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Abstract Background This study was intended to investigate the correlation between depression and suicidal ideation among Chinese college students during the COVID-19 pandemic and the potential mediating roles of chronotype and sleep quality in this relationship . Methods A sample of 4,768 college students was selected from four institutions in Anhui Province, China, and the study was conducted during the COVID-19 pandemic (November to December 2020) using a stratified, cluster, multi-stage sampling method. This study used the two-item Patient Health Questionnaire (PHQ-2) to assess depressive symptoms, the Morningness-Eveningness Questionnaire 19 (MEQ-19) to determine individual sleep chronotypes (i.e., morning or evening preference), and the Pittsburgh Sleep Quality Index (PSQI) to evaluate sleep quality. Participants were asked about suicidal ideation. MPLUS 8.3 software was used to analyze the mediating effect of chronotype and sleep quality on the relationship between depression and suicidal ideation. Results During the COVID-19 pandemic, the prevalence of suicidal ideation among Chinese college students was 5.4%. Depression was inversely correlated with chronotype (beta = − 0.346, P

The mechanical properties of rolled 7075 aluminum alloy treated by non-isothermal retrogression and re-aging can exceed the traditional peak aging (T6) and isothermal retrogression and re-aging. After non-isothermal retrogression and re-aging (NIA 180/60) treatment, compared with the T6 state alloy, the alloy has obvious grain boundary precipitate-free zone, and the tensile strength is increased from 558 ± 1.2 MPa to 611 ± 1 MPa. The main mechanism leading to the increase of mechanical properties is precipitation strengthening, followed by grain boundary strengthening, which is not related to crystal orientation, dislocation strengthening and solid solution strengthening. During the non-isothermal retrogression and re-aging treatment, the partial dissolution of the existing precipitates (GP zone and η′ phase), the growth of the remaining precipitates and the precipitation of new η′ phase, as well as the secondary precipitation in the re-aging stage, lead to the increase of the size and density of the intragranular precipitates compared with the T6 state alloy, and the maximum precipitation strengthening effect is obtained. This paper also discusses the relationship between performance changes and microstructure, which can provide a reference for optimizing the regression re-aging process.

Objective(s): Wnt5a, which regulates the activities of osteoblasts and osteoclasts, is reportedly overexpressed in osteoarthritis (OA) tissues. The purpose of this study was to elucidate its role in the development of OA by deleting Wnt5a in osteocalcin (OCN)-expressing cells.Materials and Methods: Knee OA was induced by anterior cruciate ligament transection (ACLT) in OCN-Cre;Wnt5afl/fl knockout (Wnt5a-cKO) mice and control littermates. Eight weeks after surgery, histological changes, cell apoptosis, and matrix metabolism of cartilage were evaluated by toluidine blue, TUNEL staining, and im-immunohistochemistry analyses, respectively. In addition, the subchondral bone microarchitecture of mice was examined by micro-computed tomography (micro-CT).Results: Histological scores show substantial cartilage degeneration occurred in ACLT knees, coupled with decreased collagen type II expression and enhanced matrix metalloproteinase 13 expression, as well as higher proportions of apoptotic cells. Micro-CT results show that ACLT resulted in decreased bone mineral density, bone volume/trabecular volume, trabecular number, and structure model index of subchondral bones in both Wnt5a-cKO and control littermates; although Wnt5a-cKO mice display lower BMD and BV/TV values, no significant difference was observed between Wnt5a-cKO and control mice for any of these values. Conclusion: Our findings indicate that Wnt5a deficiency in OCN-expressing cells could not prevent an osteoarthritic phenotype in a mouse model of post-traumatic OA.

Summary: This paper presents the design of an ultra-wide-angle multispectral narrow-band absorber for reconstructing infrared spectra. The absorber offers several advantages, including polarization sensitivity, robustness against structural wear, wide azimuthal angle coverage, high narrow-band absorption, and adjustable working wavelength. To accomplish infrared spectrum reconstruction, an absorber is employed as a spectral sampling channel, eliminating the influence of slits or complex optical splitting elements in spectral imaging technology. Additionally, we propose using a truncation regularization algorithm based on the design matrix singular value ratio, namely IReg, which can enable high-precision spectral reconstruction under largely disturbed environments. The results demonstrate that, even when the number of absorption spectrum curve is reduced to a range of 1/2 to 1/3, high-precision spectral reconstruction is achievable for both flat and high-energy steep mid- and long-infrared spectral targets, while effectively accomplishing data dimension reduction.

Abstract Background Patellofemoral osteoarthritis (PFJOA) is a subtype of knee OA, which is one of the main causes of anterior knee pain. The current study found an increased prevalence of OA in postmenopausal women, called postmenopausal OA. Therefore, we designed the ovariectomized rat model of patella baja-induced PFJOA. Alendronate (ALN) inhibits osteoclast-mediated bone loss, and has been reported the favorable result of a potential intervention option of OA treatment. However, the potential effects of ALN treatment on PFJOA in the ovariectomized rat model are unknown and need further investigation prior to exploration in the clinical research setting. In this study, the effects of ALN on articular cartilage degradation and subchondral bone microstructure were assessed in the ovariectomized PFJOA rat model for 10 weeks. Methods Patella baja and estrogen withdrawal were induced by patellar ligament shortening (PLS) and bilateral ovariectmomy surgeries in 3-month-old female Sprague–Dawley rats, respectively. Rats were randomly divided into five groups (n = 8): Sham + V; OVX + V, Sham + PLS + V, OVX + PLS + V, OVX + PLS + ALN (ALN: 70 μg/kg/week). Radiography was performed to evaluate patellar height ratios, and the progression of PFJOA was assessed by macroscopic and microscopic analyses, immunohistochemistry and micro-computed tomography (micro-CT). Results Our results found that the patella baja model prepared by PLS can successfully cause degeneration of articular cartilage and subchondral bone, resulting in changes of PFJOA. OVX caused a decrease in estrogen levels in rats, which aggravated the joint degeneration caused by PFJOA. Early application of ALN can delay the degenerative changes of articular cartilage and subchondral bone microstructure in castrated PFJOA rat to a certain extent, improve and maintain the micrometabolism and structural changes of cartilage and subchondral bone. Conclusion The early application of ALN can delay the destruction of articular cartilage and subchondral bone microstructure in castrated PFJOA rat to a certain extent.

This study combines experiments with finite element simulations to investigate the effects of different forging ratios on the properties and microstructure of high strength steel 40CrNi2Si2MoV. The results indicate that under high forging ratios, the peak of the austenite phase is significantly reduced, while the peak of the martensite phase becomes dominant, accompanied by an increase in dislocation density, strength, and hardness. The uniform distribution of newly formed small-angle martensite grains enhances both strength and plasticity. The excellent strength and toughness of high-strength steel under high forging ratios mainly depend on tempered martensite and retained austenite. The impact toughness of under a high forging ratio increases by nearly 1.23 times compared to the lower forging ratio. Additionally, the ultimate tensile strength increases by 1.02 times, the microhardness rises by 2.25 %, while the elongation decreases by 0.65 %. Fracture morphology analysis reveals that heightened forging ratios not only ensure a more uniform dispersion of carbides within the matrix but also significantly boost crack propagation resistance, thus enhancing the impact toughness of the experimental steel. The study utilizes finite element software to assess the influence of equivalent stress, equivalent strain, temperature fluctuations, and damage progression on the mechanical properties during the forging process. This comprehensive analysis establishes a robust theoretical framework aimed at optimizing both the forging process and subsequent heat treatment structures and properties of high strength steel 40CrNi2Si2MoV.

The actual DOM in Chaohu Lake was used to feed cyanobacterial to explore the changes of microbial communities, fluorescence spectral characteristics and molecular composition of DOM during the degradation of cyanobacteria. It is found that cyanobacterial grow periodically depending on the concentration of nutrients with the decreasing concentration of nutrient salts. Both Bacteroidetes and Actinobacteria have strong correlation with algae growth. Bacteroidetes has a positive correlation with algae growth, relationship on the contrary, Actinobacteria has a negative relationship. The humus-like components in the four groups are similar, but the protein-like component (C3) shows periodic changes with the life process of cyanobacteria. The average molecular weight of each sample detected by Orbitrap high-resolution mass spectrometer increases slightly and the DOM increase aromaticity in the end. In this study, the molecule of Carboxyl-Rich Alicyclic Molecules (CRAM) is difficult to be done by photodegradation and biodegradation in the early periods, but some molecules of CRAM are selectively degraded by microorganisms in the final period. The growth of cyanobacterial lead to increasing the concentration of protein-like and carbohydrate-like molecule of DOM in the water. In the final stage, the molecule group of CHO disappear significantly and the molecule group of heteroatomic group increase. HIGHLIGHTS Dynamic changes of DOM and microbial communities during the proliferation and decline of live cyanobacteria through incubation.; DOM characteristics are analyzed by ultra-high-resolution mass spectrometry and EEMs-PARAFAC.; Incubating a single dominant algal species can simplify the complex ecological processes in nature, providing a more intuitive representation of the impact of dominant algae on DOM.;

ABSTRACTChemotherapy remains a major treatment for malignant tumors, yet the application of standard dose intensity chemotherapy is limited due to the side effects of cytotoxic drugs, especially in old populations. The underlying mechanisms of cytotoxicity and strategies to increase the safety and tolerance of chemotherapy remain to be explored. Using 5-fluorouracil (5-FU), a cornerstone chemotherapeutic drug, we demonstrate that the main cause of death in ad libitum (AL) fed mice after 5-FU chemotherapy was infection caused by translocation of intestinal opportunistic pathogens. We show that these opportunistic pathogens greatly increase in the intestine after chemotherapy, which was closely related to loss of intestinal lysozyme. Of note, two weeks of dietary restriction (DR) prior to chemotherapy significantly protected the loss of lysozyme and increased the content of the beneficial Lactobacillus genera, resulting in a substantial inhibition of intestinal opportunistic pathogens and their translocation. The rescue effect of DR could be mimicked by Lysozyme or Lactobacillus gavage. Our study provides the first evidence that DR achieved a comprehensive protection of the intestinal physical, biological and chemical barriers, which significantly improved the overall survival of 5-FU-treated mice. Importantly, the above findings were more prominent in old mice. Furthermore, we show that patients over 65 years old have enriched opportunistic pathogens in their gut microbiota, especially after 5-FU based chemotherapy. Our study reveals important mechanisms for the poor chemotherapy tolerance of the elderly population, which can be significantly improved by short-term DR. This study generates new insights into methods for improving the chemotherapeutic prognosis by increasing the chemotherapy tolerance and safety of patients with malignant tumors.

Background We aimed to compare the cardiovascular events and mortality in patients who underwent either physician-oriented or patient-oriented kidney replacement therapy (KRT) conversion due to discontinuation of peritoneal dialysis (PD).Methods Patients with end-stage kidney disease who were receiving PD and required a switch to an alternative KRT were included. They were divided into physician-oriented group or patient-oriented group based on the decision-making process. Logistic regression analysis was used to explore the influencing factors related to KRT conversion in PD patients. The association of physician-oriented or patient-oriented KRT conversion with outcomes after the conversion was assessed by using Cox proportional hazards models.Results A total of 257 PD patients were included in the study. The median age at catheterization was 35 years. 69.6% of the participants were male. The median duration of PD was 20 months. 162 participants had patient-oriented KRT conversion, while 95 had physician-oriented KRT conversion. Younger patients, those with higher education levels, higher income, and no diabetes were more likely to have patient-oriented KRT conversion. Over a median follow-up of 39 months, 40 patients experienced cardiovascular events and 16 patients died. Physician-oriented KRT conversion increased nearly 3.8-fold and 4.0-fold risk of cardiovascular events and death, respectively. After adjusting for confounders, physician-oriented KRT conversion remained about a 3-fold risk of cardiovascular events.Conclusion Compared to patient-oriented KRT conversion, PD patients who underwent physician-oriented conversion had higher risks of cardiovascular events and all-cause mortality. Factors included age at catheterization, education level, annual household income, and history of diabetes mellitus.

ABSTRACTOsteoporosis (OP) is one of the epidemic diseases worldwide. Recently, a high-fat diet (HFD) makes the effects on skeletal microarchitecture still unclear. To explain the problem, we searched studies from PubMed, Embase, Web of Science, and Cochrane library to investigate the effect of HFD-induced obesity on bone structure and metabolism for mice from June 2010 to June 2020. Finally, eight publications were included. The results showed BV/TV was significantly decreased in HFD than control diet (CD) (SMD −4.24, 95% CI: −6.60, −1.87, p

Daptomycin is gaining prominence for the treatment of methicillin-resistant Staphylococcus aureus infections. However, the dosage selection for daptomycin in critically ill patients remains uncertain, especially in Chinese patients. This study aimed to establish the population pharmacokinetics of daptomycin in critically ill patients, optimize clinical administration plans, and recommend appropriate dosage for critically ill patients in China. The study included 64 critically ill patients. Blood samples were collected at the designated times. The blood daptomycin concentration was determined using validated liquid chromatography-tandem mass spectrometry. A nonlinear mixed-effects model was applied for the population pharmacokinetic analysis and Monte Carlo simulations of daptomycin. The results showed a two-compartment population pharmacokinetic model of daptomycin in critically ill adult Han Chinese patients. Monte Carlo simulations revealed that a daily dose of 400 mg of daptomycin was insufficient for the majority of critically ill adult patients to achieve the anti-infective target. For critically ill adult patients with normal renal function (creatinine clearance rate >90 mL/min), the probability of achieving the target only reached 90% when the daily dose was increased to 700 mg. For patients undergoing continuous renal replacement therapy (CRRT), 24 h administration of 500 mg met the pharmacodynamic goals and did not exceed the safety threshold in most patients. Therefore, considering its efficacy and safety, intravenous daptomycin doses are best scaled according to creatinine clearance, and an increased dose is recommended for critically ill patients with hyperrenalism. For patients receiving CRRT, medication is recommended at 24 h intervals.

In this study, a broadband mid-infrared photonic filter is designed. It has the advantages of polarization insensitivity, ultrawide angle, high manufacturability, and easy integration. For infrared spectrum reconstruction, the use of filters as spectral sampling channels can eliminate the influence of slits or complex optical splitting elements in spectral imaging technology. Further, we propose a low-rank matrix logarithm regularization algorithm based on a three-segment filter function (IReg algorithm) combined with the designed filter for a variety of mid-infrared detector front ends, which can significantly suppress noise interference. Here, we demonstrate that the stability of the spectral reconstruction accuracy under the large disturbance environment obtained by the IReg algorithm is much higher than those of the L2 and L1 algorithms. In the low-dimensional matrix state, the accuracy and stability of the ill-conditioned linear equations are guaranteed, the anti-noise ability is enhanced, the effect of data dimensionality reduction is realized, and the accuracy of mid-infrared spectral reconstruction is improved.

The star sensor is the most accurate measurement instrument in the spacecraft attitude measurement system, and the accurate centroid of the star point is the basis for ensuring the performance of the star sensor. Currently, the centroid of the gray method is the most widely used centroid extraction method in practice. Systematic errors caused by the centroid of the gray method and random noise in the detector imaging process are the main factors contributing to the deviation of the star centroiding coordinates. Considering the relationship between the point spread function and the pixel gray value, this paper proposes a centroiding method to reduce the star point centroiding error by fusing a priori information and energy distribution. The star charts are first preprocessed using a curvature filter and Gaussian blur to reduce the random noise. Then the complexity of the point spread function is considered, and the pixel gray values are corrected based on a priori information and gray value fuzzy processing. Finally, the symmetry of the one-dimensional energy distribution is used to quickly determine the sub-pixel deviation to get the star centroid coordinates. Through simulation and physical simulation experiments, the method was verified to be effective, and the extraction accuracy met the requirements of high-precision star sensors. The night sky observation test results demonstrate that the method in this paper can improve the measurement accuracy of the star sensors.

Abstract Background Studies evaluating the association between monocyte chemoattractant protein-1 (MCP-1) -2518 A > G (rs1024611) polymorphism and type 2 diabetes mellitus (T2DM) and diabetic nephropathy (DN) are contradictory. The present study aims to provide a comprehensive assessment and more reliable estimation of the relationship between the MCP-1 rs1024611 polymorphism and T2DM and DN risk. Methods Eligible articles were retrieved from the PubMed, Web of Science, EMBASE, Cochrane, and China National Knowledge Infrastructure databases. The effect summary odds ratios (ORs) and 95% confidence intervals (CIs) were obtained to calculate the summary effect size. Heterogeneity was analyzed by subgroup analysis and meta-regression. Publication bias was tested using funnel plots and Egger’s test. Results In total, sixteen studies were included. Thirteen studies involving 2,363 patients with T2DM and 4,650 healthy controls found no significant association between the MCP-1 rs1024611 polymorphism and T2DM in the overall population. Ethnicity stratification found an association between the GG + GA genotype and decreased T2DM risk in Caucasians (OR = 0.79, 95% CI: 0.66–0.93, P = 0.006; P Q = 0.372). No significant risks were found in the Asian population for any genetic models. Seven studies found an association between the GG + GA genotype and DN risk in the Asian population (OR = 1.37, 95% CI: 1.11–1.71, P = 0.004, P Q = 0.222). No significant risks were found in the Caucasian population with any genetic models. There were no statistically significant differences in genotype distribution between patients with T2DM and DN in Asians or Caucasians. Meta-regression revealed that genotyping method was a major driver of heterogeneity in five genetic models (GG + GA vs. AA: P = 0.032; GG vs. GA + AA: P = 0.028; GG vs. AA: P = 0.035; GG vs. GA: P = 0.041; G vs. A: P = 0.041). Conclusion The MCP-1 rs1024611 polymorphism is associated with susceptibility to T2DM in Caucasians and DN in Asians. Larger, well-designed cohort studies are needed in the future to verify this association.

ABSTRACTTo evaluate the effects of simvastatin on the degeneration of cartilage and subchondral bone in a mice model of osteoarthritis (OA) induced by obesity. Thirty male 3-month-old C57BL/6J mice were randomized into three groups: mice with normal diet + vehicle (distilled water) (Control), mice with High-fat diet + vehicle (HFD), mice with HFD + Simvastatin (HFD+S). HFD+S group were treated with simvastatin (10 mg/kg/day) for 12 weeks. The pathology of OA was assessed by histomorphology analyses, immunohistochemistry, micro-computed tomography, and enzyme-linked immunosorbent assay. Histomorphological analysis revealed that OA was significantly exacerbated by the HFD-induced obesity and markedly alleviated by the simvastatin intervention. In details, simvastatin ameliorated the abnormal metabolic status and cartilage lesions, significantly increased aggrecan and collagen-II expression and decreased the expression of MMP-13 and leptin in cartilage. Furthermore, the results of micro-CT analysis revealed that the HFD+S group exhibited higher BMD, BV/TV, and Tb.N values but a lower Tb.Sp value than that of the HFD group. Serum glucose, leptin, and IL-1β concentrations were significantly correlated with the OARSI score. Histomorphological analysis revealed that OA was significantly exacerbated by the HFD-induced obesity and markedly alleviated by the simvastatin intervention. In details, simvastatin ameliorated the abnormal metabolic status and cartilage lesions, significantly increased aggrecan and collagen-II expression and decreased the expression of MMP-13 and leptin in cartilage. Furthermore, the results of micro-CT analysis revealed that the HFD+S group exhibited higher BMD, BV/TV, and Tb.N values but a lower Tb.Sp value than that of the HFD group. Serum glucose, leptin, and IL-1β concentrations were significantly correlated with the OARSI score. The HFD-induced obesity aggravates articular degeneration and deterioration in subchondral bone, which could be improved by the intervention of simvastatin, suggesting that simvastatin may be a potential candidate for amelioration of the progression of obesity induced-OA.

This review aims to provide a summary of the clinical characteristics and outcomes of lung cancer during pregnancy. A comprehensive literature search yielded 93 cases of lung cancer during pregnancy from 1953 to 2022, with an average maternal age of ?34 years old. The initial symptoms reported were often nonspecific, such as cough, dyspnea, and chest pain. Cancer-related treatments, including surgery, radiotherapy, chemotherapy, and tyrosine kinase inhibitors, have shown beneficial effects on maternal outcomes. A majority of the newborns were born without malformation or diseases, but extended follow-up remains necessary. Early diagnosis of lung cancer is imperative for reducing the risks of placental and fetal metastasis and enhancing overall survival.

Abstract Background Treatment of distal tibial fractures is a challenge due to their specific anatomical location. However, there is no appropriate mouse model to simulate a clinical distal tibial fracture for basic research. The aim of this investigation was to evaluate the feasibility of simulating a clinical fracture of the distal tibia of mice and to investigate the effect of ovariectomy (OVX)-induced osteoporosis on fracture healing in this model. Methods Sixty female 8-week-old C57BL/6 mice were randomly divided into two groups, either sham or OVX. A semi-fixation distal tibia fracture was established in the right tibia after 8 weeks of OVX. The right tibias were collected at 7, 14, 21, and 28 days post fracture. Results In the semi-fixation distal tibia fracture model, the posterior callus in the sham group showed excessive bone resorption and lower bone mass phenotype compared with the anterior site; a similar trend was not found in the OVX group. At 28 days post fracture, the posterior callus was more mineralized than the anterior callus in the OVX group. Although the fracture healing of the sham group showed a special phenotype in this mode, the progress and quality of fracture healing were still better than those of the OVX group. Conclusion A semi-fixed distal tibial closed fracture mouse model was successfully established. In this model, excess bone resorption of the posterior callus impaired normal fracture healing, but not in OVX-induced osteoporotic bone. Although the stress shielding effect was not observed in the OVX group, impaired bone healing caused by OVX was still present. Our results suggest that this fracture model may have potential for studies on distal tibial fractures and stress shielding.

Abstract Obstructive sleep apnoea (OSA)-induced chronic intermittent hypoxia (CIH) has been considered a risk factor for severe asthma. Airway remodelling, which could be modulated by autophagy, plays a key role in severe asthma. However, the extent of autophagy’s involvement in CIH-potentiated airway remodelling remains largely unexplored. Furthermore, we had found that angiotensin-(1-7) [Ang-(1-7)] has therapeutic effects on airway remodelling in asthma, but the underlying mechanism is either unclear. This study aimed to explore how CIH aggravates asthma and mechanism of protective effects of Ang-(1-7) on airway remodelling, with a focus on autophagy. We observed that CIH promoted epithelial-to-mesenchymal transition (EMT), indicated by elevated EMT and fibrotic markers such as Snail and Collagen IV, both in vitro and in vivo. CIH intensified cell autophagy, evident from increased LC3B expression and reduced p62 levels. Ang-(1-7) reversed the CIH-enhanced expression of Snail, Collagen IV, and LC3B. To explore how CIH enhanced autophagy in cellular and animal model of asthma, overexpression of hypoxia-inducible factor 1-alpha (HIF-1α) and Thrombospondin 1 (THBS1) were identified in CIH-exposure mice lung compared with normal mice lung tissues from the GEO database. Finally, through chromatin immunoprecipitation and immunoprecipitation assays, we verified that Ang-(1-7) inhibits CIH-induced binding of HIF-1α to the promoter of THBS1, and also disrupts the protein-protein interaction between THBS1 and the autophagy-associated protein Beclin 1 (BECN1), ultimately leading to autophagy inhibition. Our findings suggest that exogenous Ang-(1-7) can inhibit autophagy via HIF-1α/THBS1/BECN1 axis, thereby alleviating CIH-enhanced airway remodelling in asthma. These findings imply the potential therapeutic effect of Ang-(1-7) in asthma with OSA.

Objectives: Adjacent segment disc degeneration (ASDD) is one of the long-term sequelae of spinal fusion, which is more susceptible with osteoporosis. As an anti-osteoporosis drug, strontium ranelate (SR) has been reported to not only regulate bone metabolism but also cartilage matrix formation. However, it is not yet clear whether SR has a reversal or delaying effect on fusion-induced ASDD in a model of osteoporosis. Materials and methods: Fifth three-month-old female Sprague-Dawley rats that underwent L4-L5 posterolateral lumbar fusion (PLF) with spinous-process wire fixation 4 weeks after bilateral ovariectomy (OVX) surgery. Animals were administered vehicle (V) or SR (900 mg/kg/d) orally for 12 weeks post-PLF as follows: Sham+V, OVX + V, PLF + V, OVX + PLF + V, and OVX + PLF + SR. Manual palpation and X-ray were used to evaluate the state of lumbar fusion. Adjacent-segment disc was assessed by histological (VG staining and Scoring), histomorphometry (Disc Height, MVD, Calcification rate and Vascular Bud rate), immunohistochemical (Col-II, Aggrecan, MMP-13, ADAMTS-4 and Caspase-3), and mRNA analysis (ColI, Col-II, Aggrecan, MMP-13 and ADAMTS-4). Adjacent L6 vertebrae microstructures were evaluated by microcomputed tomography. Results: Manual palpation and radiographs showed clear evidence of the fused segment's immobility. After 12 weeks of PLF surgery, a fusion-induced ASDD model was established. Low bone mass caused by ovariectomy can significantly exacerbate ASDD progression. SR exerted a protective effect on adjacent segment intervertebral disc with the underlying mechanism possibly being associated with preserving bone mass to prevent spinal instability, maintaining the functional integrity of endplate vascular microstructure, and regulating matrix metabolism in the nucleus pulposus and annulus fibrosus. Discussion: Anti-osteoporosis medication SR treatments not only maintain bone mass and prevent fractures, but early intervention could also potentially delay degenerative conditions linked to osteoporosis. Taken together, our results suggested that SR might be a promising approach for the intervention of fusion-induced ASDD with osteoporosis.

Due to the configuration of coreless stators and two synchronously rotated rotors, hollow-cup machines (HCMs) enjoy the merits of negligible cogging torque and core loss. Consequently, HCMs have been successfully employed as high-speed electric machines in the aerospace field, which requires high precision and low thermal dissipation. However, the permanent magnet (PM) thickness and air-gap length of conventional HCM are uniform, resulting in various harmonics in the air-gap flux density as well as back-EMF. These harmonics inevitably produce an electromagnetic torque ripple, which has not met the increasing demand for ultraprecision in recent years. Since the inner rotor of HCMs only consists of an iron core, this paper proposes a novel sinusoidal-shaped inner rotor, which can change the harmonics of air-gap permeance, to adjust the harmonics of air-gap flux density and back-EMF. HCMs with the proposed inner rotors have a significant 87% reduction in torque ripple compared to conventional HCMs. Meanwhile, compared to conventional methods, HCMs with the proposed inner rotor exhibit comparable torque ripple and higher average torque.

Aircraft targets, as high-value subjects, are a focal point in Synthetic Aperture Radar (SAR) image interpretation. To tackle challenges like limited SAR aircraft datasets and shortcomings in existing detection algorithms (complexity, poor performance, weak generalization), we present the Feature Enhancement and Multi-Scales Fusion Network (FEMSFNet) for SAR aircraft detection. FEMSFNet employs diverse image augmentation and integrates optimized Squeeze-and-Excitation Networks (SE) with residual network (ResNet) in a SdE-Resblock structure for a lightweight yet accurate model. It introduces ssppf-CSP module, an improved pyramid pooling model, to prevent receptive field deviation in deep network training. Tailored for SAR aircraft detection, FEMSFNet optimizes loss functions, emphasizing both speed and accuracy. Evaluation on the SAR Aircraft Detection Dataset (SADD) demonstrates significant improvements compared to the contrasted algorithms: precision rate (92%), recall rate (96%), and F1 score (94%), with a maximum increase of 12.2% in precision, 12.9% in recall, and 13.3% in F1 score.

In digital holography, reconstructed image quality can be primarily limited due to the inability of a single small aperture sensor to cover the entire field of a hologram. The use of multi-sensor arrays in synthetic aperture digital holographic imaging technology contributes to overcoming the limitations of sensor coverage by expanding the area for detection. However, imaging accuracy is affected by the gap size between sensors and the resolution of sensors, especially when dealing with a limited number of sensors. An image reconstruction method is proposed that combines physical constraint characteristics of the imaging object with a score-based diffusion model, aiming to enhance the imaging accuracy of digital holography technology with extremely sparse sensor arrays. Prior information of the sample is learned by the neural network in the diffusion model to obtain a score function, which alternately constrains the iterative reconstruction process with the underlying physical model. The results demonstrate that the structural similarity and peak signal-to-noise ratio of the reconstructed images using this method are higher than the traditional method, along with a strong generalization ability.

The treatment of the large amount of coal slime and municipal sewage sludge in Shanxi Province and even the country is facing unprecedented challenges. Clean combustion technology is the preferred method for sewage sludge-coal slime co-processing. In order to explore the interaction of sludge - coal mud combustion, provide a basis for cleaning and efficient combustion utilization. This paper uses thermal heavy mass spectral (TG-MS) to study the precipitation characteristics of combustion characteristics and pollutant gas products (CH4, CO, CO2, NH3, HCN, NO, NO2, H2S, CH3SH, COS, SO2, CS2, SO3), in the combustion and coal burning process in sludge and coal mud. At the same time, the Coats-Redfern Integral Law is used to dynamically explore the mid-combustion process of sludge and coal mud alone. The results show that there is a significant interaction in the process of coal burning in sludge and coal mud. Sludge and coal mud promote each other, improve the overall reaction performance, in which the combustion characteristics are optimal when the coal slime is blended 20%. It indicates that the increase in sludge ratio does not affect the combustion performance of the fuel overall. The Em of sludge and coal slime were 51.170 kJ/mol and 78.538 kJ/mol, sludge can reduce the average activation energy of the mixed sample, and the actual Em of the mixed sample is lower than the calculation. The kinetic model is (D3→D4) when the sludge is alone; the combustion kinetic model (F1) when the coal slime is separate, and the interval kinetic model of the mixed sample is (D3→D1→D3/F1), indicating interaction the reaction mechanism during the combustion can be changed. When the coal slime is blended 20%, the inhibition of the greenhouse body (319.742%) is preferably inhibited; when the coal slime is blended 80%, the difference (636.492%) and the inhibitory inhibition containing traditional (534.811%); indicating interaction is a great inhibitory effect on the traditional form of integrated varieties, in which the inhibitory effect of the contaminant contaminated body content is most (319.740%) when the coal slime is blended 20%.

Objectives To describe the prevalence of chronotype and sleep quality among Chinese college students and explore the relationship between chronotype and sleep quality.Design A cross-sectional study.Setting Four colleges and universities in Anhui, China, between November and December 2020.Participants A total of 4768 college students were recruited using a stratified, multistage, cluster sampling survey.Outcome measures Morningness-Eveningness Questionnaire 19 was used to determine the chronotype of the students and the Pittsburgh Sleep Quality Index (PSQI) was used to measure their sleep quality. The multiple logistic regression model was used to explore the potential association between chronotype and sleep quality.Results The self-reported proportions of evening-type (E-type), neutral-type and morning-type among college students were 51.17%, 45.14% and 3.69%, respectively. The mean PSQI score was 4.97±2.82 and the prevalence of poor sleep quality was 18.2%. After adjusting the covariates by multiple logistic regression analysis, E-type was positively associated with subjective sleep quality (OR=1.671, 95% CI 1.414 to 1.975), sleep latency (OR=1.436, 95% CI 1.252 to 1.647), sleep duration (OR=2.149, 95% CI 1.506 to 3.067), habitual sleep efficiency (OR=1.702, 95% CI 1.329 to 2.180), daytime dysfunction (OR=1.602, 95% CI 1.412 to 1.818) and overall poor sleep quality (OR=1.866, 95% CI 1.586 to 2.196).Conclusions College students mainly exhibited E-type, and an elevated prevalence of poor sleep quality existed among these students. The E-type was positively associated with poor sleep quality.

Pretreatment methods affect the properties of bean starch and thus the application of bean products. This article reviewed the effects of different pretreatment methods on the properties of bean starch such as particle morphology, molecular structure, solubility, pasting properties and resistant starch content, and analyzed the impact of those pretreatment methods on the application of beans in the development of low GI foods. Hydrothermal, ultra-high pressure, dry heated, irradiated, ultrasonic and enzymatic treatments under certain conditions increased the content of resistant starch or amylose starch in bean starch, which was beneficial for the application of bean in the development of low GI food. In addition, this paper summarized the current status of the application of different pretreated bean products in the development of low GI food, and provided an outlook on the future prospects.

Currently, the engineering of miniature spectrometers mainly faces three problems: the mismatch between the number of filters at the front end of the detector and the spectral reconstruction accuracy; the lack of a stable spectral reconstruction algorithm; and the lack of a spectral reconstruction evaluation method suitable for engineering. Therefore, based on 20 sets of filters, this paper classifies and optimizes the filter array by the K-means algorithm and particle swarm algorithm, and obtains the optimal filter combination under different matrix dimensions. Then, the truncated singular value decomposition-convex optimization algorithm is used for high-precision spectral reconstruction.In terms of spectral evaluation, due to the strong randomness of the target detected during the working process of the spectrometer, the standard value of the target spectrum cannot be obtained. Therefore, we adopt the method of joint cross-validation of multiple sets of data for spectral evaluation. The results show that when the random error of +/− 2 code values is applied multiple times for reconstruction, the spectral angle cosine value between the reconstructed curves becomes more than 0.995, which proves that the spectral reconstruction under this algorithm has high stability. At the same time, the spectral angle cosine value of the spectral reconstruction curve and the standard curve can reach above 0.99, meaning that it realizes a high-precision spectral reconstruction effect. A high-precision spectral reconstruction algorithm based on truncated singular value-convex optimization, is established in this paper, providing important scientific research value for the engineering application of micro-spectrometers.

Recently, micro-spectrometer based on filter array has received extensive attention in terms of cost and size. Yet, the spectrometer will produce large noise in the work, which has a great impact on the spectral reconstruction. In this paper, a low-dimensional filter array is selected based on the K-means-PSO（Particle Swarm Optimization） method to achieve the purpose of data dimensionality reduction, which further reduces the cost and processing difficulty of the micro-spectrometer. To address the redundancy and poor accuracy of spectral reconstruction data obtained by micro-spectrometers, a convex optimization algorithm constrained by three-segment regularization of a low-rank-matrix (IReg-Cvx algorithm) was proposed for spectral reconstruction in this study. In order to test algorithm universality and stability better, we selected 120 kinds of ground spectral curves, and the low-dimensional filter array is fused with the IReg-Cvx algorithm. Apply the corresponding constraints according to the different slopes of the curve, and the high-quality spectral reconstruction of the ground object target spectrum can be stably realized under the noise environment of 30, 25, and 20 dB.

ABSTRACT Methicillin-resistant Staphylococcus aureus (MRSA) in foods has been associated with severe infections in humans and animals worldwide. In the present study, the molecular characteristics of livestock-associated MRSA (LA-MRSA) and human-associated MRSA (hMRSA) isolates obtained in China, as well as MRSA isolates obtained from raw milk in 2018, were investigated. In total, 343 (20.38%; 343/1,683) S. aureus isolates were obtained from 1,683 raw milk samples from 100 dairy farms in 11 provinces across China. Among these, 49 (2.91%; 49/1,683) were mecA-positive MRSA. All LA-MRSA isolates were resistant to penicillin and highly resistant to erythromycin, sulfisoxazole, and clindamycin. Bioinformatic analysis the 49 genomes of LA-MRSA and 71 previously published hMRSA genomes isolated from Chinese individuals in 2018 indicated that blaZ, erm, ant(6)-Ia, aph(3′)-III, tet(K), cat, and aph(2″)-Ia were more prevalent in MRSA from raw milk (P

Objective(s): This study aimed to determine the therapeutic effect of equol (EQ) on osteoporotic osteoarthritis (OP OA). Materials and Methods: Thirty-six 12-week-old female Sprague-Dawley rats were randomly divided into sham group, OP OA group, and EQ group (n=12). OP OA was induced by anterior cruciate ligament transection (ACLT) combined with ovariectomy (OVX). EQ was orally administrated (10 μg/g/day) after the operation for 12 weeks. The efficacy was evaluated by gross pathology and histopathologic evaluation. The underlying mechanism was investigated by immunohistochemical analysis, micro-computed tomography (micro-CT) scanning, and tartrate-resistant acid phosphatase (TRAP) staining. Results: EQ effectively retarded cartilage degeneration, decreased the levels of matrix metalloproteinases-13 (MMP-13), a disintegrin and metalloproteinase with thrombospondin motifs 5 (ADAMTS-5), nuclear factor-kappa B P65 (NF-κB P65) and caspase-3, and increased the levels of collagen type II (Col-II), Col-I, aggrecan (AGG), and inhibitor of NF-κB α (IκBα) in the cartilage. In addition, EQ increased bone mineral density, improved the microstructural parameters of the subchondral bone (SB), and decreased the number of osteoclasts. Conclusion: EQ exerted a chondroprotective effect on OP OA in rats, associated with inhibition of the NF-κB signaling pathway and chondrocyte apoptosis. Furthermore, EQ showed an osteoprotective effect on SB via inhibiting osteoclastic activities.

The Colorado potato beetle (CPB) is an internationally recognized plant quarantine pest that causes serious losses to potato agricultural production. The gut microbiota plays an important role in its growth and development, and the olfactory system plays an important role in insect feeding behavior. The gut microbiota is known to be capable of inducing changes in the olfactory systems of insects. However, the way these associated gut microbes influence the feeding-related behaviors of CPBs remains unclear. To explore the relationship between them, fresh potato leaves immersed in a mixture of five antibiotics (tetracycline, penicillin, ofloxacin, ciprofloxacin, and ampicillin) at specific concentrations for 1 h were fed to adult CPBs to reduce the abundance of gut microbes. We found that the feeding behavior of CPBs was significantly affected by the gut microbiota and that Pseudomonas was significantly higher in abundance in the control group than in the antibiotic group. We then used transcriptome sequencing to explore the differences in olfactory receptor genes in the heads of non-treatment and antibiotic-fed CPBs. Through Illumina Hiseq™ sequencing and screening of differential genes, we found that the olfactory receptor gene LdecOR9 was significantly upregulated and LdecOR17 was significantly downregulated after antibiotic feeding. A real-time polymerase chain reaction was used to verify the changes in olfactory receptor gene expression in the non-treatment groups and antibiotic-treated groups. The feeding behavior was partially rescued after CPBs were re-fed with intestinal bacteria. These results indicate that a certain amount of gut microbiota can result in the loss of the olfactory discrimination ability of CPBs to host plants. In summary, this study investigated the relationship between gut microbiota and olfactory genes, providing a reference for research on microbial control.

ObjectiveAs one of the cancers that seriously threatens women’s health, ovarian cancer has a high morbidity and mortality rate. Surgery and chemotherapy are the basic treatment strategies for ovarian cancer, and chemotherapy resistance is a significant factor in affecting the prognosis, survival cycle, and recurrence of ovarian cancer. This article aims to analyze articles about ovarian cancer and drug resistance via bibliometric software, offering new ideas and directions for researchers in this field.MethodsBoth Citespace and Vosviewer are bibliometric software on the Java platform. Articles were collected on ovarian cancer and drug resistance in the Web of Science Core Collection database from 2013 to 2022. The countries, institutions, journals, authors, keywords, and references were analyzed, and the development status of this field was indicated from multiple perspectives.ResultsStudies on ovarian cancer and drug resistance generally showed an increasing trend from 2013 to 2022. The People’s Republic of China and Chinese institutions contributed more to this field. Gynecologic Oncology published the most articles, and the journal with the most citations was Cancer Research. Li Li was the author with the most publications, and Siegel RL was the author with the most citations. Through burst detection, it can be found that the research hotspots in this field mainly focused on the in-depth exploration of the drug resistance mechanism of ovarian cancer and the progress of PARP inhibitors and bevacizumab in the treatment of ovarian cancer.ConclusionsMany studies on the mechanism of drug resistance in ovarian cancer have been discovered; however, the deeper mechanism remains to be explored. Compared with traditional chemotherapy drugs, PARP inhibitors and bevacizumab have shown better efficacy, but PARP inhibitors have initially shown drug resistance. The future direction of this field should be to overcome the resistance of existing drugs and actively develop new ones.

Empirically prescribed standard dosing regimens of antibacterial agents may result in insufficient or excess plasma concentrations with persistently poor clinical outcomes, especially for patients in intensive care units (ICUs). Therapeutic drug monitoring (TDM) of antibacterial agents can guide dose adjustments to benefit patients. In this study, we developed a robust, sensitive, and simple liquid chromatography-tandem mass spectrometry (LC–MS/MS) platform for the quantification of 14 antibacterial and antifungal agents (beta-lactams piperacillin, cefoperazone, and meropenem; beta-lactamase inhibitors tazobactam and sulbactam; antifungal agents fluconazole, caspofungin, posaconazole, and voriconazole; and daptomycin, vancomycin, teicoplanin, linezolid, and tigecycline) that can be used for patients with severe infection. This assay requires only 100 µL of serum with rapid protein precipitation. Chromatographic analysis was performed using a Waters Acquity UPLC C8 column. Three stable isotope-labeled antibacterial agents and one analogue were used as internal standards. Calibration curves ranged from 0.1–100 μg/mL, 0.1–50 μg/mL, and 0.3–100 μg/mL for different drugs, and all correlation coefficients were greater than 0.9085. Intra- and inter-day imprecision and inaccuracy values were below 15%. After validation, this new method was successfully employed for TDM in routine practice.

Abstract Background Orius sauteri (Poppius) is one of the important natural enemies of aphids in Asia. Understanding its predation preference and efficiency can help improve its effectiveness as a biological control agent. Here, the predation preference of O. sauteri adults toward Aphis craccivora Koch, Rhopalosiphum maidis (Fitch), Myzus persicae Sulzer, and Aphis gossypii Glover was studied. Results The research found that O. sauteri had good predation efficiency on four important aphid species. Orius sauteri killed a similar number of four aphids in non-selective tests, but it preferred to eat more R. maidis and A. gossypii, and fewer A. craccivora in selective tests. The main biochemical components of the four aphid species were analyzed, including water content and nutritional components along with body mass. Rhopalosiphum maidis had a significantly lower water content than A. craccivora. Orius sauteri preferred R. maidis and A. gossypii, which harbored higher lipid and trehalose content, while preying on fewer A. craccivora, which had a larger body weight for the supplement of water and nutrition. The predation preference may be due to the closest nutrition composition to the optimal intake of O. sauteri. Conclusions This study showed that the predatory selection of O. sauteri was closely associated with the water content, bodyweight, lipid, and trehalose levels of prey, while the glycogen content and protein level might be less determinant. The high predation capacity on four aphids of O. sauteri indicated the great potential to integrate this predator into biological control strategies against aphids.

Soil cementation technology based on microbially or enzymatically induced calcium carbonate precipitation (MICP/EICP) is one of the hot topics in the field of geotechnical and geological engineering in recent years. In this study, a systematic review was performed on this technology, focusing on advances in the cementation mechanisms of MICP/EICP and the influence of soil pore structures, properties of bacterium, urease and cementation solution, and cementation methods on characteristics of calcium carbonate (CaCO3). The results indicate that the smaller the soil pores are, the more difficult the infiltration of microorganisms or urease is and the worse the cementation uniformity is. More contact points among soil particles will produce more deposition points for CaCO3, resulting in stronger bonding and bridging effects and better cementation effects. The generation rate and total amount of CaCO3 increase as the concentration of bacterium or urease and the activity of urease increase in a certain range. However, too high concentration or activity will induce a too high generation rate of CaCO3, resulting in clogging near the injection end. The calcium carbonate crystals obtained from low concentration cementation solution are relatively small and evenly distributed in the soil. The use of appropriate grouting saturation can increase the proportion of CaCO3 with bonding effect. Multilayer alternating injection or one-phase low pH injection can improve the distribution uniformity of CaCO3 in the sample. Based on influencing factors of CaCO3 precipitation characteristics, the improvement of cemented soil uniformity, durability verification, and the adaptability and improvement scheme of applying the laboratory test results to the field scale should be the focus points of the future research.

A reasonable data placement strategy is essential to the efficient execution of scientific workflow in hybrid cloud environment.The traditional data placement strategy mainly focuses on the deterministic environment,but the data transmission time is uncertain due to the different load,bandwidth fluctuation and network congestion between different data centers and computer characteristics in the actual network environment.To solve this problem,a fuzzy adaptive discrete particle swarm optimization algorithm based on the fuzzy theory and genetic algorithm operator (FGA-DPSO) is proposed to minimize the fuzzy transmission time of data,place the scientific workflow data reasonably and meet the privacy requirements of the data set and the capacity limit of the data center.The experimental results show that the algorithm can effectively reduce the fuzzy data transmission time of scientific workflow in hybrid cloud environment.

Due to its wide use in agriculture, a convenient and sensitive detection method for triazophos is urgent need. In this study, a terbium-based metal-organic framework (Tb-MOF) is mildly prepared as a fluorescent probe for triazophos detection. The fluorescence of Tb-MOF can be quenched by triazophos through the inner filter effect (IFE) and static quenching effect (SQE). The fluorescence analysis exhibits high sensitivity and limit of detection of 0.12 ng·mL−1 with a linear range of 3–800 ng·mL−1 to triazophos. The fluorescence analysis displays good selectivity towards triazophos. In addition, this method has been successfully applied to the detection of triazophos in tap water and strawberry with good recovery rates. More importantly, a fluorescent paper-based sensor and a logic gate operation for the detection of triazophos based on the Tb-MOF are designed. This strategy was simple, free of modification and complicated operation, and easy to operate, which has good prospects for future applications of triazophos detection.

Dietary restriction (DR) is one of the most robust interventions shown to extend health-span and remains on the forefront of anti-aging intervention studies, though conflicting results have been shown on its effect on lifespan both in rodents and primates. The severe inhibitory effects on the lymphoid lineage by DR remains one of its major negative downsides which reduces its overall beneficial effects on organismal health. Yet, the underlying mechanism of how DR suppresses the lymphoid system remains to be explored. Here, we show that antibiotic ablation of gut microbiota significantly rescued the inhibition of lymphopoiesis by DR. Interestingly, glycolysis in lymphocytes was significantly down-regulated in DR mice and pharmacological inhibition of glycolysis reverted this rescue effect of lymphopoiesis in DR mice with ablated gut microbiota. Furthermore, DR remarkably reconstructed gut microbiota with a significant increase in butyrate-producing bacterial taxa and in expression of But, a key gene involved in butyrate synthesis. Moreover, supplemental butyrate feeding in AL mice suppressed glycolysis in lymphoid cells and mimicked the inhibition of lymphopoiesis in AL mice. Together, our study reveals that gut microbiota mediates the inhibition on lymphopoiesis via down-regulation of glycolysis under DR conditions, which is associated with increased butyrate-synthesis. Our study uncovered a candidate that could potentially be targeted for ameliorating the negative effects of DR on lymphopoiesis, and therefore may have important implications for the wider application of DR and promoting healthy aging.

Ultra-high strength martensitic stainless steel plays an essential role in aerospace, nuclear and other fields. This paper addresses laser-based powder bed fusion of martensitic stainless steel, based on thermodynamic software and computer languages for high-throughput calculation in combination with the hot tear sensitivity index criterion, Optimization of the alloy composed of Fe11Cr8Ni5Co3Mo martensitic stainless steel for resistance to hot tearing. The martensitic stainless steel composition with the lowest crack sensitivity was selected from hundreds of millions of data sets, reducing the hot tearing sensitivity index from 6841 to 1861. The alloy with the lowest hot tearing sensitivity was Fe11.3Cr8.18Ni2.0Mo2.8Co0.24Mn0.02V0.02Si0.01C0.17Mg. The hot tearing sensitivity has been experimentally verified in conjunction with additive manufacturing, and a comparative study of the building state organization and mechanical properties has been made.

Abstract Liposuction is not a risk‐free procedure and potentially fatal complications may occur, especially liposuction‐induced fat embolism syndrome (FES). Here we report the case of a 29‐year‐old woman who developed FES suddenly during a liposuction operation in a cosmetic medical clinic. She was transferred to the hospital and achieved complete recovery within 11 days by comprehensive therapeutic strategies, including noninvasive ventilation (NIV), corticosteroids, albumin, diuretics and anticoagulation. Liposuction‐induced FES is a life‐threatening condition, which can be treated with complate recovery by comprehensive therapeutic strategies according to its pathophysiologic mechanism.

Objective To assess the effects of PTH (1‐34) on bone and cartilage metabolism in a collagenase‐induced mouse model of osteoarthritis (OA) and examine whether PTH (1‐34) affects the expression of JAK2/STAT3 and WNT5A/ROR2 in this process. Methods Eighteen 12‐week‐old male C57Bl/6 mice were randomly assigned into three groups as follows: sham group (Group A), the collagenase + saline injection group (Group B), and the collagenase + PTH (1‐34) treatment group (Group C). Collagenase was injected (intra‐articular) into the knee joint of Group B and C. The PTH (1–34)‐treatment was started at 6 weeks after the operation and lasted for 6 weeks. Cartilage pathology was evaluated by gross visual, histological, and immunohistochemical assessments. Subchondral bone was evaluated by microcomputed tomography (micro‐CT) and immunohistochemical analyses. Results The OARSI macroscopic and microscopic scores of Group B were higher than those of Group A (P = 0.026; P = 0.002, respectively). Group C showed statistically significant differences in macroscopic and microscopic scores from Group B (P = 0.041; P = 0.008, respectively). The results showed that the Col‐II and AGG expression levels in the cartilage tissue were significantly lower in Group B than Group A (P

ObjectiveSeveral studies have shown that miR-146a rs2910164 (C > G) is associated with type 2 diabetes mellitus (T2DM) susceptibility, but the results are still controversial. This study is divided into two parts, and one is to explore the relationship between miR-146a rs2910164 polymorphism and the genetic susceptibility of T2DM in Chinese Han population. Second, a meta-analysis on the basis of a larger sample size was used to determine whether this is a susceptibility gene for T2DM.MethodsA case–control study including 574 T2DM patients and 596 controls was used to evaluate the association of miR-146a rs2910164 polymorphism with the risk of T2DM in Chinese Han People. Then, we systematically searched studies investigating the correlation between miR-146a rs2910164 polymorphism and T2DM susceptibility published before April 2022 from PubMed, Web of Science, Wanfang, and China National Knowledge Infrastructure database, and a meta-analysis including six studies was carried out. The results were expressed by odds ratio (OR) and its 95% confidence interval (95% CI).ResultsIn a case–control study, we found that there were no statistical differences in genotype frequencies between T2DM and control group. Subgroup analysis showed that, compared with the CC genotype, CG + GG genotype was associated with a decreased risk of T2DM in the subgroup of individuals ≥ 65 years old (OR = 0.75; 95% CI: 0.58–0.98; Padjusted = 0.032) and BMI < 18.5 (OR = 0.16; 95% CI: 0.03–0.89; Padjusted = 0.037). In overall meta-analysis, significant heterogeneity was detected. No significant association between miR-146a rs2910164 polymorphism and T2DM was observed in all genetic models under random effects models. Subgroup analysis revealed that there was a significant difference in genotype frequencies between the T2DM and control group in recessive model (CC vs. CG + GG: OR = 1.79; 95% CI: 1.08–2.96; PQ = 0.307, I2 = 4.0%) and homozygote model (CC vs. GG: OR = 1.79; 95% CI: 1.07–3.00; PQ = 0.216, I2 = 34.7%) in Caucasians.ConclusionThe results of our study demonstrate that the miR-146a rs2910164 polymorphism might have ethnicity-dependent effects in T2DM and may be related to T2DM susceptibility in Caucasians.

PurposeThis study aimed to investigate the clinical application of laser as a knife in Ab externo Schlemm's canal (SC) surgery and compare the efficacy and safety of the CO2 laser with the conventional procedure using a surgical knife.MethodsPatients who underwent either canaloplasty or trabeculotomy with CO2 laser system which was used to locate and ablate the outer wall of SC at the time interval between May 2020 and May 2021 were identified, their medical files were reviewed, and their results were compared with conventional surgery group who underwent canaloplasty or trabeculotomy with conventional surgical knife at the same time period. The following datas were conducted and compared: age, sex, intraocular pressure (IOP), number of drugs, best-corrected visual acuity (BCVA), mean deviation and pattern standard deviation of visual field examination, SC opening related complications.ResultsA total of 49 patients (49 eyes) were included in this study, including 23 in the Laser surgery group and 26 in the conventional surgery group. Time for SC opening was 49.33 ± 25.23 s and 116.50 ± 31.79 s for laser surgery group and conventional surgery group, respectively. This difference between the two groups was statistically significant (P < 0.01). Hemorrhage occurred in five eyes during ablation for the laser surgery group and in 24 eyes for the conventional surgery group. In addition, anterior chamber penetration occurred in two cases for the laser surgery group and in six cases for the conventional surgery group. The success rate of identifying and opening outer wall of SC was 91.30% (21 eyes) for the laser surgery group and 76.92% (20 eyes) for the conventional surgery group. The difference between preoperative and postoperative intraocular pressure for each group was statistically significant (P < 0.01), and there were no statistically significant differences across the two groups in terms of postoperative IOP (P = 0.238) and BCVA (P = 0.389).ConclusionCompared with the conventional procedure using a surgical knife, CO2 laser-assisted ablation of the outer wall of SC was less time-consuming and less technically challenging. CO2 laser-assisted ablation also resulted in fewer complications. Furthermore, it had a shorter learning curve and a higher success rate of identifying and opening SC.

Purpose: Recently, the U.S. Food and Drug Administration (FDA) approved stiripentol, cannabidiol, and fenfluramine to treat patients with Dravet syndrome (DS). Moreover, soticlestat was determined as a promising new drug for the treatment of DS as it has good efficacy and safety. However, the efficacy and safety of these drugs have not yet been evaluated in “head-to-head” trials. This study aimed to compare and evaluate the efficacy and safety of these adjunctive antiseizure medications in the treatment of DS.Methods: We searched in PubMed, Embase, Cochrane Library, and Web of Science databases for randomized controlled trials (RCTs) and open-label extension (OLE) studies in patients with DS. We performed a random-effect meta-analysis of OLE studies and a network meta-analysis for RCTs to evaluate the efficacy and safety of antiseizure medications in the treatment of DS. Primary efficacy outcomes were defined as a ≥50% reduction in seizure frequency compared with baseline. Furthermore, safety evaluation indicators were defined as the incidence of adverse events (AEs) and serious adverse events (SAEs) during treatment. Relative ranking was assessed using the surface under the cumulative ranking curve (SUCRA) probabilities.Results: Seven RCTs involving four antiseizure medications (stiripentol, cannabidiol, fenfluramine, and soticlestat) and a total of 634 patients were included in the analysis. According to the SUCRA results, all four drugs significantly reduced the frequency of seizures compared with the placebo. Soticlestat was the most likely to reduce seizure frequency by ≥50% compared to the baseline [risk ratio (RR): 19.32; 95% confidence interval (CI): 1.20–311.40], followed by stiripentol and fenfluramine. Stiripentol was ranked highest for the near percentage reduction in the seizure rate from baseline [RR: 12.33; 95% CI: 1.71–89.17] and the occurrence of any treatment-emergent adverse events [RR: 3.73; 95% CI: 1.65–8.43] and serious adverse events [RR: 4.76; 95% CI: 0.61–37.28]. A total of ten OLE studies containing 1,121 patients were included in our study. According to the results of the meta-analysis, the order of probability of reducing seizure frequency by ≥50% was fenfluramine (0.715, 95% CI: 0.621–0.808), stiripentol (0.604, 95% CI: 0.502–0.706), cannabidiol (0.448, 95% CI: 0.403–0.493). And the probability of occurrence of AEs is ranked as fenfluramine(0.832, 95% CI: 0.795–0.869), cannabidiol (0.825, 95% CI:0.701–0.950), stiripentol (0.823, 95% CI: 0.707–0.938), soticlestat (0.688, 95% CI: 0.413–0.890).Conclusion: According to the results of indirect comparison of efficacy and safety, cannabidiol is slightly inferior to the other three antiseizure medications in terms of efficacy and safety. Soticlestat, fenfluramine, and stripentol may have little difference in efficacy, but soticlestat and fenfluramine are safer. Soticlestat is probably the best adjunctive antiseizure medication, followed by fenfluramine. This conclusion is consistent with the comparison of long-term efficacy and safety.

The enhancement in the jet pressure ratio and jet velocity contributes to expanding the control efficiency and control boundary of circulation control airfoil under high subsonic incoming flow. However, because of an excessive jet pressure ratio, the jet separates prematurely on the Coanda surface, resulting in control failure. In a bid to improve the adhesion capability of the jet under a high pressure ratio, a circulation control airfoil with a converging nozzle and back-facing step structure at the trailing edge was numerically simulated based on the Reynolds averaged Navier−Stokes equation (RANS), and a study was conducted on the complex flow structure of the under-expansion jet on the Coanda surface and the impact of design parameters such as jet pressure ratio, ellipticity, and nozzle height on the jet separation. The results show that the back-facing step provides an expansion space for the under-expansion jet and changes the shock-boundary layer interaction form. As the jet pressure ratio and nozzle height increase, the size of the shock cell increases, the strength of the intercepting shocks on both sides increases, and Mach reflection occurs, resulting in jet stratification and in a decline in the adhesion capability of the jet. The combination design of proper ellipticity and the back-facing step contributes to forming a closed low-pressure vortex area behind the step and promote jet attachment. Reducing the nozzle height can improve the adhesion capability of the jet under a high pressure ratio.

Water retention curve (WRC) is an important tool to study the hydraulic and mechanical properties of unsaturated soils, such as permeability, strength and deformation properties. Most of the existing WRC models fail to reflect the water retention mechanisms of unsaturated soils or they are complex in form, and these models are hard to give good performance on modelling the bimodal and multimodal WRCs. In this study, based on analyzing the water retention mechanisms of unsaturated soils, the WRC was divided into two domains that are governed by adsorption and capillary mechanisms, respectively. An adsorption water retention curve model (WRCM) was developed based on micro-pore filling theory and Kelvin’s law. A capillary WRCM was established based on the capillary condensation theory and Young-Laplace equation. Then, a new water retention curve model over the full suction range was built by superposing the adsorption and capillary WRCMs. Finally, the new model was validated through modelling the experimentally measured WRCs of six representative unsaturated soils, including Shanghai soft clay, Xi’an loess, Nanyang expansive soil, Guilin lateritic clay, Western Liaoning aeolian soil and Inner Mongolia Gaomiaozi (GMZ) bentonite. Results showed that the proposed model, which was simple in form with definite physical meaning parameters and successfully reflected the adsorption and capillary mechanisms of water retention, was able to simulate WRCs with different shapes for different types of soils under different conditions.

Abstract Background Adjacent segmental intervertebral disk degeneration (ASDD) is a major complication secondary to lumbar fusion. Although ASSD pathogenesis remains unclear, the primary cause of intervertebral disk degeneration (IVDD) development is apoptosis of nucleus pulposus (NP). Raloxifene (RAL) could delay ASDD by inhibiting NP apoptosis. Methods An ASDD rat model was established by ovariectomy (OVX) and posterolateral spinal fusion (PLF) on levels 4–5 of the lumbar vertebrae. Rats in the treatment groups were administered 1 mg/kg/d RAL by gavage for 12 weeks, following which, all animals were euthanized. Lumbar fusion, apoptosis, ASDD, and vertebrae micro-architecture were evaluated. Results RAL maintained intervertebral disk height (DHI), delayed vertebral osteoporosis, reduced histological score, and inhibited apoptosis. The OVX+PLF+RAL group revealed upregulated expression of aggrecan and B-cell lymphoma-2 (bcl2), as well as significantly downregulated expression of a disintegrin and metalloproteinase with thrombospondin motifs 4 (ADAMTS-4), metalloproteinase-13 (MMP-13), caspase-3, BCL2-associated X (bax), and transferase dUTP nick end labeling (TUNEL) staining. Micro-computed tomography (Micro-CT) analysis revealed higher bone volume fraction (BV/TV), bone mineral density (BMD), and trabecular number (Tb.N), and lower trabecular separation (Tb.Sp) in OVX+PLF+RAL group than in the OVX+PLF group. Conclusions RAL can postpone ASDD development in OVX rats through inhibiting extracellular matrix metabolic imbalance, NP cell apoptosis, and vertebral osteoporosis. These findings showed RAL as a potential therapeutic target for ASDD.

Objective To report our experience in the reconstruction of soft tissue defects in the hand with a free anterolateral thigh deep fascia flap and describe the clinical outcomes. Methods This study was a retrospective trial. From November 2016 to January 2020, six patients (four men and two women) with soft tissue defects in the hand were included in this study. The average age of the patients was 33.7 ± 12.7 years (range, 20 to 50 years). All patients underwent reconstructions with free anterolateral thigh deep fascia flaps. Relevant clinical characteristics were recorded prior to surgery. The size and thickness of the deep fascia flap and the thickness of the skin were measured intraoperatively. The survival of the flaps and skin grafts and the occurrence of infection were recorded after the operation. At follow‐up, donor site complications and postoperative effects were evaluated according to the outcome satisfaction scale. The pain in the injured hand was assessed using the visual analog scale. Results The average body mass index (BMI) was 26.6 ± 1.7 kg/m2 (range, 23.9 to 28.7 kg/m2). The defect sizes ranged from 5 cm × 5 cm to 13 cm × 8 cm (average, 53.1 ± 27.9 cm2). The six anterolateral thigh deep fascia flaps ranged from 7 cm × 6 cm to 14 cm × 9 cm in size (average, 71.8 ± 29.1 cm2). The thicknesses of skin ranged from 25 mm to 40 mm (average, 32.5 ± 4.8 mm), and the thicknesses of the deep fascia flaps ranged from 2 mm to 3 mm (average, 2.5 ± 0.5 mm). After the operation, the blood supply of the deep fascia flap was normal in all cases. The second‐stage skin grafts of most patients survived completely. The skin graft in one case was partially necrotic and healed after a dressing change. No infection occurred. At follow‐up (average, 16.3 ± 6.9 months), there was only a linear scar and no loss of sensation at the donor site of each patient. According to the outcome satisfaction scale, the outcome satisfaction score ranged from 6 to 8 (average, 7.2 ± 0.9), all of which were satisfactory. Apart from one patient who reported mild pain, all the other patients reported no pain. Three typical cases are presented in this article. Conclusions The free anterolateral thigh deep fascia flap, which is suitable for reconstruction of soft tissue defects in the hand, can provide very good outcomes both functionally and aesthetically.

Abstract Background Although adjacent segmental intervertebral disc degeneration (ASDD) is one of the most common complications after lumbar fusion, its exact mechanism remains unclear. As an antibody to RANKL, denosumab (Dmab) effectively reduces bone resorption and stimulates bone formation, which can increase bone mineral density (BMD) and improve osteoporosis. However, it has not been confirmed whether Dmab has a reversing or retarding effect on ASDD. Methods Three-month-old female Sprague-Dawley rats that underwent L4–L5 posterolateral lumbar fusion (PLF) with spinous-process wire fixation 4 weeks after bilateral ovariectomy (OVX) surgery were given Dmab 4 weeks after PLF surgery (OVX+PLF+Dmab group). In addition, the following control groups were defined: Sham, OVX, PLF, and OVX+PLF (n=12 each). Next, manual palpation and X-ray were used to evaluate the state of lumbar fusion. The bone microstructure in the lumbar vertebra and endplate as well as the disc height index (DHI) of L5/6 was evaluated by microcomputed tomography (μCT). The characteristic alterations of ASDD were identified via Safranin-O green staining. Osteoclasts were detected using tartrate-resistant acid phosphatase (TRAP) staining, and the biomechanical properties of vertebrae were evaluated. Aggrecan (Agg), metalloproteinase-13 (MMP-13), and a disintegrin and metalloproteinase with thrombospondin motifs 4 (ADAMTS-4) expression in the intervertebral disc were detected by immunohistochemistry and real-time polymerase chain reaction (RT-PCR) analysis. In addition, the expression of CD24 and Sox-9 was assessed by immunohistochemistry. Results Manual palpation showed clear evidence of the fused segment’s immobility. Compared to the OVX+PLF group, more new bone formation was observed by X-ray examination in the OVX+PLF+Dmab group. Dmab significantly alleviated ASDD by retaining disc height index (DHI), decreasing endplate porosity, and increasing vertebral biomechanical properties and BMD. TRAP staining results showed a significantly decreased number of active osteoclasts after Dmab treatment, especially in subchondral bone and cartilaginous endplates. Moreover, the protein and mRNA expression results in discs (IVDs) showed that Dmab not only inhibited matrix degradation by decreasing MMP-13 and ADAMTS-4 but also promoted matrix synthesis by increasing Agg. Dmab maintained the number of notochord cells by increasing CD24 but reducing Sox-9. Conclusions These results suggest that Dmab may be a novel therapeutic target for ASDD treatment.

Psyllaephagus sp. (Hymenoptera: Encyrtidae) is a newly recognized and important parasitoid of Cacopsylla chinensis (Yang and Li) (Hemiptera: Psyllidae), a pest of pear orchards. Its parasitism potential and rearing were studied in the laboratory. The studies showed that the most suitable hosts were fourth- and fifth-instar nymphs of pear psyllids (C. chinensis). The development duration of Psyllaephagus sp. females and males was 15.25 ± 0.37 and 13.57 ± 0.27 days when laying eggs in fourth-instar psyllid nymphs. The wasps did not survive longer than three days when they were fed only water, while they survived about an average of 20 days (23.20 ± 1.12 for females and 19.00 ± 0.80 for males) when fed 20% honey water. The provision of honey water could thus increase adult parasitoid longevity significantly. The lifetime fecundity of Psyllaephagus sp. females was 21.60 ± 0.88. Tests of parasitoid efficiency showed that the wasp’s functional response was Holling type II, with the number of hosts parasitized increasing with the host density to a maximum parasitism rate. The model suggested that a single Psyllaephagus sp. female could parasitize a maximum of 13.66 nymphs per day. The mutual interference of foraging Psyllaephagus sp. females occurred at high parasitoid densities. Psyllaephagus sp. has potential as a biocontrol agent for use against C. chinensis.