Effect of transcutaneous auricular vagus nerve stimulation on impaired glucose tolerance: a pilot randomized study

Background: Impaired glucose tolerance (IGT) is a pre-diabetic state of hyperglycemia that is associated with insulin resistance, increased risk of type II diabetes, and cardiovascular pathology. Recently, investigators hypothesized that decreased vagus nerve activity may be the underlying mechanism of metabolic syndrome including obesity, elevated glucose levels, and high blood pressure. Methods: In this pilot randomized clinical trial, we compared the efficacy of transcutaneous auricular vagus nerve stimulation (taVNS) and sham taVNS on patients with IGT. 72 participants with IGT were single-blinded and were randomly allocated by computer-generated envelope to either taVNS or sham taVNS treatment groups. In addition, 30 IGT adults were recruited as a control population and not assigned treatment so as to monitor the natural fluctuation of glucose tolerance in IGT patients. All treatments were self-administered by the patients at home after training at the hospital. Patients were instructed to fill in a patient diary booklet each day to describe any side effects after each treatment. The treatment period was 12 weeks in duration. Baseline comparison between treatment and control group showed no difference in weight, BMI, or measures of systolic blood pressure, diastolic blood pressure, fasting plasma glucose (FPG), 2-hour plasma glucose (2hPG), or glycosylated hemoglobin (HbAlc). Results: 100 participants completed the study and were included in data analysis. Two female patients (one in the taVNS group, one in the sham taVNS group) dropped out of the study due to stimulation-evoked dizziness. The symptoms were relieved after stopping treatment. Compared with sham taVNS, taVNS significantly reduced the two-hour glucose tolerance (F(2) = 5.79, p = 0.004). In addition, we found that taVNS significantly decreased (F(1) = 4.21, p = 0.044) systolic blood pressure over time compared with sham taVNS. Compared with the no-treatment control group, patients receiving taVNS significantly differed in measures of FPG (F(2) = 10.62, p < 0.001), 2hPG F(2) = 25.18, p < 0.001) and HbAlc (F(1) = 12.79, p = 0.001) over the course of the 12 week treatment period. Conclusions: Our study suggests that taVNS is a promising, simple, and cost-effective treatment for IGT/ pre-diabetes with only slight risk of mild side-effects

An economic analysis of oases environmental deterioration in Xinjiang autonomous region of China

新彊は豊富な農業と鉱山資源を持ち、中国においても綿花、食料、それに石油資源のー大供給基地となっている。しかし広大の新彊自治区は気候が乾燥のため、人間活動の殆どが天然、或いは人工アオシスに集中しているが、そのアオシスの生態環境は人口増加と過度の農業開発などにより、全体的に悪化しつづけている。本論文は、新彊自治区における自然条件とアオシスの生態悪化の現状を概観し、環境悪化をもたらした自然的・経済的・制度的な要因を分析したい

Study on Restoration Materials for Historical Silty Earthen Sites Based on Lime and Starch Ether

The relics built with soil are called earthen archaeological sites. Many silt earthen sites exposed to natural environment get seriously damaged and thus require urgent restoration with suitable materials. Previously, lime and glutinous rice slurry were used in the construction of earthen sites. However, lime is usually used in clay, and glutinous rice pulp is difficult to prepare and use on a large scale. Therefore, in this study, starch ether was selected to replace glutinous rice pulp. Lime and starch ether were added to silt as single or double additives, respectively, to prepare the corresponding single-mixed and multiple-mixed modified soil samples. Furthermore, the direct shear test and compression test were carried out and the optimum content was determined. The strength and durability of optimum modified materials were compared with those of the original site soil. When the lime content was 9% or the concentration of starch ether solution was 5%, the shear strength and compression resistance ability of single-mixed modified soil were improved significantly. When lime content was 6% and starch ether solution was 5%, the strength of multiple-mixed modified soil was the best, and the maximum cohesion and internal friction angle were 51.1 and 3.37% higher than those of single-mixed soil, respectively. The strength and durability of the optimum modified soil were similar to or higher than those of the site soil. Thus, it is feasible and effective to use lime together with starch ether as restoration material for silty earthen sites

Low-Cost Plant-Protection Unmanned Ground Vehicle System for Variable Weeding Using Machine Vision

This study presents a machine vision-based variable weeding system for plant- protection unmanned ground vehicles (UGVs) to address the issues of pesticide waste and environmental pollution that are readily caused by traditional spraying agricultural machinery. The system utilizes fuzzy rules to achieve adaptive modification of the Kp, Ki, and Kd adjustment parameters of the PID control algorithm and combines them with an interleaved period PWM controller to reduce the impact of nonlinear variations in water pressure on the performance of the system, and to improve the stability and control accuracy of the system. After testing various image threshold segmentation and image graying algorithms, the normalized super green algorithm (2G-R-B) and the fast iterative threshold segmentation method were adopted as the best combination. This combination effectively distinguished between the vegetation and the background, and thus improved the accuracy of the pixel extraction algorithm for vegetation distribution. The results of orthogonal testing by selected four representative spraying duty cycles—25%, 50%, 75%, and 100%—showed that the pressure variation was less than 0.05 MPa, the average spraying error was less than 2%, and the highest error was less than 5% throughout the test. Finally, the performance of the system was comprehensively evaluated through field trials. The evaluation showed that the system was able to adjust the corresponding spraying volume in real time according to the vegetation distribution under the decision-making based on machine vision algorithms, which proved the low cost and effectiveness of the designed variable weed control system

Plasmonic Surface Lattice Resonances in Suspended Symmetric Double-Layer Gratings

Surface lattice resonances (SLRs) with high-quality factors supported by metal nanoparticle arrays are useful for plasmonic nanolasers, biochemical sensors, and surface-enhanced Raman spectroscopy. Most nanoparticle arrays are fabricated on a substrate, and the refractive index mismatch between the substrate and superstrate suppresses the performance of SLRs. In this work, we propose unique SLRs excited in suspended, self-aligned symmetric double-layer gratings with index-matched environment. The self-aligned double-layer gratings are fabricated using a single-step electron beam lithography and exhibit a Fano-like spectra resulting from interference between out-of-plane plasmonic resonances and diffraction modes. By changing the incident angle and refractive index of the surrounding medium, the SLRs can be tuned from visible to near-infrared regions with a high-quality factor of 120

Plasmonic Surface Lattice Resonances in Suspended Symmetric Double-Layer Gratings

Surface lattice resonances (SLRs) with high-quality factors supported by metal nanoparticle arrays are useful for plasmonic nanolasers, biochemical sensors, and surface-enhanced Raman spectroscopy. Most nanoparticle arrays are fabricated on a substrate, and the refractive index mismatch between the substrate and superstrate suppresses the performance of SLRs. In this work, we propose unique SLRs excited in suspended, self-aligned symmetric double-layer gratings with index-matched environment. The self-aligned double-layer gratings are fabricated using a single-step electron beam lithography and exhibit a Fano-like spectra resulting from interference between out-of-plane plasmonic resonances and diffraction modes. By changing the incident angle and refractive index of the surrounding medium, the SLRs can be tuned from visible to near-infrared regions with a high-quality factor of 120

Narrow-Linewidth GaN-on-Si Laser Diode with Slot Gratings

This letter reports room-temperature electrically pumped narrow-linewidth GaN-on-Si laser diodes. Unlike conventional distributed Bragg feedback laser diodes with hundreds of gratings, we employed only a few precisely defined slot gratings to narrow the linewidth and mitigate the negative effects of grating fabrication on the device performance. The slot gratings were incorporated into the ridge of conventional Fabry-Pérot cavity laser diodes. A subsequent wet etching in a tetramethyl ammonium hydroxide solution not only effectively removed the damages induced by the dry etching, but also converted the rough and tilted slot sidewalls into smooth and vertical ones. As a result, the threshold current was reduced by over 20%, and the reverse leakage current was decreased by over three orders of magnitude. Therefore, the room-temperature electrically pumped narrow-linewidth GaN-on-Si laser diode has been successfully demonstrated

Visualization 1.mp4

Direct evidence of SSAW-enabled LC reorientatio