Beyond statistical significance:Embracing minimal clinically important difference for better patient care

The minimal clinically important difference(MCID)represents a pivotal metric in bridging the gap between statistical significance and clinical relevance,addressing the direct impact of medical interventions from the patient's perspective.This comprehensive review analyzes the evolution,applications,and challenges of MCID across medical specialties,emphasizing its necessity in ensuring that clinical outcomes not only demonstrate statistical significance but also offer genuine clinical utility that aligns with patient expectations and needs.We discuss the evolution of MCID since its inception in the 1980s,its current applications across various medical specialties,and the methodologies used in its calculation,highlighting both anchor-based and distribution-based approaches.Furthermore,the paper delves into the challenges associated with the application of MCID,such as methodological variability and the interpretation difficulties that arise in clinical settings.Recommendations for the future include standardizing MCID calculation methods,enhancing patient involvement in setting MCID thresholds,and extending research to incorporate diverse global perspectives.These steps are critical to refining the role of MCID in patient-centered healthcare,addressing existing gaps in methodology and interpretation,and ensuring that medical interventions lead to significant,patient-perceived improvements.

Hu Foods and Production Methods in Qimin Yaoshu( Important Arts for the People's Welfare)

Qimin Yaoshu( Important Arts for the People's Welfare) made a detailed record of the diet and its production methods in the middle and lower reaches of the Yellow River during the Wei Dynasty.Hu foods are important parts in the book.Hu foods recorded in Important Arts for the People's Welfare mainly include cheese products,cake products,and dish products.These contents not only reflect the exchange of diet culture between different nationalities in the middle and lower reaches of the Yellow River during this period,but also reflect the breadth and depth of ethnic exchanges and integration in this period.

Identification of Important FPGA Modules Based on Complex Network

The globalization of hardware designs and supply chains,as well as the integration of third-party intellectual property(IP)cores,has led to an increased focus from malicious attackers on computing hardware.However,existing defense or detection approaches often require additional circuitry to perform security verification,and are thus constrained by time and resource limitations.Considering the scale of actual engineering tasks and tight project schedules,it is usually difficult to implement designs for all modules in field programmable gate array(FPGA)circuits.Some studies have pointed out that the failure of key modules tends to cause greater damage to the network.Therefore,under limited conditions,priority protection designs need to be made on key modules to improve protection efficiency.We have conducted research on FPGA designs including single FPGA systems and multi-FPGA systems,to identify key modules in FPGA systems.For the single FPGA designs,considering the topological structure,network characteristics,and directionality of FPGA designs,we propose a node importance evaluationmethod based on the technique for order preference by similarity to an ideal solution(TOPSIS)method.Then,for the multi-FPGA designs,considering the influence of nodes in intra-layer and inter-layers,they are constructed into the interdependent network,and we propose a method based on connection strength to identify the important modules.Finally,we conduct empirical research using actual FPGA designs as examples.The results indicate that compared to other traditional indexes,node importance indexes proposed for different designs can better characterize the importance of nodes.

An Analysis of Innovative Contributions to the Important Discourse on the Development of New Quality Productivity

The discourse on developing high-quality productivity marks a significant theoretical innovation,which is conducive to the modernization and sinicization of Marxism.It refines our understanding of“new quality productivity,”defining it as an advanced form driven by innovation,embodying“high technology,efficiency,and quality,”with the aim of comprehensively enhancing productivity.It elucidates the necessity of cultivating such forces,asserting that they are crucial for achieving high-quality development,securing a leading position in global technology,and fulfilling the aspirations for a better life.Moreover,it outlines a new implementation route,emphasizing strategies such as fostering technological autonomy,nurturing emerging industries,integrating education and talent in technology,adopting a“build through challenges”approach,adjusting solutions locally,and providing categorized guidance,all of which are based on the ongoing comprehensive reforms.

Study on Determination Methods of Important Landscapes along the Mainstream of Yellow River

According to the response relationship between landscape and water resource,the selection principle of important landscapes was determined from the perspectives of nature and history in this study,and determination methods or steps of important landscapes along the mainstream of Yellow River were also established to select important landscapes that should be protected.

习近平关于新质生产力重要论述的理论体系和实践指向研究

习近平总书记关于新质生产力重要论述深刻阐明了新质生产力的基本内涵、本质特征、鲜明标志、核心要素、形成规律以及实现路径等重大理论和实践问题,是具有重大原创性、标识性、系统性、实践性的理论创新成果,是习近平新时代中国特色社会主义思想的重要组成部分。习近平总书记关于新质生产力重要论述是在推进中国式现代化进程中形成的新的生产力理论,是指导我国经济社会高质量发展的学理化、体系化的理论体系,是具有深邃而丰富辩证法则的实践指向。

Variations in quantifying patient reported outcome measures to estimate treatment effect

In the practice of healthcare,patient-reported outcomes(PROs)and PRO measures(PROMs)are used as an attempt to observe the changes in complex clinical situations.They guide us in making decisions based on the evidence regarding patient care by recording the change in outcomes for a particular treatment to a given condition and finally to understand whether a patient will benefit from a particular treatment and to quantify the treatment effect.For any PROM to be usable in health care,we need it to be reliable,encapsulating the points of interest with the potential to detect any real change.Using structured outcome measures routinely in clinical practice helps the physician to understand the functional limitation of a patient that would otherwise not be clear in an office interview,and this allows the physician and patient to have a meaningful conver-sation as well as a customized plan for each patient.Having mentioned the rationale and the benefits of PROMs,understanding the quantification process is crucial before embarking on management decisions.A better interpretation of change needs to identify the treatment effect based on clinical relevance for a given condition.There are a multiple set of measurement indices to serve this effect and most of them are used interchangeably without clear demarcation on their differences.This article details the various quantification metrics used to evaluate the treatment effect using PROMs,their limitations and the scope of usage and implementation in clinical practice.

守正创新 勇担时代使命——中山大学学报自然科学版创刊70周年(1955—2024)

本文介绍《中山大学学报(自然科学版中英文)》的创刊与源流,分为创刊初期(1955—1966)、首批复刊(1973—1978)、改革开放后(1979—2012)和迈进新时代(2013—2023)四个时间段回顾该刊70年的办刊历程,着重介绍了在各个时期为该刊的发展壮大作出了重要贡献的中山大学学者及其发表的成果,展现中山大学与该刊在推动国家科学技术发展进步方面所作出的贡献。新时代以来,自然科学版致力于内涵式高质量发展取得了成效。该刊以建设世界一流科技期刊为目标,采取了策划组织大型专题专辑、变更期刊文种为中英文、实施稿件质量提升计划、不断完善数字化出版等重要办刊举措,大力推进国际化高水平科技期刊建设。

Variations of population structure and important value of the main edificators along the elevation gradient on the northern slope of Changbai Mountain

From 700 m to 1900 m on the northern slope of Changbai Mountain, 13 plots with an interval of 100 m in elevation were investigated to study the variations of population structure and important value of the main edificators along the elevation gradient. In their core distribution areas, most of the edificators had healthy population structure and could regenerate smoothly except Larix olgensis, but important value of Larix olgensis had no obvious variations with elevation changes, which showed that Larix olgensis had its own particularity and strong adaptability. At high elevation above 1800 m, Betula ermanii was the only species that could form a mono-dominant community. Important values of Pinus koraiensis and Acer mono had similar changing trends, and they had the similar ecological adaptabilities.

基于AI的多模态融合感知综合决策系统设计实现

针对传统军事要地安防系统智能化程度较低,各自独立互不关联,缺少顶层数据综合治理等问题,选取外围周界、重要卡口、无人巡更和区域高点四种典型安防业务场景开展建模,通过数据标准化接入、智能研判分析、安防态势显示三个处理环节,构建基于AI的多模态融合感知综合决策系统,实现前端感知多维化、中台研判智能化、后端处置多样化,有效支撑了重要军事目标安全防卫,系统后续也具有良好的可扩展性与可维护性。

Decadal variations in the community status of economically important invertebrates in the Bohai Sea

With the decline of fish stocks,the proportions of economically important invertebrates like crustaceans and cephalopods have increased in the Bohai Sea.The community structure and trophic level of economically important invertebrates were analyzed using the bottom trawl survey data collected by the Yellow Sea Fisheries Research Institute in the Bohai Sea in May and August of 1958–1959,1982,1992–1993,2004,2009 and 2015.A total of 37 species of economically important invertebrates,belonging to 5 orders,24 families,were captured.The biomass densities of economically important invertebrates in the Bohai Sea displayed an overall downward trend from 1982 to 2015.Oratosquilla oratoria and Loligo spp.were the most dominant species in the past 30 years,the biomass proportion of O.oratoria increased gradually in both May and August from 1982 to 2015.Moreover,biodiversity indices of economically important invertebrates in the Bohai Sea appeared to decline from 1982 to 2004 and then increased in 2015.Similarly,the mean trophic level of economically important invertebrates declined from 1982 to 2004 and increased slightly in 2015.Overall,although the proportions of invertebrates have increased,the biomass densities in the Bohai Sea have displayed an overall downward trend from 1982 to 2015.The increases in the biodiversity and trophic level of economically important invertebrates after the 2000s,possibly benefit from stock enhancement projects implemented by governments at different levels and national fishery management measures such as the“double-control”of the total number and engine power of fishing vessels and summer moratorium of fishing.

Why Is It Important Awareness of Cross Culture Differences in Cultural Communi cation——Awareness of Cross Culture Differences Influences Cultural Communication

No matter you agree or not,the world is in a fast developing time.The communication between people contributes to this de velopment.However,during these communications,people find out the culture difference between countries and the realized the impor tance of develop awareness of cross culture differences.In my point of view,there are some reasons why it is important to develop aware ness of cross culture differences.

Responsiveness and minimal clinically important difference of the Chinese version of the Low Vision Quality of Life Questionnaire after cataract surgery

AIM: To investigate the Chinese version of the Low Vision Quality of Life Questionnaire(CLVQOL) as an instrument for obtaining clinically important changes after cataract surgery.METHODS: Patients underwent cataract surgery in Shanghai General Hospital, Shanghai Jiao Tong University, who fit the inclusion criteria were recruited. Two CLVQOLs were administered, including a preoperative CLVQOL and a CLVQOL at the end of the 3 mo follow-up period, and were completed using face-to-face interviews or phone interviews conducted by trained investigators. The minimal clinically important difference(MCID) was calculated using an anchor-based method and a distribution method. In addition, the responsiveness of the questionnaire was measured.RESULTS: A total of 155 residents were enrolled. The average visual acuity(VA) preoperatively was 0.08(SD=0.05), and it increased to 0.47(SD=0.28) at the end of followup. Statistically significant positive changes in the CLVQOL scores indicated significant improvement of vision related quality of life after cataract surgery. With the larger value between the two results as the final value, the MCID values of the CLVQOL(scores of the four scales as well as the total score) were 8.94, 2.61, 4.34, 3.10 and 17.63, respectively. The CLVQOL has both good internal and external responsiveness.CONCLUSION: CLVQOL scores are appropriate instruments for obtaining clinically important changes after cataract surgery. This study is an effective exploration for establishingcataract surgery efficacy standards, which helps clinical and scientific research workers in ophthalmology to gain a more in-depth understanding when using CLVQOL.

Human Invasion by Lesser Known Medically Important Trematodes in the Proximity of Tshwane,Gauteng Province,South Africa

It is well-documented that digenetic trematodes exhibit complex life cycles where the definitive hosts are vertebrates—mostly birds,other mammals and reptiles.It is also known that digenetic trematodes are host specific,but changes in our feeding habits, agricultural and social practices,have led to human beings infected with parasites that were previously regarded to be of no or insignificant medical importance. The objective of this study was to identify the less known digenetic parasites in the water bodies around Tshwane that may result in possible

Ranking important nodes in complex networks by simulated annealing

In this paper, based on simulated annealing a new method to rank important nodes in complex networks is presented.First, the concept of an importance sequence（IS） to describe the relative importance of nodes in complex networks is defined. Then, a measure used to evaluate the reasonability of an IS is designed. By comparing an IS and the measure of its reasonability to a state of complex networks and the energy of the state, respectively, the method finds the ground state of complex networks by simulated annealing. In other words, the method can construct a most reasonable IS. The results of experiments on real and artificial networks show that this ranking method not only is effective but also can be applied to different kinds of complex networks.

50 years of scanning electron microscopy of bone——a comprehensive overview of the important discoveries made and insights gained into bone material properties in health,disease,and taphonomy

Bone is an architecturally complex system that constantly undergoes structural and functional optimisation through renewal and repair.The scanning electron microscope (SEM) is among the most frequently used instruments for examining bone.It offers the key advantage of very high spatial resolution coupled with a large depth of field and wide field of view.Interactions between incident electrons and atoms on the sample surface generate backscattered electrons,secondary electrons,and various other signals including X-rays that relay compositional and topographical information.Through selective removal or preservation of specific tissue components (organic,inorganic,cellular,vascular),their individual contribution(s) to the overall functional competence can be elucidated.With few restrictions on sample geometry and a variety of applicable sample-processing routes,a given sample may be conveniently adapted for multiple analytical methods.While a conventional SEM operates at high vacuum conditions that demand clean,dry,and electrically conductive samples,non-conductive materials (e.g.,bone) can be imaged without significant modification from the natural state using an environmental scanning electron microscope.This review highlights important insights gained into bone microstructure and pathophysiology,bone response to implanted biomaterials,elemental analysis,SEM in paleoarchaeology,3D imaging using focused ion beam techniques,correlative microscopy and in situ experiments.The capacity to image seamlessly across multiple length scales within the meso-micro-nano-continuum,the SEM lends itself to many unique and diverse applications,which attest to the versatility and user-friendly nature of this instrument for studying bone.Significant technological developments are anticipated for analysing bone using the SEM.

Zoonotic origins of human coronavirus 2019(HCoV-19/SARS-CoV-2):why is this work important?

The ongoing pandemic of coronavirus disease 2019 (COVID-19), caused by infection with human coronavirus 2019 (HCoV-19/SARS-CoV-2/2019-nCoV), is a global threat to the human population. Here, we briefly summarize the available data for the zoonotic origins of HCoV-19, with reference to the other two epidemics of highly virulent coronaviruses, SARSCoV and MERS-CoV, which cause severe pneumonia in humans. We propose to intensify future efforts for tracing the origins of HCoV-19, which is a very important scientific question for the control and prevention of the pandemic.

Solar light,seawater temperature,and nutrients,which one is more important in affecting phytoplankton growth?

Based on research results on the impacts of solar light,seawater temperature,and nutrient available to phytoplankton growth and changes in phytoplankton physiology and assemblage,we discussed the order of influence of these factors.By clarifying the mechanisms and processes of the impacts by these factors,we have determined the rising order of the importance as solar light,seawater temperature,and nutrient silicon (Si).Therefore,for human interests in sustaining economic development,the first thing to be considered is the input of nutrient Si into the ocean,followed by seawater temperature change.

VEGF in the nervous system: an important target for research in neurodevelopmental and regenerative medicine

Vascular endothelial growth factor（VEGF）in neurodevelopment and regeneration：VEGF is a well-known factor that promotes vascularization and angiogenesis.Besides this it participates in the pathogenesis of several diseases,such as colorectal carcinoma,lung cancer or diabetic retinopathy.Within the last decade,VEGF has been successfully integrated into the treatment of such diseases,for example as a therapy for colorectal cancer with the VEGF-receptor （VEGFR）-inhibitor axitinib.

The most important questions in cancer research and clinical oncology Question 2-5.Obesity-related cancers:more questions than answers

Obesity is recognized as the second highest risk factor for cancer. The pathogenic mechanisms underlying tobaccorelated cancers are well characterized and efective programs have led to a decline in smoking and related cancers, but there is a global epidemic of obesity without a clear understanding of how obesity causes cancer. Obesity is heterogeneous, and approximately 25% of obese individuals remain healthy(metabolically healthy obese, MHO), so which fat deposition(subcutaneous versus visceral, adipose versus ectopic) is "malignant"? What is the mechanism of carcinogenesis? Is it by metabolic dysregulation or chronic inflammation? Through which chemokines/genes/signaling pathways does adipose tissue influence carcinogenesis? Can selective inhibition of these pathways uncouple obesity from cancers? Do all obesity related cancers(ORCs) share a molecular signature? Are there common(overlapping) genetic loci that make individuals susceptible to obesity, metabolic syndrome, and cancers? Can we identify precursor lesions of ORCs and will early intervention of high risk individuals alter the natural history? It appears unlikely that the obesity epidemic will be controlled anytime soon; answers to these questions will help to reduce the adverse efect of obesity on human condition.