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It is well known that regular physical exercise has associated benefits; yet, participation remains suboptimal. Mobile health (mHealth) has become an indispensable medium to deliver behavior change interventions, and there is a growing interest in the gamification apps in mHealth to promote physical activity (PA) participation. Gamification could use game design elements (such as points, leaderboards, and progress bars), and it has the potential to increase motivation for PA and engagement. However, mHealth-based gamification interventions are still emerging, and little is known about the application status and efficacy of such interventions. This systematic review aims to investigate gamification apps in mHealth for improving PA levels and simultaneously summarize the impact of gamification interventions on PA participation. We searched PubMed, Scopus, Web of Science, Embase, CINAHL (EBSCO host), and IEEE Xplore from inception to December 20, 2020. Original empirical research exploring the effects of gamification interventions on PA participation was included. The papers described at least one outcome regarding exercise or PA participation, which could be subjective self-report or objective indicator measurement. Of note, we excluded studies about serious games or full-fledged games. Of 2944 studies identified from the database search, 50 (1.69%) were included, and the information was synthesized. The review revealed that gamification of PA had been applied to various population groups and broadly distributed among young people but less distributed among older adults and patients with a disease. Most of the studies (30/50, 60%) combined gamification with wearable devices to improve PA behavior change, and 50% (25/50) of the studies used theories or principles for designing gamified PA interventions. The most frequently used game elements were goal-setting, followed by progress bars, rewards, points, and feedback. This review demonstrated that gamification interventions could increase PA participation; however, the results were mixed, and modest changes were attained, which could be attributed to the heterogeneity across studies. Overall, this study provides an overview of the existing empirical research in PA gamification interventions and provides evidence for the efficacy of gamification in enhancing PA participation. High-quality empirical studies are needed in the future to assess the efficacy of a combination of gamification and wearable activity devices to promote PA, and further exploration is needed to investigate the optimal implementation of these features of game elements and theories to enhance PA participation.

This paper describes the 3D printing of a ternary composite of polydimethylsiloxane (PDMS) and nanoparticles of iron oxide and barium titanate. The composite was printed using a commercially available 3D printer. Thermal curing of the composite during printing allowed for overall low process times of a few minutes. Scanning electron microscopy indicated uniform composite layers. The resulting composite films showed ferromagnetic behaviour, and applicability in magnetic actuation and piezoelectric energy harvesting. A ternary composite of polydimethylsiloxane (PDMS) and nanoparticles of iron oxide and barium titanate was printed using a commercially available 3D printer. The resulting composite films showed ferromagnetic behaviour, and applicability in magnetic actuation and piezoelectric energy harvesting.

Materials with field-tunable polarization are of broad interest to condensed matter sciences and solid-state device technologies. Here, using hydrogen (H) donor doping, we modify the room temperature metallic phase of a perovskite nickelate NdNiO 3 into an insulating phase with both metastable dipolar polarization and space-charge polarization. We then demonstrate transient negative differential capacitance in thin film capacitors. The space-charge polarization caused by long-range movement and trapping of protons dominates when the electric field exceeds the threshold value. First-principles calculations suggest the polarization originates from the polar structure created by H doping. We find that polarization decays within ~1 second which is an interesting temporal regime for neuromorphic computing hardware design, and we implement the transient characteristics in a neural network to demonstrate unsupervised learning. These discoveries open new avenues for designing ferroelectric materials and electrets using light-ion doping. Hydrogen-doping driven metal to ferroelectric phase transition in a complex oxide NdNiO 3 is demonstrated. Transient negative differential capacitance and implementation of polarization decay into neural network for learning are then presented.

Omics has emerged as a promising biological science to shed light on the etiology, pathogenesis, and treatment of ulcerative colitis (UC). At present, although research on the omics of UC has drawn global attention, there is still a lack of bibliometric analysis in this field. This study aimed to access the trends and hotspots of omics in UC research. Publications related to omics in UC from 1 January 2000 to 15 October 2022 were retrieved from the Web of Science Core Collection database. VOSviewer, CiteSpace, and the online bibliometric analysis platform \"Bibliometrix\" were adopted to extract and visualize information. A total of 385 publications were finally included and the annual number of publications fluctuated. The trend in publications increased rapidly after 2019. The United States showed its dominant position in several publications, total citations, and international collaborations. The top five research organizations for publications on the research of omics in UC were Harvard Medical School, the Icahn School of Medicine at Mount Sinai, Karolinska Institutet, the Brigham and Women's Hospital, and the Massachusetts General Hospital. Ashwin Ananthakrishnan from the Massachusetts General Hospital was the most productive author, and Séverine Vermeire from the Catholic University of Leuven was co-cited most often. Inflammatory bowel disease was the most popular and co-cited journal in this field. The reference with citation bursts and trend topics showed that \"ulcerative colitis,\" \"inflammatory bowel disease,\" \"microbiome,\" \"transcriptomics,\" \"genomics,\" \"metabolomics,\" \"proteomics,\" \"dysbiosis,\" \"biomarkers,\" \"loci,\" and \"therapy\" are currently research hotspots. Our study presents several important insights into the research trends and developments in the field of omics in UC, which will provide key information for further research.

Aim To explore the best non‐pharmaceutical interventions for improving the behavioural and psychological symptoms in elders with dementia. Design Bayesian network meta‐analysis. Methods A comprehensive electronic literature search was performed in five English databases and four Chinese databases to identify relevant randomized controlled trials (RCTs) that were published up to 31 October 2019. Results A total of 41 RCTs were included in this network meta‐analysis involving 5 different non‐pharmacological interventions: therapeutic recreation (TC), reminiscence therapy (RT), behaviour therapy (BT), massage therapy (MT) and individualized nursing (IN).The results of network meta‐analysis showed that individualized nursing was the best in improving depression, cognitive function, and activities of daily living of behavioural and psychological symptoms of dementia. Behaviour therapy was the best in improving anxiety symptoms. Reminiscence therapy was the best in improving neuropsychiatric symptoms.

IntroductionThe benefits of cardiac rehabilitation (CR) on the reduction of cardiac and all-cause mortality are well documented. However, adherence remains suboptimal in China. It is clear that traditional CR does not meet the needs of many eligible patients and innovation is required to improve its application. Home-based CR (HBCR) is a cost-effective method that may be a valuable alternative for many individuals in China. In HBCR, it is often difficult to maintain an exercise intensity that is both effective and within safe limits, factors that are essential for patient safety. Mobile health interventions have the potential to overcome these obstacles and may be efficacious in improving adherence. The purpose of this study is to evaluate whether an Intelligent Exercise Rehabilitation Management System (IERMS)-based HBCR could improve adherence to CR and to assess the effects on exercise capacity, mental health, self-efficacy, quality of life and lifestyle-related risk factors.Methods and analysisWe propose a single-blinded, two-arm, randomised controlled crossover study of 70 patients with coronary heart disease (CHD). Participants will be randomly assigned in a 1:1 ratio to one of the two groups. Patients in group 1 will receive the IERMS intervention together with usual care for the first 6 weeks and usual care for the last 6 weeks, while patients assigned to group 2 will receive usual care for the first 6 weeks and will use IERMS in the last 6 weeks. The primary outcome is adherence to the programme and secondary outcomes include exercise capacity, psychological well-being, quality of life, self-efficacy and lifestyle-related risk factors. All secondary outcomes will be measured at baseline, 6 weeks and 12 weeks.Ethics and disseminationThis study has been approved by the Human Research Ethics Committee of the School of Nursing, Jilin University (HREC 2019120901). The results will be published in peer-reviewed journals and at conferences.Trial registration numberChiCTR1900028182; Pre-results.

GSTM1 and GSTT1 are involved in the detoxification of carcinogens such as smoking by-products, and polymorphisms in these two genes with a result of loss of enzyme activity may increase risk of carcinogenesis. Although many epidemiological studies have investigated the association between GSTM1 or GSTT1 null genotype and head and neck squamous cell carcinoma (HNSCC), the results remain conflicting. To elucidate the overall association of GSTM1, GSTT1 and HNSCC, we included all available studies and performed this meta-analysis. A dataset including 42 articles for GSTM1, 32 articles for GSTT1, and 15 articles for GSTM1 and GSTT1 in combination were identified by a search in PubMed. Associations beween HNSCC and polymorphisms of GSTM1 and GSTT1 alone and in combination were analysed by software RevMan 5.1. Stratification analysis on ethnicity and smoking status, sensitivity analysis, heterogeneity among studies and their publication bias were also tested. Association was found in overall analysis between HNSCC and GSTM1 and GSTT1 null genotype. Stratified by ethnicity, we found increased risks of HNSCC in carriers with GSTM1 null genotype in Asian, GSTT1 null genotype in South American, and dual null genotype in European and Asian. When stratified by smoking, a more significant association of GSTM1 null genotype with HNSCC risk was observed in smokers. This meta-analysis presented additional evidence of the association between GSTM1 and GSTT1 polymorphisms and HNSCC risk.

The typicality effect describes a phenomenon whereby a typical item is easier to be judged as a member of a category than are atypical items. This effect has been intensively studied in the context of category verification tasks. The present study further investigated the typicality effect using our newly developed category-based deductive reasoning task. Subjects were required to judge whether an incoming stimulus had the properties described in the premise presented before. The stimuli were either typical or atypical members of four target semantic categories or were non-target stimuli. According to the ERP results, three phases were needed to determine whether the object has the property associated with the category in the premise. First, significant amplitude differences were seen between typical and atypical items at N1, which suggested that attention processing was influenced by the expectation in this up-to-down (deductive) process. The premise automatically induced the expectation of the prototype of one concept, i.e. the expectation for the prototype of birds was induced when the premise was “Birds possess the property C”. Typical items (e.g., sparrow) were more similar to the prototype; hence, they were easier to be matched with the prototype induced by the premise than were atypical items (e.g., ostrich). Additionally, there was a dissociation between typical and atypical items at P2, which suggested that the participants' early detection of an item's category membership was influenced by the typicality. Thirdly, N400 effect is related to the process of semantic processes and determining whether the object has the property associated with the category in the premise. N400 mean amplitudes during the 300-500 ms epoch were significantly greater for non-target members than for target members, while words of lower typicality (atypical) evoked greater N400 amplitudes during the 350-450 ms epoch than did words of higher typicality (typical).

Functional polymorphisms in the promoter region of interleukin - 6 ( IL - 6 ) are known to be involved in bone mineral density (BMD) and the development of osteoporosis, but the reported results have been inconsistent. Using the meta-analysis approach, the present study is designed to provide a relatively comprehensive picture of the relationship between bone mineral density (BMD) or osteoporosis and polymorphisms in the promoter region of IL - 6 (rs1800795 and rs1800796). The difference of bone mineral density (BMD) values between genotypes was examined by mean difference and 95 % confidence intervals (CIs). Association between IL - 6 polymorphism and clinical osteoporosis was evaluated by pooled odds ratios (ORs) and 95 % CIs. A total of 13 articles with 11,499 subjects were included in the present study. For −174 (rs1800795), we found that individuals with the G/G genotype had a significantly lower BMD value than those with C/C genotype at femoral neck (0.02 g/cm 2 , 95 % CI 0.00–0.03) ( p  = 0.04) and distal radius (0.01 g/cm 2 , 95 %CI 0.01–0.01) ( p  < 0.0001). However, we did not find a statistically significant difference of BMD at the spine. When analysis was limited to postmenopausal women, similar results were obtained. We further found that the C/C genotype was associated with a reduced risk of osteoporosis compared to G/G genotype, and the pooled OR was 0.72 (95 % CI 0.54–0.95, p  = 0.02). In addition, a significant relationship was found between G-634C (rs1800796) polymorphism and distal radius BMD (CC vs. GG: 0.02 g/cm 2 , 95 % CI 0.01–0.03; GC vs. GG: 0.02 g/cm 2 , 95 % CI 0.00–0.03) in the Asian population. These findings suggest that the CC genotype of IL - 6 G-174C polymorphism may be associated with high BMD at femoral neck and distal radius and decreased risk of osteoporosis in the Caucasian population whereas G-634C polymorphism was associated with distal radius BMD in Asians.

Considering the issue of slow station access speed leading to a subpar user experience in the current power wireless communication system, this paper proposes an initial networking scheme that enhances the speed of networking by broadcasting current networking frequency information on a designated public frequency point, avoiding sequential attempts at networking on multiple frequency points. Furthermore, the current wireless communication network utilized by the State Grid operates within the public frequency band, rendering it susceptible to co-channel interference, potentially resulting in network unavailability for some stations. Hence, this paper suggests a networking method in which the entered stations sequentially switch frequency points within the beacon/CSMA timeslots to search for potential stations and ultimately transition to a new frequency point suitable for all stations. The experimental results demonstrate that the network access time of the stations unaffected by co-channel interference is only 21.5% compared to the current sequentially detection network access scheme. The stations affected by co-channel interference can still achieve successful network access under the proposed solution, with a remarkable success rate of 100%, thereby effectively enhancing the networking success rate. In summary, the proposed scheme in this paper enhances networking efficiency by addressing both networking speed and success rate. In addition, through calculation and analysis, it is known that the complexity and power consumption associated with networking do not result in significant increments.