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Abstract The security of natural gas supply and demand has always been an important topic, and as a result, analyzing and predicting the supply and demand of natural gas has received considerable attention from researchers. Numerous studies have extensively researched the supply and demand of natural gas. The main purpose of this study is to explore the supply‐demand balance mechanism for natural gas security. A system dynamics model is constructed to assess the supply and demand of natural gas in Sichuan Province, China. A new system dynamics model based on domestic gas, production gas, ecological environment and natural gas supply is proposed. The study considers four scenarios: natural development, economic priority development, environmental priority development and coordinated development. The results show that the rapid economic development has led to an excessive environmental carrying capacity, a larger gap between natural gas supply and demand, a decline in the quality of life of residents, and even affected the energy security of Sichuan Province and China. The findings also show that people's overprotection of the environment can lead to slow economic development, which prevents it from achieving its desired goals. The coordinated development scenario in this paper not only ensures the production of natural gas and the quality of life of residents, but also is an optimal scheme with low energy consumption and pollution. According to the research conclusions, considering the overall situation of China's energy security and the situation in Sichuan Province, the author proposes reforms from the supply and demand sides of natural gas.

Objective: The preventive and therapeutic effects of the aqueous extract of Ficus pumila on COPD model rats were observed and its mechanism was also discussed. Methods: COPD model was established by intratracheal injection of lipopolysaccharide and smoking. Using the pulmonary function test, the level of related inflammatory factors detection in the BALF by ELISA, the blood gas analysis and HE staining for lung pathological observation. Results: The results showed that the indexes of the model rats were consistent with the pathological characteristic of COPD. The model group animals had obvious airflow obstruction, while the high dose of F. pumila aqueous extract group could significantly increase the levels of FVC, Fev0.3, PEF, Fev0.3/FVC （P2 and CO2 in the lungs of the model rats; At the same time, the high dosage of Ficus pumila aqueous extract can significantly improve the pulmonary ventilation function of COPD, and the effect was better than positive drug. Medium dose-, high dose aqueous extract group and positive drug group could significantly reduce the number of leukocytes （P

The molecular mechanisms of epigenetic regulation in gastric cancer development are not yet well established. In this study, we demonstrated that KMT2A was highly expressed in gastric cancer and associated with poor outcomes of patients and revealed that KMT2A was significantly associated with stemness and increased nuclear β-catenin in gastric cancer. Mechanistically, KMT2A activated the translocation of β-catenin into the nucleus of gastric cancer cells, and then, β-catenin served as a coactivator of KLF11, which promoted the expression of specific gastric cancer stemness-related molecules, including SOX2 and FOXM1. Together, KMT2A is an important epigenetic regulator of gastric cancer stemness, which provides a novel insight to the potential application of targeting against KMT2A in treating gastric cancer.

Aims: Shared decision-making regarding COVID-19 vaccination in IgA nephropathy involves the ability to handle health information regarding potential benefits and risk of flare, but few studies have evaluated health literacy in the context of vaccination. We aimed to evaluate the health literacy and COVID-19 vaccination uptake and acceptance in IgA nephropathy. Methods: Single-center cross-sectional study of 126 consecutive patients with IgA nephropathy. Health literacy was assessed using the HLS-EU-47 questionnaire. Determinants of vaccine acceptance such as contextual influences, individual and group influences, and vaccine-specific issues were adapted from the World Health Organization framework. Results: Forty-eight patients (38.1%) with IgAN nephropathy completed the survey between June and August 2021. The participants’ median age was 40.5 (31.6, 52.8) years with median disease duration of 2.8 (1.3, 4.3) years. The median general health literacy index was 31.74 (29.88, 35.82) with significantly greater difficulty in the competency of appraising health information and in the domain of disease prevention (p < 0.001). Forty-five patients (93.8%) received at least one dose of COVID-19 vaccine between January and August 2021. Among the 3 unvaccinated patients, 2 intended to receive the vaccination while and 1 did not intend to get vaccinated. There was a high level of trust and belief that their government and healthcare providers had their best interests at heart and that the healthcare providers were honest about the vaccine’s risk and benefits, although 31.2% did not understand how the vaccine works and 22.9% believed that there were other ways to prevent infection. Most thought there was adequate safety information, were confident in the system for tracking adverse events and had no issues with access to the vaccine. Conclusion: Participants with IgA nephropathy had high health literacy scores and low vaccine hesitancy. The determinants for vaccine acceptance can potentially guide efforts to optimize vaccination coverage.

Objective To obtain soluble expression of recombinant human heat shock transcription factor 5(rhHSF5) proteins and predict the structure of HSF5 bound to heat shock element. Methods The nucleotide sequence encoding the target gene was subcloned into expression vector pET-22b(+), followed by transformation into Escherichia coli BL21(DE3) strain and expression induction with IPTG. The rhHSF5 was purified using a Ni-NTA affinity column and gel filtration chromatography. A gel shift assay was carried out after the incubation of the purified rhHSF5 and an oligonucleotide containing a heat shock element. Structure prediction was done by means of homology modeling and molecular dynamics simulation. Results Soluble expression of rhHSF5 was achieved with high purity production. The purified rhHSF5 showed good binding activity with the heat shock element. A reasonable protein-DNA binding model was obtained. Conclusions The recombinant human HSF5 is produced in a soluble form with good yield and activity, which lays a solid foundation for mechanistic studies of this novel spermatogenesis regulator in the future.

Abstract Background Schistosomiasis japonica remains an important public health concern due to its potential to cause severe outcomes and long-term sequelae. An integrated control strategy implemented in the Peoples’ Republic of China has been shown to be effective to control or interrupt the transmission of schistosomiasis. The objective of this study is to estimate the disease burden of schistosomiasis and assess the cost-effectiveness of the integrated control strategy focused on different major interventions at three stages for schistosomiasis control in a lake setting, to provide reference for policy making or planning. Methods Annual cost data of schistosomiasis control during 2009–2019 were obtained from the control program implementers in Jiangling County, Hubei Province, China. Economic costs are provided in constant 2009 Chinese Yuan (CNY). Epidemiological data of schistosomiasis were collected from the Jiangling county station for schistosomiasis control. Disease burden of schistosomiasis was assessed by calculating years of life lost (YLLs) owing to premature death, years lived with disability (YLDs) and disability-adjusted life years (DALYs). DALYs were calculated as the sum of YLLs and YLDs. We then conducted a rudimentary cost-effectiveness analysis by determining the ratio by dividing the difference between the average cost of integrated control strategy at transmission control (2013–2016) or transmission interruption (2017–2019) and the average cost at stage of infection control (2009–2012) with the difference between the DALYs of schistosomiasis at different control stages. Descriptive statistics on the costs and DALYs were used in the analysis. Results The total economic costs for schistosomiasis control in Jiangling County from 2009 to 2019 were approximately CNY 606.88 million. The average annual economic costs for schistosomiasis prevention and control at stages of infection control (2009–2012), transmission control (2013–2016), and transmission interruption (2017–2019) were approximately CNY 41.98 million, CNY 90.19 million and CNY 26.06 million respectively. The overall disease burden caused by schistosomiasis presented a downward trend. Meanwhile, the disease burden of advanced cases showed an upward trend with the DALY increased from 943.72 to 1031.59 person-years. Most disease burden occurred in the age group over 45 years old (especially the elderly over 60 years old). Taking the infection control stage as the control, the incremental cost-effectiveness ratio of integrated control strategy was CNY 8505.5 per case averted, CNY 60 131.6 per DALY decreased at transmission control stage and CNY −2217.6 per case averted, CNY −18 116.0 per DALY decreased at transmission interruption stage. Conclusions The disease burden of schistosomiasis decreased significantly with the implementation of the integrated prevention and control strategy. Surveillance and management on elder population should be strengthened to decrease diseases burden. There remains a need for well-conducted studies that examine the long-term cost-effectiveness of the integrated control strategy for schistosomiasis. Graphic Abstarct

The construction of the Yangtze River Economic Belt (YEB) is a great national economic development strategy in China. As the YEB covers most endemic provinces of schistosomiasis japonica featured by low endemicity, this study aimed to investigate the spatiotemporal distribution pattern of Oncomelania hupensis (O. hupensis), which serves as the only intermediate host of Schistosoma japonicum in the YEB. Annual data reflecting the distribution of O. hupensis from 2015 to 2021 were collected from the National Institute of Parasitic Disease, Chinese Center for Disease Control and Prevention. Spatial autocorrelation analysis, hotspot analysis and space–time scan analysis were performed to explore the aggregation features and spatiotemporal dynamics of the snail distribution. The distribution of both total snail habitats (during 2015–2021) and emerging snail habitats (in 2016, 2018 and 2020) showed spatial autocorrelation (Z = 15.8~16.1, p < 0.05; Z = 2.3~7.5, p < 0.05). Hotspot (high-value areas in space) counties were mainly clustered in the alluvial plain of the middle and lower reaches of the YEB. Eight spatial and temporal clusters of snail habitats were scanned and were mainly concentrated in the counties of Anhui, Jiangxi, Hubei, Hunan and Jiangsu provinces along the Yangtze River. The YEB carries a tremendous burden of O. hupensis. Surveillance and risk identification based on the snail presence should be strengthened to provide reference for protecting humans and public health security in the YEB.

Backgrounds: Advanced schistosomiasis is the late stage of schistosomiasis, seriously jeopardizing the quality of life or lifetime of infected people. This study aimed to develop a nomogram for predicting mortality of patients with advanced schistosomiasis japonica, taking Dongzhi County of China as a case study. Method: Data of patients with advanced schistosomiasis japonica were collected from Dongzhi Schistosomiasis Hospital from January 2019 to July 2022. Data of patients were randomly divided into a training set and validation set with a ratio of 7:3. Candidate variables, including survival outcomes, demographics, clinical features, laboratory examinations, and ultrasound examinations, were analyzed and selected by LASSO logistic regression for the nomogram. The performance of the nomogram was assessed by concordance index (C-index), sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV). The calibration of the nomogram was evaluated by the calibration plots, while clinical benefit was evaluated by decision curve and clinical impact curve analysis. Results: A total of 628 patients were included in the final analysis. Atrophy of the right liver, creatinine, ascites level III, N-terminal procollagen III peptide, and high-density lipoprotein were selected as parameters for the nomogram model. The C-index, sensitivity, specificity, PPV, and NPV of the nomogram were 0.97 (95% [CI]: [0.95–0.99]), 0.78 (95% [CI]: [0.64–0.87]), 0.97 (95% [CI]: [0.94–0.98]), 0.78 (95% [CI]: [0.64–0.87]), 0.97 (95% [CI]: [0.94–0.98]) in the training set; and 0.98 (95% [CI]: [0.94–0.99]), 0.86 (95% [CI]: [0.64–0.96]), 0.97 (95% [CI]: [0.93–0.99]), 0.79 (95% [CI]: [0.57–0.92]), 0.98 (95% [CI]: [0.94–0.99]) in the validation set, respectively. The calibration curves showed that the model fitted well between the prediction and actual observation in both the training set and validation set. The decision and the clinical impact curves showed that the nomogram had good clinical use for discriminating patients with high risk of death. Conclusions: A nomogram was developed to predict prognosis of advanced schistosomiasis. It could guide clinical staff or policy makers to formulate intervention strategies or efficiently allocate resources against advanced schistosomiasis.

In the linear response eigenvalue problem arising from computational quantum chemistry and physics, one needs to compute a few of smallest positive eigenvalues together with the corresponding eigenvectors. For such a task, most of efficient algorithms are based on an important notion that is the so-called pair of deflating subspaces. If a pair of deflating subspaces is at hand, the computed approximated eigenvalues are partial eigenvalues of the linear response eigenvalue problem. In the case the pair of deflating subspaces is not available, only approximate one, in a recent paper [SIAM J. Matrix Anal. Appl., 35(2), pp.765-782, 2014], Zhang, Xue and Li obtained the relationships between the accuracy in eigenvalue approximations and the distances from the exact deflating subspaces to their approximate ones. In this paper, we establish majorization type results for these relationships. From our majorization results, various bounds are readily available to estimate how accurate the approximate eigenvalues based on information on the approximate accuracy of a pair of approximate deflating subspaces. These results will provide theoretical foundations for assessing the relative performance of certain iterative methods in the linear response eigenvalue problem.

Abstract Background Acute kidney injury (AKI) is a major global health problem. We aim to evaluate the epidemiology, risk factors and outcomes of AKI episodes in our single centre. Methodology We prospectively identified 422 AKI and acute on chronic kidney disease episodes in 404 patients meeting KDIGO definitions using electronic medical records and clinical data from 15th July to 22nd October 2016, excluding patients with baseline estimated GFR (eGFR) of

Coiled tubing (CT) has been widely used for oil and gas exploitation, however corrosion of CT under high pressure and high temperature (HPHT) environment was often reported, also corrosion induced failures of CT welds were often observed to occur during service. Corrosion related behaviors of CT welds are not clear. Therefore, a study of the corrosion resistance of CT welds under HPHT environment is carried out. In order to efficiently evaluate the corrosion resistance of welds, some test samples were obtained by linear cutting out of a CT110 in service on the site. The water samples from gas field were used as the test reagent to simulate the actual corrosive medium. Based on the results of weight loss test under HPHT corrosive environment and tensile test under room conditions, the corrosion sensitivities of the welding seam and base material under various temperatures and partial pressures of CO2 as well as the mechanical properties of the corroded CT were compared and evaluated quantitatively, the corrosion morphologies and material products of the test samples were analyzed by scanning electron microscope (SEM). The test results showed that the corrosion rates of the welding seam in a HPHT caldron were 1.7, 2.0 and 1.2 times of the base metal's when the total pressure is 4MPa, and the temperature is 30°C, 60°C and 90°C, respectively. The corrosion rates of the welding seam is 2.0, 2.1 and 2.0 times of the base metal's when the partial pressure of CO2 is 0.1MPa, 0.2MPa and 0.3MPa, respectively. The yield strength of the weld seam after corrosion test was found to be reduced by 4.8% (the yield strength of the base metal was reduced by 4.0%) and its tensile strength was reduced by 8.2% (the base metal was reduced by 7.1%). This indicates that CT weld seam is more susceptible to corrosion than CT base material under service condition.

Introduction. It is not uncommon for patients without preceding history of kidney disease to present to the Emergency department with renal failure. The absence of prior medical records or renal imaging presents a diagnostic challenge. Elevated parathyroid hormone levels or echogenic contracted kidneys on ultrasound are known to point to a diagnosis of chronic kidney disease. The literature in this regard is surprisingly limited. The objective of this study is to assess the role of intact parathyroid (iPTH) blood level and bedside ultrasound in differentiating acute kidney injury from chronic kidney disease. Methods. A systematic review which included a literature search of 3 databases, PubMed, Embase, and Cinahl (R) as also secondary sources, was done. The inclusion criteria evaluated studies which evaluated iPTH or bedside ultrasound in differentiating acute kidney injury from chronic kidney disease. We excluded studies which used other laboratory biomarkers like neutrophil gelatin associated lipocalin (NGAL) or carbamylated haemoglobin. A total of 2256 articles were identified. After screening, the relevant articles were reviewed, and an assessment of their methodological quality was made based on the CASP: Critical Appraisals Skill Programme. Results. Of the 2256 articles identified, after screening, only 5 were identified as relevant. Conclusions. An elevated parathyroid hormone level and echogenic contracted kidneys on bedside ultrasound in the Emergency department can help differentiate acute kidney injury from chronic kidney disease. This differentiation helps decide need for admission as well as further management. Although iPTH level may also rise in acute kidney injury, the value (2.5 times normal) can discriminate it from chronic kidney disease.

Abstract Compaction correction is a key part of paleo-geomorphic recovery methods. Yet, the influence of lithology on the porosity evolution is not usually taken into account. Present methods merely classify the lithologies as sandstone and mudstone to undertake separate porosity-depth compaction modeling. However, using just two lithologies is an oversimplification that cannot represent the compaction history. In such schemes, the precision of the compaction recovery is inadequate. To improve the precision of compaction recovery, a depth compaction model has been proposed that involves both porosity and clay content. A clastic lithological compaction unit classification method, based on clay content, has been designed to identify lithological boundaries and establish sets of compaction units. Also, on the basis of the clastic compaction unit classification, two methods of compaction recovery that integrate well and seismic data are employed to extrapolate well-based compaction information outward along seismic lines and recover the paleo-topography of the clastic strata in the region. The examples presented here show that a better understanding of paleo-geomorphology can be gained by applying the proposed compaction recovery technology.

Al-4.5wt.%Cu alloy has been directionally solidified at constant and abruptly changing withdrawal rates, respectively. The effects of the withdrawal rate on solidification microstructure, primary dendrite arm spacing (PDAS) and liquid solute distribution in front of the solid-liquid interface were investigated. The experimental results for the PDAS at a constant withdrawal rate agree well with the values calculated by the Hunt, Trivedi and Hunt-Lu models. At an abrupt change in the withdrawal rate, the maximum to minimum ratio of the PDAS at a given solidification parameter, i.e. λ1max/λ1min, is more than 2, and the PDAS values are remarkably history-dependent. Further, the liquid-solute distribution curve based on theoretical calculation shows that the larger the initial withdrawal rate is, the smaller the minimum of liquid solute concentration in front of the solid-liquid interface is after the abrupt change in withdrawal rate.