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Abstract Introduction Critically ill patients often endure pain, a distressing experience that can trigger diverse pathophysiological consequences. While remifentanil, with its rapid kinetics, is commonly used for analgesia in intensive care units (ICU), it frequently leads to opioid-related adverse effects. A promising alternative has emerged in oliceridine, a novel G protein-biased μ-opioid receptor agonist. This new drug offers the potential for effective pain relief with fewer side effects. However, its efficacy and safety profile in mechanically ventilated ICU patients remain to be fully elucidated. Methods This is a multicenter, prospective, randomized, single-blind, active-controlled trial conducted across 24 ICUs in China. A total of 292 mechanically ventilated patients requiring analgesia and sedation will be randomly assigned in a 1:1 ratio to either the oliceridine or remifentanil group. The oliceridine group will receive oliceridine (2–20 μg/kg/h), while the remifentanil group will receive remifentanil (1.5–12 μg/kg/h). Both groups will receive propofol for sedation if necessary. The target for analgesia is Critical-Care Pain Observation Tool (CPOT)

Extensive research has been conducted on the structures and preparation methods of ceramic/metal composites to achieve materials with superior strength and toughness. Among these, the triply periodic minimal surface (TPMS) structure stands out due to its remarkable advantages. In this study, we employed SLA additive manufacturing to fabricate a Gyroid-structured ceramic skeleton, and utilized metal infiltration to prepare interpenetrating Al2O3/Al composites. A comparison was made between the compressive properties of Al2O3/Al interpenetrating composites with Gyroid curved surface structure and those with honeycomb structure. The experimental outcomes indicate that compressive failure in both structural composites primarily occurs at the bond interface between the ceramic framework and the metal. These composites exhibit brittle fracture and experience shear failure. Furthermore, the compressive failure mechanism involves a mixed fracture composed of cleavage and micropore polymerization fractures. Gyroid curved structural composites exhibit lower local stress concentration due to their smooth and regular topology, rendering them with higher strength and ductility compared to honeycomb structural composites. The ultimate compressive strength of the Gyroid curved composite is 264 MPa, representing a 3.8-fold increase over the honeycomb structure.

Objective: To explore the relationship between the structure of tea catechins and their anti-inflammatory and anti-cancer activities and to preliminarily elucidate the underlining mechanism behind the structure-function relationship. Methods: The lipopolysaccharide-induced murine macrophage cells RAW 264.7 and human colorectal cancer cells HCT116 were used as in vitro models for inflammation and cancer. The in vitro anti-inflammatory and anti-cancer activities of catechins were analyzed by Griess reagent colorimetric method and tetramethyl azothiazole blue colorimetric method. The key targets and pathways of the anti-inflammatory and anti-cancer of each catechin monomer were predicted by network pharmacology. The interactions between catechins and key target proteins were simulated by molecular docking technique, and the binding ability of each component to key targets was compared. Results: The significant in vitro anti-inflammatory and anti-cancer potentials of eight catechins were confirmed. Additionally, the galloyl group in gallated catechins, the pyrogallol moiety of B-ring in pyrogallol-type catechins, and the trans-type structure of C2-C3 in trans catechins were found to be beneficial for their anti-inflammatory and anti-cancer activities, however, an antagonistic effect was also observed between the pyrogallol moiety in B-ring and the galloyl group of pyrogallol-type gallated catechins. Furthermore, multiple targets and pathways were predicted to be involved in the anti-inflammatory and anti-cancer effects of eight catechin monomers. The galloyl group in catechins was found to be beneficial for their regulatory effects on multiple targets and their interaction with key target proteins including IL6, TNF, and AKT1 through hydrogen bonding. The present study preliminarily reveals the structure-function relationship behind the anti-inflammatory and anti-cancer functions of catechins. It provides theoretical and technical instruction for further elucidation of the relationship between the functional effects and the molecular structures of catechins.

Drought and salinity are two abiotic stresses that affect plant productivity. We exposed 2-year-old Platycladus orientalis saplings to single and combined stress of drought and salinity. Subsequently, the responses of physiological traits and soil properties were investigated. Biochemical traits such as leaf and root phytohormone content significantly increased under most stress conditions. Single drought stress resulted in significantly decreased nonstructural carbohydrate (NSC) content in stems and roots, while single salt stress and combined stress resulted in diverse response of NSC content. Xylem water potential of P. orientalis decreased significantly under both single drought and single salt stress, as well as the combined stress. Under the combined stress of drought and severe salt, xylem hydraulic conductivity significantly decreased while NSC content was unaffected, demonstrating that the risk of xylem hydraulic failure may be greater than carbon starvation. The tracheid lumen diameter and the tracheid double wall thickness of root and stem xylem was hardly affected by any stress, except for the stem tracheid lumen diameter, which was significantly increased under the combined stress. Soil ammonium nitrogen, nitrate nitrogen and available potassium content was only significantly affected by single salt stress, while soil available phosphorus content was not affected by any stress. Single drought stress had a stronger effect on the alpha diversity of rhizobacteria communities, and single salt stress had a stronger effect on soil nutrient availability, while combined stress showed relatively limited effect on these soil properties. Regarding physiological traits, responses of P. orientalis saplings under single and combined stress of drought and salt were diverse, and effects of combined stress could not be directly extrapolated from any single stress. Compared to single stress, the effect of combined stress on phytohormone content and hydraulic traits was negative to P. orientalis saplings, while the combined stress offset the negative effects of single drought stress on NSC content. Our study provided more comprehensive information on the response of the physiological traits and soil properties of P. orientalis saplings under single and combined stress of drought and salt, which would be helpful to understand the adapting mechanism of woody plants to abiotic stress.

Objective: In order to explore the mechanisms behind the anti-inflammatory potentials of black tea from Camellia ptilophylla Chang (C. ptilophylla) (BTCP). Method: The bioactive components of the methanol extracts of BTCP were firstly detected via ultra-high performance liquid chromatography-quadrupole orbitrap high-resolution mass spectrometry (UPLC-Q-Orbitrap HRMS). Additionally, the bioactive components, targets, and signal pathways involved in the anti-inflammatory effects of BTCP were predicted by network pharmacology (NP). Then, the interactions between the bioactive components and the targets were evaluated using molecular docking (MD). Finally, Inflammatory cell model was used to verify the inhibitory effects of the bioactive components on nitric oxide in vitro, a pro-inflammatory cytokine. Result: A total of 213 active components were identified from BTCP, and the core anti-inflammatory polyphenols such as anthocyanin, naringin, luteolin and quercetin were screened. In addition, 493 potential anti-inflammatory targets were collected, and tumor necrosis factor (TNF), interleukin (IL-6) were predicted. IL-6 and other nine key targets and phosphatidylinositol 3-kinase/protein kinase B, PI3K-Akt, mitogen-activated protein kinase (MAPK) and other signaling pathways. Preliminary results showed that eleven anti-inflammatory active components, especially nine polyphenols such as luteolin, could stably bind to the main target, and luteolin and quercetin could significantly inhibit the production of nitric oxide (NO) in mouse macrophage RAW264.7 induced by lipaccharide. The semi-inhibitory concentrations were 18.91 and 43.76 μmol/L, respectively. Conclusion: Polyphenol compounds such as luteolin in BTCP would exert remarkable anti-inflammatory activity through the regulation on multiple targets including TNF and IL-6 and various pathways such as PI3K-Akt and MAPK. The present study provides a theoretical basis for further elucidation of the anti-inflammatory potentials of C. ptilophylla.

In order to explore the effects of spoilage microorganisms on the quality of boxed tofu and their spoilage characteristics, sensory score and aerobic plate count were used as indexes to study the effect of storage temperature (4, 25 and 37 ℃) on the storage life of boxed firm tofu and lactone tofu. The spoilage bacteria in boxed tofu were isolated and identified, and their spoilage and growth characteristics were observed. The results showed that the storage life of boxed firm tofu and lactone tofu stored at 4 ℃ was both more than 30 days. The storage life of boxed firm tofu and lactone tofu stored at 25 ℃ was about 36 and 48 h, respectively. The storage life of boxed firm tofu and lactone tofu stored at 37 ℃ was about 12 and 30 h, respectively. Fifty-two strains of spoilage bacteria were isolated and identified from fresh and spoilage boxed firm tofu and lactone tofu, including 43 strains of Bacillus sp. and 9 strains of other genus bacteria, which indicated that Bacillus sp. were the main microorganisms that caused spoilage of boxed tofu. The diversity of spoilage bacteria was affected by storage temperature, and the species of spoilage bacteria were more abundant when the boxed tofu were stored at 4 and 25 ℃. The quality of boxed tofu was greatly affected by Bacillus sp. when stored at 25 ℃, in which Bacillus cereus could cause browning of boxed firm tofu, and Bacillus subtilis and Bacillus licheniformis could cause boxed firm tofu to swell. The spoilage characteristics of boxed lactone tofu back inoculated Bacillus subtilis and Bacillus cereus were basically the same as those of the control sample. The final spoilage characters of tofu were caused by the comprehensive action of various bacteria. This study further enriched the species of Bacillus sp. and other bacteria from tofu on the basis of previous studies, and it had good theoretical significance for guiding soybean products enterprises to take targeted measures to control the number of Bacillus sp. in boxed tofu in the process of production, storage and transportation, so as to delay its spoilage and prolong its storage life.

BackgroundPost-operative etiological studies are critical for infection prevention in lung transplant recipients within the first year. In this study, mNGS combined with microbial culture was applied to reveal the etiological characteristics within one week (ultra-early) and one month (early) in lung transplant recipients, and the epidemiology of infection occurred within one month.MethodsIn 38 lung transplant recipients, deep airway secretions were collected through bronchofiberscope within two hours after the operation and were subjected to microbial identification by mNGS and microbial culture. The etiologic characteristics of lung transplant recipients were explored. Within one month, the infection status of recipients was monitored. The microbial species detected by mNGS were compared with the etiological agents causing infection within one month.ResultsThe detection rate of mNGS in the 38 airway secretions specimens was significantly higher than that of the microbial culture (P

Long-day length and high temperature inhibit sex expression in pumpkin (Cucurbita moschata Duch.), and therefore directly impact the production potential. In this study, female flowering patterns in photoperiod-insensitive (PPIS) and photoperiod-sensitive (PPS) germplasms differed significantly in a moderately long day and high temperature environment. However, both germplasms exhibited a similar response in short day with either low temperature or high temperature environment. Photoperiod sensitivity led to this difference in sex expression between the germplasms. For the traits of 1st female flowering node (FFFN) and number of female flowers (NFF), high-density linkage map construction and quantitative trait locus (QTL) mapping were performed using SLAF-seq technology and 162 F2 individuals generated from PPIS and PPS. In total, 4 655 SLAFs were selected and mapped on 20 linkage groups (LGs). The total map length was 2 502.01 cM with an average interval distance of 0.75 cM. Major QTLs for both FFFN and NFF were detected on LG6 with intervals of 7.89 and 17.67 cM and PVE values of 30.5% and 22.9%, respectively. Further analyses of the major locus for FFFN revealed 73 protein-coding genes. Among them, 4 were related to sex expression, photoperiod flowering, and hormone response. An InDel (insertion and deletion) marker partially correlated with FFFN of the F2 population was also developed. Our study identified the QTL for the sex expression response to environmental factors using the high-density linkage map. The identified candidate genes and markers will provide useful information about the molecular interaction between the environment and sex expression and for marker-assisted selection of pumpkin environment-insensitive resources.

BackgroundAbnormal thyroid function is a metabolic disorder and can lead to several complications, including cardiovascular diseases. In this study, we aimed to examine the relationship between clinical traits and outcomes and the thyroid hormone level of euthyroid individuals with valvular heart disease (VHD).MethodThe thyroid function was evaluated in 526 euthyroid VHD patients and 155 healthy control people. As well as clinical indicators were collected and analyzed.ResultsNo difference in TSH levels (p>0.05) was recorded; however, fT3, TT3, and TT4 levels were lower in the euthyroid VHD patients than in healthy control(4.3 vs 4.63; 1.37 vs 1.48; 97.7 vs 102.09, respectively, all p

Spike-timing-dependent plasticity (STDP) is an unsupervised learning mechanism for spiking neural networks that has received significant attention from the neuromorphic hardware community. However, scaling such local learning techniques to deeper networks and large-scale tasks has remained elusive. In this work, we investigate a Deep-STDP framework where a rate-based convolutional network, that can be deployed in a neuromorphic setting, is trained in tandem with pseudo-labels generated by the STDP clustering process on the network outputs. We achieve 24.56% higher accuracy and 3.5 × faster convergence speed at iso-accuracy on a 10-class subset of the Tiny ImageNet dataset in contrast to a k -means clustering approach.

Wax gourd, which belongs to Cucurbitaceae, is an excellent plant resource with the concomitant function of both medicine and foodstuff. Its unique taste and rich nutrition are deeply accepted by consumers. However, the main flavor and nutrients are still unclear, which restricts the quality breeding process of wax gourd. Here, we discovered that monosaccharides, malic acid and citrulline affect the flavor and nutrition of wax gourd and clarified the dynamic accumulation process of these metabolites. To gain insights into the underlying predominant genes regulating accumulation of these metabolites, we performed a time-course transcriptome analysis using RNA-sequencing analysis and compared the expression of screened genes among twenty-four germplasms with different metabolites levels. In addition, the expression abundance among the homologous genes were also analyzed. Finally, a total of 8 genes related to sugar [AGA2 (Bhi03G001926), SUS (Bhi12G001032)], malic acid [MDH (Bhi12G001426, Bhi01G000427), PEPC (Bhi12G000721, Bhi09G002867), ME (Bhi01G002616)] and citrulline [ASS (Bhi02G000401)], respectively were determined. In summary, understanding the core genes influencing taste or nutrition will provide a theoretical basis for fruit quality improvement in wax gourd.

Abstract Background Gastrointestinal stromal tumor (GIST) is a common tumor that originates from the alimentary system mesenchyme. Compared to typical gastrointestinal carcinomas, GISTs exhibit unique malignant behaviors. Bioinformatic tools and subsequent experiments were applied to investigate novel targets involved in GIST progression and imatinib resistance. Methods Differences in gene expression profiles between advanced and nonadvanced GISTs were comprehensively analyzed based on the Gene Expression Omnibus (GEO) dataset GSE136755. A protein–protein interaction (PPI) network was constructed to identify the potential target gene. Gene set enrichment analysis (GSEA) was used to elucidate relevant biological events related to the target gene based on the GSE47911 dataset. Subsequently, immunohistochemistry and Kaplan–Meier analysis were performed to validate the prognostic value of the target gene in GISTs. Overexpression of the target gene was conducted to analyze its function in the proliferation, apoptosis, and imatinib resistance of GIST/T1 cells. Results In the current study, a total of 606 differentially expressed genes (DEGs) were screened based on the GSE136755 dataset, and the upregulated DEGs in advanced GISTs were mainly involved in cell division through functional annotations. The intersecting hub gene, Aurora kinase A (AURKA), was identified by degree and bottleneck algorithms. GSEA revealed that AURKA was involved in cell cycle-related biological processes. Analysis of the Oncomine and GEPIA databases revealed a pattern of elevated AURKA expression in most human malignances. Clinical assays demonstrated that AURKA could be an independent prognostic factor for GISTs. Additionally, overexpression of AURKA was experimentally demonstrated to promote cell proliferation, inhibit cell apoptosis, and enhance imatinib resistance in GIST/T1 cells. Conclusions These findings indicated that overexpression of AURKA promoted GIST progression and enhanced imatinib resistance, implying that AURKA is a potential therapeutic target for GISTs.

Although the economy of a county that is linked to surrounding towns and rural areas constitutes a multiple basic economic unit within China's national economy, it usually exhibits independent characteristics and functions. Consequently, a county's economy plays a critical role in the overall economic development of a country's national economy. We created an evaluation index system based on entropy Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) to carry out a comprehensive evaluation of county economy across the entire Beijing-Tianjin-Hebei region. We found serious imbalances in the development of these counties, with county economies within Beijing and Tianjin being more advanced than those in Hebei Province. Furthermore, there were marked differences between county economies within prefecture-level cities of Hebei Province. The developmental level of counties in cities like Langfang, Tangshan and Chengde was relatively high. Conversely, the level of development of counties in Hengshui, Baoding, Xingtai and Handan was lower. Moreover, there were imbalances among cities in relation to county economic development, especially in Langfang, with smaller differences being found in Hengshui and Qinhuangdao. We analysed and identified the factors influencing differences between counties before providing recommendations.

Abstract Feedforward control has been widely used to improve the tracking performance of precision motion systems. This paper develops a new data‐driven feedforward tuning approach associated with rational basis functions. The aim is to obtain the global optimum with optimal estimation accuracy. First, the instrumental variable is employed to ensure the unbiased estimation of the global optimum. Then, the optimal instrumental variable which leads to the highest estimation accuracy is derived, and a new refined instrumental variable method is exploited to estimate the optimal instrumental variable. Moreover, the estimation accuracy of the optimal parameter is further improved through the proposed parameter updating law. Simulations are conducted to test the parameter estimation accuracy of the proposed approach, and it is demonstrated that the global optimum is unbiasedly estimated with optimal parameter estimation accuracy in terms of variance with the proposed approach. Experiments are performed and the results validate the excellent performance of the proposed approach for varying tasks.

Abstract Background Adrenocortical carcinoma (ACC) is an uncommon malignancy with an estimated 15,400 new cases annually across the globe. The prognosis is generally poor as the disease is often already advanced at initial diagnosis due to non-specific symptoms. Even for local disease, recurrence after surgical resection is high. Treatment choices for advanced disease include mitotane, chemotherapy, ablation, chemoembolization, radioembolization, and external beam radiotherapy, with varying degrees of efficacy. To the best of our knowledge, there have only been two prior case studies of complete clinical and radiological response of stage 4 disease at 1 year and 2 years after yttrium-90 (90Y) microsphere selective internal radiation therapy (SIRT) of isolated hepatic metastases post-surgery and chemotherapy. Case presentation We present a case of a 58-year-old man with metastatic ACC who was treated with 90Y resin microsphere (SIR-spheres) for local control of liver metastases leading to a surgically proven negative pathology after partial hepatectomy 7 months after SIRT. The patient was initially diagnosed with stage 1 ACC that progressed 6 years later to stage 4 disease with new liver metastases that were deemed unresectable at an outside institution. After review of the case at multidisciplinary tumor board, he was referred for liver directed therapy for local tumor control. Angiographic workup demonstrated partial extrahepatic supply to the tumors from the right inferior phrenic artery, which was successfully embolized on the day of SIRT for flow redistribution. As the patient was being treated with mitotane that suppresses steroid production, he developed post-SIRT adrenal crisis, which was successfully controlled with steroids, highlighting the need for pre SIRT stress dose steroids. Conclusions This case continues to add to the literature supporting 90Y radioembolization as an effective treatment for isolated hepatic ACC metastases. Our case is the first to demonstrate surgically proven negative pathology after radioembolization. Further prospective study is warranted to better establish efficacy as well as safety of SIRT for ACC liver metastases.

Coronavirus disease 2019 (COVID-19) is a predominantly respiratory infectious disease caused by novel coronavirus infection (SARS-CoV-2), respiratory failure is the main clinical manifestation and the leading cause of death. Even though it can meet the acute respiratory distress syndrome (ARDS) Berlin definition, only some clinical features of COVID-19 are consistent with typical ARDS, and which has its own peculiar phenotypes. When compared with typical ARDS, in addition to the typical diffuse alveolar injury, COVID-19 has unique pathological and pathophysiological features, such as endothelial injury, extensive microthrombus, and pulmonary capillary hyperplasia. The clinical features of patients with respiratory failure caused by COVID-19 are heterogeneous and can be generally divided into two phenotypes: progressive respiratory distress and unique “silent hypoxemia”. The “H-type” characteristics of reduced lung volume, decreased lung compliance, and unmatched ventilator-perfusion ratio. While some patients may have close to normal lung compliance, that is “L-type”. Identifying the exact phenotype in whom are suffered with COVID-19 is crucial to guide clinicians to adopt appropriate treatment strategies. This review discussed the similarities and differences in the pathogenesis, pathophysiology, clinical features and treatment strategies of COVID-19 induced acute respiratory failure and typical ARDS.

Neuromorphic computing algorithms based on Spiking Neural Networks (SNNs) are evolving to be a disruptive technology driving machine learning research. The overarching goal of this work is to develop a structured algorithmic framework for SNN training that optimizes unique SNN-specific properties like neuron spiking threshold using neuroevolution as a feedback strategy. We provide extensive results for this hybrid bio-inspired training strategy and show that such a feedback-based learning approach leads to explainable neuromorphic systems that adapt to the specific underlying application. Our analysis reveals 53.8, 28.8, and 28.2% latency improvement for the neuroevolution-based SNN training strategy on CIFAR-10, CIFAR-100, and ImageNet datasets, respectively in contrast to state-of-the-art conversion based approaches. The proposed algorithm can be easily extended to other application domains like image classification in presence of adversarial attacks where 43.2 and 27.9% latency improvements were observed on CIFAR-10 and CIFAR-100 datasets, respectively.

The management of perioperative antibiotic options after lung transplantation varies widely around the world, but there is a common trend to limit antibiotic use duration. Metagenomic next-generation sequencing (mNGS) has become a hot spot in clinical pathogen detection due to its precise, rapid, and wide detection spectrum of pathogens. Thus, we defined a new antibiotic regimen adjustment strategy in the very early stage (within 7 days) after lung transplantation mainly depending on mNGS reports combined with clinical conditions to reduce the use of antibiotics. To verify the clinical effect of the strategy, we carried out this research. Thirty patients who underwent lung transplantation were finally included, whose information including etiology, antibiotic adjustment, and the effect of our strategy was recorded. Lung transplant recipients in this study were prescribed with initial antibiotic regimen immediately after surgery; their antibiotic regimens were adjusted according to the strategy. According to our study, the entire effectiveness of the strategy was 90.0% (27/30). Besides, a total of 86 samples containing donor lung tissue, recipient lung tissue, and bronchoalveolar lavage fluid (BALF) were obtained in this study; they were all sent to mNGS test, while BALF was also sent to pathogen culture. Their results showed that the positive rate of BALF samples was higher (86.67%) than that of donor’s lung tissue (20.0%) or recipient’s lung tissue (13.33%) by mNGS test, indicating BALF samples are more valuable than other clinical samples from early postoperative period to guide the early adjustment of antibiotics after lung transplantation. It is effective for mNGS combined with traditional methods and clinical situations to optimize antibiotic regimens in lung transplantation recipients within 7 days after surgery.

Abstract Background This study sought to detect the expression and clinical significance of miR-4516 and miR-21-5p in serum of patients with colorectal cancer. Methods Bioinformatics methods were used to analyze the expression patterns of miR-4516 and miR-21-5p in colorectal cancer. A total of 80 patients with colorectal cancer, 65 patients with benign colorectal tumors and 50 healthy persons were selected. qRT-PCR was performed to detect the expression levels of serum miR-4516 and miR-21-5p before and after operation or postoperative recurrence. The correlation of miR-4516 and miR-21-5p expression levels with the clinical characteristics and prognosis of colorectal cancer was analyzed, and that with the patient’s survival was further examined by Kaplan-Meier analysis. Results MiR-4516 was poorly expressed in colorectal cancer in the preoperative group, and miR-21-5p was highly expressed. While in the postoperative group, miR-4516 was up-regulated, and miR-21-5p was down-regulated. The low expression of miR-4516 was shown to be related to TNM staging, invasion degree, lymph node metastasis and distant metastasis of the patients. Whereas the high expression of miR-21-5p was proved to be correlated with TNM staging and lymph node metastasis. Kaplan-Meier survival analysis showed that high expression of miR-4516 or low expression of miR-21-5p could contribute to better overall survival. Conclusion Low miR-4516 or high miR-21-5p could be used as an independent risk factor for prognosis of colorectal cancer.

Sepsis is a life-threatening organ dysfunction syndrome caused by host response disorders due to infection or infectious factors and is a common complication of patients with clinical trauma, burns, and infection. Resveratrol is a natural polyphenol compound that is a SIRT-1 activator with anti-inflammatory, antiviral, antibacterial, antifungal inhibitory abilities as well as cardiovascular and anti-tumor protective effects. In recent years, some scholars have applied resveratrol in animal models of sepsis and found that it has an organ protective effect and can improve the survival time and reduce the mortality of animals with sepsis. In this study, Medline (Pubmed), embase, and other databases were searched to retrieve literature published in 2021 using the keywords “resveratrol” and “sepsis,” and then the potential of resveratrol for the treatment of sepsis was reviewed and prospected to provide some basis for future clinical research.

Objective: Data are limited on the psychological disorders of patients with cardiovascular disease during the post-COVID-19 period, although mental health status is associated with morbidity and mortality. We aimed to investigate the prevalence of anxiety and depression and risk factors among patients with cardiovascular disease in the post-pandemic period.Method: A cross-sectional survey was conducted through opportunistic and snowball sampling in southeast China from 10 October to 24 November. Anxiety and depression were assessed on the hospital anxiety and depression scale (HADS).Results: A total of 435 patients with hypertension (48.05%), atrial fibrillation (17.24%), coronary artery disease (14.48%), heart failure (9.89%) and other heart diseases (10.34%) completed the survey. Interestingly, most patients reported monthly income comparable to (90.11%) or even greater than (8.51%) pre-pandemic income. The occurrence of anxiety and depression was 11.72 and 9.20%, respectively. Marital status and treatment interruption during the pandemic were independent risk factors for both anxiety and depression. Moreover, current monthly income and access to telemedicine during the pandemic were independent risk factors for anxiety.Conclusion: Patients with cardiovascular disease may experience anxiety and depression not only because of disease complications but also because of the effects of the pandemic. In facing the global challenge posed by the coronavirus, efforts should be made to improve patients' psychological well-being in the management of populations with cardiovascular disease.

Here, we aimed to retrospectively analyze the clinical characteristics of 27 patients with severe pneumonia caused by Chlamydia psittaci between January 2019 and April 2021 in southwest China. To this end, we collected data on the exposure history, clinical symptoms, laboratory examination, imaging characteristics, evolution, etiology, treatment, and outcomes to suggest a better diagnosis and prevention system. Our results showed that a metagenomic next-generation sequencing test could provide early diagnosis. All patients were sensitive to quinolones and tetracyclines, and the recovery rate was relatively high. Overall, all patients were in critical condition with moderate to severe acute respiratory distress syndrome and shock. In conclusion, early diagnosis of pneumonia caused by C. psittaci depends on effective molecular testing, and most patients recover after treatment.

This paper investigates a moiré-based mark for high-precision wafer bonding alignment. During alignment, the mark is combined with digital grating, which has the benefits of high precision and small size. A digital grating is superimposed on the mark to generate moiré fringes. By performing a phase calculation on the moiré fringe images corresponding to the upper and lower wafers, the relative offset of the upper and lower wafers can be accurately calculated. These moiré fringes are exceptionally stable, thereby enhancing the alignment stability. In this study, through practical experiments, we tested the rationality and practicability of the mark.

Patients with sepsis often exhibit hyperglycemia, which increases mortality. glucagon-like peptide-1 receptor agonists (GLP-1RAs) not only regulate blood glucose homeostasis but also improve organ dysfunction, regulate immunity, and control inflammation and other functions in patients with sepsis. Here, we review the possible application of GLP-1RAs in sepsis, to provide a new perspective for the clinical diagnosis and treatment of patients with sepsis complicated with stress hyperglycemia.

Abstract Background During human pregnancy, placental trophectoderm cells release extracellular vesicles (EVs) into maternal circulation. Trophoblasts also give rise to cell-free DNA (cfDNA) in maternal blood, and has been used for noninvasive prenatal screening for chromosomal aneuploidy. We intended to prove the existence of DNA in the EVs (evDNA) of maternal blood, and compared evDNA with plasma cfDNA in terms of genome distribution, fragment length, and the possibility of detecting genetic diseases. Methods Maternal blood from 20 euploid pregnancies, 9 T21 pregnancies, 3 T18 pregnancies, 1 T13 pregnancy, and 2 pregnancies with FGFR3 mutations were obtained. EVs were separated from maternal plasma, and confirmed by transmission electronic microscopy (TEM), western blotting, and flow cytometry (FACS). evDNA was extracted and its fetal origin was confirmed by quantitative PCR (qPCR). Pair-end (PE) whole genome sequencing was performed to characterize evDNA, and the results were compared with that of cfDNA. The fetal risk of aneuploidy and monogenic diseases was analyzed using the evDNA sequencing data. Results EVs separated from maternal plasma were confirmed with morphology by TEM, and protein markers of CD9, CD63, CD81 as well as the placental specific protein placental alkaline phosphatase (PLAP) were confirmed by western blotting or flow cytometry. EvDNA could be successfully extracted for qPCR and sequencing from the plasma EVs. Sequencing data showed that evDNA span on all 23 pairs of chromosomes and mitochondria, sharing a similar distribution pattern and higher GC content comparing with cfDNA. EvDNA showed shorter fragments yet lower fetal fraction than cfDNA. EvDNA could be used to correctly determine fetal gender, trisomies, and de novo FGFR3 mutations. Conclusions We proved that fetal DNA could be detected in EVs separated from maternal plasma. EvDNA shared some similar features to plasma cfDNA, and could potentially be used to detect genetic diseases in fetus.

We report a case of acute gouty monoarthritis of the left ankle in a 58-year-old female with chronic renal insufficiency after cryoablation of a 3.8 cm left renal cell carcinoma. The patient's symptoms resolved after intravenous Solumedrol and did not recur at her 1-month follow-up visit. To the best of our knowledge, this is the first reported case of acute gouty monoarthritis after cryoablation of a renal cell carcinoma lesion in a patient with underlying chronic renal insufficiency. Clinicians should be vigilant of the potential for this complication in at-risk patient populations. Keywords: Gout, Arthritis, Gouty Arthritis, Ablation, Cryoablation, Renal Cell Carcinoma

Advanced oxidation process (AOP), with a high oxidation efficiency, fast reaction speed (relatively no secondary pollution), has become one of the core technologies of industrial wastewater and advanced drinking water treatment. Heterogeneous Fenton-like oxidation process (HFOP) is a kind of AOP, which developed rapidly in recent years in such a way to overcome the disadvantages of traditional Fenton reaction. Metal-organic frameworks (MOFs) and their derivatives become essential heterogeneous catalysts for organics mineralization due to the large specific surface area, abundant active sites, and ease of structural regulation. However, the knowledge gap on the mechanism and the fate of heterogeneous catalyst species during organics degradation activities by MOFs presents considerable impediments, particularly for a wide application and scaling up the process. This work has the potential to provide guidance and ideas for researchers and engineers in the fields of environmental remediation, environmental catalysis and functional materials. This review focuses on clarifying the critical mechanism of •OH production from MOFs and derivatives as well as its action on the organic’s degradation process. The recent developments in MOF based HFOP are compared, and more attention is paid for the following aspects in this review: (1) classifies systematically progressive modification methods of MOFs by chemical and physical treatments; (2) analyzes the fate of catalytic species during treating organic wastewater; (3) proposes design ideas and principles for improving the performance of MOFs catalysts; (4) discusses the main factors influencing the catalytic properties and practical application; (5) summarizes the possible research challenges and directions for MOFs and their derivatives as catalysts applied to wastewater treatment in the future.

Neuromorphic computing is emerging to be a disruptive computational paradigm that attempts to emulate various facets of the underlying structure and functionalities of the brain in the algorithm and hardware design of next-generation machine learning platforms. This work goes beyond the focus of current neuromorphic computing architectures on computational models for neuron and synapse to examine other computational units of the biological brain that might contribute to cognition and especially self-repair. We draw inspiration and insights from computational neuroscience regarding functionalities of glial cells and explore their role in the fault-tolerant capacity of Spiking Neural Networks (SNNs) trained in an unsupervised fashion using Spike-Timing Dependent Plasticity (STDP). We characterize the degree of self-repair that can be enabled in such networks with varying degree of faults ranging from 50 to 90% and evaluate our proposal on the MNIST and Fashion-MNIST datasets.

On-chip edge intelligence has necessitated the exploration of algorithmic techniques to reduce the compute requirements of current machine learning frameworks. This work aims to bridge the recent algorithmic progress in training Binary Neural Networks and Spiking Neural Networks—both of which are driven by the same motivation and yet synergies between the two have not been fully explored. We show that training Spiking Neural Networks in the extreme quantization regime results in near full precision accuracies on large-scale datasets like CIFAR-100 and ImageNet. An important implication of this work is that Binary Spiking Neural Networks can be enabled by “In-Memory” hardware accelerators catered for Binary Neural Networks without suffering any accuracy degradation due to binarization. We utilize standard training techniques for non-spiking networks to generate our spiking networks by conversion process and also perform an extensive empirical analysis and explore simple design-time and run-time optimization techniques for reducing inference latency of spiking networks (both for binary and full-precision models) by an order of magnitude over prior work. Our implementation source code and trained models are available at https://github.com/NeuroCompLab-psu/SNN-Conversion.

The relationship between aseptic systemic inflammation and postoperative bacterial infection is unclear. We investigated the correlation of systemic inflammation biomarkers with 30-day clinically significant bacterial infections (CSI) after liver transplantation (LT). This retrospective study enrolled 940 patients who received LT and were followed for 30 days. The primary end point was 30-day CSI events. The cohort was divided into exploratory (n = 508) and validation (n = 432) sets according to different centers. Area under the receiver operated characteristic (AUROC) and Cox regression models were fitted to study the association between baseline systemic inflammation levels and CSI after LT. A total of 255 bacterial infectious events in 209 recipients occurred. Among systemic inflammation parameters, baseline C-reactive protein (CRP) was independently associated with 30-day CSI in the exploratory group. The combination of CRP and organ failure number showed a good discrimination for 30-day CSI (AUROC = 0.80, 95% CI, 0.76–0.84) and the results were confirmed in an external verification group. Additionally, CRP levels were correlated with bacterial product lipopolysaccharide. In conclusion, our study suggests that pre-transplantation CRP is independent of other prognostic factors for 30-day CSI post-LT, and can be integrated into tools for assessing the risk of bacterial infection post-LT or as a component of prognostic models.

A commonly-used method to cool rotating cylinders involves spraying water on the surface to cool its internal particles. This paper conducted a numerical investigation of heat transfer from a rotary cylinder cooled with sprayed water. A 3-D numerical model was generated, and the distributions of the wall temperatures and liquid films were analyzed. Then, the heat transfer characteristics for different parameters were obtained and compared. The results showed that the best location for a single spray nozzle was directly above the cylinder, where it had the most uniform liquid film and highest heat exchange efficiency. With increased rotation speeds, the cylinder wall temperature increased and the distribution of wall temperature and liquid film became more uniform, which improved heat transfer. Because of the influence of gravity, the slope of the cylinder had a negative influence on the distribution of the liquid film. When the cylinder material had lower thermal conductivity, the system needed a much longer period of time before it was stable and had lower heat flux. Furthermore, with the same heat source, the system heat flux could not be determined with only the outer surface temperature, but with the temperature difference between inner surface and outer surface.DOI: http://dx.doi.org/10.5755/j01.ms.23.4.17322

Physicochemical changes and protein denaturation were evaluated for pork longissimus dorsi muscle subjected to different thawing methods. Fresh pork longissimus dorsi muscle served as a control. Microwave (MT), microwave combined with ultrasonic (MUT), microwave combined with 35 °C water immersion (MIT), microwave combined with 4 °C refrigeration (MRT), microwave combined with air convection (MAT), and microwave combined with running water (MWT) were applied. All microwave-based methods excepted for MT avoided localized overheating. The changes in the water holding capacity (WHC), color, TBARS, and protein solubility were lowest with MAT. Differential scanning calorimetry (DSC) and dynamic rheological property measurements indicated, that the MAT samples changed only slightly and presented with complete peaks and high G′ values compared with the other treatments. Thus, MAT may reduce protein denaturation associated with meat thawing. The results of this study indicated that MAT effectively shortens thawing time, preserves meat quality and uniformity, and could benefit the meat industry and those who consume its products.

Circular RNAs (circRNAs) have been reported that can be used as biomarkers for colorectal cancers (CRC) and other types of tumors. However, a limited number of studies have been performed investigating the potential role of circRNAs in tumor metastasis. Here, we examined the circRNAs in two CRC cell lines (a primary tumor cell SW480 and its metastasis cell SW620), and found a large set of circRNA (2,919 ncDECs) with significantly differential expression patterns relative to normal cells (NCM460). In addition, we uncovered a set of 623 pmDECs that differ between the primary CRC cells and its metastasis cells. Both differentially expressed circRNA (DEC) sets contain many previously unknown putative CRC-related circRNAs, thereby providing many new circRNAs as candidate biomarkers for CRC development and metastasis. These studies are the first large-scale identification of metastasis-related circRNAs for CRC and provide valuable candidate biomarkers for diagnostic and a starting point for additional investigations of CRC metastasis.

Receptor for advanced glycation end products (AGEs; RAGE) binds to both AGEs and amyloid-beta peptides. RAGE is involved in chronic complications of type 2 diabetes and Alzheimer's disease. We aimed to investigate the roles of RAGE, AGEs and the Gly82Ser polymorphism of RAGE in mild cognitive impairment (MCI) among type 2 diabetes patients.Of the 167 hospitalized type 2 diabetes patients recruited, 82 satisfied the diagnostic criteria for MCI, and 85 matched control individuals were classified as non-MCI. Demographic data were collected, and the soluble RAGE (sRAGE) concentrations, serum AGE-peptide (AGE-P) levels, RAGE Gly82Ser genotype and neuropsychological test results were examined.The MCI group exhibited a decreased sRAGE level (0.87±0.35 vs. 1.05±0.52 ng/ml, p0.05).The RAGE pathway partially mediates AGE-induced MCI in diabetic patients. The serum AGE-P level may serve as a serum biomarker of MCI in these individuals, and sRAGE represents a predictor and even a potential intervention target of early cognitive decline in type 2 diabetes patients.Advanced Glycation End Products Induced Cognitive Impairment in Diabetes: BDNF Signal Meditated Hippocampal Neurogenesis ChiCTR-OCC-15006060.

Hydrogen sulfide (H2S) can protect the liver against ischemia-reperfusion (I/R) injury. However, it is unknown whether H2S plays a role in the protection of hepatic I/R injury in both young and old patients. This study compared the protective effects of H2S in a rat model (young and old animals) of I/R injury and the mechanism underlying its effects. Young and old rats were assessed following an injection of NaHS. NaHS alone reduced hepatic I/R injury in the young rats by activating the nuclear erythroid-related factor 2 (Nrf2) signaling pathway, but it had little effect on the old rats. NaHS pretreatment decreased miR-34a expression in the hepatocytes of the young rats with hepatic I/R. Overexpression of miR-34a decreased Nrf-2 and its downstream target expression, impairing the hepatoprotective effect of H2S on the young rats. More importantly, downregulation of miR-34a expression increased Nrf-2 and the expression of its downstream targets, enhancing the effect of H2S on hepatic I/R injury in the old rats. This study reveals the different effects of H2S on hepatic I/R injury in young and old rats and sheds light on the involvement of H2S in miR-34a modulation of the Nrf-2 pathway.

Accurate estimation of soil water retention curve (SWRC) at the dry region is required to describe the relation between soil water content and matric suction from saturation to oven dryness. In this study, the extrapolative capability of two models for predicting the complete SWRC from limited ranges of soil water retention data was evaluated. When the model parameters were obtained from SWRC data in the 0-1500 kPa range, the FX model (Fredlund and Xing, 1994) estimations agreed well with measurements from saturation to oven dryness with RMSEs less than 0.01. The GG model (Groenevelt and Grant, 2004) produced larger errors at the dry region, with significantly larger RMSEs and MEs than the FX model. Further evaluations indicated that when SWRC measurements in the 0-100 kPa suction range was applied for model establishment, the FX model was capable of producing acceptable SWRCs across the entire water content range. For a higher accuracy, the FX model requires soil water retention data at least in the 0- to 300-kPa range to extend the SWRC to oven dryness. Comparing with the Khlosi et al. (2006) model, which requires measurements in the 0-500 kPa range to reproduce the complete SWRCs, the FX model has the advantage of requiring less SWRC measurements. Thus the FX modeling approach has the potential to eliminate the processes for measuring soil water retention in the dry range.

Platelet-rich plasma (PRP) and hyaluronic acid (HA) injection is commonly used for the treatment of osteoarthritis. However, the immediate bolus release of growth factors from PRP and inability of HA to stay in situ limit their beneficial therapeutic effects. An injectable, biocompatible, and thermoresponsive hydrogel (mPEG-PLGA-BOX block copolymer) is applicable for a long-term ultrasound-triggered lyophilized platelet (LP) release. In this study, an US-controlled release thermoresponsive hydrogel system loaded with LPs was evaluated for its long-term pharmacokinetics in a dry culture chamber at 37 °C. At 0.5 wt% constituent ratio of the LP-loaded hydrogels (0.2 ± 0.6 mV positively charged, which would be suitable for the treatments of negatively charged cartilages), the release amount of growth factors (PDGF-B and TGFβ-1) from the hydrogel could be increased to ∼300-folds in the presence of US (1 MHz, 0.4 W/cm2, 5% duty cycle, 5 min) compared to the amount in the absence of US during the 2 weeks of evaluation period. In comparison to 0.5 wt% of the LP-loaded HA (−2.4 ± 1.1 mV negatively charged), which had only a 5-day release ability, the US-controlled release thermoresponsive hydrogel system may be a more suitable platform for diseases that needed long-term treatments. [ABSTRACT FROM AUTHOR]