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Background: Limited literature has addressed the impact of nut consumption in mitigating frailty. This study aimed to investigate the association between nut consumption and frailty among Americans aged above 60 years, employing two 24‐h dietary recalls for analysis. Methods: The data sets of the National Health and Nutrition Examination Survey (NHANES) (2003–2018) and the Food Patterns Equivalents Database were utilised for a weighted multiple logistic regression model to evaluate the association between nut consumption and frailty in elderly adults. Furthermore, a restricted cubic spline model was employed to investigate the nonlinear relationship between nut intake and frailty. Besides, stratified and interaction analyses were conducted to explore the sensitivity of nut consumption in reducing the risk of frailty in diverse subgroups. Results: The research study comprised 10,033 individuals aged 60 years or above, of whom 3591 were classified as frailty and 5302 consumed nuts. In the multivariate logistic regression analysis that adjusted for covariates, the weighted multivariate adjusted odds ratios demonstrated that the prevalence of frailty was lower in the nut intake group than in nonconsumers. The stratified analysis indicated that nearly all subgroups who consumed nuts had a significantly lower risk of frailty compared to nonconsumers, and an interaction was observed between nut intake and nonhypertensive populations. The optimal threshold for nut intake to decrease the risk of frailty was identified as 1.02 ounces. Conclusions: The study concluded that nut consumption has a constructive impact on averting frailty in elderly adults, particularly in nonhypertensive individuals. Nut intake of ~1.02 ounces per day is advantageous in improving the quality of life in elderly adults. Key points: This study investigated the impact of nut consumption on frailty among American seniors aged over 60.A lower prevalence of frailty was observed in nut consumers in the National Health and Nutrition Examination Survey database.Almost all subgroups consuming nuts reaped advantages, with nonhypertensive individuals markedly standing out.Optimal nut intake to reduce frailty risk was found to be ~1.02 ounces daily. [ABSTRACT FROM AUTHOR]

Infection‐related hospitalization during the peri‐dialysis period (PDP) in patients with end‐stage renal disease (ESRD) has received less attention. Considering the limited data, we explored the risk factors in this population. Retrospective analysis using the data system to examine factors for infection in ESRD during PDP between January 2012 and December 2017. Patients were divided into infected group and non‐infected group according to the history of infection. Binary Logistic Regression Model was used to search for risk factors. A total of 478 patients were hospitalized during their PDP. One hundred and ninety patients developed infection (39.75%). Thirty‐six patients (18.95%) had two or more infection events, all due to recurrent respiratory infections. The respiratory system was the main site of infection (63.68%), followed by the urinary system and digestive system. Compared with the non‐infected group, the infected group had more patients with hypoproteinemia and coronary heart disease. The following factors: C‐reactive protein >15 mg/L, procalcitonin >1 ng/L, neutrophil percentage >75%, age >52.5 years, platelet >300 × 109/L, neutrophil to lymphocyte ratio, and concomitant coronary heart disease were associated with the occurrence of infection in ESRD patients during PDP. Patients with ESRD have a high incidence of infection during the PDP, with respiratory infection most commonly seen. This research identified several factors associated with risk for infection, which should guide the design of infection prevention strategies. [ABSTRACT FROM AUTHOR]

A chirped laser pulse indicates that the laser frequency changes over the duration of the pulse: a positively (negatively) chirped pulse implies that the laser frequency increases (decreases) with time. In this paper, we use a simplified, fully relativistic hydrodynamic approach to simulate the influence of chirp on the propagation of a femtosecond relativistic laser pulse in underdense plasma. Based on this simplified cold‐fluid model, the influence of chirp on the main dynamics of the laser pulse, such as self‐steepening, red‐shift in the leading edge, variation of the frequency chirp, and the generated wakefields can be studied self‐consistently. The simulation results show that a pulse with a positive chirp results in a larger increment in the intensity parameter a0 when propagating a certain distance into an underdense plasma compared with an un‐chirped and a negatively chirped pulse, which is largely because of a much greater forward shift of the peak amplitude and more severe pulse self‐steepening effect due to the frequency red‐shift at the leading edge when exciting a plasma wave. The ponderomotive force, which relates to the first‐order differential of the laser pulse intensity envelope, is expected to be stronger for a positively chirped pulse because of its steeper leading edge and larger intensity parameter a0. As a result, the wakefield driven by the positively chirped laser pulse is more intense than that driven by an un‐chirped and a negatively chirped laser pulse, which is confirmed by our self‐consistent hydrodynamic simulation. [ABSTRACT FROM AUTHOR]