Search

Background: Posterior nasal neurectomy (PNN) has been shown to reduce the symptom burden of patients with perennial moderate and severe allergic rhinitis (AR). Objectives: To evaluate the long-term safety and effectiveness of PNN for the treatment of perennial moderate and severe AR. Methods: A prospective 3-year single-arm study was conducted in which the reflective total nasal symptom score (rTNSS) and total non-nasal symptom score (rTNNSS) were collected preoperatively and at 3 months, 6 months, 1 year, 2 years, and 3 years postoperatively. Results: A total of 213 patients with AR were recruited and received PNN, of whom 154 patients completed the 3-year follow-up. The mean rTNSS of the long-term follow-up patients improved from 7.74 (95% confidence interval [CI] 7.507-7.974) at baseline to 2.604 (95% CI 2.221-2.986), P <.001, at 6 months and showed sustained improvement to 3.156 (95% CI 2.806-3.506), P <.001, at 3 years. The mean rTNNSS ranged from 1.301 (95% CI 1.112-1.491) at baseline to 0.564 (95% CI 0.441-0.688) (P <.001) at 6 months and showed sustained improvement to 0.641 (95% CI 0.533-0.749) (P <.001) at 3 years. The rTNSS subscores (sneezing, congestion, rhinorrhea, and itching) and rTNNSS subscores (lacrimation, eye itching, postnasal drip, and cough) remained significantly improved from the baseline at all follow-up time points (all P <.001). Conclusion: Posterior nasal neurectomy significantly and sustainably alleviated nasal and non-nasal symptoms of perennial moderate and severe AR and improved patient quality of life through 3 years postprocedure. [ABSTRACT FROM AUTHOR]

Salt tolerance is a critical trait for plant survival and productivity in saline environments. Development of salt tolerant crops is a practical strategy for addressing soil salinity issues. In this study, RNA-Seq analysis was performed using two wheat cultivars with contrasting salt tolerance (Neixiang188, tolerant and Barra, sensitive) at 6 h and 24 h after salinity treatment to determine the genetic variations reflected in the RNA expression patterns and identify key genes associated with salt tolerance. Our results revealed that there were 2983 upregulated and 1091 downregulated differentially expressed genes (DEGs), which were found in common in the two accessions. Meanwhile, 529 salt tolerant associated DEGs were subjected to GO function annotation, KEGG enrichment, and protein–protein interaction (PPI) network prediction. Finally, a theoretical framework outlining the salt tolerance mechanisms of Neixiang188 was proposed. It can be inferred that Neixiang188 possesses superior ion homeostasis, ROS detoxification, and osmotic adjustment abilities compared to Barra when subjected to saline stress. The present research sheds light on the genetic foundation of salt tolerance in wheat and offers candidate genes for genetic manipulation. Our research insights enhance the comprehension of the molecular mechanisms underlying salt stress responses and could guide future breeding efforts for improving salt tolerance in crops. [ABSTRACT FROM AUTHOR]

Captive and free-living wildlife serve as significant hosts for Giardia duodenalis. Asiatic black bears, valued for their economic and medicinal importance, are extensively farmed in China and also prevalent in zoos. However, studies on G. duodenalis in these animals in China are limited. Here, 218 feces samples of Asiatic black bears were collected: 36 from a zoo in Heilongjiang Province, and 182 from a farm in Fujian Province. Nested PCR of the SSU rRNA gene, followed by sequencing, was employed to determine the frequency and assemblage distribution of G. duodenalis. Positive samples underwent further analysis through multilocus genotyping (MLG) by amplifying the genes for glutamate dehydrogenase (gdh), β-giardin (bg), and triosephosphate isomerase (tpi). Of the 218 samples, G. duodenalis was detected in 22 cases at the SSU rRNA gene locus, including three from Heilongjiang and 19 from Fujian. Three assemblages were identified: A (n = 1), B (n = 16), and E (n = 2) in Fujian; and B (n = 3) in Heilongjiang. Out of the 22 positive samples, 20, 19, and 9 were effectively amplified and sequenced across the tpi, gdh, and bg loci, respectively. Seven samples were genotyped successfully at all three loci, identifying MLG-B1 (n = 1), MLG-B2 (n = 1), and MLG-B3 (n = 1), MLG-B4 (n = 1), MLG-B5 (n = 2), and MLG-B6 (n = 1) as the six assemblage B MLGs. This study marks the first documentation of G. duodenalis in Asiatic black bears in captivity in Fujian and Heilongjiang. The identification of zoonotic assemblages A and B, along with E, underscores potential public health concerns.

There are unaesthetic aspects in teaching people about the early detection of colorectal cancer using the fecal immunochemical test. Comics were seen as a way to overcome those unaesthetic aspects. This study used the Asian grocery store-based cancer education venue to pilot-test the clarity, cultural acceptability, and alignment of five colorectal cancer education comics intended for publication in Asian American and Pacific Islander (API) community newspapers. After developing the colorectal cancer education comics, API students asked shoppers to review a comic from their collection and provide feedback on how to make the comic clearer and more culturally pertinent to API readers. To evaluate viewers' responses, the students gathered such unobtrusive data as: (1) how many of the predetermined salient information points were discussed as the student educators interacted with shoppers and (2) how many comics the shoppers were willing to review. Shoppers were also asked to evaluate how effective the comics would be at motivating colorectal cancer screening among APIs. The students were able to cover all of the salient information points with the first comic. As evidence of the comics' capacity to engage shoppers' interest, shoppers willingly evaluated all five comics. Using multiple comics enabled the educators to repeatedly address the four salient colorectal cancer information points. Thus, the comics helped student educators to overcome the unesthetic elements of colorectal cancer discussions, while enabling them to engage shoppers in animated discussions, for far more time than with their conventional didactic educational methods.

This paper presents a guided-mode resonance (GMR) reflector for sapphire based Fabry-Perot (F-P) sensors that enables tunable or wideband high reflectance with high temperature resistance,which is expected to effectively regulate the performance of F-P sensors and offer a novel approach for designing F-P sensors in harsh environments. Intrinsic and extrinsic GMR gratings are proposed, and their optical and thermal properties are investigated and compared through numerical simulations, such as rigorous coupled-wave analysis and finite element analysis methods. The quantitative results indicate high feasibility for harsh environment applications and the potential for adopting different demodulation methods. Significant enhancement in the F-P sensor performance is obtained through analysis based on the F-P interference model, and the spectrum fineness and sensor sensitivity can be enhanced by at least one order of magnitude. The GMR reflector can be extended to other types of F-P sensors, demonstrating significant potential in high-temperature applications.