Development and validation of a prediction model for early screening of people at high risk for colorectal cancer

BACKGROUND Colorectal cancer(CRC)is a serious threat worldwide.Although early screening is suggested to be the most effective method to prevent and control CRC,the current situation of early screening for CRC is still not optimistic.In China,the incidence of CRC in the Yangtze River Delta region is increasing dramatically,but few studies have been conducted.Therefore,it is necessary to develop a simple and efficient early screening model for CRC.AIM To develop and validate an early-screening nomogram model to identify individuals at high risk of CRC.METHODS Data of 64448 participants obtained from Ningbo Hospital,China between 2014 and 2017 were retrospectively analyzed.The cohort comprised 64448 individuals,of which,530 were excluded due to missing or incorrect data.Of 63918,7607(11.9%)individuals were considered to be high risk for CRC,and 56311(88.1%)were not.The participants were randomly allocated to a training set(44743)or validation set(19175).The discriminatory ability,predictive accuracy,and clinical utility of the model were evaluated by constructing and analyzing receiver operating characteristic(ROC)curves and calibration curves and by decision curve analysis.Finally,the model was validated internally using a bootstrap resampling technique.RESULTS Seven variables,including demographic,lifestyle,and family history information,were examined.Multifactorial logistic regression analysis revealed that age[odds ratio(OR):1.03,95%confidence interval(CI):1.02-1.03,P<0.001],body mass index(BMI)(OR:1.07,95%CI:1.06-1.08,P<0.001),waist circumference(WC)(OR:1.03,95%CI:1.02-1.03 P<0.001),lifestyle(OR:0.45,95%CI:0.42-0.48,P<0.001),and family history(OR:4.28,95%CI:4.04-4.54,P<0.001)were the most significant predictors of high-risk CRC.Healthy lifestyle was a protective factor,whereas family history was the most significant risk factor.The area under the curve was 0.734(95%CI:0.723-0.745)for the final validation set ROC curve and 0.735(95%CI:0.728-0.742)for the training set ROC curve.The calibration curve demonstrated a high correlation between the CRC high-risk population predicted by the nomogram model and the actual CRC high-risk population.CONCLUSION The early-screening nomogram model for CRC prediction in high-risk populations developed in this study based on age,BMI,WC,lifestyle,and family history exhibited high accuracy.

Effect of Modulus Heterogeneity on the Equilibrium Shape and Stress Field ofαPrecipitate in Ti-6Al-4V

For media with inclusions(e.g.,precipitates,voids,reinforcements,and others),the difference in lattice parameter and the elastic modulus between the matrix and inclusions cause stress concentration at the interfaces.These stress fields depend on the inclusions’size,shape,and distribution and will respond instantly to the evolving microstructure.This study develops a phase-field model concerningmodulus heterogeneity.The effect of modulus heterogeneity on the growth process and equilibrium state of theαplate in Ti-6Al-4V during precipitation is evaluated.Theαprecipitate exhibits strong anisotropy in shape upon cooling due to the interplay of the elastic strain and interfacial energy.The calculated orientation of the habit plane using the homogeneous modulus ofαphase shows the smallest deviation fromthat of the habit plane observed in the experiment,compared to the case where the homogeneous modulus ofβphase is adopted.In addition,the equilibrium volume ofαphase within the systemusing homogeneousβmodulus exhibits the largest dependency on the applied stresses.The stress fields across theα/βinterface are further calculated under the assumption of modulus heterogeneity and compared to those using homogeneous modulus of eitherαorβphase.This study provides an essential theoretical basis for developing mechanics models concerning systems with heterogeneous structures.

Genome-Wide Association Study and Genomic Selection for Plant Growth Habit in Peanuts Using the USDA Public Data

Peanut (Arachis hypogaea L.) production is valued at $1.28 billion annually in the USA. Plant growth habit can be used to determine plant population density and cultivation practices a given farmer uses. Erect plants are generally more compact and can be more densely planted unlike plants with more prostrate growth. The objectives of this study were to analyze publicly available datasets to identify single-nucleotide polymorphism (SNP) markers associated with plant growth habit in peanuts and to conduct genomic selection. A genome-wide association study (GWAS) was used to identify SNPs for growth habit type among 775 USDA peanut accessions. A total of 13,306 SNPs were used to conduct GWAS using five statistical models. The models used were single-marker regression, generalized linear model (PCA), generalized linear model (Q), mixed linear model (PCA), and mixed linear model (Q) and a total of 181, 1, 108, 1, and 10 SNPs were found associated with growth habit respectively. Based on this dataset, results showed that genomic selection can achieve up to 61% accuracy, depending on the training population size being used for the prediction. SNP AX-176821681 was found in all models. Gene ontology for this location shows an annotated gene, Araip.0F3YM, found 2485 bp upstream of this SNP and encodes for a peptidyl-prolyl cis-trans isomerase. To the best of our knowledge, this is the first report identifying molecular markers linked to plant growth habit type in peanuts. This finding suggests that a molecular marker can be developed to identify specific plant growth habits in peanuts, enabling early generation selection by peanut breeders.

Impact of Exercise Atmosphere on Adolescents’Exercise Behavior:Chain Mediating Effect of Exercise Identity and Exercise Habit

Appropriate physical exercise has a positive impact on adolescents’physical and mental health,but there is a serious lack of physical exercise among Chinese adolescents.How to shape their exercise behavior(EB)has become an important task in promoting their development.A questionnaire survey was conducted using stratified cluster random sampling on three middle schools by class in Zhejiang Province,China to investigate the impact of exercise atmosphere(EA)on adolescents’exercise behavior and the mediating role of exercise identity(EI)and exercise habit(EH).806 adolescents were investigated by the Exercise Atmosphere Scale(EAS),Exercise-Identity Scale(EIS),Self-Report Habit Index(SRHI),and Physical Activity Rating Scale(PARS-3).The results show that:There is a significant positive correlation between each two of exercise atmosphere,exercise identity,exercise habit,and exercise behavior(p<0.05).Exercise atmosphere could not only directly affect adolescents’physical exercise behavior but can also indirectly affect their physical exercise behavior through the mediating effect of exercise identity and exercise habit,involving three mediating pathways,namely,the mediating path through exercise identity,the mediating pathway through exercise habit and the chain mediating pathway through exercise identity and exercise habit.The direct effect of exercise atmosphere on exercise behavior was 0.459(p<0.01),accounting for 62.62% of the total effect of 0.733,and its indirect effect was 0.274,accounting for 37.28% of the total effect.To a certain extent,the mediating effect model reveals the mechanism of exercise atmosphere affecting exercise behavior and has a certain reference value for promoting adolescents’exercise behavior.We should start by creating an exercise atmosphere,cultivating exercise identity,and enhancing exercise habits to help teenagers form active physical exercise behaviors.

Efficacy of cognitive-behavioral therapy combined with habit reversal training on anxiety disorders in children with Tourette’s syndrome

BACKGROUND Cognitive-behavioral therapy(CBT)and habit reversal training(HRT)have shown application potential in addressing tic symptoms and comorbid psychiatric conditions.Despite their theoretical potential,empirical evidence on their combined efficacy remains limited.AIM To evaluate the efficacy of CBT combined with HRT on anxiety disorders in children with Tourette’s syndrome(TS).METHODS Clinical data of children with TS admitted to our hospital from January 2022 to June 2023 were collected,and the patients were grouped into the conventional therapy(control)group and the CBT combined with HRT group.Baseline charac-teristics,anxiety scores,tic severity scores,treatment adherence,and parental satisfaction were assessed.Statistical analysis was performed using t-tests,chi-square tests,and correlation analysis.RESULTS A total of 136 patients,including 65 patients in the control group and 71 patients in the CBT combined with HRT group,were included.The CBT combined with HRT group showed remarkable improvements compared with the control group.Post-intervention assessment revealed a decrease in anxiety scores from 63.52±1.81 to 40.53±1.64(t=2.022,P=0.045),and the Yale Global Tic Severity Scale total score decreased from 22.14±5.67 to 16.28±4.91(t=2.288,P=0.024).Treatment adherence was significantly higher in the CBT combined with HRT group(85.47±7.62%)compared with the control group(82.32±6.54%;t=2.596,P=0.010).Parental satisfaction scores were also higher in the CBT combined with HRT group(8.69±1.77)compared with the control group(7.87±1.92;t=2.592,P=0.011).CONCLUSION This study demonstrates that CBT combined with HRT significantly reduces anxiety symptoms and tic severity in children with TS,with higher treatment adherence and parental satisfaction.These findings support the potential application of this comprehensive therapeutic approach for TS treatment.

Life Origin in the Milky Way Galaxy: I. The Stellar Nucleogenesis of Elements Necessary for the Life Origin

Chemical elements in space can be synthesized by stellar nuclear reactors. Studying the dynamics of processes occurring in the stars introduces a concept of the ensemble-averaged stellar reactor. For future interstellar missions, the terrestrial and solar abundances were compared with considerable number of stars allocated in the ~200 pc solar neighborhood. According to the value of the effective temperature, four stellar classes are distinguished, for which the correlation coefficients and standard deviation are calculated. The statement about the possibility of transferring heavy elements synthesized by stars over long distances in space has been completely refuted. There is no immutability of the distribution of elements on neighboring stars and in the Solar System. It is shown that chemical elements are mainly synthesized inside each stellar reactor. The theory of the buoyancy of elements is generalized to stars. It has been suggested that stars overheat due to a shift in the parameters of nuclear processes occurring inside stars, which leads to the synthesis of heavy elements.

Life Origin in the Milky Way Galaxy: II. Scanning for Habitable Stellar Systems on Behalf of Future Space Missions

The possibility of the life origin in the stellar systems, located at a distance of ~200 pc from the solar system, was investigated. The stars, in the spectrums of which C (carbon), O (oxygen), N (nitrogen), and P (phosphorus) are found, are called DNA-stars. Based on stellar abundances a new method for searching for habitable exoplanets has been developed and a list of 48 DNA-stars in the solar neighborhood, on which life is possible, has been defined. The quota of DNA-stars is equal 1.3% of the total amount of Hypatia Stellar Catalog. Only three DNA-stars out of selected 48 stars belong to the spectral class as our Sun (G2V). The closest to the solar system is the DNA-star with the number HIP 15510, which belongs to the G8V class and is 6 pc away from the solar system. Nine DNA-stars, which have the highest chemical similarity with solar spectrum, were identified. It is identified that one of these nine stars, HIP 24681, has six planets.

Habitable Land Will Soon Become the World’s Scarcest Resource: Why Appalachia Should Choose Climate Change Havens over Millionaire Estates and Golf Courses

This research advocates for the construction of Climate Change Haven Communities across the Appalachian Region. The proposed development plan can be extended to the northern tier states across the US and also to the northern and mountainous regions of Europe and Asia. We present an analogy to the earlier climate change period of the Last Glacial Maximum/“Ice Age” in which these same northern regions of the planet were covered in ice sheets making them uninhabitable for most humans and many plant and animal species. In some significant ways, the Ice Age scenario can be a reverse-model for our current climate crisis. We also advocate strongly for the prevention of upscale real estate development projects in these same regions of the globe, as these will foreclose the possibility of safely sheltering the millions of persons who will be displaced by climate change over the next 5 to 10 years.

A Book Review of Becoming a Reading Teacher:Connecting Research and Practice

The book Becoming a Reading Teacher:Connecting Research and Practice aims to encourage readers to regard reading as a lifelong habit.To bridge the gap between teachers and researchers,this book is structured around four parts:reading as a linguistic process,reading as a personal experience,reading as a collective experience,and reading as a classroom practice.The definition of a reading teacher can be interpreted in two ways:the teacher who builds readings into the lesson and the teacher who provides the opportunity for learners to be readers,but who is a reader themselves.Such teachers regard reading as a lifelong learning habit and pass on the enthusiasm to learners,eventually creating a reading culture beyond the classroom.However,the necessity for reading teachers to participate in the research may be explained as follows.Firstly,new research may change one’s mind.What’s more,research allows teachers to turn their difficulties,surprises,and challenges into questions,and to seek answers to those questions.In addition,research helps teachers overcome the challenges in teaching by discovering new strategies.Research can also help to prove teachers’choices and decisions in teaching.Secondly,research allows teachers to see the role they play in the bigger picture.Research connects teachers with others and gives them a broader and shared perspective on their questions and experiences.Last but not least,research informs and promotes changes in policy,thinking,and so on.

Understanding of Five Grains for YANG:a way to straighten Asians’dietary structure

According to the general opinion,grains should occupy the largest amount of human food each day,but this grain-based eating habit does not allow human life to be extended.Grains are high in carbohydrates and five commonly recognized plant hormones,namely auxin,gibberellin,cytokinin,abscisic acid,and ethylene.Through in-depth analysis of ancient books,it was found that five grains for support:support is a restriction,and it means the essence,which means that grains should be eaten less,and it is the essence of the least daily intake.To correctly understand the Chinese dietary concept of"five grains for support"is the basis for improving Asian dietary health and promoting Asian human health.

Irregular dietary habits as a predictor of stunting occurrence among children under 5 years of age:a literature review

Objective:To identify the illustration of feeding patterns of stunting children using literature review method.Methods:This study was a descriptive narrative research using literature review approach to explore dietary habits of children with stunting problem.All the literature review processes employed Guideline Review measurement of Joanna Briggs Institute.Related ar ticles in literature were obtained from journal databases,such as Pub Med,Science Direct,Google Scholar,and Dimensions through structured research question with Patient,Exposure an interest,Outcome or response(PEO)methods.Results:This study found 2246 published ar ticles from 2018 to 2021 about children with stunting.Screening process was conducted fur ther to eliminate ar ticles with irrelevant titles and abstracts,and also the unsuitable ar ticles with the research question;hence,about 9 ar ticles were eligible to be reviewed ahead.All these ar ticles mentioned that children with irregular dietary habits would likely experience stunting.The low intake of nutritional food became the major predictor of stunting.Conclusions:Inappropriate feeding patterns and the variety of food were being the factors of stunting emergence among children<5 years of age.High consumption of carbohydrates,less animal-based protein,and misunderstanding about intake of sweetenedcondensed milk predisposed children to suffer stunting.

Consumer Psychology in the Digital Age:How Online Environments Shape Purchasing Habits

The advent of the digital age has profoundly changed consumers’mindsets and habits.The rapid development of e-commerce and the widespread use of mobile applications have created enormous demand for individual recommendation systems based on mass data.This system not only increases the convenience of purchases and conversions but also alters the purchasing behavior of consumers,leading them to make choices subconsciously.Potential risks associated with large-scale data sharing and usage have heightened consumer concerns regarding privacy,thereby weakening the foundational trust in platforms and deterring them from shopping.Additionally,the rapid growth of e-commerce in the digital age,coupled with changing market circumstances,has intensified psychological pressure on consumers,making their decision-making processes more complex and difficult.Furthermore,the program will explore issues related to improving customer experience,developing individual marketing strategies,and designing customer loyalty plans.It will also address questions of privacy in a digital environment,the dilemmas of excessive or disruptive consumption behavior,and the complexity and diversity of consumer behavior in the face of digital change.The objective of this study is to develop a fear study that will enable a better understanding of the impact of online shopping on consumer behavior and provide a strategic guide for retailers to meet the challenges and opportunities presented by the digital age.

Research on the Influence of Family Education on Children’s Behavioral Habits

Under the background of the all-round deepening of quality education,the cultivation of comprehensive quality has become the main theme of contemporary education reform.Good behavior and habits are of great significance to children’s future learning,growth,and development.Through literature review and other methods,this paper analyzes the current situation of children’s family education and the influence of family education on the cultivation of children’s behavioral habits and provides some strategies for cultivating children’s good behavioral habits in family education.

A Workable Solution for Reducing the Large Number of Vehicle and Pedestrian Accidents Occurring on a Yellow Light

Traffic intersections are incredibly dangerous for drivers and pedestrians. Statistics from both Canada and the U.S. show a high number of fatalities and serious injuries related to crashes at intersections. In Canada, during 2019, the National Collision Database shows that 28% of traffic fatalities and 42% of serious injuries occurred at intersections. Likewise, the U.S. National Highway Traffic Administration (NHTSA) found that about 40% of the estimated 5,811,000 accidents in the U.S. during the year studied were intersection-related crashes. In fact, a major survey by the car insurance industry found that nearly 85% of drivers could not identify the correct action to take when approaching a yellow traffic light at an intersection. One major reason for these accidents is the “yellow light dilemma,” the ambiguous situation where a driver should stop or proceed forward when unexpectedly faced with a yellow light. This situation is even further exacerbated by the tendency of aggressive drivers to inappropriately speed up on the yellow just to get through the traffic light. A survey of Canadian drivers conducted by the Traffic Injury Research Foundation found that 9% of drivers admitted to speeding up to get through a traffic light. Another reason for these accidents is the increased danger of making a left-hand turn on yellow. According to the National Highway Traffic Safety Association (NHTSA), left turns occur in approximately 22.2% of collisions—as opposed to just 1.2% for right turns. Moreover, a study by CNN found left turns are three times as likely to kill pedestrians than right turns. The reason left turns are so much more likely to cause an accident is because they take a driver against traffic and in the path of oncoming cars. Additionally, most of these left turns occur at the driver’s discretion—as opposed to the distressingly brief left-hand arrow at busy intersections. Drive Safe Now proposes a workable solution for reducing the number of accidents occurring during a yellow light at intersections. We believe this fairly simple solution will save lives, prevent injuries, reduce damage to public and private property, and decrease insurance costs.

Variable precipitation behaviors of Laves phases in an ultralight Mg-Li-Zn alloy

Precipitation habits plays a decisive role in strengthening materials,especially for Mg alloys the non-basal plane precipitation is necessary but very limited.Generally,the precipitates would nucleate and grow up in a specific habit plane owing to the constraint of free-energy minimization of the system.Herein,in an aged ultralight Mg-Li-Zn alloy,we confirmed that the precipitates dominated by C15 Laves structure could form in a variety of habit planes,to generate three forms of strengthening-phases,i.e.,precipitate-rod,precipitate-lath,and precipitate-plate.Among which,the precipitate-plates are on basal plane as usually but precipitate-rods/laths are on non-basal plane,and such non-basal precipitates would transform into the basal(Mg,Li)Zn_(2)Laves structure with prolonged aging.These findings are interesting to understand the precipitation behaviors of multi-domain Laves structures in hexagonal close-packed crystals,and expected to provide a guidance for designing ultralight high-strength Mg-Li based alloys via precipitation hardening on the non-basal planes.

The History of Habits:A Critical Unknown in the History of Chinese Medicine

This essay articulates a new conceptual distinction-that between repertories and habits-and urges that the history of habits is the most critical unknown in the study of Chinese medical history.

Solubility of water in bridgmanite

Water in Earth's mantle plays a critical role in both geodynamic and surficial habitability.Water in the upper mantle and transition zone is widely discussed,but less is known about the water in the lower mantle despite it constituting over half of Earth's mass.Understanding the water storage in Earth's lower mantle relies on comprehending the water solubility of bridgmanite,which is the most abundant mineral both in the lower mantle and throughout Earth.Nevertheless,due to limited access to the lower mantle,our understanding of water in bridgmanite mainly comes from laboratory experiments and theoretical calculations,and a huge controversy still exists.In this paper,we provide a review of the commonly employed research methods and current findings concerning the solubility of water in bridgmanite.Potential factors,such as pressure,temperature,compositions,etc.,that influence the water solubility of bridgmanite will be discussed,along with insights into future research directions.

Regulation of soybean stem growth habit:A ten-year progress report

Stem growth habit dictates plant architecture and influences flowering and podding(seed setting),making it an essential morphological and breeding agronomic trait of soybean(Glycine max).Stem growth habit in soybean is affected by photoperiod and environment and is determined by genetic variation at major genes.Classical genetic analysis identified two critical loci,designated Determinacy 1(Dt1)and Determinacy 2(Dt2).Dt1 is an ortholog of Arabidopsis thaliana TERMINAL FLOWER1(TFL1)and specifies an indeterminate stem growth habit,whereas Dt2 specifies a semi-determinate growth habit.MADS-box proteins,including Dt2,SUPPRESSOR OF OVEREXPRESSION OF CO1(GmSOC1)and MADS-box genes downregulated by E1(GmMDE),repress Dt1 expression.Photoreceptors encoded by the E3 and E4 loci regulate the expression of soybean FLOWERING LOCUS T(GmFT)orthologs via circadian clock genes and E1,and GmFTs compete with Dt1 to regulate stem growth habit.Study of the molecular mechanism underlying the regulation of stem growth habit in soybean has focused on the repression of Dt1 expression.Here we provide an overview of progress made in elucidating the genetic and molecular bases of stem growth habit in soybean,with emphasis on the molecular components responsible for integrating photoperiodic flowering and stem growth habit.

A scoping review on traditional medicine for bruxism

Objective:To investigate the current evidence on traditional medicine in managing bruxism and its clinical efficacy.Methods:A search was conducted in nine databases to identify potential eligible articles published from the date of inception until August 3,2022.All clinical studies that used traditional medicine of any type in treating bruxism were eligible for inclusion.Two authors performed data extraction and quality as-sessments independently.Retrieved data were tabulated and discussed narratively.Results:A total of 16 clinical studies were included in this scoping review.Of the 16 studies,three studies were randomized controlled trials,one was a caseecontrol study,10 were case series,and two were case reports.Our review identified studies of interventions based on herbal medicine and acupuncture-related therapies.Most studies reported positive results,but the overall quality of the included studies was typically fair to poor.Conclusions:This study is the first scoping review on traditional medicine for bruxism despite the limited evidence.More research on traditional medicine in bruxism management should be conducted for better clarification and application in daily practice.

Preliminary Research on Biological Characteristics of Scopula subpunctaria in Shandong Tea Region

[Objectives]The paper was to observe the life history and living habits of Scopula subpunctaria in Shandong tea region.[Methods]The occurrence period and duration of each insect state,as well as duration of each instar larvae in various generations were investigated and statistically analyzed.[Results]There were 6 generations of S.subpunctaria per year in Shandong tea region.Different from southern tea region,S.subpunctaria survived the winter as pupae and larvae in tea trees in Shandong,and the duration of overwintering eggs was greatly affected by temperature.The generations of S.subpunctaria overlapped seriously.[Conclusions]The results provide a basis for the comprehensive treatment of S.subpunctaria in Shandong tea region.