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Castleman disease (CD) is a rare lymphoproliferative disease known as angiofollicular lymph node hyperplasia, firstly reported in 1954. It mainly occurs in adults, presenting with a wide range of clinical manifestations, including paraneoplastic pemphigus (PNP). PNP is a rare and often life-threatening autoimmune disorder characterized by painful blisters and erosions on the skin and mucous membranes. In children, PNP is often linked to Castleman disease, as evidenced in case reports. So far, less than 30 pediatric cases have been reported, with the pathogenesis remaining unclear and treatment approaches varied. Here, we present a pediatric case initially suspected as Behçet's disease due to persistent oral ulcers and conjunctivitis, and undergone a sudden aggravation of clinical features following an allergic reaction. New involvement of skin rashes and imaging findings prompted the final diagnosis as PNP linked to Unicentral Castleman disease (UCD).Through detailing the progression of clinical features and diagnostic work, we aim to arise the awareness of physicians and put emphasize on early recognition and multidisciplinary management, which can improve patient outcomes.

Abstract Background Patients receiving PD-(L)1 inhibitors frequently encounter unusual side effects known as immune-related adverse events (irAEs). However, the correlation of irAEs development with clinical response in small cell lung cancer (SCLC) is unknown. Method This retrospective study enrolled 244 stage IV SCLC patients who receiving PD-(L)1 inhibitors from 3 cancer centers. The correlation of irAEs with objective response rate (ORR), disease control rate (DCR), progression-free survival (PFS), and overall survival (OS) were evaluated. Results 140 in 244 (57%) patients experienced irAEs, with 122 (87.1%) experiencing one and 18 (12.9%) experiencing two or more. Compared to patient without irAEs, those developing irAEs had higher ORR (73.6% vs. 52.9%, P

Abstract Background The glandular trichomes of tobacco (Nicotiana tabacum) can efficiently produce secondary metabolites. They act as natural bioreactors, and their natural products function to protect plants against insect-pests and pathogens and are also components of industrial chemicals. To clarify the molecular mechanisms of tobacco glandular trichome development and secondary metabolic regulation, glandular trichomes and glandless trichomes, as well as other different developmental tissues, were used for RNA sequencing and analysis. Results By comparing glandless and glandular trichomes with other tissues, we obtained differentially expressed genes. They were obviously enriched in KEGG pathways, such as cutin, suberine, and wax biosynthesis, flavonoid and isoflavonoid biosynthesis, terpenoid biosynthesis, and plant–pathogen interaction. In particular, the expression levels of genes related to the terpenoid, flavonoid, and wax biosynthesis pathway mainly showed down-regulation in glandless trichomes, implying that they lack the capability to synthesize certain exudate compounds. Among the differentially expressed genes, 234 transcription factors were found, including AP2-ERFs, MYBs, bHLHs, WRKYs, Homeoboxes (HD-ZIP), and C2H2-ZFs. These transcription factor and genes that highly expressed in trichomes or specially expressed in GT or GLT. Following the overexpression of R2R3-MYB transcription factor Nitab4.5_0011760g0030.1 in tobacco, an increase in the number of branched glandular trichomes was observed. Conclusions Our data provide comprehensive gene expression information at the transcriptional level and an understanding of the regulatory pathways involved in glandular trichome development and secondary metabolism.

A deep understanding of the characteristics and mechanism of geyser boiling and capillary pumping is necessary to optimize a high-temperature sodium heat pipe. In this work, the Volume of Fluid (VOF) two-phase model and the capillary force model in the mesh wick were used to model the complex phase change and fluid flow in the heat pipe. Computational Fluid Dynamics (CFD) simulations successfully predicted the process of bubble nucleation, growth, aggregation, and detachment from the wall in the liquid pool of the evaporation section of the heat pipe in horizontal and tilted states, as well as the reflux phenomenon of capillary suction within the wick. The accuracy and stability of the capillary force model within the wick were verified. In addition, the causes of geyser boiling in heat pipes were analyzed by extracting the oscillation distribution of heat pipe wall temperature. The results show that adding the capillary force model within the wick structure can reasonably simulate the liquid backflow phenomenon at the condensation; Under the horizontal and inclined operating conditions of the heat pipe, the phenomenon of local dry-out will occur, resulting in a sharp increase in local temperature. The speed of bubble detachment and the timely reflux of liquid sodium (condensate) replenishment in the wick play a vital role in the geyser temperature oscillation of the tube wall. The numerical simulation method and the results of this study are anticipated to provide a good reference for the investigation of geyser boiling in high-temperature heat pipes.

Novel tungstate SrLa6-xW10O40: xEu3+ (x = 0, 0.03, 0.06, 0.09, 0.12, 0.15, 0.18, 0.21) red phosphors were prepared by solid state method at 1150 °C by using SrCO3, La2O3, WO3 and Eu2O3 as raw materials. The powders were agglomerated with particles having mostly spheroidal morphology, mean particle size D50 = 12.8 μm and narrow particle size distribution. With the increase of doping amount x, there is no significant difference in the diffraction peak position of the phosphor, but the cell volume of SrLa6W10O40 slowly decreases. The relative strength of diffraction peaks decreases gradually and the half-peak width widens gradually, indicating that the inclusion of Eu3+ ions affects the crystallization of the SrLa6W10O40 matrix. Excitation and emission spectra of the prepared samples were obtained. The optimal doping content has the SrLa5.85W10O4: 0.15Eu3+ phosphor and is characterised with the colour coordinate of (0.652, 0.348), which is closer to the red standard colour (0.67, 0.33) than the near-ultraviolet red phosphor Y2O2S: Eu3+ (0.622, 0.351) used for commercial LED.

ObjectiveTo explore the clinical characteristics and treatment outcomes of children with central nervous system (CNS) involvement in eosinophilic granulomatosis with polyangiitis (EGPA).MethodsA child who presented with EGPA complicated by CNS involvement was admitted to our hospital in June 2023. The clinical features were analyzed retrospectively, and relevant literatures were reviewed to provide a comprehensive overview of this condition.ResultsA ten-year-old girl, who had a history of recurrent cough and asthma accompanied by peripheral blood eosinophilia for eight months, was admitted to our hospital. On admission, spotted papules were visible on her hands and feet, bilateral pulmonary rales were audible. The laboratory examination revealed that the proportion of eosinophils (EOS) exceeded 10% of white blood cells, the anti-neutrophil cytoplasmic antibody (MPO-ANCA) was positive, the immunoglobulin G level was 15.80g/L, and the immunoglobulin E level was greater than 2500.00IU/mL. The imaging examination showed multiple patchy and nodular high-density shadows in both lungs as well as sinusitis. Pulmonary function tests indicated moderate ventilation and diffusion dysfunction. Bone marrow cytology demonstrated a significant increase in the proportion of eosinophils. Skin pathology confirmed leukocytoclastic vasculitis. During the hospitalization, the child had a convulsion. The magnetic resonance imaging (MRI) scan of the brain showed multiple abnormal signal shadows in the bilateral cerebral cortex and the electroencephalogram (EEG) showed epileptic waves. Following the administration of methylprednisolone pulse therapy in combination with cyclophosphamide treatment, her cough and asthma resolved, the skin rash disappeared without any further convulsions. We found that only a young EGPA patient with CNS involvement had been previously reported. The previously reported case began with long-term fever, weight loss, and purpuric rash. Both patients responded well to treatment with glucocorticoids and cyclophosphamide, experiencing significant improvement in their clinical symptoms and normalization of their peripheral blood eosinophils.ConclusionThe diagnosis of EGPA in children can be challenging. When a child is affected by EGPA, it is essential to remain vigilant for signs of CNS involvement. The treatment with glucocorticoids and cyclophosphamide is effective in managing EGPA in children.

A systematic study of the pore structure characteristics of Lower Cambrian shales in the southeastern Upper Yangtze Platform, was conducted using organic geochemistry, mineralogy, nitrogen adsorption, physical property analysis, and scanning electron microscopy. The results indicate that: 1) The Total organic carbon (TOC) content shows a strong correlation with quartz and clay minerals. Shales with low TOC content and rich in clay minerals primarily exhibit slit-shaped and narrow slit-like inter-clay particle pores with pore size distribution is dominated by mesopores and macropores. Shales with high TOC content predominantly feature narrow slit-like and ink bottle-shaped pores with pore size distribution dominated by micropores and mesopores. 2) Shale pore structures vary significantly under different gas content and preservation conditions. Shales under favorable preservation conditions exhibit a relatively “high porosity, low permeability, and high gas content” pattern, with well-developed organic pores and a strong pore-permeability correlation. In contrast, shales under unfavorable preservation conditions appear dense, with excessively developed fractures increasing both average pore size and local permeability. The pore-permeability correlation is weak, presenting a relatively “low porosity, high permeability, and low gas content” pattern. 3) TOC content plays a crucial role in controlling pore structure, showing overall positive correlations with pore volume, specific surface area, and porosity, and negative correlations with pore size. High TOC content enhances shale plasticity, resulting in lower pore diameters. Factors such as compaction and unfavorable preservation conditions lead to the shrinkage, collapse, and closure of some narrow pore throats, negatively impacting pore volume, specific surface area, brittleness, and fractal dimension, exhibiting a negative correlation with TOC content. 4) The pore structure of Lower Cambrian shales is complex, with fractal dimensions D1 and D2 exhibiting negative correlations with average pore size and positive correlations with TOC, specific surface area, and total pore volume. A high D1 value indicates well-preserved nanoscale pore surface structures with low complexity, suggesting minimal alteration by external fluids and better shale gas preservation. D1 serves as an indicator for shale gas content and preservation conditions. D2 shows better correlations with various pore structure parameters, making it suitable for characterizing pore structures.

Submerged tensioned anchor cables (STACs) are pivotal components utilized extensively for anchoring and supporting offshore floating structures. Unlike tensioned cables in air, STACs exhibit distinctive nonlinear damping characteristics. Although existing studies on the free vibration response and tension identification of STACs often employ conventional Galerkin and average methods, the effect of the quadratic damping coefficient (QDC) on the vibration frequency remains unquantified. This paper re-examines the effect of bending stiffness on the static equilibrium configuration of STACs, and establishes the in-plane transverse free motion equations considering bending stiffness, sag, and hydrodynamic force. By introducing the bending stiffness influence coefficient and the Irvine parameter, the exact analytical solutions of symmetric and antisymmetric frequencies and modal shapes of STACs are derived. An improved Galerkin method is proposed to discretize the nonlinear free motion equations ensuring the accuracy and applicability of the analytical results. Additionally, this paper presents an analytical solution for the nonlinear free vibration response of the STACs using the improved averaging method, along with improved frequency formulas and tension identification methods considering the QDC. Through a case study, it is demonstrated that the improved methods introduced in this paper offer higher accuracy and wider applicability compared to the conventional approaches. These findings provide theoretical guidance and reference for the precise dynamic analysis, monitoring, and evaluation of marine anchor cable structures.

Abstract Background To investigate the role of circNFIB in the alleviation of myocardial fibrosis by endogenous sulfur dioxide (SO2). Methods We stimulated cultured neonatal rat cardiac fibroblasts with transforming growth factor-β1 (TGF-β1) and developed an in vitro myocardial fibrosis model. Lentivirus vectors containing aspartate aminotransferase 1 (AAT1) cDNA were used to overexpress AAT1, and siRNA was used to silence circNFIB. The SO2, collagen, circNFIB, Wnt/β-catenin, and p38 MAPK pathways were examined in each group. Results In the in vitro TGF-β1-induced myocardial fibrosis model, endogenous SO2/AAT1 expression was significantly decreased, and collagen levels in the cell supernatant and type I and III collagen expression, as well as α-SMA expression, were all significantly increased. TGF-β1 also significantly reduced circNFIB expression. AAT1 overexpression significantly reduced myocardial fibrosis while significantly increasing circNFIB expression. Endogenous SO2 alleviated myocardial fibrosis after circNFIB expression was blocked. We discovered that circNFIB plays an important role in the alleviation of myocardial fibrosis by endogenous SO2 by inhibiting the Wnt/β-catenin and p38 MAPK pathways. Conclusion Endogenous SO2 promotes circNFIB expression, which inhibits the Wnt/β-catenin and p38 MAPK signaling pathways, consequently alleviating myocardial fibrosis.

Summary: Phosphoenolpyruvate carboxykinase (PCK) plays a critical role in cytosolic gluconeogenesis, and defects in PCK1 cause a fasting-aggravated metabolic disease with hypoglycemia and lactic acidosis. However, there are two genes encoding PCK, and the role of the mitochondrial resident PCK (encoded by PCK2) is unclear, since gluconeogenesis is cytosolic. We identified three patients in two families with biallelic variants in PCK2. One has compound heterozygous variants (p.Ser23Ter/p.Pro170Leu), and the other two (siblings) have homozygous p.Arg193Ter variation. All three patients have weakness and abnormal gait, an absence of PCK2 protein, and profound reduction in PCK2 activity in fibroblasts, but no obvious metabolic phenotype. Nerve conduction studies showed reduced conduction velocities with temporal dispersion and conduction block compatible with a demyelinating peripheral neuropathy. To validate the association between PCK2 variants and clinical disease, we generated a mouse knockout model of PCK2 deficiency. The animals present abnormal nerve conduction studies and peripheral nerve pathology, corroborating the human phenotype. In total, we conclude that biallelic variants in PCK2 cause a neurogenetic disorder featuring abnormal gait and peripheral neuropathy.

Backgrounds: Suicidal ideation (SI) is one of the most serious consequences of major depressive disorder (MDD). Understanding the unique mechanism of MDD with SI (MDD + S) is crucial for treatment development. While abundant research has studied MDD, past studies have not reached a consensus on the mechanism of MDD + S. The study aimed to investigate the abnormalities of the gray matter volumes (GMVs) and plasma IL-6 level in MDD + S to further reveal the mechanism of MDD + S. Methods: We tested the plasma IL-6 level using Luminex multifactor assays and collected the Structural Magnetic Resonance Imaging (SMRI) data from 34 healthy controls (HCs), 36 MDD patients without SI (MDD − S) and 34 MDD + S patients. We performed a partial correlation between the GMVs of the brain regions with significant differences and plasma IL-6 level with age, sex, medication, scores of HAMD-17 and HAMA as the covariates. Results: Compared with HCs and MDD − S, MDD + S had significantly decreased GMVs in the left cerebellum Crus I/II and significantly increased plasma IL-6 level; compared with HCs, both the MDD + S and MDD − S had significantly decreased GMVs in right precentral and postcentral gyri. No significant correlation was found between the GMVs and the plasma IL-6 level in the MDD + S and MDD − S, respectively. While the GMVs of the right precentral and postcentral gyri negatively correlated with the level of IL-6 in the whole MDD (r = −0.28, P = 0.03). The GMVs of the left cerebellum Crus I/II (r = −0.47, P = 0.02), and the right precentral and postcentral gyri (r = −0.42, P = 0.04) negatively correlated with the level of IL-6 in HCs. Conclusion: The altered GMVs and the plasma IL-6 level may provide a scientific basis to understand the pathophysiological mechanisms of MDD + S.

ObjectiveThis study aimed to investigate the efficacy and safety of belimumab for treating children with refractory childhood-onset systemic lupus erythematosus (cSLE).MethodsTwenty-six cSLE patients who received belimumab treatment in our hospital from January 2020 to September 2021 (23 of them for more than 52 weeks) were enrolled in this study. Their clinical and laboratory data, assessment of disease activity, glucocorticoid dosage, and treatment-emergent adverse events (TEAEs) were retrieved for analysis. The paired samples t-test and the nonparametric test were used to compare the baseline and post-treatment data.ResultsThe mean age of onset was 10.3 ± 2.4 years old; the mean disease duration was 41.6 ± 37.4 months; the median Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score was 10 (P25, P75: 3, 17); and the mean Physician’s Global Assessment (PGA) score at baseline was 1.9 ± 1.0. Compared with the baseline values, there was a significant decrease in the 24-h urine protein quantifications at 24 and 52 weeks of treatment (P

A downburst is a typical local highly intensive wind all over the world, which is attributed to be the main cause of wind damage to transmission lines in inland areas worldwide. The collapse accidents of transmission towers under the downburst still occur every year. Therefore, it is of great significance to assess the safety of the transmission towers under downbursts. The motivation of the present study is to propose a fragility assessment method for transmission towers under the action of a downburst considering the uncertainty of wind-resistance capacity and the stochastic wind load effect. First, the downburst wind field of the transmission tower with different wind attack angles and different radial distances is simulated according to the mixed stochastic model. Then, random material characteristic samples are generated by the Latin hypercube sampling technique and applied to establish uncertain finite element models for transmission towers. Next, the static nonlinear buckling analysis is carried out by numerical methods to determine the ultimate capacity under the downburst wind load. The parameter analysis of different wind attack angles and radial distances between the downburst and the tower is conducted to determine the most unfavorable location of the maximum response. The failure mode of the transmission tower and the probabilities of the initial failure main members are summarized. Finally, the fragility curves of the transmission tower under the downburst and the atmospheric boundary layer (ABL) wind are compared. The results show that the maximum response is located at R = 1.6D. Most of the initial buckling members are located close to the first section of the tower. The fragility curves of the tower under the downburst are more dangerous than the ABL wind with the attack angle increasing from 0° to 90°. Furthermore, considering the probability model of intensity and direction of the downburst and based on the previous fragility analysis, the collapse probability of the transmission tower caused by the downburst is obtained. By probability analysis of the parameters, including layout conditions, different directions, and different wind speeds, it is found that the most favorable arrangement is 157.5°, and the most unfavorable arrangement is 112.5°.

Abstract The vascular adventitia contains numerous cell types including fibroblasts, adipocytes, inflammatory cells, and progenitors embedded within a complex extracellular matrix (ECM) network. In response to vascular injury, adventitial progenitors and fibroblasts become activated and exhibit increased proliferative capacity and differentiate into contractile cells that remodel the ECM. These processes can lead to vascular fibrosis and disease progression. Our previous work established that the ECM protein aortic carboxypeptidase-like protein (ACLP) promotes fibrotic remodeling in the lung and is activated by vascular injury. It is currently unknown what controls vascular adventitial cell differentiation and if ACLP has a role in this process. Using purified mouse aortic adventitia Sca1+ progenitors, ACLP repressed stem cell markers (CD34, KLF4) and upregulated smooth muscle actin (SMA) and collagen I expression. ACLP enhanced myocardin-related transcription factor A (MRTFA) activity in adventitial cells by promoting MRTFA nuclear translocation. Sca1 cells from MRTFA-null mice exhibited reduced SMA and collagen expression induced by ACLP, indicating Sca1 cell differentiation is regulated in part by the ACLP-MRTFA axis. We determined that ACLP induced vessel contraction and increased adventitial collagen in an explant model. Collectively these studies identified ACLP as a mediator of adventitial cellular differentiation, which may result in pathological vessel remodeling.

Summary: Hematopoiesis changes over life to meet the demands of maturation and aging. Here, we find that the definitive hematopoietic stem and progenitor cell (HSPC) compartment is remodeled from gestation into adulthood, a process regulated by the heterochronic Lin28b/let-7 axis. Native fetal and neonatal HSPCs distribute with a pro-lymphoid/erythroid bias with a shift toward myeloid output in adulthood. By mining transcriptomic data comparing juvenile and adult HSPCs and reconstructing coordinately activated gene regulatory networks, we uncover the Polycomb repressor complex 1 (PRC1) component Cbx2 as an effector of Lin28b/let-7’s control of hematopoietic maturation. We find that juvenile Cbx2−/− hematopoietic tissues show impairment of B-lymphopoiesis, a precocious adult-like myeloid bias, and that Cbx2/PRC1 regulates developmental timing of expression of key hematopoietic transcription factors. These findings define a mechanism of regulation of HSPC output via chromatin modification as a function of age with potential impact on age-biased pediatric and adult blood disorders.

In this paper, we introduce novel surface treatments of UV/Ozone and TMAH to solve the surface problem of gate recess of InAlAs/InGaAs InP-based HEMTs. The problem of nonstoichiometric surface of InP etch stopper layer was found to be the result of donor-like surface defects brought by HF damage, bringing troubles like kink effect, high gate leakage current and deteriorated noise performance. Through the method of surface treatments, the InAlAs/InGaAs InP-based HEMTs exhibit excellent DC performances, demonstrating a low gate leakage currents of 10 -8 A/um, a peak transconductance of 1100mS/mm, an improved subthreshold swing of 92.5mV/decade at Vds = 1.0V, and a positive threshold voltage shift of Vth = 300 mV. The ft of 260GHz and fmax of 440GHz were hardly influenced by the surface treatments while the noise performances were improved obviously. Two orders of magnitude smaller input noise spectral density shows the method of surface treatment can effectively reduce the surface defects and significantly improve the surface of gate recess of InAlAs/InGaAs InP-based HEMTs.

Financial market and economic growth and development trends can be regarded as an extremely complex system, and the in-depth study and prediction of this complex system has always been the focus of attention of economists and other scholars. Emotion recognition algorithm is a pattern recognition technology that integrates a number of emerging science and technology, and has good non-linear system fitting capabilities. However, using emotion recognition algorithm models to analyze and predict financial market and economic growth and development trends can yield more accurate prediction results. This article first gives a detailed introduction to the existing financial development and economic growth status and development trend forecasting problems, and then gives a brief overview of the concept of emotion recognition algorithms. Then, it describes the emotion recognition methods, including statistical emotion recognition methods, mixed emotion recognition methods, and emotion recognition methods based on knowledge technology, and conducts in-depth research on the three algorithm models of statistical emotion recognition methods, they are the support vector machine algorithm model, the artificial neural network algorithm model, and the long and short-term memory network algorithm model. Finally, these three algorithm models are applied to the financial market and economic growth and development trend prediction experiments. Experimental results show that the average absolute error of the three algorithms is below 25, which verifies that the emotion recognition algorithm has good operability and feasibility for the prediction of financial market and economic growth and development trends.

Helium, a rare gas widely applied in high-tech fields, is a significant strategic resource in China. The foreign-trade dependence ratio of helium in China is 95%. The work reviewed the applications and market analysis of helium and reservoir modeling and distribution of helium in Changqing Gas Field as well as the helium extraction techniques from natural gases. According to the analysis of the component test and the dynamic monitoring of exploited gas wells and gas-gathering stations, the average helium content in Changqing Gas Field was 0.028%. Helium was rich in the northwest of Changqing Gas Field, but poor in the central and eastern regions. The helium volume contents in Qingyang Gas Field, Huanglong Gas Field, and the central, western, and southern regions of Sulige Gas Field have reached the industrial development standard. PetroChina performed the economic-feasibility evaluation and production-factor matching research on helium development and selected Changqing Gas Field as the demonstration for development. A large helium plant was established in Changqing Gas Field using the cryogenic method with/without membrane separation for helium extraction. Then, a helium development scheme was formulated and implemented to build the industry chain of helium in China. Changqing Gas Field is rich in helium resources. Developing helium has entered a strategic period with the technological advancement in extracting helium from natural gases and the increased prosperity of the international helium market. There are broad prospects and great benefits to exploiting helium resources in Changqing.

The value of a cementation exponent, usually obtained by rock and electricity experiments, significantly affects the calculation of water saturation, thickness of the hydrocarbon reservoir, and recovery rate. The determination of the cementation exponent for porous-media reservoirs has been a challenge because of the limited core sampling. A new method was proposed to determine the value of cementation exponent for complex triple-porosity media reservoirs in the work. Firstly, the work discussed the effects of fractures and nonconnected vugs on the cementation exponent of the reservoir as well as the calculation method of the cementation exponent of the dual-porosity media reservoir. Then, a new model for calculating the cementation exponent of triple-porosity media reservoirs was derived by combining the Maxwell-Garnett theory and series-parallel theory, which matched with the real physical-experiment data of rocks. The results showed that the fractures decreased the cementation exponent of the reservoir but the vugs increased. The mixture of matrix pores, fractures, and vugs made the value of the cementation exponent of the triple-porosity media reservoir vary around 2.0. The conductivity of the triple-porosity media reservoir was the external macroscopic expression of the microscopic conductive network. The new calculation model of the cementation exponent proposed in the work could reasonably predict the cementation exponent of the strongly inhomogeneous triple-porosity media reservoir.

Shale gas exploration requires studies on the enrichment mechanism of sedimentary organic matter. The Lower Cambrian shale is taken as a study object to analyze the effect of organic matter on gas content using TOC content and porosity analyses, isothermal adsorption experiments, and FIB-HIM scanning electron microscopy observations. Then, we selected typical wells to determine the presence of excessive silica in the siliceous minerals by quantitative calculations. Besides, we analyzed the genesis of excessive siliceous minerals using elements including Al, Fe, and Mn, thus speculating the controlling factors of the redox environment and biological productivity. Results show that total organic carbon content controls the content of free and adsorbed gas, while shale gas mainly exists in organic pores and is developed in large numbers and with high roundness, showing the characteristics of “small pores inside big pores.” In the Lower Yangtze region during the Early Cambrian, the excessive siliceous minerals were of hydrothermal origin, and there were frequent hydrothermal activities due to its closeness to plate boundaries. These activities can intensify the reducibility of the waterbody’s bottom and improve the biological productivity on its surface, resulting in the enrichment of this matter. Most excessive silicon in this region is biogenic, while only a small part is of hydrothermal and biogenic mixed origin. The enclosed waterbody of the Upper Yangtze region was far from plate boundaries and close to the semiclosed “gulf,” resulting in its delamination. The waterbody’s surface was abundant with oxygen, thus increasing the biological productivity, while the high reducibility at the waterbody’s bottom was conducive to preserving sedimentary organic matter.

Frequency analysis of tornadoes is very important for risk analysis and disaster control. In this paper, the annual frequency of tornadoes that occurred in the United States from 1967 to 2016 is analyzed. The simple analysis shows that frequencies of tornadoes of different sites are spatially correlated and over-dispersed. To explain the two characteristics of the data, the Bayesian hierarchical model is proposed. For comparison purposes, the Bayesian model with negative binomial distribution, Poisson distribution, Polya distribution, and first-order, non-negative, integer-valued autoregressive model with Bell innovations(BL-INAR(1)) are considered to fit the frequency of tornado. The distribution parameters of all sites are assumed to be spatially correlated, and the corresponding Bayesian hierarchical models were established. MCMC (Markov Chain Monte Carlo) method is applied to parameter estimations and relative statistical inference. By comparison of the analysis results, the negative binomial distribution is recommended to analyze the overdispersion and spatial correlation among the sites of the data. The comparison between the simulated frequencies based on the proposed model and the actual frequencies also verifies that the proposed method is a better model for the data.

Background: The aim of this study was to report the clinical features and mutations in a patient with autosomal-inherited Alport syndrome (AS).Methods: We examined the clinical data, mutation analysis results, and family tree of a patient with autosomal-inherited AS, who had nephrotic syndrome as her first manifestation.Results: The proband was a girl of 11 months who presented with nephritic and nephrotic syndromes including gross hematuria but had a normal renal function. Her treatment course was complicated by steroid resistance and a poor response to cyclosporine A and cyclophosphamide pulse therapy. Renal biopsy was performed 2 years after disease onset; light microscopy showed glomerular segmental mesangio-proliferative lesions, and type IV collagen staining showed the loss of the α3 chain in the glomerular and tubular basement membrane (GBM and TBM) and α5 chain loss in the GBM. Electron microscopy showed uneven GBM thickness, with the dense basement membrane (BM) layer obviously delaminated and torn, showing a typical “lace-like” change. The segmental BM was loosened and widened. Her father did not develop microscopic hematuria until 10 years later, while her grandmother had asymptomatic hematuria and proteinuria when the proband was diagnosed. We detected a new COL4A4 mutation in the proband, namely c.1715delG (p.G572Vfs * 81) in exon 24. Her father and grandmother carried the same mutation, but her mother and sister did not.Conclusions: We found a new potentially pathogenic mutation of COL4A4 in a patient with autosomal-inherited AS, which presented as nephrotic syndrome in infancy.

Objective: The purpose of this meta-analysis was to summarize the prevalence and risk factors of mental health problems among healthcare workers during the COVID-19 pandemic.Methods: We applied an optimized search strategy across the PubMed, EMBASE, Scopus, PsycINFO, and four Chinese databases, with hand searching supplemented to identify relevant surveys. Studies were eligible for inclusion if they were published in peer-reviewed literature and used a validated method to assess the prevalence and risk factors of mental health problems among healthcare workers during the COVID-19 pandemic. Heterogeneity was quantified using Q statistics and the I2 statistics. The potential causes of heterogeneity were investigated using subgroup analysis and meta-regression analysis. Sensitivity analysis was performed to examine the robustness of the results.Results: We pooled and analyzed data from 20 studies comprising 10,886 healthcare workers. The prevalence of depression, anxiety, insomnia, post-traumatic stress symptoms, phobia, obsessive–compulsive symptoms, and somatization symptoms was 24.1, 28.6, 44.1, 25.6, 35.0, 16.2, and 10.7%, respectively. Female and nurses had a high prevalence of depression and anxiety. Frontline healthcare workers had a higher prevalence of anxiety and a lower prevalence of depression than the those in the second-line. Furthermore, the proportion of moderate–severe depression and anxiety is higher in the frontline. Additionally, four studies reported on risk factors of mental health problems.Conclusions: In this systematic review, healthcare workers have a relatively high prevalence of depression, anxiety, insomnia, post-traumatic stress symptoms, phobia, obsessive–compulsive symptoms, and somatization symptoms during the COVID-19 pandemic, and focus should be on the healthcare workers at high risk of mental problems. Mental health problems in healthcare workers should be taken seriously, and timely screening and appropriate intervention for the high-risk group are highly recommended.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020179189.

Vortioxetine hydrobromide is a common clinical medication for major depressive disorder (MDD). However, it remains unclear whether vortioxetine hydrobromide acts by affecting the structure and composition of gut microbiota. Here, we analyzed fecal samples from 28 healthy controls (HCs) and 26 patients with MDD before treatment with vortioxetine hydrobromide, at 4 weeks after treatment, and at 8 weeks after treatment. High-throughput pyrosequencing showed that, according to the Chao1 and Shannon indices, fecal bacterial α-diversity was higher in the patients with MDD than in the HCs (p < 0.05), but no significant differences were observed after vortioxetine hydrobromide treatment (p > 0.05). PCoA results revealed that the gut microbiota composition was significantly different between the MDD groups and HCs. Proteobacteria and Actinobacteria were strongly increased, whereas Firmicutes were significantly reduced in the MDD group compared with the HCs. After treatment with vortioxetine hydrobromide, Firmicutes were significantly increased, and the proportion of Bacteroidetes decreased. Most notably, Lachnospira, Roseburia, and Faecalibacterium were negatively correlated with the severity of depressive symptoms. Taken together, our data indicate changes in the fecal microbiota composition in MDD patients compared with HCs, and vortioxetine hydrobromide may treat MDD through regulation of the gut microflora.

Discontinuous defect in the rockmass is a key influential factor in controlling the strength behavior, and how to estimate the anisotropic strength and scale effect on the defected rockmass is the remaining challenging focus in engineering application. In the present study, intact tuff samples cored from the Xiabeishan tunnel engineering in situ are conducted by experiment tests (i.e., uniaxial compression test, triaxial compression test, and Brazilian tensile test) to obtain the corresponding mechanical parameters. Results from the numerical simulations using the particle flow code (PFC) by the flat-jointed model (FJM) are performed to match the macroparameters from experimental results. It is observed that numerical results have good agreement with the macroscopic mechanical parameters of intact samples including UCS, BTS, triaxial compression strength, and corresponding deformation parameters. Finally, a series of uniaxial and confining compression tests are conducted by using a synthetic rockmass (SRM) method which is coupled with the discrete element method (DEM) and discrete fracture network (DFN). Then, the anisotropy and scale effects on the strength characteristics of the defected rockmass are investigated. The results show that defects have a vital effect on the failure mode and strength behavior of the rockmass in the research region. The strength parameters are changed with the specimen size. The REV size of the considered defected rockmass is regarded as 5 × 10 m, and this size is also influenced by the confinement level. The anisotropy of macroscopic strength parameters is found in the considered defected rockmass, whose stress-strain curves and failure modes are also discussed.

Background/Aims: Reactive oxygen species (ROS) contribute to the dysfunction of serum lipoproteins, which triggers lipid metabolism abnormalities in the development of atherosclerosis and hypertension. Myeloperoxidase (MPO) is involved in ROS modifications, triggering lipid peroxidation and aldehyde formation. However, the relationship between the entirety of the MPO reaction system and oxidative modification of serum lipoproteins in atherosclerotic patients with hypertension remains unclear. Methods: We measured MPO activity (peroxidation and chlorination), 4-hydroxynonenal-modified low-density lipoprotein (HNE-LDL), malondialdehyde-modified low-density lipoprotein (MDA-LDL), H2O2, reduced glutathione (GSH), and oxidized glutathione (GSSG) using a corresponding commercial kit in atherosclerotic patients with hypertension and healthy participants. We used Spearman’s correlation analysis to investigate the correlation between MPO activity and the levels of these oxidative and anti-oxidative stress-related indices and performed response surface regression to investigate the relationship between the MPO reaction system and the levels of HNE-LDL, MDA-LDL, and the GSH/GSSG ratio. Results: Our results showed no association between the levels of MPO peroxidation activity, MPO chlorination activity, H2O2, and Cl- and those of HNE-LDL, MDA-LDL, GSH, and GSSG, and the GSH/GSSG ratio in healthy participants. In addition, no effects of the peroxidation reaction system of MPO (PRSM) and the chlorination reaction system of MPO (CRSM) on GSH/GSSG were found in this investigation. However, we found that the PRSM rather than the CRSM correlated with progressive low-density lipoprotein (LDL) modifications by HNE-LDL and MDA-LDL in atherosclerotic patients with hypertension. Conclusion: The PRSM rather than the CRSM correlated with progressive LDL modifications via reactive aldehydes in atherosclerotic patients with hypertension. Further investigation is warranted to evaluate whether the PRSM may serve as a potential index for monitoring LDL function in atherosclerosis and hypertension.

This paper introduces a novel surface passivation using Si3N4 (20-nm)/Al2O3 (15-nm) stack layers in InAlAs/InGaAs InP-based high-electron-mobility transistors (HEMTs). The new technology gives rise to good dc and RF performances in InP-based HEMTs. Notably different from the conventional Si3N4 approach, an ultrathin layer of Al2O3 (15-nm) grown by atomic layer deposition is incorporated in the surface passivation, which is the main feature of this technology. After passivation, the Si3N4/Al2O3-passivated HEMTs exhibit a superior dc performance demonstrating a high drain current up to 800 mA/mm, an increased peak transconductance of 1100 mS/mm at VGS = -0.2 V and a slight threshold voltage shift of ΔVth = +120 mV. In terms of their RF performance, a maximum oscillation frequency (fmax) up to 340 GHz has been obtained, showing an excellent quality of the surface passivation. A physical explanation is addressed over why the good dc and RF performances have been achieved.

The hermeticity performance of the cavity structure has an impact on the long-term stability of absolute pressure sensors for high temperature applications. In this paper, a bare silicon carbide (SiC) wafer was bonded to a patterned SiC substrate with shallow grooves based on a room temperature direct bonding process to achieve a sealed cavity structure. Then the hermeticity analysis on the SiC cavity structure was performed. The microstructure observation demonstrates that the SiC wafers are tightly bonded and the cavities remain intact. Moreover, the tensile testing indicates that the tensile strength of bonding interface is ~8.01 MPa. Moreover, the quantitative analysis on the airtightness of cavity structure through leakage detection shows a helium leak rate of ~1.3 × 10−10 Pa⋅m3/s, which satisfies the requirement of the specification in the MIL-STD-883H. The cavity structure can also avoid an undesirable deep etching process and the problem caused by the mismatch of thermal expansion coefficients, which can be potentially further developed into an all-SiC piezoresistive pressure sensor employable for high temperature applications.