Many real-world networks have the ability to adapt themselves in response to the state of their nodes. This paper studies controlling disease spread on network with feedback mechanism, where the susceptible nodes are ...Many real-world networks have the ability to adapt themselves in response to the state of their nodes. This paper studies controlling disease spread on network with feedback mechanism, where the susceptible nodes are able to avoid contact with the infected ones by cutting their connections with probability when the density of infected nodes reaches a certain value in the network. Such feedback mechanism considers the networks' own adaptivity and the cost of immunization. The dynamical equations about immunization with feedback mechanism ave solved and theoretical predictions are in agreement with the results of large scale simulations. It shows that when the lethality a increases, the prevalence decreases more greatly with the same immunization g. That is, with the same cost, a better controlling result can be obtained. This approach offers an effective and practical policy to control disease spread, and also may be relevant to other similar networks.展开更多
The prediction of liquefaction-induced lateral spreading/displacement(Dh)is a challenging task for civil/geotechnical engineers.In this study,a new approach is proposed to predict Dh using gene expression programming(...The prediction of liquefaction-induced lateral spreading/displacement(Dh)is a challenging task for civil/geotechnical engineers.In this study,a new approach is proposed to predict Dh using gene expression programming(GEP).Based on statistical reasoning,individual models were developed for two topographies:free-face and gently sloping ground.Along with a comparison with conventional approaches for predicting the Dh,four additional regression-based soft computing models,i.e.Gaussian process regression(GPR),relevance vector machine(RVM),sequential minimal optimization regression(SMOR),and M5-tree,were developed and compared with the GEP model.The results indicate that the GEP models predict Dh with less bias,as evidenced by the root mean square error(RMSE)and mean absolute error(MAE)for training(i.e.1.092 and 0.815;and 0.643 and 0.526)and for testing(i.e.0.89 and 0.705;and 0.773 and 0.573)in free-face and gently sloping ground topographies,respectively.The overall performance for the free-face topology was ranked as follows:GEP>RVM>M5-tree>GPR>SMOR,with a total score of 40,32,24,15,and 10,respectively.For the gently sloping condition,the performance was ranked as follows:GEP>RVM>GPR>M5-tree>SMOR with a total score of 40,32,21,19,and 8,respectively.Finally,the results of the sensitivity analysis showed that for both free-face and gently sloping ground,the liquefiable layer thickness(T_(15))was the major parameter with percentage deterioration(%D)value of 99.15 and 90.72,respectively.展开更多
There are various phenomena of malicious information spreading in the real society, which cause many negative impacts on the society. In order to better control the spreading, it is crucial to reveal the influence of ...There are various phenomena of malicious information spreading in the real society, which cause many negative impacts on the society. In order to better control the spreading, it is crucial to reveal the influence of network structure on network spreading. Motifs, as fundamental structures within a network, play a significant role in spreading. Therefore, it is of interest to investigate the influence of the structural characteristics of basic network motifs on spreading dynamics.Considering the edges of the basic network motifs in an undirected network correspond to different tie ranges, two edge removal strategies are proposed, short ties priority removal strategy and long ties priority removal strategy. The tie range represents the second shortest path length between two connected nodes. The study focuses on analyzing how the proposed strategies impact network spreading and network structure, as well as examining the influence of network structure on network spreading. Our findings indicate that the long ties priority removal strategy is most effective in controlling network spreading, especially in terms of spread range and spread velocity. In terms of network structure, the clustering coefficient and the diameter of network also have an effect on the network spreading, and the triangular structure as an important motif structure effectively inhibits the spreading.展开更多
Hyper-and multi-spectral image fusion is an important technology to produce hyper-spectral and hyper-resolution images,which always depends on the spectral response function andthe point spread function.However,few wo...Hyper-and multi-spectral image fusion is an important technology to produce hyper-spectral and hyper-resolution images,which always depends on the spectral response function andthe point spread function.However,few works have been payed on the estimation of the two degra-dation functions.To learn the two functions from image pairs to be fused,we propose a Dirichletnetwork,where both functions are properly constrained.Specifically,the spatial response function isconstrained with positivity,while the Dirichlet distribution along with a total variation is imposedon the point spread function.To the best of our knowledge,the neural network and the Dirichlet regularization are exclusively investigated,for the first time,to estimate the degradation functions.Both image degradation and fusion experiments demonstrate the effectiveness and superiority of theproposed Dirichlet network.展开更多
To address the challenges of video copyright protection and ensure the perfect recovery of original video,we propose a dual-domain watermarking scheme for digital video,inspired by Robust Reversible Watermarking(RRW)t...To address the challenges of video copyright protection and ensure the perfect recovery of original video,we propose a dual-domain watermarking scheme for digital video,inspired by Robust Reversible Watermarking(RRW)technology used in digital images.Our approach introduces a parameter optimization strategy that incre-mentally adjusts scheme parameters through attack simulation fitting,allowing for adaptive tuning of experimental parameters.In this scheme,the low-frequency Polar Harmonic Transform(PHT)moment is utilized as the embedding domain for robust watermarking,enhancing stability against simulation attacks while implementing the parameter optimization strategy.Through extensive attack simulations across various digital videos,we identify the optimal low-frequency PHT moment using adaptive normalization.Subsequently,the embedding parameters for robust watermarking are adaptively adjusted to maximize robustness.To address computational efficiency and practical requirements,the unnormalized high-frequency PHT moment is selected as the embedding domain for reversible watermarking.We optimize the traditional single-stage extended transform dithering modulation(STDM)to facilitate multi-stage embedding in the dual-domain watermarking process.In practice,the video embedded with a robust watermark serves as the candidate video.This candidate video undergoes simulation according to the parameter optimization strategy to balance robustness and embedding capacity,with adaptive determination of embedding strength.The reversible watermarking is formed by combining errors and other information,utilizing recursive coding technology to ensure reversibility without attacks.Comprehensive analyses of multiple performance indicators demonstrate that our scheme exhibits strong robustness against Common Signal Processing(CSP)and Geometric Deformation(GD)attacks,outperforming other advanced video watermarking algorithms under similar conditions of invisibility,reversibility,and embedding capacity.This underscores the effectiveness and feasibility of our attack simulation fitting strategy.展开更多
Background: We present a compelling case fitting the phenomenon of cortical spreading depression detected by intraoperative neurophysiological monitoring (IONM) following an intraoperative seizure during a craniotomy ...Background: We present a compelling case fitting the phenomenon of cortical spreading depression detected by intraoperative neurophysiological monitoring (IONM) following an intraoperative seizure during a craniotomy for revascularization. Cortical spreading depression (CSD, also called cortical spreading depolarization) is a pathophysiological phenomenon whereby a wave of depolarization is thought to propagate across the cerebral cortex, creating a brief period of relative neuronal inactivity. The relationship between CSD and seizures is unclear, although some literature has made a correlation between seizures and a cortical environment conducive to CSD. Methods: Intraoperative somatosensory evoked potentials (SSEPs) and electroencephalography (EEG) were monitored continuously during the craniotomy procedure utilizing standard montages. Electrophysiological data from pre-ictal, ictal, and post-ictal periods were recorded. Results: During the procedure, intraoperative EEG captured a generalized seizure followed by a stepwise decrease in somatosensory evoked potential cortical amplitudes, compelling for the phenomenon of CSD. The subsequent partial recovery of neuronal function was also captured electrophysiologically. Discussion: While CSD is considered controversial in some aspects, intraoperative neurophysiological monitoring allowed for the unique analysis of a case demonstrating a CSD-like phenomenon. To our knowledge, this is the first published example of this phenomenon in which intraoperative neurophysiological monitoring captured a seizure, along with a stepwise subsequent reduction in SSEP cortical amplitudes not explained by other variables.展开更多
This study presents various approaches to calculating the bearing capacity of spread footings applied to the rock mass of the western corniche at the tip of the Dakar peninsula. The bearing capacity was estimated usin...This study presents various approaches to calculating the bearing capacity of spread footings applied to the rock mass of the western corniche at the tip of the Dakar peninsula. The bearing capacity was estimated using empirical, analytical and numerical approaches based on the parameters of the rock mass and the foundation. Laboratory tests were carried out on basanite, as well as on the other facies detected. The results of these studies give a range of allowable bearing capacity values varying between 1.92 and 11.39 MPa for the empirical methods and from 7.13 to 25.50 MPa for the analytical methods. A wide dispersion of results was observed according to the different approaches. This dispersion of results is explained by the use of different rock parameters depending on the method used. The allowable bearing capacity results obtained with varying approaches of calculation remain admissible to support the loads. On the other hand, the foundation calculations show acceptable settlement of the order of a millimeter for all the layers, especially in the thin clay layers resting on the bedrock at shallow depths, where the rigidity of the rock reduces settlement.展开更多
This paper addresses sparse channels estimation problem for the generalized linear models(GLM)in the orthogonal time frequency space(OTFS)underwater acoustic(UWA)system.OTFS works in the delay-Doppler domain,where tim...This paper addresses sparse channels estimation problem for the generalized linear models(GLM)in the orthogonal time frequency space(OTFS)underwater acoustic(UWA)system.OTFS works in the delay-Doppler domain,where timevarying channels are characterized as delay-Doppler impulse responses.In fact,a typical doubly spread UWA channel is associated with several resolvable paths,which exhibits a structured sparsity in the delayDoppler domain.To leverage the structured sparsity of the doubly spread UWA channel,we develop a structured sparsity-based generalized approximated message passing(GAMP)algorithm for reliable channel estimation in quantized OTFS systems.The proposed algorithm has a lower computational complexity compared to the conventional Bayesian algorithm.In addition,the expectation maximum algorithm is employed to learn the sparsity ratio and the noise variance.Simulation and experimental results show that the proposed algorithm has superior performance and low computational complexity for quantized OTFS systems.展开更多
Bioprinting has been widely investigated for tissue engineering and regenerative medicine applications.However,it is still difficult to reconstruct the complex native cell arrangement due to the limited printing resol...Bioprinting has been widely investigated for tissue engineering and regenerative medicine applications.However,it is still difficult to reconstruct the complex native cell arrangement due to the limited printing resolution of conventional bioprinting techniques such as extrusion-and inkjet-based printing.Recently,an electrohydrodynamic(EHD)bioprinting strategy was reported for the precise deposition of well-organized cell-laden constructs with microscale filament size,whereas few studies have been devoted to developing bioinks that can be applied for EHD bioprinting and simultaneously support cell spreading.This study describes functionalized alginate-based bioinks for microscale EHD bioprinting using peptide grafting and fibrin incorporation,which leads to high cell viability(>90%)and cell spreading.The printed filaments can be further refined to as small as 30μm by incorporating polyoxyethylene and remained stable over one week when exposed to an aqueous environment.By utilizing the presented alginate-based bioinks,layer-specific cell alignment along the printing struts could be observed inside the EHD-printed microscale filaments,which allows fabricating living constructs with cell-scale filament resolution for guided cellular orientation.展开更多
This paper investigates information spreading from the perspective of topological phase transition.Firstly,a new hybrid network is constructed based on the small-world networks and scale-free networks.Secondly,the att...This paper investigates information spreading from the perspective of topological phase transition.Firstly,a new hybrid network is constructed based on the small-world networks and scale-free networks.Secondly,the attention mechanism of online users in information spreading is studied from four aspects:social distance,individual influence,content richness,and individual activity,and a dynamic evolution model of connecting with spreading is designed.Eventually,numerical simulations are conducted in three types of networks to verify the validity of the proposed dynamic evolution model.The simulation results show that topological structure and node influence in different networks have undergone phase transition,which is consistent with the phenomenon that followers and individual influence in real social networks experience phase transition within a short period.The infection density of networks with the dynamic evolution rule changes faster and reaches higher values than that of networks without the dynamic evolution rule.Furthermore,the simulation results are compared with the real data,which shows that the infection density curve of the hybrid networks is closer to that of the real data than that of the small-world networks and scale-free networks,verifying the validity of the model proposed in this paper.展开更多
Slow inward currents are known as neuronal excitatory currents mediated by glutamate release and activation of neuronal extra synaptic N-met hyl-D-aspartate receptors with the contribution of astrocytes.These events a...Slow inward currents are known as neuronal excitatory currents mediated by glutamate release and activation of neuronal extra synaptic N-met hyl-D-aspartate receptors with the contribution of astrocytes.These events are significantly slower than the excitatory postsynaptic currents.Parameters of slow inward currents are determined by seve ral factors including the mechanisms of astrocytic activation and glutamate release,as well as the diffusion pathways from the release site towards the extra synaptic recepto rs.Astrocytes are stimulated by neuronal network activity,which in turn excite neurons,forming an astrocyte-neuron feedback loop.Mostly as a consequence of brain edema,astrocytic swelling can also induce slow inward currents under pathological conditions.There is a growing body of evidence on the roles of slow inward currents on a single neuron or local network level.These events often occur in synchro ny on neurons located in the same astrocytic domain.Besides synchronization of neuronal excitability,slow inward currents also set synaptic strength via eliciting timing-dependent synaptic plasticity.In addition,slow inward currents are also subject to non-synaptic plasticity triggered by long-la sting stimulation of the excitatory inputs.Of note,there might be important regionspecific differences in the roles and actions triggering slow inward currents.In greater networks,the pathophysiological roles of slow inward currents can be better understood than physiological ones.Slow inward currents are identified in the pathophysiological background of autism,as slow inward currents drive early hypersynchrony of the neural networks.Slow inward currents are significant contributors to paroxysmal depolarizational shifts/interictal spikes.These events are related to epilepsy,but also found in Alzheimer's disease,Parkinson's disease,and stroke,leading to the decline of cognitive functions.Events with features overlapping with slow inward currents(excitatory,N-methyl-Daspartate-receptor mediated currents with astrocytic contribution) as ischemic currents and spreading depolarization also have a well-known pathophysiological role in worsening consequences of stroke,traumatic brain injury,or epilepsy.One might assume that slow inward currents occurring with low frequency under physiological conditions might contribute to synaptic plasticity and memory formation.However,to state this,more experimental evidence from greater neuronal networks or the level of the individual is needed.In this review,I aimed to summarize findings on slow inward currents and to speculate on the potential functions of it.展开更多
The significance of liquids in abrasive wire sawing has been demonstrated in several studies.However,the perfor-mance of its spreading behavior is limited by the current development trend,where the wafer has a larger ...The significance of liquids in abrasive wire sawing has been demonstrated in several studies.However,the perfor-mance of its spreading behavior is limited by the current development trend,where the wafer has a larger area and the kerf is narrower.Moreover,there are very few studies on the liquid spreading behavior in wire-sawn kerfs.Therefore,a 3D CFD(computational fluid dynamics)model is presented in this paper and used to simulate the liquid spreading behavior in a kerf based on a VOF(volume of fluid)method with a CSF(continuum surface force)model,which is used to simulate multiphase flow,and an empirical correlation for characterizing the liquid dynamic contact angle using UDF(user defined functions).Subsequently,parametric simulations are performed on the kerf area,kerf width,liquid viscosity,liquid surface tension,and liquid velocity at the inlet area of the kerf,and verification experi-ments are conducted to determine the validity of the simulation model.From the simulation and experimental results,three typical liquid spreading regimes that exhibit different effects on wire sawing in the kerfs are found,and their limiting conditions are identified using non-dimensional analysis.Subsequently,a prediction model is pro-posed for the liquid spreading regime based on a set of Weber and Capillary numbers.For wire sawing,an increase in the wafer area does not change the liquid spreading regime in the kerf;however,a reduction in the kerf width sig-nificantly hinders the liquid spreading behavior.Thereby,the spreading regime can be effectively converted to facili-tate wire sawing by adjusting the physical properties and supply conditions of the liquid.展开更多
A fractional-order delayed SEIR rumor spreading model with a nonlinear incidence function is established in this paper,and a novel strategy to control the bifurcation of this model is proposed.First,Hopf bifurcation i...A fractional-order delayed SEIR rumor spreading model with a nonlinear incidence function is established in this paper,and a novel strategy to control the bifurcation of this model is proposed.First,Hopf bifurcation is investigated by considering time delay as bifurcation parameter for the system without a feedback controller.Then,a state feedback controller is designed to control the occurrence of bifurcation in advance or to delay it by changing the parameters of the controller.Finally,in order to verify the theoretical results,some numerical simulations are given.展开更多
Seasonal infl uenza,which is transmitted by droplets and direct contact,is a global public health issue that causes an average of 2.5 excess infl uenza-like illness(ILI)consultations per 1,000 person-years in China.[1...Seasonal infl uenza,which is transmitted by droplets and direct contact,is a global public health issue that causes an average of 2.5 excess infl uenza-like illness(ILI)consultations per 1,000 person-years in China.[1]Nonpharmaceutical interventions(NPIs)against droplet and direct contact transmission,including social distancing measures and personal protective measures,are recommended to reduce the spread of disease.Social distancing measures comprised isolating ill persons,quarantining exposed persons,school and workplace closures,and avoiding crowds.Personal protective measures included hygiene,respiratory etiquette,and face masks.[2]In December 2019,coronavirus disease 2019(COVID-19)started to spread,and China introduced NPIs to address the pandemic in January 2020.These NPIs could also help reduce the spread of other respiratory diseases,such as seasonal influenza.[3]In the second half of 2020,the COVID-19 pandemic was gradually brought under control.Production,transport,and schools were returning to normal,while citizens were still required to wear masks in public.Cases of influenza also reappeared.This study compared the ILI percentage(ILI%),laboratory(LAB)-positive rate,incidence rate,and effective reproductive number(Rt)of infl uenzas from 2019 to 2022 to clarify the change in seasonal infl uenza spread after the COVID-19 outbreak.展开更多
An optical encryption(OE) scheme based on the spread spectrum ghost imaging(SSGI), named as SSGI-OE, is proposed to obtain a high security with a smaller key. In the scheme, the randomly selected row number of a Hadam...An optical encryption(OE) scheme based on the spread spectrum ghost imaging(SSGI), named as SSGI-OE, is proposed to obtain a high security with a smaller key. In the scheme, the randomly selected row number of a Hadamard matrix of order N is used as the secure key, and shared with the authorized user, Bob, through a private channel. Each corresponding row vector of the order-N Hadamard matrix is then used as the direct sequence code to modulate a speckle pattern for the ghost imaging system, and an image is encrypted with the help of the SSGI. The measurement results from the bucket detector, named as ciphertext, are then transmitted to Bob through a public channel. The illuminating speckle patterns are also shared with Bob by the public channel. With the correct secure key, Bob could reconstruct the image with the aid of the SSGI system, whereas the unauthorized user, Eve, could not obtain any useful information of the encrypted image. The numerical simulations and experimental results show that the proposed scheme is feasible with a higher security and a smaller key. For the 32 × 32 pixels image, the number of bits sent from Alice to Bob by using SSGIOE(M = 1024, N = 2048) scheme is only 0.0107 times over a computational ghost imaging optical encryption scheme.When the eavesdropping ratio(ER) is less than 40%, the eavesdropper cannot acquire any information of the encrypted image. The extreme circumstance for the proposed SSGI-OE scheme is also discussed, where the eavesdropper begins to extract the information when ER is up to 15%.展开更多
Landslides occurring in sensitive clay often result in widespread destruction,posing a significant risk to human lives and property due to the substantial decrease in undrained shear strength during deformation.Assess...Landslides occurring in sensitive clay often result in widespread destruction,posing a significant risk to human lives and property due to the substantial decrease in undrained shear strength during deformation.Assessing the consequences of these landslides is challenging and necessitates robust numerical methods to comprehensively investigate their failure mechanisms.While studies have extensively explored upward progressive landslides in sensitive clays,understanding downward progressive cases remains limited.In this study,we utilised the nodal integration-based particle finite element method(NPFEM)with a nonlinear strain-softening model to analyse downward progressive landslides in sensitive clay on elongated slopes,induced by surcharge loads near the crest.We focused on elucidating the underlying failure mechanisms and evaluating the effects of different soil parameters and strainsoftening characteristics.The simulation results revealed the typical pattern for downward landslides,which typically start with a localised failure in proximity to the surcharge loads,followed by a combination of different types of failure mechanisms,including single flow slides,translational progressive landslides,progressive flow slides,and spread failures.Additionally,inclined shear bands occur within spread failures,often adopting distinctive ploughing patterns characterised by triangular shapes.The sensitive clay thickness at the base,the clay strength gradient,the sensitivity,and the softening rate significantly influence the failure mechanisms and the extent of diffused displacement.Remarkably,some of these effects mirror those observed in upward progressive landslides,underscoring the interconnectedness of these phenomena.This study contributes valuable insights into the complex dynamics of sensitive clay landslides,shedding light on the intricate interplay of factors governing their behaviour and progression.展开更多
This paper is concerned with the spreading speed of a food-limited population model with delay.First,the existence of the solution of Cauchy problem is proved.Then,the spreading speed of solutions with compactly suppo...This paper is concerned with the spreading speed of a food-limited population model with delay.First,the existence of the solution of Cauchy problem is proved.Then,the spreading speed of solutions with compactly supported initial data is investigated by using the general Harnack inequality.Finally,we present some numerical simulations and investigate the dynamical behavior of the solution.展开更多
In this research,two shake table experiments were conducted to study the effects of non-liquefiable crust layer and superstructure mass on the responses of two sets of 22 pile groups to liquefactioninduced lateral spr...In this research,two shake table experiments were conducted to study the effects of non-liquefiable crust layer and superstructure mass on the responses of two sets of 22 pile groups to liquefactioninduced lateral spreading.In this regard,an inclined base layer overlain by a very loose liquefiable layer was constructed in both models;while only in one model,a non-liquefiable crust layer was built.A lumped mass,being representative of a superstructure,was attached to the cap of one pile group in both models.The models were fully instrumented with various sensors,including acceleration,displacement,and pore water pressure transducers.Also,the piles were instrumented with pair strain gauges to measure pure bending moments induced by cyclic and monotonic loadings associated with ground shaking and lateral spreading,respectively.The results showed that the existence of the non-liquefiable crust layer increases both the maximum and residual soil displacements at the free field and also the maximum bending moments in the piles.The results of the experiments indicated that the crust layer induces a high kinematic lateral soil pressure and force on the piles which are not present in the crustless case.The crust layer increases the pile cap displacement before liquefaction,albeit decreases it after liquefaction,due to the elastic rebound of the piles in the liquefiable layer.The crust layer postpones both liquefaction triggering and dissipation of excess pore water pressure.The existence of the superstructure mass on the pile caps decreases the acceleration amplitude of the pile caps,while increases their maximum displacement.展开更多
BACKGROUND Since fat does not transmit electrical energy well,delayed perforation and postpolypectomy syndrome due to electrical thermal injury are concerns in the endoscopic removal of colonic lipoma.The endoscopic s...BACKGROUND Since fat does not transmit electrical energy well,delayed perforation and postpolypectomy syndrome due to electrical thermal injury are concerns in the endoscopic removal of colonic lipoma.The endoscopic submucosal dissection(ESD)technique concentrates electrical energy conducts to the submucosa,not the adipose tissue.This helps to minimize electrical thermal injury,especially in the case of large colonic lipomas.In rare cases,such as colonic lipomas accompanied by mucosal lesions,it is difficult for endoscopists to decide how to safely remove them.CASE SUMMARY A 78-year-old man underwent colonoscopy for colorectal cancer screening.During colonoscopy,a yellowish submucosal tumor with positive cushion sign was observed in the ascending colon measuring about 4.5 cm.A nodular mucosal lesion of about 2.5 cm was observed on the mucosal surface of the lipoma.The lipoma was so large that it occupied much of the inside of the colon,making it difficult to see the entire laterally spreading tumor(LST)at once.The LST was confined to the surface of the lipoma,which had a semipedunculated shape with a wide neck.The margin of the LST was not observed at the neck of the lipoma.ESD was performed and the colonic lipoma with the LST was successfully removed without complications.After 3 d of hospitalization,the patient was discharged without any symptoms.The final pathology report showed that the lesion consisted of submucosal lipoma and tubulovillous adenoma with lowgrade dysplasia.CONCLUSION ESD is effective and safe for treating a large colonic lipoma with an LST by minimizing electrical thermal injury.展开更多
Amyotrophic lateral sclerosis is a rare neurodegenerative disease characterized by the involvement of both upper and lower motor neurons.Early bilateral limb involvement significantly affects patients'daily lives ...Amyotrophic lateral sclerosis is a rare neurodegenerative disease characterized by the involvement of both upper and lower motor neurons.Early bilateral limb involvement significantly affects patients'daily lives and may lead them to be confined to bed.However,the effect of upper and lower motor neuron impairment and other risk factors on bilateral limb involvement is unclear.To address this issue,we retrospectively collected data from 586 amyotrophic lateral sclerosis patients with limb onset diagnosed at Peking University Third Hospital between January 2020 and May 2022.A univariate analysis revealed no significant differences in the time intervals of spread in different directions between individuals with upper motor neuron-dominant amyotrophic lateral sclerosis and those with classic amyotrophic lateral sclerosis.We used causal directed acyclic graphs for risk factor determination and Cox proportional hazards models to investigate the association between the duration of bilateral limb involvement and clinical baseline characteristics in amyotrophic lateral sclerosis patients.Multiple factor analyses revealed that higher upper motor neuron scores(hazard ratio[HR]=1.05,95%confidence interval[CI]=1.01–1.09,P=0.018),onset in the left limb(HR=0.72,95%CI=0.58–0.89,P=0.002),and a horizontal pattern of progression(HR=0.46,95%CI=0.37–0.58,P<0.001)were risk factors for a shorter interval until bilateral limb involvement.The results demonstrated that a greater degree of upper motor neuron involvement might cause contralateral limb involvement to progress more quickly in limb-onset amyotrophic lateral sclerosis patients.These findings may improve the management of amyotrophic lateral sclerosis patients with limb onset and the prediction of patient prognosis.展开更多
基金Project supported by the National Natural Science Foundation of China (Grant No 10375022).
文摘Many real-world networks have the ability to adapt themselves in response to the state of their nodes. This paper studies controlling disease spread on network with feedback mechanism, where the susceptible nodes are able to avoid contact with the infected ones by cutting their connections with probability when the density of infected nodes reaches a certain value in the network. Such feedback mechanism considers the networks' own adaptivity and the cost of immunization. The dynamical equations about immunization with feedback mechanism ave solved and theoretical predictions are in agreement with the results of large scale simulations. It shows that when the lethality a increases, the prevalence decreases more greatly with the same immunization g. That is, with the same cost, a better controlling result can be obtained. This approach offers an effective and practical policy to control disease spread, and also may be relevant to other similar networks.
文摘The prediction of liquefaction-induced lateral spreading/displacement(Dh)is a challenging task for civil/geotechnical engineers.In this study,a new approach is proposed to predict Dh using gene expression programming(GEP).Based on statistical reasoning,individual models were developed for two topographies:free-face and gently sloping ground.Along with a comparison with conventional approaches for predicting the Dh,four additional regression-based soft computing models,i.e.Gaussian process regression(GPR),relevance vector machine(RVM),sequential minimal optimization regression(SMOR),and M5-tree,were developed and compared with the GEP model.The results indicate that the GEP models predict Dh with less bias,as evidenced by the root mean square error(RMSE)and mean absolute error(MAE)for training(i.e.1.092 and 0.815;and 0.643 and 0.526)and for testing(i.e.0.89 and 0.705;and 0.773 and 0.573)in free-face and gently sloping ground topographies,respectively.The overall performance for the free-face topology was ranked as follows:GEP>RVM>M5-tree>GPR>SMOR,with a total score of 40,32,24,15,and 10,respectively.For the gently sloping condition,the performance was ranked as follows:GEP>RVM>GPR>M5-tree>SMOR with a total score of 40,32,21,19,and 8,respectively.Finally,the results of the sensitivity analysis showed that for both free-face and gently sloping ground,the liquefiable layer thickness(T_(15))was the major parameter with percentage deterioration(%D)value of 99.15 and 90.72,respectively.
基金Project supported by the National Natural Science Foundation of China (Grant Nos. 62373197 and 62203229)the Postgraduate Research & Practice Innovation Program of Jiangsu Province, China (Grant No. KYCX24_1211)。
文摘There are various phenomena of malicious information spreading in the real society, which cause many negative impacts on the society. In order to better control the spreading, it is crucial to reveal the influence of network structure on network spreading. Motifs, as fundamental structures within a network, play a significant role in spreading. Therefore, it is of interest to investigate the influence of the structural characteristics of basic network motifs on spreading dynamics.Considering the edges of the basic network motifs in an undirected network correspond to different tie ranges, two edge removal strategies are proposed, short ties priority removal strategy and long ties priority removal strategy. The tie range represents the second shortest path length between two connected nodes. The study focuses on analyzing how the proposed strategies impact network spreading and network structure, as well as examining the influence of network structure on network spreading. Our findings indicate that the long ties priority removal strategy is most effective in controlling network spreading, especially in terms of spread range and spread velocity. In terms of network structure, the clustering coefficient and the diameter of network also have an effect on the network spreading, and the triangular structure as an important motif structure effectively inhibits the spreading.
基金the Postdoctoral ScienceFoundation of China(No.2023M730156)the NationalNatural Foundation of China(No.62301012).
文摘Hyper-and multi-spectral image fusion is an important technology to produce hyper-spectral and hyper-resolution images,which always depends on the spectral response function andthe point spread function.However,few works have been payed on the estimation of the two degra-dation functions.To learn the two functions from image pairs to be fused,we propose a Dirichletnetwork,where both functions are properly constrained.Specifically,the spatial response function isconstrained with positivity,while the Dirichlet distribution along with a total variation is imposedon the point spread function.To the best of our knowledge,the neural network and the Dirichlet regularization are exclusively investigated,for the first time,to estimate the degradation functions.Both image degradation and fusion experiments demonstrate the effectiveness and superiority of theproposed Dirichlet network.
基金supported in part by the National Natural Science Foundation of China under Grant 62202496,62272478the Basic Frontier Innovation Project of Engineering University of People Armed Police under Grant WJY202314,WJY202221.
文摘To address the challenges of video copyright protection and ensure the perfect recovery of original video,we propose a dual-domain watermarking scheme for digital video,inspired by Robust Reversible Watermarking(RRW)technology used in digital images.Our approach introduces a parameter optimization strategy that incre-mentally adjusts scheme parameters through attack simulation fitting,allowing for adaptive tuning of experimental parameters.In this scheme,the low-frequency Polar Harmonic Transform(PHT)moment is utilized as the embedding domain for robust watermarking,enhancing stability against simulation attacks while implementing the parameter optimization strategy.Through extensive attack simulations across various digital videos,we identify the optimal low-frequency PHT moment using adaptive normalization.Subsequently,the embedding parameters for robust watermarking are adaptively adjusted to maximize robustness.To address computational efficiency and practical requirements,the unnormalized high-frequency PHT moment is selected as the embedding domain for reversible watermarking.We optimize the traditional single-stage extended transform dithering modulation(STDM)to facilitate multi-stage embedding in the dual-domain watermarking process.In practice,the video embedded with a robust watermark serves as the candidate video.This candidate video undergoes simulation according to the parameter optimization strategy to balance robustness and embedding capacity,with adaptive determination of embedding strength.The reversible watermarking is formed by combining errors and other information,utilizing recursive coding technology to ensure reversibility without attacks.Comprehensive analyses of multiple performance indicators demonstrate that our scheme exhibits strong robustness against Common Signal Processing(CSP)and Geometric Deformation(GD)attacks,outperforming other advanced video watermarking algorithms under similar conditions of invisibility,reversibility,and embedding capacity.This underscores the effectiveness and feasibility of our attack simulation fitting strategy.
文摘Background: We present a compelling case fitting the phenomenon of cortical spreading depression detected by intraoperative neurophysiological monitoring (IONM) following an intraoperative seizure during a craniotomy for revascularization. Cortical spreading depression (CSD, also called cortical spreading depolarization) is a pathophysiological phenomenon whereby a wave of depolarization is thought to propagate across the cerebral cortex, creating a brief period of relative neuronal inactivity. The relationship between CSD and seizures is unclear, although some literature has made a correlation between seizures and a cortical environment conducive to CSD. Methods: Intraoperative somatosensory evoked potentials (SSEPs) and electroencephalography (EEG) were monitored continuously during the craniotomy procedure utilizing standard montages. Electrophysiological data from pre-ictal, ictal, and post-ictal periods were recorded. Results: During the procedure, intraoperative EEG captured a generalized seizure followed by a stepwise decrease in somatosensory evoked potential cortical amplitudes, compelling for the phenomenon of CSD. The subsequent partial recovery of neuronal function was also captured electrophysiologically. Discussion: While CSD is considered controversial in some aspects, intraoperative neurophysiological monitoring allowed for the unique analysis of a case demonstrating a CSD-like phenomenon. To our knowledge, this is the first published example of this phenomenon in which intraoperative neurophysiological monitoring captured a seizure, along with a stepwise subsequent reduction in SSEP cortical amplitudes not explained by other variables.
文摘This study presents various approaches to calculating the bearing capacity of spread footings applied to the rock mass of the western corniche at the tip of the Dakar peninsula. The bearing capacity was estimated using empirical, analytical and numerical approaches based on the parameters of the rock mass and the foundation. Laboratory tests were carried out on basanite, as well as on the other facies detected. The results of these studies give a range of allowable bearing capacity values varying between 1.92 and 11.39 MPa for the empirical methods and from 7.13 to 25.50 MPa for the analytical methods. A wide dispersion of results was observed according to the different approaches. This dispersion of results is explained by the use of different rock parameters depending on the method used. The allowable bearing capacity results obtained with varying approaches of calculation remain admissible to support the loads. On the other hand, the foundation calculations show acceptable settlement of the order of a millimeter for all the layers, especially in the thin clay layers resting on the bedrock at shallow depths, where the rigidity of the rock reduces settlement.
基金supported by National Natural Science Foundation of China(No.62071383)。
文摘This paper addresses sparse channels estimation problem for the generalized linear models(GLM)in the orthogonal time frequency space(OTFS)underwater acoustic(UWA)system.OTFS works in the delay-Doppler domain,where timevarying channels are characterized as delay-Doppler impulse responses.In fact,a typical doubly spread UWA channel is associated with several resolvable paths,which exhibits a structured sparsity in the delayDoppler domain.To leverage the structured sparsity of the doubly spread UWA channel,we develop a structured sparsity-based generalized approximated message passing(GAMP)algorithm for reliable channel estimation in quantized OTFS systems.The proposed algorithm has a lower computational complexity compared to the conventional Bayesian algorithm.In addition,the expectation maximum algorithm is employed to learn the sparsity ratio and the noise variance.Simulation and experimental results show that the proposed algorithm has superior performance and low computational complexity for quantized OTFS systems.
基金This work was financially supported by the National Key Research and Development Program of China(No.2018YFA0703003)the National Natural Science Foundation of China(No.52125501)+1 种基金the Key Research Project of Shaanxi Province(Nos.2021LLRH-08,2020GXLH-Y-021,and 2021GXLH-Z-028)the Youth InnovationTeam of Shaanxi Universities and the Fundamental Research Funds for the Central Universities.
文摘Bioprinting has been widely investigated for tissue engineering and regenerative medicine applications.However,it is still difficult to reconstruct the complex native cell arrangement due to the limited printing resolution of conventional bioprinting techniques such as extrusion-and inkjet-based printing.Recently,an electrohydrodynamic(EHD)bioprinting strategy was reported for the precise deposition of well-organized cell-laden constructs with microscale filament size,whereas few studies have been devoted to developing bioinks that can be applied for EHD bioprinting and simultaneously support cell spreading.This study describes functionalized alginate-based bioinks for microscale EHD bioprinting using peptide grafting and fibrin incorporation,which leads to high cell viability(>90%)and cell spreading.The printed filaments can be further refined to as small as 30μm by incorporating polyoxyethylene and remained stable over one week when exposed to an aqueous environment.By utilizing the presented alginate-based bioinks,layer-specific cell alignment along the printing struts could be observed inside the EHD-printed microscale filaments,which allows fabricating living constructs with cell-scale filament resolution for guided cellular orientation.
基金the National Natural Science Foundation of China(Grant Nos.61863025 and 62266030)Program for International S&T Cooperation Projects of Gansu Province of China(Grant No.144WCGA166)Program for Longyuan Young Innovation Talents and the Doctoral Foundation of LUT.
文摘This paper investigates information spreading from the perspective of topological phase transition.Firstly,a new hybrid network is constructed based on the small-world networks and scale-free networks.Secondly,the attention mechanism of online users in information spreading is studied from four aspects:social distance,individual influence,content richness,and individual activity,and a dynamic evolution model of connecting with spreading is designed.Eventually,numerical simulations are conducted in three types of networks to verify the validity of the proposed dynamic evolution model.The simulation results show that topological structure and node influence in different networks have undergone phase transition,which is consistent with the phenomenon that followers and individual influence in real social networks experience phase transition within a short period.The infection density of networks with the dynamic evolution rule changes faster and reaches higher values than that of networks without the dynamic evolution rule.Furthermore,the simulation results are compared with the real data,which shows that the infection density curve of the hybrid networks is closer to that of the real data than that of the small-world networks and scale-free networks,verifying the validity of the model proposed in this paper.
基金funded by the National Research Developm ent and Innovation Office (NKFIH-K1468 73) (to BP)。
文摘Slow inward currents are known as neuronal excitatory currents mediated by glutamate release and activation of neuronal extra synaptic N-met hyl-D-aspartate receptors with the contribution of astrocytes.These events are significantly slower than the excitatory postsynaptic currents.Parameters of slow inward currents are determined by seve ral factors including the mechanisms of astrocytic activation and glutamate release,as well as the diffusion pathways from the release site towards the extra synaptic recepto rs.Astrocytes are stimulated by neuronal network activity,which in turn excite neurons,forming an astrocyte-neuron feedback loop.Mostly as a consequence of brain edema,astrocytic swelling can also induce slow inward currents under pathological conditions.There is a growing body of evidence on the roles of slow inward currents on a single neuron or local network level.These events often occur in synchro ny on neurons located in the same astrocytic domain.Besides synchronization of neuronal excitability,slow inward currents also set synaptic strength via eliciting timing-dependent synaptic plasticity.In addition,slow inward currents are also subject to non-synaptic plasticity triggered by long-la sting stimulation of the excitatory inputs.Of note,there might be important regionspecific differences in the roles and actions triggering slow inward currents.In greater networks,the pathophysiological roles of slow inward currents can be better understood than physiological ones.Slow inward currents are identified in the pathophysiological background of autism,as slow inward currents drive early hypersynchrony of the neural networks.Slow inward currents are significant contributors to paroxysmal depolarizational shifts/interictal spikes.These events are related to epilepsy,but also found in Alzheimer's disease,Parkinson's disease,and stroke,leading to the decline of cognitive functions.Events with features overlapping with slow inward currents(excitatory,N-methyl-Daspartate-receptor mediated currents with astrocytic contribution) as ischemic currents and spreading depolarization also have a well-known pathophysiological role in worsening consequences of stroke,traumatic brain injury,or epilepsy.One might assume that slow inward currents occurring with low frequency under physiological conditions might contribute to synaptic plasticity and memory formation.However,to state this,more experimental evidence from greater neuronal networks or the level of the individual is needed.In this review,I aimed to summarize findings on slow inward currents and to speculate on the potential functions of it.
基金Supported by National Natural Science Foundation of China(Grant Nos.51375179,U22A20198).
文摘The significance of liquids in abrasive wire sawing has been demonstrated in several studies.However,the perfor-mance of its spreading behavior is limited by the current development trend,where the wafer has a larger area and the kerf is narrower.Moreover,there are very few studies on the liquid spreading behavior in wire-sawn kerfs.Therefore,a 3D CFD(computational fluid dynamics)model is presented in this paper and used to simulate the liquid spreading behavior in a kerf based on a VOF(volume of fluid)method with a CSF(continuum surface force)model,which is used to simulate multiphase flow,and an empirical correlation for characterizing the liquid dynamic contact angle using UDF(user defined functions).Subsequently,parametric simulations are performed on the kerf area,kerf width,liquid viscosity,liquid surface tension,and liquid velocity at the inlet area of the kerf,and verification experi-ments are conducted to determine the validity of the simulation model.From the simulation and experimental results,three typical liquid spreading regimes that exhibit different effects on wire sawing in the kerfs are found,and their limiting conditions are identified using non-dimensional analysis.Subsequently,a prediction model is pro-posed for the liquid spreading regime based on a set of Weber and Capillary numbers.For wire sawing,an increase in the wafer area does not change the liquid spreading regime in the kerf;however,a reduction in the kerf width sig-nificantly hinders the liquid spreading behavior.Thereby,the spreading regime can be effectively converted to facili-tate wire sawing by adjusting the physical properties and supply conditions of the liquid.
基金supported by the National Natural Science Foundation of China (U1703262,62163035,61866036,62006196,61963033,62163035)the Tianshan Innovation Team Program (2020D14017)the Tianshan Xuesong Program (2018XS02).
文摘A fractional-order delayed SEIR rumor spreading model with a nonlinear incidence function is established in this paper,and a novel strategy to control the bifurcation of this model is proposed.First,Hopf bifurcation is investigated by considering time delay as bifurcation parameter for the system without a feedback controller.Then,a state feedback controller is designed to control the occurrence of bifurcation in advance or to delay it by changing the parameters of the controller.Finally,in order to verify the theoretical results,some numerical simulations are given.
基金supported by National High Level Hospital Clinical Research Funding(2022-PUMCH-D-005)National High Level Hospital Clinical Research Funding(2022-PUMCH-B-109)。
文摘Seasonal infl uenza,which is transmitted by droplets and direct contact,is a global public health issue that causes an average of 2.5 excess infl uenza-like illness(ILI)consultations per 1,000 person-years in China.[1]Nonpharmaceutical interventions(NPIs)against droplet and direct contact transmission,including social distancing measures and personal protective measures,are recommended to reduce the spread of disease.Social distancing measures comprised isolating ill persons,quarantining exposed persons,school and workplace closures,and avoiding crowds.Personal protective measures included hygiene,respiratory etiquette,and face masks.[2]In December 2019,coronavirus disease 2019(COVID-19)started to spread,and China introduced NPIs to address the pandemic in January 2020.These NPIs could also help reduce the spread of other respiratory diseases,such as seasonal influenza.[3]In the second half of 2020,the COVID-19 pandemic was gradually brought under control.Production,transport,and schools were returning to normal,while citizens were still required to wear masks in public.Cases of influenza also reappeared.This study compared the ILI percentage(ILI%),laboratory(LAB)-positive rate,incidence rate,and effective reproductive number(Rt)of infl uenzas from 2019 to 2022 to clarify the change in seasonal infl uenza spread after the COVID-19 outbreak.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.61871234 and 62001249)the Postgraduate Research&Practice Innovation Program of Jiangsu Province(Grant No.KYCX200729)+3 种基金the Natural Science Research Project of Higher Education of Jiangsu Province(Grant No.20KJB510030)the Qing Lan Project of Jiangsu Province(Su Teacher’s Letter[2022]No.29)the Research project of NanJing Tech University Pujiang Institute(Grant No.njpj2022-1-25)the Priority Academic Program Development of Jiangsu Higher Education Institutions.
文摘An optical encryption(OE) scheme based on the spread spectrum ghost imaging(SSGI), named as SSGI-OE, is proposed to obtain a high security with a smaller key. In the scheme, the randomly selected row number of a Hadamard matrix of order N is used as the secure key, and shared with the authorized user, Bob, through a private channel. Each corresponding row vector of the order-N Hadamard matrix is then used as the direct sequence code to modulate a speckle pattern for the ghost imaging system, and an image is encrypted with the help of the SSGI. The measurement results from the bucket detector, named as ciphertext, are then transmitted to Bob through a public channel. The illuminating speckle patterns are also shared with Bob by the public channel. With the correct secure key, Bob could reconstruct the image with the aid of the SSGI system, whereas the unauthorized user, Eve, could not obtain any useful information of the encrypted image. The numerical simulations and experimental results show that the proposed scheme is feasible with a higher security and a smaller key. For the 32 × 32 pixels image, the number of bits sent from Alice to Bob by using SSGIOE(M = 1024, N = 2048) scheme is only 0.0107 times over a computational ghost imaging optical encryption scheme.When the eavesdropping ratio(ER) is less than 40%, the eavesdropper cannot acquire any information of the encrypted image. The extreme circumstance for the proposed SSGI-OE scheme is also discussed, where the eavesdropper begins to extract the information when ER is up to 15%.
基金support provided by the UK Engineering and Physical Sciences Research Council(EP/V012169/1).
文摘Landslides occurring in sensitive clay often result in widespread destruction,posing a significant risk to human lives and property due to the substantial decrease in undrained shear strength during deformation.Assessing the consequences of these landslides is challenging and necessitates robust numerical methods to comprehensively investigate their failure mechanisms.While studies have extensively explored upward progressive landslides in sensitive clays,understanding downward progressive cases remains limited.In this study,we utilised the nodal integration-based particle finite element method(NPFEM)with a nonlinear strain-softening model to analyse downward progressive landslides in sensitive clay on elongated slopes,induced by surcharge loads near the crest.We focused on elucidating the underlying failure mechanisms and evaluating the effects of different soil parameters and strainsoftening characteristics.The simulation results revealed the typical pattern for downward landslides,which typically start with a localised failure in proximity to the surcharge loads,followed by a combination of different types of failure mechanisms,including single flow slides,translational progressive landslides,progressive flow slides,and spread failures.Additionally,inclined shear bands occur within spread failures,often adopting distinctive ploughing patterns characterised by triangular shapes.The sensitive clay thickness at the base,the clay strength gradient,the sensitivity,and the softening rate significantly influence the failure mechanisms and the extent of diffused displacement.Remarkably,some of these effects mirror those observed in upward progressive landslides,underscoring the interconnectedness of these phenomena.This study contributes valuable insights into the complex dynamics of sensitive clay landslides,shedding light on the intricate interplay of factors governing their behaviour and progression.
基金Supported by the National Natural Science Foundation of China(11371179)。
文摘This paper is concerned with the spreading speed of a food-limited population model with delay.First,the existence of the solution of Cauchy problem is proved.Then,the spreading speed of solutions with compactly supported initial data is investigated by using the general Harnack inequality.Finally,we present some numerical simulations and investigate the dynamical behavior of the solution.
基金support by the Construction and Development of Transportation Infrastructures Company affiliated with the Ministry of Roads and Urban Development of Iran and partial financial support granted by the Research Deputy of the Sharif University of Technology are acknowledged.
文摘In this research,two shake table experiments were conducted to study the effects of non-liquefiable crust layer and superstructure mass on the responses of two sets of 22 pile groups to liquefactioninduced lateral spreading.In this regard,an inclined base layer overlain by a very loose liquefiable layer was constructed in both models;while only in one model,a non-liquefiable crust layer was built.A lumped mass,being representative of a superstructure,was attached to the cap of one pile group in both models.The models were fully instrumented with various sensors,including acceleration,displacement,and pore water pressure transducers.Also,the piles were instrumented with pair strain gauges to measure pure bending moments induced by cyclic and monotonic loadings associated with ground shaking and lateral spreading,respectively.The results showed that the existence of the non-liquefiable crust layer increases both the maximum and residual soil displacements at the free field and also the maximum bending moments in the piles.The results of the experiments indicated that the crust layer induces a high kinematic lateral soil pressure and force on the piles which are not present in the crustless case.The crust layer increases the pile cap displacement before liquefaction,albeit decreases it after liquefaction,due to the elastic rebound of the piles in the liquefiable layer.The crust layer postpones both liquefaction triggering and dissipation of excess pore water pressure.The existence of the superstructure mass on the pile caps decreases the acceleration amplitude of the pile caps,while increases their maximum displacement.
文摘BACKGROUND Since fat does not transmit electrical energy well,delayed perforation and postpolypectomy syndrome due to electrical thermal injury are concerns in the endoscopic removal of colonic lipoma.The endoscopic submucosal dissection(ESD)technique concentrates electrical energy conducts to the submucosa,not the adipose tissue.This helps to minimize electrical thermal injury,especially in the case of large colonic lipomas.In rare cases,such as colonic lipomas accompanied by mucosal lesions,it is difficult for endoscopists to decide how to safely remove them.CASE SUMMARY A 78-year-old man underwent colonoscopy for colorectal cancer screening.During colonoscopy,a yellowish submucosal tumor with positive cushion sign was observed in the ascending colon measuring about 4.5 cm.A nodular mucosal lesion of about 2.5 cm was observed on the mucosal surface of the lipoma.The lipoma was so large that it occupied much of the inside of the colon,making it difficult to see the entire laterally spreading tumor(LST)at once.The LST was confined to the surface of the lipoma,which had a semipedunculated shape with a wide neck.The margin of the LST was not observed at the neck of the lipoma.ESD was performed and the colonic lipoma with the LST was successfully removed without complications.After 3 d of hospitalization,the patient was discharged without any symptoms.The final pathology report showed that the lesion consisted of submucosal lipoma and tubulovillous adenoma with lowgrade dysplasia.CONCLUSION ESD is effective and safe for treating a large colonic lipoma with an LST by minimizing electrical thermal injury.
基金supported by the National Natural Science Foundation of China,Nos.82071426,81873784Clinical Cohort Construction Program of Peking University Third Hospital,No.BYSYDL2019002(all to DF)。
文摘Amyotrophic lateral sclerosis is a rare neurodegenerative disease characterized by the involvement of both upper and lower motor neurons.Early bilateral limb involvement significantly affects patients'daily lives and may lead them to be confined to bed.However,the effect of upper and lower motor neuron impairment and other risk factors on bilateral limb involvement is unclear.To address this issue,we retrospectively collected data from 586 amyotrophic lateral sclerosis patients with limb onset diagnosed at Peking University Third Hospital between January 2020 and May 2022.A univariate analysis revealed no significant differences in the time intervals of spread in different directions between individuals with upper motor neuron-dominant amyotrophic lateral sclerosis and those with classic amyotrophic lateral sclerosis.We used causal directed acyclic graphs for risk factor determination and Cox proportional hazards models to investigate the association between the duration of bilateral limb involvement and clinical baseline characteristics in amyotrophic lateral sclerosis patients.Multiple factor analyses revealed that higher upper motor neuron scores(hazard ratio[HR]=1.05,95%confidence interval[CI]=1.01–1.09,P=0.018),onset in the left limb(HR=0.72,95%CI=0.58–0.89,P=0.002),and a horizontal pattern of progression(HR=0.46,95%CI=0.37–0.58,P<0.001)were risk factors for a shorter interval until bilateral limb involvement.The results demonstrated that a greater degree of upper motor neuron involvement might cause contralateral limb involvement to progress more quickly in limb-onset amyotrophic lateral sclerosis patients.These findings may improve the management of amyotrophic lateral sclerosis patients with limb onset and the prediction of patient prognosis.