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Do government activities discourage or leverage nonprofit activities? The extant literature has proposed competing lines of arguments, making the net effect ambiguous. The present study conducts a meta-analysis to synthesize extant studies concerning the relationship between the level of government activities and the level of nonprofit activities within a locality and explore potential moderating effects. Through systematically reviewing 30 extant studies, the study finds a mostly positive association between the level of government activities and the level of nonprofit activities, but this relationship is generally weak and sometimes statistically insignificant. In addition, the moderator analysis concludes that data structure, unit of analysis, and field of activity significantly moderate effect size estimates across extant studies. Overall, the net relationship between the level of government activities and the level of nonprofit activities within a locality ranges from null to slight positive. Government activities generally seem not to discourage nonprofit activities, but may slightly leverage them.
High-sensitivity observations of PSR J1919+1745 were conducted using the Five-hundred-metre Aperture Spherical Radio Telescope (FAST) at a central frequency of 1 250 MHz, enabling a detailed investigation of its single-pulse behaviour. Our research indicates that this pulsar is a normal pulsar, exhibiting null behaviour, subpulse drifting, and occasional bright pulses. Moreover, we observed that the null events tend to be of short duration, with an estimated overall null fraction of approximately $29.5\pm1.1\% $. Through Sliding Fluctuation Spectrum analysis, the modulation period of subpulse drifting is determined to be $P_3=(6.1 \pm 0.7)P_1$ (where $P_1$ denotes the pulsar rotation period), and a non-drifting behaviour is also observed besides this. Analysis using the Harmonic-Resolved Fourier Spectrum indicates that a combination of amplitude modulation and phase modulation causes the subpulse drifting behaviour of this pulsar. Furthermore, the value $P_2$, derived from phase modulation, is approximately $360^\circ / 21 = 17.1^\circ$. polarisation analysis shows a moderate degree of linear polarisation ($37.22\pm0.59\% $), an S-shaped swing in the polarisation position angle, and an approximate $90^\circ$ orthogonal polarisation jump. The radiation characteristics of PSR J1919+1745 will expand the sample of pulsars with pulse null and subpulse drifting, thus contributing to future systematic studies on the physical origins of pulse null and subpulse drifting phenomena.
Acute effects of a daily dose of red wine may cause deterioration of visual function; however, there is limited information on healthy individuals. This study aims to investigate acute effects of daily red wine consumption on visual function and retinal microvasculature in healthy young adults through a randomised self-controlled design and to explore the molecular mechanisms using an animal model. In healthy young adults’ study, twenty-seven adults with follow-up at baseline, 0·5 h and 2 h after consuming 300 ml of either red wine or water underwent blood biochemistry, visual function, morphology and blood flow of retinal and choroidal vasculatures, and cerebral blood flow (CBF) evaluation. Acute red wine consumption caused abnormal changes in retinal function (multifocal visual electrophysiology) that preceded changes in vision. Macular vessel diameter index (VDI) increased significantly at 0·5 h but decreased significantly at 2 h, despite increased regional CBF following red wine consumption, which was consistent with increased choroidal thickness and decreased retinal thickness. Animal experiments conducted on Brown Norway rats demonstrated a significant decrease in retinal VDI and vessel area density (VAD) associated with increased reactive oxygen species production following red wine administration, as well as decreased endothelial nitric oxide synthase (eNOS) and increased endothelin-1 (ET-1) levels in the retina. Consequently, red wine consumption caused abnormal changes in retinal function and microvascular constriction in healthy young adults, and an animal model suggested that the underlying mechanism may involve the regulation of eNOS and ET-1 levels in the retina. These findings imply the potential detrimental effects of drinking habits on individuals with retinal ischaemic diseases.
This paper examines China’s emerging case law system through an empirical analysis of more than 10,000 court judgments issued between 2019 and 2021. It challenges prevailing academic views that Guiding Cases are ‘de facto binding’ on Chinese courts and that China’s case law system could be interpreted through a common law lens. Instead, the study shows that the Chinese approach is characterised by distinct objectives, methodologies, and applications. The paper further highlights the practice of ‘mandatory search for similar cases’, which has substantially expanded the role of cases in judicial decision-making. China’s case law system remains in its formative stages, marked by notable uncertainties and challenges. This research underscores the importance of sustained empirical inquiry into legal rules and practices to better understand the trajectory of China’s case law system and the broader implications of this novel approach for contemporary judicial practice.
Antimicrobial resistance (AMR) is a global health crisis exacerbated by policies like China’s Volume-Based Procurement (VBP), which may inadvertently increase antimicrobial overuse. This study evaluates a clinical pharmacist-led Antimicrobial Stewardship (AMS) program with prospective audit for special-restricted antimicrobials under VBP.
Methods:
A retrospective quasi-experimental interrupted time-series analysis compared pre-intervention (2022) and post-intervention (2023–2024) data at Tongji Hospital, a tertiary hospital in Wuhan, China. Key metrics included Antimicrobial Use Density (AUD), prescription rationality, antimicrobial costs, and multidrug-resistant infection rates.
Results:
The intervention significantly improved prescription appropriateness for special-restricted antimicrobials (80.24% vs. 93.83%, P < 0.005) and reduced AUD (47.87 vs. 34.25, P < 0.001). Total antimicrobial costs decreased by 41.26%, with a reduction in the incidence of multidrug-resistant infections from 0.084% to 0.062% (P < 0.05). Carbapenem use correlated with CRKP isolation rates (R = 0.62, P < 0.05). Clinical pharmacists rejected 10.24% of prescriptions, all accepted by physicians.
Conclusion:
Pharmacist-led prospective audits optimize antimicrobial use under VBP, mitigate resistance risks, and reduce costs, while acknowledging that concurrent infection control measures may have contributed to these trends. This model may inform similar interventions in other institutions, particularly those in resource-limited settings.
In this article, we consider a fully nonlinear equation associated with the Christoffel–Minkowski problem in hyperbolic space. By using the full rank theorem, we establish the existence of h-convex solutions when the prescribed functions on the right-hand side are under some appropriate assumption.
The evolution of the mixing layer in rotation-driven Rayleigh–Taylor (RT) turbulence is investigated theoretically and numerically. It is found that the evolution of the turbulent mixing layer in rotation-driven RT turbulence is self-similar, but the width of the mixing layer does not follow the classical quadratic growth observed in planar RT turbulence induced by constant external acceleration. Based on the approach used in cylindrical RT turbulence without rotation (Zhao et al. 2021, Phys. Rev. E, vol. 104, 055104), a theoretical model is established to predict the growth of mixing widths in rotation-driven RT turbulence, and the model’s excellent agreement with direct numerical simulations (DNS) serves to validate its reliability. The model proposes a rescaled time that allows for the unification of the evolutions of the mixing layers in rotation-driven RT turbulence with various Atwood numbers and rotation numbers. It is further identified that the growth law described by the model of rotation-driven RT turbulence can be recovered to quadratic growth when the effects of geometrical curvature, radial inhomogeneity of the centrifugal force, and Coriolis force become negligible. Moreover, based on the DNS results, we find that turbulent mixing layers in rotation-driven RT turbulence cover a wide range of length scales. The strong rotation at the same Atwood number enhances the generation of fine-scale structures but is not conducive to overall fluid mixing within the mixing layer.
Several million years of natural evolution have endowed marine animals with high flexibility and mobility. A key factor in this achievement is their ability to modulate stiffness during swimming. However, an unresolved puzzle remains regarding how muscles modulate stiffness, and the implications of this capability for achieving high swimming efficiency. Inspired by this, we proposed a self-propulsor model that employs a parabolic stiffness-tuning strategy, emulating the muscle tensioning observed in biological counterparts. Furthermore, efforts have been directed towards developing the nonlinear vortex sheet method, specifically designed to address nonlinear fluid–structure coupling problems. This work aims to analyse how and why nonlinear tunable stiffness influences swimming performance. Numerical results demonstrate that swimmers with nonlinear tunable stiffness can double their speed and efficiency across nearly the entire frequency range. Additionally, our findings reveal that high-efficiency biomimetic propulsion originates from snap-through instability, which facilitates the emergence of quasi-quadrilateral swimming patterns and enhances vortex strength. Moreover, this study examines the influence of nonlinear stiffness on swimming performance, providing valuable insights into the optimisation of next-generation, high-performance, fish-inspired robotic systems.
In this paper, a millimeter-wave (mmWave) wideband high-gain low-temperature co-fired ceramic (LTCC) phased array using ridged substrate integrated waveguide (RSIW) element is proposed, which can cover n257/n258 bands (24.25–29.5 GHz). First, a novel widebeam and high-gain RSIW slot antenna subarray is designed, which is constructed by staggered longitudinal slot that incorporated with additional radiating elements on the non-scanning plane. Further, the proposed widebeam antenna subarray is applied to construct a 1 × 4 array integrated in an LTCC package with small element spacing of about 0.41λ0. Moreover, by adding isolation slots and metal vias between adjacent array elements, the isolation of ports thereby is reduced below −15 dB, and the scanning range is increased up to ±7°. A wideband and low-loss feeding network is realized by series-parallel combined feeding, further improving isolation and scanning performance after assembly. The simulation and measurement demonstrate that the antenna array possesses satisfied beam-scanning capabilities over wide bandwidth of ∼20%, achieving maximum scanning angle up to ±62° while maintaining desirable gain above 14.5 dBi. Furthermore, within the entire operating bandwidth, the scanning angles extend to ±55° with minimal variation. These features show that the proposed antenna array is promising for 5G mmWave communications.
The NutriLight system presents a novel dietary approach designed to enhance health communication, promote sustainable eating habits, and address limitations in existing dietary patterns. Using a traffic light scoring system, it simplifies dietary recommendations, making them more accessible and adaptable across diverse populations. Unlike rigid diets, NutriLight categorises foods into green, yellow, and red groups, encouraging balance rather than restriction. This flexibility allows for cultural adaptations, ensuring relevance in different dietary contexts while supporting planetary health. Additionally, NutriLight mitigates the risk of nutrient deficiencies by emphasising whole, minimally processed foods and reducing overconsumption of unhealthy options. While promising, its effectiveness depends on proper implementation, localised adaptation, and long-term evaluation to confirm its health benefits. By bridging the gap between nutritional science and practical application, NutriLight has the potential to serve as an effective tool in public health nutrition, fostering healthier and more sustainable dietary choices worldwide.
A dual-beam platform is developed for all-optical Thomson/Compton scattering, with versatile parameter tuning capabilities including electron energy, radiation energy, radiation polarization, etc. By integrating this platform with a 200 TW Ti:sapphire laser system, we demonstrate the generation of inverse Compton scattering X-/gamma-rays with tunable energies ranging from tens of keV to MeV. The polarization of X-/gamma-rays is manipulated by adjusting the polarization of the scattering laser. In the near future, by combining this platform with multi-PW laser facilities, our goal is to explore the transition from nonlinear Thomson scattering to nonlinear Compton scattering, ultimately verifying theories related to strong-field quantum electrodynamics effects induced by extreme scattering.
An actively controllable cascaded proton acceleration driven by a separate 0.8 picosecond (ps) laser is demonstrated in proof-of-principle experiments. MeV protons, initially driven by a femtosecond laser, are further accelerated and focused into a dot structure by an electromagnetic pulse (EMP) on the solenoid, which can be tuned into a ring structure by increasing the ps laser energy. An electrodynamics model is carried out to explain the experimental results and show that the dot-structured proton beam is formed when the outer part of the incident proton beam is optimally focused by the EMP force on the solenoid; otherwise, it is overfocused into a ring structure by a larger EMP. Such a separately controlled mechanism allows precise tuning of the proton beam structures for various applications, such as edge-enhanced proton radiography, proton therapy and pre-injection in traditional accelerators.
Rheumatoid arthritis (RA) is a systemic autoimmune disease characterized by chronic inflammation of the synovial membrane, leading to cartilage destruction and bone erosion. Due to the complex pathogenesis of RA and the limitations of current therapies, increasing research attention has been directed towards novel strategies targeting fibroblast-like synoviocytes (FLS), which are key cellular components of the hyperplastic pannus. Recent studies have highlighted the pivotal role of FLS in the initiation and progression of RA, driven by their tumour-like transformation and the secretion of pro-inflammatory mediators, including cytokines, chemokines and matrix metalloproteinases. The aggressive phenotype of RA-FLS is marked by excessive proliferation, resistance to apoptosis, and enhanced migratory and invasive capacities. Consequently, FLS-targeted therapies represent a promising avenue for the development of next-generation RA treatments. The efficacy of such strategies – particularly those aimed at modulating FLS signalling pathways – has been demonstrated in both preclinical and clinical settings, underscoring their therapeutic potential. This review provides an updated overview of the pathogenic mechanisms and functional roles of FLS in RA, with a focus on critical signalling pathways under investigation, including Janus kinase/signal transducer and activator of transcription (JAK/STAT), mitogen-activated protein kinase (MAPK), nuclear factor kappa B (NF-κB), Notch and interleukin-1 receptor-associated kinase 4 (IRAK4). In addition, we discuss the emerging understanding of FLS-subset-specific contributions to immunometabolism and explore how computational biology is shaping novel targeted therapeutic strategies. A deeper understanding of the molecular and functional heterogeneity of FLS may pave the way for more effective and precise therapeutic interventions in RA.
Multidisciplinary research is deepening our understanding of high-altitude pastoralism on the Tibetan Plateau, but such studies also highlight a strong riverine bias in the location of excavated sites. In a move to address this skewing of the dataset, the authors propose the exploration of modern highland corrals with shovel testing and test excavations as a labour-efficient survey method, streamlined through the identification of potential sites from satellite imagery. Three prehistoric sites were successfully located using this method, the earliest dating to the first millennium BC, encouraging the reconsideration of current survey strategies in Tibet and other mountainous regions.
The robot manipulator is commonly employed in the space station experiment cabinet for the disinfection task. The challenge lies in devising a motion trajectory for the robot manipulator that satisfies both performance criteria and constraints within the confined space of an experimental cabinet. To address this issue, this paper proposes a trajectory planning method in joint space. This method constructs the optimal trajectory by transforming the original problem into a constrained multi-objective optimization problem. This is then solved and integrated with the seventh-degree B-spline curve. The optimization algorithm utilizes an indicator-based adaptive differential evolution algorithm, enhanced with improved Tent chaotic mapping and opposition-based learning for population initialization. The method employed the Fréchet distance to design a trajectory selection strategy based on the Pareto solutions to ensure that the planned trajectory complies with Cartesian space requirements. This allows the robot manipulator end-effector to approximate the desired path in Cartesian space closely. The findings indicate that the proposed method can effectively design the robot manipulator trajectory, considering both joint motion performance and end-effector motion constraints. This ensures that the robot manipulator operates efficiently and safely within the experimental cabinet.
The virtual model control (VMC) method establishes a direct correlation model between the end-effector and the main body by selecting appropriate virtual mechanical components. This approach facilitates direct force control while circumventing the necessity for complex dynamic modeling. However, the simplification inherent in this modeling can result in inaccuracies in the calculation of joint driving torques, ultimately diminishing control precision. Moreover, VMC typically depends on predefined models for control, which constrains its adaptability in dynamically complex environments and under varying movement conditions. To address these limitations, this paper proposes the BP-VMC method, which is based on a backpropagation neural network (BPNN). Initially, a quadruped robot model was established through kinematic analysis. Subsequently, a decomposed VMC model was developed, and BPNN was introduced to facilitate the adaptive tuning of virtual parameters. This approach resulted in the creation of a virtual mechanical component model with adaptive capabilities, compensating for errors arising from simplified modeling. Finally, a simulation control system was constructed based on the BP-VMC control framework to validate the optimization of control performance. Simulation experiments demonstrated that, in comparison to traditional VMC methods, the BP-VMC method exhibits enhanced control accuracy and stability, achieving a 30% reduction in trajectory tracking error, a 40% reduction in velocity tracking error, and a 20–30% improvement in instability indices across various working conditions. This evidence underscores the BP-VMC method’s robust adaptability in dynamic environments.
With the growing attention on large-scale educational testing and assessment, the ability to process substantial volumes of response data becomes crucial. Current estimation methods within item response theory (IRT), despite their high precision, often pose considerable computational burdens with large-scale data, leading to reduced computational speed. This study introduces a novel “divide- and-conquer” parallel algorithm built on the Wasserstein posterior approximation concept, aiming to enhance computational speed while maintaining accurate parameter estimation. This algorithm enables drawing parameters from segmented data subsets in parallel, followed by an amalgamation of these parameters via Wasserstein posterior approximation. Theoretical support for the algorithm is established through asymptotic optimality under certain regularity assumptions. Practical validation is demonstrated using real-world data from the Programme for International Student Assessment. Ultimately, this research proposes a transformative approach to managing educational big data, offering a scalable, efficient, and precise alternative that promises to redefine traditional practices in educational assessments.
Our study aimed to develop and validate a nomogram to assess talaromycosis risk in hospitalized HIV-positive patients. Prediction models were built using data from a multicentre retrospective cohort study in China. On the basis of the inclusion and exclusion criteria, we collected data from 1564 hospitalized HIV-positive patients in four hospitals from 2010 to 2019. Inpatients were randomly assigned to the training or validation group at a 7:3 ratio. To identify the potential risk factors for talaromycosis in HIV-infected patients, univariate and multivariate logistic regression analyses were conducted. Through multivariate logistic regression, we determined ten variables that were independent risk factors for talaromycosis in HIV-infected individuals. A nomogram was developed following the findings of the multivariate logistic regression analysis. For user convenience, a web-based nomogram calculator was also created. The nomogram demonstrated excellent discrimination in both the training and validation groups [area under the ROC curve (AUC) = 0.883 vs. 0.889] and good calibration. The results of the clinical impact curve (CIC) analysis and decision curve analysis (DCA) confirmed the clinical utility of the model. Clinicians will benefit from this simple, practical, and quantitative strategy to predict talaromycosis risk in HIV-infected patients and can implement appropriate interventions accordingly.
Folate metabolism is involved in the development and progression of various cancers. We investigated the association of single nucleotide polymorphisms (SNP) in folate-metabolising genes and their interactions with serum folate concentrations with overall survival (OS) and liver cancer-specific survival (LCSS) of newly diagnosed hepatocellular carcinoma (HCC) patients. We detected the genotypes of six SNP in three genes related to folate metabolism: methylenetetrahydrofolate reductase (MTHFR), 5-methyltetrahydrofolate-homocysteine methyltransferase reductase (MTRR) and 5-methyltetrahydrofolate-homocysteine methyltransferase (MTR). Cox proportional hazard models were used to calculate multivariable-adjusted hazard ratios (HR) and 95 % CI. This analysis included 970 HCC patients with genotypes of six SNP, and 864 of them had serum folate measurements. During a median follow-up of 722 d, 393 deaths occurred, with 360 attributed to HCC. In the fully-adjusted models, the MTRR rs1801394 polymorphism was significantly associated with OS in additive (per G allele: HR = 0·84, 95 % CI: 0·71, 0·99), co-dominant (AG v. AA: HR = 0·77; 95 % CI: 0·62, 0·96) and dominant (AG + GG v. AA: HR = 0·78; 95 % CI: 0·63, 0·96) models. Carrying increasing numbers of protective alleles was linked to better LCSS (HR10–12 v. 2–6 = 0·70; 95 % CI: 0·49, 1·00) and OS (HR10–12 v. 2–6 = 0·67; 95 % CI: 0·47, 0·95). Furthermore, we observed significant interactions on both multiplicative and additive scales between serum folate levels and MTRR rs1801394 polymorphism. Carrying the variant G allele of the MTRR rs1801394 is associated with better HCC prognosis and may enhance the favourable association between higher serum folate levels and improved survival among HCC patients.