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Introduction: Penicillium marneffei is one of the most common opportunistic infectious fungi associated with AIDS (Acquired Immunodeficiency Syndrome). It is prevalent in Southeast Asia and southern China (such as Guangdong), but rare in inland provinces of China. Penicillium marneffei infections are often misdiagnosed., Case Report: Here, we report a patient with Penicillium marneffei infection from Shaanxi Province, China, who was previously repeatedly diagnosed as Kala-azar in two hospitals. The patient received medical treatment due to fever and multiple papules, worked as a tour guide, and had travel history in Southeast Asian countries. We performed nanopore genome sequencing on blood samples of the patient and obtained 84,000 reads in 3.5 hours. The average length of the sequences was 7088.7 bases and the longest sequence was 87471 bases. Through comparison with the pathogenic bacteria database, 13 homologous Penicillium marneffei sequences were identified. Furthermore, by using specific quantitative real time-polymerase chain reaction of Penicillium marneffei, fungal ITS (Internal Transcribed Spacer) sequencing, and fungal biphasic culture, we further confirmed the pathogen as Penicillium marneffei. Meanwhile, the patient was confirmed to be HIV (Human Immunodeficiency Virus) positive. Thus, the patient was diagnosed with AIDS combined with Penicillium marneffei infection, which, to the best of our knowledge, is the first report of Penicillium marneffei infection in Shaanxi Province, China., Conclusions: Metagenomic analysis based on nanopore sequencing provides an important reference for the diagnosis of Penicillium marneffei infection in this case., Competing Interests: No Conflict of Interest is declared, (Copyright (c) 2022 Dongli Liu, Lin Ma, Lingfeng Mao, Yiqun Wang, Long Ding, Anli Wang.)

Rational excogitation of microstructure and chemical constituents is a superior means of constructing electromagnetic wave (EMW) absorption materials with high performance. In this study, a kind of honeycomb-like NiFe 2 O 4 @Ni@C composite is prepared via an uncomplicated polymerization, pyrolysis and etching. Porous structure and internal cavity of NiFe 2 O 4 @Ni@C contribute to the numerous reflection and scattering of EMW. The strong ferromagnetic resonance of NiFe 2 O 4 core and the multiple relaxation processes of porous carbon shell strongly promote the EMW loss. Additionally, the synergistic effect can improve impedance matching. The results demonstrate that the minimum reflection loss (RL) of honeycomb-like NiFe 2 O 4 @Ni@C composites is -65.33 dB at 13.63 GHz. The effective absorption bandwidth (EAB) is 3.68 GHz when the matching thickness is 4.95 mm. The mechanism of EMW dissipation of the honeycomb-like NiFe 2 O 4 @Ni@C composites is attributed to multiple reflections and scattering, conductive loss, interfacial polarization and ferromagnetism resonance. This work provides a tactic for the excogitation and synthesis of a low cost, light weight and efficient EMW absorber., 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 © 2021 Elsevier Inc. All rights reserved.)

Purpose: The existing periprosthetic joint infection (PJI) models have obvious limitations, and studies of PJI on animal models using PET/computed tomography (CT) for diagnosis are still lacking. Thus, the aim of this study was to establish a new PJI model and 18F-fluorodeoxyglucose (FDG) and 68Ga-fibroblast activation protein inhibitor (FAPI) were employed to study their performance., Methods: A novel PJI model of rabbit was developed by placing two screws in the tibia and femur. Based on bacteria concentration, the animals were divided into five groups, control, 104, 105, 106 and 107. 18F-FDG and 68Ga-FAPI PET/CT were performed continuously in next 2 weeks and maximum standardized uptake value (SUVmax), mean standardized uptake value (SUVmean), metabolic target volume (MTV) and total lesion glycolysis/total lesion fibrosis were calculated as the metrics., Results: As for SUVmax, all data of 18F-FDG were larger than that of 68Ga-FAPI in the same group for both weeks. For the performance of 18F-FDG, no definitive conclusion could be drawn for SUVmax and SUVmean. As for 68Ga-FAPI, the 104 group was significantly larger than 105, 106 and 107 groups for SUVmax and SUVmean in both weeks (P < 0.05). MTV of 68Ga-FAPI was found to be almost always larger than that of 18F-FDG in the same group., Conclusion: The mechanism of 68Ga-FAPI is totally different from 18F-FDG and this unique property of 68Ga-FAPI shows a promising prospect in detecting infection boundary and may even distinguish a small number or a large number of bacterial infections., (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)

The regeneration of peripheral nerves is guided by regeneration tracks formed through an interplay of many cell types, but the underlying signaling pathways remain unclear. Here, we demonstrate that macrophages are mobilized ahead of Schwann cells in the nerve bridge after transection injury to participate in building regeneration tracks. This requires the function of guidance receptor Plexin-B2, which is robustly up-regulated in infiltrating macrophages in injured nerves. Conditional deletion of Plexin-B2 in myeloid lineage resulted in not only macrophage misalignment but also matrix disarray and Schwann cell disorganization, leading to misguided axons and delayed functional recovery. Plexin-B2 is not required for macrophage recruitment or activation but enables macrophages to steer clear of colliding axons, in particular the growth cones at the tip of regenerating axons, leading to parallel alignment postcollision. Together, our studies unveil a novel reparative function of macrophages and the importance of Plexin-B2-mediated collision-dependent contact avoidance between macrophages and regenerating axons in forming regeneration tracks during peripheral nerve regeneration., (© 2022 Li et al.; Published by Cold Spring Harbor Laboratory Press.)

The new, quaternary diamond-like semiconductor (DLS) Cu 4 MnGe 2 S 7 was prepared at high-temperature from a stoichiometric reaction of the elements under vacuum. Single crystal X-ray diffraction data were used to solve and refine the structure in the polar space group Cc. Cu 4 MnGe 2 S 7 features [Ge 2 S 7 ] 6- units and adopts the Cu 5 Si 2 S 7 structure type that can be considered a derivative of the hexagonal diamond structure. The DLS Cu 2 MnGeS 4 with the wurtz-stannite structure was similarly prepared at a lower temperature. The achievement of relatively phase-pure samples, confirmed by X-ray powder diffraction data, was nontrival as differential thermal analysis shows an incongruent melting behaviour for both compounds at relatively high temperature. The dark red Cu 2 MnGeS 4 and Cu 4 MnGe 2 S 7 compounds exhibit direct optical bandgaps of 2.21 and 1.98 eV, respectively. The infrared (IR) spectra indicate potentially wide windows of optical transparency up to 25 μm for both materials. Using the Kurtz-Perry powder method, the second-order nonlinear optical susceptibility, χ (2) , values for Cu 2 MnGeS 4 and Cu 4 MnGe 2 S 7 were estimated to be 16.9 ± 2.0 pm V -1 and 2.33 ± 0.86 pm V -1 , respectively, by comparing with an optical-quality standard reference material, AgGaSe 2 (AGSe). Cu 2 MnGeS 4 was found to be phase matchable at λ = 3100 nm, whereas Cu 4 MnGe 2 S 7 was determined to be non-phase matchable at λ = 1600 nm. The weak SHG response of Cu 4 MnGe 2 S 7 precluded phase-matching studies at longer wavelengths. The laser-induced damage threshold (LIDT) for Cu 2 MnGeS 4 was estimated to be ∼0.1 GW cm -2 at λ = 1064 nm (pulse width: τ = 30 ps), while the LIDT for Cu 4 MnGe 2 S 7 could not be ascertained due to its weak response. The significant variance in NLO properties can be reasoned using the results from electronic structure calculations.

Fatty acids are ubiquitous constituents of grime on urban and indoor surfaces and they represent important surfactants on organic aerosol particles in the atmosphere. Here, we assess the heterogeneous processing of NO 2 on films consisting of pure oleic acid (OA) or a mixture of OA and representative salts for urban grime and aerosol particles, namely Na 2 SO 4 and NaNO 3 . The uptake coefficients of NO 2 on OA under light irradiation (300 nm < λ < 400 nm) decreased with increasing relative humidity (RH), from (1.4 ± 0.1) × 10 -6 at 0% RH to (7.1 ± 1.6) × 10 -7 at 90% RH. The uptake process of NO 2 on OA gives HONO as a reaction product, and the highest HONO production was observed upon the heterogeneous reaction of NO 2 with OA in the presence of nitrate (NO 3 - ) ions. The formation of gaseous nitroaromatic compounds was also enhanced in the presence of NO 3 - ions upon light-induced heterogeneous processing of NO 2 with OA, as revealed by membrane inlet single-photon ionization time-of-flight mass spectrometry (MI-SPI-TOFMS). These results suggest that inorganic salts can affect the heterogeneous conversion of gaseous NO 2 on fatty acids and enhance the formation of HONO and other N-containing organic compounds in the atmosphere.

Background: Disturbance of the gut microbiota may play a critical role in the progression of nonalcoholic fatty liver disease (NAFLD) induced by high-fat diet (HFD). Changes in gut microbiota were analyzed in a rat HFD-induced NAFLD model following treatment with Qinghua Fang (QHF), a Chinese herbal formula currently used in the clinical practice of traditional Chinese medicine., Methods: Sixty Wistar rats were randomly divided into 6 groups (n=10): blank group [normal chow (NC) group], model group (HFD group), control group (BG group), Qinghua Fang high-dose group [QHF(H) group], QHF mid-dose group [QHF(M) group], QHF low-dose group [QHF(L) group]. The high, medium and low doses of QHF were used to intervene in the H, M, and L groups; the BG group was given berberine; the NC and HFD groups were given distilled water for 10 weeks. H&E staining, determination of serum liver function and blood lipid levels, and changes in the structure of rat intestinal flora through 16S rDNA denaturing gradient gel electrophoresis sequencing technology and ERIC-PCR fingerprinting were performed., Results: The liver function and blood lipid levels of the rats in the HFD group were higher than those in the NC group; the alanine aminotransferase levels in the QHF-H group, QFH-M group and QHF-L group were lower than in the HFD group (P<0.05); the liver pathology of the QHF-M group and QHF-H group showed a small amount of fatty cell infiltration, but was significantly less than the hepatocyte inflammation and necrosis in the HFD group. The ERIC-PCR fingerprint and diversity analysis found that the composition of the intestinal flora of rats in the QHF-H group was significantly different from that of the NC and HFD groups. The flora of the QHF and NC groups was more diverse and richer than in the HFD group (P<0.05)., Conclusions: QHF alleviated the liver dysfunction and increased blood lipid levels of NAFLD rats induced by HFD. It also effectively reduced the degree of liver steatosis and adjusted the number and structure of intestinal flora. Treatment with QHF had a significant effect on NAFLD.

The purpose of this article was to use finite element analysis (FEA) to study the relationship of tibial tunnel (TT) with fracture pattern and implants. A computed tomography scan of full-length tibia and fibula was obtained. Models were built after three-dimensional reconstruction. The corresponding plates and screws were constructed and assembled together with fracture models. FEA was performed and contourplots were output. The Von Mises stresses of nodes and displacements of elements were extracted. Student's t test was used to compare the values of Von Mises stresses and displacements between corresponding models. Differences in Von Mises stresses and displacements of fragments and implants between models with and without TT were nearly all statistically significant. However, the displacements of fragments and implants for all models were < 2 mm. TT in fracture models had larger Von Mises stresses than TT in intact tibial model. However, displacements of TT in fracture models showed similar or even smaller results to those in intact tibial model. Although almost all the tested parameters were statistically significant, differences were small and values were all below the clinical threshold. This study could promote open reduction and internal fixation with one-stage reconstruction for treatment of tibial plateau fractures associated with anterior cruciate ligament (ACL) ruptures.

The special structure and composition are the important factors that determine the microwave absorption properties. In this study, the porous hollow carbon microsphere (PHCMS) is synthesized by the self-assembly technology, and ZnFe 2 O 4 particles are synthesized inside the carbon sphere by in-situ preparation with taking advantage of the porous and hollow characteristics of the carbon sphere, which prepares ZnFe 2 O 4 @PHCMS composite material. The composite shows good performance in terms of minimum reflection loss and absorption bandwidth. The results show that the maximum adsorption capacity of the composite is -51.43 dB at 7.2 GHz. When the thickness is 4.8 mm, the effective absorption bandwidth of RL ≤ 10 dB electromagnetic wave is 3.52 GHz. Such enhanced electromagnetic wave absorption properties of ZnFe 2 O 4 @PHCMS are ascribed to the suitable impedance characteristic, the dipole polarization and interfacial polarization, the multiple Debye relaxation process and strong natural resonance, multiple reflection and scattering. This work provides an approach to design effective microwave absorbers having a unique structure to enhance the microwave absorption properties., 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 Inc. All rights reserved.)

Objective: Early treatment of fractures of the cranio-maxillofacial complex (CMFC) is challenging and likely to result in craniofacial deformity. Multidisciplinary team (MDT) care has developed very rapidly and has recently been accepted in cancer treatment. Therefore, the authors explored the application of MDT care with digital technology in CMFC fractures., Study Design: A 29-year-old man presented for treatment of CMFC fractures and bone defects. An MDT of oral surgeons, ophthalmic surgeons, neurological surgeons, and other experts was convened. After CT scan and three-dimensional reconstruction, the authors performed personalized surgery that included 9 specialists over an 8-hour period., Results: The operation was successful and all fractures achieved clinical stability. At 1-month follow-up, appropriate appearance and functional recovery had been achieved., Conclusion: In this study, MDT care with digital technology was very effective and had low associated costs. The involvement of more disciplines in MDT care may result in fewer complications.

Polycyclic aromatic hydrocarbons (PAHs) as constituents of urban grime and indoor surfaces can impact the photochemical conversion of nitrogen dioxide (NO 2 ) to nitrous acid (HONO) thereby impacting the oxidation capacity of the atmosphere. In this study we investigate the effect of relative humidity (RH%), light intensity, and NO 2 concentrations on uptake coefficients (γ) of NO 2 on solid film consisting of fluorene (FL) and a mixture of FL and Na 2 SO 4 as a proxy for urban and indoor grime at ambient pressure and temperature. γ(NO 2 ) on solid FL increased markedly from (5.7 ± 1.7) × 10 -7 at 0% RH to (4.6 ± 1.0) × 10 -6 at 90% RH. The NO 2 to HONO conversion yield, (ΔHONO/ΔNO 2 )%, increases with RH from 40% at 0% RH up to 80% at 60-90% RH, indicating that the water molecules favor the formation of HONO up to 60% RH. These results suggest that the heterogeneous photochemical reaction of NO 2 on FL and FL/Na 2 SO 4 can be an important source of HONO in the urban environment and indoor atmosphere and should be considered in photochemical models.

As an evolutionarily conserved intracellular degradation pathway, autophagy is essential to cellular homeostasis. Several studies have demonstrated that autophagy showed an important effect on some pulmonary fibrosis diseases, including idiopathic pulmonary fibrosis (IPF), cystic fibrosis lung disease, silicosis and smoking-induced pulmonary fibrosis. For example, autophagy mitigates the pathological progression of IPF by regulating the apoptosis of fibroblasts and the senescence of alveolar epithelial cells. In addition, autophagy ameliorates cystic fibrosis lung disease via rescuing transmembrane conductance regulators (CFTRs) to the plasma membrane. Furthermore, autophagy alleviates the silica-induced pulmonary fibrosis by decreasing apoptosis of alveolar epithelial cells in silicosis. However, excessive macrophage autophagy aggravates the pathogenesis of silicosis fibrosis by promoting the proliferation and migration of lung fibroblasts in silicosis. Autophagy is also involved in smoking-induced pulmonary fibrosis, coal workers' pneumoconiosis, ionizing radiation-mediated pulmonary fibrosis and heavy metal nanoparticle-mediated pulmonary fibrosis. In this review, the role and signalling mechanisms of autophagy in the progression of pulmonary fibrosis diseases have been systematically analysed. It has provided a new insight into the therapeutic potential associated with autophagy in pulmonary fibrosis diseases. In conclusion, the targeting of autophagy might prove to be a prospective avenue for the therapeutic intervention of pulmonary fibrosis diseases., Competing Interests: Declaration of Competing Interest The authors declared that there is no conflict of interest., (Copyright © 2019 Elsevier B.V. All rights reserved.)

The objective of this study was to evaluate changes in sexual function after total laparoscopic hysterectomy (TLH) or transabdominal hysterectomy (TAH). This retrospective cohort study included patients with benign uterine tumors that were divided into TLH group and TAH group based on the hysterectomy technique used. Baseline, intraoperative, and postoperative characteristics were compared between groups. Postoperative sexual function was assessed using the Brief Index of Sexual Functioning for Women. The TLH and TAH groups contained 119 patients (age, 51.5±6.1 years) and 126 patients (age, 50.0±4.7 years), respectively. Baseline characteristics were comparable between groups, although uterine size was larger in the TAH group (P<0.001). Compared with the TAH group, the TLH group had a longer operative time (130.0±36.2 vs 107.3±28.5 min, P<0.001), lower pain index at 24 h (2.0±1.6 vs 4.0±2.6, P<0.001), and shorter hospitalization time (5.7±1.1 vs 8.1±1.2 days, P<0.001). Many patients in the TLH and TAH groups reported decreased satisfaction with their sexual life (67.5 and 56.0%, respectively), reduced frequency of sexual activity (70.1 and 56.0%, respectively), decreased libido (67.5 and 56.0%, respectively), orgasm dysfunction (42.9 and 42.9%, respectively), and increased dyspareunia (77.9 and 85.7%, respectively). However, there was no significant difference between groups in any of the indexes of postoperative sexual function (P>0.05). Both TLH and TAH had comparable negative effects on sexual function in women treated for benign uterine tumors in China, with a decreased frequency of sexual activity, reduced libido, orgasm dysfunction, and increased dyspareunia.

We introduce a novel algorithm for isotropic surface remeshing which progressively eliminates obtuse triangles and improves small angles. The main novelty of the proposed approach is a simple vertex insertion scheme that facilitates the removal of large angles, and a vertex removal operation that improves the distribution of small angles. In combination with other standard local mesh operators, e.g., connectivity optimization and local tangential smoothing, our algorithm is able to remesh efficiently a low-quality mesh surface. Our approach can be applied directly or used as a post-processing step following other remeshing approaches. Our method has a similar computational efficiency to the fastest approach available, i.e., real-time adaptive remeshing [1]. In comparison with state-of-the-art approaches, our method consistently generates better results based on evaluations using different metrics.

Objective: In 1976, the Royal College of Physicians and the British Cardiac Society recommended eating less fatty red meat and more poultry instead because it was lean. However, the situation has changed since that time, with a striking increase in fat content of the standard broiler chicken. The aim of the present study was to report a snapshot of data on fat in chickens now sold to the public., Design: Samples were obtained randomly between 2004 and 2008 from UK supermarkets, farm shops and a football club. The amount of chicken fat was estimated by emulsification and chloroform/methanol extraction., Setting: Food sold in supermarkets and farms in England., Subjects: Chicken samples., Results: The fat energy exceeded that of protein. There has been a loss of n-3 fatty acids. The n-6:n-3 ratio was found to be as high as 9:1, as opposed to the recommendation of about 2:1. Moreover, the TAG level in the meat and whole bird mostly exceeded the proportion of phospholipids, which should be the higher for muscle function. The n-3 fatty acid docosapentaenoic acid (DPA, 22 : 5n-3) was in excess of DHA (22 : 6n-3). Previous analyses had, as usual for birds, more DHA than DPA., Conclusions: Traditional poultry and eggs were one of the few land-based sources of long-chain n-3 fatty acids, especially DHA, which is synthesized from its parent precursor in the green food chain. In view of the obesity epidemic, chickens that provide several times the fat energy compared with protein seem illogical. This type of chicken husbandry needs to be reviewed with regard to its implications for animal welfare and human nutrition.

gamma-Secretase inhibitors have been shown to reduce the production of beta-amyloid, a component of the plaques that are found in brains of patients with Alzheimer's disease. A novel series of heterocyclic sulfonamide gamma-secretase inhibitors that reduce beta-amyloid levels in cells is reported. Several examples of compounds within this series demonstrate a higher propensity to inhibit the processing of amyloid precursor protein compared to Notch, an alternative gamma-secretase substrate.

The aim of this study was to investigate concentrations of n-3 and n-6 fatty acids in pregnant women and neonates from River/Lake, Coastal and Inland regions of China. Demographic, nutritional and anthropometric data, as well as blood samples (maternal and cord) were obtained. Plasma choline phosphglyceride (CPG) fatty acids were analysed. Median daily fatty acid intakes of the women from River/Lake, Coastal and Inland women were linoleic acid (LA), 20.2, 22.1, 31.7 g; arachidonic acid (AA), 157.2, 95.6, 141.3 mg; alpha-linolenic acid (ALA), 4.2, 1.0, 1.8 g; eicosapentenoic acid (EPA), 22.4, 28.6, 3.1 mg; docosahexaenoic acid (DHA), 51.7, 54.7, 33.3 mg and the n-3 to n-6 fatty acid ratio, 4.7, 20.9,17.2. The median maternal and cord plasma CPG AA levels of River/Lake, Coastal and Inland groups were 7.3 and 15.7, 6.7 and 16.1%, and 7.2 and 16.9%. The median maternal and neonatal DHA levels in the three regions were 3.2 and 4.7%, 3.0 and 4.3%, and 2.0 and 3.6%. There appears to be a close association between dietary intake of AA, EPA, DHA and the corresponding level in maternal plasma CPG (p<0.05). Based on these results, it can be concluded that the low intake of n-3 long chain polyunsaturated fatty acids such as EPA and DHA and the unbalanced n-6 to n-3 fatty acids ratio are the main problems in terms of dietary fat intake among Chinese pregnant women. Measures could be taken such as increasing the supply of oily fish or ALA rich edible oils to increase n-3 fatty acids intake for pregnant Chinese women.