With debate that the U.S. trade deficit is due to overestimate exchange rate of RMB, the paper pointed out that exchange rate is not the main factor for the formation of balance of payments on trade. U.S. trade defici...With debate that the U.S. trade deficit is due to overestimate exchange rate of RMB, the paper pointed out that exchange rate is not the main factor for the formation of balance of payments on trade. U.S. trade deficit is largely due to the current international monetary system, international division of labor and the trade structure determined by it, low savings rates and other factors.展开更多
AIM: To investigate child and adolescent psychiatrists'(CAPs) attention deficit hyperactivity disorder(ADHD) and oppositional defiant disorder(ODD) diagnoses and treatments in real-world clinical practice. METHODS...AIM: To investigate child and adolescent psychiatrists'(CAPs) attention deficit hyperactivity disorder(ADHD) and oppositional defiant disorder(ODD) diagnoses and treatments in real-world clinical practice. METHODS: The medical records of 69 ADHD children(mean age = 9.5 years), newly referred to the ADHD clinic, were reviewed for their scores of parent- and teacher-reported Vanderbilt ADHD Diagnostic Rating Scales(VADRSs), CAPs' diagnoses of ADHD and ODD, and CAPs' treatment recommendations. Among 63 ADHD subjects who completed both parent and teacher VADRSs, we examined the agreement of the parent and teacher VADRSs. We also examined the concurrent validity of CAPs' ODD diagnoses against the results from the VADRSs. In addition, we compared CAPs' treatment recommendations against established ADHD and ODD guidelines.RESULTS: Among 63 ADHD subjects, the majority of the subjects(92%) met full ADHD diagnostic criteria at least in one setting(parent or teacher) on the VADRSs. Nearly half of the patients met full ADHD diagnostic criteria in two settings(parent and teacher). Relatively low agreement between the parent and teacher VADRSs were found(95%CI:-0.33 to 0.14). For 29 children who scored positive for ODD on the rating scales, CAPs confirmed the ODD diagnosis in only 12 of these casepositives, which is considered as a fair agreement between CAPs and VADRSs(95%CI: 0.10-0.53). For 27 children with no ODD diagnosis made by either CAP or VADRS, more than half of them were recommended for medication only. In contrast, where CAPs made the diagnosis of ODD, or where the parent or teacher VADRS was positive for ODD, almost all of the patients received recommendations for medication and behavior therapy.CONCLUSION: CAPs' ADHD diagnoses have strong concurrent validity against valid rating scales, but ADHD's most common comorbid condition- ODD- may be underrecognized.展开更多
AIM: To determine the relationship between abduction deficit and reoperation among patients with infantile esotropia (IET). METHODS: The records of 216 patients (432 eyes) with lET who underwent surgery, from 2...AIM: To determine the relationship between abduction deficit and reoperation among patients with infantile esotropia (IET). METHODS: The records of 216 patients (432 eyes) with lET who underwent surgery, from 2010 to 2015 were studied. Patients with lET whose deviation appeared before 6mo of age and had stable preoperative deviation in two examinations with at least 2wk apart and a minimum 3too postoperative follow up were included. Cases with early onset accommodative esotropia, congenital cataract, retinopathy of prematurity (ROP), manifest nystagmus, fundus lesions, neurologic and ophthalmic anomalies, 6th nerve palsy and Duane's syndrome were excluded. Preoperative abduction deficit was considered from -1 to -3 grading scale. Three months after surgery, children were classified into no-need reoperation [deviation〈15 prism diopters (PD)], and need-reoperation groups (deviaUon〉15 PD). RESULTS: In this retrospective study, 117 female and 99 male patients with the mean surgical age of 4.7±6.4y were included. Reoperation rate was 33.3% and 16.0% in lET patients with and without abduction deficit, respectively in patients who had a history of late surgery. Abduction deficit increased the odds of reoperation by 82% [OR=1.82, 95% confidence interval (CI) =1.05 to 3.19, P=0.003] in patients who had a history of late surgery (〉2 years old, P=0.021). Abduction deficit was improved significantly after operation (P〈0.001). CONCLUSION: Based on our results, abduction deficit can be considered as a risk factor of reoperation in lET patients who are operated at the age of more than 2y.展开更多
We conducted a two-year study of deficit irrigation impact on peach yield and quality in semi-arid northwest China. Over two years, four-year-old peach trees were irrigated at 100, 75, 50 and 25% of peach evapotranspi...We conducted a two-year study of deficit irrigation impact on peach yield and quality in semi-arid northwest China. Over two years, four-year-old peach trees were irrigated at 100, 75, 50 and 25% of peach evapotranspiration (ETc), here, ETc= Coefficient (Kc)×Local reference evapotranspiration (ET0). During the April-July fruit production season we measured root zone soil water depletion, sap flow velocity, net photosynthetic rate (Pn), transpiration rate (Tr), stomatal conductance (Gs), water use efficiency (WUE=Pn/Tr), fruit quality, and yield under a mobile rain-out shelter. Increased soil water depletion reasonably mirrored decreasing irrigation rates both years, causing progressively greater water stress. Progressive water stress lowered Gs, which in turn translated into lower T as measured by sap flow. However, mild deficit irrigation (75% ETc) constricted T more than Pn. Pn was not different between 100 and 75% ETc treatments in both years, and it decreased only 5-8% in June with higher temperature than that in May with cooler temperature. Concurrently under 75% ETc treatment, was reduced, and WUE was up to 13% higher than that under 100% ETc treatment. While total fruit yield was not different under the two treatments, because 75% ETc treatment had fewer but larger fruit than 100% ETc trees, suggesting mild water stress thinned fruit load. By contrast, sharply decreased T and Pn of the driest treatments (50 and 25% ETo) increased WUE, but less carbon uptake impacted total fruit yield, resulting 13 and 33% lower yield compared to that of 100% ETc treatment. Irrigation rates affected fruit quality, particularly between the 100 and 75% ETc trees. Fewer but larger fruit in the mildly water stressed trees (75% ETc) resulted in more soluble solids and vitamin C, firmer fruit, and improved sugar:acid ratio and fruit color compared to the 100% ETo treatment. Overall, trees deficit irrigated at 75% ETc maintained yield while improving fruit quality and using less water.展开更多
Aims: To investigate rates of attention-deficit hyperactivity disorder (ADHD) in patients with chronic pain attending a pain clinic, the effects of a screening measure for ADHD in patients with chronic pain, and the e...Aims: To investigate rates of attention-deficit hyperactivity disorder (ADHD) in patients with chronic pain attending a pain clinic, the effects of a screening measure for ADHD in patients with chronic pain, and the effects of ADHD drugs on both pain and ADHD symptoms. Methods: We retrospectively surveyed 110 patients with chronic pain visiting the Anesthesiology and Pain Relief Center at the University of Tokyo in Japan, who had also consulted a psychiatrist, between April 2012 and July 2015. Results: Of the total of 110 patients with chronic pain, 35 (31.8%) were also diagnosed with ADHD, and the average Wender Utah Rating Scale (WURS) score among the ADHD patients was 39.0 ± 22.1 (n = 25). Only 36.0% of these patients exceeded the cutoff value, suggesting that 64.0% of the patients with ADHD were not identified by screening with the WURS. Twenty-six patients initiated treatment with ADHD medication, with dosage adjustment completed in 21. Of these 21 patients 20 (95.0%) had improved ADHD symptoms. Improved pain symptoms were observed in 14 patients (66.6%), with a reduction in the pain numerical rating scale of 64.7% ± 30.1%. Conclusions: This is the first study investigating the comorbidity of ADHD and chronic pain at pain clinics showing a high level of comorbidity and amelioration of pain and ADHD symptoms with treatment. Careful interpretation is required when the WURS is used to screen patients with chronic pain.展开更多
Two wheat cultivars (Triticum aestivum L.) were used to evaluate the effects ofpost-anthesis severe water deficit (SD) on starch content and granule size distribution and their relations with ethylene and spermidi...Two wheat cultivars (Triticum aestivum L.) were used to evaluate the effects ofpost-anthesis severe water deficit (SD) on starch content and granule size distribution and their relations with ethylene and spermidine (Spd). Comparison to the well-watered (WW) treatment, SD led to lower Spd and higher 1-aminocylopropane-l-carboxylic acid (ACC) concentrations and ethylene evolution rate (EER) in grains at the critical stage of forming starch granules. Application of Spd or aminoethoxyvinylglycine (AVG) significantly reduced ACC concentration and EER and increased Spd concentration, while ethephon or methylglyoxal-bis (MGBG) had an opposite impact. The volume and surface area distribution of starch granules showed a bimodal curve, while the number distribution exhibited a unimodal curve. SD caused a marked drop in grain weight, grain number and starch content, also led to a significant reduction in the proportion (both by volume and by surface area) of B-type starch granules (〈10 Ixm), with an increase in those of A-type starch granules (〉10 ~tm). Application of Spd or AVG increased the proportion (both by volume and by surface area) of B-type starch granules under SD. Correlation analysis suggested that ethylene and Spd showed an antagonism relation in the formation of B-type granules. These results suggested that it would be good for the formation of B-type starch granules to have the physiological traits of higher Spd and lower ACC concentrations and ethylene emission under SD.展开更多
文摘With debate that the U.S. trade deficit is due to overestimate exchange rate of RMB, the paper pointed out that exchange rate is not the main factor for the formation of balance of payments on trade. U.S. trade deficit is largely due to the current international monetary system, international division of labor and the trade structure determined by it, low savings rates and other factors.
基金funding from NIMH, AHRQ, Marriott Foundation, Mayo Foundation
文摘AIM: To investigate child and adolescent psychiatrists'(CAPs) attention deficit hyperactivity disorder(ADHD) and oppositional defiant disorder(ODD) diagnoses and treatments in real-world clinical practice. METHODS: The medical records of 69 ADHD children(mean age = 9.5 years), newly referred to the ADHD clinic, were reviewed for their scores of parent- and teacher-reported Vanderbilt ADHD Diagnostic Rating Scales(VADRSs), CAPs' diagnoses of ADHD and ODD, and CAPs' treatment recommendations. Among 63 ADHD subjects who completed both parent and teacher VADRSs, we examined the agreement of the parent and teacher VADRSs. We also examined the concurrent validity of CAPs' ODD diagnoses against the results from the VADRSs. In addition, we compared CAPs' treatment recommendations against established ADHD and ODD guidelines.RESULTS: Among 63 ADHD subjects, the majority of the subjects(92%) met full ADHD diagnostic criteria at least in one setting(parent or teacher) on the VADRSs. Nearly half of the patients met full ADHD diagnostic criteria in two settings(parent and teacher). Relatively low agreement between the parent and teacher VADRSs were found(95%CI:-0.33 to 0.14). For 29 children who scored positive for ODD on the rating scales, CAPs confirmed the ODD diagnosis in only 12 of these casepositives, which is considered as a fair agreement between CAPs and VADRSs(95%CI: 0.10-0.53). For 27 children with no ODD diagnosis made by either CAP or VADRS, more than half of them were recommended for medication only. In contrast, where CAPs made the diagnosis of ODD, or where the parent or teacher VADRS was positive for ODD, almost all of the patients received recommendations for medication and behavior therapy.CONCLUSION: CAPs' ADHD diagnoses have strong concurrent validity against valid rating scales, but ADHD's most common comorbid condition- ODD- may be underrecognized.
文摘AIM: To determine the relationship between abduction deficit and reoperation among patients with infantile esotropia (IET). METHODS: The records of 216 patients (432 eyes) with lET who underwent surgery, from 2010 to 2015 were studied. Patients with lET whose deviation appeared before 6mo of age and had stable preoperative deviation in two examinations with at least 2wk apart and a minimum 3too postoperative follow up were included. Cases with early onset accommodative esotropia, congenital cataract, retinopathy of prematurity (ROP), manifest nystagmus, fundus lesions, neurologic and ophthalmic anomalies, 6th nerve palsy and Duane's syndrome were excluded. Preoperative abduction deficit was considered from -1 to -3 grading scale. Three months after surgery, children were classified into no-need reoperation [deviation〈15 prism diopters (PD)], and need-reoperation groups (deviaUon〉15 PD). RESULTS: In this retrospective study, 117 female and 99 male patients with the mean surgical age of 4.7±6.4y were included. Reoperation rate was 33.3% and 16.0% in lET patients with and without abduction deficit, respectively in patients who had a history of late surgery. Abduction deficit increased the odds of reoperation by 82% [OR=1.82, 95% confidence interval (CI) =1.05 to 3.19, P=0.003] in patients who had a history of late surgery (〉2 years old, P=0.021). Abduction deficit was improved significantly after operation (P〈0.001). CONCLUSION: Based on our results, abduction deficit can be considered as a risk factor of reoperation in lET patients who are operated at the age of more than 2y.
基金the financial support from the National High-Tech R&D Program,China(863 Program,2011AA100504)the National Natural Science Foundation of China(51579211)+3 种基金the Key Research Project of Universities in Henan Province,China(16A416005)the 111 Project of the Chinese Education Ministry(B12007)the Initial Fund for Doctoral Reserch of Henan University of Science and Technology,China(13480016)the China Scholarship Council and USDA Agricultural Experiment Station CRIS Project(01129)
文摘We conducted a two-year study of deficit irrigation impact on peach yield and quality in semi-arid northwest China. Over two years, four-year-old peach trees were irrigated at 100, 75, 50 and 25% of peach evapotranspiration (ETc), here, ETc= Coefficient (Kc)×Local reference evapotranspiration (ET0). During the April-July fruit production season we measured root zone soil water depletion, sap flow velocity, net photosynthetic rate (Pn), transpiration rate (Tr), stomatal conductance (Gs), water use efficiency (WUE=Pn/Tr), fruit quality, and yield under a mobile rain-out shelter. Increased soil water depletion reasonably mirrored decreasing irrigation rates both years, causing progressively greater water stress. Progressive water stress lowered Gs, which in turn translated into lower T as measured by sap flow. However, mild deficit irrigation (75% ETc) constricted T more than Pn. Pn was not different between 100 and 75% ETc treatments in both years, and it decreased only 5-8% in June with higher temperature than that in May with cooler temperature. Concurrently under 75% ETc treatment, was reduced, and WUE was up to 13% higher than that under 100% ETc treatment. While total fruit yield was not different under the two treatments, because 75% ETc treatment had fewer but larger fruit than 100% ETc trees, suggesting mild water stress thinned fruit load. By contrast, sharply decreased T and Pn of the driest treatments (50 and 25% ETo) increased WUE, but less carbon uptake impacted total fruit yield, resulting 13 and 33% lower yield compared to that of 100% ETc treatment. Irrigation rates affected fruit quality, particularly between the 100 and 75% ETc trees. Fewer but larger fruit in the mildly water stressed trees (75% ETc) resulted in more soluble solids and vitamin C, firmer fruit, and improved sugar:acid ratio and fruit color compared to the 100% ETo treatment. Overall, trees deficit irrigated at 75% ETc maintained yield while improving fruit quality and using less water.
文摘Aims: To investigate rates of attention-deficit hyperactivity disorder (ADHD) in patients with chronic pain attending a pain clinic, the effects of a screening measure for ADHD in patients with chronic pain, and the effects of ADHD drugs on both pain and ADHD symptoms. Methods: We retrospectively surveyed 110 patients with chronic pain visiting the Anesthesiology and Pain Relief Center at the University of Tokyo in Japan, who had also consulted a psychiatrist, between April 2012 and July 2015. Results: Of the total of 110 patients with chronic pain, 35 (31.8%) were also diagnosed with ADHD, and the average Wender Utah Rating Scale (WURS) score among the ADHD patients was 39.0 ± 22.1 (n = 25). Only 36.0% of these patients exceeded the cutoff value, suggesting that 64.0% of the patients with ADHD were not identified by screening with the WURS. Twenty-six patients initiated treatment with ADHD medication, with dosage adjustment completed in 21. Of these 21 patients 20 (95.0%) had improved ADHD symptoms. Improved pain symptoms were observed in 14 patients (66.6%), with a reduction in the pain numerical rating scale of 64.7% ± 30.1%. Conclusions: This is the first study investigating the comorbidity of ADHD and chronic pain at pain clinics showing a high level of comorbidity and amelioration of pain and ADHD symptoms with treatment. Careful interpretation is required when the WURS is used to screen patients with chronic pain.
基金the National Natural Science Foundation of China(31271661,30871477)the National Basic Research Program of China(2009CB118602)+1 种基金the Special Fund for Agro-Scientific Research in the Public Interest of China(201203100)the Key Technologies R&D Program of China during the 12th Five-Year Plan period(2012BAD04B05)
文摘Two wheat cultivars (Triticum aestivum L.) were used to evaluate the effects ofpost-anthesis severe water deficit (SD) on starch content and granule size distribution and their relations with ethylene and spermidine (Spd). Comparison to the well-watered (WW) treatment, SD led to lower Spd and higher 1-aminocylopropane-l-carboxylic acid (ACC) concentrations and ethylene evolution rate (EER) in grains at the critical stage of forming starch granules. Application of Spd or aminoethoxyvinylglycine (AVG) significantly reduced ACC concentration and EER and increased Spd concentration, while ethephon or methylglyoxal-bis (MGBG) had an opposite impact. The volume and surface area distribution of starch granules showed a bimodal curve, while the number distribution exhibited a unimodal curve. SD caused a marked drop in grain weight, grain number and starch content, also led to a significant reduction in the proportion (both by volume and by surface area) of B-type starch granules (〈10 Ixm), with an increase in those of A-type starch granules (〉10 ~tm). Application of Spd or AVG increased the proportion (both by volume and by surface area) of B-type starch granules under SD. Correlation analysis suggested that ethylene and Spd showed an antagonism relation in the formation of B-type granules. These results suggested that it would be good for the formation of B-type starch granules to have the physiological traits of higher Spd and lower ACC concentrations and ethylene emission under SD.