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Atmospheric glyoxal (GLY) and methylglyoxal (MGLY) are key precursors of secondary organic aerosol (SOA). However, anthropogenic emissions of GLY and MGLY and their contribution to surface GLY and MGLY concentrations, as well as the secondary organic aerosol (SOA) formation, are not well quantified. By developing an emission inventory of anthropogenic GLY and MGLY and improving the Community Multiscale Air Quality Model (CMAQ) with SOA formation from irreversible surface uptake of GLY and MGLY, as well as a precursor-origin resolved technique, we quantified the source contributions of GLY and MGLY and their impact on wintertime SOA formation in Beijing, China. The total emissions of GLY and MGLY in Beijing in 2017 are 1.1 × 104 kmol and 7.0 × 103 kmol, respectively. Anthropogenic primary emissions are found to be the dominant contributor to wintertime GLY and MGLY concentrations (∼74% for GLY and ∼63% for MGLY). Anthropogenic primary emissions of GLY and MGLY contributes to 30% of GLY/MGLY SOA daily average concentration and accounts for up to 45% of nighttime GLY/MGLY SOA in winter. The study suggests that the anthropogenic GLY and MGLY emissions, mainly from gasoline vehicles and cooking, are important for SOA formation and shall be strictly controlled in Chinese megacities.

What is already known about this topic? Hepatitis A (HA) is caused by acute hepatitis A virus (HAV) infection and was once very common in China. Following the 2008 introduction of the HA vaccine into the national Expanded Program on Immunization (EPI), the incidence of reported HA in China decreased markedly. However, HA epidemics still occur in Liaoning Province every 3–5 years, although with far fewer cases than in the pre-HA-vaccination era. What is added by this report? Between January 1, 2020 and March 18, 2020, the number of reported cases of HA in Dalian and Dandong cities of Liaoning Province increased significantly compared with the same period in previous years. All cases were sporadic, and cases were seen in nearly every township. The increase in HA occurred one month after local fresh seafood became available with most cases being among adults. A case-control study showed that consuming raw or undercooked seafood, clams, snapping shrimp, and oysters were significantly associated with the increase in HA. What are the implications for public health practices? Strengthening health education for residents to avoid consumption of raw seafood and encouraging HAV vaccination of adults aged 20 to 54 years are important to prevent periodic HAV endemic outbreaks. Further multisectoral cooperation must be emphasized on HA surveillance in areas with a high prevalence of HA.

The increasingly serious surface ozone (O

Due to the implementation of different air pollution control measures in the Beijing-Tianjin-Hebei (BTH) region during 2013-2017, the air quality exhibited varied improvements in each province, indicating substantial changes in the interprovincial regional transport of PM

Objective: In July 2018, recurrent hepatitis E cases were reported from a factory in Qingdao City, China. The aim of this study was to identify additional cases, and help prevent future incidents by identifying possible risk factors for infection. Methods: Participants were asked to provide blood samples for hepatitis E virus (HEV) IgM and IgG antibodies screening, as well as liver function test. A questionnaire that assessed demographics, potential risk factors, and clinical symptoms was completed by participants. HEV RNA genotyping was performed using a nested Reverse Transcriptional Polymerase Chain Reaction (RT-PCR) method. Adjusted Poisson regression model for participant characteristics and risk factors was constructed for multivariate analysis. Results: Overall, 41(14.5%, 41/283) participants had recent acute infection (21 of these were symptomatic). The result of multivariate analysis demonstrated a significant association of acute HEV infection with consumption of pig liver within the past two months (Relative Risk 2.61, 95% confidence interval (CI) 1.10–6.17, p = 0.0294). Sequencing of HEV RNA from seventeen acute cases indicated three HEV isolates of genotype 4 induced this outbreak. Conclusions: This was probably a common-source foodborne hepatitis E outbreak, related to the consumption of undercooked pig liver. Keywords: Hepatitis E, Foodborne diseases, Zoonoses

An emission inventory of carbonyl sulfide (COS) from primary anthropogenic sources in China was compiled from 2010 to 2015. The national total emission was estimated at 174 Gg S yr−1 in 2015, with an annually average sustainable growth rate of 7.2% from 2010 to 2015. Industrial sources, biomass burning, coal combustion, agricultural sources and vehicle exhaust contributed 68.2%, 22.0%, 6.1%, 2.2%, and 1.5%, respectively, of total COS emissions in 2015. Aluminum production, carbon black production, titania production, coke production, pulp and paper industry, were the main industrial sources of COS, with the emission about 118 Gg S yr−1 COS in 2015, accounting for 98.5% of total direct emissions from the Chinese industry. The distribution of COS emissions in China showed significant differences at the provincial level. In Shandong and Xinjiang province, they were much bigger than other provinces, with total emissions of 31 and 15 Gg S yr−1, respectively. Uncertainty analysis of COS emission inventories showed that the emission range was 70–267 Gg S yr−1 at a 95% confidence interval. In this study, COS emissions in China were much higher than prior underestimated estimations, even for Asian and global emissions, which could be resolved part of missing sources in the global COS budget.

Expansion microscopy has enabled super resolution imaging of biological samples. The accurate measurement of expansion factor and distortion typically requires locating and imaging the same region of interest in the sample before and after expansion, which is often time-consuming to achieve. Here we introduce a convenient method for relocation by utilizing isolated porcine glomeruli as landmarks during expansion. Following heat denaturation and proteinase K digestion protocols, the glomeruli exhibit expansion factor of 3.5 to 4 (only 7%-16% less expanded than the hydrogel), and 1% to 2% of relative distortion. Due to its appropriate size of 100 to 300 μm, the location of the glomerulus in the sample are visible to eyes, while its detailed shape only requires bright field microscopy. For expansion factors ranging from 3 to 10, the region in the vicinity of the glomerulus can be easily re-identified, and sometimes allows quantification of expansion factor and distortion under bright field without fluorescent labels.

Background The emergence of SARS-Cov2 variants has highlighted the need to implement sequencing-based surveillance in developing countries for early response to mutant viruses of concern. However, limited information on how to implement sequencing-based surveillance is available, and the feasibility and performance of this new type of surveillance are still in question. Methods To understand the challenges with the implementation and to promote sequencing-based surveillance, we reported findings from a pilot for hepatitis A (HepA) in five sentinel provinces in China as an example of sequencing-based surveillance implementation. The performance of the surveillance system was evaluated by indicators related to acceptability, data quality, simplicity, utility, and timeliness. We use a scale from 1 to 3 was used to provide a score for each aspect. Results During the pilot, 306 cases of HepA were reported, and 49.79% of samples were available for sequencing. Eleven genomic clusters were found, of which seven clusters were potentially related to a foodborne outbreak oyster based on identical viral sequence and epidemiologic investigations. The greatest strength of the system was its simplicity (Score: 2.63). The acceptability (Score: 2.0) and utility (Score: 2.33) were modest, but data quality (Score: 1.75) and timeliness (Score: 1.75) were the main challenges. Conclusions Overall, the system performed satisfactorily and proved to be useful for virological characterization of cases and early outbreak detection, with a great potential for scale-up. Further efforts are required to address financial and human resource constraints and inadequate support among physicians. Education should be given to health care professionals to improve the data quality. The establishment of decentralized surveillance networks can be an approach to improve timeliness for emerging infections.

Objective: The roles of long non-coding RNAs (lncRNAs) in the diagnosis of clear cell renal cell carcinoma (ccRCC) are still not well-defined. We aimed to identify differentially expressed lncRNAs and mRNAs in plasma of ccRCC patients and health controls systematically.Methods: Expression profile of plasma lncRNAs and mRNAs in ccRCC patients and healthy controls was analyzed based on microarray assay. Gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway-based approaches were used to investigate biological function and signaling pathways mediated by the differentially expressed mRNAs. SOCS2-AS1 was selected for validation using Real-Time PCR. The differentially expressed lncRNAs and mRNAs were further compared with E-MTAB-1830 datasets using Venn and the NetworkAnalyst website. The GEPIA and ULCAN websites were utilized for the evaluation of the expression level of differentially expressed mRNA and their association with overall survival (OS).Results: A total of 3,664 differentially expressed lncRNAs were identified in the plasma of ccRCC patients, including 1,511 up-regulated and 2,153 down-regulated lncRNAs (fold change ≥2 and P < 0.05), respectively. There were 2,268 differentially expressed mRNAs, including 932 up-regulated mRNAs and 1,336 down-regulated mRNAs, respectively (fold change ≥2 and P < 0.05). Pathway analysis based on deregulated mRNAs was mainly involved in melanogenesis and Hippo signaling pathway (P < 0.05). In line with the lncRNA microarray findings, the SOCS2-AS1 was down-regulated in ccRCC plasma and tissues, as well as in cell lines. Compared with the E-MTAB-1830 gene expression profiles, we identified 18 lncRNAs and 87 mRNAs differently expressed in both plasma and neoplastic tissues of ccRCC. The expression of 10 mRNAs (EPB41L4B, CCND1, GGT1, CGNL1, CYSLTR1, PLAUR, UGT3A1, PROM2, MUC12, and PCK1) was correlated with the overall survival (OS) rate in ccRCC patients based on the GEPIA and ULCAN websites.Conclusions: We firstly reported differentially expressed lncRNAs in ccRCC patients and healthy controls systemically. Several differentially expressed lncRNAs and mRNAs were identified, which might serve as diagnostic or prognostic markers. The biological function of these lncRNAs and mRNAs should be further validated. Our study may contribute to the future treatment of ccRCC and provide novel insights into cancer biology.

Purpose Glioblastoma (GBM) is the most lethal primary cancer in adult central nervous system, and new strategies are desperately needed. The secretory pathway kinase or kinase-like proteins (SPKKPs) have been shown to mediate multiple physiological functions by phosphorylating extracellular proteins and proteoglycans. However, their roles in cancers, especially GBM, remain poorly defined. Methods The least absolute shrinkage and selection operator (LASSO) regression was employed for establishing the SPKKPs signature for IDH wild type (wt) GBM prognosis. Integrative analyses with multiple datasets were employed to identify the core member of this gene family in glioma. The receiver operator characteristic (ROC) curves and immunohistochemistry were further used for evaluating its association with progressive malignancy in glioma and GBM patients’ survival, respectively. Gene set enrichment analysis (GSEA) and Kyoto Encyclopedia of Genes and Genomes (KEGG) were used to interpret its functions in GBM, which were further verified in vitro. Results A SPKKPs classifier was constructed with 3 genes of this family. This signature could effectively distinguish IDH wt GBM survival. Family with sequence similarity 20 C (FAM20C) was further identified as the core member of this family in glioma. Elevated FAM20C expression was not only closely correlated with glioma malignancy progression and the mesenchymal subtype of GBM but also indicated unfavorable survival of GBM patients. FAM20C was also found to be associated with the disrupted immune response in GBM microenvironment and was required for the migration of glioma and immune cells. Conclusion These data indicate that the potential of FAM20C serving as a predictive molecule and a therapeutic target for GBM.

PAX6 is essential for neural retina (NR) and forebrain development but how PAX6 instructs NR versus forebrain specification remains unknown. We found that the paired‐less PAX6, PAX6D, is expressed in NR cells during human eye development and along human embryonic stem cell (hESC) specification to retinal cells. hESCs deficient for PAX6D failed to enter NR specification. Induced expression of PAX6D but not PAX6A in a PAX6‐null background restored the NR specification capacity. ChIP‐Seq, confirmed by functional assays, revealed a set of retinal genes and non‐retinal neural genes that are potential targets of PAX6D, including WNT8B. Inhibition of WNTs or knocking down of WNT8B restored the NR specification capacity of neuroepithelia with PAX6D knockout, whereas activation of WNTs blocked NR specification even when PAX6D was induced. Thus, PAX6D specifies neuroepithelia to NR cells via the regulation of WNT8B.

Rifampicin is a semi-synthetic broad-spectrum antibiotic obtained from rifamycin B. It is one of the most effective first-line antituberculosis drugs and is widely used in clinical practice. In the present study, we describe a rapid and sensitive method for the determination of rifampin in aquatic products by stable isotope-dilution high liquid chromatography-tandem mass spectrometry (HPLC-MS/MS). Samples were extracted with the acetonitrile, degreased by hexane, and then concentrated by nitrogen blowing. After separation using a C18 column with a mixture of acetonitrile and water as mobile phase, it was determined by HPLC-MS/MS using the stable isotope-dilution calibration method. The performance of our method was validated. The limit of detection was 0.25 μg kg-1 and the limit of quantification was 0.5 μg kg-1 . At the three spiked levels of 0.5, 1.0 and 5.0 μg kg-1 , the average recoveries of rifampicin in different aquatic products were between 75.28 and 107.6%, and the relative standard deviation ranged from 0.81 to 13.23%. This method was successfully applied for the determination of rifampin in different kinds of aquatic products and rifampicin residue was found in aquatic products obtained from markets in Beijing, China.

In the current Tumor-Node-Metastasis (TNM) classification system for renal cell carcinoma (RCC), both perinephric fat invasion (PFI) and renal sinus fat invasion (SFI) are classified at the T3a stage. However, their associated prognoses are clinically controversial. The present study proposes a new sub-classification criterion for pathological T3a (pT3a) RCC with SFI or PFI to resolve this dispute. Data were collected from consecutive records of 2,765 patients with T1a renal cancer, who had undergone partial nephrectomy (PN) between 2001 and 2015 at one of four hospitals. Among these patients, 127 cases were diagnosed with stage pT3a RCC with SFI or PFI, according to final pathological examination. The pathological characteristics, clinical data and follow-up observations were analyzed. Of the 127 patients, with an average follow-up duration of 56 months (range, 15-60 months), 17 cases of tumor recurrence were found. After analysis of the pathological findings, the following new sub-classification criteria was proposed for pT3a RCC with SFI or PFI: i) Type A, renal tumor invades the pseudo-capsule and contacts with the perinephric adipose tissues directly (3 recurrences out of 57 patients); ii) type B, tumor protrudes into the perinephric adipose tissues like a tongue (4 recurrences out of 29 patients); and iii) type C, tumor nodules distribute in perinephric adipose tissues (10 recurrences out of 41 patients). There was statistically significant difference between the three subtypes in terms of recurrence rate (P=0.023). In conclusion, controversies remain in the current TNM classification system for pT3a RCC. The present study added to the available data and found that pT3a RCC with tumor nodules in perinephric adipose or/and with an irregular tumor protruding into adipose tissues showed a higher recurrence rate. Thus, it is recommended that pT3a RCC should be carefully analyzed and should be considered differently to other stages of RCC.

OBJECTIVES To explore the efficacy of psychotherapy combined with drug therapy in patients with category III chronic prostatitis/chronic pelvic pain syndrome. METHODS A total of 156 patients with category III chronic prostatitis/chronic pelvic pain syndrome were randomly divided into two groups: the control group of 78 patients receiving routine medication; and the intervention group of 78 patients receiving psychological intervention therapy combined with routine medications. Treatment courses were for 3 months. The end-points were the response rate of the National Institutes of Health Chronic Prostatitis Symptom Index, International Index of Erectile Function-5, Self-Rating Anxiety Scale, Self-Rating Depression Scale and expressed prostatic secretion-white blood cells. RESULTS After 3 months, the average scores of the National Institutes of Health Chronic Prostatitis Symptom Index decreased to 10.1 ± 5.0 in the control group compared with 14.1 ± 4.9 in the intervention group; thus, significant differences were observed between the two groups in the study (P < 0.001). The average scores of the International Index of Erectile Function-5 were improved in the two groups, but compared with the control group, a more marked improvement was detected in the psychological intervention group, and there was a significant difference between the two groups (P < 0.001). There was significant difference between the two groups in terms of the Self-Rating Anxiety Scale and Self-Rating Depression Scale scores (P < 0.001). Expressed prostatic secretion-white blood cell counts significantly decreased to 4.4 ± 3.5 in the control group compared with 9.8 ± 3.4 in the intervention group (P < 0.001). CONCLUSIONS Psychological intervention therapy can effectively improve the psychological status and sexual function in patients with category III chronic prostatitis/chronic pelvic pain syndrome than the routine medication.

Understanding the changes in the sulfate (SO42−) formation pathway is important to further control particle pollution owing to the significant reduction of SO2 emissions and enhanced atmospheric oxidation. This study applied the Community Multiscale Air Quality (CMAQ) model coupled with the sulfur tracking model (STM) to quantify sources of atmospheric SO42− in China and their changes during 2008–2016. The results showed that the surface SO42− concentration decreased by 51.1%, 40.8%, 37.5%, and 36.2% for Beijing–Tianjin–Hebei (BTH), Yangtze River Delta (YRD), Pearl River Delta (PRD), and Sichuan Basin (SCB), respectively. In addition, the SO42− formation pathways also changed in a sustained manner. The gas-phase reaction of SO2 with OH (SO4_GAS) and the reaction catalyzed by Fe3+ and Mn2+ (SO4_FEMN) decreased significantly (63.4% and 61.7%), whereas the aqueous-phase reaction of SO2 with O3 (SO4_O3) increased by 39.9% from 2008 to 2016. Primary SO42− emission (SO4_EMIS) played an important role in autumn and winter with over 30% contribution, whereas SO4_GAS and the aqueous-phase reaction of SO2 with H2O2 (SO4_H2O2) dominated in spring and summer, respectively. The sensitivity simulation results showed that sharp SO2 reduction significantly decreased SO4_GAS (over 60%); however, it was less sensitive to SO4_O3 (8%–11%). In addition, the SO2 emission reduction resulted in a large increase in atmospheric NH3 concentrations due to less neutralization reaction, thus increasing NO3− concentration in some regions. These results suggest that multi-pollutant control for SO2-NOx-VOC should be implemented to prevent the enhanced atmospheric oxidation furtherly deteriorating secondary air pollution, particularly in spring and summer. In addition, limiting primary emissions from residential combustion in winter is important to achieve coordinated control of SO2 and SO42− in northern China.

To prevent the spread of coronavirus disease (COVID-19) and mitigate the epidemic risk, strict lockdown measures were implemented in Beijing during the quarantine period, significantly reducing human activities. However, severe air pollution episodes occurred frequently in Beijing. To explore the occurrence of severe air pollution during the quarantine period, the impacts of emission reductions, meteorological conditions, and regional transport on heavy air pollution were individually evaluated using the Community Multiscale Air Quality (CMAQ) model. Observations showed that the more unfavorable meteorological conditions which occurred during the pandemic as compared to the corresponding 2019 levels, including higher temperature, relative humidity, and frequency of strong southerly winds, and lower HPBL, led to an increase in PM2.5 concentrations. The model results also showed that the meteorological conditions in February 2020 favored PM2.5 formation. The PM2.5 concentrations were mainly dominated by regional transport, which became more significant in the quarantine period than in 2019, suggesting the importance of joint control on regional sources for reducing heavy air pollution. This study highlights that, although the emissions in Beijing and surrounding regions were largely reduced during the quarantine period, severe air pollution in Beijing did not reduce due to the unfavorable meteorological conditions.

Crowdsourcing has been a prevalent measure for firms to utilize external labor and expertise in recent years. A large amount of research in this area focuses on examining the antecedents of individual solvers' crowdsourcing participation intention. However, few studies can be found to seek the motivational factors that influence the intention to crowdsource by the seeker firms. Based on the theory of transaction cost, the resource-based view and the social capital theory, this paper established a model of the influential factors of seeker firms' participation intention on crowdsourcing platform. We validate these factors using empirical data from 148 seeker firms. Analysis results indicate that all the antecedents, including the cost reduction, platform function, activeness of solvers and social relationships with solvers, exert positive effects on seeker firms' participation. Theoretical and practical implications are also discussed.

Objective Waardenburg Syndrome (WS) is a neurocristopathy with an autosomal dominant mode of inheritance and highly genetic heterogeneity. To date, mutations of PAX3, SOX10, MITF, EDNRB, EDN3 and SNAI2 have been implicated in the pathogenesis of WS. In this study, we aimed to identify pathogenic genes among WS families and to analyze the pathogenic relationship between genotypes and phenotypes. Methods In this study, all six families studied were from Hubei province, China.WS patients underwent screening for all deafness genes including PAX3, SOX10, MITF, EDNRB, EDN3 and SNAI2 using Massively Parallel Sequencing (MPS) and validation of mutations using Sanger sequencing. Results Clinical evaluation revealed prominent phenotypic variability in Hubei WS patients. Two WS1 families and four WS2 families were diagnosed in six families. Sensorineural hearing loss was the most common, followed by iris pigmentary abnormality. Molecular genetic analysis of the WS genes for six families revealed five novel heterozygous mutations. Two mutations occurred in the PAX3 gene: one nonsense mutation c.667C > T(p.Arg223Ter) and one missense mutation c.220C > T(p.Arg74Cys).One missense mutation c.331T > C (p.Phe111Leu) and one nonsense mutation c.346C > T(p.Gln116Ter) were detected in the SOX10 gene. Two mutations were detected in the MITF gene: one splice site mutation c.859-1G > A and one nonsense mutation c.859G > T(p.Glu287Ter). Among them, the mutations (SOX10 c.331T > C and MITF c.859G > T) were de novo mutations. Conclusion In this study, six mutations were found to be associated with the phenotype of patients. Our data helped illuminate the phenotypic and genotypic spectrum of WS in Hubei province and could have implications for the genetic counseling of WS in Hubei province.

Classification is an important data mining technique for classifying the items according to a series of associated features. Even so, most of them are not stable in performance, and they may get high classification accuracy rate in some datasets but poor in other issues. To solve this problem, in this paper, an integrated algorithm is proposed to keep balance between the classification accuracy rate and stability. The proposed algorithm integrates the K-Nearest Neighbor (KNN), Naive Bayes (NB), Regression Tree (RT), Random Forest (RF), Bagging, and Discriminant Analysis Classifier (DAC) using forecasting probability strategies. Specifically, the majority voting strategy and weighted voting strategy are presented using the forecasting probability obtained from the classification algorithms. To demonstrate the effectiveness of the proposed algorithm, numerous experiments are conducted by applying the classification algorithms to real mobile APP statistics. Results indicate that it can get a comprehensive and stable classification accuracy rate.

Objective: To develop a 3D imaging method for observing the structural features and identifying three types of cells in the glomerulus based on multiple optical sections of the specimen. Methodology: Following expansion microscopy procedures, the 50 μm thick sections of rat kidney tissues were expanded and cleared. The nuclear and cytoplasmic components of the glomerulus were then stained with dyes with optimized chemical and fluorescent properties and finally visualized by confocal microscopy. To further make the dataset friendly to pathologists, the images were pseudo-colored to resemble H&E. Results: Using the method presented here we were able to collect multiple sections of data. The different types of cells within the glomerulus can be well identified based on their anatomical features and gradual appearance changes along the thickness direction. Conclusion: Compared to two-dimensional data, our 3D multilayered data allows different glomerular cells to be more clearly identified, which lays the experimental foundation for more in-depth study of pathologic changes in the glomerulus.

China issued a series of control measures to mitigate PM2.5 pollution, including long-term (i.e., Air Pollution Prevention and Control Action Plan, APPCAP) and short-term (emergency measures in autumn and winter) acts. However, the O3 concentration increased significantly as PM2.5 levels sharply decreased when these measures were implemented. Therefore, the policy-driven positive/negative health effects of PM2.5/O3 need to be comprehensively estimated. The health impact function (HIF) is applied to evaluate the health burden attributable to long- and short-term PM2.5 and O3 exposure. The results show that the PM2.5 concentration decreased by 42.95% in 74 cities, whereas O3 pollution is increased by 17.56% from 2013 to 2018. Compared with 2013, the number of premature deaths attributable to long- and short-term PM2.5 exposure decreased by almost 5.31 × 104 (95% confidence interval [CI]: 2.87 × 104–4.71 × 104) (10.13%) and 3.00 × 104 (95% CI: 1.66 × 104–4.39 × 104) (72.49%), respectively, in 2018. In contrast, O3-attributable deaths, increased by 1.98 × 104 (95% CI: 0.31 × 104–3.59 × 104) (130.57%) and 0.91 × 104 (95% CI: 0.50 × 104–1.33 × 104) (76.16%) for long- and short-term exposure, respectively. The number of avoidable deaths attributed to PM2.5 reduction is larger than the level of premature deaths related to increasing O3. Although annual mean PM2.5 concentrations have fallen rapidly, the benefits of reducing long-term exposure are limited, whereas the deaths associated with acute exposure decrease more significantly due to the reduction of heavy-pollution days by implementing emergency measures. The results show appreciable effectiveness in protecting human health and illustrate that synchronous control of PM2.5 and O3 pollution should be emphasized.