Sex differences in the association between the muscle quality index and the incidence of depression: A cross-sectional study

BACKGROUND Depression presents significant challenges to mental health care.Although phy-sical activity is highly beneficial to mental and physical health,relatively few stu-dies have conducted on the relationship between them.AIM To investigate the association between muscle quality index(MQI)and incidence of depression.METHODS The data used in this cross-sectional study were obtained from the 2011-2014 National Health and Nutritional Examination Survey,which included informa-tion on MQI,depression,and confounding factors.Multivariable logistic regre-ssion models were employed,while taking into account the complex multi-stage sampling design.A restricted cubic spline model was utilized to investigate the non-linear relationship between the MQI and depression.Additionally,subgroup analyses were performed to identify influential factors.RESULTS The prevalence of depression in this population was 8.44%.With the adjusted model,the MQI was associated with depression in females(odds ratio=0.68,95%confidence interval:0.49-0.95)but not in males(odds ratio=1.08,95%confidence interval:0.77-1.52).Restricted cubic spline adjustment of all covariates showed a significant negative non-linear relationship between depression and the MQI in females.The observed trend indicated an 80%decrease in the risk of depression for each unit increase in MQI,until a value of 2.2.Subsequently,when the MQI exceeded 2.2,the prevalence of depression increased by 20%for every unit increase in the MQI.Subgroup analyses further confirmed that the MQI was negatively associated with de-pression.CONCLUSION The MQI was inversely correlated with depression in females but not males,suggesting that females with a higher MQI might decrease the risk of depression.

Recovery from prolonged disorders of consciousness:A dual-center prospective cohort study in China

BACKGROUND Recent innovations in intensive care have improved the prognosis of patients with severe brain injuries and brought more patients with disorders of consciousness(DoC).Data are lacking regarding the long-term outcomes of those patients in China.It is necessary to study the long-term outcomes of patients with prolonged DoC in light of many factors likely to influence crucial decisions about their care and their life.AIM To present the preliminary results of a DoC cohort.METHODS This was a two-center prospective cohort study of inpatients with vegetative state(VS)/unresponsive wakefulness syndrome(UWS).The study outcomes were the recovery from VS/UWS to minimally conscious state(MCS)and the long-term status of patients with prolonged DoC considered in VS/UWS or MCS for up to 6 years.The patients were evaluated using the Glasgow coma scale,coma recovery scale-revised,and Glasgow outcome scale.The endpoint of follow-up was recovery of full consciousness or death.The changes in the primary clinical outcome improvement in clinical diagnosis were evaluated at 12 mo compared with baseline.RESULTS The study population included 93 patients(62 VS/UWS and 31 MCS).The postinjury interval range was 28-634 d.Median follow-up was 20 mo(interquartile range,12-37 mo).At the endpoint,33 transitioned to an emergence from MCS or full consciousness,eight had a locked-in syndrome,and there were 35 patients remaining in a VS/UWS and 11 in an MCS.Seven(including one locked-in syndrome)patients(7.5%)died within 12 mo of injury.Compared with the unresponsive group(n=52)at 12 mo,the responsive group(n=41)had a higher proportion of males(87.8%vs 63.5%,P=0.008),shorter time from injury(median,40.0 d vs 65.5 d,P=0.006),higher frequency of vascular etiology(68.3%vs 38.5%,P=0.007),higher Glasgow coma scale score at admission(median,9 vs 6,P<0.001),higher coma recovery scale-revised score at admission(median,9 vs 2.5,P<0.001),at 1 mo(median,14 vs 5,P<0.001),and at 3 mo(median,20 vs 6,P<0.001),lower frequency of VS/UWS(36.6%vs 90.0%,P<0.001),and more favorable Glasgow outcome scale outcome(P<0.001).CONCLUSION Patients with severe DoC,despite having strong predictors of poor prognosis,might recover consciousness after a prolonged time of rehabilitation.An accurate initial diagnosis of patients with DoC is critical for predicting outcome and a long-term regular follow-up is also important.

LipoCol Forte capsules reduce the risk of liver cancer:A propensity score-matched,nationwide,population-based cohort study

BACKGROUND Liver cancer is among the top five most common cancers globally. Lipid-lowering drugs such as statins can lower the risk of liver cancer, but may also cause liver damage. LipoCol Forte capsules(LFC), a red yeast rice product, have demonstrated significant antihypercholesterolemic effects and a good safety profile in clinical studies.AIM To evaluate whether LFC lowers the risk of liver cancer in adults in this propensity score-matched, nationwide, population-based cohort study.METHODS We used data from Taiwan’s National Health Insurance Research Database, which includes electronic medical records for up to 99.99% of Taiwan’s population. LFC users and LFC non-users were matched 1:1 by propensity scores between January 2010 and December 2017. All had followup data for at least 1 year. Statistical analyses compared demographic distributions including sex, age, comorbidities, and prescribed medications. Cox regression analyses estimated adjusted hazard ratios(aHRs) after adjusting for potential confounders.RESULTS We enrolled 33231 LFC users and 33231 non-LFC users(controls). No significant differences between the study cohorts were identified regarding comorbidities and medications [standardized mean difference(SMD) < 0.05]. At follow-up, the overall incidence of liver cancer was significantly lower in the LFC cohort compared with controls [aHR 0.91;95% confidence interval(CI): 0.86-0.95;P < 0.001]. The risk of liver cancer was significantly reduced in both females(aHR 0.87;95%CI: 0.8-0.94;P < 0.001) and males(aHR 0.93;95%CI: 0.87-0.98;P < 0.01) in the LFC cohort compared with their counterparts in the non-LFC cohort. The antitumor protective effects applied to patients with comorbidities(including hypertension, ischemic stroke, diabetes mellitus, hyperlipidemia, hepatitis B infection and hepatitis C infection). Those using LFC for more than 84 drug days had a 0.64-fold lower risk of liver cancer compared with controls(P < 0.001). Compared with controls, the risk of developing liver cancer in the LFC cohort progressively decreased over time;the lowest incidence of liver cancer occurred in LFC users followed-up for more than 6 years(27.44 vs 31.49 per 1,000 person-years;aHR 0.75;95%CI: 0.68-0.82;P < 0.001).CONCLUSION This retrospective cohort study indicates that LFC has a significantly protective effect on lowering the risk of liver cancer, in a dose-dependent and time-dependent manner.

Assessment of the triglyceride glucose index in adult patients with chronic diarrhea and constipation

BACKGROUND Accumulating evidence suggests that the gut microbiome is involved in the pathogenesis of insulin resistance(IR).However,the link between two of the most prevalent bowel disorders,chronic diarrhea and constipation,and the triglyceride glucose(TyG)index,a marker of IR,has not yet been investigated.AIM To investigate the potential association between TyG and the incidence of chronic diarrhea and constipation.METHODS This cross-sectional study enrolled 2400 participants from the National Health and Nutrition Examination Survey database from 2009-2010.TyG was used as an exposure variable,with chronic diarrhea and constipation as determined by the Bristol Stool Form Scale used as the outcome variables.A demographic investigation based on TyG quartile subgroups was performed.The application of multivariate logistic regression models and weighted generalized additive models revealed potential correlations between TyG,chronic diarrhea,and constipation.Subgroup analyses were performed to examine the stability of any potential associations.RESULTS In the chosen sample,chronic diarrhea had a prevalence of 8.00%,while chronic constipation had a prevalence of 8.04%.In multiple logistic regression,a more prominent positive association was found between TyG and chronic diarrhea,particularly in model 1(OR=1.45;95%CI:1.17-1.79,P=0.0007)and model 2(OR=1.40;95%CI:1.12-1.76,P=0.0033).No definite association was observed between the TyG levels and chronic constipation.The weighted generalized additive model findings suggested a more substantial positive association with chronic diarrhea when TyG was less than 9.63(OR=1.89;95%CI:1.05-3.41,P=0.0344),and another positive association with chronic constipation when it was greater than 8.2(OR=1.74;95%CI:1.02-2.95,P=0.0415).The results of the subgroup analyses further strengthen the extrapolation of these results to a wide range of populations.CONCLUSION Higher TyG levels were positively associated with abnormal bowel health.

Dietary fiber intake and its association with diabetic kidney disease in American adults with diabetes:A cross-sectional study

BACKGROUND Dietary fiber(DF)intake may have a protective effect against type 2 diabetes(T2D);however,its relationship with diabetic kidney disease(DKD)remains unclear.AIM To investigate the potential association between DF intake and the prevalence of DKD in individuals diagnosed with T2D.METHODS This cross-sectional study used data from the National Health and Nutrition Examination Survey collected between 2005 and 2018.DF intake was assessed through 24-h dietary recall interviews,and DKD diagnosis in individuals with T2D was based on predefined criteria,including albuminuria,impaired glomerular filtration rate,or a combination of both.Logistic regression analysis was used to assess the association between DF intake and DKD,and comprehensive subgroup and sensitivity analyses were performed.RESULTS Among the 6032 participants,38.4%had DKD.With lower DF intake-T1(≤6.4 g/1000 kcal/day)-as a reference,the adjusted odds ratio for DF and DKD for levels T2(6.5-10.0 g/1000 kcal/day)and T3(≥10.1 g/1000 kcal/day)were 0.97(95%CI:0.84-1.12,P=0.674)and 0.79(95%CI:0.68-0.92,P=0.002),respectively.The subgroup analysis yielded consistent results across various demographic and health-related subgroups,with no statistically significant interactions(all P>0.05).CONCLUSION In United States adults with T2D,increased DF intake may be related to reduced DKD incidence.Further research is required to confirm these findings.

Consciousness of Sorrow and Worry and the National Pedagogy of Reform

River Elegy(Heshang)is a Chinese TV documentary aired on Chinese Central Television(CCTV)in 1988.Its provocative condemnation of the thousand-year-old'yellow civilization'(huangse wenming黄色文明)of China stirred up a tornado of controversies among Chinese audiences.Intense debates and reflections on the documentary both inside and outside China have made Heshang one of the most intriguing'phenomena'in contemporary Chinese culture.This paper proposes a new perspective to read Heshang,tackling it as a historically situated narrative that embodies a post-Mao intellectual discourse of the national sentiment.In the new context of post-Mao China,what does Heshang tell of the relative positionalities of the intellectuals,the masses,and the state in the frame of Chinese modernity?How do we dialectically understand the documentary’s national pedagogy of reform in relation to the elusive agency of the low-quality Chinese masses?With these questions in mind,I revisit Heshang’s claim of weak political agency as an embodiment of low people quality.I argue that the national sentiment of the consciousness of sorrow and worry(忧患意识)simultaneously suggests and subverts the national pedagogy of reform promoted by the Heshang intellectuals.

Neuronal activation by acupuncture at Yongquan(KI1) and sham acupoints in patients with disorder of consciousness: a positron emission tomography study

Disorder of consciousness （DOC） is one of the most serious sequelae of brain injury, and is challenging for neurologists and rehabilitation special- ists to manage because of its refractory nature （Whyte et al., 2013）. Acu- puncture is a traditional Chinese medicine technique that is often used to help improve the level of consciousness in patients with DOC. However, the responses to stimulation of acupoints in patients with DOC are not fully understood.

Study on the Traditional Costume of Naxi Nationality

The Naxi people has a long history and excellent traditional culture.In this study,the author studied the historical background and the traditional culture of Naxi costume.The results of the study are as follows:The progress of productivity is the decisive factor.Totem culture is an important basis for the color selection.The heavy costumes are the result of adapting to the geographical environment.

A Comparative Study of Chinese National Vocal Music and Bel Canto

Both Chinese national vocal music and bel canto have a very long history of development, but have their own different characteristics. However, the two different ways are mutually influenced and connected along with the social economic development and globalization. This requires the absorption of the excellent western singing styles on the basis of developing Chinese national vocal music, so as to promote a common development. In this paper, Chinese national vocal music and bel canto are studied and analyzed according to the historical origins, different characteristics, effects, etc.

A Contrastive Study on the C-E Translation of the Verb of Perception zhijian from the Perspective of Subjective Consciousness and Objective Consciousness

Verbs of perception include sight,hearing,smell,taste and touch,of which zhijian belongs to sight is very common in literary works,and its semantic meaning also begins to change with the development of time.Based on the original text and two translated versions of the Water Margin,this paper makes a comparative analysis of the translation strategies of zhijian on the basis that Chinese emphasizes subjective consciousness and the mixed consciousness of subjectivity and objectivity,while English stresses objective consciousness with a clear boundary between subjectivity and objectivity.According to previous studies,this paper regroups the appearance of zhijian and divides it into two categories,namely zhijian at the beginning of a sentence and at the beginning of a minor sentence.On the basis of the context and the changing function of zhijian,that is,the function of being a verb and being a discourse marker,it can be concluded that as the meaning of a verb,the real action,the meaning of zhijian is expressed by“seeing”,so translators usually adopt literal translation;while as a discourse marker,it is no longer the main component of sentence structure,but to highlight the following information,translators will adopt deletion,conversion and retaining.It can be seen that translators often need to convert Chinese characterized by subjective consciousness into English dominated by objective consciousness,thus conforming to various meaning of zhijian.

LIRR's Project of “Study on Spalling Mechanism Mechanism of Dense Refractory Castables by Rapid Heating-up” Being Obtained the Support from National Natural Natural Science Foundation of China

LIRR＇s Priject of ＂Research on Spalling Mechanism Due to Rapid Heating-up of Dense Refractory Castables＂ declared by Wang Zhanmin,vice-president of LIRR,will gain the fund support from National Natural Science Foundation of China in 2011.

Speech at the Symposium on Study and Implementation of the Spirit of the 19^(th) CPC National Congress at the China Society for Human Rights Studies

Following the successful conclusion of the 19thCommunist Party of China National Congress,there has been a nationwide upsurge in the study and implementation of the spirit of the Congress.It was therefore both necessary and timely for the China Society for Human Rights Studies to organize a symposium on the study and implementation of the spirit of the Congress.I’d like to express my understanding of the study and implementation of the spirit of the 19th CPC National Congress from three aspects:

Analysis on the Influencing Factors of Residents' WTP for Environmental Protection in Tourist Destination——A Case Study of Yellow River Stone Forest in Jingtai of Gusu Province

On the basis of questionnaire survey,by adopting Contingent Valuation Method,residents' WTP for the protection of Yellow River Hoodoo National Geopark in Longwan Village,Jingtai County of Gansu Province was investigated.The result showed that tourism development had greatly influenced local society,economy and culture.Residents in this area had a strong awareness of all the factors above mentioned and showed a positive attitude.Local residents would definitely like to provide a certain degree of labor or money to promote the development of tourism,which was different from the residents' attitude of developed countries.To some extent,it reflected the characteristics of tourism development in developing countries.However,the result of this paper that demographic among residents had little effect on WTP also differed from previous researches.The improvement of living standard and residents' consciousness of environmental protection were the main reasons affecting residents' WTP.Besides,the amount of payment was also in remarkable correlation with the improvement of living standard and the destruction degree of local ecological environment.

Impact of Diabetes Mellitus on the Treatment Outcomes of Chemotherapy in Women with Breast Cancer——A Population-Based Prospective Cohort Study

There are few population-based data in investigating the impact of diabetes on chemotherapy adverse effects and treatment outcomes of non-metastatic breast cancer. The purpose of this study is to evaluate whether diabetes affects the patterns of use in chemotherapy, toxic effects of chemotherapy, and treatment outcomes for non-metastatic breast cancer in Taiwan. The study results can provide physicians for making a decision whether or not to use chemotherapy based on the individual patients＇ condition.

Letter from Li Peng Chairman of the Standing Committee of the National People's Congress, To China Society for Human Rights Studies

China Society for Human Rights Studies, I would like to extend my warm greetings to the launch of your Human Rights magazine. Enjoying human rights fully is a lofty goal long pursued after by human race. Over the years when they carried out revolution, construction and reforms, the Chinese people have struggled indomitably and strived incessantly to achieve this goal. Progress made in this regard has caught worldwide attention. When struggling for, safeguarding, promoting and developing human rights, the Chinese people have always combined the universality prin-

National Identity in Conflict： The Reconstruction of King Ly Thai To on Vietnamese Screen

Born as Ly Cong Uan, Ly Thai To is the first king of the Ly Dynasty. The most important contribution of Ly Thai To in Vietnamese history is to move the capital from Hoa Lu to Dai La, and rename it as Thang Long （Ascending Dragon） in 1010. Nowadays, it is known as Hanoi. Ly Thai To promoted Buddhism, and reduced the centuries-old influence of Confucianism in the kingdom. The growth and prevalence of Buddhism brought about a long period of peace, where Buddhist literature consequently flourished with seminal achievements. Due to King Ly Thai To＇s enormous contributions, the Vietnamese have created several legends and anecdotes to mystify his life. Thus, although a historical figure, his life remains a mystery and controversy. In 2010, Hanoi celebrated the 1000th anniversary of Thang Long. On this occasion, Vietnamese historical films about Ly Cong Uan were produced. This created intriguing variations within historical facts, legends, and on-screen stories. This paper will explore the reconstruction of Ly Cong Uan＇s life from an adaptation studies perspective through four historical films： Legend of the Capital Relocation （Huyen su thien do）, Thang Long Aspiration （Khat vong Thang Long）, Ly Cong Uan The Road to Thang Long Citadel （Ly Cong Uan： Dtrong toi thanh Thang Long）, Child of the Dragon （Ngtroi con cua Rong）. This research also wants to clarify the issues of national identity, nationalism, and cultural interaction reflected through the representations of Ly Thai To in those cinematic products

A Comparative Study of Scarlett and Bai Liusu from a Feminist Perspective

Scarlett and Bai Liusu,the protagonists of American literary classic Gone with the Wind and Chinese modern literary work Love in a Fallen City,are two distinct women images in the history of world literature.Their female consciousness can be discovered throughout both works.This paper attempts to make a comparative study between the two heroines,by analyzing their female consciousness which is primarily expressed in the pursuit of love,money and independence,as well as their personalities and destiny.The study discovers that although Scarlett and Bai Liusu experience similar awakening process,their endings are different.The democratic Western culture allows Scarlett to grow up into a rebellious new woman;by contrast,thousands of years of Chinese feudal society decide that Bai Liusu’s female consciousness is not thorough enough.

Cultural Confidence and Rural Cultural Revitalization Consciousness Cultivation Based on English Education-Taking English Teaching in Yi Nationality Region for Example

Through the survey on status of cultural confidence and rural cultural revitalization consciousness cultivation based on English education in Yi Nationality Region of Leshan City,aiming at cultivating students’cultural revitalization consciousness,the paper gives some strategies to effectively improve the quality of English education and improve students’cultural confidence,such as to strengthen teacher training,develop school-based textbooks of local culture,carry out collective lesson preparation and regular thematic teaching and research activities,strengthen communication and teaching reflection,etc.