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This paper considers two supercritical branching processes with immigration in different random environments, denoted by $\{Z_{1,n}\}$ and $\{Z_{2,m}\}$, with criticality parameters µ1 and µ2, respectively. Under certain conditions, it is known that $\frac{1}{n} \log Z_{1,n} \to \mu_1$ and $\frac{1}{m} \log Z_{2,m} \to \mu_2$ converge in probability as $m, n \to \infty$. We present basic properties about a central limit theorem, a non-uniform Berry–Esseen’s bound, and Cramér’s moderate deviations for $\frac{1}{n} \log Z_{1,n} - \frac{1}{m} \log Z_{2,m}$ as $m, n \to \infty$. To this end, applications to construction of confidence intervals and simulations are also given.
This study aimed to explore clinical characteristics and treatment efficacy in patients with posterior canal benign paroxysmal positional vertigo and different sleep qualities.
Methods
Patients with posterior canal benign paroxysmal positional vertigo were divided into high and low sleep quality groups based on Pittsburgh Sleep Quality Index scores.
Results
No significant baseline differences existed between low (n = 53) and high (n = 39) sleep quality groups. However, the proportion of cupulolithiasis was higher in the low sleep quality group (60.38 per cent vs. 35.90 per cent; p < 0.05). Additionally, the low sleep quality group had a longer median duration of upbeat nystagmus during the Dix-Hallpike test (63.50 seconds vs. 26.80 seconds; p < 0.05) and a lower cured rate in initial repositioning (9.43 per cent vs. 56.41 per cent) compared to high sleep quality group. Repositioning therapy significantly improved depressive and anxiety symptoms in all patients with posterior canal benign paroxysmal positional vertigo, with a more pronounced improvement in depressive symptoms in the low sleep quality group.
Conclusion
Poor sleep quality is associated with higher cupulolithiasis prevalence and treatment resistance, with residual symptoms mainly affecting social functioning.
To fully understand resilience and to inform resilience-promoting interventions, it is important to explore how resilience develops and the factors that influence it. Using a multidimensional approach that considers both well-being resilience (higher than expected wellbeing after adversity) and depression resilience (lower than expected depression after adversity), this study examined resilience trajectories among Chinese 0adolescents and the associations of gratitude and perceived stress with resilience trajectories. Data from a four-wave longitudinal study were analyzed from 563 Chinese adolescents (mean age at Time 1 = 12.83 years, 51.87% boys). Parallel-process latent class growth modeling identified four distinct trajectories of resilience development: flourishing resilience (increasing resilience; 21.67%), increasing wellbeing resilience but decreasing depression resilience (28.24%), declining resilience (29.48%), and increasing depression resilience but decreasing wellbeing resilience (20.61%). Gratitude was associated with greater odds of being in the flourishing resilience group. Furthermore, perceived stress was associated with lower odds of being in the flourishing resilience group and higher odds of being in the declining resilience group. The findings suggest that resilience is a dynamic and multidimensional construct with highly heterogeneous developmental trajectories. Gratitude and perceived stress may be effective targets for interventions to enhance adolescent resilience.
A block of ice in a box heated from below and cooled from above can (partially) melt. Vice versa, a box of water with less heating from below or more cooling from above can (partially) re-solidify. This study investigates the asymmetric behaviours between such melting and freezing processes in this Rayleigh–Bénard geometry, focusing on differences in equilibrium flow structures, solid–liquid interface morphology, and equilibrium mean interface height. Our findings reveal a robust asymmetry across a range of Rayleigh numbers and top cooling temperature (i.e. hysteretic behaviour), where the evolution of freezing shows a unique ‘splitting event’ of convection cells that leads to a non-monotonic height evolution trend. To characterise the differences between melting and freezing, we introduce an effective Rayleigh number and the aspect ratio for the cellular structures, and apply the heat flux balance and the Grossmann–Lohse theory. Based on this, we develop a unifying model for the melting and freezing behaviour across various conditions, accurately predicting equilibrium states for both phase-change processes. This work provides insights into the role of convective dynamics in phase-change symmetry-breaking, offering a framework applicable to diverse systems involving melting and freezing.
Overnutrition during before and pregnancy can cause maternal obesity and raise the risk of maternal metabolic diseases during pregnancy, and in offspring. Lentinus edodes may prevent or reduce obesity. This study aimed to to assess Lentinus edodes fermented products effects on insulin sensitivity, glucose and lipid metabolism in maternal and offspring, and explore its action mechanism. A model of overnutrition during pregnancy and lactation was developed using a 60 % kcal high-fat diet in C57BL6/J female mice. Fermented Lentinus edodes (FLE) was added to the diet at concentrations of 1 %, 3 %, and 5 %. The results demonstrated that FLE to the gestation diet significantly reduced serum insulin levels and homeostatic model assessment for insulin resistance (HOMA-IR) in pregnant mice. FLE can regulate maternal lipid metabolism and reduce fat deposition. Meanwhile, the hepatic phosphoinositide-3-kinase-protein kinase (PI3K/AKT) signaling pathway was significantly activated in the maternal mice. There is a significant negative correlation between maternal FLE supplementation doses and offspring body fat percentage and visceral fat content. Furthermore, FLE supplementation significantly increased offspring weaning litter weight, significantly reduced fasting glucose level, serum insulin level, HOMA-IR and serum glucose level, significantly activated liver PI3K/AKT signaling pathway in offspring, and upregulated the expression of liver lipolytic genes adipose triglyceride lipase, hormone-sensitive lipase and carnitine palmitoyltransferase 1 mRNA. Overall, FLE supplementation can regulate maternal lipid metabolism and reduce fat deposition during pregnancy and lactation, and it may improve insulin sensitivity in pregnant mothers and offspring at weaning through activation of the PI3K/AKT signaling pathway.
A species of acanthocephalan collected from the hindgut of Larimichthys crocea was identified as Longicollum pagrosomi Yamaguti, 1935 based on morphological characteristics. The complete mitochondrial genome of this parasite was sequenced. The mitogenome exhibited a circular structure with a total length of 14 632 bp, containing 12 protein coding genes (PCGs), 2 ribosomal RNAs (rRNAs), 22 transfer RNAs (tRNAs) and 2 major non-coding regions. The most frequently used start codon was GTG, and the most abundant amino acid was valine. The phylogenetic analyses of the mitogenome using Bayesian inference and maximum likelihood methods showed that the genus Longicollum formed a sister clade to the genus Pomphorhynchus, supporting the monophyly of Pomphorhynchus. This study reported a new host for L. pagrosomi and revealed the first complete mitogenome sequence of the genus Longicollum.
The interaction between elastic structures and fluid interfaces, known as ‘hydroelastic’ problems, presents unique challenges to classical frameworks established for rigid spheres and liquid droplets. In this work, we experimentally demonstrate an intriguing phenomenon where ultrasoft hydrogel spheres rebound from a water surface at high impact speeds, even when their density exceeds that of water. We further propose a theoretical force-balance model, incorporating energy redistribution and potential flow theory, to predict the critical impact speed for the transition from sinking to rebounding, as well as the temporal evolution of both spreading diameter and cavity expansion. Our findings extend the classical Weber- and Bond-number-dominated paradigms for rigid spheres and liquid droplets, demonstrating that hydrogel dynamics is controlled by a modified elastocapillary Mach number, with rebound achievable even for hydrophilic spheres. These findings improve the understanding of soft-impact hydrodynamics and offer design principles for applications in biomimetic robotics and energy-absorbing materials.
Spontaneous flow reversals in buoyancy-driven flows are ubiquitous in many fields of science and engineering, often characterized by violent, intermittent occurrences. In this study, we present a complex-network-based reduced-order model to analyse intermittent events in turbulent flows, using temporal and spatial snapshot data. This framework combines elements of dynamical system theory with network science. We demonstrate its utility by applying it to data sequences from intermittent flow reversal events in two-dimensional thermal convection. This approach has proven robust in detecting and quantifying structures and predicting reversals. Additionally, it provides a perspective on the physical mechanisms underlying flow reversals through cluster evolution. This purely data-driven methodology shows the potential to enhance our understanding, prediction and control of turbulent flows and complex systems.
The aspect ratio effect on side and basal melting in fresh water is systematically investigated across a range of Rayleigh numbers and ambient temperatures using direct numerical simulations. The side mean melt rate follows a ${Ra}^{1/4}\,\gamma ^{-3/8}$ scaling relation in the side-melting dominant regime, where ${Ra}$ is the Rayleigh number, and $\gamma$ is the width-to-height aspect ratio of the ice block. In the basal-melting dominant regime, the basal mean melt rate follows a ${Ra}^{1/4}\gamma ^{3/8}$ scaling relation at low Rayleigh numbers, but transitions to a ${Ra}^{1/3}\gamma ^{1/2}$ scaling relation at higher Rayleigh numbers. This scaling transition is attributed to the formation of a bottom cavity resulting from flow separation at high Rayleigh numbers. The overall mean melt rate exhibits a non-monotonic dependence on the aspect ratio, driven by the competition between side and basal melting. The proposed theoretical model successfully captures the observed non-monotonic behaviour, and accurately predicts the overall mean melt rate over the considered range of Rayleigh numbers and ambient temperatures, especially in the side- and basal-melting dominant regimes. More specifically, the side, basal and overall mean melt rates follow a linear ${St}$ scaling relation for ambient temperatures $T_{w}\geqslant 15^{\,\circ }\textrm {C}$, with ${St}$ being the Stefan number (the ratio between sensible heat and latent heat), but deviations from this scaling relation and a non-monotonic dependence on the ambient temperature are observed at lower ambient temperatures, which can be attributed to the density anomaly effect.
Despite the existent studies investigating the risk factors for postoperative pneumonia (POP) following coronary artery bypass grafting (CABG), the comprehensive understanding of POP is constrained by the scarcity of epidemiological data.
Objective:
To investigate the epidemiology and contributing factors of POP in patients undergoing isolated CABG, and establish a prediction model.
Design:
A single center, retrospective case-control study.
Setting:
Seven cardiovascular surgery wards across three campuses of a large general hospital in Henan Province, Mid-China.
Participants:
Patients aged ≥ 18 years who underwent isolated CABG between January 1, 2020 and November 30, 2023.
Methods:
Univariate and multivariate analyses with restricted cubic splines (RCS) were performed to identify factors that independently contributed to POP and explore the potential nonlinear relationships. The prediction model was evaluated via receiver operating characteristic curve analysis.
Results:
POP occurred in 11.34% of patients (518/4569). A total of 416 pathogenic strains were isolated from 381 patients, predominantly Gram-negative bacteria (86.5%). Pathogen distribution varied annually and quarterly. Multivariate analyses indicated that age, diabetes mellitus, smoking, operative duration, red blood cell transfusion, and duration of mechanical ventilation were significantly associated with higher POP risk, whereas higher hemoglobin and total cholesterol levels indicated a reduced likelihood. RCS analysis revealed a nonlinear relationship between operative duration and POP. The prediction model demonstrated a high predictive value (C-statistic: 0.774, 95% CI: 0.735-0.813).
Conclusions:
This study identified eight independent factors that significantly influence the risk of POP following CABG, thereby clarifying the direction for optimizing perioperative prevention strategies for POP.
In this paper, a polarization-reconfigurable antenna fed by a coplanar waveguide (CPW) using a stepped structure is presented. The main parts of the proposed antenna consist of a CPW-fed monopole and four branches. After studying and analyzing the structure and mechanism of the antenna, it was found that different polarizations can be generated by adjusting the antenna’s structure. Based on the mechanism, four PIN diodes are utilized and inserted between the four branches and the monopole for the switching. By controlling the ON/OFF states of the four PIN diodes, the antenna can switch among left-hand circular polarization (LHCP), right-hand circular polarization (RHCP), and linear polarization (LP). The optimized antenna has been fabricated and measured. Measured results indicate that the antenna’s −10-dB impedance bandwidth for LP is 15.93%, covering the frequency range from 2.3 to 2.71 GHz. The overlap bandwidth of −10-dB impedance and 3-dB axial ratio for the LHCP mode is 18.96%, covering frequencies from 2.1 to 2.54 GHz. For the RHCP mode, the overlap bandwidth is 20.5%, covering frequencies from 2 to 2.52 GHz. At all the three polarization modes, the antenna is capable of covering the 2.4-GHz WLAN band (2400–2480 MHz) as well as the LTE TD 2300 band (2300–2400 MHz).
This study examined global trends in influenza-associated lower respiratory infections (LRIs) deaths from 1990 to 2019 using data from the GBD 2019. The annual percentage change (APC) and average annual percentage change (AAPC) were used to analyze age-standardized death rates (ASDR). Globally, the ASDR of influenza-associated LRIs was 3.29/100,000 in 2019, which was higher in the African region (6.57/100,000) and among adults aged 70 years and older (29.88/100,000). The ASDR of influenza-associated LRIs decreased significantly from 1990 to 2019 (AAPC = −1.88%, P < 0.05). However, it was significantly increased among adults aged 70 years and older during 2017–2019 (APC = 2.31%, P < 0.05), especially in Western Pacific Region and South-East Asia Regions. The ratio of death rates between adults aged 70 years and older and children aged under 5 years increased globally from 1.63 in 1990 to 5.34 in 2019, and the Western Pacific Region experienced the most substantial increase, with the ratio soaring from 1.83 in 1990 to 12.98 in 2019. Despite a decline in the global ASDR of influenza-associated LRIs, it continues to impose a significant burden, particularly in the African, Western Pacific regions and among the elderly population.
The school–vacation cycle may have impacts on the psychological states of adolescents. However, little evidence illustrates how transition from school to vacation impacts students’ psychological states (e.g. depression and anxiety).
Aims
To explore the changing patterns of depression and anxiety symptoms among adolescent students within a school–vacation transition and to provide insights for prevention or intervention targets.
Method
Social demographic data and depression and anxiety symptoms were measured from 1380 adolescent students during the school year (age: 13.8 ± 0.88) and 1100 students during the summer vacation (age: 14.2 ± 0.93) in China. Multilevel mixed-effect models were used to examine the changes in depression and anxiety levels and the associated influencing factors. Network analysis was used to explore the symptom network structures of depression and anxiety during school and vacation.
Results
Depression and anxiety symptoms significantly decreased during the vacation compared to the school period. Being female, higher age and with lower mother's educational level were identified as longitudinal risk factors. Interaction effects were found between group (school versus vacation) and the father's educational level as well as grade. Network analyses demonstrated that the anxiety symptoms, including ‘Nervous’, ‘Control worry’ and ‘Relax’ were the most central symptoms at both times. Psychomotor disturbance, including ‘Restless’, ‘Nervous’ and ‘Motor’, bridged depression and anxiety symptoms. The central and bridge symptoms showed variation across the school vacation.
Conclusions
The school–vacation transition had an impact on students’ depression and anxiety symptoms. Prevention and intervention strategies for adolescents’ depression and anxiety during school and vacation periods should be differentially developed.
We report a high-power ultra-narrow fiber-coupled diode laser using a Faraday anomalous dispersion optical filter (FADOF) as an external cavity element. An external cavity suitable for both the fiber-coupled package and FADOF configuration has been proposed. Using a 87Rb-based FADOF as the frequency-selective element, we realized a 103 W continuous laser output with a uniform circular beam. The center wavelength was precisely locked at the D2 line of the Rb resonance, and the bandwidth was narrowed from 1.8 nm (free-running, full width at half maximum (FWHM)) to 0.013 nm (6.9 GHz, FWHM). The side mode suppression ratio reached 31 dB. Such diode lasers with precise wavelength and high spectral brightness have critical applications in many fields, such as high-energy gas laser pumping, spin-exchange optical pumping, Raman spectroscopy and nonlinear optics.
Melting and solidification in periodically time-modulated thermal convection are relevant for numerous natural and engineering systems, for example, glacial melting under periodic sun radiation and latent thermal energy storage under periodically pulsating heating. It is highly relevant for the estimation of melt rate and melt efficiency management. However, even the dynamics of a solid–liquid interface shape subjected to a simple sinusoidal heating has not yet been investigated in detail. In this paper, we offer a better understanding of the modulation frequency dependence of the melting and solidification front. We numerically investigate periodic melting and solidification in turbulent convective flow with the solid above and the melted liquid below, and sinusoidal heating at the bottom plate with the mean temperature equal to the melting temperature. We investigate how the periodic heating can prevent the full solidification, and the resulting flow structures and the quasi-equilibrium interface height. We further study the dependence on the heating modulation frequency. As the frequency decreases, we found two distinct regimes, which are ‘partially solid’ and ‘fully solid’. In the fully solid regime, the liquid freezes completely, and the effect of the modulation is limited. In the partially solid regime, the solid partially melts, and a steady or unsteady solid–liquid interface forms depending on the frequency. The interface height can be derived based on the energy balance through the interface. In the partially solid regime, the interface height oscillates periodically, following the frequency of modulation. Here, we propose a perturbation approach that can predict the dependency of the oscillation amplitude on the modulation frequency.
Social determinants of health (SDoH), such as socioeconomics and neighborhoods, strongly influence health outcomes. However, the current state of standardized SDoH data in electronic health records (EHRs) is lacking, a significant barrier to research and care quality.
Methods:
We conducted a PubMed search using “SDOH” and “EHR” Medical Subject Headings terms, analyzing included articles across five domains: 1) SDoH screening and assessment approaches, 2) SDoH data collection and documentation, 3) Use of natural language processing (NLP) for extracting SDoH, 4) SDoH data and health outcomes, and 5) SDoH-driven interventions.
Results:
Of 685 articles identified, 324 underwent full review. Key findings include implementation of tailored screening instruments, census and claims data linkage for contextual SDoH profiles, NLP systems extracting SDoH from notes, associations between SDoH and healthcare utilization and chronic disease control, and integrated care management programs. However, variability across data sources, tools, and outcomes underscores the need for standardization.
Discussion:
Despite progress in identifying patient social needs, further development of standards, predictive models, and coordinated interventions is critical for SDoH-EHR integration. Additional database searches could strengthen this scoping review. Ultimately, widespread capture, analysis, and translation of multidimensional SDoH data into clinical care is essential for promoting health equity.
Escherichia albertii is an emerging foodborne enteropathogen associated with infectious diarrhoea in humans. In February 2023, an outbreak of acute gastroenteric cases was reported in a junior high school located in Hangzhou, Zhejiang province, China. Twenty-two investigated patients presented diarrhoea (22/22, 100%), abdominal pain (21/22, 95.5%), nausea (6/22, 27.3%), and vomiting (3/22, 13.6%). E. albertii strains were successfully isolated from anal swabs collected from six patients. Each isolate was classified as sequence type ST2686, harboured eae-β gene, and carried both cdtB-I and cdtB-II subtypes, being serotyped as EAOg32:EAHg4 serotype. A comprehensive whole-genome phylogenetic analysis revealed that the six isolates formed a distinct cluster, separate from other strains. These isolates exhibited minimal genetic variation, differing from one another by 0 to 1 single nucleotide polymorphism, suggesting a common origin from a single clone. To the best of our knowledge, this represented the first reported outbreak of gastroenteritis attributed to E. albertii outside of Japan on a global scale.
The potential threshold for dietary energy intake (DEI) that might prevent protein-energy wasting (PEW) in chronic kidney disease (CKD) is uncertain. The subjects were non-dialysis CKD patients aged ≥ 14 years who were hospitalised from September 2019 to July 2022. PEW was measured by subjective global assessment. DEI and dietary protein intake (DPI) were obtained by 3-d diet recalls. Patients were divided into adequate DEI group and inadequate DEI group according to DEI ≥ 30 or < 30 kcal/kg/d. Logistic regression analysis and restricted cubic spline were used in this study. We enrolled 409 patients, with 53·8 % had hypertension and 18·6 % had diabetes. The DEI and DPI were 27·63 (sd 5·79) kcal/kg/d and 1·00 (0·90, 1·20) g/kg/d, respectively. 69·2 % of participants are in the inadequate DEI group. Malnutrition occurred in 18·6 % of patients. Comparing with patients in the adequate DEI group, those in the inadequate DEI group had significantly lower total lymphocyte count, serum cholesterol and LDL-cholesterol and a higher prevalence of PEW. For every 1 kcal/kg/d increase in DEI, the incidence of PEW was reduced by 12·0 % (OR: 0·880, 95 % CI: 0·830, 0·933, P < 0·001). There was a nonlinear curve relationship between DEI and PEW (overall P < 0·001), and DEI ≥ 27·6 kcal/kg/d may have a preventive effect on PEW in CKD. Low DPI was also significantly associated with malnutrition, but not when DEI was adequate. Decreased energy intake may be a more important factor of PEW in CKD than protein intake.
Caused by multiple risk factors, heavy burden of major depressive disorder (MDD) poses serious challenges to public health worldwide over the past 30 years. Yet the burden and attributable risk factors of MDD were not systematically known. We aimed to reveal the long-term spatio-temporal trends in the burden and attributable risk factors of MDD at global, regional and national levels during 1990–2019.
Methods
We obtained MDD and attributable risk factors data from Global Burden of Disease Study 2019. We used joinpoint regression model to assess the temporal trend in MDD burden, and age–period–cohort model to measure the effects of age, period and birth cohort on MDD incidence rate. We utilized population attributable fractions (PAFs) to estimate the specific proportions of MDD burden attributed to given risk factors.
Results
During 1990–2019, the global number of MDD incident cases, prevalent cases and disability-adjusted life years (DALYs) increased by 59.10%, 59.57% and 58.57%, respectively. Whereas the global age-standardized incidence rate (ASIR), age-standardized prevalence rate (ASPR) and age-standardized DALYs rate (ASDR) of MDD decreased during 1990–2019. The ASIR, ASPR and ASDR in women were 1.62, 1.62 and 1.60 times as that in men in 2019, respectively. The highest age-specific incidence, prevalence and DALYs rate occurred at the age of 60–64 in women, and at the age of 75–84 in men, but the maximum increasing trends in these age-specific rates occurred at the age of 5–9. Population living during 2000–2004 had higher risk of MDD. MDD burden varied by socio-demographic index (SDI), regions and nations. In 2019, low-SDI region, Central sub-Saharan Africa and Uganda had the highest ASIR, ASPR and ASDR. The global PAFs of intimate partner violence (IPV), childhood sexual abuse (CSA) and bullying victimization (BV) were 8.43%, 5.46% and 4.86% in 2019, respectively.
Conclusions
Over the past 30 years, the global ASIR, ASPR and ASDR of MDD had decreased trends, while the burden of MDD was still serious, and multiple disparities in MDD burden remarkably existed. Women, elderly and populations living during 2000–2004 and in low-SDI regions, had more severe burden of MDD. Children were more susceptible to MDD. Up to 18.75% of global MDD burden would be eliminated through early preventing against IPV, CSA and BV. Tailored strategies-and-measures in different regions and demographic groups based on findings in this studywould be urgently needed to eliminate the impacts of modifiable risk factors on MDD, and then mitigate the burden of MDD.