Semilocal Convergence Analysis for Inexact Newton Method under Weak Condition

Under the hypothesis that the first derivative satisfies some kind of weak Lipschitz conditions, a new semilocal convergence theorem for inexact Newton method is presented. Unified convergence criteria ensuring the convergence of inexact Newton method are also established. Applications to some special cases such as the Kantorovich type conditions and γ-Conditions are provided and some well-known convergence theorems for Newton's method are obtained as corollaries

Frailty and medication adherence among older adult patients with hypertension: a moderated mediation model

ObjectiveMedication adherence has a critical impact on the well-being of older adult patients with hypertension. As such, the current study aimed to investigate the mediating role of health literacy between frailty and medication adherence and the moderating role of educational level.MethodsThis cross-sectional study included patients admitted to the geriatric unit of a hospital. Participants were interviewed using the four-item Morisky Medication Adherence Scale, the Frailty Phenotype Scale, and the Health Literacy Management Scale. Spearman’s correlation coefficients were used to assess the association between variables. Mediation and moderated mediation analyses were performed using Process version 4.1 via Model 4 and 14, respectively.ResultsData from 388 participants were analyzed. The median (IQR [P25–P75]) score for medication adherence was 4.00 (2.00–4.00). Results revealed that after controlling for age, sex, hypertension complication(s) and body mass index, frailty significantly contributed to medication adherence (βtotal −0.236 [95% confidence interval (CI) −0.333 to −0.140]). Medication adherence was influenced by frailty (βdirect −0.192 [95% CI −0.284 to −0.099]) both directly and indirectly through health literacy (βindirect −0.044 [95% CI −0.077 to −0.014]). Educational level moderated the pathway mediated by health literacy; more specifically, the conditional indirect effect between frailty and medication adherence was significant among older adult hypertensive patients with low, intermediate, and high educational levels (effect −0.052 [95% CI −0.092 to −0.106]; effect −0.041 [95% CI −0.071 to −0.012]; effect −0.026 [95% CI −0.051 to −0.006]). The relationship between frailty and medication adherence in older adult patients with hypertension was found to have mediating and moderating effects.ConclusionA moderated mediation model was proposed to investigate the effect of frailty on medication adherence. It was effective in strengthening medication adherence by improving health literacy and reducing frailty. More attention needs to be devoted to older adult patients with hypertension and low educational levels

Prevalence and associated factors of insomnia symptoms after ending China’s dynamic zero-COVID policy: a cross-sectional survey of frontline nursing staff in Chinese hospitals

BackgroundAfter the Chinese government announced the end of the dynamic zero-COVID policy on January 8, 2023, the COVID-19 pandemic peaked. Frontline nursing staff are at high risk of infection transmission due to their frequent contact with COVID-19 patients. In addition, due to the ending of China’s dynamic zero-COVID policy, frontline nursing staff have grappled with increased workload, fatigue, and more. This study aimed to explore the prevalence of insomnia symptoms in frontline nursing staff and its influencing factors following the end of the policy.MethodsBetween January and February 2023, this study was conducted by the Wenjuanxing platform to survey frontline nursing staff in a hospital in Wuhu City, Anhui Province. All the nursing staff included in this study had a COVID-19 infection. The questionnaires included the Athens Insomnia Scale (AIS), PC-PTSD-5 Chinese Version Scale, the Fear of COVID-19 Scale, The 2-item Connor-Davidson Resilience Scale (CD-RISC-2) Scale, and the burden of COVID-19 Scale. Binary logistic regression methods were used to identify variables associated with insomnia symptoms.ResultsAmong the 694 frontline nursing staff, 74.5% (517/694) exhibited insomnia symptoms. Fear of COVID-19 (p < 0.001), the burden of COVID-19 (p < 0.05), PTSD (p < 0.001), and higher technical titles (p < 0.008) were highly correlated with insomnia symptoms in frontline nursing staff. Psychological resilience (p < 0.001) was a protective factor for insomnia symptoms among frontline nursing staff.ConclusionAfter ending China’s dynamic zero-COVID policy, the prevalence of insomnia symptoms among frontline nursing staff is generally higher. This study highlights the association between insomnia symptoms and PTSD, fear of COVID-19, COVID-19 burden, and resilience. Psychological assistance is needed for frontline nursing staff to prevent insomnia symptoms and protect the mental health of frontline nursing staff after the end of China’s dynamic zero-COVID policy

A General Method for Module Automatic Testing in Avionics Systems

Abstract: The traditional Automatic Test Equipment (ATE) systems are insufficient to cope with the challenges of testing more and more complex avionics systems. In this study, we propose a general method for module automatic testing in the avionics test platform based on PXI bus. We apply virtual instrument technology to realize the automatic testing and the fault reporting of signal performance. Taking the avionics bus ARINC429 as an example, we introduce the architecture of automatic test system as well as the implementation of algorithms in Lab VIEW. The comprehensive experiments show the proposed method can effectively accomplish the automatic testing and fault reporting of signal performance. It greatly improves the generality and reliability of ATE in avionics systems

Data from: Response of net primary production to land use and climate changes in the middle-reaches of the Heihe River basin

Net primary production (NPP) supplies matter, energy, and services to facilitate the sustainable development of human society and ecosystem. The response mechanism of NPP to land use and climate changes is essential for food security and biodiversity conservation but lacks a comprehensive understanding, especially in arid and semi-arid regions. To this end, taking the middle-reaches of the Heihe River basin (MHRB) as an example, we uncovered the NPP responses to land use and climate changes by integrating multi-source data (e.g., MOD17A3 NPP, land use, temperature, and precipitation) and multiple methods. The results showed that: (1) land use intensity (LUI) increasing, and climate warming and wetting promoted NPP. From 2000 to 2014, the LUI, temperature and precipitation of MHRB increased by 1.46, 0.58 °C and 15.76 mm, respectively, resulting in an increase of 14.62 gC/m2 in annual average NPP. (2) The conversion of low-yield cropland to forest and grassland increased NPP. Although the widespread conversion of unused land and grassland to cropland boosted both LUI and NPP, it was not conducive to ecosystem sustainability and stability due to huge water consumption and human-appropriated NPP. Urban sprawl occupied cropland, forest and grassland, and reduced NPP. (3) Increase in temperature and precipitation generally improved NPP. The temperature decreasing less than 1.2 °C also promoted the NPP of hardy vegetation due to the simultaneous precipitation increasing. However, warming-induced water stress compromised the NPP in arid sparse grassland and deserts. Cropland had greater NPP and NPP increase than natural vegetation due to the irrigation, fertilizers and other artificial inputs it received. Decrease in both temperature and precipitation generally reduced NPP, but the NPP in the well-protection or less-disturbance areas still increased slightly

NPP, Land Use and Meteorological Data

NPP, land use, land use intensity, and meteorological data of the Middle-Reaches of the Heihe River Basin in 2000 and 2014

ERG rearrangement is associated with prostate cancer-related death in Chinese prostate cancer patients.

Recently, ETS-related gene (ERG) gene rearrangements, phosphatase tensin homologue (PTEN) deletions and EGFR family aberrations were characterized as potential biomarkers for prostate cancer (PCa) patient management. Although ERG gene rearrangement has been identified in approximately 50% of localized prostate cancers in western countries, the prognostic significance of this critical molecular event remains unknown in Chinese patients. Using fluorescence in situ hybridization (FISH) and immunohistochemistry, we evaluated ERG, PTEN and EGFR family aberrations in a cohort of 224 Chinese prostate cancer patients diagnosed in transurethral resection of the prostate (TUR-P). Overall, ERG rearrangement was detected in 23.2% (44/190) cases, of which 54.5% (24/44) showed deletion of the 5'end of ERG. PTEN deletion was identified in 10.8% (19/176) cases. Amplification of EGFR and HER2 genes was present in 1.1% (2/178) and 5.8% (10/173) of cases, respectively. Significant correlation between ERG rearrangement and PTEN deletion was identified in this cohort. EGFR and HER2 aberrations occurred more frequently in PCas without ERG rearrangement than in those with ERG rearrangement, although this did not reach statistical significance. Overall, ERG rearrangement was associated with pre-operative PSA values (P = 0.038) and cancer-related death (P = 0.02), but not with the age, clinical T stage, Gleason score, or Ki-67 labeling index (LI). Notably, multivariate analysis including known prognostic markers revealed ERG rearrangement was an independent prognostic factor (P = 0.022). Additionally, ERG rearrangement status was helpful to identify patients with poor prognosis from PCa group with low Ki-67 LI. In summary, we reported that ERG rearrangement was associated with cancer-related death in Chinese PCa patients. Determination of ERG rearrangement status allows stratification of PCa patients into different survival categories

Recapitulating X-Linked Juvenile Retinoschisis in Mouse Model by Knock-In Patient-Specific Novel Mutation

X-linked juvenile retinoschisis (XLRS) is a retinal disease caused by mutations in the gene encoding retinoschisin (RS1), which leads to a significant proportion of visual impairment and blindness. To develop personalized genome editing based gene therapy, knock-in animal disease models that have the exact mutation identified in the patients is extremely crucial, and that the way which genome editing in knock-in animals could be easily transferred to the patients. Here we recruited a family diagnosed with XLRS and identified the causative mutation (RS1, p.Y65X), then a knock-in mouse model harboring this disease-causative mutation was generated via TALEN (transcription activator-like effector nucleases). We found that the b-wave amplitude of the ERG of the RS1-KI mice was significantly decreased. Moreover, we observed that the structure of retina in RS1-KI mice has become disordered, including the disarray of inner nuclear layer and outer nuclear layer, chaos of outer plexiform layer, decreased inner segments of photoreceptor and the loss of outer segments. The novel knock-in mice (RS1-KI) harboring patient-specific mutation will be valuable for development of treatment via genome editing mediated gene correction