This study investigates the effects of fat-emulsion-based early parenteral nutrition in patients following hemihepatectomy, addressing a critical gap in clinical knowledge regarding parenteral nutrition after hemihepatectomy. We retrospectively analyzed clinical data from 274 patients received non-fat-emulsion-based parenteral nutrition (non-fatty nutrition group) and 297 patients received fat-emulsion-based parenteral nutrition (fatty nutrition group) after hemihepatectomy. Fat-emulsion-based early parenteral nutrition significantly reduced levels of postoperative aspartate aminotransferase, total bilirubin, and direct bilirubin, while minor decreases in red blood cell and platelet counts were observed in the fatty nutrition group. Importantly, fat-emulsion-based early parenteral nutrition shortened lengths of postoperative hospital stay and fasting duration, but did not affect the incidence of short-term postoperative complications. Subgroup analyses revealed that the supplement of omega-3 fish oil emulsions was significantly associated with a reduced inflammatory response and risk of postoperative infections. These findings indicate that fat-emulsion-based early parenteral nutrition enhances short-term postoperative recovery in patients undergoing hemihepatectomy.

The study aims were to present in vitro susceptibilities of clinical isolates from Gram-negative bacteria bloodstream infections (GNBSI) collected in China. GNBSI isolates were collected from 18 tertiary hospitals in 7 regions of China from 2018 to 2020. Minimum inhibitory concentrations were assessed using a Trek Diagnostic System. Susceptibility was determined using CLSI broth microdilution, and breakpoints were interpreted using CLSI M100 (2021). A total of 1,815 GNBSI strains were collected, with E. coli (42.4%) and Klebsiella pneumoniae (28.6%) being the most prevalent species, followed by P. aeruginosa (6.7%). Susceptibility analyses revealed low susceptibilities (<40%) of ESBL-producing E. coli and K. pneumonia to third-/fourth-generation cephalosporins, monobactamases, and fluoroquinolones. High susceptibilities to colistin (95.0%) and amikacin (81.3%) were found for K. pneumoniae, while Acinetobacter baumannii exhibited a high susceptibility (99.2%) to colistin but a low susceptibility to other antimicrobials (<27.5%). Isolates from ICUs displayed lower drug susceptibility rates of K. pneumoniae and A. baumannii than isolates from non-ICUs (all P < 0.05). Carbapenem-resistant and ESBL-producing K. pneumoniae detection was different across regions (both P < 0.05). E. coli and K. pneumoniae were major contributors to GNBSI, while A. baumannii exhibited severe drug resistance in isolates obtained from ICU departments.

This paper provides an overview of the current status of ultrafast and ultra-intense lasers with peak powers exceeding 100 TW and examines the research activities in high-energy-density physics within China. Currently, 10 high-intensity lasers with powers over 100 TW are operational, and about 10 additional lasers are being constructed at various institutes and universities. These facilities operate either independently or are combined with one another, thereby offering substantial support for both Chinese and international research and development efforts in high-energy-density physics.

In this paper, we complete the proof of the conjecture of Gross and Zagier concerning algebraicity of higher Green functions at a single CM point on the product of modular curves. The new ingredient is an analogue of the incoherent Eisenstein series over a real quadratic field, which is constructed as the Doi-Naganuma theta lift of a deformed theta integral on hyperbolic 1-space.

Although it is well established that gestational diabetes mellitus (GDM) is associated with fetal overgrowth in singleton pregnancies, little is known about its role in twins. We aimed to explore the relationship between GDM and the longitudinal fetal growth in twin pregnancies. This was a retrospective matched cohort study of GDM and non-GDM twin pregnancies delivered ≥36 weeks without other complications. All the women performed ≥3 ultrasounds after 22 weeks. Linear mixed models (LMMs) were used to explore the relationships between longitudinal fetal growth trajectories and GDM. Group-based trajectory modeling (GBTM) and generalized estimating equation (GEE) were applied to identify the latent growth patterns and investigate their relationships with GDM. In total, 215 GDM and 645 non-GDM twins were included, the majority of the patients did not require medication therapy (n = 202, GDMA1). LMM revealed that, compared with non-GDM, GDM was associated with an average increase in fetal weight of 4.36 g (95% CI [1.25, 7.48]) per week. GBTM and GEE further revealed that GDM increased the odds of fetal weight trajectory to nearly 40% of the total fetal weight trajectory, classified into the high-speed group (aOR = 1.39, 95% CI [1.03, 1.88]), associating with a 49.44 g (95% CI [11.41, 87.48]) increase in birth weight. Subgroup analysis revealed that all these differences were only significant among the GDMA1 pregnancies (p < .05). GDM (GDMA1) is significantly associated with an increase in fetal weight during gestation in twin pregnancies. However, this acceleration is mild, and its significance requires further exploration.

In the contemporary maritime industry, characterised by intense competition, reduced visibility due to heavy fog is a primary cause of accidents, significantly impairing maritime operational efficiency. Consequently, investigating foggy weather navigation safety holds crucial practical significance. This paper, through an analysis and synthesis of various aspects of foggy navigation technology, including foggy navigation regulations at different ports, fog warnings, foggy vessel environmental perception and foggy auxiliary navigation systems, explores the key issues concerning vessel navigation during foggy conditions from a scientific perspective. This discussion encompasses the aspects of regulatory frameworks, standardisation, and the development of intelligent and responsive onboard equipment. Finally, the paper offers a glimpse into potential strategies for fog navigation.

Bronze mou vessels appear in Shu tombs in south-west China during the Eastern Zhou period (c. 771–256 BC). Examination of these vessels reveals major changes in the supply of metal and alloying technology in the Shu State, throwing new light on the social impact of the Qin conquest and later unification of China.

Rhopalosiphum padi is an important grain pest, causing severe losses during crop production. As a systemic insecticide, flonicamid can control piercing-sucking pests efficiently. In our study, the lethal effects of flonicamid on the biological traits of R. padi were investigated via a life table approach. Flonicamid is highly efficiently toxic to R. padi, with an LC50 of 9.068 mg L−1. The adult longevity and fecundity of the R. padi F0 generation were markedly reduced under the LC25 and LC50 concentrations of flonicamid exposure. In addition, negative transgenerational effects on R. padi were observed under exposure to lethal concentrations of flonicamid, with noticeable decreases in the reproductive period, adult longevity, total longevity, and total fecundity of the F1 generation under the LC25 concentration of flonicamid. Furthermore, the third nymph stage (N3), preadult stage, duration of the adult pre-reproductive period, duration of the total pre-reproductive period, reproductive period, adult longevity, total longevity, and total fecundity of the F1 generation were significantly lower under treatment with the LC50 concentration of flonicamid. The life table parameters were subsequently analysed, revealing that the intrinsic rate of increase (rm) and the net reproductive rate (R0) were significantly lower but that the finite rate of increase (λ) and the mean generation time (T) were not significantly different under the LC25 and LC50 concentrations of flonicamid. These data are beneficial for grain aphid control and are critical for exploring the role of flonicamid in the integrated management of this key pest.

We have developed an interactive system comprising a soft wearable robot hand and a wireless task board, facilitating the interaction between the hand and regular daily objects for task-oriented training in stroke rehabilitation. A ring-reinforced soft actuator (RSA) to accommodate different hand sizes and enable flexion and extension movements was introduced in this paper. Individually controlled finger actuators assist stroke patients during various grasping tasks. A wireless task board was developed to support the training, allowing for the placement of training objects and seamless interaction with the soft robotic hand. Evaluation with seven stroke subjects shows significant improvements in upper limb functions (FMA), hand-motor abilities (ARAT, BBT), and maximum grip strengths after 20 sessions of this task-oriented training. These improvements were observed to persist for at least 3 months post-training. The results demonstrate its potential to enhance stroke rehabilitation and promote hand-motor recovery. This lightweight, user-friendly interactive system facilitates frequent hand practice and easily integrates into regular rehabilitation therapy routines.

A method is proposed for identifying robot gravity and friction torques based on joint currents. The minimum gravity term parameters are obtained using the Modified Denavit–Hartenberg (MDH) parameters, and the dynamic equations are linearized. The robot’s friction torque is identified using the Stribeck friction model. Additionally, a zero-force drag algorithm is designed to address the issue of excessive start-up torque during dragging. A sinusoidal compensation algorithm is proposed to perform periodic friction compensation for each stationary joint, utilizing the identified maximum static friction torque. Experimental results show that when the robot operates at a uniform low speed, the theoretical current calculated based on the identified gravity and friction fits the actual current well, with a maximum root mean square error within 50 mA, confirming the accuracy of the identification results. The start-up torque compensation algorithm reduces the robot’s start-up torque by an average of $ 60.58\mathrm{\%}$, improving the compliance of the dragging process and demonstrating the effectiveness of the compensation algorithm.

We study the last exit time that a spectrally negative Lévy process is below zero until it reaches a positive level b, denoted by $g_{\tau_b^+}$. We generalize the results of the infinite-horizon last exit time explored by Chiu and Yin (2005) by incorporating a random horizon $\tau_b^+$, which represents the first passage time above b. We derive an explicit expression for the joint Laplace transform of $g_{\tau_b^+}$ and $\tau_b^+$ by utilizing a hybrid observation scheme approach proposed by Li, Willmot, and Wong (2018). We further study the optimal prediction of $g_{\tau_b^+}$ in the $L_1$ sense, and find that the optimal stopping time is the first passage time above a level $y_b^{\ast}$, with an explicit characterization of the stopping boundary $y_b^{\ast}$. As examples, Brownian motion with drift and the Cramér–Lundberg model with exponential jumps are considered.

High-quality intergenerational relationships positively influence cognitive functioning in older parents. However, there is insufficient information on how they shape the trajectories of mothers’ and fathers’ cognitive functioning decline in multi-child families, owing to the complexity of intergenerational relationships, such as multi-dimensional and ambivalent natures and differences varying across children. Drawing on three waves of data (2014, 2016 and 2018) from a nationally representative survey – the China Longitudinal Ageing Social Survey (N = 9,404) – we used the k-means clustering method to discern patterns of intergenerational relationships in multi-child Chinese families, as well as the growth curve models, to examine the associations between parent–child relationship types and the trajectories of older parents’ cognitive functioning. Five types of intergenerational relationship were identified: alienated, stressfully interacting, independent, beneficially interacting and tight-knit. We then investigated the associations between trajectories of cognitive functioning and the most distant type, the closest type, and the heterogeneity of parent–child relationships across multiple children. The most distant parent–child relationship was significantly related to cognitive functioning trajectories with the alienated (tight-knit) type associated with the lowest (highest) levels of cognitive functioning and the fastest (slowest) cognitive decline. However, the closest parent–child relationship was not significantly related to cognitive functioning trajectories. Moreover, greater variation in relationships with multiple children was correlated with lower levels of cognitive functioning and faster cognitive functioning decline. These associations were stronger among mothers than fathers. This study provides new insights into the potentially protective role of intergenerational relationships in older parents’ cognitive functioning and their gendered differences.

Multiple osteoarticular tuberculosis (MOT) represents an uncommon yet severe form of tuberculosis, characterized by a lack of systematic analysis and comprehension. Our objective was to delineate MOT’s epidemiological characteristics and establish a scientific foundation for prevention and treatment. We conducted searches across eight databases to identify relevant articles. Pearson’s chi-square test (Fisher’s exact test) and Bonferroni method were employed to assess osteoarticular involvement among patients of varying age and gender (α = 0.05). The study comprised 98 articles, encompassing 151 cases from 22 countries, with China and India collectively contributing 67.55% of cases. MOT predominantly affected individuals aged 0–30 years (58.94%). Pulmonary tuberculosis was evident in 16.55% of cases, with spinal involvement prevalent (57.62%). Significant differences were noted in trunk, spine, thoracic, and lumbar vertebrae involvement, as well as type I lesions across age groups, increasing with age. Moreover, significant differences were observed in upper limb bone involvement and type II lesions across age groups, decreasing with age. Gender differences were not significant. MOT primarily manifests in China and India, predominantly among younger individuals, indicating age-related variations in osteoarticular involvement. Enhanced clinical awareness is crucial for accurate MOT diagnosis, mitigating missed diagnoses and misdiagnoses.

Traditional bulky and complex control devices such as remote control and ground station cannot meet the requirement of fast and flexible control of unmanned aerial vehicles (UAVs) in complex environments. Therefore, a data glove based on multi-sensor fusion is designed in this paper. In order to achieve the goal of gesture control of UAVs, the method can accurately recognize various gestures and convert them into corresponding UAV control commands. First, the wireless data glove fuses flexible fiber optic sensors and inertial sensors to construct a gesture dataset. Then, the trained neural network model is deployed to the STM32 microcontroller-based data glove for real-time gesture recognition, in which the convolutional neural network-Attention mechanism (CNN-Attention) network is used for static gesture recognition, and the convolutional neural network-bidirectional long and short-term memory (CNN-Bi-LSTM) network is used for dynamic gesture recognition. Finally, the gestures are converted into control commands and sent to the vehicle terminal to control the UAV. Through the UAV simulation test on the simulation platform, the average recognition accuracy of 32 static gestures reaches 99.7%, and the average recognition accuracy of 13 dynamic gestures reaches 99.9%, which indicates that the system’s gesture recognition effect is perfect. The task test in the scene constructed in the real environment shows that the UAV can respond to the gestures quickly, and the method proposed in this paper can realize the real-time stable control of the UAV on the terminal side.