Differences In Trends Research Articles

Research on a Multidimensional Dynamic Environmental Assessment: Based on the PSR Analysis Framework and Bootstrap-DEA Model, in the Yellow River Basin, China

An environmental assessment is a complex and interrelated entity. A multidimensional and dynamic environmental assessment can directly reflect the effectiveness and capacity of the ecological governance system. Assessing the factors influencing the resource–environment coupling efficiency in the Yellow River Basin is crucial for advancing environmental management and regulation, enhancing public participation and transparency, as well as fostering international exchange and cooperation. This study uses the PSR analysis framework and the Bootstrap-DEA model to measure the resource–environment coupling efficiency. It employs spatial autocorrelation, kernel density estimation, Dagum Gini coefficient analysis, σ-convergence, and spatial beta convergence methods to explore the multi-level spatial pattern and convergence trend of the resource–environment coupling efficiency. The findings indicate that overall resource–environment coupling efficiency exhibits minimal temporal variation characterized by a hierarchy of upstream > downstream > middle reaches, alongside a spatial differentiation trend marked by small agglomeration coupled with significant dispersion. Additionally, regional disparities reveal a distribution pattern of downstream > middle reaches > upstream. Notably, while there are no σ-convergence characteristics, evidence supporting spatial β-convergence suggests that these efficiencies will converge toward a steady-state level over time.

Trends in the use and nonmedical use of sedatives-hypnotics in the population aged 12 to 64 years in Taiwan: a comparative analysis of the national surveys in 2014 and 2018

BackgroundMany countries, including Taiwan, have tightened regulations on prescribing sedatives-hypnotics over the concern of their associated adverse health effects. However, it remains seldom investigated whether different age-sex strata have differential trends in national surveys over time for either the use or nonmedical use (NMU) of sedatives-hypnotics. Comparing Taiwan’s two national surveys in 2014 and 2018, we aimed to examine (1) the population’s trends for the prevalence of past-year use and NMU of sedatives-hypnotics overall and in age-sex strata; (2) trends for sociodemographic subgroups for those age-sex strata with significant changes in past-year use and NMU of sedatives-hypnotics over time; and (3) trends for sources of and motives for NMU of sedatives-hypnotics.MethodsThe national survey enrolled 17,837 participants in 2014 (response rate = 62.2%) and 18,626 participants in 2018 (response rate = 64.6%) of citizens aged 12–64 years. Each participant anonymously completed a computer-assisted self-interview. The questionnaire consisted of sociodemographic variables and the use of various psychoactive substances and sedative-hypnotics, among others. NMU of sedative-hypnotics was defined as using the drug without a prescription, or more frequently, or in larger doses than prescribed. To compare the prevalence between the two waves, we conducted multivariable logistic regression analysis and the difference-in-differences in prevalence was examined with an interaction term between survey year and sex.ResultsWe found decreasing trends in young adult (18–39 years old) males for both past-year use (3.07–2.29%) and NMU (0.84–0.18%), but increasing trends in adolescents (0.42–0.80%) and young adult females (2.91–3.81%) for past-year use and in adolescents (0.16–0.39%) and middle-aged adult (40–64 years old) females (0.73–1.14%) for past-year NMU of sedatives-hypnotics. Among the young and middle-aged adult females, the increasing trends for past-year use and NMU, respectively, were found to occur mainly in certain sociodemographic subgroups, with alcohol users being the overlapping subgroup.ConclusionsThe differential trends over time of past-year use or NMU of sedatives-hypnotics in different age-sex strata in the population have policy implications to curtail the increasing trend over time.

Exploring and Validating the Mechanism of Ulinastatin in the Treatment of Sepsis-Associated Encephalopathy Based on Transcriptome Sequencing.

Sepsis can induce sepsis-associated encephalopathy (SAE), with Ulinastatin (UTI) serving a critical anti-inflammatory role. This study aimed to identify the hub genes in an SAE mouse model following UTI intervention and investigate the underlying molecular mechanisms. Through differential expression analysis to obtain differentially expressed genes (DEGs), ie, UTI vs CLP (DEGs1) and Con vs CLP (DEGs2). After taking the intersection of the genes with opposite differential trends in these two parts and immune-related genes (IRGs), DE-IRGs were obtained. Hub genes in the protein-protein interaction (PPI) network were then determined using six algorithms from the Cytohubba plugin in Cytoscape. Gene set enrichment analysis (GSEA) was employed to explore the functional relevance of these hub genes. Additionally, the immune microenvironment across the three groups was compared, and hub gene-related drugs were predicted using an online database. Finally, qRT-PCR was used to validate the expression of the hub genes in hippocampal tissue from CLP mice. RNA sequencing obtained 864 differentially expressed genes (DEGs) (CLP vs Con) and 279 DEGs (UTI vs CLP). Taking the intersection of DEGs with opposite expression trends yielded 165 DEGs. Six key genes (ICAM - 1, IRF7, IL - 1β, CCL2, IL - 6 and SOCS3) were screened by six algorithms. Immune infiltration analysis found that Treg cells were reversed after treatment with UTI in the diseased state. A total of 106hub - gene - related drugs were predicted, among which BINDARIT - CCL2 and LIFITEGRAST - ICAM1 showed particularly high affinities. The qRT - PCR verification results were consistent with the sequencing results. In conclusion, ICAM-1, IRF7, IL-1β, CCL2, IL-6, and SOCS3 were identified as potential therapeutic targets in SAE mice treated with UTI. This study offers theoretical support for UTI as a treatment option for SAE.

Post-Transition State Bifurcation Controls Torsional Selectivity in Radical Addition of Allenes.

Post-transition state bifurcation (PTSB) has received wide attention in the field of reaction mechanism research due to its role in producing nonstatistical reaction selectivity, which cannot be solely explained by transition state theory. Particularly, even subtle molecular motions such as bond torsion can precipitate PTSB, thereby significantly complicating the quantitative understanding of dynamic selectivity. In this work, we found that the radical addition of allenes is an elementary transformation that generally exhibits PTSB stereoselectivity, where a single radical addition transition state can lead to both Z- and E-allylic radicals via the post-transition state allylic single bond torsion. Interestingly, dynamic Z/E-selectivity favors the Z-allylic radicals, which contrasts the thermodynamic preference. Based on the dynamics study of twenty-five radical additions of mono-substituted allenes with diverse electronic and steric effects, we have identified that this dynamic stereoselectivity is synergistically controlled by the transition state structure and the differential trends within specific dimensions of the bifurcating reaction coordinates, which also holds true for di-substituted allene substrates. This study refines the mechanism of radical addition of allenes and underscores the importance of the differential trend of the reaction coordinates in controlling dynamic selectivity, offering a deeper insight into PTSB selectivity factors.

Trends and gender differentials in age-specific suicide mortality, 2004-2020, Cyprus

Abstract Background Cyprus is rarely included in international studies of suicide trends and the only published national data is two decades old. In the context of the first National Strategy for Mental Health, this study assessed suicide trends in 2004-2020, spanning the 2008 global and 2012-2013 Cyprus financial recessions, but falling short of the COVID-19 pandemic due to delays in recording. Methods Suicide deaths were obtained from the Mortality Registry (ICD-10, including “undetermined”). Directly standardized rates were calculated for four gender/age groups. Annual change was estimated in Poisson regression models with interaction terms to assess differential trends over time periods. Results There were 560 deaths (4-times more in men, >80% classified as ‘violent’ in both genders). In men, the suicide rate doubled from 4-5 to 9-10 per 100000, with most of the increase prior to 2012, representing 9% annual change (Rate Ratio 1.09, 95% CI 1.03, 1.15; p = 0.002). From 2013, the trend reversed (effect modification p-value < 0.001) with 4% annual decrease (95% CI -9%, 1%). Declines were not uniform across age-groups; rates in males aged 45-64 continued to rise, surpassing the previously high rate in males 25-44. In women, rates presented a declining trajectory from 4-5 per 100000 to 2-3 over this period, widening the gender differential. M-to-F ratio was 5.33 (95% CI 3.46, 8.19) in 2017-2020 compared to 2.73 (1.88, 3.95) in 2004-2008. A shift to violent methods was observed, with hanging now ranking as most common in both females (1 in 3) and males (1 in 2). Conclusions While relatively lower compared to other European countries, the gender differential in suicide mortality has widened in Cyprus, with steep rises in all male age-groups up to 2012 and continuing rises in males 45-64, but declines in female rates over the same period. Further analysis of trends in relation to unemployment and other socio-economic indicators is warranted as well as continuous monitoring of trends. Key messages • After steep rises in suicide across all male age-groups up to 2012, against a declining trajectory in female rates, rates in males 45-64 continued to rise, further widening the gender differential. • The age profiling and shift towards more violent methods in both genders should inform the first National Strategy for Mental Health, while continuous monitoring of trends is warranted.

Petrological characterization for material provenance of haniwa earthenware from mounded tombs in the Kibi region, Japan

To determine the provenance of the materials used in the production of haniwa earthenware unearthed from mounded tombs (kofun) in the Kibi region (modern Okayama Prefecture) during the Kofun period (late 3rd – 6th century CE) of Japan, we carried out petrological analyses of haniwa sherds, including optical microscopy, X-ray diffractometry, X-ray fluorescence spectroscopy, and electron-probe analysis. The 25 haniwa sherds analyzed from 12 representative mounded tombs are composed of mineral and rock inclusions with variable grain size set in a clay matrix. The dominant inclusions are quartz, K-feldspar, and plagioclase, associated with minor amounts of amphibole, volcanic glass, and granitic rocks in all the haniwa sherds, and small amounts of hornfels, quartz rock, and accessory minerals, including mica, ilmenite, and chromite, in some of the sherds. Amphibole and plagioclase have compositional variations indicative of the mixing of tephra and granitic components. The compositions of volcanic glass inclusions are similar to those of the Aira-Tanzawa and Kikai-Akahoya tephras widely distributed in southwestern Japan. Bulk chemical compositions show magmatic differentiation trends, which are variable between individual tombs. From these results, it is concluded that the paste materials of haniwa in the Kibi region were commonly derived from weathered granitic rocks mixed with minor amounts of three widespread tephras. The variations of chemical and mineralogical compositions are probably the reflection of local geologic settings, suggesting the presence of specific mining sites of paste materials around each tomb. The mining sites could be located at the bases of hills of granitic rocks covered by widespread tephras and in some cases, near the flood plain of big river systems.

Trends in suicide mortality rates in the Republic of Cyprus between 2004 and 2020: changes in age, gender and suicide method.

The Republic of Cyprus has recorded the greatest increase in suicide mortality among Eastern Mediterranean countries, with an average annual increase of 5.1% in 2000-2019. To investigate trends in suicide mortality rates between 2004 and 2020 in the Republic of Cyprus, with a focus on age, gender and suicide methods. Suicide deaths (ICD-10 taxonomy, including 'undetermined' code) and population denominators were obtained from the National Mortality Registry and Statistical Office, respectively. Directly standardised (European Standard) mortality rates were calculated for four gender and age groups. Annual change was estimated using Poisson regression models with interaction terms to assess differential trends over different time periods. There were 560 suicide deaths; these were four times more frequent in men, and approximately 80% were classified as 'violent' for both genders. The male suicide rate doubled from 4-5 to 9-10 per 100 000, mostly before 2012, representing a 9% annual change (rate ratio = 1.09, 95% CI 1.03, 1.15; P = 0.002). From 2013, the trend reversed (effect modification P < 0.001) with a 4% annual decrease (95% CI -9%, 1%). Declines were not uniform across all age groups; rates in males aged 45-64 years continued to rise, surpassing the previously high rate in males aged 25-44 years. Rates in females declined from 4-5 per 100 000 to 2-3 over the study period. Overall, the male-to-female suicide rate ratio was 5.33 (95% CI 3.46, 8.19) in 2017-2020, compared with 2.73 (1.88, 3.95) in 2004-2008. Although suicide rates remain relatively low, the gender differential has widened in the Republic of Cyprus. Further analysis of trends in relation to unemployment and other socioeconomic indicators is warranted.

Thermomechanical response and crack evolution of sandstone at elevated temperatures

Understanding the thermomechanical response of rock at high temperatures is crucial for various energy applications such as underground coal gasification and geothermal systems. The study investigated the effects of temperature, mineral composition, and grain size on crack initiation (CI) and crack damage (CD) thresholds in Jodhpur sandstones using uniaxial compressive strength with acoustic emission, Brazilian tensile strength, and thermogravimetric analysis subjected to elevated temperatures. The study revealed distinct patterns in crack initiation stress threshold ratios (CISTR) and crack damage stress threshold ratios (CDSTR) influenced by mineral composition and grain size under temperature treatments. Ferruginous quartz arenite exhibited an inverse relationship between quartz content and crack initiation/damage stress thresholds, while siliceous quartz arenite and subarkose showed a positive correlation. The established variation is attributed to the differing grain boundary strengths among the minerals. Comparative analysis of crack thresholds with the minerals, excluding quartz and feldspar, revealed complex relationships with clay and other minerals. Finer-grained sandstones showed direct proportionality in CI and CISTR with clay content, while coarser sandstones exhibited an inverse relationship. Additionally, the study highlighted differential trends in toughness parameters and CISTR, emphasizing the role of grain size and heat-treatment conditions in governing stress thresholds. Significant chemical changes, including quartz phase shifts and kaolinite/muscovite dehydroxylation, occurred in sandstones at 500–600°C. The presence of kaolinite/hematite in ferruginous quartz arenite caused the increased mass loss in pure O2 due to kaolinite breakdown, while siliceous quartz arenite exhibited a greater mass loss in standard conditions. The findings suggest that quartz content does not consistently enhance rock strength under heat treatment, particularly in the presence of significant clay minerals, leading to an inverse quartz-rock strength relationship in ferruginous quartz arenites. The study provides valuable insights into the thermomechanical behavior of sandstones, which is crucial for assessing rock stability and durability in energy applications.

Potential functions and mechanisms of lysine crotonylation modification (Kcr) in tumorigenesis and lymphatic metastasis of papillary thyroid cancer (PTC).

To examine the putative functions and mechanisms of lysine crotonylation (Kcr) during the development and progression of papillary thyroid cancer (PTC). Samples of thyroid cancer tissues were collected and subjected to liquid chromatography-tandem mass spectrometry. Crotonylated differentially expressed proteins (DEPs) and differentially expressed Kcr sites (DEKSs) were analyzed by Motif, dynamic expression model analysis (Mfuzz), subcellular localization, Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway annotation, Go Ontology (GO) annotation, and protein-protein interaction analysis (PPI). Validation was performed by immunohistochemistry (IHC). A total of 262 crotonylated DEPs and 702 DEKSs were quantitated. First, for the tumor/normal comparison, a dynamic expression model analysis (Mfuzz) of the DEKSs revealed that clusters 1, 3, and 4 increased with the progression of thyroid cancer; however, cluster 6 showed a dramatic increase during the transition from N0-tumor to N1-tumor. Furthermore, based on GO annotation, KEGG, and PPI, the crotonylated DEPs were primarily enriched in the PI3K-Akt signaling pathway, Cell cycle, and Hippo signaling pathway. Of note, crosstalk between the proteome and Kcr proteome suggested a differential changing trend, which was enriched in Thyroid hormone synthesis, Pyruvate metabolism, TCA cycle, Cell cycle, and Apoptosis pathways. Similarly, for the LNM comparison group, the DEKSs and related DEPs were primarily enriched in Hydrogen peroxide catabolic process and Tight junction pathway. Finally, according to The Cancer Genome Atlas Program (TCGA) database, the differential expression of Kcr DEPs were associated with the prognosis of thyroid cancer, indicating the prognostic significance of these proteins. Moreover, based on the clinical validation of 47 additional samples, Kcr was highly expressed in thyroid tumor tissues compared with normal tissue (t = 9.792, P < 0.001). In addition, a positive correlation was observed between Kcr and N-cadherin (r = 0.5710, P = 0.0015). Moreover, N-cadherin expression was higher in the relatively high Kcr expression group (χ2 = 18.966, P < 0.001). Higher Kcr expression was correlated with thyroid tumorigenesis and lymphatic metastasis, which may regulate thyroid cancer progression by Pyruvate metabolism, TCA cycle, Cell cycle, and other pathways.

Ages, petrogenesis and metallogenesis implications of the Miocene adakite-like igneous rocks in the Beimulang porphyry Cu Deposit, southern Tibet

Understanding the petrogenesis of Miocene adakite-like igneous rocks is crucial for unraveling the formation processes of post-collision porphyry copper deposits within the Gangdese orogenic belt. This study focuses on the mineralogical, geochronological, and geochemical characteristics of the Beimulang Miocene adakite-like igneous rock series, with particular emphasis on two types of diorite porphyry (DP1 and DP2), to constrain their petrogenesis. Zircon U-Pb dating indicates that the monzogranite (MG), monzogranite porphyry (MGP), DP1, DP2 and granite porphyry (GP) were emplaced at 14.8 ± 0.1 Ma, 14.6 ± 0.1 Ma, 14.6 ± 0.1 Ma, 13.2 ± 0.1 Ma and 12.5 ± 0.1 Ma, respectively. The major element compositions of the Beimulang Miocene intrusions exhibit a differentiation trend. The Sr-Nd isotopic compositions of the MG, MGP, and DP1 align with the mixing line between the juvenile lower crust and the potassic lamprophyres. Conversely, the Sr-Nd isotopic compositions of DP2 and GP fall precisely on the Sr-Nd mixing line between DP1 and the ultrapotassic lamprophyres. Considering the reverse zoning of plagioclase in the DP1 and presence of high-Mg phlogopite in the DP2, we suggest that the Miocene magmatic series at Beimulang likely derived from the mixing of partial melts of Gangdese juvenile lower crust and mantle-derived potassic-ultrapotassic magmas. The increase in Th/Yb ratios from DP1, MG, MGP to DP2 and GP suggests that the mantle metasomatism material may have evolved from slab-derived fluids to melts derived from Indian crustal sediments. The magmatic water content and oxidation calculated from zircon trace elements, are nearly identical among the ore-causative MG and MGP, and the barren GP. However, the decrease in V/Sc ratios from the MG and MGP to GP indicates that magnetite-driven magma sulfide saturation leads to the depletion of chalcophile elements, significantly reducing the Cu mineralization potential of the GP. We suggest that the higher degree of magmatic evolution leads to the barren nature of Beimulang granite porphyry.

Differentiation and destandardization of family life courses: Theoretical and empirical links to sociopolitical regime types

Building on research on cohort-specific trends in life-course differentiation and destandardization, our study seeks to explore how patterns of family-life-course diversity relate to characteristics of sociopolitical regimes. Applying sequence analysis, we analyse cohort-specific family life courses from nine European countries and Canada, classifying them into five sociopolitical regimes (Nordic, Anglo-Saxon, Mediterranean, Continental, Eastern). We use data from the Harmonized Histories and the German National Educational Panel Survey. Our results indicate that sociopolitical regimes differentiate patterns of life-course diversity quite well in the Nordic, Anglo-Saxon, and Eastern European countries but to a lesser degree in the Mediterranean and Continental countries. In methodological terms, our results suggest that distinguishing patterns of diversity between and within life courses helps to create a more nuanced empirical account of changing life-course patterns, particularly in a cross-national perspective.

Comprehensive analysis of the mRNA and miRNA transcriptome implicated in the immune response of Procambarus clarkii to Spiroplasma eriocheiris

In recent years, the red swamp crayfish (Procambarus clarkii, P. clarkii) farming industry has suffered huge economic losses due to the pathogenic bacterium Spiroplasma eriocheiris (S. eriocheiris). To elucidate the immune response mechanism and identify hub immune genes as well as their associated microRNAs that regulate the host response of P. clarkii against S. eriocheiris infection, we conducted a comprehensive analysis on P. clarkii hemocyte mRNA and microRNA (miRNA) transcriptomes at different infection stages using third- and second-generation sequencing technologies. In full-length transcriptome functional annotation, 8155 unigenes were annotated, and 1168 potential new transcripts were predicted. In the mRNA transcriptome, a total of 3168 differentially expressed genes were identified at different infection stages, including 1492 upregulated and 1676 downregulated genes (duplicate genes excluded). Transcriptome analysis revealed 880 differentially expressed genes involved in multiple pathways and processes such as endocytosis, autophagy, lysosome, mTOR signaling, phagosome, and the Fanconi anemia pathway. Mfuzz analysis was employed to integrate and cluster the differential expression trends of genes across the three infection stages. In the miRNA transcriptome, 234 miRNAs and 966 predicted target genes were identified, with 86 differentially expressed miRNAs identified across the three time periods. A significant difference (P < 0.05) was observed for miRNAs including pcl-miR-146-3p, pcl-miR-74-3p, pcl-miR-225-5p, and pcl-miR-68-5p. These miRNAs are involved in multiple immune and autophagy-related pathways and have regulatory effects on immune genes including Vps26, lqf, and ERK-A. Based on the differentially expressed immune-related genes, we constructed a protein-protein interaction (PPI) network, which revealed the interactions among hub genes including Rac1, Akt1, Rho1, and Egfr. We also constructed a miRNA-gene interaction network in immune and autophagy-related processes, highlighting the potential regulatory effects of miRNAs including pcl-miR-183-5p, pcl-miR-146-3p, pcl-miR-176-5p, and pcl-miR-225-5p on proteins including LST8, SNAP29, Rab-7A, and ERK-A. To conclude, this study has identified hub immune genes and corresponding regulatory miRNAs in P. clarkii hemocytes in response to S. eriocheiris infection and explored the roles of these genes in selected pathways and processes. These findings are expected to provide further insights into the molecular mechanisms that confer resistance to S. eriocheiris infection in P. clarkii.

Petrography and geochemistry of aplites from the Seridó Pegmatite Province, NE Brazil: Petrogenetic Implications

In the Seridó Pegmatite Province (SPP) there are thousands of granitic pegmatite intrusions, including unzoned and barren, and zoned and mineralized ones. The whole rock chemical analysis of pegmatite is usually unfeasible because of its large grain size. However, fine-grained aplites syn crystallized with pegmatites should allow them to be used as proxies to assess pegmatite melt differentiation. We selected 15 representative aplite occurrences within unzoned pegmatite intrusions, including 7 intrusions with the grayish muscovite-aplite type and 8 with the reddish magnetite-aplite type. We also used for new trace element analysis samples of medium-to coarse-grained facies of host unzoned pegmatites. These pegmatites occur as NE-SW and N-S dykes and sills intruding mica schist and paragneiss from the Seridó Belt. Both aplite types contain along with quartz and feldspars accessory apatite, zircon, monazite, and xenotime. Tourmaline, muscovite, and garnet occur in the grayish aplites, whereas biotite and opaque minerals occur in the reddish aplites. The grayish aplites are slightly to strong peraluminous, while the reddish aplites are slightly metaluminous to slightly peraluminous. The reddish aplites and their host pegmatites are enriched in Ba, Sr, U and Th, while the grayish aplites and their host pegmatites are enriched in B, Li and Cs. The K/Rb ratios of the aplites varies from 11 to 44 with similar ranges in both reddish and grayish aplites. Normalized to the average upper continental crust composition, both aplite types present positive anomalies of Rb, Pb, U, and Hf, and negative anomalies of Ba, Sr and Ti. K, Nb and Ta show variable enrichment and depletion. They usually show HREE enrichment in relation to LREE and negative Eu anomaly, but positive Eu anomaly and tetrad patterns occur in few samples. In the normative QAP diagram the aplites show a wide range of compositions with a trend from quartz-plagioclase-rich tonalite to quartz-poor K-feldspars-rich alkali granite. Such trend is inverted in relation to the characteristic trends of melt differentiation by crystal fractionation. The albite/K-feldspar ratio of aplites shows a wide distribution range that would be related to the compositional variety of the partially melted protoliths and/or the variation in melting rate during prograde anatexis. The trace element compositions of the medium-to coarse-grained facies of the unzoned pegmatites are very similar to those of the coexisting aplites. The obtained data using aplites as a proxy for their host pegmatites precludes a unique line of melt descent at the origin of the SPP aplites and unzoned pegmatites and thus strongly support an anatectic origin from different sources.

Characteristics of cancer patients dying at home during the COVID-19 pandemic: A study based on vital statistics from 2015 to 2022 in Japan.

The coronavirus disease 2019 (COVID-19) pandemic has markedly affected end-of-life care, notably increasing home deaths among cancer patients in Japan. This study investigated the characteristics of cancer patients who died at home during the pandemic and the associated factors before and during the pandemic. Vital statistics from January 2015 to December 2022 were analyzed to evaluate trends in home deaths among cancer patients aged 0 to 113 years, pre-pandemic (January 2015 to March 2020) and during the pandemic (April 2020 to December 2022). Home deaths were assessed by demographics, including age, sex, marital status, and residential location. Multivariable modified Poisson regression analyses were performed to identify factors associated with home deaths in both periods. Among 3,010,374 individuals, 11.6% (226,571/1,959,304) and 20.8% (218,429/1,051,070) died at home before and during the pandemic, respectively. In subgroup analysis depicting the trend of in-home deaths by patient characteristics, only the age group showed a differential trend: the proportion of in-home deaths was higher among older people before the pandemic, whereas it was higher among younger people during the pandemic. The multivariable analysis revealed the excess risk of in-home deaths among people aged ≥65 years before the pandemic and among those aged <65 years during the pandemic. The pandemic has increased home-based end-of-life care for terminal cancer patients, particularly younger individuals, possibly due to hospital visit restrictions. Ensuring sufficient resources for both home and hospital care is vital to allow individuals to receive end-of-life care in their preferred settings.

The Effects of Different Developmental Stages on Bone Regeneration of Periodontal Ligament Stem Cells and Periodontal Ligament Cell Sheets In Vitro and Vivo.

Periodontal ligament stem cells (PDLSCs) have broad applications in tissue engineering and regeneration. However, the function of PDLSCs changes in different microenvironments. This study aimed to explore the effects of different developmental stages on the biological characteristics of PDLSCs. Here, PDLSCs were successfully cultured from the periodontal tissues of various groups, including a group with immature roots, a young group with mature roots, and an aging group with mature roots. By comparing the results of the three experimental groups, we found that the donors with immature roots exhibited the best proliferative ability and osteogenic differentiation, while the aging group demonstrated the worst proliferation. The trend for adipogenic differentiation was the opposite to that for osteogenic differentiation. The cell sheet and in vivo experiments revealed that in the immature root group, the cells produced more extracellular matrix (ECM) and new bone and better absorbed the implant materials. These results indicate that PDLSCs perform various functions at different stages of development. In clinical applications of PDLSCs for periodontal regeneration, donors with incompletely developed roots have stronger biological characteristics.

Asian American Diversity and Growth

This article examines how the growth and diversification of Asian Americans have shaped their integration into the US mainstream. I first review recent trends in demographic diversification, socioeconomic differentiation, and geospatial dispersion among Asians. As a high-achieving minority group, Asians—on average—have surpassed Whites in education, income, and wealth. This narrative, however, is inaccurate and incomplete, rendering intra-Asian disparities invisible. One consequence of intra-Asian diversity is the divergent destinies of hyperselected Asians and vulnerable Asians. Another is the increase in political polarization due to the rise of class-based politics. Despite increasing awareness of intra-Asian diversity, the current conceptual framework and data infrastructure are woefully inadequate, with an inherent bias toward the inclusion of the largest Asian groups at the exclusion of small and vulnerable Asian groups. Data disaggregation and integration can fill this gap by identifying new challenges and opportunities for research and policy interventions.

Effect of Organic, Nano, and Inorganic Zinc Sources on Growth Performance, Antioxidant Function, and Intestinal Health of Young Broilers.

The study aimed to determine the effects of different zinc sources on growth performance, antioxidant function, and intestinal health of broilers. In total, 240 Ross 308 male broilers with similar weight were randomly assigned to 4 treatments, including zinc sulfate, methionine zinc (Zn-Met), glycine zinc (Zn-Gly), and nano-zinc oxide (ZnO-NPs), with 80mg zinc/kg diet supplementation. The experiment lasted for 21days. Results showed dietary supplemental Zn-Gly and Zn-Met increased average daily gain during 1-14days (P = 0.011), and Zn-Gly, Zn-Met, and ZnO-NP supplementation decreased the ratio of feed to gain during 1-21days (P = 0.003) compared to zinc sulfate. ZnO-NPs supplementation tended to increase total SOD activity (P = 0.068) and had higher serum IgA content and lower MDA level than the other three groups (P < 0.05). Compared with zinc sulfate, Zn-Met and ZnO-NP supplementation decreased TNF-α mRNA expression (P = 0.048). However, serum biochemical indices, intestinal morphology, and mRNA expressions of tight junction proteins were not affected by different zinc sources (P > 0.05). A differential trend was observed in the beta diversity of bacterial communities among four groups (P = 0.082). The LEfSe analysis showed that bacterial genera Blautia, Ruminococcaceae, Clostridia, Anaerostipes, Eubacterium_ventriosum, Merdibacter, and Oscillospira were enriched in the ZnSO4 group, and the genera Eubacterium_hallii and Anaerotruncus were enriched in the Zn-Gly group. The genera UCG-009 and UCG010 were enriched in ZnO-NPs and Zn-Met groups, respectively. It should be stated dietary supplemental Zn-Met improved growth performance, ZnO-NPs promoted IgA production and reduced occurrences of oxidative stress and inflammation, and different zinc sources enriched different jejunal bacteria genera.

Different trends in suicide rates among foreign residents in Japan and Japanese citizens during the COVID-19 pandemic

BackgroundSuicide rates in Japan have increased during the COVID-19 pandemic, and foreign residents may be more vulnerable to mental stress during such crises. Therefore, we aimed to compare the trends in suicide rates during the COVID-19 pandemic between foreign residents and Japanese citizens.MethodsVital statistics of Japan data from January 1, 2016 to December 31, 2021 were used to calculate quarterly sex-specific suicide rates for foreign residents and Japanese citizens. An event-study analysis was conducted to evaluate whether suicide rates during the COVID-19 pandemic increased compared to pre-pandemic estimates; foreign residents and Japanese citizens were compared using difference-in-difference-in-differences estimates.ResultsBetween 2016 and 2021, 1,431 foreign residents and 121,610 Japanese citizens died from suicide in Japan. Although the suicide rate for foreign residents was lower than that for Japanese citizens, Korean residents, who comprise approximately half of the foreign decedents, had largely higher suicide rates than Japanese citizens. The event-study analysis indicated that suicide rates increased among foreign residents for both men and women, and continued for men by the end of 2021. In Japanese citizens, after a decline in suicide rates in the second quarter of 2020, suicide rates increased both among men and women, and lasted for women until the fourth quarter of 2021. The difference-in-difference-in-differences analyses confirmed the initial decline in the second quarter of 2020 in suicide rate only in Japanese men and women, and the persistent increase through 2021 in foreign men.ConclusionsWe found differential trends in suicide rates between foreign and Japanese men and women during the COVID-19 pandemic featuring a persistent increase in foreign men. Suicide prevention measures should be focused on these high-risk subpopulations.

Socioeconomic Disparities in Healthcare Access and Implications for All-Cause Mortality among US Adults: A 2000-2019 Record Linkage Study.

The United States (US) has witnessed a notable increase in socioeconomic disparities in all-cause mortality since 2000. While this period is marked by significant macroeconomic and health policy changes, the specific drivers of these mortality trends remain poorly understood. In this study, we assessed healthcare access variables and their association with socioeconomic status (SES)-related differences (exposure) in US all-cause mortality (outcome), since 2000. Our research drew upon cross-sectional data from the National Health Interview Survey (NHIS, 2000-2018), linked to death records from the National Death Index (NDI, 2000-2019) (n=486,257). The findings reveal that the odds of a lack of health insurance and unaffordability of needed medical care were over two-fold higher among individuals with lower education, compared to those with high education, following differential time trends. Moreover, elevated mortality risk was associated with lower education (up to 77%), uninsurance (17%), unaffordability (43%), and delayed care (12%). Uninsurance and unaffordability accounted for 4-6% of the disparities in time to mortality between low- and high-education groups. These findings were corroborated by income-based sensitivity analyses, emphasizing that inadequate healthcare access partially contributed to socioeconomic disparities in mortality. Effective policies promoting equitable healthcare access are imperative to mitigate socioeconomic disparities in mortality.

Time trends in hypertension and diabetes prevalence by body mass index categories in Brazilian adults from 2006 to 2023.

The prevalence of diabetes and hypertension according to body mass index (BMI) status in Brazilian adults has not been described yet. Herein, we aimed to identify the time trends in hypertension and diabetes, individually and combined (multimorbidity), by BMI in Brazilian adults. In this time series cross-sectional study, we retrieved self-reported data from 806 169 adults between 2006 and 2023, using the Surveillance System of Risk and Protective Factors from Chronic Diseases by Telephone Survey (Vigitel). Weight and height were used to classify participants into normal/underweight (<25 kg/m2), pre-obesity (25 to 29.9 kg/m2), and obesity (≥ 30 kg/m2). We calculated the prevalence of medical diagnoses of hypertension and diabetes, individually and combined, by BMI categories, and by sociodemographic characteristics (sex, age group, educational attainment) for participants with obesity. We performed Prais-Winsten linear regression models to identify temporal trends. The prevalence of hypertension and diabetes increased between 2006 and 2023. Among adults with obesity, we observed a slight decrease in the prevalence of hypertension (from 44.5% in 2006 to 41.7% in 2023) and the prevalence of either hypertension or diabetes (47.1% to 45.5%); an increase in the prevalence of diabetes (12.8% to 15.13) and both conditions combined (10.2% to 11.2%). Participants with obesity had more than twice the prevalence of hypertension and diabetes compared with those who were normal/underweight. We observed a differential time trend by sex, age group, and educational attainment. Our findings indicate the need for differentiated approaches for interventions for hypertension and diabetes, considering variations over time by sociodemographic characteristics.