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Background: We established a MSBOS for flap reconstruction in oral and maxillofacial cancer patients. Method: We enrolled 2080 cases of oral and maxillofacial flap reconstruction from January 1, 2010 to December 31, 2021. Patient data were collected, including age, sex, BMI, preoperative Hb levels, ASA grade, T stage, flap type, tumor location, and bone flap. Scoring criteria were established based on a multivariate model of independent risk variables and their odds ratios. Two flap-type groups were divided into low-risk, intermediate-risk and high-risk groups by the scoring criteria, and analyzed using univariate and multivariate logistic regression. Perioperative transfusion analysis identified independent risk factors at various Hb levels. The cumulative percentage of patients requiring perioperative blood transfusion for each surgical procedure was calculated to establish the MSBOS. Results: (1) Regression analysis showed that BMI, tumor T staging, ASA grade, preoperative Hb level (male: Hb < 130 g/L, female: Hb < 120 g/L), and bone flap were independent risk factors for perioperative blood transfusion. (2) Regression analysis showed that independent risk factors for perioperative transfusion included the following: BMI, tumor T3–T4 stage, ASA III, IV grade, and free flap/pediculated flap/bone flap in patients with different Hb levels; T3–T4 stage, ASA grade III–IV in mildly anemic patients; and ASA grade III–IV in moderately anemic patients. (3) A MSBOS was established for flap reconstruction in head and neck cancer patients. Conclusion: A MSBOS for head and neck cancer procedures was reduced by approximately 30% perioperative blood preparation while ensuring that clinical blood use standards were met. It help optimize blood inventory, and save blood resources. [ABSTRACT FROM AUTHOR]

Background: The placebo effect in relieving negative emotion arousal is poorly understood. Aims: We examined whether placebo expectation established with noise stimuli could have a transferable anxiolytic effect on negative emotion arousal. Methods: In Experiment 1, noise intensity was surreptitiously lowered during placebo condition in the preconditioning phase to reinforce placebo expectation, and the noise-relieving placebo effect was assessed in the testing phase. In Experiment 2, the same manipulation as in Experiment 1 was administered in the preconditioning phase, but the anxiolytic placebo effect was assessed in the testing phase using negative pictures. Results: Intensity and annoyance by the noise in Experiment 1 were significantly reduced, and unpleasantness in Experiment 2 was also significantly reduced in the placebo condition. Conclusion: Direct noise-relieving placebo effects and transferred anxiolytic placebo effects were found. The present study provides evidence that the placebo effect can be transferred from noise to emotion. [ABSTRACT FROM AUTHOR]

Pneumonia is a major cause of childhood morbidity in China. Many studies of rural areas have found an association between pneumonia and air pollution from burning of bio-mass. The present study is of children living in urban, modern homes without burning of bio-mass. In order to investigate potential home risk factors associated with children’s pneumonia, China Child Home Health (CCHH) questionnaires were randomly distributed to parents of 6461 children in 23 kindergartens in all 11 districts of Nanjing, covering urban, suburban, and industrial areas. The 4014 valid questionnaires (response rate 65.7%) were returned and have been analyzed. The lifetime incidence of pneumonia in Nanjing children 1–8 years old is 26.7%. The incidence of croup, asthma and frequent common colds was strongly associated with pneumonia, as was a history of allergies in the family, and persons other than parents (for example grandparents or nanny) taking care of the child. Several home environmental factors, namely, dampness, lack of ventilation, using coal or natural gas (electricity as reference) for cooking, new furniture, and “modern” floor and wall covering materials were also significantly associated with pneumonia. The indoor environment typical of modern apartments in China was a risk factor for pneumonia among children. [ABSTRACT FROM AUTHOR]

Sharing scientific data is an effective means to rationally exploit scientific data and is vital to promote the development of the industrial chain and improve the level of science and technology. In recent years, the popularity of the open data platform has increased, but problems remain, including imperfect system architecture, unsound privacy and security, and non-standardized interaction data. To address these problems, the blockchain's decentralization, smart contracts, distributed storage, and other features can be used as the core technology for open data systems. This paper addresses the problems of opening, allocation-right confirmation, sharing, and rational use of wild-bird data from Yunnan Province, China. A data storage model is proposed based on the blockchain and interstellar file system and is applied to wild-bird data to overcome the mutual distrust between ornithology institutions in the collaborative processing and data storage of bird data. The model provides secure storage and secure access control of bird data in the cloud, thereby ensuring the decentralized and secure storage of wild-bird data for multiple research institutions.

We isolated a novel strain D5 from nodules of Acacia confusa. Under strict sterile conditions the strain could successfully nodulate Acacia confusa, A. crassicarpa and A. mangium, with nitrogenase activity ranging from 18.90 to 19.86 nmol·g(-1)·min(-1). In the phylogenetic tree based on a complete 16S rRNA gene sequence, the sequence of strain D5 shared 99% homology with that of four species of genus Pseudomonas. The 685 bp nodA fragment amplified from strain D5 shared 95% homology with the nodA sequence of 9 species of genus Bradyrhizobium, with a genetic distance of 0.01682. The 740 bp nifH gene fragment was amplified from strain D5. This strain D5 nifH gene and Bradyrhizobium spp. formed a branch, showing 98% homology and a genetic distance of 0. The homology between this branch and the Bradyrhizobium spp. DG in another branch was 99%, with a genetic distance of 0.007906. These results indicate that this strain D5 is a new type of nitrogen-fixing bacterium.