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Abstract Insights into the impacts of freeze-thaw processes on soil microorganisms and their related functions in permafrost regions are crucial for assessing ecological consequences imposed by the shifts in freeze-thaw patterns. Through in-situ investigations on seasonal freeze-thaw processes in the active layer of permafrost in the Qinghai-Tibet Plateau, we found that microbial richness was higher and positively correlated with soil multifunctionality during the freeze-thaw stage (freezing and thawing periods) compared to the non-freeze-thaw stage (completely frozen and thawed periods). This relationship resulted from the higher microbial stability, which was highly consistent with the lower complexity, more keystone taxa, and greater robustness of networks. Although freeze-thaw strength exacerbated the greenhouse effect on climate, it was alleviated by the enhancement of diversity-soil multifunctionality relationship. These findings have substantial implications for exploring the responses of microbial-mediated soil multifunctionality and greenhouse effect in alpine permafrost to more drastic variations of freeze-thaw processes under future warming.

Abstract Purpose This study aimed to develop a Quality of Life (QOL) assessment scale for older patients with Neuro-co-Cardiological Diseases (NCCD) and to evaluate the reliability and validity of the scale. Method The study participants were derived from the Elderly Individuals with NCCD Registered Cohort Study (EINCCDRCS), a multicenter registry of patients with NCCD. The preliminary testing of the questionnaire was conducted among 10 older individuals aged 65 years and older who had NCCD and were recruited from the registry. Other patients who met the inclusion criteria participated in the field testing. After verifying the unidimensionality, local independence, and monotonicity assumptions of the scale, we employed the Rasch model within Item Response Theory framework to assess the quality of the scale through methods including internal consistency, criterion validity, Wright map, and item functioning differential. Subsequently, we assessed the construct validity of the scale by combining exploratory factor analysis with confirmatory factor analysis. Results Based on well-validated scales such as the short-form WHOQOL-OLD, HeartQOL, IQCODE, and SF-36, an original Neuro-co-Cardiological Diseases Quality of Life scale (NCCDQOL) was developed. 196 individuals from the EINCCDRCS were included in the study, with 10 participating in the preliminary testing and 186 in the field testing. Based on the results of the preliminary testing, the original questionnaire was refined through item deletion and adjustment, resulting in an 11-item NCCDQOL questionnaire. The Rasch analysis of the field testing data led to the removal of 21 misfitting individuals. The NCCDQOL demonstrated a four-category structure, achieved by combining two response categories. This structure aligned with the assumptions of unidimensionality, local independence, and monotonicity. The NCCDQOL also exhibited good validity and reliability. Conclusion The revised NCCDQOL questionnaire demonstrated good reliability and validity in the Rasch model, indicating promising potential for clinical application.

In recent years, there has been growing concern about the condition of snow leopards. The snow leopard (Panthera uncia), an apex predator of alpine ecosystems, is essential for the structural and functional stability of ecosystems. Monitoring of snow leopards’ activity patterns based on camera traps in the Qilian Mountain National Park (Qinghai area) between August 2020 to October 2023 was performed. The results showed that autumn is the peak period of snow leopard activity, especially in September when the frequency of activity is the highest, and there is one peak in the frequency of snow leopard daily activity in the time period of 18:00–22:00, while the highest overlap of the daily activity curves of snow leopards in different months was from spring to autumn (Δ = 0.97), and there were significant differences in diurnal activity rhythm between spring and autumn (p = 0.002). Snow leopards prefer sunny days, and they tend to be active at temperatures of −10–9 °C. Our research aimed to uncover the activity patterns of snow leopards at different scales within the study area and provide data for further studies on snow leopards and other wildlife by researchers. This study can be used to gain a comprehensive understanding of the ecological characteristics of snow leopards and to assess their habitats, and it will also serve as a reference for the local wildlife management authorities in formulating snow leopard conservation measures.

The global expansion of photovoltaic (PV) power plants, especially in ecologically fragile regions like the Gobi Desert, highlights the suitability of such areas for large-scale PV development. The most direct impact of PV development in the Gobi Desert is temperature change that results from the land-use-induced albedo changes; however, the detailed and systemic understanding of the effects of PV expansion on land surface temperature remains limited. This study focuses on the 16 largest PV plants in the Chinese Gobi Desert, utilizing remote sensing data to assess their effects on land surface temperature. Our result showed a cooling effect during the daytime (−0.69 ± 0.10 °C), but a warming effect during the nighttime (0.23 ± 0.05 °C); the overall effect on the daily mean was a cooling effect (−0.22 ± 0.05 °C). Seasonal variations were observed, with the most significant cooling effect in autumn and the weakest in summer. The PV area was the most significant factor which influenced the temperature variation across PV plants. Our findings enrich our understanding of the environmental effects arising from the construction of PV plants and provide vital information for the design and management of increasingly renewable electricity systems globally.

Objective: To evaluate the dynamic expression profiling alterations of SARS-CoV-2-associated molecules within the fertile human endometrium throughout the menstrual cycle. Furthermore, to explore the inherent vulnerability of the endometrium to SARS-CoV-2 infection among women experiencing recurrent pregnancy failure, including both recurrent implantation failures (RIF) and recurrent pregnancy losses (RPL).Method: The present study employed multiple datasets to investigate the expression patterns of SARS-CoV-2-associated genes. Firstly, a single-cell RNA-sequencing dataset comprising endometrial samples from 19 healthy women across the menstrual cycle was utilized. Additionally, two microarray datasets encompassing 24 women with RIF, and 24 women with RPL during the peri-implantation phase were included. To complement these analyses, immunohistochemical (IHC) staining was performed on endometrial samples collected from 30 women with RIF, 30 women with RPL, and 20 fertile controls recruited specifically during the implantation period.Results: The investigation revealed a moderate expression percentage of CTSL (22%), TMPRSS4 (15%), FURIN (16%) and MX1 (9%) in endometrium. Conversely, the expression percentages of ACE2 (1%) and TMPRSS2 (4%) were relatively low. Notably, the expression of BSG exhibited an increment towards the window of implantation, reaching its peak during the middle secretary phase. Furthermore, a significant reduction (p < 0.05) in TMPRSS2 expression was observed in the RIF group compared to the control group. While the expression of BSG was significantly increased (p < 0.05) in the RPL group, findings that were corroborated by the IHC staining results.Conclusion: The findings of this study indicate a noteworthy upregulation of BSG expression in the endometrium of women with RPL. These results suggest an augmented susceptibility of endometrium to SARS-CoV-2 infection, potentially contributing to unfavorable pregnancy outcomes.

Based on the elastic–plastic contact theory, elastic–plastic contact finite element models for the integrated modular house by flat pack are established. The structural stress and displacement distributions are obtained. An experimental test is conducted to study the performance of the corner fitting joint of the house. The finite element analysis and experimental test comprehensively demonstrated the safety and reliability of the house structure. The results show that the most unfavorable stress point of the house is located at the corner fitting joint. When the end plate connection holes of the corner column seal are designed with through holes and internal screw holes, respectively, the fastening effect of bolting between the corner fitting and corner column using the internal screw hole is better. The reliability of the repeated disassembly and assembly of the house is verified via multiple loading–unloading simulation cycle experiments of the corner fitting joint. The results of the study provide technical support and a reference basis for the optimal design and ensuring the service performance of the integrated modular house by flat pack.

Abstract Background Insulin has been demonstrated to play an important role in the occurrence and development of Alzheimer’s disease, especially in those with diabetes. β cells are important insulin-producing cells in human pancreas. This study aimed to investigate the association between β-cell dysfunction and cognitive impairment among patients over 40-year-old with abnormal glucose metabolism in Chinese rural communities. Methods A sample of 592 participants aged 40 years or older from the China National Stroke Prevention Project (CSPP) between 2015 and 2017 were enrolled in this study. Abnormal glucose metabolism was defined when hemoglobin Alc ≥ 5.7%. Cognitive function was assessed by the Beijing edition of the Montreal Cognitive Assessment scale. Homeostasis assessment of β-cell function was performed and classified into 4 groups according to the quartiles. A lower value of HOMA-β indicated a worse condition of β-cell function. Multivariate logistic regression was used to analyze the association between β-cell function and cognitive impairment. Results In a total of 592 patients with abnormal glucose metabolism, the average age was 60.20 ± 7.63 years and 60.1% patients had cognitive impairment. After adjusting for all potential risk factors, we found the first quartile of β-cell function was significantly associated with cognitive impairment (OR: 2.27, 95%CI: 1.32–3.92), especially at the domains of language (OR: 1.64, 95%CI: 1.01–2.65) and abstraction (OR: 2.29, 95%CI: 1.46–3.58). Conclusions Our study showed that worse β-cell function is associated with cognitive impairment of people over 40-year-old with abnormal glucose metabolism in Chinese rural communities, especially in the cognitive domains of abstraction and language.

Abstract Schizophrenia (SZ) places a tremendous burden on public health as one of the leading causes of disability and death. SZ patients are more prone to developing obesity than the general population from the clinical practice. The development of obesity frequently causes poor psychiatric outcomes in SZ patients. In turn, maternal obesity during pregnancy has been associated with an increased risk of SZ in offspring, suggesting that these two disorders may have shared neuropathological mechanisms. The gut microbiota is well known to serve as a major regulator of bidirectional interactions between the central nervous system and the gastrointestinal tract. It also plays a critical role in maintaining physical and mental health in humans. Recent studies have shown that the dysbiosis of gut microbiota is intimately associated with the onset of SZ and obesity through shared pathophysiological mechanisms, particularly the stimulation of immune inflammation. Therefore, gut microbiota may serve as a common biological basis for the etiology in both SZ and obesity, and the perturbed gut–brain axis may therefore account for the high prevalence of obesity in patients with SZ. On the basis of these findings, this review provides updated perspectives and intervention approaches on the etiology, prevention, and management of obesity in SZ patients by summarizing the recent findings on the role of gut microbiota in the pathogenesis of SZ and obesity, highlighting the role of gut‐derived inflammation.

The rapid increase in construction of solar photovoltaic power stations (SPPs) has motivated ecologists to understand how these stations affect terrestrial ecosystems. Comparing study sites, effects are often not consistent, and a more systematic assessment of this topic remains lacking. Here, we evaluated the effects of SPP construction on carbon emissions, edaphic variables, microclimatic factors and vegetation characteristics in a meta-analysis. We employed log response ratios (as effect sizes) to assess how control plots differed from those beneath solar photovoltaic panels. We found that SPP construction decreased the local air temperature and photosynthetically active radiation, while increasing air humidity, especially in grasslands. Furthermore, plant aboveground biomass and vegetation cover were also enhanced by SPP construction in grassland ecosystems. In farmland ecosystems, photovoltaic panel installation increased plant aboveground biomass, soil available phosphorus and soil pH, while reducing CO2 flux, plant species richness and vegetation cover in woodlands. Thus, while SPP construction had profound ecological impacts in terrestrial ecosystems, the direction and strength of these effects were largely dependent on ecosystem type. Most studies of SPP construction to date have focused on local microclimatic and plant diversity effects, but few studies have examined effects on ecosystem functions and services. Future assessments are needed of both the benefits and disbenefits of SPP construction across different ecosystems, to improve SPP site selection and adaptive management.

Understanding the impacts of diurnal freeze–thaw cycles (DFTCs) on soil microorganisms and greenhouse gas emissions is crucial for assessing soil carbon and nitrogen cycles in the alpine ecosystems. However, relevant studies in the permafrost regions in the Qinghai-Tibet Plateau (QTP) are still lacking. In this study, we used high-throughput pyrosequencing and static chamber-gas chromatogram to study the changes in topsoil bacteria and fluxes of greenhouse gases, including carbon dioxide (CO2), methane (CH4), and nitrous oxide (N2O), during autumn DFTCs in the permafrost regions of the Shule River headwaters on the western part of Qilian Mountains, northeast margin of the QTP. The results showed that the bacterial communities contained a total of 35 phyla, 88 classes, 128 orders, 153 families, 176 genera, and 113 species. The dominant phyla were Proteobacteria, Acidobacteria, Actinobacteria, Chloroflexi, and Gemmatimonadetes. Two DFTCs led to a trend of increasing bacterial diversity and significant changes in the relative abundance of 17 known bacteria at the family, genus, and species levels. These were predominantly influenced by soil temperature, water content, and salinity. In addition, CO2 flux significantly increased while CH4 flux distinctly decreased, and N2O flux tended to increase after two DFTCs, with soil bacteria being the primary affecting variable. This study can provide a scientific insight into the impact of climate change on biogeochemical cycles of the QTP.

Abstract Pervious concrete has been widely used in parking lots and other lightweight streets. Performances of pervious concrete are strongly dependent on its pore structure characteristics. This paper investigates the relationship among porosity, permeability, compressive strength, durability and the pore structure characteristics of pervious concrete. The influences of basalt fiber and fine aggregate on the pervious concrete are also discussed. Pervious concrete specimens with different pore structures were prepared by combining basalt aggregate with size of 5–10 mm and 10–15 mm at different proportion. The pore structure characteristics such as area porosity, pore sizes, and pore distribution of pervious concrete were obtained and analyzed using image analysis method. Experimental results showed that the pore structure characteristics of pervious concrete have effects on its mechanical and durability behaviors. Homogeneous pore distribution and large distances between pores increase the compressive strength and improve freeze–thaw durability of pervious concrete. Due to the difference in the internal pore structure of pervious concretes, specimens with similar volumetric porosities had different permeability coefficients. A series of numerical models were regenerated through a MATLAB code using pore structural parameters derived from the image analysis method, then the numerical models were fed to ANSYS for meshing and further simulation. The comparison of the simulation and experimental results showed close accuracy, which verified the applied simulation analysis method based on image analysis technology.

As the basic units of soil structure, soil aggregate is essential for maintaining soil stability. Intensified freeze–thaw cycles have deeply affected the size distribution and stability of aggregate under global warming. To date, it is still lacking about the effects of freeze–thaw cycles on aggregate in the permafrost regions of the Qinghai-Tibetan Plateau (QTP). Therefore, we investigated the effects of diurnal and seasonal freeze–thaw processes on soil aggregate. Our results showed that the durations of thawing and freezing periods in the 0–10 cm layer were longer than in the 10–20 cm layer, while the opposite results were observed during completely thawed and frozen periods. Freeze–thaw strength was greater in the 0–10 cm layer than that in the 10–20 cm layer. The diurnal freeze–thaw cycles have no significant effect on the size distribution and stability of aggregate. However, < 0.25 mm fraction dominated wet sieving aggregate with the highest proportion during thawing period, while the < 1 mm fraction reached the highest during completely frozen period in the 10–20 cm layer ( P < 0.05). Likewise, the mean weight diameter and water-stable aggregate were decreased during thawing period compared with the other periods, which were influenced by soil microbial biomass carbon and belowground biomass. Hence, the seasonal freeze–thaw processes destroyed macro-aggregate (> 0.25 mm) and reduced aggregate stability. Our study has scientific guidance for evaluating the effects of freeze–thaw cycles on soil steucture and provides a theoretical basis for further exploration on soil and water conservation in the permafrost regions of the QTP.

Objects: To explore the specific features of cognitive function in patients with schizophrenia at different stages and its influencing factors. Methods: The MATRICS Consensus Cognitive Battery (MCCB) and the Brief Psychiatric Rating Scale (BPRS) were administered to 208 patients with schizophrenia, including 158 clinically stable schizophrenia (CSS) and 50 first-episode patients with schizophrenia (FES), and 40 healthy controls (HC). Propensity score matching (PSM) was used to match the CSS and FES. Results: (1) The MCCB and it,s sub-scale scores in patients with schizophrenia were lower than HC, but the score of emotion intelligence showed no significant difference between CSS and HC. (2) Before PSM, the cognitive scores of FES were significantly lower than CSS (except trail making A test, Hopkins verbal learning, category fluency). After PSM, patients with CSS still do better in performing trail making A test, emotional intelligence, continuous performances and MCCB total score. (3) BPRS total score, gender, group (FES vs CSS) and age were independent contributors to emotion intelligence, and BPRS total score had the biggest effect. (4) The effect of group (FES vs CSS) on MCCB total score and emotional intelligence was statistically significant. Conclusions: There are significant cognitive deficits in patients with FES and CSS compared with HC. FES have greater cognitive impairments compared with CSS. Emotion intelligence of CSS may be even close to the level of HC. BPRS total score, gender, group (FES vs CSS) and age may be the independent contributors to social cognition. Group (FES vs CSS) may play an important effect on general cognition and social cognition.

There was extensive degradation during the warm middle Holocene and permafrost area was reduced substantially. Here the authors synthesize data across the Tibetan permafrost region and find that paleoclimate is more important than modern climate in shaping current permafrost carbon distribution, and its importance increases with soil depth.

Introduction Primary prevention of cardiovascular disease (CVD) and stroke often fails due to poor adherence among patients to evidence-based prevention recommendations. The proper formatting of messages portraying CVD and stroke risks and interventional benefits may promote individuals’ perception and motivation, adherence to healthy plans and eventual success in achieving risk control. The main objective of this study is to determine whether risk and intervention communication strategies (gain-framed vs loss-framed and long-term vs short-term contexts) and potential interaction thereof have different effects on the optimisation of adherence to clinical preventive management for the endpoint of CVD risk reduction among subjects with at least one CVD risk factor.Methods and analysis This trial is designed as a 2×2 factorial, observer-blinded multicentre randomised controlled study with four parallel groups. Trial participants are aged 45–80 years and have at least one CVD risk factor. Based on sample size calculations for primary outcome, we plan to enrol 15 000 participants. Data collection will occur at baseline, 6 months and 1 year after randomisation. The primary outcomes are changes in the estimated 10-year CVD risk, estimated lifetime CVD risk and estimated CVD-free life expectancy from baseline to the 1-year follow-up.Ethics and dissemination This study received approval from the Ethical Committee of West China Hospital, Sichuan University and will be disseminated via peer-reviewed publications and conference presentations.Trial registration number NCT04450888.

Background. Ovarian cancer is the most fatal gynecological malignancy. Owing to its insidious onset, rapid development, and poor prognosis, ovarian cancer is the fifth most common cause of death in women. Although immunotherapy-related drugs, such as Olaparib, can alleviate ovarian cancer progression, there are no remarkable breakthroughs for its effective treatment. It is considered that the transformation of normal cells to cancerous ones involves “recoding” of certain metabolic pathways. Diacylglycerol O-acyltransferase 1 (DGAT1) can synthesize triglycerides by transferring acyl-CoA to diacylglycerol, which plays a key role in lipid synthesis. However, the role of DGAT1 in ovarian cancer is not yet elucidated. Materials and Methods. We analyzed the correlation between DGAT1 and ovarian cancer staging, grading, vascular invasion, and prognosis by collating the information of ovarian cancer specimens from The Cancer Genome Atlas (TCGA) database. Furthermore, the effects of DGAT1 expression on proliferation, migration, invasion, and tumor growth were studied using ovarian cancer cell lines. GSEA was used to analyze the KEGG pathways and biological function enriched because of DGAT1 expression in ovarian cancer. Results. The expression of DGAT1 was elevated in advanced (p=0.0432), poorly differentiated (p=0.0148), and vascular invaded (p=0.0002) ovarian cancer specimens. Prognosis among patients with high expression of DGAT1 was poor. After DGAT1 expression was interfered, proliferation, migration, invasion, colony forming, and tumor growth of ovarian cancer cells were inhibited. In addition, GSEA showed that DGAT1 may be involved in the immune process. Conclusion. DGAT1 expression is associated with the clinical phenotype of ovarian cancer. We suggest that DGAT1 has potential implications in the treatment of ovarian cancer.

Background: The prevalence of cognitive impairment is growing and higher in rural areas. The association between carotid plaque and cognitive impairment remains uncertain, and few studies focused on the cognitive function of the rural population. We designed this study to investigate the association between carotid plaque and cognitive impairment in a rural community.Methods: We enrolled 3,336 participants who underwent carotid ultrasound and cognitive function measurements, free of cerebrovascular diseases, and without neurological deficits, from the China National Stroke Screen Survey program. Cognitive function was evaluated by the Montreal Cognitive Assessment (Beijing version). We used multivariable logistic regression to assess the association between asymptomatic carotid plaques and the presence of cognitive impairment.Results: Nine hundred seventy-six participants had cognitive impairment in this study. After adjustment for potential confounding factors, asymptomatic carotid plaques (odds ratio was 1.35; 95% confidence interval, 1.15–1.58), especially vulnerable carotid plaques (odds ratio was 1.54; 95% confidence interval, 1.28–1.85), were associated with cognitive impairment.Conclusion: In this community-based and observational study, asymptomatic vulnerable carotid plaque is an independent and significant risk factor for cognitive impairment in rural residents.

Abstract Background Ideal cardiovascular health (CVH) metrics have been found to be associated with subclinical vascular abnormalities. However, the relationship between ideal CVH metrics and retinal vessel calibers and retinal nerve fiber layer (RNFL) thickness in a Chinese population is unknown. Methods We collected information on the seven ideal CVH metrics among 3376 participants aged 40 years or older from the Asymptomatic Polyvascular Abnormalities Community Study in 2012. Retinal vessel calibers and RNFL thickness were assessed by retinal photography and spectral-domain optical coherence tomography. Multivariable linear models were used to analyze the relationship between ideal CVH metrics and retinal parameters. Results With the decreased number of ideal CVH metrics, central retinal arteriolar equivalents (CRAE) was significantly narrowed and arterio- venous ratio (AVR) significantly decreased (p

Background/Aims: Ovarian cancer (OC) is the fifth leading cause of cancer-related death in women, and it is difficult to diagnose at an early stage. The purpose of this study was to explore the prognostic biological markers of OC. Methods: Univariate Cox regression analysis was used to identify genes related to OC prognosis from the Cancer Genome Atlas(TCGA) database. Immunohistochemistry was used to analyse the level of SPINK13 in OC and normal tissues. Cell proliferation, apoptosis and invasion were performed using MTT assay, flow cytometric analysis and Transwell assay, respectively. Results: We identified the Kazal-type serine protease inhibitor-13 (SPINK13) gene related to OC prognosis from the Cancer Genome Atlas (TCGA) database by univariate Cox regression analysis. Overexpression of SPINK13 was associated with higher overall survival rate in OC patients. Immunohistochemistry showed that the level of SPINK13 protein was significantly lower in OC tissues than in normal tissues (P < 0.05).In vitro experiments showed that the overexpression of SPINK13 inhibited cellular proliferation and promoted apoptosis. Moreover, SPINK13 inhibited cell migration and epithelial to mesenchymal transition (EMT). SPINK13 was found to inhibit the expression of urokinase-type plasminogen activator (uPA), while recombinant uPA protein could reverse the inhibitory effect of SPINK13 on OC metastasis. Conclusion: These results indicate that SPINK13 functions as a tumour suppressor. The role of SPINK13 in cellular proliferation, apoptosis and migration is uPA dependent, and SPINK13 may be used as a potential biomarker for diagnosis and targeted therapy in OC.

Global alpine ecosystems contain a large amount of carbon, which is sensitive to global change. Changes to alpine carbon sources and sinks have implications for carbon and climate feedback processes. To date, few studies have quantified the spatial-temporal variations in ecosystem carbon storage and its response to global change in the alpine regions of the Qinghai-Tibet Plateau (QTP). Ecosystem carbon storage in the northeastern QTP between 2001 and 2019 was simulated and systematically analyzed using the Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) model. Furthermore, the Hurst exponent was obtained and used as an input to perform an analysis of the future dynamic consistency of ecosystem carbon storage. Our study results demonstrated that: (1) regression between the normalized difference vegetation index (NDVI) and biomass (coefficient of determination (R2) = 0.974, p < 0.001), and between NDVI and soil organic carbon density (SOCD) (R2 = 0.810, p < 0.001) were valid; (2) the spatial distribution of ecosystem carbon storage decreased from the southeast to the northwest; (3) ecosystem carbon storage increased by 13.69% between 2001 and 2019, and the significant increases mainly occurred in the low-altitude regions; (4) climate and land use (LULC) changes caused increases in ecosystem carbon storage of 4.39 Tg C and 2.25 Tg C from 2001 to 2019, respectively; and (5) the future trend of ecosystem carbon storage in 92.73% of the study area shows high inconsistency but that in 7.27% was consistent. This study reveals that climate and LULC changes have positive effects on ecosystem carbon storage in the alpine regions of the QTP, which will provide valuable information for the formulation of eco-environmental policies and sustainable development.

Abstract Background Ovarian cancer (OC) is a gynecological oncology that has a poor prognosis and high mortality. This study is conducted to identify the key genes implicated in the prognosis of OC by bioinformatic analysis. Methods Gene expression data (including 568 primary OC tissues, 17 recurrent OC tissues, and 8 adjacent normal tissues) and the relevant clinical information of OC patients were downloaded from The Cancer Genome Atlas database. After data preprocessing, cluster analysis was conducted using the ConsensusClusterPlus package in R. Using the limma package in R, differential analysis was performed to identify feature genes. Based on Kaplan-Meier (KM) survival analysis, prognostic seed genes were selected from the feature genes. After key prognostic genes were further screened by cluster analysis and KM survival analysis, they were performed functional enrichment analysis and multivariate survival analysis. Using the survival package in R, cox regression analysis was conducted for the microarray data of GSE17260 to validate the key prognostic genes. Results A total of 3668 feature genes were obtained, among which 75 genes were identified as prognostic seed genes. Then, 25 key prognostic genes were screened, including AXL, FOS, KLF6, WDR77, DUSP1, GADD45B, and SLIT3. Especially, AXL and SLIT3 were enriched in ovulation cycle. Multivariate survival analysis showed that the key prognostic genes could effectively differentiate the samples and were significantly associated with prognosis. Additionally, GSE17260 confirmed that the key prognostic genes were associated with the prognosis of OC. Conclusion AXL, FOS, KLF6, WDR77, DUSP1, GADD45B, and SLIT3 might affect the prognosis of OC.

Water yield is a key ecosystem function index, directly impacting the sustainable development of the basin economy and ecosystem. Climate and land use/land cover (LULC) changes are the main driving factors affecting water yield. In the context of global climate change, assessing the impacts of climate and LULC changes on water yield in the alpine regions of the Qinghai–Tibet Plateau (QTP) is essential for formulating rational management and development strategies for water resources. On the basis of the Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) model, we simulated and analyzed the spatiotemporal variations and the impacts of LULC and climate changes on water yield from 2001 to 2019 in the upstream regions of the Shule River Basin (USRB) on the northeastern margin of the QTP. Three scenarios were designed in the InVEST model to clearly analyze the contributions of climate and LULC changes on the variation of water yield. The first scenario integrated climate and LULC change into the model according to the actual conditions. The second scenario was simulation without LULC change, and the third scenario was without climate change. The results showed that (1) the InVEST model had a good performance in estimating water yield (coefficient of determination (R2) = 0.986; root mean square error (RMSE) = 3.012, p < 0.05); (2) the water yield significantly increased in the temporal scale from 2001 to 2019, especially in the high altitude of the marginal regions (accounting for 32.01%), while the northwest regions significantly decreased and accounted for only 8.39% (p < 0.05); (3) the spatial distribution of water yield increased from the middle low-altitude regions to the marginal high-altitude regions; and (4) through the analysis of the three scenarios, the impact of climate change on water yield was 90.56%, while that of LULC change was only 9.44%. This study reveals that climate warming has a positive impact on water yield, which will provide valuable references for the integrated assessment and management of water resources in the Shule River Basin.

Given the high morbidity and the trend of younger individuals being affected observed in cervical cancer, it is important to identify sensitive and effective biomarkers for predicting the survival outcome of patients. Based on data from 307 cervical cancer cases acquired from The Cancer Genome Atlas portal, 1920 differentially expressed mRNAs, 70 microRNAs(miRNAs), and 493 long non-coding(lncRNAs) were screened by comparing cervical cancer tissues with paracancerous tissues. A competing endogenous (ceRNA) network containing 50 lncRNAs, 16 miRNAs, and 81 mRNAs was constructed. Eighteen RNAs, comprising 13 mRNAs, 2 miRNAs, and 3 lncRNAs, were identified as significant prognostic factors by univariate Cox proportional hazards regression. ETS-related gene and fatty acid synthase signatures were discovered using a multivariate Cox regression model built to identify independent prognostic factors in cervical cancer patients. Receiver operating characteristic (ROC) analysis was used to determine the optimal cut-off value for distinguishing the risk level of cervical cancer patients. High-risk patients exhibited a poorer prognosis than low-risk patients did. This study focused on ceRNA networks to provide a novel perspective and insight into cervical cancer and suggested that the identified signature can serve as an independent prognostic biomarker in cervical cancer.

Global surface temperature is predicted to increase by at least 1.5°C by the end of this century. However, the response of soil microbial communities to global warming is still poorly understood, especially in high-elevation grasslands. We therefore conducted an experiment on three types of alpine grasslands on the Qinghai-Tibet Plateau to study the effect of experimental warming on abundance and composition of soil microbial communities at 0-10 and 10-20 cm depths. Plots were passively warmed for 3 years using open-top chambers and compared to adjacent control plots at ambient temperature. Soil microbial communities were assessed using phospholipid fatty acid (PLFA) analysis. We found that 3 years of experimental warming consistently and significantly increased microbial biomass at the 0-10 cm soil depth of alpine swamp meadow (ASM) and alpine steppe (AS) grasslands, and at both the 0-10 and 10-20 cm soil depths of alpine meadow (AM) grasslands, due primarily to the changes in soil temperature, moisture, and plant coverage. Soil microbial community composition was also significantly affected by warming at the 0-10 cm soil depth of ASM and AM and at the 10-20 cm soil depth of AM. Warming significantly decreased the ratio of fungi to bacteria and thus induced a community shift towards bacteria at the 0-10 cm soil depth of ASM and AM. While the ratio of arbuscular mycorrhizal fungi to saprotrophic fungi (AMF/SF) was significantly decreased by warming at the 0-10 cm soil depth of ASM, it was increased at the 0-10 cm soil depth of AM. These results indicate that warming had a strong influence on soil microbial communities in the studied high-elevation grasslands and that the effect was dependent on grassland type.

Background and purposeEarly and accurate diagnosis of stroke by emergency medical service (EMS) paramedics is critical for reducing pre-hospital delays. The Los Angeles pre-hospital stroke screen (LAPSS) has been widely used as a validated screening tool for early identifying stroke patients by EMS paramedics. However, validation of LAPSS has never been performed in Chinese stroke population. This study is aimed to verify the LAPSS for early identifying stroke patients in a Chinese urban EMS.Methods76 paramedics of five urban first aid stations attached to Beijing 120 EMS were involved. The paramedics were trained by professionals to quickly screen patients based on LAPSS. Potential "target stroke" individuals who met the base LAPSS screen criteria were identified. Sensitivity and specificity analyses of the LAPSS were calculated.ResultsFrom June 10, 2009 to June 10, 2010, paramedics transported a total of 50,220 patients. 1550 patients who met the baseline screen criteria were identified as the potential "target stroke" population. 1130 patients had the completed LAPSS information datasheet and 997 patients were clinically diagnosed with stroke. The average time of completing the LAPSS was 4.3±3.0 minutes (median, 5 minutes). The sensitivity and specificity of the LAPSS in this study was 78.44% and 90.22%, respectively. After adjusting for age factor by excluding patients of >45 years old, the sensitivity was significantly increased to 82.95% with specificity unchanged.ConclusionThe paramedics of Beijing 120 EMS could efficiently use LAPSS as a screening tool for early identifying stroke patients. While the sensitivity of LAPSS in Chinese urban patient population was lower than those reported in previous LAPSS validation studies, the specificity was consistent with these studies. After excluded the item of "Age>45 years", the sensitivity was improved.

AIMS: To prospectively explore the association between non-high-density lipoprotein cholesterol (non-HDLC) and the risks of stroke and its subtypes. METHODS: A total of 95,916 participants (18-98 years old; 76,354 men and 19,562 women) from a Chinese urban community who were free of myocardial infarction and stroke at baseline time point (2006-2007) were eligible and enrolled in the study. The serum non-HDLC levels of participants were determined by subtracting the high-density lipoprotein cholesterol (HDLC) from total serum cholesterol. The primary outcome was the first occurrence of stroke, which was diagnosed according to the World Health Organization criteria and classified into three subtypes: ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage. The Cox proportional hazards models were used to estimate risk of stroke and its subtypes. RESULTS: During the four-year follow-up, we identified 1614 stroke events (1,156 ischemic, 416 intracerebral hemorrhagic and 42 subarachnoid hemorrhagic). Statistical analyses showed that hazard ratios (HR) (95% Confidence Interval: CI) of serum Non-HDLC level for total and subtypes of stroke were: 1.08 (1.03-1.12) (total), 1.10 (1.05-1.16) (ischemic), 1.03 (0.96-1.10) (intracerebral hemorrhage) and 0.83 (0.66-1.05) (subarachnoid hemorrhage). HR for non-HDLC refers to the increase per each 20 mg/dl. For total and ischemic stroke, the risks were significantly higher in the fourth and fifth quintiles of non-HDLC concentrations compared to the first quintile after adjusting the confounding factors (total stroke: 4(th) quintile HR=1.33 (1.12-1.59); 5(th) quintile HR = 1.36 (1.15-1.62); ischemic stroke: 4(th) quintile HR =1.34 (1.09-1.66); 5(th) quintile HR = 1.53 (1.24-1.88)). CONCLUSIONS: Our data suggest that serum non-HDLC level is an independent risk factor for total and ischemic stroke, and that higher serum non-HDLC concentrations are associated with increased risks for total stroke and ischemic stroke, but not for intracerebral and subarachnoid hemorrhage.

The variation and control of soil organic carbon (SOC) and other nutrients in permafrost regions are critical for studying the carbon cycle and its potential feedbacks to climate change; however, they are poorly understood. Soil nutrients samples at depths of 0–10, 10–20, 20–30, and 30–40 cm, were sampled eight times in 2009 in alpine swamp meadow, alpine meadow and alpine steppe in permafrost regions of the central Qinghai-Tibetan Plateau. SOC and total nitrogen (TN) in the alpine swamp meadow and meadow decreased with soil depth, whereas the highest SOC content in the alpine steppe was found at depths of 20–30 cm. The vertical profiles of total and available phosphorus (P) and potassium (K) were relatively uniform for all the three grassland types. Correlation and linear regression analyses showed that soil moisture (SM) was the most important parameter for the vertical variation of SOC and other soil nutrients, and that belowground biomass (BGB) was the main source of SOC and TN. The spatial variations (including seasonal variation) of SOC and TN at plot scale were large. The relative deviation of SOC ranged from 7.18 to 41.50 in the alpine swamp meadow, from 2.88 to 35.91 in the alpine meadow, and from 9.33 to 68.38 in the alpine steppe. The spatial variations in the other soil nutrients varied among different grassland types. The most important factors for spatial variations (including seasonal variation) of SOC, TN, total P, available P, and both total and available K were: SM, SM and temperature, SM, air temperature, and SM and BGB, respectively. The large variation in the three grassland types implies that spatial variation at plot scale should be considered when estimating SOC storage and its dynamics.

Permafrost degradation exhibits striking and profound influences on the alpine ecosystem, and response characteristics of vegetation and soil environment to such degradation inevitably differ during the entire degraded periods. However, up to now, the related research is lacking in the Qinghai–Tibetan Plateau (QTP). For this reason, twenty ecological plots in the different types of permafrost zones were selected in the upstream regions of the Shule River Basin on the northeastern margin of the QTP. Vegetation characteristics (species diversity, community coverage and biomass etc) and topsoil environment (temperature (ST), water content (SW), mechanical composition (SMC), culturable microorganism (SCM), organic carbon (SOC) and total nitrogen (TN) contents and so on), as well as active layer thickness (ALT) were investigated in late July 2009 and 2010. A spatial–temporal shifts method (the spatial pattern that is represented by different types of permafrost shifting to the temporal series that stands for different stages of permafrost degradation) has been used to discuss response characteristics of vegetation and topsoil environment throughout the entire permafrost degradation. The results showed that (1) ST of 0–40 cm depth and ALT gradually increased from highly stable and stable permafrost (H-SP) to unstable permafrost (UP). SW increased initially and then decreased, and SOC content and the quantities of SCM at a depth of 0–20 cm first decreased and then increased, whereas TN content and SMC showed obscure trends throughout the stages of permafrost degradation with a stability decline from H-SP to extremely unstable permafrost (EUP); (2) further, species diversity, community coverage and biomass first increased and then decreased in the stages from H-SP to EUP; (3) in the alpine meadow ecosystem, SOC and TN contents increased initially and then decreased, soil sandy fractions gradually increased with stages of permafrost degradation from substable (SSP) to transitional (TP), and to UP. Meanwhile, SOC/TN storages increased in the former stage, while they decreased in the latter stage. This study indicated that the response characteristics of vegetation and soil environment varied throughout the entire permafrost degradation, and SW was the dominant ecological factor that limited vegetation distribution and growth. Therefore, SSP and TP phases could provide a favourable environment for plant growth, mainly contributing to high SW.

This study tested the hypothesis that soil organic carbon (SOC) and total nitrogen (TN) spatial distributions show clear relationships with soil properties and vegetation composition as well as climatic conditions. Further, this study aimed to find the corresponding controlling parameters of SOC and TN storage in high-altitude ecosystems. The study was based on soil, vegetation and climate data from 42 soil pits taken from 14 plots. The plots were investigated during the summers of 2009 and 2010 at the northeastern margin of the Qinghai–Tibetan Plateau. Relationships of SOC density with soil moisture, soil texture, biomass and climatic variables were analyzed. Further, storage and vertical patterns of SOC and TN of seven representative vegetation types were estimated. The results show that significant relationships of SOC density with belowground biomass (BGB) and soil moisture (SM) can be observed. BGB and SM may be the dominant factors influencing SOC density in the topsoil of the study area. The average densities of SOC and TN at a depth of 1 m were about 7.72 kg C m ^−2 and 0.93 kg N m ^−2 . Both SOC and TN densities were concentrated in the topsoil (0–20 cm) and fell exponentially as soil depth increased. Additionally, the four typical vegetation types located in the northwest of the study area were selected to examine the relationship between SOC and environmental factors (temperature and precipitation). The results indicate that SOC density has a negative relationship with temperature and a positive relationship with precipitation diminishing with soil depth. It was concluded that SOC was concentrated in the topsoil, and that SOC density correlates well with BGB. SOC was predominantly influenced by SM, and to a much lower extent by temperature and precipitation. This study provided a new insight in understanding the control of SOC and TN density in the northeastern margin of the Qinghai–Tibetan Plateau.