Energy expenditure of type-specific sedentary behaviors estimated using sensewear mini armband: a metabolic chamber validation study among adolescents

SenseWear Mini Armband, an accelerometer with multiple physiological sensors, could be a practical means to estimate energy expenditure (EE) of children and adolescents, but its validity reported for these age groups has not been consistent within the literature. EE of twenty-six healthy Chinese 12-year-old adolescents was measured simultaneously using both SenseWear Mini Armband (SWMA) and metabolic chamber (MC) during a 16-hour stay in a MC. SWMA systematically underestimated the adolescents’ EE during sedentary behaviors, resting metabolic rate (RMR), basal metabolic rate (BMR), and total EE, with the absolute error rate ranging from 14.85% to 28.65%. The SWMA significantly underestimated EE compared with MC in Chinese adolescents. However, the amount of error can be reduced by applying correction equation proposed in this study

LSGNN: Towards General Graph Neural Network in Node Classification by Local Similarity

Heterophily has been considered as an issue that hurts the performance of Graph Neural Networks (GNNs). To address this issue, some existing work uses a graph-level weighted fusion of the information of multi-hop neighbors to include more nodes with homophily. However, the heterophily might differ among nodes, which requires to consider the local topology. Motivated by it, we propose to use the local similarity (LocalSim) to learn node-level weighted fusion, which can also serve as a plug-and-play module. For better fusion, we propose a novel and efficient Initial Residual Difference Connection (IRDC) to extract more informative multi-hop information. Moreover, we provide theoretical analysis on the effectiveness of LocalSim representing node homophily on synthetic graphs. Extensive evaluations over real benchmark datasets show that our proposed method, namely Local Similarity Graph Neural Network (LSGNN), can offer comparable or superior state-of-the-art performance on both homophilic and heterophilic graphs. Meanwhile, the plug-and-play model can significantly boost the performance of existing GNNs. Our code is provided at https://github.com/draym28/LSGNN.Comment: The first two authors contributed equally to this work; IJCAI2

Bidirectional association between handgrip strength and ADLs disability: a prospective cohort study

BackgroundDecreased handgrip strength (HGS) and activities of daily living (ADL) disability are common in aging populations. No studies have evaluated the bidirectional associations between HGS and ADL disability. This study aimed to explore the bidirectional effects of HGS and ADL disability.MethodsThis study analyzed data from two waves (2011 and 2015) of China Health and Retirement Longitudinal Study (CHARLS). Low HGS is defined by the Asian Working Group for Sarcopenia criteria. Meanwhile, disability was assessed by ADLs scale. The prospective bidirectional association between HGS and ADL disability was examined using binary logistic regression. Subgroup analysis were performed according to age and gender.ResultsA total of 4,902 and 5,243 participants were included in the Stage I and Stage II analyses, respectively. On the one hand, low HGS was significantly associated with subsequent ADL disability. The odds ratio (OR) value of developing BADL disability and IADL disability were 1.60 (95% confidence interval (CI): 1.23–2.08) and 1.40 (95% CI: 1.15–1.70), respectively, in participants with low HGS. On the other hand, baseline ADL disability was associated with an increased risk of developing low HGS. The OR value of developing low HGS were 1.84 (95% CI: 1.34–2.51) and 1.46 (95% CI: 1.19–1.79) for participants with BADL disability and participants with IADL disability, respectively. Lastly, the strength of the bidirectional associations varied among subgroups.ConclusionsA significant bidirectional associations were identified between HGS and ADL disability. Interventions should be developed to prevent the development or progression of both low HGS and ADL disability

Research on in-plane lateral performance of a new-type composite timber wall panel with cold-formed steel frames

A series of researches on the behaviour of a new structural system, composite timber wall panel with cold-formed steel frames, are investigated under monotonic and reversed cyclic loading. In order to improve the in-plane lateral performance of the composite timber panels, sixteen different optimized composite timber panels were proposed and tested, including increasing the thickness of the sheathings, improvement with steel X-bracings, filling with straw and advance of connection between sheathing and wood framing. The main objective of the investigation is to explore the pervasive mode of failure, determine the quantification of the improvement in lateral performance of these optimized composite timber wall panels and evaluate the benefits of each optimization during the process of failure

Application of CRISPR/Cas9 System for Plasmid Elimination and Bacterial Killing of Bacillus cereus Group Strains

The CRISPR-Cas system has been widely applied in prokaryotic genome editing with its high efficiency and easy operation. We constructed some “scissors plasmids” via using the temperature-sensitive pJOE8999 shuttle plasmid, which carry the different 20nt (N20) guiding the Cas9 nuclease as a scissors to break the target DNA. We successfully used scissors plasmids to eliminate native plasmids from Bacillus anthracis and Bacillus cereus, and specifically killed B. anthracis. When curing pXO1 and pXO2 virulence plasmids from B. anthracis A16PI2 and A16Q1, respectively, we found that the plasmid elimination percentage was slightly higher when the sgRNA targeted the replication initiation region (96–100%), rather than the non-replication initiation region (88–92%). We also tried using a mixture of two scissors plasmids to simultaneously eliminate pXO1 and pXO2 plasmids from B. anthracis, and the single and double plasmid-cured rates were 29 and 14%, respectively. To our surprise, when we used the scissor plasmid containing two tandem sgRNAs to cure the target plasmids pXO1 and pXO2 from wild strain B. anthracis A16 simultaneously, only the second sgRNA could guide Cas9 to cleave the target plasmid with high efficiency, while the first sgRNA didn't work in all the experiments we designed. When we used the CRISPR/cas9 system to eliminate the pCE1 mega-virulence plasmid from B. cereus BC307 by simply changing the sgRNA, we also obtained a plasmid-cured isogenic strain at a very high elimination rate (69%). The sterilization efficiency of B. anthracis was about 93%, which is similar to the efficiency of plasmid curing, and there was no significant difference in the efficiency of among the scissors plasmids containing single sgRNA, targeting multi-sites, or single-site targeting and the two tandem sgRNA. This simple and effective curing method, which is applicable to B. cereus group strains, provides a new way to study these bacteria and their virulence profiles

Use of non-steroidal anti-inflammatory drugs and adverse outcomes during the COVID-19 pandemic: A systematic review and meta-analysis.

Background There are concerns that the use of non-steroidal anti-inflammatory drugs (NSAIDs) may increase the risk of adverse outcomes among patients with coronavirus COVID-19. This study aimed to synthesize the evidence on associations between the use of NSAIDs and adverse outcomes. Methods A systematic search of WHO COVID-19 Database, Medline, the Cochrane Library, Web of Science, Embase, China Biology Medicine disc, China National Knowledge Infrastructure, and Wanfang Database for all articles published from January 1, 2020, to November 7, 2021, as well as a supplementary search of Google Scholar. We included all comparative studies that enrolled patients who took NSAIDs during the COVID-19 pandemic. Data extraction and quality assessment of methodology of included studies were completed by two reviewers independently. We conducted a meta-analysis on the main adverse outcomes, as well as selected subgroup analyses stratified by the type of NSAID and population (both positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or not). Findings Forty comparative studies evaluating 4,867,795 adult cases were identified. Twenty-eight (70%) of the included studies enrolled patients positive to SARS-CoV-2 tests. The use of NSAIDs did not reduce mortality outcomes among people with COVID-19 (number of studies [N] = 29, odds ratio [OR] = 0.93, 95% confidence interval [CI]: 0.75 to 1.14, I2  = 89%). Results suggested that the use of NSAIDs was not significantly associated with higher risk of SARS-CoV-2 infection in patients with or without COVID-19 (N = 10, OR = 0.96, 95% CI: 0.86 to 1.07, I2  = 78%; N = 8, aOR = 1.01, 95% CI: 0.94 to 1.09, I2  = 26%), or an increased probability of intensive care unit (ICU) admission (N = 12, OR = 1.28, 95% CI: 0.94 to 1.75, I2  = 82% ; N = 4, aOR = 0.89, 95% CI: 0.65 to 1.22, I2  = 60%), requiring mechanical ventilation (N = 11, OR = 1.11, 95% CI: 0.79 to 1.54, I2  = 63%; N = 5, aOR = 0.80, 95% CI: 0.52 to 1.24, I2  = 66%), or administration of supplemental oxygen (N = 5, OR = 0.80, 95% CI: 0.52 to 1.24, I2  = 63%; N = 2, aOR = 1.00, 95% CI: 0.89 to 1.12, I2  = 0%). The subgroup analysis revealed that, compared with patients not using any NSAIDs, the use of ibuprofen (N = 5, OR = 1.09, 95% CI: 0.50 to 2.39; N = 4, aOR = 0.95, 95% CI: 0.78 to 1.16) and COX-2 inhibitor (N = 4, OR = 0.62, 95% CI: 0.35 to 1.11; N = 2, aOR = 0.73, 95% CI: 0.45 to 1.18) were not associated with an increased risk of death. Interpretation Data suggests that NSAIDs such as ibuprofen, aspirin and COX-2 inhibitor, can be used safely among patients positive to SARS-CoV-2. However, for some of the analyses the number of studies were limited and the quality of evidence was overall low, therefore more research is needed to corroborate these findings. Funding There was no funding source for this study

Use of traditional and complementary medicine as self-care strategies in community health centers

In China, Community Health Centers (CHCs) are major providers of primary care services, but their potential in empowering patients’ self-management capacity has not been assessed. This study aims to describe self-care practice patterns amongst CHC attendees in urban China. In this cross-sectional quantitative study, 3360 CHC patients from 6 cities within the Pearl Delta Region were sampled using multistage cluster sampling. Thirty-seven per cent had used with over-the-counter Chinese herbal medicines (OTC CHMs) in the past year and majority of respondents found OTC CHMs effective. OTC CHMs were more popular amongst those who needed to pay out of pocket for CHC services. Less than 10% used vitamins and minerals, and those with a lower socioeconomic background have a higher propensity to consume. Although doubts on their usefulness are expressed, their use by the vulnerable population may reflect barriers to access to conventional health care, cultural affinity, or a defense against negative consequences of illnesses. About 25% performed physical exercise, but the prevalence is lower amongst women and older people. Taiji seems to be an alternative for these populations with promising effectiveness, but overall only 6% of CHC attendees participated. These results suggest that CHCs should start initiatives in fostering appropriate use of OTC CHM, vitamins, and minerals. Engaging community pharmacists in guiding safe and effective use of OTC CHM amongst the uninsured is essential given their low accessibility to CHC services. Prescription of Taiji instead of physical exercises to women and older people could be more culturally appropriate, and the possibility of including this as part of the CHC services worth further exploration

Identification of key regulatory pathways and genes involved in the dynamic progression of pigmentation in Sinibrama taeniatus

IntorductionColoration is a prominent trait in fish that is closely linked to their market value. Fish exhibit a diverse range of body colors, making them an excellent model for studying molecular mechanisms underlying pigmentation. Although regulatory pathways involved in pigmentation have been extensively studied in model fish such as zebrafish and medaka, the presence of varying chromatophore types across different fish species suggests that fish pigmentation mechanisms are not fixed. Therefore, more studies should be conducted on non-model fish. Sinibrama taeniatus is an endemic fish in the upper Yangtze River that is highly valued for its ornamental and edible properties.MethodsIn this study, we identified three chromatophore types in S. taeniatus and investigated changes in body color, chromatophores, and pigments at different developmental stages. Subsequently, RNA-seq analysis revealed that retinol metabolism, thyroid hormone synthesis, purine metabolism, and pyrimidine metabolism pathway are closely associated with pigmentation.ResultsWeighted gene co-expression network analysis (WGCNA) identified several hub genes, including mitf, wnt 9a, wnt10b, wnt11, adcy5, edn1, adcy8, and rdh8, that may play an important role in pigmentation.DiscussionOverall, our findings provide valuable insights into the role of genes and pathways in fish pigmentation and offer useful information for body color-based molecular breeding programs in aquaculture

Accessibility and Rationality of In-home Self-medication among Acute Disease Patients in Gansu Province：a Household Survey

BackgroundSelf-medication behavior often occurs in acutely ill patients, which may lead to a greatly increased risk of adverse drug events. There are few surveys on the accessibility and rationality of in-home self-medication among acute disease patients against a background of implementing multiple policies associated with China's healthcare reform initiated in 2009, and the available surveys mainly focus on central and eastern China.ObjectiveTo investigate the accessibility and rationality of in-home self-medication among acute disease patients in Gansu, offering evidence for standardizing in-home medication, and improving accessibility and rationality of in-home self-medication in this group.MethodsBy use of multistage stratified random sampling, 1 080 households were selected from five cities in Gansu Province from June to December 2018. They were invited to attend a survey guided by the WHO Household Survey to Measure Access to and Use of Medicines for understanding the morbidity in household members in the past two weeks, use and accessibility of medicines for treating acute diseases using a questionnaire developed by our research team. The survey results were statistically analyzed. Spearman correlation analysis was used to analyze the correlation between acute diseases, accessibility and availability of medicines for treating acute diseases and the number of drugs and antibiotics.ResultsOut of the 1 080 households, 1 071 (99.17%) effectively responded to the survey. The prevalence of acute diseases in family members living in these households in the past two weeks was 36.32% (389/1 071) . In this study, we only included the youngest family member with acutely disease in each household, that is, 389 cases in all. Of them, 350 (89.97%) had an acute upper respiratory infection; 355 (91.26%) had the behavior of seeing a doctor or buying drugs; 355 (91.26%) were on medication for treating acute diseases. Among all cases on medication, 279 (78.59%) used combination therapy, 93 (26.20%) had four or more medications simultaneously, and 151 (42.54%) were on antibiotics. Among all antibiotics users, 133 (79.17%) took antibiotics recommended by doctors, and 136 (80.95%) used β- Lactam antibiotics. In terms of medicine accessibility, 334 (85.86%) of acute disease patients were able to reach the nearest medical facility within 15 minutes; 354 (91.00%) and 329 (84.58%) reported that the required drugs were available at the public medical facilities and pharmacy, respectively. Among all cases on medication, 349 (98.31%) had medical insurance, but only 64 (18.34%) were reimbursed; 42 (11.83%) reported that the spending on medicines accounted for over 20% of the total household spending. There were statistically significant differences between patients in urban and rural areas at the avenues of seeing a doctor or buying drugs, types of antibiotics used, 15 minutes proximity to the nearest medical facility, accessibility to drugs at pharmacies, drug reimbursement rates, and spending over 20% of total household expenditure on drugs for acute illnesses (P<0.05) . Spearman correlation analysis showed that accessibility to drugs at the pharmacy was positively correlated with the number of drugs taken (rs=0.145, P<0.05) .ConclusionThe accessibility to drugs among acute diseases patients in Gansu Province is high. However, there are also issues among patients, including high prevalence of combination therapy and antibiotics intake, low proportion of patients who are reimbursed by medical insurance, as well as urban and rural differences in medicine accessibility. Therefore, to regulate residents' self-medication behaviors, it is suggested that relevant government departments give priority to actions to raise residents' awareness levels of rational medication and health insurance, medical professionals' capabilities and supervision of antibiotics use