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Background Neurogenic limb deformity disorder (NLDD) refers to limb deformity disorders caused by various neurogenic disorders. However, there are no studies to systematically summarize and analyze these diseases in China, and we first proposed the concept of NLDD. We describe the epidemiological characteristics of NLDD in China based on the largest case database of limb orthopedics in China. Methods This study analyzed parameters from the Qin Sihe Orthopedic Surgery Case Data (QSHOSCD). The database is based on the Rehabilitation Hospital affiliated to National Research Center for Rehabilitation, which has collected nearly 37,000 patients to date and includes a wide variety of limb deformities. The types of diseases are summarized and classified for all patients studied. Statistical analysis was based on the type of etiology, age, regional distribution, and historical surgical volume. Partial outcomes were statistically analyzed separately by common diseases (polio and cerebral palsy) and rare diseases (37 other diseases). Results From 1979 to 2019, 30,194 patients with NLDD were treated surgically for 39 neurogenic disorders. The male to female ratio was 1.48:1, the mean age was 19.65 years, and most patients (82.38%) were aged between 6 and 30 years. Patients included from 32 provinces and cities across China, mainly concentrated in populous central provinces and Heilongjiang Province. The peak of annual surgical procedures was from 1988 to 1994, and the number of annual surgical procedures for common diseases gradually decreased from 1994 onwards, but the trending is opposite for rare diseases. Conclusions This study is the first to demonstrate the disease types, population characteristics and incidence trends of NLDD in China. It suggests that the prevention and treatment of NLDD should focus on the adolescent population and enhance the treatment of neurogenic diseases that cause limb deformities. The growth and adaption of the Ilizarov technique and its practice in Chinese orthopedic benefits the treatment of neurogenic limb deformity disorders.

ObjectiveTo provide the current research progress, hotspots, and emerging trends for AI in liver cancer, we have compiled a relative comprehensive and quantitative report on the research of liver disease using artificial intelligence by employing bibliometrics in this study.MethodsIn this study, the Web of Science Core Collection (WoSCC) database was used to perform systematic searches using keywords and a manual screening strategy, VOSviewer was used to analyze the degree of cooperation between countries/regions and institutions, as well as the co-occurrence of cooperation between authors and cited authors. Citespace was applied to generate a dual map to analyze the relationship of citing journals and citied journals and conduct a strong citation bursts ranking analysis of references. Online SRplot was used for in-depth keyword analysis and Microsoft Excel 2019 was used to collect the targeted variables from retrieved articles.Results1724 papers were collected in this study, including 1547 original articles and 177 reviews. The study of AI in liver cancer mostly began from 2003 and has developed rapidly from 2017. China has the largest number of publications, and the United States has the highest H-index and total citation counts. The top three most productive institutions are the League of European Research Universities, Sun Yat Sen University, and Zhejiang University. Jasjit S. Suri and Frontiers in Oncology are the most published author and journal, respectively. Keyword analysis showed that in addition to the research on liver cancer, research on liver cirrhosis, fatty liver disease, and liver fibrosis were also common. Computed tomography was the most used diagnostic tool, followed by ultrasound and magnetic resonance imaging. The diagnosis and differential diagnosis of liver cancer are currently the most widely adopted research goals, and comprehensive analyses of multi-type data and postoperative analysis of patients with advanced liver cancer are rare. The use of convolutional neural networks is the main technical method used in studies of AI on liver cancer.ConclusionAI has undergone rapid development and has a wide application in the diagnosis and treatment of liver diseases, especially in China. Imaging is an indispensable tool in this filed. Mmulti-type data fusion analysis and development of multimodal treatment plans for liver cancer could become the major trend of future research in AI in liver cancer.

Leiodontium geminoserratum S. He & Chantanaorr. (Hypnaceae), a new species from Thailand, is described herein based on distinctive morphological features. The new species resembles L. gracile Broth. from China and Nepal, but differs most notably in having moderately complanate leafy stems and branches, prorate laminal cells, doubly serrate basal leaf margin, and axillary hairs with a globose distal cell. A full description and photographs of the new species are provided.

Florschuetziella scaberrima (Broth.) Vitt, previously known only from the type material collected in 1915 from Yunnan, China, was rediscovered nearly a century later in 2005. The species is morphologically indistinguishable from the Mexican endemic F. steerei Vitt, but given the paucity of material the two are provisionally retained as distinct, allopatric species. Both species exhibit traits reminiscent of Leratia neocaledonica Broth. & Paris, a species endemic to New Caledonia. A shared ancestry with the other species currently accommodated in Leratia Broth. & Paris, i.e., L. exigua (Sull.) Goffinet and L. obtusifolia (Hook.) Goffinet, and the phylogenetically nested position of Florschuetziella Vitt within Leratia supports the merger of the two generic names, and hence the transfer of species of Florschuetziella, prompting the proposed new combinations Leratia steerei (Vitt) Goffinet, S.He & Shevock and Leratia scaberrima (Broth.) Goffinet, S.He & Shevock.

Sensitive and accurate diagnosis of SARS-CoV-2 infection at early stages can help to attenuate the effects of the COVID-19. Compared to RNA and antibodies detection, direct detection of viral antigens could reflect infectivity more appropriately. However, it is still a great challenge to construct a convenient, accurate and sensitive biosensor with a suitable molecular recognition element for SARS-CoV-2 antigens. Herein, we report a HRCA-based aptasensor for simple, ultrasensitive and quantitative detection of SARS-CoV-2 S1 protein and pseudovirus. The aptamer sequence used here is selected from several published aptamers by enzyme-linked oligonucleotide assay and molecular docking simulation. The sensor forms an antibody-target-aptamer sandwich complex on the surface of microplates and elicits HRCA for fluorescent detection. Without complicated operations or special instruments and reagents, the aptasensor can detect S1 protein with a LOD of 89.7 fg/mL in the linear range of 100 fg/mL to 1 μg/mL. And it can also detect SARS-CoV-2 spike pseudovirus in artificial saliva with a LOD of 51 TU/μL. Therefore, this simple and ultrasensitive aptasensor has the potential to detect SARS-CoV-2 infection at early stages. It may improve the timeliness and accuracy of SARS-CoV-2 diagnosis and demonstrate a strategy to conduct aptasensors for other targets.

ABSTRACT: Shale oil has become one of the most important unconventional energy sources. Jimsar shale oil reserve is huge and has broad development prospects. In order to understand the production situation and development potential of shale oil in Jimusar, a workflow of decline analysis based on production data was proposed to evaluate productivity and predict production. Taking a single well as an example, this method based on the production data, combined with well and reservoir data, uses conventional Arps decline model, Duong model, flow material balance method (FMB) and typical curve Blasingame to perform decline analysis and predict the expected ultimate recovery (EUR) and original oil-in-place (OOIP). EUR is the weighted average of the above methods, and the weight is calculated by analytic hierarchy process (AHP). According to the AHP, the weights of Harmonic Decline, Exponential Decline, Duong Decline, Blasingame and FMB are 0.285, 0.080, 0.209, 0.213 and 0.213 respectively. OOIP takes the average of Blasingame and FMB prediction results. At the same time, initial decline rate (Di) is calculated to evaluate the well stimulation. Therefore, this paper summarizes and proposes a workflow for shale oil productivity evaluation and prediction:(1) Data collection, collation and import;(2) Decline analysis;(3) Analysis results processing;(4) Comprehensive evaluation of oil well. The results show that the workflow is well applicable to the example well and it is also suitable for other wells in Jimsar. According to the EUR, OOIP and Di calculated by the method, the development value of each well and area can be evaluated and the development plan can be optimized. 1. INTRODUCTION With the continuous progress of exploration and development technologies such as horizontal drilling and staged fracturing, the reserves of unconventional oil and gas resources have gradually increased. As a typical unconventional hydrocarbon resource, the development of shale oil has been one of the important strategies of the oil industry (Oyekunle,2014). Jimsar shale oil is a typical example of shale oil in continental saline lacustrine basin, with well-controlled reserves of over 1 billion tons and broad development prospects. The study of production decline law is of great significance to the prediction of oilfield production performance and oil production planning (Falcon,2021). There is a great demand for accurate production prediction in unconventional oil and gas developments. Methods including decline curve analysis (DCA), analytical simulation and numerical simulation all have their advantages and disadvantages. Only DCA technology can use readily available production data for rapid prediction with some degree of accuracy (Joshi et al.,2013). Decline analysis is also the preferred method for unconventional well performance prediction and reserve estimation (Artus et al.,2018, Acuna,2021). Compared to traditional well test analysis, it is more convenient and effective, and without shut-in to restore pressure measurement. It can ensure normal production of the oilfield while achieving the purpose of unstable well testing and productivity prediction.

Whether families using big data-based digital payments will increase household healthcare expenditure is a subject that needs to be investigated in the era of big data. Based on the data from China Family Panel Studies (CFPS), 24,126 samples from 2014 to 2018 are used to examine the impact and mechanism of big data-based digital payments on household healthcare expenditure. The empirical results of this paper show that the use of digital payments by households can significantly increase household healthcare expenditure with the empowerment of big data. This research employs the instrumental variable method to verify and produce consistent estimation results in order to address potential endogeneity issues such as measurement error and missing variables. We learn via mechanism analysis that household adoption of big data-driven digital payments can remove credit limitations and build social capital, resulting in higher household health-care spending. We also perform a heterogeneity analysis. The findings reveal that when a family's traditional financial accessibility is high, the head of the household is young or middle-aged, and the head of the household has a higher level of education, digital payment will play a larger role in encouraging household healthcare expenditure. The conclusions of this paper are still solid after changing the indicators of household healthcare expenditure substituting the indicators of digital payment, and adjusting the variables. As a result, this article provides micro-evidence for the usage of digital payments by households to enhance healthcare spending.JEL ClassificationD12 G21 O30 O53 I12

Hanji Huang,1,2,* Manli Tan,1,* Li Zheng,1,3 Guohua Yan,1,2,4 Kanglu Li,1,2,4 Dejie Lu,1,2,4 Xiaofei Cui,1,2,4 Si He,1,2 Danqing Lei,5,6 Bo Zhu,1 Jinmin Zhao1– 4,7 1Guangxi Engineering Center in Biomedical Materials for Tissue and Organ Regeneration, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, People’s Republic of China; 2Guangxi Collaborative Innovation Center for Biomedicine, Life Sciences Institute, Guangxi Medical University, Nanning, 530021, People’s Republic of China; 3International Joint Laboratory of Ministry of Education for Regeneration of Bone and Soft Tissues, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, People’s Republic of China; 4Department of Orthopaedics Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, People’s Republic of China; 5Pharmaceutical College, Guangxi Medical University, Nanning, 530021, People’s Republic of China; 6The Medical and Scientific Research Center, Life Sciences Institute, Guangxi Medical University, Nanning, 530021, People’s Republic of China; 7Guangxi Key Laboratory of Regenerative Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, People’s Republic of China*These authors contributed equally to this workCorrespondence: Danqing LeiThe Medical and Scientific Research Center, Life Sciences Institute, Guangxi Medical University, Nanning, 530021, People’s Republic of ChinaTel +86-07715358549Email ldq0422@126.comBo ZhuGuangxi Engineering Center in Biomedical Materials for Tissue and Organ Regeneration, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, People’s Republic of ChinaTel +86-07715540515Email gxzyxyzhubo@163.comBackground: Osteosarcoma (OS) is the most widespread bone tumour among childhood cancers, and distant metastasis is the dominant factor in poor prognosis for patients with OS. Therefore, it is necessary to identify new prognostic biomarkers for identifying patients with aggressive disease.Methods: Two OS datasets (GSE21257 and GSE33383) were downloaded from the Gene Expression Omnibus (GEO) and subsequently subjected to weighted gene co-expression network analysis (WGCNA) and differential gene expression analysis (DGE) to screen candidate genes. A prognostic model was constructed using OS data derived from the Therapeutically Applicable Research to Generate Effective Treatments (TARGET) program to further screen key genes and perform gene ontology (GO) analysis. The prognostic values of key genes were assessed using the Kaplan–Meier (KM) plotter. The GEO dataset was used for immune infiltration analysis and association analysis of key genes. In addition, quantitative real-time polymerase chain reaction (qRT-PCR) was employed to validate the expression levels of potentially crucial genes in OS cell lines.Results: In the present study, we found 114 genes with a highly significant correlation in the module and 44 downregulated genes; 25 candidate genes overlapped in the two parts of the genes. Among these, three key genes, C1QA, C1QB, and C1QC, were the most significant hub genes, which had the highest node degrees, were clustered into one group, and implicated in most significant biological processes (regulation of immune effector process). Moreover, these three key genes were negatively associated with the prognosis of OS and positively associated with three immune cells (follicular helper T cells, memory B cells, and CD8 T cells). Additionally, compared to non-metastatic OS cell lines, the expression of three key genes was significantly downregulated in metastatic OS cell lines.Conclusion: Our results revealed that three key genes (C1QA, C1QB, and C1QC) were implicated in tumour immune infiltration and may be promising biomarkers for predicting metastasis and prognosis of patients with OS.Keywords: osteosarcoma, immune infiltrates, complement protein, C1Q, metastasis

Imaging through scattering media is a fascinating subject in the computational imaging domain. The methods based on speckle correlation imaging have found tremendous versatility. However, a darkroom condition without any stray light is required because the speckle contrast is easily disturbed by ambient light, which can lead to the reduction in object reconstruction quality. Here, we report a plug-and-play (PnP) algorithm to restore the object through scattering media under the non-darkroom environment. Specifically, the PnPGAP-FPR method is established via the generalized alternating projection (GAP) optimization framework, Fienup phase retrieval (FPR) method, and FFDNeT. The proposed algorithm is demonstrated experimentally and shows significant effectiveness and flexible scalability, which describe the potential for its practical applications.

(1) Background: As a enrichment plant, ramie can be used for the phytoremediation of cadmium (Cd)-contaminated soil. However, it is worth exploring the role of plant growth regulators and foliar fertilizers in the process of plant growth and development and Cd adsorption. (2) Methods: By measuring the agronomic traits, Cd content of aboveground and underground ramie, calculating the Cd transfer coefficient (TF) and Cd bioconcentration factors (BCF), and the correlation between various indicators. This study examined the effects of plant growth regulators and foliar fertilizers on ramie’s capacity for Cd accumulation and transportation, (3) Results: Plant growth regulators and foliar fertilizers increased the Cd content of the aboveground ramie, reduced the Cd content of the underground ramie, and increased the TF. Among them, GA-1 increased the Cd content of the aboveground ramie to 3 times more than that of the control and reduced the Cd content of the underground ramie by 54.76%. Salicylic acid (SA) increased the Cd content of the aboveground ramie to 3 times more than that of the control. The combination of GA and foliar fertilizer reduced the Cd content of the aboveground and underground ramie and the TF and BCF of the underground ramie. After the hormones were sprayed, the TF of ramie had a significant positive correlation with the Cd content of the aboveground ramie; the BCF of the aboveground ramie had a significant positive correlation with the Cd content and TF of the aboveground ramie. (4) Conclusions: The results indicate that Brassinolide (BR), gibberellin (GA), ethephon (ETH), polyamines (PAs), and salicylic acid (SA) have different effects on the enrichment and transport of Cd in ramie. This study provided an effective method to improve the capacity for ramie to adsorb heavy metals during cultivation.

Orthomnion elimbatum (Mniaceae) is herein reported new to China and Vietnam, representing the first record of the species northwards outside the Malesian and Australian regions. The species differs from the closely related species O. dilatatum by having undulate leaf margin, almost isodiametric laminal cells, and unbordered apical leaf margins. Confirmation of the species identity is validated by a molecular analysis based on rps4 and trnL-F sequences.

Entosthodon elimbatus W.Z. Ma, Shevock & S. He, a new species from a sub-alpine area in Yunnan, China, is described here based on morphological and molecular data. Morphologically, the new species resembles the widespread species E. buseanus, but differs most notably in having significantly shortened setae, smaller capsules and nearly unbordered laminae. Images from the scanning electron microscope also show compound-papillose ornamentation over the spore surface, which is characteristic of this new species. The generic validation of the new species in Entosthodon is supported by a phylogenetic analysis based on the plastid rps4 sequence. Entosthodon physcomitrioides, characterized by its well-developed apophysis and peristome, is confirmed as a new record for mainland China. Detailed descriptions and illustrations for both species are provided.

A molecular study of a rare moss, Tayloria rudolphiana has revealed a first new occurrence of this species in Central China after its first collecting more than 100 years ago from southwestern Yunnan Province. The phylogenetic analyses based on rps4 and trnL-F sequences along with its morphological features affirm the taxonomic identity of this new population, representing the latest evidence of European-Asiatic connections of this species. Photographic images detailing key morphological characters and a full description of the species are provided. The taxonomic problems of this species within China are discussed.

At present, natural orifice specimen extraction surgery (NOSES) has attracted more and more attention worldwide, because of its great advantages including minimal cutaneous trauma and post-operative pain, fast post-operative recovery, short hospital stay, and positive psychological impact. However, NOSES for the treatment of gastric cancer (GC) is still in its infancy, and there is great potential to improve its theoretical system and clinical practice. Especially, several key points including oncological outcomes, bacteriological concerns, indication selection, and standardized surgical procedures are raised with this innovative technique. Therefore, it is necessary to achieve an international consensus to regulate the implementation of GC-NOSES, which is of great significance for healthy and orderly development of NOSES worldwide.

Electrospinning technology is widely used in the field of drug delivery due to its advantages of convenience, high efficiency, and low cost. To investigate the therapeutic effect of naringenin (Nar) on osteoarthritis (OA), the pH-responsive system of the polycaprolactone/polyethylene glycol-naringenin (PCL/PEG-Nar) nanofiber membrane was designed and used as drug delivery systems (DDS) in the treatment of OA. The PEG-Nar conjugate was constructed via ester linkage between mPEG-COOH and the carboxyl group of naringenin, and the PCL/PEG-Nar nanofiber membrane was prepared by electrospinning technology. When placed in the weak acid OA microenvironment, the PCL/PEG-Nar nanofiber membrane can be cleverly “turned on” to continuously release Nar with anti-inflammatory effect to alleviate the severity of OA. In this study, the construction and the application of the pH-responsive PCL/PEG-Nar nanofiber membrane drug delivery platform would throw new light on OA treatment.

Imaging dynamic strongly scattering scenes remains a significant challenge because it is typically believed that moving objects and dynamic media provide huge barriers. Instead, we use the dynamics of objects and media and put forward a recursion-driven bispectral imaging (ReDBI) framework here for the reconstruction of a stationary or moving object hidden behind the dynamic media. ReDBI avoids the errors introduced by speckle modulation and phase-retrieval algorithms in the existing studies. We also quantitatively assess the reconstruction difficulty of character and shape objects with the benchmark of the minimum number of speckle images (MNSI) required to achieve a high-quality reconstruction, which can help to comprehend the media’s transfer properties.

Investigations into the bryophyte flora of Madagascar as part of the MadBryo project, show that five moss genera (Actinodontium Schwagr., Aulacopilum Wilson, Forsstroemia Lindb., Haplohymenium Dozy & Molk., and Herzogiella Broth.) are new for the island. For three additional taxa we clarify the correct name to use for Malagasy specimens. Ectropothecium perrieri Ther. is placed in synonymy with Herzogiella cylindricarpa (Cardot) Z.Iwats. and Lepidopilum diversifolium Renauld & Cardot is reduced to a synonym of Thamniopsis utacamundiana (Mont.) W.R.Buck. These particular cases highlight the hidden diversity lurking within underutilized natural history collections. They should also serve as a reminder that older collections need to be critically reexamined as our taxonomic concepts evolve.

Purpose To summarize the evolution of Ilizarov technology in China, highlight important milestones, introduce the atmosphere of the era concerning the first uses and development of this technology, and share Chinese modification and experience in this field. Method A thorough interview with senior ASAMI members of China and literature search and physical books in libraries was undertaken to summarize the history of Ilizarov technology in China. Results The formal development of Ilizarov technology began when professor Ilizarov himself came to Beijing (1991) and gave a speech. In the following 31 years, his technology was rapidly developed through China, with many symposiums held and associations established including ASAMI China (2003) and ILLRS China (2015). Today, Ilizarov technology has become the main treatment of complex fractures, defects, nonunion, infections, deformities, and chronic ischemic ulcers of the limbs. In those years, Chinese scholars also developed some special treatment methods and made many modifications to Ilizarov external fixators. Conclusion Ilizarov technology has developed in China for 31 years. It revolutionized the treatment of complex limb traumas, deformities, and diseases. In the treatment of millions of patients, Chinese scholars had many unique experiences and made modifications to this technology which is worthy to share with the world.

IntroductionImmune checkpoint inhibitor (ICI) therapy is a major breakthrough in non-small cell lung cancer (NSCLC) treatment. However, valid predictive biomarkers are lacking. Blood cell count test (BCT) provides a direct quantification of various types of immune cells (ICs) to reveal the immune landscape to predict ICI treatment.MethodsThis study analyzed four international, multi-center clinical trials (OAK, BIRCH, POPLAR and FIR trials) to conduct post-hoc analyses of NSCLC patients undergoing atezolizumab (anti-PD-L1) single-agent treatment (n = 1,479) or docetaxel single-agent treatment (n = 707). BCT was conducted at three timepoints: pre-treatment (T1), the first day of treatment cycle 3 (T2), and first day of treatment cycle 5 (T3). Univariate and multivariate Cox regression analyses were conducted to identify early BCT biomarkers to predict atezolizumab treatment outcomes in NSCLC patients.ResultsThe BCT biomarkers of neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) at timepoint T3 and neutrophil-to-monocyte ratio (NMR) at timepoint T2 were identified as strong predictive biomarkers for atezolizumab (Ate)-treated NSCLC patients in comparison to docetaxel (Dtx)-treated patients regarding overall survival (OS) (BCTscore low-risk: HR Ate vs Dtx = 1.54 (95% CI: 1.04-2.27), P = 0.036; high-risk: HR Ate vs Dtx = 0.84 (95% CI: 0.62-1.12), P = 0.236). This identified BCTscore model showed better OS AUC in the OAK (AUC12month=0.696), BIRCH (AUC12month=0.672) and POPLAR+FIR studies (AUC12month=0.727) than that of each of the three single BCT biomarkers.ConclusionThe BCTscore model is a valid predictive and prognostic biomarker for atezolizumab-treated NSCLC patients.

Introduction. Heterophyllium albicans Ther., H. henryi Tixier, H. micro-alare (Broth. & Paris) Broth. and H. tonkinense (Broth. & Paris) Broth. were all either poorly known species or known only from the type collections since their inception.Methods. Examination of the type material confirmed that the alar cell structure in these species do not conform to the generic concept of Heterophyllium (Schimp.) Kindb. The study also revealed some new features previously unreported in these species, i.e., the filamentous pseudoparaphyllia, one of the characteristic features of the genus Isopterygium Mitt.Key Results & Conclusions. Three new combinations, Isopterygium albicans (Ther.) Y.Jia & S.He, I. micro-alare (Broth. & Paris) Y.Jia & S.He, and I. tonkinense (Broth. & Paris) Y.Jia & S.He are proposed. Heterophyllium henryi Tixier is treated as a new synonym of Brotherella henonii (Duby) M.Fleisch.

e21113 Background: Numerous studies suggested that pre-treatment C-reactive protein (CRP) is a survival predictive biomarker for cancer patients treated with anti-PD-(L)1 blockade. However, the application of longitudinal CRP levels as dynamic biomarker for advanced non-small cell lung cancer (NSCLC) patients treated with anti-PD-(L)1 remains unexplored. Methods: This study analyzed four international, multi-center clinical trials (OAK, BIRCH, POPLAR and FIR trials) to conduct post-hoc analyses of NSCLC patients undergoing atezolizumab (anti-PD-L1) single-agent treatment. CRP test was performed ≤ 96 hours before Day 1 of each cycle. 1438 patients with more than 2 times CRP results (a total of 11,253 records) in all 3 collection timepoints. The primary endpoint was overall survival (OS). First, multivariate survival analysis was conducted to include clinical factors such as gender, ECOG-PS, race and metastases as contributing risk factors. Then, multivariate joint modelling of longitudinal and time-to-event data was used to establish the relationship between longitudinal CRP and OS in the OAK study, whereas external validation was performed by time-dependent AUC analysis on the BIRCH, POPLAR and FIR studies. Results: Log-transformed longitudinal CRP levels (log(CRP)) in combination with clinical factors in absence of PD-L1 expression emerged as independent predictors of worse OS in the OAK study (HR of jointed model = 2.08, 95% CI: 1.84-2.35, p < 0.001) with a high accuracy (AUC = 0.74) for predicting OS. The predictive value of longitudinal CRP was validated in the external validation cohorts with good performance in OS (BIRCH: HR = 2.77 (95% CI: 2.31-3.44), AUC = 0.76; POPLAR: HR = 1.95 (95% CI: 1.50-2.64), AUC = 0.76; and FIR: HR = 1.83 (95% CI: 1.46 -2.39), AUC = 0.72). Conclusions: The Bayesian multivariate joint model demonstrated that longitudinal CRP is a strong survival dynamic predictor for atezolizumab-treated NSCLC patients.

Background: Circular RNAs (circRNAs) are a subclass of noncoding RNAs that play a critical role in the regulation of gene expression in eukaryotic organisms. Recent studies have revealed the critical role of circRNAs in cancer progression. Yet, little is not well understood of hsa-circ-0064636 in osteosarcoma (OS).Methods: The differential expression of hsa-circ-0064636 in OS cell lines was verified by quantitative real-time PCR (qRT-PCR). Differentially expressed mRNAs and miRNAs were screened in OS mRNA and miRNA expression datasets. miRNAs that interacted with hsa-circ-0064636 were predicted by RNAhybrid, TargetScan and miRanda. and were further detected using RNAhybrid, TargetScan and miRanda. miRWalk, miRMap, and miRNAMap were used to perform target gene prediction on the intersected miRNAs to construct a circ-miRNA-mRNA interactor network. The target genes were then subjected to survival analysis using PROGgeneV2, which resulted in a circ-miRNA-mRNA interaction subnetwork with prognostic impact.Results: The qRT-PCR experiments successfully verified that hsa-circ-0064636 was significantly overexpressed in the OS cell line. Hsa-mir-326(miR-326) and hsa-mir-503-5p(miR-503-5p) are target miRNAs of hsa-circ-0064636 in the target genes obtained from the miR-326 and miR-503-5p screens. UBE4A and VDAC1 had a significant effect on prognosis. UBE4A is a target gene for miR-326, while VDAC1 is a target gene for miR-503-5p .Conclusion: hsa-circ-0064636 may be involved in OS development through acting as a sponge to inhibit miR-326 and miR-503-5p , thus regulating the expression of VDAC1 and UBE4A.

To analyze effect of accordion technique on bone mineralization of extended bone segment in treating tibial bone defect with bone transport.From May 2017 to October 2019, 22 patients with tibial bone defects were treated with Ilizarov bone-transport technique, and divided into two groups after bone-transport was completed, 11 patients in each group. In observation group, there were 9 males and 2 females aged from 20 to 60 years old with an average of (42.6± 13.3) years old;the length of bone defect ranged from 3 to 13 cm with an average of(6.4±2.6) cm;2 patients were suffered from upper tibial bone defects, 3 patients were middle and 6 patients were lower;patients were treated with accordion technique for 35 days. In control group, there were 10 males and 1 female aged from 41 to 60 years old with an average of (51.6±6.4) years old;the length of bone defect ranged from 3 to 10.7 cm with an average of (6.6±2.5) cm;1 patient was suffered from upper tibial bone defects, 3 patients were middle and 7 patients were lower;patients were treated with lock external fixator to waiting bone mineralization. The content of hydroxyapatite (HAP) extended bone segment was measured after bone-transport completed immediately, 35, 65 and 95 days after bone-transport was completed, respectively, then the mineralization time and healing time were compared between two groups, and the therapeutic effect of bone defect was evaluated by using Paley scoring criteria.Twenty-two patients were followed up from 18 to 36 months with an average of (27.0±6.3) months. The wounds on the bone defects healed spontaneously during bone transport, and there were no wound complications such as skin infection or skin necrosis occurred. There were statisticaldifference in the content of HAP of the extended bone segments at 35, 65 and 95 days after bone-transport between two groups (Accordion technique and locking external fixator mineralization in prolonging bone segment healing after bone-transport have the equal clinical effect, while the accordion technique could significantly accelerate the growth rate of HAP and shorten the mineralization time and healing time.

Yi, Y.-J., Xiao, X.-X., Wu, L. & He, S. 2020. Molecular data affirming a new occurrence of Encalypta streptocarpa (Encalyptaceae, Bryophyta) in Central China. – Herzogia 33: 309 –318.Encalypta streptocarpa is herein newly reported from Central China, a rare occurrence of this species in Asia. A morphological study and phylogenetic analyses based on rps4 and trnL-F sequences affirm the taxonomic identity of this new population, which represents additional evidence of a Morocco-European-Asiatic disjunct distribution of the species. Photographic images of several noteworthy morphological characters and a full description of the species based on the Chinese specimen are provided.

Objectives: To investigated the relationships between procalcitonin (PCT) and disseminated intravascular coagulation (DIC) during septic shock. Methods: A retrospective study was performed, which included septic shock patients admitted into intensive care unit (ICU) from January 1, 2015 to December 31, 2018. DIC was defined as international society of thrombosis and homeostasis criteria (ISTH≥5). PCT was based on the first value after admission into ICU and the routine biochemical coagulation data based on the worst value extracted from electronic medical records within 24 hours on admission into ICU.Results: Among 2156 patients screened, 164 patients with septic shock were included in the finally analysis and 35.4% (58/164) of whom developed DIC after admission. PCT level was significantly higher in septic shock patients who developed DIC than those who did not (54.6[13.6-200] vs12.6[2.4-53.3] ng/ml, P Conclusions: Our data suggest that PCT level over 42.1ng/ml on admission is associated with DIC during septic shock, and PCT is a potential predictive factor of DIC induced by septic shock at early stage.

BackgroundTrimethylamine N-Oxide (TMAO) has been shown to be an independent risk factor for cardiovascular disease. Our aim is to study the effects of TMAO on type 2 diabetes mellitus-coronary heart disease and to explore its mechanism.MethodsA total of 50 healthy controls , 50 T2DM patients and 50 T2DM combined with CHD patients were enrolled. Serum samples were collected to detect glucose, myocardial enzyme spectrum and TMAO level. The 16S rRNA gene sequencing analyzed the diversity of intestinal flora. Taking the ZDF rat as the experimental object, the model of T2DM combined with CHD was established in rats. Blood samples were taken to detect glucose, myocardial enzyme spectrum and TMAO level. The inflammatory protein and mRNA expression of TLR4, NLRP3, Caspase-1 and IL-1β were detected by Western blot and RT-qPCR. In vitro culture of H9c2(2-1) for experiments. The CCK-8 method was used to detect the survival rate of cells after glucose and TMAO treatment. After the cells were treated with selected glucose and TMAO, the cells were treated with selected glucose, TMAO and BAY11-7082, Western blot detected the presence of pyroptosis and the pathway of TLR4/NF-κB/NLRP3. RT-qPCR was used to determine the mRNA level of inflammatory factor.DiscussionChanges in the composition of intestinal flora in patients with type 2 diabetes can lead to elevated serum TMAO levels. Animal and cell experiments have confirmed that elevated TMAO level may lead to inflammatory myocardial injury in rats and is related to the mechanism of TLR4/NF-κB/NLRP3.

Background The global burden of acute lower respiratory infection (ALRI) attributable to air pollution has increased in recent years, but the association between ALRI and exposure to size-specific particulate matter has not been investigated using different exposure metrics. Methods We obtained ALRI admission from seven cities from 2014 to 2016 in China. Different sized particles were measured using three metrics (a) daily mean, (b) hourly peak, and (c) daily excessive concentration hours (DECH). Generalized additive models were fitted for each of the seven cities, and the city-specific estimates were then pooled using random-effects meta-analysis models. Stratified analyses were conducted to examine the effect modifications of gender, age, and season. We also estimated the disease burden due to particulate matter exposures. Results There were 111,426 ALRI (79,803 pneumonia and 31,622 bronchiolitis) hospital admissions under the age of 15 between 2014 and 2016 in our study. Daily means were associated with the largest ALRI estimates (95% confidence interval [CI]): 2.43% (0.79%, 4.11%) for PM2.5, 2.25% (0.11%, 4.44%) for PMc, and 2.64% (0.73%, 4.58%) for PM10. The magnitude of effect sizes were followed by DECH: 1.94% (0.51%, 3.39%) for PM2.5, 0.88% (−0.14%, 1.92%) for PMc, 1.86% (0.50%, 2.01%) for PM10; and hourly peak: 0.70% (−0.60%, 2.01%) for PM2.5, 1.05% (−0.13%, 2.66%) for PMc, and 1.20% (−0.20%, 2.62%) for PM10 at lag03. We found significantly higher effects in cold seasons than that in warm seasons, while we did not find a significant different between gender and age groups. Conclusions The adverse effects of exposure to particulate matter on ALRI hospitalizations are reconfirmed. DECH was a possible alternative exposure indicator for PM2.5 assessment, which may affect air quality standards in the future.

Endothelial cells injury and pro-inflammation cytokines release are the initial steps of hyperhomocysteinemia (HHcy)-associated vascular inflammation. Pyroptosis is a newly identified pro-inflammation form of programmed cell death, causing cell lysis and IL-1β release, and characterized by the caspases-induced cleavage of its effector molecule gasdermins (GSDMs). However, the effect of homocysteine (Hcy) on endothelial cells pyroptosis and the underlying mechanisms have not been fully defined. We have previously reported that Hcy induces vascular endothelial inflammation accompanied by the increase of high mobility group box-1 protein (HMGB1) and lysosomal cysteine protease cathepsin V in endothelial cells, and other studies have shown that HMGB1 or cathepsins are involved in activation of NLRP3 inflammasome and caspase-1. Here, we investigated the role of HMGB1 and cathepsin V in the process of Hcy-induced pyroptosis. We observed an increase in plasma IL-1β levels in HHcy patients and mice models, cathepsin V inhibitor reduced the plasma IL-1β levels and cleavage of GSDMD full-length into GSDMD N-terminal in the thoracic aorta of hyperhomocysteinemia mice. Using cultured HUVECs, we observed that Hcy promoted GSDMD N-terminal expression, silencing GSDMD or HMGB1 rescued Hcy-induced pyroptosis. HMGB1 also increased GSDMD N-terminal expression, and silencing cathepsin V reversed HMGB1-induced pyroptosis. HMGB1 could increase lysosome permeability, and silencing cathepsin V attenuated HMGB1-induced activation of caspase-1. In conclusion, this study has delineated a novel mechanism that HMGB1 mediated Hcy-induced endothelial cells pyroptosis partly via cathepsin V-dependent pathway.

Background Complication of disseminated intravascular coagulation (DIC) is a determinant of the prognosis in patients with sepsis shock. Procalcitonin (PCT) has been advocated as a marker of bacterial sepsis. The purpose of this study was to evaluate the relationship between serum PCT levels and DIC with sepsis shock Methods A cohort study was designed which included patients that admitted in intensive care unit (ICU) between January 1, 2015 and December 31, 2018 and the follow-up to discharge. 164 septic shock patients were divided into DIC and non-DIC groups according to international society of thrombosis and homeostasis (ISTH). PCT was measured at the admission to ICU, and all the participants received routine biochemical coagulation test subsequently. Results PCT levels were considerably higher in septic shock patients who developed DIC than those who did not (54.6[13.6–200]vs12.6[2.4–53.3]ng/ml), respectively, P

Background Previous studies have suggested that interleukin (IL)-17A is a key factor that contributes to intervertebral disc degeneration (IDD), whereas autophagy has been shown to be a protective mechanism in IDD. However, the relationship between IL-17A and autophagy in IDD remains to be fully elucidated. This study sought to evaluate the association between IL-17 and autophagy and the potential mechanism through which IL-17A affects autophagy in IDD. Methods Intervertebral disc specimens were collected from 10 patients with lumbar disc herniation. Human degenerated nucleus pulposus (NP) cells were cultured in the presence or absence of IL-17A treatment. Western blot and monodansylcadaverine staining were used to measure autophagy levels in human degenerated NP cells. Subsequently, phosphatidylinositol 3-kinase (PI3K)/Akt/Bcl-2 pathway inhibitors were used to reveal the potential mechanism. Results IL-17A treatment inhibited the autophagic activity in human NP cells in a time- and dose-dependent manner. Moreover, monodansylcadaverine staining showed that cells treated with IL-17A had significantly fewer changes in their autophagic vacuoles compared with control-treated cells. After IL-17A treatment, expression levels of PI3K, p-Akt, and Bcl-2 in NP cells were significantly increased. Further assays with PI3K/Akt/Bcl-2 inhibitors revealed that IL-17A suppressed autophagy in NP cells by activating the PI3K/Akt/Bcl-2 signaling pathway. Conclusions These data suggest that IL-17A promotes IDD by inhibiting autophagy through activation of the PI3K/Akt/Bcl-2 signaling pathway and may offer new insights for targeted therapy of this disease.

Background Fetal cells collected from the amniotic fluid of two pregnant women indicated sex chromosome abnormalities. Therefore, we performed G-banded chromosome karyotype analysis, single nucleotide polymorphism array (SNP array), fluorescence in situ hybridization (FISH), and sequence-tagged sites (STS) analysis of the Y chromosome to determine the rare molecular genetics of the two fetuses. Case presentation The karyotypes of the fetuses from patients 1 and 2 were mos 45,X[92]/46,X,+idic(Y)(q11.21)[8] and mos 45,X[20]/46,X,+idic(Y)(q11.223)[80], respectively. Fetus 1 had a 7.76 Mb deletion in Yq11.222q11.23 and a 15.68 Mb duplication in Yp11.2q11.21. Fetus 2 had 21 Mb of repetitive segments in Yp11.3q11.223. Azoospermia factor (AZF) detection by STS analysis revealed a missing AZFb+c region in fetus 1 and three functional AZF regions in fetus 2. The isodicentric Y chromosome (idic (Y)) in both fetuses arose de novo. The pregnancy of patient 1 was terminated, whereas the fetus of patient 2 was delivered and is now 10 months old with normal appearance and growth. Conclusion A combination of technologies such as chromosome karyotyping, FISH, SNP arrays, and STS analysis of the Y chromosome is important in prenatal diagnosis to reduce birth defect rates and improve the health of the Chinese population.

Introduction. The current study investigated characteristics of parenting needs and questions of Mainland Chinese parents of young children. Specifically, Web text-mining technology was used to identify themes of parenting needs and questions, and parents' emotional status hidden in their question texts. Method. Total of 921,483 questions that parents posted from the top five parenting Websites in China during a 36-month study period were collected. Results. Daily care is one of the most important topics that concerned parents. Contemporary Mainland Chinese parents tend to raise questions about parental knowledge and skills. Different themes of questions could also be identified from different care-givers and different age groups of young children. Conclusions. From a parenting-oriented perspective, contemporary Chinese parents asked pesonalised questions through the Internet frequently. The considerable needs of grandparenting emerged. Programme designers and social policy makers should empower and support young children's parents with their parental knowledge, skills and emotional competence.

Thysananthus ciliaris (Sande Lac.) Sukkharak, a rare species from Sumatra and Peninsular Malaysia, was newly discovered in lowland evergreen forest, southern Thailand. A detailed description and illustrations are here provided.

Zhao, D.-P., He, S., Tsegmed, Ts. & Mamtimin, S. 2018. Range extension of Didymodon tibeticus to Mongolia and a new synonym of Didymodon nigrescens. – Herzogia 31: 311–316. Didymodon tibeticus (Pottiaceae) is reported from Mongolia for the first time outside of the type locality. Didymodon rigidulus var. perobtusus is proposed as new synonym of D. nigrescens.

Stereophyllum linisii Enroth & B.C.Tan (Stereophyllaceae), a rheophytic species, is transferred as Pseudoparaphysanthus linisii (Enroth & B.C.Tan) S.He, Sukkharak & Chantanaorr. (Neckeraceae). The ...

Didymodon kunlunensis D.P.Zhao, S.Mamtimin & S.He is described as a new species found in Xinjiang, China. The new species is characterised by a combination of the following characters: ovate leaves...

Phantomia vadimii S. He & W. R. Buck, a new moss genus and species, is described from Lao Cai Province, northern Vietnam. The new taxon is characterized by its abruptly convolute leaf shoulders; the presence of a median row of stereid cells in the upper lateral costal cross sections; a weakly differentiated marginal border at the leaf base; and the absence of a central strand in the stem. The new genus shares some characteristics with Chorisodontium (Mitt.) Broth. in having a narrow basal costa that flares outward at the midleaf and persistent, inflated alar cells. It also has an anatomical similarity to the leaf costal cross sections (especially the upper leaf costa) of Dicranodontium Bruch & Schimp. The similarities and differences of the new genus in comparison with the genera of Campylopodioideae and Dicranoideae are discussed.

Didymodon fortunatii Cardot & Ther. and Hymenostylium diversirete Broth. ex Hand.-Mazz. were previously known only from type collections and both placed into synonymy with Reimersia inconspicua (Griff.) P.-C.Chen when a new monospecific genus Reimersia P.-C.Chen was established. While the plants markedly resemble each other in general appearance and growth habit, a careful review of cellular architecture across the lamina has now identified several character states that differ significantly between them. The nomenclatural history of Reimersia has basically remained unchanged since its generic establishment in 1940. A new combination as Reimersia diversiretis (Broth. ex Hand.-Mazz.) Shevock, W.Z.Ma, S.He & D.G.Long is proposed and the genus Reimersia now contains two species endemic to Asia.

BackgroundImmune checkpoint inhibitor (ICI) therapy is a major breakthrough for non-small cell lung cancer (NSCLC) treatment given its high efficacy and tolerable toxicity. Although pre-treatment PD-L1 expression levels and tumor mutation burden (TMB) may serve as prognostic biomarkers for patient stratification, effective predictive biomarkers are lacking. Blood cell count test (BCT) is a routine, regular blood test conducted before and during treatment to provide a direct overview of the immune landscape based on the counts of various types of immune cells (ICs). For instance, previous studies showed that neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) both indicate poor treatment outcomes of ICI therapy of NSCLC patients.MethodsThis study analyzed relevant combinations of IC counts from four international, multi-center clinical trials of OAK, BIRCH, POPLAR and FIR to conduct post-hoc analysis of NSCLC patients undergoing atezolizumab (anti-PD-L1) single-agent treatment (n = 1,479), while docetaxel single-agent treatment (n = 707) was used as control. BCT was conducted at three timepoints, T1 to T3, during pre-treatment and on the first day of treatment cycles 3 and 5, which correspond to baseline, 6, and 12 weeks on-treatment, respectively. Univariate and multivariate Cox regression analysis was conducted to identify NLR_T3, PLR_T3 and neutrophil-to-monocyte (NMR) at T2 as early BCT biomarkers that may predict ICI efficacy. Next, univariate and multivariate Cox proportional hazards regression analysis were used to identify any effective combination of BCT biomarkers and their absolute cutoff values that may serve as predictive biomarkers to predict atezolizumab treatment outcomes. Lastly, combinations of these BCT biomarkers were tested to optimize BCTscore model for clinical evaluation.ResultsThe final BCT biomarker combination, comprising of the BCT biomarkers of NLR and PLR at 12 weeks on-treatment (T3) and NMR at 6 weeks on-treatment (T2), was identified to be a strong predictive biomarker for atezolizumab (Ate)-treated NSCLC patients in comparison to docetaxel (Dtx)-treated patients regarding overall survival (OS) (BCTscore low-risk: HR Ate vs Dtx = 1.54 (95% CI: 1.04–2.27), P = 0.036; high-risk: HR Ate vs Dtx = 0.84 (95% CI: 0.62–1.12), P = 0.236). Our BCTscore model consistently exhibited better OS AUC in the OAK (AUC12month=0.696), BIRCH (AUC12month=0.672) and POPLAR+FIR studies (AUC12month=0.727) than that of each of the three BCT biomarkers in these three studies.ConclusionsThe BCTscore of NLR at 12 weeks, PLR at 12 weeks and NMR at 6 weeks is a strong efficacy predictive biomarker for atezolizumab-treated NSCLC patients.AcknowledgementsThe authors declare no conflict of interest. This publication is based on research using data from Genentech, Inc. (one of subsidiaries of Roche Group) that has been made available through Vivli, Inc (Data Request ID: 5935; Lead Investigator: Dr. Jian-Guo Zhou). Vivli has not contributed to or approved, and is not in any way responsible for, the contents of this publication.Trial RegistrationDeidentified individual participant data from the single-arm phase II studies of FIR study (NCT01846416; as of Janurary 7, 2015) [Spigel2018] and BIRCH (NCT02031458; as of May 28, 2015) [Peters2017], and the two-arm randomized controlled trials (RCT) of the POPLAR phase II study (NCT01903993; as of May 8, 2015) [Fehrenbacher2016] and the OAK phase III study (NCT02008227; as of July 7, 2016) [Rittmeyer2017] were made available by Genentech Inc. and accessed through the secure Vivli online platform.Ethics ApprovalBoth studies were approved by the respective national ethics committees and institutional review boards and written informed consent was obtained from all patients.

We present a measurement campaign to characterize an indoor massive multiple-input multiple-output (MIMO) channel system, using a 64-element virtual linear array, a 64-element virtual planar array, and a 128-element virtual planar array. The array topologies are generated using a 3D mechanical turntable. The measurements are conducted at 2, 4, 6, 11, 15, and 22 GHz, with a large bandwidth of 200 MHz. Both line-of-sight (LOS) and non-LOS (NLOS) propagation scenarios are considered. The typical channel parameters are extracted, including path loss, shadow fading, power delay profile, and root mean square (RMS) delay spread. The frequency dependence of these channel parameters is analyzed. The correlation between shadow fading and RMS delay spread is discussed. In addition, the performance of the standard linear precoder—the matched filter, which can be used for intersymbol interference (ISI) mitigation by shortening the RMS delay spread, is investigated. Other performance measures, such as entropy capacity, Demmel condition number, and channel ellipticity, are analyzed. The measured channels, which are in a rich-scattering indoor environment, are found to achieve a performance close to that in independent and identically distributed Rayleigh channels even in an LOS scenario.