Association between magnesium depletion score and the risk of metabolic dysfunction associated steatotic liver disease: a cross sectional study.

The relationship between magnesium deficiency and metabolic dysfunction associated steatotic liver disease (MASLD) remains unclear. This study aimed to examine the association between the magnesium depletion score (MDS) and the risk of MASLD, as well as explore potential underlying mechanisms. Data from 12,024 participants from the National Health and Nutrition Examination Survey (NHANES) 2005-2018 were analyzed. MDS was calculated based on the use of diuretics and proton pump inhibitors, kidney function, and alcohol consumption. MASLD was defined using the fatty liver index. Logistic regression, restricted cubic spline analysis, and mediation analyses were conducted to evaluate the association between MDS and MASLD and to identify potential mediators. A higher MDS was significantly associated with an increased risk of MASLD (OR = 2.00, 95% CI [1.47, 2.74] for MDS 3 vs. 0). A dose-response relationship between MDS and MASLD risk was observed. Neutrophils, albumin, and white blood cells partially were identified as partial mediators of the association, with albumin exhibiting the highest mediating effect (14.05%). Elevated MDS is significantly associated with an increased risk of MASLD in U.S. adults. Inflammation and albumin may serve as potential mediators of this relationship. These findings underscore the importance of addressing magnesium deficiency in the prevention and management of MASLD.

A novel frequency 32-tupling ROF system without bit walk-off effect based on MZM with inserting pilot.

A novel scheme for a frequency 32-tupling millimeter wave (MMW) radio over fiber(ROF) system without the bit walk-off effect is proposed. The operation principle and feasibility of our proposed scheme are theoretically analyzed and verified with simulation experiments. The main part of our scheme is a ±16th order sidebands generator (SG) which is constructed by eight Mach-Zehnder modulators (MZM) connected in parallel. In the back-to-back(BTB) transmission case, by properly adjusting the voltage and initial phase of the radio frequency (RF) drive signals of the MZMs, ±16th order sidebands are generated by the SG. In the data transmission case, the data signal is split into two beams first, one of which modulates the RF drive signal with an electrical phase modulator (PM), and the other is amplified by an electrical gainer (EG), and then the two beams are combined into one and used as the RF drive signal of the MZMs. By adjusting the modulation index of the PM and the gain of the EG, the data signal can be modulated only to the +16th order sideband of the output of the SG. The optical carrier from the CW laser is split into two paths, one is sent into the SG, and the other is used as a pilot. The output signal of SG is combined with the pilot signal and is transmitted to the base station(BS) via optical fiber. In BS, the pilot signal is filtered out by an FBG and used as the carrier for uplink for carrier reuse. After filtering out the pilot, the signal from the FBG which is ±16th order sidebands is injected into the photodetector, and a frequency 32-tupling MMW with downlink data is generated. The influence on the bit error rate (BER) and Q factor by the key parameters in the system is also analyzed. Our scheme can not only effectively overcome the bit walk-off effect caused by optical fiber chromatic dispersion, greatly increase the fiber transmission distance, but also effectively improve the performance of the downlink, it has important application prospects in ROF systems.

Revisiting the mechanisms linking blood glucose to cognitive impairment: new evidence for the potential important role of klotho.

Background: The association between blood glucose and cognition is controversial. Klotho is an anti-aging protein with neural protective effects. This study aimed to use a population-based study to disentangle the relationship between blood glucose levels and cognitive function in older adults, and to explore the role of klotho in it. Methods: A total of 1445 eligible participants from National Health and Nutrition Examination Survey (NHANES) 2011-2014 were included in our study. Cognitive function was assessed by Digit Symbol Substitution Test (DSST) and categorized into four quartiles (Q1-Q4). General characteristics and laboratory test results including serum klotho concentration and blood glucose levels were collected. Associations of cognitive function and klotho levels with blood glucose concentrations were explored through multivariate linear regression models. Mediation models were constructed to figure out the mediating role of klotho. Results: All three multivariate linear regression models showed a negative correlation between blood glucose and cognitive function. (Model 1, ß=-0.149, 95%CI: -0.202,-0.096, p=0.001; Model 2, ß=-0.116, 95%CI: -0.167,-0.065, p=0.001; Model 3, ß=-0.007, 95%CI: -0.118,-0.023, p=0.003). Mediation analysis showed that klotho mediated the statistical association between blood glucose level and cognitive function with proportions (%) of 12.5. Conclusion: Higher blood glucose levels are associated with poorer cognitive performance in non-diabetic older adults, partially mediated through lower klotho levels.

The PG-SGA outperforms the NRS 2002 for nutritional risk screening in cancer patients: a retrospective study from China.

Background and aims: As a chronic wasting disease, cancer can lead to metabolic and physiological changes in patients, resulting in severe malnutrition. Therefore, accurate assessment of nutritional status and adoption of scientifically sound nutritional interventions are of great importance for patients with cancer. This study aimed to assess the necessity of implementing the Nutrition Risk Screening 2002 (NRS 2002) tool in conjunction with the Patient-Generated Subjective Global Assessment (PG-SGA) in patients with cancer. Methods: This retrospective study collected the clinical data of cancer patients from November 2011 to December 2018 in the Department of Oncology, Cancer Center, First Hospital of Jilin University. The NRS 2002 and the PG-SGA were used as screening tools for malnutrition. Clinical characteristics and laboratory results were detected. Anthropometric indices including hand-grip strength (HGS), visceral fat area (VFA), calf circumstance (CC), and appendicular skeletal muscle mass index (ASMI) were also collected. The diagnostic results from the NRS 2002 were compared to the malnutrition diagnosis using the PG-SGA. Results: Of the 2,645 patients included in this retrospective study, the nutritional risk was found in 1763 (66.6%) patients based on the PG-SGA, and in 240 (9.1%) patients based on the NRS 2002, respectively. Among the 240 patients evaluated by the NRS 2002 for risk of malnutrition, 230 were also assessed by the PG-SGA as malnourished. There were no significant differences observed in the clinical characteristics and laboratory parameters between the two groups. Conclusion: The PG-SGA is effective and had a higher positive rate in screening malnutrition for patients with cancer. The NRS 2002 is not necessary for patients who are to be assessed with the PG-SGA.

Predictors for quality of life in older adults: network analysis on cognitive and neuropsychiatric symptoms.

BACKGROUND: Quality of life (QoL) of older adults has become a pivotal concern of the public and health system. Previous studies found that both cognitive decline and neuropsychiatric symptoms (NPS) can affect QoL in older adults. However, it remains unclear how these symptoms are related to each other and impact on QoL. Our aim is to investigate the complex network relationship between cognitive and NPS symptoms in older adults, and to further explore their association with QoL. METHODS: A cross-sectional study was conducted in a sample of 389 older individuals with complaints of memory decline. The instruments included the Neuropsychiatric Inventory, the Mini Mental State Examination, and the 36-item Short Form Health Survey. Data was analyzed using network analysis and mediation analysis. RESULTS: We found that attention and agitation were the variables with the highest centrality in cognitive and NPS symptoms, respectively. In an exploratory mediation analysis, agitation was significantly associated with poor attention (ß = -0.214, P < 0.001) and reduced QoL (ß = -0.137, P = 0.005). The indirect effect of agitation on the QoL through attention was significant (95% confidence interval (CI) [-0.119, -0.035]). Furthermore, attention served as a mediator between agitation and QoL, accounting for 35.09% of the total effect. CONCLUSIONS: By elucidating the NPS-cognition-QoL relationship, the current study provides insights for developing rehabilitation programs among older adults to ensure their QoL.

A novel method to generate and transmit 40-tupling frequency millimeter wave over fiber based on remodulation of MZMs.

An novel method to generate 40-tupling frequency millimeter (MMW) based on the remodulation of MZMs and a novel radio over fiber (ROF) system to transmit the generated MMW are proposed. At the central station (CS), the ±4th order sidebands generated by two Mach-Zehnder modulators (MZMs) in parallel are used as the optical carriers for the remodulation. The radio frequency (RF) signal for the remodulation can be generated by injecting the ±4th order sidebands in the photodetector (PD). The main components in the signal after remodulation are ±4th, ±12th and ±20th order sidebands, among them, the +20th sideband is filtered out by a fiber Bragg grating (FBG). After the +20th order sideband is modulated with the downlink data, the ±20th order sidebands are combined again and transmitted to the base station (BS) by optical fiber. At the BS, a part of -20th order sideband is filtered out with a FBG, and with which the uplink data is modulated on it and sent back to the CS for carrier wave reuse. The 40-tupling frequency MMW signal with downlink data is generated by beating the output signal from FBG in the PD. In the case of data rate is 2.5G/bps and the bit error rate is less than 10-9, the transmission distance can exceed 90 km, the power penalty of the uplink and downlink is less than 1 dB and 0.29 dB, respectively. Our scheme has simple structure, high frequency multiplier factor, it has important application prospects in MMW technology.

Adipocytes-derived exosomal miR-122 promotes non-alcoholic fat liver disease progression via targeting Sirt1.

AIMS: Nonalcoholic fatty liver disease (NAFLD) is a chronic liver disease that affects adipose function. This study aimed to explore the function of adipocytes-derived exosomal (ADEs) miR-122 in NAFLD. METHODS: A high-fat and high-fructose diet-induced rat model and a palmitic acid (PA)-induced in vitro model were established. The RNA level of miR-122 and Sirt1 was measured using qRT-PCR. The protein levels of exosome biomarkers, and lipogenesis, inflammation and fibrosis biomarkers were determined by western blotting. Cell viability and apoptosis were assessed using cell counting kit-8 and flow cytometry, respectively. Serum alanine aminotransferase, aspartate aminotransferase, total cholesterol, triglyceride levels were measured. Liver tissue damage was assessed using haematoxylin and eosin staining. The interaction between miR-122 and Sirt1 3'UTR was assessed using a luciferase reporter gene assay. RESULTS: ADEs exhibited abundant level of miR-122 and promoted lipogenesis, impaired hepatocyte survival, enhanced liver damage and increased serum lipid levels in vivo and in vitro. Inhibition of miR-122 in ADEs alleviated NAFLD progression, lipid and glucose metabolism, liver inflammation and fibrosis both in vivo and in vitro. miR-122 binds directly to the 3'UTR of Sirt1 to suppress its expression. Moreover, Sirt1 overexpression reversed the increase in cell apoptosis, glucose and lipid metabolism, liver inflammation and fibrosis induced by ADEs in vivo and in vitro. CONCLUSIONS: The ADEs miR-122 promotes the progression of NAFLD via modulating Sirt1 signalling in vivo and in vitro. The ADEs miR-122 may be a promising diagnostic biomarker and therapeutic target for NAFLD.

Generation of frequency 32-tupling millimeter-wave based on a dual-parallel polarization modulator.

A scheme to generate a frequency 32-tupling millimeter wave (mm-wave) is proposed, enabled by two dual-parallel polarization modulators (DP-PolMs) in cascade. By properly controlling the amplitude and the phase shift of the radio-frequency (RF) driving signal applied to two DP-PolMs, the main optical components at the output of the DP-PolM are ±16th order optical sidebands and the central carrier. After the central carrier is canceled by the polarization multiplexing structure, the ±16th order optical sidebands are beaten in the photodetector; then the frequency 32-tupling mm-wave can be achieved. The optical sideband suppression ratio (OSSR) and the radio-frequency spurious suppression ratio (RFSSR) of the generated signal are 52 and 47 dB in simulation, which are consistent with the theoretical analysis values 53.7 and 47.7 dB. The influence on the OSSR and RFSSR of the generated signal by the key parameters of devices deviating from the theoretical analysis value i are investigated.

The early diagnosis of Parkinson's disease through combined biomarkers.

OBJECTIVE: This study primarily aims to explore the value of combining the measurement of plasma α-synuclein oligomer levels with enhanced T2 star-weighted angiography (ESWAN) in the early diagnosis of Parkinson's disease. METHODS: Sixty patients with early Parkinson's disease and 30 normal adults, with similar ages and genders, were enrolled in the study. Their levels of plasma α-synuclein oligomers were measured, and ESWAN was performed. The amplitudes, phases and R2* values of the head, body and tail of the ipsilateral and contralateral substantia nigra pars compacta (SNc) were measured, at the side of the limb with severe symptoms or early symptoms. The receiver operating characteristic (ROC) curve was used to explore the value of these indexes in the early diagnosis of Parkinson's disease. RESULTS: The plasma level of α-synuclein oligomer was significantly higher in the experimental group than in the control group (P < 0.05). The amplitude values of the head and tail of contralateral SNcs were significantly lower in the experimental group than in the control group (P < 0.05). In the single-index assessment, the serum α-synuclein oligomer had the highest specificity (70%), while the sensitivity of the amplitude of the head and tail of the contralateral SNc was 75% and 80%, respectively. The area under the curve, for the combination of these three indicators, was 0.827, diagnostic efficiency was particularly high, and sensitivity and specificity both reached 80%. CONCLUSION: The combined detection of plasma α-synuclein oligomer and amplitude of the head and tail of the SNc has high diagnostic specificity and sensitivity.