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Background. Osteosarcoma (OS) is the most common primary aggressive sarcoma of bone, with massive aberrant expression of oncogenes related to the development of OS. RALA, a kind of small Ras-like guanosine triphosphatases, has been identified as a potential therapeutic target in several types of tumor, but its role in OS remains largely unknown. Methods. Abnormal expression of RALA was proven in the Cancer Genome Atlas (TCGA), Genotype-Tissue Expression (GTEx), Therapeutically Applicable Research to Generate Effective Treatments (TARGET), and RNA-sequence of samples and cell lines. The role of RALA in OS was analyzed in terms of DNA methylation, immune cell infiltration, and patient survival. The cancer-promoting effect of RALA was demonstrated in cell lines and xenograft osteosarcoma models. A prognostic scoring model incorporating RALA as an indicator was established with the clinical samples that we collected. Results. The results showed that RALA was highly expressed in human OS tissues and cell lines. Survival analysis demonstrated that RALA was the sole independent risk factor for poor overall survival and disease-free survival in OS patients and impacted the proportion of infiltrating immune cells and DNA methylation in the OS tumor microenvironment. By gene-gene interaction analysis, we found that the expression of RALA was highly correlated to the expression of ABCE1. Similar to RALA, upregulated ABCE1 is correlated with poor survival outcome of OS patients. In addition, the functional experiment demonstrated that higher expression of RALA promoted the proliferation, migration, and invasion of OS cells. In vivo results were similar with the in vitro results. We examined m6a methylation-related genes and found that m6A methylation is responsible for the abnormal expression of RALA. Finally, the prognostic prediction model of RALA could be used to predict the long-term outcome of OS patients. Conclusions. We identified RALA as an oncogene in OS, and RALA upregulation in a concerted manner with ABCE1 was significantly associated with worse outcomes of OS patients. Targeting RALA may prove to be a novel target for OS immunotherapy in future clinical practice.

Highlights The recommended mineral fertilizers plus organic fertilizer treatments increased the soil total carbon (TC) and nitrogen (TN) levels. The application of organic fertilizer markedly reduced the loss of NH3-N compared to the application of mineral nitrogen alone. CO2 and N2O emissions from the application of organic fertilizer were higher than those from the application of mineral nitrogen under long-term fertilization. Abstract. Greenhouse gas (GHG) and ammonia (NH3) emissions from wheat fields have been a serious challenge to agriculture and the environment. The integration of the use of inorganic N fertilizer, organic fertilizer, and crop residues and their environmental effects is needed under conventional tillage. In situ field experiments were established to evaluate the impact of different fertilization practices on soil greenhouse gas and ammonia emissions from a winter wheat field. A fertilizer experiment was performed from 24th October 2019 to 11th June 2020 in a winter wheat (Triticum aestivum L.) field in China with six fertilization treatments: (1) unfertilized control (UC); (2) recommended mineral fertilizer application of 200 kg ha-1 N (RF); (3) RF plus 15 t ha-1 of organic fertilizer (RFLO); (4) RF plus 30 t ha-1 of organic fertilizer (RFMO); (5) RF plus 45 t ha-1 of organic fertilizer (RFHO); and (6) traditional mineral fertilizer application of 300 kg ha-1 N (TF). The results showed that the RF plus organic fertilizer treatments increased the soil organic total carbon (TC) and nitrogen (TN) levels. Under long-term fertilization, the CO2 emissions from the RFLO, RFMO, and RFHO treatments were 18.3, 19.9, and 20.0 t ha-1, respectively, compared with those from the RF and TF treatments (13.2 and 16.0 t ha-1, respectively). In addition, the N2O emissions from the organic-inorganic fertilizer treatment were 7.6 kg ha-1 for the RFLO treatment, 12.4 kg ha-1 for the RFMO treatment, and 8.1 kg ha-1 for the RFHO treatment, which were higher than those from the RF and TF treatments (3.1 and 5.6 kg ha-1, respectively). The NH3 emissions from the RFLO, RFMO, and RFHO treatments (17.3, 26.2, and 22.4 kg ha-1, respectively) were lower than those from the RF (31.2 kg ha-1) and TF (49.7 kg ha-1) treatments under long-term fertilization. The methane emission potential of organic-inorganic fertilizer applications was 27.0% to 98.5% higher than a single application of inorganic fertilizer. Keywords: Ammonia, Carbon dioxide, Fertilization management, Nitrous oxide, Organic fertilizers, Winter wheat.

Whether long non-coding RNA Mir-99a-Let-7c Cluster Host Gene (LncRNA MIR99AHG) is involved in osteoporosis (OP) remains vague, so we hereby center on its implication. Old C57BL/6J mice were injected with the silencing lentivirus of MIR99AHG and subjected to microCT analysis and immunohistochemistry on osteogenic cells. The osteogenic differentiation of bone marrow mesenchymal stem cells (BMSCs) with or without transfection was determined by alkaline phosphatase (ALP) and Alizarin Red S staining. Total N(6)-methyladenosine (m

A cross-sectional study.To quantify the severity of neurogenic intermittent claudication (NIC) for patients with lumbar spinal stenosis (LSS) based on the center of pressure trajectory.NIC is one of the typical symptoms of LSS. So far, the severity level of NIC is mainly evaluated by the subjective description of patients, which might be biased by patients' background differences and thus lead to an ineffective diagnosis or inappropriate treatment for LSS. Therefore, it remains necessary to develop a reliable clinical technique for quantitative evaluation of NIC to achieve more effective therapy for LSS.In the present study, the Footscan pressure system was used to detect the center of pressure trajectory. The real-time walking distance (rtWD) and the corresponding displacement of the medial-lateral center of pressure (ML-COP) were calculated based on the trajectory. The differences of ML-COP between LSS and control groups were analyzed using a one-way repeated measures analysis of variance. Regression and Pearson correlation analysis were used to investigate the correlation between rtWD and ML-COP, as well as the relation between the Oxford Claudication Score (OCS) and clinical evaluation indicators.The present study included 31 LSS patients and 31 healthy controls. There were no significant differences in demographic data between the two groups ( P0.05). The results indicated that ML-COP would increase with the number of laps in the LSS group while not in the control group. Also, a linear relationship was identified between the ML-COP and rtWD for LSS patients ( R20.80, P0.05). Since the incremental rate of ML-COP for LSS patients was reflected by the regression coefficients of the linear regression analysis, thus the regression coefficients were defined as the claudication correlation coefficients (CCCs). In addition, it was indicated by the statistical analysis that there was a strong positive correlation between OCS and CCC ( r =0.96; P0.001) and a medium negative correlation with final walking distance ( r =-0.67; P0.001). It was also noticed that there was no significant correlation between the average ML-COP and OCS ( r =-0.03; P =0.864).The ML-COP of LSS patients would increase with the patients' walking distance. This incremental rate, characterized by the CCC, would be used as an effective indicator to quantify the severity level of the NIC for potentially more accurate and reliable diagnosis, evaluation, and treatment of LSS.3.

The aim of this study was to explore a novel method to determine the orientation of acetabular prosthesis in total hip arthroplasty (THA) by refering to the anatomical landmarker of acetabular notches. Forty-one normal developmental hips were included in the present study. The acetabulums were reamed according to standard surgical procedures of THA on life-size 3D printing pelvis models. The inferior edge of acetabular cup were placed (1–5) mm proximal and distal to the proximal line of the anterior and posterior acetabular notches (PLAPAN) respectively to determine cup inclination. The inferior edge of acetabular cup were placed (1–5) mm pronating and supinating around the proximal point of acetabular posterior notch (PPAPN) respectively to determine cup anteversion. The pelvis plain radiographs were took and the inclination and anteversion of the acetabular cup at 22 positions were calculated. In the normal developmental hip, the mean inclination of acetabular prothesis were (35.10 ± 3.22)° and (45.90 ± 2.68)° when the inferior edge of the acetabular cup was 3 mm proximal and 1 mm distal to the PLAPAN. The optimal cup inclination could be obtained when the inferior edge of the acetabular cup was 1 mm proximal to the PLAPAN (the mean inclination was (40.71 ± 2.80)°). The mean anteversion of acetabular prothesis were (10.67 ± 4.55)° and (20.86 ± 4.44)° when the inferior edge of the acetabular cup was 1 mm pronating and 1 mm supinating around the PPAPN. The optimal cup anteversion could be obtained when the inferior edge of the acetabular cup was parallel to the PLAPAN (the mean anteversion was (18.00 ± 1.64)°). The inclination and anteversion of acetabular prosthesis could be determined by refering the anatomical landmarks of acetabular notches, which could help orthopedists to install the acetabular prosthesis quickly and safely in THA.

Introduction: Rheumatoid arthritis (RA) is a chronic autoimmune disease, characterized by activated M1-like macrophage in the joint. Xanthium mongolicum Kitag (X. mongolicum) is a traditional medicinal plant that has long been used to treat RA and other immune diseases in China.Methods: Fractions of X. mongolicum were separated based on polarity. Anti-RA activity of the fractions were screened by LPS-stimulated RAW264.7 macrophage in vitro. The major active compounds were identified by UPLC-MS and quantified by HPLC. The anti-RA effects of the active fraction was evaluated in complete freund’s adjuvant (CFA)-induced arthritis and collagen-induced arthritis (CIA) mouse models in vivo and LPS-stimulated macrophage in vitro.Results: Sesquiterpene lactones-enriched fraction from X. mongolicum (SL-XM) exhibited the strongest anti-RA activity among all components in vitro. Five major constituents i.e., Xanthinosin (1), Xanthatin (2), Mogolide D (3), Mogolide E (4), and Mogolide A (5) were identified as major compounds of SL-XM. SL-XM ameliorated symptoms of CFA and CIA induced arthritis mice model. Furthermore, SL-XM treatment inhibited LPS-induced M1 macrophages polarization. In addition, SL-XM inhibited the phosphorylation of NF-κB and MAPK signaling pathways in LPS-induced macrophage and CIA-challenged mice.Discussion: The main anti-RA active fraction of X. mongolicum may be the Sesquiterpene lactones, which includes five key compounds. SL-XM may exert its anti-RA effect by suppressing M1 macrophage polarization via the NF-κB and MAPK signaling pathway.

Drug delivery by lateral tail-vein injection in mice is widely used in preclinical research, but the technique is laborious to perform because the tail vein is hardly visible and too small to be cannulated. Misinjections of test components can lead to defective or even false experiment results. We present a simple but useful injection-assistant device to visualize the tail vein of mice. The device consists of a light-emitting diode (LED) circuit and a finger component. The finger component consists of an open-looped ring to slide on the finger, a slot to accommodate the mouse's tail and a lamp cage in which to set the LED lamp. Once the mouse's tail has been illuminated, the tail vein can be clearly seen as a dark line along the bright background of the tail, which facilitates venipuncture and improves the success rate of tail-vein injection. If the protocol provided has been followed correctly, a robust tail-vein injection-assistant device can be set up in 3 h with low-cost components.

BackgroundThe acetabular pathomorphology in patients with Crowe type II and III developmental dysplasia of the hip(DDH)often present complicated changes, which bring challenges to the anatomical reconstruction of acetabulum in total hip arthroplasty (THA). The objective of this study was to develope a novel 3D printed integral customized acetabular prosthesis, which provides a promising way to reconstruct the acetabulum with higher accuracy and efficiency by digital softwares, compared with previous 3D printing model method.Methods15 patients (18 hips) with end-stage hip osteoarthritis due to Crowe type II/III DDH who underwent primary cementless THA from January 2015 to November 2021 were included. The 15 patients consisted of 3 men (3 hips) and 12 women (15 hips) with an average age of 53.89 ± 8.48 years (range from 32 to 69 years). The novel 3D printed integral customized acetabular prosthesis was designed by the model method and software method respectively. The indicators of the cup size, the volume and superficial area of bone defect, the inclination and anteversion of acetabular cup, the horizontal and vertical distance of hip center and working time were compared between two methods.ResultsThere were statistically significant difference between the software group and model group on the volume and superficial area of bone defect as well as working time (t = 2.397, 2.707,138.509, P < 0.05). The mean anteversion and inclination of acetabular cup in the software group and model group were(15.17±0.52)°,(40.24±0.58)°and (33.79 ±13.43)°, (30.50 ±11.03)°respectively, the difference was statistically significant (t = 5.859, 3.767, P < 0.05).There were no statistically significant difference between the software group and model group on cup size, the horizontal and vertical distance of hip center(t =1.458,0.114, 1.712, P > 0.05)ConclusionsThe application of digital softwares could design and develope the novel 3D printed integral customized anatomical acetabular prosthesis in THA for □Crowe type II and III DDH with high accuracy and efficiency.

Objective To evaluate the biomechanical effects of different miniplates on restorative laminoplasty. Methods Assembled restorative laminoplasty models were developed based on 3D printed L4 lamina. Based on different internal fixations, the research was divided into H-shaped miniplates (HSMs) group, two-hole miniplates (THMs) group, and L-shaped miniplates (LSMs) group. The static and dynamic compression tests were analyzed to investigate the biomechanical effects of different internal fixations in restorative laminoplasty, until the failure and fracture of miniplates, or the collapse of miniplates. The static compression tests adopted the speed control mode, and the dynamic fatigue compression tests adopted the load control mode. Results The “door close” and the collapse of lamina occurred in THMs group and LSMs group, and plate break occurred in LSMs group. However, these phenomenon was absent in HSMs group, and only plate crack around a screw and looseness of a screw tail cap were found in HSMs group. The sustainable yield load of HSMs group was greater than that of THMs group and LSMs group (P 0.05), while both were much less than that of THMs (P LSMs group > THMs group (P Conclusions The mechanical strength of H-shaped miniplates was superior to two-hole miniplates and L-shaped miniplates in maintaining spinal canal enlargement and spinal stability, and was more excellent in fatigue stability and ultimate load.

The decline in soil quality is becoming a significant process of soil degradation. Optimizing organic fertilizer incorporation practices in cropland is essential to enhancing crop productivity and soil health. However, that requires a comprehensive understanding of crop yield and soil quality reaction across an application gradient of organic fertilizer. We investigated the effect of organic fertilizer incorporation practices on crop yield, soil quality, and fauna feeding activity from fluvo-aquic soils on wheat (Triticum aestivum)-maize (Zea mays) rotation field. The six treatments included were unfertilized N control (UC), traditional chemical fertilizer application (TF, 600 N kg ha−1 year−1), and recommended chemical fertilization (RF, 400 N kg ha−1 year−1) with no organic fertilizer application rate, low-level 15.0 (RFLO), medium-level 30.0 (RFMO), and high-level 45.0 t ha−1 year−1 (RFHO) application, respectively. The research findings show that the yield with organic fertilizer incorporation treatments increased 26.4%–44.6% for wheat and 12.5%–40.8% for maize compared to RF plots. The long-term organic fertilizer incorporation rate increased organic carbon from 54.7% to 110.6% versus UC plots and 27.9%–74.0% versus chemical fertilizer (TF and RF) treatments, and the total nitrogen content of soil increased from 41.8% to 59.2%, and 24.6%–39.2%. The long-term inorganic fertilizer combined with organic fertilizer incorporation practices significantly enhanced soil sucrose (30.1%–51.9%), urease (28.4%–38.3%), and β-1,4-glucosidase (34.6%–122.4%) activity. Still, nitrite reductase, polyphenol oxidase, and catalase significantly lower 27.3%–49.9%, 8.5%–26.3% and 23.3%–34.3% than single applications of inorganic N fertilizer groups. Meanwhile, the results showed that organic fertilizer incorporation practices improved soil fauna feeding activity by 35.2%–42.5%, and the excessive application of inorganic N fertilizer reduced the activity level of soil fauna.

Bone metastatic breast cancer has severely threatened the survival and life quality of patients. Due to the suboptimal efficacy of anti-metastatic chemotherapeutic drugs and the complicated bone marrow microenvironments, effective treatment of metastatic breast cancer remains challenging for traditional clinical approaches. In this work, we developed a mesoporous nanoplatform (m-CuS-PEG) with the co-loading of CuS nanodots and a chemotherapeutic drug cisplatin for the combined photothermal-chemotherapy of bone-metastasized breast cancer. The CuS nanodots were decorated onto mesoporous silica (m-SiO2) surface with dendritic mesoporous channels, into which the cisplatin was accommodated. The carboxyl-terminated poly (ethylene glycol) (PEG) was further functionalized onto the surface to obtain the functional nanoplatform m-CuS-PEG. The drug release of the loaded cisplatin exhibited pH- and thermal-dual responsive manner. The attached CuS nanodots rendered the mesoporous nanoplatform with high photothermal conversion ability. Upon irradiation with a near-infrared laser in the second near-infrared (NIR-II) window, m-CuS-PEG dispersions exhibited rapid temperature elevation and high photostability. The results revealed that m-CuS-PEG had excellent biocompatibility. The cisplatin-loaded m-CuS-PEG not only showed superior cancer cell-killing effects, but also significantly inhibit the growth of metastatic tumors. The tumor-induced bone destruction was also dramatically attenuated by the mesoporous nanoplatform-mediated combined therapy. Overall, the developed functional nanoplatform integrates photothermal therapy and efficient chemotherapeutic drug delivery to offer an alternative approach for combating breast cancer bone metastasis.

BackgroundOsteosarcoma (OS) is the most common primary malignant bone tumors in children and adolescents. Procollagen-lysine, 2-oxoglutarate 5-dioxygenase 2 (PLOD2) is a key gene in mediating the formation of the stabilized collagen cross-link, playing an important role in the progression of cancer. However, the interaction between OS and PLOD2 has not been clarified so far.MethodsThe target gene PLOD2 was screened through our own RNA-seq results and other two RNA-seq results from GEO database. The expression of PLOD2 in OS was detected by RT-qPCR, Western blot and immunohistochemistry. Functional experiments were performed to investigate the role of PLOD2 in OS cell invasion, migration and angiogenesis in vitro. An OS lung metastasis model was established to investigate the function of PLOD2 in OS metastasis and angiogenesis in vivo. The role of PLOD2 in immune infiltration in OS was explored by KEGG/GO analysis and immune infiltration analysis with TARGET, TCGA and TIMER.ResultsPLOD2 was high-expressed in OS, which was related to poor prognosis of OS patients. PLOD2 promoted OS cell migration, invasion and angiogenesis in vitro and aggravated OS metastasis and angiogenesis in vivo. Bioinformatic analysis showed that PLOD2 played an important role in immune cell infiltration in OS, including CD8 positive T cells, macrophages M0 cells, DC cells, endothelial cells, iDC cells, ly endothelial cells, MEP cells, mv endothelial cells, native B cells, smooth muscle cells and Th1 cells. Immunohistochemical results showed that the expression of CD4 and CD8A was negatively correlated with the expression of PLOD2 in OS.ConclusionPLOD2 was high-expressed in OS and promoted OS migration, invasion and angiogenesis in vitro and facilitated OS metastasis and angiogenesis in vivo. PLOD2 was associated with immune cell infiltration in OS, which could be a promising target to treat OS patients with metastasis and utilized to guide clinical immunotherapy in the future.

Background/objective Brain metastasis in osteosarcoma (BMO) is rare and its clinical characteristics are often buried among studies on brain metastasis of bone and soft tissue sarcomas. The aim of the present study was to summarize the incidence, clinical characteristics, treatment and outcomes of patients with BMO. Methods This retrospective study included 7 patients with BMO who received treatment in our center between 2005 and 2019. The clinical medical records of the 7 patients, together with data of 70 BMO patients published in 33 articles and retrieved by means of PubMed and Medline, were analyzed, retrospectively. Results Data analysis of the 97 BMO patients showed a high correlation between the interval from the primary diagnosis to BMO occurrence and the interval from the primary diagnosis to prior metastases. Multivariate analysis showed that chemotherapy, radiotherapy and surgery were three main factors affecting the overall survival of BMO patients (HR = 0.427; HR = 0.372; HR = 0.296). Surgery combined with chemotherapy or radiotherapy offered a better overall survival than surgery alone. Conclusion Patients with BMO may obtain survival benefits from regular neuroimaging and early aggressive multi-disciplinary interventions including surgical resection, postoperative radiotherapy and chemotherapy. Synopsis This is a retrospective study describing the characteristics of metastasic intervals, locations, clinical features and prognosis in 97 patients with brain metastasis of osteosarcoma (BMO). Multivariate analysis showed that chemotherapy was effective as surgery and radiotherapy for the treatment of BMO. Our findings emphasize the importance of regular neuroimaging and early aggressive multi-disciplinary interventions including surgical resection, postoperative radiotherapy and chemotherapy.

IntroductionProtists play an important role in nutrient cycling, microbiome stability and soil fertility maintenance. However, the driving force of protistan functional groups remains poorly understood in agricultural ecosystems.MethodsWe investigated the impacts of fertilization regimes on the diversity, composition and functional groups of protists and further disentangled the effects of multiple factors shaping the community composition of functional groups in a 5-year fertilization regime (CK, no fertilization; M, organic fertilization; MNPK, combined inorganic and organic fertilization; NPK, inorganic fertilization).ResultsFertilization significantly changed the community composition of protists rather than diversity. The MNPK treatment significantly increased the relative abundance of phototrophs and decreased that of the parasites and consumers. Partial least squares path modeling indicated that fertilization indirectly regulated protistan consumers via changes in the P content, which affected the composition of consumers mainly by regulating fungal community composition. Soil moisture (SM) and available phosphorus (AP) were identified as the top predictors for the composition of parasites, and the composition of phototrophs was mainly affected by SM, indicating that parasites and phototrophs were more sensitive to abiotic factors in the fertilization system.DiscussionTaken together, our findings highlight that fertilization significantly affects the composition of functional groups of protists and their biotic or abiotic regulatory processes, which have implications for the potential changes in their ecosystem functions for soil management systems.

Aims: The aim of this study was to explore a novel method to determine the orientation of acetabular prosthesis in total hip arthroplasty (THA) by refering to the anatomical landmarker of acetabular notches.Methods: Forty-one normal developmental hips were included in the present study. The acetabulums were reamed according to standard surgical procedures of THA on life-size 3D printing pelvis models.The inferior edge of acetabular cup were placed (1-5)mm proximal and distal to the proximal line of the anterior and posterior acetabular notches (PLAPAN) respectively to determine cup inclination. The inferior edge of acetabular cup were placed (1-5) mm pronating and supinating around the proximal point of acetabular posterior notch (PPAPN) respectively to determine cup anteversion. The pelvis plain radiographs were took and the inclination and anteversion of the acetabular cup at 22 positions were calculated. Results: In the normal developmental hip, the mean inclination of acetabular prothesis were (35.10±3.22) ° and (45.90±2.68) ° when the inferior edge of the acetabular cup was 3mm proximal and 1mm distal to the PLAPAN.The optimal cup inclination could be obtained when the inferior edge of the acetabular cup was 1mm proximal to the PLAPAN (the mean inclination was (40.71±2.80) °) .The mean anteversion of acetabular prothesis were (10.67±4.55) ° and (20.86±4.44) ° when the inferior edge of the acetabular cup was 1mm pronating and 1mm supinating around the PPAPN. The optimal cup anteversion could be obtained when the inferior edge of the acetabular cup was parallel to the PLAPAN (the mean anteversion was (18.00±1.64) °).Conclusions: The inclination and anteversion of acetabular prosthesis could be determined by refering the anatomical landmarks of acetabular notches，which could help orthopedists to install the acetabular prosthesis quickly and safely in THA.

Objective: We compared the fixation endurance, bone union time, lower limb joint function and complications associated with external fixation, internal fixation and non-contact locking plate during the treatment of bone defects caused by post-traumatic osteomyelitis debridement. Methods: This retrospective study involved the clinical data for 55 cases with post-traumatic-infected bone defects of the lower extremities, who had undergone radical debridement between January 2017 and September 2020. Moreover, demographics, the time of union, bacterial culture results, complications and the Self-Rating Anxiety Scale scores were statistically compared among the three groups.Results: Differences in bone union time and recurrence rates of osteomyelitis among the three groups were not significant. In contrast, relative to the other two groups, functions after surgery were significantly high in the non-contact locking plate group. Eight patients (8/22 36.4%) in the EX group, four patients (4/13 30.8%) in the IX group and four patients (4/20 20%) in the LP group had shortened limb and deformed tibia. SAS assessment showed that patients in the LP group had the lowest moderate anxiety and severe anxiety rates.Conclusions: The non-contact locking plate technique can achieve a stable fixation with non-contact between the implant and bone tissues. Therefore, it is a viable alternative for second-stage treatment of post-traumatic tibial osteomyelitis.

Pneumatic tourniquets are used in total knee arthroplasty (TKA) for surgical field visualization and improved cementation; however, their use is controversial. This study aimed to assess the effects of tourniquet application on faster recovery post-TKA. Our hypothesis was that inflammation and limb function would be similar with different tourniquet applications. A prospective randomized double-blinded trial assessed tourniquets effects on postoperative pain, swelling, and early outcome in TKA. In present study, 50 TKAs were enrolled in each group as follows: full course (FC), cementation through closure (CTC), and no tourniquet (NT), CTC as treatment group while FC and NT as control groups. Topical blood samples of 3 mL from the joint cavity and drainage bags were obtained at special time point. At last, all samples such as tumor necrosis factor-a (TNF-a), C-C motif chemokine ligand 2 (CCL2), pentraxin 3 (PTX3), prostaglandin E2 (PGE2), superoxide dismutase 1 (SOD1), and myoglobin (Mb) were detected by ELISA. Active and passive range of motion (ROM) values, pain score by the visual analog scale (VAS), change of thigh circumference were recorded at special time point as well. In topical blood, the change of inflammatory factors, such as TNF-a, PTX3, CCL2, PGE2, SOD1, and Mb, was lower in CTC and NT groups than in FC group (p 0.05), the perimeter growth rate was lower, pain scores (VAS) were reduced, and ROM values were improved in CTC and NT groups compared with FC group at T4, T5, and T6 postoperatively (p

As the demand for green energy with high efficiency and low carbon dioxide (CO2) emissions has increased, solid oxide fuel cells (SOFCs) have been intensively developed in recent years. Integrated gasification fuel cells (IGFCs) in particular show potential for large-scale power generation to further increase system efficiency. Thus, for commercial application of IGFCs, it is important to design reliable multi-stacks for large systems that show long-term stability and practical fuel gas for application to industrial equipment. In this work, a test rig (of a 5 kW SOFC system, with syngas from industrial gasifiers as fuel) was fabricated and subjected to long-term tests under high fuel utilization to investigate its performance. The maximum steady output power of the system was 5700 W using hydrogen and 5660 W using syngas and the maximum steady electrical efficiency was 61.24% while the fuel utilization efficiency was 89.25%. The test lasted for more than 500 h as the fuel utilization efficiency was larger than 83%. The performances of each stack tower were almost identical at both the initial stage and after long-term operation. After 500 h operation, the performances of the stack towers decreased only slightly under lower current and showed almost no change under high current. These results demonstrate the reliability of the multi-stack design and the prospect of this SOFC power-generation system for further enlarging its application in a MWth demonstration.

The current surgical techniques for repairing Ellman Ⅲ partial articular supraspinatus tendon avulsion (PASTA) is mainly tear completion followed by repair and in situ transtendon repair, and both techniques have been proven to have good clinical effects. In situ transtendon repair is more widely used because of its high performance in preserving the integrity of the bursal side supraspinatus tendon. However, there is still some scope for improvement. Our purpose was to compare the clinical outcomes of the all-inside repair technique and in situ transtendon repair for Ellman III PASTA.A retrospective comparative study was conducted on 56 patients who suffered from Ellman Ⅲ PASTA and underwent rotator cuff repair; 28 patients were treated with the all-inside technique (group A), and 28 patients were treated with the transtendinous technique (group B). All patients were followed up for at least 2 years. The visual analog scale (VAS), Constant, and American Shoulder and Elbow Surgeons (ASES) scores were used to evaluate the patient's shoulder joint function before surgery, 1 month and 3 months after surgery, and at the last time of follow-up.Group A showed superiority in pain and functional improvement 1 month after the operation: the VAS score, 2.8 ± 0.3 in group A vs. 4.7 ± 0.4 in group B (P = .042); Constant score, 73 ± 5 in group A vs. 60 ± 6 in group B (P = .038); and ASES score, 75 ± 5 in group A vs. 58 ± 7 in group B (P = .043), whereas there was no statistical difference in group B. However, 3 months after surgery and at the last follow-up, the VAS, Constant, and ASES scores in both groups were significantly improved (P .01), and there was no significant statistical difference between the groups (P.05). Magnetic resonance imaging showed that the repaired rotator cuff tendon-bone healed well; at the last follow-up, all patients were in good function, the pain was completely relieved, and no revision was performed in both groups.Arthroscopic repair of Ellman Ⅲ PASTA provided satisfactory functional improvements and pain relief regardless of the all-inside and in situ transtendon repair techniques. However, the all-inside repair technique is more beneficial due to its dual function in preserving the intact bursa and avoidance of uneven tension of the articular side, which is advantageous to early postoperative rehabilitation.

Since 2015, China has implemented chemical fertilizer reduction, aiming to achieve zero growth in the application rate of chemical fertilizer. Therefore, it is of great significance to explore the effect of chemical fertilizer reduction combined with organic materials in a wheat-maize rotation system from fluvo-aquic soil in North China on soil microbial community. The field experiment included five fertilization treatments, i.e., chemical fertilizer with conventional application rate (F), chemical fertilizer reduction on the basis of conventional fertilization (FR), chemical fertilizer reduction plus straw (FRS), chemical fertilizer reduction combined with organic fertilizer (FRO), and chemical fertilizer reduction combined with organic fertilizer and straw (FROS). The abundance, composition, diversity, and structure of bacterial and fungal communities among treatments were evaluated using qPCR and Illumina high-throughput sequencing technology. The results showed that the concentrations of soil organic matter (SOM) and total nitrogen (TN) in all treatments with addition of organic materials were much higher than those in treatments applied with only chemical fertilizer. The SOM content in the FRS, FRO, and FROS treatments increased by 23.91%, 37.12%, 26.09%, and the TN content increased by 11.96%, 21.08%, 15.22% in comparison with the F treatment, respectively. The lowest contents of available phosphorus (AP) and nitrate nitrogen (NO3−-N) were observed in FR treatment. The AP content in FRO and FROS treatments were 2.44 times and 2.42 times greater than that in FR treatment, respectively. Compared with F treatment, the organic materials input significantly increased bacterial and fungal abundances. More significant effects on the α-diversity with organic fertilizer were observed in the fungal community compared with the bacterial community. The significant increase of Ascomycota and the decline of Mortierellomycota and Glomeromycota were observed in the combined with organic materials treated soils. The nonmetric multidimensional scaling (NMDS) analysis demonstrated that the bacterial community structure in the F treatment was clearly separated from the other treatments, and the other treatments clustered closely, while with respect to fungal community structure, the FRO and FROS treatments grouped together and were separated from the other three treatments. The redundancy analysis (RDA) results showed that the structure of the bacterial community was significantly correlated with SOM and TN, and the fungal community structure was strongly correlated with AP, SOM, and TN. The chemical fertilizer reduction combined with organic fertilizer and straw can effectively improve soil fertility and nutrient availability, altered the community structure of both bacteria and fungi, but only significantly reduced fungal biodiversity. The influence of chemical fertilizer reduction combined with organic materials on fungi was greater than that on bacteria in fluvo-aquic soil of North China.

The human gut microbiota has been proven to have great effects on the regulation of bone health. However, the association between gut microbiota and particle-induced osteolysis, which is the primary cause of aseptic loosening, is still unknown. In this study, we used a combination of wide-spectrum antibiotics to eliminate the majority of gut microbiota and found that reduction of gut commensal bacteria significantly alleviated the progression of osteolysis, in which anaerobe was the biggest culprit in the exacerbation of osteolysis. Furthermore, colonization of enteropathogenic Escherichia coli (EPEC), a subspecies of anaerobe, could promote the development of particle-induced osteolysis by increasing the secretion of peripheral 5-hydroxytryptamine (5-HT) from the colon. Elevated 5-HT level decreased the phosphorylation of CREB and inhibited the proliferation of osteoblasts. Collectively, these results indicated EPEC colonization suppressed the bone formation and aggravated particle-induced osteolysis in vivo. Thus, clearance of EPEC is expected to become a potential preventive approach to treat debris-induced osteolysis and aseptic loosening.

Biotin is one of the water-soluble B-complex group of vitamins. Recent studies have found that the relative protein expression of BMP2, BSP and OPG in MC3T3-E1 cells is prominent after 14 days of co-culture with biotin film, especially for BMP2. It is also found that the rapid degradation of biotin film in vivo limits its application value. In this work, magnesium-doped hydroxyapatite (MgHA) film can form a porous network structure as a biological sustained-release film. Therefore, the multilayer (MgHA|biotin|MgHA|biotin) film was prepared by pulsed laser assisted electron beam deposition technique. The morphology, structure and properties of biotin film and multilayer film were analyzed and characterized. Also, the osteogenic effect of biotin film and multilayer film was evaluated after implantation into the femoral bone marrow cavity of SD rats. The results of micro-CT scan and 3D reconstruction showed that there were a large number of trabecular bones around the multilayer film, which was superior to biotin film in osteogenesis. Hematoxylin-eosin staining showed cancellous bone structure and intact bone marrow structure around the multilayer film, and the newly formed bone became lamellar. Masson-trichromatic staining revealed abundant osteoid and braided bone formation around the multilayer film. In conclusion, MgHA sustained release film can realize the continuous release of bioactive drugs, which provides a new route to accelerate the repair of bone defects.

The human gut microbiota has been proven to have great effects on the regulation of bone health. However, the association between gut microbiota and particle-induced osteolysis, which is the primary cause of aseptic loosening, is still unknown. In this study, we used a combination of wide-spectrum antibiotics to eliminate the majority of gut microbiota and found that reduction of gut commensal bacteria significantly alleviated the progression of osteolysis, in which anaerobe was the biggest culprit in the exacerbation of osteolysis. Furthermore, colonization of enteropathogenic Escherichia coli (EPEC), a subspecies of anaerobe, could promote the development of particle-induced osteolysis by increasing the secretion of peripheral 5-hydroxytryptamine (5-HT) from the colon. Elevated 5-HT level decreased the phosphorylation of CREB and inhibited the proliferation of osteoblasts. Collectively, these results indicated EPEC colonization suppressed the bone formation and aggravated particle-induced osteolysis in vivo. Thus, clearance of EPEC is expected to become a potential preventive approach to treat debris-induced osteolysis and aseptic loosening.

Background The aim of this study was to compare the mid-term outcomes of cementless hemiarthroplasty without femoral calcar reconstruction with cemented hemiarthroplasty in patients aged 80 years or more. Methods From January 2015 to December 2017, 135 patients with unstable intertrochanteric fractures were retrospectively investigated, 70 patients were treated with the cemented hemiarthroplasty while 65 patients were treated with a modular long-stem cementless hemiarthroplasty without rebuilding calcar. Clinical and radiological results were analyzed. Results The 106 alive patients were followed for 62.1 ± 8.3 months, and 29 patients died during the follow-up period. No significant differences were found in terms of demographic and clinical characters of patients, weight training time, postoperative hospital stay length, postoperative ambulatory status and Harris hip score. Patients treated with cementless hemiarthroplasty had a shorter operative time, less estimated blood loss, less amount of blood transfusion and a lower one-year mortality compared with patients treated with cemented hemiarthroplasty. Conclusions Compared with cemented hemiarthroplasty, cementless hemiarthroplasty using a long modular stem without reconstruction of femoral calcar was a good choice for octogenarians with unstable intertrochanteric fractures.

Background: Hidden blood loss (HBL) often occurs after joint replacement; however, the mechanism of HBL is not clear. We conducted a prospective study to analyze the correlation between high-level free fatty acids (FFA) and erythrocyte injury, and explore the pathologic mechanism of hidden blood loss (HBL) after total knee arthroplasty (TKA). Methods: Perioperative blood indexes were tested in 120 patients who underwent unilateral total knee replacement for end-stage knee osteoarthritis. The changes in FFA, reactive oxygen species (ROS), hemoglobin (Hb), and red blood cells (RBC) in the blood samples were detected. The activity of glutathione peroxidase (GSH-Px), total superoxide dismutase (T-SOD) and hydrogen peroxide (H(2)O(2)) levels were measured. Morphologic changes of blood cells were analyzed under a microscope. Results: HBL occurred in all patients after TKA. The Hb and RBC decreased significantly 24 h after surgery (P

Objective Wear‐induced aseptic loosening has been accepted as one of the main reasons for failure of total hip arthroplasty. Ceramic wear debris is generated following prosthesis implantation and plays an important part in the upregulation of inflammatory factors in total hip arthroplasty. The present study investigates the influence of ceramic debris on osteoblasts and inflammatory factors. Methods Ceramic debris was prepared by mechanical grinding of an aluminum femoral head and added to cultures of MC3T3‐E subclone 14 cells at different concentrations (i.e. 0, 5, 10, and 15 μg/mL). Cell proliferation was evaluated using a Cell Counting Kit (CCK‐8), and cell differentiation was assessed by mRNA expression of alkaline phosphatase (ALP), osteocalcin (OCN), and osteopontin (OPN). In addition, cell bio‐mineralization was evaluated through alizarin red S staining, and release of tumor necrosis factor alpha (TNF‐α), interleukin‐1 beta (IL‐1β), and interleukin‐6 (IL‐6) was measured through enzyme‐linked immunosorbent assays (ELISA). Furthermore, mRNA expression of Smad1, Smad4, and Smad5 and protein expression of phosphorylated Smad1, Smad4, and Smad5 were measured by reverse transcriptase polymerase chain reaction (RT‐PCR) and western blotting. Results The ceramic debris had irregular shapes and sizes, and analysis of the size distribution using a particle size analyzer indicated that approximately 90% of the ceramic debris was smaller than 3.2 μm (2.0 ± 0.4 μm), which is considered clinically relevant. The results for mRNA expression of ALP, OCN, and OPN and alizarin red S staining indicated that cell differentiation and bio‐mineralization were significantly inhibited by the presence of ceramic debris at all tested concentrations (P < 0.05, and the values decreased gradually with the increase of ceramic debris concentration), but the results of the CCK‐8 assay showed that cell proliferation was not significantly affected (P > 0.05; there was no significant difference between the groups at 1, 3, and 5 days). In addition, the results of ELISA, RT‐PCR, and western blotting demonstrated that ceramic debris significantly promoted the release of inflammatory factors, including TNF‐α, IL‐β, and IL‐6 (P < 0.05, and the values increased gradually with the increase of ceramic debris concentration), and also greatly reduced the mRNA expression of Smad1, Smad4, and Smad5 (the values decreased gradually with the increase of ceramic debris concentration) as well as protein expression of phosphorylated Smad1, Smad4, and Smad5. Conclusion Ceramic debris may affect differentiation and bio‐mineralization of MC3T3‐E subclone 14 cells through the bone morphogenetic protein/Smad signaling pathway.

Impaired osteoblast proliferation plays fundamental roles in microgravity-induced bone loss, and cell cycle imbalance may result in abnormal osteoblast proliferation. However, whether microgravity exerts an influence on the cell cycle in osteoblasts or what mechanisms may underlie such an effect remains to be fully elucidated. Herein, we confirmed that simulated microgravity inhibits osteoblast proliferation. Then, we investigated the effect of mechanical unloading on the osteoblast cell cycle and found that simulated microgravity arrested the osteoblast cell cycle in the G2 phase. In addition, our data showed that cell cycle arrest in osteoblasts from simulated microgravity was mainly because of decreased cyclin B1 expression. Furthermore, miR-181c-5p directly inhibited cyclin B1 protein translation by binding to a target site in the 3'UTR. Lastly, we demonstrated that inhibition of miR-181c-5p partially counteracted cell cycle arrest and decreased the osteoblast proliferation induced by simulated microgravity. In conclusion, our study demonstrates that simulated microgravity inhibits cell proliferation and induces cell cycle arrest in the G2 phase in primary mouse osteoblasts partially through the miR-181c-5p/cyclin B1 pathway. This work may provide a novel mechanism of microgravity-induced detrimental effects on osteoblasts and offer a new avenue to further investigate bone loss induced by mechanical unloading.

Background The objectives of this study were to investigate the anatomic morphology of patellar ridge using computed tomography-based three-dimensional (3D) computer models and to assess the center of the patellar ridge after virtual resections. Methods We selected 80 patients, 40 males (age, 33.2±6.8 years) and 40 females (age, 30.6±7.2 years), who were slightly symptomatic with soft tissue injury of the knee joint. The right or left knees were scanned by computed tomography (CT). The CT data of 160 knees was used to construct 3D computer models by image analysis software (Mimics). Variables such as the angle between the patellar ridge and patellar long axis, the distance between the center of the patellar ridge and the center of patellar cut after virtual resections were measured. We detect differences between the sides and genders with the 3D computer models by Student’s t test. Simple linear regression and correlation test was used to correlate the patellar ridge center to the center of the patellar cut. Results According to the available data, there were significant gender differences in the length and width of patellar cut after virtual resections even with strict control for the height and weight of the patients. The angle between the patellar ridge and the patellar long axis was 11.24° ± 3.62°. The angle in male patients was 10.17° ± 4.82°, and it was 12.28°± 3.78° in female patients. The morphological difference was statistically significant (P Conclusions Advances in 3D computer models had resulted in the availability of preoperative measurement and virtual planning. The anthropometric dimensions of this study could provide general information for guiding surgical management of the patella in total knee arthroplasty (TKA) and were useful in designing patellar implants. Clinical relevance The placement of the patellar component during TKA differs from one patella to another. The anatomic morphology information of the patellar ridge is helpful for surgeons to perform patellar resurfacing in TKA.

Total hip arthroplasty and total knee arthroplasty are extensively used for the treatment of the end-stage degenerative joint diseases. Currently, periprosthetic bone loss is still the major cause of aseptic loosening, resulting in implant failures. Previous literature introduced some widely accepted protocols for the prevention and treatment of periprosthetic bone loss, but no guideline has been proposed. Denosumab, a human monoclonal immunoglobulin G2 (IgG2) antibody, can inhibit bone resorption by binding to the receptor activator of nuclear factor kappa-B ligand (RANKL). This article reviews the present findings and evidence concerning the effect of denosumab on the periprosthetic bone loss after total hip arthroplasty and total knee arthroplasty. Overall, the current evidence suggests that denosumab is a promising agent for the treatment of periprosthetic bone loss.

KLF11 is a negative regulator of CSC stemness in sarcoma by repressing YAP/TEAD-dependent transcription., Cancer stem cells (CSCs) are involved in tumorigenesis, recurrence, and therapy resistance. To identify critical regulators of sarcoma CSCs, we performed a reporter-based genome-wide CRISPR-Cas9 screen and uncovered Kruppel-like factor 11 (KLF11) as top candidate. In vitro and in vivo functional annotation defined a negative role of KLF11 in CSCs. Mechanistically, KLF11 and YAP/TEAD bound to adjacent DNA sites along with direct interaction. KLF11 recruited SIN3A/HDAC to suppress the transcriptional output of YAP/TEAD, which, in turn, promoted KLF11 transcription, forming a negative feedback loop. However, in CSCs, this negative feedback was lost because of epigenetic silence of KLF11, causing sustained YAP activation. Low KLF11 was associated with poor prognosis and chemotherapy response in patients with sarcoma. Pharmacological activation of KLF11 by thiazolidinedione effectively restored chemotherapy response. Collectively, our study identifies KLF11 as a negative regulator in sarcoma CSCs and potential therapeutic target.

Winter wheat (Triticum aestivum L) is an important crop grown for food in China. Minimizing soil greenhouse gas (GHGs) and ammonia (NH3) emission has significant implications in regional air quality and nitrogen nutrient management from an intensive wheat site. Therefore, information on integrated use of inorganic N fertilizer, organic fertilizer, and crop residue, and their environmental effects is needed under Conventional Tillage. The objective of this work was to evaluate the effect of different fertilization practices on soil greenhouse gas and ammonia emissions from a winter wheat field. The field trial was set up in June 2015. The research was based on six fertilization treatments: 1) unfertilized control (UC); 2) recommended mineral fertilizers application of 200 kg·ha−1 N (RF); 3) RF plus organic fertilizer of 15 t·ha−1 (RFLO); 4) RF plus organic fertilizer 30 t·ha−1 (RFMO); 5) RF plus organic fertilizer of 45 t·ha−1 (RFHO); 6) traditional mineral fertilizers applications of 300 kg·ha−1 N (TF). During growth season from 2019-2020, soil GHGs emission following N fertilization was measured using the closed static chambers method whereas NH3 emissions were by passive adsorption method. The results showed that RF plus organic fertilizer treatments use helps increase soil organic Total carbon (TC) and nitrogen (TN) levels. In the long-term fertilization, the CO2 emission for the RFLO, RFMO, and RFHO treatment were 18.3, 19.9, and 20.0 t·ha-1, respectively, which were higher than for the RF and TF treatment (13.2 and 16.0 t·ha-1, respectively). In addition, under long-term experiments, the nitrous oxide (N2O) emission for the combined applications of organic fertilizer and RF treatment were 7.6 kg·ha-1 for the RFLO, 12.4 kg·ha-1 for the RFMO, and 8.1 kg·ha-1 for the RFHO, respectively, which were higher than for the RF and TF treatment (3.1 and 5.6 kg·ha-1, respectively). The NH3 emission for RFLO, RFMO, and RFHO treatments (17.3, 26.2, and 22.4 kg·ha-1, respectively) were lower than RF (31.2 kg·ha-1) and TF (49.7 kg·ha-1) treatment in the long fertilization treatments. CH4 emissions were ignored in this study. Overall, the application of organic fertilizer can significantly decrease NH3-N loss compared to mineral N application. However, CO2 and N2O emissions due to organic fertilizer application were higher than with the application of mineral N with long-term fertilization.

Osteosarcoma is a malignancy with high aggressiveness and poor prognosis, which occurs mainly in children. The therapeutic strategy against osteosarcoma includes surgery combined with chemotherapy and radiotherapy. Although the treatment of osteosarcoma has been improved in recent years, there is a large proportion of patients with incurable osteosarcoma. Investigation of the mechanism of osteosarcoma progression would be of great help in discovering therapeutic targets for this disease. Long non-coding RNAs play critical roles in the pathogenesis of different types of cancer. The current study showed that long non-coding RNA NR_027471 was downregulated in osteosarcoma cells. In vitro and in vivo studies indicated that upregulation of NR_027471 impeded the viability, proliferation, and invasion of osteosarcoma, as well as induced cell cycle arrest at G1. In addition, binding of miR-8055 to NR_027471 was demonstrated, thereby influencing the expression of tumor protein p53 inducible nuclear protein 1 (TP53INP1). Knockdown of NR_027471 promoted epithelial–mesenchymal transition by inhibiting E-cadherin and increasing the expression of zinc finger E-box-binding homeobox 1 (ZEB1), Snail, and fibronectin. These results suggested that overexpression of NR_027471 upregulated TP53INP1 by sponging to miR-8055, leading to suppression of osteosarcoma cell proliferation and progression.

With increasing demand of green energy supply with high efficiency and low CO2 emission, Solid oxide fuel cell (SOFC) has been intensively developed in recent years. And the integration of gasification with fuel cell (IGFC) shows potential in large scale power generation to further increase the system efficiency. Reliable design of multi-stacks for large system and long term stability of stacks with practical fuel gas from industrial equipment are the key for commercial application of IGFC. In this work, a test rig of 5kW SOFC system was fabricated using practical syngas from industrial gasifiers as fuel and long term test under high fuel utility was conducted to investigate the system performance. The results show that the maximum steady output power of system is 5700W for hydrogen case and 5660W for syngas case, and the maximum steady electrical efficiency is 61.24% while the fuel utility efficiency is 89.25%. The test lasted for more than 500h as the fuel utility efficiency was larger than 83%. The performances of each stack tower are almost identical at both initial stage and after long term operation. After 500h operation, the performances of stack towers just slight decrease under lower current and almost not change under higher current. Therefore, the results illustrate that the reliability of multi-stacks design and the prospect of SOFC power generation system for further enlarging its application in a MWth demonstration.

CO2 fixation by autotrophic microbes has a significant effect on the carbon cycle in temperate grasslands. Nitrogen (N) deposition in soil has been steadily increasing for decades, which has consequences for soil microorganisms. However, the impact of this deposition on the diversity and abundance of CO2-fixing soil microorganisms remains unclear in temperate grasslands. In the present study, the cbbL gene, a key gene in the Calvin–Benson–Bassham cycle that encodes the large subunit of ribulose-1,5-bisphosphate carboxylase/oxygenase, was used to study CO2-fixing microbes under different rates of N addition (0, 15, 30, 50, 100, and 150 kg N ha–1 yr–1) in a 9-year field experiment in a temperate grassland. The results showed that N addition led to significant reductions in cbbL gene abundance and genetic diversity and altered cbbL gene community composition. High N addition enhanced the relative abundances of Acidiferrobacterales and Rhizobiales but reduced those of Burkholderiales and Rhodobacterales. Structural equation modeling further revealed that N addition primarily reduced cbbL genetic diversity by increasing the soil NO3-N content and decreasing the soil pH. N addition indirectly reduced cbbL gene abundance, possibly by increasing the soil N/phosphorus (P) ratio and decreasing the soil pH. These findings suggest that N addition increases the soil available N and causes soil acidification, which may inhibit growth of CO2-fixing microbes to some extent.

In the context of the evolution of in-vehicle electronic and electrical architecture as well as the rapid development of quantum computers, post-quantum algorithms, such as NTRUEncrypt, are of great significance for in-vehicle secure communications. In this paper, we propose and evaluate, for the first time, a NTRUEncrypt enhanced session key negotiation for the in-vehicle Ethernet context. Specifically, the time consumption and memory occupation of the NTRUEncrypt Elliptic Curve Diffie–Hellman (ECDH), and Rivest–Shamir–Adleman (RSA) algorithms, which are used for session key negotiation, are measured and compared. The result shows that, besides the NTRUEncrypt’s particular attribute of resisting quantum computer attacks, the execution speed of session key negotiation using NTRUEncrypt is 66.06 times faster than ECDH, and 1530.98 times faster than RSA at the 128-bit security level. The memory occupation of the algorithms is at the same order of magnitude. As the transport layer security (TLS) protocol can fulfill most performance requirements of the automotive industry, post-quantum enhanced session key negotiation will probably be widely used for in-vehicle Ethernet communication.

As one of the typical farmland ecosystems, tea gardens are of vital importance in China. The purpose of this study was to quantify the dynamic of soil properties, soil microbial diversity, and nematodes, as affected by various cover crop patterns in a Tanjiawan tea garden in Hubei Province, China. Four cover crop patterns were established as following: naturally covered of bare land and mixed planting with two species, four species, and eight species. The results revealed that soil organic matter, pH, and total phosphorous content were significantly related to cover crop patterns. The number of nematodes increased with cover crop diversity, and the percentage of plant parasitic nematodes in cover crop treatments was lower than in naturally covered bare land. A higher diversity of cover crops increased the number of bacterivores and fungivores, thereby enhancing the bacterial decomposition pathway of soil organic matter. Both soil nematodes and microbial communities showed significant seasonal changes under different cover crop patterns. The soil food webs were more stable and mature under cover crops with two species and four species. Combined with the results of a structural equation model, we found that soil properties, characterized by the total nitrogen, available phosphorus, NO3--N, and soil organic matter, were significantly correlated with soil nematodes and microbial communities. In addition, acterivores and plant parasites were significantly negatively correlated with omnivores/predators. Our results implied that soil properties and seasonal changes influence the relationships between cover crops, soil nematodes, and microbial communities. These findings provide a theoretical basis for future studies on interactions between soil properties, soil microorganisms, and nematodes in tea gardens.

Background There is a lack of data on the influence of chronic thrombocytopenia (cTCP) on clinical outcomes following primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). Limited studies mainly focused on postoperative heparin-induced TCP from single centers with small sample sizes. This study aims to describe the characteristics, trend, and outcomes of cTCP in patients undergoing THA and TKA from a nationally reprehensive perspective. Methods We identified THA and TKA patients with and without cTCP from the 2005 to 2015 Nationwide Inpatient Sample. Annual percent changes were calculated to reflect cTCP trends. Multivariable regression and propensity score analyses were conducted to investigate the association of cTCP and mortality, preoperative complications, cost as well as length of stay. Results In total, 578,278 and 1,237,331 patients underwent primary THA and TKA, respectively. Proportion of cTCP annually increased by 6.95% in THA and 6.66% in TKA. Patients with cTCP were associated with higher risk of medical (odds ratio [OR] 2.00, 95% confidence interval [CI] 1.89-2.11) and surgical complications (OR 2.72, 95% CI 2.55-2.90) in THA, and higher risk of mortality (OR 1.68, 95% CI 1.22-2.31), medical (OR 1.94, 95% CI 1.85-2.03) and surgical complications (OR 2.55, 95% CI 2.38-2.73) in TKA. Additionally, higher cost and longer length of stay were observed in patients with cTCP for both surgical procedures. Conclusion Patients with cTCP had higher risk of mortality for TKA, more perioperative complications for both TKA and THA. Further studies are warranted to improve the preoperative management and to prevent worse outcomes associated with cTCP.