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It has been reported that long non-coding RNA HOXA distal transcript antisense RNA (lncRNA HOTTIP) functions as a tumor promoter in colorectal cancer (CRC). Hence, we paid attention to exploring whether exosomes could carry lncRNA HOTTIP to affect the mitomycin resistance in CRC and to identify the underlying mechanisms. High expression of HOTTIP was detected in mitomycin-resistant CRC cells. Inhibition of HOTTIP reduced the mitomycin resistance. In the co-culture system of mitomycin-resistant cells or their derived exosomes with CRC cells, the HOTTIP was found to be transferred into the parental cells via extracellular vesicles (EVs) secreted from mitomycin-resistant cells and to contribute to the mitomycin resistance. Based on the bioinformatics databases, possible interaction network of HOTTIP, microRNA-214 (miR-214) and Karyopherin subunit alpha 3 (KPNA3) in CRC was predicted, which was further analyzed by dual-luciferase reporter, RNA binding protein immunoprecipitation and RNA pull-down assays. As HOTTIP down-regulated miR-214 to elevate the KPNA3 expression, HOTTIP enhanced the mitomycin resistance through impairing miR-214-dependent inhibition of KPNA3. Finally, HOTTIP was suggested as an independent factor predicting mitomycin response in patients with CRC. Those data together confirmed the promotive effects of EV-carried HOTTIP on the mitomycin resistance, while targeting HOTTIP might be a promising strategy overcoming drug resistance in CRC.

Adherence to TB treatment is the most important requirement for efficient TB control. Migrant TB patients' "migratory" nature affects the adherence negatively, which presents an important barrier for National TB Control Program in China. Therefore, TB control among migrants is of high importance.The aim of this study is to describe adherence to TB treatment among migrant TB patients and to identify factors associated with adherence. A total of 12 counties/districts of Shandong Province, China were selected as study sites. 314 confirmed smear positive TB patients were enrolled between August 2(nd) 2008 and October 17(th) 2008, 16% of whom were non-adherent to TB therapy. Risk factors for non-adherence were: the divorced or bereft of spouse, patients not receiving TB-related health education before chemotherapy, weak incentives for treatment adherence, and self supervision on treatment. Based on the risk factors identified, measures are recommended such as implementing health education for all migrant patients before chemotherapy and encouraging primary care workers to supervise patients.

Triggered by a fascinating publication in the New England Journal of Medicine detailing China's new multi-pronged strategy to control and eventually interrupt the transmission of Schistosoma japonicum, this PLoS Neglected Tropical Diseases Debate critically examines the generalizability and financial costs of the studies presented from the marshlands of the lake region. Edmund Seto from the University of California and colleagues emphasize that the epidemiology and control of schistosomiasis varies according to the social-ecological context. They conjecture that the successful intervention packages piloted in the lake region is not fully fit for the hilly and mountainous environments in Sichuan and Yunnan provinces, and hence call for more flexible, setting-specific, and less expensive control strategies. In response, Xiao-Nong Zhou from the National Institute of Parasitic Diseases at the Chinese Center of Disease Control and Prevention and colleagues explain the steps from designing pilot studies to the articulation and implementation of a new national control strategy through a careful process of scaling-up and adaptations. Finally, the two opponents converge. The need for integrated, intersectoral, and setting-specific control measures is stressed, supported by rigorous surveillance and continuous research. Experiences and lessons from China are important for shaping the schistosomiasis elimination agenda.

Abstract Uterine leiomyoma invading internal iliac vein and consequently disseminating into the right atrium is an extremely rare condition, and surgical strategy is controversial. Here, we reported a specific case with successful surgical resection through one-stage total hysterectomy, bilateral oophorectomy, and the intracardiovascular lesion. This procedure would be an optimal choice for uterine leiomyoma invading inferior vena cava and spreading to right atrium.

The intelligent platform for comprehensive management of tuberculosis in Shandong province (hereinafter referred to as the ‘intelligent platform’) is built with microservice architecture, and has technical features such as high performance, lightweight, concurrent programming model, standard library support, cross-platform, debugging and testing friendly, and integration with container technology. The construction of intelligent platforms relies on cloud architecture-related technologies to segment physical computing, storage, and network resources, supporting customers to use various terminals to obtain services from any location. The intelligent platform integrates advanced technologies such as information technology, artificial intelligence and big data analysis, which can strengthen the publicity and education of tuberculosis prevention and control knowledge, improve the detection of tuberculosis patients, improve the diagnostic efficiency, strengthen the overall management of tuberculosis patients during drug taking, and improve the efficiency of the daily work of tuberculosis prevention and control in the province. According to the statistics of patient management since the operation of the intelligent platform, the patient notification rate is 93.5%, the rate of taking medication on time is 77.4%, and the rate of regular medication use is 95.6%. The platform has great potential to improve the level of tuberculosis prevention and control, strengthen the management of medical resources and promote the intellectualization of the health system, which is of great significance for the effective control and prevention of tuberculosis.

Results from the third nationwide cluster sampling survey on the epidemiology of schistosomiasis in the People's Republic of China, conducted by the Ministry of Health in 2004, are presented. A [...]

Abstract Introduction The left partial anomalous pulmonary vein connection is a rare congenital heart disease, especially with intact atrial septum. Now we reported a case of the left superior pulmonary vein drainage to left innominate vein through a vertical vein, and corrected with video assisted thoracoscopy. Case presentation A-59-years old man diagnosed left anomalous partial pulmonary vein connection with presentation of short breathiness and palpation, and diagnosed with computer tomography pulmonary angiography. The operation was carried out under video assisted thoracoscopy with one manipulation incision and one observational incision, the vertical vein was dissected and anastomosis with left atrial appendage. The patients recovered smoothly and postoperative CTPA showed anastomosis ostium was unobstructed. Conclusion The left lateral thoracotomy and video assisted thoracoscopic surgery is a feasible for correction of left PAPVC with intact interatrial septum without using CPB.

Bis(hexafluoroacetylacetonate)cobalt(II), Co[(hfac).sub.2], reacted with the nitronyl nitroxide radical 2-(4-methylphenyl)-4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide, NITPhMe, to yield an octahedral adduct of formula Co[(hfac).sub.2][(NITPhMe).sub.2]. The X-ray crystal structure shows that it crystallizes in the space group P1, with a = 9.837(3), b = 11.618(3), c = 20.502(4) [Angstrom], [alpha] = 81.22(2), [beta] = 87.93(2), [gamma] = 72.24(3)[degrees], V = 2205(1) [[Angstrom].sup.3], Z = 2. The mechanism of ferromagnetic exchange between cobalt(II) and the radical can be qualitatively understood in terms of a charge-transfer interaction (J being 25.7 [cm.sup.-1], the Hamiltonian is written in the form H = -2J([S.sub.Rad1]*[S.sub.Co] + [S.sub.Co]*[S.sub.Rad2])). Key words: crystal structure, cobalt(II) complex, nitronyl nitroxide, magnetic property.

The surface velocity of the Amery Ice Shelf (AIS) is vital to assessing its stability and mass balance. Previous studies have shown that the AIS basin has a stable multi-year average surface velocity. However, spatiotemporal variations in the surface velocity of the AIS and the underlying physical mechanism remain poorly understood. This study combined offset tracking and DInSAR methods to extract the monthly surface velocity of the AIS and obtained the inter-annual surface velocity from the ITS_LIVE product. An uneven spatial distribution in inter-annual variation in the surface velocity was observed between 2000 and 2022, although the magnitude of variation was small at less than 20.5 m/yr. The increase and decrease in surface velocity on the eastern and western-central sides of the AIS, respectively, could be attributed to the change in the thickness of the AIS. There was clear seasonal variation in monthly average surface velocity at the eastern side of the AIS between 2017 and 2021, which could be attributed to variations in the area and thickness of fast-ice and also to variations in ocean temperature. This study suggested that changes in fast-ice and ocean temperature are the main factors driving spatiotemporal variation in the surface velocity of the AIS.

Rural areas around developed metropolitan areas continue to attract capital inflows, promoting rural spatial commodification. Taking Shanghai as a case study, this paper analyzes the characteristics of the spatial distribution pattern and the influencing factors of rural spatial commodification (RSC) through kernel density analysis, multiple regression models, and spatial autocorrelation analysis. This study explores four types of RSC at the township scale outside the center of Shanghai: agricultural product-oriented commodification, farm housing commodification, tourism-oriented commodification, and construction land commodification. The results show the following: (1) The four types of RSC show positive spatial correlation, a clear pattern of agglomeration, and an obvious core–edge pattern, with high-density areas distributed in rural areas with specific advantages around metropolitan areas. The distribution of RSC also demonstrates an obvious polarization, forming an uneven distribution pattern. (2) Socio-economic factors, agriculture, transportation location, urbanization, and industrialization are key factors driving RSC. (3) Different types of RSC should be effectively guided at the policy and planning levels according to regional conditions and development stages to enhance the spatial organization of rural regions and achieve the effective revitalization of the countryside surrounding the metropolis.

ABSTRACT: Particulate matter (PM) emissions from animal houses and the corresponding hazard have raised increasing attention during recent years. In this study, a large-scale manure-belt laying hen house located in Beijing, China was selected as the experimental site for the study of the emission rates (ER) and chemical compositions of PM2.5 and PM10 in 3 seasons, namely, summer, autumn, and winter, to investigate their possible influences on ambient air quality and human health. The results showed that the mean ER from the hen house in summer, autumn, and winter were 9.0 ± 1.7, 2.4 ± 0.7, and 1.9 ± 0.7 mg hen−1 d−1 for PM2.5 (P < 0.05), and 30.7 ± 1.1, 12.8 ± 1.5, and 10.9 ± 0.9 mg hen−1 d−1 for PM10 (P < 0.05), respectively. Moreover, large amounts of secondary inorganic aerosols (SIA) were observed inside the house in summer, accounting for 11.4 and 9.6% of indoor PM2.5 and PM10 mass, respectively, compared with the value of

Abstract Background Preventive therapy of latent tuberculosis infection (LTBI) is an important component of tuberculosis (TB) control. Research on acceptance of TB preventive therapy (TPT) is an important topic. Current studies focus on acceptability and compliance. However, it is unclear whether LTBI patients will start TPT after accepting treatment. The study assessed the factors associated with TPT refusal after initial willingness to accept treatment. Methods Data were derived from a baseline survey of prospective study of LTBI treatment among college students in Shandong Province, China. A total of 723 students initially willing to accept TPT were included in the analysis. Stepwise logistic regression was used to explore the individual- and family-level characteristic variables that factors associated with TPT refusal after initial willingness to accept treatment. Results Of the 723 LTBI college students who initially had acceptance willingness, 436 (60.3%) finally refused TPT. At the individual level, non-medical students were more likely to refuse TPT [odds ratio (OR) = 4.87, 95% confidence interval (CI): 3.10–7.67)], as were students with moderate physical activity (OR = 1.45, 95% CI: 1.04–2.04). Students with boarding experience (OR = 0.49, 95% CI: 0.31–0.78) and a high level of knowledge about TB (OR = 0.97, 95% CI: 0.95–0.99) were less likely to refuse TPT. At the family level, those with high father’s educational level (OR = 1.50, 95% CI: 1.07–2.10) or high household income (OR = 1.80, 95% CI: 1.20–2.71) were more likely to refuse TPT after initially accepting treatment. Conclusions Factors associated with TPT refusal after initial willingness to accept treatment, such as personal (type of students, physical activity, boarding experiences, knowledge of TB) and family characteristics (father’s education level, household income) among college student with LTBI, might help identify persons for whom tailored interventions could improve the start of LTBI treatment.

Salt Lakes, having a salt concentration higher than that of seawater and hosting unique extremophiles, are predominantly located in drought-prone zones worldwide, accumulating diverse salts and continuously emitting salt dust or aerosols. However, knowledge on emission, chemical composition, and health impacts of Salt Lake aerosols under climate change is scarce. This review delves into the intricate dynamics of Salt Lake aerosols in the context of climate change, pointing out that, as global warming develops and weather patterns shift, Salt Lakes undergo notable changes in water levels, salinity, and overall hydrological balance, leading to a significant alteration of Salt Lake aerosols in generation and emission patterns, physicochemical characteristics, and transportation. Linked to rising temperatures and intensified evaporation, a marked increase will occur in aerosol emissions from breaking waves on the Salt Lake surface and in saline dust emission from dry lakebeds. The hygroscopic nature of these aerosols, coupled with the emission of sulfate aerosols, will impart light-scattering properties and a cooling effect. The rising temperature and wind speed; increase in extreme weather in regard to the number of events; and blooms of aquatic microorganisms, phytoplankton, and artemia salina in and around Salt Lakes, will lead to the release of more organic substances or biogenic compounds, which contribute to the alteration of saline aerosols in regard to their quantitative and chemical composition. Although the inhalation of saline aerosols from Salt Lakes and fine salt particles suspended in the air due to salt dust storms raises potential health concerns, particularly causing respiratory and cardiovascular disease and leading to eye and skin discomfort, rock salt aerosol therapy is proved to be a good treatment and rehabilitation method for the prevention and treatment of pneumoconiosis and chronic obstructive pulmonary disease (COPD). It is implied that the Salt Lake aerosols, at a certain exposure concentration, likely can delay the pathogenesis of silicosis by regulating oxidative stress and reducing interstitial fibrosis of the lungs. It emphasizes the interconnectedness of climate changes, chemical composition, and health aspects, advocating for a comprehensive and practical approach to address the challenges faced by Salt Lake aerosols in an ever-changing global climate.