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BackgroundIndividuals with mild cognitive impairment and dementia have impaired physical and cognitive functions, leading to a reduced quality of life compared with those without such impairment. Exergaming, which is defined as a combination of exercise and gaming, is an innovative, fun, and relatively safe way to exercise in a virtual reality or gaming environment. Therefore, exergaming may help people living with mild cognitive impairment or dementia to overcome obstacles that they may experience regarding regular exercise and activities. ObjectiveThe aim of this systematic review was to review studies on exergaming interventions administered to elderly individuals with mild cognitive impairment and dementia, and to summarize the results related to physical and cognitive functions such as balance, gait, executive function, and episodic memory. MethodsWe searched Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase, PsycINFO, Amed, and Nursing Database for articles published from the inception of the respective databases to January 2019. We included all clinical trials of exergaming interventions in individuals with mild cognitive impairment and dementia for review. The risk of bias was independently evaluated by two reviewers using the Cochrane Collaboration and Risk of Bias in Non-randomized Studies of Interventions tools. ResultsTen studies involving 702 participants were included for review. There was consistent evidence from 7 studies with a low risk of bias showing statistically significant effects of exergaming on cognitive functioning in people with mild cognitive impairment and dementia. With respect to physical function, 3 of 5 full-scale studies found positive results, and the intensity of most games was classified as moderate. ConclusionsOverall, exergaming is an innovative tool for improving physical and cognitive function in people with mild cognitive impairment or dementia, although there is high heterogeneity among studies in terms of the duration, frequency, and gaming platform used. The quality of the included articles was moderate to high. More high-quality studies with more accurate outcome indicators are needed for further exploration and validation of the benefits of exergaming for this population.

Cognitive dysfunction refers to the functional impairment in one or more cognitive domains, mostly occurs in older adults. Cognitive dysfunction can commonly be divided into subjective cognitive decline (SCD), mild cognitive impairment (MCI) and dementia, depending on the degree of cognitive impairment. People with SCD or MCI have a higher risk of dementia, which seriously affects their quality of life, and imposes a huge burden on families and society. Numerous studies have demonstrated that physical activity is one effective non-pharmacological intervention for cognitive dysfunction, but there are no uniform standards for physical activity programs for cognitive dysfunction worldwide, and China still has no physical activity guidelines based on the values and preferences of older adults with cognitive dysfunction, partially impeding the dissemination and application of relevant evidence. In view of this, we developed a guideline containing eight recommendations that is applicable in China, namely the Clinical Practice Guideline on Non-pharmacological Interventions for Older Adults with Cognitive Dysfunction: Physical Activity, by the use of existing evidence, and the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) framework combined with values and preferences of Chinese older adults with cognitive dysfunction. This guideline will contribute to the reduction of the incidence of cognitive dysfunction, and preventing or slowing the progression of cognitive dysfunction to dementia.

As the country that emits the most carbon in the world, China needs significant and urgent changes in carbon emission control in the transportation sector in order to achieve the goals of reaching peak carbon emissions before 2030 and achieving carbon neutrality by 2060. Therefore, the promotion of new energy vehicles has become the key factor to achieve these two objectives. For the reason that the comprehensive transportation cost directly affects the end customer's choice of heavy truck models, this work compares the advantages, disadvantages, and economic feasibility of diesel, liquefied natural gas (LNG), electric, hydrogen, and methanol heavy trucks from a total life cycle cost and end-user perspective under various scenarios. The study results show that when the prices of diesel, LNG, electricity, and methanol fuels are at their highest, and the price of hydrogen is 35 CNY/kg, the total life cycle cost of the five types of heavy trucks from highest to lowest are hydrogen heavy trucks (HHT), methanol heavy trucks (MHT), diesel heavy trucks (DHT), electric heavy trucks (EHT), and LNG heavy trucks (LNGHT), ignoring the adverse effects of cold environments on car batteries. When the prices of diesel, LNG, electricity, and methanol fuels are at average or lowest levels, and the price of hydrogen is 30 CNY/kg or 25 CNY/kg, the life cycle cost of the five heavy trucks from highest to lowest are HHT, DHT, MHT, EHT, and LNGHT. When considering the impact of cold environments, even with lower electricity prices, EHT struggle to be economical when LNG prices are low. If the electricity price is above 1 CNY/kWh, regardless of the impact of cold environments, the economic viability of EHT is lower than that of HHT with a purchase cost of 500,000 CNY and a hydrogen price of 25 CNY/kg. Simultaneously, an exhaustive competitiveness analysis of heavy trucks powered by diverse energy sources highlights the specific categories of heavy trucks that ought to be prioritized for development during various periods and the challenges they confront. Finally, based on the analysis results and future development trends, the corresponding policy recommendations are proposed to facilitate high decarbonization in the transportation sector. [ABSTRACT FROM AUTHOR]

Rheumatoid arthritis (RA) is a common autoimmune disease characterized by progressive joint inflammation and destruction, deformity, loss of mobility, and permanent disability. Although the cellular and molecular mechanisms involved in RA are understood in detail, no drugs or therapies can completely cure RA. Many long-term efforts have been directed towards a better understanding of RA pathogenesis and the development of new classes of therapeutics. Thus, the ongoing elucidation of pathogenic events underlying RA mostly relies on studies of animalmodels. Herein, we comprehensively review and discuss the characteristics, challenges, and unresolved of issues of various experimental models of RA to provide a basis and reference for the rational selection of experimental RA models for basic investigations into traditional Chinese medicine (TCM).

Polyunsaturated fatty acids (PUFAs) are vital nutrients in human physiology and are implicated in various chronic diseases. However, the relationship between PUFAs and gastric polyps remains unclear. This study employed liquid chromatography-tandem mass spectrometry (LC-MS/MS) to assess PUFA levels in the serum of 350 patients, along with analyzing the ω-6 to ω-3 ratio. The results revealed significant differences in the levels of C16:1, C18:1, C18:2, α-C18:3, γ-C18:3, C20:1, C20:4, C20:5, ω-3-C22:5, ω-6-C22:5, and C22:6, as well as ω-6 to ω-3 ratio between the control and gasteic polyp groups. Moreover, setting the threshold for ω-6: ω-3 at 10 revealed a close correlation between polyp occurrence and this ratio. These findings suggest that PUFAs and the ω-6 to ω-3 ratio hold promise as potential early screening markers for gastric polyps. However, further research is imperative to elucidate the underlying mechanisms and therapeutic potential of PUFAs in managing gastric polyps. [ABSTRACT FROM AUTHOR]