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This study investigates the interplay between physical literacy, resilience, and burnout among researchers who experienced strict home quarantine during the COVID-19 pandemic in China, with a particular focus on the mediating role of resilience. Employing a two-stage sampling procedure, a total of 363 researchers from diverse disciplines, notably social science and natural science, were enlisted and administered a series of validated scales, including the Perceived Physical Literacy Scale (PPL), the 10-item Connor–Davidson Resilience Scale (CD-RISC-10), and the Chinese version of the Oldenburg Burnout Inventory (OLBL), via an anonymous online platform. The findings revealed substantial differences in physical literacy, resilience, and burnout across disciplines. Resilience partially mediated the relationship between physical literacy and burnout. Upon a closer examination of the sub-dimensions, resilience was found to fully mediate between factors of motivation, exhaustion, and disengagement. Moreover, one aspect of physical literacy—interaction with the environment—exhibited weaker correlations with both resilience and burnout compared to other dimensions of physical literacy. Overall, the study confirms the significant correlation between physical literacy and psychological parameters, establishing that elevated levels of both physical literacy and resilience serve as key factors in mitigating burnout during the pandemic. [ABSTRACT FROM AUTHOR]

Objective The most used drug for the treatment of rheumatoid arthritis (RA) remains methotrexate (MTX). Unfortunately, up to 50% of patients do not achieve a clinically adequate outcome. Here we study whether the gut microbiota patterns can aid in the prediction of MTX efficacy for RA. Method To dissect gut microbiome profiles of RA patients (n  = 145), 16S rRNA gene sequencing was performed. Dirichlet multinomial mixture (DMM) clustering was used to identify enterotypes at genus level. The relationships between enterotypes and clinical measures (such as lymphocyte subsets and cytokines detected by flow cytometry) were explored. Then, enterotype stability was evaluated by the stratification of the RA patient cohort (n  = 66) in Shanghai, China, using the same method. Finally, the enterotype-based gut microbial human index classifier was applied to another independent RA patient cohort (n  = 27) to identify the factors associated with MTX clinical response. Results Our analysis revealed that the RA patients always displayed two different dysbiotic microbiota patterns: RA E1 comprised predominantly Prevotella and RA E2 comprised predominantly Bacteroides. Among all of the lymphocyte subsets and cytokines, only the number of CD8+ T cells showed a significant difference between RA E1 and RA E2. These results were validated in the RA patient cohort in Shanghai, China. Significant associations of RA E1 with clinical response to subsequent MTX treatment were confirmed by another independent RA patient cohort. Conclusion Together, the enterotype-based gut microbial human index (EGMI) classifier was useful to precisely and effectively identify enterotypes of individual RA patients, which could effectively evaluate MTX clinical responses. [ABSTRACT FROM AUTHOR]

Recent years have witnessed rapid advances in the transportation of Chinese bayberry fruit in China by express delivery (ED). The mainstream express packaging is a fruit basket filled with Chinese bayberry fruit. In order to analyze the vibration, impact and quality changes of bayberry fruit in the actual ED process, BiQi (BQ) and Dongkui (DK) bayberry fruit were selected as experimental objects. Real‐time acceleration and temperature of Chinese bayberry fruit in the package were recorded during ED transportation. Headspace CO2 gas concentration and squeezed juice percentage were measured when unpacking. The firmness and electronic nose (E‐nose) linear discriminant analysis (LDA) statistical results were measured during the 2‐day shelf life. The results show that semivacuum packaging can reduce the vibration intensity of Chinese bayberry fruit in the package. Whether it was BQ or DK bayberry fruit, the fruit quality of Chinese bayberry fruit sent by ED was considerably worse than that of road vehicle (RV) transportation when unpacking. The LDA statistics of E‐nose data showed that ED‐treated bayberry fruit barely constituted the fresh part. However, differences were noticed between the varieties. Compared with DK bayberry fruit, BQ bayberry fruit had more of its juice squeezed; further, its firmness had decreased more. In conclusion, multiple impacts and high‐intensity vibrations are the main reason for Chinese bayberry fruit damage during ED transportation. Compared to BQ bayberry fruit, DK bayberry fruit is more resistant to mechanical damage and is more suitable for ED. Practical Applications: Cultivar Dongkui bayberry is more resistant to mechanical damage than BiQi bayberry after many aspects of comparison, and is suitable for express delivery (ED) transportation. To reduce the mechanical damage of bayberry fruit, it is suggested to improve the impact‐resistant design of existing packaging styles, with simply adding a layer of absorbent pad to the bottom of the fruit basket. The form of foam box semivacuum packaging is not only suitable to bayberry, but also to others such as strawberries during ED transportation. Reason for mechanical damage of bayberry fruit during express delivery (ED) transportation is explained. The quality of BiQi and Dongkui (DK) bayberry fruit when unpacking and shelf life is analyzed from multiple angles. It is concluded that DK bayberry fruit is more resistant to mechanical damage and is more suitable for ED. [ABSTRACT FROM AUTHOR]

Nasopharyngeal carcinoma (NPC) mainly appears in southeastern Asian countries, including China. Adriamycin (ADM), a type of antitumor drug, is widely applied in treatments against various cancers. Nevertheless, cancer cells will eventually develop drug resistance to ADM. The present study aims to explore the potential role of reticulocalbin-1 (RCN1) in NPC cells resistance to ADM. Microarray-based analysis was used to screen NPC-related genes, with RCN1 acquired for this current study. RCN1 expression in NPC tissues and cells was determined. The biological function of RCN1 on NPC cell apoptosis was evaluated via gain- and loss-of-function experiments in 5–8 F/ADM and 5–8 F cells by delivering si-RCN1 and RCN1-vector. The function of endoplasmic reticulum (ER) stress on cell apoptosis was measured with the involvement of the PERK-CHOP signaling pathway. Furthermore, tumor formation in nude mice was performed to evaluate the survival condition and RCN1 effects in vivo. RCN1 was highly expressed in NPC tissues and cell lines. The increased expression of ER-related proteins ATF4, CHOP, and the extents of IRE1 and PERK phosphorylation were observed. RCN1 knockdown was found to reduce resistance of NPC cells/tissues to ADM while activating ER stress through the activated PERK-CHOP signaling pathway, which further promoted NPC cell apoptosis. These in vitro findings were detected in vivo on tumor formation in nude mice. In conclusion, the present study provides evidence that RCN1 knockdown stimulates ADM sensitivity in NPC by promoting ER stress-induced cell apoptosis, highlighting a theoretical basis for NPC treatment. [ABSTRACT FROM AUTHOR]

Rainfed agriculture is important to meet the increasing demands of food production. However, there is a lack of knowledges for the rainfed wheat systems in abundant rainfall areas, where the erratic rainfall may constrain the wheat yield and increases N losses from wheat fields with excessive fertilizer inputs. In the present study, a 6 consecutive years field experiments were conducted to investigate the wheat yield and N losses responses to different N fertilizer rates in the Taihu Lake region. Despite the fluctuations in the wheat yield, a 10–30% reduction of the district average N input sustained the current-level of wheat yield for the 6 consecutive years. The N rate of 168 kg ha−1 might be the threshold N application rate, because if it was exceeded, it was no longer the predominant factor determining the wheat yield, but significantly increased the N losses fluxes. The seasonal total N losses fluxes were 69.2 kg N ha−1, which accounted for 28.8% of district averaged N input. Runoff was the predominant pathway of N loss from the wheat field, followed by ammonia volatilization and leaching. Nitrate was the predominant form in the runoff and leakage water. Seasonal cumulative nitrate losses via runoff and ammonia volatilization averaged 25.2 and 20.1 kg ha−1 per wheat season, respectively, corresponding to 10.5% and 8.38% of the regional N application rates. However, the seasonal nitrate loss via leakage was the lowest, less than 8.98 kg ha−1. Reducing the fertilizer N rates significantly decreased the N losses via runoff and ammonia volatilization, but not by leaching. Our findings indicated that reducing N fertilizer was impressive for the sustainable development of agriculture in Eastern China and 168 kg N ha−1 was recommended for the rainfed wheat. [Display omitted] • Reducing N inputs (168–216 kg ha−1) sustained current-level of wheat yields for 6 years in rice-wheat rotation. • N loss (kg ha−1) was affected by, in order, N runoff (30.7) > ammonia volatilization (20.1) > nitrate leaching (11.0). • Precipitations, solar radiations and sunshine durations were the critical factors determining wheat yields. [ABSTRACT FROM AUTHOR]

Background: Evaluating the progress of tobacco control across the world heavily relies on smoking prevalence estimates. Those estimates are often based on surveys of self-reported cigarette smoking status. The accuracy varies among populations with different social and cultural backgrounds. Purpose: The objective of this study was to estimate the prevalence of smoking and assess the accuracy of self-report smoking status in Chinese adolescents. Method: This population-based cross-sectional survey included 10,934 adolescents aged 12 to 18 years from 17 schools in Shanghai, China. Data on adolescents' smoking status were collected from adolescents' self-reporting and from parents' questionnaires, separately. Based on the data of two sources, the total number of smokers among the study participants was estimated using a capture-recapture method. Results: Among 5,452 girls and 5,482 boys, the prevalence estimates of self-reported smoking were 13.6 % (748) and 5.2 % (284) for boys and girls, respectively. Parents only identified smaller proportions of smoking adolescents: 2.9 % (160) boys and 0.6 % (30) girls. Using the capture-recapture method, we estimated the prevalence of smoking as 18.3 % (95 % CI 16.4, 20.3) for boys and 14.2 % (95 % CI 7.6, 20.8) for girls. Conclusion: Reliance on self-reporting to identify smokers among Chinese adolescents significantly underestimates the number of smokers, particularly among Chinese girls. Self-reported smokers only represent less than half of actual smokers in girls. Our findings are important for monitoring smoking trends and evaluating tobacco control interventions among Chinese adolescents. [ABSTRACT FROM AUTHOR]

Reactive N in the runoff from paddy fields is considered to be the dominant contributor to the deterioration of river and lake water quality in China. However, there has been little researches on the interaction between N fertilizer rates and N losses via runoff from the paddy water during the summer rice-growing seasons. In the present study, we monitored the rice grain yield, N agronomic efficiency (AE N), and N losses via runoff from fertilizer N rate-response experiments applied to rice in the Taihu Lake region over 6 years. Total N loss via runoff averaged 19.3 kg ha−1 per rice season, corresponding to 7.1% of fertilizer N input at the regional N rate of 270 kg ha−1. Seasonal cumulative ammonium-N, organic N, and total N losses via runoff were all positively correlated with the fertilizer N rates (n = 1141, P < 0.01). The ammonium-N and calculated organic N were the predominant forms in the paddy water. Reducing fertilizer N decreased the risk of ammonium-N and total N losses via runoff but not nitrate-N (consistently low nitrate). Seasonal changes of fertilizer N losses via runoff contributed to the fluctuant rice yields, and the rice yields responses of lower N rates (<135 kg ha−1) might be more susceptible to the massive fertilizer N losses. Reducing the fertilizer N rates by 10–50% (i.e., 135–243 kg ha−1) sustained the current level of rice yields for any single year. By connecting the runoff N loss, rice yield curves, and varying market prices, the mean socially optimum N rates (221 kg ha−1) were proposed for the aim of profit maximization. For the aim of sustainable intensification, however, using less N rates (<221 kg ha−1) was better at controlling runoff losses, and meanwhile sustaining the rice yield. The 135 kg N ha−1 was thus recommended after multiple comparisons of AE N , N losses via runoff and net returns among different N treatments. Our findings indicated that continuously reducing N fertilizer without modifying other practices is essential and feasible in Eastern China. Reducing N losses via runoff would greatly increase the benefits of society, economy, and environment in responses to unpredictable events. • 50% reduction of N inputs (135 kg N ha−1) sustained the rice yields at least for 6 years in rice-wheat rotation. • Reducing the N input decreased the risk of ammonia-N and total N losses via runoff but not nitrate-N. • Rice yields responses of lower N rates might be more susceptible to the massive fertilizer N losses. [ABSTRACT FROM AUTHOR]

Microbial respiration is considered to be one of the most sensitive factors in soil; however, it might be altered by soil pollution. To clarify the potential impact of low levels of total petroleum hydrocarbons (TPHs) on soil microbial respiration (SMR) in tidal wetland in Jiuduansha, Shanghai, the distribution and characteristics of TPHs in the typical zones of the Jiuduansha Wetland and nearby watershed were analyzed, and the relationship between soil microbial respiration and TPH was studied. The results showed that the average concentration of TPHs in the soil was 23.98 mg·kg−1, which was a relatively low pollution level. Moreover, the concentration of TPHs in the soil changed significantly with tidal elevation. The main petroleum pollutants in the soil were alkane and aromatic hydrocarbons with less than 10 carbons. The average concentration of TPHs of the surrounding watershed of Jiuduansha was about 0.26 mg·L−1, indicating that it was grade III seawater. The concentration of the inner watershed was higher than that of the outer watershed, indicating that Jiuduansha wetland could enrich TPHs to some extent. Based on the results of regression analysis and a pot experiment, there was a relationship between TPHs and soil microbial respiration. The input of TPHs from the surrounding watershed over long term periods might improve the SMR of the Jiuduansha tidal wetland. [ABSTRACT FROM PUBLISHER]

Abstract: Agricultural activities are the main source of non-point pollution in the Taihu Lake region, and therefore reduction of nitrogen (N) fertilizer is imperative in this area. A two-year experiment was carried out in a paddy field of summer rice–winter wheat rotation in the Taihu Lake area, and the rice growing seasons were mainly concerned in this research. Grain yield, N accumulation at rice crucial stages, N use efficiency, as well as N losses via run off during rice growing season were determined under different N application rates. No significant differences were observed in grain yield under N fertilizer application rates of 135–270kgNha−1 (50–100% of the conventional N application rate). Nitrogen accumulation before the heading stage (Pre-NA) accounted for 61–95% of total nitrogen absorption in mature rice, and was positively correlated with straw dry matter at harvest. Positive correlations were found between Pre-NA and straw (0.53, p <0.05), and between grain yield and N accumulation after the heading stage (Post-NA) (0.58, p <0.05), suggesting that increasing nitrogen accumulation after the heading stage is crucial for grain yield improvement. Poor agronomic efficiency of applied N (AEN), partial factor productivity of applied N (PFPN) and internal utilization efficiency of applied N (IEN) were observed for the higher soil fertility and a higher N fertilizer input; a simple N fertilizer reduction could significantly increase the nitrogen use efficiency in this region. Nitrogen loss via runoff was positively linearly related to N application rates and severely affected by rainfall events. The highest-yielding N rates were around 232–257kgNha−1, accounting for 86–95% of the conventional N application rates for the rice season. To reduce N losses and enhance N use efficiency, the recommendable N fertilization rate should be lower than that of the highest yield rate for rice season. Our findings indicated that nitrogen fertilizer reduction in the Taihu Lake area is feasible and necessary for maintaining grain yield, enhancing nitrogen use efficiency, and reducing environmental impact. However, the longer-term yield sustainability for the proper N application rate needs to be further investigated. [Copyright &y& Elsevier]

Four fluoroquinolone antibiotics (norfloxacin, ciprofloxacin, lomefloxacin, and enrofloxacin) in tap water in Guangzhou and Macao were analyzed using high performance liquid chromatography fluorescence detection. The results showed that all target antibiotics were detected in high rate both in Guangzhou (77.5%) and Macao (100%), ranging from 1.0 to 679.7 ng/L (SD ≤ 37.6) in Guangzhou, and from 2.0 to 37.0 ng/L (SD ≤ 2.5) in Macao. The fluoroquinolone antibiotics pollution in tap water widely distributes in Guangzhou and Macao. In addition, the effect of rainfall on concentration of fluoroquinolone antibiotics in south China was also investigated. Our result indicates that the antibiotic concentration in tap water in Guangzhou tends to obviously reduce at the beginning of rainy season, even decreases below the limit of quantification immediately. Thus, it was clarified that the heavy rain in south China has the function of reducing the fluoroquinolone antibiotics concentrations in tap water. [Copyright &y& Elsevier]

Pollution from the paddy fields has posed a threat to surface water quality, and the reactive N in runoff has been recognized as the dominant contributor. In the rice-wheat systems of eastern China, replacing wheat (Triticum aestivum) with Chinese milk vetch (CMV) (Astragalus sinicus) is known to reduce total fertilizer N use and associated N losses during winter; however, the function of the rice-CMV system in controlling the N runoff loss was overlooked during the summer rice-growing season. Over 6 years, we monitored soil mineral N, plant N accumulation, rice grain yield, N agronomic efficiency (AE N), and N runoff in rice-CMV fertilizer N rate-response experiments and made comparisons with the conventional N inputs in rice-wheat rotation. Aboveground CMV residues added 65–116 kg N ha−1 yr−1; therefore, by adjusting the fertilizer time, the rice in this system required 44–56% less N fertilizer to produce rice yields equivalent to the 270 kg N ha−1 (district average, C270) used in the rice-wheat system. In all fertilizer N application treatments, 120 kg ha−1 seemed to be the threshold that ensured the soil N supply, the N accumulation at rice critical stages, and consequently, the current level rice yield. The corresponding runoff N averaged 9.3 kg ha−1 season−1, which was 51.8% less than that in C270 (19.3 kg ha−1 season−1). Cumulative N runoff (total N and NH 4 +-N) correlated strongly with fertilizer N input for any single year (sample size = 108, P < 0.01). Application of 30–120 kg fertilizer N ha−1 gave an equivalent AE N , which indicated that the integration of CMV and fertilizer N could increase the agronomic efficiency of N fertilizer applied to the rice. Rotating paddy rice with CMV instead of wheat, together with the suitable adjustment of N fertilizer, could sustain rice yield and gain the utmost environmental benefits from rice-based agroecosystems. [Display omitted] • Sharp reduction and adjustment of N fertilizer sustained rice yields in rice-CMV rotation. • Incorporating CMV residues reduced N fertilizer use by 150 kg N ha−1. • 51.8% less of runoff N ran from paddy field in the optimum rates (120 kg N ha−1) of rice-CMV system. • The incorporation of CMV residues increased fertilizer N use efficiency. [ABSTRACT FROM AUTHOR]

Presents a study which analyzed the landscape ecological sensitivity of site sources in China using the theories and approaches of landscape ecology. Set of indicators and standards used in the landscape ecological sensitivity analysis; Brief introduction on research area; Suggestions on planning, protection goals and development intensity of each site or district.

Reducing nonpoint-source pollution and improving soil quality by applying best management practices (BMPs) on sloping farmland are essential for ensuring water environmental safety and sustainable agricultural development. However, little is known about the accumulative effect of the long-term application of BMPs on reducing pollution and improving soil quality in major land use types of sloping farmland in watersheds. We conducted a nine-year field experiment for citrus orchard and cropland of sloping farmland in the Three Gorges Reservoir area of China. The treatment settings for the citrus experimental plots were as follows: (1) citrus intercropped with white clover (WC), (2) citrus orchard soil mulched with straw (SM), (3) citrus intercropped with Hemerocallis flava contour hedgerows (HF) and (4) conventional citrus planting pattern (C-CK). The treatment settings for the crop experimental plots were as follows: (1) wheat-peanut rotation intercropped with Toona sinensis contour hedgerows (TS), (2) wheat-peanut rotation intercropped with alfalfa contour hedgerows (AF), (3) ryegrass-sesame rotation (RS) and (4) conventional wheat-peanut rotation (W-CK). We found that compared with C-CK and W-CK, (1) runoff, sediment, total nitrogen and total phosphorus losses were reduced by 18.0 %, 66.1 %, 35.6 % and 40.2 %, respectively, in WC; by 22.4 %, 61.2 %, 43.9 % and 52.4 %, respectively, in SM; by 25.4%, 69.5 %, 52.0 % and 58.1 %, respectively, in HF; by 45.1 %, 73.7 %, 64.6 % and 66.0 %, respectively, in TS; by 41.8 %, 67.4 %, 59.3 % and 60.8 %, respectively, in AF; and by 24.1 %, 42.9 %, 39.3 % and 40.3 %, respectively, in RS; (2) the soil quality index values of the BMP treatments increased; and (3) the application of these BMPs did not significantly affect yield or product value. We suggest the application of these BMPs on sloping farmland to (1) efficiently reduce total runoff, total sediment, and soil total nitrogen and total phosphorus losses; (2) improve soil quality; and (3) have no significant effect on output, of which the BMP HF applied to citrus orchard and the BMP TS applied to cropland are the most effective. • Clarified accumulative effects of long-term application of best management practices for two major land use types. • Best management practices reduce the runoff, sediment, and soil nutrient losses of the land use types. • Best management practices improve the soil quality without reducing the output of the land use types. • The optimal best management practices for the two major land use types in the watershed are selected. • This study is essential for identifying the optimal best management practices for watershed sloping farmland use. [ABSTRACT FROM AUTHOR]

Highlights: [•] An attenuated Brucella melitensis vaccine M5-90 has been mostly used for animals in China. [•] Immune response to BP26 and OMP31 of the vaccine was evaluated in sheep. [•] Specific antibody and IFN-γ response were detected at low levels in vaccinated sheep. [•] Protective efficacy of the vaccine was overall weak and shortlived. [•] These data are helpful to design a safer and more effective B. melitensis vaccine. [Copyright &y& Elsevier]

Study Design: A case-only study.Objective: The aim of this study was to evaluate the association of the 53 single-nucleotide polymorphisms (SNPs) in a prognostic test with curve progression in Chinese adolescent idiopathic scoliosis (AIS) patients.Summary Of Background Data: "ScoliScore" was the first diagnostic kit developed for curve progression of AIS in the white population. To date, there is still a paucity of validation of ScoliScore in Chinese Han population.Methods: A total of 670 AIS patients were included in the study, with 313 patients assigned to the nonprogression group and the other 357 patients assigned to the progression group. A panel of 53 SNPs encompassed in ScoliScore were genotyped using the PCR-based Invader assay. The allele frequencies were compared between AIS patients with progressive curve and those with nonprogressive curve.Results: SNP rs9945359 and rs17044552 are the only 2 SNPs that had significantly different allele frequencies between the 2 groups. Allele A of rs9945359 was significantly higher in the progression group than in the nonprogression group (25.7% vs 19.5%, P = 0.01), and allele A of rs17044552 was significantly lower in the progression group (11.5% vs 16.4%, P = 0.01). The odds ratio (OR) of these 2 SNPs were 1.42 [95% confidence interval (95% CI) 1.09-1.88] and 0.65 (95% CI 0.47-0.91), respectively. As for the allele frequencies of the other 51 SNPs, no significant difference was found between the 2 groups.Conclusion: ScoliScore could not be able to predict the curve progression of AIS in Chinese Han population. However, the role of this test in other populations cannot be totally excluded, and additional replication studies in other ethnic groups are warranted to evaluate the significance of these SNPs.Level Of Evidence: 4. [ABSTRACT FROM AUTHOR]

Abstract: Acorus calamus L. (AC), family Araceae, have been used in the Indian and Chinese systems of medicine for hundreds of years. The radix of AC is widely used in the therapy of diabetes in traditional folk medicine of America and Indonesia. Aim of the study: To investigate the insulin sensitizing activity and antidiabetic effects of the ethyl acetate fraction of AC (ACE). Materials and methods: Glucose consumption mediated by insulin was detected in L6 rat skeletal muscle cells. Diabetes and its complications related indexes were monitored after orally administrating to genetically obese diabetic C57BL/Ks db/db mice daily for 3 weeks. Results: ACE (12.5 and 25μg/ml) increased glucose consumption mediated by insulin in L6 cells (p <0.05 and p <0.01). In db/db mice, ACE (100mg/kg) significantly reduced serum glucose, triglyceride, reinforce the decrease of total cholesterol caused by rosiglitazone (at least p <0.05), and markedly reduced free fatty acid (FFA) levels and increased adiponectin levels (p <0.01 and p <0.05) as rosiglitazone did (p <0.05 and p <0.001). Serum insulin was decreased but not significantly. In addition, ACE decreased the intake of food and water, and did not increase body weight gain whereas rosiglitazone did. Conclusions: Owing to the ability of insulin sensitizing, ACE has the potential to be useful for the treatment of diabetes and cardiovascular complications without body weight gain. [Copyright &y& Elsevier]

Brucellosis is a zoonotic disease that can result in symptoms including infertility, abortion, testicular inflammation, and arthritis in affected sheep and cattle. The disease can spread through a range of mechanisms, making outbreaks difficult to control such that affected farms often suffer severe economic losses. In addition, humans can be affected by brucellosis, and the number of cases continues to rise annually. As rates of brucellosis in Xinjiang, China have been increasing substantially in recent years, this study was developed to assess brucellosis seroprevalence among herds of cattle, sheep, and camels in Xinjiang through the use of common diagnostic procedures like the Rose Bengal test (RBT) and PCR. A cross-sectional approach was used to analyze the seroprevalence of brucellosis across 720 total farm animals (320 camels, 250 sheep, and 150 cattle). RBT incidence rate for brucellosis was detected in 60 serum samples, 14 (4.38%) from camels, 45 (18%) from sheep, and 1 (0.67%) from cattle. PCR was performed as a confirmatory approach for these RBT-positive samples, with 55 ultimately being confirmed to be positive 13 (4.06%), 41 (16.4%), and 1 (0.67%) samples from camels, sheep, and cattle, respectively. In this survey, sheep exhibited the highest brucellosis seroprevalence using these two analytical techniques, while cattle exhibited the lowest seroprevalence and camels exhibited an intermediate rate. AMOS-PCR analyses identified Brucella melitensis as the unknown bacterium in some of these samples. These results offer new insight regarding brucellosis seroprevalence among farm animals that can be used to formulate more appropriate prevention and control policies, while also improving awareness of epidemic prevention efforts, the need for routine quarantine and disinfection, the benefits of scientific breeding and management, and approaches to improving breeding efficiency for the camel, cattle, and sheep industries., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Xingxing et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

In recent years, the pig industry in Xinjiang, China, has been severely impacted by outbreaks of porcine epidemic diarrhea (PED), despite vaccination efforts. In this study, we investigated the genetic characteristics of currently prevalent porcine epidemic diarrhea virus (PEDV) strains in the region. We collected 548 samples from animals with suspected PED on large-scale pig farms in Xinjiang. Of these, 258 tested positive for PEDV by RT-PCR, yielding an overall positivity rate of 47.08%. S1 gene sequencing and phylogenetic analysis were conducted on 23 randomly selected RT-PCR-positive samples. Three endemic strains of PEDV (PEDV/CH/XU/2020, PEDV/CH/XK/2020, and PEDV/CH/XA/2020) were isolated, and their complete genome sequences were analyzed for evidence of genetic recombination. Sequence comparison of the S gene indicated significant variations in the S1 gene of the Xinjiang strains compared to the vaccine strains CV777, AJ1102, and LWL, with 90.2%-98.5% nucleotide sequence identity. Notably, both the N-terminal and C-terminal domains of the S protein showed significant variation. Genetic evolutionary analysis identified the GIIa subtype as the dominant genotype among the epidemic strains in Xinjiang. Recombination analysis revealed inter-subtype recombination events in the PEDV/CH/XK/2020 and XJ1904-34 strains. These findings highlight the extensive genetic variation in the predominant GIIa genotype of PEDV in Xinjiang, which does not match the genotype of the currently used vaccine strains. These data may guide further efforts toward the development of effective vaccines for the control of PED., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.)

Introduction: A common complication of stroke is upper limb dysfunction. Chinese calligraphy handwriting (CCH) is an aesthetical exercise developed from the traditional way of writing in China and holds potential to become a rehabilitation method to improve upper limb functions in patients with stroke. This study aims to design a randomised controlled trial to assess the effect of a customised CCH-based exercise for poststroke rehabilitation of upper limb dysfunction., Methods and Analysis: A single-blinded randomised controlled trial will be conducted on 60 stroke patients. The patients will be randomly allocated into three groups: (1) conventional occupational therapy (COT) group, (2) COT+CCH group, (3) COT+Graded Repetitive Arm Supplementary Program (GRASP) group. For the COT group, patients will receive COT treatment of 1 hour/day. For the COT+CCH group, patients will receive 30 mins COT treatment and 30 mins CCH training. For the COT+GRASP group, patients will receive 30 mins COT treatment and 30 mins GRASP training. All the interventions will be performed 5 days per week for a total of 3 weeks. The upper limb functions will be assessed before and after the interventions using a series of rating scales., Ethics and Dissemination: This study has been approved by the Research Ethics Committees of the Second Rehabilitation Hospital of Shanghai (study ID: 2020-32-01) and the Shanghai University of Sport (study ID: 102772021RT043). Results will be directly disseminated to the patients at the end of the study and to the public via publications in peer-reviewed journals and presentations in conferences., Trial Registration Number: ChiCTR 2100043036; Chinese Clinical Trials Registry., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Multi-lumbar vertebrae trait is a beneficial mutation that can significantly improve livestock meat production. However, the genetic basis of the multi-lumbar vertebrae in sheep is still unclear. Here, we analysed the number of lumbar vertebrae of Duolang sheep and found three different traits of lumbar vertebrae number. Compared with the normal sheep, the length and weight of animal carcass from the multi-lumbar vertebrae sheep increased by 2.21 cm and 0.78 kg, respectively. We performed high-throughput genome resequencing on multi-lumbar vertebrae (n = 18) and normal (n = 11) Duolang sheep and obtained a total of more than 528.87 GB data. We found that the most significantly selective region were located in the 49.68-49.74 MB of chromosome 4 by selective-sweep analysis. We annotated this region and found that it contains SFRP4 which is known to regulate bone development. We further used the PCR-SSCP technology to detect the single nucleotide polymorphism (SNP) of the putative candidate SFRP4 and found that the two SNPs (rs600370085:C > T and rs415133338: A > G) of this gene were significantly associated with the multi-lumbar vertebrae of Duolang sheep. Our study indicates that the SFRP4 may be a potential major gene that affects the number of lumbar vertebrae in Duolang sheep, and has the potential to be utilized for sheep breeding in the future., (Copyright © 2021 Elsevier B.V. All rights reserved.)

As an important zoonotic pathogen, Staphylococcus aureus has led to serious mastitis and endometritis in infected dairy cows. In this study, a total of 164 strains of S. aureus were isolated from dairy cows in Xinjiang Province, China, and subjected to assays to determine drug susceptibility and biofilm (BF) formation ability. Enterotoxin-related genes were detected, and the transcription levels of genes related to BF formation were determined by using reverse transcription-quantitative polymerase chain reaction. Moreover, the pathogenicity of isolates with different BF formation abilities was determined by measuring their hemolysis activity, half lethal dose (LD 50 ) and organ bacterial load. The results showed that 86.0% of S. aureus isolates could form BF. Among them, 42.1% of the strains had weak BF formation ability, and most strains with a strong BF formation ability were ica gene carriers. The S. aureus isolates displayed multidrug resistance and their drug resistance was positively correlated with their BF formation ability. Moreover, 96.3% of the S. aureus isolates carried enterotoxin genes. Among them, the detection rates of the novel enterotoxin genes were higher than those of conventional enterotoxin genes. Furthermore, isolates with a strong BF formation ability had higher LD50 but lower hemolysis ability and organ bacterial load than those of the isolates with weak or no BF ability. However, isolates without BF ability produced more severe pathological changes than those of isolates with strong BF formation ability. These findings suggest that higher BF ability and presence of novel enterotoxin genes are important characteristics of S. aureus isolates from dairy cows in Xinjiang Province, China, and such isolates may pose potential threats to food safety., Competing Interests: The authors declare no conflicts of interest., (© 2019 The Korean Society of Veterinary Science.)

Importance: The outcome of older patients with acute myeloid leukemia (AML) remains unsatisfactory. Recent studies have shown that HLA-mismatched microtransplant could improve outcomes in such patients., Objective: To evaluate outcomes in different age groups among older patients with newly diagnosed AML who receive HLA-mismatched microtransplant., Design, Setting, and Participants: This multicenter clinical study included 185 patients with de novo AML at 12 centers in China, the United States, and Spain in the Microtransplantation Interest Group. Patients were divided into the following 4 age groups: 60 to 64 years, 65 to 69 years, 70 to 74 years, and 75 to 85 years. The study period was May 1, 2006, to July 31, 2015., Exposures: Induction chemotherapy and postremission therapy with cytarabine hydrochloride with or without anthracycline, followed by highly HLA-mismatched related or fully mismatched unrelated donor cell infusion. No graft-vs-host disease prophylaxis was used., Main Outcomes and Measures: The primary end point of the study was to evaluate the complete remission rates, leukemia-free survival, and overall survival in different age groups. Additional end points of the study included hematopoietic recovery, graft-vs-host disease, relapse rate, nonrelapse mortality, and other treatment-related toxicities., Results: Among 185 patients, the median age was 67 years (range, 60-85 years), and 75 (40.5%) were female. The denominators in adjusted percentages in overall survival, leukemia-free survival, relapse, and nonrelapse mortality are not the sample proportions of observations. The overall complete remission rate was not significantly different among the 4 age groups (75.4% [52 of 69], 70.2% [33 of 47], 79.1% [34 of 43], and 73.1% [19 of 26). The 1-year overall survival rates were 87.7%, 85.8%, and 77.8% in the first 3 age groups, which were much higher than the rate in the fourth age group (51.7%) (P = .004, P = .008, and P = .04, respectively). The 2-year overall survival rates were 63.7% and 66.8% in the first 2 age groups, which were higher than the rates in the last 2 age groups (34.2% and 14.8%) (P = .02, P = .03, P < .001, and P < .001, respectively). The 1-year cumulative incidences of nonrelapse mortality were 10.2%, 0%, 3.4%, and 26.0% in the 4 age groups and 8.1% in all patients. The median times to neutrophil and platelet recovery were 12 days and 14 days after induction chemotherapy, respectively. Five patients had full or mixed donor engraftment, and 30.8% (8 of 26) of patients demonstrated donor microchimerism. Two patients (1.1%) developed severe acute graft-vs-host disease., Conclusions and Relevance: Microtransplant achieved a high complete remission rate in AML patients aged 60 to 85 years and higher 1-year overall survival in those aged 60 to 74 years.

Study Design: A case-only study., Objective: The aim of this study was to evaluate the association of the 53 single-nucleotide polymorphisms (SNPs) in a prognostic test with curve progression in Chinese adolescent idiopathic scoliosis (AIS) patients., Summary of Background Data: "ScoliScore" was the first diagnostic kit developed for curve progression of AIS in the white population. To date, there is still a paucity of validation of ScoliScore in Chinese Han population., Methods: A total of 670 AIS patients were included in the study, with 313 patients assigned to the nonprogression group and the other 357 patients assigned to the progression group. A panel of 53 SNPs encompassed in ScoliScore were genotyped using the PCR-based Invader assay. The allele frequencies were compared between AIS patients with progressive curve and those with nonprogressive curve., Results: SNP rs9945359 and rs17044552 are the only 2 SNPs that had significantly different allele frequencies between the 2 groups. Allele A of rs9945359 was significantly higher in the progression group than in the nonprogression group (25.7% vs 19.5%, P = 0.01), and allele A of rs17044552 was significantly lower in the progression group (11.5% vs 16.4%, P = 0.01). The odds ratio (OR) of these 2 SNPs were 1.42 [95% confidence interval (95% CI) 1.09-1.88] and 0.65 (95% CI 0.47-0.91), respectively. As for the allele frequencies of the other 51 SNPs, no significant difference was found between the 2 groups., Conclusion: ScoliScore could not be able to predict the curve progression of AIS in Chinese Han population. However, the role of this test in other populations cannot be totally excluded, and additional replication studies in other ethnic groups are warranted to evaluate the significance of these SNPs., Level of Evidence: 4.

Adolescent idiopathic scoliosis (AIS) is a structural deformity of the spine affecting millions of children. As a complex disease, the genetic aetiology of AIS remains obscure. Here we report the results of a four-stage genome-wide association study (GWAS) conducted in a sample of 4,317 AIS patients and 6,016 controls. Overall, we identify three new susceptibility loci at 1p36.32 near AJAP1 (rs241215, Pcombined=2.95 × 10(-9)), 2q36.1 between PAX3 and EPHA4 (rs13398147, Pcombined=7.59 × 10(-13)) and 18q21.33 near BCL-2 (rs4940576, Pcombined=2.22 × 10(-12)). In addition, we refine a previously reported region associated with AIS at 10q24.32 (rs678741, Pcombined=9.68 × 10(-37)), which suggests LBX1AS1, encoding an antisense transcript of LBX1, might be a functional variant of AIS. This is the first GWAS investigating genetic variants associated with AIS in Chinese population, and the findings provide new insight into the multiple aetiological mechanisms of AIS.

Study Design: A genetic association study of 53 single nucleotide polymorphisms (SNPs) with adolescent idiopathic scoliosis (AIS)., Objective: To explore new predisposition genes of AIS in Chinese Han population SUMMARY OF BACKGROUND DATA.: A panel of 53 SNPs were reported to be associated with curve severity of AIS. However, there is still a lack of knowledge concerning the association of these SNPs with the susceptibility of AIS in the Chinese Han population., Methods: A gene-based association study was conducted by genotyping the 53 SNPs of a prognostic test. DNA samples of 990 female patients with AIS and 1188 age-matched healthy controls were analyzed using the polymerase chain reaction-based Invader assay. The χ test was carried out to compare the differences of genotype and allele distributions between patients with AIS and healthy controls., Results: A total of 4 SNPs were found to present significant differences in allele or genotype frequencies between the 2 groups. Compared with normal controls, patients were found to have significantly higher allele G of rs12618119 and allele A of rs9945359. Besides, patients were found to have significantly lower allele T of rs4661748 and allele C of rs4782809 than the normal controls. BIN1, CDH13, SETBP1, and SPATA21 genes could be associated with the susceptibility of AIS., Conclusion: Four new predisposition genes of AIS were identified on the basis of a large-scale case-control study. Putting all these findings together, it suggests that AIS is a multifactorial disease possibly involving different pathways such as development of central neural system and bone formation. Further studies exploring more predisposition gene are essential to illustrate the etiology of AIS and to guide the prevention or prognosis of the disease., Level of Evidence: 3.

Study Design: A prospective, cross-sectional study., Objective: To determine the independent variables associated with lumbar lordosis (LL) and to establish the predictive formula of ideal LL in Chinese population., Summary of Background Data: Several formulas have been established in Caucasians to estimate the ideal LL to be restored for lumbar fusion surgery. However, there is still a lack of knowledge concerning the establishment of such predictive formula in Chinese population., Methods: A total of 296 asymptomatic Chinese adults were prospectively recruited. The relationships between LL and variables including pelvic incidence (PI), age, sex, and body mass index were investigated to determine the independent factors that could be used to establish the predictive formula. For the validation of the current formula, other 4 reported predictive formulas were included. The absolute value of the gap between the actual LL and the ideal LL yielded by these formulas was calculated and then compared between the 4 reported formulas and the current one to determine its reliability in predicting the ideal LL., Results: The logistic regression analysis showed that there were significant associations of LL with PI and age (R = 0.508, P < 0.001 for PI; R = 0.088, P = 0.03 for age). The formula was, therefore, established as follows: LL = 0.508 × PI - 0.088 × Age + 28.6. When applying our formula to these subjects, the gap between the predicted ideal LL and the actual LL was averaged 3.9 ± 2.1°, which was significantly lower than that of the other 4 formulas., Conclusion: The calculation formula derived in this study can provide a more accurate prediction of the LL for the Chinese population, which could be used as a tool for decision making to restore the LL in lumbar corrective surgery., Level of Evidence: 3.

Orf is an exanthemous viral disease seriously threatening the goat and sheep industry and widely epidemic in the goat and sheep populations in Xinjiang, China. In order to investigate the genetic variability of the orf virus (ORFV), three virus isolates (SHZ1, SHZ2, and SHZ3) were isolated by PCR and Vero cell culture using the clinical samples from the lips of the lambs suspected of ORFV infection. The isolates were further verified by electron microscopy and animal infection experiments. The protective antigen genes B2L, F1L, and virulence genes VIR, GIF, and VEGF in the isolates were cloned, sequenced and analyzed for genetic evolution. The results showed that B2L and F1L were relatively conservative with homology 86.7-97.9%, while VIR, GIF, particularly VEGF were considerably variable with homology 71.5-97.9% at amino acid sequence level, respectively. Phylogenetic tree analysis based on B2L and VIR showed that the isolates SHZ1 and SHZ2 were closely related with the Taiwan isolates. This is the first report to confirm that there have been genetic variations in the Xinjiang ORFV isolates. The findings provide molecular evidence about the genetic variability of the major antigenic and virulence genes in the virus isolates epidemic in Xinjiang., (© 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

Study Design: A prospective, randomized, and controlled clinical trial., Objective: To compare surgical zipper with subcuticular Monocryl sutures in terms of incision closure time, cosmetic results, and the complication rate in patients with adolescent idiopathic scoliosis (AIS) undergoing posterior spinal fusion (PSF) surgery., Summary of Background Data: In previous literatures, the application of surgical zipper to incision closure has been reported to be associated with a favorable outcome. However, in the PSF surgery of patients with AIS, the use of surgical zipper has not been described., Methods: Ninety female patients with AIS undergoing PSF were assigned randomly to 2 incision closure groups either using surgical zipper or using the 4-0 absorbable subcuticular suture. The incision outcome was evaluated with the Hollander Incision Evaluation Score at 7 days, 2 weeks, 6 months, and 1 year after surgery, respectively. Besides, a visual analogue scale was allocated to each patient to rate the cosmetic result of the incision. The 2 groups were compared to determine the differences in terms of incision closure time, the complication rate, and cosmetic results., Results: The incision closure using surgical zipper consumed significantly less time than that using subcuticular suture (45.3 vs. 540.5 s, P < 0.001). As for the cosmetic results, no significant differences of Hollander Incision Evaluation Score scores between the 2 suturing groups were found. Besides, patients' satisfaction with cosmetic outcome on a linear visual analogue scale also revealed similar results between the 2 groups. As for postoperative complications, we found 1 case of mild blister due to allergy to the tape of the dressings and 2 cases of incisional pain in the Monocryl suture group., Conclusion: The application of surgical zipper in PSF surgery is a safe and effective method. The ease and the speed of application make surgical zipper an attractive option for incision closure in patients with AIS undergoing PSF., Level of Evidence: 4.

Background: In centenarian populations, application of the positive biology approach (examination of positive phenotypes in aging) has revealed that mitochondrial DNA (mtDNA) mutation accumulation may be linked to human longevity; however, the role of guanine nucleotide-binding protein (G protein) abnormalities modulated by G-protein beta-3 (GNB3) and nitrate (NO2) production associated with endothelial nitric oxide synthase (eNOS), commonly appearing in age-related diseases, remains undetermined., Objective: The association between the mtDNA 5178A/C, mtDNA 10398A/G, GNB3 C825T, and eNOS polymorphisms and longevity in a Uygur population (Xinjiang region, China) were investigated., Methods: A total of 275 experimental subjects aged ≥ 100 or with 4 generations currently living were screened for inclusion in the centenarian (>100 years) and nonagenarian groups (90-100 years), and 112 65-70 year old control subjects were selected. Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) was used to examine mtDNA 5178A/C, mtDNA 10398A/G, GNB3 C825T, and eNOS. Associations between polymorphic loci, genotypes, and longevity were analyzed., Results: 165 included subjects (M∶F = 107∶58; mean age = 97 ± 3 years; mean age 100-113 years) were assigned to the centenarian (M∶F = 46/19; n = 65) and nonagenarian groups (M∶F = 61/39; n = 100). Associations between mtDNA C5178A and A10398G polymorphisms with longevity in the centenarian group with mtDNA genotype frequencies 5178A and 10398G were 66.79% and 36.8%., Conclusions: Applying the overwhelming longevity observed in Uygur populations, these findings demonstrate that mtDNA 5178A/C and 10398A/G, GNB3 C825T, and eNOS polymorphisms are useful as a genetic basis for longevity.

Purpose: To translate the Core Outcome Measures Index (COMI) into Simplified Chinese and then validate it for Mainland Chinese patients with low back pain (LBP)., Methods: A total of 120 consecutive patients with LBP >3 months who visited our outpatient clinic from December 2011 to March 2012 were asked to complete a questionnaire booklet including the following: (1) the Roland Morris disability questionnaire (RMQ) (Fan et al. in Spine 37(10):875-880, 2012), (2) the Short Form Health Survey (SF-36) (Zhang et al. in Int J Med Sci 9(7):521-526, 2012), (3) the Oswestry Disability Index (ODI) (Liu et al. in Spine 34(11):1211-1216, 2009), (4) visual analogue scale (VAS) measure of pain, and (5) COMI. These patients were also asked to complete a second COMI questionnaire and a transition questionnaire (5-point Likert scale: better, a little better, no change, a little worse, worse) and to return the second COMI questionnaire via mail within 1 month., Results: The floor effects for the COMI items ranged from 5.8 to 12.5 %. High values (28.3, 27.5, and 25.8 %, respectively) were found for symptom-specific quality of life, social disability, and work disability. Regarding the ceiling effects, the social and work disabilities were relatively high at 17.5 and 24.2 %, respectively. For other items, the values ranged from 0 to 14.2 %. Neither floor nor ceiling effects were found for the COMI summary score. Excellent correlations were found between the COMI pain scores and VAS scores (Rho = 0.89) and between the COMI pain and the SF-36 bodily pain domain (Rho = 0.84). Other individual items and summary scores showed a very good correlation (Rho = 0.54-0.72) with the corresponding questionnaires except for "symptom-specific well-being" (0.31-0.45). One-way repeated measures ANOVA was used to determine the intraclass correlation coefficient (ICC). The ICC for the entire COMI score was 0.91 (95 % CI 0.85-0.94) and 0.81-0.86 for the two pain scores (back and leg). The "minimum detectable change'' (MDC 95 %) for the COMI summary score was 1.91 points. No significant difference in the mean values was found for the repeated scores of individual items or the summary score., Conclusion: The Simplified Chinese version of COMI showed satisfactory reliability and good psychometric properties. This concise questionnaire is suitable for widespread use in Mainland China.

Purpose: To investigate the prevalence of degenerative lumbar scoliosis (DLS) in Chinese Han population, as well as its correlation with age, gender, bone mineral density (BMD), and body mass index (BMI); and to determine factors that might affect the curve severity., Methods: A prospective study was performed on adults visiting the dual-energy X-ray absorption clinics for physical examination from January 2011 to March 2012. 2,395 subjects aged older than 40 years and having no history of previous spinal trauma, surgeries or scoliosis, were enrolled in this study. A logistic regression analysis was performed to determine the independent variables related to the presence of scoliosis. Besides, the relationship between curve severity and these variables was also analyzed with partial linear correlation analysis., Results: The prevalence of DLS was approximately 13.3 %. The logistic regression analysis showed that age, T score, and gender all had remarkable correlation with the occurrence of DLS, with the odd ratios being 4.2, 1.5, and 1.6, respectively. According to the receiver operating characteristics curve, the best dividing point for age and T score of female subjects was 65 and -2.0, respectively. Partial linear correlation analysis indicated that there existed no obvious correlation between the above variables and the severity of scoliosis., Conclusion: The prevalence of DLS in Chinese Han population aged older than 40 years was approximately 13.3 %, which had a significant correlation with age, gender, and BMD. Osteopenia, gender of female, and aged older than 65 years could contribute to the presence of DLS. The curve severity was not associated with age, gender, BMI, or BMD.

The in situ 120 days experiment was conducted to investigate effects of rainfall on nitrogen and phosphorus loss from courtyard composting with four kinds of coverage, involving no coverage, rice straw, thin film and soil, and their risks of nonpoint source pollution were discussed. The results showed that, with decomposing of the manure and increasing of runoff, the concentration of total nitrogen (TN), ammoniac nitrogen (NH4(+)-N), nitrate nitrogen (NO3(-)-N), total phosphorus (TP) and dissolved phosphorus (DP) from courtyard composting decreased. Especially, the concentration variation of TN, NH4(+)-N, NO3(-)-N with time fit for I kinetic equation, while TP and DP fit for linear equation. The concentration order of nitrogen and phosphorus in runoff observed as follows: no coverage > coverage by rice straw > coverage by soil > coverage by thin film. As a result, the coverage by thin film could be used as a recommended mode to decrease the loss of nitrogen and phosphorus in runoff resulting from its low risks for nonpoint source pollution.

Objective: To explore the perioperative experience of heart valve replacement in Xinjiang area., Methods: A total of 913 cases underwent heart valve replacement in moderate hypothermia under cardiopulmonary bypass surgery in Xinjiang area. The clinical characteristic, indications and treatments of the patients were analyzed retrospectively., Results: Among all cases, the overall recovery was 868 (95.1%) cases. And 45 (4.9%) patients died of postoperative complications. The mortality had significant differences between different age groups and different NYHA classification groups. And there was no significant difference between different operation time groups and different cardiothoracic ratio groups., Conclusion: Valve replacement surgery is still an effective therapy for valvular diseases in Xinjiang area. Enhancing preoperative care for elders and patients with poor cardiac function can decrease the perioperative complications and mortality rate so as to improve the surgical efficacies.