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Herein, a method for the assembly of biologically valuable 3‐selenospiro[4,5]decatrienones through CuBr2‐catalyzed ispo‐cyclization of Se powder, boronic acids, and N‐(p‐methoxyaryl)propiolamides has been established. In this protocol, noble transition metal, prefunctionalized selenylation reagent, and strong chemical oxidant are not employed. This method feature wide substrate scope, good functional group tolerance, easy operation, and employing earth‐abundant metal as catalyst and green air as oxidant. Furthermore, several derivatizations of 3‐selenospiro[4,5]decatrienones are performed to showcase the practicability of our strategy. [ABSTRACT FROM AUTHOR]

The unscientific application of nitrogen (N) fertilizer not only increases the economic input of pear growers but also leads to environmental pollution. Improving plant N use efficiency (NUE) is the most effective economical method to solve the above problems. The absorption and utilization of N by plants is a complicated process. Glutamine synthetase (GS) and glutamate synthase (GOGAT) are crucial for synthesizing glutamate from ammonium in plants. However, their gene family in pears has not been documented. This study identified 29 genes belonging to the GS and GOGAT family in the genomes of Pyrus betulaefolia (P.be, 10 genes), Pyrus pyrifolia (P.py, 9 genes), and Pyrus bretschneideri (P.br, 10 genes). These genes were classified into two GS subgroups (GS1 and GS2) and two GOGAT subgroups (Fd–GOGAT and NADH–GOGAT). The similar exon–intron structures and conserved motifs within each cluster suggest the evolutionary conservation of these genes. Meanwhile, segmental duplication has driven the expansion and evolution of the GS and GOGAT gene families in pear. The tissue–specific expression dynamics of PbeGS and PbeGOGAT genes suggest significant roles in pear growth and development. Cis–acting elements of the GS and GOGAT gene promoters are crucial for plant development, hormonal responses, and stress reactions. Furthermore, qRT–PCR analysis indicated that PbeGSs and PbeGOGATs showed differential expression under exogenous hormones (GA3, IAA, SA, ABA) and abiotic stress (NO3− and salt stress). In which, the expression of PbeGS2.2 was up–regulated under hormone treatment and down–regulated under salt stress. Furthermore, physiological experiments demonstrated that GA3 and IAA promoted GS, Fd–GOGAT, and NADH–GOGAT enzyme activities, as well as the N content. Correlation analysis revealed a significant positive relationship between PbeGS1.1, PbeGS2.2, PbeNADH–GOGATs, and the N content. Therefore, PbeGS1.1, PbeGS2.2, and PbeNADH–GOGATs could be key candidate genes for improving NUE under plant hormone and abiotic stress response. To the best of our knowledge, our study provides valuable biological information about the GS and GOGAT family in the pear for the first time and establishes a foundation for molecular breeding aimed at developing high NUE pear rootstocks. [ABSTRACT FROM AUTHOR]

Objective: Currently, the most commonly used methods for linkage analysis of pre‐implantation genetic testing for monogenic disorders (PGT‐M) are next generation sequencing (NGS) and SNP array. We aim to investigate whether the application efficacy of Asian screening array (ASA) in PGT‐M preclinical workup for the Chinese population is superior to NGS based single nucleotide polymorphism (SNP) panels. Methods: We conducted a retrospective analysis by reviewing 294 couples from a single center over the past 4 years and compared the detection results between NGS‐based SNP panels and ASA. Using the numbers of informative SNPs upstream and downstream flanking of variants, we assessed the detection efficiency of both methods in monogenic diseases, chromosomal microdeletion syndrome and males with de novo variants, among other scenarios. Results: Results indicate that ASA offers a greater number of informative SNPs compared with NGS‐based SNP panels. Additionally, data analysis for ASA is generally more straightforward and may require less computational resources. While ASA can address most PGT‐M challenges, we have also identified certain genes in previous tests that are not suitable for PGT‐M using ASA. Conclusion: The application of ASA in PGT‐M preclinical workup for Chinese populations has good practical value as it can perform linkage analysis for most genetic variants. However, for certain variants, NGS or other testing methods, such as mutated allele revealed by sequencing with aneuploidy and linkage analysis (MARSALA), may still be necessary for completion. [ABSTRACT FROM AUTHOR]

Tumor cells possess complex immune evasion mechanisms to evade immune system attacks, primarily through metabolic reprogramming, which significantly alters the tumor microenvironment (TME) to modulate immune cell functions. When a tumor is sufficiently immunogenic, it can activate cytotoxic T-cells to target and destroy it. However, tumors adapt by manipulating their metabolic pathways, particularly glucose, amino acid, and lipid metabolism, to create an immunosuppressive TME that promotes immune escape. These metabolic alterations impact the function and differentiation of non-tumor cells within the TME, such as inhibiting effector T-cell activity while expanding regulatory T-cells and myeloid-derived suppressor cells. Additionally, these changes lead to an imbalance in cytokine and chemokine secretion, further enhancing the immunosuppressive landscape. Emerging research is increasingly focusing on the regulatory roles of non-tumor cells within the TME, evaluating how their reprogrammed glucose, amino acid, and lipid metabolism influence their functional changes and ultimately aid in tumor immune evasion. Despite our incomplete understanding of the intricate metabolic interactions between tumor and non-tumor cells, the connection between these elements presents significant challenges for cancer immunotherapy. This review highlights the impact of altered glucose, amino acid, and lipid metabolism in the TME on the metabolism and function of non-tumor cells, providing new insights that could facilitate the development of novel cancer immunotherapies. [ABSTRACT FROM AUTHOR]

Stream nitrogen concentrations significantly impact nitrogen loads and greenhouse gas emissions, but their spatiotemporal heterogeneity and human influences remain highly uncertain. This study thoroughly explored the spatiotemporal variations in stream nitrogen concentrations in a typical headwater watershed in South China. Spatially distributed measurements were conducted during 2020–2022, and mathematical modeling was implemented based on incorporating these data. More than 4,400 data points were collected for water temperature and concentrations of ammonium nitrogen (NH4‐N), nitrate nitrogen (NOx‐N), dissolved total nitrogen (DTN), total nitrogen (TN), and dissolved oxygen. Results showed that NOx‐N was the largest component of TN, with average concentrations of 1.20 and 1.66 mg L−1, respectively. The stream N2O concentration could be predicted using NH4‐N and NOx‐N concentrations via the Michaelis‐Menten equation. Significant downstream decreases in NH4‐N, NOx‐N, DTN, and TN concentrations were identified in the largest river in the watershed, and clear spatial differences in these nitrogen concentrations existed among the three main rivers. Clear seasonal and annual variations in stream nitrogen concentrations were observed. NH4‐N, NOx‐N, DTN, and TN concentrations correlated with cumulative precipitation from the preceding 8–12 days, while stream N2O concentrations correlated over 13–20 days. Stream N2O concentrations and emissions averaged 12.77 nmol L−1 and 1.12 nmol m−2 s−1, respectively, and were lower in summer than in other seasons. Upstream tea plantations, villages, and adjacent agricultural lands significantly affected nitrogen concentrations, while overflow dams did not. These findings highlight nitrogen cycle's complexity and the need for high‐resolution data to guide effective watershed management. Plain Language Summary: Stream nitrogen concentrations directly influence water nitrogen pollution, eutrophication, and greenhouse gas emissions. Currently, increasingly intensified human activities and climate change have further complicated the already complex spatiotemporal distribution of stream nitrogen concentrations, making it even more uncertain. As a result, in‐depth investigations into the spatiotemporal heterogeneity of stream nitrogen concentrations are urgently needed. In this study, we thoroughly explored the spatiotemporal distribution of stream nitrogen concentrations in a typical headwater watershed in South China, where water quality is significantly influenced by intense human activities, including residential areas, rice and tea cultivation, and the construction of overflow dams. We combined extensive field measurements with mathematical modeling to illustrate the spatiotemporal variations in stream nitrogen concentrations and the corresponding natural and anthropogenic drivers. Our findings revealed that the decreasing trend in stream nitrogen concentrations from upstream to downstream in the largest river could be attributed to upstream human activities, while terrain accounted for the contrasting nitrogen concentrations across different rivers. We also discovered that stream nitrogen concentrations were significantly correlated with cumulative precipitation over the preceding approximately 10 days. Overall, the data and findings from this study have important implications for the management of water environments in headwater watersheds. Key Points: Over 4400 data points are collected to explore spatiotemporal heterogeneity in stream nitrogen concentrations in a headwater watershedStream nitrous oxide concentration can be predicted using stream ammonium and nitrate concentrations via the Michaelis‐Menten equationUpstream tea plantations, villages, and agricultural lands adjacent to streams severely affect stream nitrogen concentrations [ABSTRACT FROM AUTHOR]

Purpose: Although urgent orbital decompression surgery for sight-threatening Graves' orbitopathy unresponsive to available medical treatments continues to evolve, post-operative new-onset or worsened pre-operative strabismus or diplopia remains a significant complication. At present, the optimal surgical technique remains debatable. Here, we sought to compare long-term outcomes after balanced medial–lateral wall versus selective 3-wall decompression as an urgent treatment for unresponsive sight-threatening GO. Methods: This retrospective study examined the post-operative outcome of 102 eyes (57 patients) that underwent urgent orbital decompression for sight-threatening GO. Treatment effectiveness was measured by visual acuity, proptosis, perimetry, and strabismus/diplopia, while fundus findings were detected by fundus color photography and optical coherence tomography and followed up for more than 12 months. Results: Fifty-seven patients (102 orbits) with an average age of 52.7 ± 10.2 years were evaluated. Balanced medial–lateral wall (BMLW-OD) or selective 3-wall decompression(S3W-OD) were performed in 54 and 48 eyes, respectively. Twelve months after orbital decompression, all parameters significantly improved in both groups, including best-corrected visual acuity (BCVA), mean defect of visual field (VF-MD), pattern standard deviation of visual field (VF-PSD), and proptosis (all P < 0.01). However, new-onset esotropia occurred in 25.8% and 3.8% of patients who underwent BMLW-OD surgery or S3W-OD, respectively. Moreover, 6.5% and 38.5% of patients improved after decompression in the medial–lateral wall decompression group and the selective 3-wall decompression group, respectively. Conclusions: We demonstrated that S3W-OD provides a lower rate of new-onset strabismus/diplopia as compared with BMLW-OD surgery, while still allowing for satisfactory visual outcomes. Trial registration number : NCT05627401. Date of registration: November 25, 2022. [ABSTRACT FROM AUTHOR]

Background: The occurrence and progression of asthma can be influenced by the components in food. Our study aims to determine whether dietary antioxidant and inflammatory potential are associated with the risk of mortality in asthma patients. Methods: Participants from the 2001–2018 National Health and Nutrition Examination Survey (NHANES) aged 20 years and older with a diagnosis of asthma were included. Mortality status was obtained according to death certificate records from the National Death Index. The antioxidant and inflammatory potential of the diet was assessed using two widely used and dependable indices, Composite Dietary Antioxidant Index (CDAI) and Dietary Inflammatory Index (DII). Restricted cubic spline (RCS) regression was used to analyze the non-linear relationship between the two indexes and mortality. Multivariable Cox proportional risk models were used to estimate hazard ratio and 95% confidence intervals for mortality. Finally, the relationship between CDAI and DII was analyzed. Results: A total of 4698 NHANES participants represented 23.2 million non-institutionalized residents of the US were enrolled in our study. Patients with higher CDAI or lower DII exhibited longer survival times. RCS regression showed a linear relationship of CDAI or DII with mortality. In the Cox regression, both crude and adjusted models demonstrated that higher CDAI or lower DII was linked to a reduced risk of all-cause mortality. Similar associations were found in subgroup analysis. Finally, a negative relationship was found between CDAI and DII. Conclusion: Reducing pro-inflammatory or increasing antioxidant diets could reduce all-cause mortality among adult asthma patients. [ABSTRACT FROM AUTHOR]

Protein disulfide isomerases (PDIs) and PDI-like proteins catalyze the oxidation and reduction in protein disulfide bonds, inhibit aggregation of misfolded proteins, and participate in isomerization and abiotic stress responses. The wild type 'duli' pear (Pyrus betulaefolia) is an important rootstock commonly used for commercial pear tree grafting in northern China. In this study, we identified 24 PDI genes, named PbPDIs, from the genome of 'duli' pear. With 12 homologous gene pairs, these 24 PbPDIs distribute on 12 of its 17 chromosomes. Phylogenetic analysis placed the 24 PbPDIs into four clades and eleven groups. Collinearity analysis of the PDIs between P. betulaefolia, Arabidopsis thaliana, and Oryza sativa revealed that the PbPDIs of 'duli' pear show a strong collinear relationship with those from Arabidopsis, a dicot; but a weak collinear relationship with those from rice, a monocot. Quantitative RT-PCR analysis showed that most of the PbPDIs were upregulated by salt stress. Identification and expression analysis of 'duli' pear PbPDIs under salt stress conditions could provide useful information for further research in order to generate salt-resistant rootstock for pear grafting in the future. [ABSTRACT FROM AUTHOR]

The development of peptide drugs has made tremendous progress in the past few decades because of the advancements in modification chemistry and analytical technologies. The novel‐designed peptide drugs have been modified through various biochemical methods with improved diagnostic, therapeutic, and drug‐delivery strategies. Researchers found it a helping hand to overcome the inherent limitations of peptides and bring continued advancements in their applications. Furthermore, the emergence of peptide‐drug conjugates (PDCs)—utilizes target‐oriented peptide moieties as a vehicle for cytotoxic payloads via conjugation with cleavable chemical agents, resulting in the key foundation of the new era of targeted peptide drugs. This review summarizes the various classifications of peptide drugs, suitable chemical modification strategies to improve the ADME (adsorption, distribution, metabolism, and excretion) features of peptide drugs, and recent (2015–early 2024) progress/achievements in peptide‐based drug delivery systems as well as their fruitful implication in preclinical and clinical studies. Furthermore, we also summarized the brief description of other types of PDCs, including peptide‐MOF conjugates and peptide‐UCNP conjugates. The principal aim is to provide scattered and diversified knowledge in one place and to help researchers understand the pinching knots in the science of PDC development and progress toward a bright future of novel peptide drugs. [ABSTRACT FROM AUTHOR]

Objective. Intrahepatic cholestasis of pregnancy (ICP) significantly impacts the maternal and fetal safety. Research on the role of clinical pharmacists in guiding drug therapy for this condition remains limited. This study aimed to evaluate the effectiveness of graded pharmaceutical care for women with intrahepatic cholestasis of pregnancy and to provide a theoretical foundation for clinical pharmacist services. Study Design. This study comprises a pre‐and‐post analysis of women with intrahepatic cholestasis of pregnancy (ICP) treated between December 2019 and June 2023 at a tertiary hospital in Jiangsu province. Each group consisted of 102 participants. The control group received standard treatment, while the guardianship group received graded pharmacological care provided by a clinical pharmacist. The effectiveness of pharmacological monitoring by clinical pharmacists was assessed by comparing and analyzing clinical outcome indicators, quality management indicators, safety indicators, and economic factors. Results. The guardianship group exhibited a noteworthy 12.8% reduction in combined adverse pregnancy outcome and more effective management of total prenatal bile acids compared to the control group (16.05 µmol/L vs. 22.85 µmol/L, P < 0.05). The guardianship group displayed superior rationalization of therapeutic drugs and medication duration (P < 0.05). The cost‐benefit analysis revealed a favorable economic impact concerning medication costs but did not indicate economic significance regarding total inpatient costs. Conclusion. The implementation of a graded pharmaceutical care model by a clinical pharmacist holds the potential to enhance outcomes for women experiencing intrahepatic cholestasis during pregnancy, mitigate adverse pregnancy results, optimize the rational utilization of therapeutic medications, and yield positive economic results. [ABSTRACT FROM AUTHOR]

'Duli' (Pyrus betulifolia Bunge) is one of the main rootstocks of pear trees in China. Gibberellin (GA) is a key plant hormone and the roles of GA in nitrate (NO3−) uptake and metabolism in plants remain unclear. In this study, we investigated the effects of exogenous GA3 on the N metabolism of 'Duli' seedlings under NO3− deficiency. The results showed that exogenous GA3 significantly improves 'Duli' growth under NO3− deficiency. On the one hand, GA3 altered the root architecture, increased the content of endogenous hormones (GA3, IAA, and ZR), and enhanced photosynthesis; on the other hand, it enhanced the activities of N−metabolizing enzymes and the accumulation of N, and increased the expression levels of N absorption (PbNRT2) and the metabolism genes (PbNR, PbGILE, PbGS, and PbGOGAT). However, GA3 did not delay the degradation of chlorophyll. Paclobutrazol had the opposite effect on growth. Overall, GA3 can increase NO3− uptake and metabolism and relieve the growth inhibition of 'Duli' seedlings under NO3− deficiency. [ABSTRACT FROM AUTHOR]

Background: Toxoplasma gondii infection causes adverse pregnancy outcomes by affecting the expression of immunotolerant molecules in decidual immune cells. Galectin-9 (Gal-9) is widely expressed in decidual macrophages (dMφ) and is crucial for maintaining normal pregnancy by interacting with the immunomodulatory protein T-cell immunoglobulin and mucin domain-containing molecule 3 (Tim-3). However, the effects of T. gondii infection on Gal-9 expression in dMφ, and the impact of altered Gal-9 expression levels on the maternal–fetal tolerance function of decidual natural killer (dNK) cells, are still unknown. Methods: Pregnancy outcomes of T. gondii-infected C57BL/6 and Lgals9−/− pregnant mice models were recorded. Expression of Gal-9, c-Jun N-terminal kinase (JNK), phosphorylated JNK (p-JNK), and Forkhead box protein O1 (FOXO1) was detected by western blotting, flow cytometry or immunofluorescence. The binding of FOXO1 to the promoter of Lgals9 was determined by chromatin immunoprecipitation–polymerase chain reaction (ChIP-PCR). The expression of extracellular signal-regulated kinase (ERK), phosphorylated ERK (p-ERK), cAMP-response element binding protein (CREB), phosphorylated CREB (p-CREB), T-box expressed in T cells (T-bet), interleukin 10 (IL-10), and interferon gamma (IFN-γ) in dNK cells was assayed by western blotting. Results: Toxoplasma gondii infection increased the expression of p-JNK and FOXO1 in dMφ, resulting in a reduction in Gal-9 due to the elevated binding of FOXO1 with Lgals9 promoter. Downregulation of Gal-9 enhanced the phosphorylation of ERK, inhibited the expression of p-CREB and IL-10, and promoted the expression of T-bet and IFN-γ in dNK cells. In the mice model, knockout of Lgals9 aggravated adverse pregnancy outcomes caused by T. gondii infection during pregnancy. Conclusions: Toxoplasma gondii infection suppressed Gal-9 expression in dMφ by activating the JNK/FOXO1 signaling pathway, and reduction of Gal-9 contributed to dysfunction of dNK via Gal-9/Tim-3 interaction. This study provides new insights for the molecular mechanisms of the adverse pregnancy outcomes caused by T. gondii. [ABSTRACT FROM AUTHOR]

The primary objective of this study was to evaluate the predictors associated with target concentration (non-)attainment of imipenem in critically ill patients. The secondary objective was to explore the correlation between achieving imipenem target concentrations and clinical outcomes of therapy. A retrospective cohort study was conducted in critically ill patients treated with imipenem. Clinical data were extracted from the patients' electronic medical records. The pharmacokinetic/pharmacodynamic target was defined as free imipenem concentrations above the minimum inhibitory concentration (MIC) of the pathogen at 100% (100%fT>MIC) of the dosing interval. Factors associated with the non-attainment of target concentrations were evaluated using binomial logistic regression. Kaplan-Meier analysis was used to investigate the correlation between (non-)attainment targets and 30-day mortality. A total of 406 patients were included, and 55.4% achieved the target of 100%fT>MIC. Regression analysis identified an initial daily dose of imipenem ≤ 2 g/day, augmented renal clearance, age ≤ 60 years, recent surgery, and absence of positive microbiology culture as risk factors for target non-attainment. Achieving the 100%fT>MIC target was significantly associated with clinical efficacy but not with 30-day mortality. Selective application of therapeutic drug monitoring in the early stages of imipenem treatment for critically ill patients can improve clinical outcomes. Further research should explore the potential benefits of TDM-guided dosing strategies for imipenem in critical care settings. [ABSTRACT FROM AUTHOR]

ZIF-67-derived Co–N–C catalysts exhibit efficient water-splitting performance and thus have attracted intense research interest. However, the serious Co agglomeration and loss of most N atoms due to high-temperature pyrolysis limit the further improvement of their electrocatalytic performance. Herein, we report a ZIF-67-derived 2D porous N-doped carbon nanosheet decorated with a Co nanoflake catalyst (Co@NC/CC-500) for OER and HER by a facile pyrolysis method at a low temperature of 500 °C. Benefiting from the ultrahigh N doping (12 atom %) and uniformly dispersed Co nanoflakes on 2D porous carbon nanosheets, which lead to a high content of Co–N active sites, the Co@NC/CC-500 catalyst exhibits outstanding performance toward the HER and OER with overpotentials of 95 and 183 mV at 10 mA cm–2 in 1 M KOH, respectively. Furthermore, the alkaline water electrolyzer using Co@NC/CC-500 as the cathode and anode catalysts can achieve a current density of 10 mA cm–2 at a cell voltage of 1.52 V. This special low-temperature production method may be extensively utilized to create precisely defined monometal or bimetal nanoflakes decorated on 2D porous N-doped carbon nanosheets for diverse electrochemical energy applications. [ABSTRACT FROM AUTHOR]

Concrete in coastal areas is susceptible to structural damage caused by corrosion and expansion of reinforcement. Near‐surface mounted (NSM) fiber‐reinforced polymer (FRP) bars have become effective for strengthening damaged reinforced concrete structures. The bonding performance of NSM FRP bars in concrete is a key factor limiting their application and promotion in civil engineering. In this study, the influences of the conditioned environment, such as the chloride salt concentration, immersion time, and bond length of the FRP bar, on the bonding performance were investigated experimentally. First, material properties in a conditioned environment were studied. Subsequently, the failure mode, bond stress–slip curve, and bond strength of the NSM FRP bar in concrete were investigated. Finally, the microstructure and chemical composition of the materials were revealed using scanning electron microscopy and energy‐dispersive spectroscopy (EDS) images of the materials under environmental conditions. The transfer mechanism of NSM FRP bars in concrete with epoxy was revealed. The results showed that the failure modes of the pullout specimens can be divided into epoxy splitting failure and basalt fiber‐reinforced polymer (BFRP) pulling failure. The chloride‐salt concentration was a critical factor affecting the bond properties, and the longer the bond length, the lower the bond strength. The microstructure clearly shows that the degradation of the bonding behavior at the interface of the NSM FRP bar in concrete in a conditioned environment is attributable primarily to the resin damage of the epoxy, resulting in pit corrosion. There was no significant damage to the fibers in the FRP bar, and the degradation was primarily due to resin matrix damage and interfacial debonding. The EDS results showed that the degradation of the epoxy resin and BFRP bars was caused by CO bond and SiO bond fractures, respectively. [ABSTRACT FROM AUTHOR]

Myeloid-derived suppressor cells (MDSCs) play a crucial role in maintaining maternal-fetal tolerance by expressing some immune-suppressive molecules, such as indoleamine 2,3-dioxygenase (IDO). Toxoplasma gondii (T. gondii) infection can break the immune microenvironment of maternal-fetal interface, resulting in adverse pregnancy outcomes. However, whether T. gondii affects IDO expression in dMDSCs and the molecular mechanism of its effect are still unclear. Here we show, the mRNA level of IDO is increased but the protein level decreased in infected dMDSCs. Mechanistically, the upregulation of transcriptional levels of IDO in dMDSCs is regulated through STAT3/p52-RelB pathway and the decrease of IDO expression is due to its degradation caused by increased SOCS3 after T. gondii infection. In vivo, the adverse pregnancy outcomes of IDO−/− infected mice are more severe than those of wide-type infected mice and obviously improved after exogenous kynurenine treatment. Also, the reduction of IDO in dMDSCs induced by T. gondii infection results in the downregulation of TGF-β and IL-10 expression in dNK cells regulated through Kyn/AhR/SP1 signal pathway, eventually leading to the dysfunction of dNK cells and contributing the occurrence of adverse pregnancy outcomes. This study reveals a novel molecular mechanism in adverse pregnancy outcome induced by T. gondii infection. IDO downregulation in dMDSCs induced by Toxoplasma gondii infection regulates expression of TGF-β and IL-10 through the Kyn/AhR/SP1 signal pathway, eventually contributing to the dysfunction of dNK cells. [ABSTRACT FROM AUTHOR]

Iodine and thyroid hormones (TH) transport in the placenta are essential for fetal growth and development, but there is little research focus on the human placenta. The research aimed to investigate iodine and TH transport mechanisms in the human placenta. The placenta was collected from sixty healthy pregnant women. Urinary iodine concentration (UIC), serum iodine concentration (SIC), placenta iodine storage (PIS) and the concentration of serum and placenta TH were examined. Five pregnant women were selected as insufficient intake (II), adequate intake (AI) and above requirements intake (ARI) groups. Localisation/expression of placental sodium/iodide symporter (NIS) and Pendrin were also studied. Results showed that PIS positively correlated with the UIC (R = 0·58, P < 0·001) and SIC (R = 0·55, P < 0·001), and PIS was higher in the ARI group than that in the AI group (P = 0·017). NIS in the ARI group was higher than that in the AI group on the maternal side of the placenta (P < 0·05). NIS in the II group was higher than that in the AI group on the fetal side (P < 0·05). In the II group, NIS on the fetal side was higher than on the maternal side (P < 0·05). Pendrin was higher in the II group than in the AI group on the maternal side (P < 0·05). Free triiodothyronine (r = 0·44, P = 0·0067) and thyroid-stimulating hormone (r = 0·75, P < 0·001) between maternal and fetal side is positively correlated. This study suggests that maternal iodine intake changes the expression of NIS and Pendrin, thereby affecting PIS. Serum TH levels were not correlated with placental TH levels. [ABSTRACT FROM AUTHOR]

Background: Thalassemias represent some of the most common monogenic diseases worldwide and are caused by variations in human hemoglobin genes which disrupt the balance of synthesis between the alpha and beta globin chains. Thalassemia gene detection technology is the gold standard to achieve accurate detection of thalassemia, but in clinical practice, most of the tests are only for common genotypes, which can easily lead to missing or misdiagnosis of rare thalassemia genotypes. Case presentation: We present the case of an 18-year-old Chinese female with abnormal values of routine hematological indices who was admitted for genetic screening for thalassemia. Genomic DNA was extracted and used for the genetic assays. Gap polymerase chain reaction and agarose gel electrophoresis were performed to detect HBA gene deletions, while PCR-reverse dot blot hybridization was used to detect point mutations in the HBA and HBB genes. Next-generation sequencing and third-generation sequencing (TGS) were used to identify known and potentially novel genotypes of thalassemia. We identified a novel complex variant αHb WestmeadαHb Westmeadαanti3.7/-α3.7 in a patient with rare alpha-thalassemia. Conclusions: Our study identified a novel complex variant that expands the thalassemia gene variants spectrum. Meanwhile, the study suggests that TGS could effectively improve the specificity of thalassemia gene detection, and has promising potential for the discovery of novel thalassemia genotypes, which could also improve the accuracy of genetic counseling. Couples who are thalassemia carriers have the opportunity to reduce their risk of having a child with thalassemia. [ABSTRACT FROM AUTHOR]

Hydrogen sulfide (H2S) plays a significant role in the onset and progression of cancer. It has led to increased interest in its potential as a diagnostic tool owing to its overexpression in cancer. However, research into the anti-cancer activity of H2S, particularly its ability to promote apoptosis, is hindered by the lack of effective detection tools. To gain a comprehensive understanding of the targeted efficacy of H2S in promoting cancer cell apoptosis, we designed and synthesized a self-immolative near-infrared fluorescent diagnostic probe, named YH-NO2. The activation of this self-immolative reaction is dependent on the presence of nitroreductase (NTR) overexpressed in tumor cells. The design of YH-NO2 involves releasing fluorophores through the activated self-immolative reaction for detection, while simultaneously releasing H2S-loaded self-immolative spacers to promote cancer cell apoptosis. Consequently, YH-NO2 achieves a seamless integration of recognizing and promoting cancer cell apoptosis through its self-immolative structure. This dual function allows YH-NO2 to recognize NTR activity in cells under varying hypoxia levels and differentiate between normal cells and cancer cells using imaging technology. Notably, YH-NO2 exhibits remarkable stability in cellular environments, providing controlled and selective H2S release, thereby targeting the elimination of cancer cells through the promotion of apoptosis. Furthermore, in vivo experiments have demonstrated that YH-NO2 can accurately identify tumor tissue and effectively reduce its size by utilizing its apoptosis-promoting properties. These findings not only provide further evidence for the anti-cancer activity of H2S but also offer valuable tools for understanding the complex relationship between H2S and cancer. [ABSTRACT FROM AUTHOR]

Introduction: Frailty has become a worldwide health burden that has a large influence on public health and clinical practice. The incidence of frailty is anticipated to increase as the ageing population increases. Myocardial injury after noncardiac surgery (MINS) is associated with short-term and long-term mortality. However, the incidence of MINS in frail geriatric patients is unknown. Methods and analysis: This prospective, multicentre, real-world observational cohort study will be conducted at 18 designated centres in China from January 2023 to December 2024, with an anticipated sample size of 856 patients aged 65 years and older who are scheduled to undergo noncardiac surgery. The primary outcome will be the incidence of MINS. MINS is defined as a fourth-generation plasma cardiac troponin T (cTnT) concentration ≥ 0.03 ng/mL exhibited at least once within 30 days after surgery, with or without symptoms of myocardial ischaemia. All data will be collected via electronic data acquisition. Discussion: This study will explore the incidence of MINS in frail patients. The characteristics, predictive factors and 30-day outcomes of MINS in frail patients will be further investigated to lay the foundation for identifying clinical interventions. Clinical trial registration: https://beta.clinicaltrials.gov/study/NCT05635877, NCT05635877. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to explore the differences in iodine metabolism and expression of NIS and Pendrin in pregnant rats under different iodine nutritional status. Methods: Female Wistar rats were divided into four groups: low iodine (LI), normal iodine (NI), ten fold high iodine (10HI), and fifty fold high iodine (50HI). The intervention began after one week of adaptive feeding. Iodine metabolism experiments were performed beginning on the 15th day of pregnancy. 24-h iodine intake and excretion were calculated. The concentrations of iodine in urine, fecal, thyroid, and placenta were measured by ICP-MS. PCR and Western Blot were used to detect the mRNA levels and cell membrane protein of sodium/iodide symporter (NIS) and Pendrin in the small intestine, thyroid, kidney, and placenta. Results: Fecal iodine excretion (FIE) and urinary iodine excretion (UIE) in the 50HI group were significantly higher than those in the NI group (P < 0.05). The NIS protein and mRNA in the kidney and small intestine have an upward trend in iodine deficiency and a downward trend in iodine excess. Thyroid and placental iodine storage in the 50HI group were significantly higher than those in the NI group (P < 0.05). NIS, Pendrin protein, and mRNA in the thyroid and placenta tend to increase when iodine is deficient and decrease when there is excess. Conclusion: Iodine excretion and iodine stores in the placenta and thyroid gland are positively correlated with iodine intake. NIS and Pendrin are also regulated by iodine intake. [ABSTRACT FROM AUTHOR]

We combined untargeted and targeted metabolomics to explore the mechanism of blood circulation and blood stasis activation in the traditional Chinese herb pair Panax notoginseng–Salvia miltiorrhiza (PS). In this study, the right hind limb of SD rats was struck by a 1 kg weight, causing traumatic blood stasis (TBS) model, then the rats were gavaged with PS (at ratios of 1:0, 0:1, 3:1, 1:1, and 1:3) for 5 consecutive days. At the end of treatment, blood samples were collected for blood rheology and metabolomics analysis, and muscle tissues of injured limbs were used for HE staining and q-PCR analysis. The results showed that different ratios of PS reduced swelling and improved stasis and blood viscosity in the injured limbs of rats, and intervened in metabolism by modulating 11, 11, 17, 15, and 13 differential metabolites, respectively. The PS (3:1) shows the best treatment effect and the most differential metabolites regression. Targeted metabolomics shows that PS (3:1) can increase the content of AA, and reduce the content of PGF2-α by down-regulating the expression of enzymes Ptgs1 and Cbrl12 and up-regulating the expression of enzyme Hpgd. These results suggested that the PS herb pair exerts its blood stasis activating effects by blocking the conversion of arachidonic acid to prostaglandins. [ABSTRACT FROM AUTHOR]

Background Vascular calcification (VC) commonly occurs and seriously increases the risk of cardiovascular events and mortality in patients with hemodialysis. For optimizing individual management, we will develop a diagnostic multivariable prediction model for evaluating the probability of VC. Methods The study was conducted in four steps. First, identification of miRNAs regulating osteogenic differentiation of vascular smooth muscle cells (VSMCs) in calcified condition. Second, observing the role of miR-129–3p on VC in vitro and the association between circulating miR-129–3p and VC in hemodialysis patients. Third, collecting all indicators related to VC as candidate variables, screening predictors from the candidate variables by Lasso regression, developing the prediction model by logistic regression and showing it as a nomogram in training cohort. Last, verifying predictive performance of the model in validation cohort. Results In cell experiments, miR-129–3p was found to attenuate vascular calcification, and in human, serum miR-129–3p exhibited a negative correlation with vascular calcification, suggesting that miR-129–3p could be one of the candidate predictor variables. Regression analysis demonstrated that miR-129–3p, age, dialysis duration and smoking were valid factors to establish the prediction model and nomogram for VC. The area under receiver operating characteristic curve of the model was 0.8698. The calibration curve showed that predicted probability of the model was in good agreement with actual probability and decision curve analysis indicated better net benefit of the model. Furthermore, internal validation through bootstrap process and external validation by another independent cohort confirmed the stability of the model. Conclusion We build a diagnostic prediction model and present it as an intuitive tool based on miR-129–3p and clinical indicators to evaluate the probability of VC in hemodialysis patients, facilitating risk stratification and effective decision, which may be of great importance for reducing the risk of serious cardiovascular events. [ABSTRACT FROM AUTHOR]

Objective: The sneaky onset and dismal prognosis of chronic kidney disease (CKD) make it an important public health issue. Obesity-related kidney illness has garnered more attention in recent times. Establishing and validating a risk prediction model for chronic renal illness in overweight or obese adults was the goal of this investigation. Methods: Data from the China Health and Retirement Longitudinal Study were used for analysis. The definition of CKD was reduced renal function (eGFR < 60 mL/min/1.73 m²), while overweight and obesity were characterized through a body mass index exceeding 24 kg/m². The dataset was divided into derivation and validation cohorts using a 7:3 ratio. With respect to the derivation cohort, we constructed a prediction model using LASSO analysis and multivariate logistic regression. The model's performance was evaluated using Hosmer-Lemeshow tests, calibration curves, decision curve analysis, and receiver operating characteristic (ROC) curves. The validation cohort's model was subjected to additional assessment. Results: The study was based on survey data from 2011 to 2015 and comprised 3246 individuals who were overweight or obese, with 2274 being part of the derivation cohort and 972 being part of the validation cohort. The research constructed a prediction model that included age, sex, fasting blood glucose, glycated hemoglobin, triglyceride, hypertension, and BMI. The validation cohort's area under the ROC curve was 0.812 (95% CI = 0.763, 0.859) while the derivation cohort's was 0.789 (95% CI = 0.754, 0.831). Hosmer-Lemeshow tests were utilized to evaluate the model's accuracy in the validation and derivation cohorts (P = 0.681 and 0.547, respectively). The calibration curve showed a high level of consistency between the actual observations and the projected outcomes. According to decision curve analysis, the model offered significant net advantages. Conclusions: The forecasting model established in this research has predictive value for CKD in patients with overweight or obesity. These findings could help doctors conduct early detection and intervention in clinical practice and further improve patient prognosis. [ABSTRACT FROM AUTHOR]

Bacterial biofilm infection is a serious obstacle to clinical therapeutics. Photodynamic therapy (PDT) plays a dynamic role in combating biofilm infection by utilizing reactive oxygen species (ROS)-induced bacterial oxidation injury, showing advantages of mild side effects, spatiotemporal controllability and little drug resistance. However, superfluous glutathione (GSH) present in biofilm and bacteria corporately reduces ROS levels and seriously affects PDT efficiency. Herein, we have constructed a Cu2+-infused porphyrin metal–organic framework (MOF@Cu2+) for the enhanced photodynamic combating of biofilm infection by the maximum depletion of GSH. Our results show that the released Cu2+ from porphyrin MOF@Cu2+ could not only oxidize GSH in biofilm but also consume GSH leaked from ROS-destroyed bacteria, thus greatly weakening the antioxidant system in biofilm and bacteria and dramatically improving the ROS levels. As expected, our dual-enhanced PDT nanoplatform exhibits a strong biofilm eradication ability both in vitro and in an in vivo biofilm-infected mouse model. In addition, Cu2+ can promote biofilm-infected wound closing by provoking cell immigration, collagen sediment and angiogenesis. Besides, no apparent toxicity was detected after treatment with MOF@Cu2+. Overall, our design offers a new paradigm for photodynamic combating biofilm infection. [ABSTRACT FROM AUTHOR]

The triazine‐based covalent organic frameworks (tCOF), an intriguing subtype of COFs, are expected as highly promising photocatalysts for various photocatalytic applications owing to their fully conjugated structures and nitrogen‐rich skeletons. However, the inherent hydrophobicity and fast recombination of photoexcited electron‐hole pairs are two main factors hindering the application of tCOF in practical photocatalytic reactions. Here, a post‐synthetic modification strategy to fabricate superhydrophilic tCOF‐based photocatalysts is demonstrated by in situ growing FeOOH clusters on TaTz COF (TaTz‐FeOOH) for efficient photocatalytic oxidation of various organic pollutants. The strong polar FeOOH endows TaTz‐FeOOH with good hydrophilic properties. The well‐defined heterogeneous interface between FeOOH and TaTz allows the photoelectrons generated by TaTz to be consumed by Fe (III) to transform into Fe (II), synergistically promoting the separation of holes and the generation of free radicals. Compared with the unmodified TaTz, the optimized TaTz‐FeOOH (1%) shows excellent photocatalytic performance, where the photocatalytic degrade rate (k) of rhodamine B is increased by about 12 times, and the degradation rate is maintained at 99% after 5 cycles, thus achieving efficient removal of quinolone antibiotics from water. This study provides a new avenue for the development of COF‐based hydrophilic functional materials for a wide range of practical applications. [ABSTRACT FROM AUTHOR]

In order to improve the property of polyacrylonitrile (PAN) nanofibrous membrane, MgO nanoparticles and Ag nanoparticles (MgONPs and AgNPs) were added into the polyacrylonitrile (PAN) solution. PAN/MgO/Ag composite nanofibrous filtration membranes with different mass fractions of MgO and Ag nanoparticles were prepared through electrospinning method. Their microstructure, crystalline structure, air permeability, moisture permeability and filtration property were tested by scanning electron microscope, X-ray diffractometer, infrared spectrometer, ultraviolet translucency analyzer and filtration property tester. Test results showed that the fiber diameter of pure PAN nanofiber was 222.9 nm while the diameter of PAN/MgO/Ag composite nanofibers were 151.5 nm~258.6 nm. Compared with pure PAN nanofibrous membrane, composite PAN/MgO/Ag nanofibrous membranes possessed excellent filter performance and ultraviolet protective property. Their UV protective factor were 38.73~55.37. The filtration efficiency were 95.36%~97.59% while the pressure drop were 46.06 Pa~58.31 Pa. When the mass fraction of MgONPs and AgNPs were both 0.75%, PAN/MgO/Ag composite nanofibrous membrane had the maximum quality factor of 0.071 4 Pa-1 and the filtration performance was the best, which belonged to the fiber filtration material with higher efficiency and lower resistance and UV protection property. [ABSTRACT FROM AUTHOR]

To guide the application of gasification agent staging in circulating fluidized bed (CFB) gasifiers, a cold model test was implemented to study the effects of air staging on the operation of the CFB system. The results show that the re-entrainment of the solid in the downward solid flow by the secondary air jet reduces the back-mixing of solid into the dense phase zone and increases the total entrainment rate. The uniformity of axial solid holdup profile in the riser is improved by air staging. With increasing secondary air ratio, the solid concentration in the dense and dilute phase zones increases because the solid in the standpipe is transferred into the riser. After air staging, the pressure drop of the cyclone significantly increases, which results from the disturbance of the inside flow field and the increase in inlet solid concentration. Within the experimental range, the failure of the system appears as gas leakage in the standpipe. This failure can be understood as the mismatch of the mass balance and pressure balance of the system after air staging. Therefore, the results also provide guidance for the matching design of key components for the implementation of gasification agent staging. [ABSTRACT FROM AUTHOR]

Cropland ecosystems are significant emission sources of N2O, but a limited number of studies have focused on the impact of extreme weather events on N2O fluxes from cropland. This present study integrated field observations and model simulations to explore the responses of N2O fluxes to extreme weather events in typical rice and wheat rotation croplands in the middle and lower reaches of the Yangtze River (MLRYR) in China. The findings revealed that the studied rice-wheat rotation cropland exhibited a net source of N2O over the three-year monitoring period, with annual cumulative N2O emissions ranging from 190.4 to 261.8 mg N m−2. N2O emissions during the rice and wheat growing seasons accounted for 29% and 71% of the total yearly emissions, respectively. Extreme heat events led to a 23% to 32% increase in observed N2O emissions from cropland. Observed N2O emissions from irrigated rice fields during extreme precipitation events were 45% lower than those during extreme drought events. In contrast, extreme precipitation events raised observed N2O emissions from rain-fed wheat fields by 36% compared to the multi-year average, while extreme drought events reduced N2O emissions from wheat fields by 20%. Regional simulations indicated that annual cumulative N2O emissions from croplands in the MLRYR are projected to increase from 207.8 mg N m−2 under current climate to 303.4 mg N m−2 in the future. Given the episodic nature and uncertainties associated with N2O emissions from cropland, further validation is necessary for utilizing the model to explore the effects of extreme weather events on N2O in cropland ecosystems. [ABSTRACT FROM AUTHOR]

Addressing climate change and improving air quality are prominent tasks facing China's ecological environment. The synergistic emission reduction in greenhouse gases (GHGs) and air pollutants has become an important task of environmental governance in different provinces. In this study, Hebei Province was taken as the research object. Firstly, the emission factors of GHGs (CO2, CH4, and NO2) and air pollutants (SO2, NOX, and smoke & dust) in Hebei Province from 2011 to 2020 were calculated and analyzed. Seven socio-economic indicators were selected to analyze the trend during the study period. The Spearman rank correlation coefficient method was used to analyze the correlation between GHG and air pollutant emissions. Finally, the synergistic control effect coordinate system and the cross-elasticity coefficient of emission reduction were used to study the synergistic emission reduction effect of GHGs and air pollutants. The results showed that the total amount of GHG emissions fluctuated slightly from 2011 to 2020, and energy activities were the main source of total GHG emissions. The total emissions of air pollutants decreased year by year, and decreased by 71.13% in 2020 compared with 2011. During the study period, the emission synergy between smoke & dust and GHG was better than that between SO2, NOX, and GHG. GHG and SO2, NOX, and smoke & dust achieved synergistic emission reduction in most years, but the overall emission reduction synergy was poor. [ABSTRACT FROM AUTHOR]

Cervical cancer is one of the foremost common cancers in women. Lactoferrin (LF) has many biological functions, such as antitumor. This study aimed to explore the regulatory effect of bovine lactoferrin (bLF) on the proliferation and apoptosis of cervical cancer HeLa cells and to clarify the potential mechanism of action of bLF against HeLa cells. This study used CCK‐8, Trypan blue staining, and colony formation assays to verify the effect of bLF on HeLa cell proliferation. Hoechst 33258 fluorescence staining, AO/EB staining, and western blotting were used to determine the effects of bLF on apoptosis and autophagy in HeLa cells. We discovered that bLF significantly reduced the proliferation of HeLa cells in a dose‐ and time‐dependent manner compared to the control group. Furthermore, bLF primarily induced apoptosis in HeLa cells by increasing the expression of the proapoptotic proteins p53, Bax, and Cleaved‐caspase‐3 and downregulating the expression of the antiapoptotic protein Bcl‐2. In addition, the present study also showed that bLF treatment significantly activated autophagy‐related proteins LC3B‐II and Beclin I and down regulated the autophagosome transporter protein p62, indicating that bLF treatment can induce autophagy in HeLa cells. After pretreatment with the autophagy inhibitor, 3‐MA, which markedly found that autophagy inhibition by 3‐MA reversed bLF‐induced apoptosis, indicating that bLF can induce apoptosis by activating intracellular autophagy in HeLa cells. In the present study, our results support the theory of bLF significantly inhibited the proliferation of Hela cells by promoting apoptosis and reinforcing autophagy. The study will play an important role in therapying cervical cancer. Significance statement: Cervical cancer is one of the most common cancers in women, and the way it is currently treated clinically inevitably has specific adverse effects. Therefore, the antitumor effects of natural active ingredients are a current research hotspot. In this study, we examined the antiproliferative effects of bovine LF (bLF) on HeLa cells. We found that bLF significantly reduced HeLa cells viability, and induced apoptosis and autophagy. In addition, we explored the association between bLF‐induced apoptosis and autophagy. Taken together, the present study demonstrated that bLF significantly inhibited the growth of HeLa cells in vitro by inducing apoptosis and activating autophagy. This study provides a theoretical basis for the treatment of cervical cancer by bLF. [ABSTRACT FROM AUTHOR]

Single‐atomic transition metal–nitrogen–carbon (M–N–C) structures are promising alternatives toward noble‐metal‐based catalysts for oxygen reduction reaction (ORR) catalysis involved in sustainable energy devices. The symmetrical electronic density distribution of the M─N4 moieties, however, leads to unfavorable intermediate adsorption and sluggish kinetics. Herein, a Fe–N–C catalyst with electronic asymmetry induced by one nearest carbon vacancy adjacent to Fe─N4 is conceptually produced, which induces an optimized d‐band center, lowered free energy barrier, and thus superior ORR activity with a half‐wave potential (E1/2) of 0.934 V in a challenging acidic solution and 0.901 V in an alkaline solution. When assembled as the cathode of a Zinc–air battery (ZAB), a peak power density of 218 mW cm−2 and long‐term durability up to 200 h are recorded, 1.5 times higher than the noble metal‐based Pt/C+RuO2 catalyst. This work provides a new strategy on developing efficient M–N–C catalysts and offers an opportunity for the real‐world application of fuel cells and metal–air batteries. [ABSTRACT FROM AUTHOR]

The response of net ecosystem exchange (NEE) to environmental changes is strongly nonlinear, characterized with threshold behaviors that are not well understood. Here, we investigated the threshold behaviors in the relationship between NEE and surface air temperature based on FLUXNET2015 observations, Community Land Model simulations, and Coupled Model Intercomparison Project Phase 6 (CMIP6) model outputs. An air temperature threshold of 16.4°C, corresponding to the maximum carbon sink (Tsink), was identified for all 205 FLUXNET2015 sites combined. For deciduous broadleaf and mixed forests, wetlands and wheat‐barley croplands, and rice‐maize‐soybean croplands, we identified a carbon‐source threshold (Tsource) of 6.8, 5.0, and 18.0°C, respectively, beyond which the ecosystem becomes less of a carbon source. Five cold climate types mainly encompassing these plant functional types showed a clear carbon‐source Tsource of 12.2°C. Six CMIP6 models project a threshold temperature increase of 1.0–2.8°C by the 2090s, which results primarily from a shift of the optimum temperature for gross primary production. Not accounting for the warming‐induced threshold changes may lead to an estimated time of the average summer air temperature passing Tsink that is earlier by 4.5–6.7 and 6.4–12.2 years at low (15°N–15°S) and high (≥60°S or ≥ 60°N) latitudes, respectively. Plain Language Summary: Net ecosystem exchange (NEE) reflects the ecosystem's role as a carbon source or sink. Previous studies on NEE indicated a temperature threshold for the size of ecosystem carbon sink. It remains unknown whether a similar threshold for carbon source might exist, how the thresholds for both carbon source and sink may vary with climate and ecosystem types, and how they may change with global warming. The present study fills these gaps. Here we extract patterns of temperature thresholds for different climate and ecosystem types, and project a 1.0–2.8°C increase of threshold temperature by the end of the century. This increase has to be properly accounted for when studying the terrestrial carbon‐climate interactions. Key Points: An air temperature threshold of 16.4°C, corresponding to the maximum carbon sink, was identified for all 205 FLUXNET2015 sites combinedDeciduous broadleaf forests, mixed forests, and croplands showed a temperature threshold corresponding to a sudden change of carbon sourceCoupled Model Intercomparison Project Phase 6 models project a 1.0–2.8°C increase of threshold temperature by the end of the century [ABSTRACT FROM AUTHOR]

Background: Frailty has been associated with a higher incidence of overall postoperative complications and mortality. However, the influence of frailty on the risk of venous thromboembolism (VTE) in patients with hip fracture following surgery remains unclear. We performed a meta-analysis to systematically evaluate the above association. Methods: PubMed, Embase, Cochrane Library, Wanfang and CNKI were searched for relevant observational studies comparing the incidence of postoperative VTE in patients of hip fracture with and without frailty. Data collection, literature searching, and statistical analysis were conducted independently by two authors. Using a heterogeneity-incorporating random-effects model, the results were pooled. Results: In this meta-analysis, 9509 patients from nine cohort studies were included. Pooled results showed that compared to those without frailty, patients with frailty at admission had a higher incidence of postoperative VTE (odds ratio [OR]: 2.59, 95% confidence interval [CI]: 1.25–5.39, p = 0.01; I2 = 66%). Subgroup analysis suggested the association between frailty and postoperative VTE was more remarkable in studies of patients with frailty prevalence < 50% (OR 6.28, 95% CI 3.31–11.90, p < 0.001; I2 = 8%) as compared to those ≥ 50% (OR 1.30, 95% CI 0.80–2.11, p = 0.28; I2 = 0%; p for subgroup difference < 0.001). Further meta-analyses showed that frailty at baseline was associated with a higher incidence of deep venous thrombosis (OR 3.15, 95% CI 1.33–7.47, p = 0.009; I2 = 59%), but not pulmonary embolism (OR 1.13, 95% CI 0.59–2.16, p = 0.72; I2 = 0%). Conclusion: Frailty is associated with a higher incidence of postoperative VTE in patients with hip fracture. [ABSTRACT FROM AUTHOR]

The vitreous body keeps the lens and retina in place and protects these tissues from physical insults. Existing studies have reported that the mechanical properties of vitreous body varied after liquefaction, suggesting mechanical properties could be effective parameters to identify vitreous liquefaction process. Thus, in this work, we aimed to propose a method to determine the mechanical properties of vitreous bodies. Fresh porcine eyes were divided into three groups, including the untreated group, the 24 h liquefaction group and the 48 h liquefaction group, which was injected collagenase and then kept for 24 h or 48 h. The indentation tests were carried out on the vitreous body in its natural location while the posterior segment of the eye was fixed in the container. A finite element model of a specimen undertaking indentation was constructed to simulate the indentation test with surface tension of vitreous body considered. Using the inverse method, the mechanical parameters of the vitreous body and the surface tension coefficient were determined. For the same parameter, values were highest in the untreated group, followed by the 24 h liquefaction group and the lowest in the 48 h liquefaction group. For C10 in the neo-Hookean model, the significant differences were found between the untreated group and liquefaction groups. This work quantified vitreous body mechanical properties successfully using inverse method, which provides a new method for identifying vitreous liquefactions related studies. [ABSTRACT FROM AUTHOR]

Background: The hospital environment, particularly the intensive care unit (ICU), contributes to the transmission of several nosocomial pathogens, which can survive in this setting for a longer period of time and, in turn, contaminate the surfaces or the medical tools. Thus, appropriate disinfection of these areas and devices are crucial for controlling and preventing further infection. In this study, we examined the effect of different concentrations of chlorine-containing disinfectants (500mg/L, 1000mg/L, and 2000mg/L) on the ICU environment. Methods: This quasi-experimental study was based on a convenient sampling method. In this study, High-frequency objects were selected as subjects in ICU, with a total sample of 216.A hall including 6 beds was examined,selecting 4 high-frequency surfaces per bed unit:a bed gear, infusion system, bed end table, and monitor were disinfected with 500, 1000, and 2000 mg/L of chlorine (as Cl2), respectively.The surface dissection was performed at 21:00 o'clock daily, after which ATP fluorescence monitoring and bacterial count detection were performed. Results: There was no significant difference in ATP bioluminescence (F = 2.03, P > 0.05) and bacterial counting (χ2 = 2.03, P > 0.05) when using different concentrations of chlorine-containing disinfectant in the ICU. Yet, compared with high concentration (2000mg/L), a low concentration disinfectant reduced the hospital cost. Conclusion: By reducing the concentration of ICU high-frequency contact table disinfectants, it is possible to reduce the risk of long-term contamination with chlorine-containing disinfectants and reduce the cost of using ICU chlorine-containing disinfectants. [ABSTRACT FROM AUTHOR]

Introduction: Streptococcal toxic shock syndrome (STSS) is a severe consequence of infections from Streptococcus pyogenes. The early identification and timely intervention with appropriate anti-infective agents are pivotal for managing pediatric STSS. This study evaluates the effectiveness of various treatment regimens for STSS in children. Methods: Clinical data of children with STSS resulting from β-hemolytic streptococcal infections in two hospitals were retrospectively analyzed from January 2009 to April 2023. Additionally, literature from the China National Knowledge Infrastructure on pediatric STSS was examined. Antimicrobial treatments were categorized into four groups based on their compositions, with an additional categorization for adjunct therapeutic drugs. Results: Of 32 confirmed STSS cases, all displayed sensitivity to ampicillin, β-lactam antibiotics, and vancomycin, but resistance to clindamycin, erythromycin, and tetracycline. From the literature, 23 studies with 50 cases were extracted, leading to a total of 82 patients for evaluation. The efficacy rates varied significantly among the four treatment groups. Notably, the standard penicillin-containing group exhibited the highest efficacy (86.4%), while the group with macrolides/unused antibiotics registered a 0% efficacy rate. The other two groups demonstrated efficacy rates of 32.1% and 42.3%. Conclusion: For pediatric STSS, Streptococcus pyogenes shows notable sensitivity to ampicillin. Implementing timely β-lactam antibiotics, specifically penicillin, in conjunction with clindamycin and intravenous immunoglobulins enhances the treatment success rate. [ABSTRACT FROM AUTHOR]

Objective Postpartum diastasis recti abdominis (DRA) influences women's appearance and health. Gestational diabetes mellitus (GDM) can affect the structure of the rectus abdominis muscles. However, the relationship between GDM and postpartum DRA is unknown. The objective of this study was to investigate the relationship between GDM and postpartum DRA. Methods This retrospective cohort study included 241 women in the first year postdelivery. Women with GDM were matched with those without GDM using propensity score matching. They underwent an oral glucose tolerance test during pregnancy and a random blood glucose test before delivery. At follow-up, DRA was diagnosed by palpation, and interrectus distance was measured using ultrasound to evaluate the severity of DRA. The strength of the rectus abdominis was evaluated using the manual muscle testing method. Results Among the 241 participants, 174 (72.2%) had postpartum DRA, and 46 women with GDM were matched with 46 women without GDM on the basis of propensity scores. Women with GDM had higher odds of experiencing postpartum DRA (adjusted odds ratio = 4.792; 95% CI = 1.672 to 13.736) and larger interrectus distance values at the upper part of the rectus abdominis than those without GDM. There was a weak and positive correlation between the fasting oral glucose tolerance test level and the interrectus distance values (0.267 ≤  r  ≤ 0.367). Conclusion GDM was associated with postpartum DRA in women in the first year of delivery. Women with GDM had larger interrectus distance values at the upper part of the rectus abdominis than those without GDM. The fasting oral glucose tolerance test level showed a positive and weak correlation with the severity of postpartum DRA. Impact Women with GDM have higher odds of experiencing postpartum DRA than those without GDM. The upper part of the rectus abdominis deserves increased focus during and after rehabilitation. Controlling the fasting oral glucose tolerance test level may help reduce the severity of postpartum DRA. [ABSTRACT FROM AUTHOR]

Soft tissue sarcoma (STS) is an uncommon malignancy that often carries a grim prognosis. Trophinin‐associated protein (TROAP) is augmented in a variety of tumors and can affect tumor proliferation. Nevertheless, the prognostic value and specific functions of TROAP in STS are still vague. Herein, we display that TROAP exhibits an augmented trend in STS, and its elevation correlates with a poor prognosis of STS. Furthermore, its reduction is related to increased immune cell infiltration, enhanced stroma, and elevation of immune activation. Meanwhile, the TROAP‐derived genomic signature is validated to predict patient prognosis, immunotherapy, and drug response reliably. A nomogram constructed based on age, metastatic status, and a TROAP‐derived risk score of an STS individual could be used to quantify the survival probability of STS. In addition, in vitro experiments have demonstrated that TROAP is overexpressed in STS, and the downregulation of TROAP could affect the proliferation, migration, metastasis, and cell cycle of STS cells. In summary, the TROAP expression is elevated in STS tissues and cells, which is related to the poor prognosis and malignant biological behaviors of STS. It could act as a potential prognostic biomarker for diagnosis and treatment of STS. [ABSTRACT FROM AUTHOR]

Lakes are important surface water bodies, and ongoing climate change is a growing threat to the hydrological cycle and water resource availability of lakes in arid regions. Accurately estimating different drivers' contributions to lake water volume can enhance our understanding of lake variations in arid regions. In this study, we combined the land surface model and hydrological model, as well as statistical methods, to analyze the spatiotemporal heterogeneity of lake area changes and the factors affecting these changes during the past decades in Bosten Lake, Ulungur Lake, Ebinur Lake, and Sayram Lake, which are located in a typical dry region in China. The study revealed that the average amounts of river inflow, TWVF, lake ice sublimation, lake surface precipitation, and river outflow in the four lakes were 17.41 × 108 m3 yr−1, 6.60 × 108 m3 yr−1, 0.41 × 108 m3 yr−1, 0.98 × 108 m3 yr−1, and 9.12 × 108 m3 yr−1, respectively. We found that river inflow is the dominant factor affecting changes in open lake areas, while lake surface precipitation is the main factor affecting changes in closed lake areas. Our findings suggest that the main factors dominating the variability of lake water volume differ in different phases and lake types. [ABSTRACT FROM AUTHOR]

Evaluation of the economic costs and benefits of flood disaster risk management projects is crucial. However, current cost-benefit analyses (CBA) often lack reliable estimates of the expected loss reduction from flood control measures and ignore quantitative assessments of resettlement. To address these limitations, this study incorporated a probabilistic risk analysis method and quantitative resettlement benefits assessment into the CBA framework, using the Wuxikou Integrated Flood Management Project (WIFMP) in Jiangxi Province, China, as a case study. The direct economic benefits of flood control were estimated by integrating hydrological statistics, numerical flood inundation simulation, and quantitative damage analysis with exposure and vulnerability data. Furthermore, the resettlement benefits were quantified by measuring the annual income growth of migrants based on assumptions about household employment. Our analysis shows that the total WIFMP investment is RMB 3546.1 million yuan (USD 1 = RMB 6.976 yuan), including loan principal and interest of 244.4 million yuan, and operations and maintenance of 605.5 million yuan at 2020 prices. Annual project benefits are estimated at 351.3 million yuan in flood risk reduction, 155.7–191.9 million yuan from increased resettlement income, and 42.7 million yuan in power and water revenues. Considering the costs and benefits across the entire project lifecycle, the internal rate of return ranges from 13.7 to 14.2%, and the net present value ranges from 31.8 to 352.6 billion yuan. Through improved benefit estimation methodology, this research enables a more reliable and holistic evaluation of costs and benefits for flood risk management projects. It provides insights for policymakers and practitioners involved in similar projects, contributing to more informed decision making and better allocation of resources in flood disaster risk management. [ABSTRACT FROM AUTHOR]

The concentration of biomarkers in sweat can be used to evaluate human health, making efficient sweat sensing a focus of research. While flow channel design is often used to detect sweat velocity, it is rarely incorporated into the sensing of biomarkers, limiting the richness of sensing results. In this study, we report a time sequential sensing scheme for uric acid in sweat through a sequential design of Tesla valve channels. Graphene electrodes for detecting uric acid and directional Tesla valve flow channels were fabricated using laser engraving technology to realize time sequential sensing. The performance of the channels was verified through simulation. The time sequential detection of uric acid concentration in sweat can help researchers improve the establishment of human health management systems through flexible wearable devices. [ABSTRACT FROM AUTHOR]