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Neuroimaging research in autism often excludes individuals with co-occurring intellectual impairment or minimally verbal status, limiting the generalisability of findings. Understanding magnetic resonance imaging (MRI) scan success predictors in a representative autistic sample is crucial for equitable research.
Aims
This study identified factors predicting successful brain MRI acquisition and data quality in diverse autistic individuals, focusing on including those with intellectual impairment or minimally verbal status.
Method
A total of 122 participants (83 autistic individuals (27 with intellectual impairment, 19 with minimally verbal status) and 39 typically developing controls) received multi-modal brain MRI scans (including structural, resting-state functional and diffusion MRI). Scan success, assessed using both binary criteria and quantitative data-quality metrics, was related to participant characteristics.
Results
Although overall scan success was high, specific factors differentiated success within subgroups. Key factors contributing to scan success included age, non-verbal intelligence and attention-deficit hyperactivity disorder (ADHD) symptoms. Older participants, those with fewer ADHD symptoms and those with higher non-verbal intelligence were more likely to achieve successful scans, regardless of autism diagnosis. Higher data quality, particularly in structural and functional MRI, was associated with higher intelligence, better adaptive functioning, fewer autistic and ADHD symptoms, and fewer behavioural problems.
Conclusions
Identifying these factors is key to designing more inclusive and effective neuroimaging protocols. This work paves the way for more comprehensive research into the neurobiology of the full autism spectrum, and offers insights for improving the clinical MRI experience for autistic individuals with diverse support needs. Individualised strategies may also be useful in clinical settings, helping to improve the experience of MRI scanning for autistic individuals.
The spiral structure of interventional robots is widely utilized for vascular dredging procedures. Variations in the spiral structural parameters of these robots exert a significant impact on the hemodynamic parameters within the vessel during the interventional process; therefore, optimizing the design of these parameters constitutes a crucial prerequisite for ensuring safe diagnosis and treatment. Based on the bidirectional fluid-structure interaction (FSI) between pulsatile blood and elastic blood vessels, theoretical calculations and experimental measurements of the fluid velocity inside the vessel during robotic intervention were conducted. The results demonstrate that the trends and magnitudes of the calculated values are essentially consistent with those of the measured values. Furthermore, the range and variance methods in orthogonal design were applied to numerically investigate the effects of three key spiral parameters – spiral pitch, spiral groove depth, and thread profile – on hemodynamic and vascular parameters, including blood velocity, blood pressure, vascular wall shear stress, and vessel deformation. The findings indicate that spiral groove depth is the primary and most significant factor influencing blood velocity, blood pressure, and vessel deformation. In contrast, spiral pitch emerged as the main and critical factor affecting vascular wall shear stress. Meanwhile, thread profile is found to be a secondary factor with relatively minor impacts on all the aforementioned parameters. To achieve the objective of safe interventional diagnosis and treatment, it is recommended that the robot’s spiral structure be designed with a smaller spiral groove depth, a moderate spiral pitch, and a thread profile featuring strong cutting capability.
This work aims to investigate experimentally the control of a turbulent boundary layer over a flat plate based on a genetic-algorithm (GA)-based control system. A novel actuator is developed in house, consisting of one array of 11 spanwise-aligned synthetic minijets through longitudinal miniature slits, each independently controlled in terms of its exit momentum coefficient Cμ, frequency fe and phase ϕ, while nine wall wires are placed downstream of the actuator to measure a variation in wall friction. A GA is employed for the unsupervised learning of near-optimal control strategies, i.e. the optimal ϕ of the synthetic jets, with fe and Cμ optimized first. The learning process unveils three typical control strategies that may attain substantial drag reduction (DR) in both actuation and downstream regions, i.e. conventional uniform forcing (CUF), GA-I and GA-II. The latter two are characterized by the triangle- and trapezoid-like distributions of ϕ, respectively, thus each producing a spanwise motion. The three strategies achieve spanwise-averaged local DR by 45 %, 52 % and 52 %, respectively. The downstream drag-reducing areas exhibit an appreciable difference between the three cases, with CUF recovering drag more rapidly than the other two. It has been found that the three cases are associated with different DR mechanisms and flow physics, which account for the distinct control performances.
Atrial standstill represents a rare cardiac arrhythmia characterised by the complete absence of atrial electrical and mechanical activity. Early diagnostic recognition coupled with comprehensive genetic counselling assumes paramount importance. Herein, we report a rare case of a patient who presented with bradycardia at an early age and demonstrated aggressive atrial standstill during a pacemaker upgrade, which challenged the therapeutic strategy.
Case presentation:
A 5-year-old girl was initially diagnosed with bradycardia. Holter monitoring confirmed severe bradycardia with prolonged sinus arrest episodes. Subsequently, the patient underwent single-chamber pacemaker implantation. During a planned dual-chamber upgrade at age 11, despite systematic exploration of multiple anatomical sites within the right atrium, adequate atrial capture could not be achieved. Intracardiac electrophysiological assessment demonstrated a complete absence of electrical activity in the bi-atrium. While speckle-tracking echocardiography revealed mildly reduced global longitudinal strain with impairment noted in the lateral myocardial segments, indicating potential injuries from ventricular demand pacing. Genetic test identified a compound heterozygous variant of SCN5A c.2431C>T and c.2893C>T. The protein structure of SCN5A has been built and named AF-P21333-F1, and the molecular function of the variant site has been annotated. Additionally, murine scRNA-seq data (GSE132658) revealed cardiac Scn5a expression is confined to the conductive bundles and fibres rather than cardiomyocytes, and the loss-of-function caused aggressive atrial standstill.
Conclusion:
This case provides valuable insights into genotype-phenotype correlations in SCN5A-associated atrial standstill, emphasises the importance of comprehensive electrophysiological assessment during device implantation, and underscores considerations for physiological pacing strategies in paediatric patients requiring lifelong device dependency.
Neuropsychiatric symptoms (NPSs) are prevalent in Alzheimer’s disease (AD), yet their neurobiological etiology remains elusive. We investigated relationships between NPS subsyndromes, plasma neurofilament light chain (NFL), AD-vulnerable brain atrophy, and cognition.
Methods
We included 146 participants from a Chinese cohort. NPSs were assessed using the Neuropsychiatric Inventory Questionnaire and clustered into four subsyndromes (hyperactivity, psychosis, affective, apathy), each graded by severity (none, mild, severe). Sequential mediation analyses examined whether NPSs influence cognition through NFL and atrophy. Additionally, 1534 ADNI participants were enrolled to (1) replicate mediation effects; (2) examine longitudinal relationships of NPSs with incident cognitive decline; and (3) evaluate cognitive discrimination of NPSs and NFL and onset hazards of NPS subsyndromes.
Results
In the discovery cohort, global NPSs burden and three subsyndromes (hyperactivity, affective, apathy) were associated with elevated plasma NFL, poorer global cognition and memory, and reduced brain volumes (all P < 0.05). Sequential mediation revealed that plasma NFL and atrophy mediated the cross-sectional NPSs–cognition relationship, replicated in ADNI. Adding NPSs and NFL improved cognitive discrimination (AUC: 0.6754 to 0.8210, P < 0.001). Additionally, apathy and psychosis showed lower onset hazards than affective and hyperactivity (both P < 0.001).
Conclusions
Baseline NPSs were cross-sectionally associated with elevated NFL, brain atrophy, and poorer cognition. Sequential mediation models supported a pathway linking NPSs to cognition via NFL and atrophy, though longitudinal evidence did not fully confirm temporal directionality. These hypothesis-generating findings require prospective validation.
Boundary layer ingestion (BLI) propulsion can improve aircraft aerodynamic efficiency, but also introduces inlet distortion that affects fan flow and stability. This study investigates the resulting unsteady flow response and loss mechanisms by performing a parallel comparison of unsteady Reynolds-averaged Navier–Stokes (URANS) and large-eddy simulation (LES) under unified geometry and boundary conditions, together with a time-sequence analysis of three representative LES instants. The results show that, compared with URANS, LES provides a more detailed depiction of the distortion pattern and internal vortical structures. LES captures the generation and mixing of fragmented vortex systems, and reveals corner separation near the stator hub and the decay of throughflow capacity, identifying major internal loss sources. The time-sequence comparison further shows that, although the distorted vortex core evolves in strength and shape, its circumferential phase remains essentially preserved, leading to a stable distorted sector at the aerodynamic interface plane. Within this sector, the rotor approaches critical incidence and triggers local separation, while the stator passages exhibit a sector-fixed, circumferentially continuous loss distribution. These findings clarify distortion-induced unsteady loss mechanisms in BLI fans and provide numerical guidance for locating loss regions and supporting distortion-tolerant design of intake–fan integrated systems.
The species of Pavo and Afropavo are known as peafowl, and they occupy a disjunct distribution in southern Asia and central Africa. This distinct geographic distribution has led to debate regarding the origin and evolution of this clade, and the current fossil record of peafowl extends into the Neogene of Europe, Asia, and Africa, pointing to a more recent origin of the disjunction. Here we describe an associated partial skeleton from late Miocene deposits in the Linxia Basin, China, at the edge of the Tibetan Plateau, representing a new extinct bird taxon, Eopavo hezhengensis n. gen. n. sp. The holotype is represented by parts of the limbs, synsacrum, pelvis, pectoral girdle, and vertebrae. Morphological comparisons and a phylogenetic analysis place this extinct species as the closest relative of Pavo and Afropavo, nested within the clade Pavonini. Eopavo hezhengensis has a relatively longer spur given its smaller body frame, likely indicating that the holotype specimen derives from a male individual and that this species possibly participated in aggressive, physical contact between conspecific males as some relatives do today. The small body size of Eopavo may be linked to its occupation of a high-elevation Miocene savanna habitat, which is different from the humid forest preferred by its extant relatives. Along with older fossil peafowl records in the Himalayan area dated to 13.6 Ma, Eopavo hezhengensis helps to document the diversity and ancient history of the peafowl clade in Asia, and it indicates that peafowl dispersed from Asia to other continents during the late Miocene and Pliocene, with the Tibetan Plateau as a potential center of origin.
Maternal mental health strongly influences child development and depression risk. This study investigated how positive and negative dimensions of prenatal maternal mental health differentially shape childhood depressive symptoms through cognitive mediators.
Methods
Participants were drawn from the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) cohort. Of the 1198 mother–child dyads enrolled, 523 (52.6% boys) had sufficient data for the mediation analysis. Maternal mental health at 26 weeks’ gestation was assessed using a bifactor model derived from the Beck Depression Inventory-II, State–Trait Anxiety Inventory, and Edinburgh Postnatal Depression Scale. Child language ability was measured at age 2 years with the Bayley Scales of Infant Development, executive function at age 7 years with the Behaviour Rating Inventory of Executive Function, and depressive symptoms at age 9 years with the Children’s Depression Inventory-2. Serial mediation models tested hypothesized pathways.
Results
Distinct mediation pathways emerged. Positive maternal mental health was associated with enhanced early language ability, which in turn was associated with fewer depressive symptoms in later childhood (β = −0.017, 95% CI: −0.042, −0.003). Conversely, negative maternal mental health was associated with poorer executive functioning, which in turn was associated with more depressive symptoms (β = 0.040, 95% CI: 0.016–0.077).
Conclusions
Positive and negative maternal mental health are linked to childhood depressive symptoms through distinct neurocognitive pathways. By identifying language and executive function as specific developmental mediators, our findings point to targeted and developmentally sensitive intervention opportunities to disrupt intergenerational pathways of depression.
We investigate experimentally the flow structure in a fluid layer of thermal conductivity $k$, heated from below with a uniform heat flux $F$, and exposed to a horizontal temperature gradient, $\lambda$, on the top plate. This is a model system for the dynamics in subglacial lakes where such a competition between Rayleigh–Bénard convection (RBC) and horizontal convection (HC) is thought to happen. We evidence a hysteretic transition from a RBC flow structure to a HC flow structure when the non-dimensional control parameter, $\varLambda = k\lambda /F$, is $4\times 10^{-4}$ when $\varLambda$ is decreasing, and $7\times 10^{-4}$ when $\varLambda$ is increasing. These values are lower than the threshold value found in recent two-dimensional direct numerical simulations (Couston et al. 2022 J. Fluid Mech., vol. 947, p. A13), of order $10^{-2}$, highlighting the importance of exploring three-dimensional dynamics at higher realistic Prandtl numbers, and suggesting that HC may be more common in subglacial lakes than previously predicted. For large values of $\varLambda$, we observe that the warmest part of the top plate has approximately the same temperature as the bottom plate, such that a stable temperature gradient settles below the warm side of the top plate. Thermal plumes are no longer visible in this region, and seem to be replaced by internal gravity waves.
The objective of this study was to investigate the gene-breastfeeding interaction on BMI based on the Chinese National Twin Register (CNTR). The study included 4,573 pairs of same-sex twins aged 2–18 from CNTR. Data were collected using a self-reported questionnaire, and a structural equation model was used to analyze the gene-environment interaction of breastfeeding with BMI in six age groups. Our findings indicate that as age increases, the heritability of BMI shows an increasing trend, being the lowest (h2: 0.08; 95% CI [0.00, 0.19]) in the 6- to 8-year age group and the highest (h2: 0.57, 95% CI [0.44, 0.72]) in the 12- to 14-year age group. Additionally, breastfeeding significantly modified the additive genetic component of BMI in the 6- to 8-year age group and 12- to 14-year age group. In the 6- to 8-year age group, breastfeeding decreased the impact of genes on BMI, with a genetic effect modification coefficient (βa) of −0.19 (−0.25, −0.13). In the 12- to 14-year age group, breastfeeding increased the impact of genes on BMI, with a genetic effect modification coefficient (βa) of 0.08 (0.02, 0.15). In conclusion, as age increases, the genetic influence on children’s BMI becomes more pronounced. Breastfeeding may modulate genetic effects at the ages of 6–8 and 12–14. Given the metabolic diversity of obesity, our findings offer insight into how breastfeeding interacts with genetic background, helping to unravel the complex gene–environment interplay influencing obesity.
Multi-plane light conversion (MPLC) is a versatile technique that enables arbitrary manipulation of optical fields, and is numerically investigated as a novel avenue for coherent beam combining (CBC) applications. The optical parameters have been investigated to guide the MPLC design, indicating that the number of phase planes and plane spacing serve as pivotal factors. The channel scalability is simulated, revealing that the plane spacing should be increased in a larger array to maintain high performance under a few-plane limit. CBC of up to 1027 lasers has been numerically demonstrated with near-diffraction-limited beam quality (M2 of 1.16 and combining efficiency close to 100%) with only seven phase plates. Beam steering is investigated, revealing that steering capability is related to both the number of multiplexed modes in MPLC and their mode fidelities, and the main-lobe power ratio of 87.1% at one divergence angle is achieved in a 10-mode MPLC with five phase plates.
Dietary intervention represents a promising strategy for managing post-surgical patients with Crohn’s disease (CD). This study aims to evaluate the effects of a modified Mediterranean diet (MMD) supplemented with partial enteral nutrition (PEN) for 4–5 weeks on quality of life in post-surgical CD patients, compared with exclusive enteral nutrition (EEN). The study was conducted at The Second Affiliated Hospital of Zhejiang University School of Medicine. The primary outcome was quality of life, measured using the 22-item inflammatory bowel disease quality-of-life questionnaire (IBDQOL-22) at the end of the intervention. Secondary outcomes included nutritional status and disease-related characteristics. Among 115 screened patients, forty-six were randomised to either the EEN group (n 24) or the MMD supplemented with PEN group (n 22). Twenty-three patients in the EEN group and twenty-two in the MMD supplemented with PEN group completed the study and were included for analysis. At the end of the intervention, both groups achieved similar 22-item inflammatory bowel disease quality-of-life questionnaire (IBDQOL-22) scores (EEN v. MMD supplemented with PEN: 88·43 (sd 9·17) v. 87·57 (sd 7·38), P = 0·734). In addition, both groups exhibited comparable nutritional status and disease-related characteristics (all P > 0·05). These results suggest that MMD supplemented with PEN provides comparable clinical benefits to EEN in post-surgical CD patients and may serve as an alternative nutritional strategy.
Social anxiety is a common and impairing condition that often emerges in adolescence.
Aims
This study aimed to examine the prevalence and severity of social anxiety among Chinese youths in the post-COVID-19 era, and to develop a predictive model identifying key factors associated with social anxiety severity.
Method
A total of 555 youths aged 15–25 years completed an online survey via WeChat on social anxiety (Social Phobia Inventory), depressive symptoms (Patient Health Questionnaire), sleep problems (Pittsburgh Sleep Quality Index), social support (Multidimensional Scale of Perceived Social Support) and internalised stigma (Internalized Stigma of Mental Illness Scale). Social anxiety severity and rates were described, and comparisons were made across sociodemographic groups. Hierarchical multiple regression was used to predict social anxiety severity from depression, sleep, social support and stigma. An additional regression examined which components of social anxiety (fear, avoidance, physical symptoms) predict internalised stigma.
Results
In total, 69.55% of participants reported at least mild social anxiety, with 20% reaching severe or very severe levels. Female, younger participants and those with fewer close friends reported significantly higher anxiety. Depressive symptoms (β = 0.31, P < 0.05) and internalised stigma (β = 0.40, P < 0.05) were strong predictors of anxiety severity, while sleep problems and social support were not significant after controlling for these factors. Among social anxiety dimensions, only avoidance significantly predicted higher stigma (β = 0.17, P < 0.01).
Conclusions
The high post-pandemic prevalence of social anxiety among youths highlights the need for early identification, stigma reduction and interventions targeting depression and avoidance to prevent long-term impairments.
Dysregulation of fatty acids metabolism has been associated with the risk of osteoarthritis (OA), yet current evidence from epidemiological or genetic studies remains inconclusive. We aimed to investigate the phenotypic association and genetic architecture between total fatty acids, saturated fatty acids (SFA), MUFA, PUFA and OA. Leveraging individual-level data from the UK Biobank, combined with the hitherto largest genome-wide association studies of fatty acids (n 136 016) and OA (n 826 690) in European individuals, we implemented a comprehensive analytical framework. This included observational and genetic analyses, incorporating phenotypic associations, genetic correlations, cross-trait meta-analysis, enrichment analysis and Mendelian randomisation (MR). Observational analysis identified SFA as a risk factor, while MUFA and PUFA as protective factors for OA. Despite a lack of genome-wide genetic correlation, statistically significant local signals were detected within three specific genomic regions. Cross-trait meta-analysis identified sixty-eight pleiotropic loci shared between fatty acids and OA, of which nine were novel. Enrichment analysis revealed the shared genes were enriched in lipoprotein metabolism, immune response and inflammation regulation pathways. Two-sample MR provided evidence for a causal relationship of MUFA and PUFA on OA that survived false discovery rate correction. This study supports associations between circulating fatty acids and OA, with MUFA and PUFA exerting a protective role. Our findings provide new perspectives into OA prevention especially regarding the potential dietary interventions.
Precise control of the polarization of X-ray lasers is crucial in broad applications such as ultrafast-physics experiments and material characterization. Existing X-ray polarization converters, however, are mainly suited for low-power conditions and usually suffer from either large size or low conversion efficiency. Here we propose a compact and efficient scheme for polarization conversion of high-power, high-intensity femtosecond X-ray lasers, based on linear total internal reflection at the interface of the vacuum and solid-density plasma plate. Particle-in-cell simulations show that although the reflectivity is affected by the density oscillations of the surface plasma waves that are inevitably excited, the single-pass reflectivity can still exceed 95% and approach 100% for a broad range of laser parameters. Beyond its high conversion efficiency and damage resistance, this method offers dynamic tunability and enables ultrafast polarization switching (sub-ps), positioning it as a compact and innovative solution for polarization control in high-power X-ray laser systems.
In view of the post-stroke finger contracture period, the patient’s muscle weakness causes the fingers to bend and not be extended, and the fingers are in a contracture state. A new hand rehabilitation exoskeleton with a cable and leaf spring hybrid drive is designed. The high-stiffness leaf spring helps the patient complete the extension movement, and the flexion and grasping movement is completed under the action of the cable. The exoskeleton combines the cable and the leaf spring in the driving form. It is flexible and can generate enough grasping force to meet daily activities. The workspace when wearing the exoskeleton is analyzed, and the simulation verifies that the exoskeleton has a high movement space. The stiffness of the finger module is analyzed to determine the appropriate size parameters of the leaf spring. The experimental prototype is built, and the structural performance test is carried out. A prosthetic hand model is made to simulate the hand of a patient without motor ability. The position control is carried out to complete the gesture experiment and grasping experiment, which verifies that the exoskeleton can meet the rehabilitation needs and daily grasping movements. Finally, a variety of performance parameters are designed to evaluate a variety of exoskeletons. The comparison shows that the exoskeleton in this paper has significant advantages, and the area coverage rate of the performance evaluation map can reach 70.4% of the ideal exoskeleton.
We examine the dynamic interactions between the large-scale coherent motion and the small-scale turbulence in the passive scalar field of a circular cylinder wake, where the coherent motion exhibits strong periodicity. A combination of four X-wires and four cold wires was used to simultaneously measure the three velocity and temperature fluctuations at nominally the same location. Measurements were taken at $x/d=10$, 20 and 40 in the mean shear plane at Reynolds number 2500, based on the cylinder diameter $d$ and the free-stream velocity. The phase-averaging technique is used to distinguish the large-scale coherent motion from the stochastic motion, enabling the construction of phase-averaged structure functions of the passive scalar in the scale phase plane. The maximum of the coherent scalar $\tilde {\theta }$ closely aligns with the minima of the phase-averaged strain $\langle S \rangle$ and the vortex centre, suggesting that heat is contained within the interior of the vortex. The scale-by-scale distributions of the scalar variance and the streamwise velocity variance exhibit a similar phase dependence associated with the coherent motion. This dependence is perceptible even at the smallest scales. However, as the distance from the cylinder increases, the perceivable scale range decreases and eventually disappears. An expression is formulated to describe the time-averaged second-order structure function of coherent scalar and the time-averaged second-order mixed structure function between the coherent scalar and coherent streamwise velocity at $x/d= 10$ and 20, where the coherent motion is prominent. Furthermore, the scale-by-scale contribution of the coherent scalar variance to the total scalar variance is evaluated. Also, we derive the scale-by-scale scalar variance transport equations that account for the coherent motion in both general and isotropic formulations. Assuming local isotropy, it is found that the equation agrees approximately with the experimental data across all scales at $x/d= 40$. Finally, the differences between the scale-by-scale transport equation for the stochastic scalar variance and that for the stochastic turbulent kinetic energy are discussed.
Conceptual improvements are a significant dimension through which local moral progress occurs, both at the individual and societal levels. Michele Moody-Adams (1999) offers a narrow view of moral progress, suggesting that only a deepened understanding of complex, existing moral concepts can constitute moral progress. Consequently, she views the role of moral philosophy as limited to constructing deeper accounts of these concepts. We broaden Moody-Adams’s (1999) account by identifying three distinct types of conceptual improvements that can constitute moral progress: deepening the understanding of existing concepts, creating new concepts, and enhancing the ability to apply concepts. We support this typology with historical examples where such improvements constituted moral progress. Based on this typology, we argue that the role of moral philosophy extends beyond developing and refining moral theories to include the active creation of new concepts and the facilitation of conceptual application.