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Abstract Background This study investigated the use of urinary exosomal mRNA as a potential biomarker for the early detection of prostate cancer (PCa). Methods Next-generation sequencing was utilized to analyze exosomal RNA from 10 individuals with confirmed PCa and 10 individuals without cancer. Subsequent validation through qRT-PCR in a larger sample of 43 PCa patients and 92 healthy controls revealed distinct mRNA signatures associated with PCa. Results Notably, mRNAs for RAB5B, WWP1, HIST2H2BF, ZFY, MARK2, PASK, RBM10, and NRSN2 showed promise as diagnostic markers, with AUC values between 0.799 and 0.906 and significance p values. Combining RAB5B and WWP1 in an exoRNA diagnostic model outperformed traditional PSA tests, achieving an AUC of 0.923, 81.4% sensitivity, and 89.1% specificity. Conclusions These findings highlight the potential of urinary exosomal mRNA profiling, particularly focusing on RAB5B and WWP1, as a valuable strategy for improving the early detection of PCa.

ABSTRACT Background High‐intensity focused ultrasound (HIFU) is a promising minimally invasive treatment for liver cancer; however, its efficacy is often limited by the attenuation of ultrasonic energy. This study investigates the effectiveness of B7‐H3‐targeted microbubbles (T‐MBs) in enhancing HIFU ablation of liver cancer and explores their potential for clinical translation. Methods T‐MBs and isotype control microbubbles (I‐MBs) were synthesized through the conjugation of biotinylated anti‐B7‐H3 antibody and isotype control antibody to the microbubble surface, respectively. Contrast‐enhanced ultrasound imaging was performed to compare the accumulation of T‐MBs and I‐MBs in liver cancer at various time points. The efficacy of T‐MBs in enhancing HIFU treatment was evaluated by measuring the immediate tumor ablation rate and long‐term tumor growth suppression. Additionally, the induced antitumor immune response was assessed through cytokine quantification in serum and tumor tissue, along with immunofluorescence staining conducted on days 1, 3, and 7 post‐treatment. Results T‐MBs demonstrated superior liver cancer‐specific accumulation, characterized by higher concentrations and prolonged retention compared to I‐MBs. The combination of T‐MBs with HIFU resulted in significantly enhanced tumor ablation rates and superior tumor growth suppression. Post‐treatment analysis revealed a gradual uptick in cytokine levels within the tumor microenvironment, along with progressive infiltration of antitumor immune cells. Conclusion T‐MBs effectively enhance the therapeutic efficacy of HIFU for liver cancer treatment while simultaneously promoting an antitumor immune response. These findings provide a strong experimental foundation for the clinical translation of ultrasound molecular imaging combined with HIFU as a novel approach for tumor therapy.

Abstract The diagnostic accuracy of clinically significant prostate cancer (csPCa) of Prostate Imaging Reporting and Data System version 2 (PI-RADSv2) is limited by subjectivity in result interpretation and the false positive results from certain similar anatomic structures. We aimed to establish a new model combining quantitative contrast-enhanced ultrasound, PI-RADSv2, clinical parameters to optimize the PI-RADSv2-based model. The analysis was conducted based on a data set of 151 patients from 2019 to 2022, multiple regression analysis showed that prostate specific antigen density, age, PI-RADSv2, quantitative parameters (rush time, wash-out area under the curve) were independent predictors. Based on these predictors, we established a new predictive model, the AUCs of the model were 0.910 and 0.879 in training and validation cohort, which were higher than those of PI-RADSv2-based model (0.865 and 0.821 in training and validation cohort). Net Reclassification Index analysis indicated that the new predictive model improved the classification of patients. Decision curve analysis showed that in most risk probabilities, the new predictive model improved the clinical utility of PI-RADSv2-based model. Generally, this new predictive model showed that quantitative parameters from contrast enhanced ultrasound could help to improve the diagnostic performance of PI-RADSv2 based model in detecting csPCa.

Abstract Background Primary prostate cancer with metastasis has a poor prognosis, so assessing its risk of metastasis is essential. Methods This study combined comprehensive ultrasound features with tissue proteomic analysis to obtain biomarkers and practical diagnostic image features that signify prostate cancer metastasis. Results In this study, 17 ultrasound image features of benign prostatic hyperplasia (BPH), primary prostate cancer without metastasis (PPCWOM), and primary prostate cancer with metastasis (PPCWM) were comprehensively analyzed and combined with the corresponding tissue proteome data to perform weighted gene co-expression network analysis (WGCNA), which resulted in two modules highly correlated with the ultrasound phenotype. We screened proteins with temporal expression trends based on the progression of the disease from BPH to PPCWOM and ultimately to PPCWM from two modules and obtained a protein that can promote prostate cancer metastasis. Subsequently, four ultrasound image features significantly associated with the metastatic biomarker HNRNPC (Heterogeneous nuclear ribonucleoprotein C) were identified by analyzing the correlation between the protein and ultrasound image features. The biomarker HNRNPC showed a significant difference in the five-year survival rate of prostate cancer patients (p

BackgroundThe role of recombinant human granulocyte colony-stimulating factor (rhG-CSF), especially the long-acting factor in the development of cancer-associated venous thromboembolism (VTE) in lung cancer patients who undergo chemotherapy has been understudied, although the use of rhG-CSF has been reported to be associated with an increased risk of VTE.MethodsWe retrospectively reviewed 1,673 lung cancer patients who underwent hospitalized chemotherapy. We performed propensity score matching to offset confounding factors related to cancer-associated VTE development and classified the patients into short-acting (N = 273), long-acting (N = 273), and no rhG-CSF (N = 273) groups. The primary outcome was cumulative cancer-associated VTE development three months after all cycles of chemotherapy.ResultsThe overall VTE incidence in the short-acting, long-acting, and no rhG-CSF groups was 5.5%, 10.3%, and 2.2%, respectively (P

BackgroundGreen tea intake has been reported to improve the clinical outcomes of patients with cardiovascular diseases or cancer. It may have a certain role in the development of venous thromboembolism (VTE) among cancer patients. The current study aimed to address this issue, which has been understudied.MethodsWe carried out a retrospective study to explore the role of green tea intake in cancer patients. Patients with and without green tea intake were enrolled in a 1:1 ratio by using propensity scoring matching. The primary and secondary outcomes were VTE development and mortality 1 year after cancer diagnosis, respectively.ResultsThe cancer patients with green tea intake (n = 425) had less VTE development (10 [2.4%] vs. 23 [5.4%], p = 0.021), VTE-related death (7 [1.6%] vs. 18 [4.2%], p = 0.026), and fatal pulmonary embolism (PE) (3 [0.7%] vs. 12 [2.8%], p = 0.019), compared with those without green tea intake (n = 425). No intake of green tea was correlated with an increase in VTE development (multivariate hazard ratio (HR) 1.758 [1.476–2.040], p

Prothrombin time/international normalized ratio (PT/INR) is related to both antithrombotic effect and risk of bleeding. Its role in the prediction of venous thromboembolism (VTE) recurrence and bleeding for patients with acute VTE who undergo direct oral anticoagulants (DOACs) treatment is unclear, despite previous studies revealed some association between them. The predictive efficiency of INR for VTE recurrence and bleeding were analyzed in a retrospective cohort with VTE patients who underwent DOACs treatment. Then its predictive efficiency for VTE recurrence and bleeding were validated in a prospective cohort with the acquired cutoffs range, and compared with anti-Xa level, DASH and VTE-BLEED scores. In the retrospective cohort ( n = 1083), the sensitivity and specificity of INR for the prediction of VTE recurrence were 79.4% and 92.8%, respectively. The area under the curve (AUC) was 0.881 (0.803-0.960)( P = .025). The cutoff value of INR was 0.9. The sensitivity and specificity of INR for the prediction of bleeding were 85.7% and 77.9%, respectively. The AUC was 0.876 (0.786-0.967)( P 2.1)( n = 34) groups, respectively. The baseline PT/INR value at the initiation of DOACs treatment is an independent predictor for VTE recurrence and bleeding in patients with acute VTE who undergo DOACs treatment.

Collaborative designing of service networks using multiple logistics carriers can bring advantages in both economic and environmental terms, and these carriers have symmetry in their service areas. To enable such a collaborative service network and the corresponding benefits, this study proposes a problem of collaborative service network design (CSND) considering demand uncertainty. This problem is formulated as a two-stage robust optimization model using a budget uncertainty set to handle the uncertain demand. A column-and-constraint generation algorithm is developed to accurately solve the robust model. Numerical experiments show that the proposed algorithm outperforms the Benders decomposition algorithm in terms of solving efficiency and quality. Through comparative experiments, this research validates the advantages of collaborative designing and the robustness of model solutions. In addition, three allocation mechanisms are tested to investigate the importance of allocation in CSND.

Improved tillage management in fragrant rice cropping systems can enhance soil organic carbon (SOC) and the content of 2-Acetyl-1-Pyrroline (2-AP), a crucial volatile compound contributing to the aroma of fragrant rice. Despite this, the interplay between 2-AP content in fragrant rice and SOC metabolism, alongside the influences exerted by soil microbial functions, remains poorly understood. This study introduces a comprehensive 6-year field experiment which aims to correlate SOC with rice grain 2-AP content by analyzing soil microbial KEGG functions, such as carbon and amino acid metabolism, using metagenomic sequencing. The experiment assessed three tillage practices, conventional tillage (CT), reduced tillage (RT), and no tillage (NT), with soil samples collected on three dates in 2022. The results indicated that NT significantly (p < 0.05) enhanced SOC content and modified carbon metabolism by upregulating the Calvin cycle (K01601) and reducing hemicellulose degradation (K01710). Additionally, NT notably increased the soil levels of alkaline amino acids, such as histidine and ornithine, which were 165.17% and 1218.42% higher, respectively, than those in CT, possibly linked to an increase in soil pH. Furthermore, the 2-AP content in fragrant rice under NT was significantly higher by 52.02% and 13.90% compared to under RT and CT, respectively. NT also upregulated K00250 (alanine, aspartate, and glutamate metabolism) and K00290 (valine, leucine, and isoleucine biosynthesis), leading to significantly higher levels of 2-AP biosynthesis-related amino acids proline and glutamate in fragrant rice grain. This study links SOC and 2-AP biosynthesis via soil microbial functions, presenting a novel strategy for improving the quality of fragrant rice through soil management practices.

Based on the conventional meteorological observation data, the NCEP reanalysis data, the dual-polarization radar data, wind pro? filer radar data, and other datasets, the environmental conditions and dual-polarization radar characteristics of the phase transformation of precipitation in a rain and snow event in Hunan in late December 2021 is studied. The results are as follows: (1) The disappearing of dry lay? er, the thickening of wet layer, the whole-layer wet bulb temperature below 0 ℃, and the saturated stratification in the cold pad under the in? version layer before the snowfall favored the further cluster growth of falling snowflakes, resulting in the further enhancement of snowfall. (2) That the southwest jet exits at 700hPa and the strong water vapor convergences at 600-800 hPa, combined with the significant vertical up? draft at the middle and lower layers, provided sufficient moisture for the snowstorm. (3) The intermittent light rain (snow) in the evening of the 25th is closely related to the transit of short-wave trough frequently. In the morning of the 26th, the southwesterly wind turned to the westerly wind, which led to a short-term weakening of snowfall in Changsha. Furthermore, the warm-humid southwesterly flow strengthened over the cold pad, and the southeast wind in the cold pad turned to the northeast wind, which corresponded to the two peaks of snowfall in Changsha on the 26th. (4) There are certain differences in the correlation coefficient (CC), differential reflectance (Zdr), and horizontal reflectance factor (Zh) of different phases of precipitation. The dual-polarization products have a certain indication effect on the identification of rain and snow phases of this case. (5) The low-level"zero-velocity-level"is straight, and has the characteristics of wind-speed convergence, enhanced southwest jet core, and downward extension, etc., indicating that the dynamic climbing of warm-humid airflow over the cold pad would increase, and the snowfall could be maintained for a long time and would increase gradually. However, with the appearance of divergence of wind field, the snowfall gradually weakened. The findings of this study provide helpful criteria for the development, maintenance, and weak? ening of snow, which can be applied to the operational work of snowstorm nowcasting and forecasting.

Recently, the use of nanopesticides has shown significant efficacy in the control of many pests. However, the effect of nanopesticides, especially nanoemulsions, on suppressing termites, Odontotermes formosanus (Shiraki, 1909) (O. formosanus), has not been studied yet. Therefore, this study aimed to produce nanoemulsions of the essential oils of eucalyptus (Eucalyptus globulus Labill; E-EO) and nutmeg (Myristica fragrans Houtt; N-EO) to suppress O. formosanus. The analysis of eucalyptus nanoemulsion (E-NE) and nutmeg nanoemulsion (N-NE) was confirmed by using UV-Vis, dynamic light scattering, zeta potential, transmission electron microscopy, scanning electron microscopy, and energy dispersive spectroscopy. In addition, chemical analysis by Gas Chromatography with a mass spectrometer (GC-MS) exhibited the major constituents of E-NE and N-NE. The principal chemical components of E-NE included D-limonene, eucalyptol, 1,5-cyclooctadiene,3,4-dimethyl, benzene, and 1-methyl-3-(1 methylethyl)-, while the main constituents in N-NE were cyclohexane,1-methylene-4-(1 methylethenyl)-, eucalyptol, and L-. alpha. -terpineol. The mortality rates were 100% and 99.53%, respectively, after 24 hours of treatment with a concentration of 140 mg/mL, compared to 23.43% and 43.55%, respectively, from E-EO and N-EO treatment. These results refer to the essential oils’ nanoemulsion as far more effective than the essential oils themselves. Furthermore, the effects of E-NE and N-NE on detoxification enzymes such as acetylcholinesterase, carboxylesterase, acid and alkaline phosphatase were investigated, as well as total protein concentrations, and the results have been found to be significantly increasing or decreasing in comparison with control. Besides, histological and morphological alterations found post exposure to E-NE and N-NE were shown. Overall, the results from this study clearly indicate that the nanopesticide-formulated nanoemulsions may have great potential to be used as novel, environmentally safe insecticides for controlling O. formosanus.

Recently, nanoparticles have been widely used in agricultural pest control as a secure substitute for pesticides. However, the effect of nanoparticles on controlling the subterranean termite Odontotermes formosanus (O. formosanus) has not been studied yet. Consequently, this study aimed to evaluate the effectiveness of some nanomaterials in controlling O. formosanus. The results showed that zinc oxide nanoparticles (ZnONPs), titanium dioxide nanoparticles (TiO2NPs), and chitosan nanoparticles (CsNPs) biosynthesized using the culture filtrate of Scedosporium apiospermum (S. apiospermum) had an effective role in controlling O. formosanus. Moreover, the mortality rate of O. formosanus after 48 h of treatment with ZnONPs, TiO2NPs, and CsNPs at a 1000 µg/mL concentration was 100%, 100%, and 97.67%, respectively. Furthermore, using ZnONPs, TiO2NPs, and CsNPs on O. formosanus resulted in morpho-histological variations in the normal structure, leading to its death. X-ray diffraction, UV-vis spectroscopy, Fourier transform infrared spectroscopy, scanning electron microscopy, dynamic light scattering, energy dispersive spectroscopy, and the Zeta potential were used to characterize the biosynthesis of ZnONPs, TiO2NPs, and CsNPs with strong activity against O. formosanus termites. Overall, the results of this investigation suggest that biosynthesized ZnONPs, TiO2NPs, and CsNPs have enormous potential for use as innovative, ecologically safe pesticides for O. formosanus control.

This paper presents three refinements in ground-based radar interferometer (GB-radar) measurement for bridge load testing: (1) GB-radar phase jumps were detected for the first time on bridge tower displacement monitoring, and a recovery method is presented to obtain the correct unwrapped value; (2) a precise displacement projection method considering target deformation was exploited, and a case study of the Fifth Nanjing Yangtze River Bridge (FNYRB) GB-radar campaign shows that a centimeter-level compensation can be achieved; (3) a post-construction settlement phenomenon was found during the FNYRB static load tests, characterized by 0.31 mm/min, which accumulated up to 25 mm. In addition, the dynamic monitoring capabilities of GB-radar for the bridge tower and girder were verified, highlighting its potential for bridge structural health monitoring (SHM). The insights gained from this study offer valuable recommendations for future GB-radar bridge displacement monitoring.

In order to solve low recognition of corn kernel breakage degree and corn kernel mildew degree during corn kernel harvesting, this paper proposes a real-time detection method for corn kernel breakage and mildew based on improved YOlOv5s, which is referred to as the CST-YOLOv5s model algorithm in this paper. The method continuously obtains images through the discrete uniform sampling device of corn kernels and generates whole corn kernels, breakage corn kernels, and mildew corn kernel dataset samples. We aimed at the problems of high similarity of some corn kernel features in the acquired images and the low precision of corn kernel breakage and mildew recognition. Firstly, the CBAM attention mechanism is added to the backbone network of YOLOv5s to finely allocate and process the feature information, highlighting the features of corn breakage and mildew. Secondly, the pyramid pooling structure SPPCPSC, which integrates cross-stage local networks, is adopted to replace the SPPF in YOLOv5s. SPP and CPSC technologies are used to extract and fuse features of different scales, improving the precision of object detection. Finally, the original prediction head is converted into a transformer prediction head to explore the prediction potential with a multi-head attention mechanism. The experimental results show that the CST-YOLOv5s model has a significant improvement in the detection of corn kernel breakage and mildew. Compared with the original YOLOv5s model, the average precision (AP) of corn kernel breakage and mildew recognition increased by 5.2% and 7.1%, respectively, and the mean average precision (mAP) of all kinds of corn kernel recognition is 96.1%, and the frame rate is 36.7 FPS. Compared with YOLOv4-tiny, YOLOv6n, YOLOv7, YOLOv8s, and YOLOv9-E detection model algorithms, the CST-YOLOv5s model has better overall performance in terms of detection accuracy and speed. This study can provide a reference for real-time detection of breakage and mildew kernels during the harvesting process of corn kernels.

Background TMUB1 is a transmembrane protein involved in biological signaling and plays an important role in the stability and transcription of P53. However, its role in tumor remains unknown. Methods Using R language, the expression level of 33 cancer spectrum TMUB1 was analyzed by the public database TCGA, GEO and HPA, the differential expressed gene (DEG) screening and protein interaction (PPI) network was constructed, and the differential genes of TMUB1 in colon cancer were identified. The relevant signaling pathways were identified by gene functional annotation and enrichment analysis. The ssGSEA algorithm in GSVA were used for immune infiltration analysis. The Kaplan-Meier analysis, univariate and multivariate Cox regression analysis, nomogram and calibration map analysis were constructed to evaluate the correlation between TMUB1 expression and clinical prognosis. The expression levels of TMUB1 in intestinal cancer cell lines as well as in 10 intestinal cancer tissues were verified by qPCR experiments. Results Through the bioinformatics analysis of multiple databases and preliminary experimental studies, we found that the expression of TMUB1 was significantly increased in colon cancer tumors, and was correlated with the clinical N stage, pathological grade, lymphatic metastasis and BMI of colon cancer. TMUB1 may be involved in the regulation of the malignant progression of colon cancer. Meanwhile, patients with high expression of TMUB1 mRNA had worse OS and DSS, and TMUB1 expression was an independent prognostic factor for OS and DSS. It was further found that highly expressed TMUB1 tissues showed low levels of immune infiltration and stromal infiltration. Conclusion We reported the expression level of TMUB1 in colon cancer and analyzed its potential prognostic value in colon cancer through the bioinformatics analysis and preliminary experimental studies. The high expression of TMUB1 is a negative prognostic factor for colon cancer patients. TMUB1 may be a potential target for colon cancer.

Reconfigurable continuum robots exhibit programmable interaction capability, enabling them to cope with challenges poorly addressed by conventional rigid robots. However, the regulation of the module type and/or sequence may result in time‐consuming and labor‐intensive problems. Therefore, in situ reconfiguration schemes are required to develop in a simple yet robust solution for continuum robot design. Herein, inspired by the structure characteristics of the seahorse tail, an original template based on a tensegrity building block (TBB) for creating an in situ reconfigurable continuum robotic paradigm is proposed. As the length of the stretchable struts in the TBB could be programmed, five typical homologous types from the template are derived. Then, ten TBBs into a continuum robot are assembled and the multi‐body dynamic framework is employed to develop a mechanical model for predicting the profile after deformation. Theoretical predictions demonstrate that the robotic shape can be customized in situ by switching the type of TBBs, without disassembling the robot. Furthermore, the tailored continuum robotic configurations are applied to conformally interact with the varying‐curvature objects. The experimental results suggest that the proposed programmable template offers a facile and rapid reconfiguration scheme for the continuum robots, which greatly improves the robotic interaction capability.

Increasing soil organic carbon (SOC) contents and reducing carbon dioxide (CO2) emissions in paddy soil fields can result in positive impacts on climate change mitigation and soil quality. However, SOC accumulation and its microbial driving factors under enhanced fertilization strategies (e.g., organic matter application) are still unclear. Therefore, we investigated the effects of organic matter addition on SOC variations, CO2 fluxes, and their relationships with soil bacterial compositions and functions through a 6-year fertilizer experiment in rice fields involving two fertilization types, namely chemical fertilizer (NPK) and chemical fertilizer combined with organic matter (NPK+OM). The results showed significantly higher and lower SOC contents (p < 0.05) in the 10–20 cm soil layer under the NPK+OM treatment before rice transplanting and after rice harvest, respectively, than those under the NPK treatment. The lower SOC contents after rice harvest might be due to the great nutrient consumption, resulting in higher rice yields in the NPK+OM than those in the NPK treatment by 6.68 to 32.35%. Compared with NPK, NPK+OM reduced the in-situ CO2 fluxes by 38.70–118.59%. However, the ex-situ SOC mineralization rates were not affected by NPK+OM in the 0–10 and 10–20 cm soil layers. The 16S rRNA sequence indicated a significant increase in the abundance of non-singleton amplicon sequence variants (ASVs) in the NPK+OM treatment scenario compared to those in the NPK treatment scenario. The top three most important soil bacterial phylum influenced by NPK+OM were LCP-89, BRC1, and Rokubacteria in April, as well as Firmicutes, Nitrospinae, and BRC1 in July. Soil Actinobacteria was negatively correlated with the SOC contents in April and July. The results of the present study demonstrate the economic and ecological benefits of the organic matter addition in rice production, as well as the contribution of soil bacteria to SOC accumulation and CO2 emission reduction.

In order to determine the distribution pattern of the threshed mixture in the double longitudinal axial flow threshing device, single-factor experiments were conducted on the self-developed experimental platform for the double longitudinal axis threshing device. The experimental factors included drum speed, threshing clearance, and feed rate. The variations in the distribution of the threshed material along the axial and radial directions were examined. The results indicate that the mixed material after threshing exhibits uneven distribution both axially and radially. Along the axial direction, the mass of corn kernels initially increases and then decreases and is predominantly distributed in the front one-third section of the drum. Meanwhile, the mass of corn cobs continuously increases. In the radial direction, the mass of corn kernels and cobs is higher in the middle and on both sides, with the corn kernels being most concentrated in the middle and the corn cobs mostly on the sides. Combining the corn kernel breakage rate and the unthreshed rate, the optimal operating conditions were determined as follows: a drum speed of 400 r/min, a concave clearance of 50 mm, and a feed rate of 16 kg/s.

In order to solve the problems of grain lifter in sorghum harvesting, such as ear loss and serious crop leakage loss, combined with the physical and mechanical characteristics of sorghum, the segmented and reverse spiral grain lifter for sorghum harvesting and cutting table was developed, and the design method of the main structural parameters of the grain lifter was determined. The comparative test of the working effect of the clasp showed that the working effect of the cutting table with the clasp was better than that without the clasp, which effectively reduced the harvest loss of the cutting table. By using Box–Behnken experimental design method, the influence law of forward speed, tilt angle, and rotation speed of grain lifter on the rate of ear loss and harvest loss in sorghum harvesting was investigated. The regression mathematical model and response surface of the rate of ear loss and harvest loss and analysis factors were established, and the optimal working parameters of the grain lifter were determined. The forward speed was 0.8 m/s, the tilt angle of the grain lifter was 28°, and the rotation speed of the grain lifter was 330 r/min. Under these conditions, the spike loss rate was 2.01, the leakage loss rate was 2.19, and the error with the theoretical value was less than 3%, which proved the rationality of the optimized combination parameters. In the harvest of crooked and fallen sorghum, the grain lifter can effectively reduce the loss of sorghum head drop and lodging leakage, ensure the reliability of the cutting table, and achieve low loss and efficient harvest of sorghum.

Background To investigate the differences between physicians in target delineation in intensity-modulated radiation therapy for nasopharyngeal carcinoma as well as their impact on target dose coverage. Methods Ninety-nine in-hospital patients were randomly selected for retrospective analysis, and the target volumes were delineated by 2 physicians. The target volumes were integrated with the original plans, and the differential parameters, including the Dice similarity coefficient (DSC), Hausdorff distance (HD), and Jaccard similarity coefficient (JSC) were recorded. The dose–volume parameters to evaluate target dose coverage were analyzed by superimposing the same original plan to the 2 sets of images on which the target volumes were contoured by the 2 physicians. The significance of differences in target volumes and dose coverage were evaluated using statistical analysis. Results The target dose coverage for different sets of target volumes showed statistically significant differences, while the similarity metrics to evaluate geometric target volume differences did not. More specifically, for PGTVnx, the median DSC, JSC, and HD were 0.85, 0.74, and 11.73, respectively; for PCTV1, the median values were 0.87, 0.77, and 11.78, respectively; for PCTV2, the median values were 0.90, 0.82, and 16.12, respectively. For patients in stages T3-4, DSC, and JSC were reduced but HD was increased compared to those in stages T1-2. Dosimetric analysis indicated that, for the target volumes, significant differences between the 2 physicians were found in D95, D99, and V100 for all the target volumes (ie, PGTVnx, PCTV1, and PCTV2) across the whole group of patients, as well as in patients with disease stages T3-4 and T1-2. Conclusions The target volumes delineated by the 2 physicians had a high similarity, but the maximal distances between the outer contours of the 2 sets were significantly different. In patients with advanced T stages, significant differences in dose distributions were found, stemming from the deviations of target delineation.

ObjectivesTo investigate the significance of proton magnetic resonance spectroscopy (1H-MRS) and glutamate chemical exchange saturation transfer (Glu-CEST) techniques in assessing the condition and prognosis of acute bilirubin encephalopathy patients and to understand the mechanism of nerve injury in this disease.Materials and methodsFrom September 2019 to February 2021, 31 neonates with acute bilirubin encephalopathy and 16 healthy neonates were enrolled in this study. All the quantitative results of 1H-MRS, Glu-CEST, and conventional magnetic resonance imaging (MRI) of all neonates were analyzed. The associations between statistically significant indicators of imaging and developmental quotients (DQ) were analyzed.ResultsThe 31 cases were assigned to the mild subgroup (n = 21) and moderate and severe subgroup (n = 10) according to the bilirubin-induced neurologic dysfunction (BIND) scores. The case group had elevated Cho and GABA absolute concentrations compared to the normal control group (all p < 0.05). Compared with the normal control group, the absolute concentration of GABA of the moderate and severe subgroup was significantly larger (p < 0.05). Compared with the normal control group, the Glu-CEST% values in the left basal ganglia, right thalamus, left frontal cortex and bilateral medial geniculate body of the case group was significantly larger (all p < 0.05). The moderate and severe subgroup had higher Glu-CEST% values in the left basal ganglia, right thalamus, and bilateral medial geniculate body than the normal control group (all p < 0.05). A negative association was revealed between the DQ scores and the Glu-CEST% values in the left basal ganglia (r = −0.888, p < 0.05).ConclusionThe combination of 1H-MRS and Glu-CEST techniques can monitor the intracerebral metabolite level of acute bilirubin encephalopathy and evaluate the illness severity.

In the development of power systems, the traditional AC power grids are gradually evolving into AC/DC hybrid grids. However, the safety of hybrid grids is threatened by cascading faults, which is a set of chain events caused by a single fault and will eventually lead to a blackout. Based on the blackout accident that happened in Brazil on March 21st, 2018, this paper analyzes the cause, mechanism, and development of cascading faults in AC/DC hybrid grids. Simulations based on PSCAD/EMTDC software have been carried out to illustrate the typical cascading fault scenario including HVDC commutation failure, DC blocking, power flow transferring, incorrect relay protection and the outage of the network. Both analysis and simulation results shows that the “strong DC weak AC” structure and unreasonable cooperation of relay protections and stability control devices are important factors of cascading faults. Finally, this paper prospects a series of protection and control technologies that are expected to solve the problem.

With reference to elastic wave dynamics theory and blasting seismic stress calculation method, combined with the refraction effect of seismic waves in the rock layer, the seismic wave acceleration is used as the basic data to analyze the force of the rock mass under the action of seismic waves. Taking the stress and deformation of the underground strata in Longmenshan foreland basin under the influence of Wenchuan earthquake as an example, the feasibility of the method in solving and analyzing the dynamic propagation of seismic waves in isotropic rocks is verified through calculation analysis and numerical simulation. At the same time, it was verified that the Wenchuan earthquake caused fault damage to the deep underground strata in the Longmenshan foreland basin.

BackgroundThe outbreak of COVID-19 has affected the mental health of adolescents. To describe the Internet behavior-changing patterns of adolescents and to understand the impact of clinical features on changing patterns during the COVID-19 pandemic.Materials and methodsWe conducted a cross-sectional cohort study using data collected through online investigation in China. A total of 625 adolescents completed the online survey from May 15 to June 7, 2020. The adolescents were asked to retrospect to the Internet behaviors and game behaviors of three time periods as follows: before the COVID-19 outbreak in China, during the COVID-19 outbreak in China, and back to school. The clinical variables of the demographic data, family functionality, and emotional and behavioral symptoms were also collected. According to the Internet behaviors and game behaviors patterns across the three time periods, the subjects will be sub-grouped.ResultsFour Internet behavior-changing patterns during the COVID-19 was identified: (1) Continuous Normal Group (55.52%); (2) Normal to Internet Addiction Group (5.28%); (3) Internet Addiction to Normal Group (14.56%); and (4) Continuous Internet Addiction Group (24.64%). Years of education, academic score ranking, family functionality, and emotional and behavioral symptoms were different across the four groups. Proportions of game behaviors, scores of Strengths and Difficulties Questionnaire (SDQ), and SDQ subscale during the period before the COVID-19 outbreak were significant in predicting changing patterns.ConclusionThe Internet behavior patterns of adolescents during the COVID-19 period were various. Clinical features before the COVID-19 pandemic may predict changing patterns. The heterogeneity in characteristics between different changing patterns should be considered when intervening in adolescents’ problematic Internet behavior.

Currently, interferon add-on therapy brings hope for clinical cure of chronic hepatitis B patients with low HBsAg. However, in clinical practice patients with poor responses to their first interferon therapy were often switched to nucleos(t)ide analog therapy and then labeled as unsuitable patients for interferon therapy. Even if their HBsAg levels dropped to a low level, they were reluctant or not recommended to take interferon again, which caused them to miss out on interferon add-on therapy and clinical cure. Therefore, it is urgent to elucidate the effectiveness of interferon add-on therapy to get clinical cure for these interferon-experienced patients with low HBsAg. The purpose of this study was to investigate whether interferon-experienced patients could achieve the same HBsAg clearance and HBsAg seroconversion rates as interferon-naive patients. Also, the associated factor of HBsAg clearance and seroconversion were aimed to be clarified. 292 patients, including 85 interferon-experienced patients, were enrolled with HBsAg< 1500 IU/ml, HBeAg negative and HBV-DNA negative. And then, peg-interferon α-2b add-on therapy was performed. The results showed that the week 48 HBsAg clearance and seroconversion rates of all patients were 29.8% and 22.0%. There was no statistically significant difference between interferon-experienced and interferon-naive patients in week 48 HBsAg clearance and seroconversion rates, suggesting satisfactory clinical cure of the interferon add-on therapy for interferon-experienced patients. The age, baseline HBsAg, and week 12 HBsAg were negative correlated factors for week 48 HBsAg clearance and seroconversion. Furthermore, the age, baseline HBsAg and week 12 HBsAg for predicting the week 48 HBsAg clearance were cut off at 40.5 years, at 152.0 IU/ml and at 34.99 IU/ml, and for predicting seroconversion were cut off at 40.5 years, at 181.9 IU/ml and at 34.99 IU/ml, correspondingly. Significantly, interferon-experienced patients with low HBsAg were suggested with interferon add-on therapy to achieve clinical cure as soon as possible. This research provided evidences and cut-offs for the interferon add-on therapy against chronic hepatitis B.

In this paper, we study the existence/non-existence of ground states for the following type of elliptic equations with mixed local and nonlocal operators and general nonlinearity: (−▵)su−▵u+λu=f(u),x∈RN, which is driven by the superposition of Brownian and Lévy processes. By considering a constrained variational problem, under suitable assumptions on f, we manage to establish a sharp existence of the ground state solutions to the equation considered. These results improve the ones in the existing reference.

The air distribution and speed uniformity of the cleaning fan in the cleaning room have a great influence on the working quality of the cleaning system of the harvester. In view of the problem of uneven air distribution in the cleaning room caused by improper adjustment of the main operating parameters of the cleaning fan in the cleaning device of the corn combine harvester, this paper takes the self-developed air screen cleaning test bench as the object. The main working parameters of the cleaning centrifugal fan (air supply distance, fan speed, and number of blades) were simulated and the Fluent simulation software was used to carry out the single-factor and multi-factor optimization tests, explore the influence law of each test factor on the air velocity in front of the screen, in the middle and behind the screen and the deviation degree of the airflow at the back of the screen surface, and find the optimal parameter combination. The data were systematically analyzed by multiple regression method and variance analysis method. The regression model of air velocity at the front, middle, and back of the screen and the air deviation degree at the back of the screen surface for the three working parameters of the cleaning fan were established. The optimal working parameter combination was obtained, that is, when the air supply distance is 580 mm, the fan speed is 1000 r/min, and the number of blades is 10, the airflow velocity in front of the screen is 10.8 m/s, the airflow velocity in the middle of the screen surface is 11.8 m/s, the airflow velocity at the back of the screen surface is 11.2 m/s, and the airflow deviation degree at the back of the screen surface is 13.5%. The relative errors were 1.9%, 0, 2.8%, and 3.0%, respectively. A combined test of the fan and the cleaning screen body with a feeding capacity of 8 kg/s was carried out, and the loss rate was 1.15% and the impurities rate was 1.24%. The regression model was reliable, and the optimal operation parameter combination performed well, meeting the technical requirements of cleaning operation, and providing theoretical guidance for the adjustment of fan structure and operation parameters in the cleaning system of the grain harvester.

Based on the mechanical test (shear test, compression test), the bond model of corn kernel and straw was established to explore the rolling and crushing effect of different crushing rollers. The type of crushing roller is different. The material crushing process by the force (extrusion and kneading) is different. The mechanical analysis of the crushing process reveals that the disc crushing roller (DCR) has the characteristics of large unit-length kneading area; the spiral-notched serrated crushing roller (SNSCR) has transverse shearing effect on the material; and they affect the crushing effect of the material. By means of discrete element method and simulation test, multiple regression method and variance analysis method are used to systematically analyze the data. The optimal working parameters of each roll (crushing roll speed, crushing clearance, differential ratio) were obtained. The simulation test and bench test of the crushing process of materials with different roll shapes were carried out under the optimal working parameters. The crushing effect was evaluated with a Binzhou screen and a corn silage grain-crushing score screen. The crushed materials of corn kernel can be divided into three categories according to the size (broken grains passed through 2 mm sieve; broken grains passed through 4.75 mm sieve; and broken grains that cannot pass through 4.75 mm sieve), and the crushed materials of corn stalk can be divided into four categories according to the size and thickness (broken straw through 4 mm sieve; broken straw through 8 mm sieve; broken straw through 19 mm sieve; and broken straw that cannot pass 19 mm sieve). The crushing effect and crushing classification of the simulation test and bench test were basically consistent. The results showed that the disc crushing roller group had the highest comprehensive score with straw rolling rate of 89.1% and grain crushing rate of 87.7%, which was the most suitable for harvesting whole-plant silage maize (WSM).

Accurately and effectively measuring the breaking quality of harvested corn kernels is a critical step in the intelligent development of corn harvesters. The detection of broken corn kernels is complicated during the harvesting process due to turbulent corn kernel movement, uneven lighting, and interference from numerous external factors. This paper develops a deep learning-based detection method in real time for broken corn kernels in response to these issues. The system uses an image acquisition device to continuously acquire high-quality corn kernel image data and cooperates with a deep learning model to realize the rapid and accurate recognition of broken corn kernels. First, we defined the range of broken corn kernels based on image characteristics captured by the acquisition device and prepared the corn kernel datasets. The corn kernels in the acquired image were densely distributed, and the highly similar features of broken and whole corn kernels brough challenges to the system for visual recognition. To address this problem, we propose an improved model called BCK-YOLOv7, which is based on YOLOv7. We fine-tuned the model’s positive sample matching strategy and added a transformer encoder block module and coordinate attention mechanism, among other strategies. Ablation experiments demonstrate that our approach improves the BCK-YOLOv7 model’s ability to learn effectively broken corn kernel features, even when high-density features are similar. The improved model achieved a precision rate of 96.9%, a recall rate of 97.5%, and a mAP of 99.1%, representing respective improvements of 3.7%, 4.3%, and 2.8% over the original YOLOv7 model. To optimize and deploy the BCK-YOLOv7 model to the edge device (NVIDIA Jetson Nano), TensorRT was utilized, resulting in an impressive inference speed of 33 FPS. Finally, the simulation system experiment for corn kernel broken rate detection was performed. The results demonstrate that the system’s mean absolute deviation is merely 0.35 percent compared to that of manual statistical results. The main contribution of this work is the fact that this is the first time that a set of deep learning model improvement strategies and methods are proposed to deal with the problem of rapid and accurate corn kernel detection under the conditions of high density and similar features.

The gaseous reactive oxygen/nitrogen species (RONS) generated by cold atmospheric plasma (CAP) can effectively inactivate Aspergillus flavus (A. flavus) and prolong the shelf-life of food. Plasma-activated water (PAW) is the extension of cold plasma sterilization technology. Without the limitation of a plasma device, PAW can be applied to more scenarios of food decontamination. However, the efficacy of PAW as a carrier of RONS for eradicating A. flavus or inhibiting its growth remains unclear. In this study, the immediate fungicidal effect and long-term inhibitory effect of PAW on A. flavus were investigated. The results demonstrated that 60-min instant-prepared PAW could achieve a 3.22 log reduction CFU/mL of A. flavus and the fungicidal efficacy of PAW gradually declined with the extension of storage time. Peroxynitrite (ONOO−/ONOOH) played a crucial role in this inactivation process, which could damage the cell wall and membrane structure, disrupt intracellular redox homeostasis, and impair mitochondrial function, ultimately leading to fungal inactivation. In addition to the fungicidal effect, PAW also exhibited fungistatic properties and inhibited the synthesis of aflatoxin B1 (AFB1) in A. flavus. By analyzing the cellular antioxidant capacity, energy metabolism, and key gene expression in the AFB1 synthesis pathway, it was discovered that PAW can significantly reduce ATP levels, while increasing SOD and CAT activity during 5-d cultivation. Meanwhile, PAW effectively suppressed the expression of genes related to AFB1 synthesis.

Mammalian single immunoglobulin (Ig) interleukin-1 receptor related molecule (SIGIRR), an important member of the Toll/interleukin-1 receptor (TIR) family, plays important balancing roles in the inflammatory responses. In the present study, the double Ig interleukin-1 receptor related molecule (DIGIRR), the homologous of SIGIRR, was characterized in golden pompano (Trachinotus ovatus) (termed as trDIGIRR). The full-length cDNA of trDIGIRR was 2,167 bp with an open reading frame (ORF) of 1,572 bp encoding 523 amino acids. The trDIGIRR contained several conserved domains including a signal peptide, two Ig domains, a transmembrane domain and a TIR domain, and shared high sequence identities with its teleost counterparts. Realtime qPCR analysis revealed that the trDIGIRR was distributed in all tissues examined, with high expressions in intestine, liver and head kidney. The expressions of trDIGIRR were induced by Vibrio alginolyticus, lipopolysaccharide (LPS) and polyinosinic-polycytidylic acid (poly I:C) challenge. Further analysis revealed that trDIGIRR was mainly located in the cytoplasm. In addition, the co-immunoprecipitation (co-IP) assay identified that trDIGIRR could interact with myeloid differentiation factor 88 (MyD88), but not interact with TIR domain containing adaptor protein inducing interferon-β (TRIF). Our results provide basis for studying the immune role of fish DIGIRR.

The microbiome exerts profound effects on fetal development and health, yet the mechanisms underlying remain elusive. N6-methyladenosine (m6A) plays important roles in developmental regulation. Although it has been shown that the microbiome affects the mRNA m6A modification of the host, it remains unclear whether the maternal microbiome affects m6A epitranscriptome of the fetus so as to impact fetal development. Here, we found that loss of the maternal microbiome altered the expression of m6A writers and erasers, as well as the m6A methylome of the mouse fetal brain and intestine on embryonic day 18. From the m6A profiles, we identified 2,655 and 2,252 m6A modifications regulated by the maternal microbiome in the fetal brain and intestine, respectively, and we demonstrated that these m6A-modified genes were enriched in the neuro/intestinal developmental pathways, such as the Wnt signaling pathway. Finally, we verified that antibiotic treatment mostly recapitulated changes in m6A, and we further showed that the loss of heterozygosity of Mettl3 rescued m6A levels and the expression changes of some developmental genes in the fetal intestine that resulted from antibiotic treatment. Collectively, our data revealed that the maternal microbiome programs the m6A epitranscriptome of the mouse fetal brain and intestine.

Phase unwrapping (PU) is an important bottleneck restricting the practical application of the interferometric synthetic aperture radar (InSAR) technique. In view of the similarity between solving the ambiguity number of integral cycles in PU for dual-baseline InSAR and pure integer programming (PIP) problem in science of overall planning, a new branch and bound PIP-PU algorithm for dual-baseline InSAR is proposed. A PIP-PU model with the intercept on the vertical axis as the objective function and a ray as the constraint condition is first constructed. Then, how to solve the ambiguity number is given in detail by graphical means. Finally, the axis symmetry theory is introduced to further improve PU efficiency. The proposed algorithm has the advantages of better unwrapping ability even in phase under-sampling areas and abrupt topographic change areas and lower requirement of the baselines. Through two sets of simulated data and one set of real data experiments, the feasibility, effectiveness, and practicability of this proposed algorithm are verified, respectively. In addition, compared with the branch-cut method, quality-guided method, least square method, and minimum cost flow method, the proposed method has the highest accuracy and suboptimal unwrapping efficiency.

Abstract Novel Coronavirus disease 2019 (COVID‐19) has spread rapidly around the world. Individuals with immune dysregulation and/or on immunosuppressive therapy, such as rheumatic patients, are considered at greater risk for infections. However, the risks of patients with each subcategory of rheumatic diseases have not been reported. Here, we identified 100 rheumatic patients from 18,786 COVID‐19 patients hospitalized in 23 centers affiliated to Hubei COVID‐19 Rheumatology Alliance between January 1 and April 1, 2020. Demographic information, medical history, length of hospital stay, classification of disease severity, symptoms and signs, laboratory tests, disease outcome, computed tomography, and treatments information were collected. Compared to gout and ankylosing spondylitis (AS) patients, patients with connective tissue disease (CTD) tend to be more severe after COVID‐19 infection (p = 0.081). CTD patients also had lower lymphocyte counts, hemoglobin, and platelet counts (p values were 0.033,

GRACE observations and land subsidence data derived from InSAR both assess groundwater storage changes. However, GRACE data at local scales are restricted by the coarser spatial resolution of satellite systems, and inversion of Groundwater Storage Anomalies (GWSA) by InSAR requires extensive and unavailable lithological data. Here, we propose a New Subsidence Feature Weighted Combination (NSFWC) scheme to enhance the spatial resolution of GRACE-derived GWSA from 0.5° to 0.05°. This method can not only retain the spatial distribution of groundwater changes but also reflect local details related to surface subsidence. A case study was executed to evaluate the performance of the NSFWC scheme in the Beijing Plain, which has seriously overexploited groundwater. Results showed that the simulated GWSA were consistent with in situ measurements in most regions, with a correlation coefficient of 0.85 and an RMSE of 4.41 mm/year. Additionally, there were 22 overexploited wells in the Beijing Plain, although groundwater levels generally recovered after the South to North Water Diversion Project. Simultaneously, four cones of depression were detected by the InSAR technology, where the maximum cumulative subsidence and subsidence rate achieved −198.52 mm and −53.09 mm/year, respectively. This paper provides data support and technical guarantees for small-scale groundwater resources management.

ObjectivesTo evaluate the diagnostic and prognostic values of glutamate chemical exchange saturation transfer (GluCEST) magnetic resonance imaging as a quantitative method for pathogenetic research and clinical application of carbon monoxide (CO) poisoning-induced encephalopathy combined with the proton magnetic resonance spectroscopy (1H-MRS) and the related histopathological and behavioral changes.MethodsA total of 63 Sprague–Dawley rats were randomly divided into four groups. Group A (n = 12) was used for animal modeling verification; Group B (n = 15) was used for magnetic resonance molecular imaging, Group C (n = 15) was used for animal behavior experiments, and Group D (n = 21) was used for histopathological examination. All the above quantitative results were analyzed by statistics.ResultsThe peak value of carboxyhemoglobin saturation in the blood after modeling was 7.3-fold higher than before and lasted at least 2.5 h. The GluCEST values of the parietal lobe, hippocampus, and thalamus were significantly higher than the base values in CO poisoning rats (p < 0.05) and the 1H-MRS showed significant differences in the parietal lobe and hippocampus. In the Morris water maze tests, the average latency and distance were significantly prolonged in poisoned rats (p < 0.05), and the cumulative time was shorter and negatively correlated with GluCEST.ConclusionThe GluCEST imaging non-invasively reflects the changes of glutamate in the brain in vivo with higher sensitivity and spatial resolution than 1H-MRS. Our study implies that GluCEST imaging may be used as a new imaging method for providing a pathogenetic and prognostic assessment of CO-associated encephalopathy.

Abstract Background Both intermittent intravenous (IIV) infusion and continuous intravenous (CIV) infusion of Endostar are widely used for NSCLC in China. We aimed to compare the efficacy and safety of CIV of Endostar versus IIV in combination with first-line chemotherapy for patients with advanced NSCLC. Methods RCTs, NRCTs and cohort studies which compared CIV of Endostar with IIV in advanced NSCLC patients and reported efficacy or safety outcomes were eligible. Two reviewers independently screened records, extracted data and assessed risk of bias. Pooled risk ratios (RRs) with 95% confidence intervals were calculated using random effects meta-analysis for short-term efficacy and safety outcomes, and hazard ratios (HRs) for survival outcomes. Results Finally nine studies involving 597 patients were included, containing two RCTs, three NRCTs and four cohort studies. For short-term efficacy, moderate quality of evidence showed that there were no significant differences between CIV of Endostar and IIV in objective response rate (ORR; RR 1.34, 95% CI 0.91–1.98, P = 0.14) and disease control rate (DCR; RR 1.11, 95% CI 0.94–1.30, P = 0.21). Very low quality of evidence indicated that CIV of Endostar significantly improved both overall survival (OS; HR 0.69, 95% CI 0.48–0.99, P = 0.046) and progression-free survival (PFS; HR 0.71, 95% CI 0.55–0.93, P = 0.01) compared with IIV. As for safety outcomes, moderate quality of evidence found that CIV of Endostar significantly reduced the risk of myelosuppression (RR 0.55, 95% CI 0.32–0.96, P = 0.03) and cardiovascular toxicity (RR 0.21, 95% CI 0.06–0.78, P = 0.02) compared with IIV. Conclusions In advanced NSCLC, compared with IIV, CIV of Endostar had similar short-term efficacy, and substantially lower risk of myelosuppression and cardiovascular toxicity. Although very low quality of evidence supported the survival benefit of CIV compared with IIV, large RCTs with long-term follow-up are needed to demonstrate survival benefits. Caution should be given for off-label use of CIV of Endostar.

Abstract Background The Obsessive Compulsive Drug Use Scale (OCDUS) measures the overall craving level within a period from a multidimensional perspective. However, no studies have addressed the validity of the new OCDUS factor structure, presented in 2016, in China. Additionally, there is lack of evidence on the interaction among risk factors for relapse. We aimed to assess the psychometric properties of the scores of the Chinese version of the OCDUS in patients with heroin dependence receiving methadone maintenance treatment (MMT). Further, we aimed to assess the correlations of the OCDUS scores with withdrawal symptoms, depression, anxiety, and nicotine dependence. Methods We enrolled 113 adults (age 32–64 years) and administered them with the OCDUS, Subjective Opioid Withdrawal Scale (SOWS), Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), and Fagerstrom Test for Nicotine Dependence (FTND). Results Exploratory factor analysis identified a 3-dimensional component that included “Frequency of craving,” “Inference of heroin,” and “Control of heroin.” These factors showed acceptable internal consistency, adequate item-total correlations, and significant item-subscale correlations. There was no correlation between the OCUDS scores and age, education, duration of receiving MMT, and MMT dosages. However, there was a significant correlation between the OCDUS total scores and the SOWS, STAI, BDI-II, and FTND scores. The scores of all the subscales were associated with the SOWS scores; further, the scores of the first two subscales were associated with BDI-II scores while only the scores of the first subscale were associated with the FTND scores. Conclusions Our findings support the reliability and structure validity of the OCDUS scores. Heroin craving, withdrawal symptoms, negative emotions, and nicotine dependence, which are considered as risk factors for heroin relapse, might interact with each other. There is a need for further studies on the underlying mechanism of these clinical phenomena.

Abstract Background Umbilical cord mesenchymal stem cells (UCMSCs) have been demonstrated to have good therapeutic effects in the treatment of HBV-related liver diseases. However, the therapeutic effect of UCMSCs on HBV-related liver failure and liver cirrhosis and the variations in the efficacy of UCMSCs after different treatment courses remain poorly understood. Therefore, this study was designed to answer these two questions. Methods This was an observational study that retrospectively considered a 3-year period during which 513 patients who received stem cell infusion and met the criteria of hepatic failure and liver cirrhosis were identified from the databases of the Third Affiliated Hospital of Sun Yat-sen University. The eligible patients were categorized into the liver failure group and liver cirrhosis group. The two groups were divided into different subgroups according to the duration of stem cell therapy. In the liver failure group, group A received more than 4 weeks and group B received less than 4 weeks of stem cell therapy. In the liver cirrhosis group, patients who received more than 4 weeks of stem cell therapy belonged to group C, and the patients in group D received less than 4 weeks of stem cell therapy. The patients were followed up for 24 weeks. The demographics, clinical characteristics, biochemical factors, and model for end-stage liver disease (MELD) scores were recorded and compared among different groups. Results A total of 64 patients met the criteria for liver failure, and 59 patients met the criteria for liver cirrhosis. After UCMSC treatment, the levels of alanine aminotransferase (ALT), glutamic-oxaloacetic transaminase (AST), and total bilirubin (TBIL) at all postbaseline time points were significantly lower than those at baseline in the liver failure group and liver cirrhosis group; the prothrombin activity (PTA) and MELD scores gradually improved in only the liver failure group. Four weeks after UCMSC treatment, patients who received prolonged treatment with UCMSCs had a larger decrease in TBIL levels than patients who terminated treatment with UCMSCs. After more than 4 weeks of UCMSC treatment, there were no statistically significant differences in the changes in ALT, AST, TBIL, and PTA values and MELD scores between patients with liver failure who received prolonged treatment with UCMSCs and patients with liver cirrhosis who received prolonged treatment with UCMSCs at any time point. However, the median decrease and cumulative decrease in the TBIL level of patients with liver failure with a standard 4-week treatment course were larger than those of patients with liver cirrhosis with a standard 4-week treatment course. Conclusion Peripheral infusion of UCMSCs showed good therapeutic effects for HBV-related liver failure and liver cirrhosis. Prolonging the treatment course can increase the curative effect of UCMSCs for end-stage liver disease, especially for patients with cirrhosis.

Methamphetamine use is a serious problem in China. Compulsory isolation detoxification is the main treatment measure for drug dependents, whereas psychological interventions in compulsory isolation detoxification centers are extremely inadequate. The current study aimed to examine the effects of mindfulness-based relapse prevention (MBRP) on methamphetamine dependence patients in Chinese compulsory isolation detoxification treatment institutions. Forty-one methamphetamine dependent patients received 16-sessions of MBRP in 8 weeks and assessments were conducted at the baseline, 4-, 8-week (after the whole intervention). Results of repeated measured ANOVAs showed there was no significant effect on emotions and cravings. Findings indicated that the effects of MBRP are still difficult to make firm conclusions due to the insignificant results. Future studies should modify the MBRP and ensure that it is suitable for compulsory isolation detoxification treatment institutions in China.

Background and Objective: The abnormal T1-weighted imaging of MRI can be used to characterize neonatal acute bilirubin encephalopathy (ABE) in newborns, but has limited use in evaluating the severity and prognosis of ABE. This study aims to assess the value of diffusion kurtosis imaging (DKI) in detecting ABE and understanding its pathogenesis.Method: Seventy-six newborns with hyperbilirubinemia were grouped into three groups (mild group, moderate group, and severe group) based on serum bilirubin levels. All the patients underwent conventional MRI and DKI serial, as well as 40 healthy full-term infants (control group). The regions of interest (ROIs) were the bilateral globus pallidus, dorsal thalamus, frontal lobe, auditory radiation, superior temporal gyrus, substantia nigra, hippocampus, putamen, and inferior olivary nucleus. The values of mean diffusivity (MD), axial kurtosis (AK), radial kurtosis (RK), and mean kurtosis (MK), and fractional anisotropy (FA), radial diffusivity (RD), and axis diffusivity (AD) of the ROIs were evaluated. All newborns were followed up and evaluated using the Denver Development Screening Test (DDST). According to the follow-up results, the patients were divided into the normal group, the suspicious abnormal group, and the abnormal group.Result: Compared with the control group, significant differences were observed with the increased MK of dorsal thalamus, AD of globus pallidus in the moderate group, and increased RD, MK, AK, and RK value of globus pallidus, dorsal thalamus, auditory radiation, superior temporal gyrus, and hippocampus in the severe group. The peak value of total serum bilirubin was moderately correlated with the MK of globus pallidus, dorsal thalamus, and auditory radiation and was positively correlated with the other kurtosis value. Out of 76 patients, 40 finished the DDST, and only 9 patients showed an abnormality. Compared with the normal group, the AK value of inferior olivary nucleus showed significant differences (p < 0.05) in the suspicious abnormal group, and the MK of globus pallidus, temporal gyrus, and auditory radiation; RK of globus pallidus, dorsal thalamus, and auditory radiation; and MD of globus pallidus showed significant differences (p < 0.05) in the abnormal group.Conclusion: DKI can reflect the subtle structural changes of neonatal ABE, and MK is a sensitive indicator to indicate the severity of brain damage.

Abstract Background The incidence of tuberculosis (TB) remains high worldwide. Current strategies will not eradicate TB by 2035; instead, by 2182 is more likely. Therefore, it is urgent that new risk factors be identified. Methods An ecological study was conducted in 340 prefectures in China from 2005 to 2015. The spatial distribution of TB incidence was shown by clustering and hotspot analysis. The relationship between the distribution patterns and six meteorological factors was evaluated by the geographically weighted regression (GWR) model. Results During the 11 years of the study period, TB incidence was persistently low in the east and high in the west. Local coefficients from the GWR model showed a positive correlation between TB incidence and yearly average rainfall (AR) but a negative correlation with other meteorological factors. Average relative humidity (ARH) was negatively correlated with the incidence of TB in all prefectures (p

Background Ovarian cancer seriously threatens the lives and health of women, and early diagnosis and treatment are still challenging. Pre-targeting is a promising strategy to improve the treatment efficacy of ovarian cancer and the results of ultrasound imaging. Purpose To explore the effects of a pre-targeting strategy using streptavidin (SA) and paclitaxel (PTX)-loaded phase-shifting poly lactic-co-glycolic acid (PLGA) nanoparticles with perfluoro-n-pentane (PTX-PLGA-SA/PFPs) on the treatment and ultrasound imaging of ovarian cancer. Methods PTX-PLGA/PFPs were prepared with a single emulsion (O/W) solvent evaporation method and SA was attached using carbodiimide. The encapsulation efficiency of PTX and the release characteristics were assessed with high performance liquid chromatography. The phase-change characteristics of the PTX-PLGA-SA/PFPs were investigated. The anti-carcinoembryonic antigen (CEA) antibody (Ab) was covalently attached to PTX-PLGA/PFPs via carbodiimide to create PTX-PLGA-Ab/PFPs. The targeting efficiency of the nanoparticles and the viability of ovarian cancer SKOV3 cells were evaluated in each group using a microscope, flow cytometry, and cell counting kit 8 assays. Results THE PTX-PLGA-SA/PFPs were spheres with a size of 383.0 ± 75.59 nm. The encapsulation efficiency and loading capability of the nanoparticles for PTX were 71.56 ± 6.51% and 6.57 ± 0.61%, respectively. PTX was burst-released up to 70% in 2–3 d. When irradiated at 7.5 W for 3 min, the PTX-PLGA-SA/PFPs visibly enhanced the ultrasonography images (P

Termitomyces species are wild edible mushrooms that possess high nutritional value and a wide range of medicinal properties. However, the cultivation of these mushrooms is very difficult because of their symbiotic association with termites. In this study, we aimed to examine the differences in physicochemical indices and microbial communities between combs with Termitomyces basidiomes (CF) and combs without Termitomyces basidiomes (CNF). High-performance liquid chromatography (HPLC), inductively coupled plasma optical emission spectrometry (ICP-OES), gas chromatography equipped with a flame ionization detector (GC-FID), some commercial kits, high-throughput sequencing of the 16s RNA, and internal transcribed spacer (ITS) were used. Humidity, pH, and elements, i.e., Al, Ba, Fe, Mn, Ni, S, Ca, and Mg were higher while amino acids particularly alanine, tyrosine, and isoleucine were lower in CF as compared to CNF. The average contents of fatty acids were not significantly different between the two comb categories. The bacterial genera Alistipes, Burkholderia, Sediminibacterium, and Thermus were dominant in all combs. Brevibacterium, Brevundimonas, and Sediminibacterium were significantly more abundant in CF. Basidiomycota and Ascomycota were also identified in combs. Termitomyces clypeatus, Termitomyces sp. Group3, and Termitomyces sp. were the most dominant species in combs. However, any single Termitomyces species was abundantly present in an individual comb.

Toll-like receptors (TLRs) are important pattern recognition receptors (PRRs) which can recognize a series of pathogen associated molecular patterns (PAMPs) to initiate the host innate immune responses. In the present study, two TLRs (TLR2 and TLR13) were identified for the first time from the endangered primitive-ray finned fish Dabry's sturgeon (Acipenser dabryanus), a critically endangered species. The full-length of sturgeon TLR2 was 2591 bp, including an open reading frame (ORF) of 2394 bp which encoded a polypeptide of 797 amino acids. The full-length adaTLR13 cDNA was 3648 bp, consisting of an ORF of 2889 bp which encoded a polypeptide of 962 amino acids. Both TLRs shared high sequence identity/similarity with their counterparts from other fish species. In addition, both TLRs contained typical TLRs motifs, including a signal peptide, eight LRRs, an LRR-CT domain in the extracellular N-terminal, a transmembrane domain, and a C-terminal intracellular TIR domain. Realtime qPCR assays showed that both were ubiquitously detected in all examined tissues, but exerted different expression patterns. Following LPS and polyI:C stimulation, both TLRs were up-regulated in head-kidney primary leucocytes, indicating that both TLRs might involve in recognizing LPS and polyI:C. To the best of our knowledge, this is the first report about the gene structure and expression of TLR2 and TLR13 in Dabry's sturgeon. Our results enriched the repertoire of TLRs of Dabry’s sturgeon and provided the basis for understanding the functional evolutionary history of vertebrates` TLRs. Keywords: Acipenser dabryanus, Toll-like receptors, Gene clone, LPS, PolyI:C

ObjectiveThe present study aimed to assess the psychometric properties of a Chinese version of the UPPS-P Impulsive Behavior Scale. The associations between the UPPS-P scale and impulsivity choice, gender, smoking, and drinking status were also assessed.MethodsA total of 127 adults ranging from 21 to 65 years old participated in the study. Participants were administered with the Chinese version of the UPPS-P Impulsive Behavior Scale, Beck Depression Inventory II (BDI-II), and State–Trait Anxiety Inventory (STAI). Impulsivity choice tasks were also tested including the Delay Discounting Task (DDT), Balloon Analogue Risk Task (BART), and Beads Task (Beads).ResultsA new version of the UPPS-P Impulsive Behavior Scale was formed that includes 40 items. The scores of the UPPS-P Impulsive Behavior Scale demonstrated adequate internal consistency on five subscales but less sufficient structure validity in the present sample. In addition, positive urgency was negatively related to the Beads task; negative urgency and positive urgency were positively related to the DDT and BART. Moreover, positive and negative urgency were positively correlated with depression; all five subscales were positively correlated with anxiety; sensation seeking was higher in males than females and in alcohol drinkers than non-drinkers; and lack of premeditation and lack of perseverance were higher in nonsmokers than smokers.ConclusionsThe present study supports the reliability but not the structure validity of the UPPS-P Impulsive Behavior Scale. The impulsivity personality trait assessed by the UPPS-P scale was associated with impulsivity choice, depression, anxiety, gender, and drinking and smoking status. Further studies should be conducted to explore the structure of impulsivity in the Chinese population.

Background: Cathepsin C (CTSC) (dipeptidyl peptidase I, DPPI), is a member of the papain superfamily of cysteine proteases and involves in a variety of host reactions. However, the information of CTST in Chinese giant salamander (Andrias davidianus), an amphibian species with important evolutionary position and economic values, remained unclear. Results: The full-length salamander CTSC cDNA contained a 96 bp of 5′-UTR, a 1392 bp of ORF encoding 463 amino acids, and a 95 bp of 3′-UTR. The salamander CTSC possessed several sequence features similar to other reported CTSCs such as a signal peptide, a propeptide and a mature peptide. The active site triad of Cys, His and Asn were also found existing in salamander CTSC. Salamander CTSC mRNA was constitutively expressed in all the examined tissues with significantly variant expression level. The highest expression of CTSC was in intestine, followed with stomach, spleen, lung and brain. Following Aeromonas hydrophila infection for 12 h, salamander CTSC was significantly up-regulated in several tissues including lung, spleen, brain, kidney, heart, stomach and skin. Conclusion: CTSC plays roles in the immune response to bacterial infection, which provided valuable information for further studying the functions of CTSC in salamander. Keywords: cDNA, CTSC, Dipeptidyl peptidase I, Gene expression, Hydrophila, Immune, Peptide, Sequence, Tissue

Background: Peptidoglycan (PGN) recognition proteins (PGRPs) are important pattern recognition receptors of the host innate immune system that are involved in the immune defense against bacterial pathogens. PGRPs have been characterized in several fish species. The PGN-binding ability is important for the function of PGRPs. However, the PGRP-PGN interaction mechanism in fish remains unclear. In the present study, the 3-D model of a long PGRP of half-smooth tongue sole (Cynoglossus semilaevis) (csPGRP-L), a marine teleost with great economic value, was constructed through the comparative modeling method, and the key amino acids involved in the interaction with Lys-type PGNs and Dap-type PGNs were analyzed by molecular dynamics and molecular docking methods. Results: csPGRP-L possessed a typical PGRP structure, consisting of five β-sheets and four α-helices. Molecular docking showed that the van der Waals forces had a slightly larger contribution than Coulombic interaction in the csPGRP-L-PGN complex. Moreover, the binding energies of csPGRP-L-PGNs computed by MM-PBSA method revealed that csPGRP-L might selectively bind both types of MTP-PGNs and MPP-PGNs. In addition, the binding energy of each residue of csPGRP-L was also calculated, revealing that the residues involved in the interaction with Lys-type PGNs were different from that with Dap-type PGNs. Conclusions: The 3-D structure of csPGRP-L possessed typical PGRP structure and might selectively bind both types of MTP- and MPP-PGNs, which provided useful insights to understanding the functions of fish PGRPs.