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Objectives: Both dyslipidemia and hypertension contribute to poor glycemic control in patients with type 2 diabetes mellitus, but the combined effect of dyslipidemia and hypertension on glycemic control in patients with type 2 diabetes mellitus has not been evaluated. The aim of this study was to analyze the interaction effect between dyslipidemia and hypertension on glycemic control in patients with type 2 diabetes mellitus. Methods: A total of 2485 patients with type 2 diabetes mellitus were selected from the Xuzhou community of China by multi-stage cluster random sampling for a cross-sectional survey. Their glycated hemoglobin, dyslipidemia, and hypertension were assessed, and the interaction effects between dyslipidemia and hypertension on glycemic control were analyzed using relative excess risk due to the interaction, the synergy index, and the attributable proportion of the additive interaction. Results: Of the participants, 62.13% (1544/2485) had dyslipidemia and 55.01% (1367/2485) had hypertension. Of the participants, 76.66% (1905/2485) who had both dyslipidemia and hypertension also had poor glycemic control. The prevalence of poor glycemic control was higher in those with both dyslipidemia and hypertension (odds ratio 2.735, 95% confidence interval 2.117–3.532; p

Abstract Background Anxiety and depression are two common psychological disorders in patients with pulmonary tuberculosis. We aimed to explore the effects of cognitive-behavioral therapy (CBT) on psychological stress and quality of life in patients with pulmonary tuberculosis. Methods From September 2018 to November 2018, 20 communities (461 participants in total) were randomly assigned in an intervention or control group following a two-level cluster random design. The intervention group underwent CBT for 2 months, whereas the control group received routine follow-up. Anxiety, depression, and quality of life were assessed using the Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder questionnaire (GAD-7), and 36-Item Short-Form Health Survey (SF-36) scales, respectively. Comparisons between the two groups were conducted using independent samples t-tests, and differences between the two groups before and after treatment were analyzed using paired samples t-tests. Results There were a total of 454 participants in the final analysis. After 2 months of CBT intervention, the CBT group had a GAD-7 score that was 1.72 lower than the control group (1.47–1.99, p

Landslides are one of the most common catastrophic mass flows in mountainous areas. The occurrence of fragmentation leads to the evolution of the integrity and stiffness of the sliding mass. The changes in internal composition caused by basal erosion and entrainment make the dynamic evolution of landslides more complex. To consider these complex processes, physics-based dynamic models are often used to analyze the dynamic characteristics of landslides. However, the proprietary assumptions of dynamic models often limit their application to complex events. A single dynamic model is often not competent for the analysis of landslides with evolving dynamic characteristics. In this study, two dynamic models are effectively integrated according to the evolving characteristics of the landslide. The common effects of basal erosion and entrainment are also considered. The maximum sliding velocity, accumulation range, and erosion depth characteristics of this integrated dynamic model are more consistent with the field than those of the single dynamic model. Under the terrain conditions of this study, within a few seconds of the triggering stage, if the occurrence of disintegration is advanced by 2 s, the maximum impact area will increase by about 3.1% to 4.1%, and the maximum kinetic energy will increase by more than 20%. Simulation results indicate that the changes in the integrity of the landslide body significantly affect the evolution of subsequent landslide dynamic characteristics.

Due to the complex composition consisting of solid particles and fluids with different physical properties, geophysical flows often show complex and diverse dynamic characteristics. For landslides with high water content, there are complex interactions between the solid and fluid phases. Therefore, it is difficult to grasp the dynamic characteristics and the disaster scale of this type of landslide, especially under complex terrain and ground conditions. The drag effect is an important aspect of the interaction between the solid and liquid phases. We optimized the enhanced drag coefficient formula to further consider the effect of high-velocity movement. By considering the volume fraction relationships between different phases, a mechanical erosion rate model is utilized for multiphase flows. Based on the r.avaflow numerical tool and the multiphase mass flow model, considering the interphase interaction characteristics of high-velocity liquefied landslides, we analyzed the influence of the obstruction of buildings and their entrainment into the landslide on the dynamic characteristics and hazard range of the Shenzhen 2015 landslide. This provides a reference for the analysis of complex geophysical disasters based on the multiphase mass flow model. Importantly, we have demonstrated the reduced mobility of the considered erosive impact event, which is in line with the physical principle.

Abstract We wanted to determine whether subjective sleep disturbance was associated with serum glycated hemoglobin (HbA1c) in people with type 2 diabetes mellitus. In total, 944 randomly-selected people with diabetes completed the Chinese version of the Pittsburgh Sleep Quality Index (PSQI). Participants’ glycaemia was assessed using HbA1c in March 2016 and September 2017. The PSQI score and the change in score(△PSQI), and the HbA1c and its change (△HbAlc) were analysed by sex and age (30–45, 46–60, 61–75, and 76–89 years). Associations between time point PSQI and △PSQI with static HbA1c and △HbA1c were analysed using multiple linear regression. The results showed subjective sleep disturbance among people with diabetes was not correlated with serum HbAlc (β coefficient = 0.032, P = 0.103). However, cross-sectional multiple linear regression showed the relationship was present in women (β coefficient = 0.163, P

Background: Biodegradation is a reliable approach for efficiently eliminating persistent pollutants such as chlorpyrifos. Despite many bacteria or fungi isolated from contaminated environment and capable of degrading chlorpyrifos, limited enzymes responsible for its degradation have been identified, let alone the catalytic mechanism of the enzymes. Results: In present study, the gene cpd encoding a chlorpyrifos hydrolase was cloned by analysis of genomic sequence of Paracoccus sp. TRP. Phylogenetic analysis and BLAST indicated that CPD was a novel member of organophosphate hydrolases. The purified CPD enzyme, with conserved catalytic triad (Ser155-Asp251-His281) and motif Gly-Asp-Ser-Ala-Gly, was significantly inhibited by PMSF, a serine modifier. Molecular docking between CPD and chlorpyrifos showed that Ser155 was adjacent to chlorpyrifos, which indicated that Ser155 may be the active amino acid involved in chlorpyrifos degradation. This speculation was confirmed by site-directed mutagenesis of Ser155Ala accounting for the decreased activity of CPD towards chlorpyrifos. According to the key role of Ser155 in chlorpyrifos degradation and molecular docking conformation, the nucleophilic catalytic mechanism for chlorpyrifos degradation by CPD was proposed. Conclusion: The novel enzyme CPD was capable of hydrolyze chlorpyrifos and Ser155 played key role during degradation of chlorpyrifos.

The electromagnetic stirring (EMS) and argon blowing are the widely recognized and extensively employed technologies to control the flow pattern in slab continuous casting, and their interaction is directly linked to the final product. To investigate the flow pattern, bubble characteristics under mold EMS and argon blowing, a mathematical model coupling the electromagnetic field, two‐phase flow is constructed. The population balance model (PBM) under the Eulerian frame is applied to describe the bubbles breakage and coalescence. The results show that the flow regime under the interaction of argon blowing and EMS transfers from bubble ascending flow to intermediate flow to horizontal recirculation flow as EMS current increases, and the large argon flow rate could suppress the formation of horizontal recirculation flow. Meanwhile, EMS can promote the coalescence of bubbles, with the increasing EMS current, the bubble numbers decrease first and then increase, and the bubble mean diameter increases first and then decreases. For obtaining the horizontal recirculation flow, the suitable argon flow rate and EMS current should be matched suitably. [ABSTRACT FROM AUTHOR]

Background: Whether pain, jaw function and quality of life are correlated with disc positions is controversial, and similar studies evaluating disc positions by magnetic resonance imaging (MRI) are very limited. Objective: This study evaluated the pain, mandibular function and quality of life of the temporomandibular disorders (TMDs) patients with different disc positions according to MRI, and the relationship among them. Methods: Three hundred and thirty‐five participants were included. Patients completed questionnaires included the Numeric Rating Scale (NRS), Jaw Functional Limitation Scale 8‐item (JFLS‐8), the Generalised Anxiety Disorder 7‐item (GAD‐7), Patient Health Questionnaire 9‐item (PHQ‐9) and Oral Health Impact Profile for TMD (OHIP‐TMD). MRI was conducted to evaluate these diagnoses, resulting in the identification of three distinct categories: normal positioning (NP), disc displacement with reduction (DDwR) and disc displacement without reduction (DDwoR). Results: Participants had the mean age of 28.55 ± 11.10 years (80.90% women). DDwR and DDwoR had a higher percentage of females compared with NP. Significant differences existed among patients in all questionnaires. The DDwoR group had significantly the highest pain, functional limitation and the worst quality of life. Moreover, they experienced the most difficulties in chewing tough foods, yawning, experiencing pain and psychological discomfort. Moreover, the multivariate regression showed that age, female gender, diagnosis as DDwoR, GAD‐7 and PHQ‐9 were significantly linked to higher functional limitation. Worse quality of life was associated with age, diagnosis as DDwoR, GAD‐7 and PHQ‐9. Conclusions: Among patients with different disc positions, DDwoR showed the highest pain, functional limitation and the worst quality of life. Also, NP showed a proportion of chronic pain. Physical pain, psychological discomfort and chewing tough food were regarded as the most impaired. Women who experience anxiety and depression tended to have a higher propotion of dysfunction and a lower quality of life. [ABSTRACT FROM AUTHOR]

In order to overcome the defects that the analysis of multi-well typical curves of shale gas reservoirs is rarely applied to engineering, this study proposes a robust production data analysis method based on deconvolution, which is used for multi-well inter-well interference research. In this study, a multi-well conceptual trilinear seepage model for multi-stage fractured horizontal wells was established, and its Laplace solutions under two different outer boundary conditions were obtained. Then, an improved pressure deconvolution algorithm was used to normalize the scattered production data. Furthermore, the typical curve fitting was carried out using the production data and the seepage model solution. Finally, some reservoir parameters and fracturing parameters were interpreted, and the intensity of inter-well interference was compared. The effectiveness of the method was verified by analyzing the production dynamic data of six shale gas wells in Duvernay area. The results showed that the fitting effect of typical curves was greatly improved due to the mutual restriction between deconvolution calculation parameter debugging and seepage model parameter debugging. Besides, by using the morphological characteristics of the log-log typical curves and the time corresponding to the intersection point of the log-log typical curves of two models under different outer boundary conditions, the strength of the interference between wells on the same well platform was well judged. This work can provide a reference for the optimization of well spacing and hydraulic fracturing measures for shale gas wells. [ABSTRACT FROM AUTHOR]

Objective: The objective of the study was to investigate the relationship between types of disc displacement (DD) diagnosed by magnetic resonance imaging (MRI), and the risk (presence or absence) and severity of condylar erosion (CE) graded using cone‐beam computed tomography (CBCT) in adult Temporomandibular disorders (TMD) patients. Methods: A total of 353 TMD patients (283 females, 70 males) underwent MRI scans to categorise DD as normal (NA), anterior displacement with reduction (ADDR), or anterior displacement without reduction (ADDNR). CE severity was graded on a scale of 0–3 (absence, mild, moderate or severe) using CBCT. To establish the plausibility and cut‐off points for CE diagnosis, the severity of CE was then further divided into three classifications: Grade 0 versus 1 + 2 + 3; Grades 0 + 1 versus 2 + 3; Grades 0 + 1 + 2 versus 3. Logistic regression analysis was performed, adjusting for age, gender and joint correlation. Results: ADDNR significantly increased the risk of CE compared with NA (OR = 10.04, 95% CI: [6.41, 15.73]) and showed a significant increase in CE severity across all classifications (ORs = 10.04–18.95). The effects of ADDNR were significant in both genders (p <.001) and had a greater impact in females. ADDR was predominantly associated with mild CE. Conclusions: ADDNR significantly increased the risk and severity of CE independent of gender when compared to NA, whereas ADDR was mainly associated with mild CE. Slight cortical discontinuity may represent a subclinical diagnosis requiring further investigation. [ABSTRACT FROM AUTHOR]

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Purpose: This study aimed to investigate the relationship between temporomandibular joint (TMJ) effusion and TMJ pain, as well as jaw function limitation in patients via two-dimensional (2D) and three-dimensional (3D) magnetic resonance imaging (MRI) evaluation. Patients and Methods: 121 patients diagnosed with temporomandibular disorder (TMD) were included. TMJ effusion was assessed qualitatively using MRI and quantified with 3D Slicer software, then graded accordingly. In addition, a visual analogue scale (VAS) was employed for pain reporting and an 8-item Jaw Functional Limitations Scale (JFLS-8) was utilized to evaluate jaw function limitation. Statistical analyses were performed appropriately for group comparisons and association determination. A probability of p< 0.05 was considered statistically significant. Results: 2D qualitative and 3D quantitative strategies were in high agreement for TMJ effusion grades (κ = 0.766). No significant associations were found between joint effusion and TMJ pain, nor with disc displacement and JLFS-8 scores. Moreover, the binary logistic regression analysis showed significant association between sex and the presence of TMJ effusion, exhibiting an Odds Ratio of 5.168 for females (p = 0.008). Conclusion: 2D qualitative evaluation was as effective as 3D quantitative assessment for TMJ effusion diagnosis. No significant associations were found between TMJ effusion and TMJ pain, disc displacement or jaw function limitation. However, it was suggested that female patients suffering from TMD may be at a risk for TMJ effusion. Further prospective research is needed for validation. [ABSTRACT FROM AUTHOR]

In order to study the interaction of organic matter with arsenic (As) and lead (Pb) in natural water, standard dissolved organic matter (standard DOM) was taken as the research object, and the analysis was carried out by spectroscopy, high-resolution mass spectrometry, parallel factor analysis and other methods. The results showed that compared with fulvic acids and humus, protein-like tyrosines showed higher binding capacity to As and Pb. The results of high-resolution mass spectrometry showed that heavy metals could change the original characteristics of the standard DOM, resulting in the transformation of organic matter, such as the decrease of amino carbohydrate components, the increase of tannin-like components, the decrease of the relative abundance of CHO, and the increase of the relative abundance of other heteroatoms. DOM-As showed that there was a strong positive correlation between the ultraviolet characteristic parameter a254 and the fluorescence characteristic parameter HIX, the amino sugar component and CHO obtained by ultra-high resolution mass spectrometry were positively correlated with the ultraviolet characteristic parameters a254, a260, a280 and the fluorescence characteristic parameter HIX, and the fluorescence component C1 was positively correlated with the unsaturated hydrocarbon component obtained by mass spectrometry. The results of the study may provide theoretical support for the quantitative assessment of the mechanism of organic matter-heavy metal interactions in water bodies, thereby reducing the environmental behavior of various pollutants such as heavy metals. [ABSTRACT FROM AUTHOR]

Context: Based on first principles, the structure, elasticity, mechanics, electronics, and optical properties of cubic K2Pb2O3 were studied. The structural parameters calculated by this method are close to the previous theoretical results. The elastic constant, bulk modulus, shear modulus, Young's modulus, Poisson's ratio, and mechanical stability are studied, and it is shown that cubic K2Pb2O3 is mechanically stable, isotropic, and brittleness. The electrical conductivity and chemical bonding of cubic K2Pb2O3 were analyzed based on the calculated band structure, density of states (DOS), and bond populations. The dispersion of optical functions, including the dielectric function, refractive index, extinction coefficient, reflectivity, absorption coefficient, and loss function, is displayed and analyzed. Methods: All computations have been carried out based on density functional theory (DFT) as implemented in the CASTEP code. The norm conservation pseudopotential method is used to exchange correlation functionals within the generalized gradient approximation (GGA). [ABSTRACT FROM AUTHOR]

Background: Sleep disorders are associated with temporomandibular disorders (TMDs). Limited studies have focused on excessive daytime sleepiness (EDS) and its impact on jaw functions in TMD patients. Objective: The aim of the present investigation was to identify the impact of EDS on pain and jaw function in TMD patients. Methods: A total of 338 TMD patients (50 males and 288 females) was included. The Epworth Sleepiness Scale (ESS) was used to classify patients into EDS group (score ≥ 10) and non‐EDS group (score < 10). The Jaw Functional Limitation Scale 8‐item (JFLS‐8) was used to assess the severity of jaw dysfunction. Pain intensity was evaluated using the Visual Analogue Scale (VAS). Anxiety and depression were evaluated using the Generalised Anxiety Disorder 7‐item (GAD‐7) and the Patient Health Questionnaire 9‐item (PHQ‐9). All included patients were diagnosed with pain‐related TMD (PT), intra‐articular TMD (IT) or combined TMD (CT). Results: Compared with non‐EDS patients, EDS patients exhibited more severe jaw dysfunction, greater pain intensity and higher PHQ‐9 scores (p <.05). Multivariate analyses showed that EDS (B = 3.69), female gender (B = 3.69), and elevated GAD‐7 score (B = 0.73) were significantly associated with an increased score on the JFLS‐8 (p <.05). Moreover, bivariate logistic regression analysis indicated a significant relationship between EDS and PT (OR = 2.70, p =.007). Conclusion: The presence of EDS was more closely related to PT, but the causal relationship between them needs to be further confirmed. More concern and intervention to alleviate poor sleep quality might be highlighted during the treatment of TMD, especially PT subtype. [ABSTRACT FROM AUTHOR]