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The metallurgical bonding quality of bonded joints is affected by the substrate surface condition in metal additive forging process, and the surface roughness serves as a critical indicator for the surface condition. Nevertheless, the effect of surface roughness obtained by milling on interface bonding quality (IBQ) remains unclear, resulting in the lack of effective evaluation criteria for surface roughness in the milling process. This study prepared samples with various surface roughness through milling, and introduced three parameters, Ra, Rc, and Rsm, to quantify surface roughness. The interfacial morphology, elemental distribution, and mechanical properties were used to characterize the IBQ, and the influence of surface roughness on the IBQ was finally revealed. The results show that a reduction in surface roughness obtained by milling leads to an improvement in interfacial bonding, more uniform elemental distribution, and enhanced mechanical properties, all of which were related to the size of the initial voids and the dynamic recrystallization mechanism of the bonding interface. And the interface bonding process with various surface roughness involves grain boundary bulging and continuous dynamic recrystallization mechanisms. Finally, the Ra 1.2 μm was recommended as the evaluation criteria in milling process, and a high-feed face milling cutter equipped with wiper edge was suggested for machining to achieve high-quality and high-efficiency cutting of the substrate. This study provide a theoretical basis and practical guidance for the efficient acquisition of substrate surfaces suitable for interface bonding in metal additive forging process.

Abstract Background Castor is an important industrial raw material. Drought-induced oxidative stress leads to slow growth and decreased yields in castor. However, the mechanisms of drought-induced oxidative stress in castor remain unclear. Therefore, in this study, physiological, biochemical, and RNA-seq analyses were conducted on the roots of castor plants under PEG-6000 stress for 3 d and 7 d followed by 4 d of hydration. Results The photosynthetic rate of castor leaves was inhibited under PEG-6000 stress for 3 and 7 d. Biochemical analysis of castor roots stressed for 3 d and 7 d, and rehydrated for 4 d revealed that the activities of APX and CAT were highest after only 3 d of stress, whereas the activities of POD, GR, and SOD peaked after 7 d of stress. RNA-seq analysis revealed 2926, 1507, and 111 differentially expressed genes (DEGs) in the roots of castor plants under PEG-6000 stress for 3 d and 7 d and after 4 d of rehydration, respectively. GO analysis of the DEGs indicated significant enrichment in antioxidant activity. Furthermore, KEGG enrichment analysis of the DEGs revealed significantly enriched metabolic pathways, including glutathione metabolism, fatty acid metabolism, and plant hormone signal transduction. WGCNA identified the core genes PP2C39 and GA2ox4 in the navajowhite1 module, which was upregulated under PEG-6000 stress. On the basis of these results, we propose a model for the response to drought-induced oxidative stress in castor. Conclusions This study provides valuable antioxidant gene resources, deepening our understanding of antioxidant regulation and paving the way for further molecular breeding of castor plants.

Purpose: The aim of this systematic review and meta-analysis is to explore the effect of topical vancomycin powder (VP) in surgical site infection (SSI) prevention and adverse events after joint arthroplasty and to provide a specific theoretical basis for clinical treatment. Methods: The review process was conducted according to the PRISMA guidelines. Two independent researchers meticulously screened the literature based on predefined inclusion and exclusion criteria, evaluated the quality of the selected studies, and extracted relevant data. Data analysis was conducted using RevMan 5.4 software. Results: This meta-analysis included 24 studies encompassing a total of 34 811 patients. The pooled analysis showed that the topical administration of VP significantly reduced the incidence of SSI. Subgroup analyses by doses, type of joint (hip and knee), and type of surgery (primary and revision) confirmed that vancomycin consistently lowered SSI rates. Moreover, the incidence of SSI caused by gram-negative germs and gram-positive germs decreased following the use of VP, although the reduction was not significant for infections caused by MRSA. However, the use of VP was associated with a significant increase in sterile complications at the incision site and delayed incision healing. Conclusion: The topical application of VP is effective in reducing the incidence of infections following joint arthroplasty. Despite an increased risk of complications such as delayed healing of incisions, the pros and cons should be weighed in clinical decision-making. However, it should not be discarded due to side effects.

Abstract Reactive capture of carbon dioxide (CO2) offers an electrified pathway to produce renewable carbon monoxide (CO), which can then be upgraded into long-chain hydrocarbons and fuels. Previous reactive capture systems relied on hydroxide- or amine-based capture solutions. However, selectivity for CO remains low (

Abstract Prostate cancer (PCa) is one of the most common and prevalent cancers in men worldwide. The majority of PCa-related deaths result from metastasis rather than primary tumors. Several studies have focused on the relationship between male-specific genes encoded on the Y chromosome and PCa metastasis; however, the relationship between the male specific protein encoded on the Y chromosome and tumor suppression has not been fully clarified. Here, we report a male specific protein of this type, the histone H3 lysine 4 (H3K4) demethylase JARID1D, which has the ability to inhibit the gene expression program related to cell invasion, and can thus form a phenotype that inhibits the invasion of PCa cells. However, JARID1D exhibits low expression level in advanced PCa, and which is related to rapid invasion and metastasis in patients with PCa. Curcumin, as a multi-target drug, can enhance the expression and demethylation activity of JARID1D, affect the androgen receptor (AR) and epithelial-mesenchymal transition (EMT) signaling cascade, and inhibit the metastatic potential of castration resistant cancer (CRPC). These findings suggest that using curcumin to increase the expression and demethylation activity of JARID1D may be a feasible strategy to inhibit PCa metastasis by regulating EMT and AR.

The undercooled solidification of the Inconel 718 superalloy under high magnetic field was performed for the first time at high undercoolings (∼ 200 °C). The results show that the high magnetic field can significantly refine the grains of the undercooled alloys, with the average grain size decreasing from 241 ± 92 μm at 0 T to about a third under high magnetic fields (3 T ∼ 9 T). Detailed EBSD analysis provides clear evidence that Icosahedral Short-Range Order (ISRO) enhanced nucleation occurs. The present work opens up a new way for grain refinement of alloys.

Abstract Background Intravitreal injection of anti-vascular endothelial growth factor is considered the first-line treatment for polypoidal choroidal vasculopathy. It has potential risks for circulatory system, which should be particularly carefully evaluated in older patients. In this case study, we aim to discuss the potential impact of this treatment regimen on cardiac health. Case presentation This case report describes an elderly patient with no prior history of heart disease who exhibited unexpected heart enlargement and dysfunction. Throughout the patient’s hospital stay, various potential causes were investigated, leading to the hypothesis that a 10-year history of intravitreal injections of anti-vascular endothelial growth factor could be related to the observed clinical manifestations. The patient was advised to discontinue this treatment, and after a 2-month follow-up period, there was a gradual improvement in the patient’s cardiac structure and function. Conclusion This manuscript highlights the importance of conducting cardiac examinations before and after anti-vascular endothelial growth factor treatment, especially for individuals at risk of heart diseases like the elderly. It emphasizes the need to carefully weigh the benefits and risks of treatment regimens to ensure optimal therapeutic outcomes.

Abstract Accurately determining the extraction volumes from various aquifers is crucial for effectively managing groundwater overexploitation. A key initial step in quantifying extracted groundwater volumes involves the classification of groundwater wells as either deep or shallow. This study evaluated 881,872 groundwater wells in the Hebei Plain, applying machine learning techniques to classify wells with unknown depths. Through the hydrogeological borehole data, the groundwater wells with known depth are divided into deep wells and shallow wells. Four machine learning algorithms—Random Forest, Support Vector Machine, Logistic Regression, and Naive Bayes—were employed to classify groundwater wells with unknown depths. The accuracy of these models was validated using known-depth well classifications. The results reveal that the Random Forest algorithm exhibited the highest performance among the models, achieving an overall accuracy of 91.23%. According to the Random Forest model, 43.51% of groundwater wells with unknown depths were classified as deep, while 56.49% were classified as shallow. The study also found that wells in areas where salinity exceeds 2 g/L are primarily deep groundwater wells. These findings provide valuable technical insight for groundwater well decommissioning and facilitate the assessment of extracted volumes of deep and shallow groundwater.

Abstract We present a direct lattice QCD calculation of the x-dependence of the pion distribution amplitude (DA), which is performed using the quasi-DA in large momentum effective theory on a domain-wall fermion ensemble at physical quark masses and spacing a ≈ 0.084 fm. The bare quais-DA matrix elements are renormalized in the hybrid scheme and matched to MS ¯ $$ \overline{\textrm{MS}} $$ with a subtraction of the leading renormalon in the Wilson-line mass. For the first time, we include threshold resummation in the perturbative matching onto the light-cone DA, which resums the large logarithms in the soft gluon limit at next-to-next-to-leading log. The resummed results show controlled scale-variation uncertainty within the range of momentum fraction x ∈ [0.25, 0.75] at the largest pion momentum P z ≈ 1.85 GeV. In addition, we apply the same analysis to quasi-DAs from a highly-improved-staggered-quark ensemble at physical pion mass and a = 0.076 fm. By comparison we find with 2σ confidence level that the DA obtained from chiral fermions is flatter and lower near x = 0.5.

Abstract Background The role of miR-145-5p in non-small cell lung cancer (NSCLC) has been studied, however, the regulation of hBMSCs-derived exosomes (Exo) transmitted miR-145-5p in NSCLC was still unknown. This study aimed to investigate the role of hBMSCs-derived exosomes (Exo) in the progression of NSCLC. Methods The Exo was extracted from hBMSCs and added to A549 and H1299 cell culture, followed by the detection of cell proliferation, migration, and invasion. The correlation between the expression of miR-145-5p and SOX9, as well as their binding relationship was determined by correlation analysis, luciferase gene reporter assay and RNA pull-down assays. The in vivo animal model was established to further verify the impact of hBMSCs-Exo. Results It showed that miR-145-5p was downregulated and SOX9 was upregulated in NSCLC tissues. HBMSCs-derived Exo, and hBMSCs-Exo with overexpression of miR-145-5p could inhibit cell proliferation, migration, and invasion of both A549 and H1299 cells, and prevent against tumor progression in vivo. MiR-145-5p and SOX9 were found to be able to bind to each other, and a negative correlation were observed between the expression of them in NSCLC tissues. Furthermore, inhibition of SOX9 could reversed the suppressed role of miR-145-5p in vitro and in vivo. Conclusion Therefore, HBMSCs-Exo effectively transmitted miR-145-5p, leading to the suppression of malignant development in NSCLC through the regulation of SOX9.

Abstract Cholestatic liver diseases (CLD) are characterized by impaired normal bile flow, culminating in excessive accumulation of toxic bile acids. The majority of patients with CLD ultimately progress to liver cirrhosis and hepatic failure, necessitating liver transplantation due to the lack of effective treatment. Recent investigations have underscored the pivotal role of the gut microbiota-bile acid axis in the progression of hepatic fibrosis via various pathways. The obstruction of bile drainage can induce gut microbiota dysbiosis and disrupt the intestinal mucosal barrier, leading to bacteria translocation. The microbial translocation activates the immune response and promotes liver fibrosis progression. The identification of therapeutic targets for modulating the gut microbiota-bile acid axis represents a promising strategy to ameliorate or perhaps reverse liver fibrosis in CLD. This review focuses on the mechanisms in the gut microbiota-bile acids axis in CLD and highlights potential therapeutic targets, aiming to lay a foundation for innovative treatment approaches.

Suppression of roots and/or their symbiotic microorganisms, such as mycorrhizal fungi and rhizobia, is an effective way for alien plants to outcompete native plants. However, little is known about how invasive and native plants interact with the quantity and activity of nutrient-acquisition agents. Here a pot experiment was conducted with monoculture and mixed plantings of an invasive plant, Xanthium strumarium, and a common native legume, Glycine max. We measured traits related to root and nodule quantity and activity and mycorrhizal colonization. Compared to the monoculture, fine root quantity (biomass, surface area) and activity (root nitrogen (N) concentration, acid phosphatase activity) of G. max decreased in mixed plantings; nodule quantity (biomass) decreased by 45%, while nodule activity in N-fixing via rhizobium increased by 106%; mycorrhizal colonization was unaffected. Contribution of N fixation to leaf N content in G. max increased in the mixed plantings, and this increase was attributed to a decrease in the rhizosphere soil N of G. max in the mixed plantings. Increased root quantity and activity, along with a higher mycorrhizal association was observed in X. strumarium in the mixed compared to monoculture. Together, the invasive plant did not directly scavenge N from nodule-fixed N, but rather depleted the rhizosphere soil N of the legume, thereby stimulating the activity of N-fixation and increasing the dependence of the native legume on this N source. The quantity–activity framework holds promise for future studies on how native legumes respond to alien plant invasions.

To reveal the law of surface movement in mining steeply inclined ore body of metal mines and effectively predict the range of surface movement, taking the surface movement of the hanging wall of steeply inclined orebody mining in Gongchangling Iron Mine as an example, a mechanical model for calculating surface principal stress distribution and surface prone-cracking range was established. The topography, waste rock back filling and mining depth were considered in the mechanical model. Based on the mechanical model, the mechanical relation between the subsidence angle and the surface prone-cracking range was established, and the definition of subsidence angle was supplemented: the subsidence angle is the angle measured from the horizontal of the moving boundary line, a straight line with a displacement of 0 from the edge of the deepest extraction level to the surface and the largest surface cracking range. A trial calculation method for calculating the subsidence angle was proposed: by presetting different subsidence angles, the subsidence angle corresponding to maximum surface prone-cracking range calculated by mechanical model is the real subsidence angle. After the real subsidence angle is obtained, the surface prone-cracking range and depth can be determined by the mechanical model. At the same time, based on the limit equilibrium principle, the mechanical relation between the surface prone-cracking range and the slip of block was established, and the calculation method of the surface potential collapse range was proposed: the range can be determined by setting up limit equilibrium equations for potential sliding blocks corresponding to different cracking points in the surface prone-cracking range, and determining whether the blocks will undergo shear slip in turn. The subsidence angle at hanging wall caused by underground mining of the footwall iron-bearing belt of Gongchangling Iron Mine is 60°, the horizontal distance from the location with initial slip risk to the initial mining location is 130m, and the potential slip angle is 55°. According to the field experience of combined open-pit and underground mining in Gongchangling Iron Mine, timely and compact backfill of underground goaf and optimization of mining space-time sequence and mining intensity can effectively control surface movement, and realize safe combined mining of open-pit and underground in metal mine.

Abstract Drought is one of the natural stresses that greatly impact plants. Castor bean (Ricinus communis L.) is an oil crop with high economic value. Drought is one of the factors limiting castor bean growth. The drought resistance mechanisms of castor bean have become a research focus. In this study, we used castor germinating embryos as experimental materials, and screened genes related to drought resistance through physiological measurements, proteomics and metabolomics joint analysis; castor drought-related genes were subjected to transient silencing expression analysis in castor leaves to validate their drought-resistant functions, and heterologous overexpression and backward complementary expression in Arabidopsis thaliana, and analysed the mechanism of the genes' response to the participation of Arabidopsis thaliana in drought-resistance. Three drought tolerance-related genes, RcECP 63, RcDDX 31 and RcA/HD1, were obtained by screening and analysis, and transient silencing of expression in castor leaves further verified that these three genes corresponded to drought stress, and heterologous overexpression and back-complementary expression of the three genes in Arabidopsis thaliana revealed that the function of these three genes in drought stress response. In this study, three drought tolerance related genes, RcECP 63, RcDDX 31 and RcA/HD1, were screened and analysed for gene function, which were found to be responsive to drought stress and to function in drought stress, laying the foundation for the study of drought tolerance mechanism in castor bean.

In order to study the effects of different lactic acid bacteria on the quality of pickled radish, pickled radish was prepared with Leuconostoc mesenteroides AP7, Lactiplantibacillus pentosus LP10 and AP7-LP10 combination. The changes in physicochemical indicators, color differences, texture properties and sensory indicators during the fermentation process were analyzed. The results showed that the decrease rate of pH and reducing sugar content and the increase rate of total acid and lactic acid in the inoculated group were better than those in the natural fermentation group (P

In order to improve the safety and preservability of fermented vegetables, strain Leuconostoc mesenteroides AP7, with potent inhibitory effects on foodborne pathogens and bacteria causing paocai over-acidification, was selected from 8 Leuconostoc strains derived from traditional fermented vegetables in Yunnan, China. The main antimicrobial substance of AP7 was determined by eliminating the effects of organic acid and H2O2 and through protease sensitivity. The acid stability and thermal stability were analyzed and potential bacteriocin gene clusters were mined from the whole genome sequence of AP7. The results showed that the culture supernatant still had obvious antibacterial activity after excluding the influence of acid and H2O2, and after protease treatment, the antibacterial effect decreased significantly. It was speculated that the antibacterial substance in the concentrated culture supernatant was bacteriocin. The bacteriocin was sensitive to pH changes, had high thermal stability, and had a molecular weight of 6.51~14.4 kDa. Whole genome sequencing showed that the whole genome of AP7 contained 1 chromosome (1948310 bp) and 2 plasmids (37366 and 20698 bp), with a GC content of 37.7%. There was a gene cluster with Enterocin_X_chain_beta bacteriocin as the core. Its encoded product was predicted to be a positively charged hydrophilic stable protein, the secondary structure was dominated by α-helix, and the tertiary structure was mainly composed of loose peptide chains at both ends and an α-helix in the middle. In summary, the bacteriocin-producing Leuconostoc mesenteroides AP7 has excellent antibacterial properties and has the potential to be applied to the fermentation and preservation of acidic foods.

ObjectsExcessive oil and salt consumption is a public health issue, notably in China where intakes surpass WHO guidelines. The present study aims to examine the knowledge, attitudes, and practices of Southwestern China residents regarding oil and salt and explore the influencing factors.MethodsThis study used convenience sampling to collect data from 7,367 participants aged 18–75 in the Sichuan, Chongqing, Yunnan, and Guizhou regions of China via on-site face-to-face surveys. Descriptive statistics and generalized linear models were used to analyses knowledge, attitudes, and practices about oil and salt intake and their influencing factors among residents of Southwestern China.ResultsIn Southwestern China, residents of Guizhou Province exhibited poor KAP regarding oil and salt. There were urban–rural differences in Yunnan, Sichuan, and Chongqing, and residents living in towns and cities were the favored factors for KAP scores. Groups engaged in self-employment/sales and freelance were risk factors for KAP score. Individuals with higher education was a favorable factor for KAP score. In Yunnan, Sichuan, and Chongqing groups with preference of salty tastes were favorable factors in KAP score. Diabetic patients were more likely to score low on oil and salt-related KAP performance.ConclusionIn Southwestern China, residents of Guizhou Province displayed poor results in their KAP regarding oil and salt. The region of the province, ethnicity, urban and rural residence, education, taste preference, and prevalence of chronic diseases were the influencing factors of oil and salt-related KAP scores.

Abstract Evaluating vegetation restoration sustainability is crucial to avoid conflicts between human water demand and ecosystem consumption, especially with the surge in leaf area index (LAI) due to revegetation projects in China. However, current methods for assessing vegetation sustainability are still limited. Here, we developed a sustainability index for vegetation systems (vegetation sustainability index, VSI) from water demand and supply aspects based on reliability, resilience, and vulnerability in arid and semi‐arid areas. VSI was built upon a vegetation overplanting index (dLAI) which is the difference between the maximum LAI supported by precipitation (LAIp) and the observed LAI (LAIobs). A case study in the mountainous area of the Haihe River basin reveals gradually declining VSI after 2000. Forests are the primary vegetation type in areas with VSI < 0.5, indicating decreased sustainability due to overplanting. The framework of VSI can be a useful tool for planning and implementing vegetation restoration strategies in arid and semi‐arid regions.

Abstract Hyperuricemia (HUA) is a common metabolic disease and kidney injury is one of its main complications. As a typical natural flavonoid, puerarin (PEA) has a range of pharmacological activity but the antihyperuricemic mechanism of PEA has not been reported. Herein, the inhibitory activity of PEA against xanthine oxidase (XOD) was evaluated by in vitro enzymatic reaction, and kinetic analysis, the antihyperuricemic activity, and nephroprotective effect of PEA were studied in HUA mice. The enzymatic reaction showed that the inhibitory effect of PEA (half maximal inhibitory concentration [IC50] = 4.39 µmol/L) on XOD was at the same level as allopurinol (IC50 = 4.05 µmol/L), and kinetic analysis indicated that PEA was a mixed competitive inhibitor. In vivo studies demonstrated that PEA exhibited excellent antihyperuricemic activity by inhibiting XOD and urate transporter 1 (URAT1), to reduce uric acid level. At the same time, PEA reduced the level of inflammatory cytokines and exerted significant nephroprotective effect through anti‐inflammatory activity. Molecular docking indicated that PEA closely bind to both XOD and URAT1, which had the potential to become an inhibitor of XOD and URAT1. In summary, PEA has important application value in developing novel functional food and medicine for the treatment of HUA and its complications.

Abstract Because of the weak interfacial bonding between the substrates and active materials, most stretchable electronics often face the problem of performance destabilization and functional failure, especially under large strains. Herein, a super‐elastic, high conductive and core‐shell nanofibrous helix based on polyurethane (PU), silk fibroin (SF) and liquid metal (LM) is fabricated. Compared with traditional membrane, that the LM@PU/SF fibrous helix shows a wider range of workable strain (1500%) and reversible elasticity (600%) accompany with high conductivity is found. SF is acted as “glue” to strengthen the interfacial bonding between the PU and LM. The good elasticity of the helical structure and PU polymer as well as the fluidity of LM improve the stretchability, reversible elasticity and conductivity of the fibrous helix conductor. Furthermore, an alarming and monitoring apparatus using LM@PU/SF helix as the conductive unit based on multiscale fracture is engineered. This composite nanofibrous helix with ultra‐high conductivity and elasticity, making it a promising candidate for stretchable electronic devices.

Developing highly efficient single-atom catalysts (SACs) for electrocatalytic carbon dioxide reduction reaction (CO2RR) is a promising approach to promoting carbon neutrality. However, challenges such as low activity, selectivity and high costs hinder industrial scaling, attributed to the lack of innate activity or insufficient transition metal (TM) active site density in current catalysts. Therefore, the focus of CO2RR research remains on developing SACs with intrinsic catalytic activity, high TM coverage and cost-effectiveness. This study presents the design of carbon-based materials with ultra-high TM coverage (TM2C12) (TM = Mo, Ru, Rh, W, Re, Os and Ir) as electrocatalyst SACs for CO2RR using density functional theory calculations. Among these materials, W2C12 (W represents tungsten) demonstrates superior selectivity and catalytic activity for CO2RR to carbon monoxide (CO) products with overpotentials of 0.45 V and a W coverage of up to 71.84 wt%. To further enhance its catalytic activity, non-metallic (NM) coordination modification (NM = B, N, O, P doping and C vacancy) was explored on W2C12. The results indicate that N-doped W2C12 (N-W2C12) can significantly improve selectivity and catalytic activity, achieving an extremely low overpotential of 0.34 V. This research offers valuable insights into designing SACs with high activity, selectivity and stability for CO2RR and other catalytic reactions.

Excellent germplasm resources are the foundation for cultivating high-quality, disease-resistant, and stress-tolerant varieties. In this study, simple sequence repeat (SSR) markers were used to identify 138 potato accessions collected from worldwide, and genetic cluster analysis was used to characterize the genetic diversity of the tested germplasm resources. The Potato virus Y (PVY) resistance of these potato accessions was identified by artificial friction inoculation combined with molecular marker detection, and potato accessions with different PVY resistance were screened based on disease index and incidence rate. Using SSR markers, 138 potato accessions were identified, and the results showed that the genetic distances between the tested potato germplasm resources ranged from 0.025 to 0.660, and the genetic similarity coefficients ranged from 0.489 to 0.975. The 138 accessions could be clustered into five subgroups using Unweighted Pair-Group Method with Arithmetic Mean (UPGMA). Among them, Z173, Biyin No. 4, Suyin No. 2, XN995, XN987, Biyin No 22, Bibiao104, Sarpo mira, XN996, XN979, Desiree, RUNSHI, Actrice, Jia 1219, Heyin No 12, and Moyin No.1 have relatively distant genetic relationship with another 122 accessions. Based on the disease index, the following different accessions were screened: five highly resistant, 11 resistant, 45 moderately resistant, 35 susceptible, and 42 highly susceptible. Fourteen resource materials with good resistance (disease index ≤ 33.74%, and a grading of high resistance (HR) or medium resistance (MR); incidence rate ≤ 67.58%) were identified. By combining genetic cluster analysis and PVY resistance identification, six accessions showed PVY resistance and had distant genetic relationships with other accessions selected which provided important materials for disease resistance breeding and quality improvement of potato. In this study, the genetic diversity and PVY resistance of global potato germplasm resources was explored, and potato germplasm materials with important utilization value were screened. The results obtained in this study could provide important references for the research and utilization of global potato germplasm resources.

ObjectivesWe aimed to assess the influence of psychosocial profiles on dietary behaviors among school-aged adolescents in China.MethodsA cross-sectional study was conducted involving 7,862 adolescents from 100 schools in Shandong, China. Psychosocial profiles and dietary behaviors were assessed using the Junior High School Students’ Psychosocial Profiles Questionnaire (JPPQ) and the Chinese Diet Quality Questionnaire (DQQ), respectively. Linear regression models were used to investigate the association between adolescents’ psychosocial profiles and dietary behaviors.ResultsThe mean age of the participants was 13.18 ± 1.15 years; 48.5% of them were boys. The majority of participants (97.90%) were Han Chinese, and approximately half of the participants (50.90%) resided in rural areas. After adjusting for sociodemographic characteristics and family computer and Internet ownership and usage, healthy dietary behavior was positively correlated with higher psychosocial profile scores (p < 0.05). The stratified analysis results revealed that the group with the highest psychosocial profile score was associated with an increased overall global dietary reference (GDR) score in “households without a family computer and Internet” (β: 5.357, 95% Cl: 4.931–5.784, p < 0.05).ConclusionGood psychosocial profiles exhibit a positive influence on healthy dietary behaviors. Therefore, policymakers should focus on Internet usage to maximize the positive effects on global youth health behaviors.

Selenium (Se) is a vital trace element integral to numerous biological processes in both plants and animals, with significant impacts on soil health and ecosystem stability. This review explores how soil microorganisms facilitate Se transformations through reduction, oxidation, methylation, and demethylation processes, thereby influencing the bioavailability and ecological functions of Se. The microbial reduction of Se compounds, particularly the conversion of selenate and selenite to elemental Se nanoparticles (SeNPs), enhances Se assimilation by plants and impacts soil productivity. Key microbial taxa, including bacteria such as Pseudomonas and Bacillus, exhibit diverse mechanisms for Se reduction and play a substantial role in the global Se cycle. Understanding these microbial processes is essential for advancing soil management practices and improving ecosystem health. This review underscores the intricate interactions between Se and soil microorganisms, emphasizing their significance in maintaining ecological balance and promoting sustainable agricultural practices.

Fast homogenization without incipient melting is the key to designing solution heat treatment (SHT) process for single crystal superalloys. In this paper, a multicomponent phase-field model coupled with solidus temperature is developed for dynamically tracking incipient melting temperature, TIM, of alloy during SHT. The simulation process runs completely automatically only by inputting the composition information of as-cast specimen. Based on the obtained TIM-time profile, the holding temperature and the time of SHT are determined. Applying this approach to Co–30Ni–11Al–4W–1Ta–4Ti–5Cr single crystal specimen, a gradual increased TIM from 1247 °C to 1293 °C within 72,000 s is obtained, and thus a stepwise SHT process with a short time of less than 20 h is designed. The experimental verification shows that after SHT, the segregation coefficient of the slowest diffusing element W decreased from more than 2 to 1.065, the content of harmful secondary phase has decreased to below 0.1%, and no incipient melting occurs.

Abstract Although tension band wiring (TBW) is popular and recommended by the AO group, the high rate of complications such as skin irritation and migration of the K-wires cannot be ignored. Ding’s screw tension band wiring (DSTBW) is a new TBW technique that has shown positive results in the treatment of other fracture types. The objective of this study was to evaluate the stability of DSTBW in the treatment of olecranon fractures by biomechanical testing. We conducted a Synbone biomechanical model by using three fixation methods: DSTBW, intramedullary screw and tension band wiring (IM-TBW), and K-wire TBW, were simulated to fix the olecranon fractures. We compared the mechanical stability of DSTBW, IM-TBW, and TBW in the Mayo Type IIA olecranon fracture Synbone model using a single cycle loading to failure protocol or pullout force. During biomechanical testing, the average fracture gap measurements were recorded at varying flexion angles in three different groups: TBW, IM-TBW, and DSTBW. The TBW group exhibited measurements of 0.982 mm, 0.380 mm, 0.613 mm, and 1.285 mm at flexion angles of 0°, 30°, 60°, and 90° respectively. The IM-TBW group displayed average fracture gap measurements of 0.953 mm, 0.366 mm, 0.588 mm, and 1.240 mm at each of the corresponding flexion angles. The DSTBW group showed average fracture gap measurements of 0.933 mm, 0.358 mm, 0.543 mm, and 1.106 mm at the same flexion angles. No specimen failed in each group during the cyclic loading phase. Compared with the IM-TBW and TBW groups, the DSTBW group showed significant differences in 60° and 90° flexion angles. The mean maximum failure load was 1229.1 ± 110.0 N in the DSTBW group, 990.3 ± 40.7 N in the IM-TBW group, and 833.1 ± 68.7 N in the TBW group. There was significant difference between each groups (p

Abstract Background Portal hypertension (PHT) has been proven to be closely related to the development of hepatocellular carcinoma (HCC). Whether PHT before liver transplantation (LT) will affect the recurrence of HCC is not clear. Methods 110 patients with depressurization of the portal vein (DPV) operations (Transjugular Intrahepatic Portosystemic Shunt—TIPS, surgical portosystemic shunt or/and splenectomy) before LT from a HCC LT cohort, matched with 330 preoperative non-DPV patients; this constituted a nested case-control study. Subgroup analysis was based on the order of DPV before or after the occurrence of HCC. Results The incidence of acute kidney injury and intra-abdominal bleeding after LT in the DPV group was significantly higher than that in non-DPV group. The 5-year survival rates in the DPV and non-DPV group were 83.4% and 82.7% respectively (P = 0.930). In subgroup analysis, patients in the DPV prior to HCC subgroup may have a lower recurrence rate (4.7% vs.16.8%, P = 0.045) and a higher tumor free survival rate (88.9% vs.74.4%, P = 0.044) after LT under the up-to-date TNMI–II stage, while in TNM III stage, there was no difference for DPV prior to HCC subgroup compared with the DPV after HCC subgroup or the non-DPV group. Conclusion Compared with DPV after HCC, DPV treatment before HCC can reduce the recurrence rate of HCC after early transplantation (TNM I-II). DPV before LT can reduce the recurrence of early HCC.

Narrow gap oscillating laser welding with filler wire is a promising technique for joining high-strength steels in construction machinery. In order to investigate the influence of beam oscillation on the surface morphology and microstructure of weld joints of two types of commonly-used high-strength steels, a comparative study between oscillation welding and non-oscillation welding was conducted. High-speed photography technique was employed to reveal the microstructure and mechanical properties of the dissimilar joints. The results showed that laser beam oscillation produces two effects: one was to enlarge the heated surface of molten pool, while the other was to stir the liquid metal in molten pool periodically. Under the first effect, the fusion between sidewall and weld bead layers was promoted, while under the latter, coarse columnar grains ceased to appear, but finer grains were formed. The weld joints between Q355 and 35 steels exhibited excellent tensile impact bending performance, which was attributed to the grain refinement effect. The results also demonstrated that the oscillation welding with a contact angle less than 50° could avoid lack of fusion in multi-pass wire-filling laser welding. The influence of the oscillation welding process on the quality of welding was further discussed.

Abstract To compare the biomechanical properties of several anterior pelvic ring external fixators with two new configurations in the treatment of Tile C pelvic fractures, in order to evaluate the effectiveness of the new configurations and provide a reference for their clinical application. A finite element model of a Tile C pelvic ring injury (unilateral longitudinal sacral fracture and ipsilateral pubic fracture) was constructed. The pelvis was fixed with iliac crest external fixator (IC), anterior inferior iliac spine external fixator (AIIS), combination of IC and AIIS, combination of anterior superior iliac spine external fixator (ASIS) and AIIS, and S1 sacroiliac screw in 5 types of models. The stability indices of the anterior and posterior pelvic rings under vertical longitudinal load, left–right compression load and anterior–posterior shear load were quantified and compared. In the simulated bipedal standing position, the results of the vertical displacement of the midpoint on the upper surface of the sacrum are consistent with the displacement of the posterior rotation angle, and the order from largest to smallest is IC, AIIS, ASIS + AIIS, IC + AIIS and S1 screw. The longitudinal displacement of IC is greater than that of the other models. The displacements of ASIS + AIIS and IC + AIIS are similar and the latter is smaller. In the simulated semi-recumbent position, the vertical displacement and posterior rotation angle displacement of the midpoint on the upper surface of the sacrum are also consistent, ranking from large to small: IC, AIIS, ASIS + AIIS, IC + AIIS and S1 screw. Under the simulated left–right compression load state, the lateral displacements of the highest point of the lateral sacral fracture end are consistent with the highest point of the lateral pubic fracture end, and the order from large to small is S1 screw, IC, AIIS, ASIS + AIIS and IC + AIIS, among which the displacements of S1 screw and IC are larger, and the displacements of ASIS + AIIS and IC + AIIS are similar and smaller than those of other models. The displacements of IC + AIIS are smaller than those of ASIS + AIIS. Under the simulated anterior–posterior shear load condition, the posterior displacements of the highest point of the lateral sacral fracture end and the highest point of the lateral pubic fracture end are also consistent, ranking from large to small: IC, AIIS, ASIS + AIIS, IC + AIIS and S1 screw. Among them, the displacements of IC and AIIS are larger. The displacements of ASIS + AIIS and IC + AIIS are similar and the latter are smaller. For the unstable pelvic injury represented by Tile C pelvic fracture, the biomechanical various stabilities of the combination of IC and AIIS are superior to those of the external fixators of conventional configurations. The biomechanical stabilities of the combination of ASIS and AIIS are also better than those of the external fixators of conventional configurations, and slightly worse than those of the combination of IC and AIIS. Compared with sacroiliac screw and conventional external fixators, the lateral stabilities of IC + AIIS and ASIS + AIIS are particularly prominent.

ABSTRACT Importance Type D esophageal atresia (EA) with tracheoesophageal fistula (TEF) is characterized by EA with both proximal and distal TEFs. It is a rare congenital anomaly with a very low incidence. Objective To investigate diagnostic and treatment strategies for this rare condition. Methods We retrospectively reviewed the clinicopathological features of patients with EA/TEF treated at our institution between January 2007 and September 2021. Results Among 386 patients with EA/TEF, 14 (3.6%) had type D EA/TEF. Only two patients were diagnosed with proximal TEF preoperatively. Seven patients were diagnosed intraoperatively. Five patients were missed for diagnosis during the initial surgery but was later confirmed by bronchoscopy. During the neonatal period, seven patients underwent a one‐stage repair of proximal and distal TEF via thoracoscopy or thoracotomy. Due to missed diagnosis and other reasons, the other 7 patients underwent two‐stage surgery for repair of the proximal TEF, including cervical incision and thoracoscopy. Ten of the 14 patients experienced postoperative complications including anastomotic leakage, pneumothorax, esophageal stricture, and recurrence. Patients who underwent one‐stage repair of distal and proximal TEF during the neonatal period showed a higher incidence of anastomotic leak (4/7). In contrast, only one of seven patients with two‐stage repair of the proximal TEF developed an anastomotic leak. Interpretation Type D EA/TEF is a rare condition, and proximal TEFs are easily missed. Bronchoscopy may aim to diagnose and determine the correct surgical approach. A cervical approach may be more suitable for repairing the proximal TEF.

Abstract Background To investigate the prevalence and risk factors for astigmatism in 7-19-year-old students in Xinjiang, China. Methods A school-based, cross-sectional study was conducted on students who underwent refraction examination in Xinjiang, China, between May and December 2019. The prevalence of astigmatism was determined. Astigmatism was defined as cylinder power (C) ≤-0.75 D, undefined astigmatism as ≤-1.50 D, and high astigmatism as C ≤-3.00 D. Astigmatism types were: against-the-rule astigmatism (maximum refraction of the main meridian in 180° ± 30°), with-the-rule astigmatism (maximum refraction of the main meridian at 90°±30°), and oblique astigmatism (all other cases). Results Of the 71,838 students examined (51.0% boys, 7 − 19 years old), 25,945 (36.1%, 95%CI: 35.52−36.68%) had astigmatism and 1267 (1.8%, 95%CI: 1.07−2.53%) had high astigmatism. The prevalence of astigmatism was greater in Han individuals (39.6%) compared with the Hui (34.0%), Kazakh (34.0%), Kyrgyz (32.1%), and Uyghur (26.4%) populations. Among the 25,945 students with astigmatism, 19,947 had with-the-rule astigmatism (76.9%), 3405 had against-the-rule astigmatism (13.1%), and 2593 had oblique astigmatism (10.0%). Multivariable logistic regression analysis showed that ethnicity (Han individuals more susceptible), male gender, age, and refractive errors (myopia and hyperopia) were independently associated with astigmatism, high astigmatism, and with-the-rule astigmatism (all P

Objectives: While the decision of abortion is undeniably complex, there are situations where it becomes a necessary choice. In such circumstances, a secure abortion procedure is essential to safeguard the physical and mental well-being of women. A uterine direct visualization system was designed to fulfill the requirements and this study undertook an assessment of the system's safety and effectiveness within a medical facility setting. Materials and methods: Induced abortion requested women in 17 institutions across the country between December 2016 and February 2017 were enrolled. Subjects were separated to the study and control group randomly. Induced abortion was conducted by a uterine direct visualization system and an ultrasound-guided system in the study and control group, respectively. The clinical indexes collected during intra- and post-procedures were analyzed and compared between groups. Results: Overall, 392 and 339 subjects were included in the study and control group, respectively. The baseline demographic and clinical characteristics were similar between two groups. Subjects in the study group had significant smaller number of uterine cavity entry (p

Landslide susceptibility mapping (LSM) predicts potential landslide risks based on historical landslides, playing a crucial role in landslide prevention and control. This study proposes a novel approach for LSM in open-pit mines, leveraging a comprehensive landslide case database. This method addresses the limitations of traditional LSM approaches, such as sensitivity to historical landslide records, low-quality inventories, and limited dataset size. By expanding the training set and incorporating case-based reasoning (CB-LSM) using Long Short-Term Memory (LSTM) for machine learning, the model demonstrated a 10% improvement in predictive accuracy compared to statistical models, showing strong applicability even in areas with low-quality landslide inventories. Additionally, this study enhances the practical utility of LSM by introducing a similar case matching method, employing Fuzzy C-Means (FCM) clustering, which links high-risk areas identified by LSM with specific landslide prevention measures. The proposed approach not only improves the accuracy of landslide predictions but also strengthens the connection between LSM results and effective landslide prevention strategies. Given the higher risks associated with landslides in open-pit mines, the proposed method significantly lowers the threshold for applying LSM in these environments, offering a valuable tool for safeguarding personnel and property.

AiiA can be targeted to quench N-acyl-homoserine lactones (AHLs) quorum sensing signaling molecules. In this paper, we extracted and purified AiiA protein by constructing recombinant engineering bacteria to analyze the effect of AiiA on the formation of Vibrio parahaemolyticus biofilm. The results suggest that AiiA has a particular potential in inhibiting the formation of biofilms and extracellular polymers. The ability of AiiA to inhibit biofilm increased and then decreased, with the lowest biofilm decomposition concentration of 8 μg/mL and the optimal inhibitor concentration of 85 μg/mL (86.9% biofilm inhibition). LC-MS results showed that when the concentration of C4-HSL in Vibrio parahaemolyticus ATCC33847 biofilm exceeded 3.70 μg/L, the content of quorum sensing signaling molecules reached a threshold and began to activate LuxR protein to regulate the expression of related genes. These results provide relevant experimental guidance for the clinical treatment of biofilm infections and the development of novel QS inhibitors.

In reinforced concrete structures, the interface between old and new concrete is commonplace in precast splices, repairs, and construction joints, and is vital for structural integrity. While extensive research has been conducted on the mechanical bonding properties of interfaces between new and old concrete, there remains a notable gap in understanding the shear behavior under various interfacial treatments. To investigate the influence of interface preparation methods and surface roughness on the shear performance of new-to-old concrete interface, direct shear tests were conducted on Z-shaped specimens. The surface roughness of the initially cast specimens was measured using 3D laser scanning, and the interface morphology was observed by scanning electron microscopy. A comprehensive analysis of comparison between calculated and experimental shear strength values was conducted on 243 sets of direct shear test data. Results revealed that the surface roughness of the specimens ranged from 0.13–3.69 mm, with voids of 0.5–10 μm width present in the bond interfaces. Two failure modes, namely cohesion and adhesion, were identified in the aggregates on the bond interfaces. Within a specific range, the shear strength of bond interfaces increased with an increase in surface roughness. Additionally, bond interfaces with the same roughness but different surface process methods exhibited varying shear bearing capacities. Furthermore, the formula for calculating the shear strength of bond interfaces based on different surface preparation processes and segmented roughness was developed.

Influenza vaccination is the most cost-effective strategy for influenza prevention. Influenza vaccines have been found to be effective against symptomatic and medically attended outpatient influenza illnesses. However, there is currently a lack of data regarding the effectiveness of inactivated influenza vaccines in Chongqing, China. We conducted a prospective observational test-negative design study. Outpatient and emergency cases presenting with influenza-like illnesses (ILI) and available influenza reverse transcription polymerase chain reaction (RT-PCR) were selected and classified as cases (positive influenza RT-PCR) or controls (negative influenza RT-PCR). A total of 7,307 cases of influenza and 7,905 control subjects were included in this study. The overall adjusted influenza vaccine effectiveness (IVE) was 44.4% (95% confidence interval (CI): 32.5–54.2%). In the age groups of less than 6 years old, 6–18 years old, and 19–59 years old, the adjusted IVE were 32.2% (95% CI: 10.0–48.9%), 48.2% (95% CI: 30.6–61.4%), and 72.0% (95% CI: 43.6–86.1%). The adjusted IVE for H1N1, H3N2 and B (Victoria) were 71.1% (95% CI: 55.4–81.3%), 36.1% (95% CI: 14.6–52.2%) and 33.7% (95% CI: 14.6–48.5%). Influenza vaccination was effective in Chongqing from 2018 to 2022. Evaluating IVE in this area is feasible and should be conducted annually in the future.

ABSTRACTAntibiotics are commonly used to address animal health issues and enhance overall productivity in animal agriculture. However, overuse and misuse of antibiotics has become a concern in the field of agriculture and pose potential food safety risks. Efficiently controlling antibiotic resistance in animal agriculture is of vital importance. Various technologies have been developed and employed to prevent and control antibiotic-resistant bacteria in this field, such as ozone sterilization technology, among others. This review provides a comprehensive overview of current sterilization technologies in animal agriculture, including chemical sanitizers, plasma oxidation, bacteriophage, ozone, ultraviolet, ultrasonic irradiation, and photodynamic inactivation. Furthermore, we present novel insights and future perspectives on the prevention and control of antibiotic resistance in animal agriculture.

BackgroundLong-term care (LTC) homes face the challenges of increasing care needs of residents and a shortage of health care providers. Literature suggests that artificial intelligence (AI)–enabled robots may solve such challenges and support person-centered care. There is a dearth of literature exploring the perspectives of health care providers, which are crucial to implementing AI-enabled robots. ObjectiveThis scoping review aims to explore this scant body of literature to answer two questions: (1) what barriers do health care providers perceive in adopting AI-enabled robots in LTC homes? (2) What strategies can be taken to overcome these barriers to the adoption of AI-enabled robots in LTC homes? MethodsWe are a team consisting of 3 researchers, 2 health care providers, 2 research trainees, and 1 older adult partner with diverse disciplines in nursing, social work, engineering, and medicine. Referring to the Joanna Briggs Institute methodology, our team searched databases (CINAHL, MEDLINE, PsycINFO, Web of Science, ProQuest, and Google Scholar) for peer-reviewed and gray literature, screened the literature, and extracted the data. We analyzed the data as a team. We compared our findings with the Person-Centered Practice Framework and Consolidated Framework for Implementation Research to further our understanding of the findings. ResultsThis review includes 33 articles that met the inclusion criteria. We identified three barriers to AI-enabled robot adoption: (1) perceived technical complexity and limitation; (2) negative impact, doubted usefulness, and ethical concerns; and (3) resource limitations. Strategies to mitigate these barriers were also explored: (1) accommodate the various needs of residents and health care providers, (2) increase the understanding of the benefits of using robots, (3) review and overcome the safety issues, and (4) boost interest in the use of robots and provide training. ConclusionsPrevious literature suggested using AI-enabled robots to resolve the challenges of increasing care needs and staff shortages in LTC. Yet, our findings show that health care providers might not use robots because of different considerations. The implication is that the voices of health care providers need to be included in using robots. International Registered Report Identifier (IRRID)RR2-doi:10.1136/bmjopen-2023-075278

Free radicals can improve the reaction rate, but most of them are unstable due to unpaired electrons. Simultaneously maintaining their stability and activity is challenging. Herein, taking sulfur (S) radicals as an example, we propose a strategy in which solvated metal complexes constructed by Al(acetylacetonate)3 and different solvents can stabilize high concentrations of S radicals with good activity through ion–dipole interactions. Based on this strategy, it is first demonstrated that S4·− is selectively stabilized by controlling the configurations of the solvated complexes. As a result, the reaction rate of S↔Li2S is increased by 8 times, and the energy efficiency and rate capability of the Li–S batteries are significantly improved, especially the 5-fold increase in cell capacities at a low electrolyte/sulfur ratio. This work provides an important strategy in which solvated metal complexes balance the activity and stability of free radicals to accelerate reactions and their application in various fields.

Background: JianPiTongLuo Recipe (JPTL Recipe) is a traditional Chinese medicine formula commonly used in the clinical treatment of colorectal cancer. Clinical studies have found that it can significantly improve the prognosis of patients with colorectal cancer. However, its mechanisms of action are not well understood, which has limited its further clinical application. Methods: We investigated the potential mechanisms of action of the JianPiTongLuo (JPTL) Recipe on colorectal cancer (CRC) using a multi-step approach. Initially, network pharmacology and bioinformatics analyses were conducted using databases such as TCMSP, HERB, BATMAN-TCM, and STRING to identify active components of JPTL Recipe and predict their therapeutic targets. Interaction networks and functional enrichment analyses were constructed to hypothesize relevant biological processes and pathways. In vitro studies involved treating human CRC cell lines HCT116, LoVo and SW480 with varying concentrations of JPTL Recipe extract, measuring cell viability with the CCK-8 assay, assessing apoptosis via flow cytometry, and analyzing signaling pathways through Western blotting. To corroborate these findings, in vivo experiments were performed on BALB/c nude mice implanted with HCT116 cells, divided into control, JPTL Recipe-treated, 5-fluorouracil (5-FU)-treated, and JPTL Recipe combined with 5-FU groups, with tumor growth and histological changes monitored. Mechanistic studies focused on the PI3K/AKT signaling pathway, examining the phosphorylation status of key pathway proteins using immunofluorescence and Western blot analyses to elucidate JPTL Recipe 's interaction with pathway activity. Results: We demonstrated that JPTL Recipe effectively inhibits colorectal cancer cell proliferation, anti-apoptotic ability, and exerts synergistic therapeutic effects with fluorouracil. Further analysis revealed that JPTL Recipe affects the activity of colorectal cancer cells by inhibiting the phosphorylation of the PI3K/AKT signaling pathway. Conclusion: In summary, we have discovered and confirmed that the traditional Chinese medicine compound JPTL Recipe can serve as a novel adjuvant therapy for colorectal cancer, offering a new treatment approach for the integration of traditional Chinese and Western medicine in the treatment of colorectal cancer.

Grouted sleeve connection is the widely used method for the connection of stressed steel reinforcement bars in precast concrete structure. The reliability of the connection depends on the bond strength between the steel bars and the grouting materials. In this study, the uniaxial tensile test of 204 grouted sleeve connection specimens was carried out. The test parameters included steel bar diameter, steel bar anchorage length, grouting material strength, etc. Test results indicate that there are two main failure modes for the specimens, steel reinforcement tensile fracture and bond failure, which are mainly affected by the anchorage length of steel bars. When the anchorage length is greater than 5ds, the main failure mode is steel bar tension fracture. Furthermore, 236 sets of data in the relevant literatures were collected. Combined with the experimental data, a database of bond strength between steel bars and grouting materials containing 334 sets of data was established, and a calculation formula of ultimate bond strength of grouted sleeve with high applicability was proposed. Finally, the reliability of the grouted sleeve connection with different anchorage lengths and the failure probability under different anchorage lengths were analyzed. On this basis, the minimum anchorage length for different types of steel bars was proposed. The minimum anchorage length of HRB400 steel bars ranges from 5ds to 8ds, the minimum anchorage length of HRB500 steel bars ranges from 7ds to 10ds, and the minimum anchorage length of HRB600 steel bar ranges from 9ds to 12ds.

Background: Cerebral infarct associated with varicella-zoster virus (VZV) has been reported in the literature, while isolated central dizziness due to lateral medullary infarct (LMI) following VZV infection is rarely reported. Case report: We report the case of a 65-year-old man who presented to the neurology department because of herpes zoster on the right trigeminal nerve distribution. At 12 hours after admission, he developed transient vertigo along with nausea and unsteady walking and left-sided spontaneous horizontal nystagmus, gaze-evoked nystagmus, and upbeat nystagmus. The other usual signs of LMI including Horner syndrome, dysarthria, swallowing difficulty, and hemibody sensory change were absent. Video head impulse indicated decreased head impulse gain of the vestibulo-ocular reflex for the bilateral horizontal, anterior, and posterior semicircular canals with abnormal saccade waves. Suppression head impulse paradigm showed few downward saccades reflecting anti-compensatory saccades after the end of the head impulse back to the head-fixed target and decreased vestibulo-ocular reflex gain values of bilateral semicircular canals. Brain magnetic resonance imaging (MRI) showed a small infarct in the far dorsolateral portion of the left rostral medulla. The cerebrospinal fluid was positive for VZV DNA. Conclusions: In patients with VZV infection who develop dizziness, the possibility of cerebral infarct should be considered. Patients with facial herpes zoster and neurological symptoms always be screened for stroke using MRI and lumbar puncture should be performed and acyclovir administered empirically.

Study region: The Yangtze−Huang−Huai−Hai River basin (3.19 million km2) in China, which is vital for China's economic development. Study focus: We employed the Eulerian method to identify the primary water vapor channels from 2005 to 2020, and the water vapor net budget over the basin was calculated. Additionally, the Lagrangian method was utilized to simulate water vapor transport trajectories across four seasons, with the aim of investigating the influence of changes in water vapor on precipitation. New hydrological insights for the region: Utilizing both Eulerian and Lagrangian methods, the findings indicate that: (1) Precipitation in the basin experienced a downward trend of −3.5 mm·a−1 during 2005−2020, mainly in spring (−1.4 mm·a−1) and summer (−1.7 mm·a−1); (2) The water vapor net budget has a substantial downward trend (−0.9 kg·m−1·s−1·a−1), mainly in spring (−0.4 kg·m−1·s−1·a−1) and summer (−0.3 kg·m−1·s−1·a−1), which aligns with the declining trend of precipitation. (3) The Hybrid Single Particle Lagrangian Integrated Trajectory Model demonstrates that the decrease in long−distance water vapor transport trajectories impacts the basin’s water vapor channels. The decline in spring is predominantly influenced by the water vapor transport trajectories from Asia, Europe, and Africa−Arctic Ocean (−0.7 %·a−1), while the summer is mainly driven by the water vapor transport trajectory from the Indian Ocean−South China Sea (−0.3 %·a−1). This study improves the existing understanding of the hydrological cycle in the context of the basin, and offers a crucial scientific basis for water resource management and regulation.

Deficits in executive control of attention have been reported in schizophrenia patients, but can be ameliorated by treatment of atypical antipsychotics along with the symptoms. However, it remains unclear whether this effect is related to a modulation of hemispheric asymmetry in executive control by the medicine. In this behavioral study, we employed a lateralized version of the attention network test to examine the hemispheric asymmetry of executive control in schizophrenia patients before and after olanzapine treatment, compared to matched healthy controls. Executive control was measured as a conflict effect, indexed as the response time (RT) difference between incongruent versus congruent flanker conditions, and was compared between stimuli presented in the left and the right visual field (i.e., processed by right versus left hemisphere of the brain). Results showed that pre-treatment schizophrenia patients revealed a right hemisphere superiority in conflict effect (i.e., a smaller effect in the right hemisphere than in the left hemisphere), driven by the incongruent condition. Olanzapine treatment reduced this right hemisphere superiority by improving the efficiency of the left hemisphere in the incongruent condition. These results suggested that olanzapine treatment may improve the efficiency of executive control in the left hemisphere in schizophrenia patients.

Abstract Background Periprosthetic joint infection (PJI) is a severe complication of joint arthroplasty that causes significant pain and economic loss. This study aimed to determine whether the current evidence supports single-stage revision for PJI based on reinfection and reoperation rates. Methods We searched the PubMed, EBSCO, Medline, and Cochrane Library databases from inception to 30 May 2023 to identify studies that compared single-stage revision and two-stage revision for PJI. Data on reinfection and reoperation rates were pooled. Results This meta-analysis included a total of 40 studies with 8711 patients. Overall, there was no significant difference between single- and two-stage revision regarding the postoperative reinfection rate and reoperation rate. Subgroup analysis by surgery period and different surgical sites revealed no difference between the two groups in the reinfection and reoperation rates. Conclusions Based on the available evidence, our study did not identify a significant difference in reinfection and reoperation rates between single- and two-stage revision for PJI. Given the limitations in inclusion/exclusion criteria and the observed heterogeneity, we acknowledge the complexity of drawing strong conclusions. Therefore, we suggest that the choice between single- and two-stage revision should be carefully considered on an individual basis, taking into account patient-specific factors and further research developments.