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This study aimed to understand the suicidal ideation and suicidal attempts among cancer patients during the COVID-19 pandemic. The data were collected from patients diagnosed with cancer while attending the largest cancer center in the south of China. A structured questionnaire was used to investigate patients' demographic data, suicidal behavior, and factors related to COVID-19. Mental health conditions were measured by the Generalized Anxiety Disorder-7, the Patient Health Questionnaire-9, and the Brief Symptom Inventory. Comorbidities and medical conditions of cancer patients were extracted from the electronic healthcare records. Among the 5670 cancer patients, 755 (13.3%) reported suicidal ideation, and 266 (4.7%) reported suicidal attempts during the COVID-19 pandemic. The age group with the highest risk of suicidal ideation was 20-24 years (23.9%). Lifetime history of suffering from mental disorders, longer time since cancer diagnosis, regional and distant tumor stage, depression, anxiety, hostility, having a higher frequency of worrying about cancer management due to COVID-19, higher frequency feeling of overwhelming psychological pressure due to COVID-19, having a higher level of barriers to manage cancer due to COVID-19, and higher barriers to continue treatment of cancer due to inconveniences caused by COVID-19, were all significantly associated with increased risk of suicidal ideation. We also identified the risk factors of suicide attempts. This is the first study investigating the prevalence and risk factors associated with suicidal ideation and suicidal attempts in Chinese cancer patients during the COVID-19 pandemic. Our findings suggest that it is essential to monitor the mental health conditions of this vulnerable population, especially for cancer patients who have comorbidity with a history of mental disorders. Also, government policymakers should take action to protect cancer patients to avoid any interruption of their continued treatment. Further efforts are urgently required to develop specific psychological interventions to reduce the risk factors among cancer patients during the COVID-19 pandemic.

Over the past decade, artificial intelligence (AI) has contributed substantially to the resolution of various medical problems, including cancer. Deep learning (DL), a subfield of AI, is characterized by its ability to perform automated feature extraction and has great power in the assimilation and evaluation of large amounts of complicated data. On the basis of a large quantity of medical data and novel computational technologies, AI, especially DL, has been applied in various aspects of oncology research and has the potential to enhance cancer diagnosis and treatment. These applications range from early cancer detection, diagnosis, classification and grading, molecular characterization of tumors, prediction of patient outcomes and treatment responses, personalized treatment, automatic radiotherapy workflows, novel anti‐cancer drug discovery, and clinical trials. In this review, we introduced the general principle of AI, summarized major areas of its application for cancer diagnosis and treatment, and discussed its future directions and remaining challenges. As the adoption of AI in clinical use is increasing, we anticipate the arrival of AI‐powered cancer care., This review introduced the general principle of AI, summarize major areas of its application for cancer diagnosis, treatment, and precision medicine and discuss its future directions and remaining challenges.

An aim of completely blind image quality assessment (BIQA) is to develop algorithms which can grade image quality without any prior knowledge of the images. Here, a new contourlet energy statistics based completely on blind opinion‐unaware BIQA (OU‐BIQA) method is proposed, which can predict the perceptual severity of a range of image distortion types without requiring any prior knowledge. According to the energy distribution of the contourlet sub‐bands of natural images in log‐domain, the lower‐scale sub‐band energy can be predicted by the corresponding higher‐scale sub‐band energies of distorted images. A quality model is then constructed by quantifying the difference between predicted energy and realistic energy. Meanwhile, an effective method for adjusting and compensating an undesired distortion is integrated into the quality model. Experimental results show that the proposed new method outperforms state‐of‐the‐art OU‐BIQA models on relevant portions of TID2013 database, and is competitive on the LIVE IQA database. Moreover, the proposed model is very fast, suggesting a real‐time solution to high‐performance BIQA.

Ferulate 5-hydroxylase (F5H) is a limiting enzyme involved in biosynthesizing sinapyl (S) monolignol in angiosperms. Genetic regulation of F5H can influence S monolignol synthesis and therefore improve saccharification efficiency and biofuel production. To date, little is known about whether F5H is post-transcriptionally regulated by endogenous microRNAs (miRNAs) in woody plants. Here, we report that a microRNA, miR6443, specifically regulates S lignin biosynthesis during stem development in Populus tomentosa. In situ hybridization showed that miR6443 is preferentially expressed in vascular tissues. We further identified that F5H2 is the direct target of miR6443. Overexpression of miR6443 decreased the transcript level of F5H2 in transgenic plants, resulting in a significant reduction in S lignin content. Conversely, reduced miR6443 expression by short tandem target mimics (STTM) elevated F5H2 transcripts, therefore increasing S lignin composition. Introduction of a miR6443-resistant form of F5H2 into miR6443-overexpression plants restored lignin ectopic composition, supporting that miR6443 specifically regulated S lignin biosynthesis by repressing F5H2 in P. tomentosa. Furthermore, saccharification assays revealed decreased hexose yields by 7.5-24.5% in miR6443-overexpression plants compared with the wild-type control, and increased hexoses yields by 13.2-14.6% in STTM6443-overexpression plants. Collectively, we demonstrate that miR6443 modulates S lignin biosynthesis by specially regulating F5H2 in P. tomentosa.

Background The Asian citrus psyllid (ACP), Diaphorina citri Kuwayama (Hemiptera: Psyllidae), is a prominent pest of citrus because it transmits Candidatus Liberibacter asiaticus associated with huanglongbing. Phototactic behavior ubiquitously exists in insects and plays essential roles in host-searching and mate-searching in ACP. However, its mechanism has remained unclear to date. In this paper, molecular assays were performed to understand the relation between opsins and the phototactic behavior of ACP. Results We cloned five opsin genes and analyzed their expression patterns. The main three opsin genes (Dc-UV, Dc-BW and Dc-LW) displayed high expression levels in daytime, and the expression levels of the other two opsin genes (Dc-UV-like and Dc-arthropsin) increased during nighttime. In constant darkness, the expression patterns and levels of opsin genes of ACP were altered. Under starvation, the expression levels of the main three opsins were reduced (53.89-84.10%). In contrast, the expression levels in females increased (27.55-60.58%). Feeding of double-stranded RNA (Dc-UV, Dc-LW or Dc-BW) have reduced the phototactic efficiency of ACP to ultraviolet light (44.79%), green light (54.81%) and blue light (43.00%), respectively. Conclusion The results suggest that the expression levels and patterns of opsins of ACP were influenced by photoperiod and the physiological status of ACP. Our research indicates that opsins play crucial roles in phototactic behavior in ACP. © 2019 Society of Chemical Industry.

The secondary cell wall is an important carbon sink in higher plants and its biosynthesis requires coordination of metabolic fluxes in the phenylpropanoid pathway. In Arabidopsis (Arabidopsis thaliana), MYB75 and the KNOX transcription factor KNAT7 form functional complexes to regulate secondary cell wall formation in the inflorescence stem. However, the molecular mechanism by which these transcription factors control different branches of the phenylpropanoid pathway remains poorly understood in woody species. We isolated an R2R3-MYB transcription factor MYB6 from Populus tomentosa and determined that it was expressed predominately in young leaves. Overexpression of MYB6 in transgenic poplar upregulated flavonoid biosynthetic gene expression, resulting in significantly increased accumulation of anthocyanin and proanthocyanidins. MYB6-overexpression plants showed reduced secondary cell wall deposition, accompanied by repressed expression of secondary cell wall biosynthetic genes. We further showed that MYB6 interacted physically with KNAT7 and formed functional complexes that acted to repress secondary cell wall development in poplar and Arabidopsis. The results provide an insight into the transcriptional mechanisms involved in the regulation of the metabolic fluxes between the flavonoid and lignin biosynthetic pathways in poplar.

The prevalence of Lynch syndrome (LS) varies significantly in different populations, suggesting that ethnic features might play an important role. We enrolled 3330 consecutive Chinese patients who had surgical resection for newly diagnosed colorectal cancer. Universal screening for LS was implemented, including immunohistochemistry for mismatch repair (MMR) proteins, BRAFV600E mutation test and germline sequencing. Among the 3250 eligible patients, MMR protein deficiency (dMMR) was detected in 330 (10.2%) patients. Ninety-three patients (2.9%) were diagnosed with LS. Nine (9.7%) patients with LS fulfilled Amsterdam criteria II and 76 (81.7%) met the revised Bethesda guidelines. Only 15 (9.7%) patients with absence of MLH1 on IHC had BRAFV600E mutation. One third (33/99) of the MMR gene mutations have not been reported previously. The age of onset indicates risk of LS in patients with dMMR tumors. For patients older than 65 years, only 2 patients (5.7%) fulfilling revised Bethesda guidelines were diagnosed with LS. Selective sequencing of all cases with dMMR diagnosed at or below age 65 years and only of those dMMR cases older than 65 years who fulfill revised Bethesda guidelines results in 8.2% fewer cases requiring germline testing without missing any LS diagnoses. While the prevalence of LS in Chinese patients is similar to that of Western populations, the spectrum of constitutional mutations and frequency of BRAFV600E mutation is different. Patients older than 65 years who do not meet the revised Bethesda guidelines have a low risk of LS, suggesting germline sequencing might not be necessary in this population.

To compare intensity-modulated radiotherapy (IMRT) with cisplatin (CDDP) versus cetuximab (CTX) and nimotuzumab (NTZ) for Stage II-IVb Nasopharyngeal Carcinoma (NPC). A total of 1,837 patients with stage II - IVb NPC who received IMRT plus CTX or NTZ, or CDDP between January 2009 and December 2013 were included in the current analysis. Using propensity scores to adjust for potential prognostic factors, a well-balanced cohort of 715 patients was created by matching each patient who underwent IMRT plus concomitant NTZ/CTX with four patients who underwent IMRT plus concomitant CDDP (1:4). Efficacy and safety were compared between the CTX/NTZ and CDDP groups of this well-balanced cohort. Furthermore, we conducted multivariate analysis and subgroup analysis based on all the 1,837 eligible cases. There was no significant difference between CTX/NTZ group and CDDP group in terms of DFS (3-year, 86.7% vs. 86.2%, P>0.05), LRRFS (96.2% vs. 96.3%, P>0.05), DMFS (91.1% vs. 92.3%, P>0.05), and OS (91.7% vs. 91.9%, P>0.05). Subgroup analysis demonstrated a significant interaction effect between patients with IMRT plus CTX/NTZ and N3 node stage on LRRFS with the highest risk of loco-regional relapse (HR 8.85, P=0.001). Significantly increased hematologic toxicities, gastrointestinal reactions were observed in the CDDP group (P

Several non-hepatocellular cancers were linked with hepatitis B virus (HBV) infection. This study was aimed to quantify the potential associations between HBV infection and multiple non-hepatocellular cancers. Continuous cases, including 5,715 non-cancer and 40,963 cancer cases diagnosed from 2008 to 2014 in Sun Yat-sen University Cancer Center were analyzed. HBV DNA and hepatitis B core antigen (HBcAg) were examed in gastric cancer tissues by polymerase chain reaction and immunohistochemical staining. After adjusting for age, sex, year of diagnosis, smoking, drinking and family history of cancer, significant associations were found between serum HBsAg and frequently reported HBV-related non-hepatocellular cancers, including non-Hodgkin's lymphoma, cholangiocarcinoma and pancreatic cancer [adjusted odds ratio (AOR) and 95% confidence interval (CI): 1.89 (1.65-2.16)], as well as total other non-hepatocellular cancers [AOR and 95% CI: 1.12 (1.03-1.22)]. The median ages at diagnosis, all-cause death and cancer-specific death of serum HBsAg positive cancer patients were all significantly younger than those with serum HBsAg negative. HBV DNA was detected in 12.4% (34/275) gastric cancer tissues and HBcAg was most commonly detected in lymphocytes. This was the first report that HBV infection had a modest but significant nonspecific association with total non-hepatocellular cancers. Median age at diagnosis and death was significantly younger in serum HBsAg positive cancer patients. The underlying mechanism needs further investigation.

A comprehensive method for the precise determination of Re, Os, Ir, Ru, Pt and Pd concentrations as well as Os isotopic compositions in geological samples is presented. Samples were digested by the Carius tube method, and the Os was extracted by conventional CCl4 method. The Re, Ir, Ru, Pt and Pd were first subgroup separated from the matrix elements into Re-Ru, Ir-Pt and Pd by a 2-ml anion exchange column. Subsequently, the Re-Ru was further purified by a secondary 0.25 ml anion exchange column or by microdistillation of Ru using CrO3-H2SO4 as an oxidant followed by a secondary 0.25 ml anion exchange separation of Re. The Pd and Ir-Pt were further successively purified by an Eichrom-LN column to completely remove Zr and Hf, respectively. Rhenium, Ir, Ru, Pt and Pd were individually measured by multi-collector inductively coupled plasma-mass spectrometry (MC-ICP-MS), except for Ru after microdistillation purification was analysed by negative-thermal ionisation mass spectrometry (N-TIMS). The analytical results for peridotite reference material WPR-1 agree well with the previously published data. Finally, several mafic rock reference materials including TDB-1, WGB-1, BHVO-2, BCR-2, BIR-1a and DNC-1a were analysed for Re-Os isotopes and platinum-group element concentrations to test their suitability for certification. Une methode complete pour la determination precise des concentrations en Re, Os, Ir, Ru, Pt et Pd, ainsi que des compositions isotopiques l'Os dans des echantillons geologiques est presentee. Les echantillons ont ete digeres par la methode du tube de Carius et l'Os a ete extrait par la methode classique CCl4. Le Re, l'Ir, le Ru, le Pt et le Pd sont d'abord separes des autres elements de la matrice sous la forme Re-Ru, Ir-Pt et Pd grâce a une colonne d’echange d'anions de 2 ml. Ensuite, l'association Re-Ru est purifiee une seconde fois grâce a une colonne secondaire echangeuse d'anions de 0.25 ml, ou par une micro-distillation du Ru en utilisant l'association CrO3-H2SO4 comme oxydant, suivie par une separation secondaire du Re sur une colonne echangeuse d'anions de 0.25 ml. Le Pd et le couple Ir-Pt ont ete purifies successivement une seconde fois grâce a une colonne Eichrom-LN pour enlever totalement et successivement le Zr et l'Hf. Le rhenium, l'Ir, le Ru, le Pt et le Pd sont mesures individuellement par spectrometrie de masse a source plasma et a multi-collection (MC-ICP-MS), a l'exception du Ru qui apres purification par micro-distillation a ete analyse par spectrometrie de masse a thermo-ionisation negative (N-TIMS). Les resultats d'analyse de la peridotite de reference WPR-1 sont en bon accord avec les donnees publiees anterieurement. Enfin, plusieurs roches mafiques de reference dont TDB-1, WG B-1, BHVO-2, BCR-2, BIR-1a DNC-1a ont ete analysees pour les isotopes Re-Os et les concentrations en elements du groupe du platine pour tester la possibilite qu'elles puissent etre certifie.

In this study, a high-precision method for the determination of Sm and Nd concentrations and Nd isotopic composition in highly depleted ultramafic rocks without a preconcentration step is presented. The samples were first digested using the conventional HF + HNO3 + HClO4 method, followed by the complete digestion of chromite in the samples using HClO4 at 190–200 °C and then complete dissolution of fluoride formed during the HF decomposition step using H3BO3. These steps ensured the complete digestion of the ultramafic rocks. The rare earth elements (REEs) were separated from the sample matrix using conventional cation-exchange chromatography; subsequently, Sm and Nd were separated using the LN columns. Neodymium isotopes were determined as NdO+, whereas Sm isotopes were measured as Sm+, both with very high sensitivity using single W filaments with TaF5 as an ion emitter. Several highly depleted ultramafic rock reference materials including USGS DTS-1, DTS-2, DTS-2b, PCC-1 and GSJ JP-1, which contain extremely low amounts of Sm and Nd (down to sub ng g−1 level), were analysed, and high-precision Sm and Nd concentration and Nd isotope data were obtained. This is the first report of the Sm-Nd isotopic compositions of these ultramafic rock reference materials except for PCC-1. Dans cette etude, une methode de haute precision pour la determination des concentrations en Sm et Nd et des compositions isotopiques du Nd, sans etape de pre-concentration prealable, dans les roches ultramafiques fortement appauvries est presentee. Les echantillons sont d'abord digeres avec le procede classique associant HF + HNO3 + HClO4, suivie de la digestion complete de la chromite des echantillons en utilisant HClO4 a 190–200 °C, puis de la dissolution complete du fluorure forme au cours de l'etape de decomposition au HF et ceci a l'aide de H3BO3. Ces etapes ont permis la digestion complete des roches ultramafiques. Les terres rares (REE) ont ete separees de la matrice de l'echantillon en utilisant la chromatographie classique d'echange de cations; ensuite, Sm et Nd ont ete separes en utilisant les colonnes LN. Les isotopes du neodyme ont ete determines comme NdO+ alors que les isotopes du Sm ont ete mesures comme Sm+, tous les deux avec une tres grande sensibilite a l'aide de simples filaments au tungstene et avec TaF5 comme emetteur d'ions. Plusieurs roches ultramafiques de reference fortement appauvries dont USGS DTS-1, DTS-2, DTS-2b, PCC-1 et GSJ JP-1, qui contiennent des quantites extremement faibles de Sm et Nd (jusqu'a des teneurs de l'ordre du ng g−1), ont ete analysees, et des concentrations en Sm et Nd ainsi que des donnees isotopiques du Nd de haute precision ont ete obtenues. Il s'agit des premiers resultats concernant les compositions isotopiques en Sm-Nd de ces roches ultramafiques de reference a l'exception de PCC-1.

– Rb-Sr and Sm-Nd isotopic analyses of the lherzolitic shergottite Grove Mountains (GRV) 99027 are reported. GRV 99027 yields a Rb-Sr mineral isochron age of 177 ± 5 (2σ) Ma and an initial 87Sr/86Sr ratio (ISr) of 0.710364 ± 11 (2σ). Due to larger uncertainties of the Sm-Nd isotopic data, no Sm-Nd isochron age was obtained for GRV 99027. The e143Nd value is estimated approximately +12.2, assuming an age of 177 Ma. The ISr of GRV 99027 is distinguishable from other lherzolitic shergottites, confirming our previous conclusion that it is not paired with them (Lin et al. 2005). The new data of GRV 99027 support the same age of approximately 180 Ma for most lherzolitic shergottites, and fill the small gap of ISr between Allan Hills A77005 and Lewis Cliff 88516 (Borg et al. 2002). All available data are consistent with a single igneous source for the intermediate subgroup of lherzolitic shergottites.