Age-specific differences in the association between prediabetes and cardiovascular diseases in China:A national cross-sectional study

BACKGROUND Cardiovascular disease(CVD)is a leading cause of morbidity and mortality worldwide,the global burden of which is rising.It is still unclear the extent to which prediabetes contributes to the risk of CVD in various age brackets among adults.To develop a focused screening plan and treatment for Chinese adults with prediabetes,it is crucial to identify variations in the connection between prediabetes and the risk of CVD based on age.AIM To examine the clinical features of prediabetes and identify risk factors for CVD in different age groups in China.METHODS The cross-sectional study involved a total of 46239 participants from June 2007 through May 2008.A thorough evaluation was conducted.Individuals with prediabetes were categorized into two groups based on age.Chinese atherosclerotic CVD risk prediction model was employed to evaluate the risk of developing CVD over 10 years.Random forest was established in both age groups.SHapley Additive exPlanation method prioritized the importance of features from the perspective of assessment contribution.RESULTS In total,6948 people were diagnosed with prediabetes in this study.In prediabetes,prevalences of CVD were 5(0.29%)in the younger group and 148(2.85%)in the older group.Overall,11.11%of the younger group and 29.59% of the older group were intermediate/high-risk of CVD for prediabetes without CVD based on the Prediction for ASCVD Risk in China equation in ten years.In the younger age group,the 10-year risk of CVD was found to be more closely linked to family history of CVD rather than lifestyle,whereas in the older age group,resident status was more closely linked.CONCLUSION The susceptibility to CVD is age-specific in newly diagnosed prediabetes.It is necessary to develop targeted approaches for the prevention and management of CVD in adults across various age brackets.

Differential pressure difference based altitude control of a stratospheric satellite

An autonomous altitude adjustment system for a stratospheric satellite(StratoSat)platform is proposed.This platform consists of a helium balloon,a ballonet,and a two-way blower.The helium balloon generates lift to balance the platform gravity.The two-way blower inflates and deflates the ballonet to regulate the buoyancy.Altitude adjustment is achieved by tracking the differential pressure difference(DPD),and a threshold switching strategy is used to achieve blower flow control.The vertical acceleration regulation ability is decided not only by the blower flow rate,but also by the designed margin of pressure difference(MPD).Pressure difference is a slow-varying variable compared with altitude,and it is adopted as the control variable.The response speed of the actuator to disturbance can be delayed,and the overshoot caused by the large inertia of the platform is inhibited.This method can maintain a high tracking accuracy and reduce the complexity of model calculation,thus improving the robustness of controller design.

TSCND:Temporal Subsequence-Based Convolutional Network with Difference for Time Series Forecasting

Time series forecasting plays an important role in various fields, such as energy, finance, transport, and weather. Temporal convolutional networks (TCNs) based on dilated causal convolution have been widely used in time series forecasting. However, two problems weaken the performance of TCNs. One is that in dilated casual convolution, causal convolution leads to the receptive fields of outputs being concentrated in the earlier part of the input sequence, whereas the recent input information will be severely lost. The other is that the distribution shift problem in time series has not been adequately solved. To address the first problem, we propose a subsequence-based dilated convolution method (SDC). By using multiple convolutional filters to convolve elements of neighboring subsequences, the method extracts temporal features from a growing receptive field via a growing subsequence rather than a single element. Ultimately, the receptive field of each output element can cover the whole input sequence. To address the second problem, we propose a difference and compensation method (DCM). The method reduces the discrepancies between and within the input sequences by difference operations and then compensates the outputs for the information lost due to difference operations. Based on SDC and DCM, we further construct a temporal subsequence-based convolutional network with difference (TSCND) for time series forecasting. The experimental results show that TSCND can reduce prediction mean squared error by 7.3% and save runtime, compared with state-of-the-art models and vanilla TCN.

Deep reinforcement learning using least-squares truncated temporal-difference

Policy evaluation(PE)is a critical sub-problem in reinforcement learning,which estimates the value function for a given policy and can be used for policy improvement.However,there still exist some limitations in current PE methods,such as low sample efficiency and local convergence,especially on complex tasks.In this study,a novel PE algorithm called Least-Squares Truncated Temporal-Difference learning(LST2D)is proposed.In LST2D,an adaptive truncation mechanism is designed,which effectively takes advantage of the fast convergence property of Least-Squares Temporal Difference learning and the asymptotic convergence property of Temporal Difference learning(TD).Then,two feature pre-training methods are utilised to improve the approximation ability of LST2D.Furthermore,an Actor-Critic algorithm based on LST2D and pre-trained feature representations(ACLPF)is proposed,where LST2D is integrated into the critic network to improve learning-prediction efficiency.Comprehensive simulation studies were conducted on four robotic tasks,and the corresponding results illustrate the effectiveness of LST2D.The proposed ACLPF algorithm outperformed DQN,ACER and PPO in terms of sample efficiency and stability,which demonstrated that LST2D can be applied to online learning control problems by incorporating it into the actor-critic architecture.

Study on sex differences and potential clinical value of threedimensional computerized tomography pelvimetry in rectal cancer patients

BACKGROUND Laparoscopic rectal cancer radical surgery is a complex procedure affected by various factors.However,the existing literature lacks standardized parameters for the pelvic region and soft tissues,which hampers the establishment of consistent conclusions.AIM To comprehensively assess 16 pelvic and 7 soft tissue parameters through computerized tomography(CT)-based three-dimensional(3D)reconstruction,providing a strong theoretical basis to address challenges in laparoscopic rectal cancer radical surgery.METHODS We analyzed data from 218 patients who underwent radical laparoscopic surgery for rectal cancer,and utilized CT data for 3D pelvic reconstruction.Specific anatomical points were carefully marked and measured using advanced 3D modeling software.To analyze the pelvic and soft tissue parameters,we emp-loyed statistical methods including paired sample t-tests,Wilcoxon rank-sum tests,and correlation analysis.RESULTS The investigation highlighted significant sex disparities in 14 pelvic bone parameters and 3 soft tissue parameters.Males demonstrated larger measurements in pelvic depth and overall curvature,smaller measurements in pelvic width,a larger mesorectal fat area,and a larger anterior-posterior abdominal diameter.By contrast,females exhibited wider pelvises,shallower depth,smaller overall curvature,and an increased amount of subcutaneous fat tissue.However,there were no significant sex differences observed in certain parameters such as sacral curvature height,superior pubococcygeal diameter,rectal area,visceral fat area,waist circumference,and transverse abdominal diameter.CONCLUSION The reconstruction of 3D CT data enabled accurate pelvic measurements,revealing significant sex differences in both pelvic and soft tissue parameters.This study design offer potential in predicting surgical difficulties and creating personalized surgical plans for male rectal cancer patients with a potentially“difficult pelvis”,ultimately improving surgical outcomes.Further research and utilization of these parameters could lead to enhanced surgical methods and patient care in laparoscopic rectal cancer radical surgery.

Keep in mind sex differences when prescribing psychotropic drugs

Women represent the majority of patients with psychiatric diagnoses and also the largest users of psychotropic drugs.There are inevitable differences in efficacy,side effects and long-term treatment response between men and women.Psychopharmacological research needs to develop adequately powered animal and human trials aimed to consider pharmacokinetics and pharmacodynamics of central nervous system drugs in both male and female subjects.Healthcare professionals have the responsibility to prescribe sex-specific psychopharmacotherapies with a priority to differentiate between men and women in order to minimize adverse drugs reactions,to maximize therapeutic effectiveness and to provide personalized management of care.

Fuzzy Difference Equations in Diagnoses of Glaucoma from Retinal Images Using Deep Learning

The intuitive fuzzy set has found important application in decision-making and machine learning.To enrich and utilize the intuitive fuzzy set,this study designed and developed a deep neural network-based glaucoma eye detection using fuzzy difference equations in the domain where the retinal images converge.Retinal image detections are categorized as normal eye recognition,suspected glaucomatous eye recognition,and glaucomatous eye recognition.Fuzzy degrees associated with weighted values are calculated to determine the level of concentration between the fuzzy partition and the retinal images.The proposed model was used to diagnose glaucoma using retinal images and involved utilizing the Convolutional Neural Network(CNN)and deep learning to identify the fuzzy weighted regularization between images.This methodology was used to clarify the input images and make them adequate for the process of glaucoma detection.The objective of this study was to propose a novel approach to the early diagnosis of glaucoma using the Fuzzy Expert System(FES)and Fuzzy differential equation(FDE).The intensities of the different regions in the images and their respective peak levels were determined.Once the peak regions were identified,the recurrence relationships among those peaks were then measured.Image partitioning was done due to varying degrees of similar and dissimilar concentrations in the image.Similar and dissimilar concentration levels and spatial frequency generated a threshold image from the combined fuzzy matrix and FDE.This distinguished between a normal and abnormal eye condition,thus detecting patients with glaucomatous eyes.

Assessment of vegetation cover changes and the contributing factors in the Al-Ahsa Oasis using Normalized Difference Vegetation Index(NDVI)

The abandonment of date palm grove of the former Al-Ahsa Oasis in the eastern region of Saudi Arabia has resulted in the conversion of delicate agricultural area into urban area.The current state of the oasis is influenced by both expansion and degradation factors.Therefore,it is important to study the spatiotemporal variation of vegetation cover for the sustainable management of oasis resources.This study used Landsat satellite images in 1987,2002,and 2021 to monitor the spatiotemporal variation of vegetation cover in the Al-Ahsa Oasis,applied multi-temporal Normalized Difference Vegetation Index(NDVI)data spanning from 1987 to 2021 to assess environmental and spatiotemporal variations that have occurred in the Al-Ahsa Oasis,and investigated the factors influencing these variation.This study reveals that there is a significant improvement in the ecological environment of the oasis during 1987–2021,with increase of NDVI values being higher than 0.10.In 2021,the highest NDVI value is generally above 0.70,while the lowest value remains largely unchanged.However,there is a remarkable increase in NDVI values between 0.20 and 0.30.The area of low NDVI values(0.00–0.20)has remained almost stable,but the region with high NDVI values(above 0.70)expands during 1987–2021.Furthermore,this study finds that in 1987–2002,the increase of vegetation cover is most notable in the northern region of the study area,whereas from 2002 to 2021,the increase of vegetation cover is mainly concentrated in the northern and southern regions of the study area.From 1987 to 2021,NDVI values exhibit the most pronounced variation,with a significant increase in the“green”zone(characterized by NDVI values exceeding 0.40),indicating a substantial enhancement in the ecological environment of the oasis.The NDVI classification is validated through 50 ground validation points in the study area,demonstrating a mean accuracy of 92.00%in the detection of vegetation cover.In general,both the user’s and producer’s accuracies of NDVI classification are extremely high in 1987,2002,and 2021.Finally,this study suggests that environmental authorities should strengthen their overall forestry project arrangements to combat sand encroachment and enhance the ecological environment of the Al-Ahsa Oasis.

Analyzing the Differences in the Concepts of Love Between Korean and American Women Using the Female Characters in Kim Ji-young,Born in 1982 and The Sun Also Rises as Examples

This paper scrutinizes the differences in the conceptualization of love between Korean and American women.Grounded in an analysis of literary figures,Brett and Kim Ji-young,the study unravels the intricate interplay of cultural,historical,and societal forces shaping these perspectives.The contrasting landscapes of the United States,driven by ideals of freedom and individualism,and Korea,entrenched in Confucian values and collectivism,serve as crucibles for forming women’s roles,self-perception,and societal expectations.The examination extends to communication styles,illuminating the directness of American expression versus Korea’s reliance on formalism.Through this exploration,the paper illustrates the profound impact of cultural contexts on the intricate tapestry of love,offering a nuanced understanding of divergent viewpoints within a global context.

Chromatic and achromatic differences of melanin-and carotenoid-based plumage coloration in five minivet species(Pericrocotus spp.)under conspecific and predator visual systems

Adaptive mate choice has been accepted as the leading theory to explain the colorful plumage of birds.This theory hypothesizes that conspicuous colors act as signals to advertise the qualities of the owners.However,a dilemma arises in that conspicuous colors may not only attract mates,but also alert predators.The"private channels of communication"hypothesis proposes that some intraspecific signals may not be visible to heterospecific animals because of different visual systems.To better understand the evolution of plumage colors and sexual selection in birds,here we studied the chromatic difference and achromatic differences of melanin-and carotenoid-based plumage coloration in five minivet species(Pericrocotus spp.)under conspecific and predator visual systems.We found that either the chromatic or achromatic difference among male or female minivets’plumage was consistently higher under conspecific vision than under predator vision for all five studied species of minivets.This result indicated that individual differences in plumage colors of minivets were visible to the conspecific receivers and hidden from potential predators as a result of evolution under predation risk and conspecific communication.However,males were under a higher risk of predation because they were more conspicuous than females to the vision of a nocturnal predator.

Well-Posedness and a Finite Difference Approximation for a Mathematical Model of HPV-Induced Cervical Cancer

We present a first-order finite difference scheme for approximating solutions of a mathematical model of cervical cancer induced by the human papillomavirus (HPV), which consists of four nonlinear partial differential equations and a nonlinear first-order ordinary differential equation. The scheme is analyzed and used to provide an existence-uniqueness result. Numerical simulations are performed in order to demonstrate the first-order rate of convergence. A sensitivity analysis was done in order to compare the effects of two drug types, those that increase the death rate of HPV-infected cells, and those that increase the death rate of the precancerous cell population. The model predicts that treatments that affect the precancerous cell population by directly increasing the corresponding death rate are far more effective than those that increase the death rate of HPV-infected cells.

Analysis of Regional Differences in Bone Mineral Density Acquisition Factors in Young Women

Purpose: Obtaining high peak bone mass (PBM) and maintaining bone mass is important for the prevention of osteoporosis. This study aimed to examine the regional differences in bone mineral density and factors associated with its acquisition from exercise. Design: The study population included 75 women of 18 - 22 years of age in East Japan and 104 women of 18 - 27 years of age in West Japan. The speed of sound (SOS) of the calcaneus was measured, and the young adult mean (%YAM) was calculated from the SOS. The subjects’ medical history, family history of osteoporosis, and exercise habits were examined using a self-administered questionnaire. Results: There were a significantly greater number of subjects with low %YAM in West Japan. The exercise history and exercise time were significantly higher in West Japan, and the exercise intensity score tended to be higher in East Japan during junior high and high school. A multiple regression analysis by region revealed that the following factors had a significant positive association with the SOS: exercise intensity at elementary school and outdoor sports at junior high school in East Japan;and exercise time at elementary school, muscle mass, and outdoor sports at junior high school in West Japan. On the other hand, exercise time in junior high school in West Japan showed a negative association with the SOS. Conclusions: Regional differences in bone mineral density existed, suggesting a trend toward lower bone mineral density in West Japan. Exercise history and time tended to be higher in West Japan, and exercise intensity scores tended to be higher in East Japan, suggesting that exercise intensity may be more important than exercise time for obtaining bone mineral density.

Regional differences in gully network connectivity based on graph theory:a case study on the Loess Plateau,China

Material exchange frequently occurs in gullies,and thus the relationship between a gullynetwork structure and sediment transport potential has attracted considerable interest.However,previous researches ignored the difficulty of material transport from sources to sinks,and did not quantify the connectivity of a network structure.In this study,we used a graph model structure to model gully networks of six typical sample areas in the Loess Plateau of China and quantified gully network connectivity using four indexes:average node strength,accessibility from sources to sinks,potential flow,and network structural connectivity index.Results show that:(1)Reflected by different quantitative indexes,the trends of gully network connectivity in different regions are similar.From north to south,the connectivity of a sample area first increases and then decreases.(2)The more mature gullies have stronger network connectivity.Small resistance is conducive to material transport in the gullies.(3)The node connectivity index of the gully network shows a significant aggregation distribution in space,and node connectivity on the main channel is often stronger than that on the branch trench.These results not only deepen the understanding of the process and mechanism of loess gully geomorphic development and evolution but also provide a reference for geomorphic studies.

Minor Pressure Differences within the Fontan-Anastomosis in Patients with Total Cavopulmonary Connection by 4D-Flow Magnetic Resonance Imaging

Background: Pressure measurement in total cavopulmonary connection (TCPC) patients is a domain of cardiaccatheterization. 4D velocity encoded cardiovascular magnetic resonance (4D–flow MRI) offers an alternative forassessment of even minor pressure differences. The scope of this study was to measure even minor pressure differencesin the anastomosis of TCPC patients, who are clinically uncompromised. Methods: Twenty-four patients(median 15 years [8;34]) with TCPC were studied prospectively by 4D-flow MRI. Pressure differences betweensuperior vena cava (SVC) and extracardiac conduit (C) to both right pulmonary artery (RPA) and left pulmonaryartery (LPA) were assessed. Small fluid obstructions as vortices within the anastomosis were detected by flowpathlines from 4D-flow MRI. In two patients pressure differences were calculated also by computational flowdynamics (CFD) as a plausibility check for the order of magnitude. Results: Median values of pressure differencesin the anastomosis between SVC and RPA were 0.63 (0.21–2.1) mmHg, between C and RPA 0.67 (0.3–2.2)mmHg, between SVC and LPA 0.8 (0.3–2.4) mmHg and between C and LPA 0.7 (0.2–1.9) mmHg. Patients withpotential flow obstruction (stents, occluder, vortices) had significantly higher gradients at the anastomosis (p <0.05) than patients without potential obstructions, although the absolute values were small. CFD- and measurement-based pressure difference showed good agreement. Conclusion: 4D-flow MRI is able to detect minor pressuredifferences within the Fontan circuit even in patients with apparently satisfactory TCPC. Slightly higherpressure differences are due to the presence of small flow obstruction.

Zero distribution of some difference polynomials

In this paper,suppose that a,c∈C{0},c_(j)∈C(j=1,2,···,n) are not all zeros and n≥2,and f (z) is a finite order transcendental entire function with Borel finite exceptional value or with infinitely many multiple zeros,the zero distribution of difference polynomials of f (z+c)-af^(n)(z) and f (z)f (z+c_1)···f (z+c_n) are investigated.A number of examples are also presented to show that our results are best possible in a certain sense.

Finite-difference modeling of Maxwell viscoelastic media developed from perfectly matched layer

In numerical simulation of wave propagation,both viscoelastic materials and perfectly matched layers(PMLs)attenuate waves.The wave equations for both the viscoelastic model and the PML contain convolution operators.However,convolution operator is intractable in finite-difference time-domain(FDTD)method.A great deal of progress has been made in using time stepping instead of convolution in FDTD.To incorporate PML into viscoelastic media,more memory variables need to be introduced,which increases the code complexity and computation costs.By modifying the nonsplitting PML formulation,I propose a viscoelastic model,which can be used as a viscoelastic material and/or a PML just by adjusting the parameters.The proposed viscoelastic model is essentially equivalent to a Maxwell model.Compared with existing PML methods,the proposed method requires less memory and its implementation in existing finite-difference codes is much easier.The attenuation and phase velocity of P-and S-waves are frequency independent in the viscoelastic model if the related quality factors(Q)are greater than 10.The numerical examples show that the method is stable for materials with high absorption(Q=1),and for heterogeneous media with large contrast of acoustic impedance and large contrast of viscosity.

AWeighted Average Finite Difference Scheme for the Numerical Solution of Stochastic Parabolic Partial Differential Equations

In the present paper,the numerical solution of It?type stochastic parabolic equation with a timewhite noise process is imparted based on a stochastic finite difference scheme.At the beginning,an implicit stochastic finite difference scheme is presented for this equation.Some mathematical analyses of the scheme are then discussed.Lastly,to ascertain the efficacy and accuracy of the suggested technique,the numerical results are discussed and compared with the exact solution.

A High-Order Semi-Lagrangian Finite Difference Method for Nonlinear Vlasov and BGK Models

In this paper,we propose a new conservative high-order semi-Lagrangian finite difference(SLFD)method to solve linear advection equation and the nonlinear Vlasov and BGK models.The finite difference scheme has better computational flexibility by working with point values,especially when working with high-dimensional problems in an operator splitting setting.The reconstruction procedure in the proposed SLFD scheme is motivated from the SL finite volume scheme.In particular,we define a new sliding average function,whose cell averages agree with point values of the underlying function.By developing the SL finite volume scheme for the sliding average function,we derive the proposed SLFD scheme,which is high-order accurate,mass conservative and unconditionally stable for linear problems.The performance of the scheme is showcased by linear transport applications,as well as the nonlinear Vlasov-Poisson and BGK models.Furthermore,we apply the Fourier stability analysis to a fully discrete SLFD scheme coupled with diagonally implicit Runge-Kutta(DIRK)method when applied to a stiff two-velocity hyperbolic relaxation system.Numerical stability and asymptotic accuracy properties of DIRK methods are discussed in theoretical and computational aspects.

The Solutions and the Dynamic Behavior of the Rational Difference Equations

The main purpose of this paper is to study the dynamic behavior of the rational difference equation of the fourth order Where α, β and γ are positive constants and the initial conditions y-3, y-2, y-1, y0 are arbitrary positive real numbers. Also, we obtain the solution of some special cases of this equation and investigate the existence of a periodic solutions of these equations. Finally, some numerical examples will be given to explicate our results. .

In Tube Condensation:Changing the Pressure Drop into a Temperature Difference for a Wire-on-Tube Heat Exchanger

A theoretical study based on the Penalty factor(PF)method by Cavallini et al.is conducted to show that the pressure drop occurring in a wire-on-tube heat exchanger can be converted into a temperature difference for two types of refrigerants R-134a and R-600a typically used for charging refrigerators and freezers.The following conditions are considered:stratified or stratified-wavyflow condensation occurring inside the smooth tube of a wire-on-tube condenser with diameter 3.25,4.83,and 6.299 mm,condensation temperatures 35℃,45℃,and 54.4℃ and cover refrigerant massflow rate spanning the interval from 1 to 7 kg/hr.The results show that the PF variation is not linear with vapor quality and attains a maximum when the vapor quality is 0.2 and 0.18 for the R-134a and R-600a refrigerants,respectively.The PF increases with the refrigerant massflow rate if the inner diameter and saturation temperature constant,and it decreases on increasing the inner diameter to 6.299 mm for constant refrigerant massflow rate and saturation temperature.The PF for R-600a is higher than that for R-134a due to the lower saturation pressure in thefirst case.Furthermore,a stratifiedflow produces higher PF in comparison to the annularflow due to the effect of the surface tension.