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Objective To evaluate the strengthens and feasibility of network-based teaching for clinical training in neonatology during COVID-19 pandemic. Methods Because of COVID-19 pandemic, the interns of Peking Union Medical College Hospital accepted the network-based teaching in the training of neonatology from February to May 2020. Compared with those who received traditional training from November 2019 to January 2020, the Systematic Evatuation of Teaching Quality(SETQ) questionnaire and Pediatric Voluntary Self-assessment Forms were conducted to evaluate the quality of teaching and of knowledge mastery. Results There were no significant differences in teaching quality between two groups. While network-based teaching has favored knowledge mastery for rare diseases, complicated clinical operation and the interpretation of auxiliary examinations (P＜0.05). Conclusions Network-based teaching and the traditional pathway have their strengthens respectively and can be complementary in the intern training of neonatology.

The job shop scheduling problem (JSSP) is a fundamental operational research topic with numerous applications in the real world. Since the JSSP is an NP-hard (nondeterministic polynomial time) problem, approximation approaches are frequently used to rectify it. This study proposes a novel biologically-inspired metaheuristic method named Coral Reef Optimization in conjunction with two local search techniques, Simulated Annealing (SA) and Variable Neighborhood Search (VNS), with significant performance and finding-solutions speed enhancement. The two-hybrid algorithms’ performance is evaluated by solving JSSP of various sizes. The findings demonstrate that local search strategies significantly enhance the search efficiency of the two hybrid algorithms compared to the original algorithm. Furthermore, the comparison results with two other metaheuristic algorithms that also use the local search feature and five state-of-the-art algorithms found in the literature reveal the superior search capability of the two proposed hybrid algorithms.

DDoS (Distributed Denial of Service) attacks have become a pressing threat to the security and integrity of computer networks and information systems, which are indispensable infrastructures of modern times. The detection of DDoS attacks is a challenging issue before any mitigation measures can be taken. ML/DL (Machine Learning/Deep Learning) has been applied to the detection of DDoS attacks with satisfactory achievement. However, full-scale success is still beyond reach due to an inherent problem with ML/DL-based systems—the so-called Open Set Recognition (OSR) problem. This is a problem where an ML/DL-based system fails to deal with new instances not drawn from the distribution model of the training data. This problem is particularly profound in detecting DDoS attacks since DDoS attacks’ technology keeps evolving and has changing traffic characteristics. This study investigates the impact of the OSR problem on the detection of DDoS attacks. In response to this problem, we propose a new DDoS detection framework featuring Bi-Directional Long Short-Term Memory (BI-LSTM), a Gaussian Mixture Model (GMM), and incremental learning. Unknown traffic captured by the GMM are subject to discrimination and labeling by traffic engineers, and then fed back to the framework as additional training samples. Using the data sets CIC-IDS2017 and CIC-DDoS2019 for training, testing, and evaluation, experiment results show that the proposed BI-LSTM-GMM can achieve recall, precision, and accuracy up to 94%. Experiments reveal that the proposed framework can be a promising solution to the detection of unknown DDoS attacks.

Summary: Autoimmunity in plants has been found in numerous hybrids as a form of hybrid necrosis and mutant panels. Uncontrolled cell death is a main cellular outcome of autoimmunity, which negatively impacts growth. Its occurrence highlights the vulnerable nature of the plant immune system. Genetic investigation of autoimmunity in hybrid plants revealed that extreme variation in the immune receptor repertoire is a major contributor, reflecting an evolutionary conundrum that plants face in nature. In this review, we discuss natural variation in the plant immune system and its contribution to fitness. The value of autoimmunity genetics lies in its ability to identify combinations of a natural immune receptor and its partner that are predisposed to triggering autoimmunity. The network of immune components for autoimmunity becomes instrumental in revealing mechanistic details of how immune receptors recognize cellular invasion and activate signaling. The list of autoimmunity‐risk variants also allows us to infer evolutionary processes contributing to their maintenance in the natural population. Our approach to autoimmunity, which integrates mechanistic understanding and evolutionary genetics, has the potential to serve as a prognosis tool to optimize immunity in crops. [ABSTRACT FROM AUTHOR]

Summary: Pattern recognition receptors (PRRs) sense microbial patterns and activate innate immunity against attempted microbial invasions. The leucine‐rich repeat receptor kinases (LRR‐RK) FLS2 and EFR, and the LRR receptor protein (LRR‐RP) receptors RLP23 and RLP42, respectively, represent prototypical members of these two prominent and closely related PRR families.We conducted a survey of Arabidopsis thaliana immune signaling mediated by these receptors to address the question of commonalities and differences between LRR‐RK and LRR‐RP signaling.Quantitative differences in timing and amplitude were observed for several early immune responses, with RP‐mediated responses typically being slower and more prolonged than those mediated by RKs. Activation of RLP23, but not FLS2, induced the production of camalexin. Transcriptomic analysis revealed that RLP23‐regulated genes represent only a fraction of those genes differentially expressed upon FLS2 activation. Several positive and negative regulators of FLS2‐signaling play similar roles in RLP23 signaling. Intriguingly, the cytoplasmic receptor kinase BIK1, a positive regulator of RK signaling, acts as a negative regulator of RP‐type immune receptors in a manner dependent on BIK1 kinase activity.Our study unveiled unexpected differences in two closely related receptor systems and reports a new negative role of BIK1 in plant immunity. [ABSTRACT FROM AUTHOR]

Abstract: Inflammation is involved in many human pathologies, including osteoarthritis (OA). Hydrogen (H2) is known to have anti‐inflammatory effects; however, the bioavailability of directly administered H2 gas is typically poor. Herein, a local delivery system that can provide a high therapeutic concentration of gaseous H2 at inflamed tissues is proposed. The delivery system comprises poly(lactic‐co‐glycolic acid) microparticles that contain magnesium powder (Mg@PLGA MPs). Mg@PLGA MPs that are intra‐muscularly injected close to the OA knee in a mouse model can act as an in situ depot that can evolve gaseous H2 continuously, mediated by the cycle of passivation/activation of Mg in body fluids, at a concentration that exceeds its therapeutic threshold. The analytical data that are obtained in the biochemical and histological studies indicate that the proposed Mg@PLGA MPs can effectively mitigate tissue inflammation and prevent cartilage from destruction, arresting the progression of OA changes. [ABSTRACT FROM AUTHOR]

Leroux et al. haben Experimente aus unserer Studie wiederholt und berichten, dass sie das thermoresponsive liposomale System mit Ammoniumbicarbonat (ABC), für das wir Wirkstofffreisetzung unter mildem Erwärmen demonstrierten, nicht reproduzieren konnten. Wir widersprechen ihrer Beurteilung und spekulieren, dass die andersartige Methode, die Leroux et al. für die Herstellung des wässrigen ABC verwendeten, zu dem negativen Ergebnis führte. [ABSTRACT FROM AUTHOR]

Inflammation is involved in many human pathologies, including osteoarthritis (OA). Hydrogen (H 2 ) is known to have anti-inflammatory effects; however, the bioavailability of directly administered H 2 gas is typically poor. Herein, a local delivery system that can provide a high therapeutic concentration of gaseous H 2 at inflamed tissues is proposed. The delivery system comprises poly(lactic-co-glycolic acid) microparticles that contain magnesium powder (Mg@PLGA MPs). Mg@PLGA MPs that are intra-muscularly injected close to the OA knee in a mouse model can act as an in situ depot that can evolve gaseous H 2 continuously, mediated by the cycle of passivation/activation of Mg in body fluids, at a concentration that exceeds its therapeutic threshold. The analytical data that are obtained in the biochemical and histological studies indicate that the proposed Mg@PLGA MPs can effectively mitigate tissue inflammation and prevent cartilage from destruction, arresting the progression of OA changes., (© 2018 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.)

Hydrogen gas can reduce cytotoxic reactive oxygen species (ROS) that are produced in inflamed tissues. Inspired by natural photosynthesis, this work proposes a multicomponent nanoreactor (NR) that comprises chlorophyll a, l-ascorbic acid, and gold nanoparticles that are encapsulated in a liposomal (Lip) system that can produce H 2 gas in situ upon photon absorption to mitigate inflammatory responses. Unlike a bulk system that contains free reacting molecules, this Lip NR system provides an optimal reaction environment, facilitating rapid activation of the photosynthesis of H 2 gas, locally providing a high therapeutic concentration thereof. The photodriven NR system reduces the degrees of overproduction of ROS and pro-inflammatory cytokines both in vitro in RAW264.7 cells and in vivo in mice with paw inflammation that is induced by lipopolysaccharide (LPS). Histological examinations of tissue sections confirm the ability of the NR system to reduce LPS-induced inflammation. Experimental results indicate that the Lip NR system that can photosynthesize H 2 gas has great potential for mitigating oxidative stress in tissue inflammation.

Objective: To review the clinical data of enteral feeding of extremely low birth weight infants (ELBWI), and analyze the influencing factors., Method: From Jan. 2000 to Jan. 2010, data of 31 ELBWI from Peking Union Medical College Hospital were retrospectively collected. ELBWI were assigned to different groups according to the time achieving full enteral feeding, comparison was done between two groups for enteral feeding., Result: Twenty-four infants were analyzed, their mean gestational age was (29.0 ± 1.8) weeks (26.14 - 34.43 weeks), birth weight (882 ± 67) g (730 - 970 g), there were 11 infants in group A, whose time for achieving full enteral feeding was (27 ± 6)days, there were 13 infants in group B, whose time achieving full enteral feeding was (46 ± 10)days. The ratio of asphyxia (18.2% vs. 61.5%, P = 0.047), duration of umbilical vein catheterization longer than 10 days (18.2% vs. 61.5%, P = 0.047), and duration of mechanical ventilation longer than 14 days (27.3% vs. 76.9%, P = 0.038) in group A was higher than in group B. The milk volume on the 21st and 28th day in group A was much more than that in group B [(88.9 ± 35.4) ml vs. (37.4 ± 34.9) ml, P = 0.002; (121.1 ± 37.4) ml vs. (53.2 ± 33.1) ml, P = 0.000]. There were no significant differences between the two groups in gestational age, birth weight, patent ductus arterious, erythrocytosis, dysglycemia, sepsis, the time to begin enteral feeding, the beginning milk volume, the adding milk volume in the 1st, 2nd week, and the milk volume on the 3rd, 7th, 14th day., Conclusion: Asphyxia, duration of umbilical vein catheterization, and duration of mechanical ventilation are likely to influence the enteral feeding of ELBWI, ELBWI with successful enteral feeding could show good tolerance in the 3rd week. But individual program should be made for enteral feeding of ELBWI, because enteral feeding could be influenced by multiple factors.