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As the system with the highest solar hydrogen conversion efficiency, the further improvement of photovoltaic-photoelectrocatalysis (PV-PEC) efficiency is dependent on the light transmittance, activity and stability of the photoanode. Here, a highly permeable BiVO 4 thin film was fabricated through controlled magnetron sputtering. The thickness of the thin film was merely 345 nm, while its transmittance in the visible light range reached as high as 70%. Moreover, large-scale production of such films could be achieved. By incorporating NiFeO x oxygen extraction cocatalyst, under AM 1.5G illumination, the photocurrent density at 1.23 V on reversible hydrogen electrode (RHE) increased to 4.2 mA cm−2 and the incident photon-current conversion efficiency reached 70%. A PV-PEC system was designed to efficiently harness sunlight by integrating the photoanode with a solar photovoltaic panel. Upon connection with the solar photovoltaic panel (with an efficiency of only 7%), spontaneous water decomposition could be achieved, resulting in a solar-to-hydrogen conversion efficiency (η STH) of 4.2% for the series system. This study contributes to the realization of cost-effective and highly efficient PV-PEC hydrogen production. The PV-PEC series system with BiVO 4 thin film photoanode prepared by magnetron sputtering method improves the overall utilization rate of sunlight and realizes spontaneous water decomposition. [Display omitted] • BiVO 4 films with large area and high transmittance can be prepared by low rate controlled magnetron sputtering. • The PEC performance of films was improved by optimizing the magnetron sputtering process and supporting catalyst. • Photovoltaic and photoanode in PV-PEC cells can be irradiated in series to improve the utilization rate of sunlight. [ABSTRACT FROM AUTHOR]

Objective: To create a comprehensive map of strategic lesion network localizations for neurological deficits, and identify prognostic neuroimaging biomarkers to facilitate the early detection of patients with a high risk of poor functional outcomes in acute ischemic stroke (AIS). Methods: In a large‐scale multicenter study of 7,807 patients with AIS, we performed voxel‐based lesion‐symptom mapping, functional disconnection mapping (FDC), and structural disconnection mapping (SDC) to identify distinct lesion and network localizations for National Institutes of Health Stroke Scale (NIHSS) score. Impact scores were calculated based on the odds ratios or t‐values of voxels from voxel‐based lesion‐symptom mapping, FDC, and SDC results. Ordinal regression models were used to investigate the predictive value of the impact scores on functional outcome (defined as the modified Rankin score at 3 months). Results: We constructed lesion, FDC, and SDC maps for each item of the NIHSS score, which provided insights into the neuroanatomical substrate and network localization of neurological function deficits after AIS. The lesion impact score of limb ataxia, the SDC impact score of limb deficit, and FDC impact score of sensation and dysarthria were significantly associated with modified Rankin Scale at 3 months. Adding the SDC impact score, FDC impact score, and lesion impact score to the NIHSS total score improved the performance in predicting functional outcomes, as compared with using the NIHSS score alone. Interpretation: We constructed comprehensive maps of strategic lesion network localizations for neurological deficits that were predictive of functional outcomes in AIS. These results may provide specifically localized targets for future neuromodulation therapies. ANN NEUROL 2023;94:572–584 [ABSTRACT FROM AUTHOR]

[Display omitted] • The regulation of trace Cu+ ions on the structures and band of Cu x In 0.25 ZnS y solid solution are studied. • The mechanism of energy band bending and matching between Cu x In 0.25 ZnS y and cocatalysts are revealed. • The optimized Cu x In 0.25 ZnS y @Rh photocatalyst exhibits a high catalytic HER activity under the visible light irradiation. As an attractive semiconductor photocatalyst, (CuInS 2) x -(ZnS) y has been intensively studied in photocatalysis, due to its unique layered structure and stability. Here, we synthesized a series of Cu x In 0.25 ZnS y photocatalysts with different trace Cu+-dominated ratios. The results show that doping with Cu+ ions leads to an increase in the valence state of In and the formation of a distorted S structure, simultaneously inducing a decrease in the semiconductor bandgap. When the doping amount of Cu+ ions is 0.04 atomic ratio to Zn, the optimized Cu 0.04 In 0.25 ZnS y photocatalyst with a bandgap of 2.16 eV shows the highest catalytic hydrogen evolution activity (191.4 μmol.h−1). Subsequently, among the common cocatalysts, Rh loaded Cu 0.04 In 0.25 ZnS y gives the highest activity of 1189.8 μmol·h−1, corresponding to an apparent quantum efficiency of 49.11 % at 420 nm. Moreover, the internal mechanism of photogenerated carrier transfer between semiconductors and different cocatalysts is analyzed by the band bending phenomenon. [ABSTRACT FROM AUTHOR]

Background and purpose: Acute brainstem infarctions can lead to serious functional impairments. We aimed to predict functional outcomes in patients with acute brainstem infarction using deep neuroimaging features extracted by convolutional neural networks (CNNs). Methods: This nationwide multicenter stroke registry study included 1482 patients with acute brainstem infarction. We applied CNNs to automatically extract deep neuroimaging features from diffusion‐weighted imaging. Deep learning models based on clinical features, laboratory features, conventional imaging features (infarct volume, number of infarctions), and deep neuroimaging features were trained to predict functional outcomes at 3 months poststroke. Unfavorable outcome was defined as modified Rankin Scale score of 3 or higher at 3 months. The models were evaluated by comparing the area under the receiver operating characteristic curve (AUC). Results: A model based solely on 14 deep neuroimaging features from CNNs achieved an extremely high AUC of 0.975 (95% confidence interval [CI] = 0.934–0.997) and significantly outperformed the model combining clinical, laboratory, and conventional imaging features (0.772, 95% CI = 0.691–0.847, p < 0.001) in prediction of functional outcomes. The deep neuroimaging model also demonstrated significant improvement over traditional prognostic scores. In an interpretability analysis, the deep neuroimaging features displayed a significant correlation with age, National Institutes of Health Stroke Scale score, infarct volume, and inflammation factors. Conclusions: Deep learning models can successfully extract objective neuroimaging features from the routine radiological data in an automatic manner and aid in predicting the functional outcomes in patients with brainstem infarction at 3 months with very high accuracy. [ABSTRACT FROM AUTHOR]

The structural, electronic, and optical properties of the AgnCun (n = 7–14) clusters with the equal number of the Ag and Cu atoms are systematically investigated by using the density functional theory method. The results indicate that as n is 9, the structures of the AgnCun clusters begin to form the icosahedral core, and most Ag–Cu clusters with icosahedral cores have high stability. The Ag8Cu8 cluster has the highest mixing degree. The Ag10Cu10 cluster has relatively high energetic and electronic stability. For the density of states at the Fermi level, the Ag7Cu7, Ag8Cu8, Ag9Cu9, Ag10Cu10, and Ag14Cu14 clusters are mainly contributed by Cu atoms, while the Ag11Cu11, Ag12Cu12, and Ag13Cu13 clusters are mainly contributed by Ag atoms. Interestingly, the Cu16-II cluster is magnetic. The absorption spectra of the AgnCun clusters are red-shift comparing with the pure Ag2n clusters, but they are blue-shift comparing with the pure Cu2n clusters. The absorption properties of the AgnCun clusters in the visible region are better than the pure clusters. [ABSTRACT FROM AUTHOR]

The paper introduces a robust methodology for evaluating complex electricity system efficiency, making several contributions. It systematically decomposes the electric power system into various processes, including power generation, transmission, distribution, and power consumption, with parallel sub-processes for production and domestic power consumption. Employing data envelopment analysis (DEA), the paper develops a network directional slacks-based (DSB) model to evaluate the whole system and the internal processes. The model is theoretically proven to be feasible, providing efficiency scores and identifying inefficiencies in the system and its processes. A noteworthy addition is the introduction of the DSB green Luenberger productivity index and its decomposition, offering an analysis of productivity changes in electricity systems. Empirical analysis covering 30 Chinese provinces from 2013 to 2019 uncovers the performance variations among provinces and processes, pointing out inefficiencies and changes in technology and efficiency over time. The empirical findings aim to support efforts in enhancing the overall efficiency of China's interprovincial power system. • We decompose the complex electric power system into four processes with dependence. • We build a network directional slacks-based (DSB) model for the complex power system. • We give a DSB green Luenberger productivity index (DPI) for our network model. • The efficiency score and DPI of the system are decomposed into those of processes. • We apply the model and indexes to electric power systems in Chinese provinces. [ABSTRACT FROM AUTHOR]

The structural, electronic, and optical properties of the AgnCun (n = 7–14) clusters with the equal number of the Ag and Cu atoms are systematically investigated by using the density functional theory method. The results indicate that as n is 9, the structures of the AgnCun clusters begin to form the icosahedral core, and most Ag–Cu clusters with icosahedral cores have high stability. The Ag8Cu8 cluster has the highest mixing degree. The Ag10Cu10 cluster has relatively high energetic and electronic stability. For the density of states at the Fermi level, the Ag7Cu7, Ag8Cu8, Ag9Cu9, Ag10Cu10, and Ag14Cu14 clusters are mainly contributed by Cu atoms, while the Ag11Cu11, Ag12Cu12, and Ag13Cu13 clusters are mainly contributed by Ag atoms. Interestingly, the Cu16-II cluster is magnetic. The absorption spectra of the AgnCun clusters are red-shift comparing with the pure Ag2n clusters, but they are blue-shift comparing with the pure Cu2n clusters. The absorption properties of the AgnCun clusters in the visible region are better than the pure clusters. [ABSTRACT FROM AUTHOR]

Does oral contraceptive pretreatment impact IVF–embryo transfer cycle outcomes in women following the gonadotrophin-releasing hormone agonist (GnRHa) protocol? This retrospective study was designed to compare cycle outcomes after oral contraceptive pretreatment versus the standard protocol in women within the GnRHa long protocol or the GnRHa short protocol. A total of 2052 women undergoing their first IVF treatment with the GnRHa long protocol and 3557 women with the GnRHa short protocol between 2012 and 2017 were enrolled. No significant differences in the rates of clinical pregnancy (long protocol: 49.2% versus 46.7%; short protocol: 39.4% versus 38.0%) or live birth (long protocol: 44.3% versus 41.3%; short protocol: 32.8% versus 31.4%) after fresh embryo transfer were observed between the oral contraceptive group and the control group in either the long protocol or the short protocol. Oral contraceptive pretreatment has no effect on IVF outcomes in either the GnRHa long protocol or short protocol. [ABSTRACT FROM AUTHOR]

Baicalein (BAI) is a natural flavonoid. It has been shown that BAI has anticancer effects, but the molecular mechanism is still unclear. The aim of the current study was to confirm whether or not BAI triggers autophagy and induces AMPK activation in glioma U251 cells. The Ad-mcherry-GFP-LC3B adenovirus experiments indicated that BAI induces glioma cell autophagy. Western blotting showed that the level of LC3II expression increased with the time and concentration of BAI. Following treatment with chloroquine, the expression of LC3 was enhanced Immunofluorescence also confirmed this result. At the same time, cleaved caspase-3, DAPI staining, and JC-1 staining revealed that apoptosis was also induced in the induction of autophagy. In addition, we found that BAI activates phosphorylation of AMPK, which is further confirmed using compound C in this process. When the phosphorylation of AMPK was inhibited, autophagy, and apoptosis were also inhibited. In conclusion, BAI induces autophagy and apoptosis through AMPK pathway. Surprisingly, our research provides new insight with the function of anticancer of BAI, and the potential of the promotion in glioma cell apoptosis might be related to autophagy activation. These results demonstrate the anticancer activity of BAI, which can be used as potential therapeutic agents for cancer therapy. [ABSTRACT FROM AUTHOR]

Ventilator-induced lung injury (VILI) is the most common complication associated with mechanical ventilation. Electroacupuncture (EA) has shown potent anti-inflammatory effects. This study aimed to investigate the effects of EA on VILI and explore the underlying mechanisms. Male C57BL/6 mice were subjected to high tidal volume ventilation to induce VILI. Prior to mechanical ventilation, mice received treatment with EA, nonacupoint EA, or EA combined with zinc protoporphyrin. EA treatment significantly improved oxygenation, as indicated by increased PaO 2 levels in VILI mice. Moreover, EA reduced lung injury score, lung wet/dry weight ratio, and protein concentration in bronchoalveolar lavage fluid. EA also decreased the expression of pro-inflammatory cytokines including interleukin (IL)-1β, IL-6, tumor necrosis factor-α, IL-18, chemokine keratinocyte chemoattractant, macrophage inflammatory protein 2, and malondialdehyde. Furthermore, EA increased the activities of antioxidant enzymes superoxide dismutase, catalase, and glutathione peroxidase in VILI mice. At the molecular level, EA upregulated the expression of Nrf2 (nucleus) and heme oxygenase −1, while down-regulating the expression of p-NF-κB p65, NLR Family Pyrin Domain Containing 3, Cleaved Caspase-1, and ASC in VILI mice. Notably, the effects of EA were reversed by zinc protoporphyrin treatment, nonacupoint EA did not affect the aforementioned indicators of VILI. EA alleviates VILI by inhibiting the NLR Family Pyrin Domain Containing three inflammasome through activation of the Nrf2/HO-1 pathway. [ABSTRACT FROM AUTHOR]

Perioperative neurocognitive disorders (PND) increases postoperative dementia and mortality in patients and has no effective treatment. Although the detailed pathogenesis of PND is still elusive, a large amount of evidence suggests that damaged mitochondria may play an important role in the pathogenesis of PND. A healthy mitochondrial pool not only provides energy for neuronal metabolism but also maintains neuronal activity through other mitochondrial functions. Therefore, exploring the abnormal mitochondrial function in PND is beneficial for finding promising therapeutic targets for this disease. This article summarizes the research advances of mitochondrial energy metabolism disorder, inflammatory response and oxidative stress, mitochondrial quality control, mitochondria-associated endoplasmic reticulum membranes, and cell death in the pathogenesis of PND, and briefly describes the application of mitochondria-targeted therapies in PND. [ABSTRACT FROM AUTHOR]

The authors describe a selective and sensitive method for the colorimetric determination of Cd(II) by using silver nanoparticles capped with chalcone carboxylic acid (CCA) as an optical indicator probe. The addition of Cd(II) ions causes particle aggregation and this is accompanied by a color change from yellow to orange, with absorption peaks shifting from 396 to 522 nm. This assay enables selective detection of Cd(II), while other metal ions such as Al(III), Ca(II), Co(II), bichromate, Cu(II), Fe(III), Mn(II), Ni(II), Cr(III), Zn(II), Mg(II), Pb(II) and Hg(II) do not significantly interfere at moderate levels. The visually detectable limit of detection is 0.23 μM, and the instrumental detection limit is 0.13 μM. A linear relationship, between the absorbances ratio at 522 and 396 nm and Cd(II) concentration, was obtained in the 0.227 to 3.18 μM Cd(II) concentration range. The colorimetric method was successfully applied to the determination of Cd(II) in spiked drinking water and lake water. The results were in good agreement with results by inductively coupled plasma-optical emission spectrometry. [ABSTRACT FROM AUTHOR]

Kisspeptin is a polypeptide that plays an important role in reproductive endocrine regulation. The aim of present study was to investigate the dynamic trend of kisspeptin levels during the menstrual cycle and to elucidate the relationship between kisspeptin ovulation. First, 15 female volunteers with regular menstrual cycles were recruited to detect the change in serum and urine kisspeptin levels over one menstrual cycle within each individual. Subsequently, 114 serum samples and 79 urine samples from 114 individuals were randomly collected at the outpatient department to better ascertain the results. Kisspeptin levels showed a distinctive stage-specific pattern during the normal menstrual cycle in both serum and urine. It was low during the first 5 days, while the first surge appeared on the 11th day (the diameter of the dominant follicle was approximately 1.2 cm). Later, a second smaller surge appeared around the 14th day and the same changes were identified in serum and urine. Furthermore, serum kisspeptin levels were positively related to 17-β estradiol (E2) level increase. Thus, kisspeptin surge in serum and urine may be used as a marker for dominant follicle development and pre-ovulation. Moreover, kisspeptin may also play a vital role in female reproduction through regulating hormonal state. [ABSTRACT FROM AUTHOR]

Modern meteorological observations in South China from 1960 to 2009 show a strong correlation between winter temperatures and two snowfall parameters, the southern boundary of the snow and the number of snowy days. Based on this relationship, the variation in annual winter mean temperature in South China from 1736 to 2009 was reconstructed using data acquired from Chinese historical documents dating from the Qing dynasty, such as memos and local gazettes. The reconstructed time series were used to analyse variations in winter temperature in South China. Significant interannual and interdecadal changes were found. The maximum temperature difference between neighbouring years was 3.1 °C for 1958-2009 and 3.0 °C for 1736-1957, whereas the maximum temperature difference between adjacent decades was 0.8 °C for the 1960s-2000s and 0.6 °C for the 1740s-1950s. The 2000s was the warmest decade; the mean temperature was 1.6 °C higher than that of the 1870s, which was the coldest decade between the 1740s and the 2000s. The mean winter temperature was warmer in the 18th and 20th centuries and coldest in the 19th century. [ABSTRACT FROM AUTHOR]

Background: Enlarged perivascular spaces (EPVS) correlate with cognitive impairment and incident dementia. However, etiologies for severe basal ganglia EPVS (BG-EPVS) are still unclear. Our aim was to investigate the independent risk factors for severe BG-EPVS in patients with acute lacunar stroke. Methods: We prospectively identified patients with lacunar stroke (diameter on DWI ≤ 20mm) from Jan 2011 to May 2015. Patients with severe BG-EPVS were identified on T2 weighted MRI. Age (± 1 year) and sex matched controls were also recruited in the same population (two controls for one case). Vascular risk factors, clinical data, EPVS in centrum semiovale (rated 0 to 4), white matter hyperintensities (WMH) (by Fazekas scale), brain atrophy (rated 0 to 6) were compared between two groups. Logistic regression was performed to determine independent risk factors for severe BG-EPVS. Results: During study period, 89 patients with severe BG-EPVS and 178 matched controls were included. Vascular risk factors did not differ between two groups. Patients with severe BG-EPVS had lower level of HbA1c and diastolic BP at admission, but presented with larger infarct size, more severe WMH (including total WMH, periventricular WMH and deep WMH) and brain atrophy. In logistic regression, brain atrophy (OR = 1.40; 95%CI 1.13, 1.73) and deep WMH (OR = 1.88; 95%CI 1.24, 2.83) were independent risk factors for severe BG-EPVS. Conclusions: Brain atrophy and deep WMH are independent risk factors for severe BG-EPVS, supporting the hypothesis that brain atrophy may be associated with the development of EPVS in basal ganglia. [ABSTRACT FROM AUTHOR]

Background: White matter hyperintensities (WMH) predict incident strokes and new lacunes; moreover, WMH may also affect infarct locations. Our aim in this study was to examine the spatial relationship between WMH and acute lacunar infarction. Methods: Five hundred and ninety patients with acute lacunar infarction in supratentorial region were included. Four situations between infarction and WMH were assessed by axial and coronal MRI: no contact (Grade 0), contact without overlap (Grade Ia), partial overlap (Grade Ib), and complete overlap (Grade II) with preexisting WMH. Furthermore, we defined infarctions in Grades Ia and Ib as edge-localized infarctions and investigated their predictors and short-term outcome. Results: 47.9% (283) of the infarctions were edge-localized infarctions (Grade Ia = 27.6% and Grade Ib = 20.3%), 51.5% (304) were Grade 0, only 0.5% (3) were Grade II. Patients with edge-localized infarction had larger infarct size, more severe WMH, higher National Institutes of Health Stroke Scale (NIHSS) and lower Barthel index (BI) score at admission than those with non-edge-localized infarction. They also had lower BI score at discharge. Infarction in subcortical white matter, diffusion-weighted imaging infarct size, periventricular WMH and deep WMH were predictors for edge-localized infarction. Conclusions: Half of lacunar infarctions were located at the edge of WMH. Both periventricular WMH and deep WMH were predictors for edge-localized infarction. © 2015 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Jie Yu Chu Fan capsule (JYCF) is a new compounded Chinese herbal medicine for the treatment of depression. The present study was designed to explore the antidepressant effects and the possible mechanisms of JYCF by using chronic unpredictable mild stress (CUMS) mouse model and comparing results to that of fluoxetine. Behavioral tests including an open field test, sucrose preference test and forced swim test were performed to evaluate the antidepressant effects of JYCF. The concentrations of monoamine neurotransmitters and metabolic products including norepinephrine (NE), 5-hydroxytryptamine (5-HT), dopamine (DA), 5-hydroxyindoleacetic acid (5-HIAA), homovanillic acid (HVA) and 3,4-dihydroxyphenylacetic acid (DOPAC) in the cerebral cortex and hippocampus of mice were determined by means of high performance liquid chromatography with electrochemical detection (HPLC-EC). The results show that a successful mouse CUMS model was established through 5 weeks of continuous unpredictable stimulation, as indicated by the significant decrease in sucrose preference and locomotor activity and increase in immobility time in the forced swim test. Chronic treatment of JYCF (1.25, 2.5 and 5 g/kg) and fluoxetine (20mg/kg) significantly reversed the CUMS-induced behavioral abnormalities. JYCF (1.25, 2.5 and 5 g/kg) significantly increased NE in CUMS mouse prefrontal cortex (P < 0.01, P < 0.01, P < 0.05 respectively) and 5-HT in hippocampus (P < 0.05). In summary, our findings suggest that JYCF exerts comparable antidepressant-like effects to that of fluoxetine in CUMS mice. Besides, the antidepressant-like effect of JYCF is mediated by the increase of monoaminergic transmitters including 5-HT and NE. [ABSTRACT FROM AUTHOR]

Aims: To study the effect of adenomyosis on in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) outcomes in infertile patients. Methods: We performed a retrospective, database-searched cohort study based on 10,268 patients undergoing controlled ovarian hyperstimulation and IVF/ICSI between 2009 and 2011 in our unit. Adenomyosis was diagnosed by transvaginal ultrasound. A high-quality matched cohort study with strict inclusion criteria was conducted. We compared the basic characteristics and main IVF/ICSI outcomes between the two groups. Results: We identified 83 patients with adenomyosis, of whom we included 77, and strictly matched them to 77 patients without adenomyosis. Higher day 3 estrogen levels and a longer duration of gonadotropin stimulation days were found in women with adenomyosis compared to control subjects. Patients with adenomyosis had a nonsignificant trend toward a lower clinical pregnancy rate and a higher miscarriage rate (p = 0.103 and 0.09, respectively). The delivery rate was significantly lower in the adenomyosis group in comparison to the matched controls (p = 0.022). Conclusions: Within the limitations of a retrospective study (albeit with a remarkably large number of observations), our results suggest that transvaginal ultrasound-diagnosed adenomyosis could have a negative impact on the main IVF/ICSI outcomes. Improving the diagnostic validity and scoring of disease severity in patients with adenomyosis is suggested. © 2013 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Background: Medical imaging reports play an important role in communication of diagnostic information between radiologists and clinicians. Head magnetic resonance imaging (MRI) reports can provide evidence that is widely used in the diagnosis and treatment of ischaemic stroke. The high-signal regions of diffusion-weighted imaging (DWI) images in MRI reports are key evidence. Correctly identifying high-signal regions of DWI images is helpful for the treatment of ischaemic stroke patients. Since most of the multiple signals recorded in head MRI reports appear in the same part, it is challenging to identify high-signal regions of DWI images from MRI reports.Methods: We developed a deep learning model to automatically identify high-signal regions of DWI images from head MRI reports. We proposed a fine-grained entity typing model based on machine reading comprehension that transformed the traditional two-step fine-grained entity typing task into a question-answering task.Results: To prove the validity of the model proposed, we compared it with the fine-grained entity typing model, of which the F1 measure was 5.9% and 3.2% higher than the F1 measures of the models based on LSTM and BERT, respectively.Conclusion: In this study, we explore the automatic identification of high-signal regions of DWI images from the description part of a head MRI report. We transformed the identification of high-signal regions of DWI images to an FET task and proposed an MRC-FET model. Compared with the traditional two-step FET method, the model we proposed not only simplifies the task but also has better performance. The comparable result shows that the work in this study can contribute to improving the clinical decision support system. [ABSTRACT FROM AUTHOR]

Zheng, J., Ding, L., Hao, Z. & Ge, Q. 2012 (January): Extreme cold winter events in southern China during AD 1650-2000. Boreas, Vol. 41, pp. 1-12. 10.1111/j.1502-3885.2011.00225.x. ISSN 0300-9483. We defined extreme cold winter events as those with occurrence probabilities lower than the 10th percentile of the probability density function, based on observed winter temperatures in southern China since 1951. Subsequently, we constructed impact severity levels using documentary evidence for those events during 1951-2000, considering three indexes for the freezing of rivers/lakes, widespread snow/ice storms, and cold damage to subtropical/tropical crops. Using these criteria we identified 50 extreme cold winters for the period AD 1650-1949 based on ∼4000 pieces of comparable information extracted from local gazettes in southern China, after verification using data from three weather stations with long records. It was found that the frequencies of the extreme cold winter events since 1650 varied over time. The most frequent occurrences were found during AD 1650-1699 and in the first and second halves of the 19th century, with frequencies twice as high as in the second half of the 20th century. In contrast, the frequencies of extreme winters during the 18th century were close to that in the second half of the 20th century. High frequencies of extreme cold winters in AD 1650-1720 and AD 1795-1835 occurred during the sunspot Maunder and Dalton Minima. The intensities of some historical cold events, such as those during 1653-1654, 1670, 1690, 1861, 1892 and 1929, exceeded those of the coldest winter events since 1951. [ABSTRACT FROM AUTHOR]

Sevoflurane (Sevo) is neuroprotective in brain damage, thus our objective was to further investigate the impact of Sevo treatment on nerve regeneration and repair of neurological deficit in brain damage rats by regulating miR-490-5p and cyclin-dependent kinases 1 (CDK1). The rat middle cerebral artery occlusion model was established. miR-490-5p and CDK1 levels in brain tissues were tested. The behavioral changes, the number of glial fibrillary acidic protein (GFAP) positive cells, ionized calcium-binding adapter molecule-1 (Iba-1) and Nestin mRNA expression, the survival and apoptosis of neurons in peripheral tissues of infarct areas were detected by a series of assays. Furthermore, the target relationship between miR-490-5p and CDK1 was verified. miR-490-5p was reduced and CDK1 was raised in brain tissues of brain damage rats. Sevo raised miR-490-5p and decreased CDK1 to improve neurological deficits, reduce apoptotic neurons, suppress expression levels of GFAP and Iba-1, and increase Nestin expression and the number of surviving neurons in peripheral tissue in infarct area, and alleviate the pathological changes of brain tissues of brain damage rats. CDK1 was negatively regulated by miR-490-5p. Our study presents that Sevo treatment is involved in neurogenesis and repair of neurological deficit of brain damage rats via up-regulating miR-490-5p and inhibiting CDK1. [ABSTRACT FROM AUTHOR]

The hole transport layer (HTL) free carbon based perovskite solar cells (Carbon PSC) are known for low cost, good stability and commercial manufacturing technology. Compared to the structure of traditional cells, the carrier transport performance between the absorber layer and the carbon electrode (CE) is poor. As an excellent P-type material, NiO has been doped in CE for obtaining a better performance of PSCs. However, NiO will inevitably reduce the conductivity of the CE due to the poor conductivity, thus failing to fully exploit the advantages of NiO in hole extraction. In this paper, rGO/NiO composites were successfully prepared by doping rGO with good conductivity, which not only improved the conductivity of the CE, but also ensured good hole extraction of the doped CE. The carrier transport in the cell was significantly improved, resulting in 32% increase in the short circuit current density (J sc). The performance of perovskite solar cells was optimized by doping the CE, and the power conversion efficiency (PCE) of the cell was increased from 5.48% to 8.50%. [ABSTRACT FROM AUTHOR]

The balance centered at Cr3+, La3+ and Al3+ was investigated and the stabilizing mechanism of Cr3+ was proposed during crystal remolding. The crystallinity of bulk STO perovskite is improved by the molten-salt method, and the exposure of new non-equivalent facets is more conducive to internal charge separation and migration. The above development is helpful for the overall water splitting under visible light. [Display omitted] • Designed single-crystalline La/(Cr, Al) co-doped SrTiO 3 was successfully prepared. • Introduced Cr3+ for visible-light excitation is fixed and stabilized by La3+ and Al3+. • Ti3+ defect concentration is effectively suppressed after crystal remolding. • The designed SrTiO 3 material performed well in visible-light-driven water splitting. Achieving efficient solar-to-hydrogen conversion through visible-light-driven overall water splitting poses a significant challenge for particulate photocatalysts. Although bandgap engineering can be realized by ion doping, the introduced defects simultaneously enhance the recombination of electron-hole pairs. Herein, La/(Cr, Al) co-doped SrTiO 3 was remolded via the ion implantation flux method. The La, Cr and Al achieve valence state equilibrium upon stabilizing the crystal lattice, resulting in visible-light absorption. The optimized La/(Cr, Al)-SrTiO 3 photocatalyst exhibits an overall water-splitting reaction under visible light, yielding 73.2 μmol·h−1 for H 2 and 35.0 μmol·h−1 for O 2 with an apparent quantum yield of 1.44 % at 420 nm. Based on theoretical calculation, we proposed a La, Al-cooperated mechanism that a little Cr3+ was fixed by the surrounding Al3+, and the valence state was stabilized by La3+ during the crystal remolding, thereby giving the guidance for designing visible-light materials applied in overall water splitting. [ABSTRACT FROM AUTHOR]

STUDY QUESTION Do women have worse pregnancy and neonatal outcomes of IVF/ICSI–fresh embryo transfer (ET) after conservative treatment of atypical hyperplasia (AH)? SUMMARY ANSWER AH has no impact on live birth but is associated with increased risks of pregnancy loss and preterm delivery (PTD). WHAT IS KNOWN ALREADY AH is a precancerous lesion of endometrial cancer. Several recognized AH risk factors include nulliparity, increased body mass index, ovulation disorders, diabetes mellitus, and others. As such, patients are suggested to attempt conception upon achieving AH regression. Recently, successful pregnancies with IVF/ICSI have been increasingly reported. STUDY DESIGN, SIZE, DURATION Forty-two patients with AH regression and 18 700 women with no evidence of endometrial abnormality, who underwent their first autologous oocytes' retrieval and fresh ET cycles of IVF/ICSI in the Center for Reproductive Medicine, Shandong University, from May 2008 to July 2021, were retrospectively enrolled. PARTICIPANTS/MATERIALS, SETTING, METHODS First, 42 AH patients were propensity score matched with control women (n = 168) at a 1:4 ratio. Reproductive outcomes and maternal/neonatal complications were compared between the matched pairs. Binary logistic regression analyses were conducted to assess odds ratios (ORs) of AH for live birth, pregnancy loss, and PTD from AH women and all 18 700 eligible controls. MAIN RESULT AND THE ROLE OF CHANCE Patients with AH achieved a numerically lower live birth rate (LBR) as compared to the matched controls, but without significant difference (26% versus 37%, P  = 0.192). However, compared with the matched controls, AH patients showed significantly higher rates of pregnancy loss (52% versus 21%, P  = 0.003) and PTD (45% versus 16%, P  = 0.041). Further analyses revealed a statistically significantly increased rate of late pregnancy loss (17% versus 3%, P  = 0.023), but not early miscarriage (35% versus 18%, P  = 0.086), in the AH group. Furthermore, after correcting for potential confounders, the likelihood of a live birth in AH patients narrowly failed to be statistically significantly different from controls (adjusted OR [aOR]: 0.51, 95% CI: 0.25–1.04, P  = 0.064). Nonetheless, the logistic regression reconfirmed that AH was an independent risk factor for pregnancy loss (aOR: 3.62, 95% CI: 1.55–8.46, P  = 0.003), late pregnancy loss (aOR: 9.33, 95% CI: 3.00–29.02, P  < 0.001), and PTD (aOR: 5.70, 95% CI: 1.45–22.38, P  = 0.013). LIMITATIONS, REASONS FOR CAUTION Selection bias was an inherent drawback of this study. First, because of the low AH prevalence among women receiving IVF/ICSI treatment, and consequently, limited sample size, the relationship between AH with LBR and adverse complications might be concealed and underestimated. Hence, the results should be interpreted cautiously. Similarly, the impacts of diverse clinical features of AH patients on the pregnancy outcomes need further studies in a larger population. Second, although most data used in this study were obtained by reviewing the medical records, missing data did exist and so did the recall bias. Third, although the propensity score matching and multivariable logistic models were performed collectively in order to minimize potential confounders between AH and controls, the intrinsic disadvantages of the retrospective nature of this study could not be avoided completely, and additional confirmation bias might be induced with reduplication of statistical analyses. WIDER IMPLICATION OF THE FINDINGS Our results highlight the necessity of adequate counseling and intensive pregnancy monitoring for AH individuals and their families. STUDY FUNDING/COMPETING INTEREST(S) This work was supported by grants from the National Key Research & Developmental Program of China (2022YFC2703800), the Natural Science Foundation of Shandong Province (ZR2022MH009), and Projects of Medical and Health Technology Development Program in Shandong Province (202005010520, 202005010523). There are no conflicts of interest to declare. TRIAL REGISTRATION NUMBER N/A. [ABSTRACT FROM AUTHOR]

Background: Cardiogenic stroke has increasing morbidity in China and brought economic burden to patient families. In cardiogenic stroke diagnosis, echocardiograph examination is one of the most important examinations. Sonographers will investigate patients' heart via echocardiograph, and describe them in the echocardiograph reports. In this study, we developed a machine learning model to automatically identify diagnosis evidences of cardiogenic stroke providing to neurologist for clinical decision making.Methods: We collected 4188 Chinese echocardiograph reports of 4018 patients, with average length 177 Chinese characters in free-text style. Collaborating with neurologists and sonographers, we summarized 149 phrases on diagnosis evidence of cardiogenic stroke such as "" (severe mitral stenosis), "" (aortic valve degeneration) and so on. Furthermore, we developed an annotated corpus via mapping 149 phrases to the 4188 reports. We selected 11 most frequent diagnosis evidence types such as "" (mitral stenosis) for further identifying. The generated corpus is divided into training set and testing set in the ratio of 8:2, which is used to train and validate a machine learning model to identify the evidence of cardiogenic stroke using BiLSTM-CRF algorithm.Results: Our machine learning method achieved the average performance on the diagnosis evidence identification is 98.03, 90.17 and 93.94% respectively. In addition, our method is capable to identify the novel diagnosis evidence of cardiogenic stroke description such as "-" (mitral stenosis), "" (aortic valve calcification) et al. CONCLUSIONS: In this study, we analyze the structure of the echocardiograph reports and summarized 149 phrases on diagnosis evidence of cardiogenic stroke. We use the phrases to generate an annotated corpus automatically, which greatly reduces the cost of manual annotation. The model trained based on the corpus also has a good performance on the testing set. The method of automatically identifying diagnosis evidence of cardiogenic stroke proposed in this study will be further refined in the practice. [ABSTRACT FROM AUTHOR]

Neurons are highly dependent on mitochondrial ATP production and Ca2+ buffering. Neurons have unique compartmentalized anatomy and energy requirements, and each compartment requires continuously renewed mitochondria to maintain neuronal survival and activity. Peroxisome proliferator-activated receptor-gamma coactivator-1α (PGC-1α) is a key factor in the regulation of mitochondrial biogenesis. It is widely accepted that mitochondria are synthesized in the cell body and transported via axons to the distal end. However, axonal mitochondrial biogenesis is necessary to maintain axonal bioenergy supply and mitochondrial density due to limitations in mitochondrial axonal transport rate and mitochondrial protein lifespan. In addition, impaired mitochondrial biogenesis leading to inadequate energy supply and neuronal damage has been observed in neurological disorders. In this review, we focus on the sites where mitochondrial biogenesis occurs in neurons and the mechanisms by which it maintains axonal mitochondrial density. Finally, we summarize several neurological disorders in which mitochondrial biogenesis is affected. [ABSTRACT FROM AUTHOR]

Programmed cell death 4 (PDCD4) has been recognized as a novel tumor suppressor gene, which inhibits the activation and translation of activator protein (AP)‑1. Dysregulated expression of PDCD4 is also involved in various human tumors and is linked to tumor progression and development. However, the function and clinical implication of PDCD4 in giant cell tumors of the bone (GCTBs) has not been previously investigated. In the present study, PDCD4 expression was determined in 83 samples of GCTBs at mRNA and protein levels by quantitative reverse transcription‑polymerase chain reaction, western blotting and immunohistochemistry. The results demonstrated that PDCD4 mRNA expression was reduced in 63% of GCTB samples (17/27) and protein expression was decreased in 65% of samples (54/83), compared with adjacent non‑tumor tissues. Furthermore, decreased expression of PDCD4 was significantly associated with certain clinicopathological characteristics, including the Campanacci grade and recurrence. A strong negative correlation was determined between PDCD4 expression and the Ki‑67 positive rate in GCTBs (r=‑0.6392; P<0.001). The results of the present study suggest that PDCD4 may serve a role in the malignant progression of human GCTBs and may be an important prediction factor for prognosis. [ABSTRACT FROM AUTHOR]

Objective: To investigate the expression and clinical significance of programmed cell death 4 (PDCD4), a novel metabolism-associated gene, during polycystic ovary syndrome (PCOS) pathogenesis.Design: Case-control study.Setting: University hospital.Patient(s): A total of 77 PCOS patients and 67 healthy women as matched controls.Intervention(s): PDCD4 expression in peripheral blood mononuclear cells analyzed by quantitative real-time polymerase chain reaction, and apoptosis of granulosa cells (GCs) detected by flow cytometry, terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL), and small-interfering RNA.Main Outcome Measure(s): PDCD4 expression, body mass index (BMI), insulin 0, insulin 120, glucose 120, homeostasis model assessment for insulin resistance (HOMA-IR), homeostasis model assessment for β-cell function (HOMA-β), triglycerides, high-density lipoprotein (HDL), and GC apoptosis.Result(s): The PCOS patients had higher PDCD4 expression, but BMI was similar as matched with the obese group, which positively correlated with BMI, insulin 0, insulin 120, glucose 120, HOMA-IR, HOMA-β, triglycerides and negatively correlated with HDL (P<.05). After metformin treatment, PDCD4 expression was distinctly down-regulated for the obese women with PCOS with insulin resistance. Compared with the healthy controls, the apoptosis percentage of GCs was higher in the PCOS group and was decreased by knocking down PDCD4. Furthermore, expression of proapotosis factor Bax and the Bax/Bcl-2 ratio were lower, whereas the expression of antiapoptosis factor Bcl-2 was increased. In a multivariate logistic regression analysis, the level of PDCD4 expression independently related to the odds of PCOS risk after controlling for estradiol and insulin 120 (odds ratio 1.318).Conclusion(s): Our study suggests for the first time that higher PDCD4 expression might play an important role in PCOS pathogenesis by affecting obesity, insulin resistance, lipid metabolism disorders, and GC apoptosis. [ABSTRACT FROM AUTHOR]

Objective: To investigate the effect of fibroids that do not distort the endometrial cavity on IVF/intracytoplasmic sperm injection (ICSI) outcomes and to identify certain fibroid subgroups that may be deleterious to fertility outcomes. Design: Retrospective cohort study. Setting: University-based reproductive medicine center. Patient(s): A total of 10,268 patients undergoing IVF/ICSI between 2009 and 2011 in our unit. Intervention(s): Transvaginal ultrasound and hysteroscopy; controlled ovarian hyperstimulation and IVF/ICSI; strict matching criteria. Main Outcome Measure(s): Cycle cancellation, clinical pregnancy, miscarriage, and delivery rates. Result(s): We included 249 patients with fibroids who underwent IVF/ICSI. Higher day 3 FSH levels were found in women with fibroids compared with in control subjects. No significant differences were found in IVF/ICSI outcomes between the two groups. Patients with intramural fibroids with the largest diameter <2.85 cm or the sum of reported diameters <2.95 cm had a significantly higher delivery rate than patients with larger fibroids. A significant negative effect on delivery rate was noted when intramural fibroids with the largest diameter greater than 2.85 cm were considered, compared with matched controls without fibroids. Conclusion(s): Our results suggest that although non-cavity-distorting fibroids do not affect IVF/ICSI outcomes, intramural fibroids greater than 2.85 cm in size significantly impair the delivery rate of patients undergoing IVF/ICSI. [Copyright &y& Elsevier]

• Bone marrow-derived mesenchymal stem cells (BMSCs) transplantation may retard renal fibrosis after acute kidney injury. • BMSCs transplantation may diminish pericyte-myofibroblast transition. • BMSCs transplantation may diminish extracellular matrix augment. • BMSCs transplantation may regulate transforming growth factor β/Smad signaling pathway. Renal fibrosis is a common chronic outcome of acute kidney injury (AKI). Pericyte-myofibroblasts transition and production of abundant extracellular matrix are the important pathologic basis. This study investigated the effect of bone marrow-derived mesenchymal stem cells (BMSCs) transplantation on the AKI kidney fibrosis and the possible mechanisms. By constructing the animal and cell model of AKI pericyte injury, the therapeutic effect of BMSCs on pericyte-myofibroblasts transition was detected. The production and accumulation of extracellular matrix, including collagen I, collagen III, and fibronectin were also tested. The mechanism was revealed by means of analysis of signal pathway. After AKI insult, many myofibroblasts emerged in the renal interstitium together with a large amount of extracellular matrix components. The BMSCs transplantation significantly decreased the number of myofibroblasts trans-differentiated from pericytes in the AKI model. The changes of vascular endothelial growth factor subtypes and Ang-I/AngII secreted by pericytes were also significantly reduced after BMSCs co-culture. At the same time, extracellular matrix components, including collagen I, collagen III, and fibronectin, decreased significantly. Transplantation treatment alleviated the fibrosis score. The transforming growth factor β (TGF-β) concentration decreased as well as the levels of Smad2/3 and p-Smad2/3 with the presence of BMSCs therapy. Bone marrow-derived mesenchymal stem cells transplantation diminished pericyte-myofibroblast transition and extracellular matrix augment after AKI by regulating the TGF-β/Smad2/3 signaling pathway. It may be used as a novel therapeutic method for retarding renal fibrosis, which is worthy of further study. [ABSTRACT FROM AUTHOR]

What role does programmed cell death 4 (PDCD4) play in premature ovarian insufficiency (POI)? A PDCD4 gene knockout (PDCD4–/–) mouse model was constructed, a POI mouse model was established similar to human POI with 4-vinylcyclohexene dioxide (VCD), a PDCD4 -overexpressed adenovirus was designed and the regulatory role in POI in vitro and in vivo was investigated. PDCD4 expression was significantly increased in the ovarian granulosa cells of patients with POI (P ≤ 0.002 protein and mRNA) and mice with VCD-induced POI (P < 0.001 protein expression in both mouse ovaries and granulosa cells). In POI-induced mice model, PDCD4 knockouts significantly increased anti-Müllerian hormone, oestrodiol and numbers of developing follicles, and the PI3K-AKT-Bcl2/Bax signalling pathway is involved in it. The expression and regulation of PDCD4 significantly affects the POI pathology in a mouse model. This effect is closely related to the regulation of Bcl2/Bax and the activation of the PI3K-AKT signalling pathway. [ABSTRACT FROM AUTHOR]

Purpose: We develop a new risk score to predict patients with stroke-associated pneumonia (SAP) who have an acute intracranial hemorrhage (ICH).Method: We applied logistic regression to develop a new risk score called ICH-LR2S2. It was derived from examining a dataset of 70,540 ICH patients between 2015 and 2018 from the Chinese Stroke Center Alliance (CSCA). During the training of ICH-LR2S2, patients were randomly divided into two groups - 80% for the training set and 20% for model validation. A prospective test set was developed using 12,523 patients recruited in 2019. To further verify its effectiveness, we tested ICH-LR2S2 on an external dataset of 24,860 patients from the China National Stroke Registration Management System II (CNSR II). The performance of ICH-LR2S2 was measured by the area under the receiver operating characteristic curve (AUROC).Results: The incidence of SAP in the dataset was 25.52%. A 24-point ICH-LR2S2 was developed from independent predictors, including age, modified Rankin Scale, fasting blood glucose, National Institutes of Health Stroke Scale admission score, Glasgow Coma Scale score, C-reactive protein, dysphagia, Chronic Obstructive Pulmonary Disease, and current smoking. The results showed that ICH-LR2S2 achieved an AUC = 0.749 [95% CI 0.739-0.759], which outperforms the best baseline ICH-APS (AUC = 0.704) [95% CI 0.694-0.714]. Compared with the previous ICH risk scores, ICH-LR2S2 incorporates fasting blood glucose and C-reactive protein, improving its discriminative ability. Machine learning methods such as XGboost (AUC = 0.772) [95% CI 0.762-0.782] can further improve our prediction performance. It also performed well when further validated by the external independent cohort of patients (n = 24,860), ICH-LR2S2 AUC = 0.784 [95% CI 0.774-0.794].Conclusion: ICH-LR2S2 accurately distinguishes SAP patients based on easily available clinical features. It can help identify high-risk patients in the early stages of diseases. [ABSTRACT FROM AUTHOR]

High charge and energy (HZE) particles are a main hazard of the space radiation environment. Uncertainty regarding their health effects is a limiting factor in the design of human exploration-class space missions, that is, missions beyond low earth orbit. Previous work has shown that HZE exposure increases cancer risk and elicits other aging-like phenomena in animal models. Here, we investigate how a single exposure to HZE particle radiation, early in life, influences the subsequent age-dependent evolution of oxidative stress and appearance of degenerative tissue changes. Embryos of the laboratory model organism, Oryzias latipes (Japanese medaka fish), were exposed to HZE particle radiation at doses overlapping the range of anticipated human exposure. A separate cohort was exposed to reference γ-radiation. Survival was monitored for 750 days, well beyond the median lifespan. The population was also sampled at intervals and liver tissue was subjected to histological and molecular analysis. HZE particle radiation dose and aging contributed synergistically to accumulation of lipid peroxidation products, which are a marker of chronic oxidative stress. This was mirrored by a decline in PPARGC1A mRNA, which encodes a transcriptional co-activator required for expression of oxidative stress defense genes and for mitochondrial maintenance. Consistent with chronic oxidative stress, mitochondria had an elongated and enlarged ultrastructure. Livers also had distinctive, cystic lesions. Depending on the endpoint, effects of γ-rays in the same dose range were either lesser or not detected. Results provide a quantitative and qualitative framework for understanding relative contributions of HZE particle radiation exposure and aging to chronic oxidative stress and tissue degeneration. [ABSTRACT FROM AUTHOR]

Abstract: Hyperaccumulators are ideal plant species used for phytoremediation of soils contaminated by heavy metals. A full understanding of metal tolerance mechanisms of hyperaccumulators will facilitate enhancing their phytoremediation efficiency. However, how Cd affects N metabolism and which role plays the response of N metabolism to Cd toxicity in the tolerance of hyperaccumulators are still unknown. To clarify these questions, this study investigated the effects of various soil Cd levels on the concentrations of N forms and the activity of key enzymes involved in N metabolism in leaves of the Cd hyperaccumulator, Solanum nigrum L. The results showed that its growth and all N metabolism indicators were normal at low Cd exposure (≤12mgkg−1). At 24mgCdkg−1 soil, nitrate assimilation indicators (nitrate concentration and activity of nitrate reductase) were reduced significantly, whereas most ammonia assimilation indicators (ammonium concentration and activity of glutamine synthetase) remained normal. However, when exposed to a higher Cd level (48mgkg−1), growth and most N metabolism indicators were reduced significantly. Therefore, N metabolism in leaves of S. nigrum could be tolerant of Cd toxicity to a certain extent (soil Cd concentration ≤12mgkg−1), and this might be involved in the Cd-tolerance of this Cd-hyperaccumulator. [Copyright &y& Elsevier]

Purpose: To evaluate whether miR-148a-3p overexpression is associated with disrupted decidualization of recurrent implantation failure (RIF). Methods: Endometrial miRNA and mRNA expression profiles during the implantation window derived from women with and without RIF were identified using microarray and RT-qPCR. Immortalized human endometrial stromal cells (HESCs) were cultured for proliferation and in vitro decidualization assays after enhancing miR-148a-3p expression or inhibiting putative target gene homeobox C8 (HOXC8) expression. RT-qPCR, western blot, and luciferase reporter assays were used to confirm the relationship between miR-148a-3p and HOXC8 gene. Results: MiR-148a-3p was significantly upregulated in RIF endometrial tissues. Forced expression of miR-148a-3p notably attenuated HESC in vitro decidualization. Mechanistic studies revealed that miR-148a-3p directly bounds to the HOXC8 3′ untranslated region (3′UTR) and suppressed HOXC8 expressions in both mRNA and protein levels. Further investigations demonstrated that inhibition of HOXC8 in HESCs induced similar effects on decidual process as those induced by miR-148a-3p overexpression. Conclusion: Taken together, our findings suggested that elevated miR-148a-3p might account for flawed decidualization in RIF by negatively regulating HOXC8, raising the possibility that miR-148a-3p might be a novel therapeutic target in RIF. [ABSTRACT FROM AUTHOR]

Background: The endometrial preparation during frozen embryo transfer (FET) can be performed by natural cycle (NC), hormone replacement therapy (HRT) cycle and cycle with ovulation induction (OI). Whether different FET preparation protocols can affect maternal and neonatal outcomes is still inconclusive. Methods: This was a retrospective cohort study that included 6886 women who delivered singleton live birth babies after 28 weeks of pregnancy underwent FET from January, 2015 to July, 2018. Women were divided into three groups according to the protocols used for endometrial preparation during FET: NC group (N = 4727), HRT group (N = 1642) and OI group (N = 517). Results: After adjusting for the effect of age, body mass index (BMI), irregular menstruation, antral follicle count (AFC), endometrial thickness, the levels of testosterone, anti-Müllerian hormone (AMH), preconceptional fasting glucose (PFG), systolic and diastolic pressure et al., the HRT group had higher risk of hypertensive disorders of pregnancy (HDP) compared with the NC group (adjusted odds ratio (aOR) 2.00, 95% confidence interval (CI) 1.54–2.60). Singletons born after HRT FET were at increased risk of low birth weight (LBW) compared to NC group (aOR 1.49, 95%CI 1.09–2.06). The risks of preterm birth (PTB) in the HRT and OI group were elevated compared with the NC group (aOR 1.78, 95%CI 1.39–2.28 and aOR 1.51, 95%CI 1.02–2.23, respectively). Conclusions: The HRT protocol for endometrial preparation during frozen embryo transfer of blastocysts was associated with increased risk of maternal and neonatal complications, compared to the NC and OI protocol. [ABSTRACT FROM AUTHOR]

Background: Thyroid autoimmunity (TAI) is the most frequent autoimmune disease among reproductive-aged women. It has been related to premature ovarian insufficiency, but the mechanisms remain elusive, and its association with ovarian reserve in euthyroid women is debatable. Moreover, the impact of TAI on assisted reproduction is controversial: especially for women with diminished ovarian reserve (DOR), few studies are available. Therefore, the present study was aimed to look for an association between TAI and DOR, and to evaluate the effect of TAI on pregnancy outcomes and offspring health following assisted reproductive technology stratified by ovarian reserve. Methods: A total of 6213 euthyroid women from the Reproductive Hospital Affiliated to Shandong University between 2012 and 2017 were retrospectively included. The prevalence of DOR in women with negative or positive TAI was calculated, and pregnancy and neonatal outcomes after in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) cycles were compared between the TAI-positive and TAI-negative groups both in women with DOR and in those with normal ovarian reserve (NOR). Longitudinal growth parameters and temperament type of the offspring were also observed in the TAI-positive and TAI-negative groups. Results: The prevalence of DOR in women with positive TAI and those with negative TAI was not significantly different (4.09% vs. 2.96%, p = 0.053), even after stratifying patients by age. In women with DOR, the live birth rate, pregnancy loss rate, neonatal complication rate, and offspring outcomes between the TAI-positive and TAI-negative groups were comparable (p > 0.05). In women with NOR, a higher rate of live births (44.94% vs. 40.34%, p = 0.027) and a higher prevalence of congenital anomalies (4.68% vs. 2.14%, p = 0.005) were observed in the TAI-positive group. Conclusions: TAI had no impact on ovarian reserve in euthyroid women and had no association with IVF/ICSI outcomes in women with DOR. Although an increased incidence of congenital anomalies in the TAI-positive group was observed in women with NOR, an association between neonatal anomalies and TAI cannot be demonstrated. Large cohort studies to evaluate the effects of TAI on offspring health are warranted, and further experimental studies are required to explore the underlying mechanisms. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the impact of unicornuate uterus on perinatal outcomes after in vitro fertilization and/or intracytoplasmic sperm injection (IVF/ICSI) cycles.Methods: We performed a retrospective cohort study including 160 women with unicornuate uterus and 1:1 matched controls with normally shaped uterus. They received IVF/ICSI treatment during January 2009 and December 2011. The perinatal outcomes were followed up till December 2014.Results: There were no significant differences in pregnancy rate, clinical pregnancy rate or live birth rate (53.6 versus 52.7, 41.4 versus 43.5, 33.8% versus 31.8%) between unicornuate uterus group and controls. Their biochemical pregnancy rate (22.8 versus 17.5%) and miscarriage rate (16.0 versus 18.8%) were similar. No significant differences were identified in preterm birth rate (18.3 versus 11.8%), birthweight (3.24 ± 0.60 versus 3.33 ± 0.54 kg) or birth length (50.47 ± 2.33 versus 50.06 ± 2.40 cm) among the singletons. However, lower gestational age (35.56 ± 2.68 versus 36.71 ± 1.73, p = .019), higher preterm birth rate (55.0 versus 34.4%, p = .038), lower birthweight (2.33 ± 0.58 versus 2.69 ± 0.38 kg, p = .001), lower birth length (45.33 ± 2.46 versus 48.88 ± 2.06 cm, p = .000), as well as higher rate of very low birthweight (13.2% versus 0, p = .007) were found for the twins from unicornuate uterus group.Conclusions: The results indicated unimpaired pregnancy and perinatal outcomes for women with unicornuate uterus conceiving one fetus. However, close attention should be paid to twin pregnancy in unicornuate uterus owing to increased risks of prematurity and low birthweight. Selected single embryo transfer is recommended for women with unicornuate uterus undergoing IVF/ICSI cycles. [ABSTRACT FROM AUTHOR]

• A novel trigeneration process for crude helium, liquefied natural gas, and methanol production was proposed. • The application of WRU provided the feasibility of producing more methanol through a separation process from vapor streams. • Comprehensive energy, exergy, economic, and environmental analyses were performed for feasibility evaluation. • According to the results, the total energy and exergy efficiencies were obtained to be 94.38% and 93.4%. • The net present value of the designed scheme was estimated to be 364.36 M$. This study suggested a novel integrated trigeneration system for crude helium (He), liquefied natural gas, and methanol production. This proposed system consisted of a cryogenic-based helium recovery unit from natural gas, a syngas synthesis unit by hybrid reforming, a methanol synthesis unit, and a sour water recovery unit. Comprehensive energy, exergy, environmental, and economic analyses were performed to assess the system's performance. Based on the results, the crude helium, liquefied natural gas, and methanol production rates were obtained to be 4105 k g / h , 3594000 k g / h , and 707800 k g / h , respectively. These production rates provided 93.4 % and 94.38 % overall exergy and energy efficiencies. Also, over 60 % of the total exergy destruction occurred in reactors (R1-R4). The application of sour water recovery supplied 85.66 % of the reforming and methanol synthesis process. Regarding environmental analysis, 94 % of the CO 2 emission was due to the indirect mode, and the rate of the CO 2 emission was estimated to be 0.164 k g C O 2 / k g p r o d s . Finally, the economic analysis indicated that the total annual production costs were about 440.16 M$ and 0.13 U S D / k g. Therefore, the net present value of the designed scheme was estimated to be 364.36 M$. [ABSTRACT FROM AUTHOR]

Stroke is one of the leading causes of death and disability worldwide. The National Institutes of Health Stroke Scale (NIHSS) scores in electronic health records (EHRs), which quantitatively describe patients' neurological deficits in evidence-based treatment, are crucial in stroke-related clinical investigations. However, the free-text format and lack of standardization inhibit their effective use. Automatically extracting the scale scores from the clinical free text so that its potential value in real-world studies is realized has become an important goal. This study aims to develop an automated method to extract scale scores from the free text of EHRs. We propose a two-step pipeline method to identify NIHSS items and numerical scores and validate its feasibility using a freely accessible critical care database: MIMIC-III (Medical Information Mart for Intensive Care III). First, we utilize MIMIC-III to create an annotated corpus. Then, we investigate possible machine learning methods for two subtasks, NIHSS item and score recognition and item-score relation extraction. In the evaluation, we conduct both task-specific and end-to-end evaluations and compare our method with the rule-based method using precision, recall and F1 scores as evaluation metrics. We use all available discharge summaries of stroke cases in MIMIC-III. The annotated NIHSS corpus contains 312 cases, 2929 scale items, 2774 scores and 2733 relations. The results show that the best F1-score of our method was 0.9006, which was attained by combining BERT-BiLSTM-CRF and Random Forest, and it outperformed the rule-based method (F1-score = 0.8098). In the end-to-end task, our method could successfully recognize the item "1b level of consciousness questions", the score "1" and their relation "('1b level of consciousness questions', '1', 'has value')" from the sentence "1b level of consciousness questions: said name = 1", while the rule-based method could not. The two-step pipeline method we propose is an effective approach to identify NIHSS items, scores and their relations. With its help, clinical investigators can easily retrieve and access structured scale data, thereby supporting stroke-related real-world studies. • A two-step information extraction pipeline method is proposed to identify stroke scale scores from free text of EHRs. • The combination of BERT-BiLSTM-CRF and RF achieved the best performance. • The annotated corpus is available on PhysioNet for further research. • Automatically extracting NIHSS scores from clinical free text could help realize its potential value in real-world studies. [ABSTRACT FROM AUTHOR]

Objective: To compare the risk of ectopic pregnancy (EP) after embryo transfer on day 3(D3-ET) and day 5(D5-ET). Design: Meta-analysis Patients: Women with pregnancy resulting from in vitro undergoing in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) Result(s): Twenty-two studies were identified through research conducted using the PubMed, Embase, and Cochrane databases and ClinicalTrials.gov. All studies were conducted prior to October 2016. Adding the reproductive data from our center, a total of 143 643 pregnancies were reviewed(D3-ET: n = 62027,D5-ET:n = 81616). A lower EP rate was found in women undergoing D5-ET than in those undergoing D3-ET [relative risk (RR), 0.67;95% confidence interval (CI), 0.54–0.85;143643 pregnancies in 23 studies; I2 = 67%]. These results were validated in subgroups of fresh embryo-transfer (Fre-ET) cycles [RR, 0.78; 95%CI, 0.69–0.88; 91 871 pregnancies in 21 studies; I2 = 29%] and frozen-thawed embryo-transfer (Fro-ET) cycles [RR, 0.43; 95%CI, 0.36–0.51; 51 772 pregnancies in 10 studies; I2 = 33%]. After separating out the randomized controlled trials (RCTs), a significant difference was found in the retrospective studies in both subgroups [both Fre-ET (RR,0.78;95% CI 0.69–0.88);91182 pregnancies in 14 studies; I2 = 45%] and Fro-ET(RR,0.43;95% CI 0.36–0.51; 51751pregnancies in 9 studies;I2 = 33%)], while the RCTs showed no statistical significance for Fre-ET cycles[RR,0.86;95% CI 0.32–2.26); 689 pregnancies in 7 studies; I2 = 0%]. Conclusion(s): The present study indicates that D5-ET reduces the risk for EP in cycles that use IVF or ICSI, compared with D3-ET. It suggests that D5-ET may be a better choice for decreasing the EP rate in assisted reproductive technology. Further high-quality randomized controlled trials are anticipated. [ABSTRACT FROM AUTHOR]

Polymorphisms in the β subunit of the high affinity receptor for IgE (FcεRIβ) and interferon-γ (IFN-γ) genes may influence the risk of asthma. However, the results in Asian population are still debatable. We performed a meta-analysis to ascertain the association between the FcεRIβ E237G, FcεRIβ -109C/T, and IFN-γ 874T/A polymorphisms and asthma in an Asian population. Databases including PubMed, Chinese National Knowledge Infrastructure (CNKI), Weipu, and Wan Fang (Chinese) databases were searched to find the relevant studies. The effect summary odds ratio (OR) with 95% confidence interval (CI) was calculated. There was no significant difference in dominant model and allele model (EG + GG vs. EE: OR = 1.14, 95%CI = 0.94-1.40; G vs. E: OR = 1.13, 95%CI = 0.95-1.34) for FcεRIβ E237G, and no significant association was observed in the subgroup analysis by age and atopic status. A significantly decreased risk of asthma was observed in allelic model (C vs. T: OR=0.88, 95%CI=0.80-0.98) for FcεRIβ -109C/T, significant association was found in dominant model (AT+TT vs. AA: OR=0.56, 95% CI=0.33-0.97) for IFN-γ 874T/A. This meta-analysis suggested that FcεRIβ E237G is not an influencing factor for asthma in Asian population. FcεRIβ -109C/T and IFN-γ 874T/A polymorphisms may be influencing factors for asthma in the Asian population. [ABSTRACT FROM AUTHOR]

The present study aims to evaluate the effects of pterostilbene on lipopolysaccharide (LPS)-induced learning and memory impairment as well as the possible changes of microglia and neurons. Firstly, learning and memory function was investigated by behavioral tests. Pterostilbene attenuated LPS-induced learning and memory impairment tested by Y-maze and Morris water maze. Secondly, immunohistochemical method was used to study the changes of microglia and neurons. The results showed that pterostilbene produced a significant decrease in the number of Iba-1 and Doublecortin (DCX) positive cells and a significant increase in neuronal nuclear antigen (NeuN)-stained area of neurons in mouse hippocampal compared to the LPS group. Finally, an in vitro study was performed to further confirm the inhibitory effect on microglia activation and protective effect on neurons exerted by pterostilbene. The results demonstrated that pterostilbene significantly inhibited microglia activation, showing the obvious decrease of LPS-induced production of NO, TNF-α and IL-6 in N9 microglial cells. In addition, the viability of SH-SY5Y cells decreased by conditioned media of LPS-activated N9 microglial cells was remarkably recovered by pterostilbene. In summary, the present study demonstrated for the first time that pterostilbene attenuated LPS-induced learning and memory impairment, which may be associated with its inhibitory effect on microglia activation and protective effect on neuronal injury. [ABSTRACT FROM AUTHOR]

Background: Overweight and obesity are epidemic worldwide. The purpose of this research is to estimate whether the prevalence of obesity among primary school children is high, and to identify its potential determinants to optimize the methods of prevention to combat further increases in childhood overweight.Methods: A cross-sectional study was designed to collect the routine health screening data for primary school children in Wannan area, China. Overweight and obesity status were determined using the International Obesity Task Force standard (IOTF) BMI cut-off points.Results: A total of 67956 subjects (36664 male and 31292 female) aged 5-14 years were recruited in this study. Depending on the references used (IOTF), the overall prevalence of overweight, including obesity of the subjects was 17.85% , the prevalence of overweight, including obesity was 22.9% in male subjects and 11.9% in female subjects, respectively. The overall prevalence of obesity was3.7%, the prevalence of obesity was 5.2 % in male subjects and 1.8% in female subjects, respectively. An interesting observation made was that the prevalence of overweight was high in male subjects.Conclusions: Overweight is prevalence among primary school children, especially in male children. The relate department of school and government should take some measure to reduce the prevalence of overweight and obesity. [ABSTRACT FROM AUTHOR]

The hole-transport material (HTM) free carbon-based perovskite solar cells (C–PSCs) lacks a HTM layer inside, resulting in poor charge transport performance. The power conversion efficiencies (PCE) of the C–PSCs could be effectively improved by increasing the transmission of photo-generated electrons from the perovskite to the electron transport layer. Here, the nanoparticles with TiO 2 @ PbTiO 3 core-shell structure were prepared by in-situ reaction and used as mesoporous electron transport layer to improve electron transport performance. It is worth noting that the density of defect states on the surface of TiO 2 significantly reduced due to the coating of PbTiO 3 , which effectively inhibits the interfacial charge recombination caused by the defect as the carrier recombination center. The electron injection from perovskite to electron transport layer enhanced ascribing to the optimized energy band arrangement. The open circuit voltage (V oc) and short circuit density (J sc) were significantly improved, as well as the hysteresis retarded. Finally, the optimal PCE prepared in the air condition increased from 6.55% to 7.97%. This study provides a very feasible idea for obtaining high-performance C–PSCs. Image 1 • The TiO 2 @PbTiO 3 core-shell structure using for mesoporous layer was fabricated by the in-situ reaction. • The trap states density acted as the center of charge recombination reduced significantly ascribing to the PbTiO 3 shell. • The electron injection from perovskite to electron transport layer enhanced due to the optimized energy band arrangement. • The open circuit voltage and short circuit density of cells improved apparently, and retarded the hysteresis. [ABSTRACT FROM AUTHOR]

Objective: To study the age-specific distribution of antimüllerian hormone (AMH) and describe the association of AMH with androgenic and metabolic profiles at different ages.Design: Cross-sectional study.Setting: University hospital.Patient(s): A total of 6,763 Chinese women from birth to menopause.Intervention(s): None.Main Outcome Measure(s): Anthropometric parameters (height, weight, and blood pressure), and levels of AMH and testosterone, glucose metabolism, and lipid profiles.Result(s): According to the level of AMH, four age phases were established: childhood (0-10 years), adolescence (11-18 years), reproductive age (19-50 years), and advanced age (≥51 years). During childhood and adolescence, AMH levels increased, reaching a peak at 18 years. A decline occurred thereafter during the reproductive-age period until the age of 50 years, and it remained at a low level above 0 onward. We found that AMH was negatively correlated with testosterone in childhood (r = -0.25), but was positively correlated with testosterone and the free androgen index in adolescence (r = 0.30; r = 0.26, respectively) as well as during the reproductive phases (r = 0.28; r = 0.31, respectively). No correlation was observed between AMH and body mass index, fasting blood glucose, fasting insulin, the homeostasis model assessment, total cholesterol, triglycerides, low-density lipoprotein, or high-density lipoprotein at any phase.Conclusion(s): From birth to 18 years, AMH increases, then it declines thereafter, indicating changes of ovarian maintenance. A positive relationship between androgenic profiles and AMH during adolescence and reproductive years implies a synchronism between androgens and ovarian reserve. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the influence of previous ectopic pregnancies (EP) and different EP treatment methods on in vitro fertilization-intracytoplasmic sperm injection (IVF-ICSI) outcomes.Design: Retrospective cohort study.Setting: University-based reproductive medicine center.Patient(s): Women undergoing 51,268 fresh cycles of IVF-ICSI.Intervention(s): In women who had had an EP before the IVF treatment and women who were diagnosed with fallopian disease without an EP (control group), division into three treatment subgroups: subgroup 1, conservative treatment; subgroup 2, salpingostomy; and subgroup 3 salpingectomy.Main Outcome Measure(s): Estimates of IVF-ICSI outcome and ovarian function based on number of antral follicles and rates of implantation, EP, clinical pregnancy, and delivery.Result(s): For the experimental group and the control group, there were no statistically significant differences in the rates of implantation, clinical pregnancy, or delivery. However, the risk of recurrent EP was statistically significantly higher in the experimental group compared with the control group. There were no statistically significant differences in IVF-ICSI outcomes between the three treatment subgroups in terms of the basic antral follicle number or the dominant antral follicle numbers (>1.0 cm) after surgical treatment of EP.Conclusion(s): Our results suggest that women with a prior history of EP have a higher recurrence risk of EP after IVF in comparison with women with no history of EP. Previous EP has no effect on the main IVF-ICSI outcomes. For the treatment of EP, salpingostomy and salpingectomy do not statistically significantly affect ovarian function. [ABSTRACT FROM AUTHOR]