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The systemic immunity-inflammation index (SII) is a novel inflammatory marker, and aberrant blood lipid levels are linked to inflammation. This study aimed to look at the probable link between SII and hyperlipidemia. The current cross-sectional investigation was carried out among people with complete SII and hyperlipidemia data from the 2015–2020 National Health and Nutrition Examination Survey (NHANES). SII was computed by dividing the platelet count × the neutrophil count/the lymphocyte count. The National Cholesterol Education Program standards were used to define hyperlipidemia. The nonlinear association between SII and hyperlipidemia was described using fitted smoothing curves and threshold effect analyses. A total of 6117 US adults were included in our study. A substantial positive correlation between SII and hyperlipidemia was found [1.03 (1.01, 1.05)] in a multivariate linear regression analysis. Age, sex, body mass index, smoking status, hypertension, and diabetes were not significantly correlated with this positive connection, according to subgroup analysis and interaction testing (p for interaction > 0.05). Additionally, we discovered a non-linear association between SII and hyperlipidemia with an inflection point of 479.15 using a two-segment linear regression model. Our findings suggest a significant association between SII levels and hyperlipidemia. More large-scale prospective studies are needed to investigate the role of SII in hyperlipidemia.

Background Diabetes is a chronic disease, and it could affect both health and quality of life (QOL). A lot of studies have reported some predictors of QOL of type 2 diabetes patients. While their results were not completely consistent. So the aim of our study was finding out the related factors (including characteristics related to the disease, life styles and mental health factors) of QOL of type 2 diabetes patients. Methods We searched Cochrane library, EmBase, PubMed and CNKI databases for published studies that evaluated the related factors of QOL of type 2 diabetes patients by using a proper statistic method and had effect sizes ( OR or β ) and 95% confidence intervals from January 1st 2000 to May 31st 2016. Any study types were acceptable, and we excluded the reviews, letters, editorials and pooled analyses. The data were analyzed using STATA software (Version 12.0; Stata Corporation). Effect sizes and 95% confidence intervals were calculated to evaluate the relationship between these factors and QOL. Results Eighteen studies were included into our systematic review and meta-analysis, totaling 57,109 type 2 diabetes patients. Do more physical exercises (The pooled ORs ranged from 0.635 to 0.825 for different scales, less than 1.00), glucose check more frequently [pooled OR (95%CI): 0.175 (0.041, 0.756)] were associated with a better QOL. Presence of complications (The pooled ORs ranged from 1.462 to 3.038 for different scales, more than 1.00), presence of hypertension [pooled OR (95%CI): 1.389 (1.173, 1644)], longer duration of diabetes [pooled OR (95%CI): 1.865 (1.088, 3.197)], diet with more red meat [pooled OR (95%CI): 2.085 (1.063, 4.089)] and depression (The pooled ORs ranged from 3.003 to 11.473 for different scales, higher than 1.00) were associated with a worse QOL. Conclusion The results of this study show that physical exercise, glucose check frequently, complications, hypertension, duration of diabetes, diet with more red meat, and depression were associated with the QOL of type 2 diabetes patients.

Humans often fail to identify a target because of nearby flankers. The nature and stages at which this crowding occurs are unclear, and whether crowding operates via a common mechanism across visual dimensions is unknown. Using a dual-estimation report (N = 42), we quantitatively assessed the processing of features alone and in conjunction with another feature both within and between dimensions. Under crowding, observers misreported colors and orientations (i.e., reported a flanker value instead of the target’s value) but averaged the target’s and flankers’ spatial frequencies (SFs). Interestingly, whereas orientation and color errors were independent, orientation and SF errors were interdependent. These qualitative differences of errors across dimensions revealed a tight link between crowding and feature binding, which is contingent on the type of feature dimension. These results and a computational model suggest that crowding and misbinding are due to pooling across a joint coding of orientations and SFs but not of colors.

Rapid and accurate identification and timely protection of crop disease is of great importance for ensuring crop yields. Aiming at the problems of large model parameters of existing crop disease recognition methods and low recognition accuracy in the complex background of the field, we propose a lightweight crop leaf disease recognition model based on improved ShuffleNetV2. First, the repetition number and the number of output channels of the basic module of the ShuffleNetV2 model are redesigned to reduce the model parameters to make the model more lightweight while ensuring the accuracy of the model. Second, the residual structure is introduced in the basic feature extraction module to solve the gradient vanishing problem and enable the model to learn more complex feature representations. Then, parallel paths were added to the mechanism of the efficient channel attention (ECA) module, and the weights of different paths were adaptively updated by learnable parameters, and then the efficient dual channel attention (EDCA) module was proposed, which was embedded into the ShuffleNetV2 to improve the cross-channel interaction capability of the model. Finally, a multi-scale shallow feature extraction module and a multi-scale deep feature extraction module were introduced to improve the model’s ability to extract lesions at different scales. Based on the above improvements, a lightweight crop leaf disease recognition model REM-ShuffleNetV2 was proposed. Experiments results show that the accuracy and F1 score of the REM-ShuffleNetV2 model on the self-constructed field crop leaf disease dataset are 96.72% and 96.62%, which are 3.88% and 4.37% higher than that of the ShuffleNetV2 model; and the number of model parameters is 4.40M, which is 9.65% less than that of the original model. Compared with classic networks such as DenseNet121, EfficientNet, and MobileNetV3, the REM-ShuffleNetV2 model not only has higher recognition accuracy but also has fewer model parameters. The REM-ShuffleNetV2 model proposed in this study can achieve accurate identification of crop leaf disease in complex field backgrounds, and the model is small, which is convenient to deploy to the mobile end, and provides a reference for intelligent diagnosis of crop leaf disease.

JavaScript code is often included in web applications to implement various functionalities. However, namespace is absent in JavaScript(JS), and all JavaScript code in a same frame shares a common namespace. The absence of namespace may lead to mutual interference among JavaScript code, which results in abnormal program execution. In this paper, we investigate the issue of global identifier conflicts in JavaScript code that cause anomalies across entire web pages. Unlike existing dynamic detection methods like JSOBSERVER which introduce significant runtime performance overhead and can only detect conflicts in executed code paths, our approach avoids execution dependency and performance penalty. Aimed to this issue, we develop a static analysis tool, called DetecJS, to analyze dependencies and conflict relationships among JavaScript code. It can be used to assists developers in identifying global identifier conflicts in the program early during development without executing the code. Based on DetecJS, we identify 2618 global identifier conflicts across 1000 websites. Additionally, we conduct a performance evaluation of DetecJS, the results indicated that the tool exhibits high performance, with an average analysis time of only 5.56 s per web page and conflict detection taking just 15.15 ms.

The differential characteristics with high probability are critical for differential cryptanalysis. The process of searching such differential characteristics, especially the best one, is time-consuming. We believe that the modern hybrid computing systems can be used to accelerate the search process. However, to the best of our knowledge, the existing solutions are not designed for heterogeneous architectures. In this paper, we propose a parallel search algorithm for the best differential characteristic. Our method can be applied to any substitution–permutation network (SPN) block ciphers after making minor modifications. We implemented the proposed parallel search algorithm for PRESENT block cipher and also a sequential version, which based on the classic Matsui’s method, for comparison. The experimental result shows that the parallel algorithm using both CPU and GPU can achieve at least 4.4x and up to 18x speed-up compared to the sequential version.

Signal is the first application that applies the double ratchet for its end-to-end encryption protocol. The core of the double ratchet protocol is then applied in WhatsApp, the most popular messaging application around the world. Asynchronous Ratchet Tree (ART) is extended from ratchet and Diffie-Hellman tree. It is the first group protocol that applies Forward Secrecy (FS) with Post-Compromised Security (PCS). However, it does not consider protecting the privacy of user identity. Therefore, it makes sense to provide anonymous features in the conditions of FS and PCS. In this paper, the concepts of Internal Group Anonymity (IGA) and External Group Anonymity (EGA) are formalized. On the basis of IGA and EGA, we develop the “Anonymous Asynchronous Ratchet Tree (AART)” to realize anonymity while preserving FS and PCS. Then, we prove that our AART meets the requirements of IGA and EGA as well as FS and PCS. Finally, the performance and related issues of AART are discussed.

Introduction Few studies focused on the Pre-Exposure Prophylaxis (PrEP) -related aspects, and the applicability of prior evidence to young men who have sex with men (YMSM) students was unknown. This study aimed to assess the awareness, willingness, uptake, and adherence (AWUA) to PrEP among YMSM students in China and to explore the associated factors with these stages. Methods A cross-sectional survey with a sizable sample of 1151 was conducted among YMSM students aged 16 and above, who self-identified as men who have sex with men(MSM) and resided in mainland China between October 20 and December 20, 2021. The chi-square test and Fisher’s exact test were used for univariate analysis, followed by multivariable logistic regression analysis of influencing factors at all levels. Results According to the cascade analysis approach, 88.71% of the participants were aware of PrEP, among which 66.7% expressed willingness to use it. Among those who were willing to use PrEP, only 13.80% took it, and of those who took it, 44.68% adhered to it. The students taking PrEP were those with higher education (OR = 4.239, 95% CI: 1.334–13.467), residence in pilot cities (OR = 2.791, 95% CI: 1.498–5.198), residence in high-risk areas (OR = 5.082, 95% CI: 2.224–11.612), engagement in multi-person sexual behavior (OR = 2.186, 95% CI: 1.236–3.867), and substance use (OR = 1.908, 95% CI: 1.167–3.118). Furtherly, students with higher adherence to PrEP were likely to have receptive sexual behaviors (OR = 8.702, 95% CI: 2.070-36.592), absence of substance use (OR = 4.468, 95% CI: 1.371–14.561), and uptake of PrEP through daily oral route. (OR = 7.065, 95% CI: 1.699–29.371). Conclusion YMSM students exhibit distinct patterns of “high awareness, low willingness, low uptake, and low adherence” to PrEP. Strategies for reduction in the acquisition of HIV prioritizing the current features of utilizing PrEP were urgently warranted.

Background Several studies have demonstrated the population-level effectiveness of oral PrEP in reducing the risk of HIV infection. However, oral PrEP utilization among MSM in China remains below 1%. While existing literature has primarily focused on oral PrEP preference and willingness, there is limited exploration of the underlying factors contributing to oral PrEP cessation in China. This study aims to fill this gap by investigating the factors associated with oral PrEP cessation among MSM in China. Methods Assisted by MSM community organizations, we collected 6,535 electronic questionnaires from 31 regions across China, excluding Taiwan, Hong Kong, and Macau. The questionnaire focused on investigating MSM's awareness, willingness, usage, and cessation of oral PrEP. Additionally, 40 participants were randomly chosen for key informant interviews. These qualitative interviews aimed to explore the reasons influencing MSM discontinuing oral PrEP. Results We eventually enrolled 6535 participants. Among the 685 participants who had used oral PrEP, 19.70% (135/685) ceased oral PrEP. The results indicated that individuals spending > ¥1000 on a bottle of PrEP ( aOR  = 2.999, 95% CI: 1.886–4.771) were more likely to cease oral PrEP compared to those spending ≤ ¥1000. Conversely, individuals opting for on-demand PrEP ( aOR  = 0.307, 95% CI: 0.194–0.485) and those using both daily and on-demand PrEP ( aOR  = 0.114, 95% CI: 0.058–0.226) were less likely to cease PrEP compared to those using daily PrEP. The qualitative analysis uncovered eight themes influencing oral PrEP cessation: (i) High cost and low adherence; (ii) Sexual inactivity; (iii) Lack of knowledge about PrEP; (iv) Trust in current prevention strategies; (v) Poor quality of medical service and counseling; (vi) PrEP stigma; (vii) Partner and relationship factors; (viii) Access challenges. Conclusions The cessation of oral PrEP among MSM in China is associated with various factors, including the cost of oral PrEP medication, regimens, individual perception of HIV risk, stigma, and the quality of medical services. It is recommended to provide appropriate regimens for eligible MSM and develop tailored combinations of strategies to enhance PrEP awareness and acceptance among individuals, medical staff, and the MSM community. The findings from this study can support the refinement of HIV interventions among MSM in China, contributing to efforts to reduce the burden of HIV in this population.

As a recognized special resource, tar-rich coal can extract the country's scarce oil and gas resources and generate semi-coke that can replace anthracite and coking coal. The tar-rich coal in northern Shaanxi is prominent, but due to the dense structure and high strength of tar-rich coal, it is easy to cause frequent dynamic disasters in coal mining. Therefore, the realization of pressure relief and disaster reduction has become the primary problem in mining tar-rich coal. There are many shortcomings in conventional pressure relief methods, so a new method of microwave-weakening coal is proposed. Through different water saturation treatments of tar-rich coal samples, the longitudinal wave velocity degradation trend and surface crack expansion law of water-bearing coal after microwave irradiation were analyzed, and the strength softening characterization and energy evolution relationship under the combined action of microwave and water were studied. Fractal dimension and its internal correlation based on the equivalent side length-mass of coal sample fragments. The experimental results show that: (1) Under the same microwave radiation condition, with the increase of water saturation, the deterioration trend of physical and mechanical parameters such as longitudinal wave velocity and peak strength is obvious. (2) After microwave radiation, the uniaxial compression results show that the coal sample is damaged by load, there is still a high residual strength, the ratio of elastic energy to dissipation energy decreases, and the possibility of rockburst of the coal sample decreases. The strength softening degree of coal specimen under the degradation of microwave and water is the highest, followed by microwave and water. (3) The fractal dimension is inversely proportional to the moisture content and microwave radiation intensity, and the fractal dimension has a significant positive correlation with the peak intensity and longitudinal wave velocity. The mechanical damage law of water-bearing tar-rich coal under microwave action is revealed, which aims to solve the problem of weakening and reducing the impact of hard coal on-site to a certain extent, ensure the safety of working face, and improve the mining efficiency of tar-rich coal. It provides basic theoretical support for microwave-assisted hydraulic fracturing technology and effective weakening measures for hard roof treatment. Article Highlights Study the damage difference of coal samples under the dual factors of microwave power and moisture content. Qualitatively analyzed the crack evolution rules of oil-rich coal samples with different moisture contents under microwave radiation. Explored the effect of microwave-water interaction on the sensitivity of mechanical parameters of coal samples.