, but also provide guidance for ion sources to generate highly stable or rapid-response ion beam.
Research on the cognitive neural mechanisms of language control often overlooks the role of rewards. To investigate how reversal rewards affect bilingual language switching during observational learning, we conducted a dual-brain electroencephalography (EEG) study. Participants, classified as direct learners or observers, performed a voluntary language-switching task under dynamic reward conditions. Our results demonstrated that both direct learners and observers exhibited high correct acquisition rates for the switch and non-switch behaviors in both pre- and post-reversal phases. Notably, direct learners and observers showed reduced switch costs in the post-reversal phase, highlighting enhanced language control efficiency. EEG analyses revealed that direct learners exhibited late positive component (LPC) switch costs in both pre- and post-reversal phases, while observers showed LPC switch costs only in the post-reversal phase. These findings support the Adaptive Control Hypothesis by highlighting the adaptability of language control mechanisms in response to dynamic reward environments during direct and observational learning.
We generalize the power divergence (PD) family of statistics to the two-parameter logistic IRT model for the purpose of constructing hypothesis tests and confidence intervals of the person parameter. The well-known score test statistic is a special case of the proposed PD family. We also prove the proposed PD statistics are asymptotically equivalent and converge in distribution to \documentclass[12pt]{minimal}\usepackage{amsmath}\usepackage{wasysym}\usepackage{amsfonts}\usepackage{amssymb}\usepackage{amsbsy}\usepackage{mathrsfs}\usepackage{upgreek}\setlength{\oddsidemargin}{-69pt}\begin{document}$$\chi _{1}^2$$\end{document}. In addition, a moment matching method is introduced to compare statistics and choose the optimal one within the PD family. Simulation results suggest that the coverage rate of the associated confidence interval is well controlled even under small sample sizes for some PD statistics. Compared to some other approaches, the associated confidence intervals exhibit smaller lengths while maintaining adequate coverage rates. The utilities of the proposed method are demonstrated by analyzing a real data set.
In educational and psychological measurement when short test forms are used, the asymptotic normality of the maximum likelihood estimator of the person parameter of item response models does not hold. As a result, hypothesis tests or confidence intervals of the person parameter based on the normal distribution are likely to be problematic. Inferences based on the exact distribution, on the other hand, do not suffer from this limitation. However, the computation involved for the exact distribution approach is often prohibitively expensive. In this paper, we propose a general framework for constructing hypothesis tests and confidence intervals for IRT models within the exponential family based on exact distribution. In addition, an efficient branch and bound algorithm for calculating the exact p value is introduced. The type-I error rate and statistical power of the proposed exact test as well as the coverage rate and the lengths of the associated confidence interval are examined through a simulation. We also demonstrate its practical use by analyzing three real data sets.
Firefighters are frequently exposed to traumatic events and stressful environments and are at particularly high risk of depressive symptoms.
Aims:
The present study aimed to examine the impact of a combined internet-delivered cognitive behavioral therapy (iCBT) and attention bias modification (ABM) intervention to reduce depressive symptoms in firefighters.
Method:
The study was a randomized controlled trial carried out in Kunming, China, and involved the recruitment of 138 active firefighters as participants. The intervention lasted for an 8-week duration, during which participants participated in ABM exercises on alternating days and concurrently underwent eight modules of iCBT courses delivered through a smartphone application. Baseline and post-intervention assessments were conducted to evaluate the effects of the intervention.
Results and Discussion:
Results indicated that the combined iCBT and ABM intervention was significantly effective in reducing symptoms of depression compared with the no intervention control group (U=1644, p<0.001, Wilcoxon r=0.280). No significant change was observed in attention bias post-intervention (U=2460, p=0.737, Wilcoxon r=0.039), while a significant increase was observed in attention-bias variability (U=3172, p<0.001, Wilcoxon r=–0.287). This study provides evidence for the effectiveness of the combined iCBT and ABM intervention in reducing depressive symptoms among firefighters. This study provides conceptual support and preliminary evidence for the effectiveness of the combined iCBT and ABM intervention in reducing depressive symptoms among firefighters.
With the over-use of tetracycline (TC) and its ultimate accumulation in aquatic systems, the demand for TC removal from contaminated water is increasing due to its severe threat to public health. Clay minerals have attracted great attention as low-cost adsorbents for controlling water pollution. The objective of the present study was to measure the adsorption behavior and mechanisms of TC on allophane, a nanosized clay mineral with a hollow spherical structure; to highlight the advantage of the allophane nanostructure, a further objective was to compare allophane with halloysite and montmorillonite, which have nanostructures that differ from allophane. Structural features and surface physicochemical properties were characterized by transmission electron microscopy (TEM), Fourier-transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), zeta potential, N2-physisorption, and acid–base titration. The adsorption data showed that TC adsorption followed the pseudo-second order and Langmuir models. The adsorption was pH dependent, as all three clay minerals performed better under neutral to weakly alkaline conditions and maintained high adsorption performance in the presence of co-existing Na+/K+/Ca2+/Mg2+ cations. Regeneration of the adsorbent was excellent, with efficiencies exceeding 75% after five recycles. By comparison, allophane always exhibited the greatest adsorption capacity, up to 796 mg g–1 at ~pH 9. The TC adsorption on allophane and halloysite was dominated by inner-sphere complexation, together with a small amount of electrostatic adsorption, while that on montmorillonite involved mainly interlayer cation exchange. The findings provide insights into the effects of nanostructures of clay minerals on their TC adsorption performance and highlight the huge potential of allophane as an efficient and inexpensive adsorbent for TC removal.
This paper examines how credit guarantees and government subsidies impact investment in a regime-switching model. We provide new explicit pricing formulas for a general standard asset. Almost all common corporate securities’ prices can be easily derived by the explicit formulas though project cash flows are driven by both a Brownian motion and a two-state Markov chain. We provide a method about how governments should specify a proper tax subsidy standard for a given tax rate to motivate a firm to invest in a project in the way they wish. If the tax subsidy is sufficiently high (low), an overinvestment (underinvestment) occurs. The higher the tax rate, the more significant the overinvestment (underinvestment). We pin down the subsidy amount required for motivating a firm to invest immediately and fix the optimal capital structure with government subsidies.
In this paper, a capsule endoscopy system with a sensing function is proposed for medical devices. A single-arm spiral antenna is designed for data transmission and is combined with the voltage controlled oscillator to achieve sensing capabilities. The designed antenna operates at a 900 MHz industrial scientific medical band. By establishing a three-layer cylindrical model of the stomach, it was concluded that the antenna in the stomach has a high peak gain of −1.1 dBi. Additionally, the antenna achieved a −10 dB impedance bandwidth of 5%. The capsule endoscopy was experimentally measured in both actual stomach and simulated environments. The maximum working distance of the capsule endoscope was measured to be 6.8 m. Additionally, the proposed capsule endoscope was tested for its sensing function using solutions with different dielectric constants. Finally, it was confirmed through link analysis that it has good communication capabilities. The results and analysis confirm that the proposed capsule endoscope can be used for examining gastric diseases.
We aimed to evaluate the association of coffee consumption with different additives, including milk and/or sweetener (sugar and/or artificial sweetener), and different coffee types, with new-onset acute kidney injury (AKI), and examine the modifying effects of genetic variation in caffeine metabolism. 194 324 participants without AKI at baseline in the UK Biobank were included. The study outcome was new-onset AKI. During a median follow-up of 11·6 years, 5864 participants developed new-onset AKI. Compared with coffee non-consumers, a significantly lower risk of new-onset AKI was found in coffee consumers adding neither milk nor sugar to coffee (hazard ratio (HR), 0·86; 95 % CI, 0·78, 0·94) and adding only milk to coffee (HR,0·83; 95 % CI, 0·78, 0·89), but not in coffee consumers adding only sweetener (HR,1·14; 95 % CI, 0·99, 1·31) and both milk and sweetener to coffee (HR,0·96; 95 % CI, 0·89, 1·03). Moreover, there was a U-shaped association of coffee consumption with new-onset AKI, with the lowest risk at 2–3 drinks/d, in unsweetened coffee (no additives or milk only to coffee), but no association was found in sweetened coffee (sweetener only or both milk and sweetener to coffee). Genetic variation in caffeine metabolism did not significantly modify the association. A similar U-shaped association was found for instant, ground and decaffeinated coffee consumption in unsweetened coffee consumers, but not in sweetened coffee consumers. In conclusion, moderate consumption (2–3 drinks/d) of unsweetened coffee with or without milk was associated with a lower risk of new-onset AKI, irrespective of coffee type and genetic variation in caffeine metabolism.
Motivated by new examples of functional Banach spaces over the unit disk, arising as the symbol spaces in the study of random analytic functions, for which the monomials $\{z^n\}_{n\geq 0}$ exhibit features of an unconditional basis yet they often don’t even form a Schauder basis, we introduce a notion called solid basis for Banach spaces and p-Banach spaces and study its properties. Besides justifying the rich existence of solid bases, we study their relationship with unconditional bases, the weak-star convergence of Taylor polynomials, the problem of a solid span and the curious roles played by c0. The two features of this work are as follows: (1) during the process, we are led to revisit the axioms satisfied by a typical Banach space of analytic functions over the unit disk, leading to a notion of $\mathcal{X}^\mathrm{max}$ (and $\mathcal{X}^\mathrm{min}$), as well as a number of related functorial constructions, which are of independent interests; (2) the main interests of solid basis lie in the case of non-separable (p-)Banach spaces, such as BMOA and the Bloch space instead of VMOA and the little Bloch space.
The evolution of the water-entry cavity affects the impact load and the motion of the body. This paper adopts the Eulerian finite element method for multiphase flow for simulations of the high-speed water-entry process. The accuracy and convergence of the numerical method are verified by comparing it with the experimental data and the results of the transient cavity dynamics theory. Based on the results, the representative characteristics of the cavity are discussed from the perspective of the cavity cross-section. It is found that the asymmetry of the cavity expansion and contraction durations is related to the motion of the free surface and the closure of the cavity. The uplift of the free surface suppresses cavity expansion, while the jet generated from free surface closure accelerates cavity contraction. The duration of the contraction of the cavity near the free surface is shorter than the expansion duration due to the change in the velocity distribution caused by the free surface motion. The necking phenomenon during deep closure leads to an increase in the internal pressure of the cavity, prolonging cavity contraction near the deep closure area. This work provides new insights into the cavity dynamics in high-speed water entry.
Children with prolonged hospital admissions for CHD often develop delirium. Antipsychotic medications (APMs) have been used to treat delirium but are known to prolong the QTc duration. There is concern for prolongation of the QTc interval in cardiac patients who may be more vulnerable to electrocardiogram (ECG) changes and may have postoperative QTc prolongation already. The goal of this study was to determine the effect of APM on QTc duration in postoperative paediatric cardiac patients and determine the effect of quetiapine and risperidone in treating delirium and QTc prolongation.
Design:
Retrospective study, July 1, 2017–May 31, 2022.
Setting:
Tertiary children’s hospital.
Patients:
Included were patients admitted to the paediatric cardiac ICU at Children’s Healthcare of Atlanta.
Interventions:
None.
Measurements and Main Results:
ECGs, delirium scores, and drug information were collected. Delirium was defined as Cornell Assessment of Pediatric Delirium (CAPD) score >9. Mixed effect models were performed to evaluate the effect of surgery on QTc change and the effect of antipsychotics on QTc and CAPD changes. There were 139 children, 55% male and 67% surgical admissions. Median age was 5.9 months. Mean QTc increased after cardiac surgery by 18 ms (p = 0.014, 95% CI 3.65–32.4). There was no significant change in QTc after antipsychotic administration (p = 0.064). The mean CAPD score decreased (12.5–7.2; p < 0.001). Quetiapine had the most improvement in delirium, and risperidone had the least improvement (77.8%, n = 14; 37.8%, n = 34, respectively; p = 0.002).
Conclusions:
The QTc interval did not have a statistically significant change after the administration of antipsychotics, while there was improvement in the CAPD score. APMs may be administered safely without significant prolongation of the QTc and are an effective treatment for delirium.
Previous studies have suggested that the habenula (Hb) may be involved in the mechanism of obsessive-compulsive disorder (OCD). However, the specific role of Hb in OCD remains unclear. This study aimed to explore the structural and functional abnormalities of Hb in OCD and their relationship with the clinical symptoms.
Methods
Eighty patients with OCD and 85 healthy controls (HCs) were recruited as the primary dataset. The grey matter volume, resting-state functional connectivity (FC), and effective connectivity (EC) of the Hb were calculated and compared between OCD group and HCs. An independent replication dataset was used to verify the stability and robustness of the results.
Results
Patients with OCD exhibited smaller Hb volume and increased FC of right Hb-left hippocampus than HCs. Dynamic causal model revealed an increased EC from left hippocampus to right Hb and a less inhibitory causal influence from the right Hb to left hippocampus in the OCD group compared to HCs. Similar results were found in the replication dataset.
Conclusions
This study suggested that abnormal structure of Hb and hippocampus-Hb connectivity may contribute to the pathological basis of OCD.
The numerical investigation focuses on the flow patterns around a rectangular cylinder with three aspect ratios ($L/D=5$, $10$, $15$) at a Reynolds number of $1000$. The study delves into the dynamics of vortices, their associated frequencies, the evolution of the boundary layer and the decay of the wake. Kelvin–Helmholtz (KH) vortices originate from the leading edge (LE) shear layer and transform into hairpin vortices. Specifically, at $L/D=5$, three KH vortices merge into a single LE vortex. However, at $L/D=10$ and $15$, two KH vortices combine to form a LE vortex, with the rapid formation of hairpin vortex packets. A fractional harmonic arises due to feedback from the split LE shear layer moving upstream, triggering interaction with the reverse flow. Trailing edge (TE) vortices shed, creating a Kármán-like street in the wake. The intensity of wake oscillation at $L/D=5$ surpasses that in the other two cases. Boundary layer transition occurs after the saturation of disturbance energy for $L/D=10$ and $15$, but not for $L/D=5$. The low-frequency disturbances are selected to generate streaks inside the boundary layer. The TE vortex shedding induces the formation of a favourable pressure gradient, accelerating the flow and fostering boundary layer relaminarization. The self-similarity of the velocity defect is observed in all three wakes, accompanied by the decay of disturbance energy. Importantly, the decrease in the shedding frequency of LE (TE) vortices significantly contributes to the overall decay of disturbance energy. This comprehensive exploration provides insights into complex flow phenomena and their underlying dynamics.
An O2 oxidation and freeze-dry procedure has been used to synthesize birnessite through the oxidation of Mn2+ in alkali media. The effects of O2 flow rate, the fluxion velocity of reaction suspension, the reaction temperature, pretreatment the reaction solutions with N2, and the hydration conditions on the purity of birnessite, the crystallinity, the ion-exchange properties, and the phase transformation of intermediate phases were examined. Buserite with a 1 nm basal spacing, produced after the oxidation, is transformed to 0.7 nm Na birnessite by complete freeze drying. Increasing the fluxion velocity of the reaction suspension and the O2 flow rate facilitated oxidation of Mn(OH)2. Prephase I (a phase related to hausmannite, γ-Mn3O4 (Luo and Suib, 1997; Luo et al., 1998), and feitknechtite (β-MnOOH) were formed as intermediates during the synthesis. Mechanical stirring was used to change the fluxion velocity of the reactive suspension. When the speed of stirring and the O2 flow rate were raised to 250 rpm and 3.0 L/min, respectively, or 450 rpm and 2.0 L/min, respectively, birnessite was the only phase in the final product. Irrespective of temperature in other reactions, pure birnessite was synthesized as long as the temperature during the initial mixing of the reaction solutions was maintained below 10°C. Increasing the reaction temperature led to a larger crystal size, better crystallinity and lower surface area. The pretreatment of solutions with N2 or O2 had little effect on the synthesis; synthesized birnessites had the same purity (100%) as, and similar crystallinity to, that of the no-pretreatment control. Dehydration of the buserite by freeze drying and heating at 60°C did not affect the production of birnessite; however, the latter caused partial loss of ion-exchange capacity with Mg2+. The pathways of the birnessite formation in this study might be:
(1) Mn(OH)2 (amorphous) → feitknechtite → buserite → birnessite, and
Mn(OH)2 existed in an X-ray amorphous state, not in the form of ‘pyrochroite’, during the synthesis.
The adopted conditions for synthesis of pure birnessite were NaOH to Mn molar ratio of 13.7, O2 flow rate of 2 L/min and oxidation for 5 h during vigorous stirring at 450 rpm at room temperature. The birnessite synthesized had a hexagonal platy morphology with good crystallinity, an average composition of Na0.25MnO2.07.0.66H2O, and a surface area of 38 m2/g.
Product graphics interchange formats (GIFs) employ this format to show the features of the product and make up for the lack of physical experience online. These GIFs have been widely applied in domains such as e-shopping and social media, aiming to interest and impress viewers. Contrary to this wide application, most designers in this domain lack expertise and produce GIFs of varied quality. Moreover, the knowledge of techniques to enhance viewers’ engagement with product GIFs is also lacking. To bridge the gap, we conducted a series of studies. First, we collected and summarized seven design factors referring to existing literature and semi-structured interviews. Then, the impacts of these design factors were revealed through an online study with 106 product GIFs among 307 participants. The results showed that visual-related factors such as color contrast and moving intensity mainly impact viewers’ interest, while content-related factors such as scenario and style matching impact viewers’ impressions. The simplicity of GIFs also impressed viewers with a quick viewing mode. Finally, we conducted a workshop and verified that these results support large-scale production of product GIFs. Our studies might support the codesign methods of product GIFs and enhance their quality in design practice.