BACKGROUND Type 2 diabetes mellitus(T2DM)is a leading risk factor for the development and progression of chronic kidney disease(CKD).However,an accurate and con-venient marker for early detection and appropriate manag...BACKGROUND Type 2 diabetes mellitus(T2DM)is a leading risk factor for the development and progression of chronic kidney disease(CKD).However,an accurate and con-venient marker for early detection and appropriate management of CKD in in-dividuals with T2DM is limited.Recent studies have demonstrated a strong correlation between the neutrophil-to-lymphocyte ratio(NLR)and CKD.None-theless,the predictive value of NLR for renal damage in type 2 diabetic patients remains understudied.This study included 1040 adults aged 65 or older with T2DM from Shanghai's Community Health Service Center.The total number of neutrophils and lym-phocytes was detected,and NLR levels were calculated.CKD was defined as an estimated glomerular filtration rate≤60 mL/min/1.73 m².Participants were di-vided into four groups based on NLR levels.The clinical data and biochemical characteristics were compared among groups.A multivariate logistic regression model was used to analyze the association between NLR levels and CKD.RESULTS Significant differences were found in terms of sex,serum creatinine,blood urea nitrogen,total cholesterol,and low-density lipoprotein cholesterol among patients with T2DM in different NLR groups(P<0.0007).T2DM patients in the highest NLR quartile had a higher prevalence of CKD(P for trend=0.0011).Multivariate logistic regression analysis indicated that a high NLR was an independent risk factor for CKD in T2DM patients even after adjustment for important clinical and pathological parameters(P=0.0001,odds ratio=1.41,95%confidence intervals:1.18-1.68).CONCLUSION An elevated NLR in patients with T2DM is associated with higher prevalence of CKD,suggesting that it could be a marker for the detection and evaluation of diabetic kidney disease.展开更多
The identification of maximum road friction coefficient and optimal slip ratio is crucial to vehicle dynamics and control.However,it is always not easy to identify the maximum road friction coefficient with high robus...The identification of maximum road friction coefficient and optimal slip ratio is crucial to vehicle dynamics and control.However,it is always not easy to identify the maximum road friction coefficient with high robustness and good adaptability to various vehicle operating conditions.The existing investigations on robust identification of maximum road friction coefficient are unsatisfactory.In this paper,an identification approach based on road type recognition is proposed for the robust identification of maximum road friction coefficient and optimal slip ratio.The instantaneous road friction coefficient is estimated through the recursive least square with a forgetting factor method based on the single wheel model,and the estimated road friction coefficient and slip ratio are grouped in a set of samples in a small time interval before the current time,which are updated with time progressing.The current road type is recognized by comparing the samples of the estimated road friction coefficient with the standard road friction coefficient of each typical road,and the minimum statistical error is used as the recognition principle to improve identification robustness.Once the road type is recognized,the maximum road friction coefficient and optimal slip ratio are determined.The numerical simulation tests are conducted on two typical road friction conditions(single-friction and joint-friction)by using CarSim software.The test results show that there is little identification error between the identified maximum road friction coefficient and the pre-set value in CarSim.The proposed identification method has good robustness performance to external disturbances and good adaptability to various vehicle operating conditions and road variations,and the identification results can be used for the adjustment of vehicle active safety control strategies.展开更多
Objective:To study the correlation of lipid ratios and individual lipid indexes of patients with type 2 diabetes with glycosylated hemoglobin(HbA_(1c)).Methods:Samples were collected from 128 type 2 diabetic patients(...Objective:To study the correlation of lipid ratios and individual lipid indexes of patients with type 2 diabetes with glycosylated hemoglobin(HbA_(1c)).Methods:Samples were collected from 128 type 2 diabetic patients(aged 19-90 years;male 72,female 56).The sera were analyzed for HbA_(1c),total cholesterol(TC),triglycerides(TG),high-density lipoprotein cholesterol(HDL-C) and low-density lipoprotein cholesterol(LDL-C).According to the HbA_(1e) level,the patients were divided into three groups,group A(HbA_(?)<7%,n=31),group B(7%<HbA_(1c)<10%,n=48),and group C(HbA_(1c)>10%,n=49).The correlation of HbA_(1c)with lipid ratios & individual lipid indexes were analyzed.Results:With the increased level of HbA(1c),LDL-C had a significantly increasing trend(P<0.05);whereas TC went up with the increased HbA(1c),without any significant differences between three groups.There was no significant correlation between HbA_(1c) and TG or HDL-C. With the increased level of HbA_(1c),TC/HDL-C,LDL-C/HDL-C ratios were gradually increased, with significant differences among groups(P<0.05).The lipid ratios,especially LDL-C/HDL-C ratio was more susceptible to impaired lipid metabolism in T2DM patients than individual lipid. Conclusions:LDL-C/HDL-C ratio is helpful in assessing and reducing the risk of cardiovascular disease caused by impaired lipid metabolism in type 2 diabetic patients.展开更多
BACKGROUND The waist-to-height ratio(WHtR)is a promising anthropometric measure used to evaluate cardiovascular risk in diabetes and metabolic syndrome patients.The metformin and acarbose in Chinese as the initial hyp...BACKGROUND The waist-to-height ratio(WHtR)is a promising anthropometric measure used to evaluate cardiovascular risk in diabetes and metabolic syndrome patients.The metformin and acarbose in Chinese as the initial hypoglycaemic treatment trial demonstrated that acarbose and metformin reduced the WHtR after 24 wk of treatment.AIM To investigate the factors associated with a decrease in the WHtR in newly diagnosed Chinese type 2 diabetes patients receiving acarbose or metformin monotherapy.METHODS At 24 wk,343 patients in the acarbose treatment and 333 patients in the metformin treatment were included in this analysis.On the basis of the reduction in the WHtR,these participants were divided into the following two groups:LowΔWHtR group and highΔWHtR group.Metabolic and related parameters associated with a highΔWHtR were investigated using univariate and multivariate logistic regression analyses.RESULTS A significant decrease in the WHtR was observed in both treatment groups(acarbose:-0.015,95%confidence interval[CI]:-0.018 to-0.012,P<0.001;metformin:-0.013,95%CI:-0.016 to-0.010,P<0.001).In both the acarbose and metformin groups,the WHtR of the women was more likely to be reduced than that of the men.In the acarbose group,a lower baseline area under the curve of glucagon-like peptide 1(AUCGLP-1)was associated with a highΔWHtR(odds ratio[OR]=0.796,P<0.001),while a higher baseline AUCGLP-1 was associated with a highΔWHtR in the patients treated with metformin(OR=1.133,P=0.025).Regarding the changes from baseline,an increase in AUCGLP-1 was associated with a highΔWHtR in the acarbose(OR=1.121,P=0.016)but not metformin group.A higher reduction in high-density lipoprotein cholesterol/non-highdensity lipoprotein cholesterol was also associated with a highΔWHtR in the acarbose arm(OR=20.735,P=0.001).In the metformin arm,a higher reduction in fasting plasma glucose(OR=0.843,P=0.039)and total cholesterol was associated with a highΔWHtR(OR=0.743,P=0.013).CONCLUSION A lower glucagon-like peptide 1 level and higher increase in glucagon-like peptide 1 are associated with a high reduction in the WHtR in newly diagnosed Chinese diabetes patients receiving treatment with acarbose.展开更多
The major enrichment type of shale oil in the Chang 7_(3) shale of Upper Triassic Yanchang Formation in the Ordos Basin is unknown.This paper analyzes the organic matter transformation ratio,hydrocarbon expulsion effi...The major enrichment type of shale oil in the Chang 7_(3) shale of Upper Triassic Yanchang Formation in the Ordos Basin is unknown.This paper analyzes the organic matter transformation ratio,hydrocarbon expulsion efficiency and roof/floor sealing conditions of the Chang 7_(3) shale,and evaluates the major enrichment type of shale oil in this interval.The average organic matter transformation ratio of the Chang 7_(3) shale is about 45%;in other words,more than 50%of the organic matters have not transformed to hydrocarbons,and the lower the maturity,the greater the proportion of untransformed organic matters.The cumulative hydrocarbon expulsion efficiency of the transformed hydrocarbon is 27.5% on average,and the total proportion of untransformed organic matters plus retained hydrocarbons is greater than 70%.The relative hydrocarbon expulsion efficiency of the Chang 7_(3) shale is 60%on average,that is,about 40% of hydrocarbons retain in the shale.The Chang 7_(3) shale corresponds to Chang 7_(1+2) and Chang 8 sandstones as the roof and floor,respectively,and is further overlaid by Chang 6 shale,where extensive low porosity and low permeability–tight oil reservoirs have formed in the parts with relatively good porosity and permeability.Moreover,the Chang 7_(3) shale is tested to be in a negative pressure system(the pressure coefficient of 0.80–0.85).Therefore,the roof/floor sealing conditions of the Chang 7_(3) shale are poor.The retained hydrocarbons appear mostly in absorbed status,with low mobility.It is concluded that the medium–high mature shale oil is not the major enrichment type of shale oil in the Chang 7_(3) shale,but there may be enrichment opportunity for shale oil with good mobility in the areas where the sealing conditions are good without faults and fractures and oil reservoirs are formed off Chang 7_(1+2),Chang 6 and Chang 8.Furthermore,low–medium mature shale oil is believed to have great potential and is the major enrichment type of shale oil in the Chang 7_(3) shale.It is recommended to prepare relevant in-situ conversion technologies by pilot test and figure out the resource availability and distribution.展开更多
BACKGROUND Sodium glucose cotransporter-2 inhibitors(SGLT-2i)are a class of drugs with modest antidiabetic efficacy,weight loss effect,and cardiovascular benefits as proven by multiple randomised controlled trials(RCT...BACKGROUND Sodium glucose cotransporter-2 inhibitors(SGLT-2i)are a class of drugs with modest antidiabetic efficacy,weight loss effect,and cardiovascular benefits as proven by multiple randomised controlled trials(RCTs).However,real-world data on the comparative efficacy and safety of individual SGLT-2i medications is sparse.AIM To study the comparative efficacy and safety of SGLT-2i using real-world clinical data.METHODS We evaluated the comparative efficacy data of 3 SGLT-2i drugs(dapagliflozin,canagliflozin,and empagliflozin)used for treating patients with type 2 diabetes mellitus.Data on the reduction of glycated hemoglobin(HbA1c),body weight,blood pressure(BP),urine albumin creatinine ratio(ACR),and adverse effects were recorded retrospectively.RESULTS Data from 467 patients with a median age of 64(14.8)years,294(62.96%)males and 375(80.5%)Caucasians were analysed.Median diabetes duration was 16.0(9.0)years,and the duration of SGLT-2i use was 3.6(2.1)years.SGLT-2i molecules used were dapagliflozin 10 mg(n=227;48.6%),canagliflozin 300 mg(n=160;34.3%),and empagliflozin 25 mg(n=80;17.1).Baseline median(interquartile range)HbA1c in mmol/mol were:dapagliflozin-78.0(25.3),canagliflozin-80.0(25.5),and empagliflozin-75.0(23.5)respectively.The respective median HbA1c reduction at 12 months and the latest review(just prior to the study)were:66.5(22.8)&69.0(24.0),67.0(16.3)&66.0(28.0),and 67.0(22.5)&66.5(25.8)respectively(P<0.001 for all comparisons from baseline).Significant improvements in body weight(in kilograms)from baseline to study end were noticed with dapagliflozin-101(29.5)to 92.2(25.6),and canagliflozin 100(28.3)to 95.3(27.5)only.Significant reductions in median systolic and diastolic BP,from 144(21)mmHg to 139(23)mmHg;(P=0.015),and from 82(16)mmHg to 78(19)mmHg;(P<0.001)respectively were also observed.A significant reduction of microalbuminuria was observed with canagliflozin only[ACR 14.6(42.6)at baseline to 8.9(23.7)at the study end;P=0.043].Adverse effects of SGLT-2i were as follows:genital thrush and urinary infection-20(8.8%)&17(7.5%)with dapagliflozin;9(5.6%)&5(3.13%)with canagliflozin;and 4(5%)&4(5%)with empagliflozin.Diabetic ketoacidosis was observed in 4(1.8%)with dapagliflozin and 1(0.63%)with canagliflozin.CONCLUSION Treatment of patients with SGLT-2i is associated with statistically significant reductions in HbA1c,body weight,and better than those reported in RCTs,with low side effect profiles.A review of large-scale real-world data is needed to inform better clinical practice decision making.展开更多
In displacement-based seismic design, inelastic displacement ratio spectra (IDRS) are particularly useful for estimating the maximum lateral inelastic displacement demand of a nonlinear SDOF system from the maximum ...In displacement-based seismic design, inelastic displacement ratio spectra (IDRS) are particularly useful for estimating the maximum lateral inelastic displacement demand of a nonlinear SDOF system from the maximum elastic displacement demand of its counterpart linear elastic SDOF system. In this study, the characteristics of IDRS for near-fault pulse-type ground motions are investigated based on a great number of earthquake ground motions. The influence of site conditions, ratio of peak ground velocity (PGV) to peak ground acceleration (PGA), the PGV, and the maximum incremental velocity (MIV) on IDRS are also evaluated. The results indicate that the effect of near-fault ground motions on IDRS are significant only at periods between 0.2 s - 1.5 s, where the amplification can approach 20%. The PGV/PGA ratio has the most significant influence on IDRS among the parameters considered. It is also found that site conditions only slightly affect the IDRS.展开更多
BACKGROUND Accumulating clinical evidence has shown that diabetes mellitus(DM)is a serious risk factor for cardiovascular disorders and an important factor for adverse cardiovascular events.AIM To explore the value of...BACKGROUND Accumulating clinical evidence has shown that diabetes mellitus(DM)is a serious risk factor for cardiovascular disorders and an important factor for adverse cardiovascular events.AIM To explore the value of the combined determination of the neutrophil-lymphocyte ratio(NLR)and red blood cell distribution width(RDW)in the early diagnosis and prognosis evaluation of DM complicated with heart failure(HF).METHODS We retrospectively analyzed clinical data on 65 patients with type 2 DM(T2DM)complicated with HF(research group,Res)and 60 concurrent patients with uncomplicated T2DM(control group,Con)diagnosed at Zhejiang Provincial People’s Hospital between January 2019 and December 2021.The NLR and RDW values were determined and comparatively analyzed,and their levels in T2DM+HF patients with different cardiac function grades were recorded.The receiver operating characteristic(ROC)curves were plotted to determine the NLR and RDW values(alone and in combination)for the early diagnosis of HF.The correlation between NLR and RDW with the presence or absence of cardiac events was also investigated.RESULTS Higher NLR and RDW levels were identified in the Res vs the Con groups(P<0.05).The NLR and RDW increased gradually and synchronously with the deterioration of cardiac function in the Res group,with marked differences in their levels among patients with grade II,III,and IV HF(P<0.05).ROC curve analysis revealed that NLR combined with RDW detection had an area under the curve of 0.915,a sensitivity of 76.9%,and a specificity of 100%for the early diagnosis of HF.Furthermore,HF patients with cardiac events showed higher NLR and RDW values compared with HF patients without cardiac events.CONCLUSION NLR and RDW were useful laboratory indicators for the early diagnosis of DM complicated with HF,and their joint detection was beneficial for improving diagnostic efficiency.Additionally,NLR and RDW values were directly proportional to patient outcomes.展开更多
The study proposes, along the line of [1], six separate-type estimators for estimating the population ratio of two variables in post-stratified sampling, using variable transformation. Properties of the proposed estim...The study proposes, along the line of [1], six separate-type estimators for estimating the population ratio of two variables in post-stratified sampling, using variable transformation. Properties of the proposed estimators were obtained up to first order approximations, both for achieved sample configurations (conditional argument) and over repeated samples of fixed size n (unconditional argument). Efficiency conditions, under which the proposed separate-type estimators would perform better than the associated customary separate-type estimators in terms of having smaller mean squared errors, were obtained. Furthermore, conditions under which some of the proposed separate-type estimators would perform better than other proposed separate-type estimators were also obtained. The optimum estimators among the proposed separate-type estimators were obtained and an empirical illustration confirmed the theoretical results.展开更多
BACKGROUND Arterial cannulation sites for the surgical repair of type A aortic dissection(AAD)have evolved from right axillary artery(AA)cannulation to bilateral carotid artery(CA)based of femoral artery(FA)cannulatio...BACKGROUND Arterial cannulation sites for the surgical repair of type A aortic dissection(AAD)have evolved from right axillary artery(AA)cannulation to bilateral carotid artery(CA)based of femoral artery(FA)cannulation.Postoperative descending aorta remodeling is closely linked to the false lumen area ratio(FLAR),defined as false lumen area/aortic area,as well as to the incidence of renal replacement therapy(RRT).AIM To investigate the effect of the updated arterial cannulation strategy on descending aortic remodeling.METHODS A total of 443 AAD patients who received FA combined cannulation between March 2015 and March 2023 were included in the study.Of these,209 received right AA cannulation and 234 received bilateral CA cannulation.The primary outcome was the change in FLAR,as calculated from computed tomography angiography in three segments of the descending aorta:Thoracic(S1),upper abdominal(S2),and lower abdominal(S3).Secondary outcomes were the incidence of RRT and the serum inflammation response,as observed by the levels of high sensitivity C reaction protein(hs-CRP)and Interleukin-6(IL-6).RESULTS The postoperative/preoperative ratio of FLAR in S2 and S3 was higher in the AA group compared to the CA group(S2:0.80±0.08 vs 0.75±0.07,P<0.001;S3:0.57±0.12 vs 0.50±0.12,P<0.001,respectively).The AA group also had a significantly higher incidence of RRT(19.1%vs 8.5%,P=0.001;odds ratio:2.533,95%CI:1.427-4.493)and higher levels of inflammation cytokines 24 h after the procedure[hr-CRP:117±17 vs 104±15 mg/L;IL-6:129(103,166)vs 83(69,101)pg/mL;both P<0.001]compared to the CA group.CONCLUSION The CA cannulation strategy was associated with better abdominal aorta remodeling after AAD repair compared to AA cannulation,as observed by a greater change in FLAR and lower incidence of RRT.展开更多
BACKGROUND Dyslipidemia and type 2 diabetes mellitus(T2DM)are chronic conditions with substantial public health implications.Effective management of lipid metabolism in patients with T2DM is critical.However,there has...BACKGROUND Dyslipidemia and type 2 diabetes mellitus(T2DM)are chronic conditions with substantial public health implications.Effective management of lipid metabolism in patients with T2DM is critical.However,there has been insufficient attention given to the relationship between thyroid hormone sensitivity and dyslipidemia in the T2DM population,particularly concerning non-high-density lipoprotein cholesterol(non-HDL-C).AIM To clarify the association between thyroid hormone sensitivity and dyslipidemia in patients with T2DM.METHODS In this cross-sectional study,thyroid hormone sensitivity indices,the thyroid feedback quantile-based index(TFQI),the thyroid-stimulating hormone index(TSHI),the thyrotrophic T4 resistance index(TT4RI),and the free triiodothyronine(FT3)/free thyroxine(FT4)ratio were calculated.Logistic regression analysis was performed to determine the associations between those composite indices and non-HDL-C levels.Random forest variable importance and Shapley Additive Explanations(SHAP)summary plots were used to identify the strength and direction of the association between hyper-non-HDL-C and its major predictor.RESULTS Among the 994 participants,389(39.13%)had high non-HDL-C levels.Logistic regression analysis revealed that the risk of hyper-non-HDL-C was positively correlated with the TFQI(OR:1.584;95%CI:1.088-2.304;P=0.016),TSHI(OR:1.238;95%CI:1.034-1.482;P=0.02),and TT4RI(OR:1.075;95%CI:1.006-1.149;P=0.032)but was not significantly correlated with the FT3/FT4 ratio.The relationships between composite indices of the thyroid system and non-HDL-C levels differed according to sex.An increased risk of hyper-non-HDL-C was associated with elevated TSHI levels in men(OR:1.331;95%CI:1.003-1.766;P=0.048)but elevated TFQI levels in women(OR:2.337;95%CI:1.4-3.901;P=0.001).Among the analyzed variables,the average SHAP values were highest for TSHI,followed by TT4RI.CONCLUSION Impaired sensitivity to thyroid hormones was associated with high non-HDL-C levels in patients with T2DM.展开更多
BACKGROUND The lymphocyte to monocyte ratio(LMR)is considered a marker of systemic inflammation in cardiovascular disease and acts as predictor of mortality in coronary artery disease.AIM To investigate the predictive...BACKGROUND The lymphocyte to monocyte ratio(LMR)is considered a marker of systemic inflammation in cardiovascular disease and acts as predictor of mortality in coronary artery disease.AIM To investigate the predictive role of LMR in diabetic coronary artery disease patients.METHODS This cross-sectional study was conducted at tertiary care super-specialty hospital at New Delhi,India.A total of 200 angiography-proven coronary artery disease(CAD)patients were enrolled and grouped into two categories:Group I[CAD patients with type 2 diabetes mellitus(T2DM)and glycated hemoglobin(HbA1c)levels≥6.5%],and Group II(CAD patients without T2DM and HbA1c levels<6.5%).Serum lipoproteins,HbA1c,and complete blood count of enrolled patients were analyzed using fully automatic analyzers.RESULTS The logistic regression analysis showed an odds ratio of 1.48(95%CI:1.28-1.72,P<0.05)for diabetic coronary artery disease patients(Group I)in unadjusted model.After adjusting for age,gender,diet,smoking,and hypertension history,the odds ratio increased to 1.49(95%CI:1.29-1.74,P<0.01)in close association with LMR.Further adjustment for high cholesterol and triglycerides yielded the same odds ratio of 1.49(95%CI:1.27-1.75,P<0.01).Receiver operating characteristic curve analysis revealed 74%sensitivity,64%specificity,and 0.74 area under the curve(95%CI:0.67-0.80,P<0.001),suggesting moderate predictive accuracy for diabetic CAD patients.CONCLUSION LMR showed positive association with diabetic coronary artery disease,with moderate predictive accuracy.These findings have implications for improving CAD management in diabetics,necessitating further research and targeted interventions.展开更多
AIM To provide a quantitative assessment of theassociation between type 2 diabetes mellitus (T2DM)and the risk of colorectal cancer (CRC).METHODS: Systematic review was conductedthorough MEDLINE, EMBASE, Cochrane...AIM To provide a quantitative assessment of theassociation between type 2 diabetes mellitus (T2DM)and the risk of colorectal cancer (CRC).METHODS: Systematic review was conductedthorough MEDLINE, EMBASE, Cochrane Library, and ISI Web of knowledge databases till 31st January 2014.This meta-analysis included the cohort studies thatillustrated relative risk (RR) or odds ratio estimateswith 95%CI for the predictive risk of CRC by T2DM.Summary relative risks with 95%CI were analyzed byusing an effects summary ratio model. Heterogeneityamong studies was assessed by the Cochran's Q and I 2statistics.RESULTS: The meta analysis of 8 finally selectedstudies showed a positive correlation of T2DM withthe risk of CRC as depicted by effects summary RRof 1.21 (95%CI: 1.02-1.42). Diabetic women showedgreater risk of developing CRC as their effect summaryRR of 1.22 (95%CI: 1.01-49) with significant overallZ test at 5% level of significance was higher than theeffect summary RR of 1.17 (95%CI: 1.00-1.37) of menshowing insignificant Z test. The effect summary RRof 1.19 with 95%CI of 1.07-1.33 indicate a positiverelationship between DM and increased risk of CRCwith significant heterogeneity (I 2 = 92% and P -value 〈0.05).CONCLUSION: Results from this systematic reviewand meta-analysis report that diabetic people have anincreased risk of CRC as compared to non-diabetics.展开更多
AIM:To investigate the prevalence of diabetic retinopathy(DR)in residents of Shanghai and analyze the risk factors of DR.METHODS:This study involved 7233 patients with diabetes in 2016.The demographic data of the part...AIM:To investigate the prevalence of diabetic retinopathy(DR)in residents of Shanghai and analyze the risk factors of DR.METHODS:This study involved 7233 patients with diabetes in 2016.The demographic data of the participants were collected using a questionnaire survey.Physical examination,laboratory tests,and ophthalmological examinations were conducted.Two professional ophthalmologists diagnosed and graded DR by fundus examination and then combined the results with fundus images.The unconditional multivariate Logistic regression analysis was used to determine the risk factors.RESULTS:In total,6978 patients with type 2 diabetes in Shanghai with a mean age of 68.33±8.40 y were recruited,including 2975 males(42.6%)and 4003 females(57.4%).Overall,1184 patients were diagnosed with DR,with a prevalence rate of 16.97%.Regression analysis showed that duration of diabetes(OR 1.061,95%CI 1.049-1.073),high systolic blood pressure(SBP;OR 1.071,95%CI 1.037-1.106),increased glycosylated hemoglobin level(OR 1.234,95%CI 1.162-1.311),high blood glucose level(OR 1.061,95%CI 1.023-1.099),increased neutrophil-to-lymphocyte ratio(NLR;OR 1.132,95%CI 1.053-1.217)and mean platelet volume(MPV;OR 1.077,95%CI 1.016-1.142)were risk factors of DR.Conversely,hematocrit(HCT;OR 0.971,95%CI 0.954-0.988)and mean corpuscular volume(MCV;OR 0.980,95%CI 0.965-0.994)were protective factors.CONCLUSION:The prevalence rate of DR in Shanghai is 16.97%.The duration of diabetes,high SBP,increased glycosylated hemoglobin,NLR,and MPV were determined as risk factors of DR.展开更多
[Objective] This study aimed to establish mathematical models for judging the aroma types of flue-cured tobacco leaves from the upper and middle parts of plants. [Method] A total of 128 samples (63 C3F and 65 B2F) f...[Objective] This study aimed to establish mathematical models for judging the aroma types of flue-cured tobacco leaves from the upper and middle parts of plants. [Method] A total of 128 samples (63 C3F and 65 B2F) from 11 main tobac- co production provinces of China were selected as materials. Stepwise discriminant analysis was applied to samples with different aroma types and discriminant function was expressed with the proportions of 67 aroma components in total aroma con- stituents as the index. [Result] The ratio of most aroma components in clear and full aroma tobacco leaves was higher than that in middle aroma leaves. The ratios of 51, 43 and 40 aroma components of clear, middle and full aroma tobaccos were higher in upper leaves than that in middle leaves. Aroma components dominated certain aroma types differed between middle and upper leaves. The proportions of 18 and 11 aroma components in upper and middle leaves were led in the stepwise discriminant function respectively. Self-validation and cross-validation methods were applied to evaluate the original samples, and the accuracy rates reached 100% and 98.6% on middle leaves, 96.37% and 94.4% on upper leaves. The accuracy rates on some other samples reached 100% on middle leaves and 91.7% on upper leaves predicted with the model. [Conclusion] The ratio of aroma components as discriminant index could improve discriminant accuracy significantly in the middle and upper leaves. It could be used to analyze aroma types objectively, accurately and quickly.展开更多
Two-factor analysis of variance and redundancy analysis were used to analyze the characte-ristics of soil organic carbon total nitrogen storage in garden land,forestland,grassland,farmland,and bare land in the Dachunh...Two-factor analysis of variance and redundancy analysis were used to analyze the characte-ristics of soil organic carbon total nitrogen storage in garden land,forestland,grassland,farmland,and bare land in the Dachunhe watershed of Jinning District,Kunming City,Yunnan Province,China.The effects of the soil organic carbon,total nitrogen stratification ratio,soil physical and chemical factors on the storage characteristics of organic carbon and total nitrogen of different land-use types were analyzed.The results show that the rates of carbon and nitrogen stratification in soil from 0-20 cm and 40-60 cm of the same land-use types differed are statistically significant(P<0.05).The organic carbon and total nitrogen stratification ratio SR1 of garden land soil are 38.5%and 25.3%,respectively,which are higher than SR^(2).The soil organic carbon and total nitrogen stratification ratio SR^(2) of different land-use types are greater than SR1.There are statistically significant differences in the SR^(2) soil organic carbon and total nitrogen stratification ratios(P<0.05).Soil organic carbon and total nitrogen storage of diffe-rent land-use types gradually decrease with increasing soil depth,with the maximum soil organic carbon and total nitrogen storage in the 0-20 cm soil layer.Soil organic carbon and total nitrogen sto-rage at the same soil depth are significantly different(P<0.05).Soil organic carbon and total nitrogen storage in the garden land are greater than those in the other land-use types.Soil organic carbon and total nitrogen storage in 0-20 cm garden land are 4.96 and 3.19 times than those in bare land,respectively;soil organic carbon and total nitrogen storage are explained by 93.66%and 1.53%in redundancy analysis RDA1 and RDA2,respectively.All physicochemical factors except Available Phosphorus and pH are statistically significance with carbon and nitrogen storage(P<0.05).Soil cationic exchange capacity,Available Phosphorus,C/N ratio,and Moisture Content are positively correlated with organic carbon and total nitrogen storage.In contrast,soil Bulk Density is negatively correlated with organic carbon storage and total nitrogen storage.Available Phosphorus,C/N ratio,and Moisture Content are the main factors promoting soil organic carbon and total nitrogen accumulation.展开更多
Carbonate,tight sandstone,and shale reservoirs have many pore types,and the relationship between the porosity and elastic parameters is extremely discrete due to the complex pore shape.This paper presents a method for...Carbonate,tight sandstone,and shale reservoirs have many pore types,and the relationship between the porosity and elastic parameters is extremely discrete due to the complex pore shape.This paper presents a method for predicting reservoir pore types based on pore shape substitution.The pore shape substitution allows for accurately characterizing the changes in the elastic properties of the rock with the changes in pore shape,assuming there are no changes in terms of minerals,porosity,or fl uids.By employing a multiple-porosity variable critical porosity model,the eff ective pore aspect ratio could be inverted from the velocities of the rock.To perform pore shape substitution,we could replace the eff ective pore aspect ratio with another pore aspect ratio or increase/decrease the volume content of diff erent pore shapes.The reservoir pore types could be evaluated by comparing the differences in the reservoir velocities before and after the substitution of the pore shape.The test results pertaining to the theoretical model and the well logging data indicated that the pore shape substitution method could be applied to characterize pore types in terms of separating the eff ects of the pore shapes from the eff ects of the minerals,porosity,or fl uids on the velocities.展开更多
Natural gases were widely distributed in the Jiyang Depression with complicated component composition, and it is difficult to identify their genesis. Based on investigation of gas composition, carbon isotope ratios, l...Natural gases were widely distributed in the Jiyang Depression with complicated component composition, and it is difficult to identify their genesis. Based on investigation of gas composition, carbon isotope ratios, light hydrocarbon properties, as well as geological analysis, natural gases in the Jiyang Depression are classified into two types, one is organic gas and the other is abiogenic gas. Abiogenic gas is mainly magmatogenic or mantlederived CO2. Organic gases are further divided into coaltype gas, oil-type gas, and biogas according to their kero- gen types and formation mechanisms. The oil-type gases are divided into mature oil-type gas (oil-associated gas) and highly mature oil-type gas. The highly mature oil-type gases can be subdivided into oil-cracking gas and kerogen thermal degradation gas. Identification factors for each kind of hydrocarbon gas were summarized. Based on genesis analysis results, the genetic types of gases buried in different depths were discussed. Results showed that shallow gases (〈1,500 m) are mainly mature oil-type gases, biogas, or secondary gases. Secondary gases are rich in methane because of chromatographic separation during migration and secondary biodegradation. Secondary biodegradation leads to richness of heavy carbon isotope ratios in methane and propane. Genesis of middle depth gases (1,500-3,500 m) is dominated by mature oil-type gases.Deep gases (3,500-5,500 m) are mainly kerogen thermal degradation gas, oil-cracking gas, and coal-type gas.展开更多
This paper is an extension and generalization of the study carried out by [1] on the estimation of the population ratio (R) of the population means of two variables (y and x) under Simple Random Sampling (SRS) scheme,...This paper is an extension and generalization of the study carried out by [1] on the estimation of the population ratio (R) of the population means of two variables (y and x) under Simple Random Sampling (SRS) scheme, using a variable transformation of the auxiliary variable, x. All the six estimators proposed by [1] are easily identified as special cases of the proposed class of estimators. Asymptotic properties of the proposed class of estimators are derived theoretically and subsequently verified using empirical illustrations. Some of the proposed estimators are found to have relatively large gains in efficiency over the customary ratio estimator, ?for the given data set.展开更多
基金Supported by Health Commission of Baoshan District,Shanghai,China,No.BSJCPP-A-04 and No.BSZK-2023-T04the Science and Technology Commission of Baoshan District,Shanghai,China,No.20-E-63 and No.21-E-34.
文摘BACKGROUND Type 2 diabetes mellitus(T2DM)is a leading risk factor for the development and progression of chronic kidney disease(CKD).However,an accurate and con-venient marker for early detection and appropriate management of CKD in in-dividuals with T2DM is limited.Recent studies have demonstrated a strong correlation between the neutrophil-to-lymphocyte ratio(NLR)and CKD.None-theless,the predictive value of NLR for renal damage in type 2 diabetic patients remains understudied.This study included 1040 adults aged 65 or older with T2DM from Shanghai's Community Health Service Center.The total number of neutrophils and lym-phocytes was detected,and NLR levels were calculated.CKD was defined as an estimated glomerular filtration rate≤60 mL/min/1.73 m².Participants were di-vided into four groups based on NLR levels.The clinical data and biochemical characteristics were compared among groups.A multivariate logistic regression model was used to analyze the association between NLR levels and CKD.RESULTS Significant differences were found in terms of sex,serum creatinine,blood urea nitrogen,total cholesterol,and low-density lipoprotein cholesterol among patients with T2DM in different NLR groups(P<0.0007).T2DM patients in the highest NLR quartile had a higher prevalence of CKD(P for trend=0.0011).Multivariate logistic regression analysis indicated that a high NLR was an independent risk factor for CKD in T2DM patients even after adjustment for important clinical and pathological parameters(P=0.0001,odds ratio=1.41,95%confidence intervals:1.18-1.68).CONCLUSION An elevated NLR in patients with T2DM is associated with higher prevalence of CKD,suggesting that it could be a marker for the detection and evaluation of diabetic kidney disease.
基金Supported by National Hi-tech Research and Development Program of China(863 Program,Grant No.2006AA110101)
文摘The identification of maximum road friction coefficient and optimal slip ratio is crucial to vehicle dynamics and control.However,it is always not easy to identify the maximum road friction coefficient with high robustness and good adaptability to various vehicle operating conditions.The existing investigations on robust identification of maximum road friction coefficient are unsatisfactory.In this paper,an identification approach based on road type recognition is proposed for the robust identification of maximum road friction coefficient and optimal slip ratio.The instantaneous road friction coefficient is estimated through the recursive least square with a forgetting factor method based on the single wheel model,and the estimated road friction coefficient and slip ratio are grouped in a set of samples in a small time interval before the current time,which are updated with time progressing.The current road type is recognized by comparing the samples of the estimated road friction coefficient with the standard road friction coefficient of each typical road,and the minimum statistical error is used as the recognition principle to improve identification robustness.Once the road type is recognized,the maximum road friction coefficient and optimal slip ratio are determined.The numerical simulation tests are conducted on two typical road friction conditions(single-friction and joint-friction)by using CarSim software.The test results show that there is little identification error between the identified maximum road friction coefficient and the pre-set value in CarSim.The proposed identification method has good robustness performance to external disturbances and good adaptability to various vehicle operating conditions and road variations,and the identification results can be used for the adjustment of vehicle active safety control strategies.
文摘Objective:To study the correlation of lipid ratios and individual lipid indexes of patients with type 2 diabetes with glycosylated hemoglobin(HbA_(1c)).Methods:Samples were collected from 128 type 2 diabetic patients(aged 19-90 years;male 72,female 56).The sera were analyzed for HbA_(1c),total cholesterol(TC),triglycerides(TG),high-density lipoprotein cholesterol(HDL-C) and low-density lipoprotein cholesterol(LDL-C).According to the HbA_(1e) level,the patients were divided into three groups,group A(HbA_(?)<7%,n=31),group B(7%<HbA_(1c)<10%,n=48),and group C(HbA_(1c)>10%,n=49).The correlation of HbA_(1c)with lipid ratios & individual lipid indexes were analyzed.Results:With the increased level of HbA(1c),LDL-C had a significantly increasing trend(P<0.05);whereas TC went up with the increased HbA(1c),without any significant differences between three groups.There was no significant correlation between HbA_(1c) and TG or HDL-C. With the increased level of HbA_(1c),TC/HDL-C,LDL-C/HDL-C ratios were gradually increased, with significant differences among groups(P<0.05).The lipid ratios,especially LDL-C/HDL-C ratio was more susceptible to impaired lipid metabolism in T2DM patients than individual lipid. Conclusions:LDL-C/HDL-C ratio is helpful in assessing and reducing the risk of cardiovascular disease caused by impaired lipid metabolism in type 2 diabetic patients.
基金This study is registered at Chinese Clinical Trial Registry Center.The registration number is ChiCTRTRC-08000231.
文摘BACKGROUND The waist-to-height ratio(WHtR)is a promising anthropometric measure used to evaluate cardiovascular risk in diabetes and metabolic syndrome patients.The metformin and acarbose in Chinese as the initial hypoglycaemic treatment trial demonstrated that acarbose and metformin reduced the WHtR after 24 wk of treatment.AIM To investigate the factors associated with a decrease in the WHtR in newly diagnosed Chinese type 2 diabetes patients receiving acarbose or metformin monotherapy.METHODS At 24 wk,343 patients in the acarbose treatment and 333 patients in the metformin treatment were included in this analysis.On the basis of the reduction in the WHtR,these participants were divided into the following two groups:LowΔWHtR group and highΔWHtR group.Metabolic and related parameters associated with a highΔWHtR were investigated using univariate and multivariate logistic regression analyses.RESULTS A significant decrease in the WHtR was observed in both treatment groups(acarbose:-0.015,95%confidence interval[CI]:-0.018 to-0.012,P<0.001;metformin:-0.013,95%CI:-0.016 to-0.010,P<0.001).In both the acarbose and metformin groups,the WHtR of the women was more likely to be reduced than that of the men.In the acarbose group,a lower baseline area under the curve of glucagon-like peptide 1(AUCGLP-1)was associated with a highΔWHtR(odds ratio[OR]=0.796,P<0.001),while a higher baseline AUCGLP-1 was associated with a highΔWHtR in the patients treated with metformin(OR=1.133,P=0.025).Regarding the changes from baseline,an increase in AUCGLP-1 was associated with a highΔWHtR in the acarbose(OR=1.121,P=0.016)but not metformin group.A higher reduction in high-density lipoprotein cholesterol/non-highdensity lipoprotein cholesterol was also associated with a highΔWHtR in the acarbose arm(OR=20.735,P=0.001).In the metformin arm,a higher reduction in fasting plasma glucose(OR=0.843,P=0.039)and total cholesterol was associated with a highΔWHtR(OR=0.743,P=0.013).CONCLUSION A lower glucagon-like peptide 1 level and higher increase in glucagon-like peptide 1 are associated with a high reduction in the WHtR in newly diagnosed Chinese diabetes patients receiving treatment with acarbose.
基金Supported by the National Natural Science Foundation of China(U22B6004).
文摘The major enrichment type of shale oil in the Chang 7_(3) shale of Upper Triassic Yanchang Formation in the Ordos Basin is unknown.This paper analyzes the organic matter transformation ratio,hydrocarbon expulsion efficiency and roof/floor sealing conditions of the Chang 7_(3) shale,and evaluates the major enrichment type of shale oil in this interval.The average organic matter transformation ratio of the Chang 7_(3) shale is about 45%;in other words,more than 50%of the organic matters have not transformed to hydrocarbons,and the lower the maturity,the greater the proportion of untransformed organic matters.The cumulative hydrocarbon expulsion efficiency of the transformed hydrocarbon is 27.5% on average,and the total proportion of untransformed organic matters plus retained hydrocarbons is greater than 70%.The relative hydrocarbon expulsion efficiency of the Chang 7_(3) shale is 60%on average,that is,about 40% of hydrocarbons retain in the shale.The Chang 7_(3) shale corresponds to Chang 7_(1+2) and Chang 8 sandstones as the roof and floor,respectively,and is further overlaid by Chang 6 shale,where extensive low porosity and low permeability–tight oil reservoirs have formed in the parts with relatively good porosity and permeability.Moreover,the Chang 7_(3) shale is tested to be in a negative pressure system(the pressure coefficient of 0.80–0.85).Therefore,the roof/floor sealing conditions of the Chang 7_(3) shale are poor.The retained hydrocarbons appear mostly in absorbed status,with low mobility.It is concluded that the medium–high mature shale oil is not the major enrichment type of shale oil in the Chang 7_(3) shale,but there may be enrichment opportunity for shale oil with good mobility in the areas where the sealing conditions are good without faults and fractures and oil reservoirs are formed off Chang 7_(1+2),Chang 6 and Chang 8.Furthermore,low–medium mature shale oil is believed to have great potential and is the major enrichment type of shale oil in the Chang 7_(3) shale.It is recommended to prepare relevant in-situ conversion technologies by pilot test and figure out the resource availability and distribution.
文摘BACKGROUND Sodium glucose cotransporter-2 inhibitors(SGLT-2i)are a class of drugs with modest antidiabetic efficacy,weight loss effect,and cardiovascular benefits as proven by multiple randomised controlled trials(RCTs).However,real-world data on the comparative efficacy and safety of individual SGLT-2i medications is sparse.AIM To study the comparative efficacy and safety of SGLT-2i using real-world clinical data.METHODS We evaluated the comparative efficacy data of 3 SGLT-2i drugs(dapagliflozin,canagliflozin,and empagliflozin)used for treating patients with type 2 diabetes mellitus.Data on the reduction of glycated hemoglobin(HbA1c),body weight,blood pressure(BP),urine albumin creatinine ratio(ACR),and adverse effects were recorded retrospectively.RESULTS Data from 467 patients with a median age of 64(14.8)years,294(62.96%)males and 375(80.5%)Caucasians were analysed.Median diabetes duration was 16.0(9.0)years,and the duration of SGLT-2i use was 3.6(2.1)years.SGLT-2i molecules used were dapagliflozin 10 mg(n=227;48.6%),canagliflozin 300 mg(n=160;34.3%),and empagliflozin 25 mg(n=80;17.1).Baseline median(interquartile range)HbA1c in mmol/mol were:dapagliflozin-78.0(25.3),canagliflozin-80.0(25.5),and empagliflozin-75.0(23.5)respectively.The respective median HbA1c reduction at 12 months and the latest review(just prior to the study)were:66.5(22.8)&69.0(24.0),67.0(16.3)&66.0(28.0),and 67.0(22.5)&66.5(25.8)respectively(P<0.001 for all comparisons from baseline).Significant improvements in body weight(in kilograms)from baseline to study end were noticed with dapagliflozin-101(29.5)to 92.2(25.6),and canagliflozin 100(28.3)to 95.3(27.5)only.Significant reductions in median systolic and diastolic BP,from 144(21)mmHg to 139(23)mmHg;(P=0.015),and from 82(16)mmHg to 78(19)mmHg;(P<0.001)respectively were also observed.A significant reduction of microalbuminuria was observed with canagliflozin only[ACR 14.6(42.6)at baseline to 8.9(23.7)at the study end;P=0.043].Adverse effects of SGLT-2i were as follows:genital thrush and urinary infection-20(8.8%)&17(7.5%)with dapagliflozin;9(5.6%)&5(3.13%)with canagliflozin;and 4(5%)&4(5%)with empagliflozin.Diabetic ketoacidosis was observed in 4(1.8%)with dapagliflozin and 1(0.63%)with canagliflozin.CONCLUSION Treatment of patients with SGLT-2i is associated with statistically significant reductions in HbA1c,body weight,and better than those reported in RCTs,with low side effect profiles.A review of large-scale real-world data is needed to inform better clinical practice decision making.
基金National Natural Science Foundation of China Under Grants No. 50608024 andNo.50538050Opening Laboratory of Earthquake Engineering and Engineering Vibration Foundation Under Grant No.2007001
文摘In displacement-based seismic design, inelastic displacement ratio spectra (IDRS) are particularly useful for estimating the maximum lateral inelastic displacement demand of a nonlinear SDOF system from the maximum elastic displacement demand of its counterpart linear elastic SDOF system. In this study, the characteristics of IDRS for near-fault pulse-type ground motions are investigated based on a great number of earthquake ground motions. The influence of site conditions, ratio of peak ground velocity (PGV) to peak ground acceleration (PGA), the PGV, and the maximum incremental velocity (MIV) on IDRS are also evaluated. The results indicate that the effect of near-fault ground motions on IDRS are significant only at periods between 0.2 s - 1.5 s, where the amplification can approach 20%. The PGV/PGA ratio has the most significant influence on IDRS among the parameters considered. It is also found that site conditions only slightly affect the IDRS.
基金Supported by Zhejiang Province Traditional Chinese Medicine Science and 158 Technology Project,No.2023ZL008.
文摘BACKGROUND Accumulating clinical evidence has shown that diabetes mellitus(DM)is a serious risk factor for cardiovascular disorders and an important factor for adverse cardiovascular events.AIM To explore the value of the combined determination of the neutrophil-lymphocyte ratio(NLR)and red blood cell distribution width(RDW)in the early diagnosis and prognosis evaluation of DM complicated with heart failure(HF).METHODS We retrospectively analyzed clinical data on 65 patients with type 2 DM(T2DM)complicated with HF(research group,Res)and 60 concurrent patients with uncomplicated T2DM(control group,Con)diagnosed at Zhejiang Provincial People’s Hospital between January 2019 and December 2021.The NLR and RDW values were determined and comparatively analyzed,and their levels in T2DM+HF patients with different cardiac function grades were recorded.The receiver operating characteristic(ROC)curves were plotted to determine the NLR and RDW values(alone and in combination)for the early diagnosis of HF.The correlation between NLR and RDW with the presence or absence of cardiac events was also investigated.RESULTS Higher NLR and RDW levels were identified in the Res vs the Con groups(P<0.05).The NLR and RDW increased gradually and synchronously with the deterioration of cardiac function in the Res group,with marked differences in their levels among patients with grade II,III,and IV HF(P<0.05).ROC curve analysis revealed that NLR combined with RDW detection had an area under the curve of 0.915,a sensitivity of 76.9%,and a specificity of 100%for the early diagnosis of HF.Furthermore,HF patients with cardiac events showed higher NLR and RDW values compared with HF patients without cardiac events.CONCLUSION NLR and RDW were useful laboratory indicators for the early diagnosis of DM complicated with HF,and their joint detection was beneficial for improving diagnostic efficiency.Additionally,NLR and RDW values were directly proportional to patient outcomes.
文摘The study proposes, along the line of [1], six separate-type estimators for estimating the population ratio of two variables in post-stratified sampling, using variable transformation. Properties of the proposed estimators were obtained up to first order approximations, both for achieved sample configurations (conditional argument) and over repeated samples of fixed size n (unconditional argument). Efficiency conditions, under which the proposed separate-type estimators would perform better than the associated customary separate-type estimators in terms of having smaller mean squared errors, were obtained. Furthermore, conditions under which some of the proposed separate-type estimators would perform better than other proposed separate-type estimators were also obtained. The optimum estimators among the proposed separate-type estimators were obtained and an empirical illustration confirmed the theoretical results.
基金Supported by Huanhua Talent for Discipline Backbone of Sichuan Provincial People’s Hospital,No.SY2022017Science Fund for Distinguished Young Scholars of Sichuan Province,No.2021JDJQ0041+1 种基金Sichuan Science and Technology Program,No.2020YFQ0060National Natural Science and Technology Foundation of China,No.81800274.
文摘BACKGROUND Arterial cannulation sites for the surgical repair of type A aortic dissection(AAD)have evolved from right axillary artery(AA)cannulation to bilateral carotid artery(CA)based of femoral artery(FA)cannulation.Postoperative descending aorta remodeling is closely linked to the false lumen area ratio(FLAR),defined as false lumen area/aortic area,as well as to the incidence of renal replacement therapy(RRT).AIM To investigate the effect of the updated arterial cannulation strategy on descending aortic remodeling.METHODS A total of 443 AAD patients who received FA combined cannulation between March 2015 and March 2023 were included in the study.Of these,209 received right AA cannulation and 234 received bilateral CA cannulation.The primary outcome was the change in FLAR,as calculated from computed tomography angiography in three segments of the descending aorta:Thoracic(S1),upper abdominal(S2),and lower abdominal(S3).Secondary outcomes were the incidence of RRT and the serum inflammation response,as observed by the levels of high sensitivity C reaction protein(hs-CRP)and Interleukin-6(IL-6).RESULTS The postoperative/preoperative ratio of FLAR in S2 and S3 was higher in the AA group compared to the CA group(S2:0.80±0.08 vs 0.75±0.07,P<0.001;S3:0.57±0.12 vs 0.50±0.12,P<0.001,respectively).The AA group also had a significantly higher incidence of RRT(19.1%vs 8.5%,P=0.001;odds ratio:2.533,95%CI:1.427-4.493)and higher levels of inflammation cytokines 24 h after the procedure[hr-CRP:117±17 vs 104±15 mg/L;IL-6:129(103,166)vs 83(69,101)pg/mL;both P<0.001]compared to the CA group.CONCLUSION The CA cannulation strategy was associated with better abdominal aorta remodeling after AAD repair compared to AA cannulation,as observed by a greater change in FLAR and lower incidence of RRT.
基金Supported by the Xuanwu Hospital Capital Medical University Science Program for Fostering Young Scholars,No.YC20220113the Pilot Project for Public,No.Beijing Medical Research 2021-8.
文摘BACKGROUND Dyslipidemia and type 2 diabetes mellitus(T2DM)are chronic conditions with substantial public health implications.Effective management of lipid metabolism in patients with T2DM is critical.However,there has been insufficient attention given to the relationship between thyroid hormone sensitivity and dyslipidemia in the T2DM population,particularly concerning non-high-density lipoprotein cholesterol(non-HDL-C).AIM To clarify the association between thyroid hormone sensitivity and dyslipidemia in patients with T2DM.METHODS In this cross-sectional study,thyroid hormone sensitivity indices,the thyroid feedback quantile-based index(TFQI),the thyroid-stimulating hormone index(TSHI),the thyrotrophic T4 resistance index(TT4RI),and the free triiodothyronine(FT3)/free thyroxine(FT4)ratio were calculated.Logistic regression analysis was performed to determine the associations between those composite indices and non-HDL-C levels.Random forest variable importance and Shapley Additive Explanations(SHAP)summary plots were used to identify the strength and direction of the association between hyper-non-HDL-C and its major predictor.RESULTS Among the 994 participants,389(39.13%)had high non-HDL-C levels.Logistic regression analysis revealed that the risk of hyper-non-HDL-C was positively correlated with the TFQI(OR:1.584;95%CI:1.088-2.304;P=0.016),TSHI(OR:1.238;95%CI:1.034-1.482;P=0.02),and TT4RI(OR:1.075;95%CI:1.006-1.149;P=0.032)but was not significantly correlated with the FT3/FT4 ratio.The relationships between composite indices of the thyroid system and non-HDL-C levels differed according to sex.An increased risk of hyper-non-HDL-C was associated with elevated TSHI levels in men(OR:1.331;95%CI:1.003-1.766;P=0.048)but elevated TFQI levels in women(OR:2.337;95%CI:1.4-3.901;P=0.001).Among the analyzed variables,the average SHAP values were highest for TSHI,followed by TT4RI.CONCLUSION Impaired sensitivity to thyroid hormones was associated with high non-HDL-C levels in patients with T2DM.
文摘BACKGROUND The lymphocyte to monocyte ratio(LMR)is considered a marker of systemic inflammation in cardiovascular disease and acts as predictor of mortality in coronary artery disease.AIM To investigate the predictive role of LMR in diabetic coronary artery disease patients.METHODS This cross-sectional study was conducted at tertiary care super-specialty hospital at New Delhi,India.A total of 200 angiography-proven coronary artery disease(CAD)patients were enrolled and grouped into two categories:Group I[CAD patients with type 2 diabetes mellitus(T2DM)and glycated hemoglobin(HbA1c)levels≥6.5%],and Group II(CAD patients without T2DM and HbA1c levels<6.5%).Serum lipoproteins,HbA1c,and complete blood count of enrolled patients were analyzed using fully automatic analyzers.RESULTS The logistic regression analysis showed an odds ratio of 1.48(95%CI:1.28-1.72,P<0.05)for diabetic coronary artery disease patients(Group I)in unadjusted model.After adjusting for age,gender,diet,smoking,and hypertension history,the odds ratio increased to 1.49(95%CI:1.29-1.74,P<0.01)in close association with LMR.Further adjustment for high cholesterol and triglycerides yielded the same odds ratio of 1.49(95%CI:1.27-1.75,P<0.01).Receiver operating characteristic curve analysis revealed 74%sensitivity,64%specificity,and 0.74 area under the curve(95%CI:0.67-0.80,P<0.001),suggesting moderate predictive accuracy for diabetic CAD patients.CONCLUSION LMR showed positive association with diabetic coronary artery disease,with moderate predictive accuracy.These findings have implications for improving CAD management in diabetics,necessitating further research and targeted interventions.
文摘AIM To provide a quantitative assessment of theassociation between type 2 diabetes mellitus (T2DM)and the risk of colorectal cancer (CRC).METHODS: Systematic review was conductedthorough MEDLINE, EMBASE, Cochrane Library, and ISI Web of knowledge databases till 31st January 2014.This meta-analysis included the cohort studies thatillustrated relative risk (RR) or odds ratio estimateswith 95%CI for the predictive risk of CRC by T2DM.Summary relative risks with 95%CI were analyzed byusing an effects summary ratio model. Heterogeneityamong studies was assessed by the Cochran's Q and I 2statistics.RESULTS: The meta analysis of 8 finally selectedstudies showed a positive correlation of T2DM withthe risk of CRC as depicted by effects summary RRof 1.21 (95%CI: 1.02-1.42). Diabetic women showedgreater risk of developing CRC as their effect summaryRR of 1.22 (95%CI: 1.01-49) with significant overallZ test at 5% level of significance was higher than theeffect summary RR of 1.17 (95%CI: 1.00-1.37) of menshowing insignificant Z test. The effect summary RRof 1.19 with 95%CI of 1.07-1.33 indicate a positiverelationship between DM and increased risk of CRCwith significant heterogeneity (I 2 = 92% and P -value 〈0.05).CONCLUSION: Results from this systematic reviewand meta-analysis report that diabetic people have anincreased risk of CRC as compared to non-diabetics.
文摘AIM:To investigate the prevalence of diabetic retinopathy(DR)in residents of Shanghai and analyze the risk factors of DR.METHODS:This study involved 7233 patients with diabetes in 2016.The demographic data of the participants were collected using a questionnaire survey.Physical examination,laboratory tests,and ophthalmological examinations were conducted.Two professional ophthalmologists diagnosed and graded DR by fundus examination and then combined the results with fundus images.The unconditional multivariate Logistic regression analysis was used to determine the risk factors.RESULTS:In total,6978 patients with type 2 diabetes in Shanghai with a mean age of 68.33±8.40 y were recruited,including 2975 males(42.6%)and 4003 females(57.4%).Overall,1184 patients were diagnosed with DR,with a prevalence rate of 16.97%.Regression analysis showed that duration of diabetes(OR 1.061,95%CI 1.049-1.073),high systolic blood pressure(SBP;OR 1.071,95%CI 1.037-1.106),increased glycosylated hemoglobin level(OR 1.234,95%CI 1.162-1.311),high blood glucose level(OR 1.061,95%CI 1.023-1.099),increased neutrophil-to-lymphocyte ratio(NLR;OR 1.132,95%CI 1.053-1.217)and mean platelet volume(MPV;OR 1.077,95%CI 1.016-1.142)were risk factors of DR.Conversely,hematocrit(HCT;OR 0.971,95%CI 0.954-0.988)and mean corpuscular volume(MCV;OR 0.980,95%CI 0.965-0.994)were protective factors.CONCLUSION:The prevalence rate of DR in Shanghai is 16.97%.The duration of diabetes,high SBP,increased glycosylated hemoglobin,NLR,and MPV were determined as risk factors of DR.
基金Supported by Key Science and Technology Program of State Tobacco Monopoly Administration of China(TS 01 2011006)Fund of State Tobacco Monopoly Administration of China(3300806156)~~
文摘[Objective] This study aimed to establish mathematical models for judging the aroma types of flue-cured tobacco leaves from the upper and middle parts of plants. [Method] A total of 128 samples (63 C3F and 65 B2F) from 11 main tobac- co production provinces of China were selected as materials. Stepwise discriminant analysis was applied to samples with different aroma types and discriminant function was expressed with the proportions of 67 aroma components in total aroma con- stituents as the index. [Result] The ratio of most aroma components in clear and full aroma tobacco leaves was higher than that in middle aroma leaves. The ratios of 51, 43 and 40 aroma components of clear, middle and full aroma tobaccos were higher in upper leaves than that in middle leaves. Aroma components dominated certain aroma types differed between middle and upper leaves. The proportions of 18 and 11 aroma components in upper and middle leaves were led in the stepwise discriminant function respectively. Self-validation and cross-validation methods were applied to evaluate the original samples, and the accuracy rates reached 100% and 98.6% on middle leaves, 96.37% and 94.4% on upper leaves. The accuracy rates on some other samples reached 100% on middle leaves and 91.7% on upper leaves predicted with the model. [Conclusion] The ratio of aroma components as discriminant index could improve discriminant accuracy significantly in the middle and upper leaves. It could be used to analyze aroma types objectively, accurately and quickly.
基金Natural Science Foundation of China(51979134,51779113)Yunnan Provincial Education Department Scientific Research Fund Project(2021J0164)+4 种基金Open Fund Project of Yunnan Provincial Key Laboratory of Highland Wetland Protection and Restoration and Ecological Services(202105AG070002)Provincial Innovation Team on Environmental Pollution and Food Safety and Human Health,Southwest Forestry University(2005AE160017)A Study of Terrestrial Animal Habitats in Li Ziping National Nature Reserve,Sichuan Province(2021ZD0125)The Construction Project of Key Disciplines with Advantages and Characteristics(Ecology)in Yunnan UniversitiesResearch Project of Key Laboratory of Soil Erosion and Control in Yunnan University。
文摘Two-factor analysis of variance and redundancy analysis were used to analyze the characte-ristics of soil organic carbon total nitrogen storage in garden land,forestland,grassland,farmland,and bare land in the Dachunhe watershed of Jinning District,Kunming City,Yunnan Province,China.The effects of the soil organic carbon,total nitrogen stratification ratio,soil physical and chemical factors on the storage characteristics of organic carbon and total nitrogen of different land-use types were analyzed.The results show that the rates of carbon and nitrogen stratification in soil from 0-20 cm and 40-60 cm of the same land-use types differed are statistically significant(P<0.05).The organic carbon and total nitrogen stratification ratio SR1 of garden land soil are 38.5%and 25.3%,respectively,which are higher than SR^(2).The soil organic carbon and total nitrogen stratification ratio SR^(2) of different land-use types are greater than SR1.There are statistically significant differences in the SR^(2) soil organic carbon and total nitrogen stratification ratios(P<0.05).Soil organic carbon and total nitrogen storage of diffe-rent land-use types gradually decrease with increasing soil depth,with the maximum soil organic carbon and total nitrogen storage in the 0-20 cm soil layer.Soil organic carbon and total nitrogen sto-rage at the same soil depth are significantly different(P<0.05).Soil organic carbon and total nitrogen storage in the garden land are greater than those in the other land-use types.Soil organic carbon and total nitrogen storage in 0-20 cm garden land are 4.96 and 3.19 times than those in bare land,respectively;soil organic carbon and total nitrogen storage are explained by 93.66%and 1.53%in redundancy analysis RDA1 and RDA2,respectively.All physicochemical factors except Available Phosphorus and pH are statistically significance with carbon and nitrogen storage(P<0.05).Soil cationic exchange capacity,Available Phosphorus,C/N ratio,and Moisture Content are positively correlated with organic carbon and total nitrogen storage.In contrast,soil Bulk Density is negatively correlated with organic carbon storage and total nitrogen storage.Available Phosphorus,C/N ratio,and Moisture Content are the main factors promoting soil organic carbon and total nitrogen accumulation.
基金the National Natural Science Foundation of China(Nos.42074136,41674130)National Key S&T Special Project of China(No.2016ZX05027-004-001)the Fundamental Research Funds for the Central University(No.18CX02061A).
文摘Carbonate,tight sandstone,and shale reservoirs have many pore types,and the relationship between the porosity and elastic parameters is extremely discrete due to the complex pore shape.This paper presents a method for predicting reservoir pore types based on pore shape substitution.The pore shape substitution allows for accurately characterizing the changes in the elastic properties of the rock with the changes in pore shape,assuming there are no changes in terms of minerals,porosity,or fl uids.By employing a multiple-porosity variable critical porosity model,the eff ective pore aspect ratio could be inverted from the velocities of the rock.To perform pore shape substitution,we could replace the eff ective pore aspect ratio with another pore aspect ratio or increase/decrease the volume content of diff erent pore shapes.The reservoir pore types could be evaluated by comparing the differences in the reservoir velocities before and after the substitution of the pore shape.The test results pertaining to the theoretical model and the well logging data indicated that the pore shape substitution method could be applied to characterize pore types in terms of separating the eff ects of the pore shapes from the eff ects of the minerals,porosity,or fl uids on the velocities.
文摘Natural gases were widely distributed in the Jiyang Depression with complicated component composition, and it is difficult to identify their genesis. Based on investigation of gas composition, carbon isotope ratios, light hydrocarbon properties, as well as geological analysis, natural gases in the Jiyang Depression are classified into two types, one is organic gas and the other is abiogenic gas. Abiogenic gas is mainly magmatogenic or mantlederived CO2. Organic gases are further divided into coaltype gas, oil-type gas, and biogas according to their kero- gen types and formation mechanisms. The oil-type gases are divided into mature oil-type gas (oil-associated gas) and highly mature oil-type gas. The highly mature oil-type gases can be subdivided into oil-cracking gas and kerogen thermal degradation gas. Identification factors for each kind of hydrocarbon gas were summarized. Based on genesis analysis results, the genetic types of gases buried in different depths were discussed. Results showed that shallow gases (〈1,500 m) are mainly mature oil-type gases, biogas, or secondary gases. Secondary gases are rich in methane because of chromatographic separation during migration and secondary biodegradation. Secondary biodegradation leads to richness of heavy carbon isotope ratios in methane and propane. Genesis of middle depth gases (1,500-3,500 m) is dominated by mature oil-type gases.Deep gases (3,500-5,500 m) are mainly kerogen thermal degradation gas, oil-cracking gas, and coal-type gas.
文摘This paper is an extension and generalization of the study carried out by [1] on the estimation of the population ratio (R) of the population means of two variables (y and x) under Simple Random Sampling (SRS) scheme, using a variable transformation of the auxiliary variable, x. All the six estimators proposed by [1] are easily identified as special cases of the proposed class of estimators. Asymptotic properties of the proposed class of estimators are derived theoretically and subsequently verified using empirical illustrations. Some of the proposed estimators are found to have relatively large gains in efficiency over the customary ratio estimator, ?for the given data set.