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The family farm is an important entity in the modern agricultural industrial chain. It is of great significance to empirically study its operational performance improvement and sustainable development. This paper introduces symbiosis theory to establish a symbiosis system framework of the family farm industrial chain and analyzes family farms’ operational performance from the view of industrial symbiosis cooperation. We selected 552 agricultural planting family farms in China’s Xinjiang Production and Construction Corps as samples to measure the operational environment and performance of family farms using factor analysis and examining the effects of long-term cooperation among the industrial chain entities on family farms’ operational performance using the ordered probit model. The results show that the long-term cooperation of the family farms with other entities has a significant positive impact on the family farms’ operational performance, which can be enhanced by the improvement of cooperation and moderated by the external environment. Therefore, it is suggested to promote the long-term cooperation between family farms and other industrial chain entities, as well as the industrial environment optimization, to accelerate the healthy and sustainable development of family farms with a continuous, symmetrical, and reciprocal symbiotic model.

The architecture and genetic diversity of mitogenome (mtDNA) are largely unknown in cultivated soybean (Glycine max), which is domesticated from the wild progenitor, Glycine soja, 5000 years ago. Here, we de novo assembled the mitogenome of the cultivar 'Williams 82' (Wm82_mtDNA) with Illumina PE300 deep sequencing data, and verified it with polymerase chain reaction (PCR) and Southern blot analyses. Wm82_mtDNA maps as two autonomous circular chromosomes (370 871-bp Chr-m1 and 62 661-bp Chr-m2). Its structure is extensively divergent from that of the mono-chromosomal mitogenome reported in the landrace 'Aiganhuang' (AGH_mtDNA). Synteny analysis showed that the structural variations (SVs) between two genomes are mainly attributed to ectopic and illegitimate recombination. Moreover, Wm82_mtDNA and AGH_mtDNA each possess six and four specific regions, which are absent in their counterparts and likely result from differential sequence-loss events. Mitogenome SV was further studied in 39 wild and 182 cultivated soybean accessions distributed world-widely with PCR/Southern analyses or a comparable in silico analysis. The results classified both wild and cultivated soybeans into five cytoplasmic groups, named as GSa-GSe and G1-G5; 'Williams 82' and 'Aiganhuang' belong to G1 and G5, respectively. Notably, except for members in GSe and G5, all accessions carry a bi-chromosomal mitogenome with a common Chr-m2. Phylogenetic analyses based on mtDNA structures and chloroplast gene sequences both inferred that G1-G3, representing >90% of cultigens, likely inherited cytoplasm from the ancestor of domestic soybean, while G4 and G5 likely inherited cytoplasm from wild soybeans carrying GSa- and GSe-like cytoplasm through interspecific hybridization, offering new insights into soybean cultivation history.

This study explored changes in imaging after lumbar disc nucleoplasty in rabbits.Twenty-four rabbits were randomly selected for X-ray, computerized tomography (CT), and magnetic resonance imaging (MRI) at 2, 6, and 12 weeks post operation. Moreover, their L3/4, L4/5, and L5/6 intervertebral discs were randomly selected as the untreated, annulus puncture, and nucleoplasty groups, respectively. Changes in disc height index (DHI%) and MRI grade were measured and compared. CT three-dimensional reconstruction was used to evaluate adjacent bone endplate changes.The untreated group's DHI% decreased slightly at different time points (p 0.05), while that of the nucleoplasty and annulus puncture groups decreased progressively (p 0.05). At six weeks post operation, the nucleoplasty group's DHI% was significantly lower than that of the annulus puncture group (p 0.05), with mild osteosclerosis and local rough changes in the endplate. At 12 weeks post operation, a "bone bridge" connection was observed in the nucleoplasty group. There was no significant difference in MRI grade between the untreated and annulus puncture groups at different time points (p 0.05). MRI grades of the intervertebral disc in the nucleoplasty and annulus puncture groups showed a progressive increase (p 0.05). Compared with the annulus puncture at the same time point, the nucleoplasty group's MRI grade of the intervertebral disc was significantly higher (p 0.05). Thus, damage caused by an annulus puncture can lead to progressive degeneration of the lumbar disc.Nucleoplasty may have a cumulative effect with the injury of the annulus puncture. Clinicians need to comprehensively consider advantages and disadvantages of nucleoplasty, strictly grasp indications of treatment, and prevent long-term complications.

To assess the value of three-dimensional volume contrast imaging C (VCI-C) combined with magnetic resonance imaging (MRI) in the diagnosis of fetal posterior cranial cavity disease.This study retrospectively analyzed the imaging data of 100 pregnant women with diagnosed abnormal development of fetal cerebellar vermis or posterior cranial fossa in our hospital from January 2020 to February 2022. VCI-C combined with MRI was used to evaluate the morphology of fetal cerebellar vermis, and the display of primary fissures and secondary fissures. The angle between the brain stem and cerebellar vermis (BVA) and the angle between brain stem and cerebellar tentorium (BTA) were measured and compared through MRI images.There was no significant difference between VCI-C and MRI in measuring the height, anteroposterior diameter, or area, BVA and BTA of fetal cerebellar vermis in the normal control group (P0.05). It can be considered that the two imaging methods are consistent in measuring the height, anteroposterior diameter and area, BVA, and BTA of the fetal cerebellar vermis in the normal control group. There was no significant difference between VCI-C and MRI in measuring the height, anterior posterior diameter and area, BVA, or BTA of the vermis in the group of fetal cerebellar vermis dysplasia (P0.05). The two imaging methods were comparable for all these measurements.Combining three-dimensional VCI-Cwith MRI diagnosis, the median sagittal section of the cerebellar vermis can be observed, the morphologic structure of the vermis, and the anatomical structure of the posterior cranial fossa can be reflected stereoscopically. Quantitative indexes can be measured and calculated to evaluate the developmental abnormalities of the fetal cerebellar vermis and the lesions of the posterior cranial fossa. Their combined effect is better than that of a single application.

Cytoplasmic male sterility (CMS)-restorer system is a useful tool to exploit heterosis in soybean. The major restorer gene for the M-type CMS is known as Rf-m, located in the 162.4-kb region on chromosome 16. Sequence analysis has revealed that the Rf-m locus in Glycine max consists of seven pentatricopeptide repeat (GmPPR) genes. The deduced amino acid sequences contain 8 to 14 PPR motifs, and a phylogenetic analysis grouped these GmPPR proteins into two PPR subfamilies: Glyma.16G161800 belongs to the PLS subfamily, and the P subfamily consists of Glyma.16G161900, Glyma.16G162000, Glyma.16G162100, Glyma.16G162700, Glyma.16G162800, and Glyma.16G163100. The phylogenetic analysis of seven GmPPR proteins and 27 other plant PPR proteins also showed that proteins in the same subfamilies cluster together. Comparative sequence analysis was conducted using the seven Rf-m candidate GmPPR genes from the sterile line W931A, the maintainer line W931B, and the restorer line WR016, the result showed that Glyma.16G161900 had higher polymorphism than the other candidate genes. Based on real-time quantitative RT-PCR data, all seven GmPPR genes were differentially expressed but showed constitutive expression in roots, stems, leaves, and pollen grains. Additionally, the expression level of Glyma.16G161900 in the sterile line W931A was significantly higher in all tissues than in the restorer line WR016. Taken together, these results suggest that Glyma.16G161900 is the most likely candidate for the restorer gene Rf-m. This study is the first report and analysis of candidate fertility restorer (Rf) genes encoding PPR proteins in soybean.

Background/Objective The deleterious effects of chronic spinal cord injury (SCI) on the skeleton in rats, especially the lower extremities, has been proved previously. However, the long-term skeletal changes after SCI in non-human primates (NHP) have been scarcely studied. This study aimed to evaluate the bone loss in limbs and vertebrae and the bone metabolic changes in NHP after unilateral cervical spinal cord contusion injury. Methods Twelve Macaca fascicularis were randomly divided into the SCI (n=8) and the Sham (n=4) groups. The SCI models were established using hemi-contusion cervical spinal cord injury on fifth cervical vertebra (C5), and were further evaluated by histological staining and neurophysiological monitoring. Changes of bone microstructures, bone biomechanics, and bone metabolism markers were assessed by micro-CT, micro-FEA and serological kit. Results The NHP hemi-contusion cervical SCI model led to consistent unilateral limb dysfunction and potential plasticity in the face of loss of spinal cord. Furthermore, the cancellous bone mass of ipsilateral humerus and radius decreased significantly compared to the contralateral side. The bone volume fraction of humerus and radius were 17.2% and 20.1% on the ipsilateral while 29.0% and 30.1% on the contralateral respectively. Similarly, the thickness of the cortical bone in the ipsilateral forelimbs was significantly decreased, as well as the bone strength of the ipsilateral forelimbs. These changes were accompanied by diminished concentration of osteocalcin and total procollagen type 1 N-terminal propeptide (t-P1NP) as well as increased level of β-C-terminal cross-linking telopeptide of type 1collagen (β-CTX) in serological testing. Conclusions The present study demonstrated that hemi-SCI induced loss of bone mass and compromised biomechanical performance in ipsilateral forelimbs, which could be indicated by both muscle atrophy and serological changes of bone metabolism, and associated with a consistent loss of large-diameter cells of sensory neurons in the dorsal root ganglia. The Translational potential of this Article Our study, for the first time, demonstrated the bone loss in limbs and vertebrae as well as the bone metabolic changes in non-human primates after unilateral spinal cord injury (SCI). This may help to elucidate the role of muscle atrophy, serological changes and loss of sensory neurons in the mechanisms of SCI-induced osteoporosis, which would be definitely better compared with rodent models.

OBJECTIVE Atlanto-occipital instability is commonly treated with posterior fixation. However, in patients with congenital or acquired factors, posterior fixation may not be possible. For these situations, a novel anterior atlanto-occipital transarticular screw (AATS) fixation technique has been introduced recently. However, biomechanical study of this technique is lacking. This study was designed to evaluate the biomechanical stability of AATS fixation for the atlanto-occipital joint and compare it with conventional posterior occipitocervical fixation (POCF). METHODS Six cadaveric specimens (occiput–C4) were tested in four conditions, including intact, injury, injury + AATS, and injury + POCF states. A pure moment of 1.5 Nm was applied to specimens in flexion, extension, lateral bending, and axial rotation. The range of motion (ROM) and neutral zone (NZ) were calculated and compared from the occiput to C1. RESULTS The AATS fixation constrained ROMs to 0.4° in flexion (p < 0.001), 0.4° in extension (p < 0.001), 1.0° in lateral bending (p < 0.001), and 0.7° in axial rotation (p < 0.001) when compared with the injury state. In all directions, there was no statistically significant difference observed in ROMs and NZs between AATS fixation and POCF (p > 0.05). CONCLUSIONS This study identified that the novel AATS fixation, as stand-alone anterior fixation, was equivalent to POCF in all directions. The results suggest that anterior transarticular screw fixation is a biomechanically effective salvage technique for posterior atlanto-occipital fixation, and may also serve as supplemental fixation.

Non-human primates are most suitable for generating cervical experimental models, and it is necessary to study the anatomy of the cervical spine in non-human primates when generating the models. The purpose of this study was to provide the anatomical parameters of the cervical spine and spinal cord in long-tailed macaques (Macaca fascicularis) as a basis for cervical spine-related experimental studies. Cervical spine specimens from 8 male adult subjects were scanned by micro-computed tomography, and an additional 10 live male subjects were scanned by magnetic resonance imaging. The measurements and parameters from them were compared to those of 12 male adult human subjects. Additionally, 10 live male subjects were scanned by magnetic resonance imaging, and the width and depth of the spinal cord and spinal canal and the thickness of the anterior and posterior cerebrospinal fluid were measured and compared to the relevant parameters of 10 male adult human subjects. The tendency of cervical parameters to change with segmental changes was similar between species. The vertebral body, spinal canal, and spinal cord were significantly flatter in the human subjects than in the long-tailed macaques. The cerebrospinal fluid space in the long-tailed macaques was smaller than that in the human subjects. The anatomical features of the cervical vertebrae of long-tailed macaques provide a reference for establishing a preclinical model of cervical spinal cord injury.

Blind identification of encoders has received increasing attention in recent years. In this letter, we focus on LDPC coded communication systems and study the problem of blind identification over a candidate set. We propose a blind identification method based on a two-stage maximum a posteriori probability estimation. The first stage measures the parity-check relationship between the received vectors and the rows of the parity-check matrices in the candidate set, and the second stage deals with the effect of row weights. Moreover, We theoretically explained the mechanism by which row weight affects identification results and proved that the proposed method can considerably suppress the preference of the existing methods for low row weights. Simulation results show that the proposed method always has a higher probability of correct identification for parity-check matrices with high row weights in the candidate set than the existing methods.

Nyquist signals with low roll-off factors pose a challenge for non-data-aided blind symbol rate estimation problems in long-haul applications. We adopted the nonlinear least squares (NLS) approach to estimate the symbol rate of low roll-off factor signals. This method tolerates chromatic dispersion and additive Gaussian noise. In addition, this method can operate below two samples per symbol, thus enabling low-power-consumption receivers. Simulation and experimental results show that the mean squared error is below $10^{-4}$ with only 3000 samples needed for polarization-division-multiplexed (PDM) quadrature phase-shift keying (QPSK) or quadrature amplitude modulation (QAM) systems with a roll-off factor below 0.1 for an optical signal-to-noise ratio greater than 12 dB. Compared with the maximum likelihood estimation (MLE) method, our proposed method has a more robust performance under low roll-off factor signals and in low-sampling-rate scenarios. The mean squared error remains the same for a nominal symbol rate (i.e., the ratio of the symbol rate to the sampling rate, also widely known as oversampling rate) ranging from 0.1 to 0.9.

Since December 2019, when coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in Wuhan and then spread worldwide, there have been ...

Cervical dumbbell tumor is usually removed via a posterior approach and may require the spinal fixation sometimes. However, the present surgical methods involved either more trauma or a higher risk of instability of the cervical spine. A new technique of unilateral exposure and stability reconstruction with pedicle and lamina screws fixation for posterior cervical dumbbell tumorectomy was described and compared with conventional techniques. Posterior unilateral exposure, hemi-laminectomy and facetectomy were performed in one patient with the cervical dumbbell tumor between C3 and C4. The stability was reconstructed by the unilateral pedicle and lamina screws fixation (UPLS), and a strip of shaped allograft bone was also implanted between the superior and inferior lateral mass. Biomechanical stability test of this new technique was investigated using seven fresh-frozen human cervical spine specimens (C4–C7) and compared with unilateral pedicle screw (UPS) and bilateral pedicle screw fixation (BPS) techniques. A continuous pure moment of ± 2.0 Nm was applied to the specimen in flexion, extension, lateral bending and axial rotation. The cervical dumbbell tumor was removed completely, and bone fusion with continuous bone trabecula was maintained in the patient on the final follow-up examination at 18 months postoperatively. Biomechanical stability tests revealed that the range of motion of the UPLS fixation plus graft bone implant was the same as the BPS fixation in flexion (1.8°vs. 1.5°, p = 0.58) and extension (2.3°vs. 2.2°, p = 0.73), but significantly bigger in lateral bending (3.9° vs. 1.0°, p

At present, there are many clinical reports on the treatment of sacroiliac joint (SIJ) dysfunction by manipulation of oblique-pulling (MOP). However, the specific mechanism of MOP on the SIJ remains unclear. This study aimed to investigate the effect of MOP on the biomechanics of SIJ and the effect of the anterior sacroiliac ligament (ASL) on the stability of sacroiliac joint. Firstly, nine cadaveric pelvises were applied by MOP-F1 and MOP-F2. Then, segmental ASL resection and SIJ fixation were performed. The range of motion of SIJ were observed in all procedures. Under MOP-F1 and F2, the average total angles were 0.84° and 1.52°, and the displacements were 0.61 mm and 0.98 mm, respectively. Compared with MOP-F1, MOP-F2 caused greater obviously rotation angles and displacements of SIJ. In addition, SIJ mobility significantly increased after complete resection of ASL. The increase was mainly due to the transection of the upper part of ASL. Conclusively, MOP-F2 caused greater rotation angles and displacements of SIJ and it was a more effective manipulation. The ASL played an important role in maintaining the stability of the SIJ, and the upper part of ASL contributed more to the stability.

Ketogenic diet (KD) has been shown to be beneficial in a range of neurological disorders, with ketone metabolite β-hydroxybutyrate (βOHB) reported to block the nucleotide oligomerization domain-like receptor family, pyrin domain containing 3 (NLRP3) inflammasome in bone marrow-derived macrophages. In this study, we show that pretreatment with KD or in situ βOHB suppressed macrophages/microglia activation and the overproduction of inflammatory cytokines, while KD downregulated the expression of NLRP3 inflammasome. Moreover, KD promoted macrophages/microglia transformation from the M1 phenotype to the M2a phenotype following spinal cord injury (SCI) in the in vivo study. Rats in the KD group demonstrated improved behavioral and electrophysiological recovery after SCI when compared to those rats in the standard diet group. The in vitro study performed on BV2 cells indicated that βOHB inhibited an LPS+ATP-induced inflammatory response and decreased NLRP3 protein levels. Our data demonstrated that pretreatment with KD attenuated neuroinflammation following SCI, probably by inhibiting NLRP3 inflammasome and shifting the activation state of macrophages/microglia from the M1 to the M2a phenotype. Therefore, the ketone metabolite βOHB might provide a potential future therapeutic strategy for SCI.

In this paper, we propose a new strategy for the sensitive and specific detections of dimethyl methylphosphonate (DMMP), as a simulant of nerve agent Sarin. Our silicon nanowire based sensor is modified with carboxyphenylboronic acid (CPBA) to demonstrate great efficiency. The response time is less than 100 seconds to recognize the DMMP, which is a key ability for on-site monitoring. The sensor exhibits a good reversibility during the repeated measurements between DMMP vapor and air. The sensor still performs well after being exposed in high concentration of DMMP vapor with excellent recovery for 3 times. The sensor is demonstrated to have a linear behavior in detecting DMMP within the concentration of 13~65 ppm in gaseous phase with the limit of detection (LOD) of 100 ppb. It is expected that the proposed sensor enables the testing system accurate, rapid, sensitive and reversible for on-site detection of nerve agents in the future.

Non-human primate (NHP) spinal cord injury (SCI) models can be informative in the evaluation of treatments that show promise in rodent models prior to translation to humans. In the present study, w...

Background: Sarin is a nerve agent which is lethal to people due to its high toxicity. According to its extreme toxicity, sarin, relatively lack of color, highly toxic, miscible in water, poses viable threats to potable water sources. Therefore, there is an urgent need for portable, rapid and yet reliable methods to monitor for adulteration of potable water sources by sarin on spot. Methods: A stock solution of 30 mg/L sarin was prepared daily by dissolving 300 μg of sarin in 10 mL isopropanol. A certain amount of sarin was added to the glass tube, and then o-dianisidine and hydrogen peroxide were added. The pH value of the solution was adjusted to 9.8. The solution was transferred to the test tube after 10 minutes. A test tube of 2 mL was placed between the light source and the RGB color sensor. The LED light source illuminates directly over the test tube while the RGB sensor obtained the generated spectral response. This RGB voltage output is connected to the ADC and microcontroller to convert these analog voltages to three digital data. This RGB digital data is linked to the microcomputer through the serial port that is interfaced with the user interface. The data thus obtained in the sensor can be processed to display the sarin concentration. Results: Under the optimum conditions as described above, the calibration curve of chromaticity value versus sarin concentration was linear in the range of 0.15 mg/L to 7.8 mg/L. According to the IUPAC definition, theoretical detection limits of this method were 0.147 mg/L and 0.140 mg/L for R and B values, respectively. The practical detection limit was 0.15 mg/L. The sensor was successfully applied to the determination of sarin in artificial water samples and the recoveries were between 86.0% to 95.9%. Conclusion: The results in the present work have demonstrated the feasibility to design a new portable colorimetric sensor based on the RGB chromaticity method for quantitative determination of sarin in water. The influences of chromogenic reagent, oxidant, reaction time, o-dianisidine concentration, hydrogen peroxide concentration, reaction temperature, pH on the chromaticity values were investigated. The results showed that the sensor possessed high selectivity, sensitivity and good repeatability. The method would be potentially applied to the analysis of other toxic compounds in environment, such as other chemical warfare agents.

Purpose The aim of this study was to explore the effects of an enteral nutrition (EN) feeding protocol in critically ill patients. Methods This was a prospective multi-center before-after study. We compared energy related and prognostic indicators between the control group (pre-implementation stage) and intervention group (post-implementation stage). The primary endpoint was the percentage of patients receiving EN within 7 days after ICU admission. Results 209 patients in the control group and 230 patients in the intervention group were enrolled. The implementation of the EN protocol increased the percentage of target energy reached from day 3 to day 7, and the difference between two groups reached statistical significance in day 6 (P = .01) and day 7 (P = .002). But it had no effects on proportion of patient receiving EN (P = .65) and start time of EN (P = .90). The protocol application might be associated with better hospital survival (89.1% vs 82.8%, P = .055) and reduce the incidence of EN related adverse (P = .004). There was no difference in ICU length of stay, duration of mechanical ventilation and ICU cost. Conclusion The implementation of the enteral feeding protocol is associated with improved energy intake and a decreased incidence of enteral nutrition related adverse events for critically ill patients, but it had no statistically beneficial effects on reducing the hospital mortality rate. Trial registration ClinicalTrials.gov , NCT02976155 . Registered November 29, 2016- Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT02976155 .

A series of high solid content (30 wt%) epoxy resin (EP) composite coatings reinforced with differently sized cubic boron nitride (CBN) particles were fabricated successfully on 304L stainless steel. Polydopamine (PDA) was used to improve the dispersibility of CBN particles in EP. The structural and morphological features of the CBN particles and the composite coatings were characterized by Raman spectroscopy, scanning electron microscopy (SEM), and transmission electron microscopy (TEM). Moreover, a UMT-3 tribometer and surface profiler were used to investigate the tribological behaviors of the as-prepared composite coatings. Electrochemical impedance spectroscopy (EIS) and Tafel analysis were used to investigate the coatings’ anti-corrosion performance. The results demonstrated that the CBN fillers could effectively enhance the tribological and anti-corrosion properties of the EP composite coatings. In addition, when the additive proportion of the microsized (5 μm) and nanosized (550 nm) CBN particles was 1:1, the tribological property of the EP composite coatings was optimal for dry sliding, which was attributed to the load carrying capability of the microsized CBN particles and the toughening effect of the nanosized CBN particles. However, when the additive proportion of the microsized and nanosized CBN particles was 2:1, the tribology and corrosion resistance performance were optimal in seawater conditions. We ascribed this to the load-carrying capacity of the microparticles, which played a more important role under the seawater lubrication condition, and the more compact structure, which improved the electrolyte barrier ability for the composite coatings.

Dual polarization quadrature phase shift keying (DP-QPSK) is currently the main modulation format for high-speed optical fiber communications, and its simulation modeling has important implications for theoretical research and practical applications. Based on Optisystem 15 optical communication system simulation software, this paper builds a 100 Gbit/s rate DP-QPSK modulation format coherent optical transmission system simulation model, analyzes the working principles of the transmitting end, transmission link, and coherent receiver. The principle of signal recovery at the digital signal processing end is briefly explained. The simulation results show that the signal quality after DSP processing has been significantly improved.

In view of the small transmission capacity and single signal modulation format of the existing optical transmission system, this paper proposes an ultra-high-speed optical signal access scheme based on NEL0670, which can realize the transmission of 100 G DP-QPSK, 200 G DP-16QAM and 400 G DP-16QAM signals, and realize flexible and intelligent reception of multi-system optical signals.

In digital communication systems, error correction codes are used to recover data that has been disturbed in a noisy environment. Convolutional code is a commonly used error correction code. In non-cooperative communication systems, it is very meaningful to blindly identify the synchronization position and coding parameters of convolutional codes. Existing reference had proposed a blind recognition algorithm for coding parameters of k/n rate convolutional codes in a noisy environment, but it didn't take into account the case where the received code words were not synchronized. In this paper, this problem is improved by using the quasi-correlation between the receive sequence and the check matrix to estimate the synchronization position, while obtaining the check matrix. It implements blind recognition of the synchronization position and coding parameters of k/n rate convolutional codes in a noisy environment. Simulation experimental results show that the improved algorithm in this paper is effective.

Haploidentical stem cell transplantation (HSCT) has become an alternative treatment option for patients with aplastic anemia (AA) without matched sibling donors or matched unrelated donors. Recently, post-transplantation cyclophosphamide (PTCy) and granulocyte colony-stimulating factor (G-CSF)/antithymocyte globulin (ATG) regimens have become the most common protocols used worldwide. In this retrospective study, we retrospectively reviewed and analyzed the clinical data of 130 AA patients who underwent haploidentical HSCT and received the modified PTCy (mPTCy) regimen (n = 55) or G-CSF/ATG regimen (n = 75) between January 2013 and June 2021 across 7 transplantation centers. Neutrophil engraftment was successful in all patients within 30 days in the G-CSF/ATG group. The cumulative neutrophil engraftment rate in the mPTCy group was 96.36% (95% confidence interval [CI], 94.57 to 97.57; P = .010). The median time to neutrophil engraftment in the G-CSF/ATG group was 10 days (range, 7 to 28 days), which was more rapid than that observed in the mPTCy group (P.001). There was no significant difference in the incidence of graft-versus-host disease (GVHD) between the 2 groups. The cumulative incidence of grade II-IV acute GVHD was 18.40% (95% CI, 4.27% to 40.31%) in the mPTCy group and 19.32% (95% CI, 5.86% to 38.58%) in the G-CSF/ATG group, whereas the cumulative incidence of grade III-IV acute GVHD was 7.31% (95% CI, .09% to 37.48%) in the mPTCy group and 7.57% (95% CI, .20 to 34.19) in the G-CSF/ATG group. Similarly, there were no significant between-group differences in overall survival (OS), failure-free survival (FFS), and GVHD-free relapse-free survival (GRFS). The 2-year OS, FFS, and GRFS rates were 95.91% (95% CI, 84.59% to 98.96%), 92.25% (95% CI, 80.59% to 97.03%), and 86.68% (95% CI, 73.98% to 93.44%), respectively, in the mPTCy group and 86.67% (95% CI, 76.64% to 92.59%), 81.28% (95% CI, 70.45% to 88.46%), and 77.20% (95% CI, 65.89% to 85.16%), respectively, in the G-CSF/ATG group. Transplantation-related mortality (TRM) was significantly higher in the G-CSG/ATG group than in the mPTCy group (13.33% versus 1.96%; P = .022). In multivariate analysis, the use of a female donor, a higher Hematopoietic Cell Transplantation Comorbidity Index, and grade III-IV acute GVHD were associated with worse survival outcomes. The mPTCy and G-CSF/ATG regimens led to similar outcomes in AA patients, but quicker engraftment was observed with the ATG/G-CSF regimen, and a lower incidence of TRM was observed with the mPTCy regimen.

Multiple myeloma (MM) is a malignant tumor originating from plasma cells in the bone marrow. The existing treatment methods can prolong the survival time of patients, but they still face the problems of myeloma relapse and refractory disease. Chimeric antigen receptor (CAR)-T cell therapy is a new cellular immunotherapy that can target and recognize antigens and kill tumor cells but the efficacy and safety data varied in different studies. We performed this systematic review and meta-analysis to understand its efficacy and safety.Literature published from January 2015 to November 2021 was obtained by searching the keywords "CAR-T", "CAR-T Cell", and "Multiple Myeloma" by computer using the Embase, PubMed, Web of Science, and Cochrane library databases according to the PICOS (Participants, Interventions, Comparisons, Outcomes, Study type) criteria. The quality of the literature was assessed by the Joanna Briggs Institute (JBI) Critical Appraisal Tool for prevalence studies. The complete response rate, the incidence of cytokine release syndrome (CRS) above grade 3, and the overall incidence of adverse reactions were used as the outcome indicators. The pooled rates were performed and analyzed using the R language toolkit.A total of 10 studies including 353 study cases were included. Meta-analysis showed that the pooled complete response rate of CAR-T therapy in the treatment of MM was 0.55, 95% confidence interval (CI): (0.50, 0.60), the pooled incidence of CRS was 0.55, 95% CI: (0.50, 0.60), and the pooled incidence of serious adverse reactions was 0.92, 95% CI: (0.88, 0.95). Subgroup analysis was performed based on antigen types or costimulatory molecules, and there was no significant difference in the efficacy of CAR-T and the incidence of CRS between the two subgroups (P0.05).As a new immunotherapy strategy with great potential, CAR-T has a significant effect in the treatment of MM, but its safety needs to be further improved. The types of costimulatory molecules and CAR-T antigens can affect its efficacy and safety.

Objective. This study was designed to determine the evaluation value of serum miR-4299 and miR-16-5p in risk stratification of sepsis-induced acute kidney injury (SI-AKI). Methods. A total of 115 sepsis patients were enrolled and assigned to the SI-AKI group ( n = 64 ) or the sepsis-non-AKI group ( n = 51 ) based on the occurrence of AKI, and 72 healthy individuals were enrolled. Fasting venous blood was sampled from every patient before admission, before therapy, and after therapy, followed by quantification of miR-4299 and miR-16-5p by fluorescence quantitative PCR. Receiver operating characteristic (ROC) curves were drawn to evaluate the value of serum miR-16-5p and miR-4299 expression in predicting SI-AKI, and Pearson’s correlation analysis was performed to explore the associations of the two with Scr, Cys-C, and KIM-1. Results. Cases with sepsis, especially SI-AKI, presented significantly downregulated serum miR-4299 and miR-16-5p. After therapy, the expression in them increased. The area under curve (AUC) of serum miR-4299 and miR-16-5p in the prediction value for early diagnosis of SI-AKI was 0.895 (95% CI: 0.839-0.951, cutoff value: 0.780) and 0.838 (95% CI: 0.767-0.909, cutoff value: 0.775), respectively, and the AUC of them in the prediction value for clinical efficacy on the disease were 0.733 (95% CI: 0.645-0.820, cutoff value: 1.115) and 0.776 (95% CI: 0.698-0.855, cutoff value: 1.125), respectively. Serum miR-16-5p and mIR-4299 were negatively correlated with Scr, Cys-C, and KIM-1, separately. Conclusion. Both miR-16-5p and mIR-4299 are promising factors for early diagnosis of SI-AKI and dynamic evaluation of the efficacy on it.

In this work, a three-step (sulfurization-selenization-sulfurization) annealing process was designed to optimize the surface constitution of Cu2ZnSn(S, Se)4 (CZTSSe) thin films, which was prepared by oxide nanoparticles-based approach. The devices with the Mo/CZTSSe/CdS/ZnMgO/ZnO:Al/Al structure were fabricated and their performances were studied. The additional post-sulfurization with low toxicity sulfur powder has negligible impact on the structure, morphology and composition of CZTSSe bulk, however, it improves open circuit voltage of device significantly. The open circuit voltage can be increased significantly from 408 mV (without surface sulfurization) to 497 mV (with surface sulfurization). This is benefited from the increase of surficial sulfur content and the broadening of the surface band-gap of the CZTSSe thin film. The result is confirmed by X-ray photoelectron spectroscopy analysis. Such a crucial three-step annealing process promotes the power conversion efficiency from 4.71% (2-step) to 6.37% (3-step), which is the champion efficiency of oxide precursor derived CZTSSe solar cell.

Background The vertebral endplate (VEP) was damaged after spinal instability induced by cervical muscle section (CMS). Whether CMS induces bone formation and mechanical loading change in the vertebra is still obscure. This study was aimed to explore mechanical loading change and endplate damage after CMS. Methods Forty-eight rats were randomly divided into the CMS group and the sham group. The C6/7 segments were harvested at 4, 8, and 12 weeks after surgery. The microarchitectures of the C6 vertebra ​and the vertebral endplate lesions and intervertebral disc height of C6/7 were measured by micro–computed tomography. Micro–finite element analysis was used to evaluate biomechanical properties of the C6 vertebra. Bone remodelling of the C6 vertebra ​and the endplate ​sclerosis and intervertebral disc degeneration of C6/7 were evaluated by histological and immunohistochemical analyses. Results CMS significantly induced bone formation of the C6 ventral vertebra ​and increased the biomechanical properties of mainly the ventral side at 4 weeks, which was gradually rebalanced throughout the rest of the study. CMS also significantly increased protein expression of transforming growth factor-β1 (TGF-β1) and phosphorylated small mothers against decapentaplegic (pSmad)2/3 ​at 4 weeks. Moreover, tartrate-resistant acid phosphatase staining showed that osteoclast-positive cells were slightly in number decreased at 4 weeks, but were obviously increased at 8 weeks. The VEP of the ventral side was abraded earlier followed by calcification in situ later after CMS, consistent with the biomechanical enhancements observed. The degree of endplate degeneration was aggravated with time. Finally, CMS decreased intervertebral disc height and increased disc degeneration scores with time. Conclusions Spinal instability induced by CMS increases bone mass and biomechanical loading of the ventral side of vertebra in the early stage, which might initiate VEP damage and cause intervertebral disc degeneration. The translational potential of this article Our study indicates that vertebral trabecular changes may involve in intervertebral disc degeneration induced by spinal instability. This may help to elucidate the mechanisms by which disc degeneration occur.

We propose a symbol rate estimation technique by using absolute value of correlation of received signal for single-carrier polarization division multiplexed (PDM) systems in coherent detection system. We analytically show that spectrum of absolute value of correlation contains a peak indicating the symbol rate and has a robust performance which is insensitive to accumulated chromatic dispersion (CD) and first-order polarization-mode dispersion (PMD), amplified spontaneous emission (ASE) noise and laser frequency offset. Simulation result shows that this technique is applicable to long-haul application.

Objective: Imatinib mesylate (IM), a tyrosine kinase inhibitor, exhibits clinically prominent effects against chronic myeloid leukemia (CML); however, a few patients have shown resistance to IM treatment, resulting in disease progression. Smad4 is a tumor inhibitor that transduces TGF-β signaling and modulates genomic stability. Previous studies have indicated that decreased Smad4 expression played a bidirectional role in chemosensitivity in many types of cancers. Therefore, this study aims to evaluate the association between IM sensitivity and decreased Smad4 expression in human CML K562 cells. Methods: Bone marrow (BM) samples were acquired from the patients prior to treatment. qRT-PCR, Western Blotting (WB), colony formation assay (CFA), and apoptosis assay were used to detect relevant indices. Results: Smad4 expression was downregulated in the bone marrow and plasma of patients with multidrug-resistant CML as well as IM-resistant K562 (K562R) cells compared with samples collected from CML patients and K562 cells. Smad4 overexpression inhibited IM-treated K562R cell proliferation and augmented apoptosis, whereas Smad4 silencing promoted viability and inhibited apoptosis in IM-treated K562 cells. In addition, Smad4 expression was inversely correlated with laminin subunit gamma 1 (LAMC1) expression. The upregulation or downregulation of LAMC1 expression partially abolished the effect of Smad4 overexpression or silencing on the IM resistance of CML cells. Conclusion: The downregulation of Smad4 expression might induce drug resistance in CML cells and displayed a possible mechanism through which Smad4 modulates CML cell survival and apoptosis upon IM treatment.

Previous studies have shown high triglyceride (TG) is associated with platelet hyperactivation in metabolic syndrome patients. However, limited information is available regarding this relationship on dual anti-platelet therapy (DAPT) in ischemic stroke (IS). In this study, we attempted to evaluate the association between TG and high on-treatment platelet reactivity (HTPR) in IS patients.Ischemic stroke patients who received maintenance doses of clopidogrel and aspirin were categorized and analyzed retrospectively in this research. The platelet reactivity was assessed by Thromboelastography (TEG). If ADP-induced platelet inhibition rate (ADPi)30%, it was defined as HTPR, else, it would be defined as normal on-treatment platelet reactivity (NTPR). Patients were divided into high-TG-level and lower-TG-level based on a TG level of 1.7mmol/L, the cutoff point of hypertriglyceridemia. A logistic regression model was applied to calculate the odds ratio (OR) and 95% confidence interval (CI).A total of 123 patients were included in this study and 24 (19.51%) patients were identified as HTPR. HTPR was observed in 36.2% of the patients in high-TG-level (TG≥1.7mmol/L) group while only 9.2% of the patients in the low-TG-level group (TG1.7mmol/L) were HTPR (P0.001 ). According to multivariate analysis, TG≥1.7mmol/L was independently associated with HTPR (OR=14.715, 2.445-88.549,P=0.003).High TG is an independent predictor of HTPR in IS patients. For IS patients with high TG level undergoing DAPT, platelet reactivity should be monitored to identify HTPR, which may proactively help to optimize the anti-platelet therapy.

This article presents a method to calibrate a 16-channel 40 GS/s time-interleaved analog-to-digital converter (TI-ADC) based on channel equalization and Monte Carlo method. First, the channel mismatch is estimated by the Monte Carlo method, and equalize each channel to meet the calibration requirement. This method does not require additional hardware circuits, every channel can be compensated. The calibration structure is simple and the convergence speed is fast, besides, the ADC is worked in background mode, which does not affect the conversion. The prototype, implemented in 28 nm CMOS, reaches a 41 dB SFDR with an input signal of 1.2 GHz and 5 dBm after the proposed background offset and gain mismatch calibration. Compared with previous works, the spurious-free dynamic range (SFDR) and the effective number of bits (ENOB) are better, the estimation accuracy is higher, the error is smaller and the faster speed of convergence improves the efficiency of signal processing.