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Abstract Purpose Few studies have focused on the risk factors leading to postoperative blood transfusion after open reduction and internal fixation (ORIF) of proximal humeral fractures (PHFs) in the elderly. Therefore, we designed this study to explore potential risk factors of blood transfusion after ORIF for PHFs. We have also established a nomogram model to integrate and quantify our research results and give feedback. Methods In this study, we retrospectively analyzed the clinical data of elderly PHF patients undergoing ORIF from January 2020 to December 2021. We have established a multivariate regression model and nomograph. The prediction performance and consistency of the model were evaluated by the consistency coefficient and calibration curve, respectively. Results 162 patients met our inclusion criteria and were included in the final study. The following factors are related to the increased risk of transfusion after ORIF: time to surgery, fibrinogen levels, intraoperative blood loss, and surgical duration. Conclusions Our patient-specific transfusion risk calculator uses a robust multivariable model to predict transfusion risk.The resulting nomogram can be used as a screening tool to identify patients with high transfusion risk and provide necessary interventions for these patients (such as preoperative red blood cell mobilization, intraoperative autologous blood transfusion, etc.).

【Objective】 Bioavailable phosphorus and oxygen are key factors affecting root activity and crop yield. The objective of this paper is to elucidate how phosphorus fertilization and irrigation-water aeration combined to affect root physiological traits, zinc absorption and allocation in rice and grain yield at maturation stage. 【Method】 The experiment was conducted in pots using the variety of Liangyou 608 as the model plant. It consisted of two irrigation treatments: aerating irrigation (OI) and conventional irrigation (NI), and four phosphorus fertilizations: 0.00 (P1), 1.35(P2), 2.7 (P3), 4.05g /pot (P4). In each treatment, we measured root activity, root acid phosphatase activity at different growth stages, as well as zinc allocation and grain yield at maturation stage. 【Result】 ① Phosphorus fertilization reduced zinc content in the iron-manganese films by 33.38% to 60.41%, while oxygenating irrigation water increased the transfer coefficient of zinc from root to straw by 24.98% to 113.15%. Aeration and phosphorus fertilization combined to increase zinc content in straw, but reduce the transfer coefficient of zinc from straw to grains. ② The combination OI+P1 gave the highest grain yield, 1000-grain weight, effective panicle numbers and zinc distribution, which were 140.45 g/pot, 27.57 g, 29.00 per plant and 29.52%, respectively. ③ Phosphorus application increased root activity at tillering stage, reduced root acid phosphatase activity at filling stage, inhibited the absorption and accumulation of zinc in roots at maturation stage, promoted transfer of zinc from straw to grain, and increased grain yield and seed setting rate. Aeration and phosphorus fertilization reduced the activity of root acid phosphatase at tillering stage, increased the activity of root acid phosphatase at filling stage, and increased the zinc content in rice straw and grain, but reduced the number of effective panicles, seed setting rate and the transferability of zinc from straw to grain. 【Conclusion】 Phosphorus fertilization combined with irrigation-water aeration affects the formation of rice yield due to their influence on the physiological characteristics of the rice roots at tillering and filling stages, as well as zinc translocation to grains. Irrigation-water oxygenation promoted the absorption and distribution of zinc in rice straw.

Background: Females are underrepresented in Science, Technology, Engineering, and Mathematics (STEM) fields all over the world. To encourage more girls to choose STEM majors and careers, it is critical to increase their interest in STEM careers. Many studies have investigated the factors that influence females' entry into STEM fields, but few studies have explored the gender differences in the relationships between these factors. Therefore, based on the Social Cognitive Career Theory, this study explored the gender differences in the effects of environmental factors (school education, informal education, social support, and media) on high school students' interest in STEM careers through the mediating roles of STEM self-efficacy and STEM careers perceptions. Results: A questionnaire survey was conducted among 1240 high school students in Hunan Province, China, and the results of t-test, regression analysis, and structural equation model multi-group comparison showed that: Firstly, the scores of male students in all the dimensions except for STEM career perception were significantly higher than those of female students. Secondly, the environmental factor that had the greatest effect on male and female students' interest in STEM careers was different. Finally, there were gender differences in the mediating roles of STEM self-efficacy and STEM careers perceptions between environmental factors and interest in STEM careers. Conclusions: This study revealed the influence mechanisms and gender differences in male and female students' interest in STEM careers in the context of Chinese Confucian culture, and the conclusions are as follows: (1) Male students' interest in STEM careers was significantly higher than that of female students; (2) The environmental factors that had the greatest effect on male and female students' interest in STEM careers were social support and media, respectively; and (3) Environmental factors could affect male students' interest in STEM careers through the mediating roles of STEM self-efficacy and STEM career perception, while environmental factors could affect female students' interest in STEM careers through the mediating role of STEM self-efficacy. Finally, the mediating mechanisms of STEM self-efficacy and STEM career perception between environmental factors and interest in STEM careers, and the importance of STEM self-efficacy for female students were discussed.

Abstract Xrv proteins are a group of regulators in Xanthomonas spp., belonging to the histone-like nucleoid-structuring (H-NS) proteins of Gram-negative bacteria. The rice bacterial leaf streak pathogen Xanthomonas oryzae pv. oryzicola (Xoc) harbors three Xrv proteins, the XrvA, XrvB, and XrvC. Here, we report that in Xoc, the XrvB but not XrvA and XrvC is involved in negative regulation of the type III secretion system (T3SS) encoded by hrp genes. As with other Xanthomonas spp., the T3SS is an essential virulence determinant of Xoc and the expression of the hrp genes in Xoc is controlled by the HrpG/HrpX regulatory cascade. HrpG positively regulates the expression of HrpX, which in turn activates the transcription of the hrp genes. We provide evidences to demonstrate that the XrvB binds to the promoter region of hrpG and represses its transcription. Furthermore, we found that XrvB production was induced in the Xoc cells cultured in a nutrient-rich medium compared to a hrp-inducing minimal medium. We also found that in Xoc, the hrpG expression level is inversely correlated with the content of XrvB, and XrvB occupancy at hrpG promoter region is positively correlated with XrvB levels. Our data suggest that XrvB is a determinative factor controlling the expression levels of HrpG. In addition, mutation analysis revealed that the Xoc XrvB also plays positive roles in regulating bacterial growth, cell motility, and stress tolerance. Our findings provide important insights into the molecular mechanism of T3SS expression regulation in Xoc.