Corrigendum: The incidence and clinical characteristics of fragile X syndrome in China.

[This corrects the article DOI: 10.3389/fped.2023.1064104.].

Efficacy and Safety of Methylphenidate and Atomoxetine in Medication-Naive Children with Attention-Deficit Hyperactivity Disorder in a Real-World Setting.

BACKGROUND AND OBJECTIVE: Methylphenidate (MPH) and atomoxetine (ATX) are the most common medications used to treat attention-deficit hyperactivity disorder (ADHD) in China; however, despite this, there is still a paucity of studies comparing their efficacy and safety, particularly for different characteristics. To address the lack of research, a real-world prospective cohort study was conducted to examine these properties of MPH and ATX, and to analyze correlations associated with age, sex, and different ADHD presentation. METHODS: Children with ADHD meeting the eligibility criteria were recruited from January 2016 to July 2021. Study participants were treated with either MPH or ATX prescribed in the real-world setting, and were followed up for 26 weeks. Clinical efficacy response and adverse events (AEs) were recorded and measured. Subgroup analysis was performed to examine the efficacy response and AEs associated with age, sex, and different ADHD presentation. RESULTS: A total of 1050 children were recruited and 29 children were lost to follow-up. Of the 1021 children remaining, 533 were treated with MPH and 488 were treated with ATX. No significant differences were found in intelligence quotient, age, sex, or ADHD presentation between the MPH- and ATX-treated groups (p > 0.05). The response rates were 84.6% in the MPH-treated group and 63.3% in the ATX-treated group. Subgroup analysis of response rate demonstrated that the treatment effect of MPH over ATX was consistent across subgroups except in the girls (odds ratio [OR] 2.09, 95% confidence interval [CI] 0.97-4.7) and the hyperactive/impulsive presentation group (OR 2.88, 95% CI 0.77-12.76). A total of 47.8% of children experienced AEs during MPH treatment, significantly lower than the rate of 56.8% during ATX treatment (p < 0.05). The incidence of AEs in the MPH-treated group was higher in young children (<8 years: 56.8%; 8-10 years: 47.2%) and lower in children over 10 years of age (29.0%). CONCLUSIONS: Overall, MPH was more effective and better tolerated than ATX. The incidence of AEs in children treated with MPH varied with age, and was higher in young children and lower in children over 10 years of age.

UV-Induced Synthesis of Hybrid HMDSO/SiO2 Thin Films with Compositional Gradients for High-Performance Atomic Oxygen Resistance.

A flexible, dense, defect-free, highly adhesive, and highly dissociation energy-rich protective coating is essential to enhance the atomic oxygen (AO) resistance of polymeric materials in a low Earth orbit (LEO). In this work, a dense, defect-free hybrid HMDSO/SiO2 thin film coating with compositional gradients on the surface of polyimide was synthesized using vacuum-ultraviolet (VUV) irradiation. The effects of VUV irradiation on the morphology, optical transmittance, and chemical components of plasma-polymerized HMDSO (pp-HMDSO) thin-film coatings deposited on the polyimide surface were investigated in depth. There were no defects such as cracks and holes in the surface morphology of pp-HMDSO films after VUV irradiation, but the surface roughness increased slightly, and the corresponding optical transmittance decreased slightly. The chemical components of pp-HMDSO films were changed in the depth direction starting from the top of the surface, forming hybrid HMDSO/SiO2 thin films with compositional gradients. The component gradient HMDSO/SiO2 composite coating further enhanced the atomic oxygen resistance of the polyimide due to the surface layer of the UV-modified coating enriched with high dissociation energy SiOx material. Therefore, this work provides a facile UV-induced synthesis method to prepare dense, defect-free, and highly dissociation energy-rich protective gradient coatings, which are promising not only for excellent AO protection in LEO but also for potential application in water-oxygen barrier films.

Deciphering the Prognostic and Therapeutic Significance of Cell Cycle Regulator CENPF: A Potential Biomarker of Prognosis and Immune Microenvironment for Patients with Liposarcoma.

Liposarcoma (LPS) is one of the most common subtypes of sarcoma with a high recurrence rate. CENPF is a regulator of cell cycle, differential expression of which has been shown to be related with various cancers. However, the prognostic value of CENPF in LPS has not been deciphered yet. Using data from TCGA and GEO datasets, the expression difference of CENPF and its effects on the prognosis or immune infiltration of LPS patients were analyzed. As results show, CENPF was significantly upregulated in LPS compared to normal tissues. Survival curves illustrated that high CENPF expression was significantly associated with adverse prognosis. Univariate and multivariate analysis suggested that CENPF expression could be an independent risk factor for LPS. CENPF was closely related to chromosome segregation, microtubule binding and cell cycle. Immune infiltration analysis elucidated a negative correlation between CENPF expression and immune score. In conclusion, CENPF not only could be considered as a potential prognostic biomarker but also a potential malignant indicator of immune infiltration-related survival for LPS. The elevated expression of CENPF reveals an unfavorable prognostic outcome and worse immune score. Thus, therapeutically targeting CENPF combined with immunotherapy might be an attractive strategy for the treatment of LPS.

The incidence and clinical characteristics of fragile X syndrome in China.

Introduction: Fragile X syndrome (FXS) is a X-linked neurodevelopmental disorder (NDD). This study aims to investigate the incidence of FXS in Chinese children and analyze the comprehensive clinical characteristics of these FXS children. Methods: Children diagnosed with idiopathic NDD were recruited between 2016 and 2021 from the department of Child Health Care, Children's Hospital of Fudan University. We combined tetraplet-primed PCR-capillary electrophoresis and whole exome sequencing (WES)/panel or array-based comparative genomic hybridization (array-CGH) to identify the size of the CGG repeats and the mutations or copy number variations (CNVs) in the genome and in FMR1. The clinical features of FXS children were analyzed according to pediatricians' recording, parental questionnaires, the results of examinations and follow-up. Results: The incidence of FXS in Chinese children with idiopathic NDD was 2.4% (42/1753) and in those with FXS, 2.38% had a deletion (1/42). Here, we present the clinical characteristics of 36 children with FXS. Overweight was observed in two boys. The average intelligence quotient (IQ)/development quotient (DQ) of all FXS patients was 48. The average ages of meaningful words and walking alone were 2 years and 10 months and 1 year and 7 months, respectively. The most frequent repetitive behavior was stimulated by hyperarousal to sensory stimulation. On social aspects, social withdrawal, social anxiety, and shyness accounted for 75%, 58%, and 56% of the total number of children, respectively. Approximately 60% of FXS children in this cohort were emotionally labile and prone to temper tantrums. Self-injury and aggression toward others could also be observed, at 19% and 28%, respectively. The most frequent behavioral problem was attention-deficit hyperactivity disorder (ADHD) seen in 64% and the most common facial features were a narrow and elongated face and large or prominent ears in 92% of patients. Discussion: Screening of FMR1 full mutation provides the possibility for patients' further medical supports and the clinical features of FXS children obtained in this study will increase the understanding and diagnosis of FXS.

High-spectral-resolution LIDAR based on a few-longitudinal mode laser for aerosol and cloud characteristics detection.

A novel implementation of high-spectral-resolution LIDAR based on a passively Q-switched few-longitudinal mode laser (PQFLM-HSRL) is proposed, and the prototype is built for detecting aerosol and cloud characteristics. The spatial-temporal distributions of the aerosol and cloud are continuously observed by the PQFLM-HSRL for the first time, to the best of our knowledge. Based on observation, we present the retrieval results of backscatter coefficient, particle linear depolarization ratio, and LIDAR ratio, and these intensive parameters are used to classify the aerosol and cloud into different types. Particularly, we have observed mix-phased clouds. The resulting aerosol optical depths (AODs) are highly consistent with CE-318, the Sun photometer measurements of the local National Meteorological Station (NMS), which verify the retrieval accuracy and the system stability. In addition, the retrieved AODs also characterize the ambient air quality, which show a high correlation with the measured PM2.5 concentrations. The implementation of the PQFLM-HSRL provides a new method for atmospheric feature detection, which shows superior scientific potential for further study on climate change and environmental health.

Effect of Moisture Condition of Brick-Concrete Recycled Coarse Aggregate on the Properties of Concrete.

The application of brick-concrete recycled aggregates can alleviate the problem of increasing construction waste and increasing scarcity of natural aggregates. The different moisture condition of coarse aggregates can significantly affect the performance of brick-concrete recycled aggregate concrete. In this paper, the additional water quantity of dry and air-dried brick-concrete recycled coarse aggregate concrete was determined. Additionally, the fluidity, rheological parameters, autogenous shrinkage, strength and chloride ion penetration resistance were tested, and compared with saturated surface dry recycled brick-concrete coarse aggregate concrete and natural aggregate concrete. The results showed that the slump of concrete was increased, whereas the plastic viscosity, static and dynamic yield stress were decreased by adding additional water or using saturated surface dry coarse aggregate. Compared with the dry and saturated surface dry state, the air-dried recycled coarse aggregate concrete has the smallest 28 days autogenous shrinkage value, higher compressive strength and splitting tensile strength, and less adverse effects on chloride permeability. It is most beneficial to the performance and economy of concrete to adopt the air-dried state when the brick-concrete recycled coarse aggregate is applied in engineering.

Brain structural alterations in young girls with Rett syndrome: A voxel-based morphometry and tract-based spatial statistics study.

Rett syndrome (RTT) is a neurodevelopmental disorder caused by loss-of-function variants in the MECP2 gene, currently with no cure. Neuroimaging is an important tool for obtaining non-invasive structural and functional information about the in vivo brain. Multiple approaches to magnetic resonance imaging (MRI) scans have been utilized effectively in RTT patients to understand the possible pathological basis. This study combined developmental evaluations with clinical severity, T1-weighted imaging, and diffusion tensor imaging, aiming to explore the structural alterations in cohorts of young girls with RTT, idiopathic autism spectrum disorder (ASD), or typical development. Voxel-based morphometry (VBM) was used to determine the voxel-wised volumetric characteristics of gray matter, while tract-based spatial statistics (SPSS) was used to obtain voxel-wised properties of white matter. Finally, a correlation analysis between the brain structural alterations and the clinical evaluations was performed. In the RTT group, VBM revealed decreased gray matter volume in the insula, frontal cortex, calcarine, and limbic/paralimbic regions; TBSS demonstrated decreased fractional anisotropy (FA) and increased mean diffusivity (MD) mainly in the corpus callosum and other projection and association fibers such as superior longitudinal fasciculus and corona radiata. The social impairment quotient and clinical severity were associated with these morphometric alterations. This monogenic study with an early stage of RTT may provide some valuable guidance for understanding the disease pathogenesis. At the same time, the pediatric-adjusted analytic pipelines for VBM and TBSS were introduced for significant improvement over classical approaches for MRI scans in children.

UiO-66-NH2 nanocomposites incorporated cellulose acetate for forward osmosis membranes of high desalination performance.

In this paper, the hydrophilic UiO-66-NH2 nanomaterial was synthesized by the solvent-thermal method and characterized. Then, UiO-66-NH2 was introduced into the casting membrane solution of cellulose acetate (CA) forward osmosis (FO) membrane, and CA/UiO-66-NH2 forward osmosis membrane was prepared by the phase inversion method. The optimum preparation conditions of CA/UiO-66-NH2 mixed matrix membranes were determined as follows: the content of UiO-66-NH2 was 0.4 wt%, the coagulation bath temperature was 35°C, the mixing temperature was 50°C and the heat treatment temperature was 50°C. FTIR, SEM, water contact angle and AFM were carried out on CA/UiO-66-NH2 forward osmosis membrane prepared under the best preparation conditions. Compared to the CA forward osmosis membrane, the permeability and selectivity of the CA/UiO-66-NH2 membrane were improved. The water flux and reverse salt flux of the CA/UiO-66-NH2 forward osmosis membrane reached 52.32 L/(m2·h) and 2.43 g/(m2·h), respectively. The permeability selectivity of CA membranes and CA/UiO-66-NH2 membranes did not change much during 180 min, indicating that the two membranes had good long-term stability. This study shows a potential advantage of UiO-66-NH2 as additives for improvement in the desalination performance of forward osmosis membranes.

Graphene Nanosheets as Lubricant Additives: Effects of Nature and Size on Lubricating Performance.

Graphene has been widely investigated as an additive in lubricating oils to enhance their tribological performance. Here, the effects of the nature and size of the graphene nanosheets on the tribological performance were investigated with the hydrogenated hydroxyl-terminated polybutadiene dioctoate (O-HHTPB-O) as a model base oil after alkylation of the graphene oxide (GO) of different sizes with 1-dodecylamine (DA) and reduction. The 1-dodecylamine-modified graphene oxide (DA-GO) showed better dispersibility in the O-HHTPB-O base oil and subsequently better tribological performance than the reduced one (DA-rGO) for both the larger graphene oxide nanosheets (GOL) and the smaller graphene oxide nanosheets (GOS). The DA-GOS exhibited better wear-reduction performance than the DA-GOL, owing to its smaller size and higher polarity. Although the DA-GOL could be ground during the friction, the friction and wear in the original period affected the complete period lubricating performance.

Clinical Targeted Panel Sequencing Analysis in Clinical Evaluation of Children with Autism Spectrum Disorder in China.

Autism spectrum disorder (ASD) is an early-onset neurodevelopmental disorder in which genetics play a major role. Molecular diagnosis may lead to a more accurate prognosis, improved clinical management, and potential treatment of the condition. Both copy number variations (CNVs) and single nucleotide variations (SNVs) have been reported to contribute to the genetic etiology of ASD. The effectiveness and validity of clinical targeted panel sequencing (CTPS) designed to analyze both CNVs and SNVs can be evaluated in different ASD cohorts. CTPS was performed on 573 patients with the diagnosis of ASD. Medical records of positive CTPS cases were further reviewed and analyzed. Additional medical examinations were performed for a group of selective cases. Positive molecular findings were confirmed by orthogonal methods. The overall positive rate was 19.16% (109/569) in our cohort. About 13.89% (79/569) and 4.40% (25/569) of cases had SNVs only and CNVs only findings, respectively, while 0.9% (5/569) of cases had both SNV and CNV findings. For cases with SNVs findings, the SHANK3 gene has the greatest number of reportable variants, followed by gene MYT1L. Patients with MYT1L variants share common and specific clinical characteristics. We found a child with compound heterozygous SLC26A4 variants had an enlarged vestibular aqueduct syndrome and autistic phenotype. Our results showed that CTPS is an effective molecular diagnostic tool for ASD. Thorough clinical and genetic evaluation of ASD can lead to more accurate diagnosis and better management of the condition.

Desalination Characteristics of Cellulose Acetate FO Membrane Incorporated with ZIF-8 Nanoparticles.

Forward osmosis membranes have a wide range of applications in the field of water treatment. However, the application of seawater desalination is restricted, so the research of forward osmosis membranes for seawater desalination poses new challenges. In this study, zeolitic imidazolate framework-8 (ZIF-8) was synthesized by a mechanical stirring method, and its crystal structure, surface morphology, functional group characteristics, thermochemical stability, pore size distribution and specific surface area were analyzed. The cellulose acetate (CA)/ZIF-8 mixed matrix forward osmosis membrane was prepared by using the synthesized ZIF-8 as a modified additive. The effects of the additive ZIF-8 content, coagulation bath temperature, mixing temperature and heat treatment temperature on the properties of the CA/ZIF-8 forward osmosis membrane were systematically studied, and the causes were analyzed to determine the best membrane preparation parameters. The structure of the CA membrane and CA/ZIF-8 mixed matrix forward osmosis membranes prepared under the optimal conditions were characterized by Fourier Transform infrared spectroscopy (FTIR), Scanning electron microscopy (SEM), contact angle and Atomic force microscope (AFM). Finally, the properties of the HTI membrane (Membrane manufactured by Hydration Technology Innovations Inc.), CA forward osmosis membrane and CA/ZIF-8 mixed matrix forward osmosis membrane were compared under laboratory conditions. For the CA membrane, the water flux and reverse salt flux reached 48.85 L·m-2·h-1 and 3.4 g·m-2·h-1, respectively. The reverse salt flux and water flux of the CA/ZIF-8 membrane are 2.84 g·m-2·h-1 and 50.14 L·m-2·h-1, respectively. ZIF-8 has a promising application in seawater desalination.

Exceptionally Robust Face-Sharing Motifs Enable Efficient and Durable Water Oxidation.

Corner-sharing oxides usually suffer from structural reconstruction during the bottleneck oxygen-evolution reaction (OER) in water electrolysis. Therefore, introducing dynamically stable active sites in an alternative structure is urgent but challenging. Here, 1D 5H-polytype Ba5 Bi0.25 Co3.75 FeO14- δ oxide with face-sharing motifs is identified as a highly active and stable candidate for alkaline OER. Benefiting from the stable face-sharing motifs with three couples of combined bonds, Ba5 Bi0.25 Co3.75 FeO14- δ can maintain its local structures even under high OER potentials as evidenced by fast operando spectroscopy, contributing to a negligible performance degradation over 110 h. Besides, the higher Co valence and smaller orbital bandgap in Ba5 Bi0.25 Co3.75 FeO14- δ endow it with a much better electron transport ability than its corner-sharing counterpart, leading to a distinctly reduced overpotential of 308 mV at 10 mA cm-2 in 0.1 m KOH. Further mechanism studies show that the short distance between lattice-oxygen sites in face-sharing Ba5 Bi0.25 Co3.75 FeO14- δ can accelerate the deprotonation step (*OOH + OH-  = *OO + H2 O + e- ) via a steric inductive effect to promote lattice-oxygen participation. In this work, not only is a new 1D face-sharing oxide with impressive OER performance discovered, but also a rational design of dynamic stable and active sites for sustainable energy systems is inaugurated.

Low-Background Tip-Enhanced Raman Spectroscopy Enabled by a Plasmon Thin-Film Waveguide Probe.

Tip-enhanced Raman spectroscopy (TERS) is a nano-optical approach to extract spatially resolved chemical information with nanometer precision. However, in the case of direct-illumination TERS, which is often employed in commercial TERS instruments, strong fluorescence or far-field Raman signals from the illuminated areas may be excited as a background. They may overwhelm the near-field TERS signal and dramatically decrease the near-field to far-field signal contrast of TERS spectra. It is still challenging for TERS to study the surface of fluorescent materials or a bulk sample that cannot be placed on an Au/Ag substrate. In this study, we developed an indirect-illumination TERS probe that allows a laser to be focused on a flat interface of a thin-film waveguide located far away from the region generating the TERS signal. Surface plasmon polaritons are generated stably on the waveguide and eventually accumulated at the tip apex, thereby producing a spatially and energetically confined hotspot to ensure stable and high-resolution TERS measurements with a low background. With this thin-film waveguide probe, TERS spectra with obvious contrast from a diamond plate can be acquired. Furthermore, the TERS technique based on this probe exhibits excellent TERS signal stability, a long lifetime, and good spatial resolution. This technique is expected to have commercial potential and enable further popularization and development of TERS technology as a powerful analytical method.

A Virtual-Reality System Integrated With Neuro-Behavior Sensing for Attention-Deficit/Hyperactivity Disorder Intelligent Assessment.

Attention-deficit/Hyperactivity disorder(ADHD) is a common neurodevelopmental disorder among children. Traditional assessment methods generally rely on behavioral rating scales (BRS) performed by clinicians, and sometimes parents or teachers. However, BRS assessment is time consuming, and the subjective ratings may lead to bias for the evaluation. Therefore, the major purpose of this study was to develop a Virtual Reality (VR) classroom associated with an intelligent assessment model to assist clinicians for the diagnosis of ADHD. In this study, an immersive VR classroom embedded with sustained and selective attention tasks was developed in which visual, audio, and visual-audio hybrid distractions, were triggered while attention tasks were conducted. A clinical experiment with 37 ADHD and 31 healthy subjects was performed. Data from BRS was compared with VR task performance and analyzed by rank-sum tests and Pearson Correlation. Results showed that 23 features out of total 28 were related to distinguish the ADHD and non-ADHD children. Several features of task performance and neuro-behavioral measurements were also correlated with features of the BRSs. Additionally, the machine learning models incorporating task performance and neuro-behavior were used to classify ADHD and non-ADHD children. The mean accuracy for the repeated cross-validation reached to 83.2%, which demonstrated a great potential for our system to provide more help for clinicians on assessment of ADHD.

Utilizing ion leaching effects for achieving high oxygen-evolving performance on hybrid nanocomposite with self-optimized behaviors.

Ion leaching from pure-phase oxygen-evolving electrocatalysts generally exists, leading to the collapse and loss of catalyst crystalline matrix. Here, different from previous design methodologies of pure-phase perovskites, we introduce soluble BaCl2 and SrCl2 into perovskites through a self-assembly process aimed at simultaneously tuning dual cation/anion leaching effects and optimizing ion match in perovskites to protect the crystalline matrix. As a proof-of-concept, self-assembled hybrid Ba0.35Sr0.65Co0.8Fe0.2O3-δ (BSCF) nanocomposite (with BaCl2 and SrCl2) exhibits the low overpotential of 260 mV at 10 mA cm-2 in 0.1 M KOH. Multiple operando spectroscopic techniques reveal that the pre-leaching of soluble compounds lowers the difference of interfacial ion concentrations and thus endows the host phase in hybrid BSCF with abundant time and space to form stable edge/face-sharing surface structures. These self-optimized crystalline structures show stable lattice oxygen active sites and short reaction pathways between Co-Co/Fe metal active sites to trigger favorable adsorption of OH- species.

A Spatiotemporal Convolutional Network for Multi-Behavior Recognition of Pigs.

The statistical data of different kinds of behaviors of pigs can reflect their health status. However, the traditional behavior statistics of pigs were obtained and then recorded from the videos through human eyes. In order to reduce labor and time consumption, this paper proposed a pig behavior recognition network with a spatiotemporal convolutional network based on the SlowFast network architecture for behavior classification of five categories. Firstly, a pig behavior recognition video dataset (PBVD-5) was built by cutting short clips from 3-month non-stop shooting videos, which was composed of five categories of pig's behavior: feeding, lying, motoring, scratching and mounting. Subsequently, a SlowFast network based spatiotemporal convolutional network for the pig's multi-behavior recognition (PMB-SCN) was proposed. The results of the networks with variant architectures of the PMB-SCN were implemented and the optimal architecture was compared with the state-of-the-art single stream 3D convolutional network in our dataset. Our 3D pig behavior recognition network showed a top-1 accuracy of 97.63% and a views accuracy of 96.35% on the test set of PBVD and a top-1 accuracy of 91.87% and a views accuracy of 84.47% on a new test set collected from a completely different pigsty. The experimental results showed that this network provided remarkable ability of generalization and possibility for the subsequent pig detection and behavior recognition simultaneously.