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Aim: To develop and validate a questionnaire on knowledge, attitude, behaviour and care preference of family members of Chinese older adults related to palliative care. Design: A descriptive study design and STROBE checklist were applied in this research. Methods: The theoretical framework of the questionnaire was knowledge–attitude–behaviour model. An additional dimension of palliative care preference of family members was set up in the questionnaire. Items were generated from a rapid review of international literature and interviews with 61 family members of the older adults living either in an aged care service organization or the community. The content validity was examined by five experts. A preliminary questionnaire with 69 items was then set up, and its psychometric property was assessed. Results: A final version of questionnaire with 42 items under four dimensions was constructed. The content validity index of the overall questionnaire was 0.93 and of each item ranged 0.80–1.00. The factor loading of all items was higher than 0.50 as per exploratory and confirmatory factor analysis; the average variance extracted for each dimension was higher than 0.50; the composite reliability was higher than 0.90; and the absolute value of the correlation coefficient of each dimension was <0.50 and less than the square root of the average variance extracted. The Cronbach's alpha value and the split‐half reliability value of the overall questionnaire were 0.93 and 0.97, respectively. Conclusions: This questionnaire has good validity and reliability, but needs further testing in multi‐centered settings. [ABSTRACT FROM AUTHOR]

A field experiment was conducted to investigate nitrogen (N)-form uptake preference and N utilization efficiency of an invasive plant Spartina alterniflora and its co-occurring native plant Phragmites australis in the Yellow River Delta, China, using a stable isotope–labeling technique. Both species preferred ammonium-N to nitrate-N and glycine-N under both intraspecific and interspecific competition, but the competition type altered the magnitude of this preference. Spartina alterniflora took up more glycine and nitrate but less ammonium under interspecific competition than under intraspecific competition, resulting in a relative preference shift toward organic-N and nitrate. By contrast, P.australis assimilated much less ammonium and nitrate under interspecific competition than under intraspecific competition, but a similar amount of glycine, resulting in a relative preference shift toward organic-N. Biomass, N uptake rate, and N utilization efficiency were all much greater under intraspecific competition than under interspecific competition in P.australis, but smaller in S.alterniflora, suggesting that the invasive species is competitively superior to the native species in terms of growth, N uptake, and N utilization efficiency. We conclude that both species exhibited N-form preference, and competition type could shift such a preference. The competitive advantages in terms of growth, N uptake, and N utilization efficiency might have enabled S.alterniflora to successfully invade communities previously dominated by P.australis in the Yellow River Delta. [ABSTRACT FROM AUTHOR]

Environmental safety standards for agricultural genetically modified organisms (GMOs) has become an important technical support for the safety management of GMOs in China. By January 2021, the Ministry of Agriculture/Ministry of Agriculture and Rural Affairs had released 47 environmental safety standards for agricultural GMOs. This paper summarizes the status quo of China's agricultural GMOs environmental safety standards system, and comparatively analyzes the development of agricultural GMOs environmental safety standards in the domestic and foreign, and discusses the development direction of agricultural GMOs environmental safety standards system construction in the future. We hope to provide reference for further improvement of China's agricultural GMOs environmental safety standards, which will provide better technical support for its safety management. [ABSTRACT FROM AUTHOR]

Precambrian banded iron formation (BIF) is one of the most important mineral resources in China, mostly abundant in the North China Craton (NCC) with relatively less common in South China. Since the BIF and siliceous rocks both originated from chemical deposition, the syngenetic BIF and Siliceous rocks can help evaluate their environment of formation. We examine here the mineralogy and geochemistry of siliceous rocks associated with the Tieshanmiao Formation BIF, aiming to decipher the conditions of formation of both BIF and Siliceous rocks in the Wuyang area in the NCC. Analysis of the geochemical characteristics of whole rock shows that the SiO2 content of the siliceous rock ranges from 90.11% to 94.85% and is relatively high overall. Trace element contents of Ba and U are also high, the Ba/Sr ratio ranges from 3.89 to 25.28 and the U/Th ratio ranges from 0.09 to 0.20. Finally, the ΣREE value of rare earth elements ranges from 57.03 ppm to 152.59 ppm, and these indexes all indicate that siliceous rock resulted from hydrothermal deposition. Plots of Al2O3‐SiO2, SiO2/(K2O+Na2O)‐MnO2/TiO2 and Mn‐10×(Cu+Co+Ni)‐Fe in discrimination diagrams also verify this interpretation. However, both the MgO content, ranging from 0.16 to 0.32, and the Fe/Ti ratio, ranging from 2.50 to 9.72, suggest that terrigenous material was added during the depositional process. Major and trace element parameters of siliceous rock, such as the Al/(A1+Fe+Mn) ratio (from 0.81 to 0.93), MnO/TiO2 (from 0.00 to 0.17), Al/(Al+Fe) (from 0.82 to 0.93), Sc/Th ratio (from 0.21 to 0.50), U/Th (from 0.09 to 0.20), (La/Yb)N (from 0.83 to 3.04), and the (La/Ce)N (from 0.01 to 0.02) all imply that the siliceous rock formed in a continental margin. In addition, the Sr/Ba ratio from 0.08 to 0.26, the δCe value from 0.31 to 0.90, and the δEu value from 0.14 to 0.58, all indicate that the siliceous rock was formed at a relatively deeper water depth and under weak hydrodynamic conditions. Siliceous rock and BIF formed in the same geological setting, with the SiO2/(K2O+Na2O) ratio of siliceous rock ranging from 28.61 to 47.43, the SiO2/Al2O3 ratio from 16.53 to 32.37, and the SiO2/MgO ratio from 287.28 to 592.81, which are all in agreement with chemical deposition associated with volcanic eruptions. The Al2O3/TiO2 ratio from 37.82 to 50.30 indicates that the magma source of siliceous rock was of slightly intermediate composition. During the Late Archean in the Wuyang area, the high concentration and high purity SiO2 quickly precipitated from hydrothermal fluids to finally result in the accumulation of siliceous rock in a marginal sea, while the input corresponding to iron formation components was deposited to form iron formation layers, and limestone was only the product formed during the deposition intervals of siliceous rock and iron formations. In this study, the synsedimentary siliceous rocks of BIF act as a new way to provide direct evidence to understand the formation environment of BIF due to its high geochemical stability. [ABSTRACT FROM AUTHOR]

• We find clear differences between two sub-types of Wuyang BIF in mineralogy. • We examine changes in crystallinity degrees and geochemical compositions of pyroxene. • The magnetite reveals different formation processes of two sub-types of BIF. • Micro-bands were controlled by intermittent volcanic eruptions and persistence of hydrothermal water. Several banded iron formations (BIFs) occur in Precambrian strata of the North China Craton (NCC). Two sub-types of BIF occur in the Wuyang area, quartz-magnetite (QMB) and pyroxene-magnetite BIFs (PMB). However, the genesis of pyroxene and the how the BIFs formed are not well understood. Magnetite grains in QMB are relatively large with a straight boundary and sharp corners, and display a pronounced alignment, whereas magnetite in PMB is disseminated and has a smaller grain size. X-ray diffraction (XRD) analyses indicate that the crystal parameters of magnetite in QMB are: a = b = c = 8.396 Å and z = 8, whereas those of the magnetite in PMB are: a = b = c = 8.394 Å and z = 8. These parameters are consistent with magnetite forming in sedimentary iron formation. Based on scanning electron microscopy and energy dispersive spectroscopy (EDS) results, magnetite of both BIFs possesses high stabilities of geochemical property. Compared with magnetite in PMB, magnetite in QMB has higher concentrations of SiO 2 , Na 2 O, Al 2 O 3 , CaO, K 2 O, MgO, Sc, Co, Y, Nb, Ta and U. The enrichment of these elements is consistence with their derivation from seawater due to the strong adsorption capability of precursor iron hydroxide. A spider diagram of trace elements reveals that magnetite in QMB is enriched in Ta, whereas magnetite of PMB is depleted in Ce. Based on Raman and electron probe micro-analysis of pyroxene in PMB, synchronous and compositional zoning are found in the degrees of crystallinity (FWHM values of Gaussian fitting for Raman shift next to 1014 cm−1) and the concentration of SiO 2 , Al 2 O 3 , MgO, MnO, CaO and FeO of pyroxene from core to rim. The two types of BIF formed in different sedimentary environments from different precursors. The precursor to the QMB BIF is almost pure chemical sediment, whereas a that for PMB contains a volcanic ash component. The QMB was likely deposited during a period of hydrothermal sedimentation in the Wuyang basin that was associated with Neoarchean magmatism activity, while the PMB was deposited during periods of volcanic paroxysm. [ABSTRACT FROM AUTHOR]

The occurrence of volatile organic compounds (VOCs) in the atmosphere is a major health issue, notably in China, because those compounds are the precursors of tropospheric ozone and sources of secondary organic aerosols. Also, some compounds are carcinogenic. Atmospheric nitrogen oxides (NOx) are also a source of tropospheric ozone, thus creating diseases in human respiratory systems. Therefore, controlling VOCs and NOx is essential for the welfare of local citizens and incoming 2022 Asian Games in Hangzhou. Here, we recorded daily average concentrations for 55 different VOCs species and NOx in 2017. For each VOC, we calculated the ozone formation potential, the propene equivalent concentration and the secondary organic aerosol formation potential. We used the Weather Research and Forecast coupled with Community Multi-scale Air Quality models to assess the regional transport and local sector contributions for VOCs and NOx. Results show that ethylene contributed over 16% of total ozone generated from VOCs, followed by M/P-xylene and toluene. M/P-Xylene, toluene and n-hexane were the top 3 VOCs species that generated ozone fastest. Benzene, toluene and ethylbenzene generated most secondary organic aerosols. The annual regional transport rate is 45% for VOCs and 22% for NOx. Local industry produced 28% VOCs, while local traffic contributed 64% NOx. Overall, ground-level ozone could be reduced by controlling VOCs emissions first and then controlling NOx emissions. [ABSTRACT FROM AUTHOR]

Background and objective Segmentectomy can retains more healthy lung tissue than lobectomy, but it remains controversial in oncology for early stage lung cancer. The aim of this study is to discuss the problems of video-assisted thoracic surgery (VATS) segmentectomy in early stage lung cancer, by analyzing the clinical and pathological data of 35 cases and reviewing the literature. Methods There were 35 patients who received segmentectomy by complete video-assisted thoracic surgery, from May 2013 to July 2017, in single operation group in the Third Hospital of Peking University. We analyzed the patient's clinical and pathological data, intraoperative and postoperative complications, lymph node number and metastasis its situation, and compared postoperative pathology and preoperative computed tomography (CT) imaging type. In 35 cases of segmentectomy, there were 11 males and 24 females, with an average age of 57.7 years old. The lesions located in the right upper lobe were 8 cases, in the right lower lobe were 8 cases, in the left upper lobe were 13 cases, in the left lower lobe were 6 cases. The mean maximum diameter of CT imaging was 12.7 mm, and the largest diameter of hilar and mediastinal lymph nodes was less than 10 mm. 23 of them were ground glass predominating and 12 were solid components predominating. Results All 35 cases were successfully completed VATS anatomical segmentectomy. The average operation time was 153 minutes, the amount of bleeding was 51 mL. There were 10 cases of air leakage after operation, all of which were not more than 3 days. There was contralateral atelectasis in 1 case, chylothorax in 1 case. The average length of hospitalization was 6.1 days. There was no other complications outpatient related to surgery, in 30 days after discharge. The pathological changes were as follow, 2 cases of metastatic tumor, 8 cases of benign lung disease and 25 cases of primary lung cancer. In the 25 cases of primary lung cancer, there were 14 cases of invasive lung adenocarcinoma (7 cases were groundglassopacity (GGO) predominating in CT imaging), 4 cases of micro-invasive adenocarcinoma (3 cases were GGO predominating in CT imaging), 6 cases of adenocarcinoma in situ (all were pure GGO in CT imaging), 1 case of lung squamous cell carcinoma (mainly composed of solid in CT imaging). An average of 7.2 lymph nodes were removed in 25 cases of lung cancer, and all lymph nodes had no metastasis. Conclusion VATS anatomical segmentectomy is technically safe and reliable, and the indications for lung cancer need to be strictly controlled. Its advantages still need to be confirmed by prospective randomized controlled trials. [ABSTRACT FROM AUTHOR]

Purpose: As micronutrients are essential for all living organisms, their availability in forest soils is important to the forest ecosystem. Studying the effect of global warming on the availability of mineral elements is more significant for forest management, but the scarcity of these elements is a concern. This study aims to investigate the responses of soil micronutrient availability to experimental warming in two contrasting forest ecosystems in the Eastern Tibetan Plateau of China. Materials and methods: Using the open-top chamber (OTC) method simulates the global warming and chemical extractants extract soil micronutrients (CaCl and Mehlich-3 extractant for Fe, Mn, Cu, Zn, and with boiling hot water for extracting B) to study the availability of these micronutrients in two contrasting forest ecosystems (a dragon spruce plantation and a natural forest) under experimental warming. Results and discussion: The results showed that soil temperature in the OTCs was increased by 0.56 and by 0.55 °C in the plantation and the natural forest, respectively. The total and Mehlich-3-extractable Cu, Fe, Mn, and Zn were increased by warming in the plantation (except Mehlich-3-extractable Fe, which decreased slightly) but decreased by warming in the natural forest. The CaCl-extractable micronutrients were not significantly affected by warming. The retained total B in both the plantation and natural forest was decreased by experimental warming. Either the effect of warming or forest type on these micronutrients varied due to their different associations with soil properties. What is more, the relative impact of forest type was stronger than warming on the soil properties with exception of the soil pH and total B concentration. Conclusions: Reforestation would generate greater influences on soil environment although it is an important effective action to remain ecologic balance usually. The responses of the total soil micronutrients and their availability to warming depended on the forest type, as their concentration was significantly correlated with the soil water and pH. It was implied that the soil pH and water content are important to the availability of micronutrients in soil and provide managers with important information to better manipulate their forests for tree growth and as wildlife habitats. [ABSTRACT FROM AUTHOR]

Urban greening and afforestation are common practices to restore reclaimed land and improve urban environmental quality throughout the World. Soil microarthropods are essential for providing soil ecosystem services and are regarded as valuable indicators of habitat quality, but less attention has been given to their functional responses to restoration in coastal reclaimed land. In this study, we investigated Acari and Collembola communities in four differently restored habitats: unmanaged land, newly afforested land (without soil amendment), urban greenspace (with soil amendment) and old reclaimed afforested land in a reclaimed area of a coastal city in China to assess how taxonomic diversity and functional traits responded to different restoration methods and related soil and vegetation characteristics. We found that urban greening and afforestation significantly increased the taxonomic diversity of Acari but not of Collembola. Significant changes in community composition and functional traits were observed for both taxa. There were generally more large-bodied, well-sclerotized, K -selected, non-phoretic and litter-feeding Acari in the successfully restored habitats. The life form and related traits of Collembola exhibited adaption to different habitats, as unmanaged land and newly afforested land shared similar assemblages; urban greenspaces had the highest proportion of epedaphic Collembola (with developed furca, leg, antenna and ocelli) and algivores/herbivores, while old reclaimed afforested land had the lowest proportion of epedaphic Collembola. Multiple linear regression models revealed that the taxonomic diversity and functional traits of Acari were mainly determined by resource-related factors (soil organic matter and plant diversity), while the functional traits of Collembola were mainly determined by soil water content. Our study demonstrated that functional traits were important in determining the adaption of soil faunal communities to human activities and can be a useful tool for indicating habitat quality and related environmental changes. • K -selected, well-sclerotized and litter-feeding Acari indicated high-quality habitats. • Collembola adapted to habitats through shifts in life form. • Acari traits were mainly determined by soil fertility and plant diversity. • Soil water content determined Collembola life form traits. [ABSTRACT FROM AUTHOR]

Abstract: The enrichment of gold in arsenian pyrite is usually associated closely with the enrichment of arsenic in the mineral, generally known as As1−-pyrite [Fe(As, S)2]. Direct analyses of the valence state of Au in pyrite are, however, difficult due to generally low (∼ppm level) Au concentrations. By means of X-ray photoelectron spectroscopy (XPS), this study obtained reliable valence states of As in pyrite from the Yang-shan gold deposit, a giant “Carlin-type” Au deposit in the western Qinling orogen, central China. The arsenian pyrite specimens were sputtered with Ar+ beam in the vacuum chamber of an XPS to obtain pristine surfaces and to avoid As oxidation during sample preparation. Analyses before and after sputtering show that the As3+ peak are only present on surface that was once exposed to the air. In contrast, the peak of As−1 was essentially unchanged during continuous sputtering. The results indicated that As− is the predominant state on the pristine surface of arsenian pyrite; the peak of As3+ previously reported for Au-bearing arsenian pyrite was probably due to oxidation when exposed to air during sample preparation. It is unlikely that the coupled substitution of (Au+ +As3+) for 2Fe2+ takes place in the pyrite lattice. The so-called As3+-pyrite proposed by previous studies may occur in some special (oxidizing) geologic settings, but it is not observed in the Yang-shan gold deposit, and is unlikely to be important in typical orogenic or Carlin-type gold deposits, in which arsenian pyrite is a dominant Au carrier. Combining previous studies on Carlin-type Au deposits with our XPS experimental results, we suggest that the most likely state of Au in the Yang-shan Au deposit is lattice-bounded Au with or without nanoparticles (Au0). [Copyright &y& Elsevier]

To discover the effect of environmental factors on pollinator visitation to flowering Medicago sativa, several field experiments were designed to examine the diurnal movement patterns of wild bee species in the Hexi Corridor of northwestern China. Our study results showed that Megachile abluta, M. spissula, and Xylocopa oalga showed unimodal diurnal foraging behavior, whereas Andrena parvula and Anthophora melanognatha showed bimodal diurnal foraging behavior, Correlation analysis indicated that diurnal foraging activities of pollinators were significantly correlated with environmental factors. Correlations of foraging activities versus environmental factors for M. abluta, M. spi.ssula, and X. valga best fit a linear model, whereas those of A. parvula and A. melanognatha best fit a parallel quadratic model. Results of this study indicated that solitary wild bees such as M. abluta, M. spiseula, X. valga, A. parvula, and A. melanognatha are potential alfalfa pollinators in the Hexi Corridor. An understanding of the environmental factors that affect the behaviors of different wild bees foraging in alfalfa are basic to the utilization of solitary wild bees in a practical way for increased, or more consistent, pollination of alfalfa for seed production. [ABSTRACT FROM AUTHOR]

Corps culture is the embodiment of corps spirit, which is unique, secure, durable and important. It is an important aspect of the Settlement and Border Defending. It is an inheritance, which should be maintained and developed. [ABSTRACT FROM AUTHOR]

Although there has been a rapid growth in the globalisation of sport and its delivery to world markets, nevertheless there is a variety of models of sport-business whose characteristics are the product of local histories, local political and sporting cultures, local economic conditions and so on. This paper does not seek to deny the increasingly obvious impact of globalisation on professional sport, but rather it seeks to articulate the ways in which such global phenomena are locally mediated in professional soccer systems in five countries, to identify and to explain local responses to global pressures. The five examples include the oldest professional football system, that of England, and a second contrasting European system, France, together with three relatively recently established professional football systems in Japan a developed capitalist economy, Algeria, which is developing a post-socialist sports economy, and China which is experimenting in sport as in other areas with a ‘socialist market economy’. The resultant evolution of professional sporting systems represents distinctive configurations of stakeholders in what are in effect contrasting business models, and reflects a situation of ‘diminishing varieties and increasing contrasts’, in contrast to the claims made by Elias in relation to global cultural phenomena. [ABSTRACT FROM AUTHOR]

Aim To date, few studies have focused on the nutritional status of elderly hospitalized patients with diabetes. Our aims were to explore the prevalence of malnutrition among elderly diabetes patients admitted to the hospital, and to explore the relationships between malnutrition and geriatric syndromes, diabetic complications, and clinical outcomes. Methods A prospective, observational study including diabetes patients aged ≥65 years was carried out in a central hospital in Western China. Nutritional status was assessed using the Mini Nutritional Assessment incorporated into a comprehensive geriatric assessment. Follow up was carried out for ≤2.8 years. Results Of 302 participants, the prevalence of malnutrition, risk of malnutrition, and normal nutrition was 18.5%, 33.1% and 48.3%, respectively. In multivariate analysis, incontinence (odds ratio [OR] 3.17, 95% confidence interval [CI] 1.08-9.36), diabetic microvascular complications (OR 2.22, 95% CI 1.06-4.61) and activities of daily living (ADL) dependence (OR 11.6, 95% CI 5.10-26.5) were independently associated with malnutrition. Malnourished patients had longer hospital stays ( P = 0.003) and higher mortality rates ( P < 0.001) than patients either at risk of malnutrition or with a normal nutritional status. Multivariate analysis also showed that malnutrition was independently associated with an increased risk of death (OR 2.86, 95% CI 1.30-6.28). Conclusions The present study showed a high prevalence of malnutrition among elderly diabetes patients hospitalized for geriatric care. Considering the negative impact of malnutrition on hospital stay and mortality, adequate nutritional care should be emphasized for each elderly patient with diabetes, regardless of body mass index. Geriatr Gerontol Int 2017; 17: 2485-2492. [ABSTRACT FROM AUTHOR]

Precambrian Banded Iron Formations (BIFs) are widely distributed in the North China Craton (NCC). Among them, the Wuyang BIFs located in the southern margin of NCC occur in the Late Archaean Tieshanmiao Formation and can be subdivided in two different sub-types: (i) quartz–magnetite BIFs (QMB), consisting of magnetite, fine-microcrystalline quartz and minor calcite and (ii) pyroxene–magnetite BIFs (PMB), composed of pyroxene, fine-microcrystalline quartz and subordinate feldspars. Both sub-types display apparent discrepancies in terms of petrography and mineral composition. As shown in Electron BackScattered Diffraction (EBSD) images and micrographs, magnetite grains from the QMB range in size from tens up to hundreds of μm, whereas magnetite crystals from the PMB can be up to a few tens of μm across. The X-ray diffraction (XRD) structural data indicate that magnetite from both BIF sub-types is equiaxed (cubic) and was generated by sedimentary metamorphic processes. The cell parameters of magnetite in the QMB are a = b = c = 8.396 Å and Z = 8, which deviate slightly from these of magnetite in the PMB: a = b = c = 8.394 Å and Z = 8. The analytical results of Raman spectroscopy analysis revealed micro-structural signatures of both magnetite (Raman shifts near 552 cm −1 and 673 cm −1 ) and hematite (Raman shifts near 227 cm −1 , 295 cm −1 and 413 cm −1 ). In magnetite from both QMB and PMB, the crystallinity degree is similar for magnetite micro-structures but varies significantly for hematite micro-structures. Oxygen fugacity (fO 2 ) conditions fluctuated during the recrystallization of magnetite in the QMB, whereas no evident variation of fO 2 occurred during the formation of magnetite in the PMB. Analytical results of laser ablation inductively-coupled plasma mass spectrometry (LA-ICP-MS) show that the Si, Al and Mg abundances are higher in magnetite from the QMB, whereas the Ti and Mn contents are more elevated in magnetite from the PMB. Magnetite composition also denotes that both BIF sub-types are sedimentary-metamorphic origin, whereas the deposition of PMB was also affected by volcanic activities. Overall data indicate that the differences in the depositional environment of each BIF sub-type are due to the involvement of volcanic eruption processes in the genesis of the PMB. Thus, this paper indicated that the QMB was deposited by chemical deposition at the long-term interval of volcanic eruptions, and the PMB were the product of chemical deposition affected by the volcanic eruption. [ABSTRACT FROM AUTHOR]

Abstract: Objective: The objective of this work was to study the quality of life (QOL) of adult patients with epilepsy in northern China. Methods: Three hundred three adult patients with epilepsy were identified using a strict procedure of diagnosis at the outpatient clinic of the epilepsy center, and then their QOL was evaluated with the Chinese version of the Quality of Life in Epilepsy Inventory-89. Results: QOLIE-89 total score and many of the subscale scores were decreased. The greatest decreases were observed in the Seizure Worry and Medication Effects subscale scores. QOLIE-89 total scores of married patients (57.1±15.3) were lower than those of unmarried patients (70.9±15.7) (P <0.001). Correlation analysis revealed that QOLIE-89 total score was negatively correlated with age, course of disease, seizure severity, antiepileptic drug, type of seizure, and seizure frequency (r =−0.334, –0.281, –0.424, –0.117, –0.145, and −0.274 respectively, P <0.01), and was positively correlated with educational level and economic status (r =0.245 and 0.328 respectively, P <0.01). Multiregression analysis revealed that five factors entered the regression equation: age (β=−0.545, P =0.001), course of disease (β=−0.311, P =0.001), seizure severity (β=−10.014, P =0.001), educational level (β=3.274, P =0.002), and economic status (β=6.431, P =0.001). Conclusion: Quality of life of adult patients with epilepsy decreases with older age, more difficult course of disease, and higher seizure frequency. Higher educational level and economic status are protective factors in the QOL of adult patients. [Copyright &y& Elsevier]

Studying the stoichiometric characteristics of soil nutrients aids in evaluating soil quality and deciphering the coupling of soil nutrients. The influence of migratory bird activities on the dynamics of wetland soil nutrients and their stoichiometric remains unclear. We classified the central, peripheral and adjacent natural grassy areas as severe, mild, and no bird activity (control), respectively, in Donghu Carex meadow, a representative migratory bird habitat in Poyang Lake, based on flock characteristics and initial surveys. We analyzed the contents and stoichio-metry of soil organic carbon (SOC), total nitrogen (TN), and total phosphorus (TP) across soil depths of 0-100 cm under different intensities of migratory bird activities. The results showed that the activities of migratory birds significantly impacted nutrient levels exclusively within 0-30 cm soil. Mild activities markedly enhanced SOC and TN across 0-30 cm soil, while both mild and severe activities significantly raised TP within the same depth. For the 0-100 cm soil profiles, soil C/N ratios were 10.0, 10.8, and 9.9, C/P ratios were 23.5, 30.0, and 22.7, and N/P ratios were 2.3, 2.7, and 2.3 under no, mild, and severe bird activities, respectively. Further, mild activities of migratory birds significantly increased soil C/N, C/P and N/P ratios only within the 0-30 cm depth, while the stoichiometric ratios of all soil layer had no significant difference under severe bird activity. Soil stoichiometric ratios strongly correlated with physicochemical properties. SOC, TN, and TP primarily mediated the effects of migratory bird activity on soil carbon, nitrogen, and phosphorus stoichiometric ratios in Poyang Lake wetland. In conclusion, the influence of migratory bird activity on the stoichiometric ratios of soil carbon, nitrogen, and phosphorus in Poyang Lake wetland exhibited depth threshold (approximately 30 cm), aligning with the "Intermediate Distur-bance Hypothesis". These findings could provide a new perspective for the protection of wetlands and migratory birds.

Purpose: To explore the clinical features and immunological mechanisms of Castleman disease (CD) complicated with autoimmune diseases (AID)., Methods: We explored the prevalence and clinical manifestations of CD complicated with AID by reviewing clinical, pathological, and laboratory data of 40 CD patients retrospectively, and then explored abnormal immune mechanisms in the co-existence of the two entities by monitoring lymphocyte subsets in peripheral blood., Results: Paraneoplastic pemphigus, autoimmune hemolytic anemia, Sjogren's syndrome, myasthenia gravis, and psoriasis were found to be coexisted with CD in 9/40 (22.5%) patients with different sequence of onset. No bias in the clinical and histological type of CD was observed for the occurrence of AID. CD patients with AID were more likely to have skin and/or mucous membrane damage and pulmonary complications, and presented elevated erythrocyte sedimentation rate, hypergammaglobulinemia, and positive autoantibodies than those without AID (p < 0.05). Deregulated cellular and innate immune responses as indicated by decreased CD3 + T cells and increased natural killer cells were observed in peripheral blood of CD patients with AID (p < 0.05). UCD patients with AID were successfully treated with surgery and immunosuppressive therapy. MCD complicated by AID relieved with immunosuppressors, cytotoxic chemotherapy, and rituximab., Conclusion: Systemic inflammation/immunological abnormalities and organ dysfunction were associated with the occurrence of AID in CD. Impairment of cellular and innate immunity may be a candidate etiology for the coexistence of the two entities.

Biochar addition can enhance plant growth and change soil physicochemical properties in saline soil. However, it is unclear whether the positioning of biochar additions (e.g., rhizosphere addition and surface addition) alters such impacts and whether such positioning effects interact with salinity levels. In the Yellow River Delta, China, we carried out a field experiment in which biochar was not added (control) or was added to the soil surface (surface addition) or to the soil at the rhizosphere position (rhizosphere addition) of Phragmites australis in three sites with different salt levels (1‰ - low, 5‰ - medium and 10‰ - high). Rhizosphere addition of biochar significantly improved the growth of P. australis, especially its fine root mass. Both rhizosphere addition and surface addition of biochar significantly decreased nitrate nitrogen content and electrical conductivity, and the inhibitory effects were more effective at the sites with medium and high salt levels in 2018. Structural equation modeling showed that biochar addition could directly increase the fine root mass of P. australis by decreasing the soil electrical conductivity, further improving the total mass of P. australis. Overall, rhizosphere addition of biochar is a better choice for improving the productivity of P. australis in saline soil and is beneficial to P. australis wetland restoration in the Yellow River Delta. Long-term field research is needed to better understand the effect and mechanism of biochar application., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2020 Elsevier B.V. All rights reserved.)

This study investigated the prognostic value of 25-hydroxy vitamin D (25-(OH)D) deficiency and the association between 25-(OH)D deficiency and c-Myc positivity in 208 newly diagnosed diffuse large B cell lymphoma (DLBCL) patients. 25-(OH)D deficiency was defined as serum 25-(OH)D level lower than 52.5 nmol/L. Using cutoff values of 40%, positive tumor cells for c-Myc expression was established. One hundred forty-two patients had 25-(OH)D deficiency and 70 had c-Myc positivity with a median follow-up of 29 months (range, 16 to 49 months) in this cohort. Multivariate Cox regression analysis showed that 25-(OH)D deficiency was an independent prognostic predictor for inferior progression-free survival (PFS) (P = 0.001) and overall survival (OS) (P = 0.006), and c-Myc positivity was an unfavorable prognostic factor for PFS (P = 0.004). In addition, c-Myc positivity was more frequent in patients with 25-(OH)D deficiency (P = 0.027). Moreover, we found that the presence of c-Myc positivity could aggravate the adverse effects of 25-(OH)D deficiency for PFS time (P = 0.0045). 25-(OH)D deficiency together with IPI (IPI-D) improved the prognostic capacity compared with only IPI in predicting the risk of DLBCL which was assessed by the calculation of receiver operator characteristic (ROC) curves and the areas under the curve (AUC). Noteworthy, c-Myc positivity combined with IPI-D was better than IPI-D in predicting PFS time. In summary, 25-(OH)D deficiency was a strong prognostic factor in DLBCL. Further multi-center prospective studies are needed to confirm the results and better understand the underlying mechanisms.

As the oldest venomous animals, centipedes use their venom as a weapon to attack prey and for protection. Centipede venom, which contains many bioactive and pharmacologically active compounds, has been used for centuries in Chinese medicine, as shown by ancient records. Based on comparative analysis, we revealed the diversity of and differences in centipede toxin-like molecules between Scolopendra mojiangica , a substitute pharmaceutical material used in China, and S. subspinipes mutilans . More than 6 000 peptides isolated from the venom were identified by electrospray ionization-tandem mass spectrometry (ESI-MS/MS) and inferred from the transcriptome. As a result, in the proteome of S. mojiangica , 246 unique proteins were identified: one in five were toxin-like proteins or putative toxins with unknown function, accounting for a lower percentage of total proteins than that in S. mutilans . Transcriptome mining identified approximately 10 times more toxin-like proteins, which can characterize the precursor structures of mature toxin-like peptides. However, the constitution and quantity of the toxin transcripts in these two centipedes were similar. In toxicity assays, the crude venom showed strong insecticidal and hemolytic activity. These findings highlight the extensive diversity of toxin-like proteins in S. mojiangica and provide a new foundation for the medical-pharmaceutical use of centipede toxin-like proteins.

In order to explore the effect of land-use change on soil bacteria in wetland systems, the topsoil (0-20 cm) of a natural wetland (NW), paddy field (PF), and dry land (DL) were collected in the Huixian karst wetland. The α -diversity, species composition, and abundance of soil bacterial communities were analyzed using high-throughput sequencing. The effect of environmental factors on bacterial community structure was also examined. The results showed that the soil bacteria in the Huixian karst wetland can be divided into 49 phyla and 145 classes. The Shannon index of bacteria in the PF was significantly higher, and the Simpson index of bacteria in the NW is significantly lower, than in the other two land-use types. The dominant phyla (operational taxonomic units, OTUs>1%) in the NW were Proteobacteria (52.15%), Actinobacteria (15.16%), and Acidobacteria (8.80%); the dominant phyla in the PF were Proteobacteria (45.79%), Acidobacteria (17.20%), and Chloroflexi (11.75%); the dominant phyla in the DL were Proteus (51.42%), Acidobacteria (15.51%), and Chloroflexi (7.43%). The dominant classes (OTUs>1%) in the NW were α -Proteobacteria (17.98%), β -Proteobacteria (13.72%), and Actinobacteria (13.13%); the dominant classes in the PF were Acidobacteria (14.35%), β -Proteobacteria (13.37%), and δ -Proteobacteria (12.02%); the dominant classes in the DL were α -Proteobacteria (19.44%), Formobacteria (13.30%), and Acidobacteria (13.03%). Among the dominant OTUs (>0.3%), the dominant genera of in the NW were Sphingomonas (OTU2, 59), Micromonospora (OTU5, 24 and 50487), Gemmatimonas (OTU1), and Tenotrophomonas (OTU8); the dominant genera in the PF were Lysobacter (OTU4 and 115) and Aquabacterium (OTU33); the dominant genera in the DL were Sphingomonas (OTU85, 157 and 2916), Rhodanobacter (OTU19 and 52), and Penlobacterium (OTU60). A heatmap showed that there were significant differences in soil bacterial community structure among the three land-use types. Redundancy analysis showed that pH, soil organic carbon (SOC), total nitrogen (TN), alkali-hydrolyzable nitrogen (AN), exchangeable Mg 2+ , exchangeable Ca 2+ , soluble organic carbon (DOC), and available phosphorus (AP) were the main factors that affected the bacterial community structure in the Huixian karst wetland. These results indicate that changes in land-use types have significantly shaped the structure of soil bacterial communities in this area.

Circulating tumor cells (CTCs) serve as valuable biomarkers. However, MutL homolog 1 (MLH1)-negative CTCs and their clinical significance in lung cancer are nearly unknown.Here, bioinformatic analysis of MLH1 expression and its clinical significance was conducted using the Oncomine, Ualcan, and Kaplan-Meier plotter websites. Size-based isolation and RNA in situ hybridization assays were used to identify CTCs and evaluate MLH1 and mesenchymal marker expression in CTCs. MLH1 was downregulated in lung cancer patients. Patients with lower MLH1 expression levels had worse prognoses. In a cohort of 32 randomly selected patients with lung cancer, the patients with poorer treatment responses had more MLH1-negative CTCs. The total CTCs, MLH1-negative CTCs and mesenchymal markers-expressing CTCs levels were negatively correlated with prognosis in the lung cancer patients.Our data showed the clinical significance of MLH1 expression in lung cancer tissues. The characterization and numeration of CTCs based on the expression of MLH1 and mesenchymal markers may be a convenient approach for predicting treatment response and prognosis in lung cancer.

Background: Over-expression of spinal protein kinase Cγ(PKCγ) contributes to the induction of persistent bilateral hyperalgesia following inflammatory injury, yet the role of spinal PKCγ in short- and long-lasting pain behavior is poorly understood., Objective: This study aimed to characterize the contribution of spinal PKCγ to spontaneous pain and long-lasting bilateral hyperalgesia in formalin-induced inflamed mice using pharmacological inhibition., Study Design: Laboratory animal study., Setting: The study was performed in the Department of Human Anatomy and K.K. Leung Brain Research Centre, Preclinical School of Medicine, the Fourth Military Medical University (Xi'an, China) and the Department of Anesthesiology, Fuzhou General Hospital (Fuzhou, China)., Methods: Male mice were unilaterally intraplantarly injected with formalin to induce inflammatory pain. Spontaneous pain behaviors, including flinches and lickings, were recorded by off-line video during the first hour post-injection and counted. Using von Frey tests, long-lasting bilateral mechanical paw withdrawal thresholds were determined before injection and at indicated time points thereafter. Temporal expression of spinal PKCγ was observed by immunohistochemical staining. For pharmacological inhibition, mice were treated daily with intrathecal Tat carrier or selective PKCγ inhibitor KIG31-1, from 1 hour prior to 10 days after formalin injection. Spontaneous pain behaviors and long-lasting bilateral mechanical hyperalgesia were assessed. Spinal PKCγ expression was also observed by using immunohistochemical staining and western blot., Results: The number of PKCγ-immunoreactive (ir) spinal neurons was significantly higher at 10 days, but not 2 hours, after formalin intraplantar injection, and accompanied by long-lasting bilateral hyperalgesia. Furthermore, long-lasting bilateral hyperalgesia could be reversed by pharmacological inhibition of over-expressed spinal PKCγ; however, pretreating with intrathecal KIG31-1 showed no antinociceptive effects on short-term spontaneous pain behaviors., Limitations: All results were obtained from the mice and no PKCγ inhibitors were available through clinical practice. Therefore, it remains difficult to draw definitive connections between animal research and human application., Conclusion: Our findings suggest that spinal PKCγ plays a predominant role in long-lasting bilateral hyperalgesia, but not in the spontaneous pain behaviors induced by formalin., Key Words: Formalin, spontaneous pain, mechanical hyperalgesia, protein kinase C gamma, KIG31-1, mice.

Purpose: We attempt to assess the impact of hepatis-B virus (HBV) status on the prognosis of chronic lymphocytic leukemia (CLL) using a Chinese case cohort., Methods: Five hundred and one consecutive newly diagnosed subjects with CLL were enrolled in this case cohort. HBV infection was defined as hepatitis B surface antigen (HBsAg) positive or hepatitis-B core antibody (HBcAb) positive. Univariate and stepwise multivariate Cox regression analyses were used to screen the prognostic risk factors associated with the end point of time-to-treatment (TTT) or overall survival (OS). Bootstrap re-sampling method was used to evaluate the model's internal validity. The discriminative ability of the models was evaluated using time-dependent receiver-operator characteristic (ROC) curves and corresponding areas under the curve (AUC)., Results: One hundred and twenty-one subjects (24%) among 501 patients were HBV positive. HBV infection was an independent predictor for the prognosis of TTT (HR = 1.37; 95% CI 1.04-1.80) or OS (HR =2.85; 95% CI 1.80-4.52). The AUCs for HBV infection were 0.62 (95% CI 0.58-0.66) for TTT and 0.69 (95% CI 0.66-0.72) for OS, respectively. When we combined HBV infection with the traditional clinical and biological factors, significant improvements for model's discrimination were observed for TTT [AUC: 0.81 (95% CI: 0.77-0.85) vs. 0.78 (95% CI: 0.74-0.82), P < 0.001] and OS [AUC: 0.81 (95% CI 0.76-0.86) vs. 0.76 (95% CI 0.71-0.82), P < 0.001). Further bootstrap re-sampling method revealed good internal consistence for the final optimal models (Average AUC: 0.78 for TTT and 0.79 for OS based on 1000 bootstraps)., Conclusions: Our results indicated that HBV infection should be served as an important risk predictor for prognosis of CLL (TTT and OS).

Diffuse large B-cell lymphoma (DLBCL) is a heterogeneous disease that great efforts had been made in to build up molecular and immunophenotypic subgroups that could relatively accurate indicate prognosis and give clue to therapy. Recently, CD30 was reported as a useful predictor with favorable clinical outcome. However, CD30 expression patterns and the clinicopathologic features of CD30 positive DLBCL are not well described thus far, especially in Asian patients. Here, we studied 232 cases of de novo DLBCL in East China to investigate the prevalence and clinicopathological features of CD30-positive DLBCL using a panel of immunohistochemical markers. Applying a >0% threshold, CD30 was expressed in approximately 12% patients with Epstein-Barr virus (EBV) negative DLBCL, affecting younger people and showing a lower frequency of BCL2 expression and MYC/BCL2 co-expression. Patients with CD30-positive DLBCLs showed better progression-free survival and overall survival compared with patients with CD30-negative DLBCLs, although the superior outcome of CD30 positivity had minimal effects on BCL2+ DLBCL or DLBCL with MYC/BCL2 co-expression. Moreover, CD30 could express in CD5+ DLBCL. We concluded that CD30 may be useful as a prognostic marker in rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) treated DLBCLs, indicating favorable outcomes in a Chinese population. Further studies with larger samples should be performed to investigate the function of CD30 expression in BCL2+ DLBCLs, DLBCLs with MYC/BCL2 co-expression, and CD5+ DLBCLs, and to evaluate the feasibility of anti-CD30 targeted treatment in DLBCL therapy.

Diffuse large B-cell lymphoma (DLBCL) is the most common non-Hodgkin lymphoma (NHL). Patients with DLBCL harboring MYC aberrations concurrent with BCL2 or/and BCL6 aberrations constitute a specific group with extremely poor outcome. In this study, we retrospectively investigated the incidence and prognosis of MYC, BCL2, and BCL6 aberrations with DLBCL patients in Chinese population. We applied fluorescence in situ hybridization and immunohistochemical analysis in 246 DLBCL patients. The results showed that patients with MYC or BCL2 copy number aberration (CNA) had significantly worse overall survival (OS) and progression-free survival (PFS) than negative cases (P < 0.0001). Patients with both MYC and BCL2 CNA had similar outcomes to those with classic double hit lymphoma or protein double expression lymphoma (MYC and BCL2/BCL6 coexpression). By multivariate analysis, MYC CNA, BCL2 CNA and double CNA were the independent worse prognostic factors. In conclusions, patients with MYC or BCL2 CNA constituted a unique group with extremely poor outcome and may require more aggressive treatment regimens.

Epstein-Barr virus (EBV) positive diffuse large B-cell lymphoma (DLBCL) of the elderly is defined as patients older than 50 years alone. However, recent studies showed young patients with sound immune status could also be affected. In this study, we investigated the clinical features and outcomes of patients with EBV positive DLBCL in the different age groups using different EBER cut-off values. The prevalence of EBV positive DLBCL was 14.0% (35/250) and 10.4% (26/250) for EBER cut-off of 20% and 50%, respectively. With both EBER cut-off values, patients with EBV DLBCL shared many unfavorable prognostic characteristics, regardless of age. EBV positive patients, both in the elderly and young groups, showed significantly worse overall survival and progression-free survival than negative cases. Moreover, no significant differences of outcomes were identified between different age groups with EBV positive DLBCL. In conclusion, EBV positive DLBCL patients, regardless of age, shared similar poor prognostic features and showed worse outcome than negative cases. We suggest that the age criterion of EBV positive DLBCL of the elderly, and possibly the name itself, be modified in future.

Marine siliceous rocks are widely distributed in the central orogenic belt (COB) of China and have a close connection to the geological evolution and metallogenesis. They display periodic distributions from Mesoproterozoic to Jurassic with positive peaks in the Mesoproterozoic, Cambrian--Ordovician, and Carboniferous--Permian and their deposition is enhanced by the tensional geological settings. The compressional regimes during the Jinning, Caledonian, Hercynian, Indosinian, and Yanshanian orogenies resulted in sudden descent in their distribution. The siliceous rocks of the Bafangshan-Erlihe ore deposit include authigenic quartz, syn-depositional metal sulphides, and scattered carbonate minerals. Their SiO2 content (71.08-95.30%), Ba (42.45-503.0 ppm), and ΣREE (3.28-19.75 ppm) suggest a hydrothermal sedimentation origin. As evidenced by the Al/(Al + Fe + Mn), Sc/Th, (La/Yb) N, and (La/Ce) N ratios and δCe values, the studied siliceous rocks were deposited in a marginal sea basin of a limited ocean. We suggest that the Bafangshan-Erlihe area experienced high- and low-temperature stages of hydrothermal activities. The hydrothermal sediments of the former stage include metal sulphides and silica, while the latter was mainly composed of silica. Despite the hydrothermal sedimentation of the siliceous rocks, minor terrigenous input, magmatism, and biological activity partly contributed to geochemical features deviating from the typical hydrothermal characteristics.

Reactive Fe(III) oxides in gravity-core sediments collected from the East China Sea inner shelf were quantified by using three selective extractions (acidic hydroxylamine, acidic oxalate, bicarbonate-citrate buffered sodium dithionite). Also the reactivity of Fe(III) oxides in the sediments was characterized by kinetic dissolution using ascorbic acid as reductant at pH 3.0 and 7.5 in combination with the reactive continuum model. Three parameters derived from the kinetic method: m 0 (theoretical initial amount of ascorbate-reducible Fe(III) oxides), k' (rate constant) and γ (heterogeneity of reactivity), enable a quantitative characterization of Fe(III) oxide reactivity in a standardized way. Amorphous Fe(III) oxides quantified by acidic hydroxylamine extraction were quickly consumed in the uppermost layer during early diagenesis but were not depleted over the upper 100 cm depth. The total amounts of amorphous and poorly crystalline Fe(III) oxides are highly available for efficient buffering of dissolved sulfide. As indicated by the m 0, k' and γ, the surface sediments always have the maximum content, reactivity and heterogeneity of reactive Fe(III) oxides, while the three parameters simultaneously downcore decrease, much more quickly in the upper layer than at depth. Albeit being within a small range (within one order of magnitude) of the initial rates among sediments at different depths, incongruent dissolution could result in huge discrepancies of the later dissolution rates due to differentiating heterogeneity, which cannot be revealed by selective extraction. A strong linear correlation of the m 0 at pH 3.0 with the dithionite-extractable Fe(III) suggests that the m 0 may represent Fe(III) oxide assemblages spanning amorphous and crystalline Fe(III) oxides. Maximum microbially available Fe(III) predicted by the m 0 at pH 7.5 may include both amorphous and a fraction of other less reactive Fe(III) phases.

The procedures of implementing tiered health risk assessment approach were introduced in detail, and took a large-scale site polluted by benzene in Beijing as an example, the difference on the remediation target of benzene in soil, as well as the corresponding soil remediation volume and costs, were compared. The results indicate that the benzene concentration in soil within 1.5 m in depth and the one below should be remediated to 0.26 mg x kg(-1) and 0.15 mg x kg(-1), respectively, in order to keep the cumulative carcinogenic health risk below 1 x 10(-6) based on tiered II assessment. However, according to tiered III assessment result, which is based on the benzene in soil gas within the contaminated areas in the investigated site, the soil in the corresponding depth should only be remediated to 2.6 mg x kg(-1) and 1.5 mg x kg(-1), respectively. That means the soil remediation volume delimited on tiered III assessment result is less than the one on tiered II by 139 537 m3 and the corresponding remediation costs will be reduced by 57 million Yuan, meaning the enormous economic benefits compared to the costs (around 100 thousands Yuan) spent to carry out tiered III assessment in the site.

Purpose: Mutations in KRAS and BRAF genes were associated with treatment failure from EGF receptor inhibitors in colorectal cancer (CRC) patients. However, whether these mutations were associated with survival in patients not treated with EGF receptor inhibitors remained controversial. Moreover, few data were available in Chinese. Therefore, we aimed to evaluate the impact of KRAS and BRAF mutations on the survival of Chinese CRC patients., Methods: CRC patients who underwent surgery between October 2003 and April 2006 were included in this study. They were observed until June 30, 2010 or when death was ascertained by the National Death Registration System. Prospectively collected fresh frozen tumor tissues were used for detection of mutations at codons 12, 13, and 61 of the KRAS gene and exons 11 and 15 of BRAF gene by PCR amplification followed by direct sequencing., Results: Among the 314 patients, KRAS and BRAF mutations were detected in 65 (20.7%) and 12 (3.8%) patients, respectively. KRAS mutations appeared to occur more frequently in females than males (p = 0.039) and in non-smokers (p = 0.039). KRAS and BRAF mutations were significantly associated with the proximal location of cancer (p = 0.017 and 0.001, respectively). In the univariate analysis, KRAS and BRAF mutations were not associated with survival. However, BRAF mutations were associated with a significantly worse overall survival (hazard ratio = 3.91, 95% confidence interval 1.31 to 11.66, p = 0.014) in the multivariate Cox proportional hazard model after adjustment for all direct clincopathological variables., Conclusion: BRAF mutations, but not KRAS mutations, were associated with a worse outcome in Chinese CRC patients.

Hypothesis: Our objective was to study depressive symptoms and potential risk factors in Chinese persons with premature ventricular contractions (PVCs) without structural heart disease., Methods: The Zung self-rating depression scale (ZSDS) was used to assess depressive symptoms. Correlations between depressive symptoms and sociodemographic and medical factors were analyzed by logistic regression., Background: Prevalence of depressive symptoms in coronary heart disease (CHD) is higher that in the general population and those for the majority of other chronic symptoms in patients with premature ventricular contractions (PUCS)., Results: Of 1,144 patients with PVCs (488 males, 656 females), age 51 +/- 23 years, disease duration 1 mo - 23 y, a total of 309 (27%) patients were categorized as having depressive symptoms. Depressive symptoms increased with age, income, education level, nationality, PVC count/24h, society support, and settlement type (p < 0.05). Univariate logistic regression showed that being female, level of education, age, settlement type, and PVC count/24h significantly correlated with depressive symptoms (p < 0.05). Multivariate logistic regression indicated that 5 variables-female sex, education level, settlement type, age, and PVC count/24h significantly and independently related with depressive symptoms (p < 0.05)., Conclusions: In the Chinese population, depressive symptoms in subjects with PVCs were frequent. The village settlement type, female sex, age, PVC count/24h, and education level were independent risk factors for depressive symptoms. Further research on the relationship between PVCs and depressive symptoms in China is necessary.

Objectives: Chronic inflammation has been implicated in the development of colorectal cancer (CRC). The presence of low-grade systemic inflammation, as determined by an elevation of high-sensitivity C-reactive protein (CRP), has been associated with an increased risk of cardiovascular diseases and cancers. However, previous studies of CRP and CRC in cohorts that comprised different genders have yielded conflicting results and little is known about CRP levels in individuals with colorectal adenomas, the precursor lesion of CRC. This study aims to elucidate the association of CRP and colorectal neoplasia., Methods: Plasma CRP levels were examined using a cross-sectional design in 6,695 consecutive ethnic Chinese adults who had undergone a complete colonoscopy following a thorough routine health evaluation. Logistic regression analysis was used to correlate the risk of colorectal neoplasia with CRP levels., Results: Plasma CRP levels were significantly higher in subjects with colorectal neoplasia than in those without neoplasia (1.85 mg/L vs 1.55 mg/L, P= 0.04). The presence of synchronous neoplasia, advanced neoplasia, and concurrent synchronous and advanced neoplasia were associated with elevated levels of plasma CRP, after adjustment for other risk factors. Gender stratification revealed a positive association between elevated CRP levels and the risk of colorectal neoplasia in men, but no such corresponding association existed in women., Conclusions: Elevated plasma CRP levels are independently associated with an increased risk of colorectal neoplasia in men, but not in women. These data support the association between chronic inflammation and colorectal neoplasia in men and provide new insights into the underlying mechanisms that warrant further investigation.

Purpose: The Chinese population has been shown to have more distal colonic neoplasm and a higher sensitivity of sigmoidoscopic screening strategy for detecting advanced neoplasm compared with Western populations. This study was designed to evaluate the efficacy of the mixed screening strategy with sigmoidoscopy and colonoscopy in the average-risk Chinese population., Methods: Consecutive average-risk adults aged >/=50 years who underwent colonoscopy as part of a health checkup were enrolled. Data were analyzed in a hypothetical graded screening strategy using colonoscopy on patients older than a certain cutoff age or those with distal sentinel polyps. The sensitivity in detecting advanced colonic neoplasm and advanced proximal neoplasm as well as the number of colonoscopies reduced were assessed., Results: Of the 2,106 persons eligible for analysis, 1,193 (56.6 percent) were males and 913 (43.4 percent) were females. If the cutoff ages were 55, 60, and 65 years, and adenoma detected in the distal colon was the indication for subsequent colonoscopy, the detection rate for 1) advanced colonic neoplasm in the entire colon would be 94, 93.1, and 83.6 percent, respectively, and 2) advanced proximal neoplasm would be 84.8, 82.6, and 58.7 percent, respectively. The number of colonoscopic procedures could be reduced by 28, 48, and 65 percent if the cutoff ages were 55, 60, and 65 years, respectively., Conclusions: The mixed screening strategy using a cutoff age at 60 years and distal adenoma as the sentinel lesion is an effective screening program in the average-risk Chinese population.

Objective: To evaluate the quality of life (QoL), health-care resource utilization, and cost for the patients with premature ventricular contractions (PVCs) by radiofrequency catheter ablation (RFCA)., Methods: RFCA was performed in 58 patients with symptomatic PVCs that were refractory/easy to medication. A 24-hour ambulatory electrocardiographic monitoring, QoL, health-care resources utilization, and cost were assessed at a screening visit and 3 and 12 months after RFCA., Results: RFCA was successfully performed in 56 patients (96.6%). This resulted in a significant improvement in the QoL at 3 and 12 months after the procedure. There were no major complications related to the procedure. Nine patients (15.5%) had residual arrhythmia. Seven of them underwent repeated ablation with successful results. It also improved the QoL and reduced health-care resource utilization and cost., Conclusions: RFCA is a safe and effective treatment for PVCs, and it is a viable alternative to drugs in the presence of disabling symptoms.

Hyperhomocysteinemia (HH) is a factor that predisposes individuals to thrombosis, and the C677T mutation in the 5,10-methylenetetrahydrofolate reductase (MTHFR) is known to give increased plasma homocysteine. However, little is known about their roles in Budd-Chiari syndrome (BCS). This study evaluated the roles of HH and the MTHFR C677T mutation in patients with BCS. We compared 41 BCS patients with 80 sex- and age-matched healthy controls. The mean plasma homocysteine level was significantly higher in patients with BCS (20.15 +/- 5.78 micromol/L) compared with normal controls (15.80 +/- 6.58 micromol/L), P < 0.01. HH (>19.5 micromol/L in men and >15.0 micromol/L in women) was detected in 15 (36.59%) patients and in 14 (17.5%) controls (odds ratio [OR], 2.72; 95% confidence internal [CI], 1.17-6.32). The prevalence of the mutated MTHFR 677TT genotype and the 677T allele in normal controls was 10.0% and 31.3%, respectively. The mutant 677T homozygotes and alleles were more frequent in patients with BCS than in controls (22.0% vs. 10.0%, 0.025 < P < 0.05; 45.1% vs. 31.3%, 0.025 < P < 0.05). The relative risk of BCS among the carriers of 677TT was significantly increased (OR, 3.3; 95% CI, 1.1-10.0). The mutant MTHFR heterozygous 677C/T carriers were not significantly increased in patients with BCS compared with controls (46.3% vs. < 2.5%, P > 0.05). The relative risk OR of BCS among carriers of 677C/T was 1.6 (95% CI, 0.7-3.6). This study suggests that both HH and the homozygous C677T mutation in the MTHFR gene are important risk factors of BCS., (Copyright 2002 Wiley-Liss, Inc.)